TANGGAL TANGGAL JENIS KELAMIN STATUS PULANG

NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS

1 132304010623P000 06-03-2023 03-06-2023 0000111188079 FARIDA P PNS DAERAH Anisometropia and Rujuk Vertikal
003 08:31 KUSUMAWARDANI aniseikonia
MATA KLINIK MATA SMEC MALANG
2 132304010623P000 06-03-2023 03-06-2023 0000111449169 BONASIR L PENERIMA Chronic ischaemic Rujuk Vertikal
020 09:51 PENSIUN TNI heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
3 132304010623P000 06-03-2023 03-06-2023 0000170603785 MUHAMMAD L - Necrosis of pulp Rujuk Vertikal
008 08:42 YULIANTO
GIGI ENDODONSI RUMAH SAKIT LAVALETTE
4 132304010623P000 06-03-2023 03-06-2023 0000784225282 SUGIATI P PBI (APBN) Other chronic Rujuk Vertikal
006 08:39 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
5 132304010623P000 06-03-2023 03-06-2023 0000784872189 PIPIN HERAWATI P PBI (APBN) Stroke, not Rujuk Vertikal
005 08:37 specified as
haemorrhage or
infarction
SARAF RSI AISYIYAH MALANG
6 132304010623P000 06-03-2023 03-06-2023 0001189532373 NATASHA ANGELINE P PEKERJA MANDIRI Anisometropia and Rujuk Vertikal
016 09:21 aniseikonia
MATA RSI AISYIYAH MALANG
7 132304010623P000 06-03-2023 03-06-2023 0001268319609 SUTOMO L PEGAWAI Other chronic Rujuk Vertikal
010 08:48 SWASTA obstructive
pulmonary disease
Pulmonologi RS SOEPRAOEN
8 132304010623P000 03-06-2023 Maternal care due
021 09:55 to uterine scar
from previous
06-03-2023 0001373592014 NUNIK SRI WAHYUNI P - surgery Rujuk Vertikal

OBGYN RSU HERMINA TANGKUBANPRAHU

9 132304010623P000 06-03-2023 03-06-2023 0001407317984 STEFANUS TATAG L PEKERJA MANDIRI Heart failure, Rujuk Vertikal
004 08:34 SUSANTO unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
10 132304010623P000 03-06-2023 RATIH WULAN PEKERJA MANDIRI Maternal care due
013 08:54 PUSPASARI to uterine scar
from previous
06-03-2023 0001409234769 P surgery Rujuk Vertikal

OBGYN RSI AISYIYAH MALANG

11 132304010623P000 06-03-2023 03-06-2023 0001438792615 LAY MEI LIE P PEKERJA MANDIRI Stroke, not Rujuk Vertikal
022 09:58 specified as
haemorrhage or
infarction
SARAF RSU HERMINA TANGKUBANPRAHU
12 132304010623P000 06-03-2023 03-06-2023 0001647920035 M. SULAIMAN L PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
009 08:46 ABDULLAH
JIWA RSI AISYIYAH MALANG
13 132304010623P000 06-03-2023 03-06-2023 0001813557418 AGUS SUPARNO L - Anisometropia and Rujuk Vertikal
024 10:12 aniseikonia
MATA KLINIK MATA SMEC MALANG
14 132304010623P000 06-03-2023 03-06-2023 0002050623911 MARYAM P - Necrosis of pulp Rujuk Vertikal
011 08:49
GIGI ENDODONSI RSIA PURI
15 132304010623P000 06-03-2023 03-06-2023 0002202968676 ANNISA ACHMA P PBI (APBD) Impacted teeth Rujuk Vertikal
002 08:31 DZIKIRINA
GIGI BEDAH MULUT RS SOEPRAOEN
16 132304010623P000 06-03-2023 03-06-2023 0002204263991 SAMUDJI L - Chronic kidney Rujuk Vertikal
001 08:29 disease
PENYAKIT DALAM RSI AISYIYAH MALANG
17 132304010623P000 03-06-2023 Insulin-dependent
015 09:15 diabetes mellitus
with unspecified
06-03-2023 0002294332413 SUKRISTINA P PBI (APBN) complications Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

18 132304010623P000 06-03-2023 03-06-2023 0002681420556 SANDI PUTRA L PBI (APBD) Calculus of kidney Rujuk Vertikal
019 09:38 and ureter
PENYAKIT DALAM RSI AISYIYAH MALANG
19 132304010623P000 06-03-2023 03-06-2023 0002730247637 VIVI YULI VIJAYANTI P - Necrosis of pulp Rujuk Vertikal
012 08:53
GIGI ENDODONSI RS PANTI NIRMALA
20 132304010623P000 06-03-2023 03-06-2023 0003517139417 BAYI NYONYA L - Umbilical hernia Rujuk Vertikal
014 09:02 ARDINE NOVIAKRISTI
BEDAH ANAK RS PANTI NIRMALA
21 132304010623P000 06-05-2023 05-06-2023 0000111136432 MISTAR L PNS DAERAH Psoriasis Rujuk Vertikal
056 10:25
KULIT KELAMIN RSI AISYIYAH MALANG
22 132304010623P000 06-05-2023 05-06-2023 0000681592735 SITI KHOTIMAH P PBI (APBD) Necrosis of pulp Rujuk Vertikal
068 10:51
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
23 132304010623P000 06-05-2023 05-06-2023 0000726510914 DIAN PUTRI FANI P PBI (APBD) Antepartum Rujuk Vertikal
069 10:51 haemorrhage,
unspecified
OBGYN RS MELATI HUSADA
24 132304010623P000 06-05-2023 05-06-2023 0000783216191 MARGINO L PBI (APBN) Heart failure, Rujuk Vertikal
041 09:14 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
25 132304010623P000 05-06-2023 Non-insulin-
037 08:43 dependent diabetes
mellitus with
06-05-2023 0000783836537 MU'MININ P PBI (APBN) unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

26 132304010623P000 05-06-2023 Cerebral infarction
046 09:47 due to cerebral
venous thrombosis,
06-05-2023 0000784070368 SUYANTI P PBI (APBN) nonpyogenic Rujuk Vertikal

SARAF RS SOEPRAOEN
27 132304010623P000 06-05-2023 05-06-2023 0000784328624 MARDIASIH P PBI (APBN) Malignant Rujuk Vertikal
076 11:42 neoplasm of breast
Bedah Onkologi RUMAH SAKIT LAVALETTE
28 132304010623P000 06-05-2023 05-06-2023 0000784592381 BAGAS DWI L PEGAWAI Impacted teeth Rujuk Vertikal
055 10:22 RAMADHANI SWASTA
GIGI BEDAH MULUT RS SOEPRAOEN
29 132304010623P000 06-05-2023 05-06-2023 0000784632341 FEBY SINTYA DEWI P - Disruption of Rujuk Vertikal
077 11:42 caesarean section
wound
OBGYN RS MELATI HUSADA
30 132304010623P000 06-05-2023 05-06-2023 0000784776363 HUSEIN NUR ISLAM L PBI (APBN) Schizoaffective Rujuk Vertikal
063 10:41 disorder,
depressive type
JIWA RS. JIWA LAWANG
31 132304010623P000 06-05-2023 05-06-2023 0000784776903 LINA PUJININGTYAS P PBI (APBD) Calculus of Rujuk Vertikal
067 10:47 gallbladder with
other cholecystitis
BEDAH RSI AISYIYAH MALANG
32 132304010623P000 06-05-2023 05-06-2023 0000784940207 KUSGIANTO L PBI (APBD) Chronic ischaemic Rujuk Vertikal
045 09:44 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
33 132304010623P000 06-05-2023 05-06-2023 0001049552482 SITI CHALIMAH P PBI (APBN) Necrosis of pulp Rujuk Vertikal
061 10:36
GIGI ENDODONSI RSU HERMINA TANGKUBANPRAHU
34 132304010623P000 05-06-2023 PENERIMA Zoster with other
073 11:14 PENSIUN PNS nervous system
06-05-2023 0001079563847 LAMINI P involvement Rujuk Vertikal

SARAF RS SOEPRAOEN
35 132304010623P000 06-05-2023 05-06-2023 0001262381242 TAMAT L PEKERJA MANDIRI Chronic ischaemic Rujuk Vertikal
053 10:15 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
36 132304010623P000 06-05-2023 05-06-2023 0001273173232 MONICA SAHARANI P - Caries of dentine Rujuk Vertikal
035 08:39 RISTANANTA
GIGI ENDODONSI RSIA PURI
37 132304010623P000 06-05-2023 05-06-2023 0001328379434 HENI SUHARDINI P PEGAWAI Other disorders of Rujuk Vertikal
054 10:19 SWASTA lens
MATA RSI AISYIYAH MALANG
38 132304010623P000 06-05-2023 05-06-2023 0001403209539 TUKIMIN L PBI (APBD) Cholelithiasis Rujuk Vertikal
043 09:28
PENYAKIT DALAM RSI AISYIYAH MALANG
39 132304010623P000 06-05-2023 05-06-2023 0001403210564 SRI WAHYUNINGSIH P - Malignant Rujuk Vertikal
080 11:51 neoplasm of
accessory sinuses
THT-KL RSU HERMINA TANGKUBANPRAHU
40 132304010623P000 06-05-2023 05-06-2023 0001403228777 SUMIATI P PBI (APBD) Cervicalgia Rujuk Vertikal
059 10:30
ORTHOPEDI RSI AISYIYAH MALANG
41 132304010623P000 06-05-2023 05-06-2023 0001435701464 RITA HANDAYANI P - Other specified Rujuk Vertikal
078 11:47 surgical follow-up
care
BEDAH RSI AISYIYAH MALANG
42 132304010623P000 06-05-2023 05-06-2023 0001439494569 ENDRI MUJIONO L PEKERJA MANDIRI Heart failure, Rujuk Vertikal
032 08:27 unspecified
JANTUNG DAN PEMBULURSU HERMINA TANGKUBANPRAHU
43 132304010623P000 06-05-2023 05-06-2023 0001601308056 SUKAMTO L PBI (APBD) Hyperplasia of Rujuk Vertikal
070 10:57 prostate
UROLOGI RSU HERMINA TANGKUBANPRAHU
44 132304010623P000 06-05-2023 05-06-2023 0001647752499 YOLANDA P - Necrosis of pulp Rujuk Vertikal
079 11:48 ANGGITASARI
GIGI ENDODONSI RSIA PURI
45 132304010623P000 06-05-2023 05-06-2023 0001723556373 SOESIANA P - Chronic ulcer of Rujuk Vertikal
081 13:09 skin, not elsewhere
classified
PENYAKIT DALAM RS PANTI WALUYA
46 132304010623P000 06-05-2023 05-06-2023 0001735450683 KEANG HARRY L PEKERJA MANDIRI Sequelae of Rujuk Vertikal
048 09:50 cerebral infarction
SARAF RSI AISYIYAH MALANG
47 132304010623P000 06-05-2023 05-06-2023 0001793891338 ROKAYAH P PEKERJA MANDIRI Hypertensive heart Rujuk Vertikal
030 08:21 disease
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
48 132304010623P000 06-05-2023 05-06-2023 0001827347589 MOKHAMAD ARDHI L PBI (APBD) Impacted teeth Rujuk Vertikal
065 10:43 WURYANTONO
GIGI BEDAH MULUT RSU HERMINA TANGKUBANPRAHU
49 132304010623P000 06-05-2023 05-06-2023 0001863448255 HOSNIYAH P PBI (APBN) Cystitis Rujuk Vertikal
044 09:40
UROLOGI RSI AISYIYAH MALANG
50 132304010623P000 06-05-2023 05-06-2023 0001871059228 MUHAMMAD ARIF L PBI (APBD) Thalassaemia Rujuk Vertikal
031 08:26
Hematologi - Onkologi MeRSI AISYIYAH MALANG
51 132304010623P000 06-05-2023 05-06-2023 0002032150342 INDAH YULIATI P PEKERJA MANDIRI Retained dental Rujuk Vertikal
052 10:12 root
GIGI BEDAH MULUT RS PANTI WALUYA
52 132304010623P000 06-05-2023 05-06-2023 0002037237502 NUR 'AINI P - Gonarthrosis Rujuk Vertikal
071 10:59 [arthrosis of knee]
SARAF RSI AISYIYAH MALANG
53 132304010623P000 05-06-2023 Unspecified
039 08:55 abdominal hernia
without obstruction
06-05-2023 0002053688905 SURATMAN L PBI (APBD) or gangrene Rujuk Vertikal

BEDAH RSI AISYIYAH MALANG

54 132304010623P000 06-05-2023 05-06-2023 0002054975229 NANING SUKARSIH P PBI (APBD) Thyrotoxicosis Rujuk Vertikal
036 08:40 [hyperthyroidism]
PENYAKIT DALAM RSI AISYIYAH MALANG
55 132304010623P000 06-05-2023 05-06-2023 0002228570583 HENGKY L PEKERJA MANDIRI Other chronic Rujuk Vertikal
075 11:26 obstructive
pulmonary disease
PARU RS PANTI NIRMALA
56 132304010623P000 06-05-2023 05-06-2023 0002228571022 SRIANI P PEKERJA MANDIRI Stroke, not Rujuk Vertikal
047 09:49 specified as
haemorrhage or
infarction
SARAF RS PANTI NIRMALA
57 132304010623P000 06-05-2023 05-06-2023 0002321059206 RISMA FITRI ANISAH P PBI (APBD) Pulpitis Rujuk Vertikal
074 11:14
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
58 132304010623P000 06-05-2023 05-06-2023 0002416454954 SRI MEI WARDAYATI P PBI (APBD) Benign neoplasm Rujuk Vertikal
033 08:29 of ovary
OBGYN RSI AISYIYAH MALANG
59 132304010623P000 05-06-2023 Other disorders of
060 10:31 psychological
06-05-2023 0002442954058 INDRA PERMANA L PBI (APBD) development Rujuk Vertikal

JIWA RSI AISYIYAH MALANG

60 132304010623P000 06-05-2023 05-06-2023 0002478321775 MIKHAYLA ZAKIA P - Status asthmaticus Rujuk Vertikal
058 10:28 PUTRI JASMINE
ANAK RSIA PURI
61 132304010623P000 06-05-2023 05-06-2023 0002494840239 RAUDATUL P - Other disorders of Rujuk Vertikal
049 09:51 HASANAH lens
MATA RSI AISYIYAH MALANG
62 132304010623P000 06-05-2023 05-06-2023 0002727454678 SONY ANGGA L PBI (APBD) Cauda equina Rujuk Vertikal
057 10:28 KUSUMA syndrome
ORTHOPEDI RSI AISYIYAH MALANG
63 132304010623P000 06-05-2023 05-06-2023 0002727757653 NIKMAH HAMDAN P PBI (APBD) Anisometropia and Rujuk Vertikal
066 10:45 aniseikonia
MATA RSI AISYIYAH MALANG
64 132304010623P000 06-05-2023 05-06-2023 0002730360723 INNES NATASYAH P PBI (APBD) Anisometropia and Rujuk Vertikal
042 09:23 FARES FELLA aniseikonia
MATA RSI AISYIYAH MALANG
65 132304010623P000 06-05-2023 05-06-2023 0002814530894 MAMIK HARTATIK P PBI (APBN) Cerebral infarction, Rujuk Vertikal
040 08:57 unspecified
SARAF RSU HERMINA TANGKUBANPRAHU
66 132304010623P000 05-06-2023 Maternal care for
051 10:07 malpresentation of
fetus, unspecified
06-05-2023 0002845957195 DEWI INDRIANI P PBI (APBN) Rujuk Vertikal

OBGYN RS MELATI HUSADA

67 132304010623P000 05-06-2023 Non-insulin-
062 10:37 dependent diabetes
mellitus with
06-05-2023 0002845960007 SUGIATI P PBI (APBN) unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

68 132304010623P000 06-05-2023 05-06-2023 0002974914099 NAJWA KHODIJAH P - Pulp degeneration Rujuk Vertikal
050 10:00
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
69 132304010623P000 06-05-2023 05-06-2023 0003064344579 SU'UD ALIYA FAROUK P PBI (APBD) Impacted teeth Rujuk Vertikal
072 11:02
GIGI BEDAH MULUT RS SOEPRAOEN
70 132304010623P000 06-06-2023 06-06-2023 0000100338322 NI MADE SEMIRNI P PNS DAERAH Other spondylosis Rujuk Vertikal
132 11:45 with radiculopathy

SARAF RSI AISYIYAH MALANG

71 132304010623P000 06-06-2023 06-06-2023 0000110388532 SURYANTO L PENERIMA Disorders of Rujuk Vertikal
126 10:54 PENSIUN PNS accommodation
MATA KLINIK MATA SMEC MALANG
72 132304010623P000 06-06-2023 06-06-2023 0000111810519 SRI WULAN P PNS DAERAH Disorders of Rujuk Vertikal
095 08:44 accommodation
MATA Klinik Utama Malang Eye Center
73 132304010623P000 06-06-2023 06-06-2023 0000111810543 OLIVIA ELISABET P - Disorders of Rujuk Vertikal
121 10:33 accommodation
MATA Klinik Utama Malang Eye Center
74 132304010623P000 06-06-2023 06-06-2023 0000171526408 NEVY ARDIANTO L PNS DAERAH Impacted teeth Rujuk Vertikal
105 09:12
GIGI BEDAH MULUT RS PANTI WALUYA
75 132304010623P000 06-06-2023 Iodine-deficiency-
125 10:49 related thyroid
disorders and allied
06-06-2023 0000783265983 DARYANI P PBI (APBN) conditions Rujuk Vertikal

