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

0151B1090122P00 31-01-2022 31-01-2022 IDRIN ULWAN ANNAYIFA

1 0000020887749 L PNS PUSAT Fever, unspecified Berobat Jalan
1430 00:00 11:10 F
0151B1090122P00 31-01-2022 31-01-2022
2 0000068614907 NAUFAL IMANI AKBAR L PNS DAERAH Counselling, unspecified Berobat Jalan
1439 00:00 13:54
0151B1090122P00 31-01-2022 31-01-2022
3 0000068614907 NAUFAL IMANI AKBAR L PNS DAERAH Fracture of mandible Rujuk Vertikal
1440 00:00 14:15
0151B1090122P00 31-01-2022 31-01-2022 Urinary tract infection, site
4 0000076360217 SITI SAKDIYAH P PNS PUSAT Berobat Jalan
1429 00:00 11:06 not specified
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA Acute upper respiratory
5 0000088571799 NOVIATI RAHAYU P Berobat Jalan
1462 00:00 20:08 MANDIRI infection, unspecified
0151B1090122P00 31-01-2022 31-01-2022 PENERIMA
6 0000091356647 LIES WIDYAWATI P Chest pain, unspecified Rujuk Vertikal
1411 00:00 08:24 PENSIUN PNS
0151B1090122P00 31-01-2022 31-01-2022
7 0000091500254 TRI PUJIATI SHOLIKHAH P PNS DAERAH Impacted teeth Rujuk Vertikal
1460 00:00 19:47
0151B1090122P00 31-01-2022 31-01-2022 Cutaneous abscess, Diabetes Diabetes
8 0000091612484 MAHMUDI L PNS DAERAH Berobat Jalan
1426 00:00 10:51 furuncle and carbuncle Mellitus Mellitus
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
9 0000091887974 BAYU SATRIO PAMBUDI L Fever, unspecified Berobat Jalan
1412 00:00 08:40 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 LARAS SEKAR Dysmenorrhoea,
10 0000095677288 P PNS DAERAH Berobat Jalan
1466 00:00 20:29 PRAMESTHI unspecified
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
11 0000105316659 ARIN NUR JANNAH P Acute gingivitis Berobat Jalan
1431 00:00 11:20 SWASTA
0151B1090122P00 31-01-2022 31-01-2022
12 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Fever, unspecified Berobat Jalan
1425 00:00 10:19
Follow-up examination
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
13 0000639894273 RETNOWATI P after other treatment for Rujuk Vertikal
1453 00:00 17:54 MANDIRI
other conditions
Unspecified diabetes
0151B1090122P00 31-01-2022 31-01-2022
14 0000738713709 YANI P PBI (APBN) mellitus with unspecified Rujuk Vertikal
1442 00:00 15:21
complications
0151B1090122P00 31-01-2022 31-01-2022 ILHAM MAULANA
15 0000976054061 L PNS PUSAT Necrosis of pulp Berobat Jalan
1423 00:00 09:57 RAHMAN
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
16 0001134860117 QODRI ROYANI L Myalgia Berobat Jalan
1438 00:00 13:52 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
17 0001259236721 MAYA PRIMADONA P Chest pain, unspecified Berobat Jalan
1434 00:00 11:52 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 31-01-2022 31-01-2022 PEKERJA

18 0001274267801 SUTRINI P Fever, unspecified Berobat Jalan Hipertensi Hipertensi
1447 00:00 16:34 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
19 0001304284869 WIWIK DWI LESTARI P Pulpitis Berobat Jalan
1444 00:00 15:29 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
20 0001448933499 SRI REJEKI P Necrosis of pulp Berobat Jalan
1418 00:00 09:15 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
21 0001466222049 SURATMI P Counselling, unspecified Berobat Jalan
1458 00:00 19:30 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022
22 0001468263723 ANITA KUSUMA ASTUTI P PNS PUSAT Necrosis of pulp Berobat Jalan
1455 00:00 18:25
0151B1090122P00 31-01-2022 31-01-2022 NUZUL NURIASIH
23 0001524765688 P - Counselling, unspecified Berobat Jalan
1465 00:00 20:25 LISNARYANTY
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
24 0001525042192 SUMARSIH P Fever, unspecified Berobat Jalan
1424 00:00 10:11 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI Acute pharyngitis,
25 0001525865016 ADI PRASETIYANTO L Berobat Jalan
1459 00:00 19:44 SWASTA unspecified
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
26 0001525963509 JOKO SANTOSA L Counselling, unspecified Berobat Jalan
1450 00:00 17:33 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
27 0001525963511 SRI SARBINI P Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
1451 00:00 17:40 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
28 0001526133756 AGUS SUWARNO L Fever, unspecified Berobat Jalan Hipertensi Hipertensi
1410 00:00 08:19 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
29 0001529480226 SHERLY INDRASWARI P Pulpitis Berobat Jalan
1443 00:00 15:27 MANDIRI
Non-insulin-dependent Diabetes
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
30 0001532984106 SUHARTI P diabetes mellitus with Rujuk Vertikal Mellitus
1414 00:00 08:51 SWASTA
unspecified complications Hipertensi
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI Other surgical follow-up
31 0001534371502 DEWI KURNIAWATI P Berobat Jalan
1449 00:00 17:20 SWASTA care
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
32 0001578589468 TUMIN L Other arthrosis Berobat Jalan
1428 00:00 11:00 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI Other surgical follow-up
33 0001580005989 SURATMAN L Berobat Jalan
1456 00:00 19:20 SWASTA care
Loss of teeth due to
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
34 0001691853118 SITI LAILIYAH P accident, extraction or Berobat Jalan
1433 00:00 11:45 SWASTA
local periodontal disease
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
35 0001691853287 ELLY DAMAIWATI, M.PD. P Cellulitis, unspecified Berobat Jalan
1416 00:00 09:11 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
36 0001692820899 Muninggar Kusumastuti P Other vitreous opacities Rujuk Vertikal
1457 00:00 19:28 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI

37 0001804113718 endang susianingsih P Fever, unspecified Berobat Jalan
1446 00:00 16:13 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
38 0001826211453 SULAMI P Other cerebral infarction Rujuk Vertikal
1461 00:00 19:53 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI Essential (primary)
39 0001895720141 YULIANTO L Berobat Jalan Hipertensi Hipertensi
1419 00:00 09:38 SWASTA hypertension
0151B1090122P00 31-01-2022 31-01-2022 MUHAMMAD AFFAN PEKERJA
40 0002040721648 L Fever, unspecified Berobat Jalan
1432 00:00 11:42 HAIDAR MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
41 0002068100662 MUHAMMAD RAMADHAN L Necrosis of pulp Rujuk Vertikal
1417 00:00 09:13 SWASTA
0151B1090122P00 31-01-2022 31-01-2022 NURUL WULAN PEGAWAI
42 0002079975262 P Fever, unspecified Berobat Jalan
1420 00:00 09:46 ROMADHON SWASTA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
43 0002085372674 MUH NURKHOLIS L Fever, unspecified Berobat Jalan
1436 00:00 12:03 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 CHELSEA AZALEA PEKERJA
44 0002220885279 P Pruritus Berobat Jalan
1441 00:00 14:46 SAFIRA MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 YASMIN SHOHWAH PEKERJA
45 0002221585244 L Pulpitis Berobat Jalan
1422 00:00 09:56 MUMTAZA MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 MUHAMMAD HISYAM PEKERJA
46 0002311066631 L Nausea and vomiting Berobat Jalan
1415 00:00 09:08 AZMI MANDIRI
0151B1090122P00 31-01-2022 31-01-2022
47 0002311766921 HENDI L - Necrosis of pulp Berobat Jalan
1445 00:00 15:31
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA Other intervertebral disc
48 0002421102475 SRI WINARNI L Rujuk Vertikal
1413 00:00 08:44 MANDIRI disorders
PEGAWAI
PEMERINTAH
0151B1090122P00 31-01-2022 31-01-2022
49 0002469263152 FATIH AMMAR KHAN L DENGAN Fever, unspecified Berobat Jalan
1427 00:00 10:52
PERJANJIAN
KERJA
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA Diabetes Diabetes
50 0002620674562 SUGIYARMAN L Chest pain, unspecified Berobat Jalan
1463 00:00 20:20 MANDIRI Mellitus Mellitus
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA
51 0002620674718 SRI SUPARMI P Fever, unspecified Berobat Jalan
1464 00:00 20:21 MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEKERJA Periapical abscess without
52 0002773543307 NAJWA ANNAFI'AH P Berobat Jalan
1454 00:00 18:16 MANDIRI sinus
0151B1090122P00 31-01-2022 31-01-2022 AINUR ROFIQ RAFA
53 0002881624252 L PBI (APBN) Fever, unspecified Rujuk Vertikal
1421 00:00 09:48 PRASETYA
0151B1090122P00 31-01-2022 31-01-2022 ABRAM NURAZKA PUTRA PEKERJA
54 0002904920065 L Inguinal hernia Rujuk Vertikal
1437 00:00 13:29 PRASETYO MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 31-01-2022 31-01-2022 ZUMA DANIYATI NOOR PEKERJA

55 0002907891854 P Hordeolum and chalazion Berobat Jalan
1435 00:00 11:57 IZZAH MANDIRI
0151B1090122P00 31-01-2022 31-01-2022 PEGAWAI
56 0003071702755 AHMAD MUBAROK L Retained dental root Rujuk Vertikal
1452 00:00 17:41 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 31-01-2022 31-01-2022 BAYI NYONYA ANNISA
57 0003105701943 P DENGAN Injury, unspecified Berobat Jalan
1448 00:00 16:53 KARTIKA NURJANAH
PERJANJIAN
KERJA
0151B1090122P00 30-01-2022 30-01-2022 RASHIV AULIA PENERIMA
58 0000086677029 L Otitis externa Berobat Jalan
1399 00:00 10:17 BAGASDIVA PENSIUN PNS
0151B1090122P00 30-01-2022 30-01-2022 Acute nasopharyngitis
59 0000091600233 WINDI ATMAKA L PNS PUSAT Berobat Jalan
1401 00:00 10:47 [common cold]
0151B1090122P00 30-01-2022 30-01-2022 PEKERJA
60 0000091887974 BAYU SATRIO PAMBUDI L Febrile convulsions Berobat Jalan
1400 00:00 10:20 MANDIRI
0151B1090122P00 30-01-2022 30-01-2022 VANYA CALISTA PEKERJA
61 0001177103766 P Febrile convulsions Berobat Jalan
1395 00:00 09:59 RUSSANDRA KARYANTO MANDIRI
0151B1090122P00 30-01-2022 30-01-2022 WIHARASTRO ANAN PEGAWAI Acute nasopharyngitis
62 0001286762387 L Berobat Jalan
1406 00:00 11:42 PUDYANTORO SWASTA [common cold]
0151B1090122P00 30-01-2022 30-01-2022 KEANU GIBRAN AL PEGAWAI
63 0001478349459 L Febrile convulsions Berobat Jalan
1397 00:00 10:14 KHAYRU EFENDI SWASTA
0151B1090122P00 30-01-2022 30-01-2022 PEGAWAI Acute nasopharyngitis
64 0001526377599 SUDARWATI P Berobat Jalan
1407 00:00 11:52 SWASTA [common cold]
0151B1090122P00 30-01-2022 30-01-2022 MUHAMMAD RAIHAN PEGAWAI Acute nasopharyngitis
65 0001526377612 L Berobat Jalan
1408 00:00 11:53 SUDAIS SWASTA [common cold]
0151B1090122P00 30-01-2022 30-01-2022 PEKERJA
66 0001657433114 SRI SUTANTI P Vertigo of central origin Berobat Jalan
1396 00:00 10:13 MANDIRI
0151B1090122P00 30-01-2022 30-01-2022 PEGAWAI
67 0001691920247 NUR HAMID L Wound myiasis Berobat Jalan
1403 00:00 10:58 SWASTA
0151B1090122P00 30-01-2022 30-01-2022 NIKEN KUSUMA Injury of unspecified body
68 0001849823302 P PNS DAERAH Berobat Jalan
1404 00:00 11:19 WARDHANI region
0151B1090122P00 30-01-2022 30-01-2022 BENDOT HIDAYAT PEGAWAI Essential (primary)
69 0002034036461 L Berobat Jalan Hipertensi
1405 00:00 11:41 PURWOKOSUNU SWASTA hypertension
0151B1090122P00 30-01-2022 30-01-2022 Essential (primary)
70 0002064992218 SRI WAHYUNI P - Berobat Jalan
1402 00:00 10:50 hypertension
0151B1090122P00 30-01-2022 30-01-2022 PEGAWAI Acute nasopharyngitis
71 0002222122195 ZAFLAN ZAM ZEFA L Berobat Jalan
1409 00:00 11:54 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diarrhoea and
0151B1090122P00 30-01-2022 30-01-2022 ATHAFARIZ SADDAM PEGAWAI
72 0002350877163 L gastroenteritis of Berobat Jalan
1398 00:00 10:15 EFFENDI SWASTA
presumed infectious origin

0151B1090122P00 29-01-2022 29-01-2022 PENERIMA Essential (primary)

73 0000021462491 SRI WISMIARTI P Berobat Jalan Hipertensi
1368 00:00 11:12 PENSIUN PNS hypertension
0151B1090122P00 29-01-2022 29-01-2022 ISMAIL HENDRA PEGAWAI
74 0000075945071 L Counselling, unspecified Berobat Jalan
1348 00:00 08:51 GUNAWAN SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
75 0000079821156 NANDA UMUL FAWAZ L Pulpitis Berobat Jalan
1353 00:00 09:43 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PENERIMA
76 0000089999897 SRI NGATINI P Dyspepsia Berobat Jalan
1385 00:00 17:42 PENSIUN PNS
0151B1090122P00 29-01-2022 29-01-2022 PENERIMA Essential (primary)
77 0000090929575 KHOYAROH P Berobat Jalan
1360 00:00 10:18 PENSIUN PNS hypertension
0151B1090122P00 29-01-2022 29-01-2022 PENERIMA
78 0000090998245 MAKSUM AINAINI MM L Otitis externa Berobat Jalan
1357 00:00 09:59 PENSIUN PNS
0151B1090122P00 29-01-2022 29-01-2022 PENERIMA Adhesive capsulitis of
79 0000091276795 SURIP L Berobat Jalan
1352 00:00 09:42 PENSIUN PNS shoulder
0151B1090122P00 29-01-2022 29-01-2022 PENERIMA Acute nasopharyngitis
80 0000091467562 RAKIMAN L Berobat Jalan
1365 00:00 10:52 PENSIUN PNS [common cold]
0151B1090122P00 29-01-2022 29-01-2022
81 0000091500254 TRI PUJIATI SHOLIKHAH P PNS DAERAH Counselling, unspecified Berobat Jalan
1384 00:00 17:15
0151B1090122P00 29-01-2022 29-01-2022
82 0000091500254 TRI PUJIATI SHOLIKHAH P PNS DAERAH Impacted teeth Berobat Jalan
1393 00:00 19:55
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI Chronic apical
83 0000105316659 ARIN NUR JANNAH P Berobat Jalan
1366 00:00 10:56 SWASTA periodontitis
0151B1090122P00 29-01-2022 29-01-2022
84 0000126497981 AGUS WIBOWO L PNS PUSAT Sprain and strain of ankle Berobat Jalan
1371 00:00 13:26
0151B1090122P00 29-01-2022 29-01-2022 FARID ABRAR
85 0000203898587 L PNS PUSAT Counselling, unspecified Berobat Jalan
1394 00:00 20:26 RAMADHAN
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI Acute nasopharyngitis
86 0000204787168 RENY SARTIKA P Berobat Jalan
1391 00:00 19:50 SWASTA [common cold]
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
87 0001169137124 ISTIQOMAH P Other forms of stomatitis Berobat Jalan
1349 00:00 08:54 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA
88 0001272294156 AGUS MUNAWAR L Dermatitis, unspecified Berobat Jalan
1392 00:00 19:50 MANDIRI
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA Acute upper respiratory
89 0001272295506 SAQIBA AZWA MALIKA P Berobat Jalan
1390 00:00 19:47 MANDIRI infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090122P00 29-01-2022 29-01-2022 BETTY MIFTAKHUL
90 0001285801705 P DENGAN Benign neoplasm of breast Rujuk Vertikal
1379 00:00 16:20 KHOIRI
PERJANJIAN
KERJA

0151B1090122P00 29-01-2022 29-01-2022 SYAHRIZAL ALAMSYAH PEKERJA Acute upper respiratory

91 0001288326789 L Berobat Jalan Hipertensi Hipertensi
1382 00:00 17:08 MANDIRI infection, unspecified

Acute upper respiratory

0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
92 0001319395252 AHMAD ZAIN AR-RIDHO L infections of multiple and Berobat Jalan
1373 00:00 14:48 SWASTA
unspecified sites
0151B1090122P00 29-01-2022 29-01-2022 AMINA ZAHRIA AL- PEGAWAI Acute upper respiratory
93 0001319396229 P Berobat Jalan
1375 00:00 15:28 FATHANIA SWASTA infection, unspecified
0151B1090122P00 29-01-2022 29-01-2022 AMIRA ZAKIYA PEGAWAI Acute upper respiratory
94 0001380371591 P Berobat Jalan
1374 00:00 15:22 AR-RANIYA SWASTA infection, unspecified
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI Periapical abscess without
95 0001448947877 TRI PUDYASTUTI P Berobat Jalan
1355 00:00 09:49 SWASTA sinus
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI Acute nasopharyngitis
96 0001524821275 JUMADI L Berobat Jalan
1358 00:00 10:05 SWASTA [common cold]
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI Irregular menstruation,
97 0001524832064 INDIRA DAMAYANTI P Berobat Jalan
1367 00:00 11:12 SWASTA unspecified
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA Disturbances in tooth
98 0001643145298 RAFIFA AISHA MAHERA L Berobat Jalan
1359 00:00 10:09 MANDIRI eruption
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
99 0001656235956 AJENG CHITRAMIANTI P Pulpitis Berobat Jalan
1376 00:00 15:34 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
100 0001691854492 ZUKHRUF FATA AL FARISI L Myalgia Berobat Jalan
1372 00:00 14:26 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
101 0001692820798 MUHAMMAD ROBANI L Myalgia Berobat Jalan
1354 00:00 09:45 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
102 0001847970044 AMIRAH NUHA P Secondary amenorrhoea Rujuk Vertikal
1362 00:00 10:19 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 NIKEN KUSUMA Injury of unspecified body
103 0001849823302 P PNS DAERAH Berobat Jalan
1350 00:00 09:23 WARDHANI region
0151B1090122P00 29-01-2022 29-01-2022 NHURUL SEKAR PEKERJA
104 0001860247743 P Pulpitis Berobat Jalan
1364 00:00 10:44 WIDJAYANTI MANDIRI
0151B1090122P00 29-01-2022 29-01-2022 Acute nasopharyngitis
105 0001863466389 MUHIBBAH FATATI P PNS PUSAT Berobat Jalan Hipertensi Hipertensi
1345 00:00 08:19 [common cold]
Non-insulin-dependent
0151B1090122P00 29-01-2022 29-01-2022 SRI ENDANG PEGAWAI
106 0002062731521 P diabetes mellitus with Rujuk Vertikal
1381 00:00 16:47 MUHARTININGSIH HJ SWASTA
unspecified complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI

107 0002068100662 MUHAMMAD RAMADHAN L Necrosis of pulp Berobat Jalan
1363 00:00 10:33 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 HANA MAULIDA PEKERJA Acute nasopharyngitis
108 0002202711658 P Berobat Jalan
1383 00:00 17:09 QURROTA A' YUNINA MANDIRI [common cold]
0151B1090122P00 29-01-2022 29-01-2022 MUCHAMMAD KAES AL PEKERJA
109 0002218889182 L Dyspepsia Berobat Jalan
1346 00:00 08:21 QOSIM MANDIRI
PEGAWAI
PEMERINTAH
0151B1090122P00 29-01-2022 29-01-2022 Acute nasopharyngitis
110 0002246560964 MELIA KUSUMA P DENGAN Berobat Jalan
1380 00:00 16:38 [common cold]
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
0151B1090122P00 29-01-2022 29-01-2022 MAHESA HAMIZAN
111 0002251587183 L DENGAN Pulpitis Berobat Jalan
1377 00:00 16:14 WICAKSONO
PERJANJIAN
KERJA
0151B1090122P00 29-01-2022 29-01-2022 RINA MUSLIKATUL PEGAWAI
112 0002269628717 P Pregnancy confirmed Rujuk Vertikal
1386 00:00 19:27 JANNAH, SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
113 0002274095845 TANTRI MEINA SARI P Headache Berobat Jalan
1388 00:00 19:41 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA Hypertensive heart
114 0002311284396 SITI FAJRIYATI P Rujuk Vertikal
1347 00:00 08:27 MANDIRI disease
PEGAWAI
PEMERINTAH
0151B1090122P00 29-01-2022 29-01-2022 ALZABIA CAHYA Acute upper respiratory
115 0002445491979 P DENGAN Berobat Jalan
1378 00:00 16:17 ISLAMADINA infection, unspecified
PERJANJIAN
KERJA
0151B1090122P00 29-01-2022 29-01-2022 PEGAWAI
116 0002450543332 RATNA NINGRUM.SE AK P Other arthrosis Berobat Jalan
1370 00:00 11:26 SWASTA
0151B1090122P00 29-01-2022 29-01-2022 KHOLID AMIRULHAQ PEGAWAI
117 0002746138961 L Dyspepsia Berobat Jalan
1389 00:00 19:43 SAPUTRO SWASTA
Hypertensive heart
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA
118 0002875549757 SRI INDARJATI P disease without Rujuk Vertikal
1387 00:00 19:36 MANDIRI
(congestive) heart failure
0151B1090122P00 29-01-2022 29-01-2022 ALEXANDER THEO PEGAWAI Disturbances in tooth
119 0002938763518 L Berobat Jalan
1361 00:00 10:19 GREGORIAN SWASTA eruption
0151B1090122P00 29-01-2022 29-01-2022 MAHENDRA GADHING PEGAWAI
120 0003049275655 L Allergic contact dermatitis Berobat Jalan
1356 00:00 09:49 ASSYAUQIE SWASTA
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA Chronic apical
121 0003051752218 SRIYONO L Berobat Jalan
1351 00:00 09:31 MANDIRI periodontitis
0151B1090122P00 29-01-2022 29-01-2022 PEKERJA Congenital malformations
122 0003122052838 ROZIN AL HASAN L Rujuk Vertikal
1369 00:00 11:17 MANDIRI of cardiac septa
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 28-01-2022 28-01-2022 YUYUN NOVITA Diabetes

123 0000001955193 P PNS DAERAH Scleritis Rujuk Vertikal
1287 00:00 08:23 RAHMAWATI Mellitus
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Gonarthrosis [arthrosis of
124 0000075800507 VEBRINA NUR RAHAYU P Rujuk Vertikal
1286 00:00 08:19 MANDIRI knee]
0151B1090122P00 28-01-2022 28-01-2022
125 0000087053624 GHEFIRA ALFAIHA P PNS PUSAT Keloid scar Berobat Jalan
1310 00:00 11:28
0151B1090122P00 28-01-2022 28-01-2022 PENERIMA
126 0000089053233 ROKHANI L Arthrosis, unspecified Berobat Jalan
1316 00:00 13:51 PENSIUN PNS
0151B1090122P00 28-01-2022 28-01-2022
127 0000090929259 SRI AGUSTIN P PNS PUSAT Atopic dermatitis Berobat Jalan
1300 00:00 10:28
0151B1090122P00 28-01-2022 28-01-2022 KEVIN PEKERJA
128 0000090946181 L Necrosis of pulp Rujuk Vertikal
1321 00:00 14:28 ARDYAPRIMATAMA MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PENERIMA Chronic kidney disease,
129 0000090998548 SRI HARTATI P Rujuk Vertikal
1329 00:00 17:24 PENSIUN PNS stage 5
0151B1090122P00 28-01-2022 28-01-2022 PENERIMA
130 0000091478891 HERU SISWANTO L Gastritis, unspecified Berobat Jalan
1301 00:00 10:41 PENSIUN PNS
Insulin-dependent
0151B1090122P00 28-01-2022 28-01-2022 TRIANA AYU PEKERJA
131 0000091544681 P diabetes mellitus with Rujuk Vertikal
1288 00:00 08:28 PURWANINGSIH MANDIRI
renal complications
0151B1090122P00 28-01-2022 28-01-2022 Acute nasopharyngitis Diabetes Diabetes
132 0000091612484 MAHMUDI L PNS DAERAH Berobat Jalan
1289 00:00 08:41 [common cold] Mellitus Mellitus
0151B1090122P00 28-01-2022 28-01-2022 Open wound of
133 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Berobat Jalan
1326 00:00 14:45 unspecified body region
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Acute nasopharyngitis
134 0000560120051 SRI MARYATI P Berobat Jalan
1298 00:00 10:22 MANDIRI [common cold]
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Periapical abscess without
135 0001259236721 MAYA PRIMADONA P Rujuk Vertikal
1305 00:00 11:10 MANDIRI sinus
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
136 0001267951713 BUDI PURNOMO M HUM L Necrosis of pulp Rujuk Vertikal
1296 00:00 09:44 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Periapical abscess without
137 0001269348917 YOLA MARIAMA RISAMDA P Berobat Jalan
1330 00:00 17:29 SWASTA sinus
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
138 0001304284869 WIWIK DWI LESTARI P Abrasion of teeth Berobat Jalan
1307 00:00 11:20 MANDIRI
Non-insulin-dependent
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
139 0001305484334 SANIYAH P diabetes mellitus with Rujuk Vertikal
1317 00:00 14:17 MANDIRI
multiple complications
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
140 0001312698306 TARYONO L Pulpitis Berobat Jalan
1335 00:00 18:08 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Non-insulin-dependent
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
141 0001312700073 DWI NUGRAHANTI P diabetes mellitus with Rujuk Vertikal
1334 00:00 17:56 MANDIRI
unspecified complications
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
142 0001323277661 RANI P Necrosis of pulp Berobat Jalan
1338 00:00 19:24 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 MUHAMMAD KEANU PEGAWAI Injury of unspecified body
143 0001430520028 L Berobat Jalan
1295 00:00 09:44 ARYASENA SWASTA region
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
144 0001448933499 SRI REJEKI P Fracture of tooth Berobat Jalan
1309 00:00 11:23 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
145 0001520959509 SUSI SUSANTI P Allergic contact dermatitis Berobat Jalan
1306 00:00 11:15 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Essential (primary)
146 0001524765611 PRAYITNO L Berobat Jalan
1315 00:00 13:10 SWASTA hypertension
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
147 0001525963509 JOKO SANTOSA L Pulpitis Berobat Jalan
1319 00:00 14:26 SWASTA
Bitten or stung by
0151B1090122P00 28-01-2022 28-01-2022 MUHAMMAD RAFKA PEGAWAI nonvenomous insect and
148 0001529731451 L Berobat Jalan
1302 00:00 10:58 ABIYYU SWASTA other nonvenomous
arthropods
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Open wound of
149 0001534371502 DEWI KURNIAWATI P Berobat Jalan
1331 00:00 17:44 SWASTA unspecified body region
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Acute nasopharyngitis
150 0001691853131 DWI JAKA SISWANTA L Berobat Jalan
1291 00:00 09:15 SWASTA [common cold]
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
151 0001691920337 LINA ZAHRA AL AZIZAH P Necrosis of pulp Berobat Jalan
1293 00:00 09:30 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
152 0001692814926 PUJIATI P Other arthritis Berobat Jalan
1327 00:00 16:22 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
153 0001692820765 DEWI NUR HASANAH P Pain, unspecified Berobat Jalan
1323 00:00 14:31 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Acute nasopharyngitis
154 0001692947878 MUHAMMAD JA`FAR L Berobat Jalan
1294 00:00 09:34 MANDIRI [common cold]
0151B1090122P00 28-01-2022 28-01-2022 TRISTAN ABIRAMA PEGAWAI Periapical abscess without
155 0001693426678 L Berobat Jalan
1311 00:00 11:33 FIRDAUS SWASTA sinus
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Diabetes
156 0001719341932 SIHTIYAH P Headache Berobat Jalan
1320 00:00 14:27 MANDIRI Mellitus
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
157 0001729107786 SITI RAHMANI SHOLIHAH P Dyspepsia Berobat Jalan
1290 00:00 09:12 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
158 0001825865054 AGUNG SETIAJI L Necrosis of pulp Berobat Jalan
1325 00:00 14:40 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 28-01-2022 28-01-2022 NHURUL SEKAR PEKERJA

159 0001860247743 P Pulpitis Berobat Jalan
1308 00:00 11:22 WIDJAYANTI MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
160 0001883518705 SUNARSO L Caries of dentine Berobat Jalan
1313 00:00 11:38 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
161 0001883521135 HUDA ABDUL ROBBANI L Pulpitis Berobat Jalan
1312 00:00 11:36 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
162 0002033108559 ARIEF ALFA ARSYADI L Pain, unspecified Berobat Jalan
1318 00:00 14:24 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 MUHAMMAD AFFAN PEKERJA
163 0002040721648 L Fever, unspecified Berobat Jalan
1332 00:00 17:44 HAIDAR MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Disturbances in tooth
164 0002051458874 SHAFA AULIA NISA P Berobat Jalan
1336 00:00 19:04 SWASTA eruption
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
165 0002059018119 SUHARNI P Gastritis, unspecified Berobat Jalan
1339 00:00 19:33 MANDIRI
0151B1090122P00 28-01-2022 28-01-2022 MIKAYLA NABIHA PEGAWAI Acute nasopharyngitis
166 0002080668159 P Berobat Jalan
1333 00:00 17:49 GAVAPUTRI SWASTA [common cold]
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA
167 0002198268898 SIGIT NURHARYANTO L Pulpitis Berobat Jalan
1341 00:00 19:39 MANDIRI
BIANDRA SULTHAN
0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Periapical abscess without
168 0002213408428 PUTRAYUDHA AL L Berobat Jalan
1337 00:00 19:08 MANDIRI sinus
KEENAN
0151B1090122P00 28-01-2022 28-01-2022 MUCHAMMAD ALIVIA PEGAWAI
169 0002234632588 L Pulpitis Berobat Jalan
1324 00:00 14:35 ROBBY SWASTA
Other and unspecified
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
170 0002294690657 ARKA AZRILAN PRATAMA L gastroenteritis and colitis Berobat Jalan
1342 00:00 19:45 SWASTA
of infectious origin
0151B1090122P00 28-01-2022 28-01-2022
171 0002308977358 KAIRO HANIE SUNGKAR L - Retained dental root Rujuk Vertikal
1303 00:00 11:06
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
172 0002309278667 AGUS SUSILA L Myalgia Berobat Jalan
1343 00:00 19:55 SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
173 0002349063382 MEUTHIA NOOR FATIMAH P Fever, unspecified Berobat Jalan
1340 00:00 19:34 SWASTA
0151B1090122P00 28-01-2022 28-01-2022
174 0002379924145 LITA LIKMALATRI P PNS DAERAH Necrosis of pulp Berobat Jalan
1314 00:00 11:39
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
175 0002483078411 RAFKA ABINAYA AFNAN L Fever, unspecified Berobat Jalan
1322 00:00 14:30 SWASTA

0151B1090122P00 28-01-2022 28-01-2022 FARIZ DEONATA PEGAWAI Other specified

176 0002891726234 L Berobat Jalan
1297 00:00 10:16 WIBISONO SWASTA orthopaedic follow-up care
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI Acute nasopharyngitis

177 0002893156661 FARAH ZULFA P Berobat Jalan
1292 00:00 09:18 SWASTA [common cold]

Diarrhoea and
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
178 0002908695993 ANGGI MAULANA L gastroenteritis of Berobat Jalan
1344 00:00 20:03 SWASTA
presumed infectious origin

0151B1090122P00 28-01-2022 28-01-2022 PEKERJA Acute upper respiratory

179 0002936391366 JEVAN AKASYA HERLANO L Berobat Jalan
1299 00:00 10:25 MANDIRI infection, unspecified
0151B1090122P00 28-01-2022 28-01-2022 ADARA SHIDQIA PEGAWAI
180 0003070686892 P Allergic contact dermatitis Berobat Jalan
1304 00:00 11:08 KURNIAWATI SWASTA
0151B1090122P00 28-01-2022 28-01-2022 PEGAWAI
181 0003071702755 AHMAD MUBAROK L Necrosis of pulp Berobat Jalan
1328 00:00 16:47 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Hypertrophic disorder of
182 0000036244642 ROLAN MART SASONGKO L Rujuk Vertikal
1254 00:00 16:39 MANDIRI skin, unspecified
0151B1090122P00 27-01-2022 27-01-2022 MUHAMAD NUR AZMI
183 0000060428957 L PNS DAERAH Depressive episode Rujuk Vertikal
1231 00:00 09:09 WAHYUDI
0151B1090122P00 27-01-2022 27-01-2022 YUSTINA SRI PENERIMA Chronic ischaemic heart
184 0000076550635 P Rujuk Vertikal
1246 00:00 11:34 NURHARTANTI PENSIUN TNI disease, unspecified
0151B1090122P00 27-01-2022 27-01-2022
185 0000089037516 ANA MAGHFUROH P PNS DAERAH Pulpitis Berobat Jalan
1283 00:00 19:41
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
186 0000090937258 RESTU BAYU PRADANA L Pulpitis Berobat Jalan
1268 00:00 18:08 SWASTA
0151B1090122P00 27-01-2022 27-01-2022
187 0000091364365 UNTUNG JAKA MULYANA L PNS PUSAT Dyspepsia Berobat Jalan
1252 00:00 16:29
0151B1090122P00 27-01-2022 27-01-2022 PENERIMA
188 0000091487384 ENDANG SRI WAHYUNI P Other rheumatoid arthritis Berobat Jalan
1244 00:00 11:19 PENSIUN PNS

0151B1090122P00 27-01-2022 27-01-2022 BAMBANG Hordeolum and other deep

189 0000091544624 L PNS PUSAT Berobat Jalan
1225 00:00 08:13 PUJIASMANTO, MS inflammation of eyelid

0151B1090122P00 27-01-2022 27-01-2022

190 0000091600233 WINDI ATMAKA L PNS PUSAT Fever, unspecified Berobat Jalan
1257 00:00 17:13
0151B1090122P00 27-01-2022 27-01-2022
191 0000196006781 AMIN TILAWATI P PNS PUSAT Necrosis of pulp Berobat Jalan
1250 00:00 15:08
0151B1090122P00 27-01-2022 27-01-2022
192 0000202731153 AZKA SANIYYAH P PNS DAERAH Pulpitis Berobat Jalan
1274 00:00 19:19
0151B1090122P00 27-01-2022 27-01-2022
193 0000640617028 YOGGI DIRGANTARA L - Counselling, unspecified Berobat Jalan
1249 00:00 14:57
0151B1090122P00 27-01-2022 27-01-2022 Irregular menstruation,
194 0001096792593 LUTFI PUTRI KHOLFIYAH P ANGGOTA POLRI Rujuk Vertikal
1261 00:00 17:33 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI

