No
TANGGAL
NAMA PESERTA
SEX
JENIS PESERTA
1 31/05/2016
MILDA HANIF PRATIWI
P
PEGAWAI SWASTA
2 31/05/2016
LUKMAN MUZACKY ARDYANSAH
L
PEGAWAI SWASTA
3 31/05/2016
TALITHA KIRANA CAYADEWI
P
PEGAWAI SWASTA
4 30/05/2016
PURYANTI
P
PBI (APBN)
5 30/05/2016
HEPI DIANA
P
PEGAWAI SWASTA
6 30/05/2016
SRIJANTI
P
PEKERJA MANDIRI
7 30/05/2016
M. HASAN SUGIMIN
L
PEKERJA MANDIRI
8 28/05/2016
MEGA DWI AGUSTINA
P
PEGAWAI SWASTA
9 28/05/2016
AQILLA CANDRAMAYA K.S
P
PEGAWAI SWASTA
10 28/05/2016
DEWI NAJUWA
P
PEKERJA MANDIRI
11 27/05/2016
AHNAF RIJAL
L
PEGAWAI SWASTA
12 27/05/2016
M. HASAN SUGIMIN
L
PEKERJA MANDIRI
13 26/05/2016
AHMAD TAUHID
L
PNS PUSAT
14 26/05/2016
CHUCHUK BAGUS NUSANTARA, SAPL
PEKERJA MANDIRI
15 25/05/2016
EVI SRITITIN FAUZIA LUSSY
P
PBI (APBN)
16 25/05/2016
SUMINGAN
L
PEGAWAI SWASTA
17 25/05/2016
SUWONDO
L
PEKERJA MANDIRI
18 24/05/2016
HANIF SUBIANTORO
L
PEGAWAI SWASTA
19 24/05/2016
WAHYUDIANTO
L
PEGAWAI SWASTA
20 24/05/2016
ZAKY DANISWARA JUANG M
L
PEGAWAI SWASTA
21 24/05/2016
AHMAD ISKAYANI GIYONO
L
PEGAWAI SWASTA
22 23/05/2016
SUPRIHATIN
P
PBI (APBN)
23 23/05/2016
NANIK
P
PBI (APBN)
24 22/05/2016
YETTI YUHARINI
P
PNS DAERAH
25 22/05/2016
SRI HARNANINGRUM
P
PEKERJA MANDIRI
26 21/05/2016
IDA SHOFIATUL UMMAH
P
PEGAWAI SWASTA
27 21/05/2016
NURDIANA
P
PEGAWAI SWASTA
28 20/05/2016
TUMI
P
PBI (APBN)
29 20/05/2016
SUPARMI
P
PBI (APBN)
30 20/05/2016
AMIN PATONAH
P
PBI (APBN)
31 20/05/2016
ERWINA SARI
P
PEGAWAI SWASTA
32 20/05/2016
SUNARTI
P
PEGAWAI SWASTA
33 19/05/2016
ADNAN ARZIKI RAMADHANTA
L
PEGAWAI SWASTA
34 18/05/2016
SUPRIHATIN
P
PBI (APBN)
35 18/05/2016
BRENDA FELICIA
P
PEKERJA MANDIRI
36 18/05/2016
YUHARINI
P
PEKERJA MANDIRI
37 18/05/2016
ALYA SHOFIA ASY-SYARIFAH
P
PEGAWAI SWASTA
38 17/05/2016
FEBRIYANTI
P
PEGAWAI SWASTA
39 17/05/2016
HANIK NUR LATIFAH
P
PEGAWAI SWASTA
40 17/05/2016
ENDANG SULASTRI
P
PEGAWAI SWASTA
41 16/05/2016
SRIJANTI
P
PEKERJA MANDIRI
42 16/05/2016
SHANDRA LILIA KUSUMA
P
PEKERJA MANDIRI
43 16/05/2016
TUKIMUN
L
PEKERJA MANDIRI
44 16/05/2016
SUMARTIN
P
PEKERJA MANDIRI
45 14/05/2016
JAMIN
L
PEGAWAI SWASTA
46 14/05/2016
CELSEN SYEIPUTRA RIZKI
L
PEGAWAI SWASTA
47 13/05/2016
SUHADI SUDJONO
L
PEKERJA MANDIRI
48 13/05/2016
SUJARWO
L
PEKERJA MANDIRI
49 13/05/2016
ENDANG SULASTRI
P
PEGAWAI SWASTA
50 13/05/2016
DAMIYANTI
P
PEKERJA MANDIRI
51
12/5/2016 SUPRIHATIN
P
PBI (APBN)
52
12/5/2016 TUFI LAILY
P
PEGAWAI SWASTA
53
12/5/2016 EDY SISWOYO
L
PEKERJA MANDIRI
54
12/5/2016 EDZA PRIMA FEBRIAN PUTRA
L
PEKERJA MANDIRI
55
10/5/2016 ENINA
P
PBI (APBD)
56
10/5/2016 SRI LESTARI
P
PEGAWAI SWASTA
57
10/5/2016 MARIONO
L
PEGAWAI SWASTA
58
10/5/2016 APRILA MAHARANI
P
PEKERJA MANDIRI
59
10/5/2016 M. NURQOLIS
L
PEGAWAI SWASTA
60
10/5/2016 SISWANTO
L
PEKERJA MANDIRI
61
9/5/2016 ATENG SUBAGYO
L
PENERIMA PENSIUN TNI
62
9/5/2016 TIN SURYANTINA
P
PEGAWAI SWASTA
63
9/5/2016 MOCH MUADZIN
L
PEKERJA MANDIRI
64
9/5/2016 HARUMI
P
PEGAWAI SWASTA
65
9/5/2016 SRIJANTI
P
PEKERJA MANDIRI
66
9/5/2016 EDZA PRIMA FEBRIAN PUTRA
L
PEKERJA MANDIRI
67
9/5/2016 ZESIRO PRAYOGI
L
PEKERJA MANDIRI
68
7/5/2016 HANIK NUR LATIFAH
P
PEGAWAI SWASTA
69
7/5/2016 IRFAN NUGROHO
L
PEGAWAI SWASTA
70
7/5/2016 DILAH
L
PEGAWAI SWASTA
71
