RSUD Puruk Cahu

Jl. A. Yani No. 497, Puruk Cahu, Kalimantan Tengah

0528 31787
E-mail : rsudpurukcahu@gmail.com

DATA KAMAR INAP PASIEN

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2018/08/24/000097 060994 JUMATI ALPISAH BD3BB01 BEDAH 3B - O82.1, 24/08/2018 18:58:12 28/08/2018 14:43:44 Rp 180,000.00
2018/09/03/000148 060411 NINGSI YANI, NY BD3DB02 BEDAH 3B O82.1, 03/09/2018 19:35:28 05/09/2018 12:58:34 Rp 50,000.00
2018/09/09/000003 042108 ERLA LATIFAH. NY KB01B01 MELATI1 - Z37, Z30, N73.6, 09/09/2018 11:10:34 11/09/2018 14:09:45 Rp 150,000.00
O14.1, O82.1,
O34.2,
2018/09/11/000028 060926 TRI DESIANI, NY KB01B01 MELATI1 SC Z37, O32.1, 13/09/2018 10:20:33 15/09/2018 11:43:39 Rp 150,000.00
O34.2, O82.1,
2018/09/18/000094 811400 PILITHA, NY KB01B01 MELATI1 - O41.0, O47.0, 21/09/2018 07:53:55 21/09/2018 11:52:34 Rp 0.00
O42.1, O32.0,
O82.1,
2018/09/24/000081 062309 KOIK S.Pd. Ny. KB01B01 MELATI1 V66.32, Z30, 24/09/2018 22:28:54 29/09/2018 12:10:32 Rp 375,000.00
O32.2, O82.0,
2018/09/29/000102 611800 MEINI, NY KB01B01 MELATI1 - O85, O42.1, O14, 29/09/2018 17:20:00 01/10/2018 10:38:15 Rp 150,000.00
O82.1,
2018/10/01/000129 292812 HATIMAH, NY KB01B01 MELATI1 SC O47.1, Z30, 01/10/2018 13:09:10 03/10/2018 15:09:39 Rp 150,000.00
O65.5, O82.1,
2018/10/18/000043 683012 ENDANG HERNIATI, KB01B01 MELATI1 - O47.1, O41.0, 18/10/2018 08:57:39 20/10/2018 09:59:34 Rp 150,000.00
NY O42.1, O82.1,
2018/10/21/000002 490100 WIWIT SUSANTI, NY KB01B01 MELATI1 - O47.1, O42.1, 21/10/2018 08:37:01 23/10/2018 08:11:27 Rp 150,000.00
O82.1,
2018/10/28/000003 252500 DEVI, NY KB01B01 MELATI1 - O23.4, O99.0, 28/10/2018 07:20:45 31/10/2018 12:18:51 Rp 225,000.00
O41.0, O42.1,
O82.1, O68.9,
2018/11/06/000110 553000 MIMI RUMIA, NY KB01B01 MELATI1 SC Z30, O41.0, O48, 06/11/2018 12:17:00 09/11/2018 17:33:10 Rp 225,000.00
O82.1,
2018/11/10/000067 173200 SRI AGUSMARTA. NY KB01B01 MELATI1 inpartu Z30, O41.1, 10/11/2018 11:46:43 13/11/2018 11:20:53 Rp 225,000.00
O42.1, O82.1,
2018/11/18/000019 753300 RUSMIYA, NY KB01B01 MELATI1 INPARTU O41.0, Z30, O48, 18/11/2018 20:59:54 21/11/2018 12:07:19 Rp 225,000.00
O42.1, O32.3,
O82.1,
2018/11/21/000048 049937 NOORIYAH. NY KB01B01 MELATI1 - O68.9, Z30, 21/11/2018 17:02:02 23/11/2018 10:30:03 Rp 150,000.00
O14.1, O48,
2018/12/12/000090 943300 ASTY WIDIANA KB01B01 MELATI1 - Z30, O41.0, 13/12/2018 10:54:18 15/12/2018 14:57:16 Rp 150,000.00
PALAYUKAN, NY O42.1, O82.1,
2018/08/27/000124 200800 LELA, NY KB02B01 MELATI2 - Z30, Z37, O47.1, 27/08/2018 15:28:16 29/08/2018 14:46:27 Rp 150,000.00
O42.1, O68.8,
O62.9, O82.1,
2018/09/07/000090 042067 ERWI YANTI, NY KB02B01 MELATI2 sc Z30, Z37, J45, 07/09/2018 16:53:37 10/09/2018 11:04:02 Rp 225,000.00
O32.2, O82.1,
2018/09/22/000093 391600 ROSALIA, NY KB02B01 MELATI2 - Z30, O48, O65.5, 22/09/2018 19:33:40 24/09/2018 13:17:31 Rp 150,000.00
O82.1,
2018/10/03/000087 013183 BENIE, NY KB02B01 MELATI2 sc O41.1, Z30, 03/10/2018 12:56:26 05/10/2018 07:31:49 Rp 150,000.00
O47.1, O14.1,

