DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

TANGGAL TANGGAL JENIS STATUS

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

Acute upper respiratory

0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
1 0000043334627 TRI RATNA WULANDARI P infections of multiple and Berobat Jalan
1179 00:00 16:41 SWASTA
unspecified sites
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA Acute upper respiratory
2 0000075800507 VEBRINA NUR RAHAYU P Berobat Jalan
1162 00:00 11:15 MANDIRI infection, unspecified
0151B1090422P00 30-04-2022 30-04-2022 ISMAIL HENDRA PEGAWAI
3 0000075945071 L Dyspepsia Berobat Jalan
1191 00:00 20:01 GUNAWAN SWASTA
Disorders of lipoprotein
0151B1090422P00 30-04-2022 30-04-2022 MUHAMMAD MIJWAD PEGAWAI
4 0000086838131 L metabolism and other Berobat Jalan
1182 00:00 16:55 LUTHFI SWASTA
lipidaemias
0151B1090422P00 30-04-2022 30-04-2022 PENERIMA
5 0000088600173 SULAMI P Pterygium Berobat Jalan
1166 00:00 11:47 PENSIUN PNS
0151B1090422P00 30-04-2022 30-04-2022 PENERIMA Acute upper respiratory
6 0000089053244 ISMIYATUN P Berobat Jalan
1158 00:00 10:05 PENSIUN PNS infection, unspecified
Non-insulin-dependent
0151B1090422P00 30-04-2022 30-04-2022 PENERIMA
7 0000090953346 ERNI RUDI ASTUTI P diabetes mellitus with Rujuk Vertikal
1160 00:00 10:31 PENSIUN PNS
multiple complications
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
8 0000565297604 SASONGKO UTOMO L Gastritis, unspecified Berobat Jalan
1187 00:00 19:11 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA
9 0001280884983 SAMADI L Myalgia Berobat Jalan
1165 00:00 11:45 MANDIRI
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA Other and unspecified
10 0001280885567 EMMY PURWANTI P Berobat Jalan
1184 00:00 17:08 MANDIRI abdominal pain

0151B1090422P00 30-04-2022 30-04-2022 NINUK SAMINI PEKERJA

11 0001288328051 P Fever, unspecified Berobat Jalan
1157 00:00 09:49 MANDIRI

0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI

12 0001404265522 JATI AGUNG WAHYUDI L Secondary hypertension Berobat Jalan Hipertensi
1170 00:00 14:28 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 MUHAMMAD RAFKA PEGAWAI Acute nasopharyngitis
13 0001529731451 L Berobat Jalan
1181 00:00 16:52 ABIYYU SWASTA [common cold]
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA Disturbances in tooth
14 0001531052054 BENING JASMIN MAHASIN P Berobat Jalan
1174 00:00 16:07 MANDIRI eruption
0151B1090422P00 30-04-2022 30-04-2022 ISNA ROHMATUL IZZATI PEGAWAI
15 0001532632779 P Dyspepsia Berobat Jalan
1189 00:00 19:32 ARNAS SWASTA
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI Essential (primary)
16 0001534241171 NANIK TRI SULISTYAWATI P Berobat Jalan
1188 00:00 19:15 SWASTA hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI

17 0001610114477 IBROHIM AJI L Dyspepsia Berobat Jalan
1176 00:00 16:11 SWASTA

Diarrhoea and
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
18 0001610115355 'AINA FAHRINA ANWAR P gastroenteritis of Berobat Jalan
1175 00:00 16:08 SWASTA
presumed infectious origin

0151B1090422P00 30-04-2022 30-04-2022 DRA. SRI UTAMI PEGAWAI Acute upper respiratory
19 0001691855245 P Berobat Jalan
1183 00:00 16:56 ANDAYANINGSIH SWASTA infection, unspecified
0151B1090422P00 30-04-2022 30-04-2022 ADINDA NAJMA PEGAWAI
20 0001691856009 P Impacted cerumen Berobat Jalan
1169 00:00 13:29 SALSABILA SWASTA
0151B1090422P00 30-04-2022 30-04-2022 MUHAMMAD ANDRI PEGAWAI Atopic dermatitis,
21 0001691920541 L Berobat Jalan
1167 00:00 13:17 CAESAR RAHARJO SWASTA unspecified
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
22 0001692820844 Rusdiana P Myalgia Berobat Jalan
1185 00:00 17:23 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
24 0001848354704 NIHAYATUL QORIBAH P Pulpitis Berobat Jalan
1173 00:00 16:00 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 DHERY PUTHUT PEGAWAI Gingivitis and periodontal
25 0001970893899 L Berobat Jalan
1156 00:00 09:21 SANTOSA, A.MD. KEP. SWASTA diseases
0151B1090422P00 30-04-2022 30-04-2022 BENDOT HIDAYAT PEGAWAI Essential (primary)
26 0002034036461 L Berobat Jalan Hipertensi
1155 00:00 09:17 PURWOKOSUNU SWASTA hypertension
0151B1090422P00 30-04-2022 30-04-2022
27 0002036579916 daffa muhammad al fatih L PNS PUSAT Pulpitis Berobat Jalan
1171 00:00 14:44
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA
28 0002247569572 NADIR EDRIS BENABID L Tinea corporis Berobat Jalan
1154 00:00 08:28 MANDIRI
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
29 0002274095845 TANTRI MEINA SARI P Low back pain Berobat Jalan
1186 00:00 17:24 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 PEKERJA
30 0002280781866 PURMONO L Haemorrhoids Berobat Jalan
1164 00:00 11:28 MANDIRI
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI Atopic dermatitis,
31 0002301454719 ZAID ABDUNNAFI' MOSHA L Berobat Jalan
1177 00:00 16:19 SWASTA unspecified
0151B1090422P00 30-04-2022 30-04-2022
32 0002321643701 MUHAMMAD DZOFIR L - Headache Berobat Jalan
1190 00:00 19:59
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
33 0002460520258 RATNA DIAN SEPTIANA P Conjunctivitis Berobat Jalan
1163 00:00 11:16 SWASTA
0151B1090422P00 30-04-2022 30-04-2022 NINDYA AMIRAH PEKERJA Acute nasopharyngitis
34 0002467428827 P Berobat Jalan
1168 00:00 13:23 NAUFALYN MANDIRI [common cold]
0151B1090422P00 30-04-2022 30-04-2022 NAJWA IFTINA PEGAWAI
35 0002625937211 P Headache Berobat Jalan
1159 00:00 10:29 ASSYABIYA SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diarrhoea and
0151B1090422P00 30-04-2022 30-04-2022 SHOFIYAH NAJIHA PEGAWAI
36 0002745630685 P gastroenteritis of Berobat Jalan
1178 00:00 16:21 MOSHA SWASTA
presumed infectious origin

Diarrhoea and
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI
37 0002893157829 TAUFIQ HIDAYAT L gastroenteritis of Berobat Jalan
1180 00:00 16:47 SWASTA
presumed infectious origin

0151B1090422P00 30-04-2022 30-04-2022 PEKERJA

38 0003002687853 CATUR WIBAWA L Oedema, unspecified Berobat Jalan
1172 00:00 14:49 MANDIRI
0151B1090422P00 30-04-2022 30-04-2022 PEGAWAI Gastroenteritis and colitis
39 0003261237546 mirawati P Berobat Jalan
1161 00:00 11:04 SWASTA of unspecified origin
0151B1090422P00 29-04-2022 29-04-2022 PENERIMA Essential (primary)
40 0000021462491 SRI WISMIARTI P Berobat Jalan Hipertensi
1128 00:00 09:38 PENSIUN PNS hypertension
0151B1090422P00 29-04-2022 29-04-2022 YUSTINA SRI PENERIMA Other specified
41 0000076550635 P Rujuk Vertikal
1135 00:00 10:35 NURHARTANTI PENSIUN TNI rheumatoid arthritis
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA Acute nasopharyngitis
42 0000088571799 NOVIATI RAHAYU P Berobat Jalan
1147 00:00 15:52 MANDIRI [common cold]
0151B1090422P00 29-04-2022 29-04-2022 PEGAWAI Acute nasopharyngitis
43 0000091544005 WIKAN BUDI UTAMI P Berobat Jalan
1127 00:00 09:26 SWASTA [common cold]
0151B1090422P00 29-04-2022 29-04-2022 PENERIMA
44 0000095998151 SRI KUSMIYATI, NY P Headache Berobat Jalan
1145 00:00 14:25 PENSIUN PNS
0151B1090422P00 29-04-2022 29-04-2022 Acute nasopharyngitis
45 0001107535612 RAJWA MUZHOFFAR L PRAJURIT AD Berobat Jalan
1125 00:00 08:49 [common cold]
0151B1090422P00 29-04-2022 29-04-2022 JADMIKO AGUS PEGAWAI Cutaneous abscess,
46 0001153944865 L Berobat Jalan
1133 00:00 10:26 SHOLICHIN SWASTA furuncle and carbuncle
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA Open wound of
47 0001308872261 DANIEL BUDHI SANTOSO L Berobat Jalan
1146 00:00 14:42 MANDIRI unspecified body region
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA Hypertrophy of nasal
48 0001376833296 PRATAMA MAULANA L Rujuk Vertikal
1141 00:00 13:18 MANDIRI turbinates
0151B1090422P00 29-04-2022 29-04-2022 PEGAWAI Injury of unspecified body
49 0001448951938 GINA DWIDYA LINIARTI P Berobat Jalan
1142 00:00 13:18 SWASTA region
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
50 0001524827889 HEDY PURWANTO L Plantar fascial fibromatosis Berobat Jalan
1136 00:00 10:40 MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
51 0001532580175 FAREL GADIS LINASARI P Conjunctivitis Berobat Jalan
1144 00:00 13:22 MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
52 0001628522796 HENDRO BARIYANTO L Presbyopia Berobat Jalan
1152 00:00 19:28 MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 DRA. WULANDARI PEGAWAI
53 0001691857181 P Pulpitis Berobat Jalan
1134 00:00 10:34 TEJONINGRAT SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 29-04-2022 29-04-2022 PEKERJA

54 0001795213721 DYAN ARFIYANTI P Conjunctivitis Berobat Jalan
1131 00:00 10:21 MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
55 0001795215295 HAFY ZUHDIAN AZMI L Conjunctivitis Berobat Jalan
1132 00:00 10:23 MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 SITI MUTHMAINAH
56 0001813933539 P - Necrosis of pulp Berobat Jalan
1139 00:00 11:19 FADLIILAH,

0151B1090422P00 29-04-2022 29-04-2022 PENERIMA

57 0001815498707 RIS SUMANGER L Conjunctivitis Berobat Jalan Hipertensi
1124 00:00 08:27 PENSIUN SWASTA

0151B1090422P00 29-04-2022 29-04-2022

58 0002036579916 daffa muhammad al fatih L PNS PUSAT Necrosis of pulp Berobat Jalan
1137 00:00 10:59
0151B1090422P00 29-04-2022 29-04-2022 PEGAWAI
59 0002080991766 NUR ASYIAH JAMIL P Pulpitis Berobat Jalan
1129 00:00 10:03 SWASTA
0151B1090422P00 29-04-2022 29-04-2022 HANA MAULIDA PEKERJA
60 0002202711658 P Fever, unspecified Berobat Jalan
1149 00:00 17:34 QURROTA A' YUNINA MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 FITRIANI NUR PEKERJA
61 0002220884065 P Lichen simplex chronicus Berobat Jalan
1153 00:00 19:30 CANDRAWATI MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 MUHAMMAD NAUFAL PEKERJA
62 0002220885808 L Asthma Berobat Jalan
1151 00:00 19:25 RIZQULLAH MANDIRI
0151B1090422P00 29-04-2022 29-04-2022 AZZAHRA WIDYA PEGAWAI
63 0002461628474 P Conjunctivitis Berobat Jalan
1140 00:00 11:20 PARAMITHA SWASTA
0151B1090422P00 29-04-2022 29-04-2022 PEGAWAI
64 0002462921717 SRI TUNIATI P Tinea cruris Berobat Jalan
1126 00:00 09:20 SWASTA
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
65 0002899901158 ULFAH NAURA FATINAH P Conjunctivitis Berobat Jalan
1143 00:00 13:21 MANDIRI
Other specified viral
0151B1090422P00 29-04-2022 29-04-2022 infections characterized by
66 0002901726595 KEISYA PUTRI ARIANI P PBI (APBN) Berobat Jalan
1148 00:00 15:55 skin and mucous
membrane lesions
0151B1090422P00 29-04-2022 29-04-2022 MUHAMMAD LUTFAN
67 0003062605307 P - Allergic contact dermatitis Berobat Jalan
1150 00:00 19:08 RASHAAD
0151B1090422P00 29-04-2022 29-04-2022 MUHAMMAD SYADAD PEKERJA
68 0003078410286 L Fever, unspecified Berobat Jalan
1123 00:00 08:25 IZZUDDIN MANDIRI
0151B1090422P00 29-04-2022 29-04-2022
69 0003095167285 nuruddin mahmud zanki L PNS PUSAT Varicella [chickenpox] Berobat Jalan
1130 00:00 10:18
0151B1090422P00 29-04-2022 29-04-2022 PEKERJA
70 0003124083172 GULIANNUR WARSITO P Corns and callosities Berobat Jalan
1138 00:00 11:13 MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 Stomatitis and related
71 0000043631943 HERLYNA EKOWATI P PNS PUSAT Berobat Jalan
1089 00:00 10:01 lesions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 28-04-2022 28-04-2022 YUSTINA SRI PENERIMA

72 0000076550635 P Low back pain Berobat Jalan
1100 00:00 11:59 NURHARTANTI PENSIUN TNI
0151B1090422P00 28-04-2022 28-04-2022 HINDA HANIFA QURRATA PEKERJA
73 0000086004461 P Pulpitis Berobat Jalan
1107 00:00 15:35 AYUNIN MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 PENERIMA
74 0000088915285 SRI WARNO L Pulpitis Berobat Jalan
1083 00:00 09:29 PENSIUN PNS
0151B1090422P00 28-04-2022 28-04-2022 Hypertensive heart
75 0000089073663 HASTARINI P PNS PUSAT Rujuk Vertikal
1102 00:00 14:14 disease
0151B1090422P00 28-04-2022 28-04-2022 FARAH FAKHRIYYA Hypertensive heart
76 0000089073685 P PNS PUSAT Rujuk Vertikal
1103 00:00 14:16 FAADHILA ANWAR disease
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
77 0000089675493 ARIFIA NURUL ALAINA P Acute pharyngitis Berobat Jalan
1120 00:00 19:06 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 KEVIN PEKERJA
78 0000090946181 L Necrosis of pulp Berobat Jalan
1108 00:00 15:36 ARDYAPRIMATAMA MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 ROCHIMIN RAHARJO PENERIMA Essential (primary)
79 0000091614025 L Berobat Jalan Hipertensi Hipertensi
1091 00:00 10:14 RAKIMIN PENSIUN PNS hypertension
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Atherosclerotic heart
80 0001021774792 YUSUF P Rujuk Vertikal
1085 00:00 09:42 SWASTA disease
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Acute upper respiratory
81 0001126309509 SUHANTI P Berobat Jalan
1099 00:00 11:32 MANDIRI infection, unspecified
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
82 0001169137124 ISTIQOMAH P Abdominal pregnancy Berobat Jalan
1116 00:00 16:10 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA
83 0001263620158 DENI ARIBOWO L Necrosis of pulp Berobat Jalan
1090 00:00 10:05 MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 ARSYAD DZAKIY PEGAWAI Acute nasopharyngitis
84 0001269185973 L Berobat Jalan
1095 00:00 11:17 YUDHISTIRA SWASTA [common cold]
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Acute nasopharyngitis
85 0001272294156 AGUS MUNAWAR L Berobat Jalan
1121 00:00 19:21 MANDIRI [common cold]
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
86 0001301333185 AHMADI PRIHANTORO L Myalgia Berobat Jalan
1111 00:00 16:05 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
87 0001317941886 FIFIN HESTI OKTAFIANI P Abdominal pregnancy Berobat Jalan
1115 00:00 16:09 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
88 0001320871915 HAFSHAH MUFIDAH P Acute periodontitis Berobat Jalan
1105 00:00 14:34 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
89 0001320872264 JUNAYDAH SYAM P Necrosis of pulp Berobat Jalan
1104 00:00 14:30 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
90 0001404266016 JUWADI L Counselling, unspecified Berobat Jalan Hipertensi Hipertensi
1118 00:00 16:39 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diabetes
0151B1090422P00 28-04-2022 28-04-2022 PENERIMA
91 0001421495043 SOEKAMTO H BSC L Nausea and vomiting Berobat Jalan Mellitus
1082 00:00 09:04 PENSIUN SWASTA
Hipertensi
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Essential (primary)
92 0001534241171 NANIK TRI SULISTYAWATI P Berobat Jalan
1088 00:00 09:57 SWASTA hypertension
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA
93 0001547062852 AJI SUSANTO L Myalgia Berobat Jalan
1113 00:00 16:07 MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
94 0001691852804 TRIYANI P Myalgia Berobat Jalan
1117 00:00 16:13 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Non-insulin-dependent Diabetes Diabetes
95 0001691854121 JUMRI L Berobat Jalan
1087 00:00 09:53 SWASTA diabetes mellitus Mellitus Mellitus
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Disturbances in tooth
96 0001794687366 NABILA SAVA AGATA P Berobat Jalan
1096 00:00 11:17 SWASTA eruption
0151B1090422P00 28-04-2022 28-04-2022 AHMADA SYAMSUL PEKERJA
97 0002195314402 L Necrosis of pulp Berobat Jalan
1093 00:00 11:00 HAIDAR MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 HANA MAULIDA PEKERJA
98 0002202711658 P Necrosis of pulp Rujuk Vertikal
1094 00:00 11:05 QURROTA A' YUNINA MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 MUHAMMAD YULI PEKERJA
99 0002234568532 L Fever, unspecified Berobat Jalan
1109 00:00 15:37 WIDODO RAHARJO MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Hypertensive heart
100 0002247081153 DARMIRIS L Rujuk Vertikal
1098 00:00 11:24 MANDIRI disease
0151B1090422P00 28-04-2022 28-04-2022 IRSYAD DEFFA RIZKY PEKERJA
101 0002255993289 L Conjunctivitis Berobat Jalan
1106 00:00 15:06 DARMAWAN MANDIRI
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Acute nasopharyngitis
102 0002281079992 ZAFLAN NAZRIL ABIZARD L Berobat Jalan
1122 00:00 19:40 SWASTA [common cold]
0151B1090422P00 28-04-2022 28-04-2022 UTAMI DWI NASTITI PEGAWAI
103 0002281420067 P Abdominal pregnancy Berobat Jalan
1112 00:00 16:06 IKHSAN SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Urinary tract infection
104 0002290737082 ARIFAH RIZQI MUFIDA P Berobat Jalan
1110 00:00 15:52 MANDIRI following delivery
0151B1090422P00 28-04-2022 28-04-2022 RATNA DEWI PEGAWAI
105 0002349063369 P Necrosis of pulp Berobat Jalan
1086 00:00 09:52 KARTIKAWATI SWASTA
0151B1090422P00 28-04-2022 28-04-2022 ATHIF RAMADHAN PEGAWAI
106 0002349063404 L Pulpitis Berobat Jalan
1084 00:00 09:38 MUHIBBULLAH SWASTA
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Chronic kidney disease,
107 0002456815059 MUH NINING P Rujuk Vertikal
1101 00:00 13:26 MANDIRI stage 5
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI
108 0002460520258 RATNA DIAN SEPTIANA P Myalgia Berobat Jalan
1114 00:00 16:08 SWASTA
0151B1090422P00 28-04-2022 28-04-2022 DZUVIA MUGHNIY PEGAWAI Routine postpartum
109 0002739400468 P Rujuk Vertikal
1119 00:00 17:09 ARSANINGSIH SWASTA follow-up
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Essential (primary)

110 0002876973726 SRI GAYATI P Berobat Jalan
1092 00:00 10:45 MANDIRI hypertension
0151B1090422P00 28-04-2022 28-04-2022 PEKERJA Chronic kidney disease,
111 0002899018462 SUBANDI L Rujuk Vertikal
1080 00:00 08:38 MANDIRI stage 5
0151B1090422P00 28-04-2022 28-04-2022 PEGAWAI Thyrotoxicosis
112 0002934527229 ARIF RIDWAN L Rujuk Vertikal
1081 00:00 08:46 SWASTA [hyperthyroidism]
0151B1090422P00 28-04-2022 28-04-2022 SAFALUNA ATAYA PEGAWAI
113 0003061150356 P Varicella [chickenpox] Berobat Jalan
1097 00:00 11:20 QIYYAMA PUTRI SWASTA
0151B1090422P00 27-04-2022 27-04-2022 PENERIMA
114 0000023007453 IQBAL ISNAN AL-FAYED L Myopia Berobat Jalan
1057 00:00 11:24 PENSIUN PNS
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI Acute nasopharyngitis
115 0000088576705 DEWI AMBARWATI, P Berobat Jalan
1077 00:00 19:49 SWASTA [common cold]
Chronic obstructive
0151B1090422P00 27-04-2022 27-04-2022 SARSONO PENERIMA
116 0000088761699 L pulmonary disease, Rujuk Vertikal
1071 00:00 16:56 HARDJOSOEDARMO PENSIUN PNS
unspecified
Non-insulin-dependent
0151B1090422P00 27-04-2022 27-04-2022
117 0000091310422 CHANIFAH P - diabetes mellitus with Rujuk Vertikal
1046 00:00 09:06
unspecified complications
0151B1090422P00 27-04-2022 27-04-2022
118 0000091580962 SONHAJI, DRS MSI L PNS PUSAT Congestive heart failure Rujuk Vertikal
1049 00:00 09:56
0151B1090422P00 27-04-2022 27-04-2022 Acute nasopharyngitis
119 0000172549214 SUSANDI L PNS DAERAH Berobat Jalan
1043 00:00 08:27 [common cold]
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA Other noninflammatory
120 0000639894273 RETNOWATI P Berobat Jalan
1063 00:00 14:32 MANDIRI disorders of vagina
0151B1090422P00 27-04-2022 27-04-2022 ARIFAN HERRA PANDAM PEGAWAI Atherosclerotic heart
121 0001032641763 L Rujuk Vertikal
1042 00:00 08:24 PAWITRA SWASTA disease
0151B1090422P00 27-04-2022 27-04-2022 JADMIKO AGUS PEGAWAI Cutaneous abscess,
122 0001153944865 L Berobat Jalan
1051 00:00 10:12 SHOLICHIN SWASTA furuncle and carbuncle
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI Injury of unspecified body
123 0001448951938 GINA DWIDYA LINIARTI P Berobat Jalan
1045 00:00 08:54 SWASTA region
0151B1090422P00 27-04-2022 27-04-2022 ARSY ADJIE PUTRO PEGAWAI Acute nasopharyngitis
124 0001524824065 L Berobat Jalan
1058 00:00 13:11 PRATOMO SWASTA [common cold]
0151B1090422P00 27-04-2022 27-04-2022 MUHAMMAD AS'AD PEGAWAI
125 0001525855522 L Conjunctivitis Berobat Jalan
1050 00:00 10:04 AL-HAMIDY SWASTA
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA
126 0001529783515 EMI ERNASARI P Pulpitis Berobat Jalan
1070 00:00 16:23 MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI Gonarthrosis [arthrosis of
128 0001691920304 TRISNOJOYO KHOTOB L Berobat Jalan
1064 00:00 14:40 SWASTA knee]
0151B1090422P00 27-04-2022 27-04-2022 MUKHAROMAH RONI PEGAWAI
129 0001692820811 P Fever, unspecified Berobat Jalan
1060 00:00 14:00 EKAWATI SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI Enlarged lymph nodes,

130 0001693305729 SITI NUR ANISAH P Rujuk Vertikal
1055 00:00 10:54 SWASTA unspecified
0151B1090422P00 27-04-2022 27-04-2022 NAILAH HANIF SEKAR PEKERJA
131 0001728994713 P Dyspepsia Berobat Jalan
1076 00:00 19:35 PAMBAYUN MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI
132 0001815749019 NAZHIRUL ASHROFI L Conjunctivitis Berobat Jalan
1052 00:00 10:23 SWASTA
0151B1090422P00 27-04-2022 27-04-2022 DEANDRA DJANARDANA Disturbances in tooth
133 0001903828937 L PNS DAERAH Berobat Jalan
1065 00:00 15:18 IRAWAN eruption
0151B1090422P00 27-04-2022 27-04-2022 MAHESWARA YOGA PEGAWAI Acute nasopharyngitis
134 0001970871873 L Berobat Jalan
1062 00:00 14:02 MEGANTARA SWASTA [common cold]
0151B1090422P00 27-04-2022 27-04-2022 MUHAMMAD RIZVAN EL PEGAWAI
135 0002049015688 L Conjunctivitis Berobat Jalan
1074 00:00 19:27 FACHROZI SWASTA
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA Irregular menstruation,
136 0002051656007 ISDATUL AINIYAH P Berobat Jalan
1073 00:00 19:13 MANDIRI unspecified
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI
137 0002080991766 NUR ASYIAH JAMIL P Caries of dentine Berobat Jalan
1079 00:00 19:56 SWASTA
0151B1090422P00 27-04-2022 27-04-2022 NABIHAN ARKHA PEGAWAI Acute nasopharyngitis
138 0002086201113 L Berobat Jalan
1047 00:00 09:09 GHAFFARSON SWASTA [common cold]
0151B1090422P00 27-04-2022 27-04-2022 SITI WAHYUNI PEKERJA
139 0002195313884 P Acute pharyngitis Berobat Jalan
1053 00:00 10:35 MUBAROKAH MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 FREYA SWASTI ARSENIA PEKERJA
140 0002206500017 P Pulpitis Berobat Jalan
1066 00:00 15:20 ARIFIYANTO MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI
141 0002214759104 YULI KRISTANTO L Pulpitis Berobat Jalan
1072 00:00 19:05 SWASTA
0151B1090422P00 27-04-2022 27-04-2022 ALLAYA QINARRA PEGAWAI Acute nasopharyngitis
142 0002269626491 P Berobat Jalan
1061 00:00 14:01 GAVAPUTRI SWASTA [common cold]
0151B1090422P00 27-04-2022 27-04-2022 PEGAWAI
143 0002277747551 BETA HIMA MAHAYU P Necrosis of pulp Berobat Jalan
1069 00:00 15:35 SWASTA
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA
144 0002289976075 MUDO MULATO L Congestive heart failure Rujuk Vertikal
1054 00:00 10:43 MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA Diabetes Diabetes
145 0002301510497 HERY SUPRIANTO L Congestive heart failure Rujuk Vertikal
1056 00:00 11:16 MANDIRI Mellitus Mellitus
0151B1090422P00 27-04-2022 27-04-2022 ELAN GHIYATH
146 0002326734797 L PNS PUSAT Necrosis of pulp Berobat Jalan
1078 00:00 19:55 ABHIMANYU
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA
147 0002328359163 SITI MARIYAM BA P Myalgia Berobat Jalan
1044 00:00 08:40 MANDIRI
0151B1090422P00 27-04-2022 27-04-2022 AIZANAYYA AUNI PEGAWAI Acute upper respiratory
148 0002472676863 P Berobat Jalan
1075 00:00 19:28 RESWARA SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 27-04-2022 27-04-2022 Patellar tendinitis, multiple

149 0002488887663 NAQIYU AKMAL AHMAD L PNS PUSAT Rujuk Vertikal
1048 00:00 09:47 sites
0151B1090422P00 27-04-2022 27-04-2022 KHOLID AMIRULHAQ PEGAWAI Acute nasopharyngitis
150 0002746138961 L Berobat Jalan
1059 00:00 13:59 SAPUTRO SWASTA [common cold]
0151B1090422P00 27-04-2022 27-04-2022 FATHIMAH YUMNA ASY PEKERJA Disturbances in tooth
151 0003132300655 P Berobat Jalan
1068 00:00 15:33 SYIFA' MANDIRI eruption
0151B1090422P00 27-04-2022 27-04-2022 PEKERJA
152 0003132300767 SHOFIYAH AN NADZIFAH P Pulpitis Berobat Jalan
1067 00:00 15:22 MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 PENERIMA
153 0000010594866 SRI NGATMIYATUN P Paraesthesia of skin Rujuk Vertikal
1014 00:00 11:10 PENSIUN PNS
PEGAWAI
PEMERINTAH
0151B1090422P00 26-04-2022 26-04-2022
154 0000077797383 YOGA PURNAMA L DENGAN Pulpitis Berobat Jalan
1007 00:00 10:10
PERJANJIAN
KERJA
0151B1090422P00 26-04-2022 26-04-2022 PENERIMA
155 0000090923376 SRI WURI HANDAYANI P Pulpitis Berobat Jalan
1010 00:00 10:17 PENSIUN PNS
0151B1090422P00 26-04-2022 26-04-2022 KEVIN PEKERJA
156 0000090946181 L Necrosis of pulp Berobat Jalan
1038 00:00 19:14 ARDYAPRIMATAMA MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 DICKY POERNAMA PEGAWAI
157 0000091040027 L Injury, unspecified Berobat Jalan
1002 00:00 08:44 PUTRA SWASTA
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA
158 0001021828015 TRI WAHYUNI P Pregnancy confirmed Berobat Jalan
1019 00:00 12:09 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090422P00 26-04-2022 26-04-2022
159 0001266537249 RUSMALA KUSUMA DEWI P DENGAN Pterygium Rujuk Vertikal
1013 00:00 10:59
PERJANJIAN
KERJA
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
160 0001287162371 HAFIDZ KHOIRUDIN L Chronic periodontitis Berobat Jalan
1015 00:00 11:12 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA Glaucoma secondary to
161 0001305455332 MEMED SUKATMAN L Rujuk Vertikal
1001 00:00 08:27 MANDIRI other eye disorders
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
162 0001305473027 FAJAR DWI SUBAGYO L Dyspepsia Berobat Jalan
1020 00:00 13:39 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 CINTYA KARTIKA PEGAWAI
163 0001369181373 P Necrosis of pulp Berobat Jalan
1024 00:00 14:50 WARDANY SWASTA
0151B1090422P00 26-04-2022 26-04-2022
164 0001381137491 SHOFYAN ALFARUQ L PNS DAERAH Myopia Berobat Jalan
1008 00:00 10:11
0151B1090422P00 26-04-2022 09-05-2022
165 0001381288116 ADITYA WARDANA L PEGAWAI BUMD Necrosis of pulp Berobat Jalan
1193 00:00 13:54
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 26-04-2022 26-04-2022 ALEXA PRINCESSA PEGAWAI

