You are on page 1of 178

NO

KAMAR PERAWATAN
JENIS
UMUR KELAMIN
REKAURUT

NAMA PASIEN

PER E
(TH)

LAKI
REGIS
MM

ISOLA
INFEK
ANAK
TER L P

M PU
- LAK
ED I K

SI

SI
AN
I
1 44616 JKN Ny. NONENG SUYANTI 36 1 1
2 44618 SKTM Ny. IHAT 60 1 1
3 44617 JKN Tn. AGUS 79 1 1
4 44614 U An. HANIF 9 BL 1 1
5 44139 JKN Tn. IRON 80 1 1
6 44625 JKN Tn. KOHIDIN 60 1 1
7 44632 JKN An. SANTUN 9 1 1
8 44622 JKN Ny. ASIH 72 1 1
9 44661 SKTM Ny. IDAR 59 1 1
10 44656 JKN Tn. MULYANA 39 1 1
11 43046 JKN Ny. YESI 25 1 1
12 44687 JKN Ny. EMPI 63 1 1
13 44677 SKTM Tn. AMAS 59 1 1
14 44711 SKTM Tn. UUS 58 1 1
15 44675 JKN Tn. ENDI 33 1 1
16 41021 JKN Tn. SUTISNA 43 1 1
17 44744 SKTM Tn. ISOM 71 1 1
18 44769 SKTM An. ELYA AZAKA 5 BL 1 1
19 44779 SKTM An. FAHMI 3 BL 1 1
20 44742 SKTM Ny. RUKMINI 48 1 1
21 44751 JKN Tn. UTAR 61 1 1
22 44740 SKTM An. ELSA 1 BL 1 1
23 44606 SKTM Ny. HANAH 44 1 1
24 44785 SKTM Ny. BUNGSU 28 1 1
25 44831 JKN Tn. AAN 63 1 1
26 42035 JKN Tn. ENDANG 63 1 1
27 44797 SKTM Tn. ROHMAN 54 1
28 42691 JKN An. M. DERIKAL 3 BL 1 1
29 44855 JKN Ny. SUHAETI 54 1 1
30 44845 SKTM Ny. AI 30 1 1
31 44139 JKN Tn. IRON 75 1 1
32 31675 JKN Ny. JUMASIH 66 1 1
33 19170 SKTM Tn. AGUS SUSANTO 48 1 1
34 44832 JKN Ny. DEDEM 67 1 1
35 42083 JKN Ny. IMAS 38 1 1
36 44922 JKN Ny. MAMAH 49 1 1
37 44937 SKTM Tn. DAMAN 58 1 1
38 44990 JKN Tn. ADE 59 1 1
39 45019 SKTM Tn. PENDI 48 1 1
40 14818 SKTM Ny. ENIS 73 1 1
41 25641 JKN Ny. IROT 86 1 1
42 45033 JKN Tn. LUKMAN 21 1 1
43 43818 JKN Ny. UUP SOPIAH 54 1 1
44 45070 JKN Tn. ENDANG 77 1 1
45 45078 SKTM Ny. PUPU 52 1 1
46 45077 SKTM Tn. DAMIN 66 1 1
47 45071 SKTM Tn. YASIN 70 1 1
48 45096 JKN Tn. DEDEN 46 1 1
49 42603 JKN Ny. CUCU 55 1 1
50 45111 JKN Tn. AGUS 42 1 1
51 45108 JKN Tn. JAHRI 74 1 1
52 45105 JKN An. ARKAM 8 BL 1 1
53 45127 SKTM An. SILVIA RAHMAWATI 1, 7 BL 1 1
54 45196 JKN Ny. ODAH 77 1 1
55 45166 JKN Nn. AYU DEWINTA 17 1 1
56 44139 JKN Tn. IRON 79 1 1
57 45186 JKN Tn. YUYUS 45 1 1
58 45200 JKN Nn. ANISA 17 1 1
59 45200 JKN Ny. RESTA 21 1 1
60 45229 SKTM Ny. MASITOH 57 1 1
61 45204 SKTM Tn. RUKANA 75 1 1
62 45207 SKTM An. IRSA 1 1 1
63 44590 JKN Tn. IYUS 49 1 1
64 22956 JKN Ny. MUNIAH 57 1 1
65 45285 SKTM An. BAYU ADAM 4 1 1
66 4271 JKN Ny. OYOH 69 1 1
67 37453 SKTM An. IRHAM 1 1 1
68 45316 SKTM An. YULIAWATI 9 BL 1 1
69 45283 SKTM Ny. ENTIN 59 1 1
70 456315 SKTM Ny. ILAH 20 1 1
71 45344 SKTM Tn. USMAN 78 1 1
72 45336 SKTM Ny. WATI 52 1 1
73 45354 SKTM Ny. KOKOM 48 1 1
74 44122 SKTM An. DENA 16 BL 1 1
75 45359 SKTM An. M. SIFANA 6 1 1
76 45378 JKN Ny. TITIN 45 1 1
77 45368 SKTM An. RAIHAN 7 BL 1 1
78 45385 JKN An. SUKMA 12 1 1
79 45302 JKN Tn. IYAR 53 1 1
80 44797 JKN Tn. ROHMAN 54 1 1
81 37154 JKN Ny. KARYAMAH 40 1 1
82 45395 SKTM Ny. ENTIN 60 1 1
83 45398 SKTM An. ASIFA 6 BL 1 1
84 44424 JKN Ny. MARLIAH 51 1 1
85 43040 JKN Tn. JALI 55 1 1
86 45415 SKTM Tn. KOSIM 72 1 1
87 45405 JKN Tn. JAJANG 53 1 1
88 45466 SKTM An. RISKI 5 1 1
89 45464 SKTM An. IHSAN 2 BL 1 1
90 36456 JKN Ny. OOM 72 1 1
91 48473 SKTM An. FAHMI 7 BL 1 1
92 45501 JKN Tn. DADI 52 1 1
93 45494 SKTM Ny. MARSINAH 75 1 1
94 45462 SKTM Tn. SANTANA 21 1 1
95 45562 SKTM Tn. MULYANA 72 1 1
96 45510 SKTM Ny. DIDAH 42 1 1
97 45062 JKN Ny. AE 51 1 1
98 44683 JKN Ny. EMI 63 1 1
99 45521 SKTM An. RISKI 3 BL 1 1
100 4588 JKN Ny. SARI'AH 72 1 1
101 45598 SKTM Tn. H. DADANG 54 1 1
102 45595 JKN Tn. DEDI 27 1 1
103 45648 SKTM Ny. DEDE 32 1 1
104 45602 JKN Tn. SALIM 60 1 1
105 45663 JKN Tn. ADE 42 1 1
106 45657 SKTM Tn. RAHMAT 60 1 1
107 45659 JKN Ny. MAAH 60 1 1
108 45653 JKN Ny. ATMARAH 57 1 1
109 45672 U Ny. UWEN 56 1 1
110 45702 JKN Ny. IJAH 70 1 1
111 45678 JKN Tn. JAJA 80 1 1
112 19111 JKN Tn. JULI 56 1 1
113 43868 JKN Tn. JILI 80 1 1
114 45721 SKTM An. RISKA 17 1 1
115 39549 SKTM Tn. ENDANG 55 1 1
116 45781 SKTM Tn. AYIB 70 1 1
117 45271 JKN Ny. OYOH 69 1 1
118 44036 SKTM Tn. UDENG 53 1 1
119 45855 JKN Tn. ODANG 47 1 1
120 45859 SKTM Ny. YATI 48 1 1
65 55 22 39 29 27 2
ALAMAT

KECAMATAN

PEU

A NG
I
UK T

ENG

G
PET
NG

IN

P
ET

N
ISOLA

KAMPUNG DESA

URI
ING

B UL
EW

EGO
ALO

ARM
EUN

EL

ENJ
OM

CIH
CIS
CIK

CAR

G
SI

TAL
CIB

PAK
CIS
PAM

MEK

BUN
K
SUKAMULYA KARYA MUKTI 1
BATU SARI SINDANG SARI 1
BANYU ASIH CIKELET 1
MANISI PAMEUNGPEUK 1
PASIR BANGBUNG TIPAR 1
CIMEDANG SUKANAGARA 1
LEUWI GENTENG SIRNA BAKTI 1
PAMALAYAN 1
DEPOK 1
PALAHAN PANYINDANGAN 1
KIARA KOHOK PAMALAYAN 1
RANCA HAYAM MEKARSARI 1
INDRALAYANG MEKARSARI 1
SUKA HIDENG SANCANG 1
LEUWINANGGUNG PAAS 1
BABAKAN PETIR DEPOK 1
CIGODEG PAAS 1
PABUARAN JATI MULYA 1
CIBARENGKOK KARYASARI 1
SUKAGALIH KARYASARI 1
SINDANGSARI MEKARSARI 1
1
CIDAHON 1
KAREES MAROKO 1
RANCA HAYAM MEKARSARI 1
CIGADOG CIGADOG 1
PUNCAK WARU CIJAYANA 1
SUKATANI SANCANG 1
RANCA HAYAM MEKARSARI 1
BOJUNG KIDUL 1
TIPAR 1
SINDANG SARI 1
BATU SARI SINDANG SARI 1
SIRNA BAKTI 1
MANCAGAHAR 1
LEUWINANGGUNG PAAS 1
BARU MANDALAKASIH 1
BABAKAN. JATI MULYA 1
MEKARSARI 1
KAUM LEBAK PAMEUNGPEUK 1
CITEUREUP SIRNA BAKTI 1
PANYINDANGAN 1
CISOMPET 1
PABUARAN MANCAGAHAR 1
MEKARSARI 1
BABAKAN JATI MULYA 1
CIJARINGAO 1
CIPONGPOK SINDANG SARI 1
CIKOPO PAMEUNGPEUK 1
MEKARSARI PAKENJENG 1
PAAS 1
CIGODEG PAAS 1
CISEUREUH MEKARSARI 1
MEKAR MUKTI 1
DEPOK 1
PASIR BANGBUNG TIPAR 1
CIBALIEUR SANCANG 1
PANGAWAREN PAMALAYAN 1
PASAWAHAN KARANGSARI 1
TEGAL GEDE JATI MULYA 1
CIGODEG PAAS 1
CIKOPO PAMEUNGPEUK 1
LEGOK JAWA KARYA MUKTI 1
CIWARU CIJAMBE 1
TALUN SIRNAJAYA 1
CAMPAKA MEKARSARI 1
RANCA HAYAM MEKARSARI 1
PASAMPEU PAMEUNGPEUK 1
MANDALAKASIH 1
CIKUDA SUKAMUKTI 1
PANGLIGARAN DEPOK 1
CIDAHON JATI MULYA 1
CIGEBANG KARANGSARI 1
HEGAR MANAH CISOMPET 1
BANGSA SINGAN SUKANAGARA 1
PASAMPEU PAMEUNGPEUK 1
CIKOPO PAMEUNGPEUK 1
MEKARMUKTI 1
BUNISARI MANCAGAHAR 1
PUNCAK WARU MEKARMUKTI 1
PASIR GARUT PAKENJENG 1
BALE ENDAH MEKARMUKTI 1
LEUWI SIMAR MANDALAKASIH 1
JATI MULYA 1
TEGALSARI PAMEUNGPEUK 1
CIKOPO PAMEUNGPEUK 1
PANYINDANGAN 1
SUKAHIDENG SANCANG 1
CARINGIN 1
JATI MULYA 1
SAGARA 1
CISEUPAN MEKAR MUKTI 1
CIGADOG CARINGIN 1
CIKUDA SUKAMUKTI 1
SEGLENG PAAS 1
BABAKAN JATI MULYA 1
CIKOPO PAMEUNGPEUK 1
RANCA HAYAM MEKARSARI 1
LINGGAMANIK 1
NEGLASARI MEKARSARI 1
CIKONDANG 1
BANYU ASIH SIRNABAKTI 1
SAWAH BARU CARINGIN 1
CIGADOG CIJAYANA 1
RANCA JALI CIKELET 1
PAMALAYAN PAMALAYAN 1
CISEUREUH CIJAYANA 1
CIKAJAR KARANG WANGI 1
SODONG MEKAR MUKTI 1
CIGARONGGONG 1
BENDUNGAN MEKAR WANGI 1
MALAKA CIKELET 1
CILAUT BOJUNG KIDUL 1
TEGAL LEGA BUNGBULANG 1
BANTAR PEUNDEUY SUKANAGARA 1
CARINGIN CARINGIN 1
CAMPAKA KARYAMUKTI 1
MANCAGAHAR 1
BURUJUL SUKANAGARA 1
SEGLENG PAAS 1
- - 39 22 19 16 6 12 4 - 2 -
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS

AH
NG I DIAGNOSA
A NG

SKTM
EUY

AER
G

AYA

HP HP HP

JKN
UMU
P
N

WA
URI
B UL

EGO

GAJ

ND

RD
JAR
CIH
G

PEU
TAL

SIN
BUN

LUA
BAN

1 3 DM. TYPE II
1 3 ULKUS PEPTIKUM
1 4 CAP
1 4 DIARE AKUT DEHIDRASI
1 3 CAP
1 2 CAP
1 5 THYPOID FEVER
1 3 HYPERTENSI URGENSI
1 3 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 3 ASMA BRONCHIALE
1 2 ULKUS PEPTIKUM
1 3 TB. MILIER
1 3 ULKUS PEPTIKUM
1 4 DECOM CORDIS
1 3 DECOM CORDIS
1 3 ULKUS PEPTIKUM
1 5 BRONCHOPNEUMONIA
1 6 BRONCHOPNEUMONIA
1 3 ULKUS PEPTIKUM
1 6 DHF
1 6 HISPRUNG
1 2 ULKUS PEPTIKUM
1 2 DENGUE FEVER
1 3 TB. PARU
1 3 CAP
1 3 CAD
1 2 ADHESI OINTESTINAL
1 3 ULKUS PEPTIKUM
1 3 ASMA BRONCHIALE
1 3 ULKUS PEPTIKUM
1 5 DECOM CORDIS
1 5 TB. PARU
1 4 THYPOID FEVER
1 4 ULKUS PEPTIKUM
1 3 GEA INFLAMASI
1 5 DECOM CORDIS
1 3 ULKUS PEPTIKUM
1 2 PPOK EXASERBASI AKUT
1 3 MENINGITIS TB.
1 5 CKD OMI
1 3 ULKUS PEPTIKUM
1 3 DM. TYPE II
1 4 CAD. STEMI
1 3 ULKUS PEPTIKUM
1 4 ULKUS PEPTIKUM
1 4 GASTROPATI EROSIVA NS. AID
1 2 MENINGITIS TB.
1 3 ULKUS PEPTIKUM
1 2 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 3 VOMITUS
1 1 KEJANG DEMAM
1 7 ULKUS PEPTIKUM
1 3 DM. TYPE II
1 3 CAP
1 3 ROCENT STEMI
1 3 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 3 DECOM CORDIS
1 3 GEA INFLAMASI
1 8 GEA INFLAMASI
1 3 CIROSIS HEPATIS
1 3 ULKUS PEPTIKUM
1 4 THALASEMIA MAYOR
1 2 CAP
1 3 PNEUMONIA
1 4 BRONCHOPNEUMONIA
1 3 ULKUS PEPTIKUM
1 4 GASTROPATI EROSIVA NS. A
1 2 PPOK EXASERBASI AKUT
1 3 ULKUS PEPTIKUM
1 4 PPOK EXASERBASI AKUT
1 10 BRONCHOPNEUMONIA
1 3 THYPOID FEVER
1 3 ULKUS PEPTIKUM
1 5 BRONCHOPNEUMONIA
1 6 GEA INFLAMASI
1 5 PPOK EXASERBASI AKUT
1 3 DECOM CORDIS
1 3 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 3 PNEUMONIA
1 5 CA. HEPAR
1 3 PPOK EXASERBASI AKUT
1 3 ULKUS PEPTIKUM
1 3 PPOK EXASERBASI AKUT
1 12 DHF
1 12 BRONCHOPNEUMONIA
1 4 DECOM CORDIS
1 3 PNEUMONIA
1 4 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 3 ULKUS PEPTIKUM
1 4 ULKUS PEPTIKUM
1 9 PPOK EXASERBASI AKUT
1 3 ULKUS PEPTIKUM
1 2 GASTROPATI EROSIVA NS. AID
1 4 BRONCHOPNEUMONIA
1 3 PPOK EXASERBASI AKUT
1 3 ULKUS PEPTIKUM
1 2 DENGUE FEVER
1 3 ULKUS PEPTIKUM
1 4 GEA INFLAMASI
1 3 TB. PARU
1 3 NSTEMI ATERESOPLAT
1 4 ULKUS PEPTIKUM
1 4 SEPSIS CAP
1 2 ULKUS PEPTIKUM
1 5 BPPV GERD
1 4 GEA INFLAMASI
1 3 CAD OMI ANTERIOR
1 3 GASTROPATI EROSIVA NS. A
1 4 NEFRITIS
1 3 ANEMIA
1 3 DECOM CORDIS
1 2 TB. MILIER
1 2 ASMA BRONCHIALE
1 2 ULKUS PEPTIKUM
1 2 BPPV GERD
- - - - - 2 6 65 218 53 210 -

120 120 434


AKANNYA
17
AKOMOD
ASI VISITE KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS SUNTIK NEBULIZE
DIAGNOSA ( Rp ) ( Rp ) R ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000 3,000 75,000
FEBRIS

PPOK EXASERBASI

PPOK EXASERBASI
PPOK EXASERBASI

TT BRONCHITIS CRONIS
HEPATITIS

DISPEPSIA
DM. TYPE II ISK AF
EFUSI PLEURA TB. PARU
CAD

BRONCHIOLITIS
TENTION TYPE HEAD ECHE

PPOK EXASERBASI
AF, RVR
DEHIDRASI RINGAN SEDANG
ISKEMIK ANTEROSEPTAL
PARESISTEN SEDANG
PPOK EXASERBASI CAP
ACITES CKD
ISK. HYPER SLINEMIA REAKTIF

DYSENTRI
HHD
GEA INFLAMASI
TB. PARU
ULKUS PEPTIKUM
ULKUS PEPTIKUM
GEA INFLAMASI
ULKUSDIABETIKUM
CAP
DM. TYPE II
HYPERTENSI
ROSIVA NS. AID
ULKUS PEPTIKUM

PPOK EXASERBASI
VIRAL INFECTION
MENINGITIS DISENTRI
PPOK EXASERBASI CAP

PPOK EXASERBASI

VIRAL INFECTION

AF, RVR

DEHIDRASI RINGAN SEDANG


TB. PARU
BPPV

TB. PARU
ANEMIA

ANEMIA ISK
CAP

DHF
BPPV

SYOK
CAP
CAD ISKEMIK INFERIOR
HYPERTENSI VERTIGO
LBP BPPV

ACITES
ULKUS PEPTIKUM CAP
HYPERTENSI
ULKUS PEPTIKUM CAP
DSS

CAD STEMI
BRONCHIOLITIS

DECOM CORDIS

CAP
CKD
ROSIVA NS. AID

ULKUS PEPTIKUM CAP


DHF DM. TYPE II

HYPERTENSI

HYPERTENSI
CAP
GASTROPATI EROSIVA NSAID
ULKUS PEPTIKUM AF X1VR
ANEMIA
SLE HSP

ULKUS PEPTIKUM OMI ANTROPATI


SEPSIS CAP PPOK EXASERBASI AKUT
CAP

ULKUS PEPTIKUM
- - - - - - -
TINDAKAN

ASUHAN KEPERAWATA
O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I KAT II
( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) HARGA JUMLAH
JUMLAH (Rp)

12,000 50,000 10,000 50,000 10,000 15,000


ASUHAN KEPERAWATAN
KAT II KAT III KAT IV
HARGA JUMLAH HARGA JUMLAH HARGA
(Rp) (Rp) (Rp)

25,000 32,500 45,000


NO
JENIS
UMUR KELAMIN
NAMA PASIEN
RE

(TH)
KA

URUT IK

REGISTER
M

ANAK
L P
M
ED

1 45464 000807481 /MRT/ I/ SKTM /2018 An. IHSAN 2 BL 1


2 45678 000807503 /MRT/ I/ JKN /2018 Tn. JAJA 80 1
3 45721 000807506 /MRT/ I/ SKTM /2018 An. RISKA 17 1
4 39549 000807507 /MRT/ I/ SKTM /2018 Tn. ENDANG 55 1
5 45781 000807508 /MRT/ I/ SKTM /2018 Tn. AYIB 70 1
6 45271 000807509 /MRT/ I/ JKN /2018 Ny. OYOH 69 1
7 44036 000807510 /MRT/ I/ SKTM /2018 Tn. UDENG 53 1
8 45855 000807511 /MRT/ I/ JKN /2018 Tn. ODANG 47 1
9 45859 000807512 /MRT/ I/ SKTM /2018 Ny. YATI 48 1
10 45872 000807513 /MRT/ II/ JKN /2018 Ny. Een 47 1
11 28970 000807514 /MRT/ II/ JKN /2018 Tn. DANO 49 1
12 45895 000807515 /MRT/ II/ SKTM /2018 Ny. ONOH 63 1
13 45900 000807516 /MRT/ II/ SKTM /2018 Ny. DEWI 52 1
14 45904 000807517 /MRT/ II/ SKTM /2018 Ny. RUKMANAH 57 1
15 45940 000807518 /MRT/ II/ JKN /2018 Tn. YATNA 40 1
16 45861 000807519 /MRT/ II/ JKN /2018 An. RUSTANDI 12 1
17 45801 000807520 /MRT/ II/ SKTM /2018 Ny. MAENI 61 1
18 45678 000807521 /MRT/ II/ U /2018 Ny. UWEN 56 1
19 45957 000807522 /MRT/ II/ JKN /2018 Ny. AI SUMARNI 34 1
20 43900 000807523 /MRT/ II/ JKN /2018 Tn. SAHIDIN 50 1
21 45976 000807524 /MRT/ II/ SKTM /2018 NY . AAY 50 1
22 45977 000807525 /MRT/ II/ SKTM /2018 An. AIS 1 1
23 37691 000807526 /MRT/ II/ JKN /2018 Tn. JALI 55 1
24 46005 000807527 /MRT/ II/ SKTM /2018 Ny. KURAESIN 72 1
25 46072 000807528 /MRT/ II/ JKN /2018 An. DITA M 12 1
26 46087 000807529 /MRT/ II/ JKN /2018 Ny. OTIH 62 1
27 46042 000807530 /MRT/ II/ JKN /2018 Tn. MASRI 79 1
28 46041 000807531 /MRT/ II/ SKTM /2018 Tn. SAHNAN 76 1
29 46004 000807532 /MRT/ II/ JKN /2018 Tn. AGUS 57 1
30 46106 000807533 /MRT/ II/ SKTM /2018 An. FAHMI 16 1
31 46057 000807534 /MRT/ II/ JKN /2018 AN. ERWIN 9 1
32 46161 000807535 /MRT/ II/ JKN /2018 NY. KARWILAH 55 1
33 46144 000807536 /MRT/ II/ JKN /2018 TN. SAYID 78 1
34 44661 000807537 /MRT/ II/ SKTM /2018 TN. USEP 48 1
35 46143 000807538 /MRT/ II/ JKN /2018 NY. INDAH 32 1
36 46049 000807539 /MRT/ II/ JKN /2018 TN HERMAN 58 1
37 45999 000807540 /MRT/ II/ JKN /2018 NY. DEWI SARTIKA 42 1
38 43732 000807541 /MRT/ II/ JKN /2018 NY. MASRILA 41 1
39 46175 000807542 /MRT/ II/ JKN /2018 TN. JALI 55 1
40 46173 000807543 /MRT/ II/ JKN /2018 NY ATIM 55 1
41 46174 000807544 /MRT/ II/ JKN /2018 NY. IYAH 45 1
42 46196 000807545 /MRT/ II/ JKN /2018 NY. POPON 42 1
43 28467 000807546 /MRT/ II/ JKN /2018 NY. SUMIATI 51 1
44 28058 000807547 /MRT/ II/ JKN /2018 NY. ILAH 58 1
45 46195 000807548 /MRT/ II/ JKN /2018 TN. AROB 44 1
46 46243 000807549 /MRT/ II/ SKTM /2018 AN. KHANZA 2BL 1
47 46249 000807550 /MRT/ II/ JKN /2018 TN. ANSOR HIDAYAT 36 1
48 46217 000807551 /MRT/ II/ SKTM /2018 AN. DELPIA 8BL 1
49 46247 000807552 /MRT/ II/ SKTM /2018 TN. APUD 80 1
50 46299 000807553 /MRT/ II/ UMUM//2018 TN.MAMAD 64 1
51 36072 000807554 /MRT/ II/ JKN /2018 AN.NURUL 14 1
52 17464 000807555 /MRT/ II/ SKTM /2018 TN.SUKMARA 78 1
53 46294 000807556 /MRT/ II/ SKTM /2018 NY.DIDAH 48 1
54 46314 000807557 /MRT/ II/ JKN /2018 NY.RERE 69 1
55 4628 000807558 /MRT/ II/ JKN /2018 TN.RIKI 27 1
56 46250 000807559 /MRT/ II/ JKN /2018 NY.ETI 45 1
57 46330 000807560 /MRT/ II/ JKN /2018 TN.MAMAT 55 1
58 18620 000807561 /MRT/ II/ JKN /2018 NY.OOH 59 1
59 46385 000807562 /MRT/ II/ SKTM /2018 NY.TARSIAH 64 1
60 40143 000807563 /MRT/ II/ JKN /2018 AN.NAZWA 4 1
61 46384 000807564 /MRT/ II/ SKTM /2018 TN.ASEP PERI 36 1
62 46399 000807565 /MRT/ II/ JKN /2018 NY.IMOH 77 1
63 46404 000807566 /MRT/ II/ JKN /2018 TN.SADAR 65 1
64 46391 000807567 /MRT/ II/ JKN /2018 AN.ABDUL KOHAD 13 1
65 45030 000807568 /MRT/ II/ JKN /2018 AN M DEPA 14 1
66 46401 000807569 /MRT/ II/ UMUM//2018 AN KAYLA 0,3 1
67 41748 000807570 /MRT/ II/ JKN /2018 NY MIMIN 45 1
68 46469 000807571 /MRT/ II/ JKN /2018 NN WINDA 16 1
69 46476 000807572 /MRT/ II/ JKN /2018 NY WAHYUNI 42 1
70 46471 000807573 /MRT/ II/ SKTM /2018 Ny. HALIMAH 68 1
71 46516 000807574 /MRT/ II/ U /2018 AN. NURIAHALWA 4BL 1
72 46521 000807575 /MRT/ II/ JKN /2018 AN. RESTU 18 1
73 46479 000807576 /MRT/ II/ SKTM /2018 AN. SITI NURHASANAH 9BL 1
74 46513 000807577 /MRT/ II/ SKTM /2018 NY. NURASIAH 18 1
75 46507 000807578 /MRT/ II/ SKTM /2018 TN. NUNUR 27 1
76 46520 000807579 /MRT/ II/ JKN /2018 TN. WAHYU 49 1
77 46467 000807580 /MRT/ II/ JKN /2018 Ny. TIKA 47 1
78 46575 000807581 /MRT/ II/ JKN /2018 Ny. YETI 37 1
79 46539 000807582 /MRT/ II/ JKN /2018 Tn. MIMIN 60 1
80 46543 000807583 /MRT/ II/ JKN /2018 Ny. SAODAH 46 1
81 46414 000807584 /MRT/ II/ SKTM /2018 An. FATWA 5BL 1
82 46339 000807585 /MRT/ II/ SKTM /2018 Ny. YANI 39 1
83 46587 000807586 /MRT/ II/ SKTM /2018 An. M. RAIHAN 5 1
84 46291 000807587 /MRT/ II/ JKN /2018 Ny. HOLIAH 51 1
85 48084 000807588 /MRT/ II/ JKN /2018 Ny. KOMARIAH 54 1
86 46545 000807589 /MRT/ II/ SKTM /2018 An. ALIFA 3 1
87 45246 000807590 /MRT/ II/ JKN /2018 Ny. ROKAYAH 83 1
88 46595 000807591 /MRT/ II/ JKN /2018 Tn. AAN 62 1
89 45108 000807592 /MRT/ II/ JKN /2018 Tn. TAHRI 74 1
90 35434 000807593 /MRT/ II/ JKN /2018 Ny. SITI HOJAR 51 1
91 46619 000807594 /MRT/ II/ SKTM /2018 Tn. TOHA 31 1
92 46631 000807595 /MRT/ II/ SKTM /2018 Ny. NANI 62 1
93 46180 000807596 /MRT/ II/ SKTM /2018 Ny. TITIN 57 1
94 46667 000807597 /MRT/ II/ SKTM /2018 Ny. AI DINA 37 1
95 46671 000807598 /MRT/ II/ SKTM /2018 Tn. E KURNIA 60 1
96 24521 000807599 /MRT/ II/ JKN /2018 Ny. EROS 58 1
97 46694 000807600 /MRT/ II/ JKN /2018 Ny. ENUNG 61 1
98 46679 000807601 /MRT/ II/ JKN /2018 Tn. RODIN 75 1
99 46695 000807602 /MRT/ II/ JKN /2018 Tn. ODING 63 1
100 46524 000807603 /MRT/ II/ SKTM /2018 Ny. ENUR 46 1
101 46774 000807604 /MRT/ II/ JKN /2018 Ny. ENTAR 56 1
102 46766 000807605 /MRT/ II/ JKN /2018 Ny.OTIH 46 1
103 46770 000807606 /MRT/ II/ SKTM /2018 An. RIRI 7 1
104 46796 000807607 /MRT/ II/ SKTM /2018 Tn. NANA 54 1
105 34712 000807608 /MRT/ II/ JKN /2018 Ny.OTIH 52 1
106 466812 000807609 /MRT/ II/ SKTM /2018 Ny.LINA 47 1
107 46773 000807610 /MRT/ II/ JKN /2018 Ny. NUNUNG 41 1
108 38839 000807611 /MRT/ II/ JKN /2018 Ny. TO'AH 66 1
109 46815 000807612 /MRT/ II/ SKTM /2018 An. ABIZAR 4BL 1
110 46820 000807613 /MRT/ II/ SKTM /2018 ASEP KEMAL 24 1