6/5/2016 SRIWAHYUNI
P
PEGAWAI SWASTA
72
6/5/2016 YUNITA SUSIANA
P
PEKERJA MANDIRI
73
6/5/2016 FARAH ALMEERA
P
PNS PUSAT
74
6/5/2016 FENNY ALIFA AZZAHRA
P
PEGAWAI SWASTA
75
4/5/2016 AKROM MUSTOFA
L
PEGAWAI SWASTA
76
4/5/2016 NANDA AYU ARISKA.M.A
P
PEGAWAI SWASTA
77
4/5/2016 ROBITH NI'AMIL KARIM
L
PEKERJA MANDIRI
78
4/5/2016 PURWITO
L
PEGAWAI SWASTA
79
4/5/2016 SISWANTO
L
PEKERJA MANDIRI
80
4/5/2016 TUKIMUN
L
PEKERJA MANDIRI
81
2/5/2016 DWIAMBARWATI
P
PEGAWAI SWASTA
82
2/5/2016 NOVIDA SARI CAHYANINGTYAS
P
PEGAWAI SWASTA
83
2/5/2016 MARIANTO AL BASHARI
L
PEKERJA MANDIRI
84
1/5/2016 ALYA SHOFIA ASY-SYARIFAH
P
PEGAWAI SWASTA
DIAGNOSA
DI RUJUK
Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Pyoderma Abdominal pregnancy General counselling and advice on contraception Cough Diarrhoea and gastroenteritis of presumed infectious origin Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Predominantly allergic asthma Noninfective gastroenteritis and colitis, unspecified Acute nasopharyngitis [common cold] Bell's palsy Abdominal pregnancy Acute pharyngitis, unspecified Urinary tract infection, site not specified Neoplasm of uncertain or unknown behavior of connective and other soft tissue Other allergic rhinitis Nausea and vomiting Acute nasopharyngitis [common cold] Routine postpartum follow-up General counselling and advice on contraception Low vision, both eyes Other peripheral vertigo Acute nasopharyngitis [common cold] Peptic ulcer, unspecified as acute or chronic, without haemorrhage or perforation General counselling and advice on contraception Perineal laceration during delivery, unspecified General counselling and advice on contraception Pain, unspecified Dyspepsia Diarrhoea and gastroenteritis of presumed infectious origin Routine postpartum follow-up Acute nasopharyngitis [common cold] Other acute sinusitis Relapsing fever, unspecified Other benign neoplasm of skin of eyelid, including canthus Varicose veins of lower extremities with both ulcer and inflammation General counselling and advice on contraception Candidal stomatitis Myalgia Insulin-dependent diabetes mellitus without complications Myalgia
Low back pain Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Gastritis, unspecified Low vision, both eyes Abdominal pregnancy Acute nasopharyngitis [common cold] Hypersensitivity angiitis Acute nasopharyngitis [common cold] General counselling and advice on contraception Pruritus, unspecified Myalgia Myalgia Allergy, unspecified Hypertensive heart and renal disease, unspecified Family history of stroke Acute nasopharyngitis [common cold] Myalgia Gastroenteritis and colitis due to radiation Dyspepsia Acute nasopharyngitis [common cold] Chronic tonsillitis Dermatitis, unspecified Acute nasopharyngitis [common cold] Calculus of kidney Myalgia Acute nasopharyngitis [common cold] Acute nasopharyngitis [common cold] Cough Acute nasopharyngitis [common cold] Low vision, both eyes Acute nasopharyngitis [common cold] Heart failure, unspecified Coronary thrombosis not resulting in myocardial infarction Non-insulin-dependent diabetes mellitus without complications Cough Cough Low back pain Dermatitis, unspecified