No.Rm nama pasien Tgl.

Registrasi Dokter Perusahaan Ruang

00-57-85-21YL SOEPAD 8-Jun-22 Hendrato BBPJS WISNU
00-35-16-60MOCH JOKO8-Jun-22 Dyah Pitaloka Putri, dr WISNU
00-63-77-64RUSDIYANT 8-Jun-22 Hanis Setyono,dr.,SpBSWISNU
00-64-64-97ISMAH MUN9-Jun-22 Yulius Mul YAKES TEL WISNU
00-47-07-95ALDILLA PU 9-Jun-22 Ira SyahriarBPJS WISNU
00-64-46-65ARIF SETY 7-Jun-22 Yudhi HajiaBPJS AYODYA KELAS II
00-57-87-05RAHARJO 8-Jun-22 NdarumurtiBPJS AYODYA KELAS II
00-64-61-15RIYADI 3-Jun-22 Tri Budi Raharjo Alexa AYODYA KELAS III
00-37-17-06LASARUDIN 4-Jun-22 A.Farih RahBPJS AYODYA KELAS III
00-52-54-51ROHMAD BU6-Jun-22 CH. Budhi BBPJS AYODYA KELAS III
00-64-64-49SUMEDI MA8-Jun-22 Suroto,ProfBPJS AYODYA KELAS III
00-64-58-56TUKIMIN 9-Jun-22 Ida Bagus MBPJS AYODYA KELAS III
00-64-54-39WIDODO 9-Jun-22 Benny Widia BPJS AYODYA KELAS III
00-64-65-12ROCHMANT 9-Jun-22 Hendrato BBPJS AYODYA KELAS III
00-64-44-13SUGENG W 3-Jun-22 Ratih Tri K BPJS KAMAJAYA
00-62-84-23SLAMET WI 5-Jun-22 Suradi Maryono, dr., KAMAJAYA
00-64-60-84PARYONO 7-Jun-22 NugrahantaBPJS KAMAJAYA
00-60-97-81PARTIYEM 7-Jun-22 Ratih Tri K BPJS KAMAJAYA
00-64-64-04YAHYA WIJ 7-Jun-22 Hanis SetyoRENCANA JA KAMAJAYA
00-54-84-63KATIYAH 8-Jun-22 Tri Budi Ra BPJS KAMAJAYA
00-64-05-99SITI SAROH 8-Jun-22 Kristanto Y BPJS KAMAJAYA
00-54-53-05ELIYA 8-Jun-22 Th Didit WaBPJS KAMAJAYA
00-64-64-96SURIP 9-Jun-22 CH. Budhi BBPJS KAMAJAYA
00-64-64-99TRI BUDIAN 9-Jun-22 Hendrato Budiono,dr. KAMAJAYA
00-62-94-46ALIM NARS 9-Jun-22 Novita Tjahyaningsih,dKAMAJAYA
00-53-81-91DRS MUHA 9-Jun-22 NdarumurtiBPJS KAMAJAYA
00-58-94-28NOPANTILA 9-Jun-22 Prima KhariBPJS KAMAJAYA
00-51-66-69AHMAD SA 10-Jun-22 Sugandi HarBPJS KAMAJAYA
00-60-77-89DARTI 10-Jun-22 CH. Budhi BBPJS KAMAJAYA
00-55-93-48MUHADJI 6-Jun-22 CH. Budhi BBPJS RAMA KELAS 1
00-64-63-89GHOZY AHM7-Jun-22 Hanis SetyoBPJS RAMA KELAS 1
00-45-42-87DAFFA ELA 8-Jun-22 AO. Suryan BPJS RAMA KELAS 1
00-64-64-95ASHIMA HA 9-Jun-22 Yulidar HafiBPJS RAMA KELAS 1
00-62-36-03PANDAN WE10-Jun-22 Claudia Florencia ArdhiRAMA KELAS 1
00-54-91-86MUHAMMAD 6-Jun-22 Yulidar HafiBPJS KRISNA
00-64-63-30IBRAHIM A 7-Jun-22 SunyataninBPJS KRISNA
00-64-63-51LISAWATI J 7-Jun-22 Yulius Mul BPJS KRISNA
00-56-66-82RASYA MU 8-Jun-22 Mas Nugroho Ardi SantKRISNA
00-48-97-91AYU PUSPIT 8-Jun-22 Yulius Mul PT. SINAR KRISNA
00-51-46-31CINTAQUE A5-Jun-22 Yulidar HafiBPJS INDRA
00-61-70-81WESI AJI S 7-Jun-22 Mas Nugroho BPJS INDRA
00-61-98-21UWAIS ATQ 8-Jun-22 Guntur SuryBPJS INDRA
00-23-52-92ANDHIKA D 8-Jun-22 Putu WijayaBPJS INDRA
00-64-65-52HAIFA MUM10-Jun-22 Dwi HidayahBPJS INDRA
00-64-63-29AHMAD SAL 7-Jun-22 Yulidar HafiBPJS NAKULA
00-64-64-72FAIZ DERG 8-Jun-22 Dwi HidayahBPJS NAKULA
00-64-62-91M MIRZA AL6-Jun-22 Dikahayu AliBPJS SADEWA
00-64-63-99YOGI ALDI 7-Jun-22 Dwi HidayahBPJS SADEWA
00-48-49-80BINTANG Y 9-Jun-22 Dikahayu Alifia A.,dr., SADEWA
00-64-54-95KIM MELVI 9-Jun-22 Fadhilah Ti BPJS SADEWA
00-64-65-53DESTYANO 10-Jun-22 Mas Nugroho Ardi SantSADEWA
00-64-43-42KENZI AL J 8-Jun-22 Guntur SuryBPJS ISOLASI
00-64-57-90CITRA AULI29 Mei 2022Sunyataningkamto,dr.,PERINATOLOGI
00-64-62-90RIRIN By. N 6-Jun-22 Dwi Hidayah,dr.,SpA(K PERINATOLOGI
00-25-90-02SITI MALI 6-Jun-22 Yulius Mul BPJS AMARTA
00-58-23-72DINA SETY 8-Jun-22 Hendrato BBPJS AMARTA
00-45-39-57SISWANTIN 9-Jun-22 Ndarumurti Pangesti, AMARTA
00-34-10-83RETNO DWI 9-Jun-22 Benny Widia BPJS AMARTA
00-64-63-10LASTRI 6-Jun-22 Hanis SetyoBPJS ICU AMARTA
00-64-63-27WAGIMIN 7-Jun-22 Novita TjahBPJS ICU AMARTA
00-64-54-01MARLENA S 6-Jun-22 Erwin Gunawan,dr.,Sp WIRATA
00-64-63-45ABDUL ROC 7-Jun-22 AO. Suryan BPJS WIRATA
00-64-62-79KWARTANTI7-Jun-22 Ira SyahriarBPJS WIRATA
00-21-06-63MENIK SJA 7-Jun-22 Hendrato BBPJS WIRATA
00-64-07-65SUPARTO 8-Jun-22 CH. Budhi BBPJS WIRATA
00-64-64-63DEWANTO 8-Jun-22 Yudhi HajiaINHEALTH WIRATA
00-64-64-64RICHARDO 8-Jun-22 Yulius Mul Takaful AsuWIRATA
00-64-64-68VIVIEN NO 8-Jun-22 Tri Budi Ra BPJS WIRATA
00-64-50-37NAISYA AZ 8-Jun-22 Dwi HidayahBPJS WIRATA
00-45-58-37RAHAGI AB 9-Jun-22 Dwi HidayahBPJS WIRATA
00-64-65-26SUDJOKO S 9-Jun-22 Hendrato BBPJS WIRATA
00-64-07-98RUMAISA I 9-Jun-22 Benny Widia BPJS WIRATA
00-64-46-32NAIMA WAR9-Jun-22 Benny Widia BPJS WIRATA
00-59-49-02WINDHY SE 9-Jun-22 NdarumurtiBPJS WIRATA
00-49-94-18JOKO SUSE 7-Jun-22 Hendrato BBPJS NARADA
00-52-25-09NGIRFANI 8-Jun-22 Dyah PitalokBPJS NARADA
00-64-31-78CYNTIA FE 8-Jun-22 AO. Suryan BPJS NARADA
00-64-64-98WARISNO S 9-Jun-22 Hendrato BBPJS NARADA
00-35-44-24HARTANI Y 9-Jun-22 Tri Budi Ra BPJS NARADA
00-54-97-83WASIMIN K 9-Jun-22 NdarumurtiBPJS NARADA
00-61-08-34RISTINA FA 9-Jun-22 Hendrato BRENCANA BNARADA
00-64-58-04MARTINI 7-Jun-22 CH. Budhi BBPJS ISMAYA
00-61-58-86RUSYADI 6-Jun-22 CH. Budhi Baskara WidyPANDU
00-29-26-57TUKINEM 9-Jun-22 CH. Budhi BBPJS PANDU
00-52-18-99INGGRID S 8-Jun-22 Paulus Kus BPJS SHINTA
00-63-08-48NENGDUHA 9-Jun-22 Benny Widia BPJS SHINTA
00-64-65-42MUSLIMAH 9-Jun-22 Erwin Gunawan,dr.,Sp SHINTA
00-64-65-43MUSLIMAH B9-Jun-22 Dwi Hidayah,dr.,SpA(K SHINTA
00-64-22-07ADE VERA 7-Jun-22 Heru PriyanBPJS SRIKANDI
00-64-64-12DELTA WAT 8-Jun-22 Yudhi HajiaBPJS SRIKANDI
00-64-64-27KWARTANTI 8-Jun-22 Dikahayu Alifia A.,dr., SRIKANDI
00-64-64-58SAJIMAN 8-Jun-22 Hanis SetyoRENCANA JSRIKANDI
00-53-29-02GRACE GLO 8-Jun-22 Ira SyahriarBPJS SRIKANDI
00-64-65-11DWI RISTIA 9-Jun-22 Dikahayu Alifia A.,dr., SRIKANDI
00-64-65-44DEVI APRIY 9-Jun-22 Erwin GunaBPJS SRIKANDI
00-59-26-03DWI RISTIA 8-Jun-22 Ira SyahriarBPJS RATIH
00-53-22-88RUBIYEM 8-Jun-22 NdarumurtiBPJS RATIH
00-23-51-47SRI DURYA 9-Jun-22 Tri Budi Ra BPJS RATIH
00-64-65-24MARGONO 9-Jun-22 Yudhi HajiaBPJS RATIH
00-64-32-81HARDI 9-Jun-22 Novita TjahBPJS RATIH
00-47-10-60SRI RAHAY 9-Jun-22 Benny Widia BPJS RATIH
00-64-65-48WURI DAR 10-Jun-22 CH. Budhi BBPJS RATIH
00-59-94-02INDAH KARI 8-Jun-22 Sugandi Hardjanto,dr.,ICU
00-64-65-31SASTRO DI 9-Jun-22 Th Didit WaBPJS ICU
00-64-65-35SEMIYATI 9-Jun-22 Hendrato Budiono,dr. ICU
00-64-65-45MUHAMMAD 9-Jun-22 Hanis SetyoBPJS PICU
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang
00-57-85-21YL SOEPAD 8-Jun-22 Hendrato BBPJS WISNU
00-64-64-97ISMAH MUN9-Jun-22 Yulius Mul YAKES TEL WISNU
00-47-07-95ALDILLA PU 9-Jun-22 Ira SyahriarBPJS WISNU
00-64-46-65ARIF SETY 7-Jun-22 Yudhi HajiaBPJS AYODYA KELAS II
00-57-87-05RAHARJO 8-Jun-22 NdarumurtiBPJS AYODYA KELAS II
00-37-17-06LASARUDIN 4-Jun-22 A.Farih RahBPJS AYODYA KELAS III
00-52-54-51ROHMAD BU6-Jun-22 CH. Budhi BBPJS AYODYA KELAS III
00-64-64-49SUMEDI MA8-Jun-22 Suroto,ProfBPJS AYODYA KELAS III
00-64-58-56TUKIMIN 9-Jun-22 Ida Bagus MBPJS AYODYA KELAS III
00-64-54-39WIDODO 9-Jun-22 Benny Widia BPJS AYODYA KELAS III
00-64-65-12ROCHMANT 9-Jun-22 Hendrato BBPJS AYODYA KELAS III
00-64-44-13SUGENG W 3-Jun-22 Ratih Tri K BPJS KAMAJAYA
00-64-60-84PARYONO 7-Jun-22 NugrahantaBPJS KAMAJAYA
00-60-97-81PARTIYEM 7-Jun-22 Ratih Tri K BPJS KAMAJAYA
00-64-64-04YAHYA WIJ 7-Jun-22 Hanis SetyoRENCANA JA KAMAJAYA
00-54-84-63KATIYAH 8-Jun-22 Tri Budi Ra BPJS KAMAJAYA
00-64-05-99SITI SAROH 8-Jun-22 Kristanto Y BPJS KAMAJAYA
00-54-53-05ELIYA 8-Jun-22 Th Didit WaBPJS KAMAJAYA
00-64-64-96SURIP 9-Jun-22 CH. Budhi BBPJS KAMAJAYA
00-53-81-91DRS MUHA 9-Jun-22 NdarumurtiBPJS KAMAJAYA
00-58-94-28NOPANTILA 9-Jun-22 Prima KhariBPJS KAMAJAYA
00-51-66-69AHMAD SA 10-Jun-22 Sugandi HarBPJS KAMAJAYA
00-60-77-89DARTI 10-Jun-22 CH. Budhi BBPJS KAMAJAYA
00-55-93-48MUHADJI 6-Jun-22 CH. Budhi BBPJS RAMA KELAS 1
00-64-63-89GHOZY AHM7-Jun-22 Hanis SetyoBPJS RAMA KELAS 1
00-45-42-87DAFFA ELA 8-Jun-22 AO. Suryan BPJS RAMA KELAS 1
00-64-64-95ASHIMA HA 9-Jun-22 Yulidar HafiBPJS RAMA KELAS 1
00-54-91-86MUHAMMAD 6-Jun-22 Yulidar HafiBPJS KRISNA
00-64-63-30IBRAHIM A 7-Jun-22 SunyataninBPJS KRISNA
00-64-63-51LISAWATI J 7-Jun-22 Yulius Mul BPJS KRISNA
00-48-97-91AYU PUSPIT 8-Jun-22 Yulius Mul PT. SINAR KRISNA
00-51-46-31CINTAQUE A5-Jun-22 Yulidar HafiBPJS INDRA
00-61-70-81WESI AJI S 7-Jun-22 Mas Nugroho BPJS INDRA
00-61-98-21UWAIS ATQ 8-Jun-22 Guntur SuryBPJS INDRA
00-23-52-92ANDHIKA D 8-Jun-22 Putu WijayaBPJS INDRA
00-64-65-52HAIFA MUM10-Jun-22 Dwi HidayahBPJS INDRA
00-64-63-29AHMAD SAL 7-Jun-22 Yulidar HafiBPJS NAKULA
00-64-64-72FAIZ DERG 8-Jun-22 Dwi HidayahBPJS NAKULA
00-64-62-91M MIRZA AL6-Jun-22 Dikahayu AliBPJS SADEWA
00-64-63-99YOGI ALDI 7-Jun-22 Dwi HidayahBPJS SADEWA
00-64-54-95KIM MELVI 9-Jun-22 Fadhilah Ti BPJS SADEWA
00-64-43-42KENZI AL J 8-Jun-22 Guntur SuryBPJS ISOLASI
00-25-90-02SITI MALI 6-Jun-22 Yulius Mul BPJS AMARTA
00-58-23-72DINA SETY 8-Jun-22 Hendrato BBPJS AMARTA
00-34-10-83RETNO DWI 9-Jun-22 Benny Widia BPJS AMARTA
00-64-63-10LASTRI 6-Jun-22 Hanis SetyoBPJS ICU AMARTA
00-64-63-27WAGIMIN 7-Jun-22 Novita TjahBPJS ICU AMARTA
00-64-63-45ABDUL ROC 7-Jun-22 AO. Suryan BPJS WIRATA
00-64-62-79KWARTANTI7-Jun-22 Ira SyahriarBPJS WIRATA
00-21-06-63MENIK SJA 7-Jun-22 Hendrato BBPJS WIRATA
00-64-07-65SUPARTO 8-Jun-22 CH. Budhi BBPJS WIRATA
00-64-64-63DEWANTO 8-Jun-22 Yudhi HajiaINHEALTH WIRATA
00-64-64-64RICHARDO 8-Jun-22 Yulius Mul Takaful AsuWIRATA
00-64-64-68VIVIEN NO 8-Jun-22 Tri Budi Ra BPJS WIRATA
00-64-50-37NAISYA AZ 8-Jun-22 Dwi HidayahBPJS WIRATA
00-45-58-37RAHAGI AB 9-Jun-22 Dwi HidayahBPJS WIRATA
00-64-65-26SUDJOKO S 9-Jun-22 Hendrato BBPJS WIRATA
00-64-07-98RUMAISA I 9-Jun-22 Benny Widia BPJS WIRATA
00-64-46-32NAIMA WAR9-Jun-22 Benny Widia BPJS WIRATA
00-59-49-02WINDHY SE 9-Jun-22 NdarumurtiBPJS WIRATA
00-49-94-18JOKO SUSE 7-Jun-22 Hendrato BBPJS NARADA
00-52-25-09NGIRFANI 8-Jun-22 Dyah PitalokBPJS NARADA
00-64-31-78CYNTIA FE 8-Jun-22 AO. Suryan BPJS NARADA
00-64-64-98WARISNO S 9-Jun-22 Hendrato BBPJS NARADA
00-35-44-24HARTANI Y 9-Jun-22 Tri Budi Ra BPJS NARADA
00-54-97-83WASIMIN K 9-Jun-22 NdarumurtiBPJS NARADA
00-61-08-34RISTINA FA 9-Jun-22 Hendrato BRENCANA BNARADA
00-64-58-04MARTINI 7-Jun-22 CH. Budhi BBPJS ISMAYA
00-29-26-57TUKINEM 9-Jun-22 CH. Budhi BBPJS PANDU
00-52-18-99INGGRID S 8-Jun-22 Paulus Kus BPJS SHINTA
00-63-08-48NENGDUHA 9-Jun-22 Benny Widia BPJS SHINTA
00-64-22-07ADE VERA 7-Jun-22 Heru PriyanBPJS SRIKANDI
00-64-64-12DELTA WAT 8-Jun-22 Yudhi HajiaBPJS SRIKANDI
00-64-64-58SAJIMAN 8-Jun-22 Hanis SetyoRENCANA JSRIKANDI
00-53-29-02GRACE GLO 8-Jun-22 Ira SyahriarBPJS SRIKANDI
00-64-65-44DEVI APRIY 9-Jun-22 Erwin GunaBPJS SRIKANDI
00-59-26-03DWI RISTIA 8-Jun-22 Ira SyahriarBPJS RATIH
00-53-22-88RUBIYEM 8-Jun-22 NdarumurtiBPJS RATIH
00-23-51-47SRI DURYA 9-Jun-22 Tri Budi Ra BPJS RATIH
00-64-65-24MARGONO 9-Jun-22 Yudhi HajiaBPJS RATIH
00-64-32-81HARDI 9-Jun-22 Novita TjahBPJS RATIH
00-47-10-60SRI RAHAY 9-Jun-22 Benny Widia BPJS RATIH
00-64-65-48WURI DAR 10-Jun-22 CH. Budhi BBPJS RATIH
00-64-65-31SASTRO DI 9-Jun-22 Th Didit WaBPJS ICU
00-64-65-45MUHAMMAD 9-Jun-22 Hanis SetyoBPJS PICU
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang DX RM IND GRUP

