REKAM MEDIS RSU "DARMAYU" PONOROGO

DATA PASIEN RAWAT INAP

BULAN MEI 2016
624

500

124

am
ek
R
o.
N

NO
M

Nama Pasien

is
ed

Umur

a
m
La

ru
Ba

095070

- Boiran, Tn

44 th

095071

- Frida Ayu Palupi, An

12 th

095073

- Mino, Tn

51 th

095074

- Kusno, Tn

76 th

093266

1 Abizar Gibran, An

7 bln

095066

1 Yuri Mindarko

34 th

095075

- Impun, Tn

55 th

095087

- Tuman, Tn

57 th

095021

1 Tri Asmoro, Tn

34 th

10

095101

- Parto, Tn

55 th

11

095106

- Muh. Ghofar, Tn

35 th

12

090354

1 Agung Triyanto, Tn

46 th

13

095107

- Sihmi, Ny

14

095109

- Inta Setya Ningrum, Ny

20 th

15

095112

- Sakimun, Tn

58 th

16

095113

- Lina Purnamasari, Ny

22 th

17

095114

- Lina Purnamasari, By, Ny

1 hari

18

059070

1 Iqbal Zaki Dwi, An

6,5 th

19

095125

1 Tumirah, Ny

86 th

20

095128

- Tokgijono, Tn

67 th

21

095110

- Hendra Jaya, An

10 th

22

095136

- Suryatin, Ny

64 th

23

095117

- Raisa Amalia, An

2 th

24

095126

- Heri Eka, Ny

1 har

25

095127

- Heri Eka, By, Ny

1 hari
23 th

26

095139

- Lina Purwati, Ny

27

095140

- Lina Purwati, By, Ny

1 hari

28

094964

1 Sulamto, Tn

49 th

29

095115

- Rahima Yaalato, An

7 th

30

086924

1 Titin Ardiyanti, Ny

15 th

31

095142

- Kiyem, Ny

52 th

32

093744

1 Tukirin, Tn

56 th

33

095143

- Aurel Rafid Dinantya, An

7 th

34

095146

- Erna Susanti, Ny

33 th

35

095147

- Erna Susanti, By, Ny

1 hari

36

094709

1 Erva Romzul, Ny

34 th

37

095148

- Wiji, Tn

70 th

38

095149

- Tri Mulyono, Tn

43 th

39

095152

- Ernawati, Ny

28 th

40

095154

- Sirin, Tn

68 th

41

095156

- Revi Nuaritasari, Ny

36 th

42

095157

- Revi Nuaritasari, By, Ny

1 hari

43

095158

- Masda Kurniawati, Ny

30 th

44

095159

- Masda Kurniawati, By, Ny

1 hari

45

095161

- Supiana, Ny

28 th

46

095171

- Siti Winarsih, Ny

53 th

47

091429

1 Kasri, Ny

56 th

48

095172

- Pradipta, An

1,5 th

49

095174

- Painem, Ny

60 th

50

095173

- Subandi, Tn

64 th

51

094692

1 Yuliana, Ny

31 th

52

095179

- Sirus, Tn

88 th

53

095181

- Nazwa Adelya P, An

4 th

54

095182

- Katemi, Ny

57 th

55

095186

- Salamun, Tn

78 th

56

095187

- Sumarsih, Ny

75 th

57

095189

- Sutiani, Ny

37 th

58

095188

- Firda Raissa R, An

12 th

59

095092

1 Sulfiana Nur A, Nn

18 th

60

095190

- Martini, Ny

49 th

61

095193

- Boimin, Tn

60 th

62

095191

- Mardi, Tn

57 th

63

095204

- Prihatin, Ny

76 th

64

095184

- Ariel Ramadhani, An

8 th

65

095197

- Warni, Ny

51 th

66

093280

1 Marem, Ny

47 th

67

090120

1 Priangga Hendra Permana, Tn

26 th

68

095201

- Roni Handoyo, Tn

24 th

69

095199

- Sainem, Ny

62 th

70

068442

1 Rukanah, Ny

49 th

71

095203

- Hariyono, Tn

63 th

72

095202

- Dimen, Tn

50 th

73

095205

- Istiwati, Ny

36 th

74

095207

- Afifah Ika, Ny

26 th

75

095208

- Afifah Ika,By, Ny

1 hari

76

095206

- Rohmat, Sdr

25 th

77

095210

- Umatin, Ny

40 th

78

095211

- Umatin, By, Ny

1 hari

79

078656

1 Indri Novitasari, Ny

27 th

80

095212

- Indri Novitasari, By, Ny

1 hari

81

095213

- Rina Andayani, Ny

23 th

82

095214

- Rina Andayani, By, Ny

1 hari

83

095217

- Masfiati, Ny

75 th

84

095247

- Sulastri, Ny

30 th

85

095220

- Kenes Kinanti, An

3 th

86

095223

- Astin Almian, Ny

24 th

87

095224

- Astin Almian,By, Ny

1 hari

88

095221

- Aldo Nur Wijayanto, An

7 th

89

085057

1 Muh Agung Satria, Sdr

19 th

90

095243

- Naufal Mahmubin Habibi, An

20 bln

91

069572

- Aisyah, An

8 th

92

094092

- dr. Pita Nurhayani, Ny

30 th

93

095246

- Andreas Putra Valentino, Sdr

17 th

94

095251

1 Eko Prasetyo, Tn

31 th

95

095253

- Sugito, Tn

57 th

96

095258

- Afrinnisa Aulia, An

11.5 bln

97

095260

- Arsya Gibran Mahardika, An

13 hari

98

095262

- Irma Kusumawati, Ny

36 th

99

095261

- Musrini, Ny

51 th

100

095263

- Latri, Ny

42 th

101

095264

- Ana Nuryaningsih, Ny

60 th

102

089309

1 Dafa Yekti, An

10 th

103

095272

- Juwarini, Ny

55 th

104

079095

1 Alimin, Tn

66 th

105

095239

- Elsa Ayudia Putri, An

3 th

106

095269

- Hariyanti, Ny

38 th

107

095270

- Hariyanti, By, Ny

1 hari

108

082691

1 Tia Febriana, Ny

25 th

109

095274

- Belicia Callysta Putri Ristanti, An

4 th

110

095278

- Boyami, Ny

35 th

111

095279

- Boyami, By,Ny

1 hari

112

095277

- Kayla Aulia, An

1 th

113

095282

- Yatim, Tn

43 th

114

095283

- Anang Trikusuma, Sdr

20 th

115

095281

- Tera Purnama Putra, An

13 th

116

095285

- Harno, Tn

50 th

117

095286

- Ndari Puji R

26 th

118

095287

- Ndari Puji R, By, Ny

1 hari

119

085307

1 Ridho Bangkit, An

3 th

120

095288

- Widya Sari, Nn

19 th

121

095289

- Rully Dwi Rianan, Ny

49 th

122

093973

1 Sriyanti, Ny

52 th

123

095293

- Rima Dwi Z, An

9 th

124

079745

1 Alisha Khaira, An

1 th

125

095290

- Muh Wasit W, Sdr

24 th

126

095301

- Masriatin, Ny

52 th

127

066349

1 Sugeng Hamzah, Tn

73 th

128

095308

- Ika Mahendrayani, Ny

32 th

129

095310

- Fatimatus Zahra, Ny

33 th

130

095311

- Fatimatus Zahra, By.Ny

1 hari

131

095309

- Imroatus Khasnah, Ny

36 th

132

089841

1 Imam Setiawan, Ny

37 th

133

095314

- Suprapti, Ny

70 th

134

095316

- Sukadi, Tn

65 th

135

095317

- Sugeng, Tn

60 th

136

095319

- Kevin Nur Hidayat, An

3,5 th

137

095322

- Winda Yulistina, Ny

33 th

138

095323

- Winda Yulistina, By.Ny

1 hari

139

095326

- Purnami, Ny

31 th

140

095327

- Purnami, By.Ny

1 hari

141

072579

1 Tumiyem, Ny

72 th

142

095329

- Suryana, Ny

33 th

143

095330

- Suryana, By.Ny

1 hari

144

095334

- Mozayyin N, Ny

35 th

145

095335

- Mozayyin N, By.Ny

1 hari

146

095336

- Fitriana Nurmayanti, Nn

22 th

147

079335

1 Stevan Evirrio, Sdr

20 th

148

095315

1 Naufal Ihsan F, An

14 th

149

095337

- Riski Romadani, An

7 th

150

095339

- Rukatin, Ny

55 th

151

094957

1 Supriadi, Ny

56 th

152

074756

1 Dyah Pusporini, Ny

49 th

153

095344

- Sukadi, Tn

47 th

154

095345

- Maria E, Ny

30 th

155

095346

- Maria E, By.Ny

1 hari

156

095348

- Heni Susilowati, Ny

24 th

157

095351

- Warti, Ny

32 th

158

095352

- Warti, By.Ny

1 hari

159

095350

- Umi Aisiyah, Ny

75 th

160

095353

- Samsiatun, Nn

24 th

161

095356

- Jasmine, An

9 bln

162

093685

1 Hariyadi, Tn

43 th

163

095358

- Rizki Muhammad R, Sdr

15 th

164

095340

1 Tini, Ny

53 th

165

095362

- Nahda Hanifah, Ny

31 th

166

095363

- Nahda Hanifah, By.Ny

1 hari

167

095360

- Wakidah, Nn

19 th

168

093379

1 Yuda Prasastiwi, Nn

23 th

169

095366

- Boniyem, Ny

53 th

170

088950

1 Muhammad E, Tn

62 th

171

095371

- Boreo, Tn

80 th

172

091263

1 Sumarmi, Ny

62 th

173

095375

- Wariatun, Ny

66 th

174

095372

- Susianik, Ny

34 th

175

095373

- Susianik, By.Ny

1 hari

176

079372

1 Mirza Naufal, An

3 th

177

095374

- Alfian Ayu, Nn

19 th

178

095377

- Jarno, Tn

58 th

179

095378

- Suharti, Ny

31 th

180

095387

- Suratemi, Ny

72 th

181

095390

- Hasnati Mayasari, Ny

31 th

182

095391

- Jematin, Ny

43 th

183

095392

- Yuni Agung K, Ny

29 th

184

095393

- Yuni Agung K, By.Ny

1 hari

185

095394

- Lasimin, Tn

60 th

186

095395

- Windy Septiani, An

14 th

187

095396

- Karis Al-Mukminin, Tn

27 th

188

095397

- Kenzie F, An

2 th

189

095399

- Heni Widyanti, Ny

37 th

190

095400

- Heni Widyanti, BY.Ny

1 hari

191

095413

- Muhammad A, Sdr

19 th

192

095401

- Nur Weni, Ny

193

095402

- Nur Weni, By.Ny

1 hari

194

095403

- Dian Puspitasari, Ny

30 th

195

095404

- Dian Puspitasari, By.Ny

1 hari

196

095407

- Marwani, Ny

38 th

197

095408

- Marwani, By.Ny

1 hari

198

095417

- Sutarmi, Ny

80 th

199

095418

- Tina Pujiastuti, Ny

31 th

200

095415

- Langgeng Susanto, Tn

35 th

201

094083

1 Anang Lutfi, Tn

44 th

202

095420

- Sarjianto, Tn

58 th

203

095421

- Imam Sulistyowati, Ny

27 th

204

095422

- Imam Sulistyowati, By.Ny

1 hari

205

095428

- Asih Wibi H, Ny

35 th

206

094456

1 Sarmi, Ny

45 th

207

090336

1 Sapria Nurrahman, An

13 th

208

095431

- Aziz Akbar A, Sdr

20 th

209

095432

- Siti Nuraini, An

8 th

210

095439

- Rinda Nur Laili S, Nn

16 th

211

095440

- Adam Rizanuddin A, Sdr

14 th

212

095441

- Mia Rosita, Ny

41 th

213

095442

- Slamet, Tn

65 th

214

095446

- Riza Nur H, Ny

26 th

215

095449

- Heni Fitriana, Ny

30 th

216

095450

- Heni Fitriana, By.Ny

1 hari

217

095454

- Dyah Ayu E, Ny

31 th

218

095455

- Dyah Ayu E, By.Ny

1 hari

219

095451

- Chairul M, Tn

74 th

220

092972

1 Basri, Tn

53 th

221

095448

- Chelsy Naysahwa R, An

9 th

222

095447

- Slama N D, An

11 th

223

095453

- Dwi Lulus A, Ny

34 th

224

095459

- Sirun, Tn

70 th

225

095460

- Parmi, Ny

45 th

226

095461

- Faruq, Sdr

20 th

227

095464

- Mulyono, Tn

55 th

228

095259

1 Herni Suratnoawati, Ny

33 th

229

094881

1 Pipit Eka D, Ny

31 th

230

095469

- Siti Aisyah, Ny

55 th

231

095472

- Rezha Wahyu M, Tn

28 th

232

095473

- Muryani, Ny

29 th

233

095474

- Muryani, By.Ny

1 hari

234

095475

- Marmi, Ny

80 th

235

095477

- Ernawati, Ny

31 th

236

095478

- Ernawati, By.Ny

1 hari

237

095479

- Katemi, Ny

55 th

238

095488

- Andi Syahputra P, Tn

31 th

239

095493

- Marem, Ny

52 th

240

095501

- Biran, Tn

43 th

241

095499

- Deviana Munika Santi, Ny

21 th

242

095500

- Deviana Munika Santi, By,Ny

1 hari

243

095502

- Nyatun, Ny

70 th

244

095496

- Nimas Wahyu, Nn

18 th

245

082634

- M Bilal AA, An

1 th

246

095512

- Ima Sayidatus S, Ny

29 th

247

095495

- Bima Sawung, An

7 th

248

095516

- Ahmad Choiral U, Sdr

20 th

249

073404

1 Hartini, Ny

82 th

250

095520

- Fandu Nur Jayanti, Ny

36 th

251

095521

- Fandu Nur Jayanti, By.Ny

1 hari

252

095522

- Ari Widianto, Tn

28 th

253

095523

- Boiman, Tn

45 th

254

095487

- Muh. Dasuki, Tn

66 th

255

095526

- Zidny Ilman Nafian, An

2 th

256

095527

- Ririn Kartikasari, Ny

29 th

257

095492

- Herma Irawati, Ny

34 th

258

095529

- Eko Purnomo, Tn

30 th

259

095530

- Boiran, Tn

60 th

260

095531

- Zendan Aksen, Sdr

17 th

261

095484

1 Deni Cinta Saputri, Nn

18 th

262

095506

1 Lamsri, Ny

41 th

263

095538

- Katini, Ny

34 th

264

095539

- Katini, By, Ny

1 hari

265

095548

- Sarinah, Ny

56 th

266

095551

- Indah, Ny

30 th

267

095537

- Noverina Khoirun Nisa, An

6 th

268

095535

- Yasrin Riski Emalina, An

3 th

269

095540

- Sariyatun, Ny

42 th

270

095541

- Ismanudin, Tn

60 th

271

095550

- Maridi, Tn

75 th

272

092013

1 Alvira Yusroni, An

2 th

273

095552

- Sailah, Ny

35 th

274

095554

- Kusdiantoro, Sdr

24 th

275

095555

- Sunarti, Ny

50 th

276

093561

1 Siyem, Ny

53 th

277

095556

- Supriyanto, Tn

32 th

278

070437

1 Harijati, Ny

61 th

279

094845

1 Mursid, Tn

40 th

280

095558

- Amanda Aqilah Finuri, An

8 th

281

095559

- Puput Pujowati Aningsih, Ny

32 th

282

092820

1 Syarif Hidayat, Sdr

21 th

283

095562

- Kardi, Tn

40 th

284

091288

1 Senen, Tn

74 th

285

095564

- Harwanudin, Sdr

20 th

286

090386

1 Jematun, Ny

64 th

287

095568

- Giyatno, Tn

65 th

288

095569

- Dian Agustina, Ny

30 th

289

095584

- Lailatul Masayu Fauziyah, An

12 th

290

095572

- Katimin, Tn

55 th

291

095566

- Linda Rahmawati, Ny

23 th

292

095567

- Linda Rahmawati, By, Ny

1 hari

293

095575

- Umi Rohmatin, Ny

33 th

294

095576

- Umi Rohmatin, By, Ny

1 hari

295

076098

1 Weka Kurnia Pramudia, An

3,5 th

296

095578

- Hendi Arnanda, Tn

28 th

297

095580

- Jariyem, Ny

57 th

298

095560

1 Sugito Toha, Tn

55 th

299

095581

- Atik Hartanti, Ny

41 th

300

095585

- Purwati, Ny

48 th

301

095591

- Slamet, Tn

55 th

302

095603

- Misti, Ny

60 th

303

019447

1 Harmin, Ny

56 th

304

094553

1 Aisa Nanat, Ny

50 th

305

095577

1 Aina Malayeka Putri, An

4,5 th

306

095589

- Mikani Kaunang, Ny

28 th

307

095590

- Mikani Kaunang, By, Ny

1 hari

308

095593

- Endang Susari, Ny

45 th

309

095594

- Siti Musarofuh, Ny

46 th

310

095595

- Siti Musarofuh, By, Ny

1 hari

311

095598

- Yeni Indah Susiati, Ny

24 th

312

095599

- Yeni Indah Susiati, By, Ny

1 hari

313

095600

- Sri Setyorini, Ny

31 th

314

095605

- Parti, Ny

28 th

315

095582

1 Yoga Ayu Susilo Utami, Ny

