RM060 - LAPORAN TRANSFER PASIEN

PERIODE : 01/04/2019 S/D 31/05/2019

NO RM NAMA PASIEN EPS PENJAMIN ICD DIAGNOSA TANGGAL BED ASAL BED TUJUAN DOKTER
2019055197 ADE RIYANTO 1 KIS K38.1 Specified disease of faecalith appendix 01/04/2019 D103-3 D102-1 dr. Wahyu Waspodo
Sp.B
2019055251 CARWINAH 1 KIS K92.1 Melaena 01/04/2019 D103-1 D104-1 dr. Zulfan Sp.PD
2019055252 MARYATI 1 Askes I21.9 Acute myocardial infarction, unspecified 02/04/2019 C106 ICU101-1 dr. Zulfan Sp.PD
2019055296 HAMDAN FAKHIRIZI 1 Askes A01.0 Typhoid fever 04/04/2019 A101 A103-2 dr H. Untung
Wahyono Sp.A
2019055296 HAMDAN FAKHIRIZI 1 Askes A01.0 Typhoid fever 04/04/2019 A103-2 A102 dr H. Untung
Wahyono Sp.A
2019055309 SITI SINAH 1 KIS I63.9 Cerebral infarction, unspecified 05/04/2019 D104-3 ICU101-2 dr. Zulfan Sp.PD
1015033824 RADEN JOKO KUWAT 3 Askes K30 Dyspepsia 05/04/2019 C110-2 C106 dr. Zulfan Sp.PD
2019055320 SITI NURJANAH 1 Askes E11.9 DM tipe II 05/04/2019 C109-1 E106 dr. Zulfan Sp.PD
2017045957 MOHAMAD HATTA 4 Askes E11.9 DM tipe II 05/04/2019 C108 E102 dr. Zulfan Sp.PD
2019055299 PUTRI DWI RAHMAWATI 1 BPJS Murni A01.0 Typhoid fever 06/04/2019 A104-2 A103-2 dr H. Untung
Wahyono Sp.A
2019055351 SOFA OCKTAVIANI 1 BPJS Murni A09.9 GASTROENTERITIS AND COLITIS OF 06/04/2019 D103-2 A104-2 dr H. Untung
UNSPECIFIED ORIGIN Wahyono Sp.A
2017048140 SANIRIH 3 KIS K30 Dyspepsia 07/04/2019 C101-1 D102-1 dr. Zulfan Sp.PD
2019055358 SRI NURHAYATI 1 BPJS Murni O82.0 DELIVERY BY ELECTIVE CAESAREAN SECTION 07/04/2019 C102-1 C101-1 dr. Iyep Syafarudin
Sirod Sp.OG
2019055386 CARMEN 1 Askes E11.9 DM tipe II 09/04/2019 C103-1 C108-1 dr. Zulfan Sp.PD
2019055386 CARMEN 1 Askes E11.9 DM tipe II 09/04/2019 C108-1 E101 dr. Zulfan Sp.PD
2019055412 LAELY RACHAMAYANI 1 BPJS Murni A90 Dengue fever (classical dengue) 10/04/2019 D102-4 C106 dr. Zulfan Sp.PD