48 62
ALAMAT
KAMAR PERAWATAN
KECAM

PEU

I
UK T
PER E

PET
NG

IN
LAKI

ET
ISOLA
INFEK

KAMPUNG DESA

ING
ANAK

ALO

ARM
EUN

EL

OM
M PU

- LAK

CIK

CAR
SI

SI

CIB

CIS
PAM

MEK
AN

K
1 CARINGIN 1
1 BENDUNGAN MEKAR WANGI 1
1 TEGAL LEGA BUNGBULANG
1 BANTAR PEUNDEUY SUKANAGARA 1
1 CARINGIN CARINGIN 1
1 CAMPAKA KARYAMUKTI 1
1 MANCAGAHAR 1
1 BURUJUL SUKANAGARA 1
1 SEGLENG PAAS 1
1 JATISARI CISOMPET 1
1 LEUWISIMAR PAMEUNGPEUK 1
1 CIBALONG 1
1 CIGODEG PAAS 1
1 PURBAYANI 1
1 CIBALUK SANCANG 1
1 BOJONG BOJONG 1
1 TEGAL BULED CIJAYANA
1 SODONG JAGABAYA
1 CIBALONG 1
1 PAMEUNGPEUK 1
1 BUNGBULANG
1 BOJONG 1
1 TEGAL SARI PAMEUNGPEUK 1
1 SINDANGSARI 1
1 CITEUREUP SIRNABAKTI 1
1 TANJUNG SARI PAMEUNGPEUK 1
1 CIGADOG PAAS 1
1 SUKALILAH SUKAMUKTI 1
1 PAAS SIRNABAKTI 1
1 KARANG JAHE PAMALAYAN 1
1 CIGODEG SIRNABAKTI 1
1 CISANINTEN
1 JAMPANG MANCAGAHAR 1
1 BATU REOK BOJONG KIDUL 1
1 SINDANGSARI 1
1 PERKEBUNAN NEGLASARI 1
1 PAMALAYAN
1 SODONG
1 PAMEUNGPEUK 1
1 CIBALIER 1
1 BABAKAN PETIR DEPOK 1
1 SINDANGSARI 1
1 BANGBAYANG MEKARSARI 1
1 PADENGDENG 1
BOJONG PAMEUNGPEUK 1
1 MUNJUL JATIMULYA 1
1 JAMPANG JATIMULYA 1
1 SUKAMAJU 1
1 RANCA SAMPING 1
1 CIGODEG PAMEUNGPEUK 1
1 LUEWISIMAR PAMEUNGPEUK 1
1 WANASARI 1
1 LEUWIPANGGUNG PAMEUNGPEUK 1
1 PAMEUNGPEUK 1
1 JAMPANG MANCAGAHAR 1
1 HEGARMANAH DEPOK 1
1 SINARGALIH 1
1 CISOMPET 1
1 PAAS PAMEUNGPEUK 1
1 CISOMPET CISOMPET 1
1 KAUM LEBAK PMPK 1
1 SUKAGALIH SIRNABAKTI 1
1 CISOMPET 1
1 CIKARANG
1 PANGLINGGARAN DEPOK 1
1 SUKALILAH CISOMPET 1
1 JATISARI CISOMPET 1
1 CEMPAKA CIBALONG 1
1 CISEWU
1 WANASARI MEKARSARI 1
1 CIGALEUH CISOMPET 1
1 SUKAMAHI KARYAMUKTI 1
1 CINENGAH CIHERAS
1 APID PAMALAYAN 1
1 APID PAMALAYAN 1
1 POJOK PANYINDANGAN 1
1 SEGLENG PAAS 1
1 NAGARA 1
1 CITOE KARYASARI 1
1 SINDANGSARI 1
1 BUNGBULANG
1 CIDAHON PAMEUNGPEUK 1
1 KAUM LEBAK PAMEUNGPEUK 1
1 KUBANG JAGABAYA
1 BATUSARI 1
1 BUNISARI MANCAGAHAR 1
1 PUNAGA MANDALAKASIH 1
1 SAKAMBANGAN MEKARWANGI 1
1 PAAS SIRNABAKTI 1
1 RANCA HAYAM MEKARSARI 1
1 CIKELET 1
1 KAUM KALER PAMEUNGPEUK 1
1 BOJONG KIDUL PAMEUNGPEUK 1
1 CIPUTAT SANCANG 1
1 NAGRAK 1
1 CIBALONG 1
1 CADAS NGAMPAR CIBALONG 1
1 CIBALONG 1
1 CIKAWALU
1 BONGAS NAJATEN 1
1 BANYUASIH SIRNABAKTI 1
1 CIMERAK SAGARA 1
1 GUNUNG SULAH CIGADOG 1
1 CIDAHON JATIMULYA 1
1 KAUM KIDUL PAMEUNGPEUK 1
1 CIGADOG SIRNABAKTI 1
1 KAUM LEBAK PAMEUNGPEUK 1
1 CIBABONG KARANGSARI
1 CIKELET 1
1 CISEWU

23 44 24 15 3 - - 41 22 7 22 3
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
ALAMAT STATUS

KECAMATAN

AH
NG I
A NG
I

M
UK T

ENG

SKTM
EUY

AER
ONG

AYA
PET

IN

HP HP HP

JKN
UMU
IP
U

WA
ING

B UL
EW

UR
ARM

GAJ
ENJ

ND
OM

RD
EG

JAR
CIH
CIS
CAR

PEU
TAL
PAK
CIS

SIN
MEK

BUN

LUA
BAN
1 1
1 2
1 1 3
1 1
1 2
1 2
1 2
1 2
1 2
1 3
1 3
1 2
1 5
1 4
1 4
1 7
1 1 3
1 1 2
1 2
1 3
1 1 2
1 3
1 3
1 4
1 2
1 3
1 4
1 4
1 3
1 4
1 2
1 1 2
1 2
1 2
2
1 4
1 1 2
1 1 3
1 5
1 3
3
1 5
1 5
1 5
1 3
1 4
1 2
1 4
1 3
1 3
1 3
1 3
1 2
1 2
1 3
1 3
1 2
1 3
1 2
1 4
1 2
1 2
1 2
1 1 3
1 1 3
1 3
1 4
1 3
1 1 6
1 4
1 3
1 3
1 1 4
1 4
1 3

1 5
1 4
1 4
1 5
1 1
1 3
1 5
1 1 6
1 4
1 3
1 3

1 2
1 3
1 2
1 4
1 3
1 4
1 3
1 3
1 3
1 2
1 3
1 2
1 2
1 2
1 2
1 2
1 2
1 2
1 2
1 1 1
1 1
1 1 1

4 1 5 3 - - - - - 1 4 5 61 102 42 213
### 320
SIEN DAN TINDAKANNYA
LAN JANUARI 2017
AKOMOD
ASI
BIAYA

( Rp. )
DIAGNOSA
50,000
SKTM

70,000
130,000
250,000
BRONCHOPNEUMONIA
GEA INFLAMASI GASTROPATI EROSIVA NSAID
NEFRITIS SLE HSP
ANEMIA
DECOM CORDIS ULKUS PEPTIKUM OMI ANTROPATI
TB. MILIER SEPSIS CAP PPOK EXASERBASI AKUT
ASMA BRONCHIALE CAP
ULKUS PEPTIKUM
BPPV GERD ULKUS PEPTIKUM
DC KA -KI FC CLASS IV ULKUS PEPTIKUM
GASTROPATI EROSIVA
STROKE INFARK ULKUS PEPTIKUM CKD
DENGUE FEVER CAD OMI
DM TIPE 2 ISK
OBS FEBRIS THYPOID FEVER
DENGUE FEVER
DIARE AKUT INFLAMASI ULKUS PEPTIKUM DM TIPE 2
HIPERTENSI URGENSI DISPEPSIA
ULKUS PEPTIKUM GEA INFLAMASI
PPOK CAP DM TIPE 2
GASTROPATI EROSIVA 46106
DIARE AKUT INFLAMASI
PPOK EXACERBASI AKUT
ULKUS PEPTIKUM HYPERTENSI URGENSI
TALASEMIA
MELENA
PPOK EXACERBASI AKUT GEA INFLAMASI
STROKE INFARK
BPPV GERD
DHF GEA INFLAMASI
ASMA BRONCHIALE GASTERRITIS ACUT
ACITES HEPATITIS
ISK BPH TB. PARU
GEA INFLAMASI ULKUS PEPTIKUM
ULKUS PEPTIKUM CAP, PPOK
CAP,PPOK ULKUS PEPTIKUM
BRADIKARDI ULKUS PEPTIKUM
CAP PPOK,GASTROPATI EROSIV
GEA GASTROPATI EROSIVA NSAID
GEA ULKUS PEPTIKUM
GASTROPATI EROSIVA ULKUS PEPTIKUM
DENGUE FEVER ULKUS PEPTIKUM
DM TIPE 2 HHD
HHD DECOM CORDIS FC IV HT EMERGENCY
ULKUS PEPTIKUM GEA INFLAMASI
DENGUE FEVER ULKUS PEPTIKUM
BRONCHOPNEUMONIA PPOK
CAP PPOK,ULKUS PEPTIKUM,TB PARU RELAPS
CAP STEMI INFERIOR, ULKUS PEPTIKUM
GEA INFLAMASI HT STAGE II
ASMA BRONCHIALE BP
PPOK CAP,HT ST11
GEA NON INFLAMASI ULKUS PEPTIKUM
HHD DECOM CORDIS FC IV HT EMERGENCY
ULUKUS PEPTIKUM GEA INFLAMASI
ULKUS PEPTIKUM GEA INFLAMASI
SEPSIS CAP PPOK,BP BERAT
ULKUS PEPTIKUM HT ST II,DISLIPEDIMIA
STROKE INFARK HHD,ULKUS PEPTIKUM
ASMA BRONCHIALE BP
ULKUS PEPTIKUM GEA INFLAMASI
ULKUS PEPTIKUM HT ST II
ULKUS PEPTIKUM HT ST II
MENINGITIS STATUS EPILEPTIKUS
ISK GEA INFLAMASI
DC KA -KI FC CLASS IV DECOM CORDIS FC 1V
DECOM CORDIS PPOK,CAP
HHD DECOM CORDIS FC IV HT ST II
ULKUS PEPTIKUM GEA INFLAMASI
ULKUS PEPTIKUM SELULITIS
BRONCHOPNEUMONIA VIRAL INFECTION
GEA ISK
BRONCHOPNEUMONIA DIARE AKUT
GEA ULKUS PEPTIKUM
GEA ULKUS PEPTIKUM
GEA DEHIDRASI BERAT
TB PARU
DENGUE FEVER
PPOK CAP GASTROPATI EROSIVA
STROKE INFARK
BP BERAT
CAP PPOK
DENGUE FEVER GEA INFLAMASI
ASITES ec CA HEPAR
CHF
DENGUE SYOK SYNDROM
HHD DECOM CORDIS FC IV
CAP PPOK EKSASERBASI AKUT
AF NVR DECOM CORDIS FC 1V
PPOK CAP
HEMAPTOE
ATRIAL FIBRILASI
VES
ANEMIA EC PENDARAHAN
BPPV
THYFOID FEVER
GASTROPATI EROSIVA SUPRA VENTRIKULAR
ILEUS PARALITIK
GASTROPATI EROSIVA HIPERTENSI URGENSI
EFUSI BILATERAL EC TB PARU
THYFOID FEVER ULKUS PEPTIKUM
DM TIPE 2 NEUROPATY ULKUS PEPTIKUM
DENGUE FEVER MALNUTRISI BERAT
ISK
ULKUS PEPTIKUM AF RVR
GASTROPATI EROSIVA ULKUS PEPTIKUM
SUSP. STROKE
ULKUS PEPTIKUM
BP BERAT
ABSES RONGGA LEHER SUSP LIMFADENOPATI COLLI TERSUSP TB PARU

- - - 46,106
VISITE TINDAKAN
KONSUL
( Rp )
( Rp )
INFUS SUNTIK NEBULIZE O2 ECG KATETER NGT MONITOR
( Rp ) ( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
20,000 20,000

100,000 100,000 5,000 3,000 75,000 12,000 50,000 10,000 50,000

000807524/MRT/ II/ SKTM /2018 AN. FAHMI 16 1 1


- - - -
TINDAKAN

ASUHAN KEPERAWATAN
SEPUL WT LUKA KAT I KAT II KAT III KAT IV
( Rp ) ( Rp ) HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
JUMLAH (Rp) (Rp) (Rp) (Rp)

10,000 15,000 25,000 32,500 45,000

KARANG JAHE 1
NO

REKAM MEDIS
CARA MASUK
URUT

REGISTER
DAL

POL
IGD

AIN
AM

R.L
I

1 46667 000807597 /MRT/ II/ SKTM /2018


2 24521 000807599 /MRT/ II/ JKN /2018
3 46694 000807600 /MRT/ II/ JKN /2018
4 46695 000807602 /MRT/ II/ JKN /2018
5 46524 000807603 /MRT/ II/ SKTM /2018
6 46766 000807605 /MRT/ II/ JKN /2018
7 46770 000807606 /MRT/ II/ SKTM /2018
8 46796 000807607 /MRT/ II/ SKTM /2018
9 34712 000807608 /MRT/ II/ JKN /2018
10 466812 000807609 /MRT/ II/ SKTM /2018
11 46773 000807610 /MRT/ II/ JKN /2018
12 38839 000807611 /MRT/ II/ JKN /2018
13 46815 000807612 /MRT/ II/ SKTM /2018
14 46820 000807613 /MRT/ II/ SKTM /2018
15 46072 000807614 /MRT/ III/ JKN /2018
16 46771 000807615 /MRT/ III/ JKN /2018
17 46881 000807616 /MRT/ III/ SKTM /2018
18 37365 000807617 /MRT/ III/ JKN /2018
19 46876 000807618 /MRT/ III/ JKN /2018
20 46908 000807619 /MRT/ III/ SKTM /2018
21 46900 000807620 /MRT/ III/ JKN /2018
22 46698 000807621 /MRT/ III/ SKTM /2018
23 46872 000807622 /MRT/ III/ JKN /2018
24 46906 000807623 /MRT/ III/ SKTM /2018
25 31882 000807624 /MRT/ III/ SKTM /2018
26 42953 000807625 /MRT/ III/ JKN /2018
27 46929 000807626 /MRT/ III/ SKTM /2018
28 30164 000807627 /MRT/ III/ JKN /2018
29 46922 000807628 /MRT/ III/ SKTM /2018
30 46937 000807629 /MRT/ III/ SKTM /2018
31 46946 000807630 /MRT/ III/ JKN /2018
32 46946 000807631 /MRT/ III/ SKTM /2018
33 35095 000807632 /MRT/ III/ JKN /2018
34 43428 000807633 /MRT/ III/ JKN /2018
35 46956 000807634 /MRT/ III/ SKTM /2018
36 46995 000807635 /MRT/ III/ SKTM /2018
37 46980 000807636 /MRT/ III/ SKTM /2018
38 47021 000807637 /MRT/ III/ SKTM /2018
39 47013 000807638 /MRT/ III/ JKN /2018
40 47011 000807639 /MRT/ III/ JKN /2018
41 47059 000807640 /MRT/ III/ JKN /2018
42 47015 000807641 /MRT/ III/ SKTM /2018
43 47016 000807642 /MRT/ III/ JKN /2018
44 47050 000807643 /MRT/ III/ SKTM /2018
45 22672 000807644 /MRT/ III/ SKTM /2018
46 47065 000807645 /MRT/ III/ JKN /2018
47 47090 000807646 /MRT/ III/ SKTM /2018
48 46416 000807647 /MRT/ III/ JKN /2018
49 30639 000807648 /MRT/ III/ JKN /2018
50 4738 000807649 /MRT/ III/ SKTM /2018
51 47112 000807650 /MRT/ III/ SKTM /2018
52 47181 000807651 /MRT/ III/ SKTM /2018
53 47177 000807652 /MRT/ III/ JKN /2018
54 47162 000807653 /MRT/ III/ SKTM /2018
55 44578 000807654 /MRT/ III/ JKN /2018
56 47197 000807655 /MRT/ III/ JKN /2018
57 47204 000807656 /MRT/ III/ JKN /2018
58 47202 000807657 /MRT/ III/ JKN /2018
59 47206 000807658 /MRT/ III/ SKTM /2018
60 47203 000807659 /MRT/ III/ SKTM /2018
61 47276 000807660 /MRT/ III/ U /2018
62 47283 000807661 /MRT/ III/ JKN /2018
63 47308 000807662 /MRT/ III/ SKTM /2018
64 47312 000807663 /MRT/ III/ JKN /2018
65 47316 000807664 /MRT/ III/ SKTM /2018
66 47295 000807665 /MRT/ III/ SKTM /2018
67 41021 000807666 /MRT/ III/ JKN /2018
68 47323 000807667 /MRT/ III/ SKTM /2018
69 47326 000807668 /MRT/ III/ SKTM /2018
70 46908 000807669 /MRT/ III/ SKTM /2018
71 47363 000807670 /MRT/ III/ JKN /2018
72 47367 000807671 /MRT/ III/ SKTM /2018
73 47330 000807672 /MRT/ III/ JKN /2018
74 47365 000807673 /MRT/ III/ SKTM /2018
75 40146 000807674 /MRT/ III/ JKN /2018
76 47389 000807675 /MRT/ III/ JKN /2018
77 47372 000807676 /MRT/ III/ JKN /2018
78 40146 000807677 /MRT/ III/ JKN /2018
79 47390 000807678 /MRT/ III/ U /2018
80 46922 000807679 /MRT/ III/ JKN /2018
81 47373 000807680 /MRT/ III/ SKTM /2018
82 47385 000807681 /MRT/ III/ SKTM /2018
83 47324 000807682 /MRT/ III/ SKTM /2018
84 47426 000807683 /MRT/ III/ SKTM /2018
85 47440 000807684 /MRT/ III/ SKTM /2018
86 44797 000807685 /MRT/ III/ JKN /2018
87 47439 000807686 /MRT/ III/ JKN /2018
88 47419 000807687 /MRT/ III/ U /2018
89 47465 000807688 /MRT/ III/ JKN /2018
90 47503 000807689 /MRT/ III/ JKN /2018
91 47459 000807690 /MRT/ III/ SKTM /2018
92 47496 000807691 /MRT/ III/ JKN /2018
93 25055 000807692 /MRT/ III/ JKN /2018
94 47519 000807693 /MRT/ III/ JKN /2018
95 47520 000807694 /MRT/ III/ SKTM /2018
96 47554 000807695 /MRT/ III/ SKTM /2018
97 46822 000807696 /MRT/ III/ SKTM /2018
98 47545 000807697 /MRT/ III/ JKN /2018
99 000807698 /MRT/ III/ JKN /2018
100 47572 000807699 /MRT/ III/ JKN /2018
101 47575 000807700 /MRT/ III/ JKN /2018
102 4628 000807701 /MRT/ III/ JKN /2018
103 47612 000807702 /MRT/ III/ JKN /2018
104 47611 000807703 /MRT/ III/ JKN /2018
105 47604 000807704 /MRT/ III/ JKN /2018
106 47610 000807705 /MRT/ III/ JKN /2018
107 47621 000807706 /MRT/ III/ SKTM /2018
108 47614 000807707 /MRT/ III/ SKTM /2018
109 47660 000807708 /MRT/ III/ SKTM /2018
110 47625 000807709 /MRT/ III/ SKTM /2018
111 47624 000807710 /MRT/ III/ JKN /2018
112 47662 000807711 /MRT/ III/ SKTM /2018
113 47664 000807712 /MRT/ III/ JKN /2018
114 34900 000807713 /MRT/ III/ JKN /2018
115 47979 000807714 /MRT/ III/ SKTM /2018
116 46175 000807715 /MRT/ III/ JKN /2018
117 47684 000807716 /MRT/ III/ SKTM /2018
118 47683 000807717 /MRT/ III/ JKN /2018
119 47686 000807718 /MRT/ III/ SKTM /2018
120 47690 000807719 /MRT/ III/ JKN /2018
121 47710 000807720 /MRT/ III/ JKN /2018
122 47705 000807721 /MRT/ III/ SKTM /2018
123 47696 000807722 /MRT/ III/ SKTM /2018
124 47691 000807723 /MRT/ III/ SKTM /2018
125 46822 000807724 /MRT/ III/ SKTM /2018
126 47715 000807725 /MRT/ III/ SKTM /2018
127 47756 000807726 /MRT/ III/ JKN /2018
128 47716 000807727 /MRT/ III/ SKTM /2018
129 47741 000807728 /MRT/ III/ JKN /2018
130 45108 000807729 /MRT/ III/ JKN /2018
131 37900 000807730 /MRT/ III/ SKTM /2018
132 000807731 /MRT/ III/ JKN /2018
133 47770 000807732 /MRT/ III/ JKN /2018
134 47789 000807733 /MRT/ III/ SKTM /2018
135 20024 000807734 /MRT/ III/ JKN /2018
136 15327 000807735 /MRT/ III/ JKN /2018
137 47809 000807736 /MRT/ III/ JKN /2018
138 47805 000807737 /MRT/ III/ JKN /2018
139 47827 000807738 /MRT/ III/ JKN /2018
140 47849 000807739 /MRT/ III/ SKTM /2018
141 46468 000807740 /MRT/ III/ JKN /2018
142 47678 000807741 /MRT/ III/ JKN /2018
143 47869 000807742 /MRT/ III/ SKTM /2018
144 40350 000807743 /MRT/ III/ JKN /2018
145 28362 000807744 /MRT/ III/ JKN /2018
146 47884 000807745 /MRT/ III/ SKTM /2018
147 47887 000807746 /MRT/ III/ SKTM /2018
148 47717 000807747 /MRT/ III/ SKTM /2018
KAMAR PERAWATAN
JENIS
UMUR KELAMIN
NAMA PASIEN

PER E
(TH)

