Data Ps Ri

SENSUS CAKUPAN
SPESIALISASI RAWAT INAP: SPESIALIS ANAK

Tanggal : 2019-04-01 S/D 2019-04-30
Status
No. No. RM. Nama Pasien Kota Jenis Kel. Umur Diagnosa Dokter Tanggal Status Pasien
L/B
1 077185 ABDUSSALAM, AN PEMALANG L 1 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 01-04-19 UMUM L
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2 091660 ADAM RAKA ABBASY, BY BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 06-04-19 UMUM B
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3 091787 ADITYA BAYU SENO KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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4 092047 ADREENA MAZAYA AISHA KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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5 091490 ADZRA NADHIFA SYAFA, AN BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 01-04-19 UMUM B
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6 092088 AHMAD YASYKUR KAB. PEKALONGAN L 1 R56.0-Febrile convulsions Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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7 091879 ALFIYAN PRATAMA, BY. PEMALANG L 3 Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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8 092307 ALGHAISAN SAGA RADEYA, BY PEMALANG L 3 Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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9 091938 ALUNA MISHA SAMANTHA, AN BATANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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10 091777 AMALIA KHUMAIRA SHAQILA, PEKALONGAN KOTA P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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11 091466 ANANTAVIRYA DANISWARI PEMALANG P 3 Marina Ratnasari, dr, Sp.A 01-04-19 UMUM B
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12 091711 ANDIRA SYAQILLA KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 08-04-19 UMUM B
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13 092172 ANNASYA APRILY SYABILA PEMALANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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14 091766 AQEELA APRILIA UTAMI, BY. PEMALANG P 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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15 091991 ARINA MAHARDIKA, NY. ,BY.NY. KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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16 091948 ARJUNA RAFASYA KAB. PEKALONGAN L 1 A09-Diarrhoea and gastroenteritis of Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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17 091996 ARROYAN DYLAN ALFARIZQI, KAB. PEKALONGAN L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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18 091558 ARSYILA HUMAIRA SETIAWAN KAB. PEKALONGAN P 3 P07.1-Other low birth weight Marina Ratnasari, dr, Sp.A 03-04-19 UMUM B
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19 083725 ASKA ARTHA PERMAI, AN KAB. PEKALONGAN L 1 B34.9-Viral infection, unspecified Marina Ratnasari, dr, Sp.A 12-04-19 UMUM L
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20 069966 AYU DHYANING ASMARA, AN PEKALONGAN KOTA P 2 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 15-04-19 ASURANSI B
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03-Jul-2019 09:14:35 Page 1 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
21 091726 AZMI ZAIDAN AHTAR, AN BATANG L 3 Marina Ratnasari, dr, Sp.A 08-04-19 UMUM B
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22 092048 AZRIL RAHANDIKA ALFARIQ, BATANG L 3 Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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23 091803 CALANDRE KEI RADEA DENTA, PEMALANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 11-04-19 UMUM B
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24 092001 CASFITRIANA, NY ,BY.NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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25 091753 CHESTA AZZAHRA SAMPURNO, BATANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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26 092312 DEFI ANGGRAENI, NY. ,BY.NY. PEMALANG L 3 Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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27 091768 DESWITA DIVIA RAHMADHANI, PEKALONGAN KOTA P 1 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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28 092105 DIAN SAFITRI, NY ,BY.NY. BATANG L 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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29 091874 DIOVINO EKSADI, AN. PEMALANG L 7 B34.9-Viral infection, unspecified Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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30 091871 EKA MIFAROH ,BY.NY. PEKALONGAN KOTA L 3 P03.8-Fetus and newborn affected Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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31 047930 ESHAL HAFSA ABDILLAH, AN. KAB. PEKALONGAN P 5 A90-Dengue fever [classical dengue] Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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32 092316 ETI WIDAYANI, BY.NY. BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 28-04-19 UMUM B
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33 091724 EVI ARIFIANI, NY. ,BY.NY. KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 08-04-19 UMUM B
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34 091958 FAEZYA ABIMANYU AJI PEMALANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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35 087756 FAGAN DEVAGYA NITIMANTA BATANG L 0 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 15-04-19 UMUM L
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36 092119 FATIMAH AZAHRA, AN PEMALANG P 0 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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37 092358 FILZAH AZALIA, BY PEMALANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 29-04-19 UMUM B
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38 092111 FUÀDHIYAH, NY. ,BY.NY. BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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39 091786 HALIMAH AINURA ZAKARIA, AN BATANG P 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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0 091786 HALIMAH AINURA ZAKARIA, AN BATANG P 3 Marina Ratnasari, dr, Sp.A 15-04-19 UMUM L
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03-Jul-2019 09:14:35 Page 2 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
40 092246 HASNA KAMILAH, AN KAB. PEKALONGAN P 0 J02.9-Acute pharyngitis, unspecified Marina Ratnasari, dr, Sp.A 26-04-19 UMUM B
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41 092320 IRVIANA TRISNIASTUTI, NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 28-04-19 UMUM B
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42 092163 JAN ETHES SRINARENDRA PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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43 091645 JASMINE AZZAHRA ZULFIKAR PEKALONGAN KOTA P 3 Marina Ratnasari, dr, Sp.A 06-04-19 UMUM B
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44 092323 JUWITA CANDRA LINTANG, NY PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 29-04-19 UMUM B
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45 091899 KHAFIDHOH, NY ,BY.NY. KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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46 082949 KHAIRA GHANIA FARZANA, AN KAB. PEKALONGAN P 3 N39.0-Urinary tract infection, site not Marina Ratnasari, dr, Sp.A 26-04-19 UMUM B
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47 074618 KINZA HAFIDZ RIVANDRA, AN PEKALONGAN KOTA L 1 A09-Diarrhoea and gastroenteritis of Marina Ratnasari, dr, Sp.A 06-04-19 UMUM L
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48 091754 KIRANA BINAR SENJA, BY. PEKALONGAN KOTA P 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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49 091989 KURNIAH, NY. ,BY.NY. PEMALANG L 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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50 092200 KUSDIYANTI, NY ,BY.NY. PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 24-04-19 UMUM B
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51 092095 KUSYANTI, NY ,BY.NY. PEMALANG L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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52 092092 LAILUL CHOTIMAH, NY ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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53 092000 LILIS ANDRIYANI, NY ,BY.NY. BATANG L 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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54 091773 M ZIYAD ATHOILLAH A, AN KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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55 085056 M. NABIEL RAFISQI FAHRAN PEMALANG L 1 A09-Diarrhoea and gastroenteritis of Marina Ratnasari, dr, Sp.A 09-04-19 UMUM L
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56 083274 M.SAVIAN ARSHAQ KAB. PEKALONGAN L 1 B34.9-Viral infection, unspecified Marina Ratnasari, dr, Sp.A 03-04-19 UMUM L
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57 091623 MARELLA FATIN KAB. PEKALONGAN P 11 J02.9-Acute pharyngitis, unspecified Marina Ratnasari, dr, Sp.A 05-04-19 UMUM B
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58 091310 MARIYAM KHALISA ARKADEWI BATANG P 4 P59.9-Neonatal jaundice, Marina Ratnasari, dr, Sp.A 01-04-19 UMUM L
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59 091997 MAULIDIYATI ZAHRO, NY. BATANG P 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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03-Jul-2019 09:14:35 Page 3 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
60 091507 MUHAIMIN, AN. BATANG L 3 Marina Ratnasari, dr, Sp.A 02-04-19 UMUM B
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61 091955 MUHAMAD ARIF MAULANA KAB. PEKALONGAN L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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62 091995 MUHAMMAD AL ZHAFRAN KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 17-04-19 ASURANSI B
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63 083627 MUHAMMAD ALMEER KAB. PEKALONGAN L 1 J20.9-Acute bronchitis, unspecified Marina Ratnasari, dr, Sp.A 27-04-19 UMUM L
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64 091990 MUHAMMAD ARFAN WIJAYA PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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65 092322 MUHAMMAD AZRIL ALFAREZI, PEMALANG L 3 Marina Ratnasari, dr, Sp.A 28-04-19 UMUM B
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66 091992 MUHAMMAD FACHRI PEMALANG L 3 Q90.9-Down syndrome, unspecified Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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67 091760 MUHAMMAD GIBRAN AL FATIH KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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68 092357 MUHAMMAD LUTHFI MA`RUF, bandung L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 29-04-19 UMUM B
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69 091771 MUHAMMAD MAULIDAN KAB. PEKALONGAN L 2 R56.0-Febrile convulsions Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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70 091553 MUHAMMAD NAUFAL AL KAB. PEKALONGAN L 2 R56.0-Febrile convulsions Marina Ratnasari, dr, Sp.A 03-04-19 UMUM B
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71 092222 MUHAMMAD NEVAN ABI BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 24-04-19 UMUM B
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72 091779 MUHAMMAD RAFA RADITYA PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 10-04-19 ASURANSI B
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73 092305 MUHAMMAD RAFASYA KAB. PEKALONGAN L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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74 092339 MUHAMMAD RAFFASA ROKAN HULU L 3 Marina Ratnasari, dr, Sp.A 29-04-19 UMUM B
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75 089472 MUHAMMAD RAFI WIJAYA, AN PEKALONGAN KOTA L 9 A09-Diarrhoea and gastroenteritis of Marina Ratnasari, dr, Sp.A 14-04-19 UMUM B