26 th

316

039921

1 Saikem, Ny

60 th

317

095413

1 Muhammad Abdurohman, Sdr

19 th

318

095608

- Aisyah Mahmudi, An

2 th

319

095610

- Imah Yusvita, Ny

32 th

320

095611

- Imah Yusvita, By, Ny

1 hari

321

095614

- Puji Tantiana, Ny

26 th

322

095615

- Puji Tantiana, By, Ny

1 hari

323

095618

- Sringatin, Ny

84 th

324

095619

- Gunawan Dwi Prasetyo, Sdr

18 th

325

095486

1 Ulli Fuadiyah, Ny

44 th

326

095625

- Panut, Tn

55 th

327

095627

- Sutrisno, Tn

70 th

328

094456

1 Sarmi, Ny

45 th

329

095623

- Kasih, Ny

36 th

330

095624

- Kasih, By, Ny

1 hari

331

091788

1 Sugeng Wahjono, Tn

58 th

332

095631

- Andi Nurdianto, Tn

27 th

333

095632

- Mukriono, Tn

63 th

334

092964

1 Alonso Yusuf W, An

2 bln

335

094568

1 Simpen, Tn

60 th

336

095579

1 Azam Zaki, An

6 th

337

095635

- Sakat, Tn

51 th

338

095636

- Kadiyem, Ny

60 th

339

095637

- Sumoharjo Sirus, Tn

90 th

340

095638

- Agus Setyawan, Sdr

20 th

341

095640

- Retno Ariani, Ny

32 th

342

095641

- Retno Ariani, By, Ny

1 hari

343

095642

- Ita Rahayuningsih, Ny

23 th

344

095643

- Ita Rahayuningsih, By, Ny

1 hari

345

095652

- Muh Hasyim Asyari, Sdr

20 th

346

095657

- Karsi Mutianingsih, Ny

32 th

347

095658

- Karsi Mutianingsih, By, Ny

1 hari

348

095663

- Kalyca Arimbi, An

6 th

349

095653

- Lina Setiani, Ny

20 th

350

095654

- Lina Setiani, By, Ny

1 hari

351

095662

- Bintoro, Tn

51 th

352

090203

1 Yudi Handoyo, Tn

62 th

353

077307

1 Arfa Hafy, An

3 th

354

095666

- Parmi, Ny

70 th

355

095671

- Saminten, Ny

62 th

356

095672

- Siyem, Ny

65 th

357

095673

- Sri Murwatin, Ny

43 th

358

095674

- Imam Ramli, Tn

54 th

359

095676

- Wida Anggara, Sdr

21 th

360

095679

- Sunarsih, Ny

34 th

361

095678

- Zio Fahrezi, An

6 bln

362

095680

- Weni, Ny

37 th

363

095682

- Meseno, Tn

42 th

364

095683

- Mesringah, Ny

45 th

365

095018

1 Ardi Bagus, Sdr

16 th

366

095690

- Fahmida Izzashofa, An

4 th

367

073252

1 Soeparni, Ny

72 th

368

095692

- Riza Cahyo Utomo, Sdr

21 th

369

095693

- Kasanun, Tn

62 th

370

088383

1 Rosidah Nur Faizah, An

8 th

371

095703

- Misdi, Tn

45 th

372

069993

1 Tukini, Ny

66 th

373

095713

- Bambang Parassono, Tn

54 th

374

095715

- Puspita Intan Sari, Nn

18 th

375

095694

- Ani Kurniawan, Ny

39 th

376

095695

- Ani Kurniawan, By, Ny

1 hari

377

095697

- Maria Ulfa Latifah, Ny

33 th

378

095698

- Maria Ulfa Latifah, By,Ny

1 hari

379

095701

- Wartini, Ny

33 th

380

095702

- Wartini, By, Ny

1 hari

381

095489

1 Suwarti, Ny

55 th

382

095716

- Sukarti, Ny

82 th

383

095717

- Sutarno, Tn

60 th

384

095706

- Hariyanto, Tn

41 th

385

095718

- Soimin, Tn

40 th

386

093993

1 Sarti, Ny

69 th

387

081628

1 Sunyoto, Tn

50 th

388

095719

- Cepring, Ny

66 th

389

095720

- Hadi Mulyono, Tn

44 th

390

095721

- Pardianto, Tn

51 th

391

095723

- Maridjen , Ny

58 th

392

095725

- Maskur, Tn

38 th

393

095728

- Boirah, Tn

65 th

394

094220

1 Uminarsih, Ny

67 th

395

095736

1 Sriatun, Ny

1 hari

396

095740

- Victor Sandy Junior, An

7.5 th

397

095707

- Atem, Ny

67 th

398

095745

- Azizah Qurota A'yun, An

3 th

399

095542

1 Tukijan, Tn

59 th

400

095748

- Suryati, Ny

52 th

401

094233

1 Sukinem, Ny

65 th

402

095756

- Ananda Budiantika, An

403

092632

1 Banidin, Tn

78 th

404

095760

- Katimin, Tn

58 th

405

095761

- Jumiasih, Ny

26 th

406

095762

- Jumiasih, By, Ny

1 hari

407

095754

- Ayu Candra, Ny

32 th

408

095755

- Ayu Candra, By, Ny

409

095763

- Yuyun Eka Candra, Ny

35 th

410

095764

- Taufik Hidayat, Sdr

18 th

411

095088

- Dheti Siswardani, Ny

30 th

412

095766

- Sunardi, Tn

57 th

413

095769

- Aulia Ferdianti, Nn

15 th

414

095770

- Alya Novi S, An

3 th

415

095772

- Sumartin, Ny

40 th

416

095773

- Sumartin, By, Ny

1 hari

417

095775

- Sri Wahyuni, Ny

34 th

418

095776

- Sri Wahyuni, By,Ny

1 hari

419

095774

- Orlin Najma Al Qaireen, An

11 bln

420

095777

- Kademin, Tn

80 th

421

094083

1 Anang Lutfi Fuadi, Tn

43 th

422

095779

- Tri Wahyu Ningrum, Ny

19 th

423

095780

- Tri Wahyu Ningrum, By, Ny

1 hari

424

095781

- Agus Suryono, Tn

49 th

425

095782

- Edi Sudarminto, Tn

35 th

426

092737

1 Naufal Nurihsan Fauzi, Sdr

15 th

427

095784

- Niken Rusi Pamungkas, Ny

26 th

428

095785

- Niken Rusi Pamungkas, By,Ny

1 hari

429

094276

1 Faradila Ziana Zahro, An

10 th

430

095134

1 Susana, Ny

40 th

431

095790

- Ady tina Prasetya, Sdr

17 th

432

095661

1 Mesni, Tn

57 th

14.5 th

433

095795

- Galih Adi Cahyono, Sdr

18 th

434

095659

1 Soeparwan, Tn

78 th

435

092053

1 Almia Andini, Nn

16 th

436

094205

1 Sarini, Ny

42 th

437

095799

- Wiji, Ny

60 th

438

095801

- Dah i Frian, Sdr

22 th

439

095803

- Slamet, Tn

55 th

440

095804

- Kasiyem, Ny

44 th

441

095805

- Lilis Nurjanah, Nn

19 th

442

095807

- Katemi, Ny

84 th

443

095808

- Siti Jariyah, Ny

36 th

444

095809

- Siti Jariyah, By,Ny

1 hari

445

095810

- Rania Nindi, Nn

16 th

446

095811

- Evi Iftidatul Khoiri, An

9 th

447

095815

- Winarni, Ny

33 th

448

095816

- Winarni, By,Ny

1 hari

449

095819

- Gunawan, Tn

54 th

450

095673

1 Sri Murwatin, Ny

43 th

451

095838

- Sumini, Ny

65 th

452

095836

- Ernawati, Ny

42 th

453

095830

- Sri Parinanti, Ny

80 th

454

095839

- Jovano, An

6 th

455

095841

- Puji Indah Lestari, Ny

32 th

456

095822

- Amini, Ny

45 th

457

095802

1 Dwi Erni, Ny

31 th

458

095827

- Parinem, Ny

48 th

459

078785

1 Samsudin Bastian, Tn

36 th

460

095842

- Arik Tri Rahayu, Ny

31 th

461

095843

- Sunarti, Ny

64 th

462

095846

- Edi Prijatmi, Ny

64 th

463

095848

- Adnan Arziki Ramadhanta, An

10 bl

464

095849

- Karsini, Ny

50 th

465

095850

- Toirah, Ny

36 th

466

095854

- Supriyono, Tn

38 th

467

095856

- Jemirah, Ny

30 th

468

095857

- Sri Wahyuni, Ny

34 th

469

095858

- Nita Anggi W, Ny

27 th

470

095859

- Nita Anggi W, By,Ny

1 hari

471

095860

- Endah Paryatin, Ny

34 th

472

095861

- Endah Paryatin, By, Ny

1 hari

473

095864

- Nuroini, Ny

33 th

474

095865

- Nuroini, By, Ny

1 hari

475

095869

- Wasti, Ny

38 th

476

095870

- Wasti, By,Ny

1 hari

477

095868

- Bisma Arquata, An

478

095873

- Syaril Ardian Ali Fadilah, An

1.5 th

479

095874

- Marsiyah, Ny

45 th

480

078973

1 Sudjarmi, Ny

66 th

481

095832

1 Yocky Pranoto Aji, Tn

29 th

482

095880

- Suliyah, Ny

28 th

483

095881

- Suliyah, By,Ny

1 hari

484

095887

- Sahri Sarmun, Tn

70 th

485

095890

- Retno Safitri, Nn

18 th

486

095891

- Elsa Juwitasari, Ny

22 th

487

095892

- Jirah, Ny

75 th

488

095893

- Amanda Vida Yulitasari, Sdr

14 th

489

095895

- Dian Ekawati, Ny

28 th

490

095896

- Dian Ekawati, By, Ny

1 hari

491

095905

- Pithi, Ny

65 th

492

095906

- Misha Rohmatul, An

1 th

493

095899

- Sulastri, Ny

36 th

494

095900

- Sulastri, By,Ny

1 hari

495

095902

- Aprilia Puji Astuti, Ny

21 th

496

095903

- Aprilia Puji Astuti, By,Ny

1 hari

497

095909

- Istiyarini, Ny

26 th

498

095910

- Istiyarini, By,Ny

1 hari

499

095907

- Elinda Isnawati, Ny

23 th

500

089323

1 Jematin, Ny

55 th

9 bl

501

094497

1 Asiyah, Ny

81 th

502

095912

- Wahyu Ramadhan, Sdr

17 th

503

095774

1 Orlin Najma Al Qaireen, An

11 bln

504

095919

- Nungki Puspitasari, Ny

32 th

505

095922

- Lusiana Puspitasari, Ny

25 th

506

095923

- Lusiana Puspitasari, By,Ny

1 hari

507

095924

- Sudirman, Tn

70 th

508

046636

1 Binti Mardiyah, Ny

49 th

509

095908

1 Sutarsih, Ny

43 th

510

086894

1 Mariman,. Tn

87 th

511

095928

- Karno, Tn

60 th

512

093522

1 Ahmad Fajri Pratama, Sdr

16 th

513

072646

1 Abela Sadila, An

3 th

514

095931

- Evi Muakiah, Ny

42 th

515

095933

- Sunanti, Ny

35 th

516

095934

- Sunanti, By, Ny

1 hari

517

095935

- Tri Atma Mukti Pamanggih, An

8 th

518

095926

1 Parmi, Ny

51 th

519

095936

- Dedik Setyawan, Sdr

20 th

520

095939

- Nadia Susi Kusumow, Ny

20 th

521

095940

- Nadia Susi Kusumow, By,Ny

1 hari

522

095930

1 Althafunnisa Raqila Kusuma, An

1 bln

523

095938

- Ika Nur Azizah, Ny

30 th

524

087629

1 Heny Fitri Astuti, Ny

30 th

525

079019

1 Aditya Mamontu, Sdr

20 th

526

095941

- Binti Suliana, Ny

34 th

527

095942

- Binti Suliana, By,Ny

1 hari

528

095945

- Latirah, Ny

59 th

529

095949

- Jemani, Tn

90 th

530

095959

- Leni Sulistyo Ningrum, Nn

19 th

531

095952

- Sujarmi, Ny

31 th

532

095953

- Sujarmi, By,Ny

1 hari

533

095964

- Tarti, Ny

37 th

534

095965

- Karno, Tn

55 th

535

075658

1 Titin Mistiani, Ny

30 th

536

085397

1 Woro Handoko, Tn

56 th

537

095969

- Sunarti, Ny

60 th

538

095963

- Taufik Sugiarto, Tn

26 th

539

095971

- Paijem / Marsi, Ny

55 th

540

095972

- Sumiati, Ny

29 th

541

095973

- Sumiati, By,Ny

1 hari

542

096008

- Eny Nur Farida, Ny

29 th

543

095226

- Umi Isaroh, Ny

29 th

544

079405

- Satria Ardian, S, An

1 th

545

096043

- Derun, Tn

59 th

546

049631

1 Sudartun, Ny

75 th

547

095982

- Tatik Sumarmi, Ny

34 th

548

095978

- Ana Siti Maisaroh, Ny

24 th

549

095979

- Ana Siti Maisaroh, By,Ny

1 hari

550

093405

1 Marta Kusnan, Tn

73 th

551

095993

- Yogi Perwira, Sdr

19 th

552

095992

- Febri Fajar, Sdr

17 th

553

095987

- Patmini, Ny

34 th

554

095988

- Patmini,By, Ny

1 hari

555

095996

- Sigit Kurnia S, An

11 th

556

092194

1 Fepta Andi, An

8 th

557

093934

1 Karnun, Tn

64 th

558

093557

1 Suroto, Tn

53 th

559

018225

1 Yardan, An

8 th

560

016275

1 Abdi, An

9 th

561

096002

- Nabila, Sdr

17 th

562

096003

- Tumiyatin, Ny

55 th

563

096004

- Andri Pratama Nurdiansyah, Tn

23 th

564

096007

- Syafta Akmal Al-Affa, An

6 th

565

096005

- Karsini, Ny

46 th

566

096018

- Umi Habibatul Latifah, An

7 th

567

096021

- Zazuli Ahmad Kadasi, An

11 th

568

096023

- Sarmi, Ny

80 th

569

096009

- Eny Nur Farida, By.Ny

1 hari

570

096024

- Hariyanto, Tn

37 th

571

096027

- Umi Isaroh, By.Ny

1 hari

572

096028

- Aira Aristawidya Kirani Brawiaji, An

4 th

573

081563

1 Sukemi, Ny

74 th

574

096030

- Eijaz Diamanta, An

4 th

575

096032

- Ananda Wahyu Sri H, Ny

14 th

576

096035

- Kaila Mehrunisa, An

3 th

577

096036

- Silvia Putri Wulandri, An

8 th

578

096037

- Yusron Mashuda, Tn

29 th

579

096040

- Satiyo, Tn

70 th

580

096050

- Sarmijati, Ny

67 th

581

096056

- Djumiyem, Ny

55 th

582

078276

1 Sri Hidayati, Ny

45 th

583

078405

1 Saikun, Tn

69 th

584

096062

- Liana, ny

17 th

585

096060

- Elisah, ny

40 th

586

096064

- Handika Wahyu Yoga Pratama, An

2 th

587

096065

- Rina Siswati, Ny

30 th

588

049919

1 Suwartin, Ny

56 th

589

096070

- Zakaria, Sdr

20 th

590

096071

- Martini, Ny

42 th

591

096072

- MArtini,By Ny

1 hari

592

096077

- Fadil Abiyah, An

593

096086

- Suci, Ny

83 th

594

096079

- Erfina Ningtyas, Ny

29 th

595

096080

- Erfina Ningtyas,By.Ny

1 hari

596

096081

- Ratrina Shanti, Ny

34 th

597

096082

- Ratrina Shanti, By.Ny

1 hari

598

096083

- Alid Primadani, An

10 th

599

096088

- Nardi, Tn

51 th

600

067727

1 Marpi, Ny

57 th

601

094062

1 Jaimin, Tn

66 th

602

096097

- Nunik Marsusi, Ny

39 th

8 bl

603

096098

- Nunik Marsusi, By.Ny

1 hari

604

096101

- Mei Linda Ardiani,

19 th

605

096099

- Ahmad Fauzan Romzi, An

13 th

606

096104

- Nanik Purwanti, Ny

38 th

607

096105

- NAnik Purwanti, By.Ny

1 hari

608

096109

- Luluk Nadhif Ulfiyah, Ny

50 th

609

095984

1 Wuni Ayuningtyas, Ny

35 th

610

096118

- Hadi Ramelan, Tn

60 th

611

096121

- M.Hermanto, Tn

59 th

612

096124

- Listyaningsih, Ny

27 th

613

096125

- Listyaningsih, By.Ny

27 th

614

096128

- Arik Ernasari, Ny

49 th

615

096129

- Anik Ernasari, By,Ny

1 hari

616

096130

- Anis Ferdiana, Ny

49 th

617

096132

- Siti Nafilatul, Ny

22 th

618

096133

- Siti Nafiatul, By, Ny

1 hari

619

096134

- Kartini, Ny

45 th

620

096137

- Sukarman, Tn

60 th

621

096138

- Sutini, Ny

56 th

622

096147

- Nisa, An

8 th

623

089602

1 Ratna Indarwati, Ny

34 th

624

096153

- Sutriani, Ny

39 th

500

124

610
247

363

Tanggal
Jenis Kel.