BEDAH RSI AISYIYAH MALANG

76 132304010623P000 06-06-2023 06-06-2023 0000783903475 SITI RUBIATI P PBI (APBD) Other cataract Rujuk Vertikal
119 10:29
MATA RSI AISYIYAH MALANG
77 132304010623P000 06-06-2023 06-06-2023 0000783987423 NURUL P PBI (APBD) Impacted teeth Rujuk Vertikal
109 09:25 PRASETYOWATI
GIGI BEDAH MULUT RSI AISYIYAH MALANG
78 132304010623P000 06-06-2023 06-06-2023 0000784134551 SUMIATI P PBI (APBN) Chronic ischaemic Rujuk Vertikal
099 08:54 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
79 132304010623P000 06-06-2023 06-06-2023 0000784556627 LULUK FARIDA P PBI (APBN) Disorders of Rujuk Vertikal
128 11:17 accommodation
MATA RSI AISYIYAH MALANG
80 132304010623P000 06-06-2023 06-06-2023 0000785160641 NURUL ROSYIDAH P PBI (APBN) Gonarthrosis, Rujuk Vertikal
094 08:40 unspecified
SARAF RS SOEPRAOEN
81 132304010623P000 06-06-2023 Embolism and
130 11:35 thrombosis of
06-06-2023 0000785202434 SAIMUN L PBI (APBN) unspecified artery Rujuk Vertikal
PENYAKIT DALAM RSI AISYIYAH MALANG
82 132304010623P000 06-06-2023 06-06-2023 0001268948968 ASTUTI WIDIJAWATI P PEKERJA MANDIRI Cholelithiasis Rujuk Vertikal
091 08:31
PENYAKIT DALAM RSUD Kota Malang
83 132304010623P000 06-06-2023 06-06-2023 0001271073025 ASMANTUTI P - Other chronic Rujuk Vertikal
120 10:31 obstructive
pulmonary disease
Pulmonologi RS SOEPRAOEN
84 132304010623P000 06-06-2023 06-06-2023 0001287152381 SUKINI P PEKERJA MANDIRI Disorders of Rujuk Vertikal
123 10:42 accommodation
MATA RSI AISYIYAH MALANG
85 132304010623P000 06-06-2023 06-06-2023 0001543873004 SITI YULIANI P PEGAWAI Impacted teeth Rujuk Vertikal
103 09:06 GINANJAR SLAMET SWASTA
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
86 132304010623P000 06-06-2023 Other specified
135 15:48 diseases and
conditions
complicating
06-06-2023 0001656560158 DELLA OKTAVIYANI P - pregnancy, Rujuk Vertikal
childbirth and the
puerperium
OBGYN RSIA GALERI CANDRA
87 132304010623P000 06-06-2023 06-06-2023 0001847982778 sumarsono L - Stroke, not Rujuk Vertikal
110 09:27 specified as
haemorrhage or
infarction
SARAF RSU HERMINA TANGKUBANPRAHU
88 132304010623P000 06-06-2023 06-06-2023 0001855173622 ANTOK YUDIONO L PEGAWAI Anisometropia and Rujuk Vertikal
089 08:19 SWASTA aniseikonia
MATA RSI AISYIYAH MALANG
89 132304010623P000 06-06-2023 06-06-2023 0002059113982 NADYA KIRANA P - Necrosis of pulp Rujuk Vertikal
127 11:05 WIBISOVIA
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
90 132304010623P000 06-06-2023 06-06-2023 0002091768625 ARADEA PAMBAYUN P PNS PUSAT Anisometropia and Rujuk Vertikal
113 09:43 KRISTANTO aniseikonia
MATA Klinik Utama Malang Eye Center
91 132304010623P000 06-06-2023 06-06-2023 0002318212888 MURJOKO L - Psoriasis, Rujuk Vertikal
098 08:53 unspecified
KULIT KELAMIN RSI AISYIYAH MALANG
92 132304010623P000 06-06-2023 06-06-2023 0002423570051 MUHAMAD ABDUL L - Chronic apical Rujuk Vertikal
116 10:12 MUKSON periodontitis
GIGI BEDAH MULUT RUMAH SAKIT LAVALETTE
93 132304010623P000 06-06-2023 06-06-2023 0002681277039 IMAWAN PRIYANTO L PBI (APBN) Chronic ischaemic Rujuk Vertikal
090 08:22 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
94 132304010623P000 06-06-2023 06-06-2023 0002730227872 INDRA WATI P PBI (APBD) Other malignant Rujuk Vertikal
088 08:17 SURYAWAN neoplasms of skin
BEDAH RSI AISYIYAH MALANG
95 132304010623P000 06-06-2023 06-06-2023 0002730354849 NOVINTA FARADILA P PBI (APBD) Benign neoplasm Rujuk Vertikal
133 11:55 ARIANI of ovary
OBGYN RS MELATI HUSADA
96 132304010623P000 06-06-2023 Non-insulin-
122 10:40 dependent diabetes
mellitus with
06-06-2023 0002731369184 KARMINAH P PBI (APBD) unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

97 132304010623P000 06-06-2023 Retarded
111 09:31 development
KINARA NAISYA following protein-
06-06-2023 0002753366927 P PBI (APBN) energy Rujuk Vertikal
PUTRI
malnutrition
ANAK RSI AISYIYAH MALANG
98 132304010623P000 06-06-2023 06-06-2023 0002814523716 SUMIARNI P PBI (APBN) Malignant Rujuk Vertikal
118 10:24 neoplasm of breast
BEDAH RSU HERMINA TANGKUBANPRAHU
99 132304010623P000 06-06-2023 06-06-2023 0003051971796 ELIF ERMIATI P PBI (APBD) Supervision of Rujuk Vertikal
134 12:05 other high-risk
pregnancies
OBGYN RSIA MUTIARA BUNDA
100 132304010623P000 06-06-2023 Maternal care due
129 11:32 to uterine scar
from previous
06-06-2023 0003133040308 LATIFA TUNISA P PBI (APBN) surgery Rujuk Vertikal

OBGYN RS MELATI HUSADA

101 132304010623P000 06-07-2023 07-06-2023 0000108024298 SUTARSIH MARIA P PENERIMA Gonarthrosis, Rujuk Vertikal
149 09:56 MAGDALENA PENSIUN PNS unspecified
ORTHOPEDI RS PANTI WALUYA
102 132304010623P000 06-07-2023 07-06-2023 0000111169282 SRI PURWANTI P - Low back pain Rujuk Vertikal
143 09:40
ORTHOPEDI RSI AISYIYAH MALANG
103 132304010623P000 06-07-2023 07-06-2023 0000111235678 RIYANTI ASIH P PENERIMA Ganglion Rujuk Vertikal
152 10:09 PRATIWI PENSIUN PNS
BEDAH RSI AISYIYAH MALANG
104 132304010623P000 06-07-2023 07-06-2023 0000201308859 QURROTA PURBO L - Impacted teeth Rujuk Vertikal
140 08:47 WARDANA
GIGI BEDAH MULUT RS PANTI WALUYA
105 132304010623P000 06-07-2023 07-06-2023 0000783782965 NOVIKA SANTI P - Pain, not elsewhere Rujuk Vertikal
165 11:19 classified
BEDAH RS BHIRAWA BHAKTI
106 132304010623P000 06-07-2023 07-06-2023 0000784233303 NGATENI P - Disorder of visual Rujuk Vertikal
164 11:09 pathways,
unspecified
MATA KLINIK MATA SMEC MALANG
107 132304010623P000 06-07-2023 07-06-2023 0000784493684 RIFAS SAINULLAH L PBI (APBN) Chronic ischaemic Rujuk Vertikal
146 09:47 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
108 132304010623P000 06-07-2023 07-06-2023 0000784548696 YASMITHA P PBI (APBN) Hearing loss, Rujuk Vertikal
151 10:04 unspecified
THT-KL RSI AISYIYAH MALANG
109 132304010623P000 06-07-2023 07-06-2023 0000785138916 YULIANI P PBI (APBD) Cerebral infarction Rujuk Vertikal
139 08:46
SARAF RS SOEPRAOEN
110 132304010623P000 07-06-2023 PEKERJA MANDIRI Non-insulin-
136 08:42 dependent diabetes
mellitus with
06-07-2023 0001302542381 SUDARNO L unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU

111 132304010623P000 06-07-2023 07-06-2023 0001400140192 MISTIKAYAH P PEKERJA MANDIRI Malignant Rujuk Vertikal
147 09:50 neoplasm of breast
BEDAH RSI AISYIYAH MALANG
112 132304010623P000 06-07-2023 07-06-2023 0001403228687 NUR CHOMARIYAH P PBI (APBD) Disorders of Rujuk Vertikal
150 09:58 accommodation
MATA KLINIK MATA SMEC MALANG
113 132304010623P000 07-06-2023 Gastric ulcer, acute
137 08:43 without
06-07-2023 0001706211988 PONIMAH P PBI (APBD) haemorrhage or Rujuk Vertikal
perforation
PENYAKIT DALAM RSI AISYIYAH MALANG
114 132304010623P000 06-07-2023 07-06-2023 0001841734743 ngatini P - Pain, not elsewhere Rujuk Vertikal
160 11:01 classified
PENYAKIT DALAM RSI AISYIYAH MALANG
115 132304010623P000 06-07-2023 07-06-2023 0001858411642 MA'RUFAH P - Psoriasis Rujuk Vertikal
162 11:06
KULIT KELAMIN RSI AISYIYAH MALANG
116 132304010623P000 06-07-2023 07-06-2023 0002065977088 ABDURROSYID L PBI (APBD) Pulp degeneration Rujuk Vertikal
145 09:44
GIGI ENDODONSI RUMAH SAKIT LAVALETTE
117 132304010623P000 06-07-2023 07-06-2023 0002207273185 SURADI L - Other cataract Rujuk Vertikal
156 10:40
MATA KLINIK MATA SMEC MALANG
118 132304010623P000 06-07-2023 07-06-2023 0002292998196 KATIYAH P PBI (APBD) Keratitis, Rujuk Vertikal
153 10:33 unspecified
MATA KLINIK MATA SMEC MALANG
119 132304010623P000 07-06-2023 Unilateral or
161 11:04 unspecified
inguinal hernia,
06-07-2023 0002417417313 EDDY SUBAGIO L PBI (APBD) without obstruction Rujuk Vertikal
or gangrene

BEDAH RSI AISYIYAH MALANG

120 132304010623P000 06-07-2023 07-06-2023 0002730225677 LILIS HANDAYANI P - Heart failure, Rujuk Vertikal
159 10:45 unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
121 132304010623P000 06-07-2023 07-06-2023 0002730313664 HARI SUJATMIKO L PBI (APBD) Other chronic Rujuk Vertikal
157 10:41 obstructive
pulmonary disease
PARU RSU HERMINA TANGKUBANPRAHU
122 132304010623P000 06-07-2023 07-06-2023 0002814518531 MUTIANINGSIH P PBI (APBN) Anisometropia and Rujuk Vertikal
154 10:35 aniseikonia
MATA KLINIK MATA SMEC MALANG
123 132304010623P000 07-06-2023 PEKERJA MANDIRI Developmental
141 08:55 disorder of speech
and language,
06-07-2023 0003085002663 Arsy Calief Rayyan L unspecified Rujuk Vertikal

ANAK RSI AISYIYAH MALANG

124 132304010623P000 06-07-2023 07-06-2023 0003292457905 ISMAIL HAMZAH L - Other specified Rujuk Vertikal
163 11:07 KUDDAH disorders of muscle
SARAF RSU HERMINA TANGKUBANPRAHU
125 07-06-2023 -
L
132304010623P0 06-07-2023 08:56 1871056787 SUGIONO Schizophrenia Rujuk Vertikal JIWA RS SOEPRAOEN
126 132304010623P000 06-08-2023 08-06-2023 0000111449171 SRI MISINI P PENERIMA Tic disorder, Rujuk Vertikal
206 11:08 PENSIUN TNI unspecified
SARAF RSI AISYIYAH MALANG
127 132304010623P000 06-08-2023 08-06-2023 0000111705952 GATOT EDDY L PENERIMA Stroke, not Rujuk Vertikal
197 10:15 SOETJIPTO PENSIUN PNS specified as
haemorrhage or
infarction
SARAF RSU HERMINA TANGKUBANPRAHU
128 132304010623P000 06-08-2023 08-06-2023 0000783951006 SYAMSUL SANALI L PBI (APBN) Hyperplasia of Rujuk Vertikal
190 09:49 prostate
BEDAH RSI AISYIYAH MALANG
129 132304010623P000 06-08-2023 08-06-2023 0000784058927 RIO FAISAL SAHRONI L PBI (APBN) Impacted teeth Rujuk Vertikal
192 09:59
GIGI BEDAH MULUT RS PANTI WALUYA
130 132304010623P000 06-08-2023 08-06-2023 0000784146925 ANGGA TRILIA L - Superficial injury Rujuk Vertikal
203 10:56 FRANSISCO of nose
THT-KL RSI AISYIYAH MALANG
131 132304010623P000 08-06-2023 Diseases of the
187 09:23 respiratory system
complicating
pregnancy,
06-08-2023 0000784192915 CHOIR ROHMAH P - childbirth and the Rujuk Vertikal
puerperium

OBGYN RSI AISYIYAH MALANG

132 132304010623P000 06-08-2023 08-06-2023 0000784343957 MUINI P PBI (APBN) Cerebral infarction, Rujuk Vertikal
188 09:28 unspecified
SARAF RS PANTI NIRMALA
133 132304010623P000 06-08-2023 08-06-2023 0000784812317 FA'AT AMBARHADI L PBI (APBN) Rheumatic chorea Rujuk Vertikal
175 08:33 without heart
involvement
BEDAH RSI AISYIYAH MALANG
134 132304010623P000 08-06-2023 Non-insulin-
174 08:32 dependent diabetes
mellitus with
06-08-2023 0000785013838 SUPADMI P PBI (APBN) multiple Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

135 132304010623P000 06-08-2023 08-06-2023 0000785344487 SITI RAHMAH P PBI (APBN) Disorders of Rujuk Vertikal
200 10:49 accommodation
MATA RSI AISYIYAH MALANG
136 132304010623P000 06-08-2023 08-06-2023 0001049547069 MOCH NOER SIFAK L PBI (APBN) Other chronic Rujuk Vertikal
189 09:33 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
137 132304010623P000 06-08-2023 08-06-2023 0001303409406 SATIK P PBI (APBN) Schizophrenia Rujuk Vertikal
177 08:39
JIWA RS. JIWA LAWANG
138 132304010623P000 06-08-2023 08-06-2023 0001328398198 LISAN HANDAYANI P PEGAWAI Pulpitis Rujuk Vertikal
205 11:04 SWASTA
GIGI ENDODONSI RS BHIRAWA BHAKTI
139 132304010623P000 06-08-2023 08-06-2023 0001389083253 MUKIYIN L PEKERJA MANDIRI Cardiac Rujuk Vertikal
178 08:41 arrhythmia,
unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
140 132304010623P000 06-08-2023 08-06-2023 0001434173679 ANIS SUPRIATIN P PBI (APBD) Disruption of Rujuk Vertikal
195 10:05 caesarean section
wound
OBGYN RSI AISYIYAH MALANG
141 132304010623P000 06-08-2023 08-06-2023 0001451258954 SUTRISNO L PEGAWAI Disorders of Rujuk Vertikal
204 11:03 SWASTA accommodation
MATA RS SOEPRAOEN
142 132304010623P000 06-08-2023 08-06-2023 0001469372152 JUAN CHANDRA L - Adhesive capsulitis Rujuk Vertikal
213 15:00 of shoulder
SARAF RS PANTI NIRMALA
143 132304010623P000 06-08-2023 08-06-2023 0001471450419 SITI KHOTIJAH P PEKERJA MANDIRI Other cataract Rujuk Vertikal
194 10:04
MATA Klinik Utama Malang Eye Center
144 132304010623P000 06-08-2023 08-06-2023 0001822529215 FITRI RULIANA P PBI (APBN) Pulpitis Rujuk Vertikal
181 08:57
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
145 132304010623P000 06-08-2023 08-06-2023 0001870556027 yatimah P PEKERJA MANDIRI Other cataract Rujuk Vertikal
185 09:10
MATA RSI AISYIYAH MALANG
146 132304010623P000 08-06-2023 Insulin-dependent
186 09:11 diabetes mellitus
with unspecified
06-08-2023 0002037261519 ERNAWATI P - complications Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

