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Clinic Visit Records: Denpasar

This document contains a list of 21 patient visits to the Klinik Tiara Husada clinic from February 2nd to 3rd, 2022. It includes information such as the patient ID number, name, gender, occupation, diagnosis, and visit status for each patient. The majority of visits were people seeking treatment for acute upper respiratory infections and being treated as outpatients.
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© © All Rights Reserved
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0% found this document useful (0 votes)
61 views16 pages

Clinic Visit Records: Denpasar

This document contains a list of 21 patient visits to the Klinik Tiara Husada clinic from February 2nd to 3rd, 2022. It includes information such as the patient ID number, name, gender, occupation, diagnosis, and visit status for each patient. The majority of visits were people seeking treatment for acute upper respiratory infections and being treated as outpatients.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

TANGGAL TANGGAL JENIS STATUS


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

0227U0320222P00 03-02-2022 Acute pharyngitis,


1 02-03-2022 0000142504029 MADE RADHEYA WIBAWA L PNS PUSAT Berobat Jalan
0648 15:57 unspecified
0227U0320222P00 03-02-2022 Surveillance of
2 02-03-2022 0000741454312 SRI MULYANI P - Berobat Jalan
0626 14:58 contraceptive drugs
0227U0320222P00 03-02-2022 PEGAWAI Acute tonsillitis,
3 02-03-2022 0000823456585 NI KETUT SUCIASIH P Berobat Jalan
0583 12:13 SWASTA unspecified
0227U0320222P00 04-02-2022 PEGAWAI
4 02-03-2022 0000827662419 LUH PUTU ARIDEWI P Necrosis of pulp Berobat Jalan
0818 10:25 SWASTA
0227U0320222P00 03-02-2022 I GUSTI MADE YOGA PEGAWAI Acute upper respiratory
5 02-03-2022 0001130282504 L Berobat Jalan
0679 17:40 ANTARA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
6 02-03-2022 0001130292257 PUTU WIRASEDANA L Berobat Jalan
0667 16:50 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
7 02-03-2022 0001130354728 I NYOMAN SUKAADI L Berobat Jalan
0699 18:26 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
8 02-03-2022 0001130410383 I KADEK ARTHA L Other peripheral vertigo Berobat Jalan
0702 18:29 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
9 02-03-2022 0001131817037 MUSLIMIN L Berobat Jalan
0676 17:23 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
10 02-03-2022 0001132620985 NI PUTU JUNI ARINI P - Berobat Jalan
0492 08:47 unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
11 02-03-2022 0001137540587 DAFIT HOTMAN L Berobat Jalan
0744 20:28 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
12 02-03-2022 0001138617538 PUTU INDRAYANI P Berobat Jalan
0716 19:20 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
13 02-03-2022 0001145386945 NI NENGAH ARTINI P after other treatment for Rujuk Vertikal
0546 11:02 SWASTA
other conditions
0227U0320222P00 03-02-2022 PEGAWAI
14 02-03-2022 0001150281562 NINIK SURYANI P Tension-type headache Berobat Jalan
0487 08:33 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI
15 02-03-2022 0001154533904 RUDIONO L Tension-type headache Berobat Jalan
0488 08:36 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
16 02-03-2022 0001155581717 WIWIN AYU LESTARI P Berobat Jalan
0675 17:19 SWASTA infection, unspecified

0227U0320222P00 03-02-2022 SANG AYU KETUT Allergic contact dermatitis,


17 02-03-2022 0001162707625 P PBI (APBN) Berobat Jalan
0730 19:44 NURATNI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 I KADEK RYO KHARISMA Surgical follow-up care,


18 02-03-2022 0001162809257 L PBI (APBD) Berobat Jalan
0738 20:08 PERMANA unspecified
0227U0320222P00 03-02-2022 PUTU DESSY Acute upper respiratory
19 02-03-2022 0001162902677 P - Berobat Jalan
0724 19:30 SUWIDARIYANTI infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
20 02-03-2022 0001162909304 NI LUH MAYUNI P Berobat Jalan
0697 18:24 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
21 02-03-2022 0001162977186 NI KETUT WANGIASIH P after other treatment for Rujuk Vertikal
0637 15:25 SWASTA
other conditions

Diarrhoea and
0227U0320222P00 03-02-2022 NI PUTU AYU MEGA PEGAWAI
22 02-03-2022 0001162987503 P gastroenteritis of Berobat Jalan
0673 17:10 LISTIANI SWASTA
presumed infectious origin

General examination and


0227U0320222P00 03-02-2022 NI LUH KADEK DWI PEGAWAI investigation of persons
23 02-03-2022 0001162998369 P Berobat Jalan
0712 19:16 SUTARINI SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022
24 02-03-2022 0001162999754 NI KADEK DWI MULIANTI P - Fever, unspecified Berobat Jalan
0643 15:43
0227U0320222P00 03-02-2022 I GUSTI BAGUS KOMANG PEGAWAI Essential (primary)
25 02-03-2022 0001163003308 L Berobat Jalan
0565 11:43 WARDIANA SWASTA hypertension
0227U0320222P00 03-02-2022 Acute upper respiratory
26 02-03-2022 0001163049726 SULIANI P - Berobat Jalan
0709 19:14 infection, unspecified
0227U0320222P00 03-02-2022 RAJENDRA SAKHI PEGAWAI Acute upper respiratory
27 02-03-2022 0001163049737 L Berobat Jalan
0710 19:15 RAHMAT PUTRA SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
28 02-03-2022 0001167177104 NI MADE SUKASIH P after other treatment for Rujuk Vertikal
0661 16:32 SWASTA
other conditions
0227U0320222P00 03-02-2022 I PUTU KRISNA Acute upper respiratory
29 02-03-2022 0001167425684 L PBI (APBD) Berobat Jalan
0682 17:45 MAHARDITA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
30 02-03-2022 0001168608813 KADEK DIAN NOVITASARI P Other peripheral vertigo Berobat Jalan
0741 20:16 SWASTA
0227U0320222P00 03-02-2022 NAILA ANINDYA RAHMAT PEGAWAI Acute upper respiratory
31 02-03-2022 0001170218834 P Berobat Jalan
0711 19:15 PUTRI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 NI KOMANG ARYA PEGAWAI Fever of other and
32 02-03-2022 0001170502918 P Berobat Jalan
0571 11:52 MAHARANI SWASTA unknown origin
0227U0320222P00 03-02-2022 Acute upper respiratory
33 02-03-2022 0001171584832 NI KETUT SUWITI P - Berobat Jalan
0723 19:29 infection, unspecified
0227U0320222P00 03-02-2022
34 02-03-2022 0001178534891 DIMAS ALIMAN L - Fever, unspecified Berobat Jalan
0527 10:30
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 NI KADEK SERUPTI PEGAWAI Acute upper respiratory