195 0001132417787 SULIYATI DRA P Fever, unspecified Berobat Jalan
1273 00:00 19:19 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
196 0001169137124 ISTIQOMAH P Malaise and fatigue Berobat Jalan
1264 00:00 17:52 SWASTA
0151B1090122P00 27-01-2022 27-01-2022
197 0001169137135 KHONSA LATIFA L - Acute pharyngitis Berobat Jalan
1251 00:00 15:14
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
198 0001178269481 DYAH PUTRI WULANDARI P Headache Berobat Jalan
1270 00:00 18:48 SWASTA

Diarrhoea and
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
199 0001284028705 AGUS SETIYONO L gastroenteritis of Berobat Jalan
1277 00:00 19:27 SWASTA
presumed infectious origin

0151B1090122P00 27-01-2022 27-01-2022 PEKERJA

200 0001304284869 WIWIK DWI LESTARI P Pulpitis Berobat Jalan
1233 00:00 09:21 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Non-insulin-dependent
201 0001305484334 SANIYAH P Berobat Jalan
1236 00:00 09:29 MANDIRI diabetes mellitus
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
202 0001317941886 FIFIN HESTI OKTAFIANI P Malaise and fatigue Berobat Jalan
1267 00:00 17:54 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Essential (primary)
203 0001322226472 MURDIYONO L Berobat Jalan
1230 00:00 08:29 MANDIRI hypertension
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
204 0001322226731 HENNY LIESTIASTUTI P Atopic dermatitis Berobat Jalan
1229 00:00 08:25 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI Acute upper respiratory
205 0001404263439 AGUS SETYAWAN L Berobat Jalan
1247 00:00 13:19 SWASTA infection, unspecified
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
206 0001446629826 ISTIYAWATI RAHAYU P Fever, unspecified Berobat Jalan
1260 00:00 17:30 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 VALERIAN FADIL PEGAWAI Acute nasopharyngitis
207 0001524782305 L Berobat Jalan
1271 00:00 19:11 PRATAMA SWASTA [common cold]
0151B1090122P00 27-01-2022 27-01-2022 RAYNA WULAN CONDRO PEGAWAI Disturbances in tooth
208 0001525085752 P Berobat Jalan
1276 00:00 19:27 RAHADYAN SWASTA eruption
0151B1090122P00 27-01-2022 27-01-2022 MUHAMMAD KHALIFA PEGAWAI Periapical abscess without
209 0001525971576 L Rujuk Vertikal
1240 00:00 10:05 AHSAN SWASTA sinus
0151B1090122P00 27-01-2022 27-01-2022 ANDREAS ANUNG PEKERJA
210 0001526138583 L Acne Berobat Jalan
1278 00:00 19:29 ANINDHITO MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
211 0001534308491 ERIKA MARITA RAMDANI P Dyspepsia Berobat Jalan
1256 00:00 16:49 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
212 0001691852938 ICHSANNUR ROSYADI L Wound myiasis Berobat Jalan
1275 00:00 19:23 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI Cutaneous abscess,
213 0001691854086 M. HARIS AL HAFIDZ L Berobat Jalan
1258 00:00 17:16 SWASTA furuncle and carbuncle
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 27-01-2022 27-01-2022 Acute nasopharyngitis

214 0001691854749 MAS'UDI L - Berobat Jalan
1241 00:00 10:26 [common cold]
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI Acute upper respiratory
215 0001691855076 SUSILO WARDANI P Berobat Jalan
1281 00:00 19:38 SWASTA infection, unspecified
0151B1090122P00 27-01-2022 27-01-2022 MUHAMMAD HAIDAR PEGAWAI Acute upper respiratory
216 0001691855087 L Berobat Jalan
1282 00:00 19:39 TAQIYUDDIN SWASTA infection, unspecified
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
217 0001691920247 NUR HAMID L Injury, unspecified Berobat Jalan
1232 00:00 09:13 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI Spinal stenosis, lumbar
218 0001691920282 AGUS SUCIPTO L Rujuk Vertikal Hipertensi
1239 00:00 10:03 SWASTA region
0151B1090122P00 27-01-2022 27-01-2022 MUKHAROMAH RONI PEGAWAI
219 0001692820811 P Malaise and fatigue Berobat Jalan
1262 00:00 17:49 EKAWATI SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
220 0001692820899 Muninggar Kusumastuti P Malaise and fatigue Berobat Jalan
1265 00:00 17:52 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
221 0001693305729 SITI NUR ANISAH P Benign neoplasm of breast Rujuk Vertikal
1242 00:00 10:38 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
222 0001693306258 NUR ROCHMAH P Pulpitis Berobat Jalan
1235 00:00 09:27 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Acute nasopharyngitis
223 0001730982036 DANANG SURANTO L Berobat Jalan
1284 00:00 20:04 MANDIRI [common cold]
0151B1090122P00 27-01-2022 27-01-2022 SITI MUTHMAINAH Acute nasopharyngitis
224 0001813933539 P - Berobat Jalan
1255 00:00 16:44 FADLIILAH, [common cold]
0151B1090122P00 27-01-2022 27-01-2022 NIKEN KUSUMA Injury of unspecified body
225 0001849823302 P PNS DAERAH Berobat Jalan
1280 00:00 19:33 WARDHANI region
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
226 0001883521135 HUDA ABDUL ROBBANI L Necrosis of pulp Berobat Jalan
1279 00:00 19:32 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 MUHAMMAD RAZAN AL PEGAWAI Acute nasopharyngitis
227 0002049015262 L Berobat Jalan
1272 00:00 19:14 FARABY SWASTA [common cold]
Gonococcal infection of
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI lower genitourinary tract
228 0002060199044 ZIDAN JULFIAN RAHMAN L Rujuk Vertikal
1245 00:00 11:29 SWASTA with periurethral and
accessory gland abscess
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
229 0002198268898 SIGIT NURHARYANTO L Pulpitis Berobat Jalan
1269 00:00 18:10 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
230 0002200180509 YULIANA AMBARWATI P Impacted teeth Rujuk Vertikal
1238 00:00 09:55 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Other specified disorders

0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI of skin and subcutaneous
231 0002202730986 LUQMAN EFENDI L Rujuk Vertikal
1259 00:00 17:24 SWASTA tissue in diseases
classified elsewhere

0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Thyrotoxicosis

232 0002228291357 ARRIFA ZUCHROTUNNISA P Rujuk Vertikal Hipertensi
1237 00:00 09:46 MANDIRI [hyperthyroidism]
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
233 0002247480393 SRI HARYANTI P Injury, unspecified Berobat Jalan
1243 00:00 10:55 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 ALLAYA QINARRA PEGAWAI
234 0002269626491 P Malaise and fatigue Berobat Jalan
1263 00:00 17:51 GAVAPUTRI SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Peptic ulcer, site
235 0002275265215 HARYONO L Rujuk Vertikal
1248 00:00 13:26 MANDIRI unspecified
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Acute nasopharyngitis
236 0002308812726 NAFIL KHAIRIL HANIF L Berobat Jalan
1226 00:00 08:19 MANDIRI [common cold]
0151B1090122P00 27-01-2022 27-01-2022 ANNORA BENING PEGAWAI Acute nasopharyngitis
237 0002428764052 L Berobat Jalan
1285 00:00 20:14 KINANTHI SWASTA [common cold]
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
238 0002460520258 RATNA DIAN SEPTIANA P Malaise and fatigue Berobat Jalan
1266 00:00 17:53 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
239 0002469473098 HANAN NAJAMUDDIN L Corns and callosities Rujuk Vertikal
1234 00:00 09:25 MANDIRI
0151B1090122P00 27-01-2022 27-01-2022 PEGAWAI
240 0002746217351 BTARI BANYU BENING P Fever, unspecified Berobat Jalan
1253 00:00 16:37 SWASTA
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA Chronic kidney disease,
241 0002899018462 SUBANDI L Rujuk Vertikal
1227 00:00 08:20 MANDIRI stage 5
0151B1090122P00 27-01-2022 27-01-2022 PEKERJA
242 0002899018541 SUTARNI P Conjunctivitis Berobat Jalan
1228 00:00 08:22 MANDIRI

Diarrhoea and
0151B1090122P00 26-01-2022 26-01-2022
243 0000020887738 ALIPNI UMUL UMAHAT P PNS PUSAT gastroenteritis of Berobat Jalan
1190 00:00 13:19
presumed infectious origin

0151B1090122P00 26-01-2022 26-01-2022 ISMAIL HENDRA PEGAWAI Other specified forms of

244 0000075945071 L Rujuk Vertikal
1206 00:00 16:42 GUNAWAN SWASTA tremor
0151B1090122P00 26-01-2022 26-01-2022 DEWAYU ANGGI KARTIKA PEGAWAI
245 0000076632254 P Impacted teeth Rujuk Vertikal
1177 00:00 10:16 SAKTI SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
246 0000084124405 ALIF RIZAL MUTHI L Unspecified visual loss Rujuk Vertikal
1217 00:00 17:58 SWASTA
Non-insulin-dependent
0151B1090122P00 26-01-2022 26-01-2022 PENERIMA
247 0000091320355 SITI P diabetes mellitus with Rujuk Vertikal
1189 00:00 13:13 PENSIUN PNS
multiple complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 26-01-2022 26-01-2022

248 0000174033988 GALUH DWI PRAMESTI P PNS DAERAH Gastritis, unspecified Berobat Jalan
1197 00:00 14:41

Diarrhoea and
0151B1090122P00 26-01-2022 26-01-2022 MUHAMMAD SOFYAN
249 0000205247586 L PNS DAERAH gastroenteritis of Berobat Jalan
1182 00:00 11:07 ARYA PRADANA
presumed infectious origin

0151B1090122P00 26-01-2022 26-01-2022

250 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Wound myiasis Berobat Jalan
1175 00:00 09:32
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Gonarthrosis [arthrosis of
251 0001203473215 NANI HANDAJANI SE P Rujuk Vertikal
1201 00:00 15:19 MANDIRI knee]
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Acute upper respiratory
252 0001280884983 SAMADI L Berobat Jalan
1222 00:00 19:54 MANDIRI infection, unspecified
PEGAWAI
PEMERINTAH
0151B1090122P00 26-01-2022 26-01-2022 BETTY MIFTAKHUL
253 0001285801705 P DENGAN Benign neoplasm of breast Berobat Jalan
1213 00:00 17:31 KHOIRI
PERJANJIAN
KERJA
0151B1090122P00 26-01-2022 26-01-2022 LAILY MIFTAKHUL PEGAWAI Chronic tubotympanic
254 0001287164799 P Rujuk Vertikal
1169 00:00 08:23 JANNAH SWASTA suppurative otitis media
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
255 0001294205319 WAHYU NINGSIH P Necrosis of pulp Berobat Jalan
1199 00:00 15:06 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
256 0001298750815 HARTI UTAMI P Counselling, unspecified Berobat Jalan
1180 00:00 10:28 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
257 0001308030107 SUSILOWATI P Pulpitis Berobat Jalan Hipertensi
1178 00:00 10:17 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
258 0001312698306 TARYONO L Caries of dentine Berobat Jalan
1223 00:00 19:56 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
259 0001317694713 WIWIT INDAH PURNAMA L Malaise and fatigue Berobat Jalan
1173 00:00 09:04 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 WAHYU NUR AFIFFAH PEKERJA
260 0001328765174 P Pruritus Berobat Jalan
1219 00:00 19:30 AMATULLAH MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Hypertensive heart
261 0001404266016 JUWADI L Berobat Jalan Hipertensi Hipertensi
1209 00:00 16:54 SWASTA disease
0151B1090122P00 26-01-2022 26-01-2022 MUHAMMAD KEANU PEGAWAI Injury of unspecified body
262 0001430520028 L Berobat Jalan
1198 00:00 14:59 ARYASENA SWASTA region
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
263 0001442040186 ANISA MULYASARI P Necrosis of pulp Rujuk Vertikal
1179 00:00 10:24 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Acute nasopharyngitis
264 0001449447118 SETIAWAN PRABOWO L Berobat Jalan
1192 00:00 13:33 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI

265 0001526216027 ISKAWATI P Acute pharyngitis Berobat Jalan
1212 00:00 17:27 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PUTRA NAHNU AKHSAN PEGAWAI Acute nasopharyngitis
266 0001526216049 L Berobat Jalan
1210 00:00 17:18 KRISTIANTO SWASTA [common cold]
0151B1090122P00 26-01-2022 26-01-2022 MOHAMMAD FATHONI Acute nasopharyngitis
267 0001526377487 L - Berobat Jalan
1220 00:00 19:43 AZIS [common cold]
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
268 0001526830075 ABDUL MALIK L Secondary hypertension Berobat Jalan
1183 00:00 11:20 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 ERLAND MACNAIR PEGAWAI
269 0001548694405 L Counselling, unspecified Berobat Jalan
1218 00:00 18:54 MULYADI SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Acute pharyngitis,
270 0001691853186 EDI SUPRAPTO L Berobat Jalan
1172 00:00 08:46 SWASTA unspecified
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
271 0001691853478 MUNIROTUN P Myalgia Berobat Jalan
1211 00:00 17:21 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Essential (primary)
272 0001691855201 SRI LESTARI P Berobat Jalan Hipertensi Hipertensi
1204 00:00 15:34 MANDIRI hypertension
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
273 0001691855267 AISYAH P Impacted cerumen Berobat Jalan
1171 00:00 08:44 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
274 0001691920247 NUR HAMID L Wound myiasis Berobat Jalan
1176 00:00 09:33 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 26-01-2022 26-01-2022 RAHMAT CAHYO
275 0001693935134 L DENGAN Atopic dermatitis Berobat Jalan
1214 00:00 17:43 YULIYANTO
PERJANJIAN
KERJA
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Diabetes
276 0001719341932 SIHTIYAH P Dyspepsia Berobat Jalan
1203 00:00 15:28 MANDIRI Mellitus
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Acute upper respiratory
277 0001795213721 DYAN ARFIYANTI P Berobat Jalan
1195 00:00 14:29 MANDIRI infection, unspecified
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Acute upper respiratory
278 0001795215295 HAFY ZUHDIAN AZMI L Berobat Jalan
1194 00:00 14:25 MANDIRI infection, unspecified
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Acute upper respiratory
279 0001795217861 SAKINA LUTFIYAH AZMI P Berobat Jalan
1196 00:00 14:34 MANDIRI infection, unspecified
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Essential (primary)
280 0001821406847 SITI AISYAH P Berobat Jalan
1221 00:00 19:44 SWASTA hypertension
0151B1090122P00 26-01-2022 26-01-2022 BELLA KHAIRANA PEGAWAI Disturbances in tooth
281 0001826478077 P Berobat Jalan
1200 00:00 15:12 PARAMESWARI SWASTA eruption
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Disturbances in tooth
282 0001845040994 syarif naufal rasyad L Berobat Jalan
1202 00:00 15:20 MANDIRI eruption
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI

283 0001876829051 SUTINATUN P Arthrosis, unspecified Rujuk Vertikal
1174 00:00 09:10 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 Chronic apical
284 0002064992218 SRI WAHYUNI P - Berobat Jalan
1207 00:00 16:43 periodontitis
0151B1090122P00 26-01-2022 26-01-2022 Essential (primary)
285 0002064992218 SRI WAHYUNI P - Berobat Jalan
1208 00:00 16:48 hypertension
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Acute nasopharyngitis
286 0002090350315 NUR AGUSTINA HABSARI P Berobat Jalan
1224 00:00 20:19 SWASTA [common cold]
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI
287 0002199911049 SHOFIA SEKAR HANNANI P Fever, unspecified Berobat Jalan
1191 00:00 13:30 SWASTA
0151B1090122P00 26-01-2022 26-01-2022 MUCHAMMAD KAES AL PEKERJA
288 0002218889182 L Fever, unspecified Berobat Jalan
1170 00:00 08:42 QOSIM MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 FITRIANI NUR PEKERJA Candidiasis of vulva and
289 0002220884065 P Berobat Jalan
1186 00:00 11:45 CANDRAWATI MANDIRI vagina

Diarrhoea and
0151B1090122P00 26-01-2022 26-01-2022 CHELSEA AZALEA PEKERJA
290 0002220885279 P gastroenteritis of Berobat Jalan
1185 00:00 11:44 SAFIRA MANDIRI
presumed infectious origin

0151B1090122P00 26-01-2022 26-01-2022 NURINDRA AQILLA PEKERJA

291 0002258745445 P Fever, unspecified Rujuk Vertikal
1193 00:00 13:39 SHAZFA MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
292 0002274546802 HARIS ENDRO SURJANTO L Chronic kidney disease Rujuk Vertikal
1205 00:00 15:55 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 SOETARTO ABDUL AZIZ PEKERJA
293 0002484124176 L Low back pain Berobat Jalan
1188 00:00 11:52 HANAFI MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 PEGAWAI Acute nasopharyngitis
294 0002746217351 BTARI BANYU BENING P Berobat Jalan
1215 00:00 17:46 SWASTA [common cold]
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA Diabetes Diabetes
295 0002770394567 SUMARNI P Wound myiasis Berobat Jalan
1184 00:00 11:40 MANDIRI Mellitus Mellitus
0151B1090122P00 26-01-2022 26-01-2022 PEKERJA
296 0002876736475 MOH ROJULI L Other cerebral infarction Rujuk Vertikal
1216 00:00 17:52 MANDIRI
0151B1090122P00 26-01-2022 26-01-2022 HUSAIN LABIB AL PEGAWAI
297 0003069685967 L Atopic dermatitis Berobat Jalan
1187 00:00 11:50 MUNAWWIR SWASTA
0151B1090122P00 26-01-2022 26-01-2022 KHADIJAH AYSHA QIANA
298 0003102617687 P PEGAWAI BUMD Talipes equinovarus Rujuk Vertikal
1181 00:00 10:40 AL HAKIM
0151B1090122P00 25-01-2022 25-01-2022
299 0000087055839 SITI KHOTIJAH P PNS PUSAT Otalgia Berobat Jalan Hipertensi
1115 00:00 09:02
0151B1090122P00 25-01-2022 25-01-2022
300 0000087055839 SITI KHOTIJAH P PNS PUSAT Chronic periodontitis Rujuk Vertikal Hipertensi
1118 00:00 09:24
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Hypertensive heart
0151B1090122P00 25-01-2022 25-01-2022 PENERIMA
301 0000088849056 ERNA DIEN SUMARDINAH P disease without Rujuk Vertikal
1158 00:00 17:17 PENSIUN PNS
(congestive) heart failure
0151B1090122P00 25-01-2022 25-01-2022 PENERIMA
302 0000090998245 MAKSUM AINAINI MM L Otitis externa Berobat Jalan
1128 00:00 10:24 PENSIUN PNS
0151B1090122P00 25-01-2022 25-01-2022 PENERIMA Adhesive capsulitis of
303 0000091276795 SURIP L Berobat Jalan
1136 00:00 11:44 PENSIUN PNS shoulder
0151B1090122P00 25-01-2022 25-01-2022
304 0000091503033 FASIH SUBAGYO L PNS DAERAH Counselling, unspecified Berobat Jalan
1166 00:00 19:35
0151B1090122P00 25-01-2022 25-01-2022
305 0000202731028 MIANTI FATMA WIJAYA P PNS DAERAH Headache Berobat Jalan
1156 00:00 17:16
0151B1090122P00 25-01-2022 25-01-2022
306 0000202731153 AZKA SANIYYAH P PNS DAERAH Pulpitis Berobat Jalan
1162 00:00 18:13
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
307 0001128887998 EDY WIYONO L Fever, unspecified Berobat Jalan
1111 00:00 08:31 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Acute upper respiratory
308 0001178269481 DYAH PUTRI WULANDARI P Berobat Jalan
1112 00:00 08:37 SWASTA infection, unspecified
0151B1090122P00 25-01-2022 25-01-2022 PEKERJA Eustachian salpingitis and
309 0001263874972 RIMA FIRGIYANI P Rujuk Vertikal
1134 00:00 11:12 MANDIRI obstruction
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
310 0001269348917 YOLA MARIAMA RISAMDA P Retained dental root Berobat Jalan
1163 00:00 18:18 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEKERJA
311 0001304284869 WIWIK DWI LESTARI P Necrosis of pulp Berobat Jalan
1147 00:00 14:46 MANDIRI
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
312 0001308030107 SUSILOWATI P Necrosis of pulp Berobat Jalan Hipertensi
1145 00:00 14:19 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
313 0001525855419 YENI RISMAYANTI P Necrosis of pulp Berobat Jalan
1160 00:00 17:25 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
314 0001525963509 JOKO SANTOSA L Pulpitis Berobat Jalan
1149 00:00 15:22 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 25-01-2022 25-01-2022 Acute nasopharyngitis
315 0001525967021 AFIDA NUGRAHANI P DENGAN Berobat Jalan
1127 00:00 10:20 [common cold]
PERJANJIAN
KERJA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
316 0001526215847 Wahyuni Iyayanti P Chronic gingivitis Berobat Jalan
1123 00:00 09:51 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Other surgical follow-up
317 0001534371502 DEWI KURNIAWATI P Berobat Jalan
1154 00:00 17:03 SWASTA care
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
318 0001580005989 SURATMAN L Wound myiasis Berobat Jalan
1126 00:00 10:03 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Acute nasopharyngitis

319 0001691853131 DWI JAKA SISWANTA L Berobat Jalan
1119 00:00 09:25 SWASTA [common cold]
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
320 0001691853243 MARSUM L Necrosis of pulp Berobat Jalan
1148 00:00 15:04 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
321 0001691853669 HARJAIN L Acute appendicitis Rujuk Vertikal
1110 00:00 08:22 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Injury of unspecified body
322 0001691855144 MUHAMMAD ZAINI L Berobat Jalan
1114 00:00 08:45 SWASTA region
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Open wound of
323 0001691920247 NUR HAMID L Berobat Jalan
1131 00:00 10:45 SWASTA unspecified body region
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Essential (primary)
324 0001691920282 AGUS SUCIPTO L Berobat Jalan Hipertensi
1117 00:00 09:21 SWASTA hypertension
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Stomatitis and related
325 0001692820844 Rusdiana P Berobat Jalan
1161 00:00 18:07 SWASTA lesions
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
326 0001693305808 SHOLIHIN L Status asthmaticus Rujuk Vertikal
1146 00:00 14:39 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 Cysts of oral region, not
327 0001693426656 ANITA JANU ASTUTI P - Berobat Jalan
1122 00:00 09:47 elsewhere classified
0151B1090122P00 25-01-2022 25-01-2022 TRISTAN ABIRAMA PEGAWAI Periapical abscess without
328 0001693426678 L Berobat Jalan
1120 00:00 09:28 FIRDAUS SWASTA sinus
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Essential (primary)
329 0001791541473 DEWI WAHYUNI P Berobat Jalan
1150 00:00 15:46 SWASTA hypertension
PEGAWAI
PEMERINTAH
0151B1090122P00 25-01-2022 25-01-2022
330 0001891149772 EDI PURWANTO L DENGAN Myalgia Berobat Jalan
1135 00:00 11:28
PERJANJIAN
KERJA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Disturbances in tooth
331 0001892043055 NAJMA NOOR AMALIA P Berobat Jalan
1157 00:00 17:17 SWASTA eruption
0151B1090122P00 25-01-2022 25-01-2022 QOFISHA QURRATUL PEGAWAI
332 0001964748881 P Gonococcal infection Berobat Jalan
1151 00:00 15:54 'AINI SWASTA
0151B1090122P00 25-01-2022 25-01-2022 DHERY PUTHUT PEGAWAI Acute upper respiratory
333 0001970893899 L Berobat Jalan
1144 00:00 13:49 SANTOSA, A.MD. KEP. SWASTA infection, unspecified
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
334 0002032662712 DESY NUR PRATIWI P Fracture of tooth Berobat Jalan
1165 00:00 19:22 SWASTA
Foreign body in other and
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
335 0002040878812 SEPTIAN ADI SAPUTRO L multiple parts of external Rujuk Vertikal
1113 00:00 08:44 SWASTA
eye
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Periapical abscess without
336 0002068100662 MUHAMMAD RAMADHAN L Berobat Jalan
1121 00:00 09:31 SWASTA sinus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 25-01-2022 25-01-2022 PEKERJA

337 0002068176936 PARMUN L Necrosis of pulp Berobat Jalan
1152 00:00 16:31 MANDIRI
0151B1090122P00 25-01-2022 25-01-2022 MIKAYLA NABIHA PEGAWAI
338 0002080668159 P Fever, unspecified Berobat Jalan
1138 00:00 13:06 GAVAPUTRI SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
339 0002248577122 rasyafa artha meylano L Dyspepsia Berobat Jalan
1141 00:00 13:22 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 NURINDRA AQILLA PEKERJA
340 0002258745445 P Fever, unspecified Berobat Jalan
1167 00:00 20:24 SHAZFA MANDIRI
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Acute nasopharyngitis
341 0002266050172 zhafira az zahra P Berobat Jalan
1168 00:00 20:28 SWASTA [common cold]
0151B1090122P00 25-01-2022 25-01-2022 Essential (primary)
342 0002272432972 YULIANA SRI MULYANI P PNS DAERAH Berobat Jalan
1125 00:00 09:56 hypertension
0151B1090122P00 25-01-2022 25-01-2022
343 0002272434085 ABAS AL GIFARI L PNS DAERAH Impacted cerumen Berobat Jalan
1124 00:00 09:55
0151B1090122P00 25-01-2022 25-01-2022 PEKERJA
344 0002275265327 SUHARTI P Caries of dentine Berobat Jalan
1164 00:00 18:41 MANDIRI
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI Acute nasopharyngitis
345 0002311732754 NYAMI P Berobat Jalan
1116 00:00 09:08 SWASTA [common cold]
Loss of teeth due to
0151B1090122P00 25-01-2022 25-01-2022 PENERIMA
346 0002422023939 HERUWATI P accident, extraction or Berobat Jalan
1155 00:00 17:05 PENSIUN TNI
local periodontal disease
0151B1090122P00 25-01-2022 25-01-2022 MOHAMAD AJI
347 0002443904932 L PEGAWAI BUMD Fever, unspecified Berobat Jalan
1140 00:00 13:21 BAYUSENO

0151B1090122P00 25-01-2022 25-01-2022 PENERIMA Primary angle-closure

348 0002500302813 SRI HASTUTI P Rujuk Vertikal
1132 00:00 10:48 PENSIUN SWASTA glaucoma

0151B1090122P00 25-01-2022 25-01-2022 ASLAN ABDULAZIZ PEGAWAI

349 0002745630944 L Nausea and vomiting Berobat Jalan
1137 00:00 11:54 MOSHA SWASTA
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
350 0002749661245 KANAYA FARANISA AZNI P Constipation Berobat Jalan
1159 00:00 17:24 SWASTA
0151B1090122P00 25-01-2022 25-01-2022 TYAS KUSNA WIDYA PEGAWAI
351 0002751836578 P Acne Berobat Jalan
1153 00:00 16:37 NINGRUM SWASTA

0151B1090122P00 25-01-2022 25-01-2022 FATHANAH SEPTIANA Other specified

352 0002757163421 P PNS PUSAT Rujuk Vertikal
1139 00:00 13:14 PURWANINGSIH orthopaedic follow-up care

0151B1090122P00 25-01-2022 25-01-2022 NAFISAH MUTIARA PEGAWAI Acute nasopharyngitis

353 0002769109839 P Berobat Jalan
1129 00:00 10:27 AZZAHRA SWASTA [common cold]
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
354 0002882042818 VIVI NURHAYATI, S.Sos P Pulpitis Berobat Jalan
1133 00:00 10:51 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Fracture of bone following

0151B1090122P00 25-01-2022 25-01-2022 FARIZ DEONATA PEGAWAI insertion of orthopaedic
355 0002891726234 L Rujuk Vertikal
1142 00:00 13:23 WIBISONO SWASTA implant, joint prosthesis, or
bone plate
0151B1090122P00 25-01-2022 25-01-2022 PEGAWAI
356 0003119127647 Mu'adz Nur Ahsan L Fever, unspecified Berobat Jalan
1130 00:00 10:32 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 Hypertensive heart
357 0000077152656 MARSUJIYATI P PNS PUSAT Rujuk Vertikal
1074 00:00 13:27 disease
0151B1090122P00 24-01-2022 24-01-2022 Hypertensive heart
358 0000077152667 SUHARTO L PNS PUSAT Rujuk Vertikal
1075 00:00 13:29 disease
0151B1090122P00 24-01-2022 24-01-2022
359 0000079574229 ETI DWI HAPSARI P PNS DAERAH Glaucoma, unspecified Rujuk Vertikal
1053 00:00 10:09
0151B1090122P00 24-01-2022 24-01-2022
360 0000086970183 ANIK ERYANI P PNS DAERAH Psoriasis Rujuk Vertikal
1050 00:00 09:54
0151B1090122P00 24-01-2022 24-01-2022 PENERIMA
361 0000089053233 ROKHANI L Other arthrosis Berobat Jalan
1073 00:00 13:20 PENSIUN PNS
Hyperuricaemia without
0151B1090122P00 24-01-2022 24-01-2022 signs of inflammatory
362 0000089073652 ANWARUDIN L PNS PUSAT Berobat Jalan
1060 00:00 11:15 arthritis and tophaceous
disease
0151B1090122P00 24-01-2022 24-01-2022 TRIANA AYU PEKERJA
363 0000091544681 P Myalgia Berobat Jalan
1046 00:00 09:32 PURWANINGSIH MANDIRI
Other specified diseases
0151B1090122P00 24-01-2022 24-01-2022 LINA NOOR ETHIKA WIDI PEGAWAI
364 0000091613979 P of blood and blood-forming Rujuk Vertikal
1094 00:00 18:06 JAMIL SWASTA
organs
Non-insulin-dependent
0151B1090122P00 24-01-2022 24-01-2022 PENERIMA
365 0000095998149 DUKUT SANTOSO L diabetes mellitus with Rujuk Vertikal
1083 00:00 15:52 PENSIUN PNS
unspecified complications
0151B1090122P00 24-01-2022 24-01-2022 PENERIMA
366 0000095998151 SRI KUSMIYATI, NY P Headache Berobat Jalan
1084 00:00 15:54 PENSIUN PNS
0151B1090122P00 24-01-2022 24-01-2022 PENERIMA Acute nasopharyngitis
367 0000105415773 PATONAH P Berobat Jalan
1103 00:00 19:37 PENSIUN PNS [common cold]
0151B1090122P00 24-01-2022 24-01-2022
368 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Wound myiasis Berobat Jalan
1054 00:00 10:21
0151B1090122P00 24-01-2022 24-01-2022 ILHAM MAULANA
369 0000976054061 L PNS PUSAT Necrosis of pulp Berobat Jalan
1068 00:00 11:56 RAHMAN
0151B1090122P00 24-01-2022 24-01-2022 Disturbances in tooth
370 0000977369848 AISYAH ADZKIYA HUSNA P PNS DAERAH Berobat Jalan
1070 00:00 12:03 eruption
0151B1090122P00 24-01-2022 24-01-2022 SHELLA DHIKA PEGAWAI
371 0000977500686 P Impacted teeth Rujuk Vertikal
1078 00:00 15:24 RAHMAWATI SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090122P00 24-01-2022 24-01-2022 Acute upper respiratory
372 0001021790529 FAIZA SABILLA ROSADI L DENGAN Berobat Jalan
1052 00:00 10:03 infection, unspecified
PERJANJIAN
KERJA
0151B1090122P00 24-01-2022 24-01-2022
373 0001021790891 KADIYEM P PBI (APBN) Necrosis of pulp Berobat Jalan
1080 00:00 15:47
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Acute nasopharyngitis
374 0001079718085 WISNU FAIZAL MARYONO L Berobat Jalan
1101 00:00 19:34 SWASTA [common cold]
Excessive and frequent
0151B1090122P00 24-01-2022 24-01-2022
375 0001096792593 LUTFI PUTRI KHOLFIYAH P ANGGOTA POLRI menstruation with irregular Berobat Jalan
1092 00:00 18:02
cycle
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
376 0001124350705 APRI WITIARSO L Caries of dentine Berobat Jalan
1081 00:00 15:49 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 VANYA CALISTA PEKERJA Disturbances in tooth
377 0001177103766 P Berobat Jalan
1082 00:00 15:51 RUSSANDRA KARYANTO MANDIRI eruption
0151B1090122P00 24-01-2022 24-01-2022 LAILY MIFTAKHUL PEGAWAI Acute upper respiratory
378 0001287164799 P Berobat Jalan
1040 00:00 08:34 JANNAH SWASTA infection, unspecified
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
379 0001288456356 SRI ENDANG WAHYUNI P Astigmatism Berobat Jalan
1044 00:00 09:05 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
380 0001291279094 INDRI MUTIA P Counselling, unspecified Berobat Jalan
1098 00:00 19:24 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Periapical abscess without
381 0001312698306 TARYONO L Berobat Jalan
1067 00:00 11:53 MANDIRI sinus
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
382 0001312701041 MUHAMMAD ARYODHIA S L Acute sinusitis Berobat Jalan
1057 00:00 10:50 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 Acute upper respiratory
383 0001313710942 dzulfiqar aryasatya fawwaz L PNS DAERAH Berobat Jalan
1056 00:00 10:38 infection, unspecified
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Acute nasopharyngitis
384 0001319393316 RIFATUN MARDHIYAH P Berobat Jalan
1077 00:00 14:18 SWASTA [common cold]
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
385 0001406793385 DOMAS PRIHANTORO L Hordeolum and chalazion Berobat Jalan
1100 00:00 19:27 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 Acute nasopharyngitis
386 0001447193608 ISNANI SURYASTUTI P PNS DAERAH Berobat Jalan
1093 00:00 18:03 [common cold]
0151B1090122P00 24-01-2022 24-01-2022
387 0001468263723 ANITA KUSUMA ASTUTI P PNS PUSAT Pulpitis Berobat Jalan
1097 00:00 19:22
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
388 0001473153333 ENDANG KOMALASARI P Counselling, unspecified Berobat Jalan
1108 00:00 20:21 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
389 0001529480226 SHERLY INDRASWARI P Necrosis of pulp Berobat Jalan
1066 00:00 11:52 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 24-01-2022 24-01-2022 INTAN KHOIRUN NISA PEGAWAI