147 132304010623P000 06-08-2023 08-06-2023 0002283626474 DYAH WAHYU P - Hebephrenic Rujuk Vertikal
201 10:51 KINANTI schizophrenia
JIWA RSI AISYIYAH MALANG
148 132304010623P000 06-08-2023 08-06-2023 0002421041253 LUSI NUR MILASARI P - Necrosis of pulp Rujuk Vertikal
202 10:55
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
149 132304010623P000 06-08-2023 08-06-2023 0002592719897 YOSI WINATA L PBI (APBN) Other cataract Rujuk Vertikal
180 08:55
MATA RS Universitas Brawijaya
150 132304010623P000 06-08-2023 08-06-2023 0002728987266 SITI ROMLAH P PBI (APBD) Cardiomegaly Rujuk Vertikal
182 08:59
JANTUNG DAN PEMBULURS SOEPRAOEN
151 132304010623P000 08-06-2023 Background
184 09:04 retinopathy and
06-08-2023 0002730355187 SUMILAN M ROWI L PBI (APBD) retinal vascular Rujuk Vertikal
changes
MATA RSI AISYIYAH MALANG
152 132304010623P000 06-08-2023 08-06-2023 0002762120788 SUNARTI P PEKERJA MANDIRI Fracture of upper Rujuk Vertikal
199 10:40 end of humerus
ORTHOPEDI RSI AISYIYAH MALANG
153 132304010623P000 06-08-2023 08-06-2023 0002845956655 KHASAN L PBI (APBN) Hyperplasia of Rujuk Vertikal
191 09:52 prostate
BEDAH RSI AISYIYAH MALANG
154 132304010623P000 06-08-2023 08-06-2023 0002936714837 MAERAH P PBI (APBD) Tuberculosis of Rujuk Vertikal
193 10:01 other specified
organs
PARU RS PANTI NIRMALA
155 132304010623P000 06-08-2023 08-06-2023 0003292179873 ALYA ZAHIRA P PBI (APBD) Acute renal failure, Rujuk Vertikal
198 10:32 unspecified
Anak Nefrologi RSI AISYIYAH MALANG
156 132304010623P000 08-06-2023 BAYI NYONYA LILIS Neonatal jaundice
196 10:07 DWI OKTAVIANA associated with
PUTRI preterm delivery
06-08-2023 0003525010615 L - Rujuk Vertikal

ANAK RS MELATI HUSADA

157 132304010623P000 06-09-2023 09-06-2023 0000110576902 ACHMAD DJUNAEDI L PNS DAERAH Heart failure, Rujuk Vertikal
237 08:58 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
158 132304010623P000 06-09-2023 09-06-2023 0000111131256 MOCH CHUSNUL L PBI (APBD) Bipolar affective Rujuk Vertikal
219 08:28 ABDILLAH disorder
JIWA RSU HERMINA TANGKUBANPRAHU
159 132304010623P000 06-09-2023 09-06-2023 0000784072484 SUPANDRI L PBI (APBN) Chronic ischaemic Rujuk Vertikal
244 09:22 heart disease,
unspecified
JANTUNG DAN PEMBULURSU HERMINA TANGKUBANPRAHU
160 132304010623P000 06-09-2023 09-06-2023 0000784709741 MARPUAH P PBI (APBN) Other and Rujuk Vertikal
240 09:05 unspecified right
bundle-branch
block
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
161 132304010623P000 06-09-2023 09-06-2023 0001189532362 LUCIANA ARININGSIH P - Low back pain Rujuk Vertikal
242 09:17
SARAF RSI AISYIYAH MALANG
162 132304010623P000 06-09-2023 09-06-2023 0001380415511 ASKUR ARIEF L PEKERJA MANDIRI Hyperplasia of Rujuk Vertikal
243 09:20 prostate
UROLOGI RSI AISYIYAH MALANG
163 132304010623P000 09-06-2023 Systemic lupus
238 06-09-2023 09:01 0001791027246 JUWATI P PBI (APBN) erythematosus, Rujuk Vertikal
unspecified
Reumatologi RS PERSADA HOSPITAL
164 132304010623P000 06-09-2023 09-06-2023 0001792801451 CRECENTIA SIAMAH P PBI (APBN) Heart failure, Rujuk Vertikal
234 08:49 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
165 132304010623P000 06-09-2023 09-06-2023 0001824303025 MULJO DIHARDJO, P PBI (APBD) Stroke, not Rujuk Vertikal
241 09:07 SUSY ARJANI specified as
haemorrhage or
infarction
SARAF RS PANTI WALUYA
166 132304010623P000 06-09-2023 09-06-2023 0002047390244 NANCY NICKY P - Necrosis of pulp Rujuk Vertikal
236 08:55 SENDUK
GIGI BEDAH MULUT RS PANTI NIRMALA
167 132304010623P000 06-09-2023 09-06-2023 0002199068043 PUTRI AMIRA GUTU P - Necrosis of pulp Rujuk Vertikal
231 08:46 KURNIA
GIGI BEDAH MULUT RS PANTI WALUYA
168 132304010623P000 09-06-2023 PEKERJA MANDIRI Human
239 09:03 immunodeficiency
virus [HIV] disease
resulting in
infectious and
06-09-2023 0002257854298 GATOT BOMANTARA L Rujuk Vertikal
parasitic diseases

PENYAKIT DALAM RSI AISYIYAH MALANG

169 06-09-2023 0003304239118 P Disorders of other Rujuk Vertikal
digestive organs in
diseases classified
132304010623P000 09-06-2023 GENDHIS MUTIA PEGAWAI elsewhere
235 08:52 MUMTAZZAH SWASTA

ANAK RSI AISYIYAH MALANG

170 132304010623P000 06-10-2023 10-06-2023 0000110813556 DJOKO SURYADI L PENERIMA Cerebral infarction, Rujuk Vertikal
315 09:30 PENSIUN PNS unspecified
SARAF RSU. UNIVERSITAS MUHAMMADIYAH
171 132304010623P000 06-10-2023 10-06-2023 0000202229559 ROAITUM P - Sequelae of Rujuk Vertikal
302 08:35 cerebrovascular
disease
SARAF RSI AISYIYAH MALANG
172 132304010623P000 10-06-2023 Other specified
312 09:23 diseases and
conditions
complicating
06-10-2023 0000681979162 YANUARI NINGTYAS P PBI (APBN) pregnancy, Rujuk Vertikal
childbirth and the
puerperium
OBGYN RSU HERMINA TANGKUBANPRAHU
173 132304010623P000 06-10-2023 10-06-2023 0000783739664 PONIYEM P PBI (APBN) Chronic ischaemic Rujuk Vertikal
309 09:00 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
174 132304010623P000 06-10-2023 10-06-2023 0000783976342 WIKE DIAN P PBI (APBN) Myasthenia gravis Rujuk Vertikal
308 08:57 KUSUMANINGRUM
SARAF RSI AISYIYAH MALANG
175 132304010623P000 06-10-2023 10-06-2023 0000785410301 HALIZA APRILLIA P PBI (APBN) Anxiety disorder, Rujuk Vertikal
307 08:53 unspecified
JIWA RSI AISYIYAH MALANG
176 132304010623P000 06-10-2023 10-06-2023 0001380960044 ABDUL AZIZ L PEKERJA MANDIRI Heart failure, Rujuk Vertikal
318 09:48 unspecified
JANTUNG DAN PEMBULURS PANTI WALUYA
177 132304010623P000 06-10-2023 10-06-2023 0001472085606 RUPIATI P PEKERJA MANDIRI Sequelae of Rujuk Vertikal
313 09:26 cerebral infarction
SARAF RSI AISYIYAH MALANG
178 132304010623P000 06-10-2023 10-06-2023 0001544205014 PUGUH HANDOYO L PNS DAERAH Stroke, not Rujuk Vertikal
295 08:09 specified as
haemorrhage or
infarction
SARAF RS PANTI NIRMALA
179 132304010623P000 06-10-2023 10-06-2023 0001703281757 HARIYANTO BASUKI L PBI (APBN) Hebephrenic Rujuk Vertikal
317 09:45 schizophrenia
JIWA RSI AISYIYAH MALANG
180 132304010623P000 06-10-2023 10-06-2023 0001829252979 ALAN BAGUS L - Keratitis Rujuk Vertikal
321 10:13 JONATHAN
MATA KLINIK MATA SMEC MALANG
181 132304010623P000 06-10-2023 10-06-2023 0002044112668 CHOLIFAH P PBI (APBD) Other abnormal Rujuk Vertikal
297 08:25 uterine and vaginal
bleeding
OBGYN RS MELATI HUSADA
182 132304010623P000 06-10-2023 10-06-2023 0002155204539 SUPIYAH P - Malignant Rujuk Vertikal
314 09:27 neoplasm of breast,
unspecified
Bedah Onkologi RUMAH SAKIT LAVALETTE
183 132304010623P000 06-10-2023 10-06-2023 0002337187151 KIRAM JABAR KARIM L PEKERJA MANDIRI Pain, not elsewhere Rujuk Vertikal
320 10:03 classified
THT-KL RSI AISYIYAH MALANG
184 132304010623P000 06-10-2023 10-06-2023 0002420185882 WARSITO L PBI (APBN) Unspecified injury Rujuk Vertikal
316 09:37 of thorax
SARAF RSI AISYIYAH MALANG
185 132304010623P000 10-06-2023 aBIYYU DZAKWAN Developmental
311 09:23 FAEYzA disorder of speech
and language,
06-10-2023 0002465380967 L - unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

186 132304010623P000 10-06-2023 PEGAWAI Disorders of
301 08:34 PEMERINTAH accommodation
DENGAN
06-10-2023 0002521070559 LUSI RAHMAWATI P PERJANJIAN Rujuk Vertikal
KERJA
MATA KLINIK MATA SMEC MALANG
187 132304010623P000 06-10-2023 10-06-2023 0002729012433 MISIYANTI P PBI (APBD) Cerebral infarction, Rujuk Vertikal
305 08:42 unspecified
SARAF RSU HERMINA TANGKUBANPRAHU
188 132304010623P000 06-10-2023 10-06-2023 0002730314068 HEPI WARSOADI L - Necrosis of pulp Rujuk Vertikal
303 08:36
GIGI ENDODONSI RS PANTI NIRMALA
189 132304010623P000 12-06-2023 Maternal care due
323 06:59 to uterine scar
from previous
06-10-2023 0002730341968 DIAH DWI ISMI AZIS P - surgery Rujuk Vertikal

OBGYN RSIA GALERI CANDRA

190 132304010623P000 06-10-2023 10-06-2023 0003111249723 AHMAD AMMAR L - Pain, not elsewhere Rujuk Vertikal
298 08:28 YULIANSYAH classified
ANAK RSI AISYIYAH MALANG
191 132304010623P000 06-12-2023 12-06-2023 0000095146211 ALAN TRI ANAFI L PNS DAERAH Manic episode Rujuk Vertikal
334 08:58
JIWA RSI AISYIYAH MALANG
192 132304010623P000 06-12-2023 12-06-2023 0000100342078 SAYUDHA PATRIA L - Disorder of patella, Rujuk Vertikal
377 13:54 unspecified
ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
193 132304010623P000 06-12-2023 12-06-2023 0000110979764 SOEWADI HADI L - Heart failure, Rujuk Vertikal
378 13:55 SISWOJO unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
194 132304010623P000 12-06-2023 PENERIMA Insulin-dependent
336 09:04 PENSIUN TNI diabetes mellitus
with unspecified
AGUS ABDUL complications
06-12-2023 0000111454773 L Rujuk Vertikal
ROCHIEM

PENYAKIT DALAM RSI AISYIYAH MALANG

195 132304010623P000 06-12-2023 12-06-2023 0000111468071 WARSINI P PENERIMA Presence of Rujuk Vertikal
325 08:27 PENSIUN TNI intraocular lens
MATA RSI AISYIYAH MALANG
196 132304010623P000 06-12-2023 12-06-2023 0000111709541 KASTARI L PENERIMA Other cataract Rujuk Vertikal
349 09:38 PENSIUN PNS
MATA RSI AISYIYAH MALANG
197 132304010623P000 06-12-2023 12-06-2023 0000111793961 SUMIATUN, AMD. PD P PENERIMA Fibromyalgia Rujuk Vertikal
372 10:59 PENSIUN PNS
SARAF RSI AISYIYAH MALANG
198 132304010623P000 06-12-2023 12-06-2023 0000155661039 SOPIA FRANSINA P PNS DAERAH Malignant Rujuk Vertikal
347 09:32 WAMBRAUW neoplasm of breast,
unspecified
Bedah Onkologi RUMAH SAKIT LAVALETTE
199 132304010623P000 06-12-2023 12-06-2023 0000197001742 NAZENDA GAEZANY P PNS DAERAH Necrosis of pulp Rujuk Vertikal
362 10:27 PUTRI ANDRARQY
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
200 132304010623P000 06-12-2023 12-06-2023 0000200891788 SUMARYONO L PENERIMA Chronic ischaemic Rujuk Vertikal
364 10:35 PENSIUN TNI heart disease,
unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
201 132304010623P000 06-12-2023 12-06-2023 0000783909707 Rr. YOEL P PBI (APBN) Schizophrenia Rujuk Vertikal
327 08:36 HARINDRATI
JIWA RSI AISYIYAH MALANG
202 132304010623P000 06-12-2023 12-06-2023 0000783910462 MUHAMMAD L PBI (APBN) Epilepsy Rujuk Vertikal
326 08:34 SYAIFUDDIN
SARAF RSI AISYIYAH MALANG
203 132304010623P000 12-06-2023 Non-insulin-
329 08:42 dependent diabetes
mellitus with
06-12-2023 0000784143077 TRI SUMARMIATI P PBI (APBN) ophthalmic Rujuk Vertikal
complications

MATA RSI AISYIYAH MALANG

204 132304010623P000 06-12-2023 12-06-2023 0000784163845 TUMIATUN P PBI (APBD) Other chronic Rujuk Vertikal
335 09:02 obstructive
pulmonary disease
Pulmonologi RS SOEPRAOEN
205 132304010623P000 06-12-2023 12-06-2023 0000784269909 SITI AMINAH P PBI (APBN) Chronic kidney Rujuk Vertikal
331 08:55 disease
Ginjal-Hipertensi RS PANTI WALUYA
206 132304010623P000 06-12-2023 12-06-2023 0000784988065 SITI SULAIMAH P PBI (APBN) Prolonged Rujuk Vertikal
340 09:11 pregnancy
OBGYN RSI AISYIYAH MALANG
207 06-12-2023 0000849014291 YULIANA DUKA P - Viral hepatitis Rujuk Vertikal
complicating
132304010623P000 12-06-2023 pregnancy,
366 10:37 childbirth and the
puerperium
PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
208 132304010623P000 06-12-2023 12-06-2023 0001293536564 NANIK KUSTIANIK P PEKERJA MANDIRI Retained dental Rujuk Vertikal
370 10:51 root
GIGI BEDAH MULUT RS PANTI WALUYA
209 132304010623P000 06-12-2023 12-06-2023 0001303884393 KHANZA MEIHRENA P - Necrosis of pulp Rujuk Vertikal
333 08:57 KURNIAPUTRI
GIGI PEDODONTIS RSUD Kota Malang
210 132304010623P000 06-12-2023 12-06-2023 0001316887492 SAYUDIANTO L PEKERJA MANDIRI Chronic kidney Rujuk Vertikal
343 09:18 disease
Ginjal-Hipertensi RS PANTI WALUYA
211 132304010623P000 12-06-2023 PEKERJA MANDIRI Non-insulin-
358 10:10 dependent diabetes
mellitus with
06-12-2023 0001380023853 ERNI WIDATI P multiple Rujuk Vertikal
complications

PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU

212 132304010623P000 12-06-2023 Non-insulin-
363 10:28 dependent diabetes
mellitus with
06-12-2023 0001385870398 ALI HARIONO L PBI (APBD) unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RS SOEPRAOEN

