MAMUJU TENGAH

POLI : …………………………………………..

JAM PELAYANAN JAMINAN

NO TANGGAL NO RM
RM POLI KOMULATIFUMUM BPJS JMP LAINNYA
1 5/3/2020 8:00 11:35 √ OE.01.120
2 5/3/2020 8:02 11:40 √ OE.01.129
3 5/3/2020 8:07 11:45 √ OE.01.121
4 5/3/2020 8:10 11:50 √ OE.01.123
5 5/3/2020 8:11 11:55 √ 0E.01.122
6 5/3/2020 8:12 12:00 √ OE.01.126
7 5/3/2020 8:15 12:05 √ OA.01.346
8 5/3/2020 8:17 12:10 √ OE.01.131
9 5/3/2020 8:54 12:15 √ OD.05.868
10 5/3/2020 8:57 12:20 √ OC.05.956
11 5/3/2020 8:47 12:25 √ OE.01.125
12 5/3/2020 9:05 12:30 √ OD.05.861
13 5/3/2020 9:10 12:35 √ OE.01.135
14 5/3/2020 10:00 12:40 √ OD.05.933
15 5/3/2020 9:55 12:45 √ OC.02.367
16 5/3/2020 10:10 12:50 √ OE.01.136
17 5/3/2020 10:00 12:55 √ OD.02.263
18 5/3/2020 10:00 13:00 √ OE.01.127
19 5/3/2020 9:00 9:30 √ OE.01.134
20 5/3/2020 10:30 13:04 √ OE.01.119
21 6/3/2020 7:56 10:30 √ OE.01.146
22 6/3/2020 8:03 10:35 √ OE.01.148
23 6/3/2020 8:05 10:40 √ OC.04.798
24 6/3/2020 9:24 10:45 √ OD.03.539
25 6/3/2020 9:27 10:50 √ OC.01.141
26 6/3/2020 9:30 10:55 √ OE.01.147
27 6/3/2020 9:30 12:00 √ 0A.01.913
28 10/3/2020 9:30 6:28 √ OE.02.218
29 10/3/2020 9:30 10:35 √ OB.04.439
30 10/3/2020 9:30 10:35 √ OE.02.213
31 10/3/2020 9:30 10:35 √ OE.02.219
32 10/3/2020 9:30 10:35 √ OE.02.222
33 10/3/2020 9:55 10:50 √ OA.01.345
34 10/3/2020 9:55 10:50 √ OE.02.223
35 10/3/2020 9:55 10:50 √ OE.02.224
36 10/3/2020 9:55 10:50 √ OE.02.212
37 10/3/2020 10:00 11:00 √ OB.04.540
38 10/3/2020 10:00 11:00 √ OB.04.462
39 10/3/2020 10:00 11:00 √ OD.01.153
40 10/3/2020 10:00 11:00 √ OE.02.225
41 10/3/2020 10:30 11:45 √ OE.02.229
42 10/3/2020 10:30 11:45 √ OE.02.228
43 10/3/2020 10:30 11:45 √ OE.02.232
44 10/3/2020 10:30 11:45 √ OE.02.233
45 10/3/2020 10:30 11:45 √ OE.02.226
46 10/3/2020 10:30 11:45 √ OE0.02234
47 10/3/2020 10:30 11:45 √ OE.02.221
48 10/3/2020 10:30 11:45 √ OE.02.237
49 10/3/2020 10:30 11:45 √ OE.02.241
50 11/3/2020 8:19 11:15 √ OE.02.225
51 11/3/2020 8:25 11:20 √ OE.02.252
52 11/3/2020 8:30 11:25 √ OE.02.253
53 11/3/2020 8:31 11:30 √ OE.02.254
54 11/3/2020 8:35 11:35 √ OE.02.263
55 11/3/2020 8:35 11:40 √ OA.01.563
56 11/3/2020 9:46 11:45 √ OD.02.412
57 12/3/2020 10:30 12:00 √ OD.01.41
58 12/3/2020 10:30 12:00 12 √ 02.01.95
59 12/3/2020 10:30 12:00 12 √ OE.02.281
60 12/3/2020 10:30 12:00 12 √ OE.02.280
61 12/3/2020 10:30 12:00 24 √ OE.02.290
62 12/3/2020 9:46 10:10 24 √ OE.02.288
63 12/3/2020 9:46 10:10 24 √ OE.02.289
64 12/3/2020 9:46 10:10 24 √ OE.02287
65 12/3/2020 9:46 10:10 24 √ OE.02.294