390 0001532903174 P Fever, unspecified Berobat Jalan
1105 00:00 19:50 FAJRIN SWASTA
0151B1090122P00 24-01-2022 24-01-2022
391 0001534217141 WULANDARI P - Vertigo of central origin Berobat Jalan
1038 00:00 08:24
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
392 0001691855267 AISYAH P Impacted cerumen Berobat Jalan
1051 00:00 09:58 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
393 0001691855537 DARSONO, S.PD. L Pain, unspecified Berobat Jalan
1061 00:00 11:25 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Essential (primary)
394 0001691856112 SITI LATIFAH P Berobat Jalan Hipertensi
1090 00:00 16:55 SWASTA hypertension
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
395 0001691920247 NUR HAMID L Wound myiasis Berobat Jalan
1043 00:00 08:59 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Essential (primary)
396 0001691920258 SUMIRAH P Berobat Jalan Hipertensi
1042 00:00 08:49 SWASTA hypertension
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
397 0001692947878 MUHAMMAD JA`FAR L Fever, unspecified Berobat Jalan
1091 00:00 17:49 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Acute upper respiratory
398 0001694996313 RICHA PRIHATININGSIH P Berobat Jalan
1049 00:00 09:47 SWASTA infection, unspecified
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Disturbances in tooth
399 0001736168747 ADIBA FATHIYA RAHMAN P Berobat Jalan
1071 00:00 12:06 SWASTA eruption
0151B1090122P00 24-01-2022 24-01-2022
400 0001822844417 CANTHIKA AKBAR BUANA P PNS DAERAH Hordeolum and chalazion Berobat Jalan
1047 00:00 09:33
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Disturbances in tooth
401 0001845040994 syarif naufal rasyad L Berobat Jalan
1087 00:00 16:34 MANDIRI eruption
0151B1090122P00 24-01-2022 24-01-2022 NIKEN KUSUMA Other surgical follow-up
402 0001849823302 P PNS DAERAH Berobat Jalan
1095 00:00 18:20 WARDHANI care
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
403 0001901042919 PARYONO L Headache Berobat Jalan Hipertensi
1106 00:00 19:51 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 MARCELINO BAGUS DWI PEKERJA
404 0002059735893 L Conjunctivitis Berobat Jalan
1085 00:00 16:07 ANDIKA MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI Gonococcal infection,
405 0002060199044 ZIDAN JULFIAN RAHMAN L Berobat Jalan
1058 00:00 10:59 SWASTA unspecified
0151B1090122P00 24-01-2022 24-01-2022
406 0002161637447 FAHMI AZMI L PNS DAERAH Conjunctivitis Berobat Jalan
1063 00:00 11:32
Sprain and strain of other
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
407 0002204117133 DWI HAYYU RAMADHANI P and unspecified parts of Berobat Jalan
1064 00:00 11:40 SWASTA
knee
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Acute nasopharyngitis
408 0002228291357 ARRIFA ZUCHROTUNNISA P Berobat Jalan Hipertensi
1088 00:00 16:38 MANDIRI [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Disturbances in tooth

409 0002229574656 ABDU RAHMAN BENABID L Berobat Jalan
1079 00:00 15:45 MANDIRI eruption
0151B1090122P00 24-01-2022 24-01-2022 MUHAMMAD YULI PEKERJA
410 0002234568532 L Fever, unspecified Berobat Jalan
1089 00:00 16:52 WIDODO RAHARJO MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
411 0002247480393 SRI HARYANTI P Carpal tunnel syndrome Berobat Jalan
1065 00:00 11:47 MANDIRI
Family history of asthma
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
412 0002252902173 MARYANI P and other chronic lower Rujuk Vertikal
1039 00:00 08:27 SWASTA
respiratory diseases
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
413 0002275273236 SUPRAPTI P Necrosis of pulp Berobat Jalan
1069 00:00 12:01 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 AS-SYAFA MIKAELA PEGAWAI
414 0002446726138 P Fever, unspecified Berobat Jalan
1048 00:00 09:42 PUTRI DAVITA SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
415 0002460520258 RATNA DIAN SEPTIANA P Fever, unspecified Berobat Jalan
1072 00:00 12:33 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Periapical abscess without
416 0002466346522 SUSI PRIHATINI P Berobat Jalan
1099 00:00 19:24 MANDIRI sinus
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Urinary tract infection, site
417 0002494480004 MUKINAH P Berobat Jalan
1041 00:00 08:46 MANDIRI not specified
0151B1090122P00 24-01-2022 24-01-2022 MUHAMMAD ISTAFAKO PEGAWAI
418 0002495707593 L Pulpitis Berobat Jalan
1059 00:00 11:15 HARYANTO SWASTA
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
419 0002697496075 RUZIQO DAHAM L Pulpitis Berobat Jalan
1102 00:00 19:34 MANDIRI
0151B1090122P00 24-01-2022 24-01-2022 DZULHANNAN ABIMANA Acute upper respiratory
420 0002757664326 L PNS DAERAH Berobat Jalan
1055 00:00 10:27 FAWWAZ infection, unspecified
0151B1090122P00 24-01-2022 24-01-2022 PEGAWAI
421 0002762932048 GITA RAHMA P Fever, unspecified Berobat Jalan
1086 00:00 16:11 SWASTA
0151B1090122P00 24-01-2022 24-01-2022 Acute nasopharyngitis
422 0002767490526 FERLITA ABIA NEIMA P PNS DAERAH Berobat Jalan
1107 00:00 20:09 [common cold]
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA Injury of unspecified body Diabetes Diabetes
423 0002770394567 SUMARNI P Berobat Jalan
1045 00:00 09:16 MANDIRI region Mellitus Mellitus
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA
424 0002773166501 INDRO TRIYONO L Vertigo of central origin Berobat Jalan
1104 00:00 19:41 MANDIRI
Non-insulin-dependent
0151B1090122P00 24-01-2022 24-01-2022 PEKERJA diabetes mellitus with
425 0002773166613 SRI JARIYATUN P Rujuk Vertikal
1062 00:00 11:27 MANDIRI other specified
complications
0151B1090122P00 24-01-2022 24-01-2022 FARIZ DEONATA PEGAWAI Other orthopaedic
426 0002891726234 L Berobat Jalan
1109 00:00 20:22 WIBISONO SWASTA follow-up care
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diarrhoea and
0151B1090122P00 24-01-2022 24-01-2022 DANIEL GIBRAN ELVANO PEGAWAI
427 0003085938933 L gastroenteritis of Berobat Jalan
1096 00:00 19:16 AXELLO SWASTA
presumed infectious origin

0151B1090122P00 24-01-2022 24-01-2022 ADIFA ZAHRANA PEGAWAI Acute nasopharyngitis

428 0003089783439 P Berobat Jalan
1076 00:00 14:17 AL-MAHIRA SWASTA [common cold]
0151B1090122P00 23-01-2022 23-01-2022 PEKERJA
429 0001282216421 MASYITOH AL AYYUBI P Scabies Berobat Jalan
1036 00:00 13:46 MANDIRI
0151B1090122P00 23-01-2022 23-01-2022 MUHAMMAD FAZRIL PEKERJA Acute upper respiratory
430 0001290565923 L Berobat Jalan
1037 00:00 14:11 AL-FARIZI MANDIRI infection, unspecified
0151B1090122P00 23-01-2022 23-01-2022 AHMADA SYAMSUL PEKERJA Acute upper respiratory
431 0002195314402 L Berobat Jalan
1030 00:00 10:55 HAIDAR MANDIRI infection, unspecified
0151B1090122P00 23-01-2022 23-01-2022 HANA MAULIDA PEKERJA Acute upper respiratory
432 0002202711658 P Berobat Jalan
1031 00:00 10:56 QURROTA A' YUNINA MANDIRI infection, unspecified
0151B1090122P00 23-01-2022 23-01-2022 PEGAWAI
433 0002244151697 BRIAN ALHAFIDZ L Fever, unspecified Berobat Jalan
1034 00:00 13:32 SWASTA
0151B1090122P00 23-01-2022 23-01-2022 PEKERJA
434 0002323008909 ANDRE L Myalgia Berobat Jalan
1032 00:00 10:56 MANDIRI
0151B1090122P00 23-01-2022 23-01-2022 PEKERJA
435 0002429988197 EDY JOKO SUSILO L Hearing loss, unspecified Rujuk Vertikal
1033 00:00 13:29 MANDIRI
0151B1090122P00 23-01-2022 23-01-2022 PEKERJA
436 0002885544944 MEILI GILDA PRASTIWI P Astigmatism Berobat Jalan
1035 00:00 13:39 MANDIRI
0151B1090122P00 22-01-2022 22-01-2022 YUYUN NOVITA Diabetes
437 0000001955193 P PNS DAERAH Conjunctivitis, unspecified Berobat Jalan
1007 00:00 11:48 RAHMAWATI Mellitus
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI
438 0000084124405 ALIF RIZAL MUTHI L Myopia Berobat Jalan
1011 00:00 14:45 SWASTA
0151B1090122P00 22-01-2022 22-01-2022 SARSONO PENERIMA
439 0000088761699 L Cellulitis, unspecified Berobat Jalan
1001 00:00 11:27 HARDJOSOEDARMO PENSIUN PNS
0151B1090122P00 22-01-2022 22-01-2022 PENERIMA
440 0000089999897 SRI NGATINI P Low back pain Berobat Jalan
1029 00:00 20:37 PENSIUN PNS
0151B1090122P00 22-01-2022 22-01-2022 PENERIMA Essential (primary)
441 0000091359674 MARSINI P Berobat Jalan
0999 00:00 11:12 PENSIUN PNS hypertension
0151B1090122P00 22-01-2022 22-01-2022
442 0000202730646 KRISTANTO TRI UTOMO L PNS DAERAH Caries of dentine Berobat Jalan
1024 00:00 19:05
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA Acute nasopharyngitis
443 0000202940346 TOTO ADI RAHMANTO L Berobat Jalan
0998 00:00 11:07 MANDIRI [common cold]

Diarrhoea and
0151B1090122P00 22-01-2022 22-01-2022 MUHAMMAD SOFYAN
444 0000205247586 L PNS DAERAH gastroenteritis of Berobat Jalan
1026 00:00 19:19 ARYA PRADANA
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Other injuries of
0151B1090122P00 22-01-2022 22-01-2022
445 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH unspecified body region, Berobat Jalan
0992 00:00 09:42
closed
PEGAWAI
PEMERINTAH
0151B1090122P00 22-01-2022 22-01-2022 CHRISTHALIA Acute upper respiratory
446 0000640661051 P DENGAN Berobat Jalan
1020 00:00 17:33 ANASTHASYA TRAH A infection, unspecified
PERJANJIAN
KERJA
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI Essential (primary)
447 0001127867242 DWI NINGSIH P Berobat Jalan
0991 00:00 08:52 SWASTA hypertension
0151B1090122P00 22-01-2022 22-01-2022 ARBAYU RESTU ADI PEGAWAI Acute pharyngitis,
448 0001183044734 L Berobat Jalan
1012 00:00 15:04 NUGROHO SWASTA unspecified
0151B1090122P00 22-01-2022 22-01-2022 MUHAMMAD ERWIN PEGAWAI
449 0001284029482 L Hearing loss, unspecified Rujuk Vertikal
1028 00:00 19:38 NUGROHO SWASTA
0151B1090122P00 22-01-2022 22-01-2022 MARCELLINO PEKERJA
450 0001292660223 L Gastritis, unspecified Berobat Jalan
1009 00:00 13:23 RIDWANSHA PANGALILA MANDIRI
0151B1090122P00 22-01-2022 22-01-2022 FRANSISKA RINI PERTIWI PENERIMA Chronic apical
451 0001296381712 P Berobat Jalan
1004 00:00 11:38 SUDIYAT PENSIUN PNS periodontitis
0151B1090122P00 22-01-2022 22-01-2022
452 0001297105132 UMAR AL AMIN L PBI (APBN) Allergic contact dermatitis Berobat Jalan
1016 00:00 17:12
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI
453 0001301333185 AHMADI PRIHANTORO L Tinea cruris Berobat Jalan
1010 00:00 14:41 SWASTA
Other benign neoplasms
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA
454 0001306777061 DIKASULTON HAQ L of connective and other Rujuk Vertikal
0989 00:00 08:26 MANDIRI
soft tissue
0151B1090122P00 22-01-2022 22-01-2022 MUHAMMAD RAINER PEGAWAI Injury of unspecified body
455 0001430517148 L Berobat Jalan
0990 00:00 08:30 ARYASENA SWASTA region
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI Disturbances in tooth
456 0001430518803 ELECTRA DHIYAUL HAQ P Berobat Jalan
1002 00:00 11:34 SWASTA eruption
0151B1090122P00 22-01-2022 22-01-2022 MUHAMMAD KEANU PEGAWAI Disturbances in tooth
457 0001430520028 L Berobat Jalan
1003 00:00 11:36 ARYASENA SWASTA eruption
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI
458 0001446634449 SHOLAHUDDIN L Myalgia Berobat Jalan
1014 00:00 15:15 SWASTA
0151B1090122P00 22-01-2022 22-01-2022 HAFIDZ PUTRA PEGAWAI Acute upper respiratory
459 0001524765532 L Berobat Jalan
1015 00:00 17:03 KURNIAWAN SWASTA infection, unspecified
0151B1090122P00 22-01-2022 22-01-2022 HAFIDZ PUTRA PEGAWAI
460 0001524765532 L Impacted teeth Berobat Jalan
1021 00:00 17:50 KURNIAWAN SWASTA
0151B1090122P00 22-01-2022 22-01-2022 PUTRA NAHNU AKHSAN PEGAWAI Acute nasopharyngitis
461 0001526216049 L Berobat Jalan
1013 00:00 15:12 KRISTIANTO SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI Gastroenteritis and colitis

462 0001532661939 YULIYANTO L Berobat Jalan
1017 00:00 17:15 SWASTA due to radiation
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI Acute nasopharyngitis
463 0001692820844 Rusdiana P Berobat Jalan
1018 00:00 17:18 SWASTA [common cold]
PEGAWAI
PEMERINTAH
0151B1090122P00 22-01-2022 25-01-2022 R M BIMO SATRIO
464 0001716412465 L DENGAN Counselling, unspecified Berobat Jalan
1143 00:00 13:35 WIBISONO
PERJANJIAN
KERJA
0151B1090122P00 22-01-2022 22-01-2022 CICILIA ENDANG SRI PEKERJA Other orthopaedic
465 0001732640231 P Rujuk Vertikal
0996 00:00 10:38 WAHYUNINGSIH MANDIRI follow-up care
0151B1090122P00 22-01-2022 22-01-2022 FAIZA FARADINA PEGAWAI Acute nasopharyngitis
466 0001844118325 P Berobat Jalan
0997 00:00 11:03 HARTANTO SWASTA [common cold]
0151B1090122P00 22-01-2022 22-01-2022 NIKEN KUSUMA Injury of unspecified body
467 0001849823302 P PNS DAERAH Berobat Jalan
1000 00:00 11:16 WARDHANI region
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI
468 0001876829051 SUTINATUN P Low back pain Berobat Jalan
0993 00:00 09:45 SWASTA
0151B1090122P00 22-01-2022 22-01-2022 AHMAD AYMAN GAD PEGAWAI
469 0001961329724 L Otitis media, unspecified Berobat Jalan
1027 00:00 19:28 HUTAGALUNG SWASTA
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA Acute upper respiratory
470 0002051656637 RIZKY ILHAM PUTRANTO L Berobat Jalan
1022 00:00 17:52 MANDIRI infection, unspecified
0151B1090122P00 22-01-2022 22-01-2022 Disturbances in tooth
471 0002063184794 MAHIRA HASNA KAMILA P PNS PUSAT Berobat Jalan
1006 00:00 11:47 eruption
0151B1090122P00 22-01-2022 22-01-2022 FADHIILAH ZAAHIRAH PEGAWAI
472 0002081300106 P Fever, unspecified Berobat Jalan
1005 00:00 11:46 ARRUMI SWASTA
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA Injury of unspecified body
473 0002247480393 SRI HARYANTI P Berobat Jalan
0995 00:00 10:33 MANDIRI region
0151B1090122P00 22-01-2022 22-01-2022 Acute nasopharyngitis
474 0002303792954 INDAH TRI HASTIWI P - Berobat Jalan
1008 00:00 13:08 [common cold]
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA Non-insulin-dependent Diabetes Diabetes
475 0002770394567 SUMARNI P Berobat Jalan
1019 00:00 17:25 MANDIRI diabetes mellitus Mellitus Mellitus
0151B1090122P00 22-01-2022 22-01-2022 PEGAWAI
476 0002899409354 HANA PUSPITANINGRUM P Impacted teeth Rujuk Vertikal
1023 00:00 18:53 SWASTA
0151B1090122P00 22-01-2022 22-01-2022 PEKERJA
477 0003005637208 BUDI KRISTIJANI P Gastritis, unspecified Berobat Jalan
0994 00:00 10:24 MANDIRI
0151B1090122P00 22-01-2022 22-01-2022 KIN ARKANA DEVARA PEGAWAI Acute nasopharyngitis
478 0003058122745 L Berobat Jalan
1025 00:00 19:09 NAJA SWASTA [common cold]
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA
479 0000060425201 M.YUSUF CANARISLA L Necrosis of pulp Rujuk Vertikal
0979 00:00 14:14 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 21-01-2022 21-01-2022

480 0000076361635 YAKUB NASUCHA L PNS PUSAT Vertigo of central origin Berobat Jalan
0950 00:00 09:09
0151B1090122P00 21-01-2022 21-01-2022 Acute nasopharyngitis
481 0000077399201 ABDULLAH L PNS DAERAH Berobat Jalan
0954 00:00 09:39 [common cold]
0151B1090122P00 21-01-2022 21-01-2022 PENERIMA Adhesive capsulitis of
482 0000091276795 SURIP L Berobat Jalan
0944 00:00 08:29 PENSIUN PNS shoulder
0151B1090122P00 21-01-2022 21-01-2022 PENERIMA
483 0000091454804 RAHARDINI dra P Arthrosis, unspecified Berobat Jalan
0972 00:00 11:23 PENSIUN PNS
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA
484 0000091454815 ANGGA RAHARDITYA L Ankylosing spondylitis Rujuk Vertikal
0971 00:00 11:19 MANDIRI
0151B1090122P00 21-01-2022 21-01-2022
485 0000091503033 FASIH SUBAGYO L PNS DAERAH Counselling, unspecified Berobat Jalan
0987 00:00 19:30
0151B1090122P00 21-01-2022 21-01-2022 MITCHKA ALISA
486 0000121348901 P PNS PUSAT Pulpitis Berobat Jalan
0981 00:00 14:37 INDRIYANI GUNTORO
0151B1090122P00 21-01-2022 21-01-2022 FARADILLAH FAUZIAH
487 0000153613855 P PNS DAERAH Acute appendicitis Rujuk Vertikal
0967 00:00 10:53 RAMADHANI
0151B1090122P00 21-01-2022 21-01-2022
488 0000195360592 INDIRA ALMA SOLOMIO P PNS PUSAT Fever, unspecified Berobat Jalan
0960 00:00 10:05
PEGAWAI
PEMERINTAH
0151B1090122P00 21-01-2022 21-01-2022 Acute upper respiratory
489 0001021790529 FAIZA SABILLA ROSADI L DENGAN Berobat Jalan
0946 00:00 08:44 infection, unspecified
PERJANJIAN
KERJA
0151B1090122P00 21-01-2022 21-01-2022 NIKYTA NAJMUNNISA PEKERJA
490 0001176698542 P Counselling, unspecified Berobat Jalan
0970 00:00 11:05 AZ-ZAHRA MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
491 0001178269481 DYAH PUTRI WULANDARI P Asthma Berobat Jalan
0984 00:00 15:18 SWASTA
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA Inflammatory disorders of
492 0001272294156 AGUS MUNAWAR L Berobat Jalan
0957 00:00 09:49 MANDIRI scrotum
0151B1090122P00 21-01-2022 21-01-2022 MUHAMMAD ERWIN PEGAWAI
493 0001284029482 L Fever, unspecified Berobat Jalan
0949 00:00 09:04 NUGROHO SWASTA
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI Acute upper respiratory
494 0001319392517 ACHMAD RIZA L Berobat Jalan
0963 00:00 10:24 SWASTA infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 AMINA ZAHRIA AL- PEGAWAI Acute upper respiratory
495 0001319396229 P Berobat Jalan
0964 00:00 10:27 FATHANIA SWASTA infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 AMIRA ZAKIYA PEGAWAI Acute upper respiratory
496 0001380371591 P Berobat Jalan
0962 00:00 10:19 AR-RANIYA SWASTA infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
497 0001526215421 ANUNG NUGROHO L Counselling, unspecified Berobat Jalan
0948 00:00 08:58 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI Acute upper respiratory

498 0001530445566 RINA IDAYANTI P Berobat Jalan
0951 00:00 09:12 SWASTA infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
499 0001534371502 DEWI KURNIAWATI P Counselling, unspecified Berobat Jalan
0985 00:00 19:08 SWASTA
0151B1090122P00 21-01-2022 21-01-2022 MUHAMMAD AFIF PEGAWAI
500 0001622329918 L Epilepsy Berobat Jalan
0969 00:00 11:04 HAFTHAH DANENDRA SWASTA
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
501 0001691855144 MUHAMMAD ZAINI L Injury, unspecified Berobat Jalan
0947 00:00 08:45 SWASTA
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI Unspecified injury of lower
502 0001691920247 NUR HAMID L Rujuk Vertikal
0952 00:00 09:26 SWASTA leg
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
503 0001691920776 NUR HAYATI P Oedema, unspecified Berobat Jalan
0959 00:00 10:01 SWASTA
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA
504 0001845038575 SARWANTO L Chronic rhinitis Rujuk Vertikal
0945 00:00 08:33 MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 NIKEN KUSUMA
505 0001849823302 P PNS DAERAH Injury, unspecified, open Berobat Jalan
0986 00:00 19:22 WARDHANI
0151B1090122P00 21-01-2022 21-01-2022 NHURUL SEKAR PEKERJA
506 0001860247743 P Pulpitis Berobat Jalan
0974 00:00 11:46 WIDJAYANTI MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 Acute upper respiratory
507 0001863467177 ARKAAN AMRULLAH L PNS PUSAT Berobat Jalan
0958 00:00 09:53 infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 AJENG SURYANI RATNA PEKERJA
508 0002059735599 P Astigmatism Berobat Jalan
0982 00:00 15:09 KOMALA MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 MARCELINO BAGUS DWI PEKERJA
509 0002059735893 L Conjunctivitis Berobat Jalan
0983 00:00 15:11 ANDIKA MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 RAHMAWATI PEGAWAI Other and unspecified
510 0002066357777 P Berobat Jalan
0955 00:00 09:41 WAHYUNINGTYAS, S.PD SWASTA abdominal pain
NURINDRA YAFI
0151B1090122P00 21-01-2022 21-01-2022 Open wound of finger(s)
511 0002085373337 PRAMUDYA L - Rujuk Vertikal
0975 00:00 13:23 with damage to nail

0151B1090122P00 21-01-2022 21-01-2022 ANISDA CHARISMA PEGAWAI

512 0002165920075 P Other cardiac arrhythmias Rujuk Vertikal
0953 00:00 09:33 RAHMAWATI SWASTA
0151B1090122P00 21-01-2022 21-01-2022 BILQIS KAMILA PUTRI PEKERJA Acute upper respiratory
513 0002236475777 P Berobat Jalan
0956 00:00 09:45 SALSABILA MANDIRI infection, unspecified
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
514 0002283892964 TRIA NALURITA P Serous retinal detachment Rujuk Vertikal
0961 00:00 10:11 SWASTA
0151B1090122P00 21-01-2022 21-01-2022
515 0002379924145 LITA LIKMALATRI P PNS DAERAH Necrosis of pulp Berobat Jalan
0965 00:00 10:40
Hypertensive heart
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA
516 0002429988434 YULI ASTUTI P disease without Rujuk Vertikal
0966 00:00 10:49 MANDIRI
(congestive) heart failure
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 21-01-2022 21-01-2022 PEKERJA

517 0002436465778 YULI TRI HARTANTO L Nail disorders Berobat Jalan
0968 00:00 10:59 MANDIRI
0151B1090122P00 21-01-2022 21-01-2022
518 0002457579453 DAHLIA DEWI P PBI (APBN) Headache Berobat Jalan
0973 00:00 11:25
0151B1090122P00 21-01-2022 21-01-2022 PEKERJA
519 0002516972106 AL MEYDA SALSABILA P Low back pain Berobat Jalan
0980 00:00 14:28 MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 HANI HAFIZAH PEKERJA
520 0002739976503 P Nausea and vomiting Berobat Jalan
0976 00:00 13:28 ROCHIMAH MANDIRI
0151B1090122P00 21-01-2022 21-01-2022 ANNISA SHEZAN PEGAWAI
521 0002744937955 P Dyspepsia Berobat Jalan
0977 00:00 13:34 BANAFSHA SWASTA
0151B1090122P00 21-01-2022 21-01-2022 FARIZ DEONATA PEGAWAI Other orthopaedic
522 0002891726234 L Berobat Jalan
0978 00:00 13:40 WIBISONO SWASTA follow-up care
0151B1090122P00 21-01-2022 21-01-2022 PEGAWAI
523 0003059880939 RUDI SAPUTRO L Fever, unspecified Berobat Jalan
0988 00:00 19:49 SWASTA
0151B1090122P00 20-01-2022 20-01-2022 PENERIMA Insulin-dependent Diabetes Diabetes
524 0000046944707 WENDY PRIYANTO L Berobat Jalan
0901 00:00 09:26 PENSIUN PNS diabetes mellitus Mellitus Mellitus
0151B1090122P00 20-01-2022 20-01-2022 Essential (primary)
525 0000088528779 ZULAIKHA ARIYANTI P PNS PUSAT Berobat Jalan Hipertensi Hipertensi
0906 00:00 09:48 hypertension
0151B1090122P00 20-01-2022 20-01-2022 NUR AINUN JARIYAH S Stiffness of joint, not
526 0000088543877 P PNS PUSAT Rujuk Vertikal
0899 00:00 08:33 HUT elsewhere classified
0151B1090122P00 20-01-2022 20-01-2022 NUR AINUN JARIYAH S
527 0000088543877 P PNS PUSAT Necrosis of pulp Berobat Jalan
0925 00:00 11:56 HUT
0151B1090122P00 20-01-2022 20-01-2022 PENERIMA Essential (primary)
528 0000088847965 DARMADI L Berobat Jalan Hipertensi Hipertensi
0913 00:00 10:30 PENSIUN PNS hypertension
0151B1090122P00 20-01-2022 20-01-2022 PENERIMA Non-insulin-dependent Diabetes Diabetes
529 0000088847987 SOIMMATUN NAFIES P Berobat Jalan
0914 00:00 10:32 PENSIUN PNS diabetes mellitus Mellitus Mellitus
0151B1090122P00 20-01-2022 20-01-2022 Periapical abscess without
530 0000091462544 YULIANTO EDI MARTONO L PNS DAERAH Berobat Jalan
0937 00:00 18:09 sinus
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
531 0000091462566 YOHANA YULIA PUTRI P Fever, unspecified Berobat Jalan
0935 00:00 17:37 SWASTA
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA
532 0000091511684 FADILLAH ARDHI SIAGIAN L Counselling, unspecified Berobat Jalan
0924 00:00 11:44 MANDIRI
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA
533 0000091511684 FADILLAH ARDHI SIAGIAN L Impacted teeth Rujuk Vertikal
0908 00:00 09:58 MANDIRI
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
534 0000204787168 RENY SARTIKA P Malaise and fatigue Berobat Jalan
0927 00:00 13:32 SWASTA
Other injuries of
0151B1090122P00 20-01-2022 20-01-2022
535 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH unspecified body region, Berobat Jalan
0922 00:00 11:39
open
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 20-01-2022 20-01-2022 CHARINA MATSNA

536 0001098117077 P PNS DAERAH Dyspepsia Berobat Jalan
0928 00:00 14:18 ANNISA WILDANA
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Essential (primary)
537 0001127867242 DWI NINGSIH P Berobat Jalan
0921 00:00 11:38 SWASTA hypertension
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
538 0001320942251 RIZANA KENTI YUNIASTI P Necrosis of pulp Berobat Jalan
0903 00:00 09:39 SWASTA
0151B1090122P00 20-01-2022 20-01-2022 Diabetes
539 0001386276513 SUNARNI P PNS DAERAH Urticaria Berobat Jalan
0923 00:00 11:41 Mellitus
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Acute nasopharyngitis
540 0001441090001 ANIK SRI LESTARI P Berobat Jalan
0926 00:00 13:07 SWASTA [common cold]
0151B1090122P00 20-01-2022 20-01-2022
541 0001471812884 NADIA NUR GANISCHA P - Myopia Berobat Jalan
0917 00:00 10:57
0151B1090122P00 20-01-2022 20-01-2022 VALERIAN FADIL PEGAWAI Acute nasopharyngitis
542 0001524782305 L Berobat Jalan
0940 00:00 19:16 PRATAMA SWASTA [common cold]
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Acute nasopharyngitis
543 0001526216051 PUTRI FEBRINA DIANTY P Berobat Jalan
0910 00:00 10:07 SWASTA [common cold]
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
544 0001691852578 FITRI AYUNINGSIH P Fever, unspecified Berobat Jalan
0930 00:00 15:03 SWASTA
Cataract and other
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI disorders of lens in
545 0001691853039 WIDAYATI P Rujuk Vertikal
0907 00:00 09:57 SWASTA diseases classified
elsewhere
ANZALNA
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
546 0001691853276 SAKINATAKHARISATUL P Astigmatism Berobat Jalan
0918 00:00 11:07 SWASTA
IZZATI
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Acute nasopharyngitis
547 0001691855021 ISTICHAROH P Berobat Jalan
0919 00:00 11:29 SWASTA [common cold]
0151B1090122P00 20-01-2022 20-01-2022 NANDA RAHMA AL PEGAWAI
548 0001691856371 P Otalgia Berobat Jalan
0931 00:00 16:37 HUSNA SWASTA
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI
549 0001693305641 AYU VISUVIATI P Necrosis of pulp Berobat Jalan
0916 00:00 10:40 SWASTA
0151B1090122P00 20-01-2022 20-01-2022 MAYANGSARI PUTRI PEGAWAI
550 0001698826252 P Other peripheral vertigo Berobat Jalan
0934 00:00 17:09 SEKARWANGI SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 20-01-2022 20-01-2022
551 0001727927853 RIDWAN MEIKA CANDRA L DENGAN Asthma Berobat Jalan
0911 00:00 10:15
PERJANJIAN
KERJA
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA
552 0001813998723 RETNO WULANDARI P Pregnancy confirmed Berobat Jalan
0936 00:00 18:08 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 20-01-2022 20-01-2022 NIKEN KUSUMA Benign lipomatous

553 0001849823302 P PNS DAERAH Berobat Jalan
0900 00:00 08:42 WARDHANI neoplasm
0151B1090122P00 20-01-2022 20-01-2022
554 0001857332114 RISTIA ANGGARINI P PNS DAERAH Pregnancy confirmed Berobat Jalan
0933 00:00 17:07
0151B1090122P00 20-01-2022 20-01-2022
555 0001863301274 ANNISA SYARAFANA P PNS DAERAH Other prurigo Rujuk Vertikal
0920 00:00 11:34
0151B1090122P00 20-01-2022 20-01-2022 DHERY PUTHUT PEGAWAI
556 0001970893899 L Acute pharyngitis Berobat Jalan
0943 00:00 20:11 SANTOSA, A.MD. KEP. SWASTA
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Hypertensive heart
557 0002201626901 SARTONO L Berobat Jalan Hipertensi Hipertensi
0905 00:00 09:43 SWASTA disease
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Essential (primary)
558 0002201626989 DJUWARIYAH P Berobat Jalan Hipertensi
0904 00:00 09:41 SWASTA hypertension
Non-insulin-dependent
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA
559 0002247081153 DARMIRIS L diabetes mellitus with Rujuk Vertikal
0902 00:00 09:32 MANDIRI
unspecified complications
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA Injury of unspecified body
560 0002247480393 SRI HARYANTI P Berobat Jalan
0912 00:00 10:27 MANDIRI region
0151B1090122P00 20-01-2022 20-01-2022 Retinal detachments and
561 0002263116429 MISIYEM P PBI (APBN) Rujuk Vertikal
0941 00:00 19:42 breaks
0151B1090122P00 20-01-2022 20-01-2022 PEGAWAI Acute nasopharyngitis
562 0002311538679 IHAH RIHATULJANAH P Berobat Jalan
0942 00:00 19:48 SWASTA [common cold]
0151B1090122P00 20-01-2022 20-01-2022 Acute nasopharyngitis
563 0002346915014 ANGGAR UTAMA L PBI (APBN) Berobat Jalan
0929 00:00 14:24 [common cold]
0151B1090122P00 20-01-2022 20-01-2022 PEKERJA
564 0002429589159 MARDI WIYONO L Dyspepsia Berobat Jalan
0939 00:00 19:11 MANDIRI

0151B1090122P00 20-01-2022 20-01-2022 PENERIMA

565 0002437081064 WINARSI P Vertigo of central origin Berobat Jalan
0909 00:00 10:05 PENSIUN SWASTA

0151B1090122P00 20-01-2022 20-01-2022 PEKERJA

566 0002697496075 RUZIQO DAHAM L Necrosis of pulp Berobat Jalan
0938 00:00 18:17 MANDIRI
0151B1090122P00 20-01-2022 20-01-2022 DZULHANNAN ABIMANA
567 0002757664326 L PNS DAERAH Fever, unspecified Berobat Jalan
0898 00:00 08:30 FAWWAZ
0151B1090122P00 20-01-2022 20-01-2022 RAYHAN ALIEF PEGAWAI
568 0003047481819 L Bronchiectasis Rujuk Vertikal
0915 00:00 10:35 DARMAWAN SWASTA
0151B1090122P00 20-01-2022 20-01-2022 MAHENDRA GADHING PEGAWAI
569 0003049275655 L Fever, unspecified Berobat Jalan
0932 00:00 17:04 ASSYAUQIE SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
570 0000019569431 VIRGI PARISA P Counselling, unspecified Berobat Jalan
0861 00:00 11:07 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022
571 0000029967603 YANTI HARYATI P - Counselling, unspecified Berobat Jalan
0858 00:00 10:54
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Other hypertrophic

