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TGL SEP RITL KD PRIMER

DIAGNOSA KD DIAGNOSA
BUPEL NOKA NO SEP RITL SEKUNDER
January 0001219027803 0113R0290118V000023 2/1/2018 O322 O339
O342
O820

January 0001376881198 0113R0290118V000266 3/1/2018 O654 O72


O342
O751
O821

January 0001634584408 0113R0290118V000271 4/1/2018 O224 O820

February 0000370935246 0113R0290118V002874 30/01/2018 O410 O691


O821

February 0000370751725 0113R0290118V002876 30/01/2018 O365 O820

February 0001731114303 0113R0290218V002565 26/02/2018 O301 O820

March 0001664378469 0113R0290218V002556 26/02/2018 O420 O821


O342
O820

March 0000370576596 0113R0290318V000645 3/6/2018 O342 O820

March 0002233720528 0113R0290318V003096 3/29/2018 O13 O691


April 0002422463725 0113R0290318V003217 3/29/2018 O342 O624
O821
O868

April 0001390178507 0113R0290418V000850 4/9/2018 O342 O820

April 0002342282229 0113R0290418V003050 4/28/2018 O42.0 O36.5


O82.1

May 0001624455729 0113R0290518V001833 5/18/2018 O46.9 O82.1


O34.2

May 0001403721595 0113R0290518V000768 5/9/2018 O322 O820

May 0001624030806 0113R0290518V002649 5/26/2018 O342 O820

June 0001371563818 0113R0290518V002952 5/30/2018 O342 O322


O820

June 0001658576507 0113R0290618V000128 6/2/2018 O410 O649


O821

June 0001459752535 0113R0290618V002120 28/06/2018 O342 O365


O82.1
July 0002441536266 0113R0290618V002329 6/30/2018 O440 O342

July 0001213629311 0113R0290718V000657 7/7/2018 O342 O641

July 0001213682894 0113R0290718V002719 7/27/2018 O410 O342


O820

August 0001298973183 0113R0290818V000066 8/1/2018 O342 O820

August 0001450943605 0113R0290818V000701 8/8/2018 O691 O322


O820
August 0001736978354 0113R0290818V001234 8/14/2018 O342 O820

September 0001325354714 0113R0290918V000348 9/5/2018 O342 O322


O820

September 0001340117043 0113R0290918V000974 9/12/2018 O342 E669

September 0002257030282 0113R0290918V001617 9/17/2018 O330 O342

October 0001128549881 0113R0290918V002732 9/29/2018 O342 O624


October 0001141460875 0113R0291018V000234 10/3/2018 O755 O821
Z370

October 0001141460875 0113R0291018V000965 10/3/2018 O631 O753


BIAYA TGL SEP
Kd Ina CB Gs NO SEP RJTL NO. MR
VERIFIKASI RJTL
O-6-10-I 6,981,500 0113R02912170001490 12/18/2017
0113R02912170002241 12/27/2017 059209

O-6-10-I 5,984,100 0113R02912170001162 12/14/2017


0113R02912170001832 12/21/2017
040649

O-6-10-I 5,984,100 0113R02911170001487 11/14/2017


0113R02912170001492 12/18/2017 056548
0113R0291217V000080 12/30/2017

O-6-10-I 4,986,800 0113R02911170000349 11/3/2017


0113R02912170000091 12/2/2017
0113R0290118V001234 1/12/2018 101977
0113R0290118V002452 1/25/2018
0113R0290118V002759 1/29/2018

O-6-10-I 4,986,800 0113R0290118V001644 1/17/2018


111517
0113R0290118V002327 1/24/2018

O-6-10-I 5,984,100 0113R0290118V000111 1/2/2018


0113R0290118V001706 1/17/2018
105862
0113R0290218V000362 2/5/2018
0113R0290218V001791 2/19/2018

O-6-10-I 6,981,500 0113R0290218V002276 2/23/2018


0113R0290218V002343 2/24/2018
0113R0290218V002432 2/25/2018

O-6-10-I 4,986,800 0113R0290118V000933 1/10/2018


0113R0290218V000568 2/7/2018
092992
0113R0290218V001985 2/21/2018
0113R0290218V002696 2/28/2018

O-6-10-I 5,984,100 0113R0290218V000688 2/8/2018


0113R0290218V002108 2/22/2018
112505
0113R0290318V000785 3/8/2018
0113R0290318V002247 3/22/2018
O-6-10-I 5,984,100 0113R0290318V000820 3/8/2018
0113R0290318V001594 3/15/2018
0113R0290318V002287 3/22/2018
0113R0290318V001646 3/15/2018
104209
0113R0290318V002348 3/22/2018
0113R0290318V003212 3/29/2018
0113R0290418V000143 4/2/2018
0113R0290418V000695 4/6/2018

