Sie sind auf Seite 1von 8

<link rel="stylesheet" type="text/css" href="http://192.168.1.

107/styles/loa
d.css?f=blue/reporting.css" media="screen, projection, print"/>
<link rel="stylesheet" type="text/css" href="http://192.168.1.107/styles/loa
d.css?f=blue/billing.css" media="screen, projection, print"/>
<link rel="stylesheet" type="text/css" href="http://192.168.1.107/styles/loa
d.css?f=blue/print.css" media="print" />
<div class="header_bill_report">
<div class="logo">
<img alt="logo" src="images/system/client-logo.png" />
</div>
<div class="header_billing">
<div class="hospital_name">RSUD EMBUNG FATIMAH</div>
<div>JL. R. Soeprapto Blok D1-9 Batu Aji, </div>
<div>Batu Aji Batu Aji Batam Kepulauan Riau 12121</div>
<div>Phone : 62-0778-364446 Fax : 62-0778-361369</div>
</div>
</div>
<div class="header_bill_report">
<div class="header_billing">
<div style="margin-top: 30px">LAPORAN SENSUS HARIAN POLI BEDAH</div>
</div>
<div style="clear: both;"></div><br />
<div>From : 2013-10-03 Until : 2013-10-03</div>
<div>Departemen : POLI BEDAH</div>
<div style="clear: both;"></div><br />
</div>
<table class="tbl-detail" align="center">
<tr>
<th style="min-width: 100px" align="center">Tanggal</th>
<th style="min-width: 70px" align="center">No MR</th>
<th style="min-width: 300px" align="center">Nama Pasien</th>
<th style="min-width: 400px" align="center">Alamat</th>
<th style="min-width: 40px" align="center">Usia</th>
<th style="min-width: 40px" align="center">Tipe</th>
<th style="min-width: 40px" align="center">Jenis Kelamin</th>
<th style="min-width: 200px" align="center">ICD (Diagnosa)</th>
<th style="min-width: 200px" align="center">ICD (Tindakan)</th>
<th style="min-width: 300px" align="center">Catatan Doctor</th>
<th style="min-width: 100px" align="center">Cara Pembayaran</th>
<th style="min-width: 40px" align="center">Pekerjaan</th>
<th style="min-width: 40px" align="center">Pendidikan</th>
<th style="min-width: 175px" align="center">Nama Departemen</th>
</tr>
<tr>
<td valign="top">2013-10-03</td>
<td valign="top">66196</td>
<td valign="top">RIA ASTASARI MANALU </td>
<td valign="top">PENDAWA ASRI BLOK.H No.05</td>
<td valign="top" align="center">20</td>
<td valign="top">Lama</td>
<td valign="top" align="center">Female</td>
<td valign="top"></td>
<td valign="top"></td>
<td valign="top">vl</td>
<td valign="top" align="center">PT.KSW BATAM</td>
<td valign="top"></td>
<td valign="top"></td>
<td valign="top">POLI BEDAH</td>

</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td

valign="top">2013-10-03</td>
valign="top">65925</td>
valign="top">HAYUTI </td>
valign="top">KAV.SAGUBA C-02</td>
valign="top" align="center">56</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">POST OP APP</td>
valign="top" align="center">SKTM</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">60755</td>
valign="top">NURAINI </td>
valign="top">BATU MERAH </td>
valign="top" align="center">47</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">post ulkus dm</td>
valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">49182</td>
valign="top">Wahyudi </td>
valign="top">Griya Batu Aji Asri blok U2 no 3</td>
valign="top" align="center">64</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">VL</td>
valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66441</td>
valign="top">MAYANG </td>
valign="top">SEKANAK RAYA</td>
valign="top" align="center">14</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top"> STT bahu</td>

<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td

valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66803</td>
valign="top">MEINI SIMANGUNSONG </td>
valign="top">KAV.SEROJA BLOK I-130</td>
valign="top" align="center">53</td>
valign="top">Baru</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">granuloma</td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">53512</td>
valign="top">dame nopber yonas</td>
valign="top">pjb blok j no 14</td>
valign="top" align="center">16</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">VE</td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66027</td>
valign="top">RIO RENUS SIAGIAN</td>
valign="top">GRYA BATU AJI ASRI BLOK M2 /31</td>
valign="top" align="center">31</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">susp fraktur</td>
valign="top" align="center">JAMSOSTEK</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66410</td>
valign="top">dian armaidah</td>
valign="top">PUTRI TUJUH BLOK D NO16</td>
valign="top" align="center">26</td>
valign="top">Lama</td>