572 0000036244642 ROLAN MART SASONGKO L Berobat Jalan
0878 00:00 17:24 MANDIRI disorders of skin
0151B1090122P00 19-01-2022 19-01-2022 AHMAD HIMAWAN Diabetes
573 0000088576694 L PNS DAERAH Malaise and fatigue Berobat Jalan
0896 00:00 20:13 PRANOTO AJI Mellitus
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
574 0000088576705 DEWI AMBARWATI, P Dyspepsia Berobat Jalan
0895 00:00 20:12 SWASTA
0151B1090122P00 19-01-2022 19-01-2022
575 0000090915873 WATIK HARMANI P PNS PUSAT Gastritis, unspecified Berobat Jalan
0850 00:00 09:30
0151B1090122P00 19-01-2022 19-01-2022 Diabetes Diabetes
576 0000091391264 IMAM MUKTI L PNS DAERAH Abrasion of teeth Berobat Jalan
0872 00:00 14:27 Mellitus Mellitus
Non-insulin-dependent
0151B1090122P00 19-01-2022 19-01-2022
577 0000091574133 SOEHARIYANTO L PNS PUSAT diabetes mellitus with Rujuk Vertikal
0848 00:00 09:06
unspecified complications
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Orthopaedic follow-up
578 0000202940346 TOTO ADI RAHMANTO L Rujuk Vertikal
0864 00:00 11:45 MANDIRI care, unspecified
0151B1090122P00 19-01-2022 19-01-2022 NASYITHA ALMA
579 0000976237683 P - Allergic contact dermatitis Berobat Jalan
0852 00:00 10:07 ARUMPUTRI
0151B1090122P00 19-01-2022 19-01-2022 AURELIO SAKA PEGAWAI Acute upper respiratory
580 0001182510898 L Berobat Jalan
0891 00:00 20:09 HERMAWAN SWASTA infection, unspecified
Non-insulin-dependent
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
581 0001204329835 SUBANDRIYANTO L diabetes mellitus with Rujuk Vertikal
0849 00:00 09:08 MANDIRI
unspecified complications
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Diabetes
582 0001262388069 IIN RUSTIYANINGSIH P Dyspepsia Berobat Jalan
0885 00:00 19:10 MANDIRI Mellitus
0151B1090122P00 19-01-2022 19-01-2022
583 0001297105132 UMAR AL AMIN L PBI (APBN) Atopic dermatitis Berobat Jalan
0879 00:00 17:38
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
584 0001301826655 SRI MURWANINGSIH P Gastritis, unspecified Berobat Jalan
0855 00:00 10:32 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
585 0001312698306 TARYONO L Fracture of tooth Berobat Jalan
0881 00:00 19:01 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
586 0001312700073 DWI NUGRAHANTI P Caries of dentine Berobat Jalan
0882 00:00 19:03 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 SYAHDARIFKA ARYANTI PEGAWAI
587 0001312709747 P Caries of dentine Berobat Jalan
0883 00:00 19:05 R SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
588 0001323277661 RANI P Necrosis of pulp Berobat Jalan
0884 00:00 19:08 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
589 0001478153272 SARTINI P Counselling, unspecified Berobat Jalan
0889 00:00 19:57 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Acute nasopharyngitis
590 0001524766713 YUNI CATUR RISTANTI P Berobat Jalan
0887 00:00 19:33 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI

591 0001524766724 FADILlA DAFFA MUTHIA P Haemorrhoids Berobat Jalan
0888 00:00 19:41 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 AISYAH NAFI`UL PEGAWAI Irregular menstruation,
592 0001525851055 P Berobat Jalan
0865 00:00 11:49 KARIMAH SWASTA unspecified
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
593 0001528731685 MUHAMMAD NUR L Dyspepsia Berobat Jalan
0877 00:00 15:30 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 ROBBY WAHYU PEGAWAI
594 0001532671402 L Myalgia Berobat Jalan
0869 00:00 13:46 PURNOMO SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
595 0001535864455 SAIFUL HIDAYAT L Vertigo of central origin Berobat Jalan
0845 00:00 08:24 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Acute upper respiratory
596 0001651642694 FADJAR STYABUDI L Berobat Jalan
0876 00:00 15:27 SWASTA infection, unspecified
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Pure
597 0001691853344 FAHMI MUTIATUN P Berobat Jalan
0854 00:00 10:26 SWASTA hypercholesterolaemia
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Open wound of
598 0001691853669 HARJAIN L Berobat Jalan
0846 00:00 08:38 SWASTA unspecified body region
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
599 0001691855144 MUHAMMAD ZAINI L Injury, unspecified Berobat Jalan
0875 00:00 15:07 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Open wound of
600 0001691920247 NUR HAMID L Berobat Jalan
0851 00:00 09:39 SWASTA unspecified body region
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
601 0001692820754 BUDI SANTOSO L Acute tonsillitis Berobat Jalan
0894 00:00 20:11 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
602 0001692820844 Rusdiana P Urticaria Berobat Jalan
0892 00:00 20:10 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
603 0001693305966 AFDHI FIT YAN MAFAZA L Fever, unspecified Berobat Jalan
0847 00:00 08:55 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 19-01-2022 19-01-2022
604 0001694709999 EKO MURIYANTO L DENGAN Injury, unspecified, open Berobat Jalan
0897 00:00 20:14
PERJANJIAN
KERJA
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
605 0001803123066 SOEDARYATMI L Pterygium Rujuk Vertikal
0880 00:00 17:44 SWASTA
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
606 0002042992192 MUSTIKA YULIANA P Dyspepsia Berobat Jalan
0886 00:00 19:19 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI Gonococcal infection,
607 0002060199044 ZIDAN JULFIAN RAHMAN L Berobat Jalan
0857 00:00 10:53 SWASTA unspecified
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Thyrotoxicosis,
608 0002085373023 SRI INDRATI P Rujuk Vertikal
0860 00:00 11:06 MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090122P00 19-01-2022 19-01-2022 NUR WICAKSONO
609 0002246562213 L DENGAN Low back pain Berobat Jalan
0866 00:00 11:52 KARTIKO PUTRO
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
0151B1090122P00 19-01-2022 19-01-2022 Disturbances in tooth
610 0002246562966 RAHMA ALISHA P DENGAN Berobat Jalan
0871 00:00 14:26 eruption
PERJANJIAN
KERJA
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Non-insulin-dependent
611 0002305241188 MARSILAH P Berobat Jalan
0853 00:00 10:15 MANDIRI diabetes mellitus
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA
612 0002436465778 YULI TRI HARTANTO L Injury, unspecified, open Berobat Jalan
0870 00:00 14:22 MANDIRI
0151B1090122P00 19-01-2022 19-01-2022 PEKERJA Chronic kidney disease,
613 0002456815059 MUH NINING P Rujuk Vertikal
0859 00:00 10:57 MANDIRI stage 5
0151B1090122P00 19-01-2022 19-01-2022 SHAFHAH ANGGITA PARI PEGAWAI
614 0002462922213 P Myopia Berobat Jalan
0863 00:00 11:23 P SWASTA
HIV disease resulting in
0151B1090122P00 19-01-2022 19-01-2022 REZA WAHYU ROCHMAN PEKERJA
615 0002494265826 L multiple diseases Rujuk Vertikal
0862 00:00 11:21 PUTRA MANDIRI
classified elsewhere
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
616 0002739541296 NABILA FELIZA AGHNIA P Fever, unspecified Berobat Jalan
0867 00:00 13:13 SWASTA

Diarrhoea and
0151B1090122P00 19-01-2022 19-01-2022 KHOLID AMIRULHAQ PEGAWAI
617 0002746138961 L gastroenteritis of Berobat Jalan
0893 00:00 20:10 SAPUTRO SWASTA
presumed infectious origin

0151B1090122P00 19-01-2022 19-01-2022 PEKERJA

618 0002773166501 INDRO TRIYONO L Headache Berobat Jalan
0890 00:00 20:00 MANDIRI

Diarrhoea and
0151B1090122P00 19-01-2022 19-01-2022 PEGAWAI
619 0002883294044 ARSHIYA MALEEKA P gastroenteritis of Berobat Jalan
0856 00:00 10:37 SWASTA
presumed infectious origin

0151B1090122P00 19-01-2022 19-01-2022 MAULANA IBRA PEKERJA Acute upper respiratory

620 0002904650829 L Berobat Jalan
0874 00:00 14:31 REHARTANTO MANDIRI infection, unspecified
0151B1090122P00 19-01-2022 19-01-2022 KIN ARKANA DEVARA PEGAWAI Acute nasopharyngitis
621 0003058122745 L Berobat Jalan
0868 00:00 13:24 NAJA SWASTA [common cold]
0151B1090122P00 19-01-2022 19-01-2022 ELGHANI RIZKY PEKERJA Acute upper respiratory
622 0003100109848 L Berobat Jalan
0873 00:00 14:27 REHARTANTO MANDIRI infection, unspecified
0151B1090122P00 18-01-2022 18-01-2022 PENERIMA
623 0000091276795 SURIP L Shoulder lesions Berobat Jalan
0804 00:00 09:07 PENSIUN PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

KEPALA DESA
0151B1090122P00 18-01-2022 18-01-2022
624 0000091384975 NUR HAKIM ARIF ISNAINI L DAN PERANGKAT Malaise and fatigue Berobat Jalan
0813 00:00 11:16
DESA

0151B1090122P00 18-01-2022 18-01-2022 PENERIMA

625 0000091428996 NING SRI LESTARI P Benign neoplasm of breast Rujuk Vertikal
0801 00:00 08:24 PENSIUN PNS
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI Hypertensive heart
626 0000105316659 ARIN NUR JANNAH P Rujuk Vertikal
0842 00:00 19:22 SWASTA disease
0151B1090122P00 18-01-2022 18-01-2022
627 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Injury, unspecified Berobat Jalan
0830 00:00 14:50
0151B1090122P00 18-01-2022 18-01-2022 FARROHATUL
628 0000774468101 P PBI (APBN) Fracture of tooth Rujuk Vertikal
0835 00:00 17:54 MUNAWAROH
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
629 0001126309509 SUHANTI P Epilepsy Rujuk Vertikal
0807 00:00 10:07 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA Diabetes
630 0001279401524 INDAH SULISTYORINI P Erythema intertrigo Rujuk Vertikal
0806 00:00 09:39 MANDIRI Mellitus
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
631 0001305484334 SANIYAH P Myalgia Berobat Jalan
0812 00:00 11:11 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
632 0001319837084 YUNITA AHTIARI P Pulpitis Berobat Jalan
0826 00:00 14:20 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA Acute upper respiratory
633 0001404263204 BENING KHOIRUNISA P Berobat Jalan
0811 00:00 10:51 MANDIRI infection, unspecified
0151B1090122P00 18-01-2022 18-01-2022 MUHAMMAD AZHAR
634 0001439997467 L PNS DAERAH Fever, unspecified Berobat Jalan
0840 00:00 19:05 MUTTAQIN
0151B1090122P00 18-01-2022 18-01-2022 Acute nasopharyngitis
635 0001447193608 ISNANI SURYASTUTI P PNS DAERAH Berobat Jalan
0818 00:00 11:37 [common cold]
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
636 0001524844089 SITI SUMILAH P Necrosis of pulp Berobat Jalan
0808 00:00 10:24 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
637 0001525251442 RISKY SURYA PERMANA L Fever, unspecified Berobat Jalan
0803 00:00 09:04 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
638 0001526138572 ANIS CHOTIMAH P Pulpitis Berobat Jalan
0828 00:00 14:32 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 ANDREAS ANUNG PEKERJA
639 0001526138583 L Impacted teeth Rujuk Vertikal
0823 00:00 14:11 ANINDHITO MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
640 0001526830119 FAIQ ABBIYYU FUADY L Fever, unspecified Berobat Jalan
0809 00:00 10:26 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI Acute nasopharyngitis
641 0001528303645 HUDZAM ABID L Berobat Jalan
0814 00:00 11:18 SWASTA [common cold]
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
642 0001691852905 KAFAA BILLAH BASHIR L Epilepsy Rujuk Vertikal
0832 00:00 17:01 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 18-01-2022 18-01-2022 DYAH WAHYU IKA PEGAWAI

643 0001691853017 P Other disorders of eyelid Berobat Jalan
0816 00:00 11:29 RATMAWATI SWASTA
ANZALNA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
644 0001691853276 SAKINATAKHARISATUL P Other visual disturbances Rujuk Vertikal
0821 00:00 13:20 SWASTA
IZZATI
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
645 0001691856022 RAHAYU P Counselling, unspecified Berobat Jalan Hipertensi
0834 00:00 17:46 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI Non-insulin-dependent
646 0001691856336 SUKARNO H MPD L Berobat Jalan
0819 00:00 11:43 SWASTA diabetes mellitus
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
647 0001691857034 WAHYUDI PRABOWO L Pulpitis Berobat Jalan
0839 00:00 19:04 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA Allergic rhinitis,
648 0001795209985 andri purnomo L Berobat Jalan
0833 00:00 17:28 MANDIRI unspecified
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
649 0001803123066 SOEDARYATMI L Headache Berobat Jalan
0815 00:00 11:25 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
650 0002032662712 DESY NUR PRATIWI P Caries of dentine Berobat Jalan
0836 00:00 18:06 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
651 0002093887157 DIAH AYU HAPSARI P Hearing loss, unspecified Rujuk Vertikal
0822 00:00 13:27 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
652 0002208597772 asyifa aura putri P Fever, unspecified Berobat Jalan
0824 00:00 14:12 MANDIRI
Loss of teeth due to
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
653 0002275265327 SUHARTI P accident, extraction or Berobat Jalan
0837 00:00 19:00 MANDIRI
local periodontal disease
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
654 0002289976075 MUDO MULATO L Congestive heart failure Rujuk Vertikal
0841 00:00 19:13 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
655 0002293175002 HAPPY DIANA SARI P Headache Berobat Jalan
0844 00:00 20:07 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 HANEEN AKIRA PEKERJA Acute nasopharyngitis
656 0002294640584 P Berobat Jalan
0805 00:00 09:22 RACHMAN MANDIRI [common cold]
0151B1090122P00 18-01-2022 18-01-2022
657 0002379924145 LITA LIKMALATRI P PNS DAERAH Necrosis of pulp Berobat Jalan
0825 00:00 14:17
0151B1090122P00 18-01-2022 18-01-2022 D SOEROSO PEKERJA
658 0002433053125 L Counselling, unspecified Berobat Jalan
0820 00:00 13:12 BROTOHARDJONO MANDIRI
0151B1090122P00 18-01-2022 18-01-2022
659 0002435773937 NAUFAL ZAIN RAIS L PNS DAERAH Fever, unspecified Berobat Jalan
0817 00:00 11:32
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA Acute nasopharyngitis
660 0002492849665 MARIA ARSY P Berobat Jalan
0829 00:00 14:47 MANDIRI [common cold]
0151B1090122P00 18-01-2022 18-01-2022 SYAOQIE SHIDQU PEKERJA
661 0002697496086 P Necrosis of pulp Rujuk Vertikal
0831 00:00 16:38 HAYATIE MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 18-01-2022 18-01-2022 QIANDRA EILIYA KIRANIA PEGAWAI

662 0002756645561 P Fever, unspecified Berobat Jalan
0843 00:00 20:02 SASONGKO SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
663 0002882042818 VIVI NURHAYATI, S.Sos P Pulpitis Berobat Jalan
0827 00:00 14:21 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEGAWAI
664 0002899409354 HANA PUSPITANINGRUM P Impacted teeth Berobat Jalan
0838 00:00 19:02 SWASTA
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA
665 0003050669867 LILIS SUNDARI P Benign neoplasm of ovary Rujuk Vertikal
0802 00:00 08:36 MANDIRI
0151B1090122P00 18-01-2022 18-01-2022 PEKERJA Malignant neoplasm of
666 0003086719885 SITI DJUARIYAH P Rujuk Vertikal
0810 00:00 10:30 MANDIRI bronchus and lung
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
667 0000036244642 ROLAN MART SASONGKO L Counselling, unspecified Berobat Jalan
0724 00:00 08:15 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 Periapical abscess without
668 0000087306243 DWI WAHYU MARIYANA P PNS DAERAH Berobat Jalan
0792 00:00 19:42 sinus
0151B1090122P00 17-01-2022 17-01-2022 SARSONO PENERIMA Other chronic obstructive
669 0000088761699 L Rujuk Vertikal
0769 00:00 16:38 HARDJOSOEDARMO PENSIUN PNS pulmonary disease
0151B1090122P00 17-01-2022 17-01-2022 KEVIN PEKERJA
670 0000090946181 L Necrosis of pulp Berobat Jalan
0789 00:00 19:36 ARDYAPRIMATAMA MANDIRI
Hypertensive heart
0151B1090122P00 17-01-2022 17-01-2022
671 0000090999573 ANTON ROSANTO L PNS PUSAT disease without Rujuk Vertikal
0749 00:00 11:02
(congestive) heart failure
0151B1090122P00 17-01-2022 17-01-2022
672 0000091353699 DJOKO KUSNADI L PNS PUSAT Otalgia Berobat Jalan
0773 00:00 17:09
0151B1090122P00 17-01-2022 17-01-2022 Diabetes Diabetes
673 0000091391264 IMAM MUKTI L PNS DAERAH Abrasion of teeth Berobat Jalan
0753 00:00 11:29 Mellitus Mellitus
0151B1090122P00 17-01-2022 17-01-2022
674 0000091580962 SONHAJI, DRS MSI L PNS PUSAT Congestive heart failure Rujuk Vertikal
0759 00:00 13:47
0151B1090122P00 17-01-2022 17-01-2022 ACHMAD SYAIFUL PEGAWAI
675 0000092048297 L Fever, unspecified Berobat Jalan
0776 00:00 17:27 ANWAR SWASTA
0151B1090122P00 17-01-2022 17-01-2022
676 0000144545084 ANNISA JAUZA SATRIANI P PNS DAERAH Mild depressive episode Rujuk Vertikal
0760 00:00 13:50
0151B1090122P00 17-01-2022 17-01-2022 PENERIMA Angina pectoris,
677 0000205399359 SRI HARYATI P Rujuk Vertikal
0744 00:00 10:40 PENSIUN PNS unspecified
0151B1090122P00 17-01-2022 17-01-2022 LAILA NUR AZIZAH Intervertebral disc
678 0000737553159 P PBI (APBN) Rujuk Vertikal
0728 00:00 08:45 RHAMADANI disorder, unspecified
0151B1090122P00 17-01-2022 17-01-2022 Disturbances in tooth
679 0001079387559 ABDULLAH 'AZIM L PNS PUSAT Berobat Jalan
0796 00:00 19:57 eruption
0151B1090122P00 17-01-2022 17-01-2022
680 0001079387649 RUMAYSHA P PNS PUSAT Necrosis of pulp Berobat Jalan
0798 00:00 20:05
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI

681 0001145829284 HENI PURNOMO L Other allergic rhinitis Berobat Jalan Hipertensi Hipertensi
0756 00:00 13:21 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
682 0001178269481 DYAH PUTRI WULANDARI P Headache Berobat Jalan
0766 00:00 16:08 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Candidiasis of vulva and
683 0001263874972 RIMA FIRGIYANI P Berobat Jalan
0754 00:00 11:36 MANDIRI vagina
0151B1090122P00 17-01-2022 17-01-2022 MUHAMMAD ERWIN PEGAWAI
684 0001284029482 L Fever, unspecified Berobat Jalan
0788 00:00 19:25 NUGROHO SWASTA
0151B1090122P00 17-01-2022 17-01-2022
685 0001297105132 UMAR AL AMIN L PBI (APBN) Atopic dermatitis Berobat Jalan
0779 00:00 17:34
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Essential (primary)
686 0001303177116 SARWONO WIBOWO,SE L Berobat Jalan Hipertensi Hipertensi
0726 00:00 08:29 MANDIRI hypertension
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Acute upper respiratory
687 0001312027762 SLAMET L Berobat Jalan
0799 00:00 20:15 MANDIRI infection, unspecified
0151B1090122P00 17-01-2022 17-01-2022 VANIA SYAFIQOH VEDA PEGAWAI Other and unspecified
688 0001409854432 P Berobat Jalan
0785 00:00 19:23 VELMA WARDHANI SWASTA abdominal pain
Disorder of gingiva and
0151B1090122P00 17-01-2022 17-01-2022 VANIA SYAFIQOH VEDA PEGAWAI
689 0001409854432 P edentulous alveolar ridge, Berobat Jalan
0786 00:00 19:23 VELMA WARDHANI SWASTA
unspecified
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI Acute nasopharyngitis
690 0001441090001 ANIK SRI LESTARI P Berobat Jalan
0738 00:00 09:55 SWASTA [common cold]
0151B1090122P00 17-01-2022 17-01-2022 MUHAMMAD RAFASYA PEGAWAI
691 0001472028366 L Counselling, unspecified Berobat Jalan
0800 00:00 20:18 ALVARO ALMA SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
692 0001524845913 CECEP EFENDI L Other prurigo Rujuk Vertikal
0734 00:00 09:37 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
693 0001525971352 SITI AZIZAH SUSILAWATI P Low back pain Berobat Jalan
0774 00:00 17:14 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
694 0001526215746 SUSILO L Fever, unspecified Berobat Jalan
0757 00:00 13:22 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 MUHAMMAD HAFZIN PEKERJA
695 0001526426559 L Other chest pain Berobat Jalan
0763 00:00 15:20 HIDAYAT MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
696 0001528743306 ANTON HERMAWAN L Hearing loss, unspecified Rujuk Vertikal
0730 00:00 08:57 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
697 0001529480226 SHERLY INDRASWARI P Pulpitis Berobat Jalan
0746 00:00 10:49 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 DANIEL WISNU KRISTIAN PEKERJA Acute nasopharyngitis
698 0001536684298 L Berobat Jalan
0751 00:00 11:22 NUGRAHA MANDIRI [common cold]
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Malignant neoplasm of
699 0001604259786 RINA WIGATI P Rujuk Vertikal
0784 00:00 17:54 MANDIRI cervix uteri
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 17-01-2022 17-01-2022 PEKERJA

700 0001646013385 NUNIK NAWANG SARI P Astigmatism Berobat Jalan
0793 00:00 19:44 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
701 0001691852578 FITRI AYUNINGSIH P Fever, unspecified Berobat Jalan
0732 00:00 09:18 SWASTA

Non-insulin-dependent
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
702 0001691854648 EKO SURYONO L diabetes mellitus with Rujuk Vertikal
0736 00:00 09:43 SWASTA
neurological complications

0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI

703 0001691855436 MUSLIM RIDLO L Necrosis of pulp Berobat Jalan
0770 00:00 17:02 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 NANDA RAHMA AL PEGAWAI
704 0001691856371 P Otitis externa Berobat Jalan
0742 00:00 10:13 HUSNA SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
705 0001691920247 NUR HAMID L Wound myiasis Berobat Jalan
0731 00:00 09:15 SWASTA

Diarrhoea and
0151B1090122P00 17-01-2022 17-01-2022 RASMONA AGUNG PEGAWAI
706 0001692195816 L gastroenteritis of Berobat Jalan
0727 00:00 08:40 NUGROHO SWASTA
presumed infectious origin

0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI Other and unspecified

707 0001693306124 DYAH LESTARI P Berobat Jalan
0729 00:00 08:54 SWASTA abdominal pain
0151B1090122P00 17-01-2022 17-01-2022 DOMINICUS ARFIAN PEGAWAI
708 0001693930522 L Impacted teeth Berobat Jalan
0778 00:00 17:32 ARGATAMA SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
709 0001694401604 SLAMET RIYANTO L Fever, unspecified Berobat Jalan
0782 00:00 17:44 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Orthopaedic follow-up
710 0001730982036 DANANG SURANTO L Rujuk Vertikal
0765 00:00 15:58 MANDIRI care, unspecified
Follow-up examination
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
711 0001790350806 ANGGY YUANDARI P after other treatment for Rujuk Vertikal
0737 00:00 09:47 SWASTA
other conditions

KEPALA DESA
0151B1090122P00 17-01-2022 17-01-2022 Insulin-dependent Diabetes Diabetes
712 0001804052823 IRIANINGSIH P DAN PERANGKAT Berobat Jalan
0781 00:00 17:39 diabetes mellitus Mellitus Mellitus
DESA

PEGAWAI
PEMERINTAH
0151B1090122P00 17-01-2022 17-01-2022
713 0001836338927 SANTOSO BUDI L DENGAN Myopia Berobat Jalan
0797 00:00 20:02
PERJANJIAN
KERJA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
714 0001845040994 syarif naufal rasyad L Retained dental root Berobat Jalan
0768 00:00 16:35 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022
715 0001863301274 ANNISA SYARAFANA P PNS DAERAH Nummular dermatitis Berobat Jalan
0750 00:00 11:10
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 17-01-2022 17-01-2022

716 0001863467177 ARKAAN AMRULLAH L PNS PUSAT Fever, unspecified Berobat Jalan
0725 00:00 08:25
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
717 0001961329285 REZKI NOVIASARI P Pulpitis Berobat Jalan
0767 00:00 16:32 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
718 0002033775167 INDRIYASARI P Acute pharyngitis Berobat Jalan
0775 00:00 17:18 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 ASTRO FAITH NAKHLAH PEGAWAI Acute nasopharyngitis
719 0002079844975 L Berobat Jalan
0739 00:00 09:57 RAFI SWASTA [common cold]
0151B1090122P00 17-01-2022 17-01-2022 SATRIA KENZO NUR PEGAWAI
720 0002202826072 L Fever, unspecified Berobat Jalan
0740 00:00 10:06 HAFIDH SWASTA
0151B1090122P00 17-01-2022 17-01-2022 ALFIAN DHITO RISKY PEGAWAI
721 0002203259534 L Fever, unspecified Berobat Jalan
0790 00:00 19:36 FITRIANSYAH SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
722 0002244907585 SUTOPO L Inguinal hernia Rujuk Vertikal
0733 00:00 09:24 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI Orthopaedic follow-up
723 0002252422629 RUSTANIA FARMAWATI P Berobat Jalan
0761 00:00 14:13 SWASTA care, unspecified
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
724 0002257041791 sabilla rizki ramadhani P Fever, unspecified Berobat Jalan
0735 00:00 09:40 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 NURINDRA AQILLA PEKERJA
725 0002258745445 P Fever, unspecified Berobat Jalan
0791 00:00 19:41 SHAZFA MANDIRI
0151B1090122P00 17-01-2022 17-01-2022
726 0002263116093 KADIMAN L PBI (APBN) Counselling, unspecified Berobat Jalan
0780 00:00 17:36
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
727 0002323008909 ANDRE L Counselling, unspecified Berobat Jalan
0783 00:00 17:51 MANDIRI
Hypertensive heart
0151B1090122P00 17-01-2022 17-01-2022
728 0002375044018 ENDANG SRI LESTARI P INVESTOR disease without Rujuk Vertikal
0747 00:00 10:52
(congestive) heart failure
0151B1090122P00 17-01-2022 17-01-2022 Gonarthrosis [arthrosis of
729 0002419829831 KHOIRUL HUDA L PNS DAERAH Berobat Jalan
0764 00:00 15:22 knee]
Infection of intervertebral
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
730 0002448442078 RUSMIATI P disc (pyogenic), Rujuk Vertikal
0752 00:00 11:23 MANDIRI
lumbosacral region
Bitten or stung by
0151B1090122P00 17-01-2022 17-01-2022 ALVITO YUSUF nonvenomous insect and
731 0002460549756 L PNS PUSAT Berobat Jalan
0771 00:00 17:02 AUFANDRA other nonvenomous
arthropods
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA Periapical abscess without
732 0002614513781 NANDHIRA ALUNA RUBY P Berobat Jalan
0787 00:00 19:25 MANDIRI sinus
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
733 0002677117419 IKA HESTI OKTIAWATI P Dyspepsia Berobat Jalan
0795 00:00 19:54 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 17-01-2022 17-01-2022 SYAOQIE SHIDQU PEKERJA

734 0002697496086 P Otalgia and effusion of ear Berobat Jalan
0762 00:00 15:18 HAYATIE MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
735 0002770739133 RETNO HANDAYANI P Counselling, unspecified Berobat Jalan
0794 00:00 19:47 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
736 0002877310102 DENNY MARTANTO L Counselling, unspecified Berobat Jalan
0758 00:00 13:30 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
737 0002890597735 MALIKA HADANA RAFISQI P Fever, unspecified Berobat Jalan
0743 00:00 10:19 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 FARIZ DEONATA PEGAWAI
738 0002891726234 L Wound myiasis Berobat Jalan
0745 00:00 10:47 WIBISONO SWASTA
Specific developmental
0151B1090122P00 17-01-2022 17-01-2022 ENZY ANANDYA
739 0002910423508 P PNS DAERAH disorders of speech and Rujuk Vertikal
0748 00:00 10:56 PARAMESWARI
language
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI
740 0003047442456 SUWARTI P Secondary hypertension Berobat Jalan
0741 00:00 10:11 SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEKERJA
741 0003050669867 LILIS SUNDARI P Counselling, unspecified Berobat Jalan
0772 00:00 17:06 MANDIRI
0151B1090122P00 17-01-2022 17-01-2022 HAFIDZ KAREEM PEGAWAI
742 0003057809433 L Fever, unspecified Berobat Jalan
0755 00:00 11:47 MUNTHAHA SWASTA
0151B1090122P00 17-01-2022 17-01-2022 PEGAWAI Acute nasopharyngitis
743 0003068741676 HUDA KURNIA MAULANA L Berobat Jalan
0777 00:00 17:28 SWASTA [common cold]
0151B1090122P00 16-01-2022 16-01-2022 PEKERJA
744 0000075800507 VEBRINA NUR RAHAYU P Other arthrosis Berobat Jalan
0717 00:00 11:21 MANDIRI
0151B1090122P00 16-01-2022 16-01-2022 PENERIMA Essential (primary)
745 0000090998245 MAKSUM AINAINI MM L Berobat Jalan
0722 00:00 13:58 PENSIUN PNS hypertension
0151B1090122P00 16-01-2022 16-01-2022 PENERIMA Urinary tract infection, site
746 0000091477618 SUMIArSI P Berobat Jalan
0710 00:00 09:44 PENSIUN PNS not specified
0151B1090122P00 16-01-2022 16-01-2022 LARAS SEKAR
747 0000095677288 P PNS DAERAH Myopia Berobat Jalan
0718 00:00 13:09 PRAMESTHI
PEGAWAI
PEMERINTAH
0151B1090122P00 16-01-2022 16-01-2022 Radiological examination,
748 0001266537249 RUSMALA KUSUMA DEWI P DENGAN Rujuk Vertikal
0721 00:00 13:53 not elsewhere classified
PERJANJIAN
KERJA
Non-insulin-dependent
0151B1090122P00 16-01-2022 16-01-2022 PEGAWAI Diabetes
749 0001270669162 ROHMAD L diabetes mellitus with Rujuk Vertikal
0713 00:00 10:15 SWASTA Mellitus
unspecified complications
0151B1090122P00 16-01-2022 16-01-2022 PEGAWAI
750 0001284028705 AGUS SETIYONO L Angioneurotic oedema Berobat Jalan
0723 00:00 14:14 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 16-01-2022 16-01-2022 MAYANGSARI PUTRI PEGAWAI

751 0001698826252 P Vertigo of central origin Berobat Jalan
0720 00:00 13:22 SEKARWANGI SWASTA
0151B1090122P00 16-01-2022 16-01-2022 PEGAWAI
752 0002064448034 JULIANTA L Myalgia Berobat Jalan
0711 00:00 09:48 SWASTA
Hypertensive heart
0151B1090122P00 16-01-2022 16-01-2022 PEGAWAI
753 0002064448247 SUPARTI P disease without Rujuk Vertikal
0712 00:00 09:51 SWASTA
(congestive) heart failure
0151B1090122P00 16-01-2022 16-01-2022 PEGAWAI Acute nasopharyngitis
754 0002294690657 ARKA AZRILAN PRATAMA L Berobat Jalan
0719 00:00 13:13 SWASTA [common cold]
0151B1090122P00 16-01-2022 16-01-2022 PEKERJA Injury of unspecified body
755 0002436465778 YULI TRI HARTANTO L Berobat Jalan
0715 00:00 11:06 MANDIRI region
0151B1090122P00 16-01-2022 16-01-2022 PEKERJA
756 0002753126471 SYANIWATI P Shoulder lesions Berobat Jalan
0714 00:00 10:40 MANDIRI
0151B1090122P00 16-01-2022 16-01-2022 RAYHAN ALIEF PEGAWAI
757 0003047481819 L Asthma Berobat Jalan
0716 00:00 11:19 DARMAWAN SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PENERIMA
758 0000024205094 NURAIDA P Gastritis, unspecified Berobat Jalan
0693 00:00 16:44 PENSIUN PNS
0151B1090122P00 15-01-2022 15-01-2022 Essential (primary)
759 0000087055839 SITI KHOTIJAH P PNS PUSAT Berobat Jalan Hipertensi
0699 00:00 17:29 hypertension
0151B1090122P00 15-01-2022 15-01-2022 PENERIMA
760 0000089999897 SRI NGATINI P Acute serous otitis media Berobat Jalan
0690 00:00 15:59 PENSIUN PNS
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute upper respiratory
761 0000090778263 BUTSAINATUL BAROO'AH P Berobat Jalan
0674 00:00 11:06 SWASTA infection, unspecified
Non-insulin-dependent
0151B1090122P00 15-01-2022 15-01-2022 PENERIMA
762 0000090953346 ERNI RUDI ASTUTI P diabetes mellitus with Rujuk Vertikal
0680 00:00 11:54 PENSIUN PNS
unspecified complications
0151B1090122P00 15-01-2022 15-01-2022 BAYU PURNOMO PEKERJA Acute nasopharyngitis
763 0000091419805 L Berobat Jalan
0677 00:00 11:29 SETYAWAN MANDIRI [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PENERIMA
764 0000200915829 RADEN AHMED ABDILLAH L Gastritis, unspecified Berobat Jalan
0694 00:00 16:46 PENSIUN PNS
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
765 0001182510887 ISMI SULISTYAWATI P Berobat Jalan
0704 00:00 19:20 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
766 0001288456356 SRI ENDANG WAHYUNI P Cholelithiasis Rujuk Vertikal
0662 00:00 08:54 MANDIRI
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
767 0001312698306 TARYONO L Acute periodontitis Berobat Jalan
0707 00:00 19:49 MANDIRI
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
768 0001317941886 FIFIN HESTI OKTAFIANI P Berobat Jalan
0684 00:00 13:07 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
769 0001404266196 SUKNA IZZUL AFIFAH P Dyspepsia Berobat Jalan
0703 00:00 19:07 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 15-01-2022 15-01-2022 PEKERJA

