Rawat Inap Bayi Sakit 2017

NO NO RM NAMA PASIEN NAMA AYAH
BY.
BULAN :
JANUARI 2017
1 093761 BY JUMRIAH DARWIN

2 093757 BY SARI BULAN MARIS
3 093785 BY IRFI EKA PUTRI IRWAN L
4 093863 BY ANDRIYANI SYAHRIR SIREGAR
5 093868 BY RISDAWATI IRWAN
6 093887 BY KARTINI FAHRUL
7 093882 BY HERI HARI RUSTAMAN
8 093908 BY PARAMITA G1 M. ARMAN
9 093909 BY PARAMITA G2 M. ARMAN
10 093932 BY MIMIYANTI MUH ANWAR
11 093970 BY JESIKA JANDI RUBEN PONGKIDING
12 093958 BY ARMAWATI SYIRAT
13 093975 BY A. UMMUL KHAIR AHMAD IDRIS
14 094004 BY ARIANO SARAFUDDIN
15 094013 BY YUSLINA SYAHRUL
16 094011 BY TRISNAWATI SUDIRMAN
17 094016 BY NURAENI M. SURYA P
18 094089 BY SULPIAH NASRULLAH
19 094061 BY MURNI SANUSI
20 095006 BY ST MUHSINAH MUH SAIDI PATTA
21 094117 BY NASRAH SYAMSUL ALAM
22 094136 BY ROSMITA LAGELENG
23 094134 BY MULDIANTI CAKRA ANDIKA P
24 094130 BY SANDRA DEWI RESKI BASRI
25 094152 BY FITRIA NUR ALAMSYAH
26 094169 BY LISA FATIMAH RUSLI
27 094182 BY ADRIANTI MUH SAFRI
28 094214 BY ANDRIANI G2 FAIZAL
29 094231 BY JOHANI FIQRAM
30 094242 BY A. SULFIYANTI MUH ILHAM
31 094282 BY EKAWATI RISFA RAWANSYAH
32 094298 BY MIRNAWATI SUPRIADI
33 094288 BY ALFIAH PERDANA
34 094321 BY IRMAYANTI SAPRI
REGISTER BAYI SAK
JK TINDAKAN
ALAMAT TGL RAWAT TGL KELUAR LAMA
MASUK RAWAT LK PR SPONTAN
KB 2 IGD OK
JL. VETERAN SELATAN LR 3 3/1/2017 6/1/2017 3 1

JL. DIPONEGORO NO 33 3/1/2017 9/1/2017 6 1
JL. IR. SUTAMI NO 14 4/1/2017 7/1/2017 3 1 1
JL. CENDRAWASIH 8/1/2017 11/1/2017 3 1 1
PULAU KODINGARENG 8/1/2017 11/1/2017 3 1
KULANGA, JENEPONTO 9/1/2017 17/01/2017 8 1 1
JL. DARMA BAKTI BLOK A4 9/1/2017 12/1/2017 3 1
JL. SALEMO LR 158/7 10/1/2017 13/01/2017 3 1
JL. SALEMO LR 158/7 10/1/2017 13/01/2017 3 1
JL. SERKA MONIR NO 12 11/1/2017 16/01/2017 5 1 1
KOMP. HARTACO JAYA 12/1/2017 15/01/2017 3 1 1
JL. TEUNGKU UMAR 9/17 12/1/2017 17/01/2017 5 1
JL. MUHAJIRIN RAYA NO 38 12/1/2017 17/01/2017 5 1 1
JL. VILLA MUTIARA LESTARI 14/01/2017 14/01/2017 0 1 1
JL. A. MAPPANYUKKI NO 13/6 14/01/2017 17/01/2017 3 1
JL. SENDANA, MAMASA 14/01/2017 17/01/2017 3 1 1
PARANG LOE 14/01/2017 20/01/2017 6 1 1
JL. CAKALANG 1 LR 2 17/01/2017 20/01/2017 3 1 1
JL. GALANGAN KAPAL 17/01/2017 19/01/2017 2 1 1
JL. KANDEA KOMP UNHAS NO 2 18/01/2017 21/01/2017 3 1
JL. BARUKANG UTARA 19/01/2017 22/01/2017 3 1
JL. ONTA BARU III NO 8 20/01/2017 23/01/2017 3 1
JL. BURU LR 226 20/01/2017 23/01/2017 3 1
JL. KUMALA II 20/01/2017 23/01/2017 3 1 1
JL. WIJAYA KUSUMA 1/51 21/01/2017 22/01/2017 1 1 1
GRIYA HASINDA, GOWA 22/01/2017 27/01/2017 5 1
JL. MONCONG-MONCONG 9/6 23/01/2017 26/01/2017 3 1
JL. DG RAMANG NO 10 24/01/2017 7/2/2017 14 1 1
PULAU BARRANG LOMPO, GOWA 25/01/2017 28/01/2017 3 1
SUMASANG, SOROAKO 26/01/2017 27/01/2017 1 1 1
BTN BUMI LESTARI BLOK C1/12 27/01/2017 3/2/2017 7 1 1
BTN NUSA INDAH PALLANGGA 28/01/2017 31/01/2017 3 1 1
JL. CENDRAWASIH LR 12/490 C 28/01/2017 2/2/2017 5 1 1
JL. BIRING ROMANG DALAM 30/01/2017 30/01/2017 1 1 1
EGISTER BAYI SAKIT DI RSKDIA PERTIWI TAHUN 2017
TINDAKAN
KLASIK KELAS BKB
SC VE BCB BLB (SEROTINUS)
MAURICEAUE (PREMATURE)
KB 2 IGD KB 2 IGD KB LT KB KB LT
UGD BAYI UGD BAYI UGD BAYI
2 LT 2 2
1 III 1
1 II 1 1
II 1
III 1
1 III 1
I 1
1 VIP 1
1 II 1
1 II 1
III 1
II 1
1 II 1
III 1
I 1
1 III 1
III 1
III 1
III 1
III 1
1 III 1
1 III 1
1 III 1
1 II 1
III 1
I 1
1 III 1
1 VIP 1
II 1
1 III 1
III 1
III 1
II 1
II 1
II 1
DOKTER
KELAINAN
DIAGNOSA DIAGNOSA SEKUNDER KODE ICD X KONGINETAL MR MS
BCB/ KMK/ LBK/ SC ASFIXIA SEDANG + CAPUT P21.1 1

BKB/ KMK/ L SUNGSANG/ SC BBLSAR + ASFIXIA BERAT + HYPOTE P07.1 1
BCB/ KMK/ LBK/ SPT BBLR P07.1 1
BCB/ SMK/ LBK/ SC ASFIXIA SEDANG P21.1 1
BCB/ KMK/ L BOKONG/ SPT ASFIXIA BERAT + HYPERBILIRUBINE P21.0 1
BCB/ KMK/ LBK/ SPT ASFIXIA RINGAN P21.0 1
BCB/ KMK/ LBK/ SC BBLR + GEMILLI P07.1 1
BCB/ KMK/ LBK/ SC BBLR + GEMILLI P07.1 1
BCB/ SMK/ LBK/ SPT DIARE AKUT A09 1
BCB/ SMK/ LBK/ SPT ASFIXIA RINGAN P21.1 1
BKB/ BMK/ L KAKI/ SC PREMATUR P07.3 1
BCB/ SMK/ LBK/ SPT IKTERUS NEONATORUM P59.9 1
BKB/ SMK/ LBK/ SPT KJDR P95 1
BCB/ SMK/ L BOKONG/ SC ASFIXIA BERAT P21.0 1
BCB/ SMK/ LBK/ SPT ASFIXIA SEDANG P21.1 1
BCB/ SMK/ LBK/ SC HYPERBILIRUBINEMIA P59.9 1
BCB/ KMK/ L. BOKONG/ SPT BBLR P07.1 1
BCB/ SMK/ LBK/ SC ASFIXIA BERAT + CAPUT SUCCADE P21.1 1
BLB/ SMK/ LBK/ SC ASFIXIA BERAT + SEROTINUS P21.0 1
BLB/ SMK/ LBK/ SC ASFIXIA RINGAN SEDANG P21.1 1
BLB/ SMK/ LBK/ SC ASFIXIA BERAT P21.0 1
BCB/ SMK/ LBK/ SPT Z38.0 1
BKB/ BMK/ LBK/ SC PREMATURE + RDN P07.3 1
BCB/ SMK/ LBK/ SC ASFIXIA BERAT P21.0 1
BCB/ KMK/ LBK/ SPT ASFIXIA RINGAN P21.1 1
BLB/ SMK/ LBK/ SC RDS + CAPUT SUCCADENEUM P22.0 1
BCB/ SMK/ LBK/ SPT ASFIXIA RINGAN SEDANG P21.1 1
BCB/ SMK/ LBK/ SPT HYPERBILIRUBINEMIA P59.8 1
BCB/ KMK/ LBK/ SPT Z38.0 1
BKB/ KMK/ LBK/ SPT PREMATURE P07.3 1
BKB/ KMK/ SPT + LAHIR MATI PREMATURE + BBLSAR P07.3 1
BBL HIDUP BB MATI IMD
PB PB JAMINAN
< 2500 > 2500 < 2500 > 2500 < 24 JAM
BPJS/ INHEAL GRATIS

U KIS TH
3350 51 1 1
1000 32 1 1
2200 43 1 1
2350 46 1 1
3300 48 1
2700 49 1
3300 48 1 1
2300 45 1 1
2300 47 1
3400 48 1 1
3900 49 1
2950 47 1 1
3000 49 1
800 32
4000 51 1 1
3600 49 1
2500 46 1 1
2400 46 1
2250 43 1
2600 47 1 1
4000 50 1 1
3500 50 1 1
3000 49 1
3250 50 1 1
2400 44 1 1
2600 47 1 1
3250 49 1
1700 45 1 1
2700 47 1 1
2500 44 1 1
3150 50 1 1
2300 47 1
1900 43 1
150 23 1
7 25 0 1 20
IMD KET TGL
PENGINPUT
> 24 JAM AN
17/01/2017
24/01/2017
11/1/2017
11/1/2017
25/01/2017
24/01/2017
13/01/2017
24/01/2017
24/01/2017
24/01/2017
1 17/01/2017
24/01/2017
25/01/2017
10/2/2017
25/01/2017
1 20/01/2017
26/01/2017
1 26/01/2017
25/01/2017
24/01/2017
26/01/2017
26/01/2017
1 26/01/2017
26/01/2017
26/01/2017
31/01/2017
31/01/2017
10/2/2017
31/01/2017
31/01/2017
9/2/2017
1 1/2/2017
7/2/2017
6/2/2017
5
REGISTER BAYI SAKIT DI RSKDIA PERTIWI TAHUN 2017
BBL HIDUP
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR LOS KELA
PB
MASUK S DIAGNOSA < 2500 > 2500
BY.
BULAN :
JANUARI 2017
1 093567 BY RIKA RESITA 24/12/2016 3/1/2017 10 III PREMATURE 1750 38

2 093642 BY RATNA 28/12/2016 4/1/2017 6 III PREMATURE 1900 42
3 093677 BY ISMI DWI 29/12/2016 1/1/2017 3 III BBLR 2450 46
4 093658 BY LENNY ASTUTY 29/12/2016 1/2/2017 32 II PREMATURE 1500 43
5 093674 BY JANUARSIH 29/12/2016 1/1/2016 3 II PREMATUR 3500 48
6 093682 BY FADRIKA G1 30/12/2016 3/1/2017 4 I ASFIXIA SEDANG 2500 45
7 093683 BY FADRIKA G2 30/12/2016 3/1/2017 4 II BBLR + GEMILLI 2250 43
8 093691 BY HADIJAH 30/12/2016 2/1/2017 3 II ASFIXIA BERAT 3050 51
9 093698 BY ASRIANTI 30/12/2016 3/1/2017 4 I HYPERPIREKSIA 3000 47
10 093681 BY ANTI 30/12/2016 7/1/2017 9 III 3100 49
11 093712 BY LENNY MARLINA 31/12/2016 3/1/2017 3 III BBLR 2150 44
12 093706 BY NOVIANTI A 31/12/2016 2/1/2017 2 II REGURGITASI 3250 49
1 093761 BY JUMRIAH 3/1/2017 6/1/2017 3 III BCB/ KMK/ LBK/ SC 3350 51

2 093757 BY SARI BULAN 3/1/2017 9/1/2017 6 II BKB/ KMK/ L SUNGSANG/ SC
3 093785 BY IRFI EKA PUTRI 4/1/2017 7/1/2017 3 II BCB/ KMK/ LBK/ SPT 2200 43
4 093863 BY ANDRIYANI 8/1/2017 11/1/2017 3 III BCB/ KMK/ LBK/ SPT 2350 46
5 093868 BY RISDAWATI 8/1/2017 11/1/2017 3 III BCB/ SMK/ LBK/ SC 3300 48
6 093887 BY KARTINI 9/1/2017 17/01/2017 8 I BCB/ KMK/ L BOKONG/ SPT 2700 49
7 093882 BY HERI 9/1/2017 12/1/2017 3 VIP BCB/ KMK/ LBK/ SPT 3300 48
8 093908 BY PARAMITA G1 10/1/2017 13/01/2017 3 II BCB/ KMK/ LBK/ SC 2300 45
9 093909 BY PARAMITA G2 10/1/2017 13/01/2017 3 II BCB/ KMK/ LBK/ SC 2300 47
10 093932 BY MIMIYANTI 11/1/2017 16/01/2017 5 III BCB/ SMK/ LBK/ SPT 3400 48
11 093970 BY JESIKA JANDI 12/1/2017 15/01/2017 3 II BCB/ SMK/ LBK/ SPT 3900 49
12 093958 BY ARMAWATI 12/1/2017 17/01/2017 5 II BKB/ BMK/ L KAKI/ SC 2950 47
13 093975 BY A. UMMUL KHAIR 12/1/2017 17/01/2017 5 III BCB/ SMK/ LBK/ SPT 3000 49
14 094004 BY ARIANO 14/01/2017 14/01/2017 0 I BKB/ SMK/ LBK/ SPT
15 094013 BY YUSLINA 14/01/2017 17/01/2017 3 III BCB/ SMK/ L BOKONG/ SC 4000 51
16 094011 BY TRISNAWATI 14/01/2017 17/01/2017 3 III BCB/ SMK/ LBK/ SPT 3600 49
17 094016 BY NURAENI 14/01/2017 20/01/2017 6 III BCB/ SMK/ LBK/ SC 2500 46
18 094089 BY SULPIAH 17/01/2017 20/01/2017 3 III BCB/ KMK/ L. BOKONG 2400 46
19 094061 BY MURNI 17/01/2017 19/01/2017 2 III BCB/ KMK/ LBK/ SPT 2250 43
20 095006 BY ST MUHSINAH 18/01/2017 21/01/2017 3 III BCB/ SMK/ LBK/ SC 2600 47
21 094117 BY NASRAH 19/01/2017 22/01/2017 3 III BLB/ SMK/ LBK/ SC 4000 50
22 094136 BY ROSMITA 20/01/2017 23/01/2017 3 III BLB/ SMK/ LBK/ SC 3500 50
23 094134 BY MULDIANTI 20/01/2017 23/01/2017 3 II BLB/ SMK/ LBK/ SC 3000 49
24 094130 BY SANDRA DEWI 20/01/2017 23/01/2017 3 III BCB/ SMK/ LBK/ SPT 3250 50
25 094152 BY FITRIA 21/01/2017 22/01/2017 1 I BCB/ KMK/ LBK/ SPT 2400 44
26 094169 BY LISA FATIMAH 22/01/2017 27/01/2017 5 III BKB/ BMK/ LBK/ SC 2600 47
27 094182 BY ADRIANTI 23/01/2017 26/01/2017 3 VIP BCB/ SMK/ LBK/ SC 3250 49
28 094214 BY ANDRIANI G2 24/01/2017 7/2/2017 14 II BCB/ KMK/ LBK/ SPT 1700 45
29 094231 BY JOHANI 25/01/2017 28/01/2017 3 III BLB/ SMK/ LBK/ SC 2700 47
BBL HIDUP
PB
BY.
30 094242 BY A. SULFIYANTI 26/01/2017 27/01/2017 1 III BCB/ SMK/ LBK/ SPT 2500 44
31 094282 BY EKAWATI 27/01/2017 3/2/2017 7 III BCB/ SMK/ LBK/ SPT 3150 50
32 094298 BY MIRNAWATI 28/01/2017 31/01/2017 3 II BCB/ KMK/ LBK/ SPT 2300 47
33 094288 BY ALFIAH 28/01/2017 2/2/2017 5 II BKB/ KMK/ LBK/ SPT 1900 43
34 094321 BY IRMAYANTI 30/01/2017 30/01/2017 1 II BKB/ KMK/ SPT
BBL HIDUP
PB
BY.
BBL HIDUP
PB
BY.
BB MATI
PB
< 2500 > 2500
1000 32
800 32
BB MATI
PB
< 2500 > 2500
150 23
BB MATI
PB
< 2500 > 2500
BB MATI
PB
< 2500 > 2500
LAM BBL HIDUP
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR A
RAW KELAS < > PB
MASUK DIAGNOSA DIAGNOSA SEKUNDER
BY. AT 2500 2500
BULAN :
FEBRUARI
2017
1 094214 BY ANDRIANI G2 24/01/2017 7/2/2017 14 II BCB/ KMK/ LBK/ SPT ASFIXIA RINGAN 1700 45
2 094282 BY EKAWATI 27/01/2017 3/2/2017 7 III BCB/ SMK/ LBK/ SPT HYPERBILIRUBINEMIA 3150 50
3 094288 BY ALFIAH 28/01/2017 2/2/2017 5 II BKB/ KMK/ LBK/ SPT PREMATURE 1900 43
1 094355 BY MARLINAWATI 1/2/2017 6/2/2017 5 I BLB/ SMK/ LBK/ SC SEROTINUS + ASFIXIA SEDANG 2950 48
2 094368 BY IRA 1/2/2017 4/2/2017 3 III BCB/ SMK/ LBK/ SPT ASFIXIA RINGAN SEDANG 3250 50
3 094393 BY SAKINAH 2/2/2017 3/2/2017 1 III BKB/ SMK/L BOKONG/ SC ASFIXIA BERAT + HYPOTERMI
4 094394 BY RESKY AMALIA 2/2/2017 5/2/2017 3 III BCB/SMK/LBK/SPT BBLR 2300 42
5 094413 BY AFPRILIA 3/2/2017 4/2/2017 1 II BKB/ SMK/ LBK/ SPT BBLSAR
6 094408 BY RUTH MARIA 3/2/2017 5/2/2017 2 III BCB/ KMK/ LBK/ SPT BBLR 2400 45
7 094435 BY MUSTIKA D 4/1/2017 7/2/2017 3 I BKB/ SMK/ LBK/ SC PREMATURE 2150 47
8 094446 BY ERNI AFRIANI 5/2/2017 III
9 094463 BY MARDIANA G2 6/2/2017 9/2/2017 3 III BCB/ SMK/ LBK/ SC ASFIXIA RINGAN SEDANG 3200 48
10 094486 BY HASMAWATI 7/2/2017 10/2/2017 3 I BCB/ SMK/ LBK/ SPT 2900 47
11 094495 BY ELISABETH G2 8/2/2017 9/2/2017 1 II BCB/ KMK/ P. BOKONG/ SPBBLR 2450 45
12 094523 BY MUSLIYATI 8/2/2017 10/2/2017 2 II BCB/ SMK/ LBK/ SPT + BBL ASFIXIA RINGAN SEDANG 2400 44
13 094554 BY NURLIA HAMZAH 10/2/2017 15/02/2017 5 III BLB/SMK/L.BOKONG/SC INFEKSI NEONATORUM 3400 50
14 094586 BY A. TENRI FADILLAH 11/2/2017 16/02/2017 5 II BCB/SMK/LBK/VE + RDN CAPUT SUCS DENUM 3200 48
15 094585 BY RIDHA SWI 11/2/2017 15/02/2017 4 II BCB/SMK/LBK/SC INFEKSI NEONATORUM 3500 49
16 094615 BY SINAR 13/02/2017 28/02/2017 15 II BKB/ SMK/ LBK/ SPT CONJUNGTIVITIS 1000 34
17 094667 BY LISDA 16/02/2017 19/02/2017 3 III ASFIKSIA RINGAN BCB/SMK/LBK/SEKSIO 3800 51
18 094671 BY SATRIANI 17/02/2017 19/02/2017 2 III BCB/ BMK/ LBK/ SPT PERDARAHAN TALI PUSAT 4200 50
19 094674 BY ERLINA 17/02/2017 18/02/2017 1 II BCB/ KMK/ LBK/ SPT BBLR 2050 42
20 094683 BY ANDRIYANI 17/02/2017 20/02/2017 3 I BKB/ SMK/ LBK/ SPT BBLR + PREMATURE 2050 41
21 094750 BY NATARIA 21/02/2017 27/02/2017 6 III BCB/BMK/LBK/SC RDS 4700 52
LAM BBL HIDUP
RAW KELAS < > PB
BY. AT 2500 2500
22 094751 BY SUPRIATI 21/02/2017 23/02/2017 2 III ASFIKSIA RINGAN NCB/SMK/LBK/SPT 2800 48
23 094795 BY ANITHA 22/02/2017 28/02/2017 6 II BBLR UTERUS NEONATORIUM 1700 43
24 094799 BY SOHRAH 23/02/2017 24/02/2017 1 III BCB/SMK/LBK/SPT HDN 2500 46
25 094817 BY FITRIANI 23/02/2017 27/02/2017 4 II ASFIKSIA BERAT ATERM 3900 51
26 094855 BY NURDIANA G1 25/02/2017 28/02/2017 3 I BBLR/GEMELLI 2450 47
29 094872 BY SANTI 26/02/2017 27/02/2017 1 II BKB/ SMK/ L. LINTANG + RUJUK RSWS 3250 47
30 094835 BY SYAMSINAR 24/02/2017 1/3/2017 5 III BCB/SMK/L.BOKONG/SC DYSPEPSISA 3650 48
31 094936 BY IRMAWATI 28/02/2017 3/3/2017 3 III BKB/SMK/L. BOKONG/ SC PREMATURE 2350 46
LAM BBL HIDUP
RAW KELAS < > PB
BY. AT 2500 2500
LAM BBL HIDUP
RAW KELAS < > PB
BY. AT 2500 2500
LAM BBL HIDUP
RAW KELAS < > PB
BY. AT 2500 2500
BB MATI
< > PB
2500 2500
2300 45
900 37
BB MATI
< > PB
2500 2500
BB MATI
< > PB
2500 2500
BB MATI
< > PB
2500 2500
BB MATI
< > PB
2500 2500
BY.
BULAN : MARET
2017
1 094939 BY NUNUNG AMRAN

2 094976 BY ASNIATI SUANDI
3 095018 BY YUSRIANI A. HELMI
4 095064 BY AYU WIDYANTY IRWAN ALI
5 095077 BY NURLINA AHSAN
6 095087 BY MARINA AMALUDDIN
7 095085 BY JUMRIANI AHMAD SUGIARTO
8 095121 BY ANITA TAMPANG NATAN PAR
9 095157 BY SATRIYANI ZULKIFLI
10 095248 BY RIKA AYU P ABRAR
11 095229 BY SUMIATI RAHMAN
12 095286 BY ANNA HASANUDDIN
13 095275 BY TROYCE LAYUK MARTHINUS
14 095251 BY DEWI ANGGRAENI IMRAN
15 095316 BY HASMIAH PANTUM
16 095347 BY ARINI YUSUF
17 095348 BY ROSDIANA MUHAEMIN
18 095354 BY SRI WAHYUNI MUH IDRIS
19 095356 BY NURBAYA SAHARUDDIN
20 095374 BY NURHIJRAH ABD AZIS
21 095375 BY HASMI A FIRMAN SANUSI
22 095401 BY HERSENITA ANTON PARALONSAN
23 095400 BY FATMAWATI NUR SYAFAR
24 095447 BY A. IRAWATI A. CHUSNUL
25 095513 BY TRI ELFA ASWAR
26 095502 BY KASMINI U ARAFAH
27 095525 BY WIWIN HASRUDDIN
28 095530 BY DEWI ANGGRAENI MAMAN SUNANDAR
29 095529 BY ANDRIANI IMRAN PUTRA CAHYA
30 095538 BY RISKA J MUH ADAM MALIK
31 095543 BY RAMLIATI SYAHRUL
32 095545 BY RINI WAHYU NUR
33 095555 BY KASMIANI ISMAIL
34 095563 BY NUR AMIRZA MUH NASRI
096347 BY ALDEWITA DOAN YANIS
35 095614 BY NIRA PURWANTI INDRA SETIAWAN
36 095607 BY NURAENI ABD. WAHID
37 095640 BY NURUL A RESTU MUHAMMAD
38 095674 BY NURFAIDA YUSRAN ARSAD
39 095687 BY NUR AFNI RAMADHAN ABD ASIS
REGISTER BAYI SA
JK TINDAKA
KB 2 IGD
JL. PAMPANG N /20 3/1/2017 3/1/2017 1 1 1

