Kns PKM Gresik
Kns PKM Gresik
Kns PKM Gresik
Alasan
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Rujukan
Primer Ada Tidak
0000098901459 DWI KURNIAWATI Urinary tract infection, site not specified 2/3/2016 RS Semen Gresik 1
0000098907884 nur hidayah Essential (primary) hypertension 1/21/2016 RSU IBNU SINA GRESIK 1
5/21/2016 RSU IBNU SINA GRESIK 1
0000098920225 HJ.NURAINI Hyperlipidaemia, unspecified 4/25/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/13/2016 RS PETROKIMIA GRESIK 1
6/14/2016 RS PETROKIMIA GRESIK 1
6/20/2016 RS PETROKIMIA GRESIK 1
8/29/2016 RS PETROKIMIA GRESIK 1
0000098953738 SATRIYA Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
8/10/2016 RSU IBNU SINA GRESIK 1
0000098955415 JAUHAROTOL MUSFAROH Essential (primary) hypertension 6/30/2016 RSU IBNU SINA GRESIK 1
0000098967879 SITI INDRAWATI Hyperlipidaemia, unspecified 8/19/2016 RSU IBNU SINA GRESIK 1
0000098969591 TASNIM Essential (primary) hypertension 4/28/2016 RSU IBNU SINA GRESIK 1
0000098980874 MOHAMMAD FATICH Non-insulin-depend diabetes mellitus without complication 4/5/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0000099021734 HENY SUYIMAH Non-insulin-depend diabetes mellitus without complication 1/5/2016 RSU IBNU SINA GRESIK 1
0000099023117 MUAFAH Allergic rhinitis, unspecified 1/26/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 4/28/2016 RSU IBNU SINA GRESIK 1
Unspecified haemorrhoids without complication 7/29/2016 RSU IBNU SINA GRESIK 1
0000099025558 SIGIT SUNARTO Hyperlipidaemia, unspecified 6/22/2016 RSU IBNU SINA GRESIK 1
0000099025582 SRI MULYANI. Seborrhoeic dermatitis, unspecified 3/16/2016 RS PETROKIMIA GRESIK 1
0000099042311 YUSUF EFFENDI Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
6/21/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0000099090347 MUCHLISATUN JD. MISRAN Tb lung confirm sputum microscopy with or without culture 6/1/2016 RSU IBNU SINA GRESIK 1
0000099091023 RR SRIMANAH Non-insulin-depend diabetes mellitus without complication 1/5/2016 RSU IBNU SINA GRESIK 1
0000099091877 SOERATIN Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
2/16/2016 RS PETROKIMIA GRESIK 1
7/25/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
0000099091899 SITI SAUMU AMSYAH Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
2/16/2016 RS PETROKIMIA GRESIK 1
7/25/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
0000099091989 SOEWANTO Non-insulin-depend diabetes mellitus without complication 4/12/2016 RSU IBNU SINA GRESIK 1
0000099092068 SRI ASTUTI Essential (primary) hypertension 1/6/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/15/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0000099092496 UMU SAADAH Essential (primary) hypertension 3/30/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
0000099148263 DJONO Essential (primary) hypertension 1/8/2016 RS PETROKIMIA GRESIK 1
0000099148465 MAS HAMNAH Hyperlipidaemia, unspecified 7/19/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/26/2016 RS PETROKIMIA GRESIK 1
0000099151154 TERESINNA TAMBA Essential (primary) hypertension 3/12/2016 RSU IBNU SINA GRESIK 1
0000099151942 hanifah Bronchitis, not specified as acute or chronic 6/13/2016 RS PETROKIMIA GRESIK 1
0000099152741 MURDIJANTO ADI PRASETYO Essential (primary) hypertension 8/12/2016 RS PETROKIMIA GRESIK 1
0000099243808 HARSONO SAID Essential (primary) hypertension 1/11/2016 RS PETROKIMIA GRESIK 1
2/10/2016 RS PETROKIMIA GRESIK 1
0000099258311 ABD MUNIF Essential (primary) hypertension 6/29/2016 RSU IBNU SINA GRESIK 1
0000099274318 FATIMATUS ERNANIE Acute nasopharyngitis [common cold] 3/23/2016 RSU IBNU SINA GRESIK 1
0000099281698 KOESWIYANTOKO Essential (primary) hypertension 3/16/2016 RS PETROKIMIA GRESIK 1
0000100395066 LILIK MAS'NAH Essential (primary) hypertension 7/29/2016 RS Muhammadiyah Gresik 1
0000101926181 SUKARTI Allergic rhinitis, unspecified 3/11/2016 RS Semen Gresik 1
0000103687244 RISANA YULINDA Impacted cerumen 4/30/2016 RSU IBNU SINA GRESIK 1
0000148291558 ETI NURLUSIANAWATI Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS PETROKIMIA GRESIK 1
0000157099162 SITI MADIAN Essential (primary) hypertension 2/3/2016 RS PETROKIMIA GRESIK 1
3/16/2016 RS PETROKIMIA GRESIK 1
0000166540588 SRI WILUJENG PANTJAWATI Irritant contact dermatitis due to detergents 6/15/2016 RS PETROKIMIA GRESIK 1
0000193501394 RIDHO ADITYA NUGRAHA Acute nasopharyngitis [common cold] 1/19/2016 RSU IBNU SINA GRESIK 1
2/6/2016 RSU IBNU SINA GRESIK 1
0000197413198 MUHAMMAD YUZAR N. Allergic rhinitis, unspecified 2/9/2016 RSU IBNU SINA GRESIK 1
0000197943693 SITI KHOMARIYAH Hyperlipidaemia, unspecified 2/15/2016 RSU IBNU SINA GRESIK 1
5/9/2016 RSU IBNU SINA GRESIK 1
6/2/2016 RSU IBNU SINA GRESIK 1
0000210046195 SRI SUSILOWATI Essential (primary) hypertension 6/28/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/28/2016 RS PETROKIMIA GRESIK 1
2/16/2016 RS PETROKIMIA GRESIK 1
4/22/2016 RS PETROKIMIA GRESIK 1
7/23/2016 RS PETROKIMIA GRESIK 1
8/2/2016 RS PETROKIMIA GRESIK 1
0000761774714 ASIK Bronchitis, not specified as acute or chronic 4/7/2016 RSU IBNU SINA GRESIK 1
0000762434548 ACHMAD CHUDORI Otitis media, unspecified 2/19/2016 RS PETROKIMIA GRESIK 1
0000762438385 MARI'AH Acute nasopharyngitis [common cold] 5/2/2016 RSU IBNU SINA GRESIK 1
0000762832372 PONIMIN Bronchitis, not specified as acute or chronic 3/19/2016 RS PETROKIMIA GRESIK 1
0000762994359 MASITA Unspecified haemorrhoids without complication 4/20/2016 RSU IBNU SINA GRESIK 1
0000763029922 DJUARI Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
4/22/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS PETROKIMIA GRESIK 1
3/7/2016 RS PETROKIMIA GRESIK 1
4/18/2016 RS PETROKIMIA GRESIK 1
6/17/2016 RS PETROKIMIA GRESIK 1
7/18/2016 RS PETROKIMIA GRESIK 1
0000763082515 CHOIRIL ISMAWATI Unspecified haemorrhoids without complication 6/30/2016 RSU IBNU SINA GRESIK 1
0000763101505 CHAMIM. Internal haemorrhoids without complication 4/21/2016 RSU IBNU SINA GRESIK 1
0000763105509 AKHMAD RIFA'I Bell's palsy 8/25/2016 RS PETROKIMIA GRESIK 1
0000763117481 MOH KUSEN Essential (primary) hypertension 8/9/2016 RSU IBNU SINA GRESIK 1
0000763178433 MUHAMMAD ENDIN Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0001226661006 SUBANI Hyperlipidaemia, unspecified 5/25/2016 RSU IBNU SINA GRESIK 1
0001256168608 ELLY HANDAYANI Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0001257695065 MAS'UDAH ASSEGAF Acute pharyngitis, unspecified 5/4/2016 RS PETROKIMIA GRESIK 1
Allergic rhinitis, unspecified 4/21/2016 RS PETROKIMIA GRESIK 1
0001261017516 ENDANG MARIANA Non-insulin-depend diabetes mellitus without complication 8/29/2016 RSU IBNU SINA GRESIK 1
0001261644928 EMY KARNESI ZAM'AH Bronchitis, not specified as acute or chronic 4/27/2016 RSU IBNU SINA GRESIK 1
0001262016314 M CHUSNUN Acute nasopharyngitis [common cold] 4/16/2016 RSU IBNU SINA GRESIK 1
0001262139423 DJUARIAH Essential (primary) hypertension 4/8/2016 RS PETROKIMIA GRESIK 1
0001262249324 HJ. NURIYATUL ULWIYAH Non-insulin-depend diabetes mellitus without complication 4/21/2016 RS PETROKIMIA GRESIK 1
6/10/2016 RS PETROKIMIA GRESIK 1
0001262249932 DIYANATUL MARDLIYAH Essential (primary) hypertension 3/8/2016 RS Muhammadiyah Gresik 1
0001262697107 SITI NAILAH Essential (primary) hypertension 8/12/2016 RS PETROKIMIA GRESIK 1
0001263632837 ROCHMAH Essential (primary) hypertension 2/19/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
0001266619454 sumiyati Non-insulin-depend diabetes mellitus without complication 7/19/2016 RS PETROKIMIA GRESIK 1
0001268063144 SUFIYATI Bronchitis, not specified as acute or chronic 7/2/2016 RS PETROKIMIA GRESIK 1
0001269217967 PUTRI ADELIA AMANINA Measles without complication 5/30/2016 RS Muhammadiyah Gresik 1
0001270558631 SUSIATI Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 6/4/2016 RSU IBNU SINA GRESIK 1
0001274613456 M. TAUCHID Acute nasopharyngitis [common cold] 1/9/2016 RSU IBNU SINA GRESIK 1
0001279678072 Hj. MUKMINATUS SHOLICHAH Essential (primary) hypertension 1/21/2016 RS PETROKIMIA GRESIK 1
0001286038372 MUZAYANAH Non-insulin-depend diabetes mellitus without complication 2/5/2016 RSU IBNU SINA GRESIK 1
0001287101327 SUYATI Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS PETROKIMIA GRESIK 1
2/18/2016 RS PETROKIMIA GRESIK 1
3/24/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
5/26/2016 RS PETROKIMIA GRESIK 1
0001293062657 AGUS SUBANDI Non-insulin-depend diabetes mellitus without complication 7/22/2016 RS Muhammadiyah Gresik 1
0001295010268 FAIQ EL HIMMAH Tinea corporis 8/9/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
0001295353866 AGUS SUBAGIO Cutaneous abscess, furuncle and carbuncle of other sites 3/31/2016 RS PETROKIMIA GRESIK 1
0001296974463 MUHAMMAD SALIM AL RASYID Acute nasopharyngitis [common cold] 8/22/2016 RSU IBNU SINA GRESIK 1
0001297133842 MOH. MASHUD Essential (primary) hypertension 1/4/2016 RSU IBNU SINA GRESIK 1
0001299365728 RR.LILIK LUSIAWATI Tinea pedis 5/18/2016 RSU IBNU SINA GRESIK 1
0001302708699 SUTIANI Essential (primary) hypertension 5/16/2016 RSU IBNU SINA GRESIK 1
0001305339761 WARSITO Bronchitis, not specified as acute or chronic 5/4/2016 RSU IBNU SINA GRESIK 1
0001307002533 sri suyatmi Non-insulin-depend diabetes mellitus without complication 8/26/2016 RS PETROKIMIA GRESIK 1
0001308439495 NING DJUARIYAH Non-insulin-depend diabetes mellitus without complication 1/14/2016 RSU IBNU SINA GRESIK 1
0001316274142 DEWI ASIYAH Essential (primary) hypertension 1/8/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/11/2016 RS PETROKIMIA GRESIK 1
4/7/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
0001319280265 YAHYA ARIADI Non-insulin-depend diabetes mellitus without complication 3/30/2016 RS Semen Gresik 1
0001335223247 ANIK WIDJAYATI Cutaneous abscess, furuncle and carbuncle of neck 8/3/2016 RS PETROKIMIA GRESIK 1
0001382696829 LILIE LUDHIAH KHARIE Acute nasopharyngitis [common cold] 4/28/2016 RSU IBNU SINA GRESIK 1
0001384305884 suharsih Essential (primary) hypertension 3/2/2016 RS PETROKIMIA GRESIK 1
0001388490254 rusna Essential (primary) hypertension 7/22/2016 RS PETROKIMIA GRESIK 1
0001422820506 m. bambang hermanto Essential (primary) hypertension 1/20/2016 RSU IBNU SINA GRESIK 1
0001425665981 YULIA KASIH PUTRI LESTARI Impacted cerumen 6/30/2016 RSU IBNU SINA GRESIK 1
0001428244255 FAROYATI Essential (primary) hypertension 5/12/2016 RSU IBNU SINA GRESIK 1
0001428852161 NUR AFIYAH Tb lung confirm sputum microscopy with or without culture 3/2/2016 RS Muhammadiyah Gresik 1
0001433257031 SURISTINAH Essential (primary) hypertension 4/4/2016 RS PETROKIMIA GRESIK 1
4/18/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/1/2016 RS PETROKIMIA GRESIK 1
4/8/2016 RS PETROKIMIA GRESIK 1
0001434798033 nur su'aini Essential (primary) hypertension 8/9/2016 RSU IBNU SINA GRESIK 1
0001435387757 towiyani Non-insulin-depend diabetes mellitus without complication 1/25/2016 RSU IBNU SINA GRESIK 1
0001435722333 marli'ah Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS PETROKIMIA GRESIK 1
4/15/2016 RS PETROKIMIA GRESIK 1
0001445794885 DJUNAIDI Dermatitis, unspecified 6/21/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 5/10/2016 RS PETROKIMIA GRESIK 1
Tinea corporis 6/28/2016 RS PETROKIMIA GRESIK 1
0001446174246 SRI KUSMIATI Bronchitis, not specified as acute or chronic 4/27/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 5/24/2016 RS PETROKIMIA GRESIK 1
0001454373257 KISMINI Impacted cerumen 6/6/2016 RS Semen Gresik 1
0001454543998 MUHAMMAD HENDI HIDAYAT RO Allergic rhinitis, unspecified 6/23/2016 RSU IBNU SINA GRESIK 1
0001474663869 LIE MIE TJIEN Allergic rhinitis, unspecified 4/20/2016 RSU IBNU SINA GRESIK 1
0001475696654 NENENG NURWIDIYANTI Otitis media, unspecified 2/11/2016 RSU IBNU SINA GRESIK 1
0001478147073 DURIYAH Anaemia, unspecified 8/26/2016 RS PETROKIMIA GRESIK 1
0001480126184 SOEJATMIKO Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
2/9/2016 RS PETROKIMIA GRESIK 1
3/8/2016 RS PETROKIMIA GRESIK 1
3/24/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 8/18/2016 RS PETROKIMIA GRESIK 1
Tinea corporis 8/4/2016 RS PETROKIMIA GRESIK 1
0001480349384 BUDI KUSMANI Essential (primary) hypertension 8/12/2016 RS PETROKIMIA GRESIK 1
0001482991773 BURHANUDDIN Non-insulin-depend diabetes mellitus without complication 3/16/2016 RS PETROKIMIA GRESIK 1
0001538295603 SUTRISNO Dermatitis, unspecified 2/25/2016 RS Semen Gresik 1
0001540773033 WIWIK SRI WAHYUNI Essential (primary) hypertension 7/25/2016 RS PETROKIMIA GRESIK 1
0001542237693 SUNAR Essential (primary) hypertension 6/28/2016 RS Semen Gresik 1
0001542341351 YULIANA Cutaneous abscess, furuncle and carbuncle of trunk 6/16/2016 RSU IBNU SINA GRESIK 1
0001617475871 JEFITRA APRILIA SANDY Unspecified haemorrhoids without complication 6/17/2016 RSU IBNU SINA GRESIK 1
0001618161028 WONY APRILIYATI Non-insulin-depend diabetes mellitus without complication 7/15/2016 RS PETROKIMIA GRESIK 1
0001672680238 Rusmiatun Unspecified haemorrhoids without complication 8/30/2016 RSU IBNU SINA GRESIK 1
0001672690792 MULYANI Acute nasopharyngitis [common cold] 8/4/2016 RSU IBNU SINA GRESIK 1
Otitis media, unspecified 8/9/2016 RSU IBNU SINA GRESIK 1
0001701620403 QUSYAIRI, S.PD.I Asthma, unspecified 2/1/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 2/17/2016 RS PETROKIMIA GRESIK 1
3/23/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/29/2016 RS PETROKIMIA GRESIK 1
0001703094546 M.APRIZAL Unspecified haemorrhoids without complication 7/22/2016 RSU IBNU SINA GRESIK 1
0001720709087 suwandi Non-insulin-depend diabetes mellitus without complication 8/27/2016 RS PETROKIMIA GRESIK 1
0001786238807 EDDY SUTRISNO Essential (primary) hypertension 7/15/2016 RS PETROKIMIA GRESIK 1
0001786662404 MUCHAMAD NURSAM Bell's palsy 3/28/2016 RSU IBNU SINA GRESIK 1
0001786766084 SOLEH Bell's palsy 6/13/2016 RS PETROKIMIA GRESIK 1
6/29/2016 RS PETROKIMIA GRESIK 1
7/13/2016 RS PETROKIMIA GRESIK 1
7/27/2016 RS PETROKIMIA GRESIK 1
0001794082757 MATOHIR Essential (primary) hypertension 3/21/2016 RS PETROKIMIA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 8/16/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 6/29/2016 RS PETROKIMIA GRESIK 1
0001796408425 sri sumiarsih Essential (primary) hypertension 2/10/2016 RS PETROKIMIA GRESIK 1
2/24/2016 RS PETROKIMIA GRESIK 1
0001813583744 ANWAR SADAD Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0001816377096 KASRI Allergic rhinitis, unspecified 2/26/2016 RSU IBNU SINA GRESIK 1
0001817197075 RUPIAH Essential (primary) hypertension 6/24/2016 RSU IBNU SINA GRESIK 1
0001821781978 MUHARNI Bronchitis, not specified as acute or chronic 4/8/2016 RSU IBNU SINA GRESIK 1
0001832616742 SRIATINAH Tension-type headache 1/13/2016 RS PETROKIMIA GRESIK 1
0001836691716 KARIYONO Essential (primary) hypertension 5/31/2016 RS PETROKIMIA GRESIK 1
0001836694179 muti'ah Essential (primary) hypertension 3/26/2016 RS PETROKIMIA GRESIK 1
0001848622678 M. HASAN SHODIQ Bronchitis, not specified as acute or chronic 1/29/2016 RSU IBNU SINA GRESIK 1
0001867969449 FARZAN ARGANI ZAIM Bronchitis, not specified as acute or chronic 4/20/2016 RS Muhammadiyah Gresik 1
0001871182304 MUHAMMAD FACHUR RAHMAN Bell's palsy 4/4/2016 RSU IBNU SINA GRESIK 1
0001880061748 umu nadliroh Noninfective gastroenteritis and colitis, unspecified 5/24/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 2/27/2016 RS PETROKIMIA GRESIK 1
0001964950885 NURUL AZIZAH Noninfective gastroenteritis and colitis, unspecified 4/19/2016 RSU IBNU SINA GRESIK 1
0001971647842 UMI HANIK SUNDARIYANI Essential (primary) hypertension 3/11/2016 RS PETROKIMIA GRESIK 1
0002036465965 abdul rachman Non-insulin-depend diabetes mellitus without complication 3/23/2016 RS Semen Gresik 1
0002040454315 siti choiriyah Seborrhoeic dermatitis, unspecified 6/22/2016 RS PETROKIMIA GRESIK 1
0002046113032 elinda suryati Essential (primary) hypertension 8/12/2016 RS PETROKIMIA GRESIK 1
0002056101276 hj. juwariyah Essential (primary) hypertension 6/29/2016 RS Semen Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nama PPK
Nomor Kartu Nama Diagnosa Primer BlnLayan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Layanan
Primer Ada Tidak
0000098903452 SOELISTIJAWATI Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS WALI SONG 1
0000098907074 SITI KOMSATUN Inflammatory disorders of breast 7/20/2016 RS PETROKIMI 1
0000098924005 ABDUL RASID Essential (primary) hypertension 7/27/2016 RSU IBNU SIN 1
0000098926931 PUJIYAH Essential (primary) hypertension 2/3/2016 RSU IBNU SIN 1
0000098928325 SUMADIYONO Acute pharyngitis, unspecified 4/22/2016 RSU IBNU SIN 1
0000099021418 HAFSAH SUTRISNO Acute nasopharyngitis [common cold] 6/11/2016 RSU IBNU SIN 1
0000099082978 MOCH SAMANUDIN Non-insulin-depend diabetes mellitus without complication 6/29/2016 RSU IBNU SIN 1
0000099111374 HARTINI Non-insulin-depend diabetes mellitus without complication 2/16/2016 RS PETROKIMI 1
4/1/2016 RS PETROKIMI 1
0000099113589 sucipto Essential (primary) hypertension 3/30/2016 RSU IBNU SIN 1
0000099113624 sulastri Non-insulin-depend diabetes mellitus without complication 1/7/2016 RS PETROKIMI 1
2/16/2016 RS PETROKIMI 1
4/28/2016 RS PETROKIMI 1
8/16/2016 RS PETROKIMI 1
0000099131398 SUMIARDJO,S.AG. Non-insulin-depend diabetes mellitus without complication 4/5/2016 RS PETROKIMI 1
8/3/2016 RS PETROKIMI 1
0000099221207 ALYVIAN MARGARETA Internal haemorrhoids without complication 1/28/2016 RSU IBNU SIN 1
0000099283577 ARTIASIH Essential (primary) hypertension 4/19/2016 RSU IBNU SIN 1
0000099283792 MOCH ASROR Hyperlipidaemia, unspecified 5/24/2016 RSU IBNU SIN 1
0000103853957 YAZID MUTTAQIN Unspecified haemorrhoids without complication 8/23/2016 RSU IBNU SIN 1
0000103873228 AGUS RIADI Essential (primary) hypertension 2/17/2016 RS PETROKIMI 1
0000159504906 SYAKUR Acute nasopharyngitis [common cold] 2/24/2016 RSU IBNU SIN 1
0000165849669 KARTINI Tinea corporis 8/18/2016 RS Semen Gre 1
0000173452476 SITI JULAIHAH Acute nasopharyngitis [common cold] 1/20/2016 RSU IBNU SIN 1
Otitis media, unspecified 3/28/2016 RS PETROKIMI 1
4/8/2016 RS PETROKIMI 1
0000202377802 ANIS NUR WAHYUNI Allergic rhinitis, unspecified 4/4/2016 RS PETROKIMI 1
0000761107307 KISWANDINI Bell's palsy 6/11/2016 RS PETROKIMI 1
0000761206059 KHOLISATUN Seborrhoeic dermatitis, unspecified 5/12/2016 RSU IBNU SIN 1
0000761316039 NURYATI Essential (primary) hypertension 6/4/2016 RSU IBNU SIN 1
0000761531894 ERWANTO Dengue haemorrhagic fever 1/1/2016 RS WALI SONG 1
0000761644416 SELVIA WAHYU DESI RAHMAWAOther acute gastritis 1/18/2016 RS WALI SONG 1
0000761687201 MULIANI Essential (primary) hypertension 2/26/2016 RSU IBNU SIN 1
0000761694423 ERNIK ARDIATI Essential (primary) hypertension 3/19/2016 RSU IBNU SIN 1
Gastro-oesophageal reflux disease with oesophagitis 6/30/2016 RS WATES HU 1
7/21/2016 RS WATES HU 1
8/18/2016 RS WATES HU 1
0000761778595 SAJIATIK Internal haemorrhoids without complication 8/8/2016 RSU IBNU SIN 1
0000761808543 SRIYATI Essential (primary) hypertension 3/10/2016 RSU IBNU SIN 1
4/7/2016 RSU IBNU SIN 1
0000761992119 JULIKAN Essential (primary) hypertension 6/30/2016 RSU IBNU SIN 1
0000762380559 SURIP Hyperlipidaemia, unspecified 4/15/2016 RSU IBNU SIN 1
0000762380605 MISRI Essential (primary) hypertension 5/12/2016 RSU IBNU SIN 1
6/2/2016 RSU IBNU SIN 1
0000762381145 DODIK ISKANDAR Essential (primary) hypertension 8/4/2016 RSU IBNU SIN 1
0000762634517 MUHAMMAD SAKHUR KURNIA Urinary tract infection, site not specified 1/29/2016 RS WALI SONG 1
0000762811402 NURALI Other acute gastritis 1/26/2016 RS WALI SONG 1
0000762874817 KARSI Tinea corporis 2/4/2016 RSU IBNU SIN 1
0000762988048 NINA NUR REVALINA Acute nasopharyngitis [common cold] 6/17/2016 RSU IBNU SIN 1
0000763006724 RUSMINI Inflammatory disorders of breast 3/26/2016 RSU IBNU SIN 1
0000763321994 TUMINI Essential (primary) hypertension 4/11/2016 RSU IBNU SIN 1
0000763332772 WIWIK Bell's palsy 8/26/2016 RSU IBNU SIN 1
0001047508547 JAMIAH Asthma, unspecified 8/26/2016 RSU IBNU SIN 1
0001156330664 BAMBANG SUGIANTO Other acute gastritis 1/19/2016 RS WALI SONG 1
0001167625776 ISTIANAH S PDI Zoster without complication 5/25/2016 RSU IBNU SIN 1
0001263986627 SULIASIH Essential (primary) hypertension 4/5/2016 RSU IBNU SIN 1
0001266973053 PANUT Essential (primary) hypertension 2/9/2016 RSU IBNU SIN 1
0001274641593 SUMI KUSWATIN Essential (primary) hypertension 5/2/2016 RSU IBNU SIN 1
Urinary tract infection, site not specified 2/9/2016 RSU IBNU SIN 1
0001284282832 RUMIATI Essential (primary) hypertension 1/21/2016 RSU IBNU SIN 1
0001287746987 SITI MASTUROCH Bell's palsy 7/16/2016 RSU IBNU SIN 1
0001319427022 KARNI Essential (primary) hypertension 7/28/2016 RSU IBNU SIN 1
Hyperlipidaemia, unspecified 5/11/2016 RSU IBNU SIN 1
Urinary tract infection, site not specified 3/30/2016 RSU IBNU SIN 1
0001322554972 CHOIRUL ANAM Internal haemorrhoids without complication 1/19/2016 RS WALI SONG 1
0001322555578 LILIK KHAMIDAH Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS WALI SONG 1
2/23/2016 RS WALI SONG 1
0001338714101 HJ.SITI MUZAIYANAH Bronchitis, not specified as acute or chronic 5/9/2016 RS Semen Gre 1
0001388147534 RAWI Tension-type headache 1/5/2016 RSU IBNU SIN 1
0001388729834 djali Acute nasopharyngitis [common cold] 8/2/2016 RSU IBNU SIN 1
0001390362388 IMRAN Benign lipomatous neoplasm, unspecified 4/20/2016 RS PETROKIMI 1
0001427583969 fatimah Essential (primary) hypertension 2/10/2016 RS PETROKIMI 1
0001434266291 kastiah Essential (primary) hypertension 4/26/2016 RSU IBNU SIN 1
Otitis media, unspecified 5/9/2016 RSU IBNU SIN 1
0001475841756 AMINATUS SUHRUR Bronchitis, not specified as acute or chronic 4/6/2016 RSU IBNU SIN 1
0001537560033 THEOBALD AKBAR DANAYAKSA Impetigo [any organism] [any site] 3/26/2016 RSU IBNU SIN 1
0001806503319 INDRO HARIONO Non-insulin-depend diabetes mellitus without complication 4/14/2016 RS PETROKIMI 1
7/21/2016 RS PETROKIMI 1
8/18/2016 RS PETROKIMI 1
0001810008988 TJIOE IE AE Essential (primary) hypertension 1/14/2016 RS PETROKIMI 1
4/14/2016 RS PETROKIMI 1
7/21/2016 RS PETROKIMI 1
Non-insulin-depend diabetes mellitus without complication 8/18/2016 RS PETROKIMI 1
0001810020701 SOEHARSONO LIMAN Essential (primary) hypertension 7/21/2016 RS PETROKIMI 1
8/18/2016 RS PETROKIMI 1
Non-insulin-depend diabetes mellitus without complication 1/14/2016 RS PETROKIMI 1
4/14/2016 RS PETROKIMI 1
0001820210962 h. moh syaifudin Essential (primary) hypertension 5/26/2016 RS Semen Gre 1
0001829008574 NGATEMI . Otitis media, unspecified 4/12/2016 RSU IBNU SIN 1
0001832246471 RAMAD Tb lung confirm sputum microscopy with or without culture 4/5/2016 RS Semen Gre 1
0001832255739 juri Urinary tract infection, site not specified 4/6/2016 RS Semen Gre 1
0001850521533 DAVINA VIOLETA QATRUNADA Acute nasopharyngitis [common cold] 5/19/2016 RS WATES HU 1
0001851495917 DHINDA PUTRI APRILIA JASMINAcute pharyngitis, unspecified 8/22/2016 RS WATES HU 1
0001874266132 ABDUL KARIM,SH. Non-insulin-depend diabetes mellitus without complication 8/1/2016 RS PETROKIMI 1
0001876942642 suwari Essential (primary) hypertension 4/29/2016 RSU IBNU SIN 1
0001885316488 siti aminah Tension-type headache 1/19/2016 RS WALI SONG 1
1/26/2016 RS WALI SONG 1
0001893421203 PATRUM Acute nasopharyngitis [common cold] 8/2/2016 RSU IBNU SIN 1
0001893421697 KASTI Anaemia, unspecified 1/23/2016 RSU IBNU SIN 1
0001895286846 moh yunus kurniawan Cutaneous abscess, furuncle and carbuncle, unspecified 6/17/2016 RSU IBNU SIN 1
0001900068028 moh. saiful adim Hyperlipidaemia, unspecified 4/23/2016 RSU IBNU SIN 1
0001902610956 runtik Essential (primary) hypertension 4/23/2016 RSU IBNU SIN 1
0001907760508 HJ. SUWATI Essential (primary) hypertension 6/13/2016 RS PETROKIMI 1
0001961887869 murni Zoster without complication 1/14/2016 RS PETROKIMI 1
0002045753649 TIMA Non-insulin-depend diabetes mellitus without complication 8/15/2016 RS Semen Gre 1
0002056489661 USWATUN KHASANAH Non-insulin-depend diabetes mellitus without complication 5/26/2016 RS PETROKIMI 1
6/7/2016 RS PETROKIMI 1
0002063495777 RASID Essential (primary) hypertension 7/22/2016 RS Semen Gre 1
Jumlah Hasil Konfirmasi ke FKTP
Nama PPK
Nomor Kartu Nama Diagnosa Primer BlnLayan Diagnosa Ada Rujukan/Tidak
Layanan
Primer Ada
0000098921878 SUGIARTI Hyperlipidaemia, unspecified 5/26/2016 RSU IBNU SIN 1
0000098929135 SYAMSU SISWANTO Bronchitis, not specified as acute or chronic 2/6/2016 RS PETROKIMI 1
3/26/2016 RS PETROKIMI 1
Non-insulin-depend diabetes mellitus without complication 2/13/2016 RS PETROKIMI 1
3/12/2016 RS PETROKIMI 1
8/4/2016 RS PETROKIMI 1
0000099003429 HAKIM Non-insulin-depend diabetes mellitus without complication 4/16/2016 RSU IBNU SIN 1
0000099039341 SARONTO Essential (primary) hypertension 3/4/2016 RSU IBNU SIN 1
0000099039925 SITI MUNIROH Acute nasopharyngitis [common cold] 8/23/2016 RSU IBNU SIN 1
0000099132175 MOH. MUNIR Essential (primary) hypertension 1/14/2016 RSU IBNU SIN 1
0000099132603 SUKARTI Internal haemorrhoids without complication 4/27/2016 RSU IBNU SIN 1
0000099133211 ENDANG SULISTIANI Essential (primary) hypertension 4/4/2016 RSU IBNU SIN 1
0000099133604 SIMAN Essential (primary) hypertension 5/11/2016 RSU IBNU SIN 1
0000099194578 LILIK DJUWARIYAH Anaemia, unspecified 3/2/2016 RSU IBNU SIN 1
0000099199462 DJUMAIN Essential (primary) hypertension 3/1/2016 RSU IBNU SIN 1
0000099208078 MUHAJIR Hyperlipidaemia, unspecified 2/9/2016 RSU IBNU SIN 1
0000099216549 SRI WINARSIH Asthma, unspecified 6/16/2016 RSU IBNU SIN 1
0000099220926 SUTRISNO Essential (primary) hypertension 6/6/2016 RSU IBNU SIN 1
0000099223288 UMMU KHOFSAH Acute nasopharyngitis [common cold] 7/25/2016 RSU IBNU SIN 1
0000099223323 UMROTUL AMILAH Non-insulin-depend diabetes mellitus without complication 4/20/2016 RSU IBNU SIN 1
0000099224886 ZAINUDDIN Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/11/2016 RSU IBNU SIN 1
0000099262269 SAMIAJI Unspecified haemorrhoids without complication 4/5/2016 RS PETROKIMI 1
0000099265241 ABDUL MUNTOLIB Asthma, unspecified 8/29/2016 RSU IBNU SIN 1
0000099812079 IR NOER SHOLIHA Nummular dermatitis 6/18/2016 RSU IBNU SIN 1
0000100585282 JULIKA Dermatitis, unspecified 1/11/2016 RS PETROKIMI 1
0000103879967 SYAHIDIN Nummular dermatitis 5/31/2016 RSU IBNU SIN 1
Scabies 2/10/2016 RSU IBNU SIN 1
0000167312711 NAWATI Hyperlipidaemia, unspecified 3/7/2016 RSU IBNU SIN 1
0000760235758 INAH Essential (primary) hypertension 1/14/2016 RSU IBNU SIN 1
0000760708258 SUMINAH Essential (primary) hypertension 3/10/2016 RSU IBNU SIN 1
0000760776489 SUYONO Asthma, unspecified 3/11/2016 RSU IBNU SIN 1
0000760796381 ABDUL MU'IN Non-insulin-depend diabetes mellitus without complication 4/5/2016 RSU IBNU SIN 1
0000761278612 LASEMIN Essential (primary) hypertension 4/6/2016 RSU IBNU SIN 1
0000761326165 SUJARKHONI Acute nasopharyngitis [common cold] 2/10/2016 RSU IBNU SIN 1
0000761429575 DASIM Dermatitis, unspecified 8/30/2016 RSU IBNU SIN 1
0000761451862 MARIYAM Acute nasopharyngitis [common cold] 8/23/2016 RSU IBNU SIN 1
0000761515749 AZIZAH MIFTAKHUL JANNAH Impacted cerumen 1/28/2016 RSU IBNU SIN 1
0000761527282 ROSI NUR MAULIDNA ANGGRAINI Nonspecific lymphadenitis, unspecified 2/23/2016 RSU IBNU SIN 1
0000761553191 SITI KHOTIJAH Abscess of external ear 5/12/2016 RSU IBNU SIN 1
5/13/2016 RSU IBNU SIN 1
0000761599978 AGUNG IRAWATI Asthma, unspecified 3/28/2016 RSU IBNU SIN 1
0000761765602 DEWI Non-insulin-depend diabetes mellitus without complication 8/31/2016 RSU IBNU SIN 1
0000761834518 SITI HALIMAH Allergic rhinitis, unspecified 5/31/2016 RSU IBNU SIN 1
0000761962048 KASELAN Tb lung confirm sputum microscopy with or without culture 5/31/2016 RSU IBNU SIN 1
0000761974931 MUKHAMAD MUNIR Benign lipomatous neoplasm, unspecified 1/19/2016 RS WALI SONG 1
0000762071433 MOCHAMAD FIRMAN Dengue haemorrhagic fever 1/29/2016 RS WALI SONG 1
0000762131542 ISWANTO Cutaneous abscess, furuncle and carbuncle, unspecified 1/5/2016 RSU IBNU SIN 1
0000762137504 RINI DWI SUSANTI Acute nasopharyngitis [common cold] 4/9/2016 RSU IBNU SIN 1
Bronchitis, not specified as acute or chronic 4/5/2016 RSU IBNU SIN 1
0000762248147 ROTO Essential (primary) hypertension 8/4/2016 RS WATES HU 1
8/10/2016 RS WATES HU 1
8/23/2016 RS WATES HU 1
8/29/2016 RS WATES HU 1
0000762274034 SURATNO Other acute gastritis 1/5/2016 RS WALI SONG 1
0000763006612 SUCIATI Inflammatory disorders of breast 3/2/2016 RSU IBNU SIN 1
0000763022125 MAIMUNAH Essential (primary) hypertension 7/16/2016 RSU IBNU SIN 1
0001047504396 GILANG ARDI PRAKOSO Tb lung confirm sputum microscopy with or without culture 6/21/2016 RSU IBNU SIN 1
0001079083967 muhammad nurroyyan asyauqi Hookworm disease, unspecified 3/19/2016 RSU IBNU SIN 1
0001227441622 ENDAH IMAWATI Acute nasopharyngitis [common cold] 5/4/2016 RSU IBNU SIN 1
0001239338215 Fajar Arie Prasetyo Bronchitis, not specified as acute or chronic 5/3/2016 RSU IBNU SIN 1
0001266188163 SUJIANTO Tb lung confirm sputum microscopy with or without culture 6/8/2016 RSU IBNU SIN 1
0001313122577 SURIANI Non-insulin-depend diabetes mellitus without complication 2/9/2016 RS WALI SONG 1
0001323467032 saleh Non-insulin-depend diabetes mellitus without complication 7/20/2016 RS PETROKIMI 1
8/27/2016 RS PETROKIMI 1
0001434722343 ramat Hepatitis a without hepatic coma 5/12/2016 RS Semen Gre 1
0001443822142 MUHAMMAD RIFQIY MURTADHO Acute nasopharyngitis [common cold] 1/5/2016 RSU IBNU SIN 1
0001534961169 YULIATI Bronchitis, not specified as acute or chronic 6/20/2016 RSU IBNU SIN 1
0001535232609 ARIF RIANTO Viral warts 7/21/2016 RS WATES HU 1
7/25/2016 RS WATES HU 1
0001538160467 IKWAN Bronchitis, not specified as acute or chronic 5/2/2016 RSU IBNU SIN 1
0001540451248 BUDI SATRIYA Impacted cerumen 3/8/2016 RSU IBNU SIN 1
Otitis media, unspecified 6/17/2016 RS PETROKIMI 1
7/1/2016 RS PETROKIMI 1
8/12/2016 RS PETROKIMI 1
0001812588028 MUANI Bronchitis, not specified as acute or chronic 4/13/2016 RSU IBNU SIN 1
0001850233217 h.SLAMET Essential (primary) hypertension 2/19/2016 RS PETROKIMI 1
Seborrhoeic dermatitis, unspecified 8/29/2016 RS PETROKIMI 1
0001851379312 purwadi Urinary tract infection, site not specified 4/5/2016 RSU IBNU SIN 1
0001856514565 sumani Essential (primary) hypertension 2/2/2016 RSU IBNU SIN 1
0002045175939 DWI OKTAVIANTO Impacted cerumen 8/13/2016 RSU IBNU SIN 1
Hasil Konfirmasi ke FKTP
Ada Rujukan/Tidak Alasan Rujukan
Tidak
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Primer Ada Tidak
0000099021161 MOCH. ILMAL YAQIN Pityriasis versicolor 8/2/2016 RSU IBNU SINA GRESIK 1
0000099032376 BAGUS RAHMAT FATHONI Scabies 8/16/2016 RS PETROKIMIA GRESIK 1
0000099035673 NOOR HASANAH Essential (primary) hypertension 2/10/2016 RS PETROKIMIA GRESIK 1
0000099036145 NUR AZIZAH Hyperlipidaemia, unspecified 6/2/2016 RSU IBNU SINA GRESIK 1
0000099037539 NUR IZZAH Non-insulin-depend diabetes mellitus without complication 8/26/2016 RS PETROKIMIA GRESIK 1
0000099070121 M SAIFUL AMIN Asthma, unspecified 4/2/2016 RSU IBNU SINA GRESIK 1
0000099070716 ARNYS ANNIDA ISNANY Acute nasopharyngitis [common cold] 1/4/2016 RSU IBNU SINA GRESIK 1
0000099111352 HARMIANTO Cutaneous abscess, furuncle and carbuncle of neck 7/14/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/19/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0000099115029 SRI WAHYUNI Non-insulin-depend diabetes mellitus without complication 2/4/2016 RS PETROKIMIA GRESIK 1