8/12/19, 9:02 AM Page 1 of 6

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2018/10/09/000142 054958 YESIANASARI, NY KB02B01 MELATI2 - O99.0, Z30, O48, 10/10/2018 19:07:09 12/10/2018 11:58:38 Rp 150,000.00
O82.1,
2018/10/15/000134 058773 APRILIA, NY KB02B01 MELATI2 - Z30, O47.1, 15/10/2018 15:11:00 17/10/2018 08:54:20 Rp 150,000.00
O32.2, O82.1,
2018/10/28/000020 043487 EVA ERVIANA, NY KB02B01 MELATI2 - O82.1, Z37, 28/10/2018 12:55:43 31/10/2018 10:43:11 Rp 225,000.00
O47.1, O44.0,
2018/10/22/000111 031703 ELIN KRISTINA, NY KB02B01 MELATI2 Inpartu Z30, O41.0, O48, 01/11/2018 18:46:49 03/11/2018 11:11:47 Rp 150,000.00
K66.0, O14,
O82.1,
2018/11/07/000037 026307 DADAH. NY KB02B01 MELATI2 kpd sc O42.1, O82.1, 09/11/2018 11:46:31 09/11/2018 17:36:21 Rp 0.00
2018/11/09/000072 903100 NOVI YANTI EKA KB02B01 MELATI2 INPARTU O65.5, O41.0, 09/11/2018 18:15:19 13/11/2018 15:26:22 Rp 300,000.00
SARI, NY O42.1, O48,
O82.1,
2018/11/14/000001 893200 PINA KB02B01 MELATI2 INPARTU M66.32, A30, 14/11/2018 18:15:04 16/11/2018 14:22:01 Rp 150,000.00
K66.0, O82.1,
2018/11/17/000022 202900 ISTIQOMAH, NY KB02B01 MELATI2 KPD, Z30, O41.0, 17/11/2018 10:44:40 19/11/2018 11:33:09 Rp 150,000.00
O42.1, O82.1,
2018/11/19/000129 103400 NURIATI, NY KB02B01 MELATI2 O14.0, O42.1, 20/11/2018 06:49:31 21/11/2018 15:33:18 Rp 75,000.00
O82.1,
2018/11/22/000002 160731 SANTI YULIANA KB02B01 MELATI2 O42.1, O68.9, 22/11/2018 21:04:22 24/11/2018 11:44:53 Rp 150,000.00
O82.1,
2018/11/24/000014 710731 KURNIA, NY KB02B01 MELATI2 - Z30, E0069, 24/11/2018 11:51:20 27/11/2018 08:52:40 Rp 225,000.00
O32.2, V74.13,
2018/12/03/000064 056514 DEWITA ANDRIANY, KB02B01 MELATI2 POST SC Z30, O47.1, 03/12/2018 13:04:50 06/12/2018 08:36:40 Rp 225,000.00
NY O32.2, O82.1,
2018/12/07/000095 044109 BONI FRACIA BIBI. KB02B01 MELATI2 - Z30, O48, O68.9, 07/12/2018 06:37:44 09/12/2018 08:41:36 Rp 150,000.00
O42.1, O82.1,
2018/12/11/000061 030666 DERITA SANDRA KB02B01 MELATI2 RENCANA SC M73.06, O42.0, 11/12/2018 13:58:28 14/12/2018 08:43:06 Rp 225,000.00
AMALIA, SE. NY O48, O82.1,
O34.2,
2018/12/18/000103 049788 WIWI. NY KB02B01 MELATI2 RENCANA SC Z30, O13, O32.2, 19/12/2018 13:11:01 21/12/2018 14:05:15 Rp 150,000.00
O82.1,
2018/12/13/000044 233300 WARSINI, NY KB02B01 MELATI2 HAMIL DENGAN O47.1, O44.1, 27/12/2018 14:13:45 28/12/2018 09:54:50 Rp 75,000.00
PLASENTA PREVIA Z34, O82.0,
TOTALIS
2018/08/16/000111 110100 LAURA HOSIANA KB03B02 MELATI3 - O82.1, 16/08/2018 19:03:46 23/08/2018 07:40:01 Rp 560,000.00
2018/08/20/000118 021885 IRA PURNAMAWATI KB03B01 MELATI3 - O82, 20/08/2018 11:50:47 25/08/2018 13:55:48 Rp 375,000.00
2018/08/26/000002 660300 RIPAH, NY KB03B01 MELATI3 - O14.1, O82.1, 26/08/2018 05:28:55 28/08/2018 12:41:16 Rp 150,000.00
2018/08/30/000004 040091 YENY SUSANTI, NY KB03B01 MELATI3 Z30, Z37, O47.1, 30/08/2018 03:55:15 01/09/2018 10:06:19 Rp 150,000.00
O99.0, O44.1,
O82.1,
2018/09/01/000086 800900 RUSI KB03B01 MELATI3 - D72.8, O47.1, 01/09/2018 13:02:31 09/09/2018 06:59:12 Rp 600,000.00
O65.5, Q03.9,
O82.1,
2018/09/25/000119 033289 YULITA RENI KB03B02 MELATI3 - O47.1, O99.0, 25/09/2018 15:44:48 28/09/2018 08:58:30 Rp 225,000.00
TANDIOLA, NY N32.4, O82.1,
O34.2,
2018/10/03/000131 003379 AULIA SARI, NY KB03B01 MELATI3 - Z30, A63.0, N89.8, 03/10/2018 18:34:46 06/10/2018 11:03:07 Rp 225,000.00
O65.5, O82.1,
2018/10/12/000030 702200 ENI SRY WAHYUNI, KB03B02 MELATI3 POST DATE, O82.1, 12/10/2018 09:45:48 16/10/2018 09:38:18 Rp 300,000.00
NY TERMINASI