JL. RATULANGI NO.39 3/3/2017 3/11/2017 8 1 1
BUMI PALLANGGA 3/4/2017 3/8/2017 4 1
JL. A. TONRO 3/6/2017 3/10/2017 4 1
BUMI 17 BLOK D1/6 3/7/2017 3/8/2017 1 1 1
JL. SABUTUNG TIMUR 3/7/2017 3/10/2017 3 1
JL. BONE RAYA BLOK J35A 3/7/2017 3/9/2017 2 1
JL. SERMANI 1 NO 4 3/8/2017 3/8/2017 0 1 1
JL. ST MOLLAH NO 50 3/10/2017 3/13/2017 3 1 1
JL. KAMPUNG BERU DS. BONTOMANAI 3/14/2017 3/17/2017 3 1
JL. LEMBANG LOE, JENEPONTO 3/14/2017 3/17/2017 3 1
JL. SINNASSARA NO 68 3/15/2017 3/15/2017 1 1
KALAWA, MAMASA 3/15/2017 3/18/2017 3 1
BTN MANGGA III 3/15/2017 3/22/2017 7 1
JL. RAJAWALI I LR 13 17/03/2017 3/20/2017 3 1
JL. PAMPANG 1/37 17/03/2017 3/20/2017 3 1 1
JL. MANUNGGAL 22 18/03/2017 3/19/2017 1 1
JL. DATUK RIBANDANG 18/03/2017 3/18/2017 0 1 1
JL. SULTAN ALAUDDIN 3/18/2017 3/21/2017 3 1
JL. SUNGAI LIMBOTO 19/03/2017 3/22/2017 3 1
JL. REHABILITASI CACAT 19/03/2017 3/22/2017 3 1
ASRAMA LOMPOBATTANG 3/20/2017 3/30/2017 10 1
JL. NURI NO 28 A 3/20/2017 3/21/2017 1 1 1
BTP BLOK J NO 219 3/22/2017 3/22/2017 1 1 1
KOMP BLKI BLOK D 3/24/2017 3/25/2017 1 1 1
JL. KESATUAN NO 16 3/24/2017 3/25/2017 1 1 1
JL. SUKARIA 9 NO 23 3/24/2017 3/28/2017 4 1 1
JL. GARUDA ASRAM LOMPO BATTANG 3/25/2017 3/26/2017 1 1 1
JL. NURI LR 312 NO 11C 3/25/2017 3/28/2017 3 1 1
JL. SPAREMAN LR 54 3/25/2017 4/4/2017 10 1 1
JL. RA KARTINI, POLMAN 3/25/2017 3/29/2017 4 1
ASMIL KIPAD D, JENEPONTO 3/25/2017 3/25/2017 1 1
JL. TINUMBU LR 154 3/26/2017 3/28/2017 2 1 1
KEL. MAHENA, SANGIR 4/27/2017 4/28/2017 1 1 1
JL. RAJAWALI LR 13A/2 3/28/2017 4/1/2017 4 1 1
JL. DG REGGE 2 LR 8/6 3/28/2017 4/22/2017 25 1
JL. MUDA-MUDI KM 14 3/29/2017 4/1/2017 6 1
PANNARA 3/30/2017 4/2/2017 3 1
BISSAPU, BANTAENG 3/31/2017 4/1/2017 1 1 1
TINDAKAN
KLASIK KELAS BKB
SPONTAN SC VE BCB BLB (SEROTINUS)
OK UGD BAYI UGD BAYI UGD
2 LT 2 2
III 1
III 1
1 III 1
1 II
I 1
1 III
1 I 1
I 1
III 1
1 III 1
1 III 1
1 III
1 II 1
1 I
1 III
III 1
1 II 1
III 1
1 II 1
1 III 1
1 II 1
1 I 1
II 1
II 1
I 1
II 1
III 1
II 1
II 1
III 1
1 III 1
1 I
1 I 1
II 1
I 1
III 1
1 III 1
1 II
1 III 1
III 1
DOKTER
KELAINAN
LB (SEROTINUS) DIAGNOSA DIAGNOSA SEKUNDER KODE ICD X KONGINETAL MR
BAYI
BKB/KMK/LBK/SPT BBLSAR + HYPOTERMI P07.0

BLB/KMK/LBK/SPT BBLR + SEROTINUS + RDS + KEJANGP07.1
BKB/SMK/LBK/SC PREMATURE P07.3
1 BLB/ KMK/LBK/ SC PREMATURE + BBLR + ASFIXIA SED P07.1 1
BCB/KMK/LBK/SPT BBLR P07.1 1
1 ASFIXIA SEDANG P21.1 1
BCB/ SMK/ LBK/ SC ASFIXIA RINGAN SEDAMG P21.1 1
BCB/KMK/LBK/SPT KJDR P95 1
BLB/KMK/LBK/SPT SEROTINUS + BBLR + ASFIXIA BERATP07.1 1
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG + CAPUT P21.1
BKB/BMK/ LBK/ SC ASFIXIA RINGAN SEDANG + PREMA P21.1
1 BLB/BMK/LBK/SC ASFIXIA BERAT P21.0
BCB/SMK/LBK/SC ASFIXIA SEDANG + CAPUT P21.1
1 BLB/KMK/LBK/SC BBLR + SEROTINUS + ASFIXIA RING P07.1
1 BLB/SMK/LBK/SC ASFIXIA SEDANG P21.1
BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG P21.1
BCB/KMK/LBK/SC BBLR P07.1
KJDR P95
BLB/SMK/LBK/SC SEROTINUS P08.2
BCB/SMK/L BOKONG/SC REGURGITASI P92.0
BCB/SMK.LBK/SC HYPERBILIRUBINEMIA + RDN + HE P59.8 1
BCB/SMK/LBK/SPT CAPUT SUCCADENOUM P12.8 1
BCB/SMK/LBK/SPT ( TDK MASUK DI K. ASFIXIA BERAT P21.0 1
BLB/SMK/LBK/SPT SEROTINUS + ASFIXIA RINGAN P21.1 1
BCB/SMK/LBK/SPT RDS P22 1
BCB/SMK/LBK/SPT Z38.0 1 1
BKB/SMK/LBK/SPT PREMATURE + HYPERBILIRUBINEMIP07.3 1
BLB/SMK/LBK/SC ASFIXIA + SEROTINUS P21.9 1
1 BLB/SMK/LBK/SC ASFIXIA BERAT +HDN P21.0 1
BCB/SMK/LBK/SC ASFIXIA BERAT + TALIPES PADA KAK P21.0 1
BCB/KMK/LBK/SPT BBLR + ASFIXIA RINGAN P07.1 1
BCB/SMK/LBK/SPT BBLR P07.1
BCB/KMK/LBK/SC RDS P22.9
BKB/SMK/L. BOKONG/SC PREMATURE + BBLR + HYPERBILIRUP07.1
1 BLB/BMK/LBK/SC SEROTINUS
BLB/SMK/LBK/SC + SEROTINUS CAPUT SUCCADENOUM
BCB/KMK/LBK/SPT BBLR P07.1
DOKTER BBL HIDUP BB MATI IMD
PB PB JAMINAN
MS < 2500 > 2500 < 2500 > 2500 < 24 JAM
BPJS/ INHEAL GRATIS

U KIS TH
1 600 32 1
1 2200 46 1
1 2300 47 1 1
2000 44 1 1
2250 41 1 1
3150 49 1 1
3350 50 1
1600 38
2400 48 1 1
1 3250 48 1
1 2750 47 1 1
1 4300 49 1
1 3700 50 1 1
1 1850 43 1 1
1 3400 48 1
1 2900 48 1
1 2200 48 1 1
1 100 17
1 3400 49 1
1 2450 45 1 1
1 4400 53 1
3950 48 1 1
2800 47 1
3050 51 1
3250 50 1 1
2350 44 1 1
3450 50 1 1
2700 47 1 1
2150 45 1 1
2250 44 1 1
3400 50 1
3800 51 1
3350 49 1
2350 42 1 1
1 3100 45 1 1
1 2800 47 1
1 1550 40 1 1
1 4100 50 1 1
1 2800 49 1 1
1 2100 44 1 1
13 21 0 3 24
IMD KET TGL
PENGINPUT
> 24 JAM AN
3/9/2017
1 15/03/2017
3/9/2017
16/03/2017
3/9/2017
14/03/2017
1 14/03/2017
14/03/2017
3/14/2017
1 3/21/2017
20/03/2017
3/21/2017
20/03/2017
3/23/2017
1 3/21/2017
1 3/22/2017
3/22/2017
4/3/2017
4/6/2017
3/24/2017
3/24/2017
3/31/2017
3/24/2017
4/3/2017
3/29/2017
3/29/2017
3/29/2017
3/27/2017
3/30/2017
4/10/2017
3/30/2017
3/30/2017
3/29/2017
3/29/2017
5/3/2017
1 4/3/2017
4/23/2017
4/1/2017
4/3/2017
4/10/2017
6
REGISTER BAYI SAKIT DI RSKDIA PERTIWI TAHUN
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR LAMA

RAWAT KELAS
MASUK
BY.
BULAN : MARET
2017
1 094446 BY ERNI AFRIANI 5/2/2017 7/3/2017 31 III

2 094835 BY SYAMSINAR 24/02/2017 1/3/2017 5 III
3 094936 BY IRMAWATI 28/02/2017 3/3/2017 3 III
1 094939 BY NUNUNG 3/1/2017 3/1/2017 1 III
2 094976 BY ASNIATI 3/3/2017 3/11/2017 8 III
3 095018 BY YUSRIANI 3/4/2017 3/8/2017 4 III
4 095064 BY AYU WIDYANTY 3/6/2017 3/10/2017 4 II
5 095077 BY NURLINA 3/7/2017 3/8/2017 1 I

6 095087 BY MARINA 3/7/2017 3/10/2017 3 III
7 095085 BY JUMRIANI 3/7/2017 3/9/2017 2 I
9 095157 BY SATRIYANI 3/10/2017 3/13/2017 3 III
10 095248 BY RIKA AYU P 3/14/2017 3/17/2017 3 III

11 095229 BY SUMIATI 3/14/2017 3/17/2017 3 III
12 095286 BY ANNA 3/15/2017 3/15/2017 1 III

13 095275 BY TROYCE LAYUK 3/15/2017 3/18/2017 3 II
14 095251 BY DEWI ANGGRAENI 3/15/2017 3/22/2017 7 I
15 095316 BY HASMIAH 17/03/2017 3/20/2017 3 III

16 095347 BY ARINI 17/03/2017 3/20/2017 3 III
17 095348 BY ROSDIANA 18/03/2017 3/19/2017 1 II

19 095356 BY NURBAYA 3/18/2017 3/21/2017 3 II
20 095374 BY NURHIJRAH 19/03/2017 3/22/2017 3 III

21 095375 BY HASMI A 19/03/2017 3/22/2017 3 II
22 095401 BY HERSENITA 3/20/2017 3/30/2017 10 I

23 095400 BY FATMAWATI 3/20/2017 3/21/2017 1 II
25 095513 BY TRI ELFA 3/24/2017 3/25/2017 1 I
26 095502 BY KASMINI U 3/24/2017 3/25/2017 1 II
27 095525 BY WIWIN 3/24/2017 3/28/2017 4 III
28 095530 BY DEWI ANGGRAENI 3/25/2017 3/26/2017 1 II

29 095529 BY ANDRIANI 3/25/2017 3/28/2017 3 II
30 095538 BY RISKA J 3/25/2017 4/4/2017 10 III
31 095543 BY RAMLIATI 3/25/2017 3/27/2017 2 III
32 095545 BY RINI 3/25/2017 3/29/2017 4 I
33 095555 BY KASMIANI 3/25/2017 3/25/2017 1 I
34 095563 BY NUR AMIRZA 3/26/2017 3/28/2017 2 II
35 095614 BY NIRA PURWANTI 3/28/2017 4/1/2017 4 III

36 095607 BY NURAENI 3/28/2017 III
37 095640 BY NURUL A 3/29/2017 4/1/2017 6 II
38 095674 BY NURFAIDA 3/30/2017 4/2/2017 3 III
39 095687 BY NUR AFNI RAMADHA 3/31/2017 4/1/2017 1 III

T DI RSKDIA PERTIWI TAHUN 2017
BBL HIDUP BB MATI
< > PB < > PB
DIAGNOSA DIAGNOSA SEKUNDER 2500 2500 2500 2500
BKB/ KMK/LBK/SPT BBLSR + PREMATURE 1350 40

BCB/SMK/L.BOKONG/SC DYSPEPSISA 3650 48
BKB/SMK/L. BOKONG/ SC PREMATURE 2350 46
BKB/KMK/LBK/SPT BBLSAR + HYPOTERMI 600 32
BLB/KMK/LBK/SPT BBLR + SEROTINUS + RDS + KEJANG 2200 46
BKB/SMK/LBK/SC PREMATURE 2300 47
BLB/ KMK/LBK/ SC PREMATURE + BBLR + ASFIXIA SEDANG 2000 44
BCB/KMK/LBK/SPT BBLR 2250 41

ASFIXIA SEDANG 3150 49
BCB/ SMK/ LBK/ SC ASFIXIA RINGAN SEDAMG 3350 50
BLB/KMK/LBK/SPT SEROTINUS + BBLR + ASFIXIA BERAT 2400 48
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG + CAPUT 3250 48

BKB/BMK/ LBK/ SC ASFIXIA RINGAN SEDANG + PREMATUTE 2750 47
BLB/BMK/LBK/SC ASFIXIA BERAT 4300 49

BCB/SMK/LBK/SC ASFIXIA SEDANG + CAPUT 3700 50
BLB/KMK/LBK/SC BBLR + SEROTINUS + ASFIXIA RINGAN 1850 43
BLB/SMK/LBK/SC ASFIXIA SEDANG 3400 48

BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG 2900 48
BCB/KMK/LBK/SC BBLR 2200 48

BLB/SMK/LBK/SC SEROTINUS 3400 49
BCB/KMK/LBK/SC BBLR 2450 45

BCB/SMK/L BOKONG/SC REGURGITASI 4400 53
BCB/SMK.LBK/SC HYPERBILIRUBINEMIA + RDN + HEMATOM 3950 48

BCB/SMK/LBK/SPT CAPUT SUCCADENOUM 2800 47
BLB/SMK/LBK/SPT SEROTINUS + ASFIXIA RINGAN 3250 50
BCB/SMK/LBK/SPT RDS 3450 50
BCB/SMK/LBK/SPT 2700 47
BLB/SMK/LBK/SC ASFIXIA + SEROTINUS 3400 50

BLB/SMK/LBK/SC ASFIXIA BERAT +HDN 3800 51
BCB/SMK/LBK/SC ASFIXIA BERAT + TALIPES PADA KAKI KANAN 3350 49
BCB/KMK/LBK/SPT BBLR + ASFIXIA RINGAN 2350 42
BCB/KMK/LBK/SC RDS 2800 47
BLB/BMK/LBK/SC SEROTINUS 4100 50
BLB/SMK/LBK/SC + SEROTINUCAPUT SUCCADENOUM 2800 49

APRIL
NO NO RM BY. NAMA PASIENNAMA AYAH ALAMAT TGL RAWAT M
BULAN : APRIL 2017
1 095712 BY HERPIYANTI IRSON JAYA JL. MACCINI R 42826

2 095727 BY NURMI CAKRA JL. TODDOPULI 42827
3 095743 BY ARNI KADIR ANSAR JL. MANUNGGA 42828
4 095750 BY WIWI ANGGRAJULIANTO JL. MACCINI 42828
5 095763 BY YUNI R HERMAN JL. BARUKANG 42828
6 095787 BY SURIANI K DG LEWA JL. AJAWALI 1 42829
7 095810 BY ST NURHAYA SYAHRUL JL. TENTARA P 42830
8 095827 BY RISMAWATI FEIDRIS HARYANJL. ONTA BARU 42831
9 095817 BY A ST JUNARTI RUMANTO JL. BADAK VI N 42831
10 095821 BY JUHASNI M. YUNUS JL. DATUK DIT 42831
11 095843 BY PARAMITHA IKHWAN JL. PARAPA, T 42832
12 095846 BY KUSNAWATI HARDI JL. BONTO RA 42832
13 095858 BY MUSFIRA ISMAIL JL. KEMAJUAN 42832
14 095862 BY HELIANA R KAROLUS HAL JL. TINUMBU L 42832
15 095895 BY DIANA SULLE DEDI SURYADI KELURAHAN T 42834
16 095908 BY HJ. ERNAWTI IRFAN JL. MUSTAFA 42834
17 095897 BY VISKA MUH YUSRI JL. ABU BAKA 42834
18 095918 BY HASMAWATI HARYONO JL. DUSUN GA 42835
19 095952 BY ADE FEBRIANAAKSAN HASBI JL. SULTAN AB 42836
20 095966 BY ASNIAR IWAN JL. DG TANTU 42836
21 095987 BY ROSMALA DEWROBIANSYAH JL. MALAKAJI 42837
22 096002 BY ANITA DARLAN JL. URIP SUM 42838
23 096008 BY VIVI R JUMADIL JL. RAJAWALI 1 42838
24 096018 BY JOHARI UDIN JL. RAPPOKAL 42838
25 096034 BY EVI DESMARA ZAINUDDIN JL. KS TUBUN / 42839
26 096071 BY LAILA QADRIAMUH FARID PANGKA BINA 42840
27 096090 BY IRA SUARDI ALLATAPAMPA 42842
28 096103 BY NURHAEDAH ISMANTO GANTARANG, 42842
29 096093 BY RISNAWATI 42842
30 096165 BY A. ISMAWATI MULTI ALI SAKJL. MAKMUR K 42845
31 096176 BY RATNA MUHSIN R RADJL. KANDEA II 42845
32 096181 BY NASRIAH ARDIANTO JL. DG TANTU 1 42845
33 096186 BY HILMI A ADISMAN ASMIL KODAM 42845
34 096212 BY NURUL AINUNRAHMAN AENG TOWA, T 42846
35 096209 BY RATNASARI MUH RIDWANJL. HATI MURN 42846
36 096220 BY KHATRINA JERRY ABRAH BTN TNI AL B7 42847
37 096243 BY INDAH PERMAZULFIKAR JL. BARANIA , 42847
38 096247 BY RAHMATIA YUSUF JL. KEMAJUAN 42848
39 096257 BY SANATI BACCE TABARINGAN, 42848
40 096317 BY A. SULFIATI JAMALUDDIN JL. ABD. KADIR 42851
41 096315 BY FITRIANI BURHANUDDI JL. UJUNG TA 42851
42 096347 BY ALDEWITALIDYDOAN YANIS KELURAHAN M 42852
43 096379 BY SUPRIATIN AGUS BTN DWI DARM 42854
Page 103
APRIL
44 096414 BY ZAODA MUH ARDI JL. MACCINI G 42855
45 096350 BY ANI ILHAM JL. KUMALA II 42852
46 096397 BY TRIWIDYANTI FRENDY JL. DIPONEGOR 42855
47 096395 BY NIKA HARYANIAGUS JL. BAJI ATI 1/ 42855
48 096398 BY MULIATI SYAMSUL BAHRJL. SUNGAI S 42855
49 096402 BY MIRNAWATI DARWIS ASLOP F/20 42855
50 096410 BY ELVIRA D MUH AKBAR JL. MAPPANYUK 42855
Page 104
APRIL
TGL KELUAR LAMA RAWAT JK TINDAKAN

LK PR SPONTAN
KB 2 IGD OK
42830 4 1
42830 3 1 1
42830 2 1 1
42829 1 1 1
42831 3 1
42832 3 1
42837 7 1
42833 2 1
42835 4 1 1
42834 3 1 1
42834 2 1
42833 1 1 1
42833 1 1 1
42839 7 1 1
42836 2 1 1
42837 3 1
42836 2 1 1
42836 1 1 1
42837 1 1 1
42839 3 1 1
42839 2 1 1
42840 2 1 1
42841 3 1
42840 2 1
42842 3 1 1
42843 3 1
42842 0 1 1
42843 1 1
1
42847 2 1 1
42847 2 1
42848 3 1
42848 3 1
42855 9 1 1
42846 0 1 1
42849 2 1
42850 3 1
42849 1 1
42850 2 1
42854 3 1 1
42853 2 1
42853 1 1 1
42857 3 1
Page 105
APRIL
42855 0 1 1
42855 3 1
42858 3 1 1
42856 1 1 1
42856 1 1 1
42857 2 1 1
42859 4 1 1
16 13 0
50
Page 106
APRIL
KELAS
SC VE KLASIK MAURICEAUE BCB
KB 2 IGD KB 2 IGD KB LT 2
1 II
II 1
III
II
1 II
1 III
1 III
1 I
III 1
III
1 III
III
III
II
I 1
1 III
III
III
II 1
III
III 1
III 1
1 III
1 III
II
1 I
III
1 II
III
III
1 III
1 III
1 II
III 1
III 1
1 II
1 I
1 III
1 III
II
1 II
I
1 III
Page 107
APRIL
III 1
1 I
III
I 1
III 1
III 1
III 1
21 0 0 0 0 0 13
Page 108
APRIL
BKB (PREMATURE) BLB (SEROTINUS)

UGD BAYI KB LT 2 UGD BAYI KB LT 2 UGD
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Page 109
APRIL
1
1
9 16 1 2 2 2 1
Page 110
APRIL
KELAINAN KONDOKTER
DIAGNOSA DIAGNOSA SE KODE ICD X MR MS
BAYI
1 BLB/KMK/LBK/SEROTIMUS + BP07.1 1
BCB/SMK/LBK/ASFIXIA SEDA P21.1 1
BKB/SMK/LBK/PREMATURE P07.3 1
BCB/SMK/L.LI ASFIXIA RING P21.1 1
BCB/KMK/LBK/BBLR P07.1 1
BKB/SMK/L B PREMATURE +Z38.0 1
BLBB/KMK/LBKBBLR + SEROT P07.1 1
BCB/SMK/LBK/RDS + CAPUT P22.0 1
BCB/SMK/LBK/BBLR P07.1 1
BLB/SMK/LBK/HYPERBILIRUBP59.9 1
BCB/SMK/LBK/ASFIXIA BERATP21.0 1
BCB/SMK/LBK/PREMATURE P07.3 1
BCB/KMK/LBK/RDS Z38.0 1
BCB/SMK/LBK/RDN P22.9 1
BCB/SMK/LBK/ASFIXIA BERATP21.1 1
KJDR P95 1
KJDR P95 1
BCB/SMK/L. KAASFIXIA SEDA P21.1 1
1 BLB/SMK/LBK/CAPUTSUCCA P12.8 1
BCB/SMK/LBK/HYPERBILIRUBP59.9 1
BCB/KMK/LBK/KJDR P95 1
1 BLB/SMK/LBK/RDS P08.2 1
BCB/KMK/LBK/BBLR + ASFIX P07.1 1
BCB/SMK/LBK/ASFIXIA RING P21.1 1
BKB/SMK/L. KAPREMATURE +P07.3 1
BLB/KMK/LBK/SPT Z38.0 1
Page 111
APRIL
KJDR P95 1
BKB/SMK/LBK/PREMATURE +P07.3 1
BCB/SMK/LBK/RDS + ICHTIOSP22.9 1
3
Page 112
APRIL
BBL HIDUP PB BB MATI PB JAMINAN

< 2500 > 2500 < 2500 > 2500
U
1750 44 1
3500 49
2300 46
1650 40
3200 49
3300 50
2000 44
2400 45
2150 49 1
2300 47 1
3550 49
2450 47 1
2300 47 1
2950 50
2400 44
3550 51 1
2000 40 1
2500 45 1
2200 42 1
2400 46
2500 43 1
2300 44 1
2700 47
2450 45 1
2200 44 1
2800 46
200 23
3600 50
1
2300 46
3300 49
3150 49
3300 48
3950 48
1350 42
3900 50
2400 45
4400 50
2200 44 1
2200 44
2900 47
2100 45
2000 45 1
Page 113
APRIL
2400 46
3000 48
2100 45 1
2250 43
2400 43
1500 37 1
3050 47 1
19
Page 114
APRIL
IMD KET TGL PENGINPUTAN