Alamat Pasien

Masuk

Keluar

Kledung 2/11 Bandar Pacitan

27/04/16

06/05/16

Jl. Batoro Katong Gg 4 / 21 Mangunsuman

27/04/16

01/05/16

Kepyar 4/6 Purwantoro

27/04/16

04/05/16

Ngrancah 1/4 Gajah Sambit

27/04/16

05/05/16

Karanggebang 2/2 Jetis

27/04/16

02/05/16

Jl. Dr. Soetomo 26 Bangunsari

27/04/16

01/05/16

Ngadirojo Sooko

27/04/16

02/05/16

Panjing 1/9 Bandar Pacitan

27/04/16

02/05/16

Jl. Basuki Rahmad 15d Tonatan

27/04/16

03/05/16

Petung Ulung 01/03 Nguneng Puhpelem

28/04/16

03/05/16

Jl. R.A. Kartini 01/01 Mlilir Dolopo

28/04/16

02/05/16

Nologaten

28/04/16

06/05/16

Kalisat 3/1 Bungkal

28/04/16

06/05/16

Masaran 1/1 Nambak Bungkal

28/04/16

02/05/16

Ketawang 14/05 Dolopo

28/04/16

02/05/16

Sidowayah 1/2 Ploso Purwantoro

29/04/16

01/05/16

Sidowayah 1/2 Ploso Purwantoro

29/04/16

01/05/16

Jl. Rawani Jaya Gg. I No. 10 Surodikraman

29/04/16

04/05/16

Nglewan 03/01 Sambit

29/04/16

03/05/16

Ds. Sampung 02/01 Sampung

29/04/16

03/05/16

Nglumpang 1/1 Mlarak

29/04/16

01/05/16

Jl. Cindewilis 02/01 Kertosari

29/04/16

05/05/16

Patihan Wetan

29/04/16

03/05/16

Nguri 3/3 Lembeyan

29/04/16

01/05/16

Nguri 3/3 Lembeyan

29/04/16

01/05/16

Sumber 1/3 Tengger Puhpelem

29/04/16

01/05/16

Sumber 1/3 Tengger Puhpelem

29/04/16

02/05/16

Winong 5/3 Jetis

29/04/16

03/05/16

Jl. A. Yani III 6E Probosuman

29/04/16

05/05/16

P. Mayak / Plaosan

29/04/16

02/05/16

Tambak mas 37/04 Kebonsari Madiun

29/04/16

03/05/16

Singosaren 2/5 Jenangan

29/04/16

03/05/16

Jl. Lawu Gg. 4 No.25

29/04/16

02/05/16

Bendo 2/2 Bulukerto

29/04/16

02/05/16

Bendo 2/2 Bulukerto

29/04/16

02/05/16

Blembem 1/1 Jambon

29/04/16

03/05/16

Mojokerto 48/09 Palur

Lembeyan Kulon 5/1 Lembeyan Magetan /
Depok
Jambon 3/1 Jambon

29/04/16

03/05/16

29/04/16

01/05/16

30/04/16

02/05/16

Jl. A. Yani 01/01 Sawuh Siman

30/04/16

11/05/16

Jl. Kawung 2/3 Mangunsuman Siman

30/04/16

02/05/16

Jl. Kawung 2/3 Mangunsuman Siman

30/04/16

02/05/16

Badegan 3/2 Pulung

30/04/16

02/05/16

Badegan 3/2 Pulung

30/04/16

02/05/16

Duri 02/03 Slahung

30/04/16

03/05/16

Badegan Pulung

30/04/16

03/05/16

Wagir Lor Ngebel

30/04/16

04/05/16

Pamahan 2/2 Pulung

30/04/16

03/05/16

Dkh. Warung 1/2 Bediwetan Bungkal

30/04/16

04/05/16

Jl. Menur 155 2/2 Ronowijayan

30/04/16

05/05/16

Bandar 21/07 Banjarejo

30/04/16

01/05/16

Pijeran 01/01 Sinam

30/04/16

14/05/16

Paringan 05/01 Jenangan

30/04/16

03/05/16

Kayen 05/06 Krebet Jambon

30/04/16

08/05/16

Plalangan 01/01 Jenangan

01/05/16

03/05/16

Jl. Wonopringgo 01/02 Kertosari

01/05/16

03/05/16

Jl. Suromenggolo 3/2 Babadan

01/05/16

02/05/16

Jl. Pertanian 1/1 Pondok Babadan

01/05/16

05/05/16

Jl. Dr. Soetomo 74

01/05/16

07/05/16

Kesugihan 1/3 Pulung

01/05/16

04/05/16

Lembah ngijo 4/2 Babadan

01/05/16

04/05/16

Lembah 4/4 Lembah Dolopo

01/05/16

05/05/16

Kesugihan 1/3 Pulung

01/05/16

04/05/16

Karangmojo 1/2 Balong

01/05/16

06/05/16

Golo Plaosan 4/3 Puhpelem

01/05/16

07/05/16

Jl. Sambirobyong 72 Purbosuman

01/05/16

07/05/16

Jl. Singajaya Prm Singosaren

01/05/16

05/05/16

Ngindeng 2/2 Sawoo

01/05/16

05/05/16

Betok Nguri 1/2 Lembeyan

01/05/16

04/05/16

Jl. Pahlawan I 20 Bangunsari

01/05/16

03/05/16

Josari 01/01 Jetis

01/05/16

05/05/16

Krisik 1/2 Wagirlor Ngebel

01/05/16

07/05/16

Doho 4/1 Dolopo

01/05/16

02/05/16

Polorejo 3/4 Babadan

01/05/16

03/05/16

Polorejo 3/4 Babadan

01/05/16

03/05/16

Gunungsari 2/1 Mlarak

01/05/16

04/05/16

Doho 26/4 Dolopo

01/05/16

03/05/16

Doho 26/4 Dolopo

01/05/16

03/05/16

Ngloning Slahung

01/05/16

03/05/16

Ngloning Slahung

01/05/16

03/05/16

Jl. Letjen Suprapto Rumdi Kejaksaan Tonatan

01/05/16

04/05/16

Jl. Letjen Suprapto Rumdi Kejaksaan Tonatan

01/05/16

04/05/16

Jl. Jaksa Agung No. 36 Mangkujayan

02/05/16

04/05/16

Dkh. Ngijo 06/01 Lembah Babadan

02/05/16

03/05/16

Duri 1/1 Slahung

02/05/16

06/05/16

Jl. Bupati Markum Perumda

02/05/16

04/05/16

Jl. Bupati Markum Perumda

02/05/16

04/05/16

Rt 06/02 Lembah Dolopo Madiun

02/05/16

06/05/16

P. Gontor 1 / Riau

02/05/16

06/05/16

PRM Grisimay CB-12

02/05/16

06/05/16

Jl. Sumatra No 5A Mangkujayan

02/05/16

06/05/16

Setono 01/01 Jenangan

02/05/16

04/05/16

Badegan 1/2 Pulung

02/05/16

08/05/16

Sendang 26/04 Trisono Babadan

02/05/16

08/05/16

Jl. Raden Saleh 64

03/05/16

13/05/16

Rt 03-01 Josari Jetis

03/05/16

06/05/16

Jl. Mayang 54 A Purbosuman

03/05/16

06/05/16

Jl. Anjanin 17 Pakunden

03/05/16

05/05/16

Rt 01/02 Bungu Bungkal

03/05/16

07/05/16

Soko 01/10 Bulukerto

03/05/16

04/05/16

Jl. Sekarputih 45 02/02 Tonatan

03/05/16

09/05/16

Serang 3/1 Pulung

03/05/16

04/05/16

Gontor 03/02 Mlarak

03/05/16

07/05/16

Jl. Jend Sudirman

03/05/16

09/05/16

Jl. Lenjen Sukowati GG II / 23 Keniten

03/05/16

04/05/16

Ngunut 2/2 Babadan

03/05/16

05/05/16

Ngunut 2/2 Babadan

03/05/16

05/05/16

Mlarak 1/2 Mlarak

03/05/16

06/05/16

Jurug 1/2 Sooko

03/05/16

06/05/16

Pager 2/2 Pager Bungkal

03/05/16

05/05/16

Pager 2/2 Pager Bungkal

03/05/16

05/05/16

Jl. Dr. Soetomo 33 Bangunsari

03/05/16

10/05/16

Jl. Perniagaan Barat 149 A Pondok Babadan

03/05/16

06/05/16

Krajan 3/1 Kemiri Jenangan

03/05/16

09/05/16

Campurejo 6/2 Sambit

Wates Wetan 01/06 Bangsri Purwantoro
Wonogiri
Lagaran 4/2 Sawoo

03/05/16

06/05/16

03/05/16

09/05/16

03/05/16

07/05/16

Lagaran 4/2 Sawoo

03/05/16

07/05/16

Jl. HP Kusuma Patihan Kidul

04/05/16

06/05/16

Jl. Anoman 5 Pakunden

04/05/16

10/05/16

Jl. Rambutan C-7 3/4 Keniten

04/05/16

09/05/16

Ketro 1/12 Tulakan Pacitan

04/05/16

09/05/16

Jl. Flamboyan Polorejo Babadan

04/05/16

05/05/16

Jl. Parang klitik Patihan Wetan

04/05/16

08/05/16

Jl. Perkutut 3/2 Beduri

04/05/16

07/05/16

Jl. Cempaka 68 Polorejo Babadan

04/05/16

10/05/16

Tenggang Ngrupit Jenangan

04/05/16

10/05/16

Tenggang Ngrupit Jenangan

04/05/16

07/05/16

Jl. Ir. Juanda Tonatan

04/05/16

07/05/16

Jl. Ir. Juanda Tonatan

04/05/16

07/05/16

Jl. Syhada Cekok Babadan

04/05/16

08/05/16

Nailan 1/1 Slahung

04/05/16

10/05/16

Bareng 2/2 Babadan

04/05/16

08/05/16

Gununsari 1/2 Mlarak

04/05/16

05/05/16

Sragi 1/1 Sukorejo

04/05/16

11/05/16

Parang 1/1 Magetan

05/05/16

09/05/16

Jl. KS Tubun 1/13 Banyudono

05/05/16

08/05/16

Jl. KS Tubun 1/13 Banyudono

05/05/16

08/05/16

Dungkul 1/1 Wonogiri

05/05/16

07/05/16

Dungkul 1/1 Wonogiri

05/05/16

07/05/16

Gelangkulon 1/2 Sampung

05/05/16

09/05/16

Bulak 37/10 Kradinan Dolopo

05/05/16

07/05/16

Bulak 37/10 Kradinan Dolopo

05/05/16

07/05/16

Karang Asri 3/2 Karangebang Jetis

05/05/16

06/05/16

Karang Asri 3/2 Karangebang Jetis

05/05/16

06/05/16

Jl. Kamboja 82 kalimantan

05/05/16

05/05/16

Padas Bungkal

05/05/16

13/05/16

Jl. Anjanin 17 Pakunden

05/05/16

05/05/16

Perumnas Segaran Permai

05/05/16

08/05/16

Maronetan Kauman

05/05/16

09/05/16

Karangayam 18/6 Trisono Babadan

05/05/16

09/05/16

Gelangkulon Sampung

05/05/16

06/05/16

Krajan K Banteng 2/5 Sukorejo

05/05/16

10/05/16

Carangrejo 3/1 Sampung

05/05/16

08/05/16

Carangrejo 3/1 Sampung

05/05/16

08/05/16

Jenangan 2/2 Sampung

06/05/16

08/05/16

Kupuk 2/2 Gamdu Bungkal

06/05/16

08/05/16

Kupuk 2/2 Gamdu Bungkal

06/05/16

08/05/16

Jarak 1/1 Siman

06/05/16

08/05/16

Tengger 4/1 Puh Pelem

06/05/16

10/05/16

Jl. Binajaya 35 Madiun

06/05/16

08/05/16

Jl. Anggrek 18 A Kertosari

06/05/16

09/05/16

P Walisongo / Jakarta

06/05/16

21/05/16

Beton Siman

06/05/16

12/05/16

Bader 20/7 Dolopo

06/05/16

08/05/16

Bader 20/7 Dolopo

06/05/16

08/05/16

Lembah 6/2 Mlilir Dolopo

06/05/16

11/05/16

Jl. Panjaitan 3/3 Siman

06/05/16

10/05/16

Wonodadi Kulon Ngadirojo Pacitan

06/05/16

11/05/16

Babadan 4/1

06/05/16

09/05/16

Ketro Tulakan Pacitan

06/05/16

10/05/16

Hadiluwih Ngadirojo Pacitan

06/05/16

12/05/16

Padas 2/1 Bungkal

06/05/16

08/05/16

Jl. Wilis 25 Waru Sidoarjo

06/05/16

08/05/16

Jl. Wilis 25 Waru Sidoarjo

06/05/16

08/05/16

Jl. Sekar Gayam 143 Siman

06/05/16

09/05/16

Ngunut 3/3 Babadan

06/05/16

09/05/16

Binade Ngrayun

06/05/16

14/05/16

Binade Ngrayun

06/05/16

09/05/16

Jl. Sidomakmur 4/3 Babadan

06/05/16

12/05/16

Ngrayut 3/1 Coper Jetis

06/05/16

08/05/16

Dungus Karang Patihan Pulung

06/05/16

09/05/16

Jl. Durgandini 6/1 Lembah Babadan

06/05/16

09/05/16

Jl. Durgandini 6/1 Lembah Babadan

06/05/16

09/05/16

Nambak 3/2 Bungkal

06/05/16

09/05/16

Ngendut 1/2 Balong

07/05/16

09/05/16

Pondok 1/2 Babadan

07/05/16

09/05/16

Wates 3/3 Jenangan

07/05/16

08/05/16

Jl. Zaenal Abidin 55 Kauman

07/05/16

08/05/16

Jl. Zaenal Abidin 55 Kauman

07/05/16

08/05/16

P Gontor 1 / Pacitan

07/05/16

11/05/16

Jl. Sunan Kusus Gg 1 Kertosari

07/05/16

09/05/16

Jl. Sunan Kusus Gg 1 Kertosari

07/05/16

09/05/16

Gelanglor 1/2 Sukorejo

07/05/16

10/05/16

Gelanglor 1/2 Sukorejo

07/05/16

10/05/16

Gondang 1/7 Nawangan Pacitan

07/05/16

09/05/16

Gondang 1/7 Nawangan Pacitan

07/05/16

09/05/16

Gedawung Kismantoro

07/05/16

09/05/16

Sekuwung 2/2 K Banteng Skj

07/05/16

07/05/16

Ngujung 2/2 Gandukepuh Skj

07/05/16

09/05/16

Gontor 1/2 Mlarak

07/05/16

10/05/16

Kranggan 3/1 Sukorejo

07/05/16

14/05/16

K Panji 4/5 Lembeyan

07/05/16

09/05/16

K Panji 4/5 Lembeyan

07/05/16

23/05/16

Pulosari 1/1 Jambon

07/05/16

12/05/16

Jurug 1/1 Sooko

07/05/16

09/05/16

Tunggur Lembeyan

07/05/16

14/05/16

P Gontor 1 / Tanggerang

07/05/16

10/05/16

Bungu Bungkal

07/05/16

10/05/16

Lembeyan Kulon Magetan

07/05/16

11/05/16

P Gontor 1 / Jombang

07/05/16

13/05/16

Nailan 3/1 Slahung

07/05/16

09/05/16

Jl. Puspowarno Mangkujayan

08/05/16

13/05/16

Banyon Nglewan 1/1 Sambit

08/05/16

08/05/16

Coper 2/2 Jetis

08/05/16

09/05/16

Coper 2/2 Jetis

08/05/16

09/05/16

Semanding 1/1 Jenangan

08/05/16

10/05/16

Semanding 1/1 Jenangan

08/05/16

10/05/16

Jl. Suhada 2456 Ngunut Babadan

08/05/16

16/05/16

Jl. Muslim I 3/2 Jetis

08/05/16

10/05/16

Jl. Menur Perum Sakura

08/05/16

11/05/16

Jl. Anjarmoro 50 Bangunsari

08/05/16

13/05/16

Jl. CindewilisGg I /41 Kertosari

08/05/16

10/05/16

Krajan 2/2 Muneng Balong

08/05/16

12/05/16

Wagir Kidul Pulung

08/05/16

11/05/16

P Gontor 1 / Kalimantan

08/05/16

11/05/16

Sewelut Plalangan 1/1 Jenangan

08/05/16

10/05/16

Ngrukem III 3/2 Mlarak

08/05/16

10/05/16

Kradinan 19/06 Dolopo

08/05/16

10/05/16

Kunti 1/1 Bungkal

08/05/16

11/05/16

Jl. Dr. Sutomo II/8 bangunsari

08/05/16

09/05/16

Pager 1/1 Bungkal

08/05/16

11/05/16

Pager 1/1 Bungkal

08/05/16

11/05/16

Nguri 1/4 Lembeyan Magetan

08/05/16

10/05/16

Ngimo 6/1 Prayungan Sawoo

08/05/16

09/05/16

Ngimo 6/1 Prayungan Sawoo

08/05/16

09/05/16

Balong 2/1 Balong

09/05/16

11/05/16

Prm Cokromenggalan Damai D-11

09/05/16

13/05/16

Ngunut 2/1 Sampung

09/05/16

12/05/16

Jl. Bantarangin Kauman

09/05/16

13/05/16

Suru 1/8 Sooko

09/05/16

11/05/16

Suru 1/8 Sooko

09/05/16

11/05/16

Suru 1/8 Sooko

09/05/16

19/05/16

Prm Pepebri Setono G/9 Jenangan

09/05/16

13/05/16

Candi 2/3 Mlarak

09/05/16

12/05/16

Jl. Ki Ageng Mirah 24 2/1 Jenangan

09/05/16

09/05/16

Prm Pepebri Setono Jenangan

09/05/16

13/05/16

P Gontor / Pekalongan

09/05/16

12/05/16

Jl. Sidodadi 4/1 Babadan

09/05/16

17/05/16

Dolopo 3/1 Dolopo

09/05/16

12/05/16

Dolopo 3/1 Dolopo

09/05/16

12/05/16

Somoroto

09/05/16

14/05/16

Baosan Kidul 3/3 Ngrayun

09/05/16

12/05/16

Munggung 3/3 Pulung

09/05/16

12/05/16

Tutukan 2/1 Mlaruk

09/05/16

12/05/16

Tenggang 4/2 Ngrupit Jenangan

09/05/16

15/05/16

Jl. Ponco Siwalan 02/03 Ngunut babadan

09/05/16

13/05/16

Tanjungrejo 16/06 Kebonsari

10/05/16

11/05/16

Sendang 03/03 Jambon

10/05/16

16/05/16

Paju 01/01 Paju

10/05/16

15/05/16

Rt. 13/02 Kebonsari Madiun

10/05/16

11/05/16

Dkh. Tempel Purwosari Babadan

10/05/16

10/05/16

Mening 03/02 Prajegan Sukorejo

10/05/16

12/05/16

Mening 03/02 Prajegan Sukorejo

10/05/16

12/05/16

Golo 2/3 Puhpelem

10/05/16

13/05/16

Doyong 2/7 Tengger

10/05/16

12/05/16

Nampan Sukorejo

10/05/16

13/05/16

Beji Polorejo 2/7 Babadan

10/05/16

12/05/16

Mojokerto 48/09 Palur Kebonsari Madiun

10/05/16

12/05/16

Mojokerto 48/09 Palur Kebonsari Madiun

10/05/16

16/05/16

Janggan 3/4 Bulukerto

10/05/16

12/05/16

Jl. Rumpuk 64 Kertosari

10/05/16

12/05/16

Sidomulya 18/07 Pule Trenggalek

10/05/16

12/05/16

Istana Lesehan/ Sawahan Nganjuk

10/05/16

12/05/16

Purworejo 1/2 Mlarak

10/05/16

12/05/16

Patik 3/2 Pulung

10/05/16

12/05/16

Pangkal 1/2 Sawoo

10/05/16

13/05/16

Tegalsari Jetis

10/05/16

13/05/16

Betok I 4/10 Lembeyan Magetan

10/05/16

13/05/16

Jl. Dr. Soetomo 41B Bangunsari

10/05/16

15/05/16

Goran 1/2 Bungkal

10/05/16

14/05/16

P. Gontor / Kebumen

10/05/16

12/05/16

Jl. Handayani 2/1 Balong

10/05/16

13/05/16

Wringinanom 2/1 Sambit

10/05/16

16/05/16

Cengkir 1/1 Singgahan Pulung

11/05/16

11/05/16

Bintoro 1/1 Bekiring Pulung

11/05/16

16/05/16

Sokoboyo Slogohimo Wonogiri

11/05/16

17/05/16

Dkh. Sendang 28/08 Trisono Babadan

11/05/16

14/05/16

Plunturan 1/1 Pulung

11/05/16

15/05/16

Dkh. Nglodo 01/05 Ngrayun

11/05/16

16/05/16

Mojorejo 2/2 Jetis

11/05/16

15/05/16

Mojorejo 2/2 Jetis

11/05/16

13/05/16

Jogoragan Ngunut Babadan

11/05/16

13/05/16

Jogoragan Ngunut Babadan

11/05/16

13/05/16

Jl. Batoro Katong 153a

11/05/16

15/05/16

Dadapan 2/1 Balong

11/05/16

15/05/16

Munggung 3/1 Pulung

11/05/16

13/05/16

Suru 01/03 Sooko

11/05/16

14/05/16

Jl. Madura 39a Mangkujayan

11/05/16

17/05/16

Bandang 1/1 Sambilawag Bungkal

12/05/16

14/05/16

Jl. Srikandi 02/02 Karangmojo Balong

12/05/16

13/05/16

Rt. 01/01 Pijeran Siman

12/05/16

16/05/16

Jl. Kyai Mojo 71 Kauman PO

12/05/16

16/05/16

Prm. Pulpes Po Jl. Bayangkara Banyudoro

12/05/16

14/05/16

Rt. 01/01 Jaten Slahung

12/05/16

15/05/16

Jl. Masjid 02/02 Kauman Sumoroto

12/05/16

14/05/16

Jl. Masjid 02/02 Kauman Sumoroto

12/05/16

14/05/16

Dkh. Krajan 02/02 Gembang Slahung

12/05/16

16/05/16

Karanglo 02/01 Ngasinan Jetis

12/05/16

14/05/16

Karanglo 02/01 Ngasinan Jetis

12/05/16

14/05/16

Sidorejo 01/01 Kutuwetan Jetis

12/05/16

14/05/16

Sidorejo 01/01 Kutuwetan Jetis

12/05/16

14/05/16

Sambirejo 01/01 Kupuk Bungkal

12/05/16

14/05/16

Sekadatan 10/02 Kediren Lembeyan

12/05/16

13/05/16

Gabahan 3/01 Kalisat Bungkal

12/05/16

16/05/16

Kebon 02/03 Pulung

12/05/16

14/05/16

P. Gontor 1 / Pacitan

12/05/16

13/05/16

Jl. Semeru No. 10

12/05/16

16/05/16

Gupolo 4/2 Babadan

12/05/16

14/05/16

Gupolo 4/2 Babadan

12/05/16

14/05/16

Nailan 4/2 Slahung

12/05/16

15/05/16

Nailan 4/2 Slahung

12/05/16

15/05/16

Jl. Muria 12 Bangunsari

13/05/16

15/05/16

Rt. 01/02 Kemuning Sambit

13/05/16

14/05/16

Tegalsari 02/02 Jetis

13/05/16

14/05/16

Piunturan 01/01 Pulung

13/05/16

23/05/16

Jl. Kumbokarno 43 01/01 Purbosuman

13/05/16

16/05/16

Rt. 01/01 Jurug Sooko

13/05/16

16/05/16

Dkh. Karangan 01/01Ploso Jenar Kauman

13/05/16

15/05/16

Dkh. Karangan 01/01Ploso Jenar Kauman

13/05/16

15/05/16

Perum Kertosari Indah D-28

13/05/16

16/05/16

Wetas 2/1 Slahung

13/05/16

14/05/16

Tenggang 3/1 Ngrupit

13/05/16

16/05/16

Jl. Juru Mertani 55 Kadipaten Babadan

13/05/16

19/05/16

campurejo Sambit

13/05/16

18/05/16

Blimbing 2/1 Purwantoro

13/05/16

18/05/16

Nguneng 5/1 Puh pelem Wonogiri

13/05/16

18/05/16

Poko 01/02 Jambon

13/05/16

16/05/16

Jl. Singosari 38 Kadipaten

13/05/16

15/05/16

Sedah 03/04 Jenangan

13/05/16

14/05/16

Suren 01/01 Mlarak

13/05/16

15/05/16

Suren 01/01 Mlarak

13/05/16

15/05/16

Pucang anom 10/01 Kebonsari Madiun

14/05/16

15/05/16

Pucang anom 10/01 Kebonsari Madiun

14/05/16

22/05/16

Dkh Yagan 01/02 Carat Kauman

14/05/16

17/05/16

Pelem 02/02 Jatisrono Wonogiri

14/05/16

16/05/16

Pelem 02/02 Jatisrono Wonogiri

14/05/16

16/05/16

Bangsal 01/02 Sambit

14/05/16

18/05/16

Jaten 2/6 Ngroto Kismantoro

14/05/16

16/05/16

Jaten 2/6 Ngroto Kismantoro

14/05/16

16/05/16

Glonggong 2/1 Dolopo

14/05/16

19/05/16

Demangan 01/01 Siman

14/05/16

19/05/16

Jl. Pramuka No.17

14/05/16

17/05/16

Sukorejo Puhpelem

14/05/16

18/05/16

Serangan 01/02 Mlarak

14/05/16

23/05/16

Trisono 01/01 Babadan

14/05/16

19/05/16

Trisono 13/4 Babadan / Batam

14/05/16

17/05/16

Gundik 3/2 Slahung

14/05/16

24/05/16

Bulusari 3/1 Serangan

15/05/16

21/05/16

Kediren 1/1 Lembeyan

15/05/16

16/05/16

Jl. Sidoluhur 1/3 Cokromenggalan

15/05/16

18/05/16

Tegalrejo 1/6 Purwantoro

15/05/16

17/05/16

Sempol 3/1 Dadapan Balong

15/05/16

18/05/16

Kalimalang 3/1 Sekorejo

15/05/16

21/05/16

Ngadipiro 01/07 Tanjungsar Jatisrono

15/05/16

18/05/16

Tamansari 01/03 Sambit

15/05/16

18/05/16

Badegan 01/02 Ponorogo

15/05/16

15/05/16

Plurutan 1/1 Pulung

15/05/16

20/05/16

Japan 2/1 Babadan

16/05/16

20/05/16

Dkh. Babadan 01/02 Wotan Pulung

16/05/16

17/05/16

Ds. Wonosobo 02/01 Ngadirojo Pacitan

16/05/16

19/05/16

Jl. Pringgodani 11 B Sumoroto

16/05/16

17/05/16

Tamanan 1/1 Carat Kauman

16/05/16

23/05/16

Paket Tulungagung/ Nglewan Sambit

16/05/16

19/05/16

Jl. Pepaya 13 Keniten

16/05/16

19/05/16

Jl. Pepaya 13 Keniten

16/05/16

19/05/16

Mando Timur 01/01 Mojo Kediri

16/05/16

18/05/16

Mando Timur 01/01 Mojo Kediri

16/05/16

19/05/16

Geneng 01/03 Bulukerto Wonogiri

16/05/16

18/05/16

Geneng 01/03 Bulukerto Wonogiri

16/05/16

18/05/16

Lembeyan Wetan 4/3 Magetan

16/05/16

19/05/16

Sampung

16/05/16

19/05/16

Jl. Semen Remeng 39

16/05/16

24/05/16

Jl. Dr. Cipto MK Gg 1 3/3 Keniten

16/05/16

17/05/16

Krajan 3/1 Basanlor Ngrayun

16/05/16

20/05/16

Bedi Wetan Bungkal

16/05/16

19/05/16

Karang Mojo 2/1 Balong

16/05/16

23/05/16

Bondrong 2/1 Sawoo

16/05/16

23/05/16

Mrayan 1/3 Ngrayun

16/05/16

19/05/16

Ketro 02/17 Tulakan Pacitan

16/05/16

21/05/16

Maron 03/01 Kauman

16/05/16

21/05/16

Jeban Slahung

16/05/16

18/05/16

Krajan 01/04 Ngrayun

16/05/16

20/05/16

Wonorejo 01/01 Bedrug Pulung

17/05/16

23/05/16

Jl. Teuku Umar 01/02 Singkil Balong

17/05/16

18/05/16

Jl. Mayang 26 Purbosuman

17/05/16

19/05/16

Jl. Sekar Taman 02/01 Tonatan

17/05/16

19/05/16

Dkh. Sendang 28/08 Trisono Babadan

17/05/16

19/05/16

Gadungan 01/04 Kismantoro

17/05/16

23/05/16

Gelangkulon Kunti Sampung

17/05/16

25/05/16

Jl. Sambirobyong Purbosuman

17/05/16

23/05/16

Krajan 01/01 Pagutan

17/05/16

20/05/16

Kutu Kulon Tetis

17/05/16

21/05/16

Ngepeh 21/7 Parang Magetan

Sendangmulyo 1/11 Purwoharjo Karang
tengah Wonogiri
Sendangmulyo 1/11 Purwoharjo Karang
tengah Wonogiri
Jl. Sulawesi 42 Mangkujayan

