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 KESEHATAN
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DATA RUJUK / EVAKUASI PASIEN MILITER, PNS DAN KBT
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BULAN : APRIL 2026
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NOTGL RUJUKANNAMA PASIENPANGKAT / NRPJABATANKESATUANDIAGNOSAFASKES KET
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2RUJUKANTUJUAN
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32345678910
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415/04/2026Edy PurwokoSerka/31020205950382Babinsa Ramil 0812-26Dim 0812 Rem 082/CPYJParanoid scizophreniaPolkes 05.09.13 LamonganRS Soepraoen
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515/04/2026ENDAH SURYANI---VERTIGO H81.9Polkes 05.09.06 CARUBANRS Soepraoen
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602/04/2026MasudSerma/31980392770778Bamin Pokkoki Ma Yonkav 8/NSW Dispena Klinik Yonkav 8 RS.Pusdik Bhayangkara Porong
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713/04/2026NURHADISerka/ 31010185821279Bintara AngkutanKodim 0808 BlitarInsulin-dependent diabetes mellitus with multiple complicationsPolkes 05.09.03 BlitarRSUD Mardi Waluyo Blitar
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808/04/2026HENDRIK KRISDIANTOSerka/ 31010208280781BatiuudKodim 0827 SumenepHypertensive heart diseasePolkes 05.09.03 BlitarRSU Aminah Blitar
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909/04/2026An. aruna Afica KDKKlinik Yonkav 8RSUD. Bangil
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1015/04/2026DWIYONOSerma/ 31940165010773Bati Wanwil Koramil 04 SanankulonKodim 0808 BlitarNon-insulin-dependent diabetes mellitus with multiple complicationsPolkes 05.09.03 BlitarRSU Aminah Blitar
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1113/04/2026Nanik umi m ( istri dari Serma Suyono)--Kodim 0807 TulungagungDisorders of refraction and accommodationPolkes 05.09.09 T.agungRS BHAYANGKARA TulungagungKELUARGA AD
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1215/04/2026M.IrfanKopka/31040247771084Tamudi Ramil RejotanganKodim 0807 TulungagungCalculus of kidneyPolkes 05.09.09 T.agungRS PUTRA WASPADA TNI AD
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1309/04/2026ATIN MULYANINGSIHI.d Kapten Inf Joni Angina pectorisPOLKES NGANJUKRSIA NGANJUKKELUARGA AD
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1409/04/2026MUHAMMAD ARSYADArthrogryposis multiplex congenitaPOLKES NGANJUKRSUD GAMBIRANKELUARGA AD
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1509/04/2026SOECIK WIDIA YANTI199406192025212033PENATA LAYANAN OPERASIONALPOLKES NGANJUKHypertensive heart disease without (congestive) heart failureRSB NGANJUK
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1610/04/2026MIKAYLA CAHYADEVI MAHARANIa.d Peltu Hendri FPOLKES NGANJUKFunctional intestinal disorder, unspecifiedPOLKES NGANJUKRSIA NGANJUKKELUARGA AD
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1710/04/2026ANANG SUYOSOBabinsa Kodim 0810 NganjukKODIM 0810 NGANJUKDependence on renal dialysisPOLKES NGANJUKRSUD NGANJUK
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1813/04/2026AGUNG DWI WINARSOPeltu/21950057371074Bati Kodim 0810 NganjukKODIM 0810 NGANJUKAngina pectoris, unspecifiedRSB NGANJUK
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1901/04/2026MOHAMMAD YUSUFKapten Inf /21950059840575Danramil 0820-26/Tegalsiwalan KODIM 0820/PROBOLINGGOI63.9 - Cerebral infarction, unspecifiedPolkes 05.09.17 ProbolinggoRSU WONOLANGANTNI AD
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2001/04/2026RITA PRIHATINIKBT/istri Istri dari Kapten Mohammad Yusuf KODIM 0820/PROBOLINGGOF41 - Other anxiety disordersPolkes 05.09.17 ProbolinggoRSU WONOLANGANKELUARGA AD