213 132304010623P000 06-12-2023 12-06-2023 0001398279791 EKO JULI L PEKERJA MANDIRI Other chronic Rujuk Vertikal
352 09:45 ENDROATMOKO obstructive
pulmonary disease
Pulmonologi RS SOEPRAOEN
214 132304010623P000 06-12-2023 12-06-2023 0001403205941 Sugondo L PBI (APBD) Parkinson's disease Rujuk Vertikal
339 09:09
SARAF RSI AISYIYAH MALANG
215 132304010623P000 06-12-2023 12-06-2023 0001719849047 SRI WILUJENG P PBI (APBD) Disorders of Rujuk Vertikal
368 10:47 accommodation
MATA KLINIK MATA SMEC MALANG
216 132304010623P000 06-12-2023 12-06-2023 0001719849071 RAFA ALEXANDRIA L PBI (APBD) Disorders of Rujuk Vertikal
367 10:45 PUTRA HARIYANTO accommodation
MATA KLINIK MATA SMEC MALANG
217 132304010623P000 06-12-2023 12-06-2023 0001815273224 UMMU MASULAH P PEKERJA MANDIRI Chronic Rujuk Vertikal
342 09:14 periodontitis
GIGI ENDODONSI RS Universitas Brawijaya
218 132304010623P000 06-12-2023 12-06-2023 0002104826218 DICKY ENJASTA L - Impacted teeth Rujuk Vertikal
357 10:05 PUTRA
GIGI BEDAH MULUT RS PANTI WALUYA
219 132304010623P000 06-12-2023 12-06-2023 0002221387795 MOCH. ANWAR L PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
324 08:22
JIWA RSI AISYIYAH MALANG
220 132304010623P000 06-12-2023 12-06-2023 0002255162163 GINA ANDRIANA P PEKERJA MANDIRI Other Rujuk Vertikal
350 09:39 schizoaffective
disorders
JIWA RS. JIWA LAWANG
221 132304010623P000 06-12-2023 12-06-2023 0002474501027 HANNA MARIAM P - Necrosis of pulp Rujuk Vertikal
346 09:26
GIGI ENDODONSI RSUD Kota Malang
222 132304010623P000 06-12-2023 12-06-2023 0002483182721 SETYONINGSIH P PEGAWAI Heart failure, Rujuk Vertikal
359 10:11 SWASTA unspecified
JANTUNG DAN PEMBULUKLINIK JANTUNG HASNA MEDIKA
223 132304010623P000 06-12-2023 12-06-2023 0002601990033 ANA INDRAWATI P PBI (APBN) Caries of dentine Rujuk Vertikal
330 08:50
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
224 132304010623P000 06-12-2023 12-06-2023 0002728834817 JEVONZA QAF JEVA L - Necrosis of pulp Rujuk Vertikal
375 11:10 REBELIO PRADOYO
GIGI PEDODONTIS RSU HERMINA TANGKUBANPRAHU
225 132304010623P000 06-12-2023 12-06-2023 0002730225936 SUTIONO L PBI (APBN) Cerebral infarction Rujuk Vertikal
356 09:57
SARAF RSI AISYIYAH MALANG
226 132304010623P000 06-12-2023 12-06-2023 0002730259372 MARIA ULFA P PEGAWAI Retained dental Rujuk Vertikal
355 09:55 SWASTA root
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
227 132304010623P000 06-12-2023 12-06-2023 0002730308679 RIAN ABDILLAH L - Necrosis of pulp Rujuk Vertikal
361 10:14 NURDZAKY
GIGI PEDODONTIS RSUD Kota Malang
228 132304010623P000 06-12-2023 12-06-2023 0002732864793 ERNA WATI P PBI (APBN) Malignant Rujuk Vertikal
338 09:08 neoplasm of breast,
unspecified
BEDAH RSI AISYIYAH MALANG
229 132304010623P000 06-12-2023 12-06-2023 0002752805294 ENI HERLINAWATI P PEKERJA MANDIRI Enlarged lymph Rujuk Vertikal
345 09:24 nodes, unspecified
Bedah Onkologi RUMAH SAKIT LAVALETTE
230 132304010623P000 12-06-2023 Non-insulin-
369 10:50 dependent diabetes
mellitus with
06-12-2023 0002764307439 MUALIMAH P PBI (APBD) unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

231 132304010623P000 06-12-2023 12-06-2023 0002930250677 BRANDO GIOVI L PEGAWAI Childhood autism Rujuk Vertikal
337 09:08 RASTAWAN SWASTA
Installasi Rehabilitasi MedKLINIK HUSADA ASIH
232 132304010623P000 06-12-2023 12-06-2023 0003525532536 FATIMATUS ZAHRA P PBI (APBD) Patent ductus Rujuk Vertikal
376 11:12 arteriosus
Anak Kardiologi RUMAH SAKIT LAVALETTE
233 132304010623P000 13-06-2023 13-06-2023 0000111725515 SAHID L - Chronic ischaemic Rujuk Vertikal
379 00:00 08:02 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
234 132304010623P000 13-06-2023 13-06-2023 0000784246566 AYU MEGAWATI P - Caries of dentine Rujuk Vertikal
403 00:00 10:08 PUTRI
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
235 132304010623P000 13-06-2023 13-06-2023 Severe depressive
404 00:00 10:14 episode with
psychotic
0000784383096 ERIK HERMANSSAH L PBI (APBN) symptoms Rujuk Vertikal

JIWA RSI AISYIYAH MALANG

236 132304010623P000 13-06-2023 13-06-2023 0000784642419 JANES ANDIKA L PBI (APBN) Retained dental Rujuk Vertikal
391 00:00 09:16 POLESTRINA SUWAJI root
GIGI BEDAH MULUT RS SOEPRAOEN
237 132304010623P000 13-06-2023 13-06-2023 0001049548454 SULIKAH. P PBI (APBN) Heart failure, Rujuk Vertikal
398 00:00 09:57 unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
238 132304010623P000 13-06-2023 13-06-2023 0001301251972 AHMAD AKHSAN L PNS DAERAH Infantile cerebral Rujuk Vertikal
385 00:00 08:43 HABIBI palsy, unspecified
ANAK RSU HERMINA TANGKUBANPRAHU
239 132304010623P000 13-06-2023 13-06-2023 0001384717825 sudarwinarni P PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
389 00:00 08:57
JIWA RS. JIWA LAWANG
240 132304010623P000 13-06-2023 13-06-2023 0001448280415 FRANSISKA SULIKAH P PBI (APBD) Heart failure, Rujuk Vertikal
408 00:00 10:22 unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
241 132304010623P000 13-06-2023 13-06-2023 0001450875598 SUWANDI L - Hyperplasia of Rujuk Vertikal
396 00:00 09:51 prostate
UROLOGI RSI AISYIYAH MALANG
242 132304010623P000 13-06-2023 13-06-2023 0001637285332 LUDIYAH PRASTIWI P PEKERJA MANDIRI Other venous Rujuk Vertikal
384 00:00 08:41 embolism and
thrombosis
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
243 132304010623P000 13-06-2023 13-06-2023 0001791660958 TRIYANI PRISTIWATI P PBI (APBD) Cerebral infarction, Rujuk Vertikal
409 00:00 10:29 unspecified
SARAF RSI AISYIYAH MALANG
244 132304010623P000 13-06-2023 13-06-2023 0001810622079 NANANG L - Spondylolisthesis Rujuk Vertikal
411 00:00 10:58 WICAKSONO
SARAF RSUD Kota Malang
245 132304010623P000 13-06-2023 13-06-2023 0001962353362 TRI MARGONO L PBI (APBN) Keratitis Rujuk Vertikal
381 00:00 08:38
MATA RSI AISYIYAH MALANG
246 132304010623P000 13-06-2023 13-06-2023 0002108062012 DEWI INTAN P - Amenorrhoea, Rujuk Vertikal
412 00:00 11:31 PERMATA SARI R. J. unspecified
PIRAS
OBGYN RSI AISYIYAH MALANG
247 132304010623P000 13-06-2023 13-06-2023 PEKERJA MANDIRI Specific
386 00:00 08:51 developmental
disorders of speech
0002230874122 alesha keinarra rahendra P and language Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

248 132304010623P000 13-06-2023 13-06-2023 0002241488834 DONNY L - Psoriasis Rujuk Vertikal
405 00:00 10:16
KULIT KELAMIN RSI AISYIYAH MALANG
249 132304010623P000 13-06-2023 13-06-2023 0002304625443 MOCH ZAINUDIN L PEKERJA MANDIRI Heart failure, Rujuk Vertikal
380 00:00 08:36 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
250 132304010623P000 13-06-2023 13-06-2023 PENERIMA Diseases of vocal
400 00:00 09:59 PENSIUN POLRI cords and larynx,
ENOS IMANUEL not elsewhere
0002441799505 L classified Rujuk Vertikal
SIRAIT

ANAK RSIA MARDI WALOEJA KAUMAN

251 132304010623P000 13-06-2023 13-06-2023 NIRMALA SEKAR Hypertrophy of
413 00:00 13:22 KEDATON tonsils with
0002469815425 P - hypertrophy of Rujuk Vertikal
adenoids
THT-KL RS ISLAM MALANG UNISMA
252 132304010623P000 13-06-2023 13-06-2023 Maternal care due
383 00:00 08:40 to uterine scar
from previous
0002728943144 MILA WINDI ASTUTIK P PBI (APBD) surgery Rujuk Vertikal

OBGYN RSI AISYIYAH MALANG

253 132304010623P000 13-06-2023 13-06-2023 0002729046745 ANANG MUJOKO L PBI (APBD) Malignant Rujuk Vertikal
406 00:00 10:18 neoplasm of
rectum
Hematologi - Onkologi MeRSI AISYIYAH MALANG
254 132304010623P000 13-06-2023 13-06-2023 0002730013198 LELLY AYU P PEGAWAI Haemorrhage in Rujuk Vertikal
392 00:00 09:31 ANGGRAINI SWASTA early pregnancy
OBGYN RS MELATI HUSADA
255 132304010623P000 13-06-2023 13-06-2023 0002742123598 ANTONIUS DWI L PBI (APBD) Stroke, not Rujuk Vertikal
399 00:00 09:58 SANTOSO specified as
haemorrhage or
infarction
SARAF RSU HERMINA TANGKUBANPRAHU
256 132304010623P000 13-06-2023 13-06-2023 0002845959827 SUWANDI L PBI (APBN) Stroke, not Rujuk Vertikal
393 00:00 09:39 specified as
haemorrhage or
infarction
SARAF RS PANTI WALUYA
257 132304010623P000 13-06-2023 13-06-2023 0003522971081 BAYI NYONYA ANIS P PBI (APBD) Bacterial sepsis of Rujuk Vertikal
397 00:00 09:56 SUPRIATIN newborn
ANAK RSI AISYIYAH MALANG
258 132304010623P000 14-06-2023 14-06-2023 0000111455695 GINI P VETERAN Hereditary Rujuk Vertikal
444 00:00 09:47 sideroblastic
anaemia
Hematologi - Onkologi MeRSI AISYIYAH MALANG
259 132304010623P000 14-06-2023 14-06-2023 0000111782428 AV. SUSIYANTONO L - Hypertensive heart Rujuk Vertikal
467 00:00 11:17 disease
PENYAKIT DALAM RSI AISYIYAH MALANG
260 132304010623P000 14-06-2023 14-06-2023 0000111849467 MOCHAMAD NA'IB L PENERIMA Chronic ischaemic Rujuk Vertikal
438 00:00 09:23 PENSIUN PNS heart disease,
unspecified
JANTUNG DAN PEMBULURS PANTI NIRMALA
261 132304010623P000 14-06-2023 14-06-2023 0000628223523 PUJI SETIOWATI P PBI (APBN) Impacted teeth Rujuk Vertikal
466 00:00 11:12
GIGI BEDAH MULUT RS SOEPRAOEN
262 132304010623P000 14-06-2023 14-06-2023 0000723493978 HAQIU NUR DINA P PBI (APBN) Maternal care for Rujuk Vertikal
462 00:00 10:44 UTOMO disproportion,
unspecified
OBGYN RSU HERMINA TANGKUBANPRAHU
263 132304010623P000 14-06-2023 14-06-2023 0000784158063 ITA RO'AISAH P PBI (APBN) Schizoaffective Rujuk Vertikal
448 00:00 09:55 disorder, manic
type
JIWA RS. JIWA LAWANG
264 132304010623P000 14-06-2023 14-06-2023 0000784343981 SAFINA P PBI (APBN) Multiple sclerosis Rujuk Vertikal
432 00:00 09:09 KHAIRUNNISA N
SARAF RSI AISYIYAH MALANG
265 0000784380857 DULIMA P - Benign neoplasm Rujuk Vertikal
of peripheral
nerves and
132304010623P000 14-06-2023 14-06-2023 autonomic nervous
463 00:00 10:46 system

BEDAH RSI AISYIYAH MALANG

266 132304010623P000 14-06-2023 14-06-2023 0000784540359 SASHA MALINI P PEGAWAI Anisometropia and Rujuk Vertikal
468 00:00 11:20 SWASTA aniseikonia
MATA Klinik Utama Malang Eye Center
267 132304010623P000 14-06-2023 14-06-2023 0000784862561 DIAN ISTIGHFAR RINI P PBI (APBN) Benign neoplasm Rujuk Vertikal
453 00:00 10:01 of breast
BEDAH RSI AISYIYAH MALANG
268 132304010623P000 14-06-2023 14-06-2023 Abnormal uterine
437 00:00 09:23 and vaginal
bleeding,
0000785173757 SUNARYATI P - unspecified Rujuk Vertikal

OBGYN RSI AISYIYAH MALANG

269 132304010623P000 14-06-2023 14-06-2023 0001049545462 SUSWATI P PBI (APBN) Impacted teeth Rujuk Vertikal
464 00:00 10:55
GIGI BEDAH MULUT RSI AISYIYAH MALANG
270 132304010623P000 14-06-2023 14-06-2023 0001049546913 WARSIAH P PBI (APBN) Cerebral infarction, Rujuk Vertikal
431 00:00 09:07 unspecified
SARAF RSI AISYIYAH MALANG
271 132304010623P000 14-06-2023 14-06-2023 0001279727436 SURYANTI P PEKERJA MANDIRI Fibrosis and Rujuk Vertikal
456 00:00 10:15 cirrhosis of liver
PENYAKIT DALAM RSI AISYIYAH MALANG
272 132304010623P000 14-06-2023 14-06-2023 0001323435521 KATHARINA ASIH P PEGAWAI Necrosis of pulp Rujuk Vertikal
430 00:00 09:07 WIJATI SWASTA
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
273 132304010623P000 14-06-2023 14-06-2023 0001403228349 SAMIATI P PBI (APBD) Low back pain Rujuk Vertikal
435 00:00 09:17
SARAF RSI AISYIYAH MALANG
274 132304010623P000 14-06-2023 14-06-2023 0001423534331 lasmini P - Sequelae of Rujuk Vertikal
442 00:00 09:40 cerebrovascular
disease
SARAF Klinik Utama Bunga Melati
275 132304010623P000 14-06-2023 14-06-2023 0001424620664 TIQAH AMBARWATI P PEKERJA MANDIRI Pulpitis Rujuk Vertikal
443 00:00 09:46 NINGTYAS
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
276 132304010623P000 14-06-2023 14-06-2023 PEKERJA MANDIRI Non-insulin-
460 00:00 10:33 dependent diabetes
mellitus with
0001439025006 SUJILAH P unspecified Rujuk Vertikal
complications

PENYAKIT DALAM RSI AISYIYAH MALANG

277 132304010623P000 14-06-2023 14-06-2023 0001904417561 CASNOAH P PBI (APBD) Other cataract Rujuk Vertikal
439 00:00 09:25
MATA RSI AISYIYAH MALANG
278 132304010623P000 14-06-2023 14-06-2023 0002102056301 DANANG SUKMA L - Anogenital Rujuk Vertikal
481 00:00 12:11 SAPUTRA (venereal) warts
KULIT KELAMIN RSU HERMINA TANGKUBANPRAHU
279 132304010623P000 14-06-2023 14-06-2023 0002155204585 SUGIANTO L PBI (APBN) Heart failure, Rujuk Vertikal
450 00:00 09:57 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
280 132304010623P000 14-06-2023 14-06-2023 0002198203481 suhariyanto L - Other chronic Rujuk Vertikal
454 00:00 10:03 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
281 132304010623P000 14-06-2023 14-06-2023 PEKERJA MANDIRI Developmental
469 00:00 11:33 disorder of speech
and language,
0002204843589 aditya natalion susanto L unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

282 132304010623P000 14-06-2023 14-06-2023 PEKERJA MANDIRI Acute upper
446 00:00 09:52 respiratory
infections of
AQEEL MUSA AL multiple and
0002213746896 L Rujuk Vertikal
FATIH unspecified sites

ANAK RSUD Kota Malang

283 132304010623P000 14-06-2023 14-06-2023 AQEELA MARYAM PEKERJA MANDIRI Acute upper
447 00:00 09:54 AZZAHRA respiratory
infections of
0002213747335 P multiple and Rujuk Vertikal
unspecified sites

ANAK RSUD Kota Malang

284 132304010623P000 14-06-2023 14-06-2023 0002241449008 SATIN P PEGAWAI Other cataract Rujuk Vertikal
428 00:00 08:39 SWASTA
MATA RSI AISYIYAH MALANG
285 132304010623P000 14-06-2023 14-06-2023 0002280478263 NURUL HANDAYANI P PEKERJA MANDIRI Malignant Rujuk Vertikal
470 00:00 11:39 neoplasm of cervix
uteri
onkologi ginekologi RUMAH SAKIT LAVALETTE
286 132304010623P000 14-06-2023 14-06-2023 ARCANA LANGIT Developmental
500 00:00 13:23 GIANRASTRA disorder of speech
and language,
0002444797157 L - unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

287 132304010623P000 14-06-2023 14-06-2023 ARSY KHADEEJAH PEKERJA MANDIRI Acute upper
449 00:00 09:56 AZZAHWA respiratory
infections of
0002477158391 P multiple and Rujuk Vertikal
unspecified sites

ANAK RSUD Kota Malang

288 132304010623P000 14-06-2023 14-06-2023 GREGORIUS JOAN Contact with and
457 00:00 10:20 ARION NUGROHO exposure to
communicable
0002498623299 L - diseases Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