00-57-85-21 YL SOEPADMADI 8-Jun-22 Hendrato BBPJS WISNU GEA - - -

00-64-64-97 ISMAH MUNJIYAH 9-Jun-22 Yulius Mul YAKES TEL WISNU RUPTUR TENDON ASCHITES
00-47-07-95 ALDILLA PUTRI SU 9-Jun-22 Ira Syahria BPJS WISNU
00-64-46-65 ARIF SETYO NUG 7-Jun-22 Yudhi Haji BPJS AYODYA LAPARATOMY APP - - -
00-57-87-05 RAHARJO 8-Jun-22 NdarumurtiBPJS AYODYA DM ULKUS - - P
00-37-17-06 LASARUDIN 4-Jun-22 A.Farih RahBPJS AYODYA PNEUMONIA - P P
00-52-54-51 ROHMAD BUDI SA 6-Jun-22 CH. Budhi BBPJS AYODYA CRONIC LIVER DISEASE - P P
00-64-64-49 SUMEDI MARDI M 8-Jun-22 Suroto,ProfBPJS AYODYA SNH DM ANEMIA - - P
00-64-58-56 TUKIMIN 9-Jun-22 Ida Bagus BPJS AYODYA TUMOR - - P
00-64-54-39 WIDODO 9-Jun-22 Benny WidiBPJS AYODYA MULTIPLE IMPACTED - P P
00-64-65-12 ROCHMANTO WA 9-Jun-22 Hendrato BBPJS AYODYA INTAKE SULIT - - -
00-64-44-13 SUGENG WIYONO 3-Jun-22 Ratih Tri BPJS KAMAJAYA ARF, HIPOALBUMIN P P P
00-64-60-84 PARYONO PARNO 7-Jun-22 NugrahantaBPJS KAMAJAYA HERNIA INSISIUNAL - - P
00-60-97-81 PARTIYEM 7-Jun-22 Ratih Tri BPJS KAMAJAYA CKD, HIPERKALEMIA - P P
00-64-64-04 YAHYA WIJAYA 7-Jun-22 Hanis Sety RENCANA JKAMAJAYA VULNUS - - P
00-54-84-63 KATIYAH 8-Jun-22 Tri Budi R BPJS KAMAJAYA HNP, BRONKHIPNEUMONIA - P P
00-64-05-99 SITI SAROH 8-Jun-22 Kristanto YBPJS KAMAJAYA CA MAMAE - P P
00-54-53-05 ELIYA 8-Jun-22 Th Didit WBPJS KAMAJAYA SNH - - P
00-64-64-96 SURIP 9-Jun-22 CH. Budhi BBPJS KAMAJAYA GERIATRI INTAKE SULIT - - P
00-53-81-91 DRS MUHAMMAD 9-Jun-22 NdarumurtiBPJS KAMAJAYA DM ULKUS - - -
00-58-94-28 NOPANTILAS 9-Jun-22 Prima KharBPJS KAMAJAYA VOMITUS DM - - -
00-51-66-69 AHMAD SARWANI 10-Jun-22 Sugandi HaBPJS KAMAJAYA HERNIA SCRTALIS SINISTRA - - -
00-60-77-89 DARTI 10-Jun-22 CH. Budhi BBPJS KAMAJAYA COLIC ABDOMEN - - -
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang DX RM IND GRUP

00-55-93-48 MUHADJI 6-Jun-22 CH. Budhi BBPJS RAMA KELAS 1 GERD BRPN - P P

00-64-63-89 GHOZY AHMAD FA 7-Jun-22 Hanis Sety BPJS RAMA KELAS 1 EDH - P P

00-45-42-87 DAFFA ELANG ARV 8-Jun-22 AO. SuryanBPJS RAMA KELAS 1 ABSES MANDIBULA - P P

00-64-64-95 ASHIMA HANAE Q 9-Jun-22 Yulidar HafBPJS RAMA KELAS 1 DHF - P P

00-54-91-86 MUHAMMAD KEAN 6-Jun-22 Yulidar HafBPJS KRISNA GEA - P P

00-64-63-30 IBRAHIM ABIZAR 7-Jun-22 SunyataninBPJS KRISNA GEA - P P

00-64-63-51 LISAWATI JOETIVA 7-Jun-22 Yulius Mul BPJS KRISNA CF FEMUR HIP REPLACEMENT - P P

00-48-97-91 AYU PUSPITASARI 8-Jun-22 Yulius Mul PT. SINAR KRISNA PULANG

00-51-46-31 CINTAQUE ALKA A 5-Jun-22 Yulidar HafBPJS INDRA DHF - - P

00-61-70-81 WESI AJI SASTRA 7-Jun-22 Mas Nugroh

BPJS INDRA PULANG

00-61-98-21 UWAIS ATQA MIZ 8-Jun-22 Guntur SurBPJS INDRA PULANG

00-23-52-92 ANDHIKA DWI AR 8-Jun-22 Putu WijayBPJS INDRA CF OS NASAL - - P

00-64-65-52 HAIFA MUMTAZ 10-Jun-22 Dwi HidayaBPJS INDRA DHF - - P

00-64-63-29 AHMAD SALMAN AL7-Jun-22 Yulidar HafBPJS NAKULA BROKHONPNEUMONIA - P P

00-64-64-72 FAIZ DERGHA ALF 8-Jun-22 Dwi HidayaBPJS NAKULA GEA - - P

00-64-62-91 M MIRZA ALFARIZ 6-Jun-22 Dikahayu AlBPJS SADEWA PULANG

00-64-63-99 YOGI ALDIBRAN P 7-Jun-22 Dwi HidayaBPJS SADEWA VOMITUS, VES - - P

00-64-54-95 KIM MELVIN ANJE 9-Jun-22 Fadhilah TiBPJS SADEWA VOMITUS - - -

00-64-43-42 KENZI AL JAZARI 8-Jun-22 Guntur SurBPJS ISOLASI PULANG

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang DX RM IND GRUP
00-25-90-02 SITI MALIKHAH T 6-Jun-22 Yulius Mul BPJS AMARTA PULANG
00-58-23-72 DINA SETYANING 8-Jun-22 Hendrato BBPJS AMARTA B20 - P P
00-34-10-83 RETNO DWI HARTA 9-Jun-22 Benny WidiBPJS AMARTA MULTIPLE IMPACTED - - P
00-64-63-10 LASTRI 6-Jun-22 Hanis Sety BPJS ICU AMARTA ICH IVH - P P
00-64-63-27 WAGIMIN 7-Jun-22 Novita TjahBPJS ICU AMARTA MENINGGAL
00-64-63-45 ABDUL ROCHIM 7-Jun-22 AO. SuryanBPJS WIRATA ABSES MANDIBULA - P P
00-64-62-79 KWARTANTI FAJRI 7-Jun-22 Ira Syahria BPJS WIRATA
00-21-06-63 MENIK SJANTINA 7-Jun-22 Hendrato BBPJS WIRATA GERD - - P
00-64-07-65 SUPARTO 8-Jun-22 CH. Budhi BBPJS WIRATA OPERASI
00-64-64-63 DEWANTO SUYON 8-Jun-22 Yudhi Haji INHEALTH WIRATA GEA LAB FORM AWAL SU
00-64-64-64 RICHARDO ABEDN 8-Jun-22 Yulius Mul Takaful AsuWIRATA CF TIBIA FORM AWAL SUDAH, SURAT P
00-64-64-68 VIVIEN NOVA 8-Jun-22 Tri Budi R BPJS WIRATA SNH - P P
00-64-50-37 NAISYA AZZUKHRU 8-Jun-22 Dwi HidayaBPJS WIRATA COLIC ABDOMEN DD KONSTIPASI - - P
00-45-58-37 RAHAGI ABYUDAY 9-Jun-22 Dwi HidayaBPJS WIRATA VOMITUS - - P
00-64-65-26 SUDJOKO SARONO 9-Jun-22 Hendrato BBPJS WIRATA OPERASI
00-64-07-98 RUMAISA ISNAENI 9-Jun-22 Benny WidiBPJS WIRATA OPERASI
00-64-46-32 NAIMA WARDHANA9-Jun-22 Benny WidiBPJS WIRATA OPERASI
00-59-49-02 WINDHY SETIAWA 9-Jun-22 NdarumurtiBPJS WIRATA TB USUS - - P
00-49-94-18 JOKO SUSENO 7-Jun-22 Hendrato BBPJS NARADA DHF B20 - P P
00-52-25-09 NGIRFANI 8-Jun-22 Dyah PitaloBPJS NARADA PULANG
00-64-31-78 CYNTIA FEBRIANA 8-Jun-22 AO. SuryanBPJS NARADA MULTIPLE IMPACTED - P P
00-64-64-98 WARISNO SISWO 9-Jun-22 Hendrato BBPJS NARADA DM HIPOGLIKEMI - - P
00-35-44-24 HARTANI YOGA R 9-Jun-22 Tri Budi R BPJS NARADA VERTIGO - P P
00-54-97-83 WASIMIN KANDAR 9-Jun-22 NdarumurtiBPJS NARADA ACITES - - P
00-61-08-34 RISTINA FATIMAH 9-Jun-22 Hendrato BRENCANA BNARADA TYPOID FEVER - - P
00-64-58-04 MARTINI 7-Jun-22 CH. Budhi BBPJS ISMAYA HERNIA - - P
00-29-26-57 TUKINEM 9-Jun-22 CH. Budhi BBPJS PANDU VOMITUS HT - - P

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang DX RM IND GRUP

00-52-18-99 INGGRID SOELAI 8-Jun-22 Paulus KusBPJS SHINTA CHOLEYSITIS - - V

00-63-08-48 NENGDUHAN HUN 9-Jun-22 Benny WidiBPJS SHINTA MULTIPLE IMPACTED - - -

00-64-22-07 ADE VERA WATI A 7-Jun-22 Heru Priya BPJS SRIKANDI TUMOR UTERI - V V

00-64-64-12 DELTA WATAN SO 8-Jun-22 Yudhi Haji BPJS SRIKANDI GEA DEHIDRASI SEDANG - - V

00-64-64-58 SAJIMAN 8-Jun-22 Hanis Sety RENCANA JSRIKANDI CKR, VES JASA RAHARSA

00-53-29-02 GRACE GLORIA UT 8-Jun-22 Ira Syahria BPJS SRIKANDI HEG - - V

00-64-65-44 DEVI APRIYANNI 9-Jun-22 Erwin Gun BPJS SRIKANDI

00-59-26-03 DWI RISTIANA 8-Jun-22 Ira Syahria BPJS RATIH

00-53-22-88 RUBIYEM 8-Jun-22 NdarumurtiBPJS RATIH VOMITUS DM - V V

00-23-51-47 SRI DURYATINAH 9-Jun-22 Tri Budi R BPJS RATIH HEMIPARASE - - -

00-64-65-24 MARGONO 9-Jun-22 Yudhi Haji BPJS RATIH GERIATRI INTAKE SULIT - - -

00-64-32-81 HARDI 9-Jun-22 Novita TjahBPJS RATIH EFUSI PLEURA - - -

00-47-10-60 SRI RAHAYU 9-Jun-22 Benny WidiBPJS RATIH MASIH OPERASI - - -

00-64-65-48 WURI DARMANTO 10-Jun-22 CH. Budhi BBPJS RATIH DM COLIC ABDOMEN - - -

00-64-65=31 SASTRO DIHARJO 9-Jun-22 Th Didit WBPJS ICU SDH - - -

00-64-65-45 MUHAMMAD ABDU9-Jun-22 Hanis Sety BPJS PICU EDH - - -
 KELENGKAPAN KEKURANGAN

LAB DR, EKG -

LAB DR, ANKLE, RUJUKAN SUDAH FORM AKHIR BELUM

LAB DR, USG ABDOMEN, LAPORAN OPERASI -

DR GDS THORAX ALBUMIN -
DR HD CATH U/CREATINI, THORAX -
LAB DR, THORAX, SPDT -
LAB DR, CT SCAN KEPALA, SPDT -
DR, BILIRUBIN ELEKTROLIT, CT SCAN ABDOMEN
LAB DR, PANORAMIC, -
LAB DR, EKG ` -
LAB DR ALBUMIN, SGOT SGPT RENCANA PULANG
LAB DR, CT SCAN ABDOMEN, LAPORAN OPERASI -
LAB DR , THORAX RENCANA PUNGSI
LAB DR , THORAX JASA RAHARJA BARU DIURUS
LAB DR, MRI LUMBAL -
LA DR, PA -
LAB DR, CT SCAN KEPALA -
LAB DR, THORAX, EKG, -
LAB DR -
LAB DR, USG DOPLER -
LAB DR EKG SEP THORAX BELUM
LAB DR EKG SEP BELUM
 KELENGKAPAN KEKURANGAN

LANB DR THORAX -

LAB DR CT SCAN KEPALA LAPORAN OPERASI -

LAB DR PANORAMIC -

LAB DR -

LAB DR FL -

LAB DR FL -

LAB DR RO FEMUR -

PULANG

LAB DR AT -

PULANG

PULANG

LAB RO NASAL LAPORAN OPERASI -

DR AT -

LAB DR THORAX -

LAB DR -

PULANG

LAB DR EKG ECHO -

LAB DR -

PULANG
KELENGKAPAN KEKURANGAN
PULANG
-
-
-
MENINGGAL
-

-
OPERASI
LAB FORM AWAL SUDAH, FORM AKHIR BELUM DIISI
FORM AWAL SUDAH, SURAT PERNYATAN SUDAH, FORM AKHIR SUDAH
LAB DR CT SCAN KEPALA -
LAN DR -
LAB DR -
OPERASI
OPERASI
OPERASI
DR, BNO, PA, USG -
DR, AT CD4
PULANG
LAB DR PANORAMIC BASAHAN
LAN DR , GDS 27 -
DR, CHOLESTROL -
DR, ELEKTROLIT, ALBUMIN USG ABDOMEN TIDAK ADA
DR, SALMONELA TYP -
DR, THORAX, -
DR, ELEKTROLIT HT 176/100