66 12/3/2020 9:46 10:10 24 √ OE.022.279
67 12/3/2020 9:46 10:10 24 √ OE.02.278
68 12/3/2020 9:04 9:46 42 √ 17020052
69 12/3/2020 9:04 9:46 42 √ OE.01.133
70 12/3/2020 9:04 9:46 42 √ OE.02.258
71 12/4/2020 9:04 9:46 42 √ OE.02.282
72 12/5/2020 9:04 9:46 42 √ OE.02.277
73 12/6/2020 9:04 9:46 42 √ OB.04.695
74 12/7/2020 9:04 9:46 42 √ OE.02.298
75 13/3/2020 8:30 10:24 1.36 √ OB.01.176
76 13/3/2021 8:30 10:24 1.36 √ OE.02.317
77 13/3/2022 8:30 10:24 1.36 √ OC.01.160
78 13/3/2023 8:30 10:24 1.36 √ OE.02.311
79 13/3/2024 8:30 11:30 √ OE.02.341
80 14/3/2020 9:00 11:35 √ 0D.05.907
81 14/3/2020 9:00 11:35 √ 0E.02.358
82 14/3/2020 9:00 11:40 √ 0E.02.362
83 16/03/2020 7:38 10:50 √ OE.02.385
84 16/03/2020 7:45 10:55 √ OE.02.389
85 16/03/2020 8:45 11:00 √ OD.01.154
86 16/03/2020 7:20 11:05 √ OB.01.740
87 16/03/2020 8:10 11:10 √ OE.03.403
88 16/03/2020 8:57 11:15 √ OC.02.207
89 16/03/2020 8:30 11:20 √ OB.05.971
90 16/03/2020 8:40 11:25 √ OE.01.384
91 16/03/2020 10:20 11:30 √ 0E.03.426
92 16/03/2020 10:30 11:35 √ 01.82.57
93 16/03/2020 10:30 11:40 √ OE.02.396
94 16/03/2020 10:30 11:45 √ OE.03.428
95 16/03/2020 10:30 11:50 √ OD.03.510
96 16/03/2020 10:30 11:55 √ OD.03.420
97 17/3/2020 8:08 11:00 √ OE.03.453
98 17/3/2020 8:11 11:05 √ OB.04.573
99 17/3/2020 8:14 11:10 √ OE.03.469
100 17/3/2020 8:15 11:15 √ 0E.03.679
101 17/3/2020 8:15 11:20 √ 0E.03.463
102 17/3/2020 9:00 11:30 √ OA.01.345
103 17/3/2020 9:46 11:35 √ OE.03.483
104 17/3/2020 9:01 11:40 √ OD.05.863
105 19/03/2020 10:00 11:14 √ OD.01.085
106 20/3/2020 9:10 9:20 √ 0B.01.190
107 26/3/2020 9:10 9:20 √ OE.04.607
 NO BPJS NAMA JK ALAMAT
>1-<=4th
NY. NI MADE SUARTI P PARAILI
NY. RINI ALFRIANTI.HZ P TOPOYO
NY. GEBRIYANTI P KONDOSAPATA
NY. MULIATI P KABUBU
NY. PUPUT NOVIAWATI P PONTANAKAYYANG
NY. ASMAYANA P TOBADAK
NY. NURUL HUDA P TOPOYO
NY. MARWIYAH P PONTANAKAYYANG
0002489794626 NY. MINARNI P PASAPA
0002886431455 NY. NUR AFIYAH P TOPOYO
0001253831859 NY. NURLINA P TUMBU
0000195733383 NY. ANDI NURHIKMA P BABANA
NY. ULFA DAMAYANTI P PONTANAKAYYANG
0001076918354 NY. HASRIANA P TASOKKO
0000964662052 NY. HASPIA P TOPOYO
NY. NURLAELAH P TOBADAK
NY. ERNIWATI P POLOHU
NY. UMUL HIDAYAH P TOPOYO
NN. FITRA RAMADANA P TOPOYO
NY. MELIA P TOBADAK
0001792492727 NY. HERIA ARSYAD P POLOHU
0000965773438 NY. SUMIATI P TOBADAK
NY. NURHAYATI SYAM P TOBADAK
0002058543887 NY. INCE RIANI P TOPOYO
NY. ANITA P TOPOYO
NY. FEBY WIDYA SYAHRIR P TOPOYO
0002075574644 NY.ARFAYANTI P PASANGKAYU
NY. ANDI HASTUTI P TUMBU
