NAMA DOKTER : DR FISTA DIVI, SP.

OG
BULAN : JULI

PENGISIAN PENGISIAN
NO TGL No Rm Nama Umur CPPT < 24 JAM LEMBAR EDUKASI
1 7/3/2018 7742035334 ny sulastri 40 thn
2 7/3/2018 7742036586 NN MULIA NUR LATIFAH 20 thn
3 7/3/2018 7742036148 NY HANIK NUR LATHIFAH 31 thn
4 7/3/2018 7742036241 ny NUR HASANAH 26 thn
5 7/5/2018 7742036622 ny TJONG SUNG NGO 78 THN
6 7/5/2018 7742036623 ny DWI FAZRIANI UTARI 32 thn
7 7/5/2018 7742010990 ny hj maya ibaluri k,a 66 thn
8 7/10/2018 7742035288 ny SARIPAH 21 thn
9 7/10/2018 7742033520 ny lilis windart 29 thn
10 7/10/2018 7742036436 ny ISMAWATI 28 thn
11 7/10/2018 7742036707 ny PITRIANI 23 thn
12 7/12/2018 7742036512 ny NUR SRI UBAYA ASRI 32 thn
13 7/12/2018 7742036241 ny NUR HASANAH 26 thn
14 7/17/2018 7742035334 ny sulastri 40 thn
15 7/17/2018 7742036810 NY RINA ARYANI 22 thn
16 7/17/2018 7742021308 ny sarifah 21 thn
17 7/19/2018 7742036241 ny NUR HASANAH 26 thn
18 7/19/2018 7742036844 ny VIDYA MEGA DWI ANDINI 25 thn
19 7/19/2018 7742036845 ny MIMI 32 thn
20 7/19/2018 7742036851 ny JAMILAH 25 thn
21 7/31/2018 7742036036 NY NOVI NURAENI 24 thn
22 7/31/2018 7742036436 NY ISMAWATI 28 thn
23 7/31/2018 7742037123 NY DESRI MULYAWATI 41 thn
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DIVI, SP.OG