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2106/04/2026MUSDHOLIFAH DWI RAMADHANI KBT/anakAnak dari Kapten Moh.Toha KODIM 0820/PROBOLINGGOC81 - Hodgkin lymphomaPolkes 05.09.17 ProbolinggoRS SOEPRAOENKELUARGA AD
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2206/04/2026MUHAMMAD KHOIRUT TAMAM -Anak dari Koptu Sanep
POLKES 05.09.17 PROBOLINGGO
R22.4 - Localized swelling, mass and lump, lower limbPolkes 05.09.17 ProbolinggoRSUD TONGASKELUARGA AD
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2306/04/2026SETIA PURNAMASertu/319700619830976Bamin Tuud Koramil Sukapura KODIM 0820/PROBOLINGGOI50.0 - Congestive heart failurePolkes 05.09.17 ProbolinggoRS SOEPRAOENTNI AD
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2408/04/2026MUH HASANUDINKopa/31090499280987Tamudi Ramil 0820-05 Tongas Dim 0820KODIM 0820/PROBOLINGGOI25 - Chronic ischaemic heart diseasePolkes 05.09.17 ProbolinggoRSUD MOH SALEHTNI AD
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2510/04/2026ERMAN NURJAMANSertu/31000132950749Babinsa Koramil 11/ KODIM 0820/PROBOLINGGOR07.4 - Chest pain, unspecifiedPolkes 05.09.17 ProbolinggoRSU WONOLANGANTNI AD
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2613/04/2026M. DIMAS DWI Y.SERDA/1525106050021223BAMAK POKKO KIMA YONIF TP 886/PJYONIF TP 886/PJHN Sdg D, Susp Batu UPJ DRumkit Tk.IV KediriRS SOEPRAOEN MALANG
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2713/04/2026GYDION ARANGGASERDA/1525110040021117BALIDIK 3 SIINTELPUR KIMA YONIF TP 886/PJYONIF TP 886/PJOrchoepididimitis SinistraRumkit Tk.IV KediriRS SOEPRAOEN MALANG
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2815/04/2026ERNA SUSIANTI-Istri dari Kapten Mu'asariKODIM 0829/BANGKALANThyrotoxicosis [hyperthyroidism] (E05)Polkes 05.09.28 BangkalanRSUD Syarifah Ambami BangkalanKELUARGA AD
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2915/04/2026ARGYANTI PRIZA WIDYANATA-Anak dari Heru Dwi SantosoAllergic Rhynitis Due to pollen
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3015/04/2026YIYIK EKOWATIPNS KODIM 0829/BANGKALANKODIM 0829/BANGKALANPain in join
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3115/04/2026PURWANTOMayor /21930011260272-Rindam V cvaklinik rawat jalan rampalRS SOEPRAOEN MALANG
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3215/04/2026SUKANDARSertu/630094-Kodim 0833Susp. Nefrolitiasisklinik rawat jalan rampalRS SOEPRAOEN MALANG
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3315/04/2026MUHAMMAD HAFIDZSerda/1525105060021405-Yonif 512/QYAbse digiti manusklinik rawat jalan rampalRS SOEPRAOEN MALANG
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3415/04/2026YOMBUNDAYAKapten Arm/21970182330576Kodim 0818 MalangHHDklinik rawat jalan rampalRS BHIRAWA BAKTI
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3515/04/2026EKO SETYOSerma/ 31930722240473-Kodim 0830 SurabayaCholelitiasisKlinik rawat jalan rampalRS SOEPRAOEN MALANG
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3615/04/2026FARAH DIBA ANI MURTI--Biro Humas Setjen KemhanTinittusKlinik Brawijaya LawangRumkitban LawangKELUARGA AD
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3701/04/2026CAHAYA CAMELIA RAHMAWATI-A/D SERDA KHAMIM TOHARI MUSLIHKODIM 0821/LUMAJANGNECROSIS OF PULP (K04.1)Polkes 05.09.02 LumajangDR HARYOTO LUMAJANG, RSUDKELUARGA AD
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3802/04/2026MARYAM MAZAYA AQILA
-A/D SERDA MAKASINYONIF 527/BYSupernumerary teeth (K00.1)Polkes 05.09.02 LumajangDR HARYOTO LUMAJANG, RSUDKELUARGA AD
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3906/04/2026YEVI LUFIA-I/D SERDA HENDRIKODIM 0821/LUMAJANGFracture of forearm (S52)Polkes 05.09.02 LumajangDR HARYOTO LUMAJANG, RSUDKELUARGA AD
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4007/04/2026IDA ROHMA WATI-I/D SERDA WIGI ARIF HERMANTOKODIM 0821/LUMAJANGFollow-up examination after surgery for other conditions (Z09.0)Polkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA AD