0002205969704 NY. MARWA P BATUPARIGI
NY. HANIK ATUN MARIAH P TOBADAK
0002426975728 NY. SAHARIA P SALUBARANA
0001076946513 NY. KASMAWATI P TOBADAK
0000204214149 NY. WAHIDA P TOPOYO
NY. DAISURIANI P KAROSSA
NY. BAHARIA P KABUBU
NY. NURBAETI P POLOHU
 NY. SULIANI P KABUBU
0002484186333 NY. SARI KANAN P SALUGATTA
0001253857566 NY. WATI P TOBADAK
0001099797322 NY. ADOLVINA FREDRYK P SALUPANGKANG
NY. HASRINA P BABANA
0000149286914 NY. ST. PATIMA P PANGALE
NY. RESKIANI P BOJO
0002886601342 NY. KRISNAWATI A.P P WAEPUTEH
NY. DIAN APRIANTI P TOPOYO
NY. WALIANA FAIZAH P TUMBU
NY. AYU INDAHSARI P SALUGATTA
NY. NUR AENI P TOBADAK
NY. FATMIZAWATI P SALUNDEANG
NY. LUSIANA P POLONGAAN
NY. WINARTI P SALUGATTA
NY. NURHAYATI P TOPOYO
NY. NURMIATI P TOPOYO
NY. ESTY WAHYUNI P TOBADAK
NY. JUMRIANI P TOPOYO
0001288240042 NY. INDO WING P PARAILI
NY ERNAWATI P SALUGATTA
0002244305575 NY. OLIVIA JUNI RH P TOPOYO
NY. AZIZAH P PANGALLOANG
0001939645113 NY. NURHALIMAH P MUHAJIR
NY. MURNIATI P TAPILINA
NY. SULFIKA P KAROSSA
NY. IRA INDAH M P TOPOYO
NY. DARMAWANTI P BABANA
NY. RISNAWATI P POLOHU
NY. DIAN PUJI LESTARI P PONTANAKAYYANG
0000964090348 NY.JUSNIA P TABOLANG
0000131291379 NY. SALMAWATI P BABANA
0001252716434 NY. APPE P KILO 5
00012538531243 NY. HASNIA P TOBADAK V
0002089232796 NY. SURIANI P TOPOYO
0001555374857 NY. MARNI P TABOLANG
0001069549457 NY. YASMIN P KILO 7
0000821271137 NY. NI GUSTI AYU GEDE WIWIN P POLONGAANN
NY. HALIJAH P BABANA
0002253850626 NY. INDO ULENG P TOBADAK
0002403595394 NY. NURBAYA P TOPOYO
NY. HASYULIANTI P TOPOYO
0002434911581 NY.VITALIA ANDREAGRACE P TOBADAK
 NY.RIANTI DGTINGGI P SALUGATTA
NY.NUSYAHIRA P SALUGATTA
0002923850081 NY.SINDI KARTIKA PUTRI P TOPOYO
NY. FAJRIAH.H P TOBADAK 3
NY. MULIANAH P TUMBU
NY. RISKA P TOPOYO
0001253862101 NY. RATNA SARI P POLONGAAN
NY. ASMALIA P LUMU
0002886839403 NY. NI MADE SUDARSEH P TOBADAK
NY. IRMAWATI P SALUGATTA
NY. HARIYATI, S.Pd P TOPOYO
0000964673842 NY. SARINA RAHIM P SINABATTA
NY. NI KOMANG SRI NADI P KUO
NY. HERMAWATI P TOPOYO
NY. DARMAWATI P BOJO
0002043551597 NY. MASNIAH P TOPOYO
0001962609882 NY. NI NYOMAN SUTRIANTINI P MAHAHE
0000964577845 NY. MUJAHIDAH P SALOADAK
0002463578638 NY. NURSARI ALWIAH P BATUPARIGI
0002036770547 NY. SITI ALFIAH P SALUGATTA
NN. NATALIA TIRANDA P PASAPA
NY. MARSIANTI P POLOHU
0000204214149 NY. WAHIDA P TOPOYO
0000964144359 NY. NI PUTU SUKERTI ANI P PARAILI
NY. NURMI P TABOLANG
0002404637842 NY. RABIAH UMAR P TABOLANG
NN.NI KADEK ULANDARI P TANGKAU
NN. HASRIANA P TOPOYO