289 132304010623P000 14-06-2023 14-06-2023 0002610234641 SUNARJO L PBI (APBN) Sequelae of Rujuk Vertikal
426 00:00 08:23 cerebral infarction
SARAF RSI AISYIYAH MALANG
290 132304010623P000 14-06-2023 14-06-2023 0002729069919 NUR YADI L PBI (APBD) Other conduction Rujuk Vertikal
451 00:00 09:59 disorders
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
291 132304010623P000 14-06-2023 14-06-2023 0002730251439 SUTIAH P PBI (APBD) Retained dental Rujuk Vertikal
436 00:00 09:22 root
GIGI BEDAH MULUT RS SOEPRAOEN
292 132304010623P000 14-06-2023 14-06-2023 0002730366156 YUDI LISTIONO L PBI (APBD) Chronic kidney Rujuk Vertikal
458 00:00 10:27 disease
PENYAKIT DALAM RSI AISYIYAH MALANG
293 132304010623P000 14-06-2023 14-06-2023 Maternal care due
455 00:00 10:08 to uterine scar
from previous
0002845962112 INDRA NURSIAH P PBI (APBN) surgery Rujuk Vertikal

OBGYN RSIA MUHAMMADIYAH MALANG

294 132304010623P000 14-06-2023 14-06-2023 0002903600294 OKTAVIAN AZMI L PBI (APBN) Necrosis of pulp Rujuk Vertikal
440 00:00 09:33 WIDYA PUTRA
GIGI PEDODONTIS RSUD Kota Malang
295 132304010623P000 15-06-2023 15-06-2023 0000110597286 FREDDYAN LAKSA L - Periapical abscess Rujuk Vertikal
603 00:00 11:36 KUSUMA without sinus
GIGI ENDODONSI RSUD Kota Malang
296 132304010623P000 15-06-2023 15-06-2023 0000111104471 SUNARTI P PNS DAERAH Other surgical Rujuk Vertikal
580 00:00 11:15 follow-up care
BEDAH RSI AISYIYAH MALANG
297 132304010623P000 15-06-2023 15-06-2023 0000111717044 Indajah Soemiati P PENERIMA Myopia Rujuk Vertikal
550 00:00 10:45 PENSIUN PNS
MATA KLINIK MATA SMEC MALANG
298 132304010623P000 15-06-2023 15-06-2023 0000115793662 SRI WIDYAWATI P PNS DAERAH Necrosis of pulp Rujuk Vertikal
520 00:00 09:39
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
299 132304010623P000 15-06-2023 15-06-2023 0000783235844 TOHIR L PBI (APBN) Pain, not elsewhere Rujuk Vertikal
581 00:00 11:17 classified
MATA RSI AISYIYAH MALANG
300 132304010623P000 15-06-2023 15-06-2023 0000784039871 PROBONINGRUM L PBI (APBD) Retained dental Rujuk Vertikal
523 00:00 09:46 WURAGIL KUNING root
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
301 132304010623P000 15-06-2023 15-06-2023 Other specified
514 00:00 09:10 0000784626221 SUPANGAT L - surgical follow-up Rujuk Vertikal
care
BEDAH RSI AISYIYAH MALANG
302 132304010623P000 15-06-2023 15-06-2023 0001049533931 MOCH MUKTI L PBI (APBN) Hypertensive heart Rujuk Vertikal
518 00:00 09:36 disease
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
303 132304010623P000 15-06-2023 15-06-2023 0001125482793 ERWIN SANTOSO L PEGAWAI Fever of other and Rujuk Vertikal
517 00:00 09:34 SWASTA unknown origin
MATA RSI AISYIYAH MALANG
304 132304010623P000 15-06-2023 15-06-2023 0001436276171 LISTIANa SUGIARTI P PEKERJA MANDIRI Chronic ischaemic Rujuk Vertikal
512 00:00 08:56 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
305 132304010623P000 15-06-2023 15-06-2023 0001815768426 MOCHAMMAD PUTRA L PEGAWAI Necrosis of pulp Rujuk Vertikal
513 00:00 09:07 ARUL PRATAMA SWASTA
GIGI ENDODONSI RS BHIRAWA BHAKTI
306 132304010623P000 15-06-2023 15-06-2023 0002155204517 SUPRAPTI P PBI (APBD) Epilepsy Rujuk Vertikal
510 00:00 08:51
SARAF RSI AISYIYAH MALANG
307 132304010623P000 15-06-2023 15-06-2023 0002159261818 WIJI ANDAYANI P PBI (APBD) Anisometropia and Rujuk Vertikal
508 00:00 08:44 aniseikonia
MATA RSI AISYIYAH MALANG
308 132304010623P000 15-06-2023 15-06-2023 0002219233026 RENDRA WIRAWAN L PEGAWAI Cervical disc Rujuk Vertikal
582 00:00 11:19 SWASTA disorder with
myelopathy
Tulang Belakang RS PERSADA HOSPITAL
309 132304010623P000 15-06-2023 15-06-2023 PEKERJA MANDIRI Insulin-dependent
509 00:00 08:49 diabetes mellitus
with unspecified
0002308993277 MULYONO L complications Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

310 132304010623P000 15-06-2023 15-06-2023 0002458334924 EDY WINARNO L PBI (APBD) Other specified Rujuk Vertikal
522 00:00 09:45 disorders of kidney
and ureter
UROLOGI RS PANTI WALUYA
311 132304010623P000 15-06-2023 15-06-2023 0002728840015 MOHAMAT AZRIEL L - Osteomyelitis, Rujuk Vertikal
530 00:00 10:11 FIRMANSYAH unspecified
ORTHOPEDI RSI AISYIYAH MALANG
312 132304010623P000 15-06-2023 15-06-2023 MUHAMMAD PEGAWAI Developmental
521 00:00 09:44 ABRISAM ATHAZAKY SWASTA disorder of speech
RAFISQY and language,
0002909589434 L unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

313 132304010623P000 15-06-2023 15-06-2023 Developmental
534 00:00 10:17 disorder of speech
GHAIZAN AHMAD and language,
0003058783132 L PBI (APBD) unspecified Rujuk Vertikal
NABIL

ANAK RSI AISYIYAH MALANG

314 132304010623P000 16-06-2023 16-06-2023 0000111735369 SUWANDI L - Senile cataract, Rujuk Vertikal
685 00:00 14:19 unspecified
MATA KLINIK MATA SMEC MALANG
315 132304010623P000 16-06-2023 16-06-2023 0000783959376 IDAWIYAH P PBI (APBN) Chronic ischaemic Rujuk Vertikal
671 00:00 09:30 heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
316 132304010623P000 16-06-2023 16-06-2023 0000784379597 KUSMIATI P - Congestive heart Rujuk Vertikal
676 00:00 09:46 failure
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
317 132304010623P000 16-06-2023 16-06-2023 0000784790346 SITI MARIYAH P PBI (APBN) Cerebral infarction, Rujuk Vertikal
667 00:00 09:12 unspecified
SARAF RS SOEPRAOEN
318 132304010623P000 16-06-2023 16-06-2023 0000785370238 TASLAN L PBI (APBN) Chronic ischaemic Rujuk Vertikal
672 00:00 09:33 heart disease,
unspecified
JANTUNG DAN PEMBULURS SOEPRAOEN
319 132304010623P000 16-06-2023 16-06-2023 0000785405575 MISIONO L PBI (APBD) Schizophrenia Rujuk Vertikal
669 00:00 09:16
JIWA RS SOEPRAOEN
320 132304010623P000 16-06-2023 16-06-2023 0000785406205 MISTUN P PBI (APBD) Cataract, Rujuk Vertikal
668 00:00 09:14 unspecified
MATA RSI AISYIYAH MALANG
321 132304010623P000 16-06-2023 16-06-2023 0000785407162 MOCH. SOBIRIN L PBI (APBD) Periapical abscess Rujuk Vertikal
670 00:00 09:19 without sinus
GIGI ENDODONSI RS PANTI NIRMALA
322 132304010623P000 16-06-2023 16-06-2023 0001438864119 SITI FATIMAH P - Other vitreous Rujuk Vertikal
680 00:00 10:12 opacities
MATA RSI AISYIYAH MALANG
323 132304010623P000 16-06-2023 16-06-2023 0001439479405 MAISARO P PBI (APBD) Scleritis Rujuk Vertikal
665 00:00 08:44
MATA KLINIK MATA SMEC MALANG
324 132304010623P000 16-06-2023 16-06-2023 Other specified
683 00:00 10:42 diseases and
conditions
complicating
0001701722867 YULIATI P - pregnancy, Rujuk Vertikal
childbirth and the
puerperium
OBGYN RSU HERMINA TANGKUBANPRAHU
325 132304010623P000 16-06-2023 16-06-2023 0001803719913 T. RAHAYUNINGSIH P PEKERJA MANDIRI Disorder of Rujuk Vertikal
666 00:00 08:52 vitreous body,
unspecified
MATA RSI AISYIYAH MALANG
326 132304010623P000 16-06-2023 16-06-2023 0001963911047 ABIYE P - Disorder of Rujuk Vertikal
673 00:00 09:34 vitreous body,
unspecified
MATA RSI AISYIYAH MALANG
327 132304010623P000 16-06-2023 16-06-2023 0002164755159 NUR ALIFAH P PBI (APBD) Schizophrenia Rujuk Vertikal
663 00:00 08:36
JIWA RSI AISYIYAH MALANG
328 0002728965734 RACHMAD YUWONO L - Follow-up Rujuk Vertikal
examination after
treatment for
132304010623P000 16-06-2023 16-06-2023 conditions other
677 00:00 09:58 than malignant
neoplasms

BEDAH RSI AISYIYAH MALANG

329 132304010623P000 16-06-2023 16-06-2023 0003511754065 ELLY MURNIATI P - Fracture of upper Rujuk Vertikal
678 00:00 10:00 end of humerus
ORTHOPEDI RSI AISYIYAH MALANG
330 132304010623P000 17-06-2023 17-06-2023 0000033145852 ARIES GUNAWAN L - Fracture of upper Rujuk Vertikal
827 00:00 10:21 end of humerus
ORTHOPEDI RSUD Kota Malang
331 132304010623P000 17-06-2023 17-06-2023 0000111244285 DONNY SANDITO L - Anisometropia and Rujuk Vertikal
804 00:00 08:09 WIDOYOKO aniseikonia
MATA Klinik Utama Malang Eye Center
332 132304010623P000 17-06-2023 17-06-2023 0000111502989 CAHYA L PNS PUSAT Necrosis of pulp Rujuk Vertikal
817 00:00 09:23 HERLAMBANG
GIGI ENDODONSI RUMAH SAKIT LAVALETTE
333 132304010623P000 17-06-2023 17-06-2023 0000198078153 GENDIS P - Chronic Rujuk Vertikal
826 00:00 10:17 NIANDRAPRADNYA periodontitis
GIGI PERIODONTI RS BHIRAWA BHAKTI
334 132304010623P000 17-06-2023 17-06-2023 0000205576525 SUROTO L - Calculus of kidney Rujuk Vertikal
816 00:00 09:15 and ureter
UROLOGI RSU HERMINA TANGKUBANPRAHU
335 0000783969682 NGATENI P PBI (APBN) Dislocation, sprain Rujuk Vertikal
and strain of joints
and ligaments of
132304010623P000 17-06-2023 17-06-2023 lumbar spine and
811 00:00 08:55 pelvis

ORTHOPEDI RSI AISYIYAH MALANG

336 132304010623P000 17-06-2023 17-06-2023 0000784316103 SUNARIYAH P - Glaucoma Rujuk Vertikal
805 00:00 08:18
MATA RSI AISYIYAH MALANG
337 132304010623P000 17-06-2023 17-06-2023 PEGAWAI Chronic apical
824 00:00 10:01 PEMERINTAH periodontitis
DENGAN
0000784331864 ELRA SAFA OWENA P PERJANJIAN Rujuk Vertikal
KERJA
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
338 132304010623P000 17-06-2023 17-06-2023 0000784417588 NUR HAYATI P PBI (APBD) Disorder of visual Rujuk Vertikal
818 00:00 09:24 pathways,
unspecified
MATA RSI AISYIYAH MALANG
339 132304010623P000 17-06-2023 17-06-2023 0000966138557 ROSALINA P - Fibroadenosis of Rujuk Vertikal
822 00:00 09:49 HEATUBUN breast
BEDAH RS MELATI HUSADA
340 132304010623P000 17-06-2023 17-06-2023 0001278792426 LAILATUL MUFIDA P - Isolated proteinuria Rujuk Vertikal
830 00:00 10:36
OBGYN RSU HERMINA TANGKUBANPRAHU
341 132304010623P000 17-06-2023 17-06-2023 PEKERJA MANDIRI Acute transverse
810 00:00 08:52 myelitis in
demyelinating
disease of central
nervous system
0001407419717 ERICA DIAN KHIRANA P Rujuk Vertikal