770 0001458287886 AHMAD BASRONI L Hordeolum and chalazion Berobat Jalan
0679 00:00 11:35 MANDIRI
Follow-up examination
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
771 0001460199047 SENEN L after surgery for other Rujuk Vertikal
0706 00:00 19:40 MANDIRI
conditions
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
772 0001500527766 NELLA ELIZA P Acute pharyngitis Berobat Jalan
0670 00:00 10:42 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA Pain in joint, unspecified
773 0001524827889 HEDY PURWANTO L Berobat Jalan
0705 00:00 19:26 MANDIRI site
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
774 0001528731685 MUHAMMAD NUR L Gastritis, unspecified Berobat Jalan
0697 00:00 17:10 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
775 0001528731922 KARIZTA PUTRI SALEKHA P Hordeolum and chalazion Berobat Jalan
0687 00:00 14:47 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
776 0001528732653 DEWI EKAWATI P Sprain and strain of ankle Berobat Jalan
0689 00:00 15:50 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
777 0001531903419 SUNARJO L Low back pain Berobat Jalan
0667 00:00 10:26 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 DANIEL WISNU KRISTIAN PEKERJA Acute nasopharyngitis
778 0001536684298 L Berobat Jalan
0688 00:00 15:48 NUGRAHA MANDIRI [common cold]
0151B1090122P00 15-01-2022 15-01-2022
779 0001657659958 FARID ASHADI L - Pulpitis Rujuk Vertikal
0691 00:00 16:23
0151B1090122P00 15-01-2022 15-01-2022 MUH. SYAIFUL MU'ALIM, PEGAWAI Acute upper respiratory
780 0001691855111 L Berobat Jalan
0678 00:00 11:33 DRS. SWASTA infection, unspecified
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
781 0001691855447 FITRI DWI PURNAMAWATI P Pulpitis Berobat Jalan
0669 00:00 10:40 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
782 0001692820844 Rusdiana P Berobat Jalan
0701 00:00 18:46 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
783 0001692820855 UNTUNG MARGONO L Berobat Jalan
0702 00:00 18:47 SWASTA [common cold]
PEGAWAI
PEMERINTAH
0151B1090122P00 15-01-2022 15-01-2022 LUH DE AYU AULIA BELLA
784 0001796288106 P DENGAN Typhoid fever Berobat Jalan
0685 00:00 13:10 ARTANA
PERJANJIAN
KERJA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
785 0001850244715 KAISA PUTRI SALSABILA P Berobat Jalan
0659 00:00 08:11 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
786 0001867998835 HANA KAMILA P Fever, unspecified Berobat Jalan
0665 00:00 10:11 MANDIRI
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
787 0001904359577 LILIK SUGIARSIH P Other arthrosis Berobat Jalan
0696 00:00 17:07 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI

788 0001970877161 M MASKURI L Myalgia Berobat Jalan
0663 00:00 09:15 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI
789 0002060199044 ZIDAN JULFIAN RAHMAN L Gonococcal infection Berobat Jalan
0672 00:00 11:03 SWASTA
0151B1090122P00 15-01-2022 15-01-2022 MIKAYLA NABIHA PEGAWAI
790 0002080668159 P Acute pharyngitis Berobat Jalan
0700 00:00 17:36 GAVAPUTRI SWASTA
0151B1090122P00 15-01-2022 15-01-2022 FADHIILAH ZAAHIRAH PEGAWAI Periapical abscess without
791 0002081300106 P Berobat Jalan
0668 00:00 10:39 ARRUMI SWASTA sinus
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
792 0002093887157 DIAH AYU HAPSARI P Otitis externa Berobat Jalan
0661 00:00 08:45 MANDIRI
0151B1090122P00 15-01-2022 15-01-2022 SITI WAHYUNI PEKERJA
793 0002195313884 P Acute pharyngitis Berobat Jalan
0676 00:00 11:24 MUBAROKAH MANDIRI
0151B1090122P00 15-01-2022 15-01-2022
794 0002204828638 DIANING BUNGA ARIFKA P PNS DAERAH Gastritis, unspecified Berobat Jalan
0666 00:00 10:24
BIANDRA SULTHAN
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA
795 0002213408428 PUTRAYUDHA AL L Periodontosis Berobat Jalan
0671 00:00 11:00 MANDIRI
KEENAN
0151B1090122P00 15-01-2022 15-01-2022 AURORA CANTIKA PEKERJA
796 0002262649601 P Fever, unspecified Berobat Jalan
0692 00:00 16:35 GILSHA JULIETHA MANDIRI
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
797 0002274095845 TANTRI MEINA SARI P Berobat Jalan
0683 00:00 13:07 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Essential (primary)
798 0002279194683 DARSIYEM P Berobat Jalan Hipertensi Hipertensi
0664 00:00 09:55 SWASTA hypertension
0151B1090122P00 15-01-2022 15-01-2022 QIANDRA SHAQUEENA PEGAWAI Acute nasopharyngitis
799 0002315793058 P Berobat Jalan
0681 00:00 12:38 MAHESWARI SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 KEISHA SHAKEYLA PEGAWAI Acute nasopharyngitis
800 0002437431377 P Berobat Jalan
0673 00:00 11:06 MECCA SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
801 0002460520258 RATNA DIAN SEPTIANA P Berobat Jalan
0682 00:00 13:06 SWASTA [common cold]
0151B1090122P00 15-01-2022 15-01-2022 NAYLA SALSABILA PEGAWAI
802 0002470561457 P Nausea and vomiting Berobat Jalan
0686 00:00 14:33 AZZAHRA SWASTA
0151B1090122P00 15-01-2022 15-01-2022 AIZANAYYA AUNI PEGAWAI
803 0002472676863 P Tinea corporis Berobat Jalan
0708 00:00 19:57 RESWARA SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEKERJA Disorders of both mitral
804 0002930504005 SATINEM P Rujuk Vertikal
0698 00:00 17:13 MANDIRI and tricuspid valves
PEGAWAI
PEMERINTAH
0151B1090122P00 15-01-2022 15-01-2022 QUEEN AURORA
805 0002943766855 P DENGAN Fever, unspecified Berobat Jalan
0660 00:00 08:35 CORNELIA AZZAHRA
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 15-01-2022 15-01-2022 HAFIDZ KAREEM PEGAWAI

806 0003057809433 L Fever, unspecified Berobat Jalan
0695 00:00 17:02 MUNTHAHA SWASTA
0151B1090122P00 15-01-2022 15-01-2022 PEGAWAI Acute nasopharyngitis
807 0003085643529 FATIH KARIM AL GHIFARI L Berobat Jalan
0675 00:00 11:07 SWASTA [common cold]
0151B1090122P00 14-01-2022 14-01-2022
808 0000077198793 MAKRUF WAHYUDI L PNS DAERAH Necrosis of pulp Berobat Jalan
0624 00:00 10:40
0151B1090122P00 14-01-2022 14-01-2022 PENERIMA Acute nasopharyngitis
809 0000089053233 ROKHANI L Berobat Jalan
0648 00:00 17:37 PENSIUN PNS [common cold]
0151B1090122P00 14-01-2022 14-01-2022 PENERIMA
810 0000089053244 ISMIYATUN P Low back pain Berobat Jalan
0647 00:00 17:33 PENSIUN PNS
0151B1090122P00 14-01-2022 14-01-2022
811 0000090926908 WARSINAH P PNS PUSAT Necrosis of pulp Berobat Jalan
0626 00:00 10:45
0151B1090122P00 14-01-2022 14-01-2022 Essential (primary)
812 0000090999573 ANTON ROSANTO L PNS PUSAT Berobat Jalan
0635 00:00 15:24 hypertension
0151B1090122P00 14-01-2022 14-01-2022 Essential (primary)
813 0000090999584 HENLINDA SETYOWATI P PNS PUSAT Berobat Jalan
0634 00:00 14:50 hypertension
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA Acute nasopharyngitis
814 0000092293064 DAHIN NAFIESAH P Berobat Jalan
0616 00:00 09:56 MANDIRI [common cold]
0151B1090122P00 14-01-2022 14-01-2022
815 0000158085505 SUMBER REJEKI P PNS PUSAT Myalgia Berobat Jalan
0631 00:00 13:26
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA Other intervertebral disc
816 0000639894273 RETNOWATI P Rujuk Vertikal
0606 00:00 08:45 MANDIRI disorders
0151B1090122P00 14-01-2022 14-01-2022
817 0001046162259 MUJIATI P PBI (APBN) Glaucoma Rujuk Vertikal
0619 00:00 10:15
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI Acute nasopharyngitis
818 0001169137124 ISTIQOMAH P Berobat Jalan
0654 00:00 19:16 SWASTA [common cold]
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
819 0001291279094 INDRI MUTIA P Fibroadenosis of breast Rujuk Vertikal
0636 00:00 15:27 SWASTA
Malignant neoplasm of
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA
820 0001298749274 SISWANTO L liver and intrahepatic bile Rujuk Vertikal
0633 00:00 14:24 MANDIRI
ducts
Background retinopathy
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA
821 0001304284869 WIWIK DWI LESTARI P and retinal vascular Rujuk Vertikal
0620 00:00 10:18 MANDIRI
changes
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA Adhesive capsulitis of
822 0001317867006 HAZIS MUIN L Berobat Jalan
0632 00:00 13:47 MANDIRI shoulder
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
823 0001317941886 FIFIN HESTI OKTAFIANI P Malaise and fatigue Berobat Jalan
0637 00:00 15:33 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA Acute nasopharyngitis
824 0001319837084 YUNITA AHTIARI P Berobat Jalan
0625 00:00 10:43 MANDIRI [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 14-01-2022 14-01-2022 AZZAM NUR TSABITA PEKERJA Acute nasopharyngitis

825 0001319837984 L Berobat Jalan
0623 00:00 10:39 ARIF MANDIRI [common cold]
0151B1090122P00 14-01-2022 14-01-2022 FAISSHAUMI Disturbances in tooth
826 0001379091993 P PNS DAERAH Berobat Jalan
0652 00:00 18:04 KHAISANARA HIDAYAT eruption
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
827 0001404266163 SEKTI HASTUTI P Dyspepsia Berobat Jalan Hipertensi
0644 00:00 17:26 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
828 0001404266196 SUKNA IZZUL AFIFAH P Urticaria Berobat Jalan
0643 00:00 17:24 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
829 0001526830299 DIANA AMBARWATI P Other arthrosis Berobat Jalan
0640 00:00 16:32 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
830 0001691852578 FITRI AYUNINGSIH P Fever, unspecified Berobat Jalan
0615 00:00 09:51 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI Acute nasopharyngitis
831 0001691852589 NOOR ALTHAF EL BAHRIE L Berobat Jalan
0614 00:00 09:48 SWASTA [common cold]
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
832 0001691853669 HARJAIN L Acute appendicitis Rujuk Vertikal
0604 00:00 08:28 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI Open wound of
833 0001691920247 NUR HAMID L Berobat Jalan
0605 00:00 08:39 SWASTA unspecified body region
0151B1090122P00 14-01-2022 14-01-2022 Acute upper respiratory
834 0001691920708 ABDUL GHOFAR NAWAWI L - Berobat Jalan
0607 00:00 08:49 infection, unspecified
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
835 0001692209485 ARY NOVIANTO L Gonococcal infection Berobat Jalan
0656 00:00 19:52 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 MUHAMMAD FAKHRI PEGAWAI Acute nasopharyngitis
836 0001693262597 L Berobat Jalan
0622 00:00 10:27 RAMADHAN SWASTA [common cold]
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI Cutaneous abscess,
837 0001693306012 AHNAF ROIS L Berobat Jalan
0641 00:00 16:56 SWASTA furuncle and carbuncle
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI Acute nasopharyngitis
838 0001766389443 TRI JOKO HANGGORO L Berobat Jalan
0649 00:00 17:48 SWASTA [common cold]
0151B1090122P00 14-01-2022 14-01-2022 ERWINSYAH ADI PEGAWAI
839 0001766439729 L Chest pain, unspecified Berobat Jalan
0655 00:00 19:45 PAMUNGKAS SWASTA
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA
840 0001775242844 DAFA RAFIF ZAYDAN L Otitis externa Berobat Jalan
0639 00:00 15:41 MANDIRI
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
841 0001846359999 DIAN FITRIANA P Pulpitis Berobat Jalan
0650 00:00 17:55 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 NHURUL SEKAR PEKERJA
842 0001860247743 P Pulpitis Berobat Jalan
0629 00:00 10:54 WIDJAYANTI MANDIRI
0151B1090122P00 14-01-2022 14-01-2022
843 0001863301274 ANNISA SYARAFANA P PNS DAERAH Impacted cerumen Berobat Jalan
0617 00:00 10:06
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 14-01-2022 14-01-2022 PEKERJA

844 0001867998835 HANA KAMILA P Typhoid fever Berobat Jalan
0657 00:00 20:06 MANDIRI
0151B1090122P00 14-01-2022 14-01-2022 INDRIATI NIKEN
845 0001966181095 P - Impacted teeth Berobat Jalan
0651 00:00 17:57 LARASATI
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
846 0002049884019 WATIK YUANI P Headache Berobat Jalan
0630 00:00 13:13 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 Disturbances in tooth
847 0002063184794 MAHIRA HASNA KAMILA P PNS PUSAT Berobat Jalan
0628 00:00 10:52 eruption
0151B1090122P00 14-01-2022 14-01-2022
848 0002064992218 SRI WAHYUNI P - Headache Berobat Jalan
0642 00:00 17:02
0151B1090122P00 14-01-2022 14-01-2022 HIBATULLOH NUR PEKERJA Acute nasopharyngitis
849 0002206813353 L Berobat Jalan
0627 00:00 10:45 TSABITA ARIF MANDIRI [common cold]
0151B1090122P00 14-01-2022 14-01-2022 NADIRA ANINDITA PEKERJA
850 0002245003468 P Fever, unspecified Berobat Jalan
0608 00:00 08:58 AURELIA MANDIRI
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
851 0002284279795 JUNI SUYANTO L Inguinal hernia Rujuk Vertikal
0646 00:00 17:28 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 DILLA FIFIANI PEKERJA
852 0002327874884 P Fever, unspecified Berobat Jalan
0612 00:00 09:33 NURHALIFAH MANDIRI
0151B1090122P00 14-01-2022 14-01-2022 VANESSA INARA PEGAWAI
853 0002345772846 P Nausea and vomiting Berobat Jalan
0609 00:00 09:06 ALMAHYRA SWASTA
0151B1090122P00 14-01-2022 14-01-2022 HARDJIMO MARTO PEKERJA Essential (primary)
854 0002378876365 L Berobat Jalan
0621 00:00 10:19 WIREJO MANDIRI hypertension
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA
855 0002436465778 YULI TRI HARTANTO L Cellulitis of finger and toe Berobat Jalan
0638 00:00 15:34 MANDIRI
0151B1090122P00 14-01-2022 14-01-2022 PEKERJA
856 0002612011768 LUTHFIA ADIBAH P Myopia Berobat Jalan
0610 00:00 09:22 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090122P00 14-01-2022 14-01-2022 MUHAMMAD RAFA
857 0002758397837 L DENGAN Nausea and vomiting Berobat Jalan
0645 00:00 17:27 ARRASYID
PERJANJIAN
KERJA
0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI
858 0002766537404 RAZZAN SHEBA NOOR P Fever, unspecified Berobat Jalan
0613 00:00 09:44 SWASTA
0151B1090122P00 14-01-2022 14-01-2022 MUHAMMAD ASSYAM PEGAWAI
859 0002890598084 L Fever, unspecified Berobat Jalan
0653 00:00 19:13 ALFATIH SWASTA
0151B1090122P00 14-01-2022 14-01-2022 FARIZ DEONATA PEGAWAI Other orthopaedic
860 0002891726234 L Berobat Jalan
0611 00:00 09:25 WIBISONO SWASTA follow-up care
0151B1090122P00 14-01-2022 14-01-2022 RAYHAN ALIEF PEGAWAI
861 0003047481819 L Asthma Berobat Jalan
0618 00:00 10:13 DARMAWAN SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 14-01-2022 14-01-2022 PEGAWAI

862 0003095845852 SALSABILA AZ ZAHRA P Conjunctivitis Berobat Jalan
0658 00:00 20:14 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 PENERIMA
863 0000010594866 SRI NGATMIYATUN P Paraesthesia of skin Rujuk Vertikal
0553 00:00 09:33 PENSIUN PNS
0151B1090122P00 13-01-2022 13-01-2022
864 0000086970183 ANIK ERYANI P PNS DAERAH Necrosis of pulp Rujuk Vertikal
0590 00:00 17:45
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
865 0000088571799 NOVIATI RAHAYU P Pregnancy confirmed Rujuk Vertikal
0584 00:00 16:32 MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PENERIMA Acute upper respiratory
866 0000091040016 RISKINIYATI P Berobat Jalan
0561 00:00 11:17 PENSIUN PNS infection, unspecified
0151B1090122P00 13-01-2022 13-01-2022 Pain localized to upper
867 0000091516241 EDI SANUSI DRS L PNS DAERAH Berobat Jalan Hipertensi
0576 00:00 14:56 abdomen
0151B1090122P00 13-01-2022 13-01-2022 RONGGO MAHENDRA Other orthopaedic
868 0000119416342 L PNS DAERAH Berobat Jalan
0557 00:00 10:08 MA'RUF ASYHARI follow-up care
0151B1090122P00 13-01-2022 13-01-2022
869 0000126497981 AGUS WIBOWO L PNS PUSAT Acute periodontitis Berobat Jalan
0578 00:00 15:03
0151B1090122P00 13-01-2022 13-01-2022 MUHAMMAD SOFYAN
870 0000205247586 L PNS DAERAH Pulpitis Berobat Jalan
0567 00:00 11:57 ARYA PRADANA
0151B1090122P00 13-01-2022 13-01-2022
871 0000209936709 IFFAH NURHAYATI P PNS PUSAT Necrosis of pulp Rujuk Vertikal
0552 00:00 09:31
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
872 0001021774792 YUSUF P Congestive heart failure Rujuk Vertikal
0540 00:00 08:22 SWASTA
0151B1090122P00 13-01-2022 13-01-2022
873 0001046162259 MUJIATI P PBI (APBN) Cervicobrachial syndrome Rujuk Vertikal
0598 00:00 19:32
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
874 0001197801718 DANANG KURNIAWAN SH L Otalgia Berobat Jalan
0600 00:00 19:44 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 13-01-2022 13-01-2022
875 0001266537249 RUSMALA KUSUMA DEWI P DENGAN Psoas tendinitis, hand Berobat Jalan
0562 00:00 11:20
PERJANJIAN
KERJA
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
876 0001269926998 ERIZA MUTAQIN L Myalgia Berobat Jalan
0585 00:00 16:55 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 ALTHAFARA RONA Periapical abscess without
877 0001278165183 P PNS DAERAH Berobat Jalan
0595 00:00 19:13 SYAKIRA sinus
0151B1090122P00 13-01-2022 13-01-2022 CLARENCE FREDELLA PEKERJA
878 0001292660796 P Fever, unspecified Berobat Jalan
0599 00:00 19:43 PANGALILA MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI Acute nasopharyngitis
879 0001301333185 AHMADI PRIHANTORO L Berobat Jalan
0550 00:00 09:24 SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 13-01-2022 13-01-2022 DIAN APRILLIANI KUSUMA

880 0001308476878 P PEGAWAI BUMN Fever, unspecified Berobat Jalan
0596 00:00 19:21 DEWI
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA Acute upper respiratory
881 0001312027762 SLAMET L Berobat Jalan
0575 00:00 14:50 MANDIRI infection, unspecified
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
882 0001320942251 RIZANA KENTI YUNIASTI P Necrosis of pulp Berobat Jalan
0563 00:00 11:20 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 ALESHA BELVA AZALIA PEKERJA
883 0001407524332 P Fever, unspecified Berobat Jalan
0587 00:00 17:08 RACHMAN MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 MUHAMMAD AZHAR
884 0001439997467 L PNS DAERAH Fever, unspecified Berobat Jalan
0591 00:00 18:32 MUTTAQIN
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA Acute nasopharyngitis
885 0001464341815 KUSUMANINGSIH P Berobat Jalan
0579 00:00 15:05 MANDIRI [common cold]
0151B1090122P00 13-01-2022 13-01-2022 MUHAMMAD HALIM PEGAWAI
886 0001471812873 L Other arthrosis Berobat Jalan
0559 00:00 10:54 MAIMUN SWASTA
0151B1090122P00 13-01-2022 13-01-2022 RAHADYAN PURWO PEGAWAI Chronic apical
887 0001525085741 L Berobat Jalan
0549 00:00 09:20 HARTONO SWASTA periodontitis
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI Acute nasopharyngitis
888 0001526376262 FAIZA ASSYIFA P Berobat Jalan
0569 00:00 13:25 SWASTA [common cold]
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
889 0001529480226 SHERLY INDRASWARI P Necrosis of pulp Berobat Jalan
0555 00:00 09:48 MANDIRI

KEPALA DESA
0151B1090122P00 13-01-2022 13-01-2022 Impotence of organic
890 0001529571813 SANGGUP PRASOJO L DAN PERANGKAT Rujuk Vertikal
0583 00:00 16:21 origin
DESA

0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI

891 0001531903419 SUNARJO L Low back pain Berobat Jalan
0571 00:00 13:41 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
892 0001531903421 UDA HERSONINGSIH L Dyspepsia Berobat Jalan
0560 00:00 11:06 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
893 0001607210043 DEVI RINTA SARI P Dyspepsia Berobat Jalan
0548 00:00 09:10 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 MUHammad ANSHAR PEKERJA
894 0001691855212 L Fever, unspecified Berobat Jalan
0572 00:00 13:47 NAJEDI MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
895 0001692820991 ALFIANTO ENGGAR P L Secondary hypertension Berobat Jalan
0554 00:00 09:47 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI Open wound of
896 0001693306258 NUR ROCHMAH P Berobat Jalan
0588 00:00 17:11 SWASTA unspecified body region
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA Diabetes
897 0001719341932 SIHTIYAH P Ulcerative colitis Rujuk Vertikal
0544 00:00 08:51 MANDIRI Mellitus
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
898 0001721876163 TAUFIK JULIANTO L Headache Berobat Jalan
0603 00:00 20:05 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI Disturbances in tooth

899 0001739508772 BRIAN ERLANGGA L Berobat Jalan
0582 00:00 16:02 SWASTA eruption
0151B1090122P00 13-01-2022 13-01-2022
900 0001802644997 SURAJI L PNS PUSAT Fever, unspecified Berobat Jalan
0570 00:00 13:35
0151B1090122P00 13-01-2022 13-01-2022 NIKEN KUSUMA
901 0001849823302 P PNS DAERAH Ganglion Rujuk Vertikal
0568 00:00 13:20 WARDHANI
0151B1090122P00 13-01-2022 13-01-2022
902 0001863301274 ANNISA SYARAFANA P PNS DAERAH Impacted cerumen Berobat Jalan
0577 00:00 15:02
0151B1090122P00 13-01-2022 13-01-2022
903 0001964342485 RO FAH L PNS PUSAT Fever, unspecified Rujuk Vertikal
0566 00:00 11:52
0151B1090122P00 13-01-2022 13-01-2022 SATYANING HANDAYANI PEKERJA
904 0001970542067 P Hypermetropia Berobat Jalan
0594 00:00 19:13 PAMUNGKAS MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
905 0001970543992 NANDIEN KIRANI P Myopia Berobat Jalan
0593 00:00 19:12 MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI Disturbances in tooth
906 0002045232268 ALIKA NAYLA PUTRI P Berobat Jalan
0592 00:00 18:53 SWASTA eruption
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
907 0002051421614 ANTONI MAIKEL L Chronic rhinitis Rujuk Vertikal
0558 00:00 10:15 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
908 0002064454143 KABUL TRI RAHARJO L Atopic dermatitis Berobat Jalan
0547 00:00 09:09 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 13-01-2022 13-01-2022 PANDHU SIGRA
909 0002074161464 L DENGAN Necrosis of pulp Berobat Jalan
0556 00:00 09:54 WICAKSANA
PERJANJIAN
KERJA
0151B1090122P00 13-01-2022 13-01-2022 FITRIANI NUR PEKERJA Acute upper respiratory
910 0002220884065 P Berobat Jalan
0543 00:00 08:51 CANDRAWATI MANDIRI infection, unspecified
0151B1090122P00 13-01-2022 13-01-2022 MUHAMMAD NAUFAL PEKERJA
911 0002220885808 L Acute pharyngitis Berobat Jalan
0545 00:00 09:05 RIZQULLAH MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
912 0002301453753 ARIS WIJAYANTI P Necrosis of pulp Rujuk Vertikal
0589 00:00 17:40 SWASTA
0151B1090122P00 13-01-2022 13-01-2022
913 0002311766921 HENDI L - Necrosis of pulp Berobat Jalan
0581 00:00 15:51
Neuralgia and neuritis,
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
914 0002487763809 DIDIT KADIATI L unspecified, shoulder Rujuk Vertikal
0542 00:00 08:32 MANDIRI
region
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
915 0002488692295 ARI LUKI ERMAWATI P Dyspepsia Berobat Jalan
0597 00:00 19:27 MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
916 0002693264501 KIKI NABILA GUNAWAN P Benign neoplasm of breast Rujuk Vertikal
0573 00:00 13:56 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI

917 0002745517228 AZZURA BELVA AINAYYA P Fever, unspecified Berobat Jalan
0601 00:00 19:51 SWASTA
0151B1090122P00 13-01-2022 13-01-2022 QUTHBI AL AYYUBI PEKERJA
918 0002752268422 L Fever, unspecified Berobat Jalan
0580 00:00 15:06 WICAKSONO MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
919 0002899018541 SUTARNI P Atopic dermatitis Berobat Jalan
0546 00:00 09:07 MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
920 0002899901158 ULFAH NAURA FATINAH P Urticaria Berobat Jalan
0564 00:00 11:25 MANDIRI
0151B1090122P00 13-01-2022 13-01-2022 MAULANA IBRA PEKERJA Burn and corrosion, body
921 0002904650829 L Berobat Jalan
0574 00:00 14:38 REHARTANTO MANDIRI region unspecified
Non-insulin-dependent
0151B1090122P00 13-01-2022 13-01-2022 PEKERJA
922 0002906354351 BAMBANG WIJANARKO L diabetes mellitus with Rujuk Vertikal
0541 00:00 08:24 MANDIRI
multiple complications
0151B1090122P00 13-01-2022 13-01-2022 ALANO KIMDAN PEKERJA
923 0002931725237 L Cystitis Berobat Jalan
0551 00:00 09:30 ALVARENDRA MANDIRI
0151B1090122P00 13-01-2022 13-01-2022
924 0003044836629 GHANI ABDILLAH L PNS PUSAT Fever, unspecified Berobat Jalan
0586 00:00 17:02
0151B1090122P00 13-01-2022 13-01-2022 RAYHAN ALIEF PEGAWAI Acute upper respiratory
925 0003047481819 L Berobat Jalan
0602 00:00 19:55 DARMAWAN SWASTA infection, unspecified
0151B1090122P00 13-01-2022 13-01-2022 PEGAWAI
926 0003055511553 DRU IQRA KALANDRA L Fever, unspecified Berobat Jalan
0565 00:00 11:36 SWASTA
Non-insulin-dependent
0151B1090122P00 12-01-2022
927 01-12-2022 0000091310422 CHANIFAH P - diabetes mellitus with Rujuk Vertikal
0493 10:41
unspecified complications
0151B1090122P00 12-01-2022
928 01-12-2022 0000091483694 NADIANTO L PNS DAERAH Gout Berobat Jalan
0537 19:42
Non-insulin-dependent
0151B1090122P00 12-01-2022
929 01-12-2022 0000091511662 FAJAR ALAM SIAGIAN L PNS DAERAH diabetes mellitus with Rujuk Vertikal
0492 10:33
unspecified complications

Noninflammatory disorders
0151B1090122P00 12-01-2022 PEKERJA
930 01-12-2022 0000091580027 BITAYANI WIDIHASTANTI P of ovary, fallopian tube Rujuk Vertikal
0497 11:23 MANDIRI
and broad ligament

0151B1090122P00 12-01-2022 PENERIMA Gonarthrosis [arthrosis of

931 01-12-2022 0000096655961 SRI SUDJATI P Berobat Jalan
0486 09:10 PENSIUN PNS knee]
0151B1090122P00 12-01-2022
932 01-12-2022 0000126497981 AGUS WIBOWO L PNS PUSAT Hyperplasia of prostate Rujuk Vertikal
0496 11:21
0151B1090122P00 12-01-2022 FARADILLAH FAUZIAH
933 01-12-2022 0000153613855 P PNS DAERAH Acute appendicitis Berobat Jalan
0509 12:04 RAMADHANI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 12-01-2022
934 01-12-2022 0000194127917 INDAH KURNIAWATI P PNS PUSAT Cellulitis Berobat Jalan
0494 11:02
0151B1090122P00 12-01-2022 MUHAMMAD SOFYAN
935 01-12-2022 0000205247586 L PNS DAERAH Necrosis of pulp Rujuk Vertikal
0521 15:13 ARYA PRADANA
0151B1090122P00 12-01-2022 PEGAWAI
936 01-12-2022 0000516534491 SOPIAH P Necrosis of pulp Berobat Jalan
0508 12:03 SWASTA
0151B1090122P00 12-01-2022
937 01-12-2022 0000640351675 DIKY SETIAWAN L PBI (APBN) Other prurigo Berobat Jalan
0483 09:00
0151B1090122P00 15-01-2022
938 01-12-2022 0001021790891 KADIYEM P PBI (APBN) Pulpitis Berobat Jalan
0709 20:22
0151B1090122P00 12-01-2022 PEGAWAI
939 01-12-2022 0001308030107 SUSILOWATI P Necrosis of pulp Berobat Jalan Hipertensi
0502 11:51 SWASTA
0151B1090122P00 12-01-2022 PEKERJA Periapical abscess without
940 01-12-2022 0001312028032 YUNINGSIH SITI SURYANI P Rujuk Vertikal Hipertensi
0498 11:36 MANDIRI sinus
0151B1090122P00 12-01-2022 PEKERJA
941 01-12-2022 0001322226731 HENNY LIESTIASTUTI P Atopic dermatitis Berobat Jalan
0488 09:13 MANDIRI

0151B1090122P00 12-01-2022 PENERIMA Acute upper respiratory

942 01-12-2022 0001386243786 SOELISTIJANTI P Berobat Jalan Hipertensi
0495 11:04 PENSIUN SWASTA infection, unspecified

0151B1090122P00 12-01-2022 PEGAWAI

943 01-12-2022 0001387522675 SITI MUNAWAROH P Acute gingivitis Berobat Jalan
0500 11:40 SWASTA
0151B1090122P00 12-01-2022 PEKERJA
944 01-12-2022 0001421917604 RINA HARTANTI P Counselling, unspecified Berobat Jalan
0487 09:12 MANDIRI
0151B1090122P00 12-01-2022 PEGAWAI Acute nasopharyngitis
945 01-12-2022 0001458943481 AQILA FAWAZAH P Berobat Jalan
0512 13:15 SWASTA [common cold]
0151B1090122P00 12-01-2022 PEGAWAI
946 01-12-2022 0001525971352 SITI AZIZAH SUSILAWATI P Low back pain Berobat Jalan
0527 17:07 SWASTA
0151B1090122P00 12-01-2022 MUHAMMAD HAFZIN PEKERJA
947 01-12-2022 0001526426559 L Acute gingivitis Berobat Jalan
0513 14:24 HIDAYAT MANDIRI
0151B1090122P00 12-01-2022 PEKERJA Essential (primary)
948 01-12-2022 0001526588256 SUDIRO NUGROHO L Berobat Jalan
0490 09:27 MANDIRI hypertension
0151B1090122P00 12-01-2022 ERLAND MACNAIR PEGAWAI
949 01-12-2022 0001548694405 L Keloid scar Berobat Jalan
0539 20:28 MULYADI SWASTA
0151B1090122P00 12-01-2022 Cyra Khania Yazmien PEGAWAI
950 01-12-2022 0001601681297 L Keloid scar Rujuk Vertikal
0501 11:42 Nugroho SWASTA
0151B1090122P00 12-01-2022 PEGAWAI Essential (primary)
951 01-12-2022 0001691853197 SITI ZAKIAH P Berobat Jalan Hipertensi Hipertensi
0526 17:01 SWASTA hypertension
0151B1090122P00 12-01-2022 PEGAWAI
952 01-12-2022 0001691853581 GIYATO L Shoulder lesions Berobat Jalan
0515 14:50 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 12-01-2022 PEGAWAI Other and unspecified

953 01-12-2022 0001691853669 HARJAIN L Berobat Jalan
0489 09:15 SWASTA abdominal pain
0151B1090122P00 12-01-2022 PEGAWAI
954 01-12-2022 0001691856584 SURADI L Injury, unspecified, open Berobat Jalan
0514 14:43 SWASTA
0151B1090122P00 12-01-2022 PEGAWAI
955 01-12-2022 0001691920247 NUR HAMID L Injury, unspecified Berobat Jalan
0484 09:01 SWASTA
0151B1090122P00 12-01-2022 PEKERJA
956 01-12-2022 0001691920326 DINA AULIA FATIHATUL A. P Necrosis of pulp Rujuk Vertikal
0525 16:40 MANDIRI
0151B1090122P00 12-01-2022 PEGAWAI
957 01-12-2022 0001691920337 LINA ZAHRA AL AZIZAH P Necrosis of pulp Rujuk Vertikal
0524 16:37 SWASTA
0151B1090122P00 12-01-2022 HAQ MUHAMMAD HAMKA
958 01-12-2022 0001739050964 L PNS PUSAT Astigmatism Berobat Jalan
0491 09:54 HABIBIE
0151B1090122P00 12-01-2022 destyaviant miftakhul adha PEKERJA Acute upper respiratory
959 01-12-2022 0001795625177 P Berobat Jalan
0523 16:27 avianto MANDIRI infection, unspecified
PEGAWAI
PEMERINTAH
0151B1090122P00 12-01-2022 LUH DE AYU AULIA BELLA
960 01-12-2022 0001796288106 P DENGAN Fever, unspecified Berobat Jalan
0528 17:21 ARTANA
PERJANJIAN
KERJA

Diarrhoea and
0151B1090122P00 12-01-2022 PEGAWAI
961 01-12-2022 0001836980111 NESTU PRIYANTO L gastroenteritis of Berobat Jalan
0485 09:06 SWASTA
presumed infectious origin

0151B1090122P00 12-01-2022 PEKERJA

962 01-12-2022 0001840374977 JOKO BUDI RAHARJO L Necrosis of pulp Berobat Jalan
0506 12:01 MANDIRI
0151B1090122P00 12-01-2022 BENDOT HIDAYAT PEGAWAI
963 01-12-2022 0002034036461 L Headache Berobat Jalan Hipertensi
0533 19:22 PURWOKOSUNU SWASTA
0151B1090122P00 12-01-2022 PEKERJA Hypertensive heart
964 01-12-2022 0002247018704 DARYATUN P Rujuk Vertikal
0530 17:56 MANDIRI disease
0151B1090122P00 12-01-2022 PEGAWAI Acute nasopharyngitis
965 01-12-2022 0002274095845 TANTRI MEINA SARI P Berobat Jalan
0534 19:28 SWASTA [common cold]
0151B1090122P00 12-01-2022 PEKERJA
966 01-12-2022 0002275265215 HARYONO L Dyspepsia Berobat Jalan
0535 19:30 MANDIRI
0151B1090122P00 12-01-2022 PEKERJA
967 01-12-2022 0002300349532 WIYONO WIJOYO L Hearing loss, unspecified Rujuk Vertikal
0499 11:37 MANDIRI
0151B1090122P00 12-01-2022 Periapical abscess without
968 01-12-2022 0002379924145 LITA LIKMALATRI P PNS DAERAH Berobat Jalan
0504 11:57 sinus
0151B1090122P00 12-01-2022 PENERIMA
969 01-12-2022 0002422023939 HERUWATI P Pulpitis Berobat Jalan
0531 18:28 PENSIUN TNI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 12-01-2022 PEKERJA