8/12/19, 9:02 AM Page 2 of 6

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
KEHAMILAN
2018/10/13/000062 962200 FITRI INDRA KB03B01 MELATI3 inpartu O32.3, O62.1, 13/10/2018 12:22:00 17/10/2018 09:02:24 Rp 300,000.00
SUSANTI, NY O82.1, O71.5,
2018/10/16/000017 722300 EVI. NY KB03B01 MELATI3 SC O41.0, O42.1, 16/10/2018 08:32:47 19/10/2018 10:56:00 Rp 225,000.00
O82.1, O68.9,
2018/11/04/000021 046037 WITA KUSUMA. D, KB03B01 MELATI3 poligo O70.1, O63.1, 04/11/2018 16:51:00 08/11/2018 11:50:22 Rp 300,000.00
A.MA.PD.TK, NY O99.0, Z30, O40,
O32.2, O82.1,
2018/12/23/000032 633000 HENNY FEBRIANI. KB03B01 MELATI3 POST SC Z30, O68.9, 27/12/2018 13:21:22 27/12/2018 13:33:36 Rp 0.00
2018/08/23/000024 650200 MASNIAH KB04B01 MELATI4 inpartu k1 letak Z30, O99.0, 24/08/2018 12:28:49 25/08/2018 14:41:29 Rp 75,000.00
lintang O32.2, O82.1, -,
2018/10/14/000020 192300 ANITA RAHAYU, NY KB04B01 MELATI4 INPARTU J45, O99.0, O62.1, 14/10/2018 13:19:16 17/10/2018 10:11:33 Rp 225,000.00
O82.1,
2018/12/06/000074 973800 ERNAWATI. NY KB04B01 MELATI4 INPARTU Z30, E46, O42.1, 06/12/2018 14:04:48 08/12/2018 10:00:25 Rp 150,000.00
O68.9, O82.1,
2018/12/07/000002 113900 LISA SUSANTI. NY KB04B01 MELATI4 Z30, O99.0, 09/12/2018 06:43:07 09/12/2018 10:06:58 Rp 0.00
O36.6, O65.5,
O45.8, O82.1,
2018/08/23/000046 630200 SUSANTI, NY KB05B01 MELATI5 - O82, 23/08/2018 09:27:29 25/08/2018 14:05:11 Rp 150,000.00
2018/08/29/000088 061396 DENNY. NY KB05B01 MELATI5 - Z37, Z30, O47.0, 29/08/2018 17:27:13 01/09/2018 09:56:56 Rp 225,000.00
O32.3, O82.1,
2018/09/03/000085 201000 HATMAWATI, NY KB05B02 MELATI5 - Z30, O47.1, Z37, 03/09/2018 09:51:38 05/09/2018 11:57:23 Rp 150,000.00
O41.0, O82.1,
O14.1,
2018/09/15/000116 049475 FARIDAH FHASYA, KB05B02 MELATI5 INPARTU O26.6, O62.4, 17/09/2018 13:03:12 20/09/2018 13:35:48 Rp 225,000.00
O15.9, Z30,
O99.0, O72.1,
O45.8, O82.1,
2018/09/20/000087 401400 SRI MULYANI, NY KB05B02 MELATI5 - Z30, O41.0, 20/09/2018 17:31:18 22/09/2018 12:14:59 Rp 150,000.00
O42.1, O82.1,
2018/09/22/000096 401600 HERLELA WATY, NY KB05B01 MELATI5 - Z30, O41.0, O13, 22/09/2018 21:50:52 25/09/2018 10:33:01 Rp 225,000.00
O82.1,
2018/09/24/000003 056270 FARIDA, NY KB05B02 MELATI5 J45, Z30, O42.1, 24/09/2018 07:21:06 26/09/2018 12:09:51 Rp 150,000.00
O99.0, O32.1,
O82.1,
2018/09/26/000086 059957 LUSIAH. NY KB05B01 MELATI5 - O14.2, O47.0, 26/09/2018 14:14:44 28/09/2018 08:50:04 Rp 150,000.00
Z30, O15.1,
2018/09/28/000091 941300 CICI KUSMIATI,NY KB05B01 MELATI5 - O48, O36.1, 28/09/2018 15:53:14 01/10/2018 10:35:45 Rp 225,000.00
O82.1,
2018/10/07/000033 611800 MEINI, NY KB05B02 MELATI5 - O82.0, Z48, O13, 07/10/2018 16:21:58 10/10/2018 09:53:46 Rp 225,000.00
T81.3, O34.2,
2018/10/07/000002 112100 ekasafi try wijayanti KB05B01 MELATI5 - O99.0, O47.0, J45, 08/10/2018 16:19:42 11/10/2018 08:27:42 Rp 225,000.00
O32.1, O42.1,
O82.1,
2018/10/16/000035 762300 IRMA SUPIANA, NY KB05B02 MELATI5 INPARTU O14, Z30, O42.1, 16/10/2018 08:35:20 18/10/2018 11:44:14 Rp 150,000.00
O82.1,
2018/10/15/000128 532300 RILLA ANGGRAINI KB05B01 MELATI5 - O48, O65.5, 16/10/2018 18:44:03 17/10/2018 12:44:37 Rp 75,000.00
SAPUTRI, NY O82.1,
2018/10/18/000007 062754 HEPY RESTIASI. NY KB05B01 MELATI5 INPARTUM Z30, O41.0, O48, 18/10/2018 06:54:10 20/10/2018 10:03:22 Rp 150,000.00
O82.1,
2018/10/30/000080 542800 ZUBAIDAH, NY KB05B02 MELATI5 - Z30, O32.2, 31/10/2018 12:39:34 03/11/2018 11:17:10 Rp 225,000.00

