LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN JANUARI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

TGL RUJUKAN
1/2/2016
1/4/2016
1/6/2016
1/7/2016
1/8/2016
1/8/2016
1/12/2016
1/12/2016
1/12/2016
1/12/2016
1/12/2016
1/12/2016
1/13/2016
1/14/2016
1/14/2016
1/18/2016
1/18/2016
1/19/2016
1/20/2016
1/20/2016
1/20/2016
1/20/2016
1/21/2016
1/22/2016
1/23/2016
1/24/2016
1/25/2016
1/25/2016
1/25/2016
1/26/2016
1/27/2016
1/27/2016
1/28/2016
1/30/2016
1/31/2016

NAMA PASIEN
MUEHNI LATIEF
MARDIANA
ENDRIZAL
MANSYURDIN
ROSWANI
NOFRIADI
AULIA FAJRIN
M.FAHTIR
HENDRI
EFRIDAYETI
YOSRI
ZULFERI
RAMA YULI
M.RAZAQ
MARTINA
NURHAYATI
SYAMSIAR
PURNAMA
HARTONO
MEGA SILVIANA
EKA DEVI ARIYANTO
BY.NY CICI
SYAHRIAL
GUGUS SETYOBO
REVAN ALTEZA IKHSAN
MARLIANA
M.KRISNA YULANDA
M.RAFLI FEBRIAKO
RIRI MARIANTI
NURHAYATI
ALI UMAR
SAMSUR BAHRI
JEFRI ILHAM
ANITA OKTIA HAFNI
ASNIMAR

KESATUAN
NON PBI
MANDIRI
PBI
PBI
NON PBI
NON PBI/DINAS
MANDIRI
MANDIRI
PBI
PBI
PBI
PBI
MANDIRI
PBI
NON PBI
MANDIRI
PBI
NON PBI
NON PBI
NON PBI
NON PBI
MANDIRI
PBI
NON PBI
NON PBI
PBI
NON PBI/DINAS
NON PBI/DINAS
NON PBI
MANDIRI
PBI
NON PBI
MANDIRI
NON PBI/DINAS
PBI

TUJUAN RUMAH SAKIT

RS.AISYIYAH
SEMEN PADANG HOSPITAL
RS JIWA ULU GADUT
RS.BEDAH ROPANASURI
RS.SELAGURI
RS JIWA ULU GADUT
RS.BEDAH ROPANASURI
RS.SITI RAHMA
RS.SELAGURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.SELAGURI
RS.SELAGURI
BKIM SUMBAR
SEMEN PADANG HOSPITAL
RS.ISLAM IBNU SINA
RS.SITI RAHMA
SEMEN PADANG HOSPITAL
RS JIWA ULU GADUT
SEMEN PADANG HOSPITAL
RS.YOS SUDARSO
RS.BEDAH ROPANASURI
RS PAU DR ESNAWAN ANTARIKSA
RS.SITI RAHMA
RS.AISYIYAH
RS.YOS SUDARSO
RS.YOS SUDARSO
RS.YOS SUDARSO
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.YOS SUDARSO
RS.BEDAH ROPANASURI
RS JIWA ULU GADUT
RS.ISLAM IBNU SINA

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN MARET

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

TGL RUJUKAN
3/2/2016
3/3/2016
3/3/2016
3/4/2016
3/4/2016
3/7/2016
3/8/2016
3/10/2016
3/10/2016
3/11/2016
3/11/2016
3/14/2016
3/14/2016
3/16/2016
3/16/2016
3/16/2016
3/17/2016
3/17/2016
3/19/2016
3/21/2016
3/22/2016
3/29/2016
3/31/2016

NAMA PASIEN
EFEN EFENDI
SUNAN
DILLA FEBRI YENTI
AFRI YENNI ISMAEL
ERNI
DAVINA JUANITA
AGIEL APRILIO ANDIKA
MAIYENI
IRWANDI
A RAHMAN
RAMLI
MARIANI
EFRIDA YENI
SUARTI NINGSIH
BASRI
NURMAL UYUN
FIRMANSYAH
ALI AMRAN
M.KHODRI
DARNIS
DARMIA
SYAMSIDAR
ANIMAR

KESATUAN
MANDIRI
PBI
NON PBI
PBI
PBI
PBI
NON PBI
NON PBI
PBI
NON PBI
NON PBI
PBI
MANDIRI
NON PBI
PBI
NON PBI
NON PBI
PBI
NON PBI
PBI
NON PBI
MANDIRI
PBI