< 24 JAM > 24 JAM
BPJS/ KIS INHEALTH GRATIS
1 42835
1 1 42835
1 1 42835
1 42835
1 1 42835
1 1 42835
1 42843
1 1 42835
1 42843
1 42843
1 1 42835
1 42835
1 42835
1 1 42843
1 1 42843
1 42843
1 42843
1 42843
1 42843
1 42844
1 42843
1 42843
1 1 42845
1 42844
1 42844
1 1 42851
42844
42851
1 1 42850
1 1 42828
1 1 42850
1 1 42858
1 1 42858
42858
1 1 42858
1 1 42851
1 1 42851
1 42858
1 1 42858
1 1 42858
1 1 42855
1 42860
Page 115
APRIL
42858
1 1 42858
1 42860
1 1 42865
1 1 42868
42860
1 42872
26 0 1 40 1
Page 116
LA
MA BBL HIDUP BB MATI
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RA KEL
DIAGNOSA SEKUNDER <2500 > PB < > PB
MASUK WA AS DIAGNOSA
BY. 2500 2500 2500
T
BULAN :
APRIL 2017
1 095538 BY RISKA J 3/25/2017 4/4/2017 10 III BKB/SMK/LBK/SPT PREMATURE + HYPERBIL 2250 44

2 095614 BY NIRA PURWANTI 3/28/2017 4/1/2017 4 III BCB/KMK/LBK/SC RDS 2800 47
3 095607 BY NURAENI 3/28/2017 4/22/2017 25 III BKB/SMK/L. BOKONG/SPREMATURE + BBLR + HY 1550 40
4 095640 BY NURUL A 3/29/2017 4/1/2017 6 II BLB/BMK/LBK/SC SEROTINUS 4100 50
5 095674 BY NURFAIDA 3/30/2017 4/2/2017 3 III BLB/SMK/LBK/SC + SERCAPUT SUCCADENOUM 2800 49
6 095687 BY NUR AFNI RAMADH 3/31/2017 4/1/2017 1 III BCB/KMK/LBK/SPT BBLR 2100 44
1 095712 BY HERPIYANTI 4/1/2017 4/5/2017 4 II BLB/KMK/LBK/SC SEROTIMUS + BBLR + ASF 1750 44
2 095727 BY NURMI 4/2/2017 4/5/2017 3 II BCB/SMK/LBK/SPT ASFIXIA SEDANG 3500 49
3 095743 BY ARNI KADIR 4/3/2017 4/5/2017 2 III BKB/SMK/LBK/SPT PREMATURE 2300 46

4 095750 BY WIWI ANGGRAENI 4/3/2017 4/4/2017 1 II BKB/SMK/LBK/SPT PREMATURE 1650 40
5 095763 BY YUNI R 4/3/2017 4/6/2017 3 II BCB/SMK/LBK/SC ASFIXIA SEDANG 3200 49
6 095787 BY SURIANI 4/4/2017 4/7/2017 3 III BCB/SMK/L.LINTANG/S ASFIXIA RINGAN SEDANG 3300 50
7 095810 BY ST NURHAYA 4/5/2017 4/12/2017 7 III BCB/KMK/LBK/SC BBLR 2000 44
8 095827 BY RISMAWATI FEBRI 4/6/2017 4/8/2017 2 I BKB/SMK/L BOKONG/S PREMATURE + ASFIXIA R 2400 45
9 095817 BY A ST JUNARTI 4/6/2017 4/10/2017 4 III BKB/SMK/LBK/SPT PREMATURE 2150 49
10 095821 BY JUHASNI 4/6/2017 4/9/2017 3 III BLBB/KMK/LBK/SPT BBLR + SEROTINUS 2300 47
11 095843 BY PARAMITHA 4/7/2017 4/9/2017 2 III BCB/SMK/LBK/SC RDS + CAPUT SUCCADENOUM 3550 49
12 095846 BY KUSNAWATI 4/7/2017 4/8/2017 1 III BCB/SMK/LBK/SPT BBLR 2450 47
13 095858 BY MUSFIRA 4/7/2017 4/8/2017 1 III BCB/KMK/LBK/SPT BBLR 2300 47
14 095862 BY HELIANA R 4/7/2017 4/14/2017 7 II BLB/SMK/LBK/SPT HYPERBILIRUBINEMIA 2950 50
15 095895 BY DIANA SULLE 4/9/2017 4/11/2017 2 I BCB/KMK/LBK/SPT BBLR 2400 44

16 095908 BY HJ. ERNAWTI 4/9/2017 4/12/2017 3 III BCB/SMK/LBK/SC ASFIXIA BERAT 3550 51
LA
BY. 2500 2500 2500
T
17 095897 BY VISKA 4/9/2017 4/11/2017 2 III BCB/SMK/LBK/SPT PREMATURE 2000 40
18 095918 BY HASMAWATI 4/10/2017 4/11/2017 1 III BKB/SMK/LBK/SPT PREMATURE 2500 45
19 095952 BY ADE FEBRIANA 4/11/2017 4/12/2017 1 II BCB/KMK/LBK/SPT BBLR 2200 42

20 095966 BY ASNIAR 4/11/2017 4/14/2017 3 III BCB/KMK/LBK/SPT BBLR 2400 46
21 095987 BY ROSMALA DEWI 4/12/2017 4/14/2017 2 III BCB/KMK/LBK/SPT RDS 2500 43
22 096002 BY ANITA 4/13/2017 4/15/2017 2 III BCB/KMK/LBK/SPT BBLR 2300 44

23 096008 BY VIVI R 4/13/2017 4/16/2017 3 III BCB/SMK/LBK/SC RDN 2700 47
24 096018 BY JOHARI 4/13/2017 4/15/2017 2 III BCB/KMK/LBK/SC BBLR 2450 45
25 096034 BY EVI DESMARA 4/14/2017 4/17/2017 3 II BCB/KMK/LBK/SPT BBLR 2200 44
26 096071 BY LAILA QADRIANTI 4/15/2017 4/18/2017 3 I BCB/SMK/LBK/SC ASFIXIA BERAT 2800 46
27 096090 BY IRA 4/17/2017 4/17/2017 0 III KJDR 200 23

28 096103 BY NURHAEDAH 4/17/2017 4/18/2017 1 II KJDR 3600 50
29 096093 BY RISNAWATI 4/17/2017 III
30 096165 BY A. ISMAWATI 4/20/2017 4/22/2017 2 III BCB/KMK/LBK/SPT BBLR 2300 46

31 096176 BY RATNA 4/20/2017 4/22/2017 2 III BCB/SMK/L. KAKI/SC ASFIXIA SEDANG + HYPOTERMI 3300 49
32 096181 BY NASRIAH 4/20/2017 4/23/2017 3 III BCB/SMK/LBK/SC ASFIXIA SEDANG + HYPOTERMI 3150 49
33 096186 BY HILMI A 4/20/2017 4/23/2017 3 II BLB/SMK/LBK/SC CAPUTSUCCADENOUM 3300 48
34 096212 BY NURUL AINUN 4/21/2017 4/30/2017 9 III BCB/SMK/LBK/SPT HYPERBILIRUBINEMIA 3950 48

35 096209 BY RATNASARI 4/21/2017 4/21/2017 0 III BCB/KMK/LBK/SPT KJDR 1350 42
36 096220 BY KHATRINA 4/22/2017 4/24/2017 2 II BLB/SMK/LBK/SC + SERRDS 3900 50

37 096243 BY INDAH PERMATA 4/22/2017 4/25/2017 3 I BCB/KMK/LBK/SC BBLR + ASFIXIA RINGAN 2400 45
38 096247 BY RAHMATIAH 4/23/2017 4/24/2017 1 III

39 096257 BY SANATI 4/23/2017 4/25/2017 2 III BKB/SMK/L. KAKI/SC PREMATURE + ASFIXIA RINGAN SEDANG 2200 44
40 096317 BY A. SULFIATI 4/26/2017 4/29/2017 3 II BLB/KMK/LBK/SPT 2200 44

LA
BY. 2500 2500 2500
T
41 096315 BY FITRIANI 4/26/2017 4/28/2017 2 II BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG 2900 47
42 096347 BY ALDEWITALIDYA 4/27/2017 4/28/2017 1 I BCB/KMK/LBK/SPT BBLR 2100 45

45 096350 BY ANI 4/27/2017 4/30/2017 3 I BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG 3000 48
43 096379 BY SUPRIATIN 4/29/2017 5/2/2017 3 III BCB/KMK/LBK/SC BBLR 2000 45
44 096414 BY ZAODA 4/30/2017 4/30/2017 0 III KJDR 2400 46

46 096397 BY TRIWIDYANTI 4/30/2017 5/3/2017 3 III BKB/SMK/LBK/SPT PREMATURE + RDN 2100 45
47 096395 BY NIKA HARYANI 4/30/2017 5/1/2017 1 I BCB/KMK/LBK/SPT BBLR 2250 43
48 096398 BY MULIATI 4/30/2017 5/1/2017 1 III BCB/KMK/LBK/SPT BBLR 2400 43
49 096402 BY MIRNAWATI 4/30/2017 5/2/2017 2 III BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG + BBLR + PREMAT 1500 37
50 096410 BY ELVIRA D 4/30/2017 5/4/2017 4 III BCB/SMK/LBK/SPT RDS + ICHTIOSIS 3050 47
LA
BY. 2500 2500 2500
T
LA
BY. 2500 2500 2500
T
LA
BY. 2500 2500 2500
T
LA
BY. 2500 2500 2500
T
NO NO RM NAMA PASIEN NAMA AYAH TGL RAWAT
MASUK
BY.
BULAN : MEI 2017
1 096420 BY DR. YULIANA MUH ILYAS 5/1/2017

2 096431 BY A. SUTRIANI A. MARFENDI 5/2/2017
3 096462 BY NUR HASIDAH SAMRIDAL 5/3/2017
4 096452 BY FITRIA G2 ABD RAHMAN 5/3/2017
5 096481 BY ERNAWATI SYAMSUDDIN 5/4/2017
6 096478 BY NUR SENIYANTI MUH ASHAR 5/4/2017
7 096479 BY ELA NUR AZIZAH A 5/4/2017
8 096436 BY RAHMAWATI RISWAN 5/2/2017
9 096494 BY NURLAELA MUH YUSUF 5/5/2017
10 096499 BY HARIATI IRFAN 5/5/2017
11 096502 BY ASRIYANTI MUSTAMIN 5/5/2017
12 096551 BY ST KHADIJAH G1 SUGIARTO 5/7/2017
13 096573 BY SRI NINING SUDARNO 5/8/2017
14 096582 BY SUTIARTI R AKHMAD 5/9/2017
15 096596 BY RESKI FAISAL 5/9/2017
16 096617 BY IRAWATI FAISAL B 5/10/2017
17 096622 BY KARMILA FADEL MUHAMMAD 5/10/2017
18 096653 BY ROSMAYANTI TASLIM 5/11/2017
19 096643 BY RISKYAH MUH HARIS 5/11/2017
20 096649 BY NURMALA MISWAR 5/11/2017
21 096650 BY SYAMSINAR ABD. RASYID 5/11/2017
22 096636 BY HUSNAENI M. MAKMUR 5/11/2017
23 096674 BY EKA ERNI M NANANG AFANDI 5/12/2017
24 096701 BY NURBAYA JUMAIN 5/14/2017
25 096736 BY NURSIDAWATI ABD RASYID 5/15/2017
26 096747 BY LANNY ERWIN 5/15/2017
27 096732 BY NOVIA BAGUS 5/15/2017
28 096762 BY A. RESKI ASNUT WAHID 5/16/2017
29 096787 BY HASRIANA JULIYADI 5/17/2017
30 096796 BY NURFADILLAH NUR EFENDY 5/17/2017
31 096808 BY LINI HARIAWAN YOHANES 5/18/2017
32 096817 BY SUARNI ADNAN FEBRYAWAN 5/18/2017
33 096827 BY NIRMALASARI HARBIYANSYAH 5/18/2017
34 096855 BY KAMARIA SADIR 5/19/2017
35 096851 BY NIA DG NGINTANG SARIF 5/19/2017
36 096854 BY MURNIANTI AKHYAR 5/19/2017
37 096892 BY HASMANI BUDIANSA 5/21/2017
38 096898 BY SRI ASTUTI BINSAR ADRI YUDA SIREGAR 5/21/2017
39 096899 BY HASTATI MUH NATSIR 5/21/2017
40 096907 BY INDARWATI AMAS 5/22/2017
41 096927 BY RASNAWATI TONI 5/22/2017
42 096933 BY MULIATI IBRAHIM 5/23/2017
43 096247 BY RAHMATIA YUSUF 5/23/2017
44 096985 BY IRMA KRISNAWATI MUH. SURYANSYAH 5/25/2017
45 096992 BY AMSARI OSMAN RAHIM 5/25/2017
46 096995 BY MULIATI SAMSUDDIN 5/25/2017
47 097020 BY NURAENI AGUS SUGENG 5/26/2017
48 097035 BY NUR FAUZI RAMADHANI G1 M. TAKBIR 5/26/2017
49 097036 BY NUR FAUZI RAMADHANI G2 M. TAKBIR 5/26/2017
50 097052 BY SARIE FATHANAH ARMAWANSA 5/26/2017
51 097055 BY SRI SYAHRIANI RACHMAT RATHEMY 5/26/2017
52 097064 BY ANDRIANI SALAM 5/27/2017
53 097074 BY YULIANTI RAIS 5/28/2017
54 097090 BY ASRIANI AFRIANI PASKA 5/29/2017
55 097111 BY ROSNIATI KHALIS KHALIK 5/30/2017
56 097125 BY NURHIDAYAH FAIS NUR 5/30/2017
57 097112 BY ISRAWATI MUH ILYAS 5/30/2017
REGISTER BAYI SAKIT DI RSKDIA PERTIWI TAHUN
TINDAKAN
LAMA KELA
TGL KELUAR RAWAT KLASIK BKB
SPONTAN SC VE S BCB
KB 2 IGD KB 2 IGD KB LT KB LT
KB 2 IGD OK UGD BAYI
2 2
5/1/2017 0 1 I 1
5/5/2017 3 1 II 1
5/6/2017 3 1 III 1
5/3/2017 0 1 II
5/12/2017 8 1 III 1
5/7/2017 3 1 II 1
III
07/05/2017 5 1 III 1
5/8/2017 3 1 II
5/7/2017 2 1 III 1
5/19/2017 14 1 III
5/9/2017 2 1 I 1
5/10/2017 2 1 I 1
5/13/2017 4 1 III 1
5/12/2017 3 1 III 1
5/12/2017 2 1 III 1
5/13/2017 3 1 II 1
5/12/2017 1 1 II 1
5/15/2017 4 1 III
5/14/2017 3 1 III 1
5/14/2017 3 1 III 1
5/11/2017 0 1 II 1
5/15/2017 3 1 II 1
5/14/2017 1 1 III 1
5/15/2017 0 1 II 1
5/21/2017 6 1 III 1
5/17/2017 2 1 II 1
5/17/2017 1 1 II 1
5/19/2017 2 1 II 1
5/24/2017 7 1 III 1
5/22/2017 4 1 I 1
5/19/2017 1 1 III 1
5/23/2017 5 1 II 1
5/21/2017 2 1 I 1
5/24/2017 5 1 III 1
5/25/2017 6 1 VIP 1
5/21/2017 0 1 III 1
5/24/2017 3 1 II 1
5/23/2017 2 1 I
6/5/2017 14 1 II 1
5/28/2017 6 1 III 1
5/26/2017 3 1 I 1
4/25/2017 2 1 III 1
5/29/2017 4 1 III 1
5/31/2017 6 1 III 1
5/27/2017 2 1 III 1
5/28/2017 2 1 III 1
5/29/2017 3 1 III 1
5/26/2017 1 1 III 1
5/29/2017 3 1 I 1
6/2/2017 7 1 I
5/27/2017 1 1 II 1
5/31/2017 3 1 III 1
6/3/2017 5 1 III 1
6/1/2017 2 1 II
6/2/2017 3 1 I 1
6/1/2017 2 1 III 1
22 11 0 20 1 0 0 2
PERTIWI TAHUN 2017
BKB DIAGNOSA DIAGNOSA SEKUNDER

BLB (SEROTINUS)
(PREMATURE)
KB LT
UGD BAYI UGD BAYI
2
BCB/SMK/LBK/SPT KJDR
BLB/KMK/LBK/SC SEROTINUS + BBLR + DERMATITIS A
BCB/SMK/LBK/SPT RDS
KJDR
BCB/KMK/LBK/SPT BBLR
BCB/SMK/LBK/SPT BBLR
KJDR
BCB/SMK/LBK/SC FEBRIS NEONATORUM
1 BKB/SMK/LBK/SPT PREMATURE
BCB/SMK/LBK/SPT RDS
1 BKB/SMK/LBK/SPT PREMATURE
BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG
BCB/KMK/LBK/SC BBLR + FEBRIS NEONATORUM
BCB/SMK/LBK/SPT RDS
BCB/BMK/LBK/VE ASFIXIA RINGAN SEDANG + CAPUT
BKB/SMK/LBK/SPT BBLSAR
BCB/KMK/LBK/SC KJDR
1 BKB/SMK/LBK/SC PREMATURE + BBLR
BCB/SMK/LBK/SC SEROTINUS + ASFIXIA RINGAN SED
BCB/SMK/LBK/SC SEROTINUS + RDS
BCB/SMK/LBK/SPT KJDR
BCB/SMK/LBK/SPT PREMATURE
TDK MASUK DI KAMAR BAYI SEROTINUS + MECONIAL
LAHIR MATI
BCB/SMK/LBK/SPT HYPERBILIRUBINEMIA + CAPUT +
BKB/SMK/LBK/SC PREMATUR + RDN + BRONCHKOPN
BCB/SMK/LBK/SPT ASFIXIA RINGAN
BCB/SMK/LBK/SPT HYPERBILIRUBINEMIA
BKB/SMK/LBK/SC PREMATURE
BCB/SMK/LBK/SPT ASFIXIA RINGAN
BCB/SMK/LBK/SPT FEBRIS NEONATORUM
BCB/SMK/LBK/SC ASFIXIA BERAT
BCB/SMK/LBK/SPT FEBRIS NEONATORUM
KJDR
1 BLB/SMK/LBK/SPT + ASFIXIA BERAT PMEUMONIA ASPIRASI + KEJANG
BKB/SMK/LBK/SPT PREMATURE + RDN + HYPERBILIRU
BCB/SMK/LBK/SPT + ASFIXIA BERAT UDEM ANASA ACA PURPURA + ANEM
BCB/SMK/LBK/SPT REGURGITASI
BCB/SMK/LBK/SC ASFIXIA RINGAN
BCB/SMK/LBK/SC REGURGITASI + CAPUT SUCCADEN
BKB/SMK/LBK/SPT PREMATURE
BCB/SMK/LBK/SC ASFIXIA RINGAN
BCB/SMK/L. KAKI/SC BBLR
BCB/KMK/LBK/SC BBLR + STENOSIS ANI + HERDIAPRO
BCB/SMK/LBK/SPT ASFIXIA SEDANG
1 BKB/SMK/LBK/SC RDN
BCB/SMK/LBK/SPT LAHIR MATI
BCB/KMK/L.BOKONG/SC BBLR
1 BLB/KMK/LBK/SPT + BBLR SEROTINUS
BCB/SMK/LBK/SC ASFIXIA BERAT
DOKTER BBL HIDUP BB MATI
KELAINAN
PB PB JAMINAN
KODE ICD X KONGINETAL MR MS < 2500 > 2500 < 2500 > 2500
P95 1 200
P07.1 1 2400 46
Z38.0 1 3100 47
P95 1 1450 35
P07.1 1 1650 45
P07.1 1 2000 41
P95
P81.9 1 2700 47
P07.3 1 2250 45
P22.0 1 2750 47
P07.3 1 1600 40
P07.1 1 2100 42
P21.1 1 3300 51
P07.1 1 2200 46
P22.0 1 3100 46
P21.1 1 4000 50
Z38.0 1 600 1
P95 1 2300 44
P07.3 1 2200 44
P08.2 1 3500 52
P08.2 1 3500 53 1
P95 1 3700 51
P07.3 1 2000 41 1
Z38.0 1 2550 48 1
P95 1 3500 47
P59.9 1 4000 50
P07.1 1 2400 43
P07.3 1 2700 48
P21.1 1 3600 50
P59.9 1 2500 44 1
P07.3 1 2300 44 1
P21.1 1 3650 50
P81.9 1 3200 48
P21.0 1 3000 49
P07.1 1 2200 45
P81.9 1 3000 48 1
P95 1 2500 47
P07.1 1 2150 43 1
P21.0 1 2850 49
P07.3 1 2450 43
P21.0 1 2800 45
P92.1 1 3500 50
P21.1 1 4400 50
P92.1 1 3200 48
P07.3 1 1600 40
P07.1 1 2300 46 1
P21.1 1 2900 48
P07.1 1 1800 41 1
P07.1 1 1500 40 1
P21.1 1 2950 48
P22.9 1 2000 42 1
Z38.0 1 2850 47
P07.1 1 2200 41
P07.1 1 2250 47 1
P07.1 1 2350 45
P21.0 1 3250 49
P07.1 1 2300 45
13
IMD KET TGL
JAMINAN PENGINPUT
< 24 JAM > 24 JAM AN
BPJS/ INHEAL GRATIS
KIS TH
5/4/2017
1 1 5/10/2017
1 1 5/13/2017
5/5/2017
1 1 5/17/2017
1 5/13/2017
1 5/13/2017
1 1 5/17/2017
1 1 5/13/2017
1 1 5/29/2017
1 1 5/17/2017
1 1 5/17/2017
1 1 5/17/2017
1 1 5/17/2017
1 1 5/19/2017
5/17/2017
5/17/2017
1 1 5/17/2017
1 1 5/17/2017
1 5/17/2017
5/19/2017
1 5/17/2017
5/15/2017
5/17/2017
1 1 5/29/2017
1 1 5/29/2017
1 1 5/29/2017
1 1 5/29/2017
1 6/2/2017
1 5/24/2017
1 1 5/29/2017
1 1 5/29/2017
1 5/29/2017
1 1 6/14/2017
1 6/2/2017
5/22/2017
1 6/2/2017
1 1 6/2/2017
1 1 6/10/2017
1 1 6/7/2017
1 1 6/2/2017
1 1 5/31/2017
1 1 6/5/2017
1 1 6/7/2017
1 6/6/2017
1 1 5/31/2017
1 6/7/2017
6/15/2017
1 1 6/2/2017
1 6/6/2017
5/28/2017
1 1 6/5/2017
1 6/6/2017
1 1 6/6/2017
1 1 6/7/2017
1 1 6/6/2017
35 0 1 39 4
LAM JK BBL HIDUP BB MATI
A
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RAW KEL
DIAGNOSA < > PB < > PB
MASUK LK PR AS DIAGNOSA
BY. AT SEKUNDER 2500 2500 2500 2500
BULAN : MEI
2017
1 096093 BY RISNAWATI 4/17/2017 III
2 096379 BY SUPRIATIN 4/29/2017 5/2/2017 3 1 III BCB/KMK/LBK/SC BBLR 2000 45
3 096397 BY TRIWIDYANTI 4/30/2017 5/3/2017 3 1 III BKB/SMK/LBK/SPT PREMATURE + RDN 2100 45
4 096395 BY NIKA HARYANI 4/30/2017 5/1/2017 1 1 I BCB/KMK/LBK/SPT BBLR 2250 43
5 096398 BY MULIATI 4/30/2017 5/1/2017 1 1 III BCB/KMK/LBK/SPT BBLR 2400 43

ASFIXIA RINGAN
SEDANG + BBLR +
6 096402 BY MIRNAWATI 4/30/2017 5/2/2017 2 1 III BCB/SMK/LBK/SPT PREMATURE 1500 37
7 096410 BY ELVIRA D 4/30/2017 5/4/2017 4 1 III BCB/SMK/LBK/SPT RDS + ICHTIOSIS 3050 47
SEROTINUS + BBLR +
1 096431 BY A. SUTRIANI 5/2/2017 5/5/2017 3 1 II BLB/KMK/LBK/SC DERMATITIS ATOPIC 2400 46
FEBRIS
2 096436 BY RAHMAWATI 5/2/2017 07/05/2017 5 1 III BCB/SMK/LBK/SC NEONATORUM 2700 47
3 096462 BY NUR HASIDAH 5/3/2017 5/6/2017 3 1 III BCB/SMK/LBK/SPT RDS 3100 47
4 096481 BY ERNAWATI 5/4/2017 5/12/2017 8 1 III BCB/KMK/LBK/SPT BBLR 1650 45