35 02-03-2022 0001179215785 P Berobat Jalan
0666 16:47 APSARI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 I MADE SUARTAMA Fever of other and
36 02-03-2022 0001181681199 L - Berobat Jalan
0502 09:07 DEVANDA PUTRA unknown origin
0227U0320222P00 03-02-2022 PEGAWAI
37 02-03-2022 0001181908034 NI KOMANG MERTE P Myalgia Berobat Jalan
0582 12:10 SWASTA
Disorder of skin and
0227U0320222P00 03-02-2022 PEGAWAI
38 02-03-2022 0001189490319 NI KOMANG WARTINI P subcutaneous tissue, Rujuk Vertikal
0569 11:49 SWASTA
unspecified
0227U0320222P00 03-02-2022 PEGAWAI Other contraceptive
39 02-03-2022 0001189490319 NI KOMANG WARTINI P Berobat Jalan
0541 10:52 SWASTA management
0227U0320222P00 03-02-2022 KOMANG SALSA PEGAWAI Acute upper respiratory
40 02-03-2022 0001196348242 P Berobat Jalan
0722 19:28 PRAYATNASWA PUTRI SWASTA infection, unspecified
0227U0320222P00 03-02-2022
41 02-03-2022 0001202803132 NI MADE PONIASIH P - Other peripheral vertigo Berobat Jalan
0616 14:37
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
42 02-03-2022 0001202803143 NI LUH IKA APRILIA P Berobat Jalan
0615 14:36 SWASTA [common cold]
0227U0320222P00 03-02-2022 Acute upper respiratory
43 02-03-2022 0001277773986 SYABIL GHALIBI ABDILAH L PRAJURIT AD Berobat Jalan
0750 20:39 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
44 02-03-2022 0001295626037 FATMA WANDI P Otitis media, unspecified Berobat Jalan
0657 16:20 SWASTA
General examination and
0227U0320222P00 03-02-2022 investigation of persons
45 02-03-2022 0001304615441 I NYOMAN SUARDANA L - Berobat Jalan
0745 20:31 without complaint and
reported diagnosis

Diarrhoea and
0227U0320222P00 03-02-2022 PEGAWAI
46 02-03-2022 0001322422031 I KETUT WIDIARTA L gastroenteritis of Berobat Jalan
0581 12:09 SWASTA
presumed infectious origin

0227U0320222P00 03-02-2022 Diabetes Diabetes


47 02-03-2022 0001324353521 I KETUT SUWADI L PBI (APBD) Malaise and fatigue Berobat Jalan
0574 12:01 Mellitus Mellitus
0227U0320222P00 03-02-2022 LUH PUTRI OKA Acute pharyngitis,
48 02-03-2022 0001325045439 P PBI (APBD) Berobat Jalan
0489 08:38 MANDAYANI unspecified
0227U0320222P00 03-02-2022 PEKERJA
49 02-03-2022 0001325945575 ryan aditya orlin L Other disorders of lens Rujuk Vertikal
0522 10:23 MANDIRI
0227U0320222P00 03-02-2022 Supervision of high-risk
50 02-03-2022 0001326530924 NI WAYAN SAPTA RINI P - Rujuk Vertikal
0514 10:14 pregnancy, unspecified

0227U0320222P00 03-02-2022 PEKERJA Allergic contact dermatitis,


51 02-03-2022 0001328402992 DEWITA PUTRI SUYANTI P Berobat Jalan
0647 15:56 MANDIRI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022
52 02-03-2022 0001380159797 NI KETUT SUKANI P PBI (APBD) after other treatment for Berobat Jalan
0542 10:55
other conditions
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
53 02-03-2022 0001381972285 MARNINGSIH P Berobat Jalan
0742 20:24 MANDIRI infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
54 02-03-2022 0001390195585 I WAYAN KADI L after other treatment for Rujuk Vertikal
0748 20:35 MANDIRI
other conditions
0227U0320222P00 03-02-2022 MARIO QOIDIL KHOIRY Acute nasopharyngitis
55 02-03-2022 0001400836072 L - Berobat Jalan
0503 09:15 JA'FARIS [common cold]
0227U0320222P00 03-02-2022
56 02-03-2022 0001402984304 I NYOMAN MIADA L PBI (APBD) Other peripheral vertigo Berobat Jalan
0642 15:41
0227U0320222P00 03-02-2022 Christiano Carlos Vincentius Acute upper respiratory
57 02-03-2022 0001403047618 L - Berobat Jalan
0688 18:13 We'e infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Other contraceptive
58 02-03-2022 0001406424352 Ika Indah Winarti P Berobat Jalan
0504 09:16 SWASTA management
0227U0320222P00 03-02-2022 Essential (primary)
59 02-03-2022 0001421696237 NI WAYAN SURIADI P PBI (APBD) Berobat Jalan Hipertensi
0674 17:16 hypertension
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
60 02-03-2022 0001430927616 I PUTU EKA ARI SAPUTRA L Berobat Jalan
0733 19:46 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Surgical follow-up care,
61 02-03-2022 0001433181172 NI MADE MANIK P PBI (APBD) Berobat Jalan
0704 18:33 unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
62 02-03-2022 0001435278284 MUSLIKAH P PBI (APBD) Berobat Jalan
0753 20:45 infection, unspecified
General examination and
0227U0320222P00 03-02-2022 investigation of persons
63 02-03-2022 0001437256585 YUDHIAR P PBI (APBD) Berobat Jalan
0714 19:18 without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI
64 02-03-2022 0001437382809 ALIM TINEKE PRATIWI P Impacted teeth Berobat Jalan
0557 11:20 SWASTA
General examination and
0227U0320222P00 03-02-2022 PEGAWAI investigation of persons
65 02-03-2022 0001437382809 ALIM TINEKE PRATIWI P Berobat Jalan
0603 12:57 SWASTA without complaint and
reported diagnosis
Follow-up examination
0227U0320222P00 03-02-2022
66 02-03-2022 0001438244447 FAJAR HERMAWAN L - after other treatment for Rujuk Vertikal
0638 15:28
other conditions
0227U0320222P00 03-02-2022 LUH PUTU DESWINTA PEKERJA
67 02-03-2022 0001440309161 P Fever, unspecified Berobat Jalan
0701 18:28 DHARMARIANI MANDIRI
0227U0320222P00 03-02-2022 [Link] KETUT SUKMA
68 02-03-2022 0001441665821 P PBI (APBD) Asthma Berobat Jalan
0703 18:32 ANTARI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 [Link] KETUT SUKMA


