Program Operasi Ibs 2017 (New)

HARI / TANGGAL : MINGGU, 01 JANUARI 2017
JAMINAN
NO NAMA KLAS UMUR L/P RUANG CM REG
1 Giyono 3 um 50th L R3B C617745 8802658
2 Alifia Putra Izzati VIP NPBI 10th P GRD 3 C565755 8789613
3 Mutiara Nia Ramadhani VIP Um 8th P GRD 3 C617717 8802690
4 Hanif Arya B VIP NPBI 17th L GRD 6 C488571
5 Kaswadi 3 PBI 59th L R2B C617771 8802768
6 Yatmi 2 NPBI 56th L IGD C617759 8802708
HARI / TANGGAL : SENIN, 02 JANUARI 2017

JAMINAN
1 Syaiful Anwar 3 NPBI 12th L HCU C617787 8802881
2 Wahmad 3 um 33th L R2B C617800 8302852
3 Juwadi 3 NPBI 52th L TRAN C611912 8747795
4 Naomi Suwarti 2 NPBI 56th P IGD C613689
5 Sri Rejeki 2 NPBI 55th P MRK 2 C616730 8793946
6 Indah Riyanti 3 NPBI 38th P ICU C617795 8802942
7 Athariz Davin Al Azka 3 um 3th L C1L1 C617535 8801084
8 Sutianah VIP NPBI 49th P GRD 6 C615553 8783197
9 Cahyo Sasangko 3 PBI 42th L R3B C617803 8803010
10 Misli 3 PBI 22th P R2B C617806 8802866
11 Kasmani 2 NPBI 46th P TRAN C617798 8803047
HARI / TANGGAL : SELASA, 03 JANUARI 2017

JAMINAN
1 Dwi Retna Prasetyaningrum 3 PBI 54 th P R4A C590799 8793955
2 Nur Alimah 3 NPBI 44 th P R2A C606494
3 Suwarsono 3 NPBI 45 th L R2B C610916
4 By Ny Sri Puji Astuti 3 PBI 8 hr P PBRT C616787 8796099
5 Fasikhatul Mukaromah 3 NPBI 13 th P Anak 1 C615738
6 Jumini 3 NPBI 59 th P P. Merpati C613490

7 Roejito 1 NPBI 67 th L P. Merpati C199277
8 Totok Sukarto 3 NPBI 52 th L P. Merpati C454628
9 Kumyati 3 NPBI 12/31/1966 P B31 C604996 8800808
10 Sukatmiatun 3 PBI 46 th P R4B C605583 8800790
11 Asmui 3 NPBI 54 th L R3B C614706

12 Indarwati 3 NPBI 54 th P R3A C614009 8789777
13 Chandra 3 NPBI 43 th L R3B C615617 8783209
14 Sunoto 3 PBI 51 th L R1B C611131 8785474
15 Niamah 3 NPBI 46 th P R2A C610372 8785669
16 Sutarni 3 NPBI 49 th P R2A C606054
17 Muhammad Khoiruroziqin 3 PBI 5 th L C1LD C612215 8798485
18 Muh. Zaini 3 NPBI 47 th L R2B C605613
19 Siti Sumarti 3 PBI 40 th P R2A C607078 8777355
20 Muhammad Asy'Ari 3 PBI 23 th L R2B C502136 8787854
21 Islahuddin 3 NPBI 21 th L R2B C608769 8800578
22 Muntamah 2 NPBI 61 th P Ger D C607621 8798478
23 Sutarmi 3 NPBI 49th P R2A C604462 8789795
24 Rochani 2 NPBI 54th P KPD D C615542 8792011

25 Mustakim 3 JASA 33 th L R2B C615688 8787709
26 Arif Riyanto 3 NPBI 51 th L R1B C533951 8789222
27 Amirulah Siregar 2 NPBI 45th L ELA 1 C584268 8802743
28 Faqih Faizul Nizam 1 NPBI 5 th L Elang 1 C574520 8802729
29 Rukati 3 PBI 30 th P R4A C513948 8800846
30 Andini Ayu Almira 3 NPBI 20 th P R4A C601688 8802355
MALAM: CA,BR,NI,AD,DY,MY,EW RR :FA,SAM,EM MID :ER,JF RR GRD : PS SORE PROGRAM :GI,WU,ST,AN,AR,AI,AF,AG
31 Sudarni 3 NPBI 56th P R4B C617667 8802409
Sutarni 3 PBI 49th P R2A C606054 8785601

32
Siti Muawanah VIP NPBI 52th P GRD L5 C617659 8802572

33
Nuriyah 1 NPBI 38 th P KPD D C597216 8802343

34
Slamet Priyanto 3 NPBI 37th L R2B C506038 8772985

35
Boyke Komul 1 NPBI 58th L KPD 1 C615763 8802635

36
V Sri Lestari Susantasari 1 NPBI 59th P MRK 2 C418196 8802613

37
Hasan Faiq 2 NPBI 30th L IGD C543731 8805000

38
Kusnan Bukhori 2 NPBI 50 th L MRK D C566834 8798575

39
CITO
40 Aisha Yumna Fariha Prasya 3 NPBI 5bl P C1L1 C617828 8803420
41 Karjono 3 NPBI 58th L ICU C614411 8791937
42 Dhiro Anggaphalo 1 NPBI 17th L C1LD C324683 8783265

43 Eny Praptiwiningrum VIP NPBI 58th P GRD 5 C409134 8803060
44 Murtini 2 NPBI 41th P KPD D C6175111 8802668
By. Fauzun Nesfah 3 um 5hr P PICU C617750 8804988

45
46 Jumari 2 um 50th L IGD C447548 8803068
47 Jordan Amadeus Soetowidjo 2 NPBI 13th L IGD C617967 8804871
48 Sarpani 3 PBI 72th L R5A C617799 8803101
49 Soleh Fachruddin Nazid 2 NPBI 18th L IGD C498851 8804934
HARI / TANGGAL : RABU, 04 JANUARI 2017

JAMINAN
1 Tomy Tawab 2 NPBI 54 th L KPD 1 C319443 8803915
2 Kasinem VIP NPBI 62 th P GRD L4 C615574 8782979
3 Sadiman 3 PBI 86 th L R2B C607416 8787651
4 Dewi Endang Y 1 NPBI 30 hr P PBRT C617681
5 Raditya Abdul Rohim Badi 1 NPBI 7/22/2016 L HCU C594762 8777312
6 Muhammad Rafli AL-Fattah 2 NPBI 2 th L C1LD C525341 8796521
7 Ahmad Ali 3 PBI 61 th L R3B C616046 8802366
8 Sukiyah 3 NPBI 50 th P P Mata C585310
9 Suwanti 3 PBI 54 th P P Mata B038004
10 Dedi Erlangga 3 PBI 19 th L P Mata C598087
11 Hartono 1 NPBI 76 th L P Mata C617474
12 Maria Eleonora T 2 NPBI 59 th P P Mata C613822
13 Warsijem 3 PBI 48 th P R2A C613261 8805229
14 Siti Kolekah 3 NPBI 22 th P R4A C607661 8802955
15 Mu'amaroh 3 PBI 55 th P R4B C614333 8802763
16 Feri Setiawan 3 PBI 15 th L R5B C615352 8791505
17 Nur Amalia 3 PBI 16 th P R2A C585428 8802387
18 Bagas Prakoso 1 NPBI 20 th L MRK 2 C617145 8800654
19 Nining Hudayah 1 Um 25 th P MRK 1 C617337 8800706
20 Tan Mai Fan 2 NPBI 54 th P KPD D C616796 8794012
21 Selvi Harbed 1 NPBI 50 th P KPD D C576945 8798731
22 Edie Djuwanto Sunjoyo 3 NPBI 46 th L R2B C612535 8786816
23 Nuraisyah 2 NPBI 38 th P MRK D C597746 8802363
24 Yuandica Saputra 3 NPBI 12/17/2013 L C1LD C609214 8800145

25 Daman 2 NPBI 59 th L KPD 1 C617027 8804021
26 Yulianingsih 2 NPBI 36 th P KPD D C607201 8803605
27 Noor Hidayati 2 NPBI 46 th P KPD D C604810 8803792
28 Sulistiyono 3 NPBI 44 th L R1B C617442 8802625
29 Tarmidi 3 NPBI 57 th L R1B C581883 8793674
30 Deby Prastika Iriantika 3 PBI 21 th P R5B C607064 8797279
31 Rinova Indriyanto 3 SKTM 9 th L C1LD C610710 8804472
32 Dwi Nur Hidayah 3 NPBI 6 bl P C1LD C606656 8804058
33 Rimayanti Indah Novitasari VIP NPBI 17 th P GRD L6 C499506 8802919
34 Nor Rohmad 3 PBI 51 th P R3B C613660 8773135
35 Aminah 2 NPBI 41 th P KPD D C506007 8787785
36 Muhammad Syafi'i Al-Faqih 1 NPBI 2 th L C1LD C617739 8803702
37 Yogi Winarno 3 NPBI 21 th L R2B C593719 8801093
38 Wahmad 3 NPBI 33 th L R2B C617800 8802906
39 Priyanta 2 NPBI 48 th L Elang 1 C586227 8802902
40 Mustofa 1 NPBI L P.Mepti B059541
41 Agatha Valeri Salvia VIP NPBI 11/6/2010 P GRD 3 C256413 8804264
42 M. Ziyad Mutawakikil 3 NPBI 4 th L C1LD C617529 8800852
43 Basyaria Mahisil Ahya 3 Um 5bl L C1L1 C617509 8802401

Syawwala
44 Sutini 2 NPBI 7/1/1963 P B31 C613514 8795950
45 Sofiah VIP NPBI 55 th P GRD 3 C617613 8802946

46 Aries Khoirul Abdin 3 PBI 21 th L R1B C605687 8781444
47 Moh Munadi VIP NPBI 7/2/1964 L GRD 6 C601783 8804592
MALAM: CA,BD,NI,DY,EW,BR,AM RR :FA,EM,YS MID :SAM,JF RR GRD : PS SORE PROGRAM :GI,WU,AI,II,ST,AN,AG,AF,A
48 Roi Kunarto 3 NPBI 33 th L R3B C374866 8796492
49 Tiasa Sihaloho 2 NPBI 53 th P B31 C550550 8802899
50 M. Rifqi Abqori 3 PBI 8 th L Anak D C607139 8804972

51 Sutrima 3 PBI 37th L R2A C615742 8787887
52 Tan Giang Nio 1 NPBI 71th L KPD 1 C603206 8802693
53 Nadila Putri Mahani VIP NPBI 21 th P GRD L6 C617952 8805054
54 Effie Timisela 2 NPBI 9/11/1961 P KPD D C549500 8805116
55 Istitah Martini VIP NPBI 6/26/1976 P GRD L4 C615454 8804982
56 Kusmini VIP NPBI 6/16/1966 P GRD L4 C614219 8805127
57 Ermien Sukarningsih VIP NPBI 71 th P GRD L4 B406706 8805025
58 Nirbita Unaishr VIP NPBI 8/14/2010 P GRD L3 C615872 8804918
CITO
57 Lina Priska Damayani 1 NPBI 33th P B31 C296970 8805021
58 By. Kesia Valensia IRIN A um 1bl L HCU C618028 8807148
59 Putut Sriwasito 1 NPBI L KTL C518934 8800863
60 Lestya Wanti VIP um 34th P GRD 3 C617893 8804647
61 Sholichan 2 PBI 60th P IGD C618065 8805249
HARI / TANGGAL : KAMIS, 05 JANUARI 2017

JAMINAN
1 M. Tristan Judito Raffansyah VIP Um 6 th L GRD L3 C605584 8803939
2 Sumi 3 PBI 50 th P R4A C538508 8791891
3 Taronah 3 PBI 50 th P R5B C602712 8783037
4 Suratun 1 NPBI 52 th P MRK 2 C499534 8774948
5 Waslimah 3 NPBI 46 th P R4A C588400 8802995
6 By Ny Dewi Endang Yulianti 1 NPBI 31 hr L PBRT C617681 8802422
7 Dwi Rizky Marsyanti 3 NPBI 9 bln L C1LD C595132 8804768
8 Johanes 3 NPBI 71 th L Pol VAS C556695
9 Sri Rahayu 1 NPBI 68 th P KPD L1 C589295 8797165

10 Mustadi 3 PBI 61 th L P. Mata C609383
11 Jarmi 3 PBI 21 th P P. Mata C609399
12 Sutejo 3 PBI 49 th L R5A C615061
13 Raisah VIP NPBI 50 th P GRD L4 C616785 8793984
14 Indraini 1 NPBI 65 th P MRK 2 C587293 8794347
15 Dulitas 3 PBI 22 th L P. Mata C601058
16 Susi Ernawati 3 PBI 35 th P B31 C610273 8803907
17 Sureli 3 PBI 56 th P R4A C603861 8803050
18 Mugiharjo 3 PT 47 th L R5A C615377 8805213
19 Wawan Sofwan VIP um 27 th L GRD L4 C551609 8805142
20 Afiyah Anas 1 NPBI 26 th L KTL C531785
21 Roetmawati 2 NPBI 57 th P KPD D C614002 8798375
22 Nur Chasanah VIP NPBI 45 th P GRD L5 C593000 8805008
23 Budi Frigiyanto 3 NPBI 4/5/1992 L R6B C616656 8800825
24 Mairah 3 PBI 45 th P R2A C608053 8785651
25 Muniroh 1 NPBI 65 th P KPD D C482717 8795864
26 Suli Ernawati 3 NPBI 20 th P R2A C613457 8787746
27 Sujono 3 NPBI 50 th L R5A C612650
28 Muh Zaini 3 PBI 47 th L R2B C605613 8777039
29 Hani Tsalisatul Fauziah 3 PBI 21 th P R5B C606508 8798560
30 Assyifa Saiya Mahendra 3 NPBI 3 bln L C1LD C615766 8805118
31 Anggi Dian Permatasari 3 NPBI 19 th P Transit C617836 8804715
32 Ahmad Sodiq 3 BPJS 21 th L R2B C615318 8781376
33 Mismiyati VIP NPBI 6/21/1968 P GRD L5 C613623 8804881
34 Rasendriya Abirama Putra VIP NPBI 15 th L GRD L5 C616027 8805228
35 Ayik Ratno Pranoto VIP NPBI 46 th L GRD L4 C615591 8805003
36 Sukarno 2 NPBI 63 th L MRK LD C555383 8805203
37 Ina Mariana 3 NPBI 30 th P R3A C461131 8789849

38 Hartini 3 NPBI 3/5/1971 P R2A C598136 8782940
39 Fatmah VIP NPBI 65 th P GRD L5 C614119

40 A Titik Sumartiningsih 1 NPBI 70 th P MRK 1 C401339 8800816
41 Giyono 3 JMD 54 th L R3B C617745 8802721
42 Suharti VIP NPBI 70 th P GRD L6 C615806 8804836
43 Mohammad Adib Yuniarto 1 NPBI 54 th L Elang 2 C600391 8802905
44 Nur Alimah 3 PBI 44 th P R2A C606494 8782881
45 Riski Edi Pratama 3 NPBI 5 th L C1L1 C617325 8798700
46 Chaelcin 3 NPBI 3 th P C1LD C617713

47 Nuraini VIP NPBI 58 th P GRD L5 C278584 8798480
48 Sutini 3 PBI 57 th P R4A C605248 8802814
49 Ahmad Ali 1 NPBI 30 th L KPD 1 C608254 8805178
50 Parni 2 NPBI 50 th P KPD D C615172 8802662
51 Dian Cahyaningsih VIP NPBI 32 th P GRD L4 C613045 8803225

52 Anisa Tutik 3 NPBI 11 th P Anak L1 C617533
MALAM : GI,BD,IS,AR,AG,AF,AM RR :FA,EM,RE MID :SAM,JF RR GRD : DA SORE PROGRAM : WU,AI,II,ST,AN,AT,YS,BY,D
53 Shohihatul Islamiyah 3 JMD 1th P C1LD C616964 8805245
CITO
54 Rina Rumiyani 3 PBI 35th P B31 C259104 8807339
55 Asmiyah VIP NPBI 70th P GRD 5 C617536 8808421
56 Sarminah 3 PBI 49th P R1A C616595 8807061
57 Innayatul Ainayah 3 PBI 19th P R3A C618257 8807332
58 Umi Islamiati 3 NPBI 24th P R2A C607576 8803003

59 Suwardi 3 NPBI 45th L R5A C467627 8794371
60 Zidhan Choiru Pratama VIP NPBI 13th L GRD 5 C572605 8804997
HARI / TANGGAL : JUMAT, 06 JANUARI 2017

JAMINAN

1 Rayya Assyakur Fawwaz VIP NPBI 2 th P GRD L3 C588573 8805097
2 Suripah 3 NPBI 57 th P R4A C602138 8785650
Mohammad Enngarartiasto
3 2 NPBI 19 th L KPD D C613792 8805187
Judanto
4 Mohamad Zaenal Abidin 3 Um 18 th L R3B C616684 8807205
5 By. Ny. Lasmiatun 3 NPBI 6 hr P PBRT C617214 8797495
6 Adam Slamet Purnomo 3 PBI 3 bln L C1LD C602902 8804286
7 Kiyla Risq Hartata VIP NPBI 14 th P GRD L3 C552675 8807331
8 Slamet Riyadi 3 NPBI 55 th L R5A C615215 8802742
9 Senen Hadi 2 NPBI 71 th L GER D B179161 8796583
10 Kuwati 3 PBI 52 th P P. MTA C615761
11 Robinah 3 UM 53 th P P. MTA C615900

12 Dwiki Amanawati 2 NPBI 21 th P P. MTA C615033
13 Nuriyah 2 NPBI 66 th P P. MTA C569033
14 Tan Sian Tjoe 1 NPBI 73 th P P. MTA C600705
15 Parmin 3 PBI 76 th L P. MTA C617371
16 Karti 3 PBI 71 th P P. MTA C604311
17 Salbiyah 3 NPBI 59 th P R4B C612479 8767352
18 Sofiatun 3 Um 7/5/1982 P B31 C618156 8807272
19 Sugianti 3 PBI 58 th P R4B C610332 8805041
20 Linarsih 1 NPBI 72 th P MRK L1 C617097 8798412
21 Abdul Wahab 3 PBI 58 th L R2B C616544 8792007
22 Achmad Agus Prabowo VIP NPBI 38 th L GRD 4 B378972 8803775
23 Afiyah Annas Kartikasari 1 NPBI 26 th P KTL C531786 8791972
24 Asmui 3 NPBI 54 th L R3B C614706 8783077
25 Imam Priyanto 1 NPBI 62 th L KPD 1 C615075 8800795
26 Muhsinin 2 NPBI 64 th L KPD LD C614950 8800799
27 Sasminto 3 NPBI 38 th L R2B C544679 8785640

28 Sutarmin 3 NPBI 82 th L R1B C608984 8785679
29 Mariyati, Hj VIP NPBI 64 th P GRD L6 C467315 8805166
30 Siti Nuryati 2 NPBI 42 th P KPD LD C615069 8802380
31 Sujono 3 NPBI 50 th L R5A C612650
### Dimas Hendri Ardianto 300% NPBI 8 th L C1L1 C617039 ###
33 Janice Budi Siauw VIP NPBI 15 th P GRD L6 C614435 8804326
34 Sugiarti 3 PBI 48 th P R2A C615485 8803079
35 Nurul Hidayati 3 NPBI 24 th P R4B C617731 8802674
36 Sutipah 1 NPBI 41 th P KTL C594517 8805109
37 Louis Sulistyowati VIP NPBI 61 th P GRD 5 C605065 8805073
38 Risalatun Muawanah 1 NPBI 39 th P MRK 2 C590134 8805050
39 Djohan Purnomo 1 NPBI 64 th L KPD D C606225 8805122
40 Andi Parasetyanto 3 Um 29 th L R1B C616251 8793198
41 Ahmad Zakaria 3 NPBI 23 th L R2B C607034
42 Sumiatun 3 NPBI 92 th P GER D C489407 8802671
43 Cahyo Sasangko 3 PBI 42 th L R3B C617893 8803010
44 Karyadi 1 NPBI 70 th L KPD 1 C390510 8807244
45 Irwan S. Harahap, SH VIP NPBI 57 th L MRK 2 C336180 8807311
46 Sofi Salsabila 3 NPBI 2 th 10 bln P ELA 1 C570877 8806241
47 Dhiro Aggaphalo 1 NPBI 17 th L C1L1 C324683 8783265
48 Triningsih 2 NPBI 1/4/1989 P B31 8804614 8804614
49 Sri Kayah 2 NPBI 41 th P B31 C603761
50 Umi Hanik 3 PBI 17 th P R3A C617466 8800853
51 Mohamad Affan 3 PBI 52 th L R3B C602057 8805188
52 Alya Safira 2 NPBI 18 th P MRK D C603920 8805150
53 Saptorini DRA 2 NPBI 65 th P KPD D B214880 8808408
54 Rasijan 3 NPBI 75 th L R1B C404215 8802261
MALAM : GI,AN,AF,AR,AG,RE,IS RR :FA,EM,YS MID :SAM,JF RR GRD : DA SORE PROGRAM : WU,TD,II,NO,ST,SR,AT,BY,D

55 Reba Nurfiyanto 3 NPBI 2 th L C1L1 C596473 8801195
56 Sulasmi 3 NPBI 47 th P R2A C617843 8803099
57 Elvina Syafira VIP Um 4 th P GRD 3 C618139 8809310
58 Saiin 2 NPBI 44 th L MRK D C575058 8793613
59 Talitha Labiba VIP NPBI 17th P GRD 6 C617609 8809322
60 Muh. Kevin Widodo 2 NPBI 1th L TRAN C617873 8803073
CITO
61 Sholichan 3 PBI 59th L R2B C618065 8809524
62
64 Sukadi 3 um 55th L TRAN C618572 8811210
65 Cipto Prayitmo 2 PBI 32th L IGD C618548 8810728
66 Sharie Asih VIP um P GRD 6 C618579 8811146
HARI / TANGGAL : SABTU, 07 JANUARI 2017

JAMINAN
1 Fatmah VIP NPBI 75th P GRD 5 C614119 8802642
2 Karunia Romadona 2 NPBI 2 th P Elang 1 C580425 8809260
3 Irmawati 3 NPBI 41 th P Pol URO C611478

4 Mimi Andri 3 NPBI 47 th L Merpati C199735
5 C. Sudaryati VIP NPBI 82 th P GER L1 B184736 8803075
6 Tarmini 3 NPBI 43 th P Kenari C617115 8796452
7 Sulas 2 NPBI 7/18/1992 P KPD D C618366 8810906
8 Sri Soertinah VIP NPBI 10/10/1934 P GRD L6 C616963 8809410

MALAM : NH,AN,BY,RE,EA RR :SAM,AT,SC,YR SORE PROGRAM : WU,II,WD,DM,DB,HA,II,WI,PS,MW,MK,YS,ND,RG,ST
Danang Ageng Mukti M VIP NPBI 16th L GRD 3 C612773 8811349

9
CITO
Maya Septianingrum 3 PBI 13th P C1L1 C618583 8811309

10
11 Muhammad Faddlu Tsani 2 NPBI 9bl L IGD C618565
Dita Duhita Hayungngtias VIP NPBI 34th P B31 C618436 8811026

12
13 Heri Sungkowo 1 NPBI 48th L KTL C613863 8803066
14 Joko Susanto 2 NPBI 55th L GER D C617140 8800686
Andini Cahaya Ramadhani IRINB NPBI 1th L PICU C618626 8811442

15
Nadia Prakastri VIP NPBI 18th P GRD 4 C072310 8802634

16

JAMINAN
1 Natanael Lianingsih 1 NPBI 15/03/1966 P KPD 1 C369791 8809426
CITO
2 Nova Irwan 1 NPBI 26th P B31 C557321 8809354
3 Bambang Novijianto 3 um 49th L R1B C618664 8811495
4 Ridwan 1 NPBI 58th L TRAN C618609 8811444
5 Sutaman 3 PBI 56th L R1B C618651 8811421
6 Kemis IRINB NPBI 57th L ICU C618675 8811505
7 Aisyatul Insiyah 3 PBI 32th P R3A C584134 8809331
10 Natasya Cahya Ramadan 3 NPBI 11th P C1LD C604380 8811103

JAMINAN
1 Sri Waluyo 3 PBI 28 th L R2B C601096 8804589
2 Ufik Hersisto 3 NPBI 41 th L R5A C137349 8805241
3 Umbarwati 3 PBI 50 th P R2A C603244 8807235
4 Adila Nisa Ardani 3 PBI 10 bl P C1LD C616202 8809352
5 Galih Jembar Pangestu 3 NPBI 10 th L C1LD C618224 8809509
6 Dafyansyah Ali Rahmana 3 JMD 5 bln L C1L1 C592752 8781008
7 Karsiatun 3 NPBI 45 th P R4B C610362 8798520
8 Yuli Sutrisno 3 NPBI 50 th L Merpati C588574

9 Saliyem 3 PBI 51 th P Merpati C609933
10 Sarpi 3 PBI 77 th P Merpati C617665
11 Sutejo 3 PBI 49 th L R5A C615061
12 Mujiatun 3 PBI 39 th P R4A C608747 8810801
13 Rina Masriyana 2 NPBI 26 th P B31 C610238 8811051
14 Inayah 2 NPBI 41 th P B31 C607485 8804415
15 Ngatmi VIP NPBI 73 th P MRK L2 C612492 8807278
16 Darmanto VIP NPBI 59 th L GRD L4 C502606 8805179
17 Ahmad Muntaz 3 NPBI 31 th L R1B C606313 8807197
18 Sapardi VIP NPBI 49 th L GRD L4 C617699 8802428
19 Katinu Hidayat 3 NPBI 9/7/1951 L R6A C615095 8777446
20 Ngatini 3 PBI 61 th P R2A C497316 8785683
21 Hadi Sutoyo 3 NPBI 41 th L R1B C611489 8785663
22 Safaatun 2 NPBI 38 th P KPD D C599243 8802370
23 Cahyaningsih VIP NPBI 63 th P GRD L6 C569591 8806987
24 Sri Rahayu 2 NPBI 56 th P KPD D C438867 8811491

25 Wahono 1 NPBI 1/7/1986 L KPD 1 C565208 8796530
26 Istiromi 3 NPBI 55 th P R2A C6465778 8796508
27 Budi Setiati 1 PT 56 th P KPD 1 B286150 8787852
28 Sukarno VIP NPBI 62 th L MRK 2 C616906 8796490
29 Soehadi 3 NPBI 45 th L R2B C616375 8789879
30 Arya Dwi Wicaksono 3 Um 18 th L R1B C617763 8802796
31 Suwarti 1 NPBI 74 th P KPD 1 C610074 8804963
32 Yufi Saefani 3 NPBI 16 th L R1B C591658 8805185
33 Supriyanto 1 NPBI 59 th L KTL C510722 8805228
34 Bagus Adi Pangestu 3 NPBI 2/19/1997 L R3B A515147 8805101
35 Istikomah 3 PBI 48th P R2A C420534 8791888
36 Oemi Hidayati VIP NPBI 12/12/1972 p GRD L5 C002542 8802005
37 Sukoco 1 NPBI 54 th L MRK 2 C618049 8805224
38 Puji Rahayu 1 Um 45 th P KPD D C618099 8809453
39 Muriyah 3 PBI 51 th P R3A C608592 8809419
40 Agus Riyanto 3 Um 30 th L R5A C617112 8796883
41 Ahmad Asror 1 NPBI 34 th L Elang 1 C617078 8811318
42 Suwarsono 3 PBI 45 th L R2B C610916 8735926
43 Sunarsih 3 NPBI 50 th P R4A C592048 8811071
44 Cici Melati Nur Khanifa 2 Um 19 th P KPD D C617999 8811490
45 Vitria Ida Wati VIP NPBI 9/1/1978 P GRD L5 C517603
46 Tarsono 1 NPBI 42 th L KPD D C616446 8805186
47 Dullah 2 NPBI 45 th L MRK D C616208 8807294
48 Rini Haryati 2 NPBI 33 th P MRK D C615765 8807221

49 Endah Mitayani 1 NPBI 53 th P KPD 1 C293831 8807043
50 Sutiyem 3 NPBI 47 th P R2A C610456 8809280
MALAM :WU,ND,HA,WI,PS,YS,DB RR :FA,EM,ST MID : SAM,MK RR GRD :MY SORE PROGRAM :AH,RK,TA,HR,A
51 Agung Daru Iswanto 1 NPBI 18 th L KTL C615309 8783008

52 Atiyah 3 NPBI 47th P R2A C603547 8811262
53 Arifin 3 NPBI 37 th L R1B C595483 8809361
54 Sumiyati 3 NPBI 46th P R2A C614613 8809255
55 Nabhan Tajusa 3 PBI 1 th 6 bln L Anak D C549405 8809377
56 Naufal Aufa Mubarok 2 NPBI 4 th L Anak D C617741 8802696
CITO
57 Pulung Putra Ramadhan 3 PBI 11th L C1LD C618688 8811553
58 Florentina Asri Dwi 3 um 23th P B31 C618899 8813766
59 Kofifah 3 JMD 20hr P PBRT C616370 8789745
60 Yusuf Maulana 3 JMD 8th L PICU C617719 8802590
61 Zalaekah 2 NPBI 38th P B31 C611425 8811460
62 Muhammad Abdul Latif 3 um 12th L C1LD C618889 8813765

JAMINAN
1 Atika 3 NPBI 64 th P B31 C610329
2 Tirtaningsih 3 NPBI 50 th P P. URO C494404
3 Tanzilal Azizir Rokhim 3 NPBI 6 th L ELA 1 C580830 8811478
4 Dhyanna Pramudya R 1 NPBI 14 th L C1LD C608396 8811049
5 Mariyani 3 Um 5/22/1980 P R2A C618690 8812773
6 Yuli Hidayati 3 NPBI 7/19/1978 P R2A C612094 8807208
7 Adelia Anindita 3 NPBI 10 th 4 bln P C1LD C209235 8802419
8 Muhammad Adam Brian 3 PBI 5 bln L C1LD C595825 8809388
9 Cearfar Arifin 3 PBI 2/2/2011 L C1L1 C605200
10 Djumiah 3 JMD 58 th P R3A C617122 8798662
11 Cholimah 3 PBI 68 th P Merpati C616442

12 Sariman 1 NPBI 64 th L Merpati C608090
13 Sujono 3 NPBI 56 th L Merpati C616929
14 Caecilia Sri Murni 3 NPBI 62 th P Merpati C617175
15 Suswoyo 3 NPBI 54 th L Merpati C615394
16 Kustur 3 NPBI 64 th L Merpati C618866
17 Suparno 3 NPBI 63 th L Merpati C617013
18 Adam Ikbal 3 NPBI 31 th L Pol VAS C617018

19 Rudi Hartono 3 PBI 16 th L C1LD C618642 8811414
20 Karwati 1 NPBI 7/1/1970 P MRK L1 C618600 8811415
21 Senipah 2 NPBI 46 th P B31 C610482 8809123
22 Sri Kayah 3 NPBI 41 th P B31 C603761
23 Shania Bilqisthi 1 NPBI 15 th P C1LD C606064 8811117
24 Andrian Rafingga 1 NPBI 23 th L KEMO C600699 8805117
25 Sarmin 1 NPBI 47 th L KTL C617821
26 Suparman 1 NPBI 37 th L KPD 1 C575666 8800383
27 Rusmiyati 3 NPBI 12/31/1977 P R5B C169812 8787689
28 Syaiful Rizal 3 NPBI 8/7/1989 L R2B C615585 8783111
29 Sukardi 3 NPBI 58th L R2B C407197 8793116
30 Artini VIP NPBI 51 th P GRD L5 C613264 8805148
31 Karsinem 3 NPBI 67 th P R2A C613109 8800697
32 Yohana Suratmi 3 NPBI 65 th P R2A C612361 8800690
33 Sumari 3 NPBI 64 th L R2B C617030 8798477
34 Sujono 3 NPBI 50 th L R5A C612650 8777441
35 Sumiati 3 PBI 25 th P R5B C606100 8798591
36 Zaenal Abidin 3 PBI 22 th L R1B C602993 8807285
37 Nur Fitriani 3 JMD 35 th P R2A C606088 8806195
38 Sulkani 3 PBI 24 th L R2B C618225 8807968
39 Juati 3 PBI 48 th P R3A C615153 8809403
40 Adi Susanto 2 NPBI 72 th L Ger D C590705 8805136

41 Sutrisno 2 NPBI 68 th L KPD D C604514 8807241
42 Sumainah 2 NPBI 50 th P MRK D C614674 8805202
43 Falah Bintang Ramadhan 3 NPBI 2,5 th L C1L1 C493032 8805046
44 Ananda Rayhan Alfarizi 3 NPBI 9 bln L C1L1 C611287 8804999
45 Suweri 3 NPBI 39 th P R2A C609448 8793590
46 Karsi 3 NPBI 38 th P R5A C600999 8796905
47 Ning Krisniati 1 NPBI 44 th P KPD D C560337 8800870
48 Sahli 3 Um 51 th L R2B C618240 8809700
49 Oka Nurdian Ikhsanto VIP NPBI 19 th L GRD L4 C618654 8811476
50 Hilma Putri Latifa 3 NPBI 5 th 7 bln P Elang 1 C582431 8811472
51 Sunarto 3 NPBI 59 th L R2B C616811
52 Purwanti 3 PBI 45 th P R4A C610259 8811062
53 Herwi Puji Astuti 3 NPBI 49 th P R4A C606156 8811063
54 Rina Iswati Wuryaning W 1 NPBI 48 th P KTL C549796 8811307
55 Aldi Yudha Pratama 3 PBI 6 th L C1LD C612090 8804951

56 Supriyanta 1 NPBI 49 th L KPD D C617833 8803064
57 Karsiti 3 PBI 61 th P R2A C607470 8809461
58 Sumarmi 3 NPBI 51 th P R2A C614334 8809371
59 Vitria Idawati VIP NPBI 38 th P GRD L5 C517603 8802301
MALAM : WU,ND,HA,PS,YS,DB,TU RR : FA,EM,ST MID : SAM,MK RR GRD : IS SORE PROGRAM : AH,RK,TA,HR,A
60 Sutikno 1 NPBI 58 th L MRK 1 C618605 8811596
61 Bawor 3 NPBI 50 th P R2A C618575 8811359
62 Rofiin 3 NPBI 35th L R5A C617107 8798421
63 Nuryati Munayah VIP Um 36 th P GRD 6 C614749 8813752
64 Oey Hwat Kwie VVIP NPBI 65th P ELA II C609478 8813542
65 Sutejo 3 PBI 49 th L R5A C615061 8797070
66 Andreas Suwarso VIP NPBI 54th L GRD 5 C617867 8813712
67 Adelia Tri Anjani IRIN A PBI 8th P HCU C571344 8802801
CITO
68 Sri Widyastuti VIP NPBI 56th P GRD 5 C618808 8813795
69 Ony Khurniawan S 3 NPBI 25th L R2B C527079 8814846
70 Tumarijah 3 PBI 55th P R5B C616886 8794348

71 Solichan 2 NPBI 56th L MRK D C611428 8802583
72 Khomsan 3 NPBI 58th L R1A C619070 8815643
JAMINAN
1 Muhammad Ansori VIP Um 6 th 2 bln L GRD L3 C297892 8813720
2 Muhammad AL-Fatih VIP Um 1 th 9 bln L GRD L3 C535893 8813378
3 Winarti 1 NPBI 62 th P MRK 2 C542050 8787034
4 Tarjuki 2 NPBI 56 th L MRK D C548939 8802357
5 Sri Marsiti VIP NPBI 55 th P GRD L4 C614365 8813670
6 Adelia Faranisa 3 NPBI 7 bln P Anak D C617477 8813228
7 Alifia Putri Izzati VIP NPBI 10 th P GRD L3 C565755 8789613
8 Laela Hawa Rulaeni 3 PBI 14 th P C1L1 C603979 8799186
9 Kiyla Risq Hartata VIP NPBI 14 th L GRD L3 C552675 8807331
10 Soewami 3 NPBI 50 th P Merpati C609673
11 Nuning Lestyani 3 NPBI 46 th P Merpati C533634
12 Muntiatni 1 NPBI 47 th P Merpati C617276
13 Saliyem 3 PBI 51 th P Merpati C609933

14 Sunarmi 3 NPBI 52 th P Merpati C615203
15 Ngasmir 3 NPBI 74 th L Merpati C531401
16 Sopiatun 3 PBI 43 th P Merpati C616230
17 Tumarijah 3 PBI 55 th P R5B C616886 8794348
18 Kartini 3 PBI 1/20/1944 P R4B C608773 8811556
19 Dadang Kuswanto 3 BPJS 33 th L R2B C618080 8811139

20 Ferry Suraya 2 NPBI 25th P B31 C296094 8815581
21 Djupri 2 NPBI 63 th L MRK D C394166 8809389
22 Sutomo Ngatimin 3 NPBI 70 th L R3B C617387 8800889
23 Sarmin 1 NPBI 47 th L KTL C617821
24 Susilowati 3 NPBI 43 th P R4A C616677 8793578
25 Lita Apriyani 3 PBI 38 th P R2A C607496 8811067
26 Sutimin 3 NPBI 56 th L R1B C611523 8802352
27 Sutinah 3 PBI 46 th P R2A C606884 8802349
28 Tri Atmojo 3 NPBI 28 th L R1B C586946 8800793
29 Siti Puji Lestari 2 NPBI 39 th P MRK LD C597465 8805156
30 Nur Hasanah 2 NPBI 48 th P KPD D C462121 8814040
31 Dwi Yuswanti 3 PBI 59 th P GER D C228963 8791986
32 Naila Arsyfa Setiawan VIP Um 3 bln P GRD L3 C618601 8813726
33 Jumari 3 NPBI 62 th L R2B C618881 8813751
34 Bambang Harijanto 3 NPBI 44 th L R5A C618652 8811532
35 Mei Linda Jayanti 3 NPBI 5/5/1998 P R4B C612809 8811149
36 Titin Sunarti 3 PBI 55 th P R5B C423969 8802794
37 R. Suryo Padmonegoro 1 NPBI 15 th L C1LD C593331 8809398
38 Jumiki Asri 1 NPBI 56 th P KPD LD C416210 8809387
39 Suudi 2 NPBI 64 th L KPD LD C555032 8811057
40 Suwito 3 NPBI 58 th L R1B C579247 8809386
41 Sri Riyati VIP NPBI 52 th P GRD L4 C403023 8813702
42 Muntarni 2 NPBI 32 th P KPD D C602528 8814010
43 Parsimah 3 PBI 53 th P R4A C395175 8805705
44 Gatot Sardjono 1 NPBI 63 th L KTL C616988 8787858
45 Destian Syaiful Umam 2 NPBI 3 th L C1LD C615967 8807341
46 Prayitno 2 NPBI 58 th L KPD 1 C556075 8814840

Tosin 3 NPBI 38 th L R1B C617626
48 Urifatun 2 NPBI 35 th P Transit C348391 8813028
49 Listianti VIP NPBI 1/12/1947 P GRD L6 C613275 8813626
50 Aditya Ayu M 1 NPBI 20 th P Elang 2 C595355 8813406
51 Afif Khusnul Maaf 3 NPBI 19 th L R2B C605932 8787575
52 Sri Purwati 1 NPBI 44 th P MRK 1 C247569 8811351
53 Sri Kayah 3 PBI 41 th P B31 C603761 8804353
54 Rastimah VIP NPBI 50 th P GRD L3 C614456 8813060
55 Ramijan 3 NPBI 66 th L R2B C618836 8813757

56 Sri Muryanti VIP NPBI 64 th P GRD L6 C617086 8813592
57 Kusyati VIP NPBI 65 th P GRD L6 C616299 8812754
58 Fanny Wijaya VIP NPBI 48 th P GRD L5 C615753 8813586
59 Agus Haryono VIP NPBI 8/13/1970 L GRD L6 C617046 8815286

MALAM : RK,HR,WD,HI,TU,JF,MW RR : FA,RE,ST MID : SAM,MK RR GRD : AD SORE PROGRAM : AH,TA,CA,AU,A
60 Puja Ainayah 2 NPBI 11 th P IGD C515661 8817852
61 Arif Hidayat 3 NPBI 27 th L R2B C585954 8815862
62 Wiji Widayati 2 NPBI 48th P KPD D C556248 8809487
63 Fachri Anza Gilang D VIP NPBI 1th L GRD 3 C582173 8815463
64 Nuryati Muyanah VIP NPBI 36th P GRD 6 C614749 8813752
65 Sugiri 2 NPBI 60 th L KPD 1 C595153 8814402
CITO
66 Ngatinah 1 NPBI 56th P MRK 2 C617762 8802788
67 Mimik Anggri Wijaya 1 NPBI 48th P MRK 2 C199735 8813747
68 Trisni 3 um 37th P B31 C619119 8816304
69 Mustofa 1 NPBI 53th L TRAN C619112 8816696
70 Bambang Novijanto 3 JMD 49th L R1B C618664 8811495
71 Maulana Satria Adhiyatma 2 NPBI 11th L C1LD C091549 8813764
72 Sariyanti 3 NPBI 45th P B31 C595149 8815705

JAMINAN
1 Fahriz Julian 2 NPBI 12 th L Anak D C473095 8813727
2 Mahardika 1 NPBI 2 th L Anak D C541971 8813709
3 Istiyarni 3 NPBI 51 th P R2A C605959 8807217
4 Jumirah 3 PBI 41 th P R4B B113098 8815755
5 Michael Septiantoro 3 NPBI 2 bl L Anak 1 C618248
6 Aura Dwi Agustin 3 NPBI 5 bl P Anak D C601747 8815818
7 Dzikri Hamizan Al Kholifi 3 NPBI 1 th L Anak 1 C617526 8801503
8 Mukaim Adi Wardoyo 1 NPBI 54 th L KPD 1 C615380 8815785
9 Kasnadi 2 NPBI 57 th L MRK D B116441 8802908
10 Darban 3 PBI 60 th L R2B C618201 8813756
11 Ridwan 1 NPBI 72 th L P. MTA C520196

12 Siti Taslimah 1 NPBI 59 th P P. MTA C360689
13 Muntiatni 3 NPBI 47 th P P. MTA C617276
14 Kamsidin 3 NPBI 55 th L P. MTA C618083
15 Djumroni 3 NPBI 66 th L P. MTA C615205
16 Kemisih 1 NPBI 71 th P MRK 1 C612198 8807238
17 Raisya Gita Pramesty 3 NPBI 8/23/2001 P C1LD C615611 8815789
18 Maya Mutiasari 1 NPBI 45 th P B31 B019283 8807214
19 Chandra Purnama L 1 NPBI 53 th L MRK 2 C598207 8802862
20 Trihasih VIP NPBI 5/13/1988 P GRD L5 C569208 8805144
21 Titik Giartini VIP NPBI 55 th P MRK 2 C122930 8813707
22 Weny Sutrisno 2 NPBI 29 th P MRK D C595906 8815852
23 Sri Mulyati 2 NPBI 57 th P KPD D C616296 8796575
24 Pariyem 1 NPBI 52 th P MRK 1 C539669 8802266

25 Epon Rosita 2 Um 4/7/1962 P KPD D C616707 8807274
26 Muh. Satria Razelleindra 3 NPBI 6 th L Anak D C617209 8813698
27 Satria Bayu Aji Pamungkas 3 PBI 15 th L Anak D C476148 8813668
28 Muhammad Azka Yudha VIP um 3 th L GRD L3 C591752 8815130
29 Ilham Nurholik 3 NPBI 21 th L R6B C591074 8798685
30 Ayni Tiya Rahmadewi 3 NPBI 4 bl P Anak 1 C604302
31 Jagad Irsyadul Ibad 3 PBI 10 th L Anak D C355987 8805181
32 Diajeng Masayu Putri VIP NPBI 6 th P GRD L3 C617241 8812965
33 Y. Soegiyanto 2 NPBI 60 th L MRK D C611495 8809473
34 Priyo Suharto VIP NPBI 42 th L GRD L4 C572936 8811007
35 Triyono 1 NPBI 54 th L KPD 1 C613273 8813688
36 Farida Usriah 2 NPBI 37 th P MRK D C618024 8805237
37 Jasman 2 NPBI 46 th L MRK D C615316 8783006
38 Nila Rizqiani 3 PBI 25 th P R4B C618726 8815878
39 Susilo 3 PBI 34 th L R2B C591922 8813683
40 Giyono 3 JKD 51 th L R3B C617745
41 Haryanti 3 NPBI 41 th P Elang C582268
42 Naila Syafaatul Maulida 3 NPBI 2 th P Elang 1 C483925
43 Tuti Supriatin 1 NPBI 46 th P B31 C608306 8815837
44 Roshia Martiningrum 2 NPBI 31 th P B31 C616031
45 Nur Heni 3 PBI 20 th P B31 C610767 8813527
46 Ifa Aulia Putri 3 NPBI 1/8/2012 P C1L1 C618559 8811095
47 Nurimamah Kunshabrin VIP Um 24 th P GRD L5 C617995 8813644
48 Abdullah 2 NPBI 59 th L MRK D C595515 8796493
MALAM : RK,HR,HI,JF,MW,AT,DY RR : FA,RE,ST MID : SAM,MK RR GRD : AD SORE PROGRAM : AH,AU,AM,DW,

49 Karsiyo 3 NPBI 62 th L R2B C591663 8815866
51 Puji Sutris Naniati VIP NPBI 59 th P GRD 5 C457028 8813759
52 Moch Suchan 1 NPBI 41th L KPD 1 C489968 8799644
54 Turiman VIP NPBI 8/20/1944 L GRD L6 C348653 8811079
55 Sumiyati 3 NPBI 46 th P R2A C614613 8809255
CITO
56 Umirah 3 NPBI 39th P B31 C615105 8817985
57 Rifana Stefani Ashadia 3 NPBI 1th P C1LD C619192 8817858
58 Chika Khanza Hanifah 3 NPBI 1th P C1L1 C616547 8792026
59 Maryati, BSC 1 NPBI 66th P MRK 2 C131807 8812207

60 Dewi Tarbiyah 3 NPBI 34th P R4A C615388 8793898
61 Suharni 3 PBI 46th P R4B C618375 8810731
62 Lilik Sujarmanto 3 PBI 26th L R1A C619320 8819864
63 Zaky Dhiya Probowo 2 NPBI 37th L IGD C601832 8817995
64 Moch Basir 3 PBI 53th L R1A C617314 8798743
67 Kusiyanto 3 um 49th L R1A C619505 8820084

JAMINAN
1 Luthfi Adzam Ismail 2 NPBI 6 th L Anak D C350243 8817857
2 Mimik Anggri Wijaya 1 NPBI 48 th P MRK 2 C199735 8813747
3 M. Iqbal Taufiq 3 PBI 22 th L R3B C615136
4 Bagus Aditya Cahyanto 3 NPBI 6 th L C1LD C595194 8814790
5 Ravensa Kamelia Luneta 3 NPBI 5 th P C1LD C613770 8815847
6 A Sofwan 3 NPBI 53 th L P. Mata C291252
7 Slamet Santoso 3 NPBI 61 th L P. Mata C618365
8 Sumadi 3 NPBI 59 th L P. Mata C618342
9 Elizabeth Dwi Ratih 3 NPBI 44 th P P. Mata C617587
10 Nur Hayati 3 PBI 56 th P R5B C609184 8815833

11 Marina Dyah Nurmalitasari VIP NPBI 27 th P GRD L3 C607102 8813154
12 Paeman 3 Um 58 th L R2B C619145 8817908
13 Yulia Fitriani Arifin 2 NPBI 32 th P B31 C554435 8813742
14 Siswanto 2 NPBI 56 th L MRK D C618042 8807078
15 Satari 3 NPBI 29 th L R2B C584289 8813740
16 Supardi Mudiono 3 NPBI 53 th L R2B C612130 8813774
17 MF Rukijah 2 NPBI 60 th P Ger D C618695 8811949
18 Paniyem 3 PBI 43 th P R3B C617151 8817851
19 Muntiyatun 3 NPBI 39 th P B31 C618659 8811458
20 Nurhasni 2 NPBI 45 th P KPD D C589245 8819058
21 Sutimin 2 NPBI 58 th L KPD 1 C238560 8819394
22 Salsabillah Amretha 3 NPBI 11 th P Anak D C610518 8815800
23 Sugianti 3 PBI 48 th P R2A C615485 8803079
24 Mahallya Bayu Aryanto 3 JMD 8 th L Anak 1 C618456 8811354
25 Anindya Putri Atalia 1 NPBI 5 th P Anak D C324471 8817755
26 Kasminah 1 NPBI 64 th P KPD 1 C270519
27 Intan Putri Komarawati VIP NPBI 29 th P GRD L4 C615797 8817770
28 Utomo 3 PBI 23 th L R2B C556402 8805208
29 Tri Sukayah 3 PBI 23 th P R5B C605038 8797150
30 Diandra Julita K 3 NPBI 14 th P Anak D C580132 8797973
31 Moh. Nurofiq 2 NPBI 57 th L KPD 1 C546642 8818882
32 Hanif Sistyo Abadhi 2 NPBI 25 th L KPD 1 C542367 8819859
33 Tosin 3 PT 38 th L R1B C617626 8802433
34 Titiek Retnowati 3 NPBI 60 th P Elang 1 C588694 8819789
35 Muhammad Sofiyanto 3 PBI 23 th L R1B C614489 8771731
36 Yeni Febriana VIP NPBI 33 th P GRD L3 C617913 8815684
37 Dian Milasari 1 NPBI 44 th P KPD 1 C596533 8818835

38 Dwi Ristanti 3 NPBI 25 th P R4B C578073 8815797
MALAM : NO,TK,TR,DY,AT,SC,DA RR : FA,RE,ST MID : SAM,MK RR GRD : AD SORE PROGRAM : AH,TA,AU,NI,D

39 Tarjo VIP NPBI 53th L GRD 4 C595345 8811140
40 Sri Winarni VIP NPBI 57th P GRD 6 C617983 8816137
41 Geofany Yuda Perkasa VIP NPBI 18 th L GRD L4 C617849 8819916
42 Tri Roesti Iwawang VIP NPBI 49 th P GRD L6 C567406 8820020
43 Warino Hadi Purnomo 2 NPBI 59 th L MRK D C362798 8111118
44 Kumisri 3 NPBI 49 th L R3A C571730 8812905
45 Ahmad Bakri 3 UM 2bl L C1L1 C619304 8817999
CITO
46 Siti Choiriyah 3 NPBI 43th P B31 C615618 8819987
47 Sulaimanah 2 NPBI 52th P GER D C618422 8817951

48 Mashuri 3 PBI 58th P R3B C611242 8813681
49 Ngatiman 3 PBI 38th L R5A C619141 8817986
50 Winarsih Astutiningrum 2 NPBI 37th P MRK D C618697 8812377
51 Sulistijo 2 NPBI 63th L GER D C578804 8800878
52 Norana IRIN A NPBI 64th L ICU C619440 8821634
53 Arka Kurnia Setiawan IRIN B NPBI 3th L HCU C619337 8820937

JAMINAN
1 Istirochah VIP NPBI 1/20/1960 P GRD 4 C505835 8815807
2 Endang Djoehartini VIP NPBI 11/6/1960 P GRD 6 C617093 8817911
3 Muhammad Irfan Romadhon VIP um 20 th L GRD 5 C597868 8819966
4 Himaya Yuniarti VIP NPBI 6/17/1975 P GRD 3 C618082 8817246
5 Naili Sofi Riasari Psuit NPBI 7/2/1983 P GRD 5 C446047 8819099

6 Ruminah 3 NPBI 71 th P R2A C611655 8798486
7 Kastamah 3 NPBI 1/1/1963 P R2A C610787 8800691
8 Purwanto 3 Um 24 th L R2B C618449 8811212
9 Koespodo 1 NPBI 65 th L KPD 1 C603531 8809430
10 Ashudi 1 NPBI 58 th L KPD 1 C548051 8813697
MALAM : NO,TK,DW,DA,SC RR : FA,ST,SAM,AD,AU SORE PROGRAM : BD,WD,NI,DM,DI,VT,HA,IS,MY,PM,YS
11 Nadhif Abqari Pranaja VIP NPBI 2th L GRD 3 C514039 8821725
12 Muhammad Akhsani Al Fatih IRIN A NPBI 9bl L PICU C619679 8821809
13 Hanoeng Widjajanto VIP Um 56th L GRD 5 C619657 8821716
14 Susilowati 3 um 35th P R5B C619708 8822043
15 Ghozy Ahmad Robbani VIP PT 7th L GRD 3 C291273 8821749
16 Agus Wusono VIP NPBI 52th L GRD 4 C550484 8817795
17 Nurokhmah 1 NPBI 49th P KPD D C436047 8811113
18 Ahmad Zakaria 3 NPBI 23th L R2B C607034 8807226
19 Sri Rahayu Darmono VIP NPBI 63th P GRD 4 C131497 88200017
CITO
20 Susi Widiana 3 um 33th P B31 C619676 8821781
21 Ratna Kusumawati VIP NPBI 69th P GER 1 C619539 8820079

JAMINAN
1 M. Billy Abrianto VIP NPBI 19th L GRD 4 C615059
2 Dwi Sujiatun 3 um 32th P B31 B361129 8822101
3 Sunarso 3 um 38th L R1A C619743 8822113
4 Caroline Keykanza Sinar 3 NPBI 1th P C1L1 C547840 8811622
5 Supriyanto 3 PBI 50th L R1A C619747 8822087

6 Budi Santoso 3 NPBI 43th L R1A C619300 8817989
7 Darjati 1 NPBI 38th P KPD D C619736 8822162
8 M. Miftakhurrozaq Al Khaq 2 PBI 13th L IGD C619722 8822018
9 Reno Yudha Permana VIP um 7th L GRD 3 C266316 8822135
10 Sunartini VIP NPBI 57th P GRD 5 C614551 8822028

JAMINAN
1 Mustofa 3 NPBI 50 th L R2B C565279 8812787
2 Sri Yanti 1 NPBI 59 th P KPD LD C539455 8819850
3 Kasminah 1 NPBI 64 th P KPD D C270519 8815846
4 Pamuji Toto 3 NPBI 54 th L Pol MTA C609523

5 Kurnen 3 PBI 57 th L Pol MTA C617148
6 Sukini 1 NPBI 53 th P Pol MTA C488843
7 Sukar 3 NPBI 62 th L Pol MTA C571464
8 Sarmi 3 PBI 66 th P R3A C618953 8817798
9 Kasir 1 NPBI 62 th L MRK 1 C594861 8820482
10 Ali Rosyidi 3 PBI 69 th L Pol MTA C615383
11 Sukini 3 PBI 32 th P B31 C598352 8819713
12 Yatni 3 NPBI 24 th P R3A C605370

13 Kiki Andriani 3 NPBI 3 th P Anak 1 C613902
14 Tarjo VIP NPBI 10/4/1963 L GRD L4 C595345 8811140
15 Muh. Nuryamin 1 NPBI 53 th L KTL C609921
16 Juheriyah 3 PBI 5/10/1984 L R6A C615995 8787685
17 Zainwar Alfianto VIPA NPBI 01/01/1993 L GRD L5 C619114 8817759
18 Giman 3 NPBI 12/31/1956 L R1B C611139 8785492

19 Umbar 3 PBI 53 th P R1B C302450 8800781
20 Kundiyah 3 NPBI 47 th P R2A C610694 8798677
21 V. Slamet Widodo 1 NPBI 53 th L KPD L1 C616482 8815801
22 Muhamad Danish Al Nafik 3 NPBI 5 th L Anak D C582074 8815778
23 Zamroni 3 PBI 12/31/1996 L R1B C618039 8807396
24 Eko Kristiawan 3 NPBI 34 th L R6B C614783 8774793
25 Ayni Tiya Rahmadani 3 NPBI 4 bl P Anak 1 C604302 8816120
26 Daryetno 3 NPBI 51 th L R2B C597562 8813743
27 Hari Kuntarso 3 NPBI 7/1/1967 L R1B C586906 8815781
28 Florentinus Jumali 3 NPBI 10/27/1961 L R1B C565773 8815780
29 Ahmad Shiddiqi 3 NPBI 3/7/1974 L R1B C559553 8815806
30 Murtini 3 NPBI 50 th P R4B C614088 8815880
31 Yasin 2 PT 57 th L Transit C619329 8818892
32 As'adah 2 NPBI 2/2/1969 P KPD D C618707 8822143
33 Puji Ismiyati 2 NPBI 10/19/1962 P C552325
34 Rizmaya Wahdah Cahyani 3 NPBI 8 th P Elang 1 C581890 8821936
35 Sri Muryanti VIPA NPBI 06/05/1955 P GRD L5 C077030 8817824
36 Inah Kusnanti 1 NPBI 27 th P B31 C604317 8817971
37 Suyati 2 NPBI 8/28/1986 P KPD C619284 8822164
38 Puryanti 1 NPBI 6/25/1978 P KTL C406552 8813779
39 Sunirto 3 PBI 39 th L R1B C612245 8819969
40 Endang Sumiarsih 3 NPBI 35 th P R2A C613438 8805034

41 Caroline Keykanza 3 NPBI 5/22/2015 P Anak 1 C547340 8811622
42 Kristanti Safira Insani 3 PBI 6/18/1995 P Anak 1 C578089 8813692
MALAM :II,BD,SA,PM,AU,NI,IS RR : FA,SAM,VT MID :AD,TR RR GRD : EA SORE PROGRAM : AP,GI,AY,CA,YR,TD
43 Untung Supriyanto 2 NPBI 47 th L MRK 1 C239964 8821810
44 Yuda Ramadani Pratanto 3 NPBI 18 th L R1B C605408 8802341
45 Jumiati 3 NPBI 30 th P R6A C584347 8811208

46 Rita Sri Supriyati 1 NPBI 51 th P MRK 1 C186264 8821765
47 Harjanto Siswo Saputro 3 PBI 58 th L R5A C614024 8807302
48 Ginanjar Wahyu Muttaqin VIP BPJS 4/10/1997 L GRD L4 C607399 8821653
49 HJ Siti Amanah VIP NPBI 12/31/1957 P GRD L4 C617108 8822008
50 Radi 2 Um 64 th L Transit C619756 8822134
51 Marayki Juliana 1 NPBI 59th P MRK 1 C235997 8805128
52 Suharno 1 NPBI 58 th L MRK 2 C618459 8811344
53 Eko Suyitno 3 PBI 45 th L R2B C524161 8779439
54 Tohir 3 NPBI 12/31/1945 L R2B C619371 8821784
CITO
Mohammad Andi
55 3 NPBI 4th L C1L1 C528693 8821508
Firmansyah
56 Sulis Asmani 2 NPBI 35th P IGD C620041 8824445
57 Wilda Husna Arndany 3 NPBI 1th L C1LD C595467 8811484
58 Caecyllia Triagung Budyati 1 NPBI 59th P MRK 1 C572963 8820016
59 Astoriyah 3 NPBI 44th P R3A C604855 8821815
60 Sukari 3 um 70th L R3B C619794 8822255
61 Sutomo Ngatimin 3 NPBI 70th L R3B C617387 8800889
62 Ahmad Wildan Marzuq VIP Um 12hr L GRD 3 C607344 8824006

JAMINAN
1 Dimlari Indah Irianto 1 NPBI 68 th L KPD 1 C613594 8816279
2 Mulyadi 3 NPBI 12/01/1979 L R1B C617174 8800854
3 Galih Jaya Kesuma 3 JMD 8 th L Anak 1 C332485 8814219

4 Nur Isna 2 NPBI 5 hr P PBRT C619655
5 Muhammad Asro Ni'am 3 um 3 th L Anak 1 C619661 8821812
6 Siti Redjeki 1 NPBI 69 th P P. Mata C057160

7 Ngadijana 1 NPBI 63 th L P. Mata C421259
8 Wagijono 1 NPBI 66 th L P. Mata C618934
9 Mulyono 3 NPBI 49 th L P. Mata C594492
10 Lasmijan 3 PBI 58 th L P. Mata C612509
11 Candra 3 PBI 48 th L P. Mata C525236
12 Munawaroh 3 NPBI 63 th P P. Mata C606151
13 Kasiyanto 3 NPBI 63 th L P. Mata C506188
14 Ngatini 3 NPBI 51 th P R4B C250558 8821684
15 Karmini 2 NPBI 32 th P KPD D C602086 8821797
16 Martinah 3 PBI 33 th P R4B C610849 8817949
17 Bambang Sutrisno VIP NPBI 6/10/1965 L GRD L4 C616857 8813755
18 Hartoyo VIP NPBI 9/18/1953 L GRD L6 C618714
19 Heinrich Bangun Manganul 3 JKD 4/19/1969 L R3B C609630 8820057
20 Siti Suprapti 3 PBI 30 th P R6A C615302 9791440
21 Zilda Angelia Meela 3 PBI 21/07/2007 P Elang 1 C592118 8822125
22 Zaenal Abidin 1 NPBI 55 th L KPD 1 C606150 8815784
23 Suyati 3 NPBI 42 th P R2A C617510 8813605
24 Fitri Winarsih 3 NPBI 37 th P R2A C598533
25 Rochimin 3 JMD 61 th L R3B C612348 8800820
26 Sukarno 3 NPBI 65 th L R2B C598521 8821627
27 Sriyono Edhy 3 NPBI 49 th L R3B C618512 8822079
28 Gracia Doni Pramudya 3 JMD 10 th P C1LD C618483 8820096
29 Rafka Aulian Mubarok 3 NPBI 3 bl L C1LD C611498 8816305
30 Atiyah 3 NPBI 47 th P R2A C603547 8811262
31 Sudarmiyati 3 NPBI 42 th P R3A C570539 8813552
32 Istiqomah 3 NPBI 32 th P P. Mata C604309

33 Surya Hidayat Lubis 2 NPBI 40 th L MRK D C618634 8811600
34 Suparman VIP NPBI 3/5/1955 L GRD L5 C610087 8805240
35 Kaati VIP NPBI 8/29/1967 P GRD L5 C616662 8811085
36 Abdul Sukur 3 PBI 44 th L R5A C618635 8811592
37 Kusiyanto 3 NPBI 49 th L R3B C619505 8820084
38 Mustofa 3 NPBI 29 th L R3B C428380 8794217
39 Sadimin Priyo Prayitno 1 NPBI 63 th L Elang 1 C393998 8770945
40 Alvino Yudha Pratama 3 NPBI 5 th L Elang 1 C579907
41 Sri Indarti 3 NPBI 30 th P R4B C597123 8822037
42 Diah Sekar Ayu 2 NPBI 20 th P MRK D C367574 8821416
43 Muryati 3 NPBI 42 th P R2A C597549 8815261
44 Ngasi 3 PBI 81 th P R2A C614693 8819551

45 Jimin Wariyanto 3 NPBI 55 th L R2B C482769 8821640
46 Chrisanthius Wahyu VIP NPBI 40 th L MRK 2 C353037
MALAM :NH,SA,PM,SR,AU,AD,MK RR : FA,SAM,YS MID :DY,TR RR GRD : EA SORE PROGRAM : AP,GI,AY,CA,A
47 Soepraptoyo VIP NPBI 6/4/1954 L GRD L5 C617154 8824186
48 Puji Ismiyati 2 NPBI 10/19/1962 P KPD D C552325 8822130
49 Achmad Riyanto 3 NPBI 19 th L R5A C601578 8820032
50 Indah Restiyanti VIP NPBI 1/25/1967 P GRD L6 C288916 8824275
51 Sudaryono 3 NPBI 52th P R3B C564883 8819907
52 Sriyati 2 NPBI 56 th P R3B C469561 8824417
53 Putri Wulandari VIP NPBI 26th P GRD 3 C590710 8824266
CITO
54 Agus Purwanto VIP NPBI 50th L GRD 5 C619431 8824387
55 By.Ny. Mida Amalia 3 um 1hr P PICU C620040 8826300
56 Gesta Pramudita Wibowo 3 PBI 12th P C1LD C620212 8826278

JAMINAN
1 Mimik Anggri 1 NPBI 48 th P MRK 2 C199735 8813747
2 M. Zafran Kahiry 3 JKD 1 th L C1LD C522034
3 Heri Sungkowo 1 NPBI 48 th L KTL C613863 8803066
4 Suniti 3 PBI 46 th P R2A C608074 8824298
5 Neha Sanentya Syarifa VIP NPBI 12 th P GRD L3 C561435 8822250
6 Cipto Rahmin 1 NPBI 3/22/1973 L KTL C618183 8823969
7 Ramini 3 NPBI 30/04/1964 P R5B C607098 8815812
8 Saeful Kamal VIP NPBI 2/20/1981 L GRD L6 C618121 8824368
9 Wiharjo 2 NPBI 57 th L KPD 1 C617638 8825312
10 Carelysa Novaldia 3 NPBI 19 th P P. Mata C618451
11 Abdul Azis 3 NPBI 66 th L P. Mata C355500
12 Sumadi 3 NPBI 60 th L P. Mata C618342
13 Tarjo VIP NPBI 53 th L GRD L4 C595345 8811140
14 Sarmi 3 NPBI 52 th P P. Mata B030974
15 Harni 3 PBI 44 th P R3A C619579 8822007
16 Sukati 2 NPBI 29 th P B31 C600542 8824383
17 Kuswati 3 NPBI 39 th P R4B C612892 8824071
18 Gaozhan Tristan Pachroro 2 NPBI 1 th L C1LD C560590 8823893
19 Poni 2 NPBI 44 th P KPD D C619041 8825928
20 Soedjono 2 NPBI 74 th L KPD 1 C604886 8825820
21 Imam Ustadi 1 NPBI 6/12/1962 L MRK 1 C618251 8824340
22 Rochayati 1 NPBI 62 th P KPD 1 C614331 8820030
23 Waldiono VIP NPBI 58 th L GRD L6 C618604 8815166
24 Jumiati 2 NPBI 28 th P KPD D C616198 8871877

24 Jarwati 3 NPBI 55 th P R2A C447677 8817870
25 Cipto Raharjo 2 NPBI 37 th L MRK D C616652 8821760
26 Nurul Imanah 3 NPBI 23 th P R6A C612150 8793702
27 Muhammad Dzakwan R 3 NPBI 10 th L C1LD C605965 8824410
28 Irsyad Baskara 1 NPBI 19 th L MRK 1 C608541 8816275
29 Sutarwi 3 PBI 62 th L R2B C619569 8822017
30 Rochmad 3 NPBI 41 th L R2B C579557 8811445
31 Darwisah 3 PBI 88 th P R5B C618727 8817895
32 Sumarsih 3 NPBI 57 th P R3A C511020 8812994
33 Sarmini 3 NPBI 43 th P R4A C618329 8820093
34 Supriyono 3 PBI 42 th L R2B C619328 8818385
35 Christy Gracella 3 NPBI 2/13/2016 P C1L1 C619700 8822023
36 Kiki Andriyani 3 NPBI 11/23/2013 P C1L1 C618902
37 Suci Hatik 3 NPBI 38 th P R3A C618859 8813771
38 Khurin Daniati Nurani 2 NPBI 31 th P MRK D C522111 8820039
39 Indang Roesmijati VIP NPBI 70 th P GRD L4 C613847 8811422
40 Dauri Dwi Reliyanto 3 um 12 th L C1LD C620036 8824465
41 Alfiyatun 1 NPBI 80 th P KPD 1 A505635 8824216
42 M. Syafri 3 NPBI 2 th L P. Ort C617739
43 Giyono 3 NPBI 51 th P R2B C617798 8821782
44 Sri Rahayu 1 NPBI 68 th P KPD 1 C589295 8797165
45 Anung Winarso 1 NPBI 55 th P Elang 2 C595134 8823822
46 Suwarni 3 PBI 54 th P Elang 1 C564304 8817781
47 Retno Agustarini 1 NPBI 36 th P B31 C619877 8824189
48 Desi Listiorini VIP NPBI 39 th P GRD L3 C452270 8823309
49 Nur Khasanah 1 NPBI 46 th P KPD D C615759 8821591
50 Mutiah 3 NPBI 41 th P R2A C618778 8824369

51 Jumiatun 3 NPBI 52 th P R6A C609434 8808392
52 Arkaan Fadlurohman 2 NPBI 11 bl L C1LD C585507 8824348
53 Michael Septiantoro 3 NPBI 4 bln L C1L1 C618248 8807342
54 Rheina Maghfirotunnisah 3 PBI 28hr P C1LD C615516 8824091
MALAM :NH,SU,SR,AD,HA,MK,RG RR : FA,SAM,EM MID :SC,TR RR GRD : ES SORE PROGRAM : SF,AP,RK,GI,C
55 Nina Meuti VIP NPBI 31th P GRD 4 C617519 8826317
56 Hendra Wilar 3 um 35th L R2B C620361 8828175
57 Eka Gita Pidiartri 2 um 40th P MRK D C619777 8822236
58 Yuwono VIP NPBI 53th L GRD 5 C620101 8826680
59 Yasmin Syahfara 3 PBI 4th P C1L1 C620218 8826394
Nuryati Munayah VIP NPBI 36th P GRD 6 C614749 8813752

60
61 Davino Zafryn Ash Shafi VIP NPBI 6th L GRD 6 C571709 8824299
62 Musrifah 3 PBI 41th P R2A C587157 8824320
Wartini 2 NPBI 49th P KPD D C559959 8825910

63
64 Rudi Sutanto 3 NPBI 35th L R3B 486934 8817809
65 Hamidah Zahrotul 3 JMD 8bl L C1LD C607279 8821681
CITO
66 Sami'an 2 PBI 49th L IGD C594448 8828084
67 Umiyati 3 um 29th P B31 C620016 8824365
68 Juwahir 3 PBI 45th P R6B B378150 8818013
69 Kasmonah 3 NPBI 53th P R3A C519415 8813749
70 Wahyu Saputra 1 NPBI 23th L KTL C619793 8822254
71 Denok Fajar Sari 3 PBI 21th P B31 C580278 8826214

JAMINAN
1 Pandu Candra Brata, DRS 1 NPBI 51 th L KPD 1 C538356 8824431
2 Karsani 3 NPBI 51 th L R1B C619103

3 Hadi Santoso 1 NPBI 62 th L KPD 1 C150583
4 Uji Eko Saputro 3 PBI 1/29/1998 L R2B C592608 8819979
5 Nur Isna 3 JMD 10 hr P PBRT C619655 8821800
6 Aspuri 1 NPBI 44 th L KPD 1 C523571

7 Patminah 3 NPBI 67 th P R2A C616205 8813708
8 Tarmidi 3 NPBI 57 th L R1B C581883
9 Supri Hastuti 3 NPBI 57 th P Pol MTA C427434

10 Retno L 3 NPBI 48 th P Pol MTA C590013
11 Yumroni 3 PBI 54 th L Pol MTA C612720
12 Cinto Hadi 2 UM 45 th L Pol MTA C504908
13 Sutiyanti 3 PBI 55 th P Pol MTA C541650
14 Djoko Setyono 3 NPBI 48 th L Pol MTA C540283
15 Rukamah 1 NPBI 64 th P KPD 1 C557248 8824332
16 Denok Fajar 3 NPBI 21 th P B31 C580278
17 Wahyu Jatiningrum 2 NPBI 35 th P B31 C614724 8816285
18 Hesti Lestari 3 PBI 15 th P C1LD C618455 8825223
19 Sripah 3 PBI 69 th P R2A C611702 8824198
20 Sunarto VIP NPBI 52 th L GRD L6 C618982 8824339
21 Ardiansyah 2 NPBI 30 th L MRK D C619136 8826301
22 Leni 3 NPBI 40 th P R2A C606243 8821661
23 Nasri 3 PBI 29/04/1970 P R2A C613582 8826254
24 Suluri 3 NPBI 55 th L R3B C610020 8800778
25 Cicik Srikiswati 3 NPBI 61 th P GER D C553841 8820047
26 Dirga Aditya S 3 NPBI 1 th 3 bln L C1LD C573485 8821644
27 Sekar Sari Kusumaningsih 3 JMD 4 th P C1LD C381941 8826234
28 Najwa Almira Utami 3 NPBI 1 th 7 bln P C1LD C616946 8823926
29 Misbahul Munir 3 NPBI 44 th L R5A C619369 8820086
30 Triharsih VIP NPBI 28 th P GRD L5 C569208 8805144
31 Karnita Rahayu 3 NPBI 37 th P R4B C609577
32 Herry Setiady Psuit NPBI 41 th L GRD 5 C619275 8824029

33 Suwarji 3 PBI 42 th L R1B C541033 8819975
34 Jasika Kheyla Shidqiyah 3 NPBI 3 th P C1LD C619651 8821801
35 Sri Sulastri 2 NPBI 54 th P KPD LD C616969 8826245
36 Aris Yulianto 1 NPBI 41 th L KPD 1 C556776 8811105
37 Noval Farhan Sahid VIP NPBI 16 th L GRD L5 C618888 8813686
38 Muslimah 3 NPBI 70 th P R5B C618753 8815802
39 Ratna Murti Ariyani 1 NPBI 38 th P MRK 2 C612358 8821750
40 Aulia Dwi Jayanti 1 NPBI 19 th P KTL C598623 8824227
41 Waginah 1 NPBI 54 th P KPD 1 C610680 8824428
42 Anna Endah Winarni 1 NPBI 53 th P KTL C461048 8824382
43 Kartini 2 NPBI 56 th P Elang 1 C594087 8825448
44 Sunarti 3 NPBI 46 th P R3A C232369 8821880
45 Erna Nur Azizah 2 NPBI 28 th P KPD D C616647 8821848
46 Atiyah Khikmah VIP NPBI 42 th P GRD L3 C502259 8824430
47 Sunarti 3 NPBI 60 th P R5B C607263 8821715
48 Katarina Supriyatun VIP NPBI 59 th P GRD L4 C619179 8826327
49 Ida Triyani 3 PBI 39 th P R2A C539964 8824342

50 Muhammad Dodi Ilyana VIP um 18 th L GRD L6 C618428 8826274
51 Chrisanthius Wahyu VIP NPBI 40 th L MRK 2 C353037 8821773
MALAM : CA,AF,RE,DM,HA,HI,RG RR : FA,SAM,EM MID :SC,TR RR GRD : ES SORE PROGRAM : SF,AP,AR,ND,A
52 Suwarto VIP Um 77 th L GRD L6 C550684 8828137
53 Widji VIP NPBI 5/3/1958 L GRD L4 C617649 8822003
54 Rizky Prastyo Aji Wibowo VIP NPBI 19th L GRD 4 C082630 8828168
55 Waginah Priv NPBI 56 th P R6A C574682
56 Dliyaul Haq 1 NPBI 10th P C1LD C594218 8821771
57 Nur Alawiyah 1 NPBI 44th P GER 1 C629410 8829996

CITO
58 Siti Aminah 3 NPBI 65th P R1A C620407
8829648
59 Nila Salsabila 3 um 10th P PICU C620401 8830064
60 Rita Sri Supriyati 1 NPBI 51th P MRK 1 C186264 8821765

61 Fikih Rizalani 3 PBI 20th P R6B C575296 8830126
JAMINAN
1 Sri Harko Joko VIP NPBI 58 th L GRD L6 C619615 8824258
2 Rame 2 NPBI 74 th L MRK D C570311 881605
3 Suwarni 3 NPBI 64 th P R2A C611013 8828103
4 Anindya Maheswari 2 NPBI 6 th P Elang 1 C476858 8827357
5 Najwa Khoirunnisa 3 NPBI 9 bln P Anak D C605178 8826226
6 Maudyna 1 NPBI 14 th P Elang 1 C411103 8829802
7 Muchamad Warizi 3 NPBI 56 th L P. Mata C618267
8 Suharnani 3 NPBI 55 th P P. Mata C607148

9 Norisma Widayat Sari 1 Um 32 th P P. Mata C617270
10 Zumrotun 3 PBI 33 th P P. Mata C613753
11 Sunaryo 3 NPBI 66 th L P. Mata C601286
12 Dachlan Mizan 1 NPBI 64 th L P. Mata C354989
13 Supangat 3 NPBI 55 th L P. Mata C588716
14 Subur Suciati 2 NPBI 38 th P B31 C618999 8826178
15 Zumroh 3 PBI 38 th P B31 C594292 8826164
16 Sumardi 2 NPBI 43 th L MRK D C597971 8818001
17 Suyati VIP NPBI 51 th P MRK 2 C396098 8826256
18 Hadi Santoso 1 NPBI 62 th L KPD 1 C150583 8821721
19 Paing 3 NPBI 55 th L R2B C618309 8826271
20 Ratih Yuliardi 2 NPBI 32 th P MRK D C510780 8828177
21 Sukron VIP NPBI 47 th L GRD L4 C616085 8826302

22 Surip 3 NPBI 67 th P R2A C613256 8821667
23 Fitri Winasih 3 NPBI 37 th P R2A C598533 8805123
24 Sholikah 3 NPBI 48 th P R2A C619107 8816387
25 Destrian Ristyarsandi W 3 NPBI 4 th 4 bln L C1LD C481795 8828155
26 Heni Mayang Sari 3 NPBI 26 th P R4B C614981
27 Achmad Agung Prabowo 2 NPBI 38 th L ICU B378972 8821871
28 MF Rukijah 2 NPBI 60 th P GER D C618695 8811949
29 Sueb Djazuli 3 PBI 59 th L R3B C618722 8824225
30 I Putu Suwarsana VIP NPBI 31/12/1957 L GRD L4 C614109 8826194
31 Mohammad Ridwan, SH VIP NPBI 1/4/1963 L GRD L6 C605574 8826329
32 Pasri 3 NPBI 66 th P R4B C618887
33 Nurningsih VIP NPBI 41 th P GRD L4 C615836 8815725
34 Oktaviana S 2 NPBI 33 th P Transit C620127 8826233
35 Adhi Putra Kurniawan 3 NPBI 33 th L R2B C597029 8787720
36 Gesta Pramudita Wibowo 3 PBI 12 th L C1LD C620212 8826381
37 Endang Sulastri 2 NPBI 47 th P KPD D C607804 8828477
38 Priyabudi Wisnu Prasetya 2 NPBI 19 th L Transit C605665 8822093
39 Oka Satria Pinandita 2 NPBI 18 th L KPD 1 C603387 8829594
40 Nur Amim 2 NPBI 27 th L KPD 1 C611451 8829386
41 Yunita Murwatiningsih 3 NPBI 19 th P Elang 1 C596515 8827750
42 Elli Haniatul Fida 2 NPBI 10 th P Elang 1 B383951 8827198
43 Ana Agustiani 1 NPBI 29 th P KPD D B419373 8826638
44 Lailatul Wakhidah VIP NPBI 31 th P GRD L3 C619922 8826307
45 Sulastri 2 NPBI 3/17/1977 P KPD D C618794 8823038
46 Veronika Eka Jumesti 2 NPBI 36 th P KPD D C425837 8829309
47 Tasriah 2 NPBI 62 th P MRK D C618012 8821803
48 Maulana Satria Adhiyatma 2 NPBI 11 th L C1LD C091549 8813764

MALAM : CA,AF,RE,DM,BR,HI,WD RR : FA,SAM,EM MID :SC,TR RR GRD : ES SORE PROGRAM : SF,AP,AR,AG,
50 Suniyati 3 NPBI 61 th P R4A C613460 8822036
51 Waginah 3 PBI 56th P R6A C574682 8813606

52 Sriani 3 JMD 46th P R4B C512614 8818011
53 Suharni 3 PBI 46th P R4B C618375 8810731
54 Sunarni 3 PBI 50th P R6A C620210 8828245
55 Slamet Riyanto 3 PBI 56th L R6B C620705 8831730
56 Eka Gita Pidiartri 3 um 40th P R6A C619777 8822236
57 Tan Hie Moij 3 NPBI 54th L R3A C6120667 8831715
CITO
58 Dyah Ayu Kusumawati 2 NPBI 20th P B31 C620594 8830165
59 Arimia Prisma Wardani 3 NPBI 36th P B31 C619745 8822090
60 Puspa Rinidawati 1 um 34th P MRK 2 C620177 8826814
61 Tjan Nonik Nio 2 NPBI 72th P IGD C584068 8820082
62 Zamzuri VIP NPBI 61th L GRD 5 C620578 8830107
63 Umi Mawaddah 3 PBI 20th P B31 C620604 8830813
64 Sri Moeljanto 3 NPBI 74th L R1A C620570 8830077
65 Harris Widjajanto 1 NPBI 56th L KPD 1 C509098 8803997
66 Nuriyah 3 PBI 72th P R1A C620595 8831685
67 Hendarto 3 um 33th P R6B C620517 8831741

JAMINAN
1 Sumian Karjono 1 NPBI 61 th L KPD 1 C617424 8828114
2 Henny CH Pangkey 1 NPBI 58 th P KPD 1 C553358 8830061

3 Dhany Harry Safitri V 1 NPBI 38th P B31 C549148 8829506
4 Aprilia Dewi Rahayu VIP NPBI 21 th P GRD L4 C617858 8830121
5 Angga Dwi Farducha B VIP NPBI 33 th L GRD L4 C617054 8831347
6 Lisa Desiana 3 PBI 28 th P R3A C613207 8830068
7 Rinta Yulia Ardini VIP NPBI 24 th P GRD L5 C568199 8830096
8 Joko Hartono 1 NPBI 75 th L MRK 1 C612032 8826246
9 Yustina Juminem VIP NPBI 48 th P GRD L4 C618772 8830025
10 Masthur VIP NPBI 63 th L GRD L5 C619354 8830091
11 El Datta Panji Prabangsa 3 JMD 7 bl L Anak 1 C620062 8828253
12 Erlika Uliyana Hasanah 3 NPBI 22 th P R2A C612562 8828173
MALAM : GI,WI,BR,AM,DB RR : FA,SAM,EM,SC,TR SORE PROGRAM : NO,AP,AR,AN,BY,BD,EA,ES,HR,MY,JF,TU,SE,R
CITO
13 Anis Mukhodah 3 NPBI 30th P B31 C620719 8831753
14 Djayadi 3 NPBI 68th L R6B C620162 8830033

15 Ani Juniarti 2 NPBI 51th P B31 C614353 8828132
16 Kartika Tanjung Wibowo 1 um 41th P KPD D C620688 8831745
17 Muhammad Khoirun Najib VIP NPBI 10th L GRD 3 C616694 8831585
18 Abdul Chamid 3 NPBI 54th L ICU C620740 8831928
19 Taddy Taminudin 3 NPBI 20th L R2B C620726 8832086
20 Sukahar 3 PBI 45th L ICU C620717 8831987
21 Ahmad Sulton 3 um 18th L R2B C620747 8831906

JAMINAN
1 Rochimatul Mutmainah 3 NPBI 32 th P B31 C616488 8830028
2 Shafa Diza Azzahra VIP um 14th P GRD 3 C590297 8831930
3 Annas Faishal Dzaky VIP NPBI 9th P GRD 3 C620629 8831528

4 Ligas Khoirur Rahman 3 NPBI 12th L C1LD C598102 8831429
5 Keyla Ibrahim Zafier Prata VIP NPBI 2bl P GRD 3 C614575 8829882
6 Murwendah VIP NPBI 53th L GRD 6 C350618 8830172
7 M Riza Fatkhul Ma'arif 3 PBI 20th L R2B C620799 8832063
CITO
8 Kato Kantata 3 um 14th L C1L1 C619681 8823645
9 A. Muzayyin Rifan 1 NPBI 68th L KPD 1 C271649 8831913
10 Laily Yuniatii VIP NPBI 33th P GRD 3 C188116 8830190
11 M Riza Fatkhul Ma'arif 3 PBI 20th L R2B C620799 8832063
12 Kundori VIP NPBI 51th L GRD 5 C615217 8831575
13 Sukiyem 3 um 63th P R2A C620796 8832171
14 Sakiman 3 um 71th L R2B C620800 8832167
15 Sukadi 3 PBI 43th L R2B C092561 8832082

JAMINAN
1 Bima Tangguh Pratama 3 NPBI 8 th L C1LD C466689 8824237
2 Rodli Fatkhurrokhim 2 Um 23 th L KPD D C610834 8826348
3 Soenardjo VIP NPBI 9/16/1942 L GRD L4 C581153 8830143
4 Mamik Slamet 3 NPBI 56 th L R2B C564371
5 Fatimatul 3 NPBI 11th P C1L1 C620274 8828186
6 Sri Swastika 3 PBI 14th P C1L1 C620200 8827259
7 Abizar Kauki Alvaro 3 PBI 11 bln L C1LD C609524 8830095
8 Luh Agny Pramesitha 3 NPBI 5 th P C1LD C564465 8823722

9 Grecya Gita Ananta 3 NPBI 8 th P C1L1 C535364 8805218
10 Joko Purwanto 3 NPBI 44 th L R2B C488728 8828211
11 Sri Hartati 3 NPBI 46 th P P. Mata C619135
12 Leginem 3 NPBI 70 th P P. Mata B388694
13 Moh.Nurudin 3 PBI 32 th L P. Mata C617878

14 Khadliroh 3 NPBI 53 th P P. Mata C575635
15 Sawiyem 3 PBI 8/7/1968 P P. Mrpti C620609
16 Siti Suprijati 1 NPBI 47 th P KPD D C479443 8807727
17 Suedi 3 NPBI 52 th L R2B C616689 8821882
18 Kaswi 3 NPBI 7/2/1960 P R4B C618450 8815775
19 Nurjanto 1 NPBI 56 th L KTL B386986 8830045
20 Sarmin 1 NPBI 10/14/1956 L GER 1 C346115
21 Hartoyo VIP NPBI 63 th L GRD 6 C618714 8819934
22 Sugiyono 1 NPBI 66 th L KPD 1 C615356 8819949
23 Tri Miyati 3 NPBI 48 th P R3A C613849 8802405
24 Wiji 2 NPBI 30 th P KPD D C618262 8824323
25 M. Saifur Roziqin 2 NPBI 41 th L MRK D C616507 8826270
26 Raisha Fitriya 3 PBI 10/20/2007 L P. Mrpti C612763
27 Nadliroh 3 JMD 46 th P R2A C609710 8805177
28 Budi Haryoko 3 PBI 32 th L R1B C615171 8815796
29 Hafizah Shafa Islami 3 PBI 7 th P C1LD C555271 8838165
30 Sudiyoso 3 NPBI 55 th L R1B C615512 8828092
31 Widodo 3 NPBI 30 th L R1B C616675 8828143
32 Khodirin 3 NPBI 53 th L R1B C617648 8830074
33 Sa Dullah 3 PBI 19 th L R5A C537012 8824302
34 Sri Mulyati 1 NPBI 53 th L KPD 1 C615032 8826257
35 Flaviana Sri Wihartinah 1 NPBI 44 th P KPD D C575258 8826077
36 Ahir Setiadi 1 NPBI 25 th L MRK 2 C618706 8824053

38 Sri Patmawati 2 NPBI 31 th P KPD D C618923 8815884
39 Bagus Bima Sarwana VIP NPBI 19 th L KPD 1 C619749 8822165
40 Purboyo 1 NPBI 35 th L KPD D 615325 8822127
41 Ita Koriyatun Tri Mulyani 3 PBI 37 th P Elang 1 C587226 8832091
42 Joanes Baptista 3 NPBI 72 th L P. Mrpti C556695

43 Hartatik 1 NPBI 35th P MRK 1 C547947 8824454
44 Sumiati 3 PBI 41 th P B31 C610009 8831623
45 Sukamini 3 NPBI 37 th P B31 C116351 8831632
46 Mosnah 3 NPBI 47 th P R2A C611711 8828196
MALAM :ST,AN,BY,EA,ES,MY,TU RR : FA,SAM,EM MID :WD,DW RR GRD : PM SORE PROGRAM : WU,RK,TW,TR
47 Nia Irsanita 2 Um 7/31/1998 P KPD D C620266 8832078
48 Teguh Adi Baskoro 3 JMD 16th L C1L1 C820786 8832200
49 Hanifah Husna Azzakiyah 3 PBI 5 bl P Anak D C619833 8831591
50 Yasin Fadhilah 3 PBI 9 th L Anak D C611207 8831653
51 Sumarti 2 NPBI 54 th P MRK D C619138 8817955
52 An. Zaky Dhiya Prabowo 1 NPBI 9th L Anak D C601832 8821795

53
54 Idun Wahid Semboyan 3 NPBI 49th L R2B C615575 8824317
55
56 Sulastri 3 PBI 62 th P R3A C618890 8813748
57 Derinawati Simanungkalit 2 NPBI 12/31/1976 P KPD D C598387 8832083
58 Sriyati 3 NPBI 56 th P R3A C569561 8824417

60 Tohar 2 NPBI 57th L IGD C621009 8834153
61 Apipudin 3 PBI 26 th L R2B C620825 8824710
CITO
62 Ahmad Muqtaf Haqqi 2 Um 5th L C1LD C620720 8831780

64 Sunarti 3 SKTM 50th P R2A C620829 8832360
65 Sulaimanah 2 NPBI 52th P GER D C618422 8817951
66 Suwarni 3 NPBI 41th P HCU C620207 8828217
67 Chika Khanza Hanifah 3 NPBI 1th P C1L1 C616547 8792026
68 Mium 3 PBI 55th P R3B C349869 8831426
JAMINAN
1 Sukarwi 2 NPBI 48 th L MRK D C605524 8831645
2 Mochammad Hazzar Azzuna 3 PBI 2 th L Elang 1 C479147 8832081
3 Sri Tugiyarti VIP NPBI 68 th P GRD L5 C474392 8822243
4 Sabar 3 PBI 64 th L R1B C615246 8831648
5 Farid Akbar Alvaro VIP Um 3/25/2013 L GRD L3 C620619 8832664
6 Slamet Karyadi 3 JMD 3 th L Anak D C425946 8830112
7 Dzikri Hamizan Al Kholifin 3 NPBI 1 th L Anak 1 C617526 8801503
8 Devin Raditya Pratama 3 NPBI 1 bln L Anak 1 C620788
9 Sutrisno 1 NPBI 66 th L KTL C572525 8820588
10 Cinto Hadi 3 NPBI 47 th L R5A C504908 8831817

11 Untung 3 NPBI 56 th L P. Mata C546966
12 Mariyati 3 Um 60 th P P. Mata C609175
13 Suwanti 3 PBI 52 th P P. Mata B038004
14 Nuning Lestyani 3 NPBI 46 th P P. Mata C533634
15 Leginem 3 NPBI 70 th P P. Mata B388694
16 Sochib 1 NPBI 58 th L P. Mata C597457
17 Pali 3 PBI 70 th L R2B C620506 8830136
18 Masturoh 3 PBI 56 th P R5B C605419 8831644
19 Tri Widyaningsih 3 PBI 37 th P B31 C200494 8830175
20 Siti Zumrotun 3 PBI 51 th P R6A C618432

21 Nur Said 3 PBI 56 th L R6B C620591 8831084
22 Sarmin 1 NPBI L Ger 1 C346115
23 Abidzar Akmal Ataillah 2 NPBI 2 th L C1LD C620695 8831939
24 Suratman 3 PBI 59 th L R1B C618337 8821657
25 Surip Tri Wibowo 3 PBI 24 th L R2B C596429 8821754
26 Sri Murwani 1 NPBI 7/4/1956 P KPD D C305305 8831637
27 Umami 1 NPBI 56 th P KPD D C619142 8831706
28 Yasinta Sri Sudarmirah VIP NPBI 60 th P MRK 2 C152395 8805145
29 Supardi 3 PBI 51 th L R2B C573496 8831600
30 Karmilah 3 NPBI 61 th P R2A C278246 8831593
31 Suparti 1 NPBI 50 th P KTL C616236 8831564
32 Yohana Christi 3 NPBI 19 th P R2A C619384 8828174
33 Muslikhudin 3 PBI 39 th L R6B C620420 8831751
34 Ilham Nurholik 3 NPBI 21 th L R2B C591074
35 Wahyu Irani 3 PBI 15 th P Anak D C481919 8831567
36 Kusnarno VIP NPBI 51 th L GRD L4 C614521 8831932
37 Mamnuah, DRA 1 NPBI 49 th P KPD 1 C603166 8826342
38 Sarmijan 1 NPBI 58 th L KPD 1 C608646 8826221
39 Regar Rahmadani 3 NPBI 13 th L P. Mata C579425
40 Marjani 3 PBI 46 th L R1B C615515 8831514
41 Paidi 3 Um 53 th L R2B C619710 8822077
42 Sri Wahyuningsih 3 NPBI 36 th P R2A C620047 8826252
43 Subiyati 1 NPBI 65 th P KPD 1 C602361 8830060
44 Fatori 3 PBI 27 th L R2B C620296 8828252
45 Mariza Sulatnah VIP NPBI 2/5/1996 P GRD 5 C589011 8832134

46 Nindya Aulia Fitri 1 NPBI 20 th P KPD D C530203 8830109
47 Adhyasta Nabil 2 NPBI 3 th L Elang 1 C488494
48 Agus Setyawan 3 NPBI 23 th L R2B C573635
49 Erma Tri Koesumawati 1 NPBI 32 th P KPD D C595978 8831662
50 Dwi Lestari 1 NPBI 30 th P KPD 1 C611673 8831681
51 Munika Gemar VIP NPBI 58 th P GRD L3 C614074
52 Sunaryo 3 NPBI 57 th L R1B C607270 8830123
53 Aisyah Rahmawati 2 NPBI 5 th P C1LD C618945 8830093
54 Atmirah 2 NPBI 54 th P MRK D C479666 8826288
55 Restu Ardiana Dewi VIP Um 21 th P GRD L4 C619808 8832158
MALAM :ST,SA,ND,TU,ES,EA,DA RR : FA,SAM,EM MID :WD,DB RR GRD : PM SORE PROGRAM : RK,WU,TW,CA
56 Ny.Rumiyatun VIP NPBI 43 th P GRD 5 C602317 8832156
57 Ny.Taliyah VIP NPBI 55 th P GRD 5 C617988 8833574
58 Ny.Tuminah VIP JKN 63 th P GRD 4 C 618857 8834211
Ny.Litwina Susanti VIP NPBI 61 th P GRD 4 C618553 8830103

59
60 M. Alfin Mubarok VIPA NPBI 5/7/2014 L GRD L3 C620670 8834245
61 Ny.Siti Faizah VIP NPBI 56 th P GRD L5 C594223 8831757
Ny.Rahayu Kurmiati 3 NPBI 65 th P R5B C675176 8836150

62
63 Tn.Hartanto 2 JMD 39 th L R1B C619914 8836190
64 Slamet Riyanto 3 PBI 8/17/1960 L R6B C620705
Tri Mulyani 1 NPBI 50 th P GER L1 C269897 8831855

65
66 Priyo Eko P 2 NPBI 48 th L MRK D C142222 8818549
67 Arie Setiyono VIP NPBI 44th L GRD 5 C620762 8831999
CITO
68 Ida Aryani 2 NPBI 44th P IGD C615018 8834168
69 Nanta Nur 2 um 28th P IGD C620975 8834281
70 Ari Moekti 2 NPBI 54th L TRAN C540282 8832983
71 Vira Agustina Muharani 3 um 5bl P PICU C621045 8836008
72 Rumini 3 PBI 36th P R6A A567880 8836117
73 Hafiz Putra Adabi 3 um 1bl L C1LD C620838 8834274

JAMINAN
1 Muhammad Omar Ahnaf VIP NPBI 3 th L GRD L5 C429520 8834207
2 Dian Ramadhani 1 NPBI 11 th P C1LD C194405 8830132
3 Marji 3 PBI 44 th L R2B C609358 8815545
4 Ichwan Gunadi 2 NPBI 40 th L MRK D C616711 8830137
5 Abd Wahib Syakour 1 NPBI 60 th L MRK D C546967 8833903
6 Fian Nofa 3 NPBI 24 th L R3B C617044
7 Dimlari Indah Irianto 1 NPBI 68 th L HCU C613594 8816279
8 Wijoto 2 NPBI 58 th L KPD 1 C583112 8835675
9 Mardi 1 NPBI 12/6/1970 L KPD D C615131 8834184
10 Desak Gedhe S Widuri 1 NPBI 54 th P MRK 1 B220191 8828198
11 Suroto 3 PBI 66 th L P. Mata C619814
12 Aliyanto 3 PBI 62 th L P. Mata C617955
13 Arif Wicaksono 3 PBI 38 th L P. Mata C275223
14 Janadi 2 NPBI 46 th L P. Mata C620430
15 Santoso 3 PBI 22 th L R6B C620572 8831631
20 Sumini 2 NPBI 40 th P KPD D C618290 8834784
21 Soeginik 3 NPBI 64 th P R4B C583002 8815874
22 Art Anom Saphutra 2 NPBI 60 th L MRK D C620241 8834186
23 Rasnah 3 NPBI 50 th P R3A C617852
24 Surasih 3 NPBI 26 th P R3A C604571 8809460
25 Zinarni VIP NPBI 50 th P GRD L4 C482734 8831996
26 Ngatman Emawan 3 PBI 60th L R3B C620744 8832002
27 Ngatiyah 2 NPBI 60 th P KPD D C603785 8821769

28 Sri Sarinem 3 PBI 55 th P R2A C608269 8823417
29 Siti Amanah 3 NPBI 38 th P R2A C608416 8824361
30 Amah Riastini 3 JMD 73 th P R4B C620403 8828880
31 Tukimin 3 BPJS 40 th L R2B C620764 8832057
32 Kurmawan 2 NPBI 30 th L MRK D C452077 8834227
33 Muhammad Fahmi Ilmi 3 PBI 12 th L C1LD C607475 8831597
34 Sunoto 3 um 55 th L R1B C620721 8832019
35 Achmad Fachriza Resfati 3 NPBI 5 th L C1LD C590452 8831568
36 Sumirah 3 PBI 48 th P R2A C612202 8830078
37 Ma'mun Mz VIP NPBI 69 th L GRD L5 C620065 8834154
38 Tri Widayati VIP NPBI 60 th P GRD L5 C618341 8820072
39 Endang Purnamawati 1 NPBI 51 th P KPD D C614983 8830094
40 Jumiah 3 PBI 48 th P R3A C616957 8834221
41 Pasri 3 PBI 66 th P R4B C618887 8813787
42 Muchidin 1 NPBI 41 th L KPD D C614955 8826203
43 Ari Janto Nugroho 3 PBI 21 th L R2B C620042 8825139
44 Hendro Santoso 3 NPBI 53 th L R5A C378417
45 Noryanto 3 NPBI 62 th L R3B C619193 8819758
46 Riski Mahendra 3 PBI 19 th L R2B C618084 8831615
47 Sri Suwarti VIP NPBI 73 th P GRD L6 C289423 8830188
48 Soya 3 NPBI 37 th L R2B C609442 8828107
49 M Farras Putra A 3 um 16 th L C1L1 C620818 8832187
50 Widodo 1 NPBI 53 th L MRK L2 C620821 8832376
51 Siti Patimah 1 NPBI 50 th P ELA 2 C491770 8832513
52 Santoso 3 PBI 22 th L R6B C620572 8831631

53 Siti Aminah 3 NPBI 66 th P R4B C620400 8831729
54 Sutipah 3 NPBI 53 th P R4B C617059 8834116

55 Daryatmi VIP NPBI 52 th P GRD L3 C620213 8833328
56 Lilis Suryani 2 NPBI 33 th P B31 C089185 8834208
57 Yeni Maryani Candra 2 NPBI 20 th P KPD D C620346 8835058
58 Bachtiar Rofi 3 NPBI 32 th L R5A C620791 8832127
59 Sutiyem 3 JMD 65 th P R2A C617487 8828121
60 Herlina Tri Nastiti VIP NPBI 23 th P GRD L4 C153817 8834233
MALAM :WU,UM,ND,AU,TK,VT,DA RR : FA,SAM,EM MID :WD,DB RR GRD : PM SORE PROGRAM : RK,TW,RG,N
TAMBAHAN
61 Almashyra Shakila VIP NPBI 3th P GRD 3 C613998 8832079
62 Febri Beta Windyanna 1 NPBI 18th P KPD 1 C616493 8834216
63 Sriyati 3 PBI 27th P R3A C621194 8836218
65 Slamet Riyanto 3 PBI 56th L R6B C620705 8831730
66 Joko Haryanto 1 NPBI 54th L KPD 1 C621032 8834588

CITO
67 Kartika 3 PBI 29th P R6A C621085 8836216
68 Masriah 1 um 28th P TRAN C621185 8836804
69 Haryo Mulyono VIP NPBI 69th L MRK 2 C621036 8836598
70 Suryaningsih 3 NPBI 31th P B31 C162502 8824663
71 Suyitno 3 JMD 47th L R3B C618815 8838096
72 Nur Isna 3 JMD 14hr P PBRT C619655 8821800
73 Devin Raditya Pratama 3 um 1bl L C1L1 C620788 8832145
74 Intan Purnamasari 3 PBI 18th P R2A C621206 8837972