KELUHAN MASUK DIAGNOSIS PRE LAMA

PASIEN TINDAKAN DAN POST OP RAWATAN MORTALITAS
 NAMA DOKTER : DR MOYO
BULAN : JULI

PENGISIAN PENGISIAN
NO TGL No Rm Nama Umur CPPT < 24 LEMBAR
JAM EDUKASI
1 7/5/2018 7742036621 an RAFLIANDRA AL DZAKWAN 5,1 thn
2 7/5/2018 7742036624 ny mimin 70 THN
3 7/5/2018 7742007580 ny Dwi ariant 30 thn
4 7/6/2018 7742002957 tn Subur 45 thn
5 7/6/2018 7742036635 tn DONY DWI ALFARIZIE 17 thn
6 7/6/2018 7742036639 ny SITI MASITOH 37 thn
7 7/12/2018 7742036478 ny MEDITA PRASETYO 24 thn
8 7/12/2018 7742036742 nn DAIS AGUSTINA 23 thn
9 7/12/2018 7742018870 an davina kallifa putri 2.10 thn
10 7/13/2018 7742023225 ny dwi listyorini 30 thn
11 7/13/2018 7742034229 tn moch faozi 29 thn
12 7/13/2018 7742029189 an kian brahmanto 2,4 thn
13 7/13/2018 7742028656 an muhammad arsya aulia 1.4 thn
14 7/13/2018 7742036770 AN ZUMA NAGA KAWURYAN 11 thn
15 7/13/2018 7742036767 NY RANI 32 thn
16 7/13/2018 7742036769 TN IRWAN DESTRIAWAN 35 thn
17 7/19/2018 7742036846 an WIDYA KUMALA CAHYA 12 thn
18 7/19/2018 7742036847 nn NAJLA NISRINA 17 thn
19 7/19/2018 7742036854 ny YAYAH NURHAYATI 27 thn
20 7/19/2018 7742034223 nn devi lestari 22 thn
21 7/19/2018 7742036855 tn H HAMZAH MUIN 51 thn
22 7/19/2018 7742016929 ny yuni maesaroh 38 thn
23 7/19/2018 7742036858 AN MUHAMMAD REHAN 8 bln
24 7/20/2018 7742036865 ny SULIYATI 74 thn
25 7/20/2018 7742030885 ny risma handayani 24 thn
26 7/20/2018 7742013210 an angelie canina azzahra 5,6 thn
27 7/20/2018 7742036870 an MELATI 11 thn
28 7/20/2018 7742036871 an GHEA 12 thn
29 7/20/2018 7742036872 nn ADELIA FEBRIANA 15 thn
30 7/20/2018 7742036873 an RAYA 11 thn
31 7/20/2018 7742036418 an ZAHRA GENDIS PUTRIANANDI 8 bln
32 7/20/2018 7742036877 nn NOVY 15 thn
33 7/22/2018 7742021725 an lutfian sammer ait 7,5 thn
34 7/22/2018 7742036911 nn ANNISA 16 thn
35 7/22/2018 7742036727 tn BUDI PURYANTO 46 thn
36 7/22/2018 7742036912 tn ANGGI FRANCISKA 29 thn
37 7/22/2018 7742029925 ny mardika sri 31 thn
38 7/22/2018 7742036917 AN DINI SUKRIA 13 thn
39 7/22/2018 7742036916 NN REYHANA SABRIA 15 thn
40 7/22/2018 7742011596 an anindya raisa addin 6 thn
41 7/23/2018 7742036858 an MUHAMMAD REHAN 8 bln
42 7/26/2018 7742037007 nn SHAKI 16 THN
43 7/26/2018 7742020112 tn arifin 49 thn
44 7/26/2018 7742037010 tn AEP TAHYUDIN 48 thn
45 7/26/2018 7742026585 nn nurnira kholifah 17 thn
46 7/26/2018 7742037014 an M OKI LASMANA 1,9 thn
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R MOYO
I

KELUHAN MASUK DIAGNOSIS PRE LAMA

PASIEN TINDAKAN DAN POST OP RAWATAN MORTALITAS
 NAMA DOKTER : DR DIDING, SP.PD
BULAN : JULI

PENGISIAN PENGISIAN
NO TGL No Rm Nama Umur CPPT < 24 LEMBAR
JAM EDUKASI
1 7/2/2018 7742032172 ny amenun 74 thn
2 7/2/2018 7742036572 ny ROSMIATI 40 thn
3 7/3/2018 7742023225 ny dwi listyorini 30 thn
4 7/4/2018 7742035363NY SRI SUPRAPTI SISWA SUBROTO 70 thn
5 7/6/2018 7742035643 ny SOLIHAT 41 thn
6 7/6/2018 7742036572 ny ROSMIATI 40 thn
7 7/18/2018 7742036830 ny IYAH 85 thn
8 7/18/2018 7742023225 ny dwi listyorini 30 thn
9 7/18/2018 7742036838 ny OON SUNARSIH 43 thn
10 7/19/2018 7742036859 NY MARLINA 28 thn
11 7/20/2018 7742036866 ny SRI WAHYUNI 45 thn
12 7/20/2018 7742017045 ny rini apriyant 28 thn
13 7/24/2018 7742014755 ny juhairiyah 57 thn
14 7/24/2018 7742036978 NY ST SADIAH 28 thn
15 8/26/2018 7742036865 ny SULIYATI 74 thn
16 8/26/2018 7742034258 tn ramadhan 22 thn
17 8/26/2018 7742016929 ny yuni maesaroh 38 thn
18 8/30/2018 7742037112 ny RUSTIANI 57 thn
19 8/30/2018 7742009491 ny Diah Ismawat 50 thn
20 8/30/2018 7742037113 ny MULYATI 43 thn
21 8/30/2018 7742037114 tn ANANG YUDI RISWANTO 38 thn
22 8/30/2018 7742035363NY SRI SUPRAPTI SISWA SUBROTO 70 thn
23 8/31/2018 7742034834 ny nunung khodijah 59 thn
24 8/31/2018 7742021354 ny atkah 53 thn
25 8/31/2018 7742037138 ny RESTI AMELIA 24 thn
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IDING, SP.PD
LI