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76 091763 MUHAMMAD RAYYANDRA BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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77 092046 MUHAMMAD YUSUF ZAIN, BY PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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78 091365 MUHAMMAD ZIYAD KAB. PEKALONGAN L 4 P59.9-Neonatal jaundice, Marina Ratnasari, dr, Sp.A 04-04-19 ASURANSI L
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79 092078 MUKHAMMAD ARFAN HUSEIN KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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03-Jul-2019 09:14:35 Page 4 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
80 092104 MUNIAH, NY ,BY.NY. PEMALANG L 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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81 091667 MUNIRA ASSEGAF, NY. ,BY.NY. PEKALONGAN KOTA L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 06-04-19 UMUM B
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0 091667 MUNIRA ASSEGAF, NY. ,BY.NY. PEKALONGAN KOTA L 3 Marina Ratnasari, dr, Sp.A 06-04-19 UMUM B
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82 091785 MURNIASIH, NY. ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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83 091491 MUSTAGHFIROH, BY. NY. BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 01-04-19 UMUM B
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84 091947 MUSTAKIMAH, NY. ,BY.NY. BATANG L 3 Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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85 092121 MUSTATIK, NY. ,BY.NY. BATANG L 3 Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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86 092199 NABILA ZAHRA, AN PURWAKARTA P 3 Marina Ratnasari, dr, Sp.A 24-04-19 UMUM B
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87 091903 NAFEEZA ALIA ZAHRA, BY. PEKALONGAN KOTA P 3 Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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88 092045 NAILIS SAÀDAH ,NY ,BY.NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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89 092043 NAILY MILLATI, AN KAB. PEKALONGAN P 0 A09-Diarrhoea and gastroenteritis of Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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90 086043 NAJA MUKHTADA ROGHIB,AN. KAB. PEKALONGAN L 1 A49.9-Bacterial infection, Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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91 092138 NAOMI GRACELLA WIBOWO KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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92 092201 NAYSILLA SHEZA ADREENA, KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 24-04-19 KARYAWAN B
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93 092215 NISRIN, AN PEMALANG P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 24-04-19 UMUM B
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94 092295 NOIVAH, NY ,BY.NY. BATANG P 3 Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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95 092120 NOUREEN ZEEYA ASSYABIYA, PEKALONGAN KOTA P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 21-04-19 ASURANSI B
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96 091956 NUR FITRIYANTI, NY. ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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97 092313 NUR HAYATI, NY. ,BY.NY. KAB. PEKALONGAN P 3 Q00.0-Anencephaly Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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98 091940 RADITYA ANVA WIJAYA P, AN BATANG L 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 15-04-19 ASURANSI B
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03-Jul-2019 09:14:35 Page 5 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
99 086099 RAJENDRA AKHTAR PEKALONGAN KOTA L 0 J00-Acute nasopharyngitis [common Marina Ratnasari, dr, Sp.A 01-04-19 UMUM L
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100 092168 RAJENDRA ATHARYA BATANG L 3 Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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101 092317 RAYYA INDHIRA PEKALONGAN KOTA P 3 Marina Ratnasari, dr, Sp.A 28-04-19 UMUM B
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102 092044 RAYYAN DZAKI ALFARIZI GROBOGAN L 3 Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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103 092112 REIHAN MAULANA, AN KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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104 092004 RIKKA RIZQIANA KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 18-04-19 UMUM B
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105 092075 SAFALUNA AYUDIYA ARDHANI, BATANG P 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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106 091546 SAHILATUN NAJA, AN PEKALONGAN KOTA P 5 A90-Dengue fever [classical dengue] Marina Ratnasari, dr, Sp.A 03-04-19 JAMKESDA B
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107 091986 SALFA ALMAIRA ADINTA, AN KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
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108 092118 SARIUL CHARIK WICAKSONO KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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109 092226 SERIL ADIYA LASMITA, AN. KAB. PEKALONGAN P 4 Marina Ratnasari, dr, Sp.A 24-04-19 UMUM B
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110 092171 SHAHIA ARSYILA BATANG P 3 Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
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0 092171 SHAHIA ARSYILA BATANG P 3 P59.9-Neonatal jaundice, Marina Ratnasari, dr, Sp.A 29-04-19 UMUM L
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111 092304 SHOFIYATUL KHASANAH KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
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112 092066 SIRILLAH KHASANAH, NY KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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113 091776 SITI AENIYATI, NY ,BY.NY. KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
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114 092049 SITI ROBIAH AL ADAWIYAH PEKALONGAN KOTA P 4 A90-Dengue fever [classical dengue] Marina Ratnasari, dr, Sp.A 19-04-19 UMUM B
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115 092094 SOFEA ALESHA SHIDQIA PEMALANG P 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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0 092094 SOFEA ALESHA SHIDQIA PEMALANG P 3 P59.9-Neonatal jaundice, Marina Ratnasari, dr, Sp.A 27-04-19 UMUM L
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116 091960 SOFIYA HASYABANA PEMALANG P 3 Marina Ratnasari, dr, Sp.A 15-04-19 UMUM B
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03-Jul-2019 09:14:35 Page 6 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
117 091424 SULTHAN NAJWAN PEMALANG L 6 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 04-04-19 UMUM B
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118 091887 SULTHAN ZAKY AL HAKIM, AN. PEKALONGAN KOTA L 3 B34.9-Viral infection, unspecified Marina Ratnasari, dr, Sp.A 13-04-19 UMUM B
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119 091698 SUMYATI, NY. ,BY.NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 08-04-19 UMUM B
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120 092116 TURAH ASIH, NY. ,BY.NY. PEMALANG P 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
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121 091504 USWATUN KHASANAH, NY KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 01-04-19 ASURANSI B
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122 092064 VINA MUSTRIANAN, NY ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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123 092101 WINARSIH, NY ,BY.NY. BATANG L 3 Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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124 092069 WINDA AFIYANTI, NY ,BY.NY. KAB. PEKALONGAN P 3 P03.4-Fetus and newborn affected by Marina Ratnasari, dr, Sp.A 20-04-19 UMUM B
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-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
125 092137 YULIA LARASATI, BY. NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
126 092117 YULIANA, NY ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
127 091782 YULISTYANENGSEH, NY ,BY.NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
128 092315 YULIYANTI, NY. ,BY.NY. KAB. PEKALONGAN L 3 Marina Ratnasari, dr, Sp.A 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
129 085832 ZHAFIR MUÀFAN EL TSAQIF, BATANG L 0 J18.9-Pneumonia, unspecified Marina Ratnasari, dr, Sp.A 20-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
130 091994 ZUHAIDA HANDAYANI IKA,NY. KAB. PEKALONGAN P 3 Marina Ratnasari, dr, Sp.A 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
131 091802 ABID AQILA PRANAJA PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
132 091600 ABIMANA MANGGALA MUDYA, PEKALONGAN KOTA L 2 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
133 092191 ADILAH AZKA LABIBA, AN BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
134 085723 ADONIA NAJMA ORLIN, AN KAB. PEKALONGAN P 1 J18.9-Pneumonia, unspecified Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
135 092258 ADZRIEL RAFIF FAKHRI, BY. PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
136 091983 AHMAD MAJDI ARMIA BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 7 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
137 060748 AIRA AURUMI MAHESWARI, AN PEKALONGAN KOTA P 4 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
138 092022 AKHTAR FARZAN BAYU PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
139 091529 AL - JANATU, NY. ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
140 091816 ALDO AL ARSY WIDODO PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
141 092293 ALETA QUENBY ELVINA BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
142 086408 ALFANDI RIFQI MUMTAAZ, AN. KAB. PEKALONGAN L 0 Shyrien Amalina, dr, Msc, Sp.A 10-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
143 091530 ALIFA NARAYA HAFIZA, BY BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 091530 ALIFA NARAYA HAFIZA, BY BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 17-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
144 091971 ALTHAFUNNISA ADZKIYA PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
145 091482 ALVINO DAFFA ALFARIZKY, AN. PEMALANG L 1 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
146 091747 ANGGITA AULIA, AN. KAB. PEKALONGAN P 9 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
147 091544 ANI KURNIASIH, NY. ,BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
148 091592 APRILIONA DAMARA KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
149 092373 ARSHAKA IDRIS PRASETYO KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
150 092032 ARSHEILA GISKA MAHESWARI, BEKASI P 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
151 080706 ARSYILA SAFA MAHREEN PEKALONGAN KOTA P 1 J40-Bronchitis, not specified as Shyrien Amalina, dr, Msc, Sp.A 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
152 090917 ASYILA FATIHAH FAIM, AN. KAB. PEKALONGAN P 1 Shyrien Amalina, dr, Msc, Sp.A 10-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
153 086346 AUFAA ADNAN MAHDI, AN. PEKALONGAN KOTA L 0 J40-Bronchitis, not specified as Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
154 083949 AVRAHAM DEXTER PRATAMA, PEKALONGAN KOTA L 1 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
155 091976 AYRA KINAYA HANJANI, AN KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 8 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
156 091540 AYU INDI LISTIANI, NY ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
157 092363 AZRIKA NINDYA PUTRI, BY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
158 091516 AZRIL RAFIF ALFARIZI PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
159 091620 AZWAR UWAIS HABIBI, AN PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