166 0001383072592 P Fever, unspecified Berobat Jalan
1037 00:00 19:13 ARNATA SWASTA

0151B1090422P00 26-04-2022 26-04-2022 PENERIMA Acute nasopharyngitis

167 0001441653208 SOEMADI L Berobat Jalan
1031 00:00 15:51 PENSIUN SWASTA [common cold]

0151B1090422P00 26-04-2022 26-04-2022 PEKERJA

168 0001445070666 EPI RIZANDI L Counselling, unspecified Berobat Jalan
1026 00:00 15:02 MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI Essential (primary)
169 0001524765611 PRAYITNO L Berobat Jalan
1003 00:00 08:57 SWASTA hypertension
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI Hypertensive heart
170 0001524766713 YUNI CATUR RISTANTI P Rujuk Vertikal
1004 00:00 09:03 SWASTA disease
0151B1090422P00 26-04-2022 26-04-2022 AMALIA RIZQI PEGAWAI Supervision of elderly
171 0001524831658 P Rujuk Vertikal
1009 00:00 10:15 SOFIASTUTI SWASTA primigravida
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA Acute nasopharyngitis
172 0001524915134 NENENG KHASANAH P Berobat Jalan
1033 00:00 16:00 MANDIRI [common cold]
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA Acute nasopharyngitis
173 0001524915461 AYUNDYA ADHA SAPHIRA P Berobat Jalan
1032 00:00 15:58 MANDIRI [common cold]
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA Acute nasopharyngitis
174 0001525038489 MEGA OKTA ARTALINDA P Berobat Jalan
1035 00:00 17:03 MANDIRI [common cold]
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI Acute nasopharyngitis
175 0001539640719 Khansa Zakiyya Mursid P Berobat Jalan
1018 00:00 11:42 SWASTA [common cold]

Diarrhoea and
0151B1090422P00 26-04-2022 26-04-2022 ELANA NAFISA EL PEGAWAI
176 0001592777136 P gastroenteritis of Berobat Jalan
1036 00:00 19:10 VARETTA SWASTA
presumed infectious origin

0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI Adhesive capsulitis of

177 0001691853939 HANIDA LAILA SAIDAH P Berobat Jalan
1022 00:00 14:26 SWASTA shoulder
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
178 0001693305729 SITI NUR ANISAH P Counselling, unspecified Berobat Jalan
1025 00:00 14:57 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI Acute upper respiratory
179 0001734587403 NAJMA MATAURRAHMAN L Berobat Jalan
1039 00:00 19:22 SWASTA infection, unspecified
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
180 0001813045162 INDRIYATI P Secondary hypertension Rujuk Vertikal
1005 00:00 09:25 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
181 0001815375069 SAYEKTI P Pain, unspecified Berobat Jalan
1030 00:00 15:17 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 SAGHARA PUTRA
182 0001832161151 L PEGAWAI BUMD Fever, unspecified Berobat Jalan
1029 00:00 15:08 HIMAWAN
0151B1090422P00 26-04-2022 26-04-2022
183 0001863301274 ANNISA SYARAFANA P PNS DAERAH Necrosis of pulp Berobat Jalan
1023 00:00 14:48
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 26-04-2022 26-04-2022 BERLIAN KARTIKA FILIA PEGAWAI Other and unspecified
184 0002136439225 P Rujuk Vertikal
1016 00:00 11:33 LARESTI SWASTA hydronephrosis
Maternal care due to
0151B1090422P00 26-04-2022 26-04-2022 ASAMARA IVALISTINA PEKERJA
185 0002229574015 P uterine scar from previous Rujuk Vertikal
1006 00:00 09:46 KISDARWATI MANDIRI
surgery
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
186 0002301453753 ARIS WIJAYANTI P Necrosis of pulp Berobat Jalan
1028 00:00 15:08 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 ATHIF RAMADHAN PEGAWAI
187 0002349063404 L Caries of dentine Berobat Jalan
1017 00:00 11:41 MUHIBBULLAH SWASTA
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA
188 0002429988197 EDY JOKO SUSILO L Other hearing loss Rujuk Vertikal
1040 00:00 19:25 MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 PEGAWAI
189 0002577092062 SIDDIQ FATHUROHMAN L Fever, unspecified Berobat Jalan
1021 00:00 14:17 SWASTA
0151B1090422P00 26-04-2022 26-04-2022 MUSTIKOWATI SAPTO PEKERJA
190 0002874847364 P Heart failure, unspecified Rujuk Vertikal
1034 00:00 16:06 UTAMI MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 PEKERJA
191 0002895468772 EKA YULIANINGSIH P Necrosis of pulp Berobat Jalan
1027 00:00 15:03 MANDIRI
0151B1090422P00 26-04-2022 26-04-2022 SYAFICA NATANIA ALEXA PEGAWAI Acute nasopharyngitis
192 0003092865862 P Berobat Jalan
1011 00:00 10:52 PUTRI SWASTA [common cold]
0151B1090422P00 26-04-2022 26-04-2022 SYAFIRA NATALIA ALEXA PEGAWAI Acute nasopharyngitis
193 0003106982193 L Berobat Jalan
1012 00:00 10:55 PUTRI SWASTA [common cold]
0151B1090422P00 26-04-2022 26-04-2022 AHMAD ZAYD PEGAWAI
194 0003131209675 L Fever, unspecified Berobat Jalan
1041 00:00 19:55 ABDURRAHMAN GHAZY SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PENERIMA
195 0000023007453 IQBAL ISNAN AL-FAYED L Conjunctivitis Berobat Jalan
0973 00:00 13:25 PENSIUN PNS
0151B1090422P00 25-04-2022 25-04-2022 PENERIMA
196 0000024205094 NURAIDA P Dyspepsia Berobat Jalan
0982 00:00 15:51 PENSIUN PNS
0151B1090422P00 25-04-2022 25-04-2022 PENERIMA
197 0000046944718 SRI KRISNA LISTYAWATI P Congestive heart failure Rujuk Vertikal
0974 00:00 13:27 PENSIUN PNS
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
198 0000086406467 RIZAL NURMAN WIJAYA L Fever, unspecified Berobat Jalan
0983 00:00 15:52 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 MUHAMMAD MIJWAD PEGAWAI Acute nasopharyngitis
199 0000086838131 L Berobat Jalan
0979 00:00 15:05 LUTHFI SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PENERIMA Hypertensive heart
200 0000088849056 ERNA DIEN SUMARDINAH P Rujuk Vertikal
0985 00:00 16:18 PENSIUN PNS disease
0151B1090422P00 25-04-2022 25-04-2022 PENERIMA Essential (primary)
201 0000090998245 MAKSUM AINAINI MM L Berobat Jalan
0958 00:00 10:03 PENSIUN PNS hypertension
Non-insulin-dependent
0151B1090422P00 25-04-2022 25-04-2022
202 0000091574133 SOEHARIYANTO L PNS PUSAT diabetes mellitus with Rujuk Vertikal
0946 00:00 09:03
unspecified complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

MUHAMMAD ZAIDAN
0151B1090422P00 25-04-2022 25-04-2022
203 0000204015262 FAYYADH HAIL L PNS PUSAT Counselling, unspecified Berobat Jalan
0988 00:00 16:35
RAHMAWAN
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
204 0000721711517 RIZKI SULFI IRMASARI P Fever, unspecified Berobat Jalan
0944 00:00 08:49 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 SHELLA DHIKA PEGAWAI Acute nasopharyngitis
205 0000977500686 P Berobat Jalan
0963 00:00 10:50 RAHMAWATI SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 LANDUNG YULIANTO PEGAWAI
206 0001139913437 L Fever, unspecified Berobat Jalan
0955 00:00 09:47 SAPTOTO SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
207 0001301333185 AHMADI PRIHANTORO L Berobat Jalan
0978 00:00 15:02 SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
208 0001524765947 ALIASA KARMILANGI L Fever, unspecified Berobat Jalan
0995 00:00 19:10 MANDIRI
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
209 0001526216038 HENRY KRISTIANTO L Fever, unspecified Berobat Jalan
0976 00:00 14:22 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
210 0001526426548 ELI LAELAWATI P Status asthmaticus Rujuk Vertikal
0967 00:00 11:32 MANDIRI
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
211 0001527469389 TRIYATNO L Berobat Jalan
0977 00:00 14:25 SWASTA [common cold]
Sprain and strain of other
0151B1090422P00 25-04-2022 25-04-2022 HELLEN PEGAWAI
212 0001528731909 P and unspecified parts of Berobat Jalan
0991 00:00 17:01 CANDRAHANDAYA SWASTA
foot
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
213 0001532632781 JOHAN INDIKA PUTRA L Unspecified renal colic Berobat Jalan
0990 00:00 16:54 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 MUHAMMAD AFIF PEGAWAI
214 0001622329918 L Epilepsy Berobat Jalan
0989 00:00 16:39 HAFTHAH DANENDRA SWASTA
0151B1090422P00 25-04-2022 25-04-2022 ALiFIYAH PEGAWAI Acute nasopharyngitis
215 0001691854751 P Berobat Jalan
0984 00:00 16:01 RAHAYUNINGSIH SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Essential (primary)
216 0001691856112 SITI LATIFAH P Berobat Jalan Hipertensi
0957 00:00 09:56 SWASTA hypertension
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
217 0001691856674 SAEFUDIN HARYOKO L Malaise and fatigue Berobat Jalan
0972 00:00 13:05 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 MASRIFATUL NURUL PEKERJA Acute nasopharyngitis
218 0001691920269 P Berobat Jalan
0981 00:00 15:47 ULFA MANDIRI [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Chronic kidney disease,
219 0001691920427 SARDI L Rujuk Vertikal
0986 00:00 16:28 SWASTA stage 5
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
220 0001692820844 Rusdiana P Dermatitis, unspecified Berobat Jalan
0997 00:00 19:27 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
221 0001693262575 RAGIL RISKYNIRA P Gastritis, unspecified Berobat Jalan
0947 00:00 09:05 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI

222 0001693305922 ASA ZAIN MUTTAQIN L Necrosis of pulp Berobat Jalan Hipertensi
0980 00:00 15:23 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 TRISTAN ABIRAMA PEGAWAI
223 0001693426678 L Dyspepsia Berobat Jalan
0961 00:00 10:35 FIRDAUS SWASTA
0151B1090422P00 25-04-2022 25-04-2022
224 0001785986583 kinan layla humaira P PNS PUSAT Other prurigo Berobat Jalan
0959 00:00 10:08
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
225 0001861691242 E. APRILIA L TOBING P Cough Rujuk Vertikal
0943 00:00 08:42 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
226 0001970877161 M MASKURI L Berobat Jalan
0992 00:00 17:21 SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
227 0002033777081 BELLA ALFIANA NURAINI P Conjunctivitis Berobat Jalan
0954 00:00 09:43 MANDIRI
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
228 0002045958243 AQILA SHIDQIA AZZAHRA P Berobat Jalan
0950 00:00 09:35 SWASTA [common cold]

Diarrhoea and
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
229 0002047467341 FARID RIZKI MUBARAK L gastroenteritis of Berobat Jalan
0966 00:00 11:06 MANDIRI
presumed infectious origin

0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI

230 0002049013449 LAILA LUTHFIA ROFAIDA P Injury, unspecified Berobat Jalan
0987 00:00 16:35 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 MUHAMMAD RAZAN AL PEGAWAI Acute upper respiratory
231 0002049015262 L Berobat Jalan
0965 00:00 11:03 FARABY SWASTA infection, unspecified
0151B1090422P00 25-04-2022 25-04-2022 MUHAMMAD RIZVAN EL PEGAWAI Acute upper respiratory
233 0002049015688 L Berobat Jalan
0964 00:00 11:00 FACHROZI SWASTA infection, unspecified
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA Malignant neoplasm of
234 0002066777662 SOEMARGONO L Rujuk Vertikal
0952 00:00 09:39 MANDIRI rectum
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Injury of unspecified body
235 0002070672478 SURATMI P Berobat Jalan
0971 00:00 12:04 SWASTA region
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
236 0002071390588 SRI SUDIATI P Acute periodontitis Berobat Jalan
0993 00:00 18:57 MANDIRI
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI
237 0002083822953 JOKO SAPTONO L Allergic contact dermatitis Berobat Jalan
0970 00:00 11:49 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA Injury of unspecified body
238 0002232322784 NURHADI SAPUTRA L Berobat Jalan
0994 00:00 19:07 MANDIRI region
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
239 0002232980943 NUNUNG EMILIA INDRIATI P Berobat Jalan
0968 00:00 11:39 SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI Acute nasopharyngitis
240 0002243838418 IFTA RACHIM P Berobat Jalan
0969 00:00 11:45 SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 MUHAMMIAN SOBE PEGAWAI Fracture of other parts of
241 0002249933488 L Rujuk Vertikal
0949 00:00 09:18 ARASHI SWASTA shoulder and upper arm
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 25-04-2022 25-04-2022 PEGAWAI

242 0002264883524 AKHMAD NUR FAUZI L Fever, unspecified Berobat Jalan
0956 00:00 09:48 SWASTA
0151B1090422P00 25-04-2022 25-04-2022 DRADJAD PATRIA PEKERJA Acute nasopharyngitis
243 0002277679612 L Berobat Jalan
0975 00:00 13:48 RAHARDJA MANDIRI [common cold]
0151B1090422P00 25-04-2022 25-04-2022 AHMAD DEKA ARSYIL AL PEGAWAI Acute nasopharyngitis
244 0002279209577 L Berobat Jalan
0962 00:00 10:49 MANNAF SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
245 0002308812726 NAFIL KHAIRIL HANIF L Conjunctivitis Berobat Jalan
0953 00:00 09:42 MANDIRI
Acquired keratosis
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA
246 0002315476787 HERMAN EDY RIYANTO L [keratoderma] palmaris et Rujuk Vertikal
0999 00:00 19:46 MANDIRI
plantaris
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA Hypertensive heart
247 0002429988434 YULI ASTUTI P Berobat Jalan Hipertensi Hipertensi
0960 00:00 10:23 MANDIRI disease
0151B1090422P00 25-04-2022 25-04-2022 PEKERJA Abscess, furuncle and
248 0002430633936 SUNARSIH P Berobat Jalan
0948 00:00 09:15 MANDIRI carbuncle of nose
0151B1090422P00 25-04-2022 25-04-2022
249 0002753529311 FITRA RATNA JELITA P PNS DAERAH Acute pharyngitis Berobat Jalan
0998 00:00 19:39
0151B1090422P00 25-04-2022 25-04-2022 NAFISAH MUTIARA PEGAWAI
250 0002769109839 P Asthma Berobat Jalan
0951 00:00 09:36 AZZAHRA SWASTA

Diarrhoea and
0151B1090422P00 25-04-2022 25-04-2022 KHALIFANO ALTAN
251 0002775832929 L PNS PUSAT gastroenteritis of Berobat Jalan
1000 00:00 20:28 AUFANDRA
presumed infectious origin

0151B1090422P00 25-04-2022 25-04-2022 ABDILLAH HAFIDZ PEGAWAI Acute nasopharyngitis

252 0002940022372 L Berobat Jalan
0996 00:00 19:13 ZAIDAN SWASTA [common cold]
0151B1090422P00 25-04-2022 25-04-2022 RIZQIANA KALYNA PEGAWAI Acute nasopharyngitis
253 0003049627397 P Berobat Jalan
0945 00:00 08:51 GUNAWAN SWASTA [common cold]
0151B1090422P00 24-04-2022 24-04-2022 PEGAWAI
254 0000088146606 MANDASARI DEWI P Pregnancy confirmed Berobat Jalan
0933 00:00 10:08 SWASTA
0151B1090422P00 24-04-2022 24-04-2022
255 0000089798444 EKO PURWANTO L PNS DAERAH Fever, unspecified Berobat Jalan
0930 00:00 09:31
Hypertensive heart
0151B1090422P00 24-04-2022 24-04-2022
256 0000090999573 ANTON ROSANTO L PNS PUSAT disease without Rujuk Vertikal
0935 00:00 10:19
(congestive) heart failure
0151B1090422P00 24-04-2022 24-04-2022
257 0000202731028 MIANTI FATMA WIJAYA P PNS DAERAH Headache Berobat Jalan
0938 00:00 11:08
0151B1090422P00 24-04-2022 24-04-2022 PEGAWAI
258 0001317941886 FIFIN HESTI OKTAFIANI P Pregnancy confirmed Berobat Jalan
0934 00:00 10:09 SWASTA
0151B1090422P00 24-04-2022 24-04-2022
259 0001381137491 SHOFYAN ALFARUQ L PNS DAERAH Fever, unspecified Berobat Jalan
0937 00:00 11:05
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 24-04-2022 24-04-2022 MUHAMMAD AZHAR

260 0001439997467 L PNS DAERAH Conjunctivitis Berobat Jalan
0940 00:00 13:11 MUTTAQIN
0151B1090422P00 24-04-2022 24-04-2022 PEGAWAI
261 0001448951938 GINA DWIDYA LINIARTI P Injury, unspecified Berobat Jalan
0941 00:00 13:19 SWASTA
0151B1090422P00 24-04-2022 24-04-2022 SITI WAHYUNI PEKERJA Acute upper respiratory
262 0002195313884 P Berobat Jalan
0936 00:00 10:44 MUBAROKAH MANDIRI infection, unspecified
0151B1090422P00 24-04-2022 24-04-2022 AHMAD DEKA ARSYIL AL PEGAWAI
263 0002279209577 L Fever, unspecified Berobat Jalan
0931 00:00 09:46 MANNAF SWASTA
0151B1090422P00 24-04-2022 24-04-2022 NARAWASTU HASENA Acute nasopharyngitis
264 0002283086799 L PNS PUSAT Berobat Jalan
0932 00:00 09:53 MUHAMMAD [common cold]
0151B1090422P00 24-04-2022 24-04-2022 PEKERJA Non-insulin-dependent Diabetes Diabetes
265 0002770394567 SUMARNI P Berobat Jalan
0939 00:00 11:16 MANDIRI diabetes mellitus Mellitus Mellitus
0151B1090422P00 24-04-2022 24-04-2022 PEKERJA
266 0003136040706 SUMARNO L Inguinal hernia Rujuk Vertikal
0942 00:00 13:28 MANDIRI
0151B1090422P00 23-04-2022 23-04-2022
267 0000043631943 HERLYNA EKOWATI P PNS PUSAT Other forms of stomatitis Berobat Jalan
0903 00:00 10:31
0151B1090422P00 23-04-2022 23-04-2022 ARIF RAHMATULLAH PEGAWAI Essential (primary)
268 0000075454931 L Berobat Jalan
0918 00:00 13:32 JAMIL SWASTA hypertension
0151B1090422P00 23-04-2022 23-04-2022 DICKY POERNAMA PEGAWAI
269 0000091040027 L Injury, unspecified Berobat Jalan
0922 00:00 14:49 PUTRA SWASTA
0151B1090422P00 23-04-2022 23-04-2022 PENERIMA
270 0000091328793 SUTINO L Congestive heart failure Rujuk Vertikal Hipertensi
0914 00:00 11:15 PENSIUN PNS
0151B1090422P00 23-04-2022 23-04-2022
271 0000091456211 TENTREM MULYANI P PNS DAERAH Dyspepsia Berobat Jalan
0911 00:00 11:03
0151B1090422P00 23-04-2022 23-04-2022 PENERIMA Angina pectoris,
272 0000205399359 SRI HARYATI P Rujuk Vertikal
0906 00:00 10:39 PENSIUN PNS unspecified
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA
273 0001021828015 TRI WAHYUNI P Counselling, unspecified Berobat Jalan
0923 00:00 15:14 MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 MUHAMMAD ZA`IM EL PEKERJA
274 0001203700353 L Counselling, unspecified Berobat Jalan
0907 00:00 10:46 ZAHRON MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
275 0001262225193 M.AFIAN HARIMURTI L Pulpitis Berobat Jalan
0926 00:00 16:10 SWASTA
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
276 0001267952826 WULANDARI SP MSI P Impacted teeth Rujuk Vertikal
0901 00:00 10:15 SWASTA
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA
277 0001288456356 SRI ENDANG WAHYUNI P Cholelithiasis Rujuk Vertikal
0900 00:00 10:02 MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 MUHAMMAD KEANU PEGAWAI Acute nasopharyngitis
278 0001430520028 L Berobat Jalan
0891 00:00 08:39 ARYASENA SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 23-04-2022 23-04-2022 HELLEN PEGAWAI Acute nasopharyngitis

279 0001528731909 P Berobat Jalan
0890 00:00 08:17 CANDRAHANDAYA SWASTA [common cold]
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI Acute nasopharyngitis
280 0001528732653 DEWI EKAWATI P Berobat Jalan
0925 00:00 15:57 SWASTA [common cold]
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
281 0001531910417 LADY IKA SURYANI P Acute pharyngitis Berobat Jalan
0910 00:00 10:58 SWASTA
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI Acute nasopharyngitis
282 0001539640719 Khansa Zakiyya Mursid P Berobat Jalan
0894 00:00 09:32 SWASTA [common cold]
0151B1090422P00 23-04-2022 23-04-2022 ALFARO MESSIO RAFA PEKERJA Acute upper respiratory
283 0001621823354 L Berobat Jalan
0921 00:00 14:48 DEANDRA MANDIRI infection, unspecified
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA
284 0001692947878 MUHAMMAD JA`FAR L Hypermetropia Berobat Jalan
0908 00:00 10:49 MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
285 0001696826924 B WURYANTO L Ischaemic cardiomyopathy Rujuk Vertikal
0893 00:00 09:14 SWASTA

KEPALA DESA Insulin-dependent

0151B1090422P00 23-04-2022 23-04-2022 Diabetes Diabetes
286 0001804052823 IRIANINGSIH P DAN PERANGKAT diabetes mellitus without Berobat Jalan
0916 00:00 13:15 Mellitus Mellitus
DESA complications

0151B1090422P00 23-04-2022 23-04-2022 Disturbances in tooth

287 0001884602136 heditiyo royyan rumiyanto L PNS PUSAT Berobat Jalan
0902 00:00 10:17 eruption
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA Acute nasopharyngitis
288 0002060485738 MAWADDAH NUR AMINI P Berobat Jalan
0892 00:00 09:06 MANDIRI [common cold]
0151B1090422P00 23-04-2022 23-04-2022 DEVI EKA WISATA PEGAWAI
289 0002068100842 P Myopia Berobat Jalan
0896 00:00 09:37 NASUTION, S.T SWASTA
Hypertensive heart
0151B1090422P00 23-04-2022 23-04-2022 MUHAMAD JANAK RIYADI PEKERJA
290 0002069481971 L disease without Rujuk Vertikal
0913 00:00 11:13 SLAMET MANDIRI
(congestive) heart failure
Hypertensive heart
0151B1090422P00 23-04-2022 23-04-2022 KOESRI INDAH RATNA PEKERJA
291 0002069482059 P disease with (congestive) Rujuk Vertikal
0912 00:00 11:11 SARI MANDIRI
heart failure
0151B1090422P00 23-04-2022 23-04-2022 Acute nasopharyngitis
292 0002161647461 AYYAS FIDAREN L PNS DAERAH Berobat Jalan
0898 00:00 09:53 [common cold]
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI Disturbances in tooth
293 0002233056789 ZAHIDA HASNA NAFI'AH P Rujuk Vertikal
0905 00:00 10:38 SWASTA eruption
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
294 0002293174967 TEGUH SASONGKO L Necrosis of pulp Berobat Jalan
0929 00:00 19:49 SWASTA
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA Acute nasopharyngitis
295 0002300349532 WIYONO WIJOYO L Berobat Jalan
0919 00:00 14:16 MANDIRI [common cold]
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
296 0002305087661 ANDIWARMAN L Counselling, unspecified Berobat Jalan
0897 00:00 09:43 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 23-04-2022 23-04-2022 SHAFIQA QAIREEN PEKERJA

297 0002311279593 P Headache Berobat Jalan
0904 00:00 10:37 AZZAIDA MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 ARSAKHA VIRENDRA PEGAWAI
298 0002311700499 L Fever, unspecified Berobat Jalan
0928 00:00 19:13 SHAFWAN SWASTA
0151B1090422P00 23-04-2022 23-04-2022 ATHIF RAMADHAN PEGAWAI
299 0002349063404 L Pulpitis Berobat Jalan
0909 00:00 10:54 MUHIBBULLAH SWASTA
0151B1090422P00 23-04-2022 23-04-2022
300 0002435773937 NAUFAL ZAIN RAIS L PNS DAERAH Fever, unspecified Berobat Jalan
0917 00:00 13:19
0151B1090422P00 23-04-2022 23-04-2022 PEKERJA
301 0002753126471 SYANIWATI P Nausea and vomiting Berobat Jalan
0927 00:00 16:59 MANDIRI
0151B1090422P00 23-04-2022 23-04-2022 FATIH ORKHAN PEGAWAI Acute nasopharyngitis
302 0002764783462 L Berobat Jalan
0895 00:00 09:33 DJAMALUDIN SWASTA [common cold]
0151B1090422P00 23-04-2022 23-04-2022 PEGAWAI
303 0002899409354 HANA PUSPITANINGRUM P Impacted teeth Rujuk Vertikal
0924 00:00 15:52 SWASTA
0151B1090422P00 23-04-2022 23-04-2022 Acute nasopharyngitis
304 0003065070532 AHZA HUSNAYAN L PNS DAERAH Berobat Jalan
0899 00:00 09:55 [common cold]

Diarrhoea and
0151B1090422P00 23-04-2022 23-04-2022 SULTHAN HIRO AUFA PEKERJA
305 0003085851238 L gastroenteritis of Berobat Jalan
0920 00:00 14:39 DEANDRA MANDIRI
presumed infectious origin

0151B1090422P00 23-04-2022 23-04-2022 PEKERJA Malignant neoplasm of

306 0003086719885 SITI DJUARIYAH P Rujuk Vertikal
0915 00:00 13:08 MANDIRI bronchus and lung
0151B1090422P00 22-04-2022 22-04-2022 YUYUN NOVITA Urinary calculus, Diabetes
307 0000001955193 P PNS DAERAH Rujuk Vertikal
0868 00:00 13:13 RAHMAWATI unspecified Mellitus
0151B1090422P00 22-04-2022 22-04-2022 PENERIMA
308 0000090922173 SRI SUPARNI P Counselling, unspecified Berobat Jalan
0861 00:00 10:03 PENSIUN PNS
0151B1090422P00 22-04-2022 22-04-2022 PENERIMA
309 0000091040016 RISKINIYATI P Episcleritis Berobat Jalan
0849 00:00 08:22 PENSIUN PNS
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
310 0000438641559 AGUS MULYANA L Injury, unspecified Berobat Jalan
0853 00:00 08:59 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
311 0000516534491 SOPIAH P Fever, unspecified Berobat Jalan
0873 00:00 15:48 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
312 0000564192944 EMY AMBARWATI P Retained dental root Berobat Jalan
0867 00:00 11:46 SWASTA
Non-insulin-dependent
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI Diabetes
313 0001270669162 ROHMAD L diabetes mellitus with Rujuk Vertikal
0858 00:00 09:33 SWASTA Mellitus
multiple complications
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
314 0001308030107 SUSILOWATI P Necrosis of pulp Berobat Jalan Hipertensi
0879 00:00 16:53 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI

315 0001448951938 GINA DWIDYA LINIARTI P Injury, unspecified Berobat Jalan
0865 00:00 11:04 SWASTA

0151B1090422P00 22-04-2022 22-04-2022 R.NGT. ELISABETH NOVIA PEKERJA

316 0001449331312 P Pulpitis Berobat Jalan
0863 00:00 10:16 WORO SATRIANINGSIH MANDIRI