SARAF RSI AISYIYAH MALANG

342 132304010623P000 17-06-2023 17-06-2023 0001838176874 SITI MAQIKYAH P PNS DAERAH Pulpitis Rujuk Vertikal
815 00:00 09:10
GIGI ENDODONSI RSIA PURI
343 132304010623P000 17-06-2023 17-06-2023 0001855492468 MEYLITA SISKA P PBI (APBD) Pulpitis Rujuk Vertikal
808 00:00 08:40 PUTRI
GIGI ENDODONSI RSIA PURI
344 132304010623P000 17-06-2023 17-06-2023 0002032150342 INDAH YULIATI P PEKERJA MANDIRI Disorder of visual Rujuk Vertikal
819 00:00 09:29 pathways,
unspecified
MATA KLINIK MATA SMEC MALANG
345 132304010623P000 17-06-2023 17-06-2023 0002300085808 CINDY MEGARANI P PEKERJA MANDIRI Other infection of Rujuk Vertikal
825 00:00 10:06 genital tract
following delivery
OBGYN RS MELATI HUSADA
346 132304010623P000 17-06-2023 17-06-2023 0002317725753 M. ZEINADEN-AL L - Necrosis of pulp Rujuk Vertikal
806 00:00 08:27 ABIDIN
GIGI ENDODONSI RUMAH SAKIT LAVALETTE
347 132304010623P000 17-06-2023 17-06-2023 0003090195369 AALIYA LATHIFAH P PBI (APBD) Juvenile Rujuk Vertikal
821 00:00 09:48 ZUHRA' rheumatoid
arthritis
Anak Alergi Imunologi RUMAH SAKIT LAVALETTE
348 132304010623P001 19-06-2023 19-06-2023 0000110211772 SUBAKRI L PNS DAERAH Glaucoma Rujuk Vertikal
075 00:00 14:59
MATA Klinik Utama Malang Eye Center
349 132304010623P001 19-06-2023 19-06-2023 0000111422507 MUSYAROFAH P VETERAN Epilepsy Rujuk Vertikal
068 00:00 14:47
SARAF RSI AISYIYAH MALANG
350 132304010623P000 19-06-2023 19-06-2023 0000111793511 SUDORO RUKMI P PENERIMA Parkinson's disease Rujuk Vertikal
991 00:00 09:04 PENSIUN PNS
SARAF RS PANTI WALUYA
351 132304010623P000 19-06-2023 19-06-2023 0000194006823 CHANAYA FILZAH P - Impacted teeth Rujuk Vertikal
990 00:00 09:03 IRREZTU
GIGI BEDAH MULUT RUMAH SAKIT LAVALETTE
352 132304010623P000 19-06-2023 19-06-2023 0000783224932 DESTA PUTRI P PBI (APBN) Unspecified Rujuk Vertikal
992 00:00 09:05 MAHARANI haematuria
ANAK RS SOEPRAOEN
353 132304010623P001 19-06-2023 19-06-2023 0000784129522 BOIMIN L PBI (APBN) Paraplegia and Rujuk Vertikal
069 00:00 14:49 tetraplegia
SARAF RS SOEPRAOEN
354 132304010623P000 19-06-2023 19-06-2023 0000784162686 LILIK ANAH P - Periapical abscess Rujuk Vertikal
984 00:00 08:05 without sinus
GIGI BEDAH MULUT RS PANTI WALUYA
355 132304010623P001 19-06-2023 19-06-2023 0000784508758 KUSMAWATI P PEKERJA MANDIRI Mechanical Rujuk Vertikal
084 00:00 15:09 complication of
intraocular lens
MATA Klinik Utama Malang Eye Center
356 132304010623P001 19-06-2023 19-06-2023 0000784634804 MISURIP P PBI (APBN) Multiple valve Rujuk Vertikal
072 00:00 14:55 diseases
BEDAH RSI AISYIYAH MALANG
357 132304010623P001 19-06-2023 19-06-2023 0000784796973 GHEA NAJWA P - Chronic apical Rujuk Vertikal
004 00:00 10:21 ALLANIS periodontitis
GIGI BEDAH MULUT RS SOEPRAOEN
358 132304010623P001 19-06-2023 19-06-2023 0000976472818 KEVIN ADITYA L PBI (APBD) Fracture of lower Rujuk Vertikal
078 00:00 15:03 PRASETYA end of radius
ORTHOPEDI RS SOEPRAOEN
359 132304010623P001 19-06-2023 19-06-2023 0001271530945 MARJALAN L PBI (APBD) Cerebral infarction, Rujuk Vertikal
067 00:00 14:46 unspecified
SARAF RSI AISYIYAH MALANG
360 132304010623P001 19-06-2023 19-06-2023 0001283222755 SETO SUDIHARTADI L PEKERJA MANDIRI Chronic kidney Rujuk Vertikal
070 00:00 14:51 disease
PENYAKIT DALAM RSI AISYIYAH MALANG
361 132304010623P001 19-06-2023 19-06-2023 0001283223227 A. TYAS NURANI K P PEKERJA MANDIRI Other disorders of Rujuk Vertikal
071 00:00 14:53 lens
MATA RSI AISYIYAH MALANG
362 132304010623P001 19-06-2023 19-06-2023 0001283837005 DIAN RULITA P PBI (APBD) Disorders of Rujuk Vertikal
073 00:00 14:56 accommodation
MATA RSI AISYIYAH MALANG
363 132304010623P001 19-06-2023 19-06-2023 0001310802682 asmari L PEKERJA MANDIRI Chronic myeloid Rujuk Vertikal
076 00:00 15:00 leukaemia
Hematologi - Onkologi MeRSI AISYIYAH MALANG
364 132304010623P001 19-06-2023 19-06-2023 0001326036868 YULI PARMASARI P PBI (APBD) Polyp of corpus Rujuk Vertikal
006 00:00 10:25 uteri
OBGYN RSI AISYIYAH MALANG
365 132304010623P001 19-06-2023 19-06-2023 0001390457351 SUMARAH P PEKERJA MANDIRI Spondylosis, Rujuk Vertikal
074 00:00 14:58 unspecified
ORTHOPEDI RSI AISYIYAH MALANG
366 132304010623P001 19-06-2023 19-06-2023 0001403168837 AMELIA NURAINI P PBI (APBD) Pulpitis Rujuk Vertikal
012 00:00 10:48 FADILA
GIGI ENDODONSI RSIA PURI
367 132304010623P001 19-06-2023 19-06-2023 0001471446731 YUAWIN L PBI (APBD) Chronic kidney Rujuk Vertikal
077 00:00 15:01 disease
PENYAKIT DALAM RS SOEPRAOEN
368 132304010623P001 19-06-2023 19-06-2023 0001601308607 WENI HERU P PBI (APBN) Missed abortion Rujuk Vertikal
007 00:00 10:30 WULANDARI
OBGYN RSI AISYIYAH MALANG
369 132304010623P001 19-06-2023 19-06-2023 Spontaneous
008 00:00 10:34 abortion,
incomplete,
0001601313996 ANIZZATUZZAHROH P PBI (APBD) without Rujuk Vertikal
complication
OBGYN RSIA MUHAMMADIYAH MALANG
370 132304010623P001 19-06-2023 19-06-2023 0001702872066 MOCHAMAD RONI L - Eustachian tube Rujuk Vertikal
081 00:00 15:06 disorder,
unspecified
THT-KL RS ISLAM MALANG UNISMA
371 132304010623P001 19-06-2023 19-06-2023 0001861181313 EDIKA L - Retained dental Rujuk Vertikal
010 00:00 10:37 root
GIGI BEDAH MULUT RS SOEPRAOEN
372 132304010623P001 19-06-2023 19-06-2023 Maternal care for
001 00:00 10:07 known or
suspected
0001903930018 HETI SUMARLINA P PBI (APBN) malpresentation of Rujuk Vertikal
fetus
OBGYN RSI AISYIYAH MALANG
373 132304010623P001 19-06-2023 19-06-2023 0001908143065 ZAIDAN ALMAHDI L - Fracture of tooth Rujuk Vertikal
014 00:00 11:23
GIGI PEDODONTIS RSIA PURI
374 132304010623P001 19-06-2023 19-06-2023 0001908148116 titik suwarni P PBI (APBD) Cerebral infarction Rujuk Vertikal
079 00:00 15:04
SARAF RSI AISYIYAH MALANG
375 132304010623P000 19-06-2023 19-06-2023 0001990140298 DEWI INTAN SARI P - Necrosis of pulp Rujuk Vertikal
989 00:00 08:54
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
376 132304010623P001 19-06-2023 19-06-2023 0002065977224 MUHAMMAD L PBI (APBD) Congenital Rujuk Vertikal
082 00:00 15:07 KHOIRUDDIIN malformations of
cardiac septa
Installasi Rehabilitasi MedKLINIK HUSADA ASIH
377 132304010623P000 19-06-2023 19-06-2023 0002227498378 MAULANA HABIB L - Necrosis of pulp Rujuk Vertikal
997 00:00 09:34 YUDYANTO
GIGI BEDAH MULUT RS PANTI WALUYA
378 132304010623P001 19-06-2023 19-06-2023 0002241189371 FITRI AUDIA P - Impacted teeth Rujuk Vertikal
013 00:00 11:06
GIGI BEDAH MULUT RS PANTI WALUYA
379 132304010623P001 19-06-2023 19-06-2023 Stroke, not
066 00:00 14:45 specified as
0002310864625 SARTINI P - haemorrhage or Rujuk Vertikal
infarction
SARAF RSI AISYIYAH MALANG
380 132304010623P001 19-06-2023 19-06-2023 Other spontaneous
064 00:00 14:42 disruption of
ligament(s) of knee
0002427319247 NINDITA AMADEA P - Rujuk Vertikal

ORTHOPEDI RSU HERMINA TANGKUBANPRAHU

381 132304010623P001 19-06-2023 19-06-2023 0002631058571 ISTIANAH P - Disorders of Rujuk Vertikal
063 00:00 14:36 accommodation
MATA RSI AISYIYAH MALANG
382 132304010623P001 19-06-2023 19-06-2023 0002730226151 SUYONO L - Cerebral infarction, Rujuk Vertikal
065 00:00 14:43 unspecified
SARAF RSI AISYIYAH MALANG
383 132304010623P001 19-06-2023 19-06-2023 0002730242687 HARIYANTO L PBI (APBD) Other cataract Rujuk Vertikal
080 00:00 15:05
MATA KLINIK MATA SMEC MALANG
384 132304010623P001 19-06-2023 19-06-2023 0002730244803 FARIDHATUS P PEGAWAI Viral hepatitis Rujuk Vertikal
000 00:00 10:04 SHOLIHAH SWASTA complicating
pregnancy,
childbirth and the
puerperium
OBGYN RS MELATI HUSADA
385 132304010623P000 19-06-2023 19-06-2023 Maternal care due
987 00:00 08:46 to uterine scar
from previous
0002750654147 FELLA AGRITASARI P PBI (APBD) surgery Rujuk Vertikal

OBGYN RS MELATI HUSADA

386 132304010623P001 19-06-2023 19-06-2023 Iodine-deficiency-
083 00:00 15:08 related thyroid
disorders and allied
0002814518272 SRI KUSMIATI P PBI (APBN) conditions Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

387 132304010623P000 19-06-2023 19-06-2023 0002845956756 SUMIATI P PBI (APBN) Ulcerative colitis Rujuk Vertikal
988 00:00 08:53
BEDAH RSI AISYIYAH MALANG
388 132304010623P001 19-06-2023 19-06-2023 0003057182998 AHMAD HAFIDZ L - Other disorders of Rujuk Vertikal
016 00:00 11:43 BILFAQIH ear, not elsewhere
classified

THT-KL RSIA PURI

389 132304010623P001 19-06-2023 19-06-2023 0003077037235 RUNNA AZZAHRA P PEGAWAI Epilepsy Rujuk Vertikal
003 00:00 10:12 CAHYANI SWASTA
ANAK RSU HERMINA TANGKUBANPRAHU
390 132304010623P001 20-06-2023 20-06-2023 0000034531367 GENDUT SUGITO L - Other cataract Rujuk Vertikal
090 00:00 09:06
MATA RSU HERMINA TANGKUBANPRAHU
391 132304010623P001 20-06-2023 20-06-2023 0000100460531 SULISTINA P PNS DAERAH Carpal tunnel Rujuk Vertikal
112 00:00 11:01 syndrome
PENYAKIT DALAM RS PANTI WALUYA
392 132304010623P001 20-06-2023 21-06-2023 Insulin-dependent
154 00:00 11:04 diabetes mellitus
with unspecified
0000100471162 IRWAN BAGA L PNS DAERAH complications Rujuk Vertikal

Endokrin-Metabolik-DiabeRUMAH SAKIT LAVALETTE

393 132304010623P001 20-06-2023 20-06-2023 0000111454975 M. DJAMIL L PENERIMA Presence of Rujuk Vertikal
086 00:00 08:35 PENSIUN TNI intraocular lens
MATA RSI AISYIYAH MALANG
394 132304010623P001 20-06-2023 20-06-2023 0000111463176 SURATI P PENERIMA Calcific tendinitis, Rujuk Vertikal
096 00:00 09:34 PENSIUN TNI shoulder region
PENYAKIT DALAM RSI AISYIYAH MALANG
395 132304010623P001 20-06-2023 20-06-2023 0000111754427 SRI UTAMI P - Necrosis of pulp Rujuk Vertikal
092 00:00 09:20
GIGI ENDODONSI RSIA PURI
396 132304010623P001 20-06-2023 20-06-2023 0000668595554 MESERI L PBI (APBN) Anisometropia and Rujuk Vertikal
091 00:00 09:18 aniseikonia
MATA RSI AISYIYAH MALANG
397 132304010623P001 20-06-2023 20-06-2023 0000784038497 SUTIATI P PBI (APBN) Hypertensive heart Rujuk Vertikal
105 00:00 10:27 disease
JANTUNG DAN PEMBULURS SOEPRAOEN
398 132304010623P001 20-06-2023 20-06-2023 0000784547458 SUPARMI P PEGAWAI Disorder of visual Rujuk Vertikal
110 00:00 10:51 SWASTA pathways,
unspecified
MATA RSI AISYIYAH MALANG
399 132304010623P001 20-06-2023 20-06-2023 0001049534695 WIDYA KARTIKA P PBI (APBD) Inflammatory Rujuk Vertikal
101 00:00 09:46 SARI disease of cervix
uteri
KULIT KELAMIN RSI AISYIYAH MALANG
400 132304010623P001 20-06-2023 20-06-2023 0001307746089 TOMIRAN L PEKERJA MANDIRI Heart failure, Rujuk Vertikal
088 00:00 08:39 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
401 132304010623P001 20-06-2023 20-06-2023 0001409046974 EDY SUYITNO L PBI (APBD) Stroke, not Rujuk Vertikal
120 00:00 12:05 specified as
haemorrhage or
infarction
SARAF RSU HERMINA TANGKUBANPRAHU
402 132304010623P001 20-06-2023 20-06-2023 0001455748885 MISTI P PBI (APBD) Malignant Rujuk Vertikal
106 00:00 10:31 neoplasm of breast
Bedah Onkologi RUMAH SAKIT LAVALETTE
403 132304010623P001 20-06-2023 20-06-2023 0001481778764 HARI KUSDININGSIH P PENERIMA Chronic ischaemic Rujuk Vertikal
085 00:00 08:34 PENSIUN TNI heart disease,
unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
404 132304010623P001 20-06-2023 20-06-2023 0001538851779 ENI P PEGAWAI Pain, not elsewhere Rujuk Vertikal
100 00:00 09:45 SETIOWATININGSIH SWASTA classified
KULIT KELAMIN RSI AISYIYAH MALANG
405 132304010623P001 20-06-2023 20-06-2023 0001832036387 MOCHAMAD SYAFII L PBI (APBD) Glaucoma Rujuk Vertikal
102 00:00 09:49
MATA RSI AISYIYAH MALANG
406 132304010623P001 20-06-2023 20-06-2023 0001834612244 ONI YULAEHA P PNS DAERAH Malignant Rujuk Vertikal
099 00:00 09:41 neoplasm of breast,
unspecified
PENYAKIT DALAM RSI AISYIYAH MALANG
407 132304010623P001 20-06-2023 20-06-2023 0001859109658 DWI RETNO YUNI P - Pulpitis Rujuk Vertikal
107 00:00 10:32 WIJAYANTI
GIGI ENDODONSI RSUD Kota Malang
408 132304010623P001 20-06-2023 20-06-2023 0001906978691 SENO PRAMUJOKO L - Abnormal findings Rujuk Vertikal
109 00:00 10:37 on diagnostic
imaging of lung
PARU RSI AISYIYAH MALANG
409 132304010623P001 20-06-2023 20-06-2023 Surveillance of
119 00:00 12:00 JAYANTI FADHILA (intrauterine)
0002199531971 P - contraceptive Rujuk Vertikal
PUTRI
device
OBGYN RSI AISYIYAH MALANG
410 132304010623P001 20-06-2023 20-06-2023 0002266206737 SULIKATI P PBI (APBD) Stroke, not Rujuk Vertikal
104 00:00 10:22 specified as
haemorrhage or
infarction
SARAF RS SOEPRAOEN
411 132304010623P001 20-06-2023 20-06-2023 Maternal care due
121 00:00 12:22 to uterine scar
from previous
0002463305927 SRI PURWANINGSIH P PBI (APBD) surgery Rujuk Vertikal

OBGYN RS MELATI HUSADA

412 132304010623P001 20-06-2023 20-06-2023 0002730242665 SRI KUSWIYANTI P PBI (APBD) Anisometropia and Rujuk Vertikal
111 00:00 10:55 aniseikonia
MATA KLINIK MATA SMEC MALANG
413 132304010623P001 20-06-2023 20-06-2023 0002730326286 WIMPI SEPTA ADITYA L PBI (APBD) Chalazion Rujuk Vertikal
094 00:00 09:24
MATA KLINIK MATA SMEC MALANG
414 132304010623P001 20-06-2023 20-06-2023 0002730362613 MUHAMMAD ZIZAT L - Chronic apical Rujuk Vertikal
095 00:00 09:30 RIZKI SAPUTRA periodontitis
GIGI BEDAH MULUT RS PANTI WALUYA
415 132304010623P001 20-06-2023 20-06-2023 0002730366358 SUPINAH P PBI (APBD) Other cataract Rujuk Vertikal
089 00:00 08:45
MATA Klinik Utama Malang Eye Center
416 132304010623P001 20-06-2023 20-06-2023 0002891492335 AULIA CITRA P PBI (APBD) Specific Rujuk Vertikal
113 00:00 11:08 RAMADANI developmental
disorder of motor
function
ANAK RSI AISYIYAH MALANG
417 132304010623P001 20-06-2023 20-06-2023 0002927307429 ROFIK KURROHMAN L PBI (APBD) Anisometropia and Rujuk Vertikal
087 00:00 08:37 aniseikonia
MATA RSI AISYIYAH MALANG
418 132304010623P001 20-06-2023 20-06-2023 0003054218567 ARZANKA RAFFA L PEKERJA MANDIRI Pain associated Rujuk Vertikal
093 00:00 09:22 KRISWANTO with micturition
UROLOGI RSU HERMINA TANGKUBANPRAHU
419 132304010623P001 20-06-2023 20-06-2023 Unilateral or
118 00:00 11:43 unspecified
inguinal hernia,
0003089445096 felysia azkia efendi P PBI (APBD) without obstruction Rujuk Vertikal
or gangrene

BEDAH ANAK RS PANTI WALUYA

420 132304010623P001 20-06-2023 20-06-2023 0003121460572 MUHAMMAD AKSAL L PEGAWAI Ingrowing nail Rujuk Vertikal
117 00:00 11:33 FAQIH ANWARI SWASTA
BEDAH RSI AISYIYAH MALANG
421 132304010623P001 20-06-2023 20-06-2023 0003524605817 BAYI NYONYA L PEKERJA MANDIRI Neonatal jaundice Rujuk Vertikal
116 00:00 11:26 WINDA PEGI MELATI from other
SUKMA specified causes
ANAK RSI AISYIYAH MALANG
422 132304010623P001 21-06-2023 21-06-2023 0000100471162 IRWAN BAGA L PNS DAERAH Malignant Rujuk Vertikal
153 00:00 11:01 neoplasm of
thyroid gland
Bedah Onkologi RUMAH SAKIT LAVALETTE
423 132304010623P001 21-06-2023 21-06-2023 0000111108328 ISMIATUN P PNS DAERAH Corneal scar and Rujuk Vertikal
137 00:00 09:27 opacity,
unspecified
MATA RSI AISYIYAH MALANG
424 132304010623P001 21-06-2023 21-06-2023 0000111171251 DRG RINI NURANI P PENERIMA Haemorrhagic Rujuk Vertikal
152 00:00 10:59 PENSIUN PNS condition,
unspecified
Hematologi - Onkologi MeRUMAH SAKIT LAVALETTE
425 132304010623P001 21-06-2023 21-06-2023 0000111726347 SAMSUL HADI L - Heart failure, Rujuk Vertikal
158 00:00 11:11 unspecified
JANTUNG DAN PEMBULURSU HERMINA TANGKUBANPRAHU
426 132304010623P001 21-06-2023 21-06-2023 0000149499268 WINDIANTO L PNS DAERAH Calculus of kidney Rujuk Vertikal
127 00:00 08:46 PRASTIYO and ureter
UROLOGI RSI AISYIYAH MALANG
427 132304010623P001 21-06-2023 21-06-2023 0000784079875 BUJI HARINI P PBI (APBD) Chronic ischaemic Rujuk Vertikal
141 00:00 09:39 heart disease
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
428 132304010623P001 21-06-2023 21-06-2023 0000785150965 WIDIYA WIJAYANTI P PBI (APBN) Chronic viral Rujuk Vertikal
142 00:00 09:42 hepatitis,
unspecified
PENYAKIT DALAM RSI AISYIYAH MALANG
429 132304010623P001 21-06-2023 21-06-2023 0000785153158 RIANA P PBI (APBN) Cerebral infarction, Rujuk Vertikal
147 00:00 10:19 unspecified
SARAF RSI AISYIYAH MALANG
430 132304010623P001 21-06-2023 21-06-2023 0000785159504 MISNUR HIDAYATI P PBI (APBD) Other Rujuk Vertikal
146 00:00 10:11 intervertebral disc
disorders
SARAF RSI AISYIYAH MALANG
431 132304010623P001 21-06-2023 21-06-2023 0001049552493 ANGGRELIA SAIDA P PBI (APBD) Impacted teeth Rujuk Vertikal
145 00:00 10:07 RAHMADANI
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
432 132304010623P001 21-06-2023 21-06-2023 0001175682115 LILA FAUZIA P - Anisometropia and Rujuk Vertikal
122 00:00 08:12 aniseikonia
MATA RSI AISYIYAH MALANG
433 132304010623P001 21-06-2023 21-06-2023 0001175682137 SOFI LAILATUL P - Anisometropia and Rujuk Vertikal
123 00:00 08:17 ANIFTASARI aniseikonia
MATA RSI AISYIYAH MALANG
434 132304010623P001 21-06-2023 21-06-2023 Benign neoplasm
178 00:00 11:23 of other and
unspecified sites
0001435122977 DEDI FEBRIAN L - Rujuk Vertikal