TUJUAN RUMAH SAKIT

SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.SELAGURI
RS JIWA ULU GADUT
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
BKIM SUMBAR
SEMEN PADANG HOSPITAL
RS.ISLAM IBNU SINA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.BAYANGKARA
RS.YOS SUDARSO
RS.SELAGURI
RS.ISLAM IBNU SINA
BKIM SUMBAR
RS.ISLAM IBNU SINA

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN FEBRUARI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

TGL RUJUKAN
2/1/2016
2/1/2016
2/1/2016
2/2/2016
1/3/2016
2/3/2016
2/3/2016
2/4/2016
2/5/2016
2/9/2016
2/9/2016
2/10/2016
2/11/2016
2/12/2016
2/15/2016
2/15/2016
2/15/2016
2/16/2016
2/16/2016
2/16/2016
2/17/2016
2/18/2016
2/18/2016
2/18/2016
2/19/2016
2/21/2016
2/24/2016

NAMA PASIEN
YURTETI
R.ENEDI
RAHMAT DEBI SAPUTRA
SAINAR
AUREL NATASYA
MAWARDI
NURHAYATI
AGUSTIAN AKBAR
HALIM BADRI
SYAIFUL BAHRI
BY NY LISA PUTRI
DINA RINZANI PRASIA
USMAN
SRI APRILIA RAMADANI
FADLY YEBRIADI
DANIN MS
YULIDA
SYAMSIAR
ASNARLELI
NURDIATI
YULIANDA PUTRI
SUMARNI M
MARIANI
SUMANTRI
AMANDA CYTHIA PUTRI
GHAZI PUTRA EVIKA
DEVITA ANGELINE

KESATUAN
PBI
NON PBI
PBI
PBI
NON PBI
PBI
MANDIRI
PBI
NON PBI
MANDIRI
MANDIRI
NON PBI/DINAS
PBI
MANDIRI
PBI
NON PBI
NON PBI
MANDIRI
PBI
PBI
PBI
MANDIRI
PBI
NON PBI
MANDIRI
NON PBI/DINAS
NON PBI

TUJUAN RUMAH SAKIT

RS.SELAGURI
RS JIWA ULU GADUT
RS.SELAGURI
RS.SELAGURI
RS.BEDAH ROPANASURI
RS.SELAGURI
SEMEN PADANG HOSPITAL
RS.SELAGURI
SEMEN PADANG HOSPITAL
RS.YOS SUDARSO
RSUD.RASIDIN
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.EYE CENTER
RS JIWA ULU GADUT
BKIM SUMBAR
BKIM SUMBAR
RS.BEDAH ROPANASURI
RS.SELAGURI
RS.BEDAH ROPANASURI
RS.AISYIYAH
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.SITI RAHMA
RS.SITI RAHMA
RS JIWA ULU GADUT

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN APRIL

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

TGL RUJUKAN
4/4/2016
4/5/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/7/2016
4/7/2016
4/7/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/12/2016
4/13/2016
4/16/2016
4/19/2016
4/20/2016
4/21/2016
4/22/2016
4/22/2016
4/25/2016
4/25/2016
4/26/2016
4/27/2016
4/28/2016

NAMA PASIEN
ERNI
BIMA TRI RAMA P
ALMASDAM
WINDI RISKA KRISTINI ZAI
DWI ASMILA
ADELA PUTRI BARAVANNI
YUSTINAR
ARDINAL LEO PUTRA
EFRIDAYENI
MAHYENI
BUSTAMI
YULSI MUNIR
DJUSNAIDAR
INDRA
GUGUS SETYOBO
FIRDAUS
LISMAYENI
EDWARD SITOMPUL
FESDALENI
MISWARI
RAMLI
ISHAR IBRAHIM
JAMALUS
SAFRIZAL
MARIANI
RIZA DESMAYENTI
SAYA PUTU RATNIATI
ZULHELMI
BUSTAMAN

KESATUAN
PBI
PBI
PBI
PBI
MANDIRI
NON PBI
MANDIRI
MANDIRI
MANDIRI
PBI
NON PBI
NON PBI
NON PBI
NON PBI
NON PBI
PBI
PBI
MANDIRI
PBI
PBI
NON PBI
NON PBI
MANDIRI
PBI
PBI
MANDIRI
PBI
NON PBI/DINAS
NON PBI