0151B1090422P00 22-04-2022 22-04-2022 PEKERJA Acute nasopharyngitis

317 0001525042192 SUMARSIH P Berobat Jalan
0888 00:00 19:53 MANDIRI [common cold]
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA Acute nasopharyngitis
318 0001525251442 RISKY SURYA PERMANA L Berobat Jalan
0851 00:00 08:45 MANDIRI [common cold]
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
319 0001532903163 SURYANI P Dyspepsia Berobat Jalan
0856 00:00 09:16 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
320 0001607210043 DEVI RINTA SARI P Pulpitis Berobat Jalan
0876 00:00 16:42 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
321 0001630226079 FAT HANUL HUSNA L Fracture of coccyx Rujuk Vertikal
0875 00:00 16:34 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
322 0001691853197 SITI ZAKIAH P Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
0854 00:00 09:04 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
323 0001691854053 SUPRIYONO L Conjunctivitis Berobat Jalan
0870 00:00 14:18 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI Acute nasopharyngitis
324 0001692820765 DEWI NUR HASANAH P Berobat Jalan
0859 00:00 09:34 SWASTA [common cold]
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA Intervertebral disc
325 0001723491472 PUSPITANIKA WIDARI P Rujuk Vertikal
0860 00:00 09:48 MANDIRI disorder, unspecified
0151B1090422P00 22-04-2022 22-04-2022 ANGGITA PUTRI PEKERJA Stomatitis and related
326 0001840380322 P Berobat Jalan
0872 00:00 14:52 RAHARDINA MANDIRI lesions
0151B1090422P00 22-04-2022 23-04-2022 PEKERJA
327 0001891773944 RIZKY VEGA R. PUTRI P Sprain and strain of jaw Berobat Jalan
0889 00:00 07:48 MANDIRI
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
328 0001969930754 SUTARNO L Conjunctivitis Berobat Jalan
0881 00:00 17:05 SWASTA
0151B1090422P00 22-04-2022 22-04-2022
329 0002053891787 EKO NURCAHYONO L PBI (APBD) Paraesthesia of skin Berobat Jalan
0880 00:00 17:01
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI Essential (primary)
330 0002139127931 RIZAL RUSTAMTO PUTRA L Berobat Jalan
0855 00:00 09:06 SWASTA hypertension
0151B1090422P00 22-04-2022 22-04-2022 AHMADA SYAMSUL PEKERJA
331 0002195314402 L Necrosis of pulp Rujuk Vertikal
0862 00:00 10:11 HAIDAR MANDIRI
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
332 0002199911049 SHOFIA SEKAR HANNANI P Pulpitis Berobat Jalan
0885 00:00 19:35 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI Urinary tract infection, site
333 0002224229624 MEI RENGGA ISTIYANTO L Berobat Jalan
0886 00:00 19:38 SWASTA not specified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090422P00 22-04-2022 22-04-2022 NUR WICAKSONO
334 0002246562213 L DENGAN Pulpitis Berobat Jalan
0878 00:00 16:44 KARTIKO PUTRO
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
0151B1090422P00 22-04-2022 22-04-2022 Disturbances in tooth
336 0002246562966 RAHMA ALISHA P DENGAN Berobat Jalan
0877 00:00 16:43 eruption
PERJANJIAN
KERJA
0151B1090422P00 22-04-2022 22-04-2022 PEGAWAI
337 0002248577122 rasyafa artha meylano L Pruritus Berobat Jalan
0852 00:00 08:48 SWASTA
0151B1090422P00 22-04-2022 22-04-2022 NATALITA IVANA PEGAWAI
338 0002251752906 P Dyspepsia Berobat Jalan
0857 00:00 09:32 HARDIANA SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA
339 0002307574585 SRI SUPARMI P Fever, unspecified Berobat Jalan
0883 00:00 19:13 MANDIRI
0151B1090422P00 22-04-2022 22-04-2022 ATHIF RAMADHAN PEGAWAI
340 0002349063404 L Pulpitis Berobat Jalan
0866 00:00 11:45 MUHIBBULLAH SWASTA

KEPALA DESA
0151B1090422P00 22-04-2022 22-04-2022 FERNANDA NATASYA
341 0002494846023 P DAN PERANGKAT Impacted cerumen Berobat Jalan
0884 00:00 19:17 ANGGITA
DESA

0151B1090422P00 22-04-2022 22-04-2022 PEKERJA

342 0002767096675 YUSUF SANTOSO L Fever, unspecified Berobat Jalan
0882 00:00 17:19 MANDIRI

Diarrhoea and
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA
343 0002773543307 NAJWA ANNAFI'AH P gastroenteritis of Berobat Jalan
0869 00:00 13:36 MANDIRI
presumed infectious origin

0151B1090422P00 22-04-2022 22-04-2022 PEKERJA

344 0002895468772 EKA YULIANINGSIH P Necrosis of pulp Berobat Jalan
0864 00:00 10:17 MANDIRI
Non-insulin-dependent
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA Diabetes Diabetes
345 0002906354351 BAMBANG WIJANARKO L diabetes mellitus with Berobat Jalan
0887 00:00 19:46 MANDIRI Mellitus Mellitus
multiple complications
0151B1090422P00 22-04-2022 22-04-2022 HASNAYA HANIN PEGAWAI
346 0002934354429 P Fever, unspecified Berobat Jalan
0874 00:00 16:04 HANANEA SWASTA
0151B1090422P00 22-04-2022 22-04-2022 EARLYTA NAURA PEGAWAI
347 0003085885181 P Fever, unspecified Berobat Jalan
0850 00:00 08:41 SALSABILA SWASTA
0151B1090422P00 22-04-2022 22-04-2022 PEKERJA Congenital malformations
348 0003122052838 ROZIN AL HASAN L Rujuk Vertikal
0871 00:00 14:22 MANDIRI of cardiac septa

Insulin-dependent
0151B1090422P00 21-04-2022 21-04-2022 PENERIMA Diabetes Diabetes
349 0000046944707 WENDY PRIYANTO L diabetes mellitus with Berobat Jalan
0812 00:00 09:19 PENSIUN PNS Mellitus Mellitus
neurological complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Other specified chronic

0151B1090422P00 21-04-2022 21-04-2022 PENERIMA
350 0000076169452 SUKARNO L obstructive pulmonary Rujuk Vertikal
0806 00:00 08:14 PENSIUN PNS
disease
Hypertensive heart
0151B1090422P00 21-04-2022 21-04-2022 PENERIMA
351 0000209343093 SUWANTI P disease without Rujuk Vertikal
0814 00:00 09:46 PENSIUN TNI
(congestive) heart failure
0151B1090422P00 21-04-2022 21-04-2022
352 0000209458361 ALMIRA KALIFA SAFARAZ P PNS PUSAT Otitis externa, unspecified Berobat Jalan
0824 00:00 10:41
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI Acute nasopharyngitis
353 0000574787621 MEYLIANI AGUSTIN P Berobat Jalan
0838 00:00 16:43 SWASTA [common cold]
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA
354 0001137160732 BASUKI WIDODO L Injury, unspecified Berobat Jalan
0839 00:00 17:18 MANDIRI
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
355 0001141018705 IRCHAM ANSHORI L Fever, unspecified Berobat Jalan
0841 00:00 19:10 SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Sequelae of
356 0001160660158 SUDARMANTO L Rujuk Vertikal
0816 00:00 09:52 MANDIRI cerebrovascular disease
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Benign neoplasm of
357 0001298749274 SISWANTO L Rujuk Vertikal
0813 00:00 09:40 MANDIRI extrahepatic bile ducts
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
358 0001308030107 SUSILOWATI P Pulpitis Berobat Jalan Hipertensi
0815 00:00 09:52 SWASTA

0151B1090422P00 21-04-2022 21-04-2022 R.NGT. ELISABETH NOVIA PEKERJA

359 0001449331312 P Pulpitis Berobat Jalan
0818 00:00 09:57 WORO SATRIANINGSIH MANDIRI

0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI

360 0001451524184 WAHYU SETIADI L Fever, unspecified Berobat Jalan
0846 00:00 19:51 SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Diabetes
361 0001467048396 ERNA DWI JAYANTI P Chronic periodontitis Berobat Jalan
0817 00:00 09:56 MANDIRI Mellitus
0151B1090422P00 21-04-2022 21-04-2022 ASADELIA NAJMATUL PEKERJA Acute upper respiratory
362 0001467048418 P Berobat Jalan
0811 00:00 09:18 UMMAH MANDIRI infection, unspecified
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA
363 0001479565405 DARWATI ASTUTIK P Acute pharyngitis Berobat Jalan
0836 00:00 16:27 MANDIRI
0151B1090422P00 21-04-2022 21-04-2022 Acute nasopharyngitis
364 0001525865027 PALUPI P PEGAWAI BUMN Berobat Jalan
0837 00:00 16:39 [common cold]
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI Acute nasopharyngitis
365 0001527469389 TRIYATNO L Berobat Jalan
0844 00:00 19:29 SWASTA [common cold]
PEGAWAI
PEMERINTAH
0151B1090422P00 21-04-2022 21-04-2022
366 0001527766929 ISTIANA MAHYA HANIFA P DENGAN Fever, unspecified Berobat Jalan
0834 00:00 15:28
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI

367 0001542752741 SRI WULANDARI P Counselling, unspecified Berobat Jalan
0808 00:00 08:42 SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA
368 0001670515536 NINA SUSIANI P Sprain and strain of ankle Berobat Jalan
0827 00:00 11:07 MANDIRI
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
369 0001691853197 SITI ZAKIAH P Senile cataract Rujuk Vertikal Hipertensi Hipertensi
0807 00:00 08:42 SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA
370 0001691855201 SRI LESTARI P Secondary hypertension Berobat Jalan Hipertensi Hipertensi
0810 00:00 09:14 MANDIRI
0151B1090422P00 21-04-2022 21-04-2022 DRA. WULANDARI PEGAWAI
371 0001691857181 P Abrasion of teeth Berobat Jalan
0822 00:00 10:32 TEJONINGRAT SWASTA
PEGAWAI
PEMERINTAH
0151B1090422P00 21-04-2022 21-04-2022 Acute nasopharyngitis
372 0001692814814 TOMI SARUTOMO L DENGAN Berobat Jalan
0829 00:00 11:17 [common cold]
PERJANJIAN
KERJA
0151B1090422P00 21-04-2022 21-04-2022 MUKHAROMAH RONI PEGAWAI
373 0001692820811 P Fever, unspecified Berobat Jalan
0847 00:00 19:52 EKAWATI SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
374 0001789540749 NGAJINEM P Senile incipient cataract Rujuk Vertikal
0842 00:00 19:20 SWASTA
0151B1090422P00 21-04-2022 21-04-2022
375 0001897508788 azky huwaidati mumtazah P PNS PUSAT Zoster [herpes zoster] Berobat Jalan
0828 00:00 11:13
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
376 0002056323014 KAYLA ELMIRA AZ ZAHRA P Varicella [chickenpox] Berobat Jalan
0830 00:00 11:37 SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Acute upper respiratory
377 0002069385489 NIZAM IMRAN L Berobat Jalan
0845 00:00 19:44 MANDIRI infection, unspecified
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Disturbances in tooth
378 0002080366795 AZKA NURUR ADHA L Berobat Jalan
0825 00:00 10:45 MANDIRI eruption
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
379 0002080932063 MOCH FAHMI ARIF L Dyspepsia Berobat Jalan
0848 00:00 20:03 SWASTA
PEGAWAI
PEMERINTAH
0151B1090422P00 21-04-2022 21-04-2022 Acute nasopharyngitis
380 0002246562966 RAHMA ALISHA P DENGAN Berobat Jalan
0835 00:00 15:56 [common cold]
PERJANJIAN
KERJA
0151B1090422P00 21-04-2022 21-04-2022 AHMAD DEKA ARSYIL AL PEGAWAI
381 0002279209577 L Fever, unspecified Berobat Jalan
0826 00:00 10:59 MANNAF SWASTA
0151B1090422P00 21-04-2022 21-04-2022 NAUFAL RAKA PEGAWAI
382 0002287290857 L Necrosis of pulp Berobat Jalan
0840 00:00 19:09 MAHENDRA SWASTA
0151B1090422P00 21-04-2022 21-04-2022 PEKERJA
383 0002300349532 WIYONO WIJOYO L Hearing loss, unspecified Rujuk Vertikal
0821 00:00 10:14 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI Stomatitis and related

384 0002462921717 SRI TUNIATI P Berobat Jalan
0820 00:00 10:05 SWASTA lesions
0151B1090422P00 21-04-2022 21-04-2022 SHAFHAH ANGGITA PARI PEGAWAI Acute nasopharyngitis
385 0002462922213 P Berobat Jalan
0819 00:00 10:04 P SWASTA [common cold]
0151B1090422P00 21-04-2022 21-04-2022
386 0002503457662 SALSABILA NISA AZIZAH P PNS PUSAT Necrosis of pulp Berobat Jalan
0832 00:00 14:47
0151B1090422P00 21-04-2022 21-04-2022 SYAOQIE SHIDQU PEKERJA
387 0002697496086 P Necrosis of pulp Berobat Jalan
0831 00:00 14:38 HAYATIE MANDIRI

0151B1090422P00 21-04-2022 21-04-2022 KHALISA ULYA PEGAWAI Hordeolum and other deep
388 0002743261435 P Berobat Jalan
0843 00:00 19:24 EL-ABIDAH SWASTA inflammation of eyelid

0151B1090422P00 21-04-2022 21-04-2022 PEKERJA Acute nasopharyngitis

389 0002899901158 ULFAH NAURA FATINAH P Berobat Jalan
0823 00:00 10:35 MANDIRI [common cold]
0151B1090422P00 21-04-2022 21-04-2022 PEGAWAI
390 0003053711711 QIANA MAFAZA P Fever, unspecified Berobat Jalan
0809 00:00 08:52 SWASTA
0151B1090422P00 21-04-2022 21-04-2022
391 0003118653393 SAHRA RIWAYATI P - Pregnancy confirmed Berobat Jalan
0833 00:00 15:20
0151B1090422P00 20-04-2022 20-04-2022 PENERIMA Other and unspecified
392 0000010594866 SRI NGATMIYATUN P Berobat Jalan
0777 00:00 10:49 PENSIUN PNS abdominal pain
0151B1090422P00 20-04-2022 20-04-2022 MUHAMMAD MIJWAD PEGAWAI
393 0000086838131 L Dyspepsia Berobat Jalan
0775 00:00 10:33 LUTHFI SWASTA
0151B1090422P00 20-04-2022 20-04-2022 NUR AINUN JARIYAH S Stiffness of joint, not
394 0000088543877 P PNS PUSAT Rujuk Vertikal
0759 00:00 08:41 HUT elsewhere classified
0151B1090422P00 20-04-2022 20-04-2022 AHMAD HIMAWAN Diabetes Diabetes
395 0000088576694 L PNS DAERAH Myalgia Berobat Jalan
0799 00:00 17:28 PRANOTO AJI Mellitus Mellitus
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Acute nasopharyngitis
396 0000088576705 DEWI AMBARWATI, P Berobat Jalan
0800 00:00 17:28 SWASTA [common cold]
0151B1090422P00 20-04-2022 20-04-2022 PENERIMA
397 0000088600173 SULAMI P Sprain and strain of jaw Berobat Jalan
0781 00:00 11:12 PENSIUN PNS
0151B1090422P00 20-04-2022 20-04-2022 PENERIMA
398 0000091017753 SUNARMI P Other arthrosis Rujuk Vertikal
0795 00:00 16:15 PENSIUN PNS
0151B1090422P00 20-04-2022 20-04-2022 DICKY POERNAMA PEGAWAI
399 0000091040027 L Injury, unspecified, open Berobat Jalan
0758 00:00 08:34 PUTRA SWASTA
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Acute upper respiratory
400 0000105316659 ARIN NUR JANNAH P Berobat Jalan Hipertensi Hipertensi
0804 00:00 19:33 SWASTA infection, unspecified
Chronic obstructive
0151B1090422P00 20-04-2022 20-04-2022
401 0000563742911 TINI P PBI (APBN) pulmonary disease, Rujuk Vertikal
0779 00:00 11:04
unspecified
0151B1090422P00 20-04-2022 20-04-2022 AL DAVIN ABIYYU
402 0000976647453 L PNS DAERAH Dyspepsia Berobat Jalan
0805 00:00 19:34 SUGIYANTO
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI

403 0001197801718 DANANG KURNIAWAN SH L Calculus of kidney Rujuk Vertikal
0765 00:00 09:39 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA
404 0001263620158 DENI ARIBOWO L Necrosis of pulp Berobat Jalan
0789 00:00 14:49 MANDIRI
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
405 0001284028705 AGUS SETIYONO L Paranoid schizophrenia Rujuk Vertikal
0802 00:00 19:22 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 MUHAMMAD ERWIN PEGAWAI
406 0001284029482 L Hearing loss, unspecified Rujuk Vertikal
0801 00:00 19:21 NUGROHO SWASTA

Diarrhoea and
0151B1090422P00 20-04-2022 20-04-2022 SYAHRIZAL ALAMSYAH PEKERJA
407 0001288326789 L gastroenteritis of Berobat Jalan Hipertensi Hipertensi
0757 00:00 08:25 MANDIRI
presumed infectious origin

0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI

408 0001448951938 GINA DWIDYA LINIARTI P Injury, unspecified Berobat Jalan
0774 00:00 10:27 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA
409 0001458294456 ARUM WULANDARI P Necrosis of pulp Berobat Jalan
0790 00:00 15:04 MANDIRI
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA
410 0001524962856 SURYANTO L Fever, unspecified Berobat Jalan
0783 00:00 11:35 MANDIRI
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA Acute nasopharyngitis
411 0001525042192 SUMARSIH P Berobat Jalan
0760 00:00 09:15 MANDIRI [common cold]
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
412 0001525855419 YENI RISMAYANTI P Necrosis of pulp Berobat Jalan
0788 00:00 14:48 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 MUHAMMAD KHALIFA PEGAWAI
413 0001525971576 L Typhoid fever Berobat Jalan
0767 00:00 09:53 AHSAN SWASTA
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Acute nasopharyngitis
414 0001528732888 IDA SUSANTI P Berobat Jalan
0772 00:00 10:15 SWASTA [common cold]
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
415 0001528732901 SHERIN PUSPITASARI P Fever, unspecified Berobat Jalan
0771 00:00 10:11 SWASTA
Gastro-oesophageal reflux
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA
416 0001531332224 ANGGIT JANUAR L disease without Berobat Jalan
0784 00:00 13:37 MANDIRI
oesophagitis
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA
417 0001532901227 WALIMAN L Astigmatism Berobat Jalan
0770 00:00 10:09 MANDIRI
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
418 0001607210043 DEVI RINTA SARI P Pulpitis Berobat Jalan
0791 00:00 15:13 SWASTA
0151B1090422P00 20-04-2022 20-04-2022
419 0001657659958 FARID ASHADI L - Necrosis of pulp Rujuk Vertikal
0786 00:00 14:33
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA Peripheral retinal
420 0001670515536 NINA SUSIANI P Rujuk Vertikal
0803 00:00 19:26 MANDIRI degeneration
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Spinal stenosis, lumbar

421 0001691920282 AGUS SUCIPTO L Rujuk Vertikal Hipertensi
0794 00:00 15:50 SWASTA region
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
422 0001874561635 PRIHATIN P Fever, unspecified Berobat Jalan
0776 00:00 10:34 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 DHERY PUTHUT PEGAWAI Gingivitis and periodontal
423 0001970893899 L Berobat Jalan
0798 00:00 17:23 SANTOSA, A.MD. KEP. SWASTA diseases
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Essential (primary)
424 0002201626901 SARTONO L Berobat Jalan Hipertensi Hipertensi
0761 00:00 09:16 SWASTA hypertension
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Essential (primary)
425 0002201626989 DJUWARIYAH P Berobat Jalan Hipertensi
0762 00:00 09:17 SWASTA hypertension
0151B1090422P00 20-04-2022 20-04-2022
426 0002204828638 DIANING BUNGA ARIFKA P PNS DAERAH Amenorrhoea, unspecified Berobat Jalan
0787 00:00 14:35
0151B1090422P00 20-04-2022 20-04-2022 FREYA SWASTI ARSENIA PEKERJA Disturbances in tooth
427 0002206500017 P Berobat Jalan
0785 00:00 14:29 ARIFIYANTO MANDIRI eruption
0151B1090422P00 20-04-2022 20-04-2022 NADIRA ANINDITA PEKERJA Acute nasopharyngitis
428 0002245003468 P Berobat Jalan
0780 00:00 11:05 AURELIA MANDIRI [common cold]
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
429 0002248577122 rasyafa artha meylano L Fever, unspecified Berobat Jalan
0792 00:00 15:28 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 DRADJAD PATRIA PEKERJA Acute upper respiratory
430 0002277679612 L Berobat Jalan
0782 00:00 11:34 RAHARDJA MANDIRI infection, unspecified

Non-insulin-dependent
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
431 0002305087661 ANDIWARMAN L diabetes mellitus with Rujuk Vertikal
0769 00:00 10:06 SWASTA
neurological complications

0151B1090422P00 20-04-2022 20-04-2022 ATHIF RAMADHAN PEGAWAI

432 0002349063404 L Pulpitis Berobat Jalan
0797 00:00 16:52 MUHIBBULLAH SWASTA
0151B1090422P00 20-04-2022 20-04-2022
433 0002438376513 ATHA HAFIZH ALFAREZI L PNS DAERAH Fever, unspecified Berobat Jalan
0778 00:00 10:52
0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI
434 0002462921987 DAFFA PUTRA SEPTIAN L Atopic dermatitis Berobat Jalan
0773 00:00 10:19 SWASTA
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA Acute upper respiratory
435 0002768592778 ARGITA KHUZNA FADILA P Berobat Jalan
0796 00:00 16:43 MANDIRI infection, unspecified
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA Suppurative otitis media,
436 0002768592868 AHMAD YUSUF NUFAIL L Rujuk Vertikal
0793 00:00 15:46 MANDIRI unspecified
0151B1090422P00 20-04-2022 20-04-2022 PEKERJA Acute nasopharyngitis
437 0002884194472 SUYANAH P Berobat Jalan
0768 00:00 09:58 MANDIRI [common cold]
0151B1090422P00 20-04-2022 20-04-2022 Acute nasopharyngitis
438 0002886873063 KHODIJAH RUMIYANTO P PNS PUSAT Berobat Jalan
0763 00:00 09:24 [common cold]
0151B1090422P00 20-04-2022 20-04-2022
439 0002912451107 ZUBAIDAH AMATUL 'AZIZ P PNS PUSAT Varicella [chickenpox] Berobat Jalan
0766 00:00 09:47
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 20-04-2022 20-04-2022 PEGAWAI Acute upper respiratory

441 0003104508328 SHUBHI SATHI'AL BASHIR L Berobat Jalan
0764 00:00 09:34 SWASTA infection, unspecified
Disorders of initiating and
0151B1090422P00 19-04-2022 19-04-2022 ISMAIL HENDRA PEGAWAI
442 0000075945071 L maintaining sleep Berobat Jalan
0755 00:00 20:14 GUNAWAN SWASTA
[insomnias]
Cutaneous abscess,
0151B1090422P00 19-04-2022 19-04-2022 MUHAMMAD MIJWAD PEGAWAI
443 0000086838131 L furuncle and carbuncle, Berobat Jalan
0709 00:00 08:32 LUTHFI SWASTA
unspecified
0151B1090422P00 19-04-2022 19-04-2022
444 0000086970183 ANIK ERYANI P PNS DAERAH Necrosis of pulp Rujuk Vertikal
0723 00:00 10:44
0151B1090422P00 19-04-2022 19-04-2022 Non-insulin-dependent Diabetes Diabetes
445 0000087471257 DUL MUTOLIB L PNS PUSAT Berobat Jalan
0745 00:00 16:22 diabetes mellitus Mellitus Mellitus
0151B1090422P00 19-04-2022 19-04-2022 PENERIMA Non-insulin-dependent Diabetes Diabetes
446 0000088708959 SRI PANTUN P Berobat Jalan
0707 00:00 08:10 PENSIUN TNI diabetes mellitus Mellitus Mellitus
0151B1090422P00 19-04-2022 19-04-2022 KEVIN PEKERJA
447 0000090946181 L Necrosis of pulp Berobat Jalan
0748 00:00 19:25 ARDYAPRIMATAMA MANDIRI
0151B1090422P00 19-04-2022 19-04-2022 PENERIMA
448 0000091428996 NING SRI LESTARI P Benign neoplasm of breast Rujuk Vertikal
0737 00:00 13:37 PENSIUN PNS
0151B1090422P00 19-04-2022 19-04-2022 Hypertensive heart
449 0000091516241 EDI SANUSI DRS L PNS DAERAH Rujuk Vertikal Hipertensi
0738 00:00 13:40 disease

0151B1090422P00 19-04-2022 19-04-2022 WAHJU TJAHJANINGRUM

450 0000104148134 P PNS PUSAT Osteophyte, multiple sites Rujuk Vertikal
0753 00:00 20:06 ARYANI

0151B1090422P00 19-04-2022 19-04-2022

451 0000104148145 MUH. RIEFQI ARYADI L - Necrosis of pulp Rujuk Vertikal
0751 00:00 19:50
Non-insulin-dependent
0151B1090422P00 19-04-2022 19-04-2022
452 0000206674659 TUMBONO L PNS DAERAH diabetes mellitus with Rujuk Vertikal
0725 00:00 10:57
unspecified complications
0151B1090422P00 19-04-2022 19-04-2022 PENERIMA
453 0001078820493 YULIANI SAPTANINGSIH P Counselling, unspecified Berobat Jalan
0715 00:00 09:28 PENSIUN TNI
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA
454 0001078820559 PRISMAWAN OKY SANDHI L Acute gingivitis Berobat Jalan
0719 00:00 10:09 MANDIRI
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI
455 0001169137124 ISTIQOMAH P Pregnancy confirmed Berobat Jalan
0730 00:00 12:21 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI
456 0001197801718 DANANG KURNIAWAN SH L Low back pain Berobat Jalan
0710 00:00 08:53 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA
457 0001288456356 SRI ENDANG WAHYUNI P Cataract, unspecified Rujuk Vertikal
0713 00:00 09:17 MANDIRI
0151B1090422P00 19-04-2022 19-04-2022 CINTYA KARTIKA PEGAWAI
458 0001369181373 P Necrosis of pulp Berobat Jalan
0742 00:00 14:44 WARDANY SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 19-04-2022 19-04-2022 Other and unspecified Diabetes

459 0001386276513 SUNARNI P PNS DAERAH Berobat Jalan
0726 00:00 11:12 abdominal pain Mellitus
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA Retinal detachment with
460 0001442040186 ANISA MULYASARI P Rujuk Vertikal
0734 00:00 13:07 MANDIRI retinal break
0151B1090422P00 19-04-2022 19-04-2022 SITI NURINA HAKIM, PEGAWAI Cerebral infarction,
461 0001447272966 P Rujuk Vertikal
0716 00:00 09:36 S.PSi, M.Si SWASTA unspecified
0151B1090422P00 19-04-2022 19-04-2022 ASADELIA NAJMATUL PEKERJA
462 0001467048418 P Acute pharyngitis Berobat Jalan
0754 00:00 20:12 UMMAH MANDIRI
0151B1090422P00 19-04-2022 19-04-2022 AMALIA RIZQI PEGAWAI
463 0001524831658 P Pregnancy confirmed Berobat Jalan
0731 00:00 12:26 SOFIASTUTI SWASTA
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI Acute upper respiratory
464 0001539640719 Khansa Zakiyya Mursid P Berobat Jalan
0727 00:00 11:16 SWASTA infection, unspecified
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI
465 0001691853399 FAJAR/SUJARWO L Dyspepsia Berobat Jalan
0717 00:00 09:54 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 MUHAMMAD SHEGAF 'ALI PEGAWAI Acute nasopharyngitis
466 0001692820888 L Berobat Jalan
0735 00:00 13:08 RIZQI SWASTA [common cold]
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA
467 0001813998723 RETNO WULANDARI P Pregnancy confirmed Berobat Jalan
0732 00:00 12:30 MANDIRI
0151B1090422P00 19-04-2022 19-04-2022
468 0001846458426 AHMAD PAJAR SHODIQ L PNS DAERAH Pulpitis Rujuk Vertikal
0743 00:00 14:46
Diabetes
0151B1090422P00 19-04-2022 19-04-2022 PENERIMA Essential (primary)
469 0001861620546 SUMARSO L Berobat Jalan Mellitus
0744 00:00 15:57 PENSIUN SWASTA hypertension
Hipertensi

Diarrhoea and
0151B1090422P00 19-04-2022 19-04-2022
470 0001863466389 MUHIBBAH FATATI P PNS PUSAT gastroenteritis of Berobat Jalan Hipertensi Hipertensi
0728 00:00 11:21
presumed infectious origin

0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI

471 0001871991268 IBRAHIM HIDAYAHYA L Scabies Berobat Jalan
0739 00:00 13:49 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 ALENA NAFEEZA PEGAWAI
472 0001903659355 P Dyspepsia Berobat Jalan
0721 00:00 10:23 HIMAWAN SWASTA
0151B1090422P00 19-04-2022 19-04-2022 MARTIWI FADILAH PEGAWAI
473 0002045712251 P Pulpitis Rujuk Vertikal
0747 00:00 19:21 NUGROHO JATI SWASTA
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI
474 0002051089953 falisha aufayanti P Fever, unspecified Berobat Jalan
0736 00:00 13:27 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 ABDILLAH AF REZA AL PEGAWAI
475 0002056322158 L Fever, unspecified Berobat Jalan
0746 00:00 19:16 FARISI SWASTA
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA Chronic kidney disease,
476 0002094273922 TUKINAH P Rujuk Vertikal
0708 00:00 08:14 MANDIRI stage 5
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 19-04-2022 19-04-2022

