Data Base Ranap - 2018

LAPORAN HARIAN PASIEN RAWAT INAP
Periode : JANUARI - 2018

∑= 370
Umur
No. Jns Ku No.RM Tgl. Mas No.Reg NAMA PASIEN JK Tgl. Keluar
Kode Ruang Rawat
01-01-88-57
01 B 27-Dec-17 RI20171227-0009 P 66 1-Jan-18 3
HAJATI
01-01-89-27
02 B 29-Dec-17 RI20171229-0002 L 0 1-Jan-18 BY
BY NY ARINA
01-01-89-23
03 B 29-Dec-17 RI20171229-0003 L 54 1-Jan-18 ICU
GUNAWAN
01-01-89-42
04 B 29-Dec-17 RI20171229-0006 P 32 1-Jan-18 3
RUKMI BT SAYUNI
01-01-89-51
05 B 29-Dec-17 RI20171229-0008 P 20 1-Jan-18 3
WIDI LESTARI
01-01-89-52
06 B 29-Dec-17 RI20171229-0009 L 0 1-Jan-18 BY
BY NY RUKMI BTSAYUNI
01-01-85-24
07 B 30-Dec-17 RI20171230-0001 P 35 1-Jan-18 2
SUMIYATI
01-01-89-56
08 B 30-Dec-17 RI20171230-0003 P 0 1-Jan-18 BY
BY NY SUMIYATI
01-01-89-57
09 B 30-Dec-17 RI20171230-0004 L 25 1-Jan-18 3
SAMSUL MA RUF
01-01-89-58
10 B 30-Dec-17 RI20171230-0005 P 0 1-Jan-18 BY
BY NY WIDI LESTARI
01-01-89-60
11 B 30-Dec-17 RI20171230-0006 P 17 1-Jan-18 2
EVA WULAN SARI
01-01-72-68
12 L 30-Dec-17 RI20171230-0007 P 33 1-Jan-18 3
HERLINA S
01-01-89-65
13 B 30-Dec-17 RI20171230-0008 RAIHANNUN P 10 1-Jan-18 2
AL-QADIRIYAH
00-00-53-49
14 B 30-Dec-17 RI20171230-0010 P 40 1-Jan-18 3
HENIWATI
01-01-89-75
15 B 30-Dec-17 RI20171230-0011 P 16 3-Jan-18 VIP
EKA LESTARI
01-01-89-77
16 B 30-Dec-17 RI20171230-0013 BY NY HERLINA S L 0 3-Jan-18 PERINA
01-01-89-80
17 B 30-Dec-17 RI20171230-0014 MUNIAH P 40 2-Jan-18 3
01-01-89-81
18 B 30-Dec-17 RI20171230-0015 BY NY EVA WULANSARI P 0 1-Jan-18 BY
01-01-89-82
19 B 30-Dec-17 RI20171230-0016 SUSILAWATI P 22 3-Jan-18 3
01-01-89-83
20 B 31-Dec-17 RI20171231-0001 ROHAYAH P 19 2-Jan-18 3
01-01-89-84
21 B 31-Dec-17 RI20171231-0002 P 19 1-Jan-18 1
SITI SOLEHA
01-01-89-85
22 B 31-Dec-17 RI20171231-0003 P 39 3-Jan-18 3
CASWITI
01-01-89-86
23 B 31-Dec-17 RI20171231-0004 L 0 1-Jan-18 BY
BY NY SITI SOLEHA
01-01-89-87
24 B 31-Dec-17 RI20171231-0005 L 55 1-Jan-18 VIP
SUGENG
01-01-89-91
25 B 31-Dec-17 RI20171231-0006 L 0 3-Jan-18 BY
BY NY EKA LESTARI
01-01-89-92
26 B 31-Dec-17 RI20171231-0007 L 0 3-Jan-18 BY
BY NY ROHAYAH
01-01-89-92
27 L 31-Dec-17 RI20171231-0008 L 0 3-Jan-18 BY
BY NY ROHAYAH
01-01-89-93
28 B 31-Dec-17 RI20171231-0009 L 0 3-Jan-18 BY
BY NY SUSILAWATI
01-01-89-95
29 B 31-Dec-17 RI20171231-0010 L 0 3-Jan-18 BY
BY NY CASWITI
01-01-77-08
30 B 01-Jan-18 RI20180101-0001 SRI MARYANI P 39 03-Jan-18 3
01-01-88-05
31 L 01-Jan-18 RI20180101-0002 EDY SURATNO L 53 09-Jan-18 ICU/3
01-01-89-99
32 B 01-Jan-18 RI20180101-0003 SAIPUL BAHRI L 22 04-Jan-18 3
01-01-90-03
33 B 01-Jan-18 RI20180101-0004 MUTIA THALITA SAHDA P 13 03-Jan-18 3
01-01-90-07
34 B 01-Jan-18 RI20180101-0005 TINAH P 30 05-Jan-18 3
01-01-90-19
35 B 02-Jan-18 RI20180102-0001 AMI JUMIRAH P 26 03-Jan-18 3
01-01-90-20
36 B 02-Jan-18 RI20180102-0002 KARTIKA P 28 04-Jan-18 3
01-01-32-28
37 L 02-Jan-18 RI20180102-0003 NITA RAHMA P 28 05-Jan-18 3
01-01-90-23
38 B 02-Jan-18 RI20180102-0004 BY NY KARTIKA L 0 04-Jan-18 BY
01-01-90-34
39 B 02-Jan-18 RI20180102-0005 SELACI P 23 04-Jan-18 3
00-00-77-37
40 L 02-Jan-18 RI20180102-0006 DWI SUSANTI P 33 03-Jan-18 2
01-01-74-50
41 B 02-Jan-18 RI20180102-0007 ANDRIANI SUHESTI P 33 04-Jan-18 2
01-01-90-53
42 B 02-Jan-18 RI20180102-0008 LADJA BT DJAMARONG P 63 05-Jan-18 3
01-01-62-22
43 B 02-Jan-18 RI20180102-0009 ANI ARIANI P 24 04-Jan-18 2
01-01-90-68
44 B 02-Jan-18 RI20180102-0010 BY NY ANDRIANI SUHESTI L 0 04-Jan-18 BY
01-01-90-73
45 B 02-Jan-18 RI20180102-0011 BY NY SELACI P 0 04-Jan-18 BY
01-01-90-64
46 B 02-Jan-18 RI20180102-0012 SRI ANI P 37 05-Jan-18 3
01-01-90-77
47 B 02-Jan-18 RI20180102-0013 ARSEN ASKA ALVARO L 0 04-Jan-18 BY
01-01-90-31
48 B 02-Jan-18 RI20180102-0014 CORNESA MARIBERT P 18 04-Jan-18 3
01-01-90-62
49 B 02-Jan-18 RI20180102-0015 HEDISTA RANI PRANATA P 25 04-Jan-18 3
01-01-90-70
50 B 02-Jan-18 RI20180102-0016 SULAEMAN M L 48 03-Jan-18 3
01-01-90-60
51 B 02-Jan-18 RI20180102-0017 RETNO NINGTYAS P 10 03-Jan-18 3
01-01-90-83
52 B 03-Jan-18 RI20180103-0001 BY NY SRI ANI L 0 05-Jan-18 BY
01-01-90-85
53 B 03-Jan-18 RI20180103-0002 LINGGAWATI P 34 05-Jan-18 3
01-01-90-87
54 B 03-Jan-18 RI20180103-0003 NINDITA AFEFA MAHESWARI P 2 04-Jan-18 3
01-01-91-04
55 B 03-Jan-18 RI20180103-0004 MAY ULFAH P 31 05-Jan-18 2
00-00-61-64
56 B 03-Jan-18 RI20180103-0005 UMI FITRIAH P 42 04-Jan-18 2
01-01-91-12
57 B 03-Jan-18 RI20180103-0006 DWI YANTI P 35 07-Jan-18 2
01-01-58-64
58 L 03-Jan-18 RI20180103-0007 ARIEF BUDIMAN L 37 07-Jan-18 1
01-01-91-17
59 B 03-Jan-18 RI20180103-0008 RAHARYANTO L 44 09-Jan-18 2
01-01-90-97
60 B 03-Jan-18 RI20180103-0009 NANIH P 50 06-Jan-18 2
01-01-91-20
61 B 03-Jan-18 RI20180103-0010 BY NY MAY ULFAH P 0 05-Jan-18 BY
01-01-91-16
62 B 03-Jan-18 RI20180103-0011 YUNIARTI P 36 07-Jan-18 2
01-01-90-48
63 B 03-Jan-18 RI20180103-0013 SITI NURHAYATI P 14 04-Jan-18 2
01-01-89-49
64 B 03-Jan-18 RI20180103-0014 NAUFAL GIBRAN AL-GIFAHRI L 2 05-Jan-18 2
01-01-91-24
65 B 03-Jan-18 RI20180103-0015 ARMA AMELIA P 22 05-Jan-18 2
01-01-91-25
66 B 03-Jan-18 RI20180103-0016 BY NY ARMA AMELIA P 0 05-Jan-18 BY
01-01-91-28
67 B 03-Jan-18 RI20180103-0017 LIONNEL JEREMIA LOMBAN L 12 05-Jan-18 1
00-00-40-49
68 L 03-Jan-18 RI20180104-0002 MAZALEA SRI KUSUMA P 2 07-Jan-18 3
01-01-91-32
69 B 04-Jan-18 RI20180104-0001 JO FAT LIN L 57 08-Jan-18 3
01-01-71-92
70 L 04-Jan-18 RI20180104-0003 NUR HIKMAH HANDAYANI P 24 08-Jan-18 3
01-01-88-77
71 B 04-Jan-18 RI20180104-0004 LILIS SAHADATUL HAYATI P 25 07-Jan-18 3
01-01-72-76
72 L 04-Jan-18 RI20180104-0005 BE A BIE ALIAS ALI L 62 07-Jan-18 3
01-01-91-56
73 B 04-Jan-18 RI20180104-0006 BY NY LILIS SAHADATUL HAYATI L 0 07-Jan-18 BY
01-01-91-80
74 B 05-Jan-18 RI20180105-0001 NOPITASARI P 27 08-Jan-18 2
01-01-91-76
75 B 05-Jan-18 RI20180105-0002 SUNENGSIH P 43 11-Jan-18 3
01-01-91-82
76 B 05-Jan-18 RI20180105-0003 SAFITRI P 21 07-Jan-18 3
01-01-91-81
77 B 05-Jan-18 RI20180105-0004 WIWIN P 20 06-Jan-18 3
01-01-58-35
78 L 05-Jan-18 RI20180105-0005 ARDI YUDHA ANUGERAH L 27 06-Jan-18 3
01-01-91-88
79 B 05-Jan-18 RI20180105-0006 BY NY SAFITRI P 0 07-Jan-18 BY
01-01-89-40
80 B 05-Jan-18 RI20180105-0007 MARIA DESSY NATALIA P 32 08-Jan-18 3
01-01-91-92
81 B 05-Jan-18 RI20180105-0008 BY NY MARIA DESSY NATALIA L 0 08-Jan-18 BY
01-01-91-94
82 B 05-Jan-18 RI20180105-0009 METTASARI P 24 11-Jan-18 3
01-01-91-95
83 B 05-Jan-18 RI20180105-0010 BY NY NOPITASARI L 0 14-Jan-18 PERINA
01-01-52-48
84 B 05-Jan-18 RI20180105-0011 GUSMANILA P 28 08-Jan-18 3
01-01-91-97
85 B 05-Jan-18 RI20180105-0012 LENI MARLENA P 27 07-Jan-18 3
01-01-91-96
86 B 05-Jan-18 RI20180105-0013 ANIH P 35 09-Jan-18 3
01-01-92-01
87 B 05-Jan-18 RI20180106-0001 RINA MELDINI P 21 06-Jan-18 2
01-01-92-02
88 B 05-Jan-18 RI20180106-0002 BY NY LENI MARLENA L 0 07-Jan-18 BY
01-01-92-03
89 B 06-Jan-18 RI20180106-0003 BY NY RINA MELDINI P 0 06-Jan-18 BY
01-01-92-13
90 B 06-Jan-18 RI20180106-0004 EMI RETNAWATI P 26 08-Jan-18 3
01-01-92-14
91 B 06-Jan-18 RI20180106-0005 RINI NOVIANTI P 21 08-Jan-18 2
01-01-92-15
92 B 06-Jan-18 RI20180106-0006 ADITYA L 21 10-Jan-18 3
01-01-92-17
93 B 06-Jan-18 RI20180106-0007 BY NY RINI NOVIANTI P 0 08-Jan-18 BY
01-01-92-19
94 B 06-Jan-18 RI20180106-0008 BY NY EMI RETNAWATI I P 0 08-Jan-18 BY
01-01-92-20
95 B 06-Jan-18 RI20180106-0009 BY NY EMI RETNAWATI II L 0 08-Jan-18 BY
01-01-92-23
96 B 06-Jan-18 RI20180106-0010 TITIN KUSMIATI P 31 09-Jan-18 3
01-01-92-21
97 B 06-Jan-18 RI20180106-0011 ABDE PUTRA PRIAWAN L 18 08-Jan-18 3
01-01-70-01
98 L 06-Jan-18 RI20180106-0012 MUHAMMAD ARSYAD YAHYA L 77 10-Jan-18 3
01-01-92-27
99 B 06-Jan-18 RI20180106-0013 BY NY GUSMANILA P 0 08-Jan-18 BY
01-01-92-25
100 B 06-Jan-18 RI20180106-0014 SOFA L 7 08-Jan-18 3
01-01-92-26
101 B 06-Jan-18 RI20180106-0015 GRADSEN GIO KRISYOSUA L 3 09-Jan-18 3
01-01-92-29
102 B 07-Jan-18 RI20180107-0001 BY NY TITIN KUSMIATI P 0 10-Jan-18 BY
01-01-91-64
103 B 07-Jan-18 RI20180107-0002 ANES ASTRIANI P 25 09-Jan-18 3
01-01-92-28
104 B 07-Jan-18 RI20180107-0003 LUSIANAH P 20 08-Jan-18 3
01-01-92-30
105 B 07-Jan-18 RI20180107-0004 BY NY ANES ASTRIANI L 0 09-Jan-18 BY
01-01-92-31
106 B 07-Jan-18 RI20180107-0005 SUKARENI P 43 08-Jan-18 3
01-01-92-32
107 B 07-Jan-18 RI20180107-0006 ZAKY AKMAL AL QAWIYYU L 1 11-Jan-18 ICU/3
01-01-92-34
108 B 07-Jan-18 RI20180107-0007 VALENTINO TAN WIJAYA L 9 08-Jan-18 3
01-01-91-52
109 B 07-Jan-18 RI20180107-0008 FITRI YANTI P 26 10-Jan-18 3
01-01-92-39
110 B 07-Jan-18 RI20180107-0009 EVI SOFIATY YUNIAR P 26 08-Jan-18 2
01-01-92-41
111 B 07-Jan-18 RI20180107-0010 BY NY EVI SOFIATY YUNIAR P 0 08-Jan-18 BY
01-01-92-42
112 B 07-Jan-18 RI20180107-0011 SITI AISAH P 18 08-Jan-18 3
01-01-92-44
113 B 07-Jan-18 RI20180107-0012 ISWANTO L 39 15-Jan-18 VIP
01-01-92-43
114 B 07-Jan-18 RI20180107-0013 ALFEUS MARCELINO L 10 08-Jan-18 3
01-01-92-45
115 B 07-Jan-18 RI20180107-0014 BY NY SITI AISAH L 0 08-Jan-18 BY
01-01-92-46
116 B 07-Jan-18 RI20180107-0015 ELINA P 31 09-Jan-18 3
01-01-37-97
117 B 08-Jan-18 RI20180108-0001 RINI P 34 10-Jan-18 3
01-01-92-50
118 L 08-Jan-18 RI20180108-0004 HERLOEI GUNAWAN P 48 09-Jan-18 3
01-01-92-53
119 B 08-Jan-18 RI20180108-0005 RAYA RANJANI P 4 10-Jan-18 2
00-00-60-85
120 L 08-Jan-18 RI20180108-0006 KHOLIFAH P 22 10-Jan-18 3
01-01-92-77
121 B 08-Jan-18 RI20180108-0007 RISQIYAH P 25 10-Jan-18 3
01-01-92-80
122 B 08-Jan-18 RI20180108-0008 KASRIAH P 61 14-Jan-18 3
01-01-92-71
123 B 08-Jan-18 RI20180108-0009 LUSYANA P 39 10-Jan-18 1
01-01-92-79
124 B 08-Jan-18 RI20180108-0010 LISAH P 51 10-Jan-18 3
01-01-92-76
125 B 08-Jan-18 RI20180108-0011 JOKO MARIANTO L 39 10-Jan-18 3
01-01-92-85
126 B 08-Jan-18 RI20180108-0012 BY NY RISQIYAH P 0 11-Jan-18 PERINA
00-00-96-67
127 L 08-Jan-18 RI20180108-0014 DARYATI P 71 12-Jan-18 BY
01-01-92-86
128 B 08-Jan-18 RI20180108-0015 BY NY FITRI YANTI P 0 10-Jan-18 BY
01-01-92-89
129 B 08-Jan-18 RI20180108-0016 BY NY RINI L 0 10-Jan-18 BY
01-01-92-90
130 B 08-Jan-18 RI20180108-0017 BY NY LUSYANA L 0 10-Jan-18 BY
01-01-88-75
131 B 08-Jan-18 RI20180108-0018 SITI AMINAH P 35 10-Jan-18 3
01-01-88-45
132 L 08-Jan-18 RI20180108-0019 YENNY P 74 12-Jan-18 2
01-01-90-77
133 L 08-Jan-18 RI20180108-0020 ARSEN ASKA ALVARO L 0 14-Jan-18 PERINA
01-01-93-27
134 B 08-Jan-18 RI20180109-0005 BY NY SITI AMINAH P 0 10-Jan-18 BY
01-01-93-20
135 B 09-Jan-18 RI20180109-0001 ANG SIONG BOW L 59 10-Jan-18 3
01-01-93-23
136 B 09-Jan-18 RI20180109-0002 HJ ICAH P 65 11-Jan-18 2
01-01-93-24
137 B 09-Jan-18 RI20180109-0003 TASIMAH P 39 10-Jan-18 3
01-01-93-26
138 B 09-Jan-18 RI20180109-0004 BY NY TASIMAH L 0 10-Jan-18 BY
00-00-36-79
139 B 09-Jan-18 RI20180109-0006 SUTARNO L 25 10-Jan-18 3
01-01-84-99
140 B 09-Jan-18 RI20180109-0008 MUSMIYATI P 33 12-Jan-18 VIP
01-01-49-26
141 B 09-Jan-18 RI20180109-0009 LIANTY AMBARITA P 78 11-Jan-18 2
01-01-43-68
142 L 09-Jan-18 RI20180109-0010 MARIA MAGDALENA P 69 15-Jan-18 3
01-01-93-53
143 B 09-Jan-18 RI20180109-0011 BY NY MUSMIYATI L 0 12-Jan-18 BY
01-01-93-54
144 B 09-Jan-18 RI20180109-0012 DAFFI FATILLAH PURWANTO L 8 12-Jan-18 2
01-01-93-48
145 B 09-Jan-18 RI20180109-0013 TITIN HERLINA P 46 11-Jan-18 3
01-01-93-46
146 B 09-Jan-18 RI20180110-0007 ASNAWI L 46 10-Jan-18 3
01-01-93-72
147 B 10-Jan-18 RI20180110-0001 TUT WURI HANDAYANI P 34 12-Jan-18 2
01-01-93-77
148 B 10-Jan-18 RI20180110-0002 ALIKA FAHIRA RIYANTI P 3 12-Jan-18 3
01-01-92-56
149 B 10-Jan-18 RI20180110-0003 VONNY TANNOTO JUSMARDY P 32 13-Jan-18 VIP
01-01-93-79
150 B 10-Jan-18 RI20180110-0004 ISTIQOMAH AWALIAH P 23 11-Jan-18 2
01-01-93-81
151 B 10-Jan-18 RI20180110-0005 YUR HANITA P 49 13-Jan-18 3
01-01-93-84
152 B 10-Jan-18 RI20180110-0006 AISAH P 34 12-Jan-18 2
00-00-67-51
153 L 10-Jan-18 RI20180110-0008 MUHAMMAD FATIH UDDAROJAT L 5 11-Jan-18 3
01-01-93-89
154 B 10-Jan-18 RI20180110-0009 ERFINE P 43 11-Jan-18 2
01-01-91-56
155 L 10-Jan-18 RI20180110-0010 BY NY LILIS SAHADATUL HAYATI L 0 12-Jan-18 PERINA
01-01-93-90
156 B 10-Jan-18 RI20180110-0011 BY NY VONNY L 0 14-Jan-18 BY
01-01-93-94
157 B 10-Jan-18 RI20180110-0012 BY NY AISAH L 0 12-Jan-18 BY
01-01-52-48
158 L 10-Jan-18 RI20180110-0013 GUSMANILA P 28 11-Jan-18 3
01-01-91-45
159 B 10-Jan-18 RI20180110-0014 PUTRI EKA RAYASANI P 23 13-Jan-18 3
01-01-71-09
160 B 11-Jan-18 RI20180111-0001 TENI P 22 13-Jan-18 3
01-01-94-16
161 B 11-Jan-18 RI20180111-0002 DESI RUSYANI P 25 13-Jan-18 3
01-01-94-20
162 B 11-Jan-18 RI20180111-0003 SANIAH P 31 13-Jan-18 3
01-01-94-23
163 B 11-Jan-18 RI20180111-0004 MUHAMMAD FAUZAN AL ZIKRI L 0 14-Jan-18 BY
01-01-94-24
164 B 11-Jan-18 RI20180111-0005 BY NY PUTRI EKA RAYASANI P 0 14-Jan-18 BY
01-01-94-27
165 B 11-Jan-18 RI20180111-0006 BY NY DESI RUSYANI P 0 14-Jan-18 BY
01-01-94-06
166 B 11-Jan-18 RI20180111-0007 MUHAMAD SYAHRUL BAHRI L 30 15-Jan-18 ISO
01-01-94-29
167 B 11-Jan-18 RI20180111-0008 BY NY SANIAH L 0 14-Jan-18 PERINA
01-01-91-92
168 L 11-Jan-18 RI20180111-0009 BY NY MARIA DESSY NATALIA L 0 14-Jan-18 PERINA
01-01-91-88
169 L 11-Jan-18 RI20180111-0010 BY NY SAFITRI P 0 14-Jan-18 PERINA
01-01-94-34
170 L 11-Jan-18 RI20180111-0012 KUSTI ASTUTI FITRIANA P 38 14-Jan-18 3
01-01-94-38
171 B 11-Jan-18 RI20180111-0013 SARAH P 32 13-Jan-18 2
01-01-94-39
172 B 11-Jan-18 RI20180111-0014 BY NY KUSTI ASTUTI FITRIANA L 0 14-Jan-18 BY
01-01-94-40
173 B 11-Jan-18 RI20180112-0001 BY NY SARAH P 0 14-Jan-18 BY
01-01-94-41
174 B 12-Jan-18 RI20180112-0002 RENY MAFIYANA P 23 13-Jan-18 1
01-01-40-46
175 B 12-Jan-18 RI20180112-0003 PURWANENGSIH P 43 15-Jan-18 ICU
01-01-05-96
176 L 12-Jan-18 RI20180112-0004 SITI NURKASANAH P 38 15-Jan-18 3
01-01-90-86
177 B 12-Jan-18 RI20180112-0005 SAODAH P 58 14-Jan-18 3
01-01-45-37
178 B 12-Jan-18 RI20180112-0006 SUHAEDAH P 45 16-Jan-18 3
01-01-94-58
179 B 12-Jan-18 RI20180112-0007 ROHMIASIH P 21 13-Jan-18 2
01-01-94-55
180 B 12-Jan-18 RI20180112-0008 LEE ENG P 64 15-Jan-18 ICU/VIP
01-01-94-56
181 B 12-Jan-18 RI20180112-0009 YUDHIK SUNJOTO L 36 15-Jan-18 2
01-01-94-57
182 B 12-Jan-18 RI20180112-0010 AGUS ZAINUL AZZAM L 1 15-Jan-18 3
01-01-94-72
183 B 12-Jan-18 RI20180112-0011 BY NY PURWANENGSIH L 0 15-Jan-18 BY
01-01-91-93
184 B 12-Jan-18 RI20180112-0012 MAIQUINDRI SOFHIEYANI P 34 14-Jan-18 2
01-01-94-74
185 B 12-Jan-18 RI20180112-0013 ANITA KARMILA P 33 15-Jan-18 3
01-01-94-77
186 B 12-Jan-18 RI20180113-0001 SITI AMINAH P 31 15-Jan-18 3
01-01-64-29
187 B 13-Jan-18 RI20180113-0002 YULIANI PRADIS P 26 14-Jan-18 3
00-01-02-64
188 L 13-Jan-18 RI20180113-0003 MUSAN BIN NILAM L 71 14-Jan-18 3
01-01-94-82
189 B 13-Jan-18 RI20180113-0004 RISKA PRATIWI P 25 14-Jan-18 3
01-01-94-85
190 B 13-Jan-18 RI20180113-0005 BY NY MAIQUINDRI L 0 14-Jan-18 BY
01-01-94-83
191 B 13-Jan-18 RI20180113-0006 NURHADIYAH MALADY P 49 19-Jan-18 2
192 L 00-00-94-36 13-Jan-18 RI20180113-0007 SISI RATU KONSINA P 1 15-Jan-18 3
01-01-94-95
193 B 13-Jan-18 RI20180113-0008 BY NY YULIANI PRADIS P 0 14-Jan-18 BY
01-01-94-94
194 B 13-Jan-18 RI20180113-0009 DEDI KURNIAWAN L 31 16-Jan-18 3
01-01-94-97
195 B 13-Jan-18 RI20180113-0010 BY NY ANITA KARMILA P 0 15-Jan-18 BY
01-01-94-98
196 B 13-Jan-18 RI20180113-0011 SIE TJOAN SIN P 86 17-Jan-18 3
01-01-92-77
197 L 13-Jan-18 RI20180113-0012 RISQIYAH P 25 15-Jan-18 3
01-01-95-00
198 B 13-Jan-18 RI20180113-0013 DESI TRISNAWATI P 32 14-Jan-18 3
01-01-95-01
199 B 13-Jan-18 RI20180113-0014 LIMAH P 60 17-Jan-18 3
01-01-95-06
200 B 14-Jan-18 RI20180114-0001 SONIA CHAERUNISSA IRAWAN P 19 14-Jan-18 3
01-01-95-08
201 B 14-Jan-18 RI20180114-0002 DIAZ AHMAD UBAEDILLAH L 1 18-Jan-18 2
01-01-95-10
202 B 14-Jan-18 RI20180114-0003 FONG A FOE P 81 15-Jan-18 3
01-01-95-11
203 B 14-Jan-18 RI20180114-0004 SRI PUJI LESTARI P 41 17-Jan-18 2
01-01-76-54
204 B 14-Jan-18 RI20180114-0005 JURIAH P 30 16-Jan-18 2
01-01-95-16
205 B 14-Jan-18 RI20180114-0006 TEGUH SETYAWAN L 27 16-Jan-18 3
01-01-95-18
206 B 14-Jan-18 RI20180114-0007 BY NY JURIAH L 0 16-Jan-18 BY
01-01-95-13
207 B 14-Jan-18 RI20180114-0008 MUHAMAD L 48 15-Jan-18 ISO
01-01-64-62
208 B 15-Jan-18 RI20180115-0001 FITRI MARSELINA P 27 17-Jan-18 2
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Kelas Nama Dokter HP Penjamin Keadaan Keluar
dr. Tities, Sp.PD

LT005 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-D)
dr. James, SpA
ZZ088 2 PRIBADI MENINGGAL >= 48 JAM
09
LT005(201-B)
III (521-B), ICU dr. Tities, Sp.PD
(90902-01), III (521-A), ICU 3 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01), III (521-A),
06 (521-A) dr. Hari Santoso, Sp.OG
06 (523-B)
dr. Johny Setio, Sp.OG
06 (523-D)
dr. James, SpA
ZZ088 3 PRIBADI DIIZINKAN PULANG
09 (201-D)
dr. Hari Santoso, Sp.OG
05 (508 A)
dr. James, SpA
09 (201-F)
dr. Tities, Sp.PD
06 (521-B)
dr. James, SpA
09 (201-G)
05 (508 B)
04 (599-D)
dr. James, SpA
05 (509-A)
LT005 dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)
LT005 dr. Johny Setio, Sp.OG
4 BPJS KESEHATAN DIIZINKAN PULANG
02 (505)
ZZ086 dr. James, SpA
RUANG BAYI (201-J), 4 PRIBADI DIIZINKAN PULANG
10 (PERI001-A)
04 (599-F) 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088 dr. James, SpA

09 (201-K) 2 PRIBADI DIIZINKAN PULANG

06 (523-C) 4 BPJS KESEHATAN DIIZINKAN PULANG

04 (599-G) 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005 dr. Johny Setio, Sp.OG 1 PRIBADI DIIZINKAN PULANG

04 (525)
LT005 3 PRIBADI DIIZINKAN PULANG
04 (599-H)
dr. James, SpA
09 (201-L)
LT005 dr. Tities, Sp.PD 1 PRIBADI DIIZINKAN PULANG
02 (501)
ZZ088 dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
09 (201-J)
dr. James, SpA
ZZ088 3 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-M)
dr. James, SpA
09 (201-N)
dr. James, SpA
09 (201-O)
dr. James, SpA
09 (201-A)
LT005
I (599-J), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)
LT005
ISOLASI (520), ICU dr. Tities, Sp.PD 9 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
04 (599-I)
LT005
III (521-C), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-A)
LT005 dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
LT005 dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)
LT005 dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
04 (598-A)
06 (523-D)
04 (599-B)
ZZ088 dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-B)
04 (599-A)
05 (509-A)
05 (508 A)
06 (522-B)
05 (509 B)
ZZ088
RUANG BAYI (201-C), dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
09 (201-I)
09 (201-D)
04 (599-C)
09 (201-E)
04 (599-D)
04 (599-E)
04 (599-J)
04 (599-L)
09 (201-F)
06 (523-A)
LT005 dr. James, SpA 2 PRIBADI DIIZINKAN PULANG
06 (526-C)
05 (509-A)
05 (527-A)
05 (508 B)
04 (507)
LT005 dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)
05 (527-B)
09 (201-G)
05 (527-A)
06 (526-D)
04 (599-F)
04 (599-G)
09 (201-H)
LT005
I (525), dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
04 (598-A)
04 (599-H)
LT005 dr. Tjhin Sun Fu, Sp.B 5 PRIBADI DIIZINKAN PULANG
06 (521-C)
06 (522-C)
04 (599-D)
LT005 dr. Martin Winardi, Sp.PD 4 PRIBADI TIDAK SEMBUH
04 (599-E)
09 (201-J)
05 (508 A)
06 (522-D)
06 (523-A)
06 (523-B)
04 (599-A)
09 (201-A)
LT005 dr. Hari Santoso, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
09 (201-B)
04 (525)
ZZ086
RUANG BAYI (201-C), dr. James, SpA 10 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-A)
06 (523-D)
04 (599-B)
06 (522-E)
LT005
I (598-A), dr. Johny Setio, Sp.OG 2 PRIBADI DIIZINKAN PULANG
05 (509-A)
09 (201-D)
09 (201-E)
04 (598-A)
05 (509 B)
06 (521-A)
09 (201-E)
09 (201-F)
09 (201-G)
06 (523-B)
06 (521-B)
LT005
III (521-E), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-B)
09 (201-H)
LT005 dr. James, SpA 3 PRIBADI BELUM SEMBUH
06 (526-A)
06 (526-B)
09 (201-I)
04 (599-F)
06 (522-B)
09 (201-K)
04 (599-C)
LT005
III (526-D), ICU dr. James, SpA 5 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (526-C)
06 (526-C)
04 (599-G)
05 (509-A)
ZZ088 dr. Johny Setio, Sp.OG 2 PRIBADI DIIZINKAN PULANG
09 (201-L)
LT005
06 (523-A)
02 (505)
06 (526-D)
09 (201-M)
06 (522-A)
04 (599-K)
04 (599-A)
LT005
II (527-B), dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
06 (526-A)
04 (599-B)
04 (599-C)
06 (522-B)
04 (507)
04 (599-D)
LT005 dr. Tities, Sp.PD 3 PRIBADI TIDAK SEMBUH
06 (521-C)
ZZ086
RUANG BAYI (201-A),
PERINATOLOGI (PERI001- dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
C), RUANG BAYI (201-L),
ZZ089
10 (PERI001-F)
I (599-B), I (525), ICU dr. Tities, Sp.PD 5 BPJS KESEHATAN MENINGGAL >= 48 JAM
(90901-01), I (507),
07 (90902-01)
09 (201-C)
09 (201-D)
09 (201-J)
06 (523-D)
05 (527-B)
10 (PERI001-B)
ZZ088
RUANG BAYI (201-P), dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-P)
LT005 dr. Andre, Sp.S 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-C)
LT005
II (527-A), dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
02 (501)
06 (523-C)
09 (201-O)
06 (521-D)
02 (519-A)
05 (527-A)
LT005
III (521-B), dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-E)
09 (201-E)
05 (528-A)
04 (599-E)
04 (599-A)
LT005
I (599-H), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 B)
06 (526-B)
02 (503)
04 (598-A)
06 (522-A)
05 (509 B)
06 (526-D)
05 (527-A)
10 (PERI001-D)
09 (201-B)
09 (201-F)
06 (523-A)
06 (523-B)
LT005
III (523-C), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-A)
06 (523-D)
04 (599-F)
09 (201-A)
09 (201-H)
09 (201-G)
LT005
ISOLASI (520), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
04 (598-A)
ZZ086
RUANG BAYI (201-K), dr. James, SpA 4 BPJS KESEHATAN TIDAK SEMBUH
10 (PERI001-D)
10 (PERI001-E)
10 (PERI001-C)
04 (599-D)
05 (508 A)
09 (201-C)
09 (201-D)
04 (525)
LT005
I (599-C), ICU dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN BELUM SEMBUH
(90902-01),
06 (523-A)
LT005 dr. Evy Asali, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-G)
06 (522-C)
06 (522-D)
05 (508 B)
LT005
I (507), ICU dr. Tities, Sp.PD 4 PRIBADI DIIZINKAN PULANG
(90901-01),
02 (503)
05 (527-A)
06 (526-A)
ZZ088 dr. James,SPA 4 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-I)
04 (598-A)
06 (523-C)
04 (599-A)
04 (599-B)
06 (521-A)
06 (522-E)
09 (201-E)
05 (528-A)
06 (526-B)
09 (201-F)
06 (521-B)
ZZ088 dr. James, SpA 3 BPJS KESEHATAN BELUM SEMBUH
09 (201-J)
06 (522-A)
04 (599-C)
04 (599-E)
04 (599-H)
04 (599-I)
04 (507)
LT005 dr. Andre, Sp.S 2 PRIBADI TIDAK SEMBUH
06 (522-B)
05 (528-B)
05 (508 A)
06 (521-A)
09 (201-A)
08 (520)
05 (508 B)
09 (201-C)
LT005 dr. Evy Asali, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509-A)
06 (526-C)
09 (201-D)
10 (PERI001-A)
06 (523-A)
06 (523-B)
LT005
06 (523-D)
09 (201-B)
09 (201-E)
06 (522-B)
06 (522-C)
04 (599-A)
ZZ089
I (599-B), I (525), ICU dr. Tjhin Sun Fu, Sp.B 6 BPJS KESEHATAN MENINGGAL >= 48 JAM
(90901-01), I (507),
07 (90902-01)
06 (523-C)
04 (599-J)
08 (520)
09 (201-A)
04 (599-C)
06 (521-A)
LT005 dr. James, SpA 3 PRIBADI TIDAK SEMBUH
05 (527-B)
02 (519-A)
10 (PERI001-B)
10 (PERI001-C)
10 (PERI001-D)
06 (522-D)
06 (522-E)
LT005
III (522-A), dr. Tities, Sp.PD 4 PRIBADI DIIZINKAN PULANG
06 (522-E)
06 (523-A)
05 (508 A)
05 (509-A)
LT005
I (598-A), I (599-B), dr. Tjhin Sun Fu, Sp.B 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (598-A)
04 (599-A)
05 (528-B)
LT005
III (523-B), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
09 (201-C)
06 (526-A)
LT005 dr. Martin Winardi, Sp.PD 6 PRUDENTIAL MEDIUM DIIZINKAN PULANG
02 (501)
05 (527-A)
06 (521-B)
05 (509 B)
05 (508 B)
06 (523-D)
04 (599-B)
09 (201-B)
ZZ086
RUANG BAYI (201-A), dr. James, SpA 10 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-A)
09 (201-D)
04 (599-D)
LT005
VIP (502), dr. Tities, Sp.PD 3 PRIBADI DIIZINKAN PULANG
02 (519-A)
06 (522-B)
09 (201-E)
06 (522-D)
LT005
III (522-A), ICU dr. Tities, Sp.PD 9 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (522-A)
06 (526-B)
05 (528-A)
LT005 dr. Hari Santoso, Sp.OG 2 PRIBADI DIIZINKAN PULANG
04 (599-E)
09 (201-A)
06 (522-A)
06 (526-C)
05 (527-A)
06 (521-A)
04 (507)
06 (523-B)
LT005 dr. Martin Winardi, Sp.PD 4 PRIBADI BELUM SEMBUH
05 (527-B)
09 (201-F)
09 (201-C)
05 (528-A)
05 (528-B)
06 (526-D)
06 (523-A)
06 (523-C)
06 (521-B)
06 (521-C)
05 (508 A)
06 (522-B)
09 (201-A)
05 (508 B)
06 (522-C)
09 (201-B)
06 (526-A)
09 (201-D)
09 (201-E)
04 (525)
04 (599-C)
04 (599-F)
04 (598-A)
LT005
ICU dr. Martin Winardi, Sp.PD 8 BPJS KESEHATAN
(90902-01),
06 (522-E)
04 (599-G)
04 (599-H)
06 (526-B)
09 (201-G)
06 (523-D)
04 (599-I)
09 (201-H)
06 (526-C)
04 (507)
04 (599-E)
05 (527-B)
04 (599-B)
04 (599-D)
04 (599-J)
ZZ086
RUANG BAYI (201-I), dr. James, SpA 5 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-B)
04 (599-K)
09 (201-J)
06 (526-A)
04 (599-H)
06 (523-B)
06 (523-C)
04 (507)
04 (599-C)
LT005 dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN
06 (521-A)
06 (522-B)
09 (201-B)
06 (522-D)
09 (201-C)
LT005 dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN MEMBAIK
04 (599-F)
04 (598-A)
04 (599-L)
10 (PERI001-C)
09 (201-D)
04 (599-K)
06 (523-A)
06 (526-A)
09 (201-E)
LT005 dr. James, SpA 4 BPJS KESEHATAN
04 (599-G)
06 (526-B)
LT005
II (528-A), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN
06 (522-C)
04 (599-F)
05 (509 B)
LT005
II (528-B), dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN
05 (528-A)
09 (201-F)
LT005
I (599-D), dr. James, SpA 2 BPJS KESEHATAN BELUM SEMBUH
04 (525)
LT005 dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN
05 (527-B)
ZZ086 dr. James, SpA 3 BPJS KESEHATAN
10 (PERI001-D)
04 (599-D)
LT005 dr. Andre, Sp.S 1 PRIBADI BELUM SEMBUH
06 (521-B)
05 (508 A)
05 (528-B)
04 (525)
06 (521-C)
06 (522-B)
06 (523-B)
ZZ089 dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN
07 (90901-01)
LT005 dr. Martin Winardi, Sp.PD 2 PRIBADI
06 (522-D)
06 (523-C)
LT005 dr. James, SpA 2 PRIBADI
05 (508 B)
06 (523-D)
04 (507)
04 (598-A)
ZZ088 dr. James, SpA 2 PRIBADI
09 (201-A)
LT005
I (599-B), dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN
02 (505)
06 (526-A)
09 (201-C)
10 (PERI001-A)
09 (201-D)
04 (599-H)
06 (526-C)
10 (PERI001-B)
09 (201-E)
ZZ089
I (599-L), dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
07 (90902-01)
LT005 dr. Johny Setio, Sp.OG 1 PRIBADI
05 (527-A)
09 (201-I)
SMF DIAGNOSA Kode ICD-X
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
OBSTETRI DAN GINEKOLOGI
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
BEDAH
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
BEDAH
BEDAH
BEDAH
BEDAH
ANAK
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
BEDAH
ANAK
ANAK
ANAK
ANAK
BEDAH
BEDAH
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
BEDAH
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
BEDAH
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK

PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
BEDAH
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
BEDAH
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
BEDAH
ANAK
ANAK
SYARAF
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
BEDAH
PENYAKIT DALAM
ANAK
ANAK
BEDAH
BEDAH
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK

PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
SYARAF
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
BEDAH
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
BEDAH
BEDAH
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
BEDAH
BEDAH
PENYAKIT DALAM
BEDAH
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
BEDAH
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
BEDAH
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
SYARAF
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK

ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ICD 9-C ICD 9-C Rujukan Dari
Dirujuk Ke
Periode : FEBUARI - 2018
∑= 293
Umur
No. Jns Ku No.RM Tgl. Mas No.Reg NAMA PASIEN JK Tgl. Keluar
Kode Ruang Rawat
01-01-72-76
01 L 24-Jan-18 RI20180124-0007 BE A BIE ALIAS ALI L 62 02-Feb-18 3
01-01-72-31
02 B 24-Jan-18 RI20180124-0015 HARLAN L 43 02-Feb-18 3
01-01-98-84
03 B 26-Jan-18 RI20180126-0003 KHARISMA ANGGRAINI P 8 01-Feb-18 3
01-01-99-06
04 B 26-Jan-18 RI20180126-0008 BY NY RUSTINI L 0 04-Feb-18 PERINA
01-02-00-30
05 B 27-Jan-18 RI20180127-0007 SRI KARTUMI P 63 08-Feb-18 3
01-02-00-39
06 B 28-Jan-18 RI20180128-0001 GOK MARIA SIMALANGO P 67 06-Feb-18 2
01-01-95-87
07 B 29-Jan-18 RI20180129-0006 TINAH BT MUNDARTA P 34 01-Feb-18 3
01-02-00-73
08 B 29-Jan-18 RI20180129-0008 ROSYATI P 55 03-Feb-18 3
01-01-45-08
09 L 29-Jan-18 RI20180129-0009 HIOE TJIOE HOA P 71 02-Feb-18 3
01-02-00-82
10 B 29-Jan-18 RI20180129-0011 NUR FATIMAH P 19 01-Feb-18 3
01-02-00-84
11 B 29-Jan-18 RI20180129-0012 BY NY PUTRI CATUR ARUMININGSIH L 0 04-Feb-18 PERINA
01-02-00-75
12 B 29-Jan-18 RI20180129-0015 MUHAMMAD NOVAL ADIETIA L 14 01-Feb-18 3
01-02-00-89
13 B 29-Jan-18 RI20180129-0018 ISNAENI P 29 01-Feb-18 3
01-02-00-92
14 B 29-Jan-18 RI20180129-0022 BY NY TINAH BT MUNDARTA L 0 02-Feb-18 BY
01-01-89-41
15 B 30-Jan-18 RI20180130-0001 SRI MARHAYU P 27 02-Feb-18 3
01-02-00-60
16 B 30-Jan-18 RI20180130-0002 RODIAH P 27 01-Feb-18 3
01-02-00-97
17 B 30-Jan-18 RI20180130-0004 BY NY SRI MARHAYU L 0 02-Feb-18 BY
01-02-00-98
18 B 30-Jan-18 RI20180130-0005 BY NY RODIAH L 0 02-Feb-18 BY
01-02-01-02
19 B 30-Jan-18 RI20180130-0007 EEP SAPRUDIN L 30 01-Feb-18 3
01-02-01-15
20 B 30-Jan-18 RI20180130-0008 BY NY ISNAENI P 0 02-Feb-18 BY
01-02-01-19
21 B 30-Jan-18 RI20180130-0009 LILIK SRI HARTUTIK P 53 01-Feb-18 3
01-02-01-06
22 B 30-Jan-18 RI20180130-0010 ROHIMAH P 25 01-Feb-18 3
01-02-00-43
23 B 30-Jan-18 RI20180130-0011 TARTI P 46 01-Feb-18 3
00-00-39-99
24 B 30-Jan-18 RI20180130-0013 AMALIA RIDA P 24 02-Feb-18 2
01-02-01-01
25 B 30-Jan-18 RI20180130-0014 MAHURI L 65 02-Feb-18 3
01-02-01-32
26 B 30-Jan-18 RI20180130-0017 BY NY AMALIA RIDA L 0 02-Feb-18 BY
01-02-01-30
27 B 31-Jan-18 RI20180131-0001 ANNI KARNADI P 57 01-Feb-18 3
01-01-92-31
28 L 31-Jan-18 RI20180131-0002 SUKARENI P 43 01-Feb-18 3
01-02-00-74
29 B 31-Jan-18 RI20180131-0003 PIPIT NURHAYATI P 24 01-Feb-18 3
01-02-01-50
30 B 31-Jan-18 RI20180131-0004 PAULINA P 19 02-Feb-18 3
01-02-01-42
31 B 31-Jan-18 RI20180131-0005 MIMIN BT HASAN P 65 03-Feb-18 VIP
32 B 01-02-01-54 31-Jan-18 RI20180131-0006 CINDY OKTALIZA P 13 06-Feb-18 3
33 B 01-01-98-41 31-Jan-18 RI20180131-0007 BY NY SITI SUNARSIH L 0 02-Feb-18 PERINA
34 B 01-02-01-55 31-Jan-18 RI20180131-0008 VENDERSON L 33 05-Feb-18 3
35 B 01-02-01-14 01-Feb-18 RI20180201-0001 META IMELDA P 36 03-Feb-18 3
36 B 01-02-01-58 01-Feb-18 RI20180201-0002 ANDI ROMANTRI L 25 06-Feb-18 3
37 B 01-02-01-59 01-Feb-18 RI20180201-0003 SITI KURNIA JULIANA SARI P 18 03-Feb-18 3
38 B 01-02-01-72 01-Feb-18 RI20180201-0004 BY NY SITI KURNIA L 0 05-Feb-18 PERINA
39 B 01-01-98-35 01-Feb-18 RI20180201-0005 SUHARDI L 23 02-Feb-18 2
40 B 01-02-01-81 01-Feb-18 RI20180201-0006 EVANO L 1 04-Feb-18 ICU
41 B 01-01-55-21 01-Feb-18 RI20180201-0007 DHAFITHA NIZZA NUR ADHAVIA P 4 03-Feb-18 3
42 L 01-01-72-76 01-Feb-18 RI20180201-0008 BE A BIE ALIAS ALI L 62 02-Feb-18 ISOLASI
43 B 01-01-96-45 01-Feb-18 RI20180201-0009 ACHMAD RIZKY RAMADHAN L 4 02-Feb-18 3
44 B 01-02-01-89 01-Feb-18 RI20180201-0010 BY NY META IMELDA P 0 03-Feb-18 BY
45 B 01-02-01-88 01-Feb-18 RI20180201-0011 STANLY YOHANES L 28 04-Feb-18 3
46 L 01-01-27-76 01-Feb-18 RI20180201-0012 MULYONO L 38 02-Feb-18 3
47 L 01-01-91-76 01-Feb-18 RI20180201-0013 SUNENGSIH P 43 02-Feb-18 2
48 B 01-02-01-91 01-Feb-18 RI20180201-0014 LICIA WIDIA HANTI P 24 02-Feb-18 2
49 B 01-02-01-87 01-Feb-18 RI20180201-0015 JAMRONI L 41 04-Feb-18 3
50 B 01-02-01-98 01-Feb-18 RI20180201-0016 SITI KHOIRUNNISA P 13 04-Feb-18 3
51 B 01-02-01-62 01-Feb-18 RI20180206-0004 M HAMIM L 53 07-Feb-18 3
52 B 01-02-01-96 02-Feb-18 RI20180202-0001 ADELIA SAVITRI P 22 04-Feb-18 3
53 B 01-02-01-97 02-Feb-18 RI20180202-0002 WITA PUTRI P 25 04-Feb-18 3
54 B 01-02-02-01 02-Feb-18 RI20180202-0003 LIANTY P 23 04-Feb-18 3
55 B 01-02-02-07 02-Feb-18 RI20180202-0004 BY NY LIANTY P 0 04-Feb-18 BY
56 B 01-02-02-04 02-Feb-18 RI20180202-0005 WAHYUDI L 35 09-Feb-18 2
57 L 01-01-15-34 02-Feb-18 RI20180202-0006 KARTI P 51 05-Feb-18 3
58 B 01-02-02-09 02-Feb-18 RI20180202-0007 SAPARUDIN L 25 04-Feb-18 2
59 B 01-02-02-12 02-Feb-18 RI20180202-0008 SISWATI P 34 04-Feb-18 1
60 B 01-02-02-16 02-Feb-18 RI20180202-0009 NUR ASIZAH P 5 06-Feb-18 3
61 L 01-01-98-65 02-Feb-18 RI20180202-0010 BY NY DIANA PRATIWI L 0 07-Feb-18 PERINA
62 B 01-02-02-21 03-Feb-18 RI20180203-0001 YATNO L 46 09-Feb-18 3
63 B 01-02-02-25 03-Feb-18 RI20180203-0002 TITIN P 27 05-Feb-18 2
64 B 01-01-94-90 03-Feb-18 RI20180203-0003 FERNI SUTANTI P 33 05-Feb-18 2
65 B 01-02-02-28 03-Feb-18 RI20180203-0004 BY NY TITIN P 0 05-Feb-18 BY
66 B 01-02-02-31 03-Feb-18 RI20180203-0005 BY NY FERNI SUTANTI P 0 05-Feb-18 BY

67 B 01-02-02-43 03-Feb-18 RI20180203-0006 KARYANTI P 47 06-Feb-18 3
68 B 01-02-02-44 03-Feb-18 RI20180203-0007 BAMBANG SETIYONO L 35 07-Feb-18 ISOLASI
69 B 01-02-02-48 04-Feb-18 RI20180204-0001 JULIANA SOMAHARDJA P 27 06-Feb-18 VIP
70 B 01-01-94-52 04-Feb-18 RI20180204-0002 NANI P 35 06-Feb-18 1
71 B 01-02-02-55 04-Feb-18 RI20180204-0003 SRI PAIDAH P 44 06-Feb-18 3
72 B 01-02-02-56 04-Feb-18 RI20180204-0004 EVEL ANGGELINA P 19 07-Feb-18 3
73 B 01-02-02-57 04-Feb-18 RI20180204-0005 TUTI ADITYA WARDHANI P 27 05-Feb-18 3
74 B 01-02-02-59 04-Feb-18 RI20180204-0006 P 0 06-Feb-18 BY

BY NY NANI
75 B 01-02-02-61 04-Feb-18 RI20180205-0001 L 0 07-Feb-18 BY

BY NY EVEL ANGGELINA
76 B 01-02-02-63 05-Feb-18 RI20180205-0002 P 20 10-Feb-18 2

NILA ARSUMI
77 B 01-01-83-19 05-Feb-18 RI20180205-0003 P 27 07-Feb-18 3

SRI SURYANINGSIH
78 B 01-01-61-03 05-Feb-18 RI20180205-0004 P 83 06-Feb-18 3

ONG NGO LIAN
79 B 01-02-02-82 05-Feb-18 RI20180205-0005 P 0 07-Feb-18 BY

BY NY SRI SURYANINGSIH
80 B 01-01-32-38 05-Feb-18 RI20180205-0006 P 52 06-Feb-18 2

PUDJAWATI AKBAR
81 L 01-01-73-85 05-Feb-18 RI20180205-0007 P 64 11-Feb-18 3

ETI ROSWATI
82 L 00-00-73-19 05-Feb-18 RI20180205-0008 P 20 07-Feb-18 3

VICA NATALIA
83 B 01-02-02-84 05-Feb-18 RI20180205-0009 L 32 08-Feb-18 3

JOSEPH S
84 B 01-02-02-89 05-Feb-18 RI20180205-0010 L 49 10-Feb-18 3

LOH THAI FUK
85 B 01-02-03-00 06-Feb-18 RI20180206-0001 P 30 07-Feb-18 2

DEVY HANDRAINI
86 B 01-02-02-93 06-Feb-18 RI20180206-0002 P 1 10-Feb-18 3

NUR RIZKITA PUTRI
87 B 01-02-03-01 06-Feb-18 RI20180206-0003 ROHIMIN GUNAWAN L 21 10-Feb-18 ICU
88 B 01-02-03-09 06-Feb-18 RI20180206-0005 L 0 08-Feb-18 BY

BY NY DEVY HANDRAINI
89 L 00-00-44-30 06-Feb-18 RI20180206-0006 P 61 08-Feb-18 3

RUTH T
90 B 01-02-03-14 06-Feb-18 RI20180206-0007 L 2 09-Feb-18 3

DZAKY PUTRA IRAWAN
91 B 01-02-03-08 06-Feb-18 RI20180206-0008 L 83 10-Feb-18 3

ALI BIN MIIN
92 L 01-01-60-69 06-Feb-18 RI20180206-0009 P 37 09-Feb-18 2

ASLAMIYAH
93 B 01-02-03-17 06-Feb-18 RI20180206-0010 P 32 09-Feb-18 3

IIN PARLINA
94 B 01-02-03-27 06-Feb-18 RI20180206-0011 P 21 09-Feb-18 3

DELVYA ARIYANI
95 B 01-02-03-29 06-Feb-18 RI20180206-0012 L 0 13-Feb-18 PERINA

BY NY IIN PARLINA
96 B 01-02-03-30 06-Feb-18 RI20180207-0002 L 0 09-Feb-18 BY

BY NY DELVYA ARIYANI
97 B 01-02-03-31 07-Feb-18 RI20180207-0001 P 17 09-Feb-18 3

MUTIARA KHAYRUNNISAH

MUHAMAD RAFAEL
99 B 01-02-03-34 07-Feb-18 RI20180207-0004 P 26 12-Feb-18 3

SITI MARHAMAH
100 B 00-00-37-83 07-Feb-18 RI20180207-0005 P 36 08-Feb-18 3

ISA
101 B 01-02-03-05 07-Feb-18 RI20180207-0006 P 64 10-Feb-18 1

TIO LIAN ALS YULIANA
102 B 01-02-03-54 07-Feb-18 RI20180207-0007 P 56 09-Feb-18 3
TJAN LAY NIE
103 B 01-02-03-61 07-Feb-18 RI20180207-0008 P 60 12-Feb-18 3

KHODIJAH
104 B 01-02-03-60 07-Feb-18 RI20180207-0009 L 30 15-Feb-18 VIP

NENGAH MARYANI
105 B 01-01-90-74 08-Feb-18 RI20180208-0001 P 26 10-Feb-18 3

DESI ARIANI
106 B 01-02-03-62 08-Feb-18 RI20180208-0002 P 34 10-Feb-18 3

SRI FATONAH
107 B 01-01-97-48 08-Feb-18 RI20180208-0003 P 49 12-Feb-18 2

ERLINA HAKIM
108 B 01-02-03-74 08-Feb-18 RI20180208-0004 L 0 10-Feb-18 BY

BY NY SRI FATONAH
109 L 01-01-59-36 08-Feb-18 RI20180208-0005 L 60 15-Feb-18 3

MARTIUS SIANTURI
110 B 01-02-03-83 08-Feb-18 RI20180208-0006 CUT OKTAVIANI P 1 17-Feb-18 ICU/3
111 B 01-02-03-89 08-Feb-18 RI20180208-0007 L 37 12-Feb-18 3

NURHAMI
112 B 01-02-03-90 08-Feb-18 RI20180208-0008 P 1 10-Feb-18 3

HILMA APRILIA
113 B 01-02-03-73 08-Feb-18 RI20180208-0009 L 31 11-Feb-18 2

ANDIKA FREDIYAN
114 B 01-02-03-93 08-Feb-18 RI20180208-0010 YANIH P 66 10-Feb-18 3
115 B 01-02-03-94 09-Feb-18 RI20180209-0001 NUR NASYA RAMADANI P 4 12-Feb-18 3
116 B 01-02-04-06 09-Feb-18 RI20180209-0002 P 26 12-Feb-18 3

SITI MUNAWAROH
117 B 01-02-04-03 09-Feb-18 RI20180209-0003 P 10 10-Feb-18 2

NATASSYA FADHILAH
118 L 01-01-51-72 09-Feb-18 RI20180209-0004 P 21 10-Feb-18 3

ANGGRAENI TIYA PUTRI
119 B 01-02-04-15 09-Feb-18 RI20180209-0005 P 0 11-Feb-18 BY

BY NY SITI MUNAWAROH
120 B 01-02-04-11 09-Feb-18 RI20180209-0006 P 14 15-Feb-18 2

SITI SADIYAH
121 B 01-02-04-19 09-Feb-18 RI20180209-0007 L 1 12-Feb-18 2

ARKHA NAURIL PURWONANI
122 L 01-01-64-29 09-Feb-18 RI20180209-0008 P 26 10-Feb-18 3

YULIANI PRADIS
123 B 01-02-04-24 09-Feb-18 RI20180209-0009 L 10 11-Feb-18 3

EDSEL ARDAN SING
124 B 01-02-04-25 09-Feb-18 RI20180209-0010 L 34 13-Feb-18 3

RUSDI
125 B 01-02-04-30 10-Feb-18 RI20180210-0001 P 25 11-Feb-18 3

FIFI KURYANI
126 B 01-02-04-27 10-Feb-18 RI20180210-0002 P 73 13-Feb-18 3

KAMINAH
127 L 00-00-75-55 10-Feb-18 RI20180210-0003 L 67 13-Feb-18 1

NG SYAK KHUN
128 B 01-02-04-46 10-Feb-18 RI20180210-0004 P 38 14-Feb-18 3

RO AI TATI
129 L 01-02-02-84 10-Feb-18 RI20180210-0005 L 32 12-Feb-18 3

JOSEPH S
130 L 01-01-44-06 10-Feb-18 RI20180210-0006 P 41 13-Feb-18 2

SUPINI
131 B 01-02-04-53 10-Feb-18 RI20180210-0007 P 23 12-Feb-18 3

PUTRI LISTIORINI
132 B 01-02-04-57 10-Feb-18 RI20180210-0008 P 22 14-Feb-18 3

SELVI NURVIANI
133 L 01-01-02-91 11-Feb-18 RI20180211-0001 P 3 14-Feb-18 3

NUR ANISHA
134 B 01-02-04-58 11-Feb-18 RI20180211-0002 P 38 12-Feb-18 3

SUKATMI
135 B 01-02-04-59 11-Feb-18 RI20180211-0003 P 0 13-Feb-18 BY

BY NY SELVI NURVIANI
136 B 01-02-04-60 11-Feb-18 RI20180211-0004 P 28 12-Feb-18 2

RIZKA YULIANI
137 B 01-02-04-63 11-Feb-18 RI20180211-0005 BASIR L 63 13-Feb-18 ICU
138 B 01-02-04-66 11-Feb-18 RI20180211-0006 L 46 13-Feb-18 3

SYARIF HIDAYAT
139 B 01-01-75-74 11-Feb-18 RI20180211-0007 P 31 14-Feb-18 3

SUWARTI
140 B 01-01-96-78 11-Feb-18 RI20180211-0008 P 29 14-Feb-18 2

YETI WAHYUNI
141 L 00-00-52-83 12-Feb-18 RI20180212-0001 L 3 14-Feb-18 2

MUHAMAD LUTHFI ALMEIR
142 L 01-01-72-84 12-Feb-18 RI20180212-0002 L 4 14-Feb-18 2

ADIPATI PUTRA NEGARA
143 B 01-02-03-52 12-Feb-18 RI20180212-0003 L 23 14-Feb-18 3

SUFI ARMAN
144 L 00-00-74-89 12-Feb-18 RI20180212-0004 P 33 14-Feb-18 VIP

SUCI MELATY
145 B 01-02-03-82 12-Feb-18 RI20180212-0005 L 38 13-Feb-18 3

DAVID
146 B 01-02-04-75 12-Feb-18 RI20180212-0006 P 0 14-Feb-18 BY

BY NY YETI WAHYUNI
147 B 01-02-03-96 12-Feb-18 RI20180212-0007 P 38 14-Feb-18 3

SUMARTI
148 B 01-02-04-77 12-Feb-18 RI20180212-0008 P 19 14-Feb-18 2

AYUS NITA RAMADANI
149 B 01-02-04-85 12-Feb-18 RI20180212-0009 L 0 14-Feb-18 BY

BY NY SUCI MELATY
150 L 01-01-56-13 12-Feb-18 RI20180212-0010 L 50 16-Feb-18 3

PURNAMA
151 B 01-02-04-90 12-Feb-18 RI20180212-0011 L 0 15-Feb-18 BY

BY NY AYUS NITA
152 B 01-02-04-83 12-Feb-18 RI20180212-0012 P 17 15-Feb-18 3

ELSA DELIA VERONIKA
153 B 01-02-04-92 12-Feb-18 RI20180212-0013 L 0 14-Feb-18 BY

BY NY SUWARTI
154 B 01-02-04-89 12-Feb-18 RI20180212-0014 P 33 13-Feb-18 3

ERMA YUNITA
155 B 01-02-04-93 12-Feb-18 RI20180212-0015 P 2 14-Feb-18 3

MIA SANTIKA
156 B 01-02-05-01 12-Feb-18 RI20180212-0016 P 41 15-Feb-18 3

RUSMIYATI
157 B 01-02-05-02 12-Feb-18 RI20180212-0017 P 83 14-Feb-18 3

HAPSIAH TIMAH
158 B 01-02-05-03 13-Feb-18 RI20180213-0001 P 40 15-Feb-18 3

ALFIYAH
159 B 01-01-96-32 13-Feb-18 RI20180213-0002 L 2 16-Feb-18 3

MUHAMMAD RAJA PUTRA JAENI
160 B 01-02-05-04 13-Feb-18 RI20180213-0003 P 0 14-Feb-18 BY

BY NY SUMARTI
161 B 01-02-05-05 13-Feb-18 RI20180213-0004 P 53 14-Feb-18 3

SUPATMI
162 L 01-02-03-74 13-Feb-18 RI20180213-0005 L 0 14-Feb-18 PERINA

BY NY SRI FATONAH
163 B 01-01-88-40 13-Feb-18 RI20180213-0006 L 22 14-Feb-18 3

M SOFYAN ADHA
164 B 01-02-05-17 13-Feb-18 RI20180213-0007 L 24 15-Feb-18 3

IYAN HERMAWAN
165 B 01-02-05-22 13-Feb-18 RI20180213-0008 L 1 16-Feb-18 3

MUHAMMAD GUNTUR MUNAJAD
166 B 01-02-05-31 13-Feb-18 RI20180213-0009 P 44 14-Feb-18 3

HERLINA
167 B 01-02-05-36 14-Feb-18 RI20180214-0001 P 26 15-Feb-18 3

IIN SURYANI
168 B 01-02-03-98 14-Feb-18 RI20180214-0002 P 33 17-Feb-18 3

MULYANAH
169 B 00-00-44-36 14-Feb-18 RI20180214-0003 L 75 19-Feb-18 3

ATJE BIN SARBANI
170 B 01-01-46-25 14-Feb-18 RI20180214-0004 P 26 16-Feb-18 3

LIA SUMINAR
171 B 01-02-05-32 14-Feb-18 RI20180214-0005 P 29 15-Feb-18 3

DIAN ANGGUN SARI
172 B 01-02-02-37 14-Feb-18 RI20180214-0006 P 27 16-Feb-18 3

SILVIAWATI
173 B 01-02-05-61 14-Feb-18 RI20180214-0007 L 0 16-Feb-18 BY

BY NY MULYANAH
174 B 01-02-05-63 14-Feb-18 RI20180214-0008 L 55 15-Feb-18 1

EDI SUDARTO
175 B 01-02-05-70 15-Feb-18 RI20180215-0001 P 22 17-Feb-18 3
SITI RAMANIATUN
176 B 01-02-05-71 15-Feb-18 RI20180215-0002 P 23 17-Feb-18 3

EVA AYU SAFITRI
177 L 00-00-02-57 15-Feb-18 RI20180215-0003 P 31 16-Feb-18 VIP

MARGARETHA MAGDALENA
178 B 01-02-05-74 15-Feb-18 RI20180215-0004 P 30 17-Feb-18 3

DITA ROSIANAH
179 B 01-02-05-75 15-Feb-18 RI20180215-0005 P 0 16-Feb-18 BY

BY NY SILVIAWATI
180 B 01-02-01-56 15-Feb-18 RI20180215-0006 P 33 18-Feb-18 3

KURSIAH
181 B 01-02-05-76 15-Feb-18 RI20180215-0007 L 2 17-Feb-18 3

BINTANG ADI NUGROHO
182 B 01-02-05-77 15-Feb-18 RI20180215-0008 P 36 17-Feb-18 3

MAIMUNAH
183 B 01-02-05-78 15-Feb-18 RI20180215-0009 L 0 17-Feb-18 BY

BY NY DITA ROSIANAH
184 B 01-02-05-81 15-Feb-18 RI20180215-0010 P 33 18-Feb-18 3

KRISTINA
185 B 01-02-05-83 15-Feb-18 RI20180215-0011 L 53 19-Feb-18 3

PERIONGGO
186 B 01-02-05-86 15-Feb-18 RI20180215-0012 P 0 17-Feb-18 BY

BY NY KRISTINA
187 B 01-02-05-87 15-Feb-18 RI20180215-0013 L 21 20-Feb-18 3

DARMANTO
188 B 01-01-91-90 15-Feb-18 RI20180215-0014 P 22 17-Feb-18 2

KAREN CAROLINE
189 B 01-02-05-90 15-Feb-18 RI20180215-0015 P 23 16-Feb-18 2

CARIAH
190 B 01-02-05-91 15-Feb-18 RI20180215-0016 L 0 18-Feb-18 BY

BY NY KURSIAH
191 B 01-02-05-92 15-Feb-18 RI20180215-0017 L 0 16-Feb-18 BY

BY NY CARIAH
192 B 01-02-05-95 16-Feb-18 RI20180216-0001 P 18 19-Feb-18 2

DWI RISWAN PALUPI

BY NY KAREN CAROLINE
194 L 01-01-64-82 16-Feb-18 RI20180216-0003 P 38 18-Feb-18 VIP

FINALWATI
195 B 01-02-05-99 16-Feb-18 RI20180216-0004 L 29 20-Feb-18 3

ENCEP UBAIDILAH
196 B 01-02-06-00 16-Feb-18 RI20180216-0005 L 1 20-Feb-18 2

MUHAMMAD RAFASYA ALTHA
197 B 00-00-83-03 16-Feb-18 RI20180217-0001 P 72 20-Feb-18 2

KOMSINI
198 B 01-02-06-06 17-Feb-18 RI20180217-0002 P 21 19-Feb-18 3

CHIKA AUDI
199 B 01-02-06-07 17-Feb-18 RI20180217-0003 P 25 20-Feb-18 2

MILAYANAH MILATU SOLEHA
200 B 01-02-06-08 17-Feb-18 RI20180217-0004 P 39 18-Feb-18 3

WATI

BY NY MILAYANAH MULATI SHOLEHA
202 B 01-02-06-13 17-Feb-18 RI20180217-0006 P 0 17-Feb-18 BY

BY NY WATI
203 B 01-02-06-15 17-Feb-18 RI20180217-0007 L 0 20-Feb-18 2

BY NY CHIKA AUDI
204 L 01-01-43-14 17-Feb-18 RI20180217-0008 P 1 20-Feb-18 2

KEYSYA MARCELLA
205 B 01-02-06-21 17-Feb-18 RI20180217-0009 P 22 19-Feb-18 3

APRILINDA RISMA W
206 B 01-02-02-98 17-Feb-18 RI20180217-0011 P 42 19-Feb-18 3

TIMRA MARLENA
207 B 01-02-05-85 17-Feb-18 RI20180217-0012 P 16 18-Feb-18 3

ROSA NURMALA TASMAN
208 L 00-00-39-95 17-Feb-18 RI20180217-0013 P 5 20-Feb-18 3

SISKA OKTAVIANA
209 B 01-02-06-35 17-Feb-18 RI20180217-0014 P 0 20-Feb-18 BY

BY NY APRILINDA RISMA
210 B 01-02-06-36 17-Feb-18 RI20180217-0015 P 0 20-Feb-18 BY

BY NY TIMRA MARLENA
211 B 00-00-88-62 17-Feb-18 RI20180217-0016 L 50 21-Feb-18 1

PANG SAU MIN
212 B 01-02-06-38 17-Feb-18 RI20180217-0017 P 13 20-Feb-18 3
SASKIA MILAM CAHYA
213 B 01-02-06-45 18-Feb-18 RI20180218-0001 P 23 19-Feb-18 3

MARIA OKTAVIANI
214 B 01-02-03-65 19-Feb-18 RI20180219-0001 P 49 20-Feb-18 3

TUNGGUL PRIHARTINI
215 B 01-02-06-59 19-Feb-18 RI20180219-0002 P 3 21-Feb-18 ICU

AISYAH NUHAJAHIRAH
216 B 01-02-06-74 19-Feb-18 RI20180219-0003 P 27 20-Feb-18 2

YANI
217 B 01-02-06-75 19-Feb-18 RI20180219-0004 P 12 20-Feb-18 3

VIONA ATHALIA DEVIANTI
218 B 01-02-06-53 19-Feb-18 RI20180219-0005 P 1 22-Feb-18 3

SHEILA KANAYA PRATIWI
219 B 01-02-06-90 19-Feb-18 RI20180219-0006 P 24 20-Feb-18 2

DAYANE
220 B 01-02-06-93 19-Feb-18 RI20180219-0007 L 24 22-Feb-18 VIP

VONDRI WILYANTO
221 B 01-02-06-96 20-Feb-18 RI20180220-0001 L 31 21-Feb-18 3

UMBAR WAHONO
222 B 01-02-06-99 20-Feb-18 RI20180220-0002 L 65 20-Feb-18 ICU

TONNY PETROSMAN
223 B 01-02-06-98 20-Feb-18 RI20180220-0003 L 1 21-Feb-18 3

FAHREZA ARKA KURNIAWAN
224 B 01-02-05-40 20-Feb-18 RI20180220-0004 L 39 21-Feb-18 3

MULYADI
225 B 01-02-07-22 20-Feb-18 RI20180220-0005 SUNARDI L 45 21-Feb-18 3
226 B 01-02-07-26 20-Feb-18 RI20180220-0006 LIM IN HO L 62 23-Feb-18 ICU
227 B 01-02-07-30 20-Feb-18 RI20180220-0007 DYANNA P 40 24-Feb-18 3
228 B 01-02-07-34 20-Feb-18 RI20180220-0008 SANIA ROBI ASI P 35 23-Feb-18 2
229 B 01-02-07-32 20-Feb-18 RI20180220-0009 YEYEN L 31 22-Feb-18 2
230 B 01-02-07-33 20-Feb-18 RI20180220-0010 ALIYYA PUTRI P 5 24-Feb-18 2
231 B 01-02-07-37 21-Feb-18 RI20180221-0001 ALVIN HERNANDO L 10 23-Feb-18 3
232 B 01-02-07-38 21-Feb-18 RI20180221-0002 JAJA L 55 22-Feb-18 3
233 B 01-02-07-00 21-Feb-18 RI20180221-0003 AMIATUN P 27 23-Feb-18 3
234 B 01-02-07-21 21-Feb-18 RI20180221-0004 NUR AENI P 37 23-Feb-18 2
235 L 01-02-05-85 21-Feb-18 RI20180221-0005 ROSA NURMALA TASMAN P 16 24-Feb-18 3
236 B 01-02-07-48 21-Feb-18 RI20180221-0006 WINDY L 33 22-Feb-18 3
237 B 01-02-07-46 21-Feb-18 RI20180221-0007 NAILAH P 60 24-Feb-18 3
01-02-07-64
238 B 21-Feb-18 RI20180221-0008 BY NY AMIATUN P 0 23-Feb-18 BY
239 B 01-02-07-70 21-Feb-18 RI20180221-0009 BY NY ROSA NURMALA TASMAN P 0 24-Feb-18 BY
240 B 01-02-07-72 21-Feb-18 RI20180221-0010 MASRIPAH KURNIA TATOLI P 17 24-Feb-18 2
241 B 01-02-07-74 21-Feb-18 RI20180221-0011 BY NY MASRIPAH KURNIA TATOLI P 0 24-Feb-18 BY
242 B 01-02-07-76 21-Feb-18 RI20180222-0001 SITI ANISA P 27 23-Feb-18 2
243 L 00-00-44-43 22-Feb-18 RI20180222-0002 HARCITA RAMADHANI P 2 27-Feb-18 3
244 B 01-02-07-78 22-Feb-18 RI20180222-0003 EVA SUSANTI P 42 24-Feb-18 3
245 B 01-02-07-96 22-Feb-18 RI20180222-0004 HANI HANDAYANI P 36 24-Feb-18 3
246 B 01-02-07-98 22-Feb-18 RI20180222-0005 MUHAMAD KENZIE RAMADHAN L 1 24-Feb-18 2
247 B 01-02-08-01 22-Feb-18 RI20180222-0006 SURYATI P 47 24-Feb-18 3
248 B 01-02-08-07 22-Feb-18 RI20180222-0007 KHAERUL HAKIM L 41 28-Feb-18 3

249 B 01-02-08-08 22-Feb-18 RI20180222-0008 BY NY SITI ANISAH L 0 23-Feb-18 BY
250 B 01-02-08-06 22-Feb-18 RI20180222-0009 ZAHRA AURELIA JETRI P 10 26-Feb-18 1
251 B 01-02-08-09 22-Feb-18 RI20180222-0010 BY NY HANI HANDAYANI L 0 24-Feb-18 BY
252 L 01-01-57-48 23-Feb-18 RI20180223-0002 SIFA PAUZIAH P 3 27-Feb-18 3
253 B 01-01-97-45 23-Feb-18 RI20180223-0003 LINDAWATI JUDHAUTAMA P 57 26-Feb-18 1
254 B 01-02-07-09 23-Feb-18 RI20180223-0004 BUDI PRIYANTO L 41 24-Feb-18 3
255 B 01-02-04-13 23-Feb-18 RI20180223-0005 ANDRE STEFANUS CHANDRA L 29 24-Feb-18 3
256 B 00-00-03-96 23-Feb-18 RI20180223-0006 HELITA KIKISAN SANDRA P 40 25-Feb-18 VIP
257 B 01-02-08-18 23-Feb-18 RI20180223-0007 NUR AMANAH P 36 24-Feb-18 3
258 B 01-02-08-20 23-Feb-18 RI20180223-0008 AL AZHIZU SAPUTRA PADLI L 5 26-Feb-18 3
259 B 01-02-05-27 23-Feb-18 RI20180223-0009 FERIYANI P 37 26-Feb-18 2
260 B 01-02-08-32 23-Feb-18 RI20180223-0010 INDAH KURNIASARI P 33 24-Feb-18 2
261 B 01-02-08-34 23-Feb-18 RI20180223-0011 INTI DAROWATI P 27 26-Feb-18 2
262 B 01-02-08-35 23-Feb-18 RI20180223-0012 BY NY FERIYANI P 0 26-Feb-18 BY
263 B 01-02-08-37 24-Feb-18 RI20180224-0001 TUTI HASANAH P 23 26-Feb-18 3
264 B 01-02-07-95 24-Feb-18 RI20180224-0002 VINA WULANDARI YUNARKO P 31 27-Feb-18 3
265 B 01-02-08-38 24-Feb-18 RI20180224-0003 MARLINA AULIA P 19 27-Feb-18 3
266 B 01-02-08-39 24-Feb-18 RI20180224-0004 BY NY VINA WULANDARI YUNARKO P 0 27-Feb-18 BY
267 B 01-02-08-40 24-Feb-18 RI20180224-0005 BY NY TUTI HASANAH P 0 26-Feb-18 BY
268 B 01-02-08-41 24-Feb-18 RI20180224-0006 BY NY MARLINA AULIA L 0 26-Feb-18 BY
269 B 01-02-08-44 24-Feb-18 RI20180224-0007 SOUW GIOK LIAN P 57 27-Feb-18 3
270 B 01-02-08-48 24-Feb-18 RI20180224-0008 LISAWATI P 26 27-Feb-18 3
271 L 00-00-89-57 24-Feb-18 RI20180224-0009 SARAH SALSABILLA PUTRI P 3 26-Feb-18 3
272 B 01-02-08-52 24-Feb-18 RI20180224-0010 TITIN MARIANAH P 36 27-Feb-18 3
273 B 01-02-08-54 24-Feb-18 RI20180224-0011 BY NY TITIN MARIANAH L 0 27-Feb-18 BY
274 B 01-02-08-57 24-Feb-18 RI20180224-0012 BY NY LISAWATI L 0 26-Feb-18 BY
275 B 01-02-08-60 24-Feb-18 RI20180224-0013 AWANG BIN KASIH L 57 27-Feb-18 3
276 B 01-02-08-61 24-Feb-18 RI20180225-0001 SAMSUDIN L 62 25-Feb-18 3
277 B 01-02-08-62 25-Feb-18 RI20180225-0002 UMIYATI P 25 26-Feb-18 3
278 B 01-02-02-27 25-Feb-18 RI20180225-0003 RIMAH YATI P 30 27-Feb-18 2
279 B 01-02-08-68 25-Feb-18 RI20180225-0004 SARIYAH P 38 28-Feb-18 2
280 B 01-02-08-74 25-Feb-18 RI20180225-0006 BY NY SARIYAH L 0 27-Feb-18 BY
281 B 01-02-06-24 25-Feb-18 RI20180225-0007 JAYANTI P 38 28-Feb-18 2
282 B 01-02-08-80 25-Feb-18 RI20180225-0008 ROSHALI L 41 28-Feb-18 3
283 B 01-02-08-79 25-Feb-18 RI20180225-0009 DYAH NUR HALIFAH P 6 28-Feb-18 3
284 B 01-02-08-81 25-Feb-18 RI20180226-0001 TARSUDIN L 32 28-Feb-18 3
285 B 01-02-07-80 26-Feb-18 RI20180226-0002 MUCHAMAD IMRON L 40 27-Feb-18 3
286 Baru 00-00-03-55 26-Feb-18 RI20180226-0004 NAFTILOVA P 31 28-Feb-18 VIP
287 Baru 01-02-09-08 26-Feb-18 RI20180226-0008 BY NY JAYANTI L 0 28-Feb-18 BY

288 Lama 01-01-27-51 26-Feb-18 RI20180226-0011 SLAMET SUPRIYANTO L 31 28-Feb-18 VIP
289 Baru 01-02-09-10 26-Feb-18 RI20180226-0012 BY NY SARTIKAH L 0 28-Feb-18 BY
290 Baru 01-02-07-86 27-Feb-18 RI20180227-0003 MULYATI P 47 28-Feb-18 3
291 Baru 01-02-09-20 27-Feb-18 RI20180227-0005 HOK KHIE L 77 28-Feb-18 3
292 Lama 01-02-06-07 27-Feb-18 RI20180227-0007 MILAYANAH MILATU SOLEHA P 25 28-Feb-18 3
293 Baru 01-02-09-47 27-Feb-18 RI20180227-0009 TINI SETIANI P 38 28-Feb-18 3


04 (599-A)
06 (521-D)
04 (599-I)
ZZ086
RUANG BAYI dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
(201-A),
10 (PERI001-E)
06 (522-A)
05 (528-B)
06 (523-A)
06 (522-D)
06 (522-C)
04 (599-E)
ZZ086
RUANG BAYI dr. James, SpA 7 PRIBADI BELUM SEMBUH
(201-B),
10 (PERI001-F)
06 (526-B)
04 (599-F)
09 (201-B)
LT005
dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-A)
LT005
04 (599-K) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-F) dr. James, SpA 4 PRIBADI DIIZINKAN PULANG
ZZ088
09 (201-G) dr. James, SpA 4 PRIBADI DIIZINKAN PULANG
LT005
I (599-D), dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (507)
ZZ088
09 (201-H) dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
LT005 dr. Andre, Sp.S 3 BPJS KESEHATAN TIDAK SEMBUH

04 (599-L)
04 (599-B)
LT005 dr. Martin Winardi, Sp.PD 3 PRIBADI DIIZINKAN PULANG
04 (599-D)
05 (509 B)
04 (599-I)
09 (201-J)
04 (599-C)
04 (599-G)
04 (599-J)
06 (522-B)
02 (503)
06 (526-A)
10 (PERI001-C)
06 (521-A)
06 (523-C)
06 (521-B)
06 (523-D)
ZZ088
RUANG BAYI
(201-A), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
PERINATOLOGI
(PERI001-D),
09 (201-E)
05 (508 A)
LT005
III (526-C), ICU dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
04 (599-B)
LT005 dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN TIDAK SEMBUH
04 (599-G)
08 (520)
04 (599-E)
09 (201-A)
06 (521-C)
04 (599-J)
04 (599-L)
LT005 dr. Johny Setio, Sp.OG 2 PRIBADI TIDAK SEMBUH
05 (509-A)
06 (521-E)
LT005 dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
04 (598-A)
04 (599-A)
06 (522-A)
04 (599-F)
ZZ088 dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-B)
ZZ089
II (527-A), dr. Martin Winardi, Sp.PD 8 PRIBADI MENINGGAL < 48 JAM
07 (90902-01)
06 (522-E)
05 (527-B)
04 (507)
06 (526-C)
ZZ086 dr. James, SpA 6 BPJS KESEHATAN MEMBAIK

10 (PERI001-G)
LT005
dr. Andre, Sp.S 7 PRIBADI DIIZINKAN PULANG
04 (599-J)
LT005
dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509-A)
LT005
I (599-B), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509 B)
ZZ088
09 (201-C) dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
ZZ088
09 (201-D) dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
06 (522-C)
08 (520)
02 (505)
04 (507)
06 (522-D)
06 (523-A)
06 (523-B)
09 (201-A)
09 (201-B)
05 (528-A)
04 (599-A)
06 (522-A)
09 (201-E)
05 (528-B)
04 (599-B)
04 (599-C)
LT005 dr. Andre, Sp.S 4 PRIBADI DIIZINKAN PULANG
06 (521-C)
06 (521-D)
05 (509 B)
06 (526-B)
LT005
III (521-E), ICU
(90901-01), III dr. Tities, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
(521-E), ICU
(90901-01),
06 (521-E)

09 (201-C)
06 (522-E)
06 (526-D)
06 (521-A)
05 (528-B)
06 (523-B)
06 (523-C)
ZZ086
RUANG BAYI dr. Juliawaty Salim, Sp. A 8 BPJS KESEHATAN DIIZINKAN PULANG
(201-D),
10 (PERI001-B)
ZZ088 dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-F)
06 (523-D)
ZZ088
RUANG BAYI
(201-G), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
PERINATOLOGI
(PERI001-A),
09 (201-B)

06 (522-D)
04 (599-D)
LT005
I (525), dr. Andre, Sp.S 4 BPJS KESEHATAN DIIZINKAN PULANG
02 (503)
06 (522-C)
04 (599-E)
02 (505)
LT005
I (599-F), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-G)
06 (523-A)
04 (507)
09 (201-A)
04 (599-A)
LT005
III (526-A), III
(526-C), ICU dr. Juliawaty Salim, Sp. A 10 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (526-B)

06 (521-B)
LT005 dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
06 (526-A)
LT005
II (508 A), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)
LT005
04 (599-C) dr. Martin Winardi, Sp.PD 3 PRIBADI TIDAK SEMBUH
LT005
I (599-D), III
(526-D), III (526- dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
B),
06 (526-A)
06 (523-B)
04 (598-A)
04 (599-H)
09 (201-B)
LT005
II (508 A), dr. Tjhin Sun Fu, Sp.B 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-C)
LT005
II (509 B), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
LT005
06 (523-D)
LT005 dr. Juliawaty Salim, Sp. A 3 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
04 (599-F)
LT005 dr. Tities, Sp.PD 5 PT. ADMEDIKA DIIZINKAN PULANG
06 (521-C)
04 (599-I)
06 (522-A)
04 (525)
04 (599-J)
LT005
I (599-K), dr. Andre, Sp.S 3 PRIBADI DIIZINKAN PULANG
06 (521-D)
05 (509-A)
06 (523-C)
06 (523-A)
06 (526-B)
06 (523-D)
09 (201-A)
05 (508 A)
LT005
II (527-A), ICU dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
04 (599-H)
06 (521-A)
06 (523-B)
05 (508 B)
05 (527-B)
05 (527-A)
04 (599-F)
02 (503)
04 (599-B)
09 (201-C)
04 (599-C)
04 (598-A)
09 (201-D)
04 (599-D)
ZZ088 dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN BELUM SEMBUH
09 (201-B)
06 (522-B)
09 (201-E)
04 (599-G)
06 (526-A)
06 (522-C)
06 (522-D)
06 (522-E)
04 (599-I)
09 (201-F)
04 (599-B)
10 (PERI001-A)
06 (521-B)
04 (599-E)
06 (526-D)
06 (522-A)
04 (599-G)
LT005
III (523-A), dr. Hari Santoso, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
06 (521-A)
LT005
III (522-A), dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)
04 (599-H)
06 (523-C)
09 (201-G)
04 (507)
04 (599-L)
04 (599-K)
02 (502)
06 (523-D)
09 (201-H)
06 (523-B)
06 (526-A)
06 (522-A)
09 (201-A)
04 (599-B)
06 (521-B)
09 (201-B)
04 (599-F)
05 (508 A)
05 (508 B)
09 (201-C)
09 (201-D)
05 (509 B)
ZZ088
RUANG BAYI
(201-E), dr. Juliawaty Salim, Sp. A 2 PRIBADI DIIZINKAN PULANG
PERINATOLOGI
(PERI001-A),
09 (201-D)
LT005 dr. Tities, Sp.PD 3 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
02 (501)
LT005 dr. Tities, Sp.PD 5 BPJS KESEHATAN
06 (521-C)
05 (527-A)
05 (528-A)
06 (523-A)
05 (509-A)
04 (599-A)
ZZ086
RUANG BAYI dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN BELUM SEMBUH
(201-D),
10 (PERI001-B)
ZZ088 dr. Johny Setio, Sp.OG 1 PRIBADI MENINGGAL < 48 JAM
09 (201-E)
09 (201-F)
05 (527-B)
04 (599-C)
04 (599-E)
04 (599-J)
06 (526-B)
09 (201-G)
09 (201-H)
04 (525)
06 (526-C)
04 (599-K)
06 (522-A)
ZZ089
III (526-A), dr. Juliawaty Salim, Sp. A 3 PRIBADI
07 (90901-01)
05 (508 B)
06 (523-B)
06 (526-A)
LT005 dr. Hari Santoso, Sp.OG 2 BPJS KESEHATAN
05 (508 A)
LT005 dr. Tities, Sp.PD 4 PT. PRIMA SARANA JASA / PRUDENTIAL SOS
02 (501)
06 (521-D)
ZZ089 dr. Tities, Sp.PD 1 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
06 (526-D)
LT005 dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN
04 (598-A)
06 (521-B)
ZZ089
III (521-C), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01)
06 (523-A)
05 (508 B)
05 (528-B)
05 (527-B)
06 (526-C)
LT005 dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN TIDAK SEMBUH
06 (521-A)
06 (523-B)
04 (598-A)
LT005
06 (523-C) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG

06 (521-E)
06 (522-A)
09 (201-A)
09 (201-B)
05 (508 A)
09 (201-C)
05 (527-A)
LT005 dr. Juliawaty Salim, Sp. A 6 BPJS KESEHATAN
06 (526-B)
LT005
III (522-B), dr. Andre, Sp.S 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-D)
06 (523-D)
05 (528-A)
06 (522-B)
06 (521-A)
09 (201-D)
04 (525)
09 (201-E)
06 (526-D)
04 (525)
04 (599-B)
04 (599-C)
02 (503)
04 (599-D)
06 (526-A)
05 (509 B)
05 (527-A)
LT005 dr. Johny Setio, Sp.OG 4 PRIBADI
05 (508 B)
09 (201-F)
04 (599-E)
LT005
III (523-B), dr. Johny Setio, Sp.OG 4 PRIBADI
04 (599-F)
LT005
04 (599-G) dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN
ZZ088
09 (201-A) dr. Juliawaty Salim, Sp. A 4 PRIBADI
ZZ088
09 (201-D) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-G) dr. Juliawaty Salim, Sp. A 3 PRIBADI
LT005
06 (522-C) dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN
LT005
04 (599-H) dr. Johny Setio, Sp.OG 4 PRIBADI
LT005
06 (526-C) dr. James, SpA 3 BPJS KESEHATAN BELUM SEMBUH
LT005
04 (599-I) dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN
ZZ088
09 (201-H) dr. James, SpA 4 PRIBADI
ZZ088
09 (201-I) dr. James, SpA 3 PRIBADI
LT005
06 (521-B) dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN
LT005
06 (521-C) dr. Andre, Sp.S 2 PRIBADI DIIZINKAN PULANG
LT005
06 (523-B) dr. Hari Santoso, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
05 (508 A) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN
LT005
05 (509-A) dr. Hari Santoso, Sp.OG 4 BPJS KESEHATAN
ZZ088
09 (201-B) dr. James, SpA 3 PRIBADI
LT005
04 (598-A) dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (521-D) dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (526-C) dr. James, SpA 4 BPJS KESEHATAN
LT005
06 (521-E) dr. Tities, Sp.PD 4 BPJS KESEHATAN
LT005
06 (521-C) dr. Tities, Sp.PD 2 BPJS KESEHATAN
LT005
02 (503) dr. Tities, Sp.PD 3 PT.ASURANSI JIWA MANULIFE DIIZINKAN PULANG
ZZ088
09 (201-C) dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
02 (505)
09 (201-D)
06 (522-B)
LT005
06 (521-B) dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-H) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (522-D) dr. Martin Winardi, Sp.PD 2 PRIBADI DIIZINKAN PULANG
PENYAKIT DALAM
SYARAF
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
SYARAF
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
BEDAH
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
BEDAH
ANAK
ANAK
PENYAKIT DALAM
BEDAH
ANAK
PENYAKIT DALAM
BEDAH
BEDAH
PENYAKIT DALAM
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
SYARAF
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
BEDAH
SYARAF
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
SYARAF
SYARAF
PENYAKIT DALAM
SYARAF
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
BEDAH
ANAK
BEDAH
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
PENYAKIT DALAM
ANAK
ANAK

PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
BEDAH
BEDAH
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
ANAK
BEDAH
BEDAH
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
BEDAH
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
BEDAH
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
SYARAF
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
SYARAF
BEDAH
BEDAH
SYARAF
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
SYARAF
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
Dirujuk Ke
Periode : MARET - 2018
∑= 405
Umur
No.Jns Kunj. No.RM Tgl. Masuk No.Reg NAMA PASIEN JK Tgl. Keluar
Kode Ruang Rawat
01 B 01-02-08-29 23-Feb-18 RI20180223-0013 ANGGUN NOVELIA ERIYANTO P 22 1-Mar-18 3
02 L 00-00-48-73 25-Feb-18 RI20180225-0010 SUSINAH P 52 2-Mar-18 ICU
03 L 00-00-78-78 26-Feb-18 RI20180226-0003 TJHANG SAUW BUN L 55 1-Mar-18 1
04 B 01-02-09-01 26-Feb-18 RI20180226-0005 DICKY DARMAWAN L 22 2-Mar-18 3
05 L 00-00-76-34 26-Feb-18 RI20180226-0006 SINI MUNARSO P 61 2-Mar-18 3
06 L 01-02-03-01 26-Feb-18 RI20180226-0007 ROHIMIN GUNAWAN L 21 3-Mar-18 3
07 B 01-02-08-98 26-Feb-18 RI20180226-0009 SARTIKAH P 29 1-Mar-18 3
08 B 00-00-39-22 26-Feb-18 RI20180226-0010 SAI JOENG P 52 1-Mar-18 3
09 B 00-00-64-67 26-Feb-18 RI20180227-0001 SUPRIYONO L 52 1-Mar-18 3
10 B 01-02-09-16 27-Feb-18 RI20180227-0002 IVAN IMRONI L 35 4-Mar-18 3
11 B 01-02-09-26 27-Feb-18 RI20180227-0004 TJIN HWA L 69 1-Mar-18 2
12 B 01-01-49-27 27-Feb-18 RI20180227-0006 ONI OKTAVIANI P 22 1-Mar-18 2
13 B 01-02-09-52 27-Feb-18 RI20180227-0008 SUNARTI P 56 1-Mar-18 3
14 B 01-02-09-51 28-Feb-18 RI20180228-0001 ARKA ALAMSYAH PUTRA L 3 1-Mar-18 3
15 B 01-02-09-53 28-Feb-18 RI20180228-0002 DITA NILAM OKTAVIA P 3 2-Mar-18 3
16 B 01-02-09-54 28-Feb-18 RI20180228-0003 BY NY ONI OKTAVIANI P 0 2-Mar-18 BY
17 B 01-02-02-08 28-Feb-18 RI20180228-0004 MASLIAH P 38 1-Mar-18 3
18 B 01-02-09-62 28-Feb-18 RI20180228-0005 AFNAN ATMA PURNAMA L 1 4-Mar-18 3
19 L 01-02-09-72 28-Feb-18 RI20180228-0006 AH GANI L 57 3-Mar-18 3
20 B 01-01-50-40 28-Feb-18 RI20180228-0007 MEIDIANSYAH L 44 1-Mar-18 2
21 L 00-00-88-62 28-Feb-18 RI20180228-0008 PANG SAU MIN L 50 1-Mar-18 VIP
22 B 01-02-09-80 28-Feb-18 RI20180228-0009 UDIN JAINUDIN L 50 2-Mar-18 3
23 B 01-02-09-60 28-Feb-18 RI20180228-0010 SURYANI P 55 4-Mar-18 3
24 B 01-02-07-52 28-Feb-18 RI20180228-0011 FITRI HAIDA P 37 3-Mar-18 3
25 B 01-02-09-84 28-Feb-18 RI20180228-0012 SAFITRI P 19 3-Mar-18 VIP
26 B 01-02-09-87 28-Feb-18 RI20180228-0013 HARUSMAN L 72 13-Mar-18 ICU
27 B 01-02-09-86 28-Feb-18 RI20180301-0001 ROYANAH P 56 8-Mar-18 3
28 Baru 01-02-09-93 1-Mar-18 RI20180301-0002 BY NY SAFITRI L L 3-Mar-18 PERINA
29 Baru 01-02-09-92 1-Mar-18 RI20180301-0003 AZKA PRADIPTA L 2 2-Mar-18 3
30 L 00-00-22-83 1-Mar-18 RI20180301-0004 WIDIYANTI PATIMA P 72 5-Mar-18 VIP
31 Baru 01-02-09-94 1-Mar-18 RI20180301-0005 TYAHYADI L 47 5-Mar-18 ICU

32 Baru 01-02-10-01 1-Mar-18 RI20180301-0006 AQILA NAYLA PUTRI P 3 3-Mar-18 3
33 Baru 01-02-10-04 1-Mar-18 RI20180301-0007 ASTARA L 53 4-Mar-18 3
34 Baru 01-02-09-96 1-Mar-18 RI20180301-0008 BISMA L 2 3-Mar-18 3
35 Baru 01-02-10-08 1-Mar-18 RI20180301-0009 LIDYA LAUREN P 12 3-Mar-18 3
36 Baru 00-00-25-93 1-Mar-18 RI20180301-0010 BENG SWAN P 64 24-Mar-18 VIP
37 Baru 01-02-10-15 1-Mar-18 RI20180301-0011 BY NY FITRI HAIDA L 0 3-Mar-18 BY
38 Baru 01-02-09-39 1-Mar-18 RI20180301-0012 SALBIAH P 33 2-Mar-18 3
39 Lama 01-01-58-17 1-Mar-18 RI20180301-0013 DANIEL SAPUTRA L 1 4-Mar-18 3
40 Baru 01-02-10-24 1-Mar-18 RI20180301-0014 BY NY HERLENIANSYAH P 0 3-Mar-18 PERINA
41 Baru 01-02-10-33 1-Mar-18 RI20180301-0015 DWI YANTI P 30 3-Mar-18 3
42 Baru 01-02-10-35 1-Mar-18 RI20180301-0016 BY NY DWI YANTI L 0 3-Mar-18 BY
43 Baru 01-02-10-34 1-Mar-18 RI20180302-0001 MISWATI BINTI MISLAN P 56 4-Mar-18 3
44 Baru 01-02-10-36 2-Mar-18 RI20180302-0002 RIA INDRIATY P 35 4-Mar-18 3
45 Baru 01-02-10-39 2-Mar-18 RI20180302-0003 SYAFIQA RAMADHANI P 1 4-Mar-18 3
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01-02-10-56
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BY NY MARGARETHA MAGDALENA
01-02-08-90
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YANTI
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01-02-14-20
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259 Baru 01-02-15-67 18-Mar-18 RI20180318-0017 EDY PURWADI L 56 28-Mar-18 3
260 Baru 01-02-11-42 19-Mar-18 RI20180319-0001 ITAH P 36 21-Mar-18 3
261 Baru 01-02-15-71 19-Mar-18 RI20180319-0002 BY NY ITAH L 0 21-Mar-18 BY
262 Baru 01-02-10-89 19-Mar-18 RI20180319-0003 FATMAH DIKA AGUSTINA P 23 20-Mar-18 VIP
263 Lama 01-01-49-03 19-Mar-18 RI20180319-0004 AMANDUS SEBASTIAN BENNY N L 1 22-Mar-18 3
264 Baru 01-02-15-78 19-Mar-18 RI20180319-0005 BY NY MISWATI L 0 21-Mar-18 BY
265 Baru 01-02-00-65 19-Mar-18 RI20180319-0006 RITA FITRIANI P 25 21-Mar-18 VIP
266 Lama 01-01-20-75 19-Mar-18 RI20180319-0007 KENZO ALVARO L 1 21-Mar-18 VIP
267 Baru 01-01-98-37 19-Mar-18 RI20180319-0008 SARMI P 54 22-Mar-18 2
268 Lama 01-02-02-57 19-Mar-18 RI20180319-0009 TUTI ADITYA WARDHANI P 27 20-Mar-18 3
269 Baru 01-01-64-66 19-Mar-18 RI20180319-0010 LINAWATI P 35 21-Mar-18 VIP
270 Baru 01-02-16-04 19-Mar-18 RI20180319-0011 RATNA LUTFIANA P 25 21-Mar-18 3
271 Baru 01-02-16-06 19-Mar-18 RI20180319-0012 BY NY RITA FITRIANI L 0 21-Mar-18 BY
272 Lama 01-02-13-27 19-Mar-18 RI20180319-0013 IKA FEBRIANI P 27 20-Mar-18 3
273 Baru 01-02-16-07 19-Mar-18 RI20180319-0014 BY NY FATMAH DIKA P 0 20-Mar-18 BY
274 Baru 01-02-16-14 19-Mar-18 RI20180319-0015 BY NY RATNA LUTFIANA P 0 21-Mar-18 BY
275 Baru 01-02-15-74 19-Mar-18 RI20180319-0016 ERNAWATI P 30 21-Mar-18 2
276 Lama 01-02-13-32 19-Mar-18 RI20180319-0017 BY NY IKA FEBRIANI L 0 21-Mar-18 PERINA
277 Baru 01-02-16-16 19-Mar-18 RI20180319-0018 BY NY LINAWATI L 0 21-Mar-18 BY
278 Lama 01-01-92-77 20-Mar-18 RI20180320-0002 RISQIYAH P 25 21-Mar-18 3
279 Baru 01-02-16-34 20-Mar-18 RI20180320-0003 ASMUNAH P 35 23-Mar-18 3
280 Baru 01-02-16-40 20-Mar-18 RI20180320-0004 BY NY ASMUNAH L 0 23-Mar-18 PERINA

281 Baru 01-02-16-41 20-Mar-18 RI20180320-0005 LUHUR SURYAWAN L 69 22-Mar-18 1
282 Lama 01-01-31-44 20-Mar-18 RI20180320-0006 ADSKHAN FAHMI PUTRA L 3 20-Mar-18 3
283 Baru 01-02-15-90 20-Mar-18 RI20180320-0007 SITI MAERANI P 34 23-Mar-18 3
284 Baru 01-02-16-52 20-Mar-18 RI20180320-0008 RAHMAWATI P 30 24-Mar-18 3
285 Baru 01-02-16-53 20-Mar-18 RI20180320-0009 BY NY SITI MAERANI P 0 23-Mar-18 BY
286 Baru 01-02-16-54 21-Mar-18 RI20180321-0001 BY NY RAHMAWATI P 0 23-Mar-18 BY
287 Baru 01-02-16-56 21-Mar-18 RI20180321-0002 DESVI RAMAYANA P 30 23-Mar-18 2
288 Baru 01-02-16-66 21-Mar-18 RI20180321-0003 LINDA PERMATA SARI P 26 24-Mar-18 2
289 Baru 01-02-16-70 21-Mar-18 RI20180321-0004 BY NY DESVI RAMAYANA P 0 23-Mar-18 BY
290 Baru 01-02-16-69 21-Mar-18 RI20180321-0005 AZMI HAIL ISNAEN L 4 25-Mar-18 2
291 Baru 01-02-14-06 21-Mar-18 RI20180321-0006 HENDRA SUPRIADI L 31 22-Mar-18 3
292 Baru 01-01-86-67 21-Mar-18 RI20180321-0007 TRISNAWATI P 35 23-Mar-18 2
293 Baru 01-02-16-46 21-Mar-18 RI20180321-0008 GUSNIA KARTIKA P 44 22-Mar-18 3
294 Baru 01-02-16-82 21-Mar-18 RI20180321-0009 BY NY LINDA PERMATA L 0 28-Mar-18 BY
295 Baru 00-00-22-09 21-Mar-18 RI20180321-0010 MEY LIE P 47 23-Mar-18 VIP
296 Baru 01-02-16-81 21-Mar-18 RI20180321-0011 NOOR SYAIFUL AMIN L 37 27-Mar-18 2
297 Baru 01-02-16-84 21-Mar-18 RI20180321-0012 AHMAD SOBARI L 45 22-Mar-18 3
298 Lama 01-01-04-19 21-Mar-18 RI20180321-0013 RUSLI DARMONO L 63 22-Mar-18 2
299 Baru 01-02-16-93 21-Mar-18 RI20180321-0014 BY NY TRISNAWATI P 0 23-Mar-18 BY
300 Baru 01-02-16-87 21-Mar-18 RI20180321-0015 RAHMAWATI P 22 27-Mar-18 3
301 Baru 01-02-16-97 22-Mar-18 RI20180322-0001 NOVITA SARI P 29 25-Mar-18 2
302 Baru 01-02-17-01 22-Mar-18 RI20180322-0002 BY NY NOVITA SARI P 0 25-Mar-18 BY
303 Baru 01-02-17-06 22-Mar-18 RI20180322-0003 KUSNIATI P 53 23-Mar-18 3
304 Baru 01-02-08-03 22-Mar-18 RI20180322-0004 SELVY WIJAYA P 33 25-Mar-18 VIP
305 Baru 01-02-17-09 22-Mar-18 RI20180322-0005 MARGIASIH P 29 23-Mar-18 3
306 Baru 01-02-17-13 22-Mar-18 RI20180322-0006 OEY GIOK NIO P 68 25-Mar-18 3

307 Baru 01-02-17-15 22-Mar-18 RI20180322-0007 SUGIYANTO L 58 24-Mar-18 3
308 Baru 01-02-17-12 22-Mar-18 RI20180322-0008 MUHAMMAD ADRIAN L 11 25-Mar-18 3
309 Baru 01-02-17-22 22-Mar-18 RI20180322-0009 ANANDA PUTRI P 12 27-Mar-18 3
310 Baru 01-02-11-44 22-Mar-18 RI20180322-0010 DJUMIATI P 36 24-Mar-18 3
311 Baru 01-02-17-33 22-Mar-18 RI20180322-0011 ASWAP L 34 25-Mar-18 3
312 Baru 01-02-17-41 22-Mar-18 RI20180322-0012 BY NY SELVY WIJAYA L 0 25-Mar-18 BY
313 Baru 01-02-17-44 22-Mar-18 RI20180322-0013 MULIPAH P 32 23-Mar-18 3
314 Baru 01-02-17-46 22-Mar-18 RI20180322-0014 BY NY DJUMIATI L 0 24-Mar-18 BY
315 Baru 01-02-17-45 23-Mar-18 RI20180322-0015 SUSRI BT HARDJO SUWITO P 80 29-Mar-18 ICU
316 Baru 01-02-17-48 23-Mar-18 RI20180323-0001 NURHASANAH P 33 23-Mar-18 2
317 Baru 01-02-17-51 23-Mar-18 RI20180323-0002 AMANG L 57 28-Mar-18 3
318 L 01-01-20-29 23-Mar-18 RI20180323-0003 KUNATI P 60 25-Mar-18 ICU
319 Baru 01-02-17-57 23-Mar-18 RI20180323-0004 AULIA YUNI LESTARI P 25 25-Mar-18 3
320 Baru 01-02-17-58 23-Mar-18 RI20180323-0005 KHAIRATUN MARDHIYAH P 3 25-Mar-18 2
321 Baru 01-02-17-62 23-Mar-18 RI20180323-0006 INA SURTIKA ASIH P 25 26-Mar-18 2
322 Baru 01-01-37-23 23-Mar-18 RI20180323-0007 AGUSTINA P 33 26-Mar-18 3
323 Baru 01-02-17-67 23-Mar-18 RI20180323-0008 BY NY AULIA YUNI LESTARI P 0 28-Mar-18 BY
324 Lama 00-00-75-98 23-Mar-18 RI20180323-0009 SRI RAHAYU P 51 26-Mar-18 3
325 Baru 01-02-17-65 23-Mar-18 RI20180323-0010 CECEP NAHRAWI L 37 26-Mar-18 3
326 Baru 01-02-17-74 23-Mar-18 RI20180323-0011 GADIS GIPANI P 1 25-Mar-18 3
327 Baru 01-02-17-69 23-Mar-18 RI20180323-0013 CITRA DEWI P 33 26-Mar-18 3
328 Baru 01-02-17-77 23-Mar-18 RI20180323-0014 TAMA SAPUTRA L 1 25-Mar-18 3
329 Baru 01-02-17-78 23-Mar-18 RI20180323-0015 BY NY AGUSTINA P 0 26-Mar-18 BY
330 Baru 01-02-17-76 23-Mar-18 RI20180323-0016 ALIEF ARASI SADIWO L 3 25-Mar-18 3
331 Baru 01-02-17-85 23-Mar-18 RI20180324-0001 ANITA VERONIKA P 25 26-Mar-18 2
332 Baru 01-02-17-82 24-Mar-18 RI20180324-0002 RISMAYNI P 9 26-Mar-18 2
333 Baru 01-02-17-90 24-Mar-18 RI20180324-0003 BY NY ANITA VERONIKA L 0 26-Mar-18 BY
334 Baru 01-02-17-88 24-Mar-18 RI20180324-0004 ARNI L 49 27-Mar-18 3
335 Baru 01-02-17-95 24-Mar-18 RI20180324-0005 AMANAH P 29 26-Mar-18 2
336 Baru 01-02-18-01 24-Mar-18 RI20180324-0006 NUR SULISTIYOWATI P 38 26-Mar-18 3
337 Baru 01-02-17-99 24-Mar-18 RI20180324-0007 HUSNI L 59 28-Mar-18 ICU

338 Baru 01-01-49-74 24-Mar-18 RI20180324-0008 SITI FATIMAH P 31 26-Mar-18 2
339 Baru 01-02-18-00 24-Mar-18 RI20180324-0009 JUMIATI P 55 26-Mar-18 2
340 Baru 01-02-17-92 24-Mar-18 RI20180324-0010 JENAB P 27 25-Mar-18 3
341 Baru 01-02-17-83 24-Mar-18 RI20180324-0011 SHIRLEY P 16 25-Mar-18 VIP
342 Baru 01-02-18-02 24-Mar-18 RI20180324-0012 SOFI NAFITA P 24 29-Mar-18 1
343 Lama 01-02-15-00 24-Mar-18 RI20180324-0013 BY NY VERAMITA P 0 27-Mar-18 PERINA
344 Baru 01-02-18-04 24-Mar-18 RI20180324-0014 BY NY SITI FATIMAH P 0 26-Mar-18 BY
345 Baru 01-02-18-06 24-Mar-18 RI20180324-0015 BY NY NUR SULISTIYOWATI P 0 26-Mar-18 BY
346 Baru 01-01-90-61 25-Mar-18 RI20180325-0001 SULANG P 25 27-Mar-18 1
347 Baru 01-02-18-08 25-Mar-18 RI20180325-0002 PARTI P 52 31-Mar-18 3
348 Baru 01-02-18-09 25-Mar-18 RI20180325-0003 AINA TALITA ZAHRAN P 3 26-Mar-18 3
349 Baru 01-02-18-11 25-Mar-18 RI20180325-0004 MUHAMMAD AZZAM KUSUMA PUTRA L 2 29-Mar-18 1
350 Baru 01-02-18-14 25-Mar-18 RI20180325-0005 BY NY SULANG P 0 27-Mar-18 BY
351 Baru 01-02-18-16 25-Mar-18 RI20180325-0006 SUSI APRIYANTI P 11 28-Mar-18 3
352 Baru 01-02-18-18 26-Mar-18 RI20180326-0001 DODI IRAWAN SUARNO L 34 31-Mar-18 3
353 Baru 01-02-18-19 26-Mar-18 RI20180326-0002 RURI WULANDARI HALIM P 27 28-Mar-18 1
354 Baru 01-01-62-06 26-Mar-18 RI20180326-0003 TARSIH P 38 28-Mar-18 3
355 Baru 01-01-88-83 26-Mar-18 RI20180326-0004 ANIH SUMIANAH P 35 28-Mar-18 3
356 Lama 01-02-03-01 26-Mar-18 RI20180326-0005 ROHIMIN GUNAWAN L 21 30-Mar-18 3
357 Baru 01-02-17-98 26-Mar-18 RI20180326-0006 SUGIARTI P 43 28-Mar-18 3
358 Lama 01-02-13-65 26-Mar-18 RI20180326-0007 MARLINAH P 37 28-Mar-18 3
359 Baru 01-02-16-96 26-Mar-18 RI20180326-0008 ALKAFI PUTRA NASRULLAH L 1 30-Mar-18 3
360 Baru 01-02-18-26 26-Mar-18 RI20180326-0009 MULAWARMAN L 30 27-Mar-18 3
361 Baru 01-02-18-45 26-Mar-18 RI20180326-0010 BY NY RURI WULANDARI HALIM L 0 28-Mar-18 BY
362 Baru 01-02-18-48 26-Mar-18 RI20180326-0011 BY NY MARLINAH L 0 28-Mar-18 BY
363 Baru 01-02-18-49 26-Mar-18 RI20180326-0012 KHAIRUL AKBAR L 9 30-Mar-18 2
364 Baru 01-02-18-33 26-Mar-18 RI20180326-0013 ALDI DWI RAMADHANI L 1 28-Mar-18 3
365 Baru 01-02-18-50 26-Mar-18 RI20180326-0014 BY NY TARSIH L 0 28-Mar-18 BY
366 Baru 01-02-18-51 26-Mar-18 RI20180326-0015 DIANITA WULANDARI P 27 27-Mar-18 2
367 Baru 01-02-13-06 26-Mar-18 RI20180326-0016 TJHAYAWATI HALIM P 63 28-Mar-18 2
368 Baru 01-02-18-55 26-Mar-18 RI20180326-0017 BY NY ANIH SUMIANAH L 0 28-Mar-18 BY
369 Baru 01-01-28-61 26-Mar-18 RI20180326-0018 ANALISAH P 27 28-Mar-18 3
370 Baru 01-02-18-24 26-Mar-18 RI20180326-0019 UFAIRA NUR AFIFA P 3 28-Mar-18 2
371 Baru 01-02-18-57 26-Mar-18 RI20180326-0020 BY NY SUGIARTI P 0 28-Mar-18 BY
372 Baru 01-02-18-59 27-Mar-18 RI20180327-0001 YOHANA DWI ANGGRAENY P 18 29-Mar-18 3

373 Lama 01-02-15-50 27-Mar-18 RI20180327-0002 BY NY NAIMAH L 0 29-Mar-18 PERINA
374 Baru 01-02-18-72 27-Mar-18 RI20180327-0003 OEN DJIN HO L 65 29-Mar-18 ICU
375 Baru 01-02-15-05 27-Mar-18 RI20180327-0004 LILIS PERIANTI P 34 28-Mar-18 3
376 Baru 01-02-18-83 27-Mar-18 RI20180327-0005 TIMI BT TIMIN P 60 30-Mar-18 3
377 Baru 01-02-01-83 27-Mar-18 RI20180327-0006 LILI MELILI P 20 29-Mar-18 3
378 Lama 01-02-16-06 27-Mar-18 RI20180327-0007 WINSTON AURELIO ALTEZZA L 0 30-Mar-18 PERINA
379 Lama 01-02-17-46 27-Mar-18 RI20180327-0008 BY NY DJUMIATI L 0 29-Mar-18 PERINA
380 Lama 01-02-16-16 27-Mar-18 RI20180327-0009 BY NY LINAWATI L 0 30-Mar-18 PERINA
381 Baru 01-02-18-94 27-Mar-18 RI20180327-0010 BY NY LILI MELILI P 0 29-Mar-18 BY
382 Lama 00-00-12-59 28-Mar-18 RI20180328-0001 YULINAR P 34 30-Mar-18 VIP
383 Baru 01-02-18-98 28-Mar-18 RI20180328-0002 PR BUANG SOLEH P 64 30-Mar-18 2
384 Lama 01-02-15-60 28-Mar-18 RI20180328-0003 TIING L 58 29-Mar-18 3
385 Baru 01-02-19-05 28-Mar-18 RI20180328-0004 BY NY YULINAR P 0 30-Mar-18 BY
386 Lama 00-00-78-78 28-Mar-18 RI20180328-0005 TJHANG SAUW BUN L 55 29-Mar-18 VIP
387 Baru 01-02-15-89 28-Mar-18 RI20180328-0006 NURYANTI P 34 30-Mar-18 3
388 Baru 01-02-19-11 28-Mar-18 RI20180328-0007 ESTER P 30 30-Mar-18 3
389 Baru 01-02-19-14 28-Mar-18 RI20180328-0008 NIA PURNAWATI P 28 30-Mar-18 3
390 Baru 01-02-19-15 28-Mar-18 RI20180328-0010 ABDUSSALAM L 50 31-Mar-18 ISO
391 Baru 01-02-19-19 28-Mar-18 RI20180328-0011 BY NY NIA PURNAWATI L 0 30-Mar-18 BY
392 Baru 01-02-19-22 28-Mar-18 RI20180328-0014 ABDUL GANI L 59 29-Mar-18 3
393 Baru 01-02-19-08 28-Mar-18 RI20180328-0015 MUHAMMAD DWI UNGGUL FAUZI L 11 29-Mar-18 3
394 Baru 01-02-19-18 28-Mar-18 RI20180328-0016 DAVID HASAN L 8 31-Mar-18 3
395 Baru 01-02-19-26 28-Mar-18 RI20180328-0017 BY NY NURYANTI L 0 30-Mar-18 BY
396 Baru 01-02-19-28 28-Mar-18 RI20180328-0018 BY NY ESTER P 0 30-Mar-18 BY
397 Lama 00-00-74-95 28-Mar-18 RI20180328-0020 SONY ISKANDAR L 49 29-Mar-18 3
398 Baru 01-02-19-34 29-Mar-18 RI20180329-0001 AAM ROHAYATI P 23 30-Mar-18 3
399 Baru 01-02-07-29 29-Mar-18 RI20180329-0002 HENI TASLIMAH P 32 31-Mar-18 2
400 Baru 01-02-19-21 29-Mar-18 RI20180329-0004 SITI MARIYAM P 29 30-Mar-18 2
401 Baru 01-02-16-49 29-Mar-18 RI20180329-0005 YAYAN YANTI P 31 30-Mar-18 3
402 Baru 01-02-19-46 29-Mar-18 RI20180329-0006 NABILA ALYSA AZZAHRA P 4 30-Mar-18 3
403 Baru 01-02-18-47 29-Mar-18 RI20180329-0007 RIZAL RIYADI L 27 30-Mar-18 3
404 Baru 01-02-18-43 29-Mar-18 RI20180329-0008 WILDAN NAUFAL FARIS L 19 30-Mar-18 3
405 Baru 01-02-19-73 29-Mar-18 RI20180329-0013 BY NY HENI TASLIMAH P 0 31-Mar-18 BY

LT005
I (599-A), dr. Tjhin Sun Fu, Sp.B 6 BPJS KETENAGAKERJAAN DIIZINKAN PULANG
05 (528-B)
ZZ089
07 (90901-01)
04 (525)
04 (599-A)
06 (522-A)
04 (599-B)
06 (523-A)
04 (599-C)
04 (599-E)
04 (599-D)
LT005
04 (507) dr. Andre, Sp.S 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
05 (508 A) dr. Evy Asali, Sp.OG 3 PRIBADI DIIZINKAN PULANG
LT005
06 (522-C) dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (526-A) dr. James, SpA 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (526-B) dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-E) dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
LT005
04 (599-G) dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (526-C)
06 (521-A)
05 (527-A)
LT005 dr. Tities, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
02 (505)
06 (521-C)
06 (523-B)
06 (523-C)
02 (502)
ZZ089 dr. Tities, Sp.PD 14 BPJS KESEHATAN DIIZINKAN PULANG

07 (90901-01)

04 (599-F)
10 (PERI001-B)
LT005
III (526-D), dr. James, SpA 2 BPJS KESEHATAN DIIZINKAN PULANG
04 (525)
LT005 dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN MENINGGAL < 48 JAM
02 (505)
LT005
ICU
(90902-01), I
(507), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
ICU
(90902-01),
04 (507)
06 (526-A)
06 (521-D)
06 (526-D)
04 (599-E)
02 (519-A)
09 (201-A)
04 (599-I)
04 (599-J)
10 (PERI001-A)
06 (523-D)
09 (201-B)
LT005
I (599-K), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-E)
LT005
I (599-L), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)
04 (599-C)
09 (201-C)
06 (521-E)
05 (508 B)
06 (523-B)
06 (521-B)
05 (509 B)
06 (523-A)
10 (PERI001-C)
06 (522-B)
09 (201-F)
09 (201-D)
06 (526-B)
04 (599-H)
04 (598-A)
09 (201-G)

10 (PERI001-D)
LT005
I (525), dr. Juliawaty Salim, Sp. A 4 PRIBADI DIIZINKAN PULANG
04 (599-B)
LT005
I (525), dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-K)
06 (522-C)
08 (520)
06 (521-A)
06 (521-C)
04 (525)
04 (599-A)
06 (523-A)
LT005
III (526-C), dr. James, SpA 8 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-C)
06 (526-D)
10 (PERI001-A)
06 (523-B)
ZZ089
I (599-C), VIP dr. Tities, Sp.PD 6 BPJS KESEHATAN MENINGGAL < 48 JAM
(503),
07 (90901-01)
ZZ089 dr. Tities, Sp.PD 1 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
09 (201-A)
06 (522-A)
09 (201-E)
06 (523-C)
06 (526-B)
06 (526-C)
06 (523-D)
09 (201-B)
ZZ086
RUANG BAYI dr. James, SpA 8 BPJS KESEHATAN BELUM SEMBUH
(201-C),
10 (PERI001-B)
LT005
II (527-A), dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-B)
05 (528-A)
04 (599-D)
02 (505)
09 (201-C)
02 (501)
04 (599-E)
06 (522-B)
09 (201-F)
05 (527-A)
05 (508 A)
06 (521-D)
04 (599-G)
LT005
III (521-A), dr. Martin Winardi, Sp.PD 7 PRIBADI DIIZINKAN PULANG
06 (521-E)
LT005
04 (598-A) dr. Martin Winardi, Sp.PD 2 PRIBADI TIDAK SEMBUH
LT005
III (526-A), dr. James, SpA 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
09 (201-H)
04 (599-H)
04 (599-I)
04 (525)
05 (508 B)
04 (599-J)
04 (507)
04 (599-K)
04 (599-L)
09 (201-D)
06 (526-A)
04 (599-B)
ZZ086
RUANG BAYI dr. James, SpA 9 BPJS KESEHATAN DIIZINKAN PULANG
(201-I),
10 (PERI001-E)
04 (599-A)
ZZ086
(201-J),
10 (PERI001-C)
09 (201-K)
09 (201-L)
05 (509-A)
06 (526-B)
09 (201-M)
06 (523-A)
LT005
04 (598-A)
06 (523-B)
04 (599-D)
06 (522-A)
04 (599-A)
09 (201-N)
04 (599-E)
04 (599-H)
09 (201-G)
04 (599-F)
06 (523-D)
08 (520)
04 (599-K)
05 (509-A)
LT005
III (522-C), dr. Tities, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-B)
09 (201-A)
06 (522-D)
06 (521-C)
06 (526-C)

10 (PERI001-D)
09 (201-B)
04 (525)
LT005 dr. Tities, Sp.PD 1 PRIBADI MENINGGAL < 48 JAM
04 (599-E)
06 (526-D)
06 (521-E)
LT005
06 (522-D)
04 (599-F)
06 (523-C)
LT005 dr. James, SpA 3 BPJS KESEHATAN BELUM SEMBUH
06 (526-A)
LT005
I (599-A), dr. Martin Winardi, Sp.PD 6 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)
LT005
06 (522-E)
LT005
06 (526-B) dr. James, SpA 2 PRIBADI DIIZINKAN PULANG
LT005
I (599-B), dr. Martin Winardi, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-B)
06 (523-A)
09 (201-C)
06 (526-A)
04 (599-I)
LT005
III (522-D), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)
LT005
05 (528-B)
06 (523-B)
09 (201-D)
LT005
I (599-B), dr. Tities, Sp.PD 8 BPJS KESEHATAN
04 (599-F)
04 (599-D)
06 (521-C)
05 (508 A)
LT005
ICU dr. James, SpA 7 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
05 (527-A)
06 (523-D)
LT005
VIP (503), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
02 (505)
05 (509-A)
LT005
06 (526-A)
05 (527-A)
ZZ088
(201-A),
09 (201-C)
04 (599-A)
06 (526-D)
04 (598-A)
02 (503)
04 (599-C)
ZZ088
(201-E),
09 (201-G)
05 (527-B)
04 (599-E)
06 (526-B)
LT005
I (507), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
02 (502)
ZZ088
RUANG BAYI
(201-B), RUANG dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
BAYI (201-A),
09 (201-H)
ZZ089
III (521-D), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
07 (90901-01)
04 (599-F)
06 (521-E)
LT005
I (599-G), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)
LT005
04 (599-H) dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-I) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (523-B) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
ZZ086
10 (PERI001-B) dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
LT005
04 (599-A) dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-J) dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
LT005
LT005
06 (521-A) dr. Tities, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
ZZ088
09 (201-A) dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (507) dr. Hari Santoso, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-B) dr. Hari Santoso, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG

10 (PERI001-D)

04 (599-C)
05 (508 B)
06 (522-A)
06 (522-B)
LT005
I (525), dr. Johny Setio, Sp.OG 2 PRIBADI DIIZINKAN PULANG
02 (505)
09 (201-B)
06 (521-D)
04 (599-H)
09 (201-E)
06 (521-A)
04 (599-I)
06 (526-C)
06 (523-B)
04 (599-B)
ZZ086
(201-F),
10 (PERI001-E)
09 (201-D)
LT005
II (509-A), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)
09 (201-I)
09 (201-J)
LT005
II (508 A), dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-B)
04 (598-A)
06 (526-B)
04 (599-A)
06 (523-C)
06 (523-D)
LT005
I (599-D), dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
LT005
III (526-D), dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-B)
06 (521-C)
09 (201-C)
LT005
I (599-E), dr. James, SpA 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
04 (525)
04 (599-J)
LT005
I (599-K), dr. James, SpA 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)
10 (PERI001-B)
06 (523-A)
LT005
III (526-A), dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-C)
08 (520)
LT005
I (507), VIP dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
(501), I (507),
02 (501)
09 (201-A)
05 (528-B)
10 (PERI001-C)
04 (507)
ZZ089 dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
07 (90901-01)
06 (521-C)
06 (523-B)
04 (599-D)
05 (508 B)
09 (201-E)
06 (522-B)
ZZ088 dr. Arief Gunadi, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-F)
05 (508 A)
09 (201-G)
06 (521-B)
04 (599-B)
06 (521-E)
06 (522-D)
LT005 dr. Arief Gunadi, Sp. A 2 PRIBADI DIIZINKAN PULANG
04 (599-C)
04 (599-G)
06 (523-C)
09 (201-B)
02 (502)
LT005 dr. Arief Gunadi, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-H)
09 (201-C)
LT005
VIP (505), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (509-A)
02 (503)
LT005
II (527-A), III
(522-A), II (508 dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
A),
06 (522-C)

06 (523-A)
LT005
I (598-A), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
02 (502)
LT005
04 (599-E) dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-D) dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-G) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-H) dr. James, SpA 2 PRIBADI DIIZINKAN PULANG
ZZ088
09 (201-I) dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
LT005
I (599-C), dr. Hari Santoso, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509 B)
ZZ086
(201-J),
10 (PERI001-B)
09 (201-K)
06 (523-D)
LT005
I (599-A), III
(523-C), II (510- dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
A),
06 (523-B)
ZZ086
(201-A),
10 (PERI001-F)
LT005
04 (516)
LT005 dr. Arief Gunadi, Sp. A 1 BPJS KESEHATAN BELUM SEMBUH

06 (526-B)
LT005
III (523-B), dr. Evy Asali, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
06 (523-A)
ZZ088 dr. Arief Gunadi, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-J)
09 (201-L)
LT005
II (528-A), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-B)
LT005
II (528-B), II (508 dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
A),
05 (508 B)
ZZ088
09 (201-A) dr. Arief Gunadi, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
05 (527-A) dr. Arief Gunadi, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (521-C) dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
I (598-A), II (528-
B), II (508 A), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)

06 (522-B)
ZZ086
(201-E),
10 (PERI001-B)
LT005
LT005
04 (507)
I (599-B), II (510-
A), I (517), dr. Tjhin Sun Fu, Sp.B 7 BPJS KESEHATAN DIIZINKAN PULANG
II (510-A), III
(521-D),
LT005
04 (517) dr. Tities, Sp.PD 2 BPJS KESEHATAN BELUM SEMBUH
06 (521-A)
LT005
I (599-C), I (518), dr. Tities, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
II (510-B),
04 (518)

09 (201-F)
LT005
III (522-C), dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)
LT005
II (509-A), II (508 dr. Johny Setio, Sp.OG 4 PRIBADI DIIZINKAN PULANG
A), II (509 B),
02 (502)

09 (201-E)
LT005
06 (522-D)
LT005
VIP (503), II (509 dr. Evy Asali, Sp.OG 4 PRIBADI DIIZINKAN PULANG
B), II (509-A),
04 (507)
LT005
I (599-E), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-B)
LT005
III (522-A), III dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(522-E),
06 (522-C)
LT005
III (521-A), dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-C)
LT005
III (526-A), dr. Arief Gunadi, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
LT005
III (526-B), III dr. Arief Gunadi, Sp. A 6 BPJS KESEHATAN DIIZINKAN PULANG
(526-D),
06 (526-A)

06 (523-D)
LT005
III (521-B), dr. Martin Winardi, Sp.PD 4 PRIBADI DIIZINKAN PULANG
06 (521-E)
09 (201-B)

04 (599-C)

09 (201-D)
LT005
III (522-C), III
(522-A), ICU dr. Martin Winardi, Sp.PD 6 BPJS KESEHATAN
(90901-01),
06
LT005(522-A)
dr. Hari Santoso, Sp.OG 1 PRIBADI DIIZINKAN PULANG
05 (508 A)
06 (521-B)
ZZ089
I (518), dr. Tities, Sp.PD 3 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
06 (523-B)
05 (527-B)
05 (528-B)
LT005
06 (523-A)
ZZ086
RUANG BAYI dr. Arief Gunadi, Sp. A 6 BPJS KESEHATAN DIIZINKAN PULANG
(201-G),
10
LT005(PERI001-C)
06 (522-D)
06 (521-D)
LT005
III (526-D), dr. Arief Gunadi, Sp. A 3 PRIBADI DIIZINKAN PULANG
02 (505)
LT005
I (598-A), dr. Hari Santoso, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
LT005
I (599-C), dr. Arief Gunadi, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
09 (201-G)
LT005
I (599-B), dr. Arief Gunadi, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-C)
05 (528-A)
LT005
I (599-D), II (509- dr. Arief Gunadi, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
A),
05 (509 B)
09 (201-C)
06 (522-B)
05 (508 A)
LT005
ILT005
(599-A), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06
ICU(523-B)
(90901-01), III dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
(521-C), ICU
(90902-01),
06 (521-C)
05 (508 B)
05 (510-A)
04 (599-C)
02 (503)
LT005
I (599-E), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN
04 (525)
ZZ086
10 (PERI001-D)
RUANG BAYI
(201-A), dr. Arief Gunadi, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
PERINATOLOGI
(PERI001-E),
ZZ088
09 (201-A) dr. Arief Gunadi, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-F)
04 (516)
06 (522-E)
LT005
III (526-C), I dr. Arief Gunadi, Sp. A 2 PRIBADI DIIZINKAN PULANG
(599-D),
06 (526-C)
LT005
I (507), dr. Arief Gunadi, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (509-A)
09 (201-B)
06 (526-B)
LT005
III (521-C), dr. Tities, Sp.PD 6 PRIBADI DIIZINKAN PULANG
04 (518)
LT005
04 (507)
06 (523-D)
LT005
06 (523-A)
06 (521-E)
05 (508 A)
06 (523-C)
06 (526-D)
04 (599-A)
ZZ088
09 (201-D) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-E) dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
I (599-B), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)
LT005
I (599-C), dr. James, SpA 3 PRIBADI DIIZINKAN PULANG
06 (526-C)
09 (201-H)
05 (508 B)
05 (509 B)
09 (201-I)
LT005
06 (523-B)
LT005
II (528-A), dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)
09 (201-J)
LT005
I (599-C), III dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
(522-B),
05 (528-B)
10 (PERI001-E)
ZZ089
I (598-A), VIP
(505), I (598-A), dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
07 (90901-01)
06 (522-B)
06 (522-C)
LT005
06 (523-D)

10 (PERI001-D)
ZZ086
10 (PERI001-F) dr. James, SpA 3 BPJS KESEHATAN DIIZINKAN PULANG

10 (PERI001-G)

09 (201-G)
02 (501)
LT005
I (599-B), dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (509-A)
06 (521-C)
09 (201-A)
LT005
I (517), dr. Tities, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
02 (505)
LT005
I (599-D), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)
LT005
I (599-E), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-A)
LT005
06 (523-C)
LT005
ISOLASI (520), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (517)
ZZ088
09 (201-B) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
I (599-A), dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-B)
04 (599-G)
06 (526-A)
09 (201-C)
09 (201-F)
06 (521-A)
LT005
III (523-A), dr. Hari Santoso, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 A)
LT005
II (508 A), dr. Evy Asali, Sp.OG 3 PRIBADI DIIZINKAN PULANG
04 (507)
05 (508 B)
04 (598-A)
06 (526-B)
06 (521-C)
06 (521-B)
09 (201-D)
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
PENYAKIT DALAM
SYARAF
PENYAKIT DALAM
ANAK
ANAK
ANAK
BEDAH
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
Singleton, born in hospital

ANAK (Z38.0, 295, LAMA)
Epilepsy
ANAK (G40, 124, LAMA)
Pneumonia, unspecified
(J18.9, 169, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
PENYAKIT DALAM 104.1, LAMA),
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Cerebrovascular disease, unspecified (I67.9, 156, LAMA)
Asthma,
PENYAKIT DALAM unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Hypokalaemia
PENYAKIT DALAM (E87.6, 111, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
PENYAKIT DALAM
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
ANAK Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
OBSTETRI DAN GINEKOLOGI Supervision of normal pregnancy (Z34, 294.0, LAMA)
ANAK (Z38.0, 295, LAMA)
Hypokalaemia
PENYAKIT DALAM (E87.6, 111, LAMA)
of membranes, unspecified
(O42.9, 239.2,
PENYAKIT DALAM LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
Single live birth
Bronchopneumonia, unspecified
ANAK (J18.0, 169, LAMA)
ANAK (Z38.0, 295, LAMA)
DHF / DBD
(A91, 032.1, LAMA), Dyspepsia - Indigestion
PENYAKIT DALAM (K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LAMA),
Viral infection, unspecified
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
(B34.9, 041, LAMA), Acute pharyngitis - Includes: acute sore
ANAK throat (J02,
pre-eclampsia
165.0, LAMA) (O14.1, 237.0, LAMA),
Delivery by elective caesarean section
OBSTETRI DAN GINEKOLOGI (O82.0, 242.9, LAMA),
Single live
(N18.0, birthLAMA), Septicaemia, unspecified
214.9,
PENYAKIT DALAM (A41.9, 017, LAMA), Anaemia,
unspecified
Toxic liver disease
PENYAKIT DALAM (K71, 194.9, LAMA)
Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single live birth
(Z37.0, 298, LAMA)
ANAK
(J18.9, 169, LAMA), Acute tonsillitis, unspecified
PENYAKIT DALAM (J03.9, 165.9, LAMA), Thrombocytopenia, unspecified
(D69.6, 099, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA), Singleton, born in
hospital
(Z38.0, 295, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Acute pharyngitis - Includes: acute sore throat (J02,
ANAK 165.0, LAMA)
(O82.9, 242.9, LAMA),
(O42.9, 239.2,
(Z37.0, 298, LAMA),
LAMA)
Delivery by elective
OBSTETRI DAN GINEKOLOGI caesarean section (O82.0, 242.9, LAMA),
Single live birth
ANAK (Z38.0, 295, LAMA)
Transient tachypnoea of newborn
ANAK (P22.1, 249, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
Acute pharyngitis - Includes: acute sore throat (J02,
ANAK 165.0, LAMA), Febrile convulsions
(R56.0, 270.3, LAMA)
Dyspepsia - Indigestion
ANAK (K30, 189.9, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
167, LAMA)
OBSTETRI DAN GINEKOLOGI Infect. following a procedure,not else.classified (T81.4, 288, LAMA)
Tuber.of lung,confir.by sputum microscopy culture (A15.0,

PENYAKIT DALAM 007.0, LAMA), Other emphysema (J43.8, 175, LAMA)
(J18.9, 169, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
PENYAKIT DALAM 104.1, LAMA), Chronic renal failure
(N18, 214.9, LAMA)
DHF / DBD
ANAK (A91, 032.1, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
167, LAMA)
OBSTETRI DAN GINEKOLOGI Supervision of normal pregnancy (Z34, 294.0, LAMA), Supervision of normal pregnancy (Z34, 294.0, LAMA)
ANAK
Varicella / Cacar air (B01, 034, LAMA), Bacterial infection, unspecified

ANAK (A49.9, 018, LAMA)
ANAK
Chronic renal failure (N18, 214.9, LAMA), Respiratory failure, unspecified

(J96.9, 179.9, LAMA),
PENYAKIT DALAM Hypo-osmolality and
hyponatraemia (E87.1, 111, LAMA), Hypokalaemia (E87.6, 111, LAMA)
PENYAKIT DALAM

ANAK (Z38.0, 295, LAMA)
Chronic renal failure (N18, 214.9, LAMA), Anaemia,
PENYAKIT DALAM unspecified
(D64.9, 098,
Singleton, LAMA),
born Ascites - Fluid in peritoneal cavity (R18, 270.9, LAMA)
in hospital
(Z38.0, 295, LAMA), Fetus and newborn affected by
ANAK caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
pre-eclampsia (O14.1, 237.0, LAMA), Delivery by
(Z38.0, 295, LAMA)
caesarean section, unspecified
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9,
LAMA),
ANAK
(K30, 189.9, LAMA), Ispa/Acute upper respiratory infection,
ANAK unspecified (J06.9,
(O42.9, 239.2, LAMA), Delivery by
167, LAMA)
Single live birth
ANAK (Z38.0, 295, LAMA)
Bacterial sepsis of newborn, unspecified
(P36.9, 250, LAMA), Fetus and newborn affected by
ANAK caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
Ispa/Acute upper respiratory infection, unspecified (J06.9,

ANAK 167, LAMA)
Obst.lab.due to malposition malpresent.of fetus (O64, 240, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
Vertigo of central origin
SYARAF (H81.4, 142.9, LAMA)

Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
104.1, LAMA),
PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
ANAK (Z38.0, 295, LAMA)
Commotio cerebri - Concussion
(S06.0, 278, LAMA), Hypokalaemia (E87.6, 111, LAMA), Anaemia,
SYARAF unspecified
(D64.9, 098, LAMA)
Other nonautoimmune haemolytic anaemias (D59.4, 098, LAMA), Vertigo of central origin
PENYAKIT DALAM (H81.4, 142.9, LAMA)
PENYAKIT DALAM Varicella / Cacar air (B01, 034, LAMA), Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Hypokalaemia (E87.6, 111, LAMA)
DHF / DBD
(A91, 032.1, LAMA), Headache - Facial pain NOS
PENYAKIT DALAM (R51, 270.9, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Symptoms & signs concerning food and fluid intake (R63, 270.9, LAMA), Anaemia,
(D64.9, 098, LAMA)
Ge/Diare (A09.9,
ANAK
005, LAMA)

ANAK (Z38.0, 295, LAMA)

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single live birth (Z37.0, 298, LAMA), Myopia
(H52.1, 137, LAMA)

Single spontaneous delivery
OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Anaemia, unspecified
(D64.9, 098, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK 167, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298,
Down's LAMA)unspecified - Trisomy
syndrome,
21 NOS (Q90.9,
ANAK 266.0, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
(Z38.0, 295, LAMA)
Blighted ovum and nonhydatidiform
OBSTETRI DAN GINEKOLOGI mole (O02.0,
236.9, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM (K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LAMA)
ANAK
ANAK
[preg.-ind.]hypert without sig.proteinuria
(O13, 237.9, LAMA), Delivery by caesarean section,
OBSTETRI DAN GINEKOLOGI unspecified (O82.9, 242.9, LAMA),
Single live birth
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, LAMA)

Delivery by caesarean section,
unspecified
Single live birth
Urinary tract infection, site not specified
PENYAKIT DALAM (N39.0, 217, LAMA)
ANAK (Z38.0, 295, LAMA)

DHF / DBD
ANAK (A91, 032.1, LAMA), Thrombocytopenia, unspecified
(D69.6, 099, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
(J18.9, 169,birth
Single live LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA), Hypertension - High blood pressure
PENYAKIT DALAM (I10, 145, LAMA), Hypo-osmolality and
hyponatraemia
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
PENYAKIT DALAM (J18.9, 169, LAMA), Hypokalaemia (E87.6, 111, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
PENYAKIT DALAM 005, LAMA)
Diabetes Melitus tidak tergantung insulin (E11,
104.1, LAMA),
PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypertension - High blood pressure
Ge/Diare
(I10, 145, (A09.9,
LAMA)
005, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, LAMA), Anaemia, unspecified
(D64.9, 098, LAMA)
ANAK (Z38.0, 295, LAMA)
Calculus of kidney with calculus of ureter (N20.2,
PENYAKIT DALAM 215, LAMA), Urinary tract infection, site not specified
(N39.0, 217, LAMA)
PENYAKIT DALAM
Ge/Diare (A09.9,
005, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, LAMA),
Chronic obstructive (R56.0,
Febrile convulsions pulmonary disease,
270.3, LAMA)unspecified (J44.9,
175, LAMA), Hypertension - High
PENYAKIT DALAM blood pressure
(I10, 145, LAMA)
Abdominal hernia
PENYAKIT DALAM NOS
(K46.9, 188, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Ectopic pregnancy
OBSTETRI DAN GINEKOLOGI (O00, 236.0, LAMA)
Demam Tifoid dan Paratifoid (A01, 002, LAMA),
ANAK Ge/Diare (A09.9,
005, LAMA)
PENYAKIT DALAM
Hypoglycaemia, unspecified
(E16.2, 111, LAMA), Diabetes Melitus tidak tergantung
PENYAKIT DALAM insulin (E11,
104.1, LAMA), Hypokalaemia (E87.6, 111, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK
PENYAKIT DALAM
(H52.1, 137, LAMA), Delivery by caesarean section, unspecified

Single live birth
ANAK (Z38.0, 295, LAMA)
ANAK
236.9, LAMA)
PENYAKIT DALAM
Ge/Diare (A09.9,

ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
Asthma (J45, 176, LAMA),

PENYAKIT DALAM Hypertension - High blood pressure
(I10, 145, LAMA)
PENYAKIT DALAM

SYARAF (H81.4, 142.9, LAMA)
ANAK
M.care for disp.due to generally contrac. pelvis (O33.1,

OBSTETRI DAN GINEKOLOGI 239.9, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Ge/Diare (A09.9,
005, LAMA), Otitis media,
ANAK unspecified
(H66.9, 140, LAMA)
Bacterial infection, unspecified
ANAK (A49.9, 018, LAMA), Febrile convulsions (R56.0, 270.3,
LAMA)
ANAK (Z38.0, 295, LAMA)
BEDAH Other specified soft tissue disorders (M79.8, 207.9, LAMA)
ANAK
ANAK (K30, 189.9, BARU)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK
Paralytic ileus
PENYAKIT DALAM (K56.0, 190, LAMA)
ANAK 167, LAMA),
Febrile convulsions (R56.0, 270.3, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
Anaemia, unspecified
OBSTETRI DAN GINEKOLOGI (D64.9, 098, LAMA)
Unspecified appendicitis
BEDAH (K37, 186, LAMA)
PENYAKIT DALAM
BEDAH
Unspecified abortion [See above for subdivisions] (O06,

OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA)
Hypertension - High blood pressure

PENYAKIT DALAM (I10, 145, LAMA), Hypokalaemia (E87.6, 111, LAMA)
ANAK Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)

ANAK
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
(O13, 237.9, LAMA), Delivery by caesarean section, unspecified
Single live birth
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
ANAK
Single livebybirth
Delivery caesarean section, unspecified
LAMA),
ANAK
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
(Z38.0, 295, LAMA), Redundant prepuce, phimosis and
ANAK paraphimosis
infants - Prematurity
(N47, 221, LAMA)
NOS (P07.3,
ANAK 246, LAMA),
Ge/Diare (A09.9,
ANAK 005, LAMA)
ANAK 167, LAMA),
PENYAKIT DALAM
ANAK
ANAK
BEDAH
ANAK (Z38.0, 295, LAMA)
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM

ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
Ge/Diare (A09.9,
ANAK 005, LAMA)

PENYAKIT DALAM 104.1, LAMA)
ANAK

ANAK (Z38.0, 295, LAMA)
ANAK
ANAK
ANAK
ANAK
104.1, LAMA), Pneumonia, unspecified
(J18.9, 169, LAMA), Vertigo
PENYAKIT DALAM NOS-Dizziness
&
giddiness-Light-head edness (R42, 270.9, LAMA)
ANAK
OBSTETRI DAN GINEKOLOGI Single delivery by caesarean section (O82, 242.9, LAMA)
ANAK
ANAK
Premature rupture of membranes, unspecified

(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK
Inguinal hernia (K40, 187, LAMA), Acute bronchitis, unspecified

BEDAH (J20.9, 170, LAMA)
BEDAH Unspecified haemorrhoids without complication (I84.9, 163, LAMA)
ANAK
BEDAH
PENYAKIT DALAM
Chronic renal failure (N18, 214.9, LAMA), Anemia aplastik lainnya

PENYAKIT DALAM (D61, 098, LAMA)
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
DHF / DBD
ANAK (A91, 032.1, LAMA)
ANAK
Prolonged first stage

(of labour) (O63.0, 242.9, LAMA), Delivery by
LAMA),
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
236.9, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
Ge/Diare (A09.9,
ANAK 005, LAMA)
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
SYARAF
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
BEDAH
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
BEDAH
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
BEDAH
BEDAH
ANAK
emia (E87.6, 111, LAMA)
Dirujuk Ke
Periode : APRIL - 2018
∑= 26
Umur
Kode Ruang Rawat
01 Baru 01-02-19-03 28-Mar-18 RI20180328-0009 MASHARI L 32 3-Apr-18 3
02 Baru 01-02-19-06 28-Mar-18 RI20180328-0012 GO TJONG HO L 66 1-Apr-18 ICU
03 Lama 01-01-40-38 28-Mar-18 RI20180328-0013 YATI P 48 6-Apr-18 3
04 Baru 01-02-19-25 28-Mar-18 RI20180328-0019 ARMAH P 81 2-Apr-18 3
05 Lama 01-01-72-98 29-Mar-18 RI20180329-0003 ANGELO LIU L 1 3-Apr-18 ICU/3
06 Baru 01-02-19-63 29-Mar-18 RI20180329-0009 BENI ANGGARA L 22 10-Apr-18 ICU
07 Baru 01-02-19-69 29-Mar-18 RI20180329-0010 SUDIATI P 46 4-Apr-18 1
08 Baru 01-02-19-70 29-Mar-18 RI20180329-0011 NIKMATUL HIKHMAH P 25 1-Apr-18 2
09 Baru 01-02-15-98 29-Mar-18 RI20180329-0012 SITI NURLAELA P 34 1-Apr-18 3
10 Baru 01-02-19-74 30-Mar-18 RI20180330-0001 SANDI HERMAWAN L 30 6-Apr-18 3
11 Baru 01-02-19-64 30-Mar-18 RI20180330-0002 DWI ESTI SETYANINGSIH P 38 2-Apr-18 3
12 Baru 01-02-19-80 30-Mar-18 RI20180330-0003 HENDRA KUNCORO L 20 3-Apr-18 3
13 Baru 01-02-19-81 30-Mar-18 RI20180330-0004 JULIAN P 56 1-Apr-18 2
14 Baru 01-02-19-82 30-Mar-18 RI20180330-0005 KRISNANDO SETIAWAN L 2 2-Apr-18 3
15 Baru 01-02-19-84 30-Mar-18 RI20180330-0006 BY NY SITI NURLAELA P 0 1-Apr-18 BY
16 Baru 01-02-19-83 30-Mar-18 RI20180330-0007 ALVARO ELRIZ WAKKARY L 5 1-Apr-18 2
17 Baru 01-02-19-86 30-Mar-18 RI20180330-0008 LISTYOWATI P 19 1-Apr-18 2
18 Baru 01-02-19-89 30-Mar-18 RI20180330-0009 BY NY LISTYOWATI L 0 1-Apr-18 BY
19 Baru 01-01-46-97 31-Mar-18 RI20180331-0002 RASYIFA MAULIDA PUTRI P 1 4-Apr-18 3
20 Baru 01-02-20-02 31-Mar-18 RI20180331-0003 MENTARI P 26 2-Apr-18 2
21 Baru 01-02-19-98 31-Mar-18 RI20180331-0004 SAGITA NOVIANTI P 10 4-Apr-18 3
22 Baru 01-02-20-03 31-Mar-18 RI20180331-0005 BY NY MENTARI L 0 2-Apr-18 BY
23 Baru 01-02-20-05 31-Mar-18 RI20180331-0006 RAHESYA NUR HAKIM L 7 4-Apr-18 2
24 Baru 01-02-20-04 31-Mar-18 RI20180331-0007 GITO PARYOGI L 37 2-Apr-18 2
25 Baru 01-02-20-09 31-Mar-18 RI20180331-0008 GOH TJONG PAH L 66 1-Apr-18 3
26 Baru 01-02-18-13 31-Mar-18 RI20180331-0009 SHAFIRA CAHYA WIDODO P 3 2-Apr-18 2
27 Baru 01-02-20-12 01-Apr-18 RI20180401-0001 RIVALDO SANTINUS L 18 4-Apr-18 3

28 Lama 01-02-16-56 01-Apr-18 RI20180401-0002 DESVI RAMAYANA P 30 3-Apr-18 3
29 Baru 01-02-20-17 01-Apr-18 RI20180401-0003 TJU FATIMAH P 53 5-Apr-18 1
30 Baru 01-02-20-18 01-Apr-18 RI20180401-0004 RUMIYATI P 39 3-Apr-18 3
31 Lama 01-01-03-36 01-Apr-18 RI20180401-0005 MUHAMMAD RAYFIAN ABQARY L 2 4-Apr-18 3
32 Baru 01-02-20-22 01-Apr-18 RI20180401-0006 BY NY RUMIYATI L 0 3-Apr-18 BY
33 Baru 01-02-20-21 01-Apr-18 RI20180401-0007 SUWARDI L 53 4-Apr-18 ISO
34 Baru 01-02-20-24 01-Apr-18 RI20180401-0008 PARYONO L 52 3-Apr-18 3
35 Baru 01-01-46-32 01-Apr-18 RI20180401-0009 DARSO SUTRISNO L 53 4-Apr-18 3
36 Baru 01-02-20-25 02-Apr-18 RI20180402-0001 MAISYA FEBE RANIDA P 3 4-Apr-18 2
37 Lama 01-01-19-33 02-Apr-18 RI20180402-0002 DIANA P 1 3-Apr-18 VIP
38 Baru 01-02-20-31 02-Apr-18 RI20180402-0003 ALGIS GIBRAN ERLAMBANG L 1 4-Apr-18 2
39 Baru 01-02-20-43 02-Apr-18 RI20180402-0004 DEDY L 49 5-Apr-18 3
40 Baru 01-02-20-65 02-Apr-18 RI20180402-0005 MUHAMMAD ADITYA RIFQI RAMADHAN L 1 5-Apr-18 1
41 Baru 01-02-20-68 02-Apr-18 RI20180402-0006 EVI SOFIATY YUNIAR P 26 7-Apr-18 3
42 Lama 00-00-29-44 02-Apr-18 RI20180403-0001 MOHAMAD FADLI L 3 5-Apr-18 3
43 Baru 01-02-20-74 03-Apr-18 RI20180403-0002 CINDY P 26 5-Apr-18 3
44 Baru 01-02-20-86 03-Apr-18 RI20180403-0003 FEBY MARITZA PUTRI P 1 5-Apr-18 2
45 Baru 01-02-20-89 03-Apr-18 RI20180403-0004 TOHAYA P 43 6-Apr-18 3
46 Baru 01-02-20-93 03-Apr-18 RI20180403-0005 VIESCA AMELIA P 3 4-Apr-18 2
47 Baru 01-01-91-18 03-Apr-18 RI20180403-0007 SURYANINGSIH P 35 5-Apr-18 3
48 Baru 01-02-21-06 03-Apr-18 RI20180403-0008 BY NY CINDY L 0 5-Apr-18 BY

49 Baru 01-02-21-00 03-Apr-18 RI20180403-0009 MA MUN L 49 5-Apr-18 3
50 Baru 01-02-21-07 03-Apr-18 RI20180403-0010 JAMAK L 58 8-Apr-18 3
51 Baru 01-02-21-11 03-Apr-18 RI20180403-0011 BY NY SURYANINGSIH L 0 5-Apr-18 BY
52 Lama 01-02-14-70 03-Apr-18 RI20180403-0012 SURYANA L 52 9-Apr-18 3
53 Lama 01-02-19-26 03-Apr-18 RI20180403-0013 BY NY NURYANTI L 0 6-Apr-18 PERINA
54 Baru 01-02-16-05 03-Apr-18 RI20180403-0014 YATMI P 37 6-Apr-18 1
55 Lama 01-01-59-83 03-Apr-18 RI20180403-0015 SUI BOI P 73 4-Apr-18 1
56 Baru 01-02-20-97 03-Apr-18 RI20180403-0016 SAPNI P 48 4-Apr-18 3
57 Baru 01-02-21-20 03-Apr-18 RI20180403-0017 BY NY YATMI P 0 5-Apr-18 PERINA
58 Baru 01-02-21-21 03-Apr-18 RI20180403-0018 ARJUN PRATAMA L 1 9-Apr-18 3
59 Baru 01-02-21-01 03-Apr-18 RI20180404-0003 SELAMET L 78 4-Apr-18 ICU
60 Baru 00-00-34-40 04-Apr-18 RI20180404-0001 ENIATI P 36 4-Apr-18 1
61 Baru 01-02-21-25 04-Apr-18 RI20180404-0002 SABAR L 50 5-Apr-18 3
62 Baru 01-02-21-22 04-Apr-18 RI20180404-0004 IFAN YUDI ANGGARA L 20 9-Apr-18 3
63 Lama 01-02-19-73 04-Apr-18 RI20180404-0005 BY NY HENI TASLIMAH P 0 5-Apr-18 PERINA
64 Baru 01-02-21-40 04-Apr-18 RI20180404-0006 M SAMAN L 58 6-Apr-18 3
65 Baru 01-02-21-30 04-Apr-18 RI20180404-0007 BINTANG ANDRIAN RAMDHAN L 1 10-Apr-18 3
66 Baru 01-02-21-43 04-Apr-18 RI20180404-0008 ANIQ AFIFA PUTRI P 2 7-Apr-18 3
67 Lama 00-01-00-88 04-Apr-18 RI20180404-0009 BAJANG PUTU GEDE L 1 5-Apr-18 3
68 Baru 01-02-21-44 04-Apr-18 RI20180404-0010 SITI HOLISOH P 39 6-Apr-18 3
69 Lama 00-00-75-55 04-Apr-18 RI20180404-0011 NG SYAK KHUN L 67 5-Apr-18 1
70 Baru 01-02-21-49 04-Apr-18 RI20180404-0012 SAEFUL BAHRI L 53 9-Apr-18 2
71 Baru 01-02-21-51 04-Apr-18 RI20180404-0013 NUR NURJANAH P 24 6-Apr-18 3
72 Lama 01-01-59-07 04-Apr-18 RI20180404-0014 NUR PUTRI APRIYANI P 18 5-Apr-18 3

73 Baru 01-02-21-54 04-Apr-18 RI20180404-0015 BY NY NURJANAH L 0 6-Apr-18 BY
74 Lama 01-02-02-27 04-Apr-18 RI20180404-0016 RIMAH YATI P 30 7-Apr-18 2
75 Baru 01-02-21-58 05-Apr-18 RI20180405-0001 BY NY RIMAH YATI L 0 7-Apr-18 BY
76 Baru 01-02-21-60 05-Apr-18 RI20180405-0002 AHMAD TAUFIK L 40 5-Apr-18 3
77 Baru 01-02-21-31 05-Apr-18 RI20180405-0003 SUHAEBAH P 41 6-Apr-18 3
78 Baru 00-00-75-70 05-Apr-18 RI20180405-0004 NONON SUMIYATI P 60 8-Apr-18 3
79 Baru 01-02-21-69 05-Apr-18 RI20180405-0005 KAREN CAHAYA PRATIWI P 2 8-Apr-18 ICU
80 Baru 01-01-78-67 05-Apr-18 RI20180405-0006 ATIKA MURNI P 37 6-Apr-18 2
81 Baru 01-02-21-76 05-Apr-18 RI20180405-0007 SRI ATIKA P 41 10-Apr-18 2
82 Baru 01-02-21-78 05-Apr-18 RI20180405-0008 DEWI MULYANI P 27 6-Apr-18 2
83 Baru 01-02-21-82 05-Apr-18 RI20180405-0009 SUKILAH P 56 7-Apr-18 3
84 Baru 01-02-21-86 05-Apr-18 RI20180405-0010 RESTA NUR ISKANDAR L 5 7-Apr-18 3
85 Baru 01-02-07-94 06-Apr-18 RI20180406-0001 TJHAI SU HA P 41 8-Apr-18 1
86 Baru 01-02-22-05 06-Apr-18 RI20180406-0002 RENY ANDRIANI P 22 8-Apr-18 3
87 Baru 01-02-22-01 06-Apr-18 RI20180406-0003 DEDI HERMAWAN L 32 7-Apr-18 3
88 Baru 01-02-18-30 06-Apr-18 RI20180406-0004 HALIMATUSSA DIAH P 29 8-Apr-18 1
89 Baru 01-02-22-03 06-Apr-18 RI20180406-0005 ARKAMAH P 65 9-Apr-18 3
90 Baru 01-02-22-09 06-Apr-18 RI20180406-0006 BY NY TJHAI SU HA P 0 8-Apr-18 BY
91 Lama 01-02-20-22 06-Apr-18 RI20180406-0007 BY NY RUMIYATI L 0 8-Apr-18 PERINA
92 Baru 01-02-22-15 06-Apr-18 RI20180406-0008 BY NY HALIMATUSSA DIAH P 0 8-Apr-18 BY
93 Baru 01-02-22-16 06-Apr-18 RI20180406-0009 GHEISAN CATURAHMAN L 3 10-Apr-18 2
94 Baru 01-02-22-17 06-Apr-18 RI20180406-0010 KHAMID L 54 10-Apr-18 3
95 Baru 01-02-22-18 06-Apr-18 RI20180406-0011 MARYAMAH P 43 8-Apr-18 3
96 Baru 01-02-22-21 06-Apr-18 RI20180406-0012 MUHAMMAD ARYA PRATAMA L 4 11-Apr-18 2
97 Lama 01-01-81-35 07-Apr-18 RI20180407-0001 RA IN PRIANTO L 39 8-Apr-18 ISO

98 Lama 00-00-03-55 07-Apr-18 RI20180407-0002 NAFTILOVA P 31 10-Apr-18 1
99 Baru 01-02-22-23 07-Apr-18 RI20180407-0003 GOUW OK SENG L 60 9-Apr-18 1
100 Baru 01-02-22-26 07-Apr-18 RI20180407-0004 WILLIAM L 18 8-Apr-18 ICU
101 Baru 01-02-22-32 07-Apr-18 RI20180407-0005 MASITOH P 47 8-Apr-18 3
102 Baru 01-02-22-34 07-Apr-18 RI20180407-0006 MAYANAH P 51 12-Apr-18 3
103 Baru 01-01-77-59 07-Apr-18 RI20180407-0007 TUTI ANDAYANI P 30 10-Apr-18 2
104 Lama 01-01-49-91 07-Apr-18 RI20180407-0008 SRI LESTARI P 35 10-Apr-18 3
105 Baru 01-02-22-39 07-Apr-18 RI20180407-0009 BY NY TUTI ANDAYANI L 0 10-Apr-18 BY
106 Baru 01-02-22-40 07-Apr-18 RI20180408-0001 BY NY SRI LESTARI L 0 10-Apr-18 BY
107 Baru 01-02-22-41 08-Apr-18 RI20180408-0002 SAMINAH P 61 11-Apr-18 ICU
108 Lama 01-02-11-87 08-Apr-18 RI20180408-0003 ANG TJUIN NIO P 66 12-Apr-18 3
109 Lama 01-02-17-58 08-Apr-18 RI20180408-0004 KHAIRATUN MARDHIYAH P 3 11-Apr-18 2
110 Baru 01-02-22-44 08-Apr-18 RI20180408-0005 ALVAINI ALIM P 8 13-Apr-18 2
111 Lama 01-01-86-60 08-Apr-18 RI20180408-0006 ROGAYA P 57 10-Apr-18 3
112 Baru 01-02-22-51 08-Apr-18 RI20180408-0007 JOURELL BERNARDINO ELVITO L 2 10-Apr-18 1
113 Baru 01-01-97-01 08-Apr-18 RI20180408-0008 INTAN APRELIA SARI P 23 10-Apr-18 2
114 Baru 01-02-22-52 08-Apr-18 RI20180408-0009 TANTI P 26 9-Apr-18 3
115 Baru 01-02-22-53 08-Apr-18 RI20180408-0010 TASIAH P 53 11-Apr-18 1
116 Baru 01-02-22-54 08-Apr-18 RI20180408-0011 YANA ROLIYATI P 35 9-Apr-18 3
117 Baru 01-02-22-55 09-Apr-18 RI20180409-0001 NAUFAL TSANI NUGRAHA L 16 11-Apr-18 1
118 Baru 01-02-22-56 09-Apr-18 RI20180409-0002 NENENG JULAENI P 30 11-Apr-18 3
119 Baru 01-02-22-11 09-Apr-18 RI20180409-0003 SANTI NURHASANAH P 25 10-Apr-18 3
120 Baru 01-02-22-57 09-Apr-18 RI20180409-0004 BY NY INTAN APRELIA SARI P 0 10-Apr-18 BY
121 Baru 01-02-22-58 09-Apr-18 RI20180409-0005 BY NY SANTI NURHASANAH L 0 10-Apr-18 PERINA
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01-02-01-55
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341 Baru 01-02-27-61 25-Apr-18 RI20180425-0002 ARKA PUTRA ALVARO L 2 27-Apr-18 3

342 Baru 01-02-25-08 25-Apr-18 RI20180425-0003 ANTIH P 60 26-Apr-18 3
343 Baru 01-02-27-71 25-Apr-18 RI20180425-0004 BY NY RIA JUNIWATI L 0 27-Apr-18 BY
344 Baru 01-02-27-77 25-Apr-18 RI20180425-0005 RUSMINAH P 32 27-Apr-18 3
345 Baru 01-02-13-67 25-Apr-18 RI20180425-0006 SITI CHAIRIYAH P 39 27-Apr-18 3
346 Baru 01-02-27-76 25-Apr-18 RI20180425-0007 HJ SUMARNI P 69 27-Apr-18 2
348 Baru 01-02-16-76 25-Apr-18 RI20180425-0010 ADMINI P 26 27-Apr-18 3
349 Baru 01-02-27-86 25-Apr-18 RI20180425-0011 JUMROTUN P 35 27-Apr-18 1
350 Baru 01-02-27-87 25-Apr-18 RI20180425-0012 BY NY RUSMINAH L 0 27-Apr-18 BY
351 Baru 01-02-27-89 25-Apr-18 RI20180425-0013 BY NY JUMROTUN P 0 28-Apr-18 BY
352 Baru 01-02-27-94 25-Apr-18 RI20180425-0014 BY NY SITI CHARIYAH L 0 30-Apr-18 BY
353 Baru 01-02-27-96 25-Apr-18 RI20180425-0015 BY NY ADMINI L 0 27-Apr-18 BY
354 Baru 01-02-25-20 25-Apr-18 RI20180425-0016 JUJU JULAEHA P 29 29-Apr-18 3
355 Baru 01-02-27-99 26-Apr-18 RI20180425-0017 TISNA ADITTYA L 25 26-Apr-18 3
356 Baru 01-02-09-38 26-Apr-18 RI20180426-0001 YULIANTIE SUTANTO P 26 29-Apr-18 3
357 Baru 01-02-28-04 26-Apr-18 RI20180426-0002 BY NY YULIANTIE SUTANTO L 0 29-Apr-18 BY
358 Baru 01-02-28-11 26-Apr-18 RI20180426-0003 BY NY JUJU JULAEHA L 0 29-Apr-18 BY
359 Baru 01-02-26-13 26-Apr-18 RI20180426-0004 YAMSIAH P 40 29-Apr-18 3
360 Baru 01-02-28-18 26-Apr-18 RI20180426-0005 SARIPAH P 35 29-Apr-18 2
361 Baru 01-02-16-92 26-Apr-18 RI20180426-0006 WINA ADELINA P 30 27-Apr-18 1
364 Baru 01-02-28-26 26-Apr-18 RI20180426-0009 SUWANDA L 32 29-Apr-18 3
365 Baru 01-02-28-23 26-Apr-18 RI20180426-0010 SAMLAWI L 75 28-Apr-18 3
366 Baru 01-02-28-25 26-Apr-18 RI20180426-0011 MOCHAMAD ZAID ALFARIZI L 2 28-Apr-18 2
367 Lama 01-02-18-29 26-Apr-18 RI20180426-0012 SULASTRI P 30 27-Apr-18 ICU
368 Baru 01-02-28-32 26-Apr-18 RI20180426-0013 BY NY SARIPAH P 0 30-Apr-18 BY
369 Baru 01-02-28-30 26-Apr-18 RI20180426-0014 RAHEL MINA SINAGA P 6 30-Apr-18 ICU
370 Baru 01-02-28-34 26-Apr-18 RI20180426-0015 BY NY WINA ADELINA L 0 27-Apr-18 BY

371 Baru 01-02-28-24 26-Apr-18 RI20180426-0016 YUDI L 30 30-Apr-18 VIP
372 Baru 01-02-28-35 26-Apr-18 RI20180426-0017 ABDUL ROJAK L 26 29-Apr-18 3
373 Lama 01-01-54-51 26-Apr-18 RI20180427-0001 HADIJAH P 56 30-Apr-18 3
374 Baru 01-02-28-37 27-Apr-18 RI20180427-0002 MIA SUMIATI P 25 29-Apr-18 3
375 Baru 01-02-28-38 27-Apr-18 RI20180427-0003 SAKILA P 36 28-Apr-18 3
376 Baru 01-02-27-36 27-Apr-18 RI20180427-0004 ISWATI P 40 29-Apr-18 2
377 Baru 01-02-28-45 27-Apr-18 RI20180427-0005 TUTI MERIANI P 32 29-Apr-18 3
379 Baru 01-02-28-46 27-Apr-18 RI20180427-0007 BY NY MIA SUMIATI L 0 29-Apr-18 BY
380 Baru 01-02-28-44 27-Apr-18 RI20180427-0008 SARI P 71 30-Apr-18 3
381 Baru 01-02-28-43 27-Apr-18 RI20180427-0009 MILA P 86 29-Apr-18 3
382 Baru 01-02-28-49 27-Apr-18 RI20180427-0010 BY NY TUTI MERIANI P 0 29-Apr-18 BY
383 Baru 01-02-28-52 27-Apr-18 RI20180427-0011 BY NY ISWATI L 0 29-Apr-18 BY
384 Lama 01-01-71-43 27-Apr-18 RI20180427-0013 JULIANDRO CHANDRA L 1 29-Apr-18 3
385 Baru 01-02-28-56 27-Apr-18 RI20180427-0014 NURHARTATI P 25 29-Apr-18 3
386 Baru 01-02-28-60 27-Apr-18 RI20180427-0015 NURHASANAH P 34 29-Apr-18 3
387 Lama 00-00-91-97 27-Apr-18 RI20180427-0016 EKA WARDANI P 38 29-Apr-18 3
388 Baru 01-02-28-66 27-Apr-18 RI20180427-0017 BY NY NURHASANAH L 0 29-Apr-18 BY
389 Baru 01-02-28-67 27-Apr-18 RI20180427-0018 BY NY NURHARTATI P 0 29-Apr-18 BY
390 Lama 01-01-85-67 28-Apr-18 RI20180428-0001 DITA ARIFIYANTI P 22 29-Apr-18 3
392 Baru 01-02-28-42 28-Apr-18 RI20180428-0003 SUSANTI P 28 30-Apr-18 1
394 Baru 01-02-03-44 28-Apr-18 RI20180428-0005 SUHENI P 29 30-Apr-18 2
396 Baru 01-02-28-86 28-Apr-18 RI20180428-0007 BY NY SUSANTI L 0 30-Apr-18 BY
397 Baru 01-02-28-85 28-Apr-18 RI20180428-0008 MUHAMMAD FAQIH ALKAHPI L 1 30-Apr-18 2
399 Lama 01-02-26-24 29-Apr-18 RI20180429-0001 ROHANI P 18 30-Apr-18 3
409 Baru 01-02-29-14 29-Apr-18 RI20180429-0011 BY NY SITI ASMANAH L 0 30-Apr-18 PERINA


06 (521-D)
ZZ089
ICU
(90902-01), III dr. Tities, Sp.PD 5 BPJS KESEHATAN MENINGGAL < 48 JAM
(521-C),
07 (90901-01)

06 (522-D)
06 (522-B)
LT005
III (526-B), ICU dr. Juliawaty Salim, Sp. A 6 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (526-B)
ZZ089
07 (90902-01)
LT005
04 (518)
LT005
II (509 B), dr. Martin Winardi, Sp.PD 4 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
05 (527-A)
LT005
06 (523-A)
LT005
08 (520)
04 (599-B)
06 (521-B)
LT005
II (527-A), dr. Andre, Sp.S 3 PRIBADI DIIZINKAN PULANG
05 (527-B)
06 (526-C)
09 (201-E)
05 (528-B)
LT005
II (508 A), dr. Hari Santoso, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509 B)
09 (201-A)
ZZ089
III (526-D), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
07 (90901-01)
LT005
II (509-A), dr. Hari Santoso, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (509 B)
06 (526-A)
09 (201-B)
LT005
II (528-A), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
05 (508 A)
06 (521-C)
04 (507)
LT005
III (521-E), III dr. Tjhin Sun Fu, Sp.B 4 BPJS KESEHATAN DIIZINKAN PULANG
(523-D),
06 (521-D)
LT005
III (523-B), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-A)
LT005
I (516), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
04 (517)
LT005
III (523-C), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)
LT005
III (526-D), II
(527-B), II (527- dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
A),
06 (526-B)
ZZ088 dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-C)
LT005
ISOLASI (520), I dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(516),
05 (528-B)
LT005
06 (521-A)
LT005
III (521-A), I dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(599-B),
06 (521-C)
LT005
II (527-A), I (599- dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
C),
05 (527-B)
02 (501)

05 (508 B)
LT005
I (599-A), III dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(521-E),
06 (521-E)
LT005
I (507), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (525)
LT005
III (522-A), III dr. Tities, Sp.PD 6 BPJS KESEHATAN DIIZINKAN PULANG
(522-C),
06 (522-D)
LT005
III (526-C), I
(599-B),
II (508 A), III dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
(526-B), II (508
A), III (526-D),
06 (526-C)
LT005
III (523-A), III
(523-D), III (523- dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
C), I (599-F),
06 (523-C)
LT005
I (599-B), II (508 dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
A), I (598-A),
05 (527-A)
LT005
III (522-B), dr. Tjhin Sun Fu, Sp.B 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)
LT005
II (509-A), dr. James Widjaja, Sp.A 2 PRIBADI BELUM SEMBUH
05 (509 B)
LT005
06 (523-D) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088 dr. James Widjaja, Sp.A 3 PRIBADI DIIZINKAN PULANG

09 (201-D)
LT005
06 (521-B)
LT005
06 (521-A)
09 (201-E)
LT005
I (599-C), III dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
(521-A),
04 (516)
10 (PERI001-B)
LT005
II (509 B), dr. Johny Setio, Sp.OG 4 PRIBADI DIIZINKAN PULANG
04 (507)
LT005
02 (505)

06 (523-A)
ZZ086
RUANG BAYI dr. James Widjaja, Sp.A 3 PRIBADI BELUM SEMBUH
(201-A),
10 (PERI001-A)
LT005
I (599-C), dr. James Widjaja, Sp.A 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
ZZ089 dr. Andre, Sp.S 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01)
LT005 dr. Johny Setio, Sp.OG 1 PRIBADI TIDAK SEMBUH
02 (503)
LT005
III (521-B), I dr. Tities, Sp.PD 2 PRIBADI DIIZINKAN PULANG
(599-E),
05 (508 A)
LT005
I (599-D), dr. Tities, Sp.PD 6 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-D)
10 (PERI001-C)
LT005
I (599-F), III dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
(521-C),
06 (521-B)
LT005
III (526-A), II
(509-A), ICU(4-6) dr. James Widjaja, Sp.A 7 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
06 (526-C)
LT005
III (526-A), III dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
(526-C),
06 (526-B)
LT005 dr. James Widjaja, Sp.A 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
04 (598-A)

02 (505)
LT005
05 (528-B)

06 (523-B)
LT005
II (509-A), dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-A)
09 (201-F)

05 (509 B)

09 (201-G)
LT005
I (599-A), II (508 dr. Tities, Sp.PD 1 BPJS KESEHATAN BELUM SEMBUH
B),
06 (521-E)

06 (523-A)

06 (522-C)
LT005
ICU
dr. Juliawaty Salim, Sp. A 4 PRIBADI DIIZINKAN PULANG
(90901-01),
04 (518)
LT005
II (508 B), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-B)
LT005
05 (527-B)
05 (509-A)

06 (522-E)
LT005
III (526-B), dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)
LT005
II (508 A), dr. Johny Setio, Sp.OGI 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (507)

06 (523-C)
06 (521-C)
LT005
04 (525)
LT005
(522-B),
06 (522-A)
09 (201-A)

10 (PERI001-D)

09 (201-B)
LT005
II (508 A), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)
LT005
III (521-E), dr. Tities, Sp.PD 5 PRIBADI DIIZINKAN PULANG
06 (521-C)

06 (522-A)
LT005
06 (526-B)

08 (520)
LT005 dr. Martin Winardi, Sp.PD 4 PT.ASURANSI JIWA MANULIFE DIIZINKAN PULANG
02 (505)

04 (517)
ZZ089 dr. Juliawaty Salim, Sp. A 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
06 (522-D)
LT005
III (522-E), I dr. Andre, Sp.S 6 BPJS KESEHATAN DIIZINKAN PULANG
(599-C),
06 (522-D)
LT005
05 (509 B)

06 (523-A)

09 (201-C)
09 (201-D)
LT005
ICU dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (522-C)
LT005
(522-D),
06 (522-E)
05 (508 A)
LT005
06 (526-D)
LT005
III (522-B), dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-C)
04 (507)

05 (509-A)

04 (599-A)
LT005
I (525), dr. Tities, Sp.PD 4 PRIBADI DIIZINKAN PULANG
02 (519-A)
04 (599-B)

04 (518)

04 (599-C)

06 (523-B)

09 (201-E)
ZZ086
RUANG BAYI dr. Juliawaty Salim, Sp. A 2 BPJS KESEHATAN MENINGGAL < 48 JAM
(201-F),
10 (PERI001-A)

06 (523-C)
05 (510-A)
LT005
02 (503)

06 (523-D)
ZZ086 dr. Juliawaty Salim, Sp. A 2 BPJS KESEHATAN MENINGGAL < 48 JAM
10 (PERI001-B)
09 (201-A)
04 (599-D)
06 (522-B)
LT005
II (527-A), II (508 dr. Johny Setio, Sp.OG 5 BPJS KESEHATAN DIIZINKAN PULANG
A),
05 (508 B)
LT005
06 (521-C)
04 (517)
LT005
05 (509 B)

06 (522-A)
LT005
06 (521-B) dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (523-A)

09 (201-B)

06 (521-D)

09 (201-C)
LT005
06 (523-B)

05 (509-A)
LT005
III (526-A), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-C)
04 (507)
LT005
III (523-D), II dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
(527-B),
06 (523-D)
09 (201-F)
09 (201-D)
LT005
02 (502)
LT005
I (599-A),
05 (508 B)
05 (528-A)
LT005 dr. Juliawaty Salim, Sp. A 1 BPJS KESEHATAN BELUM SEMBUH

04 (598-A)
LT005
I (599-B), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (516)
LT005
I (599-B), III dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
(523-C),
05 (509 B)
LT005
I (599-C), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)
LT005
I (599-E), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
LT005
05 (527-B)

06 (521-A)
LT005
II (508 B), dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (518)

09 (201-E)
LT005
I (599-G), II (508 dr. Hari Santoso, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
B),
06 (523-B)
LT005
III (526-A), III dr. Juliawaty Salim, Sp. A 7 BPJS KESEHATAN DIIZINKAN PULANG
(526-B),
04 (525)
ZZ088
09 (201-G) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (522-A) dr. Martin Winardi, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-H) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-I) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
ZZ088
09 (201-J) dr. Johny Setio, Sp.OG 2 PRIBADI MENINGGAL < 48 JAM
ZZ088
09 (201-K) dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
ICU dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (521-B)
LT005
05 (528-B)
08 (520)
09 (201-L)
LT005
III (521-D), I dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
(598-A),
06 (521-C)
06 (522-C)

06 (521-E)
LT005
02 (505)
04 (598-A)
LT005
06 (523-A)
LT005
I (599-A), dr. Evy Asali, Sp.OG 2 PRIBADI DIIZINKAN PULANG
05 (508 A)

09 (201-A)

06 (523-D)

06 (522-D)
LT005
I (599-C), III dr. Martin Winardi, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
(522-E),
04 (507)
LT005
05 (509-A)

09 (201-M)

05 (528-A)
ZZ086
(201-N),
10 (PERI001-A)
04 (599-B)
06 (521-C)
LT005
06 (523-C)

06 (522-B)

04 (507)
LT005
I (516), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (525)

09 (201-N)

09 (201-O)
ZZ089 dr. Martin Winardi, Sp.PD 2 PRIBADI TIDAK SEMBUH

07 (90901-01)

04 (599-D)
06 (522-A)

06 (521-E)

06 (523-B)

06 (522-C)

09 (201-B)

02 (502)
LT005
ICU
(90901-01), I dr. Martin Winardi, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
(598-A),
II (527-B),
06 (521-A)
05 (527-A)

06 (522-E)

04 (516)

06 (521-B)
LT005
VIP (503), VIP dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
(505),
05 (510-A)
LT005
II (509-A), II (509 dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
B),
04 (599-J)
LT005
06 (521-D)
LT005
II (527-B), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-E)
LT005
II (508 A), II (508 dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
B),
05 (527-B)
LT005
II (508 B), I dr. Martin Winardi, Sp.PD 3 PRIBADI DIIZINKAN PULANG
(517),
05 (508 A)

06 (522-B)

09 (201-C)
LT005
ICU dr. Andre, Sp.S 5 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
02 (502)
LT005 dr. James Widjaja, Sp.A 2 PRIBADI DIIZINKAN PULANG

06 (526-A)

06 (522-D)
LT005
VIP (503), II dr. Johny Setio, Sp.OG 4 PRIBADI DIIZINKAN PULANG
(510-B),
02 (505)
LT005
05 (508 A)
09 (201-D)

