DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

TANGGAL TANGGAL JENIS STATUS

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

Bilateral inguinal hernia,

100204010525Y001 31-05-2025 31-05-2025 M. SUWANDIMAN PENERIMA
1 0000050841639 L with obstruction, without Rujuk Vertikal
618 00:00 09:43 ADHIMIHARDJA PENSIUN PNS
gangrene
100204010525Y001 31-05-2025 31-05-2025 Essential (primary)
2 0000055705465 URIP SURATMAN L PNS DAERAH Berobat Jalan Hipertensi
624 00:00 10:00 hypertension
100204010525Y001 31-05-2025 31-05-2025
3 0000055705476 TETI HERMAWATI P PNS DAERAH Radiculopathy Rujuk Vertikal Hipertensi
621 00:00 09:50
Atherosclerotic
100204010525Y001 31-05-2025 31-05-2025 PENERIMA
4 0000055728843 HERRY HERMIAWAN L cardiovascular disease, so Rujuk Vertikal
589 00:00 08:28 PENSIUN PNS
described
100204010525Y001 31-05-2025 31-05-2025 Nonspecific low
5 0000056599672 KOSWARA L PNS PUSAT Berobat Jalan
610 00:00 09:17 blood-pressure reading
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
6 0000413126302 DARYONO L Low back pain Rujuk Vertikal
575 00:00 07:59 KESEHATAN
100204010525Y001 31-05-2025 31-05-2025 SYAHDANI SETIADY PEGAWAI
7 0000417773226 L Typhoid fever Berobat Jalan
600 00:00 08:59 SUGIANTO SWASTA
Other acute upper
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
8 0000419035454 II JUWITA P respiratory infections of Berobat Jalan
577 00:00 08:06 KESEHATAN
multiple sites
100204010525Y001 31-05-2025 31-05-2025
9 0000419153894 OON DEWI P - Headache Berobat Jalan
608 00:00 09:15
100204010525Y001 31-05-2025 31-05-2025 PEGAWAI Anxiety disorder,
10 0000419305904 ACHMAD SOPYAN L Rujuk Vertikal
607 00:00 09:14 SWASTA unspecified
Elevated blood-pressure
100204010525Y001 31-05-2025 31-05-2025
11 0000419416457 EEN RUKMINI P - reading, without diagnosis Berobat Jalan
622 00:00 09:50
of hypertension
100204010525Y001 31-05-2025 31-05-2025 General medical
12 0000419756466 RAFA NUGRAHA L - Berobat Jalan
588 00:00 08:27 examination
100204010525Y001 31-05-2025 31-05-2025 MILA SITI AMELIA PEKERJA
13 0000419762417 P Streptococcal pharyngitis Berobat Jalan
605 00:00 09:09 YANUARI MANDIRI
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
14 0000419850617 FIRYAL SYIFA IASYAH P Gastritis, unspecified Berobat Jalan
596 00:00 08:50 MANDIRI
100204010525Y001 31-05-2025 31-05-2025 Hypertensive heart
15 0000419915103 ANIH ROHAENIH P - Rujuk Vertikal
623 00:00 09:51 disease
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
16 0000420742023 ELAH P Myalgia Berobat Jalan
620 00:00 09:47 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Other acute upper

100204010525Y001 31-05-2025 31-05-2025
17 0001003863519 ASEP SEPTIANA L - respiratory infections of Berobat Jalan
611 00:00 09:21
multiple sites
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
18 0001003864173 USIN L Headache Berobat Jalan
578 00:00 08:07 KESEHATAN
Elevated blood-pressure
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
19 0001003867356 YAYA SUHAYA L reading, without diagnosis Berobat Jalan
587 00:00 08:24 KESEHATAN
of hypertension
PBPU DAN BP Unspecified diabetes
100204010525Y001 31-05-2025 31-05-2025 Diabetes
20 0001340433382 UJANG TAHYA L PEMERINTAH mellitus with unspecified Rujuk Vertikal
569 00:00 07:05 Mellitus
DAERAH complications
100204010525Y001 31-05-2025 31-05-2025 Other and unspecified
21 0001340722484 SEILA AMALIA P - Berobat Jalan
585 00:00 08:21 abdominal pain
100204010525Y001 31-05-2025 31-05-2025 IBRAHIM GHONIM PEKERJA
22 0001372002715 L Pulpitis Berobat Jalan
582 00:00 08:12 LAKSANATAMA MANDIRI
Other acute upper
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
23 0001392764747 PUTERA BELLA BANGSA L respiratory infections of Berobat Jalan
581 00:00 08:12 KESEHATAN
multiple sites
100204010525Y001 31-05-2025 31-05-2025 SYAUQI PUTRA PEGAWAI General medical
24 0001439139262 L Berobat Jalan
599 00:00 08:57 RAMADHAN SWASTA examination
100204010525Y001 31-05-2025 31-05-2025 PEGAWAI Chronic ischaemic heart
25 0001458057587 NURALAMSYAH L Rujuk Vertikal
584 00:00 08:21 SWASTA disease
100204010525Y001 31-05-2025 31-05-2025
26 0001472840515 LUTHFI FEBRIYANA L - Dyspepsia Berobat Jalan
592 00:00 08:38
100204010525Y001 31-05-2025 31-05-2025 PEGAWAI General medical
27 0001655187546 FAHMI FAHRUROJI L Berobat Jalan
603 00:00 09:05 SWASTA examination
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025 Essential (primary)
28 0001663794426 JUWARSIH P PEMERINTAH Berobat Jalan Hipertensi
617 00:00 09:42 hypertension
DAERAH
Non-insulin-dependent
100204010525Y001 31-05-2025 31-05-2025 PEGAWAI
29 0001664933567 DANI HERMAWAN L diabetes mellitus with Rujuk Vertikal
572 00:00 07:48 SWASTA
multiple complications
100204010525Y001 31-05-2025 31-05-2025 PEKERJA Pure
30 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
631 00:00 14:26 MANDIRI hypercholesterolaemia
100204010525Y001 31-05-2025 31-05-2025 Atopic dermatitis,
31 0001735375915 DIAH SUSWANTI P - Berobat Jalan
583 00:00 08:17 unspecified
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
32 0001838557495 YADI SUPRIADI L Gastritis, unspecified Berobat Jalan
586 00:00 08:24 MANDIRI
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
33 0001840183986 RODIAH P Headache Berobat Jalan
574 00:00 07:58 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010525Y001 31-05-2025 31-05-2025 PENERIMA Diabetes Diabetes
34 0001857816729 LISTERIA SILAEN P diabetes mellitus with Rujuk Vertikal
598 00:00 08:52 PENSIUN SWASTA Mellitus Mellitus
unspecified complications
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
35 0001963344947 SITI JULAEHA P Counselling, unspecified Berobat Jalan
580 00:00 08:10 MANDIRI
100204010525Y001 31-05-2025 31-05-2025 RISTI ANGGRAENI
36 0002301115836 P PEGAWAI BUMN Typhoid fever Berobat Jalan
576 00:00 08:00 KOMARA
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
37 0002376917482 UJANG SUDRAJAT L Myalgia Berobat Jalan
571 00:00 07:08 MANDIRI
100204010525Y001 31-05-2025 31-05-2025 PEKERJA Acute nasopharyngitis
38 0002376917493 BETTI IRIANTI P Berobat Jalan
570 00:00 07:06 MANDIRI [common cold]
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN Acute nasopharyngitis
39 0002594567338 JENI AGUSTIN P Berobat Jalan
593 00:00 08:42 KESEHATAN [common cold]
Other acute upper
100204010525Y001 31-05-2025 31-05-2025
40 0002596525648 ELISA MARINI. A. S P - respiratory infections of Berobat Jalan
628 00:00 14:23
multiple sites
100204010525Y001 31-05-2025 31-05-2025 FLAVIO HARIGUNAWAN PEGAWAI General medical
41 0002697300112 L Berobat Jalan
590 00:00 08:35 TETJIAKUSUMA SWASTA examination
100204010525Y001 31-05-2025 31-05-2025 PEGAWAI Nonspecific low
42 0002746847935 RENA RAHAYU P Berobat Jalan
619 00:00 09:43 SWASTA blood-pressure reading
100204010525Y001 31-05-2025 31-05-2025 General counselling and
43 0002793038883 KRISNA SUHADI L - Berobat Jalan
632 00:00 14:28 advice on contraception
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN Stroke, not specified as
44 0002836957836 IMAS P Rujuk Vertikal
609 00:00 09:17 KESEHATAN haemorrhage or infarction
Other acute upper
100204010525Y001 31-05-2025 31-05-2025 ARKHAN MUDSYI PBI JAMINAN
45 0002863478351 L respiratory infections of Berobat Jalan
629 00:00 14:23 SAFARAZ KESEHATAN
multiple sites
Elevated blood-pressure
100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN
46 0002869376196 AAT SOLIHAT P reading, without diagnosis Berobat Jalan Hipertensi Hipertensi
626 00:00 14:20 KESEHATAN
of hypertension
100204010525Y001 31-05-2025 31-05-2025 CANTIKA SAKURA
47 0002885323331 P - Retained dental root Berobat Jalan
604 00:00 09:08 AGUSTIN
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025
48 0002961421233 SELLY ANANTA P PEMERINTAH Streptococcal pharyngitis Berobat Jalan
601 00:00 08:59
DAERAH

PBPU DAN BP Diarrhoea and

100204010525Y001 31-05-2025 31-05-2025
49 0002961422133 YULIA KHOIRUNNISA P PEMERINTAH gastroenteritis of Berobat Jalan
591 00:00 08:37
DAERAH presumed infectious origin

100204010525Y001 31-05-2025 31-05-2025 PBI JAMINAN

50 0003117432058 YADI L Gastritis, unspecified Berobat Jalan
625 00:00 10:03 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP Other developmental

100204010525Y001 31-05-2025 31-05-2025
51 0003121474094 SALMAN ZAIDAN ARFAN L PEMERINTAH disorders of speech and Rujuk Vertikal
614 00:00 09:31
DAERAH language
100204010525Y001 31-05-2025 31-05-2025
52 0003132847282 SAYID ALI ABBASY L - Necrosis of pulp Berobat Jalan
597 00:00 08:50
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
53 0003174504805 SYARIEF RACHMAT L Gastritis, unspecified Berobat Jalan
616 00:00 09:34 MANDIRI
100204010525Y001 31-05-2025 31-05-2025 Congenital herpesviral
54 0003207750175 DEDEH PARIDAH P - Berobat Jalan
630 00:00 14:24 [herpes simplex] infection
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025 General medical
55 0003208120593 SUJI PRANANDITO L PEMERINTAH Berobat Jalan
595 00:00 08:49 examination
DAERAH
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025 Disorders of
56 0003208120604 NUNUNG NURHAYATI P PEMERINTAH Rujuk Vertikal
594 00:00 08:45 accommodation
DAERAH
100204010525Y001 31-05-2025 31-05-2025 PEKERJA
57 0003221828166 NINA P Gastritis, unspecified Berobat Jalan
579 00:00 08:08 MANDIRI
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025
58 0003222285985 RISMA P PEMERINTAH Headache Berobat Jalan
573 00:00 07:57
DAERAH
PBPU DAN BP
100204010525P001 31-05-2025 31-05-2025
59 0003222550934 FADIL AWALUDIN L PEMERINTAH Necrosis of pulp Rujuk Vertikal
602 00:00 09:04
DAERAH
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025
60 0003222578193 DIRGA ARYA WIJAYA L PEMERINTAH Pulpitis Berobat Jalan
612 00:00 09:22
DAERAH
100204010525Y001 31-05-2025 31-05-2025 PEKERJA Senile cataract,
61 0003222582478 SADIRIN L Rujuk Vertikal
615 00:00 09:34 MANDIRI unspecified
Chronic obstructive
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025 pulmonary disease with
62 0003222587092 HANI DIANTI P PEMERINTAH Rujuk Vertikal
613 00:00 09:24 acute lower respiratory
DAERAH
infection
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025 QIANDRA ALIFFIANO
63 0003223336904 L PEMERINTAH Open wound of scalp Berobat Jalan
606 00:00 09:10 RAHMAN
DAERAH
PBPU DAN BP
100204010525Y001 31-05-2025 31-05-2025
64 0003223338333 IDA MARIANA P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
627 00:00 14:22
DAERAH
100204010525Y001 28-05-2025 28-05-2025 Diabetes
65 0000053464825 N. ENJAH HODIJAH P PNS DAERAH Pulpitis Berobat Jalan
563 00:00 12:12 Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Sequelae of stroke, not

100204010525P001 28-05-2025 28-05-2025
66 0000053715418 JAJA SUHAJA L - specified as haemorrhage Berobat Jalan
568 00:00 21:08
or infarction
100204010525Y001 28-05-2025 28-05-2025
67 0000063177671 FITRI PUTRI VANDANI P - Other appendicitis Rujuk Vertikal
556 00:00 10:49
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Spondylolisthesis, site
68 0000243514372 LUKMAN SILALAHI L Rujuk Vertikal Hipertensi Hipertensi
552 00:00 10:24 KESEHATAN unspecified
Atherosclerotic
100204010525P001 28-05-2025 28-05-2025 PBI JAMINAN
69 0000404766584 ANDI SUTOPO L cardiovascular disease, so Berobat Jalan
567 00:00 21:06 KESEHATAN
described
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Cluster headache
70 0000407613093 MASRIYAH P Berobat Jalan
559 00:00 11:22 KESEHATAN syndrome
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Diabetes Diabetes
71 0000417704927 SUKINI P Parkinson's disease Rujuk Vertikal
550 00:00 10:14 KESEHATAN Mellitus Mellitus
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
72 0000418634482 OCIH P Polyarthritis, unspecified Berobat Jalan
500 00:00 07:48 KESEHATAN
100204010525Y001 28-05-2025 28-05-2025
73 0000418656609 NURYANTI P - Myalgia Berobat Jalan
547 00:00 10:02
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
74 0000418846151 GALIH PATURROHMAN L Dyspepsia Berobat Jalan
522 00:00 08:18 KESEHATAN
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Cluster headache
75 0000418889259 NONENG ROKAYAH P Berobat Jalan
560 00:00 11:29 KESEHATAN syndrome
100204010525Y001 28-05-2025 28-05-2025 AGUS DIAN NUGRAHA PBI JAMINAN
76 0000419121257 L Persistent fever Rujuk Vertikal
506 00:00 07:56 PRATAMA KESEHATAN
Personal history of
100204010525Y001 28-05-2025 28-05-2025 Diabetes
77 0000419127309 MANAH RUKMAENI P - diseases of the respiratory Rujuk Vertikal
513 00:00 08:02 Mellitus
system
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
78 0000419205835 NIKEN MELANI P Conjunctivitis, unspecified Berobat Jalan
509 00:00 07:57 KESEHATAN
100204010525Y001 28-05-2025 28-05-2025 SHELLYNA OCTAVIA PBI JAMINAN Contraceptive
79 0000419355819 P Berobat Jalan
561 00:00 11:58 WIDYASTUTI KESEHATAN management, unspecified
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Acute nasopharyngitis
80 0000419459038 ETI ROHAETI P Berobat Jalan
530 00:00 08:55 KESEHATAN [common cold]
Surveillance of
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
81 0000419469862 TINI KARTINI P (intrauterine) contraceptive Berobat Jalan
564 00:00 12:25 KESEHATAN
device
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Contraceptive
82 0000419537439 ADE NANI P Berobat Jalan
520 00:00 08:15 KESEHATAN management, unspecified
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
83 0000420290201 SURYATI P Polyarthritis, unspecified Berobat Jalan
502 00:00 07:51 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Nonspecific low

84 0000420501093 ELIN RAHMAWATI P Berobat Jalan
521 00:00 08:17 KESEHATAN blood-pressure reading
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
85 0001003864217 DADAN SETIAWAN L Conjunctivitis, unspecified Berobat Jalan
503 00:00 07:53 KESEHATAN
100204010525P001 28-05-2025 28-05-2025 Stroke, not specified as
86 0001177760428 ROSMIATI P - Berobat Jalan
566 00:00 21:04 haemorrhage or infarction
100204010525Y001 28-05-2025 28-05-2025
87 0001341084982 JUMIATI P - Dyspepsia Berobat Jalan Hipertensi
505 00:00 07:55
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025
88 0001372187103 SAMSUDIN L PEMERINTAH Necrosis of pulp Berobat Jalan
531 00:00 09:03
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Acute pharyngitis,
89 0001390816348 ARGA VIA L PEMERINTAH Berobat Jalan
523 00:00 08:23 unspecified
DAERAH
100204010525Y001 28-05-2025 28-05-2025 PEGAWAI
90 0001451921343 IMANUDIN L Myalgia Berobat Jalan
518 00:00 08:14 SWASTA
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
91 0001664089648 SUMIATI P - Berobat Jalan
558 00:00 11:22 management, unspecified
100204010525Y001 28-05-2025 28-05-2025 PEKERJA Antenatal screening,
92 0001666697501 MIA KUSMIATI P Berobat Jalan
542 00:00 09:46 MANDIRI unspecified
100204010525Y001 28-05-2025 28-05-2025 PEKERJA
93 0001798682264 RIN RIN RAHMAWATI P Myalgia Berobat Jalan
536 00:00 09:19 MANDIRI
100204010525Y001 28-05-2025 28-05-2025 PEKERJA
94 0001838557495 YADI SUPRIADI L Nausea and vomiting Berobat Jalan
514 00:00 08:03 MANDIRI

Human immunodeficiency
100204010525Y001 28-05-2025 28-05-2025 PEKERJA virus [HIV] disease
95 0002259044111 SRI SETIARI PUASTINI P Rujuk Vertikal
512 00:00 07:59 MANDIRI resulting in infectious and
parasitic diseases

100204010525Y001 28-05-2025 28-05-2025 PEKERJA

96 0002292226457 CUCU SUTARSIH P Secondary hypertension Berobat Jalan
511 00:00 07:59 MANDIRI
100204010525Y001 28-05-2025 28-05-2025
97 0002376416079 AGUS RUSMAN L - Acute gingivitis Berobat Jalan
515 00:00 08:09
100204010525Y001 28-05-2025 28-05-2025 PEKERJA
98 0002379346907 INDRI TRIANI P Other acute gastritis Berobat Jalan
524 00:00 08:24 MANDIRI
100204010525Y001 28-05-2025 28-05-2025 PEGAWAI Contraceptive
99 0002430995376 SITI SOLIHAH P Berobat Jalan
554 00:00 10:34 SWASTA management, unspecified
100204010525Y001 28-05-2025 28-05-2025 PEKERJA
100 0002498800252 KARTIWA L Xanthelasma of eyelid Berobat Jalan
551 00:00 10:19 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 28-05-2025 28-05-2025 PEKERJA Non-insulin-dependent Diabetes Diabetes

101 0002498800296 ROKAYAH P Berobat Jalan
549 00:00 10:12 MANDIRI diabetes mellitus Mellitus Mellitus
100204010525Y001 28-05-2025 28-05-2025 Hypertensive heart
102 0002607781241 DEDE KARWATI P - Rujuk Vertikal
501 00:00 07:48 disease
100204010525Y001 28-05-2025 28-05-2025 Hypertensive heart
103 0002613133181 UTI P - Rujuk Vertikal
555 00:00 10:44 disease
100204010525Y001 28-05-2025 28-05-2025 PEKERJA Hypertensive heart
104 0002745131949 SOEJADI H PRAWIRA L Rujuk Vertikal
519 00:00 08:14 MANDIRI disease
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Hordeolum and other deep
105 0002962531089 ARIE ERLANGGA L PEMERINTAH Berobat Jalan
543 00:00 09:51 inflammation of eyelid
DAERAH
100204010525Y001 28-05-2025 28-05-2025 General medical
106 0002962531473 ENENG SOVI NURPAJIAH P - Berobat Jalan
535 00:00 09:18 examination
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
107 0003039720322 WIKAL SALMAN ALPARISI L Acute maxillary sinusitis Berobat Jalan
541 00:00 09:45 KESEHATAN
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Hyperlipidaemia,
108 0003041954076 ATIH HARYATI P PEMERINTAH Berobat Jalan
529 00:00 08:54 unspecified
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Adhesive capsulitis of
109 0003041956372 RUKINTA L PEMERINTAH Berobat Jalan
546 00:00 09:59 shoulder
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025
110 0003041956776 ELIH HANA P PEMERINTAH Secondary hypertension Berobat Jalan
508 00:00 07:56
DAERAH
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
111 0003117116057 ROHATI P Myalgia Berobat Jalan
507 00:00 07:56 KESEHATAN
100204010525Y001 28-05-2025 28-05-2025 PEGAWAI Periapical abscess without
112 0003131662015 ALYA SITI NURHASANAH P Berobat Jalan
557 00:00 10:58 SWASTA sinus
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Contraceptive
113 0003167896329 YUYUN YUNINGSIH P Berobat Jalan
544 00:00 09:54 KESEHATAN management, unspecified
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 NAYAKA ICHSAN General medical
114 0003207441609 L PEMERINTAH Berobat Jalan
538 00:00 09:24 SAPUTRA examination
DAERAH
Sequelae of stroke, not
100204010525P001 28-05-2025 28-05-2025
115 0003207741164 ATING ROBI L - specified as haemorrhage Berobat Jalan
565 00:00 21:02
or infarction
Elevated blood-pressure
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
116 0003207746046 OYOH P reading, without diagnosis Berobat Jalan
516 00:00 08:12 KESEHATAN
of hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Chronic obstructive
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN
117 0003207753314 MARTOYO L pulmonary disease, Rujuk Vertikal
510 00:00 07:57 KESEHATAN
unspecified
PBPU DAN BP Atherosclerotic
100204010525Y001 28-05-2025 28-05-2025
118 0003207756813 EDIH SOMANTRI L PEMERINTAH cardiovascular disease, so Rujuk Vertikal
504 00:00 07:54
DAERAH described
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
119 0003208108746 SHERIN NAFISA QIREZ P PEMERINTAH Berobat Jalan
526 00:00 08:39 management, unspecified
DAERAH
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Acute nasopharyngitis
120 0003208127231 RANI SAPARINA P Berobat Jalan
532 00:00 09:11 KESEHATAN [common cold]
100204010525Y001 28-05-2025 28-05-2025 PEKERJA Acute nasopharyngitis
121 0003221812361 HENDI SETIADI L Berobat Jalan
517 00:00 08:13 MANDIRI [common cold]
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
122 0003222575548 SITI JULAEHA P - Berobat Jalan
525 00:00 08:32 management, unspecified
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 NANDA ARIF
123 0003222580904 L PEMERINTAH Other schizophrenia Rujuk Vertikal
527 00:00 08:51 RIDWANSYAH
DAERAH
100204010525Y001 28-05-2025 28-05-2025 PEKERJA
124 0003222582478 SADIRIN L Counselling, unspecified Berobat Jalan
545 00:00 09:55 MANDIRI
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025
125 0003223076894 LILIS KARWATI P PEMERINTAH Counselling, unspecified Berobat Jalan
540 00:00 09:41
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
126 0003223097594 NIRMA MARYATI P PEMERINTAH Berobat Jalan
548 00:00 10:02 management, unspecified
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Acute nasopharyngitis
127 0003223333091 KANAYA LESISTA DEWI P PEMERINTAH Berobat Jalan
528 00:00 08:52 [common cold]
DAERAH
PBPU DAN BP
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
128 0003223334182 IRMA ANDRIANI P PEMERINTAH Berobat Jalan
534 00:00 09:16 management, unspecified
DAERAH
100204010525Y001 28-05-2025 28-05-2025 Contraceptive
129 0003223335925 MIKE HANDAYANI P - Berobat Jalan
539 00:00 09:25 management, unspecified
100204010525Y001 28-05-2025 28-05-2025 PBI JAMINAN Disturbances in tooth
130 0003329364262 NURUL AINI KAMILA P Berobat Jalan
533 00:00 09:15 KESEHATAN eruption
100204010525Y001 28-05-2025 28-05-2025 PEKERJA Contraceptive
131 0003597470728 DINI P Berobat Jalan
562 00:00 12:10 MANDIRI management, unspecified
100204010525Y001 28-05-2025 28-05-2025 BAYI NYONYA RINI NUR PEGAWAI Acute upper respiratory
132 0003634394545 L Berobat Jalan
553 00:00 10:30 AENI SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Follow-up examination
100204010525Y001 28-05-2025 28-05-2025 ALBIRU BILAL PEKERJA
133 0003637288901 L after other treatment for Rujuk Vertikal
537 00:00 09:21 NURDIANSYAH MANDIRI
other conditions
100204010525Y001 27-05-2025 27-05-2025 PENERIMA Pure
134 0000053714698 DJUDJU SUHANA L Berobat Jalan
488 00:00 12:21 PENSIUN PNS hypercholesterolaemia
100204010525Y001 27-05-2025 27-05-2025 Radiculopathy, lumbar
135 0000053715868 DRS. H. IIK MAKIB. LC L - Rujuk Vertikal
471 00:00 10:31 region
100204010525Y001 27-05-2025 27-05-2025 DITA FENTIAWATI PEGAWAI Antenatal screening,
136 0000068504084 P Berobat Jalan
499 00:00 13:07 FADHILAH SWASTA unspecified
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
137 0000407578127 MUMUH MURKASAN L Benign paroxysmal vertigo Berobat Jalan
486 00:00 11:46 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute nasopharyngitis
138 0000417890035 TITING P Berobat Jalan
455 00:00 08:25 KESEHATAN [common cold]
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
139 0000418217747 ANI ATIKAH P Myalgia Berobat Jalan
490 00:00 12:27 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PEGAWAI
140 0000418861293 DESTA YUDISTIRA L Other atopic dermatitis Berobat Jalan
444 00:00 07:59 SWASTA
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Antenatal screening,
141 0000419180624 ONIH P Berobat Jalan
493 00:00 12:50 KESEHATAN unspecified
100204010525Y001 27-05-2025 27-05-2025
142 0000419412339 NURUL RAFIANSYAH P - Prolonged pregnancy Rujuk Vertikal
476 00:00 10:56
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Antenatal screening,
143 0000419412521 ROSI ISMAYANTI P Berobat Jalan
498 00:00 12:57 KESEHATAN unspecified
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute upper respiratory
144 0000419420799 IRA RAHMAWATI P Berobat Jalan
487 00:00 11:47 KESEHATAN infection, unspecified
100204010525Y001 27-05-2025 27-05-2025
145 0000419460028 ENOK HASANAH P - Secondary hypertension Berobat Jalan
477 00:00 10:58
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
146 0000419546801 ENCENG SUHENDAR L Other atopic dermatitis Berobat Jalan
462 00:00 08:42 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Diabetes
147 0000419760314 DEDEH P Polyarthritis, unspecified Berobat Jalan
456 00:00 08:25 KESEHATAN Mellitus
100204010525Y001 27-05-2025 27-05-2025 MILA SITI AMELIA PEKERJA
148 0000419762417 P Fever, unspecified Berobat Jalan
453 00:00 08:22 YANUARI MANDIRI
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute nasopharyngitis
149 0000419928401 EEN P Berobat Jalan
465 00:00 08:48 KESEHATAN [common cold]
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
150 0000419979846 ADE AMAS L Pruritus, unspecified Berobat Jalan
495 00:00 12:51 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
151 0000419981692 HENDRAWAN L Schizophrenia Rujuk Vertikal
454 00:00 08:25 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 27-05-2025 27-05-2025

152 0000497425656 JAENAL ABIDIN L - Other acute gastritis Berobat Jalan
459 00:00 08:28
100204010525Y001 27-05-2025 27-05-2025 PEKERJA Antenatal screening,
153 0000506275277 SUKAESIH P Berobat Jalan
467 00:00 08:56 MANDIRI unspecified
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
154 0001003866941 TH. ANI RUSMINI. S P Chikungunya virus disease Berobat Jalan
496 00:00 12:52 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute pharyngitis,
155 0001003867143 OTIH P Berobat Jalan
450 00:00 08:13 KESEHATAN unspecified
100204010525Y001 27-05-2025 27-05-2025 Diabetes
156 0001003867705 MI'AH P - Counselling, unspecified Berobat Jalan Hipertensi
469 00:00 09:05 Mellitus
100204010525Y001 27-05-2025 27-05-2025 Diabetes
157 0001340298404 SUPARNINGSIH P - Counselling, unspecified Berobat Jalan
497 00:00 12:52 Mellitus
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025
158 0001340555782 MAESAROH P PEMERINTAH Otitis externa, unspecified Berobat Jalan
443 00:00 07:57
DAERAH

Diarrhoea and
100204010525Y001 27-05-2025 27-05-2025
159 0001341198077 SITI ROHANA P - gastroenteritis of Berobat Jalan
447 00:00 08:05
presumed infectious origin

100204010525Y001 27-05-2025 27-05-2025 PEKERJA Diabetes

160 0001669827633 SUPARDI L Injury of kidney Rujuk Vertikal
463 00:00 08:43 MANDIRI Mellitus
100204010525Y001 27-05-2025 27-05-2025 PEKERJA Stroke, not specified as
161 0001720992925 ENRICO RAHADI L Rujuk Vertikal
474 00:00 10:54 MANDIRI haemorrhage or infarction
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025
162 0002203098535 FINI NURHAYANI P PEMERINTAH Other atopic dermatitis Berobat Jalan
461 00:00 08:30
DAERAH
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025 General medical
163 0002324950558 SYIFA NUR QOLBI P PEMERINTAH Berobat Jalan
491 00:00 12:45 examination
DAERAH
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
164 0002378079922 MAEMUNAH P Secondary hypertension Berobat Jalan
442 00:00 07:55 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PEKERJA
165 0002481226053 AWANGSIH P Counselling, unspecified Berobat Jalan Hipertensi
466 00:00 08:54 MANDIRI
100204010525Y001 27-05-2025 27-05-2025 ALRASYA RAAFI PBI JAMINAN
166 0002500693716 L Fever, unspecified Berobat Jalan
451 00:00 08:20 RAMADHAN KESEHATAN
100204010525Y001 27-05-2025 27-05-2025
167 0002592476177 DICKY ADRIANSYAH L - Gastritis, unspecified Berobat Jalan
458 00:00 08:28
100204010525Y001 27-05-2025 27-05-2025 SANDHYA FITRI
168 0002768359408 P - Pulpitis Berobat Jalan
494 00:00 12:51 RAMADANI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute upper respiratory

169 0002793039827 DEDE KUSWAYA L Berobat Jalan
484 00:00 11:35 KESEHATAN infection, unspecified
100204010525Y001 27-05-2025 27-05-2025
170 0002793043855 OMAH ROHMAWATI P - Counselling, unspecified Berobat Jalan Hipertensi
448 00:00 08:05
100204010525Y001 27-05-2025 27-05-2025 PEGAWAI Contraceptive
171 0002793047668 YUYU MUGNI P Rujuk Vertikal
468 00:00 08:59 SWASTA management, unspecified
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Acute upper respiratory
172 0002793049648 DADI HERMAWAN L Berobat Jalan
481 00:00 11:24 KESEHATAN infection, unspecified
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN Fracture of other carpal
173 0002793051854 HODIJAH P Rujuk Vertikal
479 00:00 11:11 KESEHATAN bone(s) , closed
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
174 0002863479227 KURAESIN P Myalgia Berobat Jalan
452 00:00 08:20 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 ANGGRAENI PBI JAMINAN Antenatal screening,
175 0002863479238 P Berobat Jalan
460 00:00 08:29 PUSVITAWANTI KESEHATAN unspecified
100204010525Y001 27-05-2025 27-05-2025 LATISYA AQQUINA PEGAWAI Acute upper respiratory
176 0002930703491 P Berobat Jalan
485 00:00 11:43 MUTAQIN SWASTA infection, unspecified
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025
177 0002961422886 AYI KUSNADI L PEMERINTAH Myalgia Berobat Jalan
446 00:00 08:03
DAERAH
100204010525Y001 27-05-2025 27-05-2025 Cluster headache
178 0002961423472 MAEMUNAH P - Rujuk Vertikal
478 00:00 11:06 syndrome
Respiratory disorders in
100204010525Y001 27-05-2025 27-05-2025 RIRY KHAERUNNISA PEKERJA
179 0003069119439 P diseases classified Rujuk Vertikal
475 00:00 10:55 RIYANTI MANDIRI
elsewhere
100204010525Y001 27-05-2025 27-05-2025 PBI JAMINAN
180 0003117432058 YADI L Myalgia Berobat Jalan
489 00:00 12:25 KESEHATAN
100204010525Y001 27-05-2025 27-05-2025 PEKERJA
181 0003221812934 VERA WATI EPENDI P Myalgia Berobat Jalan
470 00:00 09:10 MANDIRI
Gastric ulcer, acute
100204010525Y001 27-05-2025 27-05-2025 PEKERJA
182 0003221833904 NURELA P without haemorrhage or Rujuk Vertikal
482 00:00 11:30 MANDIRI
perforation
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025 BERYL HAMIZAN Acute upper respiratory
183 0003222551384 L PEMERINTAH Berobat Jalan
483 00:00 11:33 PRADIPTA infection, unspecified
DAERAH
100204010525Y001 27-05-2025 27-05-2025 PEGAWAI
184 0003222564311 IPIT SUPRIATNA L Calculus of kidney Rujuk Vertikal
464 00:00 08:47 SWASTA
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025 Antenatal screening,
185 0003222579767 FITRI INDRIYANI P PEMERINTAH Berobat Jalan
492 00:00 12:49 unspecified
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025
186 0003222582849 INEU HENDARISAH P PEMERINTAH Secondary hypertension Berobat Jalan
445 00:00 08:01
DAERAH
Tuberculosis of lung,
PBPU DAN BP
100204010525Y001 27-05-2025 27-05-2025 confirmed by sputum
187 0003223078132 IIM SUPARTINI P PEMERINTAH Berobat Jalan
449 00:00 08:08 microscopy with or without
DAERAH
culture
100204010525P001 27-05-2025 27-05-2025 MUHAMMAD ZILDAN PEKERJA
188 0003344431577 L Necrosis of pulp Rujuk Vertikal
457 00:00 08:26 YUSUF MANDIRI
PEGAWAI
PEMERINTAH
100204010525Y001 27-05-2025 27-05-2025
189 0003616322782 AZIZAH ROHIMAH P DENGAN Dyspnoea Rujuk Vertikal
480 00:00 11:15
PERJANJIAN
KERJA
100204010525Y001 27-05-2025 27-05-2025 PEGAWAI Disorders of
190 0003758183886 NISKALA AINUNNISA P Rujuk Vertikal
473 00:00 10:38 SWASTA accommodation
Non-insulin-dependent
100204010525Y001 27-05-2025 27-05-2025 PEKERJA
191 0003759622683 JOLIARTA TONI SILAEN L diabetes mellitus with Rujuk Vertikal
472 00:00 10:36 MANDIRI
multiple complications
100204010525Y001 26-05-2025 26-05-2025
192 0000028474312 ALEXANDER AGUNG L PNS DAERAH Strabismus, unspecified Rujuk Vertikal
437 00:00 11:17
100204010525Y001 26-05-2025 26-05-2025 PENERIMA Stroke, not specified as
193 0000053714698 DJUDJU SUHANA L Rujuk Vertikal
422 00:00 10:07 PENSIUN PNS haemorrhage or infarction
100204010525Y001 26-05-2025 26-05-2025 Arthrosis, unspecified,
194 0000055756991 DESVIRA P - Rujuk Vertikal
395 00:00 09:21 ankle and foot
100204010525Y001 26-05-2025 26-05-2025 PENERIMA
195 0000057585115 TRI AMARINA P Other hyperlipidaemia Berobat Jalan
376 00:00 08:49 PENSIUN PNS
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes Diabetes
196 0000407577925 ELASWATI P Berobat Jalan
363 00:00 08:32 KESEHATAN diabetes mellitus Mellitus Mellitus
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
197 0000417691675 SUNARDI L Epidemic vertigo Berobat Jalan
421 00:00 10:06 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PEKERJA Gastroduodenitis,
198 0000417929681 RINI SARIPAH P Rujuk Vertikal
434 00:00 10:55 MANDIRI unspecified
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Other surgical follow-up
199 0000418266167 DENI L Berobat Jalan
426 00:00 10:30 KESEHATAN care
100204010525Y001 26-05-2025 26-05-2025
200 0000418476846 LISNAWATI P - Myalgia Berobat Jalan
432 00:00 10:41
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
201 0000418565169 KURDI L Myalgia Berobat Jalan
392 00:00 09:14 MANDIRI
100204010525Y001 26-05-2025 26-05-2025
202 0000418622073 IRMAWATI P - Polyarthritis, unspecified Berobat Jalan
413 00:00 09:46
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN

203 0000418623197 NANDITA AULIA PUTRI P Pyoderma Berobat Jalan
419 00:00 09:55 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Hyperglycaemia,
204 0000418919038 TATI RUSWATI P Berobat Jalan
410 00:00 09:43 KESEHATAN unspecified
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
205 0000418941922 DAMIN L Acute laryngopharyngitis Berobat Jalan
348 00:00 08:01 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
206 0000419021447 HENDRA GUNAWAN L Congestive heart failure Rujuk Vertikal
429 00:00 10:36 MANDIRI
100204010525Y001 26-05-2025 26-05-2025
207 0000419437473 DADANG ROMANSYAH L - Myalgia Berobat Jalan
428 00:00 10:34
100204010525Y001 26-05-2025 26-05-2025
208 0000419477229 TASMI HARYATI P - Secondary hypertension Berobat Jalan
358 00:00 08:17
Chronic obstructive
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
209 0000419517134 ALO RAHMAT L pulmonary disease, Rujuk Vertikal
436 00:00 11:02 KESEHATAN
unspecified
100204010525Y001 26-05-2025 26-05-2025 Pure
210 0000419583069 TOTO SUPARTO L - Berobat Jalan
366 00:00 08:34 hypercholesterolaemia
100204010525Y001 26-05-2025 26-05-2025
211 0000419583475 MULYATI P - Myalgia Berobat Jalan
364 00:00 08:33
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
212 0000419591542 ELAH JAMILAH P Acute laryngopharyngitis Berobat Jalan
352 00:00 08:04 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Disorders of
213 0000419596569 KOMAR NURDIN L Rujuk Vertikal
381 00:00 08:56 KESEHATAN accommodation
100204010525Y001 26-05-2025 26-05-2025
214 0000419650075 HANI P - Other viral conjunctivitis Berobat Jalan
384 00:00 09:02
100204010525Y001 26-05-2025 26-05-2025
215 0000419758029 DERIL SYARIF MUHAMAD L - Epilepsy, unspecified Rujuk Vertikal
427 00:00 10:32
100204010525P001 26-05-2025 26-05-2025 PBI JAMINAN Hypertensive heart
216 0000419815721 LILIS HASANAH P Berobat Jalan Hipertensi
418 00:00 09:53 KESEHATAN disease
100204010525Y001 26-05-2025 26-05-2025
217 0000419863454 UNASIH P - Acute laryngopharyngitis Berobat Jalan
409 00:00 09:41
100204010525Y001 26-05-2025 26-05-2025
218 0000419986888 HERPINAH P - Polyarthritis, unspecified Berobat Jalan
350 00:00 08:02
Gastro-oesophageal reflux
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
219 0000419987035 MELPIANA L disease without Berobat Jalan
354 00:00 08:09 KESEHATAN
oesophagitis
Atherosclerotic
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
220 0000420312431 KARYATI P cardiovascular disease, so Rujuk Vertikal
347 00:00 07:58 KESEHATAN
described
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 26-05-2025 26-05-2025 PEGAWAI Conductive hearing loss,

221 0001003866693 KEMAL NUGRAHA L Berobat Jalan
433 00:00 10:49 SWASTA unspecified
100204010525Y001 26-05-2025 26-05-2025 Antenatal screening,
222 0001003904998 SRI MULYANI P - Berobat Jalan
372 00:00 08:39 unspecified
PBPU DAN BP
100204010525P001 26-05-2025 26-05-2025 Hypertensive heart
223 0001340297278 EUIS KURAESIN P PEMERINTAH Berobat Jalan Hipertensi
416 00:00 09:51 disease
DAERAH
100204010525Y001 26-05-2025 26-05-2025
224 0001340393488 YENI KUSDIANTINI P - Secondary hypertension Rujuk Vertikal
417 00:00 09:52
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Diabetes
225 0001340433382 UJANG TAHYA L PEMERINTAH Myalgia Berobat Jalan
360 00:00 08:20 Mellitus
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Hebephrenic
226 0001340556658 SUPRIANTO L PEMERINTAH Rujuk Vertikal
353 00:00 08:05 schizophrenia
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Nonspecific low
227 0001340597452 LILIS YATI P PEMERINTAH Berobat Jalan
408 00:00 09:40 blood-pressure reading
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
228 0001340699736 SETIA LARASATI P PEMERINTAH Otitis externa, unspecified Berobat Jalan
404 00:00 09:36
DAERAH
100204010525Y001 26-05-2025 26-05-2025 SEPTIAN DARMAWAN
229 0001340872514 L - Streptococcal tonsillitis Berobat Jalan
394 00:00 09:18 JAYA SUBAKTI

Diarrhoea and
100204010525Y001 26-05-2025 26-05-2025 ALDILA LAKSYA ADZANI
230 0001372002748 P - gastroenteritis of Berobat Jalan
424 00:00 10:13 PUTRI
presumed infectious origin

100204010525Y001 26-05-2025 26-05-2025 PEKERJA

231 0001388473806 JUMARI L Other viral conjunctivitis Berobat Jalan
377 00:00 08:50 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
232 0001388475202 PURWANTI P Otitis media, unspecified Berobat Jalan
396 00:00 09:22 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 Acute nasopharyngitis
233 0001452101657 YAYAH KARMANAH P - Berobat Jalan
400 00:00 09:25 [common cold]
100204010525P001 26-05-2025 26-05-2025 PEKERJA
234 0001456332175 SAMUEL IWAN GUNAWAN L Pruritus, unspecified Berobat Jalan
438 00:00 11:55 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 H BAMBANG PEGAWAI Essential (primary)
235 0001461345445 L Berobat Jalan Hipertensi
385 00:00 09:05 SUBIYANTORO, IR, MM SWASTA hypertension
100204010525Y001 26-05-2025 26-05-2025 General medical
236 0001472840515 LUTHFI FEBRIYANA L - Berobat Jalan
425 00:00 10:28 examination
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

MUHAMAD
100204010525Y001 26-05-2025 26-05-2025 PEGAWAI Acute nasopharyngitis
237 0001517014269 ARDHIANSYAH NUR L Berobat Jalan
402 00:00 09:36 SWASTA [common cold]
RIZKY
100204010525Y001 26-05-2025 26-05-2025 PEGAWAI Acute nasopharyngitis
238 0001519436935 OKY RAMANSYAH L Berobat Jalan
361 00:00 08:29 SWASTA [common cold]
100204010525Y001 26-05-2025 26-05-2025 PEGAWAI Acute nasopharyngitis
239 0001519436946 TRISA JANUAR ALILLAFHI L Berobat Jalan
365 00:00 08:33 SWASTA [common cold]
100204010525Y001 26-05-2025 26-05-2025
240 0001662929897 ELI RATNA SUMINAR P - Headache Berobat Jalan
420 00:00 09:57
100204010525Y001 26-05-2025 26-05-2025 Essential (primary)
241 0001663803472 SUPRIATNA L - Berobat Jalan Hipertensi
378 00:00 08:51 hypertension

PBPU DAN BP Diarrhoea and Diabetes

100204010525Y001 26-05-2025 26-05-2025
242 0001663803483 ENTIN SUMARTINI P PEMERINTAH gastroenteritis of Berobat Jalan Mellitus
399 00:00 09:25
DAERAH presumed infectious origin Hipertensi

100204010525Y001 26-05-2025 26-05-2025 PEGAWAI Convergent concomitant

243 0001778166729 YAYAN MULYANA L Rujuk Vertikal
345 00:00 07:51 SWASTA strabismus
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 MUHAMMAD ILHAM
244 0001828027563 L PEMERINTAH Dislocation of wrist Rujuk Vertikal
374 00:00 08:40 RAMADHAN
DAERAH
100204010525Y001 26-05-2025 26-05-2025 Non-insulin-dependent Diabetes
245 0001830135857 ENAH ROHAENI P - Berobat Jalan
351 00:00 08:04 diabetes mellitus Mellitus
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
246 0002063038825 ELA HAYATI P Myalgia Berobat Jalan
407 00:00 09:39 MANDIRI
PEGAWAI
PEMERINTAH
100204010525Y001 26-05-2025 26-05-2025 Hypertensive heart
247 0002091084579 ANDES HANDYANY P DENGAN Berobat Jalan
431 00:00 10:39 disease
PERJANJIAN
KERJA
100204010525Y001 26-05-2025 26-05-2025 PETRONELLA NAOMI
248 0002209920434 P - Schizoaffective disorders Rujuk Vertikal
435 00:00 11:00 SAMBUR
100204010525Y001 26-05-2025 26-05-2025 LUTHFAH NURIZZAH Acute nasopharyngitis
249 0002261667172 P - Berobat Jalan
415 00:00 09:51 ISTIANAH [common cold]
100204010525Y001 26-05-2025 26-05-2025
250 0002282343041 RISMA RAHMAWATI P - Necrosis of pulp Berobat Jalan
411 00:00 09:45
Atherosclerotic
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
251 0002464268905 MAMAN SULAEMAN L cardiovascular disease, so Rujuk Vertikal
346 00:00 07:55 MANDIRI
described
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Surgical follow-up care,
252 0002517033554 RAFI HAZIM MUZAKI L PEMERINTAH Berobat Jalan
391 00:00 09:14 unspecified
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN

253 0002526995226 ASEP MASNA L Acute laryngopharyngitis Berobat Jalan
371 00:00 08:37 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
254 0002694399704 ELIS ADAH P Acute laryngopharyngitis Berobat Jalan
375 00:00 08:43 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
255 0002694399715 AZKA MAULANA L Acute laryngopharyngitis Berobat Jalan
373 00:00 08:40 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
256 0002793038613 INA MARIYANA P Myalgia Berobat Jalan Hipertensi
367 00:00 08:34 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 RAIHAN PUTRA PBI JAMINAN
257 0002793054622 L Tinnitus Berobat Jalan
430 00:00 10:37 PAMUNGKAS KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
258 0002852164462 WIWIN WINDANI P Necrosis of pulp Berobat Jalan
369 00:00 08:35 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 SYIFA HANIFATUL Acute nasopharyngitis
259 0002863476797 P - Berobat Jalan
397 00:00 09:23 MUNAWAROH [common cold]
Tuberculosis of lung,
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN without mention of
260 0002863480285 ENDANG KALIMAT L Berobat Jalan
405 00:00 09:37 KESEHATAN bacteriological or
histological confirmation
100204010525Y001 26-05-2025 26-05-2025 Non-insulin-dependent Diabetes
261 0002911992704 ADE ROHAENI P - Berobat Jalan
389 00:00 09:12 diabetes mellitus Mellitus
100204010525Y001 26-05-2025 26-05-2025 ADELIANA SETIATI
262 0002961422908 P - Chronic gingivitis Berobat Jalan
387 00:00 09:10 KUSNADI
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
263 0002962531844 JARIS HANIF CAHYA L PEMERINTAH Other viral conjunctivitis Berobat Jalan
390 00:00 09:13
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 KEINARA NADEEVA Acute nasopharyngitis
264 0002962532531 P PEMERINTAH Berobat Jalan
388 00:00 09:11 CANDRA [common cold]
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
265 0003041957024 YASMINE RAFIFAH P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
393 00:00 09:16
DAERAH
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Need for immunization
266 0003113969859 ANANDA RIYANTI P Berobat Jalan
403 00:00 09:36 KESEHATAN against tetanus alone
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
267 0003117432058 YADI L Myalgia Berobat Jalan
359 00:00 08:18 KESEHATAN
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
268 0003167896329 YUYUN YUNINGSIH P Acute gingivitis Berobat Jalan
356 00:00 08:15 KESEHATAN
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Pure
269 0003171999341 LISMAWATI P PEMERINTAH Berobat Jalan
440 00:00 12:15 hypercholesterolaemia
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Cutaneous abscess,
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
270 0003174269635 ADINDA DERANISA P furuncle and carbuncle of Berobat Jalan
383 00:00 09:01 KESEHATAN
limb
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 KIRAN RACHMANIA
271 0003207747723 P PEMERINTAH Counselling, unspecified Berobat Jalan
414 00:00 09:50 NESSA
DAERAH
100204010525Y001 26-05-2025 26-05-2025 Acute nasopharyngitis
272 0003207758556 HARYATI P - Berobat Jalan
412 00:00 09:46 [common cold]
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
273 0003207764676 KARISA SONIA PUTRI P Streptococcal tonsillitis Berobat Jalan
406 00:00 09:38 KESEHATAN
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
274 0003207764812 IKA HERNITA P PEMERINTAH Myalgia Berobat Jalan
370 00:00 08:37
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 Supervision of high-risk
275 0003208107609 SITI RODIYAH P PEMERINTAH Rujuk Vertikal
379 00:00 08:53 pregnancy, unspecified
DAERAH
100204010525Y001 26-05-2025 26-05-2025 Acute upper respiratory
276 0003208118758 KEYLA ANANDA PURTRI P - Berobat Jalan
349 00:00 08:02 infection, unspecified
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN Acute nasopharyngitis
277 0003208118769 YASRIL PRATAMA L Berobat Jalan
355 00:00 08:10 KESEHATAN [common cold]
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
278 0003221831452 YAYAN MULYANA L Acute laryngopharyngitis Berobat Jalan
401 00:00 09:33 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 Pure
279 0003222576516 IMAS HAYATI P - Berobat Jalan
439 00:00 12:03 hypercholesterolaemia
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
280 0003222579767 FITRI INDRIYANI P PEMERINTAH Other viral conjunctivitis Berobat Jalan
382 00:00 09:00
DAERAH
PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025
281 0003223340526 NANIK ROHANA P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
357 00:00 08:16
DAERAH
Nonpyogenic thrombosis
100204010525Y001 26-05-2025 26-05-2025 PEKERJA
282 0003580442886 DIAH P of intracranial venous Rujuk Vertikal
441 00:00 13:14 MANDIRI
system
100204010525Y001 26-05-2025 26-05-2025 TAN RIVAL ANDY PEGAWAI
283 0003581350929 L Trigger finger Rujuk Vertikal
423 00:00 10:10 HERTANTO SWASTA
100204010525Y001 26-05-2025 26-05-2025 PBI JAMINAN
284 0003592876555 ALZENA RANI MESHWA P Counselling, unspecified Berobat Jalan
380 00:00 08:56 KESEHATAN
100204010525P001 26-05-2025 26-05-2025 PEKERJA
285 0003615418855 ASEP SUPARMAN L Necrosis of pulp Rujuk Vertikal
386 00:00 09:08 MANDIRI
100204010525Y001 26-05-2025 26-05-2025 ALBIRU BILAL PEKERJA
286 0003637288901 L Fever, unspecified Berobat Jalan
398 00:00 09:23 NURDIANSYAH MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 26-05-2025 26-05-2025 BAYI NYONYA SHERIN
287 0003751667368 P PEMERINTAH Counselling, unspecified Berobat Jalan
362 00:00 08:30 NAFISA QIREZ
DAERAH
100204010525Y001 26-05-2025 26-05-2025 PEKERJA General medical
288 0003759590248 NINING WIDIANINGSIH P Berobat Jalan
368 00:00 08:34 MANDIRI examination
100204010525Y001 24-05-2025 24-05-2025 PENERIMA Non-insulin-dependent Diabetes Diabetes
289 0000053378728 IMAM TOYIBUN L Berobat Jalan
300 00:00 08:25 PENSIUN TNI diabetes mellitus Mellitus Mellitus
100204010525P001 24-05-2025 24-05-2025
290 0000053378739 AMINAH P - Other forms of stomatitis Berobat Jalan Hipertensi
344 00:00 12:37
100204010525Y001 24-05-2025 24-05-2025 Tuberculous peripheral
291 0000053614901 PRAYOGO ENDARDJO L - Berobat Jalan
326 00:00 09:59 lymphadenopathy
100204010525Y001 24-05-2025 24-05-2025 PEGAWAI
292 0000418622229 KURNIA HADIANSYAH L Other viral conjunctivitis Berobat Jalan
305 00:00 08:57 SWASTA
Unspecified diabetes
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
293 0000418977483 IIS SUMIATI P mellitus with unspecified Rujuk Vertikal
298 00:00 08:09 KESEHATAN
complications
100204010525Y001 24-05-2025 24-05-2025
294 0000419035937 NUNIK DIKARWATI P - Chronic kidney disease Berobat Jalan Hipertensi Hipertensi
313 00:00 09:23
100204010525Y001 24-05-2025 24-05-2025
295 0000419358958 METI PRIANI P - Necrosis of pulp Berobat Jalan
332 00:00 10:25
100204010525Y001 24-05-2025 24-05-2025
296 0000419690204 MAE P - Myalgia Berobat Jalan
316 00:00 09:33
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
297 0000419690755 RISMA P Other acute sinusitis Berobat Jalan
317 00:00 09:35 KESEHATAN
Other acute upper
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
298 0000419717621 DINI MULYANI PUSPITA P respiratory infections of Berobat Jalan
318 00:00 09:42 KESEHATAN
multiple sites
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
299 0000419744597 DEDEH KOMARIAH P Myalgia Berobat Jalan
301 00:00 08:30 KESEHATAN
100204010525Y001 24-05-2025 24-05-2025 Essential (primary)
300 0000419837286 RATI WAHYUNINGSIH P - Berobat Jalan Hipertensi
325 00:00 09:56 hypertension
100204010525Y001 24-05-2025 24-05-2025
301 0000420042677 WIWIN CAHYANI P - Fever, unspecified Berobat Jalan
323 00:00 09:49
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
302 0000420329349 AMINAH P Gastritis, unspecified Berobat Jalan
337 00:00 11:00 KESEHATAN
100204010525Y001 24-05-2025 24-05-2025 Acute nasopharyngitis
303 0000441629111 DEDE ENAH P - Berobat Jalan
291 00:00 07:49 [common cold]
Other acute upper
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
304 0000504348862 HANI P respiratory infections of Berobat Jalan
299 00:00 08:12 KESEHATAN
multiple sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP Unspecified diabetes

100204010525Y001 24-05-2025 24-05-2025
305 0000505208046 JUMASIH P PEMERINTAH mellitus with neurological Rujuk Vertikal
308 00:00 09:01
DAERAH complications
100204010525Y001 24-05-2025 24-05-2025
306 0001003864375 SUHERLAN L - Congestive heart failure Rujuk Vertikal
312 00:00 09:15
Diabetes
100204010525Y001 24-05-2025 24-05-2025 Essential (primary)
307 0001003867064 ONIH P - Berobat Jalan Mellitus
339 00:00 11:24 hypertension
Hipertensi
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN Essential (primary)
308 0001003906956 LILIS RAHMAWATI P Berobat Jalan Hipertensi
315 00:00 09:30 KESEHATAN hypertension
100204010525Y001 24-05-2025 24-05-2025 PEKERJA
309 0001268341975 KOMALA P Necrosis of pulp Berobat Jalan
324 00:00 09:50 MANDIRI
PBPU DAN BP
100204010525Y001 24-05-2025 24-05-2025 Undifferentiated
310 0001340298189 JUJU L PEMERINTAH Rujuk Vertikal
321 00:00 09:45 schizophrenia
DAERAH
PBPU DAN BP
100204010525Y001 24-05-2025 24-05-2025
311 0001340434012 TATI ARNATI P PEMERINTAH Myalgia Berobat Jalan Hipertensi
302 00:00 08:34
DAERAH
100204010525Y001 24-05-2025 24-05-2025 BELLA SILVY PUTRI
312 0001340529254 P - Mild vaginal dysplasia Rujuk Horizontal
293 00:00 07:55 AULIA
100204010525Y001 24-05-2025 24-05-2025 PEKERJA Essential (primary)
313 0001389386068 DEDE RUKANDA L Berobat Jalan Hipertensi
341 00:00 11:42 MANDIRI hypertension
100204010525Y001 24-05-2025 24-05-2025 Non-insulin-dependent Diabetes
314 0001389389106 KARYATI P - Berobat Jalan
329 00:00 10:08 diabetes mellitus Mellitus
100204010525Y001 24-05-2025 24-05-2025 PEKERJA Essential (primary)
315 0001454871093 EDDY HADIYANTO L Berobat Jalan Hipertensi
303 00:00 08:43 MANDIRI hypertension
100204010525Y001 24-05-2025 24-05-2025 Non-insulin-dependent Diabetes
316 0001454881487 WIDYAWATI P - Berobat Jalan
342 00:00 12:25 diabetes mellitus Mellitus
100204010525Y001 24-05-2025 24-05-2025
317 0001472840504 IRMAWATI P - Benign paroxysmal vertigo Berobat Jalan
327 00:00 09:59
100204010525Y001 24-05-2025 24-05-2025
318 0001780643035 IMAS SITI HANIPAH P - Headache Berobat Jalan
294 00:00 07:57
100204010525Y001 24-05-2025 24-05-2025 Essential (primary)
319 0001838558147 WARTINI P - Berobat Jalan Hipertensi
296 00:00 08:07 hypertension
100204010525Y001 24-05-2025 24-05-2025 PEGAWAI Haemorrhage, not
320 0001851984944 WIEDA DEWI WIDYAWATI P Rujuk Vertikal
331 00:00 10:22 SWASTA elsewhere classified
100204010525Y001 24-05-2025 24-05-2025 PEKERJA
321 0002063038825 ELA HAYATI P Myalgia Berobat Jalan
306 00:00 08:59 MANDIRI
100204010525Y001 24-05-2025 24-05-2025 PEKERJA
322 0002208887414 ETI ROHAETI P Polyarthritis, unspecified Berobat Jalan
314 00:00 09:28 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 24-05-2025 24-05-2025 HILMA HADIANTI PEGAWAI

323 0002454127661 P Pulpitis Berobat Jalan
297 00:00 08:09 HASANAH SWASTA
100204010525Y001 24-05-2025 24-05-2025 RADEN DIANDRA MADANI Disorders of
324 0002469777603 L - Rujuk Vertikal
328 00:00 10:06 MIFZAL accommodation
100204010525Y001 24-05-2025 24-05-2025 Nonspecific low
325 0002495496431 TITIN ROHAYANI P - Berobat Jalan
310 00:00 09:04 blood-pressure reading
100204010525Y001 24-05-2025 24-05-2025 Cluster headache
326 0002697734935 ICAH SYINTIA OKTAVIANI P - Berobat Jalan
338 00:00 11:00 syndrome
100204010525Y001 24-05-2025 24-05-2025 PEKERJA Schizoaffective disorder,
327 0002772497531 RINI PRIYANTI P Rujuk Vertikal
320 00:00 09:44 MANDIRI depressive type
100204010525Y001 24-05-2025 24-05-2025 PRAYESTI AMELINDA PBI JAMINAN Acute tonsillitis,
328 0002793035136 P Berobat Jalan
335 00:00 10:49 PUTRI KESEHATAN unspecified
100204010525Y001 24-05-2025 24-05-2025 PEGAWAI Disorder of vestibular
329 0002793040659 RIYAN AHMAD GUNAWAN L Rujuk Vertikal
319 00:00 09:44 SWASTA function, unspecified
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN Fracture of other carpal
330 0002793051854 HODIJAH P Berobat Jalan
340 00:00 11:37 KESEHATAN bone(s) , closed
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN Observation for suspected
331 0002863480285 ENDANG KALIMAT L Berobat Jalan
309 00:00 09:04 KESEHATAN tuberculosis
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
332 0002863480588 ROSYADI L Myalgia Berobat Jalan
292 00:00 07:53 KESEHATAN
100204010525Y001 24-05-2025 24-05-2025 PBI JAMINAN
333 0002863482197 TATI ROHAETI P End-stage renal disease Rujuk Vertikal
295 00:00 08:07 KESEHATAN
100204010525Y001 24-05-2025 24-05-2025 CANTIKA SAKURA Disturbances in tooth
334 0002885323331 P - Berobat Jalan
304 00:00 08:56 AGUSTIN eruption
Other acute upper
100204010525Y001 24-05-2025 24-05-2025 DESWITA SEFTIA
335 0002885323599 P - respiratory infections of Berobat Jalan
311 00:00 09:13 RAMADHANI
multiple sites
100204010525Y001 24-05-2025 24-05-2025 RADEN NUHKHALID Acute upper respiratory
336 0002907714633 L PNS PUSAT Berobat Jalan
330 00:00 10:14 MAGIKA MAUZA infection, unspecified
PBPU DAN BP
100204010525Y001 24-05-2025 24-05-2025
337 0002961422886 AYI KUSNADI L PEMERINTAH Fever, unspecified Berobat Jalan
307 00:00 09:00
DAERAH
100204010525Y001 24-05-2025 24-05-2025 PEGAWAI Disturbances in tooth
338 0003207744167 RAFKA ARSHA FATHAN L Berobat Jalan
336 00:00 11:00 SWASTA eruption
100204010525Y001 24-05-2025 24-05-2025 PEGAWAI Acute tonsillitis,
339 0003221836413 SUBAGJA SETIAWAN L Berobat Jalan
343 00:00 12:31 SWASTA unspecified
PBPU DAN BP
100204010525Y001 24-05-2025 24-05-2025
340 0003222563512 NUR YATI P PEMERINTAH Acute abdomen Rujuk Vertikal
333 00:00 10:27
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 24-05-2025 24-05-2025 PEGAWAI Acute nasopharyngitis

341 0003261413643 CITERA KOMALA P Berobat Jalan
322 00:00 09:48 SWASTA [common cold]
PEGAWAI
PEMERINTAH
100204010525Y001 24-05-2025 24-05-2025 MUHAMMAD KENZO
342 0003591338499 L DENGAN Streptococcal pharyngitis Berobat Jalan
334 00:00 10:41 ALTHAFUNIZAM
PERJANJIAN
KERJA
100204010525Y001 23-05-2025 23-05-2025 Essential (primary)
343 0000037451248 TATI RUKIAH P - Berobat Jalan Hipertensi
240 00:00 08:15 hypertension
100204010525Y001 23-05-2025 23-05-2025 Disturbances in tooth
344 0000412548726 RISKA FITRIYANI P - Berobat Jalan
284 00:00 10:37 eruption
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN General medical
345 0000417777344 NONI ERNA SARI P Berobat Jalan
267 00:00 09:35 KESEHATAN examination
100204010525Y001 23-05-2025 23-05-2025 PEKERJA
346 0000417929681 RINI SARIPAH P Other acute gastritis Berobat Jalan
285 00:00 10:48 MANDIRI
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Acute upper respiratory
347 0000418859379 LIA YULIANTI P Berobat Jalan
276 00:00 10:00 KESEHATAN infection, unspecified

100204010525Y001 23-05-2025 23-05-2025 Disorder of muscle,

348 0000418900566 SLAMET RIYANTO L - Berobat Jalan
236 00:00 07:57 unspecified, ankle and foot

100204010525P001 23-05-2025 23-05-2025 PEGAWAI

349 0000418975176 risa putri nurhani azzahra P Impacted teeth Rujuk Vertikal
288 00:00 11:01 SWASTA
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
350 0000419072106 YAYAH SAMSIAH P Dyspnoea Rujuk Vertikal
271 00:00 09:39 KESEHATAN
100204010525Y001 23-05-2025 23-05-2025
351 0000419141924 NANA SURYANA L - Myalgia Berobat Jalan
235 00:00 07:52
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
352 0000419380593 KURNIASIH P Necrosis of pulp Berobat Jalan
266 00:00 09:25 KESEHATAN
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
353 0000419381583 ISNI MARDHIYAH P Necrosis of pulp Berobat Jalan
265 00:00 09:23 KESEHATAN
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
354 0000419381908 DAHLIA SARI P Necrosis of pulp Berobat Jalan
257 00:00 09:06 KESEHATAN
100204010525Y001 23-05-2025 23-05-2025
355 0000419396613 DITA AMALIA P - Mild vaginal dysplasia Berobat Jalan
238 00:00 08:04
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Antenatal screening,
356 0000419724461 LINDA NURSARI P Berobat Jalan
255 00:00 09:02 KESEHATAN unspecified
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Disorder of facial nerve,
357 0000419738883 SINTA TRESNAWATI P Rujuk Vertikal
262 00:00 09:12 KESEHATAN unspecified
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Acute pharyngitis,
358 0000419771856 ELSA FEBRIYANI P Berobat Jalan
243 00:00 08:24 KESEHATAN unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Abnormal uterine and

100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
359 0000419786831 EMA RAHMAWATI P vaginal bleeding, Rujuk Vertikal
246 00:00 08:38 KESEHATAN
unspecified
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Antenatal screening,
360 0000542119689 SRI WAHYUNINGSIH P Berobat Jalan
263 00:00 09:13 KESEHATAN unspecified
100204010525Y001 23-05-2025 23-05-2025 UTARI WIJAYANTI. S. General medical
361 0000976150675 P PNS PUSAT Berobat Jalan
281 00:00 10:15 KOM. M.SI examination
100204010525Y001 23-05-2025 23-05-2025
362 0001003862395 MIRANTIKA P - Necrosis of pulp Berobat Jalan
282 00:00 10:17
100204010525Y001 23-05-2025 23-05-2025 PEGAWAI Acute upper respiratory
363 0001003863802 SUGIANTO L Berobat Jalan
245 00:00 08:31 SWASTA infection, unspecified
100204010525Y001 23-05-2025 23-05-2025 PEGAWAI General medical
364 0001003864241 DITA ISTI NURJANAH P Berobat Jalan
249 00:00 08:45 SWASTA examination
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
365 0001089376637 PUTRA NUR ALIF L Fever, unspecified Berobat Jalan
272 00:00 09:42 KESEHATAN
PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025 SALMA SITI LATIFAH General medical
366 0001340528872 P PEMERINTAH Berobat Jalan
256 00:00 09:05 DEWI ANDINI examination
DAERAH
100204010525Y001 23-05-2025 23-05-2025
367 0001340722304 SITI SANGADAH P - Myalgia Berobat Jalan
261 00:00 09:10
100204010525Y001 23-05-2025 23-05-2025 VYRDA JULYANTI PEKERJA Other specified irregular
368 0001340872446 P Berobat Jalan
269 00:00 09:36 NAYFITRI MANDIRI menstruation
100204010525Y001 23-05-2025 23-05-2025 Acute upper respiratory
369 0001341084565 KASNO L - Berobat Jalan
244 00:00 08:27 infection, unspecified
100204010525Y001 23-05-2025 23-05-2025 Other and unspecified
370 0001466990818 DAYA FONNA P - Rujuk Vertikal
241 00:00 08:17 abdominal pain
100204010525Y001 23-05-2025 23-05-2025 Other and unspecified
371 0001515192715 SARIP HIDAYAT L - Rujuk Vertikal
264 00:00 09:14 abdominal pain

100204010525Y001 23-05-2025 23-05-2025 AGUNG MUHAMMAD PBI JAMINAN Unspecified haemorrhoids

372 0001801600255 L Rujuk Vertikal
273 00:00 09:50 NUGRAHA KESEHATAN with other complications

Tuberculosis of lung,
100204010525Y001 23-05-2025 23-05-2025 PEKERJA confirmed by sputum
373 0002200551039 NINA ROSMANA P Berobat Jalan
237 00:00 08:04 MANDIRI microscopy with or without
culture
PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025 Non-insulin-dependent
374 0002210519542 RUKMINI P PEMERINTAH Berobat Jalan
250 00:00 08:47 diabetes mellitus
DAERAH
100204010525Y001 23-05-2025 23-05-2025 PEKERJA Acute nasopharyngitis
375 0002376917493 BETTI IRIANTI P Berobat Jalan
283 00:00 10:34 MANDIRI [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025 Antenatal screening,
376 0002398899429 LENI ENDAH SUSANTI P PEMERINTAH Berobat Jalan
252 00:00 08:51 unspecified
DAERAH
100204010525Y001 23-05-2025 23-05-2025
377 0002747573605 SELFA DEFIANS LATUNY L - Pulpitis Berobat Jalan
289 00:00 11:03
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Blighted ovum and
378 0002793048671 SUMIATI P Rujuk Vertikal
258 00:00 09:06 KESEHATAN nonhydatidiform mole
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
379 0002863476854 SUPRIDAH P Secondary hypertension Berobat Jalan
260 00:00 09:07 KESEHATAN
100204010525Y001 23-05-2025 23-05-2025 ANGGRAENI PBI JAMINAN Supervision of high-risk
380 0002863479238 P Rujuk Vertikal
251 00:00 08:48 PUSVITAWANTI KESEHATAN pregnancy, unspecified
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Antenatal screening,
381 0002863481409 YOFI NURBAETI P Berobat Jalan
239 00:00 08:10 KESEHATAN unspecified
Non-insulin-dependent
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN
382 0002863481951 TATI P diabetes mellitus with Rujuk Vertikal
248 00:00 08:39 KESEHATAN
unspecified complications
100204010525Y001 23-05-2025 23-05-2025 Other renal
383 0002876161623 AAM ROPIAH P - Rujuk Vertikal
287 00:00 10:49 tubulo-interstitial diseases
PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025
384 0002962530112 WINDA FEBRIANTI P PEMERINTAH Impacted teeth Berobat Jalan
275 00:00 09:58
DAERAH
100204010525Y001 23-05-2025 23-05-2025
385 0003041954548 MEILA PUTRI SYAFIQOH P - Fever, unspecified Berobat Jalan
270 00:00 09:37
Cutaneous abscess,
100204010525Y001 23-05-2025 23-05-2025
386 0003041954559 AZKIYA HUMAIRA P - furuncle and carbuncle, Berobat Jalan
268 00:00 09:36
unspecified
100204010525Y001 23-05-2025 23-05-2025 PEGAWAI Unspecified diabetes
387 0003069842218 RAMZI. AS L Rujuk Vertikal
254 00:00 08:58 SWASTA mellitus
100204010525Y001 23-05-2025 23-05-2025 PBI JAMINAN Acute upper respiratory
388 0003116963891 NIA KURNIASIH P Berobat Jalan
234 00:00 07:39 KESEHATAN infection, unspecified
100204010525Y001 23-05-2025 23-05-2025 Unspecified diabetes
389 0003207751571 YENI KUSWARDANI P - Rujuk Vertikal
259 00:00 09:07 mellitus
100204010525Y001 23-05-2025 23-05-2025 Observation for suspected
390 0003208126757 LATIFFAH AYU SETIAWAN P - Rujuk Vertikal
253 00:00 08:55 tuberculosis
PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025
391 0003222553983 MUMUN FITRI ROSDIANI P PEMERINTAH Endometriosis, unspecified Rujuk Vertikal
278 00:00 10:05
DAERAH
100204010525Y001 23-05-2025 23-05-2025 Acute upper respiratory
392 0003222579115 RUSWATI P - Berobat Jalan
247 00:00 08:39 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 23-05-2025 23-05-2025 HIRANYA FADHILLAH
393 0003223335521 P PEMERINTAH Other forms of stomatitis Berobat Jalan
242 00:00 08:20 ANDRIYANI PUTRI
DAERAH
100204010525Y001 23-05-2025 23-05-2025 MUHAMMAD FATHIR
394 0003223341821 L - Hyphaema Berobat Jalan
274 00:00 09:57 AL-MALIKI
100204010525Y001 23-05-2025 23-05-2025 PEKERJA
395 0003574830723 LILIS KOMARIAH P Acute abdomen Rujuk Vertikal
279 00:00 10:09 MANDIRI
100204010525Y001 23-05-2025 23-05-2025 PEKERJA Tuberculous peripheral
396 0003627374488 HANI JAYANTARI P Berobat Jalan
286 00:00 10:48 MANDIRI lymphadenopathy
100204010525Y001 23-05-2025 23-05-2025 PEGAWAI
397 0003635892224 ALIFA NAURA DEVANKA P Acute laryngopharyngitis Berobat Jalan
280 00:00 10:09 SWASTA
100204010525Y001 23-05-2025 23-05-2025 PEKERJA Antenatal screening,
398 0003758909027 CITRA YANI P Berobat Jalan
277 00:00 10:00 MANDIRI unspecified
100204010525Y001 22-05-2025 22-05-2025 PENERIMA
399 0000056665348 SUDRADJAT L Hyperplasia of prostate Rujuk Vertikal
226 00:00 09:58 PENSIUN PNS
100204010525Y001 22-05-2025 22-05-2025 PEKERJA Chronic ischaemic heart
400 0000418728655 EDAH P Rujuk Vertikal
195 00:00 08:15 MANDIRI disease
Allergic contact dermatitis
100204010525Y001 22-05-2025 22-05-2025 TARISA ANGGIA
401 0000418960157 P - due to other chemical Berobat Jalan
198 00:00 08:24 NOVIRAYANTI
products
100204010525Y001 22-05-2025 22-05-2025
402 0000419737408 ERFAN NURZAMAN L - Other viral conjunctivitis Berobat Jalan
217 00:00 09:13
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
403 0000419943093 NAI SUMIYATI P Low back pain Rujuk Vertikal
206 00:00 08:37 KESEHATAN
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
404 0000420160408 DEDE RUKMANA L Acute laryngopharyngitis Berobat Jalan
225 00:00 09:53 KESEHATAN
Orchitis, epididymitis and
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
405 0000420391787 DAYAT HIDAYAT L epididymo-orchitis with Berobat Jalan
199 00:00 08:25 KESEHATAN
abscess
100204010525Y001 22-05-2025 22-05-2025 ANASTASYA PUTRI PBI JAMINAN
406 0000420407954 P Acute gingivitis Berobat Jalan
220 00:00 09:16 IRAWAN KESEHATAN
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
407 0000420416998 NURAENI HOERUNISA P Chronic gingivitis Berobat Jalan
218 00:00 09:16 KESEHATAN
100204010525Y001 22-05-2025 22-05-2025
408 0001003864667 SARTI CAHYANI P - Asthma, unspecified Berobat Jalan
210 00:00 08:44
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
409 0001003867571 SIDIK MUSLIM L Streptococcal tonsillitis Berobat Jalan
211 00:00 08:47 KESEHATAN
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
410 0001003905167 JEJE L Acute laryngopharyngitis Berobat Jalan
208 00:00 08:40 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN Allergic contact dermatitis,

411 0001003905191 HERMAN L Berobat Jalan
197 00:00 08:20 KESEHATAN unspecified cause

