YAYASAN BINA UMM

RUMAH SAKIT ASYIFA PAM

Jl. Mandilaras No.88-90 Telp.(03

LAPORAN BULANAN RAW

Bulan : Oktober 2014
NO
1
2
3
4
5
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9
10
11
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13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

NO RM
14/09/2742
14/09/2743
14/09/1265
14/09/2747
14/09/2748
14/09/2755
14/09/0247
14/09/2754
14/09/1565
14/09/2770
14/09/2762
14/09/2708
14/09/0905
14/09/2760
14/09/2236
14/09/0072
14/09/1564
14/09/2761.
14/09/2772
14/09/2724
14/08/2427
14/09/2759
14/09/2768
14/09/2777
14/09/2780
14/09/2773
14/09/2751
14/09/2787
14/09/1591
14/09/2785
14/09/2786
14/09/2793
14/09/2790
14/09/2797
14/09/2788

NAMA
Ny Fida Fitriya
Sdr Ramadanus
By Rafi r
Tn Abd Jalal
Ny Nurul Isniani
Ny Hj Ramlah
Ny Farihah
Tn Syafii
Ny Saninten
Ny Saptumi
Ny Nurul Sufiyana
Tn Mat Halim
Tn Djufri
Ny Siti Suhairiyah
An Ilham Setya B
Ny Maimunah
Ny Nuryana
Tn H Muhamad
Tn Ashari
Tn Muhamad
Nn Maiyana
Tn Dodi Hariyanto
Ny Suwani
Tn Ali Sudin
Ny Hj Juhairiyah
Tn Moh Saleh
Tn Hanafi
Nn Nurul Laili
Ny Mastuah
Tn Abd Hadi
Ny Nuriyeh
An Fatin Iradotin H
Tn Salawi
An Nayla Putri
Sdr Armanda

JK
L

P
P

L
L
L
P
P
P
L
P
P
P
L
L
P
L
P
P
L
L
L
P
L
P
L
P
L
L
P
P
L
P
P
L
P
L

USIA
( th )
34
13
19
60
42
78
31
60
50
75
40
54
60
40
6
55
35
61
55
51
21
29
42
65
65
46
65
13
60
34
45
16BLN
65
17BLN
17

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
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78

14/09/0202
14/09/2789
14/09/2784
14/09/1593
14/09/1540
14/09/1599
14/09/2913
14/09/0228
14/09/
14/09/2723
14/09/2781
14/10/0233
14/10/
14/10/0235
14/10/2909
14/10/2799
14/10/2915
14/10/0237
14/10/
14/10/2806
14/10/2919
14/10/2598
14/10/2938
14/10/1236
14/10/1603
14/10/1615
14/10/1469
14/10/1610
14/10/2942
14/10/2920
14/10/0241
14/10/
14/10/0239
14/10/
14/10/2934
14/10/2943
14/10/1618
14/10/1621
14/10/1517
14/10/1617
14/10/1616
14/10/2948
14/10/0204

Tn Sa'rani
Ny Nora
Ny Amrotun
Ny Sukarsih
Ny Astiyah
Tn Umar
An Mahtuatus Sholikha
Ny Nurul
By Nurul
Tn H Romli
By Abd Hamid Panji
Ny Sumarti
By Ny Sumarti
Ny Hoiriyah
Ny Debiyeh
Tn Mafud
Tn Sugianto
Ny Sauzan
By Ny Sauzan
Tn Burawi
Tn Yazid
Tn Toha
Ny Hosen
Ny Suparwati
Ny Ymna
Ny Rubbah
Nn Nurus Solehah
Tn Sarnilam
Ny Lilik Yuningsih
An Robi Putra W
Ny Rahmatul
By Ny Rahmatul
Ny Sulis
By Ny Sulis
Sdr Moh Faqih
Sdr Rahmadani
Ny Musliha
Ny Atmiyeh
Ny Jumaidah
Ny Safiah
Tn Abd Gani
Ny Hana
Ny Hidayatul

L
P
P
P
P
L
P
P
P
L
L
P
P
P
P
L
L
P
P
L
L
L
P
P
P
P
P
L
P
L
P
P
P
P
L
L
P
P
P
P
L
P
P

42
30
25
30
42
40
9
32
0
50
9BLN
29
0
34
45
75
54
33
0
80
6
70
40
50
49
25
18
55
57
2
19
0
23
0
16
13
15
60
45
55
35
35
21