JAMINAN

1 Mamik Slamet 3 NPBI 56 th L R2B C564381 8811260
2 Suswinarti 3 NPBI 10/23/1955 P R3A C618674
3 Kiswanti 3 JMD 35 th P R3A C616613 8831617
4 Supardjo 3 PBI 67 th L R2B C615338 8834213
5 Yuliati 3 PBI 36 th P R5B C620958 8836152
6 Sulistyo Wibowo 3 PBI 12 th L C1LD C619298 8821793
7 Mutiara Trisiana K 2 NPBI 22 th P MRK D C619860 8834237
8 Surami 3 PBI 54 th P R2A C613163 8834194
9 Karnawi 3 PBI 43 th P P. MTA C620905
10 Kustur 3 NPBI 64 th L P. MTA C618866
11 Janadi 2 NPBI 46 th L IGD C620430
12 Anik Suniati 2 NPBI 39 th P Transit C616125 8836205
13 Siti Zumroh 3 NPBI 52 th P R4A C620812 8832148
14 Karsih 3 NPBI 47 th P B31 C616926
15 Isman 3 NPBI 77 th L GER LD C227944 8826029
16 Slamet Radiono 3 NPBI 54 th L GER LD C498005 8830154
17 Sunardi 2 NPBI 62 th L MRK D C619880 8830108
18 Genduk Muntini 3 PBI 47 th P R4B C607659 8830152
19 Jumain 3 NPBI 44 th L R2B C620810 8836077
20 Karsani 2 NPBI 51 th P Transit C619103 8836228
21 Kusmiyati 2 NPBI 36 th P MRK D C570046 8828148
22 Nourma Ditta Retnasari 2 NPBI 23 th P MRK D C613638 8831718
23 Endang Listati 3 NPBI 22 th P R2A C617594
24 Umiyasih 3 PBI 56 th P R5B C620922 8836142
25 Tiaradina Bangkit Putri 2 NPBI 15 th P C1LD C620779 8832138
26 Tri Wijanarko 1 um 54 th L KPD 1 C619574 8836125

27 Mulazim 2 NPBI 46 th L MRK D C608236 8834253
28 Heni Mayang Sari JMD 8826343

3 26 th P R4B C614981
29 Nur Izza Amayta 3 PBI 10 th P Anak D C615829 8835045
30 Mikeyla Putri Anindita 1 NPBI 8 bl P Transit C610203 8836226
31 Sumarni 2 NPBI 60 th P MRK D C618800 8834198
32 Agus Susanto Tejopurnomo VIP NPBI 64 th L GRD L4 C618916 8831934
33 FX Surawan VIP NPBI 60 th L GRD L4 C606728 8831937
34 Kartono Kadri 1 NPBI 54 th L KPD 1 C551158 8826262
35 Novi Nur Hidayah 2 NPBI 2 bln P IGD C620364
36 Sri Utari 3 PBI 40 th P R2A C618910 8816545
37 Yohanes Budiono G VIP NPBI 80 th L GRD L6 C620927 8833503
38 Kharisma Putri Fiandani 1 NPBI 19 th P KPD D C305429 8824416
39 Dewi Sulistyaning Y 3 PBI 48 th P R4B C412837 8830157
40 Restu Pratomo 2 NPBI 21 th L Transit C620792 8834671
41 Maisaroh VIP NPBI 49 th P GRD L4 C617674 8834225
42 Karunia Romadona 3 NPBI 2 th 6 bln P Elang 1 C580425
43 Yayuk Fathurohmah 1 NPBI 39 th P KPD 1 C490971 8831641
44 Dewi Kamulyansi Rahayu 1 NPBI 24 th P KPD D C617359 8834244
45 Nurdjanah VIP NPBI 11/6/1945 P GRD L5 C004572 8834147
46 Andi Kusworo VIP NPBI 39 th L GRD L4 C513063 8836129
47 Dita Diah Pratiwi 2 NPBI 30 th P KPD D C615057 8826339
48 M Sujarwo 1 NPBI 51 th L KPD D C618504 8834165
49 Isroi 3 NPBI 53 th L R1B C561309 8836060
MALAM :WU,UM,AU,NI,TK,SE,VT RR : FA,SAM,EM MID :WD,DB RR GRD : AG SORE PROGRAM : NO,RK,TW,DW
TAMBAHAN
50 Dwi Esti Wahyu Rini 1 NPBI 36 th P MRK 1 C257554 8837743
51 Achmad Agung Prabowo VIP NPBI 8/4/1978 L GRD L5 B378972 8821871
52 Fian Nofa 3 NPBI 24 th L R3B C617044 8831579

CITO
54 Leo Sanam VIP NPBI 74th L GRD 6 C618684 8811594
55 Dzawil Istiqomah 2 NPBI 30th P B31 C373117 8838080
56 Winda Permata Rohmadona 3 PBI 10th P ELA 1 C557014 8815856
57 Suemi 3 NPBI 55th P R5B C583787 8826286
58 Tarmi 2 PBI 40th P R6A C620929 8834266
59 Ahmad Kulun 3 PBI 48th L R5A C621374 8837953
60 Karina Kiswanti 2 NPBI 23th P B31 C621400 8839078
61 Nur Handayani 2 NPBI 28th P B31 C621487 8839852
62 Monika Desiva Auralia 3 NPBI 7th P C1L1 C595535 8839969
63 Retno Sari Rahayu 3 NPBI 34th P B31 C582936 8838043
64 Niken Dwi Puspita 3 NPBI 9th P ELA 1 C548775 8840002

JAMINAN
1 Ngatmi 3 PBI 15 th P Anak D C621133
2 Elok Nurani Ramadhani 3 PBI 6 th P Anak D C616090 8836135
3 Sintia Melati Putri 3 JMD 10 th P Anak D C608248 8836090
4 Eny Nur Anisa 2 NPBI 28 th KPD D C616122 8834232
5 Puji Astuti 3 NPBI 6/3/1991 P R2A C618180 8836149
6 Agung Pri Prabowo VIP NPBI 28 th L GRD L4 C618975 8838042
7 Susi Sumiati 1 NPBI 39 th P MRK 1 C421841 8838043
8 Mulyosari 3 NPBI 62 th L P. Mata C618956
9 Roedjito 1 NPBI 67 th L P. Mata C199277
10 Sugih Wibowo 1 NPBI 59 th L P. Mata C611160

11 Sunarmi 1 NPBI 48 th L P. Mata C575656
12 Endah Eko Suprapti 1 NPBI 37 th P B31 C618994 8837768
13 Suroto 2 NPBI 57 th L MRK D B236912 8832143
14 Eny Suprapti 1 NPBI 65 th P KPD 1 C538055 8828229
15 Rinda Andhika Maharani VIP NPBI 22 th P GRD L5 C620013 8824390
16 Dimas Ruwiyanto 3 PBI 14 th L Anak D C609732 8834097
17 Soekijem 3 NPBI 72 th P R3A C618769 8824319
18 Sumariyah 3 PBI 34 th P R2A C605333 8831735
19 Tri Wijayanti 3 PBI 40 th P R4B C619042 8826315
20 Tukimin VIP NPBI 60 th L GRD L4 C173059 8836225
21 Hendra Wilar 3 Um 35 th L Kenari C620361 8828175
22 Apit Nur Bekti 1 NPBI 51 th P KPD D C612917 8834188
23 Meinarni Bustam 2 NPBI 30 th P MRK D C611749 8815851
24 Wartomo 3 NPBI 40 th L R2B C604490 8836223
25 Pandu Banyu Biru VIP Umum 1 th L GRD L3 C618754 8837989
26 Anifah 1 NPBI 57 th P KPD D C268185 8828199
27 Cahyo Widoyo 3 PBI 38 th L R1B C600657 8826250
28 Muhtar 3 PBI 52 th L R1B C591352 8828142
29 Tarwa 3 PBI 54 th L R1B C564852 8830122
30 Hartono 3 NPBI 54 th L R1B C599102
31 Handoko Henderiyanto 3 PBI 23 th L R3B C615245 8817859
32 Katinu Hidayat 3 NPBI 65 th L R6B C615095
33 Fariz Aryo Purnomo 1 NPBI 18 th L MRK L1 C613004 8838103
34 Edy Wibowo 2 NPBI 54 th L MRK D C620571 8831735
35 M. Kamaludin 2 NPBI 27 th L KPD 1 C616515

36 Dwi Purnomo Aji 2 NPBI 18 th L KPD 1 C610502
37 Rita Yuanita Trisnani VVIP NPBI 49 th P Elang 2 C615237 8837696
38 Ratman 3 NPBI 58 th L R2B C616726 8837951

39 Joko Purwoko 3 PBI 36 th L R3B C617369 8800710
40 Romlah VIP NPBI 62 th P GRD L3 C186254 8836023
MALAM : RK,SR,TR,NI,DY,SC,SE RR : FA,SAM,EM MID :WD,DB RR GRD : AG SORE PROGRAM : NO,BD,AM,AT,
58 Deny Pradinata 3 Um 12/1/2013 L Anak 1 C620590 8834173
59 M Baqir Dzaki 3 JMD 6/4/2006 L Anak 1 C616756 8836197
60 Muhamad Raja Devirza 3 NPBI 1 th L Anak D C568334 8839924
61 Tahar 1 NPBI 6/30/1949 L KTL C621009 8835784
Ngadiman
67 Endang Setyawati 1 NPBI 57 th P B31 C550888 8836138
Suroso 2 NPBI 52th L TRAN C621034 8834740
70 Mahfud Afiyanto 3 NPBI 17 th L R1B C550234 8836981
71 Luthfia Ulfah Marisa VIP NPBI 56 th P GRD L5 C613938 8836227
72 Aira Gustina 3 NPBI 7th P C1L1 C619859 8832151
CITO
73 Titi Rahayu 1 NPBI 20th P MRK 1 C620534 8837640
74 Suprihatin 3 PBI 37th P B31 C621564 8840084
75 Kunipah 2 um 39th P IGD C621555 8840056
76 Heni Kurniawati 2 NPBI 40th P TRAN C595547 8840023
77 Ngasini 3 NPBI 55th P R3A C540691 8839996
78 Sutarti 3 NPBI 83th P R4A C453936 8837986
79 Maryono 3 NPBI 56th L R2B C621549 8841417
80 By.Ny. Eka Dewi Rohmawati 3 NPBI 8hr P PICU C621381 8838076
81 Ngatmini 3 NPBI 36th P R6A C616104 8840031
82 Putri Alifah 3 NPBI 4bl P C1L1 C609694 8841394
83 Tukiman 3 Um 55th L R5A C621567 8841491
84 Jumain 3 PBI 34th L R6B C619717 8822078

JAMINAN

1 Neha Sanentya Syarifa VIP NPBI 12 th P GRD 5 C561435 8839962
2 Basoeki Soekisno VIP NPBI 76 th L GRD 5 C620085 8839956

3 Margo Muljono 1 NPBI 60 th L KTL C563933 8831805
4 Mardi 1 NPBI 46 th L KPD D C615131 8834184
5 Susmanto, SE VIP NPBI 58 th L GRD 6 C599650 8826310
6 Sunarti 3 PBI 51 th P R3A C618940 8821814
7 Ari Dwi Ristianto VIP NPBI 1/18/1982 L GRD 6 C610479 8840007
8 Heni Kurniawati 2 NPBI 1/9/1977 P Transit C595547 8840023
9 Febri Beta Windyanna 1 NPBI 18 th P KPD 1 C616493 8834216
10 M. Kamaludin 2 NPBI 27 th L KPD 1 C616515 8838877
11 Dwi Purnomo Aji 2 NPBI 18 th L KPD 1 C610502 8839181
12 Elvita Yulianti 3 NPBI 45 th P R4B C142583
13 Nasikoen 2 NPBI 44 th L MRK D C301287 8838000
MALAM : NO,HR,IS,DW,DY RR : FA,SAM,EM MID :WD,DB RR GRD : AG SORE PROGRAM : II,BD,RE,MW,YS

CITO
14 Tuwarno 2 um 30th L IGD C621692 8841523
15 Karsih 3 PBI 47th P B31 C616926 8828183
16 Gregorius Agung D VIP NPBI 4th L GRD 4 C621694 8841602
17 Supa'ati 2 NPBI 65th L TRAN C620669 8838059

18 Rifanti Chasanah VIP NPBI 30th L GRD 3 C600540 8838084
19 Andre Susanto VIP Um 40th L GRD 6 C621561 8841508

JAMINAN
1 Zamroni 2 um 27th L IGD C621762 8841760
2 Nur Siti Asiyah 1 NPBI 21th P B31 C617578 8841274
3 Azam Kharisul Umam IRIN B PBI 15th L R1A C621744 8841797
4 Yasmin Rida Maesara 3 PBI 9th P C1LD C615365 8839957

5 Surami 3 PBI 54th P R2A C613163 8834194
6 Arif Wibowo 3 PBI 26th L ICU C621775 8841834
7 Kelsa Rizki Putri Wulandari 3 PBI 12th P C1LD C617472 8841699
8 Turnasih 3 PBI 34th P B31 C621551 8841101
9 Caroline Susan Aprilia VIP NPBI 16th P GRD 4 C621789 8841851
10 Suyanto 3 um 36th L R5A C621745 8841766

JAMINAN
1 Abisetra T Doalenso VIP Um 19/08/2012 L GRD L3 C479420 8839970
2 Dafyansyah Ali R 3 NPBI 6 bln L C1L1 C592752 8828169
3 Suburlah 1 NPBI 42 th L KPD 1 C618972 8838030
4 M. Salman Bari'ahsani 3 NPBI 2 th L Anak D C565719 8831559

5 Surami 3 NPBI 54 th P R2A C613163
6 Manisih 3 NPBI 12/31/1965 P R3A C616628 8836132
7 Karmini 3 PBI 55 th P R2A C620832 8836191

8 Fathullah Ahmadi 3 NPBI 59 th L P. Mata C619944
9 Susanto 3 NPBI 35 th L P. Mata C620418
10 Astuti 1 NPBI 52 th P P. Mata C610077
11 Nur Ahmad 3 NPBI 34 th L P. Mata C619200
12 Wiwin Nurrokim 3 NPBI 27 th L R5A C592176
13 Murtiningsih 2 NPBI 53 th P B31 C620457 8839975
14 Miftahul Janah 3 NPBI 37 th P R4A C614169 8824420
15 Noor Hasyim 3 PBI 12/19/1969 L R1B C611823 8824360
16 Hendro Saputro 2 NPBI 53 th L MRK D C613615 8836173
17 Mardiyanti 3 NPBI 27 th P R5B C620815
18 Gudel 3 NPBI 38 th P R3A C615066 8815829

19 Toenem 3 NPBI 6/7/1947 P R2A C619006 8820077
20 Aprilia Selvia 2 NPBI 4/27/2006 P Anak D C534865

21 Elly Suciati 3 NPBI 40 th P R2A B050002
22 Sri Yati 2 NPBI 36 th P KPD D C605416 8841789
23 Sutri 2 NPBI 50 th P KPD D C419359 8841773
24 Giyono 3 NPBI 51 th L R2B C617745 8821782
25 Fitriati 2 NPBI 21 th P KPD D C617868 8841771
26 Jamilatul Mila 3 NPBI 13 th P C1LD C594873 8831554
27 Achmad Adyar VIP PT 47 th L GRD L5 C612413 8834200
28 Nur Salam 3 PBI 43 th L R1B C573880 8830036
29 Harsudo Singgih Prastito 2 NPBI 43 th L KPD D C490694 8826314
30 Nanang Fachrurozi 3 NPBI 30 th L R2B C616287 8836101
31 Djojo Dewantoro 1 NPBI 56 th L KPD 1 C610043 8826073
32 Aliffiary Innayah 3 NPBI 14 th P Anak 1 C620817
33 Jazuri 2 NPBI 59 th L MRK D C620105 8826350
34 Waliyem 3 PBI 34th P ELA 1 C612092 8841560
35 Tariyah 3 NPBI 49 th P B31 C605190 8839839
36 Chrity Gracia 3 th NPBI 1 th P Pol ANK C619700
37 Mohamad Soleh 3 PBI 22 th L R6B C618705 8839994
38 Merytriana 1 NPBI 38 th P KPD D C620954 8840006
MALAM : II,BD,EW,RE,JF,SU,WD RR : FA,ST,EM MID : TU, ND RR GRD : SORE PROGRAM : WU,AN,CA,AG,AT,A
40 Tri Sukayah 3 PBI 23 th P R5B C605038 8797150
41 Pat Haryati 1 NPBI 57 th P MRK 2 C485850 8832142
42 Subiyanto VIP NPBI 12/27/1975 L GRD L6 C620234 8837981
43 Johari Firdaus 3 PBI 16 th L R1B C620642 8831951
44 Henik Imsika 2 NPBI 38 th L KPD D C611491 8834192

45 Sahroni 3 NPBI 47 th L ICU C621443 8840828
46 Asih Dewi Sekarwati VIP NPBI 51 th P GRD L5 C621387 8839986
47 Juwarti 2 NPBI 43 th P MRK D C619257 8841659
48 Rumiyati VIP NPBI 7/14/1959 P GRD L4 C618046 8841593
49 Imam Darjito VIP NPBI 2/9/1968 L GRD L6 C472055 8841669
50 Agus Surya Laksana 2 NPBI 10/19/1985 L KPD 1 C462160 8841895
51 Endang Listiati 3 NPBI 22 th P R2A C617594 8824146
52 Janadi 3 NPBI 46 th L R1B C620430 8841532
53 Nasihin 3 PBI 45 th L R5A C621220 8841692
54 Kasni 3 NPBI 51 th P R4A C617233 8832095

CITO
56 Sri Moeljanto IRINB NPBI 74th P ICU C620570 8830077
57 Purhadi 3 PBI 46th L R2B C617809 8841725
58 Supa'ati 2 NPBI 65th P MRK D C620669 8838059

59 Nurahati 2 NPBI 65th P GER D C270215 8836203
60 Wiwid Wijayanti 3 um 32th P B31 C621754 8841732
61 Ade Soko Pamungkas 3 um 25th L TRAN C621339 8841511

62 Sri Mulatsih 3 PBI 42th P R5B C621713 8841677
63 Rifki Darma Kurniawan 1 NPBI 20th L KPD 1 C621519 8841453
64 Johnny Suandhijo S 2 NPBI 80th L IGD C536743 8843760

JAMINAN
1 Sri Wahyuningsih 3 NPBI 52 th P R3A C612924 8831701
2 Ivan Sutanto 1 NPBI 36 th L KTL C621373 8838065
3 Nur Afiani 3 NPBI 22 th P P.Merpti C612151

4 M. Fian Nofa 3 NPBI 9/21/1992 L R3B C617044 8831579
5 Vincent Rajendra Setya 2 NPBI 2 th L Anak D C609143 8841452
6 Aulia Fadhilatul Chasanah 2 NPBI 16 th P Anak D C621216 8839985
7 Wati 3 PBI 12/6/1972 P R2A C612369 8837999
8 Sumiratsih VIP NPBI 12/1/1940 P GRD L6 C619269
9 Mashuri 3 PBI 58 th L R3B C611242 8813681
10 Sukim 3 PBI 50 th L P. Mata C619963

11 Wartomo 3 NPBI 40 th L R2B C604490
12 Slamet 3 NPBI 48 th L P. Mata C496024
13 Chenoch Setyo Widodo 3 NPBI 50 th L P. Mata C620054
14 Andri Santoso 3 Um 27 th L P. Mata C615200

15 Wahyu Pamungkas 3 NPBI 30 th L P. Vas C620148
16 Mahsun 3 NPBI 66 th L Merpati C442075
17 Fatmawati 1 NPBI 36 th P KPD D C613820 8840050
18 Siti Zumrotun 3 PBI 51 th P R6A C618432 8809470
19 Rizki Nur Farida 1 NPBI 40 th P KPD 1 C044441 8837979
20 Janatun 3 NPBI 51 th P R4A C620654 8840001
21 Rasnah 3 NPBI 4/8/1966 P R3A C617852
22 Suparno 2 NPBI 60 th L CDR 1 C542913 8834079
23 Muhyi 3 NPBI 47 th L R1B C619310 8818003
24 M. Rizki Darmawan 3 NPBI 10 th L Anak D C518147
25 Aprilia Salwa S 2 NPBI 16 th P Anak D C534865 8826186
26 Elly Suciati 3 NPBI 40 th P R2A B050002 8831628
27 Jumirah 3 NPBI 7/21/1961 P R2A C618097 8828170
28 Munisih 3 PBI 8/8/1979 p R2A C601708 8836078
29 Wartini 3 PBI 4/3/1967 P R2A C615329
RPO
30 Ashifa Kanza Rizqi 3 NPBI 5 th P C611322 8841772
Elang 1
31 Sugiyanto 1 NPBI 56 th L KPD 1 C423656 8840035

32 Budhi Satrio 1 NPBI 2/22/1947 L KPD D C607050 8841482
33 Elizabeth Aleanette 3 NPBI 2 th P Anak D C616966 8838034
34 Shofia Tri Rohimah 3 NPBI 1 th P Anak D C565198 8838003
35 Bayu Adi Pratama 3 PBI 16th L Anak 1 C621597 8841474
36 Aisyah Dinda Salsabila 3 NPBI 6/12/2004 P Anak 1 C621151 8838020
37 Tri Rochmawati VIP NPBI 41 th P GRD L4 C001739 8837877
38 Sarminah 3 PBI 49 th P R2A C616595 8837463
39 Yamti 3 NPBI 58 th P R2A C607302 8812297
40 Sugiharto 2 Um 39 th L MRK D C621527 8841507
41 Kartini 3 PBI 51 th P R5B C621039 8836134
42 Alifia Zahwa Maulidya 3 NPBI 6 th P Elang 1 C580757 8841800
43 Agus Budiyanto 1 NPBI 34 th L MRK 2 C581080 8787866
44 Lailiya Qodriyah VIP NPBI 12/17/1976 P GRD L6 C616567 8791971
45 Resiyam Arisandy 2 NPBI 12/10/1989 P B31 C621704 8841553
46 Siti Fadliyah 1 NPBI 54 th P MRK 1 C095689 8839937
47 Theodora Septiana T 3 NPBI 9/15/1992 P R4B C621614 8841630
48 Lemanto, IR 2 NPBI 56 th L Transit C621688 8841756
49 Suwarsih 3 NPBI 44 th P R5B C588055 8841640
50 Tutik Yuliati 1 NPBI 45 th P B31 C620435 8841607
51 Martina Wijiyati 2 NPBI 38 th P B31 C619038 8815754
MALAM : II,AF,WD,RE,BD,DM,EW RR : FA,TR,YS MID : TU, ND RR GRD : AU SORE PROGRAM : WU,CA,SA,AN,A
73 Puji Hastati VIP NPBI 1/25/1960 P MRK 2 C333859 8843805
75 Djuwariyah VIP NPBI 8/1/1950 P GRD L6 C381454 8842510
76 Basoeki Soekisno 1 NPBI 11/2/1940 L GRD L5 C620085 8839956
77 Hanif Firjatullah VIP Um 4/27/2008 L GRD L3 C099806 8843859
78 Stevie Elkaristo Wopar 1 NPBI 20 th L KTL C621936 8843946

80 Safitri Nur Taqwaningtyas 1 NPBI 41th P B31 C620164 8841890
CITO
81 Ratih Mulyorini 1 NPBI 31th P B31 C621817 8841942
82 Sugi Hariyanto 3 PBI 45th L R2B C621718 8841735
83 Amalia Nur Arifin 3 SKTM 8hr P PICU C622013 8845034
84 Ida Farida 3 NPBI 32th P R2A C571329 884955

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
DIAGNOSA TINDAKAN PERAWAT
Fr Ulna Sin tbk Debridment S DRY EA WD
Peritonitis Re - Laparatomi Hepatico jejunustomi KH RR √ II MW

Pasang CVP KH HR √
ATK ATE + Explorasi Massa Nasofaring B DAT √ HA AS,MY
MY,HA,
TK TE S DAT √ EA
NI
Peritonitis Laparatomi repair Perforasi gaster KH MM √ SE WD
Acut Limb Iskemik Cruris Pedis Dex Embolektomi KH ALI √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Peritonitis generalisata Laparatomi Explorasi Apeddictomi KH RR √ NI AT,TK

Pasang CVP KH TA √
Skin Avulsi r/ For Head Auricula Dex Debridment + Rekontruksi Telinga PJ √ RG AT

KH
Laparatomi Explorasi Repair Perforasi
peritonitis KH PB √
Gastrojejunustomi
CKD Pasang Double Lumen K ALI √
AS,TK,
ICH Temporo Parietal Sin Craniotomi KH ER √ AT
NI
ICH Kraniotomi Dekompresi + Duraplasty KH HY √ AS TK
Pasca Trakeostomi + Eksterpasi Massa Aff tampon anterior Cavum nasi K DAT √
Massa Hipofaring Laringoscopy Direct Evaluasi DAT √ AU CA

S
EDH Kraniotomi Epidural Hematoma HY √ BR AM

KH
ICH Kraniotomi Dekompresi KH HY √ AD MY
Hernia Scrot dex Inkasirata Hernioplasty B MM √ DM HI

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,PM,
SU,HE
Adeno Ca Endometrii St 1b Surgical Staging KH MZ √ EV,SA EV AF
Laparaskopi Cholesistektomi +
Cholesistolithiasis + Tumor Mediastinum ALI + ERI
Thoracotomi
Pneumothorax Sinistra post WSD Thoracotomi Dekortikasi ALI
Thoracotomy Ligasi Fistula Esofageal +

Atresia Esofagus, MAR dg Fistel KH,B,B RR √ AH,DI AH DI
Gastrostomi + Cervical Esofagostomi
Massa Mediastinum + Limfadenopati Colli Insisi Biopsi + Limfadenektomi Colli WW
Mata Kanan Kiri High Miopia + KSI Mata Kiri Phaco + IOL FET YW, TU
Mata Kiri Decenterasi IOL Mata Kiri Explantasi IOL RF
Mata Kiri Katarak Komplikata , CKD Mata Kiri Phaco + IOL RF
Ca Endometrii St II Surgical staging KH EW √ TW,TK TW TK
Cystadeno Ca Ovarii Inadequat Staging Complet Surgical staging KH EN √ TK TW
Tumor Intra Abdomen Laparoskopi Biopsi k/p Open ERI TD,RK

Tumor Colon Ascenden c/ Ganas Laparatomi Hemikolektomi Dx KH ERI √ RK TD
Pasang CVP KH JL √
Laparatomi Explorasi Adhesiolisis
Tumor Caecum c/ Ganas KH,KH ERI √ SR AR
Kompleks + Apendiktomi
STT Reg Supra Calvicula Dx Eksisi Luas + Adenektomi + PA B,S BIS AZ,ET AZ TR
Ishmolobektomi + FS, ganas - Total

SNNT Sin c/ Ganas T3NoMo KH,KH BIS TR AZ
Tiroidektomi
IDC MS gr II TxN0M0 Mastektomi BIS
Tumor Maksila Dx c/ Ganas Hemimaksilektomi Partial + PA KH DWT √ RE RG
Ishmolobektomi + FS, ganas Total

SMNT Reg Colli DWT
Tiroidektomi
Ca Papilary Thyroid Total Thyroidektomy KH DWT √ BY RG
Releae Fore Head Flap Re-Inseting Fore Head Flap B RZ √ TA,AO TA AO
Keloid Reg Antihelix Sinistra Eksisi + Rekonstruksi Daun Telinga KH PJ √ AO TA
Ca Mamae Dextra Wide Eksisi + Deseksi Aksilla MD B,KH DH NK,HR HR NK
Menigioma Falk Decompresi Dextra Craniotomi Mikro Dasar Tengkorak KH ZM √ LW,SF,TR LW SF
Low Grade Astrositoma Craniotomi Konveksitas KH MTA √ ND SA

Fr Tarsal Pedis Dx Tbk Gr III Terminalisasi Jari, Trauma KH DRY √ PR,AP PR AP
OA Genu Dx Release Kontraktur KH BIN √ AP PR

EN,MA,WI, EN,
CAD + 3VD CABG High Risk BJ.11 SF √ WI
BP,SS,IM MA
BJ.05
PDA Repair Coarctasio Aorta + Ligasi PDA WW √ BD SE
BJ.09
Adenomiosis Histerektomi Total + SOS + Adhesiolisis KH,B,S HR √ NP,EA AG NP
Multiple Mioma Uteri, Menoleinorhagia Laparaskopi Miomektomi KH INU √ AL,VT VT AL
RD : PS SORE PROGRAM :GI,WU,ST,AN,AR,AI,AF,AG,AM,AT,RE,BY,BD,IS,ND,RG,SE,SR ALAT : PUR

Efusi Pleura Dex Pasang Pigtail (WSD) S Sofian √
IDC MS gr II TxN0M0 Insisi Biopsi S BIS NK HR
Post FESS, CWL Aff Tampon K DAT √ AS AY
Tu Intra Abdomen Laparoskopi Adhesiolisis KH MG √ AF EV
Post Neurotisasi , Plexus Brachialis Injuri Debridment B DRY √ AR ND
CKD Pasang Double Lumen K AS √ SC PM
Ulkus DM Pedis Dex Debridment Luas B AS √ RE BY,IS
Psudoaneurisma Anebrachii Sin Repair Arteri KH AS √ RG
Mastoiditis ME Radikal + Tympanoplasty Kanan B,KH ZUL √ IS AI
SL.NH,
Ileus Obstruktif Laparatomi Reseksi Ileosekal + Ileostomi KH RR √ PM
HE.SU
Tumor Intra Abdoment Post Laparatomi SU,PM,

Laparatomi Aff Packing KH ERI √ SL
Biopsi HE,NH
Efusi Pleura Pasang WSD S ALI √ AM WU

CKD Repair Pasang Double Lumen K ALI √ AM WU
WU,JF,
Atresia Doudenum Laparatomi Duodenujejunustomi KH RR √ AN
AM
Apedisitis Akut Apendiktomi KH ERI √ JF AM
Apendicitis Akut Laparascopy Appendiktomi KH MG √ AN,BR AD,NI
Ileus Obstruktif Laparatomi explorasi KH MM √
CA,NI,B
Stenosisi Ureter Post Uretroplasty Open Sistostomi B ADS AD
R,MY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,PM,
SU,HE
Nefrolithiasis Sin + Post Pasang DJ Stent Aff DJ Stent S ADS √ EV,SA SA EV
Pyelonefrolithiasis Dx Pyelolitotomi Dx + Pasang DJ Stent KH,B ADS √ SA EV
Striktur Uretra + Hernia Inguinal Herniorhapy + Mesh B,B JS √ SA EV

ReAnastomoses Uretra KH ADS √
Short Bowel Syndrome ec Malrotasi Re-Laparatomi Santuli Procedure RR AH,DI
Fistel Rectovesica Open Sistostomi B RR √ AH DI
Femosis, Pansitopenia Sirkumsisi S RR √ DI AH
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ DI, ST RK
Mata Kiri Proptosis Susp Pseudotumor Mata Kiri Injeksi Triamcinolone Retrobulber TL
Mata Kanan Katarak Senilis Matur Mata Kanan ECCE + IOL WIS YW, TU
Mata Kanan Katarak Komplikata + Ablatio
Mata Kanan Phaco + IOL + Sinekiektomi WIS
Retina
Mata Kanan Kiri PEX GL Mata Kiri Phaco + IOL MR
Mata Kanan Injeksi triamcinolone Sub
Mata Kanan CRVO + Macular Edema AL
Tenon
Mata Kiri Ulkus Kornea Cum Hipopion
Mata Kiri AMT + BCL S DN √ TU ND
Impending Perforation
NOK c/ Ganas SOS + Omentectomi + FS B,S OP √ TW,TK
NOK Salpingo Ooforectomi + FS B INU √
Ulkus Kronis Reg Pedis Dextra Amputasi Below Knee Dex KH ALI √ SR AN
Gangren Dig I & II Pedis Dextra Amputasi above knee Dex S ALI √ SR II
Laparoscopy Cholesistectomi + Open

Cholelithiasis + Choledocolithiasis Eksplorasi CBD Shunting KH,KH JS √ UM TW,HA
Choledocoduodenostomi
Appendicitis Laparaskopi Appendiktomi KH JS √ TD,UM,HA HA TD,UM

Laparotomi Explorasi CBD Bypass
Choledocal Cyst Tipe I Choleduco-Duodenostomi + Unrofing Kista KH,S ERI √ II AN
Hepar
Cholelithiasis Laparoscopy Cholesistectomi KH ERI √ AN II
Rhabdomyosarcoma reg Femur Dextra Compartementectomi + FS KH BIS √ AZ,TR TR AZ
Sub Total Thyroudectomi + FS Ganas -

SNNT Dx C/ Ganas T3N0M0 KH,KH UUD √ AZ TR
TT
Limfadenopati Reg Axilla Dextra Limfadenectomi Biopsi S UUD √ DB SE

Limfadenopati Colli Limfadenektomi + PA B DWT √ DB SE
Ca Mamae MRM KH DWT √ ND WD
Ca Mamae MRM KH DWT √ RE EN
Fr. Parasimfisis Mandibula Dextra Rekonstruksi Tl Wajah Komplek KH ETH √ TA,AO TA AO
Ca Laring + Fistel Esofagocutan (HbsAg+) Fistulektomi B WY √ AO TA
LMNH Ekstirpasi + Nekrotomi Massa cavum Nasi S,B WY √ BY SE
Mata Kiri Ekstraksi Katarak + IOL + PPC +

Mata Kanan Kiri Katarak Juvenile KH LN √ NK,HR HR NK
Vx Anterior
Mata Kanan Ekstraksi Lensa + PPC + PI +

Mata Kanan Katarak Kongenital KH LN √ HR NK
Vx Anterior
Emulsifikasi SO Katarak Mata Kiri Mata Kiri Evakuasi SO + Phacoelmusifikasi KH,KH AL √ HR NK
HNP multiple Th XII-L1 Laminektomi KH AJ √ LW,SF,YS LW SF
Fibrous Displasia Craniotomy Dasar Tengkorak KH HY √ AF DB
Fr Phalang Distal Dig V Manus Sin ORIF Shaft Digiti KH DRY √ PR,AP PR AP
Post ORIF Clavicula Debridement + Aff Implant B DRY √
Partial Amputasi Auricula Sinistra + Fr.

ORIF Clavicula Sin KH DRY √ WD GI
Clavicula Sinistra 1/3 tengah
Debridement + Skin Pocket Flap
KH PJ √
(Rekontruksi Telinga tahap I)
EN,MA,WI,
MR Severe, TR Mild MVRepair + TVRepair BJ,08 SF √
BP,SS,IM
CKD AV Shunt WW
Phlebitis Ds Manus Sin & Joint Wrist Dex et
Debridement + STSG Gradual Stretching KH PJ √ RK,EA,DA EA AI,DA
Sin
Suspect Keganasan Hematologi BMP B HER √ DA AI,EA
Suspect Keganasan Hematologi BMP B MOED √ EA AI,DA
NOK C/ Ganas Surgical Staging + FS KH EN √ AL,VT AL VT
Laparatomi Adhesiolisis Kompleks + KH ERI √

Resekis Anastomose Ileum
P3A0 Missing Tail IUD Aff IUD dg Anestesi K PS √ DA AI
STT Reg Mandibula Eksisi Tumor S DH DW,ER DW ER
Myelopati Cervical + HNP Neuroplasty + Rhizotomy KH TRI A √ ER DW
RD : PS SORE PROGRAM :GI,WU,AI,II,ST,AN,AG,AF,AT,RE,BY,DB,IS,ND,RG,SE,SR,WD,AR ALAT : PUR,YN
Fistula Ureter post Psg stent Sachse + Sistoscopy KH WAN √ AU AY,AS
Ca Cervix, Hematoschezia Colonoscopy + Biopsi KH MG √ MR US
Mata Kanan Kiri Katarak Juvenile + Susp Mata Kiri Ekstraksi Lensa + PPC + PI +
KH LN √ NK HR
Ambliopia IOL+ Vx Antrior
EVT + Anerisma Femur Dex Embolektomi KH AS √
CKD Pasang Double Lumen K AS √ SA IS
Impaksi Odontectomi 4 gigi + Bone graft KH,KH DV √
TMD C/ Ganas Incisi Biopsi S DWT √
Ca Mamae BCT KH DWT √ SE RE
Post AMP Parsial Arthroplasty Hip Dex KH BIN √ AR,BD RK,CA
OA Genu Bilateral TKR Sin KH BIN √ AR RK
Palatoschizis Palatoplasty KH NJT √
G2P1A0, Hml 39mg, Bekas SC SCTP B TF Gatot
SL,SU,
SDH Kronis Craniotomi Evakuasi hematoma KH HY √ IS
NH
G2P1A0, hml 36mg, bekas SC SCTP B HR √ Gatot
Efusi Pleura WSD Thoracal Sin S WW PM WU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,PM,
SR,HE
Hipospadia Uretroplasty KH ADS √ EV,SA
Ca Epidermoid, Ca Cervix St III b, Post Psg

Litotripsi + Aff DJ Stent KH,S ADS √ DA EV
DJ Stent
Ca Cervix St III b c/ Metastasis VU Sistoskopi + Biopsi S ADS √ DA EV
CKD on HD Aff CAPD S ADS √ EV DA
Ca Ovarii Inadequate Staging CSS KH EN √
Laparatomi Apendiktomi S ERI √
Repair Wound Dehisence + Ileostomi

Short Bowel Syndrome ec Malrotasi S,B RR √ AI,DI DI AI
(Michulicz)
Post PSARP ec MAR + Fistel

Reseksi Anastomose Colon KH RR √ AI DI
rectovestibuler
CKD Double Lumen WW
Ulkus Diabetikum dig I - II Amputasi Digiti I - II Pedis Sin B WW √ RK NO

Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL RF
Mata Kiri Katarak Komplikata e.c Steroid
Mata Kiri Phaco + IOL RF YW, TU
Drug Induce
Mata kanan PAC + Mata kiri APAC Mata kiri Trabekulektomi FI
Tumor Metastasis di VThx, Adeno Ca Lumbal Sympatic Blok
B AJ √
Mamae (Neurolysis/Neuroplasty)
Fr Kompresi Perkutaneus Paravetebra Blok KH AJ √ PS YW
Mata Kanan Kiri Keratitis Marginalis + Band Mata Kanan Kiri Debridement Band
WIN
Keratopathy Keratopathy
Kistektomi Bilat + Ometektomi +
NOK C/ Ganas KH,S,S HR √ TW,AO TW AO
Adhesiolisis + FS
NOS c/ Ganas SOS + FS B INU √ AO TW
Laparatomi Biopsi B ERI √
Pasang UK 2 sisi + Sistoscopy S MAS √
Mata Kiri Ulkus Kornea Perforasi Mata Kiri Eviserasi Bulbi + DFG B DN √ II NO
Hernia Scrotalis Sin (Hbs Ag +) Hernioraphy + Mesh B MM √ UM TD
Splenomegali, Thalasemia, Cholelithiasis Laparotomi Splenectomi MM TD,UM
Adeno Ca Anorectal Laparatomi Miles Procedure KH ERI √ UM TD
Adeno Ca Rectum Laparatomi Anterior Reseksi Colon KH ERI √
Tumor Intra Abdomen C/ Limfoma Laparotomi Biopsi KH ERI √ EA MW
Wide Eksisi Aksila + FS, Incisi Biopsi +

TMD C/ Ganas T3N2M1 Hepar B,S BIS √ AZ,TR
PA
BCC Nasal T1NoMo Post Eksisi Wide Eksisi + FS B UUD √ AZ TR
Superficial Parotidektomi + FS, Ganas -

Tu Parotis C/ Ganas, T4bN0M0 B,KH UUD √
TP
Isthmolobektomi + FS, ganas Total
SNNT c/ Ganas T2NoMx DWT
Tiroidektomi
Isthmolobektomi + FS, ganas Total , KH,KH
SNNT Dx C/ Ganas DWT √ RK PS
Adenektomi + FS ,S
Malignant neoplasm of breast unspecified Wide Eksisi Biopsi Mammae B DWT EA AT
Labiognatopalatoschizis Unilateral Sin

Labioplasty + Rekonstruksi Hidung KH NJT TA,TK TK TA
Komplit
FR. Os Nasal, Fr. Femur Sin 1/3 tengah Reposisi Fr. Nasal KH NJT √ TA TK
ORIF Fr Femur Sin KH BIN √
Crush Injury Cruris Dextra Debridement B RZ √
Mata Kanan Vitreus Hemorage Mata Kanan Vitrektomi + Lensektomi KH,B AL √ NK,HR HR NK
Mata kiri RRD Mata kiri Scleral Buckle + Cryotherapy KH AW √
Mata kiri Silikon Filled Eye Mata kiri Evakuasi Silikon Oil KH AW √ HR NK
Mata kanan Katarak Komplikata + SO Filled Mata kanan Phacoemulsifikasi + IOL +

KH,KH AW √ MK
Eye Evakuasi SO
Adenohipofise Apoplexi Transpenoid Surgery KH DP √ LW,SF LW SF

SOL Sphenoid Craniotomi Dasar Tengkorak KH DP √ WD SA
Fr. Collum Femur Bipolar Hemiarthroplasty DRY PR,ES

OA Genu Sin Ganti Sendi KH DRY √
ES,
Fr. Segmented 1/3 Distal Ulna Multiple Fraktur - ORIF KH DRY √ PR
DB
OA Genu Sin TKR Sin KH BIN √
EN,MA,WI, EN,
CAD 3 VD CABG High Risk BJ.11 WW √ WI
BP,SS,IM MA
Thoracotomi Explorai Eksisi Tumor
Cholesistolithiasis + Tumor Mediastinum KH ALI √ RG MY,AN
Mediastinum
Laparascopy Kholesistektomi KH ERI √
Suspect Keganasan Hematologi BMP B NYO √ AH,SU,HA SU HA,AH
Suspect Keganasan Hematologi BMP NYO

Batu Ginjal Nefrolithotomi Dex KH MAS √ AH SU,HA
NOS C/ Ganas TAH + SOU + FS KH,B JD √ AL,VT VT AL
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ VT SU

SNNT KH,KH YAN √ DW,ER ER DW
Tiroidektomi
Hamil 12-14 minggu + HNP L4-S1 Neuroplasty KH TRI A √
Bisitopeni BMP HER

D : DA SORE PROGRAM : WU,AI,II,ST,AN,AT,YS,BY,DB,ND,RG,SE,SR,WD,EA,MW,WD,MK,NO ALAT : PUR,YN
Hemangioma Eksisi + Rekontruksi Flap KH PJ √ AU AS
G4P3A0, Hml 38mg, bekas SC SCTP + MOW B JD Gatot
NH,SL,
SDH Kronis Kraniotomi KH HY √ PM
SR
Hidrocephalus Pemasangan VP Shunt KH HY √ SL HE
Apendiksitis Akut Apendiktomi KH ERI √ WU BY
CKD Repair Double Lumen K ALI √
CKD Repair Double Lumen K ALI √ WU BY
Hemangioma Plantar Pedis Sin Excisi + Rekontruksi KH PJ √ MY II

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,PM,
SE,HE
Hipospadia Uretroplasty KH ADS √ EV,SA SA EV
Ca Cervix St III B, Mild Hidronefrosis duplex Sistoskopi + Nefrostomi S,KH ADS √ EV SA
OMSK Kiri dg Mastoiditis Mastoidektomi Simple B ZUL √ ST
Perforasi Membran Timpani Thympanopalsty Kiri KH PW √
Massa Ginjal Kanan c/ Nefroblastoma Laparatomi Explorasi Nefrektomi Dextra KH EDW √ AI,DI AI DI
Hernia Scrotalis Bilateral Reponible Herniotomi Inguninal Kanan , Kiri B,B EDW √ DI A
Polip Antro Koana FESS + Kokotomi + Adenektomi KH,B,S DAT √ DM EA
Ekstirpasi Massa dgn Hemimaksilektomi

Ca Sinonasal KH DAT √ DM EA
Lateral
Mata Kanan KSI Mata Kanan Phaco + IOL KH AK √ YW TU
Mata kanan Afakia, Mata kiri Pseudofakia Mata kanan secondary implant ( iris claw ) WIS
Mata kiri katarak senilis imatur Mata kiri Phacoemulsifikasi + IOL WIS YW, TU
Mata kiri pseudofakia Mata kiri aspirasi / irigasi sisa korteks RF
Mata kanan kiri katarak senilis imatur Mata kiri Phacoemulsifikasi + IOL RF
Mata kanan decompensated kornea + GI dd
Mata Kiri Triple Procedure FI
POAG, Mata kiri KSI + POAG
Mata kiri Kanan PACG + Katarak Senilis
Mata kanan Triple Procedure FI
Imatur
Mata kiri PACG + Katarak Senilis Imatur Mata kiri Phacoemulsifikasi + IOL MR
Adhesiolisis sangat luas + BSO + KH,KH
Ca Cervix St III B, NOS MZ √ TW,AO AO TD
Omentektomi ,S
Pasang WSD S WW √
Mola Hidatidosa Suction Kuretase K MZ √
P6A1, NOK dg Bag. Padat Laparatomi Explorasi KH INU √ II NO

Hemicolectomi dex KH MG √
Nekrotsis Dig II - V Pedis Dextra Amputasi Lisfranx Pedis Dex B ALI √ II NO
Simpatectomi VATS Thoracal + Amputasi

Nekrosis dig I-III Manus Sin ec POAD KH,B ALI √ AN
Dig I-III Manus Sin
Ulkus DM Pedis Dextra Debridement S ALI √ II TD
Thalasemia, Splenomegali,
Laparatomi Cholesistektomi + Splenektomi B,KH MM √ RK,UM UM RK
Cholecystolitiasis
SOS B MZ √
Laparoskopi Konversi open Eksisi Tumor

Tumor Intra Abdomen dd limfoma KH MG √ TD DB
Intra Abdoment
Tumor Caput Pankreas Laparatomi Biopsi Pankreas Hepar KH ERI √ TD
Tumor Hepar c/ Ganas Laparatomi Biopsi Hepar KH ERI √
SCC Reg Mandibula Eksisi B BIS AZ,TR

Tumor Kulit Wide Eksisi + FS + Rekonstruksi B,KH BIS √ AZ TR
Ca Cervix Surgical Staging KH EW √ NP SU,HA
Laparatomi Adhesiolisis Kompleks KH ERI √
Tumor Maksila Hemimaksilektomi + Tracheostomi KH,S DWT √ BY AT
Isthmolobektomi + FS, ganas Total

SNNT c/ Ganas T2NoMx DWT
Tiroidektomi
Hemangioma Submandibula Dx Eksisi dan Rekonstruksi + Skleroterapi KH,S NJT √ TA,RG BY TA
Tumor Mandibula Sin Enukleasi Kista besar RZ RP √ TA BY
Ulkus ec abses Debridement B NJT √ BY,RG TA
RG,M
Open Degloving Antebrachii Sin STSG Luas KH PJ √ DB
W
Mata Kiri Retinal Still Detachment Mata Kiri Vitrektomi + EL + SO KH AL √ NK,HR HR NK
Mata kiri Phaco + IOL + Vitrektomi + EL +

Mata kiri Katarak + Vitreus Hemorrage KH,KH AL √ HR NK
SO
Mata Kanan Silikon Failed Eye Mata Kanan Evakuasi Silikon Oil KH AW √ HR NK
Mata kiri Makular Hole Gr II Mata kiri Vitrektomi + MP + Gas KH AL √
Canal Stenosis VL I Laminektomi Kompleks KH AJ √ LW,SF SF LW

Fusi Posterior Cervical + Fixasi OCF KH HY √
Hidrocephalus VP Shunt ER
Fr. Collum Femur Sin Ttp NK Ganti Sendi Partial KH DRY √ PR,AP AP PR
Fr Radius Dx 1/3 Distal Ttp Nk ORIF Shaft Radius KH DRY √ PR AP
OA Genu Sinistra TKR Sinistra KH BIN √ WD ND
OA Genu Dx TKR Dex KH BIN √ ES,AR WD
BJ.04 EN,MA,VT,
Tetralogy of Fallot Total Koreksi (VSD Closer + Repair PS) WW √ AH MA,VT
BJ.09 BP,SS,IM
Fr. Costae Sinistra Thoracotomi Explorasi + ORIF Costae KH ALI √ WI EA
Kista Ovarii Laparoskopi Kistektomi KH TF √ NP,SU,HA HA NP,SU
NOK Dg Bag Padat C/ Ganas SOU + FS TF
Embeded 4 Gigi + Ganggren Odontektomi 4 gigi KH DV √ AL,ES AL ES
Ca Tonsil Ekstirpasi Massa Tonsil + Tensilektomi S,S DAT √ SU HA,NP
Multiple Limfadenopati Wide Excisi + PA B DH DW,ER DW ER
Wide Eksisi + Rekontruksi Flap Sederhana

Soft Tissue Tumor B,B UUD √ ER DW
+ PA
Kompartementektomi + groin Disection + KH,KH
Rhabdomyosarcoma Femur Dextra UUD √ ER DW
Rekontruksi Pasca Keganasan ,KH
D : DA SORE PROGRAM : WU,TD,II,NO,ST,SR,AT,BY,DM,TK,DB,EA,WI,PS,MW,MK,ND,WD ALAT : PUR,YN
Tu Submandibula Insisi Biopsi S OEN √ ES AL
CKD St V Pasang Double Lumen K AS √ SA SC
Facial Cleft Rekonstruksi Hidung KH NJT √ ST DM
Syringomelia Craniotomi Dasar Tengkorak KH DP √ PS ND
Bedah Micro Medula Spinal KH HY √
Impaksi Odontektomi 4 gigi KH DV √ AL ES
Fimosis Sirkumsisi S RR √ AS AY,AU
Selulitis Submandibula Eksplorasi Abses + Tensilektomi S,S RR √ PM SL,NH
Odontektomi 2 rahang KH RP √ HE,SE

CKD Pasang Double Lumen K WW √ SR WU
Hernia Scrot Dex Herniorhapy + Mesh B MG √
Tgoracotomi Explorasi Evakuasi

Pericardial Hemorhage KH ALI √ WU SR
Hematoma
Fr OS Nasal Reposisi Terututp Fr Nasas S RZ √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,SL,AU
PLH : AL,AK
DI,VT,MY
Fr Collum Femur Ganti Sendi KH DRY √
Multiple Ekstraksi gigi dg penyulit + VT,DI,

Multiple Gangren dg TOF B,S DV √ AU
Tambal 3 gigi SL
Batu ren ESWL ADS

Nefrolithiasis ESWL MAS
Mata kiri katarak senilis imatur Mata kiri phaco + IOL KH AK √ DI MY
LW,M SF,DM,
SOL reg Frontal Craniotomi KH ER √
W HA
Impaksi Odontektomi 5 gigi dgn penyulit KH DV √ DB ND
OA Genu Dextra TKR Dextra KH BIN √ ND PS,DB
bersih2 OK 1 : ER, AO OK 4 :EM,UM OK JT : MA,IM DS : AY,GN,MR

OK 2 : ES,YN OK 5 :TD ,PM ALAT ANEST : HE,BP,US
OK 3 : YW,TU OK 6 : AZ,SR SETTING ALAT : EV,AI,YW,NK,TD,TW
OK 7 : RK,SU OK 8 : NK, HR MEJA OP : SS
OK 9 : LW,SF OK 10 : PR,ER
I,WD,DM,DB,HA,II,WI,PS,MW,MK,YS,ND,RG,ST ALAT : PUR
Impaksi Odontectomi 2 Rahang KH RP √ PM WI
Apendicitis Akut Appendiktomi KH RR IS RE
Hernia Scrot Sin Laparatomi Herniotomi KH RR √ AU MY

Pasang CVP KH UB √
G2P0A1, Hml 38mg, SCTP B ER √ Adhie MY DI,SL
CKD Pasang Double Lumen K ALI √ WI RG

CKD Pasang Double Lumen K ALI √ PS HA,MY
Hidrocephalus Com Susp
Pasang VP Shunt KH HY √ MY WI,PM
Meningoencephalocele
Ligasi Perdarahan Lidah Anterior +
Laserasi Lidah Inferior B DAT √ EA MY
Explorasi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AP,TA,HI,A
RSK + Konka Hipertropi + Sinekia FESS III + SR + Konka Reduksi KH,B,S RH √ D,DA, DY, DA TA
EW
PID, Adnexia Akut, Riw Vaginoplasty Repair Vaginoplasty KH TF √ NI EW,HI
Laparatomi Reseksi Ileum Anastomose E

Appendicitis Akut KH,KH MG √ HI ND
to E + Appendiktomi
Mata Kiri Injeksi Antibiotika IVT + Vitreus
Mata Kiri Endoftalmitis + psuodofakia S AW √ TA NI
Tap
Mata Kanan Laserasi Palpebra Mata Kanan Hecting Palpebra B MR √
WU,M
Ileus Obstrutif Laparatomi Explorasi Repair Gaster KH ERI √ HA
Y
CKD Pasang Double Lumen K ALI √ PS HA
CKD Repair Double Lumen K ALI √ WI
Massa Hipofaring Pasca Traceostomi LD Pemasangan NGT + Ganti Kanul S,K DAT √
perdarahan
Pasang CVP KH DN √
NH,DY,
Adeno Ca sinunasal Hemimaksilktomi KH DAT √ AE
WI,DB
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,SE,HE,
DA
Hipospadia Penile Uretroplasty KH ADS √ EV,DM EV DM
CKD On HD Pasang CAPD S ADS √
Hidronefrosis Dextra ec Uretrolithiasis

Ureterolitotomi Dex KH WAN √ AU TA
dextra proximal
MAR + Fistula Rectovagina PSARP KH EDW √ YN AI
Laparotomi Adhesiolisis Kompleks Reseksi

Fistula Enterocutan high output KH RR √ AI,YN AI YN
Jejunum + anastomose E to E
Phimosis + MAR PSARP + Sirkumsisi KH,S RR √ TA TK
SNNT Dex C/ Ganas Istmolobektomi + FS, KH DWT √ AM US
Mata Kiri Subluksasi Lensa Mata Kiri Ekstraksi Lensa RF

Mata Kiri Katarak Senilis Matur Mata Kiri ECCE + IOL RF
Mata Kanan Kiri Katarak Senilis
Mata Kanan EKIK WIS YW,DI
Matur,Pseudoexofaliatif, Glaukoma
Mata Kanan Primary Angle Closure, Mata
Mata Kiri Trabekulektomi FI
Kiri Acute Primary Angle Closure
NOS C/ ganas, obesitas morbid, DM TP II TAH + SOD + FS, KH,B EN √ TW,SU
P1A0, NOS Oooforectomi Dex + FS B HR √ SU TW
NOK Parsial Ooforectomi Bilat + FS KH PS √ AM TW
Tumor Caecum Hemikolektomi dextra KH MM √
Multiple Cholesistolitiasis Laparaskopi Cholesistektomi KH MG √ TD,AO TD AO
Post Ileostomi Tutup Ileostomi KH MG √ RK MW
Laparaskopi Cholesistektomi + Penyulit

Cholelithiasis KH ERI √ RK MK
Adhesi duodenum Ometem
Burst Abdomen Post Laparotomi Debridment + Stoma Ileum S ERI √ RK DW
Mesothelial Dinding Abdomen Wide Eksisi + Rekonstruksi B,KH BIS √ SR AZ
Fibrosarcoma Regio Abdomen Wide Eksisi + FS B BIS √ AZ SR
Ca Thyroid Total Thyroidectomy KH DH AZ,SR HR MW
Wide Eksisi + Rekonstruksi Pasca

MFH Residif KH,B UUD √ DW MK
Keganasan
Wide Eksisi Mamae Dx et Sin + B,B,B,

Ca Mamae UUD √ AU AM,US
Rekontruksi Flap Sederhana Dex,Sin + PA B
Wide Eksisi Biopsi + Rekontruksi Pasca
Derma Fibrosarcoma B,KH UUD √ HR MW
Keganasan
BCC Pasca Wide Eksisi + Rekonstruksi Debridment + Reinsetting Flap KH NJT √ II,RG SE II
Ulkus Granulosum Cruris Dextra Debridement + STSG KH ETH √ II SE
Cumbustio Gr II B-III KH ETH √ SE II

Debridement + STSG
Ulkus Granulosum Pasca Debridement Debridement STSG + Repair Stump KH,S ETH √ TU MW
Fr OS Maxiolla Dx et Sin IDW + IMW + Rekontruksi Lidah KH PJ √ TA TU,TW
Mata Kanan Asteroid Hyalosis Mata Kanan Vitrektomi KH AL √ NK,UM UM NK
Mata Kiri Afakia + Ablatio Retina (RRD) Mata Kiri Skleral Buckle + Vx + EL + SO KH AL √ UM NK
Mata Kanan TRD, PDR + CSME, Mata Kiri Mata Kanan Vitrektomi + EL + Gas KH AL √ UM NK
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √
Meningioma Supreasella Craniotomi Dasar Tengkorak KH DP √ LW,SF SF LW
Canal Stenosis Servical C5 - 6 Disectomi Anterior (Laminectomi) KH AJ √ SA WD
Fusi Anterior Cervical 5-6 + Fiksasi ACDF KH HY √
Fr Femur Sin 1/3 Distal Inkomplit Ttp Nk ORIF Shaft Femur KH DRY √ PR,AP PR AP
Osteomielitis Tibia Sinistra Post ORIf Tibia Gantrowering Flaps + debridment KH DRY √
Osteomielitis Cruris Sinistra Debridement B DRY √ HI TK
Fr. Os Femur ttp ORIF Fr Tibia Dex,Sin + Fr Fibula Dex,Sin KH,KH BIN √ HI TK
EN,MA,BD,
MR Severe, LV Mixoma MVRepair + TVRepair BJ.08 SF √ MA,BD EN
BP,SS,IM
Thorakotomi Explorasi Dekortikasi
Pneumothorax Sinistra Post WSD KH ALI √ RG TK
Bulectomi
Endometroid Ca Endometrii Surgical Staging KH MZ √ NP,MY NP MY
Adenotonsilitis Kronik Tonsilektomi S AYU √ DY VT
HNP Neuroplasty + Rhizotomy TRI MID : DY,VT
Tumor Testis Dx c/ Seminoma Orchidectomi Radikal + FS KH MAS √ AL,BR AL BR

Hidronefrosis Sin e.c Ureterolithiasis
Nefrostomi + Ureterolthotomi KH,KH MAS √ VT AL,BR
Sinistra
Tumor Kulit C/ Ganas Incisi Biopsi + Limfadenopati + PA S,S YAN √ CA,ER CA ER
SNNT C/ Ganas Total Thiroidektomi + FS KH YAN √ ER CA
Adeno Ca Papiler Thiroid Total Thytoidectomi + PA KH YAN √ DY
RR GRD :MY SORE PROGRAM :AH,RK,TA,HR,AU,AM,AT,DW,TK,ES,HI,JF,TU,MW,PM,SC,SA,US,WD ALAT : PUR
Primary Bone Tumor c/ Jinak (Wide Excisi
C Osteochondroma Femur Sinistra B BIN √ WI WU
+ PA)
Mata Kiri Glaukoma Sekunder silikon Filled
Mata Kiri Evakuasi SO KH AW √
Eye
Mata Kanan Prolaps Iris + Katarak
Mata Kanan Repoisisi Iris + Sinekietomi K RF √
Traumatika
CKD Repair Double Lumen K ALI √
Labiognatopalatoshisiz Unilateral Sin

Palatoplasty + Revisi Labioplasty KH,KH RZ √ NI AS,AY
Inkomplit
Selulitis Penis Sirkumsisi S RR √ AS AY,NI
Corpal Benda Asing Esofaguscopy Ekstraksi Corpal B ANA √ WI
G1P0A0, Eklamsi SCTP dgn penyulit B OP √ Gatot
Laparatomi Explorasi + Adhesiolisis +

necrotizing Enterocolitis KH RR √ MK HR,PM
Reseksi Ileum + Ileostomi
prolong ET Traceostomi S DAT √ PS WU
G4P3A0, Hml 35mg, PE SCTP + MOW B SR √ Gatot PS DB,HA
Peritonitis generalisata Laparatomi Apendiktomi S EDW DB MY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,SE,HE,
DA
Ca Epidermoid Cervix Uteri st 3b c/ infiltrasi

Sistoskopi k/p Biopsi + DJ Stent Dextra MAS
VU + HN Severe Dextra + HU Dextra
Fistula Uretro Vagina Sistoskopi MAS
Tetralogy of Fallot, Carries Dentis Multiple Ekstraksi Gigi B DV √ EV,DM
Impaksi Odontektomi 4 gigi dg penyulit KH DV √ EV DM
Reposisi Tertutup Maxilla & Mandibula + DM,

Fr. Dentoalveolar Maxilla & Mandibula KH RP √ EV
IDW , IMW SU
SU,
Adenoma Ca Rectie Miles Procedure KH MG √ IS,RK
AM
CML + Splenomegali Splenektomi KH EDW √ AI,YN YN AI
BMP B HER √
MAR on Colostomy + Fistel Recto Vesica Laparatomi Assisted PSARP + Adhesiolisis KH,S RR √ AI, RK YN,US
AML BMP Evaluasi NYO DS
Gangren Digiti V Debridement + Amputasi Digiti IV S,B AS √ IS RK
Mata Kanan Primary Angle Closure Mata Kanan Triple Procedure FI

Mata Kanan Kiri Primary Open Angle
Mata Kanan Trabekulektomi FI
Glaukoma
Mata Kiri Katarak Traumatika + Glaukoma Mata Kiri Ekstraksi Katarak + Buka Jahitan
WIS YW,DI
Sekunder + Jahitan Kornea Kornea
Mata Kiri Katarak Senilis Imatur + Mata Kiri
Mata Kiri Phaco + IOL WIS
ERM
Mata Kiri Katarak Senilis Imatur + Mata
Kanan Pseudofakia
Mata kanan desenterasi IOL Mata kanan Eksplantasi IOL WIS
Mata Kanan Katarak Senilis Matur + Mata
Kiri Katarak Senilis Imatur+ NPDR moderat Mata Kanan ECCE + IOL RF
Non CSME
CKD AV Shunt ALI
Tumor Paru Kiri Core Biopsi K ALI √ TR
Tumor Paru Kanan Core Biopsi K ALI √ TR US
Obtimal Debulking + Omentectomi + KH,S,

NOS c/ Ganas MZ √ TW,TK TW TK
Adhesiolisis Luas + FS KH
NOK Dg Bag Padat C/ Ganas SOU + FS TF

FESS + SR + Konka Reduksi + KH,B,S
RSK + SR + Konka Hipertrofi + Adenoid ANNA √ AM
Adenoidektomi ,S
Laparaskopi Konversi Open Laparatomi
Klatskin Tumor Post Kemoterapi KH MG √ TD,AO AO TD
Biopsi Tumor
Ileus Obstruktif Partial ec Tumor Colon Colostomi ERI
Multiple Cholelithiasis + CKD St V Laparaskopi Cholesistektomi KH ERI √ TD AO
Laparotomi Eksplorasi CBD + Bypass

Ikterik Jaundice KH,KH ERI √ AT AU
Choledocoduodenustomi
Adenoma Ca Musinosum Recti 1/3 Distal Colostomi B ERI √ AU AT
Tu Intra Abdomen C/ Massa Mesenterium Laparotomi Biopsi KH ERI √ AT HR
Ca Lidah Eksisi + FS, S DH √ AZ,SR AZ SR
Tumor Kulit C/ Melanoma Incisi Biopsi + PA B UUD √
Isthmolobektomi + FS, ganas - Total

KH,KH
SNNT c/ ganas T2N1M0 Tiroidektomi, Adenectomi + FS, ganas - UUD √ SR AZ
,B,KH
RND
MW,M
SNNT Sin C/ Ganas T3N0M0 Isthmolobektomi + FS, KH DWT √ AU
Y
SNNT c/ ganas Isthmolobectomi + FS KH DWT √
Ca Papiler Tiroid Total Tiroidektomi KH DWT √ TA HI
Fr Tibia 1/3 Tengah Com Pasca FSE Debridement / Nekrotomi B NJT √ II,RG II RG
Ulkus Granulosum e.c Selulitis Cruris Dx Debridement + STSG KH NJT √ RG II
Luka Bakar Gr II - III 15 % Debridement KH NJT RG II
Release Kontraktur & Rekonstruksi +

Multiple Kontraktur KH,B RZ √ TW BR
STSG
Mata Kiri Ablatio Retina Mata Kiri Vitrektomi + EL + SO KH AW √ NK,UM UM NK

Mata Kanan VH, mata kiri PDR + CSME Mata Kanan Vitrektomi + MP + EL KH AW √
Mata Kanan Kiri TRD e.c PDR Mata Kanan Vitrektomi + EL + Silikon Oil KH AW √ NK UM
Mata kanan Vitrectomi Anterior +

Mata kanan Kiri Afakia KH LN √ HR
Sinikiektomi + Secondary Implant IOL
Mata kanan kiri katarak kongenital suspect Mata Kanan + Mata Kiri Examination
K,K LN √ HR
CRS Under Anastase
Meningioma Clinoid Craniotomi mikro Ds Tengkorak KH ZM √ LW,SF,AF AF LW,SF
Paraplegia e.c Fr. Kompresi Th 11- 12 Laminektomi Kompleks T8-9 KH HY √
Fusi Vetebra Posterior KH AJ √
Debridment + STSG Luas KH PJ √
OA Hip Sin THR Sin KH APR √ PR,AP AP PR
Fr. Sthiloideus, Fr. Radius Ttp NK ORIF Radius KH DRY √ PR AP
Fr Femur ORIF Femur Dex KH BIN √
BJ,03 EN,MA,BD,
ASD II, PDA ASD Closure + PDA Closure WW √ BD MA,EN
BJ.05 BP,SS,IM
Massa Mediastinum Dx, VCS Thorakotomi Eksplorasi SF
Bilateral Kistektomi Bilat Kistektomi KH HR √ NP,MY MY NP
Radikal Histerektomi + BSO + Bilat Pelvic KH,KH

Adeno Cervix Uteri St 1b EN √ DY,VT, AR DY AR
Limfadenektomi Retroperineal ,B
Isthmolobektomi + FS, ganas - Total KH,KH
SNNT Dx c/ Ganas UUD √ AL,BR ES AL
Tiroidektomi, Wide Excisi Colli Dex ,B
Limpadenopati Limfadenektomi Biopsi B UUD √ AS ES
Limfadenopati Colli Bilateral Limfadenektomi Colli S YAN √ CA ER
SNNT C/ Ganas T3N0M0 Isthmolobektomi + FS, Ganas -VTT KH,KH YAN √ CA,ER CA ER
SNNT C/ Ganas T3N2M0 Isthmolobektomi + FS, Ganas - TT, KH,KH YAN √ VT MY
Myelopati Lumbal HNP Neuroplasty + Rhizotomy KH TRI A √ AG AR
RR GRD : IS SORE PROGRAM : AH,RK,TA,HR,AU,AM,AT,DW,ES,HI,JF,MW,PM,SC,SA,US,TR ALAT : PUR
Selulitis Cruris Sin Debridement Luas + Multiple Insisi S AS √ MY
Acute Limb Iscmic Ext Inferior Sin Amputasi Above Knee KH AS √ PS
CKD St V AV Shunt KH AS √ PM SA
Mata kiri Aspirasi Hipopion + scrappipng
Mata Kiri UlkusKornea cum Hipopion S WIN √ HR
kornea
Varises Varisectomi Strepping KH SF √
Mata Kanan APAC, Mata Kiri APAC Mata Kiri Trabekulektomi B FI √ UM NK
Batu Ureter Dex URS-DJ Stent 2 sisi KH MAS √ GI AS,NI
Keganasan SSTL BMP Biopsi B HER √ GI AS,NI

Ganggren Cruris Pedis Dex Amputasi Atas Lutut KH WW √ DA SE
Corpus Alenium di esofagus Esofaguscopy B RR √ HE SE
CKD Pasang Double Lumen K ALI √ HE DA

Efusi Pleura Pasang WSD S ALI √ SL DA
SDH Akut Craniotomi SDH KH MTA √ WD WU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,SE,HE,
DA
Hipospadia Uretroplasty KH ADS √ EV,GI,AR GI EV,AR
UDT Orchidopexy + Sirkumsisi KH,S ADS √ GI EV
Adeno Ca Cervix Uteri + HN Ganti DJ Stent B ADS √ DM EV,GI
Tumor Ginjal Sin c/ RCC Open Biopsi KH ADS √ PM
Varises Stripping Varises KH ALI √ TK
MAR Fistel Rectovasibula Colostomi B EDW √ YN AI
Wound Dehiscense Post Laparatomi Debridement + Rehecting S RR √ AI,YN YN AI
Hematomesis,Melena,Limpadenopati Laparaskopi Konversi Open Biopsi

KH RR √
Paraaorta Adesiolisis
Post FESS Eksplorasi Cavum Nasi B DAT √ NI IM,YR
Mata Kiri Proptosis e.c C Pseudotumor Inj Triamcinolone Acetat AK YW,DI

Mata Kanan Kiri Katarak Komplikata d.d
Steroid Induced Katarak
Mata Kanan Kiri Steroid Drug Induced
Mata Kanan Phaco + IOL WIS
Katarak
Mata Kiri Katarak Senilis Matur Mata Kiri ECCE + IOL RF
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL WIS
Mata Kanan Kiri Pseudofakia, Mata Kiri Mata Kiri Eksisi Pterigium + Limbal Stem
DN
Pterigium Nasal Cell Graft
Mata Kanan Ulkus Kornea e.c Bakteri Mata Kanan Amnion Membran Transplant DN
CKD St V Psg DL K ALI √
NOS C/ Ganas TAH + BSO + FS KH,KH PS √ TW,SU SU TW
Fr Costa 2-3 Post Dx, Fr Costa 4-6 Lat Dx +

Clipping Costae KH ALI √ SA DY
Fr. Femur
ORIF KH DRY √
G1P0A0 Janin 1 Hidup Intra Uteri (HIV +) SCTP dgn penyulti B OP √ Gatot DY SA
Post Colostomy Tutup Colostomy KH ERI √ TD,AO AO TD
Laparatomi Total Gastrektomi + TD,

Adenoma Ca Gaster KH,KH ERI √ AO
Rekontruksi DA
Ileus Obstruktif Partial ec Tumor Colon Colostomy ERI
Fistula Recto Vagina Colostomy B ERI √ DA SA

SNNT Bilateral KH,KH BIS AZ,SR SR AZ
Tiroidektomi
STT Reg Antebrachii Sin Wide Eksisi + Rekontruksi Groin Flap + FS B,KH BIS AZ SR
Ca Papilary Thyroid Total Tiroidektomi KH UUD √ TK PM
Schwanoma Reg Thorax Multiple Eksisi B UUD √ US
SNNT c/ Ganas T2N0M0 Ishtmolobectomi + FS, Ganas - TT KH,KH UUD √
Ca Mamae Wide Eksisi + PA B DWT √ DA SA
SNNT Total Tiroidektomi KH DWT TU WD
Labiognatoschiziz Dx Komplit Labioplasty Unilateral KH RZ √ II,RG II RG
Fr OS Nasal Rekonstruksi OS Nasal S RZ √ II RG
Skinloss Phalang Proximal Dig III Debridement + Rekonstruksi STSG KH NJT √ RG II
Ulkus Granulosum Abdomino Pelvis Debridement + STSG Luas Lanjutan KH PJ √ TA
Ulkus Dekubitus Reg Intergluteal Gr III - IV Debridement B PJ √ TA
Mata Kiri Ablatio Retina Mata Kiri Vitrektomi + EL + SO KH AL √ NK,UM UM NK
Mata kiri SO Filled Eye + Katarak

Mata kiri Phaco + IOL + Evakuasi SO KH,KH AL √ UM NK
Komplikata
Mata kiri Luksasi Lensa Mata kiri Vitrektomi KH AL √
Mata Kanan Viterus Hemorage non

Mata Kanan Vitrektomi +EL+GAS KH AL √ DW TR
Clearing , HbsAg +
Limpadenopati Colli Limpadenektomi + PA S DWT √ DW TR
Ca Mamae MRM KH DWT √
Astrositoma Recuren Craniotomi Mikro Ds Tengkorak KH DP √ LW,SF LW SF
Meningioma Olphactory Craniotomi Mikro Ds Tengkorak KH MTA √ BR AN
Keganasan Hematologi BMP B NYO √ PR,AP
Pleksus Brachialis Fiksasi Internal yg Kompleks KH DRY √

Fr Ramus Sup et Inf OS Pubis Dx ORIF BIN
Fr. Dislokasi Ankle Joint Sinistra ORIF (K-Wire) KH BIN √ AU
OA Genu Dextra TKR Dextra KH BIN √ AU
EN,MA,BD, MA,
VSD Sub Aortic, Moderate Ai VSD Closure BJ.04 WW √ EN
BP,SS,IM BD
Abses Paru Dx Thoracotomi Lobektomi KH WW √
Adenomiosis Riw. Laparaskopi Riw. Alergi Adeno Miomektomi B TF √ NP,MY MY NP
SOS + Miomektomi + Ooforectomi Parsial

NOK Dg Bag Padat C/ Ganas KH,B,S TF √ NP MY
Dex + Adhesiolisis + FS
Radikal Histerektomi + BSO + KH,KH
Ca Cervix I B EN √ AL,BR AL ES
Limfadenectomi Pelvis Bilat ,B
Mata Kiri Ulkus Kornea Perforasi Eviserasi Bulbi Mata Kiri + DFG B DN √ ES AL
Tumor Mamae Sin c/ Ganas Biopsi Eksisi + FS, ganas - MRM B,KH YAN √ AF,ER ER AF
Tumor Mamae Sin Insisi Biopsi + FS, Ganas - MRM S,KH YAN √ AF ER
Neuralgia Trigeminal Ganglion Sympatecomy + Inj. Ganglion KH TRI A √ AG,VT AG VT
HNP L3 -4-5, Spondilosis Lumbal Rhizotomy + Neuroplasty KH TRI A √ AG VT

RR GRD : AD SORE PROGRAM : AH,TA,CA,AU,AM,AT,DW,DA,TK,DY,ES,PM,SC,TR,US,AN ALAT : PUR
CKD St V on HD Repair Double Lumen K AS √ ND IS
DVT Embolektomi Evakuasi Clot KH AS √ MW
CKD Std V Pasang Double Lumen K AS √ IS ND
Tumor Femur Eksisi Biopsi Soft Tissue S DWT √
Mata Kiri Ulkus Kornea Cum Hipopion +

Mata Kiri parasintesis + Scrapping Cornea S WIN √ DW
Glaukom Sekunder
Batu Ginjal Sistoskopi Aff DJ Stent S MAS √ AS DM
CKD Pasang Double Lumen K ALI √ HE SE

CKD Pasang Double Lumen K ALI √ HE SE
G3P2A0, Hml 38mg, KPD, Fatal Distres SCTP + MOW dgn penyulit KH EN √ SC AS,
Byspneus Jackson II susp Massa Laring Tracesotomi + LD Biopsi S,S WY √ SL SE
Laparatomi Reseksi Ileus Anastomose E to

KH MG √ AM AY
E
Appendicitis Acut Laparatomi Apendictomi KH EDW √ AT AM
G4P3A0 SCTP + MOW B HR √ Gatot PM

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,SE,
HE
Hipospadia Penoscrotal Post Release

Uretroplasty Tahap II KH ADS √
Chordae
UDT Dupleks Orchidopexy KH ADS √ EV,GI GI EV
Staghorn Stone Sin Bivalve Nefrolitotomi Sin KH WAN √ AM TR
Mioma Uteri Susp Ca Corpus TAH + FS KH OP √ TR AM
Hernia Scrotalis Sin Ireponible Herniotomi EDW
Fistel Rectovagina on Colostomy Fistulektomi B EDW √ AI,AR YN AI
Abses Dinding Abdomen Insisi Drainage Abses B EDW √
OMSK Kiri dg Granulasi Cavum Timpani Thympanopalsty KH PW √ DM AI,YN
Ulkus DM Pedis Dextra Debridement S WW √ ER TR
Mata Kiri APAL, Mata Kanan PACS Mata Kiri Trabekulektomi B MR √ YW YN
Mata kanan kiri PACG + Mata kanan KSI Mata kanan Phaco + IOL MR
Mata kanan PACG + KSI Mata kanan Phaco + IOL MR
Mata kanan kiri steroid drag induced
Mata kanan Phaco + IOL WIS YW,YN
katarak
Mata kanan Katarak senilis matur + Mata
Mata kanan ECCE + IOL RF
kiri Leukoma Kornea
Mata kanan kiri katarak senilis imatur Mata kanan Phaco + IOL RF
Ca Endometrii St II Surgical Staging KH EW √ TW,SU TW SU
Konka Hipertropi + SD + Adenoid Hipertrofi FESS III + SR + Konkotomi KH,B,S RH √
Neoplasma Ovarium Solid SOU + FS B EW √ TK
Laparatomi Adhesiolisis Kompleks + repair

KH ERI √
Laserasi sigmoid
Laparatomi Cholesistectomi + Explorasi
Cholesistolithiasis + Batu CBD KH,KH ERI √ TD,AO AO TD
CBD dgn Bypass
Adeno Ca Recto Sigmoid s/d Anus Wide Excisi B ERI √ MK DW
Debridement B PJ √
Massa Cavum Nasi Sin Maksilektomi Medial KH WY √ MK TA

SNNT c/ Ganas KH,KH YAN √ AZ,SR AZ SR
Tiroidektomi
SNNT C/ Ganas T2N0M0 Incisi Biopsi S YAN √ SR AZ
Struma Koloides Tumor Total Thyroidectomi KH DWT √ IS TA

Tu Mamae Dextra Wide Eksisi + PA B DWT √ SR AZ
Palatoshiziz Inkomplit Palatoplasty KH RZ √ II,NI NI II
Kontraktur Parut Luka Bakar Release Kontrkatur & Rekontruksi KH RZ √ II NI
Tumor Reg Bibir Atas Rekonstruksi Bibir KH ETH √ NI II
Hemangioma Debridement S ALI √ DA TA
Mata Kanan Kiri Katarak Kongenital DD Mata Kiri Ekstraksi Lensa + PPC + PI + Vx
LN NK,UM
CRS Anterior
Mata Kanan IOL Deplacement, Mata Kiri Mata Kanan Vitrektomi + Secondary
KH,KH AW √ UM NK
Katarak Komplikata Implant
Mata Kanan Ablatio Retina Mata Kanan SB + Cryotherapy KH AW √ UM NK
Mata Kanan RRD, Mata Kiri SO Filled Eye

Mata Kanan Vitrektomi + EL + SO KH AW √ NK, DI
ai Endofthalmitis
Mata Kanan PDR + TRD Mata Kanan Vitrektomi + EL + MP + Gas KH AW √ DI
Mata Kiri Vitreous Haemoraghe + Katarak Mata Kiri Vitrektomi + EL + MP + Gas +

KH,KH AW √ DI IS
Senilis Imatur Phacoemulsifikasi + IOL
Meningioma Craniotomi Dasar Tengkorak KH ZM √ LW,SF SF LW
Fr Kompresi Vth Laminektomi Kompleks KH AJ √ BR BD
Fusi Posterior VT + Pemasangan PSRS

KH HY √
VT 3-4-6-7
Neglected Fr. Femur 1/3 Distal Dx, Comm

ORIF + Femur Dextra KH APR √
Ttp. NK
Pleksus Brachialis Injury Post Neurotisasi

Tendon Transfer Pleksus Brachialis Injury KH DRY √ PR,AP AU US
Th I
Fr. Antebrachii Sin Tbk, Gr IIIb Post ORIF Debridement DRY
EN,MA,VT,
ASD Severe MS ASD Closure BJ.03 WW √ EN VT
BP,SS,IM
MVRepiar , TVRepair BJ.08 SF √ MA
TOF, Carries Dentis Ekstraksi Gigi DV
Mioma Uteri, Riw. Appendictomi Total Abdominal Histerektomi KH HR √ AN NP
Laparatomi Kistektomi Bilateral +

NOK Bilateral KH,B,S HR √ NP,AN NP AN
Miomektomi + Adhesiolisis
TAH + BSO + Omentectomi + Adhesiolisis KH,KH
NOK c/ Ganas INU √ AL,AF AF AL
+ FS ,S,S
Observasi Pansitopenia BMP B MOED √
Tumor Mamae Dupleks c/ Jinak Multiple Wide Eksisi Dex,Sin + FS, B,B UUD √ CA,AG CA AG
Fore Quarter Dx + Rekontruksi Pasca

Abdominosarcoma Reg Brachii Dx KH,KH UUD √ AG CA
Keganasan
RR GRD : AD SORE PROGRAM : AH,AU,AM,DW,BR,BY,BD,DA,TK,DI,SC,ER,ES,IS,MY,SA,TR,TA,US ALAT : PUR
CKD St V Pasang Double Lumen K AS √ SA PM
CKD Pasang Double Lumen K AS √ SA PM
Ulkus DM Debridement S WW √ ER TR
Batu Ureter Bilateral, CKD on HD URS - DJ Stent 2 sisi Sistoscopy KH MAS √
SCTP + MOW dgn Miomektomi dgn

G5P2A2, Hml 37mg, Hipertensi Kronis KH TF √ Arsita
Kistektomi
Hidrocephalus VP Shunt KH GK √ SL SE
SL,NH,
Hidrocephalus VP Shunt KH GK √ SE
HE
Efusi Pleura Pasang WSD S ALI √ MY ES,DW
CKD Psang Double Lumen K ALI √ SL NH,SE
Efusi Pleura sin Masif Pasang WSD S ALI √ SE NK
EDH Craniotomi KH MTA √ ES DW
Debridment B RZ √
Hidrocehalus Post VP Shunt VP Shunt Aff K MTA √ DW MY
Hidrocehalus VP Shunt KH AJ √ MY DW,ES

Debridment B HY √
EDH Craniotomi KH MTA √ HR HI,MW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,SE,
HE
Hipospadia Tipe Scrotum Uretroplasty KH ADS √ EV,BR BR EV
Batu UPJ Sin Nefrolitotomi Sin + Pasang Nefrostomi Sin KH,KH ADS √ EV BR
Fr Maxilla Facial + Fr Simfisis Mandibula Rekonstruksi Fr Maxilla Facial ORIF WY + RP
Laparatomi Explorasi + Reseksi Kista

Tumor Mesenterial Abdomen KH,B EDW √ AI,YN AI YN
Mesenterial
Kista Mesenterial Oooforectomi Sin B RR √ MK
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL WIS
Mata Kiri Afakia e.c Nukleus Drop Mata Kiri Secondary Implant (Iris Claw) WIS
Mata Kanan Pseudofakia, Mata Kiri Afakia Mata Kiri secondary Implant ( Iris Claw) WIS YW,AR
Mata Kiri Injeksi Triamcinolone Retrobulber

Mata Kiri Proptosis TL
+ Submuller
SubTotal Histerektomi + BSO +

KH,KH
NOS Omentectomi + Adhesiolisis Kompleks + HR √ TW,SU TW SU
,S,KH
FS
Ca Ovarii Inadequat Stage Histerektomi Total + SOD + Omentectomi KH,B,S EW √
Adhesiolisis + Appendictomi S,S PB √
Mata Kiri Panoftalmitis + DM Mata Kiri Eviserasi Bulbi S WIN √ TD,UM UM TD
Adenomiosis Adenomiomektomi B INU √ TD UM
Adhesiolisis Kompleks KH PB √ MY
Ulkus DM Pedis Dx Debridment S ALI √ MY
Debridment + Amputasi Digiti III & IV Pedis

Ganggren Digiti 3-4 Pedis Dx S,B ALI √ MY MK,DI
Dex
Nekrotik Digiti I Pedis Dx Amputasi Dig I Pedis Dex KH ALI √ DI MK
Debridement + Amputasi Dig II & III Pedis

Ulkus Nekrotikum dig II - III Pedis Dextra S,B ALI √ MY DW
Dex
Tumor Mamae Dx Insisi Biopsi S YAN √ AZ,SR AZ SR
P3A0 Post Partum Spontan PEB Ingin Steril MOW S IN √
Ca Mamae MRM KH DWT √ SR AZ
STT Reg Punggung Wide Eksisi B DWT √ NI
Ulkus Kronis Pedis Dx Debridement B RZ √ GI,AO GI AP
Ulcus e.c Abses Reg Inguinal + Gluteal

Debridement B NJT √ AP GI
Dextra
Ulkus Granula Dada Release Kontraktur Axilla KH ETH √ TA DW
Mata Kanan Kiri Trabekulotomi +

Mata Kanan Kiri Glaukoma Juvenile KH,KH LN √ NK,IS IS NK
Trabeklulektomi + MMC
Mata Kiri Dacriostenosis Mata Kiri Endo-Dacryosistorhinostomy INA+RH
NK,
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + SO/gas KH AL √ IS
DI
Mata Kiri Evakuasi Silikon Oil + secondary
Mata Kiri Afakia + Silikon Filled Eye KH,KH AL √ DI
Implant ( In The Sulcus)
Meningocele Orbita Dextra Craniotomi Rekonstruksi KH ER √ LW,SF LW SF
Koreksi Scoliosis Derajat Berat + KH,KH

Scoliosis Thoraco Lumbal APR √ PR,AP
Laminektomi + Instrukmentasi Fusi ,KH
OA Genu Dx TKR Sin KH BIN √ AU DM
Genu Stiff Ness Reposisi tertutup S BIN √
Fr Ramus Sup et Inf OS Pubis Dx ORIF Fr Pelvis KH BIN √ DA TR
EN,MA,WI,
PJK 3VD CABG High Risk BJ.11 SF √
BP,SS,IM
Pnemothorax Sin Thoracotomi Explorasi Dekortikasi KH ALI √ BD AH
Laparoskopi Adhesiolisis
Adenomiosis dd Multiple Mioma KH TF √ NP,AM, AG AG NP
Adenomiomektomi + TPT
Laparoskopi Adhesiolisis Kistectomi
Kistoma Ovarii KH TF √ AM NP
Driiling Ovarium
Parsila Oooforectomi Dex + Kistectomi Sin
NOK Bilateral KH JD √ AL,AF AF AL
+ FS
RR GRD : AD SORE PROGRAM : AH,TA,AU,NI,DW,BY,BD,DM,DI,VT,EA,ER,II,MY,SA,US,PM ALAT : PUR,ET
CKD Std V Pasang Double Lumen K AS √ IS MP
CKD Std V Pasang Double Lumen K AS √ IS PM
Varicocele Laparoscopy Varicocelectomy KH MAS √ SA DA
Ca Mamae Wide Eksisi B DWT √ PM MK
Mata Kanan Kiri PDR Regresi + Mata Kiri

Mata Kiri Vitrektomi + MP KH AL √ NK IS
Epiretinal Membran
Mata Kiri Vitreus Hemorage Non Clearing +

Mata Kiri Vitrektomi + EL + Gas SF6 KH AL √ NK IS
PDR
Vulnus Debridment + Rekontruksi wajah KH PJ √ MW DY,SL
G5P4A0, Hml 37mg, SCTP + MOW dg penyulit PEB KH OP √ Gatot AT DY
Efusi Pleura Dex Pasang WSD S WW ER II

Empiema Thorax Dex Pasang WSD S WW ER II
CKD Pasang Double Lumen K WW SE NH
Efusi Pleura Dex Pasang WSD S ALI √ EA II,ER
Efusi Pleura Dex Pasang WSD S ALI √ HE SE
Acut Limb Amputasi Above Knee KH AS √ DY TK
CKD + EDH Cranitomi EDH KH MTA

DPJP OPERATOR √ HE SE
OPERATOR RILL
Circulating
DIAGNOSA TINDAKAN PERAWAT instrumen
SETTING ALAT : EV, CA, TW, AY,NH,EW,

PLH : AP, MA
AL,TA,YW,LW, PR , II,EN YS, SR, ST
ANESTESI : BP,AN,AS,SE
MEJA OP : AH,SS,DB,SL
YN
Myelopati Lumbal Neuroplasty Disctomi + Rhyzotomy KH TRI A √ IS MY, MY
Skoliosis Degeneratif Vf Disc Neuroplasty + Rhyzotomi KH TRI A √ SE TK
HNP L5 -S1 Ganglionectomi + Inj. Sympatectomi B,KH TRI A √ SE TK
Mioma Uteri TAH + SOD + Adhesiolisis KH,B,S MZ √ UM,SU
Tu Colli Eksisi + PA S YAN √ AZ,AM,AF AM AZ

Isthmolobectomi + FS, Ganas - TT,
SNNT C/ Ganas KH,KH DWT √ AZ AM
Limfadenektomi + FS, Ganas - RND
Tumor Reg Mulut C/ Ganas Incisi Biopsi S DWT √ AM AP
Fr. ZMC Sin Rekonstruksi Tulang Wajah Komplek KH NJT √ GI,AO,WI VT GI,AO
Mata Kanan Kiri Pseudofakia + VH Mata Kanan Vitrektomi + MP + EL KH AW √ NK,AG,AR NK AG
Mata Kanan SO Filled Eye + Katarak

Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AW √ NK AR,AG
Senilis Imatur
GRAM : BD,WD,NI,DM,DI,VT,HA,IS,MY,PM,YS ALAT : PUR,ET,
ATK ATE B AYU √ BY EA,BR
Gagal Nafas ec Granuloma Plika Vokalis Trakeostomi + LD + Eksterpasi Massa S,S,S DAT √
Obs Hoarness Laringoscopy Flaxible + LD Biopsi KH,S DAT √
Struma Sub Glotis + TB Kronis Trakeostomi + LD S,S DAT √ MY BD
ATK ATE B MYS √
Mata Kiri VH Mata Kiri Vx KH AL √ HA
Meningioma r/ Craniotomi dasar Tengkorak KH DP √ DB II,LW
Hidrocepahlus VP Shunt KH ER √ WD WI
Radang Sendi Lutut Kanan Total Knee Replacemant KH BIN √ DA DW
DY,TR,
G4P1A2, Hml 42mg,Paetus Tak Maju SCTP B JD √ Gatot TK
DA
ICH + IVH EVD KH AJ √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
HNP L3-4 + Spindolitis Neuroplasty + Rhizotomi KH TRI A √ SE TK
G2P1A0, Hml Aterm, Fatal Distres SCTP + MOW dgn PEB B OP √ Adhie DW DA
Pemasangan Fiksasi Internal Cranium +

EDH KH MTA √ MY NP
EDH
Lumbal Pungsi B Alfiani √ SF NP
EDH Craniotomi Fiksasi Tulang Kranial + EDH B,KH MTA √ ND PS

SF,
SOL r/ Temporo Parietal Dex Craniotomi KH ER √ TD
MK
Hidrocephalus VP Shunt KH MTA √ NP MY
CKB + Prolaps cerebri Koreski Fr Impresi Komplikata KH MTA √ AU PM
Peritonitis Generalisata ec Susp PU Laparatomi Appendiktomi KH EDW √ SA WU
PR,
OA Genu Total Knee Replecement Dex KH BIN √ AU,NI
BD
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,ST,
MY
Hidronefrosis Dex ec Uretrolothiasis dex Uretrolithotomi Dextra + URS Dex KH,KH ADS √ EV,ND ND MY,EV
Hernia Inguinalis Sinistra Residif Laparoskopi Konversi Open Herniaorhapy B PB √ AI,YN YN AI
Mata Kanan Kiri Dacriostenosis Mata Kiri Endo DCR KH INA √ YN AI
FESS I + Endo DCR KH RH √
Mata kanan kiri Katarak Senilis Imatur Mata kanan Phacoemulsifikasi + IOL RF YW,TU,AG
Mata kiri Pseudofakia + Iris Prolaps Mata kiri Repair Iris Prolaps RF
Mata kiri Katarak Senilis Imatur + PDR
Mata kiri Phacoemulsifikasi + IOL AL
Regresi
Mata Kanan KSI, Mata Kiri Pseudofakia +
Mata kanan Phacoemulsifikasi + IOL AL
Vitrectomized Eye
Mata Kanan PACG, Mata Kiri APAC Mata Kiri Trabekulektomi B FI √
Mata Kanan Trabekulektomi + PHACO +
Mata Kanan PACG B,KH FI √
IOL
Mata Kanan PACG + KSI, Mata Kiri
Mata Kanan Triple Procedure FI
Glaukoma Degeneratif
Susp Ca Ovarii CSS KH EN √ TW,SE TW SE
Laparatomi Low Anterior Reseksi +

KH,B ERI √
Colostomi
Repair Buli S ADS √
Mata Kanan Grave's Ophtalmopathy Mata Kanan Orbital Fat Removal AK
Susp Keganasan Hematologi BMP HER
CKD, Ascites Intraperitoneal Drainage S MM √ RK,AO AO TD
Fistel Rectovesica Colostomy ERI
Ca Rectie Laparoskopi Miles Prosedure KH MG √ AO TD
NHL ( Non Hodgakin Lympoma ) Eksisi + PA S BIS √ DI AZ
Comando + Rekontruksi Flap Fore Head

STT regio Bucal Sinistra, Limfadenopati KH,KH BIS √ AZ,DI AZ DI
dan Deltopecmal
STT reg Colli dextra Isthmolobectomi + FS, ganas - TT KH,KH UUD √
SNNT C/ Ganas T3N0M0 Isthmolobectomi Sin + FS, Ganas - TT KH,KH DWT √ AN
Adeno Ca Thyroid Isthmolobectomi + Lymphadenectomi KH,S DWT √ PM II
Hipospadia Uretroplasty KH PJ √ TA,UM UM TA
Fr. Tl Wajah Rekonstruksi Tulang Wajah Komplit KH PJ UM TA
Pneumothorax Sinistra Spontan ec TB Paru Thoracotomi Explorasi Dekortikasi sin KH ALI √ AY
Mata Kanan Kiri Katarak Kongenital Suspek Mata Kiri Ekstraksi Lensa + Vitrektomi
KH LN √ NK,HR HR NK
CRS Anterior + PPC + PI
Mata kiri Pan Uveitis + Katarak Komplikata Mata kiri Vitrektomi + EL + SO + Phaco +
KH,KH AL √ HR NK
susp. Ablatio Retina + VH IOL
Mata Kanan Rhegmatogen Retinal

Mata Kanan Vitrektomi + Gas / SO KH AL √ HR NK
Detachment
Mata Kanan Katarak Komplikata + Susp Mata Kanan Vx + EL + NP + SO +

KH,KH AL √ HA
Retinal Detachment Ekstraksi Katarak + IOL (SICS)
Mata Kanan Silicone Filled Eye + Katarak Mata Kanan Revitrectomy + EL + SO +

KH,KH AL √ HA
Komplikata Ekstraksi katarak (SICS) + IOL
LW,BY,MW
Paraparese e.c HNP VL 2 -3, 3-4, 4-5, 5-5, Laminektomi Dekompresi + Internal Fiksasi
KH,KH APR √ PR,WU,YS PR YS
5-S1 Fusi
Fr. Femur 1/3 Tgh Comm Ttp. NK Thoracotomi ORIF Costa VI - VII Dex KH ALI √ HI AR
ORIF Shaft Femur KH DRY √ AG
OA Wrist Dextra Rekontruksi Neglected Care-Bone KH DRY √
GCT Proximal Humerus Kuretase BIN

BJ.09 EN,
TOF Total Koreksi (VSD Closure + Repair PS) WW √ BP
BJ.04 MA
Thoracotomi Explorasi Reseksi Reseksi

Tumor Dinding Dada KH ALI √ WD
Costae VIII
SOB + Adhesiolisis + FS + Vaginoplasty KH,KH

Agenesis Vagina, Kista Ovarii ER √ NP,PS,AM AM PS
+ Adhesiolisis ,S
ER,
Impaksi Gigi 1.8, 2.8, 3.8, 4.8 + Paramolar Odontektomi 2 Rahang KH RP √ AL
AE
Impaksi Odontectomi 2 Rahang KH DV √ AM PS
SNNT Reg Colli dextra c/ ganas T3N2M0 FS, ganas -TT + RND Dex KH,KH YAN √ AL,ES ES AL
Ca Papilary Thyroid Total Thyroidectomni KH UUD √ AR DM

Susp Infeksi SSP LP B ALIF √ ER
AKI Stadium Risk, SLE Biospi Ginjal + Guiding USG KH Omega √ ER AE
RR GRD : EA SORE PROGRAM : AP,GI,AY,CA,YR,TD,SF,AN,AR,AF,RE,BR,DM,HA,HI,MK,SF,SR,SU,WD ALAT : PUR,ET
Fr. Clavicula Dextra 1/3 Tgh Oblique ORIF Clavicula Dextra KH APR √ WU MY,PR
Mucocele Intra Cranial Extradura Craniotomi dasar Tengkorak KH MTA √ SF MW

Fontoekstraksi External (FESS I) KH DAT √
Paraplegi Inferior e.c Canal Stenosis Laminektomi Kompresi KH HY √ SA II

Ca Endometrium Sistoskopi S MAS √ AH AS,DB
Ca Prostat, Striktur Uretra Sachse + TURP/BNI KH,KH MAS √
Avulsi Manus Dextra Debridement & STSG Lanjut KH RZ √ AN
Tu Mamae Incisi Biopsi S DWT √ AY HA
Massa Laring LD Biopsi + Tracheostomi + Esofaguskopi S,S,B DAT √
CKD Std V AV Shunt KH WW √ MK AP
Ulkus DM Pedis Debridement B AS √ BD II
Ulkus Kronis Femur Sin Post Amputasi Debridement B AS √ BD II
Selulitis Ekstremitas Inferior Insisi + Drainage Pus B AS √ IS NI
Hidrocephalus VP Shunt Dex KH GK √
G3P2A0, PEB, KPD SCTP + MOW B IN √ Gatot
Hidrocephalus Angkat + Pasang VP Shunt KH GK √ BR LW,BY
CKD Pasang Double Lumen K ALI √ MY NH
CKD Pasang Double Lumen K ALI √ MY NH
Hernia Scrotalis hernioplasty + Mesh B MM √ SL ST,NH
Laparatomi Explorasi Repair Rekontruksi

Post Gastrektomi Total KH ERI √ GI RE
Roux n y
Pasang CVC KH JL √
Businasi + Evakuasi Skibala K PTY √ IS II

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ST,
MY,HE
ND,
Ca Buli Neobladder + Pasang DJ Stent KH,B MAS √ EV,ND DY
EV
Laparatomi Reseksi Anastomose Ileum KH ERI √
Tumor Mediastinum Anterior Sternotomy Debulking Tumor Mediatinum KH ALI √ WI RE
GERD Fundoplikasi KH RR √ YN AI
Atresia Duodenum Laparotomi Duodenoduodenostomi EDW AI,YN
AI,
Hernia Scrotalis Dextra Reponible Herniotomi B PTY √ YN,
Dina
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL AK

Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL AK YW,TU
Mata Kanan Katarak Senilis Imatur, Mata
Kir Pseudofakia
Mata Kiri Katarak senilis Imatur Mata Kiri Phaco + IOL WIS
Mata Kiri Katarak senilis Imatur, Mata
Mata Kiri Phaco + IOL FET
Kanan Pseudofakia ( Iris Claw)
Mata Kiri Katarak Mata Kiri Phaco + IOL RF
Mata Kanan, Mata Kiri PACG + Katarak
Mata Kiri Trabekulektomi MR
Senilis Imatur
Mata Kanan Kiri POAG + Pseudofakia Mata Kiri Trabekulektomi MR
SOS + Omentectomi + Adhesiolisis Luas + B,S,

Cyst Adeno Ca Ovarii Inadequate Staging EW √ TW,SE TW SE
Peritonial masiif Biopsi Peritonium KH,K
NOK BSO + FS KH INU √
NOK d.d Kista Endometriosis Riw Tapros Kistectomi + Adhesiolisis + FS B,B INU √ SU WD
TD,
Batu Empedu Laparatomi Explorasi CBD + T-tube KH PB √ TD,AO AO
Adip
Tumor Intra Abdomen Laparotomi Eksplorasi , Reseksi Tumor PB
Cholelithiasis Laparoscopy Cholesistectomy KH PB √ TD AO,
Laparatomi Gastrostomi Jejenustomi

Striktur Esofagus B PB √ RK AP
Feeding
DI,
PDA Multiple Ekstraksi Gigi B DV √ AZ
Ratna
Pasca Colostomy e.c Abses Para Anal Tutup Colostomy KH ERI √ AZ,DI DI AZ,
SNNT C/ Ganas T3 Isthmolobektomi dex + FS, KH DWT √ AZ DI
SNNT C/ Ganas Isthmolobektomi + FS, Ganas TT DWT
Tumor Kulit Regio Oris Sinistra C/ Ganas Eksisi + FS, Ganas - Wide Excisi S,B UUD √ TA,BY BY TA
Rekontruksi Pasca Keganasan KH NJT √
Ulkus Granulosum Pasca Amputasi Debridement + STSG KH PJ √ BY AZ,
Ulkus DM Pedis Sinistra Debridement B ALI √ DM
Mata Kanan Kiri Trabekulektomi + KH,KH

Mata Kanan Kiri Glaukoma Juvenile LN √ NK,HR
Trabekulotomi + MMC KH,KH
Mata Kiri Suspek Persisten Fetal DW,

Mata Kiri PPC dg Posterior Approach KH AW √ NK
Vasculatume Fendy
Mata Kiri Glaukoma Sekinder + Silikon NK,

Mata Kiri Evakuasi Silikon Oil KH AW √ HR
Filled Eye Rherdy
Mata Kiri Silikon Filled Eye Mata Kiri Evakuasi Silikon Oil KH AW √ HA
Mata Kiri Pseudo Tumor d.d Myositis Mata Kiri Injeksi TCA Peribulber TL
SF,
SOL Suprasella Craniotomi Mikro Ds Tengkorak KH ZM √ LW,SF LW
Arum
Fiksasi Internal Cranial KH DP √
Cranitomi Mikro Ds Tengkorak KH DP √ BD MW
HNP Laminektomi Komplek L4-3 KH HY √ AN WD