477 0002097039183 Kaysan Rafif Athallah L PEGAWAI BUMN Scabies Berobat Jalan
0722 00:00 10:43
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA
478 0002208595768 TARYANTO L Carpal tunnel syndrome Rujuk Vertikal
0741 00:00 14:26 MANDIRI
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI Other disorders of urinary
479 0002224229624 MEI RENGGA ISTIYANTO L Berobat Jalan
0750 00:00 19:33 SWASTA system
PEGAWAI
PEMERINTAH
0151B1090422P00 19-04-2022 19-04-2022 GABRIELLA EVELYN Acute nasopharyngitis
480 0002240638222 P DENGAN Berobat Jalan
0724 00:00 10:51 TRAH AFENSA [common cold]
PERJANJIAN
KERJA
0151B1090422P00 19-04-2022 19-04-2022 ARSEN AKIHIKO PEGAWAI
481 0002240738469 L Injury, unspecified Berobat Jalan
0711 00:00 08:55 INDIFAUSTA SWASTA
Family history of asthma
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI
482 0002252902173 MARYANI P and other chronic lower Berobat Jalan
0718 00:00 10:07 SWASTA
respiratory diseases
0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI Acute nasopharyngitis
483 0002275417045 NADIA NURFAJRINA P Berobat Jalan
0756 00:00 20:15 SWASTA [common cold]
0151B1090422P00 19-04-2022 19-04-2022 PEKERJA
484 0002305241188 MARSILAH P Dyspepsia Berobat Jalan
0729 00:00 11:46 MANDIRI
Hypertensive heart
0151B1090422P00 19-04-2022 19-04-2022
485 0002375044018 ENDANG SRI LESTARI P INVESTOR disease without Rujuk Vertikal
0712 00:00 08:58
(congestive) heart failure

Diarrhoea and
0151B1090422P00 19-04-2022 19-04-2022 GELSEY MAJIDA PEGAWAI
486 0002428350963 L gastroenteritis of Berobat Jalan
0752 00:00 20:00 GASSANIA SWASTA
presumed infectious origin

0151B1090422P00 19-04-2022 19-04-2022 PEGAWAI

487 0002465529884 AIDA TALITA WAYAH P Pruritus Berobat Jalan
0720 00:00 10:13 SWASTA
0151B1090422P00 19-04-2022 19-04-2022 REZA WAHYU ROCHMAN PEKERJA HIV disease resulting in
488 0002494265826 L Rujuk Vertikal
0740 00:00 14:23 PUTRA MANDIRI mycobacterial infection

KEPALA DESA
0151B1090422P00 19-04-2022 19-04-2022 FERNANDA NATASYA
489 0002494846023 P DAN PERANGKAT Impacted cerumen Berobat Jalan
0714 00:00 09:22 ANGGITA
DESA

0151B1090422P00 19-04-2022 19-04-2022 NAJWA IFTINA PEGAWAI Disturbances in tooth

490 0002625937211 P Berobat Jalan
0749 00:00 19:28 ASSYABIYA SWASTA eruption
0151B1090422P00 19-04-2022 19-04-2022 ELVIRA DYAHAJENG PEGAWAI
491 0003133463771 P Pregnancy confirmed Berobat Jalan
0733 00:00 12:35 SYAVALA SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PENERIMA Other and unspecified
492 0000010594866 SRI NGATMIYATUN P Berobat Jalan
0652 00:00 09:36 PENSIUN PNS abdominal pain
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 18-04-2022 18-04-2022

493 0000020887738 ALIPNI UMUL UMAHAT P PNS PUSAT Psoriasis vulgaris Berobat Jalan
0682 00:00 15:50
0151B1090422P00 18-04-2022 18-04-2022 ISMAIL HENDRA PEGAWAI Acute nasopharyngitis
494 0000075945071 L Berobat Jalan
0704 00:00 19:45 GUNAWAN SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 RASHIV AULIA PENERIMA
495 0000086677029 L Gonarthrosis, unspecified Rujuk Vertikal
0646 00:00 09:05 BAGASDIVA PENSIUN PNS
0151B1090422P00 18-04-2022 18-04-2022 PENERIMA
496 0000088764568 SITI BADARUL CHAJATI P Fever, unspecified Berobat Jalan
0667 00:00 11:19 PENSIUN PNS
Non-insulin-dependent
0151B1090422P00 18-04-2022 18-04-2022 PENERIMA
497 0000088851396 MUH SYARIF HIDAYAT L diabetes mellitus with Rujuk Vertikal
0655 00:00 09:52 PENSIUN PNS
multiple complications
0151B1090422P00 18-04-2022 18-04-2022 PENERIMA
498 0000090923376 SRI WURI HANDAYANI P Fracture of tooth Berobat Jalan
0664 00:00 10:36 PENSIUN PNS
0151B1090422P00 18-04-2022 18-04-2022 DICKY POERNAMA PEGAWAI
499 0000091040027 L Injury, unspecified Berobat Jalan
0650 00:00 09:25 PUTRA SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PENERIMA
500 0000091569137 NOER HIDAYAH P Gonarthrosis, unspecified Rujuk Vertikal
0657 00:00 09:54 PENSIUN PNS
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
501 0000091580027 BITAYANI WIDIHASTANTI P Endometriosis of ovary Rujuk Vertikal
0687 00:00 19:17 MANDIRI
Hypertensive heart
0151B1090422P00 18-04-2022 18-04-2022
502 0000121650794 FARIDA AGUSTINA.R P PNS DAERAH disease without Rujuk Vertikal
0690 00:00 19:26
(congestive) heart failure
0151B1090422P00 18-04-2022 18-04-2022
503 0000202785939 DESTRI RATIH WIDYATI P PNS DAERAH Caries of dentine Berobat Jalan
0692 00:00 19:34
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
504 0000438641559 AGUS MULYANA L Injury, unspecified Berobat Jalan
0649 00:00 09:23 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
505 0000566180583 SULASIH INDRASWATI P Hypermetropia Berobat Jalan
0705 00:00 19:51 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 TATIEK KUSAPARINI, Acute nasopharyngitis
506 0001107535601 P PRAJURIT AD Berobat Jalan
0684 00:00 15:56 S.PD [common cold]
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
507 0001155332362 NUR ALIM PRIHANDOKO L Conjunctivitis Berobat Jalan
0678 00:00 14:32 SWASTA
0151B1090422P00 18-04-2022 18-04-2022
508 0001169137135 KHONSA LATIFA L - Malaise and fatigue Berobat Jalan
0656 00:00 09:53
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
509 0001245611259 KLARA SITA ARATI P Acute pharyngitis Berobat Jalan
0665 00:00 10:44 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 HYLMI FATHAN Acute nasopharyngitis
510 0001271507578 L PRAJURIT AD Berobat Jalan
0683 00:00 15:55 MUZHOFFAR [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diabetes
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
511 0001279400117 MAS`UD ARY L Pulpitis Berobat Jalan Mellitus
0659 00:00 10:03 MANDIRI
Hipertensi
0151B1090422P00 18-04-2022 18-04-2022
512 0001284707788 NAYSA AMIRA DELATO P PNS DAERAH Caries of dentine Berobat Jalan
0691 00:00 19:33
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Essential (primary)
513 0001291279094 INDRI MUTIA P Berobat Jalan
0666 00:00 10:47 SWASTA hypertension
0151B1090422P00 18-04-2022 18-04-2022 MARCELLINO PEKERJA
514 0001292660223 L Dyspnoea Rujuk Vertikal
0673 00:00 13:47 RIDWANSHA PANGALILA MANDIRI
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
515 0001317941886 FIFIN HESTI OKTAFIANI P Pain, unspecified Berobat Jalan
0699 00:00 19:41 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA Essential (primary)
516 0001323420052 SRI REJEKI P Berobat Jalan
0644 00:00 08:58 MANDIRI hypertension
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
517 0001447775662 SRI MULYANI P Haemorrhoids Berobat Jalan
0663 00:00 10:35 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Acute nasopharyngitis
518 0001451524184 WAHYU SETIADI L Berobat Jalan
0701 00:00 19:43 SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA Hypertensive heart
519 0001473153333 ENDANG KOMALASARI P Rujuk Vertikal
0647 00:00 09:16 MANDIRI disease
0151B1090422P00 18-04-2022 18-04-2022 MUHAMMAD KHALIFA PEGAWAI
520 0001525971576 L Fever, unspecified Berobat Jalan
0669 00:00 11:47 AHSAN SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Acute nasopharyngitis
521 0001527469402 HAFIDA HUSNA AKMALIA P Berobat Jalan
0643 00:00 08:52 SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA Hypertensive heart
522 0001528610747 FARID L Rujuk Vertikal
0693 00:00 19:35 MANDIRI disease
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
523 0001534241182 Bimas Adam Budi Angkasa L Dyspepsia Berobat Jalan
0688 00:00 19:21 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
524 0001637699624 MUSTAQIMAH P Pruritus, unspecified Berobat Jalan
0677 00:00 14:30 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Polyneuropathy,
525 0001691854648 EKO SURYONO L Rujuk Vertikal
0645 00:00 09:00 SWASTA unspecified
0151B1090422P00 18-04-2022 18-04-2022 REMI DERMAWAN NUR PEKERJA Acute nasopharyngitis
526 0001691856494 L Berobat Jalan
0648 00:00 09:21 MUSLIM MANDIRI [common cold]
0151B1090422P00 18-04-2022 18-04-2022 LATHIFAH SALSABILLA PEGAWAI
527 0001691856628 P Retained dental root Rujuk Vertikal
0680 00:00 15:20 AMINY SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Acute nasopharyngitis
528 0001692820765 DEWI NUR HASANAH P Berobat Jalan
0670 00:00 13:24 SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
529 0001692820798 MUHAMMAD ROBANI L Fracture of clavicle Rujuk Vertikal
0668 00:00 11:31 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 18-04-2022 18-04-2022 MUKHAROMAH RONI PEGAWAI Supervision of normal

530 0001692820811 P Berobat Jalan
0697 00:00 19:40 EKAWATI SWASTA pregnancy
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI Acute nasopharyngitis
531 0001692820844 Rusdiana P Berobat Jalan
0696 00:00 19:40 SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 MUHAMMAD DYLAN PEGAWAI
532 0001692820923 L Myalgia Berobat Jalan
0703 00:00 19:44 ARYASATYA P SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
533 0001693305955 ARDHA AINUN NAFIS L Other prurigo Berobat Jalan
0662 00:00 10:19 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
534 0001775548743 FAIZAA ELRA KAULIKA P Conjunctivitis Berobat Jalan
0641 00:00 08:09 MANDIRI
0151B1090422P00 18-04-2022 18-04-2022
535 0001818793372 hedonal rumiyanto L PNS PUSAT Injury, unspecified Berobat Jalan
0653 00:00 09:39
0151B1090422P00 18-04-2022 18-04-2022 MUHAMMAD ZAHIN PEGAWAI
536 0001906285375 L Malaise and fatigue Berobat Jalan
0658 00:00 09:56 RAYYAN MAULANA SWASTA
0151B1090422P00 18-04-2022 18-04-2022 DHERY PUTHUT PEGAWAI Pain, not elsewhere
537 0001970893899 L Berobat Jalan
0698 00:00 19:40 SANTOSA, A.MD. KEP. SWASTA classified
0151B1090422P00 18-04-2022 18-04-2022 Acute pharyngitis,
538 0002039345111 DWI YULIANI SUPRIHATIN P PBI (APBN) Berobat Jalan
0674 00:00 13:51 unspecified
Hypertensive heart
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
539 0002045568903 ARFI SETIAWATI P disease without Rujuk Vertikal
0689 00:00 19:23 MANDIRI
(congestive) heart failure
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA Acute nasopharyngitis
540 0002069385489 NIZAM IMRAN L Berobat Jalan
0672 00:00 13:38 MANDIRI [common cold]
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
541 0002071034122 SYAFIQ HIBATULLAH L Necrosis of pulp Rujuk Vertikal
0681 00:00 15:22 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 MUCHAMMAD KAES AL PEKERJA Other and unspecified
542 0002218889182 L Berobat Jalan
0661 00:00 10:16 QOSIM MANDIRI abdominal pain
0151B1090422P00 18-04-2022 18-04-2022 ALLAYA QINARRA PEGAWAI Acute nasopharyngitis
544 0002269626491 P Berobat Jalan
0700 00:00 19:41 GAVAPUTRI SWASTA [common cold]
0151B1090422P00 18-04-2022 18-04-2022 UTAMI DWI NASTITI PEGAWAI Supervision of normal
545 0002281420067 P Berobat Jalan
0695 00:00 19:39 IKHSAN SWASTA pregnancy
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
546 0002315402065 AVILLIA INDIRA P Asthma Berobat Jalan
0686 00:00 19:13 MANDIRI
0151B1090422P00 18-04-2022 18-04-2022 RAKASENA PUTRA
547 0002322580612 L PBI (APBN) Asthma Berobat Jalan
0642 00:00 08:40 PRASETYA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
548 0002345896585 LULUK HANDAYANI P Pulpitis Berobat Jalan
0660 00:00 10:04 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
549 0002448442078 RUSMIATI P Tuberculosis of spine Rujuk Vertikal
0676 00:00 14:22 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI

550 0002460520258 RATNA DIAN SEPTIANA P Dyspepsia Berobat Jalan
0694 00:00 19:38 SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA
551 0002472795022 LASIYEM P Gonarthrosis, unspecified Rujuk Vertikal
0675 00:00 13:59 MANDIRI
0151B1090422P00 18-04-2022 18-04-2022 PEKERJA Allergic rhinitis,
552 0002492849665 MARIA ARSY P Berobat Jalan
0654 00:00 09:41 MANDIRI unspecified

KEPALA DESA
0151B1090422P00 18-04-2022 18-04-2022 FERNANDA NATASYA
553 0002494846023 P DAN PERANGKAT Impacted cerumen Berobat Jalan
0651 00:00 09:32 ANGGITA
DESA

0151B1090422P00 18-04-2022 18-04-2022 ANNISA SHEZAN PEGAWAI

554 0002744937955 P Other forms of stomatitis Berobat Jalan
0671 00:00 13:26 BANAFSHA SWASTA
0151B1090422P00 18-04-2022 18-04-2022 PEGAWAI
555 0002756174848 ISTIQOMAH P Pain, unspecified Berobat Jalan
0702 00:00 19:43 SWASTA
PEGAWAI
PEMERINTAH
0151B1090422P00 18-04-2022 18-04-2022 ATHARRAZKA ZAYYAN Acute nasopharyngitis
556 0002903542975 L DENGAN Berobat Jalan
0706 00:00 19:58 RAFIF UTOMO [common cold]
PERJANJIAN
KERJA
0151B1090422P00 18-04-2022 18-04-2022 ALANO KIMDAN PEKERJA Acute nasopharyngitis
557 0002931725237 L Berobat Jalan
0685 00:00 17:03 ALVARENDRA MANDIRI [common cold]
0151B1090422P00 18-04-2022 18-04-2022 KAHFI SEGARA PEKERJA
558 0003263379884 L Retinopathy of prematurity Rujuk Vertikal
0679 00:00 14:40 MINJACALLA MANDIRI
0151B1090422P00 17-04-2022 17-04-2022 PENERIMA
559 0000091317205 NURYATI P Dyspepsia Berobat Jalan
0638 00:00 13:49 PENSIUN PNS
0151B1090422P00 17-04-2022 17-04-2022 PEKERJA Gastro-oesophageal reflux
560 0000170526497 MUTIARA FAJAR P Berobat Jalan
0635 00:00 13:35 MANDIRI disease
Non-insulin-dependent
0151B1090422P00 17-04-2022 17-04-2022 PEKERJA
561 0001297226597 RUSTAMAJI L diabetes mellitus with Rujuk Vertikal
0631 00:00 10:37 MANDIRI
renal complications
0151B1090422P00 17-04-2022 17-04-2022 PEGAWAI
562 0001458938777 NYIMAS YUNIAR P Other hyperlipidaemia Berobat Jalan
0629 00:00 10:27 SWASTA
0151B1090422P00 17-04-2022 17-04-2022 PEGAWAI
563 0001532849646 ADAM RIZQO NUR FAUZI L Injury, unspecified Berobat Jalan
0632 00:00 11:39 SWASTA

Diarrhoea and
0151B1090422P00 17-04-2022 17-04-2022 PEGAWAI
564 0001578589481 INDIKA INTAN KARINA L gastroenteritis of Berobat Jalan
0630 00:00 10:35 SWASTA
presumed infectious origin

0151B1090422P00 17-04-2022 17-04-2022 PEGAWAI Sprain and strain of

565 0001630226079 FAT HANUL HUSNA L Berobat Jalan
0640 00:00 14:39 SWASTA cervical spine
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 17-04-2022 17-04-2022 MUH. SHOLEH PRATONO, PEGAWAI

566 0001691855065 L Myalgia Berobat Jalan
0637 00:00 13:38 S.SI. SWASTA
0151B1090422P00 17-04-2022 17-04-2022 PEGAWAI
567 0001691855076 SUSILO WARDANI P Dyspepsia Berobat Jalan
0636 00:00 13:37 SWASTA
0151B1090422P00 17-04-2022 17-04-2022 PEKERJA Other surgical follow-up
568 0002228291357 ARRIFA ZUCHROTUNNISA P Berobat Jalan Hipertensi
0628 00:00 09:48 MANDIRI care
0151B1090422P00 17-04-2022 17-04-2022 FATIHUL IKHSAN AL
569 0002245890069 L PNS PUSAT Conjunctivitis Berobat Jalan
0634 00:00 11:52 BANNA
0151B1090422P00 17-04-2022 17-04-2022
570 0002423123087 FAHMI AWWAB AL AZMI L PNS PUSAT Conjunctivitis, unspecified Berobat Jalan
0633 00:00 11:50
Follow-up care involving
0151B1090422P00 17-04-2022 17-04-2022 ALBIRRU DEVDAS removal of fracture plate
571 0002612599964 L PNS PUSAT Rujuk Vertikal
0639 00:00 13:55 RAFAEYZA PRASTYA and other internal fixation
device
Other specified
0151B1090422P00 16-04-2022 16-04-2022
572 0000020887738 ALIPNI UMUL UMAHAT P PNS PUSAT noninflammatory disorders Berobat Jalan
0596 00:00 08:33
of vagina
0151B1090422P00 16-04-2022 16-04-2022 Atherosclerotic heart
573 0000072422785 SAIPUDIN FADLIE L PNS DAERAH Berobat Jalan
0611 00:00 11:00 disease
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA Acute upper respiratory
574 0000075800507 VEBRINA NUR RAHAYU P Berobat Jalan
0625 00:00 19:21 MANDIRI infection, unspecified
0151B1090422P00 16-04-2022 16-04-2022 PENERIMA
575 0000090581387 RINI SUTARTI P Ulcerative colitis Rujuk Vertikal
0595 00:00 08:23 PENSIUN PNS

Diarrhoea and
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
576 0001145829284 HENI PURNOMO L gastroenteritis of Berobat Jalan Hipertensi Hipertensi
0606 00:00 10:37 SWASTA
presumed infectious origin

0151B1090422P00 16-04-2022 16-04-2022 PEKERJA Chronic apical

577 0001160867878 MARYONO L Berobat Jalan
0609 00:00 10:58 MANDIRI periodontitis
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
578 0001189214572 RIRIN NUR AENI P Dyspepsia Berobat Jalan
0608 00:00 10:40 SWASTA
Diabetes
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA
579 0001279400117 MAS`UD ARY L Abrasion of teeth Berobat Jalan Mellitus
0605 00:00 10:25 MANDIRI
Hipertensi
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
580 0001320872264 JUNAYDAH SYAM P Pulpitis Berobat Jalan
0620 00:00 14:25 SWASTA
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA
581 0001323277661 RANI P Necrosis of pulp Berobat Jalan
0613 00:00 11:37 MANDIRI
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
582 0001458938777 NYIMAS YUNIAR P Headache Berobat Jalan
0594 00:00 08:20 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Non-insulin-dependent
0151B1090422P00 16-04-2022 16-04-2022 PENERIMA
583 0001523896424 KUSPARTININGSIH P diabetes mellitus with Rujuk Vertikal Hipertensi
0598 00:00 09:06 PENSIUN PNS
neurological complications

0151B1090422P00 16-04-2022 16-04-2022 PEKERJA

584 0001524827889 HEDY PURWANTO L Plantar fascial fibromatosis Berobat Jalan
0621 00:00 16:56 MANDIRI
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
585 0001530445599 ALZIRA ELVA FEBRIANA P Myopia Berobat Jalan
0624 00:00 19:05 SWASTA
Loss of teeth due to
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
586 0001692814926 PUJIATI P accident, extraction or Rujuk Vertikal
0603 00:00 10:02 SWASTA
local periodontal disease
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
587 0001692820991 ALFIANTO ENGGAR P L Tinea pedis Berobat Jalan
0627 00:00 20:16 SWASTA
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
588 0001693262575 RAGIL RISKYNIRA P Allergic contact dermatitis Berobat Jalan
0626 00:00 20:08 SWASTA
0151B1090422P00 16-04-2022 16-04-2022 SITI MUTHMAINAH
589 0001813933539 P - Necrosis of pulp Berobat Jalan
0616 00:00 11:57 FADLIILAH,
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA Acute upper respiratory
590 0001893678333 denis primanunggal L Berobat Jalan
0597 00:00 08:37 MANDIRI infection, unspecified
0151B1090422P00 16-04-2022 16-04-2022 DHERY PUTHUT PEGAWAI
591 0001970893899 L Headache Berobat Jalan
0602 00:00 10:02 SANTOSA, A.MD. KEP. SWASTA
0151B1090422P00 16-04-2022 16-04-2022
592 0002036579916 daffa muhammad al fatih L PNS PUSAT Pulpitis Berobat Jalan
0615 00:00 11:53
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI Acute nasopharyngitis
593 0002045958243 AQILA SHIDQIA AZZAHRA P Berobat Jalan
0600 00:00 09:52 SWASTA [common cold]
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA
594 0002060484816 WATINI P Pulpitis Berobat Jalan Hipertensi
0612 00:00 11:06 MANDIRI
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA
595 0002094273922 TUKINAH P Counselling, unspecified Berobat Jalan
0614 00:00 11:42 MANDIRI
0151B1090422P00 16-04-2022 16-04-2022 MUHAMMAD YULI PEKERJA Acute nasopharyngitis
596 0002234568532 L Berobat Jalan
0619 00:00 13:37 WIDODO RAHARJO MANDIRI [common cold]
0151B1090422P00 16-04-2022 16-04-2022 ARSEN AKIHIKO PEGAWAI
597 0002240738469 L Injury, unspecified Berobat Jalan
0599 00:00 09:25 INDIFAUSTA SWASTA
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
598 0002293174967 TEGUH SASONGKO L Necrosis of pulp Berobat Jalan
0623 00:00 18:50 SWASTA
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI Primary open-angle
599 0002293175002 HAPPY DIANA SARI P Rujuk Vertikal
0622 00:00 17:39 SWASTA glaucoma
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
600 0002301453753 ARIS WIJAYANTI P Necrosis of pulp Berobat Jalan
0607 00:00 10:37 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 16-04-2022 16-04-2022 SYAMIL ABDUSSALAM PEGAWAI Disturbances in tooth

601 0002301456295 L Berobat Jalan
0617 00:00 11:59 MOSHA SWASTA eruption
0151B1090422P00 16-04-2022 16-04-2022 PEKERJA Chronic apical
602 0002313782098 IWAN KURNIAWAN L Berobat Jalan
0618 00:00 12:04 MANDIRI periodontitis
0151B1090422P00 16-04-2022 16-04-2022 PEGAWAI
603 0002317253624 ADIA YUMNA DAHAYU P Fever, unspecified Berobat Jalan
0610 00:00 10:58 SWASTA
0151B1090422P00 16-04-2022 16-04-2022 TRIYAS NUR ' AINI PEKERJA
604 0002493053548 P Pruritus Berobat Jalan
0604 00:00 10:19 PURBANINGRUM MANDIRI
0151B1090422P00 16-04-2022 16-04-2022 NAFISAH MUTIARA PEGAWAI Acute nasopharyngitis
605 0002769109839 P Berobat Jalan
0601 00:00 09:56 AZZAHRA SWASTA [common cold]
0151B1090422P00 15-04-2022 15-04-2022 Contact with and exposure
606 0000088545429 ANDI KUSUMA SEDANA L PNS DAERAH Rujuk Vertikal
0574 00:00 09:31 to tuberculosis
0151B1090422P00 15-04-2022 15-04-2022 Other disorders of urinary
607 0000091456209 HARYANTO L - Berobat Jalan
0581 00:00 10:38 system
0151B1090422P00 15-04-2022 15-04-2022 Chronic tubulo-interstitial
608 0000126497981 AGUS WIBOWO L PNS PUSAT Rujuk Vertikal
0592 00:00 14:15 nephritis, unspecified
0151B1090422P00 15-04-2022 15-04-2022 MUSRIFATUN ISTI PEGAWAI
609 0001133851162 P Myalgia Berobat Jalan
0583 00:00 11:11 RAHAYU SWASTA
Sequelae of stroke, not
0151B1090422P00 15-04-2022 15-04-2022 PEKERJA
610 0001298750815 HARTI UTAMI P specified as haemorrhage Berobat Jalan
0577 00:00 09:45 MANDIRI
or infarction
0151B1090422P00 15-04-2022 15-04-2022 PEKERJA Acute pharyngitis,
611 0001529480226 SHERLY INDRASWARI P Berobat Jalan
0589 00:00 13:45 MANDIRI unspecified
0151B1090422P00 15-04-2022 15-04-2022 PEGAWAI Other intervertebral disc
612 0001691857045 RILA TRIAS MITADEWI P Rujuk Vertikal
0586 00:00 11:30 SWASTA disorders
0151B1090422P00 15-04-2022 15-04-2022 PEGAWAI
613 0001692820798 MUHAMMAD ROBANI L Injury, unspecified Berobat Jalan
0585 00:00 11:26 SWASTA
0151B1090422P00 15-04-2022 15-04-2022 PEGAWAI
614 0002056348113 YAFIK KHOIRUL BARIYAH P Conjunctivitis Berobat Jalan
0593 00:00 14:27 SWASTA
0151B1090422P00 15-04-2022 15-04-2022 HANA MAULIDA PEKERJA
615 0002202711658 P Allergy, unspecified Berobat Jalan
0582 00:00 10:52 QURROTA A' YUNINA MANDIRI
0151B1090422P00 15-04-2022 15-04-2022 PEKERJA
616 0002221860284 ANGEL PURNAMASARI P Other thyrotoxicosis Rujuk Vertikal
0590 00:00 13:46 MANDIRI
0151B1090422P00 15-04-2022 15-04-2022 PEKERJA Other surgical follow-up
617 0002228291357 ARRIFA ZUCHROTUNNISA P Berobat Jalan Hipertensi
0580 00:00 10:31 MANDIRI care
0151B1090422P00 15-04-2022 15-04-2022 NATALITA IVANA PEGAWAI Acute nasopharyngitis
618 0002251752906 P Berobat Jalan
0578 00:00 10:01 HARDIANA SWASTA [common cold]
0151B1090422P00 15-04-2022 15-04-2022 HAFIZAH HUMAIRA Contact with and exposure
619 0002254069765 P PNS DAERAH Rujuk Vertikal
0575 00:00 09:33 SEDANA to tuberculosis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 15-04-2022 15-04-2022 PEKERJA

620 0002300349532 WIYONO WIJOYO L Low back pain Berobat Jalan
0579 00:00 10:28 MANDIRI
0151B1090422P00 15-04-2022 15-04-2022 MUHAMMAD HISYAM PEKERJA Acute upper respiratory
621 0002311066631 L Berobat Jalan
0584 00:00 11:25 AZMI MANDIRI infection, unspecified
0151B1090422P00 15-04-2022 15-04-2022 Acute nasopharyngitis
622 0002438376513 ATHA HAFIZH ALFAREZI L PNS DAERAH Berobat Jalan
0591 00:00 13:56 [common cold]
0151B1090422P00 15-04-2022 15-04-2022 ALFARIZI SYAMFABIO PEGAWAI Acute nasopharyngitis
623 0002467481229 L Berobat Jalan
0576 00:00 09:40 ANGGORO SWASTA [common cold]
0151B1090422P00 15-04-2022 15-04-2022 PEKERJA
624 0002472795022 LASIYEM P Gout Berobat Jalan
0587 00:00 13:36 MANDIRI
0151B1090422P00 15-04-2022 15-04-2022 ALANO KIMDAN PEKERJA Acute upper respiratory
625 0002931725237 L Berobat Jalan
0588 00:00 13:42 ALVARENDRA MANDIRI infection, unspecified
0151B1090422P00 14-04-2022 14-04-2022 ISMAIL HENDRA PEGAWAI Gingivitis and periodontal
626 0000075945071 L Berobat Jalan
0562 00:00 16:31 GUNAWAN SWASTA diseases
Non-insulin-dependent Diabetes Diabetes
0151B1090422P00 14-04-2022 14-04-2022 PENERIMA
627 0000083864349 HARTIWI P diabetes mellitus with Berobat Jalan Mellitus Mellitus
0541 00:00 08:28 PENSIUN PNS
unspecified complications Hipertensi Hipertensi
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI Periapical abscess without
628 0000089881986 KRISTANTO L Berobat Jalan
0554 00:00 10:35 SWASTA sinus
0151B1090422P00 14-04-2022 14-04-2022 DICKY POERNAMA PEGAWAI Injury of unspecified body
629 0000091040027 L Berobat Jalan
0542 00:00 08:48 PUTRA SWASTA region
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA Open wound of
630 0000091580027 BITAYANI WIDIHASTANTI P Berobat Jalan
0551 00:00 09:35 MANDIRI unspecified body region
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
631 0000199701731 SEPTI WIDIASTUTI P Pregnancy confirmed Rujuk Vertikal
0564 00:00 16:42 MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
632 0000517274021 FITRI SETIANINGSIH P Other gastritis Berobat Jalan
0556 00:00 13:25 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA Acute nasopharyngitis
633 0001290565258 DIAH DEWATY P Berobat Jalan
0550 00:00 09:31 MANDIRI [common cold]
Malignant neoplasm of
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
634 0001303177116 SARWONO WIBOWO,SE L liver and intrahepatic bile Rujuk Vertikal Hipertensi Hipertensi
0548 00:00 09:23 MANDIRI
ducts
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
635 0001303177678 SITI NURUL ANGGRAENI P Myalgia Berobat Jalan
0549 00:00 09:29 MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 TRI SHOFI AFIFATUR PEGAWAI
636 0001337228267 P Pregnancy confirmed Berobat Jalan
0567 00:00 17:31 ROZANAH SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
637 0001421434798 SUWARTI P Benign paroxysmal vertigo Berobat Jalan
0571 00:00 19:23 MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA Gingivitis and periodontal
638 0001458294456 ARUM WULANDARI P Berobat Jalan
0566 00:00 16:56 MANDIRI diseases
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 14-04-2022 14-04-2022 RAYNA WULAN CONDRO PEGAWAI