KELUHAN MASUK DIAGNOSIS PRE LAMA

PASIEN TINDAKAN DAN POST OP RAWATAN MORTALITAS
 NAMA DOKTER : DR FAJAR, SP.A
BULAN : JULI

PENGISIAN PENGISIAN
NO TGL No Rm Nama Umur CPPT < 24 LEMBAR
JAM EDUKASI
1 7/2/2018 7742036393 AN LUBNA ALTHAFUNNISA 9 hari
2 7/2/2018 7742036206 AN RIZKI DINUL ADHA 10 bln
3 7/2/2018 7742036562 an ARZA PRADIPTA AMZARI 1,1 thn
4 7/2/2018 7742036311 AN GHANEEM AFZAM ASIA SAPUTRA 7 HARI
5 7/2/2018 7742030471 an nazifa fitri 1 thn
6 7/2/2018 7742033105 an UMMU ADDIBA 6 bln
7 7/2/2018 7742036444 AN ANNISA TALITHA ZAHRAN 1.3 thn
8 7/2/2018 7742036351 an MUHAMMAD FAISAL 13 hari
9 7/2/2018 7742020132 an baharuddin alfirdausi ahmad 3,4 thn
10 7/2/2018 7742012163 an m ibnu alhikam a 3,2 thn
11 7/2/2018 7742025417 an irsyad hassan fathoni 2 thn
12 7/2/2018 7742030354 an Izzat almeira 4 thn
13 7/2/2018 7742036318 AN M ICHSAN 21 hari
14 7/2/2018 7742036564 an ONADITO DARPA KURNIAWAN 1,5 thn
15 7/2/2018 7742036566 an ANINDITA UFAIRAH AZZAHRA 1 bln
16 7/2/2018 7742036382 an NARA ATTILA NAAFISAH 20 hari
17 7/3/2018 7742016962 an muhammad rafli rizki 13 thn
18 7/3/2018 7742035437 an ZHALFANIA AULIA 2 bln
19 7/3/2018 7742036585 AN RAQILLA ANANDIYA KHOIRIYAH 4.4 thn
20 7/3/2018 7742036562 an ARZA PRADIPTA AMZARI 1,1 thn
21 7/3/2018 7742035031 an FATIMAH PUTRI HASANAH 3 bln
22 7/3/2018 7742030779 an shaqueena farra andinain 11 bln
23 7/3/2018 7742024896 an ryan abqari runako arsenio 2 thn
24 7/3/2018 7742036493 AN DEVAN ALVARO TIMOTHY 8 bln
25 7/3/2018 7742036588 an MUHAMMAD ZAFRAN ALFARIZQI 7 bln
26 7/3/2018 7742008203 an m khadavi 7,11 thn
27 7/3/2018 7742036589 an RIZQI RAFIF OKTARIAN 8 bln
28 7/4/2018 7742036461 AN AZZAHRAN AL KHAIRI 1.9 thn
29 7/4/2018 7742036527 AN MUHAMMAD RASYID 4 hari
30 7/6/2018 7742036589 an RIZQI RAFIF OKTARIAN 8 bln
31 7/9/2018 7742036217 AN SAID SAGARA ANDARU 1 bln
32 7/9/2018 7742036306
AN FINA SYAKILA AILANI / BY NY UMI KULSUM
21 hari
33 7/9/2018 7742030276 an syarif hidayatulloh 1 thn
34 7/9/2018 7742036493 AN DEVAN ALVARO TIMOTHY 8 bln
35 7/9/2018 7742036206 AN RIZKI DINUL ADHA 10 bln
36 7/9/2018 7742036410 an ERICK HENANDAR 13 thn
37 7/9/2018 7742033142 an nurkamila 2,5 thn
38 7/9/2018 7742030471 an nazifa fitri 1 thn
39 7/9/2018 7742036589 an RIZQI RAFIF OKTARIAN 8 bln
40 7/9/2018 7742031816 an olivia nicole zahira 9 bln
41 7/9/2018 7742033344 an m gibran nabawi 6 bln
42 7/9/2018 7742036483 AN MUHSIN AL FAATIH 1.7 thn
43 7/9/2018 7742036566 an ANINDITA UFAIRAH AZZAHRA 1 bln
44 7/9/2018 7742030924 an ashalina yumna naladhifa 1.1 thn