970 01-12-2022 0002448442348 IHSAN SDWI KURNIAWAN L Myopia Berobat Jalan
0532 19:16 MANDIRI
0151B1090122P00 12-01-2022 SYAHIRA SHOHWATUL PEGAWAI
971 01-12-2022 0002453285204 P Asthma Berobat Jalan
0507 12:01 ISLAM SWASTA
0151B1090122P00 12-01-2022 PEGAWAI Acute nasopharyngitis
972 01-12-2022 0002479742785 FAIZAN PUTRA ARDIAN L Berobat Jalan
0503 11:55 SWASTA [common cold]
0151B1090122P00 12-01-2022 PEGAWAI
973 01-12-2022 0002610600939 MUHAMMAD HAIKAL L Counselling, unspecified Berobat Jalan
0536 19:39 SWASTA
0151B1090122P00 12-01-2022 TYAS KUSNA WIDYA PEGAWAI
974 01-12-2022 0002751836578 P Acne, unspecified Berobat Jalan
0529 17:29 NINGRUM SWASTA
0151B1090122P00 12-01-2022 MUHAMMAD AL FATIH
975 01-12-2022 0002759963578 L PNS PUSAT Nausea and vomiting Berobat Jalan
0505 11:59 ATHARAZKA
0151B1090122P00 12-01-2022 PEKERJA Essential (primary)
976 01-12-2022 0002884194472 SUYANAH P Berobat Jalan
0510 12:09 MANDIRI hypertension
0151B1090122P00 12-01-2022 PEKERJA Acute upper respiratory
977 01-12-2022 0002885544944 MEILI GILDA PRASTIWI P Berobat Jalan
0522 16:18 MANDIRI infection, unspecified
0151B1090122P00 12-01-2022 ARSYILA HANIFA PEGAWAI
978 01-12-2022 0002936774878 P Hordeolum and chalazion Berobat Jalan
0511 13:14 FARZANA SWASTA
0151B1090122P00 12-01-2022 RAYHAN ALIEF PEGAWAI Acute upper respiratory
979 01-12-2022 0003047481819 L Berobat Jalan
0538 20:14 DARMAWAN SWASTA infection, unspecified
0151B1090122P00 11-01-2022 PEKERJA
980 01-11-2022 0000036244642 ROLAN MART SASONGKO L Epilepsy Rujuk Vertikal
0436 09:02 MANDIRI
0151B1090122P00 11-01-2022 PENERIMA
981 01-11-2022 0000046944718 SRI KRISNA LISTYAWATI P Congestive heart failure Rujuk Vertikal
0449 11:08 PENSIUN PNS
0151B1090122P00 11-01-2022 ISMAIL HENDRA PEGAWAI
982 01-11-2022 0000075945071 L Fever, unspecified Berobat Jalan
0462 15:05 GUNAWAN SWASTA
0151B1090122P00 11-01-2022 PENERIMA
983 01-11-2022 0000077126679 YAYAN HASBIAN NOOR L Dysphonia Rujuk Vertikal
0444 10:20 PENSIUN PNS
0151B1090122P00 11-01-2022 PEGAWAI
984 01-11-2022 0000088146606 MANDASARI DEWI P Myalgia Berobat Jalan
0467 16:27 SWASTA
0151B1090122P00 11-01-2022 PEGAWAI
985 01-11-2022 0000088576705 DEWI AMBARWATI, P Myalgia Berobat Jalan
0476 18:20 SWASTA
0151B1090122P00 11-01-2022 PENERIMA Non-insulin-dependent Diabetes Diabetes
986 01-11-2022 0000088708959 SRI PANTUN P Berobat Jalan
0428 08:25 PENSIUN TNI diabetes mellitus Mellitus Mellitus
0151B1090122P00 11-01-2022 Acute nasopharyngitis
987 01-11-2022 0000090176949 GANUNG ADITIA L PNS DAERAH Berobat Jalan
0439 09:28 [common cold]
0151B1090122P00 11-01-2022 PENERIMA External haemorrhoids
988 01-11-2022 0000090581387 RINI SUTARTI P Rujuk Vertikal
0440 09:43 PENSIUN PNS with other complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 11-01-2022 PENERIMA

989 01-11-2022 0000091328793 SUTINO L Congestive heart failure Rujuk Vertikal Hipertensi
0431 08:36 PENSIUN PNS
0151B1090122P00 11-01-2022 PENERIMA Chronic apical
990 01-11-2022 0000091481354 SISWOYO SUKMONADI L Berobat Jalan
0441 10:12 PENSIUN PNS periodontitis
0151B1090122P00 11-01-2022 PENERIMA Gonarthrosis [arthrosis of
991 01-11-2022 0000096655961 SRI SUDJATI P Berobat Jalan
0448 10:51 PENSIUN PNS knee]
0151B1090122P00 11-01-2022 PEGAWAI
992 01-11-2022 0000204787168 RENY SARTIKA P Headache Berobat Jalan
0464 16:21 SWASTA
0151B1090122P00 11-01-2022 MUHAMMAD SOFYAN
993 01-11-2022 0000205247586 L PNS DAERAH Pulpitis Berobat Jalan
0468 16:36 ARYA PRADANA
0151B1090122P00 11-01-2022 PEKERJA Acute nasopharyngitis
994 01-11-2022 0000210557957 TRIANTO PRIYAMBODO L Berobat Jalan
0459 14:59 MANDIRI [common cold]
0151B1090122P00 11-01-2022 PEGAWAI
995 01-11-2022 0000572264065 PITA AMBARWATI P Necrosis of pulp Rujuk Vertikal
0463 15:48 SWASTA
0151B1090122P00 11-01-2022
996 01-11-2022 0000640351675 DIKY SETIAWAN L PBI (APBN) Other prurigo Rujuk Vertikal
0458 14:58
0151B1090122P00 11-01-2022 ARIFAN HERRA PANDAM PEGAWAI
997 01-11-2022 0001032641763 L Counselling, unspecified Berobat Jalan
0445 10:41 PAWITRA SWASTA
0151B1090122P00 11-01-2022 VENERANDA SANTI PEKERJA Other chronic suppurative
998 01-11-2022 0001124665402 P Rujuk Vertikal
0453 11:28 PUSPASARI MANDIRI otitis media
0151B1090122P00 11-01-2022 YOSI KRISTIAWAN PEGAWAI
999 01-11-2022 0001181453308 L Fever, unspecified Berobat Jalan Hipertensi Hipertensi
0437 09:12 PURWO HANDOKO SWASTA
Non-insulin-dependent
0151B1090122P00 11-01-2022 PEKERJA
1000 01-11-2022 0001297226597 RUSTAMAJI L diabetes mellitus with Rujuk Vertikal
0447 10:45 MANDIRI
renal complications

Diarrhoea and
0151B1090122P00 11-01-2022 PEKERJA
1001 01-11-2022 0001298749274 SISWANTO L gastroenteritis of Berobat Jalan
0460 15:03 MANDIRI
presumed infectious origin

0151B1090122P00 11-01-2022 PEGAWAI

1002 01-11-2022 0001308030107 SUSILOWATI P Necrosis of pulp Berobat Jalan Hipertensi
0442 10:14 SWASTA
0151B1090122P00 11-01-2022 PEGAWAI
1003 01-11-2022 0001317694713 WIWIT INDAH PURNAMA L Conjunctivitis Berobat Jalan
0456 14:00 SWASTA
0151B1090122P00 11-01-2022
1004 01-11-2022 0001324483367 M DIMAS ASH'ARI L PNS DAERAH Fracture of tooth Rujuk Vertikal
0451 11:13
0151B1090122P00 11-01-2022 PEGAWAI
1005 01-11-2022 0001370536828 Shidqon Hasuna Rofiq L Fever, unspecified Berobat Jalan
0455 13:37 SWASTA
0151B1090122P00 11-01-2022
1006 01-11-2022 0001478154238 DATIK WIDODO P - Pregnancy confirmed Berobat Jalan
0452 11:22
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 11-01-2022 DIMAS HAIKAL PEGAWAI

1007 01-11-2022 0001524766386 L Fever, unspecified Berobat Jalan
0438 09:25 ASHARNATA SWASTA

Diarrhoea and
0151B1090122P00 11-01-2022 PEGAWAI
1008 01-11-2022 0001524823738 GIYATI P gastroenteritis of Berobat Jalan
0429 08:34 SWASTA
presumed infectious origin

0151B1090122P00 11-01-2022 PEGAWAI Chronic apical

1009 01-11-2022 0001524844089 SITI SUMILAH P Berobat Jalan
0446 10:45 SWASTA periodontitis
0151B1090122P00 11-01-2022 PEKERJA Acute nasopharyngitis
1010 01-11-2022 0001525038489 MEGA OKTA ARTALINDA P Berobat Jalan
0472 17:26 MANDIRI [common cold]
0151B1090122P00 11-01-2022 PEGAWAI
1011 01-11-2022 0001526135567 PARJINAH P Plantar fascial fibromatosis Berobat Jalan
0433 08:39 SWASTA
0151B1090122P00 11-01-2022 HELA APRENIA SUSAN, PEKERJA
1012 01-11-2022 0001531052043 P Pregnancy confirmed Rujuk Vertikal
0432 08:38 SE MANDIRI
0151B1090122P00 11-01-2022 PEGAWAI
1013 01-11-2022 0001534487005 DAIRAH WIDHI ASTUTI P Vertigo of central origin Berobat Jalan
0454 11:32 SWASTA
0151B1090122P00 11-01-2022 PEGAWAI
1014 01-11-2022 0001580005989 SURATMAN L Fracture of clavicle Rujuk Vertikal
0481 20:04 SWASTA
0151B1090122P00 11-01-2022 PEKERJA
1015 01-11-2022 0001630226092 IZZUL HASANAH P Retained dental root Berobat Jalan
0475 17:59 MANDIRI
0151B1090122P00 11-01-2022 PEGAWAI
1016 01-11-2022 0001691853197 SITI ZAKIAH P Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
0473 17:42 SWASTA
0151B1090122P00 11-01-2022 NANDA RAHMA AL PEGAWAI Acute nasopharyngitis
1017 01-11-2022 0001691856371 P Berobat Jalan
0479 19:28 HUSNA SWASTA [common cold]
0151B1090122P00 11-01-2022 PEGAWAI Cutaneous abscess,
1018 01-11-2022 0001693306012 AHNAF ROIS L Berobat Jalan
0470 16:53 SWASTA furuncle and carbuncle
0151B1090122P00 11-01-2022 ERWINSYAH ADI PEGAWAI
1019 01-11-2022 0001766439729 L Acute bronchitis Berobat Jalan
0480 19:45 PAMUNGKAS SWASTA
Follow-up examination
0151B1090122P00 11-01-2022 NHURUL SEKAR PEKERJA
1020 01-11-2022 0001860247743 P after surgery for other Rujuk Vertikal
0434 08:56 WIDJAYANTI MANDIRI
conditions
0151B1090122P00 11-01-2022
1021 01-11-2022 0001964342485 RO FAH L PNS PUSAT Fever, unspecified Berobat Jalan
0482 20:19
0151B1090122P00 11-01-2022 PEKERJA
1022 01-11-2022 0002066778685 RUSMI SULASTRINI P Carpal tunnel syndrome Rujuk Vertikal
0457 14:57 MANDIRI
0151B1090122P00 11-01-2022 ALMIRA SHANUM MEDINA PEGAWAI Acute nasopharyngitis
1023 01-11-2022 0002242157466 P Berobat Jalan
0461 15:05 SUNGKAN SWASTA [common cold]
Loss of teeth due to
0151B1090122P00 11-01-2022 PEKERJA
1024 01-11-2022 0002275265327 SUHARTI P accident, extraction or Berobat Jalan
0478 19:22 MANDIRI
local periodontal disease
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 11-01-2022 PEGAWAI

1025 01-11-2022 0002283492712 LISNU ADITYA L Fever, unspecified Berobat Jalan
0465 16:26 SWASTA
0151B1090122P00 11-01-2022 PEGAWAI
1026 01-11-2022 0002286601997 MUSTIYAH P Other cataract Rujuk Vertikal
0435 08:58 SWASTA
0151B1090122P00 11-01-2022 QIANDRA SHAQUEENA PEGAWAI
1027 01-11-2022 0002315793058 P Nausea and vomiting Berobat Jalan
0466 16:26 MAHESWARI SWASTA
0151B1090122P00 11-01-2022 PENERIMA
1028 01-11-2022 0002422023939 HERUWATI P Abrasion of teeth Berobat Jalan
0469 16:39 PENSIUN TNI
0151B1090122P00 11-01-2022 PEKERJA Benign neoplasm of
1029 01-11-2022 0002429589159 MARDI WIYONO L Rujuk Vertikal
0477 19:09 MANDIRI bladder
0151B1090122P00 11-01-2022 PEKERJA
1030 01-11-2022 0002488692295 ARI LUKI ERMAWATI P Dyspepsia Berobat Jalan
0450 11:11 MANDIRI
0151B1090122P00 11-01-2022 PEKERJA Diabetes Diabetes
1031 01-11-2022 0002620674562 SUGIYARMAN L Fever, unspecified Berobat Jalan
0430 08:36 MANDIRI Mellitus Mellitus
0151B1090122P00 11-01-2022 PEGAWAI
1032 01-11-2022 0002892056398 RITA P Fever, unspecified Berobat Jalan
0471 17:12 SWASTA
0151B1090122P00 11-01-2022 HANUM SHALIHA PEKERJA
1033 01-11-2022 0002912621534 P Fever, unspecified Berobat Jalan
0474 17:56 SAGARMATHA MANDIRI
0151B1090122P00 11-01-2022 PEKERJA
1034 01-11-2022 0003086719885 SITI DJUARIYAH P Counselling, unspecified Berobat Jalan
0443 10:19 MANDIRI
0151B1090122P00 10-01-2022 ISMAIL HENDRA PEGAWAI
1035 01-10-2022 0000075945071 L Fever, unspecified Berobat Jalan
0376 09:30 GUNAWAN SWASTA
0151B1090122P00 10-01-2022
1036 01-10-2022 0000077198793 MAKRUF WAHYUDI L PNS DAERAH Necrosis of pulp Berobat Jalan
0413 18:45
0151B1090122P00 10-01-2022 Periapical abscess without
1037 01-10-2022 0000088619038 SRI HARJANI P PNS PUSAT Berobat Jalan
0412 18:43 sinus
0151B1090122P00 10-01-2022 KEVIN PEKERJA
1038 01-10-2022 0000090946181 L Necrosis of pulp Berobat Jalan
0417 19:11 ARDYAPRIMATAMA MANDIRI
0151B1090122P00 10-01-2022 PENERIMA Non-insulin-dependent
1039 01-10-2022 0000090953346 ERNI RUDI ASTUTI P Berobat Jalan
0391 12:14 PENSIUN PNS diabetes mellitus
0151B1090122P00 10-01-2022
1040 01-10-2022 0000091503033 FASIH SUBAGYO L PNS DAERAH Counselling, unspecified Berobat Jalan
0421 19:28
0151B1090122P00 10-01-2022 PEKERJA Acute upper respiratory
1041 01-10-2022 0000202940346 TOTO ADI RAHMANTO L Berobat Jalan
0389 12:06 MANDIRI infection, unspecified
0151B1090122P00 10-01-2022 Chronic renal failure,
1042 01-10-2022 0000204662542 INDRA LILA KUSUMA P PNS PUSAT Rujuk Vertikal
0387 11:37 unspecified
0151B1090122P00 10-01-2022 IMAM PANDU INDRA
1043 01-10-2022 0000205317516 L PNS PUSAT Caries of dentine Berobat Jalan
0423 19:40 KUSUMA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 10-01-2022 PEGAWAI

1044 01-10-2022 0001021774792 YUSUF P Counselling, unspecified Berobat Jalan
0369 08:30 SWASTA
0151B1090122P00 10-01-2022 PEKERJA Cerebral infarction,
1045 01-10-2022 0001160660158 SUDARMANTO L Rujuk Vertikal
0420 19:25 MANDIRI unspecified
0151B1090122P00 10-01-2022 PEGAWAI Other noninflammatory
1046 01-10-2022 0001169137124 ISTIQOMAH P Berobat Jalan
0399 15:04 SWASTA disorders of vagina
0151B1090122P00 10-01-2022 PEKERJA Disorder of urinary system,
1047 01-10-2022 0001263874972 RIMA FIRGIYANI P Berobat Jalan
0393 13:55 MANDIRI unspecified
0151B1090122P00 10-01-2022 PEGAWAI
1048 01-10-2022 0001291279094 INDRI MUTIA P Chest pain, unspecified Rujuk Vertikal
0403 16:39 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1049 01-10-2022 0001304284869 WIWIK DWI LESTARI P Sicca syndrome [Sjogren] Rujuk Vertikal
0388 11:59 MANDIRI
0151B1090122P00 10-01-2022 PEGAWAI
1050 01-10-2022 0001308030107 SUSILOWATI P Pulpitis Berobat Jalan Hipertensi
0411 18:40 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1051 01-10-2022 0001317867006 HAZIS MUIN L Pain in thoracic spine Berobat Jalan
0384 10:53 MANDIRI
0151B1090122P00 10-01-2022
1052 01-10-2022 0001324483367 M DIMAS ASH'ARI L PNS DAERAH Necrosis of pulp Berobat Jalan
0386 11:33
0151B1090122P00 10-01-2022 Other and unspecified
1053 01-10-2022 0001387003836 naifa khansa khairunnisa P PNS PUSAT Berobat Jalan
0392 13:43 abdominal pain
0151B1090122P00 10-01-2022 PEGAWAI
1054 01-10-2022 0001451813703 AHMAD NUR ARIFIN L Dyspepsia Berobat Jalan
0409 18:01 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1055 01-10-2022 0001460604699 DESY HARYANTI P Pulpitis Berobat Jalan
0378 10:03 MANDIRI
0151B1090122P00 10-01-2022 PEGAWAI
1056 01-10-2022 0001502265464 IKA PUTRI RAMADHANI P Impacted teeth Rujuk Vertikal
0382 10:19 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1057 01-10-2022 0001524827889 HEDY PURWANTO L Fibroblastic disorders Berobat Jalan
0404 16:47 MANDIRI
0151B1090122P00 10-01-2022 MUHAMMAD HAFZIN PEKERJA
1058 01-10-2022 0001526426559 L Lichen simplex chronicus Rujuk Vertikal
0371 08:43 HIDAYAT MANDIRI
0151B1090122P00 10-01-2022 GHINA SHABRINA PEKERJA
1059 01-10-2022 0001526426594 P Other thyrotoxicosis Rujuk Vertikal
0372 08:53 RAUDLATUL JANNAH MANDIRI
0151B1090122P00 10-01-2022 INTAN CAHYANTHIA PEKERJA
1060 01-10-2022 0001632489895 P Sprain and strain of jaw Berobat Jalan
0400 15:42 FORTUNA MANDIRI
0151B1090122P00 10-01-2022 Non-insulin-dependent Diabetes
1061 01-10-2022 0001691852679 SRI SUMANTI P - Berobat Jalan
0418 19:20 diabetes mellitus Mellitus
0151B1090122P00 10-01-2022 PEGAWAI
1062 01-10-2022 0001691857045 RILA TRIAS MITADEWI P Nasal polyp, unspecified Rujuk Vertikal
0405 16:51 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 10-01-2022 PEGAWAI

1063 01-10-2022 0001691920247 NUR HAMID L Injury, unspecified Berobat Jalan
0377 09:32 SWASTA
0151B1090122P00 10-01-2022 Acute upper respiratory
1064 01-10-2022 0001691920708 ABDUL GHOFAR NAWAWI L - Berobat Jalan
0407 17:15 infection, unspecified
0151B1090122P00 10-01-2022 AVICENNA JUNDI PEKERJA
1065 01-10-2022 0001721876196 L Pulpitis Berobat Jalan
0415 18:49 EL-GHIFARIE MANDIRI
0151B1090122P00 10-01-2022 PEGAWAI
1066 01-10-2022 0001803149267 SUPRAPTI P Otalgia Berobat Jalan
0422 19:30 SWASTA
0151B1090122P00 10-01-2022 PEGAWAI
1067 01-10-2022 0001821900857 MALIDA TRI HENDRIANA P Necrosis of pulp Rujuk Vertikal
0380 10:11 SWASTA
0151B1090122P00 10-01-2022 PEKERJA Essential (primary)
1068 01-10-2022 0001849564822 sri sukarni P Berobat Jalan Hipertensi Hipertensi
0374 08:59 MANDIRI hypertension
Non-insulin-dependent
0151B1090122P00 10-01-2022 PEKERJA
1069 01-10-2022 0001906754084 WAGIMIN L diabetes mellitus with Rujuk Vertikal
0379 10:08 MANDIRI
unspecified complications
0151B1090122P00 10-01-2022 SHELLA STEFANI PEKERJA Acute nasopharyngitis
1070 01-10-2022 0001925193982 P Berobat Jalan
0401 15:44 MUNANDAR MANDIRI [common cold]
0151B1090122P00 10-01-2022 PEGAWAI Rheumatoid arthritis,
1071 01-10-2022 0001961329285 REZKI NOVIASARI P Rujuk Vertikal
0424 19:50 SWASTA unspecified, other sites
0151B1090122P00 10-01-2022 PEKERJA
1072 01-10-2022 0002035342304 ATIK SUPRAPTI P Counselling, unspecified Berobat Jalan
0397 14:02 MANDIRI
0151B1090122P00 10-01-2022 PEGAWAI Allergic rhinitis,
1073 01-10-2022 0002051421614 ANTONI MAIKEL L Berobat Jalan
0385 11:10 SWASTA unspecified
0151B1090122P00 10-01-2022 PEKERJA
1074 01-10-2022 0002051656007 ISDATUL AINIYAH P Fever, unspecified Berobat Jalan
0426 20:01 MANDIRI
0151B1090122P00 10-01-2022 PEGAWAI Acute upper respiratory
1075 01-10-2022 0002060205232 EKO SUDARMANTO L Berobat Jalan
0394 13:59 SWASTA infection, unspecified
MUHAMMAD
0151B1090122P00 10-01-2022 PEGAWAI Acute upper respiratory
1076 01-10-2022 0002060943928 NASHRULLAH L Berobat Jalan
0395 13:59 SWASTA infection, unspecified
FATHURRAHMAN
0151B1090122P00 10-01-2022 PEKERJA Malignant neoplasm of
1077 01-10-2022 0002066777662 SOEMARGONO L Rujuk Vertikal
0373 08:55 MANDIRI rectum
0151B1090122P00 10-01-2022 PEGAWAI
1078 01-10-2022 0002080932063 MOCH FAHMI ARIF L Counselling, unspecified Berobat Jalan
0427 20:26 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1079 01-10-2022 0002085373023 SRI INDRATI P Fever, unspecified Berobat Jalan
0402 15:45 MANDIRI
0151B1090122P00 10-01-2022 SITI WAHYUNI PEKERJA Acute nasopharyngitis
1080 01-10-2022 0002195313884 P Berobat Jalan
0370 08:35 MUBAROKAH MANDIRI [common cold]
0151B1090122P00 10-01-2022 PEGAWAI Malignant neoplasm of
1081 01-10-2022 0002235929973 VIVERRY INTAN SARI ST P Rujuk Vertikal
0419 19:23 SWASTA ovary
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Dislocation, sprain and

0151B1090122P00 10-01-2022 PEKERJA strain of joints and
1082 01-10-2022 0002247480393 SRI HARYANTI P Rujuk Vertikal
0381 10:14 MANDIRI ligaments at wrist and
hand level
0151B1090122P00 10-01-2022
1083 01-10-2022 0002312952085 RESTI ISTIA WARDANI, ST P - Myopia Berobat Jalan
0390 12:09
0151B1090122P00 10-01-2022 PENERIMA
1084 01-10-2022 0002422023939 HERUWATI P Necrosis of pulp Berobat Jalan
0410 18:38 PENSIUN TNI
0151B1090122P00 10-01-2022 NAVARA IBRAHIM PEGAWAI Acute upper respiratory
1085 01-10-2022 0002429977421 L Berobat Jalan
0396 14:01 SAPUTRA SWASTA infection, unspecified
0151B1090122P00 10-01-2022 PEGAWAI
1086 01-10-2022 0002488024719 MUHAMMAD FATIH L Fever, unspecified Berobat Jalan
0408 17:34 SWASTA
0151B1090122P00 10-01-2022 PEKERJA
1087 01-10-2022 0002488692295 ARI LUKI ERMAWATI P Fever, unspecified Berobat Jalan
0406 17:10 MANDIRI
0151B1090122P00 10-01-2022 PEKERJA
1088 01-10-2022 0002488692295 ARI LUKI ERMAWATI P Necrosis of pulp Berobat Jalan
0414 18:47 MANDIRI
0151B1090122P00 10-01-2022 PEKERJA
1089 01-10-2022 0002697496075 RUZIQO DAHAM L Necrosis of pulp Berobat Jalan
0416 18:51 MANDIRI
0151B1090122P00 10-01-2022 PEKERJA Acute upper respiratory
1090 01-10-2022 0002875403002 SRI HARYATI P Berobat Jalan
0375 09:04 MANDIRI infection, unspecified
0151B1090122P00 10-01-2022 FARIZ DEONATA PEGAWAI
1091 01-10-2022 0002891726234 L Injury, unspecified Berobat Jalan
0398 14:05 WIBISONO SWASTA
0151B1090122P00 10-01-2022 MUHAMMAD MIN AZMI AL PEGAWAI
1092 01-10-2022 0003066544629 L Fever, unspecified Berobat Jalan
0383 10:38 UMUUR SWASTA
0151B1090122P00 10-01-2022 PEGAWAI
1093 01-10-2022 0003095845852 SALSABILA AZ ZAHRA P Fever, unspecified Berobat Jalan
0425 19:56 SWASTA
0151B1090122P00 09-01-2022 PENERIMA Essential (primary)
1094 01-09-2022 0000021247896 SOEPARTO BROTO L Berobat Jalan Hipertensi
0365 10:36 PENSIUN PNS hypertension
0151B1090122P00 09-01-2022 PEGAWAI Essential (primary)
1095 01-09-2022 0001145829284 HENI PURNOMO L Berobat Jalan Hipertensi Hipertensi
0368 13:53 SWASTA hypertension
0151B1090122P00 12-01-2022 PEGAWAI
1096 01-09-2022 0001405908437 OKTIVITA P Counselling, unspecified Berobat Jalan
0520 15:00 SWASTA
0151B1090122P00 12-01-2022 PEGAWAI Acute nasopharyngitis
1097 01-09-2022 0001691855695 PERTAPA SARI P Berobat Jalan
0517 14:57 SWASTA [common cold]
0151B1090122P00 12-01-2022 PEGAWAI
1098 01-09-2022 0001691856595 ANIK PUJI ASTUTI P Myalgia Berobat Jalan
0519 14:58 SWASTA
0151B1090122P00 09-01-2022 PEGAWAI Chronic kidney disease,
1099 01-09-2022 0001691920427 SARDI L Rujuk Vertikal
0367 10:55 SWASTA stage 5
0151B1090122P00 09-01-2022 PEGAWAI Essential (primary) Diabetes Diabetes
1100 01-09-2022 0001789575748 SARJIMIN L Berobat Jalan
0366 10:53 SWASTA hypertension Mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 12-01-2022 gibran al buchori ibnu

1101 01-09-2022 0001892647653 L PNS DAERAH Fever, unspecified Berobat Jalan
0516 14:56 sumantri
0151B1090122P00 12-01-2022 PEGAWAI Acute nasopharyngitis
1102 01-09-2022 0002093130516 AISYAH NAURA FIRDAUS P Berobat Jalan
0518 14:57 SWASTA [common cold]
0151B1090122P00 08-01-2022 PENERIMA
1103 01-08-2022 0000044026007 PARWITO L Shoulder lesions Berobat Jalan
0332 10:14 PENSIUN TNI
0151B1090122P00 08-01-2022 RACHMAD SANDI PEKERJA
1104 01-08-2022 0000076353502 L Pruritus, unspecified Berobat Jalan
0363 20:20 ANDRIYANTO MANDIRI
0151B1090122P00 08-01-2022 PENERIMA
1105 01-08-2022 0000077126679 YAYAN HASBIAN NOOR L Dysphonia Berobat Jalan
0335 10:53 PENSIUN PNS
0151B1090122P00 08-01-2022 PEGAWAI
1106 01-08-2022 0000080797915 NUR FITRA ROMADHONA L Impacted teeth Rujuk Vertikal
0351 16:33 SWASTA
0151B1090122P00 08-01-2022 PENERIMA Acute nasopharyngitis
1107 01-08-2022 0000088979646 SADREMI P Berobat Jalan
0338 11:55 PENSIUN PNS [common cold]
0151B1090122P00 08-01-2022 Hypertensive heart
1108 01-08-2022 0000089073663 HASTARINI P PNS PUSAT Rujuk Vertikal
0339 13:19 disease
0151B1090122P00 08-01-2022 FARAH FAKHRIYYA
1109 01-08-2022 0000089073685 P PNS PUSAT Secondary hypertension Rujuk Vertikal
0340 13:20 FAADHILA ANWAR
0151B1090122P00 08-01-2022
1110 01-08-2022 0000090915873 WATIK HARMANI P PNS PUSAT Arthrosis, unspecified Berobat Jalan
0333 10:17
0151B1090122P00 08-01-2022 PENERIMA Diabetes
1111 01-08-2022 0000091320344 SIJUP L Senile cataract Rujuk Vertikal
0341 13:26 PENSIUN PNS Mellitus
0151B1090122P00 08-01-2022 Acute nasopharyngitis
1112 01-08-2022 0000091449955 DYNNA SRI WULANDARI P PNS DAERAH Berobat Jalan
0348 15:11 [common cold]
0151B1090122P00 08-01-2022 Chronic apical
1113 01-08-2022 0000091462544 YULIANTO EDI MARTONO L PNS DAERAH Berobat Jalan
0347 14:57 periodontitis
Hypertensive heart
0151B1090122P00 08-01-2022
1114 01-08-2022 0000091516241 EDI SANUSI DRS L PNS DAERAH disease without Rujuk Vertikal Hipertensi
0343 14:44
(congestive) heart failure
0151B1090122P00 08-01-2022
1115 01-08-2022 0000095187396 BETTY SAPTIWI P - Acute periodontitis Berobat Jalan
0360 19:41
0151B1090122P00 08-01-2022 VENERANDA SANTI PEKERJA
1116 01-08-2022 0001124665402 P Otitis media, unspecified Berobat Jalan
0342 13:30 PUSPASARI MANDIRI
0151B1090122P00 08-01-2022 HAIDAR FAWWAZ PEGAWAI Disturbances in tooth
1117 01-08-2022 0001176803379 L Berobat Jalan
0337 11:23 AMRULLOH SWASTA eruption
0151B1090122P00 08-01-2022 PEGAWAI
1118 01-08-2022 0001184342038 NUR HENDRI SETIAWAN L Abrasion of teeth Berobat Jalan
0344 14:47 SWASTA
0151B1090122P00 08-01-2022 PEKERJA Essential (primary)
1119 01-08-2022 0001258639367 SAMINI P Berobat Jalan Hipertensi Hipertensi
0357 17:39 MANDIRI hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Acute upper respiratory

0151B1090122P00 08-01-2022 PEKERJA
1120 01-08-2022 0001294205319 WAHYU NINGSIH P infections of multiple and Berobat Jalan
0358 17:50 MANDIRI
unspecified sites
0151B1090122P00 08-01-2022 MUHAMMAD UMAR PEGAWAI Acute nasopharyngitis
1121 01-08-2022 0001327559668 L Berobat Jalan
0349 15:12 ABDILLAH SWASTA [common cold]
0151B1090122P00 08-01-2022 PEGAWAI Acute upper respiratory
1122 01-08-2022 0001378269819 LILIS AISYAH P Berobat Jalan
0356 17:36 SWASTA infection, unspecified
0151B1090122P00 08-01-2022 PEGAWAI
1123 01-08-2022 0001405908437 OKTIVITA P Counselling, unspecified Berobat Jalan
0364 20:22 SWASTA
0151B1090122P00 08-01-2022 PEGAWAI
1124 01-08-2022 0001449447704 MUHAMMAD IHSAN ZAKI L Fever, unspecified Berobat Jalan
0350 15:19 SWASTA
0151B1090122P00 08-01-2022 PEGAWAI Abscess, furuncle and
1125 01-08-2022 0001524766691 YUSRIL TAUFANI L Berobat Jalan
0359 17:53 SWASTA carbuncle of nose
0151B1090122P00 08-01-2022 PEGAWAI
1126 01-08-2022 0001691853917 ELIS SUMINARMI P Dyspepsia Berobat Jalan
0353 17:27 SWASTA
0151B1090122P00 08-01-2022 PEGAWAI
1127 01-08-2022 0001691854773 MASYKUR L Dyspepsia Berobat Jalan
0346 14:56 SWASTA
0151B1090122P00 08-01-2022 PENERIMA Chronic apical
1128 01-08-2022 0001958970284 SUPARNI P Berobat Jalan Hipertensi
0336 10:56 PENSIUN PNS periodontitis
0151B1090122P00 08-01-2022 PEGAWAI
1129 01-08-2022 0002056001916 alif esha al fathullah L Pityriasis versicolor Berobat Jalan
0328 08:51 SWASTA
0151B1090122P00 08-01-2022 PEGAWAI
1130 01-08-2022 0002071033773 AHSAN NASHRULLAH L Pulpitis Rujuk Vertikal
0352 16:40 SWASTA
0151B1090122P00 08-01-2022 PEKERJA
1131 01-08-2022 0002086288716 PURWANTI P Pruritus Berobat Jalan
0331 09:51 MANDIRI
0151B1090122P00 08-01-2022 PEGAWAI
1132 01-08-2022 0002233056677 HANANA ZULFA P Atopic dermatitis Berobat Jalan
0329 09:37 SWASTA
0151B1090122P00 08-01-2022 IRSYAD RAFA PEKERJA Acute upper respiratory
1133 01-08-2022 0002255992986 L Berobat Jalan
0345 14:55 DARMAWAN MANDIRI infection, unspecified
0151B1090122P00 08-01-2022 PEKERJA
1134 01-08-2022 0002489040641 ABIWARA WIRAWAN L Pruritus Berobat Jalan
0330 09:50 MANDIRI
0151B1090122P00 08-01-2022 NAJWA IFTINA PEGAWAI Disturbances in tooth
1135 01-08-2022 0002625937211 P Berobat Jalan
0362 19:44 ASSYABIYA SWASTA eruption
0151B1090122P00 08-01-2022 FARIZ DEONATA PEGAWAI Other orthopaedic
1136 01-08-2022 0002891726234 L Berobat Jalan
0354 17:28 WIBISONO SWASTA follow-up care
0151B1090122P00 08-01-2022 PEGAWAI
1137 01-08-2022 0002892056398 RITA P Necrosis of pulp Berobat Jalan
0361 19:43 SWASTA
0151B1090122P00 08-01-2022 PEKERJA
1138 01-08-2022 0002895747423 REDHA IKTIBAR HIDAYAT L Impacted teeth Berobat Jalan
0334 10:44 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 08-01-2022 PEGAWAI Benign lipomatous