100204010525Y001 22-05-2025 22-05-2025

412 0001008572275 INDRIANI P - Other acute gastritis Berobat Jalan
205 00:00 08:36
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 Disorders of
413 0001340598486 ERON RONASIH P PEMERINTAH Rujuk Vertikal
194 00:00 08:08 accommodation
DAERAH
PEGAWAI
PEMERINTAH
100204010525Y001 22-05-2025 22-05-2025 Acute nasopharyngitis
414 0001817804114 NIA SURYATI P DENGAN Berobat Jalan
233 00:00 11:39 [common cold]
PERJANJIAN
KERJA
100204010525Y001 22-05-2025 22-05-2025 PEKERJA
415 0002060622235 DEA SABRINA P Acute laryngopharyngitis Berobat Jalan
227 00:00 10:09 MANDIRI
100204010525Y001 22-05-2025 22-05-2025 RANI FEBRIYANTI
416 0002582869432 P - Acute laryngopharyngitis Berobat Jalan
209 00:00 08:43 PUSPITA
100204010525Y001 22-05-2025 22-05-2025 LARASATI MUSTIKA PEGAWAI Antenatal screening,
417 0002696681248 P Berobat Jalan
192 00:00 08:03 PRATIWI BL SWASTA unspecified
100204010525Y001 22-05-2025 22-05-2025 PEGAWAI Nonspecific low
418 0002746847935 RENA RAHAYU P Berobat Jalan
223 00:00 09:32 SWASTA blood-pressure reading
100204010525P001 22-05-2025 23-05-2025
419 0002747573605 SELFA DEFIANS LATUNY L - Necrosis of pulp Rujuk Vertikal
290 00:00 11:47
100204010525Y001 22-05-2025 22-05-2025
420 0002793038916 KUSWATI P - Acute laryngopharyngitis Berobat Jalan
213 00:00 08:51
Elevated blood-pressure
100204010525Y001 22-05-2025 22-05-2025
421 0002793046656 KUSIMIN L - reading, without diagnosis Berobat Jalan
191 00:00 08:03
of hypertension
100204010525Y001 22-05-2025 22-05-2025 Thyrotoxicosis,
422 0002863477179 DEDEH JULAEHA P - Rujuk Vertikal
200 00:00 08:27 unspecified
Elevated blood-pressure
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
423 0002869375588 DARSIAH P reading, without diagnosis Berobat Jalan
202 00:00 08:30 KESEHATAN
of hypertension
100204010525Y001 22-05-2025 22-05-2025
424 0002963428402 HENI P - Other viral conjunctivitis Berobat Jalan
216 00:00 08:57
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 REZZA MALIK IBRAHIM
425 0002963428413 L PEMERINTAH Other viral conjunctivitis Berobat Jalan
214 00:00 08:54 SEVCENKO
DAERAH
100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN
426 0003207658274 TUTI SUMIATI P Other acute gastritis Berobat Jalan
204 00:00 08:34 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 22-05-2025 22-05-2025 PBI JAMINAN Acute upper respiratory

427 0003207741862 DEDI HERIYANA L Berobat Jalan
196 00:00 08:19 KESEHATAN infection, unspecified
100204010525Y001 22-05-2025 22-05-2025 Disturbances in tooth
428 0003207744279 AKIM PADJATAMA L - Berobat Jalan
215 00:00 08:56 eruption
PBPU DAN BP Other specified chronic
100204010525Y001 22-05-2025 22-05-2025
429 0003207754923 ALIS LISNA P PEMERINTAH obstructive pulmonary Rujuk Vertikal
219 00:00 09:16
DAERAH disease
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 WULAN ROBI'ATUL General medical
430 0003222552205 P PEMERINTAH Berobat Jalan
212 00:00 08:47 A'DAWIYAH examination
DAERAH
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025
431 0003222562151 KAZKY AKHSAN FIKRI L PEMERINTAH Necrosis of pulp Berobat Jalan
207 00:00 08:38
DAERAH
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025
432 0003222567292 KARYANI OCTAVIANI P PEMERINTAH Other anxiety disorders Rujuk Vertikal
190 00:00 07:59
DAERAH
100204010525Y001 22-05-2025 22-05-2025
433 0003222582412 TATI HERAWATI P - Myalgia Berobat Jalan
203 00:00 08:31
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025
434 0003222582434 LEVI RAMADHAN L PEMERINTAH Acute laryngopharyngitis Berobat Jalan
201 00:00 08:28
DAERAH
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 CHRISTOPHER
435 0003223335172 L PEMERINTAH Myalgia Berobat Jalan
232 00:00 10:53 GIOVANNI. V. H
DAERAH
100204010525Y001 22-05-2025 22-05-2025
436 0003223335249 LIA ROSLIANINGSIH P - Benign paroxysmal vertigo Berobat Jalan
229 00:00 10:33
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 ALIZA NABILLA
437 0003223335251 P PEMERINTAH Caries of dentine Berobat Jalan
230 00:00 10:35 RAHMADHANTI
DAERAH
Tuberculosis of lung,
PBPU DAN BP
100204010525Y001 22-05-2025 22-05-2025 confirmed by sputum
438 0003223341562 DELVIA FITRI P PEMERINTAH Berobat Jalan
222 00:00 09:29 microscopy with or without
DAERAH
culture
100204010525Y001 22-05-2025 22-05-2025 PEKERJA Herpesviral infection,
439 0003340853717 SITI MASITOH P Berobat Jalan Hipertensi
224 00:00 09:39 MANDIRI unspecified
Need for immunization
100204010525Y001 22-05-2025 22-05-2025 REYNOVAN KALANDRA PEGAWAI against
440 0003561670359 L Berobat Jalan
193 00:00 08:07 YUKA ABISHEVA SWASTA diphtheria-tetanus-pertussi
s, combined [DTP]
100204010525Y001 22-05-2025 22-05-2025 TAN RIVAL ANDY PEGAWAI
441 0003581350929 L Trigger finger Berobat Jalan
231 00:00 10:48 HERTANTO SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP Other acute upper

100204010525Y001 22-05-2025 22-05-2025 BAYI NYONYA SHERIN
442 0003751667368 P PEMERINTAH respiratory infections of Berobat Jalan
221 00:00 09:29 NAFISA QIREZ
DAERAH multiple sites

100204010525Y001 22-05-2025 22-05-2025 PEKERJA Other specified

443 0003759622683 JOLIARTA TONI SILAEN L Rujuk Vertikal
228 00:00 10:31 MANDIRI orthopaedic follow-up care

100204010525Y001 21-05-2025 21-05-2025 PENERIMA Non-insulin-dependent Diabetes

444 0000053629626 SITI HARTATI ARTONO P Berobat Jalan
131 00:00 08:37 PENSIUN PNS diabetes mellitus Mellitus
100204010525Y001 21-05-2025 21-05-2025 YENI PERMANA
445 0000053661104 P - Polyarthritis, unspecified Berobat Jalan
159 00:00 10:44 ANDAYANI
100204010525Y001 21-05-2025 21-05-2025 Pure
446 0000053715868 DRS. H. IIK MAKIB. LC L - Berobat Jalan
139 00:00 08:58 hypercholesterolaemia
Insulin-dependent
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
447 0000404032691 TITI HERAWATI P diabetes mellitus with Rujuk Vertikal
129 00:00 08:26 KESEHATAN
unspecified complications
Diabetes
100204010525Y001 21-05-2025 21-05-2025 Non-insulin-dependent
448 0000418561233 PURWANTINI P - Berobat Jalan Mellitus
137 00:00 08:54 diabetes mellitus
Hipertensi
100204010525Y001 21-05-2025 22-05-2025 Acute sinusitis,
449 0000418589436 NURUL KOMARIAH P - Berobat Jalan
189 00:00 04:03 unspecified
100204010525P001 21-05-2025 21-05-2025 PEGAWAI
450 0000419250598 KOMALASARI P Necrosis of pulp Rujuk Vertikal
158 00:00 10:34 SWASTA
Tuberculosis of lung,
100204010525Y001 21-05-2025 21-05-2025 confirmed by sputum
451 0000419736699 SITI ROMLAH P - Berobat Jalan
164 00:00 11:29 microscopy with or without
culture
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
452 0000419946254 ADE JUHANA L Secondary hypertension Berobat Jalan
136 00:00 08:51 KESEHATAN
100204010525Y001 21-05-2025 21-05-2025
453 0000419946704 LIANTI P - Headache Berobat Jalan
134 00:00 08:48
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
454 0000504348862 HANI P Other acute gastritis Berobat Jalan
133 00:00 08:43 KESEHATAN
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
455 0001003865422 ASEP DEDI HERMAWAN L Secondary hypertension Berobat Jalan
162 00:00 11:24 KESEHATAN
Chronic obstructive
100204010525Y001 21-05-2025 21-05-2025
456 0001274859821 DEDE CAHYATI P - pulmonary disease, Rujuk Vertikal
155 00:00 10:22
unspecified
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
457 0001340393253 NENGSIH P PEMERINTAH Necrosis of pulp Berobat Jalan
140 00:00 09:18
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
458 0001340699005 REGINA PUTRI NABILA P PEMERINTAH Chronic periodontitis Berobat Jalan
154 00:00 10:15
DAERAH
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
459 0001441931027 HILMI HAMADI L PEMERINTAH Secondary hypertension Berobat Jalan
123 00:00 07:58
DAERAH
100204010525Y001 21-05-2025 21-05-2025 PEKERJA General medical
460 0001464107861 ALYA NURINSANI P Berobat Jalan
144 00:00 09:34 MANDIRI examination
100204010525Y001 21-05-2025 21-05-2025 Acute nasopharyngitis
461 0001515192715 SARIP HIDAYAT L - Berobat Jalan
156 00:00 10:22 [common cold]
100204010525Y001 21-05-2025 21-05-2025 PEKERJA
462 0001741088114 SRI JUNIAR MULIAWATI P Pulpitis Berobat Jalan
135 00:00 08:50 MANDIRI
100204010525Y001 21-05-2025 21-05-2025 General counselling and
463 0002430588148 NUNUNG P - Berobat Jalan Hipertensi
149 00:00 09:59 advice on contraception
100204010525Y001 21-05-2025 21-05-2025 PEKERJA Disorder of lacrimal
464 0002498172131 TIKNA SUTISNA L Rujuk Vertikal
138 00:00 08:58 MANDIRI system, unspecified
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN General medical
465 0002583444418 CELSI AMELIA P Berobat Jalan
153 00:00 10:15 KESEHATAN examination
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN Contraceptive
466 0002583870761 ENAH SUHAENAH P Berobat Jalan
143 00:00 09:33 KESEHATAN management, unspecified
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
467 0002594567338 JENI AGUSTIN P Streptococcal tonsillitis Berobat Jalan
141 00:00 09:21 KESEHATAN

Diarrhoea and
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
468 0002793047681 ETI SUKMAYANTI P gastroenteritis of Berobat Jalan
126 00:00 08:20 KESEHATAN
presumed infectious origin

100204010525Y001 21-05-2025 21-05-2025

469 0002863479993 KANIA SAIDAH SALAM P - Acute laryngopharyngitis Berobat Jalan
148 00:00 09:57
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
470 0002863480285 ENDANG KALIMAT L Dyspepsia Berobat Jalan
152 00:00 10:06 KESEHATAN
100204010525Y001 21-05-2025 21-05-2025
471 0002869375318 HENI ROHAENI P - Pulpitis Berobat Jalan
161 00:00 10:53
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
472 0002961426317 SAMSUL ANWAR L PEMERINTAH Necrosis of pulp Berobat Jalan
127 00:00 08:22
DAERAH
100204010525P001 21-05-2025 21-05-2025 Low back pain, multiple
473 0003079141672 ODAS P - Rujuk Vertikal
163 00:00 11:26 sites
100204010525Y001 21-05-2025 21-05-2025 Senile cataract,
474 0003114109001 ATA L - Rujuk Vertikal
151 00:00 10:06 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 21-05-2025 21-05-2025

475 0003137505851 ANDINI NUR AZIZAH P - Atrial septal defect Rujuk Vertikal
142 00:00 09:23
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
476 0003207748364 MONIKA NOPIYANTI P PEMERINTAH Conjunctival haemorrhage Berobat Jalan
130 00:00 08:29
DAERAH
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN
477 0003207748386 AKBAR RAMDHANI L Fever, unspecified Berobat Jalan
125 00:00 08:20 KESEHATAN
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
478 0003208108599 ADE SURYANI P PEMERINTAH Other viral conjunctivitis Berobat Jalan
132 00:00 08:40
DAERAH
100204010525Y001 21-05-2025 21-05-2025
479 0003208118758 KEYLA ANANDA PURTRI P - Fever, unspecified Berobat Jalan
124 00:00 08:18
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN Superficial injury of head,
480 0003208126961 SILVIA RACHMAWATI P Rujuk Vertikal
147 00:00 09:56 KESEHATAN part unspecified
100204010525Y001 21-05-2025 21-05-2025 MUHAMMAD RIZVAN Acute haemorrhagic
481 0003222559754 L - Berobat Jalan
157 00:00 10:30 ATTHORIQ gastritis
PBPU DAN BP
100204010525Y001 21-05-2025 21-05-2025
482 0003222563455 OTIH P PEMERINTAH Pain in throat Rujuk Vertikal
160 00:00 10:51
DAERAH
PBPU DAN BP
100204010525P001 21-05-2025 21-05-2025
483 0003223336893 ELIN RISMAYANTI P PEMERINTAH Necrosis of pulp Rujuk Vertikal
150 00:00 10:00
DAERAH
100204010525Y001 21-05-2025 21-05-2025 MUHAMMAD FATHIR Other surgical follow-up
484 0003223341821 L - Berobat Jalan
145 00:00 09:36 AL-MALIKI care
100204010525Y001 21-05-2025 21-05-2025 ALEENA ADIBA PEKERJA Acute upper respiratory
485 0003600439389 P Berobat Jalan
128 00:00 08:22 HIBATILLAH MANDIRI infection, unspecified
100204010525Y001 21-05-2025 21-05-2025 PBI JAMINAN Acute upper respiratory
486 0003639187383 AYASHA PUTRI AZZAHRA P Berobat Jalan
146 00:00 09:48 KESEHATAN infection, unspecified
100204010525Y001 20-05-2025 20-05-2025 Acute lymphadenitis of
487 0000053614901 PRAYOGO ENDARDJO L - Berobat Jalan
093 00:00 09:35 face, head and neck
100204010525Y001 20-05-2025 20-05-2025 PENERIMA Diabetes Diabetes
488 0000054052356 SUTARMI P Acute laryngopharyngitis Berobat Jalan
117 00:00 10:47 PENSIUN PNS Mellitus Mellitus
100204010525Y001 20-05-2025 20-05-2025 PENERIMA Chronic ischaemic heart
489 0000054052367 PAULUS SUMARDI L Rujuk Vertikal Hipertensi Hipertensi
115 00:00 10:42 PENSIUN PNS disease
100204010525Y001 20-05-2025 20-05-2025
490 0000169200437 ENAH P - Acute laryngopharyngitis Berobat Jalan
067 00:00 08:35
100204010525P001 20-05-2025 20-05-2025 PEKERJA
491 0000418237479 ICCA RACHMANDHINI P Impacted teeth Rujuk Vertikal
070 00:00 08:49 MANDIRI
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Other surgical follow-up
492 0000418266167 DENI L Berobat Jalan
110 00:00 10:21 KESEHATAN care
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN

493 0000418651198 YOYON TARYANTO L Headache Berobat Jalan
096 00:00 09:50 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025 Hypertensive heart
494 0000418651942 NUNUNG SITI HASAROH P - Rujuk Vertikal
098 00:00 09:55 disease
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
495 0000418989238 SUMIYATI P Secondary hypertension Berobat Jalan
057 00:00 08:11 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
496 0000418989993 ANDI L Fever, unspecified Rujuk Vertikal
109 00:00 10:20 KESEHATAN
Tuberculosis of lung,
100204010525Y001 20-05-2025 20-05-2025 confirmed by sputum
497 0000419017555 SABILA TITANIA P - Berobat Jalan
111 00:00 10:27 microscopy with or without
culture
Elevated blood-pressure
100204010525Y001 20-05-2025 20-05-2025
498 0000419023844 DODI SUHANDA L - reading, without diagnosis Berobat Jalan
083 00:00 09:13
of hypertension
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
499 0000419033542 ELIS WIDA P Secondary hypertension Berobat Jalan
049 00:00 07:55 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
500 0000419390785 APUD MAHPUDIN L Congestive heart failure Rujuk Vertikal
095 00:00 09:45 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025
501 0000419403519 HADI SUHARNO L - Nummular dermatitis Berobat Jalan
069 00:00 08:45
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
502 0000419664497 SITY ROHMAH P Secondary hypertension Berobat Jalan
060 00:00 08:15 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025 Acute upper respiratory
503 0000419917105 DAYAT ROHENDI L - Berobat Jalan
061 00:00 08:21 infection, unspecified
Atherosclerotic
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
504 0000419917151 ESIH KURNAESIH P cardiovascular disease, so Rujuk Vertikal
048 00:00 07:51 KESEHATAN
described
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Acute upper respiratory
505 0000420069791 SITI NURJANAH P Berobat Jalan
068 00:00 08:35 KESEHATAN infection, unspecified

Diarrhoea and
100204010525Y001 20-05-2025 20-05-2025
506 0000420383248 DEDEH P - gastroenteritis of Berobat Jalan
047 00:00 07:51
presumed infectious origin

100204010525Y001 20-05-2025 20-05-2025

507 0000420737534 WAWAN SOPIAN L - Secondary hypertension Berobat Jalan
076 00:00 09:02
100204010525Y001 20-05-2025 20-05-2025
508 0001003862946 ATAM L - Gastritis, unspecified Berobat Jalan
087 00:00 09:24
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
509 0001003864173 USIN L Cataract, unspecified Rujuk Vertikal
080 00:00 09:09 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 20-05-2025 20-05-2025

510 0001003901591 SURYANI P - Asthma, unspecified Berobat Jalan
090 00:00 09:31
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
511 0001089390701 NAIMAH P Congestive heart failure Rujuk Vertikal
058 00:00 08:11 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025
512 0001274859821 DEDE CAHYATI P - Streptococcal pharyngitis Berobat Jalan
119 00:00 10:55
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
513 0001340529614 NITA RAHAYU P PEMERINTAH Cystitis, unspecified Berobat Jalan
088 00:00 09:25
DAERAH
Tuberculosis of lung,
100204010525Y001 20-05-2025 20-05-2025 confirmed by sputum
514 0001340699523 JERI FIRMANSAH L - Berobat Jalan
063 00:00 08:28 microscopy with or without
culture
100204010525Y001 20-05-2025 20-05-2025
515 0001452101657 YAYAH KARMANAH P - Malaise and fatigue Berobat Jalan
114 00:00 10:35
100204010525Y001 20-05-2025 20-05-2025 Acute nasopharyngitis
516 0001517014258 ENDAH NIRMAWANTI P - Berobat Jalan
084 00:00 09:13 [common cold]
100204010525Y001 20-05-2025 20-05-2025 Other chronic suppurative
517 0001521661972 ENDAH FAUZIYAH P - Rujuk Vertikal
081 00:00 09:09 otitis media
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
518 0001610178221 HANIFAH P Antenatal screening Berobat Jalan
073 00:00 08:54 MANDIRI
100204010525Y001 20-05-2025 20-05-2025 NADA SAFITRI General medical
519 0001660059292 P - Berobat Jalan
092 00:00 09:32 RAMADHANI examination
100204010525Y001 20-05-2025 20-05-2025 PEGAWAI
520 0001669190174 KOKON MULYANA L Secondary hypertension Berobat Jalan Hipertensi
079 00:00 09:06 SWASTA
Non-insulin-dependent
100204010525Y001 20-05-2025 20-05-2025 PEKERJA diabetes mellitus with Diabetes
521 0001669827633 SUPARDI L Berobat Jalan
062 00:00 08:24 MANDIRI peripheral circulatory Mellitus
complications
100204010525Y001 20-05-2025 20-05-2025 PEKERJA General medical
522 0001741088114 SRI JUNIAR MULIAWATI P Berobat Jalan
122 00:00 12:43 MANDIRI examination
100204010525Y001 20-05-2025 20-05-2025 Hyperlipidaemia,
523 0001741088125 SONY SYAFARI L - Berobat Jalan
103 00:00 10:04 unspecified
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
524 0001961069242 MARYAM P Necrosis of pulp Berobat Jalan
108 00:00 10:20 MANDIRI
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
525 0002096410937 ODANG ROHAENDI L PEMERINTAH Other viral conjunctivitis Berobat Jalan
102 00:00 10:03
DAERAH

100204010525Y001 20-05-2025 20-05-2025 PEGAWAI Hordeolum and other deep

526 0002137267067 SHOFIYYAH P Berobat Jalan
100 00:00 09:58 SWASTA inflammation of eyelid
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 20-05-2025 20-05-2025 CLARINE SHINE PEGAWAI Acute upper respiratory

527 0002444853734 P Berobat Jalan
094 00:00 09:39 ARISTYAWAN SWASTA infection, unspecified
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Acute upper respiratory
528 0002610557908 ZAIM MALIK IBRAHIM L Berobat Jalan
065 00:00 08:32 KESEHATAN infection, unspecified
100204010525Y001 20-05-2025 20-05-2025
529 0002694003849 OVIE MIAWATI P - Myalgia Berobat Jalan
121 00:00 11:32
100204010525Y001 20-05-2025 20-05-2025
530 0002744560236 HASNA FADHILAH P - Other acute gastritis Berobat Jalan
055 00:00 08:07
Other benign neoplasm of
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
531 0002793039388 ADE ELYANTI P connective and other soft Rujuk Vertikal
066 00:00 08:35 KESEHATAN
tissue of pelvis
100204010525Y001 20-05-2025 20-05-2025 PEGAWAI Acute pharyngitis,
532 0002793040672 NABILA PEBRIYANI P Berobat Jalan
074 00:00 08:56 SWASTA unspecified
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Chronic ischaemic heart
533 0002793051797 IDO L Rujuk Vertikal
054 00:00 08:06 KESEHATAN disease
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Antenatal screening,
534 0002836962494 DHEWI SITI NURBARIAH P Berobat Jalan
078 00:00 09:05 KESEHATAN unspecified
100204010525P001 20-05-2025 20-05-2025
535 0002860272641 POPY PARICA KARTINI P - Necrosis of pulp Rujuk Vertikal
097 00:00 09:53
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Acute upper respiratory
536 0002863481117 PUTRA ALI ALFATIH L Berobat Jalan
077 00:00 09:04 KESEHATAN infection, unspecified
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
537 0002878104249 ANGGITA GILANGKANIA P Atrial septal defect Rujuk Vertikal
059 00:00 08:12 MANDIRI
100204010525Y001 20-05-2025 20-05-2025 General medical
538 0002961427397 Irgi Renaldi L - Berobat Jalan
050 00:00 07:58 examination
Elevated blood-pressure
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
539 0002967508157 RIBUT P reading, without diagnosis Berobat Jalan
105 00:00 10:08 KESEHATAN
of hypertension
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN Acute upper respiratory
540 0002967509621 MIMI NURHAENI P Berobat Jalan
086 00:00 09:14 KESEHATAN infection, unspecified
100204010525Y001 20-05-2025 20-05-2025 Antenatal screening,
541 0003006144764 SISKAWATI P - Berobat Jalan
091 00:00 09:32 unspecified
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025 Acute upper respiratory
542 0003041956776 ELIH HANA P PEMERINTAH Berobat Jalan
056 00:00 08:07 infection, unspecified
DAERAH
100204010525Y001 20-05-2025 20-05-2025 PBI JAMINAN
543 0003116823322 SANDRA GITTA NURANI P Other viral conjunctivitis Berobat Jalan
106 00:00 10:14 KESEHATAN
Stiffness of joint, not
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
544 0003137059405 AZIS ADAM ALIANSYAH L elsewhere classified, ankle Rujuk Vertikal
053 00:00 08:06 MANDIRI
and foot
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
545 0003171987999 A. ROSMAYA P PEMERINTAH Epilepsy, unspecified Rujuk Vertikal
116 00:00 10:43
DAERAH
PBPU DAN BP Elevated blood-pressure
100204010525Y001 20-05-2025 20-05-2025
546 0003207442555 A. SUHERMAN L PEMERINTAH reading, without diagnosis Berobat Jalan
072 00:00 08:53
DAERAH of hypertension
Tuberculosis of lung,
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025 confirmed by sputum
547 0003207764722 ENDAH P PEMERINTAH Berobat Jalan
052 00:00 08:02 microscopy with or without
DAERAH
culture
100204010525P001 20-05-2025 20-05-2025 PBI JAMINAN
548 0003208112548 DADANG SUTISNA L Necrosis of pulp Rujuk Vertikal
064 00:00 08:31 KESEHATAN
100204010525Y001 20-05-2025 20-05-2025 Hypertensive heart
549 0003208123269 AJAN SUTARJAN L - Rujuk Vertikal
113 00:00 10:34 disease
100204010525Y001 20-05-2025 20-05-2025
550 0003208123271 YANTI P - Secondary hypertension Berobat Jalan
089 00:00 09:29
100204010525Y001 20-05-2025 20-05-2025 Observation for suspected
551 0003208126757 LATIFFAH AYU SETIAWAN P - Berobat Jalan
112 00:00 10:28 tuberculosis
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
552 0003221812361 HENDI SETIADI L Secondary hypertension Berobat Jalan
051 00:00 08:01 MANDIRI
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
553 0003222555579 TURNIA SARI P PEMERINTAH Asthma, unspecified Berobat Jalan
104 00:00 10:07
DAERAH
Elevated blood-pressure
100204010525Y001 20-05-2025 20-05-2025
554 0003222582401 OOM DACHYAR L - reading, without diagnosis Berobat Jalan
099 00:00 09:57
of hypertension
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
555 0003223076106 VIONITA DARA OKTAVIA P PEMERINTAH Dyskinetic cerebral palsy Rujuk Vertikal
118 00:00 10:54
DAERAH
100204010525Y001 20-05-2025 20-05-2025
556 0003223097504 CITRA KHAIRUNISA P - Gastritis, unspecified Berobat Jalan
082 00:00 09:12
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025 Antenatal screening,
557 0003223332167 HANI YULIA P PEMERINTAH Berobat Jalan
085 00:00 09:14 unspecified
DAERAH
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
558 0003223339874 TUTY NURJANAH P PEMERINTAH Myalgia Berobat Jalan
120 00:00 10:59
DAERAH
PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
559 0003223340616 LISNA NURLIANI P PEMERINTAH Myalgia Berobat Jalan
107 00:00 10:18
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y001 20-05-2025 20-05-2025
560 0003587214273 AZZAHRA SILMI KAAFFAH P PEMERINTAH Other viral conjunctivitis Berobat Jalan
101 00:00 10:01
DAERAH
100204010525Y001 20-05-2025 20-05-2025 PEKERJA
561 0003646608816 NIZAM KURNIA SAPUTRA L Acute laryngopharyngitis Berobat Jalan
075 00:00 08:57 MANDIRI
Tuberculosis of lung,
100204010525Y001 20-05-2025 20-05-2025 PEKERJA confirmed by sputum
562 0003757354312 SUYANTO L Berobat Jalan
071 00:00 08:51 MANDIRI microscopy with or without
culture
100204010525Y001 19-05-2025 19-05-2025
563 0000053377749 AMINAH WERKUWULUNG P - Ganglion Rujuk Vertikal
033 00:00 10:13
100204010525P001 19-05-2025 19-05-2025
564 0000053460999 KAYLA KANAYA BINTANG P PNS DAERAH Impacted teeth Rujuk Vertikal
027 00:00 09:55
Sequelae of stroke, not
100204010525P000 19-05-2025 19-05-2025
565 0000053715418 JAJA SUHAJA L - specified as haemorrhage Berobat Jalan
977 00:00 08:03
or infarction
100204010525Y000 19-05-2025 19-05-2025 PENERIMA
566 0000057585115 TRI AMARINA P Other hyperlipidaemia Berobat Jalan
978 00:00 08:04 PENSIUN PNS
Atherosclerotic
100204010525P000 19-05-2025 19-05-2025 PBI JAMINAN
567 0000404766584 ANDI SUTOPO L cardiovascular disease, so Berobat Jalan
973 00:00 08:00 KESEHATAN
described
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
568 0000407596882 DAS'AH P Myalgia Berobat Jalan
003 00:00 08:54 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN Unspecified nonorganic
569 0000407597128 HADIANSYAH L Rujuk Vertikal
000 00:00 08:48 KESEHATAN psychosis
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN Gastrointestinal
570 0000417689638 PIAH P Rujuk Vertikal
046 00:00 11:55 KESEHATAN haemorrhage, unspecified
100204010525Y001 19-05-2025 19-05-2025
571 0000418476846 LISNAWATI P - Myalgia Berobat Jalan
026 00:00 09:55
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN Acute nasopharyngitis
572 0000418608101 EEN SUMIATI P Berobat Jalan
025 00:00 09:52 KESEHATAN [common cold]
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
573 0000418768244 RINI RISMAWATI P Dyspepsia Berobat Jalan
015 00:00 09:34 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
574 0000418973793 IIN HARDIAH P Idiopathic gout Berobat Jalan
035 00:00 10:14 KESEHATAN
100204010525P000 19-05-2025 19-05-2025 Chronic kidney disease,
575 0000419035937 NUNIK DIKARWATI P - Berobat Jalan Hipertensi Hipertensi
970 00:00 07:57 stage 4
100204010525Y000 19-05-2025 19-05-2025
576 0000419061295 DEVI ALYANI P - Other atopic dermatitis Berobat Jalan
991 00:00 08:39
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525P000 19-05-2025 19-05-2025

577 0000419156717 SETIAJI L - Schizophrenia Berobat Jalan
967 00:00 07:54
100204010525Y001 19-05-2025 19-05-2025 Senile cataract,
578 0000419337099 SITI MULYANI P - Rujuk Vertikal
005 00:00 09:03 unspecified
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
579 0000419413138 ELA HAYATI NINGSIH P Myalgia Berobat Jalan
036 00:00 10:25 KESEHATAN
Other acute upper
100204010525Y001 19-05-2025 19-05-2025
580 0000419484892 TAMARA PUTRI LEGINA P - respiratory infections of Berobat Jalan
031 00:00 10:08
multiple sites
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN Persistent proteinuria,
581 0000419718734 HASANAH P Berobat Jalan
985 00:00 08:26 KESEHATAN unspecified
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
582 0000419755151 CICIH P Dyspepsia Berobat Jalan
021 00:00 09:49 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 PEGAWAI
583 0000419779247 NURHAYATI SOLIHAT P Necrosis of pulp Berobat Jalan
016 00:00 09:35 SWASTA
Other acute upper
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
584 0000420022045 HENA P respiratory infections of Berobat Jalan
988 00:00 08:32 KESEHATAN
multiple sites
100204010525P001 19-05-2025 19-05-2025 PBI JAMINAN
585 0000420290043 NUR INA NAXENA P Necrosis of pulp Rujuk Vertikal
011 00:00 09:18 KESEHATAN
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
586 0000420312431 KARYATI P Necrosis of pulp Berobat Jalan
981 00:00 08:12 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
587 0000420416998 NURAENI HOERUNISA P Chronic periodontitis Berobat Jalan
007 00:00 09:06 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN Nonspecific low
588 0000503918829 EMA P Berobat Jalan
030 00:00 10:04 KESEHATAN blood-pressure reading
Elevated blood-pressure
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
589 0001003867356 YAYA SUHAYA L reading, without diagnosis Berobat Jalan
980 00:00 08:12 KESEHATAN
of hypertension
100204010525Y001 19-05-2025 19-05-2025 Non-insulin-dependent
590 0001003906877 EMI P - Berobat Jalan
006 00:00 09:04 diabetes mellitus
100204010525P000 19-05-2025 19-05-2025 Stroke, not specified as
591 0001177760428 ROSMIATI P - Berobat Jalan
968 00:00 07:55 haemorrhage or infarction
100204010525Y001 19-05-2025 19-05-2025 PEKERJA
592 0001183168012 SRI RIZKI CAHYANTI P Pulpitis Berobat Jalan
043 00:00 11:35 MANDIRI
100204010525Y000 19-05-2025 19-05-2025 Tuberculosis of bones and
593 0001265447013 IRNA GINARNI P PRAJURIT AD Rujuk Vertikal
996 00:00 08:43 joints
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
594 0001340555681 SITI MAESAROH P Myalgia Berobat Jalan
024 00:00 09:51 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 19-05-2025 19-05-2025

595 0001340901641 ROSMAWATI P - Acute laryngopharyngitis Berobat Jalan
966 00:00 07:53
PBPU DAN BP
100204010525Y001 19-05-2025 19-05-2025
596 0001372187103 SAMSUDIN L PEMERINTAH Pulpitis Berobat Jalan
028 00:00 09:59
DAERAH
PBPU DAN BP
100204010525Y001 19-05-2025 19-05-2025
597 0001372187283 KHALISHA NUR SABRINA P PEMERINTAH Necrosis of pulp Berobat Jalan
020 00:00 09:49
DAERAH
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
598 0001399085493 NIA KURNIA NINGSIH P Pneumonia, unspecified Berobat Jalan
989 00:00 08:35 KESEHATAN
100204010525Y000 19-05-2025 19-05-2025 PEKERJA
599 0001425178113 SRI MULYANTI P Schizophrenia, unspecified Rujuk Vertikal
969 00:00 07:56 MANDIRI
100204010525Y000 19-05-2025 19-05-2025 PEKERJA Chronic ischaemic heart
600 0001428587245 MACHRI L Rujuk Vertikal
992 00:00 08:40 MANDIRI disease
100204010525Y000 19-05-2025 19-05-2025 PEGAWAI Chronic ischaemic heart
601 0001458057587 NURALAMSYAH L Berobat Jalan
974 00:00 08:01 SWASTA disease
100204010525Y000 19-05-2025 19-05-2025
602 0001515192715 SARIP HIDAYAT L - Acute laryngopharyngitis Berobat Jalan
979 00:00 08:04
100204010525Y000 19-05-2025 19-05-2025 MUHAMMAD FATIH PEGAWAI General medical
603 0001630727548 L Berobat Jalan
986 00:00 08:29 DARMAWAN SWASTA examination
PEGAWAI
PEMERINTAH
100204010525Y001 19-05-2025 19-05-2025 Acute nasopharyngitis
604 0001817804114 NIA SURYATI P DENGAN Berobat Jalan
042 00:00 11:03 [common cold]
PERJANJIAN
KERJA
100204010525Y000 19-05-2025 19-05-2025 PEKERJA
605 0002073609033 MUHAMMAD FAHMI L Acute laryngopharyngitis Berobat Jalan
987 00:00 08:29 MANDIRI
PBPU DAN BP Non-insulin-dependent
100204010525Y001 19-05-2025 19-05-2025
606 0002090387362 LILI NURLANTIKA P PEMERINTAH diabetes mellitus with Rujuk Vertikal
022 00:00 09:50
DAERAH unspecified complications
100204010525P001 19-05-2025 19-05-2025 PEGAWAI
607 0002137267056 SITI MARYATI P Necrosis of pulp Rujuk Vertikal
045 00:00 11:41 SWASTA
100204010525P001 19-05-2025 19-05-2025 PEGAWAI
608 0002137267067 SHOFIYYAH P Necrosis of pulp Rujuk Vertikal
044 00:00 11:39 SWASTA
PBPU DAN BP
100204010525Y000 19-05-2025 19-05-2025
609 0002203098535 FINI NURHAYANI P PEMERINTAH Other viral conjunctivitis Berobat Jalan
999 00:00 08:46
DAERAH
100204010525Y001 19-05-2025 19-05-2025 PEKERJA
610 0002208887414 ETI ROHAETI P Polyarthritis, unspecified Berobat Jalan
032 00:00 10:09 MANDIRI
100204010525Y001 19-05-2025 19-05-2025 ARGIA MUHAMMAD PEKERJA
611 0002257075135 L Pneumonia, unspecified Berobat Jalan
034 00:00 10:13 ABBASY MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 19-05-2025 19-05-2025 Essential (primary)