 UMUR
TD HASIL LAB TINDAKAN
>4-<=14th >14-<=24th >24-<=44th >44-<=64th >64th
26 100/70 USG
24 110/80 USG
23 100/70 USG
34 120/80 USG
19 110/70 USG
22 90/60 USG
30 90/60 USG
33 110/70 USG
21 110/70 GV
19 110/70 USG
25 90/60 USG
32 110/80 USG
21 110/80 USG
19 110/80 GV
34 130/80 USG
34 90/60 USG
29 100/70 USG
25 110/80 USG
25 110/80 INJEKSI
32 100/80 USG
40 120/80 USG
40 110/80 USG
24 110/70 USG
29 140/90 USG
28 100/80 USG
30 100/70 USG
32 100/70 USG
25 90/60 USG
33 150/100 GV
27 100/70 USG
36 120/90 USG
34 90/60 USG
34 120/100 USG
25 90/60 USG
34 90/60 USG
41 90/60 USG
17 110/80 USG
25 100/80 USG
35 100/70 GV
29 90/60 USG
28 100/70 USG
33 110/70 USG
30 100/70 USG
31 100/70 USG
28 90/60 USG
23 100/70 USG
23 100/70 USG
30 100/70 USG
34 100/70 USG
37 100/70 USG
19 90/60 USG
34 100/70 USG
42 120/80 USG
26 100/70 USG
37 90/60 USG
37 110/80 USG
26 80/60 USG
31 110/70 USG
30 100/60 USG
26 90/60 USG
22 90/70 USG
25 90/60 USG
24 90/60 USG
29 100/70 USG
41 110/80 USG
26 110/90 USG
34 110/70 USG
38 90/60 USG
15 120/80 USG
25 80/60 USG
39 120/80 USG
35 100/70 USG
27 90/60 USG
25 110/70 USG
33 100/70 USG
28 90/60 USG
32 160/100 USG
28 120/70 USG
16 100/70 USG
 27 110/80 USG
16 100/70 USG
19 100/70 USG
30 110/90 USG
40 100/60 USG
25 110/70 USG
25 100/60 USG
28 110/70 GV
28 120/80 USG
30 90/60 USG
29 100/60 USG
20 90/60 USG
18 100/60 USG
42 100/70 USG
35 130/90 USG
27 80/60 USG
26 80/60 USG
34 120/90 USG
26 120/80 USG
28 90/70 USG
16 120/90 USG
35 100/80 USG
34 140/100 USG
24 100/70 USG
42 130/100 USG
27 110/70 GV
26 100/70 INJEKSI
28 100/70 INJEKSI
 DOKTER PEMERIKSAAN KE
DIAGNOSA TERAPI
PEMERIKSA
1 2 3
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
O03 CEFADROXIL, METILERGOMETRIN, PROMAVIT,ASAM dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
O20.0 PREGNOLIN, FOLAMIL dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 AVOGIN, ANTASIDA dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
Z34 DIATABS, PROMAVIT dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
N73 DOXICILIN, PCT dr. WIWI .Sp.OG √
Z34 PREGNOLIN, PCT dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
O30 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
O21 HYSTOLAN, AVOGIN dr. WIWI .Sp.OG √
O20.0 − dr. WIWI .Sp.OG √
TT CATIN VAKSIN TETANUS TOXOID dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
O20.0 PREGNOLIN dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
N91.2 FOLAMIL 1X1 dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z48 dr.