NUR
5 096478 BY SENIYANTI 5/4/2017 5/7/2017 3 1 II BCB/SMK/LBK/SPT BBLR 2000 41
A
BY. AT SEKUNDER 2500 2500 2500 2500
6 096494 BY NURLAELA 5/5/2017 5/8/2017 3 1 II BKB/SMK/LBK/SPT PREMATURE 2250 45
7 096499 BY HARIATI 5/5/2017 5/7/2017 2 1 III BCB/SMK/LBK/SPT RDS 2750 47
8 096502 BY ASRIYANTI 5/5/2017 5/19/2017 14 1 III BKB/SMK/LBK/SPT PREMATURE 1600 40
ST KHADIJAH
9 096551 BY G1 5/7/2017 5/9/2017 2 1 I BCB/SMK/LBK/SPT BBLR 2100 42
ASFIXIA RINGAN
10 096573 BY SRI NINING 5/8/2017 5/10/2017 2 1 I BCB/SMK/LBK/SPT SEDANG 3300 51
BBLR + FEBRIS
11 096582 BY SUTIARTI R 5/9/2017 5/13/2017 4 1 III BCB/KMK/LBK/SC NEONATORUM 2200 46
12 096596 BY RESKI 5/9/2017 5/12/2017 3 1 III BCB/SMK/LBK/SPT RDS 3100 46
ASFIXIA RINGAN
13 096617 BY IRAWATI 5/10/2017 5/12/2017 2 1 III BCB/BMK/LBK/VE SEDANG + CAPUT 4000 50
14 096622 BY KARMILA 5/10/2017 5/13/2017 3 1 II BKB/SMK/LBK/SPT BBLSAR 600
15 096643 BY RISKYAH 5/11/2017 5/15/2017 4 1 III BKB/SMK/LBK/SC PREMATURE + BBLR 2200 44

SEROTINUS +
ASFIXIA RINGAN
16 096649 BY NURMALA 5/11/2017 5/14/2017 3 1 III BCB/SMK/LBK/SC SEDANG + CAPUT 3500 52
17 096650 BY SYAMSINAR 5/11/2017 5/14/2017 3 1 III BCB/SMK/LBK/SC SEROTINUS + RDS 3500 53

A
BY. AT SEKUNDER 2500 2500 2500 2500
18 096674 BY EKA ERNI M 5/12/2017 5/15/2017 3 1 II BCB/SMK/LBK/SPT PREMATURE 2000 41
TDK MASUK DI SEROTINUS +

19 096701 BY NURBAYA 5/14/2017 5/14/2017 1 1 III KAMAR BAYI MECONIAL 2550 48
HYPERBILIRUBINEMI
A + CAPUT + INFEKSI
20 096747 BY LANNY 5/15/2017 5/21/2017 6 1 III BCB/SMK/LBK/SPT NEONATORUM 4000 50
21 096732 BY NOVIA 5/15/2017 5/17/2017 2 1 II BCB/SMK/LBK/SPT BBLR 2400 43
PREMATUR + RDN +
BRONCHKOPNEUMO
22 096762 BY A. RESKI 5/16/2017 5/17/2017 1 1 II BKB/SMK/LBK/SC NIA BERAT 2700 48
23 096787 BY HASRIANA 5/17/2017 5/19/2017 2 1 II BCB/SMK/LBK/SPT ASFIXIA RINGAN 3600 50

HYPERBILIRUBINEMI
24 096796 BY NURFADILLAH 5/17/2017 5/24/2017 7 1 III BCB/SMK/LBK/SPT A 2500 44
25 096808 BY LINI HARIAWAN 5/18/2017 5/22/2017 4 1 I BKB/SMK/LBK/SC PREMATURE 2300 44
26 096817 BY SUARNI 5/18/2017 5/19/2017 1 1 III BCB/SMK/LBK/SPT ASFIXIA RINGAN 3650 50

FEBRIS
27 096827 BY NIRMALASARI 5/18/2017 5/23/2017 5 1 II BCB/SMK/LBK/SPT NEONATORUM 3200 48
28 096855 BY KAMARIA 5/19/2017 5/21/2017 2 1 I BCB/SMK/LBK/SC ASFIXIA BERAT 3000 49

A
BY. AT SEKUNDER 2500 2500 2500 2500
NIA DG
29 096851 BY NGINTANG 5/19/2017 5/24/2017 5 1 III BCB/KMK/LBK/SPT BBLR 2200 45
FEBRIS
30 096854 BY MURNIANTI 5/19/2017 5/25/2017 6 1 VIP BCB/SMK/LBK/SPT NEONATORUM 3000 48
31 096898 BY SRI ASTUTI 5/21/2017 5/24/2017 3 1 II BCB/SMK/LBK/SPT BBLR 2150 43

PMEUMONIA
BLB/SMK/LBK/SPT + ASPIRASI + KEJANG
32 096899 BY HASTATI 5/21/2017 5/23/2017 2 1 I ASFIXIA BERAT NEONATUS 2850 49
PREMATURE + RDN +
HYPERBILIRUBINEMI
33 096907 BY INDARWATI 5/22/2017 6/5/2017 14 1 II BKB/SMK/LBK/SPT A 2450 43
UDEM ANASA ACA
BCB/SMK/LBK/SPT + PURPURA + ANEMIA
34 096927 BY RASNAWATI 5/22/2017 5/28/2017 6 1 III ASFIXIA BERAT + CONJUNGTIVITIS 2800 45
35 096933 BY MULIATI 5/23/2017 5/26/2017 3 1 I BCB/SMK/LBK/SPT REGURGITASI 3500 50
36 096247 BY RAHMATIA 5/23/2017 4/25/2017 2 1 III BCB/SMK/LBK/SC ASFIXIA RINGAN 4400 50
REGURGITASI +
IRMA CAPUT
37 096985 BY KRISNAWATI 5/25/2017 5/29/2017 4 1 III BCB/SMK/LBK/SC SUCCADENOUM 3200 48
AMSARI
38 096992 BY OSMAN 5/25/2017 5/31/2017 6 1 III BKB/SMK/LBK/SPT PREMATURE 1600 40
39 096995 BY MULIATI 5/25/2017 5/27/2017 2 1 III BCB/KMK/LBK/SPT BBLR 2300 46
40 097020 BY NURAENI 5/26/2017 5/28/2017 2 1 III BCB/SMK/LBK/SC ASFIXIA RINGAN 2900 48

NUR FAUZI
RAMADHANI BCB/SMK/L.
41 097035 BY G1 5/26/2017 5/29/2017 3 1 III KAKI/SC BBLR 1800 41
A
BY. AT SEKUNDER 2500 2500 2500 2500
NUR FAUZI BBLR + STENOSIS
RAMADHANI ANI +
42 097036 BY G2 5/26/2017 5/26/2017 1 III BCB/KMK/LBK/SC HERDIAPRODIT 1500 40
SARIE
43 097052 BY FATHANAH 5/26/2017 5/29/2017 3 1 I BCB/SMK/LBK/SPT ASFIXIA SEDANG 2950 48
44 097055 BY SRI SYAHRIANI 5/26/2017 6/2/2017 7 1 I BKB/SMK/LBK/SC RDN 2000 42
BCB/KMK/L.BOKON
45 097074 BY YULIANTI 5/28/2017 5/31/2017 3 1 III G/SC BBLR 2200 41
46 097090 BY ASRIANI 5/29/2017 6/3/2017 5 1 III BCB/KMK/LBK/SPT BBLR 2250 47
BLB/KMK/LBK/SPT +
47 097111 BY ROSNIATI 5/30/2017 6/1/2017 2 1 II BBLR SEROTINUS 2350 45
48 097125 BY NURHIDAYAH 5/30/2017 6/2/2017 3 1 I BCB/SMK/LBK/SC ASFIXIA BERAT 3250 49
49 097112 BY ISRAWATI 5/30/2017 6/1/2017 2 1 III BCB/KMK/LBK/SPT BBLR 2300 45
YUUYYYYYYYYYYYYY
YYYYYYYYYYYYO
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
A
BY. AT SEKUNDER 2500 2500 2500 2500
BY.
BULAN : JUNI
2017
1 097157 BY THERESIA L BENNIELIKTUS

2 097173 BY YUNITA H.A MUHDIMAR
3 097175 BY ASRIYUNI M. AKBAR
4 097200 BY SRI YULIANA MUH ANUGRAH
5 097258 BY NOVARINA AMIRUDDIN
6 097270 BY YUSNITA MUSTAPA
7 097264 BY ZULFIAH MUH. YUSUF GUNAWAN
8 097293 BY NURAENI SAMPARA
9 097289 BY FIRDAWATI SAHIR SAHRIR
10 097359 BY NANDAWATI JUKAR
11 097377 BY HARDIANTI ASRIADI
12 097428 BY MUSYIAH AHMAD MUFID
13 097435 BY MANTASIA FANDI ARIADI
14 097464 BY NIRWANA BUDIAWAN
15 097468 BY IRMA MAXI
16 097472 BY PARAMITA A DARWIN
17 097479 BY IRMA SURYANI MUHAJIRIN
18 097488 BY SRI WAHYUNI RAHMAT
19 097502 BY WAHYUNI IFTHITA MUH IVANTRI
20 097510 BY NUR AENI SABAR
21 097549 BY IRMAWANTI H. LUKMAN
22 097557 BY ANA YULIANA HERMAN
23 097590 BY MIRNAWATI A. AKBAR
24 097573 BY IRAMAYANA S PRAMUJI
25 097597 BY ERMIANI MUH IRWAN
26 097604 BY NURANISA FIRMAN
27 097614 BY MEIDY G1 TEGUH
28 097615 BY MEIDY G2 TEGUH
29 097636 BY HASRITA IRSAN
30 097659 BY YAMRIANI TAUFAN IRVANDY
31 097647 BY YUSRA KRISTIONO
32 097671 BY RITA NURANI SWARDIN
33 097695 BY RATNA SIRAJUDDIN
34 097698 BY SUCI SYAMSUL BAHRI
35 097704 BY SRI WAHYUNI TRI FEBRIAN S
36 097706 BY SUKMAWATI YUDI JUNAEDI
REGISTER BAYI SA
JK TINDAKA
KB 2 IGD
JL. INSPEKSI KANAL 6/1/2017 6/3/2017 2 1

JL. OTONOMI NO 2 6/2/2017 6/4/2017 2 1
JL. YOS SUDARSO LR 152 6/2/2017 6/5/2017 3 1 1
JL. TAMANAGAPA RAYA III 6/3/2017 6/6/2017 3 1
JL. CENDRAWASIH /228D 6/7/2017 6/13/2017 6 1 1
JL. RAPPOCINI RAYA LR 2/446 6/7/2017 6/10/2017 3 1
JL. BUNGA EJAYA BERU 6/7/2017 6/10/2017 3 1 1
PULAU BARRANG LOMPO 6/8/2017 6/10/2017 2 1 1
BONTOLAJA, GOWA 6/8/2017 6/11/2017 3 1
JL. SINASSARA 6/11/2017 6/14/2017 3 1
JL. TIKOLLA DG LEO, TAKALAR 6/12/2017 6/15/2017 3 1 1
JL. RAJAWALI 1 LR 10C 6/15/2017 6/17/2017 2 1 1
PATTOPAKKANG, TAKALAR 6/15/2017 6/17/2017 2 1
JL. MACCINI RAYA NO 134 6/16/2017 6/19/2017 3 1 1
JL. ABU BAKAR LAMBOGO NO 7B 6/16/2017 6/20/2017 4 1
JL. TIDUNG VII STP 1 NO 28 6/16/2017 6/19/2017 3 1 1
JL. KAMPUNG PARANG, GOWA 6/17/2017 6/19/2017 2 1 1
AENG TOWA 6/17/2017 6/20/2017 3 1 1
JL. MUHAMMADIYAH LR 202 C/26C 6/18/2017 6/21/2017 3 1 1
MAROS 6/19/2017 6/19/2017 0 1 1
BORONG CALLA, TAKALAR 6/20/2017 6/20/2017 0 1 1
BONTO SUNGGU, GOWA 6/21/2017 6/24/2017 3 1
JL. TIDUNG X STP 6 NO 54 6/22/2017 6/24/2017 2 1
LAJOPE, WAJO 6/22/2017 6/24/2017 2 1 1
JL. SUNAGI BIOLA 6/23/2017 6/27/2017 4 1
JL. SULTAN ABDULLAH II 6/24/2017 6/27/2017 3 1 1
JL. MANGEDEL NO 23 6/24/2017 6/27/2017 3 1 1
JL. MANGEDEL NO 23 6/24/2017 6/26/2017 2 1 1
DUSUN ULUTEDONG, BULUKUMBA 6/25/2017 6/28/2017 3 1 1
JL. KP. BUGIS SIAGA XII, JAKARTA 6/26/2017 6/29/2017 3 1 1
LING. BATANGASE, MAROS 6/26/2017 6/29/2017 3 1
BUJJULU, GOWA 6/27/2017 6/30/2017 3 1 1
JL. BARUKANG UTARA 6/28/2017 7/1/2017 3 1 1
JL. KAKATUA II LR 6/32 6/28/2017 6/29/2017 1 1 1
JL. BAJI PAMAI V NO 24 6/29/2017 7/1/2017 3 1
JL. SUKARIA 13 A 6/29/2017 8/8/2017 40 1 1
17 6
TINDAKAN
KLASIK KELAS BKB
2 LT 2 2
1 III
1 VIP 1
III 1
1 III 1
III 1
1 III 1
II 1
III 1
1 III 1
1 III 1
II 1
III 1
1 III 1
II 1
1 III 1
I 1
II 1
III 1
III 1
III 1
III 1
1 III 1
1 I 1
I 1
1 I
III 1
III 1
III 1
III 1
II 1
1 II 1
II 1
III 1
II 1
1 III 1
III 1
0 11 1 1 0 0
DOKTER
KELAINAN
BAYI
1 BLB/KMK/LBK/SC SEROTINUS + BBLR + ASFIXIA RINGP08.2 1

BCB/SMK/LBK/SC RDS P22.0 1
BLB/KMK/LBK/SPT SEROTINUS + BBLR P08.2 1
BCB/SMK/LBK/SC RDS P22.0 1
BKB/SMK/LBK/SPT PREMATURE + RDN P22.9
BCB/SMK/LBK/SC ASFIXIA BERAT P21.0
BKB/SMK/LBK/SPT + RDN IKTERUS NEONATORUM P22.9
BCB/KMK/LBK/SPT Z38.0
BCB/SMK/LBK/SC ASFIXIA BERAT + CAPUT + HYDROCEP21.0
BCB/SMK/LBK/SC RDS P22.0
BCB/SMK/LBK/SPT ASFIXIA SEDANG + CAPUT P21.1 1
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG P21.1 1
RDS CAPUT SUCCADENOUM P22.0 1
BCB/SMK/L. BOKONG/SC ASFIXIA RINGAN - SEDANG P21.1 1
BKB/SMK/LBK/SPT PREMATURE P07.3 1
BCB/SMK/LBK/SPT RDS P22.0 1
BKB/SMK/LBK/SPT PREMATURE P07.3 1
BCB/KMK/PBK/SPT LAHIR MATI Z38.0
BKB/SMK/L. KAKI /SPT KJDR P95 1
BLB/KMK/LBK/VACUM EKTRAKSI SEROTINUS + BBLR P07.1
BCB/SMK/LBK/SPT FEBRIS + NEONATORUM P81.9
1 BLB/SMK/L. KAKI/SC ASFIXIA RINGAN SEDANG + CAPUT P21.1
BKB/SMK/LBK/SPT PREMATURE P07.3
BCB/SMK/LBK/SPT BBLR Z38.0
BKB/BMK/LBK/SPT PREMATURE P07.3
BCB/SMK/LBK/VACUM EKTRAKSI CAPUT + REGURGITASI P12.8
BCB/SMK/LBK/SPT INFEKSI NEONATORUM P39.9 1
BCB/SMK/LBOKONG/SPT ASFIXIA SEDANG P21.1 1
BLB/SMK/L. MUKA/SPT ASFIXIA BERAT P21.0 1
BCB/SMK/LBK/SC RDN P22.0 1
BKB/KMK/LBK/SPT PREMATURE + BBLR + BBLR +RDN P07.3 1
APGAR
PB PB JAMINAN
MS < 2500 > 2500 < 2500 > 2500 SKOR
BPJS/ INHEAL
U KIS TH
2250 46 6/8 1
3050 46 8/10 1
2300 45 8/10 1
2900 48 8/10 1
1 3200 46 8/10 1
1 3100 49 1/8 1
1 2400 46 8/10 1
1 2300 46 8/10 1
1 3000 47 1/6 1
1 3150 48 8/10 1
3100 50 6/9 1
2250 45 8/10 1
3350 50 5/7
3300 50 7/10 1
2700 47 4/6 1
2300 46 7/10 1
2600 45 8/10 1
3250 48 8/10 1
2300 43 8/10 1
1 500 27 0/0
500 25 0/0
1 2200 45 7/10 1
1 2400 47 8/10 1
1 3300 49 8/10 1
1 2600 47 5/8 1
1 2000 39 7/10 1
1 2000 47 8/10 1
1 2300 47 8/10 1
1 2500 47 8/10 1
2150 46 8/10 1
1 2700 47 8/10 1
3100 47 8/10 1
2500 49 6/10 1
2950 50 1/2
3100 49 8/10 1
1250 37 8/10 1
9 23 0
IMD KET TGL
AMINAN PENGINPUT
GRATIS
1 6/7/2017
1 6/8/2017
1 6/10/2017
1 6/10/2017
1 6/21/2017
1 6/12/2017
1 6/12/2017
1 6/13/2017
1 6/12/2017
1 6/21/2017
1 6/21/2017
1 7/6/2017
1 1 6/21/2017
1 7/5/2017
1 7/4/2017
1 7/4/2017
1 7/4/2017
1 7/6/2017
1 7/6/2017
6/22/2017
6/22/2017
1 7/4/2017
1 7/5/2017
1 7/16/2017
7/10/2017
1 7/4/2017
1 7/4/2017
1 7/4/2017
1 7/6/2017
1 7/4/2017
1 7/5/2017
1 7/5/2017
1 7/4/2017
1 7/13/2017
1 7/2/2017
1 9/12/2017
2
LAM BBL HIDUP BB MATI
A KELA
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RAW PB PB
MASUK S < 2500 > 2500 < 2500 > 2500
BY. AT
BULAN : JUNI
2017
1 097090 BY ASRIANI 5/29/2017 6/3/2017 5 III 2250 47

2 097111 BY ROSNIATI 5/30/2017 6/1/2017 2 II 2350 45
3 097125 BY NURHIDAYAH 5/30/2017 6/2/2017 3 I 3250 49
4 097112 BY ISRAWATI 5/30/2017 6/1/2017 2 III 2300 45
1 097157 BY THERESIA L 6/1/2017 6/3/2017 2 III 2250 46

2 097173 BY YUNITA H.A 6/2/2017 6/4/2017 2 VIP 3050 46
3 097175 BY ASRIYUNI 6/2/2017 6/5/2017 3 III 2300 45
4 097200 BY SRI YULIANA 6/3/2017 6/6/2017 3 III 2900 48
5 097258 BY NOVARINA 6/7/2017 6/13/2017 6 III 3200 46
6 097270 BY YUSNITA 6/7/2017 6/10/2017 3 III 3100 49
7 097264 BY ZULFIAH 6/7/2017 6/10/2017 3 II 2400 46
8 097293 BY NURAENI 6/8/2017 6/10/2017 2 III 2300 46
9 097289 BY FIRDAWATI 6/8/2017 6/11/2017 3 III 3000 47
10 097359 BY NANDAWATI 6/11/2017 6/14/2017 3 III 3150 48
11 097377 BY HARDIANTI 6/12/2017 6/15/2017 3 II 3100 50
12 097428 BY MUSYIAH 6/15/2017 6/17/2017 2 III 2250 45
13 097435 BY MANTASIA 6/15/2017 6/17/2017 2 III 3350 50
14 097464 BY NIRWANA 6/16/2017 6/19/2017 3 II 3300 50
15 097468 BY IRMA 6/16/2017 6/20/2017 4 III 2700 47
16 097472 BY PARAMITA A 6/16/2017 6/19/2017 3 I 2300 46
17 097479 BY IRMA SURYANI 6/17/2017 6/19/2017 2 II 2600 45
18 097488 BY SRI WAHYUNI 6/17/2017 6/20/2017 3 III 3250 48
19 097502 BY WAHYUNI IFTHIT 6/18/2017 6/21/2017 3 III 2300 43
20 097557 BY ANA YULIANA 6/21/2017 6/24/2017 3 III 2200 45
21 097590 BY MIRNAWATI 6/22/2017 6/24/2017 2 I 2400 47
22 097573 BY IRAMAYANA S 6/22/2017 6/24/2017 2 I 3300 49
23 097597 BY ERMIANI 6/23/2017 6/27/2017 4 I 2600 47
24 097604 BY NURANISA 6/24/2017 6/27/2017 3 III 2000 39
25 097614 BY MEIDY G1 6/24/2017 6/27/2017 3 III 2000 47
26 097615 BY MEIDY G2 6/24/2017 6/26/2017 2 III 2300 47
27 097636 BY HASRITA 6/25/2017 6/28/2017 3 III 2500 47
28 097659 BY YAMRIANI 6/26/2017 6/29/2017 3 II 2150 46
29 097647 BY YUSRA 6/26/2017 6/29/2017 3 II 2700 47
30 097671 BY RITA NURANI 6/27/2017 6/30/2017 3 II 3100 47
31 097695 BY RATNA 6/28/2017 7/1/2017 3 III 2500 49
32 097698 BY SUCI 6/28/2017 6/29/2017 1 II 2950 50
33 097704 BY SRI WAHYUNI 6/29/2017 III
34 097706 BY SUKMAWATI 6/29/2017 III
BY.
BULAN : JULI
2017
1 097735 BY RISMAWATI SUKRI

2 097754 BY NURLAELA FAISAL
3 097766 BY ASTUTI IMRAN
4 097826 BY SANTI S MUCHTARR
5 097829 BY NURUL HIJRAH TAUFIK ISMAIL
6 097830 BY ERNIAWATI ZULKIFLI NISTAM
7 097843 BY NURUL HASRIANTI ASRUL
8 097848 BY ENDRAWATI WAHYUDI
9 097851 BY MANATASIAH RUSTAM
10 097873 BY DRG NURHIDAYAH MANTRA JAYA
11 097881 BY RISNAWATI HUSAIN KASIM
12 097910 BY MURNI D RUSTAM
13 097925 BY RISKA Y NUR RIZAL
14 097934 BY LOWRENZYA RISWANDI SUKRIAR
15 097977 BY LINA BUDI
16 097985 BY INDAH FAISAL
17 097958 BY SRI NURMAYANTI MASHADI
18 097992 BY ROSMAWATI SUDIRMAN DG LAU
19 098001 BY QADRIANTI ADHARIANTO
20 098062 BY AULIA RURY ICHSAN DIWANTO BUSTAN
21 098080 BY SRI WAHYUNINGSIH ASIS
22 098072 BY NUNING HARTIKA IQBAL
23 098083 BY ANDINA UMROH AHMAD ZULFAKAR
24 098120 BY NURAENI A. ASHAR
25 098816 BY EVIANA HENDRIS
26 098128 BY WARDA M. AKHMAD ADRIAN
27 098152 BY MIRNAWATI KARDI
28 098174 BY MUTHIAH MAHDI ADI
29 098181 BY NURHIKMAWATI MUH RISAL
30 098190 BY MIRA ANDRIANI JUMAIDI
31 098212 BY MARIANI BASRI
32 098214 BY SYAMSIAH G1 SYAHRUL
33 098215 BY SYAMSIAH G2 SYAHRUL
34 098207 BY RISKAWATI A. MUH IRFAN
35 098230 BY ASTIK M BAHARUDDIN
36 098239 BY SUSANTI H. S LUKMAN
37 098315 BY NOVA MELFA SONI
38 098346 BY KASMAWATI SAHARUDDIN
REGISTER BAYI SA
JK TINDAKA
KB 2 IGD
JL. A. MANGERANGI 3 NO 70 7/1/2017 7/4/2017 3 1 1