2019055420 KASTEM BT BARKAWI 1 BPJS Murni K30 Dyspepsia 10/04/2019 C103-2 C109-1 dr. Zulfan Sp.PD
2019055029 NUNUNG NURHASANAH 3 KIS O21.0 Mild hyperemesis gravidarum 10/04/2019 C102-2 C105 dr. Iyep Syafarudin
Sirod Sp.OG
2017043717 INDRAYATI 18 BPJS Murni A09.9 GASTROENTERITIS AND COLITIS OF 11/04/2019 C109-2 C103-2 dr. Zulfan Sp.PD
UNSPECIFIED ORIGIN
2019055426 RASPEN 1 KIS E11.9 DM tipe II 11/04/2019 D103-2 D102-4 dr. Zulfan Sp.PD
2019055414 DATI 1 KIS K30 Dyspepsia 11/04/2019 ICU101-1 D104-2 dr. Zulfan Sp.PD
2019055417 KARNADI 1 KIS J40 Bronchitis 11/04/2019 D103-3 ICU101-1 dr. Zulfan Sp.PD
2019055417 KARNADI 1 KIS J40 Bronchitis 12/04/2019 ICU101-1 ICU101-2 dr. Zulfan Sp.PD
2019055417 KARNADI 1 KIS J40 Bronchitis 12/04/2019 ICU101-2 D103-3 dr. Zulfan Sp.PD
2019055446 JUNENI 1 KIS O82.0 DELIVERY BY ELECTIVE CAESAREAN SECTION 13/04/2019 C102-1 C101-1 dr. Iyep Syafarudin
Sirod Sp.OG
2019055484 RASTINIH 1 KIS K92.1 Melaena 14/04/2019 D104-2 ICU101-1 dr. Zulfan Sp.PD
2019055484 RASTINIH 1 KIS K92.1 Melaena 16/04/2019 ICU101-1 D104-4 dr. Zulfan Sp.PD
2019055527 SUSILIANI 1 Garda Medika O62.1 Secondary uterine inertia 18/04/2019 C101-1 E102 dr. Iyep Syafarudin
Sirod Sp.OG
2019055537 WASIROH 1 KIS E11.9 DM tipe II 18/04/2019 D104-2 ICU101-1 dr. Zulfan Sp.PD
2019055541 DAMIRAH 1 KIS J40 Bronchitis 20/04/2019 C103-2 C105 dr. Zulfan Sp.PD
2019055559 KARTI 1 KIS I50.0 Congestive heart failure 20/04/2019 D104-3 ICU101-2 dr. Zulfan Sp.PD
2019055588 TARPAN 1 BPJS Murni K30 Dyspepsia 22/04/2019 C107 C105 dr. Zulfan Sp.PD
2019055537 WASIROH 1 KIS E11.9 DM tipe II 23/04/2019 ICU101-1 D104-3 dr. Zulfan Sp.PD
2019055559 KARTI 1 KIS I50.0 Congestive heart failure 23/04/2019 ICU101-2 D102-2 dr. Zulfan Sp.PD
2019055600 ATANG SURIPTO 1 KIS I10 Essential (primary) hypertension 23/04/2019 C110-1 C106 dr. Zulfan Sp.PD