45 7/9/2018 7742031138 an muhamad fahri kamil 5.1 thn
46 7/9/2018 7742035342 AN DZAKIRA CLARISSA PRIMANDHA 2 bln
47 7/9/2018 7742035735 AN ATTHAR SHAFIQ 1 bln
48 7/10/2018 7742036353 an JOAN NUR ISKANDAR 11 bln
49 7/10/2018 7742033845 an aisyah shifa alinarrohman 5 bln
50 7/10/2018 7742036585 AN RAQILLA ANANDIYA KHOIRIYAH 4.4 thn
51 7/10/2018 7742024530 an elvira krasiva zavier virgiawan 2.2 thn
52 7/10/2018 7742031392 an Qirani fawzia 1.3 thn
53 7/10/2018 7742004392 an shafa nur fitrohan 5.6 thn
54 7/10/2018 7742036708AN MUHAMMAD KHALIFA AL MURODI 2.1 thn
55 7/10/2018 7742036710 AN ARSYILA SHAZFA RYVANIA 9 bln
56 7/11/2018 7742026764 an m syahdan ali amran 1.8 thn
57 7/11/2018 7742033985 an gendis ayu suruwangi 9 bln
58 7/11/2018 7742027288 an ARSYILA OLIVIA 1.6 thn
59 7/11/2018 7742036101 an ALIKA ZAHSY SALSABILLA 1 thn
60 7/11/2018 7742030807 an alfarizqy tsani rahmat 11 bln
61 7/11/2018 7742035424 AN CLEMIRA AIZIA PUTRI 2 bln
62 7/11/2018 7742032241 an nailah khalida efendi 8 bln
63 7/12/2018 7742036483 an MUHSIN AL FAATIH 1,8 thn
64 7/12/2018 7742033142 an nurkamila 2,5 thn
65 7/13/2018 7742036394 AN AQMAR NADHIF RAMADHAN 20 hari
66 7/13/2018 7742034111 an kezza khoerunisa 8 bln
67 7/13/2018 7742008203 an m khadavi 8 thn
68 7/13/2018 7742009675 an sit aisyah nur sholihah 4,6 thn
69 7/13/2018 7742018260 an m abdul rahman nursallam 7,3 thn
70 7/13/2018 7742031866 an anugrah irwansyah 12 thn
71 7/13/2018 7742036682 AN AYUKA EGA ANGELY 4 hari
72 7/13/2018 7742036695 AN ANDITY TAVISHA GIVARIN 4 hari
73 7/13/2018 7742035839 an ahmad adam al faaiq 2 bln
74 7/13/2018 7742036681 BY NY SEPTIAWATI 4 hari
75 7/13/2018 7742016056 an muhamad irsyad kamil 5,3 thn
76 7/13/2018 7742026843 an m azka syihab 1,8 thn
77 7/13/2018 7742035221 an nayaka faeyza abadi 4,5 bln
78 7/13/2018 7742030843 an lisa azizah 1 thn
79 7/14/2018 7742027288 an ARSYILA OLIVIA 1.6 thn
80 7/16/2018 7742034111 an kezza khoerunisa 8 bln
81 7/16/2018 7742030276 an syarif hidayatulloh 1 thn
82 7/16/2018 7742036706 AN RAFFASYA ABQARY A 6 hari
83 7/16/2018 7742036564 an ONADITO DARPA KURNIAWAN 1,6 thn
84 7/16/2018 7742030519 an m arkha kurniawan 1 thn
85 7/17/2018 7742022034 an hafizh rayyan aditya 2.5 thn
 86 7/17/2018 7742036206 AN RIZKI DINUL ADHA 10 bln
87 7/17/2018 7742027288 an ARSYILA OLIVIA 1.6 thn
88 7/17/2018 7742036755 AN ALESHA NAULINA PUTRI LUBIS 4 hari
89 7/17/2018 7742028269 an Aeera Alsava 1,6 thn
90 7/19/2018 7742023688 an syna melody zulaikha atmojo 2,8 thn
91 7/19/2018 7742009675 ny sit aisyah nur sholihah 4,5 thn