O-6-10-I 6,981,500 0113R0290318V002325 3/15/2018


0113R0290318V002323 3/22/2018
0113R0290318V003177 3/29/2018 114168
0113R0290418V000564 4/5/2018
0113R0290418V001958 4/18/2018

O-6-10-I 6,981,500 TIDAK ADA RIWAYAT ANC 116135

O-6-10-I 4,986,800 0113R02911170001198 11/11/2017


0113R02911170002088 11/20/2017
0113R02911170003048 11/29/2017
0113R02912170001374 12/15/2017
0113R02912170002024 12/22/2017
0113R0291217V000043 12/29/2017
107086
0113R0290118V001263 1/12/2018
0113R0290118V001963 1/19/2018
0113R0290218V000202 2/2/2018
0113R0290218V001816 2/19/2018
0113R0290318V001014 3/9/2018
0113R0290318V002503 3/23/2018

O-6-10-I 5,984,100 0113R0290418V001051 4/10/2018 108318

O-6-10-I 6,981,500 0113R0290518V000963 5/11/2018


109779
0113R0290518V002572 5/25/2018

O-6-10-I 5,984,100 0113R0290518V000695 5/8/2018


116599
0113R0290518V002194 5/22/2018

O-6-10-I 5,984,100 0113R0290418V003055 4/28/2018


0113R0290518V000561 5/7/2018
116134
0113R0290518V002932 5/28/2018
0113R0290518V003096 5/30/2018

O-6-10-I 6,981,500 TIDAK ADA RIWAYAT ANC 068284


O-6-10-I 5,984,100 0113R0290518V002728 5/26/2018
0903R0010518V020783 5/30/2018
0903R0010618V005115 6/8/2018 117435
0113R0290618V000862 6/9/2018
0113R0290618V001765 6/23/2018

O-6-10-I 4,986,800 0113R0290518V001665 5/17/2018


0113R0290618V001206 6/14/2018 117023
0113R0290618V001778 6/23/2018

O-6-10-I 4,986,800 0113R0290718V000829 7/9/2018


119161
0113R0290718V002584 7/26/2018

O-6-10-I 6,981,500 0113R0290418V001231 4/11/2018


0113R0290518V000887 5/9/2018
0113R0290618V000501 6/6/2018
051260
0113R0290618V002096 6/27/2018
0113R0290718V001112 7/11/2018
0113R0290718V002552 7/25/2018

O-6-10-I 5,984,100 0113R0290818V000651 8/7/2018 120497

O-6-10-I 6,981,500 0113R0290718V002972 7/30/2018


098642
0113R0290818V001064 8/11/2018

O-6-10-I 4,986,800 0113R0290818V001648 8/18/2018


0113R0290918V000023 9/1/2018 100053
0113R0290918V001284 9/14/2018

O-6-10-I 4,986,800 0113R0290518V001125 5/12/2018


0113R0290718V002137 7/21/2018
0113R0290818V000400 8/4/2018
116747
0113R0290818V002170 8/24/2018
0113R0290918V000659 9/7/2018
0113R0290918V000826 9/10/2018

O-6-10-I 6,981,500 0113R0290818V002448 8/28/2018


0113R0290918V000276 9/4/2018 020105
0113R0290918V001145 9/13/2018

O-6-10-I 6,981,500 0113R0290918V000019 9/1/2018


0113R0290918V001740 9/19/2018 016090
0113R0290918V002388 9/26/2018
O-6-10-I 6,981,500 0113R0290918V001341 9/14/2018
0113R0290918V002076 9/21/2018
113119
0113R0290918V002646 9/28/2018
0113R0291018V000093 10/1/2018

O-6-10-I 5,984,100 0113R0290918V001341 9/14/2018


0113R0290918V002076 9/21/2018
113119
0113R0290918V002646 9/28/2018
0113R0291018V000093 10/1/2018

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