TUJUAN RUMAH SAKIT

RS.BEDAH ROPANASURI
RS.ISLAM IBNU SINA
RS.YOS SUDARSO
RS JIWA ULU GADUT
RS JIWA ULU GADUT
RS JIWA ULU GADUT
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.ISLAM IBNU SINA
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS AU DR ESNAWAR ANTARIKSA
RS.SELAGURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.SELAGURI
RS.ISLAM IBNU SINA
RS.BEDAH ROPANASURI
RS.SITI RAHMA
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.SELAGURI
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN MAI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

TGL RUJUKAN
5/2/2016
5/3/2016
4/3/2016
5/4/2016
5/9/2016
5/9/2016
5/10/2016
5/11/2016
5/12/2016
5/13/2016
5/16/2016
5/17/2016
5/17/2016
5/20/2016
5/20/2016
5/21/2016
5/21/2016
5/24/2016
5/29/2016
5/30/2016
5/31/2016

NAMA PASIEN
MAHYENI
DARMAWI CHAN
NURBAYA
REZA MALINDA PUTRI
YULIZAR
EFRIDA YENI
ASNELI
HASAN BASRI YUNUS
FAIZIL ARHAM
BUSTAMAM
GUGUS SETYOBO
ARMAINI
SUKRENI
SUHAIDAYATI
SALMIATI
HERMANSYAH
HENDRA ADIPURA M
ASNELI
M.RISKI
SARI RAHMADANI
SABINAR

KESATUAN
PBI
NON PBI/DINAS
MANDIRI
NON PBI/DINAS
NON PBI
MANDIRI
PBI
NON PBI
NON PBI
NON PBI
NON PBI
PBI
NON PBI
PBI
NON PBI
PBI
NON PBI/DINAS
PBI
NON PBI/DINAS
NON PBI
PBI

TUJUAN RUMAH SAKIT

SEMEN PADANG HOSPITAL
RS.EYE CENTER
RS.SITI RAHMA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS AU ANTARIKSA
SEMEN PADANG HOSPITAL
RS.ISLAM IBNU SINA
RS.SELAGURI
RSUD.RASIDIN
RS.SELAGURI
RS.SITI RAHMA
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN JUNI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

TGL RUJUKAN
6/1/2016
6/2/2016
6/3/2016
6/6/2016
6/6/2016
6/7/2016
6/7/2016
6/8/2016
6/8/2016
5/9/2016
6/9/2016
6/10/2016
6/10/2016
6/15/2016
6/20/2016
6/21/2016
6/22/2016
6/23/2016
6/23/2016
6/25/2016
6/27/2016
6/28/2016
6/28/2016
6/28/2016
6/28/2016

NAMA PASIEN
WISMARNI
HERMANSYAH
ZAINAH
M.TASAR
JUMADI
M.FAIZAL SYAHPUTRA
ARLIYANTI AUDAN
SURMAWATI
SALEHUDDIN ALPOROBI
EDY SUPRIADI
YULIA AMELIA
AMRIZAL
BY NY EFNI
SYAIFUL ANWAR
ZAMZANI
SUTIJAYANTO
BY NY ASNA
SYAHRIL FARIZEN
ABAS SIATI
INDRI HABSARI
BY NY AYU AISYA
SUPRAYITNO
ROMI
RTI SALDI UMAR
MURNI

KESATUAN
NON PBI
MANDIRI
MANDIRI
NON PBI
NON PBI/DINAS
NON PBI/DINAS
MANDIRI
MANDIRI
NON PBI/DINAS
PBI
MANDIRI
PBI
MANDIRI
NON PBI/DINAS
PBI
MANDIRI
NON PBI/DINAS
NON PBI/DINAS
MANDIRI
MANDIRI
MANDIRI
MANDIRI
PBI
MANDIRI
PBI

TUJUAN RUMAH SAKIT

SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.SITI RAHMAH
RS.BEDAH ROPANASURI
RS.SITI RAHMAH
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.SITI RAHMAH
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.SITI RAHMAH
RS.SITI RAHMAH
RS.ISLAM IBNU SINA
RS.BEDAH ROPANASURI
RSU.SALATIGA
RS.BAYANGKARA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BAYANGKARA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN JULI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

TGL RUJUKAN
7/1/2016
7/8/2016
7/12/2016
7/12/2016
7/13/2016
7/13/2016
7/15/2016
7/15/2016
7/18/2016
7/18/2016
7/18/2016
7/18/2016
7/19/2016
7/22/2016
7/26/2016
7/27/2016
7/29/2016