4/7/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
6/9/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
0000099115031 h. SYAIFUDDIN Essential (primary) hypertension 4/6/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/10/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
0000099134098 DJAZULAH Non-insulin-depend diabetes mellitus without complication 4/19/2016 RS PETROKIMIA GRESIK 1
0000099135549 ATAWA SAUDAH Non-insulin-depend diabetes mellitus without complication 1/26/2016 RSU IBNU SINA GRESIK 1
0000099135562 NUR SUSANAH Essential (primary) hypertension 6/29/2016 RSU IBNU SINA GRESIK 1
0000099135933 SUKAIYAH Essential (primary) hypertension 1/9/2016 RSU IBNU SINA GRESIK 1
7/15/2016 RSU IBNU SINA GRESIK 1
0000099136293 MUDJI'AH Hyperlipidaemia, unspecified 3/14/2016 RSU IBNU SINA GRESIK 1
0000099194905 ACHMAD SYA`RO Essential (primary) hypertension 7/26/2016 RSU IBNU SINA GRESIK 1
0000099194916 MURTHOSIYAH Bronchitis, not specified as acute or chronic 1/29/2016 RSU IBNU SINA GRESIK 1
0000099196593 ASIYAH Essential (primary) hypertension 2/24/2016 RSU IBNU SINA GRESIK 1
0000099197166 BARIROH Herpesviral vesicular dermatitis 2/1/2016 RS Semen Gresik 1
0000099200452 IMAM MAWARDI Essential (primary) hypertension 4/6/2016 RSU IBNU SINA GRESIK 1
8/9/2016 RSU IBNU SINA GRESIK 1
0000099204052 M WASID Cutaneous abscess, furuncle and carbuncle of limb 6/3/2016 RSU IBNU SINA GRESIK 1
0000099209979 MOH. AMIN MALIK Dermatitis, unspecified 2/24/2016 RS Semen Gresik 1
0000099224875 NUR HABIBAH Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
4/27/2016 RS PETROKIMIA GRESIK 1
0000099229329 ACHMAD NUR SAMSUDIN Hyperlipidaemia, unspecified 7/15/2016 RSU IBNU SINA GRESIK 1
0000099229331 MUSFIATIN Bronchitis, not specified as acute or chronic 1/9/2016 RSU IBNU SINA GRESIK 1
0000099243011 AGUS YIYADI Bronchitis, not specified as acute or chronic 3/22/2016 RSU IBNU SINA GRESIK 1
0000099249838 LUTHFIYATUTTAQIYAH Tension-type headache 4/29/2016 RSU IBNU SINA GRESIK 1
0000099250604 MOH. ALIMIN Nummular dermatitis 2/5/2016 RSU IBNU SINA GRESIK 1
Seborrhoeic dermatitis, unspecified 4/23/2016 RSU IBNU SINA GRESIK 1
0000099262629 URIFAH Hyperlipidaemia, unspecified 2/24/2016 RSU IBNU SINA GRESIK 1
0000099262833 ASRIMAN Hyperlipidaemia, unspecified 3/30/2016 RSU IBNU SINA GRESIK 1
0000099263013 ISSUMIATI Hyperlipidaemia, unspecified 6/2/2016 RS PETROKIMIA GRESIK 1
0000099263024 ALI MURTADLO Essential (primary) hypertension 4/30/2016 RS PETROKIMIA GRESIK 1
7/23/2016 RS PETROKIMIA GRESIK 1
0000099263147 sumiyati Otitis media, unspecified 4/4/2016 RS PETROKIMIA GRESIK 1
0000099263259 ULYAH Urinary tract infection, site not specified 3/23/2016 RS FATHMA MEDIKA 1
0000099263619 ROFIATUN Hyperlipidaemia, unspecified 2/4/2016 RS PETROKIMIA GRESIK 1
2/25/2016 RS PETROKIMIA GRESIK 1
3/22/2016 RS PETROKIMIA GRESIK 1
4/12/2016 RS PETROKIMIA GRESIK 1
5/12/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
0000099276682 DWI IRIANTI Acute nasopharyngitis [common cold] 1/6/2016 RSU IBNU SINA GRESIK 1
4/23/2016 RSU IBNU SINA GRESIK 1
0000099284477 ANWAR Essential (primary) hypertension 3/29/2016 RSU IBNU SINA GRESIK 1
3/30/2016 RSU IBNU SINA GRESIK 1
0000099289304 CHOEZAMY ANWARI Essential (primary) hypertension 3/22/2016 RSU IBNU SINA GRESIK 1
0000100444173 MASLUHAH Essential (primary) hypertension 1/29/2016 RSU IBNU SINA GRESIK 1
0000103855667 AGUS, SPD. Essential (primary) hypertension 8/30/2016 RSU IBNU SINA GRESIK 1
0000110869233 OEMIDJAH Anaemia, unspecified 4/21/2016 RS FATHMA MEDIKA 1
0000149604614 NAPAL Non-insulin-depend diabetes mellitus without complication 3/14/2016 RS PETROKIMIA GRESIK 1
0000171397743 NUR INDAH KURNIAWATI Asthma, unspecified 1/23/2016 RSU IBNU SINA GRESIK 1
0000198091214 ASIAH Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
0000200516128 MUHAMMAD REVAN PRATAMA Bronchitis, not specified as acute or chronic 1/15/2016 RS Muhammadiyah Gresik 1
0000201409828 MUKHLISAH Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS FATHMA MEDIKA 1
0000761511115 BADILA Unspecified haemorrhoids without complication 3/26/2016 RSU IBNU SINA GRESIK 1
0000762018669 RESMI KARTIKA Acute nasopharyngitis [common cold] 6/3/2016 RS FATHMA MEDIKA 1
0000762235108 SRIAMAH Non-insulin-depend diabetes mellitus without complication 3/26/2016 RS Semen Gresik 1
0000762250206 SALAMUN Essential (primary) hypertension 5/16/2016 RSU IBNU SINA GRESIK 1
0000762259702 ERNAWATI Unspecified haemorrhoids without complication 2/17/2016 RSU IBNU SINA GRESIK 1
0000762347586 MUSTAKIM EFENDI Non-insulin-depend diabetes mellitus without complication 6/3/2016 RSU IBNU SINA GRESIK 1
0000762475994 UMANI . Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000762499157 SUYITNO Tb lung confirm sputum microscopy with or without culture 6/18/2016 RSU IBNU SINA GRESIK 1
0000762598269 RENNY MUFIDAH Impacted cerumen 4/8/2016 RSU IBNU SINA GRESIK 1
0000762695155 AISYAH . Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0000762740515 MUNAWAROH Essential (primary) hypertension 3/2/2016 RSU IBNU SINA GRESIK 1
0000762778732 ROFIK Essential (primary) hypertension 4/11/2016 RSU IBNU SINA GRESIK 1
Unspecified haemorrhoids without complication 4/8/2016 RSU IBNU SINA GRESIK 1
0000762846243 WIDY ZUHDIYANA Bell's palsy 8/10/2016 RSU IBNU SINA GRESIK 1
0000762848627 MULYONO Essential (primary) hypertension 2/4/2016 RSU IBNU SINA GRESIK 1
0000762884256 DEVIA KHUSILAWATI Inflammatory disorders of breast 1/4/2016 RSU IBNU SINA GRESIK 1
0000762887338 SULAINAH Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
0000762975347 ANIS FITRIYAH Urinary tract infection, site not specified 7/11/2016 RS FATHMA MEDIKA 1
0000763004204 MIMAH . Essential (primary) hypertension 8/5/2016 RS FATHMA MEDIKA 1
0000763007602 BAROYATUT TAQIYAH . Unspecified haemorrhoids without complication 6/11/2016 RSU IBNU SINA GRESIK 1
0000763080311 NURI ZAHROH Non-insulin-depend diabetes mellitus without complication 3/30/2016 RSU IBNU SINA GRESIK 1
0000763129023 SITI ULIYAH Essential (primary) hypertension 3/11/2016 RS PETROKIMIA GRESIK 1
4/25/2016 RS PETROKIMIA GRESIK 1
0000763134862 YASENI Tb lung confirm sputum microscopy with or without culture 2/17/2016 RSU IBNU SINA GRESIK 1
0000763167104 SUPARTI Otitis media, unspecified 4/26/2016 RSU IBNU SINA GRESIK 1
0000763252154 MESKAH Acute nasopharyngitis [common cold] 4/9/2016 RSU IBNU SINA GRESIK 1
0000763272663 RUKHAYAH Essential (primary) hypertension 5/14/2016 RSU IBNU SINA GRESIK 1
0000763292676 SARMI'AH Essential (primary) hypertension 6/9/2016 RS FATHMA MEDIKA 1
0000763309541 CHOIRUL HUDA Asthma, unspecified 2/15/2016 RSU IBNU SINA GRESIK 1
0000763311025 YASIN Essential (primary) hypertension 2/25/2016 RSU IBNU SINA GRESIK 1
0000763312926 MUDRIYAH Bronchitis, not specified as acute or chronic 2/18/2016 RSU IBNU SINA GRESIK 1
0000763327629 NUR HASAN Asthma, unspecified 2/11/2016 RS FATHMA MEDIKA 1
3/4/2016 RS FATHMA MEDIKA 1
0000763399855 FADILAH Non-insulin-depend diabetes mellitus without complication 6/1/2016 RSU IBNU SINA GRESIK 1
0000763403793 SONAH Essential (primary) hypertension 5/30/2016 RSU IBNU SINA GRESIK 1
0000763427261 SUPIK Essential (primary) hypertension 2/12/2016 RS FATHMA MEDIKA 1
0000763429792 SUPENI Essential (primary) hypertension 1/29/2016 RSU IBNU SINA GRESIK 1
0000763463597 ROSLAN . Asthma, unspecified 4/14/2016 RSU IBNU SINA GRESIK 1
0000763486683 HAMIM Essential (primary) hypertension 1/8/2016 RSU IBNU SINA GRESIK 1
0000763509543 CHOIROH Essential (primary) hypertension 4/11/2016 RSU IBNU SINA GRESIK 1
0000763512748 NUR ISNAINI ROHMATILLAH Acute pharyngitis, unspecified 4/16/2016 RSU IBNU SINA GRESIK 1
0000763519318 SALMAN KHAQ Impacted cerumen 3/4/2016 RSU IBNU SINA GRESIK 1
0000763537004 AGUS MINTORO Otitis media, unspecified 6/14/2016 RSU IBNU SINA GRESIK 1
0000763591015 ALIFI Asthma, unspecified 6/11/2016 RSU IBNU SINA GRESIK 1
0000763608148 ARTI Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
0000763640019 SITI SUCHAIYAH Bell's palsy 4/1/2016 RS FATHMA MEDIKA 1
0000763680036 MOH. TAUFIK Acute nasopharyngitis [common cold] 8/13/2016 RSU IBNU SINA GRESIK 1
0000763691422 ALUWAR Essential (primary) hypertension 8/2/2016 RSU IBNU SINA GRESIK 1
0000763699296 RODLI AMIN Impacted cerumen 2/17/2016 RS PETROKIMIA GRESIK 1
0000763756547 ULFAH Essential (primary) hypertension 3/1/2016 RS FATHMA MEDIKA 1
3/3/2016 RS FATHMA MEDIKA 1
0000763872129 MUNASAROH Acute nasopharyngitis [common cold] 1/12/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 1/4/2016 RSU IBNU SINA GRESIK 1
Tension-type headache 8/20/2016 RSU IBNU SINA GRESIK 1
0000763873086 NiNIK USLIFATIN Otitis media, unspecified 5/3/2016 RSU IBNU SINA GRESIK 1
0000763875202 MAT SHOHIB Tension-type headache 3/14/2016 RS FATHMA MEDIKA 1
0000764155282 MUSTAQIM Essential (primary) hypertension 2/18/2016 RSU IBNU SINA GRESIK 1
0000764209899 GIMAN Bell's palsy 7/13/2016 RSU IBNU SINA GRESIK 1
0000976107205 AHMAD ASYHAR AMRULLAH Allergic rhinitis, unspecified 7/13/2016 RS Semen Gresik 1
0001125193318 ABDUL AFIF Essential (primary) hypertension 1/26/2016 RSU IBNU SINA GRESIK 1
2/2/2016 RSU IBNU SINA GRESIK 1
0001144251786 IMAM GHOZALI Internal haemorrhoids without complication 5/11/2016 RS PETROKIMIA GRESIK 1
0001179522303 MUHAMMAD MUHAFADHOH Seborrhoeic dermatitis, unspecified 4/20/2016 RS PETROKIMIA GRESIK 1
0001262490489 SUMALIYAH . Essential (primary) hypertension 2/17/2016 RS FATHMA MEDIKA 1
0001265580325 CHAMID Hyperlipidaemia, unspecified 3/10/2016 RS FATHMA MEDIKA 1
Non-insulin-depend diabetes mellitus without complication 3/8/2016 RS FATHMA MEDIKA 1
0001265730355 ASKANAH Essential (primary) hypertension 1/19/2016 RSU IBNU SINA GRESIK 1
0001266823934 SARIFAH Benign lipomatous neoplasm, unspecified 4/7/2016 RSU IBNU SINA GRESIK 1
0001275790509 AHMAD WIDAD THOBRONI Acute nasopharyngitis [common cold] 4/6/2016 RSU IBNU SINA GRESIK 1
0001278213996 SUHARIYANTO. Benign lipomatous neoplasm, unspecified 7/27/2016 RS FATHMA MEDIKA 1
0001279293546 MOCH. ILYAS . Non-insulin-depend diabetes mellitus without complication 6/2/2016 RSU IBNU SINA GRESIK 1
0001279575369 JUMILAH Non-insulin-depend diabetes mellitus without complication 6/4/2016 RSU IBNU SINA GRESIK 1
0001279841927 ASIYAH Urinary tract infection, site not specified 2/16/2016 RSU IBNU SINA GRESIK 1
0001285595122 ISMIYATI Otitis media, unspecified 6/13/2016 RSU IBNU SINA GRESIK 1
0001285630312 HARYATMO Essential (primary) hypertension 5/10/2016 RSU IBNU SINA GRESIK 1
0001288045877 MUHAMMAD JAELANI Urinary tract infection, site not specified 3/10/2016 RS FATHMA MEDIKA 1
3/19/2016 RS FATHMA MEDIKA 1
3/23/2016 RS FATHMA MEDIKA 1
0001292834158 MAFTUKHAH (TUKHA) Essential (primary) hypertension 7/11/2016 RSU IBNU SINA GRESIK 1
0001297185827 marfu'ah Tb lung confirm sputum microscopy with or without culture 6/25/2016 RSU IBNU SINA GRESIK 1
0001298248953 HAWANAH Essential (primary) hypertension 2/23/2016 RSU IBNU SINA GRESIK 1
6/22/2016 RSU IBNU SINA GRESIK 1
0001313747504 HAZWAN HISYAMUDDIN PRAM Acute nasopharyngitis [common cold] 5/11/2016 RSU IBNU SINA GRESIK 1
0001318536966 HJ. SAADAH Non-insulin-depend diabetes mellitus without complication 4/19/2016 RSU IBNU SINA GRESIK 1
0001323389799 MUHAMMAD HERLAMBANG WIJAcute nasopharyngitis [common cold] 4/13/2016 RSU IBNU SINA GRESIK 1
0001326925989 HALIMATUS SA'DIYAH Allergic rhinitis, unspecified 8/30/2016 RSU IBNU SINA GRESIK 1
0001335420314 SUMARTINIK Essential (primary) hypertension 8/13/2016 RSU IBNU SINA GRESIK 1
0001383413591 ACHMAD SYAIFUL Essential (primary) hypertension 3/29/2016 RSU IBNU SINA GRESIK 1
0001389555617 Hj. SUMAINAH Essential (primary) hypertension 4/14/2016 RSU IBNU SINA GRESIK 1
0001398199476 DWIJONO KARMONO/ABD. ROZAPityriasis rosea 4/28/2016 RSU IBNU SINA GRESIK 1
0001434850571 ya'umi Essential (primary) hypertension 6/25/2016 RSU IBNU SINA GRESIK 1
0001440984688 NUR CHABIBAH Acute nasopharyngitis [common cold] 1/15/2016 RSU IBNU SINA GRESIK 1
0001444468871 H. NUR AMIROH Non-insulin-depend diabetes mellitus without complication 5/12/2016 RS PETROKIMIA GRESIK 1
0001445051766 SYA'RONI Essential (primary) hypertension 5/9/2016 RSU IBNU SINA GRESIK 1
0001450304741 MUFAROKAH Non-insulin-depend diabetes mellitus without complication 2/18/2016 RSU IBNU SINA GRESIK 1
0001450992936 Mahsunah Acute nasopharyngitis [common cold] 4/18/2016 RSU IBNU SINA GRESIK 1
0001475044738 TRI ASTUTIK Essential (primary) hypertension 7/11/2016 RSU IBNU SINA GRESIK 1
0001477019406 SITI ANISAH Bronchitis, not specified as acute or chronic 4/4/2016 RSU IBNU SINA GRESIK 1
0001478851198 THOHARI Essential (primary) hypertension 2/22/2016 RS PETROKIMIA GRESIK 1
0001534902759 NAFILA Bronchitis, not specified as acute or chronic 6/4/2016 RSU IBNU SINA GRESIK 1
0001534904559 MOHAMMAD SHOLIKHUN Impacted cerumen 7/30/2016 RSU IBNU SINA GRESIK 1
0001540145889 SITI ZULFAH Tb lung confirm sputum microscopy with or without culture 5/19/2016 RSU IBNU SINA GRESIK 1
0001540598253 ENi ERNAWATI Nonspecific lymphadenitis, unspecified 3/11/2016 RS PETROKIMIA GRESIK 1
0001540598613 SUFIYAN HADI Seborrhoeic dermatitis, unspecified 2/26/2016 RSU IBNU SINA GRESIK 1
0001541081968 FADLILATUN NAFI'AH Allergic rhinitis, unspecified 6/2/2016 RSU IBNU SINA GRESIK 1
0001541864575 SITI HANIK Urinary tract infection, site not specified 3/5/2016 RS DENISA 1
0001543794456 MARDIYAH Essential (primary) hypertension 2/16/2016 RSU IBNU SINA GRESIK 1
0001543874815 TRI WAHYU WIDODO Bell's palsy 2/9/2016 RS PETROKIMIA GRESIK 1
2/15/2016 RS PETROKIMIA GRESIK 1
0001617464215 ABDUL MAJID Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
0001634684185 M RYAN DWI PRATOMO Viral warts 6/7/2016 RSU IBNU SINA GRESIK 1
0001635905171 MUJAYATUN Essential (primary) hypertension 1/21/2016 RSU IBNU SINA GRESIK 1
0001644106252 M. BAGAS ADI SAPUTRA Nonspecific lymphadenitis, unspecified 1/19/2016 RSU IBNU SINA GRESIK 1
0001702828247 MUHAMMAD WABIZADIN KA'AF Viral warts 8/6/2016 RSU IBNU SINA GRESIK 1
0001802425184 TASLIMAH Essential (primary) hypertension 4/26/2016 RS FATHMA MEDIKA 1
0001802657204 hj dewi aminah Tb lung confirm sputum microscopy with or without culture 4/22/2016 RSU IBNU SINA GRESIK 1
0001810412662 MA'RIFA Essential (primary) hypertension 6/13/2016 RSU IBNU SINA GRESIK 1
0001813466812 ACH. LABIB WAFA AL FAUZ Acute nasopharyngitis [common cold] 3/29/2016 RSU IBNU SINA GRESIK 1
0001813589212 ENI KUSNAWATI . Internal haemorrhoids without complication 8/12/2016 RSU IBNU SINA GRESIK 1
0001819873517 KHOIRUL ANAM Tb lung confirm sputum microscopy with or without culture 6/14/2016 RSU IBNU SINA GRESIK 1
0001834265518 MUKHTAROM Hyperlipidaemia, unspecified 1/21/2016 RSU IBNU SINA GRESIK 1
0001837963855 M. RAFAEEL RAMDHANI Impacted cerumen 1/5/2016 RS Muhammadiyah Gresik 1
0001845549325 SITI ARUHAH Urinary tract infection, site not specified 8/20/2016 RSU IBNU SINA GRESIK 1
0001845891292 naffisyah aurora azzahra Acute nasopharyngitis [common cold] 3/26/2016 RSU IBNU SINA GRESIK 1
0001845994724 SUPARTI Impacted cerumen 1/21/2016 RSU IBNU SINA GRESIK 1
0001847395181 H. ACHMAD GHOZALI Essential (primary) hypertension 8/4/2016 RS Semen Gresik 1
0001873916414 VALISTINA AULIA AL KAMILA Measles without complication 2/5/2016 RS Muhammadiyah Gresik 1
0001883195109 gatot sugiharto Bronchitis, not specified as acute or chronic 3/2/2016 RS Muhammadiyah Gresik 1
0001888644148 ZUMAROH Non-insulin-depend diabetes mellitus without complication 6/21/2016 RS FATHMA MEDIKA 1
0001893862991 MAFTUHAH Benign lipomatous neoplasm, unspecified 7/16/2016 RS PETROKIMIA GRESIK 1
0001903604523 muhammad nur shaka alfarizqi Cutaneous abscess, furuncle and carbuncle, unspecified 1/19/2016 RSU IBNU SINA GRESIK 1
0001907221162 YASNI Essential (primary) hypertension 4/11/2016 RSU IBNU SINA GRESIK 1
0001918652196 ARAMUN Tb lung confirm sputum microscopy with or without culture 4/12/2016 RSU IBNU SINA GRESIK 1
0002034157702 bayi ny. siti syu'aibah Acute pharyngitis, unspecified 6/20/2016 RS FATHMA MEDIKA 1
Influenza with oth resp manifestation virus not identified 6/3/2016 RS FATHMA MEDIKA 1
0002034280664 nur hanifah Bell's palsy 4/18/2016 RS FATHMA MEDIKA 1
0002038273907 MOH. YAZID ZAID, S. PD.I. Essential (primary) hypertension 3/30/2016 RS PETROKIMIA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 5/12/2016 RS PETROKIMIA GRESIK 1
0002040348194 rafifah chalizah amani Asthma, unspecified 4/5/2016 RSU IBNU SINA GRESIK 1
0002041914767 muhammad bagus satrio aji Urinary tract infection, site not specified 3/19/2016 RSU IBNU SINA GRESIK 1
0002056172703 muhammad zaenul khaq amir nurBronchitis, not specified as acute or chronic 6/4/2016 RS Semen Gresik 1
0002068648323 MUSYAROFAH Non-insulin-depend diabetes mellitus without complication 8/8/2016 RS Muhammadiyah Gresik 1
Alasan Rujukan
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000083671863 SARTIYAH Essential (primary) hypertension 7/21/2016 RSU IBNU SINA GRESIK 1
0000098903169 ISJAH Essential (primary) hypertension 5/26/2016 RSU IBNU SINA GRESIK 1
0000098932105 ACHMAD SUBAGIYO Essential (primary) hypertension 2/4/2016 RSU IBNU SINA GRESIK 1
0000098932544 SUTINI Essential (primary) hypertension 4/6/2016 RSU IBNU SINA GRESIK 1
0000098934118 SHOFIYAH Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
0000098936616 YANTIMAH Essential (primary) hypertension 6/16/2016 RSU IBNU SINA GRESIK 1
0000099008919 SUDARYATI TRI HANDAYANI Nummular dermatitis 8/9/2016 RS PETROKIMIA GRESIK 1
0000099022522 LILIK YULIANI Hyperlipidaemia, unspecified 3/16/2016 RSU IBNU SINA GRESIK 1
0000099024333 NURYANTI Allergic rhinitis, unspecified 8/4/2016 RSU IBNU SINA GRESIK 1
0000099029349 ACHWAN Essential (primary) hypertension 4/2/2016 RSU IBNU SINA GRESIK 1
0000099031937 ELIS QOIDAH Allergic rhinitis, unspecified 7/22/2016 RS PETROKIMIA GRESIK 1
Epistaxis 7/16/2016 RS PETROKIMIA GRESIK 1
0000099036235 MOCH HAJIN Essential (primary) hypertension 2/19/2016 RSU IBNU SINA GRESIK 1
0000099073765 HADI RAKHMAD SANTOSA Essential (primary) hypertension 2/16/2016 RSU IBNU SINA GRESIK 1
5/9/2016 RSU IBNU SINA GRESIK 1
0000099074305 TOTOK SETIAJI Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
0000099075251 AMELIA RIZKY DWI CAHYANI Acute nasopharyngitis [common cold] 5/3/2016 RSU IBNU SINA GRESIK 1
0000099084306 BAMBANG SUMARWANTO.A.P. Essential (primary) hypertension 1/16/2016 RSU IBNU SINA GRESIK 1
0000099085566 UMI HANIK Non-insulin-depend diabetes mellitus without complicatio 1/26/2016 RS PETROKIMIA GRESIK 1
3/23/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
8/8/2016 RS PETROKIMIA GRESIK 1
0000099105017 nur lailah Impacted cerumen 1/28/2016 RSU IBNU SINA GRESIK 1
0000099116043 ST MAISAROH Unspecified haemorrhoids without complication 5/11/2016 RSU IBNU SINA GRESIK 1
0000099116379 UMIYATI Allergic rhinitis, unspecified 7/29/2016 RS PETROKIMIA GRESIK 1
0000099136945 ACHMAD GHOFAR Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000099137035 NASRI Essential (primary) hypertension 3/19/2016 RSU IBNU SINA GRESIK 1
Otitis media, unspecified 3/5/2016 RSU IBNU SINA GRESIK 1
5/19/2016 RSU IBNU SINA GRESIK 1
0000099137248 AWI RIYONO Hyperuricaem without sign inflamm arthritis+tophaceous 4/23/2016 RSU IBNU SINA GRESIK 1
0000099138521 KUSNAN Acute nasopharyngitis [common cold] 3/16/2016 RSU IBNU SINA GRESIK 1
0000099138587 ISNAWAROH Non-insulin-depend diabetes mellitus without complicatio 3/1/2016 RSU IBNU SINA GRESIK 1
0000099139228 UMU LAILA Essential (primary) hypertension 8/30/2016 RSU IBNU SINA GRESIK 1
0000099140005 SITI Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
4/25/2016 RS PETROKIMIA GRESIK 1
0000099140758 SRI DEMURUS Non-insulin-depend diabetes mellitus without complicatio 1/26/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
8/16/2016 RS PETROKIMIA GRESIK 1
0000099141322 ZAINI Essential (primary) hypertension 4/27/2016 RSU IBNU SINA GRESIK 1
0000099193375 MARDIATI Asthma, unspecified 7/15/2016 RSU IBNU SINA GRESIK 1
0000099207898 MUDJIANTO Essential (primary) hypertension 4/4/2016 RSU IBNU SINA GRESIK 1
0000099207909 LILIK MU'ATI Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0000099215493 SITI ZAENAB Essential (primary) hypertension 4/25/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complicatio 3/19/2016 RS PETROKIMIA GRESIK 1
4/15/2016 RS PETROKIMIA GRESIK 1
0000099218226 SULASTIN Non-insulin-depend diabetes mellitus without complicatio 8/24/2016 RS Semen Gresik 1
0000099224065 MUJIHARTO Other acute gastritis 4/9/2016 RSU IBNU SINA GRESIK 1
0000099228071 SOKIB Asthma, unspecified 4/9/2016 RSU IBNU SINA GRESIK 1
0000099230062 ASMILAH Essential (primary) hypertension 6/28/2016 RSU IBNU SINA GRESIK 1
0000099233559 MOCHAMMAD ANWAR Non-insulin-depend diabetes mellitus without complicatio 3/23/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0000099235225 MAULINIKMAH Acute nasopharyngitis [common cold] 7/2/2016 RSU IBNU SINA GRESIK 1
0000099244427 ROFIAH Asthma, unspecified 3/14/2016 RSU IBNU SINA GRESIK 1
6/21/2016 RSU IBNU SINA GRESIK 1
0000099265511 SUWADI Asthma, unspecified 3/16/2016 RSU IBNU SINA GRESIK 1
0000099270033 RUSTA YULIANA Cutaneous abscess, furuncle and carbuncle of trunk 2/9/2016 RS Petrokimia Driyorejo 1
0000099934086 yuliani Anaemia, unspecified 6/22/2016 RSU IBNU SINA GRESIK 1
0000101210714 SUNARTI Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
4/6/2016 RSU IBNU SINA GRESIK 1
0000102125586 MOCHAMAD BASORI Essential (primary) hypertension 6/17/2016 RSU IBNU SINA GRESIK 1
0000102170362 SUKARIYAH, S.PD Non-insulin-depend diabetes mellitus without complicatio 2/13/2016 RS PETROKIMIA GRESIK 1
3/12/2016 RS PETROKIMIA GRESIK 1
6/29/2016 RS PETROKIMIA GRESIK 1
0000106653576 SUDARMIATUN Essential (primary) hypertension 4/20/2016 RSU IBNU SINA GRESIK 1
0000138815447 DECKY H. PAAT Seborrhoeic dermatitis, unspecified 8/20/2016 RSU IBNU SINA GRESIK 1
0000148722502 YUYUN PURWANINGSIH Nonspecific lymphadenitis, unspecified 7/30/2016 RSU IBNU SINA GRESIK 1
0000149416266 TI'AH Cutaneous abscess, furuncle and carbuncle of other sites 3/3/2016 RS PETROKIMIA GRESIK 1
0000159490585 UMARIYATI Bell's palsy 3/16/2016 RSU IBNU SINA GRESIK 1
3/23/2016 RSU IBNU SINA GRESIK 1
0000162954696 AISYAH NABILA ARLYNDA S. Urinary tract infection, site not specified 1/19/2016 RSU IBNU SINA GRESIK 1
0000196976024 TRIYONO Bronchitis, not specified as acute or chronic 5/24/2016 RSU IBNU SINA GRESIK 1
0000761081242 CARIYATUN Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000761137244 TASMI Acute pharyngitis, unspecified 7/2/2016 RS DENISA 1
0000761150924 ANIS MUNAWAROH Tb lung confirm sputum microscopy with or without cultur 2/24/2016 RSU IBNU SINA GRESIK 1
0000761153984 nur hayati Essential (primary) hypertension 2/19/2016 RSU IBNU SINA GRESIK 1
0000761261354 TIADI Essential (primary) hypertension 3/10/2016 RSU IBNU SINA GRESIK 1
0000761290828 SUPIYANI . Essential (primary) hypertension 7/20/2016 RSU IBNU SINA GRESIK 1
0000761300234 khotib Urinary tract infection, site not specified 4/11/2016 RSU IBNU SINA GRESIK 1
0000761312237 LASMI Asthma, unspecified 3/10/2016 RSU IBNU SINA GRESIK 1
0000761324534 SUMARTINI Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
0000761425571 USWATUN NIKMAH . Unspecified haemorrhoids without complication 5/23/2016 RSU IBNU SINA GRESIK 1
0000761566983 SARI Essential (primary) hypertension 4/11/2016 RSU IBNU SINA GRESIK 1
0000761587334 SATI Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0000761591621 SYAIFUL BAHRI Urinary tract infection, site not specified 3/14/2016 RSU IBNU SINA GRESIK 1
0000761607922 SALEKAH Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0000761610508 SOLIKAH Essential (primary) hypertension 3/30/2016 RSU IBNU SINA GRESIK 1
0000761758018 ANISAH Essential (primary) hypertension 1/11/2016 RSU IBNU SINA GRESIK 1
4/20/2016 RSU IBNU SINA GRESIK 1
0000761795425 siti aminah Essential (primary) hypertension 4/18/2016 RSU IBNU SINA GRESIK 1
0000761835453 NUR SHOLEH Bronchitis, not specified as acute or chronic 3/12/2016 RSU IBNU SINA GRESIK 1
0000761845678 SUSANA Acute pharyngitis, unspecified 4/14/2016 RSU IBNU SINA GRESIK 1
0000761919377 murni Essential (primary) hypertension 4/18/2016 RSU IBNU SINA GRESIK 1
0000761927769 sumani Essential (primary) hypertension 1/27/2016 RSU IBNU SINA GRESIK 1
0000761981782 SUKIATI Essential (primary) hypertension 6/11/2016 RSU IBNU SINA GRESIK 1
0000762044894 SUPIATI Essential (primary) hypertension 4/9/2016 RSU IBNU SINA GRESIK 1
0000762218065 IMAM HAKIKI Nonspecific lymphadenitis, unspecified 2/1/2016 RSU IBNU SINA GRESIK 1
0000762249903 SENAWI Acute nasopharyngitis [common cold] 1/19/2016 RSU IBNU SINA GRESIK 1
0000762338428 MULYONO Bronchitis, not specified as acute or chronic 1/15/2016 RSU IBNU SINA GRESIK 1
0000762374259 MUHAMAD FAISHOL. CH. Bronchitis, not specified as acute or chronic 2/9/2016 RSU IBNU SINA GRESIK 1
0000762381551 DJUMAINAH Acute pharyngitis, unspecified 5/12/2016 RSU IBNU SINA GRESIK 1
0000762382495 VIONALDI RAHMADHANI Urinary tract infection, site not specified 6/17/2016 RSU IBNU SINA GRESIK 1
0000762396085 DWI HANDAYANI Acute nasopharyngitis [common cold] 2/15/2016 RSU IBNU SINA GRESIK 1
0000762442975 MUSLIKAH Essential (primary) hypertension 7/14/2016 RSU IBNU SINA GRESIK 1
0000762446733 RUSLAN Unspecified haemorrhoids without complication 2/10/2016 RSU IBNU SINA GRESIK 1
0000762448151 RIZAL FALEPI Acute nasopharyngitis [common cold] 5/18/2016 RSU IBNU SINA GRESIK 1
5/19/2016 RSU IBNU SINA GRESIK 1
0000762467545 MISNAWATI Bell's palsy 4/20/2016 RSU IBNU SINA GRESIK 1
0000762469571 SITI NUR SYAMSIYAH Bell's palsy 4/4/2016 RSU IBNU SINA GRESIK 1
0001047501988 MISRAN Essential (primary) hypertension 6/16/2016 RSU IBNU SINA GRESIK 1
0001110600167 VITA PURNAMA SARI Acute pharyngitis, unspecified 7/25/2016 RSU IBNU SINA GRESIK 1
0001131803987 SUMARTO Urinary tract infection, site not specified 3/28/2016 RSU IBNU SINA GRESIK 1
0001134760915 SUPRIYONO Allergic rhinitis, unspecified 4/13/2016 RS PETROKIMIA GRESIK 1
0001161468764 ALIMAH Acute nasopharyngitis [common cold] 6/6/2016 RSU IBNU SINA GRESIK 1
0001240584761 MIRZA HASIF RIZKY RAMADHANI Asthma, unspecified 1/19/2016 RS PETROKIMIA GRESIK 1
0001261951323 SUTIAH Non-insulin-depend diabetes mellitus without complicatio 4/23/2016 RS Semen Gresik 1
0001262965353 ASRO Asthma, unspecified 1/16/2016 RS PETROKIMIA GRESIK 1
2/20/2016 RS PETROKIMIA GRESIK 1
3/5/2016 RS PETROKIMIA GRESIK 1
4/2/2016 RS PETROKIMIA GRESIK 1
4/23/2016 RS PETROKIMIA GRESIK 1
5/7/2016 RS PETROKIMIA GRESIK 1
5/21/2016 RS PETROKIMIA GRESIK 1
0001263080799 SUTADJI Bronchitis, not specified as acute or chronic 1/14/2016 RSU IBNU SINA GRESIK 1
0001266580427 SUHARTI Essential (primary) hypertension 4/18/2016 RSU IBNU SINA GRESIK 1
0001285868531 KHOIROTUN Essential (primary) hypertension 5/2/2016 RS PETROKIMIA GRESIK 1
0001294618994 lilis khoriyatul ummah Hyperuricaem without sign inflamm arthritis+tophaceous 8/25/2016 RSU IBNU SINA GRESIK 1
0001313570709 HJ SYUKRIYAH Essential (primary) hypertension 4/21/2016 RSU IBNU SINA GRESIK 1
0001328799971 MOH GHUFRON Other acute gastritis 6/20/2016 RSU IBNU SINA GRESIK 1
0001388166693 H. KISANAN Tb lung confirm sputum microscopy with or without cultur 6/14/2016 RSU IBNU SINA GRESIK 1
0001430763309 sugeng Bell's palsy 3/12/2016 RS DENISA 1
3/17/2016 RS DENISA 1
3/23/2016 RS DENISA 1
0001458107177 MARISKA PERRINE, SH Allergic rhinitis, unspecified 4/8/2016 RSU IBNU SINA GRESIK 1
0001463778797 ANDIKA DWI SANTOSO Tinea barbae and tinea capitis 1/19/2016 RSU IBNU SINA GRESIK 1
0001464341624 ROKANI Essential (primary) hypertension 5/17/2016 RS Semen Gresik 1
0001479553648 INDRA SETYO PRAYITNO Acute nasopharyngitis [common cold] 4/14/2016 RSU IBNU SINA GRESIK 1
0001479639262 SUHARTINI. Essential (primary) hypertension 5/26/2016 RSU IBNU SINA GRESIK 1
0001479646181 KULIATUL AMINAH Internal haemorrhoids without complication 5/10/2016 RS Semen Gresik 1
0001534947704 M. BILQIS FIRDAUS SYABANI Acute nasopharyngitis [common cold] 6/15/2016 RSU IBNU SINA GRESIK 1
0001536489718 HERMAN EFENDI Pneumonia, unspecified 5/21/2016 RS PETROKIMIA GRESIK 1
0001540918359 KASTINAH Dermatitis, unspecified 6/8/2016 RSU IBNU SINA GRESIK 1
0001618162773 ELLY ZUNAIDA Viral warts 1/28/2016 RS DENISA 1
0001672687348 Erfin Norawati Unspecified haemorrhoids without complication 1/4/2016 RSU IBNU SINA GRESIK 1
0001673993856 MOH. NADHIF Acute laryngitis 5/2/2016 RS PETROKIMIA GRESIK 1
Acute nasopharyngitis [common cold] 3/29/2016 RSU IBNU SINA GRESIK 1
0001700854571 SRIALIATI Unspecified haemorrhoids without complication 3/1/2016 RS Muhammadiyah Gresik 1
0001789086475 SUHARTINI Non-insulin-depend diabetes mellitus without complicatio 6/13/2016 RS Muhammadiyah Gresik 1
0001789814979 yuliani Essential (primary) hypertension 4/26/2016 RSU IBNU SINA GRESIK 1
0001795698459 asep susanto Allergic rhinitis, unspecified 5/28/2016 RSU IBNU SINA GRESIK 1
0001795699675 chrisni nusi Dengue haemorrhagic fever 4/23/2016 RSU IBNU SINA GRESIK 1
0001815489865 surono saleh Non-insulin-depend diabetes mellitus without complicatio 4/21/2016 RS PETROKIMIA GRESIK 1
0001822287396 SRI WIDARTI Essential (primary) hypertension 2/16/2016 RSU IBNU SINA GRESIK 1
0001847536198 SOPYAN Cutaneous abscess, furuncle and carbuncle, unspecified 3/26/2016 RSU IBNU SINA GRESIK 1
0001865556641 mohammad farisd nur alamin Nonspecific lymphadenitis, unspecified 6/28/2016 RSU IBNU SINA GRESIK 1
0001866203728 M.DJAELAN Acute nasopharyngitis [common cold] 8/10/2016 RSU IBNU SINA GRESIK 1
0001871666673 AL HAYA SHAUM KAYYISAH RIZKY Anaemia, unspecified 2/23/2016 RS PETROKIMIA GRESIK 1
0001891953674 HJ. UMU SA'ADAH Urinary tract infection, site not specified 3/16/2016 RSU IBNU SINA GRESIK 1
0001903896641 yosua putra herry pamungkas Nonspecific lymphadenitis, unspecified 2/3/2016 RSU IBNU SINA GRESIK 1
0001960407257 DASYIM Non-insulin-depend diabetes mellitus without complicatio 1/6/2016 RS Semen Gresik 1
0001965270238 SIYANI Essential (primary) hypertension 5/31/2016 RSU IBNU SINA GRESIK 1
0001968666131 MOCHAMMAD ZAINI Tb lung confirm sputum microscopy with or without cultur 3/15/2016 RS Semen Gresik 1
0002034941747 LIDIA YUSPITA PUJI ASTUTIK Spontaneous abortion, complete or unspecified, without c 3/14/2016 RSU IBNU SINA GRESIK 1
0002038064962 SARMAN Unspecified haemorrhoids without complication 4/5/2016 RS DENISA 1
4/12/2016 RS DENISA 1
4/19/2016 RS DENISA 1
0002062698669 SUKARTI Non-insulin-depend diabetes mellitus without complicatio 8/9/2016 RS Semen Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098914353 HARIYANTO Acute nasopharyngitis [common cold] 7/13/2016 RSU IBNU SINA GRESIK 1
0000098927122 RETNO SETYANINGSIH Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS PETROKIMIA GRESIK 1
2/2/2016 RS PETROKIMIA GRESIK 1
3/29/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0000156887021 SATIBI MUKNI Non-insulin-depend diabetes mellitus without complication 7/29/2016 RS Semen Gresik 1
0000165443117 SUTIANAH Bronchitis, not specified as acute or chronic 6/1/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 1/19/2016 RSU IBNU SINA GRESIK 1
0000173660679 MUJA'IYAH Tinea corporis 2/25/2016 RS PETROKIMIA GRESIK 1