CEFADRROXIL,AS.TRANEKSAMAT,METRO,VIP ALBUMIN WIWI .Sp.OG √
Z34 SILEX,SANMOL,FOLAMIL dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
N91.1 NORELUT,PCT dr. WIWI .Sp.OG √
N91.1 NORELUT,PCT dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
O44 − dr. WIWI .Sp.OG √
Z35 PROMAVIT, CALC dr. WIWI .Sp.OG √
O03 dr. WIWI .Sp.OG
CEFADRROXIL,AS.TRANEKSAMAT,METRO,VIP ALBUMIN √
 Z35 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
Z35 HISTOLAN,PCT dr. WIWI .Sp.OG √
O20.0 UTEROGESTAN, AVOGIN,TRANSAMIN dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
O21 − dr. WIWI .Sp.OG √
Z34 PROMAFIT,CALC dr. WIWI .Sp.OG √
Z34 PROMAFIT,CALC dr. WIWI .Sp.OG √
Z34 PROMAFIT,CALC dr. WIWI .Sp.OG √
Z34 PROMAFIT,CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
O21 − dr. WIWI .Sp.OG √
O21 AVOGIN, PLANTASCID,UTEROGESTAN dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 ANTASIDA, AVOGIN dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 UTEROGESTAN, FOLAMIL,SANMOL dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
O091.41 − dr. WIWI .Sp.OG √
O01 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
Z48 CEFADROXYL, PCT dr. WIWI .Sp.OG √
Z34 AVOGIN dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
O03 − dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
N91.3 NORELUT,ASAM TRANEKSAMAT dr. WIWI .Sp.OG √
N91.3 NORELUT dr. WIWI .Sp.OG √
 Z34 dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
N77 METRINIDAZOLE, DOXICILIN,PCT dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z48 − dr. WIWI .Sp.OG √
Z48 CEFADROXIL,CETRIZIN,VIP ALBUMIN, dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 AVOGIN, PROMAVIT dr. WIWI .Sp.OG √
O42 − dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
Z30 − dr. WIWI .Sp.OG √
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z34 PCT, UTROGESTAN dr. WIWI .Sp.OG √
O09.41 dr. WIWI .Sp.OG √
O30 PROMAVIT, CALC dr. WIWI .Sp.OG
Z34 PROMAVIT, CALC dr. WIWI .Sp.OG √
NORMAL GINECOLOGY − dr. WIWI .Sp.OG √
Z34 − dr. WIWI .Sp.OG √
Z35 − dr. WIWI .Sp.OG √
N77 RISTATIN, CETRIZIN,METRONIDAZOLE dr. WIWI .Sp.OG √
Z35 PROMAVIT, CALC dr. WIWI .Sp.OG √
Z48 √
TT CATIN − dr. WIWI .Sp.OG √
TT CATIN √
PEMERIKSAAN KE KASUS
RUJUK RUJUK BALIK KETERANGAN
4 >4 BARU LAMA
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√
√ √
√ √
√ √
√ √
√ V
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ KABER
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ KABER
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√
√
√ √
√ √
√ √
√ √
√ √
√
√
√
√
√ √
 √
√ √
√ √
√ √
√
√
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√
√ √ √
√ √
√
√ √
√ √
√ √
√ √
√ √
√
√