JL. LURE NO 27 7/3/2017 7/10/2017 7 1
PAJENEKANG LR 1A/3 7/3/2017 7/6/2017 3 1
SAPAYA, JENEPONTO 7/5/2017 7/7/2017 2 1
JL. NUSANTARA BARU 7/5/2017 7/13/2017 8 1
JL. ONTA BARU NO 52 7/6/2017 7/8/2017 2 1
JL. BONTO CINDE NO 25 7/6/2017 7/9/2017 3 1
JL. LEMBO NO 180 7/6/2017 7/9/2017 3 1 1
JL. LANTANG 1, TAKALAR 7/7/2017 7/10/2017 3 1
JL. BAYAM NO 5 7/8/2017 7/14/2017 6 1 1
JL. BANDANG 7/9/2017 7/12/2017 3 1
TOMPOSAPPA, BAROMBONG 7/10/2017 7/14/2017 4 1 1
JL. SWADAYA MAS BLOK D /6 7/10/2017 7/10/2017 0 1
JL. MANNURUKI, JENEPONTO 7/11/2017 7/17/2017 6 1 1
JL. SULTAN ABDULLAH 1 7/11/2017 7/15/2017 4 1 1
JL. KAMP. BERU, JENEPONTO 7/11/2017 7/11/2017 0 1 1
JL. CAMPAGAYA TIMUR, TAKALAR 7/12/2017 7/12/2017 0 1 1
JL. MALLENGKERI KOMP. TVRI 7/12/2017 7/15/2017 3 1
JL. KOMP. PERUM PT. ANTAM 7/16/2017 7/19/2017 3 1 1
JL. SULTAN ALAUDDIN LR 10/8 7/17/2017 7/18/2017 1 1 1
JL. RAPPOKALLING RAYA 7/17/2017 7/20/2017 3 1 1
KOMP. HARTACO INDAH BLOK II 7/17/2017 7/19/2017 2 1
JL. SUNU 3 LR 1/19 C 7/18/2017 7/21/2017 3 1 1
JL. BATU-BATU, TAKALAR 7/18/2017 7/18/2017 0 1 1
JL. SUNAGAI LIMBOTO 7/19/2017 7/21/2017 2 1
JL. SUKAMAJU 45 7/20/2017 7/23/2017 3 1 1
JL. BALANA II NO 2 7/21/2017 7/23/2017 2 1
JL. NUSA TAMARUNAG, GOWA 7/21/2017 7/23/2017 2 1 1
BONTOA UTARA 7/22/2017 7/25/2017 3 1 1
JL. MUH YAMIN LR 19/18 7/23/2017 7/26/2017 3 1 1
JL. PALLANTIKANG, TAKALAR 7/23/2017 7/28/2017 5 1 1
JL. PALLANTIKANG, TAKALAR 7/23/2017 7/28/2017 5 1 1
JL. KEBAH UTARA II/512 7/23/2017 7/26/2017 3 1 1
BINAGA, MAJENE 7/24/2017 7/28/2017 4 1
JL. BOLU NO 52 7/25/2017 7/27/2017 2 1 1
JL. KAKA TUA ASMAT BARAK 7/29/2017 8/4/2017 5 1 1
JENEPONTO 7/31/2017 8/3/2017 3 1
TINDAKAN
KLASIK KELAS BKB
2 LT 2 2
II 1
1 III 1
1 I 1
1 III 1
1 II 1
1 II 1
1 II 1
1 III 1
III 1
1 I 1
III 1
1 III 1
III 1
1 I 1
III 1
II 1
III 1
III 1
1 1 1
II 1
II 1
III 1
1 III 1
III 1
III 1
1 II
VIP 1
1 III 1
II 1
II 1
III 1
II 1
II 1
II 1
1 I 1
III 1
III 1
1 III 1
DOKTER
KELAINAN
BAYI
BCB/SMK/LBK/SPT HDN + VOMITING P53 + P92.0 1

BKB/SMK/LBK/SC PREMATURE P07.3 1
BCB/SMK/LBK/SC ASFIXIA SEDANG P21.1
BCB/SMK/LBK/SC ASFIXIA SEDANG P21.1
BKB/SMK/LBK/SC PREMATURE P07.3
BKB/BMK/LBK/SC PREMATURE P07.3
BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG + HDN P21.1
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG P21.1
BKB/SMK/LBK/SPT PREMATUR + OBST. SALURAN PENCP07.3 + K31.8
KJDR P95 1
ASFIXIA BERAT KEJANG + HDN P21.0 1
BCB/SMK/LBK/SPT ASFIXIA SEDANG P21.1 1
KJDR P95 1
KJDR P95 1
BCB/SMK/L.BOKONG/SC RDS P22.0 1
BCB/SMK/LBK/SPT ASFIXIA SEDANG P21.1 1
BCB/SMK/LBK/SPT RDS P22.0
BCB/SMK/LBK/SPT KEJANG NEONATUS P90
BCB/SMK/LBK/SPT KJDR P95
1 BLB/KMK/LBK/SC ASFIXIA BERAT + SEROTINUS + BBLRP21.0
BLB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG + SEROTI P21.1 + P08.2 1
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG P21.1 + Z38.0
BCB/SMK/LBK/SPT SEROTINUS + ASFIXIA RINGAN SED P21.1 + P08.2
BCB/KMK/LBK/SPT BBLR + FEBRIS P07.1 + P81.9
BCB/SMK/LBK/SPT METEORISMUS Z38.0 + R14
BKB/SMK/LBK/SC PREMATURE P07.3 1
BCB/SMK/LBK/SPT BBLR P07.1 1
BCB/KMK/LBK/SPT BBLR + ASFIXIA BERAT P07.1 + P21.0 1
APGAR
PB PB JAMINAN
MS < 2500 > 2500 < 2500 > 2500 SKOR
BPJS/ INHEAL
U KIS TH
3200 50 8/10 1
2050 44 7/10 1
1 3200 48 3/8 1
1 3300 50 4/8 1
1 2800 49 5/8 1
1 1900 42 7/10 1
1 2400 45 5/9 1
1 3200 49 8/10 1
1 2300 47 8/10 1
1 2,100 44 6/10 1
1 2500 48 6/8 1
1 4100 51 5/8 1
1 1700 41 7/10 1
2700 46 0/0
3300 48 3/5 1
2800 45 6/8 1
3500 49 0/0
3100 48 0/0
3600 48 7/10 1
3000 47 5/7 1
1 3400 49 7/9 1
2250 44 8/10 1
1 3400 51 1/9 1
1 2900 47 8/10 1
1 550 15 0/0
1 2300 45 3/6 1
3600 52 5/8 1
1 3750 51 5/7 1
1 2200 44 8/10 1
1 2550 44 8/10 1
1 3950 53 5/7 1
1 2200 44 8/10 1
1 2100 43 7/10 1
1 2900 48 8/10 1
2650 47 8/10 1
2100 44 8/10 1
2100 45 2/4 1
1 3300 49 1/3 1
12 22 0
IMD KET TGL
AMINAN PENGINPUT
GRATIS
1 7/10/2017
1 7/13/2017
1 7/13/2017
1 7/14/2017
1 7/13/2017
1 7/20/2017
1 7/12/2017
1 7/13/2017
1 7/13/2017
8/1/2017
1 7/20/2017
1 7/20/2017
8/1/2017
7/14/2017
1 7/26/2017
1 7/20/2017
7/14/2017
7/13/2017
1 7/20/2017
1 7/26/2017
1 7/26/2017
1 7/26/2017
1 7/26/2017
1 7/27/2017
8/19/2017
1 7/26/2017
1 7/26/2017
1 7/26/2017
1 7/26/2017
1 7/27/2017
1 7/27/2017
1 8/1/2017
1 8/1/2017
1 8/2/2017
1 8/1/2017
1 7/29/2017
1 8/10/2017
1 8/10/2017
0 27 5
A KEL
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RAW DIAGNOSA < > PB > PB
MASUK AS DIAGNOSA < 2500 2500
BY. AT SEKUNDER 2500 2500
BULAN : JULI
2017
1 097695 BY RATNA 6/28/2017 7/1/2017 3 III BCB/SMK/LBOKONG/SASFIXIA SEDANG 2500 49

2 097704 BY SRI WAHYUNI 6/29/2017 7/1/2017 3 III BCB/SMK/LBK/SC RDN 3100 49
3 097706 BY SUKMAWATI 6/29/2017 /08/2017 III
1 097735 BY RISMAWATI 7/1/2017 7/4/2017 3 II BCB/SMK/LBK/SPT HDN + VOMITING 3200 50
2 097754 BY NURLAELA 7/3/2017 7/10/2017 7 III BKB/SMK/LBK/SC PREMATURE 2050 44

3 097766 BY ASTUTI 7/3/2017 7/6/2017 3 I BCB/SMK/LBK/SC ASFIXIA BERAT 3200 48
4 097826 BY SANTI S 7/5/2017 7/8/2017 3 III BCB/SMK/LBK/SC ASFIXIA SEDANG 3300 50

5 097829 BY NURUL HIJRAH 7/5/2017 7/7/2017 2 II BCB/SMK/LBK/SC ASFIXIA SEDANG 2800 49
6 097830 BY ERNIAWATI 7/5/2017 7/13/2017 8 II BKB/SMK/LBK/SC PREMATURE 1900 42
7 097843 BY NURUL HASRIAN 7/6/2017 7/8/2017 2 II BCB/KMK/LBK/SC BBLR 2400 45

8 097848 BY ENDRAWATI 7/6/2017 7/9/2017 3 III BKB/BMK/LBK/SC PREMATURE 3200 49
9 097851 BY MANATASIAH 7/6/2017 7/9/2017 3 III BCB/SMK/LBK/SPT BBLR 2300 47
10 097873 BY DRG NURHIDAY 7/7/2017 7/10/2017 3 I BCB/KMK/LBK/SC BBLR 2,100 44
11 097881 BY RISNAWATI 7/8/2017 7/14/2017 6 III BCB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG + 2500 48
12 097910 BY MURNI D 7/9/2017 7/12/2017 3 III BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG 4100 51
13 097925 BY RISKA Y 7/10/2017 7/14/2017 4 III BKB/SMK/LBK/SPT PREMATUR + OBST. SALURAN PENCERNA 1700 41
15 097977 BY LINA 7/11/2017 7/17/2017 6 III ASFIXIA BERAT KEJANG + HDN 3300 48
16 097985 BY INDAH 7/11/2017 7/15/2017 4 II BCB/SMK/LBK/SPT ASFIXIA SEDANG 2800 45
19 098001 BY QADRIANTI 7/12/2017 7/15/2017 3 1 BCB/SMK/L.BOKONG/SRDS 3600 48

A KEL
20 098062 BY AULIA RURY 7/16/2017 7/19/2017 3 II BCB/SMK/LBK/SPT ASFIXIA SEDANG 3000 47
21 098080 BY SRI WAHYUNING 7/17/2017 7/18/2017 1 II BCB/SMK/LBK/SPT RDS 3400 49

22 098072 BY NUNING HARTIK 7/17/2017 7/20/2017 3 III BCB/KMK/LBK/SPT BBLR 2250 44
23 098083 BY ANDINA UMROH 7/17/2017 7/19/2017 2 III BCB/SMK/LBK/SC ASFIXIA BERAT 3400 51
24 098120 BY NURAENI 7/18/2017 7/21/2017 3 III BCB/SMK/LBK/SPT KEJANG NEONATUS 2900 47
25 098128 BY WARDA 7/19/2017 7/21/2017 2 II BLB/KMK/LBK/SC ASFIXIA BERAT + SE 2300 45
26 098152 BY MIRNAWATI 7/20/2017 7/23/2017 3 VIP BLB/SMK/LBK/SPT ASFIXIA RINGAN SEDANG + 3600 52
27 098174 BY MUTHIAH MAHDI 7/21/2017 7/23/2017 2 III BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG 3750 51
28 098181 BY NURHIKMAWATI 7/21/2017 7/23/2017 2 II BCB/KMK/LBK/SPT BBLR 2200 44
29 098190 BY MIRA ANDRIANI 7/22/2017 7/25/2017 3 II BCB/KMK/LBK/SPT BBLR 2550 44
30 098212 BY MARIANI 7/23/2017 7/26/2017 3 III BCB/SMK/LBK/SPT SEROTINUS + ASFIXIA RIN 3950 53
31 098214 BY SYAMSIAH G1 7/23/2017 7/28/2017 5 II BCB/SMK/LBK/SPT BBLR 2200 44
32 098215 BY SYAMSIAH G2 7/23/2017 7/28/2017 5 II BCB/KMK/LBK/SPT BBLR + FEBRIS 2100 43
33 098207 BY RISKAWATI 7/23/2017 7/26/2017 3 II BCB/SMK/LBK/SPT METEORISMUS 2900 48
34 098230 BY ASTIK M 7/24/2017 7/28/2017 4 I BKB/SMK/LBK/SC PREMATURE 2650 47
35 098239 BY SUSANTI H. S 7/25/2017 7/27/2017 2 III BCB/SMK/LBK/SPT BBLR 2100 44
36 098315 BY NOVA MELFA 7/29/2017 8/4/2017 5 III BCB/KMK/LBK/SPT BBLR + ASFIXIA BER 2100 45
37 098346 BY KASMAWATI 7/31/2017 8/3/2017 3 III BCB/SMK/LBK/SC ASFIXIA BERAT 3300 49

A KEL
A KEL
A KEL
A KEL
A KEL
A KEL
A KEL
A KEL
NO NO RM NAMA PASIEN NAMA AYAH ALAMAT TGL RAWAT
MASUK
BY.
BULAN :
AGUSTUS 2017
1 098372 BY MAYA SULASTRI NUR HALIM JL. ABD. KADIR NO 8 8/1/2017

2 098378 BY USNI JAYANTI G2 ARMAN AMIR JL. TINUMBU LR 135 /21 8/2/2017
3 098398 BY NURHIDAYAH ABDULLAH PULAU BADI, PANKEP 8/2/2017
4 098412 BY CHAERANY P SUSANTO JL. NURI LR 312 /8 8/3/2017
5 098435 BY JUMASIAH JUSMAN JL. BORONG INDAH 3 LR 3 8/4/2017
6 098439 BY RASMIDAR A. HASRIANTO JL. ASAM KERANJI 206 8/5/2017
7 098444 BY SARMI INDAH G1 MUH RIDWAN JL. GAGAK 18 8/5/2017
8 098445 BY SARMI INDAH G2 MUH RIDWAN JL. GAGAK 18 8/5/2017
9 098454 BY NURSIAH MUH RAMLI ASRAMA. LOMPOBATTANG BLOK G/37 8/5/2017
10 098519 BY NOVALIA ALIMUDDIN JL. KASUARI NO 34 8/8/2017
11 098541 BY MUSLIMAT NADIR BULIADIN AENG TOWA, TAKALAR 8/9/2017
12 098552 BY SARINA G2 HAEDIR JL. SUNU LR 1A/9 8/9/2017
13 098539 BY FRELLY STELLY ISMAIL JL. RAPPOCINI RAYA LR 2/26 8/9/2017
14 098543 BY SINTA ASRAK BONTODURI 8/9/2017
15 098557 BY SULFIAH MUH ISHAK UNJUNGA, JENEPONTO 8/10/2017
16 098575 BY DASWATI IRWANSYAH FAAD JL. TALASALAPANG NO 40 8/11/2017
17 098597 BY SRI DEWI NUR ADI BALLA PARANG 8/12/2017
18 098611 BY DARMAWATI NARDI JL. PERINTIS KEMERDEKAAN 8/12/2017
19 098605 BY NURELYDAH G1 FIRMANSYAH JL. ANDALAS LR 1/1 8/12/2017
20 098606 BY NURELYDAH G2 FIRMANSYAH JL. ANDALAS LR 1/1 8/12/2017
21 098646 BY SUNARTI G2 SUHAFID JL. KALUMPANG BARAT 8/13/2017
22 098615 BY MIRAWATI IRAL SAPUTRA JL. SABUTUNG BARU NO VI 8/13/2017
23 098628 BY RINA ERWAN TANJAYAN JL. BOUGENVILLE BLOK C4/1 8/13/2017
24 098638 BY HETTI HERAWATI AGUS SALIM JL. BONTO DURI V STP 1 NO 25 8/13/2017
25 098668 BY NURHAENI ADIL KEL. BOCCO, WAJO 8/14/2017
26 098648 BY ELA. PADILA ADENI R NOER JL. TINUMBU LR 132 K NO 36 8/14/2017
27 098683 BY NOVA MINARTI MUH SIDIQ JL. SINASSARA NO 21 8/15/2017
28 098672 BY HJ. SAITUNG M. ANSAR JL. DA'WAH NO 46 8/15/2017
29 098711 BY RINA SAFRI BAMBANG JL. PALLANTIKANG, GOWA 8/16/2017
30 098723 BY HASNAH ABBAS JL. TINUMBU LR 132 K 8/16/2017
31 098736 BY ANI S AMIR WAHID JL. TINUMBU 1 LR 132 8/17/2017
32 098727 BY SADARIAH RAJAMUDDIN BONTORAMBA, GOWA 8/17/2017
33 098775 BY YULIANTI AKBAR JL. NUSA INDAH LR 306/8 8/19/2017
34 098794 BY ARNI RISMAN JENEPONTO 8/20/2017
35 098787 BY RINA MASUD JL. TODDOPULI 2 STP 5/24 8/20/2017
36 098815 BY HAERANI MUH ARIF JL. DAMAI 28 8/21/2017
37 098800 BY SHINTA WIDURI SAMUAEL PASANA JL. ABU BAKAR LAMBOGO III/3 8/21/2017
38 098861 BY SETIAWATI RAMADANI JL. A. TONRO III STP 2/6 8/23/2017
39 098884 BY HARTATI BAHARUDDIN JL. MERAK NO 24 8/24/2017
40 098899 BY DINA ADE MUH ANSYAM TOPEJAWA 8/25/2017
41 098904 BY ANI AMRAN JL. DG TATA PASAR HARTACO 8/26/2017
42 098908 BY JOHARIA AKBAR BAROBBO, JENEPONTO 8/26/2017
43 098918 BY SURYA NESIA FIRMAN JL. MANGGIS NO 50 8/28/2017
44 098974 BY FERMINA ADO RIDWAN HYDAYAT JL. ONTA LR 7 NO 3 8/30/2017
45 098972 BY AMINAH NARI AMIRUDDIN KOMP. TNI AL DEWA KEMBAR 8/30/2017
46 098998 BY INDRAWATI AMIRUDDIN JL. SULTAN ABDULLAH 8/31/2017
47 099007 BY HAJRIAH ABD. KHALIK PULAU BARRANG LOMPO 8/31/2017
48 098993 BY KHARTIKA AYU AKBAR VETERAN UTARA 8/31/2017
TGL KELUAR
8/1/2017
8/14/2017
8/5/2017
8/8/2017
8/8/2017
6/8/2017
8/24/2017
8/21/2017
8/14/2017
8/10/2017
8/12/2017
8/11/2017
8/13/2017
8/12/2017
8/14/2017
8/12/2017
8/14/2017
8/23/2017
8/14/2017
8/19/2017
8/15/2017
8/15/2017
8/16/2017
8/15/2017
8/16/2017
8/14/2017
8/18/2017
8/16/2017
8/25/2017
8/18/2017
8/21/2017
8/18/2017
8/21/2017
8/23/2017
8/24/2017
8/21/2017
8/23/2017
8/26/2017
9/1/2017
8/28/2017
8/30/2017
8/30/2017
8/29/2017
9/1/2017
8/30/2017
9/3/2017
8/31/2017
8/31/2017
BBL HIDUP BB MATI
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR LAMA KEL
MASUK RAWAT AS < 2500 > 2500 PB < > PB
BY. 2500 2500
BULAN :
AGUSTUS 2017
1 098378 BY USNI JAYANTI G2 8/2/2017 8/14/2017 12 III 1650 40

2 098398 BY NURHIDAYAH 8/2/2017 8/5/2017 3 III 2300 43
3 098412 BY CHAERANY P 8/3/2017 8/8/2017 5 I 2100 46
4 098435 BY JUMASIAH 8/4/2017 8/8/2017 4 III 3750 52
5 098439 BY RASMIDAR 8/5/2017 6/8/2017 3 II 2000 44
6 098444 BY SARMI INDAH G1 8/5/2017 8/24/2017 19 II 1750 41
7 098445 BY SARMI INDAH G2 8/5/2017 8/21/2017 16 II 1600 41
8 098454 BY NURSIAH 8/5/2017 8/14/2017 9 II 2600 46
9 098519 BY NOVALIA 8/8/2017 8/10/2017 2 III 3700 49
10 098541 BY MUSLIMAT 8/9/2017 8/12/2017 3 II 3150 48
11 098552 BY SARINA G2 8/9/2017 8/11/2017 2 II 2000 43
12 098539 BY FRELLY 8/9/2017 8/13/2017 4 III 4050 51
13 098543 BY SINTA 8/9/2017 8/12/2017 3 III 3000 50
14 098557 BY SULFIAH 8/10/2017 8/14/2017 4 I 2700 48
15 098575 BY DASWATI 8/11/2017 8/12/2017 1 II 2450 47
16 098597 BY SRI DEWI NUR 8/12/2017 8/14/2017 2 III 2900 47
17 098611 BY DARMAWATI 8/12/2017 8/23/2017 11 III 1900 41
18 098605 BY NURELYDAH G1 8/12/2017 8/14/2017 2 I 2000 44
19 098606 BY NURELYDAH G2 8/12/2017 8/19/2017 7 I 1800 41
20 098646 BY SUNARTI G2 8/13/2017 8/15/2017 2 III 2300 44
21 098632 BY SUNARTI 8/13/2017 8/15/2017 2 III 4800 54
22 098615 BY MIRAWATI 8/13/2017 8/15/2017 2 III 3450 51
23 098628 BY RINA 8/13/2017 8/16/2017 3 II 3000 49
24 098638 BY HETTI HERAWATI 8/13/2017 8/15/2017 2 II 2300 41
25 098668 BY NURHAENI 8/14/2017 8/16/2017 2 III 3300 51
26 098648 BY ELA. PADILA 8/14/2017 8/14/2017 1 I 2600 45
27 098683 BY NOVA MINARTI 8/15/2017 8/18/2017 3 I 3800 51
28 098672 BY HJ. SAITUNG 8/15/2017 8/16/2017 1 II 2200 48
29 098711 BY RINA 8/16/2017 8/25/2017 9 III 3000 45
30 098723 BY HASNAH 8/16/2017 8/18/2017 2 III 2200 41
31 098736 BY ANI S 8/17/2017 8/21/2017 4 III 1700 44
32 098727 BY SADARIAH 8/17/2017 8/18/2017 1 II 2000 43
33 098775 BY YULIANTI 8/19/2017 8/21/2017 2 III 2250 44
34 098794 BY ARNI 8/20/2017 8/23/2017 3 III 3100 47
35 098787 BY RINA 8/20/2017 8/24/2017 4 III 3600 49
36 098861 BY SETIAWATI 8/23/2017 8/26/2017 3 III 2900 47
37 098884 BY HARTATI 8/24/2017 9/1/2017 8 I 2850 48
38 098899 BY DINA ADE 8/25/2017 8/28/2017 3 III 2500 44
39 098904 BY ANI 8/26/2017 8/30/2017 4 III 2250 45
40 098908 BY JOHARIA 8/26/2017 8/30/2017 4 III 2800 44
41 098918 BY SURYA NESIA 8/28/2017 8/29/2017 1 III 4200 52
42 098974 BY FERMINA ADO 8/30/2017 9/1/2017 2 III 2200 44
43 098987 BY MULIATI 8/30/2017 9/2/2017 3 III 2300 46
44 098998 BY INDRAWATI 8/31/2017 9/3/2017 3 III 2750 48
BY.
BULAN :
SEPTEMBER
2017
1 099035 BY SYAMSIAH AMIRUDDIN

2 099058 BY YULIA AFRIANTI MUH ZAKI
3 099096 BY NURCAHYA SATRIADI HIDAYAT
4 099069 BY SUWARNI MANSYUR
5 099083 BY HASRIANI SALDI SANJAYA
6 099118 BY MARSITI SUPARNO
7 099112 BY LINA SUWANDI S
8 099099 BY ROSTINA NURDIN
9 099155 BY IDAWATI NASARUDDIN
10 099163 BY RISKA JAMALUDDIN
11 099188 BY RAHMA HARIANTI AMIRUDDIN
12 099218 BY RISMAWATI ASWAR ADAM
13 099230 BY AFRIANTI ISWANDI ABDULLAH
14 099272 BY SULASTRI AGUS ABRIANTO
15 099289 BY HASMA USMAN
16 099293 BY HASNAWATI MUH M. BASTARI
17 099310 BY NURHIKMA F G.1 IBRAHIM
18 099311 BY NURHIKMA F G.2 IBRAHIM
19 099331 BY MUSPIRAH AHMAD ISRAIL
20 099333 BY MULIATI AMIN HERMIN TASLIM
21 099359 BY ASTRI ASTUTI INDRAWAN
22 099383 BY RISKAYANTI ASWANDI SYAHRIR
23 099420 BY RINA M. RISWAN RUSLAN
24 099430 BY NURHIKMAH AHBAR YUSUF
25 099446 BY FITRIA G1 SAFARUDDIN
26 099447 BY FITRIA G2 SAFARUDDIN
27 099454 BY ASMAUL HUSNA SUDARMAN RASYID
28 099465 BY A. SUTRIANI FIRMAN
29 099460 BY HILDANINGSIH ARSAL
30 099505 BY MUSDALIFAH SOFYAN HAMBALI
31 099490 BY SRI WAHYUNI ALDI
32 099508 BY SEPTIANA G1 SURYA
33 099509 BY SEPTIANA G2 SURYA
34 099504 BY INA NURYANA SHAIFUL M
35 099517 BY NUR KHAERIATY G1 M. HARIS
36 099562 BY KASMAWATI T SYAPARUDDIN
37 099555 BY SITTI NURLAELA ABDUL RAZAK
38 099547 BY MULIATI ARIS
39 099576 BY HALIMA SYAWAL
RE
JK
KB LT
KB 2
4
KUNJUNG MANGE TIMUR, JENEPONTO 9/3/2017 9/7/2017 4 1