Fusi Posterior Lumbal KH AJ √
Laminektomi Dekompresi + Internal Fiksasi
Fr .Kompresi VL 2 KH,KH APR √ PR,WU PR WU
Fusi
Fr Inkomplete Distal Radius Sinistra Reposisi + Pasang Gips S DRY √ WU PR
C/ Brodie Abcess Debridement + Boor Hole B BIN √ PR WU
EN,MA,VT, EN
Ventrikel Septal Ruptur CABG High Risk BJ.11 SF √ VT
BP,SS,IM MA
ASD Closure BJ.03 WW √
TOF Koreksi TOF WW AS,WI

Parsial Ooforectomi Kanan + Kistektomi
NOK KH TF √ NP,PS,AM NP AM,PS
kiri + FS, Test Patensi Tuba
NOK SOU + FS, B EN √ AM NP,PS
Inv Ca Of NST Gr II, Mamae Dextra MRM KH BIS √ AL,ES ES AL
Tu Lidah C/ Ganas Incisi Biopsi S BIS AL ES

STT Reg Scalp Eksisi Biopsi S UUD √ ER,AG ER AG
Myelopathy Lumbal + HNP Lumbal Neuroplasty + Rhyzotomy TRI
RR GRD : EA SORE PROGRAM : AP,GI,AY,CA,AR,AN,AF,RE,BR,DM,HA,HI,RK,SU,WD,YR,MW ALAT : PUR,ET
Hidronefrosis URS - DJ Stent S KH,B MAS √ AN
GCT Proximal Humerus Incisi Biopsi + Kuretase B BIN √ HI DM
Limfadenopati Colli Sinistra Limfadenectomi S WY √ AY AN
Tumor Mamae Bilateral C/ Ganas Wide Eksisi + FS, B DWT √ WD CA
Efusi Pleura WSD Thoracal S WW √
Pseudoaneurisma Eksplorasi Repair Arteri KH AS √ MP PM
GPA SCTP B TF √ Adhie PA AM
Massa Tonsil c/ ganas Exterpasi Tumor Laring B DAT √ HE MY
MAS PSARP KH PTY √ GI RE
EDH Craniotomi EDH KH DP √ SA NH

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ST,
MY,HE
KH,KH
Batu UPJ Sin Post Nefrolitotomi URS Sin + Ureterolithotomi Sin + DJ Stent ADS √ EV,ND ND EV
,B
Batu Ureter Distal URS + Vesikolitotomi ADS
Nefropati Obstruktif Nefrostomi Dx KH ADS √ DJ EV,AN
Ureterolithiasis Dx Ureterolitotomi Dx KH WAN
Post Tracheostomi LD Evaluasi + Ganti Kanul S MYS √ Dina RK,AO
RSK + SD + KH FESS + SR + Konkotomi KH,B,S RH √ RK,AO AO RK
AY,
Nefrolithiasis Dextra PCN + Nefroscopy KH MAS √ GI
AK
Ruptur ACL Sin Rekonstruksi ACL Sinistra KH BIN √ GI AY
Tumor Reg Ankle Sin c/ GCT Eksisi Biopsi + PA B BIN √ AP HI
Mata Kanan Graves Opthalmopathi + Mata Mata Kanan Injeksi Triamcinolone

AK
Kiri Glaukoma Sekunder Peribulber
Mata Kanan Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL WIS YW,TU
Mata Kanan Pseudofakia, Mata Kiri Afakia Mata Kiri Secondary Implant ( Iris Claw) WIS
Mata Kiri Katarak Mata Kiri Phaco + IOL KH AL √
Mata Kiri Pterigium Nasal Mata Kiri Eksisi Pterigium + LSCG DN

Mata Kanan Ulkus Kornea Cum Hipopion
Mata Kanan Irigasi Aspirasi Hipopion S DN √
susp Endophtalmitis
Oklusi Tuba Bilateral, Pasca Histeroskopi Salpingostomi Laparoskopi KH HR √ TW,SE
Adenomiosis, Kista Ovarium Kiri TAH + BSO + Adhesiolisis + FS KH,B,S EN √ TW SE
Stenosis Trachea LD + Inj. Kenacort + Ganti Kanul S DAT √ AM DB
Ca Papilary Thyroid Total Tiroidektomi KH DWT √ AM DB
STT Reg Glutea Insisi Biopsi S DWT √
Multiple Cholesistectomi Laparoscopy Cholesistectomi KH JS √ AI,WI DM AI
Laparatomi Explorasi + Bypass Ileo

Tumor Caecum KH PB √
Transverstostomi
Obstruktif Jaundice ec CBD + Laparatomi Eksplorasi CBD + By Pass

KH,KH ERI √ DM AI
Cholecystolitiasis Choledocoduodenostomi
AZ,
SNNT c/ Ganas Sin Isthmolobektomi + FS, KH BIS √ AZ,DI DI
Ratna
DI,
IDC Gr II MS Metastase Eksisi Biopsi + FS B BIS √ AZ
Ratna
AZ,
SNNT c/ Ganas Isthmolobektomi + FS, KH UUD √ DI
Ratna
Adeno Ca Paru Thoracotomi Explorasi + Segmentektomi KH ALI √
TA,
LGP Bilateral Inkomplit Bone Graft (Gnatopalsty) KH NJT √ TA,YS MY
Aziz
Ulkus Granulosum Thorax, Abdomen, MY,

Debridement + STSG KH ETH √ TA
Femur, Cruris Azil
Aff implant B DRY √
Fr ZMC Dx + Fr OS Nasal Rekonstruksi Tulang Wajah Kompleks KH ETH √ BY
Adenoma Ca Recti 1/3 Distal Miles Procedure KH MG √ TD DB

Rekontruksi Pasca Keganasan KH ETH √
NK,
Mata Kanan Kiri Katarak Senilis Matur Mata Kanan Kiri ECCE + IOL KH WIS √ HR
Rendy
Mata Kanan Tractional Detachment e.c

Mata Kanan Vitrektomi + Gas SF6 KH AL √ NK,HR HR NK
PDR High Risk + CSME
Mata Kanan Kiri PDR + Tractional Retinal HR,

Mata Kanan Vitrektomi + MP + EL + SO KH AL √ NK
Detachment Rendi
Mata Kiri Vitrektomi + Endolaser + MP +

Mata Kiri Ablatio Retina ( HbsAg +) KH AL √
Gas
Susp Keganasan Hematologi BMP B HER √
Susp Keganasan Hematologi BMP HER
SOL Meningioma Craniotomi KH ER √ LW,UM
Massa CAE Craniotomi Dasar Tengkorak KH AJ √ BR RR,BY
ME Simple + Ekstraksi Massa CAE Dex B,S AYU √
Scoliosis Lumbalis Fusi Posterior + Pedicle Screw T12-L1 KH HY √ BR SF

Flavektomi (Laminiktomi) KH AJ √
Fr Radius Ulna 1/3 Tgh Obliq Disp Ttp Nk ORIF Radius + ORIF Ulna KH,KH APR √ PR,WU
Fr Colles Dx Tbk Gr II, Dislokasi Wrist Joint

ORIF + Debridmenet KH,B APR √ PR WU
Dx
Fr. Digiti V Manus Sinistra Aff Implant + Debridement DRY
Osteomielitis Kronis reg Antebrachii Sin +

Debridement B DRY √ PR AP
Manus Sin
Wound Dehisence Debridement + Rehecting B WW √ AP SF
EN,MA,VT, EN,
Severe AI,AS Aortic Valve Replecement (AVR) BJ.09 SF √ VT
BP,SS,IM MA
Fr Costa Sin Thoracotomi Clipping Costa KH ALI √ ND SF
Adnexitis + PID Laparoskopi Miomektomi KH TF √ NP,PS PS NP
Adenomiosis OSADA Prosedur (Adenomiomektomi) B TF √ NP PS
Mioma Uteri Total Abdominal Histerektomi + SOD KH,B EW √ NP PS
Ca Mamae Infiltrat Gr II MS MRM Sin KH YAN √ AL,DY DY AL

STT Reg Femur Multiple Wide Eksisi B UUD √ AL DY
Hipospadia Tp Penoscrotal Uretroplasty KH EDW √ TK,ER ER TK
Hernia Scrotalis Reponible Herniotomi B PTY √ S : AF,HI, TK ER
ER,
MAR dgn Fistel Recto Sigmoid Colostomy B RR √ TK
WD
RR GRD : ES SORE PROGRAM : SF,AP,RK,GI,CA,YR,AR,AN,AG,AM,RE,AY,BR,BY,DA,DM,DB,EA ALAT : PUR,ET
TMD c/ ganas Wide Excisi B DWT √ AE ND
Kompartemen Syndrom Debridement luka bakar KH ETH √ AM DB
CKD Pasang Double Lumen K AS √ SA PM
Ulkus DM Amputasi Cruris Dex S AS √ WI YR
Mata Kiri Laserasi palpebra Mata Kiri Rekontruksi Palpebra S TL √ AG SA
Mata Kiri Glaukoma Sekunder Mata Kiri Parasintesisi + Perofer iridectomi S,S WIN √ AG
Mata Kanan Kiri Koreksi Entropion

mata Kanan Kiri Entripion B,B WIN √ AS MW
Palpebra Superior Inferior
Post Pasang DJ Stent Aff DJ Stent Sistoscopy S WAN √ AS MW
Lepas DJ Stent 2 sisi + pasang DJ Stent 2

Batu ginjal D + S on DJ Stent D + S S,B MAS √ AS MW
sisi
Hidronefrosis URS - DJ Stent KH MAS √ AS MW
Rekontruksi jari I & V manus sin + Eksisi

Ambiotic Band Sydrom KH PJ √ DA
papiloma
Phenemuthorax Sin Pemasangan WSD Sin B WW √ AD NH
G2P1A0, Hml 6mg, KEBT Laparatomi Eksploorasi Salpingektomi Sin B EW √
Trombositosis Pemasangan Double Lumen K HN √ ST HE
Misten Ganas Pasang Double Lumen K HN √ ST HE,MY
Peritonitis generalisata Laparatomi Reseksi Anastomose Usus KH MM √ ST MY
G3P2A0, Hml 39mg, SCTP + IUD dg penyulit B OP √ Gatot DB DA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ST,
DB,HE
RSK + SD + Konka Hipertrofi FESS III + SR + CWL KH,B,B RH √ EV,AN WI EV,AN
Esofaguskopi + Biopsi + Gastrotomi

Massa Esofagus DAT + PB
Feeding
Pasca Hartman Procedure Reverse Hartman PB
Post Laparotomi Explorasi + Reseksi Ileum

Tutup ileostomi KH PB √
+ Ileustomi Double Barel
Atresia Duodenum Laparatomi Duodeno - Jejunustomi KH RR √ AI,DW
Fistel Enterocutan Laparatomi Repair Fistel MG

Tumor Hepar Laparatomi Reseksi Hepar KH MG √ MY AG
Surgical Staging KH MAS √
Ca Laring + Fistel Esofagutan + Hepatitis B Repair Flap Fistel WY
Mata kanan KSI + DM Mata kanan Phaco + IOL RF YW,TU

Mata kanan kiri katarak komplikata Mata kanan ECCE + IOL RF
Mata kanan PACG + Mata kiri PAC Mata kanan Trabekulektomi MR
Mata kanan kiri PACG Mata kanan Phaco + IOL MR
Mata kiri Katarak Senilis Imatur Mata kiri Phacoemulsifikasi + IOL AW
Mata kanan KSI Mata kanan Phaco + IOL AW
Ca Cervix Surgical Staging KH EN √ TW,SE TW SE
G3P2A0 Hamil 39 minggu Aneurisma Aorta SCTP JD
G5P4A0 Hamil 38 minggu (HIV +) SCTP + MOW B JD √ Gatot SE TW
RSK + Polip Cavum Nasi Dupleks FESS III + CWL Dupl KH,KH ANNA √ RK AY,SF
AO,
Tumor Recto Sigmoid Reseksi anastomose Colon KH MM √ RK,AO TD
Pradip
TD,
Obstruktif Jaundice ec Distal CBD Laparatomi Eksplorasi CBD + Bypass KH,KH ERI √ AO
Adip
Fistula Paraanal Fistulektomi S ERI √ AY DA
Ishmolobektomi + FS, ganas - Total MY,

SNNT c/ Ganas KH,KH BIS √ AZ,YS AZ
Tiroidektomi Retno
Multiple Limfadenopati Colli Dextra Limfadenectomi Biopsi + PA S BIS √ MY Ratna
Squamous Cell Ca Maxilla Sin Extended Hemimaksilektomi Sin KH UUD √ GI RK
IDC Gr III T4bNbMo Mamae Sin MRM KH DWT √ AP SF
Haemangioma Nasal Eksisi + Rekonstruksi Hidung KH PJ √ TA,UM SU HA
Fistula Palatum Pasca Palatoplasty Palatopalsty KH RZ √ TA AZ,UM
Higroma Colli Sin Eksisi & Rekontruksi KH RZ √ UM AZ
BY,
Limpedema Extremitas Inferior ` KH ETH √ AZ
WI
AF,DM,
Defek R. Genetalia, Perineum ec Adeno Ca Rekonstruksi Pasca Keganasan KH PJ √ AE
CA
DVT Tungkai Kanan Embolektomi Femoral Dx ALI
NK,
mata kanan Ablatio Retina Mata Kanan Vx + Endolaser+ Gas C3F8 KH AW √ NK, DI DI
Rendy
NK,
Mata Kanan Epiretinal Membran Mata Kanan Membran Peeling S AW √ DI
Rendy
Laparatomi Eksplorasi Reseksi

Ileus Obstruksi c/ Tumor Ekstraluminer KH EDW √ MY AG
anastomose Jejunum
Cranial Fefect Cranioplasty KH DP √
Craniotomi Mikro Microvaskuler

TIC Fosialis Dx KH ZM √ LW,WI Arum LW, DM
Decompresi n VII Dex
Epilepsi Lobus Temporal Kiri Craniotomi Mikro Bedah Epilepsi KH ZM √ BR AE
Paraparese Inferior ec SOL Laminektomi Biopsi KH APR √ PR,WU
Fr Tibia Dx, Fr Fibula Dx Mutiple Fr - ORIF KH DRY √ PR WU
Torticalis Cervicalis Rekonstruksi Torticalis (MT.PLA.500023) KH DRY √
OA Elbow Dx Neuroplasty - N. Ulnaris KH DRY √
Implant Ekspose Post Revisi THR Dx Removal Implant B BIN √

EN,MA,VT, EN.
MR Severe MVR + TVR BJ.08 SF √ VT
BP,SS,IM MA
Fr Costa 8-9 Lateral 10-11 Posterior ORIF Costa 8 & 9 KH WW √ HR
Kista Endometriosis Laparaskopi Kistectomi KH INU √ NP,PS PS NP
Tuba Ovarii Abses PID Akut Laparatomi TAH + BSO + Adhesiolisis KH,KH TF √ NP PS

Supracervical Histerektomi + BSO + KH,KH
NOK dg Bag. Padat c/ Ganas INU √ AM ND
Omentectomi + Adhesiolisis + FS ,S,S
Ca Mamae Dx MRM Dx KH YAN √ AL,DY DY AL,ES
SNNT Sin c/ Ganas Isthmolobektomi + FS KH YAN √ DY AL

Impaksi Odontektomi 2 rahang KH RP √ TK,ER TK ER,DY
HNP Lumbal Neuroplasty + Sympathic Ganglionectomi KH,B TRI A √ ER TK
RR GRD : ES SORE PROGRAM : SF,AP,AR,ND,AG,AM,AY,BR,BY,DA,MY,EA,HR,JF,GI,TD,WD,YR ALAT : PUR,YN
Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL KH AK √ NK DI,
SNNT Duplex TT + RND KH,KH DWT √ DA AG
Excisi Biopsi S BIN √ GI AY

CKD St V Psg DL ALI
LMH Nodul Hemithorax dex Insisi Biopsi S PTY √ MW AH,DS
Hidropnemothorax Repair WSD Thoracal S WW √ YR WD
CKS + ICH Frontal Craniotomi Evakuasi KH AJ √ ST DB
ICH + IVH EVD KH AJ √ WD NO
Retensio Urine Sistoscopy Evakuasi Clot + Cauter S,S MAS √ JF YR

AF,DM,
Wound Dehisecent r/ Punggung Debridement B AJ √ RE
CA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ST,NI
SU,HE
CKD St V Pasang CAPD S ADS √
Uretrolithiasis Dx Open Uretrolitotomi Dex + DJ Stent dex KH,B WAN √ EV AN
AN,
Uretrolitiasis Dx Pyelolithotomi Dex + Open Nefrostomi Dex KH,KH WAN √ EV,MY
RK
Multiple Ekstraksi Gigi ganggren dgn DW,

Rampant Caries B DV √ AI,DW AI
Penyulit Dina
DW,
MAR dg Persisten Kloaka PSARVUP KH RR √ AI
Dina
Multiple Ekstraksi Gigi ganggren dgn
ASD, Carries Dentis B,S DV √ AI, DW DP
Penyulit + Tambal 3 gigi
Mata Kanan Afakia ( Post Eksplantasi IOL) Mata Kanan Secondary Implant (Iris Claw) WIS
Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL WIS
Mata Kanan Kiri High Myopia Mata Kiri Clear Lens Extraction + IOL FET
Mata Kiri Kista Retensi Palpebra Inferior Mata Kiri Eksisi Kista Retensi AK YW,UM
Mata Kanan Kiri POAG - Mata Kanan

Mata Kiri Phaco + IOL MR
Pseudofakia
Mata Kiri Katarak Senilis + Dry AMD Mata Kiri Phaco + IOL AL
Mata Kanan + Mata Kiri PDR, Mata Kiri

Mata Kiri Phaco + IOL AL
Vitrektomized Eye + Katarak Komplikata
NOK Oooforectomi Dex + Adhesiolisis + FS B,S HR √ TW,SE TW SE
Mioma Uteri Histerektomi Supra vaginal KH INU √
NK/T Cell Limfoma Nasal Type Nekrotomi B DAT √ SE TW
Laparatomi Eksisi Tumor +

Tumor Intra Abdomen + Cholecystolitiasis KH,B JS √ RK,AO AO TD
Cbolesistektomi
Lparatomi Reverse Hartman

Pasca Hartman Procedure KH,B PB √ TD AO
(Anastomosis) + Repair Hernia Insisional
Tum. Intra Abdomen c/ Metas dd

Laparatomi Eksplorasi Eksisi Tumor KH MG √ AR
Liposarcoma
Adenoid Ca Parotis Dexta Total Parotidektomi KH BIS √ AZ,YS AZ, YS Ratna
STT c/ Ganas (Hbs Ag +) Insisi Biopsi B UUD √ YS AZ

Tumor Kulit Bibir Atas c/ Ganas Wide Eksisi + FS B UUD √ YS AZ
Rekontruksi Pasca kegananas KH PJ √
Subtotal Thyroidectomi + FS, ganas - Total
SNNT Bilateral c/ Ganas KH,KH DWT √ DB MY
Tiroidektomi
Fr. Maxilla Rekonstruksi Tl Wajah Kompleks KH NJT √ TA,II II TA
Rekonstruksi Jari tangan knana , Axilla

Kontraktur Dermatogen Multiple KH ETH √ II AZ
(ketiak) kanan
Kontraktur Dermatogen Alby Tipe Flexi Reg
Release Kontraktur + Rekonstruksi PJ
Colli Anterior
Ulkus DM Pedis Dextra Debridement + Amputasi Dig IV Pedis Dex S,B ALI √ AG YR
Debridement + Amputasi Lisfrane Pedis

Ulkus Diabetikum Pedis S,KH ALI √
Dex
Mata Kanan Keratopathy, Mata Kiri
Mata Kiri Vitrektomi + EL + SO KH AL √ NK, DI DI NK
Choradal Detachment
Mata Kanan Macular Hole Mata Kanan Vitrektomi + MP + EL + Gas KH AL √ DI NK
Mata Kanan Phaco + IOL + Scleral buckle

Mata Kanan Ablatio Retina + Katarak KH,KH AL √
+ Vitrektomi + EL + SO
Mata Kanan Vitrektomi + Secondary
Mata Kanan Afakia + Post ECCE AL
Implant
Lumbal Kanal Stenosis, Radikulopati Laminektomi Kompleks L4-5 - L4-3 KH HY √ LW, AT AT LW
Fusi Posterior KH AJ √
SOL Reg Fronto Parietal Dextra VP Shunt KH AJ √ JF ND,BY

Pasang WSD sin S ALI √
Giant Cell Tumor Ankle Dx Eksisi Biopsi Limfonodi B APR √ PR,WU
Fr Femur Dx ORIF KH DRY √ PR WU
Rotator Cuss Syndrom Release Kontraktur Osteotomi Akuninata KH DRY √ AP
Implant Femur Sin Revisi Implant / ORIF KH BIN √ NO RK,AR
Gonitis TBC Sin Debridement B BIN √ AP
Ruptur ACL Rekonstruksi ACL KH BIN √
EN,MA,VT, EN,
Infundibula Prolaps Repair PS (Katup) + Repair Prolaps Sinus BJ.08 SF √ WI
BP,SS,IM MA
PDA Tutup PDA BJ.05 WW √ BD VT
Laparoskopi Eksisi Adenomiosis kiri +
Adenomiosis, Kista Ovarii KH,KH TF √ NP,PS PS NP
Ovarium Drilling
Kista Ovarii Laparoskopi Kistektomi, KH TF √ PS NP
Tumor Intra Abdomen Extraluminer d.d

Laparotomi Biopsi KH ERI √ NP PS
Limfoma
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ AL,DY DY
KH,KH
P5A0, Prolaps Uteri Gr IV TVH + KA + KPR ER √ DY AL
,KH
Abses Intra Peritoneum Laparotomi Drainage Abses KH PTY √ TK,ER ER TK
Mata Kanan Massa Intra Orbita Susp Mata Kanan Incisi + Biopsi Intra Orbita +
S AK √ TK ER
Malignancy PA
RR GRD : ES SORE PROGRAM : SF,AP,AR,AG,AM,AY,BY,BD,DA,DB,EA,HR,MY,JF,WI,TU,ND,GI,TD,YR,NO ALAT : PUR,YN
Hidronefrosis + Hidrouretra Dex + Ca

Sistoskopi S WAN √ AS MW
Cervic
CKD St V Pasang Double Lumen K ALI √ YR AG

CKD St V Pasang Double Lumen K ALI √ YR AG
Efusi Pleura Pasang WSD S ALI √ YR EA,AG
ganggren pedis Sin Debridement S AS √
CKD St V Pasang Double Lumen K AS √ PM SA
Amputasi Dig II - IV Pedis Dex +

Ganggren Dig II - IV pedis Dex B,S ETH √ AF CA
Debridment
G1P0A0, Impartu kala 1 , HIV+ SCTP + IUD B DC Gatot
G4P3A0, PEB SCTP + MOW dgn Penyulit + Kistectomi KH,B OP √ Gatot
Incisi Abses dgn penyulit + Odontectomi 2

Plegmon dasar mulut KH,KH RP √
rahang
Debridment Abses Dinding Thorax B ALI √
pasang CVC KH JL √
Inxasi Ankle Bachii Reposisi S BIN √
Retensio Urine Sistoskopi S WAN √ ST SU,SL
G2P0A0, Letak Sungsang SCTP dgn penyulit B DC √ HE SL
EDH Craniotomi EDH KH DP √
pasang CVC KH HA √
ICH Kraniotomi Evakuasi ICH KH AJ √ BY ND
Mata Kanan panophtalmitis Mata Kanan Eviiserasi Bulbi + DFG B DN √ HR RE

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NP, NH ANESTESI : LW,ER,IS,

MEJA ANESTESI : SS,AD,MA,EW
BP,HE,SC,MR DY,SU,US
KH,B,K
Invasive Urothelial Cell Ca Buli Cystectomi + Prostatectomi + Neobladder MAS √ EV,AT,NI AT EV,NI
H
OMK Dry Kanan Kiri Tympanoplasty Sin KH PW √ AI,DW,PS PS AI,DW,

US,LW,
G3P1A1, Hml 35mg, SCTP B TF √ Gatot DY
SU
DW, AE,YS,
OMSK AD Mastoidektomi + Timpanoplasty B,KH AYU √
MY BY
OMSK Dex Mastoidektomy KH PW √ BY, WI MY,IS
Efusi Pleura Psg Pigtail S Sofian √ YW,UM
Ekstirpasi Massa Palatum (sarkoma

Sarcoma Faring B DAT √ TW,WU,DI DI WU
Palatum)
Fr Collum Femur Hip Artroplasty Sin KH BIN √ AR AP
TD,
Ca Thyroid Total Tiroidektomi KH BIS √ TD,AO,IS SO
Adip
Ca Papilary Thyroid Varian Folikuler Total Tiroidektomi KH YAN √ AZ,VT,YS AZ YS
Ratna,
Obs Kejang Lumbal Fungsi B TUN √ YS
Vicky
Kongenital Solivary Fistula Rekonstruksi Mukosa Buccal B PJ √ TA,II,MW MW II
E PROGRAM : NO,AP,AR,AN,BY,BD,EA,ES,HR,MY,JF,TU,SE,RK,YR ALAT : PUR,YN,TR,SR
G2P1A0, Hml 38mg, Bekas SC SCTP + IUD B PS Adhie
Empyema Thorax Dex Paang WSD S ALI √ US SU,DY

CKD Pasang DL K ALI √ SU SE
Fr Head Radius ORIF Shaft Radius KH DRY √ ER SE
Mata Kanan Massa Konjungtiva Bulbi susp

Mata Kanan Orbitotomi + Eksisi + PA KH AK √
Kista Dermoid
SDH + ICH Fronto Baal Sin Kraniotomi KH AJ √
Fr Dislokasi Dig II Fiksasi Interna yg Kompleks KH DRY √ IS AE,
EDH Kraniotomi KH AJ √ AE
Skin Loss + Skin Avulsi Cruris Sin Debridment + STSE KH ETH √ BR

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
G4P2A1 Hamil 34 Minggu Letak Lintang,

SCTP + MOW B OP √ Gatot DI AU
Polihidramnion
Fistula Pre Auricula dd/ Abses Fistulectomi (Myringoplasty) B PW √
Sinusitis FESS II + Adenoidectomi KH,B RH √ AY AL

FESS III + NAW + Eksterpasi Polip AY,
RSK + SD + Polip Nasi KH,K,S RH √ AL
Aurochoanal + Konka Reduksi MY
meningocele Craniotomi dgn Reseksi meningocele KH ER √
VP Shunt KH GK √
OA genu sin TKR Sin KH BIN √
Peritonitis Generalisata Laparatomi Explorsi Appendictomi KH MG MK
SOL VP Shunt KH GK √
Laparatomi Explorasi Gaster perforasi

Peritonitis Generalisata KH MG √ ES AL
Omental Patch
G3P2A0, Hml 38mg, PEB, Asma SCTP + IUD B HR √ Arsita DI AL
Peritonitis Generalisata Laparatomi Explorsi Appendictomi KH MG MK
OA genu dex TKR Dex KH BIN √ AE MK.MY
Hernia Femuralis Sin Herniorrahpy Non Tension + Mesh B MG √ BY AN
Peritonitis Generalisata Laparatomi Explorsi KH MG BY AN
Appendicitis Akut Appendiktomi KH MG AN BY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,
HE,AR
Hipospadia Post Release Chordae Uretroplasty Tahap II KH ADS √ EV,AO
Varicocelle Sin Microscopic Varicocele B ADS √ AO EV,VQ
Ca Buli TUR Buli + Blod Clot Evakuasi KH,S ADS √ EV AO
Ca Buli TUR Buli + Blod Clot Evakuasi ADS EV AO
ALL , AML BMP B MOED √ RK AU
Susp Keganasan Hematologi BMP B MOED √ RK AU
MAR dg Fistel Rectoperineal PSARP KH PTY √ AI, JF SU AI
DA,
Megakolon Kongenital Colostomy + Biopsi Rectum B,S RR √ AI,AU
Dwiji
CML + Splenomegali Laparatomi Explorasi Splenektomi KH EDW √ DA AU
Granulasi CAE + Susp Kolesteatoma

Ekstripasi Massa CAE Kiri (Myringoplasty) B ZUL √ DA AU
Eksterna
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL RF YW,HA
Mata Kanan Katarak Senilis Imatur,Mata
Mata Kanan Phaco + IOL RF
Kiri Pseudofakia + Susp Ablatio Retina
Mata Kiri Katarak Komplikata Mata Kiri Phaco + IOL RF
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL AL
CKD Psg DL ALI
CML dg Splenomegali Laparatomi Splenektomi Besar KH ERI √ II,UM UM II
Adeno Ca Caecum dg Melena Hemikolektomi Dx KH MG √ TW TK
Adenoma Ca Rectie Wide Excisi Tumor Anus B ERI √ TW SE
Cholelithiasis Laparoskopi Cholesistektomi KH JS √ TD,NO TD NO
Tumor Retroperitoneal Laparoscopy Biopsi k/p Open PB
Laparatomi Eksplorasi Reseksi Tumor

Tumor Abdomen KH PB √ NO TD
Retroperineal
Ikterik Obstruktif ec Cholangio Ca k/p Laparatomi TripleBypass (Biliodigestif

KH PB √ MY TK
Bypass Biliodigestif Shunting )
Abses Hepar, Efusi Pleura Dx Laparoskopi Drainase Abses Hepar KH PB √ MY TK

Pasang WSD S WW √

SNNT c/ Ganas T3N0M0 KH,KH BIS √ AZ, HR ER AZ
Tiroidektomi
Ishmolobektomi + FS, ganas Total

SNNT Dx c/ Ganas T2N1M0 KH,KH BIS √ AZ ER
Tiroidektomi Adenektomi + FS ganas RND
Kista Sub Lingual Marsupialisasi DWT
IDC MS Gr II Wide Eksisi + Diseksi Axilla B,KH DWT √ MY AN
Abses Reg Colli Dextra Debridement + Drainase B,S DWT √
DI,
Kontraktur Dermatogen Labium Release Kontraktur bibir + STSG KH,B ETH √ TA, DI TA
Ratna
Ulkus Granulosum Pedis Sinistra Debridement + Pemasangan VAC B ETH √ AD SC
Multiple Kontraktur Release Kontraktur + Rekonstruksi STSG KH PJ √ AD SC
Mata Kanan Dakriosistokel d.d Tumor Mata Kanan Orbitotomi Anterior + DCR +
KH,KH TL √
Sakus Lakrimal Silicon Tube
Mata Kanan Glaukoma Juvenile Mata Kanan Implant GDD KH MR √ NK, MK
Mata Kanan Silicon Filled Eye + Katarak

Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ MK HR
Senilis Imatur
Mata Kanan Silicon Filled Eye Mata Kanan Evakuasi Silicon Oil KH AL √ MK HR
Mata Kiri Ablatio Retina Mata Kiri Vitrektomi + EL + SO KH AL √

LW,SF
Laminektomi Dekompresi + Debridment

Fr Kompresi Vth V, Paraplegi Inferior KH,KH APR √ PR,AP
internal Fiksasi Fusi
Fr Clavicula ORIF KH DID √
Fr Radius 1/3 Dis Ttp Nk, Fr Ulna 1/3 Dis

ORIF KH DID √
Ttp Nk
BJ.09 EN,MA,BD,
ASD Repair Tricuspid + ASD Closure SF √
BJ.03 BP,SS,IM
CKD AV Shunt WW
CKD St V Tutup AV Shunt (Ligasi Arteri) KH WW √ RG
Mioma Uteri Total Abdominal Histerektomi KH HR √ NP,AT,RG TR NP,AT
Kista Endometriosis Riw Laparoskopi Laparotomi Kistektomi + Adhesiolisis B,S INU √ AT NP,TR
IDC MS Gr II Wide Eksisi + Diseksi Axilla B,KH UUD √ AL,RE RE AL,AG
ER,AG
RR GRD : PM SORE PROGRAM : WU,RK,TW,TR,AU,NI,AD,DA,TK,VT,DY,IS,PS,YS,ND,SC,SE,SA,SR,SU ALAT : PUR,YN,ET

AG,
Tumor Maksila + Impaksi Gigi Eksisi Biopsi + Odontektomi 2 Rahang B,KH RP √ RE
AL
Vulnus Szizun r/ Retro Auricula Rekontruksi Telinga KH ETH √ WI AM, AR
Labiognatoschizis Unilateral Sin Inkomplet Labioplasty + Rekontruksi Hidung KH NJT √ Ratna TA,DI
Malformasi Vaskuler Eksisi KH NJT √
Meningioma Sphenoid Wing Craniotomi Dasar Tengkorak KH ER √ AN AM
Malfungsi VP Shunt VP Shunt KH MTA √ LW SF

Angkat VP Shunt K AJ √ Rndy
SOL Intra medula Laminektomi Kompleks KH AJ √ IS SA
Bedah Medula Spinal Tumor Medula
KH HY √
Spinal Thorax
Abses Ginjal Kanan Explorasi Drainase Abses B MAS RK AU
SNNT Isthmolobektomi + FS, Ganas - TT KH,KH DWT √
Eksplorasi dan Ligasi Arteri + Pasang

Post Repair Arteri , CKD KH,K AS √ AN
Double Lumen
CKD St V Pasang Double Lumen K WW √ RG

CKD Pasang Double Lumen K AS √ ND PM
Nekrotik Cruris, Pedis Dextra e.c Crush

Amputasi Above Knee KH AS √ BY EA
Injury
Laparatomi Eksplorasi Reseksi + Ileostomi AH,SLN

Ileus Obstuktif c/ Invaginasi KH PTY √ HE
Double barel H,AR
Efusi Pleura Pasang WSD S ALI √ AH NH

Efusi Pleura dex Pasang WSD Dex S ALI √ DY
Efusi Pleura Pasang WSD S WW
Ileus Obstuktif Laparatomi Explorasi Colostomi + Bypass KH,KH PB √
Hidrocephalus VP Shunt KH AJ √
Massa Orofaring Eksterpasi Massa Orofaring B DAT √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,
HE,AR
KH,B,B
RSK + Polip Cavum Nasi + SD + Konka FESS III + CWL + SR + Konko Reduksi RH √ EV,AO EV AO,VQ
,S
Multiple Ekstraksi Gigi dgn penyulit PJB +

Multiple Ganggren Gigi dg VSD B DV √ VQ AO EV
Tambal gigi
Multiple Ekstraksi Gigi Ganggren
Multiple Ganggren Gigi B DV √ SR VT
Komplikata
FESS III + SR + Konkoplasti + CWL + KH,B,B
RSK + Septum Deviasi + Impaksi ANNA √ SR VT
Konkotomi ,S
UDT Sinistra Orchidopexy KH EDW √ AI, JF
Megakolon Kongenital on Colostomy Duhamel Prosedur Stepler KH EDW √ DJ
Megacolon Stepler (Hemorhoidectomi Stepler) KH RR √
Ompalochele Duct Persisten Laparotomi k/p reseksi RR

Thoracotomi Explorasi Wedge Reseksi +
Massa Hemithorax Dx KH,KH ALI √
Excisi Costae
Mata Kanan PACG Mata Kanan Phaco + IOL KH MR √ YW,HA
Mata Kanan Hifema Mata Kanan Irigasi Aspirasi Hifema AW
Mata Kiri Afakia + Sisa Korteks + PCR Mata Kiri Secondary Implant + Irigasi
Aspirasi Sisa Korteks WIS
Mata Kanan Pseudofakia, Mata Kiri Katarak
Mata Kiri Phaco + IOL WIS DN
Senilis Imatur
Mata Kanan Kiri Katarak Komplikata,Mata
Kiri Pseudofakia
Mata Kanan Katarak Senilis Imatur, Mata

Mata Kanan Phaco + IOL RF
Kiri Pseudofakia + Suspek Ablatio Retina
Mata Kanan Pseudofakia ( Iris Claw), Mata

Mata Kiri Phaco + IOL RF
Kiri Katarak Senilis Imatur
Mata Kanan Glaukoma Absolut, Mata Kiri Mata Kanan Cyclotherapi + Mata Kiri
S,B FI √ YW HA
Glaukoma Akut Trabekulektomi
Endometriod Ca Endometrii St I B Surgical Staging KH MZ √ II,UM II UM
Post Partum Spontan, Ingin Steril MOW S DC MF UM II
P2A0, Abdominal Pain, Efusi pleura,

Laparotomi + FS EW
Ascites, Massa Fundus Uteri
Hernia Inguinalis Lateral Sin Reponible Laparaskopi Herniorpahi TEP KH MG √ NO TD
Tumor Intra Abdomen Laparotomi Biopsi PB TD,NO
Megacolon Kongenital Kolostomi B PTY √ ANM TD,NI NO,DY
SNNT Colli Dextra C/ Ganas Isthmolobektomi + FS, Ganas - TT KH,KH DWT √ NI DY
Fibroma Reg Hemithorax Dx Eksisi B DWT √ DA
Ca mamae Dextra MRM Dex KH YAN √ DM AZ
SNNT Dex C/ Ganas T3N1M0 FS, Ganas - TT + RND dex KH,KH YAN √ AZ, DM AZ DM
Limfadenectomi Colli dex et sin + Near S,S,

Ca Thyroid UUD √ PL BD EN,MA
Total Thyroidectomi + FS KH
Repair Laserasi Esofagus + Gastrostomi
KH ERI √
Fedding
STT Reg Maksila c/ Ganas Wide Eksisi + FS B UUD √ DA
Pasca Wide Eksisi + Rekonstruksi Flap Rekontruksi Pasca Keganasan KH NJT √ TA, DI Ratna DI,TA
Kontraktur Ekstensor Dorsum Manus Sin Release Kontraktur Rekonstruksi + STSG KH,B RZ √ TA DI, Aziz
Hemangioma Regio Dorsum Manus Dextra Rekonstruksi Manus Dex KH ETH √ MY
Skin Nekrotik, Skin Loss, Bone Exposed

Rekontruksi Scalp + Debridement KH,B ETH √ UM II
Reg
Hemangioma Cavernosa Evakuasi Cloth + Eksisi Rekonstruksi ALI + ETH

Mata Kanan Kiri Glaukoma Sekunder ec Mata Kanan Implant GDD + Mata Kiri
KH,KH LN √ NK,HR,MK MK HR
Induce steroid Reposisi Implant/GDD Graft Pericardium
Mata Kanan Vitrektomi + EL + MP + Gas
Mata Kanan RRD KH AW √ HR MK,
C3F8
Mata Kiri Vitreus Hemorage Mata Kiri Vitrectomy + EL + MP KH AW √ MK HR
Mata Kanan Vitrektomi + EL + MP + Gas MK,

Mata Kanan Vitreus Hemorage + PDR KH AW √ HR
SF6 Aziz
Mata Kanan Suspek Kista Dermoid Mata Kanan Ekstirpasi + Biopsi + PA TL √
Mata Kanan Massa Palpebra Inferior Mata Kanan Orbitotomi Anterior + PA KH TL √ DW RK
Paraplegi Inferior Canalis Stenosis C2 -3 Corpectomi C2-3 (Laminektomi Kompleks) KH AJ √ LW,SF SA SE
Fusi Cervical Anterior + Fiksasi ADD+ KH HY √

Craniotomi Tumor Conveksitas KH DP √
Meningioma Craniotomi Dasar Tengkorak KH DP √
Laminektomi Desektomi + Internal Fiksasi Arum,

Canalis Stenosis Thoracolumbal KH,KH APR √ PR,AP PR
Fusi AP
Osteomyelitis Reg Cruris Dextra Fiksasi Internal yg Kompleks KH DRY √ TM PR AP
Ruptur PCL Rekonstruksi PCL Dextra KH BIN √ IS SE

Ruptur Meniskus Arthroskopi + Debridment S,S BIN √ IS RK
EN,MA,BD,
PDA Ligasi PDA WW
BP,SS,IM
PS Severe Pulmonalis Valve Repair ALI
Adnexitis Dupleks dg PCOS Laparoskopi Adhesiolisis Kistectomi KH TF √ NP,AT,RG TR AT
Laparoskopi Adhesiolisis
Kista Ovarii Bilateral KH TF √ NP AT
Neosalpingostomi
Tumor Padat Ovarii Susp Ca Ovarii Surgical Staging EW AL,RE
Mata Kanan Basalioma Post Wide Eksisi + Mata Kanan Rekonstruksi Palpebra Tahap
KH INA √ AL AT
Rekonstruksi Palpebra II
Multiple Limpadenopati Limpadenektomi Biopsi S BIS √ AF,ER AF ER
IDC Gr II Mamae Wide Eksisi + Biopsi B BIS √ ER AF
HNP Percutanius Disectomy + Neuroplasty KH TRI A √ AG AG PM
RR GRD : PM SORE PROGRAM : RK,WU,TW,CA,TR,AU,NI,DW,AD,TK,VT,DY,IS,PS,YS,SC,SE,SR,SU ALAT : PUR,YN,ET
Ca Mamma Excisi Biopsi + PA S DWT √ DY
SNNT Ismulobectomi + FS GaNaS - TT KH,KH DWT √
SNNT FS GaNaS - RND + TT KH,KH DWT √ AE
Tu Mammae Sin crg gns Incisi Biopsi + PA S UUD √
Arum,
Ruptur tendon achiles Rekonstruksi Tendon KH DRY √ AP
PR
CKD Pasang Doble Lumen K AS √ SA SC
Ulcus DM Pedis Debridemant S AS √ ND ST
Amputasi Above Ankle (1/3 Distal Cruris

Ulcus DM Pedis S AS √ TU ES
Sin)
Ulkus DM + Gangren Dig I pedis sin Amputasi dig 1 pedis sin AS
DVT Embolektomi KH AS √
Abses Cruris Injury Insisi Drainase Abses B WW √ MW SC
CKD Std V Pasang Double Lumen K WW √ AE ST
Massa Laring Dypneu Jackson II Traceostomi S DAT √ AE MY
Ileus Obstruktif Susp Invaginasi Laparatomi Eksplorasi KH RR MY,ES BY
CKD Pasang Double Lumen K ALI √ HE RR

Laparatomi Release invaginasi + KH,KH
Ileus Obstruktif Susp Invaginasi RR √ PS AU
Hemikolektomi + Ileostomi (double barrel) ,B
Pneumothorax Sin Pasang WSD S Sofian √ AU PS
Hidrocephalus VP Shunt KH DP √ DY SR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,H
E
Fistel Uretra Uretroplasty KH ADS √ EV,AO EV AO
Stenosis UPJ Dx Pasang Cateter Ureter S ADS √ VQ
Uretrolithiasis pars prostatika Litotripsi KH ADS √ AO EV,VQ
Ureterolitiasis Litotripsi + Ureterolitotomi KH,KH ADS √ AO EV,VQ
Ca Lidah Partial Glosektomi B WY √ SR NI
Ekstirpasi Massa Orofaring k/p

Massa Orofaring C/ Ganas WY
Trakheostomi
Leakage Post Ileal Conduit Explorasi Repair Buli KH MAS √ AI,JF JF AI
Ca Buli URS + DJ Stent + Sistoscopy KH,B MAS √ DJ JF AI
RSK + Konka Hipertropi + SD FESS III + SR + Konkotomi KH,B,S ANA √ AN NI
Mata Kanan APAC, Mata Kiri PACG Post

Mata Kanan Phaco + IOL KH AL √ YW,HA Dina YW, HA
LPI
Mata Kanan Afakia, Mata Kiri Katarak
Mata Kanan Secondary Implant ( Iris Claw) WIS DN
Senilis Matur
Mata Kanan Afakia, Mata Kiri Katarak Mata Kanan Secondary Implant +
WIS
Senilis Matur Vitrektomi Anterior + Aspirasi Sisa Korteks
Mata Kanan Glaukoma Absolut Mata Kanan Cyclocryotherapi FI

Mata Kanan Katarak Traumatika +
Mata Kanan Ekstraksi Katarak INA
Glaukoma Sekunder
CKD Pemasangan DL K WW √
Ca Mamae Insisi Biopsi + PA S DWT √ SE
Limfadenopati Colli Dx Limfadenektomi Biopsi + PA S DWT √ JF
NO,
Cholelithiasis Laparaskopi Cholesistektomi KH JS √ TD,NO TD
Anam
Laparatomi Explorasi k/p Reseksi
Massa Extra Luminer Mendesak Gaster PB ANM
Splenektomi
Massa Inguinal Dx DD Hemangioma
Incisi Biopsi Tumor Reg Inguinal Dx S MG √
Perisistoma
Laparatomi Adhesiolisis Explorasi +
Hernia Umbilikalis Inkarserata KH,B ERI √
Repair Hernia Umbilikal
Ulkus DM Pedis Dex Debridement B ALI √ SE AD
Tumor Phyloides Mamae Dx Eksisi Wide + PA B BIS √ AZ, DM DM AZ

AZ,
Ca Papilary Thyroid Total Tiroidektomi KH BIS √ PL Dipta
DM
Isthmolobektomi + FS ganas - TT, KH,KH

Nodular Hiperplasia with Benign Papilary UUD √ Pradip DM
Adenectomi + FS, Ganas - RND ,S,KH
Ca Mamae Dx T4cN3bMx Insisi Biopsi S UUD √ SE
Ratna,
Fr Proc Condylaris Dx et Sin Mandibula Rekonstruksi Tulang Wajah Kompleks KH ETH √ DI
TA
DI,
Pasca Rekonstruksi Tulang Wajah Lepas Implant Mandibula S NJT √ TA, DI TA
Ratna
FESS III + CWL + Konkoplasty + KH,B,S Ratna,
RSK + Konka Hipertrofi + Adenoid RH √ DI
Adenoidektomi ,B TA
SU,
Pan Facial Fraktur Rekonstruksi Tulang Wajah Kompleks KH ETH √ PS
MY
Mata Kiri Ekstraksi Lensa + IOL + PPC +
Mata Kiri Katarak Juvenile KH LN √ NK,HR NK HR
Vitrektomi Anterior
Mata kanan Dacriosistocele Mata Kanan Endo DCR + Konkoplasty KH INA √ HR AZ
Endo DCR (FESS I) KH RH √
Mata Kanan Luksasi Lentis Mata Kanan Vitrektomi + IOL Exchange KH AL √ HR AZ
Mata Kanan Katarak, Tractional Retinal

Mata Kanan Phaco + Vitrektomi KH,KH AL √ DW
Detachment
Mata Kiri Proptosis Susp Fibrous Displasia Mata Kiri Orbitotomi Lateral + Biopsi + PA KH TL √ DW
Mata Kanan massa cantus media dd Mata Kanan Rekanalisasi Saluran Canalis
S TL √
granuloma + Silicon Tube
Mata Kanan Vitrektomi + Secondary

Mata Kanan Afakia + Post ECCE KH,KH AL √ UM TIKA
Impant
Mata Kanan Kiri Vitreus Hemorage Mata Kanan Vitrektomi + EL+ Gas / SO KH AL √ UM
Korpektomi Korpus Vertebra Cevicla +

Paraplegi Inferior ec Fr Kompresi KH,KH HY √ SF,HI BR DY
Laminektomi Kompleks cervcial
Fusi Servical Anterior KH AJ √
Adeno Ca Paru Craniotomi DP

Fr Kompresi VL I KH,KH APR √ PR,AP AP PR
Fusi
Mal Union Fr Radius 1/3 Distal Ttp Nk ORIF (Rekontruksi Negleted Case) KH DRY √ TM DY RG
Fr Inter Trohanter Femur Dx ORIF Fr Intertrokanter Femur Dex KH BIN √ DY
Post ORIF (Nail) Remove Implant S BIN √ AU DA
Fr Radius Ulna Sin ORIF Radius Sin KH DID √ AN NI
Fr. Patella Dextra, OA Genu Dextra ORIF TBW KH DID √ VT
EN,MA,BD, MA,
MS Severe, AR Moderate MVR/AVR (Op jtg tbk 2 katub) BJ.08 SF √ EN
BP,SS,IM BD
CKD Pasang Double Lumen K WW √

Total Abdominal Histerektomi + Kistectomi
Mioma Uteri KH,B,S HR √ NP,AT AT NP
Sin + Adhesiolisis
Total Abdominal Histerektomi + Bilat
Mioma Uteri KH,KH EW √ AG AT
Salpingektomi
Uterus Didelphys Vaginoplasty Rekontruksi KH ER √ AL,TR AL TR
Odontektomi 2 Rahang dg penyulit + Bone mid : MW,

Impaksi 1,8, 23, 2,8, 3.8,4-8 KH DV √ MW AL
graft 3 AG
Insisi Drainage Maxilla Sin + Odontektomi
Abses Maxilla Sin B,KH DV √ TR MW
2 Rahang dg Kompleks
Isthmolobektomi Sin + FS, ganas - Total
SNNT Dx c/ ganas T3N1Mo KH,KH YAN √ AF,ER ER AF
Tiroidektomi
Rekontruksi dgn Bone Graft + Enukleasi KH,KH

Kista Maxilla RP √ AF ER,AG
Kista besar + Odontectomi 2 rahang ,KH
RR GRD : PM SORE PROGRAM : RK,TW,RG,NI,DW,AD,BR,PS,MK,YS,SC,SE,SR,SU ,AN,AR ALAT : PUR,YN,ET
Laminektomi Kompleks KH AJ √ HI, SF
Malignan Tumor Supranasal Mata Kiri Orbitotomi Anterior KH TL √ SR NI
Maxilectomi KH WY √
CKD Pasang Double Lumen dg C-Arm K AS √ IS PM
DVT Embolektomi V Femuralis Dex KH AS √ TK WU
Ganggren Pedis sin Amputasi Cruris Dex KH AS √
CKD Pasang Double Lumen K AS √ PM IS
Mata Kiri Desentrasi IOL + Prolaps Iris Mata Kiri Rehecting Kornea S INA √
Mata Kiri Rekanalisasi Kanalis Lakrimalis +

Mata Kiri Laserasi Palpebra Full Thikness S,S TL √
Rekontruksi Palpebra Inferior
Ileus obstruktif Laparatomi Eksplorasi Hartman Procedure KH ERI √ HE SL
G2P2A0, Hml 36mg, KPD, Fatal Distress SCTP B INU √ Gatot HE NH
Mata Kiri Amniom Membran

Mata Kiri Ulkus Kornea Perforasi S DN √ MK AR
Transplantation + Bandage Contact Lens
Re Laparatomi Gasto-Jejunostomi Roux n

Atresia Duodenum Post Laparatomi KH RR √ AR AD,MK
y
Laparatomi Explorasi Reseksi Anastomose
Ruptur Ompalocele KH,B RR √ AR AD,TW
Ileum + Umnilicoplasty
Mata Kanan Rekanalisasi Canalis

Mata Kanan Laserasi Palpebra S,S INA √
Lacrimalis + Hecting Palpebra Inferior
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,H
E
Ca Buli TUR Buli KH ADS √ EV,AO
Abses Ginjal URS + Debridement ADS VQ

Mata Kanan Massa Palpebra Superior
Mata Kanan Eksisi + Biopsi Massa + PA S TL √
Suspek Nevus
Mata Kiri Proptosis e.c Massa Retrobulber
Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TL √ DW
& Massa Sinonasal
Eksterpasi Massa (Maksilektomi Medial) KH DAT √
RSK Komplikasi + OD Abses Pre Septal FESS III + CWL KH,B ANNA √ DW HI
Mata kanan Incisi Drainase Abses S TL √
Odontektomi 2 Rahang KH RP √
Laparoscopy Adhesiolisis Kompleks +

Biloma KH RR √ AI,JF IMJ AI
Cholesistectomi
KH,B,S
Multi Sinusistis + Tonsilitis Kronis Hipertrofi FESS III + SR + Konkoplasty + ATE RH √ DJ VQ EV,AO
,B
RSK dg Polip Cavum Nasi Dupleks FESS III + CWL + Polipektomi KH,B,S RH √ DY AD
Mata kanan Subluksasi Lensa Mata kanan EKIK WIS YW,HA
Mata kanan Afakia Mata kanan Secondary Implant ( Iris Claw ) WIS DN

Mata Kanan Ekstraksi Katarak INA
Glaukoma Sekunder
Kista Ovarii Bilateral Kistektomi Bilateral + Test Patensi Tuba KH HR √ GI,AM
Ekstirpasi Kuretase bertingkat + Aff IUD + KH,B,K

Mioma Geburt EW √ MF GI AM
Histerektomi Total + SOD ,KH
NOS SOU + FS EW
Gangren Dig I Pedis Dextra Debridement + Amputasi dig I Pedis Dex S,B WW √ MY BR
POAD Cruris Pedis Sin Amputasi Below Knee KH WW √ EN BD
Laparatomi Biliodegestif Anastomosis +

Tumor Caput Pankreas KH MM √ TD,AR TW
Pankreatojejunustomi
Ikterik Obstruktif ec Striktur CBD Longmire Procedure KH PB √ ANM Anam TD,AR
HILS Dextra Laparascopy Hernioraphy (TEP) KH MG √ RG BR
Massa Esofagus Dx Esofaguskopi + Biopsi B DAT √ PS NO

Gastrostomi Feeding B PB √
SNNT Sinistra C/ Ganas, T1N0M1 ( Tulang Isthmolobectomy + FS, Ganas - TT KH,KH YAN √ AZ, DM DM Aziz
Reposisi Tertutup Uslab + Henispica S APR √
TMS Multiple C/ FAM Eksisi Multiple B UUD √ PL PS NO
SNNT Sin c/ ganas T3N1Mo Ishmolobektomi + FS ganas TT k/p RND DWT
Fr. Corpus sinistra Mandibula Fr. Proc Debridement + Rekonstruksi Fr. Tl

B,KH NJT √ Ratna TA
condylar dextra mandibula Mandibula Kompleks
Fr. Segmental Mandibula Rekonstruksi Fr. Tl Wajah Kompleks KH ETH √ TA, SA SA TA
Release Kontraktur Kompleks +

Kontaktur Manus Sinistra KH,B ETH √ SR
Rekonstruksi Manus sin
Defect Reg Nasal ec Pasca Wide Eksisi ec
Rekontruksi Pasca Keganasan KH ETH √ TW AD
BCC
Release Kontraktur + STSG Luas KH,KH PJ √ SE

Kontraktur Dermatogen Colli
Mata Kanan Kiri Subluksasi + Katarak Mata Kiri Ekstraksi Lensa + IOL (Iris Clip)
KH LN √ NK,DI DI Aziz
Juvenile + Vitrektomi Anterior
Mata Kanan Ekstraksi Lensa + PPC +

Mata Kanan Katarak Kongenital KH LN √ DI Aziz
Vitrektomi + IOL + PI
Mata Kiri Wide Eksisi + Cryoterapi + MMC NK,

Mata Kiri Papiloma B,S TL √ NK
+ PA Aziz
Mata Kiri Vitrektomi + Explant IOL +

Mata Kiri Afakia + IOL Drop KH AW √ DI Aziz
Secondary Implant
Mata kanan Non Clearing Vitreus

Mata kanan Vitrektomi + EL + Gas SF6 KH AW √ HR Aziz
Haemoragic
Mata Kanan Silicon Exchange + Membran

Mata Kanan Afakia + SO Filled Eye KH AW √ HR
Peeling + Endolaser
Hidrocephalus VP Shunt GK SF,LW
Rndy,
Meningioma Olfactory Grade Craniotomi Dasar Tengkorak KH MTA √ SF
LW
Arum,
Fr. Femur Sin ORIF Fr. Femur Sin KH APR √ AP
PR
Severe Scholiosis Thorakolumbal Koreksi Skoliosis + Instrumentasi Fusi KH,KH APR √ PR,AP PR AP
Laminektomi KH DID √ Arum
Fr Femur Dx 1/3 Tengah Obliq Disp Ttp Nk ORIF Fr. Femur Dex KH DID √ TM PM AN
Fr. Dislokasi Ankle Joint Multiple ORIF KH DID √ AN PM
OA Genu TKR Sin KH BIN AU WU
EN,MA,BD,
TOF Total Koreksi WW
BP,SS,IM
Laparoskopi Miomektomi Multiple +
P0A0, Mioma Uteri,PID Kistectomi Ov. Kiri + Kistectomo Kista Para KH,KH TF √ NP,AT,ER AT NP,ER
Tuba
Laparoskopi Parsial Ov. Kiri +
Kista Ovarium KH TF √ Sore : ER NP,AT
Salpingektomi Tuba Kanan
Radikal Histerektomi + Limpadenectomi
Ca Cervix KH,B MZ √ AN,RE,TR NP ER
Pedis
Adeno Cell Ca ( Tumor Parotis) Sinistra
Wide Eksisi + PA B BIS √ AL,SU SU AL
Residif
SNNT Dx c/ Ganas T3N1Mo Isthmolobektomi + FS ganas - TT KH,KH BIS √ SU AL
Vesicolithiasis Vesicolitotomi B MAS √ AF,MW MW AF
Pasca Repair Fistel Rectosigmoid Lap.

Tutup Ileustomi KH MG √ AF MW
Ileostomi
RR GRD : AG SORE PROGRAM : NO,RK,TW,DW,AD,BR,DY,RE,HR,IS,WI,PS,MK,YS,PM,SC,SR,RG,AN,TR ALAT : PUR,YN,ET
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ MA EN
Ulkus Pedis Dextra Amputasi Dig I Pedis Dex + Debridement B,S ALI √ MY
Massa Orofaring C/ Ganas Midle Anterior Glosektomi + Tracestomi B,S WY √ MY,NI PS

CKD Psg DL K AS √
Laparatomi Explorasi + Repair Perforasi

Perforasi Sigmoid KH ERI √ AH NH
Sigmoid
P2A1, Post Partum, Ruptur Perineum gr IV Repair Ruptur Perineum gr IV KH IN √
cardiomiopati Udem Pulmo Pasang CVP KH ALI √ NH US
CKD Std V Repair Double Lumen K ALI √ HE HI
Efusi Pleura Dupl Pasang WSD S WW √
Laparatomi Explorasi Adhesiolisis luas +

Peritonitis Difusa KH MM √ HI HE
Transvestostomi
KET Laparatomi Eksplorasi S DC √ RK MK
G2P1A0, KET Laparatomi Eksplorasi Salpingektomi Dex B DC √
Businasi K PTY √ MK
G3P2A0, Abortus Inkomplit MOW + Kuret S,K HT
Asites permagna ec gagal Ginjal Pasang Pigtail S RR WU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,H
E
Mata Kanan Ulkus Kornea Perforasi Mata Kanan Eviserasi Bulbi + DFG DN EV,AO
Mata Kanan Ekstirpasi Massa
Mata Kanan Massa Konjungtiva Konjungtiva+Conj. Limbal Autograft + S TL √ VQ EV AO
Biopsi PA
Mata Kiri Massa Palp Sup dd Hemangioma Mata Kiri Orbitotomi Ant Transpalpebral +
KH TL √ AD VQ
Laternasal Insisi Biopsi + PA
FESS III + CWL + Polipektomi + Konka KH,B,S

RSK + Polip Nasi Kanan Kiri RH √ AI,JF
Reduksi ,S
RSK + SD + KH FESS III + SR + Konkoplasty KH,B,S ANA √ DJ AT WD
Fr OS Nasal Reposisi Terbuka Fr Nasal S WY √
Ca Nasofaring, RSK FESS + CWL KH,B WY √ NI
Mata Kanan Kiri KSI Mata Kiri Phaco + IOL RF YW,HA
Mata Kanan Pseudofakia, Mata Kiri Afakia Mata Kiri Secondary Implant (iris claw) RF DN
Mata Kanan KSI, Mata Kiri Pseudofakia Mata Kanan Phaco + IOL FET
Mata Kanan Vitrectomized Eye Mata Kanan Phaco + IOL AL
Mioma Uteri Multiple Miomektomi B HR √ TW,GI
Multiple Nodul Hepar Laparoscopy biopsi hepar KH MG √ MF
Tumor Anorectosigmoid Pasca LAR 1 th yg Laparatomi Debulking Tumor + Hartman TD,

KH,KH JS √ TD,AR AR
lalu Procedure Anam
Fistel Enterocutan Laparatomi Explorasi Repair Fistel KH PB √ ANM BR PS
Ekstirpasi Massa dg Hemimaksilektomi Sin

Massa Sinus Maksila Kiri + Impaksi KH,B DAT √ BR PS
+ Odontektomi
KH RP √
Tumor Mamae Dextra C/ Jinak Eksisi Tumor + FS, Ganas - MRM Dex B,KH BIS √ AZ, HI HI Adip
Ca Papilary Thiroid TT KH UUD √ PL AZ HI
Ishmolobektomi + FS ganas Total

SNNT Reg Colli Dx c/ Ganas KH,KH DWT √ ER PS
Tiroidektomi
Ishmolobektomi + FS ganas - Total
SNNT KH,KH DWT √ MW BR
Tiroidektomi
Cumbustio 20% ec Api Debridement luka bakar KH ETH √ TA, SA YS BR
Keloid Reg Abdomen Eksisi dan Rekonstruksi KH PJ √ Ratna TA,SA
Pleuritis TB Thoracotomi Dekortikasi KH WW √ BD WI
Mata Kanan Kiri KSI + High Miopia +

Mata Kanan Kiri Phaco + IOL KH,KH WIS √ NK,MK MK Aziz
Coloboma Iridis Congenital
Mata Kiri ODNL Kongenital Mata Kiri Probing S INA √ Azis MK
Mata Kiri Pseudofakia + Retinal

Mata Kiri Vitrektomi + EL + gas C3F8 KH AL √ MK NK
Detachment
Aziz,
Mata Kiri RRD Mata Kiri Vitrektomi + EL + SO/Gas KH AW √ Anam
DW
Mata Kanan Kiri PDR + CSME Mata Kiri Vitrektomi + EL + MP + C3F8 KH AW √ HR DW
Mata Kanan RRD, Mata Kiri VH Mata Kiri Vitrektomi + EL + Gas KH AW √ TR
Mata Kanan PDR + CSME, Mata Kiri VH Mata Kiri Vitrektomi + EL + SO/ Gas AW
Kraniotomi Mikro Dekompresi SF,

Neuralgia Trigeminal Thick Facialis KH ZM √ SF,LW LW
Microvaskuler n V Kiri Rndy
Fr Radius Ulna Sin Post ORIF Aff Impant APR PR,AP

Arum,
Implant Fr. Femur Sin Revisi Implant B BIN √ PR
AP
Fr Digiti IV Manus Sin ORIF Fr Metacarpal Manus S KH BIN √ YS
Ruptur ACL Sin Rekonstruksi ACL ( Fasttrack) BIN TM

Ruptur ACL Sin Rekonstruksi ACL ( Fasttrack) BIN
EN,MA,DI EN,
CAD 2 VD CABG High Risk BJ.11 SF √ DI
BP,SS,IM MA
Excisi LA myxoma BJ.06 WW √
Multiple Ganggren Gigi Multiple Ekstraksi Gigi dgn penyulit B DV √ NP,AF AF AG

Odontectomi 2 rahang + Multiple Ekstraksi
Multiple Ganggren Gigi KH,B DV √ NP,SU AF
8 Gigi
Sistokel, DM, Prolaps Kolporafi Anterior + Kolpoperineorafi KH,KH ER √ AL,SU SU AL
RR GRD : AG SORE PROGRAM : NO,BD,AM,AT,RE,DW,AD,BR,ER,HR,IS,WI,PS,MW,YS,PM,RG ALAT : PUR,YN,ET
Pasca Kejang, Penurunan Kesadaran d.d

Lumbal Pungsi B TUN √ AS AY
Meningoencephalitis
Bisitopenia Susp Keganasan Hematologi BMP B MOED √
Palatoschizis Palatoplasty KH ETH √ AM DW
CKD, DVT Embolektomi KH AS √
DVT Embolektomi KH AS
Hidropneumothorax Kiri WSD Thorakal Kiri S WW √ BD
CKD Std V Pasang DL K WW √
CKD Psg DL Longterm K AS √ IS PM
CKD Pasang DL Longterm K AS √
AO,
Susp Keganasan BMP B Hernia √ EV
VQ
Abses Sub mandibula Insisi Drainase S AYU √ VT WU
NI,NH,
SCTP B DC √ Gatot SE,AH
G2P1a0, Hml 8bl Oedepulmo SL
G3P2A0, Hml 34mg, PEB, HIV SCTP B DC √ Gatot VT SE,NI
CKD Pasang DL K HA √ DB BY
Ileus Obstruksi Letak Rendah Sigmoidostomi B JS HE
Laparatomi Explorasi Adhesiolisis +

Ileus Obstruktif KH,B ERI √ RG PM
Herniotomi
Peritonitis Laparatomi Apendictomi KH JS PM RG

KH EDW √ SR
Ileus Obstruksi Letak tinggi E to E
CKD Std V Pasang DL K AS √ IS
Post VP Shunt Angkat VP Shunt K ER ER AM
Avulsi Auricula Dex + Laserasi Auricula Sin Debridment + Rekontruksi Auricula Dex KH PJ √ SE
Ileus Obstruktif Laparatomi Explorasi Kolostomi KH MG

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

NH,AR
Pasca Traceostomy Dekanulasi + LD S DAT √ ER,DB RE II
Ca Cavum Nasi Dx Hemimaksilektomi + Ekstirpasi Massa KH DAT √ MW RE,II

Faringitis (HIV +) Laringoskopi Flexible B DAT √
RSK + Konka Hipertrofi + SD Post FESS +
Aff Tampon dg LA K ANNA √ DM,RI
SR
Mata Kiri TRD Mata Kiri Vitrektomi + EL + SO KH AL √ Ratna DM
SOL Meningioma Craniotomi Dasar Tengkorak KH ZM √ ES,BR BR ES
Fr. Metacarpal Dig III Sinistra ORIF KH APR √ TD,BY BY DB
Miastenia Gravis Pemasangan CVC DL KH HA √
Aff Tampon Anterior Cavum Nasi + Sinus

Malignant Tumor Sinonasal K WY √ DB BY
Maxila Sin
Ruptur ACL Sin Rekonstruksi ACL ( Fasttrack) KH BIN √ BD RE
Ruptur ACL Sin Rekonstruksi ACL ( Fasttrack) KH BIN √ BD MY
Myelopaty Lumbal + HNP L4-5 Neuroplasty + Rhizotomy TRI A RI
HNP L4-5 Neuroplasty + Rhizotomy KH TRI A MY MW
RR GRD : AG SORE PROGRAM : II,BD,RE,MW,YS
Kompartemen Syndrum Debridement S PJ √ AR ER
DVT Brachialis Dex Embolektomi KH AS √ DY NI
Ekstraksi Corpal Cavum Nasi Kiri dgn

Corpal Lego cavum Nasi Kiri KH RH √ ER AR
Endoscopy
CKD Pasang Double Lumen K ALI √ ER NH

CKD Pasang Double Lumen K ALI II
CKD Std V Pasang Double Lumen K ALI √ II
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Mata Kanan Laserasi Kornea gr IV Prolaps

Mata Kanan Jahit Kornea + Reposisi Iris S,K WIS √ TU US
Iris
G1P0A0, Kelainan Kongeintal SCTP + IUD B OP √ Gatot HA US
EDH Temporobasal Dex Craniotomi KH ER √
Polip Cavum Nasi gr III FSS III + Polipektomi + Adenoidektomi KH,S,B RH √ US YR

Post FESS FESS I + Eksplorasi Perdarahan KH,B RH √ US ST
ICH Craniotomi KH ER √ RE II,AF
Keloid Eksisi + Rekontruksi KH NJT √ DM II,AF
Post Laparatomi ec Hamil Intra Abdoment Laparatomi Aff Packing KH OP √ MW DW
Close Degloving r/ Debridment B PJ √ IS HR,

Pasang CVP KH HA √ MW
Ruptur Tendo Eksplorasi + Repair Tendo + Bak Slab S APR √ IS HR,DW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,NH,SL,H
E
Hipospadia Uretroplasty KH ADS √ EV, AU Arum AN,TR
HN Sin Gr III-IV Sistoskopi S ADS √ TM
Ca Sinonasal Maksilektomi Medial KH WY √
Vesicolithiasis, Fistel Recto Uretra Vesicolithotomi + Cistostomi B,B ADS √ AI, YN AI YN,VQ
RSK dg Polip Cavum Nasi Pasca FESS + C Aff Tampon + Eksplorasi RH VQ
Polip Antro Koana FESS III + SR + Konka Reduksi KH,B,S RH √
Mata Kanan Kiri APAC Mata Kanan Trabekulektomi B MR √ YW,HA
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL RF DJ
Mata Kanan Afakia Mata Kanan Sekunder Implant ( Iris Claw) WIS
Mata Kanan Katarak Diabetika Mata Kanan Phaco + IOL WIS
Mata Kiri Katarak Traumatika Mata Kiri Ekstraksi Katarak + IOL RF
Efusi Pleura Pasang Pigtail FTR
Adeno Ca Endometrium I B Surgical Staging KH EN √ TW, ES TW ES,DN
NOS C/ Ganas, DVT Sub Optimal Debulking KH MZ √ DN TW ES,DN
Adeno Ca Esofagus Distal Gastrotostomi Feeding B PB √ AT AE
Tumor Intra Abdomen Laparatomi Biopsi KH JS √ TD, ER TD ER
Wound Dehisence + Fistel Partial Bogota Bag MG MF

Laparatomi Explorasi Hemicolektomi Dex +
Tumor Colon Ascenden T4bN2Mo Biliodogestif Shunting KH,KH ERI √ AM AE
(Choledocoduodenostomi)
Laparotomi Adhesiolisis Kompleks +
Burst Abdomen reseksi Anastomoses Jejunum + Reseksi KH ERI √ AT AS
anastomoses Ileum
SNNT Isthmolobectomy Sinistra + FS, Ganas TT BIS AZ, ANM

Tumor Mamae Bilateral C/ Ganas Eksisi Bilateral + PA BIS
Ca Mamae MRM + Flap LD KH,KH DWT √ AZ Anam
Ca Mamae Wide Eksisi B DWT √ Adip GI,TA
Osteomyelitis Kronik, Bone Exposed Debridement + Rekonstruksi Free Flap B,KH NJT √ TA, GI GI TA
Mal Oklusi ec Fr. Mandibula Multiple Ekstraksi gigi dg Penyulit B DV √ PL Anam AZ
Mata Kanan Kiri Ptosis Kongenital Mata Kanan Koreksi Ptosis KH INA √ NK, UM
Mata Kanan Vitrektomi + MP + EL + Gas

Mata Kanan TRD KH AL √ RA
SF6
Mata Kanan Rhegmatogen Retinal Mata Kanan Vitrektomi + EL + Gas C3F8 +

KH,KH AL √ NK Ratna
Detachment + Katarak Komplikata PHACO + IOL
Mata Kiri TRD + PDR + Mata Kanan

Mata Kiri Vitrektomi + MP + PHACO + IOL KH,KH AL √ DI
Glaukoma Absolute
Syringomielin Craniotomi Dasar Tengkorak KH DP √ SF,LW, RI
OA Genu Dextra Osteotomi + Release B,S APR √ PR,AP AP PR,RM
Fr. Clavicula Dextra ORIF DID RM
Ankle Joint Dx Arthrodesisi Ankle Joint Dex S DID √ PS HI
EN,MA,WI EN
TR Severe MVRepair + AVRepair + TVRepair BJ.08 SF √ WI
BP,SS,IM ,MA
NOK dg Bagian Padat c/ Ganas Oooforectomi Dex + FS B JD √ NP,AF NP AD
Sistoskopi (Pasang UK 2 sisi) +
S,B MAS √
Vesicolithotomi
Laparatomi Surgical Staging KH EN √
Suspect Keganasan BMP HER
Higroma Sub Mandibula Dextra Wide Eksisi + PA B YAN √ AL,PS AL TK
Adeno Ca Recti Pasca LAR + Colostomy Tutup Ileostomi KH ERI √ TK AL
R GRD : SORE PROGRAM : WU,AN,CA,AG,AT,AD,DA,AM,TK,DI,EA,HI,MY,PM,RG,SA ALAT : PUR,ET
Arachnoid Cyst Orbita Deversi Cranioplasty KH ER √
VP Shunt KH MTA √
Hemilaminektomi L5 - S1 + flavektomi L4-

Fr. Kompresi VL I KH GK √
5-S1
Ca Rectie LAR + Coloanal Anastomose KH JS √ ER TD
Fr. Femur Tibia Sin Comm Tbk, Gr IIIa FSE + Debridment KH,B APR √ PR AP,RM
Tumor Palatum Wide Eksisi B UUD √ Anam AZ

Combustio 38 % Debridement KH PJ √ EW
Debridement + Interdental Wiring +

CKR, VL Mandibula KH,KH PJ √ DI,DB MY
Rekonstruksi bibir
OMK Dry Ear Dupleks Tympanoplasty Dextra KH AYU √ MY EV
Massa Glotis Susp Kista LD + Ekstirpasi Granuloma Laring S WY √ MY EV
Impaksi Gigi Odontektomi 2 Rahang KH RP √ AN
Akle Aques Sinistra Achiles Tendon Lenthening KH BIN √ JF WD
KH,KH
SNNT Sinistra Isthmolobektomi + FS, Ganas TT + RND DWT √
,KH
Mata Kanan Katarak Traumatika + Mata Kanan Ekstraksi Katarak
KH INA √
Glaukoma Sekunder Ekstrakapsuler
Mata Kiri Ulkus Korena Perforasi Mata Kiri AMT S DN √ AG WU
HN + HU Sin URS R + DJ Stent R + Sistoscopy KH,B WAN √
Ca Cervix Uteri Gr 3B C/ Infiltrasi Sistoskopi S WAN √
SDH Craniotomi SDH KH DP √ SL HE,NH
Mata Kiri Ulkus Korena Perforasi Mata Kiri Eviscerasi Bulbi + DFG B DN √
CKD Pasang Double Lumen K ALI √ DA AF

CKD Pasang Double Lumen K ALI √ DA AF
G3P2A0, Hml 31mg, Fatal Distress SCTP dgn penyulit + Pasang IUD B OP √ Arsita AF DA
Amputasi + Rekontruksi Stump S PJ √ DA AF
CKD Std V Pasang Double Lumen K AS √
CKD Std V Pasang Double Lumen K AS √ ND IS

CKD Std V Pasang Double Lumen K AS √ ND IS
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,SR,
DN
RSK + SD + KH FESS + CWL + SR KH,B,B ANA √ EV, AO TM EV,AO
Mal Oklusi, Fr. Femur Fiksasi Internal yg Kompleks + Debridment KH DRY √ TM AO EV,TM
Fiksasi IDW + IMW + Bone Graft KH RP √

ORIF Fr mandibula KH DV √
Dislokasi Elbow Aff Implant DRY
Massa Basis Lidah Repair Glosektomi B WY √ BY AM
Abses Regio Femur Dextra + Limfadenopati

Insisi Biopsi + Limfadenektomi S,S PTY √ AI, YN
Inguinal Dextra
BMP B Herlin √
Polip Vesika Felea Laparoscopy Cholesistectomi KH RR √ VQ YN AI
Limfadenopati Colli Limfadenectomi Biopsi S DH AT RG
Gangren Pedis Dextra Amputasi + Debridement + Rekonstruksi WW
Empyema Thorax Dextra Thorakotomi Dekortikasi KH WW √ AT RG
Mata Kiri Afakia Mata Kiri Sekunder Implant ( Iris Claw) WIS YW,HA
Mata Kiri Koloboma Iris Mata Kiri Pupiloplasty WIS DJ
Mata kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL WIS
Mata Kanan Kiri Anisometropia, mata
Kanan High Myopia, Mata Kanan Katarak Mata Kanan Phaco + IOL RF
Senilis Imatur
Mata Kiri Afakia Mata Kiri Secondary Implant / Iris Claw RF
CKD AV Shunt WW
CKD + Striktur Vena Eksisi + Repair + Ligasi Vena WW
NOK Bilateral Kistectomi + Adhesiolisis + FS KH,S INU √ TW, ES
Laparotomi Biopsi + Salpingektomi

KH,KH
Peritoneal Ca, Massa Fundus Uteri Dex,Sin Biopsi Peritonium Nodul Sigmoid EW √ TW ES
,B
+ Omentectomi + FS
Histerektomi Total + BSO + Adhesiolisis + KH,KH
Mioma Uteri, Kista Ovarii EW √ TW ES
FS ,S
DVT Tungkai Kanan Embolektomi KH ALI √ AM DA
Laparotomi Eksplorasi k/p Reseksi

Massa Extra Lumbal Mendesak Gaster PB TD, ER
Splenektomi + Stoma
Prolaps Stoma Reseksi Anastomose Colon Prolaps KH ERI √ MF
Wound Dehisense + Fistel Enterocutan Low Laparotomi Repair Perforasi Gaster +

KH,B ERI √
Output Jejenustomy Feeding
AVM Eksisi AS
SNNT C/ Ganas Isthmolobectomy + FS, KH BIS √ AZ,ANM ANM AZ
Tumor mamae Eksisi Bilateral + PA B BIS √ AZ ANM
Tumor Mamae Dextra Insisi Biopsi S BIS √ Anam AZ
Isthmolobectomi + FS, ganas - Total

Ca Papilary Thiroid KH,KH DWT √ AR AE
Thiroidektomi
Tumor Mamae Insisi Biopsi S DWT √ AR
PDA, Carries Dentis Multiple Ekstraksi Gigi + Tambal gigi B,S DV √ TA, GI TA Adip
Eskar L Combustio Gr IV, 1,5 % Debridement KH ETH √ PL Prady TA

Massa Glotis LF + LD + Ekstirpasi Massa C,S RR √ BY AE
Mata Kanan Koreksi Blepharofsnosis tahap

Mata Kanan Blepharophymosis KH INA √ NK, UM Ratna
I (Koreksi Ptosis)
Mata Kanan Ptosis Kongenital + ODNL

Mata Kanan Probing, Insersi Silicone Tube K INA √ RA
Partial Post Probing
FESS I KH RH √
Suspek Keganasan Hematologi BMP B HER √ DI MY
Sindroma Nefrotik Resisten Steroid Biopsi Ginjal USG Guiding B Omega √ DI MY
SF,
Chiary malformation Craniotomi Mikro ds Tengkorak KH AJ √ SF,LW, RI LW
Aziz
Bedah Mikro Medula Spinal KH HY
Meningioma Cerebelar Kiri Craniotomi Mikro ds Tengkorak KH ZM √ BR PS
Laminektomi Decompresi + Internal Fiksasi

Canal Stenosis VL 3 - 4 KH,KH APR √ PR,AP PR AP,RM
PSRS
Fr. Collum Femur Sinistra ORIF KH BIN √ RM HI MY
Fr. Metatarsal Sin, Comm tbk Gr III c, Open

Amputasi Below Knee KH BIN √ AP PR
Degloving Pedis Sinistra
BJ.04
Total Koreksi (VSD Closer + Repair PS + EN,MA,WI
TOF, PDA BJ.09 WW √
Tutup PDA) BP,SS,IM
BJ.05
DVT Tungkai Kanan Embolektomi + Artheriografi KH, JT WW √ AN RG
Laparotomi Adhesiolisis + Sub Optimal

NOK B,KH MZ √ NP,AF NP ER
debulking
P1A0, Abortus Completus, Kista Bartholini Marsupialisasi K MZ √ NP ER
ILC Bilateral + Efusi Pleura Dextra Pemasangan Pigtail S YAN √ TK AL
Abses Submandibula + Gigi Gangren Odontektomi 2 Rahang KH RP √ AL,PS AL AU
Abses Peritonsil Tonsilektomi + Insisi Drainase Abses S,B ANA TK AL
Ca Cervix Uteri Gr II A2 TAH + BSO + LPB KH,B,B EN √ RK,SE SE CA
Laparoskopi Adhesiolisis + Reseksi

Adenomiosis KH TF √ SE CA
Adenomiosis
P3A0, 38 th,Post Partum Spontan IUFD, PE Salpingostomi B TF √ CA DB
R GRD : AU SORE PROGRAM : WU,CA,SA,AN,AR,AG,AM,AT,AD,BR,BY,DA,TK,DB,DI,EA,HI,MY,PM,RG,ST ALAT : PUR,ET
Plegmon Dasar Mulut Insisi Abses + Ekstraksi 76 S,B OEN √ AG DA
Fr. Femur ORIF KH DRY √ HI MY
Post Hemimaksilektomi Aff Tampon K DAT √ WU
Gnatoschizis Bone Graft (Gnatoplasty) KH NJT √ ER NP
Mata kiri Ruptur Cornea Skleral Mata kiri Eviscerasi + DFG B INA √ DI
NOK Pemasangan Guiding Ureter Catheter S WAN √

Mioma Uteri Sub Mokosum Abdominla Pain Histroscopy Polipektomi + Kuretase KH HR √
G1A0A0, Hml 38mg, PEB SCTP dgn penyulit + Pasang IUD B OP √ Gatot
Odontektomi 2 Rahang dgn penyulit +

Plegmon Dasar Mulut KH,S DV √ HE SL
Incisi Plegmon dasar Mulut
Debridment B ALI √
Laparatomi Eksplorasi Reseksi Colon

Pneuma Peritonium c/ Perforasi KH,B RR √ DN HE
Ascenden + Ileostomi
Dislokasi Skeletal Traksi S BIN √ ST PM

JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
07.15-09.15
CITO GA BI
07.30-09.00
CITO GA HR √ 05.45-09.30
06.45-09.15
11.15-12.00-
CITO GA DN √
11.30-11.55
13.00-14.05
CITO GA DN √
13.20-14.00
13.15-15.15
CITO GA epd BI √
13.30-15.00
16.15-17.15
CITO GA spin TA √
16.30-17.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CITO GA TA √ 06.45-10.00
07.15-09.45
08.15-18.15
CITO GA TA √
08.45-18.00
08.15-10.15
CITO GA VL √
08.30-10.00
CITO LA
10.15-12.15
CITO GA TA √
10.45-12.30
11.30-15.15
CITO GA TA √
11.45-15.00
13.00-13.40
CITO GA TA √
13.15-13.30
14.45-15.15
CITO GA DN √
14.50-15.10
17.30-20.00
CITO GA TA √
17.45-19.45
21.30-00.15
CITO GA TA √
21.50-00.00
21.45-00.00
CITO GA TA √
22.15-23.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-11.30
1 GA epd HS √ 08.00
08.45-11.15
1 GA 12.00
BATAL KARENA ICU PENUH
1 GA 15.30 BATAL KARENA ICU PENUH
08.30-14.30
2 GA HS √ 08.00
08.45-14.15
2 GA 14.00
BATAL/TUNDA BESOK RABU, 14/01/2017
3 LA 08.00
3 LA 10.00
3 LA 11.30
11.45-14.30
4 GA epd JL √ 08.00
12.15-14.15
4 GA epd JL √ 11.00 08.00-11.15

08.10-11.00

5 GA epd JL √ 09.30 09.30-14.00
10.45-13.45
5 GA epd JL √ 13.00 15.45-18.30
16.30-18.15
07.15-08.45
6 GA JH 07.30
07.45-08.35
6 GA JH 10.00
6 GA 13.00
14.30-15.45
6 GA JH 15.00
14.45-15.30
6 GA 17.30
13.30-16.00
6 GA JH 20.00
13.45-15.45
07.45-09.15
7 GA JH √ 08.00
08.00-09.00
09.45-12.15
7 GA JH √ 10.30
10.30-12.00
08.00-11.15
8 GA HA √ 08.00
08.30-11.00
06.45-15.45
9 GA WA √
08.15-15.30
16.45-21.45
9 GA VL √
18.30-21.30
08.45-10.15
10 GA spin HN 08.00
09.00-10.00
10 GA HN 10.30
JTG GA WA √
JTG GA HN 16.50-
GR 1 GA HA √ 08.00
GR 2 GA HA √ 08.00 08.20-
3 LA
11.30-12.45
8 GA JH
12.00-12.30
12.00-12.45
DS GA DN √
12.15-12.30
12.30-14.00
1 GA DN √
12.45-13.45
14.45-16.00
10 GA HN
15.00-15.45
DS LA 21.30-22.00
19.15-20.20
GA spin HS √
19.15-20.20
22.00-23.30
GA HS √
22.15-23.15
14.30-18.45
2 GA JL √
15.00-18.30
07.30-10.45
CITO GA DN √
07.45-10.40
11.45-12.45
CITO GA DN √
11.50-12.30
CITO LA 15.30-15.45
CITO LA 14.00-14.20
CITO LA 16.30-17.00
16.00-18.00
CITO GA WA √
16.15-18.00
17.40-19.30
CITO GA spin WA √
17.50-19.30
20.15-21.50
CITO GA DN √
20.30-21.45
20.15-22.45
CITO GA TA √
20.30-22.30
23.30-00.40
CITO GA spin TA
23.40-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.00-07.15
1 GA HN √ 07.00
07.05-07.10
08.00-10.30
1 GA epd WA √ 08.00
08.15-10.15
1 GA SF √ 11.00 11.30-15.00
12.00-14.45
2 GA 07.30 BATAL KARENA PICU/NICU PENUH
08.45-09.30
2 GA SF √ 10.00
09.00-09.15
11.00-12.00
2 GA WA √ 11.30
11.15-11.45
13.30-
2 GA SF 13.00
14.00-
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
06.30-09.30
4 GA epd DS √ 06.00
06.45-09.15
4 GA DS √ 10.00 10.00-12.30
10.15-12.15
4 GA spin DS √ 13.00 13.30-14.00

13.10-14.00
19.30-21.15
4 GA spin DS 15.30
20.00-21.15
08.00-10.45
5 GA AI √ 08.00
08.15-10.30
11.15-13.45
5 GA DN √ 10.00
11.30-13.30
14.00-16.45
5 GA VL √ 12.30
14.30-16.30
17.45-20.00
5 GA VL √ 16.00
18.00-20.00
08.00-11.00
6 GA spin TA √ 08.00
09.15-10.30
11.30-15.30
6 GA WA √ 11.00
12.00-15.15
17.00-18.15
6 GA TA √ 14.00
17.15-18.00
18.15-19.40
6 GA HN √ 15.30
18.35-19.30
17.00-20.15
6 GA HN √ 17.00
17.15-20.00
15.30-15.45
6 GA HN √ 19.30
15.45-19.30
07.00-10.00
7 GA TA √ 07.00
07.45-09.45
10.45-13.45
7 GA TA √ 10.00
11.00-13.30
14.45-16.00
7 GA TA √ 14.00
15.00-15.45
06.45-08.00
8 GA UB √ 06.30
07.25-07.45
09.00-10.00
8 GA UB √ 08.00
09.15-09.45
12.30-13.30
8 GA HA √ 10.00
12.50-12.20
07.45-12.00
9 GA UB √ 08.00
08.45-11.45
13.00-19.00
9 GA VL √ 13.00
14.00-18.45
08.45-09.45
10 GA WA √ 08.00
09.00-09.40
10.30-11.45
10 GA JH 10.30
11.00-11.30
10 GA JH √ 12.00 12.30-16.00
12.45-15.45
JTG GA HR 10.00
JTG LA 15.00
GR 1 GA BI √ 08.00
GR 1 GA WA 11.00 12.00-12.30
GR 1 GA AI 12.00 12.50-13.00
GR 2 GA DS √ 08.00 08.30-12.15
GR 2 GA VL √ 12.00
GR 4 GA AI 07.30 08.15-12.00
GR 4 LA 12.00 14.00-14.30
07.30-08.15
DS GA spin JH √
07.45-08.00
13.30-14.15
DS GA WA √
13.45-14.00
10.15-11.15
8 GA UB √
10.50-11.00
21.30-23.10
GA HS √
21.45-23.25
LA
17.45-20.00
8 GA AI √
18.00-19.45
20.40-21.30
GA AI √
20.50-21.15
20.00-22.00
GA JL √
20.15-21.45
20.30-23.00
10 GA spin JH √
21.00-23.00
spin, 16.00-20.00
10 GA WA √
epd 17.00-19.45
14.45-15.45
8 GA JL √
15.15-15.30
07.00-08.00
CITO GA spin HR
07.05-08.00
08.30-10.00
CITO GA JL √
09.00-09.45
CITO LA
12.45-14.00
CITO GA spin WA √
13.00-14.00
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-09.00
1 GA WA √ 07.00
07.45-08.45
09.45-10.20
1 GA spin AI √ 09.30
10.00-10.20
11.15-12.00
11.30-12.00
12.15-14.15
1 GA spin WA √ 11.30
12.30-14.00
1 GA AI √ 15.00 15.30-18.45
15.45-18.30
08.30-11.00
2 GA WA √ 08.00
09.00-10.45
11.45-14.00
2 GA AI √ 11.30
12.15-13.45
2 LA 14.00
14.30-15.45
2 GA spin HS √ 15.00
15.00-15.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00 14.15-15.00
3 LA 13.30
08.15-11.00
4 GA epd BI √ 08.00
08.30-11.00
4 GA epd BI √ 11.00 12.00-15.00
12.15-14.45
15.30-17.45
4 GA BI 15.00
16.00-17.30
08.00-10.00
5 GA spin DS √ 08.00
08.15-09.45
5 GA 09.30
11.00-14.15
5 GA epd VL √ 13.00
11.20-14.00
15.45-19.45
5 GA epd VL √ 16.00
16.15-19.30
18.00-19.15
5 GA epd BI √ 19.00
18.15-19.00
07.00-09.15
6 GA SF √ 07.00
07.40-09.00
09.30-12.00
6 GA WA √ 09.30
09.40-11.50
12.45-17.45
6 GA SF √ 12.00
13.45-17.30
6 GA 15.00
16.30-21.00
6 GA SF √ 18.00
16.55-21.00
20.15-21.15
6 GA SF 21.30
20.30-21.00
08.15-09.15
7 GA SF 08.00
08.30-09.00
7 GA JL √ 09.30 10.30-14.00
10.45-13.15
15.15-17.15
7 GA spin SF √ 13.00
15.30-17.15
07.15-08.30
8 GA HN √ 07.00
07.40-08.15
10.15-12.00
8 GA VL √ 09.30
10.30-11.45
12.30-14.00
8 GA VL √ 11.30
12.50-13.45
15.45-17.45
8 GA VL √ 13.30
16.15-17.30
08.00-11.15
9 GA HS √ 08.00
09.00-11.00
13.45-23.45
9 GA HS √ 15.00
14.30-23.30

10 GA WA √ 10.00
13.45-16.00
10 GA VL √ 13.00
14.15-15.45
20.30-23.30
10 GA HA √ 15.00
21.45-23.15
JTG GA WA √ 10.00
JTG GA epd BI √ 14.00 16.30-21.55
17.15-21.50
GR 1 GA HN √ 07.30
DS GA 08.00
GR 1 GA DN √ 09.00
GR 2 GA HN √ 07.15 08.00-11.00
GR 2 GA DS √ 13.00 12.25-14.00
GR 4 GA WA √ 07.30
GR 4 LA 10.00
DS GA 12.00
10.45-13.15
GA VL √
11.00-13.00
04.45-06.00
CITO GA spin DS
04.55-06.00
07.00-08.15
CITO GA DS
07.15-08.10
CITO GA UB √ 09.45-10.20
13.30-15.00
CITO GA spin UB √
13.45-15.00
LA
LA 14.00-14.35
19.45-22.15
CITO GA VL √
20.15-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-09.30
1 GA WA √ 07.30
07.45-09.15
10.30-12.15
1 GA JL √ 10.00
10.45-12.00
14.00-17.30
1 GA JL √ 13.00
14.15-17.15
20.30-22.30
1 GA JL √ 20.00
20.45-22.15
08.30-10.30
2 GA WA √ 08.00
09.00-10.15
11.15-12.45
2 GA JL √ 10.00
11.30-12.30
13.45-16.00
2 GA DN √ 13.00
14.15-15.45
16.45-19.00
2 GA JL √ 17.00
17.00-18.45
3 LA 07.00 07.25-07.35
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
08.15-12.30
4 GA HN 08.00 08.45-
12.45
LA
13.15-15.00
4 GA spin HN √ 10.30
13.30-14.00
4 GA HN √ 13.00 14.30-17.45
14.45-17.30
18.20-19.30
4 GA DN √ 17.00
18.30-19.30
20.00-23.00
4 GA HN √ 19.30
21.00-22.45
20.15-21.00
4 GA spin JL 21.00
20.30-21.00
5 GA epd WA √ 08.00 07.30-12.15
07.45-12.00
13.30-16.45
5 GA epd HN 13.00
14.10-16.30
18.45-20.15
5 GA epd VL √ 15.30
19.00-20.00
17.30-19.30
5 GA HN 19.00
18.00-19.15
08.15-13.00
6 GA HA 07.00
08.30-12.45
13.45-16.30
6 GA blok HA √ 09.30
13.50-16.20
GR 1 GA WA √ 13.00
18.15-19.30
6 GA HA √ 16.30
18.30-19.15
6 GA 20.00
08.15-10.15
700% GA HA √ 08.00
09.00-10.00
11.00-12.45
7 GA DS √ 09.30
11.15-12.30
14.00-15.15
7 GA spin HA √ 10.00
14.15-15.15
7 GA HA √ 16.00 16.30-
07.15-08.30
8 GA HA √ 07.00
07.40-08.15
09.45-11.30
8 GA HA √ 09.00
10.15-11.15
13.15-15.00
8 GA DS √ 13.00
13.45-14.45
15.30-17.00
8 GA HA √ 15.00
16.00-16.45
9 GA DS √ 08.00 08.00-14.00
09.15-13.45
08.00-10.00
10 GA epd BI √ 07.00
08.15-09.45
10.30-13.00
10 GA BI √ 09.30
10.45-12.45
15.15-19.30
10 GA JL √ 13.00
16.45-19.15
20.15-23.45
10 GA DS √ 17.00
21.00-23.45
JTG GA HN √ 10.00
14.30-16.45
JTG GA HN √ 13.00
15.00-16.30
GR 1 GA WA √ 07.30
GR 1 GA 09.00 BATAL KARENA OPERATOR BERHALANGAN

GR 2 GA JH 08.00 08.30-
GR 2 GA JH √ 10.00
GR 4 GA WA 07.30
GR 4 GA WA √ 09.30 13.30-14.30
GR 4 GA JH √ 12.30 09.30-12.30
GR 2 GA HN
3 LA
19.30-20.30
7 GA JL √
19.45-20.20
9 GA VL √ 16.00-23.45
17.00-23.30
GR 2 GA AI √ 10.45-11.30
08.15-09.00
DS GA JL √
08.30-09.00
06.30-09.30
CITO GA AI √
07.00-09.15
CITO LA 18.30-
21.15-23.15
CITO GA spin DN √
21.30-23.00
14.45-15.45
CITO GA HA √
15.00-15.30
23.30-00.15
CITO GA DN √
23.45-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
06.45-09.15
CITO GA spin VL √ 06.00
07.00-09.15
11.30-13.00
CT GA BI √ 07.00
11.45-12.45
DS LA 08.00
DS LA 10.00
3 LA 14.00 14.00-14.30
13.30-16.30
9 GA SF √ 14.00
14.00-16.15
14.15-15.30
10 GA SF √ 14.00
14.30-15.15
16.40-18.40
10 GA epd DN √ 19.00
17.10-18.25
20.45-21.45
GA JL √
21.00-21.30
02.30-04.00
CITO GA HA
02.45-03.45
CITO GA UB √ 07.15-10.45
07.30-10.30
09.30-10.30
CITO GA spin UB √
09.45-10.30
CITO LA 15.15-15.30
CITO LA 17.00-17.30
19.00-20.00
CITO GA SF √
19.15-19.45
20.45-21.30
CITO GA DN √
21.00-21.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
11.45-13.45
CTO DN √ 11.30
12.10-13.30
10.00-10.30
CITO GA spin HS √
10.15-10.30
11.45-14.15
CITO GA HS √
12.15-14.00
13.00-13.15
CITO GA HS √
13.05-13.15
14.30-15.30
CITO GA DN √
14.45-15.15
17.15-20.45
CITO GA DN √
17.30-20.40
CITO LA 18.35-18.55
CITO LA
CITO GA DN √ 20.45-21.15
21.00-21.10
22.00-23.45
CITO GA DN √
22.15-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
09.00-11.00
1 GA epd HA √ 08.00
09.15-11.00
12.00-13.00
12.15-13.00
15.00-17.15
1 GA epd HA √ 12.00
15.15-17.00
08.45-11.15
2 GA HA √ 08.00
09.45-11.00
12.15-16.00
2 GA HA √ 10.30
12.30-15.45
17.00-18.45
2 GA Blok HA √ 14.00
17.30-18.30
20.15-22.30
2 GA DN √ 16.00
20.30-22.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 12.00
BATAL KARENA MO DENGAN GA
08.15-10.30
4 GA epd DN √ 08.00
08.30-10.15
spin, 11.15-13.45
4 GA DN √ 10.00
epd 11.30-13.45
15.00-17.15
4 GA DN √ 14.00
15.30-17.00
08.15-12.15
5 GA epd AI √ 08.00
08.45-12.00
12.30-14.30
5 GA DN √ 11.00
12.50-14.15
14.30-16.00
5 GA spin √ 13.30
14.45-15.45
16.30-18.30
5 GA VL √ 15.30
17.00-18.15
19.15-20.45
5 GA spin DN √ 17.30
19.45-20.30
07.00-10.00
6 GA VL √ 07.00
07.20-09.45
12.35-15.00
6 GA spin VL √ 09.30
13.00-15.00
6 GA VL √ 13.00
17.15-21.00
6 GA WA √ 15.00 17.45-
20.45
18.00-23.00
6 GA WA √ 17.00
18.30-22.45
19.30-21.30
20.00-21.30
09.00-11.30
7 GA VL √ 08.00
09.30-11.15
12.15-13.15
7 GA epd VL √ 10.00
12.30-13.15
14.00-15.00
14.10-15.00
15.00-19.15
7 GA VL √ 14.00
15.30-19.00
19.45-21.45
7 GA VL √ 16.00
20.15-21.30
09.15-10.30
8 GA HA √ 08.30
09.55-10.15
11.00-12.30
8 GA HR √ 11.00
11.45-12.15
13.00-14.30
8 GA HA √ 13.00
13.30-14.15
15.30-16.45
8 GA HR √ 15.00
15.55-16.30
08.00-14.15
9 GA HR √
09.00-14.00
9 GA JH √ 16.30-21.15
17.30-21.00
spin, 07.15-09.30
10 GA WA √ 07.30
epd 08.00-09.30
10.15-12.45
10 GA spin WA √ 10.00
11.45-12.45
15.00-16.30
10 GA spin AI √ 12.30
16.00-16.30
10 GA AI √ 15.00 18.30-
JTG GA HR
15.30-17.30
JTG GA WA √
16.00-17.15
GR 1 GA JH √ 08.00 08.45-
GR 1 GA DN √ 11.00
GR 1 LA 13.00
BATAL KARENA PASIEN MENOLAK
GR 2 GA HS √ 08.00 08.45-11.45
DN √ 11.00 13.30-
GR 2 GA
GR 4 GA WA √ 07.30
GR 4 GA WA √ 09.00
GR 4 GA 12.00
ALAT : PUR
22.45-23.45
10 GA WA √
22.50-23.30
3 LA
3 LA
3 LA
08.00-10.00
DS GA AI √
08.15-09.45
12.45-13.30
DS GA HR √
13.00-13.15
06.30-07.15
CITO GA DN √
06.40-07.00
12.15-01.45
CITO GA DN √
12.30-01.30
14.00-15.30
CITO GA JL √
14.15-15.15
21.30-22.15
CITO GA DN √
21.40-22.10
22.45-23.30
CITO GA spin DN √
22.55-22.30
23.15-01.15
CITO GA DN
23,45-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 07.30 BATAL KARENA PERBAIKAN KU
1 LA 09.00
09.45-11.15
1 GA HS √ 10.00
10.00-11.00
11.30-13.00
1 GA HR 11.30
11.45-12.45
14.00-16.00
1 GA HS √ 14.00 14.30-
15.45
17.00-21.30
1 GA epd HS √ 16.00
17.15-21.15
2 GA HS √ 08.00 07.30-11.30
08.30-11.15
11.45-16.30
2 GA HS √ 10.30
12.00-16.15
2 GA 13.30
20.00-20.45
GA spin HS √ 18.00
20.15-20.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
3 LA 16.30 19.00-19.20
3 LA 17.30 19.35-19.45
07.30-11.15
4 GA epd WA √ 08.00
08.30-11.00
4 GA 11.00 BATAL KARENA OPERATOR BERHALANGAN

14.45-17.45
4 GA DN √ 14.00
15.15-17.30
08.00-10.10
5 GA DN √ 08.00
08.15-10.00
5 GA 10.30 BATAL KARENA PASIEN DEMAN 39oc
10.45-13.00
5 GA VL √ 12.30
11.00-12.45
14.00-17.30
5 GA epd JL √ 14.00
14.30-17.15
18.00-19.15
5 GA spin JL √ 17.30
18.15-19.15
19.00-20.20
5 GA JL √ 19.30
19.20-20.10
07.15-09.45
6 GA JH √ 07.00
07.45-09.30
6 GA JH √ 11.00
11.30-17.30
6 GA JH √ 12.30
11.45-17.15
16.00-21.45
6 GA JH √ 15.30
16.30-21.45
19.00-23.00
6 GA JH √ 19.00
19.30-22.50
18.00-21.00
6 GA JH √ 22.00
18.30-20.45
09.00-10.15
7 GA JH √ 08.00
09.15-10.00
10.45-12.00
7 GA spin JH 10.00
11.00-12.00
12.15-13.15
7 GA JH √ 12.00
12.30-13.00
13.30-16.45
7 GA JH √ 14.00
14.00-16.30
08.30-10.10
8 GA VL 08.00
09.00-10.00
10.30-12.00
8 GA VL 09.30
10.45-11.45
13.00-14.30
8 GA HA √ 11.30
13.15-13.15
15.15-16.30
8 GA WA 13.30
15.30-16.15
16.30-17.45
8 GA WA 14.30
16.45-17.30
06.30-13.15
9 GA WA √ 08.00
08.00-13.00
9 GA WA 14.00 15.30-22.15
16.00-22.00
spin, 07.00-10.00
10 GA WA √ 07.00
Epd 07.45-09.45
10.45-12.15
10 GA HN √ 09.30
11.30-12.00
16.15-19.00
10 GA spin HA √ 13.00
17.00-19.00
JTG GA WA √ 10.00 09.20-
JTG GA 13.30 BATAL KARENA PASIEN MENOLAK