612 0002378890203 ENENG IRIYANTI P - Berobat Jalan Hipertensi
993 00:00 08:40 hypertension
100204010525Y001 19-05-2025 19-05-2025 PEGAWAI
613 0002442276764 DEWI FITRIYANI P Abscess of external ear Berobat Jalan
019 00:00 09:42 SWASTA
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
614 0002793032548 ROSITA DEWI P Cough Berobat Jalan
014 00:00 09:33 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 Convalescence following
615 0002793040749 MANDA DESY YANA P - Rujuk Vertikal
010 00:00 09:18 surgery
100204010525P000 19-05-2025 19-05-2025
616 0002863478338 IPAN SOPIAN L - Impacted teeth Rujuk Vertikal
990 00:00 08:39
100204010525Y000 19-05-2025 19-05-2025
617 0002863480263 DELIA RAHMAWATI P - Pulpitis Berobat Jalan
994 00:00 08:42
100204010525P000 19-05-2025 19-05-2025 PBI JAMINAN Hypertensive heart
618 0002869376196 AAT SOLIHAT P Berobat Jalan Hipertensi Hipertensi
972 00:00 07:58 KESEHATAN disease
100204010525Y001 19-05-2025 19-05-2025
619 0002876161623 AAM ROPIAH P - Low back pain Berobat Jalan
037 00:00 10:33
100204010525Y001 19-05-2025 19-05-2025 PENERIMA Senile cataract,
620 0002890486484 SURYADI RACHMAT L Rujuk Vertikal
004 00:00 08:56 PENSIUN PNS unspecified
100204010525Y001 19-05-2025 19-05-2025 PENERIMA
621 0002890487283 OLENG SUKAESIH P Osteophyte, multiple sites Berobat Jalan
002 00:00 08:50 PENSIUN PNS
100204010525Y001 19-05-2025 19-05-2025 PEGAWAI Acute nasopharyngitis
622 0002930702848 LINA SUSILAWATI P Berobat Jalan
039 00:00 10:47 SWASTA [common cold]
PBPU DAN BP
100204010525Y000 19-05-2025 19-05-2025
623 0002961422133 YULIA KHOIRUNNISA P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
983 00:00 08:20
DAERAH
PBPU DAN BP Non-insulin-dependent
100204010525Y001 19-05-2025 19-05-2025
624 0002963428468 SRI WAHYUNI P PEMERINTAH diabetes mellitus with Rujuk Vertikal
012 00:00 09:21
DAERAH multiple complications
100204010525Y001 19-05-2025 19-05-2025
625 0003001383369 SITI SUAROH P - Streptococcal tonsillitis Berobat Jalan
023 00:00 09:51
100204010525Y001 19-05-2025 19-05-2025 MUHAMMAD RAYYAN PEKERJA
626 0003120047447 L Dyspnoea Rujuk Vertikal
038 00:00 10:36 KAHFI MANDIRI
Sequelae of stroke, not
100204010525P000 19-05-2025 19-05-2025
627 0003207741164 ATING ROBI L - specified as haemorrhage Berobat Jalan
975 00:00 08:02
or infarction
PBPU DAN BP
100204010525Y000 19-05-2025 19-05-2025
628 0003207748364 MONIKA NOPIYANTI P PEMERINTAH Other viral conjunctivitis Berobat Jalan
995 00:00 08:42
DAERAH
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN Hypertensive heart
629 0003207754901 UJANG HIDAYAT L Rujuk Vertikal
998 00:00 08:45 KESEHATAN disease
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN Primary gonarthrosis,

630 0003207754912 AYI AMINAH P Berobat Jalan
018 00:00 09:39 KESEHATAN bilateral
100204010525Y001 19-05-2025 19-05-2025
631 0003208108476 FINNA DERIFA SYABAN P - Other forms of stomatitis Berobat Jalan
013 00:00 09:22
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
632 0003208113595 NADHIFA NUR BADIA P Dermatitis, unspecified Berobat Jalan
982 00:00 08:16 KESEHATAN
100204010525Y001 19-05-2025 19-05-2025 MUHAMMAD AFGHAN
633 0003208122257 L - Acute laryngopharyngitis Berobat Jalan
001 00:00 08:50 PRATAMA
100204010525P000 19-05-2025 19-05-2025 PBI JAMINAN
634 0003221170244 SOPIAN L Schizophrenia Berobat Jalan
984 00:00 08:25 KESEHATAN
100204010525Y000 19-05-2025 19-05-2025 Acute nasopharyngitis
635 0003221835906 ATIB L - Berobat Jalan
971 00:00 07:57 [common cold]
PBPU DAN BP
100204010525Y001 19-05-2025 19-05-2025 WULAN ROBI'ATUL
636 0003222552205 P PEMERINTAH Other acute gastritis Berobat Jalan
008 00:00 09:11 A'DAWIYAH
DAERAH
100204010525Y001 19-05-2025 19-05-2025 PBI JAMINAN
637 0003222568438 IJAH P Dyspepsia Berobat Jalan
040 00:00 10:58 KESEHATAN
PBPU DAN BP
100204010525Y001 19-05-2025 19-05-2025
638 0003222581207 SUMIYATI P PEMERINTAH Low back pain Rujuk Vertikal
029 00:00 10:04
DAERAH
100204010525Y001 19-05-2025 19-05-2025
639 0003222582682 OMIH AMINAH P - Acute laryngopharyngitis Berobat Jalan
009 00:00 09:14
PBPU DAN BP
100204010525Y001 19-05-2025 19-05-2025
640 0003223079875 INA MARYANI P PEMERINTAH Idiopathic gout Berobat Jalan
041 00:00 11:02
DAERAH
100204010525Y000 19-05-2025 19-05-2025 PEKERJA
641 0003587324218 ADIBA PUTRI KINANTI P Counselling, unspecified Berobat Jalan
997 00:00 08:45 MANDIRI
100204010525Y000 19-05-2025 19-05-2025 PBI JAMINAN
642 0003755221481 BAYI NYONYA NOVITA P Counselling, unspecified Berobat Jalan
976 00:00 08:02 KESEHATAN
Tuberculosis of lung,
100204010525Y001 19-05-2025 19-05-2025 PEKERJA confirmed by sputum
643 0003757354312 SUYANTO L Berobat Jalan
017 00:00 09:38 MANDIRI microscopy with or without
culture
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
644 0000037451248 TATI RUKIAH P - Berobat Jalan Hipertensi
952 00:00 10:15 hypertension
100204010525Y000 17-05-2025 17-05-2025 PENERIMA Essential (primary)
645 0000053378695 WIWIN P Berobat Jalan Hipertensi
941 00:00 09:55 PENSIUN TNI hypertension
100204010525Y000 17-05-2025 17-05-2025 PENERIMA Non-insulin-dependent Diabetes Diabetes
646 0000053378728 IMAM TOYIBUN L Berobat Jalan
891 00:00 08:45 PENSIUN TNI diabetes mellitus Mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 17-05-2025 17-05-2025 Essential (primary)

647 0000053378739 AMINAH P - Berobat Jalan Hipertensi
874 00:00 08:26 hypertension
100204010525Y000 17-05-2025 17-05-2025 PENERIMA Hypertensive heart Diabetes
648 0000053629626 SITI HARTATI ARTONO P Rujuk Vertikal
847 00:00 07:01 PENSIUN PNS disease Mellitus
100204010525Y000 17-05-2025 17-05-2025
649 0000053717736 ENTIN P - Dyspepsia Berobat Jalan Hipertensi
870 00:00 08:20
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
650 0000053859723 ROILAH P - Berobat Jalan Hipertensi
947 00:00 10:08 hypertension
100204010525Y000 17-05-2025 17-05-2025 PENERIMA
651 0000054052187 RUKMAN L Dizziness and giddiness Berobat Jalan
862 00:00 08:10 PENSIUN PNS
100204010525P001 17-05-2025 21-05-2025 PENERIMA Essential (primary)
652 0000054052367 PAULUS SUMARDI L Berobat Jalan Hipertensi Hipertensi
183 00:00 15:46 PENSIUN PNS hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
653 0000055705465 URIP SURATMAN L PNS DAERAH Berobat Jalan Hipertensi
936 00:00 09:50 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
654 0000055705476 TETI HERMAWATI P PNS DAERAH Berobat Jalan Hipertensi
939 00:00 09:53 hypertension
100204010525Y000 17-05-2025 17-05-2025
655 0000056599672 KOSWARA L PNS PUSAT Typhoid fever Berobat Jalan
890 00:00 08:45
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
656 0000169216053 MARSINAH P - Berobat Jalan Hipertensi
933 00:00 09:44 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
657 0000413126302 DARYONO L Headache Berobat Jalan
940 00:00 09:53 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
658 0000417762663 NUNUNG P Berobat Jalan Hipertensi
943 00:00 09:58 KESEHATAN hypertension
100204010525Y000 17-05-2025 17-05-2025 Non-insulin-dependent
659 0000418561233 PURWANTINI P - Berobat Jalan Hipertensi
945 00:00 10:03 diabetes mellitus
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
660 0000418597569 SUMADI L - Berobat Jalan Hipertensi
184 00:00 15:54 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
661 0000418636945 SISKA. M. DIANA P Berobat Jalan Hipertensi
959 00:00 10:39 KESEHATAN hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
662 0000418645901 SRI MUKTI P Carpal tunnel syndrome Berobat Jalan
935 00:00 09:48 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
663 0000418753269 AGUNG GUNAWAN L Streptococcal tonsillitis Berobat Jalan
904 00:00 08:56 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
664 0000418766084 DEDE ENAS P Berobat Jalan Hipertensi
884 00:00 08:39 KESEHATAN hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
665 0000418845339 ELIS SUMIATI P - Berobat Jalan Hipertensi
165 00:00 15:20 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525P001 17-05-2025 21-05-2025 Essential (primary)

666 0000419001772 EUIS KOMARIAH P - Berobat Jalan Hipertensi
176 00:00 15:32 hypertension
100204010525P001 17-05-2025 21-05-2025 PBI JAMINAN Essential (primary)
667 0000419035015 KARSIWEN P Berobat Jalan Hipertensi
170 00:00 15:26 KESEHATAN hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
668 0000419105766 ENUNG RUSMINA P - Berobat Jalan Hipertensi
924 00:00 09:29 hypertension
Atherosclerotic
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
669 0000419125858 ENAN L cardiovascular disease, so Rujuk Vertikal
881 00:00 08:35 KESEHATAN
described
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
670 0000419126005 TIK TIK GUSMAWANTI P Headache Berobat Jalan
917 00:00 09:17 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
671 0000419154546 EULIS SOPIAH P - Berobat Jalan Hipertensi Hipertensi
849 00:00 07:47 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
672 0000419184404 JUJU JUBAIDAH P - Berobat Jalan Hipertensi
934 00:00 09:48 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Hyperlipidaemia,
673 0000419192695 MOMOH P Berobat Jalan
850 00:00 07:49 KESEHATAN unspecified
100204010525Y000 17-05-2025 17-05-2025 Non-insulin-dependent Diabetes
674 0000419220191 YUYUN YULIPAH P - Berobat Jalan
880 00:00 08:34 diabetes mellitus Mellitus
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI
675 0000419305904 ACHMAD SOPYAN L Chest pain, unspecified Rujuk Vertikal
889 00:00 08:43 SWASTA
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
676 0000419380593 KURNIASIH P Necrosis of pulp Berobat Jalan
901 00:00 08:54 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
677 0000419381583 ISNI MARDHIYAH P Necrosis of pulp Berobat Jalan
909 00:00 09:04 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
678 0000419381908 DAHLIA SARI P Necrosis of pulp Berobat Jalan
920 00:00 09:20 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Disorders of
679 0000419402305 RANI APRIYANI P Rujuk Vertikal
902 00:00 08:55 KESEHATAN accommodation
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI Other and unspecified
680 0000419449555 RUSMANA L Rujuk Vertikal
949 00:00 10:09 SWASTA abdominal pain
100204010525Y000 17-05-2025 17-05-2025
681 0000419477681 RINA RIMA WATI P - Gastritis, unspecified Berobat Jalan
896 00:00 08:49
Excessive and frequent
100204010525Y000 17-05-2025 17-05-2025
682 0000419510981 ANNISA AGUSTINA P - menstruation with regular Rujuk Vertikal
913 00:00 09:10
cycle
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI
683 0000419529791 VIVA VAHIRA P Pain in joint, multiple sites Rujuk Vertikal
915 00:00 09:14 SWASTA
100204010525Y000 17-05-2025 17-05-2025
684 0000419685074 ESIH YUNINGSIH P - Congestive heart failure Rujuk Vertikal
853 00:00 07:56
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)

685 0000419751977 ISAH AISAH P Berobat Jalan Hipertensi
914 00:00 09:13 KESEHATAN hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
686 0000419815721 LILIS HASANAH P Berobat Jalan Hipertensi
918 00:00 09:19 KESEHATAN hypertension
Atherosclerotic
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
687 0000419829794 SAYU WAHYU L cardiovascular disease, so Rujuk Vertikal
885 00:00 08:39 KESEHATAN
described
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
688 0000419837286 RATI WAHYUNINGSIH P - Berobat Jalan Hipertensi
961 00:00 10:44 hypertension
Diabetes
100204010525Y000 17-05-2025 17-05-2025 Non-insulin-dependent
689 0000420030472 RATNAH P - Berobat Jalan Mellitus
922 00:00 09:24 diabetes mellitus
Hipertensi
100204010525Y000 17-05-2025 17-05-2025 Malignant neoplasm of
690 0000420107949 RIA YUNIAR P - Rujuk Vertikal
900 00:00 08:53 thyroid gland
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
691 0000420145468 KOKOM P Headache Berobat Jalan Hipertensi
908 00:00 09:04 MANDIRI
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
692 0000420173572 IKA SARTIKA P - Berobat Jalan Hipertensi
174 00:00 15:30 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
693 0000420501093 ELIN RAHMAWATI P Allergy, unspecified Berobat Jalan
892 00:00 08:45 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
694 0000420742023 ELAH P Myalgia Berobat Jalan
944 00:00 10:01 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025
695 0000505825784 WAHYU BAGJA L - Impacted teeth Berobat Jalan
946 00:00 10:06
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
696 0001003862272 OLIH ODIK L - Berobat Jalan Hipertensi
180 00:00 15:38 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
697 0001003862327 ENONG P - Berobat Jalan Hipertensi
857 00:00 08:03 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
698 0001003862507 ENDANG L - Berobat Jalan Hipertensi
168 00:00 15:23 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
699 0001003862722 TUTI SUDARYANTI P - Berobat Jalan Hipertensi
954 00:00 10:24 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
700 0001003863036 IDA SUMIATI P - Berobat Jalan Hipertensi
185 00:00 15:55 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
701 0001003863699 CICIH P - Berobat Jalan Hipertensi
863 00:00 08:10 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Diabetes
702 0001003864127 TITI P Headache Berobat Jalan
852 00:00 07:53 KESEHATAN Mellitus
100204010525Y000 17-05-2025 17-05-2025
703 0001003864667 SARTI CAHYANI P - Acute laryngopharyngitis Berobat Jalan
878 00:00 08:30
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 17-05-2025 17-05-2025 Essential (primary)

704 0001003865095 DEDEH RUSKASIH P - Berobat Jalan Hipertensi
956 00:00 10:30 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
705 0001003865848 ATIH P - Berobat Jalan Hipertensi
879 00:00 08:31 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
706 0001003867176 NINING SARININGSIH P Berobat Jalan Hipertensi
888 00:00 08:42 KESEHATAN hypertension
100204010525Y000 17-05-2025 17-05-2025
707 0001003906899 EDAH P - Other cholelithiasis Rujuk Vertikal
963 00:00 11:01
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Essential (primary)
708 0001003906956 LILIS RAHMAWATI P Berobat Jalan Hipertensi
871 00:00 08:22 KESEHATAN hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
709 0001089369674 MATORI L - Berobat Jalan Hipertensi
186 00:00 15:56 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
710 0001089372519 TITA FATIMAH P - Berobat Jalan Hipertensi
175 00:00 15:31 hypertension
100204010525Y000 17-05-2025 17-05-2025
711 0001089388451 AMAS L - Dyspnoea Rujuk Vertikal
929 00:00 09:35
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
712 0001089394301 ISAH P - Berobat Jalan Hipertensi
171 00:00 15:27 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
713 0001089977883 KASWATI P - Berobat Jalan Hipertensi
869 00:00 08:18 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
714 0001127542803 DIANA P - Berobat Jalan Hipertensi
179 00:00 15:37 hypertension
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI
715 0001170928192 DIANA KUSUMAWATI P Fracture of patella Rujuk Vertikal
868 00:00 08:16 SWASTA
Other specified
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
716 0001183168012 SRI RIZKI CAHYANTI P predominantly sexually Rujuk Vertikal
965 00:00 11:24 MANDIRI
transmitted diseases
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
717 0001279072901 S. KOMARIAH P - Berobat Jalan Hipertensi
928 00:00 09:35 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
718 0001317177527 HENNY HERIANTI P - Berobat Jalan Hipertensi
958 00:00 10:35 hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
719 0001340297278 EUIS KURAESIN P PEMERINTAH Berobat Jalan Hipertensi
921 00:00 09:20 hypertension
DAERAH
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
720 0001340433279 EEN RUHAENI P - Berobat Jalan Hipertensi
897 00:00 08:49 hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Non-insulin-dependent Diabetes
721 0001340433382 UJANG TAHYA L PEMERINTAH Berobat Jalan
903 00:00 08:55 diabetes mellitus Mellitus
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Diabetes
722 0001340433775 MARYATI L diabetes mellitus with Rujuk Vertikal
932 00:00 09:43 KESEHATAN Mellitus
multiple complications
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
723 0001340721415 UCU HERNA P PEMERINTAH Berobat Jalan Hipertensi
925 00:00 09:32 hypertension
DAERAH
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
724 0001340722179 ETI ROHAETY P - Berobat Jalan Hipertensi
898 00:00 08:51 hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025
725 0001340722462 IPAH SUIPAH P PEMERINTAH Necrosis of pulp Berobat Jalan
877 00:00 08:29
DAERAH
100204010525P001 17-05-2025 21-05-2025 PBI JAMINAN Essential (primary)
726 0001340796565 SUMINI P Berobat Jalan Hipertensi
169 00:00 15:24 KESEHATAN hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
727 0001340901718 ROHAENAH P PEMERINTAH Berobat Jalan Hipertensi
906 00:00 09:00 hypertension
DAERAH
100204010525Y000 17-05-2025 17-05-2025 HIV disease resulting in
728 0001341084879 SUDARTO L - Rujuk Vertikal
872 00:00 08:22 mycobacterial infection
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
729 0001341084982 JUMIATI P - Berobat Jalan Hipertensi
861 00:00 08:08 hypertension
100204010525Y000 17-05-2025 17-05-2025 PEKERJA Essential (primary)
730 0001389386068 DEDE RUKANDA L Berobat Jalan Hipertensi
910 00:00 09:04 MANDIRI hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
731 0001441930667 MIMI MARYANI P - Berobat Jalan Hipertensi
912 00:00 09:09 hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
732 0001663794426 JUWARSIH P PEMERINTAH Berobat Jalan Hipertensi
960 00:00 10:42 hypertension
DAERAH
100204010525P001 17-05-2025 21-05-2025 PEGAWAI Essential (primary)
733 0001669190174 KOKON MULYANA L Berobat Jalan Hipertensi
181 00:00 15:40 SWASTA hypertension
100204010525Y000 17-05-2025 17-05-2025 PEKERJA Essential (primary)
734 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
859 00:00 08:06 MANDIRI hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
735 0001720109226 DEDEH SUHANAH P - Berobat Jalan Hipertensi
867 00:00 08:15 hypertension
100204010525Y000 17-05-2025 17-05-2025
736 0001741088125 SONY SYAFARI L - Myalgia Berobat Jalan
926 00:00 09:33
100204010525P001 17-05-2025 21-05-2025 PEKERJA Essential (primary)
737 0001798652889 TETE SAPNI P Berobat Jalan Hipertensi
172 00:00 15:28 MANDIRI hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
738 0001838558147 WARTINI P - Berobat Jalan Hipertensi
875 00:00 08:28 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525P001 17-05-2025 21-05-2025 PENERIMA Essential (primary)

739 0001863517048 MARIA NGATIYEM P Berobat Jalan Hipertensi
166 00:00 15:21 PENSIUN SWASTA hypertension

100204010525Y000 17-05-2025 17-05-2025 PENERIMA Essential (primary)

740 0001892999046 MIMIN P Berobat Jalan Hipertensi
930 00:00 09:38 PENSIUN PNS hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
741 0001961068882 WAWAN SURYANA L - Berobat Jalan Hipertensi
167 00:00 15:22 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Acute nasopharyngitis
742 0002013469852 Erlina Dwi Rahayu P Berobat Jalan
916 00:00 09:15 KESEHATAN [common cold]
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
743 0002074281276 IMAN SUMPENO L - Berobat Jalan Hipertensi
177 00:00 15:35 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
744 0002081268628 EDIH JUNAEDI L - Berobat Jalan Hipertensi
182 00:00 15:44 hypertension
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 MUHAMMAD KHOIRUL
745 0002203098682 L PEMERINTAH Other viral conjunctivitis Berobat Jalan
950 00:00 10:10 INSANUL KAMIL
DAERAH
100204010525Y000 17-05-2025 17-05-2025 PEKERJA Essential (primary)
746 0002240226955 AYI EJEB SUDRAJAT L Berobat Jalan Hipertensi
951 00:00 10:10 MANDIRI hypertension
Chronic obstructive
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
747 0002252946712 ADE JANA L pulmonary disease, Rujuk Vertikal
851 00:00 07:52 MANDIRI
unspecified
100204010525Y000 17-05-2025 17-05-2025 Non-insulin-dependent Diabetes
748 0002272302955 WAWANG P - Berobat Jalan
905 00:00 08:58 diabetes mellitus Mellitus
100204010525Y000 17-05-2025 17-05-2025 Disturbances in tooth
749 0002282343041 RISMA RAHMAWATI P - Berobat Jalan
957 00:00 10:32 eruption
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI Visual disturbance,
750 0002298182095 FAZRI RIZKIA NUGRAHA L Rujuk Vertikal
899 00:00 08:52 SWASTA unspecified
100204010525P001 17-05-2025 21-05-2025 UYUNG MUHAMAD Essential (primary)
751 0002298952383 L - Berobat Jalan Hipertensi
187 00:00 15:57 NAZIRWAN hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
752 0002376416081 POPON FATIMAH P - Berobat Jalan Hipertensi
962 00:00 10:46 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
753 0002378890203 ENENG IRIYANTI P - Berobat Jalan Hipertensi
188 00:00 15:58 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
754 0002398096495 IKE MUSTIKARANI P - Berobat Jalan Hipertensi
931 00:00 09:42 hypertension
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
755 0002426954714 SITI JULAEHA P - Berobat Jalan Hipertensi
894 00:00 08:47 hypertension
100204010525Y000 17-05-2025 17-05-2025 HILMA HADIANTI PEGAWAI
756 0002454127661 P Pulpitis Berobat Jalan
948 00:00 10:09 HASANAH SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 17-05-2025 17-05-2025 PEKERJA Non-insulin-dependent Diabetes Diabetes

757 0002498800296 ROKAYAH P Berobat Jalan
955 00:00 10:29 MANDIRI diabetes mellitus Mellitus Mellitus
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
758 0002583870761 ENAH SUHAENAH P Myalgia Berobat Jalan
923 00:00 09:24 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025
759 0002586627628 KURNIA L - Necrosis of pulp Berobat Jalan
855 00:00 08:02
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
760 0002793043855 OMAH ROHMAWATI P - Berobat Jalan Hipertensi
865 00:00 08:13 hypertension
100204010525Y000 17-05-2025 17-05-2025
761 0002793048658 TATI NURHAETI P - Localized oedema Rujuk Vertikal
942 00:00 09:57
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
762 0002793050684 ACE L - Berobat Jalan Hipertensi
178 00:00 15:36 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Other disorders of
763 0002793051854 HODIJAH P Rujuk Vertikal
911 00:00 09:06 KESEHATAN vestibular function
100204010525Y000 17-05-2025 17-05-2025 CANTIKA SAKURA Disturbances in tooth
764 0002885323331 P - Berobat Jalan
893 00:00 08:46 AGUSTIN eruption
PBPU DAN BP Cutaneous abscess,
100204010525Y000 17-05-2025 17-05-2025 MUHAMMAD FAIREL
765 0002962532542 L PEMERINTAH furuncle and carbuncle of Berobat Jalan
864 00:00 08:11 CANDRA
DAERAH other sites
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
766 0002962532722 ONIH P - Berobat Jalan Hipertensi
882 00:00 08:36 hypertension
100204010525P001 17-05-2025 21-05-2025 Essential (primary)
767 0002962533194 SITI MARDIAH P - Berobat Jalan Hipertensi
173 00:00 15:29 hypertension
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
768 0002967506054 TUTI MARYANINGSIH P Myalgia Berobat Jalan
938 00:00 09:53 KESEHATAN
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Hypertensive heart
769 0002967508179 YULIANTI P Berobat Jalan
854 00:00 08:00 KESEHATAN disease
100204010525Y000 17-05-2025 17-05-2025 Essential (primary)
770 0003099971441 SUKAESIH P - Berobat Jalan Hipertensi
953 00:00 10:19 hypertension
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI
771 0003130007128 AMMAR ABYASA L Pneumonia, unspecified Berobat Jalan
886 00:00 08:40 SWASTA
PBPU DAN BP
100204010525P000 17-05-2025 17-05-2025 RAMA WAHYU
772 0003207442533 L PEMERINTAH Necrosis of pulp Rujuk Vertikal
937 00:00 09:52 HERMAWAN
DAERAH
100204010525Y000 17-05-2025 17-05-2025
773 0003207764182 RISMA SITI MAULANI P - Acute laryngopharyngitis Berobat Jalan
883 00:00 08:36
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025
774 0003208122347 MUHAMAD ILYAS L PEMERINTAH Pneumonia, unspecified Berobat Jalan
856 00:00 08:02
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025
775 0003208122358 RUKMINI P PEMERINTAH Other acute gastritis Berobat Jalan
858 00:00 08:04
DAERAH
100204010525Y000 17-05-2025 17-05-2025 Localized enlarged lymph
776 0003208126757 LATIFFAH AYU SETIAWAN P - Berobat Jalan
919 00:00 09:20 nodes
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN Surgical follow-up care,
777 0003208126961 SILVIA RACHMAWATI P Berobat Jalan
887 00:00 08:41 KESEHATAN unspecified
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
778 0003221832712 LIA P Polyarthritis, unspecified Berobat Jalan
848 00:00 07:46 MANDIRI
PBPU DAN BP
100204010525Y000 17-05-2025 17-05-2025 Fracture of femur, part
779 0003222582669 MIMIN MARGIAWATI P PEMERINTAH Rujuk Vertikal
876 00:00 08:29 unspecified
DAERAH
PBPU DAN BP Sequelae of stroke, not
100204010525Y000 17-05-2025 17-05-2025
780 0003222585459 RATNA WULAN P PEMERINTAH specified as haemorrhage Rujuk Vertikal Hipertensi
907 00:00 09:01
DAERAH or infarction
100204010525Y000 17-05-2025 17-05-2025 BALQIS MALAIKA
781 0003223334755 P - Pneumonia, unspecified Berobat Jalan
873 00:00 08:23 KHADIJA
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
782 0003268583504 MARYATIN P Congestive heart failure Rujuk Vertikal
860 00:00 08:06 MANDIRI
100204010525Y000 17-05-2025 17-05-2025
783 0003340586406 HANAL FIRLANA L - Other acute gastritis Berobat Jalan
927 00:00 09:34
100204010525Y000 17-05-2025 17-05-2025 PBI JAMINAN
784 0003473476007 INE MEILANI P Headache Berobat Jalan
895 00:00 08:47 KESEHATAN
Atherosclerotic
100204010525Y000 17-05-2025 17-05-2025 PEKERJA
785 0003590801627 OBAR SOBARNA L cardiovascular disease, so Rujuk Vertikal
964 00:00 11:07 MANDIRI
described
100204010525Y000 17-05-2025 17-05-2025 PEGAWAI
786 0003602398487 GANI AGUSTIAN L Pneumonia, unspecified Berobat Jalan
866 00:00 08:14 SWASTA
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
787 0000040127231 MARYONO L - Berobat Jalan
818 00:00 10:08 diabetes mellitus Mellitus
Elevated blood-pressure
100204010525Y000 16-05-2025 16-05-2025 PENERIMA
788 0000042259792 F. DYAH INDIARTI P reading, without diagnosis Berobat Jalan
758 00:00 08:29 PENSIUN PNS
of hypertension
100204010525Y000 16-05-2025 16-05-2025 PENERIMA Non-insulin-dependent Diabetes
789 0000053629626 SITI HARTATI ARTONO P Berobat Jalan
781 00:00 09:05 PENSIUN PNS diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PENERIMA Non-insulin-dependent Diabetes Diabetes
790 0000054052356 SUTARMI P Berobat Jalan
812 00:00 10:01 PENSIUN PNS diabetes mellitus Mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PENERIMA Essential (primary)
791 0000054052367 PAULUS SUMARDI L Berobat Jalan Hipertensi Hipertensi
814 00:00 10:05 PENSIUN PNS hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Elevated blood-pressure
100204010525Y000 16-05-2025 16-05-2025 PENERIMA
792 0000054304031 MIMIH SUTARMIH P reading, without diagnosis Berobat Jalan
762 00:00 08:35 PENSIUN PNS
of hypertension
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent
793 0000056734198 JETI P - Berobat Jalan
822 00:00 10:14 diabetes mellitus
100204010525Y000 16-05-2025 16-05-2025 PENERIMA Non-insulin-dependent Diabetes
794 0000056740612 ENDANG SUPRIHARTINI P Berobat Jalan
780 00:00 09:00 PENSIUN PNS diabetes mellitus Mellitus
100204010525P000 16-05-2025 16-05-2025
795 0000057612306 V. E. SRI WIDAYANTI P - Foreign body in ear Rujuk Vertikal
794 00:00 09:24
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes Diabetes
796 0000407577925 ELASWATI P Berobat Jalan
765 00:00 08:43 KESEHATAN diabetes mellitus Mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Antenatal screening,
797 0000407613306 HEPI SUSANTI P Berobat Jalan
843 00:00 11:25 KESEHATAN unspecified
100204010525Y000 16-05-2025 16-05-2025 NURSALAMAH PEGAWAI Acute upper respiratory
798 0000416496238 P Berobat Jalan
790 00:00 09:20 FAIZATUNNISA SWASTA infection, unspecified
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
799 0000417749861 RODIYAH P - Berobat Jalan
809 00:00 09:54 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
800 0000418619788 IMAS P Haematemesis Rujuk Vertikal
795 00:00 09:27 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Antenatal screening,
801 0000419003548 SINTA SANTIKA P Berobat Jalan
743 00:00 08:14 KESEHATAN unspecified
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
802 0000419075471 RINA NURFITRIANI P Gastritis, unspecified Berobat Jalan
757 00:00 08:29 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025
803 0000419100939 ADE RAHMAT L - Polyarthritis, unspecified Berobat Jalan
842 00:00 11:20
100204010525Y000 16-05-2025 16-05-2025 Diabetes
804 0000419101435 EUIS MARLINA P - Congestive heart failure Rujuk Vertikal
739 00:00 08:09 Mellitus
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
805 0000419221337 NUNUNG NURHASANAH P PEMERINTAH Secondary hypertension Berobat Jalan
823 00:00 10:14
DAERAH
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
806 0000419238224 MARJUN L Cardiomegaly Rujuk Vertikal
845 00:00 13:11 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025 PEGAWAI
807 0000419299424 MILA AMALIA P Antenatal screening Berobat Jalan
801 00:00 09:39 SWASTA
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes Diabetes
808 0000419329528 ENONG RONASIH P Berobat Jalan
820 00:00 10:12 KESEHATAN diabetes mellitus Mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
809 0000419412521 ROSI ISMAYANTI P Antenatal screening Berobat Jalan
835 00:00 10:47 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
810 0000419437383 ANA SETIANA L Myalgia Berobat Jalan
753 00:00 08:25 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN

811 0000419437664 HENI YATI P Secondary hypertension Berobat Jalan
751 00:00 08:22 KESEHATAN
100204010525P000 16-05-2025 16-05-2025 PEGAWAI
812 0000419779247 NURHAYATI SOLIHAT P Necrosis of pulp Rujuk Vertikal
806 00:00 09:48 SWASTA
Atherosclerotic
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
813 0000419944252 DEDE. C. PERMANA L cardiovascular disease, so Rujuk Vertikal
840 00:00 11:02 KESEHATAN
described
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Antenatal screening,
814 0000420035005 NENI SANTIKA P Berobat Jalan
772 00:00 08:50 KESEHATAN unspecified
100204010525Y000 16-05-2025 16-05-2025 Chronic ischaemic heart
815 0000420145031 ETI ROHAETI P - Rujuk Vertikal
768 00:00 08:46 disease
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
816 0000420238899 IHAT P - Berobat Jalan
796 00:00 09:27 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PEKERJA Essential (primary)
817 0000420239946 ROSI SETIASIH P Berobat Jalan Hipertensi
799 00:00 09:32 MANDIRI hypertension
100204010525Y000 16-05-2025 16-05-2025 PEGAWAI
818 0000420330791 RAIHAN AHMAD L Other acute gastritis Berobat Jalan
791 00:00 09:20 SWASTA
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Postprocedural renal
819 0000420455665 UNIH P Rujuk Vertikal
832 00:00 10:25 KESEHATAN failure
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Antenatal screening,
820 0000542119689 SRI WAHYUNINGSIH P Berobat Jalan
756 00:00 08:28 KESEHATAN unspecified
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Essential (primary)
821 0001003863341 LILIS SUMARNI P Berobat Jalan Hipertensi
773 00:00 08:53 KESEHATAN hypertension
100204010525Y000 16-05-2025 16-05-2025 Antenatal screening,
822 0001003866524 TINA LISNAWATI P PEGAWAI BUMN Berobat Jalan
828 00:00 10:21 unspecified
Diabetes
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent
823 0001003867064 ONIH P - Berobat Jalan Mellitus
800 00:00 09:35 diabetes mellitus
Hipertensi
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
824 0001003867705 MI'AH P - Berobat Jalan Hipertensi
771 00:00 08:49 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
825 0001003904032 MISJI L Gastritis, unspecified Berobat Jalan
839 00:00 11:01 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
826 0001003904043 NANI P Secondary hypertension Berobat Jalan
836 00:00 10:54 KESEHATAN
100204010525Y000 16-05-2025 16-05-2025 PEGAWAI
827 0001186959576 ENDAH SRI HAYATI P Tinea cruris Berobat Jalan
769 00:00 08:48 SWASTA
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
828 0001256623931 N. ISU SOFIYAH P - Berobat Jalan
825 00:00 10:16 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 Essential (primary)
829 0001340297818 ENI ROHAENI P - Berobat Jalan Hipertensi
764 00:00 08:40 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes

830 0001340298404 SUPARNINGSIH P - Berobat Jalan
811 00:00 09:58 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
831 0001340433358 DIAN ESTI P - Berobat Jalan
831 00:00 10:24 diabetes mellitus Mellitus
PBPU DAN BP Elevated blood-pressure
100204010525P000 16-05-2025 16-05-2025
832 0001340597981 ITO P PEMERINTAH reading, without diagnosis Rujuk Vertikal
789 00:00 09:19
DAERAH of hypertension
100204010525Y000 16-05-2025 16-05-2025
833 0001340721606 WIWIT ARIYANI P - Other atopic dermatitis Berobat Jalan
737 00:00 08:02
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
834 0001341019899 YANTI DAMAYANTI P PEMERINTAH Antenatal screening Berobat Jalan
834 00:00 10:40
DAERAH
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
835 0001389389106 KARYATI P - Berobat Jalan
807 00:00 09:52 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes
836 0001392764714 SUTEJA L Berobat Jalan
745 00:00 08:17 KESEHATAN diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PEKERJA Essential (primary)
837 0001454871093 EDDY HADIYANTO L Berobat Jalan Hipertensi
755 00:00 08:27 MANDIRI hypertension
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
838 0001454881487 WIDYAWATI P - Berobat Jalan
759 00:00 08:30 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025
839 0001457264035 LYDIA MEINI P - Polyarthritis, unspecified Berobat Jalan
736 00:00 07:53
100204010525Y000 16-05-2025 16-05-2025 Cerebral infarction,
840 0001471901973 NINING P - Rujuk Vertikal
802 00:00 09:40 unspecified
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
841 0001660386205 DINO SAPUTRO L Secondary hypertension Berobat Jalan
819 00:00 10:10 MANDIRI
Non-insulin-dependent
100204010525Y000 16-05-2025 16-05-2025 PEKERJA diabetes mellitus with Diabetes
842 0001669827633 SUPARDI L Berobat Jalan
803 00:00 09:43 MANDIRI peripheral circulatory Mellitus
complications
Diabetes
100204010525Y000 16-05-2025 16-05-2025 Essential (primary) Diabetes
843 0001729820981 KUI TJONG L INVESTOR Berobat Jalan Mellitus
748 00:00 08:20 hypertension Mellitus
Hipertensi
Diabetes
100204010525Y000 16-05-2025 16-05-2025 Essential (primary) Diabetes
844 0001729821003 ROSNI TIOLINA P INVESTOR Berobat Jalan Mellitus
741 00:00 08:12 hypertension Mellitus
Hipertensi
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
845 0001830135857 ENAH ROHAENI P - Berobat Jalan
783 00:00 09:10 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
846 0002086079264 RUSDI L Fever, unspecified Berobat Jalan
830 00:00 10:24 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Antenatal screening,
847 0002264730388 DIANA RAMADHANI P PEMERINTAH Berobat Jalan
824 00:00 10:15 unspecified
DAERAH
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
848 0002273637576 ISKANDAR L - Berobat Jalan
749 00:00 08:21 diabetes mellitus Mellitus
Sequelae of stroke, not
100204010525Y000 16-05-2025 16-05-2025
849 0002289842829 ATIS TRISNAWATI P - specified as haemorrhage Rujuk Vertikal
785 00:00 09:12
or infarction
100204010525Y000 16-05-2025 16-05-2025 Essential (primary)
850 0002303477875 HAMID SADIKIN L - Berobat Jalan Hipertensi
788 00:00 09:16 hypertension
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
851 0002317286755 SARIYATI P - Berobat Jalan
761 00:00 08:35 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PEKERJA Essential (primary)
852 0002481226053 AWANGSIH P Berobat Jalan Hipertensi
777 00:00 08:57 MANDIRI hypertension
Tuberculosis of lung,
100204010525Y000 16-05-2025 16-05-2025 without mention of
853 0002495278899 ANISA ERISMAYANTI P - Berobat Jalan
746 00:00 08:17 bacteriological or
histological confirmation
Diabetes
100204010525Y000 16-05-2025 16-05-2025 PEKERJA Non-insulin-dependent
854 0002498172028 ONIN MAELASARI P Berobat Jalan Mellitus
787 00:00 09:13 MANDIRI diabetes mellitus
Hipertensi
100204010525P000 16-05-2025 16-05-2025 CYNTHIA NUR Temporomandibular joint
855 0002511562353 P - Rujuk Vertikal
816 00:00 10:07 SHAUMAWATI disorders
100204010525P000 16-05-2025 16-05-2025 ZAHROTUSSITA PEKERJA
856 0002756808922 P Pulpitis Rujuk Vertikal
833 00:00 10:36 RAMADHANI MANDIRI
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
857 0002762876261 JAJANG RUHIAT L - Berobat Jalan
742 00:00 08:13 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 Acute upper respiratory
858 0002793044395 SOERYANA L - Berobat Jalan
738 00:00 08:06 infection, unspecified
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes
859 0002793307814 AGUS DEDY PRIATNO L Berobat Jalan
805 00:00 09:47 KESEHATAN diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 RAJWA RIDHO NUR Acute upper respiratory
860 0002836961471 P - Berobat Jalan
754 00:00 08:26 MALIKA infection, unspecified
Elevated blood-pressure
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN
861 0002863480285 ENDANG KALIMAT L reading, without diagnosis Berobat Jalan
844 00:00 11:27 KESEHATAN
of hypertension
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
862 0002875936083 SANDI HERDIANA L Supernumerary teeth Berobat Jalan
786 00:00 09:13 MANDIRI
100204010525Y000 16-05-2025 16-05-2025
863 0002876161623 AAM ROPIAH P - Secondary hypertension Berobat Jalan
838 00:00 10:59
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 16-05-2025 16-05-2025 PEKERJA Acute upper respiratory