0000761183572 SENAKIN Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
0000761261354 TIADI Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
0000761277295 S DARTO Essential (primary) hypertension 4/12/2016 RSU IBNU SINA GRESIK 1
0000761288073 ARINI Non-insulin-depend diabetes mellitus without complication 5/16/2016 RSU IBNU SINA GRESIK 1
0000761294992 SUKAMI Tb lung confirm sputum microscopy with or without culture 2/10/2016 RSU IBNU SINA GRESIK 1
0000761463898 FEMAS WAHYU SAPUTRA Allergic rhinitis, unspecified 4/26/2016 RSU IBNU SINA GRESIK 1
0000761466936 ENDANG MUJI LESTARI Essential (primary) hypertension 2/6/2016 RSU IBNU SINA GRESIK 1
0000761538115 SITI FATILAH Essential (primary) hypertension 2/15/2016 RSU IBNU SINA GRESIK 1
0000761667412 MUSLAH Tb lung confirm sputum microscopy with or without culture 2/26/2016 RSU IBNU SINA GRESIK 1
0000761772429 Siswanto Bell's palsy 5/31/2016 RSU IBNU SINA GRESIK 1
0000761791296 ANGGUN DELLA SEVINA Zoster without complication 4/27/2016 RSU IBNU SINA GRESIK 1
0000761806034 SUBEKI Non-insulin-depend diabetes mellitus without complication 8/4/2016 RSU IBNU SINA GRESIK 1
0000761825531 FIFI KUSNUL KOTIMAH Nonspecific lymphadenitis, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000762196511 MUITAH Acute nasopharyngitis [common cold] 2/15/2016 RSU IBNU SINA GRESIK 1
0001281576251 SUMBUK Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0001381372571 DJIMAH Tinea corporis 3/17/2016 RS PETROKIMIA GRESIK 1
0001478166243 SAMIAN Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
0001809574165 APRILLIA ARDIYANTI Allergic rhinitis, unspecified 4/7/2016 RSU IBNU SINA GRESIK 1
0001811341721 sukardi Essential (primary) hypertension 1/15/2016 RS PETROKIMIA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098145639 H.ALIM SOESAAT Hyperuricaem without sign inflamm arthritis+tophaceous dis 2/29/2016 RS Petrokimia Driyorejo 1
3/7/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/14/2016 RS Petrokimia Driyorejo 1
2/15/2016 RS Petrokimia Driyorejo 1
3/14/2016 RS Petrokimia Driyorejo 1
3/21/2016 RS Petrokimia Driyorejo 1
Tension-type headache 3/28/2016 RS Petrokimia Driyorejo 1
0000098937235 LAILIYAH SUFI FARADISAH Urinary tract infection, site not specified 3/28/2016 RS Petrokimia Driyorejo 1
0000098938899 KUNKANTI Non-insulin-depend diabetes mellitus without complication 7/13/2016 RS Petrokimia Driyorejo 1
0000098939575 MOHAMAD MASRUKIN Hyperlipidaemia, unspecified 5/2/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 6/21/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/20/2016 RS Petrokimia Driyorejo 1
2/24/2016 RS Petrokimia Driyorejo 1
3/29/2016 RS Petrokimia Driyorejo 1
6/3/2016 RS Petrokimia Driyorejo 1
7/12/2016 RS Petrokimia Driyorejo 1
8/18/2016 RS Petrokimia Driyorejo 1
0000098940104 NOVI PUSPITA SETYORINI Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/21/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/7/2016 RS Petrokimia Driyorejo 1
2/11/2016 RS Petrokimia Driyorejo 1
0000098941498 SUGIARTI Hyperuricaem without sign inflamm arthritis+tophaceous dis 6/28/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 6/21/2016 RS Petrokimia Driyorejo 1
0000098996501 SUYITNO HADI Non-insulin-depend diabetes mellitus without complication 8/11/2016 RS Petrokimia Driyorejo 1
0000099141985 DJUADI Cutaneous abscess, furuncle and carbuncle of limb 2/4/2016 RS Petrokimia Driyorejo 1
0000099220432 SURATI Essential (primary) hypertension 1/13/2016 RS Petrokimia Driyorejo 1
2/16/2016 RS Petrokimia Driyorejo 1
3/17/2016 RS Petrokimia Driyorejo 1
4/19/2016 RS Petrokimia Driyorejo 1
7/22/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 5/20/2016 RS Petrokimia Driyorejo 1
0000099242908 SUWARNI Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/7/2016 RS Petrokimia Driyorejo 1
2/11/2016 RS Petrokimia Driyorejo 1
2/18/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/1/2016 RS Petrokimia Driyorejo 1
0000102163814 ANSHORI Hyperlipidaemia, unspecified 7/14/2016 RS Petrokimia Driyorejo 1
7/28/2016 RS Petrokimia Driyorejo 1
8/16/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 6/21/2016 RS Petrokimia Driyorejo 1
0000102481975 SUWANTO Unspecified haemorrhoids without complication 7/18/2016 RS Petrokimia Driyorejo 1
0000149333051 Sumawan Bell's palsy 7/20/2016 RSU IBNU SINA GRESIK 1
0000163005219 NOVI PUSPITA SETYA RINI Non-insulin-depend diabetes mellitus without complication 3/14/2016 RS Petrokimia Driyorejo 1
4/25/2016 RS Petrokimia Driyorejo 1
7/21/2016 RS Petrokimia Driyorejo 1
8/31/2016 RS Petrokimia Driyorejo 1
0000163314033 PRI SUYITNO Non-insulin-depend diabetes mellitus without complication 5/16/2016 RS Petrokimia Driyorejo 1
7/19/2016 RS Petrokimia Driyorejo 1
8/22/2016 RS Petrokimia Driyorejo 1
0000206506833 suwandi Essential (primary) hypertension 2/1/2016 RS Petrokimia Driyorejo 1
3/3/2016 RS Petrokimia Driyorejo 1
4/5/2016 RS Petrokimia Driyorejo 1
0000206551833 A.MASHURI H.M. Hyperlipidaemia, unspecified 4/14/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS Petrokimia Driyorejo 1
2/23/2016 RS Petrokimia Driyorejo 1
5/4/2016 RS Petrokimia Driyorejo 1
6/16/2016 RS Petrokimia Driyorejo 1
8/26/2016 RS Petrokimia Driyorejo 1
0000733784488 SULISTYORINI Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
Other acute gastritis 4/22/2016 RS Petrokimia Driyorejo 1
8/8/2016 RS Petrokimia Driyorejo 1
0000759670907 MASRURO Non-insulin-depend diabetes mellitus without complication 2/22/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
5/2/2016 RS Petrokimia Driyorejo 1
6/8/2016 RS Petrokimia Driyorejo 1
7/18/2016 RS Petrokimia Driyorejo 1
8/22/2016 RS Petrokimia Driyorejo 1
0000760051743 SUMILAH Unspecified haemorrhoids without complication 4/25/2016 RSU IBNU SINA GRESIK 1
0000760392832 SUNARTI Disorders of initiating and maintaining sleep [insomnias] 8/5/2016 RS Petrokimia Driyorejo 1
Essential (primary) hypertension 4/25/2016 RS Petrokimia Driyorejo 1
0000760517649 ABD.SAKUR Essential (primary) hypertension 6/13/2016 RS Petrokimia Driyorejo 1
0000760532894 ZAINAL ARIFIN Non-insulin-depend diabetes mellitus without complication 8/22/2016 RS Petrokimia Driyorejo 1
0000760538891 DEWI ROISA Anaemia, unspecified 6/20/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 6/16/2016 RS Petrokimia Driyorejo 1
0000760548835 SUMARNI Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS Petrokimia Driyorejo 1
3/16/2016 RS Petrokimia Driyorejo 1
4/19/2016 RS Petrokimia Driyorejo 1
5/25/2016 RS Petrokimia Driyorejo 1
6/30/2016 RS Petrokimia Driyorejo 1
8/1/2016 RS Petrokimia Driyorejo 1
0000760566914 WARTINING Hyperuricaem without sign inflamm arthritis+tophaceous dis 2/25/2016 RS Petrokimia Driyorejo 1
Tension-type headache 5/30/2016 RS Petrokimia Driyorejo 1
0000760739782 NUR AFIYAH Urinary tract infection, site not specified 3/10/2016 RS Petrokimia Driyorejo 1
0000760779224 ALFIYAH Essential (primary) hypertension 1/21/2016 RSU IBNU SINA GRESIK 1
0000760821941 SALIM Cutaneous abscess, furuncle and carbuncle of limb 2/23/2016 RS Petrokimia Driyorejo 1
0000760867042 REJO Essential (primary) hypertension 6/1/2016 RS Petrokimia Driyorejo 1
0000760900937 KASTIA Non-insulin-depend diabetes mellitus without complication 2/26/2016 RS Petrokimia Driyorejo 1
4/21/2016 RS Petrokimia Driyorejo 1
5/3/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
0000760903446 SARIFAH Essential (primary) hypertension 6/14/2016 RS Petrokimia Driyorejo 1
7/15/2016 RS Petrokimia Driyorejo 1
8/16/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 5/31/2016 RS Petrokimia Driyorejo 1
0000760983164 TASRI Internal haemorrhoids without complication 4/7/2016 RS Petrokimia Driyorejo 1
0000760993391 SUSIANAH Tinea corporis 4/4/2016 RSU IBNU SINA GRESIK 1
0000761046164 SUTINAH Essential (primary) hypertension 7/30/2016 RS Petrokimia Driyorejo 1
8/31/2016 RS Petrokimia Driyorejo 1
0000761054949 DAMIRIN Other specified disorders of male genital organs 8/2/2016 RSU IBNU SINA GRESIK 1
0000761057818 SAMILAN M?ni?re's disease 1/5/2016 RS Petrokimia Driyorejo 1
1/15/2016 RS Petrokimia Driyorejo 1
1/26/2016 RS Petrokimia Driyorejo 1
2/5/2016 RS Petrokimia Driyorejo 1
2/16/2016 RS Petrokimia Driyorejo 1
2/26/2016 RS Petrokimia Driyorejo 1
3/8/2016 RS Petrokimia Driyorejo 1
3/18/2016 RS Petrokimia Driyorejo 1
3/29/2016 RS Petrokimia Driyorejo 1
4/8/2016 RS Petrokimia Driyorejo 1
4/19/2016 RS Petrokimia Driyorejo 1
4/29/2016 RS Petrokimia Driyorejo 1
5/24/2016 RS Petrokimia Driyorejo 1
6/3/2016 RS Petrokimia Driyorejo 1
7/12/2016 RS Petrokimia Driyorejo 1
8/16/2016 RS Petrokimia Driyorejo 1
0000761252229 MARALI Acute laryngitis 7/2/2016 RS Petrokimia Driyorejo 1
0000761278623 MUSLIMIN Anaemia, unspecified 2/3/2016 RS Petrokimia Driyorejo 1
0000761341702 NGATENI Essential (primary) hypertension 2/12/2016 RS Petrokimia Driyorejo 1
3/14/2016 RS Petrokimia Driyorejo 1
4/15/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 6/17/2016 RS Petrokimia Driyorejo 1
0000761795908 JULIATIN Tension-type headache 4/30/2016 RS Petrokimia Driyorejo 1
0000762094045 ZAITUN Non-insulin-depend diabetes mellitus without complication 1/25/2016 RS Petrokimia Driyorejo 1
2/29/2016 RS Petrokimia Driyorejo 1
5/2/2016 RS Petrokimia Driyorejo 1
6/3/2016 RS Petrokimia Driyorejo 1
7/11/2016 RS Petrokimia Driyorejo 1
8/12/2016 RS Petrokimia Driyorejo 1
0000762125916 KAWIK Tension-type headache 5/27/2016 RS Petrokimia Driyorejo 1
0001110006156 SARMAN Non-insulin-depend diabetes mellitus without complication 7/30/2016 RS Petrokimia Driyorejo 1
8/31/2016 RS Petrokimia Driyorejo 1
0001110430247 SOELASMININGSIH Hyperlipidaemia, unspecified 6/14/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/20/2016 RS Petrokimia Driyorejo 1
3/22/2016 RS Petrokimia Driyorejo 1
5/19/2016 RS Petrokimia Driyorejo 1
6/29/2016 RS Petrokimia Driyorejo 1
7/30/2016 RS Petrokimia Driyorejo 1
0001262629721 MOCH SOKIB Non-insulin-depend diabetes mellitus without complication 1/15/2016 RS Petrokimia Driyorejo 1
2/16/2016 RS Petrokimia Driyorejo 1
0001263494204 MACHMUD Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/8/2016 RS Petrokimia Driyorejo 1
0001267357566 LISEIIN Non-insulin-depend diabetes mellitus without complication 2/26/2016 RS Petrokimia Driyorejo 1
3/31/2016 RS Petrokimia Driyorejo 1
5/4/2016 RS Petrokimia Driyorejo 1
6/9/2016 RS Petrokimia Driyorejo 1
7/19/2016 RS Petrokimia Driyorejo 1
8/23/2016 RS Petrokimia Driyorejo 1
0001267361032 SUTINAH Essential (primary) hypertension 2/2/2016 RS Petrokimia Driyorejo 1
3/17/2016 RS Petrokimia Driyorejo 1
4/19/2016 RS Petrokimia Driyorejo 1
6/28/2016 RS Petrokimia Driyorejo 1
Tension-type headache 1/27/2016 RS Petrokimia Driyorejo 1
0001307070099 AMINAH Urinary tract infection, site not specified 8/16/2016 RS Petrokimia Driyorejo 1
8/23/2016 RS Petrokimia Driyorejo 1
0001316237872 SRI DANARTI Non-insulin-depend diabetes mellitus without complication 7/1/2016 RS Petrokimia Driyorejo 1
0001326948974 SUHARTO Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS Petrokimia Driyorejo 1
2/6/2016 RS Petrokimia Driyorejo 1
0001326950482 SANTUWATI Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS Petrokimia Driyorejo 1
2/6/2016 RS Petrokimia Driyorejo 1
6/14/2016 RS Petrokimia Driyorejo 1
7/15/2016 RS Petrokimia Driyorejo 1
0001384488966 tamami, dra Other acute gastritis 4/22/2016 RS Petrokimia Driyorejo 1
0001387386292 EVI AGUS SETIYONINGSIH Allergic rhinitis, unspecified 2/17/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 2/24/2016 RS Petrokimia Driyorejo 1
4/6/2016 RS Petrokimia Driyorejo 1
0001390254243 NUR SULAIMAN Unspecified haemorrhoids without complication 3/14/2016 RS Petrokimia Driyorejo 1
0001396699356 LISA YULIANA WAHYUnI Dermatitis, unspecified 8/1/2016 RS Petrokimia Driyorejo 1
Essential (primary) hypertension 2/26/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS Petrokimia Driyorejo 1
3/11/2016 RS Petrokimia Driyorejo 1
4/12/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
8/22/2016 RS Petrokimia Driyorejo 1
0001427598472 SUYITNO Urinary tract infection, site not specified 3/28/2016 RS Petrokimia Driyorejo 1
0001430093496 SITI SUMARMI Essential (primary) hypertension 1/13/2016 RS Petrokimia Driyorejo 1
2/16/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 3/15/2016 RS Petrokimia Driyorejo 1
3/23/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/31/2016 RS Petrokimia Driyorejo 1
7/19/2016 RS Petrokimia Driyorejo 1
0001436913393 tamami Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Petrokimia Driyorejo 1
2/9/2016 RS Petrokimia Driyorejo 1
4/15/2016 RS Petrokimia Driyorejo 1
5/14/2016 RS Petrokimia Driyorejo 1
0001439748292 RITA SUPIYAH Essential (primary) hypertension 1/4/2016 RS Petrokimia Driyorejo 1
2/10/2016 RS Petrokimia Driyorejo 1
4/25/2016 RS Petrokimia Driyorejo 1
0001443094762 SUPRIYANTO Pneumonia, unspecified 7/2/2016 RS Petrokimia Driyorejo 1
0001443863709 H. SYAMSUL HADI Other acute gastritis 8/19/2016 RS Petrokimia Driyorejo 1
Tension-type headache 1/6/2016 RS Petrokimia Driyorejo 1
0001443864306 HJ ASMAINAH Non-insulin-depend diabetes mellitus without complication 2/5/2016 RS Petrokimia Driyorejo 1
4/13/2016 RS Petrokimia Driyorejo 1
7/22/2016 RS Petrokimia Driyorejo 1
0001453597795 NORA FARISKA Bronchitis, not specified as acute or chronic 7/20/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 7/26/2016 RS Petrokimia Driyorejo 1
0001459610032 GATHOT SUGIANTO Non-insulin-depend diabetes mellitus without complication 8/16/2016 RS Petrokimia Driyorejo 1
0001466899615 SUYUTIM Essential (primary) hypertension 1/14/2016 RS Petrokimia Driyorejo 1
3/10/2016 RS Petrokimia Driyorejo 1
4/14/2016 RS Petrokimia Driyorejo 1
5/23/2016 RS Petrokimia Driyorejo 1
6/27/2016 RS Petrokimia Driyorejo 1
8/8/2016 RS Petrokimia Driyorejo 1
0001470322877 WURYANDARI, SH Essential (primary) hypertension 1/11/2016 RS Petrokimia Driyorejo 1
2/16/2016 RS Petrokimia Driyorejo 1
3/3/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
5/12/2016 RS Petrokimia Driyorejo 1
6/16/2016 RS Petrokimia Driyorejo 1
0001473745746 SUPRIONO Non-insulin-depend diabetes mellitus without complication 5/11/2016 RS Petrokimia Driyorejo 1
8/25/2016 RS Petrokimia Driyorejo 1
0001476437646 NORMAN ALOYSIUS FERNANDO P Acute nasopharyngitis [common cold] 3/19/2016 RSU IBNU SINA GRESIK 1
8/30/2016 RSU IBNU SINA GRESIK 1
0001481435537 M. NINUK WERDANINGSIH Essential (primary) hypertension 3/7/2016 RS Petrokimia Driyorejo 1
4/11/2016 RS Petrokimia Driyorejo 1
5/12/2016 RS Petrokimia Driyorejo 1
0001535238663 ABDUL RAHMAN Non-insulin-depend diabetes mellitus without complication 2/11/2016 RS Petrokimia Driyorejo 1
0001535246291 SURUSO Cutaneous abscess, furuncle and carbuncle of limb 4/21/2016 RS Petrokimia Driyorejo 1
Cutaneous abscess, furuncle and carbuncle, unspecified 4/18/2016 RS Petrokimia Driyorejo 1
0001536079195 Nanik Yuniasih Urinary tract infection, site not specified 3/2/2016 RS Petrokimia Driyorejo 1
3/24/2016 RS Petrokimia Driyorejo 1
0001536504377 SUSILO NINGTYAS Internal haemorrhoids without complication 1/5/2016 RS Petrokimia Driyorejo 1
0001538086757 GUNAWAN Asthma, unspecified 3/29/2016 RS Petrokimia Driyorejo 1
5/17/2016 RS Petrokimia Driyorejo 1
5/24/2016 RS Petrokimia Driyorejo 1
7/2/2016 RS Petrokimia Driyorejo 1
0001538090469 PUJI SANTOSO Hyperlipidaemia, unspecified 4/11/2016 RS Petrokimia Driyorejo 1
0001538092383 TANTRI AGUSTINA S Essential (primary) hypertension 3/28/2016 RS Petrokimia Driyorejo 1
4/30/2016 RS Petrokimia Driyorejo 1
6/9/2016 RS Petrokimia Driyorejo 1
0001539552936 SRI LESTARI Hyperlipidaemia, unspecified 2/9/2016 RS Petrokimia Driyorejo 1
0001539689782 M. Kusnan Essential (primary) hypertension 5/30/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 8/16/2016 RS Petrokimia Driyorejo 1
0001540816806 SUKARSIH Non-insulin-depend diabetes mellitus without complication 5/3/2016 RS Petrokimia Driyorejo 1
6/7/2016 RS Petrokimia Driyorejo 1
0001542216835 SRI RAHAYU Urinary tract infection, site not specified 1/6/2016 RS Petrokimia Driyorejo 1
0001701719864 Fatchur Roziq Hyperlipidaemia, unspecified 2/9/2016 RS Petrokimia Driyorejo 1
2/15/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/20/2016 RS Petrokimia Driyorejo 1
2/3/2016 RS Petrokimia Driyorejo 1
0001716943307 DIDIK PRESDIANTO Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Petrokimia Driyorejo 1
2/5/2016 RS Petrokimia Driyorejo 1
3/7/2016 RS Petrokimia Driyorejo 1
5/2/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
Other acute gastritis 6/27/2016 RS Petrokimia Driyorejo 1
0001794793948 PURMINI External haemorrhoids without complication 2/9/2016 RS Petrokimia Driyorejo 1
Internal haemorrhoids without complication 2/3/2016 RS Petrokimia Driyorejo 1
0001796888057 LILIK MINARTI Non-insulin-depend diabetes mellitus without complication 6/16/2016 RS Petrokimia Driyorejo 1
0001812808348 BUDI UTOMO Other acute gastritis 7/20/2016 RS Petrokimia Driyorejo 1
0001815074976 MUHAMAD SUPARMAN Essential (primary) hypertension 3/31/2016 RS Petrokimia Driyorejo 1
8/8/2016 RS Petrokimia Driyorejo 1
0001826281102 LAILATUL NUR HIDAYAH Typhoid fever 3/21/2016 RS Petrokimia Driyorejo 1
0001830464368 HUSAINI Non-insulin-depend diabetes mellitus without complication 5/23/2016 RS Petrokimia Driyorejo 1
7/11/2016 RS Petrokimia Driyorejo 1
0001875185921 sariyo Essential (primary) hypertension 1/30/2016 RS Petrokimia Driyorejo 1
0001879706441 SOEGANDI PRAWIRO ATMODJO Essential (primary) hypertension 7/13/2016 RS Petrokimia Driyorejo 1
0001897454338 BISMA YULIAN SAPUTRA Typhoid fever 5/2/2016 RS Petrokimia Driyorejo 1
0002037691866 sugiyanti Cutaneous abscess, furuncle and carbuncle, unspecified 5/20/2016 RS Petrokimia Driyorejo 1
Local infection of skin and subcutaneous tissue, unspecified 5/16/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 5/31/2016 RS Petrokimia Driyorejo 1
7/4/2016 RS Petrokimia Driyorejo 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000010582424 LAILATUL FIKRIYAH Non-insulin-depend diabetes mellitus without complication 4/13/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
0000098901753 siti aminah Bronchitis, not specified as acute or chronic 7/22/2016 RSU IBNU SINA GRESIK 1
0000098902146 FATKHUL MAARIF Essential (primary) hypertension 3/14/2016 RSU IBNU SINA GRESIK 1
0000098943603 ABDUL KHOLIQ Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
Impacted cerumen 2/4/2016 RSU IBNU SINA GRESIK 1
0000098944018 DEWI QOMARIYAH Bronchitis, not specified as acute or chronic 3/23/2016 RSU IBNU SINA GRESIK 1
0000098945245 M MUNAWIR Asthma, unspecified 1/25/2016 RS PETROKIMIA GRESIK 1
0000098946134 REJA Essential (primary) hypertension 6/1/2016 RSU IBNU SINA GRESIK 1
0000098947787 AHMAD ALI MURTADLO Asthma, unspecified 2/16/2016 RSU IBNU SINA GRESIK 1
0000099022162 IVA SUSANTI Urinary tract infection, site not specified 4/25/2016 RSU IBNU SINA GRESIK 1
0000099022724 M. ASHRAF FACHRIL AMAL Cutaneous abscess, furuncle and carbuncle, unspecified 3/8/2016 RSU IBNU SINA GRESIK 1
0000099023354 MUHAMMAD YUSUF Hyperlipidaemia, unspecified 2/25/2016 RSU IBNU SINA GRESIK 1
0000099087669 SAMI Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
0000099104758 MUHAMAD KHOIRUL ANAM Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
0000099104769 MUSYAFAAH Essential (primary) hypertension 4/20/2016 RSU IBNU SINA GRESIK 1
0000099108731 RATENI Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
0000099111914 NUR ISWANAH Urinary tract infection, site not specified 3/14/2016 RS Semen Gresik 1
0000099117797 BEDJO Essential (primary) hypertension 8/25/2016 RSU IBNU SINA GRESIK 1
0000099145179 H. MADANIYAH Essential (primary) hypertension 4/9/2016 RSU IBNU SINA GRESIK 1
0000099146171 SRI UTAMI Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
0000099146193 SUDARWATI Hyperlipidaemia, unspecified 7/23/2016 RSU IBNU SINA GRESIK 1
0000099260818 ATIQOH Hyperlipidaemia, unspecified 4/1/2016 RSU IBNU SINA GRESIK 1
0000099995747 PARTI Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000101172352 DJUWARI Hyperlipidaemia, unspecified 6/2/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/2/2016 RSU IBNU SINA GRESIK 1
0000101598265 MASRUAH Cutaneous abscess, furuncle and carbuncle of limb 5/14/2016 RSU IBNU SINA GRESIK 1
0000103488107 MUNAWAROH Essential (primary) hypertension 3/16/2016 RSU IBNU SINA GRESIK 1
0000103899227 ZADANI BAGUS RAMADHAN Impacted cerumen 8/31/2016 RSU IBNU SINA GRESIK 1
0000103933271 AZIZATUL UMROH Nonspecific lymphadenitis, unspecified 1/18/2016 RS PETROKIMIA GRESIK 1
0000159557635 DRS. ACH MOESHOFFA AZIZ, M.Otitis media, unspecified 8/20/2016 RSU IBNU SINA GRESIK 1
8/31/2016 RSU IBNU SINA GRESIK 1
0000164142966 MARYATI Essential (primary) hypertension 1/8/2016 RSU IBNU SINA GRESIK 1
0000200620427 SIGIT SATRIYA W Internal haemorrhoids without complication 6/27/2016 RSU IBNU SINA GRESIK 1
0000202003751 SYAHBAH SAIFI K. Dermatitis, unspecified 4/1/2016 RSU IBNU SINA GRESIK 1
0000754886158 SHOLIKATUN NISWAROH. Essential (primary) hypertension 6/14/2016 RSU IBNU SINA GRESIK 1
0000760923933 SUBIATI Essential (primary) hypertension 2/23/2016 RSU IBNU SINA GRESIK 1
0000761019423 SUPIYATI Essential (primary) hypertension 7/19/2016 RSU IBNU SINA GRESIK 1
0000761346292 SITI JURIYAH Impacted cerumen 7/21/2016 RSU IBNU SINA GRESIK 1
0000761416839 MASNI Tb lung confirm sputum microscopy with or without culture 8/9/2016 RSU IBNU SINA GRESIK 1
0000761523344 MARMAH Zoster without complication 2/6/2016 RSU IBNU SINA GRESIK 1
0000761572809 SUTATIK Essential (primary) hypertension 8/10/2016 RSU IBNU SINA GRESIK 1
0000761635045 NAFIAH Unspecified haemorrhoids without complication 5/19/2016 RSU IBNU SINA GRESIK 1
0000761639938 SITI FADILAH Essential (primary) hypertension 4/1/2016 RSU IBNU SINA GRESIK 1
0000761678471 TIJAH Essential (primary) hypertension 7/14/2016 RSU IBNU SINA GRESIK 1
0000761702005 MUKHOLIFAH Essential (primary) hypertension 8/30/2016 RSU IBNU SINA GRESIK 1
0000761776132 MATSAHAL Non-insulin-depend diabetes mellitus without complication 4/2/2016 RSU IBNU SINA GRESIK 1
0000762069914 SUGIARTO Asthma, unspecified 2/23/2016 RSU IBNU SINA GRESIK 1
0000762101651 KASNAH Bronchitis, not specified as acute or chronic 1/5/2016 RSU IBNU SINA GRESIK 1
0000762108254 JUNI Internal haemorrhoids without complication 4/12/2016 RSU IBNU SINA GRESIK 1
0000762126208 MUNAWAROH Hyperlipidaemia, unspecified 4/6/2016 RSU IBNU SINA GRESIK 1
0000762197894 ABU AMAR Essential (primary) hypertension 8/6/2016 RSU IBNU SINA GRESIK 1
0000762206343 HJ.MUAROH Non-insulin-depend diabetes mellitus without complication 3/4/2016 RSU IBNU SINA GRESIK 1
0000762216761 AS'ADUR ROFI' Viral warts 3/29/2016 RSU IBNU SINA GRESIK 1
0000762277252 MARIANNAH Essential (primary) hypertension 2/18/2016 RSU IBNU SINA GRESIK 1
0000762374722 SRI RENVILIA ELVIN Asthma, unspecified 1/26/2016 RSU IBNU SINA GRESIK 1
0000762393857 MOH. SUHADI Essential (primary) hypertension 6/17/2016 RSU IBNU SINA GRESIK 1
Impacted cerumen 3/16/2016 RSU IBNU SINA GRESIK 1
0000762401878 SAROPA Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0000762407392 KAYANAH Essential (primary) hypertension 4/28/2016 RSU IBNU SINA GRESIK 1
0000762413859 SITI HAMIMAH Essential (primary) hypertension 1/18/2016 RSU IBNU SINA GRESIK 1
0000762461201 NUR SYAHID . Essential (primary) hypertension 7/13/2016 RSU IBNU SINA GRESIK 1
0000762468557 JIUN Internal haemorrhoids without complication 8/20/2016 RSU IBNU SINA GRESIK 1
0000762478839 AHMAD AROHMAN AL QURDAFIAcute nasopharyngitis [common cold] 2/23/2016 RSU IBNU SINA GRESIK 1
3/11/2016 RSU IBNU SINA GRESIK 1
0000762479346 AINUL AFIFAH Benign lipomatous neoplasm, unspecified 2/17/2016 RSU IBNU SINA GRESIK 1
0000762489371 TARJI Essential (primary) hypertension 4/9/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/10/2016 RSU IBNU SINA GRESIK 1
0000762492521 ARIFATUN NI'MAH Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
0000762507099 KAMIN Non-insulin-depend diabetes mellitus without complication 2/4/2016 RSU IBNU SINA GRESIK 1
0000762510892 KATI Essential (primary) hypertension 7/23/2016 RSU IBNU SINA GRESIK 1
0000762513985 BARROTUT TAQIYAH Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
0000762518002 WIWIK INDAHYATI Essential (primary) hypertension 4/18/2016 RSU IBNU SINA GRESIK 1
0000762525911 ANA MUFIDAH Tension-type headache 1/9/2016 RSU IBNU SINA GRESIK 1
3/11/2016 RSU IBNU SINA GRESIK 1
4/30/2016 RSU IBNU SINA GRESIK 1
0000762526416 ASMIYATI Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000762537262 OKTAVIANTI DWI SAFITRI Nonspecific lymphadenitis, unspecified 2/2/2016 RSU IBNU SINA GRESIK 1
0000762546148 MUHAMMAD IRSYADUL IBAD MA
Nonspecific lymphadenitis, unspecified 8/22/2016 RSU IBNU SINA GRESIK 1
0000762546431 JAKLAH Scabies 1/22/2016 RSU IBNU SINA GRESIK 1
0000762546609 MASULAH Acute nasopharyngitis [common cold] 2/17/2016 RSU IBNU SINA GRESIK 1
0000762555701 SRI LESTARI Seborrhoeic dermatitis, unspecified 4/7/2016 RSU IBNU SINA GRESIK 1
0000762568896 AMINATUN Tension-type headache 4/30/2016 RSU IBNU SINA GRESIK 1
0000762595964 SUNARI Bronchitis, not specified as acute or chronic 2/18/2016 RSU IBNU SINA GRESIK 1
0000762602938 MARLIYAH Bronchitis, not specified as acute or chronic 1/12/2016 RSU IBNU SINA GRESIK 1
0000762621096 SIYAR Urinary tract infection, site not specified 3/26/2016 RSU IBNU SINA GRESIK 1
0000762677561 DIAN SYAHRUL GUNAWAN Cutaneous abscess, furuncle and carbuncle, unspecified 7/29/2016 RSU IBNU SINA GRESIK 1
0000762745004 MUNING Essential (primary) hypertension 3/10/2016 RSU IBNU SINA GRESIK 1
0000762753205 JUMA'IYAH Essential (primary) hypertension 6/13/2016 RSU IBNU SINA GRESIK 1
0000762794594 ROMLI. Essential (primary) hypertension 4/14/2016 RSU IBNU SINA GRESIK 1
0000762886089 FADILAH Unspecified haemorrhoids without complication 5/11/2016 RSU IBNU SINA GRESIK 1
0000762900952 SITI KHODIJAH Otitis media, unspecified 6/24/2016 RSU IBNU SINA GRESIK 1
0000762950114 NINA HANIFAH Impacted cerumen 7/30/2016 RSU IBNU SINA GRESIK 1
0000762984876 LASMO Tension-type headache 3/11/2016 RSU IBNU SINA GRESIK 1
0000763001166 BACHRI ALI Viral warts 4/6/2016 RSU IBNU SINA GRESIK 1
0000763001651 SITI UMU NAFSIYAH Scabies 2/25/2016 RSU IBNU SINA GRESIK 1
0000763004057 ACHMAD SAYYIDI ZACKY FUAD Viral warts 4/19/2016 RSU IBNU SINA GRESIK 1
0000763013068 MARPUAH Anaemia, unspecified 2/2/2016 RSU IBNU SINA GRESIK 1
0000763059958 ROHMADONI TRI S Viral warts 2/2/2016 RSU IBNU SINA GRESIK 1
0000763087083 HJ. UMU KULSUM Non-insulin-depend diabetes mellitus without complication 8/29/2016 RSU IBNU SINA GRESIK 1
0000763131587 ASFIYAH Non-insulin-depend diabetes mellitus without complication 5/2/2016 RSU IBNU SINA GRESIK 1
0000763209246 MOCH DAHLAN Tb lung confirm sputum microscopy with or without culture 8/19/2016 RSU IBNU SINA GRESIK 1
0000763255361 MASLAHATUL UMMAH Non-insulin-depend diabetes mellitus without complication 1/18/2016 RSU IBNU SINA GRESIK 1
0000763342075 SAMINAH Essential (primary) hypertension 5/12/2016 RSU IBNU SINA GRESIK 1
0000763539996 MAULANA ARIF Tb lung confirm sputum microscopy with or without culture 6/13/2016 RS Muhammadiyah Gresik 1
0000763645533 MUHAMMAD HABIBULLOH KAMViral warts 6/28/2016 RSU IBNU SINA GRESIK 1
0000763771206 SUPIATUN Internal haemorrhoids without complication 6/16/2016 RSU IBNU SINA GRESIK 1
0001047510538 MOHAMAD ZAMRONI Acute nasopharyngitis [common cold] 6/13/2016 RSU IBNU SINA GRESIK 1
0001047512698 HJ. MARIA ULFA Bronchitis, not specified as acute or chronic 3/26/2016 RSU IBNU SINA GRESIK 1
0001089216303 GHAZY MAHARDIKA HARIAKUS Impacted cerumen 6/25/2016 RSU IBNU SINA GRESIK 1
0001127119781 AHMAD MUJAHIDIN Internal haemorrhoids without complication 2/11/2016 RSU IBNU SINA GRESIK 1
0001136461397 M MACHRUS ALI Acute laryngitis 1/20/2016 RS PETROKIMIA GRESIK 1
Acute pharyngitis, unspecified 3/10/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
8/31/2016 RS PETROKIMIA GRESIK 1
0001261435419 ENDANG KUNDAYANTI Hyperlipidaemia, unspecified 1/15/2016 RSU IBNU SINA GRESIK 1
0001266560526 T'IN AFIFAH Essential (primary) hypertension 5/10/2016 RSU IBNU SINA GRESIK 1
0001273300086 TIANA Essential (primary) hypertension 1/12/2016 RSU IBNU SINA GRESIK 1
0001278825142 KHOLILAH Bronchitis, not specified as acute or chronic 5/9/2016 RS Semen Gresik 1
0001294249048 LINDA TRI HANDAYANI Tension-type headache 8/12/2016 RSU IBNU SINA GRESIK 1
0001296348074 SYAYADAH Non-insulin-depend diabetes mellitus without complication 7/23/2016 RSU IBNU SINA GRESIK 1
0001299961135 MUSAYADAH Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 7/22/2016 RSU IBNU SINA GRESIK 1
0001304868745 SITI AISYAH Allergic rhinitis, unspecified 6/4/2016 RSU IBNU SINA GRESIK 1
0001304870005 KHOIRUN NISA' Nonspecific lymphadenitis, unspecified 6/23/2016 RSU IBNU SINA GRESIK 1
0001313109055 KHOIRIYAH Essential (primary) hypertension 1/15/2016 RSU IBNU SINA GRESIK 1
8/29/2016 RSU IBNU SINA GRESIK 1
0001420870408 ZAINUL ABIDIN Essential (primary) hypertension 7/28/2016 RSU IBNU SINA GRESIK 1
0001438430883 MADRA'I LUCKMAN Non-insulin-depend diabetes mellitus without complication 4/25/2016 RS PETROKIMIA GRESIK 1
5/30/2016 RS PETROKIMIA GRESIK 1
0001440136124 HJ.SITI SHOLIHAH Non-insulin-depend diabetes mellitus without complication 2/17/2016 RSU IBNU SINA GRESIK 1
0001448389506 ACHMAD SHOLIKHAN Non-insulin-depend diabetes mellitus without complication 1/20/2016 RSU IBNU SINA GRESIK 1
0001475905184 MUSTAINAH Impacted cerumen 3/7/2016 RSU IBNU SINA GRESIK 1
0001476345881 RATU HENYANA Essential (primary) hypertension 1/26/2016 RS Semen Gresik 1
0001482982986 sumiati Scabies 8/31/2016 RSU IBNU SINA GRESIK 1
Tinea corporis 8/22/2016 RSU IBNU SINA GRESIK 1
0001540925111 ANDRI SULISTIYA PUTRA Urinary tract infection, site not specified 5/19/2016 RSU IBNU SINA GRESIK 1
0001542256716 TAUFIK Non-insulin-depend diabetes mellitus without complication 8/13/2016 RS Semen Gresik 1
0001617460446 MOH. IRWAN HERMANTO Benign lipomatous neoplasm, unspecified 1/11/2016 RSU IBNU SINA GRESIK 1
0001716645273 RATRI SA'BANIAR Scabies 8/29/2016 RSU IBNU SINA GRESIK 1
0001785971687 khusnifah Asthma, unspecified 1/18/2016 RSU IBNU SINA GRESIK 1
5/26/2016 RSU IBNU SINA GRESIK 1
0001800321006 SITI FATIMAH Tinea corporis 5/14/2016 RSU IBNU SINA GRESIK 1
0001814444897 SUPARMI Acute nasopharyngitis [common cold] 5/26/2016 RSU IBNU SINA GRESIK 1
Tension-type headache 1/23/2016 RSU IBNU SINA GRESIK 1
4/29/2016 RSU IBNU SINA GRESIK 1
0001814619251 sumaikah Non-insulin-depend diabetes mellitus without complication 7/30/2016 RS PETROKIMIA GRESIK 1
0001830590133 KASIPAH Essential (primary) hypertension 5/23/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/31/2016 RSU IBNU SINA GRESIK 1
0001838171136 NUR MALICHA EL HIMMAH Bronchitis, not specified as acute or chronic 3/30/2016 RSU IBNU SINA GRESIK 1
0001846111689 MUHAMMAD PRAYOGI AMRULLAcute nasopharyngitis [common cold] 2/2/2016 RSU IBNU SINA GRESIK 1
0001867374371 TATIK ZULIATI Essential (primary) hypertension 5/23/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 6/22/2016 RSU IBNU SINA GRESIK 1
0001872418138 mumtaza khairun nisa Measles without complication 4/13/2016 RS DENISA 1
0001892595723 khurriyah Essential (primary) hypertension 5/31/2016 RSU IBNU SINA GRESIK 1