06 (523-A)
04 (517)
LT005
VIP (505), dr. Tities, Sp.PD 2 PRIBADI DIIZINKAN PULANG
02 (503)
06 (526-B)
04 (599-A)

06 (522-D)

06 (526-C)

06 (523-C)
LT005
VIP (502), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)

09 (201-E)

06 (526-D)

04 (599-B)

06 (523-D)

09 (201-A)

06 (523-B)

04 (599-C)

04 (599-E)

04 (599-F)
ZZ089
07 (90902-01)

10 (PERI001-A)
LT005
I (599-B), dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)

04 (599-G)
06 (521-B)
06 (522-D)

09 (201-F)
04 (599-H)

05 (509 B)

09 (201-G)

04 (599-I)

04 (599-B)

05 (509-A)
LT005
06 (523-A)
LT005
I (599-D), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)
LT005
III (521-D), dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)

09 (201-H)

09 (201-B)

04 (525)
LT005
I (599-G), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)

04 (518)
ZZ089 dr. Tities, Sp.PD 9 PRIBADI DIIZINKAN PULANG

07 (90901-01)

09 (201-I)

09 (201-A)
LT005
II (508 A), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
02 (502)
LT005
I (599-C), dr. James Widjaja, Sp.A 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
LT005
III (523-A), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (509 B)

09 (201-E)

09 (201-J)
04 (599-E)
LT005
I (599-H), dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-I)

09 (201-C)
LT005
I (599-J), dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)

04 (599-K)

04 (599-L)

04 (599-A)
LT005
05 (508 A)

10 (PERI001-B)
LT005
04 (599-C)

10 (PERI001-C)
LT005
06 (521-C)
LT005
04 (507)
LT005
I (599-E), dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)
LT005
II (508 B), I dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(507),
04 (517)

06 (526-B)

04 (599-F)
LT005
I (599-G), dr. Johny Setio, Sp.OG 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (509 B)

04 (599-A)

04 (599-H)

09 (201-D)
LT005
I (599-B), dr. Andre, Sp.S 5 BPJS KESEHATAN DIIZINKAN PULANG
02 (503)
LT005
I (599-I), ICU
(90901-01), III dr. Johny Setio, Sp.OG 6 BPJS KESEHATAN DIIZINKAN PULANG
(523-B),
I (598-A),
06 (523-A)
ZZ086
(201-F),
10 (PERI001-B)
10 (PERI001-D)

09 (201-G)
LT005
05 (508 B)

06 (523-C)
LT005
III (523-D), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (516)
LT005
III (522-A), ICU
(90902-01), ICU dr. Martin Winardi, Sp.PD 6 PRIBADI DIIZINKAN PULANG
(90902-01),
05 (510-A)
09 (201-K)
LT005
06 (523-D)

09 (201-L)

09 (201-M)

09 (201-A)
LT005
II (510-A), ICU dr. James Widjaja, Sp.A 6 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
05 (509-A)

04 (518)

06 (521-A)
LT005
05 (508 A)

06 (526-A)

06 (523-B)
LT005
II (508 A), I (599- dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
A),
05 (509-A)

09 (201-B)

09 (201-C)
LT005 dr. Juliawaty Salim, Sp. A 2 PRIBADI MEMBAIK

06 (526-D)
LT005
III (522-E), dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-C)
LT005
04 (599-B)
LT005
II (510-A), dr. Tities, Sp.PD 3 PRIBADI DIIZINKAN PULANG
05 (528-B)
05 (528-A)

06 (522-B)

06 (521-B)

06 (522-E)

04 (507)

06 (521-D)

06 (521-E)

04 (599-A)
04 (517)

04 (599-D)
LT005
I (599-E), dr. Tjhin Sun Fu, Sp.B 3 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)

04 (599-F)
ZZ089
III (526-B), dr. Juliawaty Salim, Sp. A 7 BPJS KESEHATAN DIIZINKAN PULANG
07 (90901-01)

06 (523-C)

04 (599-G)

04 (599-H)

09 (201-D)

06 (526-C)

09 (201-E)

06 (522-D)

06 (523-B)

09 (201-F)

04 (525)

06 (526-B)
04 (599-B)

09 (201-G)

06 (523-D)

04 (599-C)
05 (528-A)

04 (599-E)

04 (517)

09 (201-H)

09 (201-I)

09 (201-J)

09 (201-K)

04 (599-I)
1 PRIBADI BELUM SEMBUH

LT005 dr. Tities, Sp.PD
06 (521-A)
04 (599-A)
4 PRIBADI DIIZINKAN PULANG
ZZ088 dr. Arief Gunadi, Sp. A
09 (201-L)
ZZ088 dr. Juliawaty Salim, Sp. A
09 (201-M)
06 (523-A)
05 (527-A)
LT005 dr. Evy Asali, Sp.OG
04 (507)
LT005 dr. Martin Winardi, Sp.PD
04 (599-J)
04 (599-K)
3 PRIBADI BELUM SEMBUH
LT005 dr. James Widjaja, Sp.A
05 (509 B)
2 BPJS KESEHATAN MENINGGAL < 48 JAM
ZZ089 dr. Martin Winardi, Sp.PD
07 (90901-01)
ZZ088 dr. James Widjaja, Sp.A
09 (201-N)
ICU dr. James Widjaja, Sp.A
(90903-01),
06 (526-A)
09 (201-A)
5 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
02 (519-A)
06 (521-E)

III (522-A), dr. Martin Winardi, Sp.PD
08 (520)
06 (523-B)
06 (523-C)
05 (527-B)
04 (599-B)
09 (201-B)
III (522-B), II dr. Tities, Sp.PD
(528-A),
06 (522-D)
I (599-F), dr. Tities, Sp.PD
05 (509 B)
09 (201-E)
09 (201-C)
LT005 dr. James Widjaja, Sp.A
06 (526-B)
04 (599-G)
04 (599-L)
06 (523-D)
09 (201-D)
09 (201-F)

III (522-D), dr. Martin Winardi, Sp.PD
06 (522-E)
04 (507)
05 (508 B)
09 (201-G)
LT005 dr. Juliawaty Salim, Sp. A
05 (528-B)
04 (599-C)
10 (PERI001-C)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
BEDAH
SYARAF
ANAK
Acute appendicitis, unspecified

BEDAH (K35.9, 186, LAMA)
ANAK (J18.0, 169, LAMA)
ANAK (Z38.0, 295, LAMA)
007.0, LAMA), Pleural effusion, not
PENYAKIT DALAM elsewhere classified (J90, 179.3, LAMA), Hypo-osmolality and hyponatraemia
(E87.1, 111, LAMA)
Ge/Diare (A09.9,
005, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
PENYAKIT DALAM 104.1, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
PENYAKIT DALAM

(A49.9, 018, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, LAMA),
ANAK

ANAK (B34.9, 041, LAMA), Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
167, LAMA)
End-stage renal disease

(N18.0, 214.9, LAMA),
PENYAKIT DALAM Anaemia in chronic
diseases classified elsewhere (D63*,
098, LAMA)
ANAK

PENYAKIT DALAM (N39.0, 217, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK (J18.9, 169, LAMA)
ANAK
Anal abscess - Perianal abscess (K61.0, 192.9, LAMA),

Diabetes Melitus tidak tergantung
BEDAH insulin (E11,
104.1, LAMA)
ANAK
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Hypoglycaemia, unspecified
ANAK (E16.2, 111, LAMA), Singleton, born in
hospital
(Z38.0, 295, LAMA)
104.1, LAMA), Cellulitis
(L03, 198, LAMA), Chronic renal failure, unspecified
PENYAKIT DALAM (N18.9, 214.9,
LAMA),
Anaemia in chronic diseases classified elsewhere (D63*,
098, LAMA)
Pancreas, unspecified
PENYAKIT DALAM (C25.9, 064, LAMA)
ANAK (Z38.0, 295, LAMA)

ANAK
PENYAKIT DALAM
Abnormal uterine
& vaginal bleeding, unspecified (N93.9, 233, LAMA), Endometrial
OBSTETRI DAN GINEKOLOGI glandular hyperplasia
(N85.0, 233, LAMA)
ANAK
ANAK
SYARAF
PENYAKIT DALAM (K30, 189.9, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
DHF / DBD
PENYAKIT DALAM
ANAK
ANAK
ANAK

(N18.0, 214.9, LAMA),
PENYAKIT DALAM Anaemia in chronic diseases classified elsewhere (D63*,
098, LAMA)


Single live birth
(Z37.0, 298, LAMA)
Prem.rupt.of membran,onset of lab.within 24 hours (O42.0, 239.2, LAMA),

OBSTETRI DAN GINEKOLOGI Anaemia, unspecified
(D64.9, 098, LAMA)
ANAK (Z38.0, 295, LAMA)
Placenta praevia (O44, 238.0, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)

(N18.0, 214.9, LAMA),
PENYAKIT DALAM Hypo-osmolality and
hyponatraemia (E87.1, 111, LAMA), Acute hep. B without delta-agent&wit hout hepc coma (B16.9,
037, LAMA)
Severe
OBSTETRI DAN GINEKOLOGI pre-eclampsia (O14.1, 237.0, LAMA)
Stroke, not specified as haemorrhage or infarction (I64, 155, LAMA),

SYARAF insulin (E11,
104.1, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
(J18.0, 169, LAMA), Tuber.of lung,confir.by sputum microscopy culture (A15.0,
ANAK 007.0, LAMA), Kwashiorkor
(E40, 105, LAMA), Anaemia, unspecified
(D64.9, 098, LAMA)
PENYAKIT DALAM

PENYAKIT DALAM (N39.0, 217, LAMA), Headache - Facial pain NOS
(R51, 270.9, LAMA)
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Dyspepsia - Indigestion

PENYAKIT DALAM (K30, 189.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
ANAK

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA), Leiomyoma of uterus, unspecified (D25.9, 092, LAMA)

Malignant neoplasm of uterus, part unspecified (C55,

075.9, LAMA), Ascites - Fluid in
PENYAKIT DALAM peritoneal cavity (R18, 270.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
(B34.9, 041, LAMA), Ispa/Acute upper respiratory infection,
167, LAMA)

007.0, LAMA), Pleural effusion, not
PENYAKIT DALAM elsewhere classified
(J90, 179.3, LAMA)
PENYAKIT DALAM

(B34.9, 041, LAMA), Other lack of expected norm.physiologi.dev elopment (R62.8,
270.9, LAMA), Ge/Diare (A09.9,
ANAK 005, LAMA),
165.0, LAMA)
PENYAKIT DALAM
Gastrooesophageal reflux disease with oesophagitis (K21.0,
185.9, LAMA), Oesophagitis -
Abscess of oesophagus
PENYAKIT DALAM (K20, 185.9, LAMA), Chronic atrophic
gastritis - Gastric atrophy (K29.4,
189.9, LAMA)

(N39.0, 217, LAMA), Hypertension - High
(I10, 145, LAMA)
ANAK
SYARAF

SYARAF insulin (E11,
(I10, 145, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK
ANAK
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Urinary tract infection, site not specified
PENYAKIT DALAM (N39.0, 217, LAMA), Chronic renal failure (N18, 214.9, LAMA)

Ge/Diare (A09.9,
ANAK 005, LAMA)
ANAK
Ge/Diare (A09.9,
PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK

OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
Ge/Diare (A09.9,

Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Acute pharyngitis - Includes: acute
ANAK sore throat (J02,
165.0, LAMA)
Hyperemesis gravidarum with metabolic disturbance (O21.1,

242.9, LAMA), Delivery by caesarean section, unspecified
Single live birth
(Z37.0, 298, LAMA)
Lab.& delivery comp. by fetal stress, unspecified (O68.9, 242.2, LAMA),

Single live birth
(Z37.0, 298, LAMA)

ANAK (Z38.0, 295, LAMA)
ANAK

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single live birth (Z37.0, 298, LAMA), Myopia
(H52.1, 137, LAMA)
PENYAKIT DALAM

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Other appendicitis (K36, 186, LAMA), Single live birth
(Z37.0, 298, LAMA)

OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
ANAK
ANAK
Morbus Hansen - Leprosy, unspecified (A30.9, 011, LAMA), Hypertension - High blood pressure
PENYAKIT DALAM (I10, 145, LAMA)
OBSTETRI DAN GINEKOLOGI Maternal care for intrauterine death (O36.4, 239.9, LAMA)
PENYAKIT DALAM
ANAK


SYARAF (H81.4, 142.9, LAMA), Hypoglycaemia,
unspecified
(E16.2, 111, LAMA)
BEDAH
Other assisted breech delivery (O83.1, 242.9, LAMA),

Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM (B34.9, 041, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK (Z38.0, 295, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)

(O42.9, 239.2, LAMA),
Maternal care for
excessive fetal growth
OBSTETRI DAN GINEKOLOGI caesarean section, unspecified
(O82.9, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
PENYAKIT DALAM Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)

ANAK
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM (Z38.0, 295, LAMA)

ANAK
ANAK

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Maternal care for malpresent.of fetus,unspecified (O32.9, 239.9, LAMA),

unspecified
Single live birth
(Z37.0, 298, LAMA)

unspecified
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM

(O42.9, 239.2, LAMA),
Obst.lab.due to malposition & malpresent,unspec. (O64.9, 240, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)

ANAK (Z38.0, 295, LAMA)
Febrile convulsions (R56.0, 270.3, LAMA),

Varicella / Cacar air
(B01, 034, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, BARU), Other lack of
expected
norm.physiologi.dev elopment (R62.8,
270.9, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
Fetal death of unspecified cause - Stillbirth NOS (P95,
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
4-Aminophenol derivatives
(T39.1, 284, LAMA), Chronic renal failure, unspecified
(N18.9, 214.9, LAMA),
PENYAKIT DALAM Hypertension - High
blood pressure (I10, 145, BARU), Diabetes Melitus tidak tergantung insulin (E11,
104.1, BARU)
Chronic obstructive pulmonary disease, unspecified (J44.9,

Ge/Diare (A09.9,
PENYAKIT DALAM 005, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
104.1, LAMA)

Single live birth
(Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
Maternal care for excessive fetal growth
(O36.6, 239.9, LAMA),
LAMA),
Single live birth
Diabetes Melitus
(Z37.0, 298, tidak tergantung insulin
LAMA) (E11,
104.1, LAMA), Hypertension - High
PENYAKIT DALAM blood pressure (I10, 145, BARU), Dyspepsia - Indigestion
(K30, 189.9, BARU)
PENYAKIT DALAM
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
Headache - Facial pain NOS

SYARAF (R51, 270.9,
Transient LAMA) of newborn
tachypnoea
(P22.1, 249, LAMA), Physiological jaundice (intense)
(prolonged) NOS (P59.9, 253.9, LAMA),
Delivery by
ANAK caesarean section, unspecified
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0,
Soft 298,disorder,
tissue LAMA) unspecified
BEDAH (M79.9, 207.9, LAMA)
Soft tissue disorder, unspecified

BEDAH (M79.9, 207.9, LAMA)
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM 167, LAMA), Hypertension - High
blood pressure (I10, 145, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM

(N39.0, 217, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
PENYAKIT DALAM
PENYAKIT DALAM
Gestat.
OBSTETRI DAN GINEKOLOGI (O13, 237.9, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM
(Z38.0, 295, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
(K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LAMA),
(I10, 145, LAMA)
PENYAKIT DALAM
ANAK
SYARAF
ANAK
PENYAKIT DALAM

ANAK
BEDAH
BEDAH
BEDAH
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
Endometriosis, unspecified
OBSTETRI DAN GINEKOLOGI (N80.9, 227, LAMA)
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
BEDAH
PENYAKIT DALAM
ANAK
BEDAH
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
Enterostenosis - Obstructive ileus

PENYAKIT DALAM NOS (K56.6,
190, LAMA)
Ectopic pregnancy
PENYAKIT DALAM
PENYAKIT DALAM
Ispa/Acute upper respiratory infection,
167, LAMA), Ge/Diare (A09.9,
005, LAMA), Bacterial infection, unspecified
Lab.&
(A49.9, 018,delivery
LAMA) comp. by fetal stress, unspecified (O68.9, 242.2, LAMA),
Single live birth
(Z37.0, 298, LAMA)

Ectopic pregnancy
ANAK (Z38.0, 295, LAMA)
SYARAF
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense)
(prolonged) NOS (P59.9, 253.9, LAMA),
ANAK Singleton, born in hospital
(Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
ANAK

Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK

(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK (Z38.0, 295, LAMA), Need for immunization against
viral hepatitis (Z24.6, 292.6, LAMA)
ANAK
Foreign body in ear - Auditory canal

BEDAH (T16, 282.0, LAMA)

BEDAH (M79.9, 207.9, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
Other appendicitis
PENYAKIT DALAM
BEDAH
ANAK
PENYAKIT DALAM
ANAK
ANAK
ANAK
PENYAKIT DALAM
ANAK
ANAK
BEDAH
ANAK
BEDAH
ANAK
ANAK
ANAK
ANAK
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)

PENYAKIT DALAM

Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
Ge/Diare (A09.9,
ANAK 005, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
ANAK

ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
Gestat.
OBSTETRI DAN GINEKOLOGI [preg.-ind.]hypert without sig.proteinuria
unspecified (O82.9, 242.9, LAMA),
Single live birth
OBSTETRI DAN GINEKOLOGI (Z37.0, 298, LAMA)

OBSTETRI DAN GINEKOLOGI (O36.6, 239.9, LAMA), Delivery by
(O82.9, 242.9, LAMA),
Single live birth
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM

ANAK (O82.9, 242.9, LAMA),
(Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK

(O82.9, 242.9,
Delivery
LAMA), by caesarean section, unspecified
Single live birthLAMA),
Single
(Z37.0,live
298,birth
LAMA)
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM
ANAK
ANAK
ANAK
Dirujuk Ke
Periode : MEI - 2018
∑= 32
Umur
Kode Ruang Rawat
01 Lama 01-01-88-57 21-Apr-18 RI20180421-0002 HAJATI P 67 2-May-18 ICU
02 Lama 01-01-39-76 23-Apr-18 RI20180423-0005 SUTINAH P 53 3-May-18 3
03 Baru 01-02-27-72 25-Apr-18 RI20180425-0008 JAJA L 35 2-May-18 3
04 Baru 01-02-28-14 26-Apr-18 RI20180426-0007 JAJAD L 41 3-May-18 ICU
05 Baru 01-02-28-06 26-Apr-18 RI20180426-0008 MOH TAMRIN LUBIS L 70 3-May-18 3
06 Baru 01-02-28-40 27-Apr-18 RI20180427-0006 UMAMAH P 58 1-May-18 3
07 Baru 01-02-28-74 28-Apr-18 RI20180428-0002 SUKINI MANIK P 53 3-May-18 1
08 Lama 01-02-25-46 28-Apr-18 RI20180428-0004 BY NY EVA MARIANA L 0 1-May-18 PERINA
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222 Baru 01-02-33-93 14-May-18 RI20180514-0008 MUHAMMAD REZKY TIRTA ADJI L 6 16-May-18 2
223 Baru 01-02-33-99 14-May-18 RI20180514-0009 BY NY EDAH JUBAEDAH L 0 17-May-18 BY
224 Baru 01-02-33-96 14-May-18 RI20180514-0010 RESKA BALQIS APRILIYAN P 0 15-May-18 3
225 Baru 01-02-34-05 14-May-18 RI20180514-0011 MUTIA KHAIRUNISA P 21 16-May-18 3
226 Baru 01-02-34-03 14-May-18 RI20180514-0012 RANI PRINGGASARI P 20 17-May-18 3
227 Baru 01-02-34-02 14-May-18 RI20180514-0013 KHANHA FARAZ RAUFA L 1 16-May-18 3
228 Baru 01-02-34-06 14-May-18 RI20180514-0014 MUHAMMAD DIKA L 8 17-May-18 3

229 Baru 01-02-32-89 14-May-18 RI20180514-0015 SARTONO L 41 17-May-18 2
230 Baru 01-02-34-09 15-May-18 RI20180515-0001 CECEP L 43 15-May-18 ICU
231 Baru 01-02-34-12 15-May-18 RI20180515-0002 MIMIN P 52 16-May-18 3
232 Baru 01-02-34-13 15-May-18 RI20180515-0003 ELLEA AISYAH HALIM P 1 24-May-18 VIP
233 Baru 01-02-34-14 15-May-18 RI20180515-0004 RUSMALA P 36 16-May-18 3
234 Baru 01-02-34-15 15-May-18 RI20180515-0005 FAISAL L 3 17-May-18 2
235 Baru 01-01-82-41 15-May-18 RI20180515-0006 ERAWATI MUSIKA P 32 17-May-18 2
236 Baru 01-02-34-40 15-May-18 RI20180515-0007 BY NY ERAWATI MUSIKA P 0 17-May-18 BY
237 Baru 01-02-29-57 15-May-18 RI20180515-0008 RINI HARYANTI P 21 16-May-18 2
238 Baru 01-02-34-41 15-May-18 RI20180515-0009 NATHALIA P 4 17-May-18 3
239 Lama 01-02-24-52 15-May-18 RI20180515-0010 TRI PARJIATI P 35 20-May-18 3
240 Baru 01-01-96-56 15-May-18 RI20180515-0011 DWI ANJARWANI P 22 17-May-18 3
241 Baru 01-02-34-43 15-May-18 RI20180515-0012 RINA KURNIAWATI P 28 16-May-18 3
242 Baru 01-02-13-58 15-May-18 RI20180515-0013 HEVIE P 42 17-May-18 3
243 Baru 01-02-34-45 15-May-18 RI20180515-0014 BY NY DWI ANJARWANI L 0 18-May-18 BY
244 Baru 01-02-34-46 15-May-18 RI20180515-0015 DWI NURHASANAH P 29 17-May-18 3
245 Baru 01-02-34-47 15-May-18 RI20180515-0016 DZAKY HAIDAR ATMANTO L 1 18-May-18 2
246 Baru 01-02-34-49 15-May-18 RI20180515-0017 NURHASANAH P 31 17-May-18 3
247 Baru 01-02-34-52 15-May-18 RI20180515-0018 BY NY DWI NURHASANAH L 0 17-May-18 PERINA
248 Baru 01-02-34-54 16-May-18 RI20180516-0001 BY NY HEVIE L 0 17-May-18 BY
249 Baru 01-02-30-80 16-May-18 RI20180516-0002 SANTI P 33 16-May-18 3
250 Baru 01-02-34-55 16-May-18 RI20180516-0003 MUHAMAD LUTHFI DARMAWAN L 12 18-May-18 3
251 Baru 01-02-04-33 16-May-18 RI20180516-0004 IRWAN SETIAWAN P 71 17-May-18 3
252 Lama 01-01-16-05 16-May-18 RI20180516-0005 CICIH KURNIASIH P 23 16-May-18 3
253 Baru 01-02-34-61 16-May-18 RI20180516-0006 AIZZAH P 41 19-May-18 2
254 Baru 01-02-34-59 16-May-18 RI20180516-0007 BY NY ARIS SETIANI P 0 17-May-18 PERINA
255 Baru 01-02-34-69 16-May-18 RI20180516-0008 AJAT SURYANA L 32 20-May-18 3
256 Baru 01-02-34-68 16-May-18 RI20180516-0009 SISKA DEWI P 36 17-May-18 3
257 Baru 01-02-34-70 16-May-18 RI20180516-0010 NIZAM PUTRA PRATAMA L 4 18-May-18 2

258 Baru 01-02-34-73 16-May-18 RI20180516-0011 RISKA AMELIA P 18 17-May-18 3
259 Baru 01-02-26-89 16-May-18 RI20180516-0012 WARDI BIN SARNAN L 58 17-May-18 3
260 Lama 01-02-34-43 16-May-18 RI20180516-0013 RINA KURNIAWATI P 28 19-May-18 3
261 Baru 01-02-34-76 16-May-18 RI20180516-0014 MAS AZKA MALIQUE HISYAM L 0 19-May-18 BY
262 Baru 01-02-34-78 16-May-18 RI20180516-0015 KHOIRIN NASIFA P 3 19-May-18 2
263 Baru 01-02-34-79 16-May-18 RI20180516-0016 CATUR YULIANTO L 26 17-May-18 3
264 Baru 01-02-34-80 16-May-18 RI20180516-0017 MAESAROH P 34 17-May-18 3
265 Baru 01-02-34-50 16-May-18 RI20180515-0019 EKA SAPUTRA L 18 19-May-18 2
266 Lama 01-02-34-02 17-May-18 RI20180517-0001 KHANHA FARAZ RAUFA L 1 20-May-18 3
267 Baru 01-02-34-81 17-May-18 RI20180517-0002 PARNO BAGONG L 72 19-May-18 3
268 Baru 01-02-34-88 17-May-18 RI20180517-0003 FARRAH AISYAH SALSABILLA P 7 19-May-18 VIP
269 Baru 01-02-26-87 17-May-18 RI20180517-0004 ACHMAD SODIK L 30 19-May-18 VIP
270 Lama 01-02-31-17 17-May-18 RI20180517-0005 BY NY JULIATY P 0 20-May-18 PERINA
271 Lama 01-01-31-93 17-May-18 RI20180517-0006 DJIE MIANG TJUNG L 58 18-May-18 3
272 Baru 01-02-35-03 17-May-18 RI20180517-0007 KASINIH P 43 19-May-18 3
273 Baru 01-02-35-05 17-May-18 RI20180517-0008 WINDY ANTIKA P 45 19-May-18 3
274 Lama 01-02-03-34 17-May-18 RI20180517-0009 SITI MARHAMAH P 26 21-May-18 2
275 Baru 01-02-34-87 17-May-18 RI20180517-0010 TITIN ELMASARI P 37 20-May-18 3
276 Lama 01-02-30-73 17-May-18 RI20180517-0011 JONG TSE TJHONG L 82 18-May-18 3
277 Baru 01-02-34-77 18-May-18 RI20180517-0012 DIAJENG RORO GENDIS HESTAPURI L 3 20-May-18 3
278 Baru 01-02-35-17 18-May-18 RI20180518-0001 FITRI NURAINI P 26 20-May-18 3
279 Baru 01-02-34-28 18-May-18 RI20180518-0002 GUNAWAN L 35 19-May-18 3
280 Baru 01-02-35-19 18-May-18 RI20180518-0003 WIYANTI P 40 19-May-18 2
281 Baru 01-02-35-20 18-May-18 RI20180518-0004 KUSNI LEOMARDI P 77 19-May-18 ICU
282 Baru 01-02-28-29 18-May-18 RI20180518-0005 ELIN PARMILINA P 41 20-May-18 2
283 Baru 01-02-35-26 18-May-18 RI20180518-0006 BY NY FITRI NURAINI L 0 20-May-18 BY
284 Baru 01-02-35-23 18-May-18 RI20180518-0007 MUHAMAD NUR L 52 24-May-18 3
285 Lama 01-02-32-80 18-May-18 RI20180518-0008 BY NY INDRI RAHMAWATI L 0 19-May-18 PERINA
286 Lama 01-01-28-70 18-May-18 RI20180518-0009 MUCHAMMAD GHAVIN JO AL GH L 1 21-May-18 3

287 Lama 01-01-42-46 18-May-18 RI20180518-0010 FARHAN L 2 20-May-18 3
288 Baru 01-02-35-34 18-May-18 RI20180518-0011 MARSELA BABY JAYANTARA P 0 20-May-18 BY
289 Baru 01-02-35-36 18-May-18 RI20180518-0012 ZAINUDIN L 34 20-May-18 3
290 Lama 01-01-17-39 18-May-18 RI20180518-0013 GOUW EN NIE P 70 19-May-18 1
291 Baru 01-02-35-37 18-May-18 RI20180518-0014 RASIWEN P 55 20-May-18 3
292 Baru 01-02-35-43 18-May-18 RI20180518-0015 SITI JULAEHA P 30 25-May-18 2
293 Baru 01-02-34-94 19-May-18 RI20180519-0001 NYI JUMRAH ARDIMAN P 80 22-May-18 3
294 Baru 01-02-35-45 19-May-18 RI20180519-0002 TJONG BUY LIM L 56 22-May-18 1
295 Lama 01-02-21-42 19-May-18 RI20180519-0003 SUPARIYEM P 40 20-May-18 3
296 Baru 01-02-35-08 19-May-18 RI20180519-0004 ALVANI INDAH SARI P 19 21-May-18 3
297 Baru 00-00-64-40 19-May-18 RI20180519-0005 GIOK LEE P 64 22-May-18 1
298 Baru 01-02-35-53 19-May-18 RI20180519-0006 SRI HARYATI P 21 21-May-18 3
299 Baru 01-02-35-55 19-May-18 RI20180519-0007 MARINA P 38 22-May-18 3
300 Baru 01-02-35-48 19-May-18 RI20180519-0008 SALSABILA PUTRI RIFANAH P 5 21-May-18 3
301 Baru 01-02-35-62 19-May-18 RI20180519-0009 BY NY MARINA P 0 22-May-18 BY
302 Baru 01-02-35-60 19-May-18 RI20180519-0010 AULIYA SHAZIA AZURAH P 3 21-May-18 2
303 Baru 01-02-35-63 19-May-18 RI20180519-0011 ALUN RIMADHOTI P 21 21-May-18 3
304 Lama 01-02-11-87 19-May-18 RI20180519-0012 ANG TJUIN NIO P 66 24-May-18 3
305 Baru 01-02-35-64 19-May-18 RI20180519-0013 BY NY ALUN RIMADHOTI P 0 21-May-18 BY
306 Baru 01-02-35-65 19-May-18 RI20180519-0014 SUMARJONO L 63 24-May-18 3
307 Lama 00-00-80-33 20-May-18 RI20180520-0001 DAMAR MIKAIL DANADYAKSA L 4 26-May-18 2
308 Baru 01-02-35-75 20-May-18 RI20180520-0002 ADZKIYYAH SOPIATUN P 1 23-May-18 3
309 Baru 01-01-65-17 20-May-18 RI20180520-0003 IRIN BUDI SETIAWAN L 29 23-May-18 3
310 Baru 01-02-35-77 20-May-18 RI20180520-0004 UMINAH P 59 24-May-18 ISO
311 Baru 01-02-35-81 20-May-18 RI20180520-0005 SUSMIATI P 59 24-May-18 3
312 Baru 01-02-35-82 20-May-18 RI20180520-0006 FIRDOS BAYU SAPUTRA L 18 23-May-18 3
313 Baru 01-02-35-47 20-May-18 RI20180520-0007 SUHARNO L 48 22-May-18 3
314 Baru 01-02-26-41 20-May-18 RI20180520-0008 RUSTIAN APRIANI P 25 23-May-18 1
315 Baru 01-02-35-83 21-May-18 RI20180521-0001 TALEN L 61 27-May-18 3

316 Lama 00-00-76-20 21-May-18 RI20180521-0002 LILY P 29 22-May-18 2
317 Lama 01-02-08-32 21-May-18 RI20180521-0003 INDAH KURNIASARI P 33 24-May-18 3
318 Baru 01-02-35-93 21-May-18 RI20180521-0004 JANITRA RENGGANIS ANDHANARESWARI P 0 23-May-18 BY
319 Baru 01-02-35-31 21-May-18 RI20180521-0005 NINING SARINI P 33 22-May-18 3
320 Baru 01-02-35-99 21-May-18 RI20180521-0006 NINA INDAH SARI P 38 23-May-18 3
321 Baru 01-02-36-05 21-May-18 RI20180521-0007 HERFIH L 41 24-May-18 2
322 Baru 01-02-36-04 21-May-18 RI20180521-0008 JUWITA ANGGUN BERLIAN P 2 23-May-18 3
323 Baru 01-02-36-00 21-May-18 RI20180521-0009 SUMYRAH P 39 22-May-18 2
324 Lama 01-01-71-87 21-May-18 RI20180521-0010 SRI WURYANINGSIH P 37 22-May-18 2
325 Baru 01-02-35-24 21-May-18 RI20180521-0011 LENI FAJRI P 36 23-May-18 3
326 Baru 01-02-33-89 21-May-18 RI20180521-0012 OKTA SARI P 26 24-May-18 3
327 Lama 00-00-89-40 21-May-18 RI20180521-0013 KURNIYANTI P 29 24-May-18 3
328 Baru 01-02-36-18 21-May-18 RI20180521-0014 NUR KOMARIAH ST P 38 22-May-18 3
329 Baru 01-02-36-25 21-May-18 RI20180521-0015 ADITYA IRFANUL RAMADHAN L 0 24-May-18 BY
330 Baru 01-02-36-24 21-May-18 RI20180521-0016 SAHIB L 58 27-May-18 2
331 Baru 01-02-36-26 21-May-18 RI20180521-0017 BY NY LENI FAJRI L 0 23-May-18 BY
332 Baru 01-02-30-24 22-May-18 RI20180522-0001 SITI AMINAH P 31 24-May-18 3
333 Baru 01-02-20-55 22-May-18 RI20180522-0002 ASIH WULANDARI P 25 24-May-18 3
334 Baru 01-02-35-01 22-May-18 RI20180522-0003 ASEP AKEW L 41 23-May-18 3
335 Baru 01-02-36-29 22-May-18 RI20180522-0004 BY NY SITI AMINAH P 0 26-May-18 PERINA
336 Baru 01-02-34-30 22-May-18 RI20180522-0005 RAHAYU WIDODO L 43 23-May-18 3
337 Baru 01-02-36-30 22-May-18 RI20180522-0006 BY NY KURNIYANTI P 0 24-May-18 BY
338 Baru 01-02-36-15 22-May-18 RI20180522-0007 NURAENI P 32 24-May-18 3
339 Baru 01-02-36-42 22-May-18 RI20180522-0008 LUCKY SUKATWISANDJAJA L 42 26-May-18 VIP
340 Baru 01-02-36-45 22-May-18 RI20180522-0009 AMINAH P 21 26-May-18 3
341 Baru 01-02-36-48 22-May-18 RI20180522-0010 DIANA CAROLINE P 8 24-May-18 2
342 Lama 00-00-83-83 22-May-18 RI20180522-0011 ANASTASIA P 2 25-May-18 2
343 Lama 00-00-31-43 22-May-18 RI20180522-0012 M RODI L 58 24-May-18 1
344 Baru 01-02-36-60 22-May-18 RI20180522-0013 SUHAYATI P 33 24-May-18 3

345 Baru 01-02-36-63 22-May-18 RI20180522-0014 BY NY NURAENI P 0 24-May-18 BY
346 Baru 01-02-36-61 22-May-18 RI20180522-0015 TARSIH P 59 24-May-18 ICU
347 Baru 01-02-30-86 23-May-18 RI20180523-0001 DENI WATI P 26 25-May-18 2
348 Baru 01-02-27-32 23-May-18 RI20180523-0002 FITRIA MAHARANI P 26 26-May-18 3
349 Baru 01-02-36-77 23-May-18 RI20180523-0003 BY NY DENI WATI P 0 25-May-18 BY
350 Lama 00-00-76-22 23-May-18 RI20180523-0004 RIFANA ARISTIANI P 23 25-May-18 3
351 Baru 01-02-36-79 23-May-18 RI20180523-0005 DARIMPEN P 61 26-May-18 3
352 Baru 01-02-36-76 23-May-18 RI20180523-0006 TARMI P 60 24-May-18 3
353 Baru 01-02-36-84 23-May-18 RI20180523-0007 MUSLIKAH P 22 25-May-18 2
354 Baru 01-02-36-86 23-May-18 RI20180523-0008 BY NY FITRIA MAHARANI L 0 26-May-18 BY
355 Baru 01-02-36-89 23-May-18 RI20180523-0009 BY NY MUSLIKAH L 0 25-May-18 BY
356 Baru 01-02-31-91 23-May-18 RI20180523-0010 CASMINA P 30 26-May-18 2
357 Baru 01-02-36-91 23-May-18 RI20180523-0011 BY NY CASMINA P 0 26-May-18 BY
358 Baru 01-02-36-06 24-May-18 RI20180524-0001 REIKI ANGGORO ANWAR L 12 25-May-18 3
359 Baru 01-02-36-07 24-May-18 RI20180524-0002 NENDEN RATNA WILIS P 30 26-May-18 2
360 Baru 01-02-36-74 24-May-18 RI20180524-0003 NUR AYANIH P 30 26-May-18 3
361 Baru 01-02-37-09 24-May-18 RI20180524-0004 SUPRIYATNO L 44 25-May-18 3
362 Baru 01-01-07-99 24-May-18 RI20180524-0005 HARIAH P 54 30-May-18 3
363 Baru 01-02-37-10 24-May-18 RI20180524-0006 JAHRI L 26 27-May-18 3
364 Lama 01-02-33-09 24-May-18 RI20180524-0007 HINDARTI P 32 25-May-18 VIP
365 Baru 01-02-37-11 24-May-18 RI20180524-0008 ARBANI SEPTIAN PRATAMA L 1 26-May-18 3
366 Baru 01-01-95-37 24-May-18 RI20180524-0009 SELI FISKA OKTAVIA P 26 24-May-18 1
367 Baru 01-02-37-17 24-May-18 RI20180524-0010 BY NY NENDEN RATNA WILIS L 0 27-May-18 BY
368 Baru 01-02-37-21 24-May-18 RI20180524-0011 BY NY NUR AYANIH L 0 28-May-18 PERINA
369 Baru 01-02-37-22 24-May-18 RI20180524-0012 SUTINI P 43 28-May-18 3
370 Baru 01-02-37-20 24-May-18 RI20180524-0013 M QAISAR L 6 26-May-18 3
371 Baru 01-02-34-39 25-May-18 RI20180525-0001 RAY SHAPUTRA L 29 26-May-18 1
372 Baru 01-02-20-99 25-May-18 RI20180525-0002 INAYAH BAROKAH P 32 28-May-18 1
373 Baru 01-02-33-69 25-May-18 RI20180525-0003 JAYANTI WIDIASTUTI P 31 28-May-18 1

374 Baru 01-02-37-36 25-May-18 RI20180525-0004 OTTO FILOSTON GUNAWAN L 0 28-May-18 BY
375 Baru 01-02-37-37 25-May-18 RI20180525-0005 BY NY JAYANTI WIDIASTUTI P 0 28-May-18 BY
376 Baru 01-02-37-39 25-May-18 RI20180525-0006 TJIE HAI L 62 28-May-18 3
377 Baru 01-02-37-43 25-May-18 RI20180525-0007 ABI DZAR AL GHIFARI L 5 27-May-18 3
378 Baru 01-02-37-45 26-May-18 RI20180526-0001 SUMIYATI P 50 29-May-18 ISO
379 Baru 01-02-37-48 26-May-18 RI20180526-0002 TUKIYEM P 45 28-May-18 2
380 Baru 01-02-37-50 26-May-18 RI20180526-0003 RIANA SUMBAYAK P 31 28-May-18 2
381 Lama 01-02-35-64 26-May-18 RI20180526-0005 BY NY ALUN RIMADHOTI P 0 28-May-18 PERINA
382 Baru 01-02-37-54 26-May-18 RI20180526-0004 SUKATI P 39 28-May-18 2
383 Baru 01-02-10-73 26-May-18 RI20180526-0006 WELDA OKTORA P 38 28-May-18 3
384 Baru 01-02-37-56 26-May-18 RI20180526-0007 BY NY SUKATI L 0 27-May-18 PERINA
385 Lama 01-02-30-79 26-May-18 RI20180526-0009 DEWA PUTU DARMAYASA L 23 29-May-18 3
386 Lama 01-01-98-74 27-May-18 RI20180527-0002 ALBY MUKHTI RIPAI L 1 28-May-18 2
387 Baru 01-02-37-64 27-May-18 RI20180527-0003 NGADINO L 57 31-May-18 3
388 Baru 01-02-02-99 27-May-18 RI20180527-0004 SUHARTI P 39 29-May-18 3
389 Baru 01-02-37-67 27-May-18 RI20180527-0006 BY NY SUHARTI P 0 29-May-18 BY
390 Baru 01-02-37-68 27-May-18 RI20180527-0008 BY NY AGUSTINA ENDANG RIYANTI P 0 30-May-18 BY
391 Baru 01-02-37-72 28-May-18 RI20180528-0004 SUPRIATININGSIH P 34 30-May-18 3
392 Baru 01-01-81-98 28-May-18 RI20180528-0006 KOMSANAH P 40 29-May-18 2
393 Baru 01-02-37-95 28-May-18 RI20180528-0007 HARTANTO L 13 30-May-18 2
394 Baru 01-02-37-98 28-May-18 RI20180528-0009 MUN SURYANI P 38 30-May-18 3
395 Lama 01-01-71-15 28-May-18 RI20180528-0012 DAFFA ALFARIZQI L 1 31-May-18 3
396 Baru 01-02-35-87 28-May-18 RI20180528-0013 ONI P 28 30-May-18 3
397 Baru 01-02-12-90 28-May-18 RI20180528-0015 DIDAH ROSIDAH P 37 30-May-18 3
398 Baru 01-02-38-12 28-May-18 RI20180528-0016 BY NY DIDAH ROSIDAH P 0 30-May-18 BY
399 Baru 01-02-38-14 28-May-18 RI20180528-0017 BY NY ONI P 0 30-May-18 BY
400 Baru 01-01-88-10 29-May-18 RI20180529-0001 LATIPAH P 32 31-May-18 3
401 Baru 01-02-38-16 29-May-18 RI20180529-0002 NICHOLAS KWOK L 2 30-May-18 ISO
402 Baru 01-02-38-31 29-May-18 RI20180529-0004 INDRAM OKTAVIANNA AYU SUCIPTO P 32 30-May-18 2
403 Baru 01-02-33-74 30-May-18 RI20180530-0003 LUKY LISNAWATI P 28 31-May-18 3
404 Baru 01-02-36-97 30-May-18 RI20180530-0004 IBNU JAMALLUDIN L 19 31-May-18 3
405 Baru 01-02-38-58 30-May-18 RI20180530-0007 SITI NURHAYATI P 37 31-May-18 1
406 Lama 01-02-37-36 30-May-18 RI20180530-0014 OTTO FILOSTON GUNAWAN L 0 31-May-18 PERINA
407 Baru 01-02-38-70 30-May-18 RI20180530-0016 BY NY RITA SURYANI L 0 08-May-18 PERINA

ZZ089
I (599-J), dr. Martin Winardi, Sp.PD 6 BPJS KESEHATAN DIIZINKAN PULANG
III (522-D),
07 (90902-01)
04 (598-A)

06 (521-C)
ZZ089 6 BPJS KESEHATAN BELUM SEMBUH

ISOLASI (520), dr. Martin Winardi, Sp.PD
07 (90901-01)
LT005 dr. Andre, Sp.S
06 (521-A)
06 (522-C)
04 (525)
10 (PERI001-B)
06 (522-A)
06 (523-D)
05 (528-A)
09 (201-H)
06 (523-A)

III (521-B), dr. Martin Winardi, Sp.PD
04 (516)
04 (517)
06 (523-C)
06 (522-E)
06 (526-C)
09 (201-I)
05 (527-A)
LT005 dr. Tjhin Sun Fu, Sp.B
04 (598-A)
LT005 dr. Tjhin Sun Fu, Sp.B
06 (521-B)
04 (599-A)
LT005
05 (528-B)
LT005
06 (521-E)
04 (599-C)

04 (599-D)
LT005 dr. Tities, Sp.PD 2 BPJS KESEHATAN BELUM SEMBUH

04 (599-E)
LT005
04 (517)

04 (599-F)

06 (523-B)
ZZ088 dr. Juliawaty Salim, Sp. A 1 PRIBADI MENINGGAL < 48 JAM

09 (201-F)
LT005
06 (523-C)

09 (201-D)

09 (201-A)

05 (508 B)
LT005
II (528-B), dr. Martin Winardi, Sp.PD 2 PRIBADI DIIZINKAN PULANG
05 (528-A)

06 (523-A)
LT005
05 (510-B)

09 (201-B)
ZZ086
RUANG BAYI (201-C), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-B)

06 (523-B)

06 (526-B)

09 (201-E)

06 (521-D)

06 (523-D)

04 (599-A)

06 (526-C)

10 (PERI001-A)

10 (PERI001-C)

05 (527-A)

09 (201-H)

06 (522-C)

04 (599-B)
04 (518)
LT005
ICU (2-4)
(90902-01), III (521-B), dr. Tjhin Sun Fu, Sp.B 7 BPJS KESEHATAN DIIZINKAN PULANG
ICU
(90901-01),
06 (521-D)
06 (522-D)
LT005 dr. Tities, Sp.PD 4 RUMAH SAKIT DUTA INDAH DIIZINKAN PULANG
06 (521-A)
ZZ086
RUANG BAYI (201-J), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN BELUM SEMBUH
10 (PERI001-A)

04 (507)

09 (201-F)
04 (599-C)

04 (599-E)

05 (509 B)

04 (599-F)

05 (509-A)

06 (521-C)

05 (510-A)

04 (599-G)
LT005
04 (599-G)

09 (201-I)

06 (526-A)

06 (526-D)

09 (201-C)

09 (201-K)

04 (599-A)

05 (527-B)
LT005 dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN BELUM SEMBUH

06 (521-B)

04 (599-D)
ZZ086
RUANG BAYI (201-D), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-C)
04 (598-A)

04 (599-H)

05 (508 B)
LT005
III (523-A), II (508 A), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-B)
LT005
I (599-B), ICU (4-5) dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (526-C)
09 (201-G)

04 (516)

08 (520)

04 (599-B)
05 (512-B)

04 (599-I)

09 (201-L)

10 (PERI001-B)

04 (599-J)

06 (522-A)
LT005
I (599-K), dr. Juliawaty Salim, Sp. A 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
LT005
I (507), VIP (503), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
02 (505)
LT005 dr. Andre, Sp.S 5 PT. ASURANSI ALLIANZ LIFE INDONESIA DIIZINKAN PULANG
02 (519-A)
LT005 dr. Tities, Sp.PD 1 PRIBADI MEMBAIK

06 (522-B)

04 (599-L)
LT005
05 (509-A)

04 (507)

05 (512-A)
LT005
II (510-B), dr. Johny Setio, Sp.OG 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (510-A)

06 (523-A)

06 (523-B)

09 (201-A)

09 (201-B)

09 (201-E)
LT005
III (526-B), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN TIDAK SEMBUH
05 (528-A)

06 (523-C)
LT005
III (522-B), ICU (6-7)
(90902-01), III (522-E), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
I (598-A),
06 (522-B)
LT005
III (522-D), III (522-C), dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
04 (518)

09 (201-C)

09 (201-D)

05 (510-A)
LT005
III (521-C), III (521-D), dr. Tities, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-E)
LT005
III (521-E), dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-C)
LT005
06 (522-D)

05 (527-A)
LT005
06 (522-E)
LT005
05 (508 A)
LT005
III (522-E), I (598-A), dr. Tjhin Sun Fu, Sp.B 3 BPJS KESEHATAN DIIZINKAN PULANG
I (599-E),
05 (509 B)
04 (599-C)
LT005
I (599-D), dr. Tjhin Sun Fu, Sp.B 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)
LT005
I (599-L), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
ZZ088 dr. Juliawaty Salim, Sp. A 2 PRIBADI MEMBAIK

09 (201-F)
LT005
04 (517)
LT005
06 (523-A)

09 (201-G)

06 (526-C)

10 (PERI001-D)

10 (PERI001-E)

09 (201-H)
LT005
III (523-A), III (523-D), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-A)

05 (508 B)
LT005
06 (521-B)

09 (201-I)

09 (201-J)
04 (525)
ZZ089
III (521-A), II (512-B), II
(512-A), ICU
(90901-01), I (598-A), dr. Martin Winardi, Sp.PD 11 BPJS KESEHATAN MENINGGAL < 48 JAM
ICU
(90901-01), III (521-D),
07 (90901-01)
LT005
I (599-F), dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-C)

06 (521-A)

05 (510-B)

06 (523-B)
LT005
II (527-B), II (528-B), dr. James Widjaja, Sp.A 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B)
04 (599-A)

09 (201-K)

06 (523-C)

04 (599-C)

06 (521-D)

09 (201-L)

05 (527-B)

04 (599-D)

04 (598-A)

06 (522-C)

09 (201-M)

04 (599-B)

04 (599-E)

04 (507)

05 (508 A)

05 (508 B)

04 (516)

06 (523-D)

09 (201-A)

04 (517)

09 (201-B)

09 (201-C)

09 (201-N)

05 (528-A)
05 (509-A)

06 (521-E)

06 (522-A)
LT005 dr. Juliawaty Salim, Sp. A 2 PRIBADI BELUM SEMBUH

06 (526-A)

05 (509 B)

02 (505)
LT005
I (599-H), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-E)

05 (528-B)

06 (522-B)

09 (201-D)

02 (503)

10 (PERI001-C)
LT005
I (599-G), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)
LT005 dr. Andre, Sp.S 4 BPJS KESEHATAN BELUM SEMBUH

06 (522-D)
LT005 dr. Johny Setio, Sp.OG 5 PT. ADMEDIKA DIIZINKAN PULANG

02 (501)

06 (522-E)

08 (520)

06 (526-C)

02 (502)

06 (521-A)

04 (599-F)
ZZ089
I (599-H), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01)
LT005
I (599-I), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (508 A)

04 (599-J)
LT005
I (599-K), I (525), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (507)

09 (201-E)
ZZ086
PERINATOLOGI
(PERI001-A), RUANG dr. Juliawaty Salim, Sp. A 4 PRIBADI DIIZINKAN PULANG
BAYI (201-F),
10 (PERI001-E)
09 (201-G)

10 (PERI001-A)
LT005
ICU dr. Martin Winardi, Sp.PD 3 PRIBADI BELUM SEMBUH
(90902-01), I (599-D),
06 (522-C)
06 (523-A)

04 (599-C)

04 (599-L)

06 (523-B)

09 (201-H)

06 (523-C)

04 (517)

10 (PERI001-B)

09 (201-A)

06 (521-B)

06 (521-C)

06 (521-D)
LT005
III (522-B), dr. Andre, Sp.S 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)

06 (521-E)
04 (598-A)

04 (599-A)

06 (526-A)
LT005
II (509-A), dr. Andre, Sp.S 3 PRIBADI DIIZINKAN PULANG
05 (528-A)
LT005 dr. Ivan Rifai 2 BPJS KESEHATAN DIIZINKAN PULANG

05 (510-A) Sentosa,Sp.OG
LT005
II (509-A), I (525), dr. Johny Setio, Sp.OG 4 PRIBADI DIIZINKAN PULANG
I (599-C),
04 (525)
LT005
02 (505)
LT005
II (527-A), dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (516)

09 (201-B)

06 (526-B)
LT005 dr. Tities, Sp.PD 3 PRIBADI MEMBAIK

06 (522-C)

06 (522-D)

06 (526-D)
LT005
III (526-C), III (526-C), dr. Tjhin Sun Fu, Sp.B 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-C)
LT005
05 (528-B)
ZZ089
07 (90901-01)

06 (522-E)

02 (519-A)

04 (599-C)
LT005 dr. Juliawaty Salim, Sp. A 3 PRIBADI TIDAK SEMBUH

05 (509-A)
LT005
II (508 A), II (510-B), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
04 (507)

09 (201-C)

05 (527-A)
LT005
I (599-D), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A)
LT005
05 (510-B)
LT005
06 (523-B)

06 (523-B)

06 (523-D)
ZZ088
RUANG BAYI (201-D), dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
09 (201-E)
LT005
06 (523-A)

05 (527-B)

05 (510-A)
ZZ086
RUANG BAYI (201-F),
PERINATOLOGI dr. James Widjaja, Sp.A 3 BPJS KESEHATAN BELUM SEMBUH
(PERI001-D), RUANG
BAYI (201-G),
10 (PERI001-B)
09 (201-F)

04 (599-H)
LT005
I (599-I), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
LT005
06 (521-A)

04 (599-J)
LT005
05 (512-A)

10 (PERI001-E)
LT005
06 (521-C)

04 (599-K) Sentosa,Sp.OG
LT005 dr. James Widjaja, Sp.A 3 BPJS KESEHATAN BELUM SEMBUH

05 (508 B)
LT005
III (523-C), I (598-A), dr. Johny Setio, Sp.OG 2 PRIBADI DIIZINKAN PULANG
04 (518)
LT005
04 (517)
LT005
02 (503)

09 (201-A)
LT005
II (508 A), II (509 B), dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 A)
LT005
I (599-A), dr. Tities, Sp.PD 2 PRIBADI DIIZINKAN PULANG
05 (528-A)

06 (523-C)
LT005
I (599-G), dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)
LT005
I (516), dr. Juliawaty Salim, Sp. A 4 PRIBADI DIIZINKAN PULANG
06 (526-B)
LT005
I (525), I (516), dr. Tities, Sp.PD 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-A)

02 (502)
LT005 dr. Martin Winardi, Sp.PD 3 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
02 (501)

10 (PERI001-A)

06 (521-D)

06 (522-C)

06 (522-A)
LT005
04 (516)

06 (522-B)

06 (521-A)

05 (528-A)

06 (523-A)
06 (521-B)

05 (510-A)
ZZ089
I (525), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)

05 (509 B)

09 (201-G)
06 (521-D)

10 (PERI001-C)

06 (526-A)
06 (526-C)

09 (201-H)

06 (521-A)

04 (525)

06 (522-D)
LT005
II (512-B), dr. Tities, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-A)

06 (522-E)

04 (517)

04 (598-A)
LT005
II (527-B), dr. Tjhin Sun Fu, Sp.B 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-D)

04 (525)

06 (523-B)

06 (523-C) Sentosa,Sp.OG
LT005
I (599-B), III (526-C), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN BELUM SEMBUH
04 (599-A)

09 (201-A)

05 (508 B)

06 (523-D) Sentosa,Sp.OG

06 (522-C)

09 (201-B)

06 (521-B)

05 (508 A)

06 (526-B)

06 (522-A)

08 (520)

06 (522-B)

06 (521-C)

06 (521-A)

04 (507)
LT005
06 (521-B)
05 (528-A)

06 (523-A)

09 (201-C)

04 (598-A)

06 (523-B)

05 (509 B)

06 (526-D)


05 (509-A)


04 (599-B) Sentosa,Sp.OG

04 (599-C)

05 (528-B)

09 (201-D)
LT005
II (527-B), dr. Tities, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
04 (516)

09 (201-E)

04 (599-D)

04 (599-E)
04 (599-F)
ZZ088
RUANG BAYI (201-B),
PERINATOLOGI dr. James Widjaja, Sp.A 5 BPJS KESEHATAN DIIZINKAN PULANG
(PERI001-A),
09 (201-J)
04 (599-G)

09 (201-F)

04 (599-H)
LT005
I (599-I), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
02 (503)
LT005
05 (528-A)
LT005
II (510-A), dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-K)
LT005
II (510-B), I (599-L), dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)

04 (525)

06 (522-D)
09 (201-G)
ZZ089
07 (90901-01)

05 (510-A)
LT005
III (523-C), II (528-A), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)

09 (201-H)
LT005 dr. Ivan Rifai

III (523-D), 3 BPJS KESEHATAN DIIZINKAN PULANG
Sentosa,Sp.OG
06 (523-C)
LT005
I (599-F), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)

04 (599-G)
LT005
05 (528-B)

09 (201-B)

09 (201-A)
LT005
05 (509-A)

09 (201-I)
06 (526-A)

II (509-A), 3 BPJS KESEHATAN DIIZINKAN PULANG
Sentosa,Sp.OG
05 (509 B)
I (518), 3 BPJS KESEHATAN DIIZINKAN PULANG
Sentosa,Sp.OG
06 (523-D)

06 (521-C)
LT005
06 (522-C)
LT005
III (521-A), dr. Martin Winardi, Sp.PD 4 PRIBADI DIIZINKAN PULANG
06 (521-E)
LT005 dr. Johny Setio, Sp.OG 2 PT. ADMEDIKA DIIZINKAN PULANG

02 (501)

06 (526-C)
LT005 dr. Johny Setio, Sp.OG 1 PRIBADI BELUM SEMBUH

04 (507)

09 (201-K)
ZZ088
RUANG BAYI (201-L),
(PERI001-A), RUANG
BAYI (201-F),
09 (201-A)
LT005
06 (522-B)
LT005
III (526-B), dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-D)
04 (525)

05 (510-B)

04 (507)
09 (201-L)

09 (201-C)

06 (521-A)

06 (526-A)
LT005
ISOLASI (520), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (517)

05 (527-B)


10 (PERI001-B)

05 (508 B)

06 (523-A)
ZZ086
RUANG BAYI (201-D), dr. James Widjaja, Sp.A 2 PRIBADI BELUM SEMBUH
10 (PERI001-D)

06 (521-D)

05 (528-A)

06 (521-C)


09 (201-D)

09 (201-E)

06 (522-D)
05 (527-A)

05 (509 B)


06 (526-A)


04 (599-F) Sentosa,Sp.OG

09 (201-F)

09 (201-B)

LT005 dr. James Widjaja, Sp.A 2 PRIBADI BELUM SEMBUH

08 (520)

05 (508 A) Sentosa,Sp.OG
04 (599-G)
LT005
I (599-H), dr. Tjhin Sun Fu, Sp.B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (521-A)

04 (518) Sentosa,Sp.OG

10 (PERI001-E)
ZZ086
RUANG BAYI (201-C),
PERINATOLOGI dr. James Widjaja, Sp.A 10 PRIBADI DIIZINKAN PULANG
(PERI001-B), RUANG
BAYI (201-C),
10 (PERI001-A)
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
SYARAF
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
PENYAKIT DALAM
ANAK
ANAK
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
ANAK
ANAK
BEDAH
BEDAH
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
PENYAKIT DALAM
ANAK
Maternal care for other specified fetal problems (O36.8,

OBSTETRI DAN GINEKOLOGI 239.9, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA)
ANAK
ANAK
Toxic effect of pesticides

PENYAKIT DALAM (T60, 285, LAMA)
Delivery by elective caesarean section (O82.0, 242.9, LAMA),

OBSTETRI DAN GINEKOLOGI Premature rupture of membranes, unspecified (O42.9, 239.2, LAMA)
OBSTETRI DAN GINEKOLOGI Delivery by caesarean section, unspecified

(O82.9, 242.9, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA), Physiological jaundice (intense)
(prolonged) NOS (P59.9, 253.9, LAMA)
(Z37.0, 298, LAMA)
Epilepsy, unspecified (G40.9, 124, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
ANAK 167, LAMA)
ANAK (Z38.0, 295, LAMA)
BEDAH
OBSTETRI DAN GINEKOLOGI Delivery by elective caesarean section (O82.0, 242.9, LAMA)

ANAK

ANAK (A49.9, 018, LAMA), Ge/Diare (A09.9,
005, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Obst.lab.due to malposition malpresent.of fetus (O64, 240, LAMA), Singleton, born in
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM

SYARAF
Other and unspecified cirrhosis of liver

BEDAH (K74.6, 194.2, LAMA)
PENYAKIT DALAM Ge/Diare (A09.9,

005, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA), Acute pharyngitis - Includes: acute sore throat (J02,
165.0, LAMA)
ANAK (Z38.0, 295, LAMA), Physiological jaundice (intense)
(prolonged) NOS (P59.9, 253.9, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
ANAK Talipes equinovarus
(Q66.0, 263, LAMA)
BEDAH


OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA)
Chronic renal failure, unspecified

PENYAKIT DALAM (N18.9, 214.9, LAMA),
Other specified anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA)
PENYAKIT DALAM Gastroduodenitis, unspecified (K29.9, 189.9, LAMA)

(O82.9, 242.9, LAMA),
ANAK Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK
HIV disease resulting in candidiasis

PENYAKIT DALAM (B20.4, 039, LAMA)
Other failed induction of labour (O61.8, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK Slow virus infec. of central nervous system, unsp. (A81.9, 041, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
BEDAH

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Uterovaginal prolapse, unspecified
OBSTETRI DAN GINEKOLOGI (N81.4, 228, LAMA)
(O42.9, 239.2, LAMA),
(Z37.0, 298, LAMA)
ANAK (J18.9, 169, LAMA)
(Z38.0, 295, LAMA)

OBSTETRI DAN GINEKOLOGI 239.9, LAMA), Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM
demam/Fever, unspecified - Hyperpyrexia

PENYAKIT DALAM NOS-Pyrexia NOS (R50.9, 268, LAMA)
BEDAH
ANAK Other
(Z38.0,preterm
295, LAMA)
NOS (P07.3,
246, LAMA), Respiratory distress syndrome of newborn
ANAK (P22.0, 249, LAMA), Physiological
jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
ANAK (Z38.0, 295, LAMA)
Leukaemia, unspecified
PENYAKIT DALAM (C95.9, 087, LAMA), Anaemia in other chronic dis. classified elsewhere (D63.8*,
098, LAMA)
ANAK Dengue fever [classical dengue] (A90, 032.0, LAMA)

(Z37.0, 298, LAMA)
SYARAF
DHF / DBD

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK


(Z37.0, 298, LAMA)
(O42.9, 239.2, LAMA),
(Z37.0, 298,
Delivery LAMA) section, unspecified
by caesarean
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Singleton, born in
hospital
(Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK
(Z38.0, 295, LAMA)
ANAK

OBSTETRI DAN GINEKOLOGI 239.9, LAMA), Single live birth (Z37.0, 298, LAMA)
Supraventricular tachycardia
(I47.1, 150, LAMA), Congestive heart failure-Congestive heart disease
PENYAKIT DALAM (I50.0, 151, LAMA), Left bundle-branch
block, unspecified
(I44.7, 150, LAMA)
PENYAKIT DALAM Herpes zoster (B02, 034, LAMA), Neuralgia and neuritis, unspecified (M79.2, 207.9, LAMA)
ANAK (Z38.0, 295, LAMA)
(Z38.0, 295, LAMA)
PENYAKIT DALAM DHF / DBD

(A91, 032.1, LAMA)
PENYAKIT DALAM (J18.9, 169, LAMA), Hypokalaemia (E87.6, 111, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Bronchitis, not specified as acute or chronic (J40,
175, LAMA),
PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
ANAK (B34.9, 041, LAMA)
(K30, 189.9, LAMA), Chronic renal failure, unspecified
(N18.9, 214.9, LAMA),
PENYAKIT DALAM Anaemia in chronic
diseases
Single classified elsewhere
spontaneous (D63*,
delivery, unspecified (O80.9, 243, LAMA), Severe
098, LAMA)
pre-eclampsia
Single live birth
(Z37.0, 298, LAMA)
Neoplasma jinak payudara
BEDAH (D24, 091, LAMA)

Unspecified appendicitis
Ge/Diare (A09.9,
ANAK 005, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
167, LAMA)
ANAK

ANAK 165.0, LAMA)
(O42.9, 239.2, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK
ANAK
ANAK
ANAK (Z38.0, 295, LAMA)
Single live birth
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM
007.0, LAMA), Hypokalaemia (E87.6, 111, LAMA)
ANAK (Z38.0, 295, LAMA)
Contracted pelvis - Persistent occipitoposterior (P03.1, 245, LAMA), Singleton, born in hospital
ANAK (Z38.0, 295, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA)

PENYAKIT DALAM 007.0, LAMA), Hypokalaemia (E87.6, 111, LAMA)
Connective and other soft tissue of abdomen
BEDAH (D21.4, 096.6, LAMA)
PENYAKIT DALAM
OBSTETRI DAN GINEKOLOGI Hyperemesis gravidarum with metabolic disturbance (O21.1,

242.9, LAMA)

(Z37.0, 298, LAMA)
ANAK Disease of spinal cord, unsp. - Myelopathy NOS (G95.9, 129, LAMA)

BEDAH (M79.9, 207.9, LAMA)
ANAK (Z38.0, 295, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295, LAMA)
(A49.9, 018, LAMA), Urinary tract infection, site not
ANAK specified
(N39.0, 217, LAMA), Other dis.of electrolyte & fluid balance,not else. (E87.8, 111, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
(A49.9, 018, LAMA), Anaemia,
ANAK unspecified
(D64.9, 098, LAMA), Ge/Diare (A09.9,
005, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (J18.9, 169, LAMA), Ge/Diare (A09.9,
005, LAMA)
DHF / DBD

Pre-eclampsia, unspecified (O14.9, 237.0, LAMA),
unspecified
Severe
Single live birth(O14.1, 237.0, LAMA), Delivery by
pre-eclampsia
(Z37.0,
caesarean 298,section,
LAMA)unspecified
LAMA),
Single and
Other live birth
unspecified abdominal pain (R10.4, 267, LAMA), Dyspepsia - Indigestion
(Z37.0,189.9,
(K30, 298, LAMA)
LAMA), Chronic renal failure,
(N18.9, 214.9, LAMA)
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)

(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Syncope and collapse - Blackout - Fainting (R55,
270.9, LAMA), Dyspepsia - Indigestion
PENYAKIT DALAM (K30, 189.9, LAMA), Hypertension - High
blood pressure
(I10, 145, LAMA)
DHF / DBD
Insulin-dependent DM with gangrene (ulcer) (E10.5,
PENYAKIT DALAM 104.0, LAMA), Diabetes Melitus tidak tergantung
insulin (E11,
104.1, LAMA)
ANAK
ANAK
PENYAKIT DALAM Asthma (J45, 176, LAMA)

Hypokalaemia (E87.6, 111, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
PENYAKIT DALAM 104.1, BARU), Hypertension - High blood pressure
(I10, 145, BARU)
ANAK (Z38.0, 295, LAMA)
False lab. before 37 completed weeks of gestation (O47.0,

Neonatal aspiration of meconium
(P24.0, 249, LAMA), Bacterial sepsis of newborn,
ANAK unspecified
(P36.9, 250, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
PENYAKIT DALAM
(I10, 145, LAMA), Stroke, not specified as haemorrhage or
SYARAF infarction (I64, 155, LAMA),
insulin (E11,
104.1, LAMA)
Gastritis, unspecified (K29.7, 185.9, LAMA),

PENYAKIT DALAM Acute pharyngitis - Includes: acute sore throat (J02,
165.0, LAMA)
Toxic liver disease (K71, 194.9, LAMA), Tuber.of lung,confir.by sputum microscopy culture (A15.0,
ANAK
Leptospirosis
PENYAKIT DALAM (A27, 018, LAMA),
Premature ruptureCongestive heartunspecified
of membranes, failure-Congestive heart disease (I50.0, 151, LAMA)
(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM Gangguan mental dan perilaku akibat alkohol (F10, , LAMA)
(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA) delivery
Single spontaneous
(O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
Bacterial sepsis of newborn, unspecified
(P36.9, 250, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
ANAK Fetus and newborn affected by
caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
ANAK Singleton, born in hospital
(Z38.0, 295, LAMA)
Unspecified maternal hypertension

OBSTETRI DAN GINEKOLOGI Unspecified abortion [See above for subdivisions] (O06,
236.9, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Other failed induction of labour (O61.8, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM
(A49.9, 018, LAMA), Physiological jaundice (intense)
ANAK (prolonged) NOS (P59.9, 253.9, LAMA), Hypoglycaemia,
unspecified
(E16.2, 111, LAMA)
ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
(K30, 189.9, LAMA)
PENYAKIT DALAM
DHF / DBD
(K30, 189.9,
Stroke, LAMA) as haemorrhage or infarction (I64, 155, LAMA),
not specified
Atrial fibrillation and flutter
SYARAF (I48, 150, LAMA),
104.1, LAMA), Elevation of levels of transaminase and lactic ... (R74.0,
270.9, LAMA)
Ge/Diare (A09.9,
(K30, 189.9, LAMA)

BEDAH (M79.9, 207.9, LAMA)
Inguinal hernia
Asthma,
ANAK unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
(H81.4, 142.9, LAMA), Dyspepsia -
SYARAF Indigestion
(K30, 189.9, LAMA)
unspecified
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
PENYAKIT DALAM 005, LAMA), Hypokalaemia (E87.6, 111, LAMA)

ANAK 167, LAMA), Bacterial infection, unspecified
(A49.9, 018, LAMA)
ANAK (Z38.0, 295, LAMA)
167, LAMA), Anaemia,
ANAK
unspecified
(D64.9, 098, LAMA)
PENYAKIT DALAM Other and unspecified abdominal pain (R10.4, 267, LAMA)
ANAK

Toxic liver disease (K71, 194.9, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
007.0, LAMA), Diabetes Melitus
PENYAKIT DALAM tidak tergantung
insulin (E11,
104.1, LAMA)
PENYAKIT DALAM Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Burns involving
BEDAH 20-29% of body surface
(T31.2, 283, LAMA)
236.9, LAMA)
ANAK

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA),
Infect. following a procedure,not
OBSTETRI DAN GINEKOLOGI else.classified
(T81.4, 288, LAMA)
Ispa/Acute upper respiratory infection,
167, LAMA)
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
(O82.9, 242.9, LAMA),
Ge/Diare (A09.9,
(Z37.0, 298, LAMA)
005, LAMA),
ANAK 165.0, LAMA), Dehydration (Volume
depletion)
(E86, 110, LAMA)
Neonatal aspiration of meconium
ANAK unspecified
(P36.9, 250, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
ANAK


ANAK (B34.9, 041, LAMA)
BEDAH Inguinal hernia

(K40, 187, LAMA)

PENYAKIT DALAM (J18.9, 169, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LAMA)
PENYAKIT DALAM

236.9, LAMA)
ANAK
OBSTETRI DAN GINEKOLOGI (D64.9, 098, LAMA)
Abnormal findings on diagnostic imaging of lung (R91, 270.9, LAMA), Thrombocytopenia, unspecified
PENYAKIT DALAM (D69.6, 099, LAMA), Tuber.of lung,confir.by sputum microscopy culture (A15.0,
007.0, LAMA)
Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK Ispa/Acute upper respiratory infection, unspecified (J06.9,

167, LAMA)
DHF / DBD
Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI 005, LAMA)
DHF / DBD
ANAK (A91, 032.1, LAMA)
ANAK
PENYAKIT DALAM

ANAK (N39.0, 217, LAMA)
Other arthritis
PENYAKIT DALAM (M13, 200.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
ANAK

PENYAKIT DALAM (N18.9, 214.9, LAMA), Anaemia,
unspecified
(D64.9, 098, LAMA)
DHF / DBD
(K30, 189.9, LAMA)
Ge/Diare (A09.9,

PENYAKIT DALAM 007.0, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
PENYAKIT DALAM

PENYAKIT DALAM (I10, 145, LAMA), Retention of urine (R33, 270.2, LAMA)
ANAK
Haemorrhoids
BEDAH (I84, 163, LAMA)
236.9, LAMA)

PENYAKIT DALAM (N39.0, 217, LAMA), Cardiac arrest, unspecified
(I46.9, 150, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
104.1, LAMA), Insulin-dependent DM with gangrene (ulcer) (E10.5,
BEDAH 104.0, LAMA), Anal abscess -
Perianal abscess
(K61.0, 192.9, LAMA)
Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
(Z38.0, 295, LAMA)
005, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM Hypokalaemia (E87.6, 111, LAMA), Thyrotoxicosis [hyperthyroidism] (E05, 102, LAMA)
PENYAKIT DALAM
PENYAKIT DALAM Diabetes Melitus tidak tergantung insulin (E11,

104.1, LAMA), Hypokalaemia (E87.6, 111, LAMA)

PENYAKIT DALAM 007.0, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA), Other specified anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA)

PENYAKIT DALAM tidak tergantung
insulin (E11,
104.1, LAMA)
PENYAKIT DALAM
BEDAH

PENYAKIT DALAM (N39.0, 217, LAMA), Spondylosis,
unspecified (M47.9, 206.0, LAMA)
Anaemia comp. preg.,childbirth
OBSTETRI DAN GINEKOLOGI & the puerperium
(O99.0, 244, LAMA)
Severe
LAMA),
Single live
Scarlet birth
fever - Scarlatina
ANAK (Z37.0,018,
(A38, 298,LAMA),
LAMA)Septicaemia, unspecified
(A41.9, 017, LAMA)
ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single live
Urinary birth
tract infection, site not specified
(Z37.0, 298,
(N39.0, 217, LAMA)
LAMA), Diabetes Melitus
tidak tergantung insulin (E11,
PENYAKIT DALAM 104.1, LAMA), Other specified
anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA), Hypertension - High
blood pressure
(I10, 145,
Fetus and LAMA)
newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
ANAK (Z38.0, 295, LAMA)
Cerebrovascular disease, unspecified (I67.9, 156, LAMA), Hypertension - High blood pressure
SYARAF (I10, 145, LAMA)
DHF / DBD
ANAK (A91, 032.1, LAMA), Febrile convulsions (R56.0, 270.3, LAMA)
005, LAMA)
PENYAKIT DALAM DHF / DBD

(A91, 032.1, LAMA), Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)
Congestive heart failure-Congestive heart disease
(I50.0, 151, LAMA), Left bundle-branch
PENYAKIT DALAM block, unspecified
(I44.7, 150, LAMA)
(H81.4, 142.9, LAMA),
PENYAKIT DALAM
(I10, 145, LAMA)
DHF / DBD
Idiopathic thrombocytopenic purpura

PENYAKIT DALAM (D69.3, 099, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Haemorrhoids
OBSTETRI DAN GINEKOLOGI Other and unspecified abdominal pain (R10.4, 267, LAMA)
(Z38.0, 295, LAMA)


PENYAKIT DALAM (I10, 145, LAMA), Headache - Facial pain NOS
(R51, 270.9, LAMA)

ANAK (A49.9, 018, LAMA), Febrile convulsions (R56.0, 270.3, LAMA)
OBSTETRI DAN GINEKOLOGI Missed abortion (O02.1, 236.9, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(Z38.0, 295, LAMA)
PENYAKIT DALAM
ANAK (Z38.0, 295,rupture
Premature LAMA) of membranes, unspecified
(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)

BEDAH (M79.9, 207.9, LAMA)
ANAK

BEDAH (M79.9, 207.9, LAMA)
ANAK (Z38.0, 295, LAMA)
Oligohydramnios (O41.0, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
DHF / DBD

(N39.0, 217, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
PENYAKIT DALAM (J18.9, 169, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Ge/Diare (A09.9,
ANAK (Z38.0, 295, LAMA)
insulin (E11,
PENYAKIT DALAM 104.1, LAMA), Urinary tract infection, site not specified
(N39.0, 217, LAMA), Typhoid fever -
Infection due
Maternal careto
forSalmonella typhiunspecified
disproportion, (A01.0, 002,(O33.9,
LAMA)239.9, LAMA),
(Z37.0, 298, LAMA)

OBSTETRI DAN GINEKOLOGI 239.9, LAMA), Single live birth (Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Contracted pelvis - Persistent occipitoposterior (P03.1, 245, LAMA), Single live birth (
Single live birth
Diabetes Melitus
(Z37.0, 298, LAMA)tidak tergantung insulin (E11,
PENYAKIT DALAM (I10, 145, LAMA), Dyspepsia -
Indigestion
Dyspepsia
(K30, 189.9,- Indigestion
LAMA)
(K30, 189.9, LAMA), Diabetes Melitus tidak tergantung
(I10, 145,by
Delivery LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
ANAK
ANAK (Z38.0, 295, LAMA)

(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
BEDAH Other appendicitis

(K36, 186, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PENYAKIT DALAM (N18.9, 214.9, LAMA)
Cervix uteri, unspecified

PENYAKIT DALAM (C53.9, 074, LAMA), Hypokalaemia (E87.6, 111, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
DHF / DBD
Ge/Diare (A09.9,
ANAK 005, LAMA)
Excessive vomiting in pregnancy

(Z38.0, 295, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Congenital pneumonia
(P23, 249, LAMA), Singleton, born in
ANAK Stroke,
hospitalnot specified as haemorrhage or infarction (I64, 155, LAMA),
Diabetes Melitus
(Z38.0, 295, LAMA)tidak tergantung
insulin (E11,
PENYAKIT DALAM
(I10, 145, LAMA), Chronic renal failure, unspecified
(N18.9, 214.9, LAMA),
Other anaemias
(K30,
(D64, 189.9, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
098, LAMA)
ANAK 167, LAMA), Other specified
anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA)
Other appendicitis
(O82.9, 242.9, LAMA),
(Z37.0, 298,
(O42.9, LAMA)
239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK
PENYAKIT DALAM
ANAK
PENYAKIT DALAM Larynx - Epiglottis (suprahyoid portion) (D14.1, 096.4, LAMA)



(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Other failed induction of labour (O61.8, 242.9, LAMA),
Single live birth
(Z37.0, 298,rupture
Premature LAMA) of membranes, unspecified
(O42.9, 239.2, LAMA),
(Z37.0, 298, LAMA)
Fetus&newborn affec.by placental transfusion synd. (P02.3, 245, LAMA), Bacterial sepsis of newborn,
unspecified
ANAK (P36.9, 250, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
DHF / DBD

ANAK 167, LAMA)
(J18.9, 169, LAMA), Hypo-osmolality and hyponatraemia
PENYAKIT DALAM (E87.1, 111, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA),
Hypertension - High
Oligohydramnios blood239.9,
(O41.0, pressure
LAMA),
(I10, 145,by
Delivery LAMA)
caesarean section,
Single live birth
(Z37.0, 298, LAMA)
ANAK (Z38.0, 295, LAMA)
ANAK (Z38.0, 295, LAMA)
PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypokalaemia (E87.6, 111, LAMA), Other specified anaemias-Infantile pseudoleukaemia (D64.8, 09
Other appendicitis (K36, 186, LAMA), Other and unspecified ovarian cysts
BEDAH (N83.2, 229, LAMA)
DHF / DBD
ANAK (A91, 032.1, LAMA)
Supervision of
OBSTETRI DAN GINEKOLOGI high-risk pregnancy, unspecified
(Z35.9, 294.1, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Single live birth
(Z37.0,
Lab.&298,delivery
LAMA) comp. by fetal stress, unspecified (O68.9, 242.2, LAMA),
Single live birth
(Z37.0, 298, LAMA)
ANAK
ANAK (Z38.0, 295, LAMA)
Single live birth
(Z37.0, 298,
Ge/Diare LAMA)
(A09.9,
ANAK 005, LAMA),
OBSTETRI DAN GINEKOLOGI & the puerperium
(O99.0, 244, LAMA)
BEDAH (D21.4, 096.6, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA), Bacterial sepsis of newborn,
ANAK unspecified
(P36.9, 250, LAMA)
us (O64, 240, LAMA), Singleton, born in hospital
ery (P03.4, 245, LAMA)
OS (P59.9, 253.9, LAMA),
r (P03.1, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
s-Infantile pseudoleukaemia (D64.8, 098, LAMA)
sepsis of newborn,
Dirujuk Ke
Periode : JUNI - 2018
∑= 35
Kode
Umur
No. Jns Kunj. No.RM Tgl. Masuk No.Reg NAMA PASIEN JK Tgl. Keluar Ruang
Rawat
04 Baru 01-02-37-70 28-May-18 RI20180528-0001 KASMI P 46 08-Jun-18 ICU
07 Lama 01-01-17-39 28-May-18 RI20180528-0008 GOUW EN NIE P 70 02-Jun-18 1
100 Baru 01-02-40-76 07-Jun-18 RI20180607-0004 ABDUS SALAM L 48 10-Jun-18 ICU
128 Baru 01-02-40-45 09-Jun-18 RI20180609-0005 BY NY NARTI L 0 10-Jun-18 PERINA

ZZ089
07 (90901-01)
LT005
04 (599-F)
ZZ089
ICU dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN MENINGGAL < 48 JAM
(90903-01), III (522-B),
07 (90901-01)
ZZ086 dr. Juliawaty Salim, Sp. A 2 PRIBADI MENINGGAL < 48 JAM
10 (PERI001-E)
Tuberculosis of lung,without mention of bacterical or

PENYAKIT DALAM history confirmation
(A16.2, 007.1, LAMA)
Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Hypoglycaemia, unspecified
PENYAKIT DALAM (E16.2, 111, LAMA), Chronic renal failure,
unspecifiedoedema
Pulmonary (N18.9, 214.9,
- AcuteBARU)
oedema of
lung (J81,
179.9, LAMA),
PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Cardiac arrest, unspecified
(I46.9, 150, LAMA), Respiratory failure, unspecified
(J96.9, 179.9,
Bacterial LAMA)
sepsis of newborn, unspecified
ANAK (P36.9, 250, LAMA), Physiological
jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
ICD 9-CM ICD 9-CM Rujukan Dari
Dirujuk Ke
Periode : JULI - 2018
∑= 62
Kode
Umur
No.Jns Kunj. No.RM Tgl. Masuk No.Reg NAMA PASIEN JK Tgl. Keluar Ruang Kelas Nama Dokter HP
Rawat
LT005
III (522-B), ICU
1 Baru 01-01-72-80 22-Jun-18 RI20180622-0009 MULYATI PATIMAH P 75 05-Jul-18 3 (90902-01), dr. Tities, Sp.PD 14
05 (527-A)
LT005
ICU
2 Baru 01-02-44-44 24-Jun-18 RI20180624-0005 ANDA L 53 03-Jul-18 ICU (90902-01), dr. Tities, Sp.PD 10
06 (521-E)
ZZ086
3 Baru 01-02-45-29 26-Jun-18 RI20180626-0013 BY NY ASNI BT. ARKADI L 0 03-Jul-18 PERINA RUANG BAYI (201-C), dr. James Widjaja, Sp.A 8
10 (PERI001-G)
LT005
4 Lama 01-01-88-57 27-Jun-18 RI20180627-0003 HAJATI P 67 01-Jul-18 3 III (522-C), dr. Tities, Sp.PD 5
06 (522-A)
LT005
5 Baru 01-02-45-41 27-Jun-18 RI20180627-0005 RANIA PUTRI JUANSAH P 2 03-Jul-18 3 06 (526-D) dr. Juliawaty Salim, Sp. A 7
LT005
6 Baru 01-02-44-80 28-Jun-18 RI20180628-0005 IDA LELA P 18 01-Jul-18 3 06 (523-C) dr. Johny Setio, Sp.OG 4
ZZ086
7 Baru 01-02-45-72 28-Jun-18 RI20180628-0007 BY NY SYLPANA MAYRANI L 0 06-Jul-18 PERINA RUANG BAYI (201-A), dr. Juliawaty Salim, Sp. A 9
10 (PERI001-A)
ZZ086
8 Baru 01-02-45-74 29-Jun-18 RI20180629-0001 BY NY IDA LELA L 0 02-Jul-18 PERINA RUANG BAYI (201-C), dr. Juliawaty Salim, Sp. A 4
10 (PERI001-B)

9 Baru 01-02-45-75 29-Jun-18 RI20180629-0002 JUMIYATI P 36 01-Jul-18 3 06 (523-D) Sentosa,Sp.OG 3
LT005
10 Lama 01-01-13-40 29-Jun-18 RI20180629-0004 LIESYE HERJANTHI L 51 03-Jul-18 3 06 (522-D) dr. Martin Winardi, Sp.PD 5
ZZ088
11 Baru 01-02-45-79 29-Jun-18 RI20180629-0007 BY NY JUMIYATI P 0 01-Jul-18 BY 09 (201-A) dr. Juliawaty Salim, Sp. A 3
LT005
12 Lama 01-02-17-48 29-Jun-18 RI20180629-0008 NURHASANAH P 33 01-Jul-18 3 I (599-A), I (599-C), dr. Johny Setio, Sp.OG 3
05 (509-A)
LT005
13 Baru 01-02-45-89 29-Jun-18 RI20180629-0009 V UTIK YUANTI BA P 71 10-Jul-18 3 III (522-E), dr. Tities, Sp.PD 12
06 (522-C)
LT005
14 Baru 01-02-45-81 29-Jun-18 RI20180629-0010 NOVA DAENGALI L 1 03-Jul-18 3 06 (526-A) dr. Juliawaty Salim, Sp. A 5

15 Baru 01-02-44-31 29-Jun-18 RI20180629-0011 LISA DEWI P 26 01-Jul-18 3 I (599-B), Sentosa,Sp.OG 3
05 (509 B)

16 Baru 01-02-45-92 29-Jun-18 RI20180629-0012 MUNIROH BINTI RAJI P 40 02-Jul-18 2 05 (508 A) Sentosa,Sp.OG 4
ZZ088
17 Baru 01-02-46-04 29-Jun-18 RI20180629-0014 BY NY NURHASANAH L 0 01-Jul-18 BY 09 (201-C) dr. Juliawaty Salim, Sp. A 3
LT005
18 Baru 01-02-46-09 29-Jun-18 RI20180629-0016 MARTI P 73 02-Jul-18 3 06 (522-B) dr. Tities, Sp.PD 4
LT005
19 Baru 01-02-34-98 29-Jun-18 RI20180629-0017 SITI MAHFIROH P 44 03-Jul-18 2 II (527-A), dr. Tities, Sp.PD 5
06 (522-E)
ZZ088
20 Baru 01-02-46-11 29-Jun-18 RI20180629-0018 BY NY LISA DEWI L 0 01-Jul-18 BY 09 (201-D) dr. Juliawaty Salim, Sp. A 3
LT005
21 Baru 01-02-43-49 30-Jun-18 RI20180630-0001 TIGOR HAMONANGAN L 46 01-Jul-18 2 II (528-B), dr. Tities, Sp.PD 2
05 (510-A)
LT005
III (526-B), ICU
22 Baru 01-02-46-21 30-Jun-18 RI20180630-0002 ALIZZA PUTRI P 1 04-Jul-18 3 (90901-01), dr. Juliawaty Salim, Sp. A 5
04 (599-A)