639 0001525085752 P Necrosis of pulp Berobat Jalan
0563 00:00 16:39 RAHADYAN SWASTA
0151B1090422P00 14-04-2022 14-04-2022 HELA APRENIA SUSAN, PEKERJA
640 0001531052043 P Placenta praevia Rujuk Vertikal
0545 00:00 09:02 SE MANDIRI
0151B1090422P00 14-04-2022 14-04-2022
641 0001657659958 FARID ASHADI L - Chronic periodontitis Berobat Jalan
0569 00:00 19:16
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
642 0001691852804 TRIYANI P Caries of dentine Berobat Jalan
0561 00:00 16:20 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
643 0001691853298 ABDUL BASID BUDIMAN L Necrosis of pulp Berobat Jalan
0553 00:00 10:34 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 SAVAIRA `ABIDAH PEGAWAI
644 0001691854277 P Headache Berobat Jalan
0559 00:00 14:27 ALJAFNAH SWASTA
0151B1090422P00 14-04-2022 14-04-2022 MUKHAROMAH RONI PEGAWAI
646 0001692820811 P Pulpitis Berobat Jalan
0560 00:00 14:56 EKAWATI SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
647 0001692821002 PRATIWI AMALIYAH P Haemorrhoids Berobat Jalan
0540 00:00 08:20 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
648 0001694394483 NUR SUSIANA P Counselling, unspecified Berobat Jalan
0558 00:00 13:48 SWASTA
Chronic obstructive
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
649 0001817392329 AGUS BUDI SANTOSO L pulmonary disease, Rujuk Vertikal
0547 00:00 09:11 SWASTA
unspecified
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI Disturbances in tooth
650 0001864632306 QYARA LITUHAYU UTAMI P Berobat Jalan
0552 00:00 09:50 SWASTA eruption
0151B1090422P00 14-04-2022 14-04-2022 MUHAMMAD DAFFA AL PEKERJA
651 0001884050954 L Myopia Berobat Jalan
0568 00:00 19:06 FARISI MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 Acute nasopharyngitis
652 0001884602136 heditiyo royyan rumiyanto L PNS PUSAT Berobat Jalan
0546 00:00 09:07 [common cold]
0151B1090422P00 14-04-2022 14-04-2022 ABICHANDRA DAMARIO PEGAWAI
653 0002089167355 L Atopic dermatitis Berobat Jalan
0543 00:00 08:49 SUBOWO SWASTA
0151B1090422P00 14-04-2022 14-04-2022 ANGGARDA NOVEA PEGAWAI
654 0002109117532 L Dyspepsia Berobat Jalan
0557 00:00 13:41 PUTRA SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
655 0002199911049 SHOFIA SEKAR HANNANI P Pulpitis Berobat Jalan
0570 00:00 19:17 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
656 0002238994293 alifa nur azizah P Fever, unspecified Berobat Jalan
0544 00:00 08:54 MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA
657 0002247081153 DARMIRIS L Counselling, unspecified Berobat Jalan
0555 00:00 10:43 MANDIRI
0151B1090422P00 14-04-2022 14-04-2022 PEKERJA Atopic dermatitis,
658 0002277678475 SAKBANI RAHARJO L Berobat Jalan
0572 00:00 19:37 MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI

659 0002317253624 ADIA YUMNA DAHAYU P Acute bronchitis Berobat Jalan
0539 00:00 08:18 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
660 0002378462084 HILDA ANASTASYA P Pregnancy confirmed Berobat Jalan
0565 00:00 16:43 SWASTA
0151B1090422P00 14-04-2022 14-04-2022 PEGAWAI
661 0002890597735 MALIKA HADANA RAFISQI P Retained dental root Berobat Jalan
0573 00:00 19:46 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 ANGGA PUTRA PEGAWAI Acute nasopharyngitis
662 0000028991992 L Berobat Jalan
0497 00:00 08:47 DEWANATA SWASTA [common cold]
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
663 0000088146606 MANDASARI DEWI P Pregnancy confirmed Berobat Jalan
0513 00:00 15:00 SWASTA
0151B1090422P00 13-04-2022 13-04-2022
664 0000088545429 ANDI KUSUMA SEDANA L PNS DAERAH Cough Berobat Jalan
0493 00:00 08:31
0151B1090422P00 13-04-2022 13-04-2022 AHMAD HIMAWAN Acute upper respiratory Diabetes Diabetes
665 0000088576694 L PNS DAERAH Berobat Jalan
0530 00:00 18:42 PRANOTO AJI infection, unspecified Mellitus Mellitus
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI Acute nasopharyngitis
666 0000088576705 DEWI AMBARWATI, P Berobat Jalan
0529 00:00 18:41 SWASTA [common cold]
0151B1090422P00 13-04-2022 13-04-2022 PENERIMA Diabetes
667 0000089190966 M HARIYADI PURWANTO L Fracture of tooth Berobat Jalan
0535 00:00 19:20 PENSIUN PNS Mellitus
0151B1090422P00 13-04-2022 13-04-2022 MUHAMMAD SOFYAN
668 0000205247586 L PNS DAERAH Pulpitis Berobat Jalan
0520 00:00 15:18 ARYA PRADANA
PEGAWAI
PEMERINTAH
0151B1090422P00 13-04-2022 13-04-2022
669 0000640660983 ASA AYU NILAMSARI P DENGAN Tinea cruris Berobat Jalan
0534 00:00 19:16
PERJANJIAN
KERJA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
670 0001169137124 ISTIQOMAH P Pregnancy confirmed Berobat Jalan
0518 00:00 15:12 SWASTA
0151B1090422P00 13-04-2022 13-04-2022
671 0001186719737 ADRI YUDHIAWATI P PNS DAERAH Counselling, unspecified Berobat Jalan
0501 00:00 08:59
0151B1090422P00 13-04-2022 13-04-2022 DINA KUSUMAWATI PEGAWAI Acute upper respiratory
672 0001278952907 P Berobat Jalan
0498 00:00 08:48 WIYONO SWASTA infection, unspecified
0151B1090422P00 13-04-2022 13-04-2022 FAEZA NOUVAL AQIL PEGAWAI
673 0001288904297 L Gastritis, unspecified Berobat Jalan
0506 00:00 11:18 KURNIAWAN SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
674 0001317941886 FIFIN HESTI OKTAFIANI P Pregnancy confirmed Berobat Jalan
0514 00:00 15:10 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI Acute upper respiratory
675 0001425858333 JAIMIN L Berobat Jalan
0504 00:00 11:14 SWASTA infection, unspecified
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
676 0001435483754 AGUS AHMAD JAUHARI L Shoulder lesions Berobat Jalan
0508 00:00 11:24 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI Adhesive capsulitis of

677 0001446634449 SHOLAHUDDIN L Rujuk Vertikal
0511 00:00 14:31 SWASTA shoulder
0151B1090422P00 13-04-2022 13-04-2022 PEKERJA
678 0001524817686 GILANG PRATAMA PUTRA L Dyspepsia Berobat Jalan
0527 00:00 17:15 MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 PEKERJA
679 0001526426548 ELI LAELAWATI P Chest pain on breathing Rujuk Vertikal
0492 00:00 08:19 MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 MUHAMMAD HAFZIN PEKERJA
680 0001526426559 L Other thyrotoxicosis Rujuk Vertikal
0490 00:00 08:16 HIDAYAT MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 GHINA SHABRINA PEKERJA
681 0001526426594 P Other thyrotoxicosis Rujuk Vertikal
0491 00:00 08:18 RAUDLATUL JANNAH MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
682 0001691920844 WARSITI P Conjunctivitis, unspecified Berobat Jalan
0510 00:00 14:18 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
683 0001692195827 WAHYU RIYANI P Acute pharyngitis Berobat Jalan
0523 00:00 16:55 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI Periapical abscess without
684 0001692814926 PUJIATI P Berobat Jalan
0505 00:00 11:15 SWASTA sinus
0151B1090422P00 13-04-2022 13-04-2022 MUKHAROMAH RONI PEGAWAI
685 0001692820811 P Pulpitis Berobat Jalan
0519 00:00 15:14 EKAWATI SWASTA
0151B1090422P00 13-04-2022 13-04-2022 MUHAMMAD DYLAN PEGAWAI Acute upper respiratory
686 0001692820923 L Berobat Jalan
0537 00:00 19:58 ARYASATYA P SWASTA infection, unspecified
PEGAWAI
PEMERINTAH
0151B1090422P00 13-04-2022 13-04-2022
687 0001727927853 RIDWAN MEIKA CANDRA L DENGAN Asthma Berobat Jalan
0502 00:00 10:19
PERJANJIAN
KERJA
0151B1090422P00 13-04-2022 13-04-2022 SASKIA ANGGRAINI PEKERJA
688 0001739508759 P Impacted teeth Berobat Jalan
0521 00:00 15:49 SYAFITRI MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI Acute upper respiratory
689 0001850244715 KAISA PUTRI SALSABILA P Berobat Jalan
0512 00:00 14:44 SWASTA infection, unspecified
0151B1090422P00 13-04-2022 13-04-2022 PEKERJA Disturbances in tooth
690 0001852992112 SHOFIA ADILA P Berobat Jalan
0536 00:00 19:55 MANDIRI eruption
0151B1090422P00 13-04-2022 13-04-2022 DHERY PUTHUT PEGAWAI
691 0001970893899 L Myalgia Berobat Jalan
0538 00:00 19:59 SANTOSA, A.MD. KEP. SWASTA
0151B1090422P00 13-04-2022 13-04-2022 HANA MAULIDA PEKERJA
692 0002202711658 P Necrosis of pulp Berobat Jalan
0507 00:00 11:24 QURROTA A' YUNINA MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
693 0002214759104 YULI KRISTANTO L Pulpitis Berobat Jalan
0528 00:00 18:40 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEKERJA Other surgical follow-up
694 0002228291357 ARRIFA ZUCHROTUNNISA P Berobat Jalan Hipertensi
0509 00:00 13:29 MANDIRI care
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 13-04-2022 13-04-2022 ARSEN AKIHIKO PEGAWAI

695 0002240738469 L Injury, unspecified Berobat Jalan
0524 00:00 16:59 INDIFAUSTA SWASTA
0151B1090422P00 13-04-2022 13-04-2022 HAFIZAH HUMAIRA
696 0002254069765 P PNS DAERAH Cough Berobat Jalan
0494 00:00 08:32 SEDANA
Developmental disorder of
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
697 0002259574986 ARFIAN RAFIF PRADITYA L speech and language, Rujuk Vertikal
0496 00:00 08:42 SWASTA
unspecified
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
698 0002274095845 TANTRI MEINA SARI P Pregnancy confirmed Berobat Jalan
0515 00:00 15:11 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 UTAMI DWI NASTITI PEGAWAI
699 0002281420067 P Pregnancy confirmed Berobat Jalan
0516 00:00 15:12 IKHSAN SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
700 0002293174967 TEGUH SASONGKO L Necrosis of pulp Berobat Jalan
0531 00:00 18:45 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 DAIYANI BINTANG PEKERJA
701 0002301393385 P Myocarditis, unspecified Rujuk Vertikal
0526 00:00 17:08 DELIMA PUTRI MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 ARSAKHA VIRENDRA PEGAWAI
702 0002311700499 L Fever, unspecified Berobat Jalan
0499 00:00 08:52 SHAFWAN SWASTA
0151B1090422P00 13-04-2022 13-04-2022 HARDJIMO MARTO PEKERJA Essential (primary)
703 0002378876365 L Berobat Jalan
0500 00:00 08:54 WIREJO MANDIRI hypertension
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
704 0002437219539 SAFIRA RAHUBA BAHA L Gastritis, unspecified Berobat Jalan
0532 00:00 19:11 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 MOHAMAD AJI
705 0002443904932 L PEGAWAI BUMD Myalgia Berobat Jalan
0522 00:00 16:24 BAYUSENO
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
706 0002460520258 RATNA DIAN SEPTIANA P Headache Berobat Jalan
0517 00:00 15:12 SWASTA
0151B1090422P00 13-04-2022 13-04-2022 PEKERJA
707 0002471228177 DWI DARWANTI P Headache Berobat Jalan
0525 00:00 17:01 MANDIRI
0151B1090422P00 13-04-2022 13-04-2022 KHOLID AMIRULHAQ PEGAWAI Acute upper respiratory
708 0002746138961 L Berobat Jalan
0533 00:00 19:11 SAPUTRO SWASTA infection, unspecified
0151B1090422P00 13-04-2022 13-04-2022 MUHAMMAD FADHIL Acute nasopharyngitis
709 0002931015317 L PNS PUSAT Berobat Jalan
0503 00:00 10:31 RAFFASYA [common cold]
0151B1090422P00 13-04-2022 13-04-2022 PEGAWAI
710 0002933377593 ALDEVANO ARGANATA L Cough Rujuk Vertikal
0495 00:00 08:36 SWASTA
0151B1090422P00 12-04-2022 PENERIMA Essential (primary)
711 04-12-2022 0000020380072 SYAHRUL DONIE IR MSI L Berobat Jalan
0467 13:05 PENSIUN PNS hypertension
PEGAWAI
PEMERINTAH
0151B1090422P00 12-04-2022
712 04-12-2022 0000077797383 YOGA PURNAMA L DENGAN Acute bronchitis Berobat Jalan
0489 20:19
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 12-04-2022 PEGAWAI

713 04-12-2022 0000081319577 ASRI ARAFAH P Low back pain Berobat Jalan
0481 17:07 SWASTA
0151B1090422P00 12-04-2022 PEGAWAI
714 04-12-2022 0000088146606 MANDASARI DEWI P Myalgia Berobat Jalan
0459 10:14 SWASTA
0151B1090422P00 12-04-2022 PENERIMA Essential (primary)
715 04-12-2022 0000088979657 NGATMAN L Berobat Jalan Hipertensi
0464 11:23 PENSIUN PNS hypertension
0151B1090422P00 12-04-2022 PENERIMA Disorder of urinary system,
716 04-12-2022 0000090929575 KHOYAROH P Berobat Jalan
0454 09:34 PENSIUN PNS unspecified
0151B1090422P00 12-04-2022 KEVIN PEKERJA
717 04-12-2022 0000090946181 L Necrosis of pulp Berobat Jalan
0486 19:36 ARDYAPRIMATAMA MANDIRI
0151B1090422P00 12-04-2022 PENERIMA
718 04-12-2022 0000090953346 ERNI RUDI ASTUTI P Counselling, unspecified Berobat Jalan
0457 09:58 PENSIUN PNS
0151B1090422P00 12-04-2022 PENERIMA Disorders of trigeminal
719 04-12-2022 0000091328793 SUTINO L Rujuk Vertikal Hipertensi
0456 09:48 PENSIUN PNS nerve
Non-insulin-dependent
0151B1090422P00 12-04-2022
720 04-12-2022 0000091511662 FAJAR ALAM SIAGIAN L PNS DAERAH diabetes mellitus with Rujuk Vertikal
0461 10:32
unspecified complications
0151B1090422P00 12-04-2022 Periapical abscess without
721 04-12-2022 0000104148145 MUH. RIEFQI ARYADI L - Berobat Jalan
0487 19:50 sinus
0151B1090422P00 12-04-2022
722 04-12-2022 0000202731028 MIANTI FATMA WIJAYA P PNS DAERAH Headache Berobat Jalan
0488 19:55
0151B1090422P00 12-04-2022 MUSRIFATUN ISTI PEGAWAI Contraceptive
723 04-12-2022 0001133851162 P Berobat Jalan
0450 08:23 RAHAYU SWASTA management
0151B1090422P00 12-04-2022 PEGAWAI
724 04-12-2022 0001169137124 ISTIQOMAH P Pregnancy confirmed Berobat Jalan
0463 11:20 SWASTA
0151B1090422P00 12-04-2022 PEKERJA
725 04-12-2022 0001304284869 WIWIK DWI LESTARI P Sicca syndrome [Sjogren] Rujuk Vertikal
0448 08:16 MANDIRI
0151B1090422P00 12-04-2022 PEGAWAI
726 04-12-2022 0001317694713 WIWIT INDAH PURNAMA L Gastritis, unspecified Berobat Jalan
0468 13:06 SWASTA
0151B1090422P00 12-04-2022 PEGAWAI Acute nasopharyngitis
727 04-12-2022 0001317941886 FIFIN HESTI OKTAFIANI P Berobat Jalan
0460 10:15 SWASTA [common cold]
0151B1090422P00 12-04-2022 PEKERJA
728 04-12-2022 0001323420052 SRI REJEKI P Thyroiditis, unspecified Rujuk Vertikal
0451 09:17 MANDIRI
0151B1090422P00 12-04-2022 CINTYA KARTIKA PEGAWAI
729 04-12-2022 0001369181373 P Pulpitis Berobat Jalan
0471 14:22 WARDANY SWASTA

Diarrhoea and
0151B1090422P00 12-04-2022 PEKERJA
730 04-12-2022 0001437509799 SOEPARMO L gastroenteritis of Berobat Jalan
0482 17:15 MANDIRI
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 12-04-2022 ANGGARDA LANANG PEKERJA

731 04-12-2022 0001524963969 L Acute pharyngitis Berobat Jalan
0476 15:49 MAHENDRA MANDIRI
0151B1090422P00 12-04-2022 PEGAWAI
732 04-12-2022 0001526830187 YENI VINDRIANA P Acute tonsillitis Berobat Jalan
0475 15:46 SWASTA
0151B1090422P00 12-04-2022 PEGAWAI Spinal stenosis, lumbar
733 04-12-2022 0001530181337 SARYATI P Rujuk Vertikal
0478 16:19 SWASTA region
0151B1090422P00 12-04-2022 PEGAWAI Sprain and strain of
734 04-12-2022 0001630226079 FAT HANUL HUSNA L Berobat Jalan
0470 13:36 SWASTA lumbar spine
0151B1090422P00 12-04-2022 PEGAWAI
735 04-12-2022 0001663929268 FEBRINA AULIA P Counselling, unspecified Berobat Jalan
0477 15:56 SWASTA
0151B1090422P00 12-04-2022 PEGAWAI
736 04-12-2022 0001691857124 WARYANTO L Dyspepsia Berobat Jalan
0480 17:02 SWASTA
0151B1090422P00 12-04-2022 PEKERJA
737 04-12-2022 0001809558731 SRI HARDJANTA L Congestive heart failure Rujuk Vertikal
0462 10:51 MANDIRI
0151B1090422P00 12-04-2022 PEGAWAI Acute nasopharyngitis
738 04-12-2022 0001863132557 NAJWA HUSNA SYAKIRA P Berobat Jalan
0453 09:31 SWASTA [common cold]
0151B1090422P00 12-04-2022
739 04-12-2022 0001863466389 MUHIBBAH FATATI P PNS PUSAT Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
0473 15:19
0151B1090422P00 12-04-2022 MELODY ARALLINA AL PEGAWAI
740 04-12-2022 0001889271358 P Fever, unspecified Berobat Jalan
0483 19:07 FATHUNISSA SWASTA
0151B1090422P00 12-04-2022 INARA ZHAFIRA PEGAWAI
741 04-12-2022 0001896797891 P Necrosis of pulp Berobat Jalan
0474 15:21 RAMADHANI SWASTA
0151B1090422P00 12-04-2022 PEKERJA
742 04-12-2022 0001906754084 WAGIMIN L Chronic rhinitis Rujuk Vertikal
0466 13:04 MANDIRI
0151B1090422P00 12-04-2022 PEGAWAI
743 04-12-2022 0002056318648 SAPTO L Injury, unspecified Berobat Jalan
0469 13:12 SWASTA
0151B1090422P00 12-04-2022 HANA MAULIDA PEKERJA
744 04-12-2022 0002202711658 P Pulpitis Berobat Jalan
0465 11:31 QURROTA A' YUNINA MANDIRI
0151B1090422P00 12-04-2022 PEKERJA
745 04-12-2022 0002238994293 alifa nur azizah P Nausea and vomiting Berobat Jalan
0458 10:09 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090422P00 12-04-2022
746 04-12-2022 0002255406636 AFZAL RADEYA BUDI L DENGAN Hordeolum and chalazion Berobat Jalan
0472 14:35
PERJANJIAN
KERJA
0151B1090422P00 12-04-2022 YAHYA AYYASY PEGAWAI Acute upper respiratory
747 04-12-2022 0002259448773 L Berobat Jalan
0452 09:26 AL-MUBARAK SWASTA infection, unspecified
0151B1090422P00 12-04-2022 NAUFAL RAKA PEGAWAI
748 04-12-2022 0002287290857 L Necrosis of pulp Berobat Jalan
0485 19:26 MAHENDRA SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 12-04-2022 KHUMAIRA MARITZA Periapical abscess without

749 04-12-2022 0002443035262 P PEGAWAI BUMN Berobat Jalan
0479 16:31 ABIDAH sinus
0151B1090422P00 12-04-2022 RADEN JALAMANGKARA
751 04-12-2022 0002447809839 L PEGAWAI BUMD Fever, unspecified Berobat Jalan
0484 19:14 AL- MASHKA
0151B1090422P00 12-04-2022 SOETARTO ABDUL AZIZ PEKERJA Acute upper respiratory
752 04-12-2022 0002484124176 L Berobat Jalan
0449 08:20 HANAFI MANDIRI infection, unspecified
0151B1090422P00 12-04-2022 PEKERJA
753 04-12-2022 0002776074423 PARYANTO L Acute periodontitis Berobat Jalan
0455 09:41 MANDIRI
0151B1090422P00 11-04-2022 PENERIMA Malignant neoplasm of
754 04-11-2022 0000077126679 YAYAN HASBIAN NOOR L Rujuk Vertikal
0418 13:19 PENSIUN PNS bronchus and lung
0151B1090422P00 11-04-2022 PEGAWAI Acute nasopharyngitis
755 04-11-2022 0000084124405 ALIF RIZAL MUTHI L Berobat Jalan
0436 16:39 SWASTA [common cold]
Non-insulin-dependent
0151B1090422P00 11-04-2022 PENERIMA
756 04-11-2022 0000090176927 SRI SULARMI P diabetes mellitus with Rujuk Vertikal
0403 08:31 PENSIUN PNS
unspecified complications
Hypertensive heart
0151B1090422P00 11-04-2022 PENERIMA
757 04-11-2022 0000091317205 NURYATI P disease with (congestive) Rujuk Vertikal
0419 13:25 PENSIUN PNS
heart failure
0151B1090422P00 11-04-2022
758 04-11-2022 0000091371778 SUTARJO AMINOTO L PNS PUSAT Acute periodontitis Berobat Jalan
0442 19:17
0151B1090422P00 11-04-2022 PEGAWAI Other disorders of urinary
759 04-11-2022 0000091581963 KUN TRI UTAMI P Berobat Jalan
0440 17:35 SWASTA system
0151B1090422P00 11-04-2022 Acute upper respiratory
760 04-11-2022 0000209458361 ALMIRA KALIFA SAFARAZ P PNS PUSAT Berobat Jalan
0432 16:33 infection, unspecified

0151B1090422P00 11-04-2022 PEKERJA Noninflammatory disorder

761 04-11-2022 0000639894273 RETNOWATI P Berobat Jalan
0402 08:23 MANDIRI of vagina, unspecified

Papillomavirus as the
0151B1090422P00 11-04-2022 PENERIMA
762 04-11-2022 0001094186856 I WAYAN MUSTARA L cause of diseases Rujuk Vertikal
0429 16:26 PENSIUN POLRI
classified to other chapters

Systemic lupus
0151B1090422P00 11-04-2022
763 04-11-2022 0001097738065 ALAYDA DIFA SYAFIRA P ANGGOTA POLRI erythematosus, Rujuk Vertikal
0406 09:55
unspecified
0151B1090422P00 11-04-2022 PEKERJA
764 04-11-2022 0001298749274 SISWANTO L Cataract, unspecified Rujuk Vertikal
0423 14:33 MANDIRI
0151B1090422P00 11-04-2022 PEKERJA
765 04-11-2022 0001298750815 HARTI UTAMI P Cataract, unspecified Rujuk Vertikal
0422 14:32 MANDIRI
0151B1090422P00 11-04-2022 PEGAWAI
766 04-11-2022 0001308030107 SUSILOWATI P Paranoid schizophrenia Rujuk Vertikal Hipertensi
0414 11:42 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 11-04-2022 PEKERJA Atopic dermatitis,

767 04-11-2022 0001322226731 HENNY LIESTIASTUTI P Berobat Jalan
0404 08:34 MANDIRI unspecified
0151B1090422P00 11-04-2022 PEGAWAI
768 04-11-2022 0001384761879 YUNIDA SPSI P Headache Berobat Jalan
0415 11:50 SWASTA
0151B1090422P00 11-04-2022 BURHANUDDIN AL PEGAWAI Acute upper respiratory
769 04-11-2022 0001404395537 L Berobat Jalan
0421 13:38 FATAH SWASTA infection, unspecified
0151B1090422P00 11-04-2022 PEGAWAI Disturbances in tooth
770 04-11-2022 0001526216051 PUTRI FEBRINA DIANTY P Berobat Jalan
0430 16:31 SWASTA eruption
0151B1090422P00 11-04-2022 PEGAWAI
771 04-11-2022 0001526376262 FAIZA ASSYIFA P Acute pharyngitis Berobat Jalan
0417 11:57 SWASTA
0151B1090422P00 11-04-2022 PEKERJA
772 04-11-2022 0001529783515 EMI ERNASARI P Caries of dentine Berobat Jalan
0434 16:34 MANDIRI
0151B1090422P00 11-04-2022 PEGAWAI
773 04-11-2022 0001691853333 ENDAH WAHYUNINGTYAS P Conjunctivitis Berobat Jalan
0401 08:16 SWASTA
0151B1090422P00 11-04-2022 REFA RIZKA FANNISA PEGAWAI
774 04-11-2022 0001691853682 P Dyspepsia Berobat Jalan
0447 20:31 LATHIEF SWASTA
0151B1090422P00 11-04-2022 NANANG ZAENUDDIN, PEGAWAI
775 04-11-2022 0001691855482 L Conjunctivitis Berobat Jalan
0408 10:26 S.PDI. SWASTA
0151B1090422P00 11-04-2022 MOCH ABRISAM PEGAWAI
776 04-11-2022 0001691855515 L Cellulitis Berobat Jalan
0407 10:25 MUIZUDDIN SWASTA
0151B1090422P00 11-04-2022 PEGAWAI Acute upper respiratory
777 04-11-2022 0001691856483 ANIK WIDYASTUTI P Berobat Jalan
0409 10:39 SWASTA infection, unspecified
0151B1090422P00 11-04-2022 LATHIFAH SALSABILLA PEGAWAI
778 04-11-2022 0001691856628 P Retained dental root Berobat Jalan
0435 16:36 AMINY SWASTA
0151B1090422P00 11-04-2022 PEGAWAI Acute upper respiratory
779 04-11-2022 0001691857269 ROBBI FADIL IBRAHIM L Berobat Jalan
0410 10:39 SWASTA infection, unspecified
0151B1090422P00 11-04-2022 PEGAWAI
780 04-11-2022 0001692820754 BUDI SANTOSO L Myalgia Berobat Jalan
0426 14:44 SWASTA
0151B1090422P00 11-04-2022 PEGAWAI Acute upper respiratory
781 04-11-2022 0001692820912 Javier Athaya Aradhana L Berobat Jalan
0405 08:45 SWASTA infection, unspecified
0151B1090422P00 11-04-2022 PEGAWAI
782 04-11-2022 0001692820991 ALFIANTO ENGGAR P L Conjunctivitis Berobat Jalan
0427 15:41 SWASTA
0151B1090422P00 11-04-2022 PEKERJA Acute nasopharyngitis
783 04-11-2022 0001695191185 WAGIMAN L Berobat Jalan
0443 19:29 MANDIRI [common cold]
0151B1090422P00 11-04-2022 PEGAWAI
784 04-11-2022 0001742783624 WIKA LESTARI P Necrosis of pulp Berobat Jalan
0444 19:30 SWASTA
0151B1090422P00 11-04-2022 Acute nasopharyngitis
785 04-11-2022 0001785986583 kinan layla humaira P PNS PUSAT Berobat Jalan
0431 16:31 [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 11-04-2022 PEGAWAI