LAKI

ISOLA
INFEK
KAMPUNG

ANAK
L P

M PU

- LAK

SI

SI
AN

I
Ny. AI DINA 37 1 1 CIPUTAT
Ny. EROS 58 1 1
Ny. ENUNG 61 1 1 CADAS NGAMPAR
Tn. ODING 63 1 1 CIKAWALU
Ny. ENUR 46 1 1 BONGAS
Ny.OTIH 46 1 1 CIMERAK
An. RIRI 7 1 1 GUNUNG SULAH
Tn. NANA 54 1 1 CIDAHON
Ny.OTIH 52 1 1 KAUM KIDUL
Ny.LINA 47 1 1 CIGADOG
Ny. NUNUNG 41 1 1 KAUM LEBAK
Ny. TO'AH 66 1 1 CIBABONG
An. ABIZAR 4BL 1 1
ASEP KEMAL 24 1 1
An. DITA 12 1 1 CITEUREUP
Tn.EMPUD 43 1 1 BATU BENTANG
An. IKHSAN 7BL 1 1 GEMBRONG
Tn. TAJUDIN 32 1 1 RANCAHAYAM
Ny. HERLINA 32 1 1 JOGLO
Ny. MEGI 29 1 1
Nn. HENTIANA 17 1 1 SAGARA
Ny. HALIMAH 74 1 1
Ny. ATIN 44 1 1 TEGALSARI
An. ABAS 1 1 1 BOJONG
Nn. RESI 17 1 1 PASIR PANJANG
Tn. RAI TEGUH 28 1 1
Ny. KURNIATI 25 1 1
Tn. ODIR 72 1 1
An. MAULA 1BL 1 1
Tn. RUDI 39 1 1 PANGLIGARAN
Tn. MANAF 40 1 1 BURUJUL
Tn. ADE 47 1 1 SUKAHIDENG
An. HAMDANI 1 1 1 MARGAMUKTI
Ny. HENI 31 1 1 GUNA MEKAR
Sdr. HASAN 17 1 1 CINTAMUKTI
Tn. DADANG 39 1 1 CIDAHON
Tn. YOYO 71 1 1 TIMUS GEDE
An. SAGITA 15BL 1 1 PANGLIGARAN
Ny. MAEMUNAH 79 1 1 BOBOJONG
Tn. SUHADA 72 1 1 JATISARI
Ny. ROHAYATI 52 1 MEKARSARI
Ny. LINA 33 1 HEGARMANAH
Ny. MASRIAH 44 1 JATISARI
Ny. SIRVI 19 1 MEKARSARI
Tn. KATIMI 72 1 PANGLIGARAN
Tn. IHIN 80 1 CIPALAHLAR
Ny. EEN 39 1 1 RIUNG GUNUNG
An. FATWA 5BL 1 1
Tn. ADE SULAEMAN 48 1 1 CENTRONG
Ny. IMAS 45 1 1 JATIBARU
Tn. ADE JAMIDIN 48 1 1 MANCAGAHAR
An. MUSTOFA 14 1 1 SUKAPURA
Nn. DESI 19 1 1 CINTAMUKTI
Ny. ARUM 77 1 1 CIAWI
Ny. YULIA 20 1 1 SEGLENG
Nn. NURUL 14 1 1 LEUWISIMAR
Ny. NINA 22 1 1 LEUWISIMAR
An. RESA 7 1 1
An. M. RIFKI 2BL 1 1 BLOKLAME
An. FIRSA 7 1 CIROYOM
An. REVAL 4BL 1 1 CIBULUH
Tn. HARI 27 1 1 SEGLENG
Ny. DEDE 48 1 1 KARANGJAHE
An. VRINDA 6 1 1 PASANGGRAHAN
An. NOVITA 1 1 1 BABAKAN RAHAYU
An. TASYA 9 1 1 BANGSA SINGA
Tn. SUTISNA 42 1 1 BABAKAN PETIR
Ny, NURHAYATI 37 1 1 LEGOKSARI
Ny. ISAR 53 1 1 JAMPANG
Ny. MEGI 29 1 1 MANCAGAHAR
Tn. SYAHRUL 44 1 1 SUKASIRNA
Ny. SUKMANAH 53 1 1 BOJONG
Sdri. MONA 17 1 1 PANGLIGARAN
Tn. JAPAR 49 1 1 CIKUYA
An. AUFA 21BL 1 1 MEKARSARI
Tn DEDE 60 1 1
Ny. ONIH 60 1 1 PASIR KOLECER
An. AUFA 2BLN 1 1 MEKARSARI
Ny. EEN 1 1 CI PENDEY
An. MAULA 2BLN 1 1 CI KARANG INDAH
An. ALIF 1 1 1 MEKAR BAKTI
Ny. IRON 66 1 1 PAMUKIMAN
Ny. EDAH 54 1 1 CI GOLEAH
Ny. TITIM 54 1 1 JAMPANG
Ny. HAYATI 51 1 1 POJOK CAU
Tn. ROHMAN 54 1 1 PUNCAK WARU
Tn. YANA 66 1 1 MEKARSARI
An. GIBRA 1.7 1 1 CI KALAPA
Tn. AGUS 47 1 1 APID
Sdr. RIKI 22 1 1
Tn. KUSNADI 64 1 1 LEUWI NANGGUNG
Ny. TITA 36 1 1 PADENGDENG
Ny. NINA 45 1 1
An. NENG AZKA 4 BLN 1 1 SUKAJAYA
Tn. MAMAT 58 1 1 DEPOK
TN. RIZAL 25 1 1
AN. ARKA 3 BLN 1 1 MEKARWANGI
NY. YAYAH 1 1 MEKARSARI
NY. FITRI 28 1 1 BOJONG
TN. AGUS 45 1 1 CI DAHON
TN. DEDE 21 1 1 BARU MANDALA
TN. RIKI 27 1 1 JAMPANG
NY. INDRIYANI 21 1 1 SIPANGSARI
TN. APUD 74 1 1 GUNUNG SULAH
TN. AHMAD 44 1 1 KP CI REJAG
TN. ENGKON 72 1 1 TRIKOLOT
NY. NURLELA 45 1 1 WANASARI
AN. PUTRI 4 BLN 1 1 CI HAUR KUNING
NY,. OOM 54 1 1 CI GUNTUR
TN. ABRIA 62 1 1 TANJUNG SARI
TN. EMAN 72 1 1 CI PICUNG
TN. DUDUNG 57 1 1 CI AMIS
NY. MUSTIKA 54 1 1 BEBDAHAN
SDR. RIZAL 21 1 1 MANCAGAHAR
TN. JUJUN 28 1 1 CI KANYERE
TN. JALI 55 1 1 TEGAL SARI
NY. NOVITASARI 20 1 1 JATI BARU
NY. AMAYAH 72 1 1 PANGLIGARAN
NY. HERNAWATI 45 1 1 SINDANG MUKTI
TN. IMAM 34 1 1
NY. RODIAH 43 1 1 EMPANG
NN. VINA 18 1 1 SINDANGSAARI
TN. KOMANA 34 1 1 CI JERUK
TN. ARMAN 47 1 1 JADUN
AN. ARKA 1 1 MEKARWANGI
TN. KUSNADI 27 1 1 SANCANG
NY. RENI 50 1 1 CI NENGAH
SDR. TRISNA 21 1 1 HEGARMANAH
NY. CUCU 42 1 1 LEUWI GENTENG
TN. TAHRI 74 1 1 PAAS
NY. YULIANI 34 1 1
NY. OTING 92 1 1
AN. RUDI 11 1 1
TN. BUDI 40 1 1 POJOK CAU
TN. ENDANG 71 1 1 GEMRONG BOJONG
TN. TARMEDI 64 1 1 BARU
TN. JAJA 59 1 1 SEGLENG
SDR. AI RISNA 20 1 1 BIJONG KOMO
TN. NURHAMIMI 36 1 1 BABAKAN JATI
NY. YUYUN 70 1 1 AWASAGARA
NN. PUTRI AYU 19 1 1 PADENGDENG
AN. KARTIKA 1 1 1 APID
AN. ANDRENA 1 1 1 PASAMPEU
NY. PARISAH 62 1 1 CIBERA
NY. APAN 60 1 1 CI GODEG
AN. PINGKI 11BLN 1 1 CI BENGKOK
NY. RIA 29 1 1 CI TEUREUP
AN. ZHAFIRA 8BLN 1 1 JOLOK TIPAR

69 79 29 52 47 8 5 -
ALAMAT

KECAMATAN

PEU

A NG
I
UK T

ENG

EUY
G

AYA
PET
NG

IN

P
ET

N
DESA
G

URI
ING

B UL
EW

EGO
ALO

ARM
EUN

GAJ
EL

ENJ

ND
OM

CIH
CIS
CIK

CAR

PEU
TAL
CIB

PAK
CIS

SIN
PAM

MEK

BUN
K

SANCANG 1
CIBALONG 1
CIBALONG 1

NAJATEN 1
SAGARA 1
CIGADOG 1
JATIMULYA 1
PAMEUNGPEUK 1
SIRNABAKTI 1
PAMEUNGPEUK 1
KARANGSARI 1
CIKELET 1
CISEWU 1
SIRNABAKTI 1
CIANJUR
BOJONG 1
MEKARSARI 1
MANDALAKSIH 1
MANCAGAHAR 1
1
PAMEUNGPEUK 1
1
1
SANCANG 1
CIKELET 1
CIAWITALI 1
CIKUPA 1
CIPATUJAH
DEPOK 1
1
SANCANG 1
1
1
1
JATIMULYA 1
1
DEPOK 1
1
MEKARSARI 1
CIKELET 1
CIBALONG 1
CIBALONG 1
CIKELET 1
CISOMPET 1
BOJONG 1
CARINGIN 1
BUNGBULANG 1
BOJONG 1
PAMEUNGPEUK 1
MANCAGAHAR 1
MANDALAKSIH 1
KARYASARI 1
CIBALONG 1
PAMEUNGPEUK 1
MANDALAKSIH 1
1
1
MANDALAKASIH 1
1
1
PAAS 1
PAMALAYAN 1
KARANGSARI 1
SUKARAME 1
SUKANAGARA 1
CISOMPET 1
CIBALONG 1
MANCAGAHAR 1
PAMEUNGPEUK 1
CIKELET 1
PAMEUNGPEUK 1
DEPOK 1
PAMEUNGPEUK 1
CIKELET 1
CARINGIN 1
1
1
1

1
1
MARGAMULYA 1
JATIMULYA 1
PAMALAYAN 1
CIJAYANA 1
SUKAMUKTI 1
KARANG SARI 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
CI BALONG
1
1
1
DEPOK 1
1
1
1
1
1
1
DEPOK 1
MEKARSARI 1
BANDUNG TENGAH
CI KARANG 1
1
1
1
1
1
1
1
SIRNABAKTI 1
PAAS 1
1
1
1
CIKELET 1
1
MANDALAKASIH 1
1
MEKARWANGI 1
1
1
1
PAMALAYAN 1
1
KARYASARI 1
1
1
PAMLAYAN 1
1

- 48 29 23 24 4 2 5 5 2 - - -
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH
NG I

IZIN AH MENI

SKTM
JAH
EUY

AER
AYA

HP DOKT APS RUAN RUJUK NGG

JKN
UMU
P

WA
URI

ER GAN AL
ATU
GAJ

ND

RD

LAIN
JAR
CIH

PEU

CI P
SIN

BAN

LUA

1 4 1
1 3 1
1 3 1
1 3 1
1 2 1
1 2 1
1 2 1
1 2 1
1 2 1
1 2 1
1 2 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 4 1
1 2 1
1 2 1
1 2 1
1 4 1
1 5 1
1 4 1
1 2 1
1 2 1
1 2 1
1 3 1
1 4 1
1 3 1
1 1 6 1
1 2 1
1 4 1
1 4 1
1 3 1
1 3 1
1 4 1
1 3 1
1 3 1
1 1 1
1 2 1
1 3 1
1 3 1
1 3 1
1 2 1
1 3 1
1 3 1
1 3 1
1 4 1
1 7 1
1 6 1
1 4 1
1 4 1
1 2 1
1 5 1
1 2 1
1 2 1
1 4 1
1 3 1
1 3 1
1 3 1
1 7 1
1 2 1
1 3 1
1 2 1
1 3 1
1 6 1
1 2 1
1 5 1
1 2 1
1 3 1
1 3 1
1 2 1
1 2 1
1 4 1
1 2
1 5 1
1 2 1
1 3 1
1 6 1
1 3 1
1 1 2 1
1 2 1
1 3 1
1 3 1
1 2 1
1 3 1
1 5 1
1 2 1
1 3 1
1 2 1
1 2 1
1 2 1
1 3 1
1 4 1
1 4 1
1 3 1
1 4 1
1 3 4 1
1 4 1
1 2 1
1 2 1
1 6 1
1 3 1
1 3 1
1 3 1
1 3 1
1 5 1
1 2 1
1 6 1
1 4 1
1 2 1
1 3 1
1 3 1
1 3 1
1 3 1
1 2 1
1 4 1
1 5 1
1 3 1
1 3 1
1 1 6 1
1 1 1
1 3 1
1 3 1
1 7 1
1 4 1
1 6 1
1 5 1
1 1 1
1 3 1
3 1

3 1
3 1
4 1
3 1
3 1
3 1
3 1
4 1
3 1
2 1
3 1
2 1
3 1
3 1
2 1
2 1

- - 1 3 3 66 60 456 143 1 3 1 1
NNYA

DIAGNOSA

ANEMIA EC PENDARAHAN
THYFOID FEVER
GASTROPATI EROSIVA SUPRA VENTRIKULAR
GASTROPATI EROSIVA HIPERTENSI URGENSI
EFUSI BILATERAL EC TB PARU
DM TIPE 2 NEUROPATY ULKUS PEPTIKUM
DENGUE FEVER MALNUTRISI BERAT
ISK
ULKUS PEPTIKUM AF RVR
GASTROPATI EROSIVA ULKUS PEPTIKUM
SUSP. STROKE
ULKUS PEPTIKUM
BP BERAT
ABSES RONGGA LEHER SUSP LIMFADENOPATI COLLI TERSUSP TB PARU
THALASEMIA MAYOR
HEPATOMEGALI ec HBV
KEJANG DEMAM SEDERHANA
STEMI HT URGENSI ULKUS PEPTIKUM
ULKUS PEPTIKUM
TB PARU ULKUS PEPTIKUM
ULKUS PEPTIKUM
CHF GASTRITIS CAP PPOK
ASMA BRONCHIALE EKSASERBASI AKUULKUS PEPTIKUM
SEPSIS
ULKUS PEPTIKUM
GEA DM TIPE 2
ULKUS PEPTIKUM
CAP ULKUS PEPTIKUM
BP BERAT
KONSTIPASI
DIARE KRONIS DEHIDRASI RINGAN SEDANG
VIRAL INFECTION
KEJANG DEMAM KOMPLEK
HIPERGLIKEMIA HIPEROSMULAR KETOTIK
THYFOID FEVER SUSP. APENDICITIS
DYSPEPSIA AKI HEPATITIS
CHEPALGIA LBP
KEJANG DEMAM KOMPLEK MALNUTRISI BERAT
HT URGENSI DISPEPSIA ANEMIA
ASMA BRONCHIALE EKSASERBASI AKURBBB
ULKUS PEPTIKUM RBBB
VERTIGO FERIVER
ASMA BRONCHIALE EKSASERBASI AKUHT URGENSI
ULKUS PEPTIKUM
PPOK
PPOK
ULKUS PEPTIKUM
BP BERAT
CHF CKD
HT URGENSI TONSILITIS
PPOK CAP
KEJANG DEMAM KOMPLEK
THYFOID FEVER BRONKHITIS
HHD HIPERTENSI GR II
GEA DEHIDRASI RINGAN SEDANG
THYFOID FEVER GEA NON DISENTRI
DENGUE FEVER
THYFOID FEVER
BRONCHOPNEUMONIA BERAT
BRONCHOPNEUMONIA BERAT THYFOID FEVER
BRONCHOPNEUMONIA BERAT
KOLIK ABDOMEN EC SUSP UROLITHIASIS
GEA DHF HT URGENSI
THALASEMIA MAYOR
BRONCHOPNEUMONIA BERAT
APENDICITIS AKUT
CKD CHF
CAD ULKUS PEPTIKUM
ULKUS PEPTIKUM DM TIPE 2
TB PARU ULKUS PEPTIKUM
DENGUE FEVER
ULKUS PEPTIKUM TROMBOSITOPENIA
GEA DISENTRIFORM DEHIDRASI RINGAN SEDANG
STROKE INFARK
ANEMIA DEFESIENSI FE TRISOMI 21
GASTROPATI EROSIVA ULKUS PEPTIKUM ANEMIA
ULKUS PEPTIKUM ANEMIA
TRISOMI 21
ULKUS PEPTIKUM
BP BERAT
KEJANG DEMAM KOMPLEK MALNUTRISI BERAT
OSTEOARTRITIS SUSP TB
HHD DECOM CORDIS
GASTRITIS
ULKUS PEPTIKUM
AF ULKUS PEPTIKUM
ULKUS PEPTIKUM FARINGITIS AKUT
DIARE AKUT NON DISENTRI
FARINGITIS AKUT
GASTROVATI KRONIK
ULKUS PEPTIKUM
ULKUS PEPTIKUM GEA
FIBROSIS PARU PNEUMOTHORAK
BP BERAT
SUSP. STROKE INFARK HEMIPARESE DEXTRA
DHF
BP BERAT GEA TANPA DEHIDRASI
PPOK GASTRITIS
LBP
GEA NON DISENTRI
THYFOID FEVER
ULKUS PEPTIKUM GEA SUSP TB PARU
ULKUS PEPTIKUM
GEA ULKUS PEPTIKUM DISPEPSIA
ULKUS PEPTIKUM GERD BRONKHITIS
PPOK CAP
ULKUS PEPTIKUM GEA
BP BERAT OVERWEIGHT
GASTROVATI EROSIVA BERDARAH ANEMIA
PPOK ULKUS PEPTIKUM SUSP TB PARU
ULKUS PEPTIKUM GERD PPOK
ULKUS PEPTIKUM ACS
ULKUS PEPTIKUM
ULKUS PEPTIKUM DISPEPSIA
ULKUS PEPTIKUM
CAD ISKEMIK INFERIOR PPOK
ULKUS PEPTIKUM
ULKUS PEPTIKUM
ULKUS PEPTIKUM
DHF
ULKUS PEPTIKUM
ULKUS PEPTIKUM ISK
THYFOID FEVER
TENSION TYPE HEADCHE ULKUS PEPTIKUM
BP BERAT
VIRAL INFECTION
CHF
ULKUS PEPTIKUM
ULKUS PEPTIKUM
BRONKHITIS AKUT PPOK
SUSP CHF
GASTROPATI EROSIVA CAD
EXTERPASI SYNDROM
SUSP KP
ULKUS PEPTIKUM
GASTRITIS AKUT PPOK CAD
HEMIPARASE ALTERUM
GASTRITIS AKUT HAEMOROID
GASTRITIS AKUT
GEA
GEA
DADRS
KDK ISPA
CHF
HT URGENCY
KDS
DEMAM DENGUE
BP BERAT

- - - -
AKOMOD
VISITE TIND
ASI KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS SUNTIK NEBULIZE O2 ECG KATETER NGT
( Rp ) ( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000 3,000 75,000 12,000 50,000 10,000
- - - - -
TINDAKAN

ASUHAN KEPERAWATAN
MONITOR SEPUL WT LUKA KAT I KAT II KAT III KAT IV
( Rp ) ( Rp ) ( Rp ) HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH
JUMLAH (Rp) (Rp) (Rp)

50,000 10,000 15,000 25,000 32,500


KAT IV
HARGA
(Rp)

45,000
NO

CARA MASUK

REKAM MEDIS
URUT

REGISTER
DALAM

R.LAIN
ANAK
POLI

POLI
IGD

1 1 47903 0008075114/MRT/ IV/ JKN /2018


2 1 47899 0008075114/MRT/ IV/ JKN /2018
3 1 47912 0008075114/MRT/ IV/ JKN /2018
4 1 47913 0008075114/MRT/ IV/ JKN /2018
5 1 46981 000807748 /MRT/ IV/ JKN /2018
6 1 47975 000807749 /MRT/ IV/ UMUM/2018
7 1 47946 000807750 /MRT/ IV/ SKTM /2018
8 1 46988 000807751 /MRT/ IV/ JKN /2018
9 1 47934 000807752 /MRT/ IV/ JKN /2018
10 1 47926 000807753 /MRT/ IV/ JKN /2018
11 1 47938 000807754 /MRT/ IV/ JKN /2018
12 1 43040 000807755 /MRT/ IV/ JKN /2018
13 1 47958 000807756 /MRT/ IV/ SKTM /2018
14 1 48010 000807757 /MRT/ IV/ SKTM /2018
15 1 27471 000807758 /MRT/ IV/ JKN /2018
16 1 33921 000807759 /MRT/ IV/ SKTM /2018
17 1 48008 000807760 /MRT/ IV/ SKTM /2018
18 1 47989 000807761 /MRT/ IV/ JKN /2018
19 1 48029 000807762 /MRT/ IV/ SKTM /2018
20 1 48035 000807763 /MRT/ IV/ SKTM /2018
21 1 45525 000807764 /MRT/ IV/ SKTM /2018
22 1 48064 000807765 /MRT/ IV/ SKTM /2018
23 1 48037 000807766 /MRT/ IV/ JKN /2018
24 1 47889 000807767 /MRT/ IV/ JKN /2018
25 1 45665 000807768 /MRT/ IV/ JKN /2018
26 1 48086 000807769 /MRT/ IV/ JKN /2018
27 1 48087 000807770 /MRT/ IV/ JKN /2018
28 1 48079 000807771 /MRT/ IV/ SKTM /2018
29 1 48117 000807772 /MRT/ IV/ SKTM /2018
30 1 48076 000807773 /MRT/ IV/ JKN /2018
31 1 34342 000807774 /MRT/ IV/ JKN /2018
32 1 48132 000807775 /MRT/ IV/ SKTM /2018
33 1 48151 000807776 /MRT/ IV/ SKTM /2018
34 1 43351 000807777 /MRT/ IV/ UMUM/2018
35 1 48136 000807778 /MRT/ IV/ JKN /2018
36 1 48135 000807779 /MRT/ IV/ JKN /2018
37 1 48164 000807780 /MRT/ IV/ SKTM /2018
38 11 48166 000807781 /MRT/ IV/ JKN /2018
39 1 48170 000807782 /MRT/ IV/ SKTM /2018
40 1 48181 000807783 /MRT/ IV/ JKN /2018
41 1 42142 000807784 /MRT/ IV/ JKN /2018
42 1 48181 000807785 /MRT/ IV/ JKN /2018
43 1 38189 000807786 /MRT/ IV/ JKN /2018
44 1 24916 000807787 /MRT/ IV/ JKN /2018
45 1 28258 000807788 /MRT/ IV/ JKN /2018
46 1 48250 000807789 /MRT/ IV/ SKTM /2018
47 1 48265 000807790 /MRT/ IV/ SKTM /2018
48 1 48296 000807791 /MRT/ IV/ SKTM /2018
49 1 48285 000807792 /MRT/ IV/ SKTM /2018
50 1 41910 000807793 /MRT/ IV/ SKTM /2018
51 1 48315 000807794 /MRT/ IV/ JKN /2018
52 1 48333 000807795 /MRT/ IV/ SKTM /2018
53 1 48350 000807796 /MRT/ IV/ SKTM /2018
54 1 48376 000807797 /MRT/ IV/ JKN /2018
55 1 48347 000807798 /MRT/ IV/ SKTM /2018
56 1 35319 000807799 /MRT/ IV/ JKN /2018
57 1 48349 000807800 /MRT/ IV/ SKTM /2018
58 1 44656 000807801 /MRT/ IV/ JKN /2018
59 1 20073 000807802 /MRT/ IV/ JKN /2018
60 1 47485 000807803 /MRT/ IV/ JKN /2018
61 1 48406 000807804 /MRT/ IV/ JKN /2018
62 1 48414 000807805 /MRT/ IV/ JKN /2018
63 1 48415 000807806 /MRT/ IV/ JKN /2018
64 1 48426 000807807 /MRT/ IV/ SKTM /2018
65 1 48429 000807808 /MRT/ IV/ SKTM /2018
66 1 47738 000807809 /MRT/ IV/ SKTM /2018
67 1 48441 000807810 /MRT/ IV/ SKTM /2018
68 1 48446 000807811 /MRT/ IV/ JKN /2018
69 1 48453 000807812 /MRT/ IV/ UMUM/2018
70 1 46673 000807813 /MRT/ IV/ JKN /2018
71 1 48460 000807814 /MRT/ IV/ JKN /2018
72 1 48448 000807815 /MRT/ IV/ SKTM /2018
73 1 48026 000807816 /MRT/ IV/ SKTM /2018
74 1 46236 000807817 /MRT/ IV/ JKN /2018
75 1 48492 000807818 /MRT/ IV/ SKTM /2018
76 1 48510 000807819 /MRT/ IV/ SKTM /2018
77 1 41748 000807820 /MRT/ IV/ JKN /2018
78 1 48516 000807821 /MRT/ IV/ SKTM /2018
79 1 48515 000807822 /MRT/ IV/ SKTM /2018
80 1 48544 000807823 /MRT/ IV/ SKTM /2018
81 1 47974 000807824 /MRT/ IV/ JKN /2018
82 1 48554 000807825 /MRT/ IV/ JKN /2018
83 1 39911 000807826 /MRT/ IV/ JKN /2018
84 1 48598 000807827 /MRT/ IV/ SKTM /2018
85 1 12467 000807828 /MRT/ IV/ JKN /2018
86 1 48598 000807829 /MRT/ IV/ UMUM/2018
87 1 48580 000807830 /MRT/ IV/ SKTM /2018
88 1 48612 000807831 /MRT/ IV/ JKN /2018
89 1 48613 000807832 /MRT/ IV/ SKTM /2018
90 1 74609 000807833 /MRT/ IV/ JKN /2018
91 1 48635 000807834 /MRT/ IV/ JKN /2018
92 1 48670 000807835 /MRT/ IV/ JKN /2018
93 1 34603 000807836 /MRT/ IV/ JKN /2018
94 1 48632 000807837 /MRT/ IV/ JKN /2018
95 1 48659 000807838 /MRT/ IV/ JKN /2018
96 1 48660 000807839 /MRT/ IV/ JKN /2018
97 1 48667 000807840 /MRT/ IV/ JKN /2018
98 1 48683 000807841 /MRT/ IV/ JKN /2018
99 1 48614 000807842 /MRT/ IV/ JKN /2018
100 1 48684 000807843 /MRT/ IV/ SKTM /2018
101 1 14985 000807844 /MRT/ IV/ JKN /2018
102 1 48688 000807845 /MRT/ IV/ JKN /2018
103 1 48686 000807846 /MRT/ IV/ SKTM /2018
104 1 48689 000807847 /MRT/ IV/ JKN /2018
105 1 48687 000807848 /MRT/ IV/ SKTM /2018
106 1 48692 000807849 /MRT/ IV/ SKTM /2018
107 1 17455 000807850 /MRT/ IV/ JKN /2018
108 1 48699 000807851 /MRT/ IV/ JKN /2018
109 1 48737 000807852 /MRT/ IV/ JKN /2018
110 1 48397 000807853 /MRT/ IV/ JKN /2018
111 1 48744 000807854 /MRT/ IV/ SKTM /2018
112 1 48740 000807855 /MRT/ IV/ SKTM /2018
113 1 48741 000807856 /MRT/ IV/ JKN /2018
114 1 25641 000807857 /MRT/ IV/ JKN /2018
115 1 48781 000807858 /MRT/ IV/ JKN /2018
116 1 48785 000807859 /MRT/ IV/ JKN /2018
117 1 48753 000807860 /MRT/ IV/ JKN /2018
118 1 48787 000807861 /MRT/ IV/ SKTM /2018
119 1 41414 000807862 /MRT/ IV/ JKN /2018
120 1 41216 000807863 /MRT/ IV/ SKTM /2018
121 1 48837 000807864 /MRT/ IV/ JKN /2018
122 1 46795 000807865 /MRT/ IV/ SKTM /2018
123 1 48832 000807866 /MRT/ IV/ SKTM /2018
124 1 48842 000807867 /MRT/ IV/ JKN /2018
125 1 26524 000807868 /MRT/ IV/ JKN /2018
126 1 48857 000807869 /MRT/ IV/ JKN /2018
127 1 000807870 /MRT/ IV/ JKN /2018
128 1 43093 000807871 /MRT/ IV/ SKTM /2018
129 1 48876 000807872 /MRT/ IV/ SKTM /2018
130 1 48875 000807873 /MRT/ IV/ UMUM/2018
131 1 48856 000807874 /MRT/ IV/ SKTM /2018
132 1 48271 000807875 /MRT/ IV/ UMUM/2018
133 1 43305 000807876 /MRT/ IV/ JKN /2018
134 1 48874 000807877 /MRT/ IV/ SKTM /2018
135 1 48460 000807878 /MRT/ IV/ JKN /2018
136 1 22672 000807879 /MRT/ IV/ JKN /2018
137 1 48904 000807880 /MRT/ IV/ SKTM /2018
138 1 48414 000807881 /MRT/ IV/ JKN /2018
139 1 48906 000807882 /MRT/ IV/ JKN /2018
140 1 48907 000807883 /MRT/ IV/ JKN /2018
141 1 48920 000807884 /MRT/ IV/ JKN /2018
142 1 48925 000807885 /MRT/ IV/ JKN /2018
143 1 25304 000807886 /MRT/ IV/ JKN /2018
144 1 41414 000807887 /MRT/ IV/ JKN /2018
145 1 48928 000807888 /MRT/ IV/ SKTM /2018
146 1 25304 000807889 /MRT/ IV/ JKN /2018
147 1 47797 000807890 /MRT/ IV/ JKN /2018
148 1 22152 000807891 /MRT/ IV/ JKN /2018
149 1 48933 000807892 /MRT/ IV/ JKN /2018
150 1 45288 000807893 /MRT/ IV/ SKTM /2018
151 1 48962 000807894 /MRT/ IV/ JKN /2018
152 1 48935 000807895 /MRT/ IV/ UMUM/2018
153 1 44530 000807896 /MRT/ IV/ SKTM /2018