8/12/19, 9:02 AM Page 3 of 6

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
O14, O82.1,
2018/10/31/000103 062695 NORAIDA, NY KB05B01 MELATI5 - O36.5, O71.1, 31/10/2018 17:23:33 03/11/2018 09:41:25 Rp 225,000.00
Z30, O62.4,
O41.0, O42.1,
O82.1, O68.9,
2018/11/03/000107 483112 NANDA, NY KB05B02 MELATI5 SC Z30, O82.1, 03/11/2018 11:39:54 05/11/2018 12:41:28 Rp 150,000.00
O36.5, O41.0,
2018/11/03/000112 192900 ITA PURNAMASARI, KB05B01 MELATI5 SC O82, 03/11/2018 11:40:17 07/11/2018 05:23:23 Rp 300,000.00
NY
2018/11/06/000113 160300 NURSAIMAH ADE KB05B02 MELATI5 kpd, oligo Z30, O41.0, 06/11/2018 12:56:13 08/11/2018 11:37:29 Rp 150,000.00
MUSTIKA. NY O42.1, O82.1,
2018/11/06/000119 783000 DINA VIRJIN KB05B02 MELATI5 - Z30, O41.0, 09/11/2018 11:45:29 13/11/2018 20:48:53 Rp 300,000.00
HANDAYANI, NY O42.1, O32.3,
2018/11/14/000074 582400 NOMI, NY KB05B02 MELATI5 - Z30, O32.2, O48, 14/11/2018 18:13:47 16/11/2018 14:02:43 Rp 150,000.00
O82.1,
2018/11/19/000124 053667 ESMI RUSMITA, NY KB05B01 MELATI5 - O14.0, V93.63, 19/11/2018 17:39:43 21/11/2018 15:40:13 Rp 150,000.00
O32.2, O82.1,
2018/11/21/000003 203400 ULPAH WAWANDARI. KB05B02 MELATI5 - O82.1, O14.0, 21/11/2018 08:27:58 23/11/2018 10:26:50 Rp 150,000.00
NY O42.1,
2018/11/23/000090 162800 SUMIYATI, NY KB05B02 MELATI5 - Z30, O32.2, 23/11/2018 11:34:29 25/11/2018 12:12:15 Rp 150,000.00
O68.9, O82.1,
2018/11/29/000097 048206 SRI WAHYUNI, NY KB05B01 MELATI5 RENCANA SC Z30, O32.2, 29/11/2018 19:14:57 02/12/2018 08:48:57 Rp 225,000.00
2018/12/01/000150 062323 YULIA SUNARTI KB05B02 MELATI5 - E0041, Z30.0, 01/12/2018 14:04:35 03/12/2018 14:32:54 Rp 150,000.00
O48, O42.1,
O82.1,
2018/12/07/000056 058421 ARI SULISTYO RINI. KB05B02 MELATI5 PARTUS DELIVERY Z30, O41.0, O48, 07/12/2018 15:19:02 09/12/2018 13:20:39 Rp 150,000.00
