REKAPITULASI RAWAT INAP BULAN JANUARI 2017

PROVINSI : SULTRA BULAN : JANUARI

KAB/KOTA : KENDARI TAHUN : 2017
PUSKESMAS : KANDAI

JENIS TANGGAL PERAWATAN

No. KARTU
NO NAMA PASIEN UMUR KELAMIN
PESERTA BPJS MASUK KELUAR
(L/P)

1 AN. AUREL NASYA AWALIA OOO1264957558 6 TH P 27/12/2016 04/01/2017

PUTRI
2 NY. HASRA OOOO134027616 62 TH P 29/12/2016 01/01/2017
3 TN. JAFARUDIN OOOO955662579 49 TH L 30/12/2016 02/01/2017
4 AN. FARA FITRIANI AL NASRA OOO2093179037 5 BLN P 31/12/2016 03/01/2017
5 AN. MULHAK ASSYAM OOO2048819376 9 BLN L 01/11/2017 04/01/2017
6 TN. HASMARUDDIN OOO1861751676 32 TH L 01/01/2017 04/01/2017
7 NN. YUSMIA OOO1901639902 20 TH P 03/01/2017 06/01/2017
8 NY. WA ALA OOOO955671491 41 TH P 03/01/2017 06/01/2017
9 AN. FITRIA OOOO955588454 5 TH P 03/01/2017 07/01/2017
10 TN. HAFID OOO1075304327 32 TH L 03/01/2017 07/01/2017
11 NY. FIFIN T OOO1075303574 32 TH P 04/01/2017 07/01/2017
12 AN. FIQHI OOOO956650419 8 TH L 04/01/2017 07/01/2017
13 NY. MISNAWATI . T OOO1556280775 32 TH P 05/01/2017 11/01/2017
14 NY. MANDAI OOOO955762209 49 TH P 06/01/2017 11/01/2017
15 TN. M. ARSYAD HAMTA OOOO133857437 67 TH L 07/01/2017 10/01/2017
16 AN. MUH. ABDURAHMAN OOO1075318716 5 TH L 09/01/2017 12/01/2017
17 TN. JABAR OOO1075340035 20 TH L 11/01/2017 16/01/2017
18 AN. ASIFA NUR SUAD OOO2080513519 4 TH P 16/01/2017 19/01/2017
19 AN. AFDAL OOOO956829385 11 TH L 16/01/2017 21/01/2017
20 NN. DILAWATI OOOO956395437 17 TH P 16/01/2017 21/01/2017
21 NY. NIKMA OOOO955564761 35 TH P 17/01/2017 22/01/2017
22 NY. WAHALIA OOOO956757341 62 TH P 17/01/2017 21/01/2017
23 NN. TIWI OOOO955534454 16 TH P 18/01/2017 21/01/2017
24 NN. ICE P 19/01/2017 22/01/2017
25 AN. WAODE ASTUTI NINGSIH
TAMHER OOO2071963484 1 TH P 19/01/2017 22/01/2017
26 NY. MELI OKTAFIANI OOOO956694734 23 TH P 19/01/2017 23/01/2017
27 TN. IRWAN OOOO956000305 17 TH L 21/01/2017 24/01/2017
28 TN. SULAEMA OOOO955721463 58 TH L 20/01/2017 24/01/2017
29 NY. NUR ISRAM OOOO956088011 32 TH P 22/01/2017 25/01/2017
30 NN. WA FAYA OOO1075318299 24 TH P
 TOTAL