BEDAH RSI AISYIYAH MALANG

435 132304010623P001 21-06-2023 21-06-2023 0001442900384 ERYANTI YURIA P PEGAWAI Anisometropia and Rujuk Vertikal
133 00:00 08:57 FIRDIANY SWASTA aniseikonia
MATA RSI AISYIYAH MALANG
436 132304010623P001 21-06-2023 21-06-2023 AFFELIA ANASTACIA Bipolar affective
200 00:00 11:53 ELFANI disorder, current
episode manic with
psychotic
0001732187417 P - symptoms Rujuk Vertikal

JIWA RSU HERMINA TANGKUBANPRAHU

437 132304010623P001 21-06-2023 21-06-2023 0001790627646 MESIYEM P - Stroke, not Rujuk Vertikal
170 00:00 11:19 specified as
haemorrhage or
infarction
SARAF RSI AISYIYAH MALANG
438 132304010623P001 21-06-2023 21-06-2023 0001791966385 DWI ERNAWATI P PEKERJA MANDIRI Nasal polyp Rujuk Vertikal
126 00:00 08:44
THT-KL RSI AISYIYAH MALANG
439 132304010623P001 21-06-2023 21-06-2023 0001856791023 LINTANG LAURIA P - Anisometropia and Rujuk Vertikal
124 00:00 08:19 SUKMONO aniseikonia
MATA RSI AISYIYAH MALANG
440 132304010623P001 21-06-2023 21-06-2023 0002066586647 AISYAH PUTRI L - Necrosis of pulp Rujuk Vertikal
139 00:00 09:35 SHABIRA
GIGI PEDODONTIS RSU HERMINA TANGKUBANPRAHU
441 132304010623P001 21-06-2023 21-06-2023 0002066586906 DARIS PUTRA L - Necrosis of pulp Rujuk Vertikal
138 00:00 09:32 ALKHALIFI
GIGI PEDODONTIS RSU HERMINA TANGKUBANPRAHU
442 132304010623P001 21-06-2023 21-06-2023 0002104826218 DICKY ENJASTA L - Anisometropia and Rujuk Vertikal
130 00:00 08:52 PUTRA aniseikonia
MATA KLINIK MATA SMEC MALANG
443 132304010623P001 21-06-2023 21-06-2023 0002269698581 ACH SAIFUL L - Chronic Rujuk Vertikal
128 00:00 08:48 MOCHSIN periodontitis
GIGI PERIODONTI RS BHIRAWA BHAKTI
444 132304010623P001 21-06-2023 21-06-2023 0002426312226 NIRMA AYU P PEGAWAI Necrosis of pulp Rujuk Vertikal
150 00:00 10:40 SWASTA
GIGI ENDODONSI RS BHIRAWA BHAKTI
445 132304010623P001 21-06-2023 21-06-2023 MUHAMMAD ZAVIER PEKERJA MANDIRI Developmental
144 00:00 09:59 ALFARIZQI disorder of speech
and language,
0002485600187 L unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

446 132304010623P001 21-06-2023 21-06-2023 0002728991597 LUKIYATI NINGSIH P PBI (APBD) Disorders of Rujuk Vertikal
132 00:00 08:56 vitreous body
MATA RSI AISYIYAH MALANG
447 132304010623P001 21-06-2023 21-06-2023 0002728994231 SEVIA DWI JAYANTI P PBI (APBD) Disruption of Rujuk Vertikal
129 00:00 08:49 caesarean section
wound
OBGYN RSI AISYIYAH MALANG
448 132304010623P001 21-06-2023 21-06-2023 0002729059187 BAMBANG L PBI (APBD) Cerebral infarction, Rujuk Vertikal
140 00:00 09:35 HARIYANTO unspecified
SARAF RSI AISYIYAH MALANG
449 132304010623P001 21-06-2023 21-06-2023 0002814526517 SRI SUMARMI P - Multiple fractures Rujuk Vertikal
151 00:00 10:42 of lumbar spine
and pelvis
ORTHOPEDI RS SOEPRAOEN
450 132304010623P001 21-06-2023 21-06-2023 0003064697807 FANNY KUSUMA P PBI (APBD) Malignant Rujuk Vertikal
125 00:00 08:33 neoplasm of
endometrium
onkologi ginekologi RUMAH SAKIT LAVALETTE
451 132304010623P001 21-06-2023 21-06-2023 0003309169331 REZVAN ARZIKI L PEGAWAI Other prurigo Rujuk Vertikal
143 00:00 09:53 RAYYAN SWASTA
ANAK RSI AISYIYAH MALANG
452 132304010623P001 22-06-2023 22-06-2023 0000110177717 SRI KUSTIYAH P PNS DAERAH Heart failure, Rujuk Vertikal
253 00:00 09:09 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
453 132304010623P001 22-06-2023 22-06-2023 0000111059021 SADI L PENERIMA Heart failure, Rujuk Vertikal
287 00:00 09:43 PENSIUN PNS unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
454 132304010623P001 22-06-2023 22-06-2023 0000112889103 LESTARI L PENERIMA Other cataract Rujuk Vertikal
245 00:00 09:01 PENSIUN PNS
MATA KLINIK MATA SMEC MALANG
455 132304010623P001 22-06-2023 22-06-2023 0000710369741 ULFATIN ADAWIYAH P PBI (APBN) Impacted teeth Rujuk Vertikal
301 00:00 09:55
GIGI BEDAH MULUT RS PANTI WALUYA
456 132304010623P001 22-06-2023 22-06-2023 0000784279258 SULISTIANI P PBI (APBN) Heart failure, Rujuk Vertikal
249 00:00 09:07 unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
457 132304010623P001 22-06-2023 22-06-2023 0000784472286 FARIDA P PBI (APBN) Epilepsy Rujuk Vertikal
310 00:00 11:10
SARAF RSI AISYIYAH MALANG
458 132304010623P001 22-06-2023 22-06-2023 0000785206809 AYU IKA SAPITRI P PBI (APBN) Myopia Rujuk Vertikal
311 00:00 11:19
MATA KLINIK MATA SMEC MALANG
459 132304010623P001 22-06-2023 22-06-2023 0001049540916 AGUSTINA P PBI (APBN) Fracture of lower Rujuk Vertikal
305 00:00 10:01 PURWANTI leg, including
ankle
BEDAH RSI AISYIYAH MALANG
460 132304010623P001 22-06-2023 22-06-2023 MUHAMMAD DIMAS Systemic lupus
306 00:00 10:12 0001162584617 ADI PRATAMA L PBI (APBD) erythematosus, Rujuk Vertikal
SULISTYO unspecified
PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
461 132304010623P001 22-06-2023 22-06-2023 0001312484815 SLAMET SUPRAYITNO L PEKERJA MANDIRI Other cataract Rujuk Vertikal
242 00:00 08:46
MATA Klinik Utama Malang Eye Center
462 132304010623P001 22-06-2023 22-06-2023 0001428163806 KUSHARTONO L PEGAWAI Heart failure, Rujuk Vertikal
282 00:00 09:41 SWASTA unspecified
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
463 132304010623P001 22-06-2023 22-06-2023 0001794549284 MUSLIMIN L PEKERJA MANDIRI Disorder of visual Rujuk Vertikal
308 00:00 10:48 pathways,
unspecified
MATA RSI AISYIYAH MALANG
464 132304010623P001 22-06-2023 22-06-2023 0001973533353 SRI WILUJENG P PBI (APBN) Fracture of other Rujuk Vertikal
241 00:00 08:30 finger
ORTHOPEDI RSI AISYIYAH MALANG
465 132304010623P001 22-06-2023 22-06-2023 0002296419704 SALSABILA P - Fibroadenosis of Rujuk Vertikal
258 00:00 09:13 ATIKASARI breast
BEDAH RSI AISYIYAH MALANG
466 132304010623P001 22-06-2023 22-06-2023 0002320555072 eka wardana L PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
278 00:00 09:39
JIWA RS. JIWA LAWANG
467 132304010623P001 22-06-2023 22-06-2023 0002437516269 SUHARTINI P - Nontoxic single Rujuk Vertikal
243 00:00 08:52 thyroid nodule
PENYAKIT DALAM RSI AISYIYAH MALANG
468 132304010623P001 22-06-2023 22-06-2023 0002471125353 MUHAMMAD ZIDAN L PEKERJA MANDIRI Epilepsy Rujuk Vertikal
244 00:00 08:54
ANAK RSI AISYIYAH MALANG
469 132304010623P001 22-06-2023 22-06-2023 AZLAN DHAVA Other
304 00:00 10:00 0002767545764 ADYATAMA L PBI (APBD) nonthrombocytope Rujuk Vertikal
nic purpura
ANAK RSIA MUHAMMADIYAH MALANG
470 132304010623P001 22-06-2023 22-06-2023 0002900055025 IGA NYOMANIAR P - Myopia Rujuk Vertikal
373 00:00 14:12
MATA KLINIK MATA SMEC MALANG
471 132304010623P001 23-06-2023 23-06-2023 0000111598424 LIK'ANI P PENERIMA Other cataract Rujuk Vertikal
529 00:00 09:31 PENSIUN PNS
MATA RSI AISYIYAH MALANG
472 132304010623P001 23-06-2023 23-06-2023 0000111698943 FARIDAH P PENERIMA Other disorders of Rujuk Vertikal
473 00:00 08:22 NOERIDAJATI PENSIUN PNS thyroid
PENYAKIT DALAM Klinik Utama Bunga Melati
473 132304010623P001 23-06-2023 23-06-2023 0000111769244 MARCELINUS SUSENO L PENERIMA Hypertensive heart Rujuk Vertikal
470 00:00 08:18 ISMAIL PENSIUN PNS disease
PENYAKIT DALAM RSI AISYIYAH MALANG
474 132304010623P001 23-06-2023 23-06-2023 0000174159426 LILIK DWI LESTARI P - Pulp degeneration Rujuk Vertikal
558 00:00 11:12
GIGI ENDODONSI RSU HERMINA TANGKUBANPRAHU
475 132304010623P001 23-06-2023 23-06-2023 0000681107444 NADIA SEPTI NOVIDA P PBI (APBD) Prolonged Rujuk Vertikal
476 00:00 08:45 pregnancy
OBGYN RS MELATI HUSADA
476 132304010623P001 23-06-2023 23-06-2023 0000784170281 ROBIAH P PBI (APBN) Other chronic Rujuk Vertikal
463 00:00 08:15 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
477 132304010623P001 23-06-2023 23-06-2023 Malignant
533 00:00 09:35 neoplasm of skin
of other and
0000785161236 WAGIMAH P PBI (APBD) unspecified parts Rujuk Vertikal
of face

BEDAH RS PANTI WALUYA

478 132304010623P001 23-06-2023 23-06-2023 0001286211609 KUSNADI L - Other deforming Rujuk Vertikal
518 00:00 09:24 dorsopathies
SARAF RSU HERMINA TANGKUBANPRAHU
479 132304010623P001 23-06-2023 23-06-2023 0001407368722 RUKIATI P PBI (APBD) Other cataract Rujuk Vertikal
506 00:00 09:15
MATA KLINIK MATA SMEC MALANG
480 132304010623P001 23-06-2023 23-06-2023 0001476386684 DIAN EKA NUR JULI P - Retained dental Rujuk Vertikal
475 00:00 08:35 root
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
481 132304010623P001 23-06-2023 23-06-2023 PEGAWAI Human
535 00:00 09:41 SWASTA immunodeficiency
virus [HIV] disease
resulting in
infectious and
0001645792626 PUTA WICANTRA L Rujuk Vertikal
parasitic diseases

PENYAKIT DALAM RS SOEPRAOEN

482 132304010623P001 23-06-2023 23-06-2023 0001814070317 TRISNAWATI P PNS DAERAH Necrosis of pulp Rujuk Vertikal
539 00:00 09:57
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
483 132304010623P001 23-06-2023 23-06-2023 0002088520964 ACHMAD MUSTHAFA L - Fracture at wrist Rujuk Vertikal
542 00:00 09:59 KAMIL JUNDILLAH and hand level
ORTHOPEDI RSI AISYIYAH MALANG
484 132304010623P001 23-06-2023 23-06-2023 0002309092514 BAMBANG SETIAWAN L PEKERJA MANDIRI Other cataract Rujuk Vertikal
534 00:00 09:39
MATA KLINIK MATA SMEC MALANG
485 132304010623P001 23-06-2023 23-06-2023 Unilateral or
494 00:00 09:05 unspecified
inguinal hernia,
0002417417313 EDDY SUBAGIO L - without obstruction Rujuk Vertikal
or gangrene

BEDAH RSI AISYIYAH MALANG

486 132304010623P001 23-06-2023 23-06-2023 0002493724781 TYRZA GHEA P - Mastoiditis and Rujuk Vertikal
537 00:00 09:48 AGATHA related conditions
THT-KL RS PANTI NIRMALA
487 132304010623P001 23-06-2023 23-06-2023 0002686786582 SRI MARDIYAH P - Necrosis of pulp Rujuk Vertikal
474 00:00 08:31
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
488 132304010623P001 23-06-2023 23-06-2023 0002729063171 TUTIK P - Myopia Rujuk Vertikal
545 00:00 10:04
MATA KLINIK MATA SMEC MALANG
489 0002814525549 AZIZAH MAULIDIA P PBI (APBN) Viral hepatitis Rujuk Vertikal
complicating
132304010623P001 23-06-2023 23-06-2023 pregnancy,
546 00:00 10:27 childbirth and the
puerperium
PENYAKIT DALAM RSI AISYIYAH MALANG
490 132304010623P001 23-06-2023 23-06-2023 0002885604164 ZAENAL ARIFIN L - Other cataract Rujuk Vertikal
536 00:00 09:42
MATA RSI AISYIYAH MALANG
491 132304010623P001 24-06-2023 24-06-2023 PENERIMA Insulin-dependent
764 00:00 09:18 PENSIUN PNS diabetes mellitus
with unspecified
0000100099179 MINI SULASTRI P complications Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

492 132304010623P001 24-06-2023 24-06-2023 0000110550137 HERMAN L PNS DAERAH Myopia Rujuk Vertikal
829 00:00 10:08 WICAKSONO
MATA KLINIK MATA SMEC MALANG
493 132304010623P001 24-06-2023 24-06-2023 0000110550148 KASIYATI P PNS DAERAH Other visual Rujuk Vertikal
786 00:00 09:36 disturbances
MATA KLINIK MATA SMEC MALANG
494 132304010623P001 24-06-2023 24-06-2023 PENERIMA
710 00:00 08:40 PENSIUN PNS Chronic kidney
0000111747655 TUTIK SUPRAPTI P Rujuk Vertikal
disease
PENYAKIT DALAM RSI AISYIYAH MALANG
495 132304010623P001 24-06-2023 24-06-2023 0000783791954 SLAMET SUPRIADI L PBI (APBN) Pain, not elsewhere Rujuk Vertikal
810 00:00 09:53 classified
BEDAH RSI AISYIYAH MALANG
496 132304010623P001 24-06-2023 24-06-2023 0000784254363 MUHAMMAD ARZY L PEGAWAI Necrosis of pulp Rujuk Vertikal
722 00:00 08:47 ARRAZY SWASTA
GIGI ENDODONSI RS ISLAM MALANG UNISMA
497 132304010623P001 24-06-2023 24-06-2023 0000784798593 TITIN CANDRA WATI P PBI (APBN) Cerebral infarction, Rujuk Vertikal
763 00:00 09:11 unspecified
SARAF RS SOEPRAOEN
498 132304010623P001 24-06-2023 24-06-2023 0001431287111 BAMBANG SUPRIYO L PBI (APBN) Schizophrenia Rujuk Vertikal
723 00:00 08:50
JIWA RS. JIWA LAWANG
499 132304010623P001 24-06-2023 24-06-2023 Insulin-dependent
749 00:00 09:03 diabetes mellitus
with unspecified
muhammad syuhadak complications
0002032149633 L - Rujuk Vertikal
yasin