KELENGKAPAN KEKURANGAN

LAB DR, USG ABDOMEN, THORAX -

LAB DR, PANORAMIC, LAPORAN OPERASI -

LAB DR, ANTI HIV, LAPORAN OPERASI TANPA USG SUDAH ACC DOKTER DEFF DAN CLAU

LAB DR, EKG -

LAB DR, THORAX, CT SCAN, EKG JASA RAHARJA BARU MENGURUS, HARI INI RENCANA SUDAH JADI

LAB DR -

LAB DR, THORAX, EKG SEP BELUM, SUDAH KONFRIMASI SUSTER YANI

LAB DR, THORAX, EKG SEP BELUM, CT SCAN BASAHAN BARU DIBACAKAN

LAB DR, EKG THORAX BASAHAN BARU DIBACAKAN, SEP BELUM

LAB DR, EKG THORAX BASAHAN BARU DIBACAKAN, SEP BELUM, RIWAYAT TB PARU 5 BULAN YANG LALU SUDAH SELESAI

LAB DR SEP BELUM

LABDR, CT SCAN, THORAX, LAPORAN OPERASI -

LAB DR CT SCAN THORAX BASAHAN
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang
00-62-91-85 SUNARSO 6-Jun-22 CH. Budhi Baskara WBPJS KMJ
00-53-81-91 DRS MUHAMMAD FAC 9-Jun-22 Ndarumurti PangestBPJS KMJ
00-64-65-31 SASTRO DIHARJO TURU 9-Jun-22 Th Didit Wahyu kuncBPJS KMJ
00-45-16-89 SURIPTO 10-Jun-22 Yulius MulyamusadaBPJS KMJ
00-62-73-55 VERONICA ANGGRAENI 10-Jun-22 Hendrato Budiono,dBPJS KMJ
00-34-15-01 SUYATMI 10-Jun-22 Hendrato Budiono,dBPJS KMJ
00-63-74-36 SUKIYEM 11-Jun-22 Priyambada, Dr. SpBBPJS KMJ
00-64-67-08 SITI AISAH 11-Jun-22 Hendrato Budiono,dBPJS KMJ
00-64-67-22 SUPADMO 12-Jun-22 Ratih Tri Kusuma DeBPJS KMJ
00-64-00-58 GIYARNO 12-Jun-22 Th Didit Wahyu kuncBPJS KMJ
00-62-91-01 SARIATI 12-Jun-22 Muhamad Rifqy SetyBPJS KMJ
00-64-51-95 SUTRISNI 12-Jun-22 Nugrahanta Dasa Put BPJS KMJ
00-64-66-08 DANESHA SAKYA ANIN 10-Jun-22 Yulidar Hafidz,dr.,S BPJS RAMA
00-61-88-42 NOERYATI 11-Jun-22 Hanis Setyono,dr.,S RENCANA JASARAMA
00-36-02-88 EB HARYANTO 12-Jun-22 Yulius MulyamusadaBPJS RAMA
00-44-25-91 WIWIEK SRI SUHARNI 12-Jun-22 Yulius MulyamusadaBPJS RAMA
00-64-65-52 HAIFA MUMTAZ 10-Jun-22 Dwi Hidayah,dr.,Sp BPJS INDRA
00-46-06-55 ALEXI PERMANA PRIBA 10-Jun-22 Mas Nugroho Ardi Sa Admedika-TokioINDRA
00-61-95-64 ZEFANYA AURORA HA 10-Jun-22 Fadhilah Tia Nur,dr.Generali AsuranINDRA
00-59-12-46 ALIKA WIRADHIKA PUT 12-Jun-22 Fadhilah Tia Nur,dr.BPJS INDRA
00-64-27-79 KAIRO BAMANTARA AL 10-Jun-22 Dwi Hidayah,dr.,Sp BPJS NAKULA
00-64-66-14 ZHAFRAN RAMADHAN 11-Jun-22 Dwi Hidayah,dr.,Sp BPJS NAKULA
00-55-59-41 ALLYA PUTRI MAHARAN 12-Jun-22 Dwi Hidayah,dr.,Sp BPJS NAKULA
00-64-67-34 PELANGI PIANISIMO 12-Jun-22 Dikahayu Alifia A.,drBPJS ISOLASI
00-64-63-99 YOGI ALDIBRAN PUTRA 7-Jun-22 Dwi Hidayah,dr.,Sp BPJS SADEWA
00-64-54-95 KIM MELVIN ANJELLO 9-Jun-22 Fadhilah Tia Nur,dr.BPJS SADEWA
00-64-65-45 MUHAMMAD ABDUL S 9-Jun-22 Hanis Setyono,dr.,S BPJS SADEWA
00-53-91-81 JENNIFER GITHA ELYSI 11-Jun-22 Fadhilah Tia Nur,dr.BPJS SADEWA
00-62-70-89 FARADHILLA HASYA H 12-Jun-22 Fadhilah Tia Nur,dr.BPJS SADEWA
00-64-64-97 ISMAH MUNJIYAH 9-Jun-22 Yulius MulyamusadaYAKES TELKOMWISNU
00-64-65-47 RAKAI ASOKA GANADI 10-Jun-22 Mas Nugroho Ardi Sa BPJS WISNU
00-47-91-97 HERRU LIMAN GUNAW 11-Jun-22 Mas Nugroho Ardi Sa PRUDENTIAL INWISNU
00-46-49-10 PUSPITA DHAMAYANTI 11-Jun-22 Erwin Gunawan,dr. BPJS WISNU
00-52-54-51 ROHMAD BUDI SANTO 6-Jun-22 CH. Budhi Baskara WBPJS AYODYA
00-64-58-56 TUKIMIN 9-Jun-22 Ida Bagus Metria,DrBPJS AYODYA
00-64-65-12 ROCHMANTO WARTOW 9-Jun-22 Hendrato Budiono,dBPJS AYODYA
00-64-65-56 DWI JARMANI 10-Jun-22 Yulius MulyamusadaJasa Raharja AYODYA
00-64-65-78 ACHMAD YANI 10-Jun-22 Ndarumurti PangestBPJS AYODYA
00-64-66-88 SUNARYO 11-Jun-22 Ndarumurti PangestBPJS AYODYA
00-64-67-13 DWI KARUNIA PUTRA 11-Jun-22 Ida Bagus Metria,DrBPJS AYODYA
00-30-22-72 RADIANTO 12-Jun-22 Yulius MulyamusadaAIA FINANCIAL AYODYA
00-45-97-47 DENI SULAIMAN 12-Jun-22 Syabandrio Widyo UBPJS AYODYA
 DIAGNOSA rm l.ind grp kelengkapan
LEPTO _ _ P LAB DR
DM ULKUS DEBR _ P P LAB DR
SDH _ P P CT SCAN KEPALA
CLOSE FRAKTUR _ _ P LAB DR
GERD _ _ P LAB DR
KAD _ _ _ LAB DR
CA MAMAE _ _ _ LAB DR
OBS DYPNOE CO _ _ _ LAB DR THORAX
anemia _ _ _ LAB DR
hemiparase _ _ _ LAB DR
OS SOR _ _ _ LAB DR
REVERSE ILIOST _ _ _ COLON IN LOOP PA
BRPN _ _ P LAB DR THORAX
KLL RENCANA JR
CF RADIUS DEXTR _ P P WRIST JOINT
OPERASI
DHF _ _ P LAB DR
PULANG
CF _ _ _ LAB DR
COLIC ABDOMEN _ _ P LAB DR
GEA _ _ P LAB DR
DEHIDRASI _ _ _ LAB DR
FISTEL PALATUM _ _ _ LAB DR
DENGUES FEVER _ P P LAB DR
VOMITUS _ _ P LAB DR
GEA _ _ P LAB DR
EDH _ P P CT SCAN KEPALA
TROMBOSITOPEN _ _ _ LAB DR
COLIC ABDOMEN _ _ _ USG ABDOMEN
REPTUR TENDON RUJUKAN FORM AKHIR
BRPN _ P P THORAX
DF DD DHF SEMUA SUDAH DIISI

RUJUK
PULANG
LIMFADENOPATI _ P P LAB DR THORAX
PULANG
ABSES PEDIS DE _ _ P LAB DR GDS
DEFISIESI POST _ _ _ LAB DR GDS
CF COLUM FEMU _ _ P LAB DR PA
CKD OEDEM PULMO FORM MEDIS AWAL SP
PULANG
 kekurangan

CT SCAN KEPALA

HIR

FORM MEDIS AKHIR

 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan
00-64-60-84 PARYONO PARNO WIRATMO 7-Jun-22 Nugrahanta Dasa PBPJS
00-64-64-04 YAHYA WIJAYA 7-Jun-22 Yulius MulyamusadJasa Raharja
00-53-81-91 DRS MUHAMMAD FACHRUDD 9-Jun-22 Ndarumurti PangesBPJS
00-58-94-28 NOPANTILAS 9-Jun-22 Prima Kharisma Hay BPJS
00-51-66-69 AHMAD SARWANI 10-Jun-22 Sugandi Hardjanto,BPJS
00-60-77-89 DARTI 10-Jun-22 CH. Budhi Baskara BPJS
00-53-56-40 SRI REJEKI 10-Jun-22 Bimanggono HernoBPJS
00-45-16-89 SURIPTO 10-Jun-22 Yulius MulyamusadBPJS
00-62-73-55 VERONICA ANGGRAENI PUTRI 10-Jun-22 Hendrato Budiono,RENCANA BPJS
00-61-33-01 ANNISA NURMASARI WIDYAN 10-Jun-22 AO. Suryanata,drg BPJS
00-63-14-91 PRASETYA UTAMI 10-Jun-22 Benny Widianto, dBPJS
00-64-48-87 RIYAN TARINDRA HAPSARI 10-Jun-22 Benny Widianto, dBPJS
00-51-46-31 CINTAQUE ALKA ALISHA 5-Jun-22 Yulidar Hafidz,dr., BPJS
00-23-52-92 ANDHIKA DWI ARDANA 8-Jun-22 Putu Wijaya KandhiBPJS
00-64-65-52 HAIFA MUMTAZ 10-Jun-22 Dwi Hidayah,dr.,S BPJS
00-46-06-55 ALEXI PERMANA PRIBADI 10-Jun-22 Mas Nugroho Ardi Admedika-Tokio Marin
00-64-63-99 YOGI ALDIBRAN PUTRA 7-Jun-22 Dwi Hidayah,dr.,S BPJS
00-64-54-95 KIM MELVIN ANJELLO SAPUT 9-Jun-22 Fadhilah Tia Nur,drBPJS
00-64-63-29 AHMAD SALMAN AL FARISI 7-Jun-22 Yulidar Hafidz,dr., BPJS
00-64-65-74 MUTIARA PUTRI NURCAHYAN 10-Jun-22 Dikahayu Alifia A., BPJS
00-64-27-79 KAIRO BAMANTARA AL BAIHA 10-Jun-22 Dwi Hidayah,dr.,S BPJS
00-64-66-14 ZHAFRAN RAMADHAN DARM 11-Jun-22 Dwi Hidayah,dr.,S RENCANA BPJS
00-64-63-89 GHOZY AHMAD FASYA 7-Jun-22 Hanis Setyono,dr., BPJS
00-64-64-95 ASHIMA HANAE QODRIZZA 9-Jun-22 Yulidar Hafidz,dr., BPJS
00-64-65-96 NANDANA MAKARIM AZMI RI 10-Jun-22 Yulius MulyamusadASTRA BUANA ASURAN
00-64-66-08 DANESHA SAKYA ANINDITA 10-Jun-22 Yulidar Hafidz,dr., BPJS
00-61-88-42 NOERYATI 11-Jun-22 Claudia Florencia ARENCANA JASA RAHAR
00-64-63-30 IBRAHIM ABIZAR RAHMAN 7-Jun-22 Sunyataningkamto,BPJS
00-64-63-51 LISAWATI JOETIVA 7-Jun-22 Yulius MulyamusadBPJS
00-42-44-10 FITRI IKAWATI 10-Jun-22 Benny Widianto, dBPJS
00-64-64-97 ISMAH MUNJIYAH 9-Jun-22 Yulius MulyamusadYAKES TELKOM
00-47-07-95 ALDILLA PUTRI SUSILAWATI 9-Jun-22 Ira Syahriarti,dr., BPJS
00-25-80-86 RIZCA MAYA PRASETYANING 10-Jun-22 Tri Budi Raharjo A INHEALTH INDEMNITY
00-64-65-47 RAKAI GANADIPA 10-Jun-22 Mas Nugroho Ardi RENCANA BPJS
UNION ANGLE LESTARI SETYANINGSIH 10-Jun-22 Yulius MulyamusadPRUDENTIAL INDIVID
00-64-46-65 ARIF SETYO NUGROHO 7-Jun-22 Yudhi Hajianto Nu BPJS
00-57-87-05 RAHARJO 8-Jun-22 Ndarumurti PangesBPJS
00-52-54-51 ROHMAD BUDI SANTOSA 6-Jun-22 CH. Budhi Baskara BPJS
00-64-64-49 SUMEDI MARDI MULYONO 8-Jun-22 Suroto,Prof.Dr.dr. BPJS
00-64-58-56 TUKIMIN 9-Jun-22 Ida Bagus Metria,DBPJS
00-64-54-39 WIDODO 9-Jun-22 Benny Widianto, dBPJS
00-64-65-12 ROCHMANTO WARTOWIRYO 9-Jun-22 Hendrato Budiono,BPJS
00-64-26-29 SARTINI 10-Jun-22 CH. Budhi Baskara BPJS
00-64-65-56 DWI JARMANI 10-Jun-22 Hanis Setyono,dr., Jasa Raharja
00-64-65-78 ACHMAD YANI 10-Jun-22 Ndarumurti PangesBPJS
No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan
00-64-64-98 WARISNO SISWO MIHARJO 9-Jun-22 Hendrato Budiono,BPJS
00-35-44-24 HARTANI YOGA RAHAYU 9-Jun-22 Tri Budi Raharjo A BPJS
00-54-97-83 WASIMIN KANDAR 9-Jun-22 Ndarumurti PangesBPJS
00-61-08-34 RISTINA FATIMAH JULIANA PU 9-Jun-22 Hendrato Budiono,BPJS
00-64-45-05 DEWI HARIYANI 10-Jun-22 AO. Suryanata,drg BPJS
00-59-57-87 H IMBAR SISWADI SH 10-Jun-22 Ratih Tri Kusuma DBPJS
00-61-55-10 VERI WIJAYA 10-Jun-22 Rieva Ermawan,dr.RENCANA JASA RAHARJ
00-29-26-57 TUKINEM 9-Jun-22 CH. Budhi Baskara BPJS
00-64-58-57 MARSINI 10-Jun-22 Ida Bagus Metria,DBPJS
00-64-07-65 SUPARTO 8-Jun-22 CH. Budhi Baskara BPJS
00-64-64-63 DEWANTO SUYONO 8-Jun-22 Yudhi Hajianto Nu INHEALTH INDEMNITY
00-64-64-64 RICHARDO ABEDNEGO SUSA 8-Jun-22 Yulius MulyamusadTakaful Asuransi
00-64-64-68 VIVIEN NOVA 8-Jun-22 Tri Budi Raharjo A BPJS
00-64-50-37 NAISYA AZZUKHRUFA ISLAMA 8-Jun-22 Dwi Hidayah,dr.,S BPJS
00-64-65-26 SUDJOKO SARONO 9-Jun-22 Hendrato Budiono,BPJS
00-64-07-98 RUMAISA ISNAENI 9-Jun-22 Benny Widianto, dBPJS
00-64-46-32 NAIMA WARDHANA FITRIANI 9-Jun-22 Benny Widianto, dBPJS
00-59-49-02 WINDHY SETIAWAN 9-Jun-22 Nugrahanta Dasa PBPJS
00-52-80-46 AMRITA NEELAM KAVITA URV 10-Jun-22 Dyah Pitaloka PutriBPJS
00-64-66-11 GEMA FAQIH ALI MASHAR 11-Jun-22 Claudia Florencia ARENCANA JASA RAHAR
00-62-41-25 ELY SPD 11-Jun-22 Claudia Florencia ARENCANA BPJS
00-58-23-72 DINA SETYANINGRUM 8-Jun-22 Hendrato Budiono,BPJS
00-34-10-83 RETNO DWI HARTATI 9-Jun-22 Benny Widianto, dBPJS
00-64-63-10 LASTRI 6-Jun-22 Hanis Setyono,dr., BPJS
00-59-36-41 ARCHY DAVIN REVEL 10-Jun-22 Hanis Setyono,dr., RENCANA JASA RAHARJ
00-64-65-45 MUHAMMAD ABDUL SURYAN 9-Jun-22 Hanis Setyono,dr., BPJS
00-64-22-07 ADE VERA WATI AYU 7-Jun-22 Heru Priyanto,dr., BPJS
00-64-64-58 SAJIMAN 8-Jun-22 Hanis Setyono,dr., Jasa Raharja
00-64-65-11 DWI RISTIANA By. Ny. 9-Jun-22 Dikahayu Alifia A.,dr.,M.Sc, Sp.A
00-64-65-24 MARGONO 9-Jun-22 Yudhi Hajianto Nu BPJS
00-64-65-44 DEVI APRIYANNI 9-Jun-22 Erwin Gunawan,drBPJS
00-64-65-59 ALDILLA PUTRI SUSILAWATI By 10-Jun-22 Dikahayu Alifia A.,dr.,M.Sc, Sp.A
00-52-18-99 INGGRID SOELAIMAN 8-Jun-22 Paulus Kusnanto, BPJS
00-63-08-48 NENGDUHAN HUNAVI 9-Jun-22 Benny Widianto, dBPJS
00-64-65-42 MUSLIMAH 9-Jun-22 Erwin Gunawan,dr.,SpOG
00-64-65-43 MUSLIMAH By. Ny. 9-Jun-22 Dwi Hidayah,dr.,SpA(K),MKes
00-64-52-05 SITI SUPATMI 10-Jun-22 Erwin Gunawan,drINHEALTH MANAGED
00-59-26-03 DWI RISTIANA 8-Jun-22 Ira Syahriarti,dr., BPJS
00-53-22-88 RUBIYEM 8-Jun-22 Ndarumurti PangesBPJS
00-23-51-47 SRI DURYATINAH 9-Jun-22 Tri Budi Raharjo A BPJS
00-64-32-81 HARDI 9-Jun-22 Novita TjahyaningsBPJS
00-47-10-60 SRI RAHAYU 9-Jun-22 Benny Widianto, dBPJS
00-64-65-48 WURI DARMANTO 10-Jun-22 CH. Budhi Baskara BPJS
00-64-61-75 LEONARDO EZRA SAEKOKO 10-Jun-22 AO. Suryanata,drg BPJS
00-63-34-91 ANASTASHA FEBURASIKA 10-Jun-22 Claudia Florencia ARENCANA BPJS
00-59-94-02 INDAH KARIYANI 8-Jun-22 Sugandi Hardjanto,dr.,SpB
00-64-65-31 SASTRO DIHARJO TURUT 9-Jun-22 Th Didit Wahyu kunBPJS
00-29-20-64 SUMIRIH 10-Jun-22 Dyah Pitaloka PutriBPJS
00-34-15-01 SUYATMI 10-Jun-22 Hendrato Budiono,BPJS
00-64-66-12 RASYID RAHMAN 11-Jun-22 Hanis Setyono,dr., RENCANA JASA RAHARJ
00-64-66-22 IMRON RIDWAN 11-Jun-22 Pradnya ParamithaRENCANA BPJS
 Ruang DX RM GROP IND
KAMAJAYA HERNIA _ _ _
KAMAJAYA CF PROKSIMAL MANUS _ P P
KAMAJAYA DM ULKUS _ P P
KAMAJAYA VARICOSE VEIN DM _ P P
KAMAJAYA HERNIA SCORTALIS _ P P
KAMAJAYA GERD _ P _
KAMAJAYA COLIC RENAL _ P _
KAMAJAYA CF CRURIS RE _ P _
KAMAJAYA COLIC ABDOMEN _ P _
KAMAJAYA MULTIPLE IMAPACTED _ P _
KAMAJAYA OPERASI
ISOLASI OPERASI
INDRA DHF _ P P
INDRA CF NASAL _ P _
INDRA DHF _ _ _
INDRA DHF AWAL, SP SUDAH, FORM AKHIR BELU
SADEWA VSD VOMITUS _ P P
SADEWA VOMITUS _ _ _
NAKULA BRPN _ P P
NAKULA DHF _ _ _
NAKULA DIARE _ _ _
NAKULA VOMITUS _ _ _
RAMA EDH _ P P
RAMA DHF _ _ _
RAMA CF CRURIS AWAL, AKHIR BELUM, SP SUDAH
RAMA BRONCITIS _ _ _
RAMA CKR
KRISNA PULANG
KRISNA CF COLLOM FEMUR _ P P
KRISNA OPERASI
WISNU ANKLE RUPTUR RUJUAN DAN FORM AKHIR BELUM
WISNU SC _ P P
WISNU VERTIGO FORM AWAL, SP SUDAH, FORM AKHIR BEL
WISNU BRONCITIS _ P _
WISNU UNION ANGKE _ P _
AYODYA PULANG
AYODYA DM ULKUS _ P P
AYODYA CRONIC LIVER _ P P
AYODYA SNH DM ANEMIA _ P P
AYODYA TUMOR ABDOMEN _ P P
AYODYA PULANG
AYODYA COLIC ABDOMEN GERD _ P P
AYODYA NHL DF _ P P
AYODYA CF ULNARADIUS _ P P
AYODYA DM ULKUS _ P P
Ruang DX RM GROP IND
NARADA DM ULKUS _ _ P
NARADA PULANG
NARADA ASITES _ _ P
NARADA TYPOID FEVER _ _ P
NARADA MULTIPLE IMAPACTED _ _ P
NARADA CKD _ _ P
NARADA KLL JR BARU MENGURUS
PANDU GERD _ _ P
PANDU OPERASI
WIRATA CKD _ P _
WIRATA GEA FORM AWAL, SP SUDAH, FORM AKHIR BEL
WIRATA CF GENUE FORM AWAL, SP SUDAH, FORM AKHIR BEL
WIRATA SNH _ P _
WIRATA BLPL
WIRATA CA NASOFARING _ P _
WIRATA PULANG
WIRATA PULANG
WIRATA PULANG
WIRATA HT EMERGENCY _ _ _
WIRATA BELUM DATENG
WIRATA COLIC ABDOMEN _ _ _
AMARTA HIV _ P _
AMARTA MULTIPLE IMAPACTED _ P _
ICU AMARTA ICH _ _ _
ICU AMARTA BELUM DATENG
PICU EDH _ P _
SRIKANDI TUMOR ABDOMEN _ P _
SRIKANDI KLL JR BARU MENGURUS
SRIKANDI
SRIKANDI GERIATRI PPOK _ _ _
SRIKANDI
SRIKANDI
SHINTA CHOLELITIASIS _ P _
SHINTA PULANG
SHINTA
SHINTA
SHINTA
RATIH
RATIH VOMITUS _ P P
RATIH SNH _ P _
RATIH TUMOR PARU _ P _
RATIH PULANG
RATIH IHD DM _ P _
RATIH OPERASI
RATIH PULANG
ICU
ICU SDH _ P P
ICU NSTEMI _ P _
ICU PENKES DM _ P _
ICU KLL MENGURUS JR
ICU OBESRVASI DYPSNUE _ _ _
 KELENGKAPAAN KEKURANGAAN
LAB DR USG ABDOMEN THORAX
RO MANUS RO PEDIS
LAB DR GDS THORAX
LAB GDS USG VASKULER
LAB DR EKG
LAB DR EKG
USG ABDOMEN BNO
RO CRURIS PEDIS
USG ABDOMEN
LAB DR PANORAMIC
OPERASI
OPERASI
LAB DR AT
LAB DR RO NASAL
LAB DR
AWAL, SP SUDAH, FORM AKHIR BELUM
LAB DR ETHORAX ECHO
LAB DR
LAB DR THORAX
LAB DR
LAB DR
LAB DR
CT SCAN THORAX
LAB DR
AWAL, AKHIR BELUM, SP SUDAH
LAB DR THORAX
GENUR BASAHAN, JR BARU DIBACAKAN
PULANG
RO COLLOM FEMUR
OPERASI
RUJUAN DAN FORM AKHIR BELUM