17/05/16

20/05/16

17/05/16

19/05/16

17/05/16

19/05/16

17/05/16

19/05/16

Jl. Sulawesi 42 Mangkujayan

17/05/16

19/05/16

Mlilir 26/9 Dolopo Madiun

17/05/16

20/05/16

Bubakan 8/9 Ngunut Bandar Pacitan

17/05/16

21/05/16

Patihan 3/3 Ponorogo

17/05/16

18/05/16

Prm Cokromenggalan B- 2

17/05/16

23/05/16

Ngrupit 5/2 Jenangan

17/05/16

20/05/16

Lembah 7/3 Dolopo

17/05/16

21/05/16

Jatirejo 4/4 Lembeyan Kulon

17/05/16

20/05/16

Jatirejo 4/4 Lembeyan Kulon

17/05/16

20/05/16

Kalipucat 4/2 K. Banteng

17/05/16

20/05/16

Kalipucat 4/2 K. Banteng

17/05/16

20/05/16

Plancungan 01/01 Slahung

17/05/16

20/05/16

Sidoarjo Sukun 01/01 Pulung

17/05/16

20/05/16

Gontor 01/02 Mlarak

18/05/16

18/05/16

Tambakmas 36/3 Kebonsari

18/05/16

20/05/16

Tambakmas 36/3 Kebonsari

18/05/16

20/05/16

Bangunsari 11/04 Dolopo

18/05/16

20/05/16

Gondik 2/2 Slahung

18/05/16

21/05/16

P. Gontor 2/2 Slahung

18/05/16

21/05/16

Purwantoro 3/2 Tegalrejo Wonogiri

18/05/16

20/05/16

Purwantoro 3/2 Tegalrejo Wonogiri

18/05/16

20/05/16

rt 03/01 Krebet Jambon

18/05/16

20/05/16

Plalangan Jenangan

18/05/16

20/05/16

rt 01/04 Tenggang Ngrayun

18/05/16

23/05/16

Tunggur 04/01 Lembeyan Magetan

18/05/16

23/05/16

rt 02/02 Mojorejo Jetis

18/05/16

23/05/16

Wonokarto 02/09 Ngadirojo Pacitan

18/05/16

21/05/16

P. Mayak / Jambi

18/05/16

20/05/16

Watusomo Slogohimo

18/05/16

18/05/16

Poncol 5/12 Magetan

18/05/16

25/05/16

Jarak 2/2 Siman

18/05/16

21/05/16

Lembah 1/1 Babadan

18/05/16

23/05/16

Bantengan 2/1 Pomahan Pulung

18/05/16

23/05/16

P. Al-Mawaddah / kuningan

18/05/16

19/05/16

Karang Gebang 2/1 Jetis

18/05/16

23/05/16

Jl. Menur 103 B Ronowijayan

18/05/16

20/05/16

Jl. Menur 103 B Ronowijayan

18/05/16

20/05/16

Jl. MT. Haryono 131 Beduri

18/05/16

21/05/16

Bareng 1/1 Pudak

18/05/16

20/05/16

Bader 23/8 Dolopo

18/05/16

19/05/16

Bader 23/8 Dolopo

18/05/16

21/05/16

Krajan 1/4 Ngrayun

18/05/16

22/05/16

Trisono 13/4 Babadan

19/05/16

23/05/16

Rt 05/01 Watu Bonang Badegan

19/05/16

23/05/16

Mlilir 19/07 Dolopo Madiun

19/05/16

20/05/16

Rt 01/02 Bogem Sampung

19/05/16

24/05/16

Jl. Jend Sudirman 52 PO

19/05/16

22/05/16

Sikosari 02/01 Babadan

19/05/16

23/05/16

02/12 Ngasinan Jetis

19/05/16

20/05/16

Jl. Jagadan 8 Ronowijayan

19/05/16

23/05/16

Ngembung 8/2 Gondangsari Jatisrono

19/05/16

22/05/16

Jl. Tangkuban Perahu 3 B Nologaten

19/05/16

21/05/16

Jl. Yos Sudarso 1/2 Kauman

19/05/16

22/05/16

Krowe 1/2 Lembeyan Magetan

19/05/16

20/05/16

Plosojenar 1/2 Kauman

19/05/16

22/05/16

Jl. Bupati Sumadi E7

19/05/16

23/05/16

K Panji Lembeyan Magetan

19/05/16

20/05/16

Baosan lor rt 02/02 Ngrayun

20/05/16

24/05/16

Nguri 3/1 Lembeyan

20/05/16

29/05/16

Crabak 2/2 Slahung

20/05/16

21/05/16

Jeruk 1/3 Bandar Pacitan

20/05/16

23/05/16

Pengkol 1/2 Kauman

20/05/16

22/05/16

Pengkol 1/2 Kauman

20/05/16

22/05/16

Nawung 7/2 Tunggur Lembeyan

20/05/16

22/05/16

Nawung 7/2 Tunggur Lembeyan

20/05/16

22/05/16

Jl. Budi Utomo 2/3 Singosaren

20/05/16

22/05/16

Jl. Budi Utomo 2/3 Singosaren

20/05/16

22/05/16

Kebatan 3/2 Campurejo Sambit

20/05/16

22/05/16

Kebatan 3/2 Campurejo Sambit

20/05/16

22/05/16

Kedung Banteng

20/05/16

23/05/16

Pudak Wetan 2/1 Pudak

20/05/16

21/05/16

Ploso 17/08 Tegal Ombo Pacitan

20/05/16

24/05/16

Jl. Menur 4/2 Ronowijayan

20/05/16

26/05/16

Srandil 1/2 Jambon

20/05/16

23/05/16

Mlilir 26/9 Dolopo Madiun

20/05/16

22/05/16

Mlilir 26/9 Dolopo Madiun

20/05/16

23/05/16

Krajan 05/01n Parang

20/05/16

23/05/16

Ketro 2/23 Tulakan Pct

20/05/16

23/05/16

Glonggong 39-05 Dolopo

20/05/16

27/05/16

Kedung Panji 1/1 Lembeyan

20/05/16

24/05/16

Gondik 1/2 Slahung

20/05/16

24/05/16

Lembah Tasih 5/52 Babadan

21/05/16

23/05/16

Lembah Tasih 5/52 Babadan

21/05/16

23/05/16

Trisono 13/04 Babadan

21/05/16

26/05/16

Trisono 13/04 Babadan

21/05/16

24/05/16

Pandan 2/3 Slogohimo

21/05/16

23/05/16

Pandan 2/3 Slogohimo

21/05/16

23/05/16

Kranggan 3/1 Jurug Sooko

21/05/16

23/05/16

Kranggan 3/1 Jurug Sooko

21/05/16

23/05/16

Padarangin 1/14 Slogohimo

21/05/16

23/05/16

Padarangin 1/14 Slogohimo

21/05/16

23/05/16

Tegalrejo 05/03 Tunggur Lembeyan

21/05/16

25/05/16

Jl. Hp Kusuma 03/03 Tanjung Siman

21/05/16

28/05/16

Danyang 03/02 Sukosari Babadan

21/05/16

26/05/16

Jl. Letjen S Parman 177

21/05/16

25/05/16

Plancungan 1/1 Slahung

21/05/16

25/05/16

Pinang Indah Regency 9 Kauman Ponorogo

21/05/16

22/05/16

Jl. Semen Romo 12 B Kertosari

22/05/16

24/05/16

Jl. Semen Romo 12 B Kertosari

22/05/16

24/05/16

Glonggong 05/01 Dolopo

22/05/16

26/05/16

Tanjunglor 01/01 Ngadirojo Pacitan

22/05/16

24/05/16

Wates 01/01 Jenangan

22/05/16

25/05/16

Srayu 1/2 Jurug Sooko

22/05/16

28/05/16

Geneng 3/4 Bulukerto Wonogiri

22/05/16

25/05/16

P. Gontor / Sragen

22/05/16

26/05/16

Karanglo lor Sukorejo

22/05/16

25/05/16

Jl. Menur Gg V Ronowijayan

22/05/16

24/05/16

Jurun 1/4 Tunggur Slogihimo

22/05/16

25/05/16

Jurun 1/4 Tunggur Slogihimo

22/05/16

25/05/16

Jl. Kawung 64 Kertosari

22/05/16

27/05/16

Tengah 3/3 Kauman Sumoroto

23/05/16

25/05/16

Pupus 3/10 Lembeyan Magetan

23/05/16

26/05/16

Jl. Dewi Kunti 18 A Surodikraman Ponorogo

23/05/16

26/05/16

Jl. Dewi Kunti 18 A Surodikraman Ponorogo

23/05/16

26/05/16

Purwosari 1/1 Babadan

23/05/16

25/05/16

Tulung 2/1 Sampung

23/05/16

24/05/16

Jl. Sekar Taman II Tonatan

23/05/16

26/05/16

Isid / Jakarta

23/05/16

28/05/16

Ds. Kepuh Rubuh 1/1 Siman Ponorogo

23/05/16

25/05/16

Ds. Kepuh Rubuh 1/1 Siman Ponorogo

23/05/16

25/05/16

Dsn. Pacat 03/01 Prajegan Sukorejo

23/05/16

24/05/16

Ngembel 3/2 Baosanlor Ngrayun

23/05/16

26/05/16

rt 02/01 Kaponan Mlarak

23/05/16

24/05/16

Pudak Kidul 2/1 Pudak

23/05/16

24/05/16

Pudak Kidul 2/1 Pudak

23/05/16

24/05/16

Sukoboyo 1/1 Slogohimo

23/05/16

27/05/16

Pule 1/2 Ngrogung Ngebel

23/05/16

28/05/16

Gambiranom 3/6 Kismantoro

23/05/16

29/05/16

jl. Parang Menang 24

23/05/16

28/05/16

Jl. Sunan Kudus Cekok

23/05/16

25/05/16

Pulosari 02/01 Jambon

23/05/16

28/05/16

Ngricik Nungkulan Girimarto

23/05/16

24/05/16

Kradinan 34/10 Dolopo

23/05/16

26/05/16

Kradinan 34/10 Dolopo

23/05/16

26/05/16

Krajan I 3/1 Jimbe, Jenangan

25/05/16

28/05/16

Mangkujayan 03/01 Ponorogo

25/05/16

28/05/16

Bedoho 01/03 Sooko

24/05/16

26/05/16

Depok 30/14 Panggul Trenggalek

26/05/16

26/05/16

Merbot 2/1 Kauman

24/05/16

27/05/16

Tamanan 2/1 polorejo

24/05/16

30/05/16

Jl. Mukiyar 2/1 Lengkong Sukoharjo

24/05/16

26/05/16

Jl. Mukiyar 2/1 Lengkong Sukoharjo

24/05/16

26/05/16

Trisono 23/7 Babadan

24/05/16

27/05/16

Jurug 1/3 Sooko

24/05/16

29/05/16

Jl. Wilis 180 Nologaten

24/05/16

27/05/16

Watuondo 01/05 Bulukerto

24/05/16

26/05/16

Watuondo 01/05 Bulukerto

24/05/16

26/05/16

Tawangrejo 7/3 Lembeyan Magetan

24/05/16

27/05/16

Purworejo 1/2 Mlarak

24/05/16

26/05/16

Jl. Menur 184 Ronowijayan

24/05/16

27/05/16

jl. Suhada 167 Ngunur

24/05/16

26/05/16

Plalangan Jenangan

24/05/16

26/05/16

Plunturan 2/2 Pulung

24/05/16

25/05/16

Jl. Ukel 1 24 Kertosari

24/05/16

25/05/16

Jl. Imam Hambali 02/02 Cekok Babadan

24/05/16

28/05/16

Jl. Sulawesi 02/01 Slahung

24/05/16

31/05/16

Jl. Raya Sampung no 44 Kauman Sumoroto

24/05/16

28/05/16

Krajan 04/01 Baosanlor Ngrayun

24/05/16

29/05/16

Klego 3/1 Mrican Jenangan

24/05/16

26/05/16

3/1 Babadan

24/05/16

25/05/16

Krajan 2/1 Cepoko Ngrayun

24/05/16

25/05/16

Krajan 3/1 Jimbe Jenangan

24/05/16

27/05/16

Krajan I Tanjungsari Jenangan

24/05/16

29/05/16

Krajan I Tanjungsari Jenangan

24/05/16

27/05/16

Datran 2/2 Kupuk Bungkal

24/05/16

28/05/16

Tulung 2/6 Sampung

24/05/16

27/05/16

Coper 1/2 Jetis

24/05/16

30/05/16

sukosari 2/1 Babadan

24/05/16

29/05/16

Mrayan 4/3 Ngrayun

26/05/16

30/05/16

2/2 Ngrogung Ngebel

26/05/16

30/05/16

Jl.Abiyoso 3/1 Dolopo Madiun

26/05/16

28/05/16

Bulurejo 3/1 Bulukerto Wonogiri

26/05/16

26/05/16

rt 01/02 Muneng Balong

26/05/16

31/05/16

Jl.Sentono 2/1 Kauman Sumoroto

26/05/16

31/05/16

Pucang Anom 7/1 Kebonsari Madiun

26/05/16

29/05/16

Belang Bungkal

26/05/16

30/05/16

Pohijo Sampung

26/05/16

28/05/16

Kambeng Slahung

26/05/16

28/05/16

Krisik 1/1 Slahung

26/05/16

28/05/16

Ngebel 2/1 Ngebel

26/05/16

31/05/16

jurug Sooko Trenggalek

26/05/16

28/05/16

ISId / Indramayu

27/05/16

30/05/16

Talun 1/2 ngebel

27/05/16

29/05/16

Talun 1/2 ngebel

27/05/16

29/05/16

Tunggur 8/1 Lembeyan Magetan

27/05/16

30/05/16

Binade 1/1 Ngrayun

27/05/16

30/05/16

Sambit 1/3 Sambit

27/05/16

30/05/16

Sambit 1/3 Sambit

27/05/16

30/05/16

Tamansari 02/03 Sambit

27/05/16

30/05/16

Tamansari 02/03 Sambit

27/05/16

30/05/16

Karangan 3/1 Balong

27/05/16

28/05/16

Banyuripan 3/1 Bandar Pacitan

27/05/16

31/05/16

Jl.Singosari 2 Kadipaten

27/05/16

29/05/16

27/05/16

29/05/16

27/05/16

30/05/16

Mategal 4 Parang Magetan

Kebonsarei madiun

Kebonsari Madiun

27/05/16

30/05/16

Menggeng 2/2 Gelang Lor Sukorejo

27/05/16

30/05/16

Jl.A.Yani 209 Purbosuman

27/05/16

29/05/16

Joho 4/1 Wonogiri

28/05/16

31/05/16

Joho 4/1 Wonogiri

28/05/16

31/05/16

Putuk 1/1 Kambrng Slahung

28/05/16

29/05/16

28/05/16

30/05/16

Perum Bukit Asri blok III No 13 Ronowijayan

Tanjungrejo 4/1 Kebonsari Madiun

28/05/16

30/05/16

Jl. Urip Sumoharjo 181 3/3 Banyudono

28/05/16

30/05/16

Dongol 3/1 Sedayu Slogohimo

28/05/16

31/05/16

Dongol 3/1 Sedayu Slogohimo

28/05/16

31/05/16

Wayang 1/1 Pulung

29/05/16

31/05/16

Wayang 1/1 Pulung

29/05/16

31/05/16

Perum Grisimay CB_14

29/05/16

31/05/16

Prm Dwija Regency

29/05/16

31/05/16

Prm Dwija Regency

29/05/16

31/05/16

Perum Cokromenggalan

29/05/16

31/05/16

Doho 5/1 Dolopo

29/05/16

29/05/16

Wagir lor 1/1 Ngebel

29/05/16

31/05/16

Kauman 3/2 Kauman

29/05/16

31/05/16

Jl. Raden Wijaya Kadipaten

30/05/16

31/05/16

Sawoo 01/01 Sawoo

30/05/16

30/05/16

247

363

2,037

10

53

56

209

10

20

32

Lama Dirawat

63

MENINGGAL
Dahlia

Jml. HP

Tulip
< 48 Jam

VVIP

VIP

VVIP

VIP

VVIP

Jml. HP

> 48 Jam

VIP

VVIP

VIP

VVIP

VIP

VVIP

36

11

14

10

15

16

10

10

10

10

53

56

209

10

20

32

2,037

58

28

48

98

175

MENINGGAL
Mawar

VIP

VVIP

Jml. HP

>48 Jam

VIP

VVIP

MENINGGAL

Jml. HP
<48 Jam

VIP

II

II

< 48 Jam

> 48 Jam

II

58

28

48

98

175

20

48

87

81

187

352

155

NINGGAL

MENINGGAL
Flamboyan

Jml. HP

> 48 Jam

< 48 Jam

II

II

III

II

III

II

> 48 Jam
III

II

11

14

10

20

48

87

81

187

352

21

13

17

27

24

73

49

43

70

56
KLAS

L
Bougenfille

Jml. HP

> 48 Jam

< 48 Jam
III

VVIP

VIP

II

VVIP

III

VIP

II

III

VVIP

21

13

17

27

24

73

49

43

70

85

211

85

MENINGGAL
< 48 Jam
VIP

Meninggal
> 48 Jam

II

VVIP

VIP

Peri

Jml.
HP

II

KBS/MELA
< 48

>48

Peri

Peri

VVIP

16

85

211

20

29

59

18

53

63

126

115

MENIN
KBS/MELATI

Jml. HP
< 48 Jam

VIP

II

III

VVIP

VIP

II

III

VVIP

VIP

20

29

59

18

53

63

126

15

73

15

MENINGGAL

Meninggal

< 48 Jam

> 48 Jam
II

III

VVIP

VIP

Jml.
HP

ICU
II

III

< 48

>48

ICU

ICU

10

15

10

10

15

73

DIAGNOSA

UTAMA
Demam Typoid

SKUNDER
Dyspepsia

DHF
Brain Tumor
CVA Infark

HT

Dermatitis Medikamentosa