PENYAKIT DALAM RSI AISYIYAH MALANG

500 132304010623P001 24-06-2023 24-06-2023 PEKERJA MANDIRI Maternal care due
717 00:00 08:45 to uterine scar
from previous
0002090988437 ANIS SYA'BANIA P surgery Rujuk Vertikal

OBGYN RSIA PURI BUNDA

501 132304010623P001 24-06-2023 24-06-2023 0002267710727 EARLYTA ARSYFA P - Epilepsy, Rujuk Vertikal
814 00:00 09:56 SALSABILLA unspecified
ANAK RSU. UNIVERSITAS MUHAMMADIYAH
502 132304010623P001 24-06-2023 24-06-2023 0002845962459 SUPA'AT L - Anisometropia and Rujuk Vertikal
849 00:00 10:34 aniseikonia
MATA RSI AISYIYAH MALANG
503 132304010623P001 24-06-2023 24-06-2023 0002907641531 kenzo adhitama putra L PEGAWAI Disturbance of Rujuk Vertikal
720 00:00 08:46 negara SWASTA activity and
attention
ANAK RSU HERMINA TANGKUBANPRAHU
504 132304010623P002 26-06-2023 26-06-2023 0000111724727 TATIK KASIATI P - Other anxiety Rujuk Vertikal
018 00:00 10:21 disorders
JIWA RSI AISYIYAH MALANG
505 132304010623P001 26-06-2023 26-06-2023 0000707658254 DIMAS MARIYANTO L PBI (APBN) Fracture of lower Rujuk Vertikal
993 00:00 08:41 leg, including
ankle
ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
506 132304010623P002 26-06-2023 26-06-2023 0000784088605 SITI AISYAH P PBI (APBN) Pterygium Rujuk Vertikal
023 00:00 10:55
MATA RSI AISYIYAH MALANG
507 132304010623P002 26-06-2023 26-06-2023 0000784233674 YUSWATI P PBI (APBN) Pain, not elsewhere Rujuk Vertikal
004 00:00 09:40 classified
SARAF RSI AISYIYAH MALANG
508 132304010623P002 26-06-2023 26-06-2023 0000784282331 ENDAH ANTANI P PBI (APBN) Cellulitis Rujuk Vertikal
001 00:00 09:31 NINGRUM
PENYAKIT DALAM RSI AISYIYAH MALANG
509 132304010623P002 26-06-2023 26-06-2023 0000784768184 ZIDANE HAQQI L PBI (APBN) Schizophrenia Rujuk Vertikal
010 00:00 10:01 RAHMAN MAULANA
JIWA RSI AISYIYAH MALANG
510 132304010623P001 26-06-2023 26-06-2023 0000785171856 ISMAUL CHOIROTIN P - Retained dental Rujuk Vertikal
996 00:00 09:04 root
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
511 132304010623P001 26-06-2023 26-06-2023 0000785438021 IKA ANGGARISTA P PBI (APBN) Vitiligo Rujuk Vertikal
994 00:00 08:48
KULIT KELAMIN RSI AISYIYAH MALANG
512 132304010623P002 26-06-2023 26-06-2023 0001049535821 ADINDA MEISASI LUH P - Benign mammary Rujuk Vertikal
014 00:00 10:09 JINGGA dysplasia
BEDAH RSI AISYIYAH MALANG
513 132304010623P002 26-06-2023 26-06-2023 0001261407554 HELLA S PURNOMO P PEKERJA MANDIRI Other cataract Rujuk Vertikal
026 00:00 11:27
MATA KLINIK MATA SMEC MALANG
514 132304010623P002 26-06-2023 26-06-2023 0001262121794 RIRIN TRIS P PEKERJA MANDIRI Epilepsy Rujuk Vertikal
005 00:00 09:41 TIANURININGTIAS
SARAF RSU HERMINA TANGKUBANPRAHU
515 132304010623P001 26-06-2023 26-06-2023 Presence of
997 00:00 09:09 0001268962165 RUSMIARSIH P - intraocular lens Rujuk Vertikal
MATA RSI AISYIYAH MALANG
516 132304010623P002 26-06-2023 26-06-2023 0001286211868 HENNY PRATIWI SARI P PBI (APBD) Chronic ischaemic Rujuk Vertikal
036 00:00 12:01 heart disease,
unspecified
JANTUNG DAN PEMBULURSU HERMINA TANGKUBANPRAHU
517 132304010623P002 26-06-2023 26-06-2023 0001373591979 DIDIK NURWAHYUDI L - Necrosis of pulp Rujuk Vertikal
009 00:00 10:01
GIGI ENDODONSI RSUD Kota Malang
518 132304010623P001 26-06-2023 26-06-2023 0001373719825 ZAIDAN KEVEN L - Necrosis of pulp Rujuk Vertikal
998 00:00 09:11 HAFIZH
GIGI PEDODONTIS RSIA PURI
519 132304010623P002 26-06-2023 26-06-2023 PEKERJA MANDIRI Benign neoplasm
022 00:00 10:45 of eye and adnexa
0001421122072 AYSAH HURIJAH P Rujuk Vertikal

MATA Klinik Utama Malang Eye Center

520 132304010623P002 26-06-2023 26-06-2023 0001439594739 NADYA CHASANAH P PBI (APBD) Pulpitis Rujuk Vertikal
028 00:00 11:36 RAHAYU AFANDI
GIGI ENDODONSI RUMAH SAKIT LAVALETTE
521 132304010623P002 26-06-2023 26-06-2023 0001478397868 FEBIOLA PUTRI P PEGAWAI Pulpitis Rujuk Vertikal
019 00:00 10:26 ANIDHA SWASTA
GIGI ENDODONSI RSIA PURI
522 132304010623P002 26-06-2023 26-06-2023 0001538195949 PONITI P PEGAWAI Fracture at wrist Rujuk Vertikal
007 00:00 09:48 SWASTA and hand level
ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
523 Maternal infectious
and parasitic
diseases
classifiable
elsewhere but
132304010623P002 26-06-2023 26-06-2023 DEWI CAHYA complicating
0001539729696 P - pregnancy, Rujuk Vertikal
032 00:00 11:52 PUSPITA
childbirth and the
puerperium

OBGYN RS MELATI HUSADA

524 132304010623P002 26-06-2023 26-06-2023 0001785305823 SISWANTO WIJAYA L PEGAWAI Chronic kidney Rujuk Vertikal
021 00:00 10:38 PUTRA, Drs.MM SWASTA disease
Ginjal-Hipertensi RUMAH SAKIT LAVALETTE
525 132304010623P002 26-06-2023 26-06-2023 0001863515643 HABIBI AZZAM L PEGAWAI Dysuria Rujuk Vertikal
011 00:00 10:04 FAEZYA SAPUTRA SWASTA
UROLOGI RSU HERMINA TANGKUBANPRAHU
526 132304010623P002 26-06-2023 26-06-2023 0002162582368 MOHAMMAD IMAM L PBI (APBD) Myopia Rujuk Vertikal
012 00:00 10:06 AL JAELANI
MATA RSI AISYIYAH MALANG
527 132304010623P002 26-06-2023 26-06-2023 Atherosclerotic
020 00:00 10:27 cardiovascular
0002296084689 SUPRIYONO L PBI (APBD) disease, so Rujuk Vertikal
described
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
528 132304010623P002 26-06-2023 26-06-2023 0002298523037 SUYATNO L - Glaucoma Rujuk Vertikal
013 00:00 10:08
MATA KLINIK MATA SMEC MALANG
529 132304010623P002 26-06-2023 26-06-2023 0002324275975 MARTHA SETYOWATI P PBI (APBN) Other chronic Rujuk Vertikal
029 00:00 11:39 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
530 132304010623P002 26-06-2023 26-06-2023 0002492916333 QONITA ISMAN P PBI (APBD) Fracture of shafts Rujuk Vertikal
025 00:00 11:25 TAQIYYA RAHAYU of both ulna and
AFANDI radius
ORTHOPEDI RS SOEPRAOEN
531 132304010623P002 26-06-2023 26-06-2023 Maternal care due
037 00:00 12:17 to uterine scar
SITI NUR from previous
0002614117151 P PBI (APBD) surgery Rujuk Vertikal
CAHYANINGSIH

OBGYN RS MELATI HUSADA

532 132304010623P002 26-06-2023 26-06-2023 0002637715959 MOCHAMAD EDI L PBI (APBN) Other specified Rujuk Vertikal
024 00:00 11:24 SUTIONO surgical follow-up
care
BEDAH RS PANTI WALUYA
533 132304010623P002 26-06-2023 26-06-2023 KHAYLA AZZAHRA Developmental
035 00:00 11:58 MAULANA disorder of speech
and language,
0002728964924 P PBI (APBD) unspecified Rujuk Vertikal

ANAK RSU HERMINA TANGKUBANPRAHU

534 132304010623P002 26-06-2023 26-06-2023 0002729064767 IMRON L PBI (APBD) Other chronic Rujuk Vertikal
016 00:00 10:14 obstructive
pulmonary disease
PARU RS SOEPRAOEN
535 132304010623P002 26-06-2023 26-06-2023 0002730251057 SATUPAH P PBI (APBD) Other cataract Rujuk Vertikal
017 00:00 10:19
MATA KLINIK MATA SMEC MALANG
536 0002812902647 KURROTUL AINIYAH P - Maternal care for Rujuk Vertikal
(suspected) central
nervous system
malformation in
132304010623P002 26-06-2023 26-06-2023 fetus
030 00:00 11:43

OBGYN RS MELATI HUSADA

537 132304010623P002 26-06-2023 26-06-2023 0002814518608 FIRDAUS WARDANI P - Pulpitis Rujuk Vertikal
031 00:00 11:46
GIGI ENDODONSI RSIA PURI
538 132304010623P002 26-06-2023 26-06-2023 0002814543022 ZHARIIFAH FITRI P PBI (APBN) Myopia Rujuk Vertikal
015 00:00 10:13 SADIRA
MATA Klinik Utama Malang Eye Center
539 132304010623P002 26-06-2023 26-06-2023 0003057113169 ABDULLAH FATHIR L - Microcephaly Rujuk Vertikal
027 00:00 11:30
Installasi Rehabilitasi MedKLINIK HUSADA ASIH
540 132304010623P001 26-06-2023 26-06-2023 0003063919533 EKA SARI P PBI (APBD) Pterygium Rujuk Vertikal
992 00:00 08:40
MATA RSI AISYIYAH MALANG
541 0003123587125 L Ventricular septal Rujuk Vertikal
defect as current
complication
132304010623P001 26-06-2023 26-06-2023 MUHAMMAD FAUZAN PEGAWAI following acute
999 00:00 09:14 NASRUL SWASTA myocardial
infarction

Anak Kardiologi RUMAH SAKIT LAVALETTE

542 132304010623P002 27-06-2023 27-06-2023 0000110795725 RELAHATI P PENERIMA Glaucoma Rujuk Vertikal
199 00:00 10:53 PENSIUN PNS
MATA KLINIK MATA SMEC MALANG
543 132304010623P002 27-06-2023 27-06-2023 0000111747699 MAULIDA PRATAMA P - Pterygium Rujuk Vertikal
194 00:00 10:39 SARI
MATA KLINIK MATA SMEC MALANG
544 0000785420965 AGUS SUDARWOKO L PBI (APBN) Non-insulin- Rujuk Vertikal
dependent diabetes
mellitus with
132304010623P002 27-06-2023 27-06-2023 neurological
177 00:00 09:11 complications

PENYAKIT DALAM RSI AISYIYAH MALANG

545 132304010623P002 27-06-2023 27-06-2023 0001403114332 S. YENI P - Anal abscess Rujuk Vertikal
180 00:00 09:16
BEDAH RSI AISYIYAH MALANG
546 132304010623P002 27-06-2023 27-06-2023 0001403133243 TRI WAHYU SATRIYO L PBI (APBD) Other Rujuk Vertikal
190 00:00 09:48 BUDI HIDAYAT polyneuropathies
SARAF RSI AISYIYAH MALANG
547 132304010623P002 27-06-2023 27-06-2023 0001403207335 SITI MARIYAM P - Other cataract Rujuk Vertikal
197 00:00 10:44
MATA RSI AISYIYAH MALANG
548 132304010623P002 27-06-2023 27-06-2023 0001403209192 KARTINI P PBI (APBD) Other chronic Rujuk Vertikal
195 00:00 10:41 obstructive
pulmonary disease
PARU RSI AISYIYAH MALANG
549 132304010623P002 27-06-2023 27-06-2023 0001403228946 DARMI P - Angina pectoris Rujuk Vertikal
189 00:00 09:46
JANTUNG DAN PEMBULURSI AISYIYAH MALANG
550 132304010623P002 27-06-2023 27-06-2023 0001447353821 suriPAH P PEGAWAI Low back pain Rujuk Vertikal
170 00:00 08:41 SWASTA
SARAF RSI AISYIYAH MALANG
551 132304010623P002 27-06-2023 27-06-2023 0001821493427 MAHAYUNINGSIH P PBI (APBD) Other benign Rujuk Vertikal
185 00:00 09:31 WINEDAR neoplasm of other
parts of uterus
OBGYN RSI AISYIYAH MALANG
552 132304010623P002 27-06-2023 27-06-2023 0001831758939 MARIA IMACULATA P PEGAWAI Oligohydramnios Rujuk Vertikal
186 00:00 09:36 ISAH PUTRI SWASTA
OBGYN RSI AISYIYAH MALANG
553 132304010623P002 27-06-2023 27-06-2023 0001883811622 FELICIA BELLVANIA P - Hirschsprung's Rujuk Vertikal
193 00:00 10:22 EVANGELYN disease
NUGROHO
BEDAH ANAK RUMAH SAKIT LAVALETTE
554 132304010623P002 27-06-2023 27-06-2023 0002046654922 CHORNELYA ANDRIA P - Other and Rujuk Vertikal
196 00:00 10:43 SARI unspecified
ovarian cysts
OBGYN RSU HERMINA TANGKUBANPRAHU
555 0002161062279 L Respiratory Rujuk Vertikal
tuberculosis, not
confirmed
132304010623P002 27-06-2023 27-06-2023 AHMAD KHOIRUL PEGAWAI bacteriologically or
182 00:00 09:22 MUSTOFA SWASTA histologically

PARU RSI AISYIYAH MALANG

556 132304010623P002 27-06-2023 27-06-2023 0002202968992 ALFINA ACHMA P PBI (APBD) Impacted teeth Rujuk Vertikal
173 00:00 08:51 RAMADHANI
GIGI BEDAH MULUT RS BHIRAWA BHAKTI
557 132304010623P002 27-06-2023 27-06-2023 Insulin-dependent
171 00:00 08:43 diabetes mellitus
without
0002246955276 ROSIDI L PBI (APBD) complications Rujuk Vertikal

PENYAKIT DALAM RSI AISYIYAH MALANG

558 132304010623P002 27-06-2023 27-06-2023 0002303372373 HARRY ELIGUSTY L - Disorders of Rujuk Vertikal
184 00:00 09:28 BUTAR BUTAR accommodation
MATA Klinik Utama Malang Eye Center
559 132304010623P002 27-06-2023 27-06-2023 0002623997518 FEBY NABILA PUTRI P PBI (APBD) Pulpitis Rujuk Vertikal
178 00:00 09:12
GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
560 0002730225227 DJUMAATI P - Respiratory Rujuk Vertikal
tuberculosis, not
confirmed
132304010623P002 27-06-2023 27-06-2023 bacteriologically or
201 00:00 11:40 histologically

PARU RS SOEPRAOEN
561 132304010623P002 27-06-2023 27-06-2023 0002857938017 LUPI API SANTO L PBI (APBN) Senile cataract Rujuk Vertikal
179 00:00 09:15
MATA RSI AISYIYAH MALANG
562 132304010623P002 27-06-2023 27-06-2023 AL GHIFARI ACHMAD PEGAWAI Specific
174 00:00 08:52 NA'IM PEMERINTAH developmental
DENGAN disorders of speech
0003120699655 L PERJANJIAN and language Rujuk Vertikal
KERJA
ANAK RSU HERMINA TANGKUBANPRAHU
563 132304010623P002 27-06-2023 27-06-2023 0003296230874 BAYI NYONYA LUTFI L PEKERJA MANDIRI Cerebral oedema Rujuk Vertikal
200 00:00 11:37 RISAH WAHYUNI
ANAK RSI AISYIYAH MALANG