JL. BALAM 1 NO 16 9/4/2017 9/6/2017 2 1
JL. RAPPOKALLING UTARA 9/5/2017 9/9/2017 4 1 1
JL. DAHLIA LR 310 9/5/2017 9/6/2017 1 1 1
LING KADIENG, MANDAI, MAROS 9/5/2017 9/8/2017 3 1
JL. GEMBIRA NO 61 9/6/2017 9/7/2017 1 1 1
JL. YRIP SUMOHARJO LR 4/22 9/6/2017 9/8/2017 2 1
JL. SERKA MUNIR 9/6/2017 9/12/2017 6 1
BTP BLOK 46/287 9/8/2017 9/12/2017 4 1 1
JL. GALESONG UTARA, TAKALAR 9/8/2017 9/9/2017 1 1 1
TABBANGA, GOWA 9/9/2017 9/11/2017 2 1 1
JL. BORONG INDAH 9/11/2017 9/14/2017 3 1 1
JL. STADION NO 5C 9/11/2017 9/13/2017 2 1
PERUM GARAGANTI INDAH B6/1 9/14/2017 9/17/2017 3 1 1
SALODONG 9/14/2017 9/19/2017 5 1
JL. NURDIN DG TUTU NO 17 9/15/2017 9/18/2017 3 1 1
TAMAJANNANG, GOWA 9/15/2017 9/23/2017 8 1 1
TAMAJANNANG, GOWA 9/15/2017 9/29/2017 14 1 1
JL. PAMPANG II 9/16/2017 9/18/2017 2 1 1
BTN MAPPANYUKKI 9/18/2017 9/20/2017 2 1
JL. DG SIRAJU LR 2/3 9/19/2017 9/21/2017 2 1
KENDENAN, TANAH TORAJA 9/21/2017 9/24/2017 3 1 1
DUSUN PANCANA, GOWA 9/21/2017 9/21/2017 0 1
JL. TINUMBU LR 165 B NO 34 B 9/22/2017 9/26/2017 4 1
JL. TINUMBU LR 165 B NO 34 B 9/22/2017 9/25/2017 3 1
JL. PALLANTIKANG 28 9/23/2017 9/23/2017 1 1
JL. DATUK DITIRO NO 10D 9/23/2017 9/29/2017 6 1
JL. TIDUNG 8 STP II /228 9/23/2017 9/26/2017 3 1
JL. KORBAN 40 RB LR 5 9/25/2017 9/27/2017 2 1
JL. CAMPAGAYA III NO 37 9/25/2017 9/25/2017 0 1 1
JL. KIJANG LR 22 B NO 15A 9/25/2017 10/6/2017 11 1
JL. KJANG LR 22B NO 15A 9/25/2017 10/6/2017 11 1
JL. SALAKA, TAKALAR 9/25/2017 9/27/2017 2 1
JL. AR HAKIM 1/4 9/26/2017 9/28/2017 2 1
PATTALLASANG, GOWA 9/27/2017 9/30/2017 3 1
JL. CAKALANG II NO 7 9/27/2017 9/30/2017 3 1
JL. BARUKANG 2 9/27/2017 10/2/2017 5 1 1
BTN. STADION, POLMAN 9/28/2017 10/1/2017 3 1
19 20 14 1
TINDAKAN
KELAS
SPONTAN SC VE KLASIK MAURICEAUE BCB
IGD OK KB 2 KB4LT OK IGD KB 2 KB LT 4 IGD KB LT KB LT

UGD BAYI
2 4
1 II
1 II 1
III 1
III
1 VIP 1
III 1
1 III 1
1 III
III 1
III 1
II 1
II 1
1 II 1
I 1
1 III 1
III 1
II
II
1 II 1
III 1
1 III 1
1 III 1
II 1
III 1
1 III 1
1 III 1
1 II
1 III 1
1 III
1 II 1
III
1 II 1
1 II 1
1 II 1
1 II 1
1 II 1
1 I 1
II 1
1 I 1
2 0 19 1 0 1 0 0 0 0 12 1 1 17
7
BKB (PREMATURE) BLB (SEROTINUS) DIAGNOSA
KB KB KB LT KB LT
UGD BAYI UGD BAYI
LT 2 LT 4 2 4
1 BLB/KMK/LBK/SC
BCB/SMK/LBK/SC
BCB/KMK/LBK/SPT
1 BKB/SMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SC
1 BKB/SMK/LBK/SPT
BKB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT
1 BKB/SMK/LBK/SPR
1 BKB/SMK/LBK/SPT
BCB/SMK/LBK/VACUM EXTRAKSI
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/KMK/LBK/SC
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/KMK/LBK/SC
BCB/KMK/LBK/SC
1 BKB/SMK/L. KAKI /SC
BKB/SMK/LBK/SC + PREMATURE
1 BLB/SMK/LBK/VE
BCB/KMK/L. BOKONG/SC
1 BKB/KMK/LBK/SPT
BCB/KMK/LBK/SC
BCB/KMK/LBK/SC
BCB/SMK/L. BOKONG/SC
BCB/KMK/LBK/SC
BLB/SMK/LBK/SC
BLB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SC
4 0 1 1 0 0 0 2
DOKTER BBL HIDUP
KELAINAN
PB
DIAGNOSA SEKUNDER KODE ICD X KONGINETAL MR MS < 2500 > 2500
ASFIXIA BERAT + BBLR P21.0 1 1700 43

REGURGITASI P92.1 1 3450 49
BBLR P07.1 1 2500 46
PREMATURE P07.3 1 2300 46
ASFIXIA BERAT P21.0 1 3300 47
BBLR P07.1 1 2200 42
BBLR P07.1 1 2250 43
BBLR P07.1 1 2150 43
ASFIXIA RINGAN SEDANG P21.1 1 2800 47
BRONCKOPNEUMONIA P24.9 1 3550 51
ASFIXIA BERAT + CAPUT SUCCADE P21.0 1 2950 49
PREMATUR P07.3 1 2900 49
BBLR P07.1 1 2350 47
BBLR P07.1 1 2250 46
KJDR/LAHIR MATI P95 1
BBLR P07.1 1 1900 42
BBLR P07.1 1 2100 44
ASFIXIA RINGAN SEDANG P21.1 1
RDN P22.9 1 2200 45
BBLR P07.1 1 2400 44
LAHIR MATI P95 1
BBLR + HBSAg IBU P07.1 1 1750 45
BBLR + HBSAg IBU P07.1 1 1600 43
BBLR P07.1 1 2100 44
SEROTINUS P08.2 1 2700 50
RDS + KEJANG NEONATUS P22.0 1 3250 48
11 28
BB MATI IMD KET TGL
APGAR PENGINPUT
PB JAMINAN
< 2500 > 2500 SKOR < 24 JAM > 24 JAM AN
BPJS/ INHEAL GRATIS

U KIS TH
2/7 1 1 9/14/2017
7/10 1 1 10/3/2017
8/10 1 1 9/13/2017
8/10 1 1 9/13/2017
3/6 1 1 9/14/2017
8/10 1 1 9/12/2017
1/7 1 1 9/12/2017
8/10 1 1 9/18/2017
8/10 1 1 9/18/2017
8/10 1 1 9/12/2017
8/10 1 1 9/14/2017
8/10 1 1 9/18/2017
6/08 1 1 9/18/2017
6/9 1 1 9/27/2017
7/10 1 1 9/25/2017
8/10 1 1 9/25/2017
8/10 1 1 10/3/2017
7/10 1 1 10/6/2017
1/3 1 1 10/3/2017
8/10 1 1 9/23/2017
8/10 1 1 9/23/2017
7/10 1 1 9/27/2017
8/10 1 1 10/3/2017
3200 0/0 10/13/2017
8/10 1 1 10/3/2017
8/10 1 1 10/5/2017
1800 44 6/10 1 10/5/2017
7/10 1 1 10/6/2017
6/8 1 1 10/3/2017
8/10 1 1 9/29/2017
500 23 1/0 10/6/2017
7/10 1 1 10/11/2017
7/10 1 1 10/11/2017
5/9 1 1 10/3/2017
8/10 1 1 10/5/2017
8/10 1 1 10/5/2017
1/5 1 1 10/6/2017
8/10 1 1 10/11/2017
3/5 1 10/5/2017
10 25 0 2 30 5
JK BBL HIDUP
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR LAMA KEL
MASUK RAWAT LK PR AS < >
BY. 2500 2500
BULAN :
SEPTEMBER
2017
1 098884 BY HARTATI 8/24/2017 9/1/2017 8 1 I 2850

2 098974 BY FERMINA ADO 8/30/2017 9/1/2017 2 1 III 2200
3 098998 BY INDRAWATI 8/31/2017 9/3/2017 3 1 III 2750
1 099035 BY SYAMSIAH 9/3/2017 9/7/2017 4 1 II 1700
2 099058 BY YULIA AFRIANTI 9/4/2017 9/6/2017 2 1 II 3450
3 099096 BY NURCAHYA 9/5/2017 9/9/2017 4 1 III 2500

4 099069 BY SUWARNI 9/5/2017 9/6/2017 1 1 III 2300
5 099083 BY HASRIANI 9/5/2017 9/8/2017 3 1 VIP 3300
6 099118 BY MARSITI 9/6/2017 9/7/2017 1 1 III 2200

7 099112 BY LINA 9/6/2017 9/8/2017 2 1 III 3150
8 099099 BY ROSTINA 9/6/2017 9/12/2017 6 1 III 1800
9 099155 BY IDAWATI 9/8/2017 9/12/2017 4 1 III 2000

10 099163 BY RISKA 9/8/2017 9/9/2017 1 1 III 2250
11 099188 BY RAHMA HARIANTI 9/9/2017 9/11/2017 2 1 II 2150
12 099218 BY RISMAWATI 9/11/2017 9/14/2017 3 1 II 3300

13 099230 BY AFRIANTI 9/11/2017 9/13/2017 2 1 II 2800
14 099272 BY SULASTRI 9/14/2017 9/17/2017 3 1 I 3900

15 099289 BY HASMA 9/14/2017 9/19/2017 5 1 III 3550
16 099293 BY HASNAWATI 9/15/2017 9/18/2017 3 1 III 3000

17 099310 BY NURHIKMA F G.1 9/15/2017 9/23/2017 8 1 II 1700
18 099311 BY NURHIKMA F G.2 9/15/2017 9/29/2017 14 1 II 1600
19 099331 BY MUSPIRAH 9/16/2017 9/19/2017 3 1 II 2950

20 099333 BY MULIATI AMIN 9/16/2017 9/18/2017 2 1 III 3250
21 099359 BY ASTRI ASTUTI 9/18/2017 9/20/2017 2 1 III 2900

22 099383 BY RISKAYANTI 9/19/2017 9/21/2017 2 1 III 2350
23 099420 BY RINA 9/21/2017 9/24/2017 3 1 II 2250
25 099446 BY FITRIA G1 9/22/2017 9/26/2017 4 1 III 1900

26 099447 BY FITRIA G2 9/22/2017 9/25/2017 3 1 III 2100
27 099454 BY ASMAUL HUSNA 9/23/2017 9/23/2017 1 1 II

28 099465 BY A. SUTRIANI 9/23/2017 9/29/2017 6 1 III 2200
29 099460 BY HILDANINGSIH 9/23/2017 9/26/2017 3 1 III 3650
30 099505 BY MUSDALIFAH 9/25/2017 9/27/2017 2 1 II 2400

32 099508 BY SEPTIANA G1 9/25/2017 II
33 099509 BY SEPTIANA G2 9/25/2017 II
34 099504 BY INA NURYANA 9/25/2017 9/27/2017 2 1 II 3200
35 099517 BY NUR KHAERIATY G1 9/26/2017 9/28/2017 2 1 II 2100
36 099562 BY KASMAWATI T 9/27/2017 9/30/2017 3 1 II 2700

37 099555 BY SITTI NURLAELA 9/27/2017 9/30/2017 3 1 I 3400
38 099547 BY MULIATI 9/27/2017 II
39 099576 BY HALIMA 9/28/2017 10/1/2017 3 1 I 3400

17 17
BB MATI
PB < > PB
2500 2500
48
44
48
43
49
46
46
47
42
48
42
44
43
43
49
47
51
51
49
40
40
49
49
49
47
46
42
44
1800 44
45
50
44
50
44
50
49
53
BY.
BULAN :
OKTOBER 2017
1 099652 BY SATRIANI SUPRIADI

2 099644 BY ABDURRAHMAN JL. RONGKE LR 1, GOWA
3 099684 BY DINA OKTAVIANA ASRI BUDDDIN
4 099702 BY RAHMAWATI AKMAL
5 099718 BY NURAINI IBRAHIM SYAM
6 099731 BY SUPINA ALIMUDDIN
7 099746 BY MONICA BUDIYONO D
8 099709 BY FITRIANI MUH SABRI
9 099777 BY ST. AISYAH TAKDIR
10 099754 BY RISMAYANTI WAHYU
11 099773 BY HASNI AYU MANSYUR
12 099782 BY SUSANTY ABD AZIS
13 099788 BY KASMAWATI RALA
14 099804 BY SYAKINAH NOOR ARIF LUKMAN HAKIM
15 099794 BY NURJANNAH G1 AGUS
16 099814 BY IRDA YANTI IRWANTO
17 099834 BY HASRAWATI MUNIR
18 099836 BY SALMA ARIF RUSLI
19 099838 BY INNAKE INDRIANINGSIH HASNUDDIN
20 099833 BY FERAWATI MAYA DEDY UTOMO
21 099870 BY SHINTA A SUGIONO SEGENA
22 099893 BY RAHMADANI RIZKI
23 099887 BY RAHMI MANSYUR
24 099901 BY REZKI AMALIA TINO
25 099921 BY ST. KHALISHAH SULTAN
26 099934 BY ELISABETH ARNOLOUS YANCEN
27 099954 BY NOVIA INDAH FARDIANSA
28 099982 BY DESI TUPAK LUKMAN
29 099980 BY MARGARETHA YOHANES
30 099986 BY ARI RAHMAWATI MUH RATNO
31 100002 BY SYAMSAM ZAHARUDDIN
32 100000 BY A. GUSTINA SYAHRUL
33 099998 BY FAUZA MASKUR
34 100029 BY DARMAWATI HAMSAH
35 100027 BY JUMRIANI MUH RIFAL
36 100065 BY AYU PERMATASARI AMRAN
37 100075 BY HASRIYUNI NURSALIM
38 100084 BY KASMA HERMAN C
39 100194 BY IRMAYANTI INDRA
40 100196 BY ARDALISA ARSAD RAHMAT ARFANDI
41 100219 BY RAHMATIA HAMKA
R
JK
MASUK RAWAT
LK PR SPONTAN
KB LT
KB 2
4
JL. BARAWAJA 10/2/2017 10/5/2017 3 1

ABDURRAHMAN 10/2/2017 10/4/2017 2 1 1
TAKALAR 10/3/2017 10/6/2017 3 1
JL. MACCINI KIDUL NO 24 A 10/4/2017 10/7/2017 3 1
JL.BALANA 2/21 10/5/2017 10/9/2017 4 1
JL. BONTORANNU, JENNEPONTO 10/5/2017 10/5/2017 0 1 1
JL. TELEGRAF II /6 10/6/2017 10/6/2017 0 1 1
JL. HATI MULIA NO 12A 10/5/2017 10/7/2017 2 1
JL. TINUMBU LR 135 C/14 10/7/2017 10/12/2017 5 1
JL. SYECH YUSUF 3/27 C 10/6/2017 10/10/2017 4 1
JL. ABLAM NO 7B 10/7/2017 10/10/2017 3 1 1
JL. DG TATA 3 10/8/2017 10/8/2017 0 1 1
PULAU BADI 10/8/2017 10/11/2017 3 1
JL. PERUM PURI ARTHA GRAHA 10/9/2017 10/12/2017 3 1
PA'BATTOANG, TAKALAR 10/9/2017 10/12/2017 3 1
JL. ST. ALAUDDIN II LR 1 STP VI 10/9/2017 10/13/2017 4 1
JL. MACCINI TENGAH 10/10/2017 10/12/2017 2 1
JL. MONGUNSISDI BARU /20 10/10/2017 10/13/2017 3 1
JL. KAJENJENG DALAM 1 10/10/2017 10/12/2017 2 1 1
JL. KRAENG LOE, GOWA 10/10/2017 10/12/2017 2 1
JL. DG TATA 1 NO 42A 10/11/2017 10/18/2017 7 1
JL. UJUNG PANDANG BARU II 10/12/2017 10/15/2017 3 1
JL. PALAKANG, TAKALAR 10/12/2017 10/13/2017 1 1 1
JL. LANGGAU 10/12/2017 10/13/2017 1 1
UJUNG TOBOKO, KOLAKA UTARA 10/13/2017 10/17/2017 4 1
JL. BARA-BARAYA 10/14/2017 10/17/2017 3 1
JL. RAPPOCINI RAYA LR 9 10/15/2017 10/16/2017 1 1 1
SANDANA, MAMASA 10/17/2017 10/20/2017 3 1
JL. MENGERUDA, KUPANG,NTT 10/16/2017 10/18/2017 2 1 1
TEMU PUTIH, LAMPUNG 10/17/2017 10/24/2017 7 1
JL. PETTA PUNGGAWA 10/17/2017 10/21/2017 4 1
JL. H. KALLA LR 1B NO 5 10/17/2017 10/17/2017 0 1
JL. WIJAYA KUSUSMA 10/17/2017 10/20/2017 3 1
JL. URIP SUMOHARJO 10/18/2017 10/22/2017 4 1
JL. GUNUNG BAWAKARAENG 10/18/2017 10/23/2017 5 1
JL. BATUA RAYA III LR 1 /3 10/20/2017 10/20/2017 0 1 1
JL. DAHLIA LR 309 NO 21 10/21/2017 10/24/2017 3 1 1
ASMIL YON ARHANUDSE, PANAIKANG 10/22/2017 10/24/2017 2 1 1
JL. DG TANTU 1 NO 6 10/28/2017 10/31/2017 3 1 1
JL. PA'RA PUNGANTA, TAKALAR 10/28/2017 10/28/2017 0 1 1
DSN. SAPIRIA, TAKALAR 10/29/2017 11/2/2017 4 1 1
TINDAKAN
KELAS

UGD BAYI
2 4
1 III
III
1 I 1
1 II 1
1 III 1
III 1
III
1 III
1 III 1
1 III
III 1
I 1
1 III
1 II
1 III 1
1 III 1
1 III 1
1 III 1
II 1
1 VIP 1
1 II
1 II
III 1
1 III
1 I 1
1 II
III 1
1 III
III 1
1 III 1
1 III
1 I
1 II
1 II 1
1 III 1
III 1
II 1
II 1
III
III 1
III 1
17
KB KB KB LT KB LT
UGD BAYI UGD BAYI
LT 2 LT 4 2 4
1 BKB/BMK/LBK/SC
1 BKB/SMK/LBK/SPT
BCB/KMK/LBK/SC
BCB/KMK/LBK/SC
BKB/BMK/LBK/SC
BCB/SMK/LBK/SPT
1 BKB/KMK/LBK/SPT
1 BKB/SMK/LBK/SC
BCB/SMK/LBK/SPT
1 BKB/LBK/SMK/SC
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
1 BKB/BMK/LBK/SC
1 BKB/SMK/LBK/SC
BCB/KMK/L. SUNGSANG/SC
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SC
1 BKB/SMK/LBK/SC
1 BKB/SMK/LBK/SC
BCB/KMK/LBK/SPT
1 BKB/SMK/LBK/SPT
BCB/KMK/L. BOKONG/SC
1 BLB/SMK/LBK/SC
BCB/KMK/LBK/SPT
1 BLB/SMK/LBK/SC
BCB/SMK/LBK/SPT
BCB/SMK/LBK/VE + HYPERBILIRUBINE
1 BKB/SMK/LBK/SC
1 BKB/SMK/L. KAKI/SC
1 BLB/SMK/LBK/SC
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/KMK/LBK/SPT
1 BKB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
BCB/SMK/LBK/SPT
DOKTER BBL HIDUP
KELAINAN
KONGINETAL PB
DIAGNOSA SEKUNDER KODE ICD X MR MS < 2500 > 2500

P07.3 1 2300 42
BBLR P07.1 1 2400 46
BBLR P07.1 1 2200 45
RDN + PREMATURE P22.9 1 3100 49
KJDR P95 1
KJDR P95 1
FEBRIS NEONATORUM P81.9 1 3400 48
RDS P22.0 1 2800 47
KJDR P95 1
ASFIXIA BERAT + BBLR P21.0 1 2350 49
BBLR P07.1 1 2400 46
BBLR P07.1 1 2400 43
CONJUNGTIVITIS + URTIKARIA P39.1 1 4000 50
RDN + PREMATURE + PNEUMONIA AP22.9 1 2850 46
BBLR P07.1 1 2200 44
BBLSAR P07.0 1
BBLR P07.1 1 2300 44
ASFIXIA BERAT + SEROTINUS P21.0 1 2600 47
BBLR P07.1 1 2000 44
RDN + TRANSIENT TACHYPNU OF P22.9 + P22.1 1 2650 49
BBLR P07.1 1 2500 46
KJDR P95 1
REGURGITASI + METEORISMUS P92.0 1 3600 48
BBLR P07.1 1 2100 46
ASFIXIA BERAT + KEJANG NEONAT P21.0 + P90 1 3250 49
KJDR P95 1
ASFIXIA BERAT P21.0 + Z38.0 1 3700 50
BBLR P07.1 1 2300 46
PREMATURE + RDN P07.3 + P22.9 1 2000 45
KJDR P95 1
BB MATI
IMD
KET TGL
APGAR PENGINPUT
PB JAMINAN
SKOR AN
< 2500 > 2500 < 24 JAM > 24 JAM
BPJS/ INHEAL GRATIS

U KIS TH
8/10 1 10/11/2017
8/10 1 1 10/11/2017
8/10 1 1 10/11/2017
7/10 1 1 10/11/2017
8/10 1 1 10/11/2017
2850 47 0/0 10/11/2017
300 19 0/0 10/11/2017
8/10 1 1 10/11/2017
8/10 1 1 10/18/2017
8/10 1 1 10/19/2017
8/10 1 1 10/17/2017
3050 50 0/0 10/11/2017
8/10 1 1 10/18/2017
6/10 1 1 10/17/2017
1/6 1 1 10/17/2017
8/10 1 1 10/17/2017
8/10 1 1 10/17/2017
2/6 1 1 10/17/2017
8/10 1 1 10/13/2017
8/10 1 1 10/17/2017
8/10 1 1 10/19/2017
7/10 1 1 10/17/2017
8/10 1 1 10/17/2017
600 30 4/3 1 10/17/2017
8/10 1 1 10/18/2017
3/6 1 1 10/19/2017
1 1 10/18/2017
6/8 1 1 10/26/2017
8/10 1 1 10/20/2017
3/5 1 1 10/26/2017
8/10 1 1 10/26/2017
2000 46 0/0 10/19/2017
8/10 1 1 10/26/2017
7/10 1 1 10/26/2017
3/6 1 1 10/26/2017
1300 40 0/0 11/3/2017
1/4 1 1 10/26/2017
8/10 1 1 10/26/2017
8/10 1 1 11/8/2017
1400 40 0/0 11/3/2017
7/10 1 1 11/8/2017
9 26 0 0 22 11
BB MATI
LAMA
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RAWA KELA
MASUK T S
< >
DIAGNOSA SEKUNDER 2500 2500
BY.
BULAN :
OKTOBER 2017
1 099508 BY SEPTIANA G1 9/25/2017 10/6/2017 11 II BBLR + HBSAg IBU

2 099509 BY SEPTIANA G2 9/25/2017 10/6/2017 11 II BBLR + HBSAg IBU
3 099547 BY MULIATI 9/27/2017 10/2/2017 5 II RDS + KEJANG NEONATUS
4 099576 BY HALIMA 9/28/2017 10/1/2017 3 I ASFIXIA BERAT
1 099652 BY SATRIANI 10/2/2017 10/5/2017 3 III PREMATURE