69 02-03-2022 0001441665821 P PBI (APBD) Pulpitis Berobat Jalan
0807 10:13 ANTARI
0227U0320222P00 03-02-2022 PEKERJA Peptic ulcer, site
70 02-03-2022 0001447390899 ABIDIN L Rujuk Vertikal
0538 10:45 MANDIRI unspecified
0227U0320222P00 03-02-2022 PEKERJA
71 02-03-2022 0001451727966 TEDDIE HOYT L Headache Berobat Jalan Hipertensi
0736 19:53 MANDIRI
Follow-up examination
0227U0320222P00 03-02-2022
72 02-03-2022 0001457204534 I KETUT ARDANA L PBI (APBD) after other treatment for Rujuk Vertikal
0608 13:28
other conditions
0227U0320222P00 03-02-2022 PEKERJA
73 02-03-2022 0001457589655 MARYAM P Fever, unspecified Berobat Jalan
0629 15:07 MANDIRI
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
74 02-03-2022 0001458682604 MEIDY ANGGRENI P Berobat Jalan
0720 19:26 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEKERJA
75 02-03-2022 0001463704389 NUR HASANAH P Other peripheral vertigo Berobat Jalan
0751 20:40 MANDIRI
0227U0320222P00 03-02-2022 I GUSTI NENGAH PUTU
76 02-03-2022 0001465391272 P PBI (APBD) Tension-type headache Berobat Jalan
0747 20:33 WARNA
0227U0320222P00 03-02-2022 Acute upper respiratory
77 02-03-2022 0001465391283 NI GUSTI MADE SUDARMI P PBI (APBD) Berobat Jalan
0746 20:32 infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
78 02-03-2022 0001472239203 SITI BASTIAH P PBI (APBD) Berobat Jalan
0585 12:22 unspecified
0227U0320222P00 03-02-2022 PEKERJA
79 02-03-2022 0001478427952 AGUS SUPRIADI L Arthritis, unspecified Berobat Jalan Hipertensi Hipertensi
0491 08:42 MANDIRI
0227U0320222P00 03-02-2022 PEKERJA Essential (primary)
80 02-03-2022 0001478464604 PURYADI L Berobat Jalan Hipertensi
0639 15:32 MANDIRI hypertension
0227U0320222P00 03-02-2022 PEKERJA
81 02-03-2022 0001478465987 RUSMINI P Myalgia Berobat Jalan
0640 15:33 MANDIRI
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
82 02-03-2022 0001482888958 NI WAYAN WIRATI P Berobat Jalan
0692 18:18 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEKERJA
83 02-03-2022 0001538393692 IMAM MUZAKI L Necrosis of pulp Berobat Jalan
0552 11:13 MANDIRI
0227U0320222P00 03-02-2022 Disorder of lens,
84 02-03-2022 0001574780905 MARINI P PBI (APBD) Rujuk Vertikal
0539 10:46 unspecified
0227U0320222P00 03-02-2022 Disorder of lens,
85 02-03-2022 0001574781039 PUTRI RIANI P - Rujuk Vertikal
0540 10:47 unspecified
0227U0320222P00 03-02-2022 PEGAWAI
86 02-03-2022 0001574800233 NI KMG YUNI SURIADI P Epidemic vertigo Rujuk Vertikal
0511 10:00 SWASTA
0227U0320222P00 03-02-2022 Acute upper respiratory
87 02-03-2022 0001575190912 KETUT SETIAWATI P - Berobat Jalan
0672 17:06 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 Acute upper respiratory