FORM AWAL, SP SUDAH, FORM AKHIR BELUM DIISI

LAB DR THORAX

PULANG

LAB DR USG ABDOMEN

CT SCAN KEPALA
CT SCAN ABDOMEN
PULANG
LAB DR
LAB DR PA BELUM
LAB DR
LAB DR THORAX
KELENGKAPAAN KEKURANGAAN
LAB DR
PULANG
USG ABDOMEN
LAB DR
PANORAMIC
LAB DR
JR BARU MENGURUS
LAB DR
OPERASI
LAB DR
FORM AWAL, SP SUDAH, FORM AKHIR BELUM DIISI
FORM AWAL, SP SUDAH, FORM AKHIR BELUM DIISI
CT SCAN KEPALA
BLPL
LAB DR PA
PULANG
PULANG
PULANG
LAB DR
BELUM DATENG
LAB DR
LAB DR HIV
PANORAMIC
CT SCAN KEPALA
BELUM DATENG
CT SCAN KEPALA
LAB DR
JR BARU MENGURUS

LAB DR

LAB DR
PULANG

LAB DR
CT SCAN KEPALA
LAB DR
PULANG
LAB DR
 OPERASI
PULANG

CT SCAN KEPALA
LAB DR
LAB DR
ENGURUS JR
LAB DR
No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang
00-62-91-85 SUNARSO 6-Jun-22 CH. Budhi BasBPJS KMJ
00-53-81-91 DRS MUHAMMAD FACHRUD 9-Jun-22 Ndarumurti PBPJS KMJ
00-64-65-31 SASTRO DIHARJO TURUT 9-Jun-22 Th Didit WahyBPJS KMJ
00-34-15-01 SUYATMI 10-Jun-22 Hendrato BudBPJS KMJ
00-63-74-36 SUKIYEM 11-Jun-22 Priyambada, BPJS KMJ
00-64-61-59 SARNI 11-Jun-22 Habibie Arifi BPJS KMJ
00-64-67-08 SITI AISAH 11-Jun-22 Hendrato BudBPJS KMJ
00-64-67-22 SUPADMO 12-Jun-22 Ratih Tri Ku BPJS KMJ
00-64-00-58 GIYARNO 12-Jun-22 Th Didit WahyBPJS KMJ
00-62-91-01 SARIATI 12-Jun-22 Muhamad Rifq BPJS KMJ
00-64-51-95 SUTRISNI 12-Jun-22 Nugrahanta DBPJS KMJ
00-58-88-49 DWI YUNI ASTUTI 13-Jun-22 Yulius Mulya RENCANA JASAKMJ
00-43-45-46 SAFARI 13-Jun-22 Novita TjahyaBPJS KMJ
00-29-37-25 SITI WASILATURROCHIMAH14-Jun-22 Devieta RomaRENCANA BPJSKMJ
00-36-02-88 EB HARYANTO 12-Jun-22 Yulius Mulya BPJS RAMA
00-60-70-71 AZKIA HANINDITA MAHARA13-Jun-22 Fadhilah Tia BPJS RAMA
00-61-88-42 NOERYATI 11-Jun-22 Hanis SetyonoRENCANA JASAKRISNA
00-42-09-05 JANIKHA ORIZA SATIVA DEV13-Jun-22 Muhamad Rifq BPJS KRISNA
00-27-75-60 ENDANG WIDYANINGSIH 13-Jun-22 Yulius Mulya BPJS KRISNA
00-64-67-99 KHEYRA DINARA NAJLA 13-Jun-22 Dwi Hidayah,BPJS KRISNA
00-52-44-67 RENITA YULISA 13-Jun-22 Novita TjahyaBPJS KRISNA
00-64-65-52 HAIFA MUMTAZ 10-Jun-22 Dwi Hidayah,BPJS INDRA
00-61-95-64 ZEFANYA AURORA HANUM 10-Jun-22 Fadhilah Tia Generali AsuranINDRA
00-64-27-79 KAIRO BAMANTARA AL BAI 10-Jun-22 Dwi Hidayah,BPJS NAKULA
00-55-59-41 ALLYA PUTRI MAHARANI 12-Jun-22 Dwi Hidayah,BPJS NAKULA
00-63-75-96 KHANZA AZELIA SHANUM 13-Jun-22 Amru SungkarBPJS NAKULA
00-64-67-34 PELANGI PIANISIMO 12-Jun-22 Dikahayu AlifiBPJS ISOLASI
00-64-65-45 MUHAMMAD ABDUL SURY 9-Jun-22 Hanis SetyonoBPJS SADEWA
00-53-91-81 JENNIFER GITHA ELYSIA 11-Jun-22 Fadhilah Tia BPJS SADEWA
00-62-70-89 FARADHILLA HASYA HUMAI12-Jun-22 Fadhilah Tia BPJS SADEWA
00-64-67-98 ADZRIEL NUFAIL ALFARIZQI 13-Jun-22 Dwi Hidayah,BPJS SADEWA
00-64-68-01 FREDIZAL ARDIAN WIJAYA 13-Jun-22 Yulidar Hafid BPJS SADEWA
00-64-55-98 FAHRISKY ATTARASKA AL F 13-Jun-22 Fadhilah Tia BPJS SADEWA
00-64-67-24 MUHAMAD ARFA RIFAI 14-Jun-22 Devieta RomaRENCANA BPJSSADEWA
00-64-64-97 ISMAH MUNJIYAH 9-Jun-22 Yulius Mulya YAKES TELKOMWISNU
00-64-65-47 RAKAI ASOKA GANADIPA 10-Jun-22 Mas NugrohoBPJS WISNU
00-57-37-86 SUYAMTI 13-Jun-22 CH. Budhi BasBPJS WISNU
00-39-99-48 DARMA AHZA ADELIO 13-Jun-22 Mas NugrohoPRUDENTIAL INWISNU
00-35-56-11 SIGIT NURBIYANTO 13-Jun-22 Hendrato BudRencana Asuran WISNU
00-47-81-04 RAMA SYAILENDRA ABINERI 13-Jun-22 Mas NugrohoLIPPO GENERALWISNU
00-36-48-16 SRI HARTUTI 13-Jun-22 Ndarumurti PBPJS AYODYA
00-41-87-73 SARJILAH 13-Jun-22 Akbar DeyahaRENCANA BPJSAYODYA
00-64-35-74 WARCITO 13-Jun-22 Muhamad Rifq BPJS AYODYA
00-64-65-12 ROCHMANTO WARTOWIRY 9-Jun-22 Hendrato BudBPJS AYODYA
 00-64-67-13 DWI KARUNIA PUTRA 11-Jun-22 Ida Bagus MetBPJS AYODYA
00-30-22-72 RADIANTO 12-Jun-22 Yulius Mulya AIA FINANCIALAYODYA
00-45-97-47 DENI SULAIMAN 12-Jun-22 Hendrato BudBPJS AYODYA
00-64-67-70 PURYADI 13-Jun-22 Sugandi HardjBPJS AYODYA

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-61-55-10 VERI WIJAYA 10-Jun-22 Rieva ErmawaBPJS COB NARADA
00-47-20-30 SRI SULASTRI 11-Jun-22 Dyah PitalokaBPJS NARADA
00-62-45-55 Y. SARYANTO 12-Jun-22 Dyah PitalokaBPJS NARADA
00-52-01-58 SOANGSIH NOER TJAHJANA12-Jun-22 Th Didit WahyBPJS NARADA
00-64-36-09 CHRISTIEN SAPRIYATMI 13-Jun-22 Muhamad Rifq BPJS NARADA
00-17-25-31 DONO SUMARNO 13-Jun-22 Bimanggono H BPJS NARADA
00-64-15-58 HENDRO ANDRIYANTO 13-Jun-22 Muhamad Rifq BPJS NARADA
00-39-22-74 DJOKO TASLIMUN DRS 11-Jun-22 Yulius Mulya BPJS ISMAYA
00-63-56-54 ARIEF ALFA ARSYADI 12-Jun-22 Muhamad Rifq BPJS ISMAYA
00-64-67-36 IBNU AFANDI 12-Jun-22 Novita TjahyaBPJS ISMAYA
00-62-23-94 VIVIN KUSUMA WARDHANY13-Jun-22 AO. SuryanatBPJS ISMAYA
00-64-58-57 MARSINI 10-Jun-22 Ida Bagus MetBPJS PANDU
00-64-66-34 JARIJAH 11-Jun-22 CH. Budhi BasBPJS PANDU
00-59-36-41 ARCHY DAVIN REVEL 10-Jun-22 Hanis SetyonoBPJS COB WIRATA
00-59-77-85 AKBAR TSAQIF AVEIRO PRA11-Jun-22 Dwi Hidayah,BPJS WIRATA
00-63-67-29 RUSDI 11-Jun-22 Bimanggono H INHEALTH IND WIRATA
00-64-50-08 YAHYA SAHRIL IQBAL 11-Jun-22 Priyambada, BPJS COB WIRATA
00-64-67-10 OLGA SHINDHI PRILIANITA 11-Jun-22 Hendrato BudBPJS WIRATA
00-27-17-26 WARIDI HADI REDJONO 11-Jun-22 Novita TjahyaBPJS WIRATA
00-61-58-77 TRI MULYANTI 12-Jun-22 Yudhi Hajian BPJS WIRATA
00-53-01-75 KARJAK 13-Jun-22 Tri Budi RahaBPJS WIRATA
00-21-06-63 MENIK SJANTINA 13-Jun-22 Hendrato BudBPJS WIRATA
00-64-67-50 SRI MURTINI 13-Jun-22 Ndarumurti PBPJS WIRATA
00-64-63-25 GALIH LINTANG PRATIWI 13-Jun-22 AO. SuryanatBPJS WIRATA
00-64-67-45 JUMINEM 13-Jun-22 Nugrahanta DBPJS WIRATA
00-64-66-12 RASYID RAHMAN 11-Jun-22 Hanis SetyonoBPJS COB AMARTA
00-29-87-98 GIYONO 13-Jun-22 Dyah PitalokaBPJS AMARTA
00-42-68-51 INDIRA NARENDRASTUTI 13-Jun-22 Yulius Mulya BPJS COB AMARTA
00-64-63-10 LASTRI 6-Jun-22 Hanis SetyonoBPJS ICU AMAR
00-56-79-65 MUHAMMAD IBNU SINA 12-Jun-22 Dwi Hidayah,ADMEDIKA-ILGPICU
00-44-78-72 AHMAD YANI 11-Jun-22 Dyah PitalokaBPJS SHINTA
00-59-01-01 Y SOETRISNO 12-Jun-22 Yudhi Hajian BPJS SHINTA
00-44-24-98 MUH DAVID ROHADI WIJAY13-Jun-22 Bimanggono H RENCANA BPJSSHINTA
00-57-94-15 SRI MULYANI 11-Jun-22 Yudhi Hajian BPJS SRIKANDI
00-64-46-66 SATINEM 12-Jun-22 Th Didit WahyBPJS SRIKANDI
00-63-84-93 HARTINI 13-Jun-22 Muhamad Rifq BPJS SRIKANDI
00-64-12-65 SRI SUPARTININGSIH 13-Jun-22 AO. SuryanatBPJS SRIKANDI
00-63-82-34 SRI LESTARI 13-Jun-22 Kristanto Yul BPJS RATIH
00-60-94-56 TENOYO RAGIL SUTARYO 13-Jun-22 CH. Budhi BasBPJS COB RATIH
00-46-03-25 DESTIE TRI UTAMI 13-Jun-22 AO. SuryanatBPJS RATIH
00-44-26-47 KARISA ARYANTARI 13-Jun-22 Kristanto Yul BPJS RATIH
00-64-68-10 WIDY ANGGRAINI 14-Jun-22 Sandie FarinaRENCANA BPJSRATIH
00-64-26-29 SARTINI 10-Jun-22 CH. Budhi BasBPJS ICU
00-49-39-79 MOHAMAD YAMIN YASIN 12-Jun-22 Novita TjahyaBPJS ICU
00-64-67-92 HODIJAH 13-Jun-22 Dyah PitalokaBPJS ICU
00-35-50-65 DJOKO WALUYO 14-Jun-22 Dyah PitalokaBPJS ICU
DIAGNOSA RM L.IND GRP KELENGKAPAN
LEPTOSPIRA _ P P LAB DR, LAPORAN OPERASI
DM ULKUS DEBRIDEMEN _ P P LAB DR, LAPORAN OPERASI, GDS
PULANG
PENKES DM HIPERGLIKEM _ P P LAB DR GDS
CA MAMAE _ P P LAB DR, LAPORAN OPERASI, PA
STEMI ANTERIOR _ P _ LAB DR, EKG, THORAX
COLIC ABDOMEN _ P P LAB DR, THORAX, USG ABDOMEN
ANEMNIA ARF _ P P LAB DR, EKG
HEMIPARASE DEXTRA D _ _ P LAB DR, THORAX, CT SCAN, GDS
POLI LANTAI 1
POST LAPARATOMY _ P P LAB DR, COLON IN LOOP, LAPORAN OPERASI, PA
MENINGGAL
CA PARU PPOK _ _ _ LAB DR, AGD, EKG, PA
IHD _ _ _ EKG
PULANG
FEBRIS EPILEPSI _ _ _ LAB DR
CKR HT
OS PVT _ _ _ LAB DR, US MATA
SIONOVITIS GENUE _ _ _ LAB DR, GENUE KANAN KIRI, EKG, THORAX
GEA _ _ _ LAB DR
ASMA _ _ _ LAB DR
DHF _ _ P LAB DR 13/06, 14/06
EPILEPSI FORM AWAL, SURAT PERNYATAAN SUDAH, FORM AKHIR BELUM DIISI
GEA _ _ P LAB DR
FISTEL PALATUM _ _ P LAB DR INR
KONTRAKTUR INGUINAL _ _ _ LAB DR
DENGUE FEVER _ _ P LAB DR, LAB AT
EDH _ _ P LAB DR, CT BT
APP LAPARASCOPY _ _ P LAB DR, APP, THORAX
DHF _ _ P LAB DR,
GEA DEHIDRASI SEDANG _ _ P LAB DR,
KEJANG DEMAM _ _ _ LAB DR,
KEJANG DEMAM _ _ _ LAB DR,
VOMITUS DEHIDRASI SE _ _ _ LAB DR,
RUPTUR RUJUKAN FORM AKHIR
BRONCHOPNEUMONIA _ P P LAB DR THORAX
SNH _ _ _ CT SCAN KEPALA
DEMAM TYPHOID FORM MEDIS AWAL SP
FEBRIS _ _ _ LAB DR
_ _ P FORM MEDIS AWAL SP
GERD _ _ P LAB DR
SNH _ _ P LAB DR CT SCAN KEPALA
OPERASI
LIMFADENOPATI _ _ P LAB DR
 PULANG
CF COLLOM FEMUR FORM MEDIS AWAL SP
ANEMIA CKD ON HD _ _ P LAB DR SPDT
HERNIA _ P P LAB DR