NY SECTIO CESAREAN O42.1, O82.1,
2018/12/17/000064 292600 CASNIATY TUNJUNG KB05B02 MELATI5 O68.9, Z30, 17/12/2018 10:28:45 19/12/2018 13:07:57 Rp 150,000.00
SARI. NY O41.0, O48, Z34,
2018/12/20/000102 280831 NORISKA PAUJIAH KB05B01 MELATI5 - Z30, O61.0, 20/12/2018 20:34:06 23/12/2018 20:59:12 Rp 225,000.00
SAPITRI, NY O42.1, O82.1,
2018/12/27/000021 026373 MARIANI. NY KB05B02 MELATI5 inpartu E11.9, O14.9, 29/12/2018 17:41:23 31/12/2018 05:59:46 Rp 150,000.00
O61.0, O82.1,
2018/08/23/000150 055920 NY.ILI FITRIAH KB06B02 MELATI6 O82.1, 23/08/2018 21:53:34 27/08/2018 10:08:41 Rp 300,000.00
2018/08/27/000116 130800 SERIATI,NY KB06B02 MELATI6 inpartu Z37, O47.1, 27/08/2018 13:26:18 29/08/2018 16:50:18 Rp 150,000.00
O68.8, O14.1,
O65.5, O82.1,
2018/09/28/000086 037046 RUMIATI,A.MD, NY KB06B02 MELATI6 sc Z30, O47.0, 28/09/2018 12:38:43 30/09/2018 11:34:48 Rp 150,000.00
O15.1, O82.1,
2018/10/05/000077 054804 WULAN KB06B02 MELATI6 G1P0A0, POST O23.4, O99.0, 05/10/2018 11:51:39 08/10/2018 13:03:03 Rp 225,000.00
TERM, Z30, O41.0, O48,
O42.1, O82.1,
2018/10/31/000089 842800 TIMAH,NY KB06B01 MELATI6 INPARTU dengan Z30, O14, O41.0, 31/10/2018 11:11:02 03/11/2018 10:01:24 Rp 225,000.00
ASMA O48, J81, O82.1,
2018/11/14/000010 049026 MUTIA RAHMI KB06B01 MELATI6 SC Z30, O69.2, O41, 14/11/2018 08:57:51 16/11/2018 14:09:11 Rp 150,000.00
O42.1, O68.9,
O82.1,
2018/11/27/000078 670831 ELIS. NY KB06B02 MELATI6 O68.9, O82.1, 27/11/2018 18:32:33 29/11/2018 18:42:53 Rp 150,000.00
2018/12/14/000063 061545 SRI RAHAYU, NY KB06B01 MELATI6 inpartu, pp O99.0, Z30, J45, 14/12/2018 10:55:01 17/12/2018 13:54:31 Rp 225,000.00
O44.0, O82.1,
2018/12/15/000075 794000 TUNIAH. NY KB06B02 MELATI6 HT, PEB(?) E87.6, Z30, O14.1, 15/12/2018 13:04:19 17/12/2018 13:50:26 Rp 150,000.00