786 04-11-2022 0001970771984 FAIRUZ ZABADHIA NASYA P Fever, unspecified Berobat Jalan
0416 11:53 SWASTA
0151B1090422P00 11-04-2022 HANA MAULIDA PEKERJA
787 04-11-2022 0002202711658 P Pulpitis Berobat Jalan
0412 11:29 QURROTA A' YUNINA MANDIRI
0151B1090422P00 11-04-2022 ARSEN AKIHIKO PEGAWAI
788 04-11-2022 0002240738469 L Injury, unspecified, closed Berobat Jalan
0428 16:00 INDIFAUSTA SWASTA

Diarrhoea and
0151B1090422P00 11-04-2022 NARAWASTU HASENA
789 04-11-2022 0002283086799 L PNS PUSAT gastroenteritis of Berobat Jalan
0420 13:30 MUHAMMAD
presumed infectious origin

0151B1090422P00 11-04-2022 SYAMIL ABDUSSALAM PEGAWAI Disturbances in tooth

790 04-11-2022 0002301456295 L Berobat Jalan
0433 16:33 MOSHA SWASTA eruption
Specific developmental
0151B1090422P00 11-04-2022 DZAKYRA FALIHA PEGAWAI
791 04-11-2022 0002422495337 P disorders of speech and Rujuk Vertikal
0445 19:33 PAMBUDI SWASTA
language

Diarrhoea and
0151B1090422P00 11-04-2022 PEKERJA
792 04-11-2022 0002432463052 TIARA MONICA SARI P gastroenteritis of Berobat Jalan
0413 11:30 MANDIRI
presumed infectious origin

0151B1090422P00 11-04-2022 SYAHIRA SHOHWATUL PEGAWAI Acute nasopharyngitis

793 04-11-2022 0002453285204 P Berobat Jalan
0411 10:40 ISLAM SWASTA [common cold]
0151B1090422P00 11-04-2022 PEKERJA Gastro-oesophageal reflux
794 04-11-2022 0002472795022 LASIYEM P Berobat Jalan
0424 14:38 MANDIRI disease
0151B1090422P00 11-04-2022 PEKERJA
795 04-11-2022 0002478596951 SRI SARNI P Dyspepsia Berobat Jalan
0441 19:11 MANDIRI
0151B1090422P00 11-04-2022 DZUVIA MUGHNIY PEGAWAI Acute upper respiratory
796 04-11-2022 0002739400468 P Berobat Jalan
0437 16:50 ARSANINGSIH SWASTA infection, unspecified
0151B1090422P00 11-04-2022
797 04-11-2022 0002767490526 FERLITA ABIA NEIMA P PNS DAERAH Fever, unspecified Berobat Jalan
0446 19:41
0151B1090422P00 11-04-2022 PEGAWAI
798 04-11-2022 0002882946565 LILIS KARLENA P Fever, unspecified Berobat Jalan
0438 17:22 SWASTA
0151B1090422P00 11-04-2022 RIZQIANA KALYNA PEGAWAI Acute nasopharyngitis
799 04-11-2022 0003049627397 P Berobat Jalan
0425 14:40 GUNAWAN SWASTA [common cold]
0151B1090422P00 11-04-2022 BAYI NYONYA KUN TRI PEGAWAI Acute nasopharyngitis
800 04-11-2022 0003085800906 P Berobat Jalan
0439 17:31 UTAMI SWASTA [common cold]
0151B1090422P00 10-04-2022 PENERIMA
801 04-10-2022 0000090581387 RINI SUTARTI P Counselling, unspecified Berobat Jalan
0400 13:32 PENSIUN PNS
0151B1090422P00 10-04-2022 PEGAWAI Acute upper respiratory
802 04-10-2022 0000120987145 KUSNADI L Berobat Jalan
0398 13:16 SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 10-04-2022 PEGAWAI Essential (primary)

803 04-10-2022 0001145829284 HENI PURNOMO L Berobat Jalan Hipertensi Hipertensi
0391 10:49 SWASTA hypertension
0151B1090422P00 10-04-2022 PEGAWAI
804 04-10-2022 0001169137124 ISTIQOMAH P Myalgia Berobat Jalan
0396 11:55 SWASTA
0151B1090422P00 10-04-2022 DINA KUSUMAWATI PEGAWAI Acute upper respiratory
805 04-10-2022 0001278952907 P Berobat Jalan
0393 11:14 WIYONO SWASTA infection, unspecified
0151B1090422P00 10-04-2022 WAHYU NUR AFIFFAH PEKERJA
806 04-10-2022 0001328765174 P Dyspepsia Berobat Jalan
0394 11:27 AMATULLAH MANDIRI
0151B1090422P00 10-04-2022 PEKERJA Hypertensive heart
807 04-10-2022 0001458311128 JOKO PRIYONO L Rujuk Vertikal
0392 11:06 MANDIRI disease
0151B1090422P00 10-04-2022 PEKERJA Acute upper respiratory
808 04-10-2022 0001529480226 SHERLY INDRASWARI P Berobat Jalan
0390 10:25 MANDIRI infection, unspecified
0151B1090422P00 10-04-2022 PEGAWAI
809 04-10-2022 0001691855054 SILMA ADILA ZAHWA P Irritant contact dermatitis Berobat Jalan
0399 13:23 SWASTA
0151B1090422P00 10-04-2022 MUHAMMAD HARUN AL PEGAWAI
810 04-10-2022 0001730439911 L Dyspepsia Berobat Jalan
0387 10:09 ROSYID SWASTA
Non-insulin-dependent
0151B1090422P00 10-04-2022 PEGAWAI Diabetes Diabetes
811 04-10-2022 0001789575748 SARJIMIN L diabetes mellitus with Berobat Jalan
0388 10:12 SWASTA Mellitus Mellitus
unspecified complications
0151B1090422P00 10-04-2022 PEGAWAI Presence of urogenital
812 04-10-2022 0002218609078 SEPTYA ANGGI KUSUMA L Berobat Jalan
0395 11:42 SWASTA implants
0151B1090422P00 10-04-2022 UTAMI DWI NASTITI PEGAWAI
813 04-10-2022 0002281420067 P Anaemia, unspecified Berobat Jalan
0397 12:26 IKHSAN SWASTA
0151B1090422P00 10-04-2022 ALANO KIMDAN PEKERJA Acute upper respiratory
814 04-10-2022 0002931725237 L Berobat Jalan
0389 10:20 ALVARENDRA MANDIRI infection, unspecified
0151B1090422P00 09-04-2022 PENERIMA Essential (primary)
815 04-09-2022 0000021247896 SOEPARTO BROTO L Berobat Jalan Hipertensi
0360 11:08 PENSIUN PNS hypertension
0151B1090422P00 09-04-2022
816 04-09-2022 0000087476679 FATIMAH ZUHRIA P PNS PUSAT Corns and callosities Berobat Jalan
0355 10:22
Follow-up examination
0151B1090422P00 09-04-2022 PEKERJA
817 04-09-2022 0000091580027 BITAYANI WIDIHASTANTI P after other treatment for Berobat Jalan
0378 16:52 MANDIRI
malignant neoplasm
0151B1090422P00 09-04-2022 MUHAMMAD ERWIN PEGAWAI
818 04-09-2022 0001284029482 L Constipation Berobat Jalan
0384 19:36 NUGROHO SWASTA
PEGAWAI
PEMERINTAH
0151B1090422P00 09-04-2022
819 04-09-2022 0001286763219 NUR PRAMUSANTI P DENGAN Injury, unspecified, open Berobat Jalan
0369 13:45
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 09-04-2022 PEGAWAI Acute nasopharyngitis

820 04-09-2022 0001305476019 HANIA ZARIFAH AZZAHRA P Berobat Jalan
0366 13:08 SWASTA [common cold]
0151B1090422P00 09-04-2022 HUSNA QONITA PEGAWAI Acute nasopharyngitis
821 04-09-2022 0001308648442 L Berobat Jalan
0367 13:17 ISLAMADINA SWASTA [common cold]
0151B1090422P00 09-04-2022 PEGAWAI Acute nasopharyngitis
822 04-09-2022 0001319395252 AHMAD ZAIN AR-RIDHO L Berobat Jalan
0364 11:49 SWASTA [common cold]
0151B1090422P00 09-04-2022 AMINA ZAHRIA AL- PEGAWAI Acute nasopharyngitis
823 04-09-2022 0001319396229 P Berobat Jalan
0362 11:45 FATHANIA SWASTA [common cold]
0151B1090422P00 09-04-2022 PEKERJA Essential (primary)
824 04-09-2022 0001323420052 SRI REJEKI P Berobat Jalan
0374 16:17 MANDIRI hypertension
0151B1090422P00 09-04-2022 AMIRA ZAKIYA PEGAWAI Acute nasopharyngitis
825 04-09-2022 0001380371591 P Berobat Jalan
0363 11:47 AR-RANIYA SWASTA [common cold]
0151B1090422P00 09-04-2022 PEGAWAI
826 04-09-2022 0001387512944 SATRIA PANDARU BIRU L Gastritis, unspecified Berobat Jalan
0383 19:33 SWASTA
0151B1090422P00 09-04-2022 PEGAWAI
827 04-09-2022 0001446634449 SHOLAHUDDIN L Cervicocranial syndrome Berobat Jalan
0373 16:05 SWASTA
0151B1090422P00 09-04-2022 Gastro-oesophageal reflux
828 04-09-2022 0001453283662 NURINA KAFFAWAT N T P PNS DAERAH Berobat Jalan
0370 14:49 disease
0151B1090422P00 09-04-2022 ZUYYINA BIMAR'ATASH PEGAWAI
829 04-09-2022 0001530341921 P Necrosis of pulp Berobat Jalan
0372 16:04 SHOLIKHAH SWASTA
0151B1090422P00 09-04-2022 PEGAWAI Essential (primary)
830 04-09-2022 0001531903421 UDA HERSONINGSIH L Berobat Jalan
0379 17:14 SWASTA hypertension
Hypertensive heart
0151B1090422P00 09-04-2022 PEGAWAI
831 04-09-2022 0001691856472 SUNU PRABAWA L disease without Berobat Jalan Hipertensi Hipertensi
0375 16:19 SWASTA
(congestive) heart failure
0151B1090422P00 09-04-2022 PEKERJA
832 04-09-2022 0001800001124 ELTANTI, SE P Necrosis of pulp Berobat Jalan
0350 09:30 MANDIRI

0151B1090422P00 09-04-2022 PENERIMA Essential (primary)

833 04-09-2022 0001815498707 RIS SUMANGER L Berobat Jalan Hipertensi
0346 09:06 PENSIUN SWASTA hypertension

0151B1090422P00 09-04-2022
834 04-09-2022 0001818924579 NEYSA WARDA ALEYYA P PNS DAERAH Ganglion Rujuk Vertikal
0382 19:23
0151B1090422P00 09-04-2022 PEGAWAI Acute nasopharyngitis
835 04-09-2022 0001855698917 ARIF MAHMUDI L Berobat Jalan
0349 09:26 SWASTA [common cold]
0151B1090422P00 09-04-2022 Disturbances in tooth
836 04-09-2022 0001884602136 heditiyo royyan rumiyanto L PNS PUSAT Berobat Jalan
0356 10:42 eruption
0151B1090422P00 09-04-2022 PEKERJA
837 04-09-2022 0001904359577 LILIK SUGIARSIH P Dyspepsia Berobat Jalan
0351 09:31 MANDIRI
0151B1090422P00 09-04-2022 PEGAWAI Acute upper respiratory
838 04-09-2022 0001970877161 M MASKURI L Berobat Jalan
0381 19:11 SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 09-04-2022 MARTIWI FADILAH PEGAWAI

839 04-09-2022 0002045712251 P Pulpitis Berobat Jalan
0386 19:54 NUGROHO JATI SWASTA
0151B1090422P00 09-04-2022 PEGAWAI Nontoxic single thyroid
840 04-09-2022 0002204729987 TANTI RATNAWATI P Rujuk Vertikal
0354 10:01 SWASTA nodule
0151B1090422P00 09-04-2022 PEGAWAI Presence of urogenital
841 04-09-2022 0002218609078 SEPTYA ANGGI KUSUMA L Berobat Jalan
0377 16:42 SWASTA implants
0151B1090422P00 09-04-2022 MUCHAMMAD KAES AL PEKERJA Acute nasopharyngitis
842 04-09-2022 0002218889182 L Berobat Jalan
0345 08:31 QOSIM MANDIRI [common cold]
0151B1090422P00 09-04-2022 PEKERJA
843 04-09-2022 0002224502728 DALTI P Congestive heart failure Rujuk Vertikal
0341 08:10 MANDIRI
0151B1090422P00 09-04-2022 PEGAWAI Disturbances in tooth
844 04-09-2022 0002233056789 ZAHIDA HASNA NAFI'AH P Berobat Jalan
0347 09:22 SWASTA eruption
0151B1090422P00 09-04-2022 PEGAWAI Malignant neoplasm of
845 04-09-2022 0002235929973 VIVERRY INTAN SARI ST P Rujuk Vertikal
0343 08:18 SWASTA ovary
0151B1090422P00 09-04-2022 PEKERJA
846 04-09-2022 0002241432606 DWI FAHRUDIN L Necrosis of pulp Berobat Jalan
0376 16:24 MANDIRI
0151B1090422P00 09-04-2022 NADIRA ANINDITA PEKERJA Disturbances in tooth
847 04-09-2022 0002245003468 P Berobat Jalan
0371 15:27 AURELIA MANDIRI eruption
0151B1090422P00 09-04-2022 YAHYA AYYASY PEGAWAI
848 04-09-2022 0002259448773 L Fever, unspecified Berobat Jalan
0348 09:22 AL-MUBARAK SWASTA
0151B1090422P00 09-04-2022 DAIYANI BINTANG PEKERJA
849 04-09-2022 0002301393385 P Oesophagitis Berobat Jalan
0357 10:55 DELIMA PUTRI MANDIRI
0151B1090422P00 09-04-2022 PEGAWAI
850 04-09-2022 0002344560592 HARIYANTO L Myopia Berobat Jalan
0368 13:28 SWASTA
0151B1090422P00 09-04-2022 PEKERJA Acute nasopharyngitis
851 04-09-2022 0002492849665 MARIA ARSY P Berobat Jalan
0361 11:29 MANDIRI [common cold]
Other viral infections
characterized by skin and
0151B1090422P00 09-04-2022 PEKERJA
852 04-09-2022 0002614513781 NANDHIRA ALUNA RUBY P mucous membrane Berobat Jalan
0353 09:46 MANDIRI
lesions, not elsewhere
classified
0151B1090422P00 09-04-2022 PEGAWAI
853 04-09-2022 0002621185121 BUDI SANTOSO L Astigmatism Berobat Jalan
0359 11:04 SWASTA
0151B1090422P00 09-04-2022 PEGAWAI
855 04-09-2022 0002621185301 DIFA UL FIKRI JAYYID L Myopia Berobat Jalan
0358 11:01 SWASTA
0151B1090422P00 09-04-2022 RISSYA NAZLA PEKERJA
856 04-09-2022 0002873031614 P Irritant contact dermatitis Berobat Jalan
0342 08:14 ZAKIYATUL FITRI MANDIRI
0151B1090422P00 09-04-2022
857 04-09-2022 0002899940354 ALLEA HUMAIRA P PBI (APBN) Dyspepsia Berobat Jalan
0380 19:10
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 09-04-2022 LATHIFFAH ADRIANA PEKERJA Disturbances in tooth

858 04-09-2022 0003047845037 P Berobat Jalan
0352 09:39 SETO MANDIRI eruption
0151B1090422P00 09-04-2022 CHAYRA ALFATHUNISSA PEGAWAI Acute nasopharyngitis
859 04-09-2022 0003082789541 P Berobat Jalan
0344 08:28 HENDRI SWASTA [common cold]
0151B1090422P00 09-04-2022 ADIFA ZAHRANA PEGAWAI Acute nasopharyngitis
860 04-09-2022 0003089783439 P Berobat Jalan
0365 11:52 AL-MAHIRA SWASTA [common cold]
0151B1090422P00 09-04-2022 AHMAD ZAYD PEGAWAI Acute upper respiratory
861 04-09-2022 0003131209675 L Berobat Jalan
0385 19:40 ABDURRAHMAN GHAZY SWASTA infection, unspecified
PEGAWAI
PEMERINTAH
0151B1090422P00 08-04-2022 Acute nasopharyngitis
862 04-08-2022 0000077797383 YOGA PURNAMA L DENGAN Berobat Jalan
0340 20:09 [common cold]
PERJANJIAN
KERJA
0151B1090422P00 08-04-2022 PEGAWAI
863 04-08-2022 0000079821156 NANDA UMUL FAWAZ L Impacted teeth Rujuk Vertikal
0336 17:35 SWASTA
0151B1090422P00 08-04-2022 PEGAWAI
864 04-08-2022 0000081319577 ASRI ARAFAH P Low back pain Berobat Jalan
0335 16:50 SWASTA
Non-insulin-dependent
0151B1090422P00 08-04-2022 Diabetes Diabetes
865 04-08-2022 0000088293644 HASAN BOESRI L PNS PUSAT diabetes mellitus with Berobat Jalan
0333 14:47 Mellitus Mellitus
unspecified complications
0151B1090422P00 08-04-2022 Essential (primary)
866 04-08-2022 0000088528779 ZULAIKHA ARIYANTI P PNS PUSAT Berobat Jalan Hipertensi Hipertensi
0314 09:51 hypertension
0151B1090422P00 08-04-2022
867 04-08-2022 0000090915873 WATIK HARMANI P PNS PUSAT Pulpitis Berobat Jalan
0322 11:24
0151B1090422P00 08-04-2022 PENERIMA
868 04-08-2022 0000091308633 SITI RUSTINI HS P Congestive heart failure Rujuk Vertikal
0337 19:07 PENSIUN PNS
0151B1090422P00 08-04-2022 Hydrocephalus,
869 04-08-2022 0000091550182 DWI ARIES HIMAWANTO L PNS PUSAT Rujuk Vertikal
0315 09:53 unspecified
0151B1090422P00 08-04-2022
870 04-08-2022 0000095677266 SAKRI WARASTROTOMO L PNS DAERAH Gout, unspecified Berobat Jalan
0312 09:40
0151B1090422P00 08-04-2022 DEVIKA ADZKIYA
871 04-08-2022 0000204732573 P PNS PUSAT Nausea and vomiting Berobat Jalan
0309 08:34 RUJIYATNO
0151B1090422P00 08-04-2022 LAILA NUR AZIZAH
872 04-08-2022 0000737553159 P PBI (APBN) Necrosis of pulp Rujuk Vertikal
0331 14:25 RHAMADANI
0151B1090422P00 08-04-2022
873 04-08-2022 0001186719737 ADRI YUDHIAWATI P PNS DAERAH Visual disturbances Berobat Jalan
0308 08:21
0151B1090422P00 08-04-2022 PEKERJA
874 04-08-2022 0001267880826 ACHMAD SISWANTO L Dermatitis, unspecified Berobat Jalan
0310 08:59 MANDIRI
0151B1090422P00 08-04-2022 PEGAWAI Malignant neoplasm of Diabetes
875 04-08-2022 0001270669162 ROHMAD L Berobat Jalan
0334 16:02 SWASTA nasopharynx, unspecified Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 08-04-2022 PEKERJA

876 04-08-2022 0001310603883 sumiyati P Keloid scar Berobat Jalan
0319 10:35 MANDIRI
0151B1090422P00 08-04-2022 MUHAMMAD UMAR PEGAWAI Acute nasopharyngitis
877 04-08-2022 0001327559668 L Berobat Jalan
0332 14:27 ABDILLAH SWASTA [common cold]
Gastro-oesophageal reflux
0151B1090422P00 08-04-2022 PEGAWAI
878 04-08-2022 0001524766713 YUNI CATUR RISTANTI P disease without Berobat Jalan
0326 13:52 SWASTA
oesophagitis
0151B1090422P00 08-04-2022 PEGAWAI
879 04-08-2022 0001524766724 FADILlA DAFFA MUTHIA P Otitis externa Berobat Jalan
0325 13:48 SWASTA
0151B1090422P00 08-04-2022 KAYANA AMOREtTA PEGAWAI
880 04-08-2022 0001524766735 P Counselling, unspecified Berobat Jalan
0327 13:55 AZIZAH SWASTA
0151B1090422P00 08-04-2022 PEGAWAI
881 04-08-2022 0001525966582 BROTO SANTOSO L Chronic periodontitis Berobat Jalan
0323 11:27 SWASTA
0151B1090422P00 08-04-2022 PEGAWAI
882 04-08-2022 0001691854086 M. HARIS AL HAFIDZ L Urticaria Berobat Jalan
0329 14:21 SWASTA
0151B1090422P00 08-04-2022
883 04-08-2022 0001691857247 WASILAH P - Low back pain Berobat Jalan Hipertensi
0313 09:48
0151B1090422P00 08-04-2022 PEGAWAI Essential (primary)
884 04-08-2022 0001692814781 GANDUNG SETIYOKO L Berobat Jalan
0338 19:25 SWASTA hypertension
0151B1090422P00 08-04-2022 PEKERJA Fracture of neck of femur,
885 04-08-2022 0001695191185 WAGIMAN L Rujuk Vertikal
0320 11:00 MANDIRI closed
0151B1090422P00 08-04-2022 PEKERJA
886 04-08-2022 0001815632482 RESTU HELMIYANA L Myopia Berobat Jalan
0317 10:10 MANDIRI
Diabetes
0151B1090422P00 08-04-2022 PENERIMA Essential (primary)
887 04-08-2022 0001861620546 SUMARSO L Berobat Jalan Mellitus
0311 09:23 PENSIUN SWASTA hypertension
Hipertensi
0151B1090422P00 08-04-2022 MUHAMMAD RAFI ISLAMI PEGAWAI Acute nasopharyngitis
888 04-08-2022 0002167204037 L Berobat Jalan
0316 10:08 PASHA SWASTA [common cold]
0151B1090422P00 08-04-2022 HANA MAULIDA PEKERJA
889 04-08-2022 0002202711658 P Pulpitis Berobat Jalan
0321 11:22 QURROTA A' YUNINA MANDIRI
0151B1090422P00 08-04-2022 MUHAMMAD FARIS AL PEGAWAI
890 04-08-2022 0002289104381 L Fever, unspecified Berobat Jalan
0318 10:25 HAFIZH SWASTA
0151B1090422P00 08-04-2022 PEKERJA Chronic kidney disease,
891 04-08-2022 0002301565059 SUDARSI P Rujuk Vertikal
0324 13:07 MANDIRI stage 5
0151B1090422P00 08-04-2022 ARSYILA HANIFA PEGAWAI Acute nasopharyngitis
892 04-08-2022 0002936774878 P Berobat Jalan
0330 14:23 FARZANA SWASTA [common cold]
0151B1090422P00 08-04-2022 PEGAWAI
893 04-08-2022 0003055511553 DRU IQRA KALANDRA L Fever, unspecified Rujuk Vertikal
0339 19:37 SWASTA
0151B1090422P00 08-04-2022 MUHAMMAD THORIQ PEKERJA Other pneumonia,
894 04-08-2022 0003099602597 L Rujuk Vertikal
0328 13:59 NAFI`UDIN S MANDIRI organism unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 07-04-2022
895 04-07-2022 0000022945667 FATHIN THARIQ WIYONO L PNS PUSAT Fever, unspecified Berobat Jalan
0285 13:48
0151B1090422P00 07-04-2022 ISMAIL HENDRA PEGAWAI Acute nasopharyngitis
896 04-07-2022 0000075945071 L Berobat Jalan
0307 20:24 GUNAWAN SWASTA [common cold]

0151B1090422P00 07-04-2022 NALURI ANJAR PEKERJA Hyperemesis gravidarum

897 04-07-2022 0000076353491 P Berobat Jalan
0295 16:40 WIDYASTUTI MANDIRI with metabolic disturbance

0151B1090422P00 07-04-2022 PENERIMA

898 04-07-2022 0000086933711 SUPRIYADI L Urticaria Berobat Jalan
0271 10:32 PENSIUN PNS
0151B1090422P00 07-04-2022 PENERIMA Stomatitis and related
899 04-07-2022 0000088765075 SITI NI'MAH P Berobat Jalan
0279 11:37 PENSIUN PNS lesions
0151B1090422P00 07-04-2022 ANDI MUHAMMAD PEGAWAI Cutaneous abscess,
900 04-07-2022 0000088914429 L Berobat Jalan
0289 14:43 MURSYID SWASTA furuncle and carbuncle
0151B1090422P00 07-04-2022 Diabetes Diabetes
901 04-07-2022 0000090051895 ANI KUSHARYATI P PNS DAERAH Dyspepsia Berobat Jalan
0261 09:02 Mellitus Mellitus
PEGAWAI
PEMERINTAH
0151B1090422P00 07-04-2022 Dysmenorrhoea,
902 04-07-2022 0000090998267 FITRI KUSUMADEWI P DENGAN Berobat Jalan
0273 11:21 unspecified
PERJANJIAN
KERJA
0151B1090422P00 07-04-2022 PEGAWAI
903 04-07-2022 0000091581963 KUN TRI UTAMI P Fever, unspecified Berobat Jalan
0288 14:39 SWASTA
0151B1090422P00 07-04-2022 PEGAWAI
904 04-07-2022 0000631596036 IHYA ULUMUDIN L Conjunctivitis Berobat Jalan
0260 09:01 SWASTA
0151B1090422P00 07-04-2022 PEGAWAI Acute nasopharyngitis
905 04-07-2022 0001134860117 QODRI ROYANI L Berobat Jalan
0294 16:39 SWASTA [common cold]
Respiratory disorders in
0151B1090422P00 07-04-2022 PEGAWAI
906 04-07-2022 0001145283309 KHOIRIYAH P other diseases classified Rujuk Vertikal
0305 19:35 SWASTA
elsewhere
0151B1090422P00 07-04-2022 PEKERJA
907 04-07-2022 0001263620158 DENI ARIBOWO L Pulpitis Berobat Jalan
0277 11:26 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090422P00 07-04-2022 Cutaneous abscess,
908 04-07-2022 0001286763219 NUR PRAMUSANTI P DENGAN Berobat Jalan
0264 09:18 furuncle and carbuncle
PERJANJIAN
KERJA
0151B1090422P00 07-04-2022 PEKERJA Chronic ischaemic heart
909 04-07-2022 0001301826442 MARYANTO L Rujuk Vertikal
0268 10:11 MANDIRI disease, unspecified
0151B1090422P00 07-04-2022 PEKERJA
910 04-07-2022 0001323418195 SUPARJAN L Dyspepsia Berobat Jalan Hipertensi
0292 15:49 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 07-04-2022 PENERIMA Atherosclerotic heart

911 04-07-2022 0001341450639 RM TONTOWI L Rujuk Vertikal
0284 13:10 PENSIUN SWASTA disease

0151B1090422P00 07-04-2022 R.NGT. ELISABETH NOVIA PEKERJA

912 04-07-2022 0001449331312 P Abrasion of teeth Berobat Jalan
0274 11:24 WORO SATRIANINGSIH MANDIRI

0151B1090422P00 07-04-2022 PEKERJA Acute upper respiratory

913 04-07-2022 0001524817653 SARTINI P Berobat Jalan
0299 17:21 MANDIRI infection, unspecified

0151B1090422P00 07-04-2022 RIZAM ARFIAWAN PEGAWAI Burn of unspecified body

914 04-07-2022 0001525229583 L Berobat Jalan
0306 20:22 WIBOWO SWASTA region, unspecified degree

0151B1090422P00 07-04-2022 PEKERJA

915 04-07-2022 0001525354593 BAMBANG MURSIDI L Necrosis of pulp Berobat Jalan
0297 16:41 MANDIRI
0151B1090422P00 07-04-2022 PEGAWAI
916 04-07-2022 0001526215882 ERNING WIJAYANTI P Secondary hypertension Rujuk Vertikal
0304 19:33 SWASTA
0151B1090422P00 07-04-2022 PEGAWAI
917 04-07-2022 0001528366882 KUSMIYATI L Haemorrhoids Berobat Jalan
0259 08:56 SWASTA

KEPALA DESA
0151B1090422P00 07-04-2022 SALSABELLA HASNA Acute nasopharyngitis
918 04-07-2022 0001529571824 P DAN PERANGKAT Berobat Jalan
0290 15:28 PRASOJO [common cold]
DESA

0151B1090422P00 07-04-2022 PEGAWAI Acute nasopharyngitis

919 04-07-2022 0001534371502 DEWI KURNIAWATI P Berobat Jalan
0302 19:18 SWASTA [common cold]
0151B1090422P00 07-04-2022 PEGAWAI Periapical abscess without
920 04-07-2022 0001651642705 YENNI KHRISTIANA P Rujuk Vertikal
0303 19:21 SWASTA sinus
0151B1090422P00 07-04-2022 FAHREZA FAYYADHI PEGAWAI
921 04-07-2022 0001691853693 L Fever, unspecified Berobat Jalan
0267 09:57 ZHAFAR SWASTA
0151B1090422P00 07-04-2022 ALiFIYAH PEGAWAI Other disorders of urinary
922 04-07-2022 0001691854751 P Berobat Jalan
0278 11:36 RAHAYUNINGSIH SWASTA system
0151B1090422P00 07-04-2022 Diabetes
923 04-07-2022 0001691855919 ROKHIM SAG MM L - Counselling, unspecified Berobat Jalan
0263 09:10 Mellitus
0151B1090422P00 07-04-2022 PEGAWAI
924 04-07-2022 0001691856584 SURADI L Dyspepsia Berobat Jalan
0257 08:28 SWASTA
0151B1090422P00 07-04-2022 PEGAWAI
925 04-07-2022 0001691920462 HARMI SAG P Tinea corporis Berobat Jalan
0270 10:28 SWASTA
0151B1090422P00 07-04-2022 SYALAISHA RAJWA PEGAWAI Acute nasopharyngitis
926 04-07-2022 0001692820866 P Berobat Jalan
0296 16:40 FAATIHAH SWASTA [common cold]
0151B1090422P00 07-04-2022 PEGAWAI
927 04-07-2022 0001742783624 WIKA LESTARI P Necrosis of pulp Berobat Jalan
0300 19:11 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 07-04-2022 PEKERJA Essential (primary)