864 0002876161645 ADINDA NOER AINA P Berobat Jalan
837 00:00 10:58 MANDIRI infection, unspecified
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
865 0002911992704 ADE ROHAENI P - Berobat Jalan
752 00:00 08:24 diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025
866 0002962531541 SITI FATIMAH P - Other acute gastritis Berobat Jalan
774 00:00 08:53
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
867 0002967507663 RASWANTO L Tinea corporis Berobat Jalan
779 00:00 08:57 MANDIRI
Tuberculosis of lung,
100204010525Y000 16-05-2025 16-05-2025 confirmed by sputum
868 0003047811704 REMILDHA CITRA P - Berobat Jalan
767 00:00 08:46 microscopy with or without
culture
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes
869 0003115546299 WARI ROSTINI P Berobat Jalan
792 00:00 09:22 KESEHATAN diabetes mellitus Mellitus
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Routine postpartum
870 0003117420808 LINA HANDAYANI P Berobat Jalan
782 00:00 09:07 KESEHATAN follow-up
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 ZAHRAINA MELATI
871 0003207741186 P PEMERINTAH Streptococcal tonsillitis Berobat Jalan
760 00:00 08:34 RESMAYA
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent Diabetes
872 0003207743943 SUSANTI P PEMERINTAH Berobat Jalan
740 00:00 08:10 diabetes mellitus Mellitus
DAERAH
100204010525Y000 16-05-2025 16-05-2025 Non-insulin-dependent
873 0003207744696 MARYATI P - Berobat Jalan
744 00:00 08:15 diabetes mellitus
100204010525Y000 16-05-2025 16-05-2025 ARFAN HASHIF AZZAM PBI JAMINAN Disturbances in tooth
874 0003207749196 L Berobat Jalan
821 00:00 10:13 TOCHA KESEHATAN eruption
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Disturbances in tooth
875 0003207749848 FANISA NUR ALMEIRA P PEMERINTAH Berobat Jalan
778 00:00 08:57 eruption
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
876 0003207764261 DEVI HASTUTI P PEMERINTAH Other acute gastritis Berobat Jalan
747 00:00 08:18
DAERAH
100204010525Y000 16-05-2025 16-05-2025 ARKENZA ATHALLAH Acute tonsillitis,
877 0003208111413 L - Berobat Jalan
776 00:00 08:56 PUTRA unspecified
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Other and unspecified
878 0003208117645 DEVANO REIIHAN L Berobat Jalan
797 00:00 09:29 KESEHATAN abdominal pain
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
879 0003208117656 IMAS DIAH P PEMERINTAH Other acute gastritis Berobat Jalan
793 00:00 09:24
DAERAH
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
880 0003221830743 NANI SUMIATI P Other corneal oedema Rujuk Vertikal
784 00:00 09:10 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 16-05-2025 16-05-2025

881 0003221845839 HENI P - Secondary hypertension Berobat Jalan
804 00:00 09:47
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Bipolar affective disorder,
882 0003222285985 RISMA P PEMERINTAH Rujuk Vertikal
735 00:00 07:49 unspecified
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Acute pharyngitis,
883 0003222563455 OTIH P PEMERINTAH Berobat Jalan
750 00:00 08:22 unspecified
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
884 0003222563512 NUR YATI P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
815 00:00 10:05
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Acute upper respiratory
885 0003222584717 IIS NURAENI P PEMERINTAH Berobat Jalan
827 00:00 10:20 infection, unspecified
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Acute upper respiratory
886 0003222584728 REDI RAHADIAN L PEMERINTAH Berobat Jalan
826 00:00 10:18 infection, unspecified
DAERAH
Tuberculosis of lung,
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 without mention of
887 0003223078143 MUHAMAD ARIIQ L PEMERINTAH Berobat Jalan
763 00:00 08:36 bacteriological or
DAERAH
histological confirmation
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 Cerebral infarction,
888 0003223331739 TINI SUWARTINI P PEMERINTAH Rujuk Vertikal
829 00:00 10:21 unspecified
DAERAH
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025
889 0003223341628 WITHA ANGGIANI P PEMERINTAH Antenatal screening Berobat Jalan
798 00:00 09:31
DAERAH
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
890 0003341547832 NICHOLAS VALIANT L Necrosis of pulp Berobat Jalan
770 00:00 08:48 MANDIRI
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
891 0003514733054 ZAYDEN ZEIN GIFFARY L Acute laryngopharyngitis Berobat Jalan
813 00:00 10:02 MANDIRI
100204010525Y000 16-05-2025 16-05-2025 PEGAWAI
892 0003565578475 IQLIMA AZQIARA MECCA P Other epilepsy Rujuk Vertikal
766 00:00 08:43 SWASTA
PBPU DAN BP
100204010525Y000 16-05-2025 16-05-2025 RALINE MEYZURA
893 0003579777911 P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
817 00:00 10:07 SHAFAZEA
DAERAH
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
894 0003586664542 Aariz zayyan Malik L Counselling, unspecified Berobat Jalan
810 00:00 09:57 MANDIRI
100204010525Y000 16-05-2025 16-05-2025 PEKERJA
895 0003590801627 OBAR SOBARNA L Acute laryngopharyngitis Berobat Jalan
775 00:00 08:55 MANDIRI
100204010525Y000 16-05-2025 16-05-2025 PBI JAMINAN Congenital
896 0003618398722 FIOLA HUMAIRA P Rujuk Vertikal
841 00:00 11:04 KESEHATAN dyserythropoietic anaemia
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 16-05-2025 16-05-2025 PEGAWAI

897 0003635892224 ALIFA NAURA DEVANKA P Acute laryngopharyngitis Berobat Jalan
808 00:00 09:54 SWASTA
100204010525Y000 15-05-2025 15-05-2025 Hyperlipidaemia,
898 0000053715868 DRS. H. IIK MAKIB. LC L - Berobat Jalan
688 00:00 09:13 unspecified
100204010525Y000 15-05-2025 15-05-2025
899 0000056716492 SITI DIAN RAHAYU P - Idiopathic gout, hand Berobat Jalan
684 00:00 09:05
100204010525Y000 15-05-2025 15-05-2025 PENERIMA Fracture of mandible,
900 0000056735864 IMAM SOBARI L Rujuk Vertikal
708 00:00 09:56 PENSIUN PNS closed
100204010525P000 15-05-2025 15-05-2025
901 0000057612306 V. E. SRI WIDAYANTI P - Necrosis of pulp Rujuk Vertikal
718 00:00 10:12
100204010525Y000 15-05-2025 15-05-2025
902 0000057728272 RIDA GARNIDA L - Impacted cerumen Berobat Jalan
694 00:00 09:28
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
903 0000413366422 AKRAB PAMUNGKAS L Keloid scar Berobat Jalan
667 00:00 08:16 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN General medical
904 0000418550332 HANIPAH LESTARI P Berobat Jalan
660 00:00 08:01 KESEHATAN examination
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
905 0000418639318 M. DIMAS DAMAMI L Other atopic dermatitis Berobat Jalan
682 00:00 08:56 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025
906 0000418654451 DINI WIDIANTI P - Benign paroxysmal vertigo Berobat Jalan
693 00:00 09:23
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
907 0000418655294 DEDEH YUNINGSIH P Other acute gastritis Berobat Jalan
704 00:00 09:52 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 Acute nasopharyngitis
908 0000418655395 ANDRE MULYANA L - Berobat Jalan
709 00:00 09:57 [common cold]
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Hyperglycaemia,
909 0000418718327 SUDARTI P Berobat Jalan
681 00:00 08:56 KESEHATAN unspecified
100204010525Y000 15-05-2025 15-05-2025
910 0000418729735 ZAENAL ABIDIN L - Other viral conjunctivitis Berobat Jalan
683 00:00 09:01
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
911 0000418846151 GALIH PATURROHMAN L Streptococcal tonsillitis Berobat Jalan
689 00:00 09:17 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025
912 0000419112088 ATI HOTIJAH P - Myalgia Berobat Jalan
661 00:00 08:03
100204010525Y000 15-05-2025 15-05-2025 Non-insulin-dependent
913 0000419145546 MINI KARMINI P - Berobat Jalan
728 00:00 11:10 diabetes mellitus
100204010525Y000 15-05-2025 15-05-2025 Hyperglycaemia,
914 0000419400977 IPONG KARWATI P - Berobat Jalan
691 00:00 09:19 unspecified
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
915 0000419402305 RANI APRIYANI P Myalgia Berobat Jalan
679 00:00 08:53 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Elevated blood-pressure
100204010525Y000 15-05-2025 15-05-2025
916 0000419460028 ENOK HASANAH P - reading, without diagnosis Berobat Jalan
713 00:00 10:02
of hypertension
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN General medical
917 0000419462829 FUJI SUCIAWATI P Berobat Jalan
666 00:00 08:14 KESEHATAN examination
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Viral conjunctivitis,
918 0000419731301 NITA ROSITA P Berobat Jalan
702 00:00 09:44 KESEHATAN unspecified
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Non-insulin-dependent Diabetes
919 0000419760314 DEDEH P Berobat Jalan
662 00:00 08:08 KESEHATAN diabetes mellitus Mellitus
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
920 0000419885548 ODANG L Cataract, unspecified Rujuk Vertikal
711 00:00 10:00 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Thyrotoxicosis
921 0000419904966 YAYAH ROPIAH P Rujuk Vertikal
724 00:00 10:44 KESEHATAN [hyperthyroidism]
100204010525Y000 15-05-2025 15-05-2025 Malignant neoplasm of
922 0000420152106 EMPAT P - Rujuk Vertikal
687 00:00 09:12 breast, unspecified
100204010525Y000 15-05-2025 15-05-2025
923 0000420173572 IKA SARTIKA P - Gastritis, unspecified Berobat Jalan Hipertensi
685 00:00 09:06
Unspecified diabetes
100204010525Y000 15-05-2025 15-05-2025
924 0000420403509 ATAB L - mellitus with unspecified Rujuk Vertikal
712 00:00 10:01
complications
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
925 0001089381734 SELVI LIA ISKANDAR P Dizziness and giddiness Berobat Jalan
717 00:00 10:11 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 PEKERJA
926 0001328600237 DEWI ROKAESIH P Schizophrenia Berobat Jalan
699 00:00 09:40 MANDIRI
PBPU DAN BP
100204010525P000 15-05-2025 15-05-2025
927 0001340393253 NENGSIH P PEMERINTAH Chronic periodontitis Rujuk Vertikal
678 00:00 08:49
DAERAH
100204010525Y000 15-05-2025 15-05-2025 Hyperlipidaemia,
928 0001340597428 WIWING P - Berobat Jalan
670 00:00 08:39 unspecified
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
929 0001340699005 REGINA PUTRI NABILA P PEMERINTAH Necrosis of pulp Berobat Jalan
668 00:00 08:18
DAERAH
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
930 0001340722012 ROSANAH P PEMERINTAH Myalgia Berobat Jalan
710 00:00 09:58
DAERAH
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
931 0001340727254 ELIS WALIAH P PEMERINTAH Acute cholecystitis Rujuk Vertikal
698 00:00 09:38
DAERAH
100204010525Y000 15-05-2025 15-05-2025
932 0001422463678 AKMAL HADI SYAPUTRA L - Tinnitus Berobat Jalan
680 00:00 08:56
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 15-05-2025 15-05-2025 SANDI PEGAWAI Conductive hearing loss,

933 0001438567975 L Rujuk Vertikal Hipertensi
690 00:00 09:18 SAHRINNURRAHMAN SWASTA unspecified
100204010525Y000 15-05-2025 15-05-2025 PEKERJA Antenatal screening,
934 0001447428317 AULYANISA NOVATIARA P Berobat Jalan
733 00:00 12:06 MANDIRI unspecified
PEGAWAI
PEMERINTAH
100204010525Y000 15-05-2025 15-05-2025
935 0001481842361 SUPRIATI P DENGAN Myalgia Berobat Jalan
664 00:00 08:12
PERJANJIAN
KERJA
100204010525Y000 15-05-2025 15-05-2025 VANIA AURELLIA PEKERJA Disorders of
936 0001666697512 P Rujuk Vertikal
721 00:00 10:26 JASMINE MANDIRI accommodation

Diarrhoea and
100204010525Y000 15-05-2025 15-05-2025 PEKERJA
937 0002240227113 FIKRIANSYAH L gastroenteritis of Berobat Jalan
669 00:00 08:19 MANDIRI
presumed infectious origin

100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN

938 0002378079922 MAEMUNAH P Acute laryngopharyngitis Berobat Jalan
659 00:00 07:59 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 Schizoaffective disorder,
939 0002472324107 NANDANG RUHIAT L - Rujuk Vertikal
676 00:00 08:46 depressive type
100204010525Y000 15-05-2025 15-05-2025 PEKERJA General medical Diabetes Diabetes
940 0002498800296 ROKAYAH P Berobat Jalan
727 00:00 10:46 MANDIRI examination Mellitus Mellitus
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
941 0002594567327 SAINATI ANA RUMKA P Myalgia Berobat Jalan
675 00:00 08:46 KESEHATAN
100204010525P000 15-05-2025 15-05-2025 PEKERJA
942 0002706724934 MITA NUR ANISA P Necrosis of pulp Rujuk Vertikal
692 00:00 09:22 MANDIRI
Need for immunization
100204010525Y000 15-05-2025 15-05-2025 PEGAWAI against
943 0002793033472 SELPA MELANI P Berobat Jalan
731 00:00 11:21 SWASTA diphtheria-tetanus-pertussi
s, combined [DTP]
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
944 0002793038613 INA MARIYANA P Myalgia Berobat Jalan Hipertensi
703 00:00 09:47 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
945 0002793049874 MUHAMMAD ALGIFARRI L Fever, unspecified Berobat Jalan
722 00:00 10:30 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 PEKERJA
946 0002852164462 WIWIN WINDANI P Necrosis of pulp Berobat Jalan
720 00:00 10:20 MANDIRI
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN General medical
947 0002852239667 SINTIA P Berobat Jalan
715 00:00 10:07 KESEHATAN examination
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
948 0002863478924 IDAH MARLINA P Myalgia Berobat Jalan
730 00:00 11:18 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025
949 0002876275517 ALIFAH KONITA HADINI P - Other viral conjunctivitis Berobat Jalan
700 00:00 09:40
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Acute nasopharyngitis

950 0002925558112 WAFIZA ANATASYA P Berobat Jalan
705 00:00 09:54 KESEHATAN [common cold]
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025 MUHAMMAD RASYID
951 0002962531899 L PEMERINTAH Chronic periodontitis Berobat Jalan
672 00:00 08:44 RIDHA
DAERAH
100204010525Y000 15-05-2025 15-05-2025 PEKERJA General medical
952 0002967507663 RASWANTO L Berobat Jalan
726 00:00 10:45 MANDIRI examination
100204010525P000 15-05-2025 15-05-2025
953 0003041956732 NUR YENI P - Necrosis of pulp Rujuk Vertikal
707 00:00 09:56
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Stroke, not specified as
954 0003207442623 ONENG SUKAESIH P Rujuk Vertikal
663 00:00 08:09 KESEHATAN haemorrhage or infarction
100204010525Y000 15-05-2025 15-05-2025
955 0003207743245 POPON YUNINGSIH P - Other dental caries Berobat Jalan
697 00:00 09:34
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025 Acute nasopharyngitis
956 0003207757228 JENIVA ROSDYANA P PEMERINTAH Berobat Jalan
714 00:00 10:03 [common cold]
DAERAH
100204010525Y000 15-05-2025 15-05-2025
957 0003208116172 SITI AISAH P - Myalgia Berobat Jalan
725 00:00 10:44
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
958 0003208116431 NYIMAS MARTINI P PEMERINTAH After-cataract Rujuk Vertikal
673 00:00 08:44
DAERAH
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Surgical follow-up care,
959 0003208126961 SILVIA RACHMAWATI P Berobat Jalan
671 00:00 08:39 KESEHATAN unspecified
Need for immunization
100204010525Y000 15-05-2025 15-05-2025 against
960 0003221785967 OCA AISYAHRANI P - Berobat Jalan
723 00:00 10:41 diphtheria-tetanus-pertussi
s, combined [DTP]
Chronic obstructive
100204010525Y000 15-05-2025 15-05-2025 PEKERJA
961 0003223096953 OMA L pulmonary disease, Rujuk Vertikal
696 00:00 09:32 MANDIRI
unspecified
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
962 0003223333348 SALWA AZZAHRA P Dyspepsia Berobat Jalan
734 00:00 12:58 KESEHATAN
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
963 0003223341595 ANJANI PERMATASARI P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
716 00:00 10:10
DAERAH
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
964 0003290692779 EVI NUR APRILLIANTI P Streptococcal tonsillitis Berobat Jalan
695 00:00 09:30 KESEHATAN
100204010525Y000 15-05-2025 15-05-2025 Acute upper respiratory
965 0003341521168 YUYUN JUARIAH P - Berobat Jalan
729 00:00 11:14 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
966 0003545701964 ADZHAM GUSTIAN YUSUF L PEMERINTAH Counselling, unspecified Berobat Jalan
706 00:00 09:54
DAERAH
PBPU DAN BP
100204010525Y000 15-05-2025 15-05-2025
967 0003580615978 AKMAL MAULANA L PEMERINTAH Tuberculous meningitis Rujuk Vertikal
674 00:00 08:44
DAERAH
100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN
968 0003592876555 ALZENA RANI MESHWA P Conjunctivitis, unspecified Berobat Jalan
719 00:00 10:19 KESEHATAN
Need for immunization
100204010525Y000 15-05-2025 15-05-2025 QAHiRA DWIMUNA PEGAWAI against
969 0003640540386 P Berobat Jalan
701 00:00 09:42 RAFIQAH SWASTA diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +
Need for immunization
100204010525Y000 15-05-2025 15-05-2025 BAYI NYONYA SUSI PEKERJA against
970 0003642486423 L Berobat Jalan
677 00:00 08:48 SURYANI MANDIRI diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +

100204010525Y000 15-05-2025 15-05-2025 BAYI NYONYA WINDI PBI JAMINAN Need for immunization
971 0003753525036 P Berobat Jalan
686 00:00 09:07 JEANE MAKALAU KESEHATAN against tuberculosis [BCG]

100204010525Y000 15-05-2025 15-05-2025 PBI JAMINAN Need for immunization

972 0003755221481 BAYI NYONYA NOVITA P Berobat Jalan
665 00:00 08:14 KESEHATAN against tuberculosis [BCG]

100204010525Y000 15-05-2025 16-05-2025 BAYI NYONYA FAUZIAH PEGAWAI Need for immunization
973 0003755808066 L Berobat Jalan
846 00:00 17:53 OKTAVIA SWASTA against tuberculosis [BCG]

100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Acute nasopharyngitis

974 0000407613306 HEPI SUSANTI P Berobat Jalan
649 00:00 10:44 KESEHATAN [common cold]
100204010525Y000 14-05-2025 14-05-2025 PEKERJA Other and unspecified
975 0000417726178 ARI MUHAMAD JENARDI L Rujuk Vertikal
657 00:00 11:44 MANDIRI abdominal pain
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Primary gonarthrosis,
976 0000418565327 NIA ROSITA P Berobat Jalan
596 00:00 08:47 KESEHATAN bilateral

100204010525Y000 14-05-2025 14-05-2025 Hordeolum and other deep

977 0000418565564 GHAIDA HASNA NABILA P - Berobat Jalan
597 00:00 08:47 inflammation of eyelid

100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Acute lymphadenitis of

978 0000418643313 SIMA NUR HIDAYAH P Berobat Jalan
617 00:00 09:28 KESEHATAN face, head and neck
100204010525Y000 14-05-2025 14-05-2025 General medical
979 0000418654451 DINI WIDIANTI P - Berobat Jalan
641 00:00 10:26 examination
100204010525Y000 14-05-2025 14-05-2025 Surgical follow-up care,
980 0000418727349 SANI SUSILAWATI P - Berobat Jalan
634 00:00 10:07 unspecified
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
981 0000418888631 LIN AGUSTIAN P Myalgia Berobat Jalan
589 00:00 08:34 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Hordeolum and other deep

982 0000418907698 RIVAN SAE NURADIN L Berobat Jalan
647 00:00 10:41 KESEHATAN inflammation of eyelid

PBPU DAN BP Unspecified diabetes

100204010525Y000 14-05-2025 14-05-2025
983 0000419153073 ELIS ENAH P PEMERINTAH mellitus with unspecified Rujuk Vertikal
612 00:00 09:19
DAERAH complications
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN General medical
984 0000419232813 ARDI RADIANSYAH L Berobat Jalan
653 00:00 11:04 KESEHATAN examination

Non-insulin-dependent
100204010525Y000 14-05-2025 14-05-2025 Diabetes Diabetes
985 0000419269713 EUIS RATNINGSIH P - diabetes mellitus with Rujuk Vertikal
590 00:00 08:36 Mellitus Mellitus
neurological complications

100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN

986 0000419285294 YATI ROHAYATI P Pregnant state, incidental Rujuk Vertikal
581 00:00 08:22 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN General medical
987 0000419315512 SITI DIAH. K P Berobat Jalan
640 00:00 10:25 KESEHATAN examination
100204010525P000 14-05-2025 14-05-2025
988 0000419358958 METI PRIANI P - Necrosis of pulp Rujuk Vertikal
651 00:00 11:03
100204010525Y000 14-05-2025 15-05-2025 General medical
989 0000419385789 ALDI SAPUTRA L - Berobat Jalan
732 00:00 12:04 examination
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
990 0000419406096 FAISAL FIRMANSYAH L Chest pain, unspecified Berobat Jalan
619 00:00 09:32 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
991 0000419444458 AMIN MULYANA L Dyspnoea Berobat Jalan
615 00:00 09:25 KESEHATAN
Other acute upper
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
992 0000419500315 SUKIRMAN L respiratory infections of Berobat Jalan
580 00:00 08:19 KESEHATAN
multiple sites
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
993 0000419500912 TATI MULYATI P Alcoholic gastritis Berobat Jalan
585 00:00 08:30 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025
994 0000419744676 NENG RUM P - Headache Berobat Jalan
630 00:00 09:52
100204010525Y000 14-05-2025 14-05-2025 General medical
995 0000419746544 YULIA P - Berobat Jalan
643 00:00 10:27 examination
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
996 0000419780867 UPIT SARIMANAH P Benign neoplasm of ovary Rujuk Vertikal
606 00:00 09:05 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
997 0000419875997 RARAS JULIYANTI P Myalgia Berobat Jalan
639 00:00 10:20 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Other and unspecified
998 0000419890678 DEDE L Rujuk Vertikal
602 00:00 08:56 KESEHATAN abdominal pain
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Non-insulin-dependent

999 0000419907971 MURSILAH P Berobat Jalan
611 00:00 09:12 KESEHATAN diabetes mellitus
100204010525Y000 14-05-2025 14-05-2025
1000 0000420018232 UKA KURAESIN P - Gastritis, unspecified Berobat Jalan Hipertensi
614 00:00 09:24
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Surveillance of
1001 0000420222936 HOTIJAH P Berobat Jalan
616 00:00 09:25 KESEHATAN contraceptive drugs
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Other disorders affecting
1002 0000420299256 DEDE JULAEHA P Rujuk Vertikal
578 00:00 08:09 KESEHATAN eyelid function
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1003 0000420380245 SURYATINI P After-cataract Rujuk Vertikal
598 00:00 08:48 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Joint disorder, unspecified,
1004 0000420903369 HIDAYAT L Rujuk Vertikal
595 00:00 08:45 KESEHATAN hand
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Surveillance of
1005 0001003864206 SETIAWATI P Berobat Jalan
584 00:00 08:26 KESEHATAN contraceptive drugs
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Stroke, not specified as
1006 0001003870956 OTANG L Rujuk Vertikal
658 00:00 11:49 KESEHATAN haemorrhage or infarction
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN General medical
1007 0001003900781 ANNISA NURUL IHSANI P Berobat Jalan
637 00:00 10:13 KESEHATAN examination
100204010525Y000 14-05-2025 14-05-2025 PEGAWAI Primary gonarthrosis,
1008 0001003904919 LIA P Berobat Jalan
635 00:00 10:12 SWASTA bilateral
100204010525Y000 14-05-2025 14-05-2025 HAIDAR AHMAD
1009 0001292686402 L - Dyspepsia Berobat Jalan
626 00:00 09:47 RAMIYANA
100204010525Y000 14-05-2025 14-05-2025
1010 0001340297201 KARTINEM P - Secondary hypertension Berobat Jalan
627 00:00 09:47
100204010525Y000 14-05-2025 14-05-2025 Cluster headache
1011 0001340433011 SUKIR L - Berobat Jalan
610 00:00 09:12 syndrome
100204010525Y000 14-05-2025 14-05-2025 BELLA SILVY PUTRI
1012 0001340529254 P - Haematometra Rujuk Vertikal
587 00:00 08:31 AULIA
PBPU DAN BP Atherosclerotic
100204010525Y000 14-05-2025 14-05-2025
1013 0001340597878 KOKOM P PEMERINTAH cardiovascular disease, so Rujuk Vertikal
645 00:00 10:36
DAERAH described
100204010525Y000 14-05-2025 14-05-2025 Polyneuropathy,
1014 0001340603447 SRI MURNIATI P - Berobat Jalan
607 00:00 09:05 unspecified
100204010525Y000 14-05-2025 14-05-2025
1015 0001340722326 SETIANINGSIH P - Other acute gastritis Berobat Jalan
631 00:00 09:56
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Tuberculosis of other
1016 0001341084194 MARYATI P Rujuk Vertikal
621 00:00 09:36 KESEHATAN specified organs
100204010525Y000 14-05-2025 14-05-2025 PEKERJA General medical
1017 0001610178221 HANIFAH P Berobat Jalan
642 00:00 10:26 MANDIRI examination
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525P000 14-05-2025 14-05-2025

1018 0001664924253 SURYADI L - Low back pain Rujuk Vertikal
628 00:00 09:47
100204010525Y000 14-05-2025 14-05-2025 PEGAWAI
1019 0001725691724 ANNISA FAYHA ARIANI P Other acute gastritis Berobat Jalan
592 00:00 08:42 SWASTA
100204010525Y000 14-05-2025 14-05-2025 PEKERJA
1020 0001798682264 RIN RIN RAHMAWATI P Pyonephrosis Rujuk Vertikal
613 00:00 09:21 MANDIRI
100204010525Y000 14-05-2025 14-05-2025 PEKERJA
1021 0002311938066 DEDI ISKANDAR L Hyperplasia of prostate Berobat Jalan
654 00:00 11:05 MANDIRI
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1022 0002592369887 AYI KURNIA L Impacted cerumen Berobat Jalan
594 00:00 08:43 KESEHATAN
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025
1023 0002613210985 HUSNA MUTHMAINNAH P PEMERINTAH Pulpitis Berobat Jalan
609 00:00 09:10
DAERAH
100204010525Y000 14-05-2025 14-05-2025 Acute upper respiratory
1024 0002777512623 AI FATIMAH P - Berobat Jalan
591 00:00 08:39 infection, unspecified
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Surveillance of
1025 0002793034945 SILVIA IRYANTI P Berobat Jalan
618 00:00 09:29 KESEHATAN contraceptive drugs
100204010525Y000 14-05-2025 14-05-2025 Trigger finger, multiple
1026 0002793035441 TENI FIBRIANTI P - Rujuk Vertikal
655 00:00 11:10 sites
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1027 0002793051843 ICEP DEDI L Acute laryngopharyngitis Berobat Jalan
599 00:00 08:50 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN Acute nasopharyngitis
1028 0002793051854 HODIJAH P Berobat Jalan
601 00:00 08:53 KESEHATAN [common cold]
100204010525Y000 14-05-2025 14-05-2025
1029 0002793054238 SURYA PURNAMA L - Streptococcal tonsillitis Berobat Jalan
632 00:00 10:00

Diarrhoea and
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1030 0002836961199 UAS P gastroenteritis of Berobat Jalan
577 00:00 08:05 KESEHATAN
presumed infectious origin

Elevated blood-pressure
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1031 0002863476854 SUPRIDAH P reading, without diagnosis Berobat Jalan
629 00:00 09:49 KESEHATAN
of hypertension
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025
1032 0002961421569 DACHROM L PEMERINTAH Dyspepsia Berobat Jalan
579 00:00 08:15
DAERAH
Elevated blood-pressure
100204010525Y000 14-05-2025 14-05-2025
1033 0002961422684 OEMBR YAHYA L - reading, without diagnosis Berobat Jalan
638 00:00 10:19
of hypertension
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025 General medical
1034 0002963428615 HENI ROHAENI P PEMERINTAH Berobat Jalan
644 00:00 10:33 examination
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 14-05-2025 14-05-2025 Thyrotoxicosis

1035 0003041956912 AI SITI AISYAH P - Rujuk Vertikal
622 00:00 09:36 [hyperthyroidism]
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025
1036 0003171989619 LILIS CAHYATI P PEMERINTAH Secondary hypertension Berobat Jalan
646 00:00 10:40
DAERAH
Non-insulin-dependent
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1037 0003207442623 ONENG SUKAESIH P diabetes mellitus with Rujuk Vertikal
603 00:00 08:59 KESEHATAN
multiple complications
Developmental disorder of
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1038 0003207744865 RISKA OKTAVIANI P speech and language, Rujuk Vertikal
605 00:00 09:01 KESEHATAN
unspecified
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1039 0003207757509 TARMINI P Epilepsy, unspecified Rujuk Vertikal
625 00:00 09:45 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025 AGNIYA AGUSTINA
1040 0003208122268 P - Other viral conjunctivitis Berobat Jalan
608 00:00 09:07 CHELSEA
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1041 0003208125497 ACENG L Senile incipient cataract Rujuk Vertikal
636 00:00 10:13 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025
1042 0003208126544 RAFA AGUS GUSTIANA L - Other atopic dermatitis Berobat Jalan
600 00:00 08:53
100204010525Y000 14-05-2025 14-05-2025
1043 0003208126757 LATIFFAH AYU SETIAWAN P - Dermatitis, unspecified Berobat Jalan
623 00:00 09:38
100204010525Y000 14-05-2025 14-05-2025 PBI JAMINAN
1044 0003221170244 SOPIAN L Schizophrenia Berobat Jalan
604 00:00 09:00 KESEHATAN
100204010525Y000 14-05-2025 14-05-2025
1045 0003221825589 SITI ROHYATUN P - Dilated cardiomyopathy Rujuk Vertikal
656 00:00 11:41
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025
1046 0003222562151 KAZKY AKHSAN FIKRI L PEMERINTAH Pulpitis Berobat Jalan
593 00:00 08:43
DAERAH
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025 Tuberculous peripheral
1047 0003222575976 AYU KRISDAYANTI P PEMERINTAH Rujuk Vertikal
582 00:00 08:24 lymphadenopathy
DAERAH
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025 LITA TANIA PUTRI General medical
1048 0003222582625 P PEMERINTAH Berobat Jalan
620 00:00 09:33 SANTANI examination
DAERAH
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025
1049 0003223076894 LILIS KARWATI P PEMERINTAH Counselling, unspecified Berobat Jalan
586 00:00 08:30
DAERAH
PBPU DAN BP
100204010525Y000 14-05-2025 14-05-2025 TANY NURIA ADARA
1050 0003223081787 P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
624 00:00 09:43 SAKHI
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010525Y000 14-05-2025 14-05-2025
1051 0003270450148 Ziska Olivia Mainaky P - diabetes mellitus with Rujuk Vertikal
648 00:00 10:41
multiple complications
100204010525Y000 14-05-2025 14-05-2025 PEGAWAI Acute upper respiratory
1052 0003590899997 DENANDRA DIMAS L Berobat Jalan
633 00:00 10:01 SWASTA infection, unspecified
100204010525Y000 14-05-2025 14-05-2025 PEKERJA Acute nasopharyngitis
1053 0003608632541 SAEPUL ADNAN L Berobat Jalan
583 00:00 08:26 MANDIRI [common cold]
100204010525Y000 14-05-2025 14-05-2025 PEKERJA Other and unspecified
1054 0003608632811 JILLENZA KHAIRINISWA P Berobat Jalan
588 00:00 08:33 MANDIRI abdominal pain
100204010525Y000 14-05-2025 14-05-2025 PEKERJA Acute pharyngitis,
1055 0003627374174 FADIL APRILIYANTO L Berobat Jalan
652 00:00 11:03 MANDIRI unspecified
100204010525Y000 14-05-2025 14-05-2025 PEKERJA Tuberculous peripheral
1056 0003627374488 HANI JAYANTARI P Rujuk Vertikal
650 00:00 11:01 MANDIRI lymphadenopathy
100204010525Y000 10-05-2025
1057 05-10-2025 0000053378919 KARWIN L - Headache Berobat Jalan
567 10:41
100204010525Y000 10-05-2025
1058 05-10-2025 0000055825457 PAWIT P - Myalgia Berobat Jalan
537 08:37
100204010525Y000 10-05-2025 PENERIMA
1059 05-10-2025 0000197037663 SUMARNI P Myalgia Berobat Jalan
544 08:48 PENSIUN PNS
100204010525Y000 11-05-2025
1060 05-10-2025 0000418515153 YULIA NINGSIH P - Other acute gastritis Berobat Jalan
576 20:10
100204010525Y000 10-05-2025
1061 05-10-2025 0000418727349 SANI SUSILAWATI P - Acute laryngopharyngitis Berobat Jalan
562 10:03
Respiratory tuberculosis,
100204010525Y000 10-05-2025 PBI JAMINAN not confirmed
1062 05-10-2025 0000418870271 WISNU ABDILAH L Rujuk Vertikal
520 08:00 KESEHATAN bacteriologically or
histologically
100204010525Y000 10-05-2025 PBI JAMINAN
1063 05-10-2025 0000418978416 ENTIN KARTINI P Secondary hypertension Berobat Jalan
517 07:41 KESEHATAN
100204010525Y000 10-05-2025
1064 05-10-2025 0000419156717 SETIAJI L - Schizophrenia Berobat Jalan
565 10:11
100204010525Y000 10-05-2025 Atopic dermatitis,
1065 05-10-2025 0000419203078 AI WASILAH P - Berobat Jalan
536 08:33 unspecified
100204010525Y000 10-05-2025 PBI JAMINAN
1066 05-10-2025 0000419413138 ELA HAYATI NINGSIH P Other acute gastritis Berobat Jalan
564 10:09 KESEHATAN
100204010525Y000 10-05-2025 PEKERJA
1067 05-10-2025 0000419833765 DEDI SUTARDI L Epilepsy, unspecified Rujuk Vertikal
525 08:11 MANDIRI
Unspecified diabetes
100204010525Y000 10-05-2025 Diabetes
1068 05-10-2025 0000419980961 ELAH ROMLAH P - mellitus with unspecified Rujuk Vertikal
550 09:08 Mellitus
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 10-05-2025 PBI JAMINAN Supervision of other