Demam Typoid

Dyspepsia

TIA

HT

HIL
Fr Femur
BPH
ISK

Dyspepsia

CKD

DM Tipe II

DM Type II

Nueropathi

Anemia

Menometroralgia

COR

FBC

PRM

Letak Lintang

NCB SM SC

PRM

DHF
Ileus obs dd HerniaIncasirata
Vertigo
CF. SCH
CVA
DHF
Kep Floating

Postdate

NLB SMK SC

Post Date

Post Date

P.SC

BBL Spt

Post Date

ISK

Dyspepsia

DHF

Effusion Pleura

Demam Typoid
Gallstone

Dyspepsia

Dyspepsia

DM Type 2

Tonsilitiss
Post Date

P.SC

Tikto Wahyono, Sp.A

Post Date

PPT
PPOK Eksaserbasi Acute
Periodik Paralisis
HEG
Stroke

ICH

CPD

P.SC

NCB SMK SC
B.SC

CPD

Neo Aterm SCTP

Cyst Ovari
Dyspepsia

DM Type 2

Vertigo
Brpn
Sepsis

Dyspepsia

CVA
Ab. Incomplate
ICH

OA

Obs Vomiting
Dyspepsia

Adence

Dyspepsia

PJK

Vertigo Periver
Ab. Iminent
DHF

Efusi Pleura

DHF
Dyspepsia

Cephalgia

GEA

Dyspepsia

Dyspepsia
Dyspepsia

GEA

DHF
PJK DC

Dyspepsia

Dyspepsia

DM Type 2

Dyspepsia

Pharingitis Akute

COB

Fr. Draston Sutura Coronaria

Anemia

Trombocytopenia

Pharingitis Acute

DM Type 2

Neuropathi DM
DHF
Ab. Incomplate
Letsu

P.SC

NCB SMK SC
Demam Typoid

ISK

Arief Prijatna, Sp.OG

BBL SPT

PEB

Inpartu PER

IUGR

BBL SPT

IUGR

Porho Oedem

P.SC

BBL Spt
DM Type II

Dyspepsia

Inpartu Dg PRM

Post Partum Spt

Bp
CPD
NCB SMK SC
DHF
Dyspepsia
FWS
DHF
HEG

P.SC

COR

Fr. Parietal

DHF
COR

SDH

DADS
Impetigo Bulosa
SDH

SAH

COR
COR

Fr. Maxilla

Ca Mamae

Anemia

CF Radius Distal
Asma Eksaserbasi Acute

CAP

PJK

OMI

CF SCH
Portio Odem

P.SC

BBL SC
Dyspepsia

ISPA

ISPA
PEB

P.SC

Neo Aterm SCTP

PEB

DHF
Dyspepsia
DHF gr 1

Dyspepsia

DHF
CKD st II

Anemia

Kepala Floating

P.SC

Neo Aterm SCTP

KDS
CF Femur D
DM Type II

Dyspepsia

Asma Eksaserbasi Acute

HT II

COR
DHF
CF Radius Distal
HHF

Infark Cerebral
DHF
PPJ Fase Aktif

P.SC

BBL SCTP a/I PPJ

Faselaten

Dyspepsia

ISK

Stroke
DM Type II

Dyspepsia

Ileus Obstruksi
Infark Cerebral
BP
CPD

P.SC

Neo Aterm SCTP

Partus Lama

P.SC

Neo Aterm SCTP

Stroke
B. SC

P.SC

Tikto Wahyono, Sp.A

PRM

Post Partus Spt

NBC SMK SC
BO
DHF

Dyspepsia

Susp DHF
CF Humeru Distal
Hidroneprosis

Nephrolitiasis

Hepatoma

Dyspepsia

Dyspepsia
Dyspepsia
Post Date

B. SC

Neo Aterm SCTP

Post Date

ISPA

Dyspepsia

Fase Laten

PRM

Neo Aterm SCTP

PRM

Ca Cervix

Anemia

Eklamsi

Post Partum

KDS
Post GEA

Dyspepsia

COB
Infark Cerebral
Post Date

P.SC

Neo Aterm SCTP

Post Date

DHF
ISK

Dyspepsia

Rupture Tendon
Decomp Codis

Dyspepsia

AF
Neourophati

DM Type 2

Hematemisis

Aschialgia

Glogohidramnion

P.SC

BBL SCTP

Oligohidramnion

Vomiting

Dehidrasi Sedang

Pharingitis Acute

Dyspepsia

Cholelitiasis
Dyspepsia

ISK

Bronchitis Acute

DM Type 2

DHF
DM Type II

Dyspepsia

PRM

Post Date

Neo Aterm SC

PRM

COR
Vomiting

Dehidrasi Sedang

Dyspepsia
Obs. Febris
PRM

Kala 2 Lama

Neo Aterm SCTP

Dyspepsia
B. SC

P.SC

Neo Aterm SC

Letli

B. SC

P.SC

Neo Aterm SCTP

PEB

P.SC

Neo Aterm SCTP

PEB

Vertigo Periver
COB
COR
TB Paru

DM Type 2

PPOK Eksaserbasi Acute

TB Paru

Arrest of Desent

P.SC

NCB SMK SC

labio Palato Skisis

DHF
Myalgia

Leukimia

DHF Gr II
DHF
HSP
DHF

Dyspepsia

ISK

Dyspepsia

GEA

Dyspepsia

TB Paru

Dyspepsia

Ab. Incomplate

Post Curretage

Myopia Gravis

Partus Spt

Neo Aterm SC
Post Date

P.SC

Neo Aterm SCTP

Dyspepsia
Hipoglikemia

DM Type 2

Dengue Fever
DHF
Kolik Abdomen

Gastritis

Delirium

Aphasia

Dyspepsia

Vertigo

Demam Typoid
Vertigo
Ganglion Lateralis

Ganglion Popliteal
Dyspepsia

DM Type 2

Obs. Febris

Nyeri Tenggorokan

Letak muka

Mekonial

Neo Aterm SC
GEA

Dyspepsia

PEB

Post Partum Spt

Neo Posterm Spt

Post date

GEA

Dyspepsia

Demam Typoid

ISPA

PPOK Eksaserbasi Acute

CAP

DHF

Dyspepsia

Post Date

P.SC

Neo Post Term SCTP

ICH Cerebellum

HT

Demam Typoid

Pharingitis Akute

DADS
BO
DHF
DHF
Stroke

Anemia

B. Sc

CPD

Neo Aterm SCTP

DHF
Dyspepsia
HIL
GEA
DHF Gr II

Dyspepsia

Cysta Ovarium
Tumor Dada
Dyspepsia
DHF
Tumor Mamae
Dead Cnceptuse

ISK

PRM

PPJ Fase Aktif

Neo Atem SC

PRM

Cysta Ovarium
Febris
DHF
ISPA
Cf Fibula
IMA
PPOK Eksaserbasi Acute

Anemia

Konvulsion

Hydrocephalus

Tumor Mamae Ganas

Myalgia

Cephalgia

CF 1/3 Proximal Humerus

CF Costae 3.4.5.6 D

Dyspepsia
Myalgia
Stroke
Dyspepsia

Vertigo

DHF
DHF

Dyspepsia

Dyspepsia
HIL
Brain Athropie
OF Tabia Fibula
Infark Cerebral
Gangren DM Pedis
DHF gr 1

Dyspepsia

DHF
Dyspepsia

Hypertensi

postdate

P.SC

Neo Postdate
PPJ

P.SC

NCB SMK SC
KDS
Demam Typoid

Dyspepsia

Vertigo
Vertigo
TOA Bilateral

ISK

Asma Eksaserbasi Acute

CAP

Tumor R Pedis
Iscialgia
Dyspepsia

ISK

Dyspepsia

DM Type 2

DHF
Letsu

P.SC

Neo Aterm SC

Letsu

Myoma Uteri

Laparotomy

Letsu

P.SC

Neo Aterm SC

Letsu

PRM

P.SC

Neo Aterm SC

PRM

PPI
IUFD

Post Partum

Gravid

ISK

TB Paru

OMI Interior

Dyspepsia
DADS
Inpartu PRM

Post Partum Spt

Neo Aterm SC
CPD

P.SC

Neo Aterm SC

PRM

Tumor Bahu
Ganglion
Tu Mamae
DHF Gr II

Dyspepsia

Hipoglicemic

Dermatitis

Dyspepsia

Arthalgia

postdate

Letsu

BBL Spt

Letsu

Epilepsi Post Stroke

Febris
TIA
Bronchopneumonia
Diabetic Foot
Brpn
HIL
Anemia Gravis
Dyspepsia

GEA

Dyspepsia
Post Date

Post Partum Spt

NCB SMK SC
Premature

Post Curretage

Neo Preterm Spontan

BBLR

DHF gr 1

Dyspepsia

PPJ Fase Aktif a/I CPD

P.SC

BBL SCTP
HEF Pangina
Post SCTP

PRM

BBL SCTP
Hidronephrosis Gr II
Parkingson

LBP

Demam Typoid
Dyspepsia

TB Paru

Reic Stroke

Coma

LBP

Vertigo

Pharingitis Acute

Dyspepsia

COS

SAH

DHF
IUFD
Brpn
COR
COR
DHF

Post Partum

Fr. Maxilla D
HFMD

KDS

Post Cemoteraphi Ca Paru

Dyspepsia

DHF
Dyspepsia

DM Type 2

Union CF Humerus
Dyspepsia

DM Type 2

Syncope
DHF

Dyspepsia

Dyspepsia
PLR

P.SC

Neo Aterm SC
B SC

CPD

Neo Aterm SC
APB PLR

P.SC

NCB SMK SC
SMNNT
Dyspepsia

TB Paru

Infark Cerebral
COR
Dyspepsia

ISK

CAP

Dyspepsia

Bronchiectisis

Tb Paru

Artritis Genu Ankle

CF. Radius 1/3 Distal
DM Type II

Post Penurunan kesadaran

Cholelitiasis ec Cholelitiasis

ISK

Sindrom Dyspepsia

Nefrolitiasis

Dyspepsia

HP

Herpes Zooster
COR
CF. Radius Ulna
Basalioma Pipi
Vomiting

HT

LBP
Dyspepsia

DM Type 2

Ischialgia
Dyspepsia
Tumor Paru

Effusi Pleura

Epistaksis

HT

Panggul Sempit

P.SC

Neo Aterm SC
PRM

P. SC

Neo Aterm SC
Tuba Abdoment

Tuba Dextra

DHF
HPP

Post Curretage

DHF gr 1

Dyspepsia

Post Hematemisis

Anemia

Dengue Fever
Letsu

P.SC

Neo Aterm SC
Fetal Destres

P.SC

Neo Aterm SC
DADS
Stroke
Encelopathi Hepatikum

DM Type 2

CPD

P.SC

Neo Aterm SC
TIA
Vertigo

Insufiensi Akomodasi

Tetraparese
CPD
Neo Aterm SCTP
Tumor Ssub mandibula
Tumor Mamae
COS
BPH

Post SC

CF Femur
Dyspepsia

Susp Pneumonia

Dyspepsia
BO

Post. Curretage

PJK - DC

DM

Gastritis Akut
DHF gr 1

Dyspepsia

DM Type II

Dyspepsia

COR
Stroke

HT

PRM

PEB

Neo Aterm SC
DHF
DADS
Letsu

P.SC

Neo Aterm SC
Dyspepsia

Colic Abdoment

Disfagia
Dyspepsia

LBP

SVT

CKD

Anemia Gravis

Arthalgia

Vomiting
DHF

Dyspepsia

Tumor Gliter
DHF
Rupture Uteri

Portio oeden

Asma Eksaserbasi Acute

CAP

DHF
Vertigo
DM Type II

Dyspepsia

DADRS
Dyspepsia
Dyspepsia
Infark Cerebral

Arthalgia

COR
GERD
CPD

B. SC

NCB SMK SC
Oligohidramnion

IUGR

NCB SMK SC
CPD

P.SC

NCB SMK SC
postdate

P.SC

BBL SCTP
TB Paru
FWS

Broncitis

Hypoglikemia
Anemia Aplasti

Dyspepsia

CF Clavicula
PRM

HSUB

NCB SMK SC
Hepatoma Soliter

Susp TB Paru

IUFD

P.sc

Dyspepsia
GEA

CVA

Demam Typoid
Kala 2 Tak maju

P.SC

Neo Aterm SC
Stroke
FWS
Post date

P.SC

NCB SMK SC
Kepala Floating

Postdate

NLB SMK SC
Bekas SC
Neo Aterm SC
Cephalgia
Infark Cerebral

P.SC

Melena

Anemia

DHF gr 1

Dyspepsia

DADS
Abortus incomplate

P. Curretage

PPJ Fase laten

P.SC

Neo Aterm SC
BPH

Vesicolitiasis

Dyspepsia

Hypertensi

ISK
ISPA

Dyspepsia

HIL
DHF

Dyspepsia

Thypoid Fever
Vertigo
PRM

P.SC

Neo Aterm SC
COR

Cf Cruris

ISK

Dyspepsia

COR

V. App Frontalis

B. SC

CPD

Neo Aterm SC
Obs Febris
GEA

Dyspepsia

Tumor Ocipital
DHF

Dyspepsia

Post Date

P.SC

Neo Posterm SC
Union Fr Humerus
Hepatoma

Dyspepsia

Tu Mamae
Post Date
NCB SMK Spontan
Cholelitiasis
Non Union Fr Femur Distal

Partus Spontan

KET

Hematocele e/c Tuba abostus

DM Type II

Dyspepsia

Ileus Paralitik

Obstipasi

DHF
COB

Fr. Parietal

Post Date

PPJ Fase laten

Neo Posterm SC
PRM

P.SC

PRM

P.SC

Obs Febris
S. Ca Postat
Iscialgia
DHF

Dyspepsia

Post date

Post Sc

Neo Posterm SC
HIL Residif
DHF

Dyspepsia

F Cruris 1/3 Distal

Letsu

P.SC

Neo Aterm SC
Dyspepsia
Epilepsi
LBP
TIA
Obs Febris

Vomiting

Obs Febris

Vomiting

Lupus

Sepsis

Asma Eksaserbasi Acute

PJK

Dislokasi Elbow
Observasi Febris
Hemoroid Interna
Ob. Febris

vomiting

Susp Tumor Genu

DM Type II

Sepsis

NCB SMK SC
DHF

Dyspepsia

Neo Aterm SC
DADRS
AF

Hyperglikemia

DADS
DHF
Brpn
HSP
HIL
Tentramen Suicide
HN Gr II

Spondilitis Lumbatis

DHF

Dyspepsia

Asma Eksaserbasi Acute

Decompensasi Cordis

Asma Eksaserbasi Acute

CAP

COR
Vertigo
KDS
Colelitiasis

Splenomegali

Gastritis

LBP

COR

Fr. Linier Occipital

Partus Lama

P.SC

Neo Aterm Sc
Bronchopneumonia
Hematerosis Sendi Genu

OA + Efusi Sendi Genu

CPD

B.SC

Neo Aterm SC
B.SC

P.SC

NCB SMK SC
Finger Tip injuri
Cephalgia
Stroke Infark

DM

IMA

PJK-DC

PRM

P.SC

Neo Aterm SC
DHF
FWS
CPD

Post

NCB SMK SC
COS
Dyspepsia

Demam Dengue

Dyspepsia
Hiperglicemia

DM Type 2

KBS SC

P.SC

Neo Aterm SC
Partus Lama

P.SC

NCB SMK SC
Vertigo
PRM

Kepala Floatin

Tikto Wahyono, Sp.A

Vertigo
CF Costae

CF Scapula

COR

V. App R Factoris

DADRS
Colic Abdoment

Gallstone

Post Curretage
-

Anemia

D
ok
t

SKUNDER

er
Ya
ng

er
aw
at

#REF!

dr. I Wayan Mertha, Sp.PD

dr. Tikto Wahyono, Sp.A
dr. Mutia Sinta, Sp.S
dr. Mutia Sinta, Sp.S
dr. Eko Jaenudin, Sp.A

Cephalgia

dr. I Wayan Mertha, Sp.PD

Tich Fasiale

dr. Mutia Sinta, Sp.S

dr. Doni Prayono,Sp.B
dr. Farhat, Sp.OT
dr. Doni Priyono, SP.B
dr. I Wayan Mertha, Sp.PD

ISK

dr. I Wayan Mertha, Sp.PD

dyspepsia

dr. I Wayan Mertha, Sp.P

dr. I Wayan Mertha, Sp.PD
dr. Budi Purwanto, Sp.Bs

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, SP.A
dr. Tikto Wahyono, Sp.A
dr. Doni Prayono, Sp.B
dr. Mutia Sinta, Sp.S
dr. Farhat, Sp.OT
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, Sp.A

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
PJK

dr. Djoko Tjahjono, Sp.PD

dr. Tikto Wahyono, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Krisbianto, Sp.P
dr. Dwi Kusumaningsih, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Mutia Sinta, Sp.S
dr. Arief Prijatna, SP.OG
dr. Tikto Wahyono, Sp.A

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Djoko Tjahjono, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, SP.A

ISK

dr. I Wayan Mertha, Sp.PD

dr. Mutia Sinta, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyo,Sp.A
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Dwi Kusumaningsih, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, SP.A

dr. I Wayan Mertha, Sp.PD

ISK

dr. I Wayan Merta, Sp.PD

PJK

dr. I Wayan Mrtha, Sp.PD

dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Eko Jaenudin, Sp.A

ISK

dr. I Wayan Mertha, Sp.PD

dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD

EDH

dr. Budi Purwanto, Sp.Bs

dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. mutia Shinta, Sp.S
dr. I Wayan Mertha, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. I wayan Mertha, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A