154 4 3 2
JENIS
UMUR KELAMIN

PEU
(TH)

NG
NAMA PASIEN

ET
KAMPUNG DESA

ALO
EUN
L P

EL
CIK
CIB
PAM
K
NY. KUSUMAH 65 1 SARIMUKTI
NY. ANISAH 30 1 KARANGWANGI
NY. ANDITA 24 1 LEUWINANGGUNG 1
TN. AHMAD 46 1 SARAKAN SAGARA 1
NY. NUNUNG 40 1
AN. MUTIARA 5 1 CIMAHI
SDR. SANDI 18 1 CI ROYOM
NY. WATI 36 1 SEGLENG PAAS 1
NY. EMOT 75 1 CIGODEG 1
NY. SRI 57 1 CINARINGGUL 1
AN. HANI 13 1 PELABUHAN PURBAYANI
TN. JALI 35 1 TEGALSARI 1
TN. AHMAD 40 1 BELAH PETIR
AN. KEYLA 2 1 LEGOK SARI 1
NY. NIA 44 1 NAGOH 1
NY. OMI 60 1 CENTRONG 1
AN. FADLAN 1 1 SUKALAKSANA 1
TN. IUN 81 1 PANYINDANGAN
TN. HENDI 33 1 SIRNABAKTI 1
AN. FANIA 1 1 NAMGERANG
AN. DIMAS 1.2 1 CI CALENGKA
NY. IIS 36 1 KRANG TENGAH 1
TN. AOS 61 1 JAPAR
NY. TITIM 55 1 CI KUYA
TN. DAMIN 52 1 CI DAHON 1
NY. MAMAH 55 1 BUNJUL
AN. ERIK 11 1 BARU 1
AN. REHAN 58 1 DATAR PALAY 1
AN. REVITA 11 1 MANDLAKASIH 1
TN. SARIFUDIN 44 1 CIKALAPA 1
TN. RAHMAT 61 1 SIRNARAGA 1
NY. INA 20 1 JATI MANDALAKASIH 1
NY. OOM 55 1 CI SEUPAN
AN. KEANO NAJA 7BLN 1 LEUWINANGGUNG 1
TN. MEMED 69 1 TEGAL SARI 1
NY. KONASIH 59 1 BATU REOK 1
NY. LELAWATI 32 1 BUNISARI 1
NY. IMI 68 1 SALEGOK
AN. BILAL 10BLN 1 PABUARAN MANCAGAHAR 1
NY. OYOH 56 1 SETU
TN. ELAN 82 1 SEGLENG 1
TN. ADE 20 1 BARU MANDALAKASIH 1
NN. DESTI 16 1 CIPALESA PANYINDANGAN
AN. PRINDA 7 1 KARANG SARI
NY. ENOK 53 1 MEKARSARI
NY. SUSILAWATI 35 1 CI GODEG 1
NY. KARWATI 55 1
AN. AZKAMASAKI 3 1 BUNISARI 1
AN. MUHAMAD ALBI 5 1 SUKAMULYA 1
TN. IIM 56 1 KP BARU MANDALAKASIH 1
NY. ENI ROHAENI 76 1 PANGLIGARAN
AN. ANISA 17 1 CI DAHON 1
TN. MAMAN 54 1 NAJATEN 1
TN. RUDI 33 1 BIRU
AN. RESTI 7 1 CI KOPO 1
TN. ADE HOER 69 1 PAAS GIRANG 1
AN. M KHAZINDAR 2.5 1 SINDANG SARI 1
TN. MULYANA 39 1 PANYINDANGAN
SDR. KHUSNUL AMDAH 20 1 SUKA GALIH 1
TN. ENCEP 37 1 PURBAYANI
NY. NIA KURNIATI 38 1 SARADAN
NY. ESIH 76 1 MANISI 1
NY. MAESAROH 28 1 SITU HAUR KUNING
TN. NUR ANWAR 47 1 DEPOK
TN. ELI 29 1 SUKAMULYA KARYAMUKTI 1
NN. SELI 20 1
NN. SILVIANI 19 1 CI AWI MEKARSARI 1
AN. RIYADI 10 1 JAMPANG JATIMULYA 1
TN. SAJILI 81 1 DEPOK
NY. LINA 27 1 SUKAGALIH
TN. MAMAN 41 1 MANISI 1
NY. ILAH 50 1 KAMPUNG LUWUK LINGGAMANIK
AN. RIZKI 7 1
TN. ROHMAN 59 1 MANCAGAHAR 1
NY. MAMAH 70 1 SINDANGSAARI
NY. DODOH 50 1 SUKAMUKTI
NY. MIMIN 45 1 PADENGDENG 1
NY. LILIS 41 1 MEKARSARI 1
TN. UUS 59 1 CI DAHON KJATIMULYA 1
TN. DADAI 47 1 SODONG
TN. HAE 62 1 BABAKAN
NY. ASMANAH 54 1 PAMALAYAN
TN. USUP 53 1 CI KOPO 1
NY. AAN 53 1 1
NY. ENAS 72 1 1
NY. NANI 75 1 1
NY. ROHAYATI 52 1 PAAS GIRANG 1
TN. UJANG 57 1 DEPOK
TN. IIP 75 1 CI TOMO
NY. RORO 1 KP BARU MANDALAKASIH 1
TN. M YANTO 18 1 BUNI SARI MANCAGAHAR 1
NY. JENAH 59 1 CI PETIR
TN. MAMAN 64 1 SUKALILAH
TN. HAPIDIN 60 1 CI SANGGAR CI HERAS
TN. ADUMYATI 71 1 PADENGDENG 1
NY. HAMINAH 57 1 CI HERAS
AN. HERI 13 1 CI MANGKE
NY. SITI MAESAROH 38 1 BABAKAN PETIR
NY. RESNA 63 1 CI BARANI 1
TN. DEDE 30 1 TEGAL SARI 1
TN. ENDANG 78 1 WANASARI 1
TN. CECEP 41 1 CI BAREGBEG 1
NY. ATIN 63 1 JOHO
AN. RAMDAN 10 1 CI KELET
NY. UUNG SUHAETI 40 1 SEGLENG 1
AN. AZMISA 1 1 MANCAGAHAR 1
TN. MAMAN 74 1 RANCAHAYA 1
TN. UJU 73 1
TN. DUDUNG 47 1
NY. MOMOH 47 1 KAUM KIDUL 1
NY. KURAESIH 76 1 BABAKAN MUNCANG
NY. RUMSIH 85 1 CI KOPO 1
NY. ENTI 62 1 WANIKARI 1
NY. IROT 86 1 PAMALAYAN
TN. IPI 62 1 JATISARI
TN. ERUS 63 1 SELA AWI
NY. TITI 69 1 PABUARAN MANCAGAHAR 1
NY. CACAH 63 1 SUKAMAJU
TN. EDWAR 42 1 DEPOK
NY. TATI 65 1 PABUARAN MANCAGAHAR 1
TN. ASEP SSAEPUL 28 1 CIGEBANG KARYASARI
NY.LELA 21 1 CIKOPO LALAY 1
NY. YAYAH WARIAH 55 1 JOGLO 1
TN. SALIMUDIN 70 1 CI KOER
NY. ENTIT 52 1 CI AWITALI
NN. RENI 17 1 SEGLENG PAAS 1
AN. RIKO 13 1 BOJONG 1
TN. SAHUDIN 71 1 CI PITUNG TIPAR
NY. KURAESIH 58 1 TEGAL JAMBU JATIMULYA 1
TN. ADING 48 1 GIRIMUKTI SUKANAGARA
AN. AUZAN 8BLN 1 MEKARMUKTI
TN. AJID RASIDI 67 1 MEDONG SIRNABAKTI 1
TN. ASEP BARON 46 1 MEKARSARI 1
AN. M ARIF 2 1 MEKARSARI 1
TN. MAMAN 41 1 MANISI 1
TN. KATIMI 72 1 DEPOK
AN. RAISYA 2 1 KP. CIKOPO PAAS 1
NY. ESIH 76 1 NMANISI 1
NY. DADAH SUPRIAH 49 1 CI KUDA
NY. MIRANTI 25 1 PAMALAYAN
TN. SAIP 70 1 BADEGA
NY. ITAR 47 1 JATISARI 1
AN. ABDUL 8 1 SAKAMBANGAN 1
TN. EDWAR 41 1 DEPOK
TN. ENEU 72 1 CINYANGSANG
AN. ABDUL 8 1 SAKAMBANGAN
AN. LENI 12 1 BARULKASANA
TN. IHIN 68 1 PUSERANGIN
NY. MARLINA 31 1 SUKANAGARA
TN. TAN TAN 35 1 BOJONG 1
NY. ARMI 60 1 KARANG AGEUNG
AN. NAFILA 2BLN 1 BOJONG 1
NY. SARTIKA 24 1 MEKARMUKTI 1

74 79 - - 60 21
AM
K EUN
G PEU

CIB
ALO
NG

1
1
1
CIK
EL ET

CIS

1
OM
PET

1
1
1
1
1
1
CAR
ING
IN

MEK

1
ARM
UK T
ALAMAT

I
PAK
ENJ
ENG

1
CIS
EW
U

BUN
G B UL
A NG

1
KECAMATAN

TAL
EG ONG

CIH
URI
P

SIN
GAJ
AYA

PEU
ND EUY

BAN
JAR
WA
NG I

CI P
ATU
JAH

BAN
D UNG

LUA
RD
AER
AH
UMU
M
DAFTAR
B
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
1
1

1
1
1

1
1

1
1

1
1
1

1
1
1
1
1
1

18 38 3 4 3 - 2 - - 1 - - 2 1 -
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH

IZIN AH MENI DIAGNOSA


M

SKTM
AER
UNG

HP DOKT APS RUAN RUJUK NGG


JKN
UMU

ER GAN AL
RD
D

LAIN
BAN

LUA

1 4 1 GASTRITIS AKUT
1 5 1 DIARE AKUT DENGAN DEHIDRASI RINGAN SEDANG,
1 2 1 GASTRITIS AKUT,ISK
1 4 1 GASTRITIS AKUT,BRADIKARDI
1 3 1 ANEMIA
1 5 1 HSP
1 5 1 TF,DHF
1 4 1 GASTRITIS AKUT
1 4 1 DC-AF
1 4 1 HIPERTENSI URGENSI,SUS COLESISTISIS
1 4 1 SUSP DEMAM THYPOID,ISK DD/DEMAM DENGUE
1 4 1 ARIMA
1 3 1 DEMAM THYPOID
1 3 1 GASTRITIS AKUT
1 3 1 DIARE AKUT DEHIDRASI SEDANG
1 5 1 ANEMIA APLASTA
1 3 1 HT URGENSI
1 4 1 KDS
1 3 1 OA
1 1 1 ULKUS PEPTIKUM
1 2 1 FIRST UNPROVOKED ,SEIZURT,DIARE AKUT TANPA DEHIDRASI
1 3 1 DADRS
1 2 1 ULKUS PEPTIKUM,SUSP STROKE
1 2 1 HT URGENSI
1 3 1 ISK,CAP
1 3 1 TB PARU,CAD DM TIPE 2
1 5 1 DF
1 5 1 BP BERAT
1 4 1 DENGUE FEVER
1 5 1 GASTRITIS AKUT,HEPATITIS
1 9 1 PPOK
1 4 1 GASTRITIS AKUT
1 7 1 CKD
1 6 1 DIARE AKUT
1 3 1 PPOK,GASTRITIS AKUT
1 2 1 PARKISON,GASTRITIS AKUT
1 7 1 DENGUE FEVER
1 7 1 DENGUE FEVER
1 4 1 DIARE AKUT NON DISENTRI DENGAN DEHIDRASI RINGAN SEDANG
1 3 1 ASMA
1 3 1 HHD
1 4 1 ASMA BRONKHIALE
1 5 1 SUSP THYPOID,SUSP TB
1 2 1 THALALEMIO MEYOK
1 4 1 GASTRITIS AKUT
1 4 1 ISK
1 4 1 DM TIPE 2
1 7 1 DENGUE FEVER
1 5 1 DIARE AKUT NON DISENTRI
1 4 1 SUSP THYPOID FEVER
1 3 1 LBP,HIPERTENSI URGENSI
1 4 1 DEMAM TPOID
1 3 1 SUSP PPOK DD/ BRONKHITIS
1 4 1 SUSP DENGUE FEVER
1 4 1 DEMAM THYPOID
1 4 1 SUSP DENGUE FEVER
1 6 1 KDK
1 3 1 ATICAL FIBRILATION RVR
1 4 1 ASMA BRONKIAL
1 4 1 SUSP COLITIS
1 2 1 ISK ,GASTRITIS AKUT
1 2 1 HT URGENSI
1 2 1 GASTRITIS KRONIS
1 3 1 GASTRITIS
1 3 1 GEA DENGAN DEHIDRASI RINGAN SEDANG
1 2 1 BRONKHITIA AKUT,GASTRITIS ,SUSP TB
1 2 1 URTIKARIS
1 7 1 DENGUE FEVER
1 3 1 SUSP FIIBROSIS PARU,TB PARU
1 3 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 2 1 CKD ST 5 DECOM
1 3 1 DEMAM THYPOID ,TB PARU ,SUSP TB ABDOMEN
1 2 1 GASTRITIS AKUT
1 3 1 SIROTIS HEPATIS,HEPATITIS B,ANEMIA
1 3 1 GASTRITIS AKUT
1 3 1 CHF DENGAN EDERA PARU
1 4 1 GASTRITIS AKUT ,DENGUE FEVER DD/THYPOID
1 3 1 GEA TANPA DEHIDRASI
1 3 1 GASTRITIS AKUT
1 5 1 HIPERTENSI GARADE 2
1 3 1 OA
1 8 1 TB PARU,CAD DM TIPE 2
1 5 1 SUSP THYPOID
1 3 1 OF SUSP THYPOID
1 2 1 GASTRITIS AKUT
1 3 1 GEA
1 4 1 GEA ,DF
1 2 1 STROKE INFRAK
1 4 1 DHF,ISK
1 4 1 DENGUE FEVER
1 4 1 SUSP STROKE INFRAK
1 3 1 GASTRITIS AKUT,
1 7 1 EFUSI PLEURA SUSP TB
1 3 1 ANEMIA
1 2 1 ANEMIA
1 3 1 SNA
1 4 1 DEMAM THYPOID
1 4 1 STROKE INFRAK
1 4 1 GEA
1 4 1 ASMA BRONKIALE DD PPOK
1 3 1 GASTRITIS AKUT
1 3 1 EPITUKSIS ANTERIUR
1 4 1 DENGUE FEVER
1 3 1 ISK
1 5 1 BRONKHIAL
1 3 1 DENGUE FEVER
1 2 1 SUSP PPOK
1 2 1 SUSP ISK,SUSP TYPOID
1 2 1 BPOV
1 4 1 SUSP PPOK
1 7 1 CKD STAGE 3
1 4 1 SUSP GERD
1 3 1 SUSP EDEURA
1 3 1 SUSP THYPOID
1 3 1 SUSP DHF
1 3 1 SUSP STROKE INFRAK
1 5 1 ANEMIA APLASTA
1 3 1 GASTRITIS AKUT
1 5 1 GASTRITIS AKUT
1 9 1 SUSP TB
1 3 1 SUSP ISK
1 3 1 OBS FEBRIS EC SUSP THYPOID
1 2 1 STROKE INFRAK
1 2 1 SUSP GASTRITIS AKUT,SUSP ULKUS PEPTIKUM
1 4 1 DF
1 7 1 SYNDROM DISPEPSIA ,THYPOID
1 4 1 PPOK
1 5 1 STROKE INFRAK
1 2 1 GASTRITIS AKUT
1 4 1 DIARE AKUT DEHIDRASI SEDANG
1 4 1 GASTRITIS AKUT
1 4 1 DEMAM DENGUE
1 3 1 DEMAM KEJANG KOMPLEK
1 3 SUSP DEMAM DENGUE
1 4 1 PPOK DD CAP
1 4 1 DEMAM DENGUE
1 3 1 RETENSIO URINE
1 5 1 TIFOID FEVER
1 4 1 KOLIK ABDOMEN
1 2 1 GEA
1 2 1 GASTRITIS AKUT
1 1 1 THALASEMIA MAYOR
1 6 GASTRITIS AKUT
1 3 1 DENGUE FEVER
1 2 1 THALASEMIA MAYOR
1 2 1 THALASEMIA MAYOR
1 3 1 GASTRITIS AKUT
1 2 1 BRONKHITIS AKUT
1 2 1 STROKE INFARK
1 2 1 BRONKHOPNEUMONIA
1 5 1 GASTRITIS AKUT
1 2 1

7 90 56 558 141 3 3 2 2 -
AKOMOD
ASI VISITE KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS
DIAGNOSA ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000

HIDRASI RINGAN SEDANG,

COLESISTISIS
K DD/DEMAM DENGUE

URT,DIARE AKUT TANPA DEHIDRASI


RI DENGAN DEHIDRASI RINGAN SEDANG

RINGAN SEDANG
TIS ,SUSP TB

U ,SUSP TB ABDOMEN

S B,ANEMIA
FEVER DD/THYPOID
P ULKUS PEPTIKUM

- - - - - - -
TINDAKAN

A
SUNTIK NEBULIZE O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I
( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
JUMLAH

3,000 75,000 12,000 50,000 10,000 50,000 10,000


-
ASUHAN KEPERAWATAN
KAT I KAT II KAT III KAT IV
HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
(Rp) (Rp) (Rp) (Rp)