0001905273898 RITA ROSITA Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/19/2016 RSU IBNU SINA GRESIK 1
4/16/2016 RSU IBNU SINA GRESIK 1
0001918136788 AHESA MAULANA Acute nasopharyngitis [common cold] 4/6/2016 RSU IBNU SINA GRESIK 1
0001965243892 SYAHRUL ULUM AL ASY'ARI Dengue haemorrhagic fever 1/14/2016 RS DENISA 1
0001971056417 rudy hartono Essential (primary) hypertension 4/29/2016 RS PETROKIMIA GRESIK 1
6/17/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 6/16/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
0002032745782 sumiatun Hyperlipidaemia, unspecified 5/25/2016 RSU IBNU SINA GRESIK 1
0002046679661 achmad iqmal syaputra al-asqolAcute nasopharyngitis [common cold] 6/11/2016 RSU IBNU SINA GRESIK 1
0002070437455 NUR AZIZAH Asthma, unspecified 8/8/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Alasan
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Rujukan
Primer Ada Tidak
0000085636541 HJ.MAULIDA Essential (primary) hypertension 4/14/2016 RSU IBNU SINA GRESIK 1
0000085639487 SUMI Essential (primary) hypertension 2/5/2016 RSU IBNU SINA GRESIK 1
5/4/2016 RSU IBNU SINA GRESIK 1
0000098947967 REZA FARISA FEBRIANTI Other acute gastritis 3/15/2016 RS FATHMA MEDIKA 1
0000098948542 EN USMANAH Essential (primary) hypertension 1/22/2016 RS PETROKIMIA GRESIK 1
2/29/2016 RS PETROKIMIA GRESIK 1
0000098949205 M THOLIBA Non-insulin-depend diabetes mellitus without complication 2/9/2016 RS PETROKIMIA GRESIK 1
4/28/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
0000098949903 ASROKHA Non-insulin-depend diabetes mellitus without complication 3/29/2016 RS FATHMA MEDIKA 1
0000098949969 MOH SHODIQ Essential (primary) hypertension 6/20/2016 RS FATHMA MEDIKA 1
0000098949971 HARIYATIN Essential (primary) hypertension 6/20/2016 RS FATHMA MEDIKA 1
0000098950241 MUAWIYAH Nummular dermatitis 8/8/2016 RSU IBNU SINA GRESIK 1
0000098952546 TATIK SUPRIHATIN Essential (primary) hypertension 3/22/2016 RS FATHMA MEDIKA 1
0000098952614 TURHAN Non-insulin-depend diabetes mellitus without complication 5/18/2016 RSU IBNU SINA GRESIK 1
0000098952658 USMAN SOLIHIN Tension-type headache 4/23/2016 RSU IBNU SINA GRESIK 1
0000099018461 AINUN JARIYAH Essential (primary) hypertension 1/21/2016 RSU IBNU SINA GRESIK 1
0000099029283 SUBIYANAH Urinary tract infection, site not specified 5/4/2016 RSU IBNU SINA GRESIK 1
0000099103612 SUGIHARTI Non-insulin-depend diabetes mellitus without complication 5/31/2016 RS FATHMA MEDIKA 1
0000099136091 RUSWIJONO Non-insulin-depend diabetes mellitus without complication 6/17/2016 RS Petrokimia Gresik Graha H 1
0000099201971 SUTINIK Non-insulin-depend diabetes mellitus without complication 4/8/2016 RS FATHMA MEDIKA 1
0000099207145 MOHAMAD SAHAL Non-insulin-depend diabetes mellitus without complication 3/28/2016 RSU IBNU SINA GRESIK 1
0000099221837 SYIHABUDDIN Benign lipomatous neoplasm, unspecified 2/19/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 3/18/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/5/2016 RS PETROKIMIA GRESIK 1
3/12/2016 RS PETROKIMIA GRESIK 1
0000103490572 ABD MUTHALIB Bronchitis, not specified as acute or chronic 1/11/2016 RSU IBNU SINA GRESIK 1
0000103687086 RIFDATUL MAZIYYAH Impacted cerumen 8/15/2016 RS Muhammadiyah Gresik 1
0000761717777 AFIFAH Bronchitis, not specified as acute or chronic 6/21/2016 RSU IBNU SINA GRESIK 1
0000762198175 MOH KHOLIL Noninfective gastroenteritis and colitis, unspecified 5/10/2016 RSU IBNU SINA GRESIK 1
0000762275395 FADLILAH Essential (primary) hypertension 6/24/2016 RSU IBNU SINA GRESIK 1
0000762579729 NISFAWATI Bronchitis, not specified as acute or chronic 4/11/2016 RSU IBNU SINA GRESIK 1
0000762625484 HIDAYATUL FITROH Acute pharyngitis, unspecified 8/27/2016 RSU IBNU SINA GRESIK 1
0000762702963 AHMAD HABIBUDDIN Allergic rhinitis, unspecified 5/11/2016 RSU IBNU SINA GRESIK 1
0000762732898 ROBIKA Urinary tract infection, site not specified 2/10/2016 RSU IBNU SINA GRESIK 1
0000762821346 ZAITUNAH Acute nasopharyngitis [common cold] 2/10/2016 RSU IBNU SINA GRESIK 1
0000762886012 ROHMATUL UMMAH Tb lung confirm sputum microscopy with or without culture 3/10/2016 RSU IBNU SINA GRESIK 1
0000763035917 MISBAHUL MUNIR Essential (primary) hypertension 4/8/2016 RSU IBNU SINA GRESIK 1
0000763184103 DEWI SAFITRI Bell's palsy 3/5/2016 RSU IBNU SINA GRESIK 1
0000763212216 suroso Hyperlipidaemia, unspecified 4/4/2016 RSU IBNU SINA GRESIK 1
0000763247542 MUARSIH Essential (primary) hypertension 5/31/2016 RSU IBNU SINA GRESIK 1
0000763304894 KHOLILATI ISTIQOMAH Otitis media, unspecified 2/1/2016 RSU IBNU SINA GRESIK 1
0000763343673 MUHAJIR Essential (primary) hypertension 6/28/2016 RSU IBNU SINA GRESIK 1
0000763346913 KHOIRI Essential (primary) hypertension 7/27/2016 RSU IBNU SINA GRESIK 1
0000763347508 UMMU NASUHAH Bronchitis, not specified as acute or chronic 6/2/2016 RSU IBNU SINA GRESIK 1
0000763350581 SAUBARI Acute nasopharyngitis [common cold] 7/26/2016 RSU IBNU SINA GRESIK 1
0000763351132 MUNAFIROH Essential (primary) hypertension 3/23/2016 RSU IBNU SINA GRESIK 1
0000763422917 ROSYIDATUL HASANAH Tb lung confirm sputum microscopy with or without culture 6/16/2016 RSU IBNU SINA GRESIK 1
0000763429869 DUK ASFIYAH Essential (primary) hypertension 7/15/2016 RSU IBNU SINA GRESIK 1
0000763482172 LATIFAH Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
7/26/2016 RSU IBNU SINA GRESIK 1
0000763535979 ROFHANI Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
0000763629693 SUYATI Essential (primary) hypertension 4/13/2016 RSU IBNU SINA GRESIK 1
0000763638761 maria ulfa Essential (primary) hypertension 5/26/2016 RSU IBNU SINA GRESIK 1
0000763649649 NURUL FATINIKMAH Urinary tract infection, site not specified 3/10/2016 RS FATHMA MEDIKA 1
0000763671352 URIFAH Bronchitis, not specified as acute or chronic 1/20/2016 RSU IBNU SINA GRESIK 1
0000763703278 MASKANI Bronchitis, not specified as acute or chronic 2/9/2016 RSU IBNU SINA GRESIK 1
0000763718859 MAHMUNIK Seborrhoeic dermatitis, unspecified 7/22/2016 RSU IBNU SINA GRESIK 1
0000763772141 QUWAMI Bronchitis, not specified as acute or chronic 1/26/2016 RSU IBNU SINA GRESIK 1
0000763796237 MASLUHA Acute nasopharyngitis [common cold] 1/15/2016 RSU IBNU SINA GRESIK 1
0000763845041 NGATIKAH Non-insulin-depend diabetes mellitus without complication 5/27/2016 RSU IBNU SINA GRESIK 1
0000763850395 Khoirul Huda Tb lung confirm sputum microscopy with or without culture 7/20/2016 RSU IBNU SINA GRESIK 1
0000763906364 NAILAH NAHDA N Acute nasopharyngitis [common cold] 2/10/2016 RSU IBNU SINA GRESIK 1
0000763922979 SITI AISYAH Non-insulin-depend diabetes mellitus without complication 4/19/2016 RSU IBNU SINA GRESIK 1
0000763933342 ASMONAH Bronchitis, not specified as acute or chronic 5/27/2016 RSU IBNU SINA GRESIK 1
0000763982111 MOHAMMAD NAIM Impacted cerumen 2/23/2016 RSU IBNU SINA GRESIK 1
0000764037819 MUANTHIROH Non-insulin-depend diabetes mellitus without complication 8/18/2016 RS FATHMA MEDIKA 1
0000764055167 LILIK OKTAVIA Tb lung confirm sputum microscopy with or without culture 8/25/2016 RSU IBNU SINA GRESIK 1
0000764106704 SITI NURJANAH Essential (primary) hypertension 7/26/2016 RSU IBNU SINA GRESIK 1
0000764227934 NAILA SILVIA RAHMAH Acute nasopharyngitis [common cold] 5/10/2016 RSU IBNU SINA GRESIK 1
0000764546488 QURROTA A'YUN Acute nasopharyngitis [common cold] 7/19/2016 RSU IBNU SINA GRESIK 1
0000764567392 AINUR ROZAQ Nummular dermatitis 5/24/2016 RSU IBNU SINA GRESIK 1
0000764584569 MUSLIH Bronchitis, not specified as acute or chronic 7/13/2016 RSU IBNU SINA GRESIK 1
0000764643712 SITI ROHMAH Urinary tract infection, site not specified 2/25/2016 RSU IBNU SINA GRESIK 1
0000764807973 M. KHOIRUL ANAS Acute nasopharyngitis [common cold] 6/24/2016 RSU IBNU SINA GRESIK 1
0000764822621 FARISAH NABILAH Acute nasopharyngitis [common cold] 6/8/2016 RSU IBNU SINA GRESIK 1
0001047566553 LILIK MASBAHAH Nonspecific lymphadenitis, unspecified 8/22/2016 RSU IBNU SINA GRESIK 1
0001047566665 NUR AFI'AH Spontaneous abortion, complete or unspecified, without complication 1/4/2016 RSU IBNU SINA GRESIK 1
1/11/2016 RSU IBNU SINA GRESIK 1
0001078262987 MASTUFAH Seborrhoeic dermatitis, unspecified 5/10/2016 RSU IBNU SINA GRESIK 1
0001279759746 diflah Hyperlipidaemia, unspecified 5/3/2016 RSU IBNU SINA GRESIK 1
0001286748336 SUTIKNO HADI Non-insulin-depend diabetes mellitus without complication 2/29/2016 RS PETROKIMIA GRESIK 1
8/22/2016 RS PETROKIMIA GRESIK 1
0001291790812 MIFTAKHUL MUNIR Essential (primary) hypertension 1/27/2016 RS PETROKIMIA GRESIK 1
2/26/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
0001326516693 ZAMIL Bronchitis, not specified as acute or chronic 4/22/2016 RSU IBNU SINA GRESIK 1
0001328623086 h.muhammad sabiq abdulEssential (primary) hypertension 3/30/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/11/2016 RSU IBNU SINA GRESIK 1
0001328883456 FAIZUN Essential (primary) hypertension 6/16/2016 RSU IBNU SINA GRESIK 1
0001446804911 MAZID Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
0001542010746 SRI WAHYUNI ZULAIDAH Cutaneous abscess, furuncle and carbuncle, unspecified 3/22/2016 RSU IBNU SINA GRESIK 1
0001542010757 IRIANTO MALDINI Acute nasopharyngitis [common cold] 8/9/2016 RSU IBNU SINA GRESIK 1
0001544347181 SIRI AMAROH Dermatitis, unspecified 5/11/2016 RS Semen Gresik 1
0001719183958 SUKIMAN Scabies 3/7/2016 RSU IBNU SINA GRESIK 1
0001794449103 dra sibyanah Non-insulin-depend diabetes mellitus without complication 1/27/2016 RS PETROKIMIA GRESIK 1
2/10/2016 RS PETROKIMIA GRESIK 1
7/19/2016 RS PETROKIMIA GRESIK 1
8/19/2016 RS PETROKIMIA GRESIK 1
0001798740527 MOHAMMAD NUKHAN Scabies 8/20/2016 RSU IBNU SINA GRESIK 1
0001806819827 rita lestiarini Tension-type headache 2/26/2016 RSU IBNU SINA GRESIK 1
0001811088483 danial firdaus Unspecified haemorrhoids without complication 8/5/2016 RSU IBNU SINA GRESIK 1
0001814012886 mohammad ADITIyAH MASeborrhoeic dermatitis, unspecified 6/15/2016 RS PKU MUHAMMADIYAH SEKA 1
0001816237675 tryas sukmaning sakti Urinary tract infection, site not specified 3/22/2016 RSU IBNU SINA GRESIK 1
0001836941736 UMI ROHMANA Acute pharyngitis, unspecified 2/1/2016 RSU IBNU SINA GRESIK 1
0001855096457 NAILUS SA'ADAH Tinea cruris 2/11/2016 RSU IBNU SINA GRESIK 1
0001860609396 ULIFAH Essential (primary) hypertension 4/29/2016 RS PETROKIMIA GRESIK 1
5/26/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/21/2016 RS PETROKIMIA GRESIK 1
0001865060278 gholib Acute nasopharyngitis [common cold] 6/8/2016 RSU IBNU SINA GRESIK 1
0001869775233 PUTRA BAGAS MIFTAKHULBronchitis, not specified as acute or chronic 5/24/2016 RS PETROKIMIA GRESIK 1
Cutaneous abscess, furuncle and carbuncle of neck 6/22/2016 RS PETROKIMIA GRESIK 1
0001881773122 sonip priadi, lc Non-insulin-depend diabetes mellitus without complication 1/7/2016 RS PETROKIMIA GRESIK 1
0001969532133 NUR ZAKIYAH Non-insulin-depend diabetes mellitus without complication 6/23/2016 RS PKU MUHAMMADIYAH SEKA 1
0002055665283 MOCH. ROICHAN Non-insulin-depend diabetes mellitus without complication 5/27/2016 RS FATHMA MEDIKA 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098965001 SUSENO Essential (primary) hypertension 6/3/2016 RS PETROKIMIA GRESIK 1
0000098966496 SUPARMANTO Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
0000098968217 SRI ASTUTIK Non-insulin-depend diabetes mellitus without complication 3/8/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
0000098968252 SUNARYO Non-insulin-depend diabetes mellitus without complication 2/15/2016 RS PETROKIMIA GRESIK 1
5/26/2016 RS PETROKIMIA GRESIK 1
6/22/2016 RS PETROKIMIA GRESIK 1
7/27/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0000098969332 suroso Essential (primary) hypertension 7/28/2016 RSU IBNU SINA GRESIK 1
0000098969567 TAKIM Allergic rhinitis, unspecified 8/30/2016 RSU IBNU SINA GRESIK 1
0000099033748 ISFINATUN Non-insulin-depend diabetes mellitus without complication 3/29/2016 RS PETROKIMIA GRESIK 1
0000099093453 ASANI Non-insulin-depend diabetes mellitus without complication 1/6/2016 RSU IBNU SINA GRESIK 1
0000099094342 NGATIMIN Acute nasopharyngitis [common cold] 6/8/2016 RSU IBNU SINA GRESIK 1
0000099106874 TETY ISMIATY ISKANDARNon-insulin-depend diabetes mellitus without complication 2/11/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
0000099119081 HAIRIYAH Non-insulin-depend diabetes mellitus without complication 4/19/2016 RS PETROKIMIA GRESIK 1
5/26/2016 RS PETROKIMIA GRESIK 1
7/16/2016 RS PETROKIMIA GRESIK 1
0000099119237 PESTA ULI PARDEDE Allergic rhinitis, unspecified 5/30/2016 RS PETROKIMIA GRESIK 1
0000099119261 PALTY RAJA MANURUNGAllergic rhinitis, unspecified 4/22/2016 RS PETROKIMIA GRESIK 1
5/30/2016 RS PETROKIMIA GRESIK 1
0000099119373 TITIK SUHERLIN Anaemia, unspecified 8/12/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/9/2016 RS PETROKIMIA GRESIK 1
0000099119384 SUYATNO Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
3/8/2016 RS PETROKIMIA GRESIK 1
4/28/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
6/17/2016 RS PETROKIMIA GRESIK 1
Otitis media, unspecified 7/29/2016 RS PETROKIMIA GRESIK 1
8/22/2016 RS PETROKIMIA GRESIK 1
0000099124042 NOER AINY,DRG. Essential (primary) hypertension 2/17/2016 RSU IBNU SINA GRESIK 1
0000099161638 PARMUDJI Essential (primary) hypertension 7/19/2016 RSU IBNU SINA GRESIK 1
0000099162112 RIDWAN,S.SOS. Gout, unspecified 3/22/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 4/19/2016 RS PETROKIMIA GRESIK 1
0000099162123 SITI MARIYAM Hyperlipidaemia, unspecified 4/19/2016 RS PETROKIMIA GRESIK 1
6/14/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/22/2016 RS PETROKIMIA GRESIK 1
0000099162292 SA'ADAH Essential (primary) hypertension 8/19/2016 RS PETROKIMIA GRESIK 1
0000100268065 MADANIYAH Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS Semen Gresik 1
0000137042302 BAMBANG SUPRASNO Essential (primary) hypertension 2/29/2016 RS PETROKIMIA GRESIK 1
0000195898274 NUR INDAYATI Tb lung confirm sputum microscopy with or without culture 4/5/2016 RSU IBNU SINA GRESIK 1
0000761286666 CUK SUDARMI Essential (primary) hypertension 6/18/2016 RSU IBNU SINA GRESIK 1
0000761926195 mariyah Cutaneous abscess, furuncle and carbuncle of other sites 7/13/2016 RS Muhammadiyah Gresik 1
Non-insulin-depend diabetes mellitus without complication 7/12/2016 RS Muhammadiyah Gresik 1
0000762172064 SULISTIO NENGSEH Allergic rhinitis, unspecified 5/30/2016 RSU IBNU SINA GRESIK 1
0000762217413 TOMADI Internal haemorrhoids without complication 6/7/2016 RSU IBNU SINA GRESIK 1
0000762234243 CHUZAIMAH Essential (primary) hypertension 2/12/2016 RS PETROKIMIA GRESIK 1
0000762566073 SAPANGATUN Acute vaginitis 6/17/2016 RSU IBNU SINA GRESIK 1
0000762689801 AZIZAH Essential (primary) hypertension 1/12/2016 RSU IBNU SINA GRESIK 1
0000762903696 DWI MARSETIYAWAN Acute nasopharyngitis [common cold] 7/29/2016 RSU IBNU SINA GRESIK 1
0000762927625 ISMIATUN Essential (primary) hypertension 1/12/2016 RSU IBNU SINA GRESIK 1
0000762931899 SOEKARTINI Bronchitis, not specified as acute or chronic 2/3/2016 RS Semen Gresik 1
0000763064144 SUPI'ATI Leprosy, unspecified 5/18/2016 RSU IBNU SINA GRESIK 1
0000763324468 WITO Essential (primary) hypertension 4/27/2016 RSU IBNU SINA GRESIK 1
0000763378391 SARINING Essential (primary) hypertension 8/30/2016 RSU IBNU SINA GRESIK 1
0000763404737 FANNY RAMADANI Nonspecific lymphadenitis, unspecified 2/17/2016 RSU IBNU SINA GRESIK 1
0000763446734 KARNI Non-insulin-depend diabetes mellitus without complication 6/7/2016 RSU IBNU SINA GRESIK 1
0000763502613 MAT IRPAN Other specified disorders of male genital organs 6/29/2016 RSU IBNU SINA GRESIK 1
0000790254764 SITI AISAH Scabies 7/21/2016 RSU IBNU SINA GRESIK 1
0001047520225 PUTRI Acute pharyngitis, unspecified 2/24/2016 RSU IBNU SINA GRESIK 1
0001047520438 WIJI Benign lipomatous neoplasm, unspecified 3/14/2016 RSU IBNU SINA GRESIK 1
5/23/2016 RSU IBNU SINA GRESIK 1
0001243769578 Khususiyah Essential (primary) hypertension 5/30/2016 RS PETROKIMIA GRESIK 1
0001256036049 SUYADI Essential (primary) hypertension 2/18/2016 RS Muhammadiyah Gresik 1
0001261329208 WIANTHO Asthma, unspecified 1/6/2016 RSU IBNU SINA GRESIK 1
0001263094569 RATMAN Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
0001265723054 CHAULA Non-insulin-depend diabetes mellitus without complication 7/27/2016 RS PETROKIMIA GRESIK 1
0001274666229 AGITYAS INDAH PERDANBell's palsy 6/21/2016 RS PETROKIMIA GRESIK 1
6/29/2016 RS PETROKIMIA GRESIK 1
7/20/2016 RS PETROKIMIA GRESIK 1
0001275514672 DWI ISTIYAWATI Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
2/25/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
4/7/2016 RS PETROKIMIA GRESIK 1
7/12/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0001299103929 SUKADI Essential (primary) hypertension 2/10/2016 RS PETROKIMIA GRESIK 1
0001310400595 SARI'AH Asthma, unspecified 1/4/2016 RSU IBNU SINA GRESIK 1
0001383530793 SUHARI Cutaneous abscess, furuncle and carbuncle of other sites 2/15/2016 RS PETROKIMIA GRESIK 1
0001385958306 NIKMAH Bronchitis, not specified as acute or chronic 3/8/2016 RSU IBNU SINA GRESIK 1
0001387348852 moch amir fuad Bronchitis, not specified as acute or chronic 1/9/2016 RSU IBNU SINA GRESIK 1
0001425281297 mohammad faiz al-faqihImpacted cerumen 4/27/2016 RS PETROKIMIA GRESIK 1
4/29/2016 RS PETROKIMIA GRESIK 1
0001428602229 marsiati Non-insulin-depend diabetes mellitus without complication 8/3/2016 RS PETROKIMIA GRESIK 1
0001433433093 hj susiyati Non-insulin-depend diabetes mellitus without complication 4/29/2016 RS PETROKIMIA GRESIK 1
0001443896853 HUDA SUGIANTO Cutaneous abscess, furuncle and carbuncle, unspecified 6/13/2016 RSU IBNU SINA GRESIK 1
0001445879485 HANIAH Essential (primary) hypertension 8/23/2016 RS PETROKIMIA GRESIK 1
0001447772679 YUSTINA INDRAWATI Essential (primary) hypertension 1/22/2016 RS PETROKIMIA GRESIK 1
2/19/2016 RS PETROKIMIA GRESIK 1
3/23/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
6/15/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/28/2016 RS PETROKIMIA GRESIK 1
2/25/2016 RS PETROKIMIA GRESIK 1
7/2/2016 RS PETROKIMIA GRESIK 1
7/30/2016 RS PETROKIMIA GRESIK 1
0001447773412 MISIYEM Essential (primary) hypertension 1/22/2016 RS PETROKIMIA GRESIK 1
2/19/2016 RS PETROKIMIA GRESIK 1
3/23/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
0001448122498 YULIATI Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0001475533618 SUWARNO Acute nasopharyngitis [common cold] 1/5/2016 RSU IBNU SINA GRESIK 1
0001475641798 SUNARYATININGSIH Asthma, unspecified 5/20/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 5/12/2016 RSU IBNU SINA GRESIK 1
0001477179718 SULISMINI Non-insulin-depend diabetes mellitus without complication 4/12/2016 RS PETROKIMIA GRESIK 1
0001479163746 MUDJIARTO Non-insulin-depend diabetes mellitus without complication 3/10/2016 RS PETROKIMIA GRESIK 1
4/7/2016 RS PETROKIMIA GRESIK 1
6/6/2016 RS PETROKIMIA GRESIK 1
0001480633615 AMINATUS SHOLIKHAH Bronchitis, not specified as acute or chronic 3/22/2016 RSU IBNU SINA GRESIK 1
0001484162212 DEWI RETNOWATI Allergic rhinitis, unspecified 5/13/2016 RS PETROKIMIA GRESIK 1
0001538155236 RAKA DANDHY DWI PRAAcute nasopharyngitis [common cold] 5/21/2016 RSU IBNU SINA GRESIK 1
0001540145395 JOSHUA JASSON NATADITyphoid fever 6/9/2016 RS PETROKIMIA GRESIK 1
0001540602011 NIA FARIDA Anaemia, unspecified 1/4/2016 RS Muhammadiyah Gresik 1
1/8/2016 RS Muhammadiyah Gresik 1
0001672689802 SINDARTI Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS Semen Gresik 1
0001787335582 sumiyati Non-insulin-depend diabetes mellitus without complication 2/23/2016 RS Semen Gresik 1
0001793574527 SHANDY ANANTA MARI Non-insulin-depend diabetes mellitus without complication 3/3/2016 RS Semen Gresik 1
0001806623954 sunariyah Non-insulin-depend diabetes mellitus without complication 2/23/2016 RS PETROKIMIA GRESIK 1
7/12/2016 RS PETROKIMIA GRESIK 1
0001817168051 HAQQUL YAQIN Bronchitis, not specified as acute or chronic 1/14/2016 RSU IBNU SINA GRESIK 1
0001818399352 YOGIYANTO Scabies 6/18/2016 RSU IBNU SINA GRESIK 1
0001822775027 YOGA ADITYA TRI FIRM Acute nasopharyngitis [common cold] 5/25/2016 RSU IBNU SINA GRESIK 1
0001882341336 ASROFI Essential (primary) hypertension 5/10/2016 RSU IBNU SINA GRESIK 1
0001883365558 ahmad zidan el rizqy muDermatitis, unspecified 2/15/2016 RS Semen Gresik 1
0001893368349 SUYADI Bronchitis, not specified as acute or chronic 6/29/2016 RS Semen Gresik 1
0001900535949 tzasqiyatul keyza maulidAcute nasopharyngitis [common cold] 5/31/2016 RSU IBNU SINA GRESIK 1
0001901048613 IMRON HAMZAH Non-insulin-depend diabetes mellitus without complication 4/28/2016 RS PETROKIMIA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098913565 TARSO Non-insulin-depend diabetes mellitus without complication 4/5/2016 RS PETROKIMIA GRESIK 1
0000098915049 ZAINUL ARIFIN Essential (primary) hypertension 6/15/2016 RSU IBNU SINA GRESIK 1
0000098943895 ROBIATUL ADAWIYAH Acute pharyngitis, unspecified 3/10/2016 RS PETROKIMIA GRESIK 1
0000098953255 ALIFAH SUFIETI G. Essential (primary) hypertension 6/14/2016 RSU IBNU SINA GRESIK 1
0000098953986 DEWI SAADAH Hookworm disease, unspecified 3/29/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/16/2016 RSU IBNU SINA GRESIK 1
5/18/2016 RSU IBNU SINA GRESIK 1
0000098954076 DWI MARWANINGSIH Hyperlipidaemia, unspecified 6/30/2016 RS PETROKIMIA GRESIK 1
0000098955303 ISTIQOMAH Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS PETROKIMIA GRESIK 1
2/29/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
0000098957259 MUFIDAH Non-insulin-depend diabetes mellitus without complication 4/6/2016 RS PETROKIMIA GRESIK 1
0000098958644 M. SUBCHAN Essential (primary) hypertension 1/22/2016 RSU IBNU SINA GRESIK 1
0000098958835 PATIMAH Hyperlipidaemia, unspecified 1/28/2016 RS PETROKIMIA GRESIK 1
0000098960275 SRI MARCHUMAH Essential (primary) hypertension 6/1/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/14/2016 RSU IBNU SINA GRESIK 1
0000098969141 SYARIF HIDAYAT Tinea corporis 1/15/2016 RS Semen Gresik 1
0000098969207 SUPARMIATIN Essential (primary) hypertension 1/14/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 5/24/2016 RSU IBNU SINA GRESIK 1
0000098969229 SUPAYA Benign lipomatous neoplasm, unspecified 2/18/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/22/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
0000098979276 MOCHAMAD YUSUF, DRS. Non-insulin-depend diabetes mellitus without complication 6/28/2016 RS PETROKIMIA GRESIK 1
0000098982246 SUPRAYUDI Nummular dermatitis 4/21/2016 RSU IBNU SINA GRESIK 1
0000098997254 CAECILIA WARSITI BA Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0000099006491 ULFAH Hyperuricaem without sign inflamm arthritis+tophaceous dis 6/30/2016 RS Semen Gresik 1
0000099013972 SITI MU'IFAH Asthma, unspecified 6/22/2016 RS PETROKIMIA GRESIK 1
0000099056621 SLAMET ANDY ADARIS Acute laryngitis 1/20/2016 RS PETROKIMIA GRESIK 1
Acute pharyngitis, unspecified 1/27/2016 RS PETROKIMIA GRESIK 1
0000099057734 NUAH Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS PETROKIMIA GRESIK 1
7/20/2016 RS PETROKIMIA GRESIK 1
0000099058746 LILIK MINARTI Asthma, unspecified 4/4/2016 RSU IBNU SINA GRESIK 1
4/11/2016 RSU IBNU SINA GRESIK 1
0000099073168 ANALISA Essential (primary) hypertension 4/19/2016 RSU IBNU SINA GRESIK 1
0000099089032 FIAN SYAFIK Non-insulin-depend diabetes mellitus without complication 2/18/2016 RSU IBNU SINA GRESIK 1
0000099090786 PAIMAH Essential (primary) hypertension 8/12/2016 RS PETROKIMIA GRESIK 1
Irritant contact dermatitis due to detergents 8/22/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 3/23/2016 RS PETROKIMIA GRESIK 1
8/29/2016 RS PETROKIMIA GRESIK 1
0000099090832 PAMUDJI SLAMET Essential (primary) hypertension 8/20/2016 RSU IBNU SINA GRESIK 1
0000099147734 BAMBANG SOEKORAHARDJO,SEssential (primary) hypertension 7/15/2016 RSU IBNU SINA GRESIK 1
0000099149736 IDA KOMANG NIASA, DRS Non-insulin-depend diabetes mellitus without complication 5/19/2016 RSU IBNU SINA GRESIK 1
0000099152177 SUNARTI Essential (primary) hypertension 1/11/2016 RS PETROKIMIA GRESIK 1
1/18/2016 RS PETROKIMIA GRESIK 1
0000099152932 NAFIAH KARIM Non-insulin-depend diabetes mellitus without complication 1/23/2016 RSU IBNU SINA GRESIK 1
0000099153911 MAS NURUL ANISIYAH Essential (primary) hypertension 3/11/2016 RSU IBNU SINA GRESIK 1
0000099154282 SITI QOMARIYAH Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
8/2/2016 RSU IBNU SINA GRESIK 1
0000099154517 SHOUMAH Essential (primary) hypertension 5/19/2016 RS PETROKIMIA GRESIK 1
6/30/2016 RS PETROKIMIA GRESIK 1
8/4/2016 RS PETROKIMIA GRESIK 1
0000099155092 SOEDARMONO.BA Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 3/14/2016 RSU IBNU SINA GRESIK 1
0000099155845 SOJEM Essential (primary) hypertension 2/17/2016 RSU IBNU SINA GRESIK 1
0000099157375 WAWUKIR Anaemia, unspecified 6/13/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 6/6/2016 RS PETROKIMIA GRESIK 1
0000099159805 TARSANROHAN Non-insulin-depend diabetes mellitus without complication 6/20/2016 RS PETROKIMIA GRESIK 1
7/20/2016 RS PETROKIMIA GRESIK 1
0000099162483 NOOR ROCHMAH Non-insulin-depend diabetes mellitus without complication 7/27/2016 RS Muhammadiyah Gresik 1
0000099163427 SOLICHIN AL SOEGIYONO Dermatitis, unspecified 8/16/2016 RS PETROKIMIA GRESIK 1
0000099164248 SUPIATI Essential (primary) hypertension 8/4/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS PETROKIMIA GRESIK 1
3/22/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
0000099248455 IMTIHANI HIDAYATI Essential (primary) hypertension 4/22/2016 RS PETROKIMIA GRESIK 1
0000099278998 ABDUL ROKHMAN Impacted cerumen 7/14/2016 RS PETROKIMIA GRESIK 1
0000099279336 DUNIAZAD Essential (primary) hypertension 1/14/2016 RSU IBNU SINA GRESIK 1
0000099279966 MUDIAWATI Dengue haemorrhagic fever 1/30/2016 RS PETROKIMIA GRESIK 1
2/1/2016 RS PETROKIMIA GRESIK 1
0000099281362 DJUHADI SRI RAHAYU KHAMA Non-insulin-depend diabetes mellitus without complication 1/8/2016 RS PETROKIMIA GRESIK 1
1/15/2016 RS PETROKIMIA GRESIK 1
2/17/2016 RS PETROKIMIA GRESIK 1
2/25/2016 RS PETROKIMIA GRESIK 1
8/15/2016 RS PETROKIMIA GRESIK 1
0000099281384 ENDANG RACHMAWATI Non-insulin-depend diabetes mellitus without complication 1/14/2016 RS PETROKIMIA GRESIK 1
2/2/2016 RS PETROKIMIA GRESIK 1
0000100146892 AYIK ACHMAD ZAINUL Non-insulin-depend diabetes mellitus without complication 6/28/2016 RS PETROKIMIA GRESIK 1
0000100392423 YULIA Essential (primary) hypertension 4/11/2016 RSU IBNU SINA GRESIK 1
0000100392502 EVY M AGUSTINE Non-insulin-depend diabetes mellitus without complication 8/22/2016 RS PETROKIMIA GRESIK 1
0000100630866 MUHAMAD NUR' AINI, SPI Non-insulin-depend diabetes mellitus without complication 7/22/2016 RSU IBNU SINA GRESIK 1
0000102223304 AINUR ROFIK S Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
0000147992848 MAS NUR HIDAYATI Non-insulin-depend diabetes mellitus without complication 4/21/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
6/20/2016 RS PETROKIMIA GRESIK 1
7/20/2016 RS PETROKIMIA GRESIK 1
0000196856155 HADI SANTOSO Non-insulin-depend diabetes mellitus without complication 7/22/2016 RSU IBNU SINA GRESIK 1
0000198223885 AMIEK SRI SLAMETO Non-insulin-depend diabetes mellitus without complication 2/4/2016 RS PETROKIMIA GRESIK 1
2/16/2016 RS PETROKIMIA GRESIK 1
3/29/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
8/2/2016 RS PETROKIMIA GRESIK 1
0000207195658 ACHMAD RIZQY FAHDY RABBATyphoid fever 5/28/2016 RS PETROKIMIA GRESIK 1
0000762586424 SRI HANDAYANI RAMADANTY Tinea cruris 4/12/2016 RSU IBNU SINA GRESIK 1
0000763377322 TARUDJI Inflammatory disorders of breast 5/4/2016 RSU IBNU SINA GRESIK 1
0000763431535 ENDANG SUPRAPTI Scabies 2/9/2016 RSU IBNU SINA GRESIK 1
0001092956275 nadliyatul arifah amalie taufiq Acute nasopharyngitis [common cold] 6/15/2016 RSU IBNU SINA GRESIK 1
0001154464661 IRIANTO Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
1/23/2016 RS PETROKIMIA GRESIK 1
2/9/2016 RS PETROKIMIA GRESIK 1
2/23/2016 RS PETROKIMIA GRESIK 1
3/22/2016 RS PETROKIMIA GRESIK 1
0001262809056 NANANG SUMARTONO Other specified disorders of male genital organs 8/30/2016 RSU IBNU SINA GRESIK 1
0001262967074 KASINI Asthma, unspecified 3/19/2016 RS PETROKIMIA GRESIK 1
Bronchitis, not specified as acute or chronic 8/6/2016 RS PETROKIMIA GRESIK 1
0001278756573 FITRIA KUSUMA DEWI Acute nasopharyngitis [common cold] 3/19/2016 RSU IBNU SINA GRESIK 1
0001279667621 KOWIYAN Essential (primary) hypertension 1/15/2016 RS PETROKIMIA GRESIK 1
0001280237624 HJ. MUSAWANAH Non-insulin-depend diabetes mellitus without complication 4/7/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
0001294270457 MISIANIK Dermatitis, unspecified 2/15/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 2/19/2016 RS PETROKIMIA GRESIK 1
0001295734059 SUGENG SISWANTO Zoster without complication 3/28/2016 RS Semen Gresik 1
0001296820168 ELLY IRBAINI Hyperlipidaemia, unspecified 4/19/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
7/19/2016 RS PETROKIMIA GRESIK 1
0001299101826 DAYANTI.S Hyperlipidaemia, unspecified 1/5/2016 RS PETROKIMIA GRESIK 1
1/7/2016 RS PETROKIMIA GRESIK 1
4/12/2016 RS PETROKIMIA GRESIK 1
6/28/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0001305809583 SARTINI. Essential (primary) hypertension 4/25/2016 RS PETROKIMIA GRESIK 1
0001306149276 SUPRIADI Non-insulin-depend diabetes mellitus without complication 4/5/2016 RSU IBNU SINA GRESIK 1
0001308517749 HJ. ULIFAH Non-insulin-depend diabetes mellitus without complication 4/8/2016 RS PETROKIMIA GRESIK 1
0001315285086 kastin Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
0001319608449 BANI KURNIASIH Essential (primary) hypertension 8/4/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 8/11/2016 RS PETROKIMIA GRESIK 1
0001319790745 SRIANTI Non-insulin-depend diabetes mellitus without complication 3/10/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
0001319907429 SUWARNI Essential (primary) hypertension 5/18/2016 RSU IBNU SINA GRESIK 1
0001325953001 siti maysaroh Non-insulin-depend diabetes mellitus without complication 8/24/2016 RS PETROKIMIA GRESIK 1
0001382149989 MATSARONI Hyperlipidaemia, unspecified 4/12/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
3/15/2016 RS PETROKIMIA GRESIK 1
8/2/2016 RS PETROKIMIA GRESIK 1
0001382321722 NURUNNISSA'UL FIKRIYAH SY
Typhoid fever 1/29/2016 RS PETROKIMIA GRESIK 1
0001421007759 mas muchibah Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS Muhammadiyah Gresik 1
0001430608948 dwi ratnawati Tension-type headache 4/13/2016 RS PETROKIMIA GRESIK 1
0001435517717 umi ulfa Essential (primary) hypertension 3/22/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/22/2016 RSU IBNU SINA GRESIK 1
0001437524559 H.IMAM NASORI Non-insulin-depend diabetes mellitus without complication 1/8/2016 RS Semen Gresik 1
0001439177242 SALMAH BINTI AHMAD SUWIL Non-insulin-depend diabetes mellitus without complication 2/25/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
0001441586529 SUNARTI Essential (primary) hypertension 3/11/2016 RS PETROKIMIA GRESIK 1
4/15/2016 RS PETROKIMIA GRESIK 1
0001446496097 MINUN Non-insulin-depend diabetes mellitus without complication 6/28/2016 RS PETROKIMIA GRESIK 1