23 Baru 01-02-44-76 30-Jun-18 RI20180630-0003 RIKA HANGGRAENI P 29 02-Jul-18 3 I (599-A), Sentosa,Sp.OG 3
05 (508 B)
LT005
24 Baru 01-02-46-25 30-Jun-18 RI20180630-0004 SONITA P 35 01-Jul-18 2 05 (527-B) dr. Martin Winardi, Sp.PD 2
ZZ086
25 Baru 01-02-46-30 30-Jun-18 RI20180630-0005 BY NY RIKA HANGGRAENI L 0 05-Jul-18 PERINA RUANG BAYI (201-E), dr. Juliawaty Salim, Sp. A 6
10 (PERI001-C)
LT005
26 Baru 01-02-46-32 30-Jun-18 RI20180630-0006 IRFINA RIFLIYANI P 3 04-Jul-18 3 06 (526-C) dr. Juliawaty Salim, Sp. A 5
LT005
27 Baru 01-02-46-34 30-Jun-18 RI20180630-0007 ARSYA FAUZAN L 1 03-Jul-18 3 06 (526-B) dr. Juliawaty Salim, Sp. A 4
LT005
28 Lama 01-02-40-81 30-Jun-18 RI20180630-0008 HERNY GO P 60 01-Jul-18 2 05 (528-A) dr. Martin Winardi, Sp.PD 2
LT005
29 Baru 01-02-46-35 30-Jun-18 RI20180630-0009 MOCHAMAD HERY L 31 03-Jul-18 3 06 (521-A) dr. Martin Winardi, Sp.PD 4
LT005
30 Baru 01-02-46-36 30-Jun-18 RI20180630-0010 SAIDEN SIREGAR P 69 03-Jul-18 3 06 (521-B) dr. Martin Winardi, Sp.PD 4
LT005
31 Baru 01-02-46-37 30-Jun-18 RI20180630-0011 FRO LIUWANTO GOH L 29 03-Jul-18 ISO 02 (519-A) dr. Martin Winardi, Sp.PD 4
LT005
32 Baru 01-02-46-40 30-Jun-18 RI20180630-0012 ESFI ANA P 49 03-Jul-18 3 I (599-D), dr. Martin Winardi, Sp.PD 4
05 (528-B)
LT005
II (512-A), ICU dr. Ivan Rifai
33 Baru 01-02-46-45 1-Jul-18 RI20180701-0001 RONINGSIH P 35 7-Jul-18 ICU
(90901-01), Sentosa,Sp.OG
7
05 (508 B)
ZZ088
34 Baru 01-02-46-48 1-Jul-18 RI20180701-0002 BY NY RONINGSIH P 0 4-Jul-18 BY 09 (201-F) dr. Juliawaty Salim, Sp. A 4
LT005
35 Baru 01-02-46-55 1-Jul-18 RI20180701-0003 CARRY PHANAMA L 28 3-Jul-18 2 05 (528-A) dr. Tities, Sp.PD 3
LT005
36 Baru 00-00-95-60 2-Jul-18 RI20180702-0001 TATI HARYANTI P 53 3-Jul-18 2 05 (510-B) dr. Tjhin Sun Fu, Sp.B 2
LT005
37 Lama 00-00-65-51 2-Jul-18 RI20180702-0002 MERRYANA P 21 4-Jul-18 3 05 (509-A) dr. Johny Setio, Sp.OG 3
LT005
38 Baru 01-02-46-84 2-Jul-18 RI20180702-0003 RITA P 39 4-Jul-18 3 III (522-A), dr. Andre, Sp.S 3
06 (522-D)
LT005
39 Baru 01-02-46-85 2-Jul-18 RI20180702-0004 SUMARSIH P 38 3-Jul-18 3 04 (599-B) dr. Johny Setio, Sp.OG 2
ZZ089
40 Baru 01-02-46-76 2-Jul-18 RI20180702-0005 YUSUP PARDI L 78 7-Jul-18 3 III (521-C), dr. Tities, Sp.PD 6
07 (90902-01)
ZZ088
41 Baru 01-02-46-95 2-Jul-18 RI20180702-0006 BY NY SUMARSIH P 0 5-Jul-18 BY 09 (201-A) dr. Johny Setio, Sp.OG 4
ZZ088
42 Baru 01-02-47-00 2-Jul-18 RI20180702-0007 BY NY MERRYANA P 35 4-Jul-18 BY
09 (201-D)
dr. Juliawaty Salim, Sp. A 3
LT005
43 Baru 01-01-79-37 2-Jul-18 RI20180702-0008 YUYUN YUNINGSIH P 33 4-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 3
ZZ088
44 Baru 01-02-47-01 2-Jul-18 RI20180702-0009 BY NY YUYUN YUNINGSIH P 0 4-Jul-18 BY 09 (201-E) dr. Juliawaty Salim, Sp. A 3
LT005
45 Baru 01-01-43-94 3-Jul-18 RI20180703-0001 KONAH P 57 4-Jul-18 3 06 (522-B) dr. Tities, Sp.PD 2
LT005
46 Baru 01-02-45-83 3-Jul-18 RI20180703-0002 MULYADI L 35 4-Jul-18 1 04 (525) dr. Tjhin Sun Fu, Sp.B 2
LT005
47 Baru 01-02-47-04 3-Jul-18 RI20180703-0003 ARSANAH L 24 5-Jul-18 3 06 (523-A) dr. Johny Setio, Sp.OG 3
LT005
48 Baru 01-02-47-12 3-Jul-18 RI20180703-0004 MUKLIS L 58 4-Jul-18 3 06 (521-D) dr. Martin Winardi, Sp.PD 2
ZZ088
49 Baru 01-02-47-15 3-Jul-18 RI20180703-0005 BY NY ARSANAH P 0 5-Jul-18 BY 09 (201-B) dr. Juliawaty Salim, Sp. A 3
LT005
50 Baru 01-02-47-26 3-Jul-18 RI20180703-0006 KHARISMA WISNU WIJAYA L 4 7-Jul-18 3 04 (599-C) dr. Juliawaty Salim, Sp. A 5
LT005
51 Baru 01-02-47-33 3-Jul-18 RI20180703-0007 SYAHRUL L 17 9-Jul-18 3 06 (526-A) dr. Juliawaty Salim, Sp. A 7
LT005
52 Baru 01-02-47-36 3-Jul-18 RI20180703-0008 GENIA SAGITA P 30 6-Jul-18 3
06 (523-D)
dr. Johny Setio, Sp.OG 4
LT005
53 Baru 01-02-47-37 3-Jul-18 RI20180703-0009 AMINAH P 44 6-Jul-18 3 06 (522-A) dr. Tjhin Sun Fu, Sp.B 4
ZZ088
54 Baru 01-02-47-41 4-Jul-18 RI20180704-0001 BY NY GENIA SAGITA P 0 6-Jul-18 BY
09 (201-C)
LT005
55 Lama 00-00-77-15 4-Jul-18 RI20180704-0002 SOFIAN CAHYADI L 31 11-Jul-18 2 05 (510-A) dr. Martin Winardi, Sp.PD 8
LT005
56 Baru 01-02-46-18 4-Jul-18 RI20180704-0003 SITI NURJANATUN P 24 6-Jul-18 2 05 (509 B) dr. Johny Setio, Sp.OG 3
LT005
57 Baru 01-02-47-56 4-Jul-18 RI20180704-0004 YUYUN P 27 7-Jul-18 3 06 (523-B) dr. Johny Setio, Sp.OG 4
LT005
58 Baru 01-02-31-57 4-Jul-18 RI20180704-0005 YUYUM P 51 8-Jul-18 3 06 (522-E) dr. Tities, Sp.PD 5
LT005
59 Baru 01-02-47-64 4-Jul-18 RI20180704-0006 NADYA MAHARANI P 16 7-Jul-18 3 06 (523-C) dr. Johny Setio, Sp.OG 4
ZZ088
60 Baru 01-02-47-67 4-Jul-18 RI20180704-0007 BY NY YUYUN P 0 7-Jul-18 BY 09 (201-G) dr. James Widjaja, Sp.A 4
ZZ088
61 Baru 01-02-47-68 4-Jul-18 RI20180704-0008 BY NY NADYA MAHARANI L 0 7-Jul-18 BY 09 (201-H) dr. James Widjaja, Sp.A 4
LT005
62 Baru 01-02-47-34 4-Jul-18 RI20180704-0009 KINAR NOVELINE G P 12 10-Jul-18 3 III (526-B), dr. Juliawaty Salim, Sp. A 7
06 (526-C)
LT005
63 Baru 01-02-47-72 4-Jul-18 RI20180704-0010 NINING P 55 5-Jul-18 2
05 (512-A)
dr. Tities, Sp.PD 2
LT005
64 Baru 01-01-12-22 4-Jul-18 RI20180704-0011 BASUKI S L 53 8-Jul-18 3 06 (521-A) dr. Tities, Sp.PD 5
LT005
65 Lama 01-01-70-52 4-Jul-18 RI20180704-0012 SALIMAH BT NURSAIDI P 63 8-Jul-18 ISO 08 (520) dr. Tities, Sp.PD 5
LT005
66 Lama 00-00-80-03 5-Jul-18 RI20180705-0001 ANASTASIA P 22 6-Jul-18 3 06 (522-B) dr. Tjhin Sun Fu, Sp.B 2
LT005
67 Lama 01-02-21-42 5-Jul-18 RI20180705-0002 SUPARIYEM P 40 6-Jul-18 3 06 (522-D) dr. Tities, Sp.PD 2
LT005
68 Baru 01-02-48-00 5-Jul-18 RI20180705-0003 EVA MART PASARIBU P 26 7-Jul-18 1 I (507), dr. Martin Winardi, Sp.PD 3
04 (525)
LT005
69 Baru 01-02-48-04 5-Jul-18 RI20180705-0004 SEKARWATI P 38 5-Jul-18 3 05 (528-A) dr. Martin Winardi, Sp.PD 1
LT005
70 Baru 01-02-43-67 5-Jul-18 RI20180705-0005 SITI AMELIA P 29 8-Jul-18 1 04 (507) dr. Johny Setio, Sp.OG 4
LT005
71 Baru 01-02-48-20 5-Jul-18 RI20180705-0006 ELKHAN HAFIZH MAHARDIKA L 1 8-Jul-18 3
06 (526-C)
LT005
72 Baru 01-02-48-19 5-Jul-18 RI20180705-0007 MUHAMMAD NUR ASALI L 5 7-Jul-18 3 06 (526-D) dr. Juliawaty Salim, Sp. A 3
LT005
73 Baru 01-02-48-21 6-Jul-18 RI20180705-0008 DWI HARTATI P 22 8-Jul-18 3 II (528-B), I (599-D), dr. Martin Winardi, Sp.PD 3
06 (522-A)
LT005
74 Baru 01-02-05-68 6-Jul-18 RI20180706-0001 DERA WAHYUNI P 27 8-Jul-18 2 05 (509-A) dr. Johny Setio, Sp.OG 3
LT005
75 Baru 01-02-47-50 6-Jul-18 RI20180706-0002 REVITA AVRILIA P 7 8-Jul-18 3 04 (599-A) dr. Tjhin Sun Fu, Sp.B 3
LT005
76 Baru 01-01-22-67 6-Jul-18 RI20180706-0003 PIPING NOFIYANTI P 28 8-Jul-18 2 05 (528-A) dr. Johny Setio, Sp.OG 3
LT005
77 Baru 01-02-48-24 6-Jul-18 RI20180706-0004 ODAH P 35 8-Jul-18 3 06 (523-A) dr. Johny Setio, Sp.OG 3
ZZ088
78 Baru 01-02-48-28 6-Jul-18 RI20180706-0005 BY NY ODAH L 0 8-Jul-18 BY 09 (201-A) dr. Juliawaty Salim, Sp. A 3
ZZ088
79 Baru 01-02-48-30 6-Jul-18 RI20180706-0006 BY NY DERA WAHYUNI L 0 8-Jul-18 BY 09 (201-I) dr. Juliawaty Salim, Sp. A 3
LT005
80 Baru 01-01-98-98 6-Jul-18 RI20180706-0007 YULIANY SISWANTO P 37 8-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 3
LT005
81 Baru 01-02-48-32 6-Jul-18 RI20180706-0008 SUSILAWATI P 36 8-Jul-18 3 06 (523-D) dr. Johny Setio, Sp.OG 3
ZZ088
82 Baru 01-02-48-33 6-Jul-18 RI20180706-0009 BY NY PIPING N L 0 8-Jul-18 BY
09 (201-D)
83 Lama 01-02-46-11 6-Jul-18 RI20180706-0010 BY NY LISA DEWI L 0 8-Jul-18 PERINA ZZ086 dr. Juliawaty Salim, Sp. A 3
10 (PERI001-B)
LT005
84 Baru 01-02-48-38 6-Jul-18 RI20180706-0011 ADE LESTARI P 27 9-Jul-18 3 I (599-B), dr. Tities, Sp.PD 4
06 (522-D)
LT005
85 Baru 01-02-48-31 6-Jul-18 RI20180706-0012 FIONA CATARINA P 40 10-Jul-18 1 04 (517) dr. Tities, Sp.PD 5
ZZ088
86 Baru 01-02-48-42 6-Jul-18 RI20180706-0013 BY NY SITI AMELIA P 0 8-Jul-18 BY 09 (201-J) dr. James Widjaja, Sp.A 3
LT005
87 Baru 01-02-48-46 6-Jul-18 RI20180706-0014 DR RUDY RUSTAM L 68 8-Jul-18 VIP 02 (501) dr. Budi Irawan, Sp. B 3
LT005
88 Baru 01-02-48-43 6-Jul-18 RI20180706-0015 HARTONO L 43 12-Jul-18 3 06 (521-B) dr. Tities, Sp.PD 7
ZZ088
89 Baru 01-02-48-47 6-Jul-18 RI20180706-0016 BY NY YULIANY SISWANTO P 0 8-Jul-18 BY 09 (201-E) dr. James Widjaja, Sp.A 3
ZZ088
90 Baru 01-02-48-50 6-Jul-18 RI20180706-0017 BY NY SUSILAWATI L 0 8-Jul-18 BY
09 (201-F)
dr. James Widjaja, Sp.A 3
LT005
91 Lama 01-02-35-77 6-Jul-18 RI20180706-0018 UMINAH P 59 10-Jul-18 2 04 (516) dr. Tities, Sp.PD 5
LT005
92 Baru 01-02-48-51 6-Jul-18 RI20180706-0019 MOMOH P 46 7-Jul-18 3
06 (522-D)
dr. Tities, Sp.PD 2
LT005
93 Baru 01-02-48-55 7-Jul-18 RI20180706-0020 SUDARWANTO L 54 10-Jul-18 3 06 (521-C) dr. Tities, Sp.PD 4
LT005
94 Lama 00-00-71-03 7-Jul-18 RI20180707-0001 DIAN REVITA P 41 8-Jul-18 3 04 (599-E) dr. Johny Setio, Sp.OG 2
LT005
95 Lama 01-01-96-89 7-Jul-18 RI20180707-0002 AZAM FATHURRAHMAN L 0 14-Jul-18 2 05 (527-A) dr. Juliawaty Salim, Sp. A 8
LT005
96 Baru 01-02-48-66 7-Jul-18 RI20180707-0003 EMALIA P 21 8-Jul-18 3 06 (522-B) dr. Martin Winardi, Sp.PD 2
LT005
97 Baru 01-02-48-69 7-Jul-18 RI20180707-0004 LIM LINDA P 37 8-Jul-18 3 06 (523-B) dr. Johny Setio, Sp.OG 2
LT005
98 Baru 01-02-48-70 7-Jul-18 RI20180707-0005 KHARISMA NUR FITRIA P 24 11-Jul-18 2 02 (519-A) dr. Martin Winardi, Sp.PD 5
LT005
99 Baru 01-02-48-74 8-Jul-18 RI20180708-0001 ZAENAL ABIDIN L 67 10-Jul-18 3 06 (521-D) dr. Martin Winardi, Sp.PD 3
LT005
100 Baru 01-02-48-79 8-Jul-18 RI20180708-0002 TAN NATJIE NIO P 85 9-Jul-18 2 05 (528-B) dr. Martin Winardi, Sp.PD 2
LT005
101 Baru 01-02-48-83 9-Jul-18 RI20180709-0001 LELI JUNIKA P 21 10-Jul-18 3
06 (523-A)
LT005
102 Baru 01-02-39-01 9-Jul-18 RI20180709-0002 IMAS MAESAROH P 36 11-Jul-18 2 05 (512-A) dr. Johny Setio, Sp.OG 3
LT005
103 Lama 01-01-21-00 9-Jul-18 RI20180709-0003 WASIAH P 55 11-Jul-18 3 III (521-A), dr. Tities, Sp.PD 3
06 (522-E)
LT005
104 Baru 01-02-49-14 9-Jul-18 RI20180709-0004 KIMIN L 72 10-Jul-18 3 06 (521-E) dr. Tities, Sp.PD 2
LT005
105 Baru 01-02-49-17 9-Jul-18 RI20180709-0005 YANTI P 26 11-Jul-18 3 06 (523-B) dr. Johny Setio, Sp.OG 3
LT005
106 Baru 01-02-48-62 9-Jul-18 RI20180709-0006 SYAMSINAR LESTARI P 45 12-Jul-18 3 06 (522-A) dr. Tjhin Sun Fu, Sp.B 4
LT005
107 Baru 01-02-21-16 9-Jul-18 RI20180709-0007 NIKEN KUSWORO ADI P 46 11-Jul-18 2 05 (528-A) dr. Tities, Sp.PD 3
LT005
108 Baru 01-02-49-18 9-Jul-18 RI20180709-0008 LINA P 31 10-Jul-18 2 II (512-B), dr. Johny Setio, Sp.OG 2
05 (508 B)
ZZ088
109 Baru 01-02-49-28 9-Jul-18 RI20180709-0009 BY NY LINA P 0 10-Jul-18 BY
09 (201-A)
ZZ088
110 Baru 01-02-49-33 9-Jul-18 RI20180709-0010 BY NY IMAS MAESAROH L 0 11-Jul-18 BY 09 (201-B) dr. James Widjaja, Sp.A 3
ZZ088
111 Baru 01-02-49-36 9-Jul-18 RI20180709-0011 BY NY YANTI P 0 11-Jul-18 BY
09 (201-C)
LT005
112 Baru 01-02-32-62 9-Jul-18 RI20180709-0012 JULIANA P 31 10-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 2
LT005
113 Lama 01-02-46-12 9-Jul-18 RI20180709-0013 SURYATI P 24 10-Jul-18 2 05 (512-B) dr. Johny Setio, Sp.OG 2
LT005
114 Baru 01-02-49-38 9-Jul-18 RI20180709-0014 AILLA IZMI HIDAYANTHI P 21 12-Jul-18 1 02 (501) dr. Tities, Sp.PD 4
LT005
115 Baru 01-02-49-39 9-Jul-18 RI20180709-0015 SURYANI P 19 11-Jul-18 3 06 (522-B) dr. Tities, Sp.PD 3
LT005
116 Baru 01-02-47-11 10-Jul-18 RI20180710-0001 MARSIAH P 39 11-Jul-18 2 II (509 B), dr. Tjhin Sun Fu, Sp.B 2
06 (522-C)
LT005
117 Baru 00-00-01-69 10-Jul-18 RI20180710-0002 SANJAYA L 46 11-Jul-18 3 04 (599-A) dr. Tjhin Sun Fu, Sp.B 2
LT005
118 Lama 00-00-78-78 10-Jul-18 RI20180710-0003 TJHANG SAUW BUN L 55 12-Jul-18 VIP 02 (503) dr. Tities, Sp.PD 3
01-02-25- LT005
119 Baru 49( DOUBLE MR 10-Jul-18 RI20180710-0004 MUHAMAD FARREL RAMADHAN L 4 11-Jul-18 3 06 (526-A) dr. James Widjaja, Sp.A 2
00-00-45-44)
LT005
120 Baru 01-02-49-61 10-Jul-18 RI20180710-0005 ATHALLAH ULYA ALEM L 1 11-Jul-18 3
06 (526-B)
LT005
121 Baru 01-02-49-63 10-Jul-18 RI20180710-0006 SALHA P 57 12-Jul-18 3 06 (522-D) dr. Martin Winardi, Sp.PD 3
LT005
122 Baru 00-00-73-55 10-Jul-18 RI20180710-0007 RENI OKTAVIA P 32 13-Jul-18 2 II (512-B), dr. Johny Setio, Sp.OG 4
04 (599-B)
LT005
123 Baru 01-02-49-66 10-Jul-18 RI20180710-0008 UGAN L 39 13-Jul-18 2 05 (510-B) dr. Martin Winardi, Sp.PD 4
LT005
124 Lama 01-02-00-82 10-Jul-18 RI20180710-0009 NUR FATIMAH P 19 11-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 2
ZZ086
125 Baru 01-02-49-86 10-Jul-18 RI20180710-0010 BY NY RENI OKTAVIA P 0 12-Jul-18 PERINA RUANG BAYI (201-D), dr. James Widjaja, Sp.A 3
10 (PERI001-B)
LT005
126 Baru 01-02-49-81 10-Jul-18 RI20180710-0011 MARGARETHA WINARTI P 29 12-Jul-18 VIP 02 (505) dr. Martin Winardi, Sp.PD 3
LT005
127 Baru 01-02-49-89 11-Jul-18 RI20180711-0001 REGINA FORTUNATA P 8 18-Jul-18 1 I (525), dr. James Widjaja, Sp.A 8
06 (526-D)
LT005
128 Baru 01-02-49-90 11-Jul-18 RI20180711-0002 YENNI RIANA P 25 13-Jul-18 3
06 (523-C)
LT005
129 Baru 01-02-48-99 11-Jul-18 RI20180711-0003 RIKCO WIDODO L 19 12-Jul-18 3 06 (521-C) dr. Tjhin Sun Fu, Sp.B 2
LT005
130 Baru 01-02-49-91 11-Jul-18 RI20180711-0004 TORIAH P 45 15-Jul-18 2 II (509 B), dr. Tities, Sp.PD 5
06 (522-E)
131 Baru 01-02-49-97 11-Jul-18 RI20180711-0005 BY NY YENNI RIANA P 0 13-Jul-18 PERINA ZZ086 dr. James Widjaja, Sp.A 3
10 (PERI001-A)
LT005
132 Baru 01-02-49-94 11-Jul-18 RI20180711-0006 ROHIMAH P 52 12-Jul-18 2 05 (528-B) dr. Andre, Sp.S 2
LT005
133 Baru 01-02-34-86 11-Jul-18 RI20180711-0008 ARNA YUNI SUTARSIH P 36 14-Jul-18 2 II (509-A), dr. Tjhin Sun Fu, Sp.B 4
05 (528-A)
LT005
134 Baru 00-00-20-67 11-Jul-18 RI20180711-0009 IKA SARI P 27 13-Jul-18 2 05 (508 B) dr. Evy Asali, Sp.OG 3
ZZ089
135 Baru 01-02-50-06 11-Jul-18 RI20180711-0010 MUHAMMAD RAIHAN AZRA PUTRA L 6 12-Jul-18 BY 07 (90901-01) dr. James Widjaja, Sp.A 2

136 Baru 01-02-50-04 11-Jul-18 RI20180711-0011 SULARMI P 37 12-Jul-18 3 04 (599-B) Sentosa,Sp.OG 2
LT005
137 Baru 01-02-50-10 11-Jul-18 RI20180711-0012 YENNY P 57 12-Jul-18 3 04 (599-C) dr. Tities, Sp.PD 2
LT005
138 Lama 01-02-29-42 11-Jul-18 RI20180711-0013 YATI P 50 15-Jul-18 3 04 (599-D) dr. Tities, Sp.PD 5
LT005
III (522-C), ICU(11-13)
139 Baru 01-02-50-17 11-Jul-18 RI20180711-0015 WASRIYAH P 77 18-Jul-18 ICU/3
(90902-01),
dr. Tities, Sp.PD 8
06 (522-A)
LT005
140 Lama 01-01-51-67 11-Jul-18 RI20180711-0016 DEA AMELIA AZZAHRA P 1 16-Jul-18 3 04 (598-A) dr. James Widjaja, Sp.A 6
LT005
141 Baru 01-02-50-20 11-Jul-18 RI20180711-0017 SRI HASTUTI P 26 14-Jul-18 3 06 (523-A) dr. Johny Setio, Sp.OG 4
LT005
142 Baru 01-02-50-23 11-Jul-18 RI20180711-0018 SRI MARYATI P 37 14-Jul-18 3 III (523-B), dr. Johny Setio, Sp.OG 4
06 (523-C)
LT005
143 Baru 01-02-50-24 11-Jul-18 RI20180711-0019 BUNGA ELSHADAY P 3 14-Jul-18 3 06 (526-A) dr. James Widjaja, Sp.A 4
LT005
144 Baru 01-02-16-47 11-Jul-18 RI20180711-0020 NINING FITRIANINGSIH P 29 13-Jul-18 VIP 02 (519-A) dr. Evy Asali, Sp.OG 3
ZZ088
145 Baru 01-02-50-25 11-Jul-18 RI20180711-0021 BY NY SRI HASTUTI L 0 14-Jul-18 BY 09 (201-A) dr. James Widjaja, Sp.A 4
ZZ088
146 Baru 01-02-50-26 11-Jul-18 RI20180712-0001 BY NY IKA SARI L 0 13-Jul-18 BY 09 (201-B) dr. James Widjaja, Sp.A 3
ZZ088
147 Baru 01-02-50-28 12-Jul-18 RI20180712-0002 BY NY NINING FITRIANINGSIH L 0 13-Jul-18 BY
09 (201-D)
LT005
148 Baru 01-02-49-12 12-Jul-18 RI20180712-0003 SOPI AH P 43 13-Jul-18 3 06 (522-B) dr. Tjhin Sun Fu, Sp.B 2
LT005
149 Baru 01-02-28-31 12-Jul-18 RI20180712-0004 LUCIANA P 30 14-Jul-18 3
06 (523-D)
ZZ088
150 Baru 01-02-50-37 12-Jul-18 RI20180712-0005 BY NY SRI MARYATI L 0 14-Jul-18 BY 09 (201-E) dr. James Widjaja, Sp.A 3
LT005
151 Baru 01-02-50-40 12-Jul-18 RI20180712-0006 SRI WULANDARI P 25 14-Jul-18 VIP VIP (502), dr. Johny Setio, Sp.OG 3
04 (599-A)
LT005
152 Baru 01-02-50-42 12-Jul-18 RI20180712-0007 DJAUW KIAT FIE L 59 13-Jul-18 3 06 (521-A) dr. Tities, Sp.PD 2
LT005
153 Baru 01-02-50-49 12-Jul-18 RI20180712-0008 ERNAWATI P 23 14-Jul-18 3 04 (599-E) dr. Johny Setio, Sp.OG 3
LT005
154 Lama 01-02-26-87 12-Jul-18 RI20180712-0009 ACHMAD SODIK L 30 18-Jul-18 VIP 02 (503) dr. Tities, Sp.PD 7
LT005
155 Baru 01-02-50-63 12-Jul-18 RI20180712-0010 MIATUN P 35 14-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 3
ZZ088
156 Baru 01-02-50-66 12-Jul-18 RI20180712-0011 BY NY LUCIANA L 0 14-Jul-18 BY 09 (201-C) dr. James Widjaja, Sp.A 3
LT005
157 Lama 01-02-47-37 12-Jul-18 RI20180712-0012 AMINAH P 44 19-Jul-18 3 06 (522-C) dr. Tities, Sp.PD 8
LT005
158 Baru 01-02-50-65 12-Jul-18 RI20180712-0013 HABIBUR KHALIQ L 1 17-Jul-18 3
06 (526-B)
ZZ088
RUANG BAYI (201-F),
159 Baru 01-02-50-72 12-Jul-18 RI20180712-0015 BY NY MIATUN L 0 15-Jul-18 PERINA PERINATOLOGI dr. James Widjaja, Sp.A 4
(PERI001-A),
09 (201-H)
LT005
160 Lama 01-02-29-19 12-Jul-18 RI20180712-0016 SILVI VANIA SUGIARTO P 9 15-Jul-18 2 II (527-B), dr. James Widjaja, Sp.A 4
06 (526-A)
LT005
161 Baru 01-02-50-73 13-Jul-18 RI20180713-0001 SALMA SALSABILA P 15 15-Jul-18 2 05 (509-A) dr. Johny Setio, Sp.OG 3
ZZ088
162 Baru 01-02-50-81 13-Jul-18 RI20180713-0002 BY NY SALMA SALSABILA L 0 15-Jul-18 BY 09 (201-F) dr. Juliawaty Salim, Sp. A 3
LT005
163 Baru 01-01-23-04 13-Jul-18 RI20180713-0003 SUSWATI P 36 15-Jul-18 3 04 (599-C) dr. Johny Setio, Sp.OG 3
LT005
164 Baru 01-02-50-58 13-Jul-18 RI20180713-0004 JULIET VIRGINIA BUANA SAP P 19 14-Jul-18 3 04 (599-F) dr. Johny Setio, Sp.OG 2
ZZ088
165 Baru 01-02-50-90 13-Jul-18 RI20180713-0005 BY NY SUSWATI L 0 15-Jul-18 BY 09 (201-G) dr. James Widjaja, Sp.A 3
LT005
166 Baru 01-02-50-92 13-Jul-18 RI20180713-0006 IFTA DINYAH P 29 15-Jul-18 3
06 (523-B)
ZZ086
RUANG BAYI (201-H),
167 Baru 01-02-50-94 13-Jul-18 RI20180713-0007 BY NY IFTA DINYAH L 0 16-Jul-18 PERINA PERINATOLOGI dr. James Widjaja, Sp.A 4
(PERI001-B), RUANG
BAYI (201-H),
10 (PERI001-B)
168 Baru 01-02-49-10 13-Jul-18 RI20180713-0008 SURI P 24 14-Jul-18 3
04 (599-G) Sentosa,Sp.OG
2
LT005
169 Baru 01-02-50-97 14-Jul-18 RI20180714-0001 RICHARD EVAN L 17 14-Jul-18 3 III (526-C), dr. Juliawaty Salim, Sp. A 1
05 (527-A)
LT005
170 Baru 01-02-48-01 14-Jul-18 RI20180714-0002 MURNIATI P 40 16-Jul-18 2 05 (509 B) dr. Johny Setio, Sp.OG 3
LT005
171 Baru 01-02-51-02 14-Jul-18 RI20180714-0003 NURHAYATI P 35 15-Jul-18 2 05 (508 B) dr. Johny Setio, Sp.OG 2
LT005
172 Baru 01-02-51-05 14-Jul-18 RI20180714-0004 SOHARI BIN MURMIN L 52 22-Jul-18 3 06 (521-A) dr. Martin Winardi, Sp.PD 9
173 Lama 01-02-48-42 14-Jul-18 RI20180714-0005 BY NY SITI AMELIA P 0 16-Jul-18 PERINA ZZ086 dr. Juliawaty Salim, Sp. A 3
10 (PERI001-C)
LT005
174 Lama 01-01-93-94 14-Jul-18 RI20180714-0006 FADLI NAUVAL RABBANI L 0 16-Jul-18 2 05 (527-B) dr. James Widjaja, Sp.A 3
LT005
175 Baru 01-02-51-13 14-Jul-18 RI20180714-0007 PUJI ERAWATI P 36 16-Jul-18 3 I (599-A), dr. Johny Setio, Sp.OG 3
06 (523-C)
01-01-83-00 LT005
176 Lama 14-Jul-18 RI20180714-0008 MARGONO P 86 20-Jul-18 VIP 02 (519-A) dr. Tities, Sp.PD 7
LT005
177 Baru 01-02-51-19 14-Jul-18 RI20180714-0009 ATIKA HUSNUL KHOTIMAH P 23 16-Jul-18 3
04 (599-H)
LT005
178 Baru 01-02-22-98 14-Jul-18 RI20180714-0010 DAAN L 53 16-Jul-18 ISO 08 (520) dr. Tities, Sp.PD 3
LT005
179 Baru 01-02-51-16 14-Jul-18 RI20180714-0011 SAMUEL L 26 15-Jul-18 3 06 (521-B) dr. Tities, Sp.PD 2
ZZ088
180 Baru 01-02-51-21 14-Jul-18 RI20180714-0012 AISYA VANIA SYIFA P 0 16-Jul-18 BY 09 (201-I) dr. James Widjaja, Sp.A 3
ZZ086
181 Baru 01-02-51-23 14-Jul-18 RI20180714-0013 BY NY ATIKA HUSNUL KHOTIMAH L 0 20-Jul-18 PERINA RUANG BAYI (201-J), dr. James Widjaja, Sp.A 7
10 (PERI001-A)
ZZ088
182 Baru 01-02-51-24 15-Jul-18 RI20180715-0001 BY NY PUJI ERAWATI P 0 16-Jul-18 BY 09 (201-K) dr. James Widjaja, Sp.A 2
LT005
183 Baru 01-02-51-26 15-Jul-18 RI20180715-0002 BONNY SUKRI L 52 17-Jul-18 3 06 (521-C) dr. Andre, Sp.S 3
LT005
184 Lama 01-02-44-28 15-Jul-18 RI20180715-0003 MUNIROH P 48 20-Jul-18 3 06 (522-B) dr. Tities, Sp.PD 6
LT005
185 Baru 01-02-51-31 15-Jul-18 RI20180715-0004 RESA NOVITA P 20 17-Jul-18 3
06 (523-D)
LT005
186 Baru 01-02-51-32 15-Jul-18 RI20180715-0005 ENIKA P 38 17-Jul-18 3 II (508 A), dr. Johny Setio, Sp.OG 3
06 (523-B)
ZZ088
187 Baru 01-02-51-35 15-Jul-18 RI20180715-0006 BY NY ENIKA P 0 17-Jul-18 BY
09 (201-A)

188 Baru 01-01-96-83 16-Jul-18 RI20180715-0008 ANISA P 35 18-Jul-18 2 05 (508 B) Sentosa,Sp.OG 3
LT005
189 Baru 01-01-84-91 16-Jul-18 RI20180716-0001 FEBRI ANITA P 26 18-Jul-18 2 05 (508 A) dr. Evy Asali, Sp.OG 3
LT005
190 Baru 01-02-50-74 16-Jul-18 RI20180716-0002 HARUN L 45 17-Jul-18 3 06 (521-B) dr. Tjhin Sun Fu, Sp.B 2
LT005
191 Baru 01-02-47-77 16-Jul-18 RI20180716-0003 LELY MAULANI P 36 17-Jul-18 3 06 (522-D) dr. Tjhin Sun Fu, Sp.B 2
LT005
192 Baru 01-02-50-47 16-Jul-18 RI20180716-0004 SUGI KARTONO L 38 17-Jul-18 3 05 (528-A) dr. Tjhin Sun Fu, Sp.B 2
LT005
193 Baru 01-02-51-39 16-Jul-18 RI20180716-0005 ANDRIAN MANURUNG L 22 21-Jul-18 3 06 (521-D) dr. Andre, Sp.S 6
ZZ088
194 Baru 01-02-51-41 16-Jul-18 RI20180716-0006 BY NY ANISA L 0 18-Jul-18 BY 09 (201-B) dr. Juliawaty Salim, Sp. A 3
ZZ088
195 Baru 01-02-51-53 16-Jul-18 RI20180716-0007 BY NY FEBRI ANITA L 0 18-Jul-18 BY 09 (201-C) dr. Juliawaty Salim, Sp. A 3

196 Baru 01-02-01-90 16-Jul-18 RI20180716-0008 NURIKA SEPTIANI P 27 18-Jul-18 3
3

197 Baru 01-02-22-89 16-Jul-18 RI20180716-0009 DEBBY P 23 18-Jul-18 2 05 (512-B) Sentosa,Sp.OG 3
LT005
198 Lama 01-02-32-88 16-Jul-18 RI20180716-0010 HAPSAH P 49 18-Jul-18 3 III (522-D), dr. Tjhin Sun Fu, Sp.B 3
05 (528-B)
LT005
199 Baru 01-02-50-86 16-Jul-18 RI20180716-0011 SULASTRI P 24 19-Jul-18 2 05 (509-A) dr. Johny Setio, Sp.OG 4
LT005
200 Baru 01-02-51-70 16-Jul-18 RI20180716-0012 HARDI SETIAWAN L 16 20-Jul-18 3 06 (526-A) dr. Juliawaty Salim, Sp. A 5
LT005
201 Baru 01-02-51-75 16-Jul-18 RI20180716-0013 ARIF SUTRISMAN L 28 21-Jul-18 ISO 08 (520) dr. Tities, Sp.PD 6
LT005
202 Lama 00-00-89-03 16-Jul-18 RI20180716-0014 ANDRY L 47 18-Jul-18 3 06 (521-E) dr. Tities, Sp.PD 3
LT005
203 Baru 01-02-51-79 16-Jul-18 RI20180716-0015 KARNIATI P 31 18-Jul-18 2 05 (509 B) dr. Johny Setio, Sp.OG 3

204 Baru 01-02-43-74 16-Jul-18 RI20180716-0016 WIDIAWATI P 24 19-Jul-18 2
4
LT005
205 Baru 01-02-51-82 16-Jul-18 RI20180716-0017 DAFFA ZUNNURAIN NADHIF L 5 17-Jul-18 3 06 (526-C) dr. Juliawaty Salim, Sp. A 2
LT005
206 Baru 01-02-51-81 16-Jul-18 RI20180716-0018 SATAR SUNARDI L 59 19-Jul-18 3 III (521-B), dr. Tities, Sp.PD 4
04 (598-A)

207 Lama 01-02-45-92 16-Jul-18 RI20180717-0007 MUNIROH BINTI RAJI P 40 18-Jul-18 3 06 (523-C) Sentosa,Sp.OG 3
ZZ088
208 Baru 01-02-51-84 16-Jul-18 RI20180717-0002 BY NY NURIKA SEPTIANI L 0 18-Jul-18 BY 09 (201-E) dr. Juliawaty Salim, Sp. A 3
LT005
209 Baru 01-02-51-86 17-Jul-18 RI20180717-0003 AMINAH P 59 20-Jul-18 3 06 (522-E) dr. Tities, Sp.PD 4
LT005
210 Lama 00-00-13-90 17-Jul-18 RI20180717-0004 KARINA P 28 19-Jul-18 VIP VIP (505), dr. Tities, Sp.PD 3
05 (512-A)
ZZ088
211 Baru 01-02-51-87 17-Jul-18 RI20180717-0005 BY NY KARNIATI L 0 18-Jul-18 BY 09 (201-F) dr. Juliawaty Salim, Sp. A 2
ZZ088
212 Baru 01-02-51-90 17-Jul-18 RI20180717-0006 BY NY WIDIAWATI L 0 19-Jul-18 BY 09 (201-G) dr. Juliawaty Salim, Sp. A 3
LT005
213 Baru 01-02-44-90 17-Jul-18 RI20180717-0008 SITI MUHAROMAH P 36 19-Jul-18 2 05 (510-B) dr. Johny Setio, Sp.OG 3
LT005
214 Baru 01-02-14-23 17-Jul-18 RI20180717-0009 LISSA FEBIYANAH P 28 19-Jul-18 VIP 02 (501) dr. Evy Asali, Sp.OG 3
LT005
215 Baru 01-02-51-92 17-Jul-18 RI20180717-0010 SEVEN MAWARTI P 39 19-Jul-18 2
05 (528-A)
dr. Martin Winardi, Sp.PD 3
LT005
216 Baru 01-02-52-09 17-Jul-18 RI20180717-0011 NOVIA TRI UTAMI P 28 19-Jul-18 3 04 (599-A) dr. Johny Setio, Sp.OG 3
LT005
217 Lama 00-00-80-53 17-Jul-18 RI20180717-0012 THEOHOI P 74 21-Jul-18 3 06 (522-D) dr. Martin Winardi, Sp.PD 5
LT005
218 Baru 01-02-52-13 17-Jul-18 RI20180717-0013 LISTATI BT SURADI P 40 19-Jul-18 3 04 (599-B) dr. Johny Setio, Sp.OG 3
LT005
219 Baru 01-02-52-12 17-Jul-18 RI20180717-0014 LIE FA P 61 20-Jul-18 2 05 (527-A) dr. Martin Winardi, Sp.PD 4
LT005
220 Baru 01-02-52-14 17-Jul-18 RI20180717-0015 MARIAM SURYANTI P 32 20-Jul-18 1 04 (517) dr. Johny Setio, Sp.OG 4
LT005
221 Baru 01-02-52-16 17-Jul-18 RI20180717-0016 COA PENNIH P 66 21-Jul-18 2 05 (527-B) dr. Martin Winardi, Sp.PD 5
222 Lama 01-02-50-66 17-Jul-18 RI20180717-0017 BY NY LUCIANA L 0 22-Jul-18 PERINA ZZ086 dr. James Widjaja, Sp.A 6
10 (PERI001-B)
LT005
223 Baru 01-02-21-04 17-Jul-18 RI20180717-0018 ANI SUGIARTI P 35 20-Jul-18 3
06 (523-B)
ZZ088
224 Baru 01-02-52-21 17-Jul-18 RI20180717-0019 BY NY LISSA FEBIYANAH P 0 19-Jul-18 BY 09 (201-H) dr. James Widjaja, Sp.A 3
ZZ086
225 Baru 01-02-52-22 17-Jul-18 RI20180717-0020 BY NY SULASTRI P 0 20-Jul-18 PERINA RUANG BAYI (201-I), dr. James Widjaja, Sp.A 4
10 (PERI001-C)
ZZ088
226 Baru 01-02-52-23 18-Jul-18 RI20180717-0021 BY NY MARIAM SURYANTI L 0 20-Jul-18 BY
09 (201-J)
ZZ086
RUANG BAYI (201-K),
227 Baru 01-02-52-24 18-Jul-18 RI20180718-0001 BY NY SITI MUHAROMAH P 0 25-Jul-18 PERINA PERINATOLOGI dr. James Widjaja, Sp.A 8
(PERI001-D),
10 (PERI001-B)
ZZ086
228 Baru 01-02-52-25 18-Jul-18 RI20180718-0002 BY NY LISTATI BT SURADI L 0 19-Jul-18 PERINA RUANG BAYI (201-L), dr. James Widjaja, Sp.A 2
10 (PERI001-E)
ZZ088
229 Baru 01-02-52-26 18-Jul-18 RI20180718-0003 BY NY ANI SUGIARTI P 0 20-Jul-18 BY 09 (201-M) dr. Juliawaty Salim, Sp. A 3
LT005
230 Baru 01-02-52-30 18-Jul-18 RI20180718-0004 SUMIATI P 40 18-Jul-18 3 04 (599-C) dr. Tities, Sp.PD 1
LT005
231 Baru 01-02-52-29 18-Jul-18 RI20180718-0005 AFIP GUMINTANG L 24 22-Jul-18 3 06 (521-B) dr. Tities, Sp.PD 5
LT005
232 Lama 01-01-53-68 18-Jul-18 RI20180718-0006 MASRIK P 41 20-Jul-18 3 04 (599-D) dr. Johny Setio, Sp.OG 3
LT005
I (518), ICU
233 Baru 01-02-52-41 18-Jul-18 RI20180718-0007 ALVIAH P 51 25-Jul-18 ICU
(90901-01),
dr. Tities, Sp.PD 8
04 (517)
LT005
234 Baru 01-02-52-47 18-Jul-18 RI20180718-0008 PUSPITA SARI P 22 20-Jul-18 3 04 (599-E) dr. Johny Setio, Sp.OG 3
ZZ088
235 Baru 01-02-52-50 18-Jul-18 RI20180718-0009 BY NY PUSPITASARI P 0 20-Jul-18 BY
09 (201-I)
ZZ088
236 Baru 01-02-52-52 18-Jul-18 RI20180718-0010 BY NY MASRIK P 0 20-Jul-18 BY 09 (201-K) dr. Juliawaty Salim, Sp. A 3
LT005
237 Lama 00-00-74-95 18-Jul-18 RI20180718-0011 SONY ISKANDAR L 49 19-Jul-18 3 04 (599-F) dr. Tities, Sp.PD 2
LT005
238 Baru 01-02-52-57 18-Jul-18 RI20180718-0012 NURHASANAH P 23 19-Jul-18 2 05 (508 A) dr. Evy Asali, Sp.OG 2
ZZ088
239 Baru 01-02-52-58 19-Jul-18 RI20180719-0001 BY NY NURHASANAH P 0 19-Jul-18 BY 09 (201-L) dr. Juliawaty Salim, Sp. A 1
LT005
240 Baru 01-02-52-60 19-Jul-18 RI20180719-0002 FAHIRA ASYIFA PUTRI P 9 23-Jul-18 1 04 (525) dr. Juliawaty Salim, Sp. A 5
LT005
241 Baru 01-02-52-65 19-Jul-18 RI20180719-0003 ELA WASILAH P 35 21-Jul-18 3 04 (599-C) dr. Evy Asali, Sp.OG 3
LT005
242 Baru 01-02-52-67 19-Jul-18 RI20180719-0004 ENI KOMSIYATI P 42 19-Jul-18 3
04 (599-G)
dr. Evy Asali, Sp.OG 1
ZZ088
243 Baru 01-02-52-70 19-Jul-18 RI20180719-0005 BY NY ENI KOMSIYATI L 0 19-Jul-18 BY 09 (201-N) dr. Juliawaty Salim, Sp. A 1
LT005
244 Baru 01-01-60-10 19-Jul-18 RI20180719-0006 SUMIYATI P 37 27-Jul-18 2 II (528-A), dr. Martin Winardi, Sp.PD 9
05 (527-A)
LT005
245 Baru 01-01-12-09 19-Jul-18 RI20180719-0007 ROHANI P 54 23-Jul-18 3 06 (522-A) dr. Martin Winardi, Sp.PD 5
LT005
246 Baru 01-01-61-89 19-Jul-18 RI20180719-0008 NAIRA CAHYA RAMADHANI P 9 22-Jul-18 3 III (526-B), dr. Juliawaty Salim, Sp. A 4
06 (526-D)
LT005
247 Baru 01-02-52-85 19-Jul-18 RI20180719-0009 IKAH P 41 24-Jul-18 3 06 (522-C) dr. Martin Winardi, Sp.PD 6
LT005
248 Baru 01-02-52-86 19-Jul-18 RI20180719-0010 DWI KIRANA OKTAVIANTY HERNAWAN P 29 23-Jul-18 3 05 (528-B) dr. Martin Winardi, Sp.PD 5
LT005
249 Baru 01-02-43-40 20-Jul-18 RI20180720-0001 MARINA DAMAYANTI P 38 21-Jul-18 3 III (523-A), dr. Johny Setio, Sp.OG 2
06 (523-B)
LT005
250 Baru 01-02-53-00 20-Jul-18 RI20180720-0002 ANISAH AGUSTIA P 1 23-Jul-18 3 06 (526-A) dr. Juliawaty Salim, Sp. A 4
LT005
251 Baru 01-02-53-03 20-Jul-18 RI20180720-0003 WARTIYEM P 55 23-Jul-18 3 04 (599-B) dr. Tities, Sp.PD 4
LT005
252 Baru 01-02-53-06 20-Jul-18 RI20180720-0004 TJHAI SYAK SIU P 63 23-Jul-18 3 05 (528-A) dr. Tities, Sp.PD 4
LT005
253 Lama 00-00-00-25 20-Jul-18 RI20180720-0005 KARTINI P 49 21-Jul-18 1
04 (507)
dr. Andre, Sp.S 2
01-02-53-08 LT005
254 Baru 01-02-53-08 20-Jul-18 RI20180720-0006 DELLA ARIYANTI P 11 20-Jul-18 3 06 (526-C) dr. Juliawaty Salim, Sp. A 1
LT005
255 Baru 01-02-53-14 20-Jul-18 RI20180720-0007 SUSIYANA P 36 23-Jul-18 3 06 (523-D) dr. Johny Setio, Sp.OG 4
LT005
256 Baru 01-02-53-15 21-Jul-18 RI20180720-0008 CINTA SAFITRI P 2 25-Jul-18 3 06 (526-B) dr. Juliawaty Salim, Sp. A 5
LT005
257 Baru 01-02-25-15 21-Jul-18 RI20180720-0009 FITRIANI P 26 23-Jul-18 2 05 (508 A) dr. Johny Setio, Sp.OG 3
LT005
258 Baru 01-02-25-91 21-Jul-18 RI20180721-0001 WAKIYEM P 38 23-Jul-18 3 06 (523-A) dr. Johny Setio, Sp.OG 3
259 Baru 01-02-51-60 21-Jul-18 RI20180721-0002 JENY RIYANTI P 24 23-Jul-18 3 06 (523-C) Sentosa,Sp.OG 3
ZZ088
260 Baru 01-02-53-16 21-Jul-18 RI20180721-0003 BY NY SUSIYANA L 0 23-Jul-18 BY 09 (201-A) dr. Juliawaty Salim, Sp. A 3
LT005
261 Baru 01-02-53-18 21-Jul-18 RI20180721-0004 AHMAD ALDI ARIANSYAH L 1 23-Jul-18 2
04 (516)
LT005
262 Baru 01-02-27-88 21-Jul-18 RI20180721-0005 NUR LAELY P 28 23-Jul-18 3 04 (599-F) dr. Johny Setio, Sp.OG 3
LT005
263 Baru 01-02-53-24 21-Jul-18 RI20180721-0006 RIA HANDAYANI P 30 23-Jul-18 2
05 (508 B)

264 Lama 00-00-73-42 21-Jul-18 RI20180721-0007 NURYANI P 35 23-Jul-18 3 04 (599-G) Sentosa,Sp.OG 3
ZZ088
265 Baru 01-02-53-25 21-Jul-18 RI20180721-0008 BY NY WAKIYEM L 0 23-Jul-18 BY 09 (201-C) dr. Juliawaty Salim, Sp. A 3
ZZ088
266 Baru 01-02-53-26 21-Jul-18 RI20180721-0009 BY NY FITRIANI I P 0 23-Jul-18 BY 09 (201-D) dr. Juliawaty Salim, Sp. A 3
ZZ088
267 Baru 01-02-53-27 21-Jul-18 RI20180721-0010 BY NY FITRIANI II P 0 23-Jul-18 BY 09 (201-E) dr. Juliawaty Salim, Sp. A 3
ZZ088
268 Baru 01-02-53-28 21-Jul-18 RI20180721-0011 BY NY JENNY RIYANTI L 0 23-Jul-18 BY 09 (201-F) dr. Juliawaty Salim, Sp. A 3
LT005
269 Baru 01-02-53-29 21-Jul-18 RI20180721-0012 NURJANAH P 48 24-Jul-18 3 I (599-A), dr. Martin Winardi, Sp.PD 4
05 (528-A)
ZZ088
270 Baru 01-02-53-30 21-Jul-18 RI20180721-0013 BY NY NURYANI L 0 23-Jul-18 BY 09 (201-L) dr. James Widjaja, Sp.A 3
ZZ088
271 Baru 01-02-53-32 21-Jul-18 RI20180721-0014 BY NY NUR LAELY P 0 23-Jul-18 BY 09 (201-B) dr. James Widjaja, Sp.A 3
ZZ088
272 Baru 01-02-53-33 21-Jul-18 RI20180721-0015 BY NY RIA HANDAYANI L 0 23-Jul-18 BY
09 (201-G)
LT005
273 Baru 01-02-53-34 21-Jul-18 RI20180721-0016 FRANSISKA P 32 22-Jul-18 3 06 (522-B) dr. Martin Winardi, Sp.PD 2
LT005
274 Baru 01-02-53-36 21-Jul-18 RI20180721-0017 MARYANA P 19 23-Jul-18 2 05 (510-B) dr. Evy Asali, Sp.OG 3
LT005
275 Baru 01-02-53-37 21-Jul-18 RI20180721-0018 WAINAH P 81 23-Jul-18 ISO 08 (520) dr. Martin Winardi, Sp.PD 3
ZZ086
276 Baru 01-02-53-41 21-Jul-18 RI20180721-0019 BY NY MARYANA L 0 23-Jul-18 PERINA RUANG BAYI (201-H), dr. Juliawaty Salim, Sp. A 3
10 (PERI001-A)
LT005
III (526-C), ICU
277 Baru 01-02-53-40 21-Jul-18 RI20180721-0020 REYHAN L 1 25-Jul-18 ICU (90902-01), dr. Juliawaty Salim, Sp. A 5
04 (525)
LT005
278 Baru 01-02-53-38 21-Jul-18 RI20180721-0021 SAU IWAN L 45 26-Jul-18 3 06 (521-C) dr. Martin Winardi, Sp.PD 6
LT005
279 Baru 01-02-53-44 22-Jul-18 RI20180722-0001 FITRI WULAN SUCI P 21 24-Jul-18 3 06 (522-D) dr. Martin Winardi, Sp.PD 3

280 Baru 01-02-37-49 22-Jul-18 RI20180722-0002 NANI RUSMINI P 35 24-Jul-18 3
3
LT005
281 Lama 01-01-06-96 22-Jul-18 RI20180722-0003 PAIDI P 64 24-Jul-18 3 06 (521-D) dr. Martin Winardi, Sp.PD 3
LT005
282 Baru 01-02-53-46 22-Jul-18 RI20180722-0004 OKTAVIAN HENDRA SAPUTRA L 1 25-Jul-18 3
06 (526-C)
ZZ088
283 Baru 01-02-53-48 22-Jul-18 RI20180722-0005 BY NY NANI RUSMINI L 0 24-Jul-18 BY RUANG BAYI (201-I), dr. James Widjaja, Sp.A 3
09 (201-A)
LT005
284 Baru 01-02-53-51 22-Jul-18 RI20180722-0006 SITI SALMAH BIN SAKIB L 57 24-Jul-18 3 06 (522-B) dr. Martin Winardi, Sp.PD 3
LT005
285 Baru 01-02-53-49 22-Jul-18 RI20180722-0007 SUPONO L 43 25-Jul-18 1 04 (518) dr. Martin Winardi, Sp.PD 4
ZZ089
286 Baru 01-02-53-50 22-Jul-18 RI20180722-0008 HIN KAM L 73 23-Jul-18 ICU I (507), dr. Martin Winardi, Sp.PD 2
07 (90901-01)
LT005
287 Baru 01-02-53-55 22-Jul-18 RI20180722-0009 TRI HARYANTI P 13 24-Jul-18 3 06 (526-D) dr. James Widjaja, Sp.A 3

288 Baru 01-02-49-09 23-Jul-18 RI20180723-0001 MARYANAH P 33 25-Jul-18 2 05 (510-A) Sentosa,Sp.OG 3

289 Baru 01-02-53-61 23-Jul-18 RI20180723-0002 SETIANA IKASARI P 30 25-Jul-18 2 05 (509-A) Sentosa,Sp.OG 3
ZZ088
290 Baru 01-02-53-67 23-Jul-18 RI20180723-0003 BY NY MARYANAH P 0 25-Jul-18 BY RUANG BAYI (201-J), dr. Juliawaty Salim, Sp. A 3
09 (201-B)
ZZ088
291 Baru 01-02-53-76 23-Jul-18 RI20180723-0004 BY NY SETIANA IKA SARI P 0 25-Jul-18 BY RUANG BAYI (201-M), dr. Juliawaty Salim, Sp. A 3
09 (201-C)
ZZ086
292 Lama 01-02-51-84 23-Jul-18 RI20180723-0006 BY NY NURIKA SEPTIANI L 0 25-Jul-18 PERINA PERINATOLOGI dr. Juliawaty Salim, Sp. A 3
(PERI001-C),
10 (PERI001-A)
LT005
293 Lama 01-01-31-93 23-Jul-18 RI20180723-0007 DJIE MIANG TJUNG L 58 24-Jul-18 3 06 (521-A) dr. Tities, Sp.PD 2
LT005
294 Lama 01-01-58-17 23-Jul-18 RI20180723-0008 DANIEL SAPUTRA L 1 26-Jul-18 3 06 (526-A) dr. James Widjaja, Sp.A 4
LT005
295 Baru 01-02-53-94 23-Jul-18 RI20180723-0009 TUTI NURYATI P 54 27-Jul-18 2 II (512-A), III (523-C), dr. Tities, Sp.PD 5
06 (522-D)

296 Baru 01-02-54-00 23-Jul-18 RI20180723-0010 ANI FUJIANTI P 28 26-Jul-18 3 06 (523-A) Sentosa,Sp.OG 4
LT005
297 Lama 00-00-06-11 23-Jul-18 RI20180723-0011 FRAKASSONA KARISIANE P 46 27-Jul-18 VIP 02 (502) dr. Tities, Sp.PD 5
LT005
298 Baru 01-02-54-02 23-Jul-18 RI20180723-0012 NANI P 49 27-Jul-18 3 06 (522-E) dr. Tities, Sp.PD 5
LT005
299 Baru 00-00-40-57 24-Jul-18 RI20180724-0001 PERIONGGO L 53 28-Jul-18 3
06 (521-B)
dr. Tities, Sp.PD 5
LT005
300 Baru 01-02-54-05 24-Jul-18 RI20180724-0002 MELIAWATI P 38 28-Jul-18 3 06 (522-A) dr. Tities, Sp.PD 5
LT005
301 Baru 01-02-51-43 24-Jul-18 RI20180724-0003 NURHALIMAH P 19 25-Jul-18 3
06 (522-C)
dr. Tjhin Sun Fu, Sp.B 2
ZZ088
302 Baru 01-02-54-14 24-Jul-18 RI20180724-0004 BY NY ANI FUJIANTI L 0 26-Jul-18 BY 09 (201-D) dr. Juliawaty Salim, Sp. A 3
LT005
303 Baru 01-02-54-09 24-Jul-18 RI20180724-0005 SYAFIQ ANDRIYANSYAH L 2 29-Jul-18 3 I (599-A), dr. Juliawaty Salim, Sp. A 6
06 (526-D)
LT005
304 Baru 01-02-54-24 24-Jul-18 RI20180724-0007 EVIN S SITORUS P 39 25-Jul-18 2 05 (508 B) dr. Martin Winardi, Sp.PD 2

305 Baru 01-02-54-30 24-Jul-18 RI20180724-0008 SURYANAH P 22 25-Jul-18 3 06 (523-D) Sentosa,Sp.OG 2
LT005
306 Baru 01-02-54-34 24-Jul-18 RI20180724-0009 TJOA GIOK TIE P 54 27-Jul-18 3 05 (528-B) dr. Andre, Sp.S 4
LT005
307 Baru 01-02-54-37 24-Jul-18 RI20180724-0010 DZAKIYAH NAURA ZAAFARANI P 2 27-Jul-18 3 04 (599-B) dr. James Widjaja, Sp.A 4

308 Baru 01-02-48-02 24-Jul-18 RI20180724-0011 LETIK P 32 27-Jul-18 2 05 (509 B) Sentosa,Sp.OG 4

309 Baru 01-02-54-40 25-Jul-18 RI20180725-0001 IKA RANI P 23 27-Jul-18 3 06 (523-B) Sentosa,Sp.OG 3
ZZ088
310 Baru 01-02-54-41 25-Jul-18 RI20180725-0002 BY NY LETIK L 0 27-Jul-18 BY
09 (201-A)
LT005
311 Baru 01-01-29-97 25-Jul-18 RI20180725-0003 FITRI WULAN SARI P 30 27-Jul-18 2 05 (508 A) dr. Evy Asali, Sp.OG 3
ZZ089
312 Baru 01-01-33-43 25-Jul-18 RI20180725-0004 USIN L 73 26-Jul-18 BY I (516), dr. Tjhin Sun Fu, Sp.B 2
07 (90902-01)
LT005
III (521-A), ICU
313 Lama 01-02-31-40 25-Jul-18 RI20180725-0005 DURACHMAN L 65 31-Jul-18 ICU (90901-01), dr. Tities, Sp.PD 7
06 (521-C)
LT005
314 Baru 01-02-54-57 25-Jul-18 RI20180725-0006 SRI MULYANI P 44 27-Jul-18 2 05 (528-A) dr. Tities, Sp.PD 3
LT005
315 Baru 01-02-54-65 25-Jul-18 RI20180725-0007 MIRANDA RAMADHANI P 26 27-Jul-18 2 05 (508 B) dr. Johny Setio, Sp.OG 3
ZZ088
316 Baru 01-02-54-66 25-Jul-18 RI20180725-0008 BY NY FITRI WULAN SARI L 0 27-Jul-18 BY 09 (201-B) dr. James Widjaja, Sp.A 3
ZZ088
317 Baru 01-02-54-67 25-Jul-18 RI20180725-0009 BY NY MIRANDA RAHMADANI P 0 27-Jul-18 BY 09 (201-E) dr. James Widjaja, Sp.A 3
LT005
318 Baru 01-02-54-69 26-Jul-18 RI20180726-0001 ASYIFAH MAULIDA PUTRI P 2 29-Jul-18 3
06 (526-B)
LT005
319 Baru 01-02-54-70 26-Jul-18 RI20180726-0002 YOGI DWI NANDA RAMADHAN L 2 27-Jul-18 2 05 (512-A) dr. James Widjaja, Sp.A 2
LT005
320 Baru 01-02-41-47 26-Jul-18 RI20180726-0003 RIKI NUGRAHA L 26 27-Jul-18 2
05 (512-B)
dr. Tjhin Sun Fu, Sp.B 2
LT005
321 Baru 01-02-53-71 26-Jul-18 RI20180726-0004 WAHIDIN L 39 27-Jul-18 3 04 (599-E) dr. Tjhin Sun Fu, Sp.B 2
LT005
III (523-D), III (522-B), III dr. Johny Setio, Sp.OG
322 Baru 01-02-54-71 26-Jul-18 RI20180726-0005 RISTORIA SIMBOLON L 36 28-Jul-18 3 (523-D), III (522-B), 3
06 (523-D)
LT005
323 Baru 01-02-44-15 26-Jul-18 RI20180726-0006 FERONICA L 18 28-Jul-18 3 06 (523-C) dr. Johny Setio, Sp.OG 3
ZZ086
324 Baru 01-02-54-85 26-Jul-18 RI20180726-0007 BY NY RISTORIA SIMBOLON P 0 30-Jul-18 PERINA RUANG BAYI (201-F), dr. Juliawaty Salim, Sp. A 5
10 (PERI001-A)
LT005
325 Lama 01-02-43-40 26-Jul-18 RI20180726-0008 MARINA DAMAYANTI P 38 28-Jul-18 3 06 (523-A) dr. Johny Setio, Sp.OG 3
LT005
326 Baru 01-02-54-92 26-Jul-18 RI20180726-0010 RACHMAWATI P 32 28-Jul-18 3 06 (522-B) dr. Martin Winardi, Sp.PD 3
LT005
327 Baru 01-02-51-99 26-Jul-18 RI20180726-0011 ZAMHARI L 47 28-Jul-18 3 06 (521-A) dr. Tjhin Sun Fu, Sp.B 3
LT005
328 Baru 01-02-54-94 26-Jul-18 RI20180726-0012 WIWIT ASTUTI P 49 28-Jul-18 3 III (522-C), dr. Martin Winardi, Sp.PD 3
08 (520)
LT005
329 Baru 01-02-54-98 26-Jul-18 RI20180726-0013 SITI IBNGATUN P 18 29-Jul-18 3 06 (526-C) dr. James Widjaja, Sp.A 4
ZZ088
330 Baru 01-02-55-08 26-Jul-18 RI20180726-0014 BY NY FERONICA P 0 28-Jul-18 BY 09 (201-C) dr. James Widjaja, Sp.A 3
LT005
331 Lama 01-02-41-36 26-Jul-18 RI20180726-0016 HANIN KHALISA RAMADANI P 0 29-Jul-18 3 I (599-C), dr. Juliawaty Salim, Sp. A 4
02 (505)
ZZ088
332 Baru 01-02-55-15 26-Jul-18 RI20180726-0017 QIANDRA AKIFFA FAJAR P 0 28-Jul-18 BY 09 (201-H) dr. James Widjaja, Sp.A 3
LT005
333 Baru 01-02-55-14 26-Jul-18 RI20180726-0018 FITRI HARIYANI P 22 31-Jul-18 2
05 (527-B)
dr. Martin Winardi, Sp.PD 6
LT005
334 Baru 01-02-52-03 26-Jul-18 RI20180726-0019 RANI P 28 29-Jul-18 3
04 (599-A)
dr. Evy Asali, Sp.OG 4
LT005
335 Baru 01-02-50-71 26-Jul-18 RI20180726-0020 MUTMAINAH P 42 28-Jul-18 3 04 (599-F) dr. Evy Asali, Sp.OG 3
ZZ088
336 Baru 01-02-55-17 27-Jul-18 RI20180726-0021 BY NY MUTMAINAH P 0 28-Jul-18 BY 09 (201-I) dr. James Widjaja, Sp.A 2
LT005
337 Baru 01-02-55-16 27-Jul-18 RI20180727-0001 SITI ROFIQOH P 29 27-Jul-18 3 06 (522-C) dr. Martin Winardi, Sp.PD 1
LT005
338 Baru 01-02-55-22 27-Jul-18 RI20180727-0003 YUNENGSIH P 27 29-Jul-18 3 04 (598-A) dr. Johny Setio, Sp.OG 3
LT005
339 Baru 01-02-21-19 27-Jul-18 RI20180727-0004 ISTICHAROH DARIYANTI P 22 30-Jul-18 VIP 02 (519-A) dr. Evy Asali, Sp.OG 4
LT005
340 Baru 01-01-97-02 27-Jul-18 RI20180727-0005 NURUL ALIF L 1 29-Jul-18 2 05 (510-B) dr. Juliawaty Salim, Sp. A 3
LT005
341 Baru 01-02-54-83 27-Jul-18 RI20180727-0006 MERI KURNIASIH P 25 28-Jul-18 3
04 (599-C)
342 Baru 01-02-55-33 27-Jul-18 RI20180727-0007 BY NY YUNENGSIH L 0 27-Jul-18 PERINA ZZ086 dr. Juliawaty Salim, Sp. A 1
10 (PERI001-A)
LT005
343 Baru 01-02-55-35 27-Jul-18 RI20180727-0008 YULIYANAH P 33 28-Jul-18 3 04 (599-B) dr. Johny Setio, Sp.OG 2
344 Baru 01-02-55-36 27-Jul-18 RI20180727-0009 BY NY YULIYANAH I P 0 28-Jul-18 PERINA ZZ086 dr. Juliawaty Salim, Sp. A 2
10 (PERI001-D)
ZZ086
PERINATOLOGI
345 Baru 01-02-55-37 27-Jul-18 RI20180727-0010 BY NY YULIYANAH II P 0 29-Jul-18 PERINA (PERI001-E), RUANG dr. Juliawaty Salim, Sp. A 3
BAYI (201-I),
10 (PERI001-B)
LT005
346 Baru 01-02-55-39 27-Jul-18 RI20180727-0011 DELLA PARMITA P 13 30-Jul-18 3 06 (526-A) dr. Juliawaty Salim, Sp. A 4
ZZ088
347 Baru 01-02-55-44 27-Jul-18 RI20180727-0012 BY NY ISTICHAROH DARIYANTI P 0 30-Jul-18 BY 09 (201-J) dr. James Widjaja, Sp.A 4
LT005
348 Baru 01-02-55-43 27-Jul-18 RI20180727-0013 VICKTOR SANJAYA L 26 31-Jul-18 3 06 (521-D) dr. Martin Winardi, Sp.PD 5

349 Baru 01-02-55-57 28-Jul-18 RI20180728-0001 DWI ENDANG SUHARTI P 34 29-Jul-18 3 04 (599-D) Sentosa,Sp.OG 2
LT005
350 Lama 01-01-97-30 28-Jul-18 RI20180728-0002 BY NY SRI HAWATARIAH L 0 31-Jul-18 VIP 02 (503) dr. James Widjaja, Sp.A 4
LT005
351 Baru 01-02-54-64 28-Jul-18 RI20180728-0003 EKA RAHMAWATI P 22 29-Jul-18 3 06 (523-B) dr. Johny Setio, Sp.OG 2
ZZ089
352 Baru 01-02-55-71 28-Jul-18 RI20180728-0004 SAINO L 67 31-Jul-18 ICU 07 (90901-01) dr. Erniody, Sp.An 4
LT005
353 Baru 01-02-55-78 29-Jul-18 RI20180729-0003 SARIFUDIN L 40 31-Jul-18 3 III (521-E), dr. Tities, Sp.PD 3
04 (516)
LT005
354 Lama 01-01-45-62 29-Jul-18 RI20180729-0004 NAPSIAH P 47 31-Jul-18 3 06 (522-B) dr. Martin Winardi, Sp.PD 3
LT005
355 Baru 01-02-54-50 30-Jul-18 RI20180730-0001 YHOPY SHEPTANA L 30 31-Jul-18 3 04 (599-A) dr. Tjhin Sun Fu, Sp.B 2
LT005
356 Baru 01-02-55-89 30-Jul-18 RI20180730-0003 NASRUL L 20 31-Jul-18 3 06 (521-B) dr. Martin Winardi, Sp.PD 2
LT005
357 Baru 01-02-56-18 30-Jul-18 RI20180730-0006 KIKI MARIA P 25 31-Jul-18 3 06 (523-B) dr. Johny Setio, Sp.OG 2
LT005
358 Baru 01-02-56-28 31-Jul-18 RI20180731-0001 LILIS P 23 31-Jul-18 ISO 08 (520) dr. Martin Winardi, Sp.PD 1
Penjamin Keadaan Keluar SMF DIAGNOSA Kode ICD-X
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Cerebrovascular disease, unspecified (i67.9, 156, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM
(J18.9, 169, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery
(P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
BPJS KESEHATAN BELUM SEMBUH ANAK Febrile convulsions (R56.0, 270.3, LAMA)

(O82.9, 242.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Single live birth
(Z37.0, 298, LAMA)

(P22.1, 249, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery
(P03.4, 245, LAMA)

BPJS KESEHATAN BELUM SEMBUH ANAK (P22.1, 249, LAMA), Fetus and newborn
affected by caesarean delivery (P03.4, 245, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Non insulin dependent DM without complications (E11.9, 104.1, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Cerebrovascular disease, unspecified (I67.9, 156, LAMA), Hypertension - High blood pressure
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (I10, 145, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)

PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI 242.9, LAMA)
PRIBADI DIIZINKAN PULANG ANAK (Z38.0, 295, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Asthma (J45, 176, LAMA), Hypokalaemia (E87.6, 111, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion

BPJS KESEHATAN DIIZINKAN PULANG ANAK Pneumonia, unspecified
(J18.9, 169, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA)

(P22.1, 249, LAMA), Physiological
BPJS KESEHATAN DIIZINKAN PULANG ANAK jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG ANAK Chronic rhinitis - Ozena
(J31.0, 172, LAMA)
BPJS KESEHATAN BELUM SEMBUH PENYAKIT DALAM Other and unspecified abdominal pain (R10.4, 267, LAMA)
Other arthritis
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (M13, 200.9, LAMA)
Acute pharyngitis, unspecified

(J02.9, 165.0, LAMA), Dyspepsia -
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Indigestion
(I10, 145, LAMA)
Ge/Diare (A09.9,
PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA)
Severe
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI caesarean section, unspecified
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA)
Cellulitis, unspecified (L03.9, 198, LAMA), Cutaneous absc.,furuncle

BPJS KESEHATAN DIIZINKAN PULANG BEDAH & carbuncle,unspecifie d (L02.9, 198,
LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Other peripheral vertigo - Lermoyez' syndrome
BPJS KESEHATAN DIIZINKAN PULANG SYARAF (H81.3, 142.9, LAMA)
BPJS KESEHATAN MENINGGAL < 48 JAM OBSTETRI DAN GINEKOLOGI Maternal care for intrauterine death (O36.4, 239.9, LAMA)
BPJS KESEHATAN MENINGGAL < 48 JAM PENYAKIT DALAM Perforation of intestine (nontraumatic) (K63.1, 192.9, LAMA), Peritonitis, unspecified (K65.9, 192.9, LAMA)
PRIBADI MENINGGAL < 48 JAM OBSTETRI DAN GINEKOLOGI
BPJS KESEHATAN DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)

PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA)

PRIBADI DIIZINKAN PULANG ANAK (O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
Headache - Facial pain NOS
(R51, 270.9, LAMA), Non insulin dependent DM without
complications
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (E11.9, 104.1, LAMA),
(I10, 145, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Urticaria
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (L50, 199, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Febrile convulsions (R56.0, 270.3, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Ulcer of lower limb, not elsewhere classified (L97,
199, LAMA), Diabetes Melitus tidak tergantung
BPJS KESEHATAN DIIZINKAN PULANG BEDAH insulin (E11,
104.1, LAMA)
(Z38.0, 295, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Infection of obstetric surgical wound (O86.0, 244, LAMA)

(O82.9, 242.9, LAMA),
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Single live birth
(Z37.0, 298, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 007.0, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (N18.9, 214.9, LAMA)
Retention of urine
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (R33, 270.2, LAMA)
BPJS KESEHATAN TIDAK SEMBUH PENYAKIT DALAM

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Ge/Diare (A09.9,

005, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG ANAK (A49.9, 018, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH Other specified soft tissue disorders (M79.8, 207.9, LAMA)

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
Premature
(Z37.0, 298,rupture
LAMA) of membranes, unspecified
Single live birth
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
PRIBADI DIIZINKAN PULANG BEDAH

Fetus and newborn affected by caesarean delivery (p03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
BPJS KESEHATAN TIDAK SEMBUH PENYAKIT DALAM
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Pleurisy (R09.1, 270.9, LAMA)
Single live birth
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (Z37.0, 298, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA), Hypokalaemia (E87.6, 111, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI 236.9, LAMA)
Ge/Diare (A09.9,
PT. ASURANSI ALLIANZ LIFE INDONESIA DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Melaena
PRIBADI BELUM SEMBUH PENYAKIT DALAM (K92.1, 197, LAMA)
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Unspecified abortion [See above for subdivisions] (O06,
236.9, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI


PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Singleton, born in hospital

(Z38.0, 295, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
Ge/Diare (A09.9,
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI 005, LAMA)
Abnormal uterine
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI & vaginal bleeding, unspecified (N93.9, 233, LAMA)

MANDIRI INHEALTH DIIZINKAN PULANG PENYAKIT DALAM (N39.0, 217, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM
PRIBADI DIIZINKAN PULANG BEDAH

(N18.9, 214.9, BARU),
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Anaemia in other chronic dis. classified elsewhere (D63.8*,
098, LAMA)

(o82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (J18.9, 169, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O42.9, 239.2, LAMA)
Congenital pneumonia
(P23, 249, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton,
BPJS KESEHATAN BELUM SEMBUH ANAK born in hospital
(Z38.0, 295, LAMA)
DHF / DBD
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (A91, 032.1, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), DHF / DBD
(A91, 032.1, LAMA), Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG ANAK 005, LAMA),
Premature
Ispa/Acute rupture of membranes,
upper respiratory unspecified
infection, unspecified (J06.9,
(O42.9, 239.2, LAMA),
167, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O82.9, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Congenital pneumonia
(P23, 249, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Singleton,
BPJS KESEHATAN BELUM SEMBUH ANAK born in hospital
(Z38.0, 295, LAMA)
Other disorders of vestibular function (H81.8, 142.9, LAMA),
PRIBADI TIDAK SEMBUH SYARAF Dyspepsia - Indigestion
(K30, 189.9, LAMA)
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI
BPJS KESEHATAN MENINGGAL < 48 JAM ANAK Dengue fever [classical dengue] (A90, 032.0, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Hypokalaemia (E87.6, 111, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (I50.0, 151, LAMA), Hypokalaemia
(E87.6, 111, LAMA), Non insulin dependent DM without
complications (E11.9, 104.1, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG ANAK 005, LAMA), DHF / DBD
(A91, 032.1, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK (K30, 189.9, LAMA)


PRIBADI DIIZINKAN PULANG ANAK Singleton, born in hospital

(Z38.0, 295, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Other surgical follow-up care

BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (Z48, 297.9, LAMA)
Abnormal uterine
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI & vaginal bleeding, unspecified (N93.9, 233, LAMA)
(J02.9, 165.0, LAMA),
PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG PENYAKIT DALAM Hypertension - High
blood pressure
Oligohydramnios
(I10, 145, LAMA) (O41.0, 239.9, LAMA),
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI unspecified (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Gastrointestinal haemorrhage, unspecified

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (K92.2, 197, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
104.1, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Ge/Diare (A09.9,

005, LAMA), Hypokalaemia (E87.6, 111, LAMA)
(P22.1, 249, LAMA), Fetus and newborn affected by
PRIBADI DIIZINKAN PULANG ANAK caesarean delivery (P03.4, 245, LAMA), Singleton, born in hospital
(Z38.0, 295, LAMA)
Asthma,
BPJS KESEHATAN DIIZINKAN PULANG ANAK unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
(O82.9, 242.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Premature rupture of membranes
(O42, 239.2, LAMA), Single live birth (Z37.0, 298, LAMA)
Obst.lab.due to malposition malpresent.of fetus (O64, 240, LAMA), Delivery by caesarean section,
unspecified
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI unspecified (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK (P22.1, 249, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live
birth (Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Fetal death of unspecified cause - Stillbirth NOS (P95,
253.0, LAMA)
PRIBADI BELUM SEMBUH ANAK

(O42.9, 239.2, LAMA),
LAMA),
Single live birth
Retained placenta
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI & membranes, without haemorrhage (O73,
242.9, LAMA)
Ge/Diare (A09.9,
PRIBADI DIIZINKAN PULANG ANAK 005, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM

(O42.9, 239.2, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN MENINGGAL < 48 JAM PENYAKIT DALAM
Toxic effect of pesticides

PRIBADI BELUM SEMBUH PENYAKIT DALAM (T60, 285, LAMA)

(P22.1, 249, LAMA), Physiological
BPJS KESEHATAN DIIZINKAN PULANG ANAK jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG SYARAF (H81.3, 142.9, LAMA)
(I50.0, 151, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
104.1, LAMA), Liver disease, unspecified (K76.9, 194.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Acute renal failure, unspecified
(N17.9, 214.9,
LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Hyperemesis gravidarum with metabolic disturbance (O21.1,
242.9, LAMA)
Single live birth
(Z37.0, 298, LAMA)
(Z38.0, 295, LAMA)
Obst.lab.due to malposition malpresent.of fetus (O64, 240, LAMA), Delivery by caesarean section,
unspecified
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298,
by caesarean
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH Bone and articular cartilage, unspecified (D16.9, 096.6, LAMA)
Haemorrhoids
BPJS KESEHATAN DIIZINKAN PULANG BEDAH (I84, 163, LAMA)
Subarachnoid haemorrhage, unspecified

PRIBADI DIIZINKAN PULANG SYARAF (I60.9, 153, LAMA)
Fetus and newborn affected by caesarean delivery (p03.4, 245, LAMA), Singleton, born in hospital
Single live birth
(Z37.0, 298,
by caesarean
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Decubitus ulcer - Bedsore - Plaster ulcer (L89,
199, LAMA), Diabetes Melitus
BPJS KESEHATAN DIIZINKAN PULANG BEDAH tidak tergantung insulin (E11,
104.1, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG ANAK 005, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (J18.9, 169, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
Ge/Diare (A09.9,
005, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Chronic renal failure, unspecified
Gestat.
(N18.9, 214.9, BARU)
Single live birth
Delivery by caesarean
(Z37.0, 298, LAMA) section, unspecified
Single live birth
(Z37.0, 298, LAMA)
DHF / DBD
BPJS KESEHATAN BELUM SEMBUH ANAK (A91, 032.1, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (A49.9, 018, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI 005, LAMA)
104.1, LAMA), Hypoglycaemia, unspecified
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (E16.2, 111, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (N39.0, 217, LAMA)
PRIBADI DIIZINKAN PULANG ANAK
Single live birth
(Z37.0, 298, LAMA)
PT. ADMEDIKA DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Delivery by elective caesarean section (o82.0, 242.9, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM Other and unspecified abdominal pain (R10.4, 267, LAMA)
Mild hyperemesis gravidarum (O21.0, 242.9, LAMA),

(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, BARU)
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 104.1, LAMA)
unspecified
Single live birth
(Z37.0, 298, LAMA)
Non insulin dependent DM without complications (E11.9, 104.1, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Hypertension - High blood pressure
(I10, 145, LAMA)
Prem.rupt.of membranes,onset of lab.after 24 hours (O42.1, 239.2, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Other preterm
PRIBADI BELUM SEMBUH ANAK NOS (P07.3,
246, LAMA), Respiratory distress of newborn, unspecified
(P22.9, 249, LAMA)
(Z38.0, 295, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Congenital pneumonia,
BPJS KESEHATAN DIIZINKAN PULANG ANAK unspecified
(P23.9, 249, LAMA)
BPJS KESEHATAN BELUM SEMBUH ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
Enterostenosis - Obstructive ileus

BPJS KESEHATAN TIDAK SEMBUH PENYAKIT DALAM NOS (K56.6,
190, LAMA), Hypovolaemic shock (R57.1, 270.9, LAMA)
DHF / DBD
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (A91, 032.1, LAMA)
Obst.lab.due to malposition & malpresent,unspec. (O64.9, 240, LAMA), Delivery by caesarean
section, unspecified
Single live birth
(Z37.0, 298, LAMA)
Fibrosis and cirrhosis of liver
BPJS KESEHATAN MENINGGAL < 48 JAM PENYAKIT DALAM (k74, 194.9, LAMA), Cardiac arrest
(i46, 150, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(Z38.0, 295, LAMA)
(N18.9, 214.9, BARU),
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Anaemia in other
chronic dis. classified elsewhere (D63.8*,
Single live birth (Z37.0, 298, LAMA), Premature rupture
098, LAMA)
PRIBADI TIDAK SEMBUH OBSTETRI DAN GINEKOLOGI (O42.9, 239.2, LAMA),
(O80, 243, LAMA)
PRIBADI TIDAK SEMBUH ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
Ectopic pregnancy, unspecified

PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O00.9, 236.0, LAMA)
Obstructed labour, unspecified

PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI (O66.9, 240, LAMA), Single live birth (Z37.0, 298, LAMA), Single spontaneous delivery, unspecified
(O80.9, 243, LAMA)
Fetal death of unspecified cause - Stillbirth NOS (P95,

PRIBADI MENINGGAL < 48 JAM ANAK 253.0, LAMA)
BPJS KESEHATAN MENINGGAL < 48 JAM PENYAKIT DALAM

PRIBADI DIIZINKAN PULANG ANAK (A49.9, 018, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (A49.9, 018, LAMA)
Ge/Diare (A09.9,

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (A49.9, 018, LAMA), Hypokalaemia (E87.6, 111, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypokalaemia (E87.6, 111,
LAMA)
Other disorders of vestibular function (H81.8, 142.9, LAMA),
BPJS KESEHATAN DIIZINKAN PULANG SYARAF Ventral hernia without obstruction
or gangrene
(K43.9, 188, LAMA)
DHF / DBD
BPJS KESEHATAN TIDAK SEMBUH ANAK (A91, 032.1, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Ge/Diare (A09.9,

Twin pregnancy section,
(O30.0, 239.0, unspecified
LAMA)
(O82.9, 242.9, LAMA),
Hypertonic,incoordin at,& prolonged uteri.contract. (O62.4, 242.9,
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI LAMA),
Single live birth
(Z37.0, 298, LAMA)
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Pneumonia, unspecified

(J18.9, 169, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Premature rupture of membranes
(O42, 239.2, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Haemorrhoids in pregnancy (O22.4, 242.9, LAMA)
Fetus and newborn affected by multiple pregnancy (P01.5,
245, LAMA),
PRIBADI DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298,
LAMA)
Fetus and newborn affected by multiple pregnancy (P01.5,
245, LAMA),
(Z38.0, 295, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
(Z38.0, 295, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA)
Single live birth
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (J18.9, 169, LAMA)
PRIBADI BELUM SEMBUH ANAK (Z38.0, 295, LAMA)
Ge/Diare (A09.9,
PRIBADI DIIZINKAN PULANG ANAK 005, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Dyspepsia - Indigestion
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA)
DHF / DBD
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (A91, 032.1,
Maternal LAMA)
care for malpresent.of fetus,unspecified (O32.9, 239.9, LAMA),
Failed induction of labour, unspecified
(O61.9, 242.9,
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
Single live birth
Diabetes Melitus
(Z37.0, 298, LAMA)tidak tergantung insulin (E11,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 104.1, LAMA), Dyspepsia - Indigestion
(K30, 189.9, BARU)
PRIBADI DIIZINKAN PULANG ANAK Ge/Diare (A09.9,

005, LAMA)
Asthma (J45, 176, LAMA),

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
Melaena
PRIBADI DIIZINKAN PULANG PENYAKIT DALAM (K92.1, 197, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Peritonitis
BPJS KESEHATAN MENINGGAL < 48 JAM PENYAKIT DALAM (K65, 192.9, LAMA), Cardiac arrest
(I46, 150, LAMA)
DHF / DBD
BPJS KESEHATAN DIIZINKAN PULANG ANAK (A91, 032.1, LAMA)
Single live birth
(Z37.0,
Delivery298, LAMA) section, unspecified
by caesarean
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
(Z38.0, 295, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (N18.9, 214.9, LAMA)
Ge/Diare (A09.9,

(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
Cholelithiasis
PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG PENYAKIT DALAM (K80, 195.0, LAMA)
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Dyspepsia - Indigestion
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (K30, 189.9, LAMA)
Ge/Diare (A09.9,
(K30, 189.9, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA), Hypokalaemia (E87.6, 111, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH Soft tissue disorder, unspecified

(M79.9, 207.9, LAMA)
Ge/Diare (A09.9,
PRIBADI BELUM SEMBUH PENYAKIT DALAM Cholecystitis, unspecified (K81.9, 195.9, LAMA)


PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG SYARAF (H81.3, 142.9, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG ANAK Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)
Maternal care for disproportion, unspecified (O33.9, 239.9, LAMA),
unspecified
Single live birth
(Z37.0, 298, LAMA)
PRIBADI DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI 242.9, LAMA)
Single live birth
Perforation
(Z37.0, 298,of intestine (nontraumatic) (k63.1, 192.9, LAMA),
LAMA)
Acute renal failure, unspecified
BPJS KESEHATAN BELUM SEMBUH BEDAH (n17.9, 214.9, LAMA),
Other septicaemia
(a41, 017, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Other specified aplastic anaemias (d61.8, 098, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM (J02.9, 165.0, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
(O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA)
PRIBADI BELUM SEMBUH ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
PRIBADI BELUM SEMBUH ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
PRIBADI DIIZINKAN PULANG ANAK Ge/Diare (A09.9,

005, LAMA), Convulsions, not elsewhere classified (R56, 270.3, LAMA)

BPJS KESEHATAN DIIZINKAN PULANG ANAK (B34.9, 041, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG BEDAH Tuber.peripheral lymphadenopathy - Tuber.adenitis (A18.2, 008.3, LAMA)
Obst.lab.due to malposition & malpresent,unspec. (O64.9, 240, LAMA), Supervision of pregnancy
with history of inferti. (Z35.0, 294.1, LAMA),
Maternal
Single livecare
birthfor disproportion, unspecified (O33.9, 239.9, LAMA),
Maternal care
(Z37.0, 298, for malpresent.of fetus,unspecified (O32.9, 239.9, LAMA),
LAMA)
Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN BELUM SEMBUH ANAK
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM 005, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Non insulin dependent DM without complications (e11.9, 104.1, LAMA)
PRIBADI TIDAK SEMBUH ANAK Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA)
Ge/Diare (A09.9,
Demam Tifoid dan Paratifoid (A01, 002, LAMA),

BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM Dyspepsia - Indigestion
(k30, 189.9, LAMA), Gingivitis and periodontal diseases (K05, 181.3, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Noxious substance eaten as food, unspecified
PRIBADI TIDAK SEMBUH PENYAKIT DALAM (T62.9, 285, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Maternal care for disproportion, unspecified (O33.9, 239.9, LAMA),

Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI mole (O02.0,
236.9, LAMA)
PRIBADI BELUM SEMBUH ANAK (Z38.0, 295, LAMA)
Twin pregnancy (O30.0, 239.0, LAMA),

Single live birth
(Z37.0, 298, LAMA)
BPJS KESEHATAN BELUM SEMBUH ANAK
Other low birth weight - Birth weight

1000-2499 g. (P07.1, 246, LAMA), Bacterial sepsis of
BPJS KESEHATAN MENINGGAL < 48 JAM ANAK newborn, unspecified
(P36.9, 250, LAMA)
Fever of unknown origin

(R50, 268, LAMA), Fetus and newborn affected by
BPJS KESEHATAN DIIZINKAN PULANG ANAK caesarean delivery (P03.4, 245, LAMA), Convulsions, not elsewhere classified
(R56, 270.3, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA)

Decompensation cardiac-Heart disease, unspecified (I51.9, 152.9, LAMA),
BPJS KESEHATAN MENINGGAL < 48 JAM ANASTESI insulin (E11,
104.1, LAMA), Cardiac arrest (I46, 150, LAMA)
Pneumonia,
BPJS KESEHATAN DIIZINKAN PULANG PENYAKIT DALAM organism unspecified (j18, 169, LAMA), Dyspepsia - Indigestion
(k30, 189.9, LAMA)
Ge/Diare (a09.9,
(k30, 189.9, LAMA)
BPJS KESEHATAN DIIZINKAN PULANG OBSTETRI DAN GINEKOLOGI Retained placenta without haemorrhage (O73.0, 242.9, LAMA)
PRIBADI BELUM SEMBUH PENYAKIT DALAM Respiratory tuberculosis unspecified (a16.9, 007.9, LAMA)
ICD 9-C ICD 9-C Rujukan Dari Dirujuk Ke
Periode : AGUSTUS - 2018
∑= 62
Kode
Umur
No.Jns Kunj. No.RM Tgl. Masuk No.Reg NAMA PASIEN JK Tgl. Keluar Ruang
Rawat
01 Lama 01-02-01-91 26-Jul-18 RI20180726-0009 LICIA WIDIA YANTI P 24 1-Aug-18 1
02 Baru 01-02-55-11 26-Jul-18 RI20180726-0015 BY NY LICIA WIDIA YANTI L 0 1-Aug-18 PERINA
03 Baru 01-02-55-19 27-Jul-18 RI20180727-0002 BY NY RANI P 0 1-Aug-18 PERINA
04 Baru 01-02-55-74 29-Jul-18 RI20180729-0001 CHIKA AZZAHRA P 2 1-Aug-18 VIP
05 Baru 01-02-55-77 29-Jul-18 RI20180729-0002 ANGKA JAYA L 60 10-Aug-18 ICU
06 Baru 01-02-55-83 29-Jul-18 RI20180729-0005 AHMAD SUJAI L 30 5-Aug-18 3
07 Baru 01-02-44-89 30-Jul-18 RI20180730-0002 DARYATI P 37 1-Aug-18 2
08 Baru 01-02-56-07 30-Jul-18 RI20180730-0004 BY NY DARYATI L 0 1-Aug-18 BY
09 Baru 01-02-56-17 30-Jul-18 RI20180730-0005 MAWARNI P 27 1-Aug-18 3
10 Baru 01-02-56-12 30-Jul-18 RI20180730-0007 MUHAMAD FIKRI L 1 2-Aug-18 3
11 Baru 01-02-56-27 30-Jul-18 RI20180730-0008 RAYA KHALIFA TAZKIYA P 1 2-Aug-18 3
12 Baru 01-02-53-82 30-Jul-18 RI20180730-0009 YULI PURWANTI TALIN P 32 2-Aug-18 3
13 Baru 01-02-56-32 30-Jul-18 RI20180730-0010 BY NY MAWARNI L 0 4-Aug-18 PERINA
14 Baru 01-02-56-31 31-Jul-18 RI20180731-0002 HERMAWATI P 25 2-Aug-18 3
15 Lama 00-00-86-32 31-Jul-18 RI20180731-0003 SUROTI P 34 3-Aug-18 3
16 Baru 01-02-56-33 31-Jul-18 RI20180731-0004 AMELIA OCTAVIANI P 15 2-Aug-18 3
17 Baru 01-02-56-34 31-Jul-18 RI20180731-0005 ELAH P 28 2-Aug-18 3
18 Lama 01-02-37-36 31-Jul-18 RI20180731-0008 OTTO FILOSTON GUNAWAN L 0 2-Aug-18 3
19 Baru 01-02-56-36 31-Jul-18 RI20180731-0009 BY NY YULI PURWANTI TALIN L 0 2-Aug-18 BY
20 Baru 00-00-89-68 31-Jul-18 RI20180731-0010 DITA DWIYANTI P 21 4-Aug-18 3
21 Lama 00-00-49-38 31-Jul-18 RI20180731-0011 NADIA NAZIHAH P 25 3-Aug-18 3
22 Lama 01-01-46-25 31-Jul-18 RI20180731-0012 LIA SUMINAR P 26 2-Aug-18 3

