| 0190R0021023V000524 |
2023/11/15/000107 |
2023-11-15 |
2023-10-04 |
133314011023Y000160 |
13331401 |
PUSKESMAS JAJAG |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
I15.9 |
Secondary hypertension, unspecified |
SAR |
SARAF |
2 |
|
|
|
0 |
AdminUtam |
034137 |
NURIL HUDA SETIAWATI |
1995-09-11 |
PEGAWAI SWASTA |
P |
0002157499203 |
2023-11-15 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
|
399 |
dr. Indah Ari Handayani, Sp.S |
0 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V001025 |
2023/11/14/000034 |
2023-11-21 |
2023-11-13 |
133305021123P000298 |
13330502 |
PUSKESMAS BADEAN |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
R22 |
Localized swelling, mass and lump of skin and subc... |
BED |
BEDAH |
3 |
|
|
|
0 |
269800338 |
085949 |
ASPIYAH |
1965-09-08 |
PBI (APBD) |
P |
0003338293836 |
2023-11-21 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001167 |
408 |
dr. Caryl Augustine J, Sp.B |
2 |
|
|
4 |
408 |
dr. Caryl Augustine J, Sp.B |
| 0190R0021123V001738 |
2023/11/21/000192 |
2023-11-28 |
2023-11-21 |
133310031123Y000248 |
13331003 |
PUSKESMAS TAPANREJO |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
I64 |
Stroke, not specified as haemorrhage or infarction |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
045557 |
SUHARTATIK |
1955-10-20 |
PBI (APBN) |
P |
0000697788134 |
2023-11-28 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001632 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002147 |
2023/12/04/000017 |
2023-12-04 |
2023-11-24 |
0190U0811123P000229 |
0190U081 |
DPP DR RIZKY WIDYAWAN |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
E11.9 |
Non-insulin-dependent diabetes mellitus without co... |
INT |
PENYAKIT DALAM |
3 |
|
|
|
0 |
269800137 |
086286 |
SYAMSIYAH |
1965-11-08 |
PBI (APBN) |
P |
0002805802378 |
2023-12-04 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000121 |
374 |
dr. Indah Reviati Kusuma, Sp. PD |
2 |
|
|
4 |
374 |
dr. Indah Reviati Kusuma, Sp. PD |
| 0190R0021123V000951 |
2023/11/13/000003 |
2023-12-05 |
2023-11-09 |
1333R0041123B000100 |
1333R004 |
RSUD GENTENG - KAB. BANYUWANGI |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
H26.8 |
- Other specified cataract |
MAT |
MATA |
3 |
|
|
|
0 |
269800337 |
085922 |
SARDI |
1948-02-15 |
PEKERJA MANDIRI |
L |
0003132359921 |
2023-12-05 00:00:00 |
2. Faskes 2(RS) |
0. Tidak |
0. Tidak |
085232016281 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000247 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
2 |
|
|
4 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
| 0190R0021123V000142 |
2023/12/11/000093 |
2023-12-11 |
2023-11-01 |
0190B1211123P000003 |
0190B121 |
KLINIK ALASMALANG MEDIKA |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G40.9 |
Epilepsy, unspecified |
SAR |
SARAF |
3 |
|
|
|
0 |
269800332 |
050101 |
NUNGKI PINDIYANTI |
2002-02-18 |
PBI (APBN) |
P |
0000700358433 |
2023-12-11 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000642 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V001665 |
2023/12/12/000087 |
2023-12-12 |
2023-11-21 |
133309011123P000266 |
13330901 |
PUSKESMAS KEBAMAN |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
H16 |
Keratitis |
MAT |
MATA |
3 |
|
|
|
0 |
269800338 |
086109 |
SITI SUHARIYANI |
2002-04-09 |
PEKERJA MANDIRI |
P |
0003512831084 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000747 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
2 |
|
|
4 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
| 0190R0021123V001127 |
2023/12/12/000227 |
2023-12-12 |
2023-11-13 |
133307011123P000209 |
13330701 |
PUSKESMAS SINGOJURUH |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
M54.5 |
Low back pain |
SAR |
SARAF |
3 |
|
|
|
0 |
269800338 |
085985 |
NUR ISTIQOMAH |
1964-07-14 |
PEKERJA MANDIRI |
P |
0001855430976 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000763 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
3 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002534 |
2023/12/11/000019 |
2023-12-12 |
2023-11-30 |
133309021123Y000652 |
13330902 |
PUSKESMAS PARIJATAHKULON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800337 |
063425 |
ACHUK M. DASUKI |
1953-10-01 |
PEKERJA MANDIRI |
L |
0001320492824 |
2023-12-12 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001853 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V001782 |
2023/12/13/000090 |
2023-12-13 |
2023-11-21 |
133310041123Y000182 |
13331004 |
PUSKESMAS TEMBOKREJO |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
M15.0 |
Primary generalized (osteo)arthrosis |
ORT |
ORTHOPEDI |
3 |
|
|
|
0 |
269800332 |
083741 |
SRIYANI |
1972-04-13 |
PEKERJA MANDIRI |
P |
0001772751508 |
2023-12-13 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000403 |
398 |
dr. Nolly Kiki Aditya, Sp.OT |
2 |
|
|
3 |
398 |
dr. Nolly Kiki Aditya, Sp.OT |
| 0190R0021123V001782 |
2023/12/13/000090 |
2023-12-13 |
2023-11-21 |
133310041123Y000182 |