GR 1 GA SF √ 08.00 08.40-09.40
GR 1 GA SF √ 11.30 13.15-
GR 2 GA WA √ 07.30 08.15-
GR 2 GA SF √ 14.10-
GR 4 LA 07.15 07.15-07.30
GR 4 GA SF 08.00
GR 4 GA SF √ 11.30 11.35-
GR 5 LA 09.00
22.15-23.15
GA HS √
22.30-23.15
21.30-22.30
GA spin HS √
21.45-22.30
3 LA
8 LA 18.00-18.30
12.00-14.15
4 GA spin HN √ 12.15-
14.00
07.20-08.10
8 GA WA √
07.30-08.00
12.45-13.30
DS GA spin DN √
13.00-13.30
11.00-11.15
DS GA HN
11.00-11.15
07.30-10.15
CITO GA DN √
08.00-10.00
10.15-11.15
CITO GA DN √
10.30-11.00
CITO LA 13.30-14.00
CITO LA 13.00-
21.40-23.15
CITO GA JH √
22.15-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 6 WA √ 07.30
08.15-09.45
10.30-12.30
1 GA SF √ 10.00
11.00-12.15
13.00-14.15
13.15-13.45
14.30-16.30
1 GA SF √ 12.30
14.45-16.15
14.15-15.45
14.35-15.45
08.15-10.15
2 GA SF √ 08.00
08.30-10.00
10.30-12.00
2 GA SF √ 10.30
10.45-11.45
13.00-16.00
2 GA SF √ 12.30
13.45-16.00
10.45-11.40
DS GA DN √ 14.00 11.00-
11.30
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
08.00-12.00
4 GA DS √ 07.30
09.00-11.45
12.30-17.15
4 GA DS √ 11.00
13.00-17.00
18.00-19.00
18.15-19.00
08.00-10.00
5 GA epd VL √ 08.00
08.15-09.45
10.45-15.45
5 GA epd DS √ 10.30
11.00-15.30
17.00-18.45
17.15-18.30
07.10-12.00
6 GA TA √ 07.00
07.40-11.50
13.15-18.00
6 GA TA √ 11.00
13.30-17.45
17.30-19.45
6 GA TA √ 14.00 18.00-
19.30
19.30-21.00
6 GA TA √ 17.30
19.45-20.45
16.45-23.00
6 GA WA √ 19.00
17.15-22.45
20.00-21.00
6 GA DN √ 22.30
20.15-20.45
23.30-04.00
6 GA TA 24.00
23.45-03.45
08.15-09.30
7 GA VL √ 08.00
08.30-09.20
12.45-13.30
7 GA TA √ 09.30
12.55-13.25
10.15-12.00
7 GA TA √ 11.00
10.30-11.45
15.00-18.15
7 GA epd TA √ 12.30 15.15-
18.00
19.15-21.00
7 GA TA √ 15.00
19.30-20.50
07.45-09.45
8 GA DS √ 07.30
08.45-09.30
10.15-11.45
8 GA HA √ 09.30
10.55-11.30
8 GA HA √ 11.30
15.15-16.30
8 GA UB √ 13.30
15.35-16.15
18.30-19.30
8 GA DN √ 15.00
18.45-19.05
20.30-24.00
8 GA JL √ 16.30
20.45-23.45
07.30-12.15
9 GA UB √ 08.00
08.00-12.00
13.30-21.00
9 GA SF √ 14.00
14.30-20.50
08.45-09.10
10 GA JH √ 07.30
08.50-09.05
09.30-13.15
10 GA DN √ 09.00
10.00-13.00
10 GA 10.30 BATA KARENA HIPONATRENI
10 GA JL √ 12.30 17.00-19.00
19.45-23.15
10 GA spin SF √ 18.00
20.45-23.00
JTG GA HN √ 10.00
19.30-00.45
JTG GA HN √ 19.00
20.30-00.30
GR 1 GA DN √ 08.30 08.45-10.10
GR 1 GA WA √ 10.00 10.55-
GR 2 GA DS √ 08.00 08.30-12.15
GR 2 GA WA 11.00 13.00-15.00
GR 4 GA WA √ 07.30 07.30-10.40
GR 4 GA WA √ 10.30
GR 5 LA 09.00 10.15-11.10
GR 5 LA 11.00
22.00-22.45
GA HS √
22.15-22.30
23.30-01.15
GA spin HS √
23.45-01.00
LA
18.00-19.00
GA DS √
18.15-18.45
16.30-17.45
GA HA √
17.00-17.30
08.45-09.30
GA spin JL √
09.00-09.15
CITO LA 08.45-09.00
CITO LA 09.00-09.15
11.45-13.00
CITO GA HR
12.00-13.00
11.30-12.00
CITO GA HR √
11.35-11.55
15.00-17.00
CITO GA JL √
15.30-16.50
18.45-21.15
CITO GA JL √
19.00-21.00
20.30-21.30
CITO GA spin JL √
20.45-21.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.30
1 GA HR √ 08.00
09.00-10.15
10.45-12.45
1 GA HR 10.30
11.00-12.00
13.00-16.00
1 GA AI √ 11.30
13.15-15.45
17.00-20.15
1 GA AI 15.30
17.10-20.00

08.30-10.00
2 GA AI √ 09.30
09.00-09.45
2 LA 10.30
11.15-13.00
2 GA HS √ 12.00
11.30-12.45
14.30-15.15
2 GA spin BI √ 14.30
14.45-15.15
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
07.30-10.30
4 GA epd WA √ 08.00
08.30-10.15
11.00-13.45
4 GA BI √ 11.00
11.30-13.30
4 GA epd WA √ 14.00 15.00-17.30
15.30-17.15
08.00-11.45
5 GA VL √ 08.00
08.30-11.30
5 GA VL √ 10.30 12.30-15.00
13.15-14.45
15.45-18.15
5 GA AI √ 16.00
16.00-18.00
08.00-11.15
6 GA WA √ 07.00
08.20-11.00
6 LA 11.00 07.30-07.40
14.15-16.45
6 GA DN √ 14.30
14.45-16.30
12.30-13.15
6 GA SF √ 16.00
12.37-15.15
08.00-09.45
7 GA SF √ 08.00
08.30-09.15
10.00-11.15
7 GA SF √ 09.30
10.15-11.00
12.30-13.45
7 GA VL √ 12.00
12.45-13.30
16.00-17.15
7 GA SF √ 14.00
16.30-16.50
8 GA 06.30
BATAL KARENA PICU PENUH
08.00-10.30
8 GA DS 08.00
08.40-10.15
10.45-12.45
8 GA DN √ 10.00
11.05-12.30
13.45-15.00
8 GA VL √ 12.00
14.10-14.45
15.30-17.15
8 GA VL √ 14.00
16.00-17.00
17.45-19.45
8 GA VL √ 16.00
18.05-19.30
07.00-14.15
9 GA BI √ 08.00
08.00-14.00
9 GA BI √ 13.00 15.30-20.15
16.00-20.00
09.30-12.15
10 GA VL √ 07.00
10.00-12.30
15.00-18.00
10 GA VL √ 09.00
15.30-17.45
10 GA 14.00
BATAL KARENA MO MENGURUS BPJS
JTG GA HR √ 10.00 09.25-
JTG GA 14.00 BATAL KARENA PERBAIKAN KU

GR 1 GA WA √ 08.00 11.20-
GR 1 GA WA √ 10.30 08.30-10.35
GR 2 GA DN √ 08.00 08.30-11.45
GR 2 GA DN √ 12.00
GR 4 GA WA √ 08.00 08.15-10.30
GR 4 GA WA √ 11.30
LA
LA
LA
16.00-17.00
2 GA spin HA √
16.30-17.00
09.00-09.30
DS GA spin HS √
09.15-09.30
00.30-01.45
CITO GA spin JL √
00.45-01.45
06.30-08.15
CITO GA JL √
06.45-08.00
09.00-10.30
CITO GA UB √
09.15-10.15
CITO LA
CITO LA
CITO LA 13.45-14.00
CITO GA VL √ 14.00-18.00
14.30-17.50
16.00-17.00
CITO GA VL √
16.15-16.45
CITO GA VL √ 19.30-22.00
20.00-22.30
21.00-23.00
CITO GA VL √
21.30-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 GA HN √ 08.00
08.30-09.45
10.00-14.15
1 GA AI √ 10.30
10.30-14.00
1 GA 16.00 BATAL KARENA PASIEN PULANG PAKSA

08.15-11.45
2 GA TA √ 08.00
08.45-11.30
13.30-15.45
2 GA TA √ 11.00
14.00-15.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 13.00
08.30-11.15
4 GA HN √ 08.00
09.00-11.00
4 GA epd WA √ 13.00 13.00-15.45
13.20-16.00
07.15-09.15
5 GA HN √ 07.00
07.30-09.15
5 GA HA 09.00 09.15-15.15
09.30-15.00
16.15-17.15
16.30-17.15
17.45-18.30
18.00-18.30
19.45-20.45
5 GA HN √ 16.00
20.00-20.30
20.00-20.30
20.15-20.15
07.00-07.40
6 GA HA √ 07.00
07.15-07.30
09.30-10.30
6 GA HA √ 09.00
09.45-10.30
13.30-17.15
6 GA JL √ 13.00
13.45-17.00
16.00-18.15
6 GA HA √ 15.00
16.45-18.00
07.00-08.00
7 GA HA √ 07.00
07.15-07.45
09.15-10.15
7 GA HA √ 09.30
09.30-10.00
13.00-16.15
7 GA HA √ 12.00
13.30-16.15
06.45-08.00
8 GA DS √ 06.30
07.30-07.50
8 GA 09.00 BATAL KARENA MASIH MINUM ASPILET
13.45-14.50
8 GA HN √ 13.00
14.10-14.45
15.25-16.45
8 GA DS √ 15.00
15.45-16.30
08.30-12.00
9 GA DS √ 08.00
08.30-11.45
08.15-13.45
10 GA BI √ 08.00
09.15-13.30
15.00-18.00
10 GA epd BI √ 10.00
15.15-18.00
21.30-22.15
10 GA spin WA 12.30
21.45-22.00
22.00-23.45
10 GA epd BI √ 14.00
22.15-23.30
JTG GA WA √ 10.00
15.30-18.00
JTG GA HR √ 14.00
16.15-17.45
GR 1 GA JH √ 07.30
GR 1 GA HS √ 09.00
GR 2 GA JL √ 08.00 08.30-11.45
LA 21.15-22.40
LA
14.00-16.15
GA DN √
14.30-16.00
16.30-17.30
GA VL √
16.45-17.15
10.15-11.45
8 GA HA √
10.30-11.30
08.45-10.15
GA DS √
09.15-10.15
06.00-09.30
GA VL √
06.15-09.15
06.30-07.30
CITO GA spin VL √
06.45-07.15
CITO LA 16.40-17.00
CITO LA 15.15-
CITO LA
CITO LA 17.55-18.00
CITO LA 11.30-11.35
22.10-23.20
CITO GA spin HS √
22.25-23.15
11.15-13.15
CITO GA UB √
11.25-13.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1
1
3 LA 16.00
3 LA 17.00 22.15-
3 LA 18.00 23.30-
11.30-13.45
4 GA epd WA √ 12.00
12.00-13.30
07.45-08.45
6 GA WA √ 07.30
07.55-08.30
08.45-14.45
6 GA DN √ 08.30
09.00-14.30
13.00-13.45
6 GA DN √ 12.00
13.15-13.30
08.00-10.00
7 GA DN √ 08.00
08.30-09.45
08.30-09.30
8 GA VL √ 08.00
08.20-09.20
10.00-11.30
8 GA HA √ 10.00
10.15-11.20
07.30-08.30
GA DN √
07.45-08.15
10.00-11.30
GA DN √
10.15-11.15
08.45-09.45
GA Blok DN √
09.00-09.30
12.45-14.45
GA DN √
13.00-14.30
10.30-12.00
GA DN √
10.45-11.45
14.00-15.45
8 GA HN √
14.15-15.00
08.30-13.45
9 GA DN √
09.30-15.30
15.15-17.45
9 GA TA √
16.00-17.30
21.45-00.45
10 GA spin TA √
22.00-00.45
05.00-06.00
GA spin EL √
05.10-05.45
08.45-09.45
GA DN √
09.00-09.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
LA 01.30-02.15
03.10-04.15
GA Spin TA √
03.15-04.15
07.15-10.15
GA HN √
07.45-10.00
10.30-10.45
GA HN √
10.25-10.40
10.15-13.30
GA HN √
10.45-12.30
11.30-16.15
GA HN √
12.30-16.00
12.30-14.15
GA HN √
12.45-14.00
17.15-19.00
GA DS √
17.30-19.00
19.20-22.00
GA DS √
19.45-21.45
spin, 20.00-23.30
GA DS √
epd 20.15-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-12.00
1 GA HA √ 08.00
08.30-11.45
08.00-10.15
2 GA VL √ 08.00
09.30-10.00
2 GA VL √ 11.00 11.15-13.00
11.45-12.45
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
4 GA Epd DN √ 08.00 08.00-13.00
spin 08.30-12.45
4 GA 11.00 BATAL KARENA KU JELEK

4 GA 14.00 BATAL KARENA HB RENDAH (3)
5 LA 08.00 08.30-09.10

11.00-17.15
5 GA epd DN √ 12.00
11.30-17.00
6 LA 07.30 08.00-
09.00-18.15
6 GA VL √ 08.30
09.30-18.00
13.30-19.45
6 GA VL √ 12.00
14.00-19.30
17.00-21.15
6 GA VL √ 15.00 17.30-
21.00
20.00-23.00
6 GA HS √ 19.00
20.30-22.45
08.30-10.30
7 GA Blok VL √ 08.00
09.00-10.15
11.00-15.30
7 GA VL 11.00
11.30-15.15
14.30-18.00
7 GA VL √ 14.00
15.00-17.45
06.45-08.00
8 GA HR 06.30
07.20-07.45
08.45-10.30
8 GA HR 08.00
09.10-10.15
11.00-12.30
8 GA HR 10.00
11.30-12.15
13.15-15.15
8 GA HR 12.30
13.50-15.00
15.30-17.30
8 GA HR 14.00
16.15-17.15
9
09.00-13.00
10 GA AI √ 08.00
09.30-12.45
10 GA BI √ 11.00 19.45-24.00
20.15-23.45
14.00-16.00
10 GA HA √
14.30-15.45
10 GA BATAL KARENA OPERATOR
JT GA HN √ 10.00
15.30-16.45
JTG GA HS √ 13.00
15.45-16.30
GR 1 GA WA √ 08.00 08.40-11.00
GR 1 GA HN √ 10.00 11.00-12.45
GR 1 GA AI √ 12.00 12.30-13.30
GR 2 GA DS √ 07.30 08.20-
GR 2 GA DS √ 11.00 10.30-10.45
GR 3 GA HN √ 08.00
GR 3 GA DS 09.00
ALAT : PUR,ET
07.00-08.15
10 GA WA √ 07.00
08.15-08.00
9 GA HR 09.00 11.30-18.15
12.30-18.00
20.00-23.15
9 GA HR √ 14.00
20.45-23.00
10.15-10.45
DS 1 GA spin DN √ 12.00
10.30-10.45
13.00-14.00
DS 1 GA JL √ 13.00
13.15-13.45
13.15-16.15
7 GA VL √ 11.00
13.30-16.00
20.00-20.30
6 GA JL √ 17.00
20.15-20.35
18.45-20.00
GA DN √
19.00-19.45
3 LA 19.30-20.00
21.30-22.00
GA spin HS √
21.45-22.00
22.30-23.30
GA spin HS √
22.30-23.30
22.00-23.00
GA spin HS √
22.15-23.00
07.00-08.30
CITO GA JL √
07.30-09.15
07.00-08.30
CITO GA spin JL √
07.10-08.30
08.30-10.15
CITO GA HR
08.45-10.00
CITO LA 09.30-09.45
CITO LA 09.50-10.00
09.30-11.45
CITO GA JL √
09.45-11.30
17.15-20.00
CITO GA JL √
17.30-19.45
23.15-00.30
CITO GA JL √
23.30-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-15.00
1 GA DN √ 07.00
08.30-16.45
16.30-18.30
1 GA HS √ 17.00
16.45-18.20
18.15-11.30
2 GA HS √ 08.00
08.30-11.15
13.00-15.00
2 GA HS √ 13.00
13.15-14.45
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.30
3 LA 12.30
3 LA 13.30
3 LA 14.30
07.45-10.30
4 GA epd JL √ 08.00
08.30-10.30
11.30-13.45
4 GA JH √ 11.00
12.00-13.30
14.00-16.30
4 GA JL √ 14.00
14.30-16.15
08.30-12.30
5 GA epd VL √ 08.00
08.45-12.15

12.45-14.45
5 GA JL √ 14.00
13.00-14.30
15.45-17.15
5 GA JL √ 16.00
16.00-17.00
09.00-10.00
6 GA JH √ 08.00
09.15-09.45
10.30-13.00
10.50-12.45
13.15-16.00
6 GA JH √ 13.00
14.00-15.45
6 GA 17.00 BATA KARENA HIPERTHYROID

7 GA JH √ 07.30 07.15-10.45
07.30-10.30
11.45-14.00
7 GA epd JH √ 11.00
12.00-14.00
14.30-15.15
7 GA spin JH √ 15.00
14.40-15.10
06.15-09.00
8 GA WA √ 06.30
07.15-08.45
09.30-11.15
8 GA WA √ 08.00
10.00-11.00
12.00-13.15
8 GA WA √ 10.00
12.25-13.00
14.00-15.15
8 GA WA √ 12.00
14.20-15.30
8 LA 14.00
06.30-14.00
9 GA HR 08.00
07.30-13.45
9 GA SF √ 14.00 16.00-19.30
9 GA SF √ 16.00 19.00-24.15
19.30-24.00
07.15-10.45
10 GA HN √ 07.00
07.45-10.30
10 LA 11.30
11.45-13.45
10 GA spin HN √ 14.00
12.00-13.45
JTG GA HR √ 10.00
JTG GA 16.00 BATAL KARENA ISPA

GR 1 GA HA √ 07.30
GR 1 GA DS √ 10.00
GR 2 GA HA √ 07.30 08.25-10.40
GR 2 GA HA 11.00 11.30-12.00
GR 3 GA HA √ 08.00
GR 3 LA 10.00 BATAL KARENA
15.15-16.45
GA spin HS √
16.00-16.30
14.30-16.30
10 GA HA
15.30-16.15
15.30-18.30
GA JL √
16.00-18.15
16.45-19.00
7 GA HA √
17.00-19.15
LA
21.00-23.15
GA HS √
21.15-23.00
GR 2 GA HA √ 07.45-08.10
11.00-12.15
CITO GA DN √
11.15-12.00
19.15-21.50
CITO GA JH √
19.30-21.45
21.15-23.20
CITO GA JH √
21.30-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-12.30
08.45-12.15
1 GA 09.30 BATAL KARENA BATU SUDAH KELUAR

13.00-15.00
13.15-15.00
13.15-16.30
1 GA SF √ 12.30
15.30-16.15
08.30-09.00
2 GA DN √ 07.00
08.35-09.00
09.45-13.00
2 GA JL √ 08.30
10.15-12.45
14.00-15.30
2 GA SF √ 12.00
14.15-15.15
16.30-19.30
16.45-19.30
19.15-20.30
19.25-20.30
3 LA 07.30
3 LA 08.30
3 LA 09.30
3 LA 10.30
3 LA 11.00
3 LA 12.00
07.45-09.30
4 GA BI √ 08.00
08.30-09.15
10.15-13.00
4 GA epd DS √ 10.30
10.30-12.45
14.00-14.45
4 GA DN √ 14.00
14.15-14.40
15.40-17.15
4 GA JL √ 15.00
15.45-17.00
18.00-19.10
4 GA VL 18.00
18.30-19.00
08.00-10.15
5 GA DN √ 08.00
09.15-10.00
10.00-12.30
5 GA VL √ 10.00
10.15-12.15
5 GA epd VL √ 13.00 13.00-15.15

13.15-15.00
07.15-10.00
6 GA JH √ 07.30
07.15-09.45
11.00-12.15
6 GA TA √ 11.00
11.15-12.00
12.20-15.30
6 GA WA √ 13.00
12.45-15.15
20.15-22.15
6 GA TA √ 15.00
20.40-22.10
08.00-09.15
7 GA TA √ 08.00
08.15-09.00
10.00-14.30
7 GA VL √ 09.30
10.30-14.15
15.45-18.45
7 GA TA √ 12.00
16.15-18.30
7 GA TA √ 15.00 15.45-20.30
16.00-20.15
06.45-09.45
8 GA UB √ 06.30
07.30-09.35
11.00-12.00
8 GA UB √ 08.30
11.05-11.50
12.15-14.00
8 GA UB √ 11.00
12.40-13.40
14.15-15.30
8 GA UB √ 13.00
14.30-15.15
16.15-16.45
8 GA HR 15.00
16.20-16.40
8 GA 16.00 BATAL KARENA DEMAM

06.30-10.45
9 GA UB √ 08.00
07.00-10.30
9 GA DN √ 13.00 19.30-00.15
20.15-00.00
9 GA JH √ 17.00 11.30-16.45
12.30-16.30
08.45-10.45
10 GA JH √ 08.00
09.30-10.30
10 GA WA √ 10.00
10 GA 11.30
14.00-15.00
10 GA JH √ 12.30
14.15-14.45
17.00-17.45
10 GA spin DS 15.00
17.15.17.45
JTG GA WA √ 10.00 07.30-
14.30-15.30
JTG GA HN √ 14.00
14.45-15.15
GR 1 GA VL √ 07.30 08.10-09.45
GR 1 GA VL √ 10.00 10.30-11.45
GR 1 GA WA √ 12.30
GR 2 GA VL √ 08.00 08.15-10.30
GR 2 GA VL √ 12.00
GR 3 GA HA √ 08.00
GR 3 GA VL √ 10.30 11.30-
GR 3 GA VL √ 12.30
ALAT : PUR,ET
16.30-17.30
6 GA JL √
16.50-17.20
20.00-21.30
7 GA HR √
20.15-21.15
3 LA
20.25-22.00
GA spin HS √
20.45-21.45
06.00-07.15
8 GA JH √
06.15-07.00
18.15-19.30
8 GA HR √
18.30-19.15
11.45-14.15
DS GA HR √
12.00-14.00
DS LA 07.20-07.50
09.00-09.30
DS GA spin HS √
09.15-09.30
10.15-10.45
DS GA spin HS √
10.30-10.45
15.15-17.15
GA JH √
16.00-17.00
CITO LA
10.00-11.00
CITO GA HR
10.15-11.00
11.45-12.00
CITO GA
11.50-12.00
12.15-12.30
CITO GA
12.20-12.30
12.30-16.00
CITO GA JL √
12.45-15.45
21.00-22.30
CITO GA spin HR
21.05-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-10.45
1 GA VL √ 08.00
07.45-10.30
1 GA 11.00
BATAL KARENA PERBAIKAN KU
1 GA 13.00 BATAL KARENA OPERATOR
12.15-13.45
12.30-13.45
08.30-11.00
2 GA JH √ 08.00
09.00-10.45
2 GA 11.00 BATAL KARENA BAG. PENYAKIT DALAM BELUM ACC
2 GA JH √ 14.00 16.00-18.15
16.15-18.00
2 GA 16.00
BATAL KARENA KU MENURUN
3 LA 08.00
3 LA 09.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
08.00-10.30
4 GA epd DS √ 08.00
08.20-10.15
4 GA 11.00
BATAL KARENA SUDAH DI CITO
11.40-14.00
4 GA spin BI 12.00
12.10-14.00
16.45-20.45
4 GA BI √ 14.00
17.30-20.30
08.00-11.15
5 GA epd BI √ 08.00
08.30-11.00
12.00-14.30
5 GA epd VL √ 12.00
12.15-14.15
5 GA spin VL √ 15.00 15.15-16.15

15.30-16.15
07.00-12.00
6 GA SF √ 07.00
07.30-11.45
13.00-14.15
6 GA SF √ 11.00
13.15-14.00
14.30-17.15
6 GA SF √ 13.00
15.00-17.00
17.00-20.30
6 GA epd SF √ 17.00
17.30-20.30
05.30-07.00
7 GA SF √ 05.00
06.00-06.45
08.00-09.10
7 GA SF √ 07.00
08.15-08.45
09.30-12.30
7 GA SF √ 08.00 10.00-
12.15
13.45-16.45
7 GA SF √ 10.00
14.00-16.30
15.30-21.00
16.00-21.00
7 GA 16:00 BATAL KARENA PERBAIKAN KU

09.45-12.15
8 GA VL √ 09.00
10.50-12.00
12.30-14.00
8 GA HS √ 11.00
12.50-13.45
12.00-14.30
8 GA HS √ 13.00
12.30-14.15
05.45-07.30
9 GA JH √ 06.00
06.15-07.15
08.00-13.45
9 GA DS √ 08.00
09.00-13.30
14.30-20.45
9 GA SF √ 14.30
14.45-20.30
07.00-08.30
10 GA VL √ 07.00
07.15-08.15
09.15-12.00
10 GA spin WA √ 10.00
09.45-11.45
10 GA 12.30
14.30-16.00
10 GA WA √ 14.30
14.45-15.45
10 GA VL √ 16.30
JTG GA HN √ 10.00
15.30-17.30
JTG GA WA √ 15.00
16.00-17.15
GR 1 GA JH √ 07.30 08.30-
GR 1 GA VL √ 10.00 11.25-14.15
GR 1 GA 13.00 15.30-
GR 2 GA WA √ 07.00 07.30-10.00
GR 2 GA HN √ 09.00 11.00-
GR 3 GA JL √ 08.00
GR 3 LA 11.00
LAT : PUR,YN
07.45-09.00
8 GA DS √ 07.00
08.00-08.45
16.45-20.15
GA SF √ 16.00
17.00-20.00
10 GA HA √
LA
10.30-11.30
GA HA √
10.45-11.25
DS LA 15.00-15.20
11.30-14.45
CITO GA UB √
12.00-14.30
18.00-19.00
CITO GA SF √
18.15-18.45
17.30-19.00
CITO GA spin DN √
17.45-19.00
21.00-23.45
CITO GA SF √
21.30-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.30
08.30-09.30
10.15-11.45
1 GA epd WA √ 10.00
10.30-11.30
13.00-17.00
1 GA WA √ 13.00
13.15-16.45
08.00-09.00
2 GA DN √ 07.30
08.15-08.45
09.30-12.30
2 GA Blok DN √ 09.30
10.20-12.20
13.45-14.45
2 GA DN √ 15.00
14.00-14.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
07.30-10.45
4 GA epd WA √ 08.00
08.45-10.30
14.30-17.00
4 GA HN √ 12.00
15.00-16.45
13.00-14.30
4 GA DN √ 14.00
13.15-14.15
08.00-11.30
5 GA HN √ 08.00
08.30-11.15
11.00-14.45
5 GA epd VL √ 11.00
11.20-14.30
15.30-18.00
5 GA epd HN √ 13.30
15.45-17.45
07.00-08.45
6 GA WA √ 07.00
07.45-08.30
09.00-10.00
6 GA JH √ 10.00
09.30-09.45
6 GA HA √ 12.30 10.30-18.00
10.45-17.45
16.00-20.00
6 GA HA √ 16.00
16.15-19.45
11.00-12.45
7 GA HA √ 08.00
11.15-12.30
08.00-11.00
7 GA HA √ 10.30
08.30-10.45
7 GA 14.00
BATAL KARENA MO NGURUS BPJS dulu
15.30-16.10
7 GA spin HN √ 16.00 15.40-
16.10
16.50-18.25
7 GA VL √ 18.00
17.25-18.25
08.15-09.45
8 GA DS √ 08.00
08.55-09.30
10.15-11.30
8 GA HN √ 10.00
10.35-11.15
14.45-16.45
8 GA HN √ 15.00
15.10-16.30
8 GA 17.00
BATAL KARENA GDS TINGGI 218
9 GA SF √ 07.00 08.00-12.15
08.30-12.00
9 GA BI √ 15.00 16.30-18.00
16.45-17.45
08.30-11.30
10 GA BI √ 08.00
09.00-11.30
12.00-13.30
10 GA spin BI √ 10.00
12.30-13.30
14.10-16.10
10 GA JH 12.30
14.40-15.00
20.00-23.00
10 GA spin BI √ 14.00
20.30-23.00
17.00-18.30
10 GA spin VL √ 16.00
17.45-18.30
21.45-23.30
10 GA spin BI √ 19.00
22.00-23.30
JTG GA WA √ 10.00
JTG GA HN √ 14.00 15.45-
GR 1 GA JH √ 07.30
GR 1 GA VL √ 09.30 10.05-11.15
GR 1 GA VL √ 12.30
GR 2 GA JH √ 08.00 09.30-10.15
GR 2 GA WA √ 10.00 11.20-12.30
GR 3 GA JH √ 07.30 09.00-11.15
GR 3 GA JH √ 12.00 13.15-13.35
ALAT : PUR,YN
08.00-08.45
DS GA spin BI √
08.15-08.45
DS LA 20.20-20.35
DS LA
DS LA
DS LA
23.4-00.30
GA HS √
00.00-0.30
21.45-22.30
GA HS √
22.00-22.15
23.00-24.05
GA spin BI √
23.20-24.00
01.15-02.30
CITO GA spin SF
01.30-02.30
06.45-07.50
CITO GA spin SF √
06.50-07.50
07.15-10.00
CITO GA JL
07.30-09.45
10.45-12.30
CITO GA WA √
11.00-12.30
CITO LA 11.20-11.30
13.30-14.45
CITO GA spin WA √
13.35-14.35
14.15-15.15
CITO GA BI √
14.30-15.00
CITO GA
18.30-22.00
CITO BI √
18.45-21.45
20.30-23.30
CITO GA BI √
20.40-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
spin, 08.00-16.00
1 GA DN √ 07.30
Epd 08.30-15.45
07.15-09.30
2 GA TA √ 07.00
07.30-09.15
CITO GA spin TA √ 09.00 07.00-08.00
07.15-07.45
13.45-17.30
2 GA DN √ 13.00
14.00-17.15
20.40-23.00
2 GA EL √ 18.00
20.55-22.45
3 LA 08.00
08.30-11.15
4 GA DN √ 08.00
09.00-10.00
15.30-17.45
4 GA WA √ 14.00
16.30-17.45
07.30-11.00
5 GA WA √ 08.00
08.00-10.30
06.45-09.15
6 GA WA √ 07.00
07.00-09.00
10.45-11.30
6 GA TA √ 11.00
11.00-11.15
08.00-09.30
7 GA TA √ 08.00
08.30-09.15
02.25-03.30
CITO GA spin BI √
02.35-03.25
CITO LA 11.15-11.45
CITO LA 10.40-11.00
10.30-14.30
CITO GA TA √
10.45-14.15
15.00-16.00
CITO GA HN √
15.15-15.45
15.45-18.30
CITO GA EL √
16.00-18.30
18.00-19.30
CITO GA EL √
18.15-19.15
20.00-24.00
CITO GA EL √
20.30-23.45
22.15-00.15
CITO GA spin EL √
22.30-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
07.00-08.30
GA spin UB √ 07.00
07.15-08.30
09.15-11.30
GA HN √
09.30-11.30
08.15-11.30
GA DN √
08.30-11.15
12.30-15.00
GA UB √
12.45-15.00
9 GA HN √ 12.15-17.00
12.45-16.45
spin, 14.00-18.00
10 GA WA √
epd 14.30-18.00
15.00-18.00
GA WA √
15.30-17.45
08.15-11.15
GA UB √
08.45-11.00
09.00-11.30
CITO GA UB √
09.15-11.30
10.25-11.45
CITO GA spin TA √
10.35-11.40
15.00-18.00
CITO GA WA √
15.30-17.45
spin, 20.30-24.00
CITO GA TA √
epd 21.00-24.00
20.30-22.30
CITO GA spin TA √
20.45-22.30
20.45-23.30
CITO GA TA √
21.00-23.15
23.00-01.00
CITO GA spin TA √
23.15-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.15
1 GA HA √ 07.30
08.30-10.00
09.45-10.45
10.00-10.45
11.45-14.15
12.00-14.15

14.50-15.15
1 GA HA √ 14.00
14.55-15.10
15.15-16.15
1 GA HA √ 15.00 15.55-
16.10
08.00-11.00
2 GA HA √ 08.00
09.00-10.45
12.30-15.30
2 GA HA √ 10.00
13.00-15.15
16.00-18.45
2 GA HA √ 12.00
16.15-18.30
19.45-23.00
2 GA HA 15.00
20.00-22.50
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 13.00
07.45-12.15
4 GA epd VL √ 08.00
09.00-12.00
13.15-17.00
4 GA epd DN √ 11.00
13.20-16.45
spin, 18.00-19.15
4 GA DN √ 14.00
epd 18.30-19.00
08.15-09.30
5 GA VL √ 08.00
08.30-09.15
5 GA 10.30 BATAL KARENA PASIEN MENOLAK

10.30-13.00
5 GA VL √ 10.30
10.45-12.45
14.15-16.30
5 GA epd VL √ 13.00
14.30-16.15
5 GA DN √ 16.00 18.30-22.30
18.45-22.15
07.30-12.00
6 GA JH √ 07.30
07.55-11.45
12.45-20.45
6 GA BI √ 11.00
13.15-20.45
6 GA 14.00
21 45-00.00
6 GA VL √ 15.00
22.00-23.45
20.15-21.00
6 GA VL √ 17.00
20.25-20.50
10.30-11.30
7 GA VL √ 08.00
10.45-11.15
18.00-19.00
18.15-19.00
14.30-16.45
7 GA spin VL 12.00
15.00-17.00
16.45-19.30
7 GA VL √ 13.00
17.00-19.00
07.30-09.00
8 GA HR √ 07.00
07.45-08.45
11.45-13.15
8 GA HA √ 11.30
12.10-13.00
10.00-11.30
8 GA HA √ 09.00
10.30-11.15
13.30-15.30
8 GA HR √ 13.30
14.20-15.15
9 GA
06.45-10.15
10 GA WA √ 07.00
07.15-10.00
11.15-12.45
10 GA WA √ 11.00
11.40-12.30
15.00-19.45
10 GA WA √ 12.30
15.30-19.40
JTG GA HR √ 10.00
JTG LA 13.00
JTG LA 14.00 16.00-17.00
GR 1 GA BI √ 08.00
GR 1 GA BI √ 10.30 11.30-
GR 2 GA BI √ 08.00 08.30-11.00
ALAT : PUR,YN,ET
GR 2 GA AI √ 12.35-13.05
05.15-07.45
7 GA TA √
05.45-07.30
07.00-08.30
7 GA HR √ 07.00
07.30-08.20
09.00-10.15
7 GA VL √ 08.00
09.15-10.00
05.45-14.30
9 GA HR √ 06.00
06.15-10.15
9 GA HA √ 11.30-16.00
12.30-15.45
9 GA HR 16.30-20.15
17.00-20.00
17.00-19.30
1 GA HA
17.30-19.15
20.00-22.00
GA AI √
20.30-21.45
21.15-22.45
GA HS √
21.30-22.30
LA 18.00-
LA 20.45-21.15
23.15-01.30
GA spin HS √
23.30-01.30
CITO GA JL √ 09.00-12.15
09.30-12.00
CITO LA 13.10-13.20
CITO LA
CITO LA
15.00-19.00
CITO GA JL √
15.15-18.45
15.00-17.45
CITO GA JL √
15.45-17.30
22.15-00.00
CITO GA DN √
22.30-23.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-11.30
1 GA HS √ 07.30
08.30-11.00
12.30-13.30
1 GA HS √ 11.00
12.40-13.20
1 GA AI √ 12.30
17.00-20.30
1 GA HS √ 14.00
17.30-20.30
08.00-09.15
2 GA HN √ 08.00
08.30-09.00
2 GA HS √ 11.00
15.00-16.15
2 GA HS √ 13.00
15.30-16.00
2 GA 15.00 BATAL KARENA PICU PENUH

09.40-11.00
JTG GA JL √ 18.00
09.55-10.55
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00 14.30-15.10
08.00-11.00
4 GA epd JL √ 08.00
08.30-10.45
11.15-12.15
11.45-12.15
4 GA 13.00 BATAL KARENA ISPA

07.15-09.45
5 GA JL √ 08.00
07.45-09.30

12.00-15.00
5 GA HN √ 13.00
12.30-14.45
16.00-20.15
5 GA JL √ 15.00
16.25-20.00
21.30-22.30
5 GA JL √ 18.00
21.45-22.15
07.00-09.00
6 GA WA √ 07.00
07.15-08.45
10.30-15.00
6 GA WA √ 09.00
10.45-15.00
6 GA WA √ 13.00 13.00-21.00
13.30-21.00
23.45-00.30
6 GA JH √ 16.00
00.00-00.30
08.15-11.00
7 GA JH √ 08.00
08.45-10.45
11.30-14.30
7 GA JL √ 10.30
11.45-14.15
17.00-19.30
7 GA JH √ 12.00
17.30-19.15
13.30-18.45
7 GA JH √ 14.00
14.00-18.30

06.15-08.00
8 GA WA √ 06.30
07.20-08.45
09.30-11.15
8 GA VL √ 09.00
10.00-11.00
11.30-13.15
8 GA VL √ 11.00
12.05-13.00
13.30-15.00
8 GA VL √ 13.00
13.55-14.45
16.15-18.00
8 GA WA √ 15.00
16.55-17.45
19.15-21.15
8 GA WA √ 16.00
19.40-21.00
9 GA HN √ 08.00 09.50-18.00
20.45-00.45
9 GA HN √ 13.00
21.00-00.30
06.45-08.45
10 GA WA √ 07.00
07.45-08.30
12.30-15.00
10 GA spin HN √ 11.00
12.45-15.00
spin, 20.00-23.15
10 GA JH √ 16.00
epd 21.00-23.15
spin, 17.00-18.15
10 GA WA √ 19.00
epd 17.30-18.15

GR 1 GA JH √ 07.30
GR 1 GA DS 09.30 10.40-
GR 2 GA 07.15 BATAL KARENA KELAINAN JANTUNG
GR 2 GA AI √ 11.00 10.40-13.10
GR 3 GA HA √ 07.30 08.30-09.00
GR 3 GA WA √ 09.00
GR 4 LA 09.00 11.00-13.00
ALAT : PUR,YN,ET
GA JL √ 20.15-21.00
17.15-21.15
GA JL √
18.30-21.00
22.00-01.00
GA JL √
22.15-00.45
23.15-23.45
GA WA √
23.20-23.40
10.00-11.30
10 GA WA √
10.15-11.15
DS LA
23.00-00.30
GA spin HS √
23.15-00.30
24.00-01.00
GA spin HS √
24.15-01.00
GA
20.00-23.00
GA spin HS √
20.30-22.30
13.45-14.30
DS GA HR
14.00-14.30
DS LA
01.30-02.45
CITO GA blok DN
01.45-02.30
02.30-06.00
CITO GA DN
03.00-05.45
CITO LA 11.30-11.55
16.00-18.15
CITO GA HN √
16.15-18.00
CITO LA 15.15-15.35
19.15-20.45
CITO GA DN √
19.30-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
OK DPJP ANESTI
CT
07.25-08.40
1 GA WA √ 07.30
07.45-08.30
09.15-09.45
1 GA HA √ 09.00
09.30-09.40
10.45-11.15
11.00-11.15
12.00-13.45
1 GA BI √ 12.00
12.10-13.30
19.10-20.40
1 GA BI √ 14.00
19.30-20.30
1 GA 18.00
BATAL KARENA OPERATOR
08.00-12.00
2 GA DN √ 08.00
08.30-12.00
13.30-14.30
13.45-14.30
18.45-22.30
2 GA DN √ 18.00
19.15-22.15
3 LA 07.30 14.00-
3 LA 08.30
3 LA 09.30
3 LA 10.30
3 LA 11.30
3 LA 13.00 14.35-14.50
19.15-19.45
4 GA DN √ 14.00
19.20-19.35
20.15-21.15
4 GA AI √ 15.30
20.30-21.00
08.00-09.15
5 GA JH √ 08.00
08.15-09.00

10.45-12.00
11.00-11.45
12.45-15.15
5 GA epd VL √ 13.30
13.00-15.00
16.15-17.15
GA spin DS √ 16.00
16.30-17.15
07.15-09.45
6 GA JH √ 07.00
07.40-09.30
10.30-12.30
6 GA AI √ 09.00
11.00-11.40
13.00-19.45
6 GA AI √ 12.00
13.30-19.30
18.00-18.30
6 GA AI √ 15.00 18.10-
18.20
08.15-09.15
7 GA AI √ 07.00
08.30-09.00
09.30-10.45
7 GA AI √ 09.00
09.45-10.30
11.15-14.15
7 GA AI √ 11.00
11.30-14.00
15.45-20.45
7 GA AI √ 16.00
17.00-20.30
06.45-08.15
8 GA UB √ 06.30
07.15-08.00
8 GA UB √ 08.00 08.30-10.30
09.00-10.00
12.10-13.40
8 GA HN √ 12.30
12.30-13.30
15.00-16.45
8 GA HA √ 14.30
15.30-16.30
17.30-20.10
8 GA HA √ 16.00
17.40-20.00
21.00-22.30
8 GA HR 18.00
21.15-22.15
00.30-01.15
8 GA HR 20.00
00.45-01.00
22.30-00.15
8 GA HA √ 22.00
23.00-00.00
15.30-23.15
9 GA UB √ 08.00
16.30-23.00
9 GA 14.00 BATAL AKRENA KELUARGA MENOLAK

08.15-12.15
10 GA JH √ 07.00
08.30-12.00
13.00-16.15
10 GA AI √ 10.30
14.00-16.00
10 GA HS √ 12.00
21.50-00.45
10 GA spin AI √ 14.00
22.00-00.30
15.00-17.30
10 GA AI √ 19.00
15.30-17.30
23.15-00.45
10 GA spin TA √ 21.00
23.30-00.45
JTG GA HN √ 10.00
JTG LA 13.00
JTG LA 15.00
GR 1 GA WA √ 08.00 08.40-10.15
GR 1 GA HA √ 11.00 11.50-
GR 2 GA BI √ 08.00 08.45-09.30
GR 2 GA DN √ 10.00 10.50-12.30
GR 2 GA BI √ 13.00 13.50-14.30
GR 3 GA WA √ 07.30
GR 3 GA AI √ 11.00
9 GA HA √ 08.00-14.15
GA BI √ 15.30-18.00
16.00-18.00
LA 20.00-20.30
20.45-23.15
GA spin HS √
21.00-23.15
22.00-23.00
GA spin HS √
22.00-23.00
LA
CITO LA
07.00-11.30
CITO GA BI √
07.20-11.15
08.15-13.15
CITO GA epd BI √
08.45-13.00
12.15-13.15
CITO GA spin BI √
12.30-13.15
CITO LA 15.30-16.20
16.30-21.00
CITO GA HR
16.45-21.00
17.30-20.30
CITO GA DS √
17.45-20.15
18.00-20.00
CITO GA HR
18.15-19.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-11.30
09.15-11.30
1 GA 09.30 BATAL KARENA ASMA
13.15-14.15
1 GA AI √ 12.00
13.45-14.00
1 GA AI √ 14.00 15.45-18.45
16.00-18.30
1 GA AI √ 16.00 20.00-23.45
20.30-23.30
08.30-12.30
2 GA AI √ 08.00
09.00-12.00
12.30-16.30
2 GA HA √ 11.30
13.00-16.00
16.45-20.30
2 GA AI √ 14.30
17.00-20.15
3 LA 08.00
3 LA 09.00
3 LA 11.00
BATAL KARENA TONO NYA TINGGI
spin, 08.00-10.15
4 GA AI √ 08.00
epd 08.30-10.15
spin, 11.00-14.00
4 GA BI √ 11.00
epd 11.30-13.45
14.30-15.30
4 GA VL √ 15.30
14.45-15.30
12.00-15.00
12.45-15.00
08.00-13.00
5 GA epd BI √ 08.00
08.40-12.45
13.15-19.00
5 GA epd BI √ 11.00
13.30-18.45
20.00-22.00
5 GA epd BI √ 15.00
20.15-21.45
5 GA DN √ 17.00 18.00-20.15
18.15-20.00
07.25-13.30
6 GA SF √ 07.00
07.50-13.45
14.25-16.55
6 GA SF √ 11.00
15.00-16.45
6 GA 13.00
08.15-10.45
7 GA SF √ 08.00
08.30-10.30
11.00-14.30
7 GA VL √ 10.00
11.15-14.15
15.15-18.15
7 GA VL √ 12.30
15.45-18.00
16.30-19.00
7 GA VL √ 15.00
17.00-18.45
19.45-24.00
7 GA SF √ 17.30
20.30-23.45
07.15-08.15
8 GA HS √ 06.30
07.30-08.15
08.30-09.20
8 GA AI √ 08.00
08.45-09.15
10.30-12.30
8 GA VL √ 09.30
10.40-12.15
13.00-14.15
8 GA VL √ 12.00
13.15-14.00
14.50-16.15
8 GA VL √ 14.00
15.15-16.00
16.40-17.45
8 GA HA √ 16.00
16.55-17.30

07.30-22.45
9 GA HS √ 08.30
08.30-22.30
07.00-08.30
10 GA spin VL √ 06.30
07.15-08.30
10 GA VL √ 08.00 09.30-15.30
10.10-15.15
16.30-18.30
10 GA spin VL √ 12.00
17.00-18.30
19.15-20.00
10 GA spin AI √ 14.30
19.30-20.00
23.00-01.30
10 GA spin AI √ 19.00
23.15-01.15
JTG GA 10.00
GR 1 GA DN √ 07.30 07.45-
GR 1 GA DN √ 09.00 10.00-
GR 1 GA VL √ 11.00 11.50-
GR 2 GA DS √ 07.30 08.00-09.00
GR 2 GA DN √ 10.00 10.30-
GR 3 GA HS √ 08.00
GR 3 GA DN √ 10.30 11.45-
ALAT : PUR,YN,ET
08.30-10.30
JT GA AI √ 08.00
09.15-10.15
17.00-18.00
17.20-18.00
20.30-22.00
2 GA BI √ 17.00
20.45-21.45
LA
08.15-10.15
CITO GA spin UB √
08.30-10.00
09.45-10.45
CITO GA spin UB √
09.55-10.40
09.15-09.30
CITO GA UB √
09.20-09.30
CITO LA 11.00-11.15
CITO LA
12.15-15.15
CITO GA UB √
12.45-15.00
14.15-16.30
CITO GA spin AI √
15.00-16.30
16.15-17.15
CITO GA spin AI √
16.30-17.00
19.15-20.15
CITO GA AI √
19.30-20.00
19.30-22.00
CITO GA spin AI
19.45-22.00
CITO GA AI 21.30-21.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT

08.50-10.15
1 GA TA √ 10.00
09.15-10.10
13.45-17.00
1 GA TA √ 12.30
14.15-16.45
08.30-12.00
2 GA AI √ 08.00
09.00-11.30
14.00-17.15
2 GA TA √ 11.00
14.30-17.00
18.15-20.30
2 GA HS √ 16.00
18.45-20.15
21.15-23.15
2 GA WA 18.00
21.45-23.00
3 LA 08.30
3 LA 09.30
3 LA 11.00
3 LA 13.00
spin, 07.45-09.00
4 GA BI √ 07.30
epd 08.00-09.00
10.15-10.45
4 GA DN √ 10.00 10.30-
10.30
08.00-12.45
5 GA epd VL √ 08.00
08.45-12.30
13.30-15.15
5 GA VL √ 10.30
14.00-15.00
17.30-20.45
5 GA HN 15.00 18.00-
20.30
07.45-10.00
6 GA HA √ 08.00
08.15-09.45
10.45-12.30
6 GA HA √ 09.30
10.50-12.15
13.30-16.30
6 GA HA √ 13.00
13.45-16.15
14.45-19.00
6 GA JL √ 15.00
16.15-19.00
13.50-16.00
7 GA HA √ 08.00
14.00-15.55
08.40-12.45
7 GA HA √ 10.30
09.00-12.30
7 GA 13.00
06.30-08.30
8 GA DS √ 06.30
07.15-08.15
08.30-10.00
8 GA HN √ 08.30
09.00-09.45
10.30-12.00
8 GA DS 10.00
10.45-11.45
14.30-16.00
8 GA DS 13.00
14.50-15.45
16.45-18.15
8 GA HN 15.00
17.00-18.00
21.45-23.30
8 GA HN 17.00
22.15-23.15

07.00-12.15
9 GA DS √ 08.00
08.30-12.00

10 GA WA √ 09.00 10.35-11.30
17.15-18.45
10 GA VL √ 10.30
17.30-18.30
10 GA 13.00 BATAL KARENA ALAT BELUM ACC

10 GA 16.00 BATAL KARENA ALAT BELUM ACC
JTG GA HN √ 10.00 09.40-
GR 1 GA JL 08.00
GR 1 GA JL 10.00 10.15-11.15
GR 2 GA HN √ 07.30 08.00-09.00
AT : PUR,YN,ET
10.00-10.45
DS GA BI √ 10.00
10.15-10.30
DS GA BI √ 13.00
15.00-18.00
1 GA HN √ 13.00
15.15-17.45
19.30-21.45
20.00-21.30
LA
LA
LA
LA
11.30-12.00
1 GA BI √
11.35-11.45
06.45-07.45
CITO GA DN √
07.00-07.30
06.45-07.45
CITO GA spin AI
06.00-07.45
03.00-04.00
CITO GA spin AI
03.15-04.00
GA 09.45-10.00
12.40-15.40
GA WA
12.50-15.30
15.30-20.00
CITO GA epd HN
15.45-20.00
17.05-19.30
CITO GA HN
19.15-19.15
20.30-22.30
CITO GA HN √
20.50-22.15
21.45-22.30
CITO GA HS √
22.00-22.30
CITO LA
21.00-23.20
CITO GA HN
21.15-23.15
23.45-02.15
CITO GA HN
24.00-02.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
16.15-17.00
1 GA DN √ 08.00
16.45-17.00
1 GA DN √ 09.00 18.30-20.00
1 LA 14.00
8 LA 08.00
10.15-12.15
8 GA HA √ 10.00
10.40-11.45
07.30-13.15
9 GA HS √ 08.00
08.30-13.00
07.30-08.45
10 GA HS √ 07.00
07.45-08.30
10 LA 10.00
11.45-12.30
10 GA WA √ 11.30
11.45-12.30
spin, 15.00-17.00
10 GA VL √ 12.00
epd 15.15-17.00
spin, 18.45-21.00
10 GA VL √ 14.30
epd 19.15-21.00
3 LA 12.00 BATAL KARENA PASIEN SESAK NAFAS

3 LA 14.00 15.20-16.00
CITO GA HS √ 07.30-08.30
00.15-03.15
CITO GA HS √
00.30-03.00
09.45-12.15
CITO GA HS √
10.00-12.00
CITO LA 12.00-12.30
CITO LA 15.30-
CITO LA 16.00-16.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
08.15-10.00
CITO GA JL √
08.30-10.00
08.30-09.30
CITO GA spin JL √
08.45-09.30
09.30-12.45
CITO GA JL √
10.00-12.30
10.00-12.45
GA JL √
10.30-12.35
13.15-14.30
GA JL √
13.30-14.00
13.45-17.00
CITO GA JL √
14.00-17.00
19.15-20.15
GA HA √
19.30-20.15
20.00-21.15
CITO GA HA √ 20.15-
21.00
CITO GA HA √ 23.00-01.30
23.15-01.15
04.30-08.15
CITO GA VL √
08.45-08.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.00
1 GA HR √ 08.00
08.40-09.50
spin, 10.45-11.45
1 GA HA √ 10.30
Epd 11.15-11.30
16.15-19.00
1 GA DS √ 16.00
17.00-18.45
2 GA HA √ 08.00 09.50-
2 GA 11.00 SUDAH DIKERJAKAN HARI MINGGU
13.00-15.30
2 GA HA √ 13.30
13.15-15.15
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
07.45-11.00
4 GA epd DS √ 08.00
08.15-10.45
11.45-13.30
4 GA DN √ 11.00 12.15-
13.15
15.30-17.10
16.00-17.00
12.30-15.15
5 GA epd DN √ 08.00
12.45-15.00
5 GA 10.00 BATAL KARENA PASIEN MENINGGAL DUNIA

16.00-20.15
5 GA DN √ 12.30
16.15-20.00
18.00-21.15
18.15-21.00

12.45-18.30
6 GA DN √ 13.00
12.10-18.15
12.45-15.00
6 GA DS √ 16.00
13.00-14.45
07.30-11.45
7 GA VL √ 08.00
08.00-11.30
10.35-11.45
7 GA JL √ 12:00
10.50-11.30
08.00-09.15
8 GA HR √ 08.00
08.20-09.00
09.45-11.15
8 GA HA √ 10.00
10.15-11.00
11.30-13.30
8 GA HS √ 12.00
12.15-13.15
14.15-16.15
8 GA HA √ 14.00
15.00-16.00
18.15-22.15
9 GA HR 08.00
19.15-22.00
spin, 07.45-10.15
10 GA WA √ 08.00
Epd 09.00-10.15
10 GA 11.00 GANTI PASIEN
spin, 13.45-18.30
10 GA WA √ 12.30
Epd 14.15-18.30
JTG GA HR √ 07.20-
GR 1 GA DS √ 08.00
GR 1 GA 12.00
GR 1 GA DS √ 07.30 08.00-
GR 1 GA VL √ 10.00 12.00-13.30
9 GA HR √ 06.00 05.30-11.00
06.30-10.45
14.30-17.30
9 GA DS √
15.00-17.15
08.00-12.15
5 GA HR √ 08.00
08.30-12.00
spin, 10.45-12.45
10 GA AI √ 09.00
epd 11.25-12.45
07.45-09.45
6 GA HA √ 08.00
08.15-09.30
21.00-23.00
GA BI √
21.15-22.45
19.00-22.30
GA VL √ 19.00
19.45-22.25
16.00-18.30
1 GA DN √
16.15-18.15
19.15-20.00
GA DN √ 16.00
19.30-19.50
12.10-14.00
GA JL √
12.20-13.50
22.15-23.45
10 GA AI √
22.50-23.30
6 GA VL √ 10.00
3 LA 13.00
3 LA 14.00 13.00-14.20
DS LA
DS LA
08.00-10.30
CITO GA JL √
08.15-10.15
11.45-14.15
CITO GA JL √
12.00-14.00
CITO LA
CITO LA
16.30-18.00
CITO GA spin BI √
17.00-18.00
CITO LA 19.00-
CITO LA
CITO LA 23.00-23.30
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-11.00
1 GA HS √ 08.00
08.45-10.45
12.15-19.00
1 GA JL √ 11.00
12.30-18.45
1 GA 14.00
19.30-21.00
1 GA HS √ 18.00
19.45-20.45
08.00-09.30
2 GA BI √ 08.00
08.15-09.15
10.00-13.45
2 GA SF √ 10.00
10.15-13.30
15.00-16.00
2 GA HS √ 13.00
15.15-15.45
2 GA 17.00
17.45-21.00
2 GA HS √ 19.00
18.15-20.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
07.45-10.00
4 GA epd HA √ 07.00
08.00-09.45
10.30-12.45
4 GA epd JL √ 11.30
10.45-12.30
13.45-15.30
4 GA epd WA √ 15.00
14.00-15.20
17.30-19.00
17.45-19.00
5 GA 08.00
09.00-11.00
09.15-10.45
12.00-15.00
5 GA epd JL √ 13.00
12.30-14.45

07.15-10.15
6 GA HN √ 07.30
08.00-10.00
11.00-12.00
6 GA JH √ 11.30
11.10-11.55
11.30-12.20
6 GA JH √ 13.00
12.05-12.15
14.05-16.35
6 GA JH √ 14.00
14.30-16.25
17.45-18.30
6 GA JH √ 17.00
17.50-18.15
09.15-10.30
7 GA DN √ 08.00
09.30-10.15
11.15-12.30
11.30-12.30
14.00-16.15
7 GA DN √ 12.00
14.15-16.00
08.00-09.30
8 GA WA √ 08.00
08.30-09.20
10.00-13.45
8 GA WA √ 10.00
10.50-13.30
14.45-15.30
8 GA WA √ 12.00
15.00-15.15
15.45-16.15
8 GA WA √ 13.00
16.00-16.10
06.00-12.15
9 GA JH √ 08.00 07.00-
12.00
13.30-23.45
9 GA WA √ 14.00
14.30-23.30
07.00-11.00
10 GA HN √ 07.00
07.45-10.45
14.30-17.40
10 GA AI √ 12.00
15.30-17.30
12.00-14.00
10 GA spin HN √ 15.00
12.45-14.00
JTG GA WA √ 10.00
16.15-18.30
JTG GA spin SF √ 15.00
16.45-18.30
GR 1 GA WA √ 08.00 08.30-
GR 1 GA WA √ 10.30 11.30-
GR 2 LA 08.00 08.00-
GR 2 GA SF √ 09.00 09.40-10.40
GR 2 GA DN 11.00 11.45-
GR 3 GA SF √ 08.00 08.30-12.00
GR 3 GA BI √ 11.00 13.00-13.45
GR 3 GA BI √ 13.00
ALAT : PUR,ET
17.15-18.30
GRD1 GA JL √ 12.00
17.30-18.15
20.00-22.45
1 GA HN √ 14.00
20.30-22.30
14.45-15.15
2 GA DN √ 14.00
15.00-15.15
7 GA JL √ 14.00 13.00-14.15
18.45-21.30
8 GA VL √
19.00-21.15
DS 1 LA
15.00-16.30
DS 1 GA spin BI √
15.15-16.15
07.15-08.30
CITO GA spin BI √
07.25-08.30
07.45-09.45
CITO GA DN √
08.00-09.30
11.50-15.15
CITO GA DN √ 12.00-
15.00
18.15-18.45
CITO GA WA
18.20-18.45
HARI / TANGGAL : RABU, 01 FEBRUARI 2017
JAMINAN
1 Djumaidi 2 NPBI 73 th L GER D C611457 8836029
2 Wagiyem 2 JMD 67 th P GER D C488363 8830183
3 Helmy Sabri 1 NPBI 65 th L KPD LD C526809 8840018
4 Susilowati 3 NPBI 27 th P R4B C619816 8843685
5 Kholimah 3 PBI 51 th P R4B C617568 8843828
6 Karso, SPd 3 NPBI 55 th L KPD LD C105358 8843594
Syareefa Orlin Hanum

7 1 NPBI 1 th P C1LD C612472 8843853
Hasyim
8 Dewi Wuryaningsih 3 Um 47 th P R3A C621638 8841517
9 Karpi 3 NPBI 49 th P R4A C619942 8843958
10 Sadullah 3 PBI 19 th L Pol MTA C537012
11 Sarpi 3 PBI 77 th L Pol MTA C617665
12 Jatmiko 3 NPBI 43 th L Pol MTA C618334

13 Suharyono VIP NPBI 69 th L P. GRD C420457
14 Jumini 3 NPBI 57 th P Pol MTA C613490
15 Harni 3 PBI 44 th P Pol MTA C619579
16 Yanuar I 3 NPBI 45 th L Pol VAS C621828
17 Sulastri 3 NPBI 53 th P R4A C612703 8809463
18 Sri Rejeki 2 NPBI 53 th P B31 C615767 8836147
19 Kuswati 3 NPBI 38 th P R2A C620626 8839941
20 Supari 3 Um 52 th L R2B C611120 8838052
21 Wasdri 3 NPBI 69 th L Transit C620889 8841721
22 Lely Atasti B VIP NPBI 58 th P GRD L6 C622018 8843944

23 Santoso 1 NPBI 63 th L GER 1 C620181
24 Suswanti 3 NPBI 38 th P R2A C619146
25 Suratman 3 NPBI 39 th P R5A C620774
26 Wati 3 NPBI 33 th P R2A C621636 8841621
27 Suwarto VIP NPBI 61 th L GRD L4 C614592 8843899
28 Erna Wahyuningtyas 2 NPBI 39 th P KPD D C404445 8845655
29 Atho'illah Yusqi 1 NPBI 38 th L KPD 1 C615493 8838009
30 Nurul Hidayati 3 NPBI 24 th P R2A C617731 8840550
Muhammad Rizky
31 3 NPBI 10th L C1LD C518147 8832006
Darmawan
32 Arief Setyo Wibowo 1 NPBI 25 th L Transit C619290 8843969
33 Nafisah, Hj VIP NPBI 53 th P GRD L4 C619377 8839992
34 Sri Harsini VIP NPBI 48 th P GRD L4 C086629 8834466
35 Jawadi 2 NPBI 53 th L Transit C621661 8841731
36 Kustini 3 NPBI 58 th P R2A C620335 8828202
37 Ruminah 3 PBI 39 th P R5B C620398 8828896
38 Sukatun 3 NPBI 45 th P R2A C614689 8837980
39 Supriadi 3 NPBI 30 th L R2B C613088 8839919
40 Linawaty Murtianingsih Psuit NPBI 67 th P GRD L6 C620959 8843769
41 Aliffiary Innayah 3 NPBI 14 th P Anak 1 C620817 8834142
42 Endang Sri Wahyuningsih 3 NPBI 51 th P R43A C621752 8841754
43 Pujiono VIP NPBI 41 th L MRK 2 C621656 8841515
44 Tanziilal Azizir Rokhim 3 NPBI 6 th L Elang 1 C580830 8842712
45 Diah Kurniati 3 PBI 36 th P P.MRPTI C599186

Yohanes Sukarno,DRS,
46 1 NPBI 59 th L MRK L1 C483816 8838086
MM
47 Tuti Lestari 2 NPBI 31 th P B31 C619044 8843839
48 Kasmonah 2 NPBI 43 th P KPD D C620175 8838061
49 Kastamah 3 NPBI 54 th P R2A C610787 8843865

50 Kenza Aditya 3 NPBI 4 th L P. ANK C590496
51 Rohmiyatun 3 NPBI 40 th P R2A C621378 8838072
52 Novi Ainurrizqiana VIP NPBI 6/16/1995 P GRD L5 C604575 8843913
MALAM : ST,AF,DM,HI,MK,PM,RG RR : FA,TR,SAM MID : TU, ND RR GRD : AU SORE PROGRAM : WU,GI,NO,AR
82 Taat Triyanto 1 NPBI 24 th L KTL C520330 8845875
84 Mochamad Saichu 3 PBI 49 th L R2B C135711 8843976
CITO
85 Fahmi Habib Muzaki 3 um 25th L R2A C622356 8847574
86 Aloysius Djoko Trihadi 1 NPBI 53th L KPD 1 C583581 8838664

87 Nurahati 2 NPBI 65th P GER D C270215 8836203
88 Turwarno 3 um 38th L R2B C621692 8841922
89 Ragil Saefulloh 3 PBI 17th L C1LD C621075 8839067
90 Ngumar 3 PBI 55th L R2B C618303 8845762
91 Desy Ayu Sulistiyani 2 NPBI 19th P B31 C622375 8847553
HARI / TANGGAL : KAMIS, 02 FEBRUARI 2017

JAMINAN
1 Miftahudin 3 PBI 43 th L R2B C571568 8839925
2 Wagiyo 2 NPBI 51 th L MRK D C213810 8841445
3 Muh. Muammar Hadzafi 3 PBI 25 th L R2B C422171 8843809
4 Dana Rizkiono 3 PBI 21 th L R2B C151606 8843887
5 Syukur Adam Saputra 3 NPBI 4 th 8 bln L Anak D C375880 8845415
6 By Ny Nur Siti Asiyah 2 NPBI 2 hr L PBRT C621772 8841805
7 Gibran Alexi Anggoro 3 NPBI 1 th L Anak D C614530 8843738

8 Duladi 3 NPBI 57 th L R5A C620931 8845761
10 M Rofii 3 PBI 45 th L P. Mata C618304
11 M. M Sri Tinah 3 PBI 69 th P P. Mata C618992
12 Roedjito 3 NPBI 67 th L P. Mata C199277
13 Hartono 3 NPBI 76 th L P. Mata C617474
14 Sundarti 3 NPBI 50 th P B31 C612496 8843878
15 Agustina Djuminem 3 JMD 62 th P B31 C617625 8843755
16 Basuki 3 NPBI 46 th L R3B C621392 8839952
17 Ahmad Nurhidayat 2 NPBI 49 th L MRK D C620750 8834033
18 Ronald Kusumah VIP NPBI 57 th L GRD 6 C620756 8832025
19 Sugeng Rahayu 3 NPBI 31 th L R2B C620569 8830174
20 Sutini VIP NPBI 34 th P GRD 4 C590916 8845740
21 Saptaningsih Margirahayu 1 NPBI 47 th P KPD 1 C621845 8845700
22 Nok Jamilah NPBI 8845656

3 51 th P R2A C613316
23 Sutiyem 3 NPBI 12/12/1960 P R2A C620198
24 Muhammad Hilmi Mustofa 3 NPBI 1 th 8 bln L C1LD C547420 8845646
25 Suparni 3 NPBI 53 th P R3A C620163 8826366
26 Ahmad Sulton 3 NPBI 18 th L R2B C620747
27 Sudiyoso 3 NPBI 55 th L R1B C615512 8828092
28 Aminatun 1 NPBI 56 th P CDR 1 C438862 8843520
29 Fatan Ar-Rizqi Nur Faizin 3 PBI 1 bln L C1LD C619906 8845381
30 Joko Pramono VIP NPBI 44 th L GRD 4 C619036 8843926
31 Sunardi VIP NPBI 60 th L GRD 4 C508583
32 Eny Nuryanti VIP NPBI 2/12/1969 P GRD 5 C619132 8841481
33 Ulung Tegar Parangga 3 PBI 10/29/1998 L R3B C523007 8824309

34 Tirta Setiadji 1 NPBI 2/22/1944 L GER 1 C229545 8831724
35 Winarsih 3 NPBI 40 th P R6A C619258 8826371
36 Cecilia Suliestyana VIP NPBI 64 th P GRD 6 C619891 8843928
37 Nuhalifa Zahira Hermawan VIP NPBI 4 th P GRD 3 C621859 8843939
38 Mien Aminarti VIP NPBI 6/13/1960 P GRD 4 C616759 8845703
39 Intarti Kustiani VIP NPBI 5/17/1951 P GRD 5 C608595 8845623
40 Sriwiji 3 Um 44 th P ELA 1 C574721 8845550
41 Istiroah 1 NPBI 7/25/1979 P MRK 1 C620876 8834158
42 Isnaeni 3 NPBI 44 th P R4A C605093 8826360
43 Zaenul Akso 1 NPBI 23 th L KTL C549829 8847006
44 Seno 3 NPBI 51 th L R3B C620537 8841490
45 Siswanto 3 JMD 62 th L R2B C617242 8831582
MALAM : ST,SU,HI,PM,RG,DB,YS RR : FA,TR,SAM MID : TU, ND RR GRD : AU SORE PROGRAM : WU,GI,NO,AR
46 Rr. Soesmijati VIP NPBI 8/23/1940 P GRD 5 C463850 8845556
47 Eko Suyitno 3 NPBI 45 th L R2B C524161 8779439
Yulis Widhiastuti, ST VIP NPBI 40 th P GRD L6 C620423 8844763

48
Anjania Millah E 3 NPBI 10/7/2013 P Anak L1 C543305 8834251

49
50 Ngatino 3 PBI 51th L R3B C621719 8841854
51 Kawit VIP NPBI 63th L GRD 4 C120671 8843963
CITO
52 Bambang Bisowarno 1 NPBI 59th L KTL C608101 8845604
53 Lailiya Qodriyah 1 NPBI 50th P ICU C616567 8791971
54 Mudhofar 1 NPBI 56th L TRAN C621105 8847581
55 Wiwin Nurrokim 3 NPBI 37th P R5A C592176 8745446

56 Mira Rulitasari VIP Um 29th P GRD 3 C511306 8847454
57 Tusmiyati 3 um 30th P B31 C622380 8847569
Dedy Raharjo 3 JMD 28th L R6B C620828 8833239

58
59 Kuntjoro 1 NPBI 62th L KTL C483520 8846837
60 Santoso 1 NPBI 63th L GER 1 C620181 8826377

Kasmi 3 PBI 32th P B31 C622164 8845648
61
HARI / TANGGAL : JUMAT, 03 FEBRUARI 2017
JAMINAN
1 Faeyza Raqilla Dewa 1 NPBI 1 th 6 bln L C1LD C599276 8845753
2 Dira Sudirman VIP NPBI 60 th P GRD L5 C168195 8845587
3 Farida Megawati 3 NPBI 30 th P R4B C619203 8847465
4 Diana Yustiva 1 NPBI 58 th P MRK 1 C608499 8843847
5 Heru Surahman 2 NPBI 32 th L MRK D C616685 8843898
6 Sahroni IRIN B NPBI 47 th L ICCU C621443 8840828
7 Jasmiati 3 NPBI 64 th P P. Mata C619124
8 Rusmiyati 3 PBI 52 th P P. Mata C620942
9 Ansori 3 NPBI 60 th L P. Mata C434856
10 Siti Solekha 3 NPBI 82 th P P. Mata C549490
11 Hery Agustono 3 NPBI 66 th L P. Mata C353424
12 Komisah 3 PBI 51 th P P. Mata C355786
13 Sutriman 3 NPBI 52 th L R2B C620121
14 Nur Etika 1 NPBI 42 th P KPD D C620232 8845634
15 Titik Kadarsih VIP NPBI 45 th P GRD L4 C621126 8840043
16 Sunarto 2 NPBI 2/10/1973 L KTL C622046 8844831
17 Atiek Sugiharti VIP NPBI 71 th P GRD L5 C059648 8845666
18 Kubbi Nur Ikhwatis S 2 NPBI 2 th 4 bln L Elang 1 C526540 8848622
19 Khoirun Nisa VIP NPBI 3/1/1981 P GRD L5 C562775 8845639
20 Isnaeni 3 NPBI 31 th P R4B C598044 8834782
21 Musyarofah 3 NPBI 41 th P R2A C616213 8845627

22 Arde 1 NPBI 21 th L KPD 1 C239848 8847872
23 Sudardi 2 NPBI 65 th L KPD 1 C620883 8848517
24 Lie Boedhi Chandra 2 NPBI 65 th L GER D C621212 8840019
25 Caroline Susan Apriliana VIP NPBI 16 th P GRD L4 C621789 8841904
26 Ika Fajar Aryanti 3 JMD 16 th P R2A C620581 8831851
27 Ahmad Sulton 3 JMK 18 th L R2B C620747 8832014
28 Idun Wahid Semboyan 3 NPBI 48 th L R2B C615575 8824317
29 Ahmad Rofi' 3 PBI 5 bln L Transit C620322
30 Hartini VIP NPBI 50 th P GRD L4 C618352 8843493
31 Miftahul Hakim 3 PBI 24 th L R1B C613067 8831446
32 Nur Izza Amayta 3 PBI 10 th P Transit C615829 8847576
33 Fitriyani 3 NPBI 24 th P R2A C572306 8841843
34 Abdul Gofur 3 PBI 24 th L R3B C620542 8831709
35 Sumarti 3 NPBI 55 th P R2A C609425 8837996
36 Nursetyasih 1 NPBI 54 th P MRK 1 C577218 8845669
37 Indra Septian Dwi Cahyo 3 um 2/14/2001 L R1B C621044 8836121
38 Baitillatifah 3 NPBI 23 th P Elang 1 C395448 8847385
39 Ilham Nurholik 3 NPBI 21 th P R2B C591074 8798685
40 Natalia Sherly Pranawati 1 NPBI 36 th P KPD D C606624 8845714
41 Rini Yuniyantini 2 NPBI 44 th P KPD D C554148 8845751
42 Yenni Deswita 1 NPBI 43 th P KPD 1 C621876 8847114
44 Sunarti 1 NPBI 12/11/1955 P KPD 1 C586093 8843960
45 Khoir VIPA NPBI 6/15/1965 L GRD L5 C622321 8847419
46 Roy Myesa Satriatama 2 NPBI 8 th L Transit C621711 8841852
MALAM : GI,SU,AR,AM,DB,YS,SE RR : FA,EM,SAM MID : TU,ND RR GRD : AU SORE PROGRAM : WU,RK,AG,NI

66 Sri Sudaryanti VIP NPBI 3/13/1960 P GRD L4 C584104 8849501
67 Romadhon VIP NPBI 6/9/1978 L GRD L6 C618497 8849440
68 Sofiartiningsih 3 NPBI 51 th P R2A B145544 8839927
69 Ngumar 3 PBI 55th L R2B C618303 8845762
70 Musriah 3 PBI 6/5/1959 P R4A C621982 8851112

CITO
71 Mustika Dewi VIP NPBI 36th P GRD 3 C590879 8849558
72 Ahmad Wahyudin 2 NPBI 33th L MRK D C621748 8841853
73 Zaky Dhiya Prabowo 1 NPBI 9th L C1LD C601832 8821795
74 Farida Dewi Nurmala 2 NPBI 34th P B31 C622572 8849590
75 Sukiran 3 PBI 54th L R1A C622575 8850035
76 Suharyati 2 NPBI 56th P KPD D C622485 8850644
HARI / TANGGAL : SABTU, 04 FEBRUARI 2017

JAMINAN
1 Muniseh 1 JASA 57 th P MRK 2 C621769 8841814
2 Kardi 3 NPBI 60 th L R1B C621755 8842345
3 Supiati VIP NPBI 60 th P GRD L4 C618523 8843666

4 Elvita Yulianti 3 NPBI 45 th P R4B C142583 8831732
5 Kustini 1 NPBI 47 th P KPD D C609001 8843873
6 Hendra Wilar 3 Um 35 th L Kenari C620361 8828175
7 Ari Janto Nugroho 3 NPBI 21 th L R2B C620042 8825139
8 Suharyati 2 NPBI 57 th P KPD D C622485
9 Sie Lian Nio VIP NPBI 83 th P GRD L6 C622294 8847538
D : AU SORE PROGRAM :RK,PM,AG,AT,DW,AD,BR,BY,ER,VT,ES,HA,IS,MY,JF,MW ALAT : PUR,ET

10 Eni Sugiartini 1 NPBI 62th P KPD D C044506 8851090
Muhammad Rizky Salam VIP NPBI 3th L GRD 3 C537589 8851056

11
Nadiya Arawinda Andar VIP NPBI 20th P GRD 6 C414624 8861146

12
CITO
13 Tuwarno 3 um 30th L R2B C621692 8841922
14 Qomsiyah 2 PBI 53th P IGD C622684 8850956
15 Sugini 3 PBI 60th P TRAN C620973 8849597
16 Fitri Nur Malini S VIP NPBI 26th P GRD 4 C622651 8851190
17 Dimlari Indah Irianto IRIN A NPBI 68th L MRK 2 C613594 8816279
18 Tan Djoen Nio 3 NPBI 48th L R6A C200987 8851323
19 Kusmiatun 3 NPBI 51th P ICU C622726 8851373
20 Eva Ludviana 3 PBI 24th P B31 C480773 8851024
21 Much Trimo IRIN A NPBI 58th L ICU C622687 8851477
22 Yuji Timothy Sinaga VIP NPBI 5th L GRD 4 C622757 8851481
23 Komsini 3 NPBI 53th P HCU C622809 8851598
24 Panudju Budiwijono VIP NPBI 49th L ELA 2 C274082 8830076
25 Suharman 1 NPBI 56th L KTL C622722 8851449
HARI / TANGGAL : MINGGU, 05 FEBRUARI 2017

JAMINAN
CITO
1 Soniyem 3 um 56th P ICU C622765 8851429
2 Oriana Nilam Augustina 2 NPBI 10th P IGD C622819 8851628
3 Annida Rahmatunisa 3 NPBI 3th L C1L1 C490166 8841726
4 Rochidin 3 PBI 52th L TRAN C622791 8851555
5 Vicky Gozzali 2 NPBI 19th L KPD D C492893 8847636

6 Tata Sahril Shidiq 3 NPBI 3bl L C1LD C622089 8849583
7 Nuroji VIP NPBI 53th L MRK 2 C619449 8851159
8 Ilham Wahyu 2 NPBI 16th L C1LD C622771 8851520
HARI / TANGGAL : SENIN, 06 FEBRUARI 2017
JAMINAN
1 Kasiyem 3 PBI 55 th P R2A C618928 8845712
2 Christy 3 NPBI 11 bln P P. ANK C619700
3 Khumaidah 3 PBI 38 th L P. Mata C454453
5 Maimunah 2 NPBI 67 th P KPD D C144190 8851544
Azkayra Zahra Al
6 2 NPBI 9 bln P Anak D C612958 8849496
Fathunnisa
7 Bian Ardha Annafi 3 NPBI 7 th L Anak D C622084 8845697
8 Najwa Khoirunnisa 3 NPBI 10 bln P Anak D C605178 8826226
9 Prof Dr. Hariyono Sp.A(K) 3 NPBI 85 th L P. Mata B432999
10 Titin S 3 NPBI 67 th P P. Mata C619003

11 Sarpi 3 PBI 88 th P R5B C617665 8851081
12 Suparmi 3 NPBI 46 th P P. Mata C210114
13 Diah Ayu 3 PBI 19 th P P. Mata C621431
14 Norrisma Widayat Sari 1 NPBI 32 th P P. Mata C617270

15 Jumini 3 NPBI 39 th P P. Mata C613490
16 Noor Hidayati 1 NPBI 41 th P P. Mata C360678
17 Ahmad Kusen 3 NPBI 57 th L Pol VAS C5622406
18 Imam Nursalam 1 NPBI 55 th L KPD D C315758 8841522
19 Arisah 3 PBI 48 th P R5B C616913 8847414
20 Suminah 3 NPBI 43 th P B31 C610699 8847521
21 Moch. Rizal 2 NPBI 30 th L Transit C600811

22 Erwanto 3 PBI 9/26/1994 L R1B C614336 8841437
23 dr. Suprijono Kartodarsono VIP NPBI 68 th L GRD L4 C541889 8838165
24 Seno Nuryanto 1 NPBI 66 th L MRK 1 C620050 8826368
25 Sri Wahyuni 2 NPBI 36 th P KPD D C620052 8845652
26 Wiwik Setyo Ciptaning W 2 NPBI 51 th P KPD D C544646 8845669
27 Eni Kusrini 1 NPBI 40 th P KPD 1 C618170 8841429
28 Tan Hie Moij 3 NPBI 64 th P R3A C620667 8831715
29 Aditya Indah Rahmawati 1 NPBI 18 th P MRK 1 C622025 8844218
30 Ayra Syifa Rafani 3 NPBI 5 bln P Anak D C597751

31 Putri Nova Ananda 3 NPBI 2 th P Anak D C622169
32 Ahmad Rofi'i 3 PBI 5 bln L C1LD C620322 8847577
34 Muhammady 1 NPBI 60 th L KPD D C574518 8843535
35 Roro Mas Ayuni 1 NPBI 51 th P KPD 1 C618739 8843754
36 Sugeng Wiyono 1 NPBI 53 th L KPD 1 C603242 8843892
37 Kasrin 2 NPBI 58 th L MRK LD C612559 8834045
38 Dyah Pramono Sari VIP NPBI 1/30/1970 P GRD L5 C231869 8836050
38 Sulandari VVIP NPBI 81 th P GER 1 B277693 8847293
39 Fenny Handajani Sugeng 2 NPBI 69 th P GER D C620306 8828220
40 Djojo Dewantoro P 2 NPBI 56 th L KPD 1 C610043 8836073
41 Adhiyasta Nabil Pramana 2 NPBI 3th P HCU C488494 8851494
42 Tyassing Suko Winedar 1 NPBI 25 th L KPD D C606080 8849546
43 Farida Humaira 1 NPBI 43 th P B31 C094383
44 Hartini 3 NPBI 54 th P B31 C620899 8847508
45 Endang Sulastri 1 NPBI 41 th P MRK 1 C611042 8843988
46 Nur Yani 3 NPBI 46 th P R5A C598700 8822055

47 Sulistinah 2 NPBI 40 th P KPD D C613627 8851533
MALAM : RK,AT,BY,HA,ES,BR,MY RR : FA,EM,AG MID :AN,SAM RR GRD : HI SORE PROGRAM : GI,TA,CA,TM,
48 Rara Cantika Anggraeni 3 NPBI 10 th P Elang 1 C585885 8851532
49 Tan Ermin Nio VIP NPBI 8/15/1955 P GRD L6 C497244 8849557
50 Martini 3 PBI 61 th P GER LD C584700 8845696
51 Nanang Subagio 1 um 23 th L KPD 1 C479395 8851108
52 Tantri Heriani 1 NPBI 29 th P Ger 1 C322051 8849579
53 Purfi Martalia 3 NPBI 37 th P R3A C593438 8851180
54 Rianti 3 NPBI 41 th P R4A C601555 8836641
55 Farida Megawati 3 NPBI 30 th P R4B C619203 8847465
56 Syarifa Maulida Husna VIP NPBI 7/26/2008 P GRD L3 C621029 8836184
57 Siti Musyaropah 3 PBI 48th P R3A C622574 8851132

58 Manan 3 NPBI 59th L R5A C574502 8841558
59 Tuyem 2 NPBI 57th P KPD 1 C622723 8851560
60 Karminah 3 NPBI 35th P R4A C620438 8832012
CITO
61 Ainnur Sri Yulianing S 1 NPBI 29th P B31 C478472 8851613
62 Ngatmi 3 PBI 16th P C1LD C621133 8838886
63 Tukem VIP NPBI 72th L GER 1 C148577 8851567
64 Siti Khoiriyah 3 NPBI 33th P B31 C613788 8853775
HARI / TANGGAL : SELASA, 07 FEBRUARI 2017

JAMINAN
1 Sri Hidayati 1 NPBI 63 th P KPD 1 C519112 8847404
2 Muhammad Nur Wakhid 3 NPBI 6/18/1995 L R2B C588321 8851102
3 Suwati VIP NPBI 60 th P GRD 6 C578013 8849564
4 Untoro 3 PBI 9/19/1970 L R1B C610792 8845625

5 Rockayah 3 PBI 51 th P R4A C621200 8837940
6 Sri Suharni 2 NPBI 47 th P KPD D C612499 8849513
7 Ahmad Musthofa VIP um 8 th L GRD L3 C804370 8851503
8 Muhammad Ridwan VIP NPBI 49 th L GRD L5 C622739 8851396
9 Warikhin 3 NPBI 26 th L R2B C622053 8845760
10 Sumiratsih VIP NPBI 66 th P GRD 6 C619269
11 Mikail Budining Santoso 3 NPBI 65 th L R3B C574855 8839972
12 Kusnan 3 PBI 67 th L P. Mata C622837
13 Suryadi 3 PBI 55 th L P. Mata C620980
14 M. Setiawan 3 NPBI 27 th L P. Mata C608991
15 Maryati 3 NPBI 45 th P P. Mata C539890
16 William Ng 1 NPBI 53 th L P. Mata C620373
17 Mutiyati 1 NPBI 56 th P P. Mata C595120
18 Sumarni 3 NPBI 42 th P R5B C615045 8847423
19 Kasniyah 3 PBI 52 th P B31 C614008 8847315
20 Siti Khotimah 2 NPBI 45 th P MRK D C603882
21 Tarisah 3 NPBI 48 th P R5B C620084 8830147
22 Sutikni 1 NPBI 66 th P MRK 2 C620405 8830144
23 Yasin HN 3 NPBI 56 th L R5A C596528 8851072
24 Fithrotul Gustyarini 2 NPBI 12/13/2002 P Anak D C622701 8851187
25 Muhammad Rafka Syah 3 NPBI 10 bl L Anak D C581599 8851033
26 By Ny. Masruroh 3 PBI 1 bl Anak D C617850 8851153
27 Sri Wahyuni VIP NPBI 9/8/1967 P GRD L5 C353610 8851391
28 Nakirah 3 PBI 41 th P R2A C500578 8843883
29 Ayra Syifa Rafani 3 NPBI 5 bln P Anak D C597751 8845362
30 Putri Nova Ananda 3 um 2 th P Anak D C622169 8845805
31 Hafisa Putri 3 NPBI 7/14/2013 P Anak D C621970 8844536
32 Khaera Putri Nismara 2 NPBI 6 bl P Anak D C618946 8851040

33 Sunardi VIP NPBI 60 th L GRD L4 C508583 8843700
34 Hartono 3 NPBI 54 th L R1B C599102
35 Sukarmin 2 NPBI 44 th L MRK D C559506 8843815
36 Ridwan 1 NPBI 58 th L Transit C618609 8851665
37 Wamid 2 NPBI 69 th L KPD D C611069 8851162
38 Suwarko 2 NPBI 40 th L MRK D C621021 8834290
39 Sjafii 2 NPBI 59 th L MRK D C620080 8828223
40 Chamidah VIP NPBI 69 th P GRD L5 C613158 8845668
41 Apun Kuswandi 1 NPBI 79 th L MRK 1 B192278 8845776
42 Pratama Anggar Jatie 1 NPBI 19 th L KPD 1 C611314 8843895
43 Ismaratni 1 NPBI 68 th P KPD D C269669 8847543
44 Karsinem 2 NPBI 76 th P GER D C621844
45 Sri Ngadinah V 3 PBI 56 th P R2A C258868 8847563
46 Muh Duri 1 NPBI 52 th L Elang 2 C597320 8851542
47 Mardjiun 3 PBI 58 th L R2B C617851 8850396
48 Mulyono VIP NPBI 50 th L GRD L6 C622198 8847899
49 Eni Diah Rudianingsih 1 NPBI 48 th P KPD D C621598 8849485
51 Rusmini 3 PBI 36 th P R2A C354444 8849497
Mohammad Andi
52 3 NPBI 31-2-12 L Anak 1 C528693 8831508
Firmansyah
53 Septi Nasfaniah 3 PBI 9/2/2006 P Anak 1 C621747 8841730
54 Musti'ah 2 NPBI 42 th P KPD D C559134 8847416
55 Saimu 2 NPBI 62 th P MRK D C619049 8843862

MALAM : RK,AU,AT,DY,ES,MW,BR RR : FA,EM,ST MID :AN,SAM RR GRD : HI SORE PROGRAM : TA,WU,CA,BD
56 Djunaedi VIP NPBI 59 th L GRD L6 C617427 8853755
57 Suyitno 2 NPBI 5/15/1963 L Ger D C622745 8851494

58 Seno Budi Wibowo 2 NPBI 11/25/1986 l KPD D C608043 8853736
59 Mochammad Rizal 2 NPBI 30 th L Transit C600811 8847477

60 Sudaryono 3 NPBI 53 th L R3B C564883 8819907
61 Moh Zen Rahfiludin VIP NPBI 45 th L GRD L5 C375632 8850768
62 Dwi Setyorini 1 NPBI 8/1/1990 P B31 C619990 8851600
CITO
63 Dea Budi Estianinova 1 NPBI 26th P MRK 1 C511894 8849544
64 Lasmi 3 PBI 52th P R6A C622346 8847461

65 Kristi 3 PBI 23th P R3A C623048 8855510
66 Revina Nawang 3 NPBI 4bl P PICU C620588 8831737
67 Noval Akbar Mahendra IRINA NPBI 3th L HCU C470742 8854166
68 Triyana Indrawati 1 NPBI 47th P B31 C486273 8851603

JAMINAN
1 Bambang Sugeng 1 NPBI 59 th L MRK 2 B000621 8843780
2 Umuyah VIP um 8/18/1965 P GRD L4 C621833 8852709
3 Rahayuni 3 NPBI 59 th P GER D C621997 8843956
4 Sabri Febriane 3 NPBI 5 th P C1L1 C611241 8848062
5 Lia 3 PBI 15 th P C1LD C610033 8851101
6 Aji Luhur Pangestu 3 PBI 5 bln L C1LD C601138 8853717
7 Onny Pentana K VIP NPBI 51 th L GRD L5 C552692 8826260
8 Hima Yoga P 1 NPBI 36 th L KTL C368816 8855161
9 Restu Nisa Aulia 1 NPBI 18 th P KPD 1 C324187 8853767
10 Sujono 3 NPBI 56 th L R1B C616929 8853807

11 Umi Kalsum 1 NPBI 54 th P Pol MTA B359960
12 Eko Wibawa 1 NPBI 64 th L Pol MTA C612194
13 Riati 3 NPBI 21 th P Pol MTA C620952
14 Totok Soediyanto 3 NPBI 74 th L Pol MTA C595133
15 Agus Sutanto 3 NPBI 60 th L Pol MTA C607636

16 Sri Wahyuni 3 NPBI 57 th P Pol MTA C552368
17 Rupadi 3 NPBI 57 th L Pol MTA C500494
18 Umiyati 2 NPBI 66 th P B31 C612821 8847440
19 Rokhanah 3 PBI 37 th P B31 C620649 8855443
20 Rohmawati VIP NPBI 11/25/1965 P GRD L3 C535211 8845673
21 Nazzalia Ilmi 3 NPBI 18 th P R2A C586504 8849495
22 Suwadi 3 PBI 60 th L R3B C616284
23 Soekisman 1 NPBI 62 th L MRK 1 C622724 8851428
24 Sri Listyoningsih 1 NPBI 54 th P MRK 1 C399625 8852324
25 Kartomo 3 PBI 55 th L R3B C621965 8845781
26 Masripah 3 PBI 42 th P R4B C617045 8845698
27 Yeni Ariana 3 NPBI 21 th P R3A C595926 8845708
28 Juminah 2 NPBI 58 th P KPD D C601909 8855232
29 Achmad Nurul Fahrudin 2 NPBI 25 th L KPD 1 C622151 8854566
30 Sutarmi 3 NPBI 50 th P R2A C618379
31 Nur Hamid 1 NPBI 3/5/1939 L Ger 1 C256959 8847564
32 Zunirohmawati 3 um 22 th P R5B C622576 8851301
33 Roifin 3 PBI 10 th L R2B C622177 8845773
34 Sugiyanto 3 PBI 47 th L R5B C622326 8847582
35 Qonitatin Taibah 3 NPBI 8 bln P Transit C604496 8853809
36 Suwarto VIP Um 77 th L GRD L6 C550684
37 Edi Kasianto 3 JMD 31 th L R1B C600196 8843903
38 Dewi Sulistiyani 3 NPBI 27 th P R4A C620107 8852455
39 Warningsih 3 PBI 48 th P R2A C616953 8845743

40 Sumari 3 NPBI 44 th P R2B C611142 8839973
41 Widya Fitriyana 3 PBI 11 th P C1L1 C621287 8839991
42 Sri Suyatmi 2 NPBI 44 th P KPD D C621858 8843966
43 Karsinem 2 NPBI 76 th P GER D C621844 8847578
44 Khansa Fatin Aqila 3 NPBI 3 th P Elang 1 C581507 8853556
45 Nismawati 1 NPBI 34 th P KPD 1 C615889 8849555
46 Asih Nandarinawati 2 NPBI 28 th P KPD D C613996 8852594
47 Suripah Winarti VIP NPBI 1/24/1954 P GRD L3 C053612 8851369
48 Ima Suryani 2 NPBI 25 th P KPD D C622626 8855086
49 Rahaningtyas Wire K.P VIP NPBI 19 th P GRD L6 C622104 8853713
50 Sasminto 3 NPBI 38 th L R2B C544679 8851163
51 Umi Nur Zaemah VIP UM 41 th P GRD L6 C622293 8854997

MALAM :WU,NH,SA,AU,TK,DY,MW RR : FA,EM,ST MID :SAM,SE RR GRD : HI SORE PROGRAM : AP,TA,HR,DW
52 Adist Timur Harkati VIP NPBI 31 th P GRD L3 C621059 8853762
53 Ruswati PBI 8853785

3 45 th P R2A C581046
54 Khulafah 3 PBI 70 th P R4A C613244 8841475
55 Jasmo 3 NPBI 4/19/1967 L R2B C616020 8852977
56 Wahyuni 3 PBI 40 th P R3A C616896 8855698
57 Dwi Hartini 2 NPBI 63th P TRAN C564919

58 Slamet Supriadi VIP NPBI 62 th L GRD L4 C527835 8851183
CITO
59 Tuwarno 3 JMD 30th L R2B C621692 8841922
60 Pujiyono 3 PBI 50th L R1A C623071 8854032
61 Harni 3 PBI 44th P R4A C619579 8855796
62 Nurul Khamid 3 PBI 19th P R1B C616909 8855647

63 An. Siti Nur Masfufah 3 PBI 14th P C1L1 C622539 8851500
64 Rifai 3 PBI 35th L R5A C623248 8856376

JAMINAN
1 Mochammad Fiqi Raharjo 1 NPBI 5 th L C1LD C516323 8853750
2 Abdul Wachid 3 PBI 60 th L R3B C567792 8856669
3 Nur Muhammad 3 PBI 36 th L R1B C596234 8836014
4 Teguh Santoso 3 PBI 38 th L R2B C623035 8853813
5 Suharti 3 PBI 41 th P R2A C599005 8853665
6 Yati 3 NPBI 49 th P R4B C616484 8843749
7 Muhammad Bayu Aji 3 NPBI 10 th L C1LD C621651 8841902
8 Fauziah M 3 NPBI 9 th P P. ANK C576293
9 Larasati 3 PBI 1/22/2017 P PBRT C620795 8832075
12 Dwi Ningsih 1 NPBI 54 th P MRK 1 C622911 8854328
13 Suharnani 1 NPBI 55 th P Pol Mata C607148
14 Sumarno 3 NPBI 56 th L Pol Mata C611483

15 Nuriyah 2 NPBI 66 th P Pol Mata C569033
16 Sigid Nurjanto 1 NPBI 45 th L Pol Mata C613480
17 Sudarnako 3 NPBI 48 th Pol MTA C595974
18 Simon Robinson 3 NPBI 62 th L Pol Mata C542135
20 Akhmad Khalimi 3 NPBI 36 th L P. Mata C595106
21 Susiati 3 NPBI 51 th P R4A C615446 8847428
22 Rusmini 3 NPBI 53 th P R4A C614681 8855702
23 Sri Supami 3 NPBI 47 th P R2A C422079 8847466

24 Munadliroh 3 NPBI 43 th P R2A C614362 8847474
25 Jumawarni VIP NPBI 54 th P GRD 4 C620273 8853742
26 Suharno VIP NPBI 55 th L GRD 4 C622423 8855573
27 Johan Adi Saputro 1 NPBI 16 th L C1LD C619226
28 Nailil Maghfiroh 3 PBI 19 th P R2A C619013 8852850
29 Aris Joko Legowo VIP NPBI 35 th L GRD L4 C613661 8855680
30 Irwan 1 NPBI 33 th L KPD 1 C623120 8855617
31 Hanan Khairul Tamama 1 NPBI 12 th L C1LD C618221 8853758
32 Solikhin NPBI 8851185

3 55 th L R2B C619878
33 Kasnadi 3 NPBI 52 th L R2B C499912 8839914
34 Purwasih 3 Um 55 th P R2A C622183 8849604
35 Mugiarto 3 NPBI 59 th L R2B C622763 8861516
36 Sahroni 1 NPBI 47 th L KPD 1 C621443 8840826
37 Emano 3 NPBI 35 th L R2B C600986 8851435
38 Mochamad Saichu 3 PBI 45 th L R2B C135711 8843976
39 Sa Dullah 3 NPBI 19 th L R2B C537012 8851575
40 Rasendriya Abhirama P 3 NPBI 15 th L C1LD C616027 8856232
41 Amin Kusyanto 1 NPBI 63 th L KPD D C586313 9955714
42 Antonius Gatot Kristanto VIP Um 45 th L GRD L6 C603481 8855700
43 Solekah VIP NPBI 30 th P GRD L4 C618188 8851211
44 Siti Aminah 3 NPBI 51 th P R3A C613602 8855708
45 Sarmi 2 NPBI 46 th P MRK D C584081 8847408
46 Rafa Giyatsa Putra 2 NPBI 11/17/2016 L IGD C618158 8855328
47 Mujiyanti 3 NPBI 42 th P R2A C616692 8847493
48 Sumini 3 PBI 47 th P R5B C621193 8836199
49 S Soekesi Noerbroewati 1 NPBI 85 th P KTL C621810 8842698

50 Paimin Al Samadi 2 NPBI 69 th L Transit C271600 8851315
51 Dwi Jayanti 2 NPBI 29 th P ELA 1 C616076 8855347
52 Satini 3 PBI 50 th P ELA 1 C580720 8855353
53 Septi Yuliani 2 NPBI 19 th P B31 C621145 8851405
54 Ngatono VIP NPBI 31 th L GRD L6 C620631 8849214
55 Habib Maulana NPBI 8853660

VIP 22 th L GRD L4 C603854
56 Syari'ah 3 NPBI 49 th P R2A C598497 8849283
57 Siti Sulami 2 NPBI 32 th P KPD D C621342 8856602
58 Aqsel Tristan Faraz 3 NPBI 6 bln L C1LD C606004 8853272
MALAM :WU,NH,SA,TK,TU,TR,PS RR : FA,EM,ST MID :SAM,SE RR GRD : HI SORE PROGRAM : AP,TA,NO,CA,H
59 Ahmad Raihan Yudianto VIP NPBI 15 th L GRD L5 C622827 8853819
60 Yamah 1 NPBI 8/31/1971 P KPD D C573185 8855691
61 Sumanto 3 PBI 52 th L R5A C621446 8851342

CITO
62 Saffanah Nareswari Okta VIP NPBI 5th P GRD 3 C623041 8856258
63 Furqon Rega Oktavian A IrinB SKTM 3bl L ICU C623238 8855662
64 Budi Frigiyanto 3 NPBI 34th L R2B C616656 8853748
65 Sumarni 3 NPBI 41th P ICU C623049 8855584
66 Mahmudah 3 um 32th P B31 C623398 8857551
67 Bandono 3 JMD 62th L R2B C623353 8857067

JAMINAN
1 Yap Siang Hok (HWAT) VIP NPBI 63 th L GRD L6 C609186 8853684
2 Pariyadi 1 NPBI 70 th L MRK 2 C623126

3 Andi Disya Jayaningrum 3 NPBI 23 th P R5B C525656 8851496
4 Sukatmi 3 PBI 55 th P R2A C612850 8855608
5 Suwarto VIP Um 77 th L GRD L6 C550684 8853270
6 Selvina Safitri 3 NPBI 4 th P C1LD C616850 8857446
7 Sujanah 3 PBI 39 th P R3A C596686 8853810
Azzahra Assyla Dwi

8 3 NPBI 4 th P C1LD C617872 8855630
Rahma
9 Tn. Widji 3 NPBI 73 th L P. Mata C187232
10 Suyanto 3 PBI 49 th L P.Mata C620891
11 Moh Thamrin 3 NPBI 65 th L P.Mata C621264
12 Sri Suri Priv NPBI 56 th P P. GRD C519278

13 Jumadi 2 NPBI 60 th L P.Mata C613242
14 Rumini VIP um 51 th P GRD L3 C622291 8853638
15 Retno Fatriani 2 NPBI 36 th P B31 B126132 8857414
16 Kiswati VIP NPBI 47 th P GRD L5 C620492 8853732
17 Andreas Kristian B 2 NPBI 26 th L KPD D C621560 8853784
18 Johan Adi Saputro 1 NPBI 16 th L C1LD C619226 8851127
19 Abdul Rosyid 3 PBI 61 th L R2B C615776 8857451
20 Khomararudin 3 NPBI 43 th L R6B C622407 8849556
21 Nur Laela VIP NPBI 55 th P GRD L4 C622813 8851648
22 Rustiati 3 NPBI 40 th P R4A C521519 8853811
23 Siti Fadliyah 1 NPBI 54 th P MRK 1 C095689 8839937
24 Kasiyan 3 JMD 51 th L R6B C615067 8849481
25 Andrea Candra Kirana 3 NPBI 5 bl P C1L1 C623219 8857538
26 Mysha Abqoriyah 3 PBI 10 bl P C1LD C605498 8857158
27 Arista 2 NPBI 9 th P C1LD C122822 8857536
28 Luluk Ilma'nunah 2 NPBI 15 th P Transit C622608 8851465
29 Ayni Tiya Rahmadani 2 NPBI 5 bln P Transit C604302 8853808
30 Wiwit Puryanto 2 NPBI 40 th L Transit C623230 8856468