8/12/19, 9:02 AM Page 4 of 6

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
O14.0, O68.9,
O82.1,
2018/08/22/000003 003656 MURNIWATI, NY KB07B02 MELATI7 INPARTU O82, 22/08/2018 15:26:50 24/08/2018 10:03:31 Rp 150,000.00
2018/08/22/000002 450200 RISMAWATI, NY KB07B01 MELATI7 INPARTU O82, 22/08/2018 15:28:17 24/08/2018 10:17:36 Rp 150,000.00
2018/08/29/000089 003305 LAILI KUSWATI KB07B01 MELATI7 KPD O47.1, Z37, 29/08/2018 17:49:15 01/09/2018 10:01:19 Rp 225,000.00
O99.0, O42.1,
O32.3, O82.1,
2018/09/12/000137 055109 SITI FATIMAH. NY KB07B02 MELATI7 INPARTU Z30, Z37, O48, 12/09/2018 12:07:04 15/09/2018 11:39:54 Rp 225,000.00
O61.0, O82.1,
2018/09/29/000001 046309 SITI HALIMAH, NY KB07B01 MELATI7 - O32.1, O32.5, 29/09/2018 04:23:24 01/10/2018 11:31:40 Rp 150,000.00
O32.2, O82.1,
2018/10/03/000135 122000 KARMILA. NY KB07B01 MELATI7 - O82.0, 03/10/2018 19:41:01 05/10/2018 12:10:55 Rp 150,000.00
2018/10/08/000112 412000 ELVIA KB07B02 MELATI7 - A30.0, A41.0, A48, 08/10/2018 10:39:57 10/10/2018 13:09:41 Rp 150,000.00
G62.2, O42.1,
O82.1,
2018/10/19/000059 056711 SUMIATI, NY KB07B02 MELATI7 - O82.0, O32.1, 19/10/2018 17:37:40 21/10/2018 12:13:38 Rp 150,000.00
O42.1, O68.9,
2018/10/19/000060 050072 SUSI MARIA, NY KB07B01 MELATI7 - O99.0, Z30, 20/10/2018 09:25:04 21/10/2018 11:06:16 Rp 75,000.00
O41.0, O48, O14,
2018/10/22/000001 452500 JENNIRIA LISTEMI, KB07B02 MELATI7 - O82.1, Z30, 22/10/2018 01:09:02 24/10/2018 12:21:31 Rp 150,000.00
O42.1, O68.9,
2018/10/26/000002 162700 NOR ASIAH. NY KB07B02 MELATI7 INPARTU LETAK Z30, O99, O41.0, 26/10/2018 07:28:22 29/10/2018 15:13:04 Rp 225,000.00
LINTANG O32.2, O48,
O42.1, O82.1,
2018/11/01/000011 672600 NEKA WATI, NY KB07B01 MELATI7 inpartu O47.1, O44.0, 01/11/2018 09:38:24 04/11/2018 10:54:55 Rp 225,000.00
O82.1,
2018/10/30/000055 014545 BERNAULI GULTOM, KB07B02 MELATI7 Rencana SC O48, O36.0, Z34, 01/11/2018 18:37:12 04/11/2018 11:02:36 Rp 225,000.00
NY O82.1,
2018/11/04/000021 046037 WITA KUSUMA. D, KB07B01 MELATI7 SC O99.0, Z30, O40, 04/11/2018 15:50:49 07/11/2018 12:12:23 Rp 225,000.00
A.MA.PD.TK, NY O32.2, O82.1,
2018/11/08/000067 060456 ELLA PEBRIANTI KB07B01 MELATI7 - O41.0, O48, 09/11/2018 11:35:57 10/11/2018 14:45:21 Rp 75,000.00
ANGGELIA, NY O32.3, O82.1,
2018/11/12/000105 051992 TUNIAH, NY KB07B02 MELATI7 SC O99.0, O44.0, 12/11/2018 15:30:29 15/11/2018 13:04:44 Rp 225,000.00
O82.0,
2018/12/06/000084 993800 ANJELY. NY KB07B01 MELATI7 Z30, O47.1, 07/12/2018 14:16:54 08/12/2018 10:54:50 Rp 75,000.00
O42.1, O65.5,
2018/12/15/000001 062103 SERI RAHMAYATI, KB07B02 MELATI7 KPD Z30, O41.0, 17/12/2018 10:36:20 18/12/2018 09:54:55 Rp 75,000.00
O42.1, J46, O82.1,
2018/10/03/000133 102000 YULITA KRISTIANI, KBOBSB01 OBSERVASI INPARTU O23.4, Z30, 03/10/2018 19:16:42 08/10/2018 10:09:30 Rp 375,000.00
KEBIDANAN O68.8, O41.0,
O42.1, O82.1,
2018/10/24/000063 029855 VERONIKA RONGE KBOBSB01 OBSERVASI PLASENTA PREVIA Z30, O99.0, 25/10/2018 09:37:36 27/10/2018 14:08:22 Rp 150,000.00
PAERUNAN, NY KEBIDANAN O14.0, O14,
O82.0, O44.0,
2018/10/31/000105 036175 SITI MUNAWARAH, KBOBSB01 OBSERVASI inpartu Z30, O23.4, O14, 31/10/2018 18:01:14 03/11/2018 09:54:34 Rp 225,000.00
KEBIDANAN O62.1, O15.1,
O82.1,
2018/11/11/000012 042917 LIDIA KBOBSB01 OBSERVASI - O42.0, Z30, 11/11/2018 19:27:28 14/11/2018 13:07:45 Rp 225,000.00
PABANNANGAN, NY KEBIDANAN O47.1, O32.1,
2018/11/17/000078 982812 SITI ANA SHOLEHA, KBOBSB01 OBSERVASI INPARTU Z30, O72, O99.0, 17/11/2018 17:43:36 20/11/2018 09:16:32 Rp 225,000.00
NY KEBIDANAN O68.9, O41.0,