15,000 25,000 32,500 45,000


NO

REKAM MEDIS
CARA MASUK
URUT

REGISTER
DAL

POL

POL
IGD

AIN
AM

AN

R.L
AK
I

1 1 48977 000807897 /MRT/ V/ SKTM /2018


2 1 48972 000807898 /MRT/ V/ JKN /2018
3 1 48980 000807899 /MRT/ V/ SKTM /2018
4 1 48992 000807900 /MRT/ V/ JKN /2018
5 1 48991 000807901 /MRT/ V/ JKN /2018
6 1 48983 000807902 /MRT/ V/ JKN /2018
7 1 48993 000807903 /MRT/ V/ JKN /2018
8 1 48990 000807904 /MRT/ V/ JKN /2018
9 1 48998 000807905 /MRT/ V/ SKTM /2018
10 1 49000 000807906 /MRT/ V/ JKN /2018
11 1 49032 000807907 /MRT/ V/ JKN /2018
12 1 49051 000807908 /MRT/ V/ JKN /2018
13 1 49048 000807909 /MRT/ V/ SKTM /2018
14 1 49064 000807910 /MRT/ V/ SKTM /2018
15 1 49063 000807911 /MRT/ V/ JKN /2018
16 1 24437 000807912 /MRT/ V/ JKN /2018
17 1 49071 000807913 /MRT/ V/ SKTM /2018
18 1 49075 000807914 /MRT/ V/ JKN /2018
19 1 49106 000807915 /MRT/ V/ JKN /2018
20 1 49107 000807916 /MRT/ V/ SKTM /2018
21 1 48919 000807917 /MRT/ V/ JKN /2018
22 1 49069 000807918 /MRT/ V/ SKTM /2018
23 1 49110 000807919 /MRT/ V/ SKTM /2018
24 1 49117 000807920 /MRT/ V/ JKN /2018
25 1 49126 000807921 /MRT/ V/ JKN /2018
26 1 49130 000807922 /MRT/ V/ SKTM /2018
27 1 49145 000807923 /MRT/ V/ JKN /2018
28 1 49141 000807924 /MRT/ V/ JKN /2018
29 1 49144 000807925 /MRT/ V/ JKN /2018
30 1 49143 000807926 /MRT/ V/ JKN /2018
31 1 49148 000807927 /MRT/ V/ JKN /2018
32 1 49156 000807928 /MRT/ V/ SKTM /2018
33 1 37114 000807929 /MRT/ V/ JKN /2018
34 1 49165 000807930 /MRT/ V/ JKN /2018
35 1 49160 000807931 /MRT/ V/ SKTM /2018
36 1 49120 000807932 /MRT/ V/ JKN /2018
38 1 49171 000807934 /MRT/ V/ SKTM /2018
39 1 36696 000807935 /MRT/ V/ JKN /2018
40 1 43847 000807936 /MRT/ V/ JKN /2018
41 1 49228 000807937 /MRT/ V/ SKTM /2018
42 1 49232 000807938 /MRT/ V/ JKN /2018
43 1 49050 000807939 /MRT/ V/ JKN /2018
44 1 49169 000807940 /MRT/ V/ JKN /2018
45 1 49239 000807941 /MRT/ V/ JKN /2018
46 1 49235 000807942 /MRT/ V/ JKN /2018
47 1 25141 000807943 /MRT/ V/ JKN /2018
48 1 38404 000807944 /MRT/ V/ SKTM /2018
49 1 49271 000807945 /MRT/ V/ SKTM /2018
50 1 18056 000807946 /MRT/ V/ SKTM /2018
51 1 49277 000807947 /MRT/ V/ SKTM /2018
52 1 14072 000807948 /MRT/ V/ JKN /2018
53 1 48136 000807949 /MRT/ V/ JKN /2018
54 1 49283 000807950 /MRT/ V/ JKN /2018
55 1 40530 000807951 /MRT/ V/ JKN /2018
56 1 47111 000807952 /MRT/ V/ JKN /2018
57 1 49326 000807953 /MRT/ V/ JKN /2018
58 1 49329 000807954 /MRT/ V/ SKTM /2018
59 1 49343 000807955 /MRT/ V/ JKN /2018
60 1 49339 000807956 /MRT/ V/ SKTM /2018
61 1 49337 000807957 /MRT/ V/ SKTM /2018
62 1 49336 000807958 /MRT/ V/ SKTM /2018
63 1 49344 000807959 /MRT/ V/ SKTM /2018
64 1 49341 000807960 /MRT/ V/ SKTM /2018
65 1 41885 000807961 /MRT/ V/ JKN /2018
66 1 46221 000807962 /MRT/ V/ JKN /2018
67 1 49164 000807963 /MRT/ V/ JKN /2018
68 1 49367 000807964 /MRT/ V/ SKTM /2018
69 1 49360 000807965 /MRT/ V/ SKTM /2018
70 1 49386 000807966 /MRT/ V/ JKN /2018
71 1 42897 000807967 /MRT/ V/ JKN /2018
72 1 49383 000807968 /MRT/ V/ JKN /2018
73 1 49391 000807969 /MRT/ V/ SKTM /2018
74 1 49372 000807970 /MRT/ V/ SKTM /2018
75 1 42358 000807971 /MRT/ V/ JKN /2018
76 1 43482 000807972 /MRT/ V/ SKTM /2018
77 1 49396 000807973 /MRT/ V/ JKN /2018
78 1 49408 000807974 /MRT/ V/ JKN /2018
79 1 36910 000807975 /MRT/ V/ JKN /2018
80 1 24916 000807976 /MRT/ V/ JKN /2018
81 1 46350 000807977 /MRT/ V/ JKN /2018
82 1 41274 000807978 /MRT/ V/ JKN /2018
83 1 49409 000807979 /MRT/ V/ JKN /2018
84 1 49482 000807980 /MRT/ V/ JKN /2018
85 1 49477 000807981 /MRT/ V/ JKN /2018
86 1 49499 000807982 /MRT/ V/ JKN /2018
87 1 43342 000807983 /MRT/ V/ SKTM /2018
88 1 43342 000807984 /MRT/ V/ JKN /2018
89 1 49492 000807985 /MRT/ V/ JKN /2018
90 1 49560 000807986 /MRT/ V/ SKTM /2018
91 1 49529 000807987 /MRT/ V/ SKTM /2018
92 1 49541 000807988 /MRT/ V/ SKTM /2018
93 1 49571 000807989 /MRT/ V/ SKTM /2018
94 1 20433 000807990 /MRT/ V/ JKN /2018
95 1 49591 000807991 /MRT/ V/ JKN /2018
96 1 48842 000807992 /MRT/ V/ JKN /2018
97 1 49595 000807993 /MRT/ V/ SKTM /2018
98 1 49597 000807994 /MRT/ V/ JKN /2018
99 1 48984 000807995 /MRT/ V/ JKN /2018
100 1 46981 000807996 /MRT/ V/ JKN /2018
101 1 49614 000807997 /MRT/ V/ SKTM /2018
102 1 43774 000807998 /MRT/ V/ JKN /2018
103 1 49620 000807999 /MRT/ V/ JKN /2018
104 1 44797 000808000 /MRT/ V/ JKN /2018
105 1 49618 000808001 /MRT/ V/ SKTM /2018
106 1 44639 000808002 /MRT/ V/ JKN /2018
107 1 49638 000808003 /MRT/ V/ JKN /2018
108 1 47797 000808004 /MRT/ V/ JKN /2018
109 1 49389 000808005 /MRT/ V/ JKN /2018
110 1 49648 000808006 /MRT/ V/ SKTM /2018
111 1 46727 000808007 /MRT/ V/ JKN /2018
112 1 49695 000808008 /MRT/ V/ JKN /2018
113 1 49696 000808009 /MRT/ V/ SKTM /2018
114 1 33065 000808010 /MRT/ V/ JKN /2018
115 1 49726 000808011 /MRT/ V/ JKN /2018
116 1 49718 000808012 /MRT/ V/ JKN /2018
117 1 46483 000808013 /MRT/ V/ JKN /2018
118 1 49733 000808014 /MRT/ V/ SKTM /2018
119 1 49752 000808015 /MRT/ V/ JKN /2018
120 1 49765 000808016 /MRT/ V/ JKN /2018
121 1 49749 000808017 /MRT/ V/ SKTM /2018
122 1 49769 000808018 /MRT/ V/ SKTM /2018
123 1 49801 000808019 /MRT/ V/ umum/2018
124 1 49803 000808020 /MRT/ V/ JKN /2018
125 1 49798 000808021 /MRT/ V/ SKTM /2018
126 1 39800 000808022 /MRT/ V/ SKTM /2018
127 1 49825 000808023 /MRT/ V/ JKN /2018
128 1 24974 000808024 /MRT/ V/ JKN /2018
129 1 49828 000808025 /MRT/ V/ JKN /2018
130 1 49822 000808026 /MRT/ V/ SKTM /2018
131 1 49819 000808027 /MRT/ V/ JKN /2018
132 1 49833 000808028 /MRT/ V/ JKN /2018
133 1 49831 000808029 /MRT/ V/ JKN /2018
134 1 49832 000808030 /MRT/ V/ JKN /2018
135 1 49589 000808031 /MRT/ V/ JKN /2018
136 1 49841 000808032 /MRT/ V/ SKTM /2018
137 1 49840 000808033 /MRT/ V/ SKTM /2018
138 1 11828 000808034 /MRT/ V/ JKN /2018
139 1 49842 000808035 /MRT/ V/ JKN /2018
140 1 49845 000808036 /MRT/ V/ SKTM /2018
141 1 41524 000808037 /MRT/ V/ JKN /2018
142 1 49898 000808038 /MRT/ V/ JKN /2018
143 1 49904 000808039 /MRT/ V/ SKTM /2018
144 1 000808040 /MRT/ V/ SKTM /2018
145 1 49905 000808041 /MRT/ V/ JKN /2018
146 1 49907 000808042 /MRT/ V/ JKN /2018
147 1 49912 000808043 /MRT/ V/ JKN /2018
148 1 15035 000808044 /MRT/ V/ SKTM /2018
149 1 49910 000808045 /MRT/ V/ SKTM /2018
150 1 49916 000808046 /MRT/ V/ JKN /2018
151 1 25304 000808047 /MRT/ V/ JKN /2018
152 1 49952 000808048 /MRT/ V/ SKTM /2018
153 1 49695 000808049 /MRT/ V/ JKN /2018
154 1 49960 000808050 /MRT/ V/ JKN /2018
155 1 49958 000808051 /MRT/ V/ JKN /2018
156 1 49963 000808052 /MRT/ V/ SKTM /2018
157 1 49967 000808053 /MRT/ V/ JKN /2018
158 1 49998 000808054 /MRT/ V/ SKTM /2018

147 2 7 1
JENIS
UMUR KELAMIN
NAMA PASIEN

PEU
(TH)

NG

ET
KAMPUNG DESA

ALO
EUN
L P

EL
CIK
CIB
PAM
K
TN. ARIEP 28 1 NAGRAK
TN. AMAR 66 1 LIO PAMALAYAN
TN. ENGKAR 62 1 MEKARSARI
TN. TOTONG 72 1 BOJONG 1
NY. TIKA 48 1 SEGLENG PAAS 1
NY. EDE W 66 1 PAGELARAN
NY. ANI 48 1 TANJUNG WARU
NY. KURAESIN 48 1 CI KALAPA 1
NY. MASITOH 43 1 BABAKAN JATIMULYA 1
NY. NIA 38 1 LEUWI SIMAR 1
TN.IWAN 43 1 JAGABAYA
NY. AMINAH 63 1 CI CADAS CI GADOG
TN. ADANG 69 1 LIO PAMALAYAN
NY. MUAH 74 1 BATU NUMPANG 1
TN. BUNYAMIN 43 1 MAROKO 1
TN. TOHIR 73 1 MANISI 1
TN. GINDA 46 1 PAGELARAN DEPOK
TN. NADIM 75 1 MARGA ASIH SIRNABAKTI 1
TN. OBIR 71 1 CI GODEG 1
NY. HOHO 52 1 TAMBAK BAYA 1
NY. UDAM 55 1 LINGGAMANIK
AN. ALTAN 4BLN 1 TEGAL GEDE JATIMULYA 1
NY. ILAH 70 1 BANGBAYANG 1
NY. EHA 66 1 BARU MANDALAKASIH 1
NN. ALVI 18 1 BARU MANDALAKASIH 1
TN. ANA SUKMANA 55 1 BABAKAN 1
TN. MUMU 44 1 SEGLENG PAAS 1
NY. ANAH. 61 1 PANYINDANGAN
TN. SATIM 31 1 TEGAL GEDE JATIMULYA 1
TN. MOMON 64 1 SEGLENG PAAS 1
TN. UMAR 34 1 KAWUNG LUWUK
SDR. SAHRUL 20 1 BARU MANDALAKASIH 1
TN. SULAPMAN 59 1 RANCAMAREME TIPAR
TN.SURAHMAN 58 1 NEGLASARI
AN. SAHIRA 1 1 HEGARMANAH KARYAMUKTI 1
NY. NUNUNG 46 1 CI GODEG 1
NY. WATI 46 1 1
NY. SISI 30 1 BARU 1
NY. PARISAH 63 1 CI BERA 1
NY. ATIN 52 1 SODONG
NY. LESI 27 1 CI GEBANG KARYASARI 1
AN. NUR 10 1 BUNISARI 1
AN. FAUZAN 16 1 CI AWITALI
TN. TARLI 1 CI DAHON 1
NY. ILINDA 26 1 PAMALAYAN
TN. SOBAR 56 1 RANCAHAYAM MEKARSARI 1
AN. NATASHA 15 1 CI JAMBE
NY. RESTI 21 1 CARINGIN
TN. OTONG 71 1 SANCANG 1
TN. AAN 62 1 CI KANGKUNG BOJONG 1
NY. ERNAWATI 33 1 BANGBAYANG MEKARSARI 1
TN. MOMOD 69 1 PAMEUNGPEUK 1
SDR. JAJANG 19 1 CADAS NGAMPAR 1
TN. SONTARA 24 1 PASIR GALATIK
AN. YUDA 11 1 LEUWINANGGUNG 1
NY. ENTIN 60 1 CIBITUNG
NY. TITNI KARTINI 40 1 LEUWISIMAR 1
NY. EVA 39 MUNJUL 1
NY. ENEY 55 1 CI SARUA
NY. ASTI 27 1 1
TN. UNDANG 65 1 SUKAMUKTI 1
NY. AI NURAIDA 41 1 CI TUNDUN DEPOK
NY. YAYAT 40 1 CI KAWUNG
NY. SUKAELAH 65 1 AWI DATAR
NY. MIMI 71 1 CI SALAM BOJONG 1
NY. TIAH 60 1 CI CADAS CI GADOG
TN. ARDI 25 1 TAMBAK BAYA 1
NY. OOT 50 1 SIMPANG MEKARSARI 1
NY. SISKA 20 1 PAAS 1
NY. DEDE SUKARIAH 33 1 RANCAHAYAM 1
NY. MULYATI 31 1
TN. ADE UDUNG 49 1 CI SARUA JAGABAYA
NY. JUBAEDAH 52 1 SINDANGMUKTI 1
TN. AHMAD 36 1
TN. MUMU 51 1 CI GODEG PAAS 1
NY. NANI 55 1 MARGA ASIH
TN. OPAN 58 1
AN. SULTAN 14 1
AN. PRINDA 7 1 PASANGGRAHAN
TN. AGUS SAMIK 71 1 BABAKAN 1
TN. JALI 49 1 CI JAMBE 1
AN. FEBI 16 1 CI BEUREUM
NY. ERNAWATI 38 1 JATISARI MEKARSARI 1
TN. YAYAN 45 1 CI DAUN
AN. REGI 2 1 TIPAR
AN. ANINI 2 1 PAMOTONG
NY. NURJANAH 56 1 CI JAYANA
TN. SUDANA 76 1 SUKAMAJU
AN. DARA 4 1 MANCAGAHAR 1
NY. YEYET 51 1 PASAMPEU 1
TN. EMAN 67 1 TEGAL SARI 1
TN. SYARIF 65 1 MAROKO 1
TN. ENGKUS 45 1 AWASAGARA 1
NN. SINDI 18 1 SUKAPURA MANDALAKASIH 1
TN. SALIMUDIN 77 1 CI KOER
TN. SADIKIN 66 1 MUNJUL JATIMULYA 1
NY. ROHMAWATI 38 1 DEPOK
NY. SISKA 17 1 TAMBAK BAYA 1
NY. NUNUNG 40 1
TN. SANDI 27 1 CI BALONG 1
NY. YOYOM 73 1 CI KONENG 1
AN FIRMAN 9 1 MUNJUL JATIMULYA 1
TN. ROHMAN 54 1 PUNCAK WARU CIJAYANA
NY. NANA 88 1 CI TUNDUNG DEPOK
TN. FAISAL 20 1 SUKAPURA MANDALAKASIH 1
TN. UMIDIN 74 1 LEUWI GENTENG 1
AN. LENI 11 1 BARU LAKSANA
NY. URNATI 64 1 CI AWITALI DEPOK
NY. ATI S 45 1 PAMALAYAN
NY. MAMAH 53 1 CI HURANG 1
TN. JAMHARI 69 1 CI KURAH SAGARA 1
NY. KARMANAH 56 1 MUNJUL JATIMULYA 1
NY. AAT 45 1 TEGAL GEDE 1
TN. AYOM 72 1 GUNAMEKAR
NY. SITI 25 1
TN. AGUS 55 1 NYALINDUNG
AN. LUZAIN 21 1 WARUNG JAHE PAMALAYAN
TN. DEDE 70 1 CI LAUT BOJONG 1
TN. MUSTOMI 72 1 JAGABAYA
AN. NAUFAL 3 1 CIBALONG 1
NY. KOMARIAH 60 1 CI BAREGBEG KARYAMUKTI 1
TN. ANANG 55 1
TN. ROSIDIN 76 1 KP BARU 1
AN. HASBI 75 1 1
AN. ASHAR 15 1 CIJAYANA
TN. AEP SAEPUL 27 1 SARIMUKTI 1
NY. DEDE 57 1 SANCANG 1
TN. EDI 51 1 SIMPANGARI 1
NY. NONO 54 1 SUKALAKSAN SANCANG 1
NY. AON 77 1 SUKASENANG BOJONG 1
NY. RUKIAH 77 1 LUMBUNG
NY. NANI 55 1 CI GANTI BOJONG 1
NY. IROH 38 1 CI BARANI PAAS 1
TN. JUMAN 78 1 PAMUKIMAN
TN. KARLI 67 1 GUNUNG SULAH
NY. WISANTANG 31 1 CI TEUREUP 1
TN. UDIN SAMSUDIN 73 1 WAREGU SUKANAGARA
TN. SUPRIATNA 55 1 POJOK
NY. INDRAYANI 39 1 PAMALAYAN
NY. YATI 40 1 CARINGIN
TN. SAKUM 80 1 LEUWI GENTENG 1
TN. ENDANG 74 1 PAMALAYAN
NY. UJEM 70 1 MUNJUL JATIMULYA 1
NY. CUCUM 35 1 SIMPANGSARI 1
NY. OMASIH 65 1 1 CI KAWUNG MEKARSARI 1
NY. WATI 44 1 MANISI 1
AN. RINDA 16 1 CI DAHU
AN. BAMBANG 2 1 KARANGSARI
NY. ISAH 1 CI SOMPET
AN. ABDUL 8 1 MEKARWANGI 1
TN. BIDIN 75 1
TN. JAMHARI 69 1 SUKAGALIH SIRNABAKTI 1
NY. TITI 46 1 TAMAN MANALUSU CI GADOG
TN. HAMDAN 28 1 CI JERUK SANCANG 1
NY. INA 32 1 HEGARMANAH
NY. TATI 49 1 BANGBAYANG 1
NY. ANIH 44 1 LEUWI SIMAR MANDALAKASIH 1

77 80 - - 55 34
AM
K EUN
G PEU

CIB
ALO
NG

1
1
1
1
CIK
EL ET

1
CIS

1
1
1
OM
PET

1
1
CAR
ING
IN

MEK

1
ARM
UK T
ALAMAT

I
PAK
ENJ
ENG

CIS
EW
U

BUN
G B UL
A NG
KECAMATAN

TAL
EG ONG

CIH
URI
P

SIN
GAJ
AYA

PEU
ND EUY

BAN
JAR
WA
NG I

CI P
ATU
JAH

CIA
NJU
R
LUA
RD
AER
AH
UMU
M
DAFTAR
B
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

1
1
1
1

1
1
1

25 24 3 7 3 1 1 - - - - - 2 -
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH

IZIN AH MENI DIAGNOSA


M

SKTM
AER

HP DOKT APS RUAN RUJUK NGG


JKN
UMU
R
NJU

ER GAN AL
RD

LAIN
CIA

LUA

1 2 1 TIFOID FEVER
1 3 1 CAP
1 2 1 GEA
1 3 1 PPOK
1 4 1 GASTRITIS AKUT
1 3 1 BRONKHITIS AKUT
1 3 1 ORGANOFORTE PATIENT
1 3 1 GASTRITIS AKUT
1 4 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 3 1 GASTRITIS AKUT
1 5 1 GASTRITIS AKUT
1 4 1 PPOK
1 2 1 PPOK
1 3 1 GASTRITIS AKUT
1 3 1 PPOK
1 3 1 PPOK
1 4 1 TB PARU AKTIF
1 4 1 PPOK
1 3 1 GASTRITIS AKUT
1 3 1 ATRIAL FIBRILASI
1 3 1 BRONCHOPNEUMONIA
1 2 1 ANGIODEMA DRUNG INDUCE
1 4 1 TB PARU
1 3 1 GASTRITIS AKUT
1 4 1 GASTRITIS AKUT
1 4 1 PPOK
1 3 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 4 1 GASTRITIS AKUT
1 4 1 PPOK
1 4 1 VIRAL UNFECTIONS
1 6 1 TB PARU
1 5 1 TIFOID FEVER
1 5 1 KDK
1 3 1
1 4 1 GEA
1 3 1 DISPEPSIA
1 7 1 ULKUS PEPTIKUM
1 5 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 4 1 TIFOID FEVER
1 4 1 TIFOID FEVER
1 3 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 4 1 PPOK
1 3 1 KDS
1 2 1 TIFOID FEVER
1 3 1 DISPEPSIA
1 2 1 DISPEPSIA
1 3 1 GASTRITIS AKUT
1 3 1 DISPEPSIA
1 4 1 TIFOID FEVER
1 2 1 GASTRITIS AKUT
1 3 1 GEA
1 2 1 DISPEPSIA
1 1 1 DISPEPSIA
1 2 1 DISPEPSIA
1 3 1 DISPEPSIA
1 3 1 DISPEPSIA
1 4 1 STROKE INFARK
1 2 1 TB PARU
1 1 1 CAD ISKEMIK
1 3 1 GASTRITIS AKUT
1 3 1 ULKUS PEPTIKUM
1 4 1 STROKE INFARK
1 2 1 GASTRITIS AKUT
1 3 1 TB PARU
1 2 1 DISPEPSIA
1 3 1 DISPEPSIA
1 2 1 CAP
1 3 1 PPOK
1 2 1 TIFOID FEVER
1 4 1 MDR
1 3 1 DISPEPSIA
1 2 1 CAD ISKEMIK
1 3 1 TIFOID FEVER
1 4 1 THALASEMIA MAYOR
1 2 1 THALASEMIA MAYOR
1 4 1 PPOK
1 4 1 PPOK
1 2 1 TIFOID FEVER
1 4 1 HT
1 4 1 HEPATITIS TYPOSA
1 2 1 THALASEMIA MAYOR
1 2 1 DISPEPSIA
1 4 1 DISPEPSIA
1 3 1 DISPEPSIA
1 4 1 DENGUE FEVER
1 2 1 DISPEPSIA
1 3 1 ASMA BRONKHIAL
1 3 1 PPOK
1 2 1 MDR
1 4 1 TIFOID FEVER
1 2 1 STROKE INFARK
1 4 1 DHF
1 3 1 CAD ISKEMIK
1 3 1 ANEMIA
1 2 1 DHF GRADE 2
1 3 1 TIFOID FEVER
1 4 1 TB PARU
1 2 1 DENGUE FEVER
1 4 1 ATRIAL FIBRILASI
1 4 1 PPOK
1 3 1 TB PARU
1 2 1 DISPEPSIA
1 2 1 THALASEMIA MAYOR
1 4 1 TB PARU
1 3 1 HT
1 3 1 DISPEPSIA
1 5 1 DISPEPSIA
1 2 1 DISPEPSIA
1 2 1 DISPEPSIA
1 4 1 TIFOID FEVER
1 3 1 ASMA BRONKHIAL
1 5 1 DENGUE FEVER
1 3 1 KDK
1 4 1 HEMOPARASE DEXTRA
1 3 1 STROKE INFARK
1 4 1 ISK
1 2 1 DISPEPSIA
1 2 1 DISPEPSIA
1 3 1 GASTRITIS AKUT
1 4 1 DENGUE FEVER
1 2 1 ASMA BRONKHIAL
1 2 1 DENGUE FEVER
1 3 1 DISPEPSIA
1 3 1 PPOK
1 3 1 DM TIPE 2
1 4 1 GASTRITIS AKUT
1 2 1 HEPATITIS VIRAL
1 3 1 DISPEPSIA
1 2 1 HT URGENSI
1 4 1 DISPEPSIA
1 4 1 CAD ISKEMIK
1 5 1 DISPEPSIA
1 3 1 CAP
1 3 1 PPOK
1 2 1 DISPEPSIA
1 4 1 HEPATITIS B
1 3 1 TB PARU
1 3 1 STROKE INFARK
1 3 1 GASTRITIS AKUT
1 2 1 GASTRITIS AKUT
1 3 1 DISPEPSIA
1 3 1 PPOK
1 2 1 TIFOID FEVER
1 4 1 BRONCHOPNEUMONIA
1 3 1 BP
1 3 1 THALASEMIA MAYOR
1 DISPEPSIA
1 4 1 GEA
1 3 1 TIFOID FEVER
1 3 1 HEPATITIS VIRUS
1 2 1 DISPEPSIA
1 2 1 GEA
1 2 1 STROKE INFARK

1 101 55 483 144 8 2 2 -


AKOMOD
ASI VISITE KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS
DIAGNOSA ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000

DISPEPSIA
ULKUS PEPTIKUM
CHF
CHF
DISPEPSIA
KP
KP

DISPEPSIA

CAP

GASTRITIS AKUT

DENGUE FEVER
AKI
PPOK
TB PARU

TB PARU
DENGUE HAEMORAGIK FEVER

DADS

KP

HT STAGE 2
DISPEPSIA

PPOK

GASTRITIS

- - - - - - -
TINDAKAN

A
SUNTIK NEBULIZE O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I
( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
JUMLAH

3,000 75,000 12,000 50,000 10,000 50,000 10,000


-
ASUHAN KEPERAWATAN
KAT I KAT II KAT III KAT IV
HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
(Rp) (Rp) (Rp) (Rp)