160 092223 BAETI NURJANAH, NY ,BY.NY. PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 24-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
161 091818 CHIKA AMANDA FITRIANI, AN KAB. PEKALONGAN P 8 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
162 091810 CINTA ALZENA TAMA, AN. PEKALONGAN KOTA P 5 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
163 091564 CINTA NOURA RAFANIA, AN. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
164 091528 DALISHA LULU MUMTAZAH, AN PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
165 074461 DANEESYAH ANNEYRA A, AN. BATANG P 2 J40-Bronchitis, not specified as Shyrien Amalina, dr, Msc, Sp.A 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
166 091841 DEWI KHOIRIYAH, NY ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
167 091674 DUROTUL FATIKHA NY. ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
168 065659 DZAKY AMMAR SURYA, AN KAB. PEKALONGAN L 3 J18.9-Pneumonia, unspecified Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
169 091985 EKI DULIANI, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
170 092039 ELI ISTANTI, NY. ,BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
171 091731 ERMAWATI, NY. ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
172 091740 FADLI KHAIRUL AZHAM, AN PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
173 092365 FAHMI AZHAR ALFAHIMA KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
174 091842 FAILA SUFAH, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
175 091594 FATIMAH ARSYILA SHAEFA, PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 9 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
176 091854 FAYEZA RAHMA AINI, BY KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
177 092370 FELICIA AURELIA LUNETTA, AN PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
178 064835 FILLIO ATHARIZZ KIANO PEKALONGAN KOTA L 3 A91-Dengue haemorrhagic fever Shyrien Amalina, dr, Msc, Sp.A 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
179 084129 FIORELLA KHAYRA NAUREEN, BATANG P 1 Shyrien Amalina, dr, Msc, Sp.A 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
180 091278 GEMILANG ZOEY SATU KAB. PEKALONGAN P 4 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
181 091555 GHANIA ESHAL BAHIRA Karawang P 3 Shyrien Amalina, dr, Msc, Sp.A 03-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
182 091615 HAIDAR PRAMESHVARA PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
183 092240 HASNA AQILA AZZAHRA, AN PEMALANG P 0 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
184 091840 IDAH TRESNOWATI ,BY.NY. PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
185 092267 ISTIKHAROH, NY. ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
186 091867 KAISAN FAHEN ABDULLAH, AN PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
187 092227 KAMALIL AMANAH, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
188 091602 KAMILA RAHMA, AN KAB. PEKALONGAN P 1 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
189 091788 KANAYA SABIRA NAZEEFAH, KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
190 077107 KAVIN FAWWAZ ALKAUTSAR, PEKALONGAN KOTA L 1 J18.9-Pneumonia, unspecified Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
191 091603 KENZIE EVANO ABSHORI DEPOK L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
192 091839 KHAYIRA RUMAISA, AN PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
193 091804 KHIKMAWATI, BY. NY. PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
194 071520 KHUNIFATUL AFIFA, AN. PEMALANG P 2 Shyrien Amalina, dr, Msc, Sp.A 03-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
195 091678 KOMARIYAH, NY. ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 10 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
196 091539 KUNITA LUTFIANA, BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
197 092261 LIZA FARIDA ARIYANI, NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
198 091963 LULU` ATIKA, NY. ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
199 091612 LUTHFI RAFIZQY BRILLIANT PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
200 082122 M. AZKA AZFA, AN PEKALONGAN KOTA L 2 Shyrien Amalina, dr, Msc, Sp.A 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
201 066006 M. FAIZAL PRATAMA, AN. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 23-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
202 073385 M. IHSAN WIJAYA, AN. KAB. PEKALONGAN L 2 Shyrien Amalina, dr, Msc, Sp.A 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
203 092260 MAFIROH, NY ,BY.NY. PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
204 092244 MARFUAH, NY. ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
205 091729 MAS ROHAH, NY ,BY. bandung L 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
206 091850 MAULANA MALIK IBRAHIM, AN KAB. PEKALONGAN L 4 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
207 055935 MEYSHA SAVIERA AZ-ZAHRA, KAB. PEKALONGAN P 4 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
208 091590 MIFTAKHUL AKHYAR, BY. KAB. PEKALONGAN L 3 O62-Abnormalities of forces of Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
209 092196 MIKHAYLA CLARISSA WIJAYA BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
210 091868 MONICA SURYALIANI, NY KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
211 090847 MUHAMMAD ABIZAR ARKAN, KAB. PEKALONGAN L 1 A06-Amoebiasis Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
212 092366 MUHAMMAD ADZRIEL PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
213 077632 MUHAMMAD AKHTAR RAYHAN, BATANG L 1 J18.9-Pneumonia, unspecified Shyrien Amalina, dr, Msc, Sp.A 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
214 091851 MUHAMMAD ATHAFARIZ PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
215 091673 MUHAMMAD BAGAS ADITYA KAB. PEKALONGAN L 6 A91-Dengue haemorrhagic fever Shyrien Amalina, dr, Msc, Sp.A 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 11 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
216 091775 MUHAMMAD DYLAN ALFARIZ, PEKALONGAN KOTA L 4 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
217 087970 MUHAMMAD FADHLULLAH, AN PEKALONGAN KOTA L 0 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
218 091751 MUHAMMAD ILMAN NAFIÀN PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
219 076394 MUHAMMAD NAUFAL ARDANA, PEKALONGAN KOTA L 1 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
220 092081 MUHAMMAD UKASYAH KAB. PEKALONGAN L 1 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
221 091815 MUHAMMAD WAFI AHDI, AN KAB. PEKALONGAN L 1 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
222 091681 NABILA AZKA RAMADANI, AN. PEKALONGAN KOTA P 7 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
223 092256 NADHIFA PUTRI APRILIYANI, AN KAB. PEKALONGAN P 1 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
224 092186 NADHIRA CAROLINE BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
225 091679 NADIA SALSABILLA AZZAHRA KAB. PEKALONGAN P 1 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
226 091984 NAFISAH KEYRA PUTRI KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
227 091863 NAINA ZAHWAQILA ZEA PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
228 091910 NARYANTI NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
229 075516 NAVISHA KHAIRA FARADISA, PEKALONGAN KOTA P 1 Shyrien Amalina, dr, Msc, Sp.A 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
230 091864 NAZALA RISQILLAH ARFA, AN. PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
231 092003 NAZILA APRILIA RIFNA PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
232 091834 NIHLATUL HIMMAH, NY. ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
233 091562 NITA ANIS, NY ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
234 092274 NUNIK PAMULARSIH, BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
235 091534 NUR AZIZAH, NY. ,BY.NY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 12 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
236 091911 NUR HABIBAH, NY. ,BY.NY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
237 091644 NUR HIDAYAH, NY. ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
238 091686 NURUL CHIKMAH, NY ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
239 091968 NUZUL HIDAYAH, NY ,BY.NY. PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
240 091908 PRATISTA AGHNIA WIJAYA, AN KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
241 084366 RAFASYA FATIR MUTTAQI, AN. PEMALANG L 1 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
242 092257 RAIHANUN ADIBAH, BY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
243 092291 RAKHSANDRINA RUBY KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
244 092263 RANIA ZAKIYAH MUFIDA, AN PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
245 091855 RASYID ANDERA HABIBI, AN PEKALONGAN KOTA L 5 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
246 091862 REGINA ALKHA, BY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
247 091629 REGITA SEKAR KUDUS P 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
248 091916 RIZKI AMALIA, NY ,BY.NY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
249 091601 ROJIYAH, NY ,BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
250 092245 ROMZA KONITA, NY ,BY.NY. PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
251 091748 RUSMI, NY. ,BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
252 091865 RUSNIAH, NY ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
253 092040 SAFALUNA ATAYA QIYYAMA PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
254 091814 SAIFUL HASIQ ROBI, AN KAB. PEKALONGAN L 4 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
255 092235 SARI FILAWATI, NY. ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 13 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
256 038989 SENO AJI PRAWIRO, AN PEMALANG L 6 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
257 092031 SETIANINGSIH, NY ,BY.NY. PEMALANG P 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
258 091515 SETIYOWATI, BY. NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
259 090376 SHEZA KHAIRINA AZZAHRA, AN BATANG P 0 Shyrien Amalina, dr, Msc, Sp.A 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
260 091852 SHEZA SABRINA ALMAHYRA PEKALONGAN KOTA P 3 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
261 092287 SUKMA WATI, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
262 092264 SULISTIANI, NY ,BY.NY. PEKALONGAN KOTA L 3 Shyrien Amalina, dr, Msc, Sp.A 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
263 091630 SULTAN ARJUNA SUGIHARTO, KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
264 091677 SUSI BAROKAH, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
265 091542 SYAFIQ HARUN ASYAKIR BANJARNEGARA L 3 Shyrien Amalina, dr, Msc, Sp.A 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
266 091752 SYAFIQA HASNA AMALINA, BY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 20-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 091752 SYAFIQA HASNA AMALINA, BY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
267 091800 SYAMIL AL FATIH LESMANAF, Bogor L 3 Shyrien Amalina, dr, Msc, Sp.A 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
268 091684 TRI WULANDARI, NY ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
269 092033 UFIK FILISTYOWATI, NY ,BY.NY. BATANG L 3 Shyrien Amalina, dr, Msc, Sp.A 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
270 091639 UMAYAH, NY. ,BY.NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
271 091593 UMRIYAH, NY ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
272 091563 UUT NURBAYA, NY ,BY.NY. PEMALANG L 3 Shyrien Amalina, dr, Msc, Sp.A 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
273 091556 WALMUJI I, NY. ,BY.NY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
274 091557 WALMUJI II, NY. ,BY.NY. BATANG P 3 Shyrien Amalina, dr, Msc, Sp.A 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 14 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
275 092262 WIWIK HARWATI, NY. ,BY.NY. KAB. PEKALONGAN P 3 Shyrien Amalina, dr, Msc, Sp.A 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
276 091750 YULIANA MARDA SRINI, NY. KAB. PEKALONGAN L 3 Shyrien Amalina, dr, Msc, Sp.A 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
277 091857 ZAHRA AISYA PUTRI, AN. PEKALONGAN KOTA P 8 Shyrien Amalina, dr, Msc, Sp.A 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 15 of 32