88 02-03-2022 0001575193983 I NYOMAN SABTU L - Berobat Jalan
0680 17:40 infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
89 02-03-2022 0001575575673 NI WAYAN EKAWATI P PBI (APBD) Berobat Jalan
0686 18:11 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Essential (primary)
90 02-03-2022 0001575592222 I WAYAN SUDANA L Berobat Jalan Hipertensi
0727 19:35 SWASTA hypertension
Follow-up examination
0227U0320222P00 03-02-2022
91 02-03-2022 0001575651431 I WAYAN KORNA L PBI (APBD) after other treatment for Rujuk Vertikal
0513 10:12
other conditions
0227U0320222P00 03-02-2022 NI WAYAN DEWI PEGAWAI
92 02-03-2022 0001575657854 P Fever, unspecified Berobat Jalan
0660 16:32 PARMIASIH SWASTA
0227U0320222P00 03-02-2022 Acute upper respiratory
93 02-03-2022 0001575679116 ni nyoman dariani P PBI (APBD) Berobat Jalan
0632 15:18 infection, unspecified
0227U0320222P00 03-02-2022 I MADE BUDI SATRIA PEGAWAI Gingivitis and periodontal
94 02-03-2022 0001575679421 L Rujuk Vertikal
0685 18:08 DWIPAYANA SWASTA diseases
General examination and
0227U0320222P00 03-02-2022 I MADE BUDI SATRIA PEGAWAI investigation of persons
95 02-03-2022 0001575679421 L Berobat Jalan
0698 18:25 DWIPAYANA SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 DEWI PEGAWAI Acute nasopharyngitis
96 02-03-2022 0001575718964 P Berobat Jalan
0592 12:34 [Link] SWASTA [common cold]
0227U0320222P00 03-02-2022 Acute pharyngitis,
97 02-03-2022 0001575722226 I MADE TIRTA YASA L PBI (APBD) Berobat Jalan
0493 08:49 unspecified
Non-insulin-dependent
0227U0320222P00 03-02-2022 PEKERJA Diabetes
98 02-03-2022 0001575727277 HASANUDDIN L diabetes mellitus without Berobat Jalan
0708 19:12 MANDIRI Mellitus
complications
Unspecified diabetes
0227U0320222P00 03-02-2022 PEGAWAI
99 02-03-2022 0001575762952 I KETUT REDANA L mellitus without Berobat Jalan
0558 11:21 SWASTA
complications
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
100 02-03-2022 0001575968444 NI MADE DANI P Berobat Jalan
0568 11:47 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
101 02-03-2022 0001576130826 I MADE NAMA L Berobat Jalan
0652 16:07 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
102 02-03-2022 0001576182857 I KETUT MERTA L Berobat Jalan
0621 14:51 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
103 02-03-2022 0001576537525 FITRIAH P Berobat Jalan
0619 14:46 SWASTA [common cold]
0227U0320222P00 03-02-2022 I PUTU IVAN ARTAMA PEGAWAI Acute tonsillitis,
104 02-03-2022 0001576539279 L Berobat Jalan
0556 11:19 PUTRA SWASTA unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
105 02-03-2022 0001576675271 I KETUT SANA L after other treatment for Rujuk Vertikal
0659 16:24 SWASTA
other conditions
0227U0320222P00 03-02-2022 PEGAWAI Essential (primary)
106 02-03-2022 0001576858634 NI KETUT SURINI P Berobat Jalan Hipertensi
0610 13:35 SWASTA hypertension
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
107 02-03-2022 0001577037352 I KADEK DIRGAYUSA L Berobat Jalan
0577 12:05 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
108 02-03-2022 0001577088549 EDI HARYANTO L Berobat Jalan
0645 15:50 MANDIRI infection, unspecified
0227U0320222P00 03-02-2022 GUSTI AYU KOMANG Acute pharyngitis,
109 02-03-2022 0001577204921 P PBI (APBD) Berobat Jalan
0530 10:33 MEGAWATI unspecified
0227U0320222P00 03-02-2022 PEGAWAI
110 02-03-2022 0001577544221 CHRISTIN SETYORINI P Fever, unspecified Berobat Jalan
0596 12:43 SWASTA
0227U0320222P00 03-02-2022 I PUTU SUARIAWAN BUDI PEGAWAI
111 02-03-2022 0001577571963 L Cough Berobat Jalan
0590 12:32 UTAMA SWASTA
0227U0320222P00 03-02-2022 I GUSTI PUTU GEDE PEGAWAI Essential (primary)
112 02-03-2022 0001577582829 L Berobat Jalan
0606 13:10 PUTRA WIJAYA SWASTA hypertension
0227U0320222P00 03-02-2022 I NYOMAN JUSTIN RANDI PEGAWAI Acute upper respiratory
113 02-03-2022 0001577601437 L Berobat Jalan
0482 08:15 PRADITYA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 NI MADE JESSICA PEGAWAI Acute upper respiratory
114 02-03-2022 0001577601448 P Berobat Jalan
0481 08:05 VANNYADEALOVA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
115 02-03-2022 0001577670636 AHMAD NASRUL HABIBI L Other peripheral vertigo Berobat Jalan
0597 12:44 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
116 02-03-2022 0001577922794 ERWIN EKA YUDHA P Berobat Jalan
0715 19:19 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
117 02-03-2022 0001578009431 DIDIK HARIYANTO L after other treatment for Berobat Jalan
0537 10:44 SWASTA
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
118 02-03-2022 0001578010116 I NYOMAN TAWA L - Berobat Jalan
0656 16:17 infection, unspecified
0227U0320222P00 03-02-2022 NI GUSTI MADE SRI Acute pharyngitis,
119 02-03-2022 0001578063519 P - Berobat Jalan
0611 14:32 LESTARI unspecified
General examination and
0227U0320222P00 03-02-2022 JENICE ANGGRAINI investigation of persons
120 02-03-2022 0001578566709 P PBI (APBD) Berobat Jalan
0718 19:23 SEMBEL without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PUTU FERY ANGGARA PEGAWAI Acute upper respiratory
121 02-03-2022 0001578595678 L Berobat Jalan
0664 16:42 LESMANA PUTRA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
122 02-03-2022 0001578634468 I MADE ADI HARIAWAN L Berobat Jalan
0721 19:27 SWASTA infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,


123 02-03-2022 0001578718629 SUSANTI P Berobat Jalan
0495 08:52 SWASTA unspecified
0227U0320222P00 03-02-2022 Acute nasopharyngitis
124 02-03-2022 0001578759726 SITI AMANAH P PBI (APBD) Berobat Jalan
0548 11:08 [common cold]
0227U0320222P00 03-02-2022 Acute upper respiratory
125 02-03-2022 0001579014347 MADE SUKADANA L - Berobat Jalan
0612 14:33 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
126 02-03-2022 0001579122167 NI MADE SURTINI P Other peripheral vertigo Berobat Jalan
0655 16:15 SWASTA
0227U0320222P00 03-02-2022 I MADE ABHY CAHYA PEGAWAI Disturbances in tooth
127 02-03-2022 0001579143868 L Berobat Jalan
0551 11:12 PUTRA PERMANA SWASTA eruption
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
128 02-03-2022 0001579314712 NI WAYAN SETIAWATI P Berobat Jalan
0547 11:06 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
129 02-03-2022 0001579430024 NI NENGAH MIRAYONI P Berobat Jalan
0641 15:40 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
130 02-03-2022 0001579493147 Ni Nyoman Sariasih P Berobat Jalan
0694 18:21 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
131 02-03-2022 0001579702588 BENI RAPIKO L Impacted cerumen Berobat Jalan
0535 10:38 SWASTA
0227U0320222P00 03-02-2022 Essential (primary)
132 02-03-2022 0001579780192 IRINE JUT P PBI (APBD) Berobat Jalan
0618 14:41 hypertension
0227U0320222P00 03-02-2022 PEGAWAI
133 02-03-2022 0001579937771 SUYUDI L Necrosis of pulp Berobat Jalan
0554 11:14 SWASTA
0227U0320222P00 03-02-2022 PEKERJA Fever of other and
134 02-03-2022 0001580339496 FANNY OKTAVIANTI P Berobat Jalan
0545 11:00 MANDIRI unknown origin
0227U0320222P00 03-02-2022 KOMANG PASEK
135 02-03-2022 0001580461176 L - Necrosis of pulp Berobat Jalan
0550 11:09 ARIAWAN
0227U0320222P00 03-02-2022 Acute upper respiratory
136 02-03-2022 0001581299087 NUR HAYATI P PBI (APBD) Berobat Jalan
0740 20:14 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
137 02-03-2022 0001581337618 SADI L Berobat Jalan
0646 15:53 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 Diabetes
138 02-03-2022 0001581388334 LILIK NURHASANAH P PBI (APBD) after other treatment for Rujuk Vertikal
0507 09:20 Mellitus
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
139 02-03-2022 0001581388558 RUKAIYA P PBI (APBD) Berobat Jalan
0625 14:55 infection, unspecified
0227U0320222P00 03-02-2022 Essential (primary)
140 02-03-2022 0001581407469 MOCH MUCHLISIN MZ L - Berobat Jalan
0496 08:53 hypertension