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4107/04/2026NOVI NUR RISDIYANTI ANGGRAENI-I/D PPPK RIZKY KURNIAWANPOLKES 05.09.02Supervision of high-risk pregnancy (Z35)Polkes 05.09.02 LumajangRS WIJAYA KUSUMA
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4207/04/2026LENI HANDAYANI-I/D SERDA YOHAN ANANG KRESTANTOKODIM 0821/LUMAJANGHypertensive heart disease (I11)Polkes 05.09.02 LumajangDR HARYOTO LUMAJANG, RSUDKELUARGA AD
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4307/04/2026IRFANPRAKA/ 31180706910598DANPOKPAN 1 RU 1 TON 2 KIPAN C YONIF 527/BY REM083/BDJ DAM V/BRWYONIF 527/BYOther specified surgical follow-up care (Z48.8)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGTNI
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4409/04/2026AGOES SATRIA PRATAMAPRAKA/ 31170311320497TABAK DUK 3 SIINTELPUR KIMA YONIF 527/BY REM 083/BDJ DAM V BRWYONIF 527/BYScrotal varices (I86.1)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGTNI
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4510/04/2026DWI WAWAN HERTANTOKAPTEN CBA/ 21980228200478Pasi Intel DIM 0821/LUMAJANGKODIM 0821/LUMAJANGVisual impairment including blindness (binocular or monocular) (H54)Polkes 05.09.02 LumajangRS WIJAYA KUSUMATNI
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4610/04/2026GABRIEL EKA WIJAYASerda/ 1525111050021300Ba Munisi Yonif 527/BY REM083/BDJ DAM V/BRWYONIF 527/BYFracture of first metacarpal bone , closed (S62.20)Polkes 05.09.02 LumajangRSU BALADHIKA HUSADA JEMBER
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4710/04/2026AGUNG TRI WAHYUDISerda/31110461100191Danru 1 Ton 1 Kipan B Yonif 527/BYYONIF 527/BYObstructive and reflux uropathy (N13)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGTNI
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4810/04/2026M. ARJUN NAASHIH MUBAAROKA/D SERMA THOMY HADININGRADKODIM 0820/PROBOLINGGOFever of other and unknown origin (R50), Epistaxis (R04.0)Polkes 05.09.02 LumajangRSU MUHAMMADIYAH LUMAJANGKELUARGA AD
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4913/04/2026MUKSINSERDAKODIM 0827/SUMENEPCervical root disorders, not elsewhere classified (G54.2), Headache (R51)Polkes 05.09.02 LumajangRS WIJAYA KUSUMATNI AD
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5013/04/2026TRI SUNARWIYAH-I/D SERDA BADARUDIN HOLLEYONIF 527/BYM51 - Other intervertebral disc disordersPolkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA AD
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5113/04/2026FAUZI BAYU NUR RAHMAN-A/D FAJAR BAYU CAPRIANTOKODIM 0821/LUMAJANGFever of other and unknown origin (R50), Bronchitis, not specified as acute or chronic (J40)Polkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA D
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5213/04/2026KHAIRA ALIFA AZZAHRA-A/D PRAKA RAMADINYONIF 527/BYLocalized swelling, mass and lump, neck (R22.1)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGKELUARGA AD
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5313/04/2026EUNIKE MAHDALENA PUTRI-I/D PRAKA MELIAKI MSENYONIF 527/BYSupervision of high-risk pregnancy (Z35), Enlarged lymph nodes, unspecified (R59.9)Polkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA AD
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5414/04/2026MAWAR KURNIA SARI-I/D PRAKA BUDIA RAHMANYONIF 527/BYPERIAPICAL ABSCESS WITHOUT SINUS (K04.7)Polkes 05.09.02 LumajangRS DJATIROTOKELUARGA AD
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5514/04/2026ADHISTY PRAMESWARI AIRIN-A/D PRAKA YUSAKYONIF 527/BYDevelopmental disorder of speech and language, unspecified (F80.9), Specific personality disorders (F60)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGKELUARGA AD