79
80
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111
112
113
114
115
116
117
118
119
120
121

14/10/2953
14/10/2969
14/10/2977
14/10/2975
14/10/2974
14/10/2965
14/10/2952
14/10/2967
14/10/2968
14/10/1596
14/10/1623
14/10/2751
14/10/2976
14/10/1372
14/10/2980
14/10/1626
14/10/2970
14/10/2989
14/10/2982
14/10/1638
14/10/2985
14/10/0249
14/10/
14/10/2990
14/10/3007
14/10/2993
14/10/3008
14/10/3023
14/10/0251
14/10/3000
14/10/3016
14/10/2991
14/10/3026
14/10/1505
14/10/1662
14/10/1654
00/14/10/2996
00/14/10/3027
01/14/10/1658
01/14/10/1644
00/14/10/3040
05/14/10/8252
05/14/10/

Ny Nur Satriyah
Nn Yani
Ny Hikmayanti
Ny Habibah
Tn Misnadin
Tn Moh Toha
Ny Sumyati
Tn Limin
Ny Diah
Ny Eka Ferawati
Tn Munawir
Tn Hanafi
Tn Su'id
Ny Romanten
Ny Sulama
Ny Sulastri
Ny Jumaiyah
Tn Hayat
Ny Mawaroh
Tn Saprawi
Ny Nurjanah
Ny Nadifatul
By Ny Nadifatul
An Qodrun Nada
By Safika
Tn Junaidi
Ny Safiyah
Tn H Abd Kadir
Ny Samailina
Nn Wardatul
Tn Moh Romadhon
Ny Asiyah
Ny Madiyeh
Ny Suraida
Tn Hidayat
Tn Aryo
Tn Simo
Tn Sukandar
Tn Musenep
An Ilham
Ny Sahrami
Ny Maria Ulfa
By Maria Ulfa

P
P
P
P
L
L
P
L
P
P
L
L
L
P
P
P
P
L
P
L
P
P
P
P
P
L
P
L
P
P
L
P
P
P
L
L
L
L
L
L
P
P
P

46
17
48
63
45
55
55
52
15
34
70
65
60
50
75
60
45
47
50
55
48
22
0
4BLN
1
45
30
65
55
16
30
53
70
40
44
30
44
35
63
8
31
26
0 hr

122
123
124
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127
128
129
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133
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142
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158
159
160
161
162
163
164

05/14/10/3046
05/14/10/
01/14/10/1661
01/14/10/1645
01/14/10/1659
01/14/10/1650
01/13/12/1076
01/14/09/1478
00/14/10/3044
00/14/10/3043
05/14/10/0256
05/14/10/
00/14/10/3045
00/14/10/3005
01/14/10/1658
00/14/10/3066
01/14/10/1658
00/14/10/3067
01/14/10/1603
00/14/10/3050
01/14/10/1672
00/14/10/3016
00/14/10/3028
00/14/10/3029
01/14/10/1655
00/14/10/3030
00/14/08/1311
01/14/10/1649
00/14/10/3056
00/14/07/1950
00/14/10/3069
00/14/10/3070
05/14/10/0258
05/14/10/0261
05/14/10/0259
05/14/10/
00/14/10/3074
00/14/10/3084
00/14/10/3092
00/14/10/3081
00/14/10/3080
00/14/10/3097
00/13/08/3054

Ny Munirah
By Munirah
Ny Rukmini
Ny Jumina
Ny Masiyah
Ny Haliya
Ny Samaih
Ny Sainah
Ny Sahirah
Ny Rubaya
Ny Patihatur
By Patihatur
An Ibnu Alfin
Tn H Maun
Tn Budin
Ny Misnawiyah
Tn Jumal
Ny Hj Ainiyah
Ny Yumna
Ny Sukarni
Ny Satumi
Tn Moh Romadhan
Tn Guntur
Tn Feri Eka Hadi
Ny Masrina
Ny Nurhayati
Tn Ali Topan
Tn Mufahran
Sdr Syaifullah
Tn Hasbullah
Nn Rofiah
Sdr Hasbullah
Ny Nurul Fajariyah
Ny Jumariyah
Ny Nur yaroh
By Nur yaroh
Nn Nur Mutmainah
Ny Naidah
Sdr Imam Hanafi
Tn Abdus Sukur
Ny Safiona
An Sulistiawati
Ny Hj Subaidah