928 04-07-2022 0001849564822 sri sukarni P Berobat Jalan Hipertensi Hipertensi
0258 08:36 MANDIRI hypertension
0151B1090422P00 07-04-2022 Acute upper respiratory
929 04-07-2022 0001970209721 APRILIA IKA MUJAYANTI P PEGAWAI BUMN Berobat Jalan
0282 11:55 infection, unspecified
0151B1090422P00 07-04-2022 PEGAWAI Acute nasopharyngitis
930 04-07-2022 0001970877161 M MASKURI L Berobat Jalan
0293 16:38 SWASTA [common cold]
0151B1090422P00 07-04-2022 SHAFIRA AUDREY RAISA PEGAWAI
931 04-07-2022 0002052591489 P Dyspepsia Berobat Jalan
0262 09:05 PUTRI SWASTA
0151B1090422P00 07-04-2022 RIZKY KUSUMA LESTARI PEKERJA
932 04-07-2022 0002135850322 P Bipolar affective disorder Rujuk Vertikal
0269 10:24 TOYIBAH MANDIRI
0151B1090422P00 07-04-2022
933 04-07-2022 0002161647461 AYYAS FIDAREN L PNS DAERAH Fever, unspecified Berobat Jalan
0276 11:26
0151B1090422P00 07-04-2022 ALLAYA QINARRA PEGAWAI
934 04-07-2022 0002269626491 P Asthma Berobat Jalan
0280 11:41 GAVAPUTRI SWASTA
0151B1090422P00 07-04-2022 NAUFAL RAKA PEGAWAI Periapical abscess without
935 04-07-2022 0002287290857 L Berobat Jalan
0301 19:15 MAHENDRA SWASTA sinus
0151B1090422P00 07-04-2022 PEKERJA
936 04-07-2022 0002290735798 ARIF IMRON, ST L Atopic dermatitis Berobat Jalan
0272 10:41 MANDIRI
0151B1090422P00 07-04-2022
937 04-07-2022 0002503457662 SALSABILA NISA AZIZAH P PNS PUSAT Pulpitis Berobat Jalan
0287 14:26
0151B1090422P00 07-04-2022 PEKERJA
938 04-07-2022 0002614513781 NANDHIRA ALUNA RUBY P Fever, unspecified Berobat Jalan
0286 14:11 MANDIRI
0151B1090422P00 07-04-2022 DZUVIA MUGHNIY PEGAWAI Acute upper respiratory
939 04-07-2022 0002739400468 P Berobat Jalan
0298 17:02 ARSANINGSIH SWASTA infection, unspecified
0151B1090422P00 07-04-2022 PEGAWAI
940 04-07-2022 0002745517228 AZZURA BELVA AINAYYA P Fever, unspecified Berobat Jalan
0266 09:51 SWASTA
0151B1090422P00 07-04-2022 PEKERJA
941 04-07-2022 0002752292891 KHAILA PUTRI PRASETYO P Fever, unspecified Berobat Jalan
0265 09:49 MANDIRI
0151B1090422P00 07-04-2022 MUHAMMAD KINAAN AL PEGAWAI
942 04-07-2022 0003053334227 L Fever, unspecified Berobat Jalan
0281 11:53 KHALIFI HIDAYAT SWASTA
Non-insulin-dependent
0151B1090422P00 07-04-2022 PEGAWAI
943 04-07-2022 0003059882458 AMRIYAH TRI RODHIYAH P diabetes mellitus with Berobat Jalan
0283 13:09 SWASTA
unspecified complications
0151B1090422P00 07-04-2022
944 04-07-2022 0003065070532 AHZA HUSNAYAN L PNS DAERAH Fever, unspecified Rujuk Vertikal
0275 11:25
0151B1090422P00 07-04-2022 PEGAWAI
945 04-07-2022 0003257211734 RIZKY PUTRI SARI P Pregnancy confirmed Berobat Jalan
0291 15:46 SWASTA
Gastro-oesophageal reflux
0151B1090422P00 06-04-2022
946 04-06-2022 0000076361635 YAKUB NASUCHA L PNS PUSAT disease without Berobat Jalan
0242 14:37
oesophagitis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Other injuries of
0151B1090422P00 06-04-2022
947 04-06-2022 0000087476679 FATIMAH ZUHRIA P PNS PUSAT unspecified body region, Berobat Jalan
0241 14:32
open
0151B1090422P00 06-04-2022 PENERIMA
948 04-06-2022 0000089053233 ROKHANI L Secondary hypertension Berobat Jalan
0252 19:39 PENSIUN PNS
Non-insulin-dependent
0151B1090422P00 06-04-2022 PENERIMA
949 04-06-2022 0000090923354 SUNARTO L diabetes mellitus with Rujuk Vertikal
0212 08:14 PENSIUN PNS
unspecified complications
Follow-up examination
0151B1090422P00 06-04-2022 PEKERJA
950 04-06-2022 0000091580027 BITAYANI WIDIHASTANTI P after treatment for Berobat Jalan
0247 17:09 MANDIRI
malignant neoplasms
0151B1090422P00 06-04-2022 Periapical abscess without
951 04-06-2022 0000104148145 MUH. RIEFQI ARYADI L - Berobat Jalan
0255 19:59 sinus
0151B1090422P00 06-04-2022 PEGAWAI Essential (primary)
952 04-06-2022 0000105316659 ARIN NUR JANNAH P Berobat Jalan Hipertensi Hipertensi
0231 10:41 SWASTA hypertension
0151B1090422P00 06-04-2022 PEGAWAI
953 04-06-2022 0000208228127 REZA WAHYU WIDAGDO L Low back pain Rujuk Vertikal
0253 19:43 SWASTA
0151B1090422P00 06-04-2022 SUSAN MAYASARI
954 04-06-2022 0000210099104 P PNS DAERAH Acute pharyngitis Berobat Jalan
0222 10:01 SETIANINGTIYAS
0151B1090422P00 06-04-2022 Chronic kidney disease,
955 04-06-2022 0000555278332 SRI WAGIYEM P PBI (APBN) Rujuk Vertikal
0211 08:09 stage 5
PEGAWAI
PEMERINTAH
0151B1090422P00 06-04-2022 Injury of unspecified body
956 04-06-2022 0001286763219 NUR PRAMUSANTI P DENGAN Berobat Jalan
0233 11:22 region
PERJANJIAN
KERJA
0151B1090422P00 06-04-2022 PEKERJA
958 04-06-2022 0001294205319 WAHYU NINGSIH P Retained dental root Rujuk Vertikal
0220 09:49 MANDIRI
0151B1090422P00 06-04-2022 PEGAWAI
959 04-06-2022 0001301333185 AHMADI PRIHANTORO L Low back pain Berobat Jalan
0234 11:35 SWASTA
0151B1090422P00 06-04-2022 PEGAWAI
960 04-06-2022 0001317941886 FIFIN HESTI OKTAFIANI P Low back pain Berobat Jalan
0235 11:36 SWASTA
0151B1090422P00 06-04-2022 PEGAWAI
961 04-06-2022 0001404264519 YUSUF L Acute periodontitis Rujuk Vertikal
0238 14:07 SWASTA
0151B1090422P00 06-04-2022 PEKERJA
962 04-06-2022 0001473153333 ENDANG KOMALASARI P Counselling, unspecified Berobat Jalan
0214 09:11 MANDIRI
0151B1090422P00 06-04-2022 PEKERJA
963 04-06-2022 0001528610747 FARID L Tension-type headache Berobat Jalan
0236 13:26 MANDIRI
0151B1090422P00 06-04-2022 Alyssa Adara Zhafira PEGAWAI Acute upper respiratory
964 04-06-2022 0001601678913 L Berobat Jalan
0246 16:37 Nugroho SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 06-04-2022 PEGAWAI Acute nasopharyngitis

965 04-06-2022 0001691854705 MASFUROH MISFAH SAG P Berobat Jalan
0228 10:16 SWASTA [common cold]
0151B1090422P00 06-04-2022 PEGAWAI
966 04-06-2022 0001691855447 FITRI DWI PURNAMAWATI P Fever, unspecified Berobat Jalan
0227 10:12 SWASTA
0151B1090422P00 06-04-2022 MUKHAROMAH RONI PEGAWAI
967 04-06-2022 0001692820811 P Twin pregnancy Rujuk Vertikal
0225 10:05 EKAWATI SWASTA
0151B1090422P00 06-04-2022 PEGAWAI
968 04-06-2022 0001693527851 SRI MULYANI P Fever, unspecified Berobat Jalan
0215 09:25 SWASTA
0151B1090422P00 06-04-2022 PEGAWAI
969 04-06-2022 0001848354704 NIHAYATUL QORIBAH P Necrosis of pulp Berobat Jalan
0250 19:19 SWASTA
0151B1090422P00 06-04-2022
970 04-06-2022 0001863301274 ANNISA SYARAFANA P PNS DAERAH Pulpitis Berobat Jalan
0224 10:04
0151B1090422P00 06-04-2022 DEANDRA DJANARDANA
971 04-06-2022 0001903828937 L PNS DAERAH Acute pharyngitis Berobat Jalan
0223 10:02 IRAWAN
0151B1090422P00 06-04-2022 PEKERJA
972 04-06-2022 0001965961664 YULI PURNOMO L Carpal tunnel syndrome Berobat Jalan
0213 08:54 MANDIRI
Loss of teeth due to
0151B1090422P00 06-04-2022 PEKERJA
973 04-06-2022 0001965962395 SRI WINARTI P accident, extraction or Berobat Jalan
0218 09:34 MANDIRI
local periodontal disease
0151B1090422P00 06-04-2022 PEGAWAI Acute nasopharyngitis
974 04-06-2022 0001970877161 M MASKURI L Berobat Jalan
0249 19:01 SWASTA [common cold]
0151B1090422P00 06-04-2022 PEKERJA Surgical follow-up care,
975 04-06-2022 0002198270316 YOLANDHA AFRILIANA P Berobat Jalan
0232 10:42 MANDIRI unspecified
0151B1090422P00 06-04-2022 PEGAWAI
976 04-06-2022 0002214759104 YULI KRISTANTO L Chronic gingivitis Berobat Jalan
0254 19:58 SWASTA
0151B1090422P00 06-04-2022 MUHAMMAD YULI PEKERJA Acute upper respiratory
977 04-06-2022 0002234568532 L Berobat Jalan
0237 13:29 WIDODO RAHARJO MANDIRI infection, unspecified
0151B1090422P00 06-04-2022 PEGAWAI
978 04-06-2022 0002274095845 TANTRI MEINA SARI P Myalgia Berobat Jalan
0248 18:56 SWASTA
0151B1090422P00 06-04-2022 PEGAWAI Stroke, not specified as
979 04-06-2022 0002284279795 JUNI SUYANTO L Rujuk Vertikal
0229 10:19 SWASTA haemorrhage or infarction
0151B1090422P00 06-04-2022 PEGAWAI
980 04-06-2022 0002293174967 TEGUH SASONGKO L Necrosis of pulp Berobat Jalan
0251 19:20 SWASTA
0151B1090422P00 06-04-2022 PEGAWAI
981 04-06-2022 0002301453753 ARIS WIJAYANTI P Impacted teeth Rujuk Vertikal
0226 10:07 SWASTA
0151B1090422P00 06-04-2022 SHAFIQA QAIREEN PEKERJA
982 04-06-2022 0002311279593 P Otitis externa Berobat Jalan
0216 09:31 AZZAIDA MANDIRI
0151B1090422P00 06-04-2022 PEGAWAI
983 04-06-2022 0002311538679 IHAH RIHATULJANAH P Keloid scar Rujuk Vertikal
0243 16:18 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 06-04-2022
984 04-06-2022 0002322992114 DWI PUTRA SUBAKTI L PBI (APBN) Counselling, unspecified Berobat Jalan
0230 10:39
0151B1090422P00 06-04-2022 PEKERJA
985 04-06-2022 0002473891266 TENTREM WIDODO L Other cerebral infarction Rujuk Vertikal
0256 19:59 MANDIRI
0151B1090422P00 06-04-2022 PEGAWAI Atopic dermatitis,
986 04-06-2022 0002475337239 SHAFIYYAH AMATULLAH P Berobat Jalan
0240 14:31 SWASTA unspecified
0151B1090422P00 06-04-2022 ARVIANO NARENDRA Acute nasopharyngitis
987 04-06-2022 0002776121234 L PNS DAERAH Berobat Jalan
0221 10:00 IRAWAN [common cold]
0151B1090422P00 06-04-2022 PUTRI PERLIS
988 04-06-2022 0002915801548 P PNS DAERAH Conjunctivitis Berobat Jalan
0217 09:32 SETYAWATI
0151B1090422P00 06-04-2022 SAFWANA AFDILA PEGAWAI
989 04-06-2022 0003065796202 P Fever, unspecified Berobat Jalan
0239 14:20 GUNAWAN SWASTA
0151B1090422P00 06-04-2022 BAYI NYONYA FITRI NUR PEGAWAI Toxic effect of contact with
990 04-06-2022 0003088075588 P Berobat Jalan
0244 16:29 ROHMAH SWASTA venomous animals
0151B1090422P00 06-04-2022 ARSLAN ABDURRAHMAN PEGAWAI Acute upper respiratory
991 04-06-2022 0003106804948 L Berobat Jalan
0245 16:32 GHAZY SWASTA infection, unspecified
0151B1090422P00 06-04-2022 PEKERJA
992 04-06-2022 0003133788671 BUDI ANTORO L Counselling, unspecified Berobat Jalan
0219 09:41 MANDIRI
0151B1090422P00 05-04-2022 HINDA HANIFA QURRATA PEKERJA
993 04-05-2022 0000086004461 P Pulpitis Berobat Jalan
0201 19:21 AYUNIN MANDIRI
0151B1090422P00 05-04-2022 Acute upper respiratory
994 04-05-2022 0000088545429 ANDI KUSUMA SEDANA L PNS DAERAH Berobat Jalan
0172 08:15 infection, unspecified
0151B1090422P00 05-04-2022 PENERIMA
995 04-05-2022 0000090923354 SUNARTO L Counselling, unspecified Berobat Jalan
0191 13:19 PENSIUN PNS
0151B1090422P00 05-04-2022 KEVIN PEKERJA
996 04-05-2022 0000090946181 L Pulpitis Berobat Jalan
0209 19:52 ARDYAPRIMATAMA MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI
997 04-05-2022 0000105316659 ARIN NUR JANNAH P Counselling, unspecified Berobat Jalan Hipertensi Hipertensi
0206 19:43 SWASTA
0151B1090422P00 05-04-2022 PEGAWAI
998 04-05-2022 0000207999055 AMELIA GITA TIFANI P Counselling, unspecified Berobat Jalan
0202 19:26 SWASTA
0151B1090422P00 05-04-2022 FREDDYANSYAH PEGAWAI
999 04-05-2022 0000564686436 L Acute pharyngitis Berobat Jalan
0195 14:42 SUGIARTO SWASTA
0151B1090422P00 05-04-2022
1000 04-05-2022 0001160102373 WIJI ASTUTIK P - Pregnancy confirmed Rujuk Vertikal
0178 08:56
0151B1090422P00 05-04-2022 PEKERJA
1001 04-05-2022 0001294205319 WAHYU NINGSIH P Retained dental root Berobat Jalan
0203 19:29 MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI Acute nasopharyngitis
1002 04-05-2022 0001301333185 AHMADI PRIHANTORO L Berobat Jalan
0194 14:07 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 05-04-2022 PEGAWAI Essential (primary)

1003 04-05-2022 0001404266016 JUWADI L Berobat Jalan Hipertensi Hipertensi
0210 19:54 SWASTA hypertension
0151B1090422P00 05-04-2022 PEGAWAI
1004 04-05-2022 0001446634449 SHOLAHUDDIN L Cervicocranial syndrome Berobat Jalan
0196 15:49 SWASTA
0151B1090422P00 05-04-2022
1005 04-05-2022 0001495820474 NUR'AINI P PBI (APBN) Chronic periodontitis Berobat Jalan
0200 19:17
0151B1090422P00 05-04-2022 PEGAWAI
1006 04-05-2022 0001525346684 AULIA KHAIRINNISA L Otitis externa Berobat Jalan
0186 10:23 SWASTA
0151B1090422P00 05-04-2022 PEKERJA
1007 04-05-2022 0001529783515 EMI ERNASARI P Seborrhoeic keratosis Rujuk Vertikal
0175 08:30 MANDIRI
0151B1090422P00 05-04-2022 PEKERJA
1008 04-05-2022 0001532901227 WALIMAN L Diabetic retinopathy Rujuk Vertikal
0180 09:06 MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI
1009 04-05-2022 0001532942649 SADREMI P Dyspepsia Berobat Jalan
0207 19:44 SWASTA
0151B1090422P00 05-04-2022 ASWIT SACCHAROSA SK PEGAWAI Alzheimer's disease,
1010 04-05-2022 0001691852758 P Rujuk Vertikal
0177 08:51 S PD SWASTA unspecified
0151B1090422P00 05-04-2022 AISYA ZUKHRUFA PEGAWAI Cutaneous abscess,
1011 04-05-2022 0001691852771 P Berobat Jalan
0176 08:41 JANNAH SWASTA furuncle and carbuncle
0151B1090422P00 05-04-2022 PEGAWAI Acute nasopharyngitis
1012 04-05-2022 0001691854852 DAFFA HANIF DZULHILMI L Berobat Jalan
0174 08:24 SWASTA [common cold]
0151B1090422P00 05-04-2022 SASKIA ANGGRAINI PEKERJA
1013 04-05-2022 0001739508759 P Impacted teeth Rujuk Vertikal
0184 10:09 SYAFITRI MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI
1014 04-05-2022 0001739508772 BRIAN ERLANGGA L Sprain and strain of ankle Berobat Jalan
0183 10:06 SWASTA
0151B1090422P00 05-04-2022 RAMA SEPTIAN
1015 04-05-2022 0001830382165 L PNS DAERAH Dyspepsia Berobat Jalan
0190 11:30 ARDIANTO
PEGAWAI
PEMERINTAH
0151B1090422P00 05-04-2022 Acute nasopharyngitis
1016 04-05-2022 0001891150942 HALIDA MA'WATUL EDSAL P DENGAN Berobat Jalan
0192 13:33 [common cold]
PERJANJIAN
KERJA
0151B1090422P00 05-04-2022 HAFIZAH HUMAIRA Acute nasopharyngitis
1017 04-05-2022 0002254069765 P PNS DAERAH Berobat Jalan
0171 08:11 SEDANA [common cold]
0151B1090422P00 05-04-2022 PEKERJA
1018 04-05-2022 0002287739621 SRI MURYANI P Congestive heart failure Rujuk Vertikal
0198 17:16 MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI
1019 04-05-2022 0002294690657 ARKA AZRILAN PRATAMA L Fever, unspecified Berobat Jalan
0182 09:58 SWASTA
0151B1090422P00 05-04-2022 PEGAWAI Enteroviral vesicular
1020 04-05-2022 0002305988818 DAFFA KHOIRU NIZAM L Berobat Jalan
0179 08:59 SWASTA stomatitis with exanthem
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 05-04-2022 PEGAWAI

1021 04-05-2022 0002309282346 SUWARNI P Trigger finger Berobat Jalan
0187 10:33 SWASTA
0151B1090422P00 05-04-2022 PEGAWAI Cutaneous abscess,
1022 04-05-2022 0002462921458 JOKO SUNARTO L Berobat Jalan
0188 10:52 SWASTA furuncle and carbuncle
0151B1090422P00 05-04-2022 NAYLA SALSABILA PEGAWAI
1023 04-05-2022 0002470561457 P Fever, unspecified Berobat Jalan
0205 19:38 AZZAHRA SWASTA
0151B1090422P00 05-04-2022 PEKERJA
1024 04-05-2022 0002472795022 LASIYEM P Gout Berobat Jalan
0204 19:32 MANDIRI
0151B1090422P00 05-04-2022 SOETARTO ABDUL AZIZ PEKERJA Acute nasopharyngitis
1025 04-05-2022 0002484124176 L Berobat Jalan
0185 10:19 HANAFI MANDIRI [common cold]
0151B1090422P00 05-04-2022 PEGAWAI
1026 04-05-2022 0002509340905 UFAIRA NISA HAFIDZAH P Conjunctivitis Berobat Jalan
0197 16:34 SWASTA
0151B1090422P00 05-04-2022 AZZARA DIANDRA AL PEGAWAI
1027 04-05-2022 0002695474844 P Nausea and vomiting Berobat Jalan
0181 09:13 FACHRERA SWASTA
0151B1090422P00 05-04-2022 PEGAWAI Acute nasopharyngitis
1028 04-05-2022 0002739541296 NABILA FELIZA AGHNIA P Berobat Jalan
0189 10:57 SWASTA [common cold]
0151B1090422P00 05-04-2022 PEKERJA
1029 04-05-2022 0002768744452 SUPAHAM L Secondary hypertension Berobat Jalan
0193 13:46 MANDIRI
0151B1090422P00 05-04-2022 PEGAWAI
1030 04-05-2022 0003055511553 DRU IQRA KALANDRA L Fever, unspecified Berobat Jalan
0208 19:50 SWASTA
0151B1090422P00 05-04-2022 SAFWANA AFDILA PEGAWAI
1031 04-05-2022 0003065796202 P Fever, unspecified Berobat Jalan
0173 08:18 GUNAWAN SWASTA
0151B1090422P00 05-04-2022 KASYAFANI THAQIF PEGAWAI
1032 04-05-2022 0003068280652 L Measles Berobat Jalan
0199 19:10 ANAQI SWASTA
0151B1090422P00 04-04-2022 Atherosclerotic heart
1033 04-04-2022 0000072422785 SAIPUDIN FADLIE L PNS DAERAH Rujuk Vertikal
0119 09:39 disease
0151B1090422P00 04-04-2022 Injury of unspecified body
1034 04-04-2022 0000087476679 FATIMAH ZUHRIA P PNS PUSAT Berobat Jalan
0150 13:05 region
0151B1090422P00 04-04-2022 PEGAWAI
1035 04-04-2022 0000088146606 MANDASARI DEWI P Pregnancy confirmed Berobat Jalan
0146 12:17 SWASTA

Diarrhoea and
0151B1090422P00 04-04-2022
1036 04-04-2022 0000088543899 ALYA FAUZIAH HASNA P PNS PUSAT gastroenteritis of Berobat Jalan
0164 19:33
presumed infectious origin

0151B1090422P00 04-04-2022 PENERIMA Essential (primary)

1037 04-04-2022 0000091041344 WIDODO L Berobat Jalan Hipertensi Hipertensi
0142 11:31 PENSIUN PNS hypertension
0151B1090422P00 04-04-2022 PENERIMA
1038 04-04-2022 0000091467562 RAKIMAN L Vertigo of central origin Berobat Jalan
0138 11:15 PENSIUN PNS
0151B1090422P00 04-04-2022 PEGAWAI
1039 04-04-2022 0000582076078 AHMAD THOHIR L Conjunctivitis Berobat Jalan
0127 10:12 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 04-04-2022 PEGAWAI

1040 04-04-2022 0000582076359 SUNANING P Conjunctivitis Berobat Jalan
0130 10:16 SWASTA
Postprocedural disorder of
0151B1090422P00 04-04-2022
1041 04-04-2022 0000639842589 DWI KARYANTI P PBI (APBN) eye and adnexa, Rujuk Vertikal
0124 10:07
unspecified

0151B1090422P00 04-04-2022 PEKERJA Noninflammatory disorder

1042 04-04-2022 0000639894273 RETNOWATI P Berobat Jalan
0161 18:10 MANDIRI of vagina, unspecified

0151B1090422P00 04-04-2022 PENERIMA Malignant neoplasm of

1043 04-04-2022 0001078820493 YULIANI SAPTANINGSIH P Rujuk Vertikal
0109 08:48 PENSIUN TNI cervix uteri, unspecified
0151B1090422P00 04-04-2022 PEGAWAI
1044 04-04-2022 0001134860117 QODRI ROYANI L Malaise and fatigue Berobat Jalan
0148 12:25 SWASTA
0151B1090422P00 04-04-2022
1045 04-04-2022 0001169137135 KHONSA LATIFA L - Malaise and fatigue Berobat Jalan
0149 12:27
0151B1090422P00 04-04-2022 PEKERJA Acute pharyngitis,
1046 04-04-2022 0001282216421 MASYITOH AL AYYUBI P Berobat Jalan
0118 09:37 MANDIRI unspecified
Hypertensive heart
0151B1090422P00 04-04-2022 PEKERJA
1047 04-04-2022 0001305455567 SUGIYANTI P disease without Rujuk Vertikal
0132 10:42 MANDIRI
(congestive) heart failure
0151B1090422P00 04-04-2022 PEGAWAI
1048 04-04-2022 0001317941886 FIFIN HESTI OKTAFIANI P Pregnancy confirmed Berobat Jalan
0147 12:17 SWASTA
0151B1090422P00 04-04-2022 NICO ALEXANDER PEKERJA
1049 04-04-2022 0001319523491 L Nail disorders Berobat Jalan
0158 16:36 HANDOKO MANDIRI
0151B1090422P00 04-04-2022 PEKERJA
1050 04-04-2022 0001323277661 RANI P Necrosis of pulp Berobat Jalan
0125 10:07 MANDIRI
Non-insulin-dependent
0151B1090422P00 04-04-2022 Diabetes Diabetes
1051 04-04-2022 0001390630307 HAWANG P PBI (APBN) diabetes mellitus with Rujuk Vertikal
0117 09:33 Mellitus Mellitus
unspecified complications
0151B1090422P00 04-04-2022 PEGAWAI
1052 04-04-2022 0001404266027 SULIYAH P Urticaria Berobat Jalan
0141 11:28 SWASTA
0151B1090422P00 04-04-2022 NADIYYA ZAHIRA
1053 04-04-2022 0001433501921 P PNS PUSAT Necrosis of pulp Berobat Jalan
0136 11:00 KUSWANTORO
0151B1090422P00 04-04-2022 Acute upper respiratory
1054 04-04-2022 0001436753057 RAYSA MIKAYLA DANDI L PEGAWAI BUMN Berobat Jalan
0108 08:35 infection, unspecified
0151B1090422P00 04-04-2022 PEKERJA Hypertensive heart
1055 04-04-2022 0001445070666 EPI RIZANDI L Rujuk Vertikal
0155 14:59 MANDIRI disease
0151B1090422P00 04-04-2022 PEGAWAI
1056 04-04-2022 0001524766375 HAIFA FRIEDA SARI P Fever, unspecified Berobat Jalan
0154 14:45 SWASTA
0151B1090422P00 04-04-2022 PEKERJA
1057 04-04-2022 0001525042192 SUMARSIH P Dyspepsia Berobat Jalan
0163 19:30 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

KEPALA DESA
0151B1090422P00 04-04-2022
1058 04-04-2022 0001529571802 SITI SOLEKAH P DAN PERANGKAT Other arthrosis Berobat Jalan
0137 11:08
DESA