23 Lama 00-00-76-30 31-Jul-18 RI20180731-0013 OTIH S P 46 2-Aug-18 3
24 Baru 01-02-56-58 31-Jul-18 RI20180731-0015 BY NY SUROTI P 0 4-Aug-18 PERINA
25 Lama 01-01-08-58 31-Jul-18 RI20180731-0016 JENNI ANGGUELIA PUTRI P 20 6-Aug-18 2
26 Baru 01-02-56-64 31-Jul-18 RI20180731-0017 BY NY ELAH P 0 2-Aug-18 BY
27 Lama 01-02-26-87 31-Jul-18 RI20180731-0018 ACHMAD SODIK L 30 16-Aug-18 VIP
28 Baru 01-02-51-38 31-Jul-18 RI20180731-0019 ENING P 69 3-Aug-18 3
29 Baru 01-02-56-67 31-Jul-18 RI20180731-0020 ARSHAVIN GIBRAN L 1 3-Aug-18 2
30 Baru 01-02-56-71 31-Jul-18 RI20180731-0021 BY NY NADIA NAZIHAH P 0 3-Aug-18 BY
31 Lama 01-01-42-53 1-Aug-18 RI20180801-0005 ROSDIANA CAHYANI ROJAK P 6 4-Aug-18 3
32 Baru 00-00-85-30 1-Aug-18 RI20180801-0006 NUR ASIYAH P 35 4-Aug-18 3
33 Baru 01-02-56-85 1-Aug-18 RI20180801-0007 NUR KHASANAH P 45 2-Aug-18 ICU
34 Baru 01-02-56-92 1-Aug-18 RI20180801-0008 BY NY LILIS HARIYANTI L 0 3-Aug-18 PERINA
35 Baru 01-02-56-89 1-Aug-18 RI20180801-0009 LINA L 38 4-Aug-18 2
36 Baru 01-02-56-94 1-Aug-18 RI20180801-0010 SURATI P 28 3-Aug-18 3
37 Baru 01-02-56-95 1-Aug-18 RI20180801-0011 RICO DWI ANDREAN L 19 5-Aug-18 3
38 Baru 01-02-56-97 1-Aug-18 RI20180801-0012 SRI DEVI P 21 4-Aug-18 3
39 Baru 01-02-56-99 1-Aug-18 RI20180802-0001 BY NY SURATI L 0 3-Aug-18 BY
40 Baru 01-02-57-01 2-Aug-18 RI20180802-0002 BY NY SRI DEVI L 0 3-Aug-18 BY
41 Baru 01-02-54-13 2-Aug-18 RI20180802-0003 ANGGUN PURWATI P 19 4-Aug-18 3
42 Baru 01-02-53-83 2-Aug-18 RI20180802-0004 IKA MUFLIKHA P 22 4-Aug-18 3
43 Lama 01-02-04-33 2-Aug-18 RI20180802-0005 IRWAN SETIAWAN L 71 3-Aug-18 3
44 Baru 01-02-57-04 2-Aug-18 RI20180802-0006 WIRA ANGGRAINI P 28 3-Aug-18 3
45 Baru 01-02-57-03 2-Aug-18 RI20180802-0007 LE SUAN P 50 3-Aug-18 2
46 Baru 01-02-45-78 2-Aug-18 RI20180802-0008 FITRIA SEPTIANI P 25 4-Aug-18 3
47 Baru 01-02-57-13 2-Aug-18 RI20180802-0009 SUNARDI L 53 9-Aug-18 3
48 Baru 01-02-57-17 2-Aug-18 RI20180802-0010 CICILINA P 62 4-Aug-18 2

49 Baru 01-02-57-19 2-Aug-18 RI20180802-0011 BY NY FITRIA SEPTIANI P 0 4-Aug-18 PERINA
50 Baru 01-02-57-12 2-Aug-18 RI20180802-0012 AZKADINA SYAHIRA P 0 5-Aug-18 3
51 Baru 01-02-57-20 2-Aug-18 RI20180802-0013 EGA ARI SETYO L 8 5-Aug-18 3
52 Lama 01-01-33-88 2-Aug-18 RI20180802-0014 WINARTI P 31 3-Aug-18 3
53 Baru 01-02-33-77 3-Aug-18 RI20180803-0001 SUNARNI P 33 5-Aug-18 2
54 Baru 01-02-57-25 3-Aug-18 RI20180803-0002 NATHALIE FABELLINI DAMIAN P 22 4-Aug-18 2
55 Baru 01-02-57-26 3-Aug-18 RI20180803-0003 DARIS RISMA P 39 5-Aug-18 3
56 Baru 01-02-56-42 3-Aug-18 RI20180803-0004 SUNARTI P 27 4-Aug-18 3
57 Baru 01-02-56-45 3-Aug-18 RI20180803-0005 NOVIA WULANDARI P 21 4-Aug-18 3
58 Baru 01-02-57-32 3-Aug-18 RI20180803-0006 BY NY SUNARNI L 0 5-Aug-18 BY
59 Baru 01-01-91-06 3-Aug-18 RI20180803-0007 SAMUEL PAULUS LAKUSA L 32 6-Aug-18 2
60 Baru 01-02-57-34 3-Aug-18 RI20180803-0008 BY NY DARIS RISMA P 0 3-Aug-18 PERINA
61 Baru 01-02-57-39 3-Aug-18 RI20180803-0009 BY NY NATHALIE FABELLINI DAMIAN L 0 4-Aug-18 BY
62 Baru 01-02-50-84 3-Aug-18 RI20180803-0010 DINI ASLIYATI P 32 5-Aug-18 3
63 Lama 01-02-55-15 3-Aug-18 RI20180803-0011 QIANDRA AKIFFA FAJAR P 0 4-Aug-18 PERINA
64 Lama 01-01-46-33 3-Aug-18 RI20180803-0012 ABIZZAR ALLFARO TENGGO L 3 6-Aug-18 3
65 Baru 01-02-57-57 3-Aug-18 RI20180803-0013 MUHAMMAD MISBAHUDIN L 22 8-Aug-18 3
66 Baru 01-02-57-59 3-Aug-18 RI20180803-0014 BY NY DINI ASLIYATI L 0 5-Aug-18 BY
67 Baru 01-02-43-47 3-Aug-18 RI20180803-0015 MARYATUN P 41 5-Aug-18 2
68 Baru 01-02-57-61 3-Aug-18 RI20180803-0016 BY NY MARYATUN P 0 5-Aug-18 BY
69 Lama 01-01-06-96 4-Aug-18 RI20180804-0001 PAIDI L 64 9-Aug-18 3
70 Baru 01-02-57-68 4-Aug-18 RI20180804-0002 NUR AINI P 40 5-Aug-18 3
71 Baru 01-02-57-69 4-Aug-18 RI20180804-0003 IDA FARIDA P 26 5-Aug-18 3
72 Baru 01-02-57-63 4-Aug-18 RI20180804-0004 JULIAN GAVRIEL ALVARO L 2 7-Aug-18 2

73 Baru 00-00-51-18 4-Aug-18 RI20180804-0005 TORISAH P 54 5-Aug-18 2
74 Baru 01-02-57-77 4-Aug-18 RI20180804-0006 ROHIYAH L 36 5-Aug-18 2
75 Baru 01-02-57-82 5-Aug-18 RI20180805-0001 TJARUT L 48 6-Aug-18 3
76 Lama 00-00-55-63 5-Aug-18 RI20180805-0002 TRI HARTI NINGSIH P 44 9-Aug-18 3
77 Baru 01-02-57-84 5-Aug-18 RI20180805-0003 BATRISYAH ARRIVA ZWEENA P 7 11-Aug-18 2
78 Baru 01-02-57-89 5-Aug-18 RI20180805-0004 NENGSIH P 46 10-Aug-18 3
79 Baru 01-02-57-87 5-Aug-18 RI20180805-0005 FENDY L 27 6-Aug-18 3
80 Baru 01-02-57-90 5-Aug-18 RI20180805-0006 DANIEL HANDERSON L 3 7-Aug-18 3
81 Baru 01-02-57-93 5-Aug-18 RI20180805-0007 RINA DWI INDRIANI P 28 8-Aug-18 3
82 Baru 01-02-57-97 5-Aug-18 RI20180805-0008 SUYANI L 29 6-Aug-18 3
83 Baru 01-02-57-99 5-Aug-18 RI20180805-0009 ANDI ERNA WIJAYANTI P 26 11-Aug-18 3
84 Baru 01-02-58-00 5-Aug-18 RI20180805-0010 JOKO SUTRISNO L 46 9-Aug-18 3
85 Baru 01-02-58-01 6-Aug-18 RI20180806-0001 ARSYAH DUMA RIANDRI P 1 7-Aug-18 3
86 Baru 01-02-58-13 6-Aug-18 RI20180806-0002 BY NY ANDI ERNA WIJAYA L 0 8-Aug-18 BY
87 Baru 01-02-58-19 6-Aug-18 RI20180806-0004 AHMAD SAEPUDIN L 22 8-Aug-18 3
88 Baru 01-02-58-15 6-Aug-18 RI20180806-0005 AMIR HASAN L 81 8-Aug-18 2
89 Baru 01-02-58-39 6-Aug-18 RI20180806-0006 PERI KURDIANSYAH L 33 8-Aug-18 2
90 Baru 01-02-58-35 6-Aug-18 RI20180806-0007 SITI HUSNA MAULIDA P 3 11-Aug-18 2
91 Baru 01-02-46-67 6-Aug-18 RI20180806-0008 SAMMALAYATIE P 33 11-Aug-18 2
92 Baru 01-02-58-42 6-Aug-18 RI20180806-0009 JULIANDO ALVARO L 3 9-Aug-18 3
93 Baru 01-02-03-85 6-Aug-18 RI20180806-0011 NERRY RIYANTI P 26 8-Aug-18 2
94 Lama 01-01-17-98 7-Aug-18 RI20180807-0001 KEENAR MEITABELINCA P 1 9-Aug-18 2
95 Baru 01-01-47-02 7-Aug-18 RI20180807-0002 AYU IIS FITRIYANTI P 25 8-Aug-18 2
96 Lama 01-01-13-79 7-Aug-18 RI20180807-0003 ABDI PRISETIYO L 12 10-Aug-18 3

97 Baru 01-02-58-52 7-Aug-18 RI20180807-0004 M.ADI SUWARNO L 16 10-Aug-18 2
98 Baru 01-02-56-55 7-Aug-18 RI20180807-0005 DALINAH P 59 8-Aug-18 3
99 Baru 01-02-58-55 7-Aug-18 RI20180807-0006 KUSMIYATI P 34 8-Aug-18 3
100 Baru 01-02-58-53 7-Aug-18 RI20180807-0007 DELVIN BADOA P 58 8-Aug-18 3
101 Baru 01-02-17-72 7-Aug-18 RI20180807-0008 AMALIA RIZKA P 30 10-Aug-18 3
102 Baru 01-02-58-67 7-Aug-18 RI20180807-0009 BY NY NERRY RIYANTI L 0 8-Aug-18 BY
103 Lama 01-02-47-37 7-Aug-18 RI20180807-0010 AMINAH P 44 11-Aug-18 3
104 Baru 01-02-58-65 7-Aug-18 RI20180807-0011 AZKA ARYANSYAH RAHMAN L 6 9-Aug-18 3
105 Lama 01-02-27-22 7-Aug-18 RI20180807-0012 ELISABETH P 13 13-Aug-18 ICU
106 Baru 01-02-58-74 7-Aug-18 RI20180807-0013 BY NY AMALIA RIZKA P 0 10-Aug-18 BY
107 Baru 01-02-56-80 7-Aug-18 RI20180807-0014 CAHAYA ANISA SABILA P 0 7-Aug-18 3
108 Lama 01-02-51-81 7-Aug-18 RI20180807-0015 SATAR SUNARDI L 59 9-Aug-18 3
109 Lama 01-01-93-72 7-Aug-18 RI20180807-0016 TUT WURI HANDAYANI P 34 9-Aug-18 2
110 Baru 01-02-58-79 7-Aug-18 RI20180807-0017 TATI ROSWATI P 34 9-Aug-18 3
111 Baru 01-02-14-96 7-Aug-18 RI20180807-0018 SALAMAH P 37 9-Aug-18 2
112 Lama 01-02-13-40 8-Aug-18 RI20180808-0001 SITI HARTI RUKMANA P 19 11-Aug-18 3
113 Lama 01-01-54-72 8-Aug-18 RI20180808-0002 AL PATHA AIDUL ADHA L 3 10-Aug-18 3
114 Baru 01-02-58-41 8-Aug-18 RI20180808-0003 SURYANI P 28 9-Aug-18 2
115 Baru 01-02-58-90 8-Aug-18 RI20180808-0004 BY NY TUT WURI HANDAYANI P 0 9-Aug-18 BY
116 Baru 01-02-58-36 8-Aug-18 RI20180808-0005 YESIKA LESTARI P 17 10-Aug-18 3
117 Baru 01-02-59-10 8-Aug-18 RI20180808-0006 KIRANA SALSABILA P 2 19-Aug-18 ICU
118 Baru 01-02-59-13 8-Aug-18 RI20180808-0007 SIFA P 25 9-Aug-18 3
119 Baru 01-02-59-14 8-Aug-18 RI20180808-0008 RENI P 30 10-Aug-18 3
120 Baru 01-02-59-17 8-Aug-18 RI20180808-0009 LILIS SETIAWATI P 33 11-Aug-18 2

121 Baru 01-02-59-16 8-Aug-18 RI20180808-0010 PIAMAN L 75 10-Aug-18 2
122 Baru 00-00-37-18 9-Aug-18 RI20180809-0001 VANY P 28 12-Aug-18 1
123 Baru 01-02-56-48 9-Aug-18 RI20180809-0002 LINA MARLINA P 41 12-Aug-18 2
124 Baru 01-02-59-27 9-Aug-18 RI20180809-0003 BY NY RENI P 0 10-Aug-18 BY
125 Baru 01-02-59-28 9-Aug-18 RI20180809-0004 BY NY VANY P 0 12-Aug-18 BY
126 Lama 01-01-47-11 9-Aug-18 RI20180809-0005 MELDA YUNITA P 28 10-Aug-18 3
127 Baru 01-02-59-31 9-Aug-18 RI20180809-0006 HARMINI P 40 11-Aug-18 3
128 Baru 01-02-59-34 9-Aug-18 RI20180809-0007 IKHSAN JUNIASYAH L 34 10-Aug-18 3
129 Baru 01-02-59-37 9-Aug-18 RI20180809-0008 BY NY LILIS SETIAWATI L 0 11-Aug-18 BY
130 Lama 00-00-47-99 9-Aug-18 RI20180809-0009 THEN E TIE P 80 12-Aug-18 2
131 Baru 01-02-59-39 9-Aug-18 RI20180809-0010 BY NY HARMINI P 0 11-Aug-18 BY
132 Baru 01-02-59-43 9-Aug-18 RI20180809-0011 FITRIA P 43 12-Aug-18 2
133 Baru 01-02-45-28 10-Aug-18 RI20180810-0001 LIN HIAN L 51 13-Aug-18 1
134 Baru 01-02-59-59 10-Aug-18 RI20180810-0002 BY NY LINA MARLINA P 0 12-Aug-18 BY
135 Lama 01-02-52-12 10-Aug-18 RI20180810-0003 LIE FA P 61 12-Aug-18 2
136 Baru 01-02-59-38 10-Aug-18 RI20180810-0004 FITRIA MAULAN SARI P 25 11-Aug-18 3
137 Baru 01-02-59-67 10-Aug-18 RI20180810-0005 DEA LESTARI P 8 11-Aug-18 3
138 Baru 01-02-57-38 10-Aug-18 RI20180810-0006 DWINATA PUTRA VARENDRA L 1 13-Aug-18 2
139 Baru 01-02-57-29 10-Aug-18 RI20180810-0007 NURLIANA P 26 12-Aug-18 2
140 Baru 01-02-53-05 10-Aug-18 RI20180810-0008 MARWATI P 32 12-Aug-18 3
141 Lama 01-02-58-41 10-Aug-18 RI20180810-0009 SURYANI P 28 13-Aug-18 2
142 Baru 01-02-59-80 10-Aug-18 RI20180810-0010 BY NY MARWATI P 0 12-Aug-18 BY
143 Baru 01-02-59-82 10-Aug-18 RI20180810-0011 NURIYATI P 34 13-Aug-18 3
144 Baru 01-02-59-85 10-Aug-18 RI20180810-0012 BY NY NURLIANA P 0 12-Aug-18 BY

145 Baru 01-02-59-84 10-Aug-18 RI20180810-0013 MURNI P 67 13-Aug-18 3
146 Lama 01-01-57-27 11-Aug-18 RI20180811-0001 SALIYAH P 45 12-Aug-18 3
147 Baru 01-02-59-52 11-Aug-18 RI20180811-0002 JUMANI P 26 13-Aug-18 2
148 Baru 01-02-59-88 11-Aug-18 RI20180811-0003 SINTA MESIKA DEWI P 24 14-Aug-18 2
149 Baru 01-02-59-96 11-Aug-18 RI20180811-0004 MILKA YISKA METEKOHY P 32 14-Aug-18 2
150 Baru 01-02-59-99 11-Aug-18 RI20180811-0005 BY NY JUMANI P 0 13-Aug-18 BY
151 Baru 01-02-60-04 11-Aug-18 RI20180811-0006 BY NY SINTA MESIKA DEWI P 0 14-Aug-18 BY
152 Baru 01-02-60-08 11-Aug-18 RI20180811-0007 BY NY SURYANI P 0 13-Aug-18 BY
153 Baru 01-02-60-10 11-Aug-18 RI20180811-0008 IVANNOF IGLESZIAS TOMATALA L 0 14-Aug-18 BY
154 Baru 01-02-60-09 11-Aug-18 RI20180811-0009 DENIS SURYAWINATA L 2 16-Aug-18 ICU
155 Baru 01-02-60-11 11-Aug-18 RI20180811-0010 UMMI MUBAROKAH P 25 12-Aug-18 3
156 Baru 01-02-60-12 11-Aug-18 RI20180811-0011 SYAHRUL MUBAROK L 35 14-Aug-18 ISO
157 Baru 01-02-60-13 11-Aug-18 RI20180811-0012 ANES PRIYATMOKO L 38 13-Aug-18 3
158 Baru 01-02-60-14 11-Aug-18 RI20180811-0013 VANESSA HITA JOSEPHINE P 4 17-Aug-18 3
159 Baru 01-02-60-17 11-Aug-18 RI20180811-0014 RATNA P 12 13-Aug-18 3
160 Baru 01-02-60-18 12-Aug-18 RI20180811-0015 AYU JANE ASTARI P 26 14-Aug-18 2
161 Baru 01-02-45-82 12-Aug-18 RI20180812-0001 MANIYAH P 38 15-Aug-18 2
162 Baru 01-02-60-21 12-Aug-18 RI20180812-0003 BY NY AYU JANE ASTARI L 0 14-Aug-18 BY
163 Baru 01-02-60-22 12-Aug-18 RI20180812-0004 BY NY SUTINI L 0 14-Aug-18 BY
164 Baru 01-02-60-20 12-Aug-18 RI20180812-0002 SUTINI P 40 15-Aug-18 3
165 Baru 01-02-28-20 12-Aug-18 RI20180812-0005 SARI P 29 13-Aug-18 2
166 Baru 01-02-60-24 12-Aug-18 RI20180812-0006 BY NY MANIYAH L 0 14-Aug-18 BY
167 Baru 01-02-60-29 12-Aug-18 RI20180812-0007 BY NY SARI L 0 13-Aug-18 BY
168 Baru 01-02-60-27 12-Aug-18 RI20180812-0008 MAHMUD L 28 15-Aug-18 3

169 Lama 00-01-02-47 12-Aug-18 RI20180812-0009 SITI UMINI P 55 18-Aug-18 3
170 Baru 01-02-60-31 12-Aug-18 RI20180812-0010 LIE SUN SUN L 57 14-Aug-18 VIP
171 Baru 01-02-58-77 13-Aug-18 RI20180813-0001 SERLI ROSALINA P 20 14-Aug-18 3
172 Lama 01-01-62-41 13-Aug-18 RI20180813-0003 MURTOSIYAH P 48 14-Aug-18 3
173 Baru 01-02-60-57 13-Aug-18 RI20180813-0004 SANITA P 28 14-Aug-18 3
174 Baru 01-02-49-23 13-Aug-18 RI20180813-0006 KIRSEM P 38 16-Aug-18 2
175 Baru 01-02-60-71 13-Aug-18 RI20180813-0007 NANIK ARIYANTI P 33 16-Aug-18 2
176 Baru 01-02-60-70 13-Aug-18 RI20180813-0008 ADRIAN PRATAMA SIREGAR L 1 14-Aug-18 3
177 Baru 01-02-60-73 13-Aug-18 RI20180813-0009 BY NY KIRSEM L 0 16-Aug-18 BY
178 Baru 01-02-60-74 13-Aug-18 RI20180813-0010 TATU ASMARIYAH P 35 16-Aug-18 3
179 Baru 01-02-60-75 13-Aug-18 RI20180813-0011 BY NY NANIK ARIYANTI P 0 15-Aug-18 BY
180 Baru 01-02-60-76 14-Aug-18 RI20180814-0001 BY NY TATU ASMARIYAH P 0 15-Aug-18 BY
181 Baru 01-02-47-58 14-Aug-18 RI20180814-0002 ANGGI SULASTRI P 20 16-Aug-18 2
182 Baru 01-02-60-84 14-Aug-18 RI20180814-0003 TIKA FRANSISKA P 23 18-Aug-18 2
183 Baru 01-02-60-83 14-Aug-18 RI20180814-0004 WAHYU WINARTI P 25 19-Aug-18 3
184 Lama 01-02-58-67 14-Aug-18 RI20180814-0005 BY NY NERRY RIYANTI L 0 14-Aug-18 PERINA
185 Lama 01-02-25-85 14-Aug-18 RI20180814-0006 MUHAMMAD ILHAM IMAM AMZARI L 0 19-Aug-18 3
186 Baru 01-02-60-93 14-Aug-18 RI20180814-0007 NYAK AKUB L 54 14-Aug-18 3
187 Baru 01-02-61-00 14-Aug-18 RI20180814-0008 BY NY ANGGI SULASTRI P 0 17-Aug-18 PERINA
188 Baru 01-02-60-99 14-Aug-18 RI20180814-0009 AZHARUDDIN HANAN L 1 17-Aug-18 3
189 Baru 01-02-61-01 14-Aug-18 RI20180814-0010 FARIDAH WAJDI P 24 15-Aug-18 2
190 Baru 01-02-61-02 14-Aug-18 RI20180814-0011 BY NY FARIDAH WADJI P 0 15-Aug-18 BY
191 Baru 01-02-60-97 14-Aug-18 RI20180814-0012 SUKARMAN L 45 14-Aug-18 3
192 Lama 01-02-31-85 14-Aug-18 RI20180814-0013 SHAFFA SHIDQIYYAH P 1 15-Aug-18 3

193 Baru 01-02-61-06 14-Aug-18 RI20180814-0014 NADYA AMELIA YANG P 18 16-Aug-18 2
194 Baru 01-02-60-95 14-Aug-18 RI20180814-0015 LIE HUNG SAN P 49 16-Aug-18 3
195 Lama 00-00-81-61 14-Aug-18 RI20180814-0016 NENGSIH P 42 21-Aug-18 ICU
196 Baru 01-02-44-13 15-Aug-18 RI20180815-0001 LIA ASISKA P 24 17-Aug-18 3
197 Baru 01-02-60-80 15-Aug-18 RI20180815-0002 KHANZA BELLVANIA SHEVA P 1 19-Aug-18 3
198 Baru 01-02-61-25 15-Aug-18 RI20180815-0003 BY NY LIA ASISKA P 0 17-Aug-18 BY
199 Baru 01-02-56-61 15-Aug-18 RI20180815-0004 ZUBAEDAH P 32 17-Aug-18 3
200 Baru 01-02-61-24 15-Aug-18 RI20180815-0005 SUBUR L 48 15-Aug-18 ICU
201 Baru 01-02-61-30 15-Aug-18 RI20180815-0006 ALFAHREZA AYDIN ROHMAN L 1 17-Aug-18 2
202 Baru 01-02-59-60 15-Aug-18 RI20180815-0007 SUSANTI LIYA LESTARI P 28 17-Aug-18 3
203 Baru 00-00-95-81 15-Aug-18 RI20180815-0008 CUCUN KURNIA P 26 18-Aug-18 2
204 Baru 01-02-61-38 15-Aug-18 RI20180815-0009 BY NY ZUBAEDAH P 0 17-Aug-18 BY
205 Baru 01-02-19-47 15-Aug-18 RI20180815-0010 ALFIA ZAIN P 25 22-Aug-18 3
206 Lama 01-02-21-42 15-Aug-18 RI20180815-0011 SUPARIYEM P 40 16-Aug-18 3
207 Baru 01-02-61-40 15-Aug-18 RI20180815-0012 BY NY NADYA AMELIA YANG L 0 16-Aug-18 BY
208 Baru 01-02-61-41 15-Aug-18 RI20180815-0013 BY NY SUSANTI LIYA LESTARI P 0 17-Aug-18 BY
209 Baru 01-02-50-69 15-Aug-18 RI20180815-0014 FIDELLA OLIVIA WIJAYA P 25 18-Aug-18 2
210 Baru 01-02-05-69 16-Aug-18 RI20180816-0001 KHAIRUL IHSAN L 1 19-Aug-18 3
211 Baru 01-02-61-42 16-Aug-18 RI20180816-0002 BY NY FIDELLA OLIVIA WIJAYA L 0 18-Aug-18 BY
212 Baru 01-02-61-43 16-Aug-18 RI20180816-0003 BY NY CUCUN KURNIA P 0 18-Aug-18 BY
213 Baru 01-01-91-75 16-Aug-18 RI20180816-0004 LOEKITO L 66 17-Aug-18 3
214 Baru 01-02-60-85 16-Aug-18 RI20180816-0005 JAIGUS RIADI L 53 17-Aug-18 3
215 Lama 01-01-70-98 16-Aug-18 RI20180816-0006 ERLANGGA JOVIAN L 1 19-Aug-18 3
216 Baru 01-02-58-99 16-Aug-18 RI20180816-0007 DESY PERMATA INDAH P 36 17-Aug-18 2

217 Baru 01-02-61-35 16-Aug-18 RI20180816-0008 HENDRIK L 29 17-Aug-18 3
218 Lama 01-02-00-82 16-Aug-18 RI20180816-0009 NUR FATIMAH P 19 19-Aug-18 2
219 Lama 01-02-59-28 16-Aug-18 RI20180816-0010 BY NY VANY P 0 17-Aug-18 PERINA
220 Baru 01-02-61-63 16-Aug-18 RI20180816-0011 NUR AISHA P 0 18-Aug-18 BY
221 Baru 01-02-61-27 16-Aug-18 RI20180816-0012 SINOK P 42 17-Aug-18 3
222 Baru 01-02-61-69 16-Aug-18 RI20180816-0013 SITI SUGIARTI P 28 17-Aug-18 3
223 Baru 01-02-61-70 17-Aug-18 RI20180817-0001 MASAYU NURUL FATHIMAH P 21 20-Aug-18 3
224 Baru 01-02-61-74 17-Aug-18 RI20180817-0002 GELORA NOVITASARI P 33 20-Aug-18 2
225 Lama 01-02-40-55 17-Aug-18 RI20180817-0003 NINDI ALFIANI P 25 23-Aug-18 2
226 Baru 01-02-61-76 17-Aug-18 RI20180817-0004 BY NY GELORA NOVITASARI L 0 19-Aug-18 BY
227 Baru 01-02-61-78 17-Aug-18 RI20180817-0005 BY NY MASAYU NURUL FATHIMAH L 0 20-Aug-18 BY
228 Baru 01-02-56-02 17-Aug-18 RI20180817-0006 ANAH P 29 19-Aug-18 3
229 Baru 01-02-61-79 17-Aug-18 RI20180817-0007 BY NY ANAH P 0 19-Aug-18 BY
230 Baru 01-01-76-71 17-Aug-18 RI20180817-0008 LIAWATI P 37 19-Aug-18 3
231 Baru 01-02-61-80 17-Aug-18 RI20180817-0009 DESTIAN AKBAR L 5 19-Aug-18 3
232 Baru 01-02-61-81 17-Aug-18 RI20180817-0010 HUI TJU ALS SAINAH P 78 21-Aug-18 2
233 Baru 01-02-61-82 17-Aug-18 RI20180817-0011 KURNIAWATI P 28 19-Aug-18 3
234 Baru 01-02-61-96 18-Aug-18 RI20180818-0001 HANANAH P 40 21-Aug-18 3
235 Baru 01-02-61-93 18-Aug-18 RI20180818-0002 JANATIN P 40 20-Aug-18 2
236 Baru 01-02-62-04 18-Aug-18 RI20180818-0004 BY NY JANATIN L 0 22-Aug-18 PERINA
237 Baru 01-02-62-06 18-Aug-18 RI20180818-0005 NURASIAH NANDIANTI P 19 19-Aug-18 3
238 Baru 01-02-62-08 18-Aug-18 RI20180818-0006 SUHALI L 62 21-Aug-18 3
239 Baru 01-02-62-09 18-Aug-18 RI20180818-0007 RENDI HANDIKA TANJUNG L 13 20-Aug-18 2
240 Baru 01-02-62-11 19-Aug-18 RI20180819-0001 SARAH YUNIAR P 21 21-Aug-18 3

241 Baru 01-02-62-12 19-Aug-18 RI20180819-0002 BY NY SARAH YUNIAR L 0 21-Aug-18 PERINA
242 Baru 01-01-63-87 19-Aug-18 RI20180819-0003 TJHOI GUT MOY P 59 20-Aug-18 3
243 Baru 01-02-01-43 19-Aug-18 RI20180819-0004 PURWANTI P 35 21-Aug-18 3
244 Baru 01-02-62-21 19-Aug-18 RI20180819-0005 NOVI AMELIA P 23 21-Aug-18 2
245 Baru 01-02-62-22 20-Aug-18 RI20180820-0001 BY NY PURWANTI P 0 21-Aug-18 BY
246 Baru 01-02-62-24 20-Aug-18 RI20180820-0002 BY NY NOVI AMELIA P 0 21-Aug-18 BY
247 Lama 01-02-36-18 20-Aug-18 RI20180820-0003 NUR KOMARIAH ST P 38 22-Aug-18 2
248 Baru 01-02-62-36 20-Aug-18 RI20180820-0005 BUDI WIBOWO L 42 22-Aug-18 3
249 Baru 01-02-62-39 20-Aug-18 RI20180820-0006 RONALD HERLAMBANG L 14 24-Aug-18 2
250 Baru 01-02-62-44 20-Aug-18 RI20180820-0007 BY NY NUR KOMARIAH ST P 0 22-Aug-18 BY
251 Baru 01-02-13-74 20-Aug-18 RI20180820-0008 YETRIANOOR P 37 22-Aug-18 3
252 Baru 01-02-46-90 20-Aug-18 RI20180820-0009 HARYANI SUPENA P 63 24-Aug-18 2
253 Baru 01-02-43-28 20-Aug-18 RI20180820-0010 HJ S HERMIYATI BT PARTO S P 67 22-Aug-18 VIP
254 Baru 01-02-45-90 20-Aug-18 RI20180820-0011 ATIH P 29 23-Aug-18 2
255 Lama 01-02-60-75 20-Aug-18 RI20180820-0012 BY NY NANIK ARIYANTI P 0 24-Aug-18 PERINA
256 Baru 01-02-61-50 20-Aug-18 RI20180820-0013 KHODIJAH P 27 23-Aug-18 2
257 Baru 01-02-62-52 20-Aug-18 RI20180820-0014 ATIFAH NAHDA RAFANDA P 2 23-Aug-18 3
258 Lama 01-02-57-99 20-Aug-18 RI20180820-0015 ANDI ERNA WIJAYANTI P 26 21-Aug-18 3
259 Baru 01-02-62-56 20-Aug-18 RI20180820-0016 APRILIA DIAN SUSANTI P 24 21-Aug-18 VIP
260 Baru 01-02-62-57 20-Aug-18 RI20180821-0001 BY NY ATIH L 0 22-Aug-18 PERINA
261 Baru 01-02-62-58 21-Aug-18 RI20180821-0002 BY NY YETRIA NOOR L 0 22-Aug-18 BY
262 Baru 01-02-62-59 21-Aug-18 RI20180821-0003 KURNIAWATI P 22 22-Aug-18 3
263 Baru 01-02-62-60 21-Aug-18 RI20180821-0004 BY NY KHODIJAH L 0 23-Aug-18 BY
264 Baru 01-02-62-61 21-Aug-18 RI20180821-0005 MUHAMAD HAPITH AL BAHRI L 1 24-Aug-18 3

265 Baru 01-02-62-62 21-Aug-18 RI20180821-0006 BY NY KURNIAWATI L 0 22-Aug-18 BY
266 Baru 01-02-62-69 21-Aug-18 RI20180821-0007 MUSTADIN L 33 22-Aug-18 2
267 Lama 01-01-49-36 21-Aug-18 RI20180821-0008 ATMADEVA SUKOTJO L 1 27-Aug-18 2
268 Baru 01-02-62-75 21-Aug-18 RI20180821-0009 SITI TASRIPAH P 39 23-Aug-18 3
269 Baru 01-02-62-73 21-Aug-18 RI20180821-0010 ARDASIH P 61 29-Aug-18 2
270 Lama 01-02-42-37 21-Aug-18 RI20180821-0011 NAIRA SYABILA RAMADHANI P 1 23-Aug-18 3
271 Baru 01-02-43-16 21-Aug-18 RI20180821-0012 DELMAWATI P 21 23-Aug-18 3
272 Baru 01-02-62-77 21-Aug-18 RI20180821-0013 FAHNI NURAINI P 24 24-Aug-18 3
273 Baru 01-02-62-79 21-Aug-18 RI20180821-0014 SRI PANGESTU P 58 22-Aug-18 3
274 Baru 01-02-62-74 21-Aug-18 RI20180821-0015 SHABINA TRI RAMADANI P 3 24-Aug-18 3
275 Lama 01-01-32-29 21-Aug-18 RI20180821-0016 UNAIYATUL KHAEDAROH P 33 27-Aug-18 2
276 Baru 01-02-62-85 21-Aug-18 RI20180821-0017 BY NY FAHNI NURAINI L 0 23-Aug-18 BY
277 Baru 01-02-62-87 21-Aug-18 RI20180821-0018 BY NY DELMAWATI P 0 23-Aug-18 BY
278 Baru 01-02-62-78 21-Aug-18 RI20180821-0019 PRISCILLA ESTELLA GLADWIN SULEMAN P 3 24-Aug-18 3
279 Baru 01-02-62-83 21-Aug-18 RI20180821-0020 SITI KOMSIAH P 33 22-Aug-18 3
280 Baru 01-02-62-92 21-Aug-18 RI20180821-0021 FITRI APRILIANA P 26 22-Aug-18 2
281 Lama 01-02-50-17 21-Aug-18 RI20180821-0022 WASRIYAH P 77 29-Aug-18 3
282 Baru 01-02-62-94 21-Aug-18 RI20180821-0023 BY NY FITRI APRILIANA P 0 22-Aug-18 BY
283 Baru 01-02-62-93 21-Aug-18 RI20180822-0001 BASRI SARBINI L 64 23-Aug-18 3
284 Baru 01-02-62-90 22-Aug-18 RI20180822-0002 LAWI L 51 23-Aug-18 3
285 Baru 01-02-62-99 22-Aug-18 RI20180822-0003 SITI TOIFAH P 50 29-Aug-18 ICU
286 Lama 01-01-63-30 22-Aug-18 RI20180822-0004 DJOHAN BORHAN L 51 23-Aug-18 VIP
287 Baru 01-02-63-05 22-Aug-18 RI20180822-0005 LINA P 25 25-Aug-18 3
288 Baru 01-02-63-06 22-Aug-18 RI20180822-0006 BY NY LINA L 0 25-Aug-18 BY

289 Lama 00-00-52-47 22-Aug-18 RI20180822-0007 MUHAMAD RAUF L 65 25-Aug-18 3
290 Baru 01-02-62-63 23-Aug-18 RI20180823-0001 ASLAMIYAH P 49 25-Aug-18 3
291 Baru 01-02-63-27 23-Aug-18 RI20180823-0003 MUHASAN L 49 31-Aug-18 ICU
292 Baru 01-02-59-26 23-Aug-18 RI20180823-0004 SITI NURLELA P 37 26-Aug-18 3
293 Baru 01-02-63-35 23-Aug-18 RI20180823-0005 RIZKI MUHAMAD RAFFI L 10 24-Aug-18 2
294 Baru 01-02-63-34 23-Aug-18 RI20180823-0006 SAIDA P 34 25-Aug-18 3
295 Baru 01-02-63-36 23-Aug-18 RI20180823-0007 UMAIRA BALQIS P 0 26-Aug-18 PERINA
296 Baru 00-00-62-65 23-Aug-18 RI20180823-0008 JUMRANI L 42 26-Aug-18 3
297 Baru 01-02-63-37 24-Aug-18 RI20180824-0001 KURNIASIH P 33 26-Aug-18 3
298 Baru 01-02-63-38 24-Aug-18 RI20180824-0002 BY NY KURNIASIH L 0 26-Aug-18 BY
299 Baru 01-01-94-14 24-Aug-18 RI20180824-0003 MELIYARTI P 24 25-Aug-18 2
300 Lama 00-00-06-11 24-Aug-18 RI20180824-0004 FRAKASSONA KARISIANE P 46 28-Aug-18 VIP
301 Baru 01-02-63-39 24-Aug-18 RI20180824-0006 HARDIYANTO L 43 25-Aug-18 ICU
302 Baru 01-02-63-44 24-Aug-18 RI20180824-0007 MUHAMMAD ALFIANSYAH YUSUF L 4 28-Aug-18 3
303 Baru 01-02-63-46 24-Aug-18 RI20180824-0008 BY NY MELIYARTI P 0 25-Aug-18 BY
304 Baru 01-02-62-41 24-Aug-18 RI20180824-0009 HIFTAHUL JANNAH P 28 26-Aug-18 3
305 Baru 01-02-63-45 24-Aug-18 RI20180824-0010 PRAMUALANA SUGESTIA K L 36 28-Aug-18 2
306 Baru 01-02-63-48 24-Aug-18 RI20180824-0011 NURLAELA P 32 27-Aug-18 2
307 Baru 01-02-63-54 24-Aug-18 RI20180824-0012 CHELSEA ALTAHFUNISA P 1 26-Aug-18 2
308 Baru 01-02-63-53 24-Aug-18 RI20180824-0013 SRI ASTUTI P 26 25-Aug-18 2
309 Baru 01-02-63-62 24-Aug-18 RI20180824-0014 BY NY HIFTAHUL JANNAH P 0 26-Aug-18 BY
310 Baru 01-02-52-56 25-Aug-18 RI20180825-0001 RINI ARYANTI P 26 28-Aug-18 2
311 Baru 00-00-94-74 25-Aug-18 RI20180825-0002 KARTIKA LISTIANI P 21 28-Aug-18 2
312 Lama 01-02-62-44 25-Aug-18 RI20180825-0003 BY NY NUR KOMARIAH ST P 0 27-Aug-18 PERINA

313 Baru 01-02-63-70 25-Aug-18 RI20180825-0004 BY NY RINI ARIYANTI L 0 28-Aug-18 BY
314 Baru 01-02-63-71 25-Aug-18 RI20180825-0005 SUHENDI L 52 26-Aug-18 ICU
315 Baru 01-02-62-42 25-Aug-18 RI20180825-0006 NOVI P 32 26-Aug-18 3
317 Baru 01-02-63-80 26-Aug-18 RI20180826-0002 NURDIN L 30 29-Aug-18 3
318 Lama 01-01-38-86 26-Aug-18 RI20180826-0003 SITI ROBIHAT P 58 28-Aug-18 3
319 Baru 01-02-63-88 26-Aug-18 RI20180826-0004 REKA RAMADHANTIA P 21 29-Aug-18 2
320 Baru 01-02-60-06 26-Aug-18 RI20180826-0005 IDA YANG P 31 30-Aug-18 1
321 Baru 01-02-63-95 27-Aug-18 RI20180827-0001 MARIA MAGDALENA DIAZVIERA P 39 28-Aug-18 3
322 Baru 01-02-48-95 27-Aug-18 RI20180827-0002 AHYEN P 39 28-Aug-18 3
323 Baru 01-02-64-10 27-Aug-18 RI20180827-0003 MARYATI P 28 29-Aug-18 3
324 Baru 01-02-62-76 27-Aug-18 RI20180827-0004 YATI P 41 28-Aug-18 3
325 Baru 00-00-43-83 27-Aug-18 RI20180827-0005 CHEN QILEI L 35 28-Aug-18 1
326 Baru 01-02-64-15 27-Aug-18 RI20180827-0006 EKO BUDIONO L 47 28-Aug-18 3
327 Baru 01-02-64-17 27-Aug-18 RI20180827-0007 BY NY IDA YANG L 0 30-Aug-18 BY
328 Baru 01-02-32-27 27-Aug-18 RI20180827-0008 TUMYATI P 25 29-Aug-18 2
329 Baru 01-01-55-80 27-Aug-18 RI20180827-0009 WASNI P 55 28-Aug-18 3
330 Baru 01-02-64-20 27-Aug-18 RI20180827-0010 CITRA SELVIANA P 26 28-Aug-18 3
332 Baru 01-02-61-58 27-Aug-18 RI20180827-0012 SYLVI AYULUTFIAH P 27 29-Aug-18 3
333 Baru 01-02-64-30 27-Aug-18 RI20180827-0013 EKAWATI L 33 29-Aug-18 3
334 Baru 01-02-64-32 27-Aug-18 RI20180827-0014 NAYSIAH NURAEHAN P 8 29-Aug-18 3
335 Baru 01-02-64-34 27-Aug-18 RI20180827-0015 BY NY TUMYATI P 0 29-Aug-18 BY
336 Baru 01-02-64-36 27-Aug-18 RI20180827-0016 BY NY SYLVI AYULUTFIAH L 0 29-Aug-18 BY
337 Baru 01-01-96-80 27-Aug-18 RI20180827-0017 MERRY MAGDALENA P 23 30-Aug-18 3
338 Baru 01-02-64-38 28-Aug-18 RI20180828-0001 TASYA PUPUT ANJANI P 18 30-Aug-18 3

339 Baru 01-02-62-66 28-Aug-18 RI20180828-0002 DINDA PUTRI KUSNAYAH P 2 30-Aug-18 3
340 Baru 01-02-64-41 28-Aug-18 RI20180828-0003 ELIS SUMIATI P 33 30-Aug-18 3
341 Baru 01-02-64-43 28-Aug-18 RI20180828-0004 BY NY ELIS SUMIATI P 0 30-Aug-18 BY
342 Baru 01-02-64-45 28-Aug-18 RI20180828-0005 BY NY MERRY MAGDALENA L 0 30-Aug-18 BY
343 Baru 01-02-64-48 28-Aug-18 RI20180828-0006 RIVA GESTI UTAMI P 24 29-Aug-18 2
345 Baru 01-02-64-46 28-Aug-18 RI20180828-0008 NOVI YASARI P 25 31-Aug-18 2
346 Baru 01-02-64-57 28-Aug-18 RI20180828-0009 ETJIH P 61 31-Aug-18 2
349 Baru 01-02-64-61 28-Aug-18 RI20180828-0012 M. RENGGA ALKAFIH L 19 29-Aug-18 3
350 Baru 01-02-03-03 29-Aug-18 RI20180829-0001 FITRI PUTRI P 25 30-Aug-18 2
351 Lama 01-02-32-13 29-Aug-18 RI20180829-0002 SUHARTO L 50 31-Aug-18 3
353 Baru 01-02-62-18 29-Aug-18 RI20180829-0004 RESMI SEFTY WIJAYA P 28 31-Aug-18 2
357 Baru 01-02-64-75 29-Aug-18 RI20180829-0008 MADGAENI SUHAD L 67 30-Aug-18 ISO
358 Baru 01-02-64-89 29-Aug-18 RI20180829-0009 SHARON ANGELICA LAU P 0 31-Aug-18 PERINA
361 Baru 01-02-64-94 30-Aug-18 RI20180830-0001 ASAN L 51 31-Aug-18 2
362 Baru 01-02-56-43 30-Aug-18 RI20180830-0002 NIKE ASTRIYAH P 17 31-Aug-18 3
365 Baru 01-02-64-47 30-Aug-18 RI20180830-0005 DESY SUANTA P 27 31-Aug-18 3
367 Baru 01-02-65-01 30-Aug-18 RI20180830-0008 LIONG LINAWATI LUNARDI P 35 31-Aug-18 2
Kode
Umur
Rawat
33 Baru 01-02-56-85 1-Aug-18 RI20180801-0007 NUR KHASANAH P 45 2-Aug-18 ICU
200 Baru 01-02-61-24 15-Aug-18 RI20180815-0005 SUBUR L 48 15-Aug-18 ICU

291 Baru 01-02-63-27 23-Aug-18 RI20180823-0003 MUHASAN L 49 31-Aug-18 ICU
301 Baru 01-02-63-39 24-Aug-18 RI20180824-0006 HARDIYANTO L 43 25-Aug-18 ICU
314 Baru 01-02-63-71 25-Aug-18 RI20180825-0005 SUHENDI L 52 26-Aug-18 ICU


04 (507)
ZZ086
RUANG BAYI (201-G), dr. James Widjaja, Sp.A 7 PRIBADI DIIZINKAN PULANG
10 (PERI001-F)
ZZ088
PERINATOLOGI
(PERI001-C), RUANG
BAYI (201-G), dr. James Widjaja, Sp.A 6 BPJS KESEHATAN DIIZINKAN PULANG
PERINATOLOGI
(PERI001-C),
09 (201-B)
LT005
dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
02 (502)
LT005
ISOLASI (520), ICU dr. Tities, Sp.PD 13 BPJS KESEHATAN BELUM SEMBUH
(90902-01), I (516),
08 (520)
LT005
06 (521-A) dr. Tities, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
LT005
05 (508 B) dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
ZZ088
09 (201-A) dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
LT005
LT005
06 (526-B) dr. James Widjaja, Sp.A 4 PRIBADI DIIZINKAN PULANG

06 (526-C)

ZZ086
RUANG BAYI (201-B), dr. Juliawaty Salim, Sp. A 6 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-A)

06 (522-C)

06 (523-D)
06 (526-D)
LT005
I (599-B), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-B)
04 (599-F)

09 (201-E)

06 (522-A)

04 (599-C)

06 (522-D)
06 (522-E)
ZZ086
RUANG BAYI (201-G), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-C)

05 (508 A)

09 (201-I)
LT005 dr. Andre, Sp.S 17 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
02 (501)
04 (599-D)

05 (527-A)

09 (201-D)

05 (527-B)
06 (522-B)
ZZ089
II (512-A), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01)

10 (PERI001-B)
LT005
II (512-B), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)

06 (523-A)

06 (521-C)

04 (598-A)

09 (201-C)

09 (201-F)
04 (599-A)
04 (599-B)
06 (521-B)

04 (599-E)

05 (512-A)

06 (523-C)

06 (521-D)

04 (525)
ZZ086
RUANG BAYI (201-J), dr. James Widjaja, Sp.A 3 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-F)

06 (526-A)

06 (526-B)

06 (522-E)

05 (510-B)

05 (509 B)

04 (599-E)
06 (522-D)
04 (599-F)

09 (201-A)

05 (528-A)

10 (PERI001-D)

09 (201-B)


10 (PERI001-E)

06 (526-D)

06 (521-E)

09 (201-G)
LT005
II (509-A), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (508 B)
ZZ088 dr. James Widjaja, Sp.A 3 PRIBADI BELUM SEMBUH

09 (201-H)

04 (599-C)



05 (512-A)
05 (509-A)

05 (509 B)

06 (521-B)

06 (522-A)
LT005
II (528-B), dr. Juliawaty Salim, Sp. A 7 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-A)

06 (522-B)

06 (521-A)

06 (526-A)

06 (522-C)

06 (522-D)

06 (523-A)

06 (521-C)

06 (526-B)

09 (201-C)

04 (599-D)

04 (525)

05 (527-A)
LT005
II (510-A), ICU dr. James Widjaja, Sp.A 6 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
05 (527-A)

06 (523-B)

06 (526-C)

05 (508 A)

05 (510-A)

05 (508 B)

06 (526-D)
05 (510-B)
04 (599-B)

06 (523-C)

06 (522-D)
LT005
III (523-D), I (507), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
02 (505)

09 (201-D)

06 (522-E)

04 (599-E)
LT005
II (528-A), III (526-A),
ICU dr. Juliawaty Salim, Sp. A 7 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
06 (526-B)
09 (201-B)

06 (526-A)

06 (521-A)

05 (509 B)

04 (599-A)
LT005 dr. Evy Asali, Sp.OG 3 PRIBADI BELUM SEMBUH

05 (512-A)

04 (599-F)

04 (599-G)

05 (509-A)

09 (201-A)
LT005 dr. Budi Irawan, Sp. B 3 PRIBADI DIIZINKAN PULANG

05 (528-B)
LT005
ICU dr. Juliawaty Salim, Sp. A 12 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01), I (599-D),
06 (526-B)

06 (522-D)

04 (599-H)
LT005
05 (512-B)
04 (525)

02 (502)
LT005
II (512-B), dr. Johny Setio, Sp.OG 4 PRIBADI DIIZINKAN PULANG
02 (505)

09 (201-F)

09 (201-G)
LT005 dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (522-C)
LT005
I (599-I), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-C)

06 (521-B)

09 (201-C)

04 (507)

09 (201-H)

05 (510-A)

02 (503)

09 (201-D)

06 (522-D)

04 (599-I)

06 (526-A)

05 (509-A)



05 (508 B)

09 (201-E)
LT005 dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN BELUM SEMBUH

04 (599-B)

09 (201-I)
06 (522-A)

06 (522-B)


05 (509 B)

05 (508 A)

09 (201-A)

09 (201-J)

09 (201-B)

09 (201-K)
LT005
(90902-01),
06 (526-C)

04 (599-C)

08 (520)

06 (521-A)

06 (526-A)

06 (526-D)

06 (523-A)

06 (523-B)

09 (201-F)

09 (201-C)

06 (523-C)

05 (527-A)

09 (201-D)

09 (201-G)

06 (521-B)
06 (522-B)

02 (519-A)
LT005
I (599-C), dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-C)

06 (522-D)

06 (523-D)
LT005
05 (508 B)
LT005
05 (509-A)

06 (526-B)

09 (201-A)

05 (512-A)

09 (201-B)

09 (201-E)

05 (512-B)
LT005
05 (508 A)
LT005
VIP (519-A), dr. Martin Winardi, Sp.PD 6 PRIBADI DIIZINKAN PULANG
06 (522-C)
ZZ086 dr. Juliawaty Salim, Sp. A 1 PRIBADI BELUM SEMBUH

10 (PERI001-A)

06 (526-D)

05 (528-A)
ZZ086
PERINATOLOGI
(PERI001-A), RUANG dr. Juliawaty Salim, Sp. A 4 BPJS KESEHATAN DIIZINKAN PULANG
BAYI (201-O),
10 (PERI001-E)
04 (599-A)

05 (510-B)

09 (201-G)

06 (521-A)

06 (526-B)
LT005
I (599-B), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
05 (510-A)

04 (525)
LT005
III (522-A), ICU dr. Tities, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
06 (522-E)

06 (523-A)

04 (599-C)

09 (201-H)

06 (523-D)
ZZ089
III (521-A), ICU dr. Martin Winardi, Sp.PD 1 BPJS KESEHATAN MENINGGAL < 48 JAM
(90901-01), III (521-A),
07 (90901-01)

05 (528-A)


04 (507)

09 (201-I)
06 (522-D)

06 (522-E)

09 (201-L)

09 (201-M)

05 (509 B)

05 (528-B)
ZZ088
RUANG BAYI (201-J), dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-C)
ZZ088
RUANG BAYI (201-K), dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-D)
04 (599-E)

06 (521-A)

04 (599-F)

04 (516)
06 (521-B)

05 (508 B)

10 (PERI001-B)
ZZ088
RUANG BAYI (201-N), dr. James Widjaja, Sp.A 3 PRIBADI DIIZINKAN PULANG
09 (201-E)
LT005
04 (599-G)

04 (599-B)
LT005
06 (523-D)

05 (509-A)

06 (522-A)
ZZ088
RUANG BAYI (201-O), dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-F)

09 (201-A)


09 (201-B)
LT005
06 (522-B)

06 (526-A)

05 (510-A)

04 (598-A)
LT005 dr. Ivan Rifai 4 PRIBADI DIIZINKAN PULANG

05 (509 B) Sentosa,Sp.OG

ZZ086
10 (PERI001-B)

06 (523-A)

06 (521-A)
05 (527-A)

06 (523-B)
ZZ088
RUANG BAYI (201-G),
PERINATOLOGI dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN DIIZINKAN PULANG
(PERI001-D),
09 (201-I)
04 (599-B)

06 (523-A)

05 (508 A)

09 (201-G)
ZZ088 dr. James Widjaja, Sp.A 2 PRIBADI TIDAK SEMBUH

09 (201-H)

05 (508 B)
06 (521-C)

05 (528-A)

09 (201-A)

06 (523-C)

04 (507)

02 (505)


10 (PERI001-C)

05 (510-B)
LT005
III (526-A), ICU dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
05 (512-A)

06 (523-D)

02 (519-A)
ZZ086 dr. James Widjaja, Sp.A 3 BPJS KESEHATAN BELUM SEMBUH

10 (PERI001-A)

09 (201-B)
LT005
05 (510-A)

09 (201-C)

06 (526-A)
09 (201-D)

06 (521-B)
LT005
04 (525)

06 (523-B)

05 (527-B)

06 (526-B)

06 (523-D)

04 (599-A)
ZZ089 dr. Andre, Sp.S 2 BPJS KESEHATAN BELUM SEMBUH

07 (90902-01)

06 (526-C)
LT005
II (512-B), II (528-B), dr. Martin Winardi, Sp.PD 7 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-A)

09 (201-J)

09 (201-E)

06 (526-D)

06 (523-A)

05 (508 A)

06 (522-B)

09 (201-F)
LT005
06 (521-C)
LT005
III (521-D), dr. Martin Winardi, Sp.PD 2 PRIBADI DIIZINKAN PULANG
06 (521-A)
ZZ089
III (522-C), ICU dr. Martin Winardi, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01), III (522-D),
07 (90903-01)

02 (503)

04 (598-A)
ZZ088
09 (201-D)
LT005
06 (521-D)

06 (523-A)
LT005
ICU dr. Andre, Sp.S 9 BPJS KESEHATAN MENINGGAL < 48 JAM
(90901-01),
04 (516)

06 (523-C)
ZZ089
II (509 B), II (510-A), dr. James Widjaja, Sp.A 2 BPJS KESEHATAN BELUM SEMBUH
07 (90902-01)

06 (522-C)
ZZ086
RUANG BAYI (201-H),
(PERI001-D),
10 (PERI001-A)
06 (521-B)

06 (523-B)
ZZ088
RUANG BAYI (201-I), dr. James Widjaja, Sp.A 3 PRIBADI DIIZINKAN PULANG
09 (201-C)

05 (509 B)
LT005 dr. Budi Irawan, Sp. B 5 PT. SUCOFINDO DIIZINKAN PULANG

02 (502)
ZZ089 dr. Erniody, Sp.An 2 BPJS KESEHATAN MENINGGAL < 48 JAM

07 (90902-01)

06 (526-B)

09 (201-A)


06 (521-A)

05 (509-A)

05 (508 A)

05 (510-A)

09 (201-B)
LT005
I (507), dr. Evy Asali, Sp.OG 4 PRIBADI DIIZINKAN PULANG
05 (508 A)

05 (528-A)
ZZ086 dr. James Widjaja, Sp.A 3 PRIBADI TIDAK SEMBUH

10 (PERI001-D)
09 (201-E)

07 (90902-01)

06 (523-A)

06 (521-C)

06 (522-A)

05 (528-B)

05 (509 B)

06 (522-C)

06 (522-D)

06 (523-A)

06 (522-E)

04 (507)
LT005 dr. Andre, Sp.S 2 BPJS KESEHATAN TIDAK SEMBUH

06 (521-B)

09 (201-A)


04 (599-A)

06 (523-B)

06 (523-C)

04 (525)

06 (526-A)

09 (201-C)

09 (201-F)

06 (523-D)

I (599-B), 3 BPJS KESEHATAN DIIZINKAN PULANG
Sentosa,Sp.OG
05 (510-A)
06 (526-C)
LT005
06 (523-B)

09 (201-G)

09 (201-B)

05 (509-A)

05 (508 A)

06 (522-D)

06 (521-A)
05 (527-A)

06 (521-D)

05 (527-B)
LT005 dr. Martin Winardi, Sp.PD 2 PT. PRIMA SARANA JASA / PRUDENTIAL SOS DIIZINKAN PULANG
08 (520)

10 (PERI001-A)

05 (528-B)
06 (522-B)

06 (523-A)

04 (598-A)

ZZ089
II (512-A), dr. Martin Winardi, Sp.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01)
ZZ089
III (521-A), ICU dr. Martin Winardi, Sp.PD 1 BPJS KESEHATAN MENINGGAL < 48 JAM
(90901-01), III (521-A),
07 (90901-01)
LT005
ICU dr. Andre, Sp.S 9 BPJS KESEHATAN MENINGGAL < 48 JAM
(90901-01),
04 (516)

07 (90902-01)

07 (90902-01)
C
Delivery by elective caesarean section (o82.0, 242.9, LAMA),

(z37.0, 298, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Transient
ANAK tachypnoea of newborn
(P22.1, 249, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
ANAK

tidak tergantung
104.1, LAMA), Hypoglycaemia, unspecified
(E16.2, 111, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
PENYAKIT DALAM
Other failed induction of labour (o61.8, 242.9, LAMA),

unspecified
OBSTETRI DAN GINEKOLOGI (o82.9, 242.9, LAMA),
Single live birth
(z37.0, 298, LAMA)
ANAK
Ge/Diare (A09.9,
ANAK 005, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA), Hypokalaemia (E87.6, 111, LAMA), Anemia aplastik lainnya
(D61, 098, LAMA)
(Z37.0, 298, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Neonatal jaundice from other
& unspecified causes (P59, 253.9, LAMA), Transient
ANAK tachypnoea of newborn
(P22.1, 249, LAMA)
Gestat.
(O13, 237.9, LAMA)
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Hypoglycaemia, unspecified
ANAK (E16.2, 111, LAMA)
ISPA/Other acute upper respirat.infect. of multi. sites (J06.8,


Single live birth
(Z37.0, 298, LAMA)
Unspecified haematuria
PENYAKIT DALAM (R31, 270.9, LAMA)
PENYAKIT DALAM
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Neonatal jaundice from other & unspecified causes (P59, 253.9, LAMA)
Cholecystitis
OBSTETRI DAN GINEKOLOGI (K81, 195.9, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
104.1, BARU)
SYARAF
Hypokalaemia (E87.6, 111, LAMA), Haemorrhoids

ANAK (B34.9, 041, LAMA), Ge/Diare (A09.9, Delivery
005, LAMA) by
caesarean
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) section,
unspecifie
d
Ge/Diare (A09.9, (O82.9,
ANAK 005, LAMA) 242.9,
Other
LAMA),
peripheral
Single live
vertigo -
Acute appendicitis birth
Lermoyez'
BEDAH (Z37.0,
(K35, 186, LAMA) syndrome
298,
(H81.3,
LAMA)
142.9,
Non insulin dependent diabetes mellitus with peripheral circulatory complications
(E11.5, 104.9, LAMA), LAMA)
PENYAKIT DALAM Maternal care for intrauterine death (O36.4, 239.9
Cardiac arrest
(i46, 150, LAMA)
Pneumonia,
organism unspecified (J18, 169, LAMA), Fetus and newborn affected by Perforation of intestine (nontraumatic) (K63.1, 192
caesarean delivery
ANAK (P03.4, 245, LAMA) Fetus and
newborn
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Hypertension - High blood pressure affected
PENYAKIT DALAM by
(I10, 145, LAMA)
caesarean
Maternal care for other specified fetal problems (O36.8, delivery
239.9, LAMA), Delivery by (P03.4,
Single
OBSTETRI DAN GINEKOLOGI 245,
spontane
(O82.9, 242.9, LAMA), LAMA),
ous
Single live birth Singleton,
delivery
Headache
(Z37.0, 298, LAMA) born
(O80,
-Single in243,
Facial
Acute appendicitis hospital
BEDAH LAMA),
pain
spontaneNOS
(K35, 186, LAMA) (Z38.0,
Single live
(R51,
ous
Mental disord.& dis.of nervos.sys.comp.pr egnancy (O99.3, 295,
birth
270.9,
delivery
LAMA)
244, LAMA), Delivery by (Z37.0,
LAMA),
(O80, 243,
caesarean section, 298,
Non
OBSTETRI DAN GINEKOLOGI LAMA),
unspecified (O82.9, 242.9, LAMA), LAMA)live
insulin
Single
Single live birth dependen
birth
(Z37.0, 298, LAMA) t(Z37.0,
DM
without
298,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) complicati
LAMA)
ons
Delivery
(E11.9,
by
104.1,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) caesarean
Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA
LAMA),
section,
Hypertens
unspecifie
ion - High
d
blood
Acute lymphadenitis (O82.9,
pressure
BEDAH (L04, 198, LAMA) 242.9,
(I10, 145,
LAMA),
Fetus
LAMA)and
Single live
newborn
Urticaria
birth
affected
BEDAH Neoplasma jinak payudara (L50, 199,
(D24, 091, LAMA) (Z37.0,
by
LAMA)
298,
caesarean
LAMA)
delivery
(P03.4,
BEDAH Inguinal hernia (unilateral) NOS (k40.9, 187, LAMA) 245,
LAMA),
Singleton,
born in
Unspecified abortion [See above for subdivisions] (O06, hospital
OBSTETRI DAN GINEKOLOGI Febrile convulsions (R56.0, 270.3, LAMA)
236.9, LAMA) (Z38.0,
Dyspepsia - Indigestion 295,
(K30, 189.9, LAMA), Hypertension - High blood pressure Delivery
LAMA)
by
(I10, 145, LAMA), Diabetes Melitus
PENYAKIT DALAM tidak tergantung insulin (E11, caesarean
104.1, LAMA), Acute pharyngitis - Ulcer
section,of
Includes: acute sore throat (J02, lower
unspecifie
165.0, LAMA) limb,
d not
Premature rupture of membranes, unspecified elsewhere
(O82.9,
OBSTETRI DAN GINEKOLOGI classified
(O42.9, 239.2, LAMA) 242.9,
(L97,and
LAMA),
Fetus
199,
Single live
newborn
LAMA),
birth
affected
PENYAKIT DALAM Diabetes
(Z37.0,
by
(J18.9, 169, LAMA) Melitus
298,
caesarean
tidak
LAMA)
delivery
Ge/Diare (A09.9, tergantun
(P03.4,
PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion g245,
(K30, 189.9, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA) insulin
LAMA),
(E11,
Singleton,
104.1,
born in
LAMA)
hospital
(Z38.0,
295,
LAMA)
Delivery
by
Ge/Diare (A09.9, caesarean
ANAK Infection of obstetric surgical wound (O86.0, 244, L
005, LAMA) section,
unspecifie
d
Asthma, (O82.9,
ANAK unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA) 242.9,
LAMA),
Delivery
Single live
Chronic renal failure, unspecified by
(N18.9, 214.9, LAMA), birth
PENYAKIT DALAM caesarean
Non insulin dependent DM without complications
(Z37.0,
Other specified section,
anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA) 298,
Fetus and
unspecifie
LAMA)
newborn
d
affected
(O82.9,
OBSTETRI DAN GINEKOLOGI Delivery by elective caesarean section (O82.0, 242.9, LAMA) by
242.9,
caesarean
LAMA),
Fetus and
delivery
Single live
newborn
(P03.4,
birth
affected
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA) 245,
(Z37.0,
by
LAMA),
298,
caesarean
Singleton,
LAMA)
delivery
Delivery by elective caesarean section (O82.0, 242.9, LAMA), born in
(P03.4,
OBSTETRI DAN GINEKOLOGI Single live birth hospital
245,
(Z37.0, 298, LAMA) (Z38.0,
LAMA),
295,
Singleton,
Dyspepsia
LAMA)
born in
Other soft tissue dis., not elsewhere classified (M79, -hospital
BEDAH Indigestio
207.9, LAMA) (Z38.0,
n
295,
(K30,
LAMA)
189.9,
Other soft tissue dis., not elsewhere classified (M79,
BEDAH LAMA),
207.9, LAMA) Hypertens
ion - High
blood
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) pressure
Tuber.of
(I10, 145,
lung,confi
LAMA)
r.by
sputum
Ge/Diare (A09.9,
PENYAKIT DALAM microscop
005, LAMA) y culture
(A15.0,
Other neonatal aspiration syndromes 007.0,
(P24.8, 249, LAMA), Bacterial sepsis of newborn, LAMA)
ANAK unspecified Chronic
(P36.9, 250, LAMA) renal
failure,
unspecifie
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) d
(N18.9,
Retention
214.9,
Delivery by elective caesarean section (O82.0, 242.9, LAMA), of urine
LAMA)
OBSTETRI DAN GINEKOLOGI Single live birth (R33,
(Z37.0, 298, LAMA) 270.2,
LAMA)
Delivery
by
ANAK Neonatal jaundice from other & unspecified causes (P59, 253.9, LAMA) caesarean
section,
unspecifie
d
ANAK (O82.9,
242.9,
LAMA),
Single
Ge/Diarelive
birth
(A09.9,
BEDAH Other and unspecified abdominal pain (R10.4, 267, LAMA) (Z37.0,
005,
298,
Bacterial
LAMA)
LAMA)
infection,
unspecifie
Ge/Diare
(A09.9,
(A49.9,
005,
018,
Delivery
LAMA),
Delivery by caesarean section, unspecified LAMA)
by
Dyspepsia
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), Sterilization caesarean
-
(Z30.2, 293, LAMA) section,
Indigestio
unspecifie
n
d
(K30,
(O82.9,
189.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 242.9,
LAMA)
Tuber.of lung,confir.by sputum microscopy culture (A15.0, LAMA),
007.0, LAMA), Haemoptysis - Delivery
Single live
Blood-stained by
birth
PENYAKIT DALAM sputum caesarean
Other
(Z37.0,specified soft tissue disorders (M79.8, 207.9
(R04.2, 270.9, LAMA), section,
298,
Other specified anaemias-Infantile pseudoleukaemia unspecifie
Delivery
LAMA)
(D64.8, 098, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA) d
by
Unspecified abortion [See above for subdivisions] (O06, (O82.9,
caesarean
OBSTETRI DAN GINEKOLOGI 236.9, LAMA) 242.9,
section,
LAMA),
Fetus and
unspecifie
Single
newborn
d live
Injury of unspecified body region (T14, birth
affected
(O82.9,
OBSTETRI DAN GINEKOLOGI (Z37.0,
by
281, LAMA) 242.9,
298,
caesarean
LAMA),
LAMA)
delivery
Single live
(P03.4,
birth
ANAK 245,
(Z37.0,
(J18.0, 169, LAMA) LAMA),
298,
Singleton,
LAMA)
born in
hospital
(Z38.0,
295,
LAMA)
Fetus and
newborn
affected
by
caesarean
Prematur
Delivery
edelivery
rupture
Meninges, unspecified, Meningioma NOS (D32.9, 096.6, LAMA), by
(P03.4,
of
SYARAF Attacks with alter consciousness,often with autom. (G40.2, caesarean
245,
membran
124, LAMA) section,
LAMA),
es,
unspecifie
Singleton,
unspecifie
d
born
d in
Unspecified abortion [See above for subdivisions] (O06, (O82.9,
hospital
(O42.9,
OBSTETRI DAN GINEKOLOGI 236.9, LAMA) 242.9,
(Z38.0,
239.2,
LAMA),
Fetus
295, and
LAMA),
Single
newborn
LAMA)
Deliverylive
Melaena birth
affected
by
PENYAKIT DALAM (K92.1, 197, LAMA), Hypokalaemia (E87.6, 111, LAMA), Asthma, (Z37.0,
by
caesarean
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA) 298,
caesarean
section,
LAMA)
delivery
unspecifie
Other paralytic syndromes (P03.4,
d
SYARAF (G83, 128.9, LAMA), Other intervertebral disc disorders 245,
(O82.9,
(M51, 205, LAMA) LAMA),
242.9,
Singleton,
LAMA),
Urinary tract infection, site not specified born
Singleinlive
ANAK (N39.0, 217, LAMA), Ge/Diare (A09.9, hospital
birth
Physiological jaundice (intense) (prolonged) NOS (
005, LAMA) (Z38.0,
(Z37.0,
295,
298,
LAMA)
LAMA)
PENYAKIT DALAM
Fetus and
newborn
Gastritis, unspecified affected
PENYAKIT DALAM by
(K29.7, 185.9, LAMA)
caesarean
delivery
Hypovolaemic shock (R57.1, 270.9, LAMA), (P03.4,
ANAK Ge/Diare (A09.9, 245,
005, LAMA) LAMA),
Singleton,
born in
Toxic effect of pesticides hospital
PENYAKIT DALAM (T60, 285, LAMA) (Z38.0,
Fetus
295, and
newborn
LAMA)
affected
PENYAKIT DALAM Poisoning by nonopioid analgesics,antipyreti cs,... (T39, 284, LAMA) by
caesarean
Fetus and
Other failed induction of labour (O61.8, 242.9, LAMA), delivery
newborn
Delivery by caesarean section, (p03.4,
affected
unspecified
by
(O82.9, 242.9, LAMA), LAMA),
caesarean
Single live birth Singleton,
delivery
(Z37.0, 298, LAMA) born
(P03.4,in
PENYAKIT DALAM Cholecystitis, unspecified (K81.9, 195.9, LAMA) hospital
245,
(Z38.0,
LAMA),
295,
Singleton,
LAMA)
born in
Ge/Diare (A09.9, hospital
ANAK 005, LAMA) (Z38.0,
295,
Mater.car
eLAMA)
due to
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) uterine
Pleurisy (R09.1, 270.9, LAMA)
scar from
previous
surg.
Unspecified haematuria (O34.2,
PENYAKIT DALAM 239.9,
(R31, 270.9, LAMA)
LAMA),
Single live
birth
PENYAKIT DALAM (Z37.0,
298,
LAMA),
Dyspepsia - Indigestion Delivery
PENYAKIT DALAM (K30, 189.9, LAMA), Headache - Facial pain NOS by
Ge/Diare
caesarean
(R51, 270.9, LAMA) (A09.9,
section,
005,
unspecifie
LAMA),
d
ANAK Dengue fever [classical dengue] (A90, 032.0, LAMA) Hypokala
Unspecifi
(O82.9,
emia
ed
242.9,
(E87.6,
abortion
LAMA)
111,
[See
Urinary tract infection following delivery Ge/Diare
LAMA)
OBSTETRI DAN GINEKOLOGI above
(A09.9,for
(O86.2, 244, LAMA) subdivisio
005,
Viral infection of unspecified site (b34, 041, LAMA), Ispa/Acute upper ns] (O06,
LAMA),
respiratory infection, unspecified (j06.9, 236.9,
Dyspepsia
ANAK 167, LAMA), LAMA)
-
Ge/Diare (a09.9, Indigestio
005, LAMA)due to uterine scar from previous surg. (O34.2, 239.9, LAMA),
Mater.care n
Delivery by elective caesarean section (O82.0, 242.9, (K30,
OBSTETRI DAN GINEKOLOGI LAMA), 189.9,
Single live birth LAMA)
(Z37.0, 298, LAMA)
Viral infection of unspecified site (B34, 041, LAMA), Ge/Diare (A09.9, Melaena
005, LAMA), Dehydration (Volume (K92.1,
ANAK Unspecifi
depletion) 197,
(E86, 110, LAMA) ed
LAMA)
abortion
[See
OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA) above for
subdivisio
ns] (O06,
236.9,
Asthma, LAMA)
ANAK unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
ANAK Demam Tifoid dan Paratifoid (A01, 002, LAMA)
Lymphosarcoma
BEDAH (C85.0, 086, LAMA)
OBSTETRI DAN GINEKOLOGI Retained placenta without haemorrhage (O73.0, 242.9, LAMA)
(J18.9, 169, LAMA), Bronchitis, not specified as acute or chronic (J40,
PENYAKIT DALAM 175, LAMA), Diabetes Melitus
104.1, LAMA)
(O82.9, 242.9, LAMA), Single
OBSTETRI DAN GINEKOLOGI spontane
Single live birth
(Z37.0, 298, LAMA) ous
delivery
(O80, 243,
ANAK LAMA),
Single live
Singleton,
birth
born in
(Z37.0,
Diabetes Melitus tidak tergantung insulin (E11, hospital
298,
PENYAKIT DALAM 104.1, LAMA), Hypertension - High blood pressure (Z38.0,
LAMA)
(I10, 145, LAMA), Other anaemias (D64, 098, LAMA) 295,
Viral infection, unspecified LAMA)
(B34.9, 041, LAMA), Ispa/Acute upper respiratory infection,
ANAK Fetus and newborn affected by caesarean delivery
unspecified (J06.9,
167, LAMA)
Hypokalaemia (E87.6, 111, LAMA), Dyspepsia - Indigestion