P
P
P
P
P
P
P
P
P
P
P
P
L
L
L
P
L
P
P
P
P
L
L
L
P
P
L
L
L
L
P
L
P
P
P
P
P
P
L
L
P
P
P

36
0 hr
45
47
45
75
35
60
43
38
23
0 hr
7
62
57
32
65
90
49
31
39
30
53
33
46
40
66
61
13
55
19
12
30
18
24
0 hr
15
70
15
82
62
75
55

165
166
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192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207

00/14/10/3086
00/14/09/1530
00/14/10/3098
00/14/10/3099
01/14/10/0785
01/14/10/3103
01/14/10/1685
00/14/10/3104
00/14/10/3108
01/14/10/1699
01/14/10/1696
01/14/10/1691
00/14/10/3111
00/14/10/3116
01/14/10/1603
05/14/10/0262
05/14/10/
00/14/10/1681
00/14/10/3117
00/14/10/3100
01/14/09/1501
00/14/10/3119
00/14/10/3122
00/14/10/3126
00/14/10/3124
00/14/10/3125
00/14/10/3127
00/14/10/3136
00/14/10/3135
00/14/10/3146
00/14/10/2987
00/14/10/3142
01/14/10/1649
00/14/10/1677
01/14/10/1721
00/14/10/3148
00/14/10/3156
00/14/10/2942
00/14/10/3154
00/14/10/3153
00/14/10/3159
01/14/10/1728
00/14/10/3169

Tn Mustan Jakfar
Tn Said
Tn Marjewi
Ny Siti Aminah
Tn Halimin
An Alfia
Ny Alwiyah
Ny Hatifah
Ny Sanah
Ny Hj Fatimah
Ny Patmi
Ny Rusmiyati
An Ismail
An Moh Ulum
Ny Yumna
Ny Indri Karmila Sari
By Indri Karmila Sari
Tn Mustaji
Ny Hj Juhara
Tn Kurdi
Ny Saimah
Ny Umma
Ny Endang Herawati
Ny Azizah
Ny Amna
Sdr Khairul A
Ny Asis
Ny Yetti
Tn Moh Sadik
Ny Fatimah
An Anisa
An Fahri
Tn Mufahran
An Sakrul Anam
Tn Abd Azis
Tn Musahwi
Ny Misrai
Ny Lilik Yuningsih
Sdr Azmi
Tn Mahfud
Ny Sumyani
Ny Suhairiyah
Ny Tija

L
L
L
P
L
P
P
P
P
P
P
P
L
L
P
P
P
L
P
L
P
P
P
P
P
L
P
P
L
P
P
L
L
L
L
L
P
P
L
L
P
P
P

40
45
70
40
6
10 bln
49
42
40
45
45
53
20
8
49
23
0 hr
72
90
54
52
60
39
50
80
16
75
36
76
80
7
3.5
61
2.5
45
55
60
57
19
35
30
24
65

208
209
210
211
212
213
214
215
216
217
218

05/14/10/0266
05/14/10/
05/14/10/0264
05/14/10/
00/14/10/3151
01/14/10/1714
01/14/10/1689
01/14/10/3150
00/14/10/3162
00/14/10/3094
00/14/10/3172

Ny Wahidah
By Wahidah
Ny Habsatun
By Habsatun
Ny Nyai Mutik
Ny Sunatiyah
Tn Mastuyan
Tn Sanudin
Tn Ridwan
Ny Aisyah
Tn H Mursit

P
P
P
P
P
P

L
L
L
L

25
0 hr
34
0 hr
50
52
54
80
68
P
30
67
Jumlah lama rawat inap pasien sel
Jumlah rata-rata hari rawat pasien

Ket: (pasien pulang)