0001446929313 HARI SUYANTO Impacted cerumen 2/10/2016 RS PETROKIMIA GRESIK 1
0001446963309 GALIH ARDI HIMAWAN Essential (primary) hypertension 4/22/2016 RS PETROKIMIA GRESIK 1
0001447500756 HENDRO BASOEKI Essential (primary) hypertension 2/24/2016 RS PETROKIMIA GRESIK 1
5/30/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 1/26/2016 RS PETROKIMIA GRESIK 1
2/23/2016 RS PETROKIMIA GRESIK 1
0001448507417 SRI WAHYUNI Non-insulin-depend diabetes mellitus without complication 7/12/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
0001450772201 ARSYAD MANSYUR Essential (primary) hypertension 1/8/2016 RS Semen Gresik 1
0001484215705 H. ACHMAD URIP Bronchitis, not specified as acute or chronic 7/23/2016 RS PETROKIMIA GRESIK 1
0001484216166 HJ. RAWATI Hyperlipidaemia, unspecified 3/30/2016 RS PETROKIMIA GRESIK 1
Tension-type headache 1/4/2016 RS PETROKIMIA GRESIK 1
2/1/2016 RS PETROKIMIA GRESIK 1
2/17/2016 RS PETROKIMIA GRESIK 1
0001538294253 TITIK PUJI RAHAYU Inflammatory disorders of breast 7/19/2016 RSU IBNU SINA GRESIK 1
0001541079325 A JUNAIDI Tb lung confirm sputum microscopy with or without culture 4/22/2016 RSU IBNU SINA GRESIK 1
0001542344837 ARIS HIDAYAH Urinary tract infection, site not specified 5/16/2016 RSU IBNU SINA GRESIK 1
0001542558194 KUSRINI Non-insulin-depend diabetes mellitus without complication 4/15/2016 RS Muhammadiyah Gresik 1
0001787015114 M.ICHWAN Non-insulin-depend diabetes mellitus without complication 7/21/2016 RSU IBNU SINA GRESIK 1
0001787248394 bayu oky permana Unspecified haemorrhoids without complication 4/16/2016 RSU IBNU SINA GRESIK 1
0001788207287 SUKADIRI Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
0001788661269 ANIS WATIH Bronchitis, not specified as acute or chronic 1/5/2016 RS Semen Gresik 1
0001791285726 SIATUN SIKIN Non-insulin-depend diabetes mellitus without complication 4/26/2016 RS PETROKIMIA GRESIK 1
4/30/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
0001791372778 K SOEPAARDI Essential (primary) hypertension 6/29/2016 RS PETROKIMIA GRESIK 1
0001794599605 ACH.DJAFAR Essential (primary) hypertension 3/16/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/26/2016 RS PETROKIMIA GRESIK 1
0001795066299 ANDI MOH ROBBY MAULANA Cutaneous abscess, furuncle and carbuncle, unspecified 1/14/2016 RSU IBNU SINA GRESIK 1
0001800113668 susiani Essential (primary) hypertension 2/22/2016 RS Muhammadiyah Gresik 1
0001800138925 ASNI'AH Non-insulin-depend diabetes mellitus without complication 4/18/2016 RS PETROKIMIA GRESIK 1
0001808987905 zulifah Essential (primary) hypertension 3/2/2016 RS PETROKIMIA GRESIK 1
0001812849636 AISYATUN NAJIYAH Otitis media, unspecified 5/9/2016 RS Semen Gresik 1
0001813800014 suparni Unspecified haemorrhoids without complication 6/3/2016 RSU IBNU SINA GRESIK 1
0001816207086 suningsih Essential (primary) hypertension 1/20/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 2/11/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/4/2016 RS PETROKIMIA GRESIK 1
3/23/2016 RS PETROKIMIA GRESIK 1
0001825089669 DWI RENSI HANDAYANI Hyperlipidaemia, unspecified 4/6/2016 RSU IBNU SINA GRESIK 1
Tb lung confirm sputum microscopy with or without culture 4/9/2016 RSU IBNU SINA GRESIK 1
0001858891779 RUSLAN Non-insulin-depend diabetes mellitus without complication 4/19/2016 RS Semen Gresik 1
0001869385432 WARSI Essential (primary) hypertension 2/23/2016 RS Semen Gresik 1
0001873374063 kaslan dayeng Zoster without complication 4/19/2016 RSU IBNU SINA GRESIK 1
0001879093934 zaenal abidin Non-insulin-depend diabetes mellitus without complication 6/9/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0001891172248 ANIK ROCHMAWATI Typhoid fever 6/10/2016 RS PETROKIMIA GRESIK 1
0001898881288 SURYO NUGROHO . Unspecified haemorrhoids without complication 1/14/2016 RS PETROKIMIA GRESIK 1
0001970596269 MUTIA FARIDA, S.SOS Viral warts 6/8/2016 RS Semen Gresik 1
0002062037529 NUR ROCHIM Non-insulin-depend diabetes mellitus without complication 6/15/2016 RS Muhammadiyah Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Primer Ada Tidak
0000012500559 SUNDARIJATI Hyperlipidaemia, unspecified 8/10/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 7/21/2016 RS Petrokimia Driyorejo 1
8/29/2016 RS Petrokimia Driyorejo 1
0000099120069 SUPRIYATI Non-insulin-depend diabetes mellitus without complication 8/30/2016 RS Petrokimia Driyorejo 1
0000099141759 CHODJIN Gastro-oesophageal reflux disease with oesophagitis 2/24/2016 RSU IBNU SINA GRESIK 1
0000099141761 HERSULISTIANI Acute pharyngitis, unspecified 3/3/2016 RS Petrokimia Driyorejo 1
3/4/2016 RS Petrokimia Driyorejo 1
0000099242908 SUWARNI Hyperuricaem without sign inflamm arthritis+tophaceous dis 2/25/2016 RS Petrokimia Driyorejo 1
3/24/2016 RS Petrokimia Driyorejo 1
4/13/2016 RS Petrokimia Driyorejo 1
4/21/2016 RS Petrokimia Driyorejo 1
4/28/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
5/30/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
7/14/2016 RS Petrokimia Driyorejo 1
8/5/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 3/3/2016 RS Petrokimia Driyorejo 1
4/4/2016 RS Petrokimia Driyorejo 1
5/9/2016 RS Petrokimia Driyorejo 1
6/13/2016 RS Petrokimia Driyorejo 1
7/18/2016 RS Petrokimia Driyorejo 1
8/19/2016 RS Petrokimia Driyorejo 1
0000206357714 sulastri Hyperlipidaemia, unspecified 2/15/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 4/28/2016 RS Petrokimia Driyorejo 1
0000759248842 suwandi Hyperlipidaemia, unspecified 8/10/2016 RS Petrokimia Driyorejo 1
0000759597322 SIRAT Essential (primary) hypertension 4/29/2016 RS Petrokimia Driyorejo 1
5/31/2016 RS Petrokimia Driyorejo 1
7/4/2016 RS Petrokimia Driyorejo 1
8/6/2016 RS Petrokimia Driyorejo 1
0000760135713 MISTRI Non-insulin-depend diabetes mellitus without complication 2/9/2016 RS Petrokimia Driyorejo 1
3/14/2016 RS Petrokimia Driyorejo 1
4/15/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
6/17/2016 RS Petrokimia Driyorejo 1
7/19/2016 RS Petrokimia Driyorejo 1
0000760152339 SAMSURI Essential (primary) hypertension 2/26/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/13/2016 RS Petrokimia Driyorejo 1
0000760174942 sumiati Non-insulin-depend diabetes mellitus without complication 4/7/2016 RS Petrokimia Driyorejo 1
4/11/2016 RS Petrokimia Driyorejo 1
0000760198533 DIAH TUTWURI HANDAYAsthma, unspecified 4/2/2016 RS Petrokimia Driyorejo 1
5/10/2016 RS Petrokimia Driyorejo 1
5/28/2016 RS Petrokimia Driyorejo 1
7/12/2016 RS Petrokimia Driyorejo 1
0000760200838 JUWARIYAH Essential (primary) hypertension 3/28/2016 RS Petrokimia Driyorejo 1
5/4/2016 RS Petrokimia Driyorejo 1
0000760276135 BUNAWI Essential (primary) hypertension 7/18/2016 RS Petrokimia Driyorejo 1
8/19/2016 RS Petrokimia Driyorejo 1
0000760278712 SATUAH Essential (primary) hypertension 5/3/2016 RS Petrokimia Driyorejo 1
0000760662033 JOKO SLAMET Tension-type headache 2/25/2016 RS Petrokimia Driyorejo 1
0000760693667 ANA Essential (primary) hypertension 5/23/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS Petrokimia Driyorejo 1
2/22/2016 RS Petrokimia Driyorejo 1
3/24/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/30/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
0000760736002 INSIYAH Essential (primary) hypertension 3/24/2016 RS Petrokimia Driyorejo 1
4/26/2016 RS Petrokimia Driyorejo 1
0000760739163 MARNI Non-insulin-depend diabetes mellitus without complication 8/12/2016 RS Petrokimia Driyorejo 1
0000760754327 YUSWAINI Acute pharyngitis, unspecified 3/23/2016 RS Petrokimia Driyorejo 1
Other acute gastritis 8/22/2016 RS Petrokimia Driyorejo 1
0000760761483 SUMARLIK Asthma, unspecified 1/5/2016 RS Petrokimia Driyorejo 1
0000760787842 SIAMI Tension-type headache 2/17/2016 RS Petrokimia Driyorejo 1
0000760829038 SUMIRAH Non-insulin-depend diabetes mellitus without complication 4/11/2016 RS Petrokimia Driyorejo 1
4/18/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
0000760841987 SUWARSIH Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS Petrokimia Driyorejo 1
4/12/2016 RS Petrokimia Driyorejo 1
7/12/2016 RS Petrokimia Driyorejo 1
8/15/2016 RS Petrokimia Driyorejo 1
0000760886471 DEWI ROHANA Essential (primary) hypertension 8/1/2016 RS Petrokimia Driyorejo 1
0000760918454 SUTILAH Hyperuricaem without sign inflamm arthritis+tophaceous dis 7/20/2016 RS Petrokimia Driyorejo 1
0000760984806 KASIYATI Urinary tract infection, site not specified 4/28/2016 RS Petrokimia Driyorejo 1
5/26/2016 RS Petrokimia Driyorejo 1
0000761013314 ENDANG IRISTIYORINI Impacted cerumen 2/20/2016 RS Petrokimia Driyorejo 1
0000761056784 MURDIAH Essential (primary) hypertension 1/29/2016 RS Petrokimia Driyorejo 1
4/6/2016 RS Petrokimia Driyorejo 1
5/11/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 2/12/2016 RS Petrokimia Driyorejo 1
2/18/2016 RS Petrokimia Driyorejo 1
0000761062599 USWATUN KHASANAH Non-insulin-depend diabetes mellitus without complication 4/12/2016 RS Petrokimia Driyorejo 1
0000761064142 SYADZILI Other acute gastritis 2/10/2016 RS Petrokimia Driyorejo 1
2/17/2016 RS Petrokimia Driyorejo 1
3/2/2016 RS Petrokimia Driyorejo 1
3/16/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
4/4/2016 RS Petrokimia Driyorejo 1
4/11/2016 RS Petrokimia Driyorejo 1
4/18/2016 RS Petrokimia Driyorejo 1
4/25/2016 RS Petrokimia Driyorejo 1
5/2/2016 RS Petrokimia Driyorejo 1
5/9/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
6/20/2016 RS Petrokimia Driyorejo 1
8/5/2016 RS Petrokimia Driyorejo 1
0000761064838 SUMILAH Essential (primary) hypertension 4/4/2016 RS Petrokimia Driyorejo 1
0000761090128 MADEKUR Unspecified haemorrhoids without complication 1/28/2016 RS Petrokimia Driyorejo 1
2/1/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 2/25/2016 RS Petrokimia Driyorejo 1
0000761090624 PAUWAN Acute pharyngitis, unspecified 7/14/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 2/18/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/3/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 3/31/2016 RS Petrokimia Driyorejo 1
5/12/2016 RS Petrokimia Driyorejo 1
7/18/2016 RS Petrokimia Driyorejo 1
8/19/2016 RS Petrokimia Driyorejo 1
0000761100996 MENI Non-insulin-depend diabetes mellitus without complication 8/29/2016 RS Petrokimia Driyorejo 1
0000761107072 KASIANI Acute pharyngitis, unspecified 4/11/2016 RS Petrokimia Driyorejo 1
0000761119582 HARIATI Unspecified haemorrhoids without complication 8/16/2016 RS Petrokimia Driyorejo 1
0000761123981 SUMARLIK Tension-type headache 4/12/2016 RS Petrokimia Driyorejo 1
0000761139404 HASAN Essential (primary) hypertension 1/11/2016 RS Petrokimia Driyorejo 1
0000761151982 MISRI Non-insulin-depend diabetes mellitus without complication 8/30/2016 RS Petrokimia Driyorejo 1
0000761221034 NASRULLAH Hyperlipidaemia, unspecified 6/22/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 6/7/2016 RS Petrokimia Driyorejo 1
0000761338574 NURSIATI Essential (primary) hypertension 1/5/2016 RS Petrokimia Driyorejo 1
0000761420621 MARTAI Essential (primary) hypertension 2/2/2016 RS Petrokimia Driyorejo 1
0000761443119 BENI HANIFAH Impacted cerumen 6/15/2016 RSU IBNU SINA GRESIK 1
0000761453008 KASIAH Essential (primary) hypertension 4/13/2016 RS Petrokimia Driyorejo 1
5/16/2016 RS Petrokimia Driyorejo 1
0000761555226 YENNI EKA NATALIA Typhoid fever 4/4/2016 RS Petrokimia Driyorejo 1
0000761573733 SITI MUAWANAH Non-insulin-depend diabetes mellitus without complication 2/1/2016 RS Petrokimia Driyorejo 1
0000761583611 SARYANI Non-insulin-depend diabetes mellitus without complication 3/14/2016 RS Petrokimia Driyorejo 1
0000761600744 KASMURI Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
4/14/2016 RSU IBNU SINA GRESIK 1
0000761636586 BISRI SYAIFUDIN Essential (primary) hypertension 4/14/2016 RSU IBNU SINA GRESIK 1
0000761673025 HARWATI Nummular dermatitis 8/25/2016 RSU IBNU SINA GRESIK 1
0000761788877 LULUK NURJANNAH Asthma, unspecified 2/9/2016 RS Petrokimia Driyorejo 1
0000761812648 AMUDI Other acute gastritis 3/17/2016 RS Petrokimia Driyorejo 1
3/24/2016 RS Petrokimia Driyorejo 1
6/27/2016 RS Petrokimia Driyorejo 1
0000761818241 SAHUD Non-insulin-depend diabetes mellitus without complication 7/14/2016 RS Petrokimia Driyorejo 1
0000761827948 KUSAINI Essential (primary) hypertension 2/15/2016 RS Petrokimia Driyorejo 1
3/16/2016 RS Petrokimia Driyorejo 1
0000761892726 MANI AMAH Non-insulin-depend diabetes mellitus without complication 4/7/2016 RS Petrokimia Driyorejo 1
0001047462794 MISTIKAH Essential (primary) hypertension 2/10/2016 RS Petrokimia Driyorejo 1
0001047464256 FADELAN Essential (primary) hypertension 6/2/2016 RSU IBNU SINA GRESIK 1
0001047465257 ABDULLOH SATAR Essential (primary) hypertension 3/14/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 3/21/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/28/2016 RS Petrokimia Driyorejo 1
Tension-type headache 4/11/2016 RS Petrokimia Driyorejo 1
0001047469454 ALFIATUL SHOLIKAH Otitis media, unspecified 1/23/2016 RS Petrokimia Driyorejo 1
1/30/2016 RS Petrokimia Driyorejo 1
2/20/2016 RS Petrokimia Driyorejo 1
0001047470051 TUTIK SRIYANI Bell's palsy 7/22/2016 RS Petrokimia Driyorejo 1
0001047470984 sucipto Essential (primary) hypertension 6/15/2016 RS Petrokimia Driyorejo 1
0001079579395 KISTIAH Hyperuricaem without sign inflamm arthritis+tophaceous dis 6/30/2016 RS Petrokimia Driyorejo 1
8/8/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 3/3/2016 RS Petrokimia Driyorejo 1
4/4/2016 RS Petrokimia Driyorejo 1
5/9/2016 RS Petrokimia Driyorejo 1
6/13/2016 RS Petrokimia Driyorejo 1
7/14/2016 RS Petrokimia Driyorejo 1
8/15/2016 RS Petrokimia Driyorejo 1
0001261712158 ROHIM Non-insulin-depend diabetes mellitus without complication 6/13/2016 RSU IBNU SINA GRESIK 1
0001265688461 SOEKARNOTO Essential (primary) hypertension 1/15/2016 RS Petrokimia Driyorejo 1
3/1/2016 RS Petrokimia Driyorejo 1
0001265689247 SUMPINI Hyperlipidaemia, unspecified 8/31/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 3/19/2016 RS Petrokimia Driyorejo 1
4/23/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
8/9/2016 RS Petrokimia Driyorejo 1
0001306647707 MARFUATUROFIAH Essential (primary) hypertension 2/16/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 2/23/2016 RS Petrokimia Driyorejo 1
0001309083647 HJ. AFIFAH Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Petrokimia Driyorejo 1
1/30/2016 RS Petrokimia Driyorejo 1
2/4/2016 RS Petrokimia Driyorejo 1
5/31/2016 RS Petrokimia Driyorejo 1
6/14/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
0001325150774 NURIYAH Essential (primary) hypertension 1/20/2016 RS Petrokimia Driyorejo 1
2/22/2016 RS Petrokimia Driyorejo 1
3/22/2016 RS Petrokimia Driyorejo 1
0001339735511 SULIK Essential (primary) hypertension 1/18/2016 RS Petrokimia Driyorejo 1
2/23/2016 RS Petrokimia Driyorejo 1
0001421722359 bakron budiyantoro Tension-type headache 2/5/2016 RS Petrokimia Driyorejo 1
3/11/2016 RS Petrokimia Driyorejo 1
3/16/2016 RS Petrokimia Driyorejo 1
3/23/2016 RS Petrokimia Driyorejo 1
0001427111875 nursitin Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS Petrokimia Driyorejo 1
2/22/2016 RS Petrokimia Driyorejo 1
3/26/2016 RS Petrokimia Driyorejo 1
4/28/2016 RS Petrokimia Driyorejo 1
5/28/2016 RS Petrokimia Driyorejo 1
8/31/2016 RS Petrokimia Driyorejo 1
0001428250667 HJ MIR'ATUL HANIK Hyperlipidaemia, unspecified 3/14/2016 RSU IBNU SINA GRESIK 1
0001439623293 SUDARSONO ADISAPUT Essential (primary) hypertension 1/25/2016 RS Petrokimia Driyorejo 1
Unspecified haemorrhoids without complication 6/27/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
0001455243603 ARWENDA ALIF AUWWAAllergic rhinitis, unspecified 3/16/2016 RS Petrokimia Driyorejo 1
0001462399863 KASENI H Essential (primary) hypertension 2/15/2016 RS Petrokimia Driyorejo 1
0001463261883 JASMINI NINING PONCONon-insulin-depend diabetes mellitus without complication 2/1/2016 RS Petrokimia Driyorejo 1
0001465969228 ASMANIYAH Non-insulin-depend diabetes mellitus without complication 1/18/2016 RS Petrokimia Driyorejo 1
2/22/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
5/3/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
8/19/2016 RS Petrokimia Driyorejo 1
0001469795894 SAKILAH PUTRI RAMADHAsthma, unspecified 2/22/2016 RS Petrokimia Driyorejo 1
0001470001781 fatimah Non-insulin-depend diabetes mellitus without complication 5/14/2016 RS Petrokimia Driyorejo 1
0001470435502 AHMAD EFENDI Acute pharyngitis, unspecified 1/20/2016 RS Petrokimia Driyorejo 1
0001472724764 SUJIWATI Hyperlipidaemia, unspecified 8/2/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 6/1/2016 RS Petrokimia Driyorejo 1
0001474884753 FARIHATUL JANNAH Internal haemorrhoids without complication 1/27/2016 RS Petrokimia Driyorejo 1
0001619457805 LILIK MUTOLIFAH Non-insulin-depend diabetes mellitus without complication 2/5/2016 RS Petrokimia Driyorejo 1
0001633933552 MUHAMMAD ELANG MAAcute nasopharyngitis [common cold] 3/22/2016 RSU IBNU SINA GRESIK 1
0001719074722 KAPIATUN Urinary tract infection, site not specified 8/8/2016 RS Petrokimia Driyorejo 1
0001787121494 maria ulfa Asthma, unspecified 2/9/2016 RS Petrokimia Driyorejo 1
4/12/2016 RS Petrokimia Driyorejo 1
6/25/2016 RS Petrokimia Driyorejo 1
8/2/2016 RS Petrokimia Driyorejo 1
0001803506005 sulasiyah Other acute gastritis 6/20/2016 RS Petrokimia Driyorejo 1
8/15/2016 RS Petrokimia Driyorejo 1
0001824268961 H. MUHYIDDIN Essential (primary) hypertension 6/1/2016 RS Petrokimia Driyorejo 1
8/5/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/8/2016 RS Petrokimia Driyorejo 1
0001825802684 USBANI Anaemia, unspecified 1/28/2016 RS Petrokimia Driyorejo 1
7/14/2016 RS Petrokimia Driyorejo 1
Essential (primary) hypertension 8/22/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 8/1/2016 RS Petrokimia Driyorejo 1
0001825803641 SITI BADI`AH Non-insulin-depend diabetes mellitus without complication 4/19/2016 RS Petrokimia Driyorejo 1
5/23/2016 RS Petrokimia Driyorejo 1
6/30/2016 RS Petrokimia Driyorejo 1
8/1/2016 RS Petrokimia Driyorejo 1
0001832454639 ALIFFIAN SYAUQI IMANETyphoid fever 4/11/2016 RS Petrokimia Driyorejo 1
0001832460647 ASIK Acute pharyngitis, unspecified 5/9/2016 RS Petrokimia Driyorejo 1
0001832461389 MU`AYADAH Non-insulin-depend diabetes mellitus without complication 5/16/2016 RS Petrokimia Driyorejo 1
0001833022416 ACHMAD MISNAN Acute pharyngitis, unspecified 2/10/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 8/9/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/22/2016 RS Petrokimia Driyorejo 1
0001868008331 REZA FIRST KANDIAS Asthma, unspecified 6/9/2016 RS Petrokimia Driyorejo 1
0001870467546 napisah Hyperlipidaemia, unspecified 3/28/2016 RS Petrokimia Driyorejo 1
Tension-type headache 6/6/2016 RS Petrokimia Driyorejo 1
0001902530665 budi hidayat Acute pharyngitis, unspecified 8/23/2016 RS Petrokimia Driyorejo 1
0002032763242 ERWAN Essential (primary) hypertension 4/4/2016 RS Petrokimia Driyorejo 1
5/9/2016 RS Petrokimia Driyorejo 1
8/10/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/28/2016 RS Petrokimia Driyorejo 1
4/25/2016 RS Petrokimia Driyorejo 1
0002039509686 KARNOTO Other acute gastritis 8/18/2016 RS Petrokimia Driyorejo 1
Unspecified haemorrhoids without complication 8/22/2016 RS Petrokimia Driyorejo 1
0002041815532 muhammad wildan fawaAcute nasopharyngitis [common cold] 5/9/2016 RS Petrokimia Driyorejo 1
0002049496953 seno Non-insulin-depend diabetes mellitus without complication 5/18/2016 RS Petrokimia Driyorejo 1
Alasan
Rujukan
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000067707685 DIAN NUR HIDAYAT Acute nasopharyngitis [common cold] 8/2/2016 RSU IBNU SINA GRESIK 1
0000091925199 SRI AMINI Essential (primary) hypertension 3/26/2016 RS PETROKIMIA GRESIK 1
0000097795923 RUKMIATI Non-insulin-depend diabetes mellitus without complication 2/11/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0000098896375 ACHJAR Hyperlipidaemia, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000098898467 MULYA AJI SANTOSO Acute nasopharyngitis [common cold] 1/13/2016 RSU IBNU SINA GRESIK 1
0000098899964 AMBO MUYASIR Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
0000098900998 DJA'IYAH Essential (primary) hypertension 2/19/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
0000098903698 SONING Essential (primary) hypertension 3/4/2016 RS PETROKIMIA GRESIK 1
4/8/2016 RS PETROKIMIA GRESIK 1
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0000098910944 SRI SUNDARI Seborrhoeic dermatitis, unspecified 5/19/2016 RSU IBNU SINA GRESIK 1
0000098913069 SUWONO Miliaria, unspecified 3/8/2016 RSU IBNU SINA GRESIK 1
0000098915422 AKBAR ROCHMAT PRABOWO Hyperuricaem without sign inflamm arthritis+tophaceous dis 4/4/2016 RSU IBNU SINA GRESIK 1
0000098916478 SUTARMI Essential (primary) hypertension 3/19/2016 RSU IBNU SINA GRESIK 1
0000098916592 JUMALI Tinea corporis 8/30/2016 RSU IBNU SINA GRESIK 1
0000098916941 MOHAMMAD AGUS IMRON Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
0000098920743 LIKANAH Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
0000098921079 AMIR MAHMUD Anaemia, unspecified 6/13/2016 RSU IBNU SINA GRESIK 1
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8/26/2016 RS PETROKIMIA GRESIK 1
0000098961489 SUNARDI Essential (primary) hypertension 3/22/2016 RSU IBNU SINA GRESIK 1
0000098964167 RUSMIATI Essential (primary) hypertension 1/20/2016 RS PETROKIMIA GRESIK 1
2/15/2016 RS PETROKIMIA GRESIK 1
3/7/2016 RS PETROKIMIA GRESIK 1
Unspecified haemorrhoids without complication 2/19/2016 RSU IBNU SINA GRESIK 1
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2/9/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
6/24/2016 RS PETROKIMIA GRESIK 1
8/1/2016 RS PETROKIMIA GRESIK 1
0000098964268 CHOLILAH Essential (primary) hypertension 4/20/2016 RS PETROKIMIA GRESIK 1
0000098967317 BENU PRADOPO Essential (primary) hypertension 3/2/2016 RS PETROKIMIA GRESIK 1
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Unspecified haemorrhoids without complication 6/2/2016 RS PETROKIMIA GRESIK 1
0000098967712 SAYROJI Essential (primary) hypertension 2/25/2016 RSU IBNU SINA GRESIK 1
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0000098999921 JUSI RITA HANDAJANI Asthma, unspecified 2/3/2016 RSU IBNU SINA GRESIK 1
0000099003464 HARIJATI, BSC Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
0000099005883 SOERANININGSIH Acute pharyngitis, unspecified 5/12/2016 RS PETROKIMIA GRESIK 1
0000099007378 AHMAD FATHONY MAULIDY Otitis media, unspecified 1/16/2016 RS Semen Gresik 1
0000099012363 SUDARNO Essential (primary) hypertension 3/22/2016 RSU IBNU SINA GRESIK 1
0000099013241 SUYOTO Internal haemorrhoids without complication 4/12/2016 RSU IBNU SINA GRESIK 1
0000099017335 DEBBIE PURNAMA SARI Impacted cerumen 1/18/2016 RS PETROKIMIA GRESIK 1
0000099019146 AGUS SUBANDI Bronchitis, not specified as acute or chronic 1/14/2016 RSU IBNU SINA GRESIK 1
0000099021824 HERRY SUPRIYANTO Essential (primary) hypertension 2/5/2016 RSU IBNU SINA GRESIK 1
0000099023073 MONA Asthma, unspecified 5/4/2016 RSU IBNU SINA GRESIK 1
0000099023501 SADIYEM Essential (primary) hypertension 2/4/2016 RSU IBNU SINA GRESIK 1
0000099025953 SUDARMIATI Hyperlipidaemia, unspecified 5/12/2016 RSU IBNU SINA GRESIK 1
0000099026065 SUKARSIH Acute nasopharyngitis [common cold] 5/19/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 5/4/2016 RSU IBNU SINA GRESIK 1
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0000099027145 VIERMAN EDI MULJANTO Hyperlipidaemia, unspecified 5/3/2016 RSU IBNU SINA GRESIK 1
0000099027156 DWI WINARSIH Hyperlipidaemia, unspecified 5/16/2016 RSU IBNU SINA GRESIK 1
0000099027538 ABDULLAH ERFAN Bronchitis, not specified as acute or chronic 1/6/2016 RSU IBNU SINA GRESIK 1
0000099035256 M. MANSOER SHODIQ Allergic rhinitis, unspecified 2/24/2016 RSU IBNU SINA GRESIK 1
0000099056823 SUHARTATIK Hyperlipidaemia, unspecified 4/14/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/26/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0000099057249 YASIN Asthma, unspecified 1/5/2016 RSU IBNU SINA GRESIK 1
0000099058342 BABY NURIZZATI Impacted cerumen 1/16/2016 RSU IBNU SINA GRESIK 1
0000099070288 MS MANSUR MUHTAROM Essential (primary) hypertension 8/4/2016 RSU IBNU SINA GRESIK 1
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1/14/2016 RSU IBNU SINA GRESIK 1
0000099081696 DJASMAN Essential (primary) hypertension 3/30/2016 RSU IBNU SINA GRESIK 1
0000099093115 TEMOENAH Non-insulin-depend diabetes mellitus without complication 3/3/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
4/11/2016 RS PETROKIMIA GRESIK 1
0000099094746 MARIA SRI SUHARTATI Essential (primary) hypertension 1/19/2016 RSU IBNU SINA GRESIK 1
0000099095174 DJAONAH Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
0000099095343 SUGIJO Essential (primary) hypertension 7/26/2016 RSU IBNU SINA GRESIK 1
0000099095376 YANTINI Non-insulin-depend diabetes mellitus without complication 2/18/2016 RS PETROKIMIA GRESIK 1
3/17/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
0000099095848 YUSTINI Impacted cerumen 3/8/2016 RSU IBNU SINA GRESIK 1
0000099107199 WIGNYO SUWANDI Hyperlipidaemia, unspecified 4/28/2016 RSU IBNU SINA GRESIK 1
6/1/2016 RSU IBNU SINA GRESIK 1
0000099120339 IKHLASUL AMAL Abscess of external ear 4/7/2016 RSU IBNU SINA GRESIK 1
0000099130836 SUMARSIH NILAMSARI Non-insulin-depend diabetes mellitus without complication 3/19/2016 RSU IBNU SINA GRESIK 1
0000099154809 SIH AYEM Seborrhoeic dermatitis, unspecified 8/30/2016 RSU IBNU SINA GRESIK 1
0000099157915 AHMAD HILMI, SH Essential (primary) hypertension 3/8/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 1/12/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/15/2016 RS PETROKIMIA GRESIK 1
0000099157926 MAS FATHONAH Essential (primary) hypertension 8/2/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/8/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
7/15/2016 RS PETROKIMIA GRESIK 1
0000099159838 SINTJE TURANGAN Hyperlipidaemia, unspecified 2/9/2016 RSU IBNU SINA GRESIK 1
0000099160514 MARIYAH JD. Hyperlipidaemia, unspecified 1/4/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 1/11/2016 RSU IBNU SINA GRESIK 1
0000099160907 MOERJONO Hyperlipidaemia, unspecified 1/15/2016 RSU IBNU SINA GRESIK 1
Nummular dermatitis 1/21/2016 RSU IBNU SINA GRESIK 1
0000099161267 NOERILAH Asthma, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000099161425 NURUL CHOIROH Essential (primary) hypertension 6/18/2016 RSU IBNU SINA GRESIK 1
7/23/2016 RSU IBNU SINA GRESIK 1
0000099161831 MISNARTI P Essential (primary) hypertension 4/26/2016 RSU IBNU SINA GRESIK 1
0000099162178 CHUSNUL CHOTIMAH Essential (primary) hypertension 3/11/2016 RSU IBNU SINA GRESIK 1
0000099162347 SAFARUDIN Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
2/12/2016 RS PETROKIMIA GRESIK 1
3/15/2016 RS PETROKIMIA GRESIK 1
4/1/2016 RS PETROKIMIA GRESIK 1
4/12/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
6/17/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0000099163372 SOEWANDI Essential (primary) hypertension 4/2/2016 RSU IBNU SINA GRESIK 1
7/21/2016 RSU IBNU SINA GRESIK 1
0000099163541 SRI KATUN Asthma, unspecified 8/20/2016 RS PETROKIMIA GRESIK 1
8/27/2016 RS PETROKIMIA GRESIK 1
0000099164338 SURADJI Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0000099231761 HENI LISTIANI Bronchitis, not specified as acute or chronic 2/15/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/26/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 3/23/2016 RS PETROKIMIA GRESIK 1
0000099242932 SAIDIN Non-insulin-depend diabetes mellitus without complication 8/29/2016 RS PETROKIMIA GRESIK 1
0000099242976 MATTIAS SOEGIJANTO Noninfective gastroenteritis and colitis, unspecified 6/6/2016 RSU IBNU SINA GRESIK 1
0000099242987 DJOKO SUMARDI Hyperlipidaemia, unspecified 1/23/2016 RSU IBNU SINA GRESIK 1
0000099254248 TEGUH SAMPURNO Dermatitis, unspecified 3/4/2016 RS Semen Gresik 1
0000099258456 AHMAD SUMAILA Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
0000099258748 FAUZIAH SHAHAB Non-insulin-depend diabetes mellitus without complication 1/13/2016 RSU IBNU SINA GRESIK 1
0000099258996 INSIYAH, SPD. Non-insulin-depend diabetes mellitus without complication 1/15/2016 RS PETROKIMIA GRESIK 1
2/12/2016 RS PETROKIMIA GRESIK 1
4/15/2016 RS PETROKIMIA GRESIK 1
6/10/2016 RS PETROKIMIA GRESIK 1
8/26/2016 RS PETROKIMIA GRESIK 1
0000099259784 IMAM AHMAD AL QUTHBIY Tinea corporis 2/1/2016 RS PETROKIMIA GRESIK 1
0000099259964 SRI SULARNI BA Anaemia, unspecified 3/8/2016 RSU IBNU SINA GRESIK 1
0000099259975 CICILIA KUMINITA SARI Bronchitis, not specified as acute or chronic 1/11/2016 RSU IBNU SINA GRESIK 1
0000099260515 WIWIEN DWI JANTO Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
4/14/2016 RS PETROKIMIA GRESIK 1
0000099264317 ALI ACHMAD Essential (primary) hypertension 4/14/2016 RSU IBNU SINA GRESIK 1
0000099267434 TAUFIK KUROHMAN Impacted cerumen 5/3/2016 RSU IBNU SINA GRESIK 1
0000099275578 B SOEHERMANTO Impacted cerumen 5/31/2016 RSU IBNU SINA GRESIK 1
0000099282385 SUNARISASI Essential (primary) hypertension 6/14/2016 RSU IBNU SINA GRESIK 1
0000099282701 TUTIK HANIM Essential (primary) hypertension 1/15/2016 RS PETROKIMIA GRESIK 1
0000099288527 KARNO Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
0000099292779 SITI ROHMAH Dermatitis, unspecified 3/31/2016 RS Semen Gresik 1
0000100652973 ASMAH Essential (primary) hypertension 3/30/2016 RSU IBNU SINA GRESIK 1
0000102139143 RIESMA CARUNIA FIRDAUSY Noninfective gastroenteritis and colitis, unspecified 6/7/2016 RSU IBNU SINA GRESIK 1
6/20/2016 RSU IBNU SINA GRESIK 1
0000103317164 SOETINIK Essential (primary) hypertension 1/18/2016 RSU IBNU SINA GRESIK 1
0000105936557 NGARIPIN Dermatitis, unspecified 1/4/2016 RS PETROKIMIA GRESIK 1
0000111594249 ACHMAD MUNSIF DD. RASMINAHScabies 1/4/2016 RSU IBNU SINA GRESIK 1
0000114191537 SITI CHALIMAH Non-insulin-depend diabetes mellitus without complication 1/27/2016 RSU IBNU SINA GRESIK 1
0000148887336 NANIK NOERHAJATI Dermatitis, unspecified 2/29/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 3/14/2016 RS PETROKIMIA GRESIK 1
Tinea cruris 4/6/2016 RS PETROKIMIA GRESIK 1
0000193332262 HARI AIDARISON Essential (primary) hypertension 2/10/2016 RSU IBNU SINA GRESIK 1
0000196630075 ALIYAH Asthma, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000199870795 MARPUAH Non-insulin-depend diabetes mellitus without complication 1/25/2016 RS PETROKIMIA GRESIK 1
3/28/2016 RS PETROKIMIA GRESIK 1
4/25/2016 RS PETROKIMIA GRESIK 1
5/30/2016 RS PETROKIMIA GRESIK 1
8/22/2016 RS PETROKIMIA GRESIK 1
0000211309187 SYAMSUL ARIFIN, S.TH.I Non-insulin-depend diabetes mellitus without complication 5/31/2016 RS PETROKIMIA GRESIK 1
7/14/2016 RS PETROKIMIA GRESIK 1
0000720176319 KARSINI Non-insulin-depend diabetes mellitus without complication 2/10/2016 RS PETROKIMIA GRESIK 1
3/11/2016 RS PETROKIMIA GRESIK 1
4/11/2016 RS PETROKIMIA GRESIK 1
6/21/2016 RS PETROKIMIA GRESIK 1
8/16/2016 RS PETROKIMIA GRESIK 1
8/19/2016 RS PETROKIMIA GRESIK 1
0000758185086 SUPARNO Unspecified haemorrhoids without complication 4/9/2016 RSU IBNU SINA GRESIK 1
0000758224809 M. TOHIR Typhoid fever 4/28/2016 RSU IBNU SINA GRESIK 1
0000759310751 KARTINI Nonspecific lymphadenitis, unspecified 2/25/2016 RS PETROKIMIA GRESIK 1