13331004 |
PUSKESMAS TEMBOKREJO |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
M15.0 |
Primary generalized (osteo)arthrosis |
ORT |
ORTHOPEDI |
3 |
|
|
|
0 |
269800332 |
083741 |
SRIYANI |
1972-04-13 |
PEKERJA MANDIRI |
P |
0001772751508 |
2023-12-13 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000403 |
398 |
dr. Nolly Kiki Aditya, Sp.OT |
2 |
|
|
4 |
398 |
dr. Nolly Kiki Aditya, Sp.OT |
| 0190R0021123V001801 |
2023/12/13/000060 |
2023-12-13 |
2023-11-15 |
0190B1191123P000774 |
0190B119 |
KLINIK AL HIKMAH |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
H25.9 |
Senile cataract, unspecified |
MAT |
MATA |
2 |
|
|
|
0 |
269800338 |
086027 |
SRI ASMIYATI |
1960-06-30 |
PEGAWAI SWASTA |
P |
0002432620056 |
2023-12-13 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
033632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000837 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
2 |
|
|
4 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
| 0190R0021123V001088 |
2023/12/13/000003 |
2023-12-13 |
2023-11-14 |
133313011123P000228 |
13331301 |
PUSKESMAS BENCULUK |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
H25 |
Senile cataract |
MAT |
MATA |
3 |
|
|
|
0 |
269800338 |
071716 |
SUPIYANI |
1968-05-05 |
PEKERJA MANDIRI |
P |
0001734733798 |
2023-12-13 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021123K001754 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
2 |
|
|
4 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
| 0190R0021123V000718 |
2023/12/14/000131 |
2023-12-14 |
2023-10-27 |
133310011023Y000532 |
13331001 |
PUSKESMAS KEDUNGREJO |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
G20 |
Parkinson's disease |
SAR |
SARAF |
3 |
|
|
|
0 |
269800137 |
062844 |
SUMARI |
1956-07-10 |
PEKERJA MANDIRI |
P |
0002521909719 |
2023-12-14 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K000940 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021223V000667 |
2023/12/18/000009 |
2023-12-18 |
2023-12-02 |
0190B1231223P000002 |
0190B123 |
KLINIK AMOUR 1 (BENCULUK) |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
M62.8 |
Other specified disorders of muscle |
SAR |
SARAF |
1 |
|
|
|
0 |
269800137 |
066443 |
SUKIRNO |
1959-03-14 |
PENERIMA PENSIUN PNS |
L |
0000114914351 |
2023-12-18 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K001038 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V001544 |
2023/12/20/000120 |
2023-12-20 |
2023-11-13 |
133308011123P000390 |
13330801 |
PUSKESMAS SONGGON |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
M54.5 |
Low back pain |
SAR |
SARAF |
3 |
|
|
|
0 |
269800330 |
073657 |
BUNARIYANTO |
1975-08-04 |
PEKERJA MANDIRI |
L |
0003273323736 |
2023-12-20 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K001204 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021123V002465 |
2023/12/21/000151 |
2023-12-21 |
2023-11-30 |
133309011123Y000490 |
13330901 |
PUSKESMAS KEBAMAN |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
H26.9 |
Cataract, unspecified |
MAT |
MATA |
3 |
|
|
|
0 |
269800337 |
086373 |
ASNAWI |
1946-07-02 |
PEKERJA MANDIRI |
L |
0003505102323 |
2023-12-21 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
033632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0021223K001306 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
2 |
|
|
4 |
14972 |
dr. Siswi Hapsari Wahyuningtyas, Sp.M |
| 0190R0021023V002640 |
2024/01/10/000071 |
2024-01-10 |
2023-10-30 |
133306021023Y000477 |
13330602 |
PUSKESMAS GLADAG |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
E10.2 |
Insulin-dependent diabetes mellitus with renal com... |
INT |
PENYAKIT DALAM |
1 |
|
|
|
0 |
269800137 |
030720 |
PANHARI |
1966-03-22 |
KEPALA DESA DAN PERANGKAT DESA |
L |
0002158637501 |
2024-01-10 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0020124K000489 |
341201 |
dr. HANANDHA PUTRA LUQMANA, Sp.PD. |
2 |
|
|
4 |
341201 |
dr. HANANDHA PUTRA LUQMANA, Sp.PD. |
| 0190R0021123V001131 |
2024/01/20/000032 |
2024-01-20 |
2023-11-14 |
133309011123P000167 |
13330901 |
PUSKESMAS KEBAMAN |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
I63.9 |
Cerebral infarction, unspecified |
SAR |
SARAF |
3 |
|
|
|
0 |
269800332 |
085189 |
Samingan |
1955-02-11 |
PEKERJA MANDIRI |
L |
0003557331516 |
2024-01-20 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0020124K001049 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |
| 0190R0021223V001065 |
2024/01/20/000041 |
2024-01-20 |
2023-12-13 |
0190U0671223P000088 |
0190U067 |
dr. SUSWATI HANIYAH |
0190R002 |
RSNU BANYUWANGI |
2 |
- |
I63.9 |
Cerebral infarction, unspecified |
SAR |
SARAF |
3 |
|
|
|
0 |
269800332 |
049318 |
SUHARTI |
1972-02-01 |
PBI (APBN) |
P |
0000697891544 |
2024-01-20 00:00:00 |
1. Faskes 1 |
0. Tidak |
0. Tidak |
0333632965 |
0. Tidak |
0000-00-00 |
|
0. Tidak |
|
|
|
|
|
|
|
0190R0020124K001057 |
399 |
dr. Indah Ari Handayani, Sp.S |
2 |
|
|
4 |
399 |
dr. Indah Ari Handayani, Sp.S |