MENGETAHUI,
KEPALA PUSKESMAS

dr.H.HAMZAH, M.Kes
NIP : 19600704 199509 1 001
2017

ANUARI

JUMLAH
BIAYA
HARI
DIAGNOSA Rp.100.000/h TOTAL (Rp)
RAWAT
ari
(Hr)
5 GEA + AS.
BRONCHIAL Rp100,000 Rp500,000
3 GEA Rp100,000 Rp300,000
3 HEPATOMEGALY Rp100,000 Rp300,000
3 GEA + DEHIDRASI Rp100,000 Rp300,000
3 GEA + FEBRIS Rp100,000 Rp300,000
3 COLIC ABDOMEN Rp100,000 Rp300,000
3 SUSP. DHF Rp100,000 Rp300,000
3 HT Rp100,000 Rp300,000
4 COLIC ABDOMEN Rp100,000 Rp400,000
4 COLIC ABDOMEN Rp100,000 Rp400,000
3 DYSPEPSIA Rp100,000 Rp300,000
3 GEA Rp100,000 Rp300,000
6 SUSP. KP Rp100,000 Rp600,000
5 DYSPEPSIA + HT Rp100,000 Rp500,000
3 GEA Rp100,000 Rp300,000
3 GEA + FEBRIS Rp100,000 Rp300,000
5 THYPOID FEVER Rp100,000 Rp500,000
3 GEA Rp100,000 Rp300,000
5 GEA + FEBRIS Rp100,000 Rp500,000
5 DYSPEPSIA + FEBRIS Rp100,000 Rp500,000
5 DYSPEPSIA Rp100,000 Rp500,000
4 COLIC ABDOMEN Rp100,000 Rp400,000
3 DYSPEPSIA Rp100,000 Rp300,000
3 MALARIA (+) Rp100,000 Rp300,000

3 PNEUMONIA Rp100,000 Rp300,000

4 DYSPEPESIA+HT Rp100,000 Rp400,000
3 DYSPEPSIA Rp100,000 Rp300,000
4 HEMAPTOE + KP Rp100,000 Rp400,000
3 DYSPEPSIA Rp100,000 Rp300,000
DYSPEPSIA Rp100,000 Rp0
Rp100,000 Rp0
Rp100,000 Rp0
Rp100,000 Rp0
 Rp100,000 Rp0
107 Rp10,700,000

Kendari, 31 MEI 2016

PELAPOR

WAODE ERAWATI,S.Kep,Ns
NIP : 197508211998032004
 REKAPITULASI RAWAT INAP BULAN MARET 2017

PROVINSI : SULTRA BULAN

KAB/KOTA : KENDARI TAHUN
PUSKESMAS

TANGGAL PERAWATAN
JENIS
No. KARTU
NO NAMA PASIEN UMUR KELAMIN
PESERTA BPJS MASUK
(L/P)

1 AN. MUH. PADLAN SUKRIANTO OOOO170698184 10 THN L 02/03/2017

2 NY. WAKADIMU OOOO955645266 72 THN P 03/03/2017
3 AN. FITO OOOO955760523 15 THN L 03/03/2017
4 NN. ST. ASMAR OOOO956048051 21 THN P 03/03/2017
5 NN. YULIA NINGSIH OOOO955418815 20 THN P 04/03/2017
6 NY. MILA OOO1884571121 30 THN P 05/03/2017
7 AN. FEBRIANTI OOOO956281138 11 THN P 06/03/2017
8 NY. SANALIA OOOO955656876 26 THN P 06/03/2017
9 AN. MARWAN S. MAANE OOO1090061526 13 THN L 06/03/2017
10 AN. NUR FEBRIANTI OOOO956826202 10 THN P 3/6/2017
11 NY. MARIANI OOOO955578633 30 THN P 07/03/2017
12 AN. DION OOOO955535185 13 THN L 08/03/2017
13 TN. LAODE PANGANTA OOOO956688513 58 THN L 10/03/2017
14 AN. TOMMY HARDIYANTO OOO1301116915 6 THN L 12/03/2017
15 TN. HUSEIN BORAHIMA OOOO133397548 64 THN L 14/03/2017
16 NY. SARIANI OOO1556281787 21 THN P 15/03/2017
17 NY. WAODE NENI MARLINA OOO1319887618 21 THN P 15/03/2017
18 AN. MUH. IMAN LINTAR R OOOO956478295 13 THN L 19/03/2017
19 TN. LAHETO OOOO955630539 76 THN L 20/03/2017
20 NY. ROSDIANA T OOOO133675198 47 THN P 21/03/2017
21 NY. FATMA OOOO956653929 49 THN P 26/03/2017
22 NY. EMI MARDIANA OOO1075317805 27 THN P 24/03/2017
23 NY. MARYAMI OOO1556278413 61 THN P 28/03/2017
TOTAL