NAMA PASIEN
SYAIFUL MULUK
ASNELY
RIKI WALDI
M.ZAKIR
ABASSIAN
EDY SUPRIADI
ZANERMAN
RAMONA VERONICA
DJUSMAWARTI
DASWAR
GUGUS SETYOBO
YULIA AMELIA
SANGHADY
ZAHEDI B
TITIN SUMARNI
ASMURNI
MUSLIM RAJO LELO

KESATUAN
MANDIRI
PBI
MANDIRI
PBI
MANDIRI
PBI
NON PBI
PBI
NON PBI
NON PBI
NON PBI
MANDIRI
NON PBI
PBI
MANDIRI
NON PBI
MANDIRI

TUJUAN RUMAH SAKIT

RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
BKIM SUMATRA BARAT
RS.YOS SUDARSO
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RSAU DR.ANTARIKSA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN AGUSTUS

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

TGL RUJUKAN
8/1/2016
8/2/2016
8/2/2016
8/2/2016
8/2/2016
8/3/2016
8/4/2016
8/9/2016
8/10/2016
8/13/2016
8/16/2016
8/18/2016
8/18/2016
8/22/2016
8/23/2016
8/23/2016
8/25/2016

NAMA PASIEN
INDRI HAPSARI
AZMI
BY.NY SALVIA
SYAFRI RICKY
BY.NY PEMELIA NORA
AFRIANDI
YUSNIAR
SYAIFUL MULUK
HERBERT SIMAMORA
NELFIA NOFRIKA
DESWATI
FARIZAL
BACHTIAR
ANWAR
ETI SAIDI UMAR
MASNI
ERADAWATI

KESATUAN
MANDIRI
MANDIRI
MANDIRI
MANDIRI
MANDIRI
NON PBI
PBI
MANDIRI
NON PBI/DINAS
PBI
MANDIRI
NON PBI
PBI
NON PBI
MANDIRI
PBI
NON PBI

AGUSTUS
TUJUAN RUMAH SAKIT
RS.ISLAM IBNU SINA
RS.BEDAH ROPANASURI
RS.BAYANGKARA
RS.BEDAH ROPANASURI
RSUD.RASIDIN
RS.SITI RAHMAH
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.ADAM MALIK MEDAN
RS.YOS SUDARSO
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN SEPTEMBER

NO
1
2
3
4
5
6
7
8
9

TGL RUJUKAN
NAMA PASIEN
9/1/2016 SYAHRIL FRIZEN
9/9/2016 IBRAHIM
9/13/2016 DARWIN
9/15/2016 M.DJAMIL
9/18/2016 ANWAR MALIKI
9/23/2016 BY.FEBRIDIANA
9/27/2016 BY.NY DEVI
9/28/2016 BASRIUS
9/30/2016 BAYU PRATAMA

KESATUAN

MANDIRI
MANDIRI
NON PBI
NON PBI/DINAS

TUJUAN RUMAH SAKIT

SEMEN PADANG HOSPITAL
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.SITI RAHMA
RS.BAYANGKARA
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL

LAPORAN AMBULAN PASIEN RUJUK SESAMA KELAS BULAN AGUSTUS

NO
1
2
3
4
5
6
7
8
9
10
11
12

TGL RUJUKAN
1/3/2016
10/3/2016
10/4/2016
10/7/2016
10/8/2016
10/10/2016
10/11/2016
10/12/2016
10/13/2016
10/17/2016
10/17/2016
10/17/2016

NAMA PASIEN
YULIDAR
SUDIRMAN
ZAIMAH DARMAYANTI
RIKA SUSANTI
BY.NY SYAFFITRI YANTI
SALIM
RUKMIAH
ABDUL HALIP
ALIMUS
ALI OEMAR
SYAHRIL ERWIN
AWALINAR

AN AGUSTUS
KESATUAN
PBI
NON PBI/DINAS
PBI
MANDIRI
MANDIRI
MANDIRI
NON PBI
NON PBI/DINAS
MANDIRI
NON PBI
NON PBI
PBI

TUJUAN RUMAH SAKIT

SEMEN PADANG HOSPITAL
RSPAD
SEMEN PADANG HOSPITAL
SEMEN PADANG HOSPITAL
RS.BAYANGKARA
RS.BEDAH ROPANASURI
SEMEN PADANG HOSPITAL
RSPAD
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI
RS.BEDAH ROPANASURI