31 Putro Adil Alfayed 3 Um 10 th L C1L1 C326756 8849568
32 Nurhadi 2 NPBI 55 th L KPD 1 C618106 8855735
33 Sutinik 3 NPBI 44 th P R4B C622361 8847551
34 Winarsih Astutiningrum 2 NPBI 37 th P MRK D C618697 8812377
35 Dwi Joko Saputro 2 NPBI 36 th L Transit C586516 8851478
36 Murdiyah 2 NPBI 48 th P KPD D C576002 8859439
37 Zulfikar 3 JMD 16 th L R3B C623124 8855586
38 Sara Citra Dewi 2 BPJS 31 th P KPD D C568784 8859299
39 Sujinah VIP NPBI 82 th P GRD L4 C619556 8855639
40 Heni Susanti 3 PBI 45 th P Elang 1 C581510 8857269
41 Abdul Kalim 3 PBI 68 th L R1B C620887 8838048
42 Dian Yulianti VIP Um 35 th P GRD L3 C620835 8853737
43 Ria Purwaningsih 1 NPBI 47 th P MRK 1 C579224 8857557
44 Nur Baiti 3 NPBI 36th P B31 C591180 8859448
45 Anik Farida 2 NPBI 15 th P C1LD C560339
46 Alfiani Afrida 2 Um 47 th P KPD D C622663 8859377
47 Erni Setyawati 1 NPBI 54 th P KPD 1 C621341 8855600
48 Darmini 3 NPBI 57 th P R2A C620251 8847489
MALAM :BD,TR,DW,AD,DM,TU,PS RR : FA,EM,ST MID :SAM,SE RR GRD : HI SORE PROGRAM : AP,TA,NO,NI,R

49 Ika Meita Kurniani 2 NPBI 35th P MRK D C226003 8825005
50 Suemi 3 NPBI 56th P R5B C573787 8826286
51 Suryati 3 JMD 47th P R4B C573533 8845111
52 Sutodo 3 NPBI 41th L R6B C621783 8843797
53 Tan Kumala Vijjayanti VIP NPBI 60th P MRK 2 C622964 8855689
54 Sutriman 3 PBI 52th L R2B C620121 8845766
55 Mukodim 3 NPBI 43th L R6B C618332 8851404
Bimo Anggoro
56 3 NPBI 15th L C1LD C562451 8845759
Purbokusumo
57 Ivan Saputra 1 um 21th L MRK 2 C623603 8860970
58 Sukarno 2 NPBI 56th L KPD D C619554 8859434

59 Sri Rustini 2 NPBI 50th P KPD D C312589 8857839
60 Warsito 2 NPBI 54th L MRK D C623069 8855727
CITO
61 Moch Anwar Slamet W VIP NPBI 55th L GRD 4 C623458 8859519
62 By.Ny. Dewi Riwayati 3 NPBI 14hr P PICU C623063 8853835
63 Nur Wakid 2 PBI 42th L IGD C623656 8859332
64 Ahmad Fadhil Mubarok 3 NPBI 4th L ICU C623726 8861012
65 Tukimin IRINA PBI 67th L R1B C620026 8824426
66 Masruroh 3 PBI 1bl P C1LD C617850 8851153
67 Slamet Riyadi 3 NPBI 28th L R6B C623690 8861003
68 Kusmayaden 2 NPBI 50th L Transit C623600 8860971

JAMINAN
PLH ; EV,GN
1 Pariyadi 1 NPBI 70 th L MRK 2 C623126 8854803
2 Eddy Susanto VIP NPBI 5/27/1944 L GRD 4 C623374 8857442
3 Sri Hardijani 2 NPBI 30th P IGD C483929 8860784
5 Subiyanti VIP um 50 th P GRD L5 C623311 8857498
6 Kuntadi Budi Muryanto VIP NPBI 54 th L GRD L6 C134977 8857385
7 Joko Dwi Kristanto 3 PBI 53 th L R1B C622193 8847453
9 Ridho Wacono Cahyo 3 PBI 10 th L C1LD C611469 8849459
10 Adila Nisa Ardani 3 PBI 1 th P C1LD C622068 8855606
8 Carissa Niramadina Arif VIP NPBI 7 bln P GRD L4 C623270 8859330

11 Rubinem VIP NPBI 61 th P GRD L6 C618279 8843568
12 Erlin Sandra Masih VIP NPBI 8/16/1947 P GRD L6 C621897 8859452
13 Muh. Tahrir VIP NPBI 5/23/1943 L GRD L4 C623635 8860571
14 Munjayanah 2 NPBI 37 th P B31 C580426 8853600
MALAM :NO,BD,DW,AD,DM RR : ST,SAM,SE,HI SORE PROGRAM : AP,AM,NI,RE,DA,DB,EA,II,JF,MK,YS,PM,RG,SC,SF,W
15 Lasmi 2 NPBI 59th P GER D C229451 8861075
16 Isti Nurjanah 3 PBI 23th P R2A C618751 8857396
CITO
17 Sutardi 3 NPBI 53th L ICU C623747 8861040
18 Lutfiatul Mardliyah K 2 um 13th P C1LD C623360 8857500
19 Yap Siang Hok (Hwat) IRINA+ NPBI 53th L GCU C609186 8853584
20 Mia Krisniawati VIP NPBI 31th P GRD 3 C482469 8861112
21 Dian Putriyana VIP NPBI 26th P GRD 3 C342152 8861212
HARI / TANGGAL : MINNGU, 12 FEBRUARI 2017

JAMINAN
1 Suratin 3 NPBI 39 th P R2B C518365 8859476
2 Endang Wati 1 NPBI 55 th P KPD 1 B329603 8859487
MALAM :NO,WI,NI,IS,RE SORE PROGRAM :II,GI,AG,RG,DA

3 Khayla Almira Maritza VIP NPBI 1th P GRD 3 C618884 8861173
4 Wahyu Cahyo Dirgantara VIP NPBI 17th L GRD 6 C622265 8861184
5 Sri Hartini VIP NPBI 58th P GRD 4 C235044 8860854
6 Tarmudzi Abdul Latif Psuit NPBI 46th L GRD 4 C572073 8860911
7 Ahmad Sofii 3 PBI 26th L R1B C611697 8855718
8 Tri Sigit Pamuji VIP NPBI 25th L GRD 4 C621645 8857519

9 Pudji Lestari 1 NPBI 35th P B31 C403837 8860987
CITO
10 Tri Wahyuningsih 2 um 37th P B31 C623751 8861039
11 Budiani 2 NPBI 29th P B31 C547388 8861057
12 By.Ny. Lilis Setyawati 2 NPBI 2hr P IGD C623791
13 Ayulillah Zahrotul A 2 NPBI 7th P IGD C623790 8861226
14 Sulastri 3 um 34th P B31 C623831 8861392

JAMINAN
1 Sabar Hadi 1 NPBI 78 th L MRK 2 C473538 8851649
2 Salmah 3 NPBI 31 th P R2A C6000298 8855719
3 Muhammad Zhafar 3 NPBI 2 bln L Anak 1 C622336 8847549
4 Muhammad Ilham Saputra 3 NPBI 6 th L Anak 1 C545989 8859388
5 Cupi 3 PBI 58 th P R2A C614758 8840015
6 Sugiarti Privat UM 66 th P P. GRD C621084

7 Sabar Maryati Privat UM 52 th P P. GRD C614401
8 Ngadiyanto 3 NPBI 61 th L P. Mata C620606
9 Agus Soetanto VIP NPBI 65 th L P. GRD C623351
10 Puji Hartini 3 PBI 56 th P P. Mata C147018
11 Indah Relanto 3 NPBI 54 th P P. Mata C621933
12 Zaetun 3 NPBI 36 th P R4A C612172 8860889
13 Sulasih 3 NPBI 58 th P R6A C620240 8857583
14 Surati 2 NPBI 51 th P Transit C622512 8851246
15 Sriyono 2 NPBI 60 th L CDR 1 C613219 8857407
16 Wuryantini 3 NPBI 50 th P R6A C594318 8837187

18 Dhani Ardianto 3 PBI 22 th L R1B C614678 8849446
19 Rinawati 3 NPBI 51 th P R2A C616505 8849527
20 Warpinah 3 PBI 60 th L R4B C618775 8843785
21 Sri Sukowati VIP NPBI 10/5/1965 P GRD L6 C620386 8859402
22 Suharso 2 NPBI 49 th L KPD 1 C623385 8861344
23 Kristi 3 PBI 23 th P R3A C623048 8855510
25 Agus Suharmanto VIP NPBI 62 th L GER 1 B159873
26 Arwahi 1 NPBI 51 th L KPD 1 C619446 8859418
27 Sri Umi 3 NPBI 53 th P P. Mata C456822
28 Khumaidi 3 PBI 21th L R5A C586168 8827559
29 Erkhanah Khoriroh 1 NPBI 51 th P KPD D C622864 8857532
30 Wahidun 3 NPBI 58 th L R2B C609097
31 Liza Mirayanthi 1 NPBI 69 th P MRK 2 C544214 8857422
32 Sujiati 2 BPJS 45 th P KPD D C603138 8861289
33 Sukoco 2 NPBI 37 th L KPD 1 C595615 8861385
34 Mubari 2 NPBI 62 th L Elang 2 C595306 8861053
35 Kenny Ernasari VIP NPBI 48 th P GRD L3 C619425 8858882
36 Supomo 3 NPBI 67 th L R1B C561843 8789876
37 H Soemadji 1 NPBI 72 th L KTL C379997 8859492
38 Basmi 2 NPBI 61 th P KPD D C600607 8855721
M : GI,PM,RG,NI,RE,WI,IS RR : FA,EM,SAM MID :ST,SR RR GRD : EA SORE PROGRAM : SF,RK,WU,AR,AG,AF,A

39 Noor Baidi VIP NPBI 56 th L GRD L5 C618948 8841476
40 Bambang Rochbijanto 1 NPBI 76 th L KPD 1 C621415 8847434
41 Nuryati Windarti VIP NPBI 55 th P GRD L6 C115761 8860952
42 Alfina Handayani 2 NPBI 40 th P KPD D B427748 8857495

43 Adinda Lutfi Sahara 1 NPBI 18 th P MRK 2 B403716 8861100
45 Surini VIP NPBI 46 th P GRD L4 C620115 8860738
46 Arrazi Zico Hibrizi VIP NPBI 7/21/2016 L GRD L3 C621278 8859446
47 Sunarti 1 NPBI 54th P KPD 1 C365058 8861346

48 Sri Sudarwati 2 NPBI 41th P TRAN C611736 8861181
CITO
49 Suparmin 2 PBI 63th L IGD C623836 8861401
50 Jemi Omami 3 PBI 25th P R2A C623785 8861293
51 Umi Raisah 3 um 22th P B31 C623847 8861434

52 Robil 2 PBI 72th L IGD C623841 8861417
53 Aris Saputra 2 PBI 28th L IGD C623894 8862096
54 By.Ny. Sumarti 3 PBI 3hr P PICU C623743 8863149
55 Putroh Ramadan 3 um 21th L R1B C623899 8863430
56 Mustiani Lukhy Susilowati 2 NPBI 37th P B31 C624005 8863277

JAMINAN
1 Loso VIP NPBI 31/12/1939 L GRD L5 C622211
2 Diah Wahyu Safitri 3 NPBI 20 th P R3A C615306 8847412
3 Murniati 2 NPBI 59 th P KPD 1 C621840 8857513
4 M Wildan Afani 3 PBI 1 th 9 bln L Anak D C534643 8860908
5 Ariq Ihsanul Haq 1 NPBI 3 th L Elang 1 C446436 8861314
6 Anik Farida 2 NPBI 15 th P Anak D C560339 8857475
7 Suwadi 3 PBI 60 th L R3B C616284 8836128

8 Sunarto 2 PBI 59 th L P. Mata C615800
9 Mas'ad 3 PBI 36 th L P. Mata C621928
10 Ernik Setiati 3 NPBI 51 th P P. Mata C620280

11 Soyi 3 NPBI 57 th L P. Mata C595223
12 Sanipah 3 PBI 66 th P R4A C623159 8859515
13 Kamsah 3 NPBI 62 th P P. Mata C615056

14 Ma'sum 3 NPBI 2/22/1900 L R3B C622030 8845777
15 Chusnul Umah 3 NPBI 49 th P R4B C619220
16 Siti Siin 2 NPBI 12/31/1953 P B31 C586494 8860733
17 Kusmanto 3 NPBI 49 th L R2B C621571 8851476
18 Kalsum 2 NPBI 48 th P KPD D C620614 8853674
19 Sugi Hartini VIP NPBI 53 th P GRD L6 C001733 8853679
20 Imronah 1 NPBI 5/22/1963 P MRK 1 C470613 8860981
21 Ansori 3 NPBI 3/3/1966 L R1B C615760 8851025
22 Titin Nur Aeni 3 NPBI 33 th P R2A C606105 8855720
23 Sutamat 3 NPBI 59 th L R3B C623554 8860986
24 Saonah 1 NPBI 67 th P KPD D C532476 8860884
25 Suparman 1 NPBI 54 th L KPD 1 C623810 8861324
26 Arifah Jihan As Syifa 3 PBI 5 th P Anak D C580999 8862454
27 Pradipta Hanan Saputra 3 NPBI 9 bln L Anak D C614125 8860887
28 Parisah VIP NPBI 61 th P GRD L4 C584712 8860692
29 Maskuri 1 NPBI 62 th L KPD 1 C617370 8855651
30 Sucianto 1 NPBI 59 th L KPD D C622415 8847599
31 Sumadi 3 NPBI 41 th L R1B C603799 8851062
32 Irsa Widiyana 3 NPBI 15 th P Anak 1 C622086 8845701
33 Anggita Haedy Puspitasari VIP NPBI 22 th P GRD L6 C623573 8859498
34 Ardiyanto 3 PBI 25 th L R2B C622195 8847537

35 Endah Dwi Kustanti VIP NPBI 8/30/1972 P GRD L6 C623757 8861109
36 Karsinem 2 NPBI 76 th P Ger D C621844 8847578
37 Tan Hiang Khoen 2 NPBI 77 th P Ger D C497715 8859532
38 Naila Syafaatul Maulida 3 PBI 3 th P Elang 1 C483925 8861296
39 Ashifa Kanza Rizqi 1 NPBI 5 th P Elang 1 C611322 8862897
40 Titik Purwaningsih 1 NPBI 27 th P MRK 1 C618717 8857506
41 Ayu Amalia Putranti 1 NPBI 6/30/1987 P KPD 1 C622681 8859504
42 Riesna Machmuda 1 NPBI 61 th P KPD D C618841 8855709
43 Eka Nuryati 1 NPBI 35 th P B31 C324720 8862990
44 Waedi 3 Um 32 th L R2B C623797 8861299
45 Naufal Ardiyan Syahid 3 JMD 6 th L Anak L1 C623205 8855684
46 Basyaria Mahishil Ahya S 2 NPBI 6 bl L Anak D C617509 8841461
47 Insah Munawaroh 3 PBI 1/27/1976 P R2A C476384 8859497
48 Sami 3 PBI 49 th P R2A C619807 8857565
M : GI,II,PM,RG,SC,AG,YS RR : FA,EM,SAM MID :ST,SR RR GRD : EA SORE PROGRAM : SF,RK,AY,TD,AF,AT,B
49 Endang Sulastri VIP NPBI 6/21/1967 P GRD L6 C622883 8863326
50 Suwarti 1 NPBI 8/20/1958 P MRK 1 C622399 8863360
51 Eni Winarni 1 NPBI 43 th P MRK 2 C372558 8859528

52 Kaptiyah VIP NPBI 5/7/1955 P GRD L5 C623246 8855771
53 Winarti 3 NPBI 30 th P R4B C605528 8855754
54 Rofiatun 3 NPBI 55 th P R3A C622434 8851203
55 Christijan VIP NPBI 48 th L GRD 6 C610715 8863366

56 Bestin Pandjaitan 1 NPBI 65 th P KPD 1 C589972 8859475
CITO
57 Edo Irian Pradana 3 NPBI 22th L R1A C624026 8863450
58 YaP Siang Hok (Hwat) IRINA+ NPBI 63th L GCU C609186 8853684
59 Qeyla agatha Pradita 3 NPBI 9bl L PICU C624032 8865187
60 Basuki IRINA+ um 56th P GCU C623782 8861374
61 Ponco Lilik Widodo 3 NPBI 47th L R6B C624016 8863419
62 Rachyudi 2 NPBI 68th L GER D C623470 8865235

63 Sri Utami 2 NPBI 27th P MRK D C620819 8861267
64 Rikasari 3 NPBI 23th P R2A C619585 8865449
65 Muhammad Suhadi IRINB PBI 50th L R2B C623394 8857932
JAMINAN
1 Sugito VIP NPBI 26 th L GRD L5 C616416 8863371
2 Sjahir 1 NPBI 64 th L GER 1 B097918 8853792
3 Haryuni VIP NPBI 11/05/1963 P GRD L5 C615016 8863365
4 Sumarsih 2 NPBI 12/31/1950 P KPD D C622081 8863967
5 Sumiatun VIP NPBI 54 th P GRD L4 C620151 8863011
6 Yakubus Henrit K W 1 NPBI 32 th L MRK 2 C494140 8859537
7 Cholimah 3 PBI 68 th P GER D C616442 8857505
8 Darsi 3 PBI 69 th P R3A C617984 8860931
9 Ahmad Zaim Jama'ali 3 JMD 8 th L Anak D C618297 8863356
10 Wiranti 3 PBI 16 th P Anak D C619021 8853401
11 Darmi 3 PBI 62 th P R4B C616473 8857459
12 Pudji Astuti 1 NPBI 43 th P MRK 1 C622625 8861257
13 Suyati 1 NPBI 3/23/1957 L MRK 2 C507870 8855769
14 Suharsih VIP PT 8/27/1950 P GRD L4 C619428 8859462
15 Rasmani 3 NPBI 61 th L R6B C621534 8841363
16 Bambang Tri Widodo 3 NPBI 51 th L R3B C621088 8836207
17 Sukardi 2 NPBI 56 th L MRK D C561934 8857558
18 Pariyo 2 NPBI 61 th L MRK D C621847 8843917

19 Nur Khayati 2 NPBI 27 th P MRK D C623068 8856536
20 Sukini 1 NPBI 12/1/1937 P KPD D C623695 8861009
M : NH,II,SE,AR,AG,YS,SC RR : EA,MF,ANM SORE PROGRAM : AY,AN,AU,AF,AT,BR,DI,DY,ER,HA,HI,MY,TU,N

CITO
21 Satut Damul Chimayah 1 NPBI 36th P B31 C325516 8865396
22 Fariel Azka Fahreza 2 NPBI 11bl L C1LD C624187 8865419
34 Arfindya Novita Hayyu VIP NPBI 24th P GRD 6 C507418 8863298
24 Faizah 3 NPBI 53th L R1A C458939 8865411

JAMINAN
1 Devi Sriwahjuni 1 NPBI 43 th P KPD 1 C623130 8860876
2 Suripah 3 NPBI 39 th P R3A C616982 8860891
3 Harmi Hidayanti 3 PBI 20 th P R3A C617260 8860985
4 Aspuntik 3 NPBI 45 th P R3A C572223 8857533
5 Naila Muyasaroh 3 PBI 18 th P Elang 1 C586503 8865440
Luqman Syafiq S / Nuraeni

6 3 PBI 6 bln L Anak D C597339 8863162
B
Rahma Ramadhania
7 3 NPBI 8 bln P Anak D C601499 8863270
Suarna
8 Mukhammad Ilham Arif 3 PBI 6 th L Anak D C548918 8863234
9 Anisah 1 NPBI 63 th P KPD 1 C623858 8863440
10 Andrius Budi Darminto 3 PBI 20 th L R2B C623003 8863425
11 Istianah 3 NPBI 49 th P Pol Mata C609958
12 Darwisah 3 Um 88 th P Pol Mata C618727
13 Muchorobin 3 PBI 34 th L Pol Mata C622442
14 Sistri 3 NPBI 50 th P Pol Mata C389004
15 Rupadi 1 NPBI 56 th L Pol Mata C500494
16 Anisah 3 NPBI 44 th P B31 C612679 8863278

17 Juwaeriyah 3 PBI 51 th P B31 C546632 8862016
18 Sutarmi 3 PBI 01/09/1966 P R2A C618379
19 Hamdan Dakirin 3 PBI 27 th L R2B C570860 8857522
20 Nanik 3 NPBI 49 th P R2A C595411 8860956
21 Arifih 3 NPBI 55 th L R1B C531244 8845705
22 Zaenah 2 NPBI 59 th P KPD D C330773 8863347
23 Solikhin 3 NPBI 49 th L R2B C617368 8857455
24 Wahyudi 3 PBI 14 th L C1LD C626253 8863307
25 Hendarto 3 JMD 33 th L R1B C620517 8863432
26 Sugeng Riyadi 3 NPBI 28 th L R3B C623294 8857468
27 Dwi Ari Setiawan 3 NPBI 5 th L Anak D C602903 8863279
28 Soedjadi 1 NPBI 58 th L MRK 2 C512073
29 Khoirun Nikmah 1 NPBI 57 th P KPD 1 C538253 8861234
30 Rakhman Aprilianto 2 NPBI 14 th L Anak D C580446 8863061
31 Yasmin Syahkara 3 JKD 4 th P P. Mata C620218
32 Sutiani 2 NPBI 38 th P Transit C623433 8861141
33 Siti Maemunah 3 NPBI 45 th P R2A C619845 8853802
34 Sri Iriani 1 NPBI 55 th P KTL C120998 8851207
35 Moch. Solikin 3 NPBI 48 th L R2B C623754
36 Lukas Erry Susanto 3 NPBI 19 th L R1B C621703 8848110
37 Tusiyah 3 NPBI 52 th P Elang 1 C575069 8861295
38 Anik Fitriyani VIP NPBI 33 th P GRD L3 C605911 8863155
39 Larasati 1 NPBI 10/28/1979 P MRK 1 C563445 8861237
40 Karsini VIP NPBI 73 th P GRD L5 C618506 8863258

41 Nor Janah 2 NPBI 33 th P MRK D C620486 8863396
42 Adinda Kartika Apriliya 1 NPBI 18 th P KPD 1 C622668 8863969

43 Siti Juriyah 1 NPBI 80 th P KPD 1 C622845 8855763
M : NH,AF,AR,EW,SE,SU,ND RR : FA,TR,SAM MID :ST,SR RR GRD : EA SORE PROGRAM : SF,CA,AN,AU,AT,AY
44 Tusiyah 3 NPBI 52 th P Elang 1 C575069
45 Agus Risyanto 1 NPBI 54 th L Elang C623621 8860601
46 Suratmin 3 NPBI 59 th L R3A C623424 8859536
47 Ilyas 1 NPBI 39 th L KPD 1 C623474 8865305
48 Dedy Surya Pranoto 3 NPBI 20 th L R2B C606602 8851116
49 Rahayu Kurniati 3 NPBI 44 th P R4B C075176 8865390
50 Citra Yunita VIP NPBI 12/25/1979 P GRD L5 C515685 8863398
51 Loso Martotiyoso VIP NPBI 12/31/1938 L GRD L5 C622211 8860785
52 Arkharega Jevan Damara VIP um 3 th L GRD L3 C449403 8865262
53 Tarisah 3 PBI 32th P R6A C623402 8859523
54 Karminah 3 NPBI 36 th P R4A C620438 8832012
55 Tarkoni 3 PBI 48th L R3A C623618 8863429

56 Markonah 1 NPBI 57 th P Transit C273599 8865611
57 Novem Psuite NPBI 45 th P GRD 5 C623697 8865230
58 Pariyem 3 PBI 61 th P R3A C292148 8865387
CITO
59 Kasoeri 2 um 69th L GER D C624221 8865585
60 Gunawan 3 PBI 46th L R5A C581585 8851442
61 Melia Ade Tiara VIP NPBI 27th P GRD 3 C437827 8865609
62 Kasmonah 3 NPBI 53th P R3A C519415 8855783
63 Agus Sumarno 2 NPBI 51th L IGD C624406 8867596
64 Ari Aldiyasha 2 um 1th L IGD C580042 8866784
65 Sumiyati 2 NPBI 37th P B31 C121204 8867474
66 Laili Hikmatul Rohmah 3 PBI 23th P B31 C620019 8864600

JAMINAN
1 Novi Dian Rohsianti 2 NPBI 34 th P KPD D C622222 8856794
2 Djasminah 2 NPBI 55 th P Transit C623890 8863309
3 Allea Shanum Hafidzah VIP NPBI 2 bln P GRD L3 C618578 8863317
4 Reza Aditiya Pratama 3 NPBI 3 th P Anak D C603361 8863311
5 Raditya Abdul Rohim 3 NPBI 6 bln L Anak 1 C594762 8854320
6 Ny. Rochimah 2 NPBI 64 th P P. Mata C608474
7 Ny. Damirah VIP Um 66 th P P. GRD C622241

8 Sakdun 2 NPBI 67 th L P.Mata B318481
9 Tn. Ngadiyo 1 NPBI 61 th L P. Mata B440564
10 Tn. Wahyudi 3 NPBI 48 th L P. Mata C521613
11 Asiyah 2 NPBI 34 th P KPD D C618124 8865240
12 Kasmanah 1 NPBI 60 th P Obstetri C587230 8847533
13 Sukma Umbara 3 NPBI 25 th L R3B C624173 8855482
14 Slamet Sihono 1 NPBI 65 th L KPD 1 C598652 8840029
15 Kun Dipowati VIP NPBI 53 th P GRD L4 C623482 8859255
16 Tintus Triubekti 1 NPBI 24 th P KPD D C383230 8841755
17 Wahyuningsih 2 NPBI 33 th P KPD D C622634 8863378
18 Saginem 1 NPBI 78 th P MRK 1 C623631 8861315
19 Yohanes Afifianto 2 NPBI 38 th L MRK D C621906 8860917
20 Izzatun Zarroh 3 NPBI 20 th P R4A C624023
21 Giyono 3 NPBI 51 th L R2B C617745 8821782
22 Zunirohmawati 3 Um 22 th P R5B C622576 8851301
23 Abdi Ardina Saifudin 3 NPBI 12 th L Anak D C593253 8863423

24 Rudi Santoso 3 PBI 34 th L R1B C540502 8853668
25 Rupiati VIP NPBI 58 th P GRD L5 C273512 9963353
26 Ali Mahmudi 3 NPBI 27 th L R1B C553554 8853695
27 Ny. Yuningsih 1 NPBI 51 th P KPD 1 C283343 8857481
28 Hamidah Apuk 1 NPBI 70 th P MRK 1 C213384 8857515
29 Jumrotun 3 NPBI 37 th P R2A C622094 8851083
30 Priyadi 3 NPBI 22 th L R3B C622371 8847572
31 Istiana Hadiyanti 3 NPBI 27 th P R6A C621242

32 Eko Satria Pangestu Priv NPBI 16 th L KPD 1 C610761 8867106
33 Andreas Kuntjara Hadi VIP NPBI 70 th L GRD L4 C615397
34 Kadjiman Suwito 2 NPBI 62 th L KPD 1 C606691 8867263
35 Zakiyudin Zakaria 3 PBI 17 th L R2B C621903 8843975
36 Maudyna 1 NPBI 14 th P Elang 1 C411103 8865479
37 Liana Ni'mah VIP NPBI 32 th P GRD L6 C383802 8861147
38 Siti Chodijah VIP NPBI 70 th P GRD L4 C623807 8861303
39 Lasmi 3 NPBI 39 th P R5B C617432 8864558
40 Ripto Raharjo 1 NPBI 41 th L KPD D C622463 8865320
41 Nanik Diah Yulianti 1 NPBI 59 th P KPD D C622880 8863350
M : WU,AN,AF,DY,MY,ND,SU RR : FA,TR,SR MID :ST,SAM RR GRD : EA SORE PROGRAM : SF,TD,AY,AU,AM,AT
42 Watonah 3 NPBI 65 th P R4B C574950 8841449
43 Robert RM Dahan VIP NPBI 57th L GRD 5 C624293 8866976
44 Sudiyatno VIP NPBI 41th L GRD 6 C620234 8837981
45 Zulfikar Dwi Azizi 3 NPBI 15th L TRAN C618979 8867768
CITO
46 Syafira Najwa, P.H VIP NPBI 5th L GRD 3 C333347 8865353
47 Muhammad Wildan Najid 3 PBI 8th L C1L1 C624588 886513
48 Satibi 3 PBI 40th L R2B C624585 8859539

JAMINAN
1 Rengganis Syah Qonita 3 NPBI 10 bln P C1LD C624176 8865403
2 Moch Basir 3 PBI 53 th L GER LD C617314 8865431
3 Nargomo 1 NPBI 57 th L GER L1 C623675 8860932
4 Siti Kuzaemah VIPA um 40 th P GRD L3 C624193 8866351
5 Rusti VIPA um 53 th P GRD L4 C618785 8863285
6 Nikmah 1 NPBI 51 th P KPD LD C815808 8865332
7 Fathur Rizqi Rahman 3 um 16 th L Anak D C624230 8865591
8 Endah Sri Sulistyowati 2 NPBI 40 th P B31 C096458 8865292
9 Myiesha Adsila Azalia VIPA Um 7/28/2009 P GRD L3 C623276 8869171
10 Ardhiansa Bagus Saputra VIPA NPBI 20 th L GRD L5 C618854 8867149
11 Fasya Tsurayya 3 PBI 3 bln P ANK LD C616227 8865209
12 Izzatun Zarroh 3 NPBI 20 th P R4A C624023 8865486
14 Solichin 3 PBI 60 th L R2B C605041 8865258
15 Joyo Kusmono 3 NPBI 29 th L R3B C622859 8865372
16 Sutinah 3 NPBI 46 th P R3A C620131 8865213
17 Wiji Utami VIPA NPBI 55 th P GRD L5 C604253 8863276
18 Riyanto VIPA NPBI 59 th L GRD L6 C624028 8863434
19 Khalimatus Sa'diah 3 PBI 28hr L PBRT C623408 8859158

20 Istiana Hadiyanti 3 NPBI 27 th P R6A C621242 8843992
21 Aslichah 3 PBI 53 th P R2A C621828 8844183
22 Andreas Kuntjara Hadi VIP NPBI 70 th L GRD L4 C615397
23 Tarsan VIP NPBI 3/14/1949 L GRD L5 C619616 8867736
24 Riadika Hanityawan 3 NPBI 58 th L Elang C609479 8866788
M : WU,AN,AF,DY,MY,ND,SU RR : TR,ST,SAM,RA SORE PROGRAM : AY,SA,AT,TU,JF,WD,ER,IS,HI,DB,TK,DA

25 Sukarno VIP NPBI 62th L GER 1 C616906 8863236
26 Dwi Rina Astuti Setiohedi 1 NPBI 35th P KTL C336548 8815867
27 S Cahyono Wahyu W 2 NPBI 49th L ELA 1 C616819 8865369
28 Marianah 1 NPBI 80 th P KPD LD C623889 8861061
29 Arfindya Novita Hayyu VIP NPBI 24th P GRD 6 C507418 8863298
30 Sri Slamet 2 NPBI 54th L KPD D C622655 8866166
CITO
31 Komsiyah 3 PBI 21th P B31 C623612 8867573
32 Supriyadi 2 NPBI 29th L MRK D C622002 8846809
33 Inneke Elmawati 1 NPBI 56th P KPD 1 C624610 8869567
34 Aminatun 3 um 41th P B31 C624605 8864556
35 Asih Naimatus S IRINA+ NPBI 24th P GCU C623251 8855778
36 Muhammad Suprapto 3 JMD 51th L R1A C624429 8869767
37 Zara Safia kaynara, SH 2 NPBI 3th P TRAN C624632 8869713
38 Resmiyati Utami 3 NPBI 48th P R1A C624638 8869735

JAMINAN
1 Sumarni 1 NPBI 58 th P KPD LD C388388 8860915
2 Rubiah 1 NPBI 59 th P KPD 1 C611189 8860934
3 Bambang Purwanto VIP NPBI 58TH L GRD 4 C620919 8867619

4 Tentra Tama Setiyawan 1 NPBI 4bl L C1LD C621909 8869362
5 Salimun 3 NPBI 50th L R1B C623870 886932
CITO
6 By. Siti Nuriyah 2 um 2hr P IGD C624630 8869703
7 Dyah Fitri Lestari 3 NPBI 37th P B31 C541683 8869460
8 Iman Sofian 3 PBI 41th L R3B C624686 8869903
9 Marsiyem 3 um 57th P R5B C624664 8869912

JAMINAN
1 Jasmo 3 NPBI 49 th L R2B C616020 8852977
2 Kasoeri 3 NPBI 69 th L GER LD C624221 8865585
3 Aris Tungkul Wahono 3 JMD 23 th L R6B C623019 8853825
4 Zahra Aryani 3 NPBI 2 th P Elang 1 C576363 8869899
5 Rheina Maghfirotunnisa 3 NPBI 4 bln P Anak D C615516
6 Angga Adi Saputra 3 NPBI 9 bln L Anak D C582826 8867382
7 Sarimah 3 PBI 41 th P R3A C616332 8865217
8 Nur Khasikin 3 PBI 19 th L P. Mata C606449
9 Sri Sadjoko 3 NPBI 64 th P P. Mata C194600
10 Hardiyatin 3 PBI 64 th L P. Mata C622236
11 Sigit Nurjanto 1 NPBI 45 th L P. Mata C613480
12 Sri Purnomo 3 NPBI 62 th L P. Mata C591598
13 Wiwik Andayani 3 NPBI 27 th P R3A C623549 8887699
14 Sujati 1 NPBI 69 th P P. Mata C599092

15 Chusnul Umah 3 PBI 49 th P R4B C619220 8834242
16 Iswahyudi Juan Sebastian 3 NPBI 9 th L Anak D C583724 8860914
17 Bambang Sudarmono 1 NPBI 55 th L MRK 1 C222794

18 Sueb 3 NPBI 48 th L R5A C621702 8841827
19 Stanis Suroto 2 NPBI 49 th L MRK LD C617990 8863426
20 Irianto 1 NPBI 51 th L KPD 1 C614915 8851298
21 Sabar 3 NPBI 58 th L R2B C621971 8865251
22 Nur Rahayu 3 PBI 44 th P R2A C623660 8865345
23 Sutarmi 3 NPBI 50 th P R2A C618373 8836044
24 Veronica Maria Soegirah 2 NPBI 77 th P KPD D C600614 8889920
25 Muslikudin 3 PBI 39 th L R6B C620420 8831751
26 Maryati 3 NPBI 73 th P R1A C623602 8859550
Lampu Operasi OK 7 Diperbaiki mulai j 15.00

27 AH Rizky Asrori 3 PBI 14 th L Anak D C601295 8867648
28 Puspa Ardiani 1 NPBI 32 th P KPD L1 C594582 8853697
29 Tulipah 2 NPBI 52 th P MRK D C607018 8860949
30 Purwanto 1 NPBI 57 th L KPD L1 C620526 8859428
31 Widiyanto 1 NPBI 33 th L MRK 1 C539170 8843843
32 Sujarno 3 PBI 67 th L Ger D C616768 8851188
33 Abdullah Munir 1 NPBI 42 th L MRK L2 C621323 8859522
34 Rudi Hermanto 3 NPBI 31 th L R1B C571389 8863355
35 Fetty Sandra Pramudyanti 3 BPJS 21 th P R4A C622768 8851537
36 Siannywati Hartono 2 NPBI 37 th P KPD D C605492 8869948
Sri Surtiningsih 1 NPBI 54th P ELA 1 B413937 8869672

37 Rustamaji 1 NPBI 50 th L Transit C624235 8866861
38 Tasya Wilona putri 3 PBI 6 bl P Anak 1 C624431 8868503
39 Jungaati 1 NPBI 47 th P MRK L1 C407237 8865166
40 Mahmudah 2 NPBI 51 th P KPD D C620183 8869876
41 Mazidah 3 NPBI 48 th P R2A C532934
42 Supriyadi B VIP NPBI 66 th L GRD L4 C622535 8867594
43 Indra Septian Dwi 3 NPBI 15 th L R1B C621044
M : RK,SA,WD,AT,DA,TK,TU RR : FA,EM,SC MID :ER,SAM RR GRD : AG SORE PROGRAM :AI,CA,TW,AM,NI,DW
Akbar Yusuf Fahreza 2 NPBI 10th L C1LD C428055 8869391
Sri Endah Mekarsari VIP NPBI 41th P GRD 5 C618034 8855741
Bambang Untung Riyanto 3 PBI 46th L R3B C624361 8869538
Parmini VIP NPBI 41TH P GRD 4 C623562 8865236
Zaenal Abidin VIP Um 52th L GRD 6 C624639 8869778
Eka Gita Piniartri 3 NPBI 40th P R3A C619777 8865596
Suginah Seseno 1 NPBI L MRK 1 C566673 8869564
CITO
Tarmo Kardi 3 PBI 56th L R3B C624437 8869762
Sri Hardijani 2 NPBI 50th P TRAN C483929 8872154
Nurus Shiyam 3 um 11th L C1LD C624701 8870014
Maryono IRINA NPBI 55th L ICU C620276 8851467
Supratikno IRINA NPBI 45th L ICU C624696 8869924
Kasmirah 3 NPBI 82th P GER D C624516 8869529
Sumarno 2 PBI 24th L IGD C624889 8871785

JAMINAN
1 Diah Wahyu Safitri 3 NPBI 05/02/1997 P R3A C615306 8847412

2 Achmad Gunawan 3 NPBI 47 th L R2B C623119 8869448
3 Leno Nugroho 3 NPBI 27 th L R3B C622538 8857575
4 Sayiful Rizal 3 PBI 27 th L R1B C615585 8849569
5 Fella Fathya Ramadyana 1 NPBI 1 th 7 bln P Anak D C618893 8869502
6 Rheina Maghfirotunnisa 3 NPBI 4 bln P Anak D C615516
7 Ponijan 3 PBI 51 th L R2B B101705 8865499
8 Sainah 3 PBI 76 th P R3A C616347 8869315
9 Siti Maskanah 3 PBI 71 th P P. Mata C596624

10 Ngatini 1 NPBI 55 th P P. Mata C619494
11 Hery Sofyan Priv Um 46 th L P. GRD C622621
12 Umaroh 2 NPBI 54 th P P. Mata C620925
13 Bawi 3 PBI 54 th L P. Mata C596304
14 Handoko 3 PBI 22 th L P. Mata C615245

15 Tuti Sri Kimiati S 3 NPBI 60 th P P. Mata C619151
16 Sri Waluyani 3 NPBI 53 th P Pol VAS C624344
17 Dwi Surya Romadan 3 PBI 24 th L R1B C658108 8869488
18 Prihatiningsih 1 NPBI 52 th P MRK 1 C621866 8865329
19 Ida Royana 2 NPBI 45 th P B31 C621986 8867379
20 Rubinem VIP NPBI 74 th P GRD L4 C623384 8867653
21 Jamiah 3 NPBI 44 th P R6A C610905 8845783
22 Mazidah 3 NPBI 48 th P R2A C532934
23 Sumiati 3 PBI 39 th P R2A C618306 8867693
24 Subari 3 NPBI 58 th L R1B C607492 8865338
25 Sutiyem 2 NPBI 12/12/1960 P KPD D C620198
26 Darjati 1 NPBI 11/11/1948 P MRK 1 C619736 8869929
28 Sunardi 3 PBI 47 th P R2B C613468 8865242
29 Betty Dwiniarti 2 NPBI 64 th P KPD D C104056 8869434

30 Herry Setiady VIP NPBI 6/11/1975 L GRD L6 C619275 8869985
31 Moechtar Prasetyo Utomo 2 NPBI 32 th L Transit C622319 8869905
32 J. Soegiharto 2 NPBI 77 th L KPD D C544453 8869770
33 Sulasih 3 PBI 44 th P R5B C621189 8851489
34 Endang Setyawati VIP NPBI 46 th P GRD L4 C621576 8867771
35 Wahidun 3 PBI 58 th L R6B C609093 8843855
36 Rahmadhani 3 NPBI 10th P C1LD C596123 8862716
37 Arga Rhoby Hidayat 2 NPBI 33 th L KPD D C559302 8861363
38 Ngatiyem 3 PBI 80 th P R2A C623740 8861166
39 Muchammad Dwi Anugrah 2 NPBI 5 th L Transit C506684 8863455
40 Nanik Indayani 3 NPBI 22 th P Elang 1 C600920 8869875
41 Tarsinah 3 NPBI 56 th P R4A C618340 8868925
42 Rukiyati 2 NPBI 43 th P B31 C614596 8869297

43 Ayu Zahrotunnisa 1 NPBI 12 th P C1LD C621141 8867678
44 Endang Sulastri 1 NPBI 41 th P KPD D C611042 8869415
45 Sarahna Dinda 2 NPBI 18 th P MRK D C623711 8861182

Nazara Raissa
46 1 NPBI 17 th P C1L1 C623867 8869452
Alfathunnisa
47 Sariyono, H, SE, MBA 1 NPBI 72 th L KPD 1 C135289 8857469
48 Suprihatin 2 NPBI 61 th P B31 C483794 8869085
M : RK,SA,WD,DM,TK,WI,TU RR : FA,EM,ND MID :MY,SAM RR GRD : AG SORE PROGRAM :II,TW,AM,NI,AT,AD,
49 Dhana Antasari VIP Um 6/13/1996 P GRD L 6 C426976
50 Sri Endah Mekarsari VIP NPBI 8/2/1975 P GRD L5 C618034 8855741
51 Nur Khamit VIP NPBI 1/1/1973 L GRD L 4 C344898 8872016
52 Ny.Neny Wijayanti VI A PBI 4/20/1974 P GRD L 6 C111360 8871978
53 Ny.Anita Puji Astuti VIP NPBI 4/10/1981 P GRD L6 C612420 8872010
54 Tn.Suroso 2 NPBI 57 th L TRAN C624913 8874169
55 Tn.Muhamad Munadi 3 PBI 58 th L R2B C6234629 8869826
56 Tn.Supraptoyo 1 NPBI 58 th L MRK I C623531 8867806

57 Alimah 3 PBI 50 th P R2A C620179 8867778
58 Bambang Sukoadji 2 NPBI 68 th L KPD LD B411921 8869480
59 Sawi 3 NPBI 7/2/1965 P R4B C622536 8863406
CITO
60 Yulianti 3 PBI 33th P B31 C624988 8873000
61 Koen Marjati VIP NPBI 82th P GCU C500500 8872119
63 Siti Khoiriyah 3 PBI 30th P B31 C611717 8874032
64 Toto Sunyoto, BE 2 NPBI 67th L GER D B433598 8869522

JAMINAN
1 Iqbal Prisma Pradana 1 NPBI 28 th L KPD LD C474896 8860951
2 Umi Salamah 3 PBI 38 th P R4A C615199 8863370
3 Gharisa Addien Semedi VIPA NPBI 19 th P GRD L4 C622529 8871874
4 Arya Rekan Pratama 2 NPBI 8 th L C1LD C530674 8855270
5 Kasan 3 PBI 38 th L R2B C615762 8857545
6 Dewanta Dedayu Caesa P 2 NPBI 6 bln L C1LD C595432
7 Muhammad Fikri Mahmud 3 um 9 bln L C1L1 C624713 8870004
8 Tasimin 2 NPBI 27 th L MRK LD C621338 8872036
9 Karwati 1 NPBI 45 th P KPD LD C609538 8872100
10 Lia Triwahyuni 2 NPBI 25 th P KPD LD C544663 8872108
11 Tan Hiang Khoen 3 NPBI 77 th L GER LD C497715 8859532
12 Mujiatun 3 NPBI 45 th P P.MTA C592198
13 Carelysa Novaldia 2 NPBI 19 th P P.MTA C618451
14 Siti Mulyati 2 NPBI 61 th P P.MTA C529410
15 Bachrun Miftachul Huda 3 PBI 61 th L P.MTA C618807

16 Nunung Nurchasana 1 NPBI 57 th P P.MTA C559447
17 Yuli Sutrisno 3 NPBI 51 th L P.MTA C588574
18 Sulichah 3 NPBI 53 th P P.MTA C605317
19 Wahyu Aminudin 1 UM 20 th L Transit C624547 8872925
20 Setyawati VIPA NPBI 54 th P GRD 5 C624726 8872137
21 Sayaka 3 UM 48 th L P. MTA C620147
22 Tessa Agustina 3 PBI 17 th P R4A C614247 8871248
23 Karwati VIPA NPBI 48 th P GRD L3 C616961 8871304
24 Siti Muyasaroh 3 NPBI 29 th P R2A C619593 8872082
25 Yahya 3 PBI 56 th L R1B C626200 8863294
26 Winarni 1 NPBI 53 th P KPD L1 C566832 8872084
27 Marfuah VIPA NPBI 87 th P GRDL6 B017669 8869260
28 Ahmet Altinisik VIPA NPBI 3/14/1973 L GRD L6 C591010 8873643
31 Sumirah 1 NPBI 47 th P KTL C621234 8860872
33 Siti Mutmainah 3 NPBI 46 th P R2A C623335 8869218
34 Paniyem 3 PBI 43 th P R2A C617151 8872099
35 Sutiyem 2 NPBI 12/12/1960 P R5B C620198
36 Sohib 3 NPBI 56 th L R2B C624157 8867781
37 Atmanto 3 NPBI 56 th L R6B C619321 8857592
38 Safaras Akma Fadhil P 3 NPBI 2 th L C1LD C574527 8872002
39 Ahmad Agung VIPA NPBI 38 th L GRD 5 B378972
40 Titarsole Max 1 NPBI 61 th L ELA 1 C391639 8855501
42 Ari Pebrika Dicky Wahyono 3 JMD 17 th L R1B C361955 8861148
An. Muhammad Afif

43 1 NPBI 10 th L C1LD C624755 8872115
Wicaksono
44 Marhaen Purba VIPA NPBI 54 th L GRD L4 C620338 8871943
45 Albertus N 1 NPBI 61 th L P. MTA C617962

46 Agustina Evi P 3 NPBI 29 th P R3A C264556 8863357
47 Panirah 3 NPBI 39 th P R2A C602401
48 Pipit Novia Kumalasari 3 NPBI 19 hr P PBRT C621786 8842248
49 Muh Suni VIPA NPBI 56 th L GRD L5 C620841 8855650
50 Rismiati 1 NPBI 46 th P KPD L1 C560195 8872097
51 Soeroto 1 NPBI 47 th L KPD L1 C501242 8867723
52 Christina Isnaini 1 NPBI 57 th P KPD L1 C614042 8863402
53 Sarbini 3 NPBI 57 th L R1B C584123 885
55 Ana Noor Khusna 3 NPBI 28 th P R2A C611271
56 Suprihantoro 2 BPJS 50 th L KPD L1 C621855 8872817
57 Wiyamti 3 NPBI 34 th P ELA 1 C590483 8871273
58 Mochamad Hazzar A 3 NPBI 3 th L ELA 1 C479147 8871794
59 Kasmini 3 NPBI 42 th P B31 C616504 8871275
60 Yuli Hatmini 1 NPBI 58 th P KPD 1 C623421 8863199
61 Mukmin 3 PBI 56 th L R2B C622279 8872087
62 Murtidjah VIPA NPBI 70 th P GRD 5 C602637 8865352
63 Nur Choironi 3 NPBI 44 th L R1B C618846
64 Munjaenah, S.PD 2 NPBI 48th P KPD D C624060 8873563
65 Beta Noorrochmansyah 2 NPBI 21 th P KPD C624524 8873552
M : BD,HR,BY,DM,ES,WI,AM RR : FA,EM,ND MID : MY,SAM RR GRD : AF SORE PROGRAM : II,TW,AI,ST,SR,SE,
66 Sri Surani 2 NPBI 65 th P KPD LD C515096 8872697
67 Kusnadi 1 NPBI 71 th L KPD L1 C607979 8873437
68 Siti Alfiah 1 NPBI 49 th P MRK L1 B332445 8869429
69 Parti 2 NPBI 50 th P KPD LD C539958 8873959
70 Jasmirah 3 NPBI 42 th P R2A C620934 8852895
71 Henny Irawati Sulaiman 3 NPBI 53th P R2A C624651 8869883
72 Endang Sunjaya VIP um 58th P GRD 5 C625051 8874046
73 Wiwin Nurrokim 3 NPBI 27th L R5A C592176 8745446

CITO
74 Naveen Kalila Bellaqua 3 NPBI 2th P C1LD C625088 8874189
75 Suhadi 3 PBI 65th P R1A C625105 8875992
56 Darwati 3 um 37th P B31 C624018 8863369
JAMINAN
1 Nurcahya VIP NPBI 23/06/2011 L GRD L3 C557646 8871954
2 Misrohussodri 1 NPBI 41 th L KPD 1 C278199 8863438
3 Suharnita 3 NPBI 40 th P R3A C577151 8869303
4 Rheina Maghfirotunnisah 3 PBI 4 bln P Anak D C615516 8867677
5 Niken Dwi Puspita 3 NPBI 9 th P Elang 1 C548775 8867465
6 Nur Choironi 3 PBI 44 th L R1B C618846 8869493
7 Nanik Wijowati 3 PBI 7/3/1997 P R5B C611477 8874102
8 Munawati 3 NPBI 8/6/1971 P R5B C613082 8874100
9 Ngatinem 3 Jmkd 56 th P P. MTA C623705
10 Rita Indah B 1 NPBI 50 th P P. MTA C602573

11 Istiana 3 NPBI 60 th P P. MTA C611198
12 Much. Kahar 3 NPBI 71 th P P. MTA C622299
13 Karsini 3 NPBI 53 th P R4B C624841 8872152
14 Djoko Setyono 3 NPBI 48 th L P. MTA C540283
15 Lilis Setiawati VIP NPBI 10/24/1979 P GRD L3 C406614 8873924
16 Shulcha Kulliyyatina 1 NPBI 18 th P MRK 2 C600728 8874024
17 Sumaryati 3 NPBI 3/8/1959 P R2A C618489 8871925
18 Sumiatun 3 JMD 4/20/1968 P R5B C623838 8861684
19 Noor Khamid VIP NPBI 8/1/1965 L GRD 5 C622951 8871762

20 Jumiatun 3 PBI 30 th P R2A C619198 8867415
21 Nurrochman 3 NPBI 44 th L R6B C623196
22 Rodhotul Munawaroh VIP NPBI 2/2/1964 P GRD L5 C624995 8873862
23 Yusriyati 3 NPBI 62 th P R2A C615028 8872041
24 Dimin 1 NPBI 68 th L KPD 1 C623967 8872102
25 Muhammad Naezar 3 NPBI 2 th L C1LD C607840 8874131
26 Achmad Agung Prabowo VIPA NPBI 38 th L GRD L5 B378972 8857439
27 Daeran 3 NPBI 70 th L R5A C601540 8841860
28 Mirza Attala Maulana 3 PBI 6 th P Anak D C624618 8869755
29 Moga Nara Yudha 3 PBI 20 th L R2B C624676 8869941
30 Ahmad Jaya Saputra 3 NPBI 5 th L Anak D C623550 8874156
31 Ashudhi 1 NPBI 58 th L KPD 1 C548051 8869514
32 Suhardi 1 NPBI 49 th L KPD 1 C591953 8869444
33 Kirman 2 NPBI 56 th L MRK D C619168 8868530
34 Rukawiyanto VIP Um 4/4/1961 L GRD L5 C624070 8874039
35 Muhamad D Yusuf 2 NPBI 54 th L MRK D C511545 8861004
36 Ruskan VIP NPBI 5/12/1956 L GRD L4 C618797 8867446
37 Rukiyat 3 NPBI 55 th P R2A C615147 8860953
38 Ang Giok Hwa VIP NPBI 5/24/1951 P GRD L4 C609745 8871895
39 Muhamad Mujiono 2 PT 39 th L MRK D C624231 8865608
40 Moch Solikin 3 JASA 48 th L R2B C623754 8861207
41 Bambang Sudarmono 1 NPBI 2/2/1962 L MRK 1 C222794 8865212
42 Abdul Muis 2 NPBI 41 th L MRK D C624211 8865489
43 Tuti Alawiyah 3 NPBI 34 th P Elang 1 C618300 8873585
44 Farikhatus Syafiah 1 NPBI 18 th P Elang 1 C550298 8873950
45 Masrotun VIP NPBI 12/31/1949 P GRD L3 C623961 8873953
46 Phan Trisna Wijaya 3 JMD 37 th L R1B C624017 8863445

47 Satinah 3 NPBI 12/31/1950 P R2A C622962 8874125
48 R. NGT. Fatimah Djamil 1 NPBI 84 th P MRK L1 C624169 8865524
49 Sholikatun VIP NPBI 10/30/1970 P GRD L6 C622533 8871964

M : II,BD,BY,AM,AT,DY,PS RR : FA,EM,ND MID : DB,SAM RR GRD : AF SORE PROGRAM : NO,TW,AI,AN,AR,AG
71 Adi Purnomo 3 Um 19th L RIB C624677 8869931
72 Tn.Nuryadi VIP NPBI 54 th L GRD L5 C624487 8876026
73 Ana Noor Khusna 3 NPBI 28 th P R2A C611271 8869450
Sri Sumarni VIP NPBI 43th P GRD 6 C625125 8875980
Waigito Nurjaman 3 NPBI 26 th L R2B C521389 8869334
CITO
Ahmad Salim 3 NPBI 30th L R2B C625317 8876163
Aditya Pradana 3 um 6th L C1L1 C625312 8876162
Khumaidi 3 PBI 21th L R5A C586168 8827559
Sulasih 2 NPBI 40th P B31 C625369 8877387
Eko Purwati 1 NPBI 49th P HCU C624637 8869799
Sarpi 3 um 35th P B31 C624669 8869852
Tukimin IRINA PBI 67th L ICU C620026 8824426
Hartono 3 um 41th L R3B C624242 8867694

JAMINAN
1 M. Faris Nurjamal 1 NPBI 10 th L C1LD C597256 8872147
2 Mukromin 3 PBI 57 th L R1B C587291 8857409
3 Masluron 3 PBI 44 th L R2B C622288 8853794
4 Ramini 3 NPBI 52 th P R2A C607098 8869500

5 Fasya Tsurayya 3 PBI 4 bl P C1LD C616227 8865209
6 Slamet Yuliyanto 3 NPBI 5/21/1979 L R3B C614452 8876146
7 Jupri 3 NPBI 10/11/1975 L R3B C619254 8874048
8 Suradi 3 NPBI 63 th L R6B C544811 8861411
9 Soekisman 1 NPBI 62 th L MRK L1 C622724 8851428
10 Nurhadi 3 PBI 59 th L Po MTA C623312
11 Hadi Prasetyo 3 NPBI 54 th L Po MTA A469366
12 Hari Bintoro VIP UM 65 th L Pol GRD C622856

13 Djoko S Utomo VIP UM 62 th L Pol GRD C177588
14 Tukem VIP NPBI 72th P GER 1 C148577 8851567
15 Fadillah VIP Um 9/2/1970 P GRD L4 C622977 8872165
16 Irenia Putri Ananda 2 NPBI 1,6 th P C1L1 C624911
17 Dwi Djoko Susilo VIPA NPBI 4/27/1953 L GRD L5 C406012 8861361
18 Suwardi 2 NPBI 61 th L MRK D C623728 8875974
19 Kusaeri 3 PBI 49 th P R3B C621237 8875820
20 Sa'dun 1 NPBI 58 th L KPD L1 C617486 8869129
21 Suratmin 2 NPBI 59 th L MRK D C609403 8855751
22 Panirah 3 NPBI 39 th P R2A C602401
23 Siti Aliyah 3 NPBI 45 th P R4B C516744 8874151
24 Mulyati 1 NPBI 51 th P MRK 2 C618918 8869409
25 Wasliani 3 NPBI 38 th P R6A C621826 8872140
26 Dwi Lestari VIP NPBI 12/22/1955 P GRD 4 C612498 8875656
27 Supartini 1 NPBI 11/3/1963 P KPD D C621835 8876061
28 Lilik Sujarmanto 3 NPBI 26 th L R2B C619320 8874150
29 Fikry Fuad Hidayatullah 3 NPBI 8/1/1998 L R1B C623087 8876071
30 Menuk Sri Rejeki 3 NPBI 33 th P R2A C407484 8869469
31 Sri Sumarni VIPA NPBI 43 th P GRD L6 C625125

32 Rumiati VIPA NPBI 51 th P GRD L6 C621423 8869398
33 Kasyono 1 NPBI 46 th L KPD LD C503893 8872188
Edi Gumawang Pramana,

34 1 NPBI 59 th L KPD L1 C608275 8874051
SPD
35 Sri Pratiwi VIPA NPBI 8/16/1959 P GRD L4 C621223 8873762
36 Soejadi 1 NPBI 58 th L MRK L2 C512073 8851661
37 Sulistri Agustina 3 NPBI 13 th P C1L1 C622783
38 Krisharyanto 2 NPBI 47 th L KPD D C620633 8857546
39 Widya Yolanda 1 NPBI 21 th P MRK 1 C507871 8847555
40 Asliek Roedjito 2 NPBI 3/1/1935 P KPD L1 C621995 8876560
41 Dhestya Wahyu Nugraheni 2 NPBI 12/28/1998 P KPD D C624986 8877546
42 Thio Mie ing 2 NPBI 1/16/1959 P KPD D C620998 8878148
43 Sumiati 2 NPBI 40 th P ELA 1 C617293
44 Budiningsih, SPD 1 NPBI 58 th P MRK 2 8876058 8876058
45 Sutarmi VIP UM 63 th P GRD L3 C621837 8875777
46 Yan Melasari VIP NPBI 28 th P GRD L3 C622214 8875312
47 Andhika 2 Um 6 th L C1L1 C610347 8875831
48 Mahmudah 2 NPBI 4/19/1983 P KPD D C624823 8878084
49 Nur Kholifah VIPA NPBI 4/4/1973 P GRD L6 C589856 8876092
M : II,WI,ST,AT,DY,PS,EA RR : FA,EM,DA MID : DB,SAM RR GRD : AF SORE PROGRAM : NO,TW,AI,AN,AR,AG,N
50 Pariyem 3 NPBI 61 th P R3A C292148 8865387
51 Sarikem 2 NPBI 68th P TRAN C625455 8878187

52 Titik Kurniawati, SH 3 NPBI 48th P GRD L4 C624744 8876069
53 Kaptingah VIP NPBI 5/7/1955 P GRD L4 C623246 8855771
54 Nur Icih 3 NPBI 22 th P R6A C624914
CITO
Anita Dwi Anjarwati 2 NPBI 27th P B31 C625492 8878208

55
Wahyu Wardoyo 2 NPBI L TRAN C625464 8878210

56
Yahya 3 PBI 56th P R1B C616200 8863294
57
Dewanta Dedyu Caesa 2 NPBI 6bl L C1LD C595432 8872096

58
JAMINAN
PLH : GI,WU
1 Saqila Putri 3 PBI 10 bln P Anak D C619500 8872144
2 Onny Pentana VIP NPBI 10/16/1965 L GRD L5 C552692 8826260
3 Nur Fadhilah 3 PBI 29 th P B31 C563999 8878056
4 Pipit Kristiana VIP Um 34 th P GRD L3 C625016 8874158
5 Khaera Putri Nismara 3 NPBI 6 bln P Anak D C618946 8876003
6 Ahmad Nurodin 3 NPBI 44 th L R1B C619400 8863333
7 Lalas Pabura 1 NPBI 17 th P KTL C623062 8859517
8 Fitri Handayani 3 PBI 14 th P Anak 1 B216198 8859494
9 Kartono Wibowo 2 NPBI 35 th L KPD 1 C606573 8876333
10 Hernandia Dinia Rista 2 NPBI 3 th P Elang 1 C486734 8877257
11 Aloysius Djoko Trihadi 1 NPBI 63 th L KTL C583581 8865377
M : NO,WI,MW,AG,AR RR : FA,EM,DA,DB,SAM RR GRD : AF SORE PROGRAM :RK,AN,NI,RE,WD,VT,HI,IS,JF,MK,YS,
12 Tini 3 NPBI 30th P R5B C622919 8874147
13 Eliska Putri 3 NPBI 1th P C1L1 C621684 8841780
14 Andini Cahaya Ramadhani 3 NPBI 1th P C1L1 C618626 8811442
15 Nurcahya VIP NPBI L GRD 3 C557646 8871954
Sayekti VIP NPBI 47th P GRD 4 C621609 8874004

16
CITO
17 Siti Farikah 2 NPBI 29th L B31 C471010 8880110

18 Masrokin 3 PBI 44th L R3B C625673 8880151
19 Endang Sri Suwarsih IRINA+ NPBI 72th P GCU B135210 8880169
JAMINAN
1 Mutiara Putri Amaliawati VIP NPBI 21th P GRD 6 C625055 8874087
2 Rini Putri 2 um 22th P IGD C625697 8880212

JAMINAN
1 Tjio Beng Tat 1 NPBI 59 th L KPD 1 C533327 8866379
2 Wenty Dwi Septiana 2 NPBI 26 th P KPD LD C5073401 8880227
3 Kasoeri 2 NPBI 59 th L GER D C624221 8865585
4 Wahyudi 2 NPBI 35 th L MRK D C624120
5 Makmur Hadi 3 PBI 41 th L R6B C613666 8863328
6 Farah Mela Putri 3 NPBI 5 th P Pol ANK C616779

7 David Rizal 3 NPBI 3 th L Pol ANK C606572
8 Khalil Purnama 2 NPBI 7 bln L Transit C625316 8877772
9 Chenoch Setyo 1 NPBI 50 th L Pol MTA C620054

10 Andri Santoso 3 NPBI 28 th L Pol MTA C615200
11 Patricia Maria 3 NPBI 77 th P Pol MTA C494611
12 Harsono 3 NPBI 45 th L Pol MTA C504843
13 Antyo Harri S 1 NPBI 38 th L P. Mata C455044

14 Pangati 1 NPBI 46 th P Transit C620331 8878157
15 Sumarwoto 1 NPBI 53 th L MRK L1 C072419 8856155
16 Panut Rujito 3 NPBI 36 th L R1B C471200 8869394
17 Muchamad Sodiq VIP NPBI 55 th L GRD L4 C625398 8878189
18 Sulastri 3 NPBI 40 th P R2A C624625
Muhammad Husein Ar
19 3 PBI 14 th L C1L1 C592128 8876097
Rasyid
20 Sri Kasiyati 2 NPBI 66 th P GER D C272090
21 Sumiati 3 PBI 58 th P R2A C619477 8853661
22 Waigito Nur Jaman 3 NPBI 9/29/1990 L R2B C521389 8869334
23 Winarto 2 NPBI 40 th L MRK D C623834 8868823
24 Wagiyam 3 NPBI 65th P R3A C624435 8869364
25 Painem 3 PBI 12/31/1941 P R2A C623874 8876078
26 Lilis Risnawati 3 NPBI 43 th P KPD LD C608307 8878159
27 Sugiyah 3 PBI 12/31/1969 P R2A C613202 8876118
28 Martiningsih 2 NPBI 54 th P KPD LD C071171 8880214
29 Shobiyyatus Salamah 2 NPBI 2 th 8 bln P C1LD C490974 8876084
30 Sugiyanto 1 NPBI 56 th L KPD 1 C423656 8867780
31 Feldy Damayatno 2 NPBI 30 th L Transit C624743 8874177
32 Surti 3 NPBI 54 th P R2A C591974 8861213
33 Rusinah 1 NPBI 52 th P KPD 1 C607303 8874079
34 Siyam 1 NPBI 57 th P KPD 1 C507092 8876089
35 Mohammad Ali Sahid 3 PBI 31 th L R1B C577695 8875682
36 Cisyanto 3 NPBI 35 th L R1B C513828 8875823
37 Jiyono 3 PBI 51 th L R3B C581988
38 Yulian Dwi Saputro 3 NPBI 21 th L R1B C618976 8878194

39 Winanto 3 NPBI L R6B C622884
40 Patricia Nanik 3 NPBI 62 th P R2A C612389
41 Erlan Janu Arendra 3 PBI 20 th L R5A C624243 8866361
42 Sumarman 3 NPBI 51 th L Ger D C624916 8874178
43 Henky Hariandja, SH 1 NPBI 58th L ELA 2 C619265 8880001
44 Sumiati 2 NPBI 40 th P ELA 1 C617293
45 Hanif Ervina Dewi VIP NPBI 41 th P GRD L4 C624249 8878090
46 Tuti Asih 1 NPBI 47 th P KPD D C337914 8872116
47 Siti Barkah 1 NPBI 8/17/1950 P KPD 1 C617071 8872090
48 Kasih Handayani VIP NPBI 12/19/1961 P GRD 4 C625178 8876034

49 Dani Zainul Latif 2 NPBI 12 th L C1LD C410791 8878032
50 Suti 2 NPBI 66 th P MRK D C560834 8878112
51 Diana Uffiah 3 NPBI 18 th P R6A C607180 8875862
M : RK,AF,NI,HI,RE,JF,SE RR : FA,EM,DB MID :SAM,YS RR GRD : EA SORE PROGRAM : CA,WU,AU,AM,AD,BR
52 Eko Sabar Prihatin 1 NPBI 57 th L Elang 1 C623650 8861096
53 Sri Darningsih VIP NPBI 45 th P GRD L6 C619577 8879705
54 Anisa Apriliani 3 PBI 1 th P Anak 1 C620467 8868583
55 Supriadi 3 NPBI 2/16/1986 L R2B C613088 8876122
56 Enol 2 NPBI 7/1/1974 P KPD D C625608 8880228
57 Muhamad Ismail 2 NPBI 45 th L Transit C552921 8879911
58 Ahmad Januar VIP NPBI 1/2/1991 L GRD L4 C568084 8880120
59 Nurharni VIP NPBI 12/22/1942 P GRD L6 C236424 8879864
60 Darkusmali 2 NPBI 47th P MRK D C557573 8867779
61 Sumarwoto 1 NPBI 53 th L MRK 1 C072419 8856155
62 Min Suparti 1 NPBI 63 th P MRK 1 C622147 8878178
63 Ababil Putra S M 3 NPBI 12 th L Anak D C599551 8878183

64 Asmui 3 NPBI 54th L R5A C614706 8874070
65 Samiyem 1 NPBI 88th P MRK 1 C572092 8880263
66 Adnan Hananto 1 NPBI 25th L KPD 1 B065206 8874155
CITO Sumarno 3 um 43th L R2B C625730 8880311

67 Kanijan 3 um 58th L R2B C625719 8880320
68 Titis Yunvicasari,dr VIP NPBI 25th P GRD 3 C612691 8880099
69 Nofi Suryani 3 PBI 36th P B31 C625640 8879915
70 Levina Garva Eldynan 2 NPBI 3 bl P PICU C625609 8879716
71 Ratna Dewi Pamekasari 3 NPBI 36th P B31 C517691 8880203
72 Kasiyan 3 NPBI 73th P R2B C625669 8880125
73 Titik 1 NPBI 61th P ICU C624689 8869971
74 Endang Sri Suwarsih VIP NPBI 73th P GCU B135210 8880169

JAMINAN
1 Wasriah 3 NPBI 46 th P R2A C615225 8859501
2 Soenardjo 1 NPBI 74 th L KPD 1 C581153 8867234
3 Sarofatul Janah 3 PBI 24 th P R5B C623434 8879941
4 Ananda Johan Saputra 3 NPBI 7 th L Anak 1 C612265 8876081
5 Suratman Pujo Suwoyo 1 NPBI 76 th L KPD D C622860 8879796
6 Khumaidah 3 PBI 38 th P R3A C454453 8879720
7 Rasno 1 NPBI 54 th L GER 1 C391283 8878079
8 Sutiyono 3 NPBI 2/7/1900 L R5A C624195

9 Eddy Awan VIP UM 69 th L Pol GRD C622902
10 Eddy VIP UM 53 th L Pol GRD C622235
11 Hedy Kristianto VIP UM 50 th L Pol GRD C624890
12 Norrisma Widayat 3 NPBI 32 th P P. Mata C617270
13 Lin Yan Tami Privat NPBI 45 th P Pol GRD C573725
Mellynda Alvinia Zuma

14 1 NPBI 16 th P Anak D C616288 8878109
Laily
15 Devi Eka Wahyuni 3 PBI 19 th P R5B C622587 8879812
16 Alimah VIP NPBI 63 th P GRD L5 C625290 8881632
17 Tjan Ruben Candra S 1 NPBI 53 th L MRK 2 C623765 8861139
18 Sukardi 3 PBI 56 th L R5A C230790 8872146
19 Hartono 3 PBI 71 th L R1B C618704 8878114
20 Wadiyono 3 PBI 58 th L R1B C619865 8878073
21 M. Effendi 3 PBI 27 th L R1B C618287 8874097
22 Siti Khalimah, HJ 1 NPBI 60 th P KPD 1 C542993 8878201
23 Samsinar 3 NPBI 47 th P R2A C625619 8879883
24 Eva Porwanti 2 NPBI 46 th P KPD D C625287 8878183
25 Mad Hasim 3 NPBI 40 th L R5A C624720 8874166
26 Ardan Dwi Setiawan 3 NPBI 21 th L R2B C622063 8876095
27 Daffa Ibnu Hafidz 3 NPBI 4 bl L Anak D C607958 8879844
28 Usman Efendi 3 NPBI 55 th L R5A C605323 8872157
Ardiansyah Taufiq
29 3 PBI 20 th L R1B C587379 8872127
Hakmawan
30 Koespodo 1 NPBI 56 th L KPD 2 C603531 8874122
31 Sri Sumilah 3 PBI 64 th L R4B C625249 8876131
32 Endah Iziati Addiningdias VIP NPBI 27 th P MRK 2 C621508
33 Rosintan Siregar 1 NPBI 20 th P KTL C623649 8863304
34 Hussein Al - Mahdi 1 NPBI 26 th L KPD D C604674 8851605
35 Muhammad Ziddan Haydar 3 NPBI 15 th L C1LD C625701 8889225
36 Reza Gilang Prakoso 3 NPBI 19 th L R3B C585609 8872161
37 Darmadi 3 PBI 45 th L R2B C567152 8875398

38 Sumiati 2 NPBI 40 th P Elang 1 C617293 8875763
39 Kunarti 3 PBI 57 th P Elang 1 C605081 8880256
40 Lasmini VIP NPBI 47 th P GRD L5 C622209 8879862
41 Istinaningsih 2 NPBI 49 th P B31 C595381 8879701

42 Ema Fajaryani Eka C 3 PBI 20 th P R5B C622273 8879695
43 Jumiyati 3 PBI 33 th P B31 C622882 8879730
44 Munjaroah 3 NPBI 27 th P B31 C625720 8880295
45 Nurlatifah VIP NPBI 48 th P GRD L4 C620383 8876112
46 Kasrini 2 NPBI 51 th P KPD D C619346 8872088
M : RK,HI,AF,AD,JF,SE,IS RR : FA,EM,DB MID :SAM,YS RR GRD : EA SORE PROGRAM :WU,AH,II,AU,AG,AM,D
47 M Akhsan Al Fatih 2 NPBI 1 th L Transit C619679 8882348
48 Panut Rujito 3 NPBI 38 th L R1B C471200 8869394
49 Sunarti 1 NPBI 54 th P KPD 1 C365058 8861346
50 Gibran VIP NPBI 16 th L GRD L3 C621960 8882021
51 Masijah 3 PBI 64 th P GER D C614821 8874161

52 MF Ani Sapto Susilowati 1 NPBI 53 th P KPD D C624707 8870549
53 Djoko Prihartono 2 NPBI 58 th L MRK 1 C625540 8879892
CITO
54 Djumari 3 NPBI 76th P R3A C618415 8853777
55 Susilo Hastuti VIP NPBI 37th P GRD 3 C310948 8882334
56 Ahmad Salim 3 NPBI L R2B C625317 8876163
57 M. Ilham Saputra 2 NPBI 6th L TRAN C545989 8882348
58 Seminar Wati 3 JMD P B31 B368123 8884400
59 Satirin 3 NPBI 51th L R1B C625961 8884392
60 Sadi Suharto 2 um 44th L IGD C626124 8884338
61 Widyawati VIP NPBI 31th P GRD 3 C625916 8882334
62 Kaseri 2 PBI 54th L IGD C626092 8884098

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,SR,
DA, HE
Arum,
BPH TURP + Sache KH,KH ADS √ EV, AO EV
AO
Hematuria ec Massa Buli c/ Ganas TUR Buli KH ADS √ TM EV EA
Nefrolithiasis Dextra Nefrolitotomi Dextra KH ADS √ Arum EV,AO
OMSK Kiri dg Komplikasi Mastoiditis Tyhmpanoplasty KH PW √ DY WU
OMSK Kanan Mastodiektomi Radikal KH PW √ DY WU
KH,B,B
RSK FESS III + CWL + SR + Konkoplasty RH √ AI, YN AI
,S
YN,
MAR on Colostomi + fistula rectovestibuler PSARP KH PTY √ VQ AI
MY
Multiple Abses Hepar Laparaskopi Drainage Abses KH ERI √ MY
Mata Kanan PAC Mata Kanan Trabekulektomi B MR √ YW,DY

Mata kanan glaukoma juvenile post implant
Mata kanan reformasi COA MR DJ
GDD, mata kiri glaukoma absolut
Mata kanan afakia Mata kanan secondary implant ( iris claw ) WIS
Mata kiri katarak traumatika Mata kiri Phaco + IOL + Sinekiektomi WIS
Mata kiri katarak senilis imatur Mata kiri Phaco + IOL AL
Mata kanan High Myopia + KSI, Mata kiri
Mata kanan Phaco + IOL FET
Pseudofakia
Mata kanan amnion membran transplant
Mata kanan ulkus kornea perforasi DN
( AMT )
CKD AV Shunt AS
NOK dg Bag. Padat c/ Ganas TAH + BSO + Omentectomi + FS KH,B,S PS √ TW, ES
Laparatomi Adhesiolisis Kompleks + Widge

KH ERI √
Excisi + jejunustomi
Ca Ovarii Inadequate KH EW √ DN SU
Laparatomi Adhesiolisis Kompleks + Repair
KH ERI √
Laserasi Sigmoid
Laparatomi Distal Pancreatectomi + KH,KH
Cholecystolithiasis + Tumor Caput Pankreas JS √ TD, RK AH RK
Splenectomi + Cholesistectomi ,B
Adeno Ca Recti 1/3 Tengah Laparatomi + Sigmoidostomi KH JS
Hernioraphy Mesh + Repair Defek Dinding

Hernia Inguinalis Dx Residif B,KH PB √ AT WU
Abdoment
Cholesistolithiasis + Cholesistitits Laparaskopi Cholesistektomi KH MG √ AT WU

Abses Hepar Laparaskopi Unroofing Hepar MG
Adeno Ca Folikuler Tiroid Total Tiroidektomi BIS AZ, ANM
Limfadenopati Colli Limfadenektomi Biopsi BIS
TMS c/ Ganas + Insisi Biopsi + Pasang Pigtail B,S UUD √ SR AZ
Ca Mamae MRM KH DWT √ NI
Tumor Mamae Quandrantectomy Bilat KH DWT √ ANM AZ,SR
Panfacial Fraktur Rekonstruksi Fr Tulang Wajah Kompleks KH RZ √ TA, ER TA ER
STT Loss Skin Degloving Debridement + Skin Graft Luas KH PJ √ PL YS TA,ER
AVM Multiple Excisi KH AS √ MK
Mata kanan kiri katarak juvenile, mata kanan

Mata kanan Phaco + IOL + Vx Anterior Mata
retinitis pigmentosa, maka kiri subluksasi C RF √ NK, UM UM NK
kiri ECCE
lensa
Mata Kiri Vitrektomi + EL + MP + Phaco +

Mata Kiri TRD ec PDR + katarak KH,KH AL √ RA UM NK
IOL
Mata Kanan Vitreous Haemorrhagea Mata Kanan Vitrektomi + EL + Gas SF6 KH AL √
Mata Kiri RRD (Macula On) Mata Kanan Vitrektomi + EL + Gas SF6 KH AL √
Mata Kiri Glaukoma Sekunder ec Luksasi

Mata Kiri Vitrektomi + Iris claw KH AL √
Lensa
Meningioma Lobus Frontal Dx Craniotomi KH ER √ SF,LW, RI
Schwanoma Craniotomi Dasar Tengkorak KH DP √ BR AM
SOL Paravertebrae Laminektomi Kompleks KH HY √
OA Knee TKR KH APR √ PR,AP AP PR,RM
Fr Clavicula Dx ORIF KH DID √ RM PR AP,RM
Fr. Humerus 1/3 tengah comm terbuka Gr. I ORIF Rekontruksi Humerus KH DID √ AR AM
ORIF Fr Ankle S + ORIF Fr Elbow Dex

Multiple Fraktur KH,KH BIN √ AR
Olecranon
BJ,09 EN,MA,WI
Tetralogy of Fallot Total Koreksi (VSD Closure + Repair PS) WW √ EN MA
BJ.04 BP,SS,AS
CKD AV Shunt WW
CKD AV Shunt KH WW √
Laparaskopi Miomektomi + Kistektomi sin

Adenomiosis NOK B,KH,S HR √ NP,MW,TK MW TK
Ooforectomi Dex + Adhesiolisis
MW,
Mioma Uteri TAH + SOS + Adhesiolisis KH,B,B EN √ NP
TK
Keratimizing Squamous Cell Ca Wide Eksisi + Hemimandibulektomi Sin B,KH YAN √ AL,PS BY AL

BLL BMP HER √
Fr Maksila Mandibula Rekontruksi Bibir Atas KH DV √ CA,SE AL CA

Debridment Fr mandibula + Bone Grafting
S,KH RZ √
Multiple
Laparascopy Adhesiolisis +ooforectomi
Hidrosalping KH TF √ SE CA
Parsial Dex
D RR GRD : AU SORE PROGRAM : WU,GI,NO,AR,AG,AM,NI,AT,AD,BR,BY,DB,DI,VT,HA,MY,YS,SU ALAT : PUR,ET
Fr. Radius Dextra 1/3 Distal Ttp.NK ORIF KH APR √ DM HE
Luka Bakar Gr II A - B 29 %, e.c Api Debridement KH PJ √ MK
Crush Inury Pedis Dex Amputasi + Debridment S,S DID
CKD Repair DL K ALI √

Combostio gr III Elbow Dex Amputasi Below Bilat S PJ √
YS,
Hemangioma Multiple Excisi KH AS √ NI
RG
CKD Ligasi AV Shunt KH AS √ RG
G1P0A0, Hml 34mg, SCTP B BE Gatot AF
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,MK,
DA, HE
Arum,A
Post Uretroplasty Tahap I Uretroplasty Tahap 2 KH ADS √ EV, AO EV,
O
Ameloblastoma Hemimandibulektomi KH DV √ TM NI WU
Rekontruksi Plate dan Screw Mandibula KH RP √
OME Telinga Kanan Timpanoplasty KH PW √ NI AT
OMSK Kiri dg Kolesteatoma Mastoidektomi Radikal KH PW √ TK NI
Laparatomi Adhesiolisis Kompleks +

MAR on Colostomi Post PSARP KH PTY √ AI, YN VQ YN
Reseksi Anastomose Colon
Saccrococcygeus Teratoma Eksisi Luas + Rekontruksi KH EDW √ VQ AR
Megacolon Kongenital Colostomi B RR √ AR

Ca Nasofaring , Dyspnea Jackson I - II Tracheostomi S DAT √ AR
Mata Kiri Glaukoma Sekunder + Enteropion, Mata Kiri Triple Procedure (Trabekulektomi KH FI YW,DY
Mata Kanan PACG + PHACO)
Mata Kanan POAG + Katarak Senilis Imatur, Mata Kanan Triple Prosedur FI DJ
Mata Kanan Glaukoma Absolut
Mata Kanan Kiri Katarak Senilis Imatur +
Mata Kiri Phaco + IOL FET
Susp Glaukoma
Mata kanan Pseudofakia, Mata kiri Afakia Mata kiri Secunder Implant RF
Mata Kiri PEX + Glaukoma + Pseudofakia Mata Kiri Trabekulektomi MR
NOK SOS + FS B SR √ TW, ES TW
TW,
NOK BSO + FS KH INU √ DN DN
ES
Ulkus DM Tungkai Dextra Et Sinistra Debridement B ALI √ MY
Tumor Gaster Laparatomi Jejunostomi Feeding B MG √ AH, RK Rndy AH
Adeno Ca Colon Flex Hepatic T4BN2M1 Laparatomi Extended Hemicolectomi Dex +

KH,KH ERI √ MF RK AH
(Hepar) Parsial Reseksi Segmen 6 Hepar
Pasang CVP KH VL √
Laparotomi Explorasi Reseksi Jejunum

Fistel Enterocutan Post Laparotomi KH PB √ PS AT
Anastomose E to E
AZ, SR,
SNNT Total Tiroidektomi KH YAN √ SR ANM
ANM
Incisi Biopsi + FS, Ganas - MRM Mamae SR,

TMD c/ Ganas T3N1Mo S,KH YAN √ AZ
dex ANM
TMD C/ Ganas T4CN0M0 Insisi Biopsi S DH PS MY
SNNT Dextra C/ Ganas Isthmolobectomy + FS, Ganas TT DWT
Palatoshiziz Palatoplasty KH RZ √ TA, ER TA ER,PL
Fr ZMC Sin Rekonstruksi Tulang Wajah Kompleks KH ETH √ PL ER TA, PL
Skinloss + Skin Avulsi cruris sin Debridement + Rekonstruksi ETH
Ulkus Granuloma Debridement + STSG KH ETH √ ER Adip
Ulkus Reg Sacrum Excisi + Rekontruksi KH ETH √ JF

Lepas DC + Sistoscopy S MAS √
Mata Kiri Katarak Kongenital + Tumor Mata Kiri Ekstraksi Lensa + Vitrektomi
KH,S LN √ NK, UM UM NK
Konjungtiva + Kista Adenoid Anterior + PPC + Eksisi Tumor + PA
Mata kanan Ablatio Retina + Vitreus Mata kanan Vitrektomi + Endolaser + MP +

KH AW √ RA NK Ratna
Haemorhage SO
Mata kiri Phacoemulsifikasi + IOL +

Mata kiri Vitreus Haemorhage non Clearing AW
Vitrektomi
Mata Kiri PDR + TRD Mata Kiri Vitrektomi + MP + EL + Gas SF6 KH AW √ UM NK
Craniotomi Mikro Bedah Epilepsi Frontal SF,

Epilepsi KH ZM √ SF,LW, RI LW
Dex Aziz
Craniotomi Epilepsi EEG Intracranial KH MTA √
Epilepsi EEG Intracranial KH Aris √
Spondylosis Cervical 5 Fusianto Cervical + Istrumen ADD (+) KH HY √ BR
Laminektomi Kompleks KH AJ √
Meningioma Falk Cerebri Craniotomi Mikro Ds Tengkorak KH MTA √ AT DI

Canal Stenosis Lumbal KH,KH APR √ PR,AP
Fusi
Simple Bone Cyst Open Biopsi Bone Tumor B DRY √ RM PR
Fr. Avulsi Tibia Plateu Sinistra Rekontruksi Ligamen KH BIN √ PM SU
OA Genu Sinistra TKR Sinistra KH BIN √

BJ,09 EN,MA,WI EN,
PS Valve Repair Katup Pulmonal + Tutup ASD WW √ VT
BJ.03 BP,SS,AS MA
Tumor Mediastinum Thoracotomi Chamberlain Procedure KH ALI √ TK DI
Ca Cervix Uteri St I B Radikal Histerektomi + BSO + LPB KH,B,B EW √ NP,MW,TK NP MW
NP,
Impaksi gigi 2 rahang Odontectomi 2 Rahang KH RP √ AL
MW
Nefrolithiasis + HN Sinistra Explorasi Nefrectomy Sinistra KH MAS √ AL,BY BY AL
Superficial Parotidektomi + FS, Ganas Total

Tumor Parotis Dextra C/ Ganas KH,KH BIS √ CA,SE SE CA
Parotidektomi
RR GRD : AU SORE PROGRAM : WU,GI,NO,AR,AN,AG,AM,NI,AT,AD,BR,TK,DI,VT,HA,MY,JF,PS ALAT : PUR,ET
OA genu Dextra TKR Dextra KH BIN √ WI WU
Embolektomi Iliaka + Amputasi Above Knee KH,S,S

Post Amputasi Above Knee AS √
+ Debridment + Pasang Double Lumen ,K
Polip Endometrium Multiple Histeroskopi + Polipektomi KH HR √
Kejang Penurunan Kesadaran Lumbal Pungsi B Alifian √
CKD Pasang Double Lumen K AS √ SA SC
Stroke Pemasangan Double Lumen K HA √ SL NH
Post Laparatomi Sub Obtinal Debulking Aff Tampon Abdoment KH MZ √ DA SL
SL,HE,
Hidropnemothorax Pasang WSD S ALI √ BY
NH
Efusi Pleura Dupl Pemasangan WSD S WW √ HE NH

GPA SCTP gemeli B TF √ Adhie
KET Salpingektomi Sin + Repair Ovarium Dex KH BE √ DA NH,HE
SL,
Hidrocephalus Pemasangan VP Shunt KH HY √ DA
NO
Ca Prostat Uretrocystosocpy + Ganti DC KH MAS √
Abses Hepar Laparascopy Drainase Abses KH MG √ AM NO

G1P0A0, Hml 30mg, PEB SCTP + IUD B SR √ Gatot
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,EW,
DA, HE
UDT Sin Orchidopexy S KH ADS √ EV, AO TM AO, EV
TM,
Batu Ueter Sin Nefrolithotomi Sin KH ADS √ TM EV
AO
Inverted Papiloma Sinonasal Maksilektomi Medial KH DAT √ NI PS
Cystocele Gr III, Prolaps Uteri Gr I Kolporafi Anterior Posterior KH ER √ AI, YN
OMSK Telinga Kanan Thympanoplasty KH PW √ YN AI
Cumbustio Gr II-III 38% ec Api Bensin Debridement KH PJ √

Mata Kiri Phaco + IOL AL YW,DY
High Miopia
Mata Kiri Katarak Senilis Matur + Myopia
Mata Kiri Phaco + IOL WIS DJ
Degeneratif
Mata Kiri IOL Drop Mata Kiri Eksplanatasi IOL WIS
Mata Kanan Post Secondary Implant, Mata Mata Kanan Reposisi IOL + Vitrektomi
WIS
Kiri Afakia Anterior
Mata Kanan Kiri PEX Glaukoma Mata Kana Phaco + IOL MR
Mata Kanan Injeksi Triamsinolone
Mata Kanan Susp Myositis TL
Peribulber/ Retrobulber
CKD On HD Pasang DL AS
KH,KH
P2A0, 42 th, Neoplasma Ovarium Kistik TAH + BSO + Adhesiolisis luas + FS MZ √ TW,AN, DN TW DN
,KH
Susp Ca Ovarii, Ca Colon TAH + BSO KH,KH EW √ BY IS
Laparatomi Low Anterior Reseksi + End
KH ERI √
Colostomi
Thoracotomi ORIF Fr Costa IV - V Dex +
Fr. Clavicula + Fr. Costae KH,S ALI √ TK NI
WSD Dex
ORIF Clavicula KH DRY √
Hernia Insisional Residif Laparatomi Repair Hernia Insisional + Mesh KH ERI √ AH, TD, RE
PDA Multiple Ekstraksi Gigi dg Penyulit B DV √ MF
Hepatoceluler Carcinoma Laparatomi Reseksi Hepar KH ERI √ HR IS

TMS c/ ganas T4cN2BMx Insisi Biopsi S BIS AZ, SR ANM SR
Metaplastic Carsinoma + Limfadenopati

MRM Dex KH DH √ ANM ANM SR
Axilla
Neurofibroma Wide Eksisi B DWT √ ES MY
Limfadenopati Colli Limfadenektomi Colli + PA S DWT √ ES MY
Decubitus Gr III Sacrum Debridement B ETH √ TE,ER ER TA
Closed Degloving Luas Reg Sacrum Debridement S PJ √ PL DI MY
Ruptur Bulbi Rekonstruksi Fr tlg Wajah Kompleks KH ETH √ SU

Mata Kiri Enukleasi Bulbi + DFG B INA √
Skinloss + Skin Avulsi cruris sin Debridement + Rekonstruksi STSG KH ETH √ AT TA
Ulkus Dekubitus Gr III, IV Eksisi + Rekonstruksi Flap KH PJ √ ER TA
Mata Kanan Trabekulotomi +

Mata Kanan Glaukoma Kongenital, Mata Kiri
Trabekulektomi + MMC + Mata Kiri LN NK, UM
Susp Glaukoma Kongenital
Examination Under Anestesia
Mata Kiri Asteroid Hyalosis Mata Kiri Vitrektomi + EL + Gas + SO KH AL √ RA
Mata Kanan Revitrektomi + Membran

Mata Kanan Still Detachment Post Vx + SO KH AL √ NK Ratna
Peeling
Mata Kanan Katarak Juvenile + Subluksasi

Mata Kanan Ekstraksi Lensa + Vitrektomi
Lensa + Eksotropia, Mata Kiri Pseudofakia, KH LN √ UM Ratna
Anterior + Iris Claw
Marfan Syndrome
Mata Kiri Retinal Detachment ec Myopia

Mata Kiri Scleral Buckle + Cryotherapy KH AW √
degeneratif
Paraparese Inf ec Canal Stenosis L4-S1 Laminektomi Kompleks KH GK √ SF,LW, RI Aziz LW, SF
Meningioma Craniotomi Decompresi KH HY √ BR AD
Spondilitis TB Laminektomi Dekompresi + FUSI KH,KH APR √ PR,AP PR AP,RM
ORIF Prlvis + ORIF Fr Tibia + ORIF Fr KH,KH

Fr. Femur, Fr. Pelvic, Fr. Ankle Dextra BIN √ RM WI AS, AR
Femur ,KH
EN,MA,WI EN,
MR Severe MVR BJ.09 SF √ BP
BP,SS,AS MA
Hemangioma Reg Axilla Excisi Hemangioma + Debridment B,B ALI √ VT
Rekontruksi dinding dada KH ETH √
Pasang CVP KH HS √
Laparoskopi Adenomiomektomi + Kistectomi
Adenomyosis KH,KH TF √ CA,MW
Ov kiri + Adhesiolisis
Ca Ovarii Inadequate Staging Surgical Staging KH EN √
Tumor Mamae Sin c/ Ganas Insisi Biopsi + FS, ganas --> MRM Sin S,KH YAN √ AL,BY,RE RE AL
Isthmolobektomi + FS ganas Total

SNNT c/ Ganas T3NoMo + TMD T4bNoMo KH YAN √ AL RE
Tiroidektomi + Insisi Biopsi MD
Efusi Pleura Kanan Pasang Pigtail S SFY √ TR,SA SA TR
Efusi Pleura Kiri Pasang Pigtail S SFY √
Adenotonsilitis Kronik Tonsilektomi S MYS √
RR GRD : AU SORE PROGRAM : WU,RK,AG,NI,AT,DW,BR,BY,TK,DI,VT,ES,HA,IS,MY,JF,WI,PS,AD ALAT : PUR,ET

Ca Mamae MRM KH DWT √ JF
OMK Tympanoplasty KH PW √ BY IS,GI
Varises Wrist Dextra Stripping Vena KH AS √ YS
CKD Psg DL K AS √ PM ND
CKD St V Repair DL K AS √ ND PM
G2P1A0, Hml Aterm, Letak Sungsang SCTP B PS √ Arsita DA ER
Hidrocephalus VP Shunt KH MTA √ AT RK
G2P1A0, Fatal Distress SCTP dg penyulit B JD √ Adhie JF RK
ICH + INH Craniotomi ICH KH DP √ AT
Fr Linier Tibula Malunion Lat Plaster Applicatio Op extermitas S DRY √ AT
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SETTING ALAT :
PLH : AH, CA OK 7 : WU,PL OK 8 : AP,PR,TW,TK,NH,UM,AI,SR ANESTESI :
TD,TU,ND,
NK,RI OK 9 : LW, RM, OK 10 : SL,VQ OK BP,HE, AS AO OK 1 :
IM, EA, SC,
JT : EN,MA MEJA OPERASI : TM,RE , OK 2 : YN,ANM , OK 3 : YW,
DJ
EW,SS,YR, OK 4 : TW,DN OK 5: TD, MF , OK 6 :
SR,ANM
Fr Le Fort II Rekonstruksi Fr Tulang Wajah Kompleks KH PJ √ MW MY
Rekonstruksi Fr Tulang Wajah Kompleks +

Fr Le Fort I KH,B PJ √ WI SE
Skin Flap r/ Frankle
HNP + Myelopathy Neuroplasty + Rhizotomy KH TRI A √
HNP + Myelopathy Neuroplasty + Rhizotomy KH,KH TRI A √ AG
Salpingoooforectomi Dex + Debulking

NOK KH,B EW √ ES HA
Retroperitonial
Laparatomi Adhesiolisis KH ERI √
Cumbustio Gr II / III 20% Debridement + STSG KH ETH √ VT ER
Ulkus Dekubitus Gr IV Reg Sacrum Debridement KH ETH √ VT ER
Fr Unier OS Maleolus Sin Pasang Gips S DRY √
Fr Collum Femur Dx Partial Hip Replacement Dx KH BIN √ AR NO
ALAT : PUR,ET
Massa Laring LD + Exterpasi Tumor Plika Vokalis S,S DAT √
UDT Laparascopy Orchidopexy KH MAS √
Ruptur ACL Sin Rekontruksi ACL Sin KH BIN √ BY ER
Ruptur a. Branchialis dex Post Amputasi

Explorasi Ruptur a. Brachialis Dex KH PJ √ DB SE
Elbow ec Combustio gr III
CKD + EDH + ICV Craniotomi EDH KH DP √ AM AR
Post AV Shunt ec CKD Repair Arteri (AV Shunt) KH AS √ JF
Apendik Laparatomi Appendictomi KH PB √ IS
Leacage Anastomose Neobleder Nepair Neoblader + Nefrostomi D/S KH,KH MAS √
Dislokasi Artikulasi Kubito Sin Debridment + Reposisi Terutup K Wire S,KH DID √
SOL Craniotomi Decompresi KH DP √
G1P0A0, Hml 37mg, MVP + MR SCTP + IUD B IN √ Gatot
ICH Temporoarietal Dex ec Sin Craniotomi ICH KH DP √ BR PM
Hidrocephalus VP Shunt KH DP √ AM SE
ICH Craniotomi KH AJ √ BY HA,MY
CKD Pasang DL K ALI √

Pemasangan CVC K JL √
PAOD Embolektomi KH ALI √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Peritonitis Generalisata Laparatomi + Repair perforasi gaster KH MG AM SE
EDH Temporo Parietal Craniotomi EDH KH AJ √ WI NO
RM,
Hidrocephalus VP Shunt KH DP √ WI
ANM
Benda asing Koyor di Esofagus Esofaguscopy B MYS √ MK
RSK FESS + Konka Reduksi KH,S DAT √ DY AF

Hidrocephalus VP Shunt KH AJ √ MW MK
Limfadenopati Colli Nasofaringoscopy Flaxible + Biopsi B DAT √ AF DY
POAD Cruris Sin Embolektomi Bilat KH AS √ MK MW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
TU,IM
AO,
Hidroureter + Hidronefrosis+ Nefrolithiasis URS S + DJ Stent S KH,B ADS √ EV, AO RM
EV
Suspect Leukimia BMP HER

Mata Kiri Proptosis e.c Massa Retrobulber +
Mata Kiri Eksisi Konjungtiva TL RM
Kemosis
Tumor Parotis Superficial Parotidektomi Sin + FS, B DWT √ DY MK
Ca Mamae Wide Eksisi + FS Ganas - MRM B,KH DWT √ PS TA
Laparatomi Adhesiolisis Kompleks Reseksi

Post Laparatomi Ileostomi ec Invaginasi KH PTY √ AI, YN
Anastomoses Ileocolica
Splenomegali Splenektomi KH EDW √ TM AI, Arum
Wound Dehisence Pasca PSARP + Tutup

Debridement + Rehecting S RR √ DA MK
Colostomi
Mata Kiri Glaukoma + KSI Mata Kiri Trabekulektomi FI YW, DI
Mata Kiri Glaukoma Degeneratif Mata Kiri Cyclocryotherapi FI DJ

Mata Kiri KSM + PEX + Glaukoma Mata Kiri EKIK + Vx Anterior B,S WIS √
Mata Kanan Kiri KSI Mata Kanan Phaco + IOL WIS
Mata Kanan Kiri Afakia Mata Kanan Secondary Implant (Iris Claw) RF
Mata Kiri IOL Missed Calculation Mata Kiri IOL Exchange FET
Mata Kanan IOL Missed Calculation Mata Kanan IOL Exchange FET
Mata Kiri Katarak Polaris Mata Kiri Phaco + IOL AL
CKD Double Lumen WW
CKD St V on HD AV Shunt KH WW √ HE UM
Salpingoooforectomi D/S + Histerektomi KH,KH

NOK dg Bagian Padat HR √ II,AF II AF,DJ
Total + Omentectomi + Adhesiolisis + FS ,S,S
Limphadenectomi Pelvis Kiri + Kanan B MZ √
P2A0 Mioma Uteri TAH + SOD KH,B ER √ DJ AF II,WI
CKD St V on HD AV Shunt ALI

Malformasi Vaskuler Repair Malformasi Vaskuler (Multiple Ligasi) KH ALI √ TK CA,EA
TW,
Ca Sigmoid Hemicolectom Sin KH JS √ TD,TW TD
DN
Tumor Sigmoid Curiga Ganas Laparatomi Reseksi Tumor Colon Sigmoid KH MM √ DN
Invasive SCC Well Diff Wide Eksisi + FS bebas tumor B BIS √ AZ, AD AD AZ
Ulkus ILC MD Gr II Wide Eksisi B BIS MF MF AZ,AD
Wide Eksisi + Rekontruksi Pasca

Fribrosarcoma B,KH DH PS TA
Keganasan + FS bebas tumor
Ulkus DM Pedis Dx Amputasi Pedis Dx KH ETH √ TA,ER
Fr Segmental Corpus Sin Mandibula Rekonstruksi Wajah Kompleks KH NJT √ ANM ANM AS, ER
Fr Femur ORIF KH DID √
Massa Regio Pelvis Reduksi Massa PJ

Bone Expose reg frontal sinistra Debridement Rekonstruksi PJ

Mata Kanan Glaukoma Kongenital, Mata Kiri KH,KH
Trabekulektomi + MMC, Mata Kiri LN √ NK,DW NK DW
Susp Glaukoma Kongenital ,K
Examination Under Anestesia
Mata Kanan Kiri Glaukoma Neovaskuler +

PDR, Mata Kanan Glaukoma Absolut, Mata Mata Kiri Vitrektomi KH AL √ PL DW NK
Kiri Vitreous Haemorrhage Non-Clearing
Mata Kanan SO Filled Eye + KSI Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ DW NK
Mata Kiri Vitreous Haemorraghe Mata Kiri Vitrektomi KH AL √ DW BK
Mata Kanan PDR + TRD + VH Mata Kanan Vitrektomi + Endolaser KH AL √
HNP Lumbal Laminectomi L4-5 Ka & Ki + Flavektomi KH GK √ SF,LW,RA SA MW
Fusi Anterior + pemasangan Intenal Cervical

Canal Stenosis Cervical C2 - 3, C3 - 4 KH HY √ LW Ratna
dan Anterior
Fr Collum Femur Sin Bipolar Hemiathroplasty KH BIN √ PR,ND
Fr Proximal Humerus Sin ORIF KH DID √ RI BD WD
OA Genu Dx TKR D KH BIN √ AU AZIZ
EN,MA,VT
PDA PDA Closure BJ.05 WW √ EN MA
BP,SS,AS
Laparaskopi Biopsi Ovarium Bilay +
Hipoplasi Uteri KH TF √ NP,RG,IS IS NI,RE
Adhesiolisis
Adenomiosis + Adnexitis, Hiperthiroid, ILD,
Laparoskopi TF
Sklerosis Sistemic
KH,KH
P2A0 Prudentia Uteri TVH + KA + KPR ER √ NP, RG,IS
,KH
TMS C/ Ganas T4bN2bM Tulang Insisi Biopsi S YAN √ AL,RE,NI
Limfadenektomi Biopsi + Debridment Ulkus
Multiple Limfadenopati B,B,B UUD √ AL NI,RE
Inguinal Dex et Sin + PA
Ca Mamae Residif Axilla Sin Wide Eksisi + Diseksi Axilla Sin B,KH UUD √ NI AL
M RR GRD : HI SORE PROGRAM : GI,TA,CA,TM,AU,BD,DA,TK,DY,EA,HR,PS,MW,MK,PM,SC,SA,SR,TR,UM,US,WU,WD ALAT : PUR,ET
Multiple Ekstraksi gigi dg Penyulit + Tambal VT,

TOF, Carries Dentis B,S DV √ EN
gigi MA
Laparotomi LAR + End Shun ( Hartman

Adeno Ca Rectum KH,KH PB √ ND EA
Procedure)
Ca recto Colonoscopy + Biopsi KH PB √
Deformitas Nasal Rekontruksi Hidung KH NJT √ TR TA
Submandibuler Abses Odontectomi 2 Rahang KH RP √ TA,TR PS
Ca Sinonasal T4N2M0, St IV Medial Maxilectomi KH WY √ RK MK
Ca Sinonasal T4N0M0, St IV Mata Kiri Subtotal eksenterasi Orbita KH TL √ HI BR
Maksilektomi Medial + Tracostomi KH,S WY √
Inverted Papiloma Sinonasal Post