92 7/19/2018 7742029189 an kian brahmanto 2,4 thn
93 7/19/2018 7742036856 an FAHIMA ALIYA 1,6 thn
94 7/19/2018 7742036790 AN AISYAH AYUNDA INARA 4 hari
95 7/19/2018 7742036758
AN SHILOH IVANDER LAKUSS / BY NY MAELANI
6 hari
96 7/19/2018 7742035744 AN RAESHA SALVINA 2 bln
97 7/19/2018 7742036318 AN M ICHSAN 1 bln
98 7/20/2018 7742036695 AN ANDITY TAVISHA GIVARIN 4 hari
99 7/20/2018 7742019695 an riffat ibnu setadi 2,9 thn
100 7/20/2018 7742030276 an syarif hidayatulloh 1 thn
101 7/20/2018 7742036101 an ALIKA ZAHSY SALSABILLA 1 thn
102 7/20/2018 7742009474 an rafa firdaus 6,10 thn
103 7/20/2018 7742036213 an AHMAT TRI WIJAYA 11 bln
104 7/20/2018 7742027288 an ARSYILA OLIVIA 1.6 thn
105 7/20/2018 7742036761 AN ALIVIA BIANCA RAHMA 7 hari
106 7/24/2018 7742015025 an m hafiz nasrullah 9.2 thn
107 7/24/2018 7742032912 an dara salsabilla 4.4 thn
108 7/24/2018 7742035815 AN AHMAD FIRDHAN FIRDAUS 2 bln
109 7/24/2018 7742027952 an mikhyla ramadhani 2 thn
110 7/24/2018 7742031138 an muhamad fahri kamil 5.1 thn
111 7/25/2018 7742034717 an ken chandra 4 bln
112 7/25/2018 7742036328 an ALEEYA SYAFITRI 1 bln
113 7/25/2018 7742035649 an ARSYILA QUEENARA 2 bln
114 7/25/2018 7742033231 an almaira shanum heryani 10 bln
115 7/25/2018 7742036989 AN ALIFA AYUDIA INARA 4.1 thn
116 7/25/2018 7742034192 an m rakha alfarizki 5 bln
117 7/25/2018 7742036755 AN ALESHA NAULINA PUTRI 12 hari
118 7/26/2018 7742036761 AN ALIVIA BIANCA RAHMA 13 hari
119 7/26/2018 7742023688 an syna melody zulaikha atmojo 2,8 thn
120 7/27/2018 7742035815 AN AHMAD FIRDHAN FIRDAUS 2 bln
121 7/27/2018 7742026843 an m azka syihab 1,9 thn
122 7/27/2018 7742016056 an muhamad irsyad kamil 5,3 thn
123 7/27/2018 7742036328 an ALEEYA SYAFITRI 1 bln
124 7/27/2018 7742033142 an nurkamila 2,5 thn
125 7/27/2018 7742006530 an Rizki Dhia Ahmad 6,2 thn
126 7/27/2018 7742031866 an anugrah irwansyah 12,4 thn
127 7/27/2018 7742015884 an nurauni firdina 8,3 thn
128 7/27/2018 7742010539 an qonita fajria q 4,9 thn
129 7/30/2018 7742035815 AN AHMAD FIRDHAN FIRDAUS 2 bln
130 7/30/2018 7742005917 an muhammad rafa aflah 5 thn
131 7/30/2018 7742035937 an ARINA HUSNATUL 2 bln
132 7/30/2018 7742036187 an HAIKAL HAFIZ FAUZI 5 bln
133 7/30/2018 7742015884 an nurauni firdina 8 thn
134 7/30/2018 7742032001 an anindya khairani 7 bln
135 7/31/2018 7742027329 an kafi alkhaira martha 8 thn
136 7/31/2018 7742036567 AN INTAN 9 thn
137 7/31/2018 7742035815 AN AHMAD FIRDHAN FIRDAUS 2 bln
138 7/31/2018 7742030276 an syarif hidayatulloh 1,1 thn
AJAR, SP.A