1139 01-08-2022 0003073565103 ABRISAM ISA PURNOMO L Berobat Jalan
0355 17:35 SWASTA neoplasm
0151B1090122P00 07-01-2022 PEGAWAI
1140 01-07-2022 0000076705751 BRELIAN NOVITASARI P Astigmatism Berobat Jalan
0305 16:39 SWASTA
Non-insulin-dependent
0151B1090122P00 07-01-2022 PENERIMA
1141 01-07-2022 0000079911505 NOEROEL AINY P diabetes mellitus with Rujuk Vertikal
0290 10:36 PENSIUN PNS
unspecified complications
Diabetes Diabetes
0151B1090122P00 07-01-2022 PENERIMA Hypertensive heart
1142 01-07-2022 0000083864349 HARTIWI P Rujuk Vertikal Mellitus Mellitus
0281 09:03 PENSIUN PNS disease
Hipertensi Hipertensi
Diabetes
0151B1090122P00 07-01-2022 PENERIMA Essential (primary) Diabetes
1143 01-07-2022 0000088571766 TUTI HANDAYANI P Berobat Jalan Mellitus
0278 08:47 PENSIUN SWASTA hypertension Mellitus
Hipertensi
Dislocation, sprain and
0151B1090122P00 07-01-2022 PENERIMA
1144 01-07-2022 0000088712875 WADIYEM P strain of joints and Rujuk Vertikal
0277 08:45 PENSIUN TNI
ligaments of knee
0151B1090122P00 07-01-2022 PENERIMA Essential (primary)
1145 01-07-2022 0000091022692 ATIK INDRAWATI P Berobat Jalan Hipertensi Hipertensi
0280 08:54 PENSIUN PNS hypertension
0151B1090122P00 07-01-2022
1146 01-07-2022 0000196006781 AMIN TILAWATI P PNS PUSAT Vertigo of central origin Berobat Jalan
0288 10:11
0151B1090122P00 07-01-2022 PEGAWAI
1147 01-07-2022 0000204787168 RENY SARTIKA P Myalgia Berobat Jalan
0311 17:42 SWASTA
Hypertensive heart
0151B1090122P00 07-01-2022 PENERIMA
1148 01-07-2022 0000209343093 SUWANTI P disease without Rujuk Vertikal
0321 19:44 PENSIUN TNI
(congestive) heart failure
0151B1090122P00 07-01-2022
1149 01-07-2022 0000209936709 IFFAH NURHAYATI P PNS PUSAT Pulpitis Berobat Jalan
0295 11:42

Infection and inflammatory

0151B1090122P00 07-01-2022
1150 01-07-2022 0000699406468 SITI AISYAH P PBI (APBN) reaction due to internal Rujuk Vertikal
0287 10:07
joint prosthesis

0151B1090122P00 07-01-2022
1151 01-07-2022 0001021790891 KADIYEM P PBI (APBN) Vertigo of central origin Berobat Jalan
0322 20:02

Diarrhoea and
0151B1090122P00 07-01-2022 PEKERJA
1152 01-07-2022 0001021826103 MELISA TRI AGUSTINA P gastroenteritis of Berobat Jalan
0315 18:07 MANDIRI
presumed infectious origin

0151B1090122P00 07-01-2022
1153 01-07-2022 0001080833501 RAISSA ANJANI WIDODO P PNS PUSAT Pulpitis Berobat Jalan
0307 17:19
0151B1090122P00 07-01-2022 MUDAFI'UL ISLAM ASH PEGAWAI Other disorders of urinary
1154 01-07-2022 0001271308094 L Berobat Jalan
0309 17:28 SHODIQ SWASTA system
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Respiratory disorders in
0151B1090122P00 07-01-2022 PENERIMA
1155 01-07-2022 0001302440578 SUMARDI L diseases classified Rujuk Vertikal
0279 08:51 PENSIUN SWASTA
elsewhere
0151B1090122P00 07-01-2022 PEKERJA
1156 01-07-2022 0001305484334 SANIYAH P Injury, unspecified Berobat Jalan
0294 11:00 MANDIRI
0151B1090122P00 07-01-2022 PEGAWAI
1157 01-07-2022 0001308030107 SUSILOWATI P Acute periodontitis Berobat Jalan Hipertensi
0289 10:24 SWASTA
0151B1090122P00 07-01-2022 CINTYA KARTIKA PEGAWAI
1158 01-07-2022 0001369181373 P Necrosis of pulp Berobat Jalan
0302 15:08 WARDANY SWASTA

0151B1090122P00 07-01-2022 PENERIMA

1159 01-07-2022 0001386243786 SOELISTIJANTI P Other vitreous opacities Rujuk Vertikal Hipertensi
0286 10:04 PENSIUN SWASTA

Disorders of lipoprotein
0151B1090122P00 07-01-2022 PEGAWAI
1160 01-07-2022 0001404266163 SEKTI HASTUTI P metabolism and other Berobat Jalan Hipertensi
0285 09:50 SWASTA
lipidaemias
0151B1090122P00 07-01-2022 PEGAWAI
1161 01-07-2022 0001404266196 SUKNA IZZUL AFIFAH P Pruritus Berobat Jalan
0284 09:47 SWASTA
0151B1090122P00 07-01-2022 PEGAWAI Acute nasopharyngitis
1162 01-07-2022 0001428025239 ANDRI KURNIAWAN L Berobat Jalan
0291 10:39 SWASTA [common cold]
0151B1090122P00 07-01-2022 PEKERJA Malignant neoplasm of
1163 01-07-2022 0001478153272 SARTINI P Rujuk Vertikal
0298 13:33 MANDIRI breast, unspecified
0151B1090122P00 07-01-2022 PEGAWAI Acute nasopharyngitis
1164 01-07-2022 0001529731427 NUR HARI FITRIAWAN L Berobat Jalan
0292 10:50 SWASTA [common cold]
Diabetes
0151B1090122P00 07-01-2022
1165 01-07-2022 0001691852534 AHMADI AMIN L - Fever, unspecified Berobat Jalan Mellitus
0275 08:32
Hipertensi
0151B1090122P00 07-01-2022 PEGAWAI
1166 01-07-2022 0001691854053 SUPRIYONO L Counselling, unspecified Berobat Jalan
0283 09:13 SWASTA
0151B1090122P00 07-01-2022 PEGAWAI Essential (primary)
1167 01-07-2022 0001691856112 SITI LATIFAH P Berobat Jalan Hipertensi
0304 16:38 SWASTA hypertension
0151B1090122P00 07-01-2022
1168 01-07-2022 0001691920708 ABDUL GHOFAR NAWAWI L - Typhoid fever Berobat Jalan
0293 10:52
0151B1090122P00 07-01-2022 PEGAWAI Essential (primary)
1169 01-07-2022 0001698826274 AHMAD NURCHOLIS L Berobat Jalan
0319 19:29 SWASTA hypertension
0151B1090122P00 07-01-2022 PEKERJA Other benign neoplasm of
1170 01-07-2022 0001809099909 MULYATI SULISTYO P Rujuk Vertikal
0300 14:40 MANDIRI uterus, unspecified
0151B1090122P00 07-01-2022 PEGAWAI Hypertensive heart
1171 01-07-2022 0001817392329 AGUS BUDI SANTOSO L Rujuk Vertikal
0325 20:14 SWASTA disease
0151B1090122P00 07-01-2022 Gluteal tendinitis, ankle
1172 01-07-2022 0001822844417 CANTHIKA AKBAR BUANA P PNS DAERAH Rujuk Vertikal
0299 14:23 and foot
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 07-01-2022 PEKERJA Hypertensive heart

1173 01-07-2022 0001845038575 SARWANTO L Rujuk Vertikal
0282 09:09 MANDIRI disease
0151B1090122P00 07-01-2022 PEGAWAI
1174 01-07-2022 0001848354704 NIHAYATUL QORIBAH P Pulpitis Berobat Jalan
0308 17:21 SWASTA
0151B1090122P00 07-01-2022 PEGAWAI
1175 01-07-2022 0001861691242 E. APRILIA L TOBING P Low back pain Rujuk Vertikal
0276 08:35 SWASTA
0151B1090122P00 07-01-2022 PEGAWAI
1176 01-07-2022 0001969306299 YUSUF EMERY ALFARIZIE L Gastritis and duodenitis Berobat Jalan
0320 19:43 SWASTA
0151B1090122P00 07-01-2022 PEKERJA
1177 01-07-2022 0002224502728 DALTI P Congestive heart failure Rujuk Vertikal
0326 20:21 MANDIRI
0151B1090122P00 07-01-2022 PEGAWAI Acute nasopharyngitis
1178 01-07-2022 0002269621607 HIKMATUN NISA' P Berobat Jalan
0310 17:42 SWASTA [common cold]
0151B1090122P00 07-01-2022 PEGAWAI
1179 01-07-2022 0002301454719 ZAID ABDUNNAFI' MOSHA L Necrosis of pulp Berobat Jalan
0303 15:11 SWASTA
0151B1090122P00 07-01-2022 PEKERJA
1180 01-07-2022 0002301565059 SUDARSI P Fracture of forearm Rujuk Vertikal
0296 13:11 MANDIRI
0151B1090122P00 07-01-2022 PEGAWAI
1181 01-07-2022 0002323859354 AUDYA ASHFA ASHFIA P Counselling, unspecified Berobat Jalan
0327 20:21 SWASTA
0151B1090122P00 07-01-2022 PEKERJA Acute upper respiratory
1182 01-07-2022 0002346812043 WIWIN SRI REJEKI P Berobat Jalan
0313 17:51 MANDIRI infection, unspecified
0151B1090122P00 07-01-2022 ALVITO YUSUF
1183 01-07-2022 0002460549756 L PNS PUSAT Necrosis of pulp Rujuk Vertikal
0314 18:04 AUFANDRA
0151B1090122P00 07-01-2022 PEGAWAI
1184 01-07-2022 0002475337228 DYAH AYU EMIDAYANTI P Headache Berobat Jalan
0323 20:06 SWASTA
0151B1090122P00 07-01-2022 CHRISTABEL MILANI PEGAWAI Other orthopaedic
1185 01-07-2022 0002476683347 P Rujuk Vertikal
0324 20:10 PUTRI CANDRA SWASTA follow-up care
0151B1090122P00 07-01-2022 PEGAWAI
1186 01-07-2022 0002752221475 SYIFA AURA JASMINE P Myopia Berobat Jalan
0306 17:05 SWASTA
0151B1090122P00 07-01-2022 PEKERJA Acute nasopharyngitis
1187 01-07-2022 0002767096675 YUSUF SANTOSO L Berobat Jalan
0297 13:17 MANDIRI [common cold]
PEGAWAI
PEMERINTAH
0151B1090122P00 07-01-2022 EPAH KAEPATUS Disorder of orbit,
1188 01-07-2022 0002936765608 P DENGAN Berobat Jalan
0318 19:23 SOLEHAH unspecified
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
0151B1090122P00 07-01-2022 EPAH KAEPATUS
1189 01-07-2022 0002936765608 P DENGAN Necrosis of pulp Rujuk Vertikal
0316 18:53 SOLEHAH
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 07-01-2022 PEKERJA

1190 01-07-2022 0003002687853 CATUR WIBAWA L Fever, unspecified Berobat Jalan
0317 19:16 MANDIRI
0151B1090122P00 07-01-2022 PEGAWAI Acute nasopharyngitis
1191 01-07-2022 0003055511553 DRU IQRA KALANDRA L Berobat Jalan
0312 17:45 SWASTA [common cold]
0151B1090122P00 07-01-2022 PEGAWAI
1192 01-07-2022 0003059487606 RIA VINOLA DITA IPANI P Fever, unspecified Berobat Jalan
0301 14:52 SWASTA

Diarrhoea and
0151B1090122P00 06-01-2022
1193 01-06-2022 0000037815805 CECEP RUSLAN AG L PNS PUSAT gastroenteritis of Berobat Jalan
0229 11:15
presumed infectious origin

0151B1090122P00 06-01-2022
1194 01-06-2022 0000086970183 ANIK ERYANI P PNS DAERAH Necrosis of pulp Rujuk Vertikal
0265 19:28
0151B1090122P00 06-01-2022 Diabetes Diabetes
1195 01-06-2022 0000090051895 ANI KUSHARYATI P PNS DAERAH Dyspepsia Berobat Jalan
0222 10:11 Mellitus Mellitus
0151B1090122P00 06-01-2022 TRI HANDAYANI
1196 01-06-2022 0000090937247 P PNS DAERAH Headache Berobat Jalan
0245 16:35 KUSUMAASTUTI
0151B1090122P00 06-01-2022 PENERIMA Non-insulin-dependent
1197 01-06-2022 0000090953346 ERNI RUDI ASTUTI P Berobat Jalan
0218 09:25 PENSIUN PNS diabetes mellitus
0151B1090122P00 06-01-2022 PENERIMA Essential (primary)
1198 01-06-2022 0000091041344 WIDODO L Berobat Jalan Hipertensi Hipertensi
0219 09:45 PENSIUN PNS hypertension
0151B1090122P00 06-01-2022 Acute nasopharyngitis
1199 01-06-2022 0000091449955 DYNNA SRI WULANDARI P PNS DAERAH Berobat Jalan
0258 17:30 [common cold]
0151B1090122P00 06-01-2022
1200 01-06-2022 0000091555255 DERRY PUTRI HARYANI P PNS DAERAH Other prurigo Rujuk Vertikal
0225 10:26
0151B1090122P00 06-01-2022
1201 01-06-2022 0000205088264 SHOLIKUL ISNAINI L PNS PUSAT Acute periodontitis Berobat Jalan
0267 19:50
0151B1090122P00 06-01-2022
1202 01-06-2022 0001112513949 NURUL HAYATI P - Pregnancy confirmed Rujuk Vertikal
0260 17:48
0151B1090122P00 06-01-2022 PEGAWAI
1203 01-06-2022 0001145283309 KHOIRIYAH P Episcleritis Berobat Jalan
0261 19:21 SWASTA
0151B1090122P00 06-01-2022 ALTHAFARA RONA Periapical abscess without
1204 01-06-2022 0001278165183 P PNS DAERAH Berobat Jalan
0239 14:40 SYAKIRA sinus
0151B1090122P00 06-01-2022 PEKERJA Chronic ischaemic heart
1205 01-06-2022 0001301826442 MARYANTO L Rujuk Vertikal
0216 08:45 MANDIRI disease, unspecified
0151B1090122P00 06-01-2022 PEGAWAI
1206 01-06-2022 0001308030107 SUSILOWATI P Candidiasis Berobat Jalan Hipertensi
0227 10:32 SWASTA
0151B1090122P00 06-01-2022
1207 01-06-2022 0001313710942 dzulfiqar aryasatya fawwaz L PNS DAERAH Atopic dermatitis Berobat Jalan
0232 11:45
0151B1090122P00 06-01-2022 PEGAWAI
1208 01-06-2022 0001317941886 FIFIN HESTI OKTAFIANI P Pain, unspecified Berobat Jalan
0244 16:34 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 06-01-2022 PEGAWAI

1209 01-06-2022 0001320942251 RIZANA KENTI YUNIASTI P Necrosis of pulp Berobat Jalan
0223 10:13 SWASTA
0151B1090122P00 06-01-2022 PEKERJA
1210 01-06-2022 0001324775608 SEPTINA MAYAWATI P Pulpitis Berobat Jalan
0247 17:01 MANDIRI
0151B1090122P00 06-01-2022 PEGAWAI
1211 01-06-2022 0001451524184 WAHYU SETIADI L Myalgia Berobat Jalan
0274 20:07 SWASTA
0151B1090122P00 06-01-2022 PEKERJA Peptic ulcer, site
1212 01-06-2022 0001473153333 ENDANG KOMALASARI P Rujuk Vertikal
0234 11:50 MANDIRI unspecified
0151B1090122P00 06-01-2022 NUZUL NURIASIH Disorder of urinary system,
1213 01-06-2022 0001524765688 P - Berobat Jalan
0264 19:26 LISNARYANTY unspecified
0151B1090122P00 06-01-2022 PEKERJA
1214 01-06-2022 0001525038489 MEGA OKTA ARTALINDA P Necrosis of pulp Berobat Jalan
0262 19:21 MANDIRI
0151B1090122P00 06-01-2022 RAYNA WULAN CONDRO PEGAWAI Disturbances in tooth
1215 01-06-2022 0001525085752 P Berobat Jalan
0268 19:52 RAHADYAN SWASTA eruption
0151B1090122P00 06-01-2022 PEGAWAI Acute nasopharyngitis
1216 01-06-2022 0001529430737 JERRIE WILARKO L Berobat Jalan
0233 11:46 SWASTA [common cold]
0151B1090122P00 06-01-2022 PEKERJA
1217 01-06-2022 0001657433114 SRI SUTANTI P Other peripheral vertigo Berobat Jalan
0221 10:10 MANDIRI
0151B1090122P00 06-01-2022 PEGAWAI Acute nasopharyngitis
1218 01-06-2022 0001657659969 WIDYAH ASTUTI P Berobat Jalan
0220 10:07 SWASTA [common cold]
0151B1090122P00 06-01-2022 PEGAWAI
1219 01-06-2022 0001691852613 NAUFAL RIZKI L Fever, unspecified Berobat Jalan
0217 09:23 SWASTA
0151B1090122P00 06-01-2022 PEGAWAI
1220 01-06-2022 0001691853669 HARJAIN L Dyspepsia Berobat Jalan
0246 16:53 SWASTA
0151B1090122P00 06-01-2022 PEGAWAI Non-insulin-dependent Diabetes Diabetes
1221 01-06-2022 0001691854121 JUMRI L Berobat Jalan
0215 08:28 SWASTA diabetes mellitus Mellitus Mellitus
0151B1090122P00 06-01-2022 MAHYANI DEVI PEGAWAI
1222 01-06-2022 0001691854468 L Counselling, unspecified Berobat Jalan
0272 20:06 YUMANDERA SWASTA
Hypertensive heart
0151B1090122P00 06-01-2022 PEGAWAI
1223 01-06-2022 0001691855144 MUHAMMAD ZAINI L disease with (congestive) Rujuk Vertikal
0235 13:16 SWASTA
heart failure
0151B1090122P00 06-01-2022 PEGAWAI
1224 01-06-2022 0001691920247 NUR HAMID L Injury, unspecified Berobat Jalan
0226 10:29 SWASTA
0151B1090122P00 06-01-2022 MUKHAROMAH RONI PEGAWAI
1225 01-06-2022 0001692820811 P Myalgia Berobat Jalan
0271 20:05 EKAWATI SWASTA
0151B1090122P00 06-01-2022 PEGAWAI
1226 01-06-2022 0001692820844 Rusdiana P Haemorrhoids Berobat Jalan
0248 17:05 SWASTA
0151B1090122P00 06-01-2022 PEGAWAI Acute upper respiratory
1227 01-06-2022 0001692820855 UNTUNG MARGONO L Berobat Jalan
0253 17:17 SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 06-01-2022 SYALAISHA RAJWA PEGAWAI Acute nasopharyngitis

1228 01-06-2022 0001692820866 P Berobat Jalan
0250 17:16 FAATIHAH SWASTA [common cold]
0151B1090122P00 06-01-2022 MUHAMMAD SHEGAF 'ALI PEGAWAI Acute nasopharyngitis
1229 01-06-2022 0001692820888 L Berobat Jalan
0251 17:17 RIZQI SWASTA [common cold]
0151B1090122P00 06-01-2022 PEGAWAI
1230 01-06-2022 0001693305527 DWI JANTI P Pregnancy confirmed Rujuk Vertikal
0255 17:21 SWASTA
0151B1090122P00 06-01-2022 ATHAVAUZI TYAS PEGAWAI
1231 01-06-2022 0001698376015 L Necrosis of pulp Berobat Jalan
0228 10:40 PRASETYO SWASTA
0151B1090122P00 06-01-2022 PEKERJA
1232 01-06-2022 0001729107786 SITI RAHMANI SHOLIHAH P Abdominal and pelvic pain Berobat Jalan
0231 11:27 MANDIRI
0151B1090122P00 06-01-2022 AGUNG CAHYA Acute upper respiratory
1233 01-06-2022 0001835936144 L - Berobat Jalan
0256 17:23 NUGROHO infection, unspecified
PEGAWAI
PEMERINTAH
0151B1090122P00 06-01-2022
1234 01-06-2022 0001891150942 HALIDA MA'WATUL EDSAL P DENGAN Dermatitis, unspecified Berobat Jalan
0249 17:12
PERJANJIAN
KERJA
0151B1090122P00 06-01-2022
1235 01-06-2022 0001897345956 suparno L PNS PUSAT Fever, unspecified Berobat Jalan
0236 13:25
PEGAWAI
PEMERINTAH
0151B1090122P00 06-01-2022 ANNISA KARTIKA Contraceptive
1236 01-06-2022 0001902731894 P DENGAN Berobat Jalan
0257 17:26 NURJANAH management
PERJANJIAN
KERJA
0151B1090122P00 06-01-2022 PEGAWAI
1237 01-06-2022 0002032662712 DESY NUR PRATIWI P Pregnancy confirmed Berobat Jalan
0252 17:17 SWASTA
0151B1090122P00 06-01-2022
1238 01-06-2022 0002037461949 TIARA RAHMA KUSUMA P PNS PUSAT Fever, unspecified Berobat Jalan
0263 19:23
Non-insulin-dependent
0151B1090122P00 06-01-2022 PEKERJA
1239 01-06-2022 0002045568903 ARFI SETIAWATI P diabetes mellitus with Rujuk Vertikal
0237 14:18 MANDIRI
unspecified complications
0151B1090122P00 06-01-2022 PEGAWAI Acute bronchitis,
1240 01-06-2022 0002055995548 ANITA KUSDARINI P Berobat Jalan
0224 10:18 SWASTA unspecified
0151B1090122P00 06-01-2022 PEGAWAI
1241 01-06-2022 0002060205232 EKO SUDARMANTO L Fever, unspecified Berobat Jalan
0238 14:23 SWASTA
0151B1090122P00 06-01-2022 AHMADA SYAMSUL PEKERJA
1242 01-06-2022 0002195314402 L Necrosis of pulp Rujuk Vertikal
0230 11:15 HAIDAR MANDIRI
0151B1090122P00 06-01-2022 PEGAWAI Other and unspecified
1243 01-06-2022 0002259158591 PIPIN HERMAWATI P Berobat Jalan
0266 19:37 SWASTA abdominal pain
0151B1090122P00 06-01-2022 ALLAYA QINARRA PEGAWAI
1244 01-06-2022 0002269626491 P Myalgia Berobat Jalan
0273 20:06 GAVAPUTRI SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 06-01-2022 FATIHAH PEGAWAI

1245 01-06-2022 0002277748653 P Fever, unspecified Berobat Jalan
0241 15:10 ISHMATUSSHABURA SWASTA
0151B1090122P00 06-01-2022 PEGAWAI
1246 01-06-2022 0002317253624 ADIA YUMNA DAHAYU P Acute tonsillitis Berobat Jalan
0214 08:27 SWASTA
0151B1090122P00 06-01-2022 ATHARIZZ DEEN PEGAWAI Acute nasopharyngitis
1247 01-06-2022 0002478574157 L Berobat Jalan
0269 19:53 ASSALAM SWASTA [common cold]
0151B1090122P00 06-01-2022 PEKERJA
1248 01-06-2022 0002697496075 RUZIQO DAHAM L Pulpitis Berobat Jalan
0242 15:13 MANDIRI
0151B1090122P00 06-01-2022 SYAOQIE SHIDQU PEKERJA
1249 01-06-2022 0002697496086 P Pulpitis Berobat Jalan
0243 15:18 HAYATIE MANDIRI
0151B1090122P00 06-01-2022 PEGAWAI Chronic ischaemic heart
1250 01-06-2022 0002890812418 SUDARMANTO L Rujuk Vertikal
0213 08:16 SWASTA disease
0151B1090122P00 06-01-2022 FARIZ DEONATA PEGAWAI Open wound of
1251 01-06-2022 0002891726234 L Berobat Jalan
0240 15:05 WIBISONO SWASTA unspecified body region
0151B1090122P00 06-01-2022 PEGAWAI Irregular menstruation,
1252 01-06-2022 0003073490504 FIKI SISTIYANA P Berobat Jalan
0270 19:59 SWASTA unspecified
0151B1090122P00 06-01-2022 PEGAWAI
1253 01-06-2022 0003085643529 FATIH KARIM AL GHIFARI L Nausea and vomiting Berobat Jalan
0254 17:20 SWASTA
0151B1090122P00 06-01-2022 ARSLAN ABDURRAHMAN PEGAWAI Acute nasopharyngitis
1254 01-06-2022 0003106804948 L Berobat Jalan
0259 17:48 GHAZY SWASTA [common cold]

Diarrhoea and
0151B1090122P00 05-01-2022
1255 01-05-2022 0000074910701 FADHILA FIRMANURULITA P PNS PUSAT gastroenteritis of Berobat Jalan
0159 10:03
presumed infectious origin

0151B1090122P00 05-01-2022 Hypertensive heart

1256 01-05-2022 0000076092502 TUTIK WAHYUNI P PNS DAERAH Rujuk Vertikal
0173 13:11 disease
0151B1090122P00 05-01-2022 PENERIMA
1257 01-05-2022 0000088196185 YULIANA ENY DARMANI P Pain, unspecified Berobat Jalan
0188 16:49 PENSIUN PNS

Diarrhoea and
0151B1090122P00 05-01-2022 PENERIMA
1258 01-05-2022 0000088849067 FARIDAH P gastroenteritis of Berobat Jalan Hipertensi
0157 09:29 PENSIUN PNS
presumed infectious origin

Non-insulin-dependent
0151B1090122P00 05-01-2022 PENERIMA
1259 01-05-2022 0000088851396 MUH SYARIF HIDAYAT L diabetes mellitus with Rujuk Vertikal
0160 10:05 PENSIUN PNS
multiple complications
0151B1090122P00 05-01-2022 PENERIMA
1260 01-05-2022 0000090209586 JALIYAH P Allergic contact dermatitis Berobat Jalan
0192 17:39 PENSIUN PNS
0151B1090122P00 05-01-2022 PENERIMA
1261 01-05-2022 0000091477618 SUMIArSI P Other arthrosis Berobat Jalan
0186 16:31 PENSIUN PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 05-01-2022 PENERIMA

1262 01-05-2022 0000091569137 NOER HIDAYAH P Gonarthrosis, unspecified Rujuk Vertikal
0161 10:10 PENSIUN PNS
0151B1090122P00 05-01-2022 Peptic ulcer, site
1263 01-05-2022 0000151090075 RAIHANIL JANNAH P PNS DAERAH Rujuk Vertikal
0169 11:13 unspecified
0151B1090122P00 05-01-2022 PEGAWAI
1264 01-05-2022 0001021752448 RANI ENTIYANA P Impacted teeth Berobat Jalan
0175 13:45 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI
1265 01-05-2022 0001021752448 RANI ENTIYANA P Counselling, unspecified Berobat Jalan
0212 20:30 SWASTA
0151B1090122P00 05-01-2022
1266 01-05-2022 0001021790891 KADIYEM P PBI (APBN) Pulpitis Berobat Jalan
0200 19:32
0151B1090122P00 05-01-2022 PEGAWAI
1267 01-05-2022 0001145829284 HENI PURNOMO L Injury, unspecified Berobat Jalan Hipertensi Hipertensi
0170 11:19 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI
1268 01-05-2022 0001160899514 NURUL ANNISA P Impacted teeth Berobat Jalan
0202 19:34 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI
1269 01-05-2022 0001192306015 IBTIDAIYAH P Dyspepsia Berobat Jalan
0204 19:46 SWASTA
0151B1090122P00 05-01-2022 MUHAMMAD FAZRIL PEKERJA
1270 01-05-2022 0001290565923 L Fever, unspecified Berobat Jalan
0172 11:48 AL-FARIZI MANDIRI
0151B1090122P00 05-01-2022
1271 01-05-2022 0001297105132 UMAR AL AMIN L PBI (APBN) Allergic contact dermatitis Berobat Jalan
0190 17:18
Diabetes
0151B1090122P00 05-01-2022 PENERIMA
1272 01-05-2022 0001421495043 SOEKAMTO H BSC L Injury, unspecified Berobat Jalan Mellitus
0156 08:27 PENSIUN SWASTA
Hipertensi
0151B1090122P00 05-01-2022 PEGAWAI
1273 01-05-2022 0001425858333 JAIMIN L Fever, unspecified Berobat Jalan
0165 10:51 SWASTA

0151B1090122P00 05-01-2022 PENERIMA Acute nasopharyngitis

1274 01-05-2022 0001441653208 SOEMADI L Berobat Jalan
0187 16:41 PENSIUN SWASTA [common cold]

0151B1090122P00 05-01-2022 PEGAWAI

1275 01-05-2022 0001525855318 NINA KURNIA RUAIDA P Counselling, unspecified Berobat Jalan
0206 19:59 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI Spinal stenosis, lumbar
1276 01-05-2022 0001530181337 SARYATI P Rujuk Vertikal
0184 15:49 SWASTA region
0151B1090122P00 05-01-2022 PEGAWAI
1277 01-05-2022 0001625842934 ENGGAR ARIKANITA P Astigmatism Berobat Jalan
0211 20:24 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI
1278 01-05-2022 0001629333009 SYLVIANA YUSRIATI P Fever, unspecified Berobat Jalan
0164 10:46 SWASTA
0151B1090122P00 05-01-2022
1279 01-05-2022 0001635094708 DIAN YULIYANTO L - Fever, unspecified Berobat Jalan
0178 14:38
0151B1090122P00 05-01-2022 PEGAWAI
1280 01-05-2022 0001649240256 ANGGA KRISTIAN L Dyspepsia Berobat Jalan
0197 19:23 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 05-01-2022
1281 01-05-2022 0001657659958 FARID ASHADI L - Pulpitis Berobat Jalan
0176 14:31
0151B1090122P00 05-01-2022 AMALIA SHOUMA NUR Acute nasopharyngitis
1282 01-05-2022 0001664120294 P PNS PUSAT Berobat Jalan
0193 17:43 LAILA [common cold]
ANZALNA
0151B1090122P00 05-01-2022 PEGAWAI
1283 01-05-2022 0001691853276 SAKINATAKHARISATUL P Counselling, unspecified Berobat Jalan
0166 10:53 SWASTA
IZZATI
0151B1090122P00 05-01-2022 PEGAWAI Gastro-oesophageal reflux
1284 01-05-2022 0001691855021 ISTICHAROH P Berobat Jalan
0201 19:33 SWASTA disease
0151B1090122P00 05-01-2022 MUHAMMAD AZKA PEGAWAI Acute upper respiratory
1285 01-05-2022 0001691856134 L Berobat Jalan
0195 17:51 FADHLURROHMAN SWASTA infection, unspecified
0151B1090122P00 05-01-2022 Acute nasopharyngitis
1286 01-05-2022 0001691856369 NUNUK NURAINI P - Berobat Jalan
0158 09:29 [common cold]
0151B1090122P00 05-01-2022 PEGAWAI Gonococcal infection,
1287 01-05-2022 0001692209485 ARY NOVIANTO L Berobat Jalan
0179 14:46 SWASTA unspecified
0151B1090122P00 05-01-2022 GENIE HANUM YUSTITIA, PEGAWAI Periapical abscess without
1288 01-05-2022 0001693306168 P Berobat Jalan
0177 14:33 S.KOM SWASTA sinus
0151B1090122P00 05-01-2022 PEGAWAI
1289 01-05-2022 0001693306258 NUR ROCHMAH P Counselling, unspecified Berobat Jalan
0209 20:13 SWASTA
Follow-up examination
0151B1090122P00 05-01-2022 PEGAWAI
1290 01-05-2022 0001694290296 SUPARJO L after surgery for other Rujuk Vertikal
0183 15:37 SWASTA
conditions
0151B1090122P00 05-01-2022 PEGAWAI
1291 01-05-2022 0001694586148 AGUNG SUSILO L Dyspepsia Berobat Jalan
0185 16:23 SWASTA
0151B1090122P00 05-01-2022 PEGAWAI
1292 01-05-2022 0001848354704 NIHAYATUL QORIBAH P Pulpitis Berobat Jalan
0199 19:31 SWASTA
0151B1090122P00 05-01-2022 CHRISTIANUNO LINTANG PEKERJA Acute nasopharyngitis
1293 01-05-2022 0001875918172 L Berobat Jalan
0162 10:33 SAMUDRA MANDIRI [common cold]
0151B1090122P00 05-01-2022 CHRISTIAN DECO ARYO PEKERJA Acute upper respiratory
1294 01-05-2022 0001875918971 L Berobat Jalan
0163 10:34 PAMUNGKAS MANDIRI infection, unspecified
0151B1090122P00 05-01-2022 PEGAWAI Acute nasopharyngitis
1295 01-05-2022 0001961321883 NUR ZAHRA ALYA NABILA P Berobat Jalan
0180 14:51 SWASTA [common cold]
0151B1090122P00 05-01-2022 AHMAD AYMAN GAD PEGAWAI
1296 01-05-2022 0001961329724 L Counselling, unspecified Berobat Jalan
0194 17:46 HUTAGALUNG SWASTA
0151B1090122P00 05-01-2022 PEGAWAI Acute upper respiratory
1297 01-05-2022 0001969306299 YUSUF EMERY ALFARIZIE L Berobat Jalan
0205 19:47 SWASTA infection, unspecified
0151B1090122P00 05-01-2022 ZUHDAN MIQDAD PEGAWAI
1298 01-05-2022 0002058414377 L Varicella [chickenpox] Berobat Jalan
0208 20:12 ARROYYAN SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