(K30, 189.9, LAMA)
Ge/Diare
(A09.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Abnormal
005,
uterine
LAMA)
&
vaginal
ANAK bleeding,
Urinary
unspecifie
tract
d (N93.9,
infection,
233,
site
LAMA)not
PENYAKIT DALAM specified
(N39.0,
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), 217,
Single live birth (Z37.0, 298, LAMA), Delivery by LAMA)
(O82.9, 242.9, LAMA)
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery
(O80, 243, LAMA) Chronic
renal
failure,
M.care for disp.due to generally contrac. pelvis (O33.1, unspecifie
OBSTETRI DAN GINEKOLOGI d
239.9, LAMA)
(N18.9,
214.9,
BARU),
PENYAKIT DALAM Gastrooesophageal reflux dis. without oesophagitis (K21.9, Anaemia
185.9, LAMA) in other
chronic
dis.
ANAK classified
elsewhere
(D63.8*,
098,
LAMA)
Delivery
by
section,
unspecifie
d
(o82.9,
BEDAH 242.9,
Pneumoni
LAMA),
a,
Single live
Congenita
unspecifie
ANAK lbirth
Prematur
d
(Z37.0,
pneumoni
e(J18.9,
rupture
298,
aof
169,
LAMA)
(P23, 249,
membran
LAMA)
demam/Fever, unspecified - Hyperpyrexia LAMA),
es,
PENYAKIT DALAM NOS-Pyrexia NOS (R50.9, 268, LAMA), Hypokalaemia (E87.6, 111, LAMA), Dyspepsia - Indigestion Fetus and
unspecifie
(K30, 189.9, LAMA) newborn
d
affected
(O42.9,
by
239.2,
OBSTETRI DAN GINEKOLOGI caesarean
LAMA)
(O80, 243, LAMA) delivery
Pre-eclampsia, unspecified (O14.9, 237.0, LAMA), (P03.4,
DHF /
Delivery by caesarean section, 245,
DBD
unspecified LAMA),
OBSTETRI DAN GINEKOLOGI (A91,
(O82.9, 242.9, LAMA), Singleton,
032.1,
Single live birth born in
LAMA)
(Z37.0, 298, LAMA) hospital
(Z38.0,
295,
LAMA)
due to
Salmonell
a typhi
Prematur
(A01.0,
e002, rupture
of
LAMA),
membran
DHF /
es,
DBD
unspecifie
(A91,
Chronic obstructive pulmonary disease, unspecified (J44.9, d
032.1,
PENYAKIT DALAM 175, LAMA), Hypertension - High blood pressure (O42.9,
LAMA),
(I10, 145, LAMA) 239.2,
Ge/Diare
LAMA),
(A09.9,
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), Delivery
005,
Delivery by elective caesarean section by
LAMA),
OBSTETRI DAN GINEKOLOGI (O82.0, 242.9, LAMA), caesarean
Ispa/Acut
Single live birth
e upper
(O82.9, 242.9, LAMA), unspecifie
respirator
Congenita
OBSTETRI DAN GINEKOLOGI Mater.care due to uterine scar from previous surg. ld
y
(O34.2, 239.9, LAMA), (O82.9,
infection,
pneumoni
Single live birth 242.9,
aunspecifie
(Z37.0, 298, LAMA) LAMA),
d (J06.9,
(P23, 249,
Single
167, live
LAMA),
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Congenital tuberculosis birth
ANAK LAMA)and
Fetus
(P37.0, 250, LAMA) (Z37.0,
newborn
Other
298,
affected
disorders
LAMA)
by
of
ANAK caesarean
vestibular
delivery
function
(P03.4,
(H81.8,
245,
142.9,
BEDAH LAMA),
LAMA),
Singleton,
Dyspepsia
Other failed induction of labour (O61.8, 242.9, LAMA), -born in
Delivery by caesarean section, hospital
Indigestio
unspecified (Z38.0,
n
(O82.9, 242.9, LAMA), (K30,
Single live birth LAMA)
189.9,
(Z37.0, 298, LAMA) LAMA)
Other and unspecified abdominal pain (R10.4, 267, LAMA), Bacterial infection, unspecified
PENYAKIT DALAM (A49.9, 018, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Dengue fever [classical dengue] (A90, 032.0, LAMA
ANAK
Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA), Pneumonia,
PENYAKIT DALAM organism unspecified
(J18, 169, LAMA) Congestiv
e heart
failure-
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Congestiv
e heart
disease
(I50.0,
PENYAKIT DALAM Calculus of kidney - Nephrolithiasis NOS (N20.0, 215, LAMA), Hypokalaemia (E87.6, 111, LAMA) 151,
LAMA),
Hypokala
Pneumonia, unspecified emia
(J18.9, 169, LAMA), Dyspepsia - Indigestion (E87.6,
PENYAKIT DALAM Ge/Diare
(K30, 189.9, LAMA), Hypertension - High blood pressure 111,
(I10, 145, LAMA) (A09.9,
LAMA),
Delivery
005,
Non
by
LAMA),
insulin
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Oligohydr
caesarean
DHF /
dependen
amnios
section,
DBD
t DM
(O41.0,
unspecifie
(A91,
without
239.9,
Diabetes Melitus tidak tergantung insulin (e11, d
032.1,
complicati
LAMA),
(O82.9,
LAMA)
PENYAKIT DALAM 104.1, LAMA), Hypertension - High blood pressure ons
Delivery
242.9,
(E11.9,
(i10, 145, LAMA) by
LAMA),
104.1,
caesarean
Single live
LAMA)
section,
Unspecified abortion [See above for subdivisions] (O06, birth
OBSTETRI DAN GINEKOLOGI unspecifie
(Z37.0,
236.9, LAMA) d
298,
Dyspepsia
(O82.9,
-LAMA)
Viral infection, unspecified 242.9,
Indigestio
ANAK (B34.9, 041, LAMA), Ge/Diare (A09.9, LAMA),
n
005, LAMA) Single
(K30, live
birth
189.9,
(Z37.0,
LAMA)
298,
ANAK LAMA)
Single live birth
(Z37.0, 298, LAMA) Singleton,
Delivery by caesarean section, born in
unspecified hospital
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), (Z38.0,
Single live birth 295,
Singleton,
(Z37.0, 298, LAMA) LAMA)
born in
hospital
295,
Delivery
LAMA)
by
section,
Fetus and
unspecifie
newborn
d
Pneumonia, affected
(O82.9,
OBSTETRI DAN GINEKOLOGI organism unspecified (J18, 169, LAMA), Mat.care for other cond.predominantly rel.to preg. (O26, by
242.9,
242.9, LAMA) caesarean
LAMA),
delivery
Single live
(P03.4,
birth
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 245,
(Z37.0,
LAMA),
298,
Singleton,
LAMA)
born in
hospital
(Z38.0,
295,
LAMA)
Other
surgical
follow-up
PENYAKIT DALAM care
(Z48,
297.9,
Dyspepsia - Indigestion LAMA)
PENYAKIT DALAM (K30, 189.9, LAMA), Pneumonia, unspecified Abnormal
(J18.9, 169, LAMA) uterine
Oligohydramnios (O41.0, 239.9, LAMA), Acute
&
Delivery by caesarean section, pharyngiti
vaginal
OBSTETRI DAN GINEKOLOGI unspecified (O82.9, 242.9, LAMA), s,
bleeding,
Oligohydr
Single live birth unspecifie
unspecifie
amnios
(Z37.0, 298, LAMA) d
d (N93.9,
(O41.0,
(J02.9,
233,
239.9,
165.0,
LAMA)
LAMA),
OBSTETRI DAN GINEKOLOGI Obst.lab.due to maternal pelvic abnormality LAMA),
Delivery
(O65, 240, LAMA), Obst.lab.due to maternal pelvic Hypertens
Fetus
by and
abnormality ion
newborn - High
caesarean
(O65, 240, LAMA), Delivery by caesarean section, unspecified blood
affected
OBSTETRI DAN GINEKOLOGI section,
(O82.9, 242.9, LAMA), Obst.lab.due to pressure
by
unspecifie
Gastroint
maternal pelvic abnormality (I10,
caesarean 145,
d (O82.9,
estinal
(O65, 240, LAMA), Delivery by LAMA)
delivery
242.9,
haemorrh
caesarean section, unspecified (P03.4,
LAMA),
age,
ANAK (O82.9,
Fetus and242.9, LAMA)
newborn affected by caesarean delivery (P03.4, 245, LAMA) 245,
Single live
unspecifie
LAMA),
birth
d
Singleton,
(Z37.0,
(K92.2,
Transient
born
298,
197,
tachypno in
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) hospital
LAMA)
LAMA),
ea of
Ge/Diare
(Z38.0,
Diabetes
newborn
(A09.9,
295,
Melitus
(P22.1,
005,
LAMA)
tidak
249,
LAMA),
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) tergantun
LAMA),
Hypokala
g insulin
Fetus
emia and
newborn
(E87.6, (E11,
Delivery
104.1,
affected
111,
by
LAMA)
by
LAMA)
Asthma,
caesarean
unspecifie
section,
delivery
d-
unspecifie
Infeksi bakteri tempat ytt (P03.4,
Asthmati
d
245,
(A49, 018, LAMA), Ge/Diare (A09.9, c(O82.9,
ANAK LAMA),
005, LAMA), Dehydration (Volume depletion) bronchitis
242.9,
(E86, 110, LAMA), Tuber. of lung, confirmed by unspecified means (A15.3, 007.1, LAMA) Singleton,
NOS
LAMA),
born in
Obst.lab.d
(J45.9,
Prematur
hospital
eue
176, to
rupture
(Z38.0,
OBSTETRI DAN GINEKOLOGI malpositi
LAMA)
of
295,
on
membran
LAMA)
malprese
es
nt.of
(O42,fetus
PENYAKIT DALAM Respiratory tuberculosis unspecified (A16.9, 007.9, LAMA) (O64,
Fetus and
239.2, 240,newborn affected by caesarean delivery
LAMA),
LAMA),
Delivery
Single live
by
birth
Retention of urine caesarean
(Z37.0,
BEDAH (R33, 270.2, LAMA) section,
298,
unspecifie
Fetus
LAMA)and
Prem.rupt
d
newborn
DHF / DBD .of
(O82.9,
affected
ANAK (A91, 032.1, LAMA), Acute pharyngitis - Includes: acute sore throat (J02, membran,
242.9,
by
165.0, LAMA) onset
LAMA),
caesareanof
lab.within
Single live
delivery
Bacterial foodborne intoxication, unspecified Transient
24
birthhours
(P03.4,
ANAK (A05.9, 006, LAMA), Dehydration (Volume depletion) tachypno
(O42.0,
(Z37.0,
245,
(E86, 110, LAMA) ea
298, of
239.2,
LAMA),
Premature rupture of membranes, unspecified newborn
LAMA),
LAMA)
Singleton,
(O42.9, 239.2, LAMA), Delivery by (P22.1,
Delivery
born in
caesarean section, unspecified 249,
by
hospital
(O82.9, 242.9, LAMA), caesarean
(Z38.0,
Single live birth Fetus
295, and
section,
(Z37.0, 298, LAMA) newborn
unspecifie
LAMA)
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), affected
d (O82.9,
OBSTETRI DAN GINEKOLOGI Delivery by caesarean section, unspecified by
242.9,
Fetal
(O82.9, 242.9, LAMA) caesarean
LAMA),
death
Prematur of
delivery
Single live
eunspecifie
rupture
(P03.4,
birth
d
ofcause -
(Z37.0,
Stillbirth
membran
LAMA),
298,
NOS
es,
Single
LAMA)live
(P95,
unspecifie
birth
253.0,
d
(Z37.0,
LAMA) NOS (P59.9, 253.9, LAMA)
(O42.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) (prolonged)
298,
239.2,
LAMA)
LAMA),
Delivery
Gestat. by
Retained
OBSTETRI DAN GINEKOLOGI [preg.-ind.]hypert without sig.proteinuria caesarean
placenta
(O13, 237.9, LAMA) section,
&
unspecifie
membran
d
es,
OBSTETRI DAN GINEKOLOGI (O82.9,
without
242.9,
haemorrh
LAMA),
age (O73,
Single live
242.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) birth
LAMA)
(Z37.0,
298,
LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Physiological jaundice (intense) (prolonged) NOS (
Ge/Diare
(A09.9,
BEDAH 005,
LAMA)
Delivery
by
caesarean
section,
Prematur
unspecifie
Unspecified diabetes mellitus with coma (E14.0, 104.9, LAMA), ed rupture
Diabetes Melitus tidak tergantung of
(O82.9,
PENYAKIT DALAM membran
insulin (E11, 242.9,
104.1, BARU), Hypokalaemia (E87.6, 111, LAMA) es,
LAMA),
unspecifie
Single live
Pneumonia, d
birth
PENYAKIT DALAM organism unspecified (J18, 169, LAMA), Chronic ischaemic heart disease (O42.9,
(Z37.0,
(I25, 148, LAMA) 239.2,
298,
LAMA),
LAMA)
Delivery
by
BEDAH Connective & other soft tissue of head, face&neck (D21.0, 096.6, LAMA) caesarean
section,
unspecifie
Soft tissue disorder, unspecified d
BEDAH (O82.9,
(M79.9, 207.9, LAMA) Transient
242.9,
tachypno
LAMA),
Toxic
ea
Single
effect of of
live
OBSTETRI DAN GINEKOLOGI Mild hyperemesis gravidarum (O21.0, 242.9, LAMA) newborn
birth
pesticides
(P22.1,
(Z37.0,
(T60, 285,
249,
298,
LAMA)
LAMA),
LAMA)
Physiologi
OBSTETRI DAN GINEKOLOGI Fetus and newborn affected by caesarean delivery
cal
jaundice
Fetus and
Premature rupture of membranes (intense)
newborn
(O42, 239.2, LAMA), Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA),
Delivery by caesarean section, unspecified (prolonge
affected
OBSTETRI DAN GINEKOLOGI d)
by NOS
(O82.9, 242.9, LAMA),
Single live birth (P59.9,
caesarean
Bacterial infection,
(Z37.0, 298, LAMA) unspecified 253.9,
delivery
(A49.9, 018, LAMA), Ge/Diare (A09.9, LAMA),
(P03.4,
005, LAMA), Fetus
245, and
Hypoglycaemia, unspecified newborn
LAMA),
ANAK affected
(E16.2, 111, LAMA) Singleton,
Congestiv
by
ebornheartin
caesarean
hospital
failure-
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) delivery
(Z38.0,
Other
Congestiv
(P03.4,
295,
eperipheral
heart
245,
LAMA) -
vertigo
disease
LAMA)
Lermoyez'
(I50.0,
OBSTETRI DAN GINEKOLOGI syndrome
151,
(H81.3,
LAMA),
142.9,
Diabetes
LAMA)
Melitus
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) tidak
tergantun
g insulin
Pre-(E11,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) eclampsia
Hyperem
104.1,
,esis
LAMA),
unspecifie
gravidaru
Liver
Premature rupture of membranes d (O14.9,
m with
disease,
(O42, 239.2, LAMA), Delivery by caesarean section, unspecified 237.0,
metabolic
unspecifie
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), LAMA),
disturban
d (K76.9,
Single live birth Delivery
ce
Fetus
194.9,and
(Z37.0, 298, LAMA) by
Obst.lab.d
(O21.1,
newborn
LAMA),
Other acute gastritis (K29.1, 189.9, LAMA), caesarean
ue to
242.9,
affected
Acute
OBSTETRI DAN GINEKOLOGI Multiple gestation section,
malpositi
LAMA)
by
renal
(O30, 239.0, LAMA) unspecifie
on
caesarean
failure,
d
malprese
delivery
unspecifie
Urinary tract infection, site not specified (O82.9,
nt.of
(P03.4,
d fetus
PENYAKIT DALAM (N39.0, 217, LAMA), Constipation 242.9,
(O64,
245,
(N17.9, 240,
(K59.0, 192.9, LAMA) LAMA),
LAMA),
214.9,
Single
LAMA)live
Delivery
Singleton,
Delivery
birth
by
born
by in
(Z37.0,
caesarean
hospital
caesarean
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 298,
section,
(Z38.0,
section,
ANAK LAMA)
unspecifie
295,
unspecifie
d
LAMA)
d
Pneumonia, unspecified (O82.9,
(O82.9,
(J18.9, 169, LAMA) 242.9,
242.9,
ANAK LAMA),
LAMA),
Single
Single live
live
birth
birth
SYARAF (Z37.0,
(Z37.0,
298,
298,
LAMA)
LAMA)
Congenital pneumonia Bone and articular cartilage, unspecified (D16.9, 0
(P23, 249, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
ANAK
Haemorrh
Ge/Diare (A09.9, oids
005, LAMA), Dehydration (Volume depletion) Subarach
(I84, 163,
(E86, 110, LAMA) noid
ANAK LAMA)and
Fetus
haemorrh
newborn
age,
affected
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) unspecifie
by
d
caesarean
Fetus and
Prem.rupt
(I60.9,
delivery
newborn
.of
153,
(p03.4,
affected
membran,
LAMA)
by
onset
LAMA), of
ANAK caesarean
lab.within
Singleton,
delivery
24 hours
born in
(P03.4,
(O42.0,
BEDAH hospital
245,
239.2,
(Z38.0,
LAMA),
LAMA),
295,
Singleton,
Delivery
LAMA)
Ge/Diare (A09.9, born
by in
005, LAMA), Dehydration (Volume depletion) hospital
caesarean
(E86, 110, LAMA) (Z38.0,
section,
ANAK 295,
unspecifie
LAMA)
d
(O82.9,
242.9,
LAMA),
Single live
birth
(Z37.0,
298,
LAMA)
Delivery
by
caesarean
section,
Decubitus
unspecifie
ulcer -
d
Bedsore -
Prolonged second stage (of labour) (O63.1, 242.9, LAMA), (O82.9,
Plaster
OBSTETRI DAN GINEKOLOGI Single live birth 242.9,
ulcer
(Z37.0, 298, LAMA) LAMA),
(L89,
Delivery
Single live
199,
by
Disorder of urinary system, unspecified (N39.9, 217, LAMA), Iron deficiency anaemia - anaemia asiderotic birth
LAMA),
caesarean (D50,
097, LAMA) Diabetes
section,
298,
Melitus
unspecifie
LAMA)
tidak
d
tergantun
(O82.9,
PENYAKIT DALAM g insulin
242.9,
Pneumoni
LAMA), (E11,
Premature rupture of membranes a,
104.1,
Single live
Ge/Diare
unspecifie
LAMA)
(O42, 239.2, LAMA), Delivery by caesarean section, birth
(A09.9,
d
OBSTETRI DAN GINEKOLOGI unspecified (O82.9, 242.9, LAMA), (Z37.0,
005,
(J18.9,
LAMA)
169,
Gestat.
(Z37.0, 298, LAMA) LAMA)
Pneumonia, LAMA),
[preg.-
Ge/Diare
organism unspecified (j18, 169, LAMA), Other anaemias Physiologi
ind.]hyper
(A09.9,
(d64, 098, LAMA) tcal
005, without
ANAK jaundice
sig.protei
LAMA),
(intense)
nuria
Chronic
(prolonge
(O13,
renal
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) d)
237.9, NOS
failure,
ANAK (P59.9,
LAMA),
unspecifie
Delivery
253.9,
Delivery
d
Antepartum haemorrhage, unspecified (O46.9, 238.9, LAMA), by
LAMA)
Delivery by caesarean section, by
(N18.9,
caesarean
214.9,
unspecified section,
(O82.9, 242.9, LAMA) section,
BARU)
unspecifie
unspecifie
d
d
Pneumonia, unspecified (O82.9,
(O82.9,
PENYAKIT DALAM (J18.9, 169, LAMA), Cardiac arrest 242.9,
242.9,
(I46, 150, LAMA) LAMA),
LAMA),
Bacterial
DHF
Single / live
Ge/Diare (A09.9, Single
infection, live
DBD
birth
birth
005, LAMA), Dehydration (Volume depletion) unspecifie
(A91,
(Z37.0,
(Z37.0,
(E86, 110, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9, d
032.1,
298,
298,
ANAK 167, LAMA) (A49.9,
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), LAMA)
LAMA)
LAMA)
018,
Delivery by caesarean section, unspecified LAMA),
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), Dyspepsia
Single live birth -Fetus and
(Z37.0, 298, LAMA) Indigestio
newborn
Ge/Diare
Diabetes
n
affected
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Other mater.dis.class.but comp.preg.,childbi(A09.9,
Melitus
(K30,
by
005,
tidak
189.9,
caesarean
LAMA)
tergantun
LAMA)
delivery
g(P03.4,
insulin
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 245,(E11,
104.1,
LAMA),
LAMA),
Singleton,
Hypoglyca
born in
emia,
hospital
BEDAH unspecifie
(Z38.0,
Urinary
d
295,
tract
(E16.2,
LAMA)
infection,
111,not
PENYAKIT DALAM Chronic renal failure (N18, 214.9, LAMA), Other specified anaemias-Infantile pseudoleukaemia (D64.8, 0 site LAMA),
specified
Hypokala
(N39.0,
Fetus and
Mater.car
emia
217,
newborn
e(E87.6,
due to
LAMA)
affected
uterine
by
scar
LAMA) from
ANAK caesarean
previous
delivery
surg.
(P03.4,
(O34.2,
239.9,
LAMA),
LAMA),
ANAK Singleton,
Delivery
born in
by
OBSTETRI DAN GINEKOLOGI hospital
caesarean
(Z38.0,
section,
295,
unspecifie
LAMA)
d
Ge/Diare (A09.9, (O82.9,
Delivery by elective caesarean section (o82.0, 242
005, LAMA) 242.9,
ANAK LAMA),
Single
Mild live
birth
hypereme
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Other
(Z37.0, and unspecified abdominal pain (R10.4, 267
sis
ANAK 298,
gravidaru
Prem.rupt
LAMA)
m (O21.0,
.of
242.9,
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) membran,
LAMA),
ANAK onset
Single of
Dyspepsia live
lab.within
-birth
24 hours
Indigestio
(Z37.0,
Skin of other and unspecified parts of face (D04.3, (O42.0,
BEDAH n
298,
096.0, LAMA) 239.2,
(K30,
LAMA)
LAMA),
189.9,
Delivery
Pre-
BARU)
Lymphosarcoma by
eclampsia
PENYAKIT DALAM (C85.0, 086, LAMA) caesarean
,Diabetes
section,
unspecifie
Melitus
unspecifie
d (O14.9,
tidak
Ge/Diare (A09.9, d (O82.9,
237.0,
tergantun
005, LAMA), Dehydration (Volume depletion) g242.9,
LAMA),
insulin
(E86, 110, LAMA) LAMA),
Delivery
ANAK (E11,
Single
104.1, live
by
birth
caesarean
LAMA)
BEDAH (Z37.0,
section,
298,
unspecifie
LAMA)
d
(O82.9,
242.9,
LAMA),
Single live
birth
(Z37.0,
298,
LAMA)
Non
insulin
dependen
t DM
without
Prem.rupt
complicati
.of
ons
membran
(E11.9,
BEDAH es,onset
104.1,
of
LAMA),
lab.after
Hypertens
24
ionhours - High
Other disorders of amniotic fluid and membranes (o41, (O42.1,
OBSTETRI DAN GINEKOLOGI Physiological jaundice (intense) (prolonged) NOS (
blood
239.9, LAMA) 239.2,
pressure
Fetus and
LAMA),
(I10, 145,
newborn
Delivery
LAMA)
affected
by
Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA) Other
by
caesarean
ANAK preterm
caesarean
section,
infants
delivery
unspecifie -
Prematuri
(P03.4,
d
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) ty
245,
(O82.9,
NOS
LAMA),
242.9,and
Fetus (P07.3,
Singleton,
LAMA),
newborn
246,
born inlive
Single
Abnormal uterine affected
LAMA),
hospital
OBSTETRI DAN GINEKOLOGI birth
Fetus
by and
& vaginal bleeding, unspecified (N93.9, 233, LAMA) Respirator
(Z38.0,
(Z37.0,
newborn
caesarean
y298, distress
295,
affected
delivery
of
LAMA)
LAMA)
by
(P03.4,
Unspecified abortion [See above for subdivisions] (o06, newborn,
245,
unspecifie
236.9, LAMA) delivery
LAMA),
d
(P03.4,
Singleton,
(P22.9,
245,
born
249, in
Premature rupture of membranes LAMA),
hospital
LAMA)
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Delivery by caesarean section, unspecified Congenita
(Z38.0,
(O82.9, 242.9, LAMA) l295, and
Fetus
pneumoni
newborn
LAMA)
a,
affected
unspecifie
by
d
caesarean
Enteroste
(P23.9,
delivery
nosis
249, -
(P03.4,
PENYAKIT DALAM Obstructiv
LAMA)
245,
eLAMA),
ileus
NOS
Obst.lab.d
Singleton,
ue
born(K56.6,
to in
190,
malpositi
hospital
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) LAMA),
on
(Z38.0,&
ANAK Hypovola
malprese
295,
DHF
emic
nt,unspec
LAMA) /
DBD
.shock
(O64.9,
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (A91,
(R57.1,
240,
032.1,
270.9,
LAMA),
ANAK
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), LAMA)
LAMA)
Delivery
Delivery by caesarean section, unspecified by
Fibrosis
and
Single live birth section,
cirrhosis
(Z37.0, 298, LAMA) unspecifie
Delivery
of liver
d
by
(k74,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O82.9,
caesarean
194.9,
242.9,
section,
LAMA),
Fetus
LAMA),
unspecifie
Cardiac and
Dyspepsia - Indigestion newborn
Single live
d
arrest
(K30, 189.9, LAMA), Vertigo affected
birth 150,
(O82.9,
(i46,
PENYAKIT DALAM NOS-Dizziness by
(Z37.0,
242.9,
LAMA)
& caesarean
298, and
LAMA),
Fetus
giddiness-Light-head edness (R42, 270.9, LAMA) delivery
LAMA)live
Single
newborn
Ge/Diare (A09.9, (P03.4,
birth
affected
005, LAMA), Dehydration (Volume depletion) 245,
(Z37.0,
by
(E86, 110, LAMA) Chronic
LAMA),
ANAK 298,
caesarean
renal
Singleton,
LAMA)
delivery
failure,
Single
born inlive
(P03.4,
unspecifie
PENYAKIT DALAM birth
hospital
245,
d
(Z37.0,
(Z38.0,
LAMA),
(N18.9,
298,
295,
Singleton,
214.9,
LAMA),
LAMA)
Ge/Diare (A09.9, born in
BARU),
Prematur
hospital
PENYAKIT DALAM 005, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9, Anaemia
e(Z38.0,
rupture
Maternal
167, LAMA) care for intrauterine death (O36.4, 239.9, LAMA), in other
of
295,
Mater.care due to uterine scar from chronic
membran
LAMA)
previous surg. dis.
es,
(O34.2, 239.9, LAMA), classified
OBSTETRI DAN GINEKOLOGI unspecifie
Anaemia comp. preg.,childbirth elsewhere
& the rupture
puerperium d
Premature of membranes, unspecified (D63.8*,
Singleton,
(O42.9,
(O99.0,
(O42.9, 244, LAMA),
239.2, LAMA), Other failed
Delivery by 098,
born
induction of labourunspecified
(O61.8, 242.9, LAMA) 239.2,in
caesarean section, LAMA)
hospital
LAMA),
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), (Z38.0,
Single
spontane
(Z37.0, 298, LAMA) LAMA)
ous
Ge/Diare
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Pneumonia, unspecified Obstructe
delivery
(A09.9,
ANAK (J18.9, 169, LAMA), Fetus&newborn af.by d labour,
(O80, 243,
005,
Ectopic
other&unsp.con d.umbilical cord (P02.6, 245, LAMA) unspecifie
LAMA)
pregnancy
d
,
(O66.9,
unspecifie
240,
OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA) d
LAMA),
(O00.9,live
Single
236.0,
birth
Unspecified haematuria LAMA)
(Z37.0,
PENYAKIT DALAM Fetal
(R31, 270.9, LAMA) 298,
death
LAMA),of
unspecifie
Single
d cause -
spontane
BEDAH Stillbirth
ous
(K35.9, 186, LAMA) NOS
delivery,
Premature rupture of membranes (P95,
unspecifie
(O42, 239.2, LAMA), Other failed 253.0,
d (O80.9,
induction of labour LAMA)
243,
OBSTETRI DAN GINEKOLOGI (O61.8, 242.9, LAMA), Delivery by LAMA)
(O82.9, 242.9, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA),
Nausea and vomiting Non insulin dependent DM without complications
(R11, 270.9, LAMA) Bacterial
ANAK
infection,
unspecifie
Ge/Diare (A09.9,
PENYAKIT DALAM d
005, LAMA) (A49.9,
018,
Ge/Diare
LAMA)
Premature rupture of membranes (A09.9,
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Delivery by caesarean section, 005,
unspecified (O82.9, 242.9, LAMA) Bacterial
LAMA)
infection,
Premature rupture of membranes unspecifie
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Delivery by caesarean section, d
unspecified (O82.9, 242.9, LAMA) (A49.9,
018,
LAMA)
Ge/Diare
Bacterial
Dyspepsia
(A09.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) infection,
-005,
unspecifie
Indigestio
LAMA)
d
n
(A49.9,
(K30,
018,
189.9,
OBSTETRI DAN GINEKOLOGI Other
LAMA),
LAMA),
disorders
Hypokala
Hypo-
of
emia
osmolality
vestibular
(E87.6,
Haemorrhoids and
function
BEDAH 111,
(I84, 163, LAMA) hyponatra
(H81.8,
LAMA)
emia
142.9,
demam/Fever, unspecified - Hyperpyrexia (E87.1,
LAMA),
NOS-Pyrexia NOS (R50.9, 268, LAMA), 111,
Ventral
PENYAKIT DALAM demam/Fever, unspecified - Hyperpyrexia LAMA),
hernia
NOS-Pyrexia NOS Hypokala
without
(R50.9, 268, LAMA) Delivery
emia
DHF /
obstructio
by
(E87.6,
DBD
n
111,
(A91,
or
section,
LAMA)
032.1,
Delivery
gangrene
unspecifie
LAMA)
by
(K43.9,
Typhoid
d
caesarean
188,
fever -
(O82.9,
section,
LAMA)
OBSTETRI DAN GINEKOLOGI Infection
242.9,
unspecifie
due
LAMA), to
d
Delivery
Salmonell
Chronic renal failure, unspecified Single live
(O82.9,
by
abirth
typhi
(N18.9, 214.9, LAMA), 242.9,
caesarean
PENYAKIT DALAM (A01.0,
(Z37.0,
Other anaemias LAMA),
section,
002,
298,
(D64, 098, LAMA) Hypertoni
unspecifie
Mater.car
LAMA),
LAMA)
Chronic renal failure, unspecified c,incoordi
ed due to
Ge/Diare
(N18.9, 214.9, LAMA), n
(O82.9,
uterine
(A09.9,
PENYAKIT DALAM at,&
Other anaemias 242.9,
scar
005, from
(D64, 098, LAMA) prolonged
LAMA),
previous
LAMA)
uteri.cont
Twin
surg.
ract.
pregnanc
(O34.2,
y (O30.0,
239.9,
242.9,
239.0,and
LAMA),
Fetus
LAMA),
LAMA)
Delivery
newborn
Mater.car
by
affected
e due to
ANAK Hypothermia of newborn, unspecified (P80.9, 253.9, LAMA) caesarean
by
uterine
section,
caesarean
scar from
unspecifie
delivery
previous
d
(P03.4,
surg.
245,
(O34.2,
242.9,
LAMA),
Pneumoni
239.9,
LAMA),
Singleton,
Delivery
a,
LAMA),live
Single
Ge/Diare (A09.9, born
Singleinlive
by
unspecifie
birth
hospital
caesarean
ANAK 005, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9, d
birth
(Z37.0,
167, LAMA), Hypokalaemia (E87.6, 111, LAMA) (Z38.0,
section,
(J18.9,
(Z37.0,
298,
295,
unspecifie
169,
298,
LAMA)
LAMA)
d
LAMA)
Delivery by elective caesarean section (O82.0, 242.9, LAMA), (O82.9,
OBSTETRI DAN GINEKOLOGI Infection of obstetric surgical wound 242.9,
Prematur
(O86.0, 244, LAMA) LAMA),
e rupture
Single
of live
birth
membran
OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA) (Z37.0,
es
298,
(O42, and
Fetus and
Fetus
LAMA)
239.2,
newborn
newborn
LAMA)
affected
affected
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Haemorrhoids in pregnancy (O22.4, 242.9, LAMA)
by
by
caesarean
Fetus
multipleand
delivery
newborn
pregnanc
(P03.4,
affected
y (P01.5,
ANAK 245,
by
245,
LAMA),
multiple
LAMA),
Singleton,
pregnanc
Fetus and
born in
ynewborn
(P01.5,
Delayed delivery of second twin, triplet, etc. (O63.2, hospital
245,
OBSTETRI DAN GINEKOLOGI affected
242.9, LAMA), Single live birth (Z37.0, 298, LAMA) (Z38.0,
LAMA),
by
Fetus
295, and
Fetus and
caesarean
newborn
LAMA)
newborn
delivery
affected
affected
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( (P03.4,
by
by
245,
caesarean
caesarean
LAMA),
delivery
delivery
Single live
Pneumonia, unspecified (P03.4,
(P03.4,
birth
ANAK (J18.9, 169, LAMA), Ge/Diare (A09.9, 245,
245,
(Z37.0,
005, LAMA) LAMA),
LAMA),
298,
Singleton,
Singleton,
LAMA)
born
born in
in
hospital
hospital
(Z38.0,
(Z38.0,
295,
295,
LAMA)
LAMA)
BEDAH Fetus and newborn affected by caesarean delivery

Fetus and
newborn
Viral infection of unspecified site (B34, 041, LAMA), Anaemia, unspecified affected
ANAK (D64.9, 098, LAMA), Ge/Diare (A09.9, Fetus
by and newborn affected by caesarean delivery
005, LAMA) caesarean
Prematur
edelivery
rupture
(P03.4,
of
membran
LAMA),
es,
Dyspepsia
Singleton,
unspecifie
-
Chronic obstructive pulmonary disease, unspecified (J44.9, born in
d
Indigestio
PENYAKIT DALAM 175, LAMA), Hypertension - High blood pressure hospital
(O42.9,
n
(I10, 145, LAMA), Dyspepsia - Indigestion (Z38.0,
239.2,
(K30,
(K30, 189.9, LAMA) 295,
LAMA),
189.9,
LAMA)
Delivery
LAMA)
Bronchopneumonia, unspecified by
ANAK (J18.0, 169, LAMA), Ge/Diare (A09.9, caesarean
005, LAMA) Pneumoni
section,
Fetus and
a,
unspecifie
newborn
unspecifie
d
affected
(O82.9,
by
(J18.9,
242.9,
caesarean
169,
LAMA),
delivery
LAMA)
Single live
(P03.4,
OBSTETRI DAN GINEKOLOGI birth
245,
(Z37.0,
LAMA),
Typhoid
298,
Singleton,
fever
Maternal
LAMA) -
born
Ge/Diare in
Stroke, not specified as haemorrhage or infarction (I64, 155, LAMA), Infection
care for
hospital
(A09.9,
SYARAF Hypertension - High blood pressure due to
malprese
005,
(Z38.0,
(I10, 145, LAMA) Salmonell
nt.of
LAMA)
295,
a typhi
fetus,uns
LAMA)
(A01.0,
pecified
002,
ANAK Convulsions, not elsewhere classified (R56, 270.3, LAMA), Maternal care for intrauterine death (O36.4, 2 (O32.9,
LAMA),
239.9,
Dyspepsia
LAMA),
DHF
-
Failed /
DBD
Indigestio
induction
PENYAKIT DALAM (A91,
n labour,
of
032.1,
(K30,
unspecifie
Diabetes
LAMA)
189.9,
d
Melitus
LAMA)
(O61.9,
tidak
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 242.9,
tergantun
LAMA),
g insulin
Delivery
(E11,
by
104.1,
LAMA),
section,
Dyspepsia
Fetus and
-unspecifie
newborn
d
Ge/Diare
Indigestio
Ge/Diare (A09.9, affected
(O82.9,
(A09.9,
n unspecified (J06.9,
ANAK 005, LAMA), Convulsions, not elsewhere classified (R56, 270.3, LAMA), Ispa/Acute upper respiratory infection,
by
242.9,
005,
(K30,
167, LAMA) caesarean
LAMA),
LAMA)
189.9,
delivery
Single live
BARU)
(P03.4,
birth
Asthma
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) 245,
(Z37.0,
(J45, 176,
LAMA),
298,
LAMA),
Singleton,
LAMA)
Hypo-
born in
osmolality
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) hospital
Melaena
and
(Z38.0,
(K92.1,
hyponatra
Tuber. pleurisy, confir. bacteri & histologically 295,
197,
emia
(A15.6, 007.1, LAMA), LAMA)
LAMA),
(E87.1,
Hypertension - High Hypertens
111,
PENYAKIT DALAM blood pressure (I10, 145, LAMA), Diabetes Melitus tidak tergantung insulin (E11, ion
LAMA)- High
Peritonitis
104.1, LAMA), Hypoglycaemia, unspecified blood
(K65,
(E16.2, 111, LAMA) Mater.car
pressure
192.9,
e(I10,
due145,
LAMA), to
LAMA)
Cardiac
scar
arrestfrom
previous
DHF
(I46, /150,
surg.
DBD
LAMA)
PENYAKIT DALAM (O34.2,
(A91,
239.9,
032.1,
LAMA),
LAMA)
Delivery
Delivery
by
by
caesarean
PENYAKIT DALAM caesarean
section,
section,
Fetus and
unspecifie
Diabetes Melitus tidak tergantung insulin (E11, unspecifie
newborn
d
104.1, LAMA), Other anaemias d (O82.9,
affected
(O82.9,
PENYAKIT DALAM (D64, 098, LAMA), Acute renal failure, unspecified 242.9,
by
242.9,
(N17.9, 214.9, LAMA),
caesarean
LAMA),
Fetus and
LAMA) Single live
delivery live
Single
newborn
birth
(P03.4,
birth
affected
245,
(Z37.0,
by
298,
LAMA),
298,
caesarean
LAMA)
Singleton,
LAMA)
delivery
born in
(P03.4,
OBSTETRI DAN GINEKOLOGI hospital
245,
(Z38.0,
LAMA),
295,
Singleton,
LAMA)
born in
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) hospital
Physiological jaundice (intense) (prolonged) NOS (
(Z38.0,
295,
LAMA)
Chronic
renal
failure,
unspecifie
PENYAKIT DALAM d
(N18.9,
214.9,
Ge/Diare
LAMA)
(A09.9,
LAMA)
Delivery
Tuber.of lung,confir.by sputum microscopy culture (A15.0, by
007.0, LAMA), caesarean
SYARAF Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Cardiac arrest section,
(I46, 150, LAMA) unspecifie
Delivery by caesarean section, unspecified d
(O82.9, 242.9, LAMA), (O82.9,
OBSTETRI DAN GINEKOLOGI Other failed induction of labour (O61.8, 242.9, LAMA), 242.9,
Single live birth Typhoid
LAMA),
(Z37.0, 298, LAMA) fever
demam/Fever, unspecified - Hyperpyrexia Single- live
Cholelithi
NOS-Pyrexia NOS (R50.9, 268, LAMA), Epilepsy Infection
asis
birth
ANAK (G40, 124, LAMA), Ge/Diare (A09.9, due
(K80,
(Z37.0,to
005, LAMA), Dehydration (Volume depletion) Salmonell
195.0,
298,
Vertigo
(E86, 110, LAMA) aLAMA)
typhi
LAMA)
NOS-Dizziness (A01.0,
& Ge/Diare
002,
SYARAF (A09.9,
giddiness-Light-head edness (R42, 270.9, LAMA), LAMA),
Personal history of allergy, other than to ....... (Z91.0, 005,
Dyspepsia
298, LAMA) LAMA),
-
Dyspepsia
Indigestio
ANAK -Ge/Diare
n
Indigestio
(K30,
(A09.9,
n
189.9,
005,
Viral infection, unspecified (K30,
LAMA)
LAMA),
PENYAKIT DALAM (B34.9, 041, LAMA), Dyspepsia - Indigestion 189.9,
Hypokala
(K30, 189.9, LAMA) section, unspecified LAMA)
emia
Delivery by caesarean Soft tissue
Fetus and
(O82.9, 242.9, LAMA), (E87.6,
disorder,
newborn
111,
Maternal care for signs of fetal hypoxia unspecifie
affected
OBSTETRI DAN GINEKOLOGI (O36.3, 239.9, LAMA)
d
by
LAMA), (M79.9,
caesarean
Single live birth 207.9,
delivery
(Z37.0, 298, LAMA) LAMA)
(P03.4,
LAMA),
Singleton,
Ge/Diare
born in
(A09.9,
hospital
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA) 005,
(Z38.0,
LAMA)
295,
LAMA)
BEDAH Cholecystitis, unspecified (K81.9, 195.9, LAMA)
Unspecifi
ed
abortion
[See
ANASTESI above for
Other
subdivisio
peripheral
ns] (O06,
Maternal
vertigo -
236.9,
care for
Pneumonia, unspecified Lermoyez'
LAMA)
ANAK dispropor
(J18.9, 169, LAMA), Epilepsy, unspecified (G40.9, 124, LAMA) syndrome
tion,
(H81.3,
unspecifie
142.9,
d (O33.9,
LAMA)
ANAK Other diseases
Fetus and of the
newborn blood by caesarean delivery (P03.4, 245, LAMA)
affected 239.9,
Typhoid fever - Infection due to Salmonella typhi (
&blood-forming organs (O99.1, LAMA),
244, LAMA), Delivery
Delivery by caesarean section, unspecified by
Hyperem
Premature rupture of membranes section,
esis
(O42, 239.2, LAMA), unspecifie
gravidaru
Mater.car
Anaemia comp. preg.,childbirth d
emduewithto
DHF
&/ DBD
the puerperium (O82.9,
metabolic
uterine
PENYAKIT DALAM (A91, 032.1,
(O99.0, 244, LAMA),
LAMA), Dyspepsia
Single live -birth
Indigestion
(Z37.0, 298, LAMA) 242.9,
disturban
scar from
(K30, 189.9, LAMA) LAMA),
ce
previous
Single
(O21.1,live
surg.
Perforatio
birth
242.9,
(O34.2,
n of and newborn affected by caesarean delivery
Fetus
LAMA)
239.9,
intestine
298,
LAMA),
(nontrau
LAMA)
Delivery
matic)
by
(k63.1,
Ge/Diare (A09.9,
ANAK caesarean
192.9,
005, LAMA), Hypokalaemia (E87.6, 111, LAMA) section,
LAMA),
unspecifie
Acute
d
renal
Acute appendicitis (O82.9,
BEDAH failure,
(K35, 186, LAMA) 242.9,
unspecifie
Acute
LAMA),
d
pharyngiti
Single
(n17.9,live
s,
birth
214.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Other specified aplastic anaemias (d61.8, 098, LAM
unspecifie
(Z37.0,
LAMA),
d
298,
Other
Delivery
(J02.9,
LAMA)
septicaem
by
Premature rupture of membranes, unspecified 165.0,
ia
LAMA),
(a41, 017,
section,
Single spontaneous delivery, unspecified (O80.9, 243, LAMA) Dyspepsia
LAMA)
unspecifie
-
d
Indigestio
Calculus of kidney and ureter (O82.9,
n
PENYAKIT DALAM (N20, 215, LAMA), Other and unspecified 242.9,
(K30,
hydronephrosis (N13.3, 213.9, LAMA) LAMA),
189.9,
Single
LAMA)live
birth
ANAK Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA) Fetus and newborn affected by caesarean delivery
(Z37.0,
298,
LAMA)
Ge/Diare
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Fetus
(A09.9, and newborn affected by caesarean delivery
005,
Obst.lab.d
LAMA),
ue to
Postcoital and contact bleeding (N93.0, 233, LAMA), Other anaemias (D64, 098, LAMA), Chronic passive congestion
Convulsio of liver (K76.1, 194.9, LAMA),
ANASTESI Diabetes Melitus tidak tergantung insulin (E11, malpositi
ns, not
104.1, LAMA) on &
elsewhere
Viral
malprese
classified
Maternal
infection,
Delivery by caesarean section, unspecified nt,unspec
(R56,for
care
unspecifie
(O82.9, 242.9, LAMA), .dispropor
(O64.9,
270.3,
LAMA)
tion,
(B34.9,
(Z37.0, 298, LAMA) LAMA),
unspecifie
041,
Supervisio
d (O33.9,
LAMA)
Peritonitis n of
239.9,
BEDAH Other
pregnancspecified soft tissue disorders (M79.8, 207.9
(K65, 192.9, LAMA) LAMA),
y with
Maternal
Diabetes Melitus tidak tergantung insulin (E11, history
care forof
104.1, BARU), Bacterial infection, inferti.
malprese
PENYAKIT DALAM unspecified (Z35.0,
nt.of
(A49.9, 018, LAMA), Dyspepsia - Indigestion 294.1,
fetus,uns
(K30, 189.9, LAMA) LAMA),
pecified
Delivery
(O32.9,
PENYAKIT DALAM Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA) by
239.9,
caesarean
LAMA),
section,
Delivery
Delivery by caesarean section, unspecified unspecifie
(O82.9, 242.9, LAMA), by
d (O82.9,
caesarean
OBSTETRI DAN GINEKOLOGI Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), 242.9,
Single live birth section,
LAMA),
unspecifie
(Z37.0, 298, LAMA) Single live
Delivery
d
Other and unspecified abdominal pain (R10.4, 267, LAMA), Hypertension - High blood pressure birth
by
(O82.9,
elective
242.9,
(I10, 145, LAMA)
298,
caesarean
LAMA),
LAMA)
section
Single live
(o82.0,
birth
BEDAH 242.9,
(Z37.0,
(D24, 091, LAMA) LAMA),
298,
Single live
LAMA)
Ge/Diare
birth
(A09.9,
(z37.0,
298,
LAMA)
LAMA)

BEDAH (M79.9, 207.9, LAMA)
BEDAH Non insulin dependent DM without complications
SYARAF Cerebrovascular disease, unspecified (I67.9, 156, LAMA) Typhoid fever - Infection due to Salmonella typhi (
Fetus and
newborn
affected
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) by
Fetus and newborn affected by caesarean delivery
caesarean
Delivery by caesarean section, unspecified delivery
(O82.9, 242.9, LAMA), (P03.4,
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes 245,
(O42, 239.2, LAMA), LAMA),
Single live birth Transient
(Z37.0, 298, LAMA) tachypno
Ge/Diare
ea of
(A09.9,
PENYAKIT DALAM newborn
005,
(P22.1,
LAMA)
Delivery
249,
Maternal
by
LAMA)
care for
OBSTETRI DAN GINEKOLOGI Antepartum haemorrhage, unspecified (O46.9, 238.9, LAMA) caesarean
malprese
section,
nt.of
unspecifie
fetus,uns
d
pecified
(O82.9,
(O32.9,
OBSTETRI DAN GINEKOLOGI Maternal care for disproportion, unspecified (O33.9, 239.9, LAMA) 242.9,
239.9,
LAMA),
Fetus
LAMA), and
Single
newborn
Delivery live
Ge/Diare (A09.9, birth
affected
by
PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion (Z37.0,
by
caesarean
(K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LAMA) 298,
caesarean
section,
LAMA)
delivery
unspecifie
Urinary tract infection, site not specified (P03.4,
d (O82.9,
ANAK (N39.0, 217, LAMA), Ge/Diare (A09.9, 245,
242.9,
Noxious
005, LAMA) LAMA),
LAMA),
substance
Mater.car
Singleton,
Single as
eaten live
efood,
dueinto
born
birth
hospital
(Z37.0,
unspecifie
scar
298, from
(Z38.0,
d
previous
295,
LAMA)
(T62.9,
Maternal
surg.
LAMA)
285,
care for
(O34.2,
LAMA)
dispropor
239.9,
tion,
LAMA),
Delivery by caesarean section, unspecified unspecifie
Delivery
(O82.9, 242.9, LAMA), d
by(O33.9,
OBSTETRI DAN GINEKOLOGI Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), 239.9,
caesarean
Single spontaneous
live birth LAMA),
section,
Single delivery
(Z37.0,243,
298,LAMA),
LAMA)Other immediate postpartum haemorrhage Delivery
unspecifie
(O80, by
d
(O72.1, 241, LAMA), Anaemia comp. caesarean
(O82.9,
OBSTETRI DAN GINEKOLOGI preg.,childbirth section,
242.9,
& the puerperium unspecifie
LAMA),
(O99.0, 244, LAMA), Unspecified maternal hypertension d
Single live
(O16, 237.9, LAMA), Single live birth (Z37.0, 298, LAMA) (O82.9,
birth
242.9,
(Z37.0,
LAMA),
298,
Single
LAMA)live
birth
(Z37.0,
298,
LAMA)
Ge/Diare
Umbilical hernia without obstruction or gangrene (A09.9,
BEDAH (K42.9, 188, LAMA) 005,
Blighted
LAMA)and
Fetus
ovum and
newborn
nonhydati
affected
diform
OBSTETRI DAN GINEKOLOGI Twin
by
mole
pregnanc
caesarean
(O02.0,
ydelivery
(O30.0,
236.9,
239.0,
(P03.4,
LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) LAMA),
245,
Delivery
LAMA),
by
Singleton,
caesarean
Fever
born inof
section,
unknown
hospital
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) unspecifie
origin
(Z38.0,
d (O82.9,
(R50,
295, 268,
242.9,
LAMA),
LAMA)
LAMA),
Fetus and
OBSTETRI DAN GINEKOLOGI Antepartum haemorrhage, unspecified (O46.9, 238.9, LAMA) Single live
newborn
birth
affected
Fetus and
(Z37.0,
by
newborn
298,
caesarean
affected
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) LAMA)
delivery
by
(P03.4,
caesarean
Acute pharyngitis, unspecified 245,
delivery
(J02.9, 165.0, LAMA), Arthrosis, unspecified LAMA),
(M19.9, 201, LAMA), Chronic nephritic (P03.4,
PENYAKIT DALAM Convulsio
245,
syndrome, unspecified (N03.9, 212.9, LAMA), ns, not
Other anaemias LAMA),
elsewhere
Singleton,
(D64, 098, LAMA) Decompe
Tuber.of
classified
Epilepsy, unspecified (G40.9, 124, LAMA), Other and born
nsationin
lung,confi
(R56,
hospital
SYARAF unspecified injuries of ankle and foot cardiac-
Unspecifi
r.by
270.3,
(S99, 281, LAMA) (Z38.0,
Heart
ed
sputum
LAMA)
295,
disease,
abortion
microscop
LAMA)
unspecifie
[See
y culture
Soft tissue disorder, unspecified d (I51.9,
BEDAH above
(A15.0, for
(M79.9, 207.9, LAMA) 152.9,
subdivisio
007.0,
LAMA),
ns] (O06,
LAMA),
Diabetes
236.9,
Diabetes
Melitus
LAMA)
Melitus
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) tidak
tidak
tergantun
tergantun
gOther
g
insulin
insulin
failed
PENYAKIT DALAM Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA) (E11,
(E11,
induction
104.1,
104.1,
of labour
LAMA),
LAMA),
(o61.8,
Other anaemias (D64, 098, LAMA), Melaena Cardiac
(K92.1, 197, LAMA), Hypertension - High Hypoglyca
242.9,
PENYAKIT DALAM arrest
Other specified soft tissue disorders (M79.8, 207.9
emia,
LAMA),
blood pressure (I46, 150,
(I10, 145, LAMA) unspecifie
Delivery
LAMA)
d
by
(E16.2,
caesarean
ANAK Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA) 111,
section,
LAMA),
unspecifie
Hypokala
d
emia
(o82.9,
SYARAF Cerebrovascular disease, unspecified (I67.9, 156, LAMA) (E87.6,
242.9,
111,
LAMA),
LAMA)live
Single
Delivery
birth
by
(z37.0,
BEDAH Retained
elective
298, placenta without haemorrhage (O73.0, 2
caesarean
LAMA)
section
(O82.0,
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), 242.9,
Single live birth LAMA),
(Z37.0, 298, LAMA) Single live
birth
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) (Z37.0,
Respiratory tuberculosis unspecified (a16.9, 007.9,
298,
LAMA)

(E11.5, 104.9, LAMA),
PENYAKIT DALAM Maternal care for intrauterine death (O36.4, 239.9
Cardiac arrest
(i46, 150, LAMA)
Delivery
by
caesarean
section,
unspecifie
Pneumonia, unspecified d
PENYAKIT DALAM (J18.9, 169, LAMA), Cardiac arrest (O82.9,
242.9,
(I46, 150, LAMA) LAMA),
Single live
birth
(Z37.0,
298,
LAMA)
007.0, LAMA),
SYARAF Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Cardiac arrest
(I46, 150, LAMA)
Unspecifi
ed
abortion
[See
ANASTESI above for
subdivisio
ns] (O06,
236.9,
LAMA)
Ge/Diare
(A09.9,
005,
LAMA),
Postcoital and contact bleeding (N93.0, 233, LAMA), Other anaemias (D64, 098, LAMA), Chronic passive congestion
Convulsio of liver (K76.1, 194.9, LAMA),
ANASTESI Diabetes Melitus tidak tergantung insulin (E11, ns, not
104.1, LAMA) elsewhere
classified
(R56,
270.3,
LAMA)
fied causes (P59, 253.9, LAMA)
re for intrauterine death (O36.4, 239.9, LAMA)
of intestine (nontraumatic) (K63.1, 192.9, LAMA), Peritonitis, unspecified (K65.9, 192.9, LAMA)
nia (unilateral) NOS (K40.9, 187, LAMA)
vulsions (R56.0, 270.3, LAMA)

obstetric surgical wound (O86.0, 244, LAMA)
dependent DM without complications (E11.9, 104.1, LAMA)
fied soft tissue disorders (M79.8, 207.9, LAMA)

al jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
9.1, 270.9, LAMA)

ewborn affected by caesarean delivery (P03.4, 245, LAMA), Single live birth (Z37.0, 298, LAMA)
er [classical dengue] (A90, 032.0, LAMA)
dependent DM without complications (E11.9, 104.1, LAMA), Hypokalaemia (E87.6, 111, LAMA)
OS (P59.9, 253.9, LAMA)

rticular cartilage, unspecified (D16.9, 096.6, LAMA)

elective caesarean section (o82.0, 242.9, LAMA)
unspecified abdominal pain (R10.4, 267, LAMA)

ewborn affected by caesarean delivery (P03.4, 245, LAMA)

ids in pregnancy (O22.4, 242.9, LAMA)


s, unspecified (K81.9, 195.9, LAMA)
er - Infection due to Salmonella typhi (A01.0, 002, LAMA)
fied aplastic anaemias (d61.8, 098, LAMA)

dependent DM without complications (e11.9, 104.1, LAMA)

acenta without haemorrhage (O73.0, 242.9, LAMA)
tuberculosis unspecified (a16.9, 007.9, LAMA)
re for intrauterine death (O36.4, 239.9, LAMA)

Dirujuk Ke
Dirujuk Ke
Periode : SEPTEMBER - 2018
∑= 62
Kode
Umur
Rawat
316 Baru 01-02-63-82 26-Aug-18 RI20180826-0001 MUHIDIN L 46 2-Sep-18 3
331 Baru 01-02-64-19 27-Aug-18 RI20180827-0011 SONIK L 49 9-Sep-18 ICU
344 Baru 01-02-64-51 28-Aug-18 RI20180828-0007 TUTININGSIH P 41 6-Sep-18 3
347 Baru 01-02-64-58 28-Aug-18 RI20180828-0010 LIE WEN NIO P 76 2-Sep-18 1
348 Baru 01-02-64-60 28-Aug-18 RI20180828-0011 BY NY NOVI YASARI L 0 4-Sep-18 PERINA
352 Baru 01-02-64-74 29-Aug-18 RI20180829-0003 SAKUNARIYAH P 46 1-Sep-18 3
354 Baru 01-02-64-86 29-Aug-18 RI20180829-0005 IWAN L 36 3-Sep-18 3
355 Baru 01-02-64-87 29-Aug-18 RI20180829-0006 ANI P 25 2-Sep-18 3
356 Lama 01-02-34-68 29-Aug-18 RI20180829-0007 SISKA DEWI P 36 1-Sep-18 2
359 Lama 01-02-63-36 29-Aug-18 RI20180829-0010 UMAIRA BALQIS P 0 1-Sep-18 PERINA
360 Baru 01-02-64-93 29-Aug-18 RI20180829-0011 DELIA ANJELITA ISKANDAR P 6 2-Sep-18 3
363 Baru 01-02-64-99 30-Aug-18 RI20180830-0003 SUNDRIYANI P 31 2-Sep-18 2
364 Baru 01-02-57-72 30-Aug-18 RI20180830-0004 RHIVY P 22 2-Sep-18 2
366 Baru 01-02-64-90 30-Aug-18 RI20180830-0007 ARFADHIA SAPUTRA TIO L 0 1-Sep-18 3
368 Lama 00-00-78-78 30-Aug-18 RI20180830-0009 TJHANG SAUW BUN L 55 1-Sep-18 2
369 Baru 01-02-65-12 30-Aug-18 RI20180830-0010 MAWARDI L 34 2-Sep-18 3
370 Lama 01-01-88-94 30-Aug-18 RI20180830-0011 SUPARMI P 66 8-Sep-18 2
371 Lama 01-01-49-77 30-Aug-18 RI20180830-0012 ALIF AL YAZIS L 1 2-Sep-18 3
372 Lama 01-01-88-57 30-Aug-18 RI20180830-0013 HAJATI P 67 6-Sep-18 3
373 Baru 01-02-65-09 30-Aug-18 RI20180830-0014 BAGUS DWI ABRIANTO L 18 1-Sep-18 3
374 Baru 01-02-65-21 30-Aug-18 RI20180830-0015 BY NY ANI L 0 2-Sep-18 BY

375 Baru 01-02-65-20 30-Aug-18 RI20180830-0016 QUINSHA HAN KAMILA P 9 9-Sep-18 ICU
376 Baru 01-02-65-23 30-Aug-18 RI20180830-0017 BY NY SUNDRIYANI P 0 2-Sep-18 BY
377 Baru 01-02-65-26 31-Aug-18 RI20180831-0001 BY NY RHIVY L 0 2-Sep-18 BY
378 Baru 01-02-65-24 31-Aug-18 RI20180831-0002 SURYADI L 11 5-Sep-18 3
379 Baru 01-02-65-28 31-Aug-18 RI20180831-0003 FAUZI ZULKARNAIN L 43 3-Sep-18 3
380 Baru 01-02-64-11 31-Aug-18 RI20180831-0004 SARDEN L 54 1-Sep-18 3
381 Baru 01-02-58-31 31-Aug-18 RI20180831-0005 SITI AMINAH P 38 2-Sep-18 2
382 Baru 01-01-13-55 31-Aug-18 RI20180831-0006 MIA YULIANA P 22 3-Sep-18 2
383 Lama 01-01-31-93 31-Aug-18 RI20180831-0007 DJIE MIANG TJUNG L 58 4-Sep-18 3
384 Baru 01-02-65-46 31-Aug-18 RI20180831-0008 BY NY SITI AMINAH L 0 2-Sep-18 BY
385 Baru 01-02-65-49 31-Aug-18 RI20180831-0009 RINA INDRIYANI P 22 3-Sep-18 3
386 Baru 01-02-65-43 31-Aug-18 RI20180831-0010 MURTI P 53 3-Sep-18 3
Baru 01-02-65-50 1-Sep-18 RI20180901-0001 BY NY RINA INDRIYANI L 0 3-Sep-18 BY
Baru 01-01-93-93 1-Sep-18 RI20180901-0002 MINA P 30 4-Sep-18 VIP
Baru 01-02-65-56 1-Sep-18 RI20180901-0003 BY NY MINA L 0 4-Sep-18 BY
Baru 01-02-65-54 1-Sep-18 RI20180901-0004 DEDE ERNAWATI P 30 3-Sep-18 3
Lama 01-02-63-70 1-Sep-18 RI20180901-0005 BY NY RINI ARIYANTI L 0 5-Sep-18 PERINA
Baru 01-02-65-66 1-Sep-18 RI20180901-0006 RENIE AGUSTIEN P 22 3-Sep-18 3
Baru 01-02-65-69 1-Sep-18 RI20180901-0007 ANNISA MUJITA P 23 4-Sep-18 3
Lama 01-01-15-87 1-Sep-18 RI20180901-0008 AFRIANSYAH L 1 4-Sep-18 3
Baru 01-02-65-67 1-Sep-18 RI20180901-0009 ARINAH BT AHMAD P 31 5-Sep-18 3
Baru 01-02-65-71 1-Sep-18 RI20180901-0010 BY NY RENIE AGUSTIEN L 0 3-Sep-18 BY
Baru 00-00-43-95 1-Sep-18 RI20180901-0011 ANGEL P 14 2-Sep-18 2
Baru 01-02-65-74 1-Sep-18 RI20180901-0012 BY NY DEDE ERNAWATI L 0 3-Sep-18 BY

Baru 01-02-65-76 2-Sep-18 RI20180902-0001 SALMIATI P 24 4-Sep-18 1
Baru 01-02-65-77 2-Sep-18 RI20180902-0002 BY NY SALMIATI L 0 4-Sep-18 BY
Baru 01-02-65-72 2-Sep-18 RI20180902-0003 SUYANTO L 32 6-Sep-18 3
Baru 01-02-65-81 2-Sep-18 RI20180902-0004 AKILA NATHANIA P 0 4-Sep-18 3
Baru 01-02-38-85 2-Sep-18 RI20180902-0005 RIZAL ANDIKA L 25 5-Sep-18 3
Baru 01-02-65-88 2-Sep-18 RI20180902-0006 DYA NOVITA P 19 5-Sep-18 3
Baru 01-01-96-26 2-Sep-18 RI20180902-0007 MISYATI P 31 5-Sep-18 2
Baru 01-02-65-95 3-Sep-18 RI20180903-0001 THE HAY TENG L 82 6-Sep-18 2
Baru 01-02-65-98 3-Sep-18 RI20180903-0002 BY NY ARINAH BT AHMAD L 0 6-Sep-18 PERINA
Baru 01-02-66-07 3-Sep-18 RI20180903-0003 WILLIAM KUSUMA L 0 5-Sep-18 BY
Baru 01-02-53-31 3-Sep-18 RI20180903-0004 SANDRA DEWI P 36 6-Sep-18 VIP
Lama 01-02-28-23 3-Sep-18 RI20180903-0005 SAMLAWI L 75 10-Sep-18 1
Baru 01-02-66-18 3-Sep-18 RI20180903-0006 BY NY DYA NOVITA P 0 5-Sep-18 BY
Baru 01-02-66-22 3-Sep-18 RI20180903-0007 YUNITA P 20 5-Sep-18 2
Baru 01-02-66-23 3-Sep-18 RI20180903-0008 BY NY YUNITA L 0 9-Sep-18 PERINA
Baru 01-02-37-46 3-Sep-18 RI20180903-0009 KARMILA P 27 5-Sep-18 3
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Baru 01-02-72-00 24-Sep-18 RI20180924-0004 HARSONO L 45 25-Sep-18 3
Baru 01-01-97-42 24-Sep-18 RI20180924-0005 SUMINI P 52 26-Sep-18 3
Lama 01-02-55-89 24-Sep-18 RI20180924-0006 NASRUL L 20 27-Sep-18 3

Baru 01-02-72-85 24-Sep-18 RI20180924-0007 RATNO JAYA L 39 26-Sep-18 3
Lama 01-01-70-01 24-Sep-18 RI20180924-0008 M ARSYAD YAHYA L 77 27-Sep-18 2
Baru 01-02-73-45 24-Sep-18 RI20180924-0009 ALI MUDIN BINSUEB L 48 26-Sep-18 3
Baru 01-02-73-21 24-Sep-18 RI20180924-0010 ROHANA P 36 26-Sep-18 3
Baru 01-02-73-30 24-Sep-18 RI20180924-0011 FITRIYAH P 22 26-Sep-18 3
Baru 01-02-73-31 24-Sep-18 RI20180924-0012 NANA SUPRIATNA L 33 3-Oct-18 3
Lama 01-02-46-19 24-Sep-18 RI20180924-0013 DIAN PRAWITASARI P 35 29-Sep-18 3
Baru 01-02-73-55 24-Sep-18 RI20180924-0014 SUMARNI P 54 30-Sep-18 3
Lama 01-02-70-18 24-Sep-18 RI20180924-0015 BY NY NOVI PURWANINGSIH L 0 27-Sep-18 PERINA
Lama 01-02-70-84 24-Sep-18 RI20180924-0016 BY NY ANDI ASNAWIYAH P 0 26-Sep-18 PERINA
Baru 01-02-73-66 24-Sep-18 RI20180924-0017 BY NY ROHANA L 0 26-Sep-18 BY
Baru 01-02-73-63 24-Sep-18 RI20180924-0018 NURMALASARI P 39 27-Sep-18 VIP
Lama 01-01-29-69 24-Sep-18 RI20180924-0019 RAISYA AQILA PUTRI P 4 26-Sep-18 3
Baru 01-02-73-69 24-Sep-18 RI20180924-0020 BY NY FITRIYAH L 0 26-Sep-18 BY
Lama 01-01-35-75 25-Sep-18 RI20180925-0001 MUHAMMAD RISQI AL FATIH L 2 27-Sep-18 3
Baru 01-02-73-70 25-Sep-18 RI20180925-0002 BY NY DIAN PRAWITASARI L 0 27-Sep-18 BY
Baru 01-02-70-99 25-Sep-18 RI20180925-0003 AMPRIYATI P 52 26-Sep-18 3
Lama 01-02-53-83 25-Sep-18 RI20180925-0004 IKA MUFLIKHA P 22 28-Sep-18 2
Baru 01-02-73-43 25-Sep-18 RI20180925-0005 ESRIN ROMIDA SILALAHI P 41 26-Sep-18 3
Baru 01-02-74-17 25-Sep-18 RI20180925-0006 HARI SUSILOWATI P 42 27-Sep-18 2
Baru 01-02-74-31 25-Sep-18 RI20180925-0007 RINA P 41 28-Sep-18 2
Baru 00-00-84-67 25-Sep-18 RI20180925-0008 MANISAH P 31 26-Sep-18 3
Baru 01-02-73-13 25-Sep-18 RI20180925-0010 SITI SULHAYATI P 35 26-Sep-18 2
Baru 01-02-74-59 25-Sep-18 RI20180925-0011 BY NY HARI SUSILOWATI L 0 27-Sep-18 BY

Baru 01-02-73-26 25-Sep-18 RI20180925-0012 SITI ROGAYAH P 21 27-Sep-18 3
Baru 01-02-74-51 25-Sep-18 RI20180925-0013 SUKINI P 53 26-Sep-18 2
Baru 01-02-74-67 25-Sep-18 RI20180925-0014 ELIYAWATI P 44 27-Sep-18 2
Baru 01-02-74-53 25-Sep-18 RI20180925-0015 ATIN LILY ANDRIYANI P 23 27-Sep-18 2
Baru 01-02-74-52 25-Sep-18 RI20180925-0016 ANDAYANI P 35 27-Sep-18 3
Lama 01-02-18-59 25-Sep-18 RI20180925-0017 YOHANA DWI ANGGRAENY P 18 27-Sep-18 3
Baru 01-02-21-63 25-Sep-18 RI20180925-0018 KACIH P 63 28-Sep-18 3
Baru 01-02-74-58 25-Sep-18 RI20180925-0019 SITI DIYARSIH P 21 26-Sep-18 3
Baru 01-02-74-54 25-Sep-18 RI20180925-0020 NINING P 34 26-Sep-18 3
Baru 01-02-74-77 25-Sep-18 RI20180925-0021 BY NY SITI ROGAYAH P 0 27-Sep-18 BY
Baru 01-02-74-78 26-Sep-18 RI20180926-0001 BY NY YOHANA DWI ANGGRAENY P 0 27-Sep-18 BY
Baru 01-02-74-79 26-Sep-18 RI20180926-0002 BY NY ANDAYANI P 0 27-Sep-18 BY
Baru 01-02-74-80 26-Sep-18 RI20180926-0003 TATI ROHETI P 45 26-Sep-18 3
Baru 01-02-74-05 26-Sep-18 RI20180926-0004 DYAH AYU SUSILOWATI P 31 27-Sep-18 3
Baru 01-02-60-64 26-Sep-18 RI20180926-0005 NURHASANAH P 31 29-Sep-18 3
Lama 01-02-72-85 26-Sep-18 RI20180926-0006 RATNO JAYA L 39 27-Sep-18 3
Baru 01-02-73-22 26-Sep-18 RI20180926-0007 ASMANIA P 17 27-Sep-18 3
Baru 01-02-74-35 26-Sep-18 RI20180926-0008 YULI MASTURIYAH P 33 27-Sep-18 3
Baru 01-02-75-17 26-Sep-18 RI20180926-0009 ARRAFAEL L 4 29-Sep-18 3
Baru 01-02-75-19 26-Sep-18 RI20180926-0010 ELVINA P 30 27-Sep-18 3
Baru 01-02-75-42 26-Sep-18 RI20180926-0011 BY NY NURHASANAH L 0 29-Sep-18 BY
Baru 01-02-75-31 26-Sep-18 RI20180926-0012 RONI L 32 28-Sep-18 3
Baru 01-02-75-47 26-Sep-18 RI20180926-0013 SISKA MEGA PURWATI L 24 29-Sep-18 3
Baru 01-02-75-40 26-Sep-18 RI20180926-0014 JUMIYATI P 49 3-Oct-18 3

Baru 01-02-75-37 26-Sep-18 RI20180926-0015 GERALD FEBRIANSYAH L 1 1-Oct-18 3
Baru 01-02-75-07 26-Sep-18 RI20180926-0016 JURONI L 24 28-Sep-18 2
Lama 00-00-69-70 26-Sep-18 RI20180926-0017 RIZKY SALSABILAH P 20 1-Oct-18 3
Lama 00-00-80-81 26-Sep-18 RI20180926-0018 LIE KIM HOA P 64 2-Oct-18 2
Baru 01-02-73-78 26-Sep-18 RI20180926-0019 ARNUM MUTIARA P 27 29-Sep-18 2
Baru 01-02-75-50 26-Sep-18 RI20180926-0020 BY NY SISKA MEGA PURWATI L 0 29-Sep-18 BY
Baru 01-02-57-15 26-Sep-18 RI20180926-0021 NOVIANTI P 26 29-Sep-18 1
Baru 01-02-70-88 26-Sep-18 RI20180926-0022 SAFITRI NURJANAH P 28 29-Sep-18 3
Baru 01-02-75-53 26-Sep-18 RI20180926-0023 OMAH P 58 30-Sep-18 3
Baru 01-02-75-54 27-Sep-18 RI20180927-0001 EMI P 43 29-Sep-18 3
Baru 00-00-47-10 27-Sep-18 RI20180927-0002 TATI P 44 28-Sep-18 3
Baru 01-02-72-46 27-Sep-18 RI20180927-0003 HERMAN SUKARI L 51 28-Sep-18 3
Baru 01-02-75-58 27-Sep-18 RI20180927-0004 BY NY EMI L 0 1-Oct-18 PERINA
Baru 01-02-74-48 27-Sep-18 RI20180927-0006 LATIFAH ERMAWATI P 25 29-Sep-18 3
Lama 01-02-68-11 27-Sep-18 RI20180927-0007 HABIBAH P 21 28-Sep-18 3
Baru 01-02-75-94 27-Sep-18 RI20180927-0008 BY NY ARNUM MUTIARA P 0 29-Sep-18 BY
Baru 01-02-75-04 27-Sep-18 RI20180927-0009 AGAN TURMANSYAH L 50 28-Sep-18 3
Baru 01-02-76-15 27-Sep-18 RI20180927-0010 BY NY SAFITRI 1 P 0 29-Sep-18 BY
Baru 01-02-76-16 27-Sep-18 RI20180927-0011 BY NY SAFITRI 2 P 0 29-Sep-18 BY
Baru 01-02-76-08 27-Sep-18 RI20180927-0012 INAYAH ROBANIYAH P 21 27-Sep-18 2
Baru 01-02-76-21 27-Sep-18 RI20180927-0013 SAMAN L 66 29-Sep-18 3
Baru 01-02-76-42 27-Sep-18 RI20180927-0014 BY NY NOVIANTI P 0 29-Sep-18 BY
Baru 01-02-76-41 27-Sep-18 RI20180927-0015 NURHANDAYANI P 37 29-Sep-18 3
Baru 01-02-49-68 27-Sep-18 RI20180927-0016 NENENG BT MUHAMAD P 32 29-Sep-18 3

Baru 01-02-76-45 27-Sep-18 RI20180927-0017 BY NY NURHANDAYANI P 0 29-Sep-18 BY
Baru 01-02-76-13 27-Sep-18 RI20180927-0018 SYAPRUDIN L 55 6-Oct-18 3
Baru 01-02-76-46 27-Sep-18 RI20180927-0019 BY NY LATIFAH ERMAWATI L 0 29-Sep-18 BY
Baru 01-02-76-48 27-Sep-18 RI20180927-0020 YUTI P 39 28-Sep-18 3
Baru 01-02-76-51 27-Sep-18 RI20180927-0021 BY NY NENENG BT MUHAMAD L 0 29-Sep-18 BY
Lama 01-02-74-05 28-Sep-18 RI20180927-0022 DYAH AYU SUSILOWATI P 31 30-Sep-18 3
Baru 01-02-70-80 28-Sep-18 RI20180928-0001 MUHAMAD HAIKAL HAMAMI L 6 29-Sep-18 3
Baru 01-02-73-46 28-Sep-18 RI20180928-0002 RISMA AZISTIANA P 30 30-Sep-18 2
Baru 01-02-76-73 28-Sep-18 RI20180928-0003 BY NY RISMA AZISTIANA P 0 30-Sep-18 BY
Baru 00-00-84-86 28-Sep-18 RI20180928-0004 RUSMINI P 27 30-Sep-18 VIP
Lama 01-01-17-70 28-Sep-18 RI20180928-0005 L MULYANI P 43 2-Oct-18 ICU/2
Baru 01-02-60-03 28-Sep-18 RI20180928-0006 HAYATUL HASANAH P 22 30-Sep-18 2
Baru 01-02-76-84 28-Sep-18 RI20180928-0007 BY NY DYAH AYU SUSILOWATI P 0 1-Oct-18 BY
Baru 01-02-76-57 28-Sep-18 RI20180928-0008 PRISMA HANDINI P 28 30-Sep-18 3
Baru 01-02-76-96 28-Sep-18 RI20180928-0009 SINTA DAMAYANTI P 19 30-Sep-18 3
Baru 01-02-39-31 28-Sep-18 RI20180928-0010 IRMA LESTARI P 30 30-Sep-18 2
Baru 01-02-77-06 28-Sep-18 RI20180928-0011 BY NY SINTA DAMAYANTI P 0 30-Sep-18 BY
Baru 01-02-76-56 28-Sep-18 RI20180928-0012 ANI HANDAYANI P 24 1-Oct-18 3
Baru 01-02-77-08 28-Sep-18 RI20180928-0013 BY NY HAYATUL HASANAH L 0 30-Sep-18 BY
Baru 01-02-77-12 28-Sep-18 RI20180928-0014 BY NY RUSMINI L 0 30-Sep-18 BY
Baru 01-02-77-09 28-Sep-18 RI20180928-0015 ANI SUHERNI P 33 29-Sep-18 3
Baru 01-02-63-81 28-Sep-18 RI20180928-0017 WATI P 66 4-Oct-18 3
Baru 01-02-77-17 28-Sep-18 RI20180928-0016 BY NY IRMA LESTARI P 0 5-Oct-18 PERINA
Baru 01-01-24-85 29-Sep-18 RI20180929-0001 YOHENI P 31 30-Sep-18 2

Baru 01-02-76-78 29-Sep-18 RI20180929-0002 KRISDAYANA P 21 30-Sep-18 3
Baru 01-02-15-26 29-Sep-18 RI20180929-0003 SENNY JANIES P 26 1-Oct-18 2
Baru 01-02-77-33 29-Sep-18 RI20180929-0004 SITI SOLEHATUL P 17 1-Oct-18 3
Baru 01-02-77-44 29-Sep-18 RI20180929-0005 BY NY SENNY JANIES P 0 1-Oct-18 BY
Baru 01-02-77-48 29-Sep-18 RI20180929-0006 BY NY SITI SOLEHATUL P 0 1-Oct-18 PERINA
Baru 01-02-77-46 29-Sep-18 RI20180929-0007 YUNUS L 41 6-Oct-18 3
Baru 01-02-77-51 29-Sep-18 RI20180929-0008 BY NY ANI HANDAYANI P 0 1-Oct-18 BY
Baru 01-02-77-23 29-Sep-18 RI20180929-0009 TAN KHIE KHIOEN L 77 1-Oct-18 3
Baru 01-02-77-54 29-Sep-18 RI20180929-0010 UMI SALBIAH P 56 1-Oct-18 3
Lama 00-00-65-51 29-Sep-18 RI20180929-0011 MERRYANA P 21 30-Sep-18 2
Baru 01-02-77-56 30-Sep-18 RI20180930-0001 DITA HENY MARYANTI P 33 1-Oct-18 3
Baru 01-02-77-57 30-Sep-18 RI20180930-0002 MUHAMAD SUHADA L 0 4-Oct-18 3
Baru 01-02-77-59 30-Sep-18 RI20180930-0003 NURHAYATI P 46 12-Oct-18 ICU/3
Baru 01-02-77-65 30-Sep-18 RI20180930-0004 AHMAD SUBHI MUBARAK L 0 3-Oct-18 PERINA
Baru 01-02-77-72 30-Sep-18 RI20180930-0005 TRI WINARSIH P 24 1-Oct-18 3

LT005
III (521-C), I (516), dr. Tities, Sp.PD 8 BPJS KESEHATAN DIIZINKAN PULANG
ISOLASI (520),
04 (518)
ZZ089
07 (90901-01)
LT005
I (598-A), II (510-B), dr. Johny Setio, Sp.OG 10 BPJS KESEHATAN DIIZINKAN PULANG
05 (509 B)
LT005
02 (503)
ZZ088
RUANG BAYI (201-D),
(PERI001-B),
09 (201-G)
06 (522-A)
LT005
05 (527-A)

05 (509-A)
LT005 dr. Sandraningrum, Sp.M 4 BPJS KESEHATAN DIIZINKAN PULANG

05 (512-A)

10 (PERI001-C)

06 (526-A)
LT005
05 (508 B)
LT005
04 (599-D)

06 (526-B)

04 (525)

04 (599-A)

06 (522-E)

04 (599-B)
ZZ089
07 (90903-01)

06 (521-A)

09 (201-D)
LT005
(90902-01),
06 (526-C)

09 (201-H)

09 (201-E)

06 (526-D)

06 (521-B)

04 (599-C)


05 (512-B)

06 (521-C)

09 (201-I)


06 (522-B)
ZZ088
RUANG BAYI (201-J), dr. James Widjaja, Sp.A 3 PRIBADI DIIZINKAN PULANG
09 (201-C)
LT005
VIP (505), dr. Evy Asali, Sp.OG 4 PRIBADI DIIZINKAN PULANG
05 (510-A)
ZZ088
RUANG BAYI (201-K), dr. Juliawaty Salim, Sp. A 4 PRIBADI DIIZINKAN PULANG
09 (201-D)

04 (599-E) Sentosa,Sp.OG

10 (PERI001-A)

06 (523-B)

06 (522-D)

06 (526-C)

06 (523-C)
ZZ088
RUANG BAYI (201-L), dr. Juliawaty Salim, Sp. A 3 PRIBADI DIIZINKAN PULANG
09 (201-E)

05 (527-A)

09 (201-A)
LT005
05 (509-A)

09 (201-B)
LT005 dr. Hendradi Khumarga,

II (528-B), 5 JASA RAHARJA DIIZINKAN PULANG
Sp.OT
05 (527-B)

06 (526-B)

06 (521-A)

06 (523-D)

05 (508 A)

05 (512-A)
ZZ088
(PERI001-C),
09 (201-A)

09 (201-F)
LT005
04 (507)
LT005
08 (520)

09 (201-H)

05 (508 B)
ZZ086
PERINATOLOGI
(PERI001-D), RUANG dr. Juliawaty Salim, Sp. A 7 PRIBADI DIIZINKAN PULANG
BAYI (201-L),
10 (PERI001-C)


06 (523-B)
LT005 dr. Sandraningrum, Sp.M 3 BPJS KESEHATAN DIIZINKAN PULANG

06 (526-A)
ZZ086
RUANG BAYI (201-I), dr. James Widjaja, Sp.A 7 PRIBADI DIIZINKAN PULANG
10 (PERI001-B)
LT005
I (599-A), dr. Tities, Sp.PD 6 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-B)

09 (201-K)

05 (528-B)
06 (521-D)
06 (521-E)

05 (512-B)

06 (522-A)
ZZ089
07 (90903-01)

06 (522-B)

06 (522-C)
LT005
III (522-D), II (508 B), II dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
(510-A),
05 (508 B)

06 (523-B)
ZZ089
07 (90902-01)

06 (521-C)

06 (521-D)
LT005
06 (523-A)
ZZ088 dr. James Widjaja, Sp.A 3 PRIBADI BELUM SEMBUH

09 (201-J)

05 (508 A)
LT005
06 (522-B)

06 (522-D)

06 (526-A)

09 (201-M)

06 (523-B)

09 (201-A)

02 (519-A)

06 (522-A)

05 (510-A)

09 (201-B)

05 (527-A)

06 (526-B)

06 (526-D)

06 (521-A)
LT005 dr. James Widjaja, Sp.A 5 BPJS KESEHATAN BELUM SEMBUH

04 (507)

09 (201-C)
LT005
ICU dr. James Widjaja, Sp.A 5 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
05 (528-A)

05 (509 B)
LT005
I (599-A), dr. Tities, Sp.PD 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-E)

06 (523-C)
LT005
06 (523-B)
LT005
06 (523-A)

09 (201-D)

09 (201-E)
ZZ086
RUANG BAYI (201-I), dr. James Widjaja, Sp.A 4 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-A)

09 (201-F)

06 (521-B)

04 (599-A)

05 (508 A)

09 (201-G)
LT005
III (521-C), ICU(9-11) dr. Budi Irawan, Sp. B 6 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01),
06 (521-D)

04 (518)

05 (508 B)
06 (526-C)

09 (201-A)

05 (527-A)

06 (523-D)
LT005
06 (526-B)

06 (521-C)

04 (599-B)


09 (201-G)

09 (201-B)

06 (522-A)

06 (521-A)
LT005
06 (523-D)

06 (521-B)
LT005
III (522-C), dr. Tjhin Sun Fu, Sp.B 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-A)

06 (522-D)

09 (201-C)

05 (528-B)
LT005
II (510-A), dr. Tjhin Sun Fu, Sp.B 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 B)

06 (526-D)

LT005
04 (525)

06 (522-E)

09 (201-A)
ZZ089
II (528-A), dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN BELUM SEMBUH
07 (90901-01)

05 (508 A)

04 (599-A)

05 (510-A)

04 (507)

04 (599-D)
LT005
II (510-B), dr. James Widjaja, Sp.A 6 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-B)

06 (521-E)

04 (599-E)
LT005
I (599-I), dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-D)
LT005
05 (509-A)
LT005
I (599-C), dr. Martin Winardi, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (522-B)

06 (523-C)

09 (201-E)

09 (201-H)
06 (521-C)

02 (505)
LT005
I (599-J), dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
05 (510-B)
LT005
II (527-A), dr. Juliawaty Salim, Sp. A 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-A)

09 (201-D)

04 (598-A)
LT005 dr. Tjhin Sun Fu, Sp.B 3 PT. AIA FINANCIAL DIIZINKAN PULANG
04 (516)
LT005
05 (510-A)
LT005
I (599-G), dr. Martin Winardi, Sp.PD 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 A)
LT005
I (599-H), dr. Tjhin Sun Fu, Sp.B 9 BPJS KESEHATAN DIIZINKAN PULANG
05 (527-B)

06 (526-B)
05 (527-A)

06 (526-C)

06 (523-A)

06 (522-C)
LT005
02 (505)

09 (201-B)

LT005 dr. Tities, Sp.PD 1 BPJS KESEHATAN MENINGGAL >= 48 JAM

06 (522-D)



06 (522-A)

04 (599-C)

09 (201-C)

09 (201-A)

08 (520)


09 (201-F)

09 (201-G)

06 (526-A)

05 (508 B)

06 (526-B)

09 (201-I)
04 (599-D)

04 (599-F)

09 (201-J)

05 (527-A)

04 (507)

04 (516)

06 (523-C)

04 (517)

09 (201-A)

06 (522-A)

06 (526-C)

06 (522-C)

09 (201-B)
LT005
I (599-G), II (510-A), dr. Tities, Sp.PD 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (528-B)

09 (201-D)

06 (522-B)

06 (522-D)

05 (508 A)

06 (523-D)

09 (201-C)
06 (522-E)

06 (522-A)

08 (520)

06 (521-A)
06 (521-D)

02 (519-A)

06 (523-B)

05 (508 B)

09 (201-E)

06 (523-D)

05 (528-A)

09 (201-G)
LT005 dr. Ferdinand, SpM 2 BPJS KESEHATAN DIIZINKAN PULANG

04 (598-A)

05 (510-B)

06 (521-B)

06 (526-D)

04 (599-A)

09 (201-F)

05 (509-A)
LT005
05 (509 B)
LT005 dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN TIDAK SEMBUH

05 (512-B)

06 (526-A)

06 (522-D)

09 (201-H)

09 (201-I)

04 (599-B)

04 (599-D)

05 (527-A)
06 (521-C)

05 (508 A)
LT005
III (521-E), ICU(26-30) dr. Martin Winardi, Sp.PD 15 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
04 (598-A)
LT005
06 (523-B)
LT005 dr. Hendradi Khumarga, 2 BPJS KETENAGAKERJAAN DIIZINKAN PULANG

05 (510-A) Sp.OT
05 (512-A)

10 (PERI001-A)

04 (599-C)

04 (599-E)

04 (518)

09 (201-J)

04 (599-F) Sp.OT

06 (523-A)

09 (201-K)

04 (599-G)

07 (90901-01)
LT005
I (599-H), dr. Budi Irawan, Sp. B 3 PRIBADI DIIZINKAN PULANG
05 (527-B)

09 (201-L)

ZZ089
I (599-I), dr. Budi Irawan, Sp. B 4 BPJS KESEHATAN DIIZINKAN PULANG
07 (90902-01)
LT005 dr. Tities, Sp.PD 2 PRIBADI BELUM SEMBUH

05 (512-B)

06 (522-C)

06 (523-D)

05 (509-A)
09 (201-A)

09 (201-B)

05 (509 B)

04 (525)

05 (528-A)

LT005
05 (512-A)

05 (510-B)
LT005
ISOLASI (520), dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN BELUM SEMBUH
04 (599-A)

06 (526-A)


04 (507)
LT005
III (522-D), dr. Budi Irawan, Sp. B 10 BPJS KESEHATAN DIIZINKAN PULANG
08 (520)

06 (522-E)

06 (526-B)

04 (599-H)

06 (526-C)

09 (201-C)


06 (526-D)

06 (521-A)

06 (521-B)
06 (522-A)

06 (521-C)
06 (521-D)
LT005
04 (518)

04 (599-A)



04 (599-B)

06 (523-D)

06 (522-B)

10 (PERI001-A)

10 (PERI001-E)

09 (201-E)

02 (519-A)

04 (599-C)

09 (201-D)

05 (528-B)

09 (201-Q)
04 (599-D)
05 (527-A)

04 (599-E)

05 (508 B)

05 (527-B)

04 (599-F)

05 (508 A)

09 (201-A)
04 (599-G) Sentosa,Sp.OG

04 (517)

05 (509 B)

05 (509-A)

04 (599-I)
LT005
06 (523-B)

04 (599-K)

04 (599-L)

04 (598-A)

09 (201-F)

09 (201-B)

09 (201-G)

06 (522-C)

04 (599-D)

04 (599-E)

06 (521-D)

04 (599-F)

04 (599-L)

04 (599-H)

04 (599-J) Sentosa,Sp.OG

09 (201-H)

04 (599-C)

06 (523-A)

06 (522-C)
06 (526-A)

05 (510-A)

06 (522-D)

05 (510-B)

05 (508 A)

09 (201-I)

04 (507)

04 (598-A)

06 (522-A)

06 (523-C)
06 (522-E)
06 (521-A)
ZZ086
10 (PERI001-B)

04 (599-D)

04 (599-G)

09 (201-C)

04 (599-J)

09 (201-D)

09 (201-E)

05 (508 B)

06 (521-B)

09 (201-J)

04 (599-A)

04 (599-F)
09 (201-A)
LT005
I (599-L), ICU dr. Martin Winardi, Sp.PD 10 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (521-B)

09 (201-K)

04 (599-I)

09 (201-F)

06 (523-B)
06 (526-B)

05 (508 B)

09 (201-L)
LT005
VIP (501), dr. Evy Asali, Sp.OG 3 PRIBADI DIIZINKAN PULANG
02 (519-A)
LT005
II (509 B), ICU(28-30) dr. Budi Irawan, Sp. B 5 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01),
06 (522-E)

05 (509-A)

09 (201-M)

06 (522-E)

05 (512-A)
LT005
05 (527-B)

09 (201-N)


09 (201-O)

09 (201-P)

04 (599-G)

04 (599-J)
ZZ086
10 (PERI001-A)




09 (201-B)
ZZ086
RUANG BAYI (201-A),
PERINATOLOGI dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN BELUM SEMBUH
(PERI001-C), RUANG
BAYI (201-A),
10 (PERI001-C)
06 (521-A)

09 (201-H)

06 (521-B)

05 (528-A)

05 (509 B)

06 (523-A)

06 (526-B)
LT005
III (522-A), ICU(30-10)
(90901-01), I (525), dr. Martin Winardi, Sp.PD 13 BPJS KESEHATAN DIIZINKAN PULANG
ICU
(90901-01),
06 (599-M)

10 (PERI001-D)
06 (523-C)
C
SMF DIAGNOSA Kode

Demam
Tifoid dan
ICD-X
Paratifoid
(A01, 002,
Pneumonia, LAMA),
PENYAKIT DALAM organism unspecified (J18, 169, LAMA), Ge/Diare (A09.9, Dyspepsia
Tuber.peripheral
Other low lymphadenopathy - Tuber.adeniti
005, LAMA) -
birth
Indigestio
weight -
n
Birth
(k30,
weight
PENYAKIT DALAM Other septicaemia (A41, 017, LAMA), Cerebral infarction (I63, 154, LAMA) 189.9,
1000-
LAMA),
2499 g.
Gingivitis
(P07.1,
and
246,
OBSTETRI DAN GINEKOLOGI periodont
LAMA),
al
Bacterial
diseases
sepsis of
Diabetes Melitus tidak tergantung insulin (E11, (K05,
newborn,
PENYAKIT DALAM 104.1, LAMA), Hypertension - High blood pressure 181.3,
unspecifie
(I10, 145, LAMA) LAMA)
d
Bacterial sepsis of newborn (P36.9,
(P36, 250, LAMA), Fetus and newborn affected by 250,
ANAK caesarean delivery (P03.4, 245, LAMA), Congenital pneumonia, LAMA)
Threatened abortion (O20.0, 242.9, LAMA)
unspecified
(P23.9, 249, LAMA) Pneumoni
Other peripheral vertigo - Lermoyez' syndrome a,
(H81.3, 142.9, LAMA), organism
SYARAF Hypertension - High blood pressure unspecifie
(I10, 145, LAMA) d (j18,
169,
DHF / DBD Ge/Diare
LAMA),
PENYAKIT DALAM (A91, 032.1, LAMA), Dyspepsia - Indigestion (a09.9,
Dyspepsia
(K30, 189.9, LAMA) 005,
Delivery by caesarean section, unspecified -
LAMA),
Indigestio
(O82.9, 242.9, LAMA), Dyspepsia
n
Mater.care due to uterine scar from previous surg. (O34.2, 239.9,
OBSTETRI DAN GINEKOLOGI -(k30,
LAMA), Indigestio
189.9,
Single live birth
Other n
LAMA)
(Z37.0,disord. of optic[2nd]nerve
298, LAMA)
& visual pathways (H47, (k30,
MATA 139.7, LAMA), 189.9,
Optic neuritis - Optic (H46, 139.7, LAMA), Chronic viral LAMA)
hepatitis B with delta-agent (B18.0, 038.9, LAMA)
Dengue fever [classical dengue] (A90, 032.0, LAMA), Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
167, LAMA), Other anaemias (D64, 098, LAMA) Fetus and
ANAK Delivery by caesarean section, unspecified newborn
Ge/Diare
affected
(O82.9, 242.9, LAMA), Ge/Diare
(A09.9,
Other failed induction of labour (O61.8, 242.9, by
(A09.9,
caesarean
LAMA), 005,
LAMA),
Single live birth delivery
LAMA)
Hypokala
(P03.4,
(Z37.0, 298, LAMA) emia
245,
(E87.6,
LAMA),
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) 111,
Neonatal
LAMA),
jaundice
Anemia
from
Ge/Diare (A09.9, aplastik
other
ANAK 005, LAMA), Irritable bowel syndrome without diarrhoea lainnya
&
(K58.9, 192.0, LAMA) (D61, 098,
unspecifie
LAMA)
d causes
(N18.9, 214.9, BARU), (P59,
PENYAKIT DALAM Typhoid
253.9, fever - Infection due to Salmonella typhi (
Gestat.
Other anaemias
(D64, 098, LAMA) LAMA),
[preg.-
Transient
ind.]hyper
ttachypno
without
DHF / DBD ea of
PENYAKIT DALAM sig.protei
(A91, 032.1, LAMA) Acute
newborn
nuria
appendici
(P22.1,
(O13,
Diabetes Melitus tidak tergantung insulin (E11, Delivery
tis,
249,
237.9,
104.1, LAMA), by
unspecifie
LAMA)
PENYAKIT DALAM elective
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypertension - High blood pressure d
(I10, 145, LAMA) caesarean
(K35.9,
section
186,
Ge/Diare (A09.9, (O82.0,
LAMA)
ANAK 005, LAMA), Dehydration (Volume depletion) 242.9,
(E86, 110, LAMA) LAMA),
Fetus and
Single
newborn live
Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Ge/Diare
birth
affected
Pulmonary oedema - Acute oedema of (A09.9,
(Z37.0,
by
PENYAKIT DALAM lung (J81, 005,
298,
caesarean
179.9, LAMA), Hyperkalaemia (E87.5, 111, LAMA) LAMA)
LAMA)
delivery
(P03.4,
PENYAKIT DALAM 245,
ISPA/Othe
rLAMA),
acute
Hypoglyca
upper
emia,
respirat.in
unspecifie
fect. of
multi.
(E16.2,
sites
111,
(J06.8,
LAMA)
167,
LAMA)
care for
malprese
nt.of
fetus,uns
pecified
(O32.9,
239.9,
LAMA),
Delivery
by
ANAK caesarean
section,
Unspecifi
unspecifie
ed
d
haematur
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O82.9,
ia
242.9,
(R31,
LAMA),
270.9,
Single
LAMA)live
birth
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (Z37.0,
298,
LAMA)
Cholecysti
tis
Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), Common cold (Acute nasopharyngitis)-Cor yzanewborn
(acute) (J00,
ANAK Fetus and
(K81, affected by caesarean delivery
167, LAMA)
195.9,
LAMA),
Diabetes
PENYAKIT DALAM Melitus
tidak
tergantun
g insulin
Connective
Other andof
diseases other soft tissue of abdomen
the blood (E11,
(D21.4, 096.6, LAMA) organs (O99.1,
&blood-forming 104.1,
244, LAMA), Delivery by caesarean section, unspecified BARU)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Hypokala
Maternal care for breech presentation
(O32.1, 239.9, emia
LAMA), (E87.6,
Demam Tifoid
Single live birthdan Paratifoid (A01, 002, LAMA), 111,
Viral
PENYAKIT DALAM Dyspepsia
(Z37.0, 298,- Indigestion
LAMA) LAMA),
infection,
(K30, 189.9, LAMA) Haemorrh
unspecifie
oids
d
Pulmonary oedema - Acute oedema of (I84, 163,
(B34.9,
lung (J81, LAMA)
PENYAKIT DALAM 041,
179.9, LAMA), Chronic renal failure, unspecified LAMA),
(N18.9, 214.9, LAMA) Ge/Diare
(A09.9,
Premature rupture of membranes, unspecified LAMA)
(O42.9, 239.2, LAMA),
Severe
(O82.9, 242.9,
LAMA),
Single live birth
Other
(Z37.0,and
298,unspecified
LAMA) abdominal pain (R10.4, 267, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
Tuber.of lung,confir.by sputum microscopy culture
007.0, LAMA), Haemoptysis - Blood-stained
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) sputum
(R04.2, 270.9, LAMA), Dyspepsia - Indigestion
Premature rupture of membranes (K30, 189.9,
Chronic renalLAMA)
failure, unspecified
(O42, 239.2, LAMA), Delivery by caesarean section, unspecified (N18.9, 214.9, LAMA),
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), Other septicaemia (A41, 017, LAMA), Hypoglycaem
Single live birth (E16.2, 111, LAMA), Cardiac arrest
(Z37.0, 298, LAMA) (I46, 150, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( (K30, 189.9, LAMA), Hypertension - High blood pre
(I10, 145, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
(O82.9, 242.9, LAMA), Delivery by elective caesarean section (O82.0, 242
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes Single live birth
(O42, 239.2, LAMA), Diabetes mellitus in (Z37.0, 298, LAMA)
pregnancy, unspecified (O24.9, 242.0, LAMA)
Ge/Diare (A09.9,
ANAK Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA) 005, LAMA)

(O82.9, 242.9, LAMA), Acute appendicitis
OBSTETRI DAN GINEKOLOGI Single live birth (K35, 186, LAMA)
(Z37.0, 298, LAMA)
Non insulin dependent diabetes mellitus with peri
DHF / DBD (E11.5, 104.9, LAMA),
PENYAKIT DALAM (A91, 032.1, LAMA) Cardiac arrest
(i46, 150, LAMA)
Pneumonia,
organism unspecified (J18, 169, LAMA), Fetus and
ANAK Convulsions, not elsewhere classified (R56, 270.3, LAMA), Hypokalaemia (E87.6, 111, LAMA) caesarean delivery
(P03.4, 245, LAMA)
(O82.9, 242.9, LAMA), Typhoid fever - Infection due to Salmonella typhi (
OBSTETRI DAN GINEKOLOGI Anaemia comp. preg.,childbirth (I10, 145, LAMA)
& the puerperium
(O99.0, 244, LAMA), Single live birth (Z37.0, 298, LAMA) Maternal care for other specified fetal problems (
239.9, LAMA), Delivery by
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Transient caesarean section, unspecified
ANAK tachypnoea of newborn (O82.9, 242.9, LAMA),
(P22.1, 249, LAMA) Single live birth
(Z37.0, 298, LAMA)
Acute appendicitis
ANAK (K35, 186, LAMA)
Mental disord.& dis.of nervos.sys.comp.pr eg
244, LAMA), Delivery by
caesarean section,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) unspecified (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
& the puerperium
(O99.0, 244, LAMA), Single live birth (Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( Fetus and newborn affected by caesarean delivery
Fracture of shaft of tibia Acute lymphadenitis

BEDAH ORTHOPAED (S82.2, 274, LAMA) (L04, 198, LAMA)
Convulsions, not elsewhere classified (R56, 270.3, LAMA), Ge/Diare (A09.9, Neoplasma jinak payudara
ANAK 005, LAMA) (D24, 091, LAMA)
PENYAKIT DALAM Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA) Inguinal hernia (unilateral) NOS (k40.9, 187, LAMA

(O82.9, 242.9, LAMA), Unspecified abortion [See above for subdivisions]
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes 236.9, LAMA)
(O42, 239.2, LAMA), Single live birth Dyspepsia - Indigestion
(Z37.0, 298, LAMA) (K30, 189.9, LAMA), Hypertension - High blood pre
(O82.9, 242.9, LAMA), (I10, 145, LAMA), Diabetes Melitus
OBSTETRI DAN GINEKOLOGI tidak tergantung insulin (E11,
Single live birth
(Z37.0, 298, LAMA) 104.1, LAMA), Acute pharyngitis -
Includes: acute sore throat (J02,
Pneumonia, unspecified 165.0, LAMA)
PENYAKIT DALAM (J18.9, 169, LAMA), Hypertension - High blood pressure (O42.9, 239.2, LAMA)
(I10, 145, LAMA)
Other low birth weight - Birth weight
1000-2499 g. (P07.1, 246, LAMA), Respiratory distress
syndrome of newborn Pneumonia, unspecified
ANAK (P22.0, 249, LAMA), Hypoglycaemia, (J18.9, 169, LAMA)
unspecified
(E16.2, 111, LAMA)
Ge/Diare (A09.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( 005, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA), Hypo-osmolality and hyponat
(O82.9, 242.9, LAMA),
Mater.care due to
uterine scar from previous surg. (O34.2, 239.9, LAMA),
Single live birth
(Z37.0,of
Tuber. 298, LAMA)
lung, confirmed by unspecified means (A15.3, 007.1, LAMA),
Hypertension - High blood pressure Ge/Diare (A09.9,
PENYAKIT DALAM (I10, 145, LAMA), Dyspepsia - Indigestion 005, LAMA)
(K30, 189.9, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176,

(N18.9, 214.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) Other specified
Other low birth weight - Birth weight anaemias-Infantile pseudoleukaemia (D64.8, 098,
1000-2499 g. (P07.1, 246, LAMA), Physiological
ANAK jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA), Delivery by elective caesarean section (O82.0, 242
Birth asphyxia, unspecified
Premature
(P21.9, 248,rupture
LAMA),ofHypokalaemia
membranes, unspecified
(O42.9, 239.2,
(E87.6, 111, LAMA),
LAMA)
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, Single spontaneous delivery, unspecified (O80.9, 2
LAMA),
Single live birth
Maternal care
(Z37.0, 298, for intrauterine death (O36.4, 239.9, LAMA),
LAMA) Delivery by elective caesarean section (O82.0, 242
Mater.care due to uterine scar from
previous surg. (Z37.0, 298, LAMA)
(O34.2, 239.9, LAMA)
Delivery by elective caesarean section (O82.0, 242.9, LAMA), Other soft tissue dis., not elsewhere classified (M
OBSTETRI DAN GINEKOLOGI Single live birth 207.9, LAMA)
(Z37.0, 298, LAMA)
Other soft tissue dis., not elsewhere classified (M

MATA 207.9, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) ( Fetus and newborn affected by caesarean delivery
(J18.9, 169, LAMA), Anaemia, unspecified Ge/Diare (A09.9,
PENYAKIT DALAM (D64.9, 098, LAMA), Delayed milestone 005, LAMA)
(R62.0, 270.9, LAMA)
Other neonatal aspiration syndromes
ANAK unspecified
(P36.9, 250, LAMA)
Ge/Diare (A09.9,
005, LAMA), Hypokalaemia (E87.6, 111, LAMA), Gastrooesophageal reflux dis. without oesophagitis
PENYAKIT DALAM (K21.9, Fetus and newborn affected by caesarean delivery
(I10, 145, LAMA)
Delivery by elective caesarean section (O82.0, 242
Skin of other and unspecified parts of face (D04.3,
BEDAH Single live birth
096.0, LAMA) (Z37.0, 298, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) Neonatal jaundice from other & unspecified
Vertigo
NOS-Dizziness
&
SYARAF giddiness-Light-head edness (R42, 270.9, LAMA),
(I10, 145,renal
Chronic LAMA)
(N18.9, 214.9, LAMA),
PENYAKIT DALAM Other and unspecified abdominal pain (R10.4, 267
Other anaemias
(D64, 098, LAMA)
(N18.9, 214.9, LAMA),
PENYAKIT DALAM Other septicaemia (A41, 017, LAMA), Hypoglycaemia, unspecified Fetus and newborn affected by caesarean delivery
(E16.2, 111, LAMA), Cardiac arrest
(I46, 150,
Infeksi LAMA)
bakteri tempat ytt
(A49, 018, LAMA), Diabetes Melitus tidak tergantung insulin (E11, Delivery by caesarean section, unspecified
PENYAKIT DALAM 104.1, LAMA), Dyspepsia - Indigestion (O82.9, 242.9, LAMA), Sterilization
(K30, 189.9, LAMA), Hypertension - High blood pressure (Z30.2, 293, LAMA)
(I10, 145, LAMA)
Infeksi bakteri tempat ytt
PENYAKIT DALAM (A49, 018, LAMA), Hypertension - High blood pressure Fetus and newborn affected by caesarean delivery
(I10, 145, LAMA), Obesity, unspecified (E66.9, 109, LAMA) Tuber.of lung,confir.by sputum microscopy culture
007.0, LAMA), Haemoptysis -
Blood-stained
PENYAKIT DALAM sputum
(R04.2, 270.9, LAMA),
Anaemia comp. preg.,childbirth Other specified anaemias-Infantile pseudoleukaem
& the puerperium (D64.8, 098, LAMA), Hypo-osmolality and hyponat
Unspecified abortion [See above for subdivisions]
OBSTETRI DAN GINEKOLOGI (O99.0, 244, LAMA), 236.9, LAMA)
Other abortion [See above for subdivisions]
(O05, 236.2, LAMA)
DHF / DBD Injury of unspecified body region (T14,
ANAK (A91, 032.1, LAMA) 281, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) (J18.0, 169, LAMA)
Meninges, unspecified, Meningioma NOS (D32.9, 0