0000761943464 KHODIJATUL FATIYAH Viral warts 1/2/2016 RSU IBNU SINA GRESIK 1
0000762063513 AHADIYAH Essential (primary) hypertension 7/23/2016 RSU IBNU SINA GRESIK 1
0000762255191 ARLIYAH Tension-type headache 1/29/2016 RSU IBNU SINA GRESIK 1
0000762325108 MUJTAHIDIN Essential (primary) hypertension 5/2/2016 RSU IBNU SINA GRESIK 1
0000762524008 INDRA IRAWATI . Essential (primary) hypertension 5/9/2016 RSU IBNU SINA GRESIK 1
0000762557949 SOLICHA Non-insulin-depend diabetes mellitus without complication 1/29/2016 RS PETROKIMIA GRESIK 1
2/29/2016 RS PETROKIMIA GRESIK 1
4/1/2016 RS PETROKIMIA GRESIK 1
4/22/2016 RS PETROKIMIA GRESIK 1
5/23/2016 RS PETROKIMIA GRESIK 1
6/17/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0000762560739 LILIK SETYONINGSIH Non-insulin-depend diabetes mellitus without complication 1/23/2016 RS PETROKIMIA GRESIK 1
2/20/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
0000762676086 KHUSNUL KHOTIMAH Essential (primary) hypertension 2/24/2016 RSU IBNU SINA GRESIK 1
0000762689913 DOLAH Non-insulin-depend diabetes mellitus without complication 2/20/2016 RS Semen Gresik 1
0000762693851 HANNUM LUTFIYANA SARI Allergic rhinitis, unspecified 1/11/2016 RSU IBNU SINA GRESIK 1
0000762702816 NUR HABIBAH Essential (primary) hypertension 7/19/2016 RSU IBNU SINA GRESIK 1
0000762714224 SITI MUKIYAH Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
0000762727893 SHIFAH NUR LAILIYAH Impacted cerumen 1/27/2016 RSU IBNU SINA GRESIK 1
0000762757075 ESTY QORRY WIDAYANTI Bell's palsy 7/1/2016 RSU IBNU SINA GRESIK 1
0000762840663 UMAR SYARIFUDIN Seborrhoeic dermatitis, unspecified 4/7/2016 RSU IBNU SINA GRESIK 1
0000763043804 CAHYANI DWI ANDARI Acute nasopharyngitis [common cold] 3/26/2016 RSU IBNU SINA GRESIK 1
0000763303678 WIRIASIH Tb lung confirm sputum microscopy with or without culture 1/3/2016 RSU IBNU SINA GRESIK 1
0000763549918 TOHARI Tb lung confirm sputum microscopy with or without culture 4/22/2016 RSU IBNU SINA GRESIK 1
0000763616002 MUSYAIDATIN' Anaemia, unspecified 8/15/2016 RSU IBNU SINA GRESIK 1
0000763688654 SENO SAPUTRA Impacted cerumen 4/12/2016 RSU IBNU SINA GRESIK 1
0000786915729 SUMARNI Bronchitis, not specified as acute or chronic 1/14/2016 RSU IBNU SINA GRESIK 1
0001047516849 MUHAMMAD VICKY FAUZI Bronchitis, not specified as acute or chronic 4/12/2016 RSU IBNU SINA GRESIK 1
0001047526738 WIDJI Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0001078219416 MUHAMMAD KEVIN ALDIANO Nonspecific lymphadenitis, unspecified 1/28/2016 RSU IBNU SINA GRESIK 1
0001108012869 HARIS FADILLAH Hyperlipidaemia, unspecified 1/21/2016 RSU IBNU SINA GRESIK 1
0001128160978 NUR ASIYAH Asthma, unspecified 1/12/2016 RSU IBNU SINA GRESIK 1
0001130021471 KASTUR Essential (primary) hypertension 1/14/2016 RSU IBNU SINA GRESIK 1
0001179479867 MAYSAROH Bronchitis, not specified as acute or chronic 3/12/2016 RSU IBNU SINA GRESIK 1
0001182600753 BAYU AJI PRASETYO Scabies 6/30/2016 RS PETROKIMIA GRESIK 1
0001186352008 GALANG HABIBI FAQIH Urinary tract infection, site not specified 1/6/2016 RSU IBNU SINA GRESIK 1
0001261058826 ANIK Non-insulin-depend diabetes mellitus without complication 6/22/2016 RS PETROKIMIA GRESIK 1
0001261183667 EKO SUHARTATIK Non-insulin-depend diabetes mellitus without complication 2/4/2016 RSU IBNU SINA GRESIK 1
0001261725928 MUNASAN Bronchitis, not specified as acute or chronic 1/20/2016 RS PETROKIMIA GRESIK 1
0001262241292 SUGIANI Non-insulin-depend diabetes mellitus without complication 4/6/2016 RS PETROKIMIA GRESIK 1
0001262479408 SITI FATHIMATUZ ZAHROH Acute nasopharyngitis [common cold] 2/6/2016 RSU IBNU SINA GRESIK 1
0001263118397 SUWITO Essential (primary) hypertension 4/15/2016 RS PETROKIMIA GRESIK 1
0001264321607 SUNARDI Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
1/19/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0001264392685 SAKILAH Acute nasopharyngitis [common cold] 7/21/2016 RSU IBNU SINA GRESIK 1
0001268124636 YANAH Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
0001269320174 CHANIYAH Essential (primary) hypertension 3/26/2016 RSU IBNU SINA GRESIK 1
0001276470617 SITI RAHAYU Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
0001277133928 DESITA FITRI QUROTI A'YUN Nonspecific lymphadenitis, unspecified 1/19/2016 RSU IBNU SINA GRESIK 1
0001281181937 SUANTIK Anaemia, unspecified 1/25/2016 RS PETROKIMIA GRESIK 1
0001281609371 MOCHAMAD PURNOMO Hyperlipidaemia, unspecified 2/29/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/15/2016 RS PETROKIMIA GRESIK 1
0001284062152 SUKIYANTO Essential (primary) hypertension 1/8/2016 RS PETROKIMIA GRESIK 1
2/19/2016 RS PETROKIMIA GRESIK 1
3/30/2016 RS PETROKIMIA GRESIK 1
0001284171838 eka setiawati Asthma, unspecified 2/24/2016 RS PETROKIMIA GRESIK 1
0001284320103 NASERUN Asthma, unspecified 4/25/2016 RSU IBNU SINA GRESIK 1
0001286001819 ASMUNI Hyperuricaem without sign inflamm arthritis+tophaceous dis 4/12/2016 RSU IBNU SINA GRESIK 1
0001288191475 HJ.SULASTRI Essential (primary) hypertension 7/20/2016 RSU IBNU SINA GRESIK 1
0001288480307 MOCHAMMAD FAJARUDIN Impacted cerumen 1/22/2016 RSU IBNU SINA GRESIK 1
0001290959019 yuliani Essential (primary) hypertension 5/12/2016 RSU IBNU SINA GRESIK 1
0001291385902 MULYADI Non-insulin-depend diabetes mellitus without complication 4/21/2016 RS PETROKIMIA GRESIK 1
6/29/2016 RS PETROKIMIA GRESIK 1
8/26/2016 RS PETROKIMIA GRESIK 1
0001291810509 MOH FAUZI Allergic rhinitis, unspecified 1/27/2016 RS PETROKIMIA GRESIK 1
0001294366239 SITIANAH Essential (primary) hypertension 3/28/2016 RS PETROKIMIA GRESIK 1
4/29/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/27/2016 RS PETROKIMIA GRESIK 1
0001295081842 NURFADILAH Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0001301464102 SUKINI Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
2/3/2016 RS PETROKIMIA GRESIK 1
3/16/2016 RS PETROKIMIA GRESIK 1
8/2/2016 RS PETROKIMIA GRESIK 1
0001303789241 LILIK MUKTIJONO Cutaneous abscess, furuncle and carbuncle of neck 6/14/2016 RS PETROKIMIA GRESIK 1
0001305332368 SUTRINI HARIYANTI Allergic rhinitis, unspecified 5/2/2016 RSU IBNU SINA GRESIK 1
0001310445224 HARIYANTO Non-insulin-depend diabetes mellitus without complication 4/11/2016 RSU IBNU SINA GRESIK 1
0001310710836 SUKIRAN Essential (primary) hypertension 7/21/2016 RSU IBNU SINA GRESIK 1
0001321587009 iskak muslatif . Essential (primary) hypertension 2/10/2016 RSU IBNU SINA GRESIK 1
7/20/2016 RSU IBNU SINA GRESIK 1
0001326381581 ROSSI ANNISA RAKHMAWATI Nonspecific lymphadenitis, unspecified 2/4/2016 RSU IBNU SINA GRESIK 1
0001328705807 MOHAMMAD ROMADLON GHOLIBHyperuricaem without sign inflamm arthritis+tophaceous dis 1/13/2016 RSU IBNU SINA GRESIK 1
0001338285767 MASTILAH Bell's palsy 8/22/2016 RS PETROKIMIA GRESIK 1
0001338971793 NURLI'AH Non-insulin-depend diabetes mellitus without complication 2/4/2016 RS PETROKIMIA GRESIK 1
0001339328485 MI'AD Cutaneous abscess, furuncle and carbuncle of limb 6/9/2016 RSU IBNU SINA GRESIK 1
0001376806353 MAHARANI LUKITASARI Urinary tract infection, site not specified 3/2/2016 RS Semen Gresik 1
0001383278523 UMAIDAH Non-insulin-depend diabetes mellitus without complication 1/8/2016 RS PETROKIMIA GRESIK 1
2/5/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
4/13/2016 RS PETROKIMIA GRESIK 1
7/22/2016 RS PETROKIMIA GRESIK 1
0001385366218 mas ulah saadah Acute nasopharyngitis [common cold] 4/4/2016 RSU IBNU SINA GRESIK 1
0001401312159 H.HADINYONO Gout, unspecified 6/2/2016 RS PETROKIMIA GRESIK 1
0001424096831 as'ad Essential (primary) hypertension 2/18/2016 RS Semen Gresik 1
0001426959246 eddi rosyidi h Non-insulin-depend diabetes mellitus without complication 1/12/2016 KLINIK MATA UTAMA 1
0001427892118 WINDA DWI RATNA Bell's palsy 7/28/2016 RSU IBNU SINA GRESIK 1
0001427980228 TJIE WONG LIE HWA Non-insulin-depend diabetes mellitus without complication 4/5/2016 RS PETROKIMIA GRESIK 1
4/16/2016 RS PETROKIMIA GRESIK 1
6/28/2016 RS PETROKIMIA GRESIK 1
7/12/2016 RS PETROKIMIA GRESIK 1
8/2/2016 RS PETROKIMIA GRESIK 1
8/23/2016 RS PETROKIMIA GRESIK 1
0001430656514 lutfi affandy Allergic rhinitis, unspecified 6/3/2016 RS PETROKIMIA GRESIK 1
0001431334642 sukarmi Nummular dermatitis 4/25/2016 RSU IBNU SINA GRESIK 1
0001433515915 siti salhah Typhoid fever 3/23/2016 RSU IBNU SINA GRESIK 1
0001442037025 TUMINAH Essential (primary) hypertension 2/15/2016 RS PETROKIMIA GRESIK 1
4/22/2016 RS PETROKIMIA GRESIK 1
0001446756434 SAYYIDA JIHAN AQIILA Tb lung confirm sputum microscopy with or without culture 1/5/2016 RSU IBNU SINA GRESIK 1
0001447512816 CHILMIYAH Impacted cerumen 8/15/2016 RSU IBNU SINA GRESIK 1
0001448985453 MOH.CHUMAIDI Non-insulin-depend diabetes mellitus without complication 8/5/2016 RS Semen Gresik 1
0001450999552 MOH. MAKNUN Essential (primary) hypertension 3/28/2016 RSU IBNU SINA GRESIK 1
0001451097178 SATYAWATI AMBARUKMINI Essential (primary) hypertension 2/3/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
8/10/2016 RS PETROKIMIA GRESIK 1
0001452206867 ABD. SALAM Essential (primary) hypertension 3/11/2016 RS PETROKIMIA GRESIK 1
0001455831821 MUCHAMMAD AFANDI Essential (primary) hypertension 2/4/2016 RS PETROKIMIA GRESIK 1
5/3/2016 RS PETROKIMIA GRESIK 1
6/7/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 1/19/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/12/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0001455984786 SUPARMIN Essential (primary) hypertension 1/29/2016 RS PETROKIMIA GRESIK 1
3/4/2016 RS PETROKIMIA GRESIK 1
4/8/2016 RS PETROKIMIA GRESIK 1
0001455986441 EMIATI Essential (primary) hypertension 1/29/2016 RS PETROKIMIA GRESIK 1
3/4/2016 RS PETROKIMIA GRESIK 1
4/8/2016 RS PETROKIMIA GRESIK 1
0001456600691 AGUNG HARI WIBOWO Non-insulin-depend diabetes mellitus without complication 3/28/2016 RS PETROKIMIA GRESIK 1
4/25/2016 RS PETROKIMIA GRESIK 1
0001476000235 inaya putri maisyaro Acute nasopharyngitis [common cold] 5/11/2016 RSU IBNU SINA GRESIK 1
0001481534649 ACHMAD NIZAM FAHMI Acute nasopharyngitis [common cold] 1/20/2016 RSU IBNU SINA GRESIK 1
0001484540965 YATI Essential (primary) hypertension 3/23/2016 RS PETROKIMIA GRESIK 1
0001534901185 ENDANG MARLIYANI Essential (primary) hypertension 4/12/2016 RS Semen Gresik 1
0001535001298 Diansari Mega Taursina Tinea pedis 1/20/2016 RS Semen Gresik 1
0001535746329 Asiani Tin Afifah Tb lung confirm sputum microscopy with or without culture 8/10/2016 RS Semen Gresik 1
0001535751336 Husna Farisah Impacted cerumen 2/15/2016 RSU IBNU SINA GRESIK 1
0001540275941 LIDYA FATIMAH Acute nasopharyngitis [common cold] 3/11/2016 RSU IBNU SINA GRESIK 1
0001540792214 EDI WARDIYANTO Impacted cerumen 3/5/2016 RS Semen Gresik 1
0001541067276 VERA FITRIA ANDRIANI Essential (primary) hypertension 4/27/2016 RSU IBNU SINA GRESIK 1
0001541080765 MUHAMMAD ABID AKBAR MAULAAcute nasopharyngitis [common cold] 4/5/2016 RSU IBNU SINA GRESIK 1
0001542340113 NUR QOMARI Allergic rhinitis, unspecified 2/2/2016 RS Semen Gresik 1
0001542574258 KARDIYANTO Non-insulin-depend diabetes mellitus without complication 7/19/2016 RS PETROKIMIA GRESIK 1
0001543939222 DWI INTAN LESTARI Asthma, unspecified 7/25/2016 RS PETROKIMIA GRESIK 1
8/3/2016 RS PETROKIMIA GRESIK 1
8/8/2016 RS PETROKIMIA GRESIK 1
0001612476448 LARAS SLAMAQIL ZUNNUR Impacted cerumen 2/25/2016 RS Semen Gresik 1
0001618145346 AMIYATI Impacted cerumen 3/10/2016 RS Muhammadiyah Gresik 1
0001618149093 EVA YUSCANDRA DEWI Non-insulin-depend diabetes mellitus without complication 8/10/2016 RS PETROKIMIA GRESIK 1
0001619591332 YURIZAL ILYAS Hyperlipidaemia, unspecified 2/2/2016 RS PETROKIMIA GRESIK 1
Impacted cerumen 2/3/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/29/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0001643284877 VIDDY OKTAVIYANTO RAHARJO Asthma, unspecified 6/25/2016 RS PETROKIMIA GRESIK 1
0001672679777 Jodik Mulyono Tinea corporis 4/14/2016 RSU IBNU SINA GRESIK 1
0001676731059 muhammad faris Unspecified haemorrhoids without complication 6/7/2016 RSU IBNU SINA GRESIK 1
0001702453566 HERI SETIAWAN Bronchitis, not specified as acute or chronic 4/4/2016 RS Semen Gresik 1
0001789308944 MUHAMMAD NUR FATIH Acute nasopharyngitis [common cold] 2/2/2016 RSU IBNU SINA GRESIK 1
0001790689296 MIKAYLA NADHIFA ACHMAD Dermatitis, unspecified 8/15/2016 RS PETROKIMIA GRESIK 1
0001794329526 ABDUL MANAN Essential (primary) hypertension 4/11/2016 RS PETROKIMIA GRESIK 1
0001795709373 yuyun khusnawati Essential (primary) hypertension 1/4/2016 RS Muhammadiyah Gresik 1
0001800773166 MOCH MOCHTAR. Bronchitis, not specified as acute or chronic 4/27/2016 RSU IBNU SINA GRESIK 1
0001800775192 SITI MUNIROH Unspecified haemorrhoids without complication 5/7/2016 RSU IBNU SINA GRESIK 1
0001808371708 titik aisiyah Essential (primary) hypertension 4/12/2016 RS Semen Gresik 1
0001816428339 INDRATI KUMALASARI Asthma, unspecified 1/19/2016 RS Semen Gresik 1
0001816612435 nunuk retno herawati Essential (primary) hypertension 1/20/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS PETROKIMIA GRESIK 1
0001830847138 ABDULLAH SA'RONI Unspecified haemorrhoids without complication 2/10/2016 RS PETROKIMIA GRESIK 1
0001830848411 NOVALYA RUSITA Essential (primary) hypertension 5/18/2016 RS PETROKIMIA GRESIK 1
0001840188047 sri lestari handayani Anaemia, unspecified 2/24/2016 RS PETROKIMIA GRESIK 1
0001857750467 LUPSUL JANA Internal haemorrhoids without complication 5/16/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/19/2016 RSU IBNU SINA GRESIK 1
5/26/2016 RSU IBNU SINA GRESIK 1
Unspecified haemorrhoids without complication 5/11/2016 RSU IBNU SINA GRESIK 1
0001859094549 TOMPO Essential (primary) hypertension 6/13/2016 RSU IBNU SINA GRESIK 1
0001861843465 KHUDLAIFAH Essential (primary) hypertension 1/13/2016 RS PETROKIMIA GRESIK 1
0001865243665 eka rully ardiansyah Hepatitis a without hepatic coma 6/24/2016 RSU IBNU SINA GRESIK 1
0001870716622 azahra safia arum ardiana Otitis media, unspecified 3/17/2016 RS PETROKIMIA GRESIK 1
0001870810233 muhammad nuril rizky maulana Impacted cerumen 3/19/2016 RS Muhammadiyah Gresik 1
0001873065835 muhammad mighfar Tb lung confirm sputum microscopy with or without culture 8/31/2016 RSU IBNU SINA GRESIK 1
0001875195292 SUHARYANTO Acute nasopharyngitis [common cold] 5/30/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 3/19/2016 RSU IBNU SINA GRESIK 1
0001875881092 affandi Essential (primary) hypertension 4/13/2016 RS PETROKIMIA GRESIK 1
0001877806967 fatikhah Essential (primary) hypertension 1/14/2016 RSU IBNU SINA GRESIK 1
4/23/2016 RS Semen Gresik 1
0001878566938 HJ. NURUN NAJEMAH Non-insulin-depend diabetes mellitus without complication 1/14/2016 RS PETROKIMIA GRESIK 1
2/23/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0001885860562 SUHARTINI Hyperlipidaemia, unspecified 4/22/2016 RSU IBNU SINA GRESIK 1
0001900995928 aisyah oktarina sativa Acute nasopharyngitis [common cold] 3/11/2016 RSU IBNU SINA GRESIK 1
0001901351338 ABDULLAH Essential (primary) hypertension 6/1/2016 RSU IBNU SINA GRESIK 1
0001901351496 LATIFAH HANIM Non-insulin-depend diabetes mellitus without complication 1/26/2016 RS PETROKIMIA GRESIK 1
3/29/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 8/31/2016 RS PETROKIMIA GRESIK 1
0001902101815 muhammad hafidz rafi rabbani Seborrhoeic dermatitis, unspecified 5/4/2016 RS PETROKIMIA GRESIK 1
0001905070746 annisa fadhlia safitri Bronchitis, not specified as acute or chronic 8/13/2016 RSU IBNU SINA GRESIK 1
0001908114129 MUHAMMAD RAFA AZKA SYARIF Dermatitis, unspecified 3/10/2016 RSU IBNU SINA GRESIK 1
0001960483173 MUCHAMAD ARIF Cutaneous abscess, furuncle and carbuncle of other sites 5/2/2016 RS PETROKIMIA GRESIK 1
0001963405102 arwan Non-insulin-depend diabetes mellitus without complication 2/16/2016 RS Semen Gresik 1
0001963405495 romlah Non-insulin-depend diabetes mellitus without complication 8/15/2016 RS Semen Gresik 1
0001964121546 nabilah rohmi arini Pityriasis versicolor 8/19/2016 RSU IBNU SINA GRESIK 1
0002036476686 BAYI NY. EVA YUSCANDRA DEWI Bronchitis, not specified as acute or chronic 4/15/2016 RS PETROKIMIA GRESIK 1
0002036832131 SISWATI Non-insulin-depend diabetes mellitus without complication 4/13/2016 RS PETROKIMIA GRESIK 1
5/18/2016 RS PETROKIMIA GRESIK 1
6/15/2016 RS PETROKIMIA GRESIK 1
7/15/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
8/1/2016 RS PETROKIMIA GRESIK 1
8/29/2016 RS PETROKIMIA GRESIK 1
0002044258942 MAS NAIMAH Essential (primary) hypertension 5/12/2016 RSU IBNU SINA GRESIK 1
0002047408582 SYAFIYA NUR HALIZA Acute nasopharyngitis [common cold] 4/13/2016 RSU IBNU SINA GRESIK 1
0002052954663 aulia safira Impacted cerumen 7/27/2016 RS Semen Gresik 1
0002057831943 MUHAMMAD HAIKAL RABBANI Tb lung confirm sputum microscopy with or without culture 6/2/2016 RS Muhammadiyah Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098442527 SOERADI Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Petrokimia Driyorejo 1
0000098442538 siti aminah Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Petrokimia Driyorejo 1
0000098901516 DWI TJAHYONO Essential (primary) hypertension 7/21/2016 RS Petrokimia Driyorejo 1
Hyperlipidaemia, unspecified 7/15/2016 RS Petrokimia Driyorejo 1
0000098913914 ARISDA SUDJAWANTI Inflammatory disorders of breast 3/2/2016 RS PETROKIMIA GRESIK 1
0000098937595 BAMBANG TRIYOGO ISMANTO Non-insulin-depend diabetes mellitus without complication 5/10/2016 RSU IBNU SINA GRESIK 1
0000098940475 RAMAT Non-insulin-depend diabetes mellitus without complication 8/24/2016 RS Semen Gresik 1
0000098953929 MUTHOAH Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0000098972199 SAYEM Essential (primary) hypertension 5/30/2016 RS Petrokimia Driyorejo 1
0000098972471 MUDAYAT Essential (primary) hypertension 2/2/2016 RS Petrokimia Driyorejo 1
M?ni?re's disease 1/5/2016 RS Petrokimia Driyorejo 1
0000099054281 ITALIAWATI Urinary tract infection, site not specified 1/27/2016 RSU IBNU SINA GRESIK 1
0000099069265 M. AFNAN AWALUDDIN Acute nasopharyngitis [common cold] 8/24/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 8/8/2016 RSU IBNU SINA GRESIK 1
0000099190001 SITI MUTMAINAH Non-insulin-depend diabetes mellitus without complication 4/27/2016 RS Petrokimia Driyorejo 1
0000102413351 ISSUWARDIYATNO Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
0000102413384 DEWANGGA ARYA BIMA Acute nasopharyngitis [common cold] 4/5/2016 RSU IBNU SINA GRESIK 1
0000760205439 TOHA Essential (primary) hypertension 5/4/2016 RSU IBNU SINA GRESIK 1
0000760297061 TUNAH Essential (primary) hypertension 2/26/2016 RS Petrokimia Driyorejo 1
0000760397938 DEWI SRIASIH Anaemia, unspecified 2/15/2016 RS Petrokimia Driyorejo 1
0000760398399 RAJI Non-insulin-depend diabetes mellitus without complication 2/24/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
4/29/2016 RS Petrokimia Driyorejo 1
5/30/2016 RS Petrokimia Driyorejo 1
0000760437415 ABDUL WAHIB Essential (primary) hypertension 2/11/2016 RSU IBNU SINA GRESIK 1
0000760556338 KADIR Essential (primary) hypertension 3/11/2016 RSU IBNU SINA GRESIK 1
0000760633964 ISTIANAH Internal haemorrhoids without complication 1/12/2016 RS Petrokimia Driyorejo 1
4/18/2016 RS Petrokimia Driyorejo 1
0000760662191 SENIWATI Hyperlipidaemia, unspecified 6/14/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/11/2016 RS Petrokimia Driyorejo 1
2/12/2016 RS Petrokimia Driyorejo 1
3/14/2016 RS Petrokimia Driyorejo 1
4/18/2016 RS Petrokimia Driyorejo 1
5/19/2016 RS Petrokimia Driyorejo 1
0000760848963 SHOLEH Other acute gastritis 5/16/2016 RS Petrokimia Driyorejo 1
0000760947333 KARTONO Essential (primary) hypertension 2/24/2016 RSU IBNU SINA GRESIK 1
0000760980284 SETIAWAN Essential (primary) hypertension 2/10/2016 RS Petrokimia Driyorejo 1
5/12/2016 RS Petrokimia Driyorejo 1
0000760988665 SADIR Asthma, unspecified 2/10/2016 RS Petrokimia Driyorejo 1
Other acute gastritis 5/16/2016 RS Petrokimia Driyorejo 1
5/23/2016 RS Petrokimia Driyorejo 1
8/8/2016 RS Petrokimia Driyorejo 1
0000761170768 KASMONO Anaemia, unspecified 5/31/2016 RS Petrokimia Driyorejo 1
6/14/2016 RS Petrokimia Driyorejo 1
7/1/2016 RS Petrokimia Driyorejo 1
0000761224386 JUMAIYAH Essential (primary) hypertension 2/26/2016 RS Petrokimia Driyorejo 1
0000761227097 PONITI Non-insulin-depend diabetes mellitus without complication 2/1/2016 RS Petrokimia Driyorejo 1
0000761244759 SARITO Essential (primary) hypertension 1/30/2016 RS Petrokimia Driyorejo 1
0000761322824 KARTIMAN Non-insulin-depend diabetes mellitus without complication 2/16/2016 RSU IBNU SINA GRESIK 1
0000761430802 SUYATIM Cutaneous abscess, furuncle and carbuncle, unspecified 4/14/2016 RS Petrokimia Driyorejo 1
0000761439789 REZA FEBRIANSAH Acute nasopharyngitis [common cold] 7/14/2016 RSU IBNU SINA GRESIK 1
0000761773252 SRIASIH Inflammatory disorders of breast 4/1/2016 RSU IBNU SINA GRESIK 1
0000761853543 SUKARMIATI Asthma, unspecified 3/8/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 4/21/2016 RS Petrokimia Driyorejo 1
0000761883041 RATNA LINDA PUJI ASTUTIK Allergic rhinitis, unspecified 3/30/2016 RSU IBNU SINA GRESIK 1
0000761901041 SUTIK Tension-type headache 1/4/2016 RS Petrokimia Driyorejo 1
0000762053995 PONI Hyperlipidaemia, unspecified 7/20/2016 RS Petrokimia Driyorejo 1
0000762346721 SUWITO Urinary tract infection, site not specified 2/24/2016 RS Petrokimia Driyorejo 1
0001133254113 MARSUDI Otitis media, unspecified 1/30/2016 RS Petrokimia Driyorejo 1
0001382236885 matalip Asthma, unspecified 1/6/2016 RS Petrokimia Driyorejo 1
1/13/2016 RS Petrokimia Driyorejo 1
1/20/2016 RS Petrokimia Driyorejo 1
1/27/2016 RS Petrokimia Driyorejo 1
2/3/2016 RS Petrokimia Driyorejo 1
2/10/2016 RS Petrokimia Driyorejo 1
2/24/2016 RS Petrokimia Driyorejo 1
3/2/2016 RS Petrokimia Driyorejo 1
3/10/2016 RS Petrokimia Driyorejo 1
3/16/2016 RS Petrokimia Driyorejo 1
3/23/2016 RS Petrokimia Driyorejo 1
4/6/2016 RS Petrokimia Driyorejo 1
4/13/2016 RS Petrokimia Driyorejo 1
4/20/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/11/2016 RS Petrokimia Driyorejo 1
5/18/2016 RS Petrokimia Driyorejo 1
5/25/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
2/17/2016 RS Petrokimia Driyorejo 1
5/4/2016 RS Petrokimia Driyorejo 1
0001428018041 MURIFAH Non-insulin-depend diabetes mellitus without complication 2/10/2016 RS Petrokimia Driyorejo 1
6/9/2016 RS Petrokimia Driyorejo 1
0001430690049 h warto Internal haemorrhoids without complication 3/4/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/1/2016 RS Petrokimia Driyorejo 1
3/3/2016 RS Petrokimia Driyorejo 1
0001438000929 MARTOYO Tinea cruris 4/2/2016 RSU IBNU SINA GRESIK 1
0001445269241 SYARIFAH CHAIRAWATI Hyperuricaem without sign inflamm arthritis+tophaceous dis 3/24/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 1/22/2016 RS Petrokimia Driyorejo 1
2/24/2016 RS Petrokimia Driyorejo 1
3/28/2016 RS Petrokimia Driyorejo 1
4/29/2016 RS Petrokimia Driyorejo 1
6/2/2016 RS Petrokimia Driyorejo 1
8/5/2016 RS Petrokimia Driyorejo 1
0001454287184 RIPA'I Essential (primary) hypertension 1/4/2016 RS Petrokimia Driyorejo 1
0001462675689 MARCELLO CHRISTIAN SANTOSA PAsthma, unspecified 5/3/2016 RS Petrokimia Driyorejo 1
0001534864983 MUHAMMAD NAUFAL AL FAYYAD Nonspecific lymphadenitis, unspecified 1/26/2016 RSU IBNU SINA GRESIK 1
0001539403367 SUKISWANTO Otitis media, unspecified 3/22/2016 RSU IBNU SINA GRESIK 1
0001820780177 sri banun Non-insulin-depend diabetes mellitus without complication 1/15/2016 RS Petrokimia Driyorejo 1
0001900524712 SISWO HADI Otitis media, unspecified 3/5/2016 RSU IBNU SINA GRESIK 1
4/14/2016 RSU IBNU SINA GRESIK 1
0001900934886 basuki wilopo Essential (primary) hypertension 8/18/2016 RS Petrokimia Driyorejo 1
0001959925173 MOKHAMMAD DWI BASORI Essential (primary) hypertension 3/28/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/5/2016 RS Petrokimia Driyorejo 1
0001967924081 sutemi Urinary tract infection, site not specified 3/29/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000099121779 SUTIK SISWATI Hyperlipidaemia, unspecified 8/31/2016 RS Semen Gresik 1
0000099173373 NURHAYATI Essential (primary) hypertension 2/23/2016 RSU IBNU SINA GRESIK 1
0000099206739 MOH MUJI Hyperlipidaemia, unspecified 4/28/2016 RSU IBNU SINA GRESIK 1
0000099236463 SHOLICHAH Seborrhoeic dermatitis, unspecified 8/6/2016 RSU IBNU SINA GRESIK 1
0000099269199 NUR SU`UD Epistaxis 3/10/2016 RSU IBNU SINA GRESIK 1
0000101091172 SOELASIKIN Essential (primary) hypertension 2/15/2016 RS PETROKIMIA GRESIK 1
3/21/2016 RS PETROKIMIA GRESIK 1
4/25/2016 RS PETROKIMIA GRESIK 1
0000163415338 SAPARI Non-insulin-depend diabetes mellitus without complication 4/27/2016 RSU IBNU SINA GRESIK 1
0000760771326 SISWATI NINGSIH Inflammatory disorders of breast 7/25/2016 RSU IBNU SINA GRESIK 1
0000761702409 MAMIK FARADILAH Acute nasopharyngitis [common cold] 1/11/2016 RSU IBNU SINA GRESIK 1
0000761791116 KHOMSIYAH Anaemia, unspecified 6/14/2016 RSU IBNU SINA GRESIK 1
0000762192674 SIAMAH Essential (primary) hypertension 4/13/2016 RSU IBNU SINA GRESIK 1
0001256054163 WAHIB Essential (primary) hypertension 1/26/2016 RSU IBNU SINA GRESIK 1
0001262048949 ELIS SUSANTI Pityriasis versicolor 5/19/2016 RSU IBNU SINA GRESIK 1
0001267554767 SUNARTI Essential (primary) hypertension 2/2/2016 RSU IBNU SINA GRESIK 1
0001284868157 MUANAH Hyperlipidaemia, unspecified 4/14/2016 RSU IBNU SINA GRESIK 1
5/3/2016 RSU IBNU SINA GRESIK 1
Noninfective gastroenteritis and colitis, unspecified 6/2/2016 RSU IBNU SINA GRESIK 1
0001286590015 VINA YULI AGUSTINA Impacted cerumen 5/28/2016 RSU IBNU SINA GRESIK 1
0001287211702 H. ADI FIDYANTORO, SH Essential (primary) hypertension 7/29/2016 RS Semen Gresik 1
0001301382898 nasukah Essential (primary) hypertension 5/25/2016 RSU IBNU SINA GRESIK 1
0001313860375 MUAMIN Bronchitis, not specified as acute or chronic 1/9/2016 RSU IBNU SINA GRESIK 1
0001323409151 SLAMET Essential (primary) hypertension 1/13/2016 RSU IBNU SINA GRESIK 1
0001326336625 A.HAMDA NURI Essential (primary) hypertension 7/19/2016 RSU IBNU SINA GRESIK 1
0001883826156 NUR FADILAH Unspecified haemorrhoids without complication 2/24/2016 RSU IBNU SINA GRESIK 1
2/25/2016 RSU IBNU SINA GRESIK 1
0001906578911 azhar izuddin Allergic rhinitis, unspecified 3/8/2016 RSU IBNU SINA GRESIK 1
0001906579023 hj. rehanah Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 2/15/2016 RSU IBNU SINA GRESIK 1
0001961837291 alam budi wachyudi Asthma, unspecified 4/29/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000760009781 SUKUR. Acute pharyngitis, unspecified 2/10/2016 RS Petrokimia Driyorejo 1
2/17/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 1/25/2016 RS Petrokimia Driyorejo 1
3/10/2016 RS Petrokimia Driyorejo 1
3/23/2016 RS Petrokimia Driyorejo 1
4/6/2016 RS Petrokimia Driyorejo 1
0000760312675 KASRIAH Non-insulin-depend diabetes mellitus without complication 8/16/2016 RS Petrokimia Driyorejo 1
0000760319133 TIRTI Essential (primary) hypertension 8/8/2016 RS Petrokimia Driyorejo 1
0000760338909 KALIMAH Hyperlipidaemia, unspecified 1/18/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/30/2016 RS Petrokimia Driyorejo 1
Tension-type headache 4/13/2016 RS Petrokimia Driyorejo 1
0000760363312 KUROTUK. Non-insulin-depend diabetes mellitus without complication 2/10/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/30/2016 RS Petrokimia Driyorejo 1
8/5/2016 RS Petrokimia Driyorejo 1
0000760491753 IMAM MAHDI. Hyperlipidaemia, unspecified 1/13/2016 RS Petrokimia Driyorejo 1
0000760505106 moh husaini Bronchitis, not specified as acute or chronic 5/10/2016 RSU IBNU SINA GRESIK 1
0000760612419 SAKRI ' Cutaneous abscess, furuncle and carbuncle of trunk 7/4/2016 RS Petrokimia Driyorejo 1
0000760628834 SUPENI Non-insulin-depend diabetes mellitus without complication 2/10/2016 RS Petrokimia Driyorejo 1
5/17/2016 RS Petrokimia Driyorejo 1
0000760653854 RUSIKAH Other acute gastritis 2/29/2016 RS Petrokimia Driyorejo 1
0000760694128 A MANAF Hyperlipidaemia, unspecified 5/31/2016 RS Petrokimia Driyorejo 1
0000760695355 SUPARMI Non-insulin-depend diabetes mellitus without complication 5/30/2016 RS Petrokimia Driyorejo 1
0000760806145 RAWATI. Non-insulin-depend diabetes mellitus without complication 3/7/2016 RS Petrokimia Driyorejo 1
0000760954037 KUNAYAH. Hyperlipidaemia, unspecified 5/24/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 5/16/2016 RS Petrokimia Driyorejo 1
0000760984345 DIDIK IRWAN. Tb lung confirm sputum microscopy with or without culture 4/20/2016 RSU IBNU SINA GRESIK 1
0000761095359 RAMINTEN Non-insulin-depend diabetes mellitus without complication 1/25/2016 RS Petrokimia Driyorejo 1
Tension-type headache 3/23/2016 RS Petrokimia Driyorejo 1
4/6/2016 RS Petrokimia Driyorejo 1
4/27/2016 RS Petrokimia Driyorejo 1
5/18/2016 RS Petrokimia Driyorejo 1
0000761142429 INDI SA'ADAH. Non-insulin-depend diabetes mellitus without complication 1/13/2016 RS Petrokimia Driyorejo 1
3/23/2016 RS Petrokimia Driyorejo 1
0000761144501 RIKHA FARIKHA. Urinary tract infection, site not specified 8/1/2016 RS Petrokimia Driyorejo 1
0000761380312 KISMAWATI. Non-insulin-depend diabetes mellitus without complication 4/6/2016 RS Petrokimia Driyorejo 1
0000761508909 M. AINUROCHMAN. Asthma, unspecified 1/16/2016 RS Petrokimia Driyorejo 1
0001262628292 EDI SUHERMANTO Essential (primary) hypertension 4/11/2016 RS Petrokimia Driyorejo 1
5/12/2016 RS Petrokimia Driyorejo 1
6/13/2016 RS Petrokimia Driyorejo 1
7/14/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 4/26/2016 RS Petrokimia Driyorejo 1
Urinary tract infection, site not specified 4/4/2016 RS Petrokimia Driyorejo 1
6/7/2016 RS Petrokimia Driyorejo 1
0001379754281 JONO Essential (primary) hypertension 8/6/2016 RSU IBNU SINA GRESIK 1
0001720186244 SARBUN Other acute gastritis 3/16/2016 RS Petrokimia Driyorejo 1
3/24/2016 RS Petrokimia Driyorejo 1
3/31/2016 RS Petrokimia Driyorejo 1
0001819859973 NORMA ERLIANI Asthma, unspecified 5/10/2016 RS Petrokimia Driyorejo 1
7/19/2016 RS Petrokimia Driyorejo 1
0001832060946 SARNI Hyperlipidaemia, unspecified 5/31/2016 RS Petrokimia Driyorejo 1
0001898055797 riamah Acute pharyngitis, unspecified 5/23/2016 RS Petrokimia Driyorejo 1
5/31/2016 RS Petrokimia Driyorejo 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098901088 NINIK KUSDIANAH Bronchitis, not specified as acute or chronic 3/26/2016 RSU IBNU SINA GRESIK 1
0000098901573 SUNARSIH Non-insulin-depend diabetes mellitus without complication 1/18/2016 RSU IBNU SINA GRESIK 1
0000098906602 MUNAWAROH Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
0000098972403 KHULAIFAH Non-insulin-depend diabetes mellitus without complication 4/22/2016 RSU IBNU SINA GRESIK 1
0000098976104 BRYAN ALIE IBNU K. Acute nasopharyngitis [common cold] 6/14/2016 RSU IBNU SINA GRESIK 1
0000098977555 FARIDAH Essential (primary) hypertension 2/5/2016 RSU IBNU SINA GRESIK 1
0000098977645 QURROTA AYUN ZAKIYYATI Unspecified haemorrhoids without complication 5/14/2016 RSU IBNU SINA GRESIK 1
0000098977926 IMRO`ATUL MUHAIYIMAH Non-insulin-depend diabetes mellitus without complication 2/12/2016 RS PETROKIMIA GRESIK 1
0000098978128 KHABIBAH Essential (primary) hypertension 6/24/2016 RSU IBNU SINA GRESIK 1
0000099007143 NURYATI Non-insulin-depend diabetes mellitus without complication 2/23/2016 RS PETROKIMIA GRESIK 1
0000099015377 MUKSIM Essential (primary) hypertension 6/29/2016 RSU IBNU SINA GRESIK 1