1. APS
2. Meninggal
3. Rujuk
Mengetahui,
Direktur RS. Asyifa Husada

dr. Sulistiawan, Sp. OT

YAYASAN BINA UMMAT

RUMAH SAKIT ASYIFA PAMEKASAN
Jl. Mandilaras No.88-90 Telp.(0324)334100
LAPORAN BULANAN RAWAT INAP
ALAMAT
Jl Brawijaya
Sampang
Larangan
Pakong
Masjid Bagandan
Jembatan Baru
Tatangoh
Sokobenah
Sampang
Panglegur
Jl Sersan Mesrul
Sumenep
Pademawu
War
Murtajih
Pakong
Bujur
Sumenep
Jl Jingga
Bandaran
Blega
Pademawu
Panglegur
Penangguan
Kadur
Sokobenah
Kertagenah
Banyuates
Camplong
Sana Laok
Ketapang
Tlanakan
Palengaan
Proppo
Parteker

DIAGNOSA
HT
Tonsilitis
Thypoid
Anemia + HM + Hipoalbumin
DM + GEA
GEA + HT
Partus
Orchitis
Tu Palpebra
Thipoid + GE
Syndroma Dispepsia
Dispepsia
Cholelitiasis : Susp SH
DF + DM
ISPA
Prolap Uteri
Fibrolipoma
BPH
App Perforasi
Tu Sub Mandibula
Auto Imun Hemolitik Anemia
GEA
Of Os Tibia Fibula (S)
Premoni
CVA Infark
HIL (S)
Haemoroid
APP
Batu Ureter + Hidro Pyenefrosis
Fibrolipoma
Thipoid
ISPA
Stephen Jonshon
GEA
COR

RUANGAN
VIP
KLS
SAL

Bujur
Jl Kemayoran
Karang Penang
Camplong
Sampang
Sampang
Jelmak
Jelmak
Omben
Sokobenah
Tampojung
Tampojung
Pongkoran
Camplong
Ambunten
Nyalabu
Jl Pramuka
Jl Pramuka
Pragaan
Larangan
Pamoroh
Pagentenan
Jl Sersan Mesrul
Kolpajung
Sampang
Larangan
Pagentenan
Jl Pintu Gerbang
Jl Stadion
Batu Ampar
Batu Ampar
Pasean
Pasean
Bata-Bata
Jl Masegit
Omben
Kowel
Sampang
Sumenep
Tamberu
Karang Penang
Larangan

Struma + Kontraktur
Thipoid
Tu Mamae (D)
7 Fibrolipoma
Ca Mamae (D)
DM
Multiple cf femur + COR
Fams Normal
BBL R
ISK
Pnemonia
SC
BBL
KET
Abses Gluteus
Ca Buli
Thipoid +DM
Partus
BBL
H Inkarsekta (D+S)
BBB
BPH TURP
Fibrolipoma
Fibrolipoma
Ca Mamae + DM
Struma
Kista Ovari D+S
HIL (D)
Nefrolitiasis (D)
Kejang Demam
SC
BBL
SC
BBL
Combosio
Dengue Fever
Tu Sub Mandibula
HIL (D)
Ca Mamae pro kemoterapi
Ca Mamae pro kemoterapi
HIL (D)
Kista Ovari
Kontipasi dengan gravida

Durbuk
Tamberu
Sumenep
Jl Stadion
Larangan
Perenduan
Sokobenah
Blumbungan
Budengan
Sumenep
Omben
Kartagenah
Sumenep
Tlambeh
Sumenep
Palengaan
Nyelabu
Jl Pintu Gerbang
Panglegur
Saronggi
Bluto
Larangan
Larangan
Pasean
Karang Penang
Kadur
Jl Trunojoyo
Waru
Jl Dirgahayu
Sumenep
Jl Rajawali
Pongkoran
Omben
Pagentenan
Tamberu
Batu Marmar
Karang Penang
Pakong
Pasongsongan
Waru
Guluk-guluk
Proppo
Proppo

COR
Thipoid
Sepsis + CKD
Ulkus + DM
Cholelitiasis
SH + DM
MH + Anemia
Chespaint
DHF
Hemoroid
HIL
Hemorage Post Op Hemoroid
Limfangioma
Struma
Tu Panggul +HT
Nefrolitiasis (D)
Nefrolitiasis (S)
Thipoid + DM
GEA + DM
HIL
Ca Mamae (D)
SC
BBB
ISPA
Thipoid Fever
Perianal Fistel
Thipoid
TB Paru
Mioma Uteri
Peritonsilitis
DHF
DM + ISK + Syok Sepsis
Tu Intra Abdoment
Ca Mamae
HIL
Tu Punggung + Tangan
Struma
HIL
BBB
Limfargioma
DC stage V
Partus
BBL R