Aff Tampon K DAT √ JF
Maksilektomi Medial
Cerebral Palsy Lumbal Pungsi B ALIF √ RE RG
CKD Pasang DL + C-Arm K AS √ IS PM
CKD Pasang DL + C-Arm K AS √ IS PM
CKD Pasang DL + C-Arm K AS √ PM IS
CKD Pasang DL + C-Arm K AS √ PM IS
SL,NH
G3P2A0, Hml 38mg, SCTP dgn penyulit B JD √ Adhie IS
HE,TU
Mata Kanan Ulkus Kornea Perforasi Mata kanan Eviserasi Bulbi S DN √
Efusi Pleura WSD Thoracal B WW √ SR
G3P2A0, SCTP + MOW B JD √ Gatot BY ES

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
TU,IM
Ca Cervix St IIIb C/ Infiltrasi VU, EV,
Ganti DJ Stent Kiri B ADS √ AO
Post Psg DJ Stent RM
EV,
Multiple Nefrolithiasis Dextra et Sinistra Aff DJ Stent S ADS √ EV,AO,RM AO
RM
Nefrostomi Sin + Open Pasang DJ Stent AO,
Ca Cervix dg Hidronefrosis KH,B MAS √ EV
Dex RM
Vesicolithiasis Vesicolitotomi + Litotripsi B,S MAS √ SA SR

SOL Craniotomi KH ER √ SA CA
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ AI,YN,TM AI
Disfungsi Tuba Insersi Gromet Kiri S ZUL √
Disfagia Esofaguscopy B ZUL √
Kolesteatoma Telinga Kiri Simple ME + Thympanoplasty III B,KH ZUL √ CA SR
Ganggren Pedis Dx Amputasi + Debridement WW
Varises Stripping Vena KH ALI √
Mata Kiri Katarak Senilis Matur Mata Kiri ECCE + IOL WIS YW,DI
Mata Kiri Katarak Senilis Imatur + Mata

Kanan Pseudofakia Mata Kiri Phaco + IOL WIS
Mata Kanan Katarak Traumatika + Post Mata Kanan Ekstraksi Katarak + IOL + Aff
INA
Jahit Kornea Jahitan Kornea
Mata Kanan Katarak Senilis Imatur + Mata
Mata Kanan Clear Lens Extrasion RF
Kiri Pseudofakia
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL RF
Mata Kanan Kiri PACG + Katarak Senilis
Mata Kanan Phaco + IOL FI
Imatur
KH,B,
PoAo 42 th Mioma Uteri + NOK TAH + SOS + Adhesiolisis luas + FS HR √ TW,AF,DJ
KH
Mioma Geburt TAH + BSO + FS KH,B EN √ TW AF,DJ
Ca Endometrium St II Laparotomi Surgical Staging KH EN √ TK TA
Adeno Ca Colon Laparatomi Hemikolektomi Kanan KH PB √ TD,UM,DN
Laparatomi Anterior Reseksi + Anastomose

D/ Tumor Colon Sigmoid KH,KH ERI √ DA TA
End to End
Ca Sinonasal Maksilektomi Medial KH DAT √ DA TA
ALL / AML BMP B NYO √ AZ,AD,MF AD MF, AZ
MAR On Colostomi post PSARP Laparatomi Reseksi Anastomose Colon KH PTY √ MF AZ,AD
MAR + Fistel Rectovestibuler Colostomy B RR √ AD MF,AZ
SNNT Isthmolobektomi + FS, ganas - TT KH,KH UUD √ EA RG
IDC MS Radikal Mastectomi KH DWT √ YS RG
Massa Reg Pelvis Explorasi Massa Tumor S PJ √ II,ER ANM II,ER
Bone Ekspose Reg Frontal Sin Debridement + Rekontruksi KH PJ √ ANM ER II,ANM
Tumor Colli Dextra et Sinistra Incisi Biopsi + PA S DWT √

Mata Kanan Kiri Katarak Komplikata KH LN √ NK,DW,PL NK DW
Vitrektomi Anterior + PI
Mata Kanan Kiri Vitreous Haemoragic Non Mata Kanan Vitrektomi + + MP + EL + Gas
KH,KH AW √ NK DW
Clearing + Katarak SFG + PHACO + IOL
Mata Kanan PDR + CSME, Mata Kiri VH Mata Kiri Vitrektomi + EL + Gas AW
Mata Kanan Vitreous Hemorrage Mata Kanan Vitrektomi + + MP + EL KH AW √ DW NK
Mata Kiri Endoftalmitis Mata Kiri Vitrektomi + Inj Antibiotik KH,S AW √ DW NK
Mata Kiri Proptosis ec. Massa Retrobulbar Mata Kiri Orbitotomi Anterior Trans
KH,K TL √ MK
Susp Tumor Glandula Lakrimalis Konjungtiva + Biopsi + PA
Laminektomi kompleks Angkat Tumor RA

Paraplegi Inferior ec KH ZM √ SF,LW,RA SF
Intradura di Vthx 9-10 ,LW
Intra Operative Monitoring KH ARIS √
Canal Stenosis V.Lumbal Anterior Cervical Fusi KH AJ √ PS PM
Laminektomi Kompleks KH MTA √
Intra Operative Monitoring KH ARIS √
OA Knee, CKD on HD TKR Dx KH APR √ PR,ND,RI
Fr Collum Femur Dx Parsial Hip Arthroplasty (Hemiartroplasty) KH APR √
PR,
Mal Union Fr. Digiti IV Manus Sinistra Rrkontruksi Negleted Case KH DRY √ Aziz
WD
Fr Collum Femur Dx Hemiartroplasty Hip Bipolar KH DID √ WD
Dislokasi Hip Sin Post Hemiartroplasty Revisi THR Sin BIN
Fr Patella Dextra ORIF KH BIN √ AU RK
EN,MA,VT EN,
CAD CABG High Risk BJ.11 SF √ VT
BP,SS,AS MA
CKD St V pro HD Pasang DL K ALI √ BD Prayt
Thoracotomi Explorasi ORIF Costae V - VII
Multiple Fr Costae + Ruptur Palpebra KH ALI √ BD DB
Sin
Rekontruksi Palpebra + Debridment Luas KH NJT √
Mioma Uteri TAH + SOS + FS KH,B MZ √ NP,RG NP SE

Ca Cervix Uteri St II A EW √ SU NP,SE
Limfadenectomi Pelvis Bilat ,B
Superficial Parotidektomi + FS, ganas - Total
KH,KH
Tumor Parotis Sin T2NoMo St II Parotidektomi + Lympadenectomi + FS, YAN √ AL,RE Retno AL
,S,KH
ganas - RND
sore :
ALL BMP Evaluasi B Moed √ SE RE
AG,IS,DB
Obs Bisitopenia Susp Keganasan BMP B Moed √ SE RE
SNNT c/ Ganas T3N1Mo Subtotal Thyroidectomi + FS, Ganas - TT KH,KH BIS √ AH,NI NI AH
Tumor Maksila c/ Ganas Insisi Biopsi S BIS √ AH NI

M RR GRD : HI SORE PROGRAM : TA,WU,CA,BD,DA,TK,EA,HR,PS,MK,YS,PM,SC,SA,SR,TR,US,WD ALAT : PUR,ET
Limfadenopati Colli Kiri Limfadenectomi S DAT √ MK YS
Obs Hoarness e.c Susp Massa Laring

Tracehostomy + LD Biopsi S.S DAT √ TK
Curiga Ganas
Stenosis CAE + Granulasi CAE Canaloplasty + Ekstirpasi Granuloma B,S PW √ ES
CKD AV Shunt KH ALI √

Massa Paru Kiri Bronkoskopi KH Farida √
Ca Ureter Ureterosistoskopi + Sachse KH,KH MAS √
Multiple Polip Endometrium Histeroskopi Polipektomi KH HR √ GI EA
NH,SL,
LMH Pasang Doubel Lumen Long Time ALI √ HE
K TU,IM
Efusi Pleura Dex Pasang WSD Dex S WW √
Skin Nekrotik r/ Inguinal Gluteus Debridment B NJT TR WU
Fiksasi Internal yg Kompleks KH DRY √
Cistostomi S WAN
Pasang CVP KH JL
Prolong ET Tracehostomy S DAT √
Prolong ET LD Ganti kanul S DAT √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
CA,SL,HE,
AM,IM
EV,
Post Vasektomi Vasovasostomi B ADS √ EV,AO,RM AO
RM
Batu Pyelum Pyelolitotomi D KH ADS √ AO EV
Meningioma Falk Craniotomi Dasar Tengkorak KH MTA √ ND AD
STT Reg Shoulder Dextra Insisi Biopsi S PTY √
Atresia Ani + Fistel Rectovestibuler Evakuasi Skibala K EDW √ YN AI,TM
YN,
Wound Dehisence Post PSARP Repair PSARP KH RR √ AI,YN,TM AI
TM
Ca Thyroid Ganti Kanul + LD S DAT √
Ca Sinonasal Mid Facial Degloving + Neck Seseksi B,KH DAT √ TU HR
OMK Kanan Tympanoplasty KH PW √ DY WU
Mata Kiri Trabekulektomi + Vitrektomi

Mata Kiri Afakia + Glaukoma Sekunder KH MR √
Anterior
Mata kanan kiri POAG, Mata kiri KSI Mata kiri Trabekulektomi MR YW,DI
Mata kanan pseudofakia, Mata kiri KSI Mata kiri Phacoemulsifikasi + IOL WIS
Mata kanan Pseudofakia, Mata kiri KSI + AM Mata kiri Phaco + IOL WIS
Mata kiri Wet Age Related Macular
Mata kiri Inj. Triamcinolone Acetat Subtenon AL
Degenerative
Mata kanan kiri katarak diabetika Mata kanan Phacoemulsifikasi AL
Mata kiri Afakia Post Evakuasi SO Mata kiri Sekunder Implant ( Iris Claw ) AL
Mata kanan Inj. Triamcinolone Asetat
Mata kanan kiri grave opthalmopaty TL
peribulber + Submuller
NOK dg Bag. Padat c/ Ganas Surgical Staging + FS KH EN √ TW,AF,DJ DB,HR NK,PL
G2P1A0 Hamil 37 minggu (HIV +) SCTP B JD √ Gatot
Sitoreduksi Pengangkatan Tumor

Ca Ovarii Residif KH EW √ SE YS
(Debulking)
Pasang DJ Stent Longtime 2 sisi + Lepas DJ
B,S MAS √
Stent 2 sisi
Laparatomi Adhesiolisis Kompleks Repair
KH ERI √
Laserasi
Teratoma Retroperitoneal Laparatomi Eksisi Tumor KH JS √ TD,UM,DN UM TD
Massa Caput Pancreas Whiplle Procedure ERI
Ulkus Pedis Dextra Debridement B ALI √ WD
Ulkus DM Pedis Dextra Debridement B ALI √ TK
Multiple Limfadenopati Colli Limfadenectomi S YAN √ AZ,AR,MF MF AZ, AR
TMS c/ ganas T4cN3bMo Insisi Biopsi S DH AR MF
Anglokeratom Reg Cruris Dx Wide Eksisi + B DH √ MF AR

Rekontruksi Pasca Keganasan KH PJ √
DN,
Ca Mamae MRM KH DWT √ TD
WD
Ca Thyroid Total Tiroidektomi KH DWT √ TR MK
Tumor Mamae Dx c/ Ganas MRM DWT
ER,
Fr Angulus Sinistra Mandibula Rekonstruksi Fr Mandibulla KH NJT √ II,ER II
ANM
Skin Loss Pedis Dx + Ruptur Tendo Debridement + Repair Tendo S,S NJT ANM ER,II
ANM,
Combustio Gr II b 31 % Debridement KH NJT √ ANM II
ER
Combustio Gr III 17 % Debridement KH NJT TA MK
Mata Kanan Katarak Kongenital, Mata Kiri Mata Kanan Ekstraksi Lensa + PPC +
KH LN √ NK,PL NK
Afakia Vitrekromi Anterior + PI
Mata Kanan Subluksasi IOL Mata Kanan IOL Exchange + Vitrektomi AK
Mata Kanan Pseudofakia + Retinal
Mata Kanan Vitrektomi + Endolaser + Gas KH AL √ NK DB
Detachment
Hipoplasia Uteri Laparascopy KH HR √ AF TW
Tumor Medula Spinalis Vt 3-4 Laminektomi Tumor Spinal KH DP √ SF,LW,RA PS DW

Fr. Kompresi VL 3 - 4, Laminektomi Kompleks KH AJ √ LW SF
Fusi Posterior Lumbal + Fiksasi Internal

KH HY √ RA
PSRS
Laminektomi Debridment + Internal Fiksasi
Spondilitis TB L4 -5 KH,KH APR √ PR AZ,MP
Fusi (PSRS)
Laminektomi Dekompresi + Internal Fiksasi ST,
Fr. Kompresi VL 5 KH,KH APR √ PR,ND,RI AZ, AP
Fusi DA
Dislokasi Hip Sin Post Hemiartroplasty Revisi THR Sin KH BIN √ AU
BJ.04 EN,MA,VT
TOF Total Koreksi (Tutup VSD + Repair PS) SF √ EN MA
BJ.09 BP,SS,AS
Laparoscopy Oooforectomi Parsial Dex +
Kistoma Ovarii + Endometriosis KH TF √ NP,RG,SU RG NP,ST
Adhesiolisis + Kistectomi Ov. Kiri
Laparoscopy Adhesiolisis Kistectomi Tuba
Kistoma Ovarii KH TF √ NP RG,SU
Para Tuba Hierplasia
KH,KH
Prolaps Gr 3, Sistokel Gr 2 TVH + KA + KPR ER √ RE AL, AG
,KH
AL,
Impaksi Odontektomi 2 Rahang dgn penyulit KH DV √ AL,RE,AG NI
RE
Impaksi Odontektomi 2 Rahang KH OEN √ NI, AH
SCC reg Mandibula Sin Post Rekonstruksi

Potong Flap S BIS AH,NI AH NI
Flap
Kista Bartolini Ekstirpasi Kista K INU √ NI AH

E RR GRD : HI SORE PROGRAM : AP,TA,HR,DW,AD,BD,EA,TU,PS,MK,YS,PM,SC,SR,TR,US,WD,DA ALAT : PUR,ET
DM,
Polip Endometrium Histeroskopi Polipektomi KH HR √ GI
AY
Post Nefrolitotomi + Psg DJ Stent Aff Dj Stent + Sistoscopy S,S WAN √ DM AY
Hidronefrosis + Hidroureter Sinistra Psg DJ Stent k/p Nefrostomi S WAN √ DM GI,AY
Nefrolithiasis Dextra et Sinistra Pyelolitotomi sin + Nefrostomi sin KH,KH MAS √ HE EA
Nodul Plika Vokalis LD + Exterpasi Tumor Plika Vokalis S,S DAT √ YS SC
CKD Pasang Double Lumen K AS √
CKD Psg DL Long Term K AS √
Combustio Debridment + Re Amputasi KH,S PJ √
ICH + IVH Craniotomi ICH KH DP √ IS IM
Mata Kanan Kornea Perforasi Mata Kanan Conjungtiva Flap S DN √ AM HE
Empiema Thorax WSD Thorax S WW √ AM CA,HE

Empiema Thorax WSD Thorax S ALI √ SR
Empiema Thorax WSD Thorax B ALI √ SR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,IS
AM
Hipospadia Post Chordectomy Uretroplasty KH ADS √ GI,AO,RM AO GI,EA
AO,
Aff DJ Stent D S ADS √ GI
Post Pemasangan DJ Stent RM
AO,
Vesicolithiasis Lithotripsi KH ADS √ GI
RM
Nekrosis Penis Debridement Abses Uretra B ADS √ AO RA
Nefrolithiasis Sinistra Pyelolitotomi Sinistra KH WAN PM DB
KH,B,B
RSK + Septum Deviasi + Konka Hipertrofi FESS III + CWL + SR + Konkoplasty RH √ AI,YN,TM
,S
OME dg Encepalopati Timpanoplasty KH ZUL √
ALL BMP HER
Eventerasio Diafragma Laparoscopy Plikasi Diafragma KH RR √ RE DB
Mata Kiri Post Subtotal Eksenterasi Orbita +

Mata Kiri Aff Tampon K TL √ DB RE
Post Maksilektomi e.c Ca sinonasal
Aff Tampon Sinonasal K WY √
Ca Sinonasal Pasca Maksilektomi Aff Tampon K WY √ DB RE
Mata Kanan PAC, Mata Kiri PACG Pasca

Mata Kiri Phaco + IOL KH MR √ YW,DI YW DI
Akut
Mata Kiri Sisa Korteks, Mata Kanan Kiri
Mata Kiri Irigasi / Aspirasi Sisa Korteks WIS VQ
Pseudofakia
Mata Kanan Kiri PDR + Non CSME Mata Kanan Phaco + IOL WIS
Mata Kanan KSI Mata Kanan Phaco + IOL RF
Mata Kanan KSI, Mata Kiri Pseudofakia Mata Kanan Phaco + IOL RF
Mata kanan kiri KSI, Mata Kanan Vitrektomi
Mata Kanan Phaco + IOL AW
Eye
Mata Kiri Band Keratopathy Mata Kiri Debridement Band Keratophaty DN
Mata Kanan Glaukoma Absolut, Mata Kanan
Mata Kanan Cyclocryotherapy S FI √ MK
Kiri Glaukoma Neovaskuler
Mata Kiri Tumor Konjungtiva Mata Kiri Ekstirpasi Tumor + PA TL
Ca Endometrium St I B Klinis Surgical Staging KH MZ √ TW,AF,DJ TW AF,DJ
Anastomose Ureter Sin + Pasang DJ Stent

KH,B ADS √
Sin
P6A0 NOK c/ Ganas Debulking + Laparatomi Adhesiolisis + FS KH ER √ DW YS
Repair Laserai Rectum KH ERI √
TMD T4bN1aM1 Wide Eksisi B UUD √ DW YS

Struma Folikuler Total Thiroidektomi KH UUD √ DW
Cholecystolithiasis, Cholecystitis Laparaskopi Cholesistectomy KH MM √ TD,DN TD DN
Adeno Ca Flx Lienalis Laparatomi Hemikolektomi Sin KH PB √ DN TD
Pasca Laparotomi Ileostomi ec Perforasi

Tutup Ileostomi PB
Ileum
Tumor Intra Abdomen c/ Pseudocyst
Laparatomi Distal Pancreatectomy KH ERI √
Pankreas
SNNT FS, ganas - Total Tiroidektomi KH YAN √ AZ,AR,MF AR MF
Superficial Parotidectomi + FS, ganas - Total

Tumor Parotis Sin B,KH YAN √ AZ, AR, YS
Parotidectomi
Kista Ductus Thyroglussus Limfadenectomi S YAN √ US YS
Pleumorfik Liposarcoma Femur Sin Kompartementectomy KH YAN √ US YS
Hemimandibulektomi Sin + Rekontruksi

SCC Mandibula Sin KH,KH DWT √ DA AD
Plate & Screw
Fr. Rima Orbita Inferior, Fr. Condyle Rekonstruksi Fr. Tl Wajah Komplit KH NJT √ II,ER ER II,ANM
II,
Cumbustio Gr II b - III 41% Debridement luas KH NJT ER
ANM ANM
Cumbustio Debridement + STSG Luas KH PJ √ TA US
Bone Expose Reg Fronto Temporo Parietal,

Debridement luas KH PJ √
Ulkus Granulosum ec Cumbustio
Cumbustio Gr II b - III 29% Debridement luas KH PJ √
Mata Kanan Glaukoma Juvenile, Mata Kiri Mata Kanan Repair GDD Tube + Re-
B,KH MR √ NK,UM,PL UM NK,PL
Glaukoma Absolut Trabekulektomi
Mata Kiri Vitrektomi + Endolaser + MP + EL

Mata Kiri Retinal Detachment KH AW √
+ SO
Mata Kanan Silikon Filled Eye Mata Kanan Evakuasi SO KH AW √ NK UM,PL
Mata Kiri Silikon Fiiled Eye Mata Kiri Phaco + IOL+ Evakuasi SO KH,KH AW √ UM NK,PL
Mata Kanan Irigasi Aspirasi Hipopion + Inj.

Mata Kanan Endofthalmitis Endogen S,S AW √ HR NO
Antibiotik Intravitreal
Mata Kiri Ekstirpasi Massa Palpebra +
Mata Kiri Massa Palpebra Superior B,S TL √ HE
Rekonstruksi + FS
Meningioma Craniotomi Dasar Tengkorak KH ZM √ SF,LW,RA LW SF, RA
Fixasi Cranial Internal KH DP √
Hidrocephalus + Meningoencephalocele VP Shunt KH DP √ LW SF, RA
RSK + Polip Nasi Dupleks Gr III FESS III + CWL + PE KH,B,S ANNA √ PS RE,DB
Tetraparese ec Canal Stenosis VL 5-6 Anterior Disektomi + Instrumentasi Fusi KH,KH APR √ PR,ND,RI PR ND,RI
Fr Collum Femur Dx Ganto Sendi (Atroplasty) KH DRY √

Fr Femur Dx ORIF Prox Femur Dex KH DID √ EA NO
Repair Sinus Valsava (katup Aorta) + VSD BJ.04 EN,MA,VT

VSD WW √ MA EN,VT
Closure + Repair Tricuspid Bj.08 BP,SS,AS
BJ.09
ASD Repair Katup Trikuspid + ASD Closure WW √ BD,IM
BJ.03
NOK SOD + Omentectomi + + FS B,S EN √ NP,RG NP RG
Tumor Rectum Laparatomi Colostomi + Biopsi KH ERI √ RG NP
Multiple Limfadenopati Colli Multiple Eksisi Limfadenectomi S BIS √ AL,RE SU AL
Giant Cell Tumor Bone of Maksilla Hemimaksilektomi Sin KH BIS AL SU

Impaksi Gigi Odontektomi 2 Rahang dg penyulit KH DV √ AH,NI,SU
Limfadenopati Axilla Wide Eksisi Biopsi + PA B PTY √ AH NI
RR GRD : HI SORE PROGRAM : AP,TA,NO,CA,HR,RE,DW,AD,BD,DA,DM,DB,EA,JF,MK,YS,PM,SC,SR,US,WD ALAT : PUR,ET
Fr. Os Zygoma Rekonstruksi Fr Tl Wajah Kompleks KH NJT √ TA US
Defek Cranium Cranioplasty KH DP √ WD AM
CKD Doble Lumen K AS √ SA IS
TK + Adenoid Hipertrofi ATE B DAT √ MW WU
Laparatomi Eksplorasi Adhesiolisis

Invaginasi KH,KH RR √ DM SL
Kompleks + Exsisi Tumor
Efusi Pluera Pasaang WSD S ALI √ JF SR
Peritonitis genralisata Laparatomi Explorasi KH MM √
Pasang CVP KH AI √
G1P0A0, Hml 32, Odempulmo SCTP + IUD B IN √ Gatot MK SR

Trauma Abdoment KH ERI √ NK DY
jejejum
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,IM,
AM
EVA,
Ca Ginjal Kanan Radikal Nefrektomi Dx KH ADS √ EV,AO,RM AO
RM
KH ERI √ RM AO, EV
Laserasi Hepar
Explorasi Ligasi Arteri KH WW √
Pemasangan kateter Vena Sentral K WA √
Prostat Enlargement TURP ADS
Peri Appendik Kronis dd Abses Laparoskopi Appendiktomi KH MG √ RG IS,
Tumor Dinding Abdomen Reg Iliaca + Laparatomi Ileocaecotomy Anastomose End

KH ERI √ WD NI
Tumor Caecum c/ Ganas to end
Mata Kanan Subluksasi IOL Mata Kanan Vitrektomi + PI KH AK √ AI,HA,TM

Post Ileostomi ec Invaginasi KH PTY √ TM AI,HA
Reseksi anastomose Ileocolon
Mata Kiri Proptosis e.c massa retrobulber Mata Kiri Orbitotomi Lateral + PA KH AK √
Mata Kiri Papiloma Konjungtiva Mata Kiri Re Eksisi Massa S TL √ MK IS,
Mata Kanan Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL AK YW,DI
Mata Kanan Desenterasi IOL Mata Kanan Explantasi IOL WIS VQ
Mata Kanan, Mata Kiri Katarak Senilis
Imatur
Mata Kiri Steroid Induced Katarak Mata Kiri Phaco + IOL RF
Mata Kanan Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL RF
Ca Corpus Uteri Surgical Staging KH MZ √ TW,AF,DJ
G3P2A0 38 Minggu Belum Impartu Bekas

SCTP + MOW dg Penyulit KH EN √ Adhie
SC
NOK dd Abses PSOAS Laparatomi Eksplorasi KH EN √ TW AF,DJ
Laparatomi Explorasi Drainase Abses psoas KH ERI √
Anal Fistula Fistulektomi Kompleks KH MM √ TD,AR,DN DN TD
Pasca Laparatomi Ileum + Ileostomi ec

Re Anastomose jejuno jejunustomi E to E KH PB √ AR TD
Adhesi Perforasi
Adeno Ca Rectie Laparatomi Sigmoidostomi KH PB √ DN
Laparotomi drainase Abses Hepar + Biopsi

Tumor Hepar Segmen III c/ Abses B,S ERI √ DB YS
Hepar
Tumor Mamae Sin Insisi Biopsi S YAN √ MF AZ
Efusi Pleura Dupleks Pasang Pigtail S YAN √ AZ,MF
Efusi Pleura Dextra Repair Pigtail S YAN √
SNNT Sinistra C/ Ganas T3N1M0 Isthmolobektomi + FS, Ganas - TT KH,KH DH AZ MF
Hemangioma Regio anal Eksisi S PJ √ II,ER DN TD
ANM,
Giant Hairy Nevi Eksisi + Rekontruksi KH NJT √ ANM II
ER
Gnatoschizis dextra Complete Gnatoplasty (Bone Graft) KH NJT √ ER ANM,II
Ulkus Granulosum Reg Femur Sin Debridement + Rekonstruksi STSG Luas B,KH PJ √ ANM II,ER
Mata Kanan Ekstraksi Lensa +Vitrektomi

Mata Kanan Katarak Kongenital KH LN √ NK,UM,PL NK UM,PL
Anterior + PI + PPC
Mata Kiri Vitreous Haemorage +

Mata Kiri Vitrektomi + EL + Gas SF6 KH AL √ UM NK,PL
Rhegmatogen Retinal Detachment
Mata Kiri Endopthalmitis Mata Kiri Eviserasi Bulbi + DFG B INA √ NK UM,PL

Mata Kanan Vitrektomi + EL + GAS KH AW √ HR
Detachment
SOL Sphenoid Craniotomi Dasar Tengkorak KH DP √ SF,LW,RA SF LW
Fiksasi Internal Tulang Kranial KH AJ √ RA
Laminektomi Debridement + Internal Fiksasi

Fr. VTH 9 -10 e.c spondilitis TB KH,KH APR √
Fusi
Hemoroidectomi B ERI √
Osteomielitis Cruris Dextra Post FSE Debridement + Aff FSE (Aff Implant) B,B DRY √ PR,GI,RI PR ER
Plexus Brachialis Injury Rekonstruksi Tendon KH DRY √ PR Aziz
Fr. Radius Ulna 1/3 Tgh ttp. NK ORIF KH DID √ EA DB
Ruptur MCL Rekonstruksi MCL KH BIN √ EA DB
OA genu Bilateral Severe Valsy TKR Dextra KH BIN √
BJ.09 EN,MA,VT
ASD II ASD Closure + Repair Katup Trikuspid WW √ VT EN
BJ.03 BP,SS,AS
Tumor Paru Dx c/ Ganas Thoracotomi + Biopsi KH WW √ HR TA
Kista Ovarii Bilateral + PID Laparoskopi Kistectomi KH TF √ CA, BY BY CA
Mioma Uteri Histerektomi Supra Vaginal KH INU √ BY CA
Fistula Vesiko Vagina Repair Fistula Vesiko Vagina Kompleks KH ER √ AL,MY,YN YN MY
Kista Mandibula Enukleasi DV
Epulis d.d Tumor Mandibula Kanan Eksisi Tumor S DV √ MY YN
Odontectomi B RP √
SNNT Bilateral c/ Ganas T1N2bMo Isthmolobektomi + FS KH UUD √ AH,SU AH SU
Isthmolobektomi + FS, ganas -Total

SNNT Sin c/ Ganas T3NoMo KH,KH UUD √ HI,DA AH, YS
Tiroidektomi
RR GRD : HI SORE PROGRAM : AP,TA,NO,NI,RE,DA,DB,EA,HR,IS,JF,MK,YS,ND,PM,RG,SC,SR,US,WD ALAT : PUR,ET
CKD Pasang Double Lumen K WW √ JF
CKD Repair Double Lumen K ALI √ JF
CKD Repair Double Lumen K ALI √ JF
Kontraktur CTEV Plaster Application of Extermitas S DRY √ WI AY
Nekrotik Cruris Pedis Sin ec Chush Injuri Amputasi Above Knee Sin KH AS √
Mata Kanan Proptosis ec Massa Mata Kanan Orbitotomi Anterior Transkutan

KH,B TL √ MK
Retrobulber Susp Limfoma + Incisi + Biopsi + PA
Ca Mammae Radikal Mastectomi KH DWT PE US
Multiple gigi ganggren Impaksi Odontectomi 2 Rahang KH RP √ AL MY
Ca Laring Tracesotomi + LD + Biopsi S,S WY √ AM HE
IVH EVD KH HY √
EDH parietal sin Kraniotomi EDH KH HY √ AM HE
Laserasi Sevelar ec Open Decompreesed

Repair Defek Tulang Kranium KH HY √ DW TU
Fr
Laparatomi Adhesiolisis Kompleks + Repair
peritonitis Generalisata KH ERI √ NO,SR JF
Multiple Laserasi Ileum
Repair Buli + debridment S,B WAN √
Prolaps Stoma & Bowel Post Colostomi Repair Stoma B RR √
Empyema Pleurodosis Pasang WSD S ALI √ WD YS
Peritonitis Generalisata ec Perforasi Hollow Laparatomi Explorasi + Omental Patch

KH PB √
Viscus Perforasi gaster
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
ANESTESI : BP,IM,WI,HE SL,AY,AO,A

EM,HR,YW,DI,VQ,AZ,MF,ANM,EW,EN,MA,
BERSIH MEJA OP : SS,AH MR R,AF,ER, IS
Prostat Enlargement TURP KH ADS √ AS,II,RA AS DI
AS,
Tumor Lidah Incisi Biopsi S OEN √ DI
RA
Susp Benda Asing di Esofagus Esofaguscopy B RR √ AI MT,HA
RSK + Konka Hipertrofi FESS II + Konkoplasti KH,S RH √
Cholesistolithiasis Laparoskopi Cholesistektomi KH ERI √ TW,SR,DJ
TW,
Fistula Perianal Fistulektomi S ERI √ DJ
SR
Peri Appendikular Infiltrat Laparatomi Eksplorasi KH MM √ TD,SU,DN TW
Mata Kanan Katarak Juvenile Mata Kanan PHACO + IOL KH LN √ NK,UM,PL UM NK
Mata Kiri Tumor Schlera dd/ Kista Dermoid Mata Kiri Eksisi Tumor + PA KH LN √ MK RE

Mata Kanan Glaukoma Kongenital KH LN √ MK RG,RE
Trabekulektomi + MMC
Pasca Pending PSRS Laminektomi Kompleks KH MTA √ LW,BR,RI VT LW
Fusi Posterior + Fiksasi Internal dgn PSRS
KH HY √ AM SF
& Wire
OA TKR KH APR √ PR,ND,RM ND Aziz
Fr. Collum Humerus ORIF Proximal Humerus Dex KH APR √ PR ND
Laparoskopi + Histeroskopi Meiomektomi +

Amenore Sekunder KH,KH TF √ AL,BY,MY MY BY,AL
Kistectomi Radiakal + Adhesiolisis
PROGRAM : AP,AM,NI,RE,DA,DB,EA,II,JF,MK,YS,PM,RG,SC,SF,WD ALAT : PUR,ET,CA,YN
Efusi Pleura Sin Pasang WSD S WW √ AY SL
Adenoma Hipofisa Bedah Transpenoid KH MTA √ LW VY
SDH Fronto Parietal Craniotomi Decompresi KH HY √ IS AF,AR
Massa Sinunasal Traceostomi S WY √ RG II
Post Nefrostomi Laparatomi Packing KH ERI √ AO ER
G4P1A2, Hml 39mg, Bekas SC SCTP dg penyulit bekas SC + IUD KH OP √ Gatot AF IS
G2P1A0, Hml 39mg, Pre Eklamsi Ringan SCTP B OP √ Gatot PM DA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
RK,EM,AT,V
T,ES,RI,
ANM
RSK + Septum Deviasi FESS III + CWL Kanan + Konkoplasty KH,B,S ANNA √ RG ES
RSK FESS + CWL + Konka Reduksi KH,B,S RH √ DA AT
Palatochisis Palatoplasty KH NJT √ Ratna ES
OMK Dry Ear Kanan + Kiri Thympanoplasy KH PW √ GI II
RSK FESS III + CWL Kanan + Konka Reduksi KH,B,S ANA √ ES RG
Hernia Scrot Residif Dex Hernioraphy + Mesh B PB √ AT II,AG
Bone Metaatase Parsial c/ Adeno

Craniotomi KH ER √ BR
Carsinoma
DW,
Meningioma Craniotomi Rekontruksi KH MTA √ AD,BR
EM
Post Partum MOW S OP √ EM RG
G3P2A0, Hml 30mg, PEB, oedem Pulmo,

SCTP + MOW B JD √ Gatot Ratna EM
Cardiomegali
G2P1A0, Hml 29mg, PPI SCTP dg Penyulit B EN √ Gatot EM ANM
Gastroschisis Repair Abdomen Pasang Bogota Bag S RR RG
Kraniotomi Evakuasi Hematoma +

ICH + SAH + IVH KH HY √ ES ANM
Duraplasty
G2P1A0, Hml 28mg, Eklamsia SCTP + Pasang IUD B IN √ Gatot
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,HE,
IM, AM
EV,
Vesicolithiasis Sectio Alta + Sistostomi B,S ADS EV,AO Aziz
AO
Nefrolithiasis Sin Nefrolithotomi Sin KH WAN RM AO Aziz
Laparatomi Biopsi Hepar k/p Kasai

Obs Kolestatis ec Atresia Billier KH,KH RR √ AI,HA ER AI,RA
Procedure
Papiloma Laring Laringoskopi Direk + Ganti Kanul S DAT √ RA II SU
Tumor Kulit C/ Ganas Wide Eksisi + FS Bebas tumor B DWT √

SC SU
Mata kanan Kiri Katarak Senilis Matur Mata kanan ECCE + IOL RF YW,MK
Mata kanan Katarak Senilis Imatur Mata kanan Phacoemulsifikasi + IOL AK TM
Mata Kanan Kiri KSM, Mata Kanan Ptosis Mata Kanan Phaco + IOL AK
Mata kanan kiri glaukoma absolut Mata kanan kiri Cyclocryoterapi AK

Mata Kanan Afakia, Mata Kiri KSM, Mata
Mata Kanan Secondary Implant ( Iris Claw ) WIS
Kanan Kiri POAG
Mata kanan kiri steroid induced katarak Mata kiri Phaco + IOL WIS
Endometrial Intraepitelial Neoplasma TAH KH SR √ TW,TK VQ TW, TK
TK,
P0A0 58 th, NOS c/ ganas TAH + BSO + Omentectomi + FS, KH,KH INU √ VQ TW
MY
Repair Buli S MAS √
Ca Caput Pankreas Tripple By Pass KH JS √ HR,AU,DJ HR TD,DJ
Wound Dehisense Pasca Laparotomi

Debridement + Rehecting S MG √ HR TD
Ileustomi
Skintag Biopsi Rectum + Rectoscopy S,B MG AR

Well Diff Adeno Ca Recti Tutup Colostomi KH ERI √ AR MY
Tumor Regio Genu - Cruris Dextra C/

Incisi Biopsi + Limpadenectomi Inguinal Dex B,S DH AZ,DA DN AZ, DA
Ganas
SNNT c/ ganas T3N0M0 Ishtmolobectomi, FS, Ganas - TT KH,KH UUD √ DN
Liposarcoma Regio Femur Sinistra Kompartementectomi + FS Bebas Tumor KH DWT √ CA SF
Limfadenopati Colli Limfadenektomi S DWT WD AY
Limfadenopati Colli Limfadenektomi S DWT √ MY SF
Skin Degloving Reg Inguinal Gluteus Debridement Luas B NJT TA,MW MF TA
Keratinized Squamous Cell Ca,Pasca Wide TA,

Rekonstruksi Pasca Keganasan Lanjutan KH NJT √ MF YS
Eksisi + Rekonstruksi MF
Fr ZMC Sin Rekonstruksi Fr Wajah Tertutup PJ
Mata Kanan Orbitotomi Anterior + Insisi NK,

Mata Kanan Proptosis KH,S TL √ NK,UM, UM
Biopsi + PA ANM
Mata Kanan Tumor Palpebra Superior Post

Mata Kanan Re Eksisi Tumor + PA TL ANM
Wide Eksisi + Rekonstruksi Palpebra
Laparatomi Explorasi Re Anastomose Ileo- NH,

Ca Sigmoid KH PB √ UM
Ileal Caecectomi ANM
Adeno Ca Anorectum Laparatomi Milles Procedure KH ERI √ DI AG
SF,SA,PL
Canal Stenosis C4 - 5 Laminoplasty APR PR,AP,RI
OA Genu Sin TKR Sin KH BIN √ PR Ratna
Union Fraktur Remove Implant B BIN √
Union Fr Ankle Sin Remove Implant S BIN √
CAD 3 VD CABG High Risk BJ.11 SF √ EN,MA WI

Laparotomi Total Abdominal Histerektomi +
Mioma Uteri dd Sarcoma KH,KH EN √ NP,BY
Bilat SalpingoOoforectomi
Hidronefrosis Hidroureter Bilateral Nefrostomi 2 Sisi KH MAS √ AL,YN,ES ES AL, YN
Impaksi Odontektomi 2 Rahang KH RP √ ES YN
SNNT Isthmolobektomi Dex + FS, Ganas - TT KH,KH UUD √ AH, WD WD AY
GRD : EA SORE PROGRAM : SF,RK,WU,AR,AG,AF,AY,BR,CA,DI,DY,ER,HI,II,MY,YS,ND,SC,SE,SU,TD,YR ALAT : PUR,ET

Canal Stenosis T12 Laminektomi Simple + Biopsi Tumor KH HY √ LW SA
Paravetebra Gagnglion Blok KH AJ √ Dipa
Spondilitis L5 Laminektomi Kompleks KH HY √ MW AF
Fusi Posterior Veterbra KH AJ √
Ca Mamae MRM Dex KH BIS √
Laparatomi Adenomiomectomi (Osada

Adenomiosis B TF √ BY NP
Procedure)
Skin Avulsi Debridement + Rekontruksi Skin Flap B,B PJ √ NI NO
Eksplorasi Perdarahan + Hemimaksilektomi

Ca Sinonasal B,KH WY √ II SU
Eksterpasi Sisa Massa
Nodul Plika Vokalis Ekstirpasi S WY √ MY AR
Dandy Walker Hidrocephalus VP Shunt KH AJ √ SA LW

CKD Std V Pasang Double Lumen K ALI √ YR CA
Herniorhapy + Reseksi Ileum Anastomose E

Hernia Scrot Dex Rep B,KH JS IS WI
to E
Mata Kanan Enukleasi Bulbi + DFG +
Mata Kanan Ruptur Bulbi + Laserasi
Rekontruksi Palpebra + Rekontruksi B,S,S AK √
Palpebra Full Tiknes
Lakrimalis
SCTP + Histerektomi Supra vaginal B,KH INU √ Gatot HE SL
Peritonitis Generalisata Laparatomi Explorasi gastroplasty KH JS IS SC
Open Cystectomi S WAN

Laparatomi Repair Pacreas + Repair KH,KH
Trauma Tumpul Abdoment MM √ HA NH,JF
Duodenum + Colostomi ,S
Repair Vena KH WW √
MAR Colostomi B RR √ NH HA,RE
Peritonitis Generalisata Laparatomi Explorasi KH MM √ IS RG
G2P1A0, Hml 30mg, PEB SCTP + MOW B HR √ Gatot DI,NI HA,GI

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE, IM,
PS,AM
Ca Buli TURB MAS EV,AO,RM
CKD CAPD S MAS √ Aziz
Hidronefrosis + Hidroureter Renal e.c AO,

Ureterolitotomi Dex KH WAN Aziz
Ureterolithiasis EV

MAR on Colostomy Post PSARP KH PTY √ AI,YN,RA
Anastomose Colon
Ganggren Radix S1, S2,61,62 Ekstraksi Gigi B,S DV √ AI,YN RA
Kista Mandibula Kista mandibula + Multiple Ekstraksi gigi B,B DV √ AI,DY YN, RA
Laparatomi Choledocoduodenostomi +
Tumor Caput Pankreas KH,KH ERI √ DY AT
Pankrearikojejunustomi Roux n y
Mata Kanan Afakia + Oklusio Pupil, Mata Mata Kiri Secondary Implant ( Iris Claw) +
WIS
Kiri Afakia + Sisa Korteks Irigasi Aspirasi Sisa Korteks
Mata Kiri Katarak Traumatika + Susp Ablatio
Mata Kiri Ekstraksi Katarak (Diagnostik) WIS YW,MK,TM
Retina
Mata Kiri Katarak Senilis Imatur + Miopia + Mata Kiri Phaco + IOL RF
Mata Kanan Kiri Pseudofakia Mata Kanan IOL Exchange RF
Mata Kanan PACG DD Glaukoma
Mata Kanan Trabekulektomi B FI √ YW TM,MK
Fakomorfik
Mata Kanan Kiri POAG Mata Kiri Trabekulektomi FI
Arachnoiditis Pasang Perifix K AJ √
Leiomiosarcoma St II Surgical Staging + Embolektomi MZ + ALI TW,TK,VQ
KH,KH
NOK Curiga Ganas TAH + BSO + Omentectomi + FS EN √ TW TK, VQ
,S
Ca Tonsil, Dyspnea Jackson I - II Trakeostomi + NGT Freca S WY √
HR,
Tumor Intra Abdomen Laparotomi Reseksi Tumor KH MM √ HR,AU,DJ WI
AG
Ikterus Obstruktif ec Cholangio Ca + Laparotomi Biliodigestive Shunting Long

KH MG √ TD
Ca Mamae Mire
Eksisi Biopsi Mamae B UUD √
Adeno Ca Rectie 1/3 tgh Hartmant Procedure KH MG √ AR DI
Tu Parotis Superficial Parotidektomi + FS B DH AZ,DA,DN AZ,DN DA
Papilary Thyroid Carsinoma Total Tiroidektomi KH DWT √ DB
Combustio Listrik Gr II A-B 16% Debridement Luas KH PJ √ TA,MW MF TA
Cholelithiasis Laparoscopy Cholesistectomy KH PB √ MF ND MF
Fr. Nasal Terbuka Rekonstruksi Tl Wajah + ORIF KH PJ √ AR ND

Mata Kiri Katarak Juvenile KH LN √ UM NK
ANM,N
Mata Kanan Kista Dermoid Kornea Mata Kanan Eksisi Kista Dermoid + PA S LN √ NK,UM UM
K
UM,
Mata Kanan RRD Mata Kanan Vitrektomi + EL + SO + SF6 KH AW √ ANM NK
ANM
NK,
Mata Kanan Kiri PDR + TRD Mata Kanan Vitrektomi + EL + SO KH AW √ UM
ANM
Mata Kanan Rhegmatogen Retinal Mata Kanan Scleral Buckle +

KH AW √ HA AI
Detachment Cyclocryoretapi + gas
Hidrosephalus VP Shunt KH GK √ LW,SA,PL SA LW
Spondilitis TB, Paraplegi Inferior, Spondilitis

Laminektomi Kompleks KH HY √ MW AF
TB Ankle Pedis Sin
Multiple Fraktur ORIF Metacarpal KH APR √ PR,AP,RI
Fr. Clavicula Dextra, Fr Radius Ulna Dx, Fr.

ORIF Rdius + ORIF Ulna + ORIF Clavicula KH APR √
Femur Dx, Fr. Tibia Fibula Dx
ORIF Fr Femur + ORIF Fr Tibia Dex KH BIN √
Fr. Dislokasi Antebrachii Sinistra Fiksasi Internal yg Kompleks KH DRY √
Dislokasi Hip Joint Sinistra Reposisi Terbuka S BIN √ HI MW
Fr. Collum Femur Sinistra Parsial Hip Replacement KH BIN √ HI MW
EN,MA,VT VT,
TOF BT Shunt (ASD) BJ.03 WW √ MA
BP,SS,AS EN
MA, EN,VT,
PDA 7mm, Left to Right Shunt Ligasi PDA BJ.05 WW √ DI,ND
AH DI
Laparoskopi Multiple Miomektomi,
Mioma Uteri KH TF √ NP,BY NP BY
Polipektomi
Laparoskopi Ooforectomi Parsial Sin +
Kistoma Ovarii KH TF √ BY NP
Adhesiolisis
Ca Endometrium Surgical Staging + Adhesiolisis KH EW √
G3P2A0, Hamil 38 mgg Letak Lintang SCTP dgn penyulit + IUD B JD √ Adhie ES AL, CA
Mata Kanan Laserasi Palpebra Inferior Full

Mata Kanan Rekonstruksi Palpebra +
Thickness + Ruptur Canalis Lakrimalis S,S AK √ AL,CA,ES AL CA, ES
Rekanalisasi Canalis Lakrimalis Inferior
Inferior
Suspect Keganasan Hematologi BMP B MOED √ ES AL,CA
Susp Keganasan Hematologi BMP B MOED √ ES AL
Ca Mamae Wide Eksisi + Deseksi Axilla B,KH UUD √ AN, WD WD AN

Mixoid Liposarcoma Reg Femur Dx B,KH UUD √ WD AN
Keganasan + FS + PA
GRD : EA SORE PROGRAM : SF,RK,AY,TD,AF,AT,BR,DY,ER,HA,HI,MY,TU,ND,NH,SE,SU,YR,DI,ND ALAT : PUR,ET
Tumor mamae Wide Eksisi + FS B √ SU

DWT
Ulkus DM Amputasi Cruris Dex KH AS √ BR SF
Efusi Pleura Sinistra Drainage Cavum Pleura (WSD) S WW √
Efusi Pleura Sinistra Drainage Cavum Pleura (WSD) S WW √ AH BR
CKD Psg DL K AS √ ND SA
CKD Psg DL K AS √ SA ND
CKD Psg DL-long term K AS √ SA ND

HN Bilateral On DJ Stent Aff DJ Stent dx et Sin + Sistoscopy S,S WAN √ AY RK.ER
EDH r/ Frontal Sin Craniotomi SDH + EDH KH MTA √ IS GI,RG
Post Radikal Nefrektomi + Packing Laparatomi Aff Packing KH ERI √ IM SL
Laparatomi Milking Invaginasi + Reseksi

Invaginasi KH,KH RR √ PS,MY AM,SL
anastomose Ileum
CKB Kraniotomi Decopresi + Duraplasty KH,KH HY √ NH MY
Peritonitis Urine ec Sistostomi Perkutan S MAS √ MY
Hidropneumothorax Dex Pasang WSD S ALI √ MY

CKD Pasang Double Lumen K ALI √ AH DI
Psudoaneurisma sin arteri Radialis sin Ligasi Arteri Radialis sin KH AS √ SC

Peritonitis Generalisata ec perforasi gaster KH,S PB √ AG SC,YS
Gaster (Graham Patch)
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : EV SL,DA,DJ
KH,B,B
RSK + SR + Konka Hipertrofi FESS III + CWL + SR + Konkoplasty RH √ AH,DM,RM AH
,S
Aziz,
RSK FESS III + CWL KH,B RH √ AH
ER
Etmoiditis Kronik + Septum Deviasi FESS + SR + Konkotomi KH,B,S ANA √ ER TU
Total Vaginal Histerektomi + Kolpoafi

Cystocele Gr III KH,KH ER √ AI,RA,PL AI RL
Anterior Posterior
Mata Kanan Orbitotomi Lateral + Biopsi +

Proptosis Sin KH AK √ AI PL
PA
ORIF Femur Sin + Remove Implant S +
Fr. Femur KH,B DID √ DI DB
Bonegraft
Mata Kiri Katarak Mata Kiri Phaco + IOL KH AK √ DW,AD AD DW
Ca Auricula Sinistra Ekstirpasi Ca Aurikula B DAT √ TW,DN TW DN
OMK Dry Ear Kiri Thympanoplasty KH PW √ DM RA
OMSK dg Kolesteatoma Dx ME Radikal KH PW √ DM RA
Ca Tonsil Ekstirpasi Massa Ca Tonsil (Tonsilektomi) S DAT √ DN TW
Mata Kanan Susp Chorio Retinis, Mata Kiri Mata kiri Trabekulektomi + PHACO + IOL
KH AK √ RI TR
Glaukoma Sekunder (Triple Procedure)
Mata Kiri Glaukoma sekunder ec Mata Kiri ReVitrektomi + Aspirasi Hifema +

KH,S AL √ TR,RI TR RI
hemofthalmi post vitrektomi SO
Mata kiri Retinopati Diabetika Mata kiri Vitrektomi + EL + SO KH AL √ RI TR
Canalis Stenosis VC III - IV Laminoplasty (Fusi Posterior) KH AJ √ HA AT
Paraplegi inferior e.c Lesi MS VT X Laminektomi Kompleks KH HY √ BY,MW,TM TM BY
Posterior Fusi Veterbra KH AJ √ MW
Neuralgia Trigeminus Microvaskular Dekompresi KH DP √ BR HI
Fr. Kompresi VL 1 Laminektomi Decompresi VL1 KH DID √ AP,VQ AP VQ

Instrumentasi (Internal Fiksasi) + FUSI KH APR √
Fr. Femur Sinistra 1/3 tgh ttp NK Fiksasi Internal yg Kompleks KH DRY √ AP VQ
Fr. Collum Femur Sinistra Partial Hip Replacement Sinistra KH BIN √ AU MY,AN
ORE PROGRAM : AY,AN,AU,AF,AT,BR,DI,DY,ER,HA,HI,MY,TU,ND ALAT : AM
G2P1A0, Hml 40mg, Impartu Kala I, CPD SCTP B SR √ Adhie SC II
Laparatomi explorasi Reseksi Ileocalica +

Invaginasi KH EDW √ MA SL
Stoma
Pansinusitis FESS II + Konkotomi + NAW KH,S,K DAT √ II GI
SDH Craniotomi KH MTA √ DA DJ
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE, IM,
PS,AM
Batu UPJ Dx + Calyx Inf Dx Ureterolithotomi Dex KH WAN √ EV,AO,RM RM AO, EV
EV,
RSK + Konka Hipertrofi FESS III + CWL Kanan + Konko Reduksi KH,B,S ANNA √ AO
Aziz
Massa Tonsil Kanan Ekstirpasi Massa Tonsil S DAT √ AN ER
Fibrous Displasia + Fistula Ekstirpasi Massa + Fistula Clossure KH,B DAT √ ER AN
Odontektomi 4 gigi dg penyulit + Exo TG

ASD II Besar + Ganggren Gigi KH DV √ AI,RA AI RA
Tambal 2 gigi
Megacolon Kongenital Post Colostomi Duhamel Procedure + Stapler KH EDW √ AI RA
MAR on Colostomi Post PSARP Reseksi + Anastomose Colon KH EDW √ AU ER
Megacolon Kongenital Post Colostomi Duhamel KH RR √ NO EW

Mata Kanan Triple Procedure (PHACO + YW,
Mata Kanan APAL, Mata Kiri PACG KH MR √ YW,MK,TM MK
IOL + Trabekulektomi) MT
Mata Kanan APAC. Mata Kiri Glaukoma YW,
Mata Kanan Trabekulektomi B MR MT
Absolute MK
Mata Kanan KSI + Vitrectomited, Mata Kiri
Mata Kiri EKIK (Diagnostik) WIS
KSH + Subluksasi Lensa
Mata Kanan Kiri Pseudofakia Mata Kanan Kiri Aff Heating (Post ECCE) WIS
Komplikata
Mata Kiri Katarak Senilis Imatur dd Katarak
Mata Kiri Phaco + IOL AW
Diabetik
Mata Kiri Injeksi Triamcinolone Acetat
Mata Kanan Mata Kiri Graves Ophtalmopati TL
Peribulber + Sub Muller
Ca Cervix Uteri St II EW √ TW,TK,VQ TW VQ,TK
Limfadenectomi Pelvis bilat ,B
KH,KH
Ca Cervix St IV B + NOS TAH + BSO + Omentektomi EN √ VQ TW, TK
,S
Tumor Mamae Dextra C/ Ganas MRM DWT
Tumor Abdomen Laparotomi Biopsi B MM √ RK,HR,DJ DJ HR
Hernia Insisional, Fistel Enterocutan,

Laparatomi Explorasi Repair Fistula Sigmoid
Nefrolithiasis Bialteral + Ureterolithiasis KH,B ERI √ HR RK
+ Repair Hernia Incicional
Sinistra
Explorasi Ureter, Uretrolihtotomi + Pasang
KH,B WAN √
DJ Stent
Laparatomi Adhesiolisis Kompleks + reseksi
KH,KH
Adeno Ca Recto Sigmoid Anastomose Ileum + Reseksi Anastomose ERI √ SE TD
,KH
Colon
Melanoma Maligna Wide Eksisi + FS, B BIS √ AZ,DN EA,DN AZ
Wide Excisi + FS + Rekontruksi Pasca

SCC Reg Buccal Sin B,KH,S UUD √ DN AZ
Keganasan + Limphadenectomi + FS
Mata kiri Orbitotomi Anterior + Insisi + Biopsi

Mata kanan kiri massa konjungtiva sispect KH,S,S
+ PA + Mata Kiri Konjungtivaplasty (Graft TL √ TA,MW MW MF
kista dermoid ,S
Konjungtiva) + Rekontruksi Palpebra Inferior
Mata Kanan Exposure Graft ec Panoftalmitis Mata Kanan Enukleasi Bulbim + Explorasi
B DN √ MF MW MF
ec Pseudomonas Graft
Abses Hepar Laparoskopi Drainase Abses Hepar KH ERI √
Mata Kanan Katarak Kongenital ec Idiopatik Mata Kanan PHACO + IOL + PPC +
KH LN √ NK,UM UM NK
+ Eksotopia Vitrektomi Anterior
Mata Kanan Kiri PDR, Mata Kiri Glaukoma
Mata Kiri Vitrektomi + Endolaser + Gas KH AW √
Neovaskuler
Mata Kiri Vitrektomi Eye Mata Kiri Vitrektomi + Endolaser + Gas KH AW √ UM NK
Mata Kanan Katarak Traumatika Mata Kanan Vitrektomi + Phaco + IOL KH,KH AW √ NK UM
Mata Kiri Post Rekonstruksi Palpebra Mata Kiri Lepas Jahitan Palpebra TL
Meningioma Craniotomi Tumor Conveksitas KH ER √ LW,SA,PL II SE
SOL Fossa Media Sin Craniotomi Dasar Tengkorak KH DP √ BR DI

Fiksasi Internal Tulang Kranium B AJ √
Fr. Kompresi VT X Laminektomi Dekompresi VL 1 + KH DID √ PR,AP PR AP

Instrumentasi Fusi KH APR √
Endchondroma ORIF DRY
Multiple Fr Pelvis Femur Tibia ORIF Fr Femur Dex KH BIN √
ORIF Fr Cruris Dex KH DRY √

Bj.11 EN,MA,VT EN,
CAD 2 VD, MR Severe CABG High Risk + MVR SF √ VT
Bj.09 BP,SS,AS MA
Laparaskopi Adhesiolisis Neosalpingostomi

Adnexitis Dupleks KH TF √ NP,BY,AD NP BY,AD
D -S , Kistektomi Ovarium Kanan
Laparoskopi Adhesiolisis + Kistectomi Ov.

Kistoma Ovarii Kanan Ooforectomi Parsial Sin + Multiple KH,KH TF √ NP BY
Mionektomi
Ca Mamae MRM Sin KH YAN AL,ES DW ER,ES

Adeno Ca Mamae Sin Musinous T3NoMx MRM KH YAN ES DW
TMS c/ Jinak Eksisi Biopsi + PA B YAN AL ES

Tumor Maxilla c/ Ganas Limfadenopati + Eksisi S,B YAN √
NO,DW,DY
R GRD : EA SORE PROGRAM : SF,CA,AN,AU,AT,AY,BR,DA,DI,YN,ER,HA,HI,MY,TU,TD,WU,WD,YR ALAT : PUR,ET
CAD 2 VD, MR Severe CABG SF
POAD Femora-Femoral Bypass (Cross Over graft) KH SF √ AH AN
Malignant Massa Sinonasal T4N0Mx Mata Kanan Orbitotomi Anterior KH TL √ AU AN

Malignant Massa Sinonasal KH DAT √
RSK + SD + KH + Sinekia Kiri FESS + SR + Konkoplasty KH,B,S ANA √
PR,
Enchondroma Cruris Sinistra Open Biopsi Bone Tumor B DRY √ AP,DI
DA
Ulkus DSM Debridement Luas + Amputasi below Knee B,S AS √ ER AR
Laparoscopy Adhesiolisis, Ooforectomi

Kistoma Ovarii KH,KH TF √ BY NP, AD
Parsial Sin + Miomektomi
Ca Buli TURB + Biopsi Buli + Orchidectomi KH,S,B MAS √ DS
Striktur Ani Evakuasi Skibala K EDW √ YR
CKD Std V Pemasangan DL K WW √
CKD Pemasangan DL K AS √
CKD Pemasangan DL K AS √
Fr Metatarsal I-II Pedis Dx Gips Siekuler Botcaut K DID √
Mata Kiri Obstruktif Retina Mata Kiri Vitrektomi + EL + Gas KH AW √ NK DJ
Selulitis Cruris Pedis Sin Debridement B AS √ SU
Corpal gigi + kawat di Esofagus Esofaguscopy B RR √ SC PS
Laparatomi Explorasi Adhesiolisis Kompleks

Ileus KH MG √
Bypass Ileo Tranvesostomi Side to Side
G1P0A0, Hml 40mg, KPD SCTP B ER √ IM HE
Mioastemi Grooss Pemasangan Double Lumen K HN √
Penemuthorax pasang WSD S ALI √
VP Shunt Exposed VP Shunt KH HY √ WD CA
G2P1A2 + KET SOD + MOW B,S EN √ WD CA
G1P0A0, Hml 29mg, Perdarahan Ante

SCTP + IUD B IN √ Gatot SE II
Partum ec Plasenta Previa Totalis
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE, IM,
RE,PS
Laringoskopi Direk Eksterpasi Massa + AO,
Kista Plika Vocalis S,C RR √ EV,AO,RM EV
Laringoscopy Flaxible + Biopsi RM
Aziz,
Mal Oklusi ec Open Fr Mandibula Rekonstruksi Plate & Screw Mandibula KH RP √ AO
EV
Atresia Billier Kassai Procedure KH RR √ RK TU
Megacolon Kongenital Post Colostomy Duhamel Procedure + Stepler KH EDW √ AI,IS,RA IS AI
MAR Post PSARP on Colostomi Re PSARP + Fistulektomi KH,B EDW √ RA AI,IS
Mata Kanan Pseudofakia, Mata kiri KSI +

NPDR
Mata Kiri KSI Mata Kiri SICS + IOL MR
Mata Kanan KSI Mata Kanan Phaco + IOL FET YW,MK,TM
Mata Kanan Kiri KSI, Mata Kiri
Vitrektomized Eye + Glaukoam Sekunder
Mata Kiri KSI Mata Kiri Phaco + IOL AL
NOK Complete Surgical Stagining + FS KH MZ √ TW,WI,VQ TW TK, VQ
Laparatomi Debulking + Adhesiolisis +

Adeno Ca Cervix Uteri St III B, NOK, Asites KH,S,S EW √ TK VQ
Omentectomi + FS
OMSK Kiri dg Kolesteatoma ME Radikal KH PW √ SU DY
Choledocolithiasis Pasca ERCP Stenting Laparotomi Eksplorasi CBD + Tube KH PB √ TD,DJ TW WI
Tumor Intra Abdomen Laparatomi Extended Hemicolectomi Dex KH ERI √ DJ TW
Splenomegali + Limfadenopati Inguinal Colli Biopsi Limfadenektomi Inguinal Colli S ERI √ HA AM
SMNT c/ganas T4N1bM0 Subtotal thyroidektomi + FS ,ganas - TT KH,KH BIS AZ,DN DN AZ
Fibrousarcoma G1T2bNoMo Wide Eksisi + FS bebas tumor B DH JF ER
Limfadenopati Colli Eksisi + PA B UUD √ HA TA
Fr.Parasimfisis Mandibula Dextra + Fr ZMC Rekonstruksi Tulang Wajah + ORIF NJT TA, MF
Ulkus Granulosum Pasca STSG Rekontruksi Tangan KH NJT √ MF TA
Skinloss Pedis Dx Post Debridement Skingraft B NJT √ TA MF
Mata Kanan Pseudofakia, Mata Kiri Mata Kir Ekstraksi Lensa + Vitrektomi
KH LN √
Subluksasi Lensa e.c Marfan Syndrome Anterior + IOL ( Iris Claw)
Mata Kiri Vitrektomi + MP + Endolaser +
Mata Kiri PDR + TRD KH AL √ HR NK
Gas SF6
Mata Kiri Vitrektomi + MP + Endolaser +

Mata Kiri Vitreous Hemorrage Non Clearing KH AL √ NK,HR HR NK
Gas SF6
Mata Kanan Myopia Degeneratif, Mata Kiri Mata Kiri Ekstraksi Katarak + PHACO + KH,KH
AL √ HR,DI NK
Katarak Komplikata + SO Filled Eye Evakuasi SO ,KH
Mata Kiri Vitrektomi + EL + Gas C3F8 +

Mata Kiri Vitreous Haemoraghe + KSI KH AL √ DI
Phaco + IOL
Hidrocephalus Post VP Shunt Repair VP Shunt KH GK √ LW,NI,PL NI LW, PL
Makro Adenoma Hipofosa Bedah Micro Transphenoid KH ZM √ BR WI
LW,
Trauma Med. Spinalis Vt IX-X Laminektomi Kompleks KH HY √ NI
PL
Fr Kompresi Vth Spondilitis Laminektomi Fusi Anterior APR PR,AP

Crush Injury Pedis Dx Aff Implant + Stumplasty KH DRY √
Rekontruksi Jari KH NJT √
OA Genu Dx TKR Dx BIN
Implant Failure Cruris Remove Implant + ORIF Tibia B,KH BIN √ PR AP
Osteosarcoma Femur Sin Amputasi Above Knee KH BIN √ HI WD
BJ,03 EN,MA,VT EN,

VSD + PDA VSD Closure + Ligasi PDA WW √ MA
BJ,05 BP,SS,AS VT
Appendicitis Laparoskopi Appendiktomy KH JS √ CA,BY,AD AD CA, BY
Ca Recti St IV Sigmoidostomy B JS √ BY AD, CA
NOK SOD + Adhesiolisis + FS B,S JD √ AL,ES ES AL
Tumor Parotis Sin c/ Ganas T4BNoM1

Insisi biopsi + PA S YAN √ NO,DW NO DW
(Paru)
Isthmolobektomi + FS ganas - Total
SNNT Sin c/ Ganas T3NoMo KH,KH YAN √ DW NO
Tiroidektomi
R GRD : EA SORE PROGRAM : SF,TD,AY,AU,AM,AT,BR,DA,TK,DB,DI,YN,ER,HA,HI,JF,TU,WD,YR ALAT : PUR,ET
Ca Epidermoid, Ca Ovarii Residif Sistoscopy S WAN √ MW BD
Hidronefrosis URS-DJ Stent KH MAS √ MW BD
Post LAR Simple Closure Laserasi Ileum casecum KH JS AU DA

Neoimplantasi Ureter + pasang DJ Stent + DW,
KH,B MAS √ ES
Laparatomi Explorasi AL,NO
CKD Pasang Double Lumen + C-Arm K AS √ IS PM
Peritonitis Generalisata Laparatomi Explorasi Appendictomi KH RR √ ER DB
Hidrocephalus VP Shunt KH MTA √ AN AL,MW
Debridment + Rehecting B NJT AL SU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
LW,HR,ES,
WI,PS,MW,
SR
PLH : AL EV,PL,DI
OK 1 - 3 Perbaikan Suction
Aziz,
Hidrochepalus VP Shunt KH GK √ CA,RM,MK MK
CA
CA,
Hidrochepalus VP Shunt KH GK √ MK
Aziz
Fr. Kompresi LI HNP L4-5, L5-S1 Percutaneus Disectomi + Neuroplasti KH TRI A √ YW,TM YW TM
Salpingo Ooforektomi + Other Removal

Kista Ovarii Bilateral KH,KH EWA √ TW,DM,VQ VQ TW,SE
Salpingektomi + Adhesiolisis Kompleks
Kista Ovarii Surgical Staging KH EWA √ SE
TW,
Ca Endometrium Std 1A Surgical Staging KH EWA √ VQ,SE
WD
Fr Corpus Dx Mandibula + Fr. Femur Sin Rekonstruksi Fr Tulang Wajah Kompleks
KH NJT √ TD,AD,DJ
1/3 Prox (ORIF)
ORIF Fr Femur KH APR √
Total Abdominal Histerektomi + SOS ,

Mioma Uteri KH,KH MZ √ TM TW,AD
Wedge Reseksi Ov. Sin
ATK ATE B DAT √
LMNH Limpadenopati + FS S BIS √ AZ,YN,DN DN AZ
MAR tanpa Fistel on Colostomi Businasi K EDW √ YN DN
Rekonstruksi Tulang Wajah Kompleks

Fr Parasimfisis Mandibula Dx + ZMC KH NJT √ TA,AO, MF AO MF
(ORIF)
Rekonstruksi Tulang Wajah Kompleks

Fr. Corpus Mandibula Sin KH NJT √ AO MF
(ORIF)
SCC Pasca Wide Eksisi Rekonstruksi Pasca Keganasan KH NJT √ MF AO
Mata kiri katarak juvenile DD Katarak

Komplikata + coloboma iris + coloboma Mata kiri Phaco + IOL KH WIS √ NK,DW NK DW
Choroid
Mata kiri orbitotomi anterior pro + insisi
Mata kanan kiri massa palpebra inferior KH TL √ DW NK
biopsi + PA
Mka Mki Proliferatif Diabetikum Retinopati +

Mata kiri Vitrektomi + MP + EL + Gas SF6 KH AL √ NK DW
Mki TRD
Glioma Reg Oksipital Kiri Kraniotomi Tumor Konveksitas KH MTA √ RK,BY,NI BY RK,NI
Meningoencephalocele Rekonstruksi 3 Layer KH ER √ SA DA

Anterior Disektomi Decopresi + Internal
Canalis Stenosis C6-7 KH,KH APR √ PR,EA,RA PR EA,RA
Fiksasi Fusi
Sternotomi Tymectomi + Nerve Vetebra th I KH ALI √
Fiksasi Internal yg Kompleks + Tendo

Fr. Metacarpal IV & V + Ruptur Tendon KH DRY √ AT DA
Tranfer
OA Genu Dx TKR Dx BIN
OA Genu Dextra TKR Dex KH BIN √ AU AN
BJ.09 EN,MA,VT, EN,

CAD 3VD, MR Moderate MVR + CABG High Risk SF √ VT
BJ.11 SS,IM MA
RE PROGRAM : AY,SA,AT,TU,JF,WD,ER,IS,HI,DB,TK,DA ALAT : PUR,ET
CKD Std V Pasang Double Lumen K ALI √
Efusi Pleura Dextra WSD S FTR √ MR YR

Post FESS + Pasang Tampon Aff Tampon K DAT √ HI DB
OA Genu Bilat Debridement OA Genu B BIN √ HA WU
G1P0A0, Hml 37mg, Partus Tak Maju SCTP B PS √ Gatot
Efusi Pleura Sin Pasang WSD Sin S WW √ HR PS,ER
Fr Cruris Sin tbk gr IIIC Amputasi Bawah Lutut + Debridment KH,B APR √ MW LW,SR
G1P0A0, Hml 35mg, Impending Eklamsi SCTP + IUD B PS √ Gatot
G2P1A0, Hml 32mg, PEB SCTP + IUD dgn penyulit Letak Lintang B JD √ Gatot JF ER
ICH Craniotomi Evakuasi Hematoma KH MTA √
Mata Kiri Laserasi Kornea Full Thuchmess + Mata Kiri Jahit Kornea + Ekstraksi Lensa +
S,KH RP √ TU ER
Katarak Traumatika Vx Anterior
In Fr Cerebri + SOL r/ Cerebelum Craniotomi Conveksitas KH MTA √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
OA Genu Sin TKR KH APR √ WD SA
OA Genu Sin TKR KH APR √ PM IS
Fr Collum Femur Sin THR KH APR √ DM WD

Labiognato Schisis Labioplasty KH NJT √ AM UM,YS
Mata Kanan Eviserasi Bulbi + Eksterpasi

Mta Kanan Panoftalmitis Susp Massa Laring B,S AK √ UM YS.AM
Tumor + PA
Atresia Ani Anuplasty K EDW AN BR
G3P2A0, Hml 29mg, HAP-SN SCTP + MOW B OP √ Arsita YS AM
Rekontruksi Tendon Dig IV, V, FOP, FOS +

KH,KH
Ruptur Tendo ZORA V + Rekontruksi N. Ulna + DID √ DW DM
,KH
Rekontruksi A. Ulna
Corpal Esofagus Esofaguscopy Ekstraksi Korpal B AYU √ DW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
IM, RE
Nefrolithiasis Dextra PCN Dextra + Nefrostomi KH,KH MAS √ EV,AO,RI EV AO,RI
Benda Asing Kawat gigi palsu di esofagus Esofagotomi + Ekstraksi benda asing B RR √ EV AO,RI
Paraparese Inf e.c Tumor MS VL III Laminektomi Kompleks KH MTA √ MW AM
Rekontruksi Gluteus dg Double Flap +

KH PJ √
Debridement
Multiple Ekstraksi Gigi Gabggren + Tambal Aziz,
TOF B,S DV √ GI,IS,RM AI
11 gigi karies IS
MAR + Fistel Recto Vestibula on Colostomy PSARP PTY
Aziz,
MAR on Colostomy Post PSARP Stimulasi Otot Perineal B RR √ AI
IS
Aziz,A AI,IS,
Fibrous Displasia os temporal kanan Ekstirpasi Massa + Mastoidektomi S,B DAT √
M NI
Mata Kiri Afakia Mata Kiri Secondary Implant (iris claw) WIS YW,MK,RA
Mata Kanan Katarak Senilis Imatur +

Proliferatif Diabetikum Retinopati
Mata Kiri Katarak Traumatika + Leukoma
Mata Kiri ECCE + IOL RF
Adheren
Mata Kanan Kiri Pseudofakia Mata Kiri Buka Jahitan RF
Mata Kiri Katarak Komplikata Mata Kiri Phaco + IOL AL
Mata Kanan Kiri Glaukoma Kongenital dd YW,

Mata Kanan Kiri Trabekulektomi B,B FI √ HR
Juvenile SE
Mata Kanan Mata Kiri PACG + KSI Mata Kanan Trabekulektomi FI

Leiomio Sarcoma St II Klinis Surgical Staging KH MZ √ II,UM MT II,UM
Embolektomi KH WW √
Mata kanan Proptosis ec suspect massa

Mata kanan orbitotomi anterior + Cryo + PA KH,KH AK √ TM UM II,TM
retrobulbar
Fr. Dislokasi Bahu ORIF KH DID
Adenosquamous Esofagus Laparatomi Jejunustomi Feeding + Biopsi B JS √ TD,HI HI TD
Abses Hepar Laparoscopy Drainase Abses Hepar KH PB √ VQ VQ TD
TW,
Polip Adenoma Intra Mukosa Ca Saekum Laparoskopi Hemikolektomi Dex KH MG √ AD
DA
Wide Eksisi + Rekontruksi dgn STSG + FS

Tumor Kulit c/ ganas T4BN3M0 B,KH BIS AZ,DB DJ AZ
(bebas Tumor)
Papilary Ca Thyroid T3N0M0 Stg I Total Thyroidectomi KH BIS DJ DJ
TMD C/ Ganas MRM KH DWT √ EA GI
Ca Mammae Wide Eksisi B DWT √ NI AM
Skin Loss, Skin Nekrotis reg Scalp Rekonstruksi Scalp KH ETH √ TA,MY ER TA,DN
Tumor Kulit Reg Pipi Kiri, Skin Avulsi Reg

Eksisi Luas B BIS √ DN ER DN,TA
Cruris
Rekontruksi Pasca Keganasan (pipi) +
KH,B ETH √
Rekontruksi Flap(Cruris Sin)
asi OK 7 Diperbaiki mulai j 15.00
Mata Kanan Katarak Juvenile, Mata Kiri
Mata Kanan PHACO + IOL KH LN √ NK,DI NK DI
Pseudofakia
Mata kanan kiri PDR + Mata kanan Sub

Mata kanan Vitrektomi KH AL √ MF DI NK,MF
Hyaloid Haemorhage
Mata Kiri TRD + VH ec PDR Mata Kiri Vitrektomi + Gas C3F8 KH AL √ NK DI,MF
Mata kanan TRD + Vitreus Haemorhage +

Mata kanan Vitrektomi + Phaco + IOL KH,KH AL √ TR
KSI
Disc Herniation Cervical III - IV Anterior Disektomi (Laminektomi Kompleks) KH AJ √ LW,SF LW SF,
Fusi Anterior Cervical + Para Isntrumen

KH HY √ ANM
ACDF di C3-4
LW
SOL Cerebellum Craniotomi Mikro Ds Tengkorak KH DP √ ANM SF
,ANM
Fr. Kompresi V tgh 5 ec s/ Scwanoma PSRS (Istrumentasi + FUSI) KH APR √ PR,AP PR PR
Lamimectomi Dekompresi th XII + Biopsi KH DID √
OA genu Joint sinistra Ganti Sendi (Arhtoplasty) KH DRY √ PL AP PR
Fr Femur Sin ORIF Fr Femur Sin KH BIN √ ES AT
Avulti Fr. Tibia eminen Arthroplasty + Debridement S,S BIN √ ES NI
BJ.11 EN,MA,SE EN,

CAD 3VD CABG High Risk + MVR SF √
BJ.09 BP,SS,AS MA
Fr. Costae Sinistra Thorakotomi ORIF Costae KH ALI √ WI VT
Kejang Demam Berulang Lumbal Pungsi B ALIF √ NP,YS YN AL
IDC Gr II MD post Mastectomi Wide Eksisi + Diseksi Aksila B,KH UUD √ YS NP
SNNT Isthmolobectomi Dex KH YAN √ AL,YN NP AL,YN
Adeno Ca Rectie 1/3 Distal Sigmoidostomi ERI
Tumor Ginjal Kanan Laparatomi Biopsi KH WAN √ AH,RG,PM RG AH,PM
BIN +
Wound Dehisence Pelvic Debridement + Drainage + Ekslporasi Buli
MAS
R GRD : AG SORE PROGRAM :AI,CA,TW,AM,NI,DW,AD,BY,BD,DM,VT,EA,ES,HR,WI,PS,MW,SR,ST,TR ALAT : PUR,ET
Post ORIF Removal nail B DID √ DW
Bronkoscopy KH AVIS √ MW
Bronkoscopy KH AVIS √ MW
Plegmon Dasar Mulut Incisi Abses dg Penyulit KH RP √ BD WI
CKD Pasang Double Lumen + C-Arm K AS √ IS SC
Pneumothorax Sin Pasang WSD S ALI √ RE SL
Hidroneumothorax Dex Esofagitis Pasang WSD S ALI √ RE SL
Peritonitis Generalisata ec Susp Pefrorasi Laparatomi Explorasi Appendictomi KH RR √ DA AU

Apendik
Striktur Esofagus ec Massa Duodenum Laparatomi Jejunustomi Feeding KH ERI √ IM HE
Peritonitis Generalisata Laparatomi Explorasi + Omental KH MG √ DY ST
Ganggren Cruris Pedis Dex Amputasi Above Knee KH AS √ VT NI
EDH r/ Frontal sin et dex Craniotomi KH AJ √ SA DA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
IM, RE
CKD post CAPD Repair CAPD S MAS √ GI,AF,RI

Massa Supraglotis LD + Ekstirpasi Massa S RR √ RI AF,GI
Laparoskopi Drainase Abses Hepar

Abses Hepar KH PB √ AF GI,RI
Adhesiolisis
Adeno Ca Recti Musinous dg Asites Drainase Asites S PB √ GI AF,RI
MAR tanpa Fistel on Colostomy PSARP KH PTY √ AI,IS,RM Aziz
MAR + Fistel Recto Vesibula on Colostomy PSARP EDW
Maloklusi ec Multiple Fr Tlg Wajah Rekonstruksi Terbuka Maxilla KH RP √ VT YS

Reposisi Terbuka Mandibula KH DV √
Massa Dorsum Nasi Ekstirpasi Massa S WY √ VT YS
Mata Kiri Katarak Senilis Imatur Mata Kiri ECCE + IOL INA YW,MK,RA
Mata Kanan Kiri Glaukoma Neovaskuler Mata Kiri Trabekulektomi FI
Mata Kanan Desenterasi IOL Mata Kanan Eksplantasi IOL WIS
Mata Kanan NPDR Moderate + Mata Kiri
Katarak Komplikata
Mata Kanan Pseudofakia ( Iris Claw), Mata
Mata Kiri Secondary Implant ( Iris Claw) WIS
Kiri IOL Drop
Mata Kanan Kiri Subluksasi Lensa Mata Kanan Ekstraksi Lensa RF
Mata Kanan Kiri PDR, Mata Kiri KSI Mata Kiri Phaco + IOL RF
CKD AV Shunt WW
RSK + Hipertrofi Konka + Septum Deviasi FESS III + SR + Konkoplasty KH,B,S RH √ CA,UM,TM
TAH + SalpingoOoforectomi Other Removal

Mioma Uteri KH,KH EW √ UM TM
Ovarium
Laparatomi Adhesiolisis Kompleks , repair
KH ERI √
Laserasi Ileum
Mioma Uteri TAH + BSO KH,KH EW √ TW AT
Laparotomi Gastro jejunustomi,

Tumor Intra Abdomen, Obs Jaundice Cholecystojejunustomi, Jejunojejunustomi + KH,KH MM √ TD,HI,VQ VQ TD,HI
Biopsi Hepar
Tumor Duodenum Laparatomi Triple By Pass + Biopsi KH MG √ DY
Adeno Ca Rectie 1/3 Distal Sigmoidostomi ERI
SNNT Reg Colli Sin c/ Ganas Isthmolobectomy + FS, Ganas - TT KH,KH BIS AZ,DB,DJ DB DJ
Tumor Parotis Sinistra C/ Ganas Insisi Biopsi S BIS DJ DB,AZ
SNNT Isthmolobectomy + FS, Ganas TT DWT
Ulkus Dekubitus Gr IV Debridement KH ETH √ DN ER,NO
Ulkus Granulosum Post Debridement Debridment B ETH √ TA,ER,DN ER NO,DN
DN,
Ulkus Granulosum ec Debridement + STSG KH NJT NO,ER
ES
Mata Kanan Proptosis ec Small round blue Mata Kanan Eksenterasi Parsial + Biopsi +
KH AK √ NK,DI,MF DI NK,FM
cell tumor+Mata Kanan Kiri Pseudofakia PA
Mata Kanan Scleral Buckle + Vitrektomi +
Mata Kanan Ablatio Retina KH AW √ NK DI,FM
Endolaser + Gas C3F8

Mata Kanan Ablatio Retina KH AW √ DI NK,FM
EL + SO
Mata Kanan IOL Removal + Vitrektomi +

Mata Kanan Luksasi IOL KH,KH AW √ TR
Secondary Implant
SOL Temporo Parietal Craniotomy Konveksitas KH MTA √ LW,SF SF LW,
Fiksasi Internal Tulang Kranial B AJ √ ANM

Intra Operatif Monitoring KH Aris √
Meningioma Craniotomy Mikro Dasar Tengkorak KH ZM √ ANM IS BY
Fiksasi Internal Tulang Kranial B AJ √

Stenosis Canalis Cervical 4-5 KH,KH APR √ PR,AP,PL PR AP,PL
Fusi
Genu Varus Sinistra Osteotomi + ORIF + Gips B,KH,K APR √ PR AP
KH,B,K
Non Union Fr Post Implant ORIF + Lepas Implant + Bone Graft APR √ BD AD
H
Fr Malleolar Lat & Medial Multiple Fraktur - ORIF KH DRY √ AD BD
Wire Exposed Post ORIF Implant Exposes (Removal Implant) B BIN √ AM MW
BJ.09 EN,MA,SE
ASD Repair Katup Tricuspid + ASD Closure WW √ MA EN,SE
BJ.03 BP,SS,AS
KH,KH
NOK c/ Ganas TAH + BSO + Omentectomi + FS EN √ NP,SU,YS NP PS,SU
,S
NOK c/ Ganas TAH + BSO + FS KH,KH EN √ SU NP,PS

Tumor Reg Inguinal Femur Sin Insisi Biopsi + PA S YAN √ AL,YN,PM PM YN,AL
Ca Mamae Laparoskopi Bilateral Ooforektomi KH YAN √ PM AL,YN
Limfadenitis TB II-III Limfadenektomi Biopsi S YAN √ PM AL,YN
Obs. Pansitopeni BMP B NYO √ RG AH
Hernia Inguinalis Dx Reponible Hernioraphy + Mesh B ERI √ AH,RG RG AH
Ca Cervix St III B, Metas Vulva Wide Eksisi Vulva B MZ √ AH RG
R GRD : AG SORE PROGRAM :II,TW,AM,NI,AT,AD,BY,BD,VT,DY,EA,ES,MK,PS,MW,SR,ST,TR ALAT : PUR,ET
Impacsi Odontectomi 2 Rahang KH OEN √ ES AT
CKD Pasang Doble Lumen K WW √
Ca Laring Laringoskopi Direk + Businasi S,K DAT √ TR
Ca Mammae Wide Excisi + Diseksi Axila B,KH DWT √ NI AT
Ca Mamae Sin Wide Excisi + Diseksi Axila B,KH DWT √ NI II
Disfagia Esofaguskopi B DAT √
Selulitis Debridemant luas + Insisi Drainase S,S AS √ AT AM
CKD AV Shunt KH AS √ MP ND
Avulsi tibia plateu sin Gips K DID √ AP PR
Prostat Hyperplasia + Hernia TURP KH MAS √ AY AR
Hernioraphy + Mesh B MM √
Ca Cervix st IIIb, HN + HU Duplex URS Kanan + Psg DJ Stent Kanan KH,B WAN √ AY AR
G3P1A1, PEB SCTP + MOW dg penyulit PEB B OP √ Gatot RI SL,NH
Gagal Nafas Traceostomi S WY √ AD AM
G3P2A0, Hml 36mg, Ca Ovarii SCTP dg penyulit B OP √
CKD Pasang Doble Lumen K ALI √ MK
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
TR,RE
CKD Stg V on CAPD + c/ Striktur Uretrocystoscopy KH ADS √ EV,AO,RI AO EV,RI
Squamous cell Ca uteri suspect Sistoscopy S ADS √ AO EV,RI
Varicocele Sin Gr III Microscopic Vericocelectomy Sin B ADS √ EV AO,RI
Hipospadia Penoscrotal Uretroplasty Tahap II KH ADS √ AO EV,RI
Nefrolithiasis Bilateral + Ca Buli Sectio Alta B WAN √
Mka Katarak Kongenital, Mki Afakia. MAR +

Laparatomi Fistulektomi + Re PSARP KH,B EDW √ GI,IS,RM Aziz
Fistel Recto Vesica post PSARP
Mata kanan Ekstraksi Lensa + PPC +

KH LN √
Vitrektomi Anterior + PI.
Tumor Intra Abdomen + Scrotum Dextra Biopsi Testis K EDW √ IS Aziz
Laringoscopy Direct + Ekstirpasi Nodul Plika

Nodul Plika Vokalis S AYU √
Vokalis
OMSK Dextra Siistra c/ Kolesteatoma Radikal Mastoidectomi KH AYU √
OMSK Dupleks c/ Kolesteatoma Thimpanoplasty Teliga Kiri KH PW √ ES
WU,
Mata kanan KSI Mata kanan Phaco + IOL KH AK √ YW,RA YW
RA
Mata kanan lepas jahitan konjungtiva +
Mata kanan post eksisi melanoma maligna AK
Eksisi konjungtivalisasi
Mata kanan grave's opthalmopaty Mata kanan Inj. TCA Peribulber + Submuller AK
Mata kanan Secondary Implant ( iris claw ) +

Mata kanan Afakia WIS
Vx anterior
Mata kanan pseudofakia + PCO + Mata kiri
Mata kiri Phaco + IOL WIS
KSI
Mata kanan Vitrectomized eye, Mata kanan
Mata kanan Phaco + IOL AL
kiri KSI dd katarak komplikata
Mata kanan KSI + Vx eye, Mata kiri afakia +
Mata kanan Phaco + IOL AL
Ablatio Retina
Mata kanan PACG + KSI Mata kanan trabekulektomi FI
YW,
Mata kanan glaukoma juvenile Mata kanan trabekulektomi B MR RA
WU
Mata kanan PAC, Mata Kiri PACG Mata kiri Phaco + IOL KH MR √ MK DI
Mata kanan amnion membran transplant
Mata kanan ulkus kornea DN
( AMT )
P0A0 17 th, NOK c/ ganas SOS + Omentectomui + FS B,S OP √ CA,UM,TM
Mioma Uteri + Kista Ovarii, Riwayat Asma,

Laparatomi SOD + TAH + Adhesiolisis + FS B,KH,S EWA √ UM TM
HBSAg +
RSK + SD + Konka Hipertropi FESS III + CWL + Konka Reduksi KH,B,S RH √ SE
Tumor Recto Sigmoid Laparatomi Reseksi Tumor Besar + Packing KH ERI √ SE PS
Fistula Recto Vagina Colostomi + Repair Fistula B,KH ERI √ II,HR NO
Cholelithiasis Laparascopy Cholesistectomi KH JS √ TD,HI,VQ HI TD, VQ
Hernia Ing Dextra Laparascopy Hernia KH JS √ VQ TD
Cholesistolithiasis Laparascopy Cholesistectomi KH JS √ II NO
Invasive Ca Mammae MRM KH BIS √ AZ,DB,DJ PJ AZ,DB
Philoides tumor mammae dextra T4N0M0 MRM KH UUD √ AZ DW
SNNT Isthmolobectomy + FS, Ganas TT DWT
Limpadenopati Colli Limpadenectomi Biopsi S DWT NI NO
SOL dengan nodul paru Thoracotomi KH ALI √ PM AS,VT
Malformasi vaskuler Inj. Polidocanal (Scleroty Agent) S RZ √ TA DN,ER
Ulkus DM Pedis Dextra Debridement ETH TA,ER,DN
Ulkus DM Pedis Cruris Sin Debridement + STSG KH ETH √ DN ER,TA
Bone Exposed reg fronto parieto occipital Rekonstruksi Scalp + Kraniektomi KH ETH √ ER TA,DN
Kraniektomi KH ER √
Rekonstruksi Fr. Tulang Wajah Kompleks +

Fr. Segmental Mandibula KH,KH PJ √
Bone Graft
Reposisi + Gips S DID √
Mata kanan traumatika + Laserasi kornea + Mata kanan Ekstraksi lensa + Vitrektomi
KH,S LN √ NK,DI,MF NK DI,MF
CV Hemoragik Anterior + Hecting Cornea
Mata kiri Retinal Detachment Mata Kiri Vitrectomi + EL KH AL √ DI MF,NK
Mata kiri non clearing vitreus hemorrage Mata kiri Vitrektomi AL √

Mata kanan Vitrektomi + Evakuasi SO +
Mata kanan SO Filled Eye + Afakia KH AL √ DI MF,NK
Secondary Implant
Mata kanan massa cantus medial Mata kanan wide eksisi massa cantus TL +
( Squamous Cell Carsinoma ) medial + FS + Rekonstruksi + MMC INA
SF,
Meningioencefalokel Rekonstruksi Cranium KH ER √ LW,SF LW
ANM
Tumor Medula Spinalis Laminektomi Kompleks KH AJ √ ANM DY AT
Laminektomi Tumor spinal KH DP √
Cranial Defect Cranioplasty KH DP √ AT DY
Union Fr. Tibia Fibula & Pelvis Lepas Implant Pelvis + Tibia Fibula B,B,B APR √ PR,AP,PL
OA Hip Joint Dextra THR Dextra KH APR √ AP PR,PL
Massa Vertebra L-5 Metas Thyroid Laminektomi + Biopsi B APR √ MW
Osteocondroma Scapler Sin Eksisi + PA DID
Ruptur PCL Rekonstruksi PCL KH BIN √ MW MK
EN,MA,RG, EN,
MS Severe, MR Moderate MVRepair + TVRepair BJ.08 SF √ RG
BP,SS,IM MA
VSD PM Meluas Ke Sub Pulmonal VSD Closure BJ.04 WW √ PM,SE,AS
P2A0 42 tahun, NOK dengan bag padat SOU + FS B PS √ NP,SU SU TW
Limfadenectomi Pelvis Retroperineal Bilat +

B EN √
Limfadnectomi Paraaorta
Mioma Uteri dd/ sarcoma uteri Histerektomi Total Adominal + BSO KH,KH EN √ TW SU
Insisi Biopsi + Limfadenectomi KGB Colli sin

Tumor Maksila Sinistra c/ Ganas T4N2aM0 S,S YAN √ AL,YN AL YN
+ PA
Cholesistolithiasis Laparascopy Cholesistectomi KH MM √ YN AL
Tumor Mandibula Hemimandibulektomi + Rekonstruksi DV
Impaksi Odontectomi 2 Rahang KH DV √ AH,NO,YS
YS,
Impaksi gigi 2 rahang Odontectomi 2 Rahang KH RP √ AH
NP
RR GRD : AF SORE PROGRAM : II,TW,AI,ST,SR,SE,PM,NI,AG,AT,DY,MW,MK,PS,EA,VT,AD,AS ALAT : PUR,ET
Hidronefrosis URS KH MAS √ JF AY,AR
Striktur Uretra Uretroskopi Sachse Biopsi Ureter KH MAS √ JF AY,AR
Bilateral Batu Ureter Litotripsi KH MAS √ AY AR,JF
Batu Ren Terpasang DJ Stent Sistoscopy Lepas DJ Stent S MAS √ AY JF,AR
Pielolithiasis + Uretrolithiasis Dextra URS + DJ Stent R - L KH,B WAN √ AY JF,AR
Fr Tibia Fibula 1/3 tgh gr IIIA ORIF Fr Tibia Dex KH BIN √ PS NO
Mata Kiri Ablasio Retina Mata Kiri Vx + EL + Gas KH AL √ HR

Mata Kiri Laserasi Kornea gr IV Susp Mata Kiri Jahit Kornea + Reposisi Iris +
S,K,S TL √ RE TR
Endoftalmits Eksplorasi Bulbi
ICH Craniotomi KH HY √
SCTP + Pasang IUD B BE √ Gatot DM BD
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
TR,RE
Masaichisme, UDT Dextra et Sinistra + Sistoskopi + Orchidopexy Dex +

S,KH,B ADS √ EV,AO,RI AO EV,RI
Hipospadia Orchidectomi Sin
CKD On CAPD Aff CAPD S ADS √ RI EV, AO
Mata Kanan Proptosis e.c Massa Mata Kanan Orbitotomi Lateral + Incisi
KH,S TL √
Retrobulber Biopsi
MAR + Fistel Recto Vesibula on Colostomy PSARP KH EDW √ GI,IS,RM RM Aziz,GI
Gagal Jantung NYHA IV, Ascites Drainase Ascites S EDW √ MP Aziz,GI
Tumor Mandibula Hemimandibulektomi Dex KH DV √
Rekontruksi Mandibula Dex Bridging Plate KH RP √
OMK Dry Ear Duplex Tympanoplasty Kiri KH AYU √ AD NI
Tympanoplasty + Mastoidectomi Simple

OMK Dry Ear Duplex KH,B AYU √ AM PS
Kanan
Mata kiri Rekonstruksi Palpebra
Mata kiri coloboma palpebra superior INA
Advancement
Mata kanan Pseudotumor Mata kanan Inj. TCA Retrobulbar AK YW,HA,RA
Mata kanan katarak senilis imatur Mata kanan ECCE + IOL RF
Mata kanan afakia, Mata kiri KSI Mata kanan secondary Implant ( iris claw ) RF
Mata Kanan PACG + KSI + Mata Kiri PACG YW,

Mata Kiri Trabekulektomi B MR √ RA
+ Eksaserbasi Akut + KSI TR
Mata kanan KSI Mata kanan Phaco + IOL AW
NOK, Mioma Uteri Multiple Miomektomi + SOD B,B MZ √ WU,UM,TM UM WU
UM,
RSK + SD Pasca FESS + SR FESS III + Septum Koreksi + Konka Reduksi KH,B,S RH √ TM
WU
RSK + SD + Polip Sinonasal FESS III + CWL + Konka Reduksi KH,B,S RH √ WU UM,TM
Epistaksis Hidung Kanan Ligasi Arteri Suprapalatina KH ANA √ TW EA
Tumor Rectum 1/3 distal C/ Ganas,

Colostomy + Biopsi Rectum B,S ERI √ TD,HI,VQ HI TD,VQ
T4bNxM0
Tumor Intra Abdomen Laparotomi Biopsi B ERI √ VQ TD,HI
Gist Ileal Eksisi Tumor ERI
Ca Mamae MRM Sinistra KH BIS √ AZ,DJ ER
Ca Mamae Sinistra MRM KH UUD √ AZ,ER,DJ DJ AZ,ER
Debulking Tumor Thyroid Dex

SNNT Sinistra C/ Ganas T4N1bM1 KH DWT √ CA NO
(Isthmolobektomi )+ FS,
Hemangioma Regio Colli Sisi Dextra Eksisi + Rekontruksi KH RZ √ DN TA
Ulkus DM Pedis Dextra Debridement + Disartikulasi MTP 2,3,5 B,B ETH √ TA,DN DN TA
Pemasangan CVC KH VL √
Plasmasitoma + Defek Maxilofacial Wide Excisi B YAN √
Rekonstruksi Pasca Keganasan KH ETH √
Fr. Humerus 1/3 Tengah Dextra Ttp. NK ORIF Humerus Sin KH DID √ HI TD,VQ
Fr. Patela Dextra ORIF Fr Patella KH BIN √ DY
Mata Kanan Kiri Trabekulektomi + KH,KH

Mata Kanan Kiri Glaukoma Kongenital LN √ NK,DI,MF DI NK,MF
Trabekulotomi + MMC KH,KH
Mata Kiri VH Non Clearing Mata Kiri Vitrektomi + EL + MP + SO KH AW √ NK DI,MF
Mata Kanan PDR + TRD Mata Kanan Vitrektomi+ EL + MP + SO KH AW √ NK DI,MF
Mata Kanan Afakia + Luksasi Lensa Mata Kanan Vitrektomi + Secondary Implant KH,KH AW √ DI MF,NK
Mata Kiri Ulkus Kornea Perforasi Mata Kiri Flap Konjungtiva S DN √
SOL Intra Cranial Kraniotomi Mikro Ds Tengkorak KH DP √ LW,SF SF LW
Mikroadenoma Hipofise Bedah Mikro Transfenoid KH ZM √ ANM LW SF,ANM
Meningioma Konveksitas Kraniotomi Dasar Tengkorak KH ER √ AU SE
Laminektomi Dekompesi + Internal Fiksasi

Canal Stenosis Lumbal KH,KH APR √
Fusi
Fr. VTH 12 Laminektomi Dekompresi Vth XII KH DID √ PR,AP,PL PR AP
Fr. Femur Dextra ORIF Femur KH DRY √ AN AR
Fr. Avulsi Os Humerus Sinistra ORIF Shaf sin KH DID √
Fr. Clavicula Sinistra ORIF Sin KH DID √ MK YS
EN,MA,RG, EN,
MR Severe MVR BJ,09 SF √ RG
BP,SS,AS MA
ASD ASD Closure BJ.03 WW √ VT,NI,IM VT NI
Prolaps Uteri TVH + Kolporafi Anterior KH,KH ER √ NP,SU,BR SU AH,NP
Tumor ginjal Sinistra URS + Evakuasi Blood Clot + Biopsi Pyelum KH,S MAS √ BR SU
YN,
SNNT Bilateral C/ Ganas RND KH DH AL,YN AL,NP
AL
STT Insisi Biopsi S DWT √ MY YN
Mioma Uteri + NOK Histerektomi Total Abdominal + BSO + FS KH,KH EN √ AH,MY AH MY

GRD : AF SORE PROGRAM : NO,TW,AI,AN,AR,AG,RE,AD,EA,MW,MK,YS,PM,SE,SR, AU ALAT : PUR,ET
Fr Multiple Metacarpal, mata Kanan
ORIF Fr Zygoma KH WY √ AG NO
Laserasi Palpebra
Mata Kanan Rekontruksi Palpebra S INA √
Hidronephrosis URS + DJ Stent KH,B MAS √ BR NP,SU
Osteocondroma Scapula Sin Eksisi Tumor + PA B DID √ MK YS
Fr Humerus Dex ORIF Humerus KH DRY √ AN YS
Post PSARP, Stenosis Anus Colonoscopy KH MM √ MR EW
Kompartment Sydrum Fasiotomi B ETH √ ES WI
Pasang CVC KH HR √
Benda Asing Koin di esofagus Esofaguscopy Ekstraksi benda asing B MYS √ BD WI
Laparatomi Explorasi Colostomi + Repair

Burst Abdoment ec Peritonitis Generalisata KH ERI √ SL SC
Burst Abdoment
SL,NH,
G5P4A0, Hml 40mg, Letak Sungsang , KPD SCTP + MOW B PS √ HE
SC
SL,SC,
Abses Pedis Sin Debridment B ETH √ HE
NH
G2P1A0, Hml Aterm, Letak Lintang Histerektomi KH OP √ Gatot SR MW
Laparatomi Eksplorasi + Sistostomi KH,B,K WAN

Leakage Buli RE MW
Permanen + Adhesiolisis H
Syaraf Decomfresi Laminektomi Kompleks KH AJ √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
AU,TR
Hipospadia, Ambigus Genitalia Uretroplasty KH ADS √ EV,AO,RI RI EV, AO
Ca Buli TUR Buli KH ADS √ EV AO,RI
Tumor Buli c/ Ganas + Hidronefrosis Nefrostomi Dex + Insisi Biopsi KH,S ADS √ AN
Nefrolithiasis Post PCN + DJ Stent Nefroskopi + Aff DJ Stent KH,S MAS √

Atresia Sigmoid Duhamel Prosedur + Stepler KH EDW √ GI,IS,RM AZ GI,CA
Aziz,
RSK + Polip Nasi Duplex + SD FESS III + SR + Konkoplasty KH,B,S RH √ GI
CA
RSK + Polip Duplex FESS + CWL Kiri KH,B ANA √ AI MK
Wound Dhiscense reg hemithorax sin dg

Thoracoplasty KH ALI √ VT AG
fistula pleura kista post thoracotomi 8 th yll
Ulkus Granulosum reg pedis dex Debridement S ALI √ NI NO,ES
Mata kanan Kiri KSI Mata kanan Phacoemulsifikasi + IOL RF

Mata kanan Eksplantasi IOL + IOL
Mata kanan Desenterasi IOL AK YW,RA
Exchange
Mata Kiri Subluksasi IOL Mata kiri IOL Exchange AK
Mata Kiri Katarak Komplikata Mata kiri Phacoemulsifikasi + IOL AL
Ca Mamae, Efusi Pleura Drainase Permanen Cavum Pleura (WSD) S WW √ YS
Laparatomi Miomektomi + Rettrperitoneal

B,KH,B
Tumor Ovarii Debulking + Kistectomi Dex + Adhesiolisis EW √ WU,UM,TM
,S
Simple
Laringomalasia Laringoscopy Direk + Tracheostomi DAT
TB Laringoscopy Direk + Biopsi S DAT √ UM MT
RSK FESS + Konkoplasty + SR KH,S,B DAT √ TD ES
Massa Labial Superior kiri Ekstirpasi Massa Labial B DAT √ RE ES
HR,
Cholelithiasis Laparascopy Cholesistectomi KH JS √ TD,HR,VQ TD
VQ
Laparotomy Exploraso Hemikolektomi

Tumor Colon Asenden KH JS √ HR TD,VQ
dextra Anastomose E to E Ileo Transversal
Mata kanan Massa Cantus Medial Mata kanan Wide Eksisi Massa Cantus
TL
( Squamous Cell Carsinoma ) Medial + FS, Rekonstruksi + MMC
Tumor Mammae Sinistra c/ Ganas

Insisi Biopsi + PA S BIS ER
T4bN3cM0
Efusi Pleura Pasang Mini WSD S UUD √ AZ,ER,DJ ER AZ,DJ
Eksisi Biopsi + FS, Ganas - Simple

TMS c/ ganas B,KH UUD √ DJ AZ,ER
Mastectomi
Ca Mamae MRM KH UUD √
TMD c/ ganas T4bN1M1 Insisi Biopsi B UUD √
Ulkus Granulosum reg Manus Dextra et