0227U0320222P00 03-02-2022 I GUSTI AGUNG ISTRI Allergic contact dermatitis,


141 02-03-2022 0001581434897 P PBI (APBD) Berobat Jalan
0668 16:52 WULANDARI WIRAWAN unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 Acute upper respiratory


142 02-03-2022 0001581445089 RISA ANISA P PBI (APBD) Berobat Jalan
0695 18:21 infection, unspecified
0227U0320222P00 04-02-2022
143 02-03-2022 0001581467861 KUTSI L PBI (APBD) Pulpitis Berobat Jalan
0815 10:20
0227U0320222P00 03-02-2022
144 02-03-2022 0001581480516 NUR IMALA P - Impacted cerumen Berobat Jalan
0743 20:25
0227U0320222P00 03-02-2022
145 02-03-2022 0001581482812 HUSIN L PBI (APBD) Migraine Berobat Jalan
0634 15:20
Observation for other
0227U0320222P00 03-02-2022
146 02-03-2022 0001581489966 KADEK YUDI L PBI (APBD) suspected diseases and Berobat Jalan
0498 08:57
conditions
0227U0320222P00 03-02-2022 I DEWA GEDE PUTRA Acute nasopharyngitis
147 02-03-2022 0001581530589 L PBI (APBD) Berobat Jalan
0576 12:04 NEGARA,[Link],[Link] [common cold]
PEGAWAI
PEMERINTAH
0227U0320222P00 03-02-2022 Acute pharyngitis,
148 02-03-2022 0001581883918 JULIESTY ZINTYA DEWI P DENGAN Berobat Jalan
0562 11:39 unspecified
PERJANJIAN
KERJA
Other complications
0227U0320222P00 03-02-2022
149 02-03-2022 0001581911728 [Link] P - following immunization, Berobat Jalan
0543 10:56
not elsewhere classified
0227U0320222P00 03-02-2022 Essential (primary)
150 02-03-2022 0001581948494 I WAYAN SUTAPA L PBI (APBD) Berobat Jalan
0563 11:41 hypertension

0227U0320222P00 03-02-2022 PENERIMA Acute nasopharyngitis


151 02-03-2022 0001582025174 I MADE LENA L Berobat Jalan
0595 12:42 PENSIUN SWASTA [common cold]

0227U0320222P00 03-02-2022 PENERIMA Essential (primary)


152 02-03-2022 0001582032429 NI MADE JAGIASIH P Berobat Jalan Hipertensi
0739 20:09 PENSIUN SWASTA hypertension

0227U0320222P00 03-02-2022
153 02-03-2022 0001582330904 NI KOMANG VERAWATI P PBI (APBD) Fever, unspecified Berobat Jalan
0627 15:01
0227U0320222P00 03-02-2022 Essential (primary)
154 02-03-2022 0001582571362 I NYOMAN JIWA L PBI (APBD) Berobat Jalan
0531 10:34 hypertension
0227U0320222P00 03-02-2022 I KETUT LINGGA Acute nasopharyngitis
155 02-03-2022 0001582574106 L PBI (APBD) Berobat Jalan
0526 10:28 BINANGKIT [common cold]

0227U0320222P00 03-02-2022 PENERIMA Acute pharyngitis,


156 02-03-2022 0001582579978 I WAYAN WARA L Berobat Jalan
0559 11:23 PENSIUN SWASTA unspecified

0227U0320222P00 03-02-2022 Acute upper respiratory


157 02-03-2022 0001583315201 NI LUH DEWI RATNAWATI P - Berobat Jalan
0735 19:51 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 ANGEL YULIA CAROLINE Disturbances in tooth


158 02-03-2022 0001583315223 P PBI (APBD) Berobat Jalan
0824 10:34 SELAMET MAENGKOM eruption

0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,


159 02-03-2022 0001612403302 MALA HAYATI P Berobat Jalan
0512 10:05 SWASTA unspecified
0227U0320222P00 03-02-2022 RENNY ANDRIANI PEGAWAI
160 02-03-2022 0001621891631 P Haemorrhoids Berobat Jalan
0586 12:24 SURENTU SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Contraceptive
161 02-03-2022 0001627789972 NI WY DEWI BUNGA P Berobat Jalan
0681 17:42 SWASTA management, unspecified

0227U0320222P00 03-02-2022 PEGAWAI Allergic contact dermatitis,


162 02-03-2022 0001627789972 NI WY DEWI BUNGA P Berobat Jalan
0707 19:07 SWASTA unspecified cause

0227U0320222P00 03-02-2022 PENERIMA Acute nasopharyngitis


163 02-03-2022 0001631345534 NI MADE SUARTI LESTARI P Berobat Jalan
0614 14:35 PENSIUN SWASTA [common cold]

0227U0320222P00 03-02-2022 PENERIMA


164 02-03-2022 0001632382029 I KETUT DARMAYASA L Dyspepsia Berobat Jalan
0566 11:45 PENSIUN SWASTA

Follow-up examination
0227U0320222P00 03-02-2022 NI NYOMAN ARTIKAWATI PEGAWAI
165 02-03-2022 0001642271927 P after other treatment for Rujuk Vertikal
0479 07:41 SANGGING SWASTA
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
166 02-03-2022 0001717527868 NURAISAH P PBI (APBD) Berobat Jalan
0483 08:18 infection, unspecified

0227U0320222P00 03-02-2022 PEKERJA Allergic contact dermatitis,


167 02-03-2022 0001734161769 ESTIQOMAH P Berobat Jalan
0662 16:39 MANDIRI unspecified cause