15,000 25,000 32,500 45,000


NO

REKAM MEDIS
CARA MASUK
URUT

REGISTER
DAL

POL

POL
IGD

AIN
AM

AN

R.L
AK
I

1 1 49994 000808055 /MRT/ VI/ SKTM /2018


2 1 50000 000808056 /MRT/ VI/ SKTM /2018
3 1 17728 000808057 /MRT/ VI/ JKN /2018
4 1 50003 000808058 /MRT/ VI/ SKTM /2018
5 1 50001 000808059 /MRT/ VI/ SKTM /2018
6 1 50008 000808060 /MRT/ VI/ JKN /2018
7 1 50014 000808061 /MRT/ VI/ SKTM /2018
8 1 50015 000808062 /MRT/ VI/ JKN /2018
9 1 50021 000808063 /MRT/ VI/ JKN /2018
10 1 50032 000808064 /MRT/ VI/ SKTM /2018
11 1 46203 000808065 /MRT/ VI/ SKTM /2018
12 1 50072 000808066 /MRT/ VI/ SKTM /2018
13 1 50026 000808067 /MRT/ VI/ SKTM /2018
14 1 50095 000808068 /MRT/ VI/ SKTM /2018
15 1 50109 000808069 /MRT/ VI/ SKTM /2018
16 1 50106 000808070 /MRT/ VI/ JKN /2018
17 1 50111 000808071 /MRT/ VI/ JKN /2018
18 1 50108 000808072 /MRT/ VI/ SKTM /2018
19 1 50121 000808073 /MRT/ VI/ SKTM /2018
20 1 50128 000808074 /MRT/ VI/ SKTM /2018
21 1 50135 000808075 /MRT/ VI/ JKN /2018
22 1 50110 000808076 /MRT/ VI/ JKN /2018
23 1 50137 000808077 /MRT/ VI/ SKTM /2018
24 1 41681 000808078 /MRT/ VI/ SKTM /2018
25 1 50154 000808079 /MRT/ VI/ SKTM /2018
26 1 50163 000808080 /MRT/ VI/ SKTM /2018
27 1 50168 000808081 /MRT/ VI/ JKN /2018
28 1 50165 000808082 /MRT/ VI/ SKTM /2018
29 1 50170 000808083 /MRT/ VI/ SKTM /2018
30 1 50166 000808084 /MRT/ VI/ JKN /2018
31 1 49499 000808085 /MRT/ VI/ JKN /2018
32 1 50184 000808086 /MRT/ VI/ JKN /2018
33 1 47797 000808087 /MRT/ VI/ JKN /2018
34 1 50191 000808088 /MRT/ VI/ JKN /2018
35 1 50199 000808089 /MRT/ VI/ SKTM /2018
36 1 50198 000808090 /MRT/ VI/ SKTM /2018
37 1 50197 000808091 /MRT/ VI/ JKN /2018
38 1 50196 000808092 /MRT/ VI/ JKN /2018
39 1 50205 000808093 /MRT/ VI/ JKN /2018
40 1 50213 000808094 /MRT/ VI/ SKTM /2018
41 1 50212 000808095 /MRT/ VI/ JKN /2018
42 1 50244 000808096 /MRT/ VI/ JKN /2018
43 1 50225 000808097 /MRT/ VI/ JKN /2018
44 1 50247 000808098 /MRT/ VI/ JKN /2018
45 1 50251 000808099 /MRT/ VI/ JKN /2018
46 1 50246 000808100 /MRT/ VI/ SKTM /2018
47 1 50275 000808101 /MRT/ VI/ SKTM /2018
48 1 50270 000808102 /MRT/ VI/ JKN /2018
49 1 000808103 /MRT/ VI/ SKTM /2018
50 1 50268 000808104 /MRT/ VI/ SKTM /2018
51 1 50284 000808105 /MRT/ VI/ UMUM/2018
52 1 50198 000808106 /MRT/ VI/ JKN /2018
53 1 50292 000808107 /MRT/ VI/ JKN /2018
54 1 50307 000808108 /MRT/ VI/ SKTM /2018
55 1 50358 000808109 /MRT/ VI/ UMUM/2018
56 1 50302 000808110 /MRT/ VI/ JKN /2018
57 1 50313 000808111 /MRT/ VI/ JKN /2018
58 1 50328 000808112 /MRT/ VI/ JKN /2018
59 1 50345 000808113 /MRT/ VI/ SKTM /2018
60 1 28467 000808114 /MRT/ VI/ JKN /2018
61 1 50338 000808115 /MRT/ VI/ JKN /2018
62 1 50346 000808116 /MRT/ VI/ JKN /2018
63 1 50331 000808117 /MRT/ VI/ SKTM /2018
64 1 50340 000808118 /MRT/ VI/ JKN /2018
65 1 50347 000808119 /MRT/ VI/ JKN /2018
66 1 50360 000808120 /MRT/ VI/ SKTM /2018
67 1 50369 000808121 /MRT/ VI/ JKN /2018
68 1 44595 000808122 /MRT/ VI/ JKN /2018
69 1 50281 000808123 /MRT/ VI/ JKN /2018
70 1 50374 000808124 /MRT/ VI/ JKN /2018
71 1 46430 000808125 /MRT/ VI/ JKN /2018
72 1 50375 000808126 /MRT/ VI/ SKTM /2018
73 1 41748 000808127 /MRT/ VI/ JKN /2018
74 1 50400 000808128 /MRT/ VI/ SKTM /2018
75 1 50402 000808129 /MRT/ VI/ JKN /2018
76 1 50376 000808130 /MRT/ VI/ JKN /2018
77 1 50421 000808131 /MRT/ VI/ JKN /2018
78 1 50422 000808132 /MRT/ VI/ SKTM /2018
79 1 50378 000808133 /MRT/ VI/ JKN /2018
80 1 50137 000808134 /MRT/ VI/ JKN /2018
81 1 50450 000808135 /MRT/ VI/ JKN /2018
82 1 50441 000808136 /MRT/ VI/ SKTM /2018
83 1 50448 000808137 /MRT/ VI/ SKTM /2018
84 1 22672 000808138 /MRT/ VI/ JKN /2018
85 1 50479 000808139 /MRT/ VI/ JKN /2018
86 1 50490 000808140 /MRT/ VI/ SKTM /2018
87 1 24974 000808141 /MRT/ VI/ JKN /2018
88 1 50511 000808142 /MRT/ VI/ JKN /2018
89 1 50505 000808143 /MRT/ VI/ JKN /2018
90 1 50519 000808144 /MRT/ VI/ JKN /2018
91 1 50525 000808145 /MRT/ VI/ JKN /2018
92 1 50524 000808146 /MRT/ VI/ SKTM /2018
93 1 50526 000808147 /MRT/ VI/ JKN /2018
94 1 50540 000808148 /MRT/ VI/ SKTM /2018
95 1 50554 000808149 /MRT/ VI/ JKN /2018
96 1 50556 000808150 /MRT/ VI/ SKTM /2018
97 1 50558 000808151 /MRT/ VI/ JKN /2018
98 1 24916 000808152 /MRT/ VI/ JKN /2018
99 1 50545 000808153 /MRT/ VI/ JKN /2018
100 1 40135 000808154 /MRT/ VI/ JKN /2018
101 1 50591 000808155 /MRT/ VI/ UMUM/2018
102 1 50120 000808156 /MRT/ VI/ JKN /2018
103 1 13868 000808157 /MRT/ VI/ JKN /2018
104 1 50628 000808158 /MRT/ VI/ JKN /2018
105 1 50320 000808159 /MRT/ VI/ JKN /2018
106 1 50630 000808160 /MRT/ VI/ SKTM /2018
107 1 50664 000808161 /MRT/ VI/ SKTM /2018
108 1 50679 000808162 /MRT/ VI/ SKTM /2018
109 1 50636 000808163 /MRT/ VI/ SKTM /2018
110 1 36910 000808164 /MRT/ VI/ JKN /2018
111 1 50692 000808165 /MRT/ VI/ SKTM /2018
112 1 50705 000808166 /MRT/ VI/ SKTM /2018
113 1 50701 000808167 /MRT/ VI/ SKTM /2018
114 1 50219 000808168 /MRT/ VI/ JKN /2018
115 1 25304 000808169 /MRT/ VI/ JKN /2018
116 1 50708 000808170 /MRT/ VI/ JKN /2018
117 1 46303 000808171 /MRT/ VI/ JKN /2018
118 1 34712 000808172 /MRT/ VI/ JKN /2018
119 1 000808173 /MRT/ VI/ JKN /2018
120 1 50749 000808174 /MRT/ VI/ SKTM /2018
121 1 50706 000808175 /MRT/ VI/ JKN /2018
122 1 50763 000808176 /MRT/ VI/ JKN /2018
123 1 22672 000808177 /MRT/ VI/ JKN /2018
124 1 33620 000808178 /MRT/ VI/ JKN /2018
125 1 40812 000808179 /MRT/ VI/ JKN /2018
126 1 35904 000808180 /MRT/ VI/ UMUM/2018
127 1 50797 000808181 /MRT/ VI/ SKTM /2018
JENIS
UMUR KELAMIN
NAMA PASIEN

PEU
(TH)

NG

ET
KAMPUNG DESA

ALO
EUN
L P

EL
CIK
CIB
PAM
K
NY. NONOK 1 CI SARUA
AN. SALVA 8 1 PAMALAYAN
NY. YAYAH 78 1 SUKALAKSANA 1
SDR. ANDI 18 1 GARUNG PANYINDANGAN
TN. DEDE 25 1 CI PAKSA PANYINDANGAN
TN. D SUTRISNO 58 1 DUSUN
NY. RISTI 42 1 SUKAMAHI KARYAMUKTI 1
NY. USMAYANTI 1 AWI DATAR
TN. NANDANG 57 1 CI KANGKUNG 1
BY. DINDA 2 BL 1 CI JAMBE KARANGSARI
BY. SITI LARA 3BL 1 BOBOJONG DEPOK
AN. SILMI 1
AN. SITI 8 1
NY. MUNJAMAH 48 1 BANGSASINGA
NY. KOMARIAH 50 1 CI MAHI
TN. NANA SURYAMAN 65 1 RANCABUNGUR PAMALAYAN
TN. SUMARNA 65 1 MUNJUL JATIMULYA 1
TN. ANDI MARTINI 38 1 CI DAHON JATIMULYA 1
AN. M HAIKAL 7BL 1 HAUR GEULIS
TN. HERI 40 1 JATISARI 1
NY. UUN 56 1 SUKAGALIH KARYASARI 1
TN. DEDE SUPARMAN 54 1 PAGER ALAM PANGGALIH
NY.MAENAH 67 1 DAWUAN CIJAYAN
NY. SITI MARYAM 65 1 WANASARI 1
AN. DEVANO 2 1 MANCAGAHAR 1
AN. RASKA 1 TANJUNGSARI 1
NY. SURYATI 42 1 SUKAMAJU 1
TN. UUS 44 1 JOGLO 1
TN. FARHAN BUSTOMI 57 1 DATAR SALAM SUKANAGARA
AN. VIA ZIAN 5BL 1 BINTARA 1
AN. AREGI 2 1
TN. MOCH ANSRULOH 28 1 KAUM KALER 1
AN. LENI 11 1
TN. ABDUL KHOLID 52 1
TN. DANI 30 1 POJOK CAU 1
NY. ILAH 49 1 MAROKO 1
AN. DESI 11 1 CI HAUR 1
TN. KUMAR 46 1 SIMPANG 1
NY. TIKA 54 1 TANJUNG SARI 1
NY. SOFIAH 1 LEUWI GENTENG 1
NY. SUMIATI 1 WANASARI 1
TN. YUSUF 45 1 BOJONG KIDUL 1
NY. IPAH 64 1 1
TN. AGUS 28 1 KARYASARI 1
NY. DIAH 34 1 CI BAREGBEG 1
NY. YUNI 45 1 1
AN. ANITA 5BL 1 KARANG ARI
TN. DEDE 42 1 KAUM KIDUL 1
TN. KUSNAWAN 28 1
SDR. RIZQI 18 1 LIO
TN. INDRA 34 1 PASIR NANGKA SANCANG 1
NY. ILAH 59 1 CI GANDU MAROKO 1
TN. USUF 65 1 MEKARJAYA KARYASARI
NY. ENGKAN 85 1
TN. DIAN 25 1 CICALOBAK KARANGWANGI
AN. NURUL 8 1 JAMPANG JATIMULYA 1
TN. UJANG 49 1 JATISARI
NY. SAPITRI 20 1 SUKAMAHI KARYAMUKTI 1
NY. JUJU 54 1 CIJAMBE 1
NY. SUMIATI 51 1 1
NY. NOLIS 51 1 CIKOPO 1
TN. DADANG 57 1 CI AWI 1
TN. DADAR 36 1 SIRNAGALIH
NY. YOYOH 57 1 SINDANGSARI
NN. DESI 18 1 JATISARI MEKARSARI 1
NY. IMAS 43 1 SIRNARAGA MEKARSARI 1
NY. RASMINI 51 1 CISANINTEN
TN. AENG 76 1 TONJONGWANGI SUKANAGARA 1
NY. MIMI 73 1 CITOE 1
NY. EMPAT 61 1
NY. NURHOLISOH 30 1
NY. SARI 65 1 BOPONG
NY. MIMIN 45 1 PADENGSDENG JATISARI
NY. WIWI 69 1 JATISARI
TN. YUSIN 59 1 CI BITUNG
AN. SYPA 13 1 BUNISARI 1
TN. ANA 53 1
TN. JAENUDIN 59 1 SUKAGALAIH 1
TN. DEDE 48 1 SEGLENG PAAS 1
NY. MAENAH 67 1 DAWUAN CIJAYANA
NY. ELIT 58 1 JATISARI MEKARSARI 1
AN. ALISKA 1.4 1 CIBARENGKOK JATISARI 1
AN. YONA 8BL 1 JAMPANG JATIMULYA 1
TN. KATIMI 72 1 PANGLIGARAN DEPOK
NY. ENES 65 1 KARYASARI 1
AN. KAHFI 1 1 PANGLIGARAN
NY. DEDE 57 1 CIJAMBE
NY. ENENG NANI 45 1 CIBENTANG SUKARAME
AN. SYAMIRA 8 1 BANGBAYANG MEKARSARI 1
TN. ONA 55 1 KARYAMUKTI 1
NY. FATIMAH 52 1 BANGSASINGA
TN. JUHANA 38 1 GUNUNG TUMPENG
SDR. ANDI 18 1 RANCAHAYAM MEKARSARI 1
TN. AGUS 31 1 CIKPONDANG PURBAYANI
TN. JAJANG 83 1
TN. DAMIN 43 1 BLOK SALAM SUKARAME
NY. NOLIS 40 1 MANSALAKASIH 1
AN. PRINDA 7 1 KARANGSARI
TN. MUHA 85 1 NAGRAK
NY. EEM 68 1 SEGLENH PAAS 1
AN., ALFARI 1 1 CIHURIP
TN. ROBI 22 1 POJOK CAU
TN. KOMAR 86 1 BANGSASINGA
TN. HAMID 65 1 NAGRAK SUKAMUKTI
AN. M NABHAN 3 1 CI ANJUR
TN. HERU 51 1 JATISARI
TN. OJANG 73 1 CI GADOG
NY. YOGAH 61 1 MARGAASIH SIRNABAKTI 1
AN. RANGGA 11 1 JAGABAYA
AN. SULTAN 2 1 TARIKOLOT
TN. AGUS 75 1 CUTEUREUP SIRNABAKTI 1
TN. TAMIM 67 1 SUKASENANG 1
AN. KHOIRUL AHMAD 4.2 1 BATU MASEUK
NY. ODAH 42 1 GARES PURBAYANI
AN. ABDUL 8 1 MEKARWANGI 1
NY. HIDA 1 CI BUNGUR
AN. SITI LARA 5BLN 1 DEPOK
NY. OTIH 55 1 KAUM KIDUL 1
NY. IMOY 76 1 CISAWER
AN. TANIA 1 1 JAGABAYA
TN. OTO 73 1 CI PICUNG
TN. KASIM 48 1 CI KALAPA
TN. KATIMI 72 1 PANGLIGARAN
NY. MARNI 28 1 PASANTREN SIRNABAKTI 1
NY. CICIH 61 1 SEGLENG PAAS 1
TN. SODIK 63 1 SEGLENG PAAS 1
AN. NISA 10 BLN 1 1

62 65 - - 28 32
AM
K EUN
G PEU

CIB
ALO
NG

1
CIK
EL ET

1
CIS

1
1
1
1
1
1
1
OM
PET

1
1
1
CAR
ING
IN

1
MEK

1
ARM
UK T

1
I
ALAMAT

PAK
ENJ
ENG

CIS
EW
U

1
BUN
G B UL
A NG

TAL
KECAMATAN

EG ONG

CIH
URI
P

SIN
GAJ
AYA

PEU
ND EUY

BAN
JAR
WA
NG I

CI P
ATU
JAH
1

CI A
M IS

CI A
NJU
R
LUA
RD
AER
AH
DAFTA
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
1
1
1

1
1

1
1

1
1

1
1
1

9 31 11 7 2 2 - - 1 - - - 1 2
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH

IZIN AH MENI DIAGNOSA


M

SKTM
AER

HP DOKT APS RUAN RUJUK NGG


JKN
UMU
R
MIS

NJU

ER GAN AL
RD

LAIN
CI A

CI A

LUA

1 5 1 TB PARU
1 4 1 DENGUE FEVER
1 4 1 CHF
1 6 1 TIPOID FEVER
1 3 1 BACTERIAL INFECTIOS
1 5 1 ASMA BRONKHIAL
1 3 1 DISPEPSIA
1 3 1 DISPEPSIA
1 5 1 HEPATITIS
1 6 1 BP BNERAT
1 4 1 PNEUMONIA
1 3 1 KDS
1 6 1 NEFROTIK SINDROM
1 3 1 CHOLITIASIS
1 5 1 DISPEPSIA
1 2 1 HT URGENSI
1 2 1 DISPEPSIA
1 3 1 GEA
1 2 1 KDS
1 3 1 DENGUE FEVER
1 2 1 DISPEPSIA
1 2 1 CAP
1 2 1 HHD
1 1 1 HAEMATEMESIS MELENA
1 6 1 DENGUE FEVER
1 5 1 DHF
1 3 1 DISPEPSIA
1 3 1 TB PARU
1 3 1 ULKUS PEPTIKUM
1 3 1 ANEMIA DEFISIENSI
1 3 1 THALASEMIA MAYOR
1 4 1 DENGUE FEVER
1 2 1 THALASEMIA MAYOR
1 5 1 GEA
1 5 1 DISPEPSIA
1 2 1 ULKUS PEPTIKUM
1 4 1 DHF
1 4 1 DISPEPSIA
1 3 1 STROKE INFARK
1 2 1 DISPEPSIA
1 3 1 DISPEPSIA
1 2 1 TIPOID FEVER
1 3 1 DISPEPSIA
1 2 1 ISK
1 2 1 VIRAL INFECTION
1 7 1 TB PARU
1 2 1 DHF
1 3 1 PPOK
1 2 1 DISPEPSIA
1 2 1 DISPEPSIA
1 4 1 DHF
1 4 1 DISPEPSIA
1 4 1 ILIEUS PARALITIK
1 4 1 TB PARU
1 3 1 DHF
1 2 1 DENGUE FEVER
1 3 1 DHF
1 3 1 DISPEPSIA
1 4 1 TIPOID FEVER
1 4 1 TIPOID FEVER
1 3 1 HT URGENSI
1 3 1 DISPEPSIA
1 2 1 PERITONIRTIS AKUT
1 1 1 CKD
1 2 1 BRONKHITIS
1 3 1 TIPOID FEVER
1 3 1 URTIKARIA
1 4 1 PPOK
1 4 1 CAP
1 4 1 AF
1 3 1 DISPEPSIA
1 3 1 CAD
1 5 1 CKD
1 3 1 CAD
1 3 1 TIPOID FEVER
1 4 1 ASMA BRONKHIAL
1 5 1 TB PARU
1 4 1 TIPOID FEVER
1 5 1 EFUSI PLEURA
1 4 1 DISPEPSIA
1 4 1 DISPEPSIA
1 5 1 KDK
1 4 1 KDS
1 2 1 PPOK EKSTERBASI
1 3 1 TB PARU
1 3 1 BRONKHOPNEUMONIA
1 3 1 AF
1 4 1 HIV STAGE 3
1 5 1 HIPERLEUKOSITISIS
1 6 1 DISPEPSIA
1 3 1 HIPERGLIKEMI
1 6 1 PPOK EKSTERBASI
1 3 1 HT STAGE 1
1 2 1 SIROSIS HEPATIS
1 3 1 PPOK
1 3 1 DISPEPSIA
1 5 1 TIPOID FEVER
1 2 1 THALASEMIA MAYOR
1 2 1 VES
1 3 1 CAP
1 3 1 PNEUMONIA
1 5 1 TIPOID FEVER
1 1 1 CAD
1 3 1 STROKE INFARK
1 5 1 DENGUE FEVER
1 4 1 DENGUE FEVER
1 2 1 DISPEPSIA
1 3 1 ANEMIA
1 5 1 NEFROTIK SINDROM
1 5 1 MIELODISPLASIA SYNDROME
1 2 1 DM TIPE 2
1 2 1 DISPEPSIA
1 1 DADRS
1 3 1 EFUSI PLEURA
1 2 1 THALASEMIA MAYOR
1 2 1 SEPSIS
1 PNEUMONIA
1 3 1 AF
1 5 1 DISPEPSIA
1 1 1 DHF
1 3 1 HEPATOMEGALI
1 2 1 DISPEPSIA
1 3 1 PPOK EKSTERBASI
1 PNEUMONIA
1 3 1 PPOK EKSTERBASI
1 3 1 PPOK
1 KDK

- 4 74 49 413 100 10 2 7 5 -
AKOMOD
ASI VISITE KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS
DIAGNOSA ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000

S. CAP

HHD

DADRS

DADRS

CHF

STEMI

EFUSI PLEURA
CAD
KOLIK ABDOMEN

PPOK

CHF

HT URGENSI

SIROSIS HEPATIS

GRUG ERUPTIONS
TB PARU
ISK

S. CHF
CHF

HIV

ORAL KANDIDIASIS
ALL

CAP

CKD

CAP

CAP
AF

CAP

- - - - - - -
TINDAKAN

A
SUNTIK NEBULIZE O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I
( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
JUMLAH

3,000 75,000 12,000 50,000 10,000 50,000 10,000


-
ASUHAN KEPERAWATAN
KAT I KAT II KAT III KAT IV
HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
(Rp) (Rp) (Rp) (Rp)

15,000 25,000 32,500 45,000


DAFTAR PASIEN DAN TINDAKANNYA
BULAN JULI 2018
ALAMAT STATUS KETERANGAN PULANG
NO
JENIS KECAMATAN
UMUR KELAMIN
PIND

AH
REKAM MEDIS
CARA MASUK
NAMA PASIEN IZIN AH MENI DIAGNOSA

I
U

ANG
I

NG

M
UK T
(TH)