8/12/19, 9:02 AM Page 5 of 6

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
O42.1, O82.1,
2018/11/27/000059 610831 ECI MENTARI, NY KBOBSB01 OBSERVASI - O42.1, O68.9, 27/11/2018 11:01:03 29/11/2018 12:27:05 Rp 150,000.00
KEBIDANAN O82.1, Z30,
2018/12/05/000109 501000 NIA SARI, NY KBOBSB01 OBSERVASI INPARTU Z30, O41.0, 05/12/2018 16:43:33 07/12/2018 10:01:46 Rp 150,000.00
KEBIDANAN O32.1, O42.1,
2018/09/13/000004 019598 ERMY ELGAWATY, VIP02B01 VIP2 - O82.1, 13/09/2018 19:17:41 15/09/2018 08:49:56 Rp 400,000.00
2018/11/14/000076 041544 ELGA, NY VIP02B01 VIP2 SC O82.0, 14/11/2018 09:57:11 19/11/2018 09:24:27 Rp 1,000,000.00
2018/11/19/000128 034022 WILA DENI VIP05B01 VIP5 O82.1, 20/11/2018 06:49:53 21/11/2018 17:57:48 Rp 200,000.00
NOPRIATI, NY
2018/09/05/000068 035976 SRI PURNAMA VIP01B01 VIP8 sc O82.1, 05/09/2018 12:51:12 07/09/2018 08:03:41 Rp 400,000.00
INDAH, NY
2018/08/20/000125 025400 ERVINA, A.MA VIP04B01 VIP9 pro sc O82.1, 20/08/2018 12:42:24 23/08/2018 14:09:00 Rp 600,000.00

8/12/19, 9:02 AM Page 6 of 6