PEGAWAI
PEMERINTAH
0151B1090122P00 05-01-2022 MAHESA HAMIZAN
1299 01-05-2022 0002251587183 L DENGAN Pulpitis Berobat Jalan
0203 19:36 WICAKSONO
PERJANJIAN
KERJA
0151B1090122P00 05-01-2022 SYAMIL ABDUSSALAM PEGAWAI Disturbances in tooth
1300 01-05-2022 0002301456295 L Berobat Jalan
0174 13:44 MOSHA SWASTA eruption
0151B1090122P00 05-01-2022 FALISHA SYARUM PEKERJA Disorder of white blood
1301 01-05-2022 0002303552035 P Rujuk Vertikal
0171 11:35 NOVARINA MANDIRI cells, unspecified
0151B1090122P00 05-01-2022 PEKERJA
1302 01-05-2022 0002308812726 NAFIL KHAIRIL HANIF L Fever, unspecified Berobat Jalan
0196 18:01 MANDIRI
0151B1090122P00 05-01-2022 PEGAWAI Chronic apical
1303 01-05-2022 0002309282346 SUWARNI P Berobat Jalan
0168 11:13 SWASTA periodontitis
0151B1090122P00 05-01-2022 PEGAWAI Acute pharyngitis,
1304 01-05-2022 0002462921717 SRI TUNIATI P Berobat Jalan
0181 15:07 SWASTA unspecified
0151B1090122P00 05-01-2022 SHAFHAH ANGGITA PARI PEGAWAI Acute upper respiratory
1305 01-05-2022 0002462922213 P Berobat Jalan
0182 15:14 P SWASTA infection, unspecified
0151B1090122P00 05-01-2022 PEKERJA
1306 01-05-2022 0002497333443 NABIHA YASIR RAFIF L Cough Rujuk Vertikal
0167 11:06 MANDIRI
0151B1090122P00 05-01-2022 SULTAN MUHAMMAD PEGAWAI Acute upper respiratory
1307 01-05-2022 0002756178966 L Berobat Jalan
0191 17:34 YUSUF SANSURYA SWASTA infection, unspecified
0151B1090122P00 05-01-2022 PEGAWAI Gastro-oesophageal reflux
1308 01-05-2022 0002882946565 LILIS KARLENA P Berobat Jalan
0189 17:14 SWASTA disease
0151B1090122P00 05-01-2022 PEGAWAI
1309 01-05-2022 0002890872022 AZRIL RAFIF EFENDI L Other forms of stomatitis Berobat Jalan
0198 19:25 SWASTA
PEGAWAI
PEMERINTAH
0151B1090122P00 05-01-2022 EPAH KAEPATUS
1310 01-05-2022 0002936765608 P DENGAN Retained dental root Berobat Jalan
0207 20:00 SOLEHAH
PERJANJIAN
KERJA
0151B1090122P00 05-01-2022 PEGAWAI Benign lipomatous
1311 01-05-2022 0003073565103 ABRISAM ISA PURNOMO L Berobat Jalan
0210 20:22 SWASTA neoplasm
0151B1090122P00 04-01-2022
1312 01-04-2022 0000089794214 ERIKA ZURAIDA SPD P PNS DAERAH Vertigo of central origin Berobat Jalan
0129 14:46
Non-insulin-dependent
0151B1090122P00 04-01-2022 PENERIMA
1313 01-04-2022 0000090176927 SRI SULARMI P diabetes mellitus with Rujuk Vertikal
0107 10:14 PENSIUN PNS
unspecified complications
0151B1090122P00 04-01-2022 KEVIN PEKERJA Acute nasopharyngitis
1314 01-04-2022 0000090946181 L Berobat Jalan
0121 13:39 ARDYAPRIMATAMA MANDIRI [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Hypertensive heart
0151B1090122P00 04-01-2022 PENERIMA
1315 01-04-2022 0000091040005 R EDDY POERNAMA L disease without Rujuk Vertikal Hipertensi
0149 19:48 PENSIUN PNS
(congestive) heart failure
0151B1090122P00 04-01-2022 PENERIMA
1316 01-04-2022 0000091056879 SRI TOMO L Pain, unspecified Berobat Jalan
0115 11:19 PENSIUN PNS
0151B1090122P00 04-01-2022 PENERIMA Gonarthrosis [arthrosis of
1317 01-04-2022 0000091056881 HARTATI P Berobat Jalan
0114 11:11 PENSIUN PNS knee]
0151B1090122P00 04-01-2022 PENERIMA Person consulting on
1318 01-04-2022 0000095998149 DUKUT SANTOSO L Berobat Jalan
0118 11:48 PENSIUN PNS behalf of another person
0151B1090122P00 04-01-2022 Atopic dermatitis,
1319 01-04-2022 0000640351675 DIKY SETIAWAN L PBI (APBN) Berobat Jalan
0146 19:34 unspecified
0151B1090122P00 04-01-2022 PEGAWAI
1320 01-04-2022 0001021601103 FUKON KRISTIAWAN L Counselling, unspecified Berobat Jalan
0140 17:58 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1321 01-04-2022 0001021774792 YUSUF P Counselling, unspecified Berobat Jalan
0098 08:37 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1322 01-04-2022 0001192585779 AYU ROHMANIYAH P Hordeolum and chalazion Berobat Jalan
0130 15:35 SWASTA

0151B1090122P00 04-01-2022 NINUK SAMINI PEKERJA

1323 01-04-2022 0001288328051 P Low back pain Rujuk Vertikal
0109 10:22 MANDIRI

0151B1090122P00 04-01-2022 PEGAWAI

1324 01-04-2022 0001291279094 INDRI MUTIA P Mitral (valve) insufficiency Berobat Jalan
0154 20:17 SWASTA
0151B1090122P00 04-01-2022 PEKERJA
1325 01-04-2022 0001298749274 SISWANTO L Dyspepsia Berobat Jalan
0138 17:40 MANDIRI
0151B1090122P00 04-01-2022 PEGAWAI
1326 01-04-2022 0001308030107 SUSILOWATI P Pulpitis Berobat Jalan Hipertensi
0127 14:38 SWASTA

0151B1090122P00 04-01-2022 PENERIMA

1327 01-04-2022 0001386243786 SOELISTIJANTI P Episcleritis Berobat Jalan Hipertensi
0122 13:43 PENSIUN SWASTA

0151B1090122P00 04-01-2022 MUHAMMAD RAFASYA PEGAWAI

1328 01-04-2022 0001472028366 L Fever, unspecified Berobat Jalan
0151 20:02 ALVARO ALMA SWASTA
0151B1090122P00 04-01-2022 PENERIMA Acute nasopharyngitis
1329 01-04-2022 0001523896413 IRI SUPRIYANTA L Berobat Jalan
0104 09:54 PENSIUN PNS [common cold]

Non-insulin-dependent
0151B1090122P00 04-01-2022 PENERIMA
1330 01-04-2022 0001523896424 KUSPARTININGSIH P diabetes mellitus with Rujuk Vertikal Hipertensi
0105 10:04 PENSIUN PNS
neurological complications

0151B1090122P00 04-01-2022 PEGAWAI Cutaneous abscess,

1331 01-04-2022 0001524766691 YUSRIL TAUFANI L Berobat Jalan
0139 17:42 SWASTA furuncle and carbuncle
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 04-01-2022 PEGAWAI

1332 01-04-2022 0001525971047 Dra. Muhimmah P Headache Berobat Jalan
0137 17:39 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1333 01-04-2022 0001526138166 DWI HARMANTO L Gout Berobat Jalan
0136 17:38 SWASTA

Diarrhoea and
0151B1090122P00 04-01-2022 PEGAWAI
1334 01-04-2022 0001526139235 TRI AGUSTINAH P gastroenteritis of Berobat Jalan
0132 16:44 SWASTA
presumed infectious origin

0151B1090122P00 04-01-2022 PEGAWAI

1335 01-04-2022 0001531903421 UDA HERSONINGSIH L Low back pain Berobat Jalan
0135 17:09 SWASTA
0151B1090122P00 04-01-2022 KHOIRUL FAKHRI PEGAWAI Acute nasopharyngitis
1336 01-04-2022 0001656284747 L Berobat Jalan
0153 20:12 MUMTAZA SWASTA [common cold]
0151B1090122P00 04-01-2022 PEGAWAI
1337 01-04-2022 0001663929268 FEBRINA AULIA P Typhoid fever Berobat Jalan
0117 11:25 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1338 01-04-2022 0001691853243 MARSUM L Keloid scar Rujuk Vertikal
0096 08:13 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1339 01-04-2022 0001691853243 MARSUM L Pulpitis Berobat Jalan
0113 11:09 SWASTA
ANZALNA
0151B1090122P00 04-01-2022 PEGAWAI
1340 01-04-2022 0001691853276 SAKINATAKHARISATUL P Myopia Berobat Jalan
0095 08:09 SWASTA
IZZATI
0151B1090122P00 04-01-2022 PEGAWAI Non-insulin-dependent Diabetes Diabetes
1341 01-04-2022 0001691854097 JUMADI L Berobat Jalan
0099 08:42 SWASTA diabetes mellitus Mellitus Mellitus
0151B1090122P00 04-01-2022 MUH. NASIKHIN TAQWAD, PEGAWAI
1342 01-04-2022 0001691854975 L Keratitis, unspecified Rujuk Vertikal
0152 20:07 S.AG. SWASTA
0151B1090122P00 04-01-2022 SYALAISHA RAJWA PEGAWAI
1343 01-04-2022 0001692820866 P Myalgia Berobat Jalan
0125 14:03 FAATIHAH SWASTA
0151B1090122P00 04-01-2022 MUHAMMAD SHEGAF 'ALI PEGAWAI
1344 01-04-2022 0001692820888 L Myalgia Berobat Jalan
0126 14:04 RIZQI SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1345 01-04-2022 0001693305527 DWI JANTI P Pregnancy confirmed Berobat Jalan
0123 13:54 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1346 01-04-2022 0001693305922 ASA ZAIN MUTTAQIN L Pulpitis Berobat Jalan Hipertensi
0128 14:39 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI
1347 01-04-2022 0001695452714 SITI ANISAH P Pruritus Berobat Jalan
0108 10:17 SWASTA
0151B1090122P00 04-01-2022 SISWANTO TRI PEKERJA Cutaneous abscess,
1348 01-04-2022 0001807860464 L Berobat Jalan
0097 08:33 NUGROHO MANDIRI furuncle and carbuncle
0151B1090122P00 04-01-2022 PEKERJA
1349 01-04-2022 0001807861241 C SRI LESTARI P Chronic periodontitis Berobat Jalan
0119 11:59 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Diarrhoea and
0151B1090122P00 04-01-2022 RAPHAEL NATHANAEL PEGAWAI
1350 01-04-2022 0001817372812 L gastroenteritis of Berobat Jalan
0103 09:49 RIZKY R SWASTA
presumed infectious origin

0151B1090122P00 04-01-2022 PEGAWAI

1351 01-04-2022 0001817392329 AGUS BUDI SANTOSO L Status asthmaticus Rujuk Vertikal
0110 10:41 SWASTA
0151B1090122P00 04-01-2022 Chronic ischaemic heart
1352 01-04-2022 0001863466389 MUHIBBAH FATATI P PNS PUSAT Rujuk Vertikal Hipertensi Hipertensi
0124 13:56 disease, unspecified

Diarrhoea and
0151B1090122P00 04-01-2022 PEGAWAI
1353 01-04-2022 0001969931518 ALVARO AZZAM AZKARY L gastroenteritis of Berobat Jalan
0145 19:30 SWASTA
presumed infectious origin

0151B1090122P00 04-01-2022 PEGAWAI

1354 01-04-2022 0002049013449 LAILA LUTHFIA ROFAIDA P Atopic dermatitis Berobat Jalan
0134 16:53 SWASTA
0151B1090122P00 04-01-2022 PEGAWAI Acute nasopharyngitis
1355 01-04-2022 0002055995548 ANITA KUSDARINI P Berobat Jalan
0100 08:47 SWASTA [common cold]
0151B1090122P00 04-01-2022 PEKERJA Disturbances in tooth
1356 01-04-2022 0002068178286 ABDURRAHIM FAWWAZ L Berobat Jalan
0143 19:00 MANDIRI eruption
0151B1090122P00 04-01-2022 PEKERJA
1357 01-04-2022 0002068178905 MARYAM HANIAH P Caries of dentine Berobat Jalan
0142 18:59 MANDIRI
PEGAWAI
PEMERINTAH
0151B1090122P00 04-01-2022 ZAFEERA JASMINE Disturbances in tooth
1358 01-04-2022 0002093163996 P DENGAN Berobat Jalan
0112 10:53 ANANDITA MAURI eruption
PERJANJIAN
KERJA
0151B1090122P00 04-01-2022 PEKERJA Acute nasopharyngitis
1359 01-04-2022 0002300350689 ANDI ARYANTO L Berobat Jalan
0106 10:09 MANDIRI [common cold]
0151B1090122P00 04-01-2022 ANNORA BENING PEGAWAI
1360 01-04-2022 0002428764052 L Fever, unspecified Berobat Jalan
0144 19:12 KINANTHI SWASTA
0151B1090122P00 04-01-2022 NAVARA IBRAHIM PEGAWAI
1361 01-04-2022 0002429977421 L Pulpitis Berobat Jalan
0141 18:58 SAPUTRA SWASTA

Non-insulin-dependent
0151B1090122P00 04-01-2022 PEGAWAI Diabetes
1362 01-04-2022 0002449515521 TUKINAH P diabetes mellitus with Rujuk Vertikal
0101 09:07 SWASTA Mellitus
neurological complications

0151B1090122P00 04-01-2022 AIZANAYYA AUNI PEGAWAI

1363 01-04-2022 0002472676863 P Fever, unspecified Berobat Jalan
0131 16:43 RESWARA SWASTA
0151B1090122P00 04-01-2022 AULIA RAHMA PEKERJA
1364 01-04-2022 0002481226211 P Otitis externa Berobat Jalan
0148 19:43 LISTYANINGRUM MANDIRI
0151B1090122P00 04-01-2022 PEKERJA
1365 01-04-2022 0002517505931 SUTINI P Pulpitis Berobat Jalan
0150 19:58 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 04-01-2022 PEKERJA Acute nasopharyngitis Diabetes Diabetes

1366 01-04-2022 0002620674562 SUGIYARMAN L Berobat Jalan
0147 19:39 MANDIRI [common cold] Mellitus Mellitus
0151B1090122P00 04-01-2022 PEKERJA
1367 01-04-2022 0002697496075 RUZIQO DAHAM L Counselling, unspecified Berobat Jalan
0155 20:29 MANDIRI
0151B1090122P00 04-01-2022 TYAS KUSNA WIDYA PEGAWAI
1368 01-04-2022 0002751836578 P Acne Berobat Jalan
0133 16:45 NINGRUM SWASTA
0151B1090122P00 04-01-2022 GANIS MY HARTA PEKERJA
1369 01-04-2022 0002772570025 P Dyspepsia Berobat Jalan
0111 10:45 RISYANI MANDIRI
Respiratory disorders in
0151B1090122P00 04-01-2022 PEKERJA
1370 01-04-2022 0002773543307 NAJWA ANNAFI'AH P other diseases classified Rujuk Vertikal
0102 09:17 MANDIRI
elsewhere
0151B1090122P00 04-01-2022 PEGAWAI
1371 01-04-2022 0002887788251 FREYA ALAIKA HUMAIRA P Fever, unspecified Berobat Jalan
0116 11:24 SWASTA
0151B1090122P00 04-01-2022
1372 01-04-2022 0003118653393 SAHRA RIWAYATI P - Pulpitis Berobat Jalan
0120 12:18
0151B1090122P00 03-01-2022 PENERIMA Essential (primary)
1373 01-03-2022 0000020380072 SYAHRUL DONIE IR MSI L Berobat Jalan
0020 08:14 PENSIUN PNS hypertension
0151B1090122P00 03-01-2022 PEKERJA Other hypertrophic
1374 01-03-2022 0000036244642 ROLAN MART SASONGKO L Rujuk Vertikal
0067 16:09 MANDIRI disorders of skin
0151B1090122P00 03-01-2022
1375 01-03-2022 0000077198793 MAKRUF WAHYUDI L PNS DAERAH Pulpitis Berobat Jalan
0048 11:19
Non-insulin-dependent
0151B1090122P00 03-01-2022 Diabetes Diabetes
1376 01-03-2022 0000088293644 HASAN BOESRI L PNS PUSAT diabetes mellitus with Rujuk Vertikal
0021 08:20 Mellitus Mellitus
multiple complications

Diarrhoea and
0151B1090122P00 03-01-2022
1377 01-03-2022 0000088545429 ANDI KUSUMA SEDANA L PNS DAERAH gastroenteritis of Berobat Jalan
0066 16:06
presumed infectious origin

0151B1090122P00 03-01-2022 PENERIMA

1378 01-03-2022 0000090912701 EMIR HIDAYAT DRS L Necrosis of pulp Rujuk Vertikal
0044 11:03 PENSIUN PNS
0151B1090122P00 03-01-2022 KEVIN PEKERJA
1379 01-03-2022 0000090946181 L Necrosis of pulp Berobat Jalan
0087 19:54 ARDYAPRIMATAMA MANDIRI
0151B1090122P00 03-01-2022 PENERIMA
1380 01-03-2022 0000090987974 SUWARJITO L Headache Berobat Jalan
0032 09:34 PENSIUN PNS
0151B1090122P00 03-01-2022 DICKY POERNAMA PEGAWAI Acute upper respiratory
1381 01-03-2022 0000091040027 L Berobat Jalan
0027 09:08 PUTRA SWASTA infection, unspecified
0151B1090122P00 03-01-2022 PENERIMA Primary generalized
1382 01-03-2022 0000091454804 RAHARDINI dra P Berobat Jalan
0085 19:44 PENSIUN PNS (osteo)arthrosis
0151B1090122P00 03-01-2022 PEKERJA
1383 01-03-2022 0000091454815 ANGGA RAHARDITYA L Fever, unspecified Berobat Jalan
0084 19:40 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

Vertiginous syndromes in
0151B1090122P00 03-01-2022
1384 01-03-2022 0000091516252 NANING HIDAYATI P PNS DAERAH diseases classified Berobat Jalan
0030 09:32
elsewhere
0151B1090122P00 03-01-2022
1385 01-03-2022 0000109953854 RONY ARPINTO ADY L PNS DAERAH Acute gingivitis Berobat Jalan
0064 15:58

0151B1090122P00 03-01-2022 Hordeolum and other deep

1386 01-03-2022 0000173502336 SUYONO L PNS PUSAT Berobat Jalan
0053 13:45 inflammation of eyelid

0151B1090122P00 03-01-2022
1387 01-03-2022 0000205247441 ROSO PRAJOKO L PNS DAERAH Fever, unspecified Berobat Jalan
0094 20:23
0151B1090122P00 03-01-2022 Periapical abscess without
1388 01-03-2022 0000211457305 WAKHIDATUR ROFIQOH P PNS PUSAT Berobat Jalan
0063 15:56 sinus
0151B1090122P00 03-01-2022 Cerebral infarction,
1389 01-03-2022 0000639842589 DWI KARYANTI P PBI (APBN) Rujuk Vertikal
0052 13:29 unspecified
Respiratory disorders in
0151B1090122P00 03-01-2022 PEGAWAI
1390 01-03-2022 0001145283309 KHOIRIYAH P other diseases classified Rujuk Vertikal
0056 14:26 SWASTA
elsewhere

0151B1090122P00 03-01-2022 PENERIMA Acute upper respiratory

1391 01-03-2022 0001302440578 SUMARDI L Berobat Jalan
0038 10:33 PENSIUN SWASTA infection, unspecified

0151B1090122P00 03-01-2022 FIRMAN PRAMUDYA PEGAWAI Burn and corrosion, body

1392 01-03-2022 0001319487524 L Berobat Jalan
0037 10:19 WANDANI SWASTA region unspecified
0151B1090122P00 03-01-2022 PEKERJA
1393 01-03-2022 0001323420052 SRI REJEKI P Thyroiditis, unspecified Rujuk Vertikal
0025 08:56 MANDIRI
0151B1090122P00 03-01-2022
1394 01-03-2022 0001324483367 M DIMAS ASH'ARI L PNS DAERAH Necrosis of pulp Berobat Jalan
0088 19:55

0151B1090122P00 03-01-2022 PENERIMA Visual disturbance,

1395 01-03-2022 0001328740086 MARDININGRUM HJ P Berobat Jalan
0089 19:56 PENSIUN SWASTA unspecified

Diabetes
0151B1090122P00 03-01-2022 PENERIMA
1396 01-03-2022 0001421495043 SOEKAMTO H BSC L Injury, unspecified, open Berobat Jalan Mellitus
0022 08:31 PENSIUN SWASTA
Hipertensi
0151B1090122P00 03-01-2022 SITI NURINA HAKIM, PEGAWAI Cerebral infarction,
1397 01-03-2022 0001447272966 P Rujuk Vertikal
0051 13:28 S.PSi, M.Si SWASTA unspecified
0151B1090122P00 03-01-2022 PEKERJA
1398 01-03-2022 0001457556647 MUHAMMAD RIDWAN L Pulpitis Berobat Jalan
0041 10:50 MANDIRI
0151B1090122P00 03-01-2022 Keratosis punctata
1399 01-03-2022 0001480094245 NAILATUL MUFIDAH P PNS DAERAH Rujuk Vertikal
0068 16:11 (palmaris et plantaris)
0151B1090122P00 03-01-2022
1400 01-03-2022 0001495820474 NUR'AINI P PBI (APBN) Low back pain Berobat Jalan
0028 09:11
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 03-01-2022 ZEN RANGGABEKTI PEGAWAI

1401 01-03-2022 0001528597168 L Impacted teeth Rujuk Vertikal
0072 16:50 WIBAWA SWASTA
0151B1090122P00 03-01-2022 PEKERJA Open wound of
1402 01-03-2022 0001529783515 EMI ERNASARI P Berobat Jalan
0093 20:12 MANDIRI unspecified body region
0151B1090122P00 03-01-2022 PEGAWAI Visual disturbance,
1403 01-03-2022 0001532671367 DJASMIN L Rujuk Vertikal Hipertensi
0075 16:58 SWASTA unspecified
0151B1090122P00 03-01-2022 PEGAWAI
1404 01-03-2022 0001539640607 Lintang Citra Sagita P Pulpitis Berobat Jalan
0034 10:00 SWASTA
0151B1090122P00 03-01-2022 WAHYUDI AGUNG PEGAWAI Acute nasopharyngitis
1405 01-03-2022 0001601678889 L Berobat Jalan
0050 11:53 NUGROHO SWASTA [common cold]
0151B1090122P00 03-01-2022 PEGAWAI
1406 01-03-2022 0001629333009 SYLVIANA YUSRIATI P Fever, unspecified Berobat Jalan
0091 20:04 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1407 01-03-2022 0001656284736 RUSTINI P Pulpitis Berobat Jalan
0062 15:54 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1408 01-03-2022 0001663929268 FEBRINA AULIA P Fever, unspecified Berobat Jalan
0079 19:22 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1409 01-03-2022 0001691852905 KAFAA BILLAH BASHIR L Retained dental root Berobat Jalan
0074 16:55 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1410 01-03-2022 0001691853232 EKO SAYEKTI P Necrosis of pulp Berobat Jalan
0061 15:53 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1411 01-03-2022 0001691853399 FAJAR/SUJARWO L Chest pain, unspecified Berobat Jalan
0076 17:03 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1412 01-03-2022 0001691854042 JARIYAH P Congestive heart failure Berobat Jalan
0043 11:01 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1413 01-03-2022 0001691855144 MUHAMMAD ZAINI L Counselling, unspecified Berobat Jalan
0046 11:16 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI Malignant neoplasm of
1414 01-03-2022 0001691856022 RAHAYU P Rujuk Vertikal Hipertensi
0090 19:59 SWASTA brain, unspecified
0151B1090122P00 03-01-2022 PEGAWAI
1415 01-03-2022 0001691920247 NUR HAMID L Injury, unspecified Berobat Jalan
0029 09:31 SWASTA
0151B1090122P00 03-01-2022 ARVIANTI FIRDA'AINI PEGAWAI Acute upper respiratory
1416 01-03-2022 0001691920539 P Berobat Jalan
0039 10:37 RAHARJO SWASTA infection, unspecified
0151B1090122P00 03-01-2022 PEGAWAI Other chronic suppurative
1417 01-03-2022 0001693305797 DANAU ASA KOWIDITO L Rujuk Vertikal
0049 11:28 SWASTA otitis media
0151B1090122P00 03-01-2022 PEGAWAI Chronic ischaemic heart
1418 01-03-2022 0001696826924 B WURYANTO L Rujuk Vertikal
0083 19:29 SWASTA disease, unspecified
0151B1090122P00 03-01-2022 PEGAWAI
1419 01-03-2022 0001730439887 AZIZAH NUR FATHIMAH P Atopic dermatitis Berobat Jalan
0040 10:38 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 03-01-2022 CICILIA ENDANG SRI PEKERJA Other orthopaedic

1420 01-03-2022 0001732640231 P Rujuk Vertikal
0033 09:53 WAHYUNINGSIH MANDIRI follow-up care
0151B1090122P00 03-01-2022 PEGAWAI
1421 01-03-2022 0001736168736 RAHMITA MAHRUL NISA P Necrosis of pulp Berobat Jalan
0035 10:02 SWASTA
0151B1090122P00 03-01-2022 AYUNDA CALISTA SETYO Acute nasopharyngitis
1422 01-03-2022 0001823548858 P PNS DAERAH Berobat Jalan
0057 14:37 WIBOWO [common cold]

KEPALA DESA
0151B1090122P00 03-01-2022 Acute nasopharyngitis
1423 01-03-2022 0001843293857 SRI YULIYANTINI P DAN PERANGKAT Berobat Jalan
0024 08:52 [common cold]
DESA

0151B1090122P00 03-01-2022 HASNA` KHOIROTUN PEGAWAI

1424 01-03-2022 0001855699132 P Astigmatism Berobat Jalan
0059 15:16 HISAN SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1425 01-03-2022 0001874561635 PRIHATIN P Dyspepsia Berobat Jalan
0031 09:33 SWASTA
0151B1090122P00 03-01-2022 PEKERJA
1426 01-03-2022 0001898749721 SYARAH KARINA PUTRI P Acute periodontitis Berobat Jalan
0073 16:53 MANDIRI
0151B1090122P00 03-01-2022 PEGAWAI Absent, scanty and rare
1427 01-03-2022 0002032823608 NURLITA DWI NASTITI P Rujuk Vertikal
0042 10:56 SWASTA menstruation
0151B1090122P00 03-01-2022 AQILA AL THAFUNNISA PEGAWAI
1428 01-03-2022 0002234184693 P Pulpitis Berobat Jalan
0060 15:51 HANANIA SWASTA
0151B1090122P00 03-01-2022 Periapical abscess without
1429 01-03-2022 0002239449895 PURWANINGSIH P PNS PUSAT Berobat Jalan
0080 19:23 sinus
0151B1090122P00 03-01-2022 PEGAWAI
1430 01-03-2022 0002240442707 SRI MUJIRAHAYU P Other peripheral vertigo Berobat Jalan
0077 17:23 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1431 01-03-2022 0002244151697 BRIAN ALHAFIDZ L Fever, unspecified Berobat Jalan
0092 20:06 SWASTA
0151B1090122P00 03-01-2022 IRSYAD RAFA PEKERJA
1432 01-03-2022 0002255992986 L Retained dental root Rujuk Vertikal
0058 15:06 DARMAWAN MANDIRI

KEPALA DESA
0151B1090122P00 03-01-2022 Acute nasopharyngitis
1433 01-03-2022 0002262234587 MUHAMMAD FAIQ AFIF L DAN PERANGKAT Berobat Jalan
0023 08:50 [common cold]
DESA

0151B1090122P00 03-01-2022 PEKERJA

1434 01-03-2022 0002312315008 SUPRAPTI P Other senile cataract Rujuk Vertikal
0045 11:06 MANDIRI
0151B1090122P00 03-01-2022 PEGAWAI
1435 01-03-2022 0002343873216 GUNAWAN L Fever, unspecified Berobat Jalan
0082 19:28 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1436 01-03-2022 0002449515857 ARYANI TRI ISWARI P Other peripheral vertigo Berobat Jalan
0026 09:00 SWASTA
0151B1090122P00 03-01-2022 PEKERJA
1437 01-03-2022 0002463831696 GEDE SUBIYANTO L Depressive episode Rujuk Vertikal
0086 19:53 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 03-01-2022 SOETARTO ABDUL AZIZ PEKERJA

1438 01-03-2022 0002484124176 L Low back pain Berobat Jalan
0055 14:14 HANAFI MANDIRI
0151B1090122P00 03-01-2022 PEKERJA
1439 01-03-2022 0002497333443 NABIHA YASIR RAFIF L Fever, unspecified Berobat Jalan
0047 11:17 MANDIRI
0151B1090122P00 03-01-2022 PEKERJA
1440 01-03-2022 0002517505931 SUTINI P Pulpitis Berobat Jalan
0078 19:21 MANDIRI
0151B1090122P00 03-01-2022 PEGAWAI
1441 01-03-2022 0002887788251 FREYA ALAIKA HUMAIRA P Fever, unspecified Berobat Jalan
0081 19:26 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI
1442 01-03-2022 0002899409354 HANA PUSPITANINGRUM P Dyspepsia Berobat Jalan
0070 16:20 SWASTA
0151B1090122P00 03-01-2022 PEGAWAI Other joint disorders, not
1443 01-03-2022 0002904688664 PRITAYANTI P Berobat Jalan
0036 10:05 SWASTA elsewhere classified
PEGAWAI
PEMERINTAH
0151B1090122P00 03-01-2022 EPAH KAEPATUS
1444 01-03-2022 0002936765608 P DENGAN Retained dental root Berobat Jalan
0065 16:00 SOLEHAH
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
0151B1090122P00 03-01-2022 EPAH KAEPATUS Acute upper respiratory
1445 01-03-2022 0002936765608 P DENGAN Berobat Jalan
0054 14:13 SOLEHAH infection, unspecified
PERJANJIAN
KERJA
0151B1090122P00 03-01-2022 MAHENDRA GADHING PEGAWAI
1446 01-03-2022 0003049275655 L Fever, unspecified Berobat Jalan
0071 16:37 ASSYAUQIE SWASTA
0151B1090122P00 03-01-2022 BAYI NYONYA ISTIANA PEGAWAI
1447 01-03-2022 0003106060749 P Constipation Rujuk Vertikal
0069 16:16 ERA PRAHARA SWASTA
0151B1090122P00 02-01-2022 AHMAD HIMAWAN Diabetes
1448 01-02-2022 0000088576694 L PNS DAERAH Other gastritis Berobat Jalan
0016 13:53 PRANOTO AJI Mellitus
0151B1090122P00 02-01-2022 PEGAWAI
1449 01-02-2022 0000088576705 DEWI AMBARWATI, P Malaise and fatigue Berobat Jalan
0015 13:39 SWASTA
0151B1090122P00 02-01-2022 PENERIMA
1450 01-02-2022 0000088712875 WADIYEM P Other arthrosis Berobat Jalan
0009 09:21 PENSIUN TNI
0151B1090122P00 02-01-2022
1451 01-02-2022 0000209057128 SRI TRI SUSANAWATI P PNS DAERAH Low back pain Berobat Jalan
0014 12:08
0151B1090122P00 02-01-2022 PEGAWAI Acute upper respiratory
1452 01-02-2022 0001184342038 NUR HENDRI SETIAWAN L Berobat Jalan
0017 14:33 SWASTA infection, unspecified
0151B1090122P00 02-01-2022 PEGAWAI
1453 01-02-2022 0001404265544 AZKA ERLANGGA HANAFI P Fever, unspecified Berobat Jalan
0010 09:41 SWASTA
0151B1090122P00 02-01-2022 MUHAMMAD RAIHAN PEGAWAI
1454 01-02-2022 0001526377612 L Counselling, unspecified Berobat Jalan
0019 14:37 SUDAIS SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SURAKARTA - 1108

FKTP : Klinik Assalaam Medicare - 0151B109

0151B1090122P00 02-01-2022 FITRIANI NUR PEKERJA

1455 01-02-2022 0002220884065 P Allergic contact dermatitis Berobat Jalan
0013 11:59 CANDRAWATI MANDIRI
0151B1090122P00 02-01-2022 CHELSEA AZALEA PEKERJA
1456 01-02-2022 0002220885279 P Hordeolum and chalazion Berobat Jalan
0012 11:54 SAFIRA MANDIRI
PEGAWAI
PEMERINTAH
0151B1090122P00 02-01-2022 Irregular menstruation,
1457 01-02-2022 0002246560964 MELIA KUSUMA P DENGAN Rujuk Vertikal
0011 10:19 unspecified
PERJANJIAN
KERJA

Diarrhoea and
0151B1090122P00 02-01-2022 AHMAD HAYYIN
1458 01-02-2022 0002940496659 L PNS PUSAT gastroenteritis of Berobat Jalan
0018 14:36 ADHDHIYA ULLAMI
presumed infectious origin

0151B1090122P00 01-01-2022 PEGAWAI Acute nasopharyngitis

1459 01-01-2022 0001316773607 AFIZA NAYLA MAVINA P Berobat Jalan
0007 13:34 SWASTA [common cold]
Diabetes
0151B1090122P00 01-01-2022 PENERIMA
1460 01-01-2022 0001421495043 SOEKAMTO H BSC L Injury, unspecified, open Berobat Jalan Mellitus
0004 13:05 PENSIUN SWASTA
Hipertensi
0151B1090122P00 01-01-2022 PEGAWAI Acute upper respiratory
1461 01-01-2022 0001446413589 PURWANTO L Berobat Jalan
0008 14:16 SWASTA infection, unspecified
0151B1090122P00 01-01-2022 PEGAWAI
1462 01-01-2022 0001698376026 IDA ARDIYANTI P Haemorrhoids Berobat Jalan
0005 13:19 SWASTA
0151B1090122P00 01-01-2022 PEKERJA Cerebral infarction,
1463 01-01-2022 0002479519258 ACHMAD SULAMTO L Rujuk Vertikal
0002 11:13 MANDIRI unspecified
0151B1090122P00 01-01-2022 PEKERJA Intervertebral disc
1464 01-01-2022 0002479519528 SRI UTAMI P Rujuk Vertikal
0003 11:14 MANDIRI disorder, unspecified
0151B1090122P00 01-01-2022 AISYAH NAYLA PEGAWAI Acute upper respiratory
1465 01-01-2022 0002617651528 P Berobat Jalan
0001 09:29 SALSABILA SWASTA infection, unspecified
0151B1090122P00 01-01-2022 REYNAND VALDA PEGAWAI Atopic dermatitis,
1466 01-01-2022 0003057153175 L Berobat Jalan
0006 13:25 ADIRAJADA SWASTA unspecified