GPE

SKTM
G

H
Y

AE R
NG

YA
T
G
HP DOKT APS RUAN RUJUK NGG

IN

JKN
UMU
URUT

JEN

N
U

JA
URIP
T

MPE

U
LON

WA
REGISTER KAMPUNG DESA

AJA
ELE
ER GAN AL

ING

BUL

NDE

AU
EW

EGO
RM

ATU
EUN
L P

RD
EN
LAIN

JAR

CI D
O
A

G
CIH
CIS
CIK

CAR

PEU

CI P
CIB

TAL
CIS

PAK

SIN
PAM

MEK

BUN

LUA
BAN
K
DAL
POL

POL
IGD

AIN
AM

AN

R.L
AK

1
I

I
1 1 35266 000808182 /MRT/ VII/ JKN /2018 NY. NEUIS 39 1 RANCA HAYAM MEKARSARI 1 1 2 1 CAP
2 1 42549 000808183 /MRT/ VII/ JKN /2018 TN. NANDAR 58 1 CI BANGO BOJONG 1 1 2 1 GASTROPATI
3 1 50818 000808184 /MRT/ VII/ SKTM /2018 NY. SITI 53 1 SYANG HYEULANG GUAMEKAR 1 1 5 1 GASTROPATI EROSIVA
4 1 50820 000808185 /MRT/ VII/ JKN /2018 NY. ISAH 75 1 BLOK LAME MANDALAKASIH 1 1 4 1 GEA INFLAMASI
5 1 46981 000808186 /MRT/ VII/ JKN /2018 NY. NUNUNG 40 1 CI JAMBE 1 1 2 1 ANEMIA APLASTIK
6 1 50822 000808187 /MRT/ VII/ SKTM /2018 NY. MAE 57 1 CIBENTANG SUKARAME 1 1 2 1 TB PARU AKTIF
7 1 50816 000808188 /MRT/ VII/ SKTM /2018 NY. OMIK 65 1 PADENGDENG MANDALAKASIH 1 1 5 1 TB PARU AKTIF
8 1 50562 000808189 /MRT/ VII/ JKN /2018 TN. NURDIN 48 1 BOJONG 1 1 2 1 DHF
9 1 50823 000808190 /MRT/ VII/ JKN /2018 NY. RIMA 18 1 CIGANDAWESI 1 1 3 1 DISPEPSIA
10 1 50802 000808191 /MRT/ VII/ JKN /2018 TN. RUHIAT 64 1 CUBAREGBEG 1 1 4 1 GASTROPATI EROSIVA
11 1 47756 000808192 /MRT/ VII/ JKN /2018 NY. RENI 51 1 CINENGAH 1 1 2 1 CHF
12 1 000808193 /MRT/ VII/ SKTM /2018 NY. ETI 46 1 MANCAGAHAR 1 1 2 1 TB PARU AKTIF
13 1 50807 000808194 /MRT/ VII/ SKTM /2018 NY. IDAH 44 1 RANCAKEONG 1 1 3 1 HIPERTENSI
14 1 50893 000808195 /MRT/ VII/ JKN /2018 TN. MAMAT 48 1 KARYAWANGI 1 1 4 1 DEMAM TIPOID
15 1 50902 000808196 /MRT/ VII/ JKN /2018 NY. IHAT 56 1 CI SALAM BOJONG KIDUL 1 1 4 1 DHF
16 1 50900 000808197 /MRT/ VII/ JKN /2018 NY. EEM 55 1 CI CALENGKA KARYASARI 1 1 4 1 DEMAM TIPOID
17 1 50770 000808198 /MRT/ VII/ JKN /2018 TN.DEDE 53 1 KAUM KIDUL 1 1 4 1 PPOK
18 1 50905 000808199 /MRT/ VII/ UMUM/2018 TN. TARMAN 61 1 CI SUBA MEKARWANGI 1 1 3 1 PPOK
19 1 50904 000808200 /MRT/ VII/ JKN /2018 AN. ISMI 17 1 BOJONG KIDUL 1 1 5 1 DEMAM DENGUE
20 1 50928 000808201 /MRT/ VII/ JKN /2018 NY. OBAY 60 1 KARANGSARI 1 1 2 1 CHF
21 1 50932 000808202 /MRT/ VII/ JKN /2018 SDR. RAHMAT 16 1 SALAM 1 1 6 1 DEMAM DENGUE
22 1 50954 000808203 /MRT/ VII/ SKTM /2018 AN. RASA 5BL 1 TEGALSARI 1 1 3 1 DEMAM TIPOID
23 1 47041 000808204 /MRT/ VII/ JKN /2018 TN. YOYON 56 SELAAWI 1 1 3 1 PPOK
24 1 49499 000808205 /MRT/ VII/ JKN /2018 AN. REGI 3 1 BINONG 1 1 3 1 THALASEMIA MAYOR
25 1 50976 000808206 /MRT/ VII/ JKN /2018 SDR. ANDI 9 1 MARGA ASIH SIRNABAKTI 1 1 6 1 ANEMIA
26 1 50993 000808207 /MRT/ VII/ JKN /2018 TN FIRMANSYAH 24 1 SUKANAGARA 1 1 3 1 DEMAM TIPOID
27 1 51012 000808208 /MRT/ VII/ JKN /2018 TN. ADE IKA 60 1 AWI HIDEUNG 1 1 2 1
28 1 20644 000808209 /MRT/ VII/ JKN /2018 NY. NURJANAH 55 1 TEGAL BULEUD CIJAYANA 1 1 3 1 DISPEPSIA
29 1 51028 000808210 /MRT/ VII/ JKN /2018 NY. ADE NRAISYUAH 50 1 TEGALLAYANG 1 1 2 1 STROKE INFARK
30 1 36241 000808211 /MRT/ VII/ JKN /2018 NY. YAYAH 49 1 SEGLENG PAAS 1 1 2 1 GEA
31 1 45162 000808212 /MRT/ VII/ UMUM/2018 TN. MULYANA 73 1 SEGLENG PAAS 1 1 2 1 EFUSI PLEURA
32 1 51034 000808213 /MRT/ VII/ SKTM /2018 TN. OSID 64 1 PANYEREDAN JAGABAYA 1 1 3 1 PPOK
33 1 50818 000808214 /MRT/ VII/ JKN /2018 NY. SITI 53 1 SAYANG HEULANG GUAMEKAR 1 1 5 1 GASTROPATI EROSIVA
34 1 41048 000808215 /MRT/ VII/ JKN /2018 NY. ISTIKOMAH 41 1 LEUWI NANGGUNG 1 1 2 1 DISPEPSIA
35 1 51050 000808216 /MRT/ VII/ SKTM /2018 TN. ENGKOS 67 1 LEUWI GENTENG SIRNABAKTI 1 1 3 1 GEA
36 1 51052 000808217 /MRT/ VII/ SKTM /2018 TN. IKA 65 1 SELAAWI JATIMULYA 1 1 3 1 HT
37 1 51053 000808218 /MRT/ VII/ SKTM /2018 NY. WATIMAH 70 1 BLOK LAME MANDALAKASIH 1 1 2 1 GASTROPATI EROSIVA
38 1 51057 000808219 /MRT/ VII/ SKTM /2018 AN. AGRATA 8BL 1 SEGLENG PAAS 1 1 2 1 GEA
39 1 40427 000808220 /MRT/ VII/ JKN /2018 NY. FITTRI 37 1 SEGLENG PAAS 1 1 2 1 DISPEPSIA
40 1 51060 000808221 /MRT/ VII/ SKTM /2018 NY. PATIMAH 50 1 PALAHAN PANYINDANGAN 1 1 3 1 DISPEPSIA
1 40099 000808222 /MRT/ VII/ JKN /2018 NY. FITRI SULASTRI 1 KOMPLEK NELAYAN PAMALAYAN 1 1 2 1 ASMA AKUT
41 1 34236 000808223 /MRT/ VII/ JKN /2018 NY. AI SUKMAWATI 31 1 CIGODEG PAAS 1 1 3 1 DISPEPSIA
42 1 50119 000808224 /MRT/ VII/ JKN /2018 TN. OHA 35 1 CI KUJANG KARYAMUKTI 1 1 3 1 HEPATITIS
43 1 51069 000808225 /MRT/ VII/ SKTM /2018 NY. YTANTI 55 1 PAMALAYAN 1 1 4 1 STROKE INFSRK
44 1 51128 000808226 /MRT/ VII/ JKN /2018 TN. ASEP 37 1 KERTAJATI 1 1 3 1 HIV KP
45 1 51124 000808227 /MRT/ VII/ SKTM /2018 NY. AE 46 1 BOJONG 1 1 5 1 DISPEPSIA
46 1 51141 000808228 /MRT/ VII/ SKTM /2018 TN. HADADI 78 1 JATISARI 1 1 2 1 DISPEPSIA
47 1 51142 000808229 /MRT/ VII/ SKTM /2018 TN. ADE HASIDIN 55 1 CITOMA 1 1 1 1 DISPEPSIA
48 1 36780 000808230 /MRT/ VII/ JKN /2018 TN. IWAN\ 47 1 ANGLIGARAN 1 1 2 1 DISPEPSIA
49 1 51145 000808231 /MRT/ VII/ SKTM /2018 NY. YATI 47 1 KERAMUKTI 1 1 3 1 STROKE INFARK
50 1 51166 000808232 /MRT/ VII/ SKTM /2018 NY. OPAN 52 1 SUKANAGARA 1 1 4 1 DISPEPSIA
51 1 51184 000808233 /MRT/ VII/ JKN /2018 NY. HENI NURHAYATI 64 1 PADENGDENG 1 1 3 1 DISPEPSIA
52 1 51194 000808234 /MRT/ VII/ SKTM /2018 NY. ENDAH 48 1 CIJAYANA 1 1 6 1 DEMAM DENGUE
53 1 51197 000808235 /MRT/ VII/ JKN /2018 TN. DONI 63 1 BANGBAYANG 1 1 3 1 DISPEPSIA
54 1 51201 000808236 /MRT/ VII/ JKN /2018 TN. ACE 21 1 KELEWIH 1 1 4 1 TB PARU AKTIF
55 1 51203 000808237 /MRT/ VII/ JKN /2018 NY. OMAY 63 1 CINITI 1 1 5 1 PPOK
56 1 51237 000808238 /MRT/ VII/ JKN /2018 TN. MAMAT 68 1 HERAS DEPOK 1 1 2 1 DISPEPSIA
57 1 51233 000808239 /MRT/ VII/ JKN /2018 SDR RIJAL 16 1 JATISARI 1 1 2 1 FEBRIS
58 1 51258 000808240 /MRT/ VII/ JKN /2018 NY. ODAH 48 1 PASIR GALATIK 1 1 2 1 DISPEPSIA
59 1 51248 000808241 /MRT/ VII/ SKTM /2018 NY. NONENG 44 1 PASIR GEBANG SANCANG 1 1 2 1 DISPEPSIA
60 1 51276 000808242 /MRT/ VII/ SKTM /2018 NY. IDAH 59 1 MANISI 1 1 5 1 DISPEPSIA
61 1 47620 000808243 /MRT/ VII/ JKN /2018 NY. YANTI 54 1 CIKUYA BOJONG 1 1 3 1 DISPEPSIA
62 1 51193 000808244 /MRT/ VII/ JKN /2018 BY. SALSA 41HARI 1 INDRALAYANG 1 1 10 1 BP BERAT
63 1 35319 000808245 /MRT/ VII/ JKN /2018 TN. ADE HAER 69 1 PAAS GIRANG PAAD 1 1 5 1 SIROSIS HEPATIS
65 1 45108 000808246 /MRT/ VII/ JKN /2018 TN. TAHRI 74 1 PAAS GIRANG PAAS 1 1 3 1 DISPEPSIA
66 1 51289 000808247 /MRT/ VII/ SKTM /2018 NY. EEN 75 1 GUNUNG SULAH 1 1 2 1 BPPV
67 1 51287 000808248 /MRT/ VII/ JKN /2018 NY. DEDENG 46 1 PAAS GIRANG 1 1 2 1 DISPEPSIA
68 1 51303 000808249 /MRT/ VII/ SKTM /2018 AN. LUTFIANA 9 1 SAWAH RUKEM HANJUANG 1 1 3 1 EPILEPSI
69 1 51307 000808250 /MRT/ VII/ JKN /2018 TN. DENDI 18 1 BOJONG KIDUL 1 1 2 1 DEMAM TIPOID
70 1 51328 000808251 /MRT/ VII/ SKTM /2018 NY. EUIS 63 1 KARANG JAHE 1 1 6 1 CAD
71 1 37364 000808252 /MRT/ VII/ UMUM/2018 NY. IIM 63 1 SINARAGA 1 1 5 1 DISPEPSIA
72 1 51316 000808253 /MRT/ VII/ JKN /2018 TN. JAJANG 51 1 SEGLENG 1 1 1 1 DISPEPSIA
1 000808254 /MRT/ VII/ JKN /2019 TN. IDING 68 1 LINGGAMANIK 1 1 4 1 CAP
73 1 51308 000808255 /MRT/ VII/ SKTM /2018 AN. DELIA 11BL 1 SEGLENG PAAS 1 1 4 1 DADRS
74 1 51326 000808256 /MRT/ VII/ JKN /2018 TN. SAHIDIN 52 1 SUKAGALIH SIRNABAKTI 1 1 4 1 PPOK
75 1 43900 000808257 /MRT/ VII/ JKN /2018 TN. SOPYAN 63 1 PUNCAK SARI 1 1 3 1 BPPV
76 1 24510 000808258 /MRT/ VII/ JKN /2018 TN. AHMAD SATONI 60 1 PANGLIGARAN 1 1 3 1 DISPEPSIA
77 1 51350 000808259 /MRT/ VII/ JKN /2018 NY. KHODIJAH 64 1 BANGBAYANG 1 1 3 1 KOLIK RENAL
78 1 51349 000808260 /MRT/ VII/ JKN /2018 TN. YTAYUDIN 55 1 LIMBANGAN 1 1 4 1 LBP
79 1 51353 000808261 /MRT/ VII/ JKN /2018 NY. ROHAETI 54 1 SUKASIRNA 1 1 3 1 DISPEPSIA
80 1 51363 000808262 /MRT/ VII/ SKTM /2018 TN. ANGGARA 37 1 WANASARI 1 1 3 1 DEMAM TIPOID
81 1 51383 000808263 /MRT/ VII/ UMUM/2018 NY. ISAR 74 1 CISARINTEN 1 1 2 1 DISPEPSIA
82 1 17467 000808264 /MRT/ VII/ JKN /2018 NY. ENAT 71 1 MANDALAKASIGH 1 1 2 1 TB PARU AKTIF
83 1 51358 000808265 /MRT/ VII/ SKTM /2018 TN. INBAT 49 1 KARANGSARI 1 1 7 1 LIVER DISCASE
84 1 51404 000808266 /MRT/ VII/ JKN /2018 NY. ICIH 72 1 CIMUNAR 1 1 4 1 ANEMIA
85 1 51372 000808267 /MRT/ VII/ SKTM /2018 AN. M FAIZ 9 1 MANCAGAHAR 1 1 3 1 FEBRIS
86 1 51401 000808268 /MRT/ VII/ JKN /2018 AN. ERTDA 15 1 SIMPANGSARI 1 1 4 1 DEMAM DENGUE
87 1 51415 000808269 /MRT/ VII/ SKTM /2018 TN. PIANUS 41 1 PASIR GEBANG 1 1 2 1 ASMA AKUT
88 1 51406 000808270 /MRT/ VII/ JKN /2018 NY. LIA 28 1 HEGARMANAH 1 1 4 1 TB PARU AKTIF
89 1 51442 000808271 /MRT/ VII/ JKN /2018 NY. AIDA 19 1 CISALAM BOJONG KIDUL 1 1 6 1 DHF
90 1 46988 000808272 /MRT/ VII/ JKN /2018 NY. WATI 36 1 SEGLENG 1 1 3 1 DISPEPSIA
91 1 51420 000808273 /MRT/ VII/ SKTM /2018 AN. ZAHWA 1.4 1 JAMPANG 1 1 5 1 BRONKHOPNEUMONIA
92 1 51442 000808274 /MRT/ VII/ SKTM /2018 AN. ULPAH 1 1 SAGARA 1 1 2 1 DADRS
93 1 51443 000808275 /MRT/ VII/ SKTM /2018 NY. WULAN 26 1 BANGSASINGA 1 1 5 1 DEMAM DENGUE
94 1 49157 000808276 /MRT/ VII/ JKN /2018 TN. KOKO 68 1 BOJONG 1 1 3 1 JOUNDICE
95 1 50562 000808277 /MRT/ VII/ JKN /2018 TN. NURDIN 48 1 BOJONG 1 1 5 1 PARSITOPENI
96 1 51448 000808278 /MRT/ VII/ SKTM /2018 AN. M ZAKIR 13BL 1 NANGOH 1 1 3 1 PNEUMONIA
97 1 51506 000808279 /MRT/ VII/ SKTM /2018 NY. IPAH 44 1 BOJONG KIDUL 1 1 4 1 DEMAM TIPOID
98 1 51504 000808280 /MRT/ VII/ JKN /2018 TN. ERWIN 28 1 JAMPANG 1 1 4 1 DISPEPSIA
99 1 31536 000808281 /MRT/ VII/ JKN /2018 AN. M IKAM 1 1 CIGONDOK 1 1 3 1 DADRS
100 1 51556 000808282 /MRT/ VII/ UMUM/2018 NY. ELA 36 1 SAWAH LIMUS 1 1 2 1 DIPEPSIA
101 1 44036 000808283 /MRT/ VII/ JKN /2018 TN. UDENG 54 1 BUNISARI 1 1 3 1 DEMAM DENGUE
102 1 51559 000808284 /MRT/ VII/ JKN /2018 TN. PARJI 36 1 SIMPANGSARI 1 1 3 1 DISPEPSIA
103 1 51567 000808285 /MRT/ VII/ JKN /2018 NY. RORO 44 1 CISALAM 1 1 5 1 DHF
104 1 30071 000808286 /MRT/ VII/ JKN /2018 TN. ODANG 68 1 CITUNDUN 1 1 3 1 GEA
105 1 51587 000808287 /MRT/ VII/ JKN /2018 TN. ADUNG 50 1 BOJONG 1 1 3 1 DEMAM DENGUE
106 1 51589 000808288 /MRT/ VII/ JKN /2018 TN. ULOH 51 1 CIBADAK 1 1 3 1 HSP
107 1 51584 000808289 /MRT/ VII/ JKN /2018 NY. SITI NURHASNAH 29 1 SUKUN 1 1 2 1 HEPATITIS
108 1 51591 000808290 /MRT/ VII/ SKTM /2018 NY. SITIRUKOYAH 37 1 CISEDEKAN 1 1 3 1 CAP
109 1 51536 000808291 /MRT/ VII/ JKN /2018 NN. YUSRI 20 1 JAMPANG 1 1 4 1 DISPEPSIA
110 1 51591 000808292 /MRT/ VII/ SKTM /2018 AN. FIRLI 3BL 1 CITUNDUN 1 1 2 1 DADRSA
111 1 24916 000808293 /MRT/ VII/ JKN /2018 AN. VRINDA 7 1 PASANGRAHAN 1 1 3 1 THALASEMIA MAYOR
112 1 25304 000808294 /MRT/ VII/ JKN /2018 AN. ABDUL RIZKI 9 1 SAKAMBANGAN 1 1 3 1 THALASEMIA MAYOR
113 1 51640 000808295 /MRT/ VII/ JKN /2018 NY. DEDE JUARIAH 55 1 YAYASAN SAGARA 1 1 4 1 DECOM CORDIS
114 1 51650 000808296 /MRT/ VII/ JKN /2018 NY. ANIS 34 1 HANJUANG HEGARMANAH 1 1 4 1 THALASEMIA MAYOR
115 1 44008 000808297 /MRT/ VII/ JKN /2018 NN. REPI 19 1 CISALAM BOJONG 1 1 7 1 DEMAM TIPOID
116 1 51645 000808298 /MRT/ VII/ SKTM /2018 AN. NAILA 1 1 CI HAUR 1 1 3 1 DADRS
117 1 51522 000808299 /MRT/ VII/ SKTM /2018 AN. NAINA 1 1 CI HAUR 1 1 3 1 DADRS
118 1 51659 000808300 /MRT/ VII/ SKTM /2018 TN. ENCU 67 1 LIO 1 1 4 1 STROKE
119 1 51704 000808301 /MRT/ VII/ SKTM /2018 AN. SRI RAHAYU 3 1 CISALAM 1 1 3 1 ISK
120 1 51647 000808302 /MRT/ VII/ UMUM/2018 TN. BAGAS 21 1 1 1 6 1 HYDROPNEUMOTHORAX
121 1 51573 000808303 /MRT/ VII/ JKN /2018 NY. AI DAHLIAWATI 30 1 PANGLIGARAN 1 1 3 1 DEMAM DENGUE
122 1 51741 000808304 /MRT/ VII/ JKN /2018 NY. UTIT 46 1 CISALAM 1 1 4 1 DISPEPSIA
123 1 51738 000808305 /MRT/ VII/ SKTM /2018 TN. DEDI 52 1 CIBOGO 1 1 3 1 TIA
124 1 38635 000808306 /MRT/ VII/ JKN /2018 NY. MIMI 65 1 TANJUNGSARI 1 1 3 1 ULKUS PEPTIKUM
125 1 51744 000808307 /MRT/ VII/ JKN /2018 NN. CIKA 9 1 BOJONG 1 1 7 1 TB PARU AKTIF
126 1 51757 000808308 /MRT/ VII/ JKN /2018 NY. NIA 32 1 WANASARI 1 1 3 1 ISK
127 1 51756 000808309 /MRT/ VII/ JKN /2018 NY. NINA 32 1 CIKOPO 1 1 1 1 ' HIPERTENSI
128 1 47360 000808310 /MRT/ VII/ SKTM /2018 AN. SINATRIA 39 1 SIRNASARI 1 1 3 1 BRONKHITIS
129 1 51776 000808311 /MRT/ VII/ SKTM /2018 AN. M SALMAN 8BL 1 JATIMULYA 1 1 DEMAM TIPOID
130 1 34900 000808312 /MRT/ VII/ JKN /2018 TN. RIZAL 22 1 MANCAGAHAR 1 1 3 1 DEMAM TIPOID
131 1 39579 000808313 /MRT/ VII/ JKN /2018 TN SALAMAN 67 1 SUKASIRNA 1 1 4 1 DIPEPSIA
132 1 51754 000808314 /MRT/ VII/ JKN /2018 NN. RIKA 15 1 1 1 6 1 DADRS
133 1 26646 000808315 /MRT/ VII/ SKTM /2018 TN. TOHA 68 1 MANISI 1 1 5 1 ANEMIA
134 1 51799 000808316 /MRT/ VII/ SKTM /2018 AN. ADITIA 11 1 SANCANG 1 1 5 1 ASMA AKUT
135 1 51708 000808317 /MRT/ VII/ JKN /2018 AN. ELSA 11 1 LEUWINANGGUNG 1 1 2 1 SNA
136 1 50544 000808318 /MRT/ VII/ JKN /2018 AN. JENI 1 1 CIGEBANG 1 1 4 1 PNEUMONIA
137 1 37114 000808319 /MRT/ VII/ JKN /2018 TN. SULAEMAN 63 1 CIKELET 1 1 5 1 TB PARU AKTIF
138 1 51871 000808320 /MRT/ VII/ SKTM /2018 SDR. ILYAS 21 1 TANJUNGSARI 1 1 3 1 URTIKARIA
139 1 51838 000808321 /MRT/ VII/ JKN /2018 SDR. AI ASTRI 21 1 SUKAPURA 1 1 4 1 DEMAM TIPOID
140 1 51748 000808322 /MRT/ VII/ JKN /2018 AN. ARKAN 12 1 MEKARJAYA 1 1 3 1 SNA
141 1 51670 000808323 /MRT/ VII/ SKTM /2018 TN. AJUM 68 1 WANASARI 1 1 4 1 DM TIPE 2
142 1 39553 000808324 /MRT/ VII/ JKN /2018 TN. ADANG 68 1 CIKELET 1 1 3 1 DISPEPSIA
143 1 51855 000808325 /MRT/ VII/ JKN /2018 NY. ASIH 63 1 PAMALAYAN 1 1 3 1 LBP
144 1 39870 000808326 /MRT/ VII/ JKN /2018 NY. IIS 58 1 PAMALAYAN 1 1 3 1 ANEMIA
145 1 000808327 /MRT/ VII/ SKTM /2018 AN. M NESTA 6BL 1 KARYAMUKTI 1 1 2 DEMAM TIPOID
146 1 000808328 /MRT/ VII/ JKN /2018 AN. REGI 2 1 BINONG 1 1 2 1 THALASEMIA MAYOR
147 1 000808329 /MRT/ VII/ JKN /2018 TN. MUHIDIN 25 1 CINITI\ SAGARA 1 1 3 1 PPOK
148 1 000808330 /MRT/ VII/ JKN /2018 SDR. IBNU 19 1 CINITI SAGARA 1 1 4 1 EFUSI PLEURA
149 1 000808331 /MRT/ VII/ JKN /2018 TN. ADE GANI 44 1 CIKANYERE 1 1 4 1 SROKE INFARK
150 1 000808332 /MRT/ VII/ SKTM /2018 AN. M AZKA 4 1 TEGAL GEDE 1 1 1 CEPALGIA
151 1 000808333 /MRT/ VII/ JKN /2018 TN. DIAT 50 1 1 1 PPOK
152 1 000808334 /MRT/ VII/ SKTM /2018 AN. ALHADID 1 1 PAAS 1 1 DEMAM DENGUE
153 1 000808335 /MRT/ VII/ JKN /2018 TN. OYON 82 1 CIKOPO 1 1 3 1 PPOK
154 1 000808336 /MRT/ VII/ JKN /2018 NY. MAMAH 53 1 CIHURANG 1 1 AKI
155 1 000808337 /MRT/ VII/ SKTM /2018 AN. DFADIYAN 4 1 MANCAGAHAR 1 1 DEMAM DENGUE
138 3 10 5 75 80 67 29 18 18 2 6 5 2 6 1 2 6 98 52 509 142 2 3 3
AKOMOD
ASI VISITE TINDAKAN
KONSUL
BIAYA ( Rp ) ASUHAN KEPERAWATAN
( Rp )
( Rp. ) INFUS SUNTIK NEBULIZE O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I KAT II KAT III KAT IV
( Rp ) ( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
50,000 20,000 20,000 JUMLAH (Rp) (Rp) (Rp) (Rp)
70,000
130,000
250,000 100,000 100,000 5,000 3,000 75,000 12,000 50,000 10,000 50,000 10,000 15,000 25,000 32,500 45,000
NO

REKAM MEDIS
CARA MASUK
URUT

REGISTER
DAL

POL

POL
IGD

AIN
AM

AN

R.L
AK
I

1 1 34249 0008075880 /MRT/ VIII/ JKN /2018


2 1 51961 0008075881 /MRT/ VIII/ SKTM /2018
3 1 49239 0008075882 /MRT/ VIII/ JKN /2018
4 1 51991 0008075883 /MRT/ VIII/ SKTM /2018
5 1 51996 0008075884 /MRT/ VIII/ JKN /2018
6 1 51995 0008075885 /MRT/ VIII/ SKTM /2018
7 1 50862 0008075886 /MRT/ VIII/ JKN /2018
8 1 52001 0008075887 /MRT/ VIII/ JKN /2018
9 1 52002 0008075888 /MRT/ VIII/ JKN /2018
10 1 52005 0008075889 /MRT/ VIII/ SKTM /2018
11 1 52008 0008075890 /MRT/ VIII/ SKTM /2018
12 1 34013 0008075891 /MRT/ VIII/ JKN /2018
13 1 52016 0008075892 /MRT/ VIII/ SKTM /2018
14 1 52036 0008075893 /MRT/ VIII/ JKN /2018
15 1 52039 0008075894 /MRT/ VIII/ JKN /2018
16 1 52503 0008075895 /MRT/ VIII/ JKN /2018
17 1 52055 0008075896 /MRT/ VIII/ JKN /2018
18 1 52048 0008075897 /MRT/ VIII/ JKN /2018
19 1 51984 0008075898 /MRT/ VIII/ JKN /2018
20 1 40099 0008075899 /MRT/ VIII/ JKN /2018
21 1 44646 0008075900 /MRT/ VIII/ UMUM/2018
22 1 52069 0008075901 /MRT/ VIII/ SKTM /2018
23 1 52073 0008075902 /MRT/ VIII/ JKN /2018
24 1 46072 0008075903 /MRT/ VIII/ JKN /2018
25 1 41518 0008075904 /MRT/ VIII/ JKN /2018
26 1 45472 0008075905 /MRT/ VIII/ JKN /2018
27 1 52109 0008075906 /MRT/ VIII/ SKTM /2018
28 1 52129 0008075906 /MRT/ VIII/ JKN /2018
29 1 52127 0008075907 /MRT/ VIII/ SKTM /2018
30 1 51689 0008075908 /MRT/ VIII/ SKTM /2018
31 1 52152 0008075909 /MRT/ VIII/ JKN /2018
32 1 52105 0008075910 /MRT/ VIII/ SKTM /2018
33 1 52142 0008075911 /MRT/ VIII/ SKTM /2018
34 1 52153 0008075912 /MRT/ VIII/ JKN /2018
35 1 52096 0008075913 /MRT/ VIII/ JKN /2018
36 1 52161 0008075914 /MRT/ VIII/ JKN /2018
37 1 52193 0008075915 /MRT/ VIII/ SKTM /2018
38 1 52176 0008075916 /MRT/ VIII/ JKN /2018
39 1 52167 0008075917 /MRT/ VIII/ SKTM /2018
40 1 52192 0008075918 /MRT/ VIII/ JKN /2018
41 1 52198 0008075919 /MRT/ VIII/ JKN /2018
42 1 52204 0008075920 /MRT/ VIII/ SKTM /2018
43 1 52236 0008075921 /MRT/ VIII/ JKN /2018
44 1 52260 0008075922 /MRT/ VIII/ SKTM /2018
45 1 38491 0008075923 /MRT/ VIII/ JKN /2018
46 1 45865 0008075924 /MRT/ VIII/ JKN /2018
47 1 52258 0008075925 /MRT/ VIII/ JKN /2018
48 1 52261 0008075926 /MRT/ VIII/ JKN /2018
49 1 52262 0008075927 /MRT/ VIII/ JKN /2018
50 1 35058 0008075928 /MRT/ VIII/ JKN /2018
51 1 52266 0008075929 /MRT/ VIII/ SKTM /2018
52 1 52270 0008075930 /MRT/ VIII/ JKN /2018
53 1 52268 0008075931 /MRT/ VIII/ UMUM/2018
54 1 52265 0008075932 /MRT/ VIII/ JKN /2018
55 1 39866 0008075933 /MRT/ VIII/ JKN /2018
56 1 50993 0008075934 /MRT/ VIII/ JKN /2018
57 1 52271 0008075935 /MRT/ VIII/ JKN /2018
58 1 34942 0008075936 /MRT/ VIII/ JKN /2018
59 1 36543 0008075937 /MRT/ VIII/ JKN /2018
60 1 45047 0008075938 /MRT/ VIII/ JKN /2018
61 1 34750 0008075939 /MRT/ VIII/ JKN /2018
62 1 52290 0008075940 /MRT/ VIII/ SKTM /2018
63 1 37544 0008075941 /MRT/ VIII/ JKN /2018
64 1 53234 0008075942 /MRT/ VIII/ UMUM/2018
65 1 13978 0008075943 /MRT/ VIII/ SKTM /2018
66 1 52325 0008075944 /MRT/ VIII/ JKN /2018
67 1 52335 0008075945 /MRT/ VIII/ SKTM /2018
68 1 52341 0008075946 /MRT/ VIII/ SKTM /2018
69 1 52360 0008075947 /MRT/ VIII/ JKN /2018
70 1 41422 0008075948 /MRT/ VIII/ JKN /2018
71 1 52344 0008075949 /MRT/ VIII/ UMUM/2018
72 1 25304 0008075950 /MRT/ VIII/ JKN /2018
73 1 28054 0008075951 /MRT/ VIII/ JKN /2018
74 1 52372 0008075952 /MRT/ VIII/ JKN /2018
75 1 44536 0008075953 /MRT/ VIII/ SKTM /2018
76 1 51689 0008075954 /MRT/ VIII/ JKN /2018
77 1 43346 0008075955 /MRT/ VIII/ JKN /2018
78 1 35904 0008075956 /MRT/ VIII/ JKN /2018
79 1 52375 0008075957 /MRT/ VIII/ SKTM /2018
80 1 52403 0008075958 /MRT/ VIII/ JKN /2018
81 1 52399 0008075959 /MRT/ VIII/ JKN /2018
82 1 52427 0008075960 /MRT/ VIII/ JKN /2018
83 1 52396 0008075961 /MRT/ VIII/ SKTM /2018
84 1 52428 0008075962 /MRT/ VIII/ JKN /2018
85 1 52496 0008075963 /MRT/ VIII/ JKN /2018
86 1 34870 0008075964 /MRT/ VIII/ JKN /2018
87 1 52435 0008075965 /MRT/ VIII/ SKTM /2018
88 1 48084 0008075966 /MRT/ VIII/ JKN /2018
89 1 52374 0008075967 /MRT/ VIII/ SKTM /2018
90 1 52445 0008075968 /MRT/ VIII/ JKN /2018
91 1 52455 0008075969 /MRT/ VIII/ JKN /2018
92 1 51842 0008075970 /MRT/ VIII/ JKN /2018
93 1 24918 0008075971 /MRT/ VIII/ JKN /2018
94 1 52474 0008075972 /MRT/ VIII/ JKN /2018
95 52493 0008075973 /MRT/ VIII/ JKN /2018
96 1 39637 0008075973 /MRT/ VIII/ JKN /2018
97 1 52508 0008075974 /MRT/ VIII/ SKTM /2018
98 1 52516 0008075975 /MRT/ VIII/ SKTM /2018
99 1 52505 0008075976 /MRT/ VIII/ JKN /2018
100 1 52517 0008075977 /MRT/ VIII/ JKN /2018
101 1 52518 0008075978 /MRT/ VIII/ SKTM /2018
102 1 25849 0008075979 /MRT/ VIII/ JKN /2018
103 1 52520 0008075980 /MRT/ VIII/ JKN /2018
104 1 52535 0008075981 /MRT/ VIII/ JKN /2018
105 1 52521 0008075982 /MRT/ VIII/ JKN /2018
106 1 52536 0008075983 /MRT/ VIII/ JKN /2018
107 1 52526 0008075984 /MRT/ VIII/ JKN /2018
108 1 49162 0008075985 /MRT/ VIII/ JKN /2018
109 1 52463 0008075986 /MRT/ VIII/ SKTM /2018
110 1 52557 0008075987 /MRT/ VIII/ JKN /2018
111 1 49833 0008075988 /MRT/ VIII/ JKN /2018
112 1 52571 0008075989 /MRT/ VIII/ JKN /2018
113 1 52589 0008075990 /MRT/ VIII/ SKTM /2018
114 1 52586 0008075991 /MRT/ VIII/ SKTM /2018
115 1 52893 0008075992 /MRT/ VIII/ JKN /2018
116 1 52615 0008075993 /MRT/ VIII/ JKN /2018
117 1 52607 0008075994 /MRT/ VIII/ JKN /2018
118 1 52614 0008075995 /MRT/ VIII/ SKTM /2018
119 1 51996 0008075996 /MRT/ VIII/ JKN /2018
120 1 52619 0008075997 /MRT/ VIII/ SKTM /2018
121 1 35897 0008075998 /MRT/ VIII/ JKN /2018
122 1 52628 0008075999 /MRT/ VIII/ JKN /2018
123 1 52647 0008076000 /MRT/ VIII/ JKN /2018
124 1 52663 0008076001 /MRT/ VIII/ SKTM /2018
125 1 52656 0008076002 /MRT/ VIII/ SKTM /2018
126 1 46072 0008076003 /MRT/ VIII/ JKN /2018
127 1 52662 0008076004 /MRT/ VIII/ JKN /2018
128 1 38963 0008076005 /MRT/ VIII/ JKN /2018
129 1 48659 0008076006 /MRT/ VIII/ JKN /2018
130 1 47113 0008076007 /MRT/ VIII/ JKN /2018
131 1 52720 0008076008 /MRT/ VIII/ UMUM/2018
132 1 52721 0008076009 /MRT/ VIII/ SKTM /2018
133 1 52734 0008076010 /MRT/ VIII/ SKTM /2018
134 1 52723 0008076011 /MRT/ VIII/ SKTM /2018
135 1 52719 0008076012 /MRT/ VIII/ JKN /2018
136 1 52745 0008076013 /MRT/ VIII/ JKN /2018
137 1 52633 0008076014 /MRT/ VIII/ SKTM /2018
138 1 39610 0008076015 /MRT/ VIII/ SKTM /2018
139 1 52720 0008076016 /MRT/ VIII/ SKTM /2018
140 1 52766 0008076017 /MRT/ VIII/ JKN /2018
141 1 52718 0008076018 /MRT/ VIII/ JKN /2018
142 1 52796 0008076019 /MRT/ VIII/ SKTM /2018
143 1 43558 0008076020 /MRT/ VIII/ JKN /2018
144 1 52822 0008076021 /MRT/ VIII/ JKN /2018
145 1 16264 0008076022 /MRT/ VIII/ SKTM /2018
146 1 52779 0008076023 /MRT/ VIII/ SKTM /2018
147 1 52827 0008076024 /MRT/ VIII/ SKTM /2018
148 1 35350 0008076025 /MRT/ VIII/ JKN /2018
149 1 52833 0008076026 /MRT/ VIII/ SKTM /2018
150 1 52846 0008076027 /MRT/ VIII/ SKTM /2018
151 1 52831 0008076028 /MRT/ VIII/ JKN /2018
152 1 37364 0008076029 /MRT/ VIII/ JKN /2018
153 1 52344 0008076030 /MRT/ VIII/ JKN /2018
154 1 45787 0008076031 /MRT/ VIII/ JKN /2018
155 1 43113 0008076032 /MRT/ VIII/ SKTM /2018
156 1 52862 0008076033 /MRT/ VIII/ JKN /2018
157 1 52860 0008076034 /MRT/ VIII/ SKTM /2018
135 6 7 8
JENIS
UMUR KELAMIN
NAMA PASIEN