SENSUS CAKUPAN
SPESIALISASI RAWAT INAP: SPESIALIS BEDAH
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
1 091809 IKA ERVIANA, NY. PEMALANG P 29 N61-Inflammatory disorders of breast Haris Meida Akbar, dr, 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
M.Si.Med., Sp.B, FINACS
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 16 of 32

SENSUS CAKUPAN
SPESIALISASI RAWAT INAP: SPESIALIS KANDUNGAN & KEBIDANAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
1 084114 CASFITRIANA, NY KAB. PEKALONGAN P 28 O80.9-Single spontaneous delivery, Agi Wihastomo Nugroho, dr, 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2 092310 DEFI ANGGRAENI, NY. PEMALANG P 27 O42.1-Premature rupture of Agi Wihastomo Nugroho, dr, 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
3 088299 DIAN SAFITRI, NY BATANG P 22 O80.9-Single spontaneous delivery, Agi Wihastomo Nugroho, dr, 21-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
4 092311 ETI WIDAYANI, NY. BATANG P 23 O62.0-Primary inadequate Agi Wihastomo Nugroho, dr, 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
5 092107 FUÀDHIYAH, NY. BATANG P 31 O44-Placenta praevia Agi Wihastomo Nugroho, dr, 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
6 092052 KUSYANTI, NY PEMALANG P 27 O42.0-Premature rupture of Agi Wihastomo Nugroho, dr, 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
7 091998 LILIS ANDRIYANI, NY BATANG P 22 O62.0-Primary inadequate Agi Wihastomo Nugroho, dr, 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
8 091988 MAULIDIYATI ZAHRO, NY. BATANG P 21 O80.9-Single spontaneous delivery, Agi Wihastomo Nugroho, dr, 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
9 092114 MUALIFAH, NY. KAB. PEKALONGAN P 35 O62.2-Other uterine inertia Agi Wihastomo Nugroho, dr, 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10 062908 MUNIAH, NY PEMALANG P 38 O82.9-Delivery by caesarean section, Agi Wihastomo Nugroho, dr, 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
11 092113 MUSTATIK, NY. BATANG P 29 Agi Wihastomo Nugroho, dr, 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
12 090649 NUR AFIYANTI, NY. PEMALANG P 24 O43.1-Malformation of placenta Agi Wihastomo Nugroho, dr, 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
13 046427 NUR HAYATI, NY. KAB. PEKALONGAN P 33 Q00.0-Anencephaly Agi Wihastomo Nugroho, dr, 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
14 092051 NUR KHASANAH, NY KAB. PEKALONGAN P 36 O20.0-Threatened abortion Agi Wihastomo Nugroho, dr, 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
15 091950 NUZUL HIDAYAH, NY PEKALONGAN KOTA P 20 O80.9-Single spontaneous delivery, Agi Wihastomo Nugroho, dr, 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
16 087686 RUSTINAH KAB. PEKALONGAN P 37 O14.1-Severe pre-eclampsia Agi Wihastomo Nugroho, dr, 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
17 092050 SIRILLAH KHASANAH, NY KAB. PEKALONGAN P 24 O80.9-Single spontaneous delivery, Agi Wihastomo Nugroho, dr, 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 17 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
18 091921 SITI KOMARIYAH, NY PEMALANG P 27 O68.9-Labour and delivery Agi Wihastomo Nugroho, dr, 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
19 092294 SUSANTI PRIHATINI, NY. KAB. PEKALONGAN P 19 O42.0-Premature rupture of Agi Wihastomo Nugroho, dr, 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
20 092055 VINA MUSTRIANAN, NY KAB. PEKALONGAN P 30 O63.1-Prolonged second stage of Agi Wihastomo Nugroho, dr, 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
21 092103 YULIANA, NY KAB. PEKALONGAN P 25 O42.1-Premature rupture of Agi Wihastomo Nugroho, dr, 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
22 090531 AL - JANATU, NY. KAB. PEKALONGAN P 39 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
23 092197 ANISA EMILIA, NY. KAB. PEKALONGAN P 26 Agung Nugroho Wicaksono, 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
24 090017 ANITA, NY. KAB. PEKALONGAN P 32 Agung Nugroho Wicaksono, 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
25 074374 ARSINTA YULI PRAMITASARI KAB. PEKALONGAN P 29 Agung Nugroho Wicaksono, 23-04-19 KARYAWAN B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
26 086756 AYU INDI LISTIANI, NY KAB. PEKALONGAN P 26 Agung Nugroho Wicaksono, 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
27 089815 BAETI NURJANAH, NY PEMALANG P 26 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 24-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
28 091969 CASMINI, NY PEMALANG P 37 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
29 050134 CASWIYAH, NY PEMALANG P 41 Z30.2-Sterilization Agung Nugroho Wicaksono, 15-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
30 088424 DEWI KHOIRIYAH, NY KAB. PEKALONGAN P 29 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
31 085952 DHOMA TRI MAGHFIROH, NY. KAB. PEKALONGAN P 24 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
32 088299 DIAN SAFITRI, NY BATANG P 22 O60-Preterm delivery Agung Nugroho Wicaksono, 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
33 091641 DUROTUL FATIKHA NY. KAB. PEKALONGAN P 40 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
34 091849 DWI RIMA MEILAWATI, NY. KAB. PEKALONGAN P 33 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 18 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
35 089989 EVI TIANA YODAH, NY. KAB. PEKALONGAN P 22 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
36 092161 FITRI ASIH, NY. PEMALANG P 23 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
37 092179 FITRIYAH, NY. BATANG P 25 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
38 072506 INNAYATI NUR AZIZAH PEKALONGAN KOTA P 27 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
39 086180 IRMA SUSANTI, NY. PEMALANG P 23 Agung Nugroho Wicaksono, 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
40 092265 ISTIKHAROH, NY. BATANG P 33 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
41 090809 IZATUL BADIYAH, NY PEMALANG P 24 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 29-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
42 075797 KHIKMAWATI, NY. PEKALONGAN KOTA P 34 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
43 076654 KHUSNISMAH, NY KAB. PEKALONGAN P 41 Agung Nugroho Wicaksono, 17-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
44 090036 KOMARIYAH, NY. KAB. PEKALONGAN P 31 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
45 092195 KUSDIYANTI, NY PEKALONGAN KOTA P 27 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
46 091961 LULU` ATIKA, NY. BATANG P 26 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
47 092233 MARFUAH, NY. KAB. PEKALONGAN P 40 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
48 091728 MAS ROHAH, NY. bandung P 40 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
49 089952 MIFTAKHUL JANNAH, NY KAB. PEKALONGAN P 23 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
50 091832 MONICA SURYALIANI, NY KAB. PEKALONGAN P 23 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
51 089913 MUSTAGHFIROH, NY. BATANG P 36 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 19 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
52 091909 NARYANTI, NY KAB. PEKALONGAN P 22 O81.4-Vacuum extractor delivery Agung Nugroho Wicaksono, 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
53 086443 NASTUTI ULUMIYAH, NY BATANG P 26 O81.4-Vacuum extractor delivery Agung Nugroho Wicaksono, 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
54 091861 NITA NIAHAYATI, NY KAB. PEKALONGAN P 19 O60-Preterm delivery Agung Nugroho Wicaksono, 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
55 092266 NOFI MENTARI, NY. BATANG P 24 Agung Nugroho Wicaksono, 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
56 088692 NOVANDA AMALIA, NY. bandung P 33 O60-Preterm delivery Agung Nugroho Wicaksono, 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
57 092216 NUNIK PAMULARSIH, NY PEMALANG P 32 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
58 086393 NUR FADHILAH, NY. PEMALANG P 31 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
59 091640 NUR HIDAYAH, NY. BATANG P 33 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