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5614/04/2026JOSHUA ELKANA ABIGAEL BHIMA RUMBOISANO-A/D PRAKA YUSAKYONIF 527/BYSpecific personality disorders (F60), Acute pharyngitis (J02), Developmental disorder of speech and language, unspecified (F80.9)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGKELUARGA AD
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5714/04/2026SUGENG KURNIAWANSERMA/ 21070456150187BATI WANMIL 0821/15 TEKUNGKODIM 0821/LUMAJANGHypertensive heart disease (I11)Polkes 05.09.02 LumajangRS DJATIROTO
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5815/04/2026MILKI ROHMAWATI-I/D SERTU SHIDDIQ GHOZALI FANATHYONIF 527/BYSystemic lupus erythematosus, unspecified (M32.9)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGKELUARGA AD
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5915/04/2026FEMILA KARTINA-I/D SERDA M. ALI MASHARYONIF 527/BYNecrosis of pulp (K04.1)Polkes 05.09.02 LumajangDR HARYOTO LUMAJANG, RSUDKELUARGA AD
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6015/04/2026INDAH KURNIAWATI-I/D SERDA PUGUH YUDHAYONIF 527/BYThyrotoxicosis [hyperthyroidism] (E05)Polkes 05.09.02 LumajangRS BHAYANGKARA LUMAJANGKELUARGA AD
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6115/04/2026ARYA HERLANGGA SAPUTRA1725105070057701PRADAYON TP 933/MWFracture of rib, closedPOLKES NGANJUKRSDS MALANG
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6216/04/2026BUDIWANTOSERMA / 31940567960674BABINSA NGANJUKBP DKT KEDIRIStroke, not specified as haemorrhage or infarction (I64)BP DKT KEDIRIRUMKIT TK.IV KEDIRI
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6302/04/2026SUCI AYU LESTARIKBTKODIM 0822 BWSF41-Other anxiety disordersPolkes 05.09.18 BondowosoRSUDr. H. Koesnadi BondowosoKELUARGA AD
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6406/04/2026RIRIN SRI WAHYUNINGKBTKODIM 0822 BWS
D13.4-Benign neoplasm of liver D13.4-Hepatomegaly, not elsewhere classified(R16.0)
Polkes 05.09.18 BondowosoRSUDr. H. Koesnadi BondowosoKELUARGA AD
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6506/04/2026APRILIA EKA WKBTKODIM 0822 BWS
I11.0-Hypertensive heart disease with (congestive) heart failure
Polkes 05.09.18 BondowosoRSUDr. H. Koesnadi BondowosoKELUARGA AD
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6616/04/2026An. Almeera Arzy Z.a.n KOPDA Supriyanto-MINVET 03/MADIUNstunting malnutrition (E45)FKTP Klinik Denkesyah MadiunRSU Darmayu Madiun KELUARGA AD
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6706/05/2026ABDEE NEGARA DORY TIMORKBTKODIM 0822 BWSS82.2-Fracture of shaft of tibiaPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSOKELUARGA AD
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6806/04/2026DINDA YUNIA TKBTKODIM 0822 BWSO41.0- OligohydramniosnPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSOKELUARGA AD
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6907/04/2026HAIRUL HADI SETIAWANSERTUKODIM 0822 BWSI11- Hypertensive heart diseasePolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7009/04/2026RUDY HANDOKOKOPKAKODIM 0822 BWSLow vision, both eyesPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7115/04/2026REVZIAD KIRANIA MEIKAKBTPutri dari Serma Muji Rohmadkodim 0811/16 Singgahan DHFPolkes 05.09.12 Tuban RSUD Karang Kembang Babat Keluarga AD
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7213/04/2026MOCHAMMAD BAHARUDIN RASYIDSERDAKODIM 0822 BWSL23.9 - Allergic contact dermatitis, unspecified causePolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7315/04/2027MOHAMMAD GUFRONPNSKODIM 0822 BWSH93.1-TinnitusPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7415/04/2028MOHAMMAD BINTANG AULIAPNS keluargaKODIM 0822 BWSH93.1-TinnitusPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7515/04/2029SRI UTAMIKBTKODIM 0822 BWS (K04.1)- Necrosis of pulpPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSOKELUARGA AD