Jun 3, 2019 10:21 AM

NO RM NAMA PASIEN EPS PENJAMIN ICD DIAGNOSA TANGGAL BED ASAL BED TUJUAN DOKTER
2019055559 KARTI 1 KIS I50.0 Congestive heart failure 24/04/2019 D102-2 ICU101-2 dr. Zulfan Sp.PD
2019055469 WARSINIH 2 KIS K30 Dyspepsia 27/04/2019 C110-1 C104-1 dr. Zulfan Sp.PD
2019055469 WARSINIH 2 KIS K30 Dyspepsia 27/04/2019 C104-1 C103-1 dr. Zulfan Sp.PD
2019055683 SAMAD 2 KIS E11.9 DM tipe II 29/04/2019 D104-4 D103-3 dr. Zulfan Sp.PD
2019055680 EVI NURLAELA 2 BPJS Murni O82.0 DELIVERY BY ELECTIVE CAESAREAN SECTION 29/04/2019 E104 E105 dr. Iyep Syafarudin
Sirod Sp.OG
2019055653 DANISEM 2 KIS I64 Stroke, not specified as haemorrhage or infarction 30/04/2019 D102-2 ICU101-2 dr. Zulfan Sp.PD
2019055707 TARSIMAH 2 KIS K30 Dyspepsia 01/05/2019 D102-2 D101-4 dr. Zulfan Sp.PD
2019055707 TARSIMAH 2 KIS K30 Dyspepsia 01/05/2019 D101-4 D104-2 dr. Zulfan Sp.PD
2019055758 MURJANA.H 2 BPJS Murni E11.9 DM tipe II 04/05/2019 C110-2 C104-1 dr. Zulfan Sp.PD
2019055769 UKAR SUHARJA 2 BPJS Murni D53.9 NUTRITIONAL ANAEMIA, UNSPECIFIED 05/05/2019 E102 E103 dr. Zulfan Sp.PD
2019055775 DASINAH 2 KIS E11.9 DM tipe II 06/05/2019 D103-3 ICU101-1 dr. Zulfan Sp.PD
2019055807 DULKAPI 2 KIS N30.9 Cystitis, unspecified 07/05/2019 D102-3 C103-1 dr. Zulfan Sp.PD
1016038408 DOLLAH 2 Askes I64 Stroke, not specified as haemorrhage or infarction 11/05/2019 C104-2 ICU101-2 dr. Zulfan Sp.PD
1016038408 DOLLAH 2 Askes I64 Stroke, not specified as haemorrhage or infarction 12/05/2019 ICU101-2 ICU101-1 dr. Zulfan Sp.PD
2019055875 DAMEH 2 KIS I11.9 Hypertensive heart disease NOS 12/05/2019 D103-4 D102-4 dr. Zulfan Sp.PD
2019055856 DARWI 3 KIS I84.2 Internal haemorrhoids NOS 12/05/2019 D104-4 D103-4 dr. Wahyu Waspodo
Sp.B
2019055891 DAWI 2 KIS K92.1 Melaena 13/05/2019 C109-1 ICU101-1 dr. Zulfan Sp.PD
2019055906 RIFKY SYAHRIL FARDAN 2 KIS A09.9 GASTROENTERITIS AND COLITIS OF 15/05/2019 D104-4 A104-4 dr H. Untung
UNSPECIFIED ORIGIN Wahyono Sp.A
2019055892 ERIH SISWANTO 2 KIS N49.2 Abscess scrotum 15/05/2019 D102-2 ICU101-2 dr. Zulfan Sp.PD
2018050480 SUTARI 5 KIS K92.1 Melaena 15/05/2019 D103-1 ICU101-2 dr. Zulfan Sp.PD
2019055917 NUNUNG NURHAYATI 2 KIS O14.1 Severe pre eclampsia 16/05/2019 C107 C108 dr. Iyep Syafarudin
Sirod Sp.OG
2019055891 DAWI 2 KIS K92.1 Melaena 16/05/2019 ICU101-1 C109-1 dr. Zulfan Sp.PD
2019055865 DARSIYEM 2 KIS N18.3 CKD STG III 17/05/2019 D103-2 ICU101-1 dr. Zulfan Sp.PD
2019055945 INDRA JAYA 2 Askes N20.1 Calculus of ureter 19/05/2019 C103-1 G102 dr. Zulfan Sp.PD
2019055968 MULYA 2 BPJS Murni K30 Dyspepsia 20/05/2019 C103-1 E102 dr. Zulfan Sp.PD
2019055962 SARIPIN 2 BPJS Murni K92.1 Melaena 20/05/2019 D104-3 C103-1 dr. Zulfan Sp.PD
2019055969 CICA YUSMIN 2 BPJS Murni B34.9 Viral infection, unspecified 20/05/2019 C104-2 C109-1 dr. Zulfan Sp.PD
1014029377 SLAMET RAHAYU 2 BPJS Murni K80.5 Calculus of bile duct without cholangitis or chole 21/05/2019 C104-2 C109-1 dr. Zulfan Sp.PD
1014029377 SLAMET RAHAYU 2 BPJS Murni K80.5 Calculus of bile duct without cholangitis or chole 22/05/2019 C109-1 C104-2 dr. Zulfan Sp.PD
2017047358 MULYATI 4 BPJS Murni K30 Dyspepsia 24/05/2019 C104-2 C106 dr. Zulfan Sp.PD
2019056028 TAWID 2 KIS K30 Dyspepsia 26/05/2019 D103-1 D104-1 dr. Zulfan Sp.PD

Jun 3, 2019 10:21 AM