DIAGNOSA RM L.IND GRP KELENGKAPAN

CF FEMUR _ _ P LAB DR COLLOM FEMUR
VES _ P P LAB DR
CHF _ P P LAB DR
SNH _ _ P CT SCAN KEPALA
OD ART _ _ _ LAB DR USG MATA
BATU GINJAL _ _ P LAB DR USG ABDOMEN
OD ART _ _ _ LAB DR USG MATA
ABSES BAHU P P LAB DR SHOULDER JOINT MANUS
POLI
HIV _ P P LAB DR HIV
OPERASI
CHOLELITIASIS _ P P LAB DR USG ABDOMEN
RETENSI URINE _ P P LAB DR USG ABDOMEN BNO
OPERASI
PULANG
BATU GINJAL LAB DR USG ABDOMEN BNO
PULANG
APPENDICITIS _ P P LAB DR USG ABDOMEN
PNEUMONIA SNH _ P _ LAB DR AGD CT SCAN KEPALA THORAX
CA COLON _ P P LAB DR PA
VERTIGO _ P P LAB DR
HEMIROID _ _ P LAB DR
DM ULKUS _ _ P LAB DR
OPERASI
CHOLELITIASIS _ _ P LAB DR USG ABDOMEN
ICH _ _ P CT SCAN KEPALA
CHF _ _ P LAB DR
CF MANUS _ _ P LAB DR WRIST JOINT
ICH _ P P LAB DR CT SCAN KEPALA
DHF _ _ P LAB DR
PAF _ P P LAB DR
ULKUS DM _ P P LAB DR
COLIC ABDOMEN _ _ P LAB DR BNO
ARF on CRF _ _ P LAB DR
BPPV DM HT _ _ _ LAB DR
OPV ART _ _ _ LAB DR USG MATA
OPERASI
CA MAMAE _ _ P LAB DR USG MAMMAE
SNH GEA _ _ P LAB DR CT SCAN KEPALA
 OPERASI
TUMOR MAMAE _ _ P LAB DR USG MAMMAE
LANTAI 5

GAGAL NAFAS _ P P LAB DR AGD THORAX

AF HIPERTYROID _ _ _ LAB DR FT4 TSHS
CHF _ _ _ LAB DR
 KEKURANGAN

THORAX BASAHAN
LAB RHORAX SEP BELUM, PASIEN TURUN KE ICU

THORAX BASAHAN

THORAX BASAHAN

UDAH, FORM AKHIR BELUM DIISI

SEP BELUM

FORM MEDIS AKHIR

FORM MEDIS AKHIR

FORM MEDIS AKHIR

KEKURANGAN
FORM JR
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang
00-57-37-86 SUYAMTI 13-Jun-22 CH. Budhi BBPJS WISNU
00-39-99-48 DARMA AHZA AD 13-Jun-22 Mas Nugroh PRUDENTIAWISNU
00-35-56-11 SIGIT NURBIYAN 13-Jun-22 Hendrato BBank JatenWISNU
00-47-81-04 RAMA SYAILENDR 13-Jun-22 Mas Nugroh LIPPO GENWISNU
00-36-48-16 SRI HARTUTI 13-Jun-22 NdarumurtiBPJS AYODYA
00-41-87-73 SARJILAH 13-Jun-22 Tri Budi R BPJS AYODYA
00-64-35-74 WARCITO 13-Jun-22 Muhamad BPJSRi AYODYA
00-64-65-12 ROCHMANTO WA 9-Jun-22 Hendrato BBPJS AYODYA
00-64-67-13 DWI KARUNIA PU 11-Jun-22 Ida Bagus BPJS AYODYA
00-30-22-72 RADIANTO 12-Jun-22 Yulius Mul AIA FINANCAYODYA
00-45-97-47 DENI SULAIMAN 12-Jun-22 Hendrato BBPJS AYODYA
00-64-67-92 HODIJAH 13-Jun-22 Dyah PitaloBPJS AYODYA
00-63-48-49 NANANG TRIYON 14-Jun-22 Hanis Sety BPJS AYODYA
00-64-61-59 SARNI 11-Jun-22 Habibie AriBPJS KAMAJAYA
00-64-67-08 SITI AISAH 11-Jun-22 Hendrato BBPJS KAMAJAYA
00-64-00-58 GIYARNO 12-Jun-22 Th Didit WBPJS KAMAJAYA
00-64-51-95 SUTRISNI 12-Jun-22 NugrahantaBPJS
00-52-01-58 SOANGSIH NOER 12-Jun-22 Th Didit WBPJS KAMAJAYA
00-43-45-46 SAFARI 13-Jun-22 Novita TjahBPJS KAMAJAYA
00-64-65-50 APRI KRISTIANIN 14-Jun-22 Hendrato BBPJS KAMAJAYA
00-64-68-61 UJANG MULYADI 14-Jun-22 Th Didit WBPJS KAMAJAYA
00-64-58-06 SITI FATIMAH 14-Jun-22 Heru Priya BPJS KAMAJAYA
00-64-10-45 ARI DWI ROMDH 14-Jun-22 Hanis Sety BPJS KAMAJAYA

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-56-79-65 MUHAMMAD IBN 12-Jun-22 Dwi HidayaADMEDIKA-RAMA
00-60-70-71 AZKIA HANINDIT 13-Jun-22 Fadhilah TiBPJS RAMA KELAS 1
00-58-01-60 ARKATAMA NAJA 14-Jun-22 Mas Nugroh BPJS RAMA KELAS 1
00-64-31-72 EKO YOGYANTOR 14-Jun-22 Yulius Mul BPJS RAMA KELAS 1
00-64-49-28 PARDIANTO AS 14-Jun-22 Kristanto YBPJS RAMA KELAS 1
00-42-09-05 JANIKHA ORIZA S 13-Jun-22 Muhamad BPJSRi KRISNA
00-27-75-60 ENDANG WIDYAN 13-Jun-22 Yulius Mul BPJS KRISNA
00-64-67-99 KHEYRA DINARA 13-Jun-22 Dwi HidayaBPJS KRISNA
00-52-44-67 RENITA YULISA 13-Jun-22 Novita TjahBPJS KRISNA
00-64-65-06 SEMI LESTARI 14-Jun-22 NdarumurtiBPJS KRISNA
00-61-95-64 ZEFANYA AUROR 10-Jun-22 Fadhilah TiGenerali AsINDRA
00-55-59-41 ALLYA PUTRI MA 12-Jun-22 Dwi HidayaBPJS NAKULA
00-63-75-96 KHANZA AZELIA 13-Jun-22 Amru Sungk BPJS NAKULA
00-64-67-18 DESVITA PUTRI H 14-Jun-22 Putu WijayBPJS NAKULA
00-60-25-27 TEGAR FAYYAD 14-Jun-22 Guntur SurBPJS NAKULA
00-64-65-45 MUHAMMAD ABD 9-Jun-22 Hanis Sety BPJS SADEWA
00-53-91-81 JENNIFER GITHA 11-Jun-22 Fadhilah TiBPJS SADEWA
00-62-70-89 FARADHILLA HAS 12-Jun-22 Fadhilah TiBPJS SADEWA
00-64-67-98 ADZRIEL NUFAIL 13-Jun-22 Dwi HidayaBPJS SADEWA
00-64-68-01 FREDIZAL ARDIA 13-Jun-22 Yulidar HafBPJS SADEWA
00-64-55-98 FAHRISKY ATTAR 13-Jun-22 Fadhilah TiBPJS SADEWA
00-64-67-24 MUHAMAD ARFA 14-Jun-22 Dikahayu AlBPJS SADEWA
00-64-67-34 PELANGI PIANIS 12-Jun-22 Dikahayu AlBPJS ISOLASI

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-64-66-12 RASYID RAHMAN 11-Jun-22 Hanis Sety BPJS COB AMARTA
00-29-87-98 GIYONO 13-Jun-22 Dyah PitaloBPJS AMARTA
00-64-63-10 LASTRI 6-Jun-22 Hanis Sety BPJS ICU AMARTA
00-59-36-41 ARCHY DAVIN RE 10-Jun-22 Hanis Sety BPJS COB WIRATA
00-27-17-26 WARIDI HADI RE 11-Jun-22 Novita TjahBPJS WIRATA
00-61-58-77 TRI MULYANTI 12-Jun-22 Yudhi Haji BPJS WIRATA
00-53-01-75 KARJAK 13-Jun-22 Tri Budi R BPJS WIRATA
00-21-06-63 MENIK SJANTINA 13-Jun-22 Hendrato BBPJS WIRATA
00-64-67-50 SRI MURTINI 13-Jun-22 NdarumurtiBPJS WIRATA
00-64-63-25 GALIH LINTANG 13-Jun-22 AO. SuryanBPJS WIRATA
00-64-67-45 JUMINEM 13-Jun-22 NugrahantaBPJS WIRATA
00-41-00-04 WAHYU HENDRIK 14-Jun-22 Fadhilah TiBPJS WIRATA
00-39-68-26 N INDRIATNO W 14-Jun-22 Tri Budi R BPJS WIRATA
00-55-83-79 MUHAMMAD ZAKI14-Jun-22 Dwi HidayaRENCANA BWIRATA
00-52-54-59 NATHASA ADILA 15-Jun-22 Dwi HidayaBPJS WIRATA
00-61-55-10 VERI WIJAYA 10-Jun-22 Rieva ErmaBPJS COB NARADA
00-62-45-55 Y. SARYANTO 12-Jun-22 Dyah PitaloBPJS NARADA
00-64-36-09 CHRISTIEN SAPRI 13-Jun-22 Muhamad BPJSRi NARADA
00-64-15-58 HENDRO ANDRIY 13-Jun-22 Muhamad BPJS Ri NARADA
00-36-52-10 ERMA WINDIYAN 14-Jun-22 Yulius Mul Jasa RaharjNARADA
00-64-67-69 SITI MULYANI 14-Jun-22 Sugandi HaINHEALTH NARADA
00-39-22-74 DJOKO TASLIMUN 11-Jun-22 Yulius Mul BPJS ISMAYA
00-64-67-36 IBNU AFANDI 12-Jun-22 Novita TjahBPJS ISMAYA
00-62-23-94 VIVIN KUSUMA 13-Jun-22 AO. SuryanBPJS ISMAYA
00-64-58-57 MARSINI 10-Jun-22 Ida Bagus BPJS PANDU
00-17-25-31 DONO SUMARNO 13-Jun-22 Bimanggono BPJS PANDU
00-35-50-65 DJOKO WALUYO 14-Jun-22 Dyah PitaloBPJS PANDU

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-44-78-72 AHMAD YANI 11-Jun-22 Dyah PitaloBPJS SHINTA
00-59-01-01 Y SOETRISNO 12-Jun-22 Yudhi Haji BPJS SHINTA
00-44-24-98 MUH DAVID ROHA13-Jun-22 Bimanggono BPJS SHINTA
00-47-04-33 SOEWARSIH 14-Jun-22 NdarumurtiBPJS SHINTA
00-47-61-89 TRIASWATI 14-Jun-22 Erwin Gun BPJS SHINTA
00-57-94-15 SRI MULYANI 11-Jun-22 Yudhi Haji BPJS SRIKANDI
00-64-46-66 SATINEM 12-Jun-22 Th Didit WBPJS SRIKANDI
00-63-84-93 HARTINI 13-Jun-22 Muhamad BPJSRi SRIKANDI
00-64-12-65 SRI SUPARTINING 13-Jun-22 AO. SuryanBPJS SRIKANDI
00-63-82-34 SRI LESTARI 13-Jun-22 Kristanto YBPJS RATIH
00-60-94-56 TENOYO RAGIL S 13-Jun-22 CH. Budhi BBPJS COB RATIH
00-46-03-25 DESTIE TRI UTAM 13-Jun-22 AO. SuryanBPJS RATIH
00-44-26-47 KARISA ARYANTA 13-Jun-22 Kristanto YBPJS RATIH
00-64-68-10 WIDY ANGGRAINI 14-Jun-22 Sandie FariBPJS RATIH
00-61-08-34 RISTINA FATIMAH 14-Jun-22 Sugandi HaBPJS RATIH
00-13-91-11 VINDA MARETHA 14-Jun-22 Hendrato BBPJS RATIH
00-64-11-03 SITI SUWARNI 14-Jun-22 Kristanto YBPJS RATIH
00-49-47-83 DWI WIDYANI PU 14-Jun-22 Erwin Gun BPJS RATIH
00-49-39-79 MOHAMAD YAMIN12-Jun-22 Novita TjahBPJS ICU
00-29-37-25 SITI WASILATUR 14-Jun-22 Dyah PitaloBPJS ICU
00-58-82-47 SRI PARENG 14-Jun-22 Niniek Pur BPJS ICU
00-57-76-94 KRISTINI 14-Jun-22 Niniek Pur BPJS ICU
 DX RM IND GRUP KELENGKAPAN KEKURANGAN
SNH HEMIPARASE _ _ P LAB DR, CT SCAN KEPALA
LAPARASCOPY APP AWAL, SP, AKHIR SUDAH DIISI
FEBRIS DD DHF JAMINAN SUDAH, LAB SUDAH, FORM AKHIR BELUM DIISI
LAPARASCOPY APP FORM AWAL, SP, LAB SUDAH, FORM AKHIR BELUM DIISI
DM GEA _ P P LAB DR, EKG SEP BELUM SUDAH KONFIRMASI SUSTER TATIK
SNH HEMIPARASE _ P P LAB DR CT SCAN SEP BELUM
POLI MATA
LIMFADENOPATI _ P P LAB FNAB
POST RESEKSI _ P P LAB, LAPORAN OPERASI PA
CF COLUM FEMUR AWAL, SP, LAB, FEMUR SUDAH, AKHIR BELUM
PULANG
AF _ _ P LAB EKG THORAX
SKULL DEFECT _ _ _ LAB
PULANG
VOMITUS CF GENUE _ _ P LAB GENUE
SNH _ _ P LAB CT SCAN
HOTMAN PROSEDURE _ _ _ LAB PA LAPORAN OPERASI
SNH HT _ _ P LAB CT SCAN
CA PARU PPOK _ _ P LAB THORAX PA
CHOLELITIASIS _ _ _ LAB USG ABDOMEN
PENURUNAN KESADARAN SNH _ _ _ LAB CT SCAN KEPALA
MIOMA UTERI _ _ _ LAB USG ABDOMEN SPDT
SKULL DEFECT _ _ _ LAB CT SCAN