1069 05-10-2025 0000420134782 WIDARI P Rujuk Vertikal
528 08:16 KESEHATAN high-risk pregnancies
100204010525Y000 10-05-2025 PBI JAMINAN
1070 05-10-2025 0000420416998 NURAENI HOERUNISA P Pulpitis Berobat Jalan
558 09:42 KESEHATAN
100204010525P000 10-05-2025
1071 05-10-2025 0000505825784 WAHYU BAGJA L - Impacted teeth Rujuk Vertikal
549 09:08
100204010525Y000 10-05-2025 PBI JAMINAN Examination of blood
1072 05-10-2025 0001003862709 SADIM L Berobat Jalan
548 09:05 KESEHATAN pressure
100204010525Y000 10-05-2025
1073 05-10-2025 0001003865848 ATIH P - Dyspepsia Berobat Jalan Hipertensi
533 08:29
100204010525Y000 10-05-2025 PBI JAMINAN
1074 05-10-2025 0001003867356 YAYA SUHAYA L Secondary hypertension Berobat Jalan
538 08:40 KESEHATAN
100204010525Y000 10-05-2025 PBI JAMINAN
1075 05-10-2025 0001003871981 ONDI ROHANDI L Dyspnoea Rujuk Vertikal
554 09:16 KESEHATAN
100204010525Y000 10-05-2025 PBI JAMINAN Viral conjunctivitis,
1076 05-10-2025 0001003904469 BAYU SYAMSI SAMUDRA L Berobat Jalan
532 08:26 KESEHATAN unspecified
Severe depressive
100204010525Y000 10-05-2025
1077 05-10-2025 0001003906585 HAMDAN ABDUL ROOFIIF L - episode with psychotic Rujuk Vertikal
553 09:15
symptoms
Atherosclerotic
100204010525Y000 10-05-2025
1078 05-10-2025 0001003906899 EDAH P - cardiovascular disease, so Rujuk Vertikal
555 09:34
described
100204010525Y000 10-05-2025 PENERIMA
1079 05-10-2025 0001289886467 PARTIJAH P Gonarthrosis, unspecified Berobat Jalan Hipertensi Hipertensi
535 08:31 PENSIUN TNI
100204010525Y000 10-05-2025
1080 05-10-2025 0001296042017 RILYA BADARAB P - Pulpitis Berobat Jalan
524 08:11
100204010525Y000 10-05-2025
1081 05-10-2025 0001340597428 WIWING P - Cough Berobat Jalan
542 08:45
100204010525Y000 10-05-2025 Radiculopathy, lumbar
1082 05-10-2025 0001340727423 NANI SURYANI P - Rujuk Vertikal
516 07:38 region
100204010525Y000 11-05-2025 IBRAHIM GHONIM PEKERJA Varicella with other
1083 05-10-2025 0001372002715 L Berobat Jalan
571 20:07 LAKSANATAMA MANDIRI complications
100204010525Y000 10-05-2025 SANDI PEGAWAI
1084 05-10-2025 0001438567975 L Impacted cerumen Berobat Jalan Hipertensi
552 09:14 SAHRINNURRAHMAN SWASTA
Sequelae of stroke, not
100204010525Y000 10-05-2025 PEKERJA
1085 05-10-2025 0001447427654 SURYANTO L specified as haemorrhage Rujuk Vertikal
547 09:00 MANDIRI
or infarction
Local infection of skin and
100204010525Y000 10-05-2025 PEKERJA Diabetes
1086 05-10-2025 0001669827633 SUPARDI L subcutaneous tissue, Berobat Jalan
545 08:57 MANDIRI Mellitus
unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 10-05-2025 PEKERJA

1087 05-10-2025 0002046000868 MADENDA MAULANA L Myalgia Berobat Jalan
556 09:39 MANDIRI
100204010525Y000 10-05-2025 PEKERJA Acute nasopharyngitis
1088 05-10-2025 0002073609033 MUHAMMAD FAHMI L Berobat Jalan
566 10:38 MANDIRI [common cold]
100204010525Y000 10-05-2025 ELIA DOMINIC
1089 05-10-2025 0002237971533 L - Pulpitis Berobat Jalan
526 08:13 MAKAENDUNG
100204010525Y000 10-05-2025 PEKERJA Nonspecific low
1090 05-10-2025 0002442276573 SITI MAEMUNAH P Berobat Jalan
541 08:44 MANDIRI blood-pressure reading
100204010525Y000 10-05-2025 PEKERJA Non-insulin-dependent Diabetes Diabetes
1091 05-10-2025 0002498800296 ROKAYAH P Berobat Jalan
521 08:07 MANDIRI diabetes mellitus Mellitus Mellitus
100204010525Y000 10-05-2025 PBI JAMINAN
1092 05-10-2025 0002594567327 SAINATI ANA RUMKA P Myalgia Berobat Jalan
529 08:21 KESEHATAN
100204010525Y000 10-05-2025
1093 05-10-2025 0002744560236 HASNA FADHILAH P - Pulpitis Berobat Jalan
570 11:00
100204010525Y000 10-05-2025 PBI JAMINAN
1094 05-10-2025 0002793033033 MARIAH P Myalgia Berobat Jalan
563 10:06 KESEHATAN
100204010525Y000 10-05-2025 PBI JAMINAN Tuberculosis of other
1095 05-10-2025 0002793034721 YATI KARWATI P Rujuk Vertikal
519 07:44 KESEHATAN specified organs
100204010525Y000 10-05-2025 PRAYESTI AMELINDA PBI JAMINAN
1096 05-10-2025 0002793035136 P Streptococcal tonsillitis Berobat Jalan
551 09:14 PUTRI KESEHATAN
100204010525Y000 10-05-2025 Acute tonsillitis due to
1097 05-10-2025 0002836956791 IIS YULIYANTI P - Berobat Jalan
518 07:41 other specified organisms
Chronic obstructive
100204010525Y000 10-05-2025
1098 05-10-2025 0002863481905 UJANG SUPRIATNA L - pulmonary disease, Rujuk Vertikal
557 09:41
unspecified
100204010525Y000 10-05-2025
1099 05-10-2025 0002863481916 ROSITA P - Acute abdomen Rujuk Vertikal
559 09:43
100204010525Y000 11-05-2025
1100 05-10-2025 0002880946686 RUMI RADHIKA L - Dyspepsia Berobat Jalan
574 20:08
100204010525Y000 10-05-2025
1101 05-10-2025 0002885322554 DEWI ISMIATI MARIANDA P - Enlarged lymph nodes Rujuk Vertikal
527 08:15
100204010525Y000 10-05-2025 CANTIKA SAKURA Disturbances in tooth
1102 05-10-2025 0002885323331 P - Berobat Jalan
522 08:07 AGUSTIN eruption
100204010525Y000 10-05-2025 PEKERJA
1103 05-10-2025 0003002233994 IMOH P Cardiomegaly Rujuk Vertikal
569 10:53 MANDIRI
100204010525Y000 10-05-2025 PEKERJA Chronic ischaemic heart
1104 05-10-2025 0003002234005 DINI SALIAH P Rujuk Vertikal
568 10:45 MANDIRI disease
PBPU DAN BP
100204010525Y000 10-05-2025
1105 05-10-2025 0003041956372 RUKINTA L PEMERINTAH Streptococcal tonsillitis Berobat Jalan
530 08:21
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 10-05-2025
1106 05-10-2025 0003132847282 SAYID ALI ABBASY L - Necrosis of pulp Berobat Jalan
523 08:09
PBPU DAN BP
100204010525Y000 10-05-2025
1107 05-10-2025 0003207741175 ELA HAYATI P PEMERINTAH Myalgia Berobat Jalan
534 08:30
DAERAH
Developmental disorder of
100204010525Y000 10-05-2025 ARKANA DIAN PBI JAMINAN
1108 05-10-2025 0003207743583 L speech and language, Rujuk Vertikal
531 08:25 JULIANDANA KESEHATAN
unspecified
100204010525Y000 10-05-2025 Disorders of
1109 05-10-2025 0003207756396 RUDY ANTORO L - Rujuk Vertikal
540 08:43 accommodation
PBPU DAN BP Other acute upper
100204010525Y000 11-05-2025
1110 05-10-2025 0003208108713 RAMA NAZLIL RAMADHAN L PEMERINTAH respiratory infections of Berobat Jalan
573 20:07
DAERAH multiple sites
100204010525Y000 11-05-2025 WILDAN PUTRA Viral
1111 05-10-2025 0003208124979 L - Berobat Jalan
572 20:07 FEBIANSYAH pharyngoconjunctivitis
100204010525Y000 10-05-2025 PBI JAMINAN
1112 05-10-2025 0003223077129 YAYAH P Myalgia Berobat Jalan
539 08:41 KESEHATAN
100204010525Y000 10-05-2025 Sleep disorder,
1113 05-10-2025 0003271563729 IMAS SAODAH P - Rujuk Vertikal
561 10:01 unspecified
100204010525Y000 10-05-2025 PEGAWAI Metabolic disorder,
1114 05-10-2025 0003295015198 MEGA KIRANA WULAN P Berobat Jalan
543 08:46 SWASTA unspecified
100204010525Y000 10-05-2025 AISHA YASMINA PEGAWAI Acute upper respiratory
1115 05-10-2025 0003527905746 P Berobat Jalan
546 08:57 KHAIRUNNISA SWASTA infection, unspecified
100204010525Y000 10-05-2025 PEGAWAI Acute upper respiratory
1116 05-10-2025 0003541914819 GIBRAN AKBAR HIDAYAT L Berobat Jalan
560 09:59 SWASTA infection, unspecified
100204010525Y000 09-05-2025
1117 05-09-2025 0000053379505 ODIK BADAR IRWANTO L - Parkinson's disease Rujuk Vertikal
458 07:33
PEGAWAI
PEMERINTAH
100204010525Y000 11-05-2025
1118 05-09-2025 0000202810195 REZA HILDA REGINA P DENGAN Myalgia Berobat Jalan
575 20:10
PERJANJIAN
KERJA
100204010525Y000 09-05-2025 Pure
1119 05-09-2025 0000419035037 CUCU SULASTRI P - Berobat Jalan
479 08:44 hypercholesterolaemia
100204010525Y000 09-05-2025 PEKERJA
1120 05-09-2025 0000419056536 SUMIRAH P Low back pain Rujuk Vertikal
503 09:57 MANDIRI
Elevated blood-pressure
100204010525Y000 09-05-2025 PBI JAMINAN
1121 05-09-2025 0000419122708 ATI DJUARTI P reading, without diagnosis Berobat Jalan
501 09:53 KESEHATAN
of hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Elevated blood-pressure
100204010525Y000 09-05-2025
1122 05-09-2025 0000419153894 OON DEWI P - reading, without diagnosis Berobat Jalan
467 08:03
of hypertension
100204010525Y000 09-05-2025
1123 05-09-2025 0000419156717 SETIAJI L - Schizophrenia Berobat Jalan
459 07:38
100204010525Y000 09-05-2025 PBI JAMINAN
1124 05-09-2025 0000419250879 ENTIN P Idiopathic gout Berobat Jalan
490 09:16 KESEHATAN

100204010525Y000 09-05-2025 PBI JAMINAN Allergic contact dermatitis,

1125 05-09-2025 0000419339496 DINI SUGIANTI P Berobat Jalan
483 08:55 KESEHATAN unspecified cause

100204010525Y000 09-05-2025 PBI JAMINAN Antenatal screening,

1126 05-09-2025 0000419468872 FITRI AGUS HAYATI P Berobat Jalan
471 08:21 KESEHATAN unspecified
100204010525Y000 09-05-2025 Surgical follow-up care,
1127 05-09-2025 0000419758839 ROSHANA JULLY CLARA P - Berobat Jalan
497 09:40 unspecified
100204010525Y000 09-05-2025
1128 05-09-2025 0000419761618 RUSNAINI P - Myalgia Berobat Jalan
496 09:40
Sequelae of stroke, not
100204010525Y000 09-05-2025 PBI JAMINAN
1129 05-09-2025 0000419889306 DEWI P specified as haemorrhage Berobat Jalan
469 08:14 KESEHATAN
or infarction
100204010525Y000 09-05-2025 PBI JAMINAN Supervision of high-risk
1130 05-09-2025 0000420367421 NITA P Berobat Jalan
513 13:20 KESEHATAN pregnancy, unspecified
100204010525Y000 09-05-2025 PBI JAMINAN Antenatal screening,
1131 05-09-2025 0000420492846 ROSITA P Berobat Jalan
478 08:43 KESEHATAN unspecified
100204010525Y000 09-05-2025 PBI JAMINAN Nonspecific low
1132 05-09-2025 0000420501093 ELIN RAHMAWATI P Berobat Jalan
480 08:50 KESEHATAN blood-pressure reading
100204010525Y000 09-05-2025 PBI JAMINAN General medical
1133 05-09-2025 0001003866941 TH. ANI RUSMINI. S P Berobat Jalan
466 08:00 KESEHATAN examination
100204010525Y000 09-05-2025
1134 05-09-2025 0001003867108 SRI RIYANI P - Acute laryngopharyngitis Berobat Jalan
462 07:52
100204010525Y000 09-05-2025 PBI JAMINAN
1135 05-09-2025 0001089390137 AMINAH P Counselling, unspecified Berobat Jalan
514 13:57 KESEHATAN
Excessive and frequent
100204010525Y000 09-05-2025 PEGAWAI
1136 05-09-2025 0001180660893 RAHMAH GYANTI P menstruation with irregular Rujuk Vertikal
510 10:42 SWASTA
cycle
100204010525Y000 09-05-2025
1137 05-09-2025 0001280948883 RIZKI NURDIANSYAH L - Epilepsy, unspecified Rujuk Vertikal
498 09:43
PBPU DAN BP
100204010525Y000 09-05-2025 Acute nasopharyngitis
1138 05-09-2025 0001340556311 AISAH P PEMERINTAH Berobat Jalan
465 07:59 [common cold]
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 09-05-2025
1139 05-09-2025 0001340722438 AI WAWAT P - Acute laryngopharyngitis Berobat Jalan
481 08:51
PBPU DAN BP
100204010525Y000 09-05-2025
1140 05-09-2025 0001340722462 IPAH SUIPAH P PEMERINTAH Necrosis of pulp Berobat Jalan
472 08:24
DAERAH
100204010525Y000 09-05-2025 PEKERJA
1141 05-09-2025 0001447428576 LILA FAJARIYANA P Pulpitis Berobat Jalan
499 09:46 MANDIRI
Insulin-dependent
100204010525Y000 09-05-2025 diabetes mellitus with
1142 05-09-2025 0001461491548 LILIS KARYATI P - Rujuk Vertikal
474 08:29 other specified
complications
PBPU DAN BP
100204010525Y000 09-05-2025
1143 05-09-2025 0001468164622 HILDA NOVIANI P PEMERINTAH Necrosis of pulp Berobat Jalan
485 09:01
DAERAH
100204010525Y000 09-05-2025 PEKERJA
1144 05-09-2025 0001660386205 DINO SAPUTRO L Myalgia Berobat Jalan
491 09:18 MANDIRI
100204010525Y000 09-05-2025 KINAN RAKA
1145 05-09-2025 0001664089659 L - Acute laryngopharyngitis Berobat Jalan
506 10:15 KHALILURRAHMAN
100204010525Y000 09-05-2025 PEGAWAI Antenatal screening,
1146 05-09-2025 0001729842614 PRATIWI INDRIANI P Berobat Jalan
482 08:52 SWASTA unspecified
100204010525Y000 09-05-2025 PEKERJA
1147 05-09-2025 0001961069242 MARYAM P Chronic periodontitis Berobat Jalan
507 10:16 MANDIRI
Non-insulin-dependent
100204010525Y000 09-05-2025 PEKERJA
1148 05-09-2025 0002098541891 TJIAM KENG NIO P diabetes mellitus with Rujuk Vertikal
511 10:54 MANDIRI
unspecified complications
100204010525Y000 09-05-2025 Acute nasopharyngitis
1149 05-09-2025 0002208887594 SINTA SINTIA P - Berobat Jalan
470 08:18 [common cold]
100204010525Y000 09-05-2025
1150 05-09-2025 0002250858576 RIFKI HAMDHANI L - Acute laryngopharyngitis Berobat Jalan
486 09:02
100204010525Y000 09-05-2025 PEKERJA
1151 05-09-2025 0002292226457 CUCU SUTARSIH P Hyperchylomicronaemia Berobat Jalan
473 08:24 MANDIRI
PBPU DAN BP
100204010525Y000 09-05-2025 Antenatal screening,
1152 05-09-2025 0002398899429 LENI ENDAH SUSANTI P PEMERINTAH Berobat Jalan
489 09:14 unspecified
DAERAH
100204010525Y000 09-05-2025 PBI JAMINAN
1153 05-09-2025 0002836963934 SITI SARAH P Counselling, unspecified Berobat Jalan
515 13:58 KESEHATAN
100204010525Y000 09-05-2025 PBI JAMINAN
1154 05-09-2025 0002863479227 KURAESIN P Myalgia Berobat Jalan
504 10:01 KESEHATAN
100204010525Y000 09-05-2025
1155 05-09-2025 0002863480263 DELIA RAHMAWATI P - Other viral conjunctivitis Berobat Jalan
502 09:54
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 09-05-2025 PBI JAMINAN Antenatal screening,

1156 05-09-2025 0002863481409 YOFI NURBAETI P Berobat Jalan
475 08:36 KESEHATAN unspecified
100204010525Y000 09-05-2025
1157 05-09-2025 0002880942467 NAILA FAHDIA P - Other acute gastritis Berobat Jalan
463 07:54
PBPU DAN BP
100204010525Y000 09-05-2025
1158 05-09-2025 0002961426317 SAMSUL ANWAR L PEMERINTAH Necrosis of pulp Berobat Jalan
492 09:18
DAERAH
100204010525Y000 09-05-2025 PBI JAMINAN
1159 05-09-2025 0002967508721 WAGIO L Rectal fistula Rujuk Vertikal
508 10:17 KESEHATAN
100204010525Y000 09-05-2025 PBI JAMINAN
1160 05-09-2025 0002974291086 ARSYILA FAJRINA PUTRI P Streptococcal tonsillitis Berobat Jalan
505 10:04 KESEHATAN
100204010525Y000 09-05-2025 PEGAWAI
1161 05-09-2025 0003114170256 MUHAMAD RIZKI L Myalgia Berobat Jalan
493 09:19 SWASTA
PBPU DAN BP
100204010525Y000 09-05-2025 Nonspecific low
1162 05-09-2025 0003207745809 WAWA WASTIKA P PEMERINTAH Berobat Jalan
488 09:09 blood-pressure reading
DAERAH
Elevated blood-pressure
100204010525Y000 09-05-2025 PBI JAMINAN
1163 05-09-2025 0003207746046 OYOH P reading, without diagnosis Berobat Jalan
460 07:42 KESEHATAN
of hypertension
PBPU DAN BP
100204010525Y000 09-05-2025
1164 05-09-2025 0003207749848 FANISA NUR ALMEIRA P PEMERINTAH Necrosis of pulp Berobat Jalan
477 08:40
DAERAH
100204010525Y000 09-05-2025 PBI JAMINAN
1165 05-09-2025 0003207751424 REVA ZAENI PUTRI P Pneumonia, unspecified Berobat Jalan
464 07:57 KESEHATAN
PBPU DAN BP
100204010525Y000 09-05-2025 ZELINE ZAKEISHA AYANA
1166 05-09-2025 0003208125148 P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
512 11:07 PUTRI
DAERAH
100204010525Y000 09-05-2025
1167 05-09-2025 0003222552532 RIKA RAHAYU P - Acute cystitis Berobat Jalan
484 09:00
PBPU DAN BP
100204010525Y000 09-05-2025
1168 05-09-2025 0003222562961 PIPIT PUSPITA P PEMERINTAH Systemic bartonellosis Berobat Jalan
500 09:46
DAERAH
100204010525Y000 09-05-2025
1169 05-09-2025 0003222570273 AL - FANDY ILHAM L - Other atopic dermatitis Berobat Jalan
461 07:49
100204010525Y000 09-05-2025 PBI JAMINAN Nonspecific low
1170 05-09-2025 0003222579688 SUTIAH P Berobat Jalan
468 08:08 KESEHATAN blood-pressure reading
PBPU DAN BP Elevated blood-pressure
100204010525Y000 09-05-2025
1171 05-09-2025 0003222582849 INEU HENDARISAH P PEMERINTAH reading, without diagnosis Berobat Jalan
476 08:38
DAERAH of hypertension
100204010525Y000 09-05-2025
1172 05-09-2025 0003294468573 DAUD ARYASENA L - Cough Rujuk Vertikal
495 09:29
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 09-05-2025 REYNOVAN KALANDRA PEGAWAI Acute upper respiratory

1173 05-09-2025 0003561670359 L Berobat Jalan
509 10:19 YUKA ABISHEVA SWASTA infection, unspecified
100204010525Y000 09-05-2025 PBI JAMINAN Acute upper respiratory
1174 05-09-2025 0003639187383 AYASHA PUTRI AZZAHRA P Berobat Jalan
487 09:05 KESEHATAN infection, unspecified
100204010525Y000 09-05-2025 KEINAN MUHAMMAD PEGAWAI
1175 05-09-2025 0003644482779 L Dermatitis, unspecified Berobat Jalan
494 09:22 ELZIO SWASTA
100204010525Y000 08-05-2025
1176 05-08-2025 0000057612306 V. E. SRI WIDAYANTI P - Impacted cerumen Berobat Jalan
436 09:32
Atherosclerotic
100204010525Y000 08-05-2025
1177 05-08-2025 0000057728272 RIDA GARNIDA L - cardiovascular disease, so Rujuk Vertikal
431 09:23
described
100204010525Y000 08-05-2025 DITA FENTIAWATI PEGAWAI Acute nasopharyngitis
1178 05-08-2025 0000068504084 P Berobat Jalan
443 10:08 FADHILAH SWASTA [common cold]
100204010525Y000 08-05-2025 PBI JAMINAN
1179 05-08-2025 0000418608101 EEN SUMIATI P Dyspepsia Berobat Jalan
450 10:30 KESEHATAN
100204010525Y000 08-05-2025 HAIKAL SAEFUL Acute nasopharyngitis
1180 05-08-2025 0000418608718 L - Berobat Jalan
448 10:17 SIROJUDIN [common cold]
100204010525Y000 08-05-2025 PBI JAMINAN
1181 05-08-2025 0000418830761 KUSNANDAR L Schizophrenia Rujuk Vertikal
454 11:11 KESEHATAN
100204010525Y000 08-05-2025 Other surgical follow-up
1182 05-08-2025 0000419071847 ANTON WIJAYA L - Berobat Jalan
451 10:45 care
100204010525Y000 08-05-2025 PBI JAMINAN
1183 05-08-2025 0000419326817 POPON P Epilepsy, unspecified Rujuk Vertikal
395 07:12 KESEHATAN
100204010525Y000 08-05-2025 Disorders of
1184 05-08-2025 0000419358892 UUM DARMAYANTI P - Rujuk Vertikal
438 09:43 accommodation
Elevated blood-pressure
100204010525Y000 08-05-2025
1185 05-08-2025 0000419416457 EEN RUKMINI P - reading, without diagnosis Berobat Jalan
410 08:21
of hypertension
Elevated blood-pressure
100204010525Y000 08-05-2025 PBI JAMINAN
1186 05-08-2025 0000419664497 SITY ROHMAH P reading, without diagnosis Berobat Jalan
416 08:33 KESEHATAN
of hypertension
100204010525Y000 08-05-2025 PBI JAMINAN Schizoaffective disorder,
1187 05-08-2025 0000419752528 ETI ROHAETI P Rujuk Vertikal
398 07:50 KESEHATAN unspecified
100204010525Y000 08-05-2025 PBI JAMINAN
1188 05-08-2025 0000419752631 Fitri wijayanti P Myalgia Berobat Jalan
457 13:40 KESEHATAN
100204010525Y000 08-05-2025 PBI JAMINAN
1189 05-08-2025 0000419786831 EMA RAHMAWATI P Myalgia Berobat Jalan
435 09:32 KESEHATAN
100204010525Y000 08-05-2025 PBI JAMINAN
1190 05-08-2025 0000419836127 RIDWAN HIDAYAT L Scabies Berobat Jalan
404 07:59 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 08-05-2025
1191 05-08-2025 0000420328956 SUSI FITRIYANI P - Polyarthritis, unspecified Berobat Jalan
452 10:51
Elevated blood-pressure
100204010525Y000 08-05-2025
1192 05-08-2025 0000420405388 RITA P - reading, without diagnosis Berobat Jalan
447 10:17
of hypertension
PEGAWAI
PEMERINTAH
100204010525Y000 08-05-2025
1193 05-08-2025 0000503027976 RIYAN FARIDA P DENGAN Scabies Berobat Jalan
446 10:15
PERJANJIAN
KERJA
100204010525Y000 08-05-2025
1194 05-08-2025 0000505825784 WAHYU BAGJA L - Acute laryngopharyngitis Berobat Jalan
406 08:03
100204010525Y000 08-05-2025 PBI JAMINAN Acute nasopharyngitis
1195 05-08-2025 0001003867874 MARYAMAH P Berobat Jalan
426 08:51 KESEHATAN [common cold]
100204010525Y000 08-05-2025 PBI JAMINAN Acute nasopharyngitis
1196 05-08-2025 0001003872497 YANI MULYANI P Berobat Jalan
397 07:49 KESEHATAN [common cold]
100204010525Y000 08-05-2025
1197 05-08-2025 0001078694177 KARSIH P - Myalgia Berobat Jalan
401 07:53
100204010525Y000 08-05-2025 PBI JAMINAN
1198 05-08-2025 0001089381734 SELVI LIA ISKANDAR P Gastritis, unspecified Berobat Jalan
453 10:58 KESEHATAN
PBPU DAN BP Atherosclerotic
100204010525Y000 08-05-2025
1199 05-08-2025 0001340597878 KOKOM P PEMERINTAH cardiovascular disease, so Berobat Jalan
441 10:04
DAERAH described
PBPU DAN BP
100204010525Y000 08-05-2025
1200 05-08-2025 0001340722012 ROSANAH P PEMERINTAH Myalgia Berobat Jalan
433 09:26
DAERAH
100204010525Y000 08-05-2025
1201 05-08-2025 0001340722304 SITI SANGADAH P - Myalgia Berobat Jalan
428 09:00
100204010525Y000 08-05-2025
1202 05-08-2025 0001340722427 AAM MAOLANA L - Other atopic dermatitis Berobat Jalan
432 09:25
Chronic obstructive
100204010525Y000 08-05-2025
1203 05-08-2025 0001458016997 CAHYA L - pulmonary disease, Rujuk Vertikal
440 09:44
unspecified
100204010525Y000 08-05-2025 PEKERJA Diabetes
1204 05-08-2025 0001669827633 SUPARDI L Myalgia Berobat Jalan
419 08:38 MANDIRI Mellitus
100204010525Y000 08-05-2025
1205 05-08-2025 0001720109237 ANDRI MULYANA L - Constipation Berobat Jalan
405 08:00
100204010525Y000 08-05-2025 RASYAL YAZID
1206 05-08-2025 0002319476927 L - Scabies Berobat Jalan
445 10:12 ALCANTARA
100204010525Y000 08-05-2025
1207 05-08-2025 0002345702589 NENI FITRIANI P - Myalgia Berobat Jalan
442 10:05
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 08-05-2025 General medical

1208 05-08-2025 0002398362434 RUDI RAHMADAN L - Berobat Jalan
399 07:50 examination
100204010525Y000 08-05-2025 PBI JAMINAN Need for immunization
1209 05-08-2025 0002584672738 SUSANTI P Berobat Jalan
455 11:55 KESEHATAN against tetanus alone
100204010525Y000 08-05-2025 Acute nasopharyngitis
1210 05-08-2025 0002793040749 MANDA DESY YANA P - Berobat Jalan
407 08:09 [common cold]
Follow-up examination
100204010525Y000 08-05-2025 PBI JAMINAN
1211 05-08-2025 0002793052506 HESTI RIZKIYANTI P after other treatment for Rujuk Vertikal
424 08:48 KESEHATAN
other conditions
100204010525Y000 08-05-2025 PBI JAMINAN
1212 05-08-2025 0002793054947 NANANG ROHMANA L Myalgia Berobat Jalan
420 08:42 KESEHATAN
Elevated blood-pressure
100204010525Y000 08-05-2025 PBI JAMINAN
1213 05-08-2025 0002869375588 DARSIAH P reading, without diagnosis Berobat Jalan
427 08:57 KESEHATAN
of hypertension
100204010525Y000 08-05-2025 PEGAWAI
1214 05-08-2025 0002918597578 DADANG KURNIA L Fever, unspecified Rujuk Vertikal
425 08:48 SWASTA
100204010525Y000 08-05-2025 PEGAWAI
1215 05-08-2025 0002918597815 SARAH IDZATUNNISA P Other viral conjunctivitis Berobat Jalan
423 08:45 SWASTA
100204010525Y000 08-05-2025 PEKERJA
1216 05-08-2025 0002925755087 ADE WINDA P Myalgia Berobat Jalan
408 08:12 MANDIRI
PBPU DAN BP
100204010525Y000 08-05-2025 Cluster headache
1217 05-08-2025 0002962530112 WINDA FEBRIANTI P PEMERINTAH Berobat Jalan
422 08:44 syndrome
DAERAH
100204010525Y000 08-05-2025
1218 05-08-2025 0002967507832 WIDHI OCTAVA L - Acne conglobata Berobat Jalan
429 09:02
100204010525Y000 08-05-2025 PBI JAMINAN
1219 05-08-2025 0002967508146 EMMY DWI ASTUTI P Myalgia Berobat Jalan
430 09:05 KESEHATAN
100204010525Y000 08-05-2025 PBI JAMINAN Need for immunization
1220 05-08-2025 0002967509788 NISA APRILIA P Berobat Jalan
421 08:44 KESEHATAN against tetanus alone
PBPU DAN BP
100204010525Y000 08-05-2025 Need for immunization
1221 05-08-2025 0003041955358 NABILAH WITRI. F P PEMERINTAH Berobat Jalan
413 08:23 against tetanus alone
DAERAH
PBPU DAN BP
100204010525Y000 08-05-2025
1222 05-08-2025 0003044544298 EKA SAPUTRI P PEMERINTAH Acute laryngopharyngitis Berobat Jalan
396 07:46
DAERAH
100204010525Y000 08-05-2025
1223 05-08-2025 0003114621314 RACHMAN NURDIN L - Other viral conjunctivitis Berobat Jalan
409 08:20
100204010525Y000 08-05-2025 ADITIYA ABDURRAHMAN PBI JAMINAN Other and unspecified
1224 05-08-2025 0003207744707 L Rujuk Vertikal
437 09:41 SALEH KESEHATAN abdominal pain
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 08-05-2025
1225 05-08-2025 0003207749049 HENDAR REGIANSYAH L PEMERINTAH Corns and callosities Berobat Jalan
449 10:22
DAERAH
100204010525Y000 08-05-2025 PBI JAMINAN
1226 05-08-2025 0003208114236 TIANA PUSPITA SARI P Dyspepsia Berobat Jalan
456 13:39 KESEHATAN
100204010525Y000 08-05-2025 PBI JAMINAN
1227 05-08-2025 0003208123405 SADDAM HUSEIN L Other viral conjunctivitis Berobat Jalan
400 07:53 KESEHATAN
100204010525P000 08-05-2025
1228 05-08-2025 0003222562239 M. ROBBY ALDIANSYAH L - Necrosis of pulp Rujuk Vertikal
418 08:37
100204010525Y000 08-05-2025 M. SANI LUKMANUL
1229 05-08-2025 0003223339356 L - Acute laryngopharyngitis Berobat Jalan
412 08:23 HAKIM
100204010525Y000 08-05-2025 Acute nasopharyngitis
1230 05-08-2025 0003223339367 P. YUYUN MARYAH P - Berobat Jalan
414 08:25 [common cold]
100204010525Y000 08-05-2025 PEGAWAI Acute nasopharyngitis
1231 05-08-2025 0003302680522 ACHMAD SHODIKIN L Berobat Jalan
417 08:37 SWASTA [common cold]
100204010525Y000 08-05-2025 PBI JAMINAN Disturbances in tooth
1232 05-08-2025 0003329364262 NURUL AINI KAMILA P Berobat Jalan
444 10:11 KESEHATAN eruption
100204010525Y000 08-05-2025 KASHAFA MUHAMMAD PEGAWAI
1233 05-08-2025 0003472311734 L Counselling, unspecified Berobat Jalan
415 08:31 BAHTIAR SWASTA
100204010525Y000 08-05-2025 PBI JAMINAN
1234 05-08-2025 0003484184837 CECEP NANA SUMPENA L Myalgia Berobat Jalan
434 09:29 KESEHATAN
100204010525Y000 08-05-2025 ALMEERA ALULA PEKERJA Intestinal bypass and
1235 05-08-2025 0003589054683 P Rujuk Vertikal
439 09:44 SHANUM MANDIRI anastomosis status
100204010525Y000 08-05-2025 PEKERJA
1236 05-08-2025 0003605848064 SUJIANTO L Acute laryngopharyngitis Berobat Jalan
402 07:55 MANDIRI
Need for immunization
100204010525Y000 08-05-2025 MUHAMMAD FILLIO PEGAWAI against
1237 05-08-2025 0003627633148 L Berobat Jalan
403 07:55 ALFARIZKI PUTRA SWASTA diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +
100204010525Y000 08-05-2025 PEKERJA Pneumothorax,
1238 05-08-2025 0003757354312 SUYANTO L Rujuk Vertikal
411 08:21 MANDIRI unspecified
Elevated blood-pressure
100204010525Y000 07-05-2025 PENERIMA
1239 05-07-2025 0000053377806 ANAH TINTIN P reading, without diagnosis Berobat Jalan
344 08:03 PENSIUN TNI
of hypertension
100204010525Y000 07-05-2025 PEKERJA
1240 05-07-2025 0000418565507 APONG SOLIHAT P Secondary hypertension Berobat Jalan
359 08:23 MANDIRI
100204010525Y000 07-05-2025 PBI JAMINAN
1241 05-07-2025 0000418845633 ETI KARTINI P Necrosis of pulp Berobat Jalan
370 08:50 KESEHATAN
100204010525Y000 07-05-2025 PBI JAMINAN Acute nasopharyngitis
1242 05-07-2025 0000418859493 CUCU YUSUF L Berobat Jalan
357 08:21 KESEHATAN [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 07-05-2025 PBI JAMINAN Acute nasopharyngitis