60 086697 NUR HIKMAH, NY GUNUNGKIDUL P 27 Agung Nugroho Wicaksono, 07-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
61 074999 NUR ISNAINI, NY BATANG P 34 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
62 091685 NURUL CHIKMAH, NY BATANG P 28 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
63 091561 PANTES, NY KAB. PEKALONGAN P 38 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
64 086762 RATNA WULAN, NY. PEMALANG P 29 Agung Nugroho Wicaksono, 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
65 080239 RAZZAZ ESSAM Z GHUNAIM , SLAWI P 36 Agung Nugroho Wicaksono, 26-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 080239 RAZZAZ ESSAM Z GHUNAIM , SLAWI P 36 N39.0-Urinary tract infection, site not Agung Nugroho Wicaksono, 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
66 054434 RIZKI AMALIA, NY BATANG P 28 O80.8-Other single spontaneous Agung Nugroho Wicaksono, 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
67 069492 RIZKY AMALIYA, NY. KAB. PEKALONGAN P 28 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 20 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
68 005238 ROHMIANAH, NY. PEMALANG P 34 O75.7-Vaginal delivery following Agung Nugroho Wicaksono, 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
69 091599 ROJIYAH, NY PEMALANG P 24 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
70 076991 ROYAH, NY. BATANG P 31 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
71 091845 RUSNIAH, NY BATANG P 25 Agung Nugroho Wicaksono, 12-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
72 081371 SANIATUN NISA ITHOIYAH, NY. PEMALANG P 29 Agung Nugroho Wicaksono, 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
73 092021 SETIANINGSIH, NY PEMALANG P 28 Agung Nugroho Wicaksono, 18-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
74 091527 SETIYAH, NY BATANG P 43 Agung Nugroho Wicaksono, 02-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
75 091506 SETIYOWATI, NY. KAB. PEKALONGAN P 26 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
76 091744 SITI AENIYATI, NY KAB. PEKALONGAN P 37 Agung Nugroho Wicaksono, 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
77 052431 SITI KUZAIMAH, NY KAB. PEKALONGAN P 27 Agung Nugroho Wicaksono, 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
78 091962 SITI MUKAROMAH, NY. KAB. PEKALONGAN P 28 Agung Nugroho Wicaksono, 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
79 061454 SULISTIANI, NY PEKALONGAN KOTA P 30 O75.7-Vaginal delivery following Agung Nugroho Wicaksono, 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
80 089816 SUPRIHATIN, NY KAB. PEKALONGAN P 27 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 04-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
81 091676 SUSI BAROKAH, NY KAB. PEKALONGAN P 23 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
82 091977 TATIK ROHMAWATI, S.IP, M.Si, bandung P 38 O68.9-Labour and delivery Agung Nugroho Wicaksono, 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
83 092173 TEMAH TURASIH, NY BATANG P 30 Agung Nugroho Wicaksono, 23-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
84 090472 TRI RAHAYUNINGSIH, NY. KAB. PEKALONGAN P 29 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 21 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
85 069335 TSUWAIBATUL ASLAMIYAH, PEKALONGAN KOTA P 27 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
86 091917 TURAH BAWON, NY PEKALONGAN KOTA P 46 Agung Nugroho Wicaksono, 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
87 090660 TUTI, NY. PEMALANG P 37 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
88 091559 UMRIYAH, NY KAB. PEKALONGAN P 30 O81.4-Vacuum extractor delivery Agung Nugroho Wicaksono, 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
89 087561 VETI WULANJARI PEKALONGAN KOTA P 25 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 09-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
90 091549 WALMUJI, NY. BATANG P 35 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
91 091635 WIDIA AYU PANGESTUTI, NN PEMALANG P 18 D27-Benign neoplasm of ovary Agung Nugroho Wicaksono, 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
92 092228 WIWIK HARWATI, NY. KAB. PEKALONGAN P 20 O80.9-Single spontaneous delivery, Agung Nugroho Wicaksono, 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
93 064440 YUNAEROH, NY PEKALONGAN KOTA P 30 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
94 091412 ZAHIROH MAULIDA, NY. BATANG P 34 O82.9-Delivery by caesarean section, Agung Nugroho Wicaksono, 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dr, Sp.OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
95 073279 ARI DWI MUNINGGAR, NY KAB. PEKALONGAN P 28 O34.2-Maternal care due to uterine Riyadi Heru Setiawan, dr, Sp. 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
96 092014 DESY KURNIASARI, NY BATANG P 23 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
97 090653 DIAN FITRIANI, NY. BEKASI P 26 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
98 045941 DIYAH DIYANTI, NY. BATANG P 38 N84.1-Polyp of cervix uteri Riyadi Heru Setiawan, dr, Sp. 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
99 086298 ELI ISTANTI, NY. PEMALANG P 23 O61.9-Failed induction of labour, Riyadi Heru Setiawan, dr, Sp. 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
100 082203 FIRMA SARI, NY PEKALONGAN KOTA P 26 O63.1-Prolonged second stage of Riyadi Heru Setiawan, dr, Sp. 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
101 023189 INDAH KEN MAHARSI, NY PEKALONGAN KOTA P 37 O33.9-Maternal care for Riyadi Heru Setiawan, dr, Sp. 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 22 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
102 059754 NUR HIDAYAH, NY. KAB. PEKALONGAN P 24 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
103 050299 RIRIN NUR URIPAH, NY PEMALANG P 18 O82.9-Delivery by caesarean section, Riyadi Heru Setiawan, dr, Sp. 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
104 087632 RISKA WULANSARI, NY. Karawang P 26 O61.9-Failed induction of labour, Riyadi Heru Setiawan, dr, Sp. 02-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
105 091473 RISMA SINAGA, NY PEKALONGAN KOTA P 30 O01.9-Hydatidiform mole, Riyadi Heru Setiawan, dr, Sp. 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
106 091006 RUSMI, NY. PEMALANG P 37 O14.1-Severe pre-eclampsia Riyadi Heru Setiawan, dr, Sp. 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
107 089809 SITI KHASANAH, NY PEMALANG P 24 O02.0-Blighted ovum and Riyadi Heru Setiawan, dr, Sp. 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
108 090762 SUTRISNI, NY PEMALANG P 35 O21.0-Mild hyperemesis gravidarum Riyadi Heru Setiawan, dr, Sp. 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
109 065924 TITI UTAMI, NY PEMALANG P 26 O02.0-Blighted ovum and Riyadi Heru Setiawan, dr, Sp. 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
110 092109 TURAH ASIH, NY. PEMALANG P 22 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
111 091607 UMAYAH, NY. KAB. PEKALONGAN P 38 O80.9-Single spontaneous delivery, Riyadi Heru Setiawan, dr, Sp. 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
112 033149 WINARSIH, NY BATANG P 33 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
113 091485 YULIANA MARDA SRINI, NY. KAB. PEKALONGAN P 26 O33.9-Maternal care for Riyadi Heru Setiawan, dr, Sp. 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
114 091772 YULISTYANENGSEH, NY KAB. PEKALONGAN P 25 O80.9-Single spontaneous delivery, Riyadi Heru Setiawan, dr, Sp. 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
115 092296 YULIYANTI, NY. KAB. PEKALONGAN P 21 O80.8-Other single spontaneous Riyadi Heru Setiawan, dr, Sp. 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
OG
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
116 085678 AFRIANI DWI KUSUMAWATI, NY. BATANG P 26 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
117 085393 AMALIATUL FIRDA ALIZA, NY. BATANG P 26 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
118 024319 AMELIA PEKALONGAN KOTA P 36 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 23 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
119 089790 AMILATUL SOLEKHA, NY. KAB. PEKALONGAN P 24 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