MENGETAHUI,
KEPALA PUSKESMAS

dr.H.HAMZAH, M.Kes
NIP : 19600704 199509 1 001
BULAN MARET 2017

: MARET
: 2017
: KANDAI

ANGGAL PERAWATAN
JUMLAH HARI BIAYA
DIAGNOSA TOTAL (Rp)
KELUAR RAWAT (Hr) Rp.120.000/hari

07/03/2017 5 DBD Rp120,000 Rp600,000

07/03/2017 4 GEA Rp120,000 Rp480,000
14/03/2017 11 THYPOID FEVER Rp120,000 Rp1,320,000
08/03/2017 5 SUSP. DHF Rp120,000 Rp600,000
08/03/2017 4 SUSP. DHF Rp120,000 Rp480,000
08/03/2017 3 DYSPEPSIA Rp120,000 Rp360,000
08/03/2017 2 THYPOID FEVER Rp120,000 Rp240,000
09/03/2017 3 HYPOTENSI + FEBRIS Rp120,000 Rp360,000
10/03/2017 4 HYPERPIREXIA Rp120,000 Rp480,000
3/14/2017 8 THYPOID FEVER Rp120,000 Rp960,000
11/03/2017 4 DYSPEPSIA Rp120,000 Rp480,000
13/03/2017 5 THYPOID FEVER Rp120,000 Rp600,000
13/03/2017 3 DYSPEPSIA Rp120,000 Rp360,000
16/03/2017 4 HYPERPIREXIA Rp120,000 Rp480,000
17/03/2017 3 DYSPEPSIA + FEBRIS Rp120,000 Rp360,000
18/03/2017 3 GEA Rp120,000 Rp360,000
20/03/2017 5 THYPOID Rp120,000 Rp600,000
22/03/2017 3 THYPOID FEVER Rp120,000 Rp360,000
23/03/2017 3 THYPOID FEVER Rp120,000 Rp360,000
24/03/2017 3 DYSPEPSIA+FEBRIS Rp120,000 Rp360,000
30/03/2017 4 DYSPEPSIA + HT Rp120,000 Rp480,000
30/03/2017 6 THYPOID FEVER Rp120,000 Rp720,000
31/03/2017 3 HT (HIPERTENSI) Rp120,000 Rp360,000
98 Rp11,760,000

Kendari, 31 Maret 2017

PELAPOR

WAODE ERAWATI,S.Kep,Ns
NIP : 197508211998032004
 REKAPITULASI RAWAT INAP BULAN APRIL 2017

PROVINSI : SULTRA BULAN : APRIL

KAB/KOTA : KENDARI TAHUN : 2017
PUSKESMAS : KANDAI

TANGGAL PERAWATAN
JENIS
No. KARTU
NO NAMA PASIEN KELAMIN
PESERTA BPJS MASUK KELUAR
(L/P)
UMUR
1 NY. SAMLIA OOO1794264658 35 THN P 27/03/2017 02/04/2017

2 NY. WAODE NENI MARLINA OOO1319887618 P 28/03/2017 03/04/2017

21 THN
3 NY. ROSNIAH OOOO211657195 58 THN P 29/03/2017 01/04/2017
4 NY. MUHANA OOO1272678131 56 THN P 29/03/2017 02/04/2017
5 AN. GILANG AYA SANG DEWA OOO1271018406 9 THN L 31/03/2017 04/04/2017
OOO1207782849
6 TN. LAODE TANAHALI L 01/04/2017 03/04/2017
4 71 THN
7 NN. DEVI SARTIKA OOOO955828765 16 THN P 01/04/2017 04/04/2017
8 NN. RUDIHAN OOO1075316393 15 THN P 01/04/2017 04/04/2017
9 AN. ANDHIKA PRATAMA OOO1890058702 10 THN L 03/04/2017 06/04/2017
10 AN. MUKMIN SOLEH OOOO956577611 14 THN L 4/5/2017 4/9/2017
11 NY. FARIDA OOO1075319188 38 THN P 06/04/2017 10/04/2017
12 AN. AHMAT OOOO956799472 7 THN L 08/04/2017 12/04/2017
13 AN. ARUL OOOO955582413 16 THN L 09/04/2017 13/04/2017
14 NN. MASDAYANTI OOOO956451442 20 THN P 12/04/2017 16/04/2017
15 AN. ZAHRA 6 THN P 14/04/2017 20/04/2017
16 TN. SUKUR OOO1804981048 43 THN L 16/04/2017 19/04/2017
17 NN. WINDA OOOO955652398 22 HN P 17/04/2017 20/04/2017
18 NY. FATMA OOOO956653929 52 THN P 18/04/2017 22/04/2017
19 NN. ANITA
20
21
22
23
TOTAL

