<title>MNSC�PELAYANAN</title>

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<TH COLSPAN=12>LAPORAN PASIEN PER-DIAGNOSA</TH>

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<TH COLSPAN=12>Instalasi Rawat Inap</TH>
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<TH COLSPAN=12>C19</TH>

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<TH COLSPAN=12>Malignant neoplasm of rectosigmoid junction</TH>

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<TH COLSPAN=12>TANGGAL MASUK : 01/01/2018 s/d 31/12/2018</TH>

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<TH>NO.</TH>
<TH>NO. RM</TH>
<TH>NAMA PASIEN</TH>
<TH>TGL. LAHIR</TH>
<TH>UMUR</TH>
<TH>L/P</TH>
<TH>TGL.MASUK</TH>
<TH>TGL.KELUAR</TH>
<TH>CARA BAYAR</TH>
<TH>RUANG RAWAT AKHIR</TH>
<TH>DIAGNOSA SEKUNDER 1 (ICD10)</TH>
<TH>D.P.J.P</TH>
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<TD ALIGN=center>1</TD>
<TD ALIGN=center>01.00.19.51</TD>
<TD> EIDWAR</TD>
<TD ALIGN=center>28/12/1963</TD>
<TD ALIGN=center>54 thn</TD>
<TD ALIGN=center>L</TD>
<TD ALIGN=center>05/01/2018</TD>
<TD ALIGN=center>18/01/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B12. HCU Bedah</TD>
<TD> - </TD>
<TD> M. Iqbal Rivai, Dr</TD>
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<TD ALIGN=center>2</TD>
<TD ALIGN=center>01.00.29.00</TD>
<TD> AMRIZAL</TD>
<TD ALIGN=center>23/06/1955</TD>
<TD ALIGN=center>62 thn</TD>
<TD ALIGN=center>L</TD>
<TD ALIGN=center>05/01/2018</TD>
<TD ALIGN=center>08/01/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA C1. Interne Pria</TD>
<TD>D63.0 - Anaemia in neoplastic disease</TD>
<TD> Arnelis, Dr</TD>
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<TD ALIGN=center>3</TD>
<TD ALIGN=center>01.00.50.27</TD>
<TD> EMI SARI</TD>
<TD ALIGN=center>10/07/1973</TD>
<TD ALIGN=center>44 thn</TD>
<TD ALIGN=center>P</TD>
<TD ALIGN=center>25/01/2018</TD>
<TD ALIGN=center>21/02/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B5.Bedah Wanita</TD>
<TD>C78.0 - Secondary malignant neoplasm of lung</TD>
<TD> M. Iqbal Rivai, Dr</TD>
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<TD ALIGN=center>4</TD>
<TD ALIGN=center>01.00.61.89</TD>
 <TD> NURMI</TD>
<TD ALIGN=center>01/01/1945</TD>
<TD ALIGN=center>73 thn</TD>
<TD ALIGN=center>P</TD>
<TD ALIGN=center>04/02/2018</TD>
<TD ALIGN=center>11/02/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B11. Kelas 1 Bedah</TD>
<TD>K56.6 - Other and unspecified intestinal obstruction</TD>
<TD> Juni Mitra, Dr</TD>
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<TD ALIGN=center>5</TD>
<TD ALIGN=center>00.00.03.15</TD>
<TD> MASAL</TD>
<TD ALIGN=center>06/04/1959</TD>
<TD ALIGN=center>59 thn</TD>
<TD ALIGN=center>L</TD>
<TD ALIGN=center>02/05/2018</TD>
<TD ALIGN=center>15/05/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B6. Bedah Pria</TD>
<TD>Z93.3 - Colostomy status</TD>
<TD> Juni Mitra, Dr</TD>
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<TD ALIGN=center>6</TD>
<TD ALIGN=center>01.01.12.17</TD>
<TD> ALI MUNAR</TD>
<TD ALIGN=center>31/12/1951</TD>
<TD ALIGN=center>66 thn</TD>
<TD ALIGN=center>L</TD>
<TD ALIGN=center>11/05/2018</TD>
<TD ALIGN=center>22/05/2018</TD>
<TD>PBI - JKN</TD>
<TD>IRNA B12. HCU Bedah</TD>
<TD>C79.1 - Sec malignant neo bladder and oth and unspec urinary organ</TD>
<TD> Juni Mitra, Dr</TD>
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<TD ALIGN=center>7</TD>
<TD ALIGN=center>01.01.60.48</TD>
<TD> SOLFA ELITA</TD>
<TD ALIGN=center>07/09/1964</TD>
<TD ALIGN=center>53 thn</TD>
<TD ALIGN=center>P</TD>
<TD ALIGN=center>14/05/2018</TD>
<TD ALIGN=center>21/05/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA E. Embun Pagi</TD>
<TD>D63.0 - Anaemia in neoplastic disease</TD>
<TD> M. Iqbal Rivai, Dr</TD>
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<TD ALIGN=center>8</TD>
<TD ALIGN=center>00.99.78.86</TD>
<TD> DESYANTI</TD>
<TD ALIGN=center>06/05/1963</TD>
<TD ALIGN=center>55 thn</TD>
 <TD ALIGN=center>P</TD>
<TD ALIGN=center>09/06/2018</TD>
<TD ALIGN=center>28/06/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA C2. Interne Wanita</TD>
<TD>D63.0 - Anaemia in neoplastic disease</TD>
<TD> Eiffel FaherI,dr.Sp.PD.KHOM</TD>
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<TD ALIGN=center>9</TD>
<TD ALIGN=center>00.87.44.57</TD>
<TD> ADRIANTI</TD>
<TD ALIGN=center>02/05/1967</TD>
<TD ALIGN=center>51 thn</TD>
<TD ALIGN=center>P</TD>
<TD ALIGN=center>27/08/2018</TD>
<TD ALIGN=center>29/08/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B5.Bedah Wanita</TD>
<TD> - </TD>
<TD> M. Riendra,SpB-TKV,dr</TD>
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<TD ALIGN=center>10</TD>
<TD ALIGN=center>00.11.00.25</TD>
<TD> EMI</TD>
<TD ALIGN=center>14/06/1955</TD>
<TD ALIGN=center>63 thn</TD>
<TD ALIGN=center>P</TD>
<TD ALIGN=center>31/08/2018</TD>
<TD ALIGN=center>27/09/2018</TD>
<TD>NON PBI - JKN</TD>
<TD>IRNA B5.Bedah Wanita</TD>
<TD>E11.9 - Non-insulin-dependent diabetes mellitus without complications</TD>
<TD> M. Iqbal Rivai,Sp.B-KBD,dr</TD>
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<TD ALIGN=center>11</TD>
<TD ALIGN=center>01.01.12.17</TD>
<TD> ALI MUNAR</TD>
<TD ALIGN=center>31/12/1951</TD>
<TD ALIGN=center>66 thn</TD>
<TD ALIGN=center>L</TD>
<TD ALIGN=center>05/11/2018</TD>
<TD ALIGN=center>12/11/2018</TD>
<TD>PBI - JKN</TD>
<TD>IRNA C1. Interne Pria</TD>
<TD>D63.0 - Anaemia in neoplastic disease</TD>
<TD> Irza Wahid, Sp.PD.KHOM,FINASIM</TD>
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