120 091517 ANI KURNIASIH, NY. PEMALANG P 41 Suryo Adi Wibowo, dr, Sp.OG 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
121 052128 ANIS SAFITRI, NY. PEMALANG P 26 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
122 091386 ANISAH, NY. PEMALANG P 29 O32.1-Maternal care for breech Suryo Adi Wibowo, dr, Sp.OG 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
123 052004 ANNA LUSIANI, NY PEMALANG P 29 O34.2-Maternal care due to uterine Suryo Adi Wibowo, dr, Sp.OG 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
124 067928 ARIFIANI NOURMALIA, NY. KAB. PEKALONGAN P 27 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
125 085065 ARINA MAHARDIKA, NY. KAB. PEKALONGAN P 26 O64.0-Obstructed labour due to Suryo Adi Wibowo, dr, Sp.OG 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
126 085639 ARSI PRAHESTI PEMALANG P 33 Suryo Adi Wibowo, dr, Sp.OG 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
127 092221 ASCA ANINDYA PUTRI, NY BATANG P 24 O60-Preterm delivery Suryo Adi Wibowo, dr, Sp.OG 24-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
128 067294 AYU HARJANTI, NY. PEMALANG P 28 R10-Abdominal and pelvic pain Suryo Adi Wibowo, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
129 040690 CASMIATUN KAB. PEKALONGAN P 30 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
130 086561 CHRISTIN BUDIARSO, NY PEKALONGAN KOTA P 33 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 21-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
131 092349 DARNOÀH, NY. KAB. PEKALONGAN P 29 O41-Other disorders of amniotic Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
132 058790 DEWI ARINA, NY. PEMALANG P 30 O34.2-Maternal care due to uterine Suryo Adi Wibowo, dr, Sp.OG 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
133 091789 DIAH PRASETIA, NY. PEMALANG P 26 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
134 039204 DIAH PUJI LESTARI, NY PEMALANG P 32 O14.1-Severe pre-eclampsia Suryo Adi Wibowo, dr, Sp.OG 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
135 087191 DWI KRISTIANA, NY KAB. PEKALONGAN P 36 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 13-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
136 091721 DWI SETYANI, NY. Bogor P 28 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
137 091709 DWIYANTI NURUTAMI, NY. BATANG P 24 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 22-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 091709 DWIYANTI NURUTAMI, NY. BATANG P 24 Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 24 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
138 085558 DYAH AYU UTAMININGSIH, NY PEMALANG P 30 Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
139 071560 EKA MIFAROH PEKALONGAN KOTA P 22 O64.0-Obstructed labour due to Suryo Adi Wibowo, dr, Sp.OG 13-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
140 092220 EKA WINASIH, NY KAB. PEKALONGAN P 32 R06.0-Dyspnoea Suryo Adi Wibowo, dr, Sp.OG 24-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
141 086644 EKI DULIANI, NY KAB. PEKALONGAN P 38 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
142 091487 ELI PURWANINGSIH, NY. PEMALANG P 24 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
143 091919 ELSA DIVIA MURTI, NY BATANG P 21 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
144 091727 ERMAWATI, NY. KAB. PEKALONGAN P 31 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
145 076714 EVI ARIFIANI, NY. KAB. PEKALONGAN P 25 O34.2-Maternal care due to uterine Suryo Adi Wibowo, dr, Sp.OG 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
146 091518 FAILA SUFAH, NY KAB. PEKALONGAN P 33 O32.1-Maternal care for breech Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
147 091869 FATMAWATI, NY PEMALANG P 22 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 13-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
148 085116 FAUZIYAH, NY. KAB. PEKALONGAN P 27 O14.1-Severe pre-eclampsia Suryo Adi Wibowo, dr, Sp.OG 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
149 082703 FERA KRISTIANA DEWI, NY PEKALONGAN KOTA P 30 D25.9-Leiomyoma of uterus, Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
150 091088 FERAWATI, NY. DEPOK P 30 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
151 064065 FIKA YUNIARTI, NY BATANG P 29 O32.2-Maternal care for transverse Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
152 064851 FINNA ANISA FITRI, NY. PEKALONGAN KOTA P 29 Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
153 092333 HASBIYAH, NY KAB. PEKALONGAN P 29 O62.0-Primary inadequate Suryo Adi Wibowo, dr, Sp.OG 30-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
154 092002 HIDAYAH, NY. KAB. PEKALONGAN P 35 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
155 086091 HILDA SETIA WATI, NY BATANG P 35 O41.0-Oligohydramnios Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
156 036211 HILWAH, NY PEMALANG P 34 Suryo Adi Wibowo, dr, Sp.OG 24-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
157 034439 IDAH TRISNOWATI PEMALANG P 31 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 25 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
158 071180 INTI PERMATAPUTRI, NY. KAB. PEKALONGAN P 27 Suryo Adi Wibowo, dr, Sp.OG 17-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
159 086425 IRVIANA TRISNIASTUTI, NY. KAB. PEKALONGAN P 27 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
160 056730 ISMA IKA WARDANI, NY. PEKALONGAN KOTA P 32 O14.1-Severe pre-eclampsia Suryo Adi Wibowo, dr, Sp.OG 21-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
161 090639 ISNA FAUZIAH, NY. PEKALONGAN KOTA P 27 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 11-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
162 059283 JUWITA CANDRA LINTANG, NY PEKALONGAN KOTA P 32 O60-Preterm delivery Suryo Adi Wibowo, dr, Sp.OG 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
163 092214 KAMALIL AMANAH, NY KAB. PEKALONGAN P 26 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 24-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
164 091987 KHADHIROTUL QUDSIYAH, NY. KAB. PEKALONGAN P 24 O63.1-Prolonged second stage of Suryo Adi Wibowo, dr, Sp.OG 17-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
165 086675 KHAFIDHOH, NY KAB. PEKALONGAN P 29 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 13-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
166 080981 KHOLIFAH ,NY BATANG P 30 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
167 055227 KUMALA DIAN FITRIANI, NY PEKALONGAN KOTA P 30 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
168 091498 KUNITA LUTFIANA, NY KAB. PEKALONGAN P 21 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
169 091982 KURNIAH, NY. PEMALANG P 23 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
170 088551 LIZA FARIDA ARIYANI, NY. BATANG P 33 O34.2-Maternal care due to uterine Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
171 059013 MAFIROH, NY PEKALONGAN KOTA P 29 O14.1-Severe pre-eclampsia Suryo Adi Wibowo, dr, Sp.OG 25-04-19 ASURANSI L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
172 090874 MALEKHAH, NY KAB. PEKALONGAN P 41 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
173 085511 MIFTAHUL ROHMAH, NY BATANG P 25 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
174 088651 MUNAROH, NY KAB. PEKALONGAN P 36 O63.0-Prolonged first stage of labour Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
175 087289 MUNIRA ASSEGAF, NY. PEKALONGAN KOTA P 27 Suryo Adi Wibowo, dr, Sp.OG 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 087289 MUNIRA ASSEGAF, NY. PEKALONGAN KOTA P 27 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 06-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
176 091783 MURNIASIH, NY. KAB. PEKALONGAN P 28 O63.1-Prolonged second stage of Suryo Adi Wibowo, dr, Sp.OG 10-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 26 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
177 091915 MUSTAKIMAH, NY. BATANG P 34 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 14-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
178 064290 NADIA, NY. PURWAKARTA P 23 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 23-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
179 075944 NAILIS SAÀDAH ,NY KAB. PEKALONGAN P 27 O66.9-Obstructed labour, Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