1243 05-07-2025 0000418977617 HENDRIYANTO L Berobat Jalan
351 08:14 KESEHATAN [common cold]
100204010525Y000 07-05-2025
1244 05-07-2025 0000419023844 DODI SUHANDA L - Myalgia Berobat Jalan
360 08:24
100204010525Y000 07-05-2025
1245 05-07-2025 0000419054051 NANA L - Gastritis, unspecified Berobat Jalan
343 07:58
100204010525Y000 07-05-2025 PBI JAMINAN
1246 05-07-2025 0000419054545 AYI ROSIDAH P Myalgia Berobat Jalan
342 07:53 KESEHATAN
100204010525Y000 07-05-2025
1247 05-07-2025 0000419358892 UUM DARMAYANTI P - Acute laryngopharyngitis Berobat Jalan
389 10:45
100204010525Y000 07-05-2025 PBI JAMINAN
1248 05-07-2025 0000419537439 ADE NANI P Myalgia Berobat Jalan
353 08:18 KESEHATAN
Tuberculosis of lung,
100204010525Y000 07-05-2025 confirmed by sputum
1249 05-07-2025 0000419736699 SITI ROMLAH P - Berobat Jalan
385 09:53 microscopy with or without
culture
100204010525Y000 07-05-2025
1250 05-07-2025 0000420123644 TIARA P - Counselling, unspecified Berobat Jalan
388 10:35
100204010525Y000 07-05-2025
1251 05-07-2025 0000420153658 NITA P - Other acute gastritis Berobat Jalan
387 10:12
100204010525Y000 07-05-2025 Contraceptive
1252 05-07-2025 0000472387972 TORIQOTUS SALAMAH P - Berobat Jalan
362 08:27 management, unspecified
PBPU DAN BP
100204010525Y000 07-05-2025
1253 05-07-2025 0001003904357 WAHID L PEMERINTAH Acute gingivitis Berobat Jalan
368 08:46
DAERAH
Gastro-oesophageal reflux
100204010525Y000 07-05-2025
1254 05-07-2025 0001003905022 ADE SURYANA L - disease without Berobat Jalan
345 08:03
oesophagitis
100204010525Y000 07-05-2025 Contraceptive
1255 05-07-2025 0001089376492 DEPANTI WAHYUNI P - Berobat Jalan
366 08:41 management, unspecified
100204010525Y000 07-05-2025 Disorders of
1256 05-07-2025 0001127542803 DIANA P - Rujuk Vertikal Hipertensi
338 07:49 accommodation
100204010525Y000 07-05-2025 IWAN SAPUTRO PEKERJA
1257 05-07-2025 0001133029394 L Congestive heart failure Berobat Jalan
390 11:18 SETIOMIHARDJO, Ir MANDIRI
100204010525Y000 07-05-2025
1258 05-07-2025 0001157852204 DEDI RUSTANDI L - Other chronic renal failure Rujuk Vertikal
341 07:52
100204010525Y000 07-05-2025 Chronic sinusitis,
1259 05-07-2025 0001261501266 SRI ROHAYATI P - Rujuk Vertikal
382 09:27 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 07-05-2025
1260 05-07-2025 0001340555782 MAESAROH P PEMERINTAH Secondary hypertension Berobat Jalan
365 08:40
DAERAH
PBPU DAN BP Elevated blood-pressure
100204010525Y000 07-05-2025
1261 05-07-2025 0001340797263 ONIH P PEMERINTAH reading, without diagnosis Berobat Jalan Hipertensi
349 08:13
DAERAH of hypertension
100204010525Y000 07-05-2025 EMMA LAKHSMIWATI
1262 05-07-2025 0001422437567 P - Polyarthritis, unspecified Berobat Jalan
391 11:24 RACHIM
PEGAWAI
PEMERINTAH
100204010525Y000 07-05-2025
1263 05-07-2025 0001481842361 SUPRIATI P DENGAN Myalgia Berobat Jalan
336 07:45
PERJANJIAN
KERJA
100204010525Y000 07-05-2025 PEGAWAI Contusion of toe(s) without
1264 05-07-2025 0001778166729 YAYAN MULYANA L Berobat Jalan
354 08:19 SWASTA damage to nail
Elevated blood-pressure
100204010525Y000 07-05-2025
1265 05-07-2025 0001780643035 IMAS SITI HANIPAH P - reading, without diagnosis Berobat Jalan
346 08:04
of hypertension
100204010525Y000 07-05-2025 Surveillance of
1266 05-07-2025 0002048262895 VINA NURMAYANTI P - Berobat Jalan
358 08:22 contraceptive drugs
100204010525Y000 07-05-2025 PEKERJA
1267 05-07-2025 0002288749364 TATI SARIATI MOECHLIS P Polyarthritis, unspecified Berobat Jalan
364 08:31 MANDIRI
100204010525Y000 07-05-2025 PEKERJA Hypertensive heart
1268 05-07-2025 0002481226053 AWANGSIH P Rujuk Vertikal Hipertensi
356 08:20 MANDIRI disease
100204010525Y000 07-05-2025 MUHAMMAD HAFIZH Nephrotic syndrome,
1269 05-07-2025 0002744656762 L - Rujuk Vertikal
355 08:19 SYA'BANI unspecified
100204010525Y000 07-05-2025 PEKERJA
1270 05-07-2025 0002852164462 WIWIN WINDANI P Necrosis of pulp Berobat Jalan
375 09:03 MANDIRI
100204010525Y000 07-05-2025 Acute pharyngitis,
1271 05-07-2025 0002863477214 SARIFAH P - Berobat Jalan
386 09:56 unspecified
100204010525Y000 07-05-2025 PBI JAMINAN Acute nasopharyngitis
1272 05-07-2025 0002869375252 INA SURTINAH P Berobat Jalan
369 08:47 KESEHATAN [common cold]
100204010525Y000 07-05-2025 PBI JAMINAN Enlarged lymph nodes,
1273 05-07-2025 0002869375353 ADE DAHLAN MIHARJA L Rujuk Vertikal
352 08:17 KESEHATAN unspecified
100204010525Y000 07-05-2025 Other nonorganic
1274 05-07-2025 0002876275495 ABDUL ALIHAADI L - Rujuk Vertikal
373 08:56 psychotic disorders
100204010525Y000 07-05-2025
1275 05-07-2025 0002962530033 RAYNA SAFA OKTAVINI P - Conjunctivitis, unspecified Berobat Jalan
361 08:26
PBPU DAN BP Postprocedural disorder of
100204010525Y000 07-05-2025
1276 05-07-2025 0002962530898 IIS KARWATI P PEMERINTAH genitourinary system, Rujuk Vertikal
392 11:53
DAERAH unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 07-05-2025
1277 05-07-2025 0002962531078 FIRMANSYAH L PEMERINTAH Myalgia Berobat Jalan
380 09:16
DAERAH
100204010525Y000 07-05-2025 Acute upper respiratory
1278 05-07-2025 0002962531991 KOMALA P - Berobat Jalan
377 09:12 infection, unspecified
100204010525Y000 07-05-2025 PBI JAMINAN Acute upper respiratory
1279 05-07-2025 0002967506346 VIVIA APRILIA PUTRI P Berobat Jalan
367 08:41 KESEHATAN infection, unspecified
100204010525Y000 07-05-2025 PEKERJA Contraceptive
1280 05-07-2025 0003006323976 PUTRI PEBRYANTY P Berobat Jalan
384 09:50 MANDIRI management, unspecified
PEGAWAI
PEMERINTAH
100204010525Y000 07-05-2025 General medical
1281 05-07-2025 0003081078944 CITRA WATI P DENGAN Berobat Jalan
340 07:52 examination
PERJANJIAN
KERJA
100204010525Y000 07-05-2025 Contraceptive
1282 05-07-2025 0003115730711 INDRIANI P - Berobat Jalan
379 09:12 management, unspecified
100204010525Y000 07-05-2025
1283 05-07-2025 0003171992319 NANDAR L - Acute laryngopharyngitis Berobat Jalan
394 13:31
PBPU DAN BP
100204010525Y000 07-05-2025 Contraceptive
1284 05-07-2025 0003207741851 DEWI HERLINA P PEMERINTAH Berobat Jalan
376 09:04 management, unspecified
DAERAH
100204010525Y000 07-05-2025
1285 05-07-2025 0003208112818 MUTIARA CANTIKA PUTRI P - Other atopic dermatitis Berobat Jalan
393 13:30
100204010525Y000 07-05-2025
1286 05-07-2025 0003222551485 AKMAL AMALUDIN L - Necrosis of pulp Berobat Jalan
383 09:28
PBPU DAN BP
100204010525Y000 07-05-2025 Chronic renal failure,
1287 05-07-2025 0003222580274 AIF FIANDRI L PEMERINTAH Rujuk Vertikal
337 07:47 unspecified
DAERAH
PBPU DAN BP
100204010525Y000 07-05-2025 Contraceptive
1288 05-07-2025 0003222583661 DINI KARTINI P PEMERINTAH Berobat Jalan
371 08:55 management, unspecified
DAERAH
100204010525Y000 07-05-2025 Acute pharyngitis,
1289 05-07-2025 0003223328962 POPON NURHAYATI P - Berobat Jalan
348 08:07 unspecified
PBPU DAN BP
100204010525Y000 07-05-2025
1290 05-07-2025 0003223328973 AGUS NUGROHO L PEMERINTAH Other acute gastritis Berobat Jalan
339 07:50
DAERAH
100204010525Y000 07-05-2025 Contraceptive
1291 05-07-2025 0003223330233 YULIANTI P - Berobat Jalan
381 09:20 management, unspecified
100204010525Y000 07-05-2025
1292 05-07-2025 0003223330266 FAZRIEL ADHI FACHZAN L - Myalgia Berobat Jalan
378 09:12
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 07-05-2025
1293 05-07-2025 0003223332112 RADITYA RAMLAN L - Tinea cruris Berobat Jalan
347 08:07
100204010525Y000 07-05-2025 MUHAMAD ADZKAR PEKERJA Disorders of
1294 05-07-2025 0003344431588 L Rujuk Vertikal
363 08:29 ILYASA MANDIRI accommodation
PBPU DAN BP
100204010525Y000 07-05-2025
1295 05-07-2025 0003551271715 AMANDA VANIA P PEMERINTAH Dermatitis, unspecified Berobat Jalan
374 09:01
DAERAH
Non-insulin-dependent
100204010525Y000 07-05-2025 PEKERJA
1296 05-07-2025 0003591619637 EUTIK RUKMINI P diabetes mellitus with Berobat Jalan
350 08:13 MANDIRI
coma
Bronchopulmonary
100204010525Y000 07-05-2025 BAYI NYONYA ANNISA PEGAWAI
1297 05-07-2025 0003607632461 L dysplasia originating in the Rujuk Vertikal
372 08:55 MUTHOHAROH SWASTA
perinatal period
100204010525Y000 06-05-2025 Hyperlipidaemia,
1298 05-06-2025 0000053715868 DRS. H. IIK MAKIB. LC L - Berobat Jalan
314 09:23 unspecified
100204010525Y000 06-05-2025 PENERIMA Chronic ischaemic heart
1299 05-06-2025 0000158630949 ADA L Rujuk Vertikal
284 08:11 PENSIUN PNS disease
100204010525Y000 06-05-2025 PBI JAMINAN
1300 05-06-2025 0000418690473 ANNISA SITI MARIYAM P Pregnancy confirmed Berobat Jalan
333 11:30 KESEHATAN
100204010525Y000 06-05-2025 PEGAWAI Acute nasopharyngitis
1301 05-06-2025 0000418836227 RIZKY NUGRAHA L Berobat Jalan
316 09:25 SWASTA [common cold]
100204010525Y000 06-05-2025 Primary gonarthrosis,
1302 05-06-2025 0000418837803 ENAH SUHAENAH P - Rujuk Vertikal
310 09:07 bilateral
100204010525Y000 06-05-2025 PBI JAMINAN Primary gonarthrosis,
1303 05-06-2025 0000418888631 LIN AGUSTIAN P Berobat Jalan
275 07:59 KESEHATAN bilateral
100204010525Y000 06-05-2025 PBI JAMINAN
1304 05-06-2025 0000418917543 AGUS WAHYUDIN L Myalgia Berobat Jalan
331 11:06 KESEHATAN
Tuberculosis of lung,
100204010525Y000 06-05-2025 confirmed by sputum
1305 05-06-2025 0000419017555 SABILA TITANIA P - Berobat Jalan
322 09:36 microscopy with or without
culture
Elevated blood-pressure
100204010525Y000 06-05-2025
1306 05-06-2025 0000419100939 ADE RAHMAT L - reading, without diagnosis Rujuk Vertikal
273 07:59
of hypertension
Non-insulin-dependent
100204010525Y000 06-05-2025 Diabetes
1307 05-06-2025 0000419101435 EUIS MARLINA P - diabetes mellitus with Rujuk Vertikal
277 08:03 Mellitus
multiple complications
100204010525Y000 06-05-2025 PBI JAMINAN Stroke, not specified as
1308 05-06-2025 0000419255583 ENYI ACAH P Rujuk Vertikal
276 08:02 KESEHATAN haemorrhage or infarction
100204010525Y000 06-05-2025 PBI JAMINAN Disorders of
1309 05-06-2025 0000419348992 UDO UNDAYA L Rujuk Vertikal
282 08:08 KESEHATAN accommodation
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 06-05-2025
1310 05-06-2025 0000419391663 AYI MASIDAH P - Keloid scar Rujuk Vertikal
286 08:15
100204010525Y000 06-05-2025 Contraceptive
1311 05-06-2025 0000419392653 YUNI SETIAWATI P - Berobat Jalan
304 08:59 management, unspecified
100204010525Y000 06-05-2025
1312 05-06-2025 0000419403519 HADI SUHARNO L - Other atopic dermatitis Berobat Jalan
300 08:48
PBPU DAN BP
100204010525Y000 06-05-2025
1313 05-06-2025 0000419485421 BILQIS NARULLITA P PEMERINTAH Gastritis, unspecified Berobat Jalan
280 08:07
DAERAH
100204010525Y000 06-05-2025 PBI JAMINAN Chronic ischaemic heart
1314 05-06-2025 0000419844115 IMAS P Rujuk Vertikal
330 10:59 KESEHATAN disease
100204010525Y000 06-05-2025 PBI JAMINAN Acute upper respiratory
1315 05-06-2025 0000419928401 EEN P Berobat Jalan
299 08:47 KESEHATAN infection, unspecified
100204010525Y000 06-05-2025 PBI JAMINAN
1316 05-06-2025 0000419953465 ROHMAN EFENDI L Other atopic dermatitis Berobat Jalan
271 07:54 KESEHATAN
Elevated blood-pressure
100204010525Y000 06-05-2025 PBI JAMINAN
1317 05-06-2025 0000420390764 AGUS ERNAWAN L reading, without diagnosis Berobat Jalan
320 09:33 KESEHATAN
of hypertension
100204010525Y000 06-05-2025
1318 05-06-2025 0001003863374 ASIH P - Gastritis, unspecified Berobat Jalan
272 07:58
100204010525Y000 06-05-2025
1319 05-06-2025 0001003864274 LINA MARLINA P - Myalgia Berobat Jalan
303 08:57
100204010525Y000 06-05-2025 PBI JAMINAN Non-insulin-dependent
1320 05-06-2025 0001003865433 ANI ROHANI P Berobat Jalan
306 09:00 KESEHATAN diabetes mellitus
100204010525Y000 06-05-2025 Abnormal glucose
1321 05-06-2025 0001003872486 A. RIYAN SOFYAN L - Berobat Jalan
317 09:25 tolerance test
100204010525Y000 06-05-2025 FAJRI ANSORULLOH Acute pharyngitis,
1322 05-06-2025 0001089390126 L - Berobat Jalan
287 08:21 IDZHARUDIN unspecified
100204010525Y000 06-05-2025 PBI JAMINAN Acute nasopharyngitis
1323 05-06-2025 0001089390137 AMINAH P Berobat Jalan
288 08:23 KESEHATAN [common cold]
100204010525Y000 06-05-2025 PBI JAMINAN
1324 05-06-2025 0001089400184 NENG ELI HERYANI P Chronic periodontitis Berobat Jalan
297 08:46 KESEHATAN
100204010525Y000 06-05-2025
1325 05-06-2025 0001285652968 DEDI KURNIADI L - Other chronic sinusitis Rujuk Vertikal
326 10:05
100204010525Y000 06-05-2025 Acute upper respiratory
1326 05-06-2025 0001340298112 ENTIN KARTINI P - Berobat Jalan
327 10:17 infection, unspecified
Tuberculosis of lung,
100204010525Y000 06-05-2025 confirmed by sputum
1327 05-06-2025 0001340699523 JERI FIRMANSAH L - Berobat Jalan
311 09:09 microscopy with or without
culture
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 06-05-2025 Acute upper respiratory
1328 05-06-2025 0001341084093 HANI HANDAYANI P PEMERINTAH Berobat Jalan
312 09:13 infection, unspecified
DAERAH
100204010525Y000 06-05-2025
1329 05-06-2025 0001341198077 SITI ROHANA P - Carpal tunnel syndrome Rujuk Vertikal
279 08:06
100204010525Y000 06-05-2025
1330 05-06-2025 0001434192186 TRIYANI P - Vertigo of central origin Berobat Jalan
290 08:37
100204010525Y000 06-05-2025 Acute nasopharyngitis
1331 05-06-2025 0001441931253 ARRIFA ALWI KURNIADY L - Berobat Jalan
270 07:48 [common cold]
PEGAWAI
PEMERINTAH
100204010525Y000 06-05-2025
1332 05-06-2025 0001468505182 NUROHMAH P DENGAN Myalgia Berobat Jalan
285 08:11
PERJANJIAN
KERJA
100204010525Y000 06-05-2025 PEGAWAI
1333 05-06-2025 0001665018753 ALIS TIORINI P Dyspnoea Rujuk Vertikal
292 08:40 SWASTA
100204010525Y000 06-05-2025 PEKERJA Allergic rhinitis,
1334 05-06-2025 0001828505171 SAUR SIAGIAN P Berobat Jalan
302 08:55 MANDIRI unspecified
100204010525Y000 06-05-2025 PEKERJA
1335 05-06-2025 0001961069242 MARYAM P Secondary hypertension Berobat Jalan
289 08:29 MANDIRI
PBPU DAN BP Other benign neoplasm of
100204010525Y000 06-05-2025
1336 05-06-2025 0002517033554 RAFI HAZIM MUZAKI L PEMERINTAH connective and other soft Rujuk Vertikal
298 08:46
DAERAH tissue, unspecified
100204010525Y000 06-05-2025 PBI JAMINAN Acute upper respiratory
1337 05-06-2025 0002583870761 ENAH SUHAENAH P Berobat Jalan
293 08:41 KESEHATAN infection, unspecified
100204010525Y000 06-05-2025
1338 05-06-2025 0002586627628 KURNIA L - Necrosis of pulp Berobat Jalan
323 09:46
100204010525Y000 06-05-2025 Acute upper respiratory
1339 05-06-2025 0002793037544 FUTRI MELANI P - Berobat Jalan
295 08:44 infection, unspecified
100204010525Y000 06-05-2025 PBI JAMINAN
1340 05-06-2025 0002793038613 INA MARIYANA P Secondary hypertension Berobat Jalan Hipertensi
307 09:03 KESEHATAN
100204010525Y000 06-05-2025 RD. RAHANDINI PBI JAMINAN General medical
1341 05-06-2025 0002793049839 P Berobat Jalan
319 09:32 RESFITASARI KESEHATAN examination
Non-insulin-dependent
100204010525Y000 06-05-2025 PBI JAMINAN
1342 05-06-2025 0002836957307 TUKIMAN L diabetes mellitus with Rujuk Vertikal
332 11:26 KESEHATAN
unspecified complications
100204010525Y000 06-05-2025 PBI JAMINAN Absence of eustachian
1343 05-06-2025 0002861368108 MIKO YUDA SETIAWAN L Berobat Jalan
318 09:26 KESEHATAN tube
100204010525Y000 06-05-2025 PBI JAMINAN
1344 05-06-2025 0002863476606 ETI HARTATI P Myalgia Berobat Jalan
294 08:43 KESEHATAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 06-05-2025 MOHAMAD RIZKI Acute nasopharyngitis

1345 05-06-2025 0002863476617 L - Berobat Jalan
305 09:00 PRATAMA [common cold]
100204010525Y000 06-05-2025 PBI JAMINAN
1346 05-06-2025 0002863481106 IMAS SAHADAH P Myalgia Berobat Jalan
281 08:08 KESEHATAN
100204010525Y000 06-05-2025
1347 05-06-2025 0002919573933 EUIS P - Other hyperlipidaemia Berobat Jalan
324 09:52
100204010525Y000 06-05-2025 General medical
1348 05-06-2025 0002962533508 NOVI TRIANTI P - Berobat Jalan
301 08:52 examination
PBPU DAN BP
100204010525Y000 06-05-2025
1349 05-06-2025 0002962533598 DEDI SOPIANDI L PEMERINTAH Myalgia Berobat Jalan
278 08:05
DAERAH
100204010525Y000 06-05-2025
1350 05-06-2025 0003001961608 IIM L - Myalgia Berobat Jalan
296 08:45
100204010525Y000 06-05-2025 PBI JAMINAN Acute upper respiratory
1351 05-06-2025 0003039720761 RAFKY HAIDAR L Berobat Jalan
313 09:21 KESEHATAN infection, unspecified
100204010525Y000 06-05-2025
1352 05-06-2025 0003114595642 NENGSIH P - Myalgia Berobat Jalan
274 07:59
100204010525Y000 06-05-2025 PBI JAMINAN Maternal care for fetal
1353 05-06-2025 0003117420808 LINA HANDAYANI P Rujuk Vertikal
315 09:23 KESEHATAN problem, unspecified
100204010525Y000 06-05-2025 PEGAWAI
1354 05-06-2025 0003131662015 ALYA SITI NURHASANAH P Pulpitis Berobat Jalan
283 08:10 SWASTA
PBPU DAN BP
100204010525Y000 06-05-2025
1355 05-06-2025 0003207441993 RINA P PEMERINTAH Secondary hypertension Berobat Jalan
309 09:06
DAERAH
100204010525Y000 06-05-2025 PEGAWAI Acute upper respiratory
1356 05-06-2025 0003207744167 RAFKA ARSHA FATHAN L Berobat Jalan
308 09:04 SWASTA infection, unspecified
100204010525Y000 06-05-2025 Mumps without
1357 05-06-2025 0003207744279 AKIM PADJATAMA L - Berobat Jalan
328 10:42 complication

100204010525Y000 06-05-2025 PBI JAMINAN Allergic contact dermatitis,

1358 05-06-2025 0003207750941 YEYE WAHYA L Berobat Jalan
335 11:48 KESEHATAN unspecified cause

PBPU DAN BP
100204010525Y000 06-05-2025 General medical
1359 05-06-2025 0003207751582 NAUFAL AZIZ L PEMERINTAH Berobat Jalan
334 11:36 examination
DAERAH
Tuberculosis of lung,
PBPU DAN BP
100204010525Y000 06-05-2025 without mention of
1360 05-06-2025 0003223078143 MUHAMAD ARIIQ L PEMERINTAH Berobat Jalan
329 10:44 bacteriological or
DAERAH
histological confirmation
100204010525Y000 06-05-2025 KASHAFA MUHAMMAD PEGAWAI Acute upper respiratory
1361 05-06-2025 0003472311734 L Berobat Jalan
291 08:38 BAHTIAR SWASTA infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Tuberculosis of lung,
100204010525Y000 06-05-2025 ALBIRU BILAL PEKERJA without mention of
1362 05-06-2025 0003637288901 L Berobat Jalan
321 09:34 NURDIANSYAH MANDIRI bacteriological or
histological confirmation
100204010525Y000 06-05-2025
1363 05-06-2025 0003753421964 GESI PITRIYANI P - Counselling, unspecified Berobat Jalan
325 10:01
100204010525Y000 05-05-2025
1364 05-05-2025 0000055145564 ACHMAD FAIZAL L - Gastritis, unspecified Berobat Jalan
250 10:38
100204010525Y000 05-05-2025 PBI JAMINAN Supervision of other
1365 05-05-2025 0000412520679 NURYANTI P Rujuk Vertikal
228 09:53 KESEHATAN high-risk pregnancies
100204010525Y000 05-05-2025 PBI JAMINAN
1366 05-05-2025 0000413137765 TITI SURYATI P Pterygium Rujuk Vertikal
248 10:32 KESEHATAN
100204010525Y000 05-05-2025 PBI JAMINAN Surgical follow-up care, Diabetes Diabetes
1367 05-05-2025 0000417704927 SUKINI P Berobat Jalan
198 09:01 KESEHATAN unspecified Mellitus Mellitus
100204010525Y000 05-05-2025 SYAHDANI SETIADY PEGAWAI Surgical follow-up care,
1368 05-05-2025 0000417773226 L Berobat Jalan
210 09:18 SUGIANTO SWASTA unspecified
PBPU DAN BP
100204010525Y000 05-05-2025
1369 05-05-2025 0000418368903 SUKARTI P PEMERINTAH Congestive heart failure Rujuk Vertikal
256 10:52
DAERAH
Elevated blood-pressure
100204010525Y000 05-05-2025 PBI JAMINAN
1370 05-05-2025 0000418652717 YATI ROHAYATI P reading, without diagnosis Berobat Jalan
223 09:39 KESEHATAN
of hypertension
100204010525Y000 05-05-2025
1371 05-05-2025 0000418896022 TOTO SUHARTO L - Myalgia Berobat Jalan
240 10:16
100204010525Y000 05-05-2025 PBI JAMINAN Acute nasopharyngitis
1372 05-05-2025 0000418913065 SIVA HARDIANTI P Berobat Jalan
232 10:05 KESEHATAN [common cold]
100204010525Y000 05-05-2025
1373 05-05-2025 0000419003829 NANI FATIMAH P - Myalgia Berobat Jalan
253 10:44
100204010525Y000 05-05-2025 PBI JAMINAN
1374 05-05-2025 0000419005585 RAMADHAN L Acute abdomen Rujuk Vertikal
252 10:41 KESEHATAN
100204010525Y000 05-05-2025 PBI JAMINAN
1375 05-05-2025 0000419033542 ELIS WIDA P Secondary hypertension Berobat Jalan
197 09:01 KESEHATAN
100204010525Y000 05-05-2025 Other surgical follow-up
1376 05-05-2025 0000419071847 ANTON WIJAYA L - Berobat Jalan
243 10:21 care
100204010525Y000 05-05-2025 PBI JAMINAN
1377 05-05-2025 0000419132755 SAYID SAKIB L Malaise and fatigue Berobat Jalan
180 08:20 KESEHATAN
100204010525Y000 05-05-2025
1378 05-05-2025 0000419133677 IMAS YUYUM P - Myalgia Berobat Jalan
179 08:17
100204010525Y000 05-05-2025 Acute upper respiratory
1379 05-05-2025 0000419148909 ASIH P - Berobat Jalan
212 09:22 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 05-05-2025
1380 05-05-2025 0000419156752 RISKI KRISNAN L - Headache Berobat Jalan
166 07:55
Unilateral or unspecified
100204010525Y000 05-05-2025 PBI JAMINAN
1381 05-05-2025 0000419194765 DEDI RUDIANA L femoral hernia, without Rujuk Vertikal
247 10:32 KESEHATAN
obstruction or gangrene
100204010525Y000 05-05-2025 PBI JAMINAN
1382 05-05-2025 0000419205341 ADE SUTINI P Carpal tunnel syndrome Rujuk Vertikal
190 08:45 KESEHATAN

100204010525Y000 05-05-2025 PBI JAMINAN Allergic contact dermatitis,

1383 05-05-2025 0000419339496 DINI SUGIANTI P Berobat Jalan
230 09:54 KESEHATAN unspecified cause

100204010525Y000 05-05-2025 RAFA HANIFAH

1384 05-05-2025 0000419374495 P - Acute laryngopharyngitis Berobat Jalan
209 09:16 OKTAVIANI
100204010525Y000 05-05-2025 PBI JAMINAN
1385 05-05-2025 0000419380593 KURNIASIH P Necrosis of pulp Berobat Jalan
208 09:14 KESEHATAN
100204010525Y000 05-05-2025 PBI JAMINAN
1386 05-05-2025 0000419381583 ISNI MARDHIYAH P Necrosis of pulp Berobat Jalan
220 09:37 KESEHATAN
100204010525Y000 05-05-2025
1387 05-05-2025 0000419389953 YAYAN SUPRIATNA L - Cough Berobat Jalan
213 09:24
100204010525Y000 05-05-2025
1388 05-05-2025 0000419421407 TUTI SUMARTINI P - Myalgia Berobat Jalan
244 10:22
100204010525Y000 05-05-2025 Need for immunization
1389 05-05-2025 0000419422814 YESI KOMALASARI P - Berobat Jalan
236 10:09 against tetanus alone
Elevated blood-pressure
100204010525Y000 05-05-2025
1390 05-05-2025 0000419460028 ENOK HASANAH P - reading, without diagnosis Berobat Jalan
251 10:39
of hypertension
100204010525Y000 05-05-2025
1391 05-05-2025 0000419484892 TAMARA PUTRI LEGINA P - Counselling, unspecified Berobat Jalan
268 11:47
100204010525Y000 05-05-2025 PBI JAMINAN Other injuries of eye and
1392 05-05-2025 0000419596716 REVI FIRMANSYAH L Rujuk Vertikal
245 10:24 KESEHATAN orbit
100204010525Y000 05-05-2025 PBI JAMINAN Hypertensive heart
1393 05-05-2025 0000419829794 SAYU WAHYU L Rujuk Vertikal
193 08:53 KESEHATAN disease
100204010525Y000 05-05-2025
1394 05-05-2025 0000419941326 NENG ISAH P - Hearing loss, unspecified Rujuk Vertikal
255 10:50
100204010525Y000 05-05-2025 PEKERJA
1395 05-05-2025 0000420145468 KOKOM P Low back pain Rujuk Vertikal Hipertensi
227 09:52 MANDIRI
100204010525Y000 05-05-2025 PBI JAMINAN
1396 05-05-2025 0000420903369 HIDAYAT L Other specified arthritis Berobat Jalan
238 10:14 KESEHATAN
100204010525Y000 05-05-2025
1397 05-05-2025 0001003867108 SRI RIYANI P - Typhoid fever Berobat Jalan
195 08:57
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Other benign neoplasm of

100204010525Y000 05-05-2025
1398 05-05-2025 0001003872328 MARFUAH P - connective and other soft Rujuk Vertikal
192 08:49
tissue, unspecified
100204010525Y000 05-05-2025 PBI JAMINAN General medical
1399 05-05-2025 0001003900601 ERNA P Berobat Jalan
260 10:59 KESEHATAN examination
100204010525Y000 05-05-2025 PEKERJA
1400 05-05-2025 0001089376413 SITI ROHMAH P Streptococcal tonsillitis Berobat Jalan
242 10:18 MANDIRI
100204010525Y000 05-05-2025 PEKERJA Pertrochanteric fracture,
1401 05-05-2025 0001264326974 IDA AYU PUTU WIRYADI P Rujuk Vertikal
258 10:55 MANDIRI closed
100204010525Y000 05-05-2025 Purpura and other
1402 05-05-2025 0001275799228 UMAR BASRI L - Rujuk Vertikal
169 08:01 haemorrhagic conditions
100204010525Y000 05-05-2025 Acute nasopharyngitis
1403 05-05-2025 0001292682058 NURHAYATI P - Berobat Jalan
172 08:06 [common cold]
Lumbar and other
100204010525Y000 05-05-2025 intervertebral disc
1404 05-05-2025 0001335282131 SURYANI P - Rujuk Vertikal
221 09:37 disorders with
radiculopathy
100204010525Y000 05-05-2025 Stroke, not specified as
1405 05-05-2025 0001340434102 SUDIYADI L - Rujuk Vertikal
164 07:53 haemorrhage or infarction
100204010525Y000 05-05-2025 PEKERJA Cluster headache
1406 05-05-2025 0001340628592 ANKA CITRINA P Rujuk Vertikal
254 10:46 MANDIRI syndrome
100204010525Y000 05-05-2025
1407 05-05-2025 0001340721652 HINDAYATI P - Carpal tunnel syndrome Rujuk Vertikal
181 08:25
PBPU DAN BP Other benign neoplasm of
100204010525Y000 05-05-2025
1408 05-05-2025 0001341198292 YUHANA P PEMERINTAH connective and other soft Rujuk Vertikal
211 09:21
DAERAH tissue, unspecified
PBPU DAN BP
100204010525Y000 05-05-2025
1409 05-05-2025 0001383217975 RIZKA NURAINI P PEMERINTAH Other viral conjunctivitis Berobat Jalan
177 08:16
DAERAH
100204010525Y000 05-05-2025 Cerebral infarction,
1410 05-05-2025 0001428588639 DEDE RUKOYAH P - Rujuk Vertikal
186 08:39 unspecified
100204010525Y000 05-05-2025 TB. TUS SETIABUDI PEKERJA Herpesviral vesicular
1411 05-05-2025 0001429705552 L Berobat Jalan
229 09:53 UTAMA MANDIRI dermatitis
100204010525Y000 05-05-2025
1412 05-05-2025 0001441930667 MIMI MARYANI P - Secondary hypertension Berobat Jalan Hipertensi
185 08:38
PBPU DAN BP
100204010525Y000 05-05-2025 Renovascular
1413 05-05-2025 0001441931027 HILMI HAMADI L PEMERINTAH Berobat Jalan
188 08:41 hypertension
DAERAH
100204010525Y000 05-05-2025 Hyperlipidaemia,
1414 05-05-2025 0001463542863 RUKMINI P - Berobat Jalan
226 09:48 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 05-05-2025
1415 05-05-2025 0001664562238 MUHAMAD FACHRI L - Pneumonia, unspecified Berobat Jalan
214 09:24
100204010525Y000 05-05-2025 PEGAWAI
1416 05-05-2025 0001666587745 ARYA WIGUNA L Other acute gastritis Berobat Jalan
217 09:32 SWASTA
100204010525Y000 05-05-2025 PEGAWAI
1417 05-05-2025 0001669190174 KOKON MULYANA L Headache Berobat Jalan Hipertensi
207 09:12 SWASTA
100204010525Y000 05-05-2025 PEKERJA
1418 05-05-2025 0001804988722 WIDODO L Dyspepsia Berobat Jalan Hipertensi
178 08:16 MANDIRI

100204010525Y000 05-05-2025 PENERIMA Chronic ischaemic heart

1419 05-05-2025 0001809732969 H. DRAJAT SOEJANTO L Rujuk Vertikal
265 11:10 PENSIUN SWASTA disease

100204010525Y000 05-05-2025 PEGAWAI Other and unspecified

1420 05-05-2025 0001855346714 NUNUNG HALIMAH P Berobat Jalan
194 08:56 SWASTA abdominal pain
100204010525Y000 05-05-2025 PBI JAMINAN
1421 05-05-2025 0001862632607 DEVI HANDAYANI P Secondary hypertension Berobat Jalan
171 08:03 KESEHATAN
100204010525Y000 05-05-2025 PEKERJA
1422 05-05-2025 0002135656157 AGUNG SUDRAJAT L Gastritis, unspecified Berobat Jalan
246 10:29 MANDIRI
PBPU DAN BP
100204010525Y000 05-05-2025
1423 05-05-2025 0002210519542 RUKMINI P PEMERINTAH Myalgia Berobat Jalan
201 09:04
DAERAH
Surveillance of
100204010525Y000 05-05-2025 PEKERJA
1424 05-05-2025 0002260679613 SUSAN ENDAH PUTRI P (intrauterine) contraceptive Rujuk Vertikal
261 11:00 MANDIRI
device
100204010525Y000 05-05-2025 PBI JAMINAN Hyperlipidaemia,
1425 05-05-2025 0002378079922 MAEMUNAH P Berobat Jalan
234 10:05 KESEHATAN unspecified
100204010525Y000 05-05-2025 PEKERJA
1426 05-05-2025 0002420691039 ADILAH HAMDAN L Thalassaemia, unspecified Rujuk Vertikal
191 08:47 MANDIRI
100204010525Y000 05-05-2025 PEKERJA
1427 05-05-2025 0002464268905 MAMAN SULAEMAN L Dyspnoea Rujuk Vertikal
168 07:59 MANDIRI

Diarrhoea and
100204010525Y000 05-05-2025 UMAR ALI XAVIER
1428 05-05-2025 0002509713494 L - gastroenteritis of Berobat Jalan
237 10:14 PRANATA
presumed infectious origin

PBPU DAN BP
100204010525Y000 05-05-2025 Disturbances in tooth
1429 05-05-2025 0002613210985 HUSNA MUTHMAINNAH P PEMERINTAH Berobat Jalan
257 10:54 formation
DAERAH
100204010525Y000 05-05-2025 PEGAWAI
1430 05-05-2025 0002625866739 NINA HERLINA P Dyspepsia Berobat Jalan
196 09:00 SWASTA
100204010525Y000 05-05-2025 Acute nasopharyngitis
1431 05-05-2025 0002747573605 SELFA DEFIANS LATUNY L - Berobat Jalan
231 10:01 [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 05-05-2025
1432 05-05-2025 0002793038883 KRISNA SUHADI L - Other forms of stomatitis Berobat Jalan
199 09:04
100204010525Y000 05-05-2025 PBI JAMINAN Injury of eye and orbit, part
1433 05-05-2025 0002836961908 LILI RAMDANI L Rujuk Vertikal
203 09:06 KESEHATAN unspecified
100204010525Y000 05-05-2025 PBI JAMINAN
1434 05-05-2025 0002836964316 LATIPAH P Acute laryngopharyngitis Berobat Jalan
206 09:11 KESEHATAN
Respiratory disorders in
100204010525Y000 05-05-2025
1435 05-05-2025 0002860272641 POPY PARICA KARTINI P - other diseases classified Rujuk Vertikal
241 10:16
elsewhere
100204010525Y000 05-05-2025 PBI JAMINAN
1436 05-05-2025 0002863479227 KURAESIN P Myalgia Berobat Jalan
266 11:33 KESEHATAN
100204010525Y000 05-05-2025 PEGAWAI
1437 05-05-2025 0002918597578 DADANG KURNIA L Typhoid fever Berobat Jalan
263 11:05 SWASTA
PBPU DAN BP
100204010525Y000 05-05-2025
1438 05-05-2025 0002961421569 DACHROM L PEMERINTAH Myalgia Berobat Jalan
215 09:26
DAERAH
100204010525Y000 05-05-2025 Examination of blood
1439 05-05-2025 0002962530639 MARLINA P - Berobat Jalan
184 08:30 pressure
100204010525Y000 05-05-2025
1440 05-05-2025 0002962530641 REYHAN SETIAZI L - Acute gingivitis Berobat Jalan
182 08:26
PBPU DAN BP
100204010525Y000 05-05-2025
1441 05-05-2025 0002962530652 RENDRA ALLMI SAYYID L PEMERINTAH Other viral conjunctivitis Berobat Jalan
175 08:12
DAERAH
100204010525Y000 05-05-2025 PBI JAMINAN Stroke, not specified as
1442 05-05-2025 0002963640565 ANIK P Rujuk Vertikal
205 09:07 KESEHATAN haemorrhage or infarction
100204010525Y000 05-05-2025 PBI JAMINAN
1443 05-05-2025 0002967506842 ANISA OKTAVIANI P Acute laryngopharyngitis Berobat Jalan
163 07:52 KESEHATAN
100204010525Y000 05-05-2025 PEKERJA
1444 05-05-2025 0002967507663 RASWANTO L Tinea corporis Berobat Jalan
176 08:15 MANDIRI
100204010525Y000 05-05-2025 Acute nasopharyngitis
1445 05-05-2025 0003045527223 INDRA MAULANA L - Berobat Jalan
165 07:55 [common cold]
PBPU DAN BP Elevated blood-pressure
100204010525Y000 05-05-2025
1446 05-05-2025 0003207442555 A. SUHERMAN L PEMERINTAH reading, without diagnosis Berobat Jalan
183 08:30
DAERAH of hypertension
100204010525Y000 05-05-2025 PBI JAMINAN
1447 05-05-2025 0003207741221 AL FAHRI SYAHPUTRA L Pneumonia, unspecified Berobat Jalan
204 09:07 KESEHATAN
PBPU DAN BP
100204010525Y000 05-05-2025
1448 05-05-2025 0003207745721 TUTI SETIAWATI P PEMERINTAH Myalgia Berobat Jalan
218 09:32
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 05-05-2025
1449 05-05-2025 0003207757419 RAMA SETIAWAN L PEMERINTAH Necrosis of pulp Berobat Jalan
202 09:05
DAERAH
100204010525Y000 05-05-2025 Varicella without
1450 05-05-2025 0003208126059 KHALISA P - Berobat Jalan
235 10:08 complication
100204010525Y000 05-05-2025 MARYAM NURPUTRI PBI JAMINAN Disturbances in tooth
1451 05-05-2025 0003208127084 P Berobat Jalan
259 10:57 KURNIAWAN KESEHATAN eruption
100204010525Y000 05-05-2025 PEKERJA
1452 05-05-2025 0003221812361 HENDI SETIADI L Other viral conjunctivitis Berobat Jalan
189 08:44 MANDIRI
PBPU DAN BP
100204010525Y000 05-05-2025
1453 05-05-2025 0003222559192 ANNISA KHOIRIYAH P PEMERINTAH Dyspepsia Berobat Jalan
239 10:14
DAERAH
PBPU DAN BP
100204010525Y000 05-05-2025
1454 05-05-2025 0003222567922 ANTI SUSANTI P PEMERINTAH Myalgia Berobat Jalan
222 09:38
DAERAH
PBPU DAN BP
100204010525Y000 05-05-2025 Observation for suspected
1455 05-05-2025 0003223078143 MUHAMAD ARIIQ L PEMERINTAH Rujuk Vertikal
187 08:40 tuberculosis
DAERAH
PBPU DAN BP
100204010525Y000 05-05-2025 Acute lymphadenitis of
1456 05-05-2025 0003223094545 NUR ADRIAN FIRMANSAH L PEMERINTAH Berobat Jalan
224 09:41 face, head and neck
DAERAH
100204010525Y000 05-05-2025
1457 05-05-2025 0003271563729 IMAS SAODAH P - Benign neoplasm of breast Berobat Jalan
173 08:08
100204010525Y000 05-05-2025 MUHAMAD REHAN PBI JAMINAN Chronic atticoantral
1458 05-05-2025 0003329364249 L Rujuk Vertikal
216 09:28 SETIADI KESEHATAN suppurative otitis media
100204010525Y000 05-05-2025 PEKERJA Nonspecific low
1459 05-05-2025 0003340853717 SITI MASITOH P Berobat Jalan Hipertensi
167 07:57 MANDIRI blood-pressure reading
100204010525Y000 05-05-2025 MUHAMAD ADZKAR PEKERJA
1460 05-05-2025 0003344431588 L Pulpitis Berobat Jalan
262 11:00 ILYASA MANDIRI
PEGAWAI
PEMERINTAH
100204010525Y000 05-05-2025 DESTAVIN ABIAN
1461 05-05-2025 0003544429678 L DENGAN Constipation Rujuk Vertikal
170 08:02 PRATAMA
PERJANJIAN
KERJA
PBPU DAN BP
100204010525Y000 05-05-2025
1462 05-05-2025 0003563036752 IYAN HERDIYAN L PEMERINTAH Other atopic dermatitis Berobat Jalan
225 09:46
DAERAH
Need for immunization
100204010525Y000 05-05-2025 PEKERJA
1463 05-05-2025 0003577385002 ARFAN FANDY L against Berobat Jalan
174 08:11 MANDIRI
measles-mumps-rubella
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Need for immunization