MENGETAHUI,
KEPALA PUSKESMAS

dr.H.HAMZAH, M.Kes
NIP : 19600704 199509 1 001
PRIL 2017

PRIL

JUMLAH
BIAYA
HARI
DIAGNOSA Rp.120.000/ TOTAL (Rp)
RAWAT
hari
(Hr)
6 THYPOID Rp120,000 Rp720,000
DYSPEPSIA +
6 Rp120,000 Rp720,000
DEMAM
3 DYSPEPSIA + DM Rp120,000 Rp360,000
4 DYSPEPSIA Rp120,000 Rp480,000
4 SUSP. DHF Rp120,000 Rp480,000
2 DYSPEPSIA + HT Rp120,000 Rp240,000

3 DYSPEPSIA Rp120,000 Rp360,000

3 THYPOID Rp120,000 Rp360,000
3 GEA Rp120,000 Rp360,000
4 GEA Rp120,000 Rp480,000
4 Rp120,000 Rp480,000
4 GEA Rp120,000 Rp480,000
4 GEA ISPA Rp120,000 Rp480,000
4 COLIC ABDOMEN Rp120,000 Rp480,000
6 DHF Rp120,000 Rp720,000
3 GEA Rp120,000 Rp360,000
3 DYSPEPSIA Rp120,000 Rp360,000
4 HT+DYSPEPSIA Rp120,000 Rp480,000
Rp120,000
Rp120,000
Rp120,000
Rp120,000
Rp120,000
70 Rp8,400,000

Kendari, 30 April 2017

PELAPOR

WAODE ERAWATI,S.Kep,Ns
NIP : 197508211998032004
 REKAPITULASI RAWAT INAP BULAN MEI 2017

PROVINSI : SULTRA BULAN : MEI

KAB/KOTA : KENDARI TAHUN : 2017
PUSKESMAS : KANDAI

TANGGAL PERAWATAN JUMLAH

JENIS
No. KARTU HARI BIAYA
NO NAMA PASIEN UMUR KELAMI DIAGNOSA TOTAL (Rp)
PESERTA BPJS MASUK KELUAR RAWAT Rp.120.000/hari
N (L/P)
(Hr)
1 NY. EKA INDRIANA OOOO949672708 23 THN P 29/04/2017 03/05/2017 4 HEMAPTOE+SUSP. KP Rp120,000 Rp480,000
2 NN. ANDI FADLIYA OOO2050381989 20 THN P 29/04/2017 05/05/2017 6 DYSPEPSIA Rp120,000 Rp720,000
3 AN. AMAN OOOO956601955 13 THN L 30/04/2017 02/05/2017 2 COLIC ABDOMEN Rp120,000 Rp240,000 R
4 AN. FADLI OOOO955672648 7 THN L 02/05/2017 06/05/2017 4 GEA Rp120,000 Rp480,000
5 AN. ABDIL OOO2226247953 1 THN L 02/05/2017 06/05/2017 4 GEA Rp120,000 Rp480,000
6 AN. KIKI NURDILA OOOO955672402 16 THN P 03/05/2017 06/05/2017 3 GEA Rp120,000 Rp360,000
7 NY. EKA INDRIANA OOOO949672708 23 THN P 06/05/2017 10/05/2017 4 SUSP. KP Rp120,000 Rp480,000
8 NN. WD. MARLIA OOOO956687411 24 THN P 06/05/2017 11/05/2017 5 SUSP. DHF Rp120,000 Rp600,000
9 NN. HENDRIANI OOOO956760783 26 THN P 06/05/2017 11/05/2017 5 DYSPEPSIA + FEBRIS Rp120,000 Rp600,000
10 NY. NINING OOO1075317344 27 THN P 08/05/2017 11/05/2017 3 DYSPEPSIA Rp120,000 Rp360,000
11 NY. SITI MULIANA OOO1075320303 18 THN P 10/05/2017 13/05/2017 3 DYSPEPSIA Rp120,000 Rp360,000
12 NY. HALMA OOOO956637011 40 THN P 10/05/2017 13/05/2017 3 DYSPEPSIA Rp120,000 Rp360,000
13 NY. ROTILIN OOOO133249667 53 THN P 10/05/2017 13/05/2017 3 HT Rp120,000 Rp360,000
14 TN. M SUKRI OOOO956786692 31 THN L 10/05/2017 15/05/2017 5 THYPOID FEVER Rp120,000 Rp600,000
15 AN. MUH. FAUZAN OOOO201774497 6 THN L 12/05/2017 17/05/2017 5 GEA+FEBRIS Rp120,000 Rp600,000