Post Partum Spt

dr. Arief Prijatna, Sp.OG

BBLR

dr. Tikto Wahyono, Sp.A

CPD

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

PJK

dr. I Wayan Mertha, Sp.PD

dr. Bambang Sihwiyono, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG

EDH Parietal

dr. Budi Purwanto, Sp.Bs

dr. Djoko Tjahjono, Sp.PD
dr. Budi Purwanto, Sp.BS
dr. Eko Jaenudin, Sp.A
dr. Eko Janudin, Sp.A

Fr. Linier Femporo

dr. Budi Purwanto, Sp.Bs

dr. Budi Purwanto, Sp,Bs
dr. Budi Purwanto, Sp,Bs

Hipo Albumin

dr. Saut Idoan Sijabat, Sp.B

dr. Farhat , Sp.OT

TB Paru

dr. Krisna, Sp.P

dr. Setyo Utomo, Sp.JP
dr. Farhat, Sp.OT

MOW

dr. Bambang Sihwiyono, Sp.OG

dr. Tikto Wahyono, SP.A
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A

MOW

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A

dyspepsia

dr. Djoko Tjahjono, Sp.PD

Ins . IUD

dr. Arief Prijatna, Sp.OG

dr. Eko Jaendin, Sp.A
dr. Eko Jaendin, Sp.A
dr. Farhat, Sp.OT

Fattylive

dr. I Wayan Mertha, Sp.PD

CAP

dr. Krisna, Sp.P

dr. Budi Purwanto, Sp.Bs
dr. Tikto Wahyono, Sp.A
dr. Farhat, Sp.OT
dr. Setyo Utomo, Sp.JP

dr. Mutia Sinta, Sp.S

dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Mutia Sinta, Sp.S
Displipidemia

dr. I Wayan Merta, Sp.PD

dr. Dony Prayono, Sp.B
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, SP.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Mutia Sinta, Sp.S

CPD

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Farhat, Sp.OT
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Merta, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD

P.Sc

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG

Post Curretage

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

PJK

dr. I Wayan Mertha, Sp.PD

dr. Budi Purwanto, Sp.Bs
dr. Mutia Sinta, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, SP.A
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Farhat, Sp.OT
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG

BBLR

dr. Tikto Wahyono, Sp.A

dr. Tikto Wahyono, Sp.A

ISK

dr. I Wayan Mertha, Sp.PD

dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD

dyspepsia

dr. Djoko Tjahjono, Sp.PD

dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD

Post SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Budi Purwanto, Sp.Bs
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyon, Sp.A
dr. Djoko Tjahjono, Sp.PD

Letli

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

MOW

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Mutia Sinta, Sp.S
dr. Budi Purwanto, Sp.BS
dr. Budi Purwanto, Sp.Bs
dr. Krisna, Sp.P
dr. Krisna, Sp.P
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Krisna, Sp.P
dr. Aief Prijatna, Sp.OG
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A

B.SC

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD

Diabetic Foot

dr. Djoko Tjahjono, Sp.PD

dr. Eko Jaenudin, Sp.A
dr. Eko Jaenidin, Sp.A
dr. Doni, Sp.B

Stroke

dr. Djoko Tjahjono, Sp.PD

dr. I Wayann Mertha, Sp.PD
dr. I Wayann Mertha, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Doni Prayono, Sp.B

dr. Doni Purwanto, Sp.B

dr. Djoko Tjahjono, Sp.PD
Leucositosis

dr. Djoko Tjahjono, Sp.PD

P.SC

dr. Bambang Sihwiyono, Sp.OG

dr. Eko Jaenudin, Sp.A

PJK

dr. Djoko Tjahjono, Sp.PD

dr. Arief Prijatna, Sp.OG

PER

Perawat

Fattyliver

dr. I Wayan Mertha, Sp.PD

dr. I Wayan Mertha, SP,PD
dr. Krisna, Sp.P
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Budi Purwanto, Sp.Bs
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Mutia Sinta, Sp.S

MOW

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Saut Idoan Sijabat, Sp.B
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Saut Idoan, Sp.B
dr. I Wayan Mertha,. Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Doni Purwanto, Sp.B
dr. Arief Prijatna, Sp.OG

P.SC

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Farhat, Sp.OT
dr. Setyo Utomo, Sp.JP

Hypoaalbumin

dr. Krisna, Sp.P

dr. Tikto Wahyono, Sp.A
dr. Doni Purwanto, Sp.B
dr. Djoko Tjahjono, Sp.PD
dr. Farhat, Sp.OT
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Saut Idoan Sijabat, Sp.B
dr. Mutia Sinta, Sp.S
dr. Farhat, Sp.OT
dr. Mutia Sinta, Sp.S
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Eko Jaenudin, Sp.A

ISPA

dr. I Wayan Mertha, Sp.PD

dr. Mutia Sinta, Sp.S

dr. Mutia Sinta, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Krisna, Sp.P
dr. Saut Idoan, Sp.B
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
TB Paru

dr. Djoko Tjahjono, Sp.PD

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin. Sp.A
dr. Arief Prijatna, Sp.OG
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG

Sisa Plasenta

dr. Arief Prijatna, Sp.OG

dr. I Wayan Mertha, Sp.PD

Effusi Pleura

dr. Krisna, Sp.P

dr. Djoko Tjahjono, Sp.PD
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A

PRM

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Saut Idoan Sijabat, Sp.B
dr. Saut Idoan Sijabat, Sp.B
dr. Dony, Sp.B
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD

Leukimia

dr. Djoko Tjahjono, Sp.PD

P.SC

dr. Arief Prijatna, Sp.OG

Oligohidramnion

dr. Tikto Wahyono, Sp.A

dr. Mutia Sinta, Sp.S

dr. Djoko Tjahjono, Sp.PD
dr. Dwi Kusumaningsih, Sp.S
dr. Eko Jaenudin, Sp.A
dr. Doni Priyono, Sp.B
dr. Eko Jaenudin, Sp.A
dr. Saut Idoan Sijabat, Sp.B
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
Sisa Plasenta

dr. Arief Prijatna, Sp.OG

HMD

dr. Eko Jaenudin, Sp..A

dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD

Kejang

dr. Mutia Sinta, Sp.S

Gastritis

dr. Mutia Sinta, Sp.S

PJK

dr. I Wayan Mertha, Sp.PD

dr. Budi Purwanto, Sp.Bs
dr. I Wayan Mertha, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp..A
dr. Budi Purwanto, Sp.BS
dr. Budi Purwanto, Sp.BS
dr. I Wayan Mertha, Sp.PD

dr. Dony Prayono, Sp.B

dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Merta, Sp.PD
perianal carbucel

dr. Djoko Tjahjono, Sp.PD

dr. Farhat, Sp.OT

Chepalgia

dr. Djoko Tjahjono, Sp.PD

dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp,PD

MOW

dr. Arief Prijatna, Sp.OG

dr5. Eko Jaenudin, Sp.A

P.SC

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Doni Prayono, Sp.B
dr. Djoko Tjahjono, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Budi Purwanto, Sp,Bs
dr. I Wayan Mertha, Sp.PD
dr. Krisna Indrawanto, Sp.P

Effusi Pleura

dr. Krisna Indrawanto, Sp.P

dr. Djoko Tjahjono, Sp.PD
dr. Farhat, Sp.OT

dyspepsia

dr. Djoko Tjahjono, Sp.PD

dr. I Wayan Mertha, Sp.Pd
dr. I Wayan Mertha, Sp.Pd
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Budi Purwanto, Sp.Bs
dr. Farhat, Sp.OT
dr. Saut Idoan Sijabat, Sp.B
dr. Tikto Wahyono, Sp.A

dr. Mutia Sinta, Sp.S

Cephalgia

dr. Djoko Tjahjono, Sp.PD

dr. Mutia Sinta, Sp.S
dr. Djoko Tjahjono, Sp.PD
dr. Krisna Indrawanto, Sp.P
dr. Made Jeren, Sp.THT
dr. Arief Prijatna, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.S
dr. Eko Jaenudin, Sp.A
dr. Arief Prijatna, Sp.S
dr. I Wayan mertha, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. I Wayan Mertha, Sp.PD

Dys

dr. I Wayan Mertha, Sp.PD

dr. Eko Jaenudin, Sp.A

MOW

dr. Bambang Sihwiyono, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Mutia Sinta, Sp.S

TB Paru

dr. Djoko Tjahjono, Sp.PD

dr. Arief Prijatna, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Dwi Kusumaningsih, Sp.S
dr. Dwi Kusumaningsih, Sp.S
dr. Mutia Sinta, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Saut Idoan Sijabat, Sp.P
dr. Dony Prayono, Sp.B
dr. Budi Purwanto,Sp.Bs
dr. Dony, Sp.B

dr. Farhat, Sp.OT

dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Setyo Utomo, Sp. JP
dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Budi Purwanto, Sp.Bs
dr. Mutia Sinta, Sp.S
P.SC

dr. Bambang Sihwiyono, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Eko Jaenudin, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Made Jeren, Sp.THT
dr. Djoko Tjahjono, Sp.PD
dr. Setyo Utomo, Sp.JP
dr. Djoko Tjahjono, Sp.PD
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahono, Sp.PD
dr. Saut Idoan Sijabat, Sp.B
dr. Djoko Tjahjono, Sp.PD

P.sc

dr. Arief Prijatna, Sp.OG

dr. Krisna, Sp.P
dr. I Wayan Mertha, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Djoko Tjahjono, Sp.PD
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD

Nefrolitiasis

dr. Djoko Tjahjono, Sp.PD

dr. Mutia Sinta, Sp.S

dr. Budi Purwanto, Sp.BS

dr. Djoko Tjahjono, Sp.PD
P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

Post SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

Post date

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

Kep Floating

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Farhat, Sp.OT

CPD

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, SP.PD
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, sp.OG
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. I Wayan Mertha, Sp.S
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Dwi Kusumaningsih, Sp.S
dr. Tikto Wahyono, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A

P. SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Mutia Sinta, Sp.S
dr. Mutia Sinta, Sp.S

dr. Djoko Tjahjono, Sp.PD

dr. Djoko Tjahjono, Sp.PD
dr. Eko Jaenudin, Sp.A
dr. Bambang Sihwiyono, Sp.OG
Myoma Uteri

dr. Bambang Sihwiyono, Sp.OG

dr. Tikto Wahyono, Sp.A

DM

dr. Doni Prayono, Sp.B

dr. Djoko Tjahjono, Sp.PD
dr. I Wayan Merta, Sp.PD
dr. Djoko Tjahjono, Sp.PD
dr. Doni Prayono, Sp.B
dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp,A
dr. Mutia Sinta, Sp.S
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Budi Purwanto, Sp.Bs

NEFROLITIASI

dr. I Wayan, Sp.Pd

dr. Budi Purwanto, Sp.Bs

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Saut Idoan Sijabat, Sp.B
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
dr. Tikto Wahtyono, Sp.A
dr. Farhat, Sp.OT
dr. Djoko Sp.PD
dr. Dony Prayono, Sp.B
dr. Bambang Sihwiyono, Sp.OG
dr. Tikto Wahyono, Sp.A
dr. Doni Purwanto, Sp.B
dr. Farhat , Sp.OT

Anemia

dr. Arief Prijatna, Sp.OG

dr. I Wayan Mertha, Sp,PD

DM

dr. Doni Prayono, Sp.B

dr. I Wayan Mertha, Sp.PD

ICH

dr. Budi Purwanto, Sp.Bs

P.SC

dr. Bambang Sihwiyono, Sp.OG

dr. Eko Jaenudin, Sp.A

CPD

dr. Arief Prijatna, Sp.OG

dr. Arief Prijatna, Sp.OG
dr. Tikto Wahjono, Sp.A
dr. Dony, Sp.B
dr. Mutia Sinta, Sp.S
dr. Djoko Tjahjono, Sp.PD

CPD

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Dony Prayono, Sp.B
dr. Djoko Tjahjono, Sp.PD
dr. Farhat, Sp.OT
dr. Bambang Sihwiyono, Sp.OG
dr. Eko Jaenudin, Sp.A
dr. Tikto Wahyono, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Dwi Kusumaningsih, Sp.S
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Krisna Indrawanto, Sp.P
dr. Farhat, Sp.OT
dr. Tikto Wahyono, Sp.A
dr. Saut Idoan Sijabat, Sp.B
dr. Tikto Wahyono, Sp.A
dr. Farhat, Sp.OT
dr. I Wayan Mertha, Sp.PD

dr. Tikto Wahyono, Sp.A

dr. Djoko Tjahjono, Sp.PD
dr. Eko Jaenudin, Sp.A
DR. Tikto Wahyono, Sp.A
dr. Setyo Utomo, Sp.JP
dr. Tikto Wahyono, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Eko Jaenudin, Sp.A
dr Dony Prayono, Sp.B
dr. Djoko Tjahjno, Sp.PD
dr. I Wayan Mertha, Sp.PD
dr. Djoko Tjahjono, Sp.PD
Hipertensi grade 1

dr. Krisna, Sp.P

dr. Krisna, Sp.P
dr. Budi Purwanto, Sp.Bs
dr. Mutia Sinta, Sp.S
dr. Tikto Wahyono, Sp.A
dr. I Wayan Mertha, Sp.PD
dr. Mutia Sinta, Sp.S
dr. Budi Purwanto, Sp.Bs

CPD

dr. Arief Prijatna, Sp.OG

dr. Eko Jaenudin, Sp.A
dr. Eko Jaenudin, Sp.A
dr. Djoko Tjahjono, Sp.PD

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A

CPD

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Farhat, Sp.OT
dr. Mutia Sinta, Sp.S
dr. Dwi Kusumaningsih, Sp.S
dr. Setyo Utomo, Sp.JP
dr. Bambang Sihwiyono, SP.OG

dr. Tikto Wahyono, Sp.A

dr. I Wayan Mertha, Sp.PD
dr. Tikto Wahyono, Sp.A
MOW

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Budi Purwanto, Sp.Bs
dr. Djoko Tjahjono W, Sp.Pd
dr. Djoko Tjahjono, Sp.PD
dr. Djoko Tjahjono, Sp.PD

CPD

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Arief Prijatna, Sp.OG
dr. Mutia Sinta, Sp.S

P.SC

dr. Arief Prijatna, Sp.OG

dr. Tikto Wahyono, Sp.A
dr. Mutia Sinta, Sp.S
dr. Farhat, Sp.OT
dr. Budi Purwanto, Sp.S
dr. Tikto Wahyono, Sp.A
dr. Djoko Tjahjono, Sp.PD
dr. Arief Prijatna, Sp.OG
-

73

BADEGAN

BABADAN

FEE

194

ASKES/BPJS

Ket/Rujukan

dr. Totok

dr. Farhat, Sp.OT

dr. Eko Jaenudin, Sp.A

dr. I Wayan Mertha,Sp.PD

Rs. Dolopo

P. Jarwo
Novi

Surat pengantar tidak ada

Sri Sayekti

P Mayak

dr. Arief Prijatna, Sp.OG

Bd. Aris

bidan Gessy

Rs. Muhammadiah

dr. Mutia Sinta

dr. Arief Prijatna, Sp.OG

Rianto Mlarak

Pindarwati
Harijati

Surat pengantar tidak ada

Rsu. Aisyah

Binti

dr. Eko, Sp.A

Novitasih

P Gontor 1

Pkm Pulung

Pkm Arjosari

dr. Arief Prijatna, Sp.OG

Ervian IGD

Polsek Babadan

Rs. Muhammadiyah
dr. Eko

dr. Arief Puhpelem

dr. Farhat, Sp.OT

Titik S

Pkm Parang

Yesi ICU

dr. Arief Wibowo Puhpelem

Nurti

Novita

Pak Rianto

mb Titin Bgv

Surat pengantar tidak ada

Lilis

Arief Prijatna

Dolopo

Klinik Al- Hikmah

Eni Nur

Surat pengantar tidak ada

BKSM Gontor

dr. Arief

Harjono
Sri Wahyuni

PKM Babadan

dr. Arief Prijatna, Sp.OG

RSUD Dolopo

Yeni Mawar

dr. Mukhlas

BKSM Gontor

dr. onne

Titin

Siprihatin. SST

Yuli Dwi Handayani

Kusmindarwati

P Gontor 1

Tohari

P Gontor 1
dr. Dony

Surat pengantar tidak ada

dr. Dony

Pkm Balong

Pkm Sampung

Pkm Sumoroto

Indayani

Nurti

Titin

Pkm Sooko

P Gontor 1
Bidan Anik

dr. Saut Idoan

dr. Arief Prijatna, Sp.OG

Danang

Surat pengantar tidak ada

Carolina

Pkm Gantrung

Rs. Saraswati

dr. I wayan Sp.PD

P Gontor

dr. Saut Idoan

dr. Arif Wibowo

Klinik Al-Hikmah

Rianto
Dwi (IGD)