100204010525Y000 05-05-2025 PEKERJA
1464 05-05-2025 0003586664542 Aariz zayyan Malik L against Berobat Jalan
233 10:05 MANDIRI
measles-mumps-rubella
100204010525Y000 05-05-2025 PEKERJA Acute upper respiratory
1465 05-05-2025 0003587324218 ADIBA PUTRI KINANTI P Berobat Jalan
269 11:50 MANDIRI infection, unspecified
100204010525Y000 05-05-2025 PEKERJA
1466 05-05-2025 0003627374174 FADIL APRILIYANTO L Acute laryngopharyngitis Berobat Jalan
264 11:05 MANDIRI
100204010525Y000 05-05-2025 DAFFIN ALFARIZKY PEGAWAI
1467 05-05-2025 0003634309811 L Counselling, unspecified Berobat Jalan
267 11:36 RIYANDI SWASTA
Chronic obstructive
100204010525Y000 05-05-2025 PEKERJA
1468 05-05-2025 0003639384933 RONI TARONI L pulmonary disease, Rujuk Vertikal
219 09:35 MANDIRI
unspecified
Need for immunization
100204010525Y000 05-05-2025 PBI JAMINAN against unspecified
1469 05-05-2025 0003751245033 viola tri yani putri P Berobat Jalan
200 09:04 KESEHATAN combinations of infectious
diseases
100204010525Y000 05-05-2025 CHANDRA PUTRA PEGAWAI
1470 05-05-2025 0003758518539 L Pneumonia, unspecified Berobat Jalan
249 10:33 GANESHA SWASTA
Other benign neoplasm of
100204010525Y000 03-05-2025 HANS GILBERT ALEXIA PEKERJA connective and other soft
1471 05-03-2025 0000013806562 L Rujuk Vertikal
113 08:39 HALAWA MANDIRI tissue of upper limb,
including shoulder
100204010525Y000 03-05-2025
1472 05-03-2025 0000055705465 URIP SURATMAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan Hipertensi
132 09:18
100204010525Y000 03-05-2025
1473 05-03-2025 0000055825457 PAWIT P - Myalgia Berobat Jalan
091 07:45
100204010525Y000 03-05-2025
1474 05-03-2025 0000056599672 KOSWARA L PNS PUSAT Secondary hypertension Berobat Jalan
094 07:52
Chronic obstructive
100204010525Y000 03-05-2025
1475 05-03-2025 0000056705927 SUHERNA L - pulmonary disease, Rujuk Vertikal
120 08:56
unspecified
100204010525Y000 03-05-2025 PENERIMA Stroke, not specified as
1476 05-03-2025 0000057585104 AGUS SULASTIYONO L Rujuk Vertikal
098 08:02 PENSIUN PNS haemorrhage or infarction
100204010525Y000 03-05-2025 PENERIMA
1477 05-03-2025 0000197037663 SUMARNI P Myalgia Berobat Jalan
100 08:14 PENSIUN PNS
100204010525Y000 03-05-2025 PBI JAMINAN
1478 05-03-2025 0000418845633 ETI KARTINI P Urticaria, unspecified Berobat Jalan
112 08:37 KESEHATAN
100204010525Y000 03-05-2025 PEGAWAI
1479 05-03-2025 0000419036286 SUTINAH P Myalgia Berobat Jalan
122 08:59 SWASTA
100204010525Y000 03-05-2025
1480 05-03-2025 0000419389953 YAYAN SUPRIATNA L - Acute laryngopharyngitis Berobat Jalan
154 18:47
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 03-05-2025 PBI JAMINAN Other and unspecified

1481 05-03-2025 0000419436088 SARIAH P Rujuk Vertikal
097 08:02 KESEHATAN abdominal pain
100204010525Y000 03-05-2025
1482 05-03-2025 0000419715641 NGADIDJAH P - Acute laryngopharyngitis Berobat Jalan
107 08:26
100204010525Y000 03-05-2025 PBI JAMINAN
1483 05-03-2025 0000419989702 ADE SUKANAH P Dyspnoea Rujuk Vertikal
123 09:03 KESEHATAN
100204010525Y000 03-05-2025 PEKERJA
1484 05-03-2025 0000420145468 KOKOM P Secondary hypertension Berobat Jalan Hipertensi
111 08:37 MANDIRI
100204010525Y000 03-05-2025
1485 05-03-2025 0000420221068 BAWONO L - Polyarthritis, unspecified Berobat Jalan
131 09:18
Disorder of gingiva and
100204010525P000 03-05-2025 PBI JAMINAN
1486 05-03-2025 0000420416998 NURAENI HOERUNISA P edentulous alveolar ridge, Rujuk Vertikal
138 09:59 KESEHATAN
unspecified
100204010525Y000 03-05-2025 PEKERJA General medical
1487 05-03-2025 0001164764924 NASRUL MUHAIMIN L Berobat Jalan
147 10:34 MANDIRI examination
100204010525Y000 03-05-2025 PEKERJA
1488 05-03-2025 0001268341975 KOMALA P Pulpitis Berobat Jalan
139 10:02 MANDIRI
100204010525Y000 03-05-2025 PEKERJA Cardiomyopathy,
1489 05-03-2025 0001280023975 DESI SUMINARTI P Rujuk Vertikal
144 10:23 MANDIRI unspecified
100204010525Y000 03-05-2025 PEKERJA
1490 05-03-2025 0001309383257 RAFA MAULANA YUSUF L Pneumonia, unspecified Berobat Jalan
129 09:15 MANDIRI
100204010525Y000 03-05-2025
1491 05-03-2025 0001340393545 ROSITA SARI P - Headache Berobat Jalan
150 12:20
100204010525Y000 03-05-2025
1492 05-03-2025 0001340902697 YUSTINUS L - Other atopic dermatitis Berobat Jalan
127 09:10
100204010525Y000 03-05-2025
1493 05-03-2025 0001382139595 LILIS SRI WAHYUNI P - Dyspepsia Berobat Jalan
133 09:28
PBPU DAN BP
100204010525Y000 03-05-2025
1494 05-03-2025 0001441931027 HILMI HAMADI L PEMERINTAH Acute laryngopharyngitis Berobat Jalan
089 07:38
DAERAH
100204010525Y000 03-05-2025 JULIATIE RATNA
1495 05-03-2025 0001459824467 P - Pruritus, unspecified Berobat Jalan
105 08:21 HANDAYANI
PDT. ANDRI
100204010525Y000 03-05-2025 Subarachnoid
1496 05-03-2025 0001520519793 ANUGRAHMAN L - Rujuk Vertikal
088 07:02 haemorrhage, unspecified
TEDJAMULIA
100204010525Y000 03-05-2025
1497 05-03-2025 0001854198538 ROSIDAH P - Myalgia Berobat Jalan
095 07:54
100204010525Y000 03-05-2025
1498 05-03-2025 0001854198808 BAMBANG ISMANTO L - Dyspnoea Rujuk Vertikal
093 07:50
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 03-05-2025 PEKERJA

1499 05-03-2025 0002073609033 MUHAMMAD FAHMI L Gastritis, unspecified Berobat Jalan
119 08:56 MANDIRI
100204010525Y000 03-05-2025 PBI JAMINAN
1500 05-03-2025 0002264127805 JUMAWAR L Acute laryngopharyngitis Berobat Jalan
140 10:15 KESEHATAN
100204010525Y000 03-05-2025
1501 05-03-2025 0002376416079 AGUS RUSMAN L - Dyspepsia Berobat Jalan
130 09:17
100204010525Y000 03-05-2025 Unspecified injury of ankle
1502 05-03-2025 0002376416081 POPON FATIMAH P - Berobat Jalan Hipertensi
128 09:14 and foot
100204010525Y000 03-05-2025 PEKERJA
1503 05-03-2025 0002376917493 BETTI IRIANTI P Polyarthritis, unspecified Berobat Jalan
099 08:09 MANDIRI
100204010525Y000 03-05-2025
1504 05-03-2025 0002469043247 USA L - Acute laryngopharyngitis Berobat Jalan
121 08:59
100204010525Y000 03-05-2025 PBI JAMINAN
1505 05-03-2025 0002586046296 LIA SITI LESTARI P Other acute gastritis Berobat Jalan
117 08:53 KESEHATAN
100204010525Y000 03-05-2025 PBI JAMINAN
1506 05-03-2025 0002598559907 RESTU TIANDRA L Acute laryngopharyngitis Berobat Jalan
118 08:56 KESEHATAN
100204010525Y000 03-05-2025
1507 05-03-2025 0002744560236 HASNA FADHILAH P - Necrosis of pulp Berobat Jalan
115 08:48
100204010525Y000 03-05-2025 General medical
1508 05-03-2025 0002793036925 ALVIYANTI P - Berobat Jalan
109 08:33 examination
100204010525Y000 03-05-2025 PBI JAMINAN
1509 05-03-2025 0002836957836 IMAS P Nausea and vomiting Berobat Jalan
114 08:43 KESEHATAN
100204010525Y000 03-05-2025 PBI JAMINAN
1510 05-03-2025 0002863479126 NENI P Other acute gastritis Berobat Jalan
090 07:42 KESEHATAN

Diarrhoea and
100204010525Y000 03-05-2025
1511 05-03-2025 0002863483042 ENUNG ISAH P - gastroenteritis of Berobat Jalan
101 08:14
presumed infectious origin

100204010525Y000 03-05-2025
1512 05-03-2025 0002869374701 YETI SULASTRI P - Acute laryngopharyngitis Berobat Jalan
153 18:43
100204010525Y000 03-05-2025 CANTIKA SAKURA Disturbances in tooth
1513 05-03-2025 0002885323331 P - Berobat Jalan
110 08:36 AGUSTIN eruption
100204010525Y000 03-05-2025 Acute nasopharyngitis
1514 05-03-2025 0002961422774 ANANDA RESTU PUTRI P - Berobat Jalan
124 09:07 [common cold]
100204010525Y000 03-05-2025
1515 05-03-2025 0002961427623 FHADILLA NUR ZAHRA P - Myalgia Berobat Jalan
116 08:49
Atherosclerotic
100204010525Y000 03-05-2025
1516 05-03-2025 0003005213534 KARLI SYAMSUDIN L - cardiovascular disease, so Rujuk Vertikal
102 08:16
described
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 03-05-2025
1517 05-03-2025 0003039721176 NADIRA ROSMAYANTI P - Streptococcal tonsillitis Berobat Jalan
134 09:31
PBPU DAN BP
100204010525Y000 03-05-2025 Internal haemorrhoids
1518 05-03-2025 0003063790023 ADE WAHYUDIN L PEMERINTAH Berobat Jalan
126 09:10 without complication
DAERAH
PBPU DAN BP Other acute upper
100204010525Y000 03-05-2025
1519 05-03-2025 0003063790247 NUR ASIAH P PEMERINTAH respiratory infections of Berobat Jalan
125 09:08
DAERAH multiple sites
100204010525Y000 03-05-2025 PBI JAMINAN
1520 05-03-2025 0003116233449 DEPI SUNENGSIH P Chronic periodontitis Berobat Jalan
135 09:35 KESEHATAN
100204010525Y000 03-05-2025 SAAFIA SHAFA ASH PEKERJA
1521 05-03-2025 0003124008448 P Status asthmaticus Rujuk Vertikal
143 10:22 SHABIRA MANDIRI
100204010525Y000 03-05-2025 RIANNE ELVINA Acute upper respiratory
1522 05-03-2025 0003137672248 P - Berobat Jalan
157 18:52 ALMAHYRA infection, unspecified
100204010525Y000 03-05-2025 PBI JAMINAN
1523 05-03-2025 0003171985323 IYIK P Myalgia Berobat Jalan
151 12:23 KESEHATAN
PBPU DAN BP Tuberculosis of intestines,
100204010525Y000 03-05-2025
1524 05-03-2025 0003207748364 MONIKA NOPIYANTI P PEMERINTAH peritoneum and Rujuk Vertikal
106 08:25
DAERAH mesenteric glands
100204010525Y000 03-05-2025 MUHAMMAD IQBAL PBI JAMINAN Acute upper respiratory
1525 05-03-2025 0003207750862 L Berobat Jalan
158 18:53 FATURROHMAN KESEHATAN infection, unspecified
100204010525Y000 03-05-2025 PBI JAMINAN Disturbances in tooth
1526 05-03-2025 0003207754618 ADZKA FAIREL AGUSTINA L Berobat Jalan
137 09:42 KESEHATAN eruption
PBPU DAN BP
100204010525Y000 03-05-2025 RISCHA GISELLA
1527 05-03-2025 0003207763023 P PEMERINTAH Streptococcal tonsillitis Berobat Jalan
092 07:45 SHAQILLA
DAERAH
100204010525Y000 03-05-2025 PBI JAMINAN General medical
1528 05-03-2025 0003207764698 MARSYA MELANI PUTRI P Berobat Jalan
141 10:16 KESEHATAN examination
100204010525Y000 03-05-2025 PBI JAMINAN
1529 05-03-2025 0003208108083 RAFA JAFRANI L Pneumonia, unspecified Berobat Jalan
103 08:17 KESEHATAN
100204010525Y000 03-05-2025 DZAKIRAH RAFIFAH
1530 05-03-2025 0003221831968 P - Amblyopia ex anopsia Rujuk Vertikal
104 08:20 AZALIA
PBPU DAN BP
100204010525Y000 03-05-2025
1531 05-03-2025 0003222587024 ATIKAH P PEMERINTAH Headache Berobat Jalan
096 07:58
DAERAH
PBPU DAN BP
100204010525Y000 03-05-2025
1532 05-03-2025 0003223335161 LILY SULISTYONINGSIH P PEMERINTAH Headache Berobat Jalan
148 10:39
DAERAH
PBPU DAN BP
100204010525Y000 03-05-2025 CHRISTOPHER Disorder of ear,
1533 05-03-2025 0003223335172 L PEMERINTAH Rujuk Vertikal
149 10:52 GIOVANNI. V. H unspecified
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 03-05-2025 CHARLOTTE ANNABELLE General medical
1534 05-03-2025 0003223335183 P PEMERINTAH Berobat Jalan
155 18:48 ELISABETH HERTANTO examination
DAERAH
100204010525Y000 03-05-2025 Unspecified injury of ankle
1535 05-03-2025 0003223340875 PURWANTI EKAWATI P - Rujuk Vertikal
146 10:31 and foot

100204010525Y000 03-05-2025 PEGAWAI Allergic contact dermatitis,

1536 05-03-2025 0003261413643 CITERA KOMALA P Berobat Jalan
108 08:31 SWASTA unspecified cause

100204010525Y000 03-05-2025 PEGAWAI Acute upper respiratory

1537 05-03-2025 0003577975266 RAFKA ARSHA HIMAWAN L Berobat Jalan
156 18:52 SWASTA infection, unspecified
100204010525Y000 03-05-2025 TAN RIVAL ANDY PEGAWAI
1538 05-03-2025 0003581350929 L Myalgia Berobat Jalan
145 10:31 HERTANTO SWASTA
100204010525Y000 03-05-2025 PEKERJA Acute nasopharyngitis
1539 05-03-2025 0003627374174 FADIL APRILIYANTO L Berobat Jalan
152 14:47 MANDIRI [common cold]
100204010525Y000 03-05-2025 PBI JAMINAN
1540 05-03-2025 0003752621414 ARSYA HAFIZ PERMANA L Birth injury, unspecified Rujuk Vertikal
136 09:37 KESEHATAN
100204010525Y000 02-05-2025 YENI PERMANA
1541 05-02-2025 0000053661104 P - Myalgia Berobat Jalan
046 09:33 ANDAYANI
100204010525Y000 02-05-2025 PENERIMA Disorders of
1542 05-02-2025 0000056664279 DEDI MULYADIHARDJA L Rujuk Vertikal
023 08:35 PENSIUN PNS accommodation
100204010525Y000 02-05-2025 PENERIMA Disorders of
1543 05-02-2025 0000056664281 NELLY NURBAHAYATI P Rujuk Vertikal
022 08:33 PENSIUN PNS accommodation
100204010525Y000 02-05-2025 PENERIMA Acute upper respiratory
1544 05-02-2025 0000056665348 SUDRADJAT L Berobat Jalan
071 10:42 PENSIUN PNS infection, unspecified
100204010525Y000 02-05-2025 PENERIMA
1545 05-02-2025 0000076443434 AMIN SEMBIRING L Ocular pain Rujuk Vertikal
086 11:52 PENSIUN PNS
100204010525Y000 02-05-2025 PBI JAMINAN Atrophic disorder of skin,
1546 05-02-2025 0000413366422 AKRAB PAMUNGKAS L Rujuk Vertikal
067 10:38 KESEHATAN unspecified

Panniculitis affecting
100204010525Y000 02-05-2025
1547 05-02-2025 0000418840986 DEVI MAULANI P - regions of neck and back, Rujuk Vertikal
005 07:52
thoracolumbar region

100204010525Y000 02-05-2025 Other disorders of

1548 05-02-2025 0000418909983 DADANG L - Rujuk Vertikal
008 07:55 vestibular function
100204010525Y000 02-05-2025 PBI JAMINAN Acute upper respiratory
1549 05-02-2025 0000418978416 ENTIN KARTINI P Berobat Jalan
007 07:55 KESEHATAN infection, unspecified
100204010525Y000 02-05-2025 PBI JAMINAN
1550 05-02-2025 0000419003548 SINTA SANTIKA P Antenatal screening Berobat Jalan
035 09:02 KESEHATAN
100204010525Y000 02-05-2025 PBI JAMINAN Other and unspecified
1551 05-02-2025 0000419014293 ROHAETI P Rujuk Vertikal
041 09:27 KESEHATAN abdominal pain
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 02-05-2025 PBI JAMINAN Acute nasopharyngitis

1552 05-02-2025 0000419029885 ASRIYANI P Berobat Jalan
030 08:52 KESEHATAN [common cold]
100204010525Y000 02-05-2025
1553 05-02-2025 0000419156752 RISKI KRISNAN L - Myalgia Berobat Jalan
002 07:47
100204010525Y000 02-05-2025 PBI JAMINAN Primary pulmonary
1554 05-02-2025 0000419188072 ROHAETI P Rujuk Vertikal
087 13:06 KESEHATAN hypertension
100204010525Y000 02-05-2025 Retinal disorder, Diabetes
1555 05-02-2025 0000419220191 YUYUN YULIPAH P - Rujuk Vertikal
001 07:44 unspecified Mellitus
100204010525Y000 02-05-2025
1556 05-02-2025 0000419354662 IDA WATI P - Antenatal screening Berobat Jalan
073 10:54
100204010525Y000 02-05-2025
1557 05-02-2025 0000419403519 HADI SUHARNO L - Orthostatic hypotension Berobat Jalan
021 08:32
Elevated blood-pressure
100204010525Y000 02-05-2025 PBI JAMINAN
1558 05-02-2025 0000419413138 ELA HAYATI NINGSIH P reading, without diagnosis Berobat Jalan
066 10:29 KESEHATAN
of hypertension
100204010525Y000 02-05-2025 PBI JAMINAN Varicella without
1559 05-02-2025 0000419414308 NANA SUPRIATNA L Berobat Jalan
044 09:32 KESEHATAN complication
100204010525Y000 02-05-2025 PBI JAMINAN
1560 05-02-2025 0000419485656 NINING P Myalgia Berobat Jalan
052 09:53 KESEHATAN
100204010525Y000 02-05-2025 Atopic dermatitis,
1561 05-02-2025 0000419650075 HANI P - Berobat Jalan
050 09:47 unspecified
100204010525Y000 02-05-2025
1562 05-02-2025 0000419758839 ROSHANA JULLY CLARA P - Calculus of ureter Rujuk Vertikal
037 09:05
100204010525Y000 02-05-2025 PBI JAMINAN
1563 05-02-2025 0000419850538 DARIKAH P Chronic kidney disease Rujuk Vertikal
027 08:42 KESEHATAN
100204010525Y000 02-05-2025 PBI JAMINAN
1564 05-02-2025 0000419932528 AJANG PRIATNA L Hearing loss, unspecified Rujuk Vertikal
058 10:12 KESEHATAN
100204010525Y000 02-05-2025 Acute nasopharyngitis
1565 05-02-2025 0000419941326 NENG ISAH P - Berobat Jalan
055 10:04 [common cold]
100204010525Y000 02-05-2025 PBI JAMINAN
1566 05-02-2025 0000419941743 MUHAMAD RAMDAN L Dyspepsia Berobat Jalan
056 10:08 KESEHATAN
100204010525Y000 02-05-2025 PBI JAMINAN
1567 05-02-2025 0000420136345 ILAWATI ZUHAERIAH P Dyspepsia Berobat Jalan
014 08:10 KESEHATAN
Sequelae of stroke, not
100204010525Y000 02-05-2025 PBI JAMINAN
1568 05-02-2025 0000503400126 DEDE SUPRIATI P specified as haemorrhage Rujuk Vertikal
080 11:19 KESEHATAN
or infarction
100204010525Y000 03-05-2025 PBI JAMINAN
1569 05-02-2025 0000542119689 SRI WAHYUNINGSIH P Antenatal screening Berobat Jalan
161 18:59 KESEHATAN
100204010525Y000 02-05-2025 PBI JAMINAN Acute nasopharyngitis
1570 05-02-2025 0001003867874 MARYAMAH P Berobat Jalan
043 09:28 KESEHATAN [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 02-05-2025
1571 05-02-2025 0001003870978 YUSEP SUHANDA L - Conjunctivitis, unspecified Berobat Jalan
069 10:39
100204010525Y000 03-05-2025 PBI JAMINAN
1572 05-02-2025 0001003903457 ani heryani P Chronic periodontitis Berobat Jalan
160 18:57 KESEHATAN
100204010525Y000 02-05-2025 PBI JAMINAN
1573 05-02-2025 0001003903457 ani heryani P Cataract, unspecified Rujuk Vertikal
061 10:13 KESEHATAN
Disorder of gingiva and
100204010525P000 03-05-2025 PEKERJA
1574 05-02-2025 0001268341975 KOMALA P edentulous alveolar ridge, Rujuk Vertikal
142 10:19 MANDIRI
unspecified
PBPU DAN BP
100204010525Y000 02-05-2025
1575 05-02-2025 0001295205186 DIDI L PEMERINTAH Hyperplasia of prostate Rujuk Vertikal
084 11:28
DAERAH
100204010525Y000 02-05-2025
1576 05-02-2025 0001317177527 HENNY HERIANTI P - Myalgia Berobat Jalan Hipertensi
049 09:46
Sequelae of stroke, not
100204010525Y000 02-05-2025 PEKERJA Diabetes
1577 05-02-2025 0001319482811 IRAH SUMIRAH P specified as haemorrhage Rujuk Vertikal
013 08:07 MANDIRI Mellitus
or infarction
PBPU DAN BP
100204010525Y000 02-05-2025
1578 05-02-2025 0001340433876 ADE MAMAN L PEMERINTAH Myalgia Berobat Jalan
003 07:49
DAERAH
100204010525Y000 02-05-2025
1579 05-02-2025 0001340556118 TRIYANTI P - Amenorrhoea, unspecified Berobat Jalan
039 09:17
100204010525Y000 02-05-2025 PEKERJA
1580 05-02-2025 0001454871093 EDDY HADIYANTO L Polyarthritis, unspecified Berobat Jalan Hipertensi
018 08:20 MANDIRI
PBPU DAN BP
100204010525Y000 02-05-2025
1581 05-02-2025 0001468164622 HILDA NOVIANI P PEMERINTAH Necrosis of pulp Berobat Jalan
075 11:05
DAERAH
100204010525Y000 02-05-2025
1582 05-02-2025 0001472840493 AGEUNG MUHARAM L - Multiple sclerosis Rujuk Vertikal
015 08:12
100204010525Y000 02-05-2025
1583 05-02-2025 0001478274985 FITRIAH BENIA P PEGAWAI BUMD Pulpitis Berobat Jalan
060 10:12
100204010525Y000 02-05-2025
1584 05-02-2025 0001515192715 SARIP HIDAYAT L - Dyspepsia Berobat Jalan
047 09:37
100204010525Y000 02-05-2025 PEGAWAI
1585 05-02-2025 0001606750964 HENDRA SURYANA L Myalgia Berobat Jalan
033 08:59 SWASTA
100204010525Y000 02-05-2025
1586 05-02-2025 0001661348924 NIA DESTIYANI P - Neonatal infective mastitis Berobat Jalan
048 09:45
100204010525Y000 02-05-2025 PEGAWAI Bronchitis, not specified as
1587 05-02-2025 0001665115075 ELIS ATIH P Berobat Jalan
053 09:55 SWASTA acute or chronic
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 02-05-2025 RIANTY MIFTAHUN PEKERJA Acute pharyngitis,

1588 05-02-2025 0001665121037 P Berobat Jalan
051 09:53 NURIAH RACHMAT MANDIRI unspecified
100204010525Y000 02-05-2025 PEGAWAI
1589 05-02-2025 0001666997807 FIRDHAN KOMARUDIN L Conjunctivitis, unspecified Berobat Jalan
034 09:00 SWASTA
Excessive and frequent
100204010525Y000 02-05-2025 PEKERJA
1590 05-02-2025 0001740899867 DWI SURYANI P menstruation with irregular Rujuk Vertikal
072 10:46 MANDIRI
cycle
PBPU DAN BP
100204010525Y000 02-05-2025
1591 05-02-2025 0001796688483 SHERRIN BARA CHINTYA P PEMERINTAH Antenatal screening Berobat Jalan
057 10:08
DAERAH
100204010525Y000 02-05-2025 PEKERJA Allergic rhinitis,
1592 05-02-2025 0001828505171 SAUR SIAGIAN P Berobat Jalan
054 10:01 MANDIRI unspecified
100204010525Y000 02-05-2025 PEKERJA
1593 05-02-2025 0002098541891 TJIAM KENG NIO P Myalgia Berobat Jalan
079 11:18 MANDIRI
100204010525Y000 02-05-2025 PEKERJA
1594 05-02-2025 0002143930713 YANTI MARTINI P Pruritus, unspecified Berobat Jalan
078 11:17 MANDIRI
100204010525Y000 02-05-2025
1595 05-02-2025 0002143930757 QIANNA SALSABILA P - Ingrowing nail Berobat Jalan
083 11:24
Elevated blood-pressure
100204010525Y000 02-05-2025
1596 05-02-2025 0002195217674 EUIS KARWATI P - reading, without diagnosis Berobat Jalan
012 08:05
of hypertension
Chronic obstructive
100204010525Y000 02-05-2025 PBI JAMINAN
1597 05-02-2025 0002572710175 DJOKO SUGENG ADJI L pulmonary disease, Rujuk Vertikal
063 10:16 KESEHATAN
unspecified
100204010525Y000 02-05-2025 PBI JAMINAN Hebephrenic
1598 05-02-2025 0002593754943 ACHMAD TAUFAN L Rujuk Vertikal
085 11:36 KESEHATAN schizophrenia
100204010525Y000 02-05-2025 MUTHIARA CHANTICA PEGAWAI
1599 05-02-2025 0002624164672 P Acute maxillary sinusitis Rujuk Vertikal
042 09:28 NUR AHMAD SWASTA
100204010525Y000 02-05-2025 PEKERJA
1600 05-02-2025 0002745131949 SOEJADI H PRAWIRA L Congestive heart failure Rujuk Vertikal
032 08:58 MANDIRI
Elevated blood-pressure
100204010525Y000 02-05-2025
1601 05-02-2025 0002793032133 TATI RAHAYATI P - reading, without diagnosis Berobat Jalan
029 08:51
of hypertension
100204010525Y000 02-05-2025 PBI JAMINAN
1602 05-02-2025 0002836964294 TUTI SULASTRI P Polyarthritis, unspecified Berobat Jalan
004 07:52 KESEHATAN
100204010525Y000 02-05-2025 PEGAWAI Hypertensive heart
1603 05-02-2025 0002890801168 SRI SUCIATI P Rujuk Vertikal
068 10:38 SWASTA disease
PBPU DAN BP
100204010525Y000 02-05-2025
1604 05-02-2025 0002961426317 SAMSUL ANWAR L PEMERINTAH Necrosis of pulp Berobat Jalan
070 10:40
DAERAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010525Y000 02-05-2025
1605 05-02-2025 0003041956732 NUR YENI P - Pulpitis Berobat Jalan
019 08:22
100204010525Y000 02-05-2025 ARIZAL FAUZAN PBI JAMINAN
1606 05-02-2025 0003061602459 L Fever, unspecified Berobat Jalan
040 09:18 RAMADAN KESEHATAN
100204010525Y000 02-05-2025
1607 05-02-2025 0003120122799 CHIARA SKY P - Counselling, unspecified Berobat Jalan
045 09:33
100204010525Y000 03-05-2025 FAISAL ARSYAD
1608 05-02-2025 0003133738337 L - Dermatitis, unspecified Berobat Jalan
162 19:01 RAMADHAN
100204010525Y000 02-05-2025 PEGAWAI Irritant contact dermatitis,
1609 05-02-2025 0003175174146 MUHAMAD ALFAREL L Berobat Jalan
028 08:48 SWASTA unspecified cause
PBPU DAN BP
100204010525Y000 02-05-2025 NAYAKA ICHSAN
1610 05-02-2025 0003207441609 L PEMERINTAH Acute gingivitis Berobat Jalan
036 09:05 SAPUTRA
DAERAH
100204010525Y000 02-05-2025 Acute upper respiratory
1611 05-02-2025 0003207748948 DEWI RATNENGSIH P - Berobat Jalan
038 09:07 infection, unspecified
100204010525Y000 02-05-2025 PEGAWAI Acute upper respiratory
1612 05-02-2025 0003207749073 ARVIN KENZA L Berobat Jalan
016 08:13 SWASTA infection, unspecified
100204010525Y000 02-05-2025 PBI JAMINAN
1613 05-02-2025 0003207753314 MARTOYO L Congestive heart failure Rujuk Vertikal
026 08:38 KESEHATAN
100204010525Y000 02-05-2025 Disturbances in tooth
1614 05-02-2025 0003207754462 YURI AIRACLARA P - Berobat Jalan
082 11:21 eruption
100204010525Y000 02-05-2025
1615 05-02-2025 0003207755417 WIWI WIDASTUTI P - Idiopathic gout Berobat Jalan
065 10:23
100204010525Y000 02-05-2025 RAFFASYA AL FAEYZA Allergic rhinitis,
1616 05-02-2025 0003207763056 L - Berobat Jalan
031 08:57 ISLAM unspecified
100204010525Y000 02-05-2025 Acute nasopharyngitis
1617 05-02-2025 0003207763326 DEWI NINGSIH P - Berobat Jalan
081 11:21 [common cold]
100204010525Y000 02-05-2025
1618 05-02-2025 0003207763348 YUNITA DEWI P - Headache Berobat Jalan
077 11:15
PBPU DAN BP
100204010525Y000 02-05-2025
1619 05-02-2025 0003207764261 DEVI HASTUTI P PEMERINTAH Dyspepsia Berobat Jalan
020 08:24
DAERAH
PBPU DAN BP
100204010525Y000 02-05-2025
1620 05-02-2025 0003208107936 WIWI WIDANINGSIH P PEMERINTAH Dyspepsia Berobat Jalan
062 10:16
DAERAH
Acute transmural
100204010525Y000 02-05-2025
1621 05-02-2025 0003208112741 UJANG WAHYU L - myocardial infarction of Rujuk Vertikal
024 08:36
anterior wall
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PBPU DAN BP
100204010525Y000 02-05-2025
1622 05-02-2025 0003222551373 ELVIANA MUJZDALIFAH P PEMERINTAH Neonatal infective mastitis Berobat Jalan
009 07:58
DAERAH
100204010525Y000 02-05-2025 Schizoaffective disorder,
1623 05-02-2025 0003222570712 EVI RACHMAWATI P - Rujuk Vertikal
006 07:55 depressive type
100204010525Y000 02-05-2025
1624 05-02-2025 0003222576909 ANDI MULYADI L - Fever, unspecified Berobat Jalan
010 08:02
Tuberculosis of lung,
PBPU DAN BP
100204010525Y000 02-05-2025 confirmed by sputum
1625 05-02-2025 0003223078132 IIM SUPARTINI P PEMERINTAH Berobat Jalan
025 08:37 microscopy with or without
DAERAH
culture
100204010525Y000 02-05-2025 Acute pharyngitis,
1626 05-02-2025 0003223097493 NAZMI KHAIRANI P - Berobat Jalan
011 08:05 unspecified
PBPU DAN BP
100204010525Y000 02-05-2025 Other superficial keratitis
1627 05-02-2025 0003223326172 LUTHFI RASYID SURYADI L PEMERINTAH Rujuk Vertikal
074 11:00 without conjunctivitis
DAERAH
100204010525Y000 03-05-2025 DIVYANISA TRIANI
1628 05-02-2025 0003223338715 P - Other atopic dermatitis Berobat Jalan
159 18:55 SYAHMAN
100204010525Y000 02-05-2025 Acute nasopharyngitis
1629 05-02-2025 0003256523458 DADAN ROCHMAT L - Berobat Jalan
017 08:19 [common cold]
Other developmental
100204010525Y000 02-05-2025 MUHAMMAD ALVAN PEKERJA
1630 05-02-2025 0003635105422 L disorders of speech and Rujuk Vertikal
059 10:12 RAMDANI MANDIRI
language
Lack of expected normal
100204010525Y000 02-05-2025 PBI JAMINAN
1631 05-02-2025 0003640215003 RAISA APRILIA P physiological Rujuk Vertikal
064 10:18 KESEHATAN
development, unspecified
100204010525Y000 02-05-2025 Supervision of other
1632 05-02-2025 0003753365275 MAYANG ELSA SABILA P - Rujuk Vertikal
076 11:12 high-risk pregnancies