DX RM IND GRUP KELENGKAPAN KEKURANGAN

DSS AWAL, SP, LAB SUDAH, AKHIR BELUM
FEBRIS _ _ _ LAB THORAX
DIARE AKUT _ _ _ LAB
TENOSINOVITIS WRIST DESTRA _ _ _ LAB THORAX EKG
SARKOMA _ _ _ LAB MRI SHOLDER
POLI
SINOVITIS SYNOVECTOMY _ P P LAB GENUE LAPORAN OPERASI
GEA ISPA _ _ P LAB THORAX
ASMA _ P P LAB THORAX
DM PAD _ _ _ LAB USG VASKULER
EPILEPSI AWAL SP AKHIR LAB SUDAH
FISTEL PALATUM _ P _ LAB LAPORAN OPERASI
KONTRAKTUR INGUINAL _ P _ LAB LAPORAN OPERASI
TONSILITIS KRONIS _ P _ LAB LAPORAN OPERASI
ATRASIA ANI _ _ _ LAB LAPORAN OPERASI
PULANG
LAPARASCOPY APP _ P P LAB USG ABDOMEN
DHF EPILEPSI _ P P LAB
GEA _ P P LAB
KDS _ P P LAB
KDK _ P _ LAB
TYPOID FEVER _ P _ LAB
PULANG

DX RM IND GRUP KELENGKAPAN KEKURANGAN

ICH _ _ P DR CT SCAN SPDT
PULANG
ICH _ _ P DR CTSCAN AGD THORAX
SAH _ _ P DR PEDIS CT SCAN KEPALA
SNH PNEUMONIA _ P _ DR CT SCAN THORAX ALBUMIN
CA COLON _ P _ DR PA
PULANG
HERNIA _ P P DR EKG
DM ULKUS _ _ P DR GDP THORAX
MULTIPE IMPECTED _ _ P DR PANORAMIC THORAX BELUM
CHOLELITIASIS _ _ P DR USG ABDOMEN
DHF _ _ P DR
SNH _ _ P LAB DR CT SCAN KEPALA
DHF _ _ P LAB DR
DHF _ _ P LAB DR
CF FEMUR JR BARU MENGURUS
PULANG
POLI
POLI
OPERASI
HEMORIID FORM AWAL SUDAH. SP DAN FORM AKHIR BELUM DIISI
ABSES SHOULDER _ P P DR SHOLDER THORAX SUDAH
HIV _ P P DR CD4
MULTIPE IMPECTED _ _ P DR USG ABDOMEN MSCP ABDOMEN
CHOLELITIASIS _ P P DR USG ABDOMEN
BATU URETER _ _ P DR USG ABDOMEN
CHF _ P P DR EKG

DX RM IND GRUP KELENGKAPAN KEKURANGAN

PAF VES _ P P LAB EKG
PULANG
BATU URETER _ _ P LAB USG LAPORAN OPERASI
DM CA MAMAE _ _ _ LAB THORAX BAHASAN
LNTAI 5
PULANG
BPPV _ _ P LAB
POLI
TUMOR MANDIBULA _ _ P LAB PANORAMIC
CA MAMAE _ P P LAB USG MAMAE PA LAPORAN OPERASI
SNH GEA LAB CT SCAN RUJUKAN FORM AKHIR BELUM DIISI
EXPLORASI _ _ P LAB PANORAMIC LAPORAN OPERASI
NIPPLE DISCHGE _ _ P LAB LAPORAN OPERASI USG
LANTAI 5
APP ANEMIA _ _ P LAB SPDT USG ABDOMEN
DHF _ _ P LAB DR 13/14/15
CA MAMAE _ _ P LAB USG MAMAE PA LAPOTHORAX BAHASAN

GAGAL NAFAS _ P P LAB VENTILATOR

PINDAH
CHF _ _ P LAB EKG THORAX
AF _ _ _ LAB EKG THORAX
H KONFIRMASI SUSTER TATIK
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan
00-57-37-86 SUYAMTI 13-Jun-22 CH. Budhi BaskaBPJS
00-39-99-48 DARMA AHZA ADELI 13-Jun-22 Mas Nugroho ArPRUDENTIAL I
00-35-56-11 SIGIT NURBIYANTO 13-Jun-22 Hendrato BudioBank Jateng
00-47-81-04 RAMA SYAILENDRA A 13-Jun-22 Mas Nugroho ArLIPPO GENERA
00-10-48-88 TRI PURNAMI SUSILO 15-Jun-22 CH. Budhi BaskaBPJS
00-36-48-16 SRI HARTUTI 13-Jun-22 Ndarumurti PanBPJS
00-41-87-73 SARJILAH 13-Jun-22 Tri Budi Raharj BPJS
00-28-76-97 PRAJITNO 15-Jun-22 CH. Budhi BaskaBPJS
00-64-67-13 DWI KARUNIA PUTRA 11-Jun-22 Ida Bagus MetriBPJS
00-30-22-72 RADIANTO 12-Jun-22 Yulius MulyamuAIA FINANCIAL
00-63-48-49 NANANG TRIYONO 14-Jun-22 Hanis Setyono,dBPJS
00-55-40-84 SONY HARYADI 16-Jun-22 Syabandrio WidRENCANA BPJ
00-64-63-10 LASTRI 6-Jun-22 Hanis Setyono,dBPJS
00-64-67-08 SITI AISAH 11-Jun-22 Hendrato BudioBPJS
00-64-00-58 GIYARNO 12-Jun-22 Th Didit WahyuBPJS
00-64-51-95 SUTRISNI 12-Jun-22 Nugrahanta DasBPJS
00-52-01-58 SOANGSIH NOER TJA 12-Jun-22 Th Didit WahyuBPJS
00-64-65-50 APRI KRISTIANINGSIH 14-Jun-22 Hendrato BudioBPJS
00-64-68-61 UJANG MULYADI 14-Jun-22 Th Didit WahyuBPJS
00-64-58-06 SITI FATIMAH 14-Jun-22 Heru Priyanto,dBPJS
00-64-10-45 ARI DWI ROMDHANI 14-Jun-22 Hanis Setyono,dBPJS
00-63-56-53 ERY SRI SUSANTO 15-Jun-22 Ndarumurti PanBPJS
00-64-54-34 DEDE SRI WAHYUNI 15-Jun-22 Kristanto Yuli Y BPJS
00-64-68-93 ROCHANI WIDI HAST 15-Jun-22 Yulius MulyamuRENCANA JASA
00-63-23-98 SARIYO 15-Jun-22 Yulius MulyamuBPJS
00-64-69-15 TEDDY SISWANTO 15-Jun-22 Suroto,Prof.Dr. BPJS
00-64-57-70 NGABDI 15-Jun-22 Nurcahya ArdiaBPJS
No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan
00-56-79-65 MUHAMMAD IBNU S 12-Jun-22 Dwi Hidayah,drADMEDIKA-IL
00-60-70-71 AZKIA HANINDITA M 13-Jun-22 Fadhilah Tia NuBPJS
00-58-01-60 ARKATAMA NAJANDR 14-Jun-22 Guntur Surya ABPJS
00-64-31-72 EKO YOGYANTORO 14-Jun-22 Yulius MulyamuBPJS
00-64-49-28 PARDIANTO AS 14-Jun-22 Kristanto Yuli Y BPJS
00-64-69-21 MUHDI SARJITO 15-Jun-22 Yulius MulyamuBPJS
00-64-67-99 KHEYRA DINARA NAJ 13-Jun-22 Dwi Hidayah,drBPJS
00-64-65-06 SEMI LESTARI 14-Jun-22 Ndarumurti PanBPJS
00-64-64-57 ANNISAH MAHARANI 15-Jun-22 Nugrahanta DasBPJS
00-64-63-32 NUR WIDHI HASTUTI 15-Jun-22 AO. Suryanata, BPJS
00-55-76-26 PUTRI MASYITHO KH 15-Jun-22 Yudhi Hajianto BPJS
00-61-95-64 ZEFANYA AURORA H 10-Jun-22 Fadhilah Tia NuGenerali Asura
00-53-41-47 GAVIN RAFFASYA AG 15-Jun-22 Guntur Surya ABPJS
00-54-36-81 MUHAMMAD AZHIM 15-Jun-22 Fadhilah Tia NuBPJS
00-55-59-41 ALLYA PUTRI MAHAR 12-Jun-22 Dwi Hidayah,drBPJS
00-63-75-96 KHANZA AZELIA SH 13-Jun-22 Amru Sungkar,dBPJS
00-60-25-27 TEGAR FAYYAD ALV 14-Jun-22 Guntur Surya ABPJS
00-43-55-44 ADILA HAKIM 15-Jun-22 Dwi Hidayah,drBPJS
00-62-70-89 FARADHILLA HASYA 12-Jun-22 Fadhilah Tia NuBPJS
00-64-67-98 ADZRIEL NUFAIL ALFA 13-Jun-22 Dwi Hidayah,drBPJS
00-64-55-98 FAHRISKY ATTARASKA 13-Jun-22 Fadhilah Tia NuBPJS
00-64-67-24 MUHAMAD ARFA RIF 14-Jun-22 Dikahayu Alifia BPJS
00-27-66-88 MUHAMAD DAFFA AF 15-Jun-22 Yulidar Hafidz,dBPJS
00-64-68-51 ELRAFIF WIJAYA 15-Jun-22 Guntur Surya ABPJS
00-39-66-37 ATIK PRIYANTI 15-Jun-22 Yudhi Hajianto BPJS
00-64-63-53 ARSYANENDRA WIRA 15-Jun-22 Dikahayu Alifia BPJS

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan

00-64-45-17 SUTARNO 15-Jun-22 AO. Suryanata, BPJS
00-64-69-58 ALFINO NURLATIF A 15-Jun-22 Benny WidiantoRENCANA JASA
00-64-65-12 ROCHMANTO WART 9-Jun-22 Hendrato BudioBPJS
00-59-36-41 ARCHY DAVIN REVEL 10-Jun-22 Hanis Setyono,dBPJS COB
00-61-58-77 TRI MULYANTI 12-Jun-22 Yudhi Hajianto BPJS
00-21-06-63 MENIK SJANTINA 13-Jun-22 Hendrato BudioBPJS
00-64-67-50 SRI MURTINI 13-Jun-22 Ndarumurti PanBPJS
00-41-00-04 WAHYU HENDRIK PR 14-Jun-22 Fadhilah Tia NuBPJS
00-39-68-26 N INDRIATNO WISN 14-Jun-22 Tri Budi Raharj BPJS
00-55-83-79 MUHAMMAD ZAKIRIS 14-Jun-22 Dwi Hidayah,drBPJS
00-52-54-59 NATHASA ADILA ARF 15-Jun-22 Dwi Hidayah,drBPJS
00-64-56-66 PAIKEM 15-Jun-22 Yulius MulyamuBPJS
00-54-63-01 SUDATI 15-Jun-22 Kristanto Yuli Y BPJS
00-41-60-92 NUR ELLY SAEFUROH 15-Jun-22 AO. Suryanata, BPJS
00-60-91-02 DELAYA SANDHY KAR 15-Jun-22 Arie KusumawarINHEALTH IND
00-36-52-10 ERMA WINDIYANIN 14-Jun-22 Yulius MulyamuJasa Raharja
00-58-82-47 SRI PARENG 14-Jun-22 Niniek PurwaninBPJS
00-31-07-91 CARISSA PUTRI MAH 15-Jun-22 Dwi Hidayah,drBPJS
00-64-63-85 SUHARSONO 15-Jun-22 Hanis Setyono,dBPJS
00-64-69-18 EDI SARYOKO 15-Jun-22 Novita TjahyaniBPJS
00-64-69-42 SUMANTYO 15-Jun-22 CH. Budhi BaskaBPJS
00-62-02-35 SAMUEL NGATNO R 15-Jun-22 Amru Sungkar,dBPJS
00-64-67-36 IBNU AFANDI 12-Jun-22 Novita TjahyaniBPJS
00-64-69-17 EDWARD GIBBOR PE 15-Jun-22 Hendrato BudioBPJS
00-64-58-57 MARSINI 10-Jun-22 Ida Bagus MetriBPJS
00-17-25-31 DONO SUMARNO 13-Jun-22 Bimanggono Her BPJS
00-35-50-65 DJOKO WALUYO 14-Jun-22 Dyah Pitaloka Pu BPJS

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan

00-44-78-72 AHMAD YANI 11-Jun-22 Dyah Pitaloka Pu
BPJS
00-44-24-98 MUH DAVID ROHADI 13-Jun-22 Bimanggono Her BPJS
00-47-04-33 SOEWARSIH 14-Jun-22 Ndarumurti PanBPJS
00-47-61-89 TRIASWATI 14-Jun-22 Erwin GunawanBPJS
00-64-68-75 SRI HARINI 15-Jun-22 Benny WidiantoRENCANA BPJ
00-38-67-31 DWI MULYANI 15-Jun-22 Ratih Tri KusumBPJS
00-64-69-59 NARSI 15-Jun-22 Syabandrio WidRENCANA BPJ
00-55-62-05 SOLIMADIYEM 16-Jun-22 Erwin GunawanBPJS
00-60-94-56 TENOYO RAGIL SUTA 13-Jun-22 CH. Budhi BaskaBPJS COB
00-61-08-34 RISTINA FATIMAH JU 14-Jun-22 Sugandi HardjanBPJS
00-13-91-11 VINDA MARETHA 14-Jun-22 Hendrato BudioBPJS
00-64-11-03 SITI SUWARNI 14-Jun-22 Kristanto Yuli Y BPJS
00-49-47-83 DWI WIDYANI PUTRI 14-Jun-22 Erwin GunawanBPJS
00-64-68-88 SRI WAHYU SETYANI 15-Jun-22 Tri Budi Raharj BPJS
00-49-39-79 MOHAMAD YAMIN YA12-Jun-22 Novita TjahyaniBPJS
00-57-76-94 KRISTINI 14-Jun-22 Niniek PurwaninBPJS
00-28-48-50 SIHNO HARJO TARU 15-Jun-22 A.Farih RaharjoBPJS
 Ruang DX
WISNU SNH
WISNU PULANG
WISNU FEBRIS
WISNU PULANG
WISNU GEA
AYODYA DM
AYODYA SNH
AYODYA CKD
AYODYA POST RESEKSI USUS
AYODYA KLL
AYODYA SKULL DEFECT
AYODYA DHF
KAMAJAYA ICH
KAMAJAYA GEA
KAMAJAYA SNH
KAMAJAYA ILEUS DEVERSE
KAMAJAYA SNH
KAMAJAYA CHOLELITIASIS
KAMAJAYA SNH
KAMAJAYA MIOMA UTERI
KAMAJAYA SKULL DEFECT
KAMAJAYA DM
KAMAJAYA CA MAMMAE
KAMAJAYA CF ANTEBRACII
KAMAJAYA ULKUS ANTEBRACII
KAMAJAYA SUSP CVA
KAMAJAYA OR GLUKOMA AKUT
Ruang DX
RAMA PULANG
RAMA KELAS 1 PULANG
RAMA KELAS 1 PULANG
RAMA KELAS 1 PULANG
RAMA KELAS 1
RAMA KELAS 1 PULANG
KRISNA GEA ISPA
KRISNA DM PAD
KRISNA CHOLELITIASIS
KRISNA OPERAS
KRISNA DISPEPSIA DM
INDRA PULANG
INDRA APP
INDRA FARINGISTIS CP
NAKULA FISTEL PALATUM
NAKULA KONTRAKTUR INGUNIAL
NAKULA ATRESIA ANI
NAKULA
SADEWA PULANG
SADEWA GEA
SADEWA PULANG
SADEWA THYPODI
SADEWA VOMITUS
SADEWA HERNIA
ISOLASI DISPESIA
PERINATOLOGI HIPERBILIRUBIN

Ruang DX
AMARTA OPERAS
AMARTA CF MAXILA
ICU AMARTA CA NASOFARING
WIRATA SAH
WIRATA CA COLON
WIRATA PULANG
WIRATA PULANG
WIRATA PINDAH
WIRATA SNH
WIRATA DHF
WIRATA VOMITUS
WIRATA
WIRATA CA MAMAE
WIRATA OPERASI
WIRATA SJS
NARADA CF
NARADA AF
NARADA SINUSITIS
NARADA HIDROSEFALUS
NARADA ASMA HT
NARADA PASIEN HD
NARADA KONTRAKTUR
ISMAYA HIV\
ISMAYA DHF
PANDU PULANG
PANDU BATU URETER
PANDU PULANG