16 AN. MUH. ADITYA SANJAYA OOO1556281899 17 THN L 12/05/2017 18/05/2017 6 SUSP. DHF Rp120,000 Rp720,000
RAMADHAN
17 TN. LA SIA OOO1823969272 60 THN L 13/05/2017 16/05/2017 3 COLIC ABDOMEN Rp120,000 Rp360,000 R
18 AN. DESNAL (AN.MUH.MUHARAM) OOO1075301155 7 THN L 13/05/2017 17/05/2017 4 DHF Rp120,000 Rp480,000
19 NY. ST. MARIANI OOO1827889064 30 THN P 14/05/2017 17/05/2017 3 DYSPEPSIA Rp120,000 Rp360,000
20 NY. ALISA OOOO956637617 21 THN P 14/05/2017 18/05/2017 4 DYSPEPSIA+DEMAM Rp120,000 Rp480,000
21 NY. HALMA OOOO956637011 40 THN P 14/05/2017 18/05/2017 4 DYSPEPSIA+ISK Rp120,000 Rp480,000 14400000
22 NY. ST. MUMIATI OOO1938236229 26 THN P 14/05/2017 19/05/2017 5 SUSP. DHF Rp120,000 Rp600,000
23 NY. WD. EGA OOO2017292253 64 THN P 15/05/2017 19/05/2017 4 HT Rp120,000 Rp480,000
24 AN. FADLAN OOOO956830206 7 THN L 19/05/2017 23/05/2017 4 GEA Rp120,000 Rp480,000
25 AN. NUR APRIANTI OOO1794266684 8 THN P 19/05/2017 25/05/2017 6 GEA+ISPA Rp120,000 Rp720,000
26 AN. ANITA SALIM OOO1075304226 10 THN P 20/05/2017 23/05/2017 3 GEA Rp120,000 Rp360,000
27 NY. WD. HASMA OOOO956060739 57 THN P 21/05/2017 23/05/2017 2 GEA+HT Rp120,000 Rp240,000
28 AN. INDAH SAVIRA OOOO133286398 12 THN P 25/05/2017 28/05/2017 3 GEA Rp120,000 Rp360,000
29 NY. SALMA OOOO133313692 58 THN P 26/05/2017 29/05/2017 3 DYSPEPSIA Rp120,000 Rp360,000
30 NY,. YULI OOOO955911532 33 THN P 26/05/2017 30/05/2017 4 DYSPEPSIA Rp120,000 Rp480,000
31 NY. MUHANA OOO1272678131 56 THN P 28/05/2017 31/05/2017 3 DYSPEPSIA+HT Rp120,000 Rp360,000
TOTAL 120 Rp14,400,000

Kendari, 31 Mei 2017

MENGETAHUI,
KEPALA PUSKESMAS PELAPOR

dr.H.HAMZAH, M.Kes WAODE ERAWATI,S.Kep,Ns

NIP : 19600704 199509 1 001 NIP : 197508211998032004