2 099644 BY ABDURRAHMAN 10/2/2017 10/4/2017 2 III
3 099684 BY DINA OKTAVIANA 10/3/2017 10/6/2017 3 I BBLR
4 099702 BY RAHMAWATI 10/4/2017 10/7/2017 3 II BBLR
5 099718 BY NURAINI 10/5/2017 10/9/2017 4 III RDN + PREMATURE

6 099709 BY FITRIANI 10/5/2017 10/7/2017 2 III PREMATURE
8 099754 BY RISMAYANTI 10/6/2017 10/10/2017 4 III RDN + PREMATURE
7 099777 BY ST. AISYAH 10/7/2017 10/12/2017 5 III FEBRIS NEONATORUM

9 099773 BY HASNI AYU 10/7/2017 10/10/2017 3 III RDS
10 099788 BY KASMAWATI 10/8/2017 10/11/2017 3 III RDN + PREMATURE
11 099804 BY SYAKINAH NOOR 10/9/2017 10/12/2017 3 II PREMATURE

12 099794 BY NURJANNAH G1 10/9/2017 10/12/2017 3 III ASFIXIA BERAT + BBLR
13 099814 BY IRDA YANTI 10/9/2017 10/13/2017 4 III FEBRIS NEONATORUM
14 099834 BY HASRAWATI 10/10/2017 10/12/2017 2 III BBLR

15 099836 BY SALMA ARIF 10/10/2017 10/13/2017 3 III ASFIXIA BERAT
16 099838 BY INNAKE INDRIANIN 10/10/2017 10/12/2017 2 II BBLR
17 099833 BY FERAWATI MAYA 10/10/2017 10/12/2017 2 VIP CONJUNGTIVITIS + URTIKARIA
18 099870 BY SHINTA A 10/11/2017 10/18/2017 7 II RDN + PREMATURE + PNEUMONIA ASPIRASI
19 099893 BY RAHMADANI 10/12/2017 10/15/2017 3 II RDN + PREMATURE

20 099887 BY RAHMI 10/12/2017 10/13/2017 1 III BBLR
21 099901 BY REZKI AMALIA 10/12/2017 10/13/2017 1 III BBLSAR 600
22 099921 BY ST. KHALISHAH 10/13/2017 10/17/2017 4 I BBLR
23 099934 BY ELISABETH 10/14/2017 10/17/2017 3 II ASFIXIA BERAT + SEROTINUS

BB MATI
LAMA
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR RAWA KELA
MASUK T S
< >
BY.
24 099954 BY NOVIA INDAH 10/15/2017 10/16/2017 1 III BBLR
26 099980 BY MARGARETHA 10/16/2017 10/18/2017 2 III BBLR
25 099982 BY DESI TUPAK 10/17/2017 10/20/2017 3 III RDN + TRANSIENT TACHYPNU OF NEWBORN
27 099986 BY ARI RAHMAWATI 10/17/2017 10/24/2017 7 III ASFIXIA BERAT
28 100002 BY SYAMSAM 10/17/2017 10/21/2017 4 III PREMATURE
29 099998 BY FAUZA 10/17/2017 10/20/2017 3 II REGURGITASI + METEORISMUS
30 100029 BY DARMAWATI 10/18/2017 10/22/2017 4 II BBLR

31 100027 BY JUMRIANI 10/18/2017 10/23/2017 5 III ASFIXIA BERAT + KEJANG NEONATORUM
32 100075 BY HASRIYUNI 10/21/2017 10/24/2017 3 II ASFIXIA BERAT
33 100084 BY KASMA 10/22/2017 10/24/2017 2 II BBLR
34 100194 BY IRMAYANTI 10/28/2017 10/31/2017 3 III PREMATURE + RDN
35 100219 BY RAHMATIA 10/29/2017 11/2/2017 4 III FEBRIS NEONATORUM

EE
IA ASPIRASI
NEWBORN
TORUM
BY.
BULAN :
NOVEMBER 2017
1 100278 BY ISRAWATI ABD KARIM

2 100295 BY FITRI ABDUL HAKIM
3 100314 BY WAHIDA ASRUL SYAM
4 100363 BY SRI UTAMI MUH AMIN
5 100334 BY HIKMAYANTI ASRIADI
6 100335 BY MIRANDA IMAM SYAFEY
7 100377 BY HAJRIA ASWAR BULA
8 100394 BY SYARIANI SALDI
9 100393 BY NUR ITA YULIANTI G2 MIZAR HAQ
10 100398 BY HALIMAH KAMAL IRWAN
11 100447 BY NADIAH ANDI MAPPATUNRU
12 104474 BY ZULFITRY SUJIANTO
13 100480 BY IRMAWANTI NASRULLAH
14 100503 BY SRI RAHAYU JUNAEDI
15 100524 BY YAYU ANDIRA LUTHFI ARHAM
16 100527 BY MASHITA SYAIFANAL BACHMID
17 100547 BY RISKA HANDAYANI ARINATO
18 100579 BY NURHAYATI BASRI
19 100590 BY HARDIANTI DEWI IRFAN
20 100648 BY HASLINDA MAHMUD
21 100659 BY HARISAH G1 HASMADI
22 100660 BY HARISAH G2 HASMADI
23 100665 BY NURLINDA JUMAEDI
24 100682 BY IRNA SUPRIADI
25 100687 BY FIRDA SYAMSUL
26 100693 BY FITRIANI JUWANDA
27 100698 BY EVITA OKTAVIANI ERWIN
28 100696 BY IRFI EKA IRWAN
29 100713 BY KLEMENSIANA IRA LAURENSIUS OPI
30 100728 BY ST MASITA FAHRUL
31 100764 BY ROSMITA NASRULLAH
32 100795 BY HASNAH BAHTIAR
33 100781 BY MERIAM SAMSUDDIN
34 100812 BY ERNA ARMAWATI JAMAL TOMPO
35 100819 BY KARMILA G1 SYANSUL RIJAL
36 100820 BY KARMILA G2 SYAMSUL RIJAL
37 100824 BY RAHMATIA BAHARUDDIN
38 100838 BY MUGI LESTARI SANDI
39 100848 BY ST. HAJRAH
40 100900 BY WULANDARI SUNARYO
41 100893 BY SITTI KHADIJAH ABDILLAH
42 100895 BY MULIYANTI M. ADE PUTRA
43 100907 BY YAISA SAID
44 '100929 BY MAYA SUSANTI HARDIANSYAH
45 100952 BY NURUL PRAYUDA
46 100993 BY FATMAWATI SYAHRUDDIN
JK
MASUK RAWAT
LK PR SPONTAN
KB LT
KB 2
4
BILONGA, GOWA 11/1/2017 11/4/2017 3 1

JL. LETJEN MAPPAODDANG/8 11/2/2017 11/6/2017 4 1
JL. BIRINGKANAYA, GOWA 11/2/2017 11/5/2017 3 1
INDRAMAYU 11/5/2017 11/5/2017 0 1 1
JL. KALIMANTAN KOMP. PU 11/3/2017 11/7/2017 8 1 1
JL. MANUNGGAL 22 11/3/2017 11/6/2017 3 1 1
JL. BULOGADING NO 22 11/6/2017 11/13/2017 7 1
BONTOLEMPANGAN 11/6/2017 11/8/2017 2 1
JL. RATULANGI LR 7 11/6/2017 11/8/2017 2 1
BTN KODAM 3 C5/10 11/9/2017 11/10/2017 1 1 1
ASRAMA LOMPOBATTANG 11/9/2017 11/9/2017 1 1
MANONGKOKI, TAKALAR 11/10/2017 11/11/2017 1 1
JL. MANNURUKI 2 NO 12 B 11/11/2017 11/15/2017 4 1
JL. BARUKANG UTARA 11/11/2017 11/14/2017 3 1 1
JL. BUTUNG II NO 1 11/12/2017 11/17/2017 5 1 1
JL. DG TANTU 1 LR 4A 11/13/2017 11/17/2017 4 1
KAMPUNG BERU, TAKALAR 11/14/2017 11/17/2017 3 1 1
JL. DAHLIA LR 312 11/14/2017 11/15/2017 1 1 1
JL. SUNGAI SADDANG BARU LR MU'MININ 11/17/2017 11/20/2017 3 1 1
JL. BARUKANG III NO 34A 11/17/2017 11/25/2017 8 1
BARUKANG 11/17/2017 11/20/2017 3 1
JL. ABU BAKAR LAMBOGO LR 11A/159C 11/18/2017 11/21/2017 3 1 1
JL. ABU BAKAR LAMBOGO 03/27 11/18/2017 12/1/2017 13 1
BOLU, MAKASSAR 11/18/2017 11/27/2017 9 1
DUSUN PANNANNUANTA, TAKALAR 11/18/2017 11/25/2017 7 1
JL. TINUMBU LR 148 11/19/2017 11/19/2017 0 1
JL. SUKA DG LUBANG, BIRINGKANAYA 11/19/2017 11/20/2017 1 1 1
JL. BALANG BARU NO 89 11/19/2017 11/22/2017 3 1 1
JL. VETERAN SELATAN 11/20/2017 11/23/2017 3 1
BONTOLAJA, GOWA 11/21/2017 11/23/2017 2 1
PULAU LAE-LAE 11/22/2017 11/25/2017 3 1
BTN. BUKIT TAMARUNAG GOWA 11/23/2017 11/26/2017 3 1
SAMPULUNGAN TAKALAR 11/23/2017 12/20/2017 27 1
SAMPULUNGAN, TAKALAR 11/23/2017 12/20/2017 27 1
JL. TINUMBU 11/24/2017 11/29/2017 5 1
JL. SERIGALA 151 11/24/2017 11/27/2017 3 1 1
11/24/2017 11/24/2017 0 1
JL. VETERAN SELATAN 11/27/2017 11/28/2017 1 1 1
JL. TUGU NO 4 11/27/2017 11/27/2017 1 1
JL. KIJANG NO 61 11/27/2017 11/29/2017 2 1
PULAU BARRANG LOMPO 11/27/2017 11/30/2017 3 1
JL INNA SAUDARI NO 16 E 11/28/2017 11/29/2017 1 1 1
JL. SATANGA LR 126 NO 16 11/29/2017 12/2/2017 3 1 1
JL. KESATUAN 3 NO 25 11/30/2017 12/3/2017 3 1 1
TINDAKAN
KELAS

UGD BAYI
2 4
1 I 1
II 1
I 1
II 1
III 1
III 1
1 III
1 III 1
1 III 1
1 II 1
III 1
1 II
1 I 1
1 III
III
III 1
1 III 1
III 1
III 1
III 1
1 III 1
1 III 1
II
1 III
1 II 1
1 I
1 III
III 1
III 1
1 III 1
1 II 1
1 III
III
1 III 1
1 III
1 III
1 III 1
III 1
III
III 1
1 III 1
1 I 1
1 III
III 1
II 1
III 1
2017
KB KB KB LT KB LT
UGD BAYI UGD BAYI
LT 2 LT 4 2 4
RDN
RDN
BCB/KMK/LBK/SPT
KJDR
BCB/KMK/LBK/SPT
BCB/KMK/LBK/SPT
1 BKB/SMK/LBK/SC
RDS + KEJANG NEONATUS
BCB/KMK/L. BOKONG /SC
BCB/KMK/LBK/SC
BCB/KMK/LBK/SPT
1 BKB/KMK/LBK/SPT (HIV IBU)
BCB/KMK/LBK/SPT
1 KEJANG NEONATUS + ASFIXIA S
1 BKB/BMK/LBK/SPT
RDS + BRANCHIALE PALSY
ASFIXIA BERAT
ASFIXIA RINGAN SEDANG + CA
ASFIXIA BERAT + MULTIPLE CON
RDS + CAPUT SUCCADENOUM
BCB/KMK/LBK/SPT
BCB/KMK/LBK/SPT
1 BKB/SMK/L. BOKONG/SPT
1 BKB/SMK/LBK/SC + PREMATURE
ASFIXIA BERAT
1 ASFIXIA BERAT
1 BKB/SMK/LBK/SPT
BCB/KMK/LBK/SPT
ASFIXIA BERAT
BCB/KMK/LBK/SPT
BCB/SMK/LBK/VE
1 BKB/SMK/LBK/SC
NKB/KMK/PE. BOKONG/SPT
ASFIXIA SEDANG
1 BKB/SMK/LBK/SC+ BBLR + HYPO
1 BKB/SMK/LBK/SC + BBLR + HYP
ASFIXIA SEDANG
BCB/KMK/LBK/SPT
KJDR
CAPUT SUCCADENOUM
KJDR
BCB/KMK/LBK/SPT
1 ASFIXIA SEDANG
ASFIXIA BERAT
RDN
BCB/KMK/LBK/SPT
DOKTER BBL HIDUP
KELAINAN
KONGINETAL
DIAGNOSA SEKUNDER KODE ICD X MR MS < 2500
BCB/SMK/LBK/SC P22.9 1
BCB/SMK/LBK/SPT P22.9 1
BBLR P07.1 1 2300
P95 1
BBLR P07.1 1 2000
BBLR P07.1 1 2400
PREMATURE P07.3 1 2550
BCB/SMK/LBK/SPT + PNEUMONIA ASPIRASI P22.0 1
BBLR P07.1 2400
BBLR P07.1 2350
BBLR P07.1 1 2350
BBLSAR (TIDAK MASUK K BAYI + RUJUK RSWS) P07.1 1 400
BBLR P07.1 1 2400
BLB/SMK/LBK/SC P90 1
PREMATURE + RDN P07.3 1
KEJANG NEONATORUM + BCB/SMK/LBK/SC P21.0 1
BCB/SMK/LBK/SPT + P21.1 1
BBLR P07.1 1 1600
BBLR P07.1 1 1950
PREMATURE + RDN P07.3 1 2100
HDN P07.3 1 1850
KEJANG NEONATUS + BCB/SMK/L. KAKI/SPT P21.1 1
BLB/SMK/L. KAKI/SC + KEJANG NEONATUS P21.0 1
KJDR P95 1
BBLR P07.1 1 2200
BCB/SMK/LBK/SPT + CAPUT SUCCADENOUM P21.0 1
BBLR P07.1 1 2350
ASFIXIA RINGAN SEDANG + CAPUT SUCCADENOUMP21.1 1
KJDR P95 1
PREMATURE + CONJUNGTIVITIS P07.3 1 500
PREMATURE + CONJUNGTIVITIS P07.3 + P39.1 1 1500
BLB/SMK/LBK/SC + KEJANG NEONATUS P21.1 1
BBLR P07.1 1 2400
BCB/SMK/LBK/SC P95 1
BBLR P07.1 1 2150
BLB/SMK/LBK/SPT + CAPUT SUCCADENOUM P21.0 1
BBLR P07.1 1 1900
BBL HIDUP BB MATI
APGAR IMD
PB PB JAMINAN
SKOR
> 2500 < 2500 > 2500 < 24 JAM
BPJS/ INHEAL GRATIS

U KIS TH
3500 50 8/10 1 1
3600 51 7/10 1
45 8/10 1 1
500 30 0/0
43 8/10 1 1
44 8/10 1 1
42 7/10 1 1
3900 49 7/10 1 1
47 8/10 1 1
46 8/10 1 1
43 8/10 1 1
21 1/7 1
48 8/10 1 1
2800 50 5/8 1
2800 47 8/10 1 1
4000 50 8/10 1 1
2700 47 1/3 1
2750 49 5/6 1 1
2900 48 2/3 1
3800 51 7/10 1 1
41 8/10 1 1
43 8/10 1 1
43 8/10 1 1
42 6/08 1 1
3450 48 7/2 1
3000 48 0/2 1
2100 38 0/0
46 8/10 1 1
2800 48 3/5 1 1
44 8/10 1 1
3350 49 6/10 1 1
42 8/10 1 1
400 27 0/0
2850 48 4/8 1
40 8/10 1
40 8/10 1
3050 49 4/6 1
44 7/10 1 1
3000 49 6/10 1 1
2600 47 0/0
44 7/10 1 1
3150 51 4/6 1
2900 46 1/3 1
3700 50 8/10 1
45 8/10 1 1
14 25 0 2 27
IMD
KET TGL
PENGINPUT
AN
> 24 JAM
11/5/2017
1 11/13/2107
11/13/2017
1/10/2017
11/13/2017
11/13/2017
11/15/2017
11/15/2017
11/13/2017
11/13/2017
11/16/2017
11/15/2017
11/15/2017
1 11/21/2017
11/29/2017
11/22/2017
1 11/22/2017
11/21/2017
11/21/2017
11/22/2017
11/28/2017
10/22/2017
11/28/2017
12/7/2017
1 12/7/2017
12/6/2017
12/7/2017
11/28/2017
11/28/2017
11/28/2017
11/27/2017
11/27/2017
1/10/2018
1 11/27/2017
1 12/14/2017
1 12/18/2017
1 12/4/2017
12/4/2017
12/5/2017
12/5/2017
12/5/2017
1 12/7/2017
12/6/2017
12/7/2017
12/18/2017
9
LAM
NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR A KELA
MASUK RAW S
AT DIAGNOSA
BY.
BULAN :
NOVEMBER
2017
1 100219 BY RAHMATIA 10/29/2017 11/2/2017 4 III BCB/SMK/LBK/SPT
1 100278 BY ISRAWATI 11/1/2017 11/4/2017 3 I RDN
2 100295 BY FITRI 11/2/2017 11/6/2017 4 II RDN

3 100314 BY WAHIDA 11/2/2017 11/5/2017 3 I BCB/KMK/LBK/SPT
4 100334 BY HIKMAYANTI 11/3/2017 11/7/2017 8 III BCB/KMK/LBK/SPT

5 100335 BY MIRANDA 11/3/2017 11/6/2017 3 III BCB/KMK/LBK/SPT
6 100377 BY HAJRIA 11/5/2017 11/9/2017 4 III BKB/SMK/LBK/SC
7 100394 BY SYARIANI 11/6/2017 11/13/2017 7 III RDS + KEJANG NEONATUS

8 100393 BY NUR ITA YULIANTI G2 11/6/2017 11/8/2017 2 III BCB/KMK/L. BOKONG /SC
9 100398 BY HALIMAH KAMAL 11/6/2017 11/8/2017 2 II BCB/KMK/LBK/SC
10 100447 BY NADIAH 11/9/2017 11/10/2017 1 III BCB/KMK/LBK/SPT
11 100480 BY IRMAWANTI 11/10/2017 11/11/2017 1 I BCB/KMK/LBK/SPT
12 100503 BY SRI RAHAYU 11/11/2017 11/15/2017 4 III KEJANG NEONATUS + ASFIXIA SEDANG
13 100524 BY YAYU ANDIRA 11/11/2017 11/14/2017 3 III BKB/BMK/LBK/SPT
14 100527 BY MASHITA 11/12/2017 11/17/2017 5 III RDS + BRANCHIALE PALSY
15 100547 BY RISKA HANDAYANI 11/13/2017 11/17/2017 4 III ASFIXIA BERAT
16 100579 BY NURHAYATI 11/14/2017 11/17/2017 3 III ASFIXIA RINGAN SEDANG + CAPUT SUC
17 100590 BY HARDIANTI DEWI 11/14/2017 11/15/2017 1 III ASFIXIA BERAT + MULTIPLE CONGENITAL
18 100648 BY HASLINDA 11/17/2017 11/20/2017 3 III RDS + CAPUT SUCCADENOUM

19 100659 BY HARISAH G1 11/17/2017 11/25/2017 8 III BCB/KMK/LBK/SPT
20 100660 BY HARISAH G2 11/17/2017 11/20/2017 3 III BCB/KMK/LBK/SPT
21 100665 BY NURLINDA 11/18/2017 11/21/2017 3 II BKB/SMK/L. BOKONG/SPT

22 100682 BY IRNA 11/18/2017 12/1/2017 13 III BKB/SMK/LBK/SC + PREMATURE
23 100687 BY FIRDA 11/18/2017 11/27/2017 9 II ASFIXIA BERAT
24 100693 BY FITRIANI 11/18/2017 11/25/2017 7 I ASFIXIA BERAT
LAM
MASUK RAW S
AT DIAGNOSA
BY.
25 100696 BY IRFI EKA 11/19/2017 11/20/2017 1 III BCB/KMK/LBK/SPT

26 100713 BY KLEMENSIANA IRA 11/19/2017 11/22/2017 3 III ASFIXIA BERAT
27 100728 BY ST MASITA 11/20/2017 11/23/2017 3 III BCB/KMK/LBK/SPT
28 100764 BY ROSMITA 11/21/2017 11/23/2017 2 II BCB/SMK/LBK/VE
29 100795 BY HASNAH 11/22/2017 11/25/2017 3 III BKB/SMK/LBK/SC
30 100812 BY ERNA ARMAWATI 11/23/2017 11/26/2017 3 III ASFIXIA SEDANG

31 100819 BY KARMILA G1 11/23/2017 12/5/2017 III
32 100820 BY KARMILA G2 11/23/2017 12/5/2017 III
33 100824 BY RAHMATIA 11/24/2017 11/29/2017 5 III ASFIXIA SEDANG

34 100838 BY MUGI LESTARI 11/24/2017 11/27/2017 3 III BCB/KMK/LBK/SPT
35 100900 BY WULANDARI 11/27/2017 11/28/2017 1 III CAPUT SUCCADENOUM

36 100895 BY MULIYANTI 11/27/2017 11/29/2017 2 I BCB/KMK/LBK/SPT
37 100907 BY YAISA 11/27/2017 11/30/2017 3 III ASFIXIA SEDANG
38 '100929 BY MAYA SUSANTI 11/28/2017 11/29/2017 1 III ASFIXIA BERAT
39 100952 BY NURUL 11/29/2017 12/2/2017 3 II RDN
40 100993 BY FATMAWATI 11/30/2017 12/3/2017 III

LAM
MASUK RAW S
AT DIAGNOSA
BY.
UN 2017
BB MATI
PB
< >
FEBRIS NEONATORUM
BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT
BBLR
BBLR
BBLR
PREMATURE
BCB/SMK/LBK/SPT + PNEUMONIA ASPIRASI

BBLR
BBLR
BBLR
BBLR
BLB/SMK/LBK/SC
PREMATURE + RDN
BCB/SMK/LBK/SPT
KEJANG NEONATORUM + BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT +
BCB/SMK/LBK/SPT
BBLR
BBLR
PREMATURE + RDN
HDN
KEJANG NEONATUS + BCB/SMK/L. KAKI/SPT
BLB/SMK/L. KAKI/SC + KEJANG NEONATUS 3000 48
BB MATI
PB
< >
BBLR
BCB/SMK/LBK/SPT + CAPUT SUCCADENOUM
BBLR
ASFIXIA RINGAN SEDANG + CAPUT SUCCADENOUM
PREMATURE
BCB/SMK/LBK/SC
BLB/SMK/LBK/SC + KEJANG NEONATUS

BBLR
BCB/SMK/LBK/SPT
BBLR
BLB/SMK/LBK/SPT + CAPUT SUCCADENOUM
BCB/SMK/LBK/SPT
BB MATI
PB
< >
BY.
BULAN :
DESEMBER 2017
1 101000 BY ROSDIANA KAMARUDDIN

2 100999 BY SAENAB HAMZAH ARIF
3 101037 BY RENI A WIRAWIRDAN
4 101052 BY KASMI ASMAR IHWAN
5 101096 BY SANTI SARIPUDDIN
6 101082 BY SYAMSINAH AGUS
7 101092 BY NURHAYATI ZAINAL
8 101112 BY ANTI PUSPITA MUH RIJAL
9 101143 BY VIRHANIE HAIRUL
10 101153 BY LINDAYATI USMAN SULAEMAN
11 101181 BY DAHLIA ADI KARTA
12 101185 BY VIVI SRI HANDAYANI FAISAL
13 101215 BY ST ANNISA G2 MUH HARUN
14 101206 BY SATRIANI YASER
15 101250 BY NADIRAH HASANUDDIN
16 101287 BY HERAWATI HERIANTO
17 101262 BY NASRIANA MARTEN BIKI
18 101268 BY SURIATI HAMKAR
19 101277 BY HARIAH ACHMAD RANI
20 101281 BY ADRIANA JUNAWID
21 101273 BY SANTI
22 101284 BY ROSMA MUH ASRI
23 101317 BY NUR HAVIVAH KHAERUL RAHMAN
24 101300 BY ERNA ASWAR
25 101356 BY HERLINA HAMKA
26 101367 BY HASNI YUSUF
27 101435 BY HASNI HERMAN
28 101456 BY DIAN DARMAWATI MUSTAKIR
29 101469 BY NURFADILLAH DANDI
30 101493 BY ALFIRA RESKI
31 101492 BY HASNA AYAHRIR
32 101502 BY HERAWATI ARFANDY BACHTIAR
33 101511 BY IRAWATI ARIF BUDIMAN
34 101526 BY FINNI RIFAL J RANDI
35 101545 BY REZKI DELIMA IBRAHIM
36 101586 BY RUSMIATI SADDANG HUSAIN
37 101565 BY PIRMASARI G1 ARNAN
38 101566 BY PIRMASARI G2 ARNAN
39 101606 BY RAHAYU S G1 SUHARDI
40 101607 BY RAHAYU S G2 SUHARDI
41 101632 BY NURLINA G1 M. SOFYAN
42 101633 BY NURLINA G2 M. SOFYAN
43 101616 BY GABRIELA DERIANTO
44 101654 BY ASNIAH NUR ALI NURDIN
45 101686 BY HASMILA BURHANUDDIN
46 101708 BY FITRIYANI APRIADI B
47 101705 BY SRI ANGNI AGUS
48 101704 BY NURHAYATI ILYAS
JK
MASUK RAWAT
LK PR SPONTAN
KB LT
KB 2
4
JL. DG REGGE II LR 4 NO 2 12/1/2017 12/1/2017 0 1