Polsek Siman
Wariyati

bd. Mulyati
Bd. Binti

Ulfa Peri

Anni Istiqomah

Lamitri

Fajar Datari

Mas Tri IGD

Ipung Poli
Carolina

bd. Supartini

P Gontor 1

Bd. Ani

Tn, Sugito

Surat pengantar tidak ada

Pacitan

dr. Doni. P

Rs. Amal sehat

Surat pengantar tidak ada

Pkm Balong

Surat pengantar tidak ada

RSUD. Po

Al Hikmah

Supartini

Murtini

Dwi Yilianti

bd. Tety
Dian Widyawati

Pkm Saraswati

RSUD Harjono

dr. Prayono, Sp.B

Agus INF

Polsek Babadan

Rudi Pitoyo

dr. Anita

dr. I Wayan, Sp.PD

Pkm Balong

dr. Farhat

dr. Saut Idoan

Pkm Jenangan
dr. Farhat

Agus Informasi

dr. Arief Prijatna, Sp.OG

Tatik Taniria

Pkm Tulakan Pacitan

dr. Rony

dr. Eko Jaenudin, Sp.A

Isnawati

Wahyudi OK

Mbak Ruma

RSUD Po

Pkm Badegan
Pkm Arjosari
Budi Asih

Bd. Gessy Prihardini

Pkm Tegalombo

Nunik Al Hikmah

Bidan Murtini
RSUD Dolopo
P Gontor

Nata IGD

P Mayak

dr. Arief Prijatna, Sp.OG

Rs. Anggraini Bulukerto

Nata IGD

Bidan Sri Harini

Yuli

P Al-Mawadah
Yeni

amal sehat

Yusiani

Surat pengantar tidak ada

Dina Handayani

Surat pengantar tidak ada

Tya Mawar

Surat pengantar tidak ada

Pkm Balong
dr. Arief, Sp.OG

Yeni Puspitasari
Suprihatin
Al-Hikmah

dr. Arief Sp,OG

Siti Saudah

Heni Purwanti
Hartatik
Endang Dwi

Surat pengantar tidak ada

dr. Ido,Sp.B

ISID Gontor

Setyami

B. Kun Bgv

P Gontor

Sri Harjanti
RSU Aisyiyah
Pkm Lembeyan
dr. Arief Prijatna, Sp.OG

dr. Farhat

Bidan Binti

Surat pengantar tidak ada

Surat pengantar tidak ada

Mbak Sukriya IGD

Pkm Kauman

Rs. Amal sehat

Gessy

Nurfadilah

Gunarmi

P. Rudi Pitoyo

bidan Katini

Tomy Satpam

Eko Pujianto

Rudi Pitoyo Ngrayun

Surat pengantar tidak ada

Pkm Pudak

dr. I Wayan Mertha, Sp.PD

ISID Gontor

Pkm Ngebel

Jenangan

dr. Tohir

Surat pengantar tidak ada

Rs. Bima Medika

Pkm Kauman

dr. Eko Jaenudin, Sp.A

dr. Arief, Ap.OG
riyanti OK
dr. Farhat, Sp.OT
Ervian IGD
Murtini

Surat pengantar tidak ada

dr. Arief, Sp.OG

Siti Maryam

Rs. Dolopo

dr. Arief Prijatna, Sp.OG

-

194

73

12

22

27

23

21

16

15

73

26

16

13

SAWOO

SAMPUNG

SAMBIT

PULUNG

PUDAK

PONOOROGO

NGRAYUN

NGEBEL

MLARAK

KAUMAN

JETIS

JENANGAN

JAMBON

BUNGKAL

BALONG

12

22

27

23

21

16

15

73

26

16

13

25

23

13

21

11

11

11

24

29

MADIUN

Dolopo

Poncol

Magetan

Parang

Lembeyan

JATISRONO

POH PELEM

SLOGOIMO

PURWANTORO

KISMANTORO

BULUKERTO

SOOKO

SLAHUNG

SIMAN

SUKOREJO

MAGETAN

25

23

13

21

11

11

11

24

29

11

LUAR. KAB. PO
MADIUN

PACITAN

P. PESANTREN

Arrisallah

Al Iman

Al Mawadah

Mayak

Gontor 1

Gontor 2

Nglorok

T. Lombo

Bandar

Wonokarto

Sudimoro

Tanj.sari

Geger

K Sari

Mlilir
-

11

15

624

CEK

LAIN-LAIN

TRENGGALEK

15

624

DAF

NO

NO. RM

Tgl. Masuk Tgl. Pulang

Nama Pasien

093266

27/04/16

02/05/16

Abizar Gibran, An

095087

27/04/16

02/05/16

Tuman, Tn

095021

27/04/16

03/05/16

Tri Asmoro, Tn

095109

28/04/16

02/05/16

Inta Setya Ningrum, Ny

095112

28/04/16

02/05/16

Sakimun, Tn

095136

29/04/16

05/05/16

Suryatin, Ny

095126

29/04/16

01/05/16

Heri Eka, Ny

095139

29/04/16

01/05/16

Lina Purwati, Ny

086924

29/04/16

02/05/16

Titin Ardiyanti, Ny

10

095156

30/04/16

02/05/16

Revi Nuaritasari, Ny

11

094692

30/04/16

01/05/16

Yuliana, Ny

12

095189

01/05/16

02/05/16

Sutiani, Ny

13

095201

01/05/16

05/05/16

Roni Handoyo, Tn

14

095203

01/05/16

05/05/16

Hariyono, Tn

15

095207

01/05/16

03/05/16

Afifah Ika, Ny

16

095206

01/05/16

04/05/16

Rohmat, Sdr

17

078656

01/05/16

03/05/16

Indri Novitasari, Ny

18

095213

01/05/16

04/05/16

Rina Andayani, Ny

19

095217

02/05/16

04/05/16

Masfiati, Ny

20

095247

02/05/16

03/05/16

Sulastri, Ny

21

095220

02/05/16

06/05/16

Kenes Kinanti, An

22

095223

02/05/16

04/05/16

Astin Almian, Ny

23

085057

02/05/16

06/05/16

Muh Agung Satria, Sdr

24

095246

02/05/16

08/05/16

Andreas Putra Valentino, Sdr

25

095253

03/05/16

13/05/16

Sugito, Tn

26

095260

03/05/16

06/05/16

Arsya Gibran Mahardika, An

27

095263

03/05/16

04/05/16

Latri, Ny

28

089309

03/05/16

04/05/16

Dafa Yekti, An

29

095274

03/05/16

06/05/16

Belicia Callysta Putri Ristanti, An

30

095278

03/05/16

05/05/16

Boyami, Ny

31

095286

03/05/16

07/05/16

Ndari Puji R

32

085307

04/05/16

06/05/16

Ridho Bangkit, An

33

095310

04/05/16

07/05/16

Fatimatus Zahra, Ny

34

095316

04/05/16

05/05/16

Sukadi, Tn

35

095319

05/05/16

09/05/16

Kevin Nur Hidayat, An

36

095322

05/05/16

08/05/16

Winda Yulistina, Ny

37

072579

05/05/16

09/05/16

Tumiyem, Ny

38

095329

05/05/16

07/05/16

Suryana, Ny

39

095336

05/05/16

05/05/16

Fitriana Nurmayanti, Nn

40

095337

05/05/16

08/05/16

Riski Romadani, An

41

095344

05/05/16

10/05/16

Sukadi, Tn

42

095345

05/05/16

08/05/16

Maria E, Ny

43

095348

06/05/16

08/05/16

Heni Susilowati, Ny

44

095351

06/05/16

08/05/16

Warti, Ny

45

095358

06/05/16

21/05/16

Rizki Muhammad R, Sdr

46

095362

06/05/16

08/05/16

Nahda Hanifah, Ny

47

095387

06/05/16

12/05/16

Suratemi, Ny

48

095413

07/05/16

11/05/16

Muhammad A, Sdr

49

095401

07/05/16

09/05/16

Nur Weni, Ny

50

095403

07/05/16

10/05/16

Dian Puspitasari, Ny

51

095407

07/05/16

09/05/16

Marwani, Ny

52

095418

07/05/16

07/05/16

Tina Pujiastuti, Ny

53

095415

07/05/16

09/05/16

Langgeng Susanto, Tn

54

094083

07/05/16

10/05/16

Anang Lutfi, Tn

55

095421

07/05/16

09/05/16

Imam Sulistyowati, Ny

56

095431

07/05/16

10/05/16

Aziz Akbar A, Sdr

57

095432

07/05/16

10/05/16

Siti Nuraini, An

58

095440

07/05/16

13/05/16

Adam Rizanuddin A, Sdr

59

095446

08/05/16

08/05/16

Riza Nur H, Ny

60

095449

08/05/16

09/05/16

Heni Fitriana, Ny

61

095453

08/05/16

10/05/16

Dwi Lulus A, Ny

62

095461

08/05/16

11/05/16

Faruq, Sdr

63

095259

08/05/16

10/05/16

Herni Suratnoawati, Ny

64

094881

08/05/16

10/05/16

Pipit Eka D, Ny

65

095469

08/05/16

11/05/16

Siti Aisyah, Ny

66

095473

08/05/16

11/05/16

Muryani, Ny

67

095477

08/05/16

09/05/16

Ernawati, Ny

68

095493

09/05/16

12/05/16

Marem, Ny

69

095501

09/05/16

13/05/16

Biran, Tn

70

095499

09/05/16

11/05/16

Deviana Munika Santi, Ny

71

095502

09/05/16

19/05/16

Nyatun, Ny

72

095516

09/05/16

12/05/16

Ahmad Choiral U, Sdr

73

095520

09/05/16

12/05/16

Fandu Nur Jayanti, Ny

74

095487

09/05/16

12/05/16

Muh. Dasuki, Tn

75

095492

09/05/16

13/05/16

Herma Irawati, Ny

76

095484

10/05/16

11/05/16

Deni Cinta Saputri, Nn

77

095538

10/05/16

12/05/16

Katini, Ny

78

095548

10/05/16

13/05/16

Sarinah, Ny

79

095537

10/05/16

13/05/16

Noverina Khoirun Nisa, An

80

095541

10/05/16

16/05/16

Ismanudin, Tn

81

095550

10/05/16

12/05/16

Maridi, Tn

82

095555

10/05/16

12/05/16

Sunarti, Ny

83

095556

10/05/16

13/05/16

Supriyanto, Tn

84

095559

10/05/16

14/05/16

Puput Pujowati Aningsih, Ny

85

092820

10/05/16

12/05/16

Syarif Hidayat, Sdr

86

095562

10/05/16

13/05/16

Kardi, Tn

87

095564

11/05/16

11/05/16

Harwanudin, Sdr

88

095568

11/05/16

17/05/16

Giyatno, Tn

89

095566

11/05/16

15/05/16

Linda Rahmawati, Ny

90

095575

11/05/16

13/05/16

Umi Rohmatin, Ny

91

095578

11/05/16

15/05/16

Hendi Arnanda, Tn

92

095581

11/05/16

17/05/16

Atik Hartanti, Ny

93

019447

12/05/16

16/05/16

Harmin, Ny

94

095577

12/05/16

15/05/16

Aina Malayeka Putri, An

95

095589

12/05/16

14/05/16

Mikani Kaunang, Ny

96

095593

12/05/16

16/05/16

Endang Susari, Ny

97

095594

12/05/16

14/05/16

Siti Musarofuh, Ny

98

095605

12/05/16

13/05/16

Parti, Ny

99

095413

12/05/16

13/05/16

Muhammad Abdurohman, Sdr

100

095614

12/05/16

15/05/16

Puji Tantiana, Ny

101

095619

13/05/16

14/05/16

Gunawan Dwi Prasetyo, Sdr

102

095631

13/05/16

14/05/16

Andi Nurdianto, Tn

103

094568

13/05/16

18/05/16

Simpen, Tn

104

095635

13/05/16

18/05/16

Sakat, Tn

105

095636

13/05/16

16/05/16

Kadiyem, Ny

106

095642

14/05/16

15/05/16

Ita Rahayuningsih, Ny

107

095653

14/05/16

16/05/16

Lina Setiani, Ny

108

095662

14/05/16

19/05/16

Bintoro, Tn

109

095666

14/05/16

18/05/16

Parmi, Ny

110

095674

14/05/16

24/05/16

Imam Ramli, Tn

111

095676

15/05/16

21/05/16

Wida Anggara, Sdr

112

095679

15/05/16

16/05/16

Sunarsih, Ny

113

095682

15/05/16

18/05/16

Meseno, Tn

114

095018

15/05/16

18/05/16

Ardi Bagus, Sdr

115

095692

15/05/16

20/05/16

Riza Cahyo Utomo, Sdr

116

088383

16/05/16

17/05/16

Rosidah Nur Faizah, An

117

095713

16/05/16

23/05/16

Bambang Parassono, Tn

118

095697

16/05/16

18/05/16

Maria Ulfa Latifah, Ny

119

095701

16/05/16

18/05/16

Wartini, Ny

120

095717

16/05/16

24/05/16

Sutarno, Tn

121

095706

16/05/16

17/05/16

Hariyanto, Tn

122

095718

16/05/16

20/05/16

Soimin, Tn

123

095721

16/05/16

21/05/16

Pardianto, Tn

124

095725

16/05/16

18/05/16

Maskur, Tn

125

095728

16/05/16

20/05/16

Boirah, Tn

126

095736

17/05/16

18/05/16

Sriatun, Ny

127

095740

17/05/16

19/05/16

Victor Sandy Junior, An

128

095707

17/05/16

19/05/16

Atem, Ny

129

095748

17/05/16

25/05/16

Suryati, Ny

130

095756

17/05/16

20/05/16

Ananda Budiantika, An

131

095760

17/05/16

20/05/16

Katimin, Tn

132

095763

17/05/16

20/05/16

Yuyun Eka Candra, Ny

133

095088

17/05/16

18/05/16

Dheti Siswardani, Ny

134

095769

17/05/16

20/05/16

Aulia Ferdianti, Nn

135

095770

17/05/16

21/05/16

Alya Novi S, An

136

095772

17/05/16

20/05/16

Sumartin, Ny

137

095775

17/05/16

20/05/16

Sri Wahyuni, Ny

138

095779

18/05/16

20/05/16

Tri Wahyu Ningrum, Ny

139

095781

18/05/16

20/05/16

Agus Suryono, Tn

140

092737

18/05/16

21/05/16

Naufal Nurihsan Fauzi, Sdr

141

094276

18/05/16

20/05/16

Faradila Ziana Zahro, An

142

095134

18/05/16

20/05/16

Susana, Ny

143

095790

18/05/16

23/05/16

Ady tina Prasetya, Sdr

144

095795

18/05/16

23/05/16

Galih Adi Cahyono, Sdr

145

092053

18/05/16

20/05/16

Almia Andini, Nn

146

094205

18/05/16

18/05/16

Sarini, Ny

147

095799

18/05/16

25/05/16

Wiji, Ny

148

095801

18/05/16

21/05/16

Dah i Frian, Sdr

149

095805

18/05/16

19/05/16

Lilis Nurjanah, Nn

150

095808

18/05/16

20/05/16

Siti Jariyah, Ny

151

095811

18/05/16

20/05/16

Evi Iftidatul Khoiri, An

152

095815

18/05/16

19/05/16

Winarni, Ny

153

095827

19/05/16

22/05/16

Parinem, Ny

154

095843

19/05/16

20/05/16

Sunarti, Ny

155

095846

19/05/16

22/05/16

Edi Prijatmi, Ny

156

095850

20/05/16

24/05/16

Toirah, Ny

157

095856

20/05/16

21/05/16

Jemirah, Ny

158

095858

20/05/16

22/05/16

Nita Anggi W, Ny

159

095864

20/05/16

22/05/16

Nuroini, Ny

160

095869

20/05/16

22/05/16

Wasti, Ny

161

095868

20/05/16

23/05/16

Bisma Arquata, An

162

095890

20/05/16

23/05/16

Retno Safitri, Nn

163

095895

21/05/16

23/05/16

Dian Ekawati, Ny

164

095899

21/05/16

23/05/16

Sulastri, Ny

165

095902

21/05/16

23/05/16

Aprilia Puji Astuti, Ny

166

095909

21/05/16

23/05/16

Istiyarini, Ny

167

046636

22/05/16

24/05/16

Binti Mardiyah, Ny

168

093522

22/05/16

26/05/16

Ahmad Fajri Pratama, Sdr

169

095933

22/05/16

25/05/16

Sunanti, Ny

170

095935

22/05/16

27/05/16

Tri Atma Mukti Pamanggih, An

171

095936

23/05/16

26/05/16

Dedik Setyawan, Sdr

172

095939

23/05/16

26/05/16

Nadia Susi Kusumow, Ny

173

087629

23/05/16

26/05/16

Heny Fitri Astuti, Ny

174

079019

23/05/16

28/05/16

Aditya Mamontu, Sdr

175

095941

23/05/16

25/05/16

Binti Suliana, Ny

176

095945

23/05/16

24/05/16

Latirah, Ny

177

095952

23/05/16

24/05/16

Sujarmi, Ny

178

095969

23/05/16

25/05/16

Sunarti, Ny

179

095963

23/05/16

28/05/16

Taufik Sugiarto, Tn

180

095971

23/05/16

24/05/16

Paijem / Marsi, Ny

181

095972

23/05/16

26/05/16

Sumiati, Ny

182

096008

25/05/16

28/05/16

Eny Nur Farida, Ny

183

095226

25/05/16

28/05/16

Umi Isaroh, Ny

184

096043

26/05/16

26/05/16

Derun, Tn

185

095978

24/05/16

26/05/16

Ana Siti Maisaroh, Ny

186

095992

24/05/16

27/05/16

Febri Fajar, Sdr

187

096002

24/05/16

25/05/16

Nabila, Sdr

188

096024

24/05/16

29/05/16

Hariyanto, Tn

189

096037

26/05/16

28/05/16

Yusron Mashuda, Tn

190

096040

26/05/16

26/05/16

Satiyo, Tn

191

096056

26/05/16

31/05/16

Djumiyem, Ny

192

096064

26/05/16

28/05/16

Handika Wahyu Yoga Pratama, An

193

096065

26/05/16

31/05/16

Rina Siswati, Ny

194

096070

27/05/16

30/05/16

Zakaria, Sdr

195

096071

27/05/16

29/05/16

Martini, Ny

196

096077

27/05/16

30/05/16

Fadil Abiyah, An

197

096079

27/05/16

30/05/16

Erfina Ningtyas, Ny

198

096081

27/05/16

30/05/16

Ratrina Shanti, Ny

199

096083

27/05/16

28/05/16

Alid Primadani, An

200

067727

27/05/16

29/05/16

Marpi, Ny

201

096097

27/05/16

30/05/16

Nunik Marsusi, Ny

202

096104

28/05/16

31/05/16

Nanik Purwanti, Ny

203

096124

28/05/16

31/05/16

Listyaningsih, Ny

204

096137

29/05/16

29/05/16

Sukarman, Tn

205

096153

30/05/16

30/05/16

Sutriani, Ny

DAFTAR RUJUKAN RAWAT INAP

BULAN MEI 2016

Alamat Pasien

Dokter Yang Merawat

Karanggebang 2/2 Jetis

dr. Eko Jaenudin, Sp.A

Panjing 1/9 Bandar Pacitan

dr. Doni Prayono,Sp.B

Jl. Basuki Rahmad 15d Tonatan

dr. Farhat, Sp.OT

Masaran 1/1 Nambak Bungkal

dr. I Wayan Mertha, Sp.PD

Ketawang 14/05 Dolopo

dr. Budi Purwanto, Sp.Bs

Jl. Cindewilis 02/01 Kertosari

dr. Mutia Sinta, Sp.S

Nguri 3/3 Lembeyan

dr. Arief Prijatna, Sp.OG