BEDAH Foreign body in uterus [any part] (T19.3, 282.9, LAMA) Attacks with alter consciousness,often with autom
124, LAMA)
(O82.9, 242.9, LAMA),
Premature rupture of membranes Unspecified abortion [See above for subdivisions]
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), 236.9, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Melaena
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (K92.1, 197, LAMA), Hypokalaemia (E87.6, 111, LA
unspecified-Asthmati c bronchitis NOS (J45.9, 176,
(O82.9, 242.9, LAMA), Other paralytic syndromes
Mater.care due to
OBSTETRI DAN GINEKOLOGI (G83, 128.9, LAMA), Other intervertebral disc diso
uterine scar from previous surg. (O34.2, 239.9, LAMA), (M51, 205, LAMA)
Single live birth
(Z37.0,
Diabetes 298, LAMA)
Melitus tidak tergantung insulin (E11, Urinary tract infection, site not specified
PENYAKIT DALAM 104.1, LAMA), Hypertension - High (N39.0, 217, LAMA), Ge/Diare (A09.9,
blood pressure 005, LAMA)
(I10, 145, LAMA)
PENYAKIT DALAM
Gastritis, unspecified
ANAK (K29.7, 185.9, LAMA)
Hypovolaemic shock (R57.1, 270.9, LAMA),

ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Ge/Diare (A09.9,
005, LAMA)
(O82.9, 242.9, LAMA),
Hypertonic,incoordin at,& prolonged uteri.contract. (O62.4, 242.9, Toxic effect of pesticides
OBSTETRI DAN GINEKOLOGI LAMA), (T60, 285, LAMA)
Single live birth
(Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Poisoning by nonopioid analgesics,antipyreti cs,...
Other failed induction of labour (O61.8, 242.9, LAM
Delivery by caesarean section, unspecified Delivery by caesarean section,
(O82.9, 242.9, LAMA), unspecified
OBSTETRI DAN GINEKOLOGI Single live birth (O82.9, 242.9, LAMA),
(Z37.0, 298, LAMA) Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM Cholecystitis, unspecified (K81.9, 195.9, LAMA)
(K35.9, 186, LAMA)
Other diseases of the blood Ge/Diare (A09.9,

ANAK &blood-forming organs (O99.1, 005, LAMA)
244, LAMA),
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Maternal care for transverse and oblique lie Fetus and newborn affected by caesarean delivery
(O32.2, 239.9, LAMA),
Mater.care due to uterine scar from
previous surg. (O34.2, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Unspecified haematuria
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (R31, 270.9, LAMA)
Burns involving
BEDAH 10-19% of body surface
(T31.1, 283, LAMA)
ANAK (K30, 189.9, LAMA), Headache - Facial pain NOS
(R51, 270.9, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) Dengue fever [classical dengue] (A90, 032.0, LAMA
PENYAKIT DALAM Toxic liver disease, unspecified Urinary tract infection following delivery
(K71.9, 194.9, LAMA), Hypokalaemia (E87.6, 111, LAMA) (O86.2, 244, LAMA)
Viral infection of unspecified site (b34, 041, LAMA
respiratory infection, unspecified (j06.9,
ANAK 167, LAMA),
Ge/Diare (a09.9,
005, LAMA)due to uterine scar from previous surg.
Mater.care
Delivery by elective caesarean section (O82.0, 242
Single live birth
(Z37.0, 298, LAMA)
Viral infection of unspecified site (B34, 041, LAMA
005, LAMA), Dehydration (Volume
ANAK depletion)
(E86, 110, LAMA)
Ge/Diare (A09.9,
PENYAKIT DALAM 005, LAMA), Hypertension - High blood pressure Threatened abortion (O20.0, 242.9, LAMA)
(I10, 145, LAMA)
Ge/Diare (A09.9, Asthma,

PENYAKIT DALAM 005, LAMA), Tuber.of lung,confir.by sputum microscopy culture (A15.0, unspecified-Asthmati c bronchitis NOS (J45.9, 176,
007.0, LAMA)
Twin pregnancy (O30.0, 239.0, LAMA), Anaemia, unspecified
(D64.9, 098, LAMA), Anaemia comp. preg.,childbirth
OBSTETRI DAN GINEKOLOGI Demam Tifoid dan Paratifoid (A01, 002, LAMA)
& the puerperium
(O99.0, 244, LAMA)
Delivery by emergency caesarean section (O82.1, 242.9, LAMA), Lymphosarcoma
OBSTETRI DAN GINEKOLOGI Single live birth (C85.0, 086, LAMA)
Premature
(Z37.0, 298,rupture
LAMA) of membranes, unspecified
(O42.9, 239.2, LAMA),
OBSTETRI DAN GINEKOLOGI & the puerperium Retained placenta without haemorrhage (O73.0, 2
(O99.0, 244, LAMA), Premature rupture
of membranes, unspecified Pneumonia, unspecified
(O42.9, 239.2, LAMA) (J18.9, 169, LAMA), Bronchitis, not specified as acu
ANAK 175, LAMA), Diabetes Melitus
104.1, LAMA)
ANAK (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Hypothermia of newborn,
ANAK unspecified (P80.9, 253.9, LAMA),
Birth asphyxia, unspecified
(P21.9, 248, LAMA)
Diabetes Melitus tidak tergantung insulin (E1
ANAK 104.1, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA), Other anaemias (D64, 098, LAMA
Unspecified renal colic (B34.9, 041, LAMA), Ispa/Acute upper respiratory i
PENYAKIT DALAM (N23, 215, LAMA) unspecified (J06.9,
167, LAMA)
Hypokalaemia (E87.6, 111, LAMA), Dyspepsia - Ind

OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) Fetus and newborn affected by caesarean delivery
ANAK
Gastric ulcer unsp.chronic or acute without hemorr (K25.9, , LAMA), Septicaemia, unspecified
BEDAH (A41.9, 017, LAMA), Other anaemias
(D64, 098, LAMA)
Dyspepsia - Indigestion Mater.care due to uterine scar from previous surg.
(K30, 189.9, LAMA), Headache - Facial pain NOS Single live birth (Z37.0, 298, LAMA), Delivery by
PENYAKIT DALAM (R51, 270.9, LAMA), Bacterial infection, caesarean section, unspecified
unspecified (O82.9, 242.9, LAMA)
(A49.9, 018, LAMA)
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery
(O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA) (O80, 243, LAMA)
M.care for disp.due to generally contrac. pelvis (O
ANAK 239.9, LAMA)
Gastrooesophageal reflux dis. without oesophagiti

ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 185.9, LAMA)

165.0, LAMA), Hypertension - High
(I10, 145,by
Delivery LAMA)
(O82.9, 242.9, LAMA),
Severe
OBSTETRI DAN GINEKOLOGI pre-eclampsia (O14.1, 237.0, LAMA),
Premature rupture of membranes
ANAK Dengue fever [classical dengue] (A90, 032.0, LAMA) Fetus and newborn affected by caesarean delivery
PENYAKIT DALAM
Other diseases of the blood

OBSTETRI DAN GINEKOLOGI &blood-forming organs (O99.1,
244, LAMA)

OBSTETRI DAN GINEKOLOGI NOS-Pyrexia NOS (R50.9, 268, LAMA), Hypokalaem
(K30, 189.9, LAMA)

ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O80, 243, LAMA)
unspecified
ANAK (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Bacterial infection, unspecified Chronic obstructive pulmonary disease, unspecifie
PENYAKIT DALAM (A49.9, 018, LAMA), Dyspepsia - Indigestion 175, LAMA), Hypertension - High blood pressure
(K30, 189.9, LAMA) (I10, 145, LAMA)
Mater.care due to uterine scar from previous surg.
DHF / DBD Delivery by elective caesarean section
PENYAKIT DALAM (A91, 032.1, LAMA), Constipation (O82.0, 242.9, LAMA),
(K59.0, 192.9, LAMA) Single live birth
Delivery by caesarean section, unspecified (O82.9, 242.9, LAMA),
(O82.9, 242.9, LAMA), Mater.care due to uterine scar from previous surg.
OBSTETRI DAN GINEKOLOGI Single live birth (O34.2, 239.9, LAMA),
(Z37.0, 298, LAMA) Single live birth
Pneumonia, unspecified (Z37.0, 298, LAMA)
(J18.9, 169, LAMA), Low back pain - Loin pain - Low back strain (M54.5, Fetus and newborn affected by caesarean delivery
PENYAKIT DALAM 206.9, LAMA), Hypertension - High blood pressure (P37.0, 250, LAMA)
(I10, 145, LAMA), Congestive heart failure-Congestive heart disease (I50.0, 151, LAMA)
BEDAH Acute appendicitis, unspecified

(K35.9, 186, LAMA)

PENYAKIT DALAM 104.1, BARU), Urinary tract infection, site not
specified
(N39.0, 217, LAMA) Other failed induction of labour (O61.8, 242.9, LAM
unspecified
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O82.9, 242.9, LAMA),
Convulsions, not elsewhere classified (R56, 270.3, LAMA), Bronchitis, not specified as acute or chronic Single live birth
(J40, (Z37.0, 298, LAMA)
175, LAMA), Ge/Diare (A09.9, Other and unspecified abdominal pain (R10.4, 267
ANAK 005, LAMA), (A49.9, 018, LAMA)
Other anaemias
(D64, 098, LAMA)
BEDAH Anal abscess - Perianal abscess (K61.0, 192.9, LAMA), Haemorrhoids (I84, 163, LAMA) Fetus and newborn affected by caesarean delivery
Ge/Diare (A09.9, Asthma,

005, LAMA), Ge/Diare (A09.9, unspecified-Asthmati c bronchitis NOS (J45.9, 176,
ANAK 005, LAMA), Dehydration (Volume depletion) organism unspecified
(E86, 110, LAMA)
Premature rupture of membranes, unspecified (J18, 169, LAMA)
(O42.9, 239.2, LAMA),
Severe
pre-eclampsia (O14.1, 237.0, LAMA), Oligohydramnios (O41.0, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM (J18.9, 169, LAMA), Atrial fibrillation and flutter Calculus of kidney - Nephrolithiasis NOS (N20.0, 21
(I48, 150, LAMA)
(J18.9, 169, LAMA), Dyspepsia - Indigestion
PENYAKIT DALAM (K30, 189.9, LAMA), Hypertension - High blood pre
(I10, 145, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Fetus and newborn affected by caesarean delivery
Diabetes Melitus tidak tergantung insulin (e1
Hypokalaemia
ANAK 104.1, LAMA), Hypertension - High blood pressure
(E87.6, 111, LAMA) (i10, 145, LAMA)
Solitary bone cyst Unspecified abortion [See above for subdivisions]

BEDAH (M85.4, 208, LAMA) 236.9, LAMA)

Neoplasma ganas payudara
BEDAH (B34.9, 041, LAMA), Ge/Diare (A09.9,
(C50, 073, LAMA) 005, LAMA)

BEDAH Skin of other and unspecified parts of face (D04.3, (O82.9, 242.9, LAMA),
096.0, LAMA) Single live birth
(Z37.0, 298, LAMA)
unspecified
BEDAH External haemorrhoids without complication (I84.5, 163, LAMA) (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA), Urinary tract infection, site not specified
(N39.0, 217, LAMA)
Pneumonia,
BEDAH organism unspecified (J18, 169, LAMA), Mat.care f
(K35.9, 186, LAMA) 242.9, LAMA)

(O82.9, 242.9, LAMA),
Severe
Single live birth
(Z37.0, 298,
Diabetes LAMA)
Melitus tidak tergantung insulin (E11, Dyspepsia - Indigestion
104.1, BARU), Ge/Diare (A09.9,
PENYAKIT DALAM (K30, 189.9, LAMA), Pneumonia, unspecified
005, LAMA), Other anaemias (D64, 098, LAMA), Hypertension - High blood pressure (J18.9, 169, LAMA)
(I10, 145, LAMA)
Premature rupture of membranes, unspecified Delivery by caesarean section,
(O42.9, 239.2, LAMA),
Premature rupture of membranes Single live birth
(O42, 239.2, LAMA) (Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Obst.lab.due to maternal pelvic abnormality
(O65, 240, LAMA), Obst.lab.due to maternal pelvic
abnormality
(O65, 240, LAMA), Delivery by caesarean section, u
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O82.9, 242.9, LAMA), Obst.lab.due to
maternal pelvic abnormality
(O65, 240, LAMA), Delivery by
BEDAH Inguinal hernia (O82.9, 242.9,
Fetus and LAMA)
newborn affected by caesarean delivery
(K40, 187, LAMA)
(O82.9, 242.9, LAMA),
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Crushing injury of other parts of ankle and foot (S97.8,
280, LAMA)
ANAK Aplastic anaemia, unspecified - Panmyelophthisis (D61.9, 098, LAMA) Fetus and newborn affected by caesarean delivery

(A49, 018, LAMA), Ge/Diare (A09.9,
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA), Tuber. of lung, confirmed by uns
BEDAH
Cutaneous abscess,furuncle
BEDAH & carbuncle of buttock (L02.3, Respiratory tuberculosis unspecified (A16.9, 007.9
198, LAMA)
Other acute gastritis (K29.1, 189.9, LAMA),
Infeksi bakteri tempat ytt Retention of urine
PENYAKIT DALAM (A49, 018, LAMA), Unspecified haematuria (R33, 270.2, LAMA)
(R31, 270.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Other acute gastritis (K29.1, 189.9, LAMA), DHF / DBD
PENYAKIT DALAM Infeksi bakteri tempat ytt (A91, 032.1, LAMA), Acute pharyngitis - Includes: a
(A49, 018, LAMA) 165.0, LAMA)
Paralytic ileus&intestinal obstruc. without hernia (K56, 190, LAMA), Bacterial foodborne intoxication, unspecified
BEDAH Neoplasma ganas rektum (A05.9, 006, LAMA), Dehydration (Volume depletio
(C20, 062, LAMA) (E86, 110, LAMA)
Dyspepsia - Indigestion caesarean section, unspecified
ANAK (K30, 189.9, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9, (O82.9, 242.9, LAMA),
167, LAMA) Single live birth
(Z37.0, 298, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA), Ileus, unspecified (K56.7, 190, LAMA) Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Maternal care for transverse and oblique lie (O32.2, 239.9, LAMA), Fetus and newborn affected by caesarean delivery
Single live birth
(Z37.0, 298, LAMA)
Gestat.
Unspecified adverse effect of drug or medicament
PENYAKIT DALAM [preg.-ind.]hypert without sig.proteinuria
(T88.7, 288, LAMA) (O13, 237.9, LAMA)
PENYAKIT DALAM Hypokalaemia (E87.6, 111, LAMA), Fracture of femur, part unspecified (S72.9, 273, LAMA)
(O42.9, 239.2, LAMA),
Maternal care for transverse and oblique lie
(O32.2, 239.9, LAMA),
(O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
PENYAKIT DALAM
Unspecified diabetes mellitus with coma (E14.0, 1

Premature rupture of membranes, unspecified Diabetes Melitus tidak tergantung
OBSTETRI DAN GINEKOLOGI (O42.9, 239.2, LAMA), Oligohydramnios (O41.0, 239.9, LAMA), insulin (E11,
Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA) 104.1, BARU), Hypokalaemia (E87.6, 111, LAMA)
Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Delivery by caesarean section, unspecified Pneumonia,
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI organism unspecified (J18, 169, LAMA), Chronic isc
Single live birth (I25, 148, LAMA)
(Z37.0, 298, LAMA)
PENYAKIT DALAM Connective & other soft tissue of head, face&

PENYAKIT DALAM (M79.9, 207.9, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Mild hyperemesis gravidarum (O21.0, 242.9, LAMA
Tuber. of lung, confirmed by unspecified means (A15.3, 007.1, LAMA), (O42, 239.2, LAMA), Mater.care due to uterine sca
Diabetes Melitus tidak tergantung Delivery by caesarean section, unspecified
PENYAKIT DALAM insulin (E11, (O82.9, 242.9, LAMA),
104.1, LAMA) Single live birth
Prolonged first stage Bacterial infection,
(Z37.0, 298, LAMA) unspecified
(of labour) (O63.0, 242.9, LAMA), (A49.9, 018, LAMA), Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), 005, LAMA),
Single live birth Hypoglycaemia, unspecified
(Z37.0, 298, LAMA) (E16.2, 111, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Other failed Fetus and newborn affected by caesarean delivery
induction of labour (O61.8, 242.9, LAMA),
Single live birth Premature rupture of membranes
(Z37.0, 298, LAMA) (O42, 239.2, LAMA), Delivery by caesarean section
Convulsions, not elsewhere classified (R56, 270.3, LAMA), Ge/Diare (A09.9,
ANAK (O82.9, 242.9, LAMA),
005, LAMA) Single live birth
(Z37.0, 298, LAMA)
ANAK Multiple gestation
unspecified (P80.9, 253.9, LAMA) (O30, 239.0, LAMA)
OBSTETRI DAN GINEKOLOGI (N39.0, 217, LAMA), Constipation
(K59.0, 192.9, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (J18.9, 169, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA)
Hypokalaemia (E87.6, 111, LAMA), Pneumonia, unspecified

PENYAKIT DALAM (J18.9, 169, LAMA), Other specified Congenital pneumonia
anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA) (P23, 249, LAMA), Fetus and newborn affected by
Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Premature rupture Single spontaneous delivery, unspecified (O80.9, 2
of membranes
(O42, 239.2, section,
LAMA), Single live unspecified
birth (Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
(O34.2, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
BEDAH 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA)
Prolonged second stage (of labour) (O63.1, 242.9,

Ge/Diare (A09.9,
ANAK Single live birth
005, LAMA) (Z37.0, 298, LAMA)
Disorder of urinary system, unspecified (N39.9, 21


(O42, 239.2, LAMA), Delivery by caesarean section
PENYAKIT DALAM unspecified (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Pneumonia,
ANAK organism unspecified (j18, 169, LAMA), Other ana
(d64, 098, LAMA)
PENYAKIT DALAM Other anaemias (D64, 098, LAMA), Diabetes Melitus tidak tergantung insulin (E11, Fetus and newborn affected by caesarean delivery
104.1, LAMA)
Chronic renal failure, unspecified Antepartum haemorrhage, unspecified (O46.9, 23
(N18.9, 214.9, BARU), Delivery by caesarean section,
PENYAKIT DALAM Other specified anaemias-Infantile pseudoleukaemia unspecified
(D64.8, 098, LAMA), Hypertension - High blood pressure (O82.9, 242.9, LAMA)
Delivery
(I10, 145,by caesarean section, unspecified
LAMA)
(O82.9, 242.9, LAMA), Pneumonia, unspecified
Other failed induction of labour (O61.8, 242.9,
OBSTETRI DAN GINEKOLOGI (J18.9, 169, LAMA), Cardiac arrest
LAMA), (I46, 150, LAMA)
Single live birth
(Z37.0, 298, LAMA) Ge/Diare (A09.9,
005, LAMA), Dehydration (Volume depletion)
OBSTETRI DAN GINEKOLOGI Mild hyperemesis gravidarum (O21.0, 242.9, LAMA) (E86, 110, LAMA), Ispa/Acute upper respiratory inf
167, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH Single spontaneous delivery, unspecified (O80.9, 2
(D21.4, 096.6, LAMA)
PENYAKIT DALAM Fetus and newborn affected by caesarean delivery
(A91, 032.1, LAMA)
Tuber. pleurisy - Tuber. empyema - Tuber. pleurisy (A16.5, 007.9, LAMA),

PENYAKIT DALAM Dyspepsia - Indigestion
(K30, 189.9, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA), Dyspepsia - Indigestion Chronic renal failure (N18, 214.9, LAMA), Other sp
(K30, 189.9, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA), Low back pain - Loin pain - Low back strain (M54.5, Fetus and newborn affected by caesarean delivery
206.9, LAMA)
Obstruction of bile duct
(K83.1, 197, LAMA), Other and unspecified abdominal pain (R10.4, 267, LAMA), Dyspepsia - Indigestion
(I10, 145, LAMA)

(O82.9, 242.9, LAMA),
Premature rupture
of membranes Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Gestat. 005, LAMA)
(O13, 237.9, LAMA), Single live birth
(Z37.0, 298, LAMA)
Skin of other and unspecified parts of face (D0

Neonatal jaundice from other specified causes (P59.8, Lymphosarcoma

ANAK 253.9, LAMA) (C85.0, 086, LAMA)
Ge/Diare (A09.9,
MATA 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA)
OBSTETRI DAN GINEKOLOGI Single spontaneous delivery, unspecified (O80.9, 243, LAMA)

PENYAKIT DALAM (N39.0, 217, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Other disorders of amniotic fluid and membranes

ANAK 239.9, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Mild hyperemesis gravidarum (O21.0, 242.9, LAMA), Hyperemesis gravidarum with metabolic
OBSTETRI DAN GINEKOLOGI disturbance (O21.1, Abnormal uterine
& vaginal bleeding, unspecified (N93.9, 233, L
242.9, LAMA),
Delivery Single live
by caesarean birth (Z37.0,
section, 298, LAMA)
unspecified
(O82.9, 242.9, LAMA),
Gestat.
OBSTETRI DAN GINEKOLOGI Unspecified abortion [See above for subdivisions]
[preg.-ind.]hypert without sig.proteinuria 236.9, LAMA)
(O13, 237.9, LAMA), Premature rupture
of membranes
(O42, 239.2, LAMA), Single live birth (Z37.0, 298, LAMA) Premature rupture of membranes
OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Delivery by caesarean section
236.9, LAMA) (O82.9, 242.9, LAMA)
DHF / DBD
ANAK (A91, 032.1, LAMA)
PENYAKIT DALAM
Vertigo Mater.care due to uterine scar from previous surg.
NOS-Dizziness Delivery by caesarean section, unspecified
&
SYARAF (O82.9, 242.9, LAMA),
giddiness-Light-head edness (R42, 270.9, LAMA), Single live birth
Dyspepsia - Indigestion (Z37.0, 298, LAMA)
(K30, 189.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Anemia aplastik lainnya (K30, 189.9, LAMA), Vertigo
(D61, 098, LAMA), Other and unspecified cirrhosis
PENYAKIT DALAM NOS-Dizziness
of liver (k74.6, &
194.2, LAMA) giddiness-Light-head edness (R42, 270.9, LAMA)
Ge/Diare (A09.9,
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) 005, LAMA), Dehydration (Volume depletion)
(E86, 110, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes
Tuberculosis of lung,without
(O42, 239.2, LAMA), mention
Single live of bacterical
birth (Z37.0, or
298, LAMA)
history confirmation
(A16.2, 007.1, LAMA), Hypokalaemia (E87.6, 111, LAMA), Diabetes Melitus tidak tergantung insulin Ge/Diare (A09.9,
PENYAKIT DALAM (E11, 005, LAMA), Ispa/Acute upper respiratory infection
104.1, LAMA), Septicaemia, Maternal
167, LAMA) care for intrauterine death (O36.4, 239.9
unspecified Mater.care due to uterine scar from
(A41.9, 017, LAMA) previous surg.
(O34.2, 239.9, LAMA),
OBSTETRI DAN GINEKOLOGI Anaemia comp. preg.,childbirth
&
Prematurethe rupture
puerperium
(O99.0,
(O42.9, 244, LAMA),
239.2, LAMA), Other failed
Delivery by
induction of
caesarean labourunspecified
section, (O61.8, 242.9, LAMA)
BEDAH ORTHOPAEDI
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH (J18.9, 169, LAMA), Fetus&newborn af.by
other&unsp.con d.umbilical cord (P02.6, 245

ANAK (P22.1, 249, LAMA), Fetus and newborn Threatened abortion (O20.0, 242.9, LAMA)
affected by caesarean delivery (P03.4, 245, LAMA)
Unspecified abortion [See above for subdivisions] (O06, Unspecified haematuria

OBSTETRI DAN GINEKOLOGI 236.9, LAMA) (R31, 270.9, LAMA)

OBSTETRI DAN GINEKOLOGI Threatened abortion (O20.0, 242.9, LAMA) (K35.9, 186, LAMA)
(O42, 239.2, LAMA), Other failed
Tuber. pleurisy, confir. bacteri & histologically induction of labour
PENYAKIT DALAM (A15.6, 007.1, LAMA) (O61.8, 242.9, LAMA), Delivery by
(O82.9, 242.9, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Nausea and vomiting
(R11, 270.9, LAMA)
Ge/Diare (A09.9,
BEDAH ORTHOPAEDI 005, LAMA)

OBSTETRI DAN GINEKOLOGI (O42, 239.2, LAMA), Delivery by caesarean section

ANAK (O42, 239.2, LAMA), Delivery by caesarean section
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), Fetus and newborn affected by caesarean delivery
Single live birth
(Z37.0, 298, LAMA)
ANAK Meningitis in other infec&parasitic dis clas elsew (G02*, Fetus and newborn affected by caesarean delivery
120, LAMA)
BEDAH
Physiological jaundice (intense) (prolonged) NOS (p59.9, 253.9, LAMA), Haemorrhoids

ANAK Fetus and newborn affected by caesarean delivery (p03.4, 245, LAMA) (I84, 163, LAMA)
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), demam/Fever, unspecified - Hyperpyrexia
Delivery by caesarean section, unspecified NOS-Pyrexia NOS (R50.9, 268, LAMA),
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), demam/Fever, unspecified - Hyperpyrexia
Single live birth NOS-Pyrexia NOS
(Z37.0, 298,
Gastric ulcerLAMA)
[See page 566 for subdivisions] (R50.9, 268, LAMA)
(K25, 183, LAMA), Anaemia, unspecified
BEDAH (D64.9, 098, LAMA), Septicaemia, Fetus and newborn affected by caesarean delivery
unspecified
(A41.9, 017, LAMA)
Cholecystitis

(N18.9, 214.9, LAMA),
BEDAH Acute peritonitis (K65.0, 192.9, LAMA) Other anaemias
Delivery by caesarean section, unspecified (D64, 098, LAMA)
(O82.9, 242.9, LAMA), Chronic renal failure, unspecified
Oligohydramnios (O41.0, 239.9, LAMA), (N18.9, 214.9, LAMA),
OBSTETRI DAN GINEKOLOGI Premature rupture Other anaemias
of membranes (D64, 098, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Hypothermia of newborn, unspecified (P80.9, 253
Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI 005, LAMA), Ispa/Acute upper respiratory infection
Superficial injury of unspecified body region (T14.0, 281, LAMA),
Stroke, not specified as haemorrhage or Delivery by elective caesarean section (O82.0, 242
infarction (I64, 155,
SYARAF Infection of obstetric surgical wound
LAMA), (O86.0, 244, LAMA)
Other anaemias (D64, 098, LAMA), Hypertension - High blood pressure
(I10, 145, BARU)
ANAK Threatened abortion (O20.0, 242.9, LAMA)

OBSTETRI DAN GINEKOLOGI & the puerperium Fetus and newborn affected by caesarean delivery
(O99.0, 244, LAMA)
DHF / DBD
Asthma, Delayed delivery of second twin, triplet, etc. (O6

PENYAKIT DALAM unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA) 242.9, LAMA), Single live birth (Z37.0, 298, LAMA)
(K30, 189.9, LAMA) 005, LAMA)
Bacterial intestinal infection, unspecified

PENYAKIT DALAM (A04.9, 006, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA), Hypokalaemia (E87.6, 111, LAMA)
Viral infection of unspecified site (B34, 041, LAMA

BEDAH (D64.9, 098, LAMA), Ge/Diare (A09.9,
005, LAMA)
PENYAKIT DALAM
Chronic obstructive pulmonary disease, unspecifie

ANAK 175, LAMA), Hypertension - High blood pressure
Delivery by caesarean section, unspecified (I10, 145, LAMA), Dyspepsia - Indigestion
(O82.9, 242.9, LAMA), (K30, 189.9, LAMA)
Delivery by caesarean section, unspecified Bronchopneumonia, unspecified
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, (J18.0, 169, LAMA), Ge/Diare (A09.9,
LAMA), 005, LAMA)
Single live birth
(Z37.0,
DHF 298, LAMA)
/ DBD
ANAK (A91, 032.1, LAMA)
Stroke, not specified as haemorrhage or infarction

OBSTETRI DAN GINEKOLOGI Hypertension - High blood pressure
(I10, 145, LAMA)
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) Convulsions, not elsewhere classified (R56, 270.3,
SYARAF
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) Fetus and newborn affected by caesarean delivery
Ge/Diare (A09.9,
PENYAKIT DALAM Peritonitis, unspecified (K65.9, 192.9, LAMA) 005, LAMA), Convulsions, not elsewhere classified
167, LAMA)
BEDAH Single spontaneous delivery, unspecified (O80.9, 2
Chronic obstructive pulmonary disease, unspecified (J44.9,

PENYAKIT DALAM 175, LAMA), Hypokalaemia Single spontaneous delivery, unspecified (O80.9, 2
(E87.6, 111, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
Tuber. pleurisy, confir. bacteri & histologically
(A15.6, 007.1, LAMA),
Diabetes Melitus tidak tergantung insulin (E11, Hypertension - High
PENYAKIT DALAM 104.1, LAMA), Urinary tract infection, site not specified blood pressure (I10, 145, LAMA), Diabetes Melitus
(N39.0, 217, LAMA) 104.1, LAMA), Hypoglycaemia, unspecified
(E16.2, 111, LAMA)
(O82.9, 242.9, LAMA), Diabetes Melitus tidak tergantung insulin (E1
Severe 104.1, LAMA), Other anaemias
OBSTETRI DAN GINEKOLOGI pre-eclampsia (O14.1, 237.0, LAMA), (D64, 098, LAMA), Acute renal failure, unspecified
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), (N17.9, 214.9,
Single liveMelitus
Diabetes birth tidak tergantung insulin (E11, LAMA)
(Z37.0, 298, LAMA)
104.1, LAMA), Other diseases of
PENYAKIT DALAM stomach and duodenum
(K31, 189.9, LAMA), Ge/Diare (A09.9,
005, LAMA)
ANAK
ANAK
Abdominal and pelvic pain

OBSTETRI DAN GINEKOLOGI (R10, 267, LAMA), Antepartum haemorrhage, unspecified
(O46.9, 238.9, LAMA)
Tuber.of lung,confir.by sputum microscopy culture
007.0, LAMA),
ANAK Hypo-osmolality and hyponatraemia (E87.1, 111, L
(I46, 150, LAMA)
(O82.9, 242.9, LAMA),
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Other failed induction of labour (O61.8, 242.9, LAM
Single live birth
(Z37.0, 298, LAMA)
NOS-Pyrexia NOS (R50.9, 268, LAMA), Epilepsy
ANAK Ge/Diare (A09.9, (G40, 124, LAMA), Ge/Diare (A09.9,
005, LAMA), Hypokalaemia (E87.6, 111, LAMA) 005, LAMA), Dehydration (Volume depletion)
Vertigo
(E86, 110, LAMA)
NOS-Dizziness
OBSTETRI DAN GINEKOLOGI &
giddiness-Light-head edness (R42, 270.9, LAMA),
Personal history of allergy, other than to ....... (Z91
298, LAMA)
BEDAH (M79.9, 207.9, LAMA)

BEDAH (B34.9, 041, LAMA), Dyspepsia - Indigestion
(K30, 189.9,
by caesarean
(O82.9, 242.9, LAMA),
Maternal care for signs of fetal hypoxia
236.9, LAMA) LAMA),
Single live birth
(Z37.0, 298, LAMA)
(A49, 018, LAMA), Other peripheral vertigo - Lermoyez'
syndrome (H81.3, 142.9, LAMA),
SYARAF Single spontaneous delivery, unspecified (O80.9, 2
Urinary tract
infection, site not specified
(N39.0, 217, LAMA)

OBSTETRI DAN GINEKOLOGI 236.9, LAMA), Single live birth
(Z37.0, 298, LAMA)
ANAK (J18.9, 169, LAMA), Epilepsy, unspecified (G40.9, 1
OBSTETRI DAN GINEKOLOGI Delivery by caesarean section, Other diseases
Fetus and of the
newborn blood by caesarean delivery
affected
unspecified (O82.9, 242.9, LAMA) &blood-forming organs (O99.1,
244, LAMA),
(O82.9, 242.9, LAMA),
BEDAH Acute peritonitis (K65.0, 192.9, LAMA) Premature rupture of membranes
(O42, 239.2, LAMA),
Ge/Diare (A09.9, DHF
&/ DBD
the puerperium
PENYAKIT DALAM 005, LAMA), Dehydration (Volume depletion) (A91, 032.1,
(O99.0, 244, LAMA),
LAMA), Dyspepsia
Single live -birth
Indigestion
(Z37.0, 298, L
(E86, 110, LAMA) (K30, 189.9, LAMA)
BEDAH Acute peritonitis (K65.0, 192.9, LAMA)
OBSTETRI DAN GINEKOLOGI Ge/Diare (A09.9,


(O82.9, 242.9, LAMA), Acute appendicitis
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes (K35, 186, LAMA)
Tuber. of lung, confirmed by unspecified means (A15.3, 007.1, LAMA),
Pulmonary
collapse-Atelectasis- Collapse of lung (J98.1, 179.9,
LAMA)
236.9, LAMA) Single spontaneous delivery, unspecified (O80.9, 2
Calculus of kidney and ureter

OBSTETRI DAN GINEKOLOGI (N20, 215, LAMA), Other and unspecified
hydronephrosis (N13.3, 213.9, LAMA)
ANAK Physiological jaundice (intense) (prolonged) NOS (
Postcoital and contact bleeding (N93.0, 233, LAMA

ANAK Diabetes Melitus tidak tergantung insulin (E1
104.1, LAMA)
DHF / DBD (O82.9, 242.9, LAMA),
PENYAKIT DALAM (A91, 032.1, LAMA), Persistent fever (R50.1, 268, LAMA) Single live birth
(Z37.0, 298, LAMA)
Pneumonia,
OBSTETRI DAN GINEKOLOGI organism unspecified (J18, 169, LAMA), Ge/Diare (
005, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Mater.care due to uterine scar from previous surg. Peritonitis
(O34.2, 239.9, LAMA), (K65, 192.9, LAMA)
Single live birth
(Z37.0, 298, LAMA) Diabetes Melitus tidak tergantung insulin (E1
104.1, BARU), Bacterial infection,
BEDAH unspecified
(A49.9, 018, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Internal thrombosed haemorrhoids
BEDAH Typhoid fever - Infection due to Salmonella typhi (
(I84.0, 163, LAMA)
(O82.9, 242.9, LAMA),
BEDAH Mater.care due to uterine scar from previous surg.
(D24, 091, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9, Other and unspecified abdominal pain (R10.4, 267
ANAK 005, LAMA) (I10, 145, LAMA)

OBSTETRI DAN GINEKOLOGI (D24, 091, LAMA)
Ge/Diare (A09.9, Soft tissue disorder, unspecified

PENYAKIT DALAM 005, LAMA), Dyspepsia - Indigestion (M79.9, 207.9, LAMA)
(K30, 189.9, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Long labour
Cholecystitis
BEDAH Cerebrovascular disease, unspecified (I67.9, 156, L
(K81, 195.9, LAMA)
(O82.9, 242.9, LAMA),
Internal haemorrhoids with other complications (I84.1, 163, LAMA), Anaemia, unspecified Premature rupture of membranes
BEDAH (D64.9, 098, LAMA) (O42, 239.2, LAMA),
Single live birth
Haemothorax - Haemopneumothora (Z37.0, 298, LAMA)
x (J94.2,
PENYAKIT DALAM 179.9, LAMA), Bronchitis, not specified as acute or chronic (J40,
175, LAMA)
PENYAKIT DALAM Antepartum haemorrhage, unspecified (O46.9, 23

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Oligohydramnios (O41.0, 239.9, LAMA), Other septicaemia (A41, 017, LAMA), Cerebral infa
Premature rupture
of membranes
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Maternal care for disproportion, unspecified (O33
(O82.9, 242.9, LAMA), Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI 005, LAMA), Dyspepsia - Indigestion
(O34.2, 239.9, LAMA), (K30, 189.9, LAMA), Hypokalaemia (E87.6, 111, LA
Single live birth
(O82.9, 242.9, LAMA), Urinary tract infection, site not specified
OBSTETRI DAN GINEKOLOGI Twin pregnancy (O30.0, 239.0, LAMA), (N39.0, 217, LAMA), Ge/Diare (A09.9,
Single live birth 005, LAMA)
(Z37.0, 298, LAMA)
(K30, 189.9, LAMA), Other acute gastritis (K29.1, 189.9, LAMA)
(O82.9, 242.9, LAMA),
Severe
Single live birth
(Z37.0, 298, LAMA) Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
External thrombosed haemorrhoids
BEDAH Mater.care due to uterine scar from previous surg.
(I84.3, 163, LAMA) Single spontaneous
Single live birth delivery
(Z37.0,243,
(O80, 298,LAMA),
LAMA)Other immediate postpartum h
(O72.1, 241, LAMA), Anaemia comp.
BEDAH Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA) preg.,childbirth
& the puerperium
(O99.0, 244, LAMA), Unspecified maternal hyperte
(O16, 237.9, LAMA), Single live birth (Z37.0, 298, L
Umbilical hernia without obstruction or gangrene
ANAK (K42.9, 188, LAMA)

BEDAH Lower limb (C76.5, 084.2, LAMA) Fetus and newborn affected by caesarean delivery
Ganglion - Ganglion of joint or tendon (sheath) (M67.4,

BEDAH Antepartum haemorrhage, unspecified (O46.9, 23
207.0, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Single spontaneous delivery, unspecified (O80.9, 2
(J02.9, 165.0, LAMA), Arthrosis, unspecified
Unspecified abortion [See above for subdivisions] (O06, (M19.9, 201, LAMA), Chronic nephritic
OBSTETRI DAN GINEKOLOGI 236.9, LAMA), Single live birth syndrome, unspecified (N03.9, 212.9, LAMA),
(Z37.0, 298, LAMA) Other anaemias
Other peripheral vertigo - Lermoyez' syndrome (D64, 098, LAMA)
(H81.3, 142.9, LAMA),
SYARAF 104.1, LAMA), Hypertension - High blood pressure
Hypertension - High blood pressure (I10, 145, LAMA)
(I10, 145, LAMA)
Bacterial sepsis of newborn
(P36, 250, LAMA), Fetus and newborn affected by
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) caesarean delivery (P03.4, 245, LAMA), Congenital
unspecified
(P23.9, 249, LAMA)
Epilepsy, unspecified (G40.9, 124, LAMA), Other an
OBSTETRI DAN GINEKOLOGI unspecified injuries of ankle and foot
(O80, 243, LAMA), Single live birth (Z37.0, 298, LAMA) (S99, 281, LAMA)
(O82.9, 242.9, LAMA), Soft tissue disorder, unspecified
OBSTETRI DAN GINEKOLOGI Premature rupture (M79.9, 207.9, LAMA)
of membranes
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA

(H81.3, 142.9, LAMA),
(I10, 145, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Typhoid fever - Infection due to Salmonella typhi (
Blighted ovum and nonhydatidiform DHF / DBD

OBSTETRI DAN GINEKOLOGI mole (o02.0, (A91, 032.1, LAMA), Dyspepsia - Indigestion
236.9, LAMA) (K30, 189.9, LAMA)
(O82.9, 242.9, LAMA),
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Mater.care due to uterine scar from previous surg.
LAMA),
Delivery by caesarean section, unspecified Single live birth
(O82.9, 242.9, LAMA), Other
(Z37.0,disord. of optic[2nd]nerve
298, LAMA)
Oligohydramnios (O41.0, 239.9, LAMA), & visual pathways (H47,
OBSTETRI DAN GINEKOLOGI Anaemia comp. 139.7, LAMA),
preg.,childbirth Optic neuritis - Optic (H46, 139.7, LAMA), Chronic
& the puerperium hepatitis B with delta-agent (B18.0, 038.9, LAMA)
(O99.0, 244, LAMA), Single live birth (Z37.0, 298, LAMA) Other anaemias (D64, 098, LAMA), Melaena
Soft tissue disorder, unspecified (K92.1, 197, LAMA), Hypertension - High
BEDAH (M79.9, 207.9, LAMA) blood pressure
(I10, 145, LAMA)
(O82.9, 242.9, LAMA),
Long labour
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Physiological jaundice (intense) (prolonged) NOS (
Delivery by caesarean section, unspecified Dengue fever [classical dengue] (A90, 032.0, LAMA
OBSTETRI DAN GINEKOLOGI (O82.9, 242.9, LAMA), 167, LAMA), Other anaemias (D64, 098, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Calc.bile duct without cholangitis or cholecystits (K80.5, 195.0, LAMA), Septicaemia, unspecified
(A41.9, 017, LAMA)
(O42.9, 239.2, LAMA),
Delivery by emergency caesarean section (O82.1, 242.9,
Single live birth Delivery by caesarean section, unspecified
(Z37.0, 298, LAMA) (O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
DHF / DBD
PENYAKIT DALAM (A91, 032.1, LAMA), Liver disease, unspecified Single spontaneous delivery, unspecified (O80.9, 2
(K76.9, 194.9, LAMA)
Delivery by caesarean section, unspecified Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA),
Premature rupture of membranes Single live birth
(Z37.0, 298,due
Mater.care LAMA)
to uterine scar from previous surg. (O34.2, 239.9, LAMA),
Delivery by elective caesarean section Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI (O82.0, 242.9, LAMA), 005, LAMA), Irritable bowel syndrome without dia
Single live birth (K58.9, 192.0, LAMA)
(Z37.0, 298, LAMA)
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Single spontaneous delivery, unspecified (O80.9, 2

(N18.9, 214.9, BARU),
OBSTETRI DAN GINEKOLOGI Other anaemias
(D64, 098, LAMA)
DHF / DBD
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) (A91, 032.1, LAMA)

104.1, LAMA),
ANAK Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA) Hypo-osmolality and hyponatraemia (E87.1, 111, L
(I10, 145, LAMA)
Ge/Diare (A09.9,
OBSTETRI DAN GINEKOLOGI Mechanical comp.of intrauterine contracept.device (T83.3, 288, LAMA) 005, LAMA), Dehydration (Volume depletion)
Tuberculosis of lung,without mention of bacterical or (E86, 110, LAMA)
(A16.2, 007.1, LAMA), Congestive heart Non insulin dependent DM without complications
failure-Congestive heart disease Pulmonary oedema - Acute oedema of
PENYAKIT DALAM (I50.0, 151, LAMA), Dyspepsia - Indigestion lung (J81,
(K30, 189.9, LAMA), 179.9, LAMA), Hyperkalaemia (E87.5, 111, LAMA)
(I10, 145, LAMA)
ANAK Neonatal jaundice from other & unspecified causes (P59, 253.9, LAMA), Mild and moderate birth asphyxia (P21.1, 248, LAMA)


ANAK 167, LAMA)
Connective
Other andof
the blood
PENYAKIT DALAM (D21.4, 096.6, LAMA) organs (O99.1,
&blood-forming
244, LAMA), Delivery by caesarean section, unspec
(O82.9, 242.9, LAMA),
ANAK Maternal care for breech presentation
(O32.1, 239.9,
LAMA),
Demam Tifoid
Single live birthdan Paratifoid (A01, 002, LAMA),
PENYAKIT DALAM Dyspepsia
(Z37.0, 298,- Indigestion
LAMA)
(A91, 032.1, LAMA) (K30, 189.9, LAMA)
Pulmonary oedema - Acute oedema of
Hypertension - High blood pressure lung (J81,
PENYAKIT DALAM (I10, 145, LAMA), Infeksi bakteri tempat ytt 179.9, LAMA), Chronic renal failure, unspecified
(A49, 018, LAMA) (N18.9, 214.9, LAMA)
BEDAH Foreign body in alimentary tract (T18, 282.9, LAMA) Fetus and newborn
Premature affected
rupture of by caesarean
membranes, delivery
unspecified
(O42.9, 239.2, LAMA),
Severe
Blighted ovum and nonhydatidiform pre-eclampsia (O14.1, 237.0, LAMA), Delivery by
OBSTETRI DAN GINEKOLOGI mole (O02.0, caesarean section, unspecified
236.9, LAMA) (O82.9, 242.9,
LAMA),
Single live birth
Ge/Diare (A09.9, Other
(Z37.0,and
298,unspecified
LAMA) abdominal pain (R10.4, 267
ANAK 005, LAMA) 104.1, LAMA)
Pneumonia,
organism unspecified (J18, 169, LAMA), Stroke, not specified as haemorrhage or infarction (I64, 155,
LAMA),
PENYAKIT DALAM Acute renal failure, unspecified
(N17.9, 214.9,
LAMA)

heral lymphadenopathy - Tuber.adenitis (A18.2, 008.3, LAMA)
abortion (O20.0, 242.9, LAMA)

ewborn affected by caesarean delivery (P03.4, 245, LAMA), Neonatal jaundice from other & unspecified causes (P59, 253.9, LAMA)
g,confir.by sputum microscopy culture (A15.0,

A), Haemoptysis - Blood-stained
9, LAMA), Dyspepsia - Indigestion

alLAMA)
.9, LAMA),
caemia (A41, 017, LAMA), Hypoglycaemia, unspecified
LAMA), Cardiac arrest
AMA)
Indigestion
LAMA), Hypertension - High blood pressure
AMA), Hypokalaemia
LAMA)
elective caesarean section (O82.0, 242.9, LAMA),
irth
LAMA)
dependent diabetes mellitus with peripheral circulatory complications

9, LAMA),
est
AMA)
,
nspecified (J18, 169, LAMA), Fetus and newborn affected by
elivery
LAMA)
er - Infection due to Salmonella typhi (A01.0, 002, LAMA), Hypertension - High blood pressure
AMA)
re for other specified fetal problems (O36.8,
A), Delivery by
ection, unspecified
.9, LAMA),
irth
LAMA)
rd.& dis.of nervos.sys.comp.pr egnancy (O99.3,

, Delivery by
ection,
(O82.9, 242.9, LAMA),
irth
LAMA)
nia (unilateral) NOS (k40.9, 187, LAMA)
abortion [See above for subdivisions] (O06,

A)
Indigestion
AMA), Diabetes Melitus
tung insulin (E11,
A), Acute pharyngitis -
ute sore throat (J02,
A)
rupture of membranes, unspecified
.2, LAMA)
09.9,
, Dyspepsia - Indigestion
LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
al failure, unspecified
.9, LAMA),
fied
nfantile pseudoleukaemia (D64.8, 098, LAMA)
elective caesarean section (O82.0, 242.9, LAMA)
taneous delivery, unspecified (O80.9, 243, LAMA)

irth
LAMA)
tissue dis., not elsewhere classified (M79,

A)
tissue dis., not elsewhere classified (M79,

A)
atal aspiration syndromes

LAMA), Bacterial sepsis of newborn,
LAMA)

irth
LAMA)
undice from other & unspecified causes (P59, 253.9, LAMA)
unspecified abdominal pain (R10.4, 267, LAMA)

.9, LAMA), Sterilization
LAMA)

A), Haemoptysis -
ed
9, LAMA),
fied anaemias-Infantile pseudoleukaemia
, LAMA), Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA)
A)
specified body region (T14,
eumonia, unspecified
LAMA)
unspecified, Meningioma NOS (D32.9, 096.6, LAMA),

h alter consciousness,often with autom. (G40.2,

A)
LAMA), Hypokalaemia (E87.6, 111, LAMA), Asthma,

ytic syndromes
, LAMA), Other intervertebral disc disorders
LAMA)
t infection, site not specified

, LAMA), Ge/Diare (A09.9,
mic shock (R57.1, 270.9, LAMA),

09.9,
y nonopioid analgesics,antipyreti cs,... (T39, 284, LAMA)

caesarean section,
.9, LAMA),
irth
LAMA)
s, unspecified (K81.9, 195.9, LAMA)

Indigestion
LAMA), Headache - Facial pain NOS
LAMA)
er [classical dengue] (A90, 032.0, LAMA)
t infection following delivery

, LAMA)
on of unspecified site (b34, 041, LAMA), Ispa/Acute upper
nfection, unspecified (j06.9,
,
09.9,
due to uterine scar from previous surg. (O34.2, 239.9, LAMA),
elective caesarean section (O82.0, 242.9,
irth
LAMA)
on of unspecified site (B34, 041, LAMA), Ge/Diare (A09.9,
, Dehydration (Volume
AMA)
oid dan Paratifoid (A01, 002, LAMA)
acenta without haemorrhage (O73.0, 242.9, LAMA)
, unspecified
LAMA), Bronchitis, not specified as acute or chronic (J40,
, Diabetes Melitus
tung insulin (E11,
A)
.9, LAMA),
irth
LAMA)
elitus tidak tergantung insulin (E11,

A), Hypertension - High blood pressure
AMA), Other anaemias (D64, 098, LAMA)
on, unspecified
LAMA), Ispa/Acute upper respiratory infection,
(J06.9,
mia (E87.6, 111, LAMA), Dyspepsia - Indigestion

LAMA)

irth (Z37.0, 298, LAMA), Delivery by
ection, unspecified
.9, LAMA)
sia, unspecified (O14.9, 237.0, LAMA),
taneous delivery
AMA)
disp.due to generally contrac. pelvis (O33.1,
A)
phageal reflux dis. without oesophagitis (K21.9,

A)
er, unspecified - Hyperpyrexia

a NOS (R50.9, 268, LAMA), Hypokalaemia (E87.6, 111, LAMA), Dyspepsia - Indigestion
LAMA)

caesarean section,
.9, LAMA),
irth
LAMA)
tructive pulmonary disease, unspecified (J44.9,
, Hypertension - High blood pressure
AMA)
elective caesarean section
.9, LAMA),
irth
caesarean
LAMA) section, unspecified
.9, LAMA),
due to uterine scar from previous surg.
.9, LAMA),
irth
LAMA)
ewborn affected by caesarean delivery (P03.4, 245, LAMA), Congenital tuberculosis
LAMA)

caesarean section,
.9, LAMA),
irth
LAMA)
unspecified abdominal pain (R10.4, 267, LAMA), Bacterial infection, unspecified
LAMA)
-Asthmati c bronchitis NOS (J45.9, 176, LAMA), Pneumonia,

nspecified
AMA)
kidney - Nephrolithiasis NOS (N20.0, 215, LAMA), Hypokalaemia (E87.6, 111, LAMA)
, unspecified
LAMA), Dyspepsia - Indigestion
AMA)

elitus tidak tergantung insulin (e11,
AMA)

A)
on, unspecified
LAMA), Ge/Diare (A09.9,

.9, LAMA),
irth
LAMA)
caesarean section,
.9, LAMA),
irth
LAMA)
,
nspecified (J18, 169, LAMA), Mat.care for other cond.predominantly rel.to preg. (O26,
A)
Indigestion
LAMA), Pneumonia, unspecified
LAMA)
mnios (O41.0, 239.9, LAMA),
caesarean section,
(O82.9, 242.9, LAMA),
irth
LAMA)
e to maternal pelvic abnormality

AMA), Obst.lab.due to maternal pelvic
y
AMA), Delivery by caesarean section, unspecified
.9, LAMA), Obst.lab.due to
elvic abnormality
AMA), Delivery by
ection, unspecified
.9, LAMA)
eri tempat ytt

AMA), Ge/Diare (A09.9,
, Dehydration (Volume depletion)
AMA), Tuber. of lung, confirmed by unspecified means (A15.3, 007.1, LAMA)
tuberculosis unspecified (A16.9, 007.9, LAMA)
LAMA), Acute pharyngitis - Includes: acute sore throat (J02,

A)
odborne intoxication, unspecified
LAMA), Dehydration (Volume depletion)
AMA)
.2, LAMA), Delivery by
ection, unspecified
.9, LAMA),
irth
LAMA)
.9, LAMA)
ewborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
hypert without sig.proteinuria

, LAMA)
diabetes mellitus with coma (E14.0, 104.9, LAMA),

elitus tidak tergantung
(E11,
U), Hypokalaemia (E87.6, 111, LAMA)
,
nspecified (J18, 169, LAMA), Chronic ischaemic heart disease
AMA)
& other soft tissue of head, face&neck (D21.0, 096.6, LAMA)
disorder, unspecified
7.9, LAMA)
emesis gravidarum (O21.0, 242.9, LAMA)
rupture of membranes
, LAMA), Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA),
.9, LAMA),
irth
ection,
LAMA) unspecified
,
mia, unspecified
LAMA)
, LAMA), Delivery by caesarean section, unspecified
.9, LAMA),
irth
LAMA)
gastritis (K29.1, 189.9, LAMA),
station
, LAMA)
, LAMA), Constipation
9, LAMA)
pneumonia
AMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
09.9,
AMA)
taneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
09.9,
AMA)
econd stage (of labour) (O63.1, 242.9, LAMA),

irth
LAMA)
urinary system, unspecified (N39.9, 217, LAMA), Iron deficiency anaemia - anaemia asiderotic (D50,
, LAMA), Delivery by caesarean section,
(O82.9, 242.9, LAMA),
irth
LAMA)
,
nspecified (j18, 169, LAMA), Other anaemias
AMA)
m haemorrhage, unspecified (O46.9, 238.9, LAMA),

caesarean section,
.9, LAMA)
, unspecified
LAMA), Cardiac arrest
AMA)
09.9,
AMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
.9, LAMA),
irth
LAMA)
taneous delivery, unspecified (O80.9, 243, LAMA), Other mater.dis.class.but comp.preg.,childbirt h (O99, 244, LAMA)
al failure (N18, 214.9, LAMA), Other specified anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA)
r and unspecified parts of face (D04.3,

A)
09.9,
AMA)
ders of amniotic fluid and membranes (o41,

A)
terine
nal bleeding, unspecified (N93.9, 233, LAMA)
abortion [See above for subdivisions] (o06,

A)
, LAMA), Delivery by caesarean section, unspecified
.9, LAMA)

.9, LAMA),
irth
LAMA)
Indigestion
LAMA), Vertigo
ess
ght-head edness (R42, 270.9, LAMA)

09.9,
AMA)
09.9,
, Ispa/Acute upper respiratory infection, unspecified (J06.9,
re for intrauterine death (O36.4, 239.9, LAMA),
due to uterine scar from
rg.
.9, LAMA),
mp. preg.,childbirth
puerperium
,.2,
LAMA),
LAMA), Other failed
Delivery by
fection,
labourunspecified
(O61.8, 242.9, LAMA)
.9, LAMA),
irth
LAMA)
ewborn affected by caesarean delivery (P03.4, 245, LAMA), Pneumonia, unspecified
LAMA), Fetus&newborn af.by
;unsp.con d.umbilical cord (P02.6, 245, LAMA)
ndicitis, unspecified
LAMA)
, LAMA), Other failed
f labour
.9, LAMA), Delivery by
ection, unspecified
.9, LAMA)
ewborn affected by caesarean delivery (P03.4, 245, LAMA),
vomiting
LAMA)
(O82.9, 242.9, LAMA)
(O82.9, 242.9, LAMA)

a NOS (R50.9, 268, LAMA),
a NOS
LAMA)
.9, LAMA),
mias
AMA)
.9, LAMA),
mias
AMA)
a of newborn, unspecified (P80.9, 253.9, LAMA)
09.9,
, Hypokalaemia (E87.6, 111, LAMA)

obstetric surgical wound
, LAMA)
ivery of second twin, triplet, etc. (O63.2,

A), Single live birth (Z37.0, 298, LAMA)
ewborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
, unspecified
on of unspecified site (B34, 041, LAMA), Anaemia, unspecified

tructive pulmonary disease, unspecified (J44.9,

, Hypertension - High blood pressure
AMA), Dyspepsia - Indigestion
LAMA)
eumonia, unspecified
specified as haemorrhage or infarction (I64, 155, LAMA),

on - High blood pressure
AMA)
, not elsewhere classified (R56, 270.3, LAMA), Maternal care for intrauterine death (O36.4, 239.9, LAMA)
09.9,
, Convulsions, not elsewhere classified (R56, 270.3, LAMA), Ispa/Acute upper respiratory infection, unspecified (J06.9,
isy, confir. bacteri & histologically
1, LAMA),
on - High
ure (I10, 145, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
A), Hypoglycaemia, unspecified
LAMA)

A), Other anaemias
AMA), Acute renal failure, unspecified
.9,

A),
lality and hyponatraemia (E87.1, 111, LAMA), Cardiac arrest
AMA)
.9, LAMA),
irth
LAMA)
a NOS (R50.9, 268, LAMA), Epilepsy
AMA), Ge/Diare (A09.9,
AMA)
ess
ght-head edness (R42, 270.9, LAMA),

tory of allergy, other than to ....... (Z91.0,
on, unspecified
LAMA) section, unspecified
caesarean
.9, LAMA),
re for signs of fetal hypoxia
.9,
irth
LAMA)
, unspecified
LAMA), Epilepsy, unspecified (G40.9, 124, LAMA)
ses of the
ewborn blood by caesarean delivery (P03.4, 245, LAMA)
affected
d-forming organs (O99.1,
,
.9, LAMA),
, LAMA),
mp. preg.,childbirth
puerperium
, LAMA),
LAMA), Dyspepsia
Single live -birth
Indigestion
(Z37.0, 298, LAMA)
LAMA)
09.9,
, Hypokalaemia (E87.6, 111, LAMA)

.2, LAMA),
kidney and ureter

AMA), Other and unspecified
osis (N13.3, 213.9, LAMA)
nd contact bleeding (N93.0, 233, LAMA), Other anaemias (D64, 098, LAMA), Chronic passive congestion of liver (K76.1, 194.9, LAMA),
A)
.9, LAMA),
irth
LAMA)
,
nspecified (J18, 169, LAMA), Ge/Diare (A09.9,

U), Bacterial infection,

LAMA)

.9, LAMA),
irth
LAMA)
unspecified abdominal pain (R10.4, 267, LAMA), Hypertension - High blood pressure
AMA)
7.9, LAMA)
cular disease, unspecified (I67.9, 156, LAMA)

.9, LAMA),
, LAMA),
irth
LAMA)
m haemorrhage, unspecified (O46.9, 238.9, LAMA)
caemia (A41, 017, LAMA), Cerebral infarction (I63, 154, LAMA)
re for disproportion, unspecified (O33.9, 239.9, LAMA)
09.9,
, Dyspepsia - Indigestion
LAMA), Hypokalaemia (E87.6, 111, LAMA)


.9, LAMA),
irth
taneous delivery
LAMA)Other immediate postpartum haemorrhage
AMA),
, LAMA), Anaemia comp.
irth
puerperium
, LAMA), Unspecified maternal hypertension
, LAMA), Single live birth (Z37.0, 298, LAMA)
ernia without obstruction or gangrene
LAMA)
yngitis, unspecified
0, LAMA), Arthrosis, unspecified
1, LAMA), Chronic nephritic
unspecified (N03.9, 212.9, LAMA),
mias
AMA)
AMA)
psis of newborn
AMA), Fetus and newborn affected by
elivery (P03.4, 245, LAMA), Congenital pneumonia,
LAMA)
specified (G40.9, 124, LAMA), Other and
injuries of ankle and foot
AMA)
7.9, LAMA)
nia (unilateral) NOS (K40.9, 187, LAMA)
heral vertigo - Lermoyez' syndrome

.9, LAMA),
AMA)

LAMA)
.9, LAMA),
due to uterine scar from previous surg. (O34.2, 239.9,
irth
d.LAMA)
of optic[2nd]nerve
al pathways (H47,
A),
tis - Optic (H46, 139.7, LAMA), Chronic viral
with delta-agent (B18.0, 038.9, LAMA)
mias (D64, 098, LAMA), Melaena
LAMA), Hypertension - High
ure
AMA)
er [classical dengue] (A90, 032.0, LAMA), Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
, Other anaemias (D64, 098, LAMA)

.9, LAMA),
induction of labour (O61.8, 242.9,
irth
LAMA)

.9, LAMA),
irth
LAMA)
09.9,
, Irritable bowel syndrome without diarrhoea
0, LAMA)
.9, BARU),
mias
AMA)

A),
lality and hyponatraemia (E87.1, 111, LAMA), Hypertension - High blood pressure
AMA)
09.9,
AMA)
dependent DM without complications (E11.9, 104.1, LAMA),
oedema - Acute oedema of
J81,
A), Hyperkalaemia (E87.5, 111, LAMA)

er - Infection due to Salmonella typhi (A01.0, 002, LAMA), Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
andof
ses other soft tissue of abdomen
the blood
.6, LAMA) organs (O99.1,
d-forming
, Delivery by caesarean section, unspecified
.9, LAMA),
re for breech presentation
.9,
oid
irthdan Paratifoid (A01, 002, LAMA),
Indigestion
LAMA)
LAMA)
J81,
A), Chronic renal failure, unspecified
.9, LAMA)
ewbornof
rupture affected by caesarean
membranes, delivery (P03.4, 245, LAMA)
unspecified
.2, LAMA),
sia (O14.1, 237.0, LAMA), Delivery by

ection, unspecified
.9,
irth
unspecified
A)
Dirujuk Ke
Periode : OKTOBER - 2018
∑= 62
Kode
Umur
Rawat
01 Baru 01-02-71-95 20-Sep-18 RI20180920-0004 TOTO KOSASIH L 69 4-Oct-18 ICU/3
Lama 01-02-67-47 23-Sep-18 RI20180923-0004 PARJIYEM P 43 2-Oct-18 3
Baru 01-02-73-31 24-Sep-18 RI20180924-0012 NANA SUPRIATNA L 33 3-Oct-18 3
Baru 01-02-75-40 26-Sep-18 RI20180926-0014 JUMIYATI P 49 3-Oct-18 3
Baru 01-02-75-37 26-Sep-18 RI20180926-0015 GERALD FEBRIANSYAH L 1 1-Oct-18 3
Lama 00-00-69-70 26-Sep-18 RI20180926-0017 RIZKY SALSABILAH P 20 1-Oct-18 3
Lama 00-00-80-81 26-Sep-18 RI20180926-0018 LIE KIM HOA P 64 2-Oct-18 2
Baru 01-02-75-58 27-Sep-18 RI20180927-0004 BY NY EMI L 0 1-Oct-18 PERINA
Baru 01-02-76-13 27-Sep-18 RI20180927-0018 SYAPRUDIN L 55 6-Oct-18 3
Lama 01-01-17-70 28-Sep-18 RI20180928-0005 L MULYANI P 43 2-Oct-18 ICU/2
Baru 01-02-76-84 28-Sep-18 RI20180928-0007 BY NY DYAH AYU SUSILOWATI P 0 1-Oct-18 BY
Baru 01-02-76-56 28-Sep-18 RI20180928-0012 ANI HANDAYANI P 24 1-Oct-18 3
Baru 01-02-63-81 28-Sep-18 RI20180928-0017 WATI P 66 4-Oct-18 3
Baru 01-02-77-17 28-Sep-18 RI20180928-0016 BY NY IRMA LESTARI P 0 5-Oct-18 PERINA
Baru 01-02-15-26 29-Sep-18 RI20180929-0003 SENNY JANIES P 26 1-Oct-18 2
Baru 01-02-77-33 29-Sep-18 RI20180929-0004 SITI SOLEHATUL P 17 1-Oct-18 3
Baru 01-02-77-44 29-Sep-18 RI20180929-0005 BY NY SENNY JANIES P 0 1-Oct-18 BY
Baru 01-02-77-48 29-Sep-18 RI20180929-0006 BY NY SITI SOLEHATUL P 0 1-Oct-18 PERINA
Baru 01-02-77-46 29-Sep-18 RI20180929-0007 YUNUS L 41 6-Oct-18 3
Baru 01-02-77-51 29-Sep-18 RI20180929-0008 BY NY ANI HANDAYANI P 0 1-Oct-18 BY
Baru 01-02-77-23 29-Sep-18 RI20180929-0009 TAN KHIE KHIOEN L 77 1-Oct-18 3

Baru 01-02-77-54 29-Sep-18 RI20180929-0010 UMI SALBIAH P 56 1-Oct-18 3
Baru 01-02-77-56 30-Sep-18 RI20180930-0001 DITA HENY MARYANTI P 33 1-Oct-18 3
Baru 01-02-77-57 30-Sep-18 RI20180930-0002 MUHAMAD SUHADA L 0 4-Oct-18 3
Baru 01-02-77-59 30-Sep-18 RI20180930-0003 NURHAYATI P 46 12-Oct-18 ICU/3
Baru 01-02-77-65 30-Sep-18 RI20180930-0004 AHMAD SUBHI MUBARAK L 0 3-Oct-18 PERINA
Baru 01-02-77-72 30-Sep-18 RI20180930-0005 TRI WINARSIH P 24 1-Oct-18 3
Lama 00-00-38-89 1-Oct-18 RI20181001-0001 HAFIZHA KHOIRO LUBNA ZAIN P 2 3-Oct-18
Baru 01-02-75-93 1-Oct-18 RI20181001-0002 SHARIRA ANNA LINGGA L 53 2-Oct-18
Baru 01-02-78-00 1-Oct-18 RI20181001-0003 PRAMONO UTOMO L 2 4-Oct-18
Lama 00-00-29-63 1-Oct-18 RI20181001-0004 MUHAMMAD FADLAN PRATAMA L 4 2-Oct-18
Baru 01-02-76-95 1-Oct-18 RI20181001-0005 BERLIANA P 18 2-Oct-18
Baru 01-02-77-07 1-Oct-18 RI20181001-0006 IRFAN ALI L 19 2-Oct-18
Baru 01-02-78-02 1-Oct-18 RI20181001-0007 DANI PRASONGKO L 20 2-Oct-18
Baru 01-02-77-27 1-Oct-18 RI20181001-0009 RETNOWATI P 34 3-Oct-18
Baru 01-02-78-51 1-Oct-18 RI20181001-0010 MUHAMMAD DZAWWAD AL HAQQI ZAIN L 9 3-Oct-18
Baru 01-02-78-52 1-Oct-18 RI20181001-0011 JAIMAH P 30 3-Oct-18
Baru 01-02-78-53 1-Oct-18 RI20181001-0012 RAHMA DEA BULAN SALSABILA P 12 2-Oct-18
Baru 01-02-73-50 1-Oct-18 RI20181001-0013 KAMSAH P 37 2-Oct-18
Baru 01-02-78-81 1-Oct-18 RI20181001-0014 LOI KIM SOI P 70 3-Oct-18
Baru 01-02-78-35 1-Oct-18 RI20181001-0015 MYSHA LOVELY SAN VALLERIE P 2 3-Oct-18
Baru 01-02-78-82 1-Oct-18 RI20181001-0016 RITA NURYANTI P 29 3-Oct-18
Baru 01-02-78-86 2-Oct-18 RI20181002-0001 BY NY RITA NURYANTI P 0 2-Oct-18
Baru 01-02-78-88 2-Oct-18 RI20181002-0003 BY NY JAIMAH P 0 3-Oct-18
Baru 01-02-78-85 2-Oct-18 RI20181002-0004 MARIATI P 20 3-Oct-18
Baru 01-02-74-96 2-Oct-18 RI20181002-0005 DARFAN FIRMANSYAH L 48 3-Oct-18
Baru 01-02-76-63 2-Oct-18 RI20181002-0006 ERI MAHYADI L 31 3-Oct-18

Baru 01-02-75-84 2-Oct-18 RI20181002-0007 MARNI P 55 3-Oct-18
Lama 01-02-40-66 2-Oct-18 RI20181002-0008 ASNARIAH P 54 4-Oct-18
Baru 01-02-79-38 2-Oct-18 RI20181002-0009 MASWIYAH P 73 2-Oct-18
Baru 01-02-78-36 2-Oct-18 RI20181002-0010 HERLINA SITUMORANG P 37 4-Oct-18
Baru 01-02-76-59 2-Oct-18 RI20181002-0011 ALIF FIBRIYANTO L 20 5-Oct-18
Baru 01-02-79-76 2-Oct-18 RI20181002-0012 SAMUDRA EKA PUTRA L 53 4-Oct-18
Baru 01-02-79-87 2-Oct-18 RI20181002-0013 HARIS TRI MISWANTO L 18 7-Oct-18
Baru 01-02-79-85 2-Oct-18 RI20181002-0014 FREY ASEGAF RIVANA L 0 4-Oct-18
Baru 01-02-79-90 2-Oct-18 RI20181002-0015 DIAN SUSANTI P 30 3-Oct-18
Baru 01-02-12-91 2-Oct-18 RI20181002-0016 USWATUN HASANAH P 24 5-Oct-18
Baru 01-02-79-92 2-Oct-18 RI20181002-0017 LIA HERIYANTO P 46 3-Oct-18
Lama 01-02-27-61 2-Oct-18 RI20181002-0018 ARKA PUTRA ALVARO L 2 4-Oct-18
Baru 01-01-35-26 2-Oct-18 RI20181003-0013 RUNTAH P 59 4-Oct-18
Baru 01-02-79-95 3-Oct-18 RI20181002-0019 NAURA ADEEVA AFSHEEN P 0 5-Oct-18
Lama 00-00-89-88 3-Oct-18 RI20181003-0001 SUMA L 60 4-Oct-18
Baru 01-02-79-96 3-Oct-18 RI20181003-0002 RIFAH CHOTIJAH P 38 4-Oct-18
Baru 01-02-79-97 3-Oct-18 RI20181003-0003 BY NY RIFAH CHOTIJAH P 0 4-Oct-18
Baru 01-02-63-32 3-Oct-18 RI20181003-0004 IIS SUTIAMAH P 24 5-Oct-18
Baru 01-02-73-19 3-Oct-18 RI20181003-0005 SYAKILA NATHANIA NALANI P 4 4-Oct-18
Baru 01-02-79-70 3-Oct-18 RI20181003-0006 SAFII L 50 4-Oct-18
Baru 00-00-19-92 3-Oct-18 RI20181003-0007 FEBY KARUNIAWATI P 32 4-Oct-18
Baru 01-02-78-62 3-Oct-18 RI20181003-0008 N NUR HOTIMAH P 44 4-Oct-18
Lama 00-00-36-54 3-Oct-18 RI20181003-0009 KASMIRA P 72 8-Oct-18
Baru 01-02-77-85 3-Oct-18 RI20181003-0010 DAUMAR L 51 4-Oct-18
Baru 01-02-80-10 3-Oct-18 RI20181003-0011 RUMIYANAH P 46 4-Oct-18
Baru 01-02-77-01 3-Oct-18 RI20181003-0012 INDAH AYI P 36 5-Oct-18

Baru 01-02-80-18 3-Oct-18 RI20181003-0014 BY NY IIS SUTIAMAH P 0 5-Oct-18
Baru 01-02-78-39 3-Oct-18 RI20181003-0015 RIMAH LOSARI P 70 4-Oct-18
Baru 01-02-75-11 3-Oct-18 RI20181003-0016 HASIRIN L 36 4-Oct-18
Lama 01-02-58-99 3-Oct-18 RI20181003-0017 DESY PERMATA INDAH P 36 4-Oct-18
Baru 01-02-73-34 3-Oct-18 RI20181003-0018 TENI P 33 5-Oct-18
Baru 01-02-78-41 3-Oct-18 RI20181003-0019 TASRI P 44 5-Oct-18
Baru 01-02-80-56 3-Oct-18 RI20181003-0020 BY NY INDAH AYI L 0 5-Oct-18
Baru 01-02-80-58 3-Oct-18 RI20181003-0021 JAYADI L 45 8-Oct-18
Baru 01-02-79-45 3-Oct-18 RI20181003-0022 NOVITA PERMATA SARI P 27 4-Oct-18
Lama 01-02-77-27 3-Oct-18 RI20181003-0023 RETNOWATI P 34 4-Oct-18
Baru 01-02-80-65 3-Oct-18 RI20181003-0024 SUNARTIYAH P 50 5-Oct-18
Baru 01-02-80-66 3-Oct-18 RI20181003-0026 BY NY TENI L 0 5-Oct-18
Baru 01-02-80-30 3-Oct-18 RI20181003-0027 MUHAMMAD ARSYA L 0 6-Oct-18
Baru 01-02-80-39 3-Oct-18 RI20181003-0028 RAMADHAN RAFAEL L 5 5-Oct-18
Baru 01-02-80-67 3-Oct-18 RI20181003-0029 ANGGRAINI PUTRI ROSADI P 1 6-Oct-18
Baru 01-02-80-70 3-Oct-18 RI20181003-0030 BY NY TASRI L 0 5-Oct-18
Baru 01-02-80-71 3-Oct-18 RI20181003-0031 NUR AINI P 25 6-Oct-18
Baru 01-02-80-73 4-Oct-18 RI20181004-0001 ENENG NUR HIKMAH P 26 5-Oct-18
Baru 01-02-71-47 4-Oct-18 RI20181004-0002 WARSILAH BT FANDELI P 54 5-Oct-18
Baru 01-02-67-07 4-Oct-18 RI20181004-0003 YULI SUSANA P 40 5-Oct-18
Baru 01-02-78-59 4-Oct-18 RI20181004-0004 INTAN P 25 6-Oct-18
Baru 00-00-07-04 4-Oct-18 RI20181004-0005 SAUEDY L 72 5-Oct-18
Baru 01-02-79-53 4-Oct-18 RI20181004-0006 JAMAH P 40 6-Oct-18
Baru 01-02-79-51 4-Oct-18 RI20181004-0007 SELVIA P 37 5-Oct-18
Baru 01-02-79-64 4-Oct-18 RI20181004-0008 ALIT L 26 5-Oct-18

Baru 01-02-81-09 4-Oct-18 RI20181004-0009 MUHAMAD EZA FADILAH L 5 8-Oct-18
Baru 01-02-79-56 4-Oct-18 RI20181004-0010 JENNY P 49 5-Oct-18
Baru 01-02-81-13 4-Oct-18 RI20181004-0011 SRI NGANATUN P 60 4-Oct-18
Baru 01-02-81-35 4-Oct-18 RI20181004-0012 BY NY NUR AINI P 0 6-Oct-18
Baru 01-02-81-39 4-Oct-18 RI20181004-0013 SAMUEL YONATHAN CAHYADI L 0 6-Oct-18
Baru 01-02-81-40 4-Oct-18 RI20181004-0014 EKA ARNI SAFITRI P 24 7-Oct-18
Baru 01-02-81-53 4-Oct-18 RI20181004-0015 MONICA CAROLIN MUMEK P 19 5-Oct-18
Baru 01-02-80-79 4-Oct-18 RI20181004-0016 SUPANI P 49 13-Oct-18
Baru 01-02-73-81 4-Oct-18 RI20181004-0017 SITI NURBAYA P 61 9-Oct-18
Baru 01-02-52-91 4-Oct-18 RI20181004-0018 GITA DAMAYANTI P 24 6-Oct-18
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Baru 01-02-99-95 24-Oct-18 RI20181024-0025 KURNIATIN P 30 29-Oct-18
Baru 01-02-99-97 24-Oct-18 RI20181024-0026 BY NY SANTA KRISTI L 0 2-Nov-18
Baru 01-02-73-61 24-Oct-18 RI20181024-0027 FERANIKA SIREGAR P 26 26-Oct-18
Baru 01-02-80-59 25-Oct-18 RI20181025-0002 JULIANA P 22 27-Oct-18
Baru 01-02-98-99 25-Oct-18 RI20181025-0003 NARTI P 47 26-Oct-18
Baru 01-02-98-95 25-Oct-18 RI20181025-0004 VINAMAFASE P 19 27-Oct-18
Baru 01-03-00-35 25-Oct-18 RI20181025-0005 TANIAH P 51 26-Oct-18
Baru 01-02-93-63 25-Oct-18 RI20181025-0006 DANI SAPUTRA L 6 28-Oct-18
Baru 01-03-00-43 25-Oct-18 RI20181025-0007 NENGSIH P 28 27-Oct-18
Baru 01-02-75-01 25-Oct-18 RI20181025-0008 SURANI TAN P 44 26-Oct-18
Baru 01-03-00-38 25-Oct-18 RI20181025-0009 HAFISTH IKHSAN MAULANA L 12 27-Oct-18
Baru 01-03-00-60 25-Oct-18 RI20181025-0010 BY NY JULIANA P 0 27-Oct-18
Baru 01-03-00-22 25-Oct-18 RI20181025-0012 TITO KUSUMA PUTRA L 24 27-Oct-18
Baru 01-03-00-73 25-Oct-18 RI20181025-0013 DASMI P 44 29-Oct-18
Baru 01-03-00-46 25-Oct-18 RI20181025-0014 SUKANAH P 27 26-Oct-18
Baru 01-03-00-77 25-Oct-18 RI20181025-0015 MAYA SARI P 32 26-Oct-18
Baru 01-03-00-08 25-Oct-18 RI20181025-0016 GUNAWAN SANUSI L 63 29-Oct-18
Lama 01-02-95-16 25-Oct-18 RI20181025-0017 SITI MANAWAROH P 37 30-Oct-18
Baru 01-03-00-92 25-Oct-18 RI20181025-0018 BY NY NENGSIH L 0 27-Oct-18
Baru 01-03-00-99 25-Oct-18 RI20181025-0019 SURMIATI P 36 27-Oct-18
Lama 01-02-81-56 25-Oct-18 RI20181025-0020 M HASAN L 75 1-Nov-18
Baru 01-03-01-00 25-Oct-18 RI20181025-0021 SIEN YEN P 16 29-Oct-18
Baru 01-03-01-03 25-Oct-18 RI20181025-0022 RINI CAHYANTI P 24 26-Oct-18
Baru 01-03-01-04 25-Oct-18 RI20181025-0023 SITI ALIYAH P 25 26-Oct-18

Baru 01-03-01-05 25-Oct-18 RI20181026-0001 BY NY SURMIATI P 0 27-Oct-18
Baru 01-03-01-32 26-Oct-18 RI20181026-0002 IIN HIDAYAH P 26 30-Oct-18
Baru 01-03-00-26 26-Oct-18 RI20181026-0003 SITTI SUASA P 73 27-Oct-18
Baru 01-03-00-37 26-Oct-18 RI20181026-0004 NUR INTANIA HASANAH P 16 27-Oct-18
Baru 01-03-01-43 26-Oct-18 RI20181026-0005 NENENG MUTHOHHAROH P 31 28-Oct-18
Baru 01-02-96-83 26-Oct-18 RI20181026-0006 NURMALA SAPITRI HASANAH P 21 27-Oct-18
Baru 01-03-01-36 26-Oct-18 RI20181026-0007 YUNUS JAYADI L 36 29-Oct-18
Baru 01-03-00-28 26-Oct-18 RI20181026-0008 LUSY P 38 27-Oct-18
Baru 01-03-00-85 26-Oct-18 RI20181026-0009 YULIANA P 34 28-Oct-18
Baru 01-02-58-30 26-Oct-18 RI20181026-0010 RISKA FEBRIANI P 24 27-Oct-18
Baru 01-03-01-58 26-Oct-18 RI20181026-0011 HAFID FADILLAH L 8 28-Oct-18
Baru 00-00-53-51 26-Oct-18 RI20181026-0012 SALMAH P 78 4-Nov-18
Baru 01-03-01-79 26-Oct-18 RI20181026-0013 RISAH P 70 5-Nov-18
Baru 01-03-01-89 26-Oct-18 RI20181026-0014 M ABDUR RAHMAN L 0 27-Oct-18
Baru 01-03-00-33 26-Oct-18 RI20181026-0015 WIWI ANGGRAENI P 30 28-Oct-18
Baru 01-03-01-91 26-Oct-18 RI20181026-0016 INDRA NUGRAHA SAPUTRA L 31 1-Nov-18
Baru 01-03-02-00 26-Oct-18 RI20181026-0017 BY NY YULIANA P 0 28-Oct-18
Baru 01-03-02-06 26-Oct-18 RI20181026-0018 BY NY WIWI ANGGRAENI L 0 28-Oct-18
Baru 01-03-01-97 26-Oct-18 RI20181026-0019 KHSAN DIKA PANGGALIH L 10 29-Oct-18
Baru 01-03-02-07 26-Oct-18 RI20181026-0020 ANITA WATI P 26 30-Oct-18
Baru 01-02-99-51 26-Oct-18 RI20181026-0021 HETI PRIYANTI P 24 27-Oct-18
Lama 01-02-70-81 26-Oct-18 RI20181026-0022 ARINAH P 55 27-Oct-18
Baru 01-03-02-09 26-Oct-18 RI20181026-0023 BY NY NENENG MUTHOHHAROH P 0 28-Oct-18
Baru 01-03-02-12 27-Oct-18 RI20181027-0001 SITI JENAB P 29 28-Oct-18

Baru 01-03-02-17 27-Oct-18 RI20181027-0002 BY NY SITI JENAB L 0 29-Oct-18
Baru 01-02-99-22 27-Oct-18 RI20181027-0003 SRI MULYANI P 32 28-Oct-18
Baru 01-03-00-59 27-Oct-18 RI20181027-0004 SRI SUPRIHATIN P 36 30-Oct-18
Baru 01-03-02-20 27-Oct-18 RI20181027-0005 JONI L 48 29-Oct-18
Baru 01-03-02-05 27-Oct-18 RI20181027-0006 NENGSIH KURNIA P 32 30-Oct-18
Baru 01-03-02-34 27-Oct-18 RI20181027-0007 ARNI IDAWATI P 25 30-Oct-18
Baru 01-03-02-42 27-Oct-18 RI20181027-0008 DENI KUSMIATI P 20 29-Oct-18
Baru 01-03-02-45 27-Oct-18 RI20181027-0009 BY NY DENI KUSMIATI L 0 29-Oct-18
Baru 01-02-95-07 27-Oct-18 RI20181027-0010 SIFERAWATI WANGSA P 31 28-Oct-18
Baru 01-03-02-52 27-Oct-18 RI20181027-0011 BY NY ANITA WATI L 0 30-Oct-18
Baru 01-03-02-50 27-Oct-18 RI20181027-0012 RANIA P 1 29-Oct-18
Baru 01-03-02-57 27-Oct-18 RI20181027-0013 BY NY ARNI IDAWATI L 0 30-Oct-18
Baru 01-03-02-58 27-Oct-18 RI20181027-0014 BY NY SRI SUPRIHATIN P 0 30-Oct-18
Baru 01-03-02-59 27-Oct-18 RI20181027-0015 EKA YULIAWATI P 40 31-Oct-18
Baru 01-03-02-55 27-Oct-18 RI20181027-0016 DIMAS EDITAMA L 3 30-Oct-18
Baru 01-03-02-60 27-Oct-18 RI20181027-0018 JIHAN SABILLA P 19 31-Oct-18
Baru 01-03-02-61 27-Oct-18 RI20181027-0019 SUHARTINI P 38 28-Oct-18
Lama 01-02-79-90 27-Oct-18 RI20181028-0001 DIAN SUSANTI P 30 30-Oct-18
Lama 01-02-25-66 28-Oct-18 RI20181028-0002 ALFIAN SEPTIANSYAH WAKKARY L 2 31-Oct-18
Baru 01-03-02-62 28-Oct-18 RI20181028-0003 JOHANES DJAJA L 59 3-Nov-18
Baru 01-03-02-67 28-Oct-18 RI20181028-0004 BY NY EKA YULIAWATI P 0 31-Oct-18
Baru 01-03-02-66 28-Oct-18 RI20181028-0005 MELIANA P 26 30-Oct-18
Baru 01-03-02-53 28-Oct-18 RI20181028-0006 CHLOE GABRIELLA P 1 30-Oct-18
Lama 01-02-96-77 28-Oct-18 RI20181028-0007 ANISHA NURMAYANTI P 25 29-Oct-18
Baru 01-02-98-12 28-Oct-18 RI20181028-0008 SARINTEN P 53 30-Oct-18
Lama 01-01-33-88 28-Oct-18 RI20181028-0009 WINARTI P 31 4-Nov-18
Lama 01-02-72-04 28-Oct-18 RI20181028-0010 WARLIANTI P 40 31-Oct-18
Baru 01-03-02-85 29-Oct-18 RI20181029-0001 SAMINI P 37 30-Oct-18

Baru 01-02-85-98 29-Oct-18 RI20181029-0002 WARNINGSIH P 62 2-Nov-18
Baru 01-03-02-86 29-Oct-18 RI20181029-0003 IRMA NAMIRA P 18 31-Oct-18
Baru 01-02-79-72 29-Oct-18 RI20181029-0004 SAAMAH P 44 1-Nov-18
Baru 01-03-00-95 29-Oct-18 RI20181029-0005 YANTI P 35 31-Oct-18
Lama 01-02-32-80 29-Oct-18 RI20181029-0006 AZKA KURNIA L 0 31-Oct-18
Baru 01-03-03-07 29-Oct-18 RI20181029-0007 DEWI WAHYUNI P 33 1-Nov-18
Baru 01-03-03-08 29-Oct-18 RI20181029-0008 SITI HADIJAH P 31 31-Oct-18
Baru 01-02-93-27 29-Oct-18 RI20181029-0009 WULAN LAKSITA P 18 30-Oct-18
Baru 01-03-03-25 29-Oct-18 RI20181029-0010 BY NY IRMA NAMIRA P 0 31-Oct-18
Lama 01-01-88-76 29-Oct-18 RI20181029-0012 NURAINI P 29 30-Oct-18
Baru 01-03-03-28 29-Oct-18 RI20181029-0013 DIANA P 27 31-Oct-18
Baru 01-03-03-51 29-Oct-18 RI20181029-0014 BY NY WARLIANTI L 0 31-Oct-18
Baru 01-03-03-48 29-Oct-18 RI20181029-0015 ADITTIA RAMDHANI L 1 1-Nov-18
Lama 01-02-70-70 29-Oct-18 RI20181029-0016 SAENI P 50 7-Nov-18
Baru 01-03-03-77 29-Oct-18 RI20181029-0017 BY NY DEWI WAHYUNI L 0
Baru 01-03-03-67 29-Oct-18 RI20181029-0018 BY NY NOVILIYANTI L 0 1-Nov-18
Baru 01-03-03-85 29-Oct-18 RI20181029-0019 BY NY SITI HADIJAH P 0 31-Oct-18
Baru 01-03-03-88 29-Oct-18 RI20181029-0020 NUR YANTINI P 39 2-Nov-18
Baru 01-03-03-66 29-Oct-18 RI20181029-0021 NOVA FADILLA P 13 3-Nov-18
Baru 01-03-03-97 29-Oct-18 RI20181029-0022 BY NY DIANA L 0 31-Oct-18
Baru 01-03-04-10 29-Oct-18 RI20181029-0024 WAHYUNI P 26 31-Oct-18
Baru 01-03-04-04 29-Oct-18 RI20181029-0025 ELY FITRIYANTI P 30 31-Oct-18
Baru 01-03-04-18 29-Oct-18 RI20181029-0026 KELVIN ANDRIANSYAH MAULANA L 10 1-Nov-18
Lama 01-02-09-84 29-Oct-18 RI20181029-0027 SAFITRI P 19 1-Nov-18
Baru 01-03-04-29 30-Oct-18 RI20181030-0001 HERDIFA P 0 2-Nov-18
Baru 01-02-77-00 30-Oct-18 RI20181030-0003 PARTINAH LANDJAR PRIHATIN P 41 31-Oct-18
Baru 01-02-79-67 30-Oct-18 RI20181030-0004 OKTI SUNARTI P 35 31-Oct-18