0227U0320222P00 03-02-2022 Acute upper respiratory


168 02-03-2022 0001734161782 MITA ISTINAWATI P - Berobat Jalan
0663 16:40 infection, unspecified
0227U0320222P00 03-02-2022 IDA BAGUS KADE SIWA Acute pharyngitis,
169 02-03-2022 0001744140093 L PBI (APBD) Berobat Jalan
0497 08:54 PRAMA YOGA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
170 02-03-2022 0001770270849 RADEN ARIF PRANAJAYA L Berobat Jalan
0706 19:06 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
171 02-03-2022 0001773158106 DINI HASANAH P Berobat Jalan
0573 11:59 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
172 02-03-2022 0001786479647 SUCI NAZALA PUTRI P PBI (APBD) Berobat Jalan
0658 16:21 infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
173 02-03-2022 0001786584183 NI MADE REJI P - Berobat Jalan
0670 16:59 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
174 02-03-2022 0001788165167 NI PUTU MAIRI SANTHI P Berobat Jalan
0486 08:29 SWASTA [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022 MUHAMAD UMAM
175 02-03-2022 0001792588915 L - after other treatment for Berobat Jalan
0580 12:08 SAPUTRA
other conditions
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
176 02-03-2022 0001794554897 [Link] FERNANDES P after other treatment for Rujuk Vertikal
0650 15:59 MANDIRI
other conditions
0227U0320222P00 03-02-2022 Other contraceptive
177 02-03-2022 0001797054096 endang purdiningrum P PBI (APBD) Berobat Jalan
0501 09:05 management
0227U0320222P00 03-02-2022 NI GUSTI KETUT RAKA PEKERJA Acute upper respiratory
178 02-03-2022 0001806118749 P Berobat Jalan
0754 20:51 SUDARMI MANDIRI infection, unspecified
0227U0320222P00 04-02-2022 PEKERJA
179 02-03-2022 0001812948131 NI KETUT SUKMAWATI P Pulpitis Berobat Jalan
0838 10:53 MANDIRI
General examination and
0227U0320222P00 03-02-2022 PEKERJA investigation of persons
180 02-03-2022 0001812948131 NI KETUT SUKMAWATI P Berobat Jalan
0731 19:44 MANDIRI without complaint and
reported diagnosis

0227U0320222P00 03-02-2022 PEGAWAI Allergic contact dermatitis,


181 02-03-2022 0001812957546 KADEK FEBRI PUTRAWAN L Berobat Jalan
0687 18:12 SWASTA unspecified cause

0227U0320222P00 03-02-2022
182 02-03-2022 0001816518609 NI KETUT SUKERTI P PBI (APBD) Cough Berobat Jalan
0561 11:27
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
183 02-03-2022 0001820952011 MARIATI P after other treatment for Rujuk Vertikal
0617 14:40 MANDIRI
other conditions
0227U0320222P00 03-02-2022 PEKERJA Surgical follow-up care,
184 02-03-2022 0001830597265 SABARUDIN L Berobat Jalan
0705 18:39 MANDIRI unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
185 02-03-2022 0001831539396 I MADE BERATA YASA L PBI (APBD) Berobat Jalan
0651 16:04 infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
186 02-03-2022 0001836289451 I MADE ARYA L - Berobat Jalan
0623 14:53 unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
187 02-03-2022 0001836290136 NI LUH PUTU PRAMINI,SH P PBI (APBD) Berobat Jalan
0624 14:54 unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
188 02-03-2022 0001840612836 KOMARUDIN L Berobat Jalan
0564 11:42 SWASTA [common cold]
0227U0320222P00 03-02-2022
189 02-03-2022 0001841825507 jasmine paramita P PBI (APBD) Abdominal and pelvic pain Berobat Jalan
0609 13:33
0227U0320222P00 03-02-2022 PEKERJA Essential (primary)
190 02-03-2022 0001842588505 NI NENGAH RAMI P Berobat Jalan
0613 14:34 MANDIRI hypertension

0227U0320222P00 03-02-2022 PUTU MELI SUCI Allergic contact dermatitis,


191 02-03-2022 0001849697109 P PBI (APBD) Berobat Jalan
0690 18:16 DHARMAYANI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 NI KETUT FITRIANI Surgical follow-up care,


192 02-03-2022 0001853555602 P - Berobat Jalan
0628 15:03 CINTYA DEVI unspecified
0227U0320222P00 03-02-2022 MADE BAGUS ARYA PEGAWAI Acute pharyngitis,
193 02-03-2022 0001863737526 L Berobat Jalan
0480 08:04 SANTANA PUTRA SWASTA unspecified
0227U0320222P00 03-02-2022
194 02-03-2022 0001865523947 NI WAYAN JONI P PBI (APBD) Conjunctivitis Berobat Jalan
0693 18:19
0227U0320222P00 03-02-2022 Acute upper respiratory
195 02-03-2022 0001867289859 I WAYAN TALIB L PBI (APBD) Berobat Jalan Hipertensi
0633 15:19 infection, unspecified
0227U0320222P00 03-02-2022 Supervision of high-risk
196 02-03-2022 0001867940177 WANIDA P - Rujuk Vertikal
0500 09:01 pregnancy, unspecified

0227U0320222P00 03-02-2022 Allergic contact dermatitis,


197 02-03-2022 0001873024356 I MADE SENA L PBI (APBD) Berobat Jalan
0689 18:15 unspecified cause

0227U0320222P00 03-02-2022
198 02-03-2022 0001873050502 gerry zanuar caesar L - Sleep disorders Berobat Jalan
0518 10:19
Follow-up examination
0227U0320222P00 03-02-2022
199 02-03-2022 0001880327665 Ni Nyoman Padmini P PBI (APBD) after other treatment for Rujuk Vertikal
0490 08:42
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
200 02-03-2022 0001886989127 I GEDE ARI PRAMANA L PBI (APBD) Berobat Jalan
0494 08:50 infection, unspecified
0227U0320222P00 03-02-2022
201 02-03-2022 0001889183441 Ni Kadek Putri Melani P PNS PUSAT Nausea and vomiting Berobat Jalan
0567 11:46
0227U0320222P00 03-02-2022 Essential (primary)
202 02-03-2022 0001895295598 NI NYOMAN WATI P PBI (APBD) Berobat Jalan
0669 16:54 hypertension
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
203 02-03-2022 0001895911367 NI LUH PUTU DARMIATI P Berobat Jalan
0635 15:23 MANDIRI infection, unspecified
0227U0320222P00 03-02-2022
204 02-03-2022 0001896250059 SONI L - Other peripheral vertigo Berobat Jalan
0696 18:23
0227U0320222P00 03-02-2022 NI KOMANG PUSPA PEGAWAI Acute upper respiratory
205 02-03-2022 0001897694886 P Berobat Jalan
0684 17:48 PURNAMA SANTI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Essential (primary)
206 02-03-2022 0001899434654 NI WAYAN SUKASIH P PBI (APBD) Berobat Jalan Hipertensi
0578 12:06 hypertension
0227U0320222P00 03-02-2022 Acute tonsillitis,
207 02-03-2022 0001899435622 I MADE LIADI PUTRA L PBI (APBD) Berobat Jalan
0579 12:07 unspecified
Follow-up examination
0227U0320222P00 03-02-2022
208 02-03-2022 0001900914794 NI NYOMAN SARASWATI P - after other treatment for Rujuk Vertikal
0587 12:24
other conditions
0227U0320222P00 03-02-2022
209 02-03-2022 0001907104735 AMANIYAH P PBI (APBD) Other arthritis Berobat Jalan
0584 12:14
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022
210 02-03-2022 0001965434927 ni made ratna ningsih P - Fever, unspecified Berobat Jalan
0630 15:12
0227U0320222P00 03-02-2022 PEKERJA Surgical follow-up care,
211 02-03-2022 0001967698664 KABIT L Berobat Jalan
0677 17:29 MANDIRI unspecified
0227U0320222P00 03-02-2022 I PUTU AGUNG PUTRA Acute upper respiratory
212 02-03-2022 0002058396131 L PBI (APBD) Berobat Jalan
0631 15:17 WAISNAWA infection, unspecified
0227U0320222P00 04-02-2022 KOMANG ARJUN Disturbances in tooth
213 02-03-2022 0002077874526 L - Berobat Jalan
0820 10:27 PRADNYA MAHENDRA eruption
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
214 02-03-2022 0002079427959 PURNAMA DEAN P Berobat Jalan
0560 11:24 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
215 02-03-2022 0002081786973 RINA PARLINA P Berobat Jalan
0604 12:59 SWASTA unspecified
0227U0320222P00 03-02-2022 KADEK CANDRIASIH Fever of other and
216 02-03-2022 0002106095591 P PBI (APBD) Berobat Jalan
0528 10:31 MAHESWARI PUTRI unknown origin