Ruang DX
SHINTA VES
SHINTA BATU URETER
SHINTA DM ANEMIA CA MAME
SHINTA
SRIKANDI ABSES MAXILA
SRIKANDI CKD ANEMIA ISK
SRIKANDI SNH
SRIKANDI
RATIH SNH
RATIH APP ANEMIA
RATIH DHF
RATIH CA MAMAE
RATIH
RATIH SNH ANEMIA
ICU GAGAL NAFAS
ICU OMI HIPOKALEMIA
ICU PPOK
RM IND GRUP KELENGKAPAN KEKURANGAN
_ P P LAB CT SCAN
PULANG
_ P P JAMINAN LAB FORM AKHIR
PULANG
_ _ _ LAB
_ P P DR GDS
_ P P LAB CT SCAN SEP
_ _ P LAB EKG SEP
LAB PA

_ _ P LAB CT SCAN KEPALA

DR
_ P P LAB CT SCAN KEPALA
_ P P LAB DR HENUE
_ P P LAB CT SCAN KEPALA
_ P P LAB LAPORAN OPERASI
_ P P LAB CT SCAN KEPALA
_ P P LAB USG ABDOMEN LAPORAN OPERASI
_ P P LAB CT SCAN KEPALA
_ P P LAB DR LAPORAN OPTIDAK ADA BACAAN USG
_ P P LAB CT SCAN KEPALA LAPORAN OPERASI
_ _ P LAB EKG
_ _ P LAB DR USG MAMAESEP
_ _ P LAB EKG THORAX JR SEP
_ _ P LAB DR THORAX
_ _ _ LAB EKG SEP CT SCAN KEPALA BASAHAN
LAB EKG CT SCAN SEP
RM IND GRUP KELENGKAPAN KEKURANGAN
PULANG
PULANG
PULANG
PULANG

PULANG
_ _ P LAB THORAX
_ P P LAB USG VASKULER
_ _ P LAB USG ABDOMEN
OPERASI
_ _ _ LAB
PULANG
_ _ _ LAB USG ABDOMEN
_ _ P LAB THORAX
_ P P LAB SPDT LAPORAN OPERASI
_ P P LAB LAPORAN OPERASI
_ P P LAB LAPORAN OPERASI
_ _ P LAB SEP
PULANG
_ P P LAB
PULANG
_ P P LAB
_ P P LAB USG ABDOMEN
_ P P LAB
_ _ P LAB
_ _ _ LAB

RM IND GRUP KELENGKAPAN KEKURANGAN

OPERASI
LAB
_ _ P LAB THORAX
CT SCAN KEPALA
_ P P DR PA CT SCAN ABDOMEN
PULANG
PULANG
PINDAH
_ P P LAB CT SCAN KEPALA
_ P P DR WIDAL
_ P P DR
_ P P
_ P P DR USG MAMAE PA
_ P P
DR
DR ANTEBRACHI
_ _ P DR EKG USG ABDOMEN
_ _ P DR SPN
_ _ P DR CT SCAN KEPALA THORAX
_ _ P DR EKG
_ _ P
_ _ P DR EKG
_ _ P DR TCM HIV CD4
_ _ P DR WIDAL
_ _ P
_ _ P DR USG UROLOGI BNO
_ _ P

RM IND GRUP KELENGKAPAN KEKURANGAN

_ _ P LAB AT
_ _ P LAB
LAB THORAX SPDT
_ _ P LAB
_ _ P LAB UL
_ _ P LAB

LAB RUJUKAN SUDAFORM AKHIR BELUM CT SCAN BASAHAN

_ P P LAB DR USG ABDOMEN SPDT
_ P P LAB DR
_ P P LAB DR

_ _ P LAB DR CT SCAN KEPTHORAX

_ P P LAB DR
_ P P LAB DR
_ _ P LAB DR
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-64-63-10 LASTRI 6-Jun-22 Hanis Setyono,BPJS KMJ

00-64-00-58 GIYARNO 12-Jun-22 Th Didit Wahyu BPJS KMJ
00-64-51-95 SUTRISNI 12-Jun-22 Nugrahanta DaBPJS KMJ
00-64-65-50 APRI KRISTIANINGSIH 14-Jun-22 Hendrato BudiBPJS KMJ
00-64-68-61 UJANG MULYADI 14-Jun-22 Th Didit Wahyu BPJS KMJ
00-64-58-06 SITI FATIMAH 14-Jun-22 Heru Priyanto,BPJS KMJ
00-64-10-45 ARI DWI ROMDHANI 14-Jun-22 Hanis Setyono,BPJS KMJ
00-63-56-53 ERY SRI SUSANTO 15-Jun-22 Ndarumurti PaBPJS KMJ
00-64-54-34 DEDE SRI WAHYUNI 15-Jun-22 Kristanto Yuli BPJS KMJ
00-64-68-93 ROCHANI WIDI HASTUTI 15-Jun-22 Yulius MulyamJasa Raharja KMJ
00-63-23-98 SARIYO 15-Jun-22 Yulius MulyamBPJS KMJ
00-64-69-15 TEDDY SISWANTO 15-Jun-22 Suroto,Prof.DrBPJS KMJ
00-64-57-70 NGABDI 15-Jun-22 Nurcahya ArdiBPJS KMJ
00-63-07-26 KARNI 16-Jun-22 Nurcahya ArdiBPJS KMJ
00-64-69-07 IMA KRISTIANA 16-Jun-22 Benny WidiantBPJS KMJ
00-64-65-06 SEMI LESTARI 14-Jun-22 Ndarumurti PaBPJS KRISNA
00-64-64-57 ANNISAH MAHARANI 15-Jun-22 Nugrahanta DaBPJS KRISNA
00-64-63-32 NUR WIDHI HASTUTI 15-Jun-22 AO. SuryanataBPJS KRISNA
00-64-55-11 SAMINEM 16-Jun-22 Benny WidiantBPJS KRISNA
00-64-69-85 RINI NURHAYATI 16-Jun-22 Hendrato BudiBPJS KRISNA
00-64-61-65 SINTIKE KARAENG 16-Jun-22 Benny WidiantBPJS KRISNA
00-64-69-30 WIWIK SUPARNI 16-Jun-22 Nugrahanta DaBPJS KRISNA
00-40-47-21 MIANDITA EKAWATI 16-Jun-22 Hendrato BudiRENCANA BPJS KRISNA
00-53-41-47 GAVIN RAFFASYA AGDIJ 15-Jun-22 Guntur Surya BPJS INDRA
00-54-36-81 MUHAMMAD AZHIM ARS 15-Jun-22 Fadhilah Tia NBPJS INDRA
00-59-60-60 ABRISAM DHAFIR HARAH 16-Jun-22 Dwi Hidayah,dBPJS INDRA
00-58-56-22 DAN ALARIC BASHIRA A 16-Jun-22 Mas Nugroho A BPJS INDRA
00-55-59-41 ALLYA PUTRI MAHARANI 12-Jun-22 Dwi Hidayah,dBPJS NAKULA
00-63-75-96 KHANZA AZELIA SHANUM 13-Jun-22 Amru Sungkar,BPJS NAKULA
00-60-25-27 TEGAR FAYYAD ALVAREN 14-Jun-22 Guntur Surya BPJS NAKULA
00-43-55-44 ADILA HAKIM 15-Jun-22 Dwi Hidayah,dBPJS NAKULA
00-56-64-66 BAGUS ZAIDAN PUTRA P 16-Jun-22 Fadhilah Tia NBPJS ISOLASI
00-64-67-24 MUHAMAD ARFA RIFAI 14-Jun-22 Dikahayu AlifiaBPJS SADEWA
00-41-00-04 WAHYU HENDRIK PRASET 14-Jun-22 Fadhilah Tia NBPJS SADEWA
00-27-66-88 MUHAMAD DAFFA AFIF 15-Jun-22 Yulidar Hafidz,BPJS SADEWA
00-64-68-51 ELRAFIF WIJAYA 15-Jun-22 Guntur Surya BPJS SADEWA
00-64-63-53 ARSYANENDRA WIRA CA 15-Jun-22 Dikahayu AlifiaBPJS PERINA
00-64-70-08 ARETA PRATISTA ALMAIR 16-Jun-22 Guntur Surya BPJS PERINA
00-41-87-73 SARJILAH 13-Jun-22 Tri Budi RaharBPJS AYODYA
00-28-76-97 PRAJITNO 15-Jun-22 CH. Budhi BaskBPJS AYODYA
00-64-67-13 DWI KARUNIA PUTRA 11-Jun-22 Ida Bagus MetrBPJS AYODYA
00-63-48-49 NANANG TRIYONO 14-Jun-22 Hanis Setyono,BPJS AYODYA
00-55-40-84 SONY HARYADI 16-Jun-22 Ndarumurti PaBPJS AYODYA
00-57-37-86 SUYAMTI 13-Jun-22 CH. Budhi BaskBPJS WISNU
00-35-56-11 SIGIT NURBIYANTO 13-Jun-22 Hendrato BudiBank Jateng WISNU
00-10-48-88 TRI PURNAMI SUSILO 15-Jun-22 CH. Budhi BaskBPJS WISNU

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-36-52-10 ERMA WINDIYANINGRU 14-Jun-22 Yulius MulyamJasa Raharja NARADA

00-58-82-47 SRI PARENG 14-Jun-22 Niniek PurwaniBPJS NARADA
00-64-63-85 SUHARSONO 15-Jun-22 Hanis Setyono,BPJS NARADA
00-64-69-18 EDI SARYOKO 15-Jun-22 Novita TjahyanBPJS NARADA
00-39-66-37 ATIK PRIYANTI 15-Jun-22 Yudhi Hajiant BPJS NARADA
00-64-69-42 SUMANTYO 15-Jun-22 CH. Budhi BaskBPJS NARADA
00-62-02-35 SAMUEL NGATNO RUMP 15-Jun-22 Amru Sungkar,BPJS NARADA
00-63-71-81 JIYEM 16-Jun-22 Nurcahya ArdiBPJS NARADA
00-64-45-26 RISMA AGUSTINA FAJAR 16-Jun-22 Benny WidiantBPJS NARADA
00-64-69-17 EDWARD GIBBOR PERDA 15-Jun-22 Hendrato BudiBPJS ISMAYA
00-17-25-31 DONO SUMARNO 13-Jun-22 Bimanggono He BPJS PANDU
00-39-97-93 ALMIRA SABRINA 16-Jun-22 Benny WidiantBPJS PANDU
00-61-58-77 TRI MULYANTI 12-Jun-22 Yudhi Hajiant BPJS WIRATA
00-39-68-26 N INDRIATNO WISNUMO 14-Jun-22 Tri Budi RaharBPJS WIRATA
00-57-76-94 KRISTINI 14-Jun-22 Niniek PurwaniBPJS WIRATA
00-55-83-79 MUHAMMAD ZAKIRISKI A 14-Jun-22 Dwi Hidayah,dBPJS WIRATA
00-52-54-59 NATHASA ADILA ARFIYA 15-Jun-22 Dwi Hidayah,dBPJS WIRATA
00-64-56-66 PAIKEM 15-Jun-22 Yulius MulyamBPJS WIRATA
00-54-63-01 SUDATI 15-Jun-22 Kristanto Yuli BPJS WIRATA
00-41-60-92 NUR ELLY SAEFUROH 15-Jun-22 AO. SuryanataBPJS WIRATA
00-60-91-02 DELAYA SANDHY KARTIKA 15-Jun-22 Arie Kusumawa INHEALTH INDEMWIRATA
00-38-55-21 BAMBANG MULYONO 16-Jun-22 Novita TjahyanBPJS WIRATA
00-60-15-85 FX RENDY RIANTO 16-Jun-22 Yulius MulyamRENCANA JASA RWIRATA
00-51-05-63 MURSITO 16-Jun-22 Nurcahya ArdiBPJS WIRATA
00-64-07-04 HADI SUSANTO 16-Jun-22 Yudhi Hajiant BPJS WIRATA
00-64-45-17 SUTARNO 15-Jun-22 AO. SuryanataBPJS AMARTA
00-64-69-58 ALFINO NURLATIF ARIW 15-Jun-22 Benny WidiantJasa Raharja AMARTA
00-56-10-82 SUMARDI 16-Jun-22 Yulius MulyamPRUDENTIAL INDAMARTA
00-64-57-51 HERU SUDRAJAD 16-Jun-22 Benny WidiantBPJS AMARTA
00-29-55-80 MARDJONO 16-Jun-22 Benny WidiantBPJS AMARTA
00-64-70-34 BUDI AYU LESTARI 16-Jun-22 Syabandrio WiRENCANA BPJS ICU AMARTA
00-44-24-98 MUH DAVID ROHADI WIJ 13-Jun-22 Bimanggono He BPJS SHINTA
00-47-04-33 SOEWARSIH 14-Jun-22 Ndarumurti PaBPJS SHINTA
00-47-61-89 TRIASWATI 14-Jun-22 Erwin GunawaBPJS SHINTA
00-55-76-26 PUTRI MASYITHO KHOIRU 15-Jun-22 Yudhi Hajiant BPJS SRIKANDI
00-64-68-75 SRI HARINI 15-Jun-22 Benny WidiantBPJS SRIKANDI
00-38-67-31 DWI MULYANI 15-Jun-22 Ratih Tri Kus BPJS SRIKANDI
00-64-69-59 NARSI 15-Jun-22 Suroto,Prof.DrRENCANA BPJS SRIKANDI
00-55-62-05 SOLIMADIYEM 16-Jun-22 Erwin GunawaBPJS SRIKANDI
00-64-60-90 SINDI INDRIYANI 16-Jun-22 Erwin GunawaBPJS SRIKANDI
00-60-94-56 TENOYO RAGIL SUTARYO 13-Jun-22 CH. Budhi BaskBPJS COB RATIH
00-61-08-34 RISTINA FATIMAH JULIAN 14-Jun-22 Sugandi HardjaBPJS RATIH
00-64-68-88 SRI WAHYU SETYANINGSI 15-Jun-22 Tri Budi RaharBPJS RATIH
00-63-39-74 KUSMIYATI 16-Jun-22 Ndarumurti PaBPJS RATIH
00-60-98-90 YASHIVA ALFITRA PRIMA 16-Jun-22 Nurcahya ArdiBPJS RATIH
00-64-63-00 SUWATI 16-Jun-22 Nurcahya ArdiBPJS RATIH
00-64-70-29 WIRDA SYADZA FIRDAUSI 16-Jun-22 Ira Syahriarti, BPJS RATIH
00-49-39-79 MOHAMAD YAMIN YASIN 12-Jun-22 Novita TjahyanBPJS ICU
00-28-48-50 SIHNO HARJO TARUNO 15-Jun-22 A.Farih RaharjBPJS ICU
00-64-70-13 DALIMAN MANTO SUMA 16-Jun-22 Th Didit Wahyu BPJS ICU
00-53-91-33 HADI PRASETYO 16-Jun-22 Habibie Arifia BPJS ICU
 diagnosa rm LM GRP KELENGKAPAN

ICH _ P P LAB DR CT SCAN KEPALA

SNH _ P P LAB DR CT SCAN KEPALA
ILEUS _ P P LAB DR
CHOLELITIASIS _ P P LAB DR USG ABDOMEN
SNH _ P P LAB DR CT SCAN KEPALA
MIOMA UTERI _ P P LAB DR
SKULL DEFECT _ P P LAB DR
DM _ P P LAB DR
CA MAMMAE _ P P LAB DR
CF ANTREBACHI _ P P LAB DR
DM ULKUS _ P P LAB DR
SNH _ P P LAB DR CT SCAN KEPALA
DM GLUKOMA _ P P LAB DR
OD PVV _ _ P LAB DR
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
DM PAD _ P P LAB USG VASKULER
CHOLELITIASIS _ _ P LAB USG ABDOMEN
MULTIPLE IMPACTED _ P P LAB DR PANORAMIC
ABSES MANDIBULA _ P P LAB DR PANORAMIC
GERD _ _ P LAB DR
MULTIPLE IMPACTED HT _ _ P LAB DR PANORAMIC
CHOLELITIASIS _ _ P LAB DR USG ABDOMEN
VOMITUS _ _ P LAB DR
APP _ _ P LAB DR
_ P P
DIARE _ P P LAB DR
BRONCOPNEUMONIA _ _ P LAB DR THORAX