0000099019618 ANWAR SHODIQ Hyperlipidaemia, unspecified 1/16/2016 RSU IBNU SINA GRESIK 1
0000099022138 ISTYA WITANINGSIH Essential (primary) hypertension 4/29/2016 RSU IBNU SINA GRESIK 1
0000099022149 SISWANTO EKO MULYONO Essential (primary) hypertension 4/30/2016 RSU IBNU SINA GRESIK 1
0000099029957 MARIA ULFAH Essential (primary) hypertension 2/17/2016 RS PETROKIMIA GRESIK 1
3/14/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
0000099059242 SOELASTRI Essential (primary) hypertension 5/3/2016 RSU IBNU SINA GRESIK 1
0000099073473 TERTIANA SURYOASTUTI Dermatitis, unspecified 3/16/2016 RSU IBNU SINA GRESIK 1
0000099096287 AINUL WAROH Non-insulin-depend diabetes mellitus without complication 6/14/2016 RS PETROKIMIA GRESIK 1
0000099105491 SARWIYONO Essential (primary) hypertension 5/12/2016 RSU IBNU SINA GRESIK 1
0000099122231 TRI IRIANTINI Non-insulin-depend diabetes mellitus without complication 4/22/2016 RS PETROKIMIA GRESIK 1
0000099212872 WARDANI Non-insulin-depend diabetes mellitus without complication 2/16/2016 RS PETROKIMIA GRESIK 1
0000099249761 M.F.I. SALSABILY H.M. Impacted cerumen 1/4/2016 RSU IBNU SINA GRESIK 1
0000099257692 SITI AMINATUZ ZUHROH Cutaneous abscess, furuncle and carbuncle of limb 7/15/2016 RSU IBNU SINA GRESIK 1
0000100442575 ACHMAD ZAINUDIN Non-insulin-depend diabetes mellitus without complication 2/15/2016 RSU IBNU SINA GRESIK 1
0000142648659 ZAHROTUL ILMIAH Dermatitis, unspecified 5/11/2016 RS PETROKIMIA GRESIK 1
0000196052073 ISNA AGUSTIN Impacted cerumen 5/25/2016 RSU IBNU SINA GRESIK 1
0000201952653 NURUL AMELIA MAULIDA Acute nasopharyngitis [common cold] 6/15/2016 RSU IBNU SINA GRESIK 1
0000209272959 HJ. ULFAH, BA Non-insulin-depend diabetes mellitus without complication 2/12/2016 RS PETROKIMIA GRESIK 1
0000749594744 SAMI'AN Essential (primary) hypertension 4/5/2016 RSU IBNU SINA GRESIK 1
0000761368757 KARTINI Bronchitis, not specified as acute or chronic 1/19/2016 RSU IBNU SINA GRESIK 1
0000761413375 MUNAWAROH Non-insulin-depend diabetes mellitus without complication 2/26/2016 RSU IBNU SINA GRESIK 1
0000762416188 SITI ROSIDAH Essential (primary) hypertension 5/13/2016 RSU IBNU SINA GRESIK 1
0000762572632 IS KHAK Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
0000762643337 SITI KHODIJAH Essential (primary) hypertension 3/28/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 6/14/2016 RS PETROKIMIA GRESIK 1
7/19/2016 RS PETROKIMIA GRESIK 1
8/25/2016 RS PETROKIMIA GRESIK 1
0000762682746 ALI SHODIQIN Bronchitis, not specified as acute or chronic 5/30/2016 RSU IBNU SINA GRESIK 1
Tb lung confirm sputum microscopy with or without culture 6/1/2016 RSU IBNU SINA GRESIK 1
0000762704785 MUIZZATUS SHOLICHAH Acute nasopharyngitis [common cold] 8/6/2016 RSU IBNU SINA GRESIK 1
0000762799037 SOLIKHATI Urinary tract infection, site not specified 5/9/2016 RSU IBNU SINA GRESIK 1
0000762808408 KASIATI Acute nasopharyngitis [common cold] 4/29/2016 RSU IBNU SINA GRESIK 1
0000762928841 HURRIYAH Otitis media, unspecified 5/9/2016 RSU IBNU SINA GRESIK 1
0000762929976 MAS LUCHAH Non-insulin-depend diabetes mellitus without complication 7/14/2016 RS PETROKIMIA GRESIK 1
8/11/2016 RS PETROKIMIA GRESIK 1
0000762944174 NUR JAUJIAH Urinary tract infection, site not specified 3/1/2016 RSU IBNU SINA GRESIK 1
0000763021438 ACHMAD BACHIR Essential (primary) hypertension 2/5/2016 RSU IBNU SINA GRESIK 1
0000763046807 MU'RIFAH Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
5/9/2016 RSU IBNU SINA GRESIK 1
0000763141959 NURKASAN Tb lung confirm sputum microscopy with or without culture 3/2/2016 RSU IBNU SINA GRESIK 1
0000763166395 MASHUDI Tb lung confirm sputum microscopy with or without culture 3/14/2016 RSU IBNU SINA GRESIK 1
0000763166889 MUHAMMAD RIZQUL FALAH Typhoid fever 4/18/2016 RS Muhammadiyah Gresik 1
0000763197456 SOLICHAH Bell's palsy 2/11/2016 RSU IBNU SINA GRESIK 1
0000763203251 MOH. FALICHUR RIZQI Typhoid fever 5/27/2016 RSU IBNU SINA GRESIK 1
0000763216334 LAILATUL BADRIYAH Scabies 7/18/2016 RS PETROKIMIA GRESIK 1
0000763425022 KASMAN Essential (primary) hypertension 8/22/2016 RSU IBNU SINA GRESIK 1
0000763461573 MOH.NURYATIM Bronchitis, not specified as acute or chronic 3/23/2016 RSU IBNU SINA GRESIK 1
0000763524472 SITI MUSLICHAH Otitis media, unspecified 2/6/2016 RSU IBNU SINA GRESIK 1
0000763625237 SRIAMAH Non-insulin-depend diabetes mellitus without complication 5/24/2016 RSU IBNU SINA GRESIK 1
0000763793818 li'anah Essential (primary) hypertension 3/10/2016 RSU IBNU SINA GRESIK 1
0000763816419 SITI RUCHIYAH Non-insulin-depend diabetes mellitus without complication 4/15/2016 RS PETROKIMIA GRESIK 1
0001047534794 MOH. KHISOM Other acute gastritis 4/16/2016 RSU IBNU SINA GRESIK 1
0001124591163 ABDUL ROCHIM Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS PETROKIMIA GRESIK 1
2/2/2016 RS PETROKIMIA GRESIK 1
3/1/2016 RS PETROKIMIA GRESIK 1
6/1/2016 RS PETROKIMIA GRESIK 1
0001260859926 MUHAMAD NURHADI Impacted cerumen 8/26/2016 RSU IBNU SINA GRESIK 1
0001262404697 M.YUSUF Pityriasis versicolor 3/26/2016 RSU IBNU SINA GRESIK 1
0001262969638 RUSWATI Non-insulin-depend diabetes mellitus without complication 3/1/2016 RS PETROKIMIA GRESIK 1
3/8/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
0001291897574 RIDWAN Non-insulin-depend diabetes mellitus without complication 3/2/2016 RSU IBNU SINA GRESIK 1
0001291898946 MASFUFAH Essential (primary) hypertension 8/9/2016 RSU IBNU SINA GRESIK 1
0001303427294 HJ. SUPIAH Hyperlipidaemia, unspecified 4/13/2016 RS DENISA 1
Non-insulin-depend diabetes mellitus without complication 3/22/2016 RS PETROKIMIA GRESIK 1
0001305051096 MUYASANAH Essential (primary) hypertension 4/13/2016 RS PETROKIMIA GRESIK 1
0001309575126 NATASYA DAMAYANTI Viral warts 3/16/2016 RS DENISA 1
3/19/2016 RS DENISA 1
0001315567258 FAIZATUL MUNAWAROH Tb lung confirm sputum microscopy with or without culture 1/15/2016 RSU IBNU SINA GRESIK 1
0001323847945 HERIK SRIMAWATI Nonspecific lymphadenitis, unspecified 2/26/2016 RSU IBNU SINA GRESIK 1
0001338981524 SRI WAHYUNI Acute nasopharyngitis [common cold] 1/12/2016 RSU IBNU SINA GRESIK 1
0001381376226 KHUSNUL CHAYATIN Essential (primary) hypertension 2/5/2016 RS PETROKIMIA GRESIK 1
8/10/2016 RS PETROKIMIA GRESIK 1
0001389331844 Suyanti Asthma, unspecified 4/26/2016 RSU IBNU SINA GRESIK 1
0001389345693 AJMAIN Non-insulin-depend diabetes mellitus without complication 4/7/2016 RS PETROKIMIA GRESIK 1
0001389348955 zaenah Hyperlipidaemia, unspecified 4/9/2016 RS PETROKIMIA GRESIK 1
0001426089249 BENI ANDREAS PUTRA Abscess of external ear 1/26/2016 RSU IBNU SINA GRESIK 1
0001447419666 H. MOHAMMAD SYAHRI Non-insulin-depend diabetes mellitus without complication 1/30/2016 RS PETROKIMIA GRESIK 1
2/23/2016 RS PETROKIMIA GRESIK 1
5/24/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0001447423121 HJ. SHOFIYATUN Essential (primary) hypertension 3/30/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/26/2016 RS PETROKIMIA GRESIK 1
3/29/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
6/28/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
8/30/2016 RS PETROKIMIA GRESIK 1
0001450694485 DIAN PARAMITA ANGGRAENI. Dermatitis, unspecified 5/9/2016 RSU IBNU SINA GRESIK 1
0001451022221 NUR ZAINIYAH AFANDI Urinary tract infection, site not specified 8/5/2016 RS FATHMA MEDIKA 1
0001534899892 ACHMAD JUPRI Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
0001534902704 RIZAL KURNIA BUDI Unspecified haemorrhoids without complication 5/31/2016 RS PETROKIMIA GRESIK 1
0001540856968 MUHAMMAD ALFIN ADITIYA Dengue haemorrhagic fever 6/28/2016 RSU IBNU SINA GRESIK 1
0001540916447 MOHAMMAD FAHMY HUSAIN Viral warts 6/28/2016 RSU IBNU SINA GRESIK 1
0001541013851 MOH MUSTAIN WAFIRUL KHOIRBell's palsy 3/30/2016 RSU IBNU SINA GRESIK 1
0001541080034 NASIRUL FALAH Asthma, unspecified 1/30/2016 RS PETROKIMIA GRESIK 1
2/27/2016 RS PETROKIMIA GRESIK 1
0001541085208 AGUNG YUANTO Cutaneous abscess, furuncle and carbuncle of other sites 8/11/2016 RS PETROKIMIA GRESIK 1
0001541085794 MOHAMMAD YUSUF Asthma, unspecified 6/13/2016 RSU IBNU SINA GRESIK 1
0001541088775 NUR FITRIANA Tinea cruris 5/16/2016 RSU IBNU SINA GRESIK 1
0001541854462 ROCHMAWATI Hyperlipidaemia, unspecified 1/5/2016 RS PETROKIMIA GRESIK 1
4/12/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
5/31/2016 RS PETROKIMIA GRESIK 1
7/12/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
Other specified inflammation of vagina and vulva 5/18/2016 RS PETROKIMIA GRESIK 1
0001541855968 SITI ASIYAH, S.Ag Acute amoebic dysentery 5/20/2016 RS FATHMA MEDIKA 1
0001542861674 MUHAMMAD ZAMRONI Typhoid fever 1/12/2016 RS PETROKIMIA GRESIK 1
0001616793186 AQILA ZAHWANIA CARISSA PUTAcute nasopharyngitis [common cold] 5/31/2016 RSU IBNU SINA GRESIK 1
Bronchitis, not specified as acute or chronic 2/27/2016 RS Muhammadiyah Gresik 1
0001617468884 ANA WAHYUNINGSIH Bronchitis, not specified as acute or chronic 5/9/2016 RS PETROKIMIA GRESIK 1
0001617469705 ANINDITA CINTAKIRANA Urinary tract infection, site not specified 7/23/2016 RSU IBNU SINA GRESIK 1
0001617473496 MARO'ATUL CHOIRIYAH Nummular dermatitis 3/1/2016 RSU IBNU SINA GRESIK 1
0001617482406 FAIRUZ ATHALLAh Dengue haemorrhagic fever 4/26/2016 RS Muhammadiyah Gresik 1
0001618153918 KARIMAH Allergic rhinitis, unspecified 7/21/2016 RS PETROKIMIA GRESIK 1
0001618156967 DINDA AMELIYA SALSABILAH Acute nasopharyngitis [common cold] 5/23/2016 RSU IBNU SINA GRESIK 1
0001618159792 AULIA RACHMAWATI Nonspecific lymphadenitis, unspecified 3/26/2016 RSU IBNU SINA GRESIK 1
0001618163932 FAISHOL Acute pharyngitis, unspecified 3/8/2016 RSU IBNU SINA GRESIK 1
0001618178938 LILIK HIDAYATUL MAHFIA Spontaneous abortion, complete or unspecified, without complication 2/1/2016 RS Muhammadiyah Gresik 1
0001619681883 KHOIRUL ANAM Cutaneous abscess, furuncle and carbuncle of trunk 1/13/2016 RSU IBNU SINA GRESIK 1
0001633366866 IDA SUSIANTI Essential (primary) hypertension 1/20/2016 RS PETROKIMIA GRESIK 1
0001634683893 IRKHAFIDA APRIVIA RAHMA Tension-type headache 7/29/2016 RS FATHMA MEDIKA 1
0001634698192 NUR ASIYAH Non-insulin-depend diabetes mellitus without complication 8/5/2016 RS Muhammadiyah Gresik 1
0001673950105 NUR CHOLIDAH Bronchitis, not specified as acute or chronic 5/28/2016 RS PETROKIMIA GRESIK 1
0001676936766 SUDARTO Bronchitis, not specified as acute or chronic 1/25/2016 RSU IBNU SINA GRESIK 1
0001701647379 bintani naura syafiyah Nonspecific lymphadenitis, unspecified 2/12/2016 RS Muhammadiyah Gresik 1
0001702303604 MINTarto Non-insulin-depend diabetes mellitus without complication 4/6/2016 RSU IBNU SINA GRESIK 1
0001702310062 LASERI Non-insulin-depend diabetes mellitus without complication 8/5/2016 RS Muhammadiyah Gresik 1
0001702318375 NINING DJAMILAH Impacted cerumen 8/1/2016 RS PETROKIMIA GRESIK 1
0001738227385 AINUR ROFIQ Tb lung confirm sputum microscopy with or without culture 8/23/2016 RSU IBNU SINA GRESIK 1
0001811197697 MU'AWANAH Essential (primary) hypertension 3/16/2016 RS PETROKIMIA GRESIK 1
0001812876682 dr. WIJAYANINGRUM Essential (primary) hypertension 2/2/2016 RS Semen Gresik 1
0001812877277 DJENI HARJONO, ST Tinea cruris 2/2/2016 RS Semen Gresik 1
0001829714185 MOHAMMAD SA'DI Essential (primary) hypertension 4/27/2016 RS PETROKIMIA GRESIK 1
0001832145603 NANIK MAGHFIROH Urinary tract infection, site not specified 6/4/2016 RS Semen Gresik 1
0001857779706 DERIYANTO MANULLANG Bronchitis, not specified as acute or chronic 1/12/2016 RSU IBNU SINA GRESIK 1
Tb lung confirm sputum microscopy with or without culture 8/24/2016 RSU IBNU SINA GRESIK 1
0001864321424 FATIMATUL FATMALA Unspecified haemorrhoids without complication 5/9/2016 RS Muhammadiyah Gresik 1
0001869981759 dwi budi utomo Typhoid fever 1/6/2016 RS Muhammadiyah Gresik 1
0001872696554 SUGIANTO Tinea corporis 6/9/2016 RSU IBNU SINA GRESIK 1
0001873710303 muhammad faidlurrahman al chTb lung confirm sputum microscopy with or without culture 1/28/2016 RS Muhammadiyah Gresik 1
0001875962586 H. ANWAR Tb lung confirm sputum microscopy with or without culture 1/13/2016 RSU IBNU SINA GRESIK 1
0001880173348 ZUMAIVA Seborrhoeic dermatitis, unspecified 5/2/2016 RS PETROKIMIA GRESIK 1
0001902311684 fitria nur hidayatur rohmah Tb lung confirm sputum microscopy with or without culture 5/16/2016 RS Semen Gresik 1
0001904358036 ANIYATUL ROSIDAH Otitis media, unspecified 5/3/2016 RS Muhammadiyah Gresik 1
0001918148725 ACH KEINZIE JATMIKO Otitis media, unspecified 7/12/2016 RS Muhammadiyah Gresik 1
0002046225734 MAISYAH Essential (primary) hypertension 8/25/2016 RSU IBNU SINA GRESIK 1
0002047074276 SLAMET DURIAT Non-insulin-depend diabetes mellitus without complication 7/21/2016 RS PETROKIMIA GRESIK 1
0002050784796 MURSYIDUL UMAM Tb lung confirm sputum microscopy with or without culture 7/29/2016 RSU IBNU SINA GRESIK 1
0002051814633 marfu'ah Essential (primary) hypertension 6/1/2016 RS FATHMA MEDIKA 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098912867 SUWAJI Essential (primary) hypertension 2/5/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 1/22/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
4/12/2016 RS PETROKIMIA GRESIK 1
5/3/2016 RS PETROKIMIA GRESIK 1
0000098912878 NURZAINAB Hyperlipidaemia, unspecified 2/19/2016 RS PETROKIMIA GRESIK 1
3/18/2016 RS PETROKIMIA GRESIK 1
5/3/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
0000098919865 ENDANG PUJINGSIH Non-insulin-depend diabetes mellitus without complication 1/22/2016 RS PETROKIMIA GRESIK 1
2/20/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
4/28/2016 RS PETROKIMIA GRESIK 1
6/24/2016 RS PETROKIMIA GRESIK 1
0000099099202 SUMIJANI Other acute gastritis 5/4/2016 RSU IBNU SINA GRESIK 1
0000099099415 SOEPINI JD.MUSWANDI Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0000099122477 KHUSAINI JURSUM Non-insulin-depend diabetes mellitus without complication 4/16/2016 RS PETROKIMIA GRESIK 1
Typhoid fever 4/15/2016 RS PETROKIMIA GRESIK 1
0000099122949 SUPRIYATIN Anaemia, unspecified 4/20/2016 RSU IBNU SINA GRESIK 1
0000099170954 CHOIRIYAH Essential (primary) hypertension 4/28/2016 RSU IBNU SINA GRESIK 1
7/11/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 1/14/2016 RSU IBNU SINA GRESIK 1
0000099171257 ASPURI Hyperlipidaemia, unspecified 4/5/2016 RSU IBNU SINA GRESIK 1
0000099173755 MIAHTUR ROKHMAH Essential (primary) hypertension 1/18/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 1/14/2016 RSU IBNU SINA GRESIK 1
0000099195849 ALI AFANDI Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0000099196435 WAKHIDAH Asthma, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 4/7/2016 RSU IBNU SINA GRESIK 1
0000099199416 RISTIN NURFA AINI Bronchitis, not specified as acute or chronic 1/14/2016 RSU IBNU SINA GRESIK 1
0000099202184 suparni Essential (primary) hypertension 8/9/2016 RSU IBNU SINA GRESIK 1
0000099203938 SHOLIKUN Essential (primary) hypertension 4/25/2016 RSU IBNU SINA GRESIK 1
0000099208855 SITI UMIKULSUM Essential (primary) hypertension 6/29/2016 RSU IBNU SINA GRESIK 1
0000099219767 SUPARMIASIH Essential (primary) hypertension 3/10/2016 RSU IBNU SINA GRESIK 1
0000099219778 SUKISWOYO Asthma, unspecified 3/10/2016 RSU IBNU SINA GRESIK 1
Essential (primary) hypertension 8/4/2016 RSU IBNU SINA GRESIK 1
0000099223907 WIDJI WIDAYANTO Essential (primary) hypertension 2/11/2016 RSU IBNU SINA GRESIK 1
0000099232209 ISMAN Essential (primary) hypertension 2/23/2016 RS Petrokimia Driyorejo 1
6/16/2016 RS Petrokimia Driyorejo 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/11/2016 RS Petrokimia Driyorejo 1
4/19/2016 RS Petrokimia Driyorejo 1
0000099248894 KAMID Hyperuricaem without sign inflamm arthritis+tophaceous dis 5/9/2016 RSU IBNU SINA GRESIK 1
0000101687589 ISKAK Essential (primary) hypertension 4/15/2016 RS PETROKIMIA GRESIK 1
8/26/2016 RS PETROKIMIA GRESIK 1
0000760913482 IMAM RUCHANI Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0000760913662 SUMARSIH Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0000760983434 MAIDIN Viral warts 3/4/2016 RSU IBNU SINA GRESIK 1
8/19/2016 RSU IBNU SINA GRESIK 1
0000761044004 AMAT . Asthma, unspecified 1/26/2016 RSU IBNU SINA GRESIK 1
Bronchitis, not specified as acute or chronic 1/19/2016 RSU IBNU SINA GRESIK 1
0000761173277 SAMI . Bronchitis, not specified as acute or chronic 2/17/2016 RSU IBNU SINA GRESIK 1
0000761202426 EDRIS Bronchitis, not specified as acute or chronic 2/1/2016 RSU IBNU SINA GRESIK 1
0000761207534 DJULAIKAH. Spontaneous abortion, complete or unspecified, without complicati 4/7/2016 RSU IBNU SINA GRESIK 1
0000761232576 SUWATI Non-insulin-depend diabetes mellitus without complication 1/7/2016 RSU IBNU SINA GRESIK 1
0000761502475 MAQBULATUN Allergic rhinitis, unspecified 5/10/2016 RSU IBNU SINA GRESIK 1
0000761673341 SUTIKNO Essential (primary) hypertension 1/25/2016 RS Petrokimia Driyorejo 1
Non-insulin-depend diabetes mellitus without complication 2/29/2016 RS Petrokimia Driyorejo 1
3/31/2016 RS Petrokimia Driyorejo 1
5/3/2016 RS Petrokimia Driyorejo 1
6/6/2016 RS Petrokimia Driyorejo 1
7/12/2016 RS Petrokimia Driyorejo 1
8/15/2016 RS Petrokimia Driyorejo 1
0000761713514 SUKORIN Acute nasopharyngitis [common cold] 4/28/2016 RSU IBNU SINA GRESIK 1
0000761742674 SARIATI Essential (primary) hypertension 1/11/2016 RSU IBNU SINA GRESIK 1
5/26/2016 RSU IBNU SINA GRESIK 1
0000762326526 KASINAH Essential (primary) hypertension 7/19/2016 RS SURYA MEDIKA 1
0001162014939 JINNIE AUDRA ANDRIANTb lung confirm sputum microscopy with or without culture 1/11/2016 RSU IBNU SINA GRESIK 1
0001162095063 nur hayati Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
0001261548145 Hj.KARSITI Hyperlipidaemia, unspecified 5/19/2016 RSU IBNU SINA GRESIK 1
0001290276246 MISTINI Non-insulin-depend diabetes mellitus without complication 5/31/2016 RSU IBNU SINA GRESIK 1
0001296383196 SUWARDI Non-insulin-depend diabetes mellitus without complication 3/29/2016 RSU IBNU SINA GRESIK 1
0001338541165 SULIYAH Non-insulin-depend diabetes mellitus without complication 6/1/2016 RS SURYA MEDIKA 1
0001444848502 ALI SAI'IN Anaemia, unspecified 5/11/2016 RSU IBNU SINA GRESIK 1
0001451133145 MUHAMMAD MUWAFIQAcute pharyngitis, unspecified 6/28/2016 RS PETROKIMIA GRESIK 1
Dengue haemorrhagic fever 3/5/2016 RS PETROKIMIA GRESIK 1
0001472892557 HARTONO Non-insulin-depend diabetes mellitus without complication 3/10/2016 RSU IBNU SINA GRESIK 1
0001812612071 ARIE SWANJAYA, SE Essential (primary) hypertension 7/1/2016 RS PETROKIMIA GRESIK 1
Other acute gastritis 7/20/2016 RS Petrokimia Driyorejo 1
0001822339899 BAMBANG SANTUSO Non-insulin-depend diabetes mellitus without complication 1/4/2016 RS Semen Gresik 1
0001838348436 suwandi Tension-type headache 5/10/2016 RSU IBNU SINA GRESIK 1
0001843041688 SRI ASEH Unspecified haemorrhoids without complication 6/24/2016 RSU IBNU SINA GRESIK 1
0001862117627 bambang surjanto Essential (primary) hypertension 6/2/2016 RSU IBNU SINA GRESIK 1
7/21/2016 RSU IBNU SINA GRESIK 1
0001864225945 ULFAH Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
0001904200334 sumani Non-insulin-depend diabetes mellitus without complication 1/2/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Primer Ada Tidak
0000085635347 MAFUHAH Non-insulin-depend diabetes mellitus without complication 3/12/2016 RS PETROKIMIA GRESIK 1
0000085637428 MARSO Essential (primary) hypertension 7/21/2016 RS PKU MUHAMMADIYAH S 1
0000085638622 RUSLAN DRS,MM. Hyperuricaem without sign inflamm arthritis+tophaceous dis 2/3/2016 RSU IBNU SINA GRESIK 1
0000085639072 SOETARNO SASTRO SOEWARNO Non-insulin-depend diabetes mellitus without complication 3/7/2016 RS PETROKIMIA GRESIK 1
0000085640196 YASRIFAH Essential (primary) hypertension 5/4/2016 RS FATHMA MEDIKA 1
0000098948981 KARTO Unspecified haemorrhoids without complication 5/23/2016 RSU IBNU SINA GRESIK 1
0000098949802 SITI SAADAH Asthma, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000098950667 AFTHON ADI A. Scabies 3/11/2016 RSU IBNU SINA GRESIK 1
0000098950691 NALURI AL SULARSO Tb lung confirm sputum microscopy with or without culture 2/10/2016 RS FATHMA MEDIKA 1
2/18/2016 RSU IBNU SINA GRESIK 1
0000098951141 SAHURI Impacted cerumen 3/23/2016 RSU IBNU SINA GRESIK 1
0000098951218 SANURI Pityriasis versicolor 8/25/2016 RSU IBNU SINA GRESIK 1
0000098951242 SARI UTOMO Generalized skin eruption due to drugs and medicaments 4/5/2016 RSU IBNU SINA GRESIK 1
0000098997941 NGATMUNTI Acute nasopharyngitis [common cold] 5/30/2016 RSU IBNU SINA GRESIK 1
0000099029092 ABDULLAH LUBAB Non-insulin-depend diabetes mellitus without complication 5/27/2016 RSU IBNU SINA GRESIK 1
0000099034378 HILMAN HASIBUR ROHMAN Bell's palsy 5/18/2016 RSU IBNU SINA GRESIK 1
0000099041488 TARMUAN Non-insulin-depend diabetes mellitus without complication 2/26/2016 RS PETROKIMIA GRESIK 1
0000099041499 SURYANI Essential (primary) hypertension 5/19/2016 RSU IBNU SINA GRESIK 1
6/24/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 2/26/2016 RS PETROKIMIA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 5/27/2016 RSU IBNU SINA GRESIK 1
0000099123298 M. BACHRUL ALAM THOHARI Scabies 5/13/2016 RSU IBNU SINA GRESIK 1
0000099189573 ZULFAH Asthma, unspecified 1/28/2016 RSU IBNU SINA GRESIK 1
5/19/2016 RSU IBNU SINA GRESIK 1
Typhoid fever 1/25/2016 RSU IBNU SINA GRESIK 1
0000099189584 NUR CHOLIS HUDA Bronchitis, not specified as acute or chronic 1/28/2016 RSU IBNU SINA GRESIK 1
0000099195895 ISTIADAH Viral warts 3/5/2016 RSU IBNU SINA GRESIK 1
0000099207472 MOKHAMAD YAHYA Essential (primary) hypertension 1/19/2016 RSU IBNU SINA GRESIK 1
0000099247274 EMY WIDIARSIH Essential (primary) hypertension 6/23/2016 RS FATHMA MEDIKA 1
0000099282969 GINARSIH . Urinary tract infection, site not specified 6/16/2016 RS FATHMA MEDIKA 1
0000211712163 DANIS DANIAL Scabies 2/2/2016 RSU IBNU SINA GRESIK 1
3/11/2016 RSU IBNU SINA GRESIK 1
0000762803559 ZUBAIDAH Essential (primary) hypertension 5/31/2016 RS PKU MUHAMMADIYAH S 1
6/14/2016 RS PKU MUHAMMADIYAH S 1
0000763505313 NAIM Bronchitis, not specified as acute or chronic 6/2/2016 RSU IBNU SINA GRESIK 1
0000763529466 ISMATUL KHOFIYAH Acute nasopharyngitis [common cold] 1/27/2016 RSU IBNU SINA GRESIK 1
0000763576694 MUSTIYANI Essential (primary) hypertension 8/4/2016 RSU IBNU SINA GRESIK 1
0000763743183 AHMAD FAHRI FEBRIANSYAH Cutaneous abscess, furuncle and carbuncle, unspecified 1/14/2016 RSU IBNU SINA GRESIK 1
0000763865291 WINARNING Essential (primary) hypertension 1/19/2016 RSU IBNU SINA GRESIK 1
0000764210867 YASIFAH Acute nasopharyngitis [common cold] 8/15/2016 RSU IBNU SINA GRESIK 1
0000764389361 ZAHROTUS SA'ADAH Tb lung confirm sputum microscopy with or without culture 6/29/2016 RSU IBNU SINA GRESIK 1
0000764769982 WATIKAH Acute nasopharyngitis [common cold] 6/24/2016 RSU IBNU SINA GRESIK 1
0001296635264 RAISAH NAJAHATUL HAYAH Cutaneous abscess, furuncle and carbuncle of neck 6/7/2016 RS PETROKIMIA GRESIK 1
Cutaneous abscess, furuncle and carbuncle of other sites 5/31/2016 RS PETROKIMIA GRESIK 1
0001472964131 AMANIYAH Essential (primary) hypertension 5/4/2016 RS PETROKIMIA GRESIK 1
0001544464765 M. ALI MUSTA'IN Scabies 4/6/2016 RSU IBNU SINA GRESIK 1
0001544464776 SITI AZIZAH Scabies 4/6/2016 RSU IBNU SINA GRESIK 1
0001809504876 matla'il Tinea corporis 5/13/2016 RSU IBNU SINA GRESIK 1
0001843456094 MELANI IMELDA WARDHANI Nonspecific lymphadenitis, unspecified 1/15/2016 RSU IBNU SINA GRESIK 1
0001843458963 AHMAD ATHOILLAH Bell's palsy 8/12/2016 RSU IBNU SINA GRESIK 1
0001844717062 AINURITA ANGRAINI Tb lung confirm sputum microscopy with or without culture 4/21/2016 RSU IBNU SINA GRESIK 1
0001858964117 basrikah Dermatitis, unspecified 4/22/2016 RS Semen Gresik 1
Alasan Rujukan
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000099039341 SARONTO Impacted cerumen 6/7/2016 RSU IBNU SINA GRESIK 1
0000099057273 M. IMRON ROSYADI CH Asthma, unspecified 7/20/2016 RS PETROKIMIA GRESIK 1
0000099131679 ACH. SJAFI'I Impacted cerumen 5/10/2016 RSU IBNU SINA GRESIK 1
0000099132579 KATIDJAN Essential (primary) hypertension 3/7/2016 RSU IBNU SINA GRESIK 1
0000099203444 SITI ASIYAH Impacted cerumen 4/23/2016 RSU IBNU SINA GRESIK 1
0000099216876 SUTIYAH Essential (primary) hypertension 1/12/2016 RSU IBNU SINA GRESIK 1
Varicose veins lower extremities without ulcer or inflamm 8/30/2016 RSU IBNU SINA GRESIK 1
0000196057416 BUDI WAHJONO Essential (primary) hypertension 3/1/2016 RS PETROKIMIA GRESIK 1
0000196057607 AHMAD TSALITS BUDI M.A. Typhoid fever 3/1/2016 RS PETROKIMIA GRESIK 1
0000201592899 AKBAR MAULANA JUDISTIRA Scabies 1/21/2016 RSU IBNU SINA GRESIK 1
0000761331835 YONO Acute nasopharyngitis [common cold] 3/2/2016 RSU IBNU SINA GRESIK 1
0000761334952 SUWOTO Essential (primary) hypertension 8/31/2016 RSU IBNU SINA GRESIK 1
0000761347438 JANI Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
0000761440983 AHMAD ALDI SAPUTRO Acute nasopharyngitis [common cold] 6/11/2016 RSU IBNU SINA GRESIK 1
0000761653078 NUR DALIPAH Viral warts 7/19/2016 RSU IBNU SINA GRESIK 1
0000761796639 ALIMAN Tb lung confirm sputum microscopy with or without culture 5/10/2016 RSU IBNU SINA GRESIK 1
0000761825968 MUHAMMAD RUSMADI Other acute gastritis 1/11/2016 RSU IBNU SINA GRESIK 1
0000761836048 JUMIATI Otitis media, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000761845138 Suratmi Hyperlipidaemia, unspecified 6/23/2016 RSU IBNU SINA GRESIK 1
0000761845217 NINIK SULISTYOWATI Urinary tract infection, site not specified 3/23/2016 RSU IBNU SINA GRESIK 1
0000761921054 MAJI Essential (primary) hypertension 2/19/2016 RSU IBNU SINA GRESIK 1
0000761934407 WARI Unspecified haemorrhoids without complication 2/16/2016 RSU IBNU SINA GRESIK 1
0000761958358 arifin Essential (primary) hypertension 8/29/2016 RSU IBNU SINA GRESIK 1
0000762174459 NARTO Bronchitis, not specified as acute or chronic 2/1/2016 RSU IBNU SINA GRESIK 1
0000762230079 MAPSIYAH Anaemia, unspecified 2/4/2016 RSU IBNU SINA GRESIK 1
0000762338788 MUSTAKIM Viral warts 2/24/2016 RSU IBNU SINA GRESIK 1
0000762447262 SUWITO Hyperlipidaemia, unspecified 6/18/2016 RSU IBNU SINA GRESIK 1
0000762714494 KANTI Essential (primary) hypertension 8/23/2016 RSU IBNU SINA GRESIK 1
0001047505667 YASTIK Essential (primary) hypertension 8/19/2016 RSU IBNU SINA GRESIK 1
0001047505702 KASIATUN Hyperlipidaemia, unspecified 3/2/2016 RSU IBNU SINA GRESIK 1
0001047508007 MUNAIYAH Tb lung confirm sputum microscopy with or without culture 6/30/2016 RSU IBNU SINA GRESIK 1
0001047508097 NI'MATUL FUDLA . Essential (primary) hypertension 8/30/2016 RSU IBNU SINA GRESIK 1
0001131784481 SAIFUR ROHMAN Acute nasopharyngitis [common cold] 4/26/2016 RSU IBNU SINA GRESIK 1
0001272570963 nur lailah Essential (primary) hypertension 2/10/2016 RSU IBNU SINA GRESIK 1
0001313740484 MOH DALIL Internal haemorrhoids without complication 3/1/2016 RSU IBNU SINA GRESIK 1
0001326936216 MOHAMMAD USIN Bronchitis, not specified as acute or chronic 1/20/2016 RSU IBNU SINA GRESIK 1
0001388477002 Drs. ALI KAIDAR, Allergic rhinitis, unspecified 3/4/2016 RSU IBNU SINA GRESIK 1
0001446806878 SUPARTI Non-insulin-depend diabetes mellitus without complication 2/9/2016 RSU IBNU SINA GRESIK 1
0001450464366 LIKFAH Urinary tract infection, site not specified 2/17/2016 RSU IBNU SINA GRESIK 1
0001451571636 MAHMUDAH Non-insulin-depend diabetes mellitus without complication 5/23/2016 RSU IBNU SINA GRESIK 1
0001462049627 SURO Non-insulin-depend diabetes mellitus without complication 1/28/2016 KLINIK MATA UTAMA 1
0001539181361 MUHAMMAD YADI Benign lipomatous neoplasm, unspecified 5/4/2016 RS PETROKIMIA GRESIK 1
0001787716179 mohammad wildanun mukholTyphoid fever 8/20/2016 RSU IBNU SINA GRESIK 1
0001788628015 MAHSUNI Otitis media, unspecified 8/19/2016 RS PETROKIMIA GRESIK 1
8/29/2016 RS PETROKIMIA GRESIK 1
0001837445859 SA'AT Non-insulin-depend diabetes mellitus without complication 1/30/2016 RS PETROKIMIA GRESIK 1
0001860968439 muhammad nabil salimuddin Bronchitis, not specified as acute or chronic 1/4/2016 RSU IBNU SINA GRESIK 1
0001866681099 NUR CHOLIFAH Non-insulin-depend diabetes mellitus without complication 2/13/2016 RS PETROKIMIA GRESIK 1
3/12/2016 RS PETROKIMIA GRESIK 1
8/6/2016 RS PETROKIMIA GRESIK 1
0001874226352 SUKADI Essential (primary) hypertension 6/18/2016 RSU IBNU SINA GRESIK 1
0001895423073 yatemi Non-insulin-depend diabetes mellitus without complication 1/9/2016 RSU IBNU SINA GRESIK 1
0001898105062 SENI Erysipelas 8/13/2016 RSU IBNU SINA GRESIK 1
0001904877988 KAMIYAH Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS Semen Gresik 1
3/23/2016 RS Semen Gresik 1
0002043341526 siti aminah Bell's palsy 4/19/2016 RS PETROKIMIA GRESIK 1
0002046246693 UMU MULIANA Noninfective gastroenteritis and colitis, unspecified 5/31/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098911348 SUFA'AT Essential (primary) hypertension 1/20/2016 RS PETROKIMIA GRESIK 1
3/16/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 5/18/2016 RS PETROKIMIA GRESIK 1
0000098920541 YASSAR AHMAD Scabies 4/9/2016 RSU IBNU SINA GRESIK 1
0000098934939 NADHIFA ZAMRUDA TSANI Bronchitis, not specified as acute or chronic 4/30/2016 RSU IBNU SINA GRESIK 1
0000098959803 M. LUTHFI Vasomotor rhinitis 3/31/2016 RS PETROKIMIA GRESIK 1
0000098980907 SISWINARTIN Essential (primary) hypertension 6/21/2016 RSU IBNU SINA GRESIK 1
0000099089818 UMI KALSUM Tinea corporis 8/25/2016 RSU IBNU SINA GRESIK 1
0000099091506 SITI ASIYAH Essential (primary) hypertension 2/18/2016 RSU IBNU SINA GRESIK 1
0000099096917 MISRANI Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0000099111745 MOHAMMAD HARIADI Tb lung confirm sputum microscopy with or without culture 6/27/2016 RS Semen Gresik 1
0000099123862 ERMINADJI Essential (primary) hypertension 4/5/2016 RS PETROKIMIA GRESIK 1
0000099124165 SRI EMIATI Urinary tract infection, site not specified 4/12/2016 RS PETROKIMIA GRESIK 1
0000099148015 D. MUKARROMAH Essential (primary) hypertension 4/21/2016 RSU IBNU SINA GRESIK 1
0000099155349 SOEPADMI Non-insulin-depend diabetes mellitus without complication 3/22/2016 RSU IBNU SINA GRESIK 1
0000099157476 ZAITUNAH Essential (primary) hypertension 3/3/2016 RS PETROKIMIA GRESIK 1
Hyperlipidaemia, unspecified 1/21/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/24/2016 RS PETROKIMIA GRESIK 1
0000099258399 AZIMATUL ANIFAH Bell's palsy 1/27/2016 RS PETROKIMIA GRESIK 1
2/15/2016 RS PETROKIMIA GRESIK 1
2/22/2016 RS PETROKIMIA GRESIK 1
3/28/2016 RS PETROKIMIA GRESIK 1
4/21/2016 RS PETROKIMIA GRESIK 1
5/2/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 4/20/2016 RS PETROKIMIA GRESIK 1
0000099292645 MUSLIH Cutaneous abscess, furuncle and carbuncle of neck 6/14/2016 RS PETROKIMIA GRESIK 1
0000101184748 MASIJAH JD Non-insulin-depend diabetes mellitus without complication 1/14/2016 RSU IBNU SINA GRESIK 1
0000101213109 LEGIMAH Essential (primary) hypertension 3/5/2016 RSU IBNU SINA GRESIK 1
0000162736165 SUNARIYATI Essential (primary) hypertension 6/16/2016 RSU IBNU SINA GRESIK 1
0000197596001 M RESAN EFENDI Hyperlipidaemia, unspecified 4/22/2016 RS PETROKIMIA GRESIK 1
Hyperuricaem without sign inflamm arthritis+tophaceous dis 7/21/2016 RS PETROKIMIA GRESIK 1
0000762006881 KARTINING Non-insulin-depend diabetes mellitus without complication 7/11/2016 RSU IBNU SINA GRESIK 1