Cen-lecen
Cen-lecen
Saronggi
Pasean
Sampang
Kolpajung
Guluk-guluk
Gapura
Karang Penang
Waru Barat
Dempoh Timur
Dempoh Timur
Bukek
Duko Timur
Manding
Sumenep
Sumenep
Blumbungan
Kolpajung
Sumenep
Batu Bintang
Sampang
Sampang
Galis
Pasean
Prenduan
Pegantenan
Proppo
Karang Penang
Peltong
Karang Penang

Partus
BBL R
Fibrolipoma
Fibrolipoma
Struma
HIL
Fibrolipoma
Kemoterapi Ca. Mamae
HT
Asites
Partus
BBL
Thipoid + Morbili
TB Paru
Batu Pyelum
Decom Cordis
BPH
PJK + Cher Pain
Ca. Mamae (S)
Struma Multinudosa
Cholelitiasis
Thipoid
PJK + Stemi
Hapatitis
Tu. Ovari
Ca Mamae Kemoterapi
HIL (S)
BPH
BBB
AFF Stend (S)
Susp. Inct + Thipoid
Batu Ureter (S)
OBS HIL
Kuret
Partus
BBL R
Thipoid
Herpes zoster
Thipoid
PPOK
SH + HM
Neurofibroma
DM + Dispepsia

Thipoid Fever
Struktur Uretra
H. Duplex
Fibrolipoma
BPH
Diare Akut
HIL (S)
Fibrolipoma + DM
Ca. Mamae
Fibrolipoma
Mioma Uteri
Perianal Fistel
Diare Akut
Tonsilitis Akut
DM + Post op Ca mamae
SC
BBL
Hidrokel (s)
CRF
HIL (S)
Tu Coli
Mioma Uteri
Thipoid
HT + Vertigo
GGK +Selulitis Pedis
Ileus Paralitik
GEA
Sepsis
Faringitis
PJK + Syndroma Dispepsia
Tonsilitis
H. Inkerserata
Orchitis
HIL
HIL (D)
Tu Coli
Cholelitiasis
CKD + DM
Thipoid
CKD
Fibrolipoma
Batu Ureter (S)
Nefrolitiasis (D)

SC
BBL
SC
BBL
Ulkus Pedis + DM
Batu Pyelum
BPH TURP
BPH TURP
Ca Buli
Batu Ureter

lah lama rawat inap pasien selama satu bulan

lah rata-rata hari rawat pasien

Pamekasan,26 Oktober 2014

Kepala Ruangan IRNA

Sri Amalia, AMd. Kep.

Bedaesarkan Jenis Klamin

NO

KP

LR
( hari )

0
KRS

KET

Jenis Kelamin

Laki-laki

Perempuan
JUMLAH

Bedasarkan Usia
No

Usia (tahun)

0-6hr

7-28hr

28-4th

1-4th

5-14th

15-24th

25-44th

45-64th

>65th
JUMLAH

Klasifikasi Penyakit
NO

KLASIFIKASI PASIEN

Bedah

Interna

Paru

Anak

Saraf

Ortopedi

Kandungan
JUMLAH

DATA PASIEN OPNAME

DI RUANG PERAWATAN RUMAH SAKIT ASYIFA PAMEKASAN
`

Bulan September 2014

JUMLAH

KET

Sepuluh Penyakit Terbanyak

NO

JUMLAH

KET

DIAGNOSA

Thipoid

HIL

DM

Fibrolipoma

Ca Mamae

GEA

BBB

BPH

SC

10

Struma

11

Lain-lain
JUMLAH

JUMLAH

KET

Mengetahui,
Direktur RS. Asyifa Husada

dr. Sulistiawan, Sp. OT

JUMLAH

KET

17
14
14
12
11
11
8
7
7
6
111
218

Pamekasa, 26 Oktober 2014

Kepala Ruangan IRNA

Sri Amalia, AMd. Kep