<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td

valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top"> kista ganglion</td>
valign="top" align="center">JAMSOSTEK</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66808</td>
valign="top">ANTON BAINDO S </td>
valign="top">BATU AJI BLOK XX-09</td>
valign="top" align="center">22</td>
valign="top">Baru</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">paronychia</td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66411</td>
valign="top">AZMY </td>
valign="top">TIBAN HOUSING</td>
valign="top" align="center">43</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top"> multiple STT</td>
valign="top" align="center">ASKES</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66326</td>
valign="top">YOGA FIRMANSYAH</td>
valign="top">KAV.BUKIT MELATI</td>
valign="top" align="center">4</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">post insisi abses submandibula sinistra</td>
valign="top" align="center">JAMSOSTEK</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66813</td>

<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td

valign="top">JENNI LISMAWATI </td>


valign="top">SUMBER SERAYA BLOK C15-21</td>
valign="top" align="center">44</td>
valign="top">Baru</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">LBP</td>
valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66820</td>
valign="top">JONNEDAL </td>
valign="top">BATU AJI PJB L-10</td>
valign="top" align="center">51</td>
valign="top">Baru</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">kista ganglion</td>
valign="top" align="center">ASKES</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66197</td>
valign="top">JULI MANDASARI SILALAHI </td>
valign="top">HPM BLOK.C No.08</td>
valign="top" align="center">25</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">VL</td>
valign="top" align="center">PT.KSW BATAM</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66764</td>
valign="top">AVIVA NUR FADILLAH</td>
valign="top">PONDOK PESANTREN HIDAYATULLAH JL.BRIGJEN KATAMSO</t

d>
<td
<td
<td
<td
<td
<td
<td
<td
<td

valign="top" align="center">18</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">app akut</td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>

<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td

valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66824</td>
valign="top">JULEITTA RUMONDANG SIBARANI</td>
valign="top">PERUM PUSKOPKAR BLOK B6 NO.28</td>
valign="top" align="center">28</td>
valign="top">Baru</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top">struma</td>
valign="top" align="center">JAMSOSTEK</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">65547</td>
valign="top">FANDY IKBAR ASRULLAH</td>
valign="top">TAMAN LESTARI D13 NO.40</td>
valign="top" align="center">2</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top"> Fistula</td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">56535</td>
valign="top">SURUNG SITANGGANG</td>
valign="top">SGL.SUMBER MULIA C6-01</td>
valign="top" align="center">45</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top"></td>
valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66187</td>
valign="top">DAME MARISI NABABAN </td>
valign="top">PERUM PUTRI TUJUH MANDIRI KIBING BATU AJI</td>
valign="top" align="center">24</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>

<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td

valign="top">CKR + VL</td>
valign="top" align="center">JAMSOSTEK</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66437</td>
valign="top">FARZI </td>
valign="top">KAV.SAGULUNG BARU BLOK A/87</td>
valign="top" align="center">53</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top"></td>
valign="top" align="center">SKTM</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">004173</td>
valign="top">MUSTAN HARAHAP</td>
valign="top">TEMBESI LETARI RT 01/05 </td>
valign="top" align="center">63</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top">ulkus DM</td>
valign="top" align="center">SKTM</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">55587</td>
valign="top">NETTY </td>
valign="top">KAV.SAGUBA J-81</td>
valign="top" align="center">45</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top"> post op tumor mamae</td>
valign="top" align="center">SKTM</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">52843</td>
valign="top">deti rayati</td>
valign="top">jodoh </td>
valign="top" align="center">49</td>

<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
<tr>
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
<td
</tr>
</table>

valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top"> tumor mamae sinistra</td>
valign="top" align="center">JAMKESMAS</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66882</td>
valign="top">agus </td>
valign="top">tanjung uncang</td>
valign="top" align="center">36</td>
valign="top">Lama</td>
valign="top" align="center">Male</td>
valign="top"></td>
valign="top"></td>
valign="top"></td>
valign="top" align="center">Umum</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>
valign="top">2013-10-03</td>
valign="top">66898</td>
valign="top">SELIAH </td>
valign="top">TANJUNG RIAU SEKUPANG</td>
valign="top" align="center">35</td>
valign="top">Lama</td>
valign="top" align="center">Female</td>
valign="top"></td>
valign="top"></td>
valign="top"></td>
valign="top" align="center">ASKES</td>
valign="top"></td>
valign="top"></td>
valign="top">POLI BEDAH</td>

Das könnte Ihnen auch gefallen