Sumber 1/3 Tengger Puhpelem

dr. Arief Prijatna, Sp.OG

P. Mayak / Plaosan

dr. I Wayan Mertha, Sp.PD

Jl. Kawung 2/3 Mangunsuman Siman

dr. Arief Prijatna, SP.OG

Bandar 21/07 Banjarejo

dr. Arief Prijatna, Sp.OG

Jl. Suromenggolo 3/2 Babadan

dr. Arief Prijatna, Sp.OG

Ngindeng 2/2 Sawoo

dr. Budi Purwanto, Sp.Bs

Josari 01/01 Jetis

dr. mutia Shinta, Sp.S

Polorejo 3/4 Babadan

dr. Arief Prijatna, Sp.OG

Gunungsari 2/1 Mlarak

dr. I wayan Mertha, Sp.PD

Ngloning Slahung

dr. Arief Prijatna, Sp.OG

Jl. Letjen Suprapto Rumdi Kejaksaan Tonatan

dr. Arief Prijatna, Sp.OG

Jl. Jaksa Agung No. 36 Mangkujayan

dr. I Wayan Mertha, Sp.PD

Dkh. Ngijo 06/01 Lembah Babadan

dr. Bambang Sihwiyono, Sp.OG

Duri 1/1 Slahung

dr. Eko Jaenudin, Sp.A

Jl. Bupati Markum Perumda

dr. Arief Prijatna, Sp.OG

P. Gontor 1 / Riau

dr. Djoko Tjahjono, Sp.PD

Badegan 1/2 Pulung

dr. Budi Purwanto, Sp.Bs

Jl. Raden Saleh 64

dr. Budi Purwanto, Sp.BS

Jl. Mayang 54 A Purbosuman

dr. Eko Janudin, Sp.A

Soko 01/10 Bulukerto

dr. Budi Purwanto, Sp,Bs

Serang 3/1 Pulung

dr. Farhat , Sp.OT

Jurug 1/2 Sooko

dr. Tikto Wahyono, Sp.A

Pager 2/2 Pager Bungkal

dr. Arief Prijatna, Sp.OG

Lagaran 4/2 Sawoo

dr. Arief Prijatna, Sp.OG

Jl. HP Kusuma Patihan Kidul

dr. Eko Jaendin, Sp.A

Jl. Ir. Juanda Tonatan

dr. Arief Prijatna, Sp.OG

Gununsari 1/2 Mlarak

dr. Dony Prayono, Sp.B

Parang 1/1 Magetan

dr. Tikto Wahyono, Sp.A

Jl. KS Tubun 1/13 Banyudono

dr. Arief Prijatna, Sp.OG

Gelangkulon 1/2 Sampung

dr. Mutia Sinta, Sp.S

Bulak 37/10 Kradinan Dolopo

dr. Arief Prijatna, Sp.OG

Jl. Kamboja 82 kalimantan

dr. Arief Prijatna, Sp.OG

Perumnas Segaran Permai

dr. Farhat, Sp.OT

Krajan K Banteng 2/5 Sukorejo

dr. Djoko Tjahjono, Sp.PD

Carangrejo 3/1 Sampung

dr. Arief Prijatna, Sp.OG

Jenangan 2/2 Sampung

dr. Djoko Tjahjono, Sp.PD

Kupuk 2/2 Gamdu Bungkal

dr. Arief Prijatna, Sp.OG

P Walisongo / Jakarta

dr. Budi Purwanto, Sp.Bs

Bader 20/7 Dolopo

dr. Arief Prijatna, Sp.OG

Jl. Sidomakmur 4/3 Babadan

dr. Djoko Tjahjono, Sp.PD

P Gontor 1 / Pacitan

dr. Djoko Tjahjono, Sp.PD

Jl. Sunan Kusus Gg 1 Kertosari

dr. Arief Prijatna, Sp.OG

Gelanglor 1/2 Sukorejo

dr. Arief Prijatna, Sp.OG

Gondang 1/7 Nawangan Pacitan

dr. Arief Prijatna, Sp.OG

Sekuwung 2/2 K Banteng Skj

dr. Budi Purwanto, Sp.BS

Ngujung 2/2 Gandukepuh Skj

dr. Budi Purwanto, Sp.Bs

Gontor 1/2 Mlarak

dr. Krisna, Sp.P

K Panji 4/5 Lembeyan

dr. Arief Prijatna, Sp.OG

P Gontor 1 / Tanggerang

dr. Djoko Tjahjono, Sp.PD

Bungu Bungkal

dr. Tikto Wahyono, Sp.A

P Gontor 1 / Jombang

dr. I Wayan Mertha, Sp.PD

Banyon Nglewan 1/1 Sambit

dr. Aief Prijatna, Sp.OG

Coper 2/2 Jetis

dr. Arief Prijatna, Sp.OG

Jl. CindewilisGg I /41 Kertosari

dr. Doni, Sp.B

P Gontor 1 / Kalimantan

dr. I Wayann Mertha, Sp.PD

Ngrukem III 3/2 Mlarak

dr. Doni Prayono, Sp.B

Kradinan 19/06 Dolopo

dr. Doni Purwanto, Sp.B

Kunti 1/1 Bungkal

dr. Djoko Tjahjono, Sp.PD

Pager 1/1 Bungkal

dr. Bambang Sihwiyono, Sp.OG

Ngimo 6/1 Prayungan Sawoo

dr. Arief Prijatna, Sp.OG

Ngunut 2/1 Sampung

dr. Krisna, Sp.P

Jl. Bantarangin Kauman

dr. Djoko Tjahjono, Sp.PD

Suru 1/8 Sooko

dr. Arief Prijatna, Sp.OG

Suru 1/8 Sooko

dr. Budi Purwanto, Sp.Bs

P Gontor / Pekalongan

dr. I Wayan Mertha, Sp.PD

Dolopo 3/1 Dolopo

dr. Arief Prijatna, Sp.OG

Munggung 3/3 Pulung

dr. Saut Idoan Sijabat, Sp.B

Jl. Ponco Siwalan 02/03 Ngunut babadan

dr. Arief Prijatna, Sp.OG

Rt. 13/02 Kebonsari Madiun

dr. Doni Purwanto, Sp.B

Mening 03/02 Prajegan Sukorejo

dr. Arief Prijatna, Sp.OG

Golo 2/3 Puhpelem

dr. Arief Prijatna, Sp.OG

Nampan Sukorejo

dr. Tikto Wahyono, Sp.A

Mojokerto 48/09 Palur Kebonsari Madiun

dr. Setyo Utomo, Sp.JP

Janggan 3/4 Bulukerto

dr. Krisna, Sp.P

Purworejo 1/2 Mlarak

dr. Farhat, Sp.OT

Pangkal 1/2 Sawoo

dr. Djoko Tjahjono, Sp.PD

Goran 1/2 Bungkal

dr. I Wayan Mertha, Sp.PD

P. Gontor / Kebumen

dr. Djoko Tjahjono, Sp.PD

Jl. Handayani 2/1 Balong

dr. Saut Idoan Sijabat, Sp.B

Cengkir 1/1 Singgahan Pulung

dr. Farhat, Sp.OT

Sokoboyo Slogohimo Wonogiri

dr. Djoko Tjahjono, Sp.PD

Mojorejo 2/2 Jetis

dr. Arief Prijatna, Sp.OG

Jogoragan Ngunut Babadan

dr. Bambang Sihwiyono, Sp.OG

Dadapan 2/1 Balong

dr. I Wayan Mertha, Sp.PD

Jl. Madura 39a Mangkujayan

dr. Arief Prijatna, Sp.OG

Jl. Kyai Mojo 71 Kauman PO

dr. I Wayan Mertha, Sp.PD

Rt. 01/01 Jaten Slahung

dr. Tikto Wahyono, Sp.A

Jl. Masjid 02/02 Kauman Sumoroto

dr. Arief Prijatna, Sp.OG

Dkh. Krajan 02/02 Gembang Slahung

dr. Arief Prijatna, Sp.OG

Karanglo 02/01 Ngasinan Jetis

dr. Arief Prijatna, Sp.OG

Sekadatan 10/02 Kediren Lembeyan

dr. Arief Prijatna, Sp.OG

P. Gontor 1 / Pacitan

dr. Djoko Tjahjono, Sp.PD

Nailan 4/2 Slahung

dr. Arief Prijatna, Sp.OG

Rt. 01/02 Kemuning Sambit

dr. Saut Idoan Sijabat, Sp.B

Wetas 2/1 Slahung

dr. Djoko Tjahjono, Sp.PD

campurejo Sambit

dr. Doni Priyono, Sp.B

Nguneng 5/1 Puh pelem Wonogiri

dr. Saut Idoan Sijabat, Sp.B

Poko 01/02 Jambon

dr. I Wayan Mertha, Sp.PD

Pucang anom 10/01 Kebonsari Madiun

dr. Arief Prijatna, Sp.OG

Jaten 2/6 Ngroto Kismantoro

dr. Arief Prijatna, Sp.OG

Glonggong 2/1 Dolopo

dr. Djoko Tjahjono, Sp.PD

Sukorejo Puhpelem

dr. I Wayan Mertha, Sp.PD

Gundik 3/2 Slahung

dr. Budi Purwanto, Sp.Bs

Bulusari 3/1 Serangan

dr. I Wayan Mertha, Sp.PD

Kediren 1/1 Lembeyan

dr. Arief Prijatna, Sp.OG

Sempol 3/1 Dadapan Balong

dr. Budi Purwanto, Sp.BS

Ngadipiro 01/07 Tanjungsar Jatisrono

dr. Dony Prayono, Sp.B

Plurutan 1/1 Pulung

dr. I Wayan Merta, Sp.PD

Dkh. Babadan 01/02 Wotan Pulung

dr. Farhat, Sp.OT

Tamanan 1/1 Carat Kauman

dr. Djoko Tjahjono, Sp.PD

Mando Timur 01/01 Mojo Kediri

dr. Arief Prijatna, Sp.OG

Geneng 01/03 Bulukerto Wonogiri

dr. Arief Prijatna, Sp.OG

Jl. Semen Remeng 39

dr. Mutia Sinta, Sp.S

Jl. Dr. Cipto MK Gg 1 3/3 Keniten

dr. Budi Purwanto, Sp,Bs

Krajan 3/1 Basanlor Ngrayun

dr. I Wayan Mertha, Sp.PD

Ketro 02/17 Tulakan Pacitan

dr. Djoko Tjahjono, Sp.PD

Jeban Slahung

dr. I Wayan Mertha, Sp.Pd

Krajan 01/04 Ngrayun

dr. I Wayan Mertha, Sp.PD

Jl. Teuku Umar 01/02 Singkil Balong

dr. Budi Purwanto, Sp.Bs

Jl. Mayang 26 Purbosuman

dr. Farhat, Sp.OT

Jl. Sekar Taman 02/01 Tonatan

dr. Saut Idoan Sijabat, Sp.B

Gelangkulon Kunti Sampung

dr. Djoko Tjahjono, Sp.PD

Krajan 01/01 Pagutan

dr. Djoko Tjahjono, Sp.PD

Ngepeh 21/7 Parang Magetan

dr. Made Jeren, Sp.THT

Mlilir 26/9 Dolopo Madiun

dr. Arief Prijatna, Sp.S

Patihan 3/3 Ponorogo

dr. Arief Prijatna, Sp.OG

Ngrupit 5/2 Jenangan

dr. I Wayan Mertha, Sp.PD

Lembah 7/3 Dolopo

dr. Eko Jaenudin, Sp.A

Jatirejo 4/4 Lembeyan Kulon

dr. Bambang Sihwiyono, Sp.OG

Kalipucat 4/2 K. Banteng

dr. Bambang Sihwiyono, Sp.OG

Tambakmas 36/3 Kebonsari

dr. Arief Prijatna, Sp.PD

Bangunsari 11/04 Dolopo

dr. Dwi Kusumaningsih, Sp.S

P. Gontor 2/2 Slahung

dr. Mutia Sinta, Sp.S

rt 03/01 Krebet Jambon

dr. Saut Idoan Sijabat, Sp.P

Plalangan Jenangan

dr. Dony Prayono, Sp.B

rt 01/04 Tenggang Ngrayun

dr. Budi Purwanto,Sp.Bs

rt 02/02 Mojorejo Jetis

dr. Farhat, Sp.OT

P. Mayak / Jambi

dr. Djoko Tjahjono, Sp.PD

Watusomo Slogohimo

dr. Arief Prijatna, Sp.OG

Poncol 5/12 Magetan

dr. Setyo Utomo, Sp. JP

Jarak 2/2 Siman

dr. Djoko Tjahjono, Sp.PD

P. Al-Mawaddah / kuningan

dr. Budi Purwanto, Sp.Bs

Jl. Menur 103 B Ronowijayan

dr. Bambang Sihwiyono, Sp.OG

Bareng 1/1 Pudak

dr. Eko Jaenudin, Sp.A

Bader 23/8 Dolopo

dr. Bambang Sihwiyono, Sp.OG

Ngembung 8/2 Gondangsari Jatisrono

dr. Arief Prijatna, Sp.OG

Krowe 1/2 Lembeyan Magetan

dr. Mutia Sinta, Sp.S

Plosojenar 1/2 Kauman

dr. Djoko Tjahjono, Sp.PD

Baosan lor rt 02/02 Ngrayun

dr. Djoko Tjahjono, Sp.PD

Crabak 2/2 Slahung

dr. Budi Purwanto, Sp.BS

Pengkol 1/2 Kauman

dr. Arief Prijatna, Sp.OG

Jl. Budi Utomo 2/3 Singosaren

dr. Arief Prijatna, Sp.OG

Kebatan 3/2 Campurejo Sambit

dr. Arief Prijatna, Sp.OG

Kedung Banteng

dr. Eko Jaenudin, Sp.A

Ketro 2/23 Tulakan Pct

dr. Arief Prijatna, sp.OG

Lembah Tasih 5/52 Babadan

dr. Arief Prijatna, Sp.OG

Pandan 2/3 Slogohimo

dr. Bambang Sihwiyono, Sp.OG

Kranggan 3/1 Jurug Sooko

dr. Arief Prijatna, Sp.OG

Padarangin 1/14 Slogohimo

dr. Bambang Sihwiyono, Sp.OG

Tanjunglor 01/01 Ngadirojo Pacitan

dr. Djoko Tjahjono, Sp.PD

P. Gontor / Sragen

dr. I Wayan Mertha, Sp.PD

Jurun 1/4 Tunggur Slogihimo

dr. Bambang Sihwiyono, Sp.OG

Jl. Kawung 64 Kertosari

dr. Budi Purwanto, Sp.Bs

Pupus 3/10 Lembeyan Magetan

dr. Budi Purwanto, Sp.Bs

Jl. Dewi Kunti 18 A Surodikraman Ponorogo

dr. Arief Prijatna, Sp.OG

Jl. Sekar Taman II Tonatan

dr. Saut Idoan Sijabat, Sp.B

Isid / Jakarta

dr. Djoko Tjahjono, Sp.PD

Ds. Kepuh Rubuh 1/1 Siman Ponorogo

dr. Arief Prijatna, Sp.OG

Dsn. Pacat 03/01 Prajegan Sukorejo

dr. Farhat, Sp.OT

Pudak Kidul 2/1 Pudak

dr. Bambang Sihwiyono, Sp.OG

Jl. Sunan Kudus Cekok

dr. Doni Prayono, Sp.B

Pulosari 02/01 Jambon

dr. I Wayan Mertha, Sp.PD

Ngricik Nungkulan Girimarto

dr. Budi Purwanto, Sp.Bs

Kradinan 34/10 Dolopo

dr. Bambang Sihwiyono, Sp.OG

Krajan I 3/1 Jimbe, Jenangan

dr. Arief Prijatna, Sp.OG

Mangkujayan 03/01 Ponorogo

dr. Arief Prijatna, Sp.OG

Depok 30/14 Panggul Trenggalek

dr. Dony, Sp.B

Jl. Mukiyar 2/1 Lengkong Sukoharjo

dr. Arief Prijatna, Sp.OG

Jl. Wilis 180 Nologaten

dr. Farhat, Sp.OT

Jl. Ukel 1 24 Kertosari

dr. Djoko Tjahjono, Sp.PD

Krajan I Tanjungsari Jenangan

dr. Djoko Tjahjono, Sp.PD

Jl.Abiyoso 3/1 Dolopo Madiun

dr Dony Prayono, Sp.B

Bulurejo 3/1 Bulukerto Wonogiri

dr. Djoko Tjahjno, Sp.PD

Jl.Sentono 2/1 Kauman Sumoroto

dr. Djoko Tjahjono, Sp.PD

Krisik 1/1 Slahung

dr. Tikto Wahyono, Sp.A

Ngebel 2/1 Ngebel

dr. I Wayan Mertha, Sp.PD

ISId / Indramayu

dr. Budi Purwanto, Sp.Bs

Talun 1/2 ngebel

dr. Arief Prijatna, Sp.OG

Tunggur 8/1 Lembeyan Magetan

dr. Eko Jaenudin, Sp.A

Sambit 1/3 Sambit

dr. Arief Prijatna, Sp.OG

Tamansari 02/03 Sambit

dr. Arief Prijatna, Sp.OG

Karangan 3/1 Balong

dr. Farhat, Sp.OT

Jl.Singosari 2 Kadipaten

dr. Dwi Kusumaningsih, Sp.S

Kebonsarei madiun

dr. Bambang Sihwiyono, SP.OG

Joho 4/1 Wonogiri

dr. Arief Prijatna, Sp.OG

Dongol 3/1 Sedayu Slogohimo

dr. Arief Prijatna, Sp.OG

Doho 5/1 Dolopo

dr. Farhat, Sp.OT

Sawoo 01/01 Sawoo

dr. Arief Prijatna, Sp.OG

Ket/Rujukan

Jml. FEE

dr. Eko Jaenudin, Sp.A

dr. Totok

dr. Farhat, Sp.OT

dr. I Wayan Mertha,Sp.PD

Rs. Dolopo

Surat pengantar tidak ada

P. Jarwo

Novi

Sri Sayekti

P Mayak

dr. Arief Prijatna, Sp.OG

Bd. Aris

bidan Gessy

Rs. Muhammadiah

dr. Mutia Sinta

dr. Arief Prijatna, Sp.OG

Rianto Mlarak

Pindarwati

Surat pengantar tidak ada

Harijati

Rsu. Aisyah

Binti

dr. Eko, Sp.A

Novitasih

P Gontor 1

Pkm Pulung

Rs. Muhammadiyah

dr. Eko

dr. Arief Puhpelem

dr. Farhat, Sp.OT

Pkm Arjosari

dr. Arief Prijatna, Sp.OG

Titik S

Ervian IGD

Novita

Pak Rianto

Pkm Parang

Yesi ICU

mb Titin Bgv

Surat pengantar tidak ada

Lilis

Arief Prijatna

Dolopo

Klinik Al- Hikmah

Surat pengantar tidak ada

Eni Nur

dr. Arief Wibowo Puhpelem

Nurti

Harjono

Sri Wahyuni

PKM Babadan

BKSM Gontor

dr. Arief

dr. Arief Prijatna, Sp.OG

Yuli Dwi Handayani

RSUD Dolopo

Yeni Mawar

dr. Mukhlas

Kusmindarwati

BKSM Gontor

dr. onne

P Gontor 1

Titin

Siprihatin. SST

Tohari

Surat pengantar tidak ada

P Gontor 1

dr. Dony

dr. Dony

Pkm Balong

Nurti

Titin

Pkm Sampung

Pkm Sumoroto

Indayani

Pkm Sooko

P Gontor 1

Bidan Anik

dr. Saut Idoan

Surat pengantar tidak ada

dr. Arief Prijatna, Sp.OG

Danang

Carolina

dr. Arif Wibowo

Klinik Al-Hikmah

Pkm Gantrung

Rs. Saraswati

Rianto

Dwi (IGD)

dr. I wayan Sp.PD

P Gontor

dr. Saut Idoan

Polsek Siman

Wariyati

bd. Mulyati

Bd. Binti

Ulfa Peri

Fajar Datari

Mas Tri IGD

Ipung Poli
Carolina

Anni Istiqomah

Lamitri

bd. Supartini

P Gontor 1

Bd. Ani

Tn, Sugito

Pacitan

dr. Doni. P

Rs. Amal sehat

Surat pengantar tidak ada

Pkm Balong

Surat pengantar tidak ada

Murtini

bd. Tety

Dian Widyawati

Pkm Saraswati

RSUD. Po

Al Hikmah

Supartini

RSUD Harjono

dr. Prayono, Sp.B

Pkm Jenangan

dr. Farhat

Agus Informasi

dr. Arief Prijatna, Sp.OG

Tatik Taniria

Agus INF

Polsek Babadan

Rudi Pitoyo

Pkm Tulakan Pacitan

dr. Anita

dr. I Wayan, Sp.PD

Pkm Balong

dr. Farhat

dr. Saut Idoan

Pkm Badegan

Pkm Arjosari

Budi Asih

Bd. Gessy Prihardini

Pkm Tegalombo

dr. Rony

dr. Eko Jaenudin, Sp.A

Isnawati

Nunik Al Hikmah

Bidan Murtini

RSUD Dolopo

P Gontor

Wahyudi OK

Mbak Ruma

RSUD Po

Nata IGD

P Mayak

dr. Arief Prijatna, Sp.OG

Rs. Anggraini Bulukerto

Nata IGD

P Al-Mawadah

Yeni

Bidan Sri Harini

Yuli

amal sehat

Yusiani

Surat pengantar tidak ada

Dina Handayani

Surat pengantar tidak ada

Tya Mawar

Surat pengantar tidak ada

Pkm Balong

Surat pengantar tidak ada

dr. Arief, Sp.OG

Yeni Puspitasari

Suprihatin

Al-Hikmah

dr. Arief Sp,OG

Siti Saudah

Heni Purwanti

Hartatik

Endang Dwi

B. Kun Bgv

P Gontor

Sri Harjanti

RSU Aisyiyah

Surat pengantar tidak ada

Pkm Lembeyan

Surat pengantar tidak ada

dr. Arief Prijatna, Sp.OG

dr. Ido,Sp.B

ISID Gontor

Setyami

dr. Farhat

Bidan Binti

Mbak Sukriya IGD

Pkm Kauman

Rs. Amal sehat

Gessy

Nurfadilah

Gunarmi

P. Rudi Pitoyo

bidan Katini

Tomy Satpam

Surat pengantar tidak ada

Eko Pujianto

Jenangan

dr. Tohir

Surat pengantar tidak ada

Rs. Bima Medika

Pkm Kauman

Pkm Pudak

dr. I Wayan Mertha, Sp.PD

ISID Gontor

Pkm Ngebel

dr. Eko Jaenudin, Sp.A

dr. Arief, Ap.OG

riyanti OK

dr. Farhat, Sp.OT

Ervian IGD

Surat pengantar tidak ada

Murtini

dr. Arief, Sp.OG

Siti Maryam

Rs. Dolopo

dr. Arief Prijatna, Sp.OG