0000762028659 SITI ROMLAH Seborrhoeic dermatitis, unspecified 5/11/2016 RS PETROKIMIA GRESIK 1
0000762043691 LILIK SHOLICHAH Non-insulin-depend diabetes mellitus without complication 3/18/2016 RS Muhammadiyah Gresik 1
0000762359433 EKA ROSYIDA ANSHORI Acute nasopharyngitis [common cold] 8/2/2016 RSU IBNU SINA GRESIK 1
0000762445574 MUSLICHAH Essential (primary) hypertension 1/28/2016 RSU IBNU SINA GRESIK 1
5/9/2016 RSU IBNU SINA GRESIK 1
0000762490361 UMI KALSUM Unspecified haemorrhoids without complication 5/4/2016 RSU IBNU SINA GRESIK 1
0000763579337 HIDAYATUL ILMI Seborrhoeic dermatitis, unspecified 5/23/2016 RS PETROKIMIA GRESIK 1
0000764159174 FITRIA NINGSIH Acute nasopharyngitis [common cold] 6/30/2016 RSU IBNU SINA GRESIK 1
0000764163415 NUR FAIZAH. Internal haemorrhoids without complication 2/9/2016 RSU IBNU SINA GRESIK 1
0001131725327 JAMIUL FAWAID Dermatitis, unspecified 3/8/2016 RS PETROKIMIA GRESIK 1
Seborrhoeic dermatitis, unspecified 2/29/2016 RS PETROKIMIA GRESIK 1
Tinea cruris 2/15/2016 RS PETROKIMIA GRESIK 1
0001175754172 MARSANISWADWISANIA Typhoid fever 7/26/2016 RS Muhammadiyah Gresik 1
0001261357626 AMANDA PUTRI PRATAMA Typhoid fever 7/18/2016 RS Muhammadiyah Gresik 1
0001261682651 JUMANI Non-insulin-depend diabetes mellitus without complication 2/2/2016 RS PETROKIMIA GRESIK 1
2/19/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
3/15/2016 RS PETROKIMIA GRESIK 1
0001262204559 BAMBANG NUGROHO Asthma, unspecified 3/7/2016 RS PETROKIMIA GRESIK 1
3/14/2016 RS PETROKIMIA GRESIK 1
0001263617199 SOEPARMAN DRS Acute pharyngitis, unspecified 4/21/2016 RS PETROKIMIA GRESIK 1
0001264312247 ASMA'UL KHUSNAH Non-insulin-depend diabetes mellitus without complication 4/21/2016 RS PETROKIMIA GRESIK 1
0001264710947 MOELYONO Essential (primary) hypertension 7/25/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/7/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
4/7/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0001264711702 MUSIYAH Essential (primary) hypertension 4/7/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 3/10/2016 RS PETROKIMIA GRESIK 1
4/26/2016 RS PETROKIMIA GRESIK 1
Urinary tract infection, site not specified 7/21/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0001265312698 NUR DJANAH Non-insulin-depend diabetes mellitus without complication 3/17/2016 RS PETROKIMIA GRESIK 1
6/14/2016 RS PETROKIMIA GRESIK 1
0001266927309 HISYAM ROSYID Hyperlipidaemia, unspecified 2/11/2016 RS PETROKIMIA GRESIK 1
0001266940337 ZULKARNAIN MASRI Bronchitis, not specified as acute or chronic 5/23/2016 RSU IBNU SINA GRESIK 1
0001268101517 MASFUFAH Non-insulin-depend diabetes mellitus without complication 3/31/2016 RS PETROKIMIA GRESIK 1
7/28/2016 RS PETROKIMIA GRESIK 1
0001268127538 MAT RAKIM Non-insulin-depend diabetes mellitus without complication 2/1/2016 RS Muhammadiyah Gresik 1
0001270144732 NANIK ZULAIHAH Asthma, unspecified 4/2/2016 RS PETROKIMIA GRESIK 1
4/20/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/22/2016 RS PETROKIMIA GRESIK 1
Urinary tract infection, site not specified 4/29/2016 RS PETROKIMIA GRESIK 1
0001272784454 MISDARYATI Non-insulin-depend diabetes mellitus without complication 1/28/2016 RS PETROKIMIA GRESIK 1
2/4/2016 RS PETROKIMIA GRESIK 1
0001273236759 NING MARIATI Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
1/28/2016 RS PETROKIMIA GRESIK 1
0001274595805 TRI WIJAYANTI Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
0001275836534 SAMIN Asthma, unspecified 4/2/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 4/4/2016 RS PETROKIMIA GRESIK 1
0001275870317 MARDIANAH Non-insulin-depend diabetes mellitus without complication 6/14/2016 RS PETROKIMIA GRESIK 1
0001305362575 ACH. SJAMSURI Essential (primary) hypertension 2/5/2016 RS PETROKIMIA GRESIK 1
0001313163652 MIMIK FARIDA, Dra Bronchitis, not specified as acute or chronic 1/2/2016 RSU IBNU SINA GRESIK 1
Typhoid fever 4/2/2016 RS PETROKIMIA GRESIK 1
0001316226655 AMINAH Non-insulin-depend diabetes mellitus without complication 2/19/2016 RS PETROKIMIA GRESIK 1
0001321112338 SITI FATIYAH Non-insulin-depend diabetes mellitus without complication 3/15/2016 RS PETROKIMIA GRESIK 1
6/28/2016 RS PETROKIMIA GRESIK 1
7/26/2016 RS PETROKIMIA GRESIK 1
0001323430288 SAHURI ALIMAN Essential (primary) hypertension 1/13/2016 RS PETROKIMIA GRESIK 1
3/14/2016 RS PETROKIMIA GRESIK 1
0001328599855 SUWATI Non-insulin-depend diabetes mellitus without complication 3/24/2016 RS PETROKIMIA GRESIK 1
0001380024257 BAGUS YULIANTO Bronchitis, not specified as acute or chronic 2/17/2016 RS Muhammadiyah Gresik 1
0001384870814 nur hidayah Non-insulin-depend diabetes mellitus without complication 3/12/2016 RS PETROKIMIA GRESIK 1
3/22/2016 RS PETROKIMIA GRESIK 1
5/10/2016 RS PETROKIMIA GRESIK 1
0001423586103 CHUSNUL FUAD Tinea corporis 7/26/2016 RSU IBNU SINA GRESIK 1
0001433262554 HJ. AMININ Essential (primary) hypertension 1/21/2016 RS Muhammadiyah Gresik 1
0001444954847 D SOENARDI Anaemia, unspecified 7/22/2016 RSU IBNU SINA GRESIK 1
Tb lung confirm sputum microscopy with or without culture 8/25/2016 RSU IBNU SINA GRESIK 1
0001452722859 nur hidayah Essential (primary) hypertension 4/28/2016 RS Muhammadiyah Gresik 1
0001477537187 MASITA Hyperlipidaemia, unspecified 2/17/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/2/2016 RS PETROKIMIA GRESIK 1
0001480098598 abdul rachman Non-insulin-depend diabetes mellitus without complication 2/17/2016 RSU IBNU SINA GRESIK 1
0001482854512 H ASFIYAH Hyperlipidaemia, unspecified 6/20/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/21/2016 RS PETROKIMIA GRESIK 1
2/19/2016 RS PETROKIMIA GRESIK 1
4/4/2016 RS PETROKIMIA GRESIK 1
5/4/2016 RS PETROKIMIA GRESIK 1
Nonspecific lymphadenitis, unspecified 4/6/2016 RS PETROKIMIA GRESIK 1
Other acute gastritis 8/4/2016 RSU IBNU SINA GRESIK 1
0001482855355 H ICHSAN Impacted cerumen 3/10/2016 RS PETROKIMIA GRESIK 1
6/1/2016 RS PETROKIMIA GRESIK 1
0001536516011 M. Maulana Ramzy Dhia'ulhaq Pityriasis versicolor 3/16/2016 RSU IBNU SINA GRESIK 1
0001676910936 Bustanul Arifin Hyperlipidaemia, unspecified 6/15/2016 RS Muhammadiyah Gresik 1
0001786510449 ISMARINI Bell's palsy 8/3/2016 RS PETROKIMIA GRESIK 1
0001789063558 tubir Essential (primary) hypertension 2/17/2016 RS PETROKIMIA GRESIK 1
2/22/2016 RS PETROKIMIA GRESIK 1
4/18/2016 RS PETROKIMIA GRESIK 1
0001793183218 nur hayati Acute laryngitis 1/13/2016 RS PETROKIMIA GRESIK 1
1/20/2016 RS PETROKIMIA GRESIK 1
0001793852087 saifuddin zuhri Non-insulin-depend diabetes mellitus without complication 3/16/2016 RSU IBNU SINA GRESIK 1
0001807332917 tasriful firri Asthma, unspecified 5/7/2016 RS PETROKIMIA GRESIK 1
0001820857735 rofi'ih Essential (primary) hypertension 8/8/2016 RS Muhammadiyah Gresik 1
0001845331042 HJ. ARMA'ATUS SUKRIYAH Bell's palsy 1/28/2016 RS Semen Gresik 1
0001845826582 SITI FATHONAH Essential (primary) hypertension 2/15/2016 RS PETROKIMIA GRESIK 1
0001859506389 AKA CAHAYA PUTRI zaira Acute nasopharyngitis [common cold] 4/12/2016 RSU IBNU SINA GRESIK 1
0001861730638 nufail agung alfalah Redundant prepuce, phimosis and paraphimosis 3/23/2016 RS Semen Gresik 1
0001890910271 A FATHONY CHAMDIN MULYONO Anaemia, unspecified 4/8/2016 RSU IBNU SINA GRESIK 1
4/14/2016 RSU IBNU SINA GRESIK 1
0001898851116 H. MUSTHOFA TAMIM Essential (primary) hypertension 7/27/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/26/2016 RS PETROKIMIA GRESIK 1
0001966981735 DJAZULI Essential (primary) hypertension 3/17/2016 RS PETROKIMIA GRESIK 1
6/13/2016 RSU IBNU SINA GRESIK 1
0002034496124 sholihin Non-insulin-depend diabetes mellitus without complication 8/25/2016 RS DENISA 1
0002046931661 MOH. SALAM Essential (primary) hypertension 4/21/2016 RSU IBNU SINA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/12/2016 RS Muhammadiyah Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000099185512 MAR'AMAH Non-insulin-depend diabetes mellitus without complication 4/7/2016 RS PETROKIMIA GRESIK 1
0000099203128 SUWADJI Benign lipomatous neoplasm, unspecified 7/20/2016 RS FATHMA MEDIKA 1
0000099204557 SUHAR Anaemia, unspecified 6/24/2016 RSU IBNU SINA GRESIK 1
0000099209261 ABDUL FATAH Acute pharyngitis, unspecified 3/23/2016 RS PETROKIMIA GRESIK 1
0000099220724 SUTARSO Essential (primary) hypertension 5/11/2016 RSU IBNU SINA GRESIK 1
0000099271664 NANAIK PERTIWI Non-insulin-depend diabetes mellitus without complication 7/20/2016 RS PETROKIMIA GRESIK 1
0000761113438 LILIK FAUZIAH Nonspecific lymphadenitis, unspecified 6/3/2016 RSU IBNU SINA GRESIK 1
0000762380245 WARNO Impacted cerumen 8/30/2016 RSU IBNU SINA GRESIK 1
0000762908231 AZIZ Tb lung confirm sputum microscopy with or without culture 7/30/2016 RSU IBNU SINA GRESIK 1
0000762954164 DULAHMAD Essential (primary) hypertension 5/30/2016 RSU IBNU SINA GRESIK 1
0000763174754 SUGIHARTI Asthma, unspecified 4/18/2016 RS FATHMA MEDIKA 1
0000763504457 NUR AZIZAH Non-insulin-depend diabetes mellitus without complication 3/16/2016 RSU IBNU SINA GRESIK 1
0000763526147 SITI MUNILAH Tb lung confirm sputum microscopy with or without culture 8/29/2016 RSU IBNU SINA GRESIK 1
0000763580272 ALFIAN FAIZ RAMADHAN Acute nasopharyngitis [common cold] 4/19/2016 RSU IBNU SINA GRESIK 1
0000763927795 MURIB Unspecified haemorrhoids without complication 1/4/2016 RSU IBNU SINA GRESIK 1
0000764065923 SUCI Urinary tract infection, site not specified 4/21/2016 RSU IBNU SINA GRESIK 1
5/31/2016 RSU IBNU SINA GRESIK 1
0000764934928 YULIANA Inflammatory disorders of breast 1/12/2016 RSU IBNU SINA GRESIK 1
0001047567993 MUQIM Bell's palsy 8/22/2016 RSU IBNU SINA GRESIK 1
0001193379849 rahmatullah rifqi augusta, st Non-insulin-depend diabetes mellitus without complication 6/17/2016 RS Semen Gresik 1
0001279214357 ACHMAD TEGAR AL AYMAN Nonspecific lymphadenitis, unspecified 5/9/2016 RSU IBNU SINA GRESIK 1
0001673904789 MUHAMMAD HIBATULLAH RA Acute nasopharyngitis [common cold] 4/21/2016 RSU IBNU SINA GRESIK 1
0001868733562 ASFIROH Essential (primary) hypertension 4/25/2016 RSU IBNU SINA GRESIK 1
0001871636196 axelia humairah as-salma Hookworm disease, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0001877265382 ZUMROTIN Non-insulin-depend diabetes mellitus without complication 4/8/2016 RSU IBNU SINA GRESIK 1
0001881895667 keanu akbar al ayyubi Febrile convulsions 8/25/2016 RS FATHMA MEDIKA 1
0001885094774 ANTIMAH Nummular dermatitis 1/13/2016 RSU IBNU SINA GRESIK 1
0001890787926 adzkia angieta fitrotul jannah Anaemia, unspecified 4/18/2016 RSU IBNU SINA GRESIK 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098983563 BARDANI Non-insulin-depend diabetes mellitus without complication 8/12/2016 RS Muhammadiyah Gresik 1
0000098985385 MASFIYAH Essential (primary) hypertension 8/20/2016 RS Muhammadiyah Gresik 1
0000098985925 MUHAMMAD MINWARI Non-insulin-depend diabetes mellitus without complication 8/20/2016 RS Muhammadiyah Gresik 1
0000098986511 NUZULA Bronchitis, not specified as acute or chronic 3/26/2016 RSU IBNU SINA GRESIK 1
0000098986612 R ABD RAHMAN Essential (primary) hypertension 8/9/2016 RSU IBNU SINA GRESIK 1
0000098987422 DIAS VINA WASILAH Otitis media, unspecified 8/9/2016 RS Semen Gresik 1
0000099028923 ABD. SYUKUR Essential (primary) hypertension 2/24/2016 RS Semen Gresik 1
0000099033309 HORRIJAH Non-insulin-depend diabetes mellitus without complication 4/5/2016 RSU IBNU SINA GRESIK 1
0000099179425 KOMARIYAH Hyperlipidaemia, unspecified 8/9/2016 RS PETROKIMIA GRESIK 1
0000099179436 MOH. ARABI Non-insulin-depend diabetes mellitus without complication 4/5/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0000099179684 MACHMOED.MS Hyperlipidaemia, unspecified 4/4/2016 RSU IBNU SINA GRESIK 1
0000099199506 HALIPA Urinary tract infection, site not specified 7/16/2016 RSU IBNU SINA GRESIK 1
0000099233673 MOH ALWI Hyperlipidaemia, unspecified 3/11/2016 RSU IBNU SINA GRESIK 1
0000099238983 SITI MARYAM Allergic rhinitis, unspecified 8/8/2016 RS PETROKIMIA GRESIK 1
0000099239556 ZAIRASI Hyperlipidaemia, unspecified 2/4/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/7/2016 RS PETROKIMIA GRESIK 1
3/10/2016 RS PETROKIMIA GRESIK 1
7/2/2016 RS PETROKIMIA GRESIK 1
0000099272046 MUH ALI HANAFIAH Non-insulin-depend diabetes mellitus without complication 8/29/2016 RS PETROKIMIA GRESIK 1
0000099272057 NURMALA Non-insulin-depend diabetes mellitus without complication 8/29/2016 RS PETROKIMIA GRESIK 1
0000099272226 TABRANI Essential (primary) hypertension 7/22/2016 RSU IBNU SINA GRESIK 1
0000194854094 M. ROBBY BADRIAWAN Allergic rhinitis, unspecified 5/19/2016 RSU IBNU SINA GRESIK 1
0000198539155 ABDUL BASIT Non-insulin-depend diabetes mellitus without complication 2/10/2016 RS PETROKIMIA GRESIK 1
3/15/2016 RS PETROKIMIA GRESIK 1
0000205497202 MOCH. LAMRI Non-insulin-depend diabetes mellitus without complication 3/24/2016 RS PETROKIMIA GRESIK 1
0000762845242 MALIYAH Unspecified haemorrhoids without complication 5/20/2016 RSU IBNU SINA GRESIK 1
0000763843869 MARYAM Non-insulin-depend diabetes mellitus without complication 5/16/2016 RSU IBNU SINA GRESIK 1
5/18/2016 RS Semen Gresik 1
0000764282474 SAFIYAH Acute pharyngitis, unspecified 1/28/2016 RSU IBNU SINA GRESIK 1
0000764482511 MUKAFI Tb lung confirm sputum microscopy with or without culture 3/29/2016 RSU IBNU SINA GRESIK 1
0001267517799 TIYAS TUTI NINGSIH Dermatitis, unspecified 8/4/2016 RSU IBNU SINA GRESIK 1
0001464929234 SUMAJI Bronchitis, not specified as acute or chronic 1/27/2016 RSU IBNU SINA GRESIK 1
0001472725956 AINUL MALA Non-insulin-depend diabetes mellitus without complication 3/23/2016 RS Semen Gresik 1
0001720822948 SUNARTI Acute nasopharyngitis [common cold] 6/2/2016 RSU IBNU SINA GRESIK 1
0001721738665 FUAD Non-insulin-depend diabetes mellitus without complication 7/26/2016 RSU IBNU SINA GRESIK 1
0001849008418 H. KEMAS MOH. NASIR Bronchitis, not specified as acute or chronic 4/12/2016 RS PETROKIMIA GRESIK 1
0001849009162 BIDAYAH BINTI BAIDAWI Non-insulin-depend diabetes mellitus without complication 2/2/2016 RS PETROKIMIA GRESIK 1
2/16/2016 RS PETROKIMIA GRESIK 1
0001904286249 RAWI Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS Semen Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000098950781 ARIF AFANDI Essential (primary) hypertension 4/8/2016 RS PETROKIMIA GRESIK 1
0000098989198 MOCH ZUHRON Tb lung confirm sputum microscopy with or without culture 8/25/2016 RSU IBNU SINA GRESIK 1
0000098989907 SUMAROH Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
2/25/2016 RS PETROKIMIA GRESIK 1
3/22/2016 RS PETROKIMIA GRESIK 1
4/19/2016 RS PETROKIMIA GRESIK 1
8/9/2016 RS PETROKIMIA GRESIK 1
0000098991009 SUMARTINI Essential (primary) hypertension 6/4/2016 RSU IBNU SINA GRESIK 1
0000099015006 KADERI Hyperlipidaemia, unspecified 1/13/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 2/17/2016 RS PETROKIMIA GRESIK 1
4/6/2016 RS PETROKIMIA GRESIK 1
7/20/2016 RS PETROKIMIA GRESIK 1
0000099016402 HENDRO ADI WIBOWO Impacted cerumen 1/29/2016 RS PETROKIMIA GRESIK 1
0000099056158 MOCH SYARONI Non-insulin-depend diabetes mellitus without complication 1/30/2016 RS PETROKIMIA GRESIK 1
7/15/2016 RS PETROKIMIA GRESIK 1
0000099056169 AINUN MAWASIF Hyperlipidaemia, unspecified 7/15/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 1/30/2016 RS PETROKIMIA GRESIK 1
0000099070042 JAZILATUR ROHMAH Asthma, unspecified 2/3/2016 RS PETROKIMIA GRESIK 1
2/29/2016 RS PETROKIMIA GRESIK 1
8/20/2016 RS PETROKIMIA GRESIK 1
0000099114941 RIJANI DJUWATI NY Non-insulin-depend diabetes mellitus without complication 4/19/2016 RS PETROKIMIA GRESIK 1
0000099175217 ASEMAT Essential (primary) hypertension 1/15/2016 RS PETROKIMIA GRESIK 1
0000099182812 ACHMAD HIDAJAT Impacted cerumen 5/30/2016 RSU IBNU SINA GRESIK 1
0000099182867 ACHMAD MUNIR Essential (primary) hypertension 4/27/2016 RSU IBNU SINA GRESIK 1
0000099183047 BAGIJONO Impacted cerumen 7/28/2016 RSU IBNU SINA GRESIK 1
0000099184318 NUR AISJAH Essential (primary) hypertension 2/11/2016 RSU IBNU SINA GRESIK 1
0000099184421 ROFIAH JD Essential (primary) hypertension 1/15/2016 RSU IBNU SINA GRESIK 1
0000099185051 SUN'AN Essential (primary) hypertension 5/2/2016 RSU IBNU SINA GRESIK 1
0000099195906 ALIFAH Pneumonia, unspecified 4/13/2016 RS PETROKIMIA GRESIK 1
0000099197908 DEWI CHOLILAH Essential (primary) hypertension 3/8/2016 RSU IBNU SINA GRESIK 1
0000099199539 HANIAH Essential (primary) hypertension 5/30/2016 RSU IBNU SINA GRESIK 1
0000099199563 ALI MUSTHOFA Essential (primary) hypertension 8/15/2016 RSU IBNU SINA GRESIK 1
0000099205029 MARWAN Essential (primary) hypertension 2/24/2016 RSU IBNU SINA GRESIK 1
0000099207336 SITI UMAYAROH Asthma, unspecified 5/11/2016 RSU IBNU SINA GRESIK 1
0000099208888 MUNAWAROH Non-insulin-depend diabetes mellitus without complication 5/24/2016 RS PETROKIMIA GRESIK 1
6/1/2016 RS PETROKIMIA GRESIK 1
6/29/2016 RS PETROKIMIA GRESIK 1
7/22/2016 RS PETROKIMIA GRESIK 1
0000099214661 SITI ASIJAH Bronchitis, not specified as acute or chronic 1/5/2016 RSU IBNU SINA GRESIK 1
0000099220419 SURACHMAN Essential (primary) hypertension 2/17/2016 RSU IBNU SINA GRESIK 1
0000099223018 UMI HANI LESTARI Hyperuricaem without sign inflamm arthritis+tophaceous dis 1/25/2016 RSU IBNU SINA GRESIK 1
0000099233357 MIFTAKHUL ADHIM Allergic rhinitis, unspecified 3/2/2016 RSU IBNU SINA GRESIK 1
0000099233717 MOH FATIKHUDDIN Essential (primary) hypertension 2/12/2016 RS Semen Gresik 1
0000099274061 zaenul muttaqin Hyperlipidaemia, unspecified 2/4/2016 RS PETROKIMIA GRESIK 1
2/11/2016 RS PETROKIMIA GRESIK 1
7/27/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 7/22/2016 RS PETROKIMIA GRESIK 1
0000099280012 SRI RAHAYUNINGSIH Bronchitis, not specified as acute or chronic 5/24/2016 RSU IBNU SINA GRESIK 1
0000142357544 M. MOH. HANIF Essential (primary) hypertension 6/22/2016 RSU IBNU SINA GRESIK 1
0000148718788 BILQIS AULIA TSANI NURSE Impacted cerumen 7/14/2016 RSU IBNU SINA GRESIK 1
0000199789299 ABDUL HARIST Unspecified haemorrhoids without complication 7/29/2016 RS PETROKIMIA GRESIK 1
0000204571372 NUR ABRORI RAHMAWATI Acute nasopharyngitis [common cold] 6/14/2016 RSU IBNU SINA GRESIK 1
0000761472674 arwan Tb lung confirm sputum microscopy with or without culture 5/3/2016 RS FATHMA MEDIKA 1
0000762010558 MOH. IKHWAN Acute nasopharyngitis [common cold] 2/5/2016 RSU IBNU SINA GRESIK 1
0000762011774 QONITAH Anaemia, unspecified 1/21/2016 RS PETROKIMIA GRESIK 1
0000762120202 NURKHAMID Essential (primary) hypertension 7/28/2016 RSU IBNU SINA GRESIK 1
0000762151937 ANISSA DWI PUSPITASARI Acute nasopharyngitis [common cold] 3/1/2016 RSU IBNU SINA GRESIK 1
Tb lung confirm sputum microscopy with or without culture 3/30/2016 RSU IBNU SINA GRESIK 1
0000762482935 MUJIONO Acute nasopharyngitis [common cold] 6/21/2016 RSU IBNU SINA GRESIK 1
0000762483161 SHOFIYATUN NI'MAH Pyoderma 5/21/2016 RSU IBNU SINA GRESIK 1
0000762781083 CHINTYA SURAZAH AYU R Molluscum contagiosum 4/18/2016 RSU IBNU SINA GRESIK 1
0000762784918 AWANAH Acute nasopharyngitis [common cold] 5/10/2016 RSU IBNU SINA GRESIK 1
0000762867123 ASYROFI MAULANA AL ABRO Nonspecific lymphadenitis, unspecified 2/26/2016 RSU IBNU SINA GRESIK 1
0000762867966 KUDOR Essential (primary) hypertension 5/16/2016 RSU IBNU SINA GRESIK 1
0000762888442 laili MASRUROH Acute nasopharyngitis [common cold] 8/24/2016 RSU IBNU SINA GRESIK 1
0000762919795 AHMAD MISBAH Essential (primary) hypertension 2/15/2016 RSU IBNU SINA GRESIK 1
0000762953455 ZULAILIK Acute nasopharyngitis [common cold] 1/6/2016 RSU IBNU SINA GRESIK 1
0000762983695 TALIKAH Essential (primary) hypertension 6/1/2016 RSU IBNU SINA GRESIK 1
0000762986902 MUJIONO Tb lung confirm sputum microscopy with or without culture 4/22/2016 RSU IBNU SINA GRESIK 1
0000763054929 LASMI Urinary tract infection, site not specified 3/16/2016 RSU IBNU SINA GRESIK 1
0000763169613 ALIKAH Non-insulin-depend diabetes mellitus without complication 4/28/2016 RS PETROKIMIA GRESIK 1
0000763451739 KASTAIR Essential (primary) hypertension 8/16/2016 RS PKU MUHAMMADIYAH SE 1
0000763558569 SUPENO JUDIN Essential (primary) hypertension 8/5/2016 RSU IBNU SINA GRESIK 1
0000763558694 SULISWATI Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0000763595076 AMIRUL Benign lipomatous neoplasm, unspecified 6/29/2016 RSU IBNU SINA GRESIK 1
0000763632786 MUHAMMAD SAIIN Non-insulin-depend diabetes mellitus without complication 6/22/2016 RSU IBNU SINA GRESIK 1
0000763680712 NIKHLATUL MUFIDAH Cutaneous abscess, furuncle and carbuncle, unspecified 6/29/2016 RS FATHMA MEDIKA 1
0000763719805 CHOIRIYAH Essential (primary) hypertension 7/12/2016 RS PKU MUHAMMADIYAH SE 1
7/19/2016 RS PKU MUHAMMADIYAH SE 1
0000763733507 MUHAMMAD UBAIDILLAH Acute nasopharyngitis [common cold] 5/16/2016 RSU IBNU SINA GRESIK 1
0000763914262 NUR SA'ADAH Inflammatory disorders of breast 5/27/2016 RS Muhammadiyah Gresik 1
0000763979499 YATI Tb lung confirm sputum microscopy with or without culture 8/8/2016 RSU IBNU SINA GRESIK 1
0000764042916 KHOIRIYAH . Bronchitis, not specified as acute or chronic 6/22/2016 RSU IBNU SINA GRESIK 1
0000764121363 SITI JUWARIYAH Essential (primary) hypertension 7/23/2016 RSU IBNU SINA GRESIK 1
0000764166835 NUR LAILIYAH Seborrhoeic dermatitis, unspecified 5/11/2016 RSU IBNU SINA GRESIK 1
0001047557395 MOHAMMAD SA'DUL KHOLQ
Impacted cerumen 2/26/2016 RSU IBNU SINA GRESIK 1
0001047560141 SU`AIFI Benign lipomatous neoplasm, unspecified 4/4/2016 RS FATHMA MEDIKA 1
0001227288699 AHMAD HUAWIDI Asthma, unspecified 2/24/2016 RS FATHMA MEDIKA 1
2/25/2016 RSU IBNU SINA GRESIK 1
0001261059412 H. ABDUL RO'UF Essential (primary) hypertension 2/4/2016 RSU IBNU SINA GRESIK 1
0001274135286 IKE YULIA FITRI Otitis media, unspecified 1/15/2016 RSU IBNU SINA GRESIK 1
0001290495115 SUTRISNO HADI Non-insulin-depend diabetes mellitus without complication 8/2/2016 RS PETROKIMIA GRESIK 1
0001307821239 muhammad isyroq baharudd
Pyoderma 5/7/2016 RSU IBNU SINA GRESIK 1
0001314457659 HJ. SITI ULFAH Asthma, unspecified 4/20/2016 RS PETROKIMIA GRESIK 1
0001430016445 HJ. UMYANAH Bronchitis, not specified as acute or chronic 1/21/2016 RSU IBNU SINA GRESIK 1
0001431369966 MUAWANAH Essential (primary) hypertension 5/31/2016 RSU IBNU SINA GRESIK 1
0001464488875 MOH. SAIFUL AMINUDDIN Bronchitis, not specified as acute or chronic 4/11/2016 RSU IBNU SINA GRESIK 1
0001466453327 HJ. SITI CHASANAH Unspecified haemorrhoids without complication 8/4/2016 RS PETROKIMIA GRESIK 1
0001540273588 MUHAMMAD ARIF IRWANTBronchitis, not specified as acute or chronic 5/14/2016 RSU IBNU SINA GRESIK 1
0001543829376 VIKA SHERLINDRA ARISONADermatitis, unspecified 4/26/2016 RS PETROKIMIA GRESIK 1
0001544480346 Ziyaadatul Khikmah Bronchitis, not specified as acute or chronic 2/4/2016 RSU IBNU SINA GRESIK 1
0001702726975 MOH. NANANG FAKHRUDDITinea cruris 6/29/2016 RSU IBNU SINA GRESIK 1
0001792758892 FATIH IRFAN RIZQI MUHA Scabies 6/8/2016 RSU IBNU SINA GRESIK 1
0001821106078 elis sabhatul muniroh Allergic rhinitis, unspecified 8/12/2016 RS PETROKIMIA GRESIK 1
0001843222094 H. SUTIKNO Bronchitis, not specified as acute or chronic 4/4/2016 RSU IBNU SINA GRESIK 1
0001843223387 MUKARIYAH Bell's palsy 2/23/2016 RSU IBNU SINA GRESIK 1
0001873352204 MUHAMMAD AMINUDDIN Impacted cerumen 5/11/2016 RSU IBNU SINA GRESIK 1
0001875893128 siti aminah Essential (primary) hypertension 2/9/2016 RSU IBNU SINA GRESIK 1
0001876231001 HJ. NURIYAH Hyperlipidaemia, unspecified 5/19/2016 RSU IBNU SINA GRESIK 1
0001876695445 LADUNI Scabies 8/9/2016 RSU IBNU SINA GRESIK 1
0001880566626 ahmad nur shobari Asthma, unspecified 2/2/2016 RSU IBNU SINA GRESIK 1
Urinary tract infection, site not specified 6/1/2016 RSU IBNU SINA GRESIK 1
0001967474891 MA'ARIF Unspecified haemorrhoids without complication 4/11/2016 RSU IBNU SINA GRESIK 1
0001967910693 m.komaruddin Hyperlipidaemia, unspecified 4/15/2016 RS PETROKIMIA GRESIK 1
Non-insulin-depend diabetes mellitus without complication 4/2/2016 RS PETROKIMIA GRESIK 1
5/16/2016 RS Semen Gresik 1
0001967911479 lilik chumaidah Tension-type headache 8/26/2016 RS FATHMA MEDIKA 1
0002033828537 rifa'i Essential (primary) hypertension 2/25/2016 RSU IBNU SINA GRESIK 1
0002038782767 ABDUL HALIM ROIS Non-insulin-depend diabetes mellitus without complication 3/17/2016 RS Semen Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Primer Ada Tidak
0000099028541 DEWI HATIMAH Non-insulin-depend diabetes mellitus without complication 1/5/2016 RS PETROKIMIA GRESIK 1
2/4/2016 RS PETROKIMIA GRESIK 1
4/5/2016 RS PETROKIMIA GRESIK 1
6/2/2016 RS PETROKIMIA GRESIK 1
0000099037113 MUHAJIR Non-insulin-depend diabetes mellitus without complication 1/6/2016 RS PETROKIMIA GRESIK 1
7/21/2016 RS PETROKIMIA GRESIK 1
0000099128766 RIFKI MIRZA FIRMANSYAH Nummular dermatitis 2/2/2016 RSU IBNU SINA GRESIK 1
0000209265287 ATHIRA MAULIDA S.I. Acute nasopharyngitis [common cold] 5/11/2016 RSU IBNU SINA GRESIK 1
0000763689644 MOH ISWAN Bronchitis, not specified as acute or chronic 1/25/2016 RSU IBNU SINA GRESIK 1
0001795856051 PIANI Cutaneous abscess, furuncle and carbuncle of limb 4/27/2016 RSU IBNU SINA GRESIK 1
0001896361042 MANDAH MADZ MALAHFOZ ALGHOZALI Scabies 5/18/2016 RSU IBNU SINA GRESIK 1
Alasan Rujukan
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak Alasan Rujukan
Primer Ada Tidak
0000099022285 KADIN Essential (primary) hypertension 3/1/2016 RSU IBNU SINA GRESIK 1
Hyperlipidaemia, unspecified 4/12/2016 RSU IBNU SINA GRESIK 1
0000099167218 SUDJILAH Urinary tract infection, site not specified 8/19/2016 RS FATHMA MEDIKA 1
0000099168693 M. SAHLAN Bronchitis, not specified as acute or chronic 1/2/2016 RS PETROKIMIA GRESIK 1
Essential (primary) hypertension 2/1/2016 RS PETROKIMIA GRESIK 1
0000099168748 M. YAZID AR, DRS. Essential (primary) hypertension 6/8/2016 RSU IBNU SINA GRESIK 1
0000099169762 ALFIYAH Essential (primary) hypertension 1/15/2016 RS PETROKIMIA GRESIK 1
0000099170572 H. DARMINTO Essential (primary) hypertension 2/17/2016 RS PETROKIMIA GRESIK 1
0000099208416 SHOFIYAH Essential (primary) hypertension 6/3/2016 RSU IBNU SINA GRESIK 1
0000099228846 ZAINURI Non-insulin-depend diabetes mellitus without complication 1/14/2016 RSU IBNU SINA GRESIK 1
0000099244844 ASMA'IYAH Hyperlipidaemia, unspecified 5/18/2016 RSU IBNU SINA GRESIK 1
0000173272757 MOH. KHUSNUL KHULUQ Impacted cerumen 5/31/2016 RS Semen Gresik 1
0000211498705 MINANTI Essential (primary) hypertension 1/25/2016 RS FATHMA MEDIKA 1
0000762331274 TRIPAH Tension-type headache 5/26/2016 RS FATHMA MEDIKA 1
0000762345224 ABDUL MANAN Non-insulin-depend diabetes mellitus without complication 6/28/2016 RSU IBNU SINA GRESIK 1
0000762533076 RIZKI DWI PUTRA Viral warts 6/1/2016 RSU IBNU SINA GRESIK 1
6/10/2016 RSU IBNU SINA GRESIK 1
0000762780159 ALI ABIDIN Urinary tract infection, site not specified 2/24/2016 RS FATHMA MEDIKA 1
0000763237091 USWATUL FARIKHAH Spontaneous abortion, complete or unspecified, without complication 1/19/2016 RSU IBNU SINA GRESIK 1
0000763283834 ALI MAFTUH Allergic rhinitis, unspecified 3/17/2016 RSU IBNU SINA GRESIK 1
0000763326764 AMALAH Essential (primary) hypertension 6/6/2016 RSU IBNU SINA GRESIK 1
0000763418406 ARINIL HAQQO Benign lipomatous neoplasm, unspecified 4/15/2016 RS FATHMA MEDIKA 1
0001047542152 MUHAMMAD JAYA MULYANA Bronchitis, not specified as acute or chronic 4/11/2016 RS PETROKIMIA GRESIK 1
0001270184861 HJ, TARWIYAH Non-insulin-depend diabetes mellitus without complication 4/1/2016 RSU IBNU SINA GRESIK 1
0001274714357 H.MAT HAKIM Asthma, unspecified 1/12/2016 RSU IBNU SINA GRESIK 1
0001299867028 ROHMAN Tension-type headache 6/8/2016 RS FATHMA MEDIKA 1
0001342202387 UMANI Non-insulin-depend diabetes mellitus without complication 2/10/2016 RSU IBNU SINA GRESIK 1
0001383754127 KASAN KHUSAINI Benign lipomatous neoplasm, unspecified 4/20/2016 RS FATHMA MEDIKA 1
0001618167159 M.AGUS SUTIONO Non-insulin-depend diabetes mellitus without complication 5/9/2016 RS DENISA 1
6/14/2016 RS DENISA 1
0001823755511 MUSHOFAH Non-insulin-depend diabetes mellitus without complication 1/19/2016 RS PETROKIMIA GRESIK 1
0001847579951 MOH CHUSNI Zoster without complication 5/16/2016 RSU IBNU SINA GRESIK 1
0001879945492 KAMRAN Non-insulin-depend diabetes mellitus without complication 1/12/2016 RS PETROKIMIA GRESIK 1
6/3/2016 RS PETROKIMIA GRESIK 1
0002032891672 muhammad rafa aditiyah Bronchitis, not specified as acute or chronic 7/26/2016 RS Muhammadiyah Gresik 1
Jumlah Hasil Konfirmasi ke FKTP
Nomor Kartu Nama Diagnosa Primer BlnLayan Nama PPK Layanan Diagnosa Ada Rujukan/Tidak
Primer Ada Tidak
0000098971097 DAINURI Essential (primary) hypertension 28/06/2016 RSU IBNU SINA GRESIK 1 ada
0000098971751 sumiati Hyperlipidaemia, unspecified 26/04/2016 RS Petrokimia Driyorejo 1 ada
Non-insulin-depend diabetes mellitus without complication 07/03/2016 RS Petrokimia Driyorejo 1 ada
13/04/2016 RS Petrokimia Driyorejo 1 ada
0000098974089 SUBANDI Essential (primary) hypertension 28/07/2016 RSU IBNU SINA GRESIK 1 ada
0000098975024 Suratmi Non-insulin-depend diabetes mellitus without complication 19/01/2016 RS Petrokimia Driyorejo 1 ada
23/02/2016 RS Petrokimia Driyorejo 1 ada
24/03/2016 RS Petrokimia Driyorejo 1 ada
29/03/2016 RS Petrokimia Driyorejo 1 ada
30/04/2016 RS Petrokimia Driyorejo 1 ada
02/06/2016 RS Petrokimia Driyorejo 1 ada
13/07/2016 RS Petrokimia Driyorejo 1 ada
16/08/2016 RS Petrokimia Driyorejo 1 ada
0000099127405 SLAMET SUBAGIO Non-insulin-depend diabetes mellitus without complication 08/04/2016 RSU IBNU SINA GRESIK 1 ada
0000099127539 SUNA`INAH Essential (primary) hypertension 21/07/2016 RSU IBNU SINA GRESIK 1 ada
0000760528023 siti arofah Otitis media, unspecified 19/05/2016 RSU IBNU SINA GRESIK 1 ada
0000760598346 KARNI Non-insulin-depend diabetes mellitus without complication 28/07/2016 RS Petrokimia Driyorejo 1 ada
29/08/2016 RS Petrokimia Driyorejo 1 ada
0000760682553 MURTIANI Non-insulin-depend diabetes mellitus without complication 28/03/2016 RS Petrokimia Driyorejo 1 tidak ada
0000760854227 SUYONO Non-insulin-depend diabetes mellitus without complication 31/08/2016 RSU IBNU SINA GRESIK 1 tidak ada
0000761286104 SUPARI Gastro-oesophageal reflux disease with oesophagitis 18/02/2016 RS Petrokimia Driyorejo 1 tidak ada
0000761322824 KARTIMAN Non-insulin-depend diabetes mellitus without complication 27/04/2016 RSU IBNU SINA GRESIK 1 ada
0001047476709 KANI Essential (primary) hypertension 24/03/2016 RS Petrokimia Driyorejo 1 tidak ada
0001719179223 REPAN Non-insulin-depend diabetes mellitus without complication 08/03/2016 RS Petrokimia Driyorejo 1 tidak ada
0001721528155 MOCHAMMAD AFANDI Nonspecific lymphadenitis, unspecified 02/06/2016 RSU IBNU SINA GRESIK 1 tidak ada
0001837912691 siti arofah Non-insulin-depend diabetes mellitus without complication 27/01/2016 RS Petrokimia Driyorejo 1 ada
29/02/2016 RS Petrokimia Driyorejo 1 ada
09/05/2016 RS Petrokimia Driyorejo 1 ada
31/08/2016 RS Petrokimia Driyorejo 1 ada
Alasan Rujukan
Ada Rujuk balik dari RS tiap 6 bulan, Obat tidak tersedia di FKTP
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
pasien lama sebelum ada bpjs kontrol berkala ke poli jantung
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
salah ketik diagnosa
Rujukan dari FKTP bukan Essential (primary) hypertension tapi dengan diagnosa HHD (i11.0)
salah ketik diagnosa pasien di rujuk ke poli THT
salah ketik diagnosa
salah ketik diagnosa