0151B1090422P00 04-04-2022 PEKERJA

1059 04-04-2022 0001529783515 EMI ERNASARI P Necrosis of pulp Berobat Jalan
0168 19:57 MANDIRI
0151B1090422P00 04-04-2022 PEKERJA
1061 04-04-2022 0001529783526 RACHMAT SANTOSA, SE L Retained dental root Berobat Jalan
0170 19:58 MANDIRI
0151B1090422P00 04-04-2022 PEGAWAI Acute nasopharyngitis
1062 04-04-2022 0001531743355 RAYHAN AL DAFI L Berobat Jalan
0165 19:35 SWASTA [common cold]
0151B1090422P00 04-04-2022 PEGAWAI Visual disturbance,
1063 04-04-2022 0001532671367 DJASMIN L Rujuk Vertikal Hipertensi
0144 11:38 SWASTA unspecified
0151B1090422P00 04-04-2022 PEGAWAI
1064 04-04-2022 0001624991556 IRMA NABILA ISTIADZAH P Pulpitis Berobat Jalan
0162 18:22 SWASTA
0151B1090422P00 04-04-2022 PEGAWAI
1065 04-04-2022 0001691853039 WIDAYATI P Hypermetropia Berobat Jalan
0120 09:49 SWASTA
0151B1090422P00 04-04-2022 MUH. NASIKHIN TAQWAD, PEGAWAI Presence of intraocular
1066 04-04-2022 0001691854975 L Rujuk Vertikal
0133 10:50 S.AG. SWASTA lens
0151B1090422P00 04-04-2022 PEGAWAI Acute nasopharyngitis
1067 04-04-2022 0001691857269 ROBBI FADIL IBRAHIM L Berobat Jalan
0111 08:57 SWASTA [common cold]
0151B1090422P00 04-04-2022 PEGAWAI Essential (primary)
1068 04-04-2022 0001691920258 SUMIRAH P Berobat Jalan Hipertensi
0153 14:44 SWASTA hypertension
0151B1090422P00 04-04-2022 PEGAWAI
1069 04-04-2022 0001691920293 TINAYULIANTI, DRA.HJ P Other primary gonarthrosis Rujuk Vertikal
0131 10:22 SWASTA
0151B1090422P00 04-04-2022 PEGAWAI
1070 04-04-2022 0001691920719 ARI WIDAYATI P Conjunctivitis Berobat Jalan
0157 16:08 SWASTA
0151B1090422P00 04-04-2022 PEGAWAI Acute nasopharyngitis
1071 04-04-2022 0001692820899 Muninggar Kusumastuti P Berobat Jalan
0166 19:43 SWASTA [common cold]
0151B1090422P00 04-04-2022 PEGAWAI Acute nasopharyngitis
1072 04-04-2022 0001692820912 Javier Athaya Aradhana L Berobat Jalan
0169 19:57 SWASTA [common cold]
0151B1090422P00 04-04-2022 PEGAWAI
1073 04-04-2022 0001693527851 SRI MULYANI P Fever, unspecified Berobat Jalan
0107 08:24 SWASTA
0151B1090422P00 04-04-2022 PEGAWAI
1074 04-04-2022 0001790350806 ANGGY YUANDARI P Keloid scar Rujuk Vertikal
0105 08:10 SWASTA
0151B1090422P00 04-04-2022 PEGAWAI
1075 04-04-2022 0001850244715 KAISA PUTRI SALSABILA P Dyspepsia Berobat Jalan
0160 18:09 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090422P00 04-04-2022
1076 04-04-2022 0001891149772 EDI PURWANTO L DENGAN Low back pain Berobat Jalan
0145 11:50
PERJANJIAN
KERJA
0151B1090422P00 04-04-2022 PEKERJA Acute nasopharyngitis
1077 04-04-2022 0002033777081 BELLA ALFIANA NURAINI P Berobat Jalan
0113 09:01 MANDIRI [common cold]
0151B1090422P00 04-04-2022 KHOIRUSSHABRI AGIT Mu PEGAWAI Acute nasopharyngitis
1078 04-04-2022 0002045401727 L Berobat Jalan
0140 11:21 ABBAD SWASTA [common cold]
0151B1090422P00 04-04-2022 MARCELINO BAGUS DWI PEKERJA
1079 04-04-2022 0002059735893 L Dyspnoea Rujuk Vertikal
0106 08:16 ANDIKA MANDIRI
0151B1090422P00 04-04-2022 ALIIF NAUFAL PUTRA PEGAWAI Acute nasopharyngitis
1080 04-04-2022 0002066229729 L Berobat Jalan
0134 10:55 ARIAWAN SWASTA [common cold]
0151B1090422P00 04-04-2022 PEGAWAI
1081 04-04-2022 0002224229624 MEI RENGGA ISTIYANTO L Other disorders of urethra Berobat Jalan
0167 19:48 SWASTA
0151B1090422P00 04-04-2022 PEKERJA Disturbances in tooth
1082 04-04-2022 0002229574656 ABDU RAHMAN BENABID L Berobat Jalan
0129 10:16 MANDIRI eruption
0151B1090422P00 04-04-2022 ACHMAD HASAN PEGAWAI Disturbances in tooth
1083 04-04-2022 0002235222281 L Berobat Jalan
0123 10:06 MAFATIH SWASTA eruption
0151B1090422P00 04-04-2022 PEKERJA
1084 04-04-2022 0002277678475 SAKBANI RAHARJO L Urticaria Berobat Jalan
0152 13:23 MANDIRI
0151B1090422P00 04-04-2022 PEKERJA Acute nasopharyngitis
1085 04-04-2022 0002308812726 NAFIL KHAIRIL HANIF L Berobat Jalan
0112 09:00 MANDIRI [common cold]
Non-insulin-dependent
0151B1090422P00 04-04-2022
1086 04-04-2022 0002311284126 SUHARNO L PBI (APBN) diabetes mellitus with Rujuk Vertikal
0110 08:52
unspecified complications
0151B1090422P00 04-04-2022 Eustachian tube disorder,
1087 04-04-2022 0002375044018 ENDANG SRI LESTARI P INVESTOR Rujuk Vertikal
0143 11:35 unspecified
0151B1090422P00 04-04-2022 PEKERJA Acute upper respiratory
1088 04-04-2022 0002419052005 NOVIANA PERMATASARI P Berobat Jalan Hipertensi Hipertensi
0116 09:30 MANDIRI infection, unspecified
0151B1090422P00 04-04-2022 PEKERJA Acute upper respiratory
1089 04-04-2022 0002419052602 GLORIA KISHA ZAHIRAH P Berobat Jalan
0115 09:22 MANDIRI infection, unspecified
0151B1090422P00 04-04-2022 PEKERJA Cervical disc disorder,
1090 04-04-2022 0002447255553 SUROTO HADI SUSANTO L Rujuk Vertikal
0122 10:04 MANDIRI unspecified

Non-insulin-dependent
0151B1090422P00 04-04-2022 PEGAWAI Diabetes
1091 04-04-2022 0002449515521 TUKINAH P diabetes mellitus with Rujuk Vertikal
0139 11:17 SWASTA Mellitus
neurological complications

0151B1090422P00 04-04-2022 ABIYYU NATAN PEGAWAI Urinary tract infection

1092 04-04-2022 0002454325569 L Berobat Jalan
0121 09:58 WIJANARKA SWASTA following delivery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 04-04-2022 AZRINA LAVENIA PEGAWAI

1093 04-04-2022 0002468370789 P Conjunctivitis Berobat Jalan
0156 16:05 QOTRUNNADA NAWAWI SWASTA
0151B1090422P00 04-04-2022 MUHAMMAD HUSNU PEGAWAI
1094 04-04-2022 0002489019794 L Conjunctivitis Berobat Jalan
0128 10:15 TSAWAAB SWASTA
0151B1090422P00 04-04-2022 PEKERJA
1095 04-04-2022 0002521785756 SRI SUWARNI P Secondary hypertension Berobat Jalan Hipertensi Hipertensi
0151 13:17 MANDIRI
0151B1090422P00 04-04-2022 PEKERJA Acute upper respiratory
1096 04-04-2022 0002613784072 GIO VIGOR SAPUJAGAD L Berobat Jalan
0114 09:17 MANDIRI infection, unspecified
0151B1090422P00 04-04-2022 PEGAWAI Acute nasopharyngitis
1097 04-04-2022 0002749661245 KANAYA FARANISA AZNI P Berobat Jalan
0159 18:08 SWASTA [common cold]
0151B1090422P00 04-04-2022 PEKERJA Acute nasopharyngitis
1098 04-04-2022 0002899901158 ULFAH NAURA FATINAH P Berobat Jalan
0135 10:57 MANDIRI [common cold]
0151B1090422P00 04-04-2022 MUHAMMAD MIN AZMI AL PEGAWAI
1099 04-04-2022 0003066544629 L Conjunctivitis Berobat Jalan
0126 10:11 UMUUR SWASTA
0151B1090422P00 03-04-2022 PEGAWAI Polycystic ovarian
1100 04-03-2022 0000088146606 MANDASARI DEWI P Berobat Jalan
0087 09:19 SWASTA syndrome
0151B1090422P00 03-04-2022 AHMAD HIMAWAN Acute upper respiratory Diabetes Diabetes
1101 04-03-2022 0000088576694 L PNS DAERAH Berobat Jalan
0102 14:12 PRANOTO AJI infection, unspecified Mellitus Mellitus
0151B1090422P00 03-04-2022 PEGAWAI Acute upper respiratory
1102 04-03-2022 0000088576705 DEWI AMBARWATI, P Berobat Jalan
0103 14:12 SWASTA infection, unspecified
Non-insulin-dependent
0151B1090422P00 03-04-2022
1103 04-03-2022 0000173231019 SAMSUDIN L PNS DAERAH diabetes mellitus with Rujuk Vertikal
0098 13:19
unspecified complications
Non-insulin-dependent
0151B1090422P00 03-04-2022 PEKERJA Diabetes
1104 04-03-2022 0001279401524 INDAH SULISTYORINI P diabetes mellitus with Rujuk Vertikal
0090 10:00 MANDIRI Mellitus
unspecified complications
Non-insulin-dependent
0151B1090422P00 03-04-2022 PEKERJA
1105 04-03-2022 0001305484334 SANIYAH P diabetes mellitus with Rujuk Vertikal
0088 09:25 MANDIRI
multiple complications
0151B1090422P00 03-04-2022 Diabetes Diabetes
1106 04-03-2022 0001390630307 HAWANG P PBI (APBN) Counselling, unspecified Berobat Jalan
0094 10:47 Mellitus Mellitus
0151B1090422P00 03-04-2022 PEGAWAI Thyrotoxicosis,
1107 04-03-2022 0001524827068 SUTIYAH HJ P Rujuk Vertikal
0086 09:04 SWASTA unspecified

0151B1090422P00 03-04-2022 GREGORIUS MANGGALA PEGAWAI

1108 04-03-2022 0001531509827 L Acute pharyngitis Berobat Jalan
0099 13:27 JAYA HANDARU SWASTA

0151B1090422P00 03-04-2022 PEGAWAI

1109 04-03-2022 0001691854661 MARYONO L Malaise and fatigue Berobat Jalan
0091 10:35 SWASTA
0151B1090422P00 03-04-2022 PEGAWAI Essential (primary)
1110 04-03-2022 0001691855662 ZULAIFA P Berobat Jalan Hipertensi Hipertensi
0089 09:38 SWASTA hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 03-04-2022 MUHAMMAD ATHAR

1111 04-03-2022 0002211172312 L PNS DAERAH Nausea and vomiting Berobat Jalan
0100 13:40 SHIDQY AL ASY'ARI
0151B1090422P00 03-04-2022 AHMAD DEKA ARSYIL AL PEGAWAI
1112 04-03-2022 0002279209577 L Fever, unspecified Berobat Jalan
0096 11:53 MANNAF SWASTA
0151B1090422P00 03-04-2022 PEKERJA Cerebral infarction,
1113 04-03-2022 0002479519258 ACHMAD SULAMTO L Rujuk Vertikal
0092 10:39 MANDIRI unspecified
0151B1090422P00 03-04-2022 PEKERJA Intervertebral disc
1114 04-03-2022 0002479519528 SRI UTAMI P Rujuk Vertikal
0093 10:41 MANDIRI disorder, unspecified
0151B1090422P00 03-04-2022 AULIAN AWWAB AL
1115 04-03-2022 0002480067268 L PBI (APBN) Nausea and vomiting Berobat Jalan
0095 11:13 ARKHAN
0151B1090422P00 03-04-2022 NAJWA IFTINA PEGAWAI Surgical follow-up care,
1116 04-03-2022 0002625937211 P Berobat Jalan
0101 14:11 ASSYABIYA SWASTA unspecified
0151B1090422P00 03-04-2022 AZZARA DIANDRA AL PEGAWAI Acute upper respiratory
1117 04-03-2022 0002695474844 P Berobat Jalan
0097 13:13 FACHRERA SWASTA infection, unspecified
0151B1090422P00 03-04-2022 BAYI NYONYA KUN TRI PEGAWAI Acute nasopharyngitis
1118 04-03-2022 0003085800906 P Berobat Jalan
0104 14:16 UTAMI SWASTA [common cold]
0151B1090422P00 02-04-2022
1119 04-02-2022 0000032603657 PRAPTININGSIH,SH MH P PNS PUSAT Other osteoporosis Rujuk Vertikal
0053 10:11
0151B1090422P00 02-04-2022 ISMAIL HENDRA PEGAWAI Acute nasopharyngitis
1120 04-02-2022 0000075945071 L Berobat Jalan
0085 20:16 GUNAWAN SWASTA [common cold]
0151B1090422P00 02-04-2022 PENERIMA Hypertensive heart
1121 04-02-2022 0000091022692 ATIK INDRAWATI P Rujuk Vertikal Hipertensi Hipertensi
0044 08:52 PENSIUN PNS disease
0151B1090422P00 02-04-2022 PEKERJA Periapical abscess without
1122 04-02-2022 0000202940346 TOTO ADI RAHMANTO L Berobat Jalan
0069 14:38 MANDIRI sinus
0151B1090422P00 02-04-2022 PEGAWAI
1123 04-02-2022 0000574787621 MEYLIANI AGUSTIN P Acute pharyngitis Berobat Jalan
0059 11:22 SWASTA
0151B1090422P00 02-04-2022
1124 04-02-2022 0001097957834 MELY GUNARI P - Impacted teeth Berobat Jalan
0048 09:23

Diarrhoea and
0151B1090422P00 02-04-2022 PENERIMA
1125 04-02-2022 0001230139203 mulyadi L gastroenteritis of Berobat Jalan Hipertensi
0061 13:10 PENSIUN SWASTA
presumed infectious origin

0151B1090422P00 02-04-2022 PEGAWAI Acute nasopharyngitis

1126 04-02-2022 0001305473027 FAJAR DWI SUBAGYO L Berobat Jalan
0064 13:25 SWASTA [common cold]
0151B1090422P00 02-04-2022 TRI SHOFI AFIFATUR PEGAWAI
1127 04-02-2022 0001337228267 P Caries of dentine Berobat Jalan
0082 17:49 ROZANAH SWASTA
0151B1090422P00 02-04-2022 PEKERJA
1128 04-02-2022 0001524961743 NURJANAH DWI PRIHATIN P Headache Berobat Jalan
0056 10:51 MANDIRI
0151B1090422P00 02-04-2022 YOSHRIZAL HARY PEKERJA
1129 04-02-2022 0001525958109 L Status asthmaticus Rujuk Vertikal
0042 08:23 YULIANTO MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 02-04-2022 PEGAWAI

1130 04-02-2022 0001528731898 MURI RACHMAN L Paraesthesia of skin Berobat Jalan
0070 14:46 SWASTA
0151B1090422P00 02-04-2022 ZUYYINA BIMAR'ATASH PEGAWAI
1131 04-02-2022 0001530341921 P Necrosis of pulp Berobat Jalan
0071 14:47 SHOLIKHAH SWASTA
0151B1090422P00 02-04-2022 PEKERJA
1132 04-02-2022 0001547062852 AJI SUSANTO L Headache Berobat Jalan
0062 13:16 MANDIRI
0151B1090422P00 02-04-2022 MUHAMMAD HAIDAR PEGAWAI
1133 04-02-2022 0001691855087 L Fever, unspecified Berobat Jalan
0074 15:01 TAQIYUDDIN SWASTA
0151B1090422P00 02-04-2022 MUHAMMAD HAIKAL PEGAWAI
1134 04-02-2022 0001691855109 L Fever, unspecified Berobat Jalan
0075 15:04 NAJMUDDIN SWASTA
0151B1090422P00 02-04-2022 PEGAWAI Acute nasopharyngitis
1135 04-02-2022 0001691857168 DHAFIN AZKA AZZAHIDI L Berobat Jalan
0067 13:42 SWASTA [common cold]
0151B1090422P00 02-04-2022 NAILAH HANIF SEKAR PEKERJA
1136 04-02-2022 0001728994713 P Fracture of tooth Rujuk Vertikal
0068 14:24 PAMBAYUN MANDIRI
Hypertensive heart
0151B1090422P00 02-04-2022 PEKERJA
1137 04-02-2022 0001795213721 DYAN ARFIYANTI P disease without Rujuk Vertikal
0073 14:56 MANDIRI
(congestive) heart failure
Non-insulin-dependent
0151B1090422P00 02-04-2022 PEKERJA
1138 04-02-2022 0001809099909 MULYATI SULISTYO P diabetes mellitus with Rujuk Vertikal
0040 08:14 MANDIRI
unspecified complications
0151B1090422P00 02-04-2022 PEGAWAI Essential (primary)
1139 04-02-2022 0001895720141 YULIANTO L Berobat Jalan Hipertensi Hipertensi
0043 08:47 SWASTA hypertension
Non-insulin-dependent
0151B1090422P00 02-04-2022 PENERIMA
1140 04-02-2022 0001958970284 SUPARNI P diabetes mellitus with Rujuk Vertikal Hipertensi
0057 10:54 PENSIUN PNS
unspecified complications
0151B1090422P00 02-04-2022 QOFISHA QURRATUL PEGAWAI Acute upper respiratory
1141 04-02-2022 0001964748881 P Berobat Jalan
0081 17:45 'AINI SWASTA infection, unspecified
0151B1090422P00 02-04-2022 BENDOT HIDAYAT PEGAWAI Essential (primary)
1142 04-02-2022 0002034036461 L Berobat Jalan Hipertensi
0046 09:12 PURWOKOSUNU SWASTA hypertension
0151B1090422P00 02-04-2022 MARTIWI FADILAH PEGAWAI
1143 04-02-2022 0002045712251 P Necrosis of pulp Berobat Jalan
0080 16:32 NUGROHO JATI SWASTA
Gastro-oesophageal reflux
0151B1090422P00 02-04-2022 PEGAWAI
1144 04-02-2022 0002055969707 ADISTYA ARDINTI P disease without Berobat Jalan
0072 14:53 SWASTA
oesophagitis
0151B1090422P00 02-04-2022 PEGAWAI Acute upper respiratory
1145 04-02-2022 0002064075186 YENA ARI PRAWESTHI P Berobat Jalan
0041 08:21 SWASTA infection, unspecified
0151B1090422P00 02-04-2022 PEKERJA
1146 04-02-2022 0002069385489 NIZAM IMRAN L Fever, unspecified Berobat Jalan
0050 09:41 MANDIRI
0151B1090422P00 02-04-2022 PEGAWAI Acute nasopharyngitis
1147 04-02-2022 0002090350427 ISKANDAR L Berobat Jalan
0045 09:03 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diarrhoea and
0151B1090422P00 02-04-2022 PEGAWAI
1148 04-02-2022 0002281079992 ZAFLAN NAZRIL ABIZARD L gastroenteritis of Berobat Jalan
0078 16:17 SWASTA
presumed infectious origin

0151B1090422P00 02-04-2022 UTAMI DWI NASTITI PEGAWAI

1149 04-02-2022 0002281420067 P Dyspepsia Berobat Jalan
0063 13:17 IKHSAN SWASTA
0151B1090422P00 02-04-2022 PEGAWAI Periapical abscess without
1150 04-02-2022 0002293174967 TEGUH SASONGKO L Berobat Jalan
0083 17:54 SWASTA sinus
0151B1090422P00 02-04-2022 PEKERJA
1151 04-02-2022 0002421102475 SRI WINARNI L Counselling, unspecified Berobat Jalan
0079 16:22 MANDIRI
0151B1090422P00 02-04-2022 PEGAWAI
1152 04-02-2022 0002460520258 RATNA DIAN SEPTIANA P Haemorrhoids Berobat Jalan
0049 09:25 SWASTA
0151B1090422P00 02-04-2022 ALVITO YUSUF
1153 04-02-2022 0002460549756 L PNS PUSAT Necrosis of pulp Rujuk Vertikal
0052 10:05 AUFANDRA
0151B1090422P00 02-04-2022 PEGAWAI
1154 04-02-2022 0002479742785 FAIZAN PUTRA ARDIAN L Fever, unspecified Berobat Jalan
0060 13:09 SWASTA
0151B1090422P00 02-04-2022 PEKERJA
1155 04-02-2022 0002751878902 WINDARTO L Impacted teeth Berobat Jalan
0058 11:15 MANDIRI
0151B1090422P00 02-04-2022 PEKERJA
1156 04-02-2022 0002768592868 AHMAD YUSUF NUFAIL L Foreign body in ear Berobat Jalan
0084 19:21 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090422P00 02-04-2022 MEHRUNISA NAJLA Acute nasopharyngitis
1157 04-02-2022 0002905033318 P DENGAN Berobat Jalan
0051 09:49 ZHAFIRA [common cold]
PERJANJIAN
KERJA
0151B1090422P00 02-04-2022 ZUMA DANIYATI NOOR PEKERJA
1158 04-02-2022 0002907891854 P Conjunctivitis Berobat Jalan
0047 09:19 IZZAH MANDIRI
0151B1090422P00 02-04-2022 PEGAWAI
1159 04-02-2022 0002931406424 ABDUL KAREEM ZAIDAN L Fever, unspecified Berobat Jalan
0055 10:37 SWASTA
0151B1090422P00 02-04-2022 PEGAWAI Acute nasopharyngitis
1160 04-02-2022 0002937268135 ZAHSY LAVINA AZZAHIRA P Berobat Jalan
0054 10:33 SWASTA [common cold]
0151B1090422P00 02-04-2022 KINARIAN NURAISHA Acute nasopharyngitis
1161 04-02-2022 0003076846648 P PNS PUSAT Berobat Jalan
0066 13:41 HASYIM [common cold]
0151B1090422P00 02-04-2022 BAYI NYONYA FITRI NUR PEGAWAI Toxic effect of contact with
1162 04-02-2022 0003088075588 P Berobat Jalan
0065 13:35 ROHMAH SWASTA venomous animals
0151B1090422P00 02-04-2022 PEGAWAI
1164 04-02-2022 0003095817028 Dewi Indriani P Pulpitis Berobat Jalan
0077 15:49 SWASTA
0151B1090422P00 02-04-2022 PEGAWAI Deposits [accretions] on
1165 04-02-2022 0003095817658 Fatih Abdurrahman L Berobat Jalan
0076 15:43 SWASTA teeth
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 01-04-2022 YUSTINA SRI PENERIMA

1166 04-01-2022 0000076550635 P Atopic dermatitis Berobat Jalan
0004 09:01 NURHARTANTI PENSIUN TNI
0151B1090422P00 09-05-2022 HINDA HANIFA QURRATA PEKERJA
1167 04-01-2022 0000086004461 P Necrosis of pulp Berobat Jalan
1192 13:53 AYUNIN MANDIRI
0151B1090422P00 01-04-2022 Injury of unspecified body
1168 04-01-2022 0000087476679 FATIMAH ZUHRIA P PNS PUSAT Berobat Jalan
0013 11:04 region

Papillomavirus as the
0151B1090422P00 01-04-2022 PEGAWAI
1169 04-01-2022 0000087936399 YOGA HAQIM WIGUNA L cause of diseases Rujuk Vertikal
0005 09:45 SWASTA
classified to other chapters

0151B1090422P00 01-04-2022 PEGAWAI

1170 04-01-2022 0000088146606 MANDASARI DEWI P Fever, unspecified Berobat Jalan
0030 17:15 SWASTA
0151B1090422P00 01-04-2022 SIA WIDYANINGRUM PEGAWAI
1171 04-01-2022 0000088625079 L Necrosis of pulp Rujuk Vertikal
0006 10:39 MULYANTO SWASTA
0151B1090422P00 01-04-2022
1172 04-01-2022 0000163887017 JENNY FIAOZA P PNS DAERAH Complicated migraine Rujuk Vertikal
0003 08:49
0151B1090422P00 01-04-2022 PEGAWAI
1173 04-01-2022 0001198572783 PINGKAN NILA ADZANI P Necrosis of pulp Rujuk Vertikal
0021 15:27 SWASTA
0151B1090422P00 01-04-2022 PEGAWAI
1174 04-01-2022 0001262225193 M.AFIAN HARIMURTI L Pulpitis Berobat Jalan
0020 15:18 SWASTA
0151B1090422P00 01-04-2022 FATIMAH NUR
1175 04-01-2022 0001286229238 P PNS DAERAH Impacted teeth Berobat Jalan
0022 15:41 ISMIYASARI
0151B1090422P00 01-04-2022 PEGAWAI
1176 04-01-2022 0001387522675 SITI MUNAWAROH P Acute gingivitis Berobat Jalan
0008 10:54 SWASTA
0151B1090422P00 01-04-2022 MUHAMMAD FATIH PEGAWAI Disturbances in tooth
1177 04-01-2022 0001387522798 L Berobat Jalan
0009 10:56 ARMUNA SWASTA eruption
0151B1090422P00 01-04-2022 PEGAWAI Chronic apical
1178 04-01-2022 0001404264519 YUSUF L Berobat Jalan
0017 14:23 SWASTA periodontitis
0151B1090422P00 01-04-2022 Acute tonsillitis,
1179 04-01-2022 0001436753057 RAYSA MIKAYLA DANDI L PEGAWAI BUMN Berobat Jalan
0001 08:36 unspecified
0151B1090422P00 01-04-2022 PEGAWAI
1180 04-01-2022 0001525346684 AULIA KHAIRINNISA L Otitis media, unspecified Berobat Jalan
0002 08:41 SWASTA
0151B1090422P00 01-04-2022 HELLEN PEGAWAI Cutaneous abscess,
1181 04-01-2022 0001528731909 P Berobat Jalan
0024 16:04 CANDRAHANDAYA SWASTA furuncle and carbuncle
0151B1090422P00 01-04-2022 PEGAWAI
1182 04-01-2022 0001691854637 MARWANTI P Gastritis, unspecified Berobat Jalan
0019 14:41 SWASTA
0151B1090422P00 01-04-2022 DOMINICUS ARFIAN PEGAWAI
1183 04-01-2022 0001693930522 L Torticollis Berobat Jalan
0029 17:00 ARGATAMA SWASTA
0151B1090422P00 01-04-2022 PEKERJA
1184 04-01-2022 0001835392331 SITI CHUSNUL CHOTIMAH P Impacted teeth Rujuk Vertikal
0038 19:41 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 01-04-2022
1185 04-01-2022 0001884602136 heditiyo royyan rumiyanto L PNS PUSAT Hordeolum and chalazion Berobat Jalan
0028 16:58
0151B1090422P00 01-04-2022 PEGAWAI
1186 04-01-2022 0001896124915 abdullah rafif armuna L Pulpitis Berobat Jalan
0010 10:58 SWASTA
0151B1090422P00 01-04-2022 PEKERJA
1187 04-01-2022 0001901042919 PARYONO L Gastritis, unspecified Berobat Jalan Hipertensi
0018 14:24 MANDIRI
0151B1090422P00 01-04-2022 TAUFAN PUTRA PEGAWAI
1188 04-01-2022 0002056019084 L Gastritis, unspecified Berobat Jalan
0012 11:02 ROSIANTO SWASTA
0151B1090422P00 01-04-2022 PEGAWAI
1189 04-01-2022 0002080991766 NUR ASYIAH JAMIL P Pulpitis Berobat Jalan
0026 16:46 SWASTA
0151B1090422P00 01-04-2022 KENZIE ZAIDAN
1190 04-01-2022 0002097039194 L PEGAWAI BUMN Counselling, unspecified Berobat Jalan
0033 19:17 IZZATULLAH
0151B1090422P00 01-04-2022 PEGAWAI
1191 04-01-2022 0002155441937 BANGKIT FARID SOFYAN L Fever, unspecified Berobat Jalan
0039 19:48 SWASTA
0151B1090422P00 01-04-2022 AHMADA SYAMSUL PEKERJA
1192 04-01-2022 0002195314402 L Necrosis of pulp Berobat Jalan
0023 15:48 HAIDAR MANDIRI
0151B1090422P00 01-04-2022 PEGAWAI Other disorders of urinary
1193 04-01-2022 0002218609078 SEPTYA ANGGI KUSUMA L Berobat Jalan
0016 14:09 SWASTA system
0151B1090422P00 01-04-2022 AQILA AL THAFUNNISA PEGAWAI
1194 04-01-2022 0002234184693 P Nausea and vomiting Berobat Jalan
0037 19:39 HANANIA SWASTA
PEGAWAI
PEMERINTAH
0151B1090422P00 01-04-2022 NUR WICAKSONO Acute nasopharyngitis
1195 04-01-2022 0002246562213 L DENGAN Berobat Jalan
0027 16:52 KARTIKO PUTRO [common cold]
PERJANJIAN
KERJA
0151B1090422P00 01-04-2022 NAUFAL RAKA PEGAWAI Periapical abscess without
1196 04-01-2022 0002287290857 L Berobat Jalan
0032 18:16 MAHENDRA SWASTA sinus
0151B1090422P00 01-04-2022 PEGAWAI
1197 04-01-2022 0002291003807 ABDURROHMAN HAFID L Fever, unspecified Berobat Jalan
0031 17:16 SWASTA
0151B1090422P00 01-04-2022 GRISELDA AIKO PEKERJA
1198 04-01-2022 0002419052319 P Headache Berobat Jalan
0015 11:37 FEODORA MANDIRI
0151B1090422P00 01-04-2022 MUHAMMAD NUR ALFI PEGAWAI
1199 04-01-2022 0002450543815 L Lichen simplex chronicus Rujuk Vertikal
0025 16:09 RIDHO SWASTA
0151B1090422P00 01-04-2022 PEKERJA
1200 04-01-2022 0002473891266 TENTREM WIDODO L Counselling, unspecified Berobat Jalan
0035 19:23 MANDIRI
0151B1090422P00 01-04-2022 PEKERJA Acute upper respiratory
1201 04-01-2022 0002613784072 GIO VIGOR SAPUJAGAD L Berobat Jalan
0014 11:34 MANDIRI infection, unspecified
0151B1090422P00 01-04-2022 NAJWA IFTINA PEGAWAI Surgical follow-up care,
1202 04-01-2022 0002625937211 P Berobat Jalan
0036 19:28 ASSYABIYA SWASTA unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090422P00 01-04-2022 Periapical abscess without

1203 04-01-2022 0002799044831 SARJANA L PBI (APBN) Berobat Jalan
0007 10:52 sinus
0151B1090422P00 01-04-2022 PEGAWAI Disturbances in tooth
1204 04-01-2022 0002890597735 MALIKA HADANA RAFISQI P Berobat Jalan
0011 10:59 SWASTA eruption
0151B1090422P00 01-04-2022 PEKERJA
1205 04-01-2022 0003132300767 SHOFIYAH AN NADZIFAH P Pulpitis Berobat Jalan
0034 19:20 MANDIRI