Debridement Luka Bakar KH RZ √ MW DN
Sinistra
Malformasi Vaskuler Vena Reg Digiti II

Eksisi KH PJ √ TA,ES,DN DN TA
Pedis Dextra
Ankylosis Digiti II-V Dex + Sin Rekontruksi Negleted Case KH DRY √
Fr. Humerus Dextra ORIF Humerus DRY

Mata kanan Vitreous Haemorhage Mata kanan Vitrektomi + EL + Gas SF6 KH AL √ NK MF,DI
Mata kanan Vitreous Haemorhage Mata kanan Vitrektomi + EL + MP + gas SF6 KH AL √ NK,DI,MF DI NK,MF
Mata kanan TRD Mata kanan Vitrektomi + EL + Gas SF6 KH AL √
Mata kanan kiri PDR, Asteroid Hyalosis Mata kanan Vitrektomi + EL + SO / Gas KH AW √ DI MF,NK
Mata kanan Kiri PDR, Mata Kiri Glaukoma

Mata kiri Vitrektomi KH AW √ MK
Neovaskuler
Tu Medula Spinalis VTH 9 -10 Laminektomi Internal Fiksasi KH HY √ LW,SF ND AD
Evakuasi Tumor Spinal Thoracal KH AJ √
Intra Operatif Monitoring KH Aris √
Chordoma Traspenoid Surgery KH MTA √ ANM LW SF,ANM
Laminektomi Internal Fiksasi Koreksi

Scholiosis KH,KH APR √ PR,AP,PL AP PL
Skoliosisi + Fusi
OA Genu Dextra TKR Dextra KH BIN √
Lose Body Genu Dextra Artroscopy Reposisi S BIN √
OA Genu Dextra TKR Dextra KH BIN √ AS II
EN,MA,RG,
MR Severe MVR SF
BP,AS,DW
KH,KH
Prolap Uteri Gr II + Sistokel Gr III TVH + KA + KPR ER √ NP,SU,BR NP SU
,KH
Sistokel Gr II Kolporafi Anterior KH ER √ SU NP
Parsial Ooforectomi Dex + Wide Reseksi
Kista Ovarii KH,B MZ √ AL,YN AL EV, AO
Ov. Sin + Miomektomi + FS
Adenotonsilitis Kronis Hipertrofi Adenotonsilektomi B RR √ YN AL
AF,
Impaksi Gigi 18,28,38,48 Odontektomi 4 gigi KH DV √ AH
MY
Limpadenopati Inguinal Wide Excisi B DWT √ AH,MY MY AF,BR
GRD : AF SORE PROGRAM : NO,TW,AI,AN,AR,AG,NI,RE,AD,VT,JF,MW,MK,YS,ND,SE,SR ALAT : PUR,ET
Selulitis Cruris Sin Amputasi Below Knee KH AS √ DY
Injeksi Valkomisin Intravitreal S MR √ IS YW,RA

Myassenia Gravis Laringoscopy Flaxible B RR JF
Ca Mamae, Efusi Pleura Drainase Permanen Cavum Pleura (WSD) S WW √ YS
Hemoptoe Bronchoscopy KH FRD √
G2P1A0, SCTP B PS √ AT II
ORIF Multiple (Metatarsal II - IV , Phalang II II,NH,

Fr Metatarsal Pedis Dex KH,KH DID √ DY,TR
- I) SL
STSE + STSG KH RZ
Tumor Retro Gaster Supra Renal Laparatomi Aff Packing KH ERI √
Fistel Recto Vesika Sistostomi Open B EDW √ AU SE
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NK,TA,UM,
SU,EW
EV,RI,YW,RA,CA,SL,HE,AZ,DJ,DN,RI OK 7 PERBAIKAN LAMPU
AL,YN,MY,AY,YR,US,BR,GN,MR,AK
Hidrocephalus VP Shunt KH GK √ AI,TU,RM Aziz
Ca Thiroid Repair Tracheostomi S ALI √
Histeroskopi Polipectomi + Ekstirpasi

Mioma Geburt KH HR √ TW,AO,TM AO TM,YN
Mioma
Hematom Subcutan Post SC Hari Ke-18 Debridement + Draimase Abses S,S RZ √ TD,ES,VQ VQ ES
Mata Kiri Ekstraksi Lensa + PPC + PI + Vx

Mata Kiri Katarak Kongenital, Mka Afakia KH LN √ HR,DI,MF DI HR
Anterior
SOL Temporo Parietal Sin Craniotomi Tumor Konveksitas KH DP √ SF,AU,ANM AU SF
Pasang CVC KH TA √ ANM
Fr Pelvis, Fr Femur ORIF Shaft Femur KH DRY √ PR,AP,PL PR AP
Epilepsi Spastik Psg Gips Sirculer Plaster S DRY √ AP
Ruptur PCL Rekonstruksi PCL KH BIN √
EN,MA,RG, VT,
VSD SADC VSD Closure BJ.04 SF √ MA
BP,AS,DW EN
Konsolidasi Paru ( HBSAg + ) Bronchoscopy KH THOM √ YR MR
SORE PROGRAM :RK,AN,NI,RE,WD,VT,HI,IS,JF,MK,YS,ND,SR,NH ALAT : PUR,ET
Dypeuna Jakson II Traceostomi DAT √ WD YS

S
Hidrocephalus VP Shunt AJ √
KH
Hidrocephalus VP Shunt KH AJ √ IS BR,RI
Wound Dehisence Post Orchidopeksi Rehecting S ADS
Mata Kiri Proliferatif Diabetic of Retinopati + Mata Kiri Vx + MP + MP + SO AW √ MK RG

Traksional Retina Detachmen KH
G2P1A0, Hml 37mg, Bekas SC SCTP dgn penyulit + Pasang IUD B JD √ Adhie JF RE
Peritonitis Generaliata Laparatomi Eksplorasi Ometal Plug KH JS √ YS
Peritonitis Generaliata Peritonieal Drainage S JS √ MW WI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Limfapenopati Colli Limfadenectomi S YAN √ AG MW
ER,RK,
Apendicitis Apendictomi KH JS √ RI
ANM
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
ST
Ca Buli Radikal Cystoprostatectomy + Neobladder KH,KH MAS √ EV,AO,PL AO PL
Adhesiolisis Kompleks Reseksi Anastomose

KH ERI √ EV
Ileum
Stenosis Trachea Laringoscopy Direk + Ganti Kanul S DAT √ HA
Corpal Esofagus Thoracotomi + Ekstraksi Corpal KH,B ALI √ S:PM,ES
Tumor Paru Dx Thoracotomi Biopsi ALI
Empiema Thorax Dx Thoracotomi Explorasi Decortikasi KH ALI √ AF RE
ALL BMP NYO AI,YN,RI

ALL BMP NYO S : AM
Laparoskopi Repair Tutup defek Hernia

Hernia Diafragma KH,S PTY √ AI AI,RI
Diafragman + WSD
Mata kanan pseudofakia + sisa korteks Mata kanan Aspirasi Irigasi Sisa Korteks RF YW,HR,RM
Mata kiri pseudofakia + Glaukoma Sekunder Mata kiri Vitrektomi Anterior RF S:MK
Mata kanan kiri Pseudofakia Mata Kanan Buka Jahitan RF
Mata kanan kiri PDR, Mata kiri katarak
Mata kiri phaco + IOL AL
komplikata
Mata Kanan Glaukoma Sekunder Mata Kanan Trabekulektomi FI
Aziz,
Mata Kanan Kiri PACG Mata Kiri Trabekulektomi B FI √ HR
YN
Arachnoiditis Lumbal Pungsi K AJ Aziz
UM,
Tumor Mandibula Susp Mandibula Hemimandibulektomi KH OEN √ TW,UM,RA TW
RA
Rekontruksi Plating dg 6 Screw KH RZ √
UM,
CKS, Fr Maxillo Facial, Fr Mandibula Rekonstruksi Fr Tulang Wajah Kompleks KH RZ √ S:DA,SA TW,
SA
Disfagia Esofagus dd/ Striktur Esofagus Esofaguskopi + Wire + Fluroskopi + C-Arm MYS
Mono Arthritis Genue Odontectomi + Ekstraksi gigi KH,B DV √ DA,IS SA
Tonsilektomi S RR √
Fistel Colon Laparotomi Eksplorasi k/p Stoma JS TD,TM
Hernia Umbilicalis Hernioraphi B JS √ S:RG TM TD
Post PSARP Businasi K MM √ TD TM
Abses Hepar Laparoskopi Drainase Abses Hepar KH PB √ TM TD
Apendicitis Infitrat Laparatomi Appendictomi KH PB √ RG
Melanoma Maligna Wide eksisi + FS + Rekonstruksi FTSG B,B BIS √ AZ,TK,VQ TK AZ,VQ
Ca Folikuler Thyroid Completion TT KH DH TK VQ
Adeno Ca Folikuler Thiroid Dextra Total Thiroidektomi KH UUD √ S: IS IS AH
Multiple Limpadenopati Wide Eksisi B DWT √ SU
Defect Septum Nasi Rekonstruksi Hidung KH ETH √ TA,DW,DJ DJ TA,DW
Ulkus Granulosum Cruris Sin Debridement + STSG KH ETH √ S: SU DW TA
Fr Condylus Dx Mandibula + Fr Tibia Rekonstruksi Tulang Wajah KH ETH √ SU
ORIF KH BIN √
Tumor Rectum Distal c/ Ganas Colostomi B ERI √ RG SA, DA
Mata Kanan Kiri PDR + TRD Mata Kanan Vitrektomi KH AL √ NK,DI,DN DI NK,DN
Mata Kanan Kiri Pseudofakia + VH Mata Kiri Vitrektomi + EL + MP + gas SF6 KH AL √ NK DN,DI
Mata Kiri Redatchment of Retina Mata Kiri Vitrektomi + SB + EL + MP + SO KH AL √ DI DN,NK
Mata Kiri Katarak Komplikata + Silicon Filled

Mata Kiri Evakuasi SO + PHACO + IOL KH,KH AL √ S: HA HA
Eye
Mata Kiri Orbitotomi Anterior, Pro Orbital Fat

Mata Kiri Graves Ophtalmolopathy TL
Removal + Elongasi M.Levator Palpebra
Pineal Tumor Craniotomi Mikro Ds Tengkorak KH DP √ LW,SF,MF LW SF,MF

Spondilitis TB Laminektomi Komplek + Fusi Posterior AJ S: BR,SC
Fr Dislokasi Gleno Humerus Hemiartroplasty Shoulder DRY
Fr Angulus Mandibula + Fr Tibia Dx Rekonstruksi Tulang Wajah (IDW + IMW) KH NJT √ PR,AP,ANM PR,AP ANM
Multiple ORIF (Fr Tibia Dex, Metacrapal V, I) KH DID √
PR,
Fr. Clavicula Dextra 1/3 Tgh ttp.NK ORIF KH BIN √ S:MY AP
ANM
EN,MA,VT, EN,
CAD 3VD CABG High Rish BJ.11 SF √ VT
BP,AS,SS MA
S:
MR Severe MVR SF
AH,BD,IM
Adenomiomectomi (OSADA Procedure) +
Adenomiosis + Kista Ovarii B,B TF √ NP,WD WD NP
Kistectomi Ov. Kanan
S:
NOK Histerektomi Total + BSO + FS KH,KH EN √
TU,AD,DM
Uterus Miomatosus + DM TAH + BSO KH,KH EN √ NP WD
NOK TAH + BSO + FS KH,KH MZ √ AL,TR AL TR

Fistula Subcutocutaneus Ductus Fistulektomi B EDW √ TR AL
Ca Nasofaring T4N2Mo RND Dx KH YAN √ GI,ER ER GI
Tumor Mamae Bilateral C/ Jinak c/ FAM Eksisi Biopsi + FS B,B UUD √ DM TU
GRD : EA SORE PROGRAM : CA,WU,AU,AM,AD,BR,BD,DA,ES,HA,IS,MY,MK,PM,RG,SC ALAT : PUR,ET
Cloth Intravescia Sectio Alta KH WAN √ AN AY
SCC Shoulder Sinistra Wide Eksisi + FS Bebas Tumor B YAN √ GI ER
Lipomyelo Meningocele Laminektomi Komplek KH HY √ BR
Three Layer Rekontruction KH AJ √
Wound Dehisene Post Laminektomi Debridement + Rehecting B AJ √ AM MY,DM
TMS C/ Ganas Insisi Biopsi S DWT √ SU
Papiloma Laring, Dispnea Jackson II LD + Ekstirpasi Massa S DAT √ JF
Ruptur ACL Revisi ACL KH BIN √
DVT, DM Embolektomi KH AS √ JF RK
Selulitis Cruris Dex Debridment B DRY √ MK
Tetra Parese Spondilitis e.c Canal Stenosis Lumbal Pungsi K AJ √
CKD St V on HD Psg DL Long Term K AS √ SA IS
CKD st V dg Asites Permagna Repair DL akses Femoral K WW √

CKD, Ca Cervix Psg DL K AS √ IS SE
Vena Sectie K AS √ SA SE
Skin Deloving Dig II, II, IV Manus Dex Disartikulasi MCP Dig II, III, IV Manuds Dex B RZ √ AR MW
Neuroplasti - N Ulnaris + Repair Arteri
Ruptur Tendon + Ruptur A/W Ulnanis KH,KH DRY √ SL HE
Ulnaris
G1P0A0, blum ipartu, Hml 38mg SCTP B JD √ Adhie ST NH
ST,NH,
G3P1A1, Hml 30mg, PEB, PPI , DM SCTP + IUD B HR √ Gatot HE
SL
Higroma Subdural Kraniotomi Borr Hole KH AJ √ SL ST,NH
G4P1A2, Hml 31mg, PEB SCTP dgn penyulit + IUD B JD √ Gatot ST,BY
Hernia Ing lat Laparatomi Herniorhapy + Adhesiolisis KH,B JS
Thoracotomi Pericardial Window KH ALI √
Peritonitis Generalisata ec Perforasi Laparatomi Explorasi + Omental Plug KH JS √ BY,NI AU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
ST
Nefrolithiasis Bilateral + Ureterolithiasis RPG (Pasang Kateter Ureter) S ADS √ EV,AO,PL
Uretrolithiasis + Ca Buli c/ Residif TURB KH ADS √ S : PM,BY AO EV,PL
Hemangioma Sinonasal Maksilektomi Medial KH DAT √ BY
Thalasemia B-Mayor, Splenomegali Laparatomi Splenektomi KH RR √ AI,YN,RI

Mata Kiri Orbitotomi Anterior

Mata Kiri Massa Palpebra Superior KH TL √ S : AM AM MW
Transkonjungtiva + Biopsi PA
Mata Kiri Proptosis e.c Massa Retrobulber +

Mata Kiri Eksisi Konjungtiva K TL √ AM PM
Kemosis
Selulitis Debridement B ALI √ AM
Massa Paru Dextra C/ Teratoma Thoraktomi Debulking ALI

Mata kanan KSI Mata kanan Phacoemulsifikasi + IOL AK YW,HR,RM
Mata kiri KSI Mata kiri Phaco + IOL MR S : MK
Mata kiri KSI Mata kiri Phacoemulsifikasi + IOL RF
Mata Kanan High Myop, Mata Kiri Mata Kanan Clear Lens Extraction + IOL,
FET
Pseudofakia + Astigmatisma Mata Kiri Aff Jahitan Kornea
CKD AV Shunt WW
RSK + Konka HT + Septum Deviasi +

FESS III + SR + Konkoplasty + ATE KH,B,S RH √ TW,UM,RA AF UM
Adenotonsilitis
Tonsilitis Kronik Tonsilektomi S RR √ UM TW,RA
RSK FESS III + Septum Koreksi + Konkoplasty KH,B,S RH √ S : DA,SA
Total Gastrektomi + Esofagosjejunustomi

Tumor Gaster T4N1M1 KH,KH MG √ TD,SR,TM TM TD,SR
Roux & y
Ca Nasofaring Gastrostomi Feeding B ERI √ S : RG,DY
Limfadenopati Colli Sin Limfadenectomy + PA S DWT √ DY
Compartemenectomy + FS (bebas Tumor) + KH,S,K

Dermatofibrosarcoma Femur Dx BIS √ AZ,TK,VQ VQ AZ,TK
Limfadenectomi + FS, Groin Disection H
STT Regio Axilla Dextra C/ Ganas Incisi Biopsi + PA S DH S : DW
Ca Papilary Thyroid Total Tiroidektomi, Limfadenektomi + FS KH,S UUD √ DW
TMD T4dN3bMi Insisi Biopsi S UUD √ DW
Fr Maxilla Sin Rekonstruksi Tulang Wajah (IDW + IMW) KH ETH √ TA,ES,DJ DJ TA
Fr. Naso Orbita Ethmoid Rekonstruksi Fr. Tulang Wajah Komplek KH ETH √ TA DJ
Rekonstruksi Flap Gastrecneneus + Skin

Bone + Plate Exposed B,KH PJ √ S : SU SU
Graft

Mata Kanan Kiri Katarak Kongenital KH LN √ NK,DI,DN DI NK,DN
Mata Kanan Vitrektomi KH AW √ S : HA,AG DI NK,DN
Detachment
Mata Kanan Silikon Filled Eye Mata Kanan Evakuasi Silikon Oil KH AW √ NK DI,DN
Mata Kiri Vitreus Hemorage Non Clearing Mata Kiri Vitrektomi KH AW √ DI DN,NK
Mata Kanan Vitrektomi + Seconder Implant

Mata Kanan nucleus drop KH,KH AW √
+ Fiksasi Internal + Indofragmentasi
Meningioma Craniotomi Mikro Dasar Tengkorak KH ZM √ GI,AT,MF AT GI
Fiksasi Tulang Kranial B DP √

Pasang CVC KH WA √
Epilepsi Craniotomi Bedah Epilepsi KH ZM √ S : BR,SC AD RK
Fiksasi Tulang Kranial B MTA √
Craniotomi Pasang EEG dgn Inhagesi

Epilepsi KH MTA √ SA MY
ECOG
Pasaang EEG Intra Operatif KH ARIS √
Fr Avulsi Tuberositas Tibia Sin Ttp Nk ORIF + Gips KH,K APR √ PR,AP,ANM PS ANM
Rekontruksi Ekstraksi Bawah (Papinen

Osteomielitis Cruris Sin + Post FSE KH DRY √ S :MY
Procedure )
Osteomielitis Post ORIF Cruris Dextra Removal Implant B BIN √ MY YS

EN,MA,VT, EN,
MR Severe MVRepair + TVRepair BJ.08 SF √ VT
BP,AS,SS MA
BJ,02 S:
ASD II TVRepair + ASD Closure WW √
BJ.03 AH,BD,IM
TU,
Ca Endometrium Repair Wound Dehisense S MZ √ NP,WD,TU NP
WD
Mioma Uteri, Kista Ovarii Laparoskopi Miomektomi + Kistektomi KH,KH INU √ TU WD,NP
OASI Susp Fistula Rectovagina Vaginoplasti KH ER √ AL,TR TR AL
Fistula Rectovagina Repair Fistula Rektovaginal Kompleks KH ER √ AL TR
P4A0 Post Partum Spontan Ingin Steril MOW S TF √ TR AL
Mioma Uteri TAH + BSO KH,KH EN √ ER,PS PS ER
NOK Surgical Staging + FS KH EW √ ER PS

Laparatomi Adhesiolisis Kompleks + LAR + KH,KH
ERI √
Colostomi ,B
GRD : EA SORE PROGRAM :WU,AH,II,AU,AG,AM,DW,BR,BY,BD,DA,DY,HA,MY,MK,YS,RG,SC,SA,SU ALAT : PUR,ET
Traceostomi + L D Extirpasi papiloma +

Obs Disfagi ec Papiloma laring S,S DAT √ II
Ganti Kanul
Parsial Obstruction Airway Re-Rekonstruksi Mandibulla B OEN √
Abses Clavicula Dx Debridement Luas + Insisi Drainase Abses S,B AS IS
Limfadenopati Limfadenektomi / Wide Excisi S,B DWT √ RG WU
CKD Double Lumen K ALI √ MK

CKD Double Lumen K AS √
CKD Double Lumen K AS √
Laparatomi Explorasi Bypass SL,ST

Ileus Obstruktif ec Fecalith KH PB √ HE
Gastrojejunustomi + Biopsi Tumor ,NH
Pasang CVP KH BI √
G3P2A0, Hml 38mg, Bekas SC SCTP + MOW B HR √ Gatot ST SL,NH
Luka bakar Amputasi Below Elbow Dec et Sin S ETH √ NK HE
Papiloma Laring Traceostomi + LD Eksterpasi papiloma S,S DAT √ II
SCTP + MOW B SR √ Gatot AG II
Iskemik Limb Sin Embolektomi KH ALI √
Mata Kiri Rekontruksi Canalis lakrimalis

Mata Kiri Ruptur Canalis Lakrimalis S LN √
Inferior
G P A , Help Sydrum SCTP dgn penyulit bekas SC + MOW KH OP √ Gatot SE AF
Hernia Herniorhapy B MG IS HI
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.15
08.45-10.00
11.00-12.45
11.15-12.30
13.30-17.15
1 GA epd WA √ 11.00
13.45-17.00
17.30-19.00
1 GA DS 14.30
17.45-18.45
19.30-21.30
1 GA DS 16.30
20.00-21.15
07.15-11.30
2 GA DN √ 07.00
07.30-11.15
13.00-15.00
2 GA blok BI √ 11.00
13.15-14.45
16.00-18.10
2 GA DS √ 14.30
16.10-18.00
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 15.00
4 GA spin HR √ 08.00
4 GA WA √ 11.30 14.30-18.00
14.45-17.45
08.35-10.00
5 GA SF √ 08.00
08.55-09.45
11.15-12.50
5 GA epd SF √ 10.30
11.45-12.45
13.45-17.00
14.15-17.00
18.45-19.45
5 GA DN √ 15.30
19.00-19.40
DS GA 11.00
10.15-10.40
6 GA UB √ 13.00
10.20-10.40
15.45-20.00
6 GA DN √ 15.00
16.00-19.30
12.15-15.00
6 GA DN √ 17.00
12.30-14.45
08.00-13.30
7 GA UB √ 08.00
08.30-13.00
14.30-18.30
7 GA UB √ 11.30
15.00-18.30
7 GA HS √ 18.00 23.30-02.00
24.00-01.45
06.45-09.00
8 GA JH √ 06.30
07.00-08.45
09.45-11.45
8 GA HA √ 09.00
10.00-11.30
12.15-13.45
8 GA HN √ 11.30
12.30-13.30
13.30-15.15
8 GA HA √ 13.00
13.45-15.00
15.30-17.00
8 GA JH 15.00
16.00-17.00
07.30-12.30
9 GA JH √ 06.00
07.45-12.15
14.00-19.15
9 GA JH 11.30
14.15-19.00
20.15-00.45
9 GA JH 17.00
20.30-00.30
08.15-12.00
10 GA DN √ 08.00
08.30-11.30
12.30-13.45
10 GA HR 12.00
12.45-13.30
14.30-18.30
10 GA HR 14.00
14.45-18.15
20.30-23.00
10 GA WA √ 16.30
20.45-23.00
JTG GA HN 10.00
JTG LA 14.00
JTG LA 15.30
GR 1 GA WA √ 08.00 09.30-
13.45-16.15
GR 1 GA epd DS 11.30
14.00-16.00
GR 2 GA VL √ 08.00 10.15-13.00
GR 2 LA VL √ 12.00 14.05-14.30
GR 3 GA VL 08.00 08.30-10.40
GR 3 GA JH √ 12.00 11.50-
ALAT : PUR,ET
12.45-14.15
Cito GA WA √ 13.00
13.00-14.00
20.30-21.45
7 GA DS
20.40-21.30
02.45-04.45
CITO GA spin JH √
03.00-04.30
CITO LA
CITO LA
19.00-21.40
CITO GA JH √
19.30-21.30
20.45-21.30
CITO HS √
21.00-21.20
CITO GA HS √ 23.45-00.45
23.50-00.30
23.45-03.10
CITO GA spin JH
24.00-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.45
1 GA BI √ 07.30
08.30-09.30
1 GA HA √ 10.30 11.30-16.30
12.00-16.15
17.00-18.45
1 GA BI √ 14.00
17.20-18.30
19.45-22.30
1 GA BI √ 16.00
20.30-22.15
08.30-11.45
08.45-11.30
13.00-15.00
2 GA BI √ 10.30
13.15-15.00
16.30-18.30
16.45-18.15
19.30-20.45
2 GA BI √ 15.00
19.45-20.30
3 LA 07.00
3 LA 08.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
08.00-10.30
4 GA SF √ 08.00
08.15-10.15
10.45-12.45
4 GA SF 11.30
11.00-12.35
15.15-17.15
15.45-17.15
08.00-10.15
08.55-10.15
12.00-16.00
12.40-16.00
16.15-20.00
5 GA SF √ 14.00
16.30-19.45
06.45-09.15
6 GA WA √ 07.00
07.15-09.00
10.00-13.30
6 GA WA √ 10.00
10.15-13.15
14.30-15.15
6 GA HS √ 12.30
14.45-15.00
07.00-08.30
7 GA HS √ 07.00
07.15-08.15
09.30-12.15
7 GA HS √ 09.00
09.45-12.00
7 GA 11.00 BATAL KARENA MO NGURUS JAMKESMAS

13.15-14.30
13.30-14.30
7 GA WA √ 16.00 15.00-17.00
15.15-16.45
07.00-08.30
8 GA VL √ 06.30
07.30-08.15
08.30-11.00
8 GA VL √ 08.00
09.00-10.45
8 GA 10.00
BATAL KARENA TENSI TINGGI
12.30-14.15
8 GA VL √ 12.00
12.45-14.15
08.30-13.45
9 GA VL √ 08.00
08.45-13.30
9 GA JH √ 13.00 17.00-21.00
20.30-01.30
9 GA VL √ 17.00
20.45-01.15
07.15-11.15
10 GA DN √ 07.00
07.30-11.00
13.30-15.30
10 GA HN √ 12.00
13.45-15.15
01.00-03.30
10 GA spin HA 16.00
01.30-03.00
10 GA HS √ 19.00
JTG GA HR √ 10.00
16.00-16.45
JTG GA BI √ 16.00
16.15-16.45
GR 1 GA HN √ 08.00 08.30-10.00
GR 1 GA AI √ 12.00 11.00-12.00
GR 2 GA HN √ 08.00 09.00-13.00
08.00-17.10
GR 3 GA HN √ 07.30
08.45-17.00
ALAT : PUR,ET
16.30-20.30
10 GA spin HS √ 20.00
17.30-20.30
20.30-01.00
GA spin HS √
20.45-01.00
15.00-18.00
8 GA WA √
15.15-17.45
11.00-11.40
DS GA DN √
11.10-11.30
DS LA
DS LA
CITO GA 07.30-07.45
08.45-10.15
CITO GA WA √
09.00-10.00
CITO LA 09.45-09.50
CITO LA
CITO AI √
11.00-13.45
CITO GA AI √
11.30-13.30
14.00-15.30
CITO GA AI √
14.30-15.15
17.00-17.15
CITO GA HS √
17.05-17.15
17.15-19.30
CITO GA DN √
17.30-19.15
23.15-24.00
CITO GA spin VL √
23.30-24.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.00
1 GA UB √ 07.30
08.45-09.45
10.45-13.45
1 GA epd WA √ 09.00
11.00-13.30
15.15-17.30
1 GA HN √ 13.00
15.30-17.15
spin, 08.00-09.00
2 GA BI √ 07.30
epd 08.15-09.00
13.30-14.15
2 GA HA √ 13.00
13.45-14.10
2 GA 16.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 19.00 BATAL PERBAIKAN KU

08.00-11.15
4 GA epd WA √ 08.00
08.50-11.00
4 GA epd WA √ 13.00 12.45-19.15
13.15-19.00
18.45-22.15
4 GA HS √ 16.30
19.00-22.00
08.30-11.15
5 GA epd VL √ 08.00
09.00-11.00
10.15-11.00
5 GA WA √ 10.00
10.30-10.00
5 GA epd VL √ 13.00 14.15-22.15
14.45-22.00
07.25-07.45
6 GA DS 07.30
07.25-07.45
08.45-12.00
6 GA DS √ 09.00
09.00-11.30
14.00-17.00
15.00-16.45
17.45-19.00
6 GA DN √ 15.00
18.00-18.45
07.45-08.45
7 GA VL √ 07.30
08.15-08.30
19.30-21.30
7 GA VL √ 10.00
19.45-21.00
7 GA DS √ 12.00 16.20-00.40
16.31-00.20
14.00-18.00
14.15-18.00
11.30-12.30
7 GA DS √ 19.00
11.45-12.15
8 GA 06.30 BATAL PERBAIKAN KU
08.30-10.15
8 GA HA √ 08.30
09.00-10.00
10.45-12.15
8 GA BI √ 10.30
11.00-12.00
12.50-14.00
8 GA BI √ 12.00
12.00-13.30
14.10-16.15
8 GA BI √ 13.30
15.50-16.00
08.00-11.15
9 GA BI √ 07.00
08.30-11.00
16.00-19.00
9 GA BI √
16.30-18.45
07.00-09.30
10 GA BI √ 07.00
07.30-09.15
13.30-23.30
10 GA WA √ 13.00
15.30-23.15
JTG GA WA √ 10.00 07.20-
JTG GA HS √ 15.00 14.30-18.30

15.20-18.20
GR 1 GA JL √ 07.30
GR 1 GA DS √ 13.00
GR 2 GA WA √ 07.30 07.45-10.30
11.00-15.00
GR 2 GA JL √ 10.00
11.10-14.45
GR 3 LA 08.00 08.30-09.00
GR 3 LA 09.00
GR 3 GA SF √ 10.00
ALAT : PUR,ET
19.15-21.45
6 GA HA √ 16.00
19.30-21.30
20.45-22.30
2 GA VL √ 20.00
21.05-22.15
22.30-00.15
GA HS √
22.45-00.15
DS LA 20.30-21.00
DS LA 20.00-20.30
07.30-09.15
CITO GA Spin VL √
07.40-09.15
CITO LA
18.15-19.45
CITO GA DS √
18.30-19.30
18.20-19.35
CITO GA Spin DS √
18.35-19.35
21.00-22.30
CITO GA DS √
21.20-22.15
CITO LA 22.00-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
15.30-20.00
2 GA DN √ 15.00
16.00-19.45
23.00-02.15
2 GA JL √ 17.30
23.30-02.00
3 LA 15.00
3 LA 16.30
15.15-17.15
4 GA epd WA √ 15.00
15.30-17.00
15.30-19.15
7 GA JL √ 15.00
16.30-19.00
20.15-22.00
7 GA JL √ 17.30
20.45-21.45
10 LA 07.00
21.45-23.45
10 GA TA √ 19.00
22.00-23.30
GA DN √
17.30-20.30
GA DN √
18.00-20.30
16.30-19.00
GA VL √
17.00-19.00
00.00-01.45
CITO GA DS √
00.15-01.30
01.30-03.00
CITO GA DS
01.50-02.30
CITO LA
07.30-08.45
CITO GA DS √
07.45-08.30
spin, 09.30-16.30
CITO GA DN
Epd 10.00-16.15
10.45-12.45
CITO GA HR
11.00-12.00
13.15-15.15
CITO GA HR
13.30-15.00
15.55-16.45
CITO GA spin JL √
16.00-16.45
16.30-17.45
CITO GA JL √
16.45-17.30
23.00-24.45
CITO GA JL √
23.30-24.30
23.15-02.15
CITO GA DN √
23.45-02.00
CITO LA
20.00-21.30
CITO GA spin JL √
20.15-21.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
01.45-04.00
CITO GA JL
02.00-03.45
02.45-06.00
CITO GA DN
03.00-05.30
09.00-10.15
CITO GA HS √
09.30-10.00
14.15-16.00
CITO GA HS √
14.20-15.45
14.55-17.30
CITO GA DN √
15.30-17.30
15.00-16.30
CITO GA DN √
15.45-16.15
17.15-19.30
CITO GA DN √
17.30-19.15
20.15-22.45
CITO GA HS √
20.30-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-09.15
1 GA DN √ 08.00
08.45-09.15
1 GA 10.00
1 TV 11.00
14.30-20.00
1 GA DN √ 13.30
15.00-10.45
16.30-20.00
1 GA JL √ 17.00
17.00-20.00
08.45-11.00
2 GA blok UB √ 08.00
09.00-10.45
11.30-13.30
2 GA DN √ 11.00
11.45-13.15
15.00-16.15
2 GA DN √ 14.00
15.15-16.00
3 LA 07.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
3 LA 16.00 17.30-18.30
08.15-
4 GA VL √ 08.00
08.45-
14.00-15.30
14.15-15.30
4 LA 14.00 BATAL KARENA KU JELEK
17.00-23.30
4 LA HR √ 15.00
17.15-23.15
07.45-10.30
5 GA HR √ 08.00
08.00-10.15
11.00-13.45
5 GA epd BI √ 11.00
11.15-13.40
07.45-10.15
6 GA WA √ 07.30
08.15-10.00
10.45-13.00
6 GA WA √ 11.00
11.00-12.45
13.45-16.00
6 GA WA 13.30
14.00-15.45
7 GA HR √ 06.00
7 GA BI √ 08.00 09.15-14.35
09.45-14.30

07.15-08.15
8 GA AI √ 06.30
07.30-08.00
09.15-10.45
8 GA AI √ 08.00
09.30-10.30
11.40-13.00
8 GA HA √ 10.00
12.00-12.45
8 GA HA √ 12.00
15.30-17.00
8 GA HA √ 14.30
15.45-16.45
16.00-18.15
9 GA HA √ 08.00
16.15-18.00
09.00-14.15
9 GA HA √ 13.00
09.30-14.00
08.15-11.00
10 GA spin HS √ 08.00
08.30-11.00
15.15-18.30
10 GA HS √ 11.00
15.45-18.15
11.30-17.15
10 GA Blok WA 13.30
11.45-17.15
JTG GA HN √
GR 1 GA HN 07.30 08.10-09.10
GR 1 GA 09.30
BATAL KARENA KELUARGA MENOLAK
GR 1 GA 12.00
GR 2 GA 07.30
GR 2 GA 09.00
GR 2 GA WA √ 11.00 11.00-13.34
WD ALAT : PUR,ET
13.30-14.45
JT GA HR 10.00
13.45-14.30
15.30-18.30
5 GA epd VL √
15.45-18.15
15.30-16.05
DS GA JL √
15.32-16.00
16.00-18.00
7 GA HR 15.00
16.30-17.45
19.45-21.00
7 GA JL √ 10.30
20.00-20.45
17.00-21.30
2 GA HR 14.00
17.15-21.15
8 GA HR 16.00 18.45-24.00
18.45-23.45
17.30-18.00
DS GA HR 16.00
17.30-17.50
GR 1 GA 12.00
DS LA
DS LA
DS LA
20.30-21.00
DS GA HS √
20.35-20.50
LA
08.00-0900
CITO GA spin HA √
08.15-09.00
09.00-10.30
CITO GA HA √
09.15-10.15
CITO LA 16.00-16.15
21.00-22.30
CITO GA spin HA
21.10-22.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-09.15
08.45-09.00
1 GA JL √ 09.00 10.00-10.10
11.00-14.30
1 GA DN √ 10.00
11.30-14.15
15.45-17.45
16.00-17.30
19.30-23.15
1 GA JH √ 15.00
19.45-23.00
06.30-09.00
2 GA HS √ 06.00
06.45-08.45
09.45-10.45
2 GA JL √ 09.30
10.00-10.30
11.15-12.45
2 GA JL √ 11.00
11.30-12.30
13.30-16.45
2 GA JL √ 12.30
13.45-16.30

18.30-20.30
19.00-20.30
3 LA 08.30
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
08.20-12.30
4 GA epd JH √ 08.00
08.40-12.15
12.45-14.45
4 GA spin JH 11.30
12.50-14.45
15.30-18.00
4 GA epd DS √ 14.30
15.45-17.45
spin, 09.00-12.30
5 GA JH √ 08.00
epd 09.15-12.15
13.15-16.15
13.30-16.00
17.10-19.40
5 GA JH 14.30
17.40-19.20
08.00-08.20
6 GA UB 07.30
08.05-10.20
09.00-11.45
6 GA WA √ 08.30
09.30-11.30
12.30-14.30
6 GA WA √ 12.00
13.00-14.15
6 GA WA √ 14.00 15.30-20.00
16.00-20.00
17.00-20.00
6 GA WA √
17.00 17.15-19.45
7 GA WA √ 08.00 08.00-10.30
08.30-10.00
10.30-12.30
7 GA WA √ 12.30
11.00-12.15
14.00-15.00
7 GA WA √ 14.30
14.30-14.50
07.00-08.00
8 GA UB √ 06.30
07.30-08.00
08,30-10.15
8 GA VL √ 08.00
09.00-10.00
11.30-13.00
8 GA VL √ 12.00
12.00-13.00
13.30-15.00
8 GA SF 14.00
13.45-14.45
15.30-18.00
8 GA JH √ 16.00
16.00-18.00
9 GA HA √ 08.00 08.00-12.15
09.00-12.00
9 GA JH 14.30 16.10-21.10
spin, 08.00-10.15
10 GA DS √ 08.00
epd 08.30-10.15
spin, 11.20-12.30
10 GA BI √ 11.30
epd 11.45-12.30
13.25-15.15
10 GA blok WA √ 14.00
13.45-15.15
spin, 16.00-18.00
10 GA HN 16.30
epd 16.30-18.00
10 GA 18.00
21.15-22.45
10 GA DN 20.00
21.30-22.45
JTG GA HR √ 10.00 09.45-13.45
JTG LA 14.00
17.15-20.00
JTG GA TA √ 15.00
17.30-19.45
GR 1 GA WA √ 08.00
GR 1 GA AI √ 11.30
GR 2 GA AI √ 07.30 08.05-
GR 2 GA AI √ 12.00 13.15-
GR 2 GA AI √ 13.00 13.50-14.15
GR 3 GA WA √ 07.30 07.55-
GR 3 GA AI √ 15.00 13.40-14.15
19.45-21.45
GA DN √ 19.00
20.00-21.0
20.00-22.00
GA blok DN √ 20.00
10.15-21.45
21.00-23.30
GA HN 20.00
21.15-23.15
DS LA 16.00
DS LA
DS GA DN √ 10.00-11.00
12.00-13.45
DS DS √
12.30-13.30
CITO LA 08.55-
CITO LA
CITO GA JL 14.00-18.15
15.30-18.00
18.45-19.45
CITO GA DN √
19.00-19.30
21.00-21.45
CITO GA DN √
21.15-21.30
CITO GA 21.15-21.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
11.15-12.30
11.30-12.15
08.45-10.30
1 GA epd WA √ 10.00
09.00-10.15
15.30-20.30
1 GA HS √ 13.30
16.00-20.15
08.30-09.10
2 GA DS √ 08.00
08.45-09.00
13.00-15.45
2 GA DS 09.00
13.15-15.30
11.30-12.45
2 GA DS 12.00
11.45-12.30
17.00-17.30
2 GA DN √ 15.00
17.15-17.30
17.45-20.45
2 GA DN √ 17.00
18.30-20.30
21.00-23.00
2 GA DS 20.00
21.15-22.45
3 LA 07.00
3 LA 08.30
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 12.30
3 LA 13.00
3 LA 14.00
13.30-16.00
4 GA epd DS √ 08.00
14.00-15.45
11.00-12.00
11.10-11.55
13.30-17.30
4 GA epd WA √ 13.00
13.55-17.10
08.35-11.45
5 GA epd TA √ 08.00
08.35-11.30
20.35-21.00
20.40-21.00
22.25-23.00
5 GA spin SF 17.30
22.30-23.00
07.15-08.45
6 GA UB √ 07.00
07.30-08.30
09.30-10.00
6 GA UB √ 09.00
09.45-10.00
6 GA blok UB √ 10.30 10.30-14.00
11.00-14.00
13.05-16.45
6 GA HA 14.00
13.15-16.30
15.30-20.15
6 GA HA √ 16.00
16.00-20.00
6 GA 19.30 BATAL KARENA HIPOALBUMIN
08.00-09.15
7 GA HS √ 08.00
08.30-09.00
10.30-12.00
7 GA spin UB √ 10.30
10.45-11.45
13.30-15.00
7 GA UB √ 13.00
13.45-14.45
15.30-16.30
7 GA UB √ 15.00
16.00-16.30
07.00-08.00
8 GA JH √ 06.00
07.15-07.45
10.30-12.45
8 GA JH 10.00
10.45-12.50
08.15-09.45
8 GA JH √ 12.00
08.30-09.30
9 GA JH √ 08.00 15.30-21.15
16.00-21.00
9 GA JH √ 14.00 08.00-14.15
09.45-14.00
07.30-12.30
10 GA HR 07.00
08.00-12.00
13.00-17.00
10 GA HN 10.30
13.30-16.45
21.00-23.30
10 GA blok HR 15.00
21.15-23.15
JTG GA WA √ 10.00
GR 1 GA WA √ 07.30 08.00-10.00
GR 1 GA HN √ 09.00 10.45-11.45
GR 2 GA JL √ 07.30 08.15-
GR 2 GA SF √ 09.00 11.00-12.00
GR 2 GA WA √ 10.00 13.00-13.30
GR 3 GA 07.30 07.55-
GR 3 GA HA √ 10.00 09.55-10.45
13.30-15.00
DS GA spin WA √
13.45-14.45
DS LA
DS LA
16.45-19.00
GA JH
17.00-18.45
20.30-21.15
GA JH
20.45-21.00
DS LA
LA
07.30-11.30
CITO GA JL √
08.15-11.00
09.00-11.00
CITO GA SF √
09.30-10.45
13.00-15.00
CITO GA SF √
13.30-14.45
CITO LA 13.30-
CITO LA 15.00-15.30
CITO LA 19.10-19.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 GA UB √ 10.00
08.30-09.45
1 GA UB √ 11.00
11.00-11.30
11.05-11.30
12.45-15.00
1 GA epd BI √ 15.00
13.00-15.00
15.50-17.50
1 GA BI √ 19.00
16.15-17.30
06.30-10.00
2 GA BI √ 09.00
06.45-09.45
11.00-14.00
BI √ 11.00
2 GA 11.15-13.45
2 GA 11.40
14.45-16.30
2 GA BI √ 14.30
15.00-16.30
17.30-19.00
2 GA BI √ 16.30
17.45-19.00
19.15-20.00
2 GA BI √ 18.00
19.30-20.00
3 LA 08.30 08.20-09.00
3 LA 09.30
3 LA 10.30
3 LA 11.30
3 LA 13.00
3 LA 13.45
3 LA 14.30
3 LA 15.30
3 LA 17.00
08.00-12.30
4 GA epd SF √ 10.30
08.45-12.15
12.40-16.10
4 GA SF √ 13.30
12.55-16.00
4 GA AI √ 16.00
19.45-22.45
4 GA AI √
20.00-22.40
07.15-10.00
5 GA DN √ 10.00
07.30-09.55
11.00-13.15
5 GA epd VL √ 14.00
11.15-13.00
5 GA 16.00
14.45-18.30
5 GA epd SF √
15.00-18.15
06.30-09.45
6 GA WA √ 10.00
07.15-09.30
09.45-15.15
6 GA WA √ 14.30
10.00-15.00
15.45-17.15
6 GA AI √ 17.00
16.00-17.00
17.45-20.00
18.00-20.00
19.15-02.00
6 GA HS √
19.45-01.45
08.10-10.15
7 GA HS √ 09.30
08.30-10.00
7 GA HS √ 11.30-12.30
11.30
17.30-21.30
7 GA HS √ 14.00
18.15-21.15
19.45-20.45
7 GA HS √
16.00 20.05-20.30
22.30-24.00
7 GA HS
22.45-24.00
07.15-09.00
8 GA JH 07.30
07.30-08.45
09.15-10.45
8 GA JH 09.30
09.30-10.35
11.30-12.45
8 GA VL 11.30
11.45-12.30
13.00-14.45
8 GA VL 13.30
13.15-14.30
15.15-16.45
8 GA VL 16.30
15.30-16.30
18.15-20.45
8 GA JH 19.00
18.30-20.30
09.30-19.45
9 GA HA √ 13.30
10.00-19.30
08.00-09.00
9 GA JH 15.30
08.15-08.45
20.45-00.30
9 GA JH
21.15-00.15
07.00-10.00
10 GA HA √ 12.00
07.30-09.30
11.15-13.30
10 GA spin AI √ 14.30
11.30-13.30
15.15-18.00
10 GA spin SF √ 18.00
15.30-18.00
JTG GA HR √ 14.30 09.50-12.30
JTG GA HN √
GR 1 GA SF √ 10.30 08.15-
GR 1 GA VL √ 13.00-14.00
GR 2 GA JL √ 09.00 08.15-08.45
GR 2 GA JL √ 14.00 10.40-
GR 3 GA 08.30
GR 3 GA 11.20-12.20
ALAT : PUR,ET
15.20-16.45
7 GA JL √ 10.00
15.45-16.20
20.15-21.45
GA HN √
20.30-21.30
LA
06.15-07.15
CITO GA DN √
06.30-07.00
09.30-12.30
CITO GA AI √
09.45-12.15
CITO LA 14.15-14.45
CITO GA AI √ 15.15-18.15
15.30-18.00
20.15-21.15
CITO GA AI √
20.20-21.15
23.00-01.30
CITO GA epd BI √
23.30-01.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-15.00
1 GA epd WA √ 08.00
08.30-14.45

16.30-18.00
1 GA HN √ 13.00
16.45-17.45
15.30-18.45
1 GA HN √ 16.00
16.00-18.30
06.30-07.30
2 GA DS √ 06.00
06.45-07.15
08.15-10.15
2 GA HN √ 08.00
08.30-10.00
11.30-13.45
2 GA HN √ 11.00
12.00-13.30
15.00-16.30
2 GA HN √ 13.00
15.15-16.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 13.00
4 GA epd WA √ 08.00
11.00-12.00
11.15-11.55
13.30-15.15
4 GA SF √ 13.00
13.45-15.00
08.15-09.15
08.30-09.00
09.45-11.45
10.00-11.30
12.00-13.45
5 GA HA √ 12.30
12.15-13.30
14.15-16.15
5 GA epd HA √ 15.00
14.30-16.00
6 LA 07.00 07.30-07.45
6 LA 08.00 08.20-08.40
6 LA 09.00
11.00-16.15
6 GA blok DS 10.00
11.35-16.00
06.15-07.15
7 GA DS 08.00
06.30-07.00
08.45-09.30
7 GA DS 10.00
09.00-09.15
10.15-11.15
7 GA UB √ 11.30
10.30-11.00
13.30-15.30
14.00-15.30
07.00-08.00
8 GA SF 06.30
07.15-07.45
08.30-10.00
8 GA HA √ 08.00
08.45-09.45
10.30-14.00
8 GA BI √ 10.00
10.45-13.45
14.00-16.00
8 GA VL √ 13.00
14.30-15.30
9 GA BI √ 08.00 07.30-09.45
08.00-09.30
07.00-11.00
10 GA HA √ 07.00
07.15-10.45
10 GA SF √ 10.30 12.30-13.00
13.30-15.30
10 GA JH 12.00
13.45-15.15
16.30-19.00
10 GA WA 14.00
16.45-18.45
20.00-22.00
10 GA blok DS 18.00
20.15-22.00
22.30-02.00
10 GA spin HS √ 20.00
23.00-01.30
JTG GA WA √ 10.00
16.30-18.00
JTG GA HR 14.00
16.55-18.00
GR 1 GA JL √ 07.30 08.00-09.15
GR 1 GA HA √ 09.30 09.40-11.30
GR 2 GA JH √ 07.30 08.05-
GR 2 GA 09.00
BATAL KARENA HB RENDAH (7)
GR 2 GA SF √ 11.30 10.35-11.15
GR 3 GA WA √ 08.00 08.30-11.15
GR 3 GA JH √ 12.30 13.30-17.15
ALAT : PUR,ET
DS LA
DS LA
DS LA 20.00-20.30
DS LA
DS LA
DS LA
DS LA
DS LA 11.00-
20.45-23.00
GA spin HS √
21.00-23.00
17.45-19.15
2 GA HA √
18.00-19.00
17.15-20.30
6 GA DS
17.45-20.15
GR 2 GA AI √ 13.10-13.50
06.15-08.30
CITO GA HN √
06.45-08.15
07.45-09.00
CITO GA JH
08.15-08.45
09.40-12.40
CITO GA TA √
10.30-12.30
10.45-12.30
CITO GA EL
11.15-12.15
14.00-18.20
CITO GA TA √
14.30-18.00
15.30-16.30
CITO GA EL
15.45-16.15
CITO LA 20.30-21.00
21.20-23.15
CITO GA EL
21.30-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.15
1 GA spin WA 08.00
08.20-10.15
10.40-12.10
1 GA JH √ 09.00
11.10-11.50
06.30-07.30
2 GA HS √ 06.00
06.45-07.15
10.30-13.15
2 GA HS √ 10.00
10.50-13.00
10.15-11.45
4 GA BI √ 08.00
10.30-11.40
11.50-12.45
12.15-12.45
08.00-10.45
5 GA HA √ 08.00
08.15-10.30
13.15-14.00
8 GA HS √ 13.00
13.30-14.00
14.15-15.10
8 GA TA √ 14.00
14.30-15.00
15.15-16.10
8 GA HA √ 15.00
15.30-16.00
9 GA JH √ 08.00 11.30-16.15
11.45-16.00
10 GA HN 07.00
08.00-10.15
10 GA JH √ 11.00
08.30-10.00
GR 1 GA HR 07.30
DS LA 08.45-09.00
08.00-10.15
9 GA HS √
08.15-10.00
05.25-09.30
CITO GA EL √
06.20-09.35
06.30-07.15
CITO GA TA √
06.45-07.00
08.00-10.15
CITO GA spin BI √
08.45-10.00
10.45-12.00
CITO GA spin HS √
11.00-12.00
20.30-21.30
CITO GA spin TA √
20.40-21.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
10.15-13.00
CT GA TA √ 09.00
10.30-12.45
14.15-17.00
CT GA AI √ 14.00
14.45-16.45
GA TA √ 11.00-
19.30-21.00
GA HN √
19.45-20.45
07.30-09.30
GA HN √
08.00-09.15
16.45-18.15
GA spin WA √
17.00-18.00
12.50-15.00
GA TA √
12.45-14.45
06.00-09.45
GA HA √
06.30-09.30
14.00-13.40
GA spin AI √
14.15-14.30
07.45-09.15
CITO GA spin TA √
08.00-09.00
09.15-10.45
CITO GA spin TA √
09.30-10.30
07.30-09.00
CITO GA TA √
08.00-09.00
11.30-15.30
CITO GA TA √
12.00-15.15
22.30-23.30
CITO GA spin AI √
22.45-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-10.15
09.15-10.00
11.00-13.45
1 GA SF √ 10.30
11.15-13.30
09.30-13.30
2 GA SF √ 08.00
10.00-13.15
14.00-16.30
2 GA SF √ 12.00
14.15-16.15
2 GA SF
√ 14.00 15.30-21.15
16.00-21.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
spin, 08.00-10.30
4 GA BI √ 08.00
epd 08.35-10.15
4 GA epd BI √ 10.30 11.00-15.00

11.30-14.45
08.15-12.15
5 GA epd UB √ 08.00
08.30-12.00
5 LA 12.00 13.15-
14.15-15.00
5 GA BI √ 14.00
14.30-15.00
15.30-18.30
15.45-18.30
spin, 08.00-09.00
6 GA HR √ 07.30
epd 08.30-09.00
10.15-15.00
6 GA HR 09.00
10.30-14.45
15.45-18.00
6 GA HR 14.00
16.00-17.45
6 GA WA √ 16.30 12.00-12.30
16.45-18.00
6 GA HN 18.00
17.00-17.45
09.00-12.30
7 GA HR √ 08.00
09.30-12.00
13.45-15.00
7 GA HR 10.30
14.00-14.45

08.00-09.30
8 GA HA √ 08.00
08.30-09.30
8 LA 10.00
11.00-14.00
8 GA AI √ 11.30
11.15-13.30
16.30-19.45
8 GA epd BI √ 14.00
19.45-10.30
10 GA 08.00
12.30-15.30
10 GA HN √ 10.30
13.15-15.30
15.00-17.30
10 GA BI √ 13.00
15.15-17.15
18.20-19.50
10 GA spin DS √ 15.30
18.40-19.50
JT GA HN √ 10.00
GR 1 GA DS √ 10.00
GR 2 GA DS √ 08.00 09.45-
GR 2 GA WA √ 10.30 12.05-
GR 3 GA WA √ 07.30 07.50-11.20
9 GA JH √ 08.00 08.30-11.15
09.00-11.00
9 GA JH √ 12.00 16.30-23.00
16.45-22.45
08.45-11.45
10 GA HS √ 09.00
09.15-11.30
GR 1 GA DS √ 07.30
04.45-07.00
7 GA AI √ 04.00
05.00-06.45
19.00-21.15
GA HS √ 16.00
19.10-21.00
GA HN √ 18.00 20.20-20.45
12.30-14.15
GA JH √
13.00-14.00
DS LA
DS LA
02.30-05.00
CITO GA AI
02.45-04.45
06.15-10.30
CITO GA AI
06.30-10.15
CITO GA AI √ 07.45-09.05
CITO GA HA √ 12.00-16.00
12.30-15.15
CITO GA HA √ 15.00-19.00
15.15-18.45
17.15-19.00
CITO GA blok BI √
17.30-18.45
20.15-22.30
CITO GA epd BI √
20.30-22.15
20.45-21.45
CITO GA spin BI √
20.55-21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 10.00
BATAL KARENA KELAINAN JANTUNG (ves)
10.30-11.45
10.45-11.30
13.00-15.30
1 GA JH √
13.15-15.15
08.15-11.15
2 GA blok SF √ 10.30
08.30-11.00
12.30-13.30
2 GA BI √ 12.00
12.45-13.15
14.30-15.15
2 GA VL √ 13.30
14.45-15.00
2 GA
3 LA 08.30
3 LA 09.30
3 LA 10.30
3 LA 11.30
3 LA 12.30 13.20-14.00
3 LA 13.30
3 LA
09.45-12.45
4 GA epd DS √ 14.30
10.00-12.30
18.15-22.00
4 GA blok JH
18.30-22.00
08.15-13.45
5 GA epd AI √ 11.00
08.30-13.30
14.30-21.00
5 GA DN √ 14.30
14.45-20.45
18.30-22.30
5 GA epd HR
19.00-22.00
07.00-14.30
6 GA WA √ 11.30
07.30-14.15
15.00-17.00
6 GA WA
15.15-16.45
07.30-09.30
7 GA WA 08.30
07.45-09.15
10.30-12.00
7 GA WA √ 12.30
10.45-11.30
14.00-17.00
7 GA BI √
14.30-16.30
07.00-08.00
8 GA HN √ 07.30
07.15-07.45
08.00-09.00
8 GA HN √ 08.30
08.15-08.45
09.30-10.30
8 GA HA √ 10.30
10.00-10.20
12.00-14.00
8 GA JH √ 12.30
12.30-13.30
15.30-18.00
8 GA AI √
16.00-17.30
07.30-09.00
9 GA HN √ 08.30
08.00-08.45
11.00-17.15
9 GA HN √
11.30-17.00
07.15-08.45
10 GA HS √ 08.00
07.30-08.30
10 GA DN √ 13.00 09.30-13.30
09.45-13.15
15.00-18.00
10 GA HS √ 15.30
15.45-17.45
18.30-20.30
10 GA spin DS 18.30
19.00-20.00
21.00-22.30
10 GA spin JH
21.15-22.30
JTG GA HR √ 13.30 07.30-
JTG GA WA √ 14.34-15.55
GR 1 GA HR 09.00 08.15-
GR 1 GA JH √ 11.30 11.30-12.30
GR 1 GA WA √
GR 2 GA DN √ 08.30 08.00-
GR 2 GA TA √ 10.30 10.40-12.45
GR 2 GA TA √ 11.20 14.45-
GR 2 GA TA √ 14.05-14.20
GR 3 GA TA √ 10.30 08.10-10.00
GR 3 GA TA √ 11.45-16.00
15.45-16.45
6 GA DN √ 18.00
16.15-16.30
20.00-22.00
GA spin HS √
20.30-22.00
LA
LA 19.00-
22.45-23.00
GA HS √
23.45-22.57
22.15-22.30
GA HS √
22.17-22.20
LA
DS LA 09.00-
05.00-08.30
CITO GA BI √
06.00-08.20
09.15-10.45
CITO GA WA √
09.30-10.45
13.15-15.45
CITO GA Blok BI √
13.30-15.30
15.00-19.30
CITO GA JH
16.00-19.30
CITO LA 19.40-20.00
CITO LA 17.30-18.00
CITO LA 17.40-17.50
21.45-22.30
CITO GA HS √
21.55-22.20
21.15-23.45
CITO GA JH √
21.30-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-11.30
1 GA HN √ 07.30
08.15-11.15
11.45-15.00
1 GA HN √ 10.00
12.30-14.45
15.30-18.00
1 GA HN √ 14.00
15.45-17.45
07.30-09.00
07.45-09.00
09.45-11.45
2 GA DS √ 09.00
10.10-11.30
12.15-16.30
2 GA WA √ 11.00
12.40-16.15
3 LA 08.00 08.50-
08.15-09.45
4 GA JH √ 06.00
08.40-09.30
08.40-10.20
4 GA VL √ 08.00
09.00-10.15
11.15-13.15
4 GA VL √ 10.00
11.30-13.00
12.15-14.15
4 GA VL √ 13.00
12.30-14.00
07.00-08.45
8 GA DS √ 06.30
07.15-08.30
09.15-10.30
8 GA HA √ 08.00
09.30-10.15
10.45-12.30
8 GA HA √ 10.00
11.00-12.15
14.30-17.45
8 GA VL 13.00
15.00-17.30
9 GA VL √ 07.30 08.00-13.45
08.30-13.30
18.00-19.15
9 GA VL √ 12.00
18.30-19.00
10 GA UB √ 08.00 08.30-12.15
08.45-12.00
13.15-15.30
10 GA spin UB √ 10.00
13.30-15.30
spin, 15.30-17.30
10 GA WA 12.30
epd 15.45-17.30
02.45-04.00
CITO GA spin JH
03.00-04.00
05.15-09.15
CITO GA JH
06.15-09.00
06.10-08.00
CITO GA DN √
06.20-07.50
CITO GA JH 07.00-08.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.30
1 GA WA √ 08.00
08.45-10.15
11.15-13.45
1 GA BI √ 11.00
11.30-13.30
1 GA BI √ 14.00 15.00-16.00
17.00-19.00
1 GA BI √ 16.00
17.15-18.45
08.00-09.30
2 GA BI √ 07.30
08.30-09.15
10.30-13.30
2 GA Blok BI √ 09.00
11.00-13.15
14.15-17.15
2 GA BI √ 12.00
14.45-17.00
GR 2 GA BI √ 15.00
3 LA 07.00 07.45-
3 LA 08.00 08.50-09.15
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 13.30
3 LA 15.00
12.15-17.00
4 GA SF √ 08.00
12.30-17.00
08.00-10.15
4 GA epd SF √ 11.00
08.15-10.00

07.45-09.30
5 GA epd SF √ 08.00
08.15-09.20
10.15-13.30
5 GA epd SF √ 10.30
10.30-13.15
blok
14.45-23.00
5 GA epd SF √ 15.00
15.15-22.45
07.00-08.30
07.15-08.30
09.15-15.45
6 GA HS √ 10.30
09.45-15.30
08.15-11.00
7 GA HS √ 08.00
08.45-10.45
11.45-12.45
7 GA HS √ 10.30
12.00-12.40
15.00-16.15
7 GA HS √ 13.00
15.30-16.00
07.00-07.45
8 GA VL √ 06.30
07.15-07.35
8 GA VL √ 08.00
09.15-10.15
8 GA VL √ 10.00
09.30-10.00
11.00-13.00
8 GA DS 12.00
11.45-12.45
8 GA 14.00
06.30-11.15
9 GA DN √ 06.00
07.00-11.00
9 GA VL √ 11.00 13.00-21.30
13.15-21.15
10 GA SF √ 08.00 07.30-11.45
09.00-11.30
10 GA 11.00 BATAL KARENA GANTI PASIEN
10 GA HN √ 13.00 18.00-23.00
18.30-22.45
JT GA WA √ 10.00 09.40-
GR 1 GA AI √ 07.30 08.20-09.20
GR 1 GA HR √ 09.00
GR 2 GA WA √ 07.30 07.40-09.45
GR 2 GA WA 09.30 10.35-13.00
GR 2 GA WA 12.00 13.50-
GR 2 LA 13.30
GR 3
JT GA 10.00
15.45-17.30
JT GA spin WA √ 15.00
16.00-17.30
1 GA BI √ 18.00 18.00-21.00
19.00-20.45
16.00-19.00
6 GA HS √ 15.00
16.15-18.45
12.30-16.45
10 GA epd HN √ 11.00
14.30-16.45
20.10-21.20
20.30-21.20
GR 1 GA AI √ 12.00 12.45-13.05
10.45-12.00
DS 1 GA spin HS √ 09.00
11.00-11.45
16.30-18.15
DS 1 GA AI √ 11.00
17.00-18.00
DS 1 LA
20.30-21.15
DS 1 GA HS √ 18.00
20.45-21.00
DS 1 LA 20.00
10 LA
13.15-14.45
8 GA JH √
13.30-14.30
21.00-22.45
4 GA spin HS √ 19,00
21.30-22.30
06.30-10.00
CITO GA DS
06.45-09.45
11.45-16.30
CITO GA AI √
12.00-16.15
13.00-14.00
CITO GA spin AI √
13.10-14.00
15.10-15.30
CITO GA
15.15-15.30
CITO LA
17.15-18.00
CITO GA SF √
17.25-17.50
19.00-20.30
CITO GA spin SF √
19.15-20.30
23.45-01.00
CITO GA spin DS √
23.50-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
11.45-13.00
1 GA DN √ 08.00
12.00-12.45
08.00-10.45
1 GA HN √ 10.00
08.30-10.30
14.00-18.15
2 GA SF √ 13.00
14.15-18.00
08.15-12.00
2 GA HN √ 08.00
08.30-11.45
13.45-16.00
2 GA blok HN 12.30
14.00-15.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 11.30
07.30-10.45
4 GA WA √ 08.00
08.15-10.30
12.45-15.00
4 GA epd WA √ 13.00
13.00-14.45
20.30-23.15
4 GA HN √ 20.00
21.00-23.00
08.15-10.45
5 GA epd VL √ 08.00
08.30-10.15
12.45-16.00
5 GA epd WA √ 13.00
13.30-15.45
16.30-17.00
16.35-16.55
07.30-12.30
6 GA DS 08.00
08.00-12.15
13.00-17.00
6 GA WA 12.30
14.00-17.00
14.15-15.30
6 GA DS √ 15.00
14.30-15.15
7 GA 08.00
BATAL KARENA ALAT BLUM ACC
08.30-10.00
7 GA DS √ 10.30
09.00-10.00
11.00-11.30
11.00-11.30
8 GA BI √ 06.30
08.30-10.00
8 GA BI √ 08.00
09.00-10.00
10.00-11.45
8 GA HA √ 09.30
10.30-11.30
13.30-15.15
8 GA BI √ 13.00
14.00-15.00
8 GA HA √ 15.00 16.15-17.00
07.30-09.00
9 GA HR √ 07.00
07.45-08.45
16.00-19.30
9 GA BI √ 08.30
16.30-19.15
9 GA BI √ 13.00 10.00-13.15
10.15-13.00
10 GA spin HN √ 11.00 08.30-10.00
08.45-10.00
10 GA 15.00
BATAL KARENA ALAT BLUM ACC
10.45-13.00
10 GA spin DS √ 17.30
11.00-13.00
15.30-18.30
WD GA WA √ 19.00
15.45-18.30
JTG GA HR √ 10.00
GR 1 GA AI √ 08.00 08.00-09.15
GR 1 GA HN √ 10.30 10.10-
GR 2 GA AI √ 07.30 07.50-10.30
GR 3 GA WA √ 07.30 07.50-
GR 3 GA WA √ 08.30 08.30-13.30
DS LA
09.00-10.00
DS GA spin HS √
09.15-09.45
GR 2 GA HN 13.15-16.30
DS LA
17.45-19.30
CITO GA TA √
18.00-19.15
21.30-23.00
CITO GA HN √
22.00-22.45
23.30-02.00
CITO GA HN
23.45-01.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-08.45
2 GA UB √ 07.00
07.45-08.30
09.45-11.15
2 UB √ 09.00
10.00-11.00
3 LA 09.00 10.00-10.50
07.30-09.15
4 GA epd WA √ 08.00
08.10-09.00
09.15-13.00
4 GA epd WA √ 11.00
09.45-12.45
15.15-15.30
4 GA epd WA √ 14.00
13.30-15.15
07.45-11.45
5 GA UB √ 07.00
08.00-11.15
12.30-14.45
5 GA epd WA √ 11.00
12.45-14.30
15.30-16.30
5 GA DN √ 15.00
15.45-16.20
07.10-08.45
6 GA DS √ 07.00
07.25-08.35
11.00-12.45
6 GA blok UB √ 09.00
11.30-12.30
08.00-09.00
7 GA BI √ 08.00
08.30-08.50
10.15-12.15
7 GA BI √ 10.30
10.45-12.00
12.45-14.45
7 GA BI √ 13.00
13.00-14.30
07.45-08.30
8 GA UB √ 07.00
08.00-08.15
09.15-11.15
8 GA UB √ 09.00
09.30-11.00
12.30-14.00
8 GA HA √ 12.00
12.45-13.45
08.30-13.15
9 GA HA √ 08.00
09.00-13.00
16.00-17.00
9 GA BI √ 12.00
16.15-17.00
10 GA UB √ 07.00 08.10-13.45
15.00-17.15
10 GA UB √ 11.00
15.15-17.00
10 GA 13.00 BATAL KARENA ALAT BELUM TERSEDIA
20.15-24.00
10 GA WA √ 19.00
20.45-23.45
JTG GA WA √ 10.00 10.35-14.00
LA
LA
LA
DS LA
17.30-18.30
GA DN √
17.45-18.15
00.15-10.30
GA epd EL
00.45-01.30
07.30-08.30
CITO GA spin UB √
07.45-08.30
CITO LA
11.15-15.45
CITO GA spin UB √
11.30-15.30
14.45-16.00
CITO GA epd EL √
15.00-16.00
17.45-19.00
CITO GA EL √
18.00-18.45
17.00-19.45
CITO GA EL √
17.15-19.30
19.00-20.30
CITO GA EL √
19.15-20.15
21.00-00.30
CITO GA EL
21.15-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
17.00-20.00
GA SF √ 08.00
17.30-20.00
spin, 11.00-13.30
GA JH √ 11.00
epd 11.30-13.30
13.45-16.30
GA BI √
14.15-16.30
08.15-09.15
GA SF √
08.30-09.10
10.10-12.45
GA SF √
10.25-12.30
01.15-03.15
CITO GA EL
02.00-03.00
12.00-13.00
CITO GA spin SF √
12.25-13.00
17.00-21.00
CITO GA HA √
17.20-20.45
22.00-00.15
CITO GA HA √
22.20-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-11.15
1 GA DN √ 11.30
09.00-11.00
13.45-15.00
1 GA DN √ 14.30
14.00-14.45
1 GA DN √ 16.45-23.00
17.30-22.45
08.30-10.15
2 GA DN √ 09.00
08.45-10.00
2 GA 13.30
BATAL KARENA OPERATOR SAKIT
11.00-12.15
2 GA DN √ 17.30
11.30-12.00
13.30-16.30
2 GA DN √
14.00-16.15
3 LA 08.30
3 LA 09.30
3 LA 1.30
3 LA 12.00
3 LA 13.00
3 LA 14.00 13.40-
3 LA
08.30-13.00
4 GA epd VL √ 10.30
08.45-12.45
13.16-14.45
4 GA VL √ 13.30
13.40-14.40
4 GA HR
5 GA VL √ 13.30 08.00-09.45
08.30-09.30
12.30-14.30
5 GA VL √ 15.30
13.00-14.15
15.30-20.45
5 GA epd JH
16.30-20.30
08.00-11.00
6 GA Blok HR 11.30
08.30-11.00
11.30-13.45
6 GA HR 14.30
11.45-13.30
16.00-18.00
6 GA HR 17.00
16.15-17.45
17.00-18.15
6 GA JL √
17.10-18.00
08.30-11.30
7 GA HR 10.00
08.45-11.15
12.30-15.45
7 GA HR
12.45-15.30
07.15-08.00
8 GA AI 08.00
07.20-07.50
08.45-10.15
8 GA HA √ 10.00
09.00-10.00
10.45-12.00
8 GA HA √ 13.00
11.00-11.45
14.45-16.45
8 GA HA √
15.15-16.30
9 GA JH √ 12.30 08.45-
14.00-17.15
9 GA AI √
14.15-17.00
10 GA WA √ 11.30 07.00-10.00
07.15-09.45
12.30-16.00
10 GA JL √ 14.30
12.45-16.00
17.00-19.00
10 GA JL √ 17.00
17.30-19.00
21.00-23.00
10 GA HA √
21.45-22.45
JTG GA WA √ 10.00-14.00
16.00-17.35
JTG GA epd BI √
16.40-17.36
GR 1 GA BI 08.30 09.30-09.45
GR 1 GA WA √ 08.15-
GR 2 GA DN √ 11.30 11.05-
GR 2 GA
GR 3 GA HN √ 10.30
GR 3 GA
22.00-24.00
GA HR
22.05-23.55
LA
15.40-16.00
DS GA HN √
15.45-16.00
15.10-15.30
DS GA HN √
15.15-15.25
18.30-19.30
GA JL √
18.45-19.15
LA
LA
CITO LA
CITO LA 07.00-07.35
05.45-07.30
CITO GA HA √
06.00-07.15
09.00-10.30
CITO GA HA √
09.15-10.15
14.15-16.00
CITO GA HA √
14.30-16.00
20.15-21.45
CITO GA spin TA √
20.30-21.30
21.00-23.45
CITO GA BI √
21.30-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
17.00-18.30
17.15-18.15
09.15-10.15
1 GA JL √ 11.00
09.30-10.00
11.15-13.00
1 GA JL √ 13.00
11.30-12.45
14.00-14.45
14.10-14.30
08.15-11.15
2 GA blok VL √ 08.00
08.30-11.00
2 GA 12.00
BATAL KARENA ASMA
2 GA WA √ 15.00 15.15-19.00
15.40-18.45
19.15-21.45
2 GA TA √ 18.00
20.00-21.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
07.30-10.15
4 GA EL √ 07.00
07.40-10.10
4 GA epd WA √ 11.00 11.30-14.30
11.40-14.25
14.45-18.00
4 GA WA √ 13.30
14.50-17.55
07.00-11.15
5 GA epd DS √ 08.00
07.15-11.00
12.45-19.15
5 GA EL √ 12.00
13.00-19.00
5 GA 15.00 BATAL KARENA DEMAN 39oc
07.00-12.00
6 GA WA √ 07.00
07.15-11.45
12.45-13.20
6 GA WA 08.00
13.00-13.15
6 GA 10.00 BATAL KARENA BARU DATANG

08.30-10.00
7 GA HR √ 08.00
08.45-09.45
10.30-12.15
11.00-12.15
13.00-15.00
7 GA Blok WA 13.00
13.30-14.50
06.45-09.00
8 GA DS √ 06.30
07.00-08.30
09.30-12.30
8 GA VL √ 09.00
09.45-12.15
12.30-15.00
8 GA VL √ 11.00
12.45-14.30
15.15-17.00
8 GA HA √ 13.00
15.30-17.00
9 GA SF √ 08.00 09.00-14.00
09.15-13.45
9 GA HA √ 14.00 14.30-20.15
15.00-20.00
07.00-10.00
10 GA DS √ 07.00
07.45-09.45
12.45-15.30
10 GA DN √ 09.30
13.00-15.15
15.15-18.30
10 GA spin WA √ 12.30
15.30-18.15
20.00-22.00
10 GA spin DN √ 15.00
20.15-21.45
18.15-20.15
10 GA DN √ 17.30
18.30-20.00
JTG GA HR √ 10.00 09.30-12.00
GR 1 GA HA √ 08.00 08.15-11.00
GR 1 GA DS √ 11.30 12.35-
GR 2 GA WA √ 07.30 07.30-08.00
GR 2 GA WA √ 09.00 09.15-
GR 2 GA WA √ 11.30 11.10-
GR 3 GA 07.30 08.00-08.40
GR 3 GA VL √ 08.00 08.40-10.45
GR 3 GA 11.00 12.15-13.00
17.00-18.30
GA WA √ 15.00
17.30-18.15
LA
18.00-18.45
GA DN √ 17.00
18.15-13.30
15.30-18.30
GA HN √
15.45-18.15
18.35-21.10
GA HN √
18.50-21.00
18.45-19.45
GA DN √
19.00-19.30
20.45-22.00
GA spin TA √
21.15-21.45
LA
LA
DS GA DN √ 10.15-12.45
10.30-12.30
DS LA 08.40-09.00
10.30-11.40
CITO GA spin AI √
10.45-11.30
16.30-17.00
CITO GA Blok DN √
16.40-17.00
21.15-22.15
CITO GA spin TA √
21.30.22.10
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 LA 08.00
1 LA 08.30 08.45-09.00
09.15-10.30
09.30-10.15
11.00-12.30
1 GA VL √ 11.00
11.30-12.00
13.30-15.30
1 GA DS √ 14.00
13.45-15.15
08.15-13.00
2 GA VL √ 07.30
08.30-12.50
13.30-15.00
2 GA DS √ 10.00
13.45-15.00
18.00-19.45
2 GA DS √ 12.00
18.15-19.30
15.30-18.30
2 GA DS √ 14.30
16.00-18.15
20.30-22.45
2 GA DS √ 20.00
20.45-22.30
3 LA 06.30 07.30-07.50
3 LA 07.30
3 LA 08.30
3 LA 09.00
3 LA 09.45
3 LA 10.30
3 LA 11.00
3 LA 12.00
3 LA 13.00 13.45-
3 LA 14.00 14.55-
3 LA 15.00
06.45-09.30
4 GA epd BI √ 06.30
07.15-09.15
10.15-13.00
4 GA epd WA √ 10.00
10.30-12.45
14.30-17.45
4 GA BI √ 14.00
15.00-17.30
19.00-22.00
4 GA BI √ 17.00
19.15-22.15
19.00-22.00
4 GA epd VL √ 20.00
20.00-21.30
07.45-09.45
5 GA HR √ 08.00
08.15-00.30
10.45-15.15
5 GA HR √ 09.30
11.00-15.00
15.30-18.00
5 GA BI √ 13.30
16.15-17.45
08.00-10.30
6 GA UB √ 07.30
08.15-10.15
11.00-15.30
6 GA UB √ 10.00
11.15-15.15
6 GA 13.00 BATAL KARENA HIPERTYROID

17.00-18.00
6 GA HR 16.00
17.15-17.45
20.00-21.15
6 GA HR 18.00
20.15-21.00
08.00-08.20
7 GA UB √ 07.00
08.05-08.15
7 GA 08.00
7 GA HN √ 09.00 09.20-11.15
13.00-17.30
7 GA UB √ 12.00
13.30-17.00
18.15-22.30
7 GA HR 17.00
18.30-22.25
06.45-07.45
8 GA VL √ 06.30
07.00-07.30
09.30-10.45
8 GA HN √ 09.00
09.50-10.30
8 LA 11.30
13.45-15.15
8 GA EL √ 13.00
14.00-15.00
8 GA 15.00
BATAL KARENA TROBOSISTOSIS
07.30-10.00
9 GA EL √ 06.00
07.45-10.00
9 GA HA √ 11.00 12.30-17.15
12.45-17.00
18.30-20.30
9 GA VL √ 15.00
19.00-20.15
06.30-08.30
10 GA epd WA √ 07.00
07.00-08.15
09.30-13.45
10 GA Blok WA √ 09.00
11.00-13.45
14.30-16.40
10 GA HR 11.30
15.00-16.30
10 GA 16.00 BATAL/TUNDA BESOK RABU

20.30-22.00
10 GA HA √ 18.00
20.45-22.00
JTG GA WA √ 10.00 09.30-
JTG GA HN √ 14.00
GR 1 GA HN √ 07.30 08.10-13.00
GR 1 GA DS √ 10.30 13.50-
GR 2 GA HN √ 07.30
GR 2 GA DS √ 08.30
GR 3 GA 08.00 BATAL KARENA OPERATOR

GR 3 GA HN √ 11.30 08.45-
GR 3 GA DS √ 14.00 11.50-12.30
11.30-12.30
DS GA spin HR
11.45-12.15
13.10-13.35
DS GA spin HR
13.15-13.30
10.10-11.00
DS GA spin VL √
10.15-10.45
12.40-13.00
DS GA spin HR
12.45-12.55
08.30-09.00
DS GA spin HR
08.35-09.00
17.00-18.30
10 GA spin DS √
17.15-18.15
22.00-23.30
8 GA HN √
22.15-23.15
LA
06.30-09.00
CITO GA VL √
06.45-08.50
15.00-19.00
CITO GA HR
15.10-18.45
21.00-22.30
CITO GA spin HR
21.15-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-11.00
1 GA BI √ 08.00
08.45-10.45
1 LA 10.30 12.00-12.50
16.00-18.00
1 GA BI √ 15.00
16.15-17.45
09.00-11.00
09.30-11.00
12.00-13.00
2 GA BI √ 09.30
12.15-12.45
2 GA BI √ 11.00 14.45-20.15
15.00-20.00
19.30-21.45
2 GA BI √ 14.00
20.00-21.30
22.00-02.00
2 GA BI √ 17.00
22.30-01.45
3 LA 07.30
3 LA 08.30
3 LA 09.00
3 LA 10.00
3 LA 11.00 12.00-
3 LA 12.00
09.00-10.45
4 GA HR √ 08.00
09.10-10.30
10.30-12.45
4 GA UB √ 10.30
10.40-12.40
13.30-17.30
4 GA UB √ 12.00
13.45-17.15
19.45-21.15
4 GA TA √ 15.00
20.00-21.00
08.15-10.15
5 GA epd VL √ 08.00
08.30-10.00
10.30-11.30
5 GA epd VL √ 11.00
10.45-11.15
5 GA 13.30 BATAL KARENA SESAK NAFAS

07.00-09.45
6 GA WA √ 07.00
07.15-09.30
10.30-14.15
6 GA DS √ 09.30
10.45-14.00
15.15-17.00
6 GA blok DS √ 13.00
15.30-16.45
07.30-09.00
7 GA DS √ 07.00
07.45-08.45
7 GA spin VL √ 09.00 10.15-12.30
10.30-12.30
7 GA DS √ 11.00 14.00-18.00
14.30-18.00
12.15-15.30
7 GA DN √ 14.00
13.15-15.15
22.15-23.00
22.30-23.00
06.45-08.00
8 GA VL √ 06.30
07.00-07.45
09.00-11.00
8 GA VL √ 08.00
09.15-10.45
11.30-12.45
8 GA VL √ 10.00
11.45-12.30
13.15-14.30
8 GA VL √ 12.30
13.30-14.15
15.45-17.45
8 GA HN √ 14.30
16.00-17.30
08.00-10.45
9 GA UB √ 08.00
08.30-10.30
13.30-16.15
9 GA VL √ 13.00
14.00-16.00
18.30-23.15
9 GA VL √ 15.00
18.00-23.00
07.15-10.30
10 GA VL √ 07.00
07.45-10.15
10 GA UB √ 10.30 11.15-14.30
11.30-14.15
15.00-18.15
10 GA blok TA √ 13.30
15.30-18.00
22.15-00.15
10 GA HR 15.00
22.30-00.30
17.45-20.15
10 GA TA √ 17.00
18.00-20.00
JTG GA HR √ 10.00 09.55-12.00
JTG GA HN √ 15.00 16.10-
GR 1 GA HN √ 07.30 08.20-09.30
GR 1 GA HN √ 09.00
GR 2 GA HN 07.30 08.00-13.00
GR 2 LA 11.00 13.00-13.30
GR 3 GA HN √ 08.00 08.25-
GA VL √ 19.00-22.00
19.15-21.45
GR1 RA HN √ 10.00 12.35-
16.00-17.15
7 GA VL √
16.30-17.00
19.45-21.45
GA HN √
20.15-21.30
12.45-14.30
DS GA TA √
13.00-14.20
05.45-07.15
CITO GA HR √
06.00-07.00
06.00-06.30
CITO GA HR √
06.10-06.20
09.30-13.30
CITO GA BI √
10.00-13.15
10.30-12.15
CITO GA spin BI √
10.45-12.00
12.45-15.00
CITO GA spin BI √
14.00-15.00
15.40-17.45
CITO GA spin VL √
16.00-17.45
16.00-18.45
CITO GA spin VL √
16.15-18.45
21.00-24.00
CITO GA BI √
21.15-23.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.30
1 GA VL √ 08.00
08.15-10.15
1 GA HN √ 11.00 12.00-13.10
14.00-16.00
1 GA HN √ 13.00
14.15-15.50
13.15-14.40
DS GA spin HN √ 15.00
13.30-14.30
09.00-12.45
2 GA Blok HN √ 08.00
09.15-12.30
13.30-16.45
2 GA HN √ 11.00
14.00-16.30
17.15-20.00
2 GA HN √ 14.00
17.45-19.45
15.00-17.30
2 GA HN √ 17.00
16.00-17.15
17.40-19.00
2 GA HN √ 19.00
17.45-18.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
LA 13.00 14.30-15.00
07.15-09.30
4 GA epd WA √ 07.00
07.30-09.25
4 GA 11.00 BATAL KARENA KOREKSI KALIUM

13.45-14.35
4 GA DN √ 13.00
14.00-14.30
15.00-18.00
4 GA DN √ 15.00
15.15-17.45
18.00-19.00
4 GA VL √ 18.00
18.10-18.50
07.45-10.00
5 GA EL √ 08.00
08.15-09.45
10.30-13.30
5 GA epd UB √ 10.00
11.00-13.15
5 GA 14.00
08.15-08.45
6 GA UB 07.30
08.20-08.30
6 LA 08.30
11.30-14.45
6 GA UB √ 10.00
11.45-14.30
09.30-13.00
6 GA WA √ 14.00
09.45-12.45
14.00-14.30
6 GA WA √ 16.00
14.05-14.15
08.30-10.00
7 GA UB √ 08.00
08.45-09.55
10.45-12.30
11.00-12.30
13.30-16.30
7 GA UB √ 14.00
14.00.16.00
7 GA 18.30
07.15-08.45
8 GA HN √ 06.30
07.30-08.30
08.30-09.30
8 GA HA √ 08.00
08.45-09.15
10.45-12.15
8 GA JL √ 09.30
11.00-12.00
13.45-15.45
8 GA VL √ 13.00
14.00-15.30
16.00-17.15
8 GA VL √ 15.00
16.15-17.00
9 GA JL √ 08.00 16.30-22.00
16.45-21.45
09.00-11.15
9 GA JL √ 14.00
09.15-12.00
07.30-10.00
10 GA HR 08.00
07.45-09.50
17.30-
10 GA HN √ 11.00
18.00-
00.15-02.00
10 GA Blok DN √ 14.30
01.30-02.00
22.30-01.00
10 GA Blok HN √ 17.00
22.30-01.00
JTG GA 10.00
GR 1 GA WA √ 08.00
GR 1 GA HN √ 10.00 10.15-
GR 2 GA HN √ 08.00 08.15-10.00
GR 2 GA DN √ 10.00 11.50-
GR 3 GA HN √ 08.00 08.25-11.00
GR 3 GA HN √ 09.30 13.30-14.00
20.00-23.30
GA spin TA √
20.15-20.30
3 LA 11.25-11.40
LA
3 LA 15.30-16.00
DS GA WA √ 07.45-08.30
05.30-06.45
CITO GA spin BI √
05.45-06.30
06.00-08.00
CITO GA spin BI √
06.15-08.00
09.30-12.00
CITO GA epd TA √
09.45-11.45
16.15-18.00
CITO GA HN √
16.50-17.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.00-09.00
2 GA TA √
08.00-08.45
2 LA
11.00-13.00
4 GA spin TA √
11.05-13.00
09.00-10.15
5 GA JL √
09.15-10.00
07.15-08.15
8 GA TA √
07.30-08.00
9 GA TA √ 08.00-11.45
08.30-11.35
08.45-12.15
10 GA WA √
09.15-12.00
11.45-12.05
10 GA TA √
11.50-12.00
21.00-24.00
10 GA spin DN √
21.30-24.00
JTG GA HN √
08.40-09.15
DS 2 GA TA √
08.45-09.00
16.20-17.00
GA blok DN √
16.30-17.00
13.15-15.00
GA TA √
14.00-15.00
10.30-12.15
GA TA √
11.00-12.00
10.15-10.35
GA WA
10.20-10.30
14.15-15.30
GA VL √
14.30-15.15
13.30-16.30
CITO GA spin DN √
13.35-16.30
19.30-21.00
CITO GA DN √
19.45-20.45
CITO GA DN √ 23.10-23.20
23.20-23.10
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
LA 06.55-07.25
07.30-09.15
GA UB √
07.45-09.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-17.00
1 GA JL √ 08.00
09.00-16.30
19.30-20.30
1 GA DN √ 16.00
19.45-20.15
14.30-19.00
1 GA WA √ 17.00
14.45-18.45
1 GA 18.30
21.00-23.15
1 GA HR 21.00
21.30-23.00
2 GA 08.00
2 GA 08.30
10.30-15.45
2 GA EL √ 09.00
11.15-15.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 11.30
3 LA 12.30
3 LA 14.00
08.30-11.45
4 GA VL √ 08.00
08.45-11.30
12.45-15.45
4 GA HN √ 12.00
13.00-15.30
4 GA 15.00
17.30-20.45
4 GA VL √ 17.30
17.45-20.30
5 GA 08.00 BATAL KARENA ALBUMIN 2,2

08.30-10.15
5 GA epd VL √ 11.00
09.00-10.00
10.30-11.30
11.00-11.30
12.15-14.30
5 GA VL √ 13.30
12.45-14.15
21.30-22.30
5 GA DN √ 15.00
21.45-22.15
07.45-11.00
08.00-10.45
11.30-16.00
6 GA JL √ 12.00
11.45-14.45
15.40-19.30
6 GA HR √ 15.30
15.45-19.15
19.00-21.00
6 GA VL √ 18.00
19.15-20.45
08.45-10.30
7 GA HR √ 08.00
09.00-10.25
11.15-13.00
11.30-13.00
7 GA HR 14.00 14.15-16.30
14.30-16.15
17.30-19.45
7 GA spin HR 16.30
17.45-19.45
08.30-09.45
8 GA HA √ 08.00
08.45-09.30
10.15-11.45
8 GA HA √ 09.30
10.30-11.30
12.15-14.15
8 GA HA √ 11.30
12.30-14.00
16.00-17.30
8 GA AI √ 13.30
16.15-17.15
8 GA 15.30 BATAL KARENA HIPERTYROID
9 GA AI √ 08.00 09.00-12.15
11.30-16.00
10 GA JL √ 11.00
12.30-15.30
09.00-10.30
10 GA DS √ 16.00
09.30-10.15
JTG GA WA √ 10.00 09.50-12.30
JTG GA 15.00
GR 1 GA VL √ 07.15 08.00-
GR 1 GA DS √ 09.00 10.30-
GR 1 GA DS √ 13.00
GR 2 GA WA √ 08.00 08.35-
GR 2 GA DS √ 11.00 11.50-
GR 3 GA WA √ 07.30 10.25-12.30
GR 3 GA DS √ 13.00 14.15-
08.30-10.00
CITO GA spin HR
09.00-10.00
GR 2 GA WA √ 07.30-09.30
9 GA AI √ 11.00 15.00-20.15
15.15-20.00
17.45-20.00
9 GA JL √ 19.00
18.00-19.45
17.15-18.15
GA DN √ 16.00
17.30-18.00
21.00-22.00
GA DN √
21.15-21.45
21.30-01.30
10 GA spin JH √ 19.00
22.00-01.30
23.15-01.45
GA spin TA √ 20.00
23.45-01.15
16.00-17.30
GA spin JL √
16.30-17.15
3 LA 15.00
LA
LA
LA
LA
01.30-03.15
CITO GA TA √
01.15-03.00
07.00-10.30
CITO GA spin HA √
07.15-10.15
08.00-09.00
CITO GA Spin DN √
08.05-08.55
11.00-12.30
CITO GA spin HA √
11.10-12.25
12.00-13.15
CITO GA HA √
12.15-13.00
14.15-15.30
CITO GA DN √
14.20-15.25
14.10-18.30
CITO GA spin HN
14.15-18.15
20.45-21.30
CITO GA HR
21.00-21.30
CITO GA DN √ 20.50-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-09.30
09.00-09.15
10.00-11.45
10.30-11.30
13.15-16.15
1 GA JL √ 11.30
13.30-16.00
2 GA JL √ 08.00 09.00-11.15
09.30-11.00
13.00-15.00
2 GA HA √ 11.00
14.00-15.30
16.15-17.15
2 GA JL √ 13.00
16.30-17.00
18.15-19.00
18.30-19.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.30
3 LA 13.00
06.45-09.00
4 GA DN √ 06.00
06.50-09.00
10.00-12.00
4 GA JH √ 09.30
10.10-11.50
12.30-16.00
4 GA WA √ 12.00
12.35-15.50
07.45-12.45
5 GA epd WA √ 08.00
08.30-12.45
15.00-17.00
15.30-17.00
17.15-18.30
5 GA JH √ 14.00
17.30-18.15
spin, 08.00-11.30
6 GA WA √ 08.00
epd 08.15-11.15
13.00-14.15
6 GA WA 10.30
13.15-14.00
14.15-17.15
6 GA JH √ 11.30
14.30-17.00
17.30-18.15
6 GA WA √ 15.00
17.45-18.00
08.15-09.15
7 GA VL √ 08.00
08.30-09.00
10.45-13.30
7 GA WA √ 10.30
11.00-13.15
15.00-18.30
7 GA WA √ 13.00
15.15-18.15
07.00-08.00
8 GA HN √ 06.30
07.15-07.45
09.00-10.00
8 GA HN √ 08.00
09.15-09.45
10.30-11.45
8 GA HN √ 10.00
10.45-11.30
12.30-14.00
8 GA VL √ 12.00
12.45-13.45
14.30-16.15
8 GA HN √ 14.00
15.00-16.00
9 GA WA √ 08.00 07.30-20.15
09.30-20.00
9 GA SF √ 13.00 22.30-01.15
22.00-02.00
17.30-21.30
9 GA JL √ 18.00
18.00-21.15
07.15-08.15
10 GA EL √ 07.00
07.30-08.00
09.30-11.45
10 GA EL √ 08.30
10.30-11.30
12.45-15.15
10 GA epd EL √ 11.00
13.00-15.05
JTG GA WA √ 10.00 09.30-11.30
JTG GA HN √ 15.00
GR 1 GA WA √ 08.00 08.30-09.20
GR 1 GA HA √ 10.00 10.45-13.30
GR 2 GA HA 08.00 08.25-09.20
GR 2 GA HA √ 10.00 10.15-11.15
GR 2 GA HA 12.00 13.10-
GR 3 GA DS √ 08.00 08.25-10.15
GR 3 GA WA √ 11.00 11.40-
14.00-16.00
GA DN √
15.00-15.50
17.45-19.15
GA JL √
18.00-19.00
21.00-21.30
GA WA
21.15-21.30
18.00-19.00
GA HN √
18.15-18.45
LA
LA
LA
08.00-10.30
CITO GA epd BI √
08.30-10.15
10.30-11.45
CITO GA spin BI √
10.45-11.45
13.00-17.00
CITO GA BI √
13.30-16.30
CITO GA DN √ 14.00-16.00
18.00-14.30
CITO GA spin WA √
18.20-14.20
18.00-19.00
CITO GA spin WA √
18.20-19.00
20.30-22.15
CITO GA TA √
21.00-22.00
21.30-22.30
CITO GA spin AI √
21.45-21.30
23.15-02.00
CITO GA spin TA
23.30-02.00
HARI / TANGGAL : RABU, 01 MARET 2017
JAMINAN
1 Yudjilah 3 NPBI 60 th P R3A C623606 8861015
2 David Riyanto VIP um 34 th L GRD 6 C615015 8882403
3 Wahyudi 2 NPBI 35 th L MRK D C624120 8865513
4 Angga Adi Saputra 3 NPBI 10 bln L C1LD C582826 8867382
5 Aprilia Danang Saputra 3 PBI 8 th L C1LD C602263 8879805
6 Luluk Nurhayati 3 NPBI 32 th P R2A C622989 8879801
7 Winarto 3 NPBI 40 th L R6B C622884

8 Suniah 3 PBI 26 th P R3A C624742 8872149
9 Endang Istiati 1 NPBI 65 th P KPD D C314565 8878195
10 Sri Sudarwati 3 NPBI 41 th P P. VAS C611736

11 Bambang Tri W 3 NPBI 64 th L P. VAS C625811
12 Tri Minarsih VIP NPBI 30th P GRD 3 C621063 8882380
13 Juriyah 3 NPBI 61 th P R3A C624282 8877817
14 Jumirah 3 PBI 31 th P R4B C621512 8879650
15 Anah Merdiani NPBI 35 th P B31 C625715 8880288
16 Hatnolo Ardi VIPA NPBI 37 th L GRD L5 C608221 8882091
17 Roipah 3 PBI 52 th P R4B C617572 8847433
18 Elly Lathiefah Pranoto VIP NPBI 59 th P GRD L5 C130589 8879715
19 Cipto Sukiman 3 PBI 66 th L R3B C625003 8874082
20 Kustiah 3 PBI 53 th P R2A C594982 8882429
21 Murtini 2 NPBI 43 th P MRK D C618463 8878111
22 Tri Yuliastuti 1 NPBI 57th P KTL C334841 8881712
23 Widayati 3 NPBI 51 th P R2A C605550 8885550
24 Kasmuin 2 NPBI 57 th L KPD 1 C608966 8884157

25 Ibrahim Rahman 3 JMD 8 th L C1LD C624644 8869819
27 Darjati 1 NPBI 68 th P MRK 1 C619736 8869929
28 Jiyono 3 PBI 51 th L R3B C581988 8874162
29 Rusmin 1 NPBI 66 th L KPD D C621299 8882369
30 Chaerul Azhar 3 NPBI 12 th L C1LD C617861 8882394
31 Rina Kesiya 3 NPBI 8 th P C1LD C598994 8879795
32 Sutiah 3 NPBI 53 th P R2A C616407 8865340
33 Ruskan VIP NPBI 60 th L GRD L4 C618797 8867446
34 Waltiah 1 NPBI 47 th P KPD 1 C607782 8869456
35 Djoko Rusbiyantoro VIP NPBI 73 th L GRD L4 C304525 8882051
37 Karsiyah 2 NPBI 65 th P MRK D C625465 8878186
38 Sri Martiyatun VIP NPBI 54 th P GRD L5 C625642 8880012
39 Ida Farida 3 NPBI 32 th P R2A C571379
40 Ariska Asyyfah 3 PBI 6 th P Elang 2 C584239 8880246
41 Lely Deviarti 2 NPBI 38 th P KPD D C615837 8884358
42 Intan Kristiningrum VIP NPBI 32 th P GRD L3 C620442 8879740
43 Zuhrotun Nisak VIP NPBI 35 th P GRD L6 C569748 8882190
44 Ida Aryani VIP NPBI 46 th P GRD L5 C625136 8881568
45 Dwi Soeryawati 2 NPBI 51 th P KPD D B409744 8876119
46 Riyati 3 NPBI 46 th P R5B C603539 8882448
47 Warih Wiono VIP NPBI 38 th L GRD L6 C624180 8882395
48 Noviretnowati VIP NPBI 29 th P GRD L5 C614244 8882416
M : GI,SR,AD,ES,HA,IS,MY RR : FA,EM,SAM MID : YS,PM RR GRD : EA SORE PROGRAM : AU,AG,AM,DW,BR,
49 Karman VIP NPBI 10/5/1958 L GRD L4 C625296 8879889
50 Satiirin 3 NPBI 51th L R1B C625961 8884392

CITO
51 Nor Afiyah 3 NPBI 24th P B31 C626335 8886326
Muhammad Akhsani Al
52 2 NPBI 11bl L TRAN C619679 8882353
Fatah
53 Yantini 2 NPBI 32th P B31 C243914 8884473
54 Umi Laelatusy Syarifah 2 NPBI 24th P B31 C625700 8880191
55 Puspa Dwitasari VIP NPBI 20th P GRD 3 C458512 8884408
56 Azrill Maulfi Syarif 2 NPBI 3th L TRAN C623080 8884362
57 Yeni 3 PBI 30th P B31 C625907 8882269
58 Mikjayla Ayasha 3 NPBI 3th P C1L1 C625938 8886036
59 Adin Nurliasari 2 NPBI 27th P B31 C626141 8884484
60 Samsudin 3 PBI 32th L HCU C626072 8886228
HARI / TANGGAL : KAMIS, 02 MARET 2017

JAMINAN
1 Ade Wirawan VIP Um 35 th L GRD 4 C625423 8883515
2 Suprayitno 3 PBI 52 th L R1B C622836 8869232
3 Tafrichan 3 NPBI 42 th L R3B C625132 8878034
4 Siti Mardiyah 3 NPBI 31 th P R3A C624103 8879850
5 Zilvano Nizam Rizki A 3 PBI 3 th L C1LD C600545 8884343
6 Lathifa Nur Khasanah 3 PBI 3 th P C1L1 C620236 8861844
7 Bangkit Assidiqi 1 NPBI 12/7/1999 L C1LD C625729 8882452
8 M. Affan Ali 3 PBI 2 th L C1LD C589376 8884439
9 Selvia Nurul 3 NPBI 25 th P Pol MTA C219886
10 Nur Husni Mubarok 3 PBI 19 th L R1B C622308 8884527
11 Nur Handis 3 NPBI L P. VAS C625911

12 Sri Sumarni 3 PBI 45 th P R3A C624290 8882484
13 Indah Rizkiatul Barokah 3 NPBI 24 th P R3A C623220 8882258

14 Siti Rukanah 3 PBI 40 th P R5A C624754 8882351
15 Musliyati VIP NPBI 7/12/1960 P GRD 4 C625098 8879852
16 Hetty VIP NPBI 62 th P GRD 5 C621591 8884432
17 Titik Kurniawati VIP NPBI 12/3/1968 P GRD 4 C624744 8876069
18 Kusmi 3 NPBI 86 th P R2A C592410 8882297
19 Kasniti 3 NPBI 78 th P R2A C610776 8869399
20 Muh Baitun 3 NPBI 3/5/1974 P R2A C619133 8882408
21 Kabul Budiyono 3 NPBI 46 th L R2B C620521 8882397
22 Sri Martini 3 NPBI 45 th P R2A C621568 8882197
23 Rini 3 NPBI 30 th P R3A C622499 8872056
24 Giyamno 1 NPBI 65 th L MRK 2 B229941 8880297
25 Yusuf Slamet 3 PBI 43 th L R6B C546635 8879729

26 Kalriska Lisfaroh R 3 NPBI 8 bln P C1LD C612306
27 Endang Sugiarti 3 NPBI 59 th P R4A C619454
28 Sri Ismiati 3 PBI 31 th P R6A C623512 8876120
29 Muhammad Alvian Nasuka 3 NPBI 6 th L C1LD C625761 8884481
30 Rinova Indriyanto 3 JMD 9 th L C1LD C610710 8882290
31 Sukinah 3 PBI 75 th P R5B C621829 8882314
32 Wasilah 3 PBI 57 th P R5B C619380 8882450
33 Sarikem 2 NPBI 68 th P MRK D C625455 8878187
34 Sutiah 3 PBI 46th P R2A C618817 8865223
35 Yumianah 3 PBI 44 th P R2A C612176 8860996
36 Sutiyem 3 NPBI 44 th P R4A C624654 8869885
37 M. Suwarli 3 JMD 18 th L R2B C624530 8869544
38 Inneke Inawati 1 NPBI 56 th P KPD 1 C624610 8869758
39 Feri Prihatun 1 NPBI 51 th P MRK 2 C120677 8869784
40 Sharopudin 3 NPBI 15 th L C1LD C571500 8882323
41 Nurfaedah Yulianti 2 NPBI 33 th P Elang 1 C386615 8884024
42 Sutiyono 3 PBI 39 th L R5A C624195 8865384
43 Muntari 2 NPBI 64 th P KPD D B232652 8884357

44 Luluk Muniroh 1 NPBI 34th P B31 C625652 8880035
45 Suprihartiningsih 1 NPBI 45 th P KPD L1 C618545 8884373
46 Muyasadah 3 PBI 35 th P R4B C621452 8884274
47 Sri Winarni 1 NPBI 46 th P B31 C054177 8882438
48 Monica Sendy Karina Y 2 NPBI 15 th P B31 C599634 8882359
49 Christina Budianti VIPA NPBI 46 th P GRD 3 C621889 8882222