0227U0320222P00 03-02-2022 PENERIMA Acute upper respiratory


217 02-03-2022 0002106103871 NI NYOMAN SUDIATI P Berobat Jalan
0505 09:16 PENSIUN SWASTA infection, unspecified

0227U0320222P00 03-02-2022 PENERIMA Acute upper respiratory


218 02-03-2022 0002106103882 I WAYAN DIWARSA L Berobat Jalan
0506 09:18 PENSIUN SWASTA infection, unspecified

0227U0320222P00 03-02-2022 I KADEK ADITYA CAHAYA


219 02-03-2022 0002106628018 L PBI (APBD) Hordeolum and chalazion Berobat Jalan
0671 17:01 SILVER
0227U0320222P00 03-02-2022 KETUT ALIT MANIK PEGAWAI Acute pharyngitis,
220 02-03-2022 0002109153486 L Berobat Jalan
0636 15:24 SAPUTRAYASA SWASTA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
221 02-03-2022 0002109157806 RIDHO PAHLEVI AFFANDI L Berobat Jalan
0752 20:44 SWASTA unspecified
General examination and
0227U0320222P00 03-02-2022 PEGAWAI investigation of persons
222 02-03-2022 0002113826861 FURQAN L Berobat Jalan
0713 19:17 SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEKERJA Brain stem stroke
223 02-03-2022 0002196317046 MEGAEL SIREGAR L Rujuk Vertikal
0607 13:18 MANDIRI syndrome
0227U0320222P00 03-02-2022 ANAK AGUNG SALIT OKA Essential (primary) Diabetes
224 02-03-2022 0002197500941 L PBI (APBD) Berobat Jalan
0678 17:34 DIRA hypertension Mellitus
0227U0320222P00 03-02-2022 PEGAWAI
225 02-03-2022 0002222361775 I MADE DODIK MARDIKA L Fever, unspecified Berobat Jalan
0622 14:52 SWASTA
0227U0320222P00 03-02-2022 Fever of other and
226 02-03-2022 0002228549174 GABRIEL leonaldo tan L - Berobat Jalan
0509 09:36 unknown origin
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
227 02-03-2022 0002231529579 NI WAYAN TARWENI P Berobat Jalan
0719 19:24 MANDIRI infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 NI KADEK DYAH AYU PEKERJA


228 02-03-2022 0002231530716 P Impacted teeth Berobat Jalan
0812 10:17 AIRA PUTRI MANDIRI
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
229 02-03-2022 0002254659208 AMILIYA P after other treatment for Rujuk Vertikal
0589 12:29 MANDIRI
other conditions
0227U0320222P00 03-02-2022 NI PUTU RIKA LAURINA
230 02-03-2022 0002261077312 P PBI (APBD) Dyspepsia Berobat Jalan
0683 17:47 JULIANTI
0227U0320222P00 03-02-2022 Surgical follow-up care,
231 02-03-2022 0002273052609 DESIDERIUS ISHAK ROTA L PNS PUSAT Berobat Jalan
0691 18:17 unspecified
0227U0320222P00 03-02-2022 I GEDE VIKRAMA PEKERJA Acute pharyngitis,
232 02-03-2022 0002290413251 L Berobat Jalan
0521 10:23 DHARMA ARINANDA MANDIRI unspecified
0227U0320222P00 03-02-2022 NI MADE RATIH HANA PEGAWAI Acute pharyngitis,
233 02-03-2022 0002292661653 P Berobat Jalan
0572 11:57 ARISANTI SWASTA unspecified
0227U0320222P00 03-02-2022 I MADE ARYANATHA PEGAWAI
234 02-03-2022 0002320114274 L Asthma Berobat Jalan
0749 20:38 SKYANA SWASTA
0227U0320222P00 03-02-2022 NI PUTU AZICKA ODELIA PEGAWAI Acute pharyngitis,
235 02-03-2022 0002356003473 P Berobat Jalan
0605 13:00 CAHYA PUTRI SWASTA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
236 02-03-2022 0002356076597 UGIH SUGRIWA L Berobat Jalan
0536 10:40 SWASTA unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
237 02-03-2022 0002356265193 I NYOMAN SUDARMIKA L after other treatment for Rujuk Vertikal
0594 12:36 SWASTA
other conditions
0227U0320222P00 03-02-2022 DIAN BAGUS Acute pharyngitis,
238 02-03-2022 0002407290041 L - Berobat Jalan
0593 12:35 WICAKSONO unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
239 02-03-2022 0002408182345 I KETUT SUWARDANA L - Berobat Jalan
0570 11:49 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
240 02-03-2022 0002412236654 GALIH PERMANA L Berobat Jalan
0644 15:47 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 I MADE NAYAKA Acute pharyngitis,
241 02-03-2022 0002436087161 L PBI (APBD) Berobat Jalan
0653 16:13 MAHENDRA PUTRA unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
242 02-03-2022 0002436087442 I GEDE SUKERTAYASA L PBI (APBD) Berobat Jalan
0654 16:14 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Fever of other and
243 02-03-2022 0002451208151 I MADE DAVIN BRAMASTA L Berobat Jalan
0485 08:21 SWASTA unknown origin
0227U0320222P00 03-02-2022 Acute upper respiratory
244 02-03-2022 0002452560726 [Link] L PBI (APBD) Berobat Jalan
0725 19:32 infection, unspecified
0227U0320222P00 03-02-2022 ANDRE DELLA VENDA Acute upper respiratory
245 02-03-2022 0002452561424 L PBI (APBD) Berobat Jalan
0729 19:39 MARTHA infection, unspecified
0227U0320222P00 03-02-2022 BELLINDA DELLAVENDA Acute upper respiratory
246 02-03-2022 0002452562638 P - Berobat Jalan
0726 19:33 PUTRI infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 ALVIAN PUTRA