180 061215 NAJIYYA NUFUS, NY. BATANG P 30 O32.1-Maternal care for breech Suryo Adi Wibowo, dr, Sp.OG 16-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
181 092041 NANIK KURNIA, NY PEMALANG P 25 O00.9-Ectopic pregnancy, Suryo Adi Wibowo, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
182 088147 NIHLATUL HIMMAH, NY. BATANG P 27 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
183 086711 NIKMAH TURROHMAH, NY PEKALONGAN KOTA P 27 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
184 091552 NITA ANIS, NY KAB. PEKALONGAN P 24 O13-Gestational Suryo Adi Wibowo, dr, Sp.OG 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
185 092289 NOIVAH, NY BATANG P 23 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
186 089928 NOLAN AYU KRISTIA PUTRI, NY PEMALANG P 24 O36.4-Maternal care for intrauterine Suryo Adi Wibowo, dr, Sp.OG 11-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
187 087876 NUR AENI, NY. BATANG P 36 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
188 085195 NUR AINI SATYANI PUTRI S, NY. PEKALONGAN KOTA P 27 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
189 060192 NUR AZIZAH, NY. BATANG P 24 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 02-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
190 091951 NUR FITRIYANTI, NY. KAB. PEKALONGAN P 37 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
191 067630 NUR HABIBAH, NY. BATANG P 40 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 13-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
192 092042 NURINA KAMILA, NY PEKALONGAN KOTA P 28 O64.0-Obstructed labour due to Suryo Adi Wibowo, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
193 081218 NURUL INAYAH, NY. BATANG P 26 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 15-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
194 089927 ONA DWI APRILIYANTI, NY. BATANG P 26 P03.4-Fetus and newborn affected by Suryo Adi Wibowo, dr, Sp.OG 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
195 082097 PUPUT FRANSISKA, NY PEMALANG P 28 O32.1-Maternal care for breech Suryo Adi Wibowo, dr, Sp.OG 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
196 089335 PUTRI MEILYANA PERMATA KAB. PEKALONGAN P 27 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 27 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
197 092217 RAHAYU, NY PEMALANG P 37 O06.4-Unspecified abortion, Suryo Adi Wibowo, dr, Sp.OG 28-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
198 086035 RATNA PURWATININGSIH,NY . KAB. PEKALONGAN P 36 O34.2-Maternal care due to uterine Suryo Adi Wibowo, dr, Sp.OG 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
199 073075 RATNA RIA SARI PEKALONGAN KOTA P 29 O66.9-Obstructed labour, Suryo Adi Wibowo, dr, Sp.OG 10-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
200 085328 RETNO TRI SUKMAWATI, NY PEKALONGAN KOTA P 29 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
201 089166 RIKA GUSTI AYU, NY. ROKAN HULU P 28 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
202 091774 RINDI ARUM SARI, NY PEKALONGAN KOTA P 25 O62.0-Primary inadequate Suryo Adi Wibowo, dr, Sp.OG 10-04-19 ASURANSI B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
203 091502 RISKA MANDASARI, NY PEMALANG P 24 O63.0-Prolonged first stage of labour Suryo Adi Wibowo, dr, Sp.OG 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
204 085948 RIZKI ULIANI, S.PD. , NY. BATANG P 27 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 05-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
205 075059 ROMZA KONITA, NY PEKALONGAN KOTA P 38 O34.9-Maternal care for abnormality Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
206 091551 ROSALINA, NY PEKALONGAN KOTA P 38 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 03-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
207 090256 SAHAR FITRIANI, NY. PEKALONGAN KOTA P 20 Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
208 092231 SARI FILAWATI, NY. KAB. PEKALONGAN P 24 O63.1-Prolonged second stage of Suryo Adi Wibowo, dr, Sp.OG 25-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
209 090958 SAYIDAH, NY. BATANG P 39 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
210 070801 SHELLA ROSSYANI BATANG P 27 J06.9-Acute upper respiratory Suryo Adi Wibowo, dr, Sp.OG 09-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
211 091488 SITI ARIFATU SYAMSIYAH, NY. BATANG P 19 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
212 092346 SITI NUR FADILAH, NY KAB. PEKALONGAN P 33 O46-Antepartum haemorrhage, not Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
213 025735 SITI SAROH, NY PEMALANG P 30 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
214 091718 SRI KASTUTI MARSIADI, NY PEMALANG P 50 N83.2-Other and unspecified ovarian Suryo Adi Wibowo, dr, Sp.OG 11-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
215 090559 SUKMA WATI, NY KAB. PEKALONGAN P 24 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 26-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
216 088597 SULISTYONINGSIH, NY. BANJARNEGARA P 29 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 01-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 28 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
217 091687 SUMYATI, NY. KAB. PEKALONGAN P 32 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 08-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
218 086545 TRI WULANDARI, NY KAB. PEKALONGAN P 25 Suryo Adi Wibowo, dr, Sp.OG 07-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
219 091927 TRIS SETIYOWATI, NY. KAB. PEKALONGAN P 39 O13-Gestational Suryo Adi Wibowo, dr, Sp.OG 15-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
220 092362 TURIYATI, NY PEMALANG P 40 O42.0-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
221 092321 TUSRIPAH, NY PEMALANG P 42 O02.1-Missed abortion Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
222 091999 UFIK FILISTYOWATI, NY BATANG P 29 O62.1-Secondary uterine inertia Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
223 090970 ULULI AZMI HANIF, NY KAB. PEKALONGAN P 25 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 12-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
224 091554 UUT NURBAYA, NY PEMALANG P 35 O13-Gestational Suryo Adi Wibowo, dr, Sp.OG 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
225 092341 VIVIANA LISTANTI, NY. PEMALANG P 18 O48-Prolonged pregnancy Suryo Adi Wibowo, dr, Sp.OG 29-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
226 090410 WAHYU DWI SUSILOWATI, NY. PEKALONGAN KOTA P 38 Suryo Adi Wibowo, dr, Sp.OG 26-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0 090410 WAHYU DWI SUSILOWATI, NY. PEKALONGAN KOTA P 38 O82.9-Delivery by caesarean section, Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
227 085997 WAHYU SEPTI UTAMI, NY BATANG P 27 O80.9-Single spontaneous delivery, Suryo Adi Wibowo, dr, Sp.OG 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
228 080373 WINDA AFIYANTI, NY KAB. PEKALONGAN P 30 O32.1-Maternal care for breech Suryo Adi Wibowo, dr, Sp.OG 20-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
229 086079 YANNUAZMI RISWIDYASARI, NY. PEKALONGAN KOTA P 27 O70.1-Second degree perineal Suryo Adi Wibowo, dr, Sp.OG 27-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
230 035003 YULIA LARASATI, NY KAB. PEKALONGAN P 32 O42.1-Premature rupture of Suryo Adi Wibowo, dr, Sp.OG 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
231 085949 YULINA RAFIQASARI, NY. PEKALONGAN KOTA P 30 A09-Diarrhoea and gastroenteritis of Suryo Adi Wibowo, dr, Sp.OG 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
232 086024 ZAINATUL AFIFAH, NY. GROBOGAN P 26 O14.0-Moderate pre-eclampsia Suryo Adi Wibowo, dr, Sp.OG 18-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
233 082455 ZUHAIDA HANDAYANI IKA,NY. KAB. PEKALONGAN P 31 Suryo Adi Wibowo, dr, Sp.OG 17-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
234 088439 ADEVINA HANIATUZ ZULFA, NY PEMALANG P 30 A91-Dengue haemorrhagic fever Yaumularinah, dr, Sp.OG 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
235 091812 LAILUL CHOTIMAH, NY KAB. PEKALONGAN P 30 O80.9-Single spontaneous delivery, Yaumularinah, dr, Sp.OG 19-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 29 of 32