JL. NURDIN DG TUTU NO 20 12/1/2017 12/2/2017 1 1
JL. KANDEA III 12/3/2017 12/6/2017 3 1
TOGO-TOGO, JENEPONTO 12/4/2017 12/7/2017 3 1
PULAU BARRANG CADDI 12/5/2017 12/8/2017 3 1
JL. GALANGAN KAPAL 12/5/2017 12/8/2017 3 1
BORONG UNTIA 12/5/2017 12/11/2017 6 1
JL. RAHMATULLAH RAYA 12/6/2017 12/9/2017 3 1
JL. DG TATA LR 3NO 7 12/7/2017 12/10/2017 3 1
BTN MINASA UPA BLOK AB /23A 12/7/2017 12/10/2017 3 1
JL. CAMPAGAYA 12/8/2017 12/11/2017 3 1
JL. RAJAWALI 1 LR 13 12/8/2017 12/11/2017 3 1
JL. ABU BAKAR LAMBOGO 99 NO 2 12/9/2017 12/11/2017 2 1 1
JL. PAMPANG II LR 2 12/9/2017 12/12/2017 3 1
JL. SYECH YUSUF KATANGKA 1 NO 7 12/11/2017 12/13/2017 2 1
JL. KEAMANAN NO 56 12/12/2017 12/15/2017 3 1
DUSUN BUNGALIO, GORONTALO 12/11/2017 12/15/2017 4 1
JL. NUSAKAMBANGAN 12/11/2017 12/15/2017 4 1
KOMP. AURI TNI AU 12/12/2017 12/15/2017 3 1
GARING DESA GARINI, GOWA 12/12/2017 12/15/2017 3 1
12/12/2017 12/12/2017
KASSIKA, JENEPONTO 12/12/2017 12/12/2017 0 1 1
JL. ABU BAKAR LAMBOGO 12/13/2017 12/22/2017 9 1
JL. LANTO DG PASEWANG 12/13/2017 12/16/2017 3 1 1
PERUM GRAHA INDAH , BALIKPAPAN 12/15/2017 12/16/2017 1 1
JL. SEROJA NO 16A 12/15/2017 12/21/2017 6 1
JL. TINUMBU LR 148 12/18/2017 12/21/2017 3 1
JL. SINSSARA NO 11 12/20/2017 12/22/2017 2 1 1
JL. BOLU 12/20/2017 12/24/2017 4 1
JL. SUKARIA IIB /5 12/21/2017 12/24/2017 3 1
JL. KAPOPOSANG/65 12/22/2017 12/25/2017 3 1
JL. KAKATUA II NO 56 12/23/2017 12/24/2017 1 1 1
BONTOALA 12/23/2017 12/26/2017 3 1
BONTOJALLING, GOWA 12/24/2017 12/28/2017 4 1 1
JL. TEUNGKU UMAR XI LR 6 12/25/2017 12/27/2017 2 1
KAMPUNG PARANG, TAKALAR 12/25/2017 12/25/2017 0 1 1
KAMPUNG PARANG, TAKALAR 12/25/2017 12/25/2017 0 1 1
JL. SULTAN ABDULLAH 12/27/2017 12/29/2017 2 1 1
JL. SULTAN ABDULLAH 12/27/2017 12/30/2017 3 1 1
PANYANGKALANG, TAKALAR 12/27/2017 12/31/2017 4 1
PANYANGKALANG, TAKALAR 12/27/2017 12/31/2017 4 1
ME'ME DUSUN KATOAN, MAMASA 12/27/2017 12/30/2017 2 1
ALLU, GOWA 12/28/2017 1/6/2018 9 1
JL. DR WS. HUSODO III NO 6 12/30/2017 1/2/2018 3 1
DUSUN HAKO, MAMUJU TENGAH 12/31/2017 1/8/2018 8 1 1
JL. CENDRAWASIH BAJI ATI 12/31/2017 1/2/2018 2 1 1
JL. URIP SUMOHARJO 12/31/2017 1/3/2018 3 1
27 19 12 0
TINDAKAN
KELAS

UGD BAYI
2 4
1 III 1
1 III
1 III
1 II
1 III
1 II 1
1 III
1 II
1 II
1 III
1 I
1 III
II 1
1 III 1
1 I 1
1 III 1
1 I 1
1 III 1
1 II
1 I 1
I
II 1
1 III 1
VIP 1
1 II 1
1 II 1
1 III 1
II 1
1 III 1
1 III 1
1 III 1
1 III 1
II 1
1 II
III 1
1 III
III 1
III 1
III
III
1 III
1 III 1
1 I 1
1 VIP
1 III
II
III 1
1 II 1
6 0 27 1 0 0 0 0 0 0 11 0 3 14
UN 2017
KB KB KB LT KB LT
UGD BAYI UGD BAYI
LT 2 LT 4 2 4
KJDR
1 BKB/SMK/LBK/SC
1 PREMATURE + BBLSAR
1 BKB/SMK/LBK/SC
1 BLB/SMK/LBK/SPT
ASFIXIA RINGAN SEDANG
1 HYALIN RUMRAN DISEASE
1 ASFIXIA RINGAN SEDANG
1 BLB/SMK/LBK/SC
1 ASFIXIA RINGAN SEDANG
1 BKB/BMK/LBK/SC
1 BKB/SMK/LBK/SC
BCB/KMK/LBK/SPT
BCB/SMK/LBK/SC
BCB/SMK/LBK/SC
ASFIXIA RINGAN
REGURGITASI + DEHYDRASI SEDANG
RDN
1 BLB/KMK/LBK/SPT
FEBRIS NEONATORUM
KJDR
KJDR
BCB/SMK/LBK/SPT
RDS
BCB/KMK/LBK/SPT
KEJANG NEONATUS + ASFIXIA BERAT
BCB/KMK/LBK/SPT
BCB/KMK/LBK/SC
ASFIXIA BERAT
BCB/KMK/LBK/SC
BLB/SMK/LBK/SC
BCB/KMK/LBK/SPT
1 BKB/BMK/LBK/SC
1 BKB/SMK/LBK/SC + PREMATURE
KJDR
KJDR
1 BKB/SMK/LBK/SPT + GEMILLI
1 BKB/SMK/LBK/SPT + GEMILLI
1 BKB/SMK/LBK/SC + GEMILLI
BCB/SMK/LBK/SC + GEMILLI
1 BKB/BMK/LBK/SC
1 BLB/SMK/LBK/SC
1 BKB/SMK/LBK/SPT + PREMATURE
BCB/KMK/LBK/SPT
ASFIXIA BERAT
3 0 1 9 0 0 2 4
DOKTER BBL HIDUP
KELAINAN
KONGINETAL
DIAGNOSA SEKUNDER KODE ICD X MR MS < 2500
P95 1
BBLSAR P07.0 1
BKB/SMK/LBK/SPT P07.3 1
CAPUT SUCCADENOUM P08.2 + P12.8 1
BCB/SMK/L.BOKONG/SC P21.1 1
BKB/BMK/LBK/SC + PREMATURE P22.0 + P07.3 1
BLB/SMK/L.BOKONG/SC + SEROTINUS P21.1 + Z38.0 + P08.2 1
SEROTINUS Z38.0 + P08.2 1
BLB/KMK/LBK/SC + SEROTINUS + BBLR P21.1 + P08.2 + P07.1 1 2450
PREMATURE P07.3 1
BBLR P07.1 1 2400
RDN P22.9 1
BCB/SMKLBK/SC P92.1 1
BBLR + SEROTINUS P07.1 1 2300
BCB/SMK/BOKONG/SPT P95 1
HYPERBILIRUBINEMIA P59.9 1
BBLR P07.1 1 2200
BCB/SMK/LBK/VE P90 1
BBLR P07.1 1 2400
BBLR P07.1 1 2400
BBLR P07.1 1 2150
BBLR P07.1 1 2400
PREMATURE P07.3 1
ASFIXIA BERAT P07.3 1
GEMILLY P95 1
GEMILLY P95 1
PREMATURE + ASFIXAI RINGAN SEDANG P07.3 + P21.1 1 1950
HYPERBILIRUBINEMIA+ HDN P59.9 + P53 1
HYPERBILIRUBINEMIA P07.3 + P59.9 1 2100
BBLR P07.1 1
26 21
BBL HIDUP BB MATI
APGAR IMD
PB PB JAMINAN
SKOR
> 2500 < 2500 > 2500 < 24 JAM
BPJS/ INHEAL GRATIS

U KIS TH
1500 44 0/0
600 28 3/6 1
1300 36 8/10 1
44 8/10 1 1
3100 48 7/10 1 1
3100 5/8 1 1
2700 46 8/10 1
3350 49 5/8 1 1
4000 50 7/10 1 1
46 5/8 1 1
2950 48 7/10 1
45 8/10 1 1
46 8/10 1 1
3200 51 5/8 1
2700 48 8/6 1 1
3000 48 5/6 1
2900 47 7/10 1
3500 47 7/09 1 1
47 7/9 1 1
2850 47 8/10 1 1
0/0
1000 30 0/0
2500 46 8/10 1 1
2600 48 8/10 1 1
48 8/10 1 1
3500 50 1/4 1
2650 48 5/8 1 1
43 8/10 1 1
46 7/10 1 1
3000 49 2/5 1
44 8/10 1 1
3300 48 5/7 1 1
44 8/10 1 1
2900 48 8/10 1 1
3100 48 5/8 1
1700 44 1/2 1
1000 32 0/0
200 23 0/0
42 8/10 1 1
44 8/10 1 1
43 5/6 1
44 7/10 1 1
2700 44 5/7 1
2850 47 7/10 1
2600 45 5/7 1 1
44 8/10 1 1
2800 45 8/10 1 1
3950 49 3/5 1
16 26 0 1 28
IMD
KET TGL
PENGINPUT
AN
> 24 JAM
1/10/2018
12/18/2017
12/28/2017
12/14/2017
12/18/2017
12/12/2017
1 12/18/2017
12/18/2017
12/18/2017
12/18/2017
12/14/2017
12/14/2017
12/14/2017
1 12/18/2017
12/27/2017
1 12/28/2017
1 12/27/2017
12/27/2017
12/28/2017
12/27/2017
1/10/2018
12/28/2017
12/20/2017
12/20/2017
1 12/28/2017
12/28/2017
1/2/2017
12/28/2017
1 12/28/2017
12/28/2017
12/28/2017
12/28/2017
1/5/2018
1 1/5/2018
1/4/2018
1/11/2018
1/10/2018
1/4/2018
1/4/2018
1 1/5/2018
1/4/2018
1 1/5/2018
1/10/2018
1/5/2018
1/11/2018
1/11/2018
1 1/5/2018
10
JK
MASUK RAWAT LK PR KLS
BY.
BULAN :
DESEMBER
2017
1 100682 BY IRNA 11/18/2017 12/1/2017 13 1 III

2 100819 BY KARMILA G1 11/23/2017 12/20/2017 27 1 III
3 100820 BY KARMILA G2 11/23/2017 12/20/2017 27 1 III
4 100952 BY NURUL 11/29/2017 12/2/2017 3 1 II
5 100993 BY FATMAWATI 11/30/2017 12/3/2017 3 1 III
1 100999 BY SAENAB 12/1/2017 12/2/2017 1 1 III
2 101037 BY RENI A 12/3/2017 12/6/2017 3 1 III
3 101052 BY KASMI 12/4/2017 12/7/2017 3 1 II
4 101096 BY SANTI 12/5/2017 12/8/2017 3 1 III

5 101082 BY SYAMSINAH 12/5/2017 12/8/2017 3 1 II
6 101092 BY NURHAYATI 12/5/2017 12/11/2017 6 1 III
7 101112 BY ANTI PUSPITA 12/6/2017 12/9/2017 3 1 II
8 101143 BY VIRHANIE 12/7/2017 12/10/2017 3 1 II

9 101153 BY LINDAYATI 12/7/2017 12/10/2017 3 1 III
10 101181 BY DAHLIA 12/8/2017 12/11/2017 3 1 I

11 101185 BY VIVI SRI HANDAYANI 12/8/2017 12/11/2017 3 1 III
12 101215 BY ST ANNISA G2 12/9/2017 12/11/2017 2 1 II

13 101206 BY SATRIANI 12/9/2017 12/12/2017 3 1 III
14 101250 BY NADIRAH 12/11/2017 12/13/2017 2 1 I

16 101262 BY NASRIANA 12/11/2017 12/15/2017 4 1 I
17 101268 BY SURIATI 12/11/2017 12/15/2017 4 1 III
15 101287 BY HERAWATI 12/12/2017 12/15/2017 3 1 III

18 101277 BY HARIAH 12/12/2017 12/15/2017 3 1 II
19 101281 BY ADRIANA 12/12/2017 12/15/2017 3 1 I
20 101317 BY NUR HAVIVAH 12/13/2017 12/22/2017 9 1 III

21 101300 BY ERNA 12/13/2017 12/16/2017 3 1 VIP
22 101356 BY HERLINA 12/15/2017 12/16/2017 1 1 II

23 101367 BY HASNI 12/15/2017 12/21/2017 6 1 II
24 101435 BY HASNI 12/18/2017 12/21/2017 3 1 III

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25 101456 BY DIAN DARMAWATI 12/20/2017 12/22/2017 2 1 II

26 101469 BY NURFADILLAH 12/20/2017 12/24/2017 4 1 III
27 101493 BY ALFIRA 12/21/2017 12/24/2017 3 1 III

28 101492 BY HASNA 12/21/2017 12/24/2017 3 1 III
29 101502 BY HERAWATI 12/22/2017 12/25/2017 3 1 III
30 101511 BY IRAWATI 12/23/2017 12/24/2017 1 1 II

31 101526 BY FINNI 12/23/2017 12/26/2017 3 1 II
32 101545 BY REZKI DELIMA 12/24/2017 12/28/2017 4 1 III
33 101586 BY RUSMIATI 12/25/2017 12/27/2017 2 1 III
34 101606 BY RAHAYU S G1 12/27/2017 12/29/2017 2 1 III

35 101607 BY RAHAYU S G2 12/27/2017 12/30/2017 3 1 III
36 101632 BY NURLINA G1 12/27/2017 12/31/2017 4 1 III
37 101633 BY NURLINA G2 12/27/2017 12/31/2017 4 1 III
38 101616 BY GABRIELA 12/27/2017 12/30/2017 2 1 I
39 101654 BY ASNIAH 12/28/2017 1/6/2018 9 1 VIP
40 101686 BY HASMILA 12/30/2017 1/2/2018 3 1 III
41 101708 BY FITRIYANI 12/31/2017 1/8/2018 8 1 II

42 101705 BY SRI ANGNI 12/31/2017 1/2/2018 2 1 III
43 101704 BY NURHAYATI 12/31/2017 1/3/2018 3 1 II
26 17
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SKDIA PERTIWI TAHUN 2017
BB MATI
< > PB
DIAGNOSA DIAGNOSA SEKUNDER 2500 2500
BKB/SMK/LBK/SC + PREMATURE HDN

BKB/SMK/LBK/SC+ BBLR + HYPOTERMI PREMATURE + CONJUNGTIVITIS
BKB/SMK/LBK/SC + BBLR + HYPOTERMI PREMATURE + CONJUNGTIVITIS
RDN BCB/SMK/LBK/SPT
BKB/SMK/LBK/SC BBLSAR 600 28
PREMATURE + BBLSAR BKB/SMK/LBK/SPT 1300 36
BLB/SMK/LBK/SPT CAPUT SUCCADENOUM

ASFIXIA RINGAN SEDANG BCB/SMK/L.BOKONG/SC
HYALIN RUMRAN DISEASE BKB/BMK/LBK/SC + PREMATURE
ASFIXIA RINGAN SEDANG BLB/SMK/L.BOKONG/SC + SEROTINUS
BLB/SMK/LBK/SC SEROTINUS
ASFIXIA RINGAN SEDANG BLB/KMK/LBK/SC + SEROTINUS + BBLR
BKB/BMK/LBK/SC PREMATURE
BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG
BCB/SMK/LBK/SC RDN
REGURGITASI + DEHYDRASI SEDANG BCB/SMKLBK/SC
RDN BCB/SMK/LBK/SPT
ASFIXIA RINGAN BCB/SMK/LBK/SC

BLB/KMK/LBK/SPT BBLR + SEROTINUS
FEBRIS NEONATORUM BCB/SMK/LBK/SC
BCB/SMK/LBK/SPT HYPERBILIRUBINEMIA
RDS BCB/SMK/LBK/SPT
KEJANG NEONATUS + ASFIXIA BERAT BCB/SMK/LBK/VE
ASFIXIA RINGAN SEDANG BCB/SMK/LBK/SC

BB MATI
< > PB
BCB/KMK/LBK/SC BBLR
ASFIXIA BERAT BCB/SMK/LBK/SC

BCB/KMK/LBK/SC BBLR
BLB/SMK/LBK/SC ASFIXIA RINGAN SEDANG
BKB/BMK/LBK/SC PREMATURE
ASFIXIA RINGAN SEDANG BCB/SMK/LBK/SPT
BKB/SMK/LBK/SC + PREMATURE ASFIXIA BERAT 1700 44
BKB/SMK/LBK/SPT + GEMILLI PREMATURE

BKB/SMK/LBK/SPT + GEMILLI PREMATURE
BKB/SMK/LBK/SC + GEMILLI PREMATURE + ASFIXAI RINGAN SEDANG
BCB/SMK/LBK/SC + GEMILLI PREMATURE
ASFIXIA RINGAN SEDANG BCB/SMK/LBK/SC
BKB/BMK/LBK/SC HYPERBILIRUBINEMIA+ HDN
BLB/SMK/LBK/SC ASFIXIA RINGAN SEDANG
BKB/SMK/LBK/SPT + PREMATURE HYPERBILIRUBINEMIA

ASFIXIA BERAT BCB/SMK/LBK/SC
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB
BB MATI
< > PB

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Rawat Inap Bayi Sakit 2017

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NO NO RM NAMA PASIEN NAMA AYAH

1 093761 BY JUMRIAH DARWIN

JL. VETERAN SELATAN LR 3 3/1/2017 6/1/2017 3 1

BCB/ KMK/ LBK/ SC ASFIXIA SEDANG + CAPUT P21.1 1

BPJS/ INHEAL GRATIS

1 093567 BY RIKA RESITA 24/12/2016 3/1/2017 10 III PREMATURE 1750 38

1 093761 BY JUMRIAH 3/1/2017 6/1/2017 3 III BCB/ KMK/ LBK/ SC 3350 51

1 094939 BY NUNUNG AMRAN

JL. PAMPANG N /20 3/1/2017 3/1/2017 1 1 1

BKB/KMK/LBK/SPT BBLSAR + HYPOTERMI P07.0

BPJS/ INHEAL GRATIS

NO NO RM NAMA PASIEN TGL RAWAT TGL KELUAR LAMA

1 094446 BY ERNI AFRIANI 5/2/2017 7/3/2017 31 III

1 094939 BY NUNUNG 3/1/2017 3/1/2017 1 III

2 094976 BY ASNIATI 3/3/2017 3/11/2017 8 III

3 095018 BY YUSRIANI 3/4/2017 3/8/2017 4 III

4 095064 BY AYU WIDYANTY 3/6/2017 3/10/2017 4 II

5 095077 BY NURLINA 3/7/2017 3/8/2017 1 I

9 095157 BY SATRIYANI 3/10/2017 3/13/2017 3 III

10 095248 BY RIKA AYU P 3/14/2017 3/17/2017 3 III

12 095286 BY ANNA 3/15/2017 3/15/2017 1 III

15 095316 BY HASMIAH 17/03/2017 3/20/2017 3 III

17 095348 BY ROSDIANA 18/03/2017 3/19/2017 1 II

20 095374 BY NURHIJRAH 19/03/2017 3/22/2017 3 III

22 095401 BY HERSENITA 3/20/2017 3/30/2017 10 I

28 095530 BY DEWI ANGGRAENI 3/25/2017 3/26/2017 1 II

34 095563 BY NUR AMIRZA 3/26/2017 3/28/2017 2 II

35 095614 BY NIRA PURWANTI 3/28/2017 4/1/2017 4 III

37 095640 BY NURUL A 3/29/2017 4/1/2017 6 II

38 095674 BY NURFAIDA 3/30/2017 4/2/2017 3 III

39 095687 BY NUR AFNI RAMADHA 3/31/2017 4/1/2017 1 III

BKB/ KMK/LBK/SPT BBLSR + PREMATURE 1350 40

BKB/KMK/LBK/SPT BBLSAR + HYPOTERMI 600 32

BLB/KMK/LBK/SPT BBLR + SEROTINUS + RDS + KEJANG 2200 46

BKB/SMK/LBK/SC PREMATURE 2300 47

BLB/ KMK/LBK/ SC PREMATURE + BBLR + ASFIXIA SEDANG 2000 44

BCB/KMK/LBK/SPT BBLR 2250 41

BLB/KMK/LBK/SPT SEROTINUS + BBLR + ASFIXIA BERAT 2400 48

BCB/SMK/LBK/SC ASFIXIA RINGAN SEDANG + CAPUT 3250 48

BLB/BMK/LBK/SC ASFIXIA BERAT 4300 49

BLB/SMK/LBK/SC ASFIXIA SEDANG 3400 48

BCB/KMK/LBK/SC BBLR 2200 48

BCB/KMK/LBK/SC BBLR 2450 45

BCB/SMK.LBK/SC HYPERBILIRUBINEMIA + RDN + HEMATOM 3950 48

BLB/SMK/LBK/SC ASFIXIA + SEROTINUS 3400 50

BCB/KMK/LBK/SPT BBLR + ASFIXIA RINGAN 2350 42

BCB/KMK/LBK/SC RDS 2800 47

BLB/BMK/LBK/SC SEROTINUS 4100 50

BLB/SMK/LBK/SC + SEROTINUCAPUT SUCCADENOUM 2800 49

BULAN : APRIL 2017

1 095712 BY HERPIYANTI IRSON JAYA JL. MACCINI R 42826

TGL KELUAR LAMA RAWAT JK TINDAKAN

BKB (PREMATURE) BLB (SEROTINUS)

BBL HIDUP PB BB MATI PB JAMINAN

IMD KET TGL PENGINPUTAN

1 095538 BY RISKA J 3/25/2017 4/4/2017 10 III BKB/SMK/LBK/SPT PREMATURE + HYPERBIL 2250 44

1 095712 BY HERPIYANTI 4/1/2017 4/5/2017 4 II BLB/KMK/LBK/SC SEROTIMUS + BBLR + ASF 1750 44

2 095727 BY NURMI 4/2/2017 4/5/2017 3 II BCB/SMK/LBK/SPT ASFIXIA SEDANG 3500 49

3 095743 BY ARNI KADIR 4/3/2017 4/5/2017 2 III BKB/SMK/LBK/SPT PREMATURE 2300 46

7 095810 BY ST NURHAYA 4/5/2017 4/12/2017 7 III BCB/KMK/LBK/SC BBLR 2000 44

15 095895 BY DIANA SULLE 4/9/2017 4/11/2017 2 I BCB/KMK/LBK/SPT BBLR 2400 44

18 095918 BY HASMAWATI 4/10/2017 4/11/2017 1 III BKB/SMK/LBK/SPT PREMATURE 2500 45

19 095952 BY ADE FEBRIANA 4/11/2017 4/12/2017 1 II BCB/KMK/LBK/SPT BBLR 2200 42

21 095987 BY ROSMALA DEWI 4/12/2017 4/14/2017 2 III BCB/KMK/LBK/SPT RDS 2500 43