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7615/04/2030LENNY SUKMAWATIKBTKODIM 0822 BWSI10-Essential (primary) hypertension E10-Insulin-dependent diabetes mellitusPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSOKELUARGA AD
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7707/04/2026FATMAHKBT-KODIM 0826/PAMEKASANI51.7 KardiomegaliPolkes 05.09.25 PamekasanRSUD dr. H. Slamet Martodirdjo PamekasanKELUARGA AD
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7816/04/2026SURIPTOSERDAKODIM 0822 BWSI15-Secondary hypertension G63.2- Diabetic polyneuropathyPolkes 05.09.18 BondowosoRS BHAYANGKARA BONDOWOSO
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7916/042026WEDHA INDAH ISTIQOMAH KRISTANTYKBTIstri dari Serka EhwanBela Negara MalangI11- Hypertensive heart diseaseKlinik Brawijaya LawangRST dr. SoepraoenKeluarga AD
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8016/04/2026MASFUFAH YULINDAKBT-Yonkav 3 TankM34-Systemic SclerosisKlinik Brawijaya LawangRumkitban Lawang Pro RSSAKeluarga AD
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8116/04/2026MUHAMMAD FAKHRULLAH HARIANTO-ad Sertu RiccoKodim 0810 NganjukThalasemia MayorRSUD NganjukRS dr. Soetomo SurabayaKeluarga AD
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8216/04/2026DELLA DWI PRATIDINAIstri Kopda Feroka Artayangka NRP 31120488591191Tamudi Pasilog Toanag RaimaYon Armed 12 KostradTuberculous peripheral lymphadenopathyPolkes 05.09.01 NgawiRSI At Tin Husada NgawiKeluarga AD
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8317/04/2026SIRAJUDDINKOPTU / 31030318800582Tasak / Gudpok kokibantkodim 0811 / TubanHHD (I25.1), CAD + HTFKTP KLINIK DKT KEDIRIRUMKIT TK.IV KEDIRI
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8417/04/2026ISTIANAHKBTIstri dari Kapten YainarohKODIM 0826/PAMEKASANM25.5 - Pain in jointPolkes 05.09.25 PamekasanRSU Mohammad Noer PamekasanKeluarga AD
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8517/04/2026SUSANTOSerka / 31950618940374Baminwal Denpom V/3 Pomdam V/ BrawijayaM17-Gonarthrosis Klinik Brawijaya LawangRumkitban Lawang
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8617/04/2026RIVIELLA ALZAHSY JASMINE RUSLANA/D KOPDA RUJU NURBEKTIYONIF 527/BYFever of other and unknown origin (R50), Constipation (K59.0)Polkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA AD
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8717/04/2026MILKI ROHMAWATII/D SERTU SHIDDIQ GHOZALI FANATHYONIF 527/BYBenign neoplasm of breast (D24)Polkes 05.09.02 LumajangRS WIJAYA KUSUMAKELUARGA AD
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8817/04/2026BENEDIKTRIS ELISABETH OHEI/D PRATU REINILDIS JULIOYONIF 527/BY
Follow-up examination after surgery for other conditions (Z09.0)
Polkes 05.09.02 LumajangRS ISLAM LUMAJANGKELUARGA AD
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8915/04/2026ADE NUR HIDAYATPRATU/31190089970600Tabak Kanon 3/1/81Yonkav 8/KS83.51 - anterior cruciate ligamentYonkav 8/KRSUD BangilTNI
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9020/04/2026MOH.MUSLEHSertu/31040666460682Baurdata Ramil 0829-03/Kamal Dim 0829 Rem 084/BJKodim 0829 Bangkalanpost.other postsurgical statesPolkes 05.09.28 BangkalanRSUD SYAMRABU BANGKALAN
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9120/04/2026YULI INDAH PURWATIKBTIstri Praka Moch. Nur Imam AtusaddamYon Armed 12 KostradOther and unspecified ovarian cysts (N83.2)Polkes 05.09.01 NgawiRSUD dr. Soeroto NgawiKELUARGA AD
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9220/04/2027ILHAM BUDI SUSANTOSertu/31040735840883Babinsa Ramil 0805/01 Ngawi KotaKodim 0805/NgawiMalignant neoplasm of nasopharynx (C11)Polkes 05.09.01 NgawiRS Widodo Ngawi
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9320/04/2026RITA-Istri Mayor Inf WiyonoPamin Kodam V /BRWHeart failure, Unspectifited ( I50.9 )Polkes 05.09.12 Tuban RSUD dr.R.KOESMA TubanKELUARGA AD