PEU
(TH)

NG

ET
KAMPUNG DESA

ALO
EUN
L P

EL
CIK
CIB
PAM
K
NY. MINTARSIH 39 1 CI DAHON 1
TN. A KOSASIH 52 1 CI HERAS
TN. TARLI 71 1 CIDAHON 1
TN. UU SUKARSA 51 1 CI SALADAH
NY. ILAH 52 1 CI SARUA
AN. NADIRA 1 1 MANDALA KASIH 1
TN. RUHIAT 65 1 1
NY. IPIT EBONIT 41 1 MANDALA KASIH 1
AN. SITI HALIMAH 16 1 NEGLASARI
AN. ERVAN 6 1 BOJONG 1
AN. FAREL 1 1 WANASARI 1
NY. SUKMINI 55 1 CI LALAY
TN. KARNA 79 1 PANGLIGARAN DEPOK
NY. NENI 48 1 CAMPKA
TN. TA'IN 71 1 JATISARI 1
TN. OPA 67 1
TN. II SADILI 73 1 TAMBAK BAYA 1
TN. ENDANG\ 70 1 MANDALAKASIH 1
TN. MUMU MUNAJAT 56 1 PAAS 1
NY. FITRI 31 1 KOMPLEK NELAYAN
AN. WIKI 6 1 CI TEUREUP PAMALAYAN
NY. NONOK 1 1
NY. EMING 50 1 BOJONG 1
AN. DITA 13 1 CITEUREUP SIRNABAKTI 1
TN. HADI 32 1
TN. ZIDIN 61 1 CI GADOG 1
TN. YUDI 22 1 BUNISARI
NY. IDAH 49 1 CI SALAK 1
AN. ADILA 17 1 CI BALIEUR 1
NY. YANI 57 1 PURBAYANI
TN. OMEN 59 1 CI KOPO 1
AN. RISKA 8 1 MEKARJAYA
AN. ABIZAR 2 1 CI PICUNG DEPOK
AN. FAZWA 13 1 CI AWITALI DEPOK
TN. HAERUL 33 1 CI ROYOM
NY. NURAENI 47 1 SANDING CI GADOG
NY. LILIS 20 1 CI KARANG
AN. DIKA 10 1
NY. ENTIN 59 1 KAUM LEBAK 1
AN. EKI 12 1 JOGLO 1
NY. ILOH 72 1 JAMPANG 1
NY. ODAH 77 1 NRNGGENG 1
TN. SUJANA 70 1 AWAS SAGARA
NY. ADE 52 1 CI HAUR KUNING
NY. SITI 55 1
TN. AYI 40 1 SIMPANG SARI 1
TN. BIDIN 76 1 BANYU SIRNA SANCANG 1
TN. JAENI 68 1 CI GADOG
NY. APON 61 1 CI GODEG 1
TN. PETIH 41 1 BOJONG 1
AN. RIMA AYTU 14 1 DEPOK
TN. DANI 19 1 CI KONANG
TN. SOBIRIN 66 1 PUNAGA 1
TN. MIDIN 77 1 SUKAMAJU
NY. ADI 54 1 JATI SARI 1
TN. FIRMANSYAH 54 1 CI NYANGSANG
TN. ACEP 31 1 AWASAGARA
NY. UMU 85 1 CI BANYU 1
TN. H BANAH 71 1 SEGLENG PAAS 1
TN. DIRMAN 45 1 MANCAGAHAR 1
NY. JANAH 68 1 LUMBUNG
AN. SENA 6 1 CADAS NGAMPAR
NY. LILIS 43 1 SIRNABAKTI 1
NY. ANISAH 45 1 CI KPOPO PAAS 1
NY. IIM 54 1 TANEGAN PAAS 1
TN. SSARMID 84 1 NEGLASARI
AN. RAHMI 8 1
TN. ROHMAN 53 1 KARANGSARI
NY. AAM SITI 54 1 BOJONG KIDUL 1
TN. DEDE 37 1 PANGLIGARAN DEPOK
NY. MIMI 55 1 PAMALAYAN
AN. ABDUL 9 1 SAKAMBANGAN 1
NY. ANAH 51 1 MARGAASIH 1
AN. DAWIL 19 1 CI AWITALI CI KONDANG
AN. PRASKA 2 1 KARYAMUKTI 1
NY. YANI 57 1 1
AN. ENJI 2 1 JATI MULYA 1
TN. SODIK 63 1 SEGLENG 1
NY. RUKMINI 73 1 MEKARWANGI 1
NY. SILVIA 16 1 MANDALA KASIH 1
AN. RENDI 14 1 RANCAGEDE TEGALEGA
TN. DAYAT 71 1
AN. AIRA 2 1 BOJONG KIDUL 1
NY. DEDAH 53 1 MUNJUL 1
TN. DEDE. R 52 1 SAGARA 1
NY. IIS 58 1 PAMADEGAN
TN. SUTARSANA 54 1 CI DAHON JATIMULYA 1
AN. FAHRI 4BL 1 GUNUNG SULAH
NY. EET 59 1 MUNJUL JATIMULYA 1
TN. ENGKAR 63 1 MANDALA KASIH 1
TN. PARDAN 1 SUKARAME
AN. M SHEFA 7 1 BOJONG KIDUL 1
AN. VRINDA 7 1 KARANGSARI
NY. AAS 66 1 BOJONG KIDUL 1
NY. MIMI 83 1 CAMPAKA
AN. TIA 9 1 SAGARA 1
TN. AMAD 41 1 SIMPANG 1
TN. IMAN 49 1 SAMUDRA JAYA
NY. RIDA FRIDA 34 1 BUKIT DURI
NY. ENTET 54 1 1
NY. SITI 30 1 BOJONG 1
TN. KARTIJAN 70 1 PANGLIGARAN
NY. RUKOYAH 50 1 CEMPAKA
TN. OHA 48 1 NEGLASARI
NY. TITIN 42 1 MANCAGAHAR 1
TN. EMAN 78 1 PANYINDANGAN
TN. ABDUL RAFI 25 1 BOJONG 1
TN. MASRI 78 1 CI PAKU PAMALAYAN
NY. ONAH 62 1 CI KOPO 1
TN. EZTE 68 1 CI KOPO 1
NY. RUKIAH 77 1 LUMBUNG
TN. SOMANTRI 20 1 MEKARSARI
TN. IDIN 43 1 TEGAL SARI 1
NY. INDRIANI 21 1 KARYAMUKTI 1
NY. DARSIH 77 1 PANGLIGARAN DEPOK
NY. INA 56 1 BOJONG 1
NY. NINING 48 1 LINGGAMANIK
TN. ENUR 72 1 CI KOPO 1
NY. ILAH 52 1 PANYINDANGAN
NY. SITI FATONAH 47 1 1
M. HAMZAH 1BL 1 CI AWITALI
AN. ALI MUHAMAD 6BL 1 SAGARA 1
NY. IIS 47 1 CI AWI
TN. AMIN 56 1 TIPAR
TN. ILIN 83 1
AN. DITA 13 1 CI TEUREUP SIRNABAKTI 1
AN. ZULFA 11 1 JAMPANG JATIMULYA 1
TN. HABIB 59 1 BABAKAN PETIR DEPOK
TN. ADUM 71 1 PADENGDENG 1
TN. ENTAR 76 1 CI KONENG 1
AN. RIRIN 9BL 1 KARANG WANGI
NY. RATNA 64 1 BOJONG PURBAYANI
NY. DEDEH 30 1 TANEGAN PAAS 1
NY. ALIYAH 28 1 TEGAL GEDE 1
NN. BELA 17 1 CINTA MUKTI KARYASARI 1
TN. DEDE 40 1 CI HURANG KARYAMUKTI 1
AN. SITI HALIMAH 10 1 CI BURIAL
NY. HOJAN 41 1 JUNTI
AN. RIRIN 9BL 1 KARANGWANGI
NN. SNTI 16 1 CI GADOG
TN. ENCENG 70 1 SUKAPURA MANDALAKASIH 1
NY. TAWIYAH 70 1 CI BANGO BOJONG 1
TN. ABO 74 1 TAMBAK BAYA 1
TN. SSANDI 17 1 LINGGAMANIK
AN. SITI F 5 1 SEGLENG 1
TN. YAYAN 70 1 DEPOK
TN. ADE 58 1 BOJONG 1
TN. MINHAJUL 67 1 MANISI 1
AN. KANAYA 7BL 1 MANCAGAHAR 1
NY. OMOH 83 1 CI KUYA BOJONG 1
AN. SALMA 1.5 1 LUMBUNG
NY. IIN 64 1 MEKARSARI 1
NY. IMAS 43 1
NY. YANTI 33 1 1
AN. SILMI NURHIDAYAH 5 1 SINDANGSARI 1
TN. TARMAN 43 1 MEKARSARI PANGGALIH
NY. WIWI 38 1 BANGBAYANG 1
78 79
63 22
AM
K EUN
G PEU

CIB
ALO
NG

CIK
EL ET

1
1
CIS

1
1
1
1
1
OM
PET

1
1
1
CAR
ING
IN

1
MEK

1
ARM
UK T
ALAMAT

I
PAK
ENJ
ENG

CIS
EW
U

BUN
G B UL
A NG
KECAMATAN

TAL
EG ONG

CIH
URI
P

SIN
GAJ
AYA

PEU
ND EUY

BAN
JAR
WA
NG I
1

CI P
ATU
JAH

CID
AU N

LUA
RD
AER
AH
UMU
M
BU
DAFTAR PA
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
1

1
1

1
1
1

1
1

1
1
1
1

22 32 7 1 2 2 1 4 1
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH

IZIN AH MENI DIAGNOSA


M

SKTM
AER

HP DOKT APS RUAN RUJUK NGG


JKN
UMU
N

ER GAN AL
AU

RD

LAIN
CID

LUA

1 4 1 CAP
1 3 1 GASTROPATI NSAID
1 5 1 OEDEMA PARU
1 4 1 DISPEPSIA
1 3 1 DISPEPSIA
1 2 1 PPOK
1 3 1 VIRAL INFECTIONS
1 2 1 DISPEPSIA
1 3 1 DHF
1 4 1 ISK
1 3 1 DADRS
1 4 1 SIROSIS HEPATIS
1 3 1 PPOK
1 6 1 NEFROTIIK SNDROME
1 5 1 PPOK
1 3 1 PPOK
1 5 1 GASTROPATI EROSIVA
1 5 1 GASTROPATI EROSIVA
1 5 1 CHF
1 3 1 ASMA BRONKHIAL
1 4 1 ASMA BRONKHIAL
1 4 1 STROKE INFARK
1 3 1 DHF
1 2 1 THALASEMIA MAYOR
1 3 1 TB PARU
1 5 1 DEMAM TIPOID
1 3 1 TB DESIMUILSE
1 4 1 GEA
1 4 1 DADRS
1 3 1 HHD
1 3 1 SEPTIC ATRITIS
1 4 1 NEFROTIIK SNDROME
1 3 1 DADRS
1 3 1 DEMAM TIPOID
1 4 1 TB RELAPS
1 4 1 CAP
1 2 1 EFUSI PLEURA
1 3 1 ANEMIA INFLAMASI
1 4 1 HIPOGLIKEMI
1 3 1 DEMAM DENGUE
1 3 1 HIPERTENSI
1 3 1 DERMATITIS KRONIS
1 8 1 TB PARU
1 2 1 HIPERTENSI URGENSI
1 5 1 SINUS BRADIKARDI
1 2 1 DISPEPSIA
1 3 1 TB PARU
1 9 1 PPOK
1 2 1 DISPEPSIA
1 4 1 DEMAM DENGUE
1 3 1 DHF
1 3 1 DEMAM DENGUE
1 4 1 PPOK
1 3 1 CKD
1 3 1 ULKUS PEPTIKUM
1 2 1 DISPEPSIA
1 4 1 LBP
1 5 1 SYOK HIPOPOLEMIK
1 4 1 CAP
1 6 1 DISPEPSIA
1 4 1 DISPEPSIA
1 8 1 DEMAM TIPOID
1 3 1 TB PARU
1 4 1 HHD
1 3 1 HIPERTENSI URGENSI
1 3 1 DISPEPSIA
1 4 1 NEFROTIIK SNDROME
1 3 1 DHF
1 2 1 DHF
1 2 1 DADRS
1 4 1 HHD
1 2 1 THALASEMIA MAYOR
1 3 1 ASMA BRONKHIAL
1 10 1 DEMAM DENGUE
1 5 1 DADRS
1 5 1 DCM
1 4 1 DADRS
1 4 1 PPOK
1 3 1 DADRS
1 4 1 DEMAM DENGUE
1 5 1 HIPOGLIKEMIA
1 2 1 DISPEPSIA
1 6 1 DADRS
1 4 1 HIPERTENSI URGENSI
1 3 1 DISPEPSIA
1 7 1 DISPEPSIA
1 4 1 DEMAM TIPOID
1 6 1 BRONKHOPNEUMONIA
1 3 1 TB PARU
1 2 1 TB PARU
1 2 1 KOLIK ABDOMEN
1 6 1 DEMAM DENGUE
1 3 1 THALASEMIA MAYOR
1 3 1 STROKE INFARK
1 4 1 HHD
1 5 1 DEMAM DENGUE
1 2 1 DISPEPSIA
1 3 1 KP
1 5 1 TB PARU
1 2 1 EPISTAKSIS
1 8 1 DEMAM DENGUE
1 5 1 PPOK
1 2 1 HIPERTENSI URGENSI
1 10 1 FEBRIS
1 4 1 DISPEPSIA
1 2 1 DISPEPSIA
1 3 1 SMA BRONKHIAL
1 5 1 HCC
1 2 1 NISTEMI INFERIOR
1 2 1 PPOK
1 3 1 SIROSIS HEPATIS
1 3 1 ISK
1 9 1 DHF
1 3 1 KOLIK ABDOMEN
1 6 1 CAP
1 4 1 DEMAM DENGUE
1 2 1 STROKE
1 4 1 ANEMIA
1 2 1 DISPEPSIA
1 4 1 DEMAM TIPOID
1 4 1 HAEMATEMESIS
1 4 1 BRONKHOPNEUMONIA
1 3 1 DISPEPSIA
1 7 1 GEA
1 3 1 PPOK
1 2 1 THALASEMIA MAYOR
1 3 1 DEMAM DENGUE
1 2 1 HIPERTENSI URGENSI
1 5 1 ANEMIA
1 2 1 PPOK
1 2 1 BRONKHOPNEUMONIA
1 4 1 RADIKULOPATI LUMBAL
1 4 1 TB PARU
1 4 1 DADRS
1 2 1 DISPEPSIA
1 2 1 SEPTIC ATRITIS
1 5 1 NEFROTIIK SNDROME
1 3 1 ASMA BRONKHIAL
1 2 1 BRONKHOPNEUMONIA
1 1 DISPEPSIA
1 2 1 ATRIAL FIBRILASI
1 2 1 DISPEPSIA
1 3 1 PPOK EKSTERBASI
1 3 1 VIRAL INFECTIONS
1 4 1 BRONKHOPNEUMONIA
1 1 HHD
1 3 1 DEMAM DENGUE
1 1 PPOK EKSTERBASI
1 1 BRONKHOPNEUMONIA
1 1 EFUSI PLEURA
1 3 1 DADRS
1 1 GASTROPATI EROSIVA
1 2 1 DADRS
1 2 1 HIPERTENSI
1 3 1 ASMA BRONKHIAL
1 2 1 TB PARU
1 3 1 DISPEPSIA
'
5 101 51 556 153 1 3
AKOMOD
ASI VISITE KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS
DIAGNOSA ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000

CAP

PPOKI
ANEMIA
TB PARU
EFUSI PLEURA
SUSPEK TB
CAD ISKEMIK

HHD

TB PARU
TINDAKAN

A
SUNTIK NEBULIZE O 2
ECG KATETER NGT MONITOR SEPUL WT LUKA KAT I
( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
JUMLAH

3,000 75,000 12,000 50,000 10,000 50,000 10,000


ASUHAN KEPERAWATAN
KAT I KAT II KAT III KAT IV
HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA
(Rp) (Rp) (Rp) (Rp)

15,000 25,000 32,500 45,000


REGISTER

REKAM MEDIS
NO

R.L
AIN
POL
I
CARA MASUK DAL
AM
IGD
URUT
KAMAR PERAWATAN
JENIS
UMUR KELAMIN
NAMA PASIEN

PER E
(TH)

LAKI

ISOLA
INFEK
KAMPUNG

ANAK
L P

M PU

- LAK

SI

SI
AN

I
- - - - - - - -
DESA
PAM
K EUN
G PEU

CIB
ALO
NG

CIK
EL ET

CIS
OM
PET

CAR
ING
IN
ALAMAT

MEK
ARM
UK T
I
PAK
ENJ
ENG

CIS
EW
U

BUN
G B UL
KECAMATAN

A NG

TAL
EGO
N G

CIH
URI
P

SIN
GAJ
AYA

PEU
ND EUY
- - - - - - - - - - - - -
DAFTAR PASIEN DAN TINDAKANNYA
BULAN JANUARI 2017
STATUS KETERANGAN PULANG

PIND
AH
NG I

IZIN AH MENI

SKTM
JAH
EUY

AER
AYA

HP DOKT APS RUAN RUJUK NGG

JKN
UMU
P

WA
URI

ER GAN AL
ATU
GAJ

ND

RD

LAIN
JAR
CIH

PEU

CI P
SIN

BAN

LUA
- - - - - - -
NNYA

DIAGNOSA
- - - -
AKOMOD
VISITE TIND
ASI KONSUL
BIAYA ( Rp )
( Rp )
( Rp. ) INFUS SUNTIK NEBULIZE O2 ECG KATETER NGT
( Rp ) ( Rp ) R ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
50,000 20,000 20,000

70,000
130,000
250,000 100,000 100,000 5,000 3,000 75,000 12,000 50,000 10,000
- - - - -
TINDAKAN

ASUHAN KEPERAWATAN
MONITOR SEPUL WT LUKA KAT I KAT II KAT III KAT IV
( Rp ) ( Rp ) ( Rp ) HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH
JUMLAH (Rp) (Rp) (Rp)

50,000 10,000 15,000 25,000 32,500


KAT IV
HARGA
(Rp)

45,000
RAWAT INAP MERANTI KELAS III
TAHUN 2018
JUMLAH PASIEN
JML JUMLAH MATI
BULAN BOR ALOS BTO TOI GDR NDR
PASIEN HP
< 48 JAM > 48 JAM

JAN 120 434 1 43.75 3.62 3.75 4.65 8.33 8.33

FEB 107 320 1 35.71 2.99 3.34 5.38 9.35 -

MAR 148 456 1 45.97 3.08 4.63 3.62 6.76 6.76

APR 153 558 1 1 58.13 3.65 4.78 2.63 13.07 6.54

MAY 158 483 2 48.69 3.06 4.94 3.22 12.66 12.66

JUN 127 413 2 3 43.02 3.25 3.97 4.31 39.37 23.62

JUL 155 509 1 2 51.31 3.28 4.84 3.12 19.35 12.90

AUG 157 556 1 2 56.05 3.54 4.91 2.78 19.11 12.74


PENCAI PSENRAWTI P

SEP #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! 60

50

OCT #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! 40

30

NOV #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! 20

10

DEC #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!


0
JMLPASIEN
OSAJMFR

JUMLAH 6 12
UCEPAo
MTPGLRBNw
L
A5
H
Apr-18 May-18 Jun-18
NO DX JUMLAH NO DX JUMLAH NO DX JUMLAH
1 GASTRITIS AKUT 31 1 DISPEPSIA 32 1 DISPEPSIA 26
2 DENGUE FEVER 15 2 GASTRITIS AKUT 26 2 TIPOID FEVER 9
3 TIPHOID FEVER 13 3 PPOK 17 3 PPOK 8
4 STROKE INFARK 8 4 TIFOID FEVER 14 4 DENGUE FEVER 7
5 TB PARU 8 5 TB PARU 10 5 DENGUE HAEMORAGIC 7
6 DADRS 8 6 STROKE INFARK 6 6 TB PARU 6
7 HIPERTENSI URGENCY 7 7 DENGUE FEVER 5 7 THALASEMIA MAYOR 4
8 PPOK 7 8 GEA 5 8 PNEUMONIA 4
9 GEA 9 9 THALASEMIA MAYOR 5 9 HIPERTENSI 4
10 ISK 5 10 CAD 4 10 AF 3
11 ASMA BRONKHIAL 4 11 MDR 2 11 VIRUS HIV 2

Jul-18 Aug-18
NO DX JUMLAH NO DX JUMLAH
1 DISPEPSIA 33 1 DISPEPSIA 21
2 DEMAM TIFOID 12 2 PPOK 13
3 DEMAM DENGUE 10 3 DEMAM DENGUE 11
4 PPOK 9 4 TB PARU 11
5 TB PARU AKTIF 9 5 BRONKHOPNEUMONI 6
6 DADRS 7 6 HIPERTENSI URGENSI 6
7 GASTRITIS EROSIVA 5 7 DHF 6
8 THALASEMIA MAYOR 5 8 ASMA BRONKHIAL 6
9 GEA 5 9 DEMAM TIPOID 5
10 STROKE INFARK 5 10 HHD 5
11 ANEMIA 5 11 NEFROTIK SINDROM 4