KELUHAN MASUK DIAGNOSIS PRE LAMA

PASIEN TINDAKAN DAN POST OP RAWATAN MORTALITAS
 NAMA DOKTER : DRG WIWIN
BULAN : JULI

PENGISIAN PENGISIAN
NO TGL No Rm Nama Umur CPPT < 24 LEMBAR
JAM EDUKASI
1 7/2/2018 7742009491 ny Diah Ismawat 50 thn
2 7/4/2018 7742036607 ny R DEWI WISNU NOVIYANI 38 thn
3 7/4/2018 7742036608 ny YANTI WISNUYANTI 50 thn
4 7/7/2018 7742036521 nn VIVI FAUZIAH HAWARINDANG 18 thn
5 7/7/2018 7742009491 ny Diah Ismawat 50 thn
6 7/9/2018 7742036690 TN KARSID 41 thn
7 7/9/2018 7742011957 tn M yusuf majid 33 thn
8 7/10/2018 7742036709 TN ARFIAN HERU PRASETYO 32 thn
9 7/11/2018 7742036729 AN M AZKA FAILASUF 14 thn
10 7/11/2018 7742029590 an khoirur rozikin 15 thn
11 7/11/2018 7742036734 TN RIZKIANDA FARHAN 15 thn
12 7/16/2018 7742036804 tn YUDI SUANDI 42 thn
13 7/18/2018 7742036829an DEVANDRA ALFARIZQI SAPTIKO 6,4 thn
14 7/18/2018 7742036804 tn YUDI SUANDI 42 thn
15 7/21/2018 7742011957 tn M yusuf majid 33 thn
16 7/21/2018 7742029590 an khoirur rozikin 14 thn
17 7/21/2018 7742036899 AN M ALFARIDZI YUSUF 14 thn
18 7/23/2018 7742036934 nn HERNA SOLISTY HASUGIAN 31 thn
19 7/30/2018 7742027435 an raya aisyahriffi suhendar 7 thn
20 7/30/2018 7742037100 nn FIRDA NURUL PRATAMI 18 thn
21 7/30/2018 7742037101 ny SUFIANI 40 thn
22 7/30/2018 7742037102 an BISHRI ADIB FATHONI 12 thn
23 7/30/2018 7742037103 nn RIZKY ALFIANA 18 thn
24 7/30/2018 7742037109 ny INDRIYANI 27 thn
25 7/30/2018 7742037110 tn ARI SUSANTO 29 thn
26 7/30/2018 7742037111 ny FETRI SETIANINGSIH 27 thn
27 7/31/2018 7742027329 an kafi alkhaira martha 8 thn
28 7/31/2018 7742037126 ny ESMIANAWATI 45 thn
29 7/31/2018 7742037137 ny RENI FITRIYANTI 25 thn
30 7/31/2018 7742034486 tn andik priyanto 30 thn
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RG WIWIN
LI

KELUHAN MASUK DIAGNOSIS PRE LAMA

PASIEN TINDAKAN DAN POST OP RAWATAN MORTALITAS