KONTRAKTUR _ P P LAB DR
DIARE _ P P LAB DR
EPILEPSI _ _ P LAB DR
DEMAM TYPOID _ _ P LAB DR
DHF _ _ P LAB DR
VOMITUS _ _ P LAB DR
HERNIA _ _ P LAB DR
_ _ P
_ _ P
_ P P
CKD ANEMIA _ P P LAB DR
PULANG
PULANG
HIPOGLIKEMI _ _ P LAB DR
SNH _ P P LAB DR CT SCAN KEPALA
DHF _ P P LAB DR
GEA _ P P LAB DR

diagnosa rm LM GRP KELENGKAPAN

CF GALEAZZI
RVR _ P P LAB DR
HIDROSEPALUS _ P P LAB DR
ASMA _ P P LAB DR
GERD _ P P LAB DR
EFUSI PLEURA _ P P LAB DR THORAX
KONTRAKTUR _ P P LAB DR
OD AFAKSIA _ _ P LAB DR
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
DHF _ P P LAB DR
BATU GINJAL _ P P LAB DR
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
CA COLON _ P P LAB DR PA
SNH _ _ P LAB DR CT SCAN KEPALA
OMI _ _ P LAB DR
DHF _ _ P LAB DR
FEBRIS _ _ P LAB DR
OA GENU _ _ P LAB DR
CA MAMMAE _ _ P LAB DR
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
SJS _ _ P LAB DR
CHF _ P P LAB DR
CF DIGITI _ _ P LAB DR
OD AFASIA _ _ P LAB DR
DM _ _ P LAB DR
MULTIPLE IMPACTED _ P P LAB DR PANORAMIC
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
SEMUA SUDAH DI ISI
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
MULTIPLE IMPACTED _ _ P LAB DR PANORAMIC
_ _ P
DM _ P P LAB DR
ABSES MANDIBULA _ P P LAB DR PANORAMIC
_ P P
DM _ P P LAB DR
ABSES MANDIBULA _ P P LAB DR PANORAMIC
ANEMIA _ P P LAB DR
HEMIPARAE _ P P LAB DR CT SCAN KEPALA
SNH _ P P LAB DR SCAN KEPALA
APPENDICITIS _ P P LAB DR USG ABDOMEN
SNH _ P P LAB DR CT SCAN KEPALA
ULKUS _ _ P LAB DR
SUB LUKSATAN _ _ P LAB DR
SUB LUKSATAN _ _ P LAB DR

BRONCOPNEMONIA _ P P LAB DR THORAX AGD

AF VES _ P P LAB DR
ICH _ _ P LAB DR CT SCAN KEPALA
NSTEMI _ _ P LAB DR
 KEKURANGAN

NG
NG
 KEKURANGAN

FORM JR

DAH DI ISI
 LAPORAN HARIAN TANGGAL 18 JUNI 2022

No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang

00-64-63-10 LASTRI 6-Jun-22 Hanis Setyono,dr.,SpBS BPJS KAMAJAYA
00-64-00-58 GIYARNO 12-Jun-22 Th Didit Wahyu kuncoroBPJS KAMAJAYA
00-64-58-06 SITI FATIMAH 14-Jun-22 Heru Priyanto,dr.,SpOGBPJS KAMAJAYA
00-63-56-53 ERY SRI SUSANTO 15-Jun-22 Ndarumurti Pangesti,d BPJS KAMAJAYA
00-64-54-34 DEDE SRI WAHYUN 15-Jun-22 Kristanto Yuli Yarsa, dr BPJS KAMAJAYA
00-64-68-93 ROCHANI WIDI HAS15-Jun-22 Yulius Mulyamusada,drJasa RaharjaKAMAJAYA
00-63-23-98 SARIYO 15-Jun-22 Yulius Mulyamusada,drBPJS KAMAJAYA
00-64-69-15 TEDDY SISWANTO 15-Jun-22 Suroto,Prof.Dr.dr.,SpS( BPJS KAMAJAYA
00-64-57-70 NGABDI 15-Jun-22 Nurcahya Ardian BramaBPJS KAMAJAYA
00-63-07-26 KARNI 16-Jun-22 Nurcahya Ardian BramaBPJS KAMAJAYA
00-63-71-81 JIYEM 16-Jun-22 Nurcahya Ardian BramaBPJS KAMAJAYA
00-64-69-07 IMA KRISTIANA 16-Jun-22 Benny Widianto, drg, S BPJS KAMAJAYA
00-64-55-11 SAMINEM 16-Jun-22 Benny Widianto, drg, S BPJS KRISNA
00-64-69-85 RINI NURHAYATI 16-Jun-22 Hendrato Budiono,dr., BPJS KRISNA
00-64-61-65 SINTIKE KARAENG 16-Jun-22 Benny Widianto, drg, S BPJS KRISNA
00-64-69-30 WIWIK SUPARNI 16-Jun-22 Nugrahanta Dasa Putra,BPJS KRISNA
00-55-24-62 SULISTYO WATI 17-Jun-22 Benny Widianto, drg, S BPJS KRISNA
00-46-47-05 SURATNI 17-Jun-22 Tri Budi Raharjo AlexanBPJS RAMA
00-64-67-24 MUHAMAD ARFA RI14-Jun-22 Dikahayu Alifia A.,dr.,MBPJS SADEWA
00-41-00-04 WAHYU HENDRIK P 14-Jun-22 Fadhilah Tia Nur,dr.,Sp BPJS SADEWA
00-27-66-88 MUHAMAD DAFFA 15-Jun-22 Yulidar Hafidz,dr.,SpA(KBPJS SADEWA
00-64-70-38 DAMAR JANITRA 17-Jun-22 Amru Sungkar,dr.,SpBP BPJS SADEWA
00-64-70-84 SHOHIBUL MUL A 17-Jun-22 Diandra Nisitasari BPJS SADEWA
00-54-36-81 MUHAMMAD AZHI 15-Jun-22 Fadhilah Tia Nur,dr.,Sp BPJS INDRA
00-59-60-60 ABRISAM DHAFIR 16-Jun-22 Dwi Hidayah,dr.,SpA(K) BPJS INDRA
00-58-56-22 DAN ALARIC BASH 16-Jun-22 Mas Nugroho Ardi SantoBPJS INDRA
00-63-75-96 KHANZA AZELIA S 13-Jun-22 Amru Sungkar,dr.,SpBP BPJS NAKULA
00-43-55-44 ADILA HAKIM 15-Jun-22 Dwi Hidayah,dr.,SpA(K) BPJS NAKULA
00-64-64-90 SETYAWATI INTAN 17-Jun-22 AO. Suryanata,drg.,Sp BPJS NAKULA
00-64-42-96 ETRI LESTARI MAR 17-Jun-22 AO. Suryanata,drg.,Sp BPJS NAKULA
00-56-64-66 BAGUS ZAIDAN PU 16-Jun-22 Fadhilah Tia Nur,dr.,Sp BPJS ISOLASI
00-64-70-08 ARETA PRATISTA A 16-Jun-22 Guntur Surya Alam,dr., BPJS PERINATOLOGI
00-64-70-54 SOLIMADIYEM By. 17-Jun-22 Dwi Hidayah,dr.,SpA(K) BPJS PERINATOLOGI
00-55-40-84 SONY HARYADI 16-Jun-22 Ndarumurti Pangesti,d BPJS AYODYA
00-64-70-61 KASIJAH 17-Jun-22 CH. Budhi Baskara Widya BPJS AYODYA
00-64-47-26 SUMARNI 18-Jun-22 CH. Budhi Baskara Widya RENCANA BPAYODYA
00-28-76-97 PRAJITNO 15-Jun-22 CH. Budhi Baskara Widya BPJS AYODYA
00-62-37-26 MACHMUDI 17-Jun-22 Bimanggono Hernowo Mu BPJS AYODYA
00-25-46-47 SRI WINARNI 17-Jun-22 Ndarumurti Pangesti,d BPJS AYODYA
00-35-56-11 SIGIT NURBIYANTO 13-Jun-22 Hendrato Budiono,dr., Bank Jateng WISNU
00-64-63-64 SUSIANA WIDYASTI 17-Jun-22 Hendrato Budiono,dr., SINAR MAS AWISNU
 No.Rm nama pasien Tgl. Registrasi Dokter Perusahaan Ruang
00-58-82-47 SRI PARENG 14-Jun-22 Niniek Purwaningtyas,dBPJS NARADA
00-64-63-85 SUHARSONO 15-Jun-22 Hanis Setyono,dr.,SpBS BPJS NARADA
00-39-66-37 ATIK PRIYANTI 15-Jun-22 Yudhi Hajianto NugrohoBPJS NARADA
00-28-48-50 SIHNO HARJO TAR 15-Jun-22 A.Farih Raharjo, dr.,Sp BPJS NARADA
00-64-45-26 RISMA AGUSTINA F 16-Jun-22 Benny Widianto, drg, S BPJS NARADA
00-64-63-36 IDA RIAWATI 17-Jun-22 AO. Suryanata,drg.,Sp BPJS NARADA
00-39-97-93 ALMIRA SABRINA 16-Jun-22 Benny Widianto, drg, S BPJS PANDU
00-64-69-17 EDWARD GIBBOR 15-Jun-22 Hendrato Budiono,dr., BPJS ISMAYA
00-40-47-21 MIANDITA EKAWAT16-Jun-22 Hendrato Budiono,dr., BPJS ISMAYA
00-61-58-77 TRI MULYANTI 12-Jun-22 Yudhi Hajianto NugrohoBPJS WIRATA
00-64-56-66 PAIKEM 15-Jun-22 Yulius Mulyamusada,drBPJS WIRATA
00-54-63-01 SUDATI 15-Jun-22 Kristanto Yuli Yarsa, dr BPJS WIRATA
00-60-91-02 DELAYA SANDHY K 15-Jun-22 Arie Kusumawardani,drINHEALTH I WIRATA
00-38-55-21 BAMBANG MULYO 16-Jun-22 Novita Tjahyaningsih,drBPJS WIRATA
00-60-15-85 FX RENDY RIANTO 16-Jun-22 Yulius Mulyamusada,drBPJS WIRATA
00-51-05-63 MURSITO 16-Jun-22 Nurcahya Ardian BramaBPJS WIRATA
00-64-07-04 HADI SUSANTO 16-Jun-22 Yudhi Hajianto NugrohoBPJS WIRATA
00-43-55-61 ATRI KARTIKA WID 16-Jun-22 Erwin Gunawan,dr.,Sp BPJS WIRATA
00-64-70-40 YUONO ADI 17-Jun-22 Bimanggono Hernowo Mu BPJS WIRATA
00-64-70-50 SUTIMAN 17-Jun-22 AO. Suryanata,drg.,Sp BPJS WIRATA
00-64-69-58 ALFINO NURLATIF 15-Jun-22 Benny Widianto, drg, S Jasa RaharjaAMARTA
00-56-10-82 SUMARDI 16-Jun-22 Yulius Mulyamusada,drPRUDENTIALAMARTA
00-64-57-51 HERU SUDRAJAD 16-Jun-22 Benny Widianto, drg, S BPJS AMARTA
00-29-55-80 MARDJONO 16-Jun-22 Benny Widianto, drg, S BPJS AMARTA
00-64-70-34 BUDI AYU LESTARI 16-Jun-22 CH. Budhi Baskara Widya BPJS ICU AMARTA
00-64-70-82 SRI WARSINI,SE 17-Jun-22 Diandra Nisitasari RENCANA BPICU AMARTA
00-59-33-22 SITI ASMANAH 18-Jun-22 Lisye Elsina Kareni, dr BPJS ICU AMARTA
00-55-76-26 PUTRI MASYITHO 15-Jun-22 Yudhi Hajianto NugrohoBPJS SRIKANDI
00-64-68-75 SRI HARINI 15-Jun-22 Benny Widianto, drg, S BPJS SRIKANDI
00-38-67-31 DWI MULYANI 15-Jun-22 Ratih Tri Kusuma Dewi, BPJS SRIKANDI
00-55-62-05 SOLIMADIYEM 16-Jun-22 Erwin Gunawan,dr.,Sp BPJS SRIKANDI
00-64-60-90 SINDI INDRIYANI 16-Jun-22 Erwin Gunawan,dr.,Sp BPJS SRIKANDI
00-64-63-00 SUWATI 16-Jun-22 Nurcahya Ardian BramaBPJS SRIKANDI
00-47-61-89 TRIASWATI 14-Jun-22 Erwin Gunawan,dr.,Sp BPJS SHINTA
00-61-08-34 RISTINA FATIMAH 14-Jun-22 Sugandi Hardjanto,dr., BPJS RATIH
00-64-68-88 SRI WAHYU SETYA 15-Jun-22 Tri Budi Raharjo AlexanBPJS RATIH
00-63-39-74 KUSMIYATI 16-Jun-22 Ndarumurti Pangesti,d BPJS RATIH
00-60-98-90 YASHIVA ALFITRA 16-Jun-22 Nurcahya Ardian BramaBPJS RATIH
00-64-70-29 WIRDA SYADZA FIR 16-Jun-22 Ira Syahriarti,dr.,SpOG BPJS RATIH
00-64-70-76 SULIS SETIANI 17-Jun-22 Erwin Gunawan,dr.,Sp BPJS RATIH
00-49-39-79 MOHAMAD YAMIN 12-Jun-22 Novita Tjahyaningsih,drBPJS ICU
00-64-68-61 UJANG MULYADI 14-Jun-22 Th Didit Wahyu kuncoroBPJS ICU
00-64-70-13 DALIMAN MANTO 16-Jun-22 Th Didit Wahyu kuncoroBPJS ICU
00-53-91-33 HADI PRASETYO 16-Jun-22 Habibie Arifianto, dr.,S BPJS ICU
00-47-37-99 MARCELLA EKA SE 17-Jun-22 Fadhilah Tia Nur,dr.,Sp BPJS PICU
AN TANGGAL 18 JUNI 2022

DX RM indGROP KELENGKAPAAN KEKURANGAAN

ICH _ P P LAB DR CT SCAN KEPALA AGD
SNH _ _ P DR CT SCAN KEPALA
TUMOR OVARIUM _ P P DR DR SPDT USG TIDAK ADA BACAAN
DM OMI _ P P DR GDP
CA MAMAE _ _ _ DR SPDT USG MAMAE
CF ANTEBRACHI FORM JR BELUM, ANTEBRACHI BASAAN
DM ULKUS _ P P LAB DR
SNH _ P _ DR CT SCAN KEPALA
GLUKOMA _ P _ DR CT SCAN KEPALA
POLI MATA
POLI MATA
FRAKTUR DENTAL _ _ _ LAB DR PANORAMIC
PULANG
ANEMIA _ P P DR SPDT
PULANG
CHOLELITIASIS _ P P DR USG ABDOMEN
OPERASI
SNH _ _ P DR CT SCAN KEPALA
DEMAM TYPOID _ P P DR SALMONELA
DHF _ _ P LAB DR
VOMITUS _ P P LAB DR
LABIOPLASTI _ P _ LAB DR
VOMITUS _ _ _ LAB DR
PULANG
GEA _ _ P LAB DR
BRPN _ _ P LAB DR THORAX
KONTRAKTUR _ _ P LAB DR SPDT
TYPOID _ _ P LAB DR THORAX
MULTIPLE IMAPCTED _ P P LAB DR THORAX
OPERASI
DEMAM TYPOID _ _ P LAB DR
HISPRUNG _ _ _ LAB DR BILIRUBIN
BBLR _ _ _ DR BELUM JADI
DM _ _ _ LAB DR EKG SEP BELUM
COLIC ABDOMEN SUSP _ _ P LAB USG ABDOMENSEP BELUM
NHL HT _ P P LAB IMUNOHISTOKECHO HASIL
CKD CHF _ _ P LAB SPDT EKG SEP BELUM
BPH TUR _ _ _ LAB USG ABDOMEN
COLIC ABDOMEN _ _ _ LAB USG ABDOMEN
FEBRIS DD DHF RUJUKAN SUDAH, DR SPDT FORM AKHIR BELUM
APP
 DX RM GROPIND KELENGKAPAAN KEKURANGAAN
PULANG
PULANG
COLIC ABDOMEN SUSP APP LAB
IHD _ _ P LAB DR EKG ECHO
PULANG
OP ODONTECTOMY _ _ P LAB PANORAMIC
MULTIPLE IMAPCTED HYPERTIROID
DHF _ _ P LAB AT 18/06
GERD _ _ P LAB DR, USG ABDOMEN
PULANG
OA GENUE DM _ _ P LAB DR, GENUE, L.OPERASI
PULANG
SJS FORM AWAL SUDAH FORM AKHIR BELUM, LAB DR
CHF IHD _ _ P LAB EKG
CF DIGITI _ _ P LAB DR PEDIS
POLI MATA
DM NEGROPATI _ _ P LAB RENCANA HD CATH
POST PARTUM KPD _ _ P LAB
OBSTRUKSI URETER _ _ P LAB BNO USG
ABSES MANDIBULA _ _ P LAB PANORAMIC THORAX EKG
CF MAXILA LAB
RE FRAKTUR FEMUR S AWAL, SP SUDAH FORM AKHIR BELUM
PULANG
PULANG
B20 GAGAL NAFAS _ _ P B20 GAGAL NAFAS
STEMI ANTERIOR _ _ P LAB THORAX EKG BPJS DENDA BARU DIURUS, RENCANA RUJUK
SNH _ _ P LAB CT SCAN THORAX EKG
DM BPPV _ _ P LAB DR GDS
ABSES MANDIBULA _ _ P LAB EKG PANORAMIC CT SCAN BELUM DIBACAKAN
CKD OEDEM PULMO _ _ P LAB SPDT
HAMIL ATERM LETAK LINTANG POST SC
POST PARTUM THALASEMIA SC LAB
POLI MATA
KPD SC _ _ P LAB
APP ANEMIA LAPARASCOPY LAB DR, USG ABDOMEN SPDT
SNH _ _ P LAB CT SCAN KEPALA
DM ULKUS _ _ P LAB DR GDS
POLI MATA
KPD SC _ _ P LAB DR, SPDT, LAPORAN MASUK
HEG _ _ P LAB
GAGAL NAFAS _ _ P LAB LAPORAN VENTILATOR
MENINGGAL
ICH POST CRANIOTOM _ _ P LAB CT SCAN
CKD ON HD HT EMERG _ _ P LAB DR THORAX
KONVULSI EPILEPSI _ _ P LAB