SENSUS CAKUPAN
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
236 091583 ROFIQOH, NY KAB. PEKALONGAN P 40 O02.0-Blighted ovum and Yaumularinah, dr, Sp.OG 04-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
237 092253 TURINI, NY PEMALANG P 37 Yaumularinah, dr, Sp.OG 26-04-19 UMUM B

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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03-Jul-2019 09:14:35 Page 30 of 32

SENSUS CAKUPAN
SPESIALISASI RAWAT INAP: SPESIALIS PENYAKIT DALAM
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
1 073481 FITRIA SUSANTI, NY JAKARTA PUSAT P 23 J18.0-Bronchopneumonia, Afiyah, dr, Sp. PD 22-04-19 UMUM B
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2 049373 MUALIMAH URFAH, NY PEMALANG P 26 K30-Dyspepsia Afiyah, dr, Sp. PD 18-04-19 UMUM L
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
03-Jul-2019 09:14:35 Page 31 of 32

SENSUS CAKUPAN
SPESIALISASI RAWAT INAP: SPESIALIS PENYAKIT DALAM
Tanggal : 2019-04-01 S/D 2019-04-30
Status
L/B
03-Jul-2019 09:14:35 Page 32 of 32

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SENSUS CAKUPAN

SPESIALISASI RAWAT INAP: SPESIALIS ANAK

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29 050134 CASWIYAH, NY PEMALANG P 41 Z30.2-Sterilization Agung Nugroho Wicaksono, 15-04-19 UMUM B

03-Jul-2019 09:14:35 Page 18 of 32

43 076654 KHUSNISMAH, NY KAB. PEKALONGAN P 41 Agung Nugroho Wicaksono, 17-04-19 UMUM B

03-Jul-2019 09:14:35 Page 19 of 32

60 086697 NUR HIKMAH, NY GUNUNGKIDUL P 27 Agung Nugroho Wicaksono, 07-04-19 UMUM B

03-Jul-2019 09:14:35 Page 20 of 32

71 091845 RUSNIAH, NY BATANG P 25 Agung Nugroho Wicaksono, 12-04-19 UMUM B

73 092021 SETIANINGSIH, NY PEMALANG P 28 Agung Nugroho Wicaksono, 18-04-19 UMUM B

74 091527 SETIYAH, NY BATANG P 43 Agung Nugroho Wicaksono, 02-04-19 UMUM B

83 092173 TEMAH TURASIH, NY BATANG P 30 Agung Nugroho Wicaksono, 23-04-19 UMUM B

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237 092253 TURINI, NY PEMALANG P 37 Yaumularinah, dr, Sp.OG 26-04-19 UMUM B

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