Baru 01-03-00-97 30-Oct-18 RI20181030-0005 YANI P 32 31-Oct-18
Baru 01-03-03-99 30-Oct-18 RI20181030-0006 IKA PURWANTI P 31 1-Nov-18
Baru 01-03-03-31 30-Oct-18 RI20181030-0007 SUS SUNYOTO L 47 31-Oct-18
Baru 01-03-02-82 30-Oct-18 RI20181030-0008 THE SIN LIAN L 61 1-Nov-18
Baru 01-02-84-00 30-Oct-18 RI20181030-0009 SUMIATI P 27 31-Oct-18
Baru 01-02-91-63 30-Oct-18 RI20181030-0010 CHOMSIATUN P 30 1-Nov-18
Baru 01-03-03-32 30-Oct-18 RI20181030-0011 AMINUDIN L 43 31-Oct-18
Baru 01-02-99-74 30-Oct-18 RI20181030-0012 FIFIN FINA FAUZIAH P 14 5-Nov-18
Baru 01-03-03-40 30-Oct-18 RI20181030-0013 JARIMIATUN P 21 30-Oct-18
Baru 01-03-02-30 30-Oct-18 RI20181030-0014 AYU P 30 31-Oct-18
Baru 01-03-03-45 30-Oct-18 RI20181030-0015 ABIDIN DAUD L 57 1-Nov-18
Baru 01-03-03-70 30-Oct-18 RI20181030-0016 TESNELTI P 35 31-Oct-18
Baru 01-02-86-40 30-Oct-18 RI20181030-0017 TITI P 59 31-Oct-18
Baru 01-03-04-55 30-Oct-18 RI20181030-0018 FAIZAL PELU L 23 3-Nov-18
Baru 01-03-04-68 30-Oct-18 RI20181030-0019 OKTAVIANI PRIHARTININGSIH P 34 1-Nov-18
Baru 01-03-04-73 30-Oct-18 RI20181030-0020 INDRA ADITYA SAPUTRA L 14 3-Nov-18
Lama 00-00-99-03 30-Oct-18 RI20181030-0021 ABDUL GHANI YAZID KHAIRY L 1 2-Nov-18
Baru 01-03-04-79 30-Oct-18 RI20181030-0022 HETTY MURNIATI P 71 2-Nov-18
Baru 01-03-04-82 30-Oct-18 RI20181030-0023 BY NY OKTAVIANI PRIHATINNINGSIH L 0 1-Nov-18
Baru 01-02-31-14 30-Oct-18 RI20181030-0024 SITI ALIYAH ULFA P 21 1-Nov-18
Baru 01-03-04-94 30-Oct-18 RI20181030-0026 KARSINI P 42 1-Nov-18
Baru 01-02-84-63 30-Oct-18 RI20181030-0027 SULAIDAH P 51 31-Oct-18
Baru 01-03-04-98 30-Oct-18 RI20181030-0028 BY NY CHOMSIATUN P 0 1-Nov-18
Baru 01-03-05-01 30-Oct-18 RI20181030-0029 BY NY KARSINI P 0 1-Nov-18
Baru 01-03-05-08 30-Oct-18 RI20181030-0030 AGUS SUSANTO L 43 31-Oct-18

Baru 01-03-05-09 30-Oct-18 RI20181030-0031 MAESAROH P 34 1-Nov-18
Baru 01-03-05-10 30-Oct-18 RI20181030-0032 BY NY MAESAROH L 0 1-Nov-18
Baru 01-03-05-11 31-Oct-18 RI20181031-0001 BY NY SITI ALIYAH ULFA P 0 1-Nov-18
Lama 00-00-40-57 31-Oct-18 RI20181031-0002 PERIONGGO L 53 8-Nov-18
Lama 01-02-29-98 31-Oct-18 RI20181031-0003 SITI UMI SALAMAH P 40 2-Nov-18
Baru 01-02-21-45 31-Oct-18 RI20181031-0004 MARYANTI P 30 2-Nov-18
Baru 01-03-05-34 31-Oct-18 RI20181031-0005 ARFAN APRILIA P 1 5-Nov-18
Baru 01-03-04-51 31-Oct-18 RI20181031-0006 FITRIYA P 30 1-Nov-18
Baru 01-03-03-23 31-Oct-18 RI20181031-0007 MARYUNI P 37 1-Nov-18
Baru 01-03-03-13 31-Oct-18 RI20181031-0008 TUTI ANDAYANI P 36 1-Nov-18
Baru 01-03-05-52 31-Oct-18 RI20181031-0009 BY NY SITI UMI SALAMAH L 0 2-Nov-18
Baru 01-03-04-50 31-Oct-18 RI20181031-0010 ROSMINI P 38 31-Oct-18
Baru 01-03-04-22 31-Oct-18 RI20181031-0011 HARTANTO LIM L 66 1-Nov-18
Baru 01-02-59-76 31-Oct-18 RI20181031-0012 THERESIA AQUINO P 20 3-Nov-18
Lama 01-01-36-80 31-Oct-18 RI20181031-0013 REVAN KAYSA ALVARO L 1 2-Nov-18
Baru 01-02-94-96 31-Oct-18 RI20181031-0014 GITA MAGDALENA WIGUNA P 20 1-Nov-18
Lama 00-00-76-22 31-Oct-18 RI20181031-0015 RIFANA ARISTIANI P 23 3-Nov-18
Baru 01-03-05-44 31-Oct-18 RI20181031-0016 LAILAH P 37 1-Nov-18
Lama 01-01-13-40 31-Oct-18 RI20181031-0017 LIESYE HERJANTHI P 51 4-Nov-18
Lama 01-02-26-57 31-Oct-18 RI20181031-0018 MUHAMMAD ARFAN MUDZAKIR L 0 4-Nov-18
Baru 01-03-05-88 31-Oct-18 RI20181031-0019 BY NY MARYANTI P 0 2-Nov-18

LT005
III (521-E), ICU(26-30) dr. Martin Winardi, Sp.PD 15 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01),
04 (598-A)
LT005
08 (520)

04 (599-B)

06 (522-C)

06 (526-A)

06 (522-D)

05 (510-B)
ZZ086
10 (PERI001-B)
LT005
I (599-L), ICU dr. Martin Winardi, Sp.PD 10 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (521-B)
LT005
II (509 B), ICU(28-30) dr. Budi Irawan, Sp. B 5 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01),
06 (522-E)

09 (201-M)


04 (599-J)
ZZ086
10 (PERI001-A)



09 (201-B)
ZZ086
RUANG BAYI (201-A),
PERINATOLOGI dr. Juliawaty Salim, Sp. A 3 BPJS KESEHATAN BELUM SEMBUH
(PERI001-C), RUANG
BAYI (201-A),
10 (PERI001-C)
06 (521-A)

09 (201-H)

06 (521-B)
05 (528-A)

06 (523-A)

06 (526-B)
LT005
III (522-A), ICU(30-10)
(90901-01), I (525), dr. Martin Winardi, Sp.PD 13 BPJS KESEHATAN DIIZINKAN PULANG
ICU
(90901-01),
06 (599-M)

10 (PERI001-D)
06 (523-C)
06 (526-C)
06 (521-C)
dr. Juliawaty Salim, Sp. A
06 (526-D) ANAK

04 (525)

06 (522-B)
06 (521-D)
05 (527-A) Sp.OT
02 (503)
04 (599-D) ANAK

06 (523-A)

04 (599-A)
06 (523-B)
dr. Martin Winardi, Sp.PD

05 (527-B) PENYAKIT DALAM

04 (599-E) ANAK

06 (523-C)

09 (201-A)
09 (201-G) ANAK
06 (522-D) PENYAKIT DALAM
dr. Tjhin Sun Fu, Sp.B
06 (521-B) BEDAH
06 (521-E) BEDAH
04 (599-F) BEDAH

04 (516) PENYAKIT DALAM
LT005 dr. Hendradi Khumarga, 1 PRIBADI DIIZINKAN PULANG

04 (599-G) Sp.OT

LT005 dr. Hendradi Khumarga, 4 BPJS KESEHATAN DIIZINKAN PULANG

04 (599-C) Sp.OT
05 (528-A)
04 (599-H) PENYAKIT DALAM
04 (599-I) ANAK
LT005
05 (509-A)

05 (510-A)

06 (523-B)
04 (599-A) ANAK
dr. Muhammad Edrial
06 (522-E) MATA
09 (201-I) ANAK

06 (521-C) PENYAKIT DALAM
dr. Ronald David, Sp.OG

05 (509 B) OBSTETRI DAN GINEKOLOGI
09 (201-K) ANAK

04 (599-K)

04 (599-G) BEDAH
05 (512-B)
dr. Ronald David, Sp.OG
05 (510-B) OBSTETRI DAN GINEKOLOGI
06 (522-B)

04 (599-L) PENYAKIT DALAM

04 (517)
LT005 dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN TIDAK SEMBUH
04 (518)

06 (523-D)
09 (201-Q) ANAK
04 (599-B)
06 (521-D)
04 (525)

06 (523-A)


09 (201-A) ANAK
06 (521-E) PENYAKIT DALAM
06 (523-B)
02 (501)
06 (522-A) PENYAKIT DALAM
09 (201-B) ANAK
05 (528-B) ANAK
04 (599-F) ANAK
LT005
ICU dr. Arief Gunadi, Sp. A 4 PRIBADI DIIZINKAN PULANG
(90902-01),
05 (528-A)

09 (201-C) ANAK

04 (599-D)

04 (599-E)

04 (518) BEDAH
04 (599-B) BEDAH

05 (509-A)

06 (526-C)
06 (522-C)
06 (522-D)
04 (599-J)
I (598-A), ICU 5 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01), ANAK
04 (518)
05 (527-A)
ZZ089 1 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90903-01) PENYAKIT DALAM
09 (201-D) ANAK
09 (201-E) ANAK
LT005
LT005
06 (523-C) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (522-E) 10 BPJS KESEHATAN MENINGGAL < 48 JAM
PENYAKIT DALAM

LT005

09 (201-F) ANAK

III (526-B), ICU 5 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01), ANAK
06 (526-D)

05 (508 A) PENYAKIT DALAM
09 (201-G)
04 (599-G)
04 (599-I) Sentosa,Sp.OG
04 (507)
06 (526-D)

05 (512-A)

04 (525)
06 (523-C)

06 (521-D)

04 (516)
04 (517)

06 (521-C)
NON KELAS (999-99), 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-A) ANAK
LT005
04 (599-J) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG

LT005 2 PRIBADI TIDAK SEMBUH
02 (502) ANAK
09 (201-H) ANAK
05 (508 B)

05 (509 B)

09 (201-C) ANAK
04 (599-K) ANAK
09 (201-J) ANAK
VIP (505), 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-A) ANAK
LT005
05 (510-A) dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
LT005

06 (523-D)
09 (201-A) ANAK
09 (201-B) ANAK
09 (201-I) ANAK
06 (522-A)
04 (598-A)
06 (522-D)
04 (599-C)
09 (201-K) ANAK
04 (599-F)
04 (599-I)
05 (527-A)
05 (512-B)
05 (510-B)
05 (508 A) PENYAKIT DALAM
LT005
NON KELAS (999-99), dr. Johny Setio, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-G)

06 (526-B) ANAK
RUANG BAYI (201-L), 4 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-A) ANAK
09 (201-M) ANAK
09 (201-N) ANAK

II (528-A), 3 BPJS KESEHATAN DIIZINKAN PULANG
Sentosa,Sp.OG
04 (599-G)

09 (201-D) ANAK
LT005
II (528-B), dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
04 (507)
RUANG BAYI (201-E), 4 PRIBADI DIIZINKAN PULANG
10 (PERI001-B) ANAK
LT005

06 (523-C)
I (599-D), 7 PRIBADI DIIZINKAN PULANG
06 (526-C) ANAK
05 (510-A)
05 (510-B)
RUANG BAYI (201-G), 6 PRIBADI BELUM SEMBUH
10 (PERI001-F) ANAK
05 (528-A) ANAK
06 (526-A) ANAK

04 (525)

LT005
06 (521-A) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
04 (599-B) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
LT005 dr. Hendradi Khumarga,

05 (527-A) Sp.OT 3 BPJS KESEHATAN DIIZINKAN PULANG
06 (523-D)
06 (522-D)

04 (599-C)

04 (598-A)
LT005
05 (508 B)
09 (201-E) ANAK


09 (201-A) ANAK

06 (521-C)

09 (201-L)
LT005
05 (509 B)

06 (526-D) ANAK
04 (599-F) ANAK
04 (599-H)
10 (PERI001-G) ANAK
10 (PERI001-C) ANAK
04 (599-G)
04 (599-J)
04 (599-L)
09 (201-B) ANAK
LT005
06 (521-C)
09 (201-C) ANAK
04 (518)
04 (517)
06 (522-A)
04 (599-G)
04 (599-I) ANAK

04 (599-J)

05 (528-B) ANAK
06 (521-D)
06 (522-C)
LT005
I (599-B), dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
02 (505)
04 (599-K)
06 (523-A)

06 (521-A)

04 (507)
05 (512-B)
06 (523-B)
09 (201-D) ANAK
09 (201-F) ANAK

I (599-H), 3 BPJS KESEHATAN DIIZINKAN PULANG

05 (527-B)
III (521-E), ICU 13 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01), PENYAKIT DALAM
06 (521-E)
05 (510-A)
LT005
NON KELAS (999-99), dr. Johny Setio, Sp.OG 5 BPJS KESEHATAN DIIZINKAN PULANG
05 (508 B)

09 (201-G) ANAK

05 (509-A)
LT005
05 (508 B)

04 (599-H)
04 (598-A)
04 (599-D)
04 (599-B)
Sentosa,Sp.OG
02 (501)
02 (501)
09 (201-H) ANAK
04 (525)
09 (201-I) ANAK
ZZ089
ICU
(90902-01), III (599-M), dr. Erniody, Sp.An 6 BPJS KESEHATAN MENINGGAL >= 48 JAM
07 (90902-01)

09 (201-J) ANAK

04 (599-G)
LT005
04 (599-J) dr. Budi Irawan, Sp. B 3 BPJS KESEHATAN DIIZINKAN PULANG

05 (510-A)

06 (526-B)
09 (201-E) ANAK
04 (599-K)
dr. Muhammad Edrial
04 (517) MATA
05 (509 B)
ZZ089 dr. Martin Winardi, Sp.PD
II (510-B), 3 BPJS KESEHATAN MENINGGAL < 48 JAM

06 (599-N)

06 (599-Q)

09 (201-K) ANAK
05 (510-B)
06 (599-O)
04 (507)
04 (599-K) PENYAKIT DALAM
04 (599-A)
09 (201-L)
05 (528-A)
06 (599-R)
06 (599-P) PENYAKIT DALAM
LT005
06 (523-C)
LT005 10 BPJS KESEHATAN BELUM SEMBUH
04 (599-F)

04 (599-H)

04 (599-L) ANAK
dr. Vidhia Umami. Sp.PD
06 (599-S) PENYAKIT DALAM

04 (516)

05 (508 B)
ZZ088
RUANG BAYI (201-F), dr. Juliawaty Salim, Sp. A
PERINATOLOGI 5 PRIBADI DIIZINKAN PULANG
(PERI001-A), ANAK
09 (201-B)

06 (523-A)

06 (526-A) ANAK
LT005
VIP (505), dr. Evy Asali, Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG
06 (599-V)

09 (201-B) ANAK
04 (599-I) PENYAKIT DALAM
06 (523-D)
09 (201-C) ANAK
06 (599-U) PENYAKIT DALAM
LT005
06 (599-T)
LT005
06 (599-Q) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
06 (526-B) ANAK
06 (521-A)
06 (526-C)
06 (522-C)


09 (201-D) ANAK
09 (201-F) ANAK
LT005
05 (512-B)

04 (599-J) PENYAKIT DALAM

09 (201-G) ANAK
05 (512-A)


04 (598-A) ANAK
LT005
06 (599-M) dr. Johny Setio, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG

04 (599-H)
06 (599-O) ANAK
09 (201-I) ANAK
09 (201-M) ANAK
09 (201-B) ANAK
05 (509-A)
04 (507) ANAK
I (599-G), 6 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-G)
02 (503)
05 (508 B)
05 (510-B)
05 (528-A) ANAK
02 (501)
06 (521-E)

04 (599-B)

06 (599-R) Sentosa,Sp.OG
RUANG BAYI (201-E), 20 BPJS KESEHATAN DIIZINKAN PULANG
10 (PERI001-B) ANAK

05 (510-A)
LT005
ZZ088
09 (201-E) dr. Arief Gunadi, Sp. A 4 PRIBADI DIIZINKAN PULANG

06 (526-C) ANAK
LT005
05 (510-B)

06 (523-C)

04 (599-H) ANAK
09 (201-J)
09 (201-H)
02 (519-A)
06 (526-D) ANAK

06 (599-N) Sentosa,Sp.OG
LT005
ZZ086
PERINATOLOGI dr. Juliawaty Salim, Sp. A
(PERI001-C), RUANG 4 BPJS KESEHATAN DIIZINKAN PULANG
BAYI (201-C), ANAK
10 (PERI001-A)

04 (525) ANAK
09 (201-A) ANAK
06 (521-B)
06 (522-C)
06 (523-A)
06 (522-D)
06 (522-E)
04 (599-K)
06 (521-C)
05 (508 A)
04 (599-F) PENYAKIT DALAM
06 (522-B)
06 (526-A) ANAK
LT005

04 (516) ANAK
05 (508 B)
06 (526-B) ANAK


05 (528-B) ANAK

04 (599-G) ANAK
04 (599-B)
04 (599-L)
LT005
05 (508 B)

04 (517)

06 (523-B)

04 (599-K)
04 (518) Sp.OT
06 (523-D)
06 (522-B) Sp.OT
09 (201-C) ANAK
05 (510-A)
05 (509 B)
05 (527-B)
dr. Sandraningrum, Sp.M
04 (599-E) MATA
06 (599-M)

06 (599-P)

04 (507) ANAK
06 (521-D) ANAK
09 (201-D) ANAK
10 (PERI001-C) ANAK
09 (201-A) ANAK
04 (599-C)
06 (599-Q)
05 (510-B)
06 (599-R)

06 (599-S)


06 (599-T) PENYAKIT DALAM

06 (599-U) Sentosa,Sp.OG

06 (599-V) ANAK

04 (599-I) Sentosa,Sp.OG

09 (201-E) ANAK
09 (201-F)
06 (599-N)
09 (201-H) ANAK
09 (201-B) ANAK
06 (523-C)

06 (523-D)
06 (599-O)

05 (512-A)

III (522-B), 4 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-H)
05 (512-B)
06 (521-C)
09 (201-G) ANAK
LT005
06 (522-C) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005

09 (201-I) ANAK
05 (508 A)
06 (522-D)

04 (599-K)

06 (526-C) ANAK
06 (599-M)
09 (201-J) ANAK
09 (201-K) ANAK
06 (521-B)
06 (526-D) ANAK

06 (599-R)


05 (528-A)

09 (201-L) ANAK
05 (527-B) ANAK
09 (201-M) ANAK
06 (599-P)
05 (509-A)
09 (201-N) ANAK
06 (523-B)
ZZ088 dr. Evy Asali, Sp.OG 1 PRIBADI MENINGGAL < 48 JAM
09 (201-O)
ZZ088 dr. Evy Asali, Sp.OG 1 PRIBADI MENINGGAL >= 48 JAM
09 (201-P)
06 (522-B)
04 (599-B)
LT005
II (510-A), dr. Budi Irawan, Sp. B 11 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-A)
05 (527-A)
04 (516)
09 (201-Q) ANAK
LT005

09 (201-A) ANAK

04 (599-G)

04 (598-A) ANAK


06 (522-C) Sp.OT
06 (522-D)

04 (599-H) PENYAKIT DALAM

06 (599-Q) PENYAKIT DALAM

06 (526-A) ANAK
06 (599-M) ANAK
06 (599-U) ANAK
06 (599-V) ANAK
06 (523-A)
04 (599-F)
06 (521-A)
06 (522-A)
06 (526-B)
05 (512-B)
05 (528-B)
05 (509 B)
05 (508 A)
04 (517)
04 (518)
05 (527-B) ANAK

06 (599-S)

09 (201-B) ANAK
ZZ088
RUANG BAYI (201-C), dr. Juliawaty Salim, Sp. A
PERINATOLOGI 5 BPJS KESEHATAN DIIZINKAN PULANG
(PERI001-A), ANAK
09 (201-N)

05 (508 B)
09 (201-D) ANAK
06 (526-C) ANAK
06 (599-O) ANAK
09 (201-E) ANAK
06 (523-C)
LT005 2 PRIBADI BELUM SEMBUH
05 (527-A) ANAK
09 (201-F) ANAK
05 (510-B) ANAK


06 (523-D)
09 (201-G) ANAK
06 (599-R) ANAK

04 (599-D)
04 (507)
LT005
III (523-B), dr. Evy Asali, Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
04 (516)
04 (599-G)
06 (521-B)

06 (599-P)

09 (201-A) ANAK
04 (599-E) ANAK
ZZ088
RUANG BAYI (201-C),
(PERI001-C), RUANG 8 BPJS KESEHATAN DIIZINKAN PULANG
BAYI (201-N), ANAK
PERINATOLOGI
(PERI001-H),
09 (201-Q)

09 (201-H) ANAK

04 (599-H)

04 (599-J)
09 (201-I) ANAK
05 (509-A)

04 (599-L)

04 (599-K) PENYAKIT DALAM
LT005
III (521-A), ICU dr. Budi Irawan, Sp. B 8 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01),
06 (522-A)
LT005
06 (599-S) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (599-T) Sentosa,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (599-U) dr. Johny Setio, Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (599-V) PENYAKIT DALAM

04 (598-A)

05 (527-A) ANAK
09 (201-J) ANAK
09 (201-K) ANAK
09 (201-L) ANAK
06 (526-D) ANAK
06 (599-O)

04 (599-F)

09 (201-M) ANAK
09 (201-F) ANAK

06 (523-B)

LT005
VIP (505), dr. Budi Irawan, Sp. B 7 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-K)
02 (503)
05 (508 B)
LT005
III (522-A), ICU dr. Hendradi Khumarga, 9 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01), Sp.OT
06 (599-O)
09 (201-C) ANAK
09 (201-O) ANAK

06 (522-C)

06 (523-A)

06 (522-E)
09 (201-P) ANAK



05 (528-B)

05 (509 B)

ZZ086
(PERI001-D), RUANG 4 PRIBADI DIIZINKAN PULANG
BAYI (201-E), ANAK
10 (PERI001-D)

09 (201-Q) ANAK
LT005

09 (201-A) ANAK


04 (518)
06 (523-C)
04 (599-D)
05 (510-A) Sp.OT
06 (599-S)
09 (201-B) ANAK
04 (599-F)

04 (599-G)

04 (599-K)

09 (201-D) ANAK
05 (527-A) Sentosa,Sp.OG 3 PRIBADI DIIZINKAN PULANG

06 (599-R)
06 (526-D) ANAK
06 (523-D)
LT005
III (599-N),
PERINATOLOGI dr. Johny Setio, Sp.OG 2 PRIBADI DIIZINKAN PULANG
(PERI001-E),
06 (522-E)

09 (201-E) ANAK
ZZ086
RUANG BAYI (201-G), dr. Juliawaty Salim, Sp. A
PERINATOLOGI 6 PRIBADI DIIZINKAN PULANG
(PERI001-E), RUANG ANAK
BAYI (201-A),
10 (PERI001-A)
04 (525)

09 (201-H) ANAK
04 (599-B) ANAK
RUANG BAYI (201-M), 10 PRIBADI DIIZINKAN PULANG
10 (PERI001-G) ANAK
06 (599-V)

06 (599-N)

04 (599-H)
06 (522-B)
06 (599-P)
05 (509 B) ANAK

06 (599-T)

05 (508 B)
06 (599-U) ANAK
09 (201-G) ANAK
06 (599-S) PENYAKIT DALAM
LT005
04 (598-A)
05 (510-B)
04 (598-A)
06 (521-C) Sp.OT
LT005
06 (523-B)
09 (201-C) ANAK
04 (599-D)
ZZ089
III (599-R), dr. Budi Irawan, Sp. B 8 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
06 (526-C) ANAK
04 (507)
06 (599-Q)
09 (201-A) ANAK
06 (522-E) Sentosa,Sp.OG
LT005
III (523-A), dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
04 (599-A)
04 (517)

06 (523-A)

04 (516)
LT005
06 (599-P) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG
LT005
06 (599-V)
LT005
06 (526-D) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG

06 (521-E) ANAK
LT005 dr. Vidhia Umami. Sp.PD

III (599-Q), ICU 10 BPJS KESEHATAN DIIZINKAN PULANG
(90901-01), PENYAKIT DALAM
06 (522-C)
ZZ089
I (599-E), dr. Budi Irawan, Sp. B 11 BPJS KESEHATAN DIIZINKAN PULANG
07 (90902-01)
III (599-Q), 2 BPJS KESEHATAN DIIZINKAN PULANG
07 (90902-01) ANAK

06 (523-B)

05 (510-A)

09 (201-E) ANAK
09 (201-F) ANAK
LT005
06 (526-B) dr. Budi Irawan, Sp. B 4 PRIBADI DIIZINKAN PULANG

06 (599-Q)

06 (599-M)


09 (201-B) ANAK
05 (508 A)
09 (201-H) ANAK
05 (508 B)


04 (599-G)
04 (599-H)
09 (201-I) ANAK
04 (599-J) Sentosa,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG

09 (201-K) ANAK
06 (522-C)
09 (201-L) ANAK
09 (201-M) ANAK

06 (521-B)

05 (528-B) ANAK
02 (503)
05 (512-B)
02 (505)
06 (526-D) ANAK
06 (599-P) PENYAKIT DALAM
09 (201-O) ANAK
LT005
06 (599-M) dr. Budi Irawan, Sp. B 3 PRIBADI DIIZINKAN PULANG

06 (599-N) ANAK
06 (599-S) Sentosa,Sp.OG

I (599-D), 3 BPJS KESEHATAN DIIZINKAN PULANG

06 (599-T) PENYAKIT DALAM

06 (523-D)
LT005
04 (599-D)
06 (523-A)

04 (599-A)

04 (525)
06 (523-C)
04 (518) ANAK

04 (599-B)

05 (508 A)

06 (599-U)
09 (201-C)
LT005
06 (599-V) dr. Johny Setio, Sp.OG 3 PRIBADI DIIZINKAN PULANG
ZZ088
09 (201-E) dr. Arief Gunadi, Sp. A 3 PRIBADI DIIZINKAN PULANG

06 (521-A) ANAK

ZZ088
PERINATOLOGI dr. Arief Gunadi, Sp. A 19 PRIBADI
(PERI001-C),
09 (201-A)

10 (PERI001-E) ANAK
09 (201-G) ANAK

06 (599-S)

04 (599-C) ANAK
09 (201-H)

04 (598-A)

06 (522-D)
III (526-B), 4 BPJS KESEHATAN DIIZINKAN PULANG
05 (512-A) ANAK
06 (526-C) ANAK
06 (521-D)

04 (599-F)
06 (522-B)
05 (509 B)
04 (507)
04 (516)
06 (522-C)

06 (521-E)

05 (527-A)
04 (599-K)
05 (509-A)
05 (512-A)
06 (599-M)
06 (599-U)
05 (510-B) Sp.OT

04 (599-G)

04 (599-D) ANAK
04 (599-H) ANAK


09 (201-A) ANAK

06 (599-Q)

05 (508 B)

06 (599-N) PENYAKIT DALAM
09 (201-B) ANAK
09 (201-D) ANAK
ZZ089 dr. Erniody, Sp.An 2 PRIBADI DIIZINKAN PULANG

07 (90902-01)
04 (517)

09 (201-F)
09 (201-I)
LT005 dr. Vidhia Umami. Sp.PD

III (599-U), II (528-A), 9 BPJS KESEHATAN DIIZINKAN PULANG

06 (599-U)


III (526-D), ICU 6 BPJS KESEHATAN DIIZINKAN PULANG
(90902-01), ANAK
05 (512-A)
LT005
LT005
LT005
06 (523-C) dr. Budi Irawan, Sp. B 2 BPJS KESEHATAN DIIZINKAN PULANG

09 (201-J) ANAK
04 (518)
06 (521-B)
05 (528-B)
II (510-B), ICU 3 BPJS KESEHATAN DIIZINKAN PULANG
(90903-01), ANAK
05 (510-B)
LT005
06 (523-B)


III (522-A), 5 BPJS KESEHATAN DIIZINKAN PULANG
06 (599-R) PENYAKIT DALAM
04 (599-A)
09 (201-C)
C

(A16.2, 007.1, LAMA), Hypokalaemia (E87.6, 111, LAMA), Diabetes Melitus tidak tergantung insulin Ge/Diare (A09.9,
PENYAKIT DALAM (E11, 005, LAMA), Ispa/Acute upper respiratory infection
104.1, LAMA), Septicaemia, 167, LAMA)
unspecified
(A41.9, 017, LAMA) Viral infection of unspecified site (B34, 041, LAMA
BEDAH (D64.9, 098, LAMA), Ge/Diare (A09.9,
005, LAMA)
Cholecystitis
(K81, 195.9, LAMA)
Haemothorax - Haemopneumothora
x (J94.2,
PENYAKIT DALAM 179.9, LAMA), Bronchitis, not specified as acute or chronic (J40,
175, LAMA)
PENYAKIT DALAM Antepartum haemorrhage, unspecified (O46.9, 23
Umbilical hernia without obstruction or gangrene

ANAK (K42.9, 188, LAMA)

(H81.3, 142.9, LAMA),
(I10, 145, LAMA)
BEDAH Calc.bile duct without cholangitis or cholecystits (K80.5, 195.0, LAMA), Septicaemia, unspecified Cerebrovascular disease, unspecified (I67.9, 156, L
(A41.9, 017, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298,
Chronic renalLAMA)
(N18.9, 214.9, BARU),
Tuberculosis of lung,without mention of bacterical or Other anaemias
history confirmation (D64, 098, LAMA)
(A16.2, 007.1, LAMA), Congestive heart Non insulin dependent DM without complications
failure-Congestive heart disease Pulmonary oedema - Acute oedema of
PENYAKIT DALAM (I50.0, 151, LAMA), Dyspepsia - Indigestion lung (J81,
(K30, 189.9, LAMA), 179.9, LAMA), Hyperkalaemia (E87.5, 111, LAMA)
(I10, 145, LAMA)
ANAK Neonatal jaundice from other & unspecified causes (P59, 253.9, LAMA), Mild and moderate birth asphyxia (P21.1, 248, LAMA)

ANAK 167, LAMA)
Connective
Other andof
the blood
PENYAKIT DALAM (D21.4, 096.6, LAMA) organs (O99.1,
&blood-forming
244, LAMA), Delivery by caesarean section, unspec
(O82.9, 242.9, LAMA),
ANAK Mater.care due to uterine scar from previous surg.
Maternal care for breech presentation
(O32.1, 239.9,
LAMA),
Demam Tifoid
Single live birthdan Paratifoid (A01, 002, LAMA),
PENYAKIT DALAM Typhoid fever - Infection due to Salmonella typhi (A01.0, 002, LAMA), DHF / DBD Dyspepsia
(A91, 032.1, LAMA) (Z37.0, 298,- Indigestion
LAMA)
(K30, 189.9, LAMA)
Pulmonary oedema - Acute oedema of
Hypertension - High blood pressure lung (J81,
PENYAKIT DALAM (I10, 145, LAMA), Infeksi bakteri tempat ytt Premature rupture of membranes,
179.9, LAMA), Chronic renal failure,unspecified
unspecified
(A49, 018, LAMA) (O42.9, 239.2, LAMA),
(N18.9, 214.9, LAMA)
Severe
Blighted ovum and nonhydatidiform pre-eclampsia (O14.1, 237.0, LAMA), Delivery by
OBSTETRI DAN GINEKOLOGI mole (O02.0, caesarean section, unspecified
236.9, LAMA) (O82.9, 242.9,
LAMA),
Single live birth
Ge/Diare (A09.9, Other
(Z37.0,and
298,unspecified
LAMA) abdominal pain (R10.4, 267
ANAK 005, LAMA) 104.1, LAMA)
Pneumonia,
organism unspecified (J18, 169, LAMA), Stroke, not specified as haemorrhage or infarction (I64, 155,
LAMA),
PENYAKIT DALAM Acute renal failure, unspecified
(N17.9, 214.9,
LAMA)
Ge/Diare (A09.9,
005, LAMA)
Penis
BEDAH (D29.0, 096.6, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Connective & other soft tissue of head, face&neck (D21.0, 096.6, LAMA),
BEDAH Ispa/Acute upper respiratory infection, unspecified (J06.9,
167, LAMA)
BEDAH Abscess of Bartholin's gland (N75.1, 226.1, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMATOL
Peritonitis
BEDAH (K65, 192.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Oligohydramnios (O41.0, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(K30, 189.9, LAMA), Constipation
(K59.0, 192.9, LAMA),
Diabetes Melitus
104.1, LAMA)

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI 242.9, LAMA), Mater.care due to uterine scar from previous surg.
(O34.2, 239.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(A49, 018, LAMA), Dyspepsia - Indigestion
(K30, 189.9, LAMA)
Inguinal hernia (unilateral) NOS (K40.9, 187, LAMA)
Unspecified haemorrhoids without complication (I84.9, 163, LAMA)

096.0, LAMA)
(J18.9, 169, LAMA), Chronic renal failure, unspecified
(N18.9, 214.9, LAMA),
Other anaemias
(D64, 098, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Injury of muscle and tendon at lower leg level (S86, 281, LAMA)

OBSTETRI DAN GINEKOLOGI 236.9, LAMA), Gestat.
[preg.-ind.]hypert with sig. proteinuria (O14, 237.0, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Derangement of meniscus due to old tear or injury (M23.2, 203.9, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
Ge/Diare (A09.9,
005, LAMA)


(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
OBSTETRI DAN GINEKOLOGI Antepartum haemorrhage, unspecified (O46.9, 238.9, LAMA)
Viral infection of unspecified site (B34, 041, LAMA)
Ge/Diare (A09.9,
005, LAMA), Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA), Candidal stomatitis - Oral thrush
(B37.0, 042, LAMA)
Single spontaneous delivery, unspecified (O80.9, 243, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Enlarged lymph nodes, unspecified (R59.9, 270.9, LAMA)

BEDAH (E11.5, 104.9, LAMA)
Gastroenteritis and colitis due to
radiation (K52.0,
192.9, LAMA)

Vertigo
NOS-Dizziness
&
giddiness-Light-head edness (R42, 270.9, LAMA)
Endometriosis, unspecified
OBSTETRI DAN GINEKOLOGI (n80.9, 227, LAMA)
(O82.9, 242.9, LAMA), Oligohydramnios (O41.0, 239.9, LAMA),
(Z37.0, 298, LAMA)
BEDAH
BEDAH Malig.neoplasm lymphoid,haematopo ietic & related (C96.9, 088, LAMA)
BEDAH

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Gestat.
[preg.-ind.]hypert with sig. proteinuria (O14, 237.0, LAMA), Delivery by emergency caesarean section
(O82.1, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Single live birth (Z37.0, 298, LAMA), Anaemia comp.
preg.,childbirth
& the puerperium
(O99.0, 244, LAMA)

(A49, 018, LAMA)
OBSTETRI DAN GINEKOLOGI Anogenital (venereal) warts (A63.0, 024, LAMA)
BEDAH
Ge/Diare (A09.9,
005, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Bronchitis, not specified as acute or chronic (J40,

175, LAMA)
ANAK Convulsions, not elsewhere classified (R56, 270.3, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Noninfective gastroenteritis
OBSTETRI DAN GINEKOLOGI & colitis,unspecified (K52.9, 192.9,
LAMA)
Other benign neop.connective

& other soft tissue (D21, 096.6, LAMA)

& other soft tissue (D21, 096.6, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Inguinal hernia
Cholelithiasis
BEDAH Lymph nodes (D36.0, 096.6, LAMA)
Inguinal hernia
Meningitis, unspecified-Arachnoi ditis (spinal) NOS (G03.9, 120, LAMA), Epilepsy, unspecified (G40.9, 124, LAMA)

Diabetes Melitus ditentukan lainnya (E13, 104.3, LAMA), Cardiac arrest, unspecified
(I46.9, 150, LAMA)

(O82.9, 242.9, LAMA),
Severe
Single live birth
(Z37.0, 298, LAMA)
OBSTETRI DAN GINEKOLOGI Anogenital (venereal) warts (A63.0, 024, LAMA)

Acute renal failure, unspecified
(N17.9, 214.9,
LAMA),
Cardiac arrest, unspecified
(I46.9, 150, LAMA)
Non
Insulin-dependent DM with renal complications (e11.2, 104.1, LAMA), Hyperten.heart disease
with(congest.)heart failure (i11.0, 146, LAMA),
Pleural effusion, not elsewhere classified (j90, 179.3, LAMA)
Gestat.
Single live birth
(Z37.0, 298, LAMA)
Hypokalaemia (E87.6, 111, LAMA), Convulsions, not elsewhere classified (R56, 270.3, LAMA)
Other anaemias (D64, 098, LAMA), Chronic renal failure, unspecified

(N18.9, 214.9, LAMA)

BEDAH 207.0, LAMA)
BEDAH (D21.4, 096.6, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH

BEDAH & other soft tissue (D21, 096.6, LAMA)
(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Premature rupture of membranes
OBSTETRI DAN GINEKOLOGI Abscess of vulva - Furuncle of vulva (N76.4, 226.9, LAMA)

(Z37.0, 298, LAMA)
104.1, LAMA), Bacterial infection, unspecified
(A49.9, 018, LAMA)
Ge/Diare (A09.9,
005, LAMA)
(K30, 189.9, LAMA), Bacterial infection, unspecified
(A49.9, 018, LAMA)

(O82.9, 242.9, LAMA),
Obst.lab.due to maternal pelvic abnormality
OBSTETRI DAN GINEKOLOGI (O65, 240, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Other and unspecified abdominal pain (R10.4, 267, LAMA), Other and unspecified abdominal pain (R10.4, 267, LAMA)
Inguinal hernia

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Premature rupture
of membranes
Ge/Diare (a09.9,
005, LAMA)
Dengue fever [classical dengue] (A90, 032.0, LAMA)

OBSTETRI DAN GINEKOLOGI (O80, 243, LAMA)
Mater.care due to uterine scar from previous surg. (O34.2, 239.9, LAMA), Prem.rupt.of
membranes,onset of lab.after 24 hours (O42.1, 239.2, LAMA),
OBSTETRI DAN GINEKOLOGI Delivery by emergency caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Skin of ear and external auricular canal (D23.2,

BEDAH 090, LAMA)
BEDAH 207.0, LAMA)
BEDAH 207.0, LAMA)
BEDAH

Cyst of Bartholin's gland

OBSTETRI DAN GINEKOLOGI (N75.0, 226.1, LAMA)
Obst.lab.due to fetopelvic disproport,unspecifie d (O65.4, 240, LAMA),
Prem.rupt.of membranes,onset of lab.after 24 hours
(O42.1, 239.2, LAMA), Delivery by emergency
OBSTETRI DAN GINEKOLOGI caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

NOS-Pyrexia NOS (r50.9, 268, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Sepsis of newborn due to
other&unsp. streptococci (P36.1,
250, LAMA)
unspecified
(P80.9, 253.9, LAMA)
Gestat.
OBSTETRI DAN GINEKOLOGI [preg.-ind.]hypert with sig. proteinuria (O14, 237.0, LAMA), Delivery by caesarean section, unspecified
(O82.9, 242.9, LAMA)
Gestat.
(O13, 237.9, LAMA)
OBSTETRI DAN GINEKOLOGI Mild hyperemesis gravidarum (O21.0, 242.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)
OBSTETRI DAN GINEKOLOGI Delivery by elective caesarean section (o82.0, 242.9, LAMA)
Abscess, furuncle and carbuncle of nose (J34.0,

172, LAMA)
DHF / DBD
(A91, 032.1, LAMA), demam/Fever, unspecified - Hyperpyrexia
NOS-Pyrexia NOS (R50.9, 268, LAMA)
BEDAH
Convulsions, not elsewhere classified (R56, 270.3, LAMA), Viral infection, unspecified
(B34.9, 041, LAMA)
Ge/Diare (A09.9,

(Z37.0, 298, LAMA)
Haemorrhoids
BEDAH 207.0, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Other synovitis and tenosynovitis (M65.8, 207.0, LAMA)
BEDAH Acute cholecystitis (K81.0, 195.9, LAMA)

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Long labour
OBSTETRI DAN GINEKOLOGI Mild hyperemesis gravidarum (O21.0, 242.9, LAMA)
(D64.9, 098, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA), Inguinal hernia
(K40, 187, LAMA)
Cerebral infarction, unspecified

SYARAF (i63.9, 154, LAMA), Anemia aplastik lainnya
(D61, 098, LAMA)
Oligohydramnios (o41.0, 239.9, LAMA),

Delivery by emergency caesarean section (o82.1, 242.9, LAMA),
Single live birth
(z37.0, 298, LAMA)
Febrile convulsions (r56.0, 270.3, LAMA)
Ge/Diare (A09.9,
005, LAMA), demam/Fever, unspecified - Hyperpyrexia
NOS-Pyrexia NOS (R50.9, 268, LAMA)
(J18.9, 169, LAMA)
Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)

236.9, LAMA), Single live birth (Z37.0, 298, LAMA)

Vulva
BEDAH (D28.0, 096.6, LAMA)

(A49.9, 018, LAMA), Febrile convulsions (R56.0, 270.3, LAMA)
Residual foreign body in soft tissue (M79.5, 207.9, LAMA),

BEDAH Local infect.of skin
&subcutaneous tissue,unspec. (L08.9, 198, LAMA)
(A49.9, 018, LAMA), Febrile convulsions (R56.0, 270.3,
LAMA)
BEDAH Acute peritonitis (K65.0, 192.9, LAMA)

Mucocele of salivary gland

BEDAH (K11.6, 182.1, LAMA)

Delivery by emergency caesarean section
(O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

BEDAH 096.0, LAMA)
BEDAH Acute periodontitis - Acute pericoronitis (k05.2, 181.3, LAMA)
Spontaneous abortion [See above for subdivisions] (O03, 234, LAMA)

(I50.0, 151, LAMA), Bacterial infection,
unspecified
(A49.9, 018, LAMA)
SYARAF

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Delayed and secondary postpartum haemorrhage

(O72.2, 241, LAMA), Anaemia comp.
preg.,childbirth
& the puerperium
(O99.0, 244, LAMA), Anaemia,
unspecified
(D64.9, 098, LAMA)

BEDAH Connective & other soft tissue of head, face&neck (D21.0, 096.6, LAMA)

BEDAH 096.0, LAMA)

ANASTESI

(o42.9, 239.2, LAMA),
Delivery by emergency caesarean section (o82.1, 242.9,
LAMA)
BEDAH Infect. following a procedure,not else.classified (t81.4, 288, LAMA)
Fracture of skull and facial bones

BEDAH (S02, 271, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Dermatitis, unspecified - Eczema NOS (L30.9,
ANAK 199, LAMA)
Fetus and newborn affected by caesarean delivery (p03.4, 245, LAMA)
Ge/Diare (A09.9,
005, LAMA), Hypovolaemic shock (R57.1, 270.9, LAMA)

(A49.9, 018, LAMA), DHF / DBD
(A91, 032.1, LAMA)
Infection of obstetric surgical wound (o86.0, 244, LAMA), Anemia aplastik lainnya
OBSTETRI DAN GINEKOLOGI (D61, 098, LAMA)
104.1, LAMA), Hypokalaemia
(E87.6, 111, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Maternal care for cervical incompetence (O34.3, 239.9, LAMA),

(O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH Foreign body in respiratory tract (T17, 282.9, LAMA)
BEDAH External haemorrhoids without complication (i84.5, 163, LAMA)

BEDAH 207.0, LAMA)

Redundant prepuce, phimosis and paraphimosis

BEDAH (n47, 221, LAMA)
Acute appendicitis
BEDAH (k35, 186, LAMA)
Non
Insulin-dependent DM with renal complications (E11.2, 104.1, LAMA),
Congestive heart failure-Congestive
heart disease
(I50.0, 151, LAMA), Pleural effusion, not elsewhere classified (J90, 179.3, LAMA)
Single delivery by caesarean section (O82, 242.9, LAMA)
(K30, 189.9, LAMA)
Delayed and secondary postpartum haemorrhage

(o72.2, 241, LAMA), Anaemia comp. preg.,childbirth
& the puerperium
(o99.0, 244, LAMA), Anaemia,
unspecified
(d64.9, 098, LAMA)
Dengue fever [classical dengue] (A90, 032.0, LAMA)
Chronic renal failure (N18, 214.9, LAMA), Anaemia in other chronic dis. classified elsewhere (D63.8*,
098, LAMA)
Hypokalaemia
(E87.6, 111, LAMA)

239.9, LAMA), Delivery by
OBSTETRI DAN GINEKOLOGI emergency caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA)
Respiratory distress of newborn

(P22, 249, LAMA)
Gestat.
OBSTETRI DAN GINEKOLOGI [preg.-ind.]hypert without sig.proteinuria (o13,
237.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

(I10, 145, LAMA)
Single live birth
(Z37.0, 298, LAMA)
Cholelithiasis
(K80, 195.0, LAMA)

236.9, LAMA)
(K30, 189.9, LAMA)

(O42.9, 239.2, LAMA),
Delivery by emergency caesarean section (O82.1, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH Breast - Connective tissue of breast (D48.6, 096.9, LAMA)

Ge/Diare (A09.9,
005, LAMA)
BEDAH Lymph nodes (d36.0, 096.6, LAMA)
Short bones of upper limb

BEDAH (c40.1, 069, LAMA)
Tumor Testis (D40.1,
BEDAH 096.9, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Contracted pelvis - Persistent occipitoposterior (P03.1, 245, LAMA)

236.9, LAMA)

199, LAMA), Non insulin
dependent diabetes mellitus with peripheral circulatory complications
(E11.5, 104.9, LAMA)
Inguinal hernia
Chronic renal failure (N18, 214.9, LAMA), Anaemia in other chronic dis. classified elsewhere (D63.8*,
098, LAMA)
Single live birth
(Z37.0, 298, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Hypokalaemia (E87.6, 111, LAMA), Febrile convulsions (R56.0, 270.3, LAMA)

(O16, 237.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

history confirmation (A16.2, 007.1, LAMA)
BEDAH Lymph node, unspecified (C77.9, 084.3, LAMA)

Unspecified diabetes mellitus with gangrene(ulcer) (e14.5, 104.9,
BEDAH LAMA)
BEDAH Connective and other soft tissue, unspecified (d21.9, 096.6, LAMA)
Inguinal hernia
199, LAMA), Non
BEDAH Insulin-dependent DM with renal complications (E11.2, 104.1,
LAMA)
Spontaneous breech delivery
OBSTETRI DAN GINEKOLOGI (O80.1, 243, LAMA)

Septicaemia, unspecified
BEDAH (A41.9, 017, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Hypokalaemia
(E87.6, 111, LAMA)

(J18.9, 169, LAMA), Pulmonary oedema - Acute oedema of lung (J81,
179.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Sepsis of newborn due to other&unsp. streptococci (P36.1,

250, LAMA), Pneumonia,
unspecified
(J18.9, 169, LAMA)
Demam Tifoid dan Paratifoid (A01, 002, LAMA)
Pneumonia due to Haemophilus influenzae

BEDAH (J14, 169, LAMA)

Neoplasma jinak ovarium
(D27, 093, LAMA)
Inguinal hernia
Cholelithiasis

BEDAH 207.0, LAMA)
Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
Acute appendicitis

236.9, LAMA)
Unspecified renal colic

(N23, 215, LAMA), Hypertensive renal disease with renal
failure (I12.0,
146, LAMA)
Ge/Diare (A09.9,
005, LAMA),
Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
167, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Cholelithiasis
Acute appendicitis
Maternal care for intrauterine death (O36.4, 239.9, LAMA),

(O82.0, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Inguinal hernia
Mater.care due to uterine scar from previous surg. (o34.2, 239.9, LAMA),
(o82.0, 242.9, LAMA),
Single live birth
(z37.0, 298, LAMA)
BEDAH Connective and other soft tissue, unspecified (D21.9, 096.6, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Fracture of femur, part unspecified (S72.9, 273, LAMA)
Single spontaneous delivery, unspecified (O80.9, 243, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Fracture of femur, part unspecified (S72.9, 273, LAMA)
Ge/Diare (A09.9,
005, LAMA), Other and unspecified cirrhosis of liver
(K74.6, 194.2, LAMA)
Spontaneous vertex delivery

(O80.0, 243, LAMA)
Placenta praevia with haemorrhage (O44.1, 238.0, LAMA),
(O82.0, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Viral infection of unspecified site (B34, 041, LAMA)
Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
Inguinal hernia
Inguinal hernia
BEDAH
BEDAH Connective and other soft tissue, unspecified (D21.9, 096.6, LAMA)
Other specified diseases & conditions comp.preg.

(O99.8, 244, LAMA), Delivery by emergency
caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

OBSTETRI DAN GINEKOLOGI mole (o02.0,
236.9, LAMA)
(K30, 189.9, LAMA), Fluid overload (E87.7, 111, LAMA)
& the puerperium
OBSTETRI DAN GINEKOLOGI (O99.0, 244, LAMA), Delivery by elective caesarean section (O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA)
OBSTETRI DAN GINEKOLOGI Delivery by elective caesarean section (O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Retained placenta without haemorrhage (O73.0, 242.9, LAMA)
Non insulin dependent DM without complications (e11.9, 104.1, LAMA), Congestive heart
failure-Congestive heart disease
(i50.0, 151, LAMA)
Single delivery by caesarean section (O82, 242.9, LAMA)
(O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

Delivery by emergency caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Inguinal hernia
BEDAH (D21.4, 096.6, LAMA)

Redundant prepuce, phimosis and paraphimosis

(N47, 221, LAMA)
BEDAH Foreign body in alimentary tract (T18, 282.9, LAMA)

BEDAH (D21.4, 096.6, LAMA)
(O82.0, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Inguinal hernia
Acute appendicitis

Single live birth
(Z37.0, 298, LAMA)
Atrial fibrillation and flutter

(i48, 150, LAMA), Hypokalaemia (e87.6, 111, LAMA)

Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA)
BEDAH Haemorrhage of anus and rectum (K62.5, 192.9, LAMA)

Cholelithiasis


Open wound of lower leg
BEDAH (S81, 281, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)

BEDAH (D21.4, 096.6, LAMA)

(O42.9, 239.2, LAMA),
(O82.9, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)

(A49.9, 018, LAMA), Convulsions, not elsewhere classified
(R56, 270.3, LAMA)
236.9, LAMA)
BEDAH

(A49, 018, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
Hypertensive renal disease with renal failure (I12.0,

146, LAMA), Hypertension - High
blood pressure
(I10, 145, LAMA)
Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA), Congestive heart failure-Congestive heart
disease
(I50.0, 151, LAMA), Diabetes Melitus tidak tergantung
insulin (E11,
104.1, LAMA)
Ge/Diare (a09.9,
005, LAMA)
Ge/Diare (A09.9,
005, LAMA), Unspecified chronic bronchitis
(J42, 175, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
Inguinal hernia
BEDAH (E11.5, 104.9, LAMA)
Inguinal hernia
Inguinal hernia
Inguinal hernia
239.9, LAMA)
Chronic renal failure (N18, 214.9, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
OBSTETRI DAN GINEKOLOGI Abnormalities of forces of labour (O62, 242.9, LAMA)

mole (O02.0,
236.9, LAMA)

(O36.6, 239.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Acute appendicitis (K35, 186, LAMA), DHF / DBD

(A91, 032.1, LAMA)

104.1, LAMA),
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)
Mild hyperemesis gravidarum (o21.0, 242.9, LAMA)
DHF / DBD
(K30, 189.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

(N39.0, 217, LAMA), DHF / DBD
(A91, 032.1, LAMA)

Single live birth
(Z37.0, 298, LAMA), Premature rupture
of membranes, unspecified (O42.9, 239.2,
LAMA)
Spontaneous vertex delivery
(O80.0, 243, LAMA)
Chronic renal failure (n18, 214.9, LAMA), Other anaemias (d64, 098, LAMA)
BEDAH
Mild hyperemesis gravidarum (O21.0, 242.9, LAMA),

Dis.of resp. sys.comp.preg.,child
birth puerperium
(O99.5, 244, LAMA)

239.9, LAMA), Delivery by elective
Single live birth
(Z37.0, 298, LAMA)
BEDAH

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(I10, 145, LAMA), Acute pharyngitis, unspecified
(J02.9, 165.0, LAMA)
BEDAH Calc.bile duct without cholangitis or cholecystits (K80.5, 195.0, LAMA)
BEDAH Neoplasma jinak sal cerna lain dan ytt (D13, 096.6, LAMA)
Ge/Diare (a09.9,
005, LAMA), Ileus, unspecified (k56.7, 190, LAMA), Dyspepsia - Indigestion
(k30, 189.9, LAMA)

(I10, 145, LAMA), Ge/Diare (A09.9,
005, LAMA)
Delivery by emergency caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Nausea and vomiting

(R11, 270.9, LAMA)
Ge/Diare (A09.9,
005, LAMA)

Preterm delivery
(O60, 242.1, LAMA)
Moderate
pre-eclampsia (O14.0, 237.0, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH

BEDAH 207.0, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Transitory neonatal hypoglycaemia (P70.4, 253.9, LAMA)
Malig.neoplasm of other connective

BEDAH & soft tissue
(c49, 072, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Transitory neonatal hypoglycaemia (P70.4, 253.9, LAMA)
Hepatitis non-A
non-B (acute)(viral) NEC (b17.8,
038.9, LAMA), Dyspepsia - Indigestion
(k30, 189.9, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
Infection of amniotic sac and membranes (o41.1, 239.9, LAMA),

Delivery by emergency
caesarean section (o82.1, 242.9, LAMA),
Single live birth
(z37.0, 298, LAMA)

(N18.9, 214.9, LAMA),
Other anaemias
(D64, 098, LAMA)
Disor.rel.to short gestation&low birth weight, NEC (p07, 246, LAMA)

(O82.9, 242.9, LAMA),
(O42, 239.2, LAMA), Single live birth
(Z37.0, 298, LAMA)
Pneumonia,
organism unspecified
(J18, 169, LAMA)
Left ventricular failure

(I50.1, 151, LAMA), Pneumonia, unspecified
(J18.9, 169, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)

BEDAH (E11.5, 104.9, LAMA)
BEDAH
BEDAH Other benign neoplasms of skin (D23, 090, LAMA)
BEDAH
Prolonged second stage (of labour) (O63.1, 242.9, LAMA),

Vacuum extractor delivery - Ventouse delivery (O81.4,
242.9, LAMA), Single live birth (Z37.0, 298, LAMA)
Malig.neoplasm of other connective
BEDAH & soft tissue
(c49, 072, LAMA)
Non insulin dependent DM without complications (E11.9, 104.1, LAMA)

(J18.9, 169, LAMA), Asthma,
unspecified-Asthmati c bronchitis NOS (J45.9, 176, LAMA)
(A49.9, 018, LAMA), Dyspepsia - Indigestion
Single spontaneous delivery, unspecified (O80.9, 243, LAMA), Single live birth (Z37.0, 298, LAMA)

(Z38.0, 295, LAMA)
(O82.0, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Gastrooesophageal reflux dis. without oesophagitis (K21.9,

185.9, LAMA), Viral infection, unspecified
(B34.9, 041, LAMA)
Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA), Physiological jaundice (intense) (prolonged) NOS (P59.9, 253.9, LAMA)
Mild hyperemesis gravidarum (O21.0, 242.9, LAMA)
Delivery by elective caesarean section (O82.0, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)

BEDAH 207.0, LAMA)
BEDAH
Endometrial adenomatous hyperplasia

(N85.1, 233, LAMA)
(A49, 018, LAMA), Convulsions, not elsewhere classified
(R56, 270.3, LAMA)
Dis.of resp. sys.comp.preg.,child birth puerperium (O99.5, 244, LAMA), Delivery by elective caesarean
section (O82.0, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Synovial cyst of popliteal space [Baker]
BEDAH (M71.2, 207.9, LAMA)

(A49.9, 018, LAMA)
Panic disorder [episodic paroxysmal anxiety] (F41.0,

117.0, LAMA)
Gestat.
(O13, 237.9, LAMA)
Haemorrhage in early pregnancy (O20, 242.9, LAMA)
BEDAH ORTHOPAEDI DAN TRAUMAT Fracture of clavicle

(S42.0, 274, LAMA)
BEDAH
Delivery by elective caesarean section (o82.0, 242.9, LAMA)
Disorders of copper metabolism

BEDAH (E83.0, 111, LAMA)
Convulsions, not elsewhere classified (R56, 270.3, LAMA)

OBSTETRI DAN GINEKOLOGI Spontaneous abortion [See above for subdivisions] (O03, 234, LAMA)


unspecified
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

DHF / DBD
(K30, 189.9, LAMA)

(O82.9, 242.9, LAMA),
Mater.care for other abnormalities of pelvic org. (O34.8,
239.9, LAMA),
Diseas.digest.sys.co mp.preg.,childbirth puerperium (O99.6,
244, LAMA), Single live birth (Z37.0, 298, LAMA)

DHF / DBD
(A91, 032.1, LAMA)

DHF / DBD
(A91, 032.1, LAMA), Hypokalaemia (E87.6, 111, LAMA), Infections following infusion,transfusion
&,...... (T80.2,
288, LAMA)
Obstruction of duodenum-Duodenal ileus (chronic) (K31.5, 189.9, LAMA),

BEDAH Pleural effusion, not elsewhere classified (J90, 179.3, LAMA), Other anaemias (D64, 098, LAMA)

Gestat.
(O13, 237.9, LAMA), Delivery by elective
caesarean section (O82.0, 242.9, LAMA)
(D64.9, 098, LAMA), Unspecified haemorrhoids
BEDAH without complication
(I84.9, 163, LAMA)
BEDAH
Oligohydramnios (O41.0, 239.9, LAMA), Prolonged pregnancy -

Post-dates -
Post-term (O48,
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(N18.9, 214.9, LAMA),
Other anaemias
(D64, 098, LAMA)
Delivery by elective caesarean section (o82.0, 242.9, LAMA)


(A49, 018, LAMA),
Ge/Diare (A09.9,
005, LAMA)
Mild hyperemesis gravidarum (O21.0, 242.9, LAMA)
Spontaneous breech delivery

OBSTETRI DAN GINEKOLOGI (O80.1, 243, LAMA)

ANAK (A49.9, 018, LAMA)

(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Nausea and vomiting

(R11, 270.9, LAMA)

Ge/Diare (A09.9,
005, LAMA)
Acute inflammation of orbit

BEDAH (H05.0, 139.1, LAMA)

history confirmation (A16.2, 007.1, LAMA),
(K30, 189.9, LAMA)
Chronic renal failure (N18, 214.9, LAMA), Other anaemias (D64, 098, LAMA), Mechanical comp. of
vascular dialysis catheter (T82.4,
288, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
unspecified
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

BEDAH 096.0, LAMA)
Ge/Diare (A09.9,
005, LAMA)
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Obstructed labour due to breech presentation

(O64.1, 240, LAMA), Delivery by
(O82.9, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)

(K30, 189.9, LAMA)
(D64.9, 098, LAMA), Haematemesis (K92.0, 197, LAMA),
(E11.9, 104.1, LAMA)
ANAK
Other viral dis.comp.preg.,child birth

&puerperium
(O98.5, 244, LAMA)

& the puerperium
(O99.0, 244, LAMA)
DHF / DBD
(A91, 032.1, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Other immediate postpartum haemorrhage (O72.1, 241, LAMA)

236.9, LAMA), Single live birth
(Z37.0, 298, LAMA)
BEDAH Infect. following a procedure,not else.classified (T81.4, 288, LAMA)
BEDAH External haemorrhoids without complication (I84.5, 163, LAMA)

Severe
(O82.9, 242.9,
LAMA),
Single live birth
(Z37.0, 298, LAMA)
BEDAH

BEDAH 207.0, LAMA)
Abscess of Bartholin's gland (N75.1, 226.1, LAMA)
Ge/Diare (A09.9,

(O66.9, 240, LAMA), Other specified diseases & conditions comp.preg.
Single live birth
(Z37.0, 298, LAMA)

(B34.9, 041, LAMA)
Ge/Diare (A09.9,
005, LAMA)
(J18.9, 169, LAMA), Hyperten.heart disease
with(congest.)heart failure (I11.0, 146, LAMA),
Dyspepsia -
Indigestion
(K30, 189.9, LAMA)

emergency caesarean section (O82.1, 242.9, LAMA),
Single live birth
(Z37.0, 298, LAMA)
Gestat.
(O13, 237.9, LAMA), Delivery by elective
Single live birth
(Z37.0, 298, LAMA)
Obstruction of bile duct

(K83.1, 197, LAMA), Hepatorenal syndrome
ANASTESI (K76.7, 194.5, LAMA),
Hypo-osmolality and hyponatraemia
(E87.1, 111, LAMA)
Delivery by emergency
Single live birth
(Z37.0, 298, LAMA)

(N18.9, 214.9, LAMA),
Other specified
anaemias-Infantile pseudoleukaemia (D64.8, 098, LAMA), Hypertension - High blood pressure
(I10, 145, LAMA)

(Z37.0, 298, LAMA)

(O82.9, 242.9, LAMA),
OBSTETRI DAN GINEKOLOGI Other mater.dis.class.but
comp.preg.,childbirt h (O99, 244, LAMA),
Anaemia,
unspecified
(D64.9, 098, LAMA), Single live birth (Z37.0, 298, LAMA)
Ge/Diare (A09.9,
005, LAMA), Hypokalaemia (E87.6, 111, LAMA), Febrile convulsions (R56.0, 270.3, LAMA),
Hyperosmolality and hypernatraemia (E87.0, 111, LAMA)

BEDAH

BEDAH 096.0, LAMA)
BEDAH 096.0, LAMA)
Ge/Diare (A09.9,
005, LAMA)
Diseas.digest.sys.co mp.preg.,childbirth puerperium (o99.6,

OBSTETRI DAN GINEKOLOGI 244, LAMA)
Diseas.digest.sys.co mp.preg.,childbirth puerperium (O99.6,
244, LAMA)
Polyp of cervix uteri
OBSTETRI DAN GINEKOLOGI - Mucous polyp of cervix (N84.1,
233, LAMA)
Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Myelodysplastic syndrome, unspecified (D46.9, 096.9, LAMA)
Ge/Diare (A09.9,
ANAK 005, LAMA)
09.9,
on of unspecified site (B34, 041, LAMA), Anaemia, unspecified

ernia without obstruction or gangrene

LAMA)
heral vertigo - Lermoyez' syndrome

.9, LAMA),
AMA)

.9, LAMA),
induction of labour (O61.8, 242.9,
irth
alLAMA)
.9, BARU),
mias
AMA)
dependent DM without complications (E11.9, 104.1, LAMA),
J81,
A), Hyperkalaemia (E87.5, 111, LAMA)
er - Infection due to Salmonella typhi (A01.0, 002, LAMA), Common cold (Acute nasopharyngitis)-Cor yza (acute) (J00,
andof
ses other soft tissue of abdomen
the blood
.6, LAMA) organs (O99.1,
d-forming
, Delivery by caesarean section, unspecified
.9, LAMA),
re for breech presentation
.9,
oid
irthdan Paratifoid (A01, 002, LAMA),
Indigestion
LAMA)
LAMA)
J81,
rupture of membranes,
A), Chronic renal failure,unspecified
unspecified
.2, LAMA),
.9, LAMA)
sia (O14.1, 237.0, LAMA), Delivery by
ection, unspecified
.9,
irth
unspecified
A)
r (P03.1, 245, LAMA)
very (P03.4, 245, LAMA)
OS (P59.9, 253.9, LAMA)
Dirujuk Ke
Periode : NOVEMBER - 2018
∑= 62
Kode
Umur
Rawat
Lama 01-02-81-56 25-Oct-18 RI20181025-0020 M HASAN L 75 1-Nov-18
01-03-13-62 01-03-13-62
13-Nov-18 RI20181113-0009 L/0 11/13/2018
BY NY NURALIAH BY NY NURALIAH
01-02-41-42 01-02-41-42
MUNAH BT MUTAR 15-Nov-18 RI20181115-0013 P / 58 11/16/2018
MUNAH BT MUTAR
01-03-16-62 19-Nov-18 RI20181120-0001 01-03-16-62 L / 58 11/20/2018

ABDUL NASIR ABDUL NASIR
01-03-18-39 01-03-18-39
22-Nov-18 RI20181122-0024 P/0 11/23/2018
BY NY KARTIKA BY NY KARTIKA
01-03-16-32 01-03-16-32
27-Nov-18 RI20181127-0007 P / 50 11/28/2018
SUNAENAH SUNAENAH
ZZ089
III (599-R), dr. Budi Irawan, Sp. B 8 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90902-01)
ZZ088 1 PRIBADI MENINGGAL < 48 JAM
09 (201-D) ANAK
dr. Andre, Sp.S
07 (90901-01) SYARAF
09 (201-I) OBSTETRI DAN GINEKOLOGI
ZZ089 dr. Budi Irawan, Sp. B
III (599-T), 2 BPJS KESEHATAN MENINGGAL < 48 JAM
07 (90901-01) BEDAH
C
Disorders of copper metabolism

BEDAH (E83.0, 111, LAMA)
Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Pneumonia, unspecified
(J18.9, 169, LAMA)

Status epilepticus, unspecified
(G41.9, 124, LAMA)
Calculus of gallbladder without cholecystitis

(K80.2, 195.0, LAMA)
Dirujuk Ke
DATA PASIEN MENINGGAL 2018
Umur
NO Jns Kunj. No.RM Tgl. Masuk No.RegNAMA PASIEN JK Tgl. Keluar
Kode Ruang Rawat Kelas
01-01-89-27 ZZ088
01 B 29-Dec-17 RI20171229-0002BY NY ARINA L 0 1-Jan-18 BY 09 (201-B)
ZZ089
I (599-B), I
00-00-96-67 (525), ICU
02 L 08-Jan-18 RI20180108-0014DARYATI P 71 12-Jan-18 BY (90901-01), I
(507),
07 (90902-01)
ZZ089
I (599-B), I
01-01-95-67 (525), ICU
03 B 16-Jan-18 RI20180116-0008UBAIDILLAH L 34 21-Jan-18 ICU (90901-01), I
(507),
07 (90902-01)
ZZ089
RI20180202- WAHYUDI
04 B 01-02-02-04 02-Feb-18 0005 L 35 09-Feb-18 2 II (527-A),
07 (90902-01)
RI20180217- ZZ088
05 B 01-02-06-13 17-Feb-18 0006 BY NY WATI P 0 17-Feb-18 BY 09 (201-E)
RI20180220- TONNY ZZ089

06 B 01-02-06-99 20-Feb-18 0002 L 65 20-Feb-18 ICU 07 (90902-01)
PETROSMAN
ZZ089
07 B 01-02-07-26 20-Feb-18 RI20180220-0006LIM IN HO L 62 23-Feb-18 ICU III (521-C),
07 (90901-01)
08 21 L 00-00-88-62 28-Feb-18 RI20180228-0008PANG SAU MIN L 50 1-Mar-18 VIP
09 30 L 00-00-22-83 1-Mar-18 RI20180301-0004WIDIYANTI PATI P 72 5-Mar-18 VIP
10 75 L 01-01-27-51 5-Mar-18 RI20180305-0008SLAMET SUPRIY L 31 10-Mar-18 VIP
11 76 B 01-02-11-37 5-Mar-18 RI20180305-0009JASWAN MAULA L 50 5-Mar-18 ICU
12 145 B 01-02-13-00 10-Mar-18 RI20180310-0001SAMSUDIN L 21 10-Mar-18 3
13 197 B 01-02-14-38 14-Mar-18 RI20180314-0002GATOT BASUKI L 32 15-Mar-18 3
14 318 L 01-01-20-29 23-Mar-18 RI20180323-0003KUNATI P 60 25-Mar-18 ICU
15 02 Baru 01-02-19-06 28-Mar-18 RI20180328-0012GO TJONG HO L 66 1-Apr-18 ICU
16 59 Baru 01-02-21-01 03-Apr-18 RI20180404-0003SELAMET L 78 4-Apr-18 ICU
17 100 Baru 01-02-22-26 07-Apr-18 RI20180407-0004WILLIAM L 18 8-Apr-18 ICU
18 121 Baru 01-02-22-58 09-Apr-18 RI20180409-0005BY NY SANTI N L 0 10-Apr-18 PERINA
19 126 Baru 01-02-22-83 09-Apr-18 RI20180409-0010BY NY YESSY HIK L 0 10-Apr-18 PERINA
20 165 Baru 01-02-23-51 11-Apr-18 RI20180411-0015BY NY AMELIAN P 0 12-Apr-18 BY

21 367 Lama 01-02-18-29 26-Apr-18 RI20180426-0012SULASTRI P 30 27-Apr-18 ICU
22 32 Baru 01-02-29-95 30-Apr-18 RI20180502-0011BY NY SUHENI L 0 4-May-18 BY
23 141 Baru 01-02-32-15 08-May-18 RI20180508-0004SAMPARA L 87 18-May-18 ICU
24 192 Baru 01-02-32-94 11-May-18 RI20180511-0001DEDE ARDIANSY L 19 12-May-18 ICU
25 230 Baru 01-02-34-09 15-May-18 RI20180515-0001CECEP L 43 15-May-18 ICU
26 281 Baru 01-02-35-20 18-May-18 RI20180518-0004KUSNI LEOMARD P 77 19-May-18 ICU
27 Baru 01-02-37-70 28-May-18 RI20180528-0001KASMI P 46 08-Jun-18 ICU
28 07 Lama 01-01-17-39 28-May-18 RI20180528-0008GOUW EN NIE P 70 02-Jun-18 1
29 100 Baru 01-02-40-76 07-Jun-18 RI20180607-0004ABDUS SALAM L 48 10-Jun-18 ICU
30 128 Baru 01-02-40-45 09-Jun-18 RI20180609-0005BY NY NARTI L 0 10-Jun-18 PERINA
LT005
31 Baru 01-02-46-85 2-Jul-18 RI20180702-0004SUMARSIH P 38 3-Jul-18 3 04 (599-B)
ZZ089
32 Baru 01-02-46-76 2-Jul-18 RI20180702-0005YUSUP PARDI L 78 7-Jul-18 3 III (521-C),
07 (90902-01)
ZZ088
33 Baru 01-02-46-95 2-Jul-18 RI20180702-0006BY NY SUMARSI P 0 5-Jul-18 BY 09 (201-A)
ZZ089
34 Baru 01-02-50-06 11-Jul-18 RI20180711-0010MUHAMMAD RAI L 6 12-Jul-18 BY 07 (90901-01)
LT005
35 Baru 01-02-22-98 14-Jul-18 RI20180714-0010DAAN L 53 16-Jul-18 ISO 08 (520)
LT005
I (518), ICU
36 Baru 01-02-52-41 18-Jul-18 RI20180718-0007ALVIAH P 51 25-Jul-18 ICU (90901-01),
04 (517)
ZZ088
37 Baru 01-02-52-70 19-Jul-18 RI20180719-0005BY NY ENI KOMSI L 0 19-Jul-18 BY 09 (201-N)
LT005
38 Baru 01-01-60-10 19-Jul-18 RI20180719-0006SUMIYATI P 37 27-Jul-18 2 II (528-A),
05 (527-A)
ZZ089
39 Baru 01-02-53-50 22-Jul-18 RI20180722-0008HIN KAM L 73 23-Jul-18 ICU I (507),
07 (90901-01)
ZZ086
PERINATOLOGI
(PERI001-E),
40 Baru 01-02-55-37 27-Jul-18 RI20180727-0010BY NY YULIYANAH P 0 29-Jul-18 PERINA
RUANG BAYI
(201-I),
10 (PERI001-B)
ZZ089
41 Baru 01-02-55-71 28-Jul-18 RI20180728-0004SAINO L 67 31-Jul-18 ICU
07 (90901-01)
42 Lama 01-01-63-30 4-Sep-18 RI20180904-0005DJOHAN BORHA L 51 8-Sep-18 3
43 Lama 01-02-47-37 14-Sep-18 RI20180914-0006AMINAH P 44 14-Sep-18 3
44 Baru 01-02-73-70 25-Sep-18 RI20180925-0002BY NY DIAN PRA L 0 27-Sep-18 BY

45 Baru 01-02-78-86 2-Oct-18 RI20181002-0001BY NY RITA NUR P 0 2-Oct-18
46 Baru 01-02-81-13 4-Oct-18 RI20181004-0011SRI NGANATUN P 60 4-Oct-18
47 Baru 01-02-80-79 4-Oct-18 RI20181004-0016SUPANI P 49 13-Oct-18
48 Baru 01-02-86-51 10-Oct-18 RI20181010-0012NUR ASIA P 55 15-Oct-18
49 Baru 01-02-87-21 10-Oct-18 RI20181010-0026RATIH P 52 12-Oct-18
50 Baru 01-02-93-74 17-Oct-18 RI20181017-0014BY NY SRI UTAMI L 0 18-Oct-18
51 Baru 01-02-94-65 19-Oct-18 RI20181018-0028BY NY APRIANTI P 0 19-Oct-18
52 Baru 01-02-94-66 19-Oct-18 RI20181018-0029BY NY APRIANTI I L 0 19-Oct-18
53 Lama 01-02-81-56 25-Oct-18 RI20181025-0020M HASAN L 75 1-Nov-18
54 Lama 01-02-81-56 25-Oct-18 RI20181025-0020M HASAN L 75 1-Nov-18
01-03-13-62 01-03-13-62
55 BY NY NURALIAH 13-Nov-18 RI20181113-0009BY NY NURALIAH L/0 11/13/2018
01-02-41-42 01-02-41-42
56 MUNAH BT MUTAR 15-Nov-18 RI20181115-0013MUNAH BT MUTAR P / 58 11/16/2018
01-03-16-62
57 19-Nov-18 RI20181120-000101-03-16-62 L / 58 11/20/2018
ABDUL NASIR ABDUL NASIR
01-03-18-39
58 22-Nov-18 RI20181122-002401-03-18-39 P/0 11/23/2018
BY NY KARTIKA BY NY KARTIKA
01-03-16-32
59 27-Nov-18 RI20181127-000701-03-16-32 P / 50 11/28/2018
SUNAENAH SUNAENAH
58 12/05/2018 Baru RI20181205- 01-03-27-42 P / 57 12/11/2018 LT005 dr. Cindy, 7

NURHAYATI 06 (522-C) SP.PD
PENYAKIT
DALAM
60
633 12/01/2018 Lama RI20181201- 01-02-40-66 P / 54 12/06/2018 ZZ089 dr. Erniody, 6

ASNARIAH 07 (90902- Sp.An
01)
ANASTESI
61
636 12/08/2018 Baru RI20181208- 01-03-31-75 L / 81 12/09/2018 ZZ089 dr. Erniody, 2

ABDUL 07 (90904- Sp.An
62 MALIK 01)
ANASTESI
638 12/16/2018 Lama RI20181216- 01-03-02-62 L / 59 12/24/2018 ZZ089 dr. Erniody, 9
JOHANES 07 (90902- Sp.An
63 DJAJA 01)
ANASTESI
639 12/20/2018 Lama RI20181220- 01-03-01-89 L / 0 12/20/2018 ZZ089 dr. Arief 1
M ABDUR I (599-E), Gunadi, Sp.
64 RAHMAN 07 (90901- A
01)
ANAK
642 12/30/2018 Baru RI20181230- 01-01-48-62 P / 94 12/31/2018 ZZ089 dr. Erniody, 2
THE KORRIE 07 (90901- Sp.An
65 01)
ANASTESI
Nama Dokter HP Penjamin
Keadaan KeluarSMF DIAGNOSAKode ICD-X
dr. James, SpA
2 PRIBADI MENINGGAL >= ANAK
dr. Tities, Sp.PD 5 BPJS KESEHATANMENINGGAL >= PENYAKIT DALAM
dr. Tjhin Sun Fu, 6 BPJS KESEHATANMENINGGAL >= BEDAH
dr. Martin MENINGGAL < PENYAKIT

8 PRIBADI
Winardi, Sp.PD 48 JAM DALAM
dr. Johny Setio, MENINGGAL < OBSTETRI DAN

1 PRIBADI
Sp.OG 48 JAM GINEKOLOGI
BPJS MENINGGAL < PENYAKIT

dr. Tities, Sp.PD 1 KESEHATAN 48 JAM DALAM
dr. Martin Winar 4 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM
LT005 dr. Tities, Sp.PD 2 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM

02 (505)
LT005 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA (J18.9, 169, LAMA), Diabetes Melitus tidak tergantung insulin (E11,
dr. Martin Winar 5
02 (505) 104.1, LAMA),
Hypo-osmolality and hyponatraemia (E87.1, 111, LAMA), Cerebrovascular disease, unspecified (I67
ZZ089 Chronic renal failure (N18, 214.9, LAMA), Respiratory failure, unspecified
I (599-C), VIP (J96.9, 179.9, LAMA),
dr. Tities, Sp.PD 6 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA Hypo-osmolality
(503), and
07 (90901-01) hyponatraemia (E87.1, 111, LAMA), Hypokalaemia (E87.6, 111, LAMA)
ZZ089 dr. Tities, Sp.PD 1 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM
07 (90902-01)
LT005 dr. Tities, Sp.PD 1 PRIBADI MENINGGAL < 4 PENYAKIT DALAM
04 (599-E)
LT005 dr. Tities, Sp.PD 2 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM
06 (521-A)
ZZ089 BPJS MENINGGAL < PENYAKIT
I (518), dr. Tities, Sp.PD 3 KESEHATAN 48 JAM DALAM
07 (90902-01)
ZZ089
ICU
(90902-01), III dr. Tities, Sp.PD 5 BPJS KESEHATANMENINGGAL < 4 PENYAKIT
DALAM
(521-C),
07 (90901-01)
ZZ089 dr. Andre, Sp.S 2 BPJS KESEHATANMENINGGAL < 4 SYARAF

07 (90901-01)
ZZ089 dr. Juliawaty 2 BPJS KESEHATANMENINGGAL < 4 ANAK
07 (90902-01) Salim, Sp. A
ZZ086
RUANG BAYI dr. Juliawaty
(201-F), Salim, Sp. A 2 BPJS KESEHATANMENINGGAL < 4 ANAK
10 (PERI001-A)
ZZ086 dr. Juliawaty 2 BPJS KESEHATANMENINGGAL < 4 ANAK

10 (PERI001-B) Salim, Sp. A
Fetal death of
unspecified
ZZ088 dr. Johny Setio, MENINGGAL < 4 OBSTETRI DAN cause -
2 PRIBADI
09 (201-J) Sp.OG GINEKOLOGI Stillbirth NOS
(P95,
253.0, LAMA)
2 BPJS KESEHATANMENINGGAL < 4
ZZ089 dr. Martin PENYAKIT DALAM
07 (90901-01) Winardi, Sp.PD
ZZ088 dr. Juliawaty 1 PRIBADI MENINGGAL < 4 ANAK

09 (201-F) Salim, Sp. A
ZZ089
III (521-A), II
(512-B), II (512-
A), ICU dr. Martin BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA Tuber.of lung,confir.by sputum microscopy culture (A15.0,
(90901-01), I 11
Winardi, Sp.PD 007.0, LAMA), Hypokalaemia (E87.6, 111, LAMA)
(598-A), ICU
(90901-01), III
(521-D),
07 (90901-01)
ZZ089
dr. Martin
I (599-H), 2 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA Gangguan mental dan perilaku akibat alkohol (F10, , LAMA)
Winardi, Sp.PD
07 (90901-01)
ZZ089 007.0, LAMA), Diabetes Melitus
I (518), dr. Tities, Sp.PD 1 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA tidak tergantung
07 (90901-01) insulin (E11,
104.1, LAMA)
ZZ089 Urinary tract infection, site not specified
dr. Martin
I (525), 2 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA (N39.0, 217, LAMA), Cardiac arrest, unspecified
Winardi, Sp.PD
07 (90902-01) (I46.9, 150, LAMA)
ZZ089 Tuberculosis of lung,without mention of bacterical or
dr. Martin
I (516), 12 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA history confirmation
07 (90901-01) Winardi, Sp.PD (A16.2, 007.1, LAMA)
LT005 Non insulin dependent DM without complications (E11.9, 104.1, LAMA), Hypoglycaemia, unspecifi
I (525), dr. Tities, Sp.PD 6 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA (E16.2, 111, LAMA), Chronic renal failure,
04 (599-F) unspecified (N18.9, 214.9, BARU)
Pulmonary
oedema -
Acute oedema
of
lung (J81,
179.9, LAMA),
Hypo-
osmolality and
ZZ089 hyponatraemia
ICU dr. Martin BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA (E87.1, 111,
(90903-01), III 4
Winardi, Sp.PD LAMA), Cardiac
(522-B), arrest,
07 (90901-01) unspecified
(I46.9, 150,
LAMA),
Respiratory
failure,
unspecified
(J96.9, 179.9,
LAMA)
Bacterial sepsis
of newborn,
unspecified
(P36.9, 250,
LAMA),
ZZ086 dr. Juliawaty 2 PRIBADI MENINGGAL < 4 ANAK Physiological
10 (PERI001-E) Salim, Sp. A jaundice
(intense)
(prolonged)
NOS (P59.9,
253.9, LAMA)
dr. Johny Setio, 2 BPJS KESEHATANMENINGGAL < 4 OBSTETRI DAN GMaternal care for intrauterine death (O36.4, 239.9, LAMA)
Sp.OG
dr. Tities, Sp.PD 6 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA Perforation of intestine (nontraumatic) (K63.1, 192.9, LAMA), Peritonitis, unspecified (K65.9, 192.9, LAMA)
dr. Johny Setio, 4 PRIBADI MENINGGAL < 4 OBSTETRI DAN GINEKOLOGI

Sp.OG
dr. James 2 BPJS KESEHATANMENINGGAL < 4 ANAK Dengue fever [classical dengue] (A90, 032.0, LAMA)
Widjaja, Sp.A
dr. Tities, Sp.PD 3 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM

Fibrosis and
cirrhosis of liver
(k74, 194.9,
dr. Tities, Sp.PD 8 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA LAMA), Cardiac
arrest
(i46, 150,
LAMA)
Fetal death of
unspecified
dr. Juliawaty cause -
1 PRIBADI MENINGGAL < 4 ANAK
Salim, Sp. A Stillbirth NOS
(P95,
253.0, LAMA)
dr. Martin 9 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALAM

Winardi, Sp.PD
Peritonitis
(K65, 192.9,
dr. Martin BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA LAMA), Cardiac
2
Winardi, Sp.PD arrest
(I46, 150,
LAMA)
Other low birth

weight - Birth
weight
1000-2499 g.
(P07.1, 246,
dr. Juliawaty 3 BPJS KESEHATANMENINGGAL < 4 ANAK LAMA),
Salim, Sp. A Bacterial sepsis
of
newborn,
unspecified
(P36.9, 250,
LAMA)
Decompensatio
n cardiac-Heart
disease,
unspecified
(I51.9, 152.9,
LAMA),
Diabetes
dr. Erniody, 4 BPJS KESEHATANMENINGGAL < 4 ANASTESI Melitus tidak
Sp.An tergantung
insulin
(E11,
104.1, LAMA),
Cardiac arrest
(I46, 150,
LAMA)
Chronic renal
failure,
unspecified
(N18.9, 214.9,
LAMA),
Other
septicaemia
ZZ089 dr. Martin (A41, 017,
I (517), Winardi, Sp.PD 5 BPJS KESEHATANMENINGGAL < 4 PENYAKIT DALA LAMA), Fetus and newborn affected by caesarean delivery (P03.4, 245, LAMA)
07 (90903-01) Hypoglycaemia,
unspecified
(E16.2, 111,
LAMA), Cardiac
arrest
(I46, 150,
LAMA)
LT005
06 (522-D) dr. Tities, Sp.PD 1 BPJS KESEHATANMENINGGAL >= PENYAKIT DALAM
NOS-Dizziness
ZZ088 dr. Johny Setio, &
09 (201-Q) Sp.OG 3 PRIBADI MENINGGAL < 4 OBSTETRI DAN GINEKOLOGI giddiness-Light-head edness (R42, 270.9, LAMA),
Personal history of allergy, other than to ....... (Z91.0,
ZZ088 dr. Johny Setio, 1 PRIBADI MENINGGAL < 4 OBSTETRI DAN GINEKOLOGI
09 (201-A) Sp.OG
Diabetes
Melitus
dr. Martin ditentukan
Winardi, Sp.PD lainnya (E13,
ZZ089 1 BPJS KESEHATANMENINGGAL < 48 JAM 104.3, LAMA),
07 (90903-01) PENYAKIT Cardiac arrest,
DALAM unspecified
(I46.9, 150,
LAMA)
Non insulin
dependent DM
without
complications
(E11.9, 104.1,
dr. Martin LAMA),
Winardi, Sp.PD Acute renal
LT005 10 BPJS KESEHATANMENINGGAL < 48 JAM failure,
06 (522-E) PENYAKIT unspecified
DALAM (N17.9, 214.9,
LAMA),
Cardiac arrest,
unspecified
(I46.9, 150,
LAMA)
ZZ089
ICU dr. Erniody,
(90902-01), III 6 BPJS KESEHATANMENINGGAL >= ANASTESI
Sp.An
(599-M),
07 (90902-01)
dr. Martin
ZZ089 Winardi, Sp.PD
II (510-B), 3 BPJS KESEHATANMENINGGAL < 48 JAM
07 (90901-01) PENYAKIT
DALAM
ZZ088 dr. Johny Setio, 2 PRIBADI MENINGGAL < 48 JAM

09 (201-F) Sp.OG
ZZ088 dr. Evy Asali, 1 PRIBADI MENINGGAL < 4 OBSTETRI DAN GINEKOLOGI
09 (201-O) Sp.OG
ZZ088 dr. Evy Asali, 1 PRIBADI MENINGGAL >= OBSTETRI DAN GINEKOLOGI
09 (201-P) Sp.OG
Disorders of
ZZ089 copper
dr. Budi Irawan,
III (599-R), 8 BPJS KESEHATANMENINGGAL < 4 BEDAH metabolism
Sp. B
07 (90902-01) (E83.0, 111,
LAMA)
Disorders of
ZZ089 dr. Budi Irawan, copper
III (599-R), 8 BPJS KESEHATANMENINGGAL < 4 BEDAH metabolism
Sp. B
07 (90902-01) (E83.0, 111,
LAMA)
09 (201-D) 1 PRIBADI MENINGGAL < 48 JAM
ANAK
Non insulin
dependent DM
without
complications
ZZ089 dr. Martin Winardi, Sp.PD (E11.9, 104.1,
07 (90903-01) 2 BPJS KESEHATANMENINGGAL < 48 JAM LAMA),
PENYAKIT DALAM Pneumonia,
unspecified
(J18.9, 169,
LAMA)
Stroke, not
specified as
haemorrhage
or infarction
dr. Andre, Sp.S (I64, 155,
ZZ089 2 BPJS KESEHATANMENINGGAL < 48 JAM LAMA),
07 (90901-01) SYARAF Status
epilepticus,
unspecified
(G41.9, 124,
LAMA)

09 (201-I) OBSTETRI DAN GINEKOLOGI
Calculus of
gallbladder
ZZ089 dr. Budi Irawan, Sp. B without
III (599-T), 2 BPJS KESEHATANMENINGGAL < 48 JAM cholecystitis
07 (90901-01) BEDAH (K80.2, 195.0,
LAMA)
BPJS KESEHAMENINGGAL <

Atrial
fibrillation
and flutter
(I48, 150,
LAMA),
Hypo-
osmolality
and
hyponatrae
mia
(E87.1, 111,
LAMA),
Urinary tract
infection,
site not
specified
(N39.0, 217,
LAMA),
Septicaemia,
unspecified
(A41.9, 017,
LAMA)
BPJS KESEHAMENINGGAL <

Chronic
renal failure
(N18, 214.9,
LAMA),
Pneumonia,
organism
unspecified
(J18, 169,
LAMA),
Anaemia,
unspecified
(D64.9, 098,
LAMA)
BPJS KESEHAMENINGGAL < 48 JAM

PRIBADI MENINGGAL < 48 JAM

ICD 9-CM ICD 9-CM
ntung insulin (E11,
, LAMA), Cerebrovascular disease, unspecified (I67.9, 156, LAMA)

atory failure, unspecified
ia (E87.6, 111, LAMA)

ns (E11.9, 104.1, LAMA), Hypoglycaemia, unspecified
itonitis, unspecified (K65.9, 192.9, LAMA)

caesarean delivery (P03.4, 245, LAMA)
42, 270.9, LAMA),

r than to ....... (Z91.0,
Rujukan Dari
Dirujuk Ke

Data Base Ranap - 2018

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Data Base Ranap - 2018

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LAPORAN HARIAN PASIEN RAWAT INAP

Periode : JANUARI - 2018

192 L 00-00-94-36 13-Jan-18 RI20180113-0007 SISI RATU KONSINA P 1 15-Jan-18 3

210 L 01-01-56-44 15-Jan-18 RI20180115-0003 AYUNDA PUTRI UTAMI P 28 17-Jan-18 2

dr. Tities, Sp.PD

ZZ088 dr. James, SpA

LT005 dr. Johny Setio, Sp.OG

LT005 dr. Johny Setio, Sp.OG

LT005 dr. Johny Setio, Sp.OG 1 PRIBADI DIIZINKAN PULANG

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