247 02-03-2022 0002455505458 L - Necrosis of pulp Berobat Jalan
0555 11:16 ARDIANTO
Follow-up examination
0227U0320222P00 03-02-2022 ANDRA GEVARIEL
248 02-03-2022 0002461386532 L PBI (APBD) after other treatment for Rujuk Vertikal
0510 09:37 MATTHEW
other conditions
0227U0320222P00 03-02-2022 PEKERJA
249 02-03-2022 0002464291372 MIFTAKHUR ROHMAN L Other peripheral vertigo Berobat Jalan
0602 12:57 MANDIRI
General examination and
0227U0320222P00 03-02-2022 NI KADEK LIDYA SANTIKA PEGAWAI investigation of persons
250 02-03-2022 0002470836137 L Berobat Jalan
0728 19:37 DEWI SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 I PUTU DIANDRA MAHA PEGAWAI
251 02-03-2022 0002472618374 L Nausea and vomiting Berobat Jalan
0588 12:28 PUTRA SWASTA
0227U0320222P00 03-02-2022 NI PUTU ANGGRENI PEKERJA Acute upper respiratory
252 02-03-2022 0002620109665 P Berobat Jalan
0732 19:45 SUARHENI MANDIRI infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
253 02-03-2022 0002663089694 NI KADEK EPRAWATI P Berobat Jalan
0700 18:27 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Contraceptive
254 02-03-2022 0002741449779 PETRONELA SAIJAO P PBI (APBD) Berobat Jalan
0620 14:47 management, unspecified
0227U0320222P00 04-02-2022 LUH PUTU TATA CANTIKA Disturbances in tooth
255 02-03-2022 0002759247281 P PBI (APBD) Berobat Jalan
0810 10:15 ANJANI eruption
0227U0320222P00 03-02-2022 PEKERJA Acute nasopharyngitis
256 02-03-2022 0002765458282 SUPRIADI L Berobat Jalan
0575 12:03 MANDIRI [common cold]
0227U0320222P00 03-02-2022
257 02-03-2022 0002774370879 NI NYOMAN SARIASIH P PBI (APBD) Tension-type headache Berobat Jalan
0524 10:26
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
258 02-03-2022 0002810736652 SALIG L after other treatment for Berobat Jalan
0553 11:13 SWASTA
other conditions
General examination and
0227U0320222P00 03-02-2022 investigation of persons
259 02-03-2022 0002897306921 PUTU ANANDHITA BERYL P PBI (APBD) Berobat Jalan
0598 12:45 without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI Internal haemorrhoids with
260 02-03-2022 0002899053022 LIA MARYANI P Berobat Jalan
0515 10:15 SWASTA other complications
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
261 02-03-2022 0002899848227 KUSRIANINGSIH P Berobat Jalan
0734 19:48 SWASTA infection, unspecified
Other complications
0227U0320222P00 03-02-2022 AHMAD KELVIN PEGAWAI
262 02-03-2022 0002912372537 L following immunization, Berobat Jalan
0519 10:21 HARIYANTO SWASTA
not elsewhere classified
0227U0320222P00 04-02-2022 PEGAWAI
263 02-03-2022 0002923099863 NURJANAH P Necrosis of pulp Berobat Jalan
0821 10:29 SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 KADEK DIVYA WISMITHA


264 02-03-2022 0002944138252 P PNS PUSAT Diaper [napkin] dermatitis Berobat Jalan
0508 09:34 ISWARI
0227U0320222P00 03-02-2022 PEKERJA
265 02-03-2022 0002944586913 NURPENI PUJI LESTARI P Fever, unspecified Berobat Jalan
0484 08:20 MANDIRI
0227U0320222P00 03-02-2022 I MADE PRADITA Acute upper respiratory
266 02-03-2022 0003044830691 L PBI (APBD) Berobat Jalan
0499 08:59 AGASTYA JAYANTAKA infection, unspecified
0227U0320222P00 03-02-2022 QUINNISA ARSYLA PEGAWAI Fever of other and
267 02-03-2022 0003049160218 P Berobat Jalan
0533 10:36 AGATHA SWASTA unknown origin
Follow-up examination
0227U0320222P00 03-02-2022 NI PUTU INDIRA PEKERJA
268 02-03-2022 0003055582225 P after other treatment for Rujuk Vertikal
0549 11:08 MAHESWARI MANDIRI
other conditions
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
269 02-03-2022 0003069840306 RADEN ADAM NAMORA L Berobat Jalan
0717 19:21 SWASTA infection, unspecified
Observation for other
0227U0320222P00 03-02-2022 NI KOMANG
270 02-03-2022 0003079329592 L PBI (APBD) suspected diseases and Berobat Jalan
0591 12:33 ARSYANENDRA GAURI
conditions
0227U0320222P00 03-02-2022 PEKERJA
271 02-03-2022 0003086004655 Made Aditya Dwi pradipta L Constipation Berobat Jalan
0665 16:47 MANDIRI
0227U0320222P00 03-02-2022 KADEK ANDHIRA Fever of other and
272 02-03-2022 0003086360133 L PBI (APBD) Berobat Jalan
0544 10:58 LAVANYA unknown origin
General examination and
0227U0320222P00 03-02-2022 AGATHA AMARISSA PEGAWAI investigation of persons
273 02-03-2022 0003100737609 P Berobat Jalan
0649 15:58 LANTU SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI
274 02-03-2022 0003105036257 NINGSIH P Fever, unspecified Berobat Jalan
0737 20:07 SWASTA
0227U0320222P00 03-02-2022 I NYOMAN REYNAND Acute upper respiratory
275 02-03-2022 0003132105737 L PBI (APBD) Berobat Jalan
0516 10:17 PARTHA WIJAYA infection, unspecified

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