50 Izar Handika VIP NPBI 29 th L GRD L6 C321291 8885425
M : GI,AG,BR,ES,DA,HA,YS RR : FA,EM,AS MID : SAM,PM RR GRD : MW SORE PROGRAM :WU,II,AR,AM,DW,B
51 Teguh Susilo VIP Um 8/1/1959 L GRD L6 C623540 8886015
52 Cipto Rahmin 1 NPBI 1/4/1972 L KTL C618183 8885851
53 Nur Khamid 3 PBI 44 th L R2B C625070 8886305
54 Karunilistiani Pranata 2 NPBI 1/7/1963 P Transit C599195 8882112
55 Ngatmirah 1 NPBI 36 th P KPD 1 C625498 8884309
56 Sofyan Yusthiva 3 NPBI 13th L C1L1 C295941 8882479
57 Yunita Ekasari 2 NPBI 33th P TRAN C625728 8880334

58 Sutami 3 NPBI 73th P HCU C624285 8867748
59 Farkhatun 3 PBI 48th P R3A C625684 8880183
60 Domo 3 NPBI 68th L GER D C621265 8886269
61 Suwardjo 3 NPBI 59th L R5A C618941 8876778

CITO
62 Ngatiman Imam Riwolo 3 JMD 68th L R1B C590305 8886453
63 Muh Duri 1 NPBI 52th L ELA 2 C597320 8851542
64 Al Adn Tegar Pahlevi 2 NPBI 2bl L IGD C626340 8886324
65 Azizatur Rahmatika 2 NPBI 25th P IGD C626341 8887599
HARI / TANGGAL : JUMAT, 03 MARET 2017

JAMINAN
1 Jumirah 3 NPBI 61 th P R5B C621957 8847431
2 Siti Solekah 3 PBI 49 th P R4B C583288 8880272

3 Abdul Muin 3 NPBI 79 th L R2B C625174 8882488
4 Subeno VIP um 46 th L GRD 6 C625616 8887236
5 M. Syaefulloh 3 NPBI 5/30/2016 L C1LD C588646 8884419
6 Akhsan Yusuf Ferdinand 2 NPBI 3 th L C1LD C583345 8886207
7 Rosid 1 NPBI 46 th L MRK 2 C625755 8884467
8 Kasni 3 PBI 76 th P R4B C626050 8884506
9 Ali Yanto 3 PBI 62 th L R2B C617955 8886172
10 Muryati 3 PBI 70 th P R2A C597487 8886317
11 Rifki Hamida 3 PBI 15 th P C1L1 C623589 8888160
12 Yohanes 3 NPBI 60 th L P.VAS C483826
13 Fanny Karnadi 3 NPBI 46 th P B31 C619495 8883540
14 Erna Agustina 2 NPBI 20 th P B31 C614698 8882282
15 Evodeo Bayu Erlangga 1 NPBI 39 th L KPD D C622995 8886260
16 Soedjijoto Purwanto VIP NPBI 78 th L GRD L5 C154001 8880868
17 Muh. Suhari 3 NPBI 49 th L R5A C624645
18 Sri Sunarti 2 NPBI 35 th P KPD D C625335 8886671
19 Cheng Wei Ming 2 NPBI 64 th L KPD 1 C579960 8887336
20 Cahyono VIP NPBI 58 th L GRD L6 C588722 8886273
21 Rusni 3 NPBI 57 th P R2A C419910 8882388
22 Lasmini 3 NPBI 52 th P R6A C625955 8883051
23 Karsumi 3 PBI 63 th P R2A C624558 8881815
24 Lilik Sujarmanto 3 NPBI 26 th L R2B C619320 8874150
25 Wahyu Wardoyo 2 BPJS 37 th L MRK D C625464 8878210
26 Bisri 3 PBI 66 th L R1B C625485 8879876
27 Sugati 3 NPBI 68 th L R3B C622083 8884386
28 Kalriska Lisfaroh Dea 3 NPBI 8 bln P C1LD C612306 8874067
29 Ubaidillah Wahab VIPA NPBI 56 th L GRD L5 C623700 8882175
30 Samiyem 3 NPBI 53 th P R3A C538504 8871694
31 Rutiah 3 PT 4/25/1974 P R2A C599142 8869438

32 Anik Tri Hastuti 1 NPBI 52 th P KPD L1 C621073 8869477
33 Winanto 3 PBI 3/23/1976 L R6B C622884 8855777
34 Faradilla Shandra Devi 1 NPBI 21 th P MRK 2 C625467 8879792
35 Karnadi VIP NPBI 51 th L GRD L5 C500054 8884452
36 Kho Kiem Nio 2 NPBI 62 th P KPD D C624768 8887972
37 Naila Muyasaroh 3 PBI 18 th P Elang L1 C586503 8885872
38 Sri Hardjani 2 NPBI 50 th P MRK D C483929

Almira Sanzhan
39 2 NPBI 20 th P KPD LD C491624 8887548
Noubertha
40 Rianto Handoko 1 NPBI 59 th L KPD L1 C198850 8886245
41 Kadiyono 3 PBI 34 th L R6B C624452 8869802
42 Rumawati 3 NPBI 44 th P B31 C619412 8883594
43 Noor Faidah 1 NPBI 52 th P KPD L1 C611466 8884471
44 Rosidah 1 NPBI 50 th P B31 C110287 8886065
45 An Saffa 3 NPBI 3 th P C1LD C464055
M : CA,AN,AU,AG,BR,DB,DA RR : FA,EM,AS MID : SAM,PM RR GRD : IS SORE PROGRAM : WU,II,AR,AM,DW,B
46 Ari Dwi Ristianto 1 NPBI 35 th L KTL C610479 8888162
47 Anna Ambarwati 3 NPBI 36 th P GRD 4 C190109 8888172
48 Sugiyanto 2 NPBI 58 th L MRK LD C588473 8879930
CITO
49 Febriana Sukmawati 2 NPBI 27th P IGD C620328 8889881
50 Maryanto 3 NPBI 57th L R1A C599138 8889887
51 Dita Tri Hapsari 3 NPBI 27th P B31 C522803 8888221
52 Indah Widyastuti VIP NPBI 30th P GRD 3 C499092 8888296
53 Ali Mastur 2 NPBI 74th L MRK D C573903 8882342
54 Sholikhah 3 PBI 34th P B31 C626503 8888285
55 Khumaidi 3 PBI 21th L HCU C586168 8827559
56 Mazidah 3 PBI 48th P R2A C532943 8855658
57 Gunarti 1 NPBI 31th P ICU C626612 8889827
58 Muryani 1 NPBI 70th P B31 C525548 8889787
59 Sawi 3 PBI 70th P GER D C626607 8890312

HARI / TANGGAL : SABTU, 04 MARET 2017
JAMINAN
1 Abdul Lian dr VIP um 73 th L GRD 5 C163983 8887225
2 Alby Virendra Pradipta 3 NPBI 5 bl L C1LD C618733 8888108
3 Sandy Nur Prasetiono 3 NPBI 2 th L C1LD C623887 8888003
4 Vitri Hutanti 1 NPBI 36 th P KPD 1 C325519 8883729

5 Diyah Komarisa 1 NPBI 32th L MRK 1 C625885 8882352
6 Julia Jojok C VIP NPBI 66 th P GRD 6 C625986 8887447
7 Safitri Nur Taqwaning 1 NPBI 41 th P KPD D C620164 8888168
8 Supiatun 1 NPBI 51 th P KPD 1 C623853 8882384
9 Octaviana Sari 3 NPBI 53 th P R4A C620127 8882490
M : CA,AN,AU,BY,DB,DW SORE PROGRAM :II,BD,NI,AT,AR,WI,PM,MK,SA,SC,EA,PL,RA,TM

10 Ali Mastur 2 NPBI 74th L MRK D C573903 8882342
11 Ngtimah 3 NPBI 46th P R4B C481336 8888250
12 Liya Yuliana 3 PBI P R6A C626331 8888125
13 Maftukah VIP NPBI 40th P GRD 6 C454090 8880250
CITO
14 Samini 3 um 56th P R2A C626641 8890183
15 Erlano Rafa Fardiansah 2 NPBI 3th L TRAN C626646 8889867
16 Rosalia Nining Setyowati 3 NPBI 36th P B31 C491213 8888272
17 By.Ny. Dwi Suryaningrum 3 PBI 4bl P PICU C608231 8889879
18 Katmi 3 NPBI 59th P R3A C609878 8889858
19 El Fattan Ardan Ash Sidik IRINA NPBI 3bl L HCU C626315 8886349
20 Zaim Akbar Maulana 1 um 5th L TRAN C607666 8882495
21 Edi Susanto 3 PBI 20th L R1B C617532 8882372
22 Shodi Qin 3 um 49th P R1B C626631 8890144
23 Kamsiran 1 NPBI 60th P KTL C626696 8890169

24 Umi Salamah 3 PBI 52th P ELA 1 C626639 8889850
HARI / TANGGAL : MINGGU, 05 MARET 2017
JAMINAN
1 Hanifatulaila Budiyani VIP NPBI 27th P GRD 3 C626707 8890157
HARI / TANGGAL : SENIN, 06 MARET 2017

JAMINAN
1 Saukani VIPA NPBI 23/05/1974 L GRD 6 C626227 8888115
2 Bestin Pandjaitan 1 NPBI 65 th P KPD 1 C589972 8886250
3 An Soffa Fauziah 3 NPBI 3 th P C1LD C464055 8886224
4 Dewi SinLing VIP NPBI 4/14/1976 P GRD 6 C626492 8888663
5 Solikhan 3 PBI 25 th P R3B C463999 8878039
6 Renny Herawati Hadinoto 2 NPBI 60 th P R2A C536775 8889445
7 Wiji Lestari 3 PBI 64 th P Pol MTA C605727
8 Handoko Henderiyanto 3 PBI 23 th L Pol MTA C615245
9 Rofiatun 3 NPBI 51 th P R4A C625827 8882491
10 Dwi Maulana Alim 1 NPBI 25 th L KPD 1 C624941 8886261
11 CH Anjar Dwi Susanti 2 NPBI 43 th P MRK D C615254 8888142
12 Tutik Mardiyati 1 NPBI 54 th P MRK 1 C625008 8888266
13 Tugimin 3 NPBI 47 th L R5A C540889 8867460
14 Darinah 3 PBI 7/1/1955 P R2A C586375 8882445
15 Rodikin 3 PBI 53 th L R2B C612294 8882375

16 Kusripah 2 NPBI 53 th P KPD D C618861 8890226
17 Aisyah Hanun Putri P 3 NPBI 2 th P C1LD C623664 8888206
18 Sariyah 3 NPBI 53 th P R2A C621427 8878068
Muhammad Misbakhul
19 3 PBI 8 th L TRAN C624877 8888279
Munir
20 Abdul Aziz 3 NPBI 27 th L R2B C625751 8882478
21 Rochmad Budi 3 NPBI 37 th L R2B C626450 8888213
22 Sutaman 3 PBI 59 th L R1B C624415 8868449
23 Agus Mumin 3 NPBI 43 th L R2B C619004 8879752
Herman Waluyo 1 NPBI 57 th L ELA 2 C308740 8886093
24 Sri Hardijani 2 NPBI 50 th P MRK D C483929 8872154
25 Suyamto 2 NPBI 47 th L MRK D C561909 8888257
26 Sriwahyuni 3 PBI 44 th P B31 C612887 8887976

27 Rizki Ayu Junia R 3 NPBI 2 th P C1L1 C623698 8880160
28 Siti Zumaroh 2 NPBI 16 th P B31 C625876 8884438
29 Moch. Djamar Arifin VIP NPBI 67 th L GRD 4 C626138 8886265
M : NH,AR,AT,VT,HR,WI,PM,UM RR : FA,EM,AS MID : SAM,HA RR GRD :WU SORE PROGRAM : AP,NO,AF,AD,
30 Nusaranto VIP NPBI 51 th L GRD L5 C625801 8889783
31 Istiqomah 3 PBI 6 th P C1LD C618927 8889508
32 Misriyah VIP NPBI 61 th P GRD L5 C620871 8890058
33 Abdul Shomad 3 PBI 48 th L R3B C623537 8860867
34 Sopiah 3 NPBI 43 th P R3A C624617 8869764
35 Muslimah 1 NPBI 59 th P GER 1 C624994 8873973
36 Hi Nurdin Bugis VIP um 67 th L GRD L5 C545417 8890161
37 Ade Kusuma A 2 NPBI 23 th P B31 C616414 8889744
CITO
38 Uswatun Khasanah 3 NPBI 32th P B31 C626709
8890203
39 Suyatmi 3 NPBI 50th P R5B C336040 8882396

40 Sumijah 3 PBI 62th P GER D C626719 8890242
HARI / TANGGAL : SELASA, 07 MARET 2017
JAMINAN
1 Santoso 1 NPBI 48 th L KPD 1 C596245 8888218
2 M. Endi Susanto 3 NPBI 26 th L R1B C620932 8888247
3 Rukini 3 NPBI 53 th P R3A C621139 8889708
4 Tri Haryanto 1 NPBI 47 th L KPD 1 C419561 8888164
5 Supandi 3 PBI 61 th L R3B C612157 8889417
6 Maryati 1 NPBI 56 th P P. Mata C623155
7 MM. Sri Tinah 3 PBI 69 th P P. Mata C618992

8 Hariyanto 3 NPBI 51 th L Pol MTA C623924
9 Saroni 3 NPBI 75 th L P. Mata C623360
10 Hartoyo Iman T 1 NPBI 52 th L P. Mata C409985
11 Sarmi 3 PBI 56 th P R5B C618953 8889798
12 Sahid 3 PBI 69 th L P. Mata C606580
13 Fransisca Ismiyati 2 NPBI 46 th P B31 C620007 8886149
14 Sriyatun 2 NPBI 41 th P KPD D C607206 8888214
15 Sri Ekowati 1 NPBI 63 th P KPD D C401865
16 Tumi 3 PBI 53 th P R4A C626123 8884498
17 Muhammad Yarid Ilmi 3 PBI 5 th L C1L1 C626614 8889924
18 Ismiyati 1 NPBI 47 th P MRK L2 C626689 8890141
19 Sudiyah 3 NPBI 40 th P R5B C626159 8885221
20 Parman 3 PBI 55 th L R3B C626172 8888657
21 Yofan Setiadi 2 NPBI 27 th L MRK D C619809 8879872
22 Habibi Ahsanul Kirom 3 NPBI 3 th L C1LD C610255 8889460

23 Naily Afini 3 NPBI 2th P C1LD C616923 8889739
24 Mujianti 3 NPBI 57 Th P R4B C626116 8884495
25 Moch Irsyad Ibad 1 NPBI 21 th L KPD 1 C625560 8888216
26 Badri 3 Um 48 th L R2B C626309 8887950
27 Handini 2 NPBI 64 th P GER L1 C621095 8890297

28 Supriyanto 3 NPBI 52 th L R3B C622939 8888111
29 Prajogo 1 NPBI 63 th L MRK 1 C609342 8882356
30 Siti Karomah VIP NPBI 1/25/1955 P GRD L5 C610364
31 Domo 3 NPBI 68 th L GER D C626625 8886269
32 Syahreja Aditiya Sigit 3 NPBI 1 th L C1L1 C624464 8884515
33 Sekar Ayu Anandita 3 NPBI 7 th P C1L1 C471572

34 Nur Aisyah Jamil 3 NPBI 16 th P C1LD C538047
35 Supriyati 3 PBI 44 th P R5B C340029 8884519
36 Bani Yoga Dharmawan 3 NPBI 8/26/1994 L R1B C616962 8884385
37 Ivan Nabil Arighi 1 NPBI 21 th L KPD 1 C301543 8880155
38 Rahel Lina Arrifa 3 NPBI 2 th P ELA 1 C601511
39 Darmo Ngusmin 3 PBI 7/25/1958 L R2B C617431 8869403
40 Maryati 3 PBI 32 th P R2A C559008 8890141
41 Romelah 3 NPBI 46 th P R3A C599320 8889304
42 Sakha Ransi Alden Saputr 1 NPBI 1 th L C1LD C575813 8889784
43 Idayanti Wahyunor Vita VIP NPBI 1/16/1989 P GRD L6 C621270 8889719
44 Siti Hasna Khoirunnisa 3 NPBI 1 th P C1L1 C626629 8890163

M : NH,AR,AT,VT,HR,WI,PM,UM RR : FA,AS,ES MID : SAM,HA RR GRD :AG SORE PROGRAM : AP,AH,AF,RE,A
45 Suwati VIP NPBI 3/25/1956 P GRD 4 C578013 8892067
46 Desti Minarni 3 PBI 36 th P R3A C624917 8873105
47 Slamet Sholih VIP NPBI 8/17/1948 L GRD 5 C625985 8892327
48 Erlyana Dwi Prasetyawati VIP NPBI 4/12/1966 P GRD 4 C623183 8892355
49 Evialty Primelly VIP NPBI 8/28/1968 P GRD 5 C626824 8891468
50 Wuryanto, SE VIP UM 4/21/1967 L GRD 4 C626745 8892488
51 Muhammad Munadi 3 PBI 58 th L R2B C624629 8869826
52 Sutrima 3 PBI 37 th L R4B C615742 8888275

53 Eka Fajarwati 3 NPBI 30th P R6A C624303 8892371
54 Parmin 3 NPBI 41 th L R3B C626713 8890168
CITO
55 Sylvia Susana Tutuarima 2 NPBI 49th P IGD C626970 8892467
56 Muhammad Ulil Albab 2 PBI 14th L IGD C627173 8894558
57 Rokhidah 1 NPBI 49th P KPD 1 B289348 8880171
58 Sulasni 3 PBI 54th P R1A C626326 8888058
59 Sukamadi 3 SKTM 58th L R2B C626893 8892824
60 Tri Kusyanti 3 um 34th P B31 C624931 8892566
61 Wahyudi Supriyono 3 JMD 43th L R1B C625527 8879878
62 Purwoto 1 NPBI 51th L KPD D C557083 8889833
63 Bangkit Assidiqi 1 NPBI 17th L C1LD C625729 8882452
64 Siti Ulfah 2 NPBI 32th P B31 C626762 8890333
65 Aland Kusuma Azhar 2 NPBI 16th L IGD B076134 8893448

JAMINAN
1 Jahudi Al Yahdi 1 NPBI 22/07/1952 L MRK 2 C454189 8888171
2 M Teguh Azmi IRIN JMD 2 th L HCU C626602 8890040
3 Sukarti 1 NPBI 57 th P MRK 1 C625475
4 Sutimin 2 NPBI 67 th L KPD D C611523 8888173
5 Christinawati VIP Um 36 th P GRD 4 C388693 8891691
6 Sudiono 1 NPBI 43 th L KPD 1 C519079 8886194
7 Tan Tjoe Hwa Privat NPBI 82 th P P. GRD C635987

8 Widji Priv NPBI 70 th L P. GRD C187232
9 Edy Awan Priv NPBI 69 th L P.GRD C622902
10 Mamiek 2 NPBI 57 th P P.GRD C618307
11 Suyanto 3 PBI 49 th L P.GRD C620891
12 T Sri Ramini 3 JMK 51 th P P.GRD C624844
13 Suyito 3 JMD 47 th L R1B C618815 8894564

14 Eni Prastini VIP NPBI 51 th P GRD 3 C624295 8890009
15 Ichwan Eko Priyono 3 PBI 35 th L R2B C625683 8880189
16 Kiswantin Naisah VIP um 32 th P GRD 6 C626556 8894434
17 Kusnadi VIP NPBI 56 th L GRD 4 C620070 8889574
18 Solekan Dahono 2 NPBI 62 th L MRK D C624647

19 Siti Suliyah 3 PBI 34 th P R2A C625804 8892472
20 Anah Koriyati 2 NPBI 36 th P KPD D C558237 8888176
21 Widji 1 NPBI 58 th P KPD D C617648 8882360
22 Sanusi 2 NPBI 58 th L KPD 1 C625900 8893391
23 Zoya Ramadhani 2 NPBI 4 th P C1LD C602699 8892480
24 Kristi 3 NPBI 23 th P R3A C623048 8855510
25 Darimah VIP NPBI 53 th P GRD 6 C624048 8890086
26 Rasmi 3 PBI 54 th P R3A C609424 8892377
27 Suyati 3 PBI 48 th P P. MTA C604976
28 Djoko Susilo Utomo, SH VIP NPBI 62 th L GRD 4 C177588 8891925
29 Karsini VIPA NPBI 11/21/1948 P GRD 5 C624256 8876054
30 Inmery Ogest Samosir 2 NPBI 27 th P MRK D C625059 8874124
31 Nur Aisyah Jamil 3 NPBI 16 th P C1LD C538047
32 Sandy Echa Susanto 3 PBI 11 th L C1LD C626754 8890320
33 Phan Po Ton 1 NPBI 59 th L KPD D C445870 8889835
34 Ilham Choirul 2 NPBI 24 th L KPD 1 C621326 8893926
35 Sutrisno 3 PBI 20 th L Elang 1 C593105 8891506
36 Nurlaeli VIP NPBI 46 th P GRD 6 C606089 8892340
37 Warsini 2 NPBI 64 th P KPD D C572435 8893037
38 Paenah 3 NPBI 60 th P R5B C625703
39 Heny Rahmawati VIP NPBI 21 th P GRD 3 C621002 8890046
40 Martha Adi Adana 1 NPBI 51 th L KTL C623619 8882412
41 Sundari Rosalia 3 NPBI 56 th P R2A C593211 8886021
M : NO,TR,YS,TU,ER,DM,EA RR : FA,AS,ES MID : SAM,HA RR GRD :AG SORE PROGRAM : AP,ST,CA,AF,RE,A

42 Sudarsono 3 NPBI 53 th L R2B C609711 8879834
43 Alami VIP NPBI 28th P GRD 3 C624374 8894408
44 Wagiyem 2 NPBI 70th P GER D C626902 8892551
45 Siti Maesaroh 3 NPBI 45 th P R4A C615325 8889995

46 Prabowo 1 NPBI 5/10/1967 L KPD 1 C359916 8889828
47 Sutarmo 2 NPBI 76 th L MRK D C222754 8880180
CITO
48 Jamiatun 3 NPBI 36th P B31 C627171 8894547
49 Dwi Pandu Putra 2 PBI 17th L IGD C627156 8894476
50 Andi Yulianto 2 um 21th L IGD C627149 8894372
51 Jamiah 3 NPBI 44th P R4B C610905 8845783
52 Maslakah 3 NPBI 24th P B31 C627331 8896257

JAMINAN
1 Endang Meinaryati 1 NPBI 53 th P MRK 1 A168280 8845779
2 Arif Yakun 1 NPBI 42 th L KPD 1 C480881
3 Sarkam 3 NPBI 47 th L R3B C624504 8874107
4 Royhan Hiballoh 3 PBI 8 th L C1LD C602784 8892280
5 Dastiah VIP NPBI 41 th P GRD 6 C626234 8894533
Muhammad Al Faruq
6 3 um 2 bln L C1L1 C626688 8890173
Zidny
Muhammad Rizky
7 1 NPBI 3 th L C1LD C619802 8892481
Wahyudin
8 Nok Chaeriyah 3 NPBI 51 th P R3A C024829 8892434
9 Egi Prayogi 3 NPBI 13 th L C1LD C572581
10 Fathullah Ahmadi 3 NPBI 59 th L Pol MTA C619944
11 Ahmadi 3 NPBI 59 th L Pol VAS C626924

12 Chandra Anang 3 NPBI 48 th L Pol MTA C525236
13 Suprapti 3 NPBI 57 th P Pol VAS C622542

14 Maria Christina Resmi 1 NPBI 41 th P KPD D C624896 8888241
15 Valencia Primadani 3 NPBI 4 th P Elang C584910 8896176
16 Moh Chandra Putra P 3 NPBI 12th L C1LD C593475 8889750
17 Darusno VIP NPBI 12/4/1967 L GRD 6 C626590 8889802
18 Sri Sumarni 3 NPBI 45 th P R3A C624290
19 Muhammad Ridwan VIP NPBI 1/25/1968 L GRD L5 C622739 8893590
20 Kamali 2 NPBI 78 th L MRK D C626488 8888281
21 Solekan Dahono 2 NPBI 62 th L MRK D C624647

22 Saenah 2 NPBI 59 th P HCU C624747
23 Apriana Ayu Listyo 1 NPBI 19 th P KPD D C301596 8892450
24 Mudhakir 3 NPBI 66 th L R2B C615842 8898643
25 Ali Sardjono VIP NPBI 62 th L GRD L5 C622973 8894413
26 Saadah VIP NPBI 58 th P GRD L5 C625899 8891733
27 Suhedi VIP NPBI 10/23/1951 L GRD L6 C626448 8892049
28 Adi Perwira VIP NPBI 13 th L GRD L3 C626744 8890281
29 Achmad Agung Prabowo VIP NPBI 8/4/1978 L GRD L5 B378972 8857439
30 Fatmawati 3 PBI 36 th P R5B C626254 8889519
32 Adelya Hulut Rahmawati 3 um 16 th P R2A C626682 8890170
33 Elkana Sri Suharni VIP NPBI 66 th P GRD L5 C445106 8892348
34 Mokhamad Fauzin 3 PBI 16 th L C1LD C595220 8892470
35 Warsiti 3 NPBI 65 th P R3A C584406 8892521
36 Siti Karomah BSC VIP NPBI 62 th P GRD L5 C610364 8881762
37 Daryanto VIP NPBI 63th l GRD 5 C605494 8890049
38 Wakiyem Yunihastuti 1 NPBI 48 th P GER L1 C624391

39 Pandi 2 NPBI 48 th L MRK D C623906 8863229
40 Dwi Rengganingsih 2 NPBI 49 th P MRK LD B239031 8880211
41 Nur Aisyah Jamil 3 NPBI 16 th P C1LD C538047 8872177

42 Mohamad Anas 1 NPBI 40 th L MRK 2 B219016 8890224
43 Yudha Agung Prakoso 2 NPBI 42 th L Transit C626700 8890206
44 Eni Jumiyati 1 NPBI 51 th P KPD 1 C625693 8880217
45 Maro'ah 3 NPBI 56 th P R6A C621007 8863439
46 Muflichah 2 NPBI 34 th P ELA 1 C593223 8894354
47 Rahel Lina Arrifa 3 NPBI 2 th P ELA 1 C601511 8890223
48 Wiwik Suryani VIP NPBI 3/17/1966 P GRD 4 C625181 8892195

49 Rosalia Budhi Astuti 1 NPBI 56 th P KPD D C625120 8892500
50 Rumlah VIP Um 7/12/1955 P GRD 4 C612102 8891988
51 Uswatun Khasanah VIP NPBI 31 th P GRD 3 C620422 8892230
52 Okta Mustika Rini 1 NPBI 37 th P KTL C121113 8892459

53 Wiwik Eka Putriana 3 PBI 23 th P R2A C302303 8882388
54 Nurrochman 3 NPBI 44 th L R6B C623196
M : ET,DM,DY,EA,ER,SE,TR RR : FA,AO,ES MID : SAM,HA RR GRD :AG SORE PROGRAM : AP,GI,AF,RE,AD,TK
55 Lasmi 3 PBI 62 th P R6A C622346 8847461
56 Malikha Widyasari VIP NPBI 34 th P GRD 6 C627276 8896129
57 R Ismojo Darmono IRINA+ NPBI 12/23/1937 L GCU C314368 8879902
58 Ababil Putra 2 NPBI L IGD C599551 8896325
59 Ayu Agustina 3 NPBI 14 th P Anak 1 C626649 8890095
60 Hasna Qori Azahra 3 NPBI 2 th P Anak D C602508 8891373
61 Nur Laila 2 NPBI 28 th P KPD D C623157 8894526
62 Eny Praptiwiningrum VIP NPBI 1/1/1959 P GRD 4 C409134 8889821

63 Sutarno 3 PBI 69 th L R3B B329904 8896310
CITO
64 Umbarwanto 3 um 23th P R3B C622179
8847425
65 Cilia Ningsih 2 NPBI 34th P B31 C508024 8896097
66 Nani Hermawati 3 PBI 35th P B31 C627362

8896359
67 Samsudin 3 PBI 32th L HCU C626072 8886228
68 Budiyono 2 um 60th L IGD C627339 8896280
69 Wielda Kartika Sari 2 NPBI 29th P KPD D C295357 8886306

70 Fajar Pakpahan IRIN A NPBI 37th L ICU C627329 8898307
71 Frengki Firmansyah 2 um 28th L IGD C627330 8896202
JAMINAN
1 Supriyadi 2 NPBI 29 th L MRK D C622002 8846809
2 Santoso 1 NPBI 48 th L KPD 1 C596245 8888218
3 Soimah 1 NPBI 41 th P B31 C620961 8884488
4 M. Arsenio Asha P 2 NPBI 1 th 5 bln L C1LD C626152 8889811
5 Abizar Kauki Alvaro 3 NPBI 1 th L C1LD C609524 8896250
6 Yuli Suprayitno VVIP Um 45 th L ELA 2 C626844 8892323
7 Soekisman 1 NPBI 62 th L MRK 1 C622724

8 Satirin 3 NPBI 51 th L R1B C625961
9 Sumarsilah 3 PBI 65 th P P. Mata C620914
10 Hartoyo 3 PBI 51 th L P. Mata C625518
11 Sri Marlini 1 NPBI 49 th P P. Mata C585955
12 Sularmi 1 NPBI 56 th P KPD D C626180 8894546
13 Suprihati 3 NPBI 57 th P P. Mata C625378
14 Suciati VIP NPBI 50 th P GRD L3 C626181 8892258
15 Wiwit Mufidatun Emiliya 1 NPBI 25 th P B31 C615130 8889810
16 Masduki 3 PBI 56 th L R1B C623612 8882145
17 Tarmi 3 PBI 55 th P R2A C62226 8888202
18 Maemunah 3 NPBI 53 th P R4A C625156 8886246
19 Herman 3 NPBI 57 th L R3B C626818 8892473
20 Saenah 2 NPBI 59 th P HCU C624747 8875963
21 Endang Sulasih 3 NPBI 50 th P R2A C623893 8892561
22 Darmi 3 PBI 41 th P R2A C624969 8894194

23 Asriyah 2 NPBI 36 th P KPD D C625837 8896951
24 Yuniarsi Rahayu VIP NPBI 6/22/1967 P GRD L4 C554382 8897671
25 Benyamin Juwarno 3 NPBI 49 th L R6B C620668 8889769
26 Arya Hesty Septyana 1 NPBI 1 th 5 bln L Anak D C621177 8896243
27 Ari Hermawan 3 Um 19 th L R2B C626994 8895282
28 Rasmono 3 PBI 41 th L R2B C626978 8892572
29 Liem Sio Jin 1 NPBI 75 th P KPD 1 C626701
30 Asih Sofiyani 3 NPBI 39 th P R3A C601839 8884370
31 Daffa Ibnu Hafidz 3 NPBI 5 bln L C1LD C607958 8896299
32 Dian Adi Saputra 3 PBI 12 th L C1L1 C619287 8892528
33 Parminem 3 PBI 41 th P R4B C623545 8890094
34 Suharno 1 NPBI 53 th L KPD 1 C616534 8892490
35 Priyo Suharto 1 NPBI 43 th L MRK 2 C572936 8890289
36 Oktaviana Sari IRIN B NPBI 33 th P ICCU C620127 8882490
37 Sumarwoto 1 NPBI 11/28/1963 L MRK 1 C072419 8856155
38 Taadi 3 NPBI 33 th L R3B C520429 8884462
39 Muhammad Ja'far Shidiq 2 NPBI 32 th L MRK D C626692 8890166
40 Oka Satria Pinandita 2 NPBI 18 th L KPD 1 C603387 8897769
41 Tuminarsih 2 NPBI 50 th P KPD D C604365
42 Nuryati 2 NPBI 46 th P Elang 1 C586976 8896181
43 Robby Soemarno VIP NPBI 3/16/1959 L Elang 2 C627435 8898158
44 Dian Widianingsih VIP NPBI 40 th P GRD 3 C562622 8892165

45 Dewi Purwati 2 NPBI 24 th P KPD D C625044 8897230
46 Irma Agustin Dyah 1 NPBI 51 th P KPD D C624309 8892458
47 Supriyatun, SPD VIP NPBI 40 th P GRD L5 C126780 8896173
48 Puji Hartatik 2 NPBI 34 th P KPD D C623445 8889100
49 Muslim VIP NPBI 60 th L GRD L6 C086155 8894428
50 Didik Fitriyanto VIP NPBI 36 th L MRK 2 C621615 8896191
51 Nur Khanifah 2 NPBI 33 th P KPD D C620677 8894989
52 Sulasmiyati 2 NPBI 44 th P MRK D C624859 8896320
M : ET,RE,DY,TK,SE,PS,RG RR : FA,AO,ES MID : SAM,HA RR GRD :AG SORE PROGRAM : AP,GI,AF,AD,YN,HR
53 Waskiyah 3 NPBI 47 th P R4A C626291 8892517

54 Siti Aminah 3 JMD 69th P R3A C521187 8894528
55 Marinah 3 JMD 68th P R4B C626990 8892568
CITO
56 Parsidah 3 PBI 25th P B31 C627537 8898314
57 Marissa Ardiana VIP NPBI 27th P GRD 3 C440346 8898021
58 Titik Maswah 2 NPBI 54th P IGD C627527 8898272
59 Tri Utami 3 SKTM 36th P B31 C564523 8899580
60 Frengki Firmansyah 3 um 28th L R2B C627330 8896202

JAMINAN
1 Maya Ika Puspasari VIP Um 4/2/1992 P GRD 4 C627554 8899221
2 M. Teguh Azmi 3 JMD 6/6/2014 L HCU C626602 8890040
3 Vitra Sari Suwito 1 NPBI 10/17/1980 P MRK 1 C627518 8898317
4 Rokayah 1 NPBI 56th P KTL C440783 8865604

5 Istikomah 3 PBI 49 th P R3A C562621 8892608
6 Asih Suprihatin 2 NPBI 43 th P B31 B129745 8882415
7 Fitri Yuliani 1 NPBI 34 th P B31 C624867 8892428
8 Rizky Aulia Putri N VIP NPBI 15 th P GRD 3 C609579 8898826
9 Munfarida Sofiati 1 NPBI 61 th P KTL C619246 8898304
10 Said Abdullah Zaky 3 NPBI 3 th L C1L1 C533685 8896239
11 Surip 3 NPBI 67 th L R2A C613256 8896269
12 Naufal Wibawa Adhi L 3 NPBI 12 th L C1LD C616088 8898275
14 Shofa Mohamad Kholil 3 NPBI 6bl L C1L1 C626231 8892445
15 Febryana Lacita Gava P 3 PBI 1bl P PBRT C624753 8888260
16 Sekar Ayu Anandita 3 NPBI 7 th P Anak 1 C471572 8869570

17 Juliah 3 NPBI 55 th P R3A C626336
18 Heri Susanto 3 NPBI 23 th L R2B C600682 8878128
19 Cipto Waluyo 1 NPBI 51 th L Elang 2 C622528 8898065
M : ST,UM,AF,RE,TK,PS,RG RR : HE,AD ALAT : CA SORE PROGRAM : GI,HR,YN,HA,MY,JF,MW,WD,D
20 Musliyati VIP NPBI 56th P GRD 4 C625098 8879852

21 Anik TH 1 NPBI 52 th P MRK 1 C621073 8869477
CITO
22 Nurul Hidayah IRINA Um 30th P HCU C627677 8899858
23 Dwi Maulana Alim 1 NPBI 26th L KPD 1 C624941 8886261
24 Siti Maria Ulfa Maghfuroh 2 NPBI 7bl P PBRT C614387 8898229
25 Shas Risky Sofaqva IRINB Um 16th P PICU C627683 8899890
26 Salbiyah 2 NPBI 37th P B31 C448342 8900086

JAMINAN
1 Yusuf Maulana IRINB JMD 10bl L HCU C617719 8898251
2 Nur Sahid 2 NPBI 41th L MRK D C627299 8898306
M : ST,UM,AF,MW S : HR,AG,DB,MY,JF,SA,TR
CITO
3 M. Syaefulloh 3 NPBI 9bl L C1LD C588646 8884419
4 Suriani 2 NPBI 49th P KPD D C627522 8898643
5 Kastiyah 3 PBI 61th P R2A C612867 8900216
6 Devi Ariska Trihapsari 3 um 29th P B31 C627238 8897161
By.Ny. Lilik Endang

7 3 um 1hr P PICU C627745 8900168
Lestari
8 Sutri Rahayu 3 PBI 40th P B31 C282618 8900277
9 Maulana Reza Palevi 2 NPBI 9th L IGD C627783 8900149
10 Hifnatul Mufarrohah 3 PBI 29th P B31 C627720 8900127

JAMINAN
1 Muhammad Jovan Adnan 2 NPBI 3/9/2015 L C1LD C624375 8889875
2 Cik Din Alian 1 NPBI 61 th L KTL C624820 8894539
4 Surohmat Riski Pangestu 3 NPBI 20 th L R5A C626788 8893911
5 Sri Ratih 3 NPBI 26 th P R4B C626637 8890106
6 Amelia Nur Fitriana 3 PBI 8 bl P C1LD C603157 8896210
7 Irwan Maulana 3 Um 27 th L R2B C627185 8898300
8 Komsatun 3 PBI 32 th P P. Mata C625183
9 Ngadijana 1 NPBI 63 th L P. Mata C421259
10 M. Ansori 1 NPBI 60 th L P. Mata C434856
11 Suwanti 3 PBI 54 th P P. Mata B038004
12 Mulyosari 2 NPBI 63 th P P. Mata C612956
13 Jumadi 2 NPBI 59 th L P. Mata C613242

14 Noharis 3 PBI 10/10/1940 L Ger D C627129 8895054
15 Susi Lianawati Privat NPBI 65 th P P. GRD C502838
16 Argiyati 3 NPBI 58 th P R2A C627076 8898301
17 Siti Muntamah 3 NPBI 64 th P KPD D C627011 8898682
18 Suyati IRINA+ NPBI 3/23/1965 P GCU C616298 8895734
19 Siti Chabriyah 3 NPBI 47 th P B31 C619982 8896043
20 Arkanah 3 NPBI 57 th P R3A C625497 8879927
21 MYF Sri Yuwanti 1 NPBI 60 th P KTL C562524 8880190
22 Suyatmi 1 NPBI 47 th P KPD 1 C534932 8894559
23 Endang Sugiarti 3 PBI 59 th P R4A C619454 8874044
24 Tumerap 3 NPBI 42 th L R2B C618967 8884282
25 Suparjan 3 NPBI 49 th L R1B C618931

26 Giyamno 1 NPBI 65 th L MRK 2 B229941
27 Laminah 3 NPBI 44 th P R3A C623092 8896241
28 Yuyun Nugraha 2 NPBI 47 th L Elang 1 B001011 8878018
29 Ariska Assiyah 3 NPBI 6 th P HCU C584239 8880246
30 Dedi Erlangga 3 PBI 19 th L R1B C598087 8894531
31 Purwoatmojo 3 Um 61 th L R2B C626959 8898302
32 Ido Yudiawan 2 NPBI 23 th L MRK D C584179 8896263
33 Suyami 1 Um 62 th P P. Mata C539775
34 Tarjani 3 PBI 39 th L P. Mata C626863
35 Achmad Syam 3 NPBI 36 th L R1B C538584 8880325
36 Sukarti 3 PBI 23 th P R2A C625775 8882480
37 Patricia Nanik Sri P 3 PBI 62 th P R2A C612389 8872009
38 Daniel Agus Prakoso 1 NPBI 21 th L KTL C428419 8892560
39 Sukirman 2 NPBI 56 th L MRK D C626830 8892383
Eko Budiyono 2 NPBI 36 th L Elang 1 C586418 8900017
40 Bambang Untung R 3 NPBI 46 th L R3B C624361

41 Warsini 3 PBI 42 th P R4A C618331 8892412
42 Widayanti 2 NPBI 2/5/1984 P Transit C620852 8898282

43 Anna Sumari 1 NPBI 3/22/1953 P KPD 1 C461881 8896288
44 Law Liem Hua 2 NPBI 11/19/1959 P Ger D C523557 8890073
45 Siti Maemunah 2 NPBI 30 th P B31 C627356 8898340
46 Aslakhul Kamal 3 NPBI 16 th P Anak 1 C626984 8894524
47 Kasriyah 3 PBI 54 th P B31 C618453 8898180
M : WU,EW,JF,MY,WI,MW RR : FA,AS,SR,IS (S : AG) RR GRD : AD SORE PROGRAM : RK,AN,AG,AM,NI,AT,AY
48 Tuminarsih 2 NPBI 12/28/1966 P KPD D C604365 8889037
49 Dwi Nur Hikmah 2 NPBI 29 th P KPD D C463046 8876143
50 Bambang Rochbijanto 3 NPBI 76th L Ger D C621415 8899286
51 M. Hafidin 3 PBI 21th L R6B C627534 8900074

52 Eka Salsabila 3 NPBI 4th P C1L1 C535372 8889849
CITO
53 Mugiyati 3 NPBI 36th P B31 C627783 8900351
54 Soedarmadi 2 JMD 60th L IGD C627726 8900131
55 Tri Handayani 3 um 32th P B31 C627869 8901248
56 Liem Sio Jin 1 NPBI 75th L KPD 1 C626701 8890160
57 Maulinawati 3 um 36th P B31 C627920 8902245
58 Yuli Surtikanti 3 PBI 17th P B31 C627605 8899586
59 Kartini 3 PBI 39th P R4B C626645 8889928

60 Erniwati 2 NPBI 36th P MRK D C612732 8890286
61 Musayadah IRNB PBI 35th P ICU C621452 8884274
62 Juminah 3 PBI 39th P B31 C627787 8900352
63 Misih Supriono 2 NPBI 68th L IGD C439139 8902363
64 Achmad Syam 3 NPBI 36th L R1A C538584 8880325
65 Rochmad Rasya Ivan C 1 um 10th L C1L1 C627992 8902551

JAMINAN
1 Muhammad Iqbal VIP NPBI 23 th L MRK 2 C626204 8897201
2 Narendra Dika Fairuz 2 NPBI 2 th L C1LD C591746 8888261
3 Tian Anan Fermansyah 3 NPBI 2 th L C1LD C623078
4 Malakun 3 NPBI 49 th L R6B C570334 8874167
5 Padma Winarmi VIP NPBI 54th P GRD 5 C613554 8892457
6 Nurul Khamid 3 PBI 19 th L R1B C616909 8855647
7 Anik Sri Suharning Dwi 1 NPBI 31 th P KPD 1 C591656 8899869
8 Darningsih 1 NPBI 42 th P KPD D C618002
9 Nurlia Irawati Nugroho 3 PBI 30 th P R6A C080106 8894178
10 Satirin 3 NPBI 51 th L R1B C625961 8884392

11 Kristoni 3 NPBI 44 th L P. MTA C627211
12 Wahyu Pristiana 3 PBI 21 th P P. MTA C624881
13 Sochmadi 3 NPBI 74 th L P. MTA C625779
14 Istiana 3 NPBI 60 th P P. MTA C611198
15 Moch. Tamrin MS 3 NPBI 65 th L P. MTA C621264

16 Mustofa 3 NPBI 65 th L P. MTA C582564
17 Surati 3 PBI 56 th P R5B C622227 8898249
18 Waki'ah 3 PBI 49 th P R4A C571909 8878171
19 Raminten 2 NPBI 46 th P MRK D C620068 8899871
20 Siti Djulaekah 3 NPBI 32 th P B31 C614164 8897442
21 Masrik 2 NPBI 34 th P MRK D C626845 8898277
22 Fiati Nur Annafi 2 NPBI 27 th P MRK D C626617 8889871
23 Mutmainnah 3 JMD 58 TH P R2A C617870 8889484
24 Nurrochman 3 NPBI 44 th L R6B C6523196 8857512
25 Dapiyah 3 PBI 51 th P R3A C625935 8882470
26 Rosidah 1 NPBI 50 th P KPD D C603769 8896265
27 Margono 3 NPBI 60 th L R2B C616000 8889539
28 Abdul Khamid 3 NPBI 76 th L R1B C619125 8888246
29 Sugiyanto 3 NPBI 45 th L R2B C607111
30 Tafan 3 NPBI 17 th L R1B C609059 8896274
31 Basuki 1 NPBI 56 th L KPD L1 C623782 8861374
32 Nur Arifin 3 NPBI 36 th L R1B C469676 8892424
33 Achmad Subchan 2 NPBI 37 th L Transit C555627 8896356
35 Ahkamul Kahfi 3 PBI 5 th L C1L1 C610070 8892440
36 Eko Setiyawati 3 NPBI 47 th P R2A C612761 8878091
37 Darjati 1 NPBI 68 th P MRK 1 C619736
38 Darsih 3 PBI 56 th P R5B C622607 8882409
39 Muslimah 1 NPBI 59 th P Ger 1 C624994 8873973

40 Cahyaningsih VIP Inhealt 61 th P GRD 4 C585641 8899732
41 Rahmat Rokimin 3 PBI 17 th L R2B C626320 8886533
42 Ida Farida 3 NPBI 33 th P R2A C571329 8843955
43 Ageng Rahmantio VIP NPBI 7/4/1995 L GRD 4 C156128 8900200
44 Zahra Aryani 3 NPBI 2 th 9 bln P ELA 1 C576363 8900221
45 Nor Sa'di 2 NPBI 51 th L KPD D C626727
46 Kusrotib 3 PBI 45 th L R1B C614236 8884490
47 Hadi Soenario 3 NPBI 62 th L R2B C626333 8886731

48 Eti Sugiarti 1 NPBI 26 th P B31 C620533 8899849
49 Nadia Silvina 3 PBI 8 th P C1LD C627687 8899943
50 Danuri 3 PBI 79 th L R1B C620286 8899780
51 Pasha Arwi Pribadi VIP Um 1 th L GRD L3 C622620 8901671
52 Aditya Yanuar VIP Um 1 bl L GRD L3 C627635 8901953
M : WU,SA,WI,JF,EW,AG,DB RR : FA,AS,SAM MID : DY,IS RR GRD : AD SORE PROGRAM : EV,AI,RK,AN,A
53 Ika Puji Astuti VIP NPBI 8/19/1992 P GRD 4 C627584 8902293
54 Taryadi VIP Um 9/28/1967 L GRD 5 8026111 8902111
55 Ny. Nur Kholidah VIP JKN 4/21/1959 P GRD 6 8902052 8902052
56 Makmuri 1 NPBI 58th L KPD 1 C617385 8902523
CITO
57 Hidayati 3 PBI 51th P R4A C554953 8890271
58 Dimas Prasetyo IRINB PBI 12th L IGD C628142 8904456
59 Ani Yuliyanti VIP NPBI 29th P GRD 3 C628009 8902516
60 Rafael Toni S 3 um 3th L C1L1 C628158 8904506
61 Salbiah IRINB NPBI 58th P R1A 604931 8904500

JAMINAN

1 Alfie Khalfanizzy VIP Um 2 th L GRD 3 C618399 8901970
2 Ela Nawang 3 NPBI 20 th P P. URO C610063
3 Sukijan 3 PBI 62 th L R2B C625334 8902438
4 I Gusti Agung Putra VIP NPBI 56 th L GRD L5 C543379 8899419
5 Dwi Agung Darmawan 1 NPBI 34 th L KPD 1 C626681 8902213
6 Mualim S 3 NPBI 51 th L R1B C615614 8902403
7 Yarmin 2 Um 45 th L GER D C627782 8900341
8 Kardi 3 NPBI 55 th L P.Merpti C603552
9 Sunardi Priv NPBI 57 th L P. GRD C393215
10 Sarmin Priv NPBI 49 th L P.Merpti C627197
11 Kumisri 3 NPBI 44 th P P.Merpti C571730
12 Sulastri 3 PBI 41 th P R4B C618519 8901609
13 Kasni 3 PBI 43 th P B31 C611720 8898066
14 Bisri 3 NPBI 66 th R1B C625485

15 Sugiyono 2 NPBI 51 th L TRAN C625355 8899894
16 M Teguh Azmi 3 JMD 2 th 9 bln L HCU C626602 8890040
17 Samsudin IRIN B NPBI 32 th L HCU C626072 8886228
18 Maryatun 1 NPBI 56 th P KPD 1 C626509 8898230
19 Tri Murni VIP NPBI 54 th P GRD 5 C358910 8902271
20 Paenah 3 NPBI 60 th P R5B C625703
21 Sutarminah 3 NPBI 31 th P R2A C622617
22 M. Rido Putra 3 NPBI 5 bln L C1LD C625862 8898171
23 Sugiyanto 3 NPBI 45 th L R2B C607111 8896287
24 Rois Hidayat 3 PBI 26 th L R3B C616807 8896332
25 Fauzan Nur Ichsan 2 NPBI 19 th L KPD 1 C626520 8903118
26 Sunarto 3 PBI 53 th L R1B C566827 8894436
27 Maria Supartin 3 NPBI 49 th P R3A C503736 8891808
28 Wakiyem Yuni Hastuti 1 NPBI 48 th P GER 1 C624391 8867785
29 Siti Sumari 2 NPBI 52 th P KPD D C614012 8886729

30 Niniek Gantyawati VIP NPBI 6/8/1958 P GRD 5 B261553 8902340
31 Muhammad Adib 3 PBI 38 th L R2B C626667 8890139
32 Masliah 3 NPBI 68 th P R2A C624113 8891608
33 Andreas Kuntjara Hadi VIP NPBI 70 th L GRD 4 C615397 8902176
34 Suharmini 2 NPBI 42 th P ELA 1 C433136 8901652
35 Nawang Sasi 3 PBI 16 th P ELA 1 C585637 8902290
36 Heri Miawati 1 NPBI 26 th P KPD 1 C611389 8902450

37 Imronah 3 NPBI 46 th P R4B C624359 8901536
38 Wijiawati 2 NPBI 50 th P KPD D C347376 8903498
39 Irminani VIP NPBI 35 th P GRD L6 C609161 8902369

40 Nanik Suryandari 3 NPBI 46 th P R2A C601900 8898241
41 Puji Yulianto 3 NPBI 24 th L R2B C622875 8898246
42 Syakira Arundari Rihhada VIP NPBI 5 th P GRD 3 C609510 8902281
43 Siti Hasna Khoirunnisa 3 NPBI 1 th 7 bln P Anak 1 C626629 8890163

M :RK,SA,AG,BR,DA,MK,PM RR : FA,ST,SAM MID : HA,RE RR GRD : AD SORE PROGRAM : EV,GI,AI,AN,A
44 Sudarto 2 NPBI 32 th L KPD 1 C591798 8903984
45 Moh Zen Rahfiludin 2 NPBI 45th L KPD 1 C375632 8903771
46 Sri Mulyati 3 NPBI 42 th P R5B C609597 8884505
47 Vitra Sari Suwito 1 NPBI 36 th P MRK 1 C627518 8898317
48 S Lukmini 3 PBI 51 th P R4B C359983 8894497

49 Bambang Supriyanto 1 NPBI 54th L KTL C095138 8904483
50 Intan Nur Laili 3 um 16th P R6A C628012 8904407
51 Dami 3 PBI 59th P R2A C600965 8905564
Mochammad Ramadhan
52 3 SKTM 25th L R2B C443561 8906397
Abdul Ghoffar
53 Sauri 3 PBI 37 th L R2B C609182 8724301
CITO
54 Ria Siswanti 3 PBI 36th P B31 C627917 8902187
55 Zaedun 2 um 43th L IGD C628180 8904481
56 Sri Purwati 3 um 36th P B31 C628262 8905342
57 Hafiy 3 NPBI 7th L TRAN C485638 8902488
58 Ristiyana 2 NPBI 34th P B31 C628016 8902555
59 Ayu Prasetia 3 um 22th P R2A C627975 8906285

60 Edy Supadi IRINB PBI 54th L ICU C628156 8906353
61 IRINB PBI 35th L ICU C621452 8884274

Musayadah
JAMINAN
1 Siti Aminah 3 JMD 69 th P R3A C521187 8894528
2 Siti Asmonah 3 NPBI 51 th P R3A C627684 8899919
3 Sutinah 3 NPBI 49 th P GER D C624774
4 Fareli Kurnia Zurin 2 NPBI 6 th P RPO C256566 8905883
5 Dewi Asih 2 NPBI 32 th P Transit C626402 8904027
6 Musri 3 PBI 75 th L R2A C625011 8894441
7 Dwi Ariyanto 1 NPBI 24 th L KPD 1 C626255

8 Sartono 3 NPBI 42 th L R2B C627972 8904432
9 Rasipan 3 PBI 67 th L P. MTA C625225
10 Sunarno 3 PBI 58 th L P. MTA C627037
11 Sukim 3 PBI 50 th L P. MTA C619463

12 Siti Mulyati 2 NPBI 61 th P P. MTA C529410
13 Mugi Lestari 1 NPBI 52 th P P. MTA C441656
14 Jumanah 3 PBI 57 th P P. MTA C625564
15 Titik Wahyuni Privat NPBI 57 th P P. GRD C626533
16 Muzakiroh 1 NPBI 52 th P B31 C626521 8899847
Agustina Prihatin Mugi

17 2 NPBI 25 th P B31 C577686 8900228
Rahayu
18 Sri Hardiyani IRIN A Um 49 th P HCU C483929 8872154
19 Panjang Arifah 3 NPBI 39 th P R2A C558866 8899854
20 Bambang Nurhasan 2 NPBI 41 th L KPD D C573717 8894467
21 M. Khamim VIP NPBI 66 th L GRD L5 C474503 8902538
22 Sayoto 3 NPBI 52 th L R2B C529387 8896251

23 Sri Rahayuningsih 1 NPBI 3/18/1964 P KTL C626447 8900283
24 Saginem 2 NPBI 78 th P MRK D C623631 9800330
25 Afwan Fuadi 3 NPBI 37 th L R5A C618315 8898790
26 Nurrochmah 3 NPBI 47 th P R2A C616431
27 Dhani Ardianto 3 PBI 22 th L R2B C614678 8888230
28 Sutomo 3 NPBI 53 th L R2B C621969 8898263
29 Giyamno 1 NPBI 65 th L MRK 2 B229941 8880297
30 Masrukin 3 NPBI 48 th L R5A C625937 8888862
31 Supiyatmi VIP NPBI 62 th P GRD 5 C523299 8902023
32 Munimah 3 NPBI 48 th P R3A C586167 8894456
34 Sri Handayani 3 PBI 41th P R2A C602880 8892426
35 Ludy Bustomy VIP NPBI 48 th L MRK 2 C626337
36 Nanik Yatmini 3 PBI 40 th P R2A C621455 8889820
37 Rahmad 3 NPBI 55 th L R2B C625880 8892552
38 Nor Sa'di 2 NPBI 51 th L KPD D C626727
39 Suwargi Rahayu VIP NPBI 47 th P GRD 5 C377862 8903995
40 Devi Afri Ani 2 NPBI 15 th P C1LD C578411 8896321
41 Budiharjo 1 NPBI 47 th L MRK 2 C627500 8899806
42 Paini 2 NPBI 33 th P Elang 2 C589921 8904021
43 Retno Hindrastuti VIP NPBI 40 th P GRD 6 C607418 8902320
44 Nur Halimah 3 NPBI 37 th P R4A C619030 8894410
45 Suyati 2 NPBI 71 th P B31 C623509 8883426
46 Siti Aminah 3 NPBI 30 th P R5B C626904 8894410

47 Meilani Nurhartanti 2 NPBI 29 th P KPD D C622921 8892456
48 Sudardi 1 NPBI 59 th L KPD D C616615 8902445

49 Sugiharyani 1 NPBI 57 th P KPD 1 C126699 8902447
M :RK,SA,AG,BR,DA,MK,PM RR : FA,ST,SAM,AF MID: AF,EA RR GRD : AD SORE PROGRAM : EV,GI,AI,II,
50 Sekarwati 1 NPBI 67 th P KPD D C625898 8904380
51 Muhamad Nurhadi 3 PBI 24 th L R3B C618008 8899785
52 Ahmad Mustakin 3 PBI 21 th L R1B C628231 8906384
53 Badul VIP NPBI 54 th L MRK 2 C626378 8990162
CITO
54 Rumini 3 NPBI 34th P B31 C628446 8906415
55 Sujinah 2 PBI 70th P IGD C628244 8905926
56 Arif Adi Wibowo 2 NPBI 7th L IGD C628448 8906413
57 Agnibrata Auditya Aji 2 NPBI 16bl L IGD C628431 8906330
58 Lilik Sujarmanto 3 PBI 26th P R2B C619320 8874150
59 Afandi 2 NPBI 22th L IGD C628583 8908122

JAMINAN
1 Suwarjo 3 NPBI 52 th L R2B C623627 8894550
2 Sutrisno. H VIP NPBI 45 th L GRD 6 C627670 8906003
3 Bisri 3 NPBI 11/10/1950 L R1B C625485
4 Neha Sanentya Syarifa VIP NPBI 12 th P GRD 4 C561435 8906026
5 Sigit Ferbiansah 3 PBI 11 th L C1LD C627863 8906365
6 Nuraeni 3 NPBI 25 th P R1B C626243 8906423
7 Boy Andi Lukman 1 NPBI 48 th L MRK 1 C627144 8894475
8 Heri Sofyan Priv NPBI L P. GRD C622621
9 Budi Wahyono 1 NPBI 59 th L P. MTA C304308

10 Argiyati 3 NPBI 58 th P P.MRPTI C627076
11 Benny Sutanto 2 NPBI 52 th L TRAN C325116 8910270
12 Sri Waluyani 2 NPBI 53th P KPD D C624344 897312

13 Fransiskus Lilik Handoko 2 NPBI 46th L KPD 1 C572211 8908468
14 Juwariyah 3 PBI 57 th P R5B C613148 8904382
15 Sutarni VIP NPBI 71 th P GRD 3 B300909 8906128
16 Kartono 3 NPBI 69 th L R2B C620023 8904383
17 Roidah 3 NPBI 20 th P R2A C626632 8890092
18 Rela Setiyawati 3 NPBI 52 th P R3A C627676 8899953
19 Sri Riswati 2 NPBI 21 th P KPD D C622398 8908459
20 Kundori 2 NPBI 52 th L KPD 1 C615217 8908085
21 Julia Sri Soemarni 3 NPBI 79 th P R4B C455582 8898245
22 Shodikun 2 NPBI 52 th P MRK D C626768 8903974
23 Kosidah 3 PBI 39 th P R4A C564010 8890120
24 Istiqomah 3 NPBI 39 th P R2A C589657 8894512
25 Supadi 3 NPBI 59 th L R1B C616981 8884448
26 Adi Perwira VIP NPBI 8/9/2003 L GRD L3 C626744 8890281
27 Tuti Alfia 3 NPBI 18 th P R2A C593969 8906296
28 Wahmad 3 PBI 34 th L R1B C617800 8906255
29 Royanah 3 NPBI 53 th P R3A C604179
30 Sabqi Al Hafiz 3 NPBI 3 th L C1L1 C624061 8904502
31 Kristyasa Utama, IR VIP NPBI 47 th L GRD 5 C625821 8902081
32 Sri Sedjati 3 NPBI 56 th P R3A C507628 8896261
33 Budi Hartono 3 NPBI 44 th L R3B C620433 8904375
34 Siti Munasih VIP NPBI 4/11/1967 P GRD 4 C606410 8904408
35 Eny Nuryanti VIP NPBI 2/12/1969 P GRD C619132 8904317
36 Sukardi 3 NPBI 37 th L R6B C624728 8876056
37 Purwati 2 NPBI 47 th P KPD D C627874 8907830
Much. Ramadhan Abdul

38 3 JMD 21 th L R2B C443561 8906397
G
39 Subchi HM, BA 1 NPBI 65 th L MRK 2 C182180 8902505
40 Tri Sukki 2 PT 23 th L KPD 1 C573356 8908171
41 Rumista Panjaitan 1 NPBI 49 th P Elang 2 B291874
42 Kasoeri 2 NPBI 69 th L ICU C624221 8865585
43 Fitria VIP NPBI 36 th P GRD 3 C010485 8904216
44 Ngademi 2 NPBI 34 th P KPD D C623975

45 Adfaroh VIP NPBI 48 th P GRD 6 C626784 8905832
46 Ismiyati Nur Mahmudah VIP NPBI 49 th P GRD 5 C627268 8905880
47 Suwarti 2 NPBI 50 th P KPD D C588199 8907604

48 Nuryati 3 NPBI 40 th P R5B C597683 8906346
49 Sukiyem VIP NPBI 63 th P GRD 4 C626535 8906356

M : GI,AN,AU,DW,DY,SU,WD RR : FA,AM,SAM MID: WU,EA RR GRD : ST SORE PROGRAM : EV,AI,II,AY,N
50 Ivan Kaleb Sitorus VIP NPBI 25 th L GRD 4 C624976 8908067
51 Yani Ekawati VIP NPBI 38 th P GRD 4 C448627 8906182
52 Farah Kemala Pratidina VIP um 4/13/1997 P GRD 5 C627860 8908446
53 Riski Nuryanti 3 um 32th P R3A C628631 8909223

54 Sirin 3 JMD 40th P R5A C627682 8900170
CITO
56 2 NPBI 8th P IGD C627870 8908281

Jihan Ariqoh Safrinatunja
57 Hartatik 3 um 46th P R4A C627978 8904504
58 Ismiyati 3 NPBI 32th P B31 C628445 8906410
59 Iroh 3 NPBI 55th P R3A C627974 8904161
60 Serlisa Gintaniaty 1 NPBI 25th P B31 C105641 8907368
61 Wuduri VIP NPBI 32th P GRD 3 C603626 8906340
62 By.Ny. Atik Kutsiyah 3 NPBI 1hr P PBRT C628587 8910271
63 Agus Purwanto 3 PBI 46th L R1B C628609 8908373
64 Arrizi Zico Hibrizi 2 NPBI 3th L IGD C621278 8908344
65 Wanas Toni IRIN B PBI 59th L ICU B286465 8909996

JAMINAN
PLH : AZ,CA
1 Dea Budi Istiantinova 1 NPBI 28 th L KTL C511894 8904433
2 Siti Chosidah 2 NPBI 47 th P B31 C623324 8908507
3 Cahyaningsih 2 NPBI 42 th P Transit C627441 8906401
4 Rosita VIP NPBI 12/31/1957 P GRD 5 C549046 8908371
Muhammad Ilham
5 3 NPBI 5 th L C1LD C545989 8908074
Saputra
6 Sumardi 2 NPBI 44 th L Transit C597971 8906403
7 Dewi Sulastri 3 NPBI 19 th P R3A C626567 8906349
8 Darmun 1 NPBI 78 th L KPD D C544021 8909304
9 Darningsih 1 NPBI 42 th P KPD D C618002 8900129
Massita Ayu Cindy

10 VIP Um 6/16/1992 P GRD 6 C233874 8910225
Putrias
11 Sri Utari VIP NPBI 65th P MRK 2 C007343 8902543
12 Mohammad Adika Nafiis VIP NPBI 14 th L GRD 5 C625025 8908032
13 Hardiyanto VIP NPBI 8/8/1955 L GRD 6 C555960 8904403
14 Winarni 3 NPBI 51th P R6A C627234 8896322
15 Siti Komisah IRIN B NPBI 49th P R2A C530509 8906259
16 Riyani 2 NPBI 45 th P MRK D C236986 8892384
17 Siti Kholipatun 3 NPBI 54 th P R2A C613143 8898276
18 Ning Krisniati 1 NPBI 44 th P KPD C560337 8904455
19 Rahayu 1 NPBI 44 th P Elang 1 C625767 8907733
M : GI,AU,AM,AT,DW,HA,WD RR : SAM,WU,EA,ST SORE PROGRAM : AH,II,NO,AF,NI,BD,NI,DM,DI,VT,TU,PS,M
20 Yuyun Nugraha 2 NPBI 47th P ELA 1 B001011 8878018
Elzahira Putri Valencia 3 JMD 5bl P C1LD C626260 8904471

21
Umbarwanto 3 um 23th L R3B C622179 8847425
22
23 Tertinawati VIP NPBI 65th P GRD 5 C575180 8909445
24 Mohamad Ali Nurudin 3 PBI 57 th L R3B C628169 8908556
25 Tri Riski Nuryanti 3 um 32th P R3A C628631 8909223

CITO
26 Rutiah 3 PT 42th P R6A C599142 8908279
27 Nur Hikmah
1 NPBI 36th P B31 C628805 8910372
28 Sumiyati 2 PBI 49th P IGD C628798 8910287
29 By.Ny. Dewi Riwayati 2 NPBI 1bl P IGD C623063 8910185

JAMINAN
1 1 NPBI 48th P KPD 1 C627447 8906558

Lilli Ambarwati
2 Sri Hidayah 3 PBI 20 th P R4B C627750 8905393
3 Tjhiu Hiam VIP NPBI 10/30/1949 P GRD 4 C611335 8906988
M : II,SC,AT,HA,AM S :NO,AF,VT,HI,TU,PS,YS
4 Erry Adam Aryanda 1 NPBI 57th L KPD D C627307 8896296
CITO
Tasmiyanto IRINB PBI 48th L ICU C628854 8910579

5
Sri Wahyuni 3 PBI 33th P B31 C628864 8910623

6
Eva Susanti IRINA NPBI 39th P TRAN C433045 8910275

7
Borhadi IRIN A Um 26th L R1A C628861 8910641

8
Dina Kamaliyah VIP NPBI 33th P GRD 3 C058639 8910658

9
10 Lampiyanto VIP Um 39th L GRD 4 C628842 8910680

JAMINAN
1 Abid Arhab Shihab VIP NPBI 9 th L GRD 3 C263664 8902300
2 Akhmad Zamroni 3 NPBI 11th L C1LD C518963 8902472
3 Suprijati Ama, PD 1 NPBI 56 th P KPD 1 C626177 8902455
4 Dwi Ariyanto Hadi 1 NPBI 24 th L KPD 1 C626255 8902448
5 Supandil 3 PBI 61 th L R3B C612157 8889417
6 Bilal N 3 NPBI 1 bl L PBRT C628435

7 Sutrisno 3 NPBI 63 th L Merpati C626422
8 Slamet W 3 NPBI 42 th L Merpati C624531
9 Indah relanto 2 NPBI 54 th P Merpati C121933
10 Harianto 3 NPBI 49 th L Merpati C623924
11 Ngatini 2 NPBI 59 th P Merpati C597560
12 Sutiman 2 NPBI 49 th L Merpati C534731
13 Dwi Hastuti Suryaningsih 3 NPBI 37 th P R4B C607672 8908485
14 Agus Trijono 1 NPBI 52 th L KPD 1 C628029 8906362
15 Solechah 3 NPBI 68 th P R2A C628112 8906269
16 Siti Khotimah 3 NPBI 2/2/1980 P R2A C608252 8896355
17 Istnata Saadah Musfiroh 3 PBI 45 th P R2A C577507 8898265
18 Rasi 3 NPBI 60 th P R4B C477560 8898955
19 Mohammad Iqbal 1 NPBI 33 th L KPD 1 C489960 8902477
20 Tan Andy Susanto 2 NPBI 56 th L KPD 1 C624059 8910615
22 Kristi 3 NPBI 23 th P R3A C623048 8855510
23 Sariah 3 NPBI 33 th P R2A C623609 8889537
24 Ridwan 3 NPBI 41 th L R3B C627987 8905515
25 Nur Lailiyah 1 NPBI 51 th P MRK 1 C288634 8906218

26 Sutini Siti Nawangsih 2 NPBI 44 th P KPD D C600584 8898725
27 Pranti 3 NPBI 26 th P R3A C626712
28 Sugiri 3 PBI 51 th L R2B C625501 8892569
29 Slamet Al Salim 3 PBI 48 th L R2B C626726 8890244
30 Karsinem 1 NPBI 56 th P KPD D C624892 8902425
31 Komarudin IRIN A NPBI 64th L KPD D C618403 8880163
32 Pandu Twinditya VIP NPBI 4/11/1998 L GRD 5 C627713 8900113
33 Reni Tyas Ningrum VIP NPBI 28 th P GRD 3 C619356 8909079
34 Ita Nofitasari 3 NPBI 19 th P R5B C621450

35 Sri Sudarsih 3 NPBI 45 th P R6A C605122 8892193
36 Sulastri 2 NPBI 57 th P MRK D C624952 8904170
Muhamad Najwa Haida

37 3 NPBI 1/2/2017 L C1L1 C682512 8908554
Hanan
38 Doni Tata Pradita 3 NPBI 11 bl L C1LD C580129 8906402
M : II,YS,AF,VT,TU,SC,PS RR : FA,ST,EM MID: SAM,SE RR GRD : ER SORE PROGRAM :SF,NO,RK,WU,TW,RG,A
39 Hussein Al Mahdi 3 NPBI 26 th L R1B C604674 8910099
40 Ngatisah 3 PBI 60 th P Ger D C626895 8892529
41 Pipit Zulaikhatul Muakhiro VIP NPBI 1/14/1990 P GRD L4 C628725 8910026
42 Nur Sahid VIP NPBI 12/16/1976 L GRD L5 C628740 8910120
43 Badul VIP NPBI 54 th L MRK 2 C626378 8900162
44 Makmuri 1 NPBI 58 th L KPD 1 C617385 8902523
45 Nurhariyatini 1 NPBI 57th P MRK 1 C384738 8900201

46 Sri Atun 3 PBI 41 th P R4A C566420 8898204
47 Rachmadi 2 NPBI 1/2/1965 L Ger D C628534 8910350
48 Eko Kristiawan 3 NPBI 34 th L R6B C614783 8774793
CITO
49 Wiwik Widowati 2 NPBI 48th P TRAN C225653 8908547
50 Umar Al Faruqi IRIN B Um 17th L PICU C628756 8910383
51 Ngasdi 3 PBI 52th L R2B C628893 8910967
52 Cati 3 PBI 67th P R3A C628848 8910677

JAMINAN
1 Muhammad Nur Rohwan 3 PBI 8/15/2001 L Anak D C365066 8908430
2 Ade Sukaesih 3 NPBI 52 th P P. Uro C547347
3 Rohmad 2 NPBI 46 th L MRK D C334237 8902476
4 Yuli Suprayitno VVIP Um 45 th L Elang 2 C626844 8892323
5 Ali Akbar 2 NPBI 1 bln 8 hr L Transit C628212 8910412
6 Lukman Al Hakim VIP Um 39 th L GRD L6 C627914 8908322
7 Karso 1 NPBI 55 th L MRK 1 C105358 8910531
8 Vitra Sari Suwito VIP NPBI 36 th P MRK 2 C627518 8898317
9 Supriyani VIP NPBI 52 th P GRD L4 C615188 8910151

10 Nurhadi 3 NPBI 59 th L P. Mata C623312
11 Sigit N 1 NPBI 55 th L P. Mata C606200
12 Bambang Satriyono 1 NPBI 51 th L P. Mata C606158
13 R Prajoga Priv NPBI 9/22/1962 L P. GRD C628221
14 Sulastri 3 NPBI 77 th P P. Mata C628525
15 Wielda Kartika Sari 2 NPBI 29 th P KPD D C295357 8886306
16 Rifki Akfal Pramudia VIP NPBI 16 th L GRD L4 C628480 8908437
17 Darningsih 1 NPBI 42 th P KPD D C618002 8900129
18 Sabar Iswanto 3 NPBI 40 th L R3B C606877
19 Sartini VIP NPBI 51 th P GRD 5 C491255 8908575
20 Devina Kusumawati 2 NPBI 34 th P KPD D C627701 8910386
21 Taruni 3 NPBI 44 th P R3A C626203 8910276

22 Istiyah VIP NPBI 45 th P GRD 5 C627285 8910498
23 Nur Sobah 3 PBI 44 th P R2A C564797 8894448
24 Warsi 3 NPBI 39 th P R5B C627116 8894537
25 Muhammad Hafizh Zainul 3 SKTM 2 th L Transit C628889 8910732
26 Imam Istikhori 3 PBI 19 th L R1B C626838 8910244
27 Achmad Azzuri Al Qatam 2 NPBI 22 th L Transit C628844 8910683
28 Inti Rosiah 3 NPBI 43 th P R2A C628761 8910211
29 Siti Moelyani 1 NPBI 2/19/1947 P R1A C609644 8898209
30 Ibad Al Harits 3 NPBI 2 th L C1L1 C624049 8910497
31 Slamet Supriyanto 1 NPBI 29 th L KPD D C588329 8904452
32 Febriyanto 3 PBI 29 th L R6B C570394 8899859
33 Makhfudz 1 NPBI 54 th L KPD 1 C557965 8908522
34 Jefri 3 NPBI 21 th L R1B C628831 8910557
35 Haris Maulana Makruf 1 NPBI 16 th L Anak D C593595 8904381
36 Ludy Bustomi VIP NPBI 48 th L MRK 2 C626337 8886343
37 Muhamad Sodik 3 PBI 23 th L R2B C627686 8900167
38 Sazya Sarindri 2 NPBI 26 th P MRK D C627907 8902547
39 Imam Dalyono 3 PBI 74 th L R2B C592930 8899801
40 Adrian Rizki Pradita 2 NPBI 4 th L RPO C624898 8910604
41 Nurhikmah 3 NPBI 26 th P Elang C597372 8910620

42 Suwarni 2 NPBI 56 th P B31 C626259 8910482
43 Ita Nofitasari 3 PBI 19 th P R5B C621450 7806326
44 Sugiyarti VIP NPBI 41 th P GRD L4 C628455 8910370
45 Muhammad Bilal Nahlin 3 NPBI 1 bl L PBRT C628435 8908511
46 Izzam 3 NPBI 1 th L Anak 1 C557697
47 Balqis 1 NPBI 58 th P KPD D C623463 8906312
48 Ruminah 3 NPBI 56 th P R4B C594372 8901760
M : NO,AF,VT,HI,TU,PS,YS RR : FA,ST,EM MID: SAM,SE RR GRD : ER SORE PROGRAM : SF,RK,WU,TW,AN,AR,
49 Hartoyo VIP NPBI 5/2/1962 L GRD L4 C628912 8912603

50 Titik Maswah 3 NPBI 54 th P R6A C627527 8899886
51 Wingat Handayani 3 NPBI 9/16/1990 P B31 C390554 8904204
52 Tuhiyat 3 NPBI 45 th P R5B C596560 8902398

Titis Nuruttaqi
53 1 NPBI 25 th P B31 C506378 8910501
Bintaroyana
54 Karunlistiani Pranata 2 NPBI 53th P Ger D C599195 8882112
CITO
55 Nur Saadah 3 PBI 40th P B31 C629110 8912907
56 Yatmi 3 PBI 64th P R4B C628607 8910259
57 Sri Rejeki 2 NPBI 45th P TRAN C427829 8906296
58 Ruly Adrian Biantoro 3 NPBI 14th L C1L1 C629061 8912350
59 Moch Abdul Kamid 3 PT 30th L R1B C628906 8912879
60 Kafa Fariz Al Fano 3 NPBI 6bl L PBRT C628584 8810278
61 Magdalena Wahyu U 3 NPBI 30 th P B31 C625766 8912814
62 Shas Risky Sofaqva 3 JMD 17th L C1LD C627683 8900180

JAMINAN
1 Noviyani 3 PBI 34 th P R2A C622858 8912856
2 Adim Dimjati VIP NPBI 75 th L GER 1 C447886 8909921
3 Makmur Hadi 3 PBI 41 th L R6B C613666 8863328
4 Izzam 3 NPBI 1 th L C1L1 C557697
5 Darusno 2 NPBI 12/24/1967 L KPD C626590 8915054
6 Warsan 3 PBI 47 th L R3B C626679 8890123
7 Hendro Sulistyo 3 PBI 37 th L P. MTA C624850

8 Indrawati Privat NPBI 59 th P P.GRD C040744
9 Sri Mulyono Privat NPBI 51 th L P. GRD C555016
10 Kiptiyah VIP um 36 th P GRD L4 C625286 8912489
11 Natasya Septiani Putri 3 NPBI 9/18/2010 P C1L1 C628840

12 Aditya Naufal Darry A 3 um 4/12/2012 L C1L1 C628623 8910195
13 Supriyanto 3 NPBI 54 th L R5A C625979 8900109
14 Mahmud 1 NPBI 63 th L KPD 1 C627823 8905106
15 Sarbini 3 PBI 32 th L R6B C621574 8881351
16 Tul Faidah 3 PBI 42 th P R2A C628597 8910513
17 Edi Rahmat 3 NPBI 7/5/1972 L R1B C587538 8910660
18 Paenah 3 NPBI 8/10/1956 P R5B C625703 8880215
19 Sugiyarti 2 NPBI 5/29/1983 P KPD D C627124 8913645
20 Noor Khasanah 2 NPBI 28 th P KPD D C626519 8914011
21 Chotimah 2 NPBI 58 th P KPD D C627118 8913806
22 M. Teguh Azmi 3 JMD 2 th L C1LD C626602 8890040
23 Nurhayatun 3 NPBI 41 th P R2A C579798 8912525
24 Yenly Ayu Emilya 3 JMD 23 th P R6A C626344 8910229
25 Karsidi 3 NPBI 30 th L R1B C628855 8910624
26 Dwi Puspitaningsih 3 PBI 20 th P R3A C620461 8910269
27 Titik Trisnaningsih VIP NPBI 77 th P GRD 4 C621403 8912521
28 Budiono 3 NPBI 54 th L R1B C528395 8910491
29 Sartono 3 NPBI 42 th L R2B C627972 8904432
31 Rika Ulandari 3 PBI 14 th P C1LD C569859 8889780
32 Pranti 3 PBI 26 th P R3A C626712 8890205
33 Sukiswati 3 NPBI 46 th P R3A C626621 8892522
34 Anik Wijayanti 2 NPBI 24 th P MRK D C624799 8904462
35 Anang Ferdiyanto 2 NPBI 11 th L Transit C628011 8910618
36 Muhamad Aris 3 PBI 17 th L R2B C530477 8898210
37 Bisri 1 NPBI 60 th L Elang 2 C561782 8910376

38 Ngademi 2 NPBI 8/10/1982 P KPD D C623975 8902443
39 Sri Suwarti VIP NPBI 53 th P GRD L3 B422849 8910438
40 Eni Susilowati VIP NPBI 31 th P GRD L3 C628709 8910727
41 Sri Wuryanti VIP um 50 th P GRD L3 C216854 8912538
42 Suminah 2 NPBI 48 th P B31 C628459 8907546
43 Sriyati 3 NPBI 37 th P B31 C617953 8910589
44 Eva Oktianingrum 3 NPBI 25 th P R4A C627431 8912811
M : NO,HI,HR,ES,BD,AR,DY RR : FA,ST,EM MID: SAM,SE RR GRD : ER SORE PROGRAM : SF,RK,WU,TW,AN,AG
45 Cici Damayanti 2 NPBI 32 th P TRAN C629168 8914521
46 Mulyono VIP NPBI 5/15/1956 L GRD L5 C627956 8912808
47 Moch Umum 2 NPBI 8/21/1955 L KPD 1 C616464 8914134
48 Sudjiyem 3 NPBI 62th P R1A C6288875 8910723

49 Munzaenah VIP NPBI 3/17/1958 P GRD L5 C612033 8912266
50 Atminah 2 NPBI 689 th P GER LD C608055 8874163
51 Sri Aryati 3 PBI 40th P R2A C624294 8908515
CITO
52 Bejo
2 PBI 82th L IGD C352117 8913476
53 Ahmad Thohiron MD
3 NPBI 59th L R2B C629059 8915317
54 Mundayiyah
2 NPBI 34th P B31 C621943 8904190
55 Kafa Fariz Al Fano

3 NPBI 7hr L PBRT C628584 8910278
56 Setyo Evi Wardani

2 um 34th P B31 C310080 8915036
57 Kharisma Loviana 2 um 1th P IGD C629364 8915718
58 Muh. Maksum HS, DRS 1 NPBI 76th L MRK 2 C592003 8910447
Aqnendra Gagasmara
59 3 BPJS 21th L R1A C629461 8916982
Raka
60 Sulis 3 PBI 37th P B31 C629489 8916987

JAMINAN

1 Narendra Dika Fairuz 2 NPBI 2 th L C1LD C591746 8888261
2 Kasmilah 3 PBI 45 th P R5B C555698 8910703
3 Muntiah 3 NPBI 59 th P R2A C618078 8899817
4 Suryadi Aji Privat UM 39 th L P. GRD C628931
5 Earlina Dwi Lestari 2 NPBI 2 th P Elang 1 C548230 8916406
6 Sugeng Prayitno 3 NPBI 50 th L R6B C627278 8904453
7 Murah 3 NPBI 67 th P R2A C621643 8906291
8 Heri Purnomo 1 NPBI 57 th L KPD 1 C592256 8908551

9 Saputro Agung Privat NPBI 46 th L Pol GRD C479014
10 Kamso 2 NPBI 59 th L Pol MTA C627042
11 Jumadi 2 NPBI 59 th L Pol MTA C613242
12 Kasmidi 1 NPBI 80 th PL Pol MTA C627384
13 Wartini 3 PBI 53 th P R5B C618278 8912784
14 Yamini 3 NPBI 43 th P B31 C618534 8912348
15 Goeldy Bintang Vilia 1 NPBI 24 th P MRK D C069905 8915056
16 Fiati Nur Annafi 2 NPBI 27 th P KPD D C626617 8889871
17 Sugito
3 PBI 58 th L R2B C628993 8912890
18 Roidah 3 NPBI 4/29/1996 P R2A C626634 8890092
19 Sulhan 3 NPBI 74 th L R5A C625508 8900117
20 Rumini 3 NPBI 47 th P R3A C628633 8910262
21 Kusriningsih 3 NPBI 33 th P R2A C616418 8891950
22 Haryanto 3 NPBI 56 th L R2B C597091 8899902
23 Jumilah VIP NPBI 46 th P GRD L6 C461812 8915023
24 Ngasari VIP NPBI 81 th L GRD L4 C626578 8912389
25 Adi Perwira VIP NPBI 13th L GRD L3 C626744 8890281
26 Tri Wijanarko 1 BPJS 55 th L KPD 1 C619574 8914854
27 Lampiyanto VIP Um 39 th L GRD 4 C628842 8910680

28 Raswad 3 NPBI 60 th L R2B C627547 8915067
29 Bagus Triarto VIP NPBI 20 th L GRD L4 C238690 8914741
30 Syamsul Arifin 3 PBI 24 th L R3B C616591 8910704
31 Nanik Sukarti 3 NPBI 57 th P R3A C618168 8910665
32 Sri Suwarni 3 NPBI 46 th P R6A C440396 8910630
33 Kusnah 3 PBI 73 th P R3A C626368 8914953
34 Siti 3 NPBI 47 th P R2A C616002
35 Sutinah 2 NPBI 49 th P GER D C624774 8872184
36 Stefanus W 1 NPBI 1/4/1964 L MRK1 C470848
37 Sukarti 3 NPBI 23 th P R2A C625775 8882480
38 Nuraini Lubis VIP NPBI 61 th P GRD L6 C500377
39 Muasarotun 2 NPBI 46 th P Elang 1 C590400 8914105
40 Leni Kafitriyani 3 NPBI 25 th P R5B C601417 8912857
41 Ariyanti VIP NPBI 37 th P GRD 5 C627461 8914986
42 Vika Naimatus Sholehah VIP UM 15 th P GRD L3 C627929 8914603

43 Nurul Asyuti 1 NPBI 41 th P KPD 1 C627196 8912788
44 Fachrotun Azah 2 NPBI 37 th P B31 C593458 8912608
45 Ida Aryani VIP Um 46 th P GRD L4 C625136 8914446
46 Adelia Faranisa 3 NPBI 9 bln P C1LD C617477 8914619
47 Izzam Khoirul Fuat 3 NPBI 1 th L C1L1 C557697 8906263
48 Nargomo 1 NPBI 57 th L KPD 1 C623675 8890276
M : WU,AR,DY,EA,EW,HR,SR RR : FA,EM,HA MID: SAM,SE RR GRD : ER SORE PROGRAM : SF,RK,AN,AG,NI,RE

49 Sulami 2 NPBI 46 th P KPD D C613157 8904517
50 Dimas Prasetyo 3 PBI 12 th P C1L1 C628142 8904456
51 Lineazec Bunga VIP UM 6 th P GRD 3 C260329 8916921
52 Aminah 2 NPBI 63 th P GER D C629457 8918262
53 Erwin Musyarofah 3 PBI 42 th L R5B C624468 8919636
54 Kezia Valencia H 3 NPBI 3 bln L C1LD C618028 8910696
55 Bagus Ardhianto 2 NPBI 39 th L MRK D C436438 8910207
56 Helmi Fahrudin 3 NPBI 25th L R6B C628469 8912800
57 Sunandar 2 NPBI 62th L MRK D C475109 8910512
58 Suratno 1 NPBI 60 th L MRK 1 C349354 8912867

CITO
59 Siti Muaromah 3 um 29th P B31 C629685 8919178
60 Muliya Dewi Astuti 3 NPBI 45th P R4B C466964 8917039
61 Tarna'ah BT Kaswan 3 um 27th P B31 C629511

8917329
62 Siti Hasna Khoirunnisa 3 NPBI 1th P C1L1 C626629 8890163
63 Siti Rochmah 3 UM 30th P B31 C629073

8914458
64 Suhartadi 2 NPBI 40th L IGD C629541 8918929

JAMINAN
1 Efen Dwi Q Tian 3 PBI 6 th L Anak D C496395 8912405
2 Sit Aisyah 3 NPBI 58 th P R4A C614623 8899667
3 Turah 3 NPBI 49 th P R4A C614087 8910235
4 Fani Gilang Pratama 3 um 14 th L Anak 1 C629413 8917041
Muhammad Haris
5 3 NPBI 7bl L C1LD C628273 8917036
Rangga
6 Ima Labiba Hermani 3 NPBI 1 th 3 bln P Anak D C594642 8916994
7 Nailis Sa'adah 2 NPBI 30 th P KPD D C627886 8918852
8 Nurkhafid 3 NPBI 8/3/1969 L Merpati C628220
9 Sri Ramini 3 NPBI 9/16/1965 P Merpati C624844
10 Handoko Henderiyanto 3 NPBI 23 th L Merpati C615210
11 Abdul Syukur 1 NPBI 70 th L Merpati C246424

12 Suroto 1 NPBI 69 th L Merpati C612333
13 Puji Hastuti 2 NPBI 40 th P B31 C624725 8912377
14 Budi Samodro 3 NPBI 36 th L R2B C621432 8904404
15 Warni 3 NPBI 52 th P R2A C622357 8912827
16 Ita Likumawa 3 NPBI 34 th P R5B C629094 8915065
17 Damsih 1 um 34th P ICU C624498 8912704

18 Desy Sugiarti 1 NPBI 37 th P KTL C628567 8910502
19 Karsinah 3 PBI 53 th P R4A C605315 8915037
20 Rustiah VIP NPBI 41 th P GRD 6 C609894 8916824
21 Yuda Septian Nugroho 2 NPBI 24 th L KPD 1 C627945 8917830
22 Noerma 2 NPBI 65 th P KPD D C617527 8919030
23 Sri Ningsih B214811 2 NPBI 65 th P KPD D C260171 8912716
24 Mukhamin 3 NPBI 31 th L R2B C625567 8914974
25 Yulianto 3 PBI 23 th L Transit C629342 8918020
26 Adzkia Samha Saufa 3 NPBI 1 th P Anak D C628152 8915068
27 Zulfi Indra Nasution 3 NPBI 58 th L R3A C503586 8912376
28 Endang SriWardani 3 PBI 59 th P R2A C603386 8910674
29 Churifah 3 NPBI 68 th P R3A C607685 8912791
30 Tutuk Djuariyah 3 NPBI 71 th P R2A C623175 8893961
31 Jefri Yongki Hermanto 3 NPBI 20th L R1B C627240 8900236
32 Wahyu Prayoga 2 NPBI 40 th L MRK D C199300 8900279
33 Solekhah 3 NPBI 54 th P R2A C626814 8906306
34 Gama Yuniharizky 2 NPBI 27 th L KPD 1 C583884 8918028
34 Ngatipah 2 NPBI 66 th P KPD D C626414 8919069
36 Sawilah 3 NPBI 88 th P GER D C627651
37 Gikam Ibnu Abdillah 1 NPBI 13 th L Elang 1 B220129 8916599
38 Moh Duri 1 NPBI 52 th L KPD 1 C597320 8916926
39 By Ny Nur Saadah 3 Um 3 hr L B31 C629171 8913762

40 Nur Betty Faradilla 3 Um 2/21/2016 P Anak 1 C629487
41 Sri Sumartiningsih DRA VIP NPBI 58 th P GRD L6 C616249 8915856
42 Suhali 1 NPBI 60 th L KPD L1 C628219 8906373
43 Sukamto 3 NPBI 51 th L R3B C541696
44 Supriyati Widayati 1 NPBI 71 th P KPD 1 C148761 8914994
M : WU,WD,BY,EA,EW,SA,SR RR : FA,EM,HA MID: SAM,SE RR GRD :IS SORE PROGRAM : SF,RK,TW,AN,AG,N
45 Viqha Alina Almahvira VIP NPBI 4th L GRD 3 C441548 8919129
Wielda Katika Sari 2 NPBI 29th P KPD D C295357 8886306

46
Ika Fitri Suciati 3 PBI 22th P R3B C629574 8919168

47
48 Hiteria Sinaga 2 NPBI 55th L TRAN C629473 8919142

Siti Aminah 3 PBI 70th P R2A C628402 8910217
49
Wakini 1 NPBI 57th L KPD 1 C629493 8919143

50
51 Alfarobi VIP NPBI 49th L GRD 6 C041340 8918950
Amanda Neely Salsabila VIP NPBI 9BL P GRD 3 C629261 8916593

52
Abdul Gofar 3 PBI 27th L R6B C628776 8910614

53
54 Suprijono Kartodarsono 1 NPBI 68th L GCU C541889 8908445
CITO
55 Shofa Mohamad Kholil 2 PBI 7th L IGD C626231 8918813
56 Ernawati 2 NPBI 34th P B31 B297136 8919380
57 Karto Jaman 3 PBI 70th L R2B C612373 8920736
58 Nelly Amalina VIP um 33th P GRD 3 C295994 8919716
59 Agustina 3 um 31th P B31 C629656 8919054
60 Muhammad Ulul Albab 3 PBI 2th L PICU C487659 8920814
61 Ni'matu Tasriyah 3 PBI 28th P B31 C629112 8912909
62 Murmiyati 2 NPBI 37th P B31 C613662 8910541
63 Nardi 2 PBI 82th L IGD C629788 8920488
64 Samsudin 3 PBI 32th L R2B C626072 8886228
65 Yuneti 2 NPBI 51th P GER D C629652 8918896

JAMINAN
1 Nurfaizi Bachtiar Santoso VIP Um 13 th L GRD 3 C624781 8920394
2 Tri Wulandari 3 PBI 15 th P C1LD C621061 8918893
3 Suyati VIP NPBI 45 th P GRD 6 C628665 8926971
4 Masrukah 1 NPBI 44 th P MRK 2 C629309 8917914
5 Endang Tati 2 NPBI 51 th P Transit C607541 8919138

6 Irianto 1 NPBI 51 th L MRK 2 C614915 8912865
7 Syaiful VIP NPBI 5/25/1961 L GRD 6 C627427 8918694
8 Eka Dela Puspita 3 PBI 2/28/2004 P C1LD C629451 8917012
9 Sabqi AL Hafiz 3 NPBI 3 th L C1LD C624061 8917044
10 Bejo Harto Mulyono 3 NPBI 57 th L Elang 1 C465909 8918634
M :NH,SA,AG,AD,BY,TK,WD RR : FA,EM,TR ,SAM,SE SORE PROGRAM :SF,RK,NI,RE,MY,JF,WI,MW,MK,PM,RG,U
11 Adi Pratama 3 PBI 12th L TRAN C629659 8919881
12 Slamet 3 NPBI 24th L R6B C628123 8915909
CITO
13 Vivi Firmandhona 3 NPBI 29th P R3A C550975 8920931

Mustafa
14 Salmanisa Putri Amira 2 NPBI 10th P TRAN C264877 8921040
15 Margus Al Masjhuri 2 NPBI 70th L GER D C525279 8917011

16 Mustianah 3 PBI 35th P R3A C223556 8921094

JAMINAN
1 Tri Rokhana VIP NPBI 4/9/1989 P GRD L6 C626441 8918965
2 Bambang Sulistiono VIP NPBI 10/8/1950 L GRD L4 C602904 8918739

M : NH, TK, MK, RG, NI SORE PROGRAM : II,VT,RE,JF,MW,MF
Almashyra Shakila VIP NPBI 7bl P GRD 3 C613998 8832079

3
Sukarmini 1 NPBI 55th L KTL C387078 8920985

4
5 Soejatmi 1 NPBI 69th P KTL C487612 8890281
Hasya Hafiyan VIP NPBI 13th L GRD 4 C626977 8921047

6
CITO
Insan Taruno Aji 2 NPBI 5th L TRAN C629889 8921254
7
8 Sardi 3 SKTM 48th L ICU C629916 8921239
JAMINAN
1 Kurmanto 2 NPBI 46 th L KPD D C626776 8919112
2 Yamto Setiyono 3 NPBI 18 th L R1B C198222 8915220
3 Bantar Mujono Yuwono 3 NPBI 8/24/1960 L R1B C270184 8910514
4 Muizz Lukmanul Hakim 1 NPBI 2 th L C1LD C628870 8910701
5 Dewi Anggi Febriani 2 PBI 6 th P C1L1 C629583 8921118
6 Nayla Qonita 3 NPBI 6 bl P Anak L1 C624631
7 Hartatik 3 NPBI 40 th P Merpati C629334
8 Much Kahar 3 NPBI 70 th L Merpati C622299
9 Maryati 1 NPBI 56 th P Merpati C623151
10 Puji Hartini 3 NPBI 57 th P Merpati C147018

11 Zaenal Arifin NPBI 55 th L Merpati C628704
12 Sriyadi 3 NPBI 56 th L Merpati C616637
13 Mohamad Taufiq 3 JMD 21 th L R1B C628779 8910360
14 Rufiatun 3 NPBI 40 th P R3A C623670 8914898
15 Suprapti 1 NPBI 45 th P MRK 2 C628074 8906409
16 Hesti Utami VIP NPBI 55 th P GRD L6 C306994 8916990
17 Asmanu 3 PBI 47 th L R2B C617571 8913699
18 Rif'an 1 NPBI 58 th L KPD D C625829 8912848
19 Teguh 3 NPBI 61 th L R2B C625331 8898218

20 Asmonah 3 PBI 51 th P R2A C621102 8916888
21 Darsono 3 PBI 60 th L R2B C622933 8896279
22 Candra Pamungkas 2 NPBI 31 th L KPD D C626400 8904424
24 Lilik Sujarmanto 3 PBI 26 th L R2B C619320 8874150
26 Abdul Latief 1 NPBI 47 th L MRK 1 C629096 8916936
27 Arofatus Safira 3 PBI 4 th P C1LD C421407 8917064
28 Tarwiyah 3 NPBI 49 th P R3A C529529 8912793
29 Indah Yuningsih 3 NPBI 48 th P R2A C544938 8916870
30 Nanang Subekti 2 NPBI 40 th L Transit C629462 8919172
By. Ny. Dwi

31 3 NPBI 5 bl P C1LD C608231
Suryaningrum
32 Himawan Prastyo Putra 3 um 24 th L R2B C629500 8918075
33 Nuraini Lubis VIP NPBI 61 th P GRD 6 500377 8916221
34 Nuskhiya Asfi 1 NPBI 20 th P MRK 2 C629319 8915656
35 Andi Setiyanto 3 NPBI 20 th L R2B C628852 8910693
Sunowo 3 NPBI 55 th L Elang 1 C158861 8920374
36 Reni Indriyuani 1 NPBI 53 th P B31 C277971 8912588

37 Masinggih 2 NPBI 19 th L KPD 1 C417175 8921221
38 Theresia Sri Indarsih 1 UM 71 th P MRK 1 C628803 8915050
39 Nor Ahmad 3 PBI 33 th L R2B C607049 8898220
40 Nuryati 3 NPBI 34 th P B31 B114873 8916975
41 Ngasmi 3 NPBI 45 th P B31 C629095 8912891
42 Rebinah 3 NPBI 53 th P R4B C620459 8910667
M : II,NI,RE,JF,MW,MK,RG RR : FA,ST,SAM MID:MY,ANM RR GRD :AR SORE PROGRAM : NO,RK,TA,TD,SC,AU
59 Kusdi 1 NPBI 41 th L KPD 1 C620369 8894555
60 Suryati 3 PBI 49 th P R2A C619840 8894452
62 Markus Kristanto 2 NPBI 60 th L Ger D C629051 8912831
63 Falah Khazri Muafa 2 NPBI 1 th L C1LD C629862 8921117
64 Lampiyanto VIP um 39th L GRD 4 C628842 8910680

65 Rosy Aliana Febrianti 3 JMD 15th P R2A C629888 8921184
CITO
66 Isnaeni um 31th P R3A C629872
3 8921138
67 Nur Hidayatun Nikmah SKTM 16th P B31 C629941

3 8921314
68 M. Syaefulloh 3 NPBI 9bl L HCU C588646

8884419
69 Dede Tubagus Cahaya 3 PBI 5th L C1L1 C629898 8921177
70 Siti Sadirah 1 NPBI 50th P KPD 1 C629859 8921191
71 Lestari 3 NPBI 23th P R5B C629071 8915492
72 Abdee Julian Saputra 3 um 11bl L TRAN C630138 8923243

JAMINAN
1 Anastasia Hartanti 1 NPBI 54 th P MRK 2 C455535
2 Sukma Umbara 3 NPBI 25 th L R2B C624173 8920772
3 Siti Aisah 2 NPBI 55 th P KPD D C531139 8902534
4 Fatma Septiani 2 NPBI 22 th P Transit C470760 8921129
5 Mudholi Yahya 3 PBI 42 th L R1B C618322 8914066
6 Joko Riyanto 1 NPBI 55 th L KPD 1 C517849 8904406
7 Dewi Handayani 3 NPBI 23 th P R3A C624572 8894416
8 Ngasirah 1 NPBI 57 th P Ger 1 C615958 8896146
M : II,SU,RE,DY,MW SORE PROGRAM :RK,AU,DW,BR,DA,DB,ER,ES,HA,SC,SE,RM,VQ
9 Paulus Kunto Baskoro VIP um 40th L GRD 4 C629296 8923149
10 Sugiri 1 NPBI 60th L KPD 1 C595153 8923524
CITO
VIP NPBI 39th L GRD 3 C620176 8923567
11 Alfa Yuliana Dewi
Pasidi 2 PBI 34th L IGD C630164 8923501

12
Soemadi 1 NPBI 74th L KPD 1 C152365 8923586

13
Budi Wahyuni VIP NPBI 52th L GRD 4 C230214 8923321
14
Titik Sofiyati 3 NPBI 31th P B31 C517308 8923485

15
Wildha Alina Natania 2 um 3th P TRAN C630162 8923481

16
M. Teguh Azmi 3 NPBI 2th L C1L1 C626602

17 8923631
JAMINAN
1 Ilfan Yusuf Aldiyawan 1 NPBI 18 th L KPD 1 B029950 8915046
2 Prabowo 1 NPBI 49 th L KPD 1 C359916

3 Sarpan 3 JMD 75 th L R2B C625512 8918984
4 Warsa VIP NPBI 51 th L Elang 2 B069727 8915084
5 Ilham Nugroho 1 NPBI 31 th L MRK 1 C629100
6 Nurul Lubna Mufidah 1 NPBI 20 th P KPD D C629491 8919671
7 Maslikah 3 NPBI 53 th P R4A C623892 8904478
8 Rudy Hermanto 3 NPBI 31 th L R5A C571389 8921216
9
10 Sochmadi 3 NPBI 12/12/1942 L P. Mata C625779
11 Fikri Fuad 3 NPBI 18 th L B.Plastik C623087
12 Mursinah 3 NPBI 49 th P R6A C628959 8917025
13 Dachlan Mizan 1 NPBI 64 th L P. Mata C354989
14 R Prajoga Priv NPBI 54 th L P. GRD C628221
15 Chamidah VIP NPBI 70th L GRD 4 C613158 8921080
16 Purwati 3 PBI 58 th P R4A C615448 8922327
17 Sumiyati 1 NPBI 52 th P KPD 1 C622970 8919058
18 Kartina Widiaryanti VIP NPBI 5/5/1974 P GRD L4 C629458 8923231
19 Siti Mudrikah 3 NPBI 4/6/1983 P R2A C617546 8920812
20 Sukamto 3 PBI 8/17/1965 L R3B C541696 8906382
21 Ramidjan 3 NPBI 55 th L R2B B358170
22 Wahyudi 1 NPBI 54 th L KPD 1 C472526 8921186

23 Muh Mahfur 2 NPBI 40 th L MRK D C627812 8902526
24 Mukmin 3 PBI 56 th L R2B C622279 8916993
25 Sri Wahyuni 2 NPBI 41 th P KPD D C618962 8919026
26 Diany Novitasari 2 NPBI 34 th P KPD D C618865 8923640
27 Arizqi 2 NPBI 26 th P KPD D C625607 8923637
28 Endang Kusrini VIP NPBI 3/12/1959 P GRD 5 C629315 8921223
29 Qowiyah 3 PBI 49 th P R2A B285510 8894446
30 Rizqi Heri Saputra 2 Um 23 th L MRK D C629562 8920855
31 Putri Kusmiyati 3 NPBI 17 th P R2A C628019 8920791
32 Sungkowo 3 NPBI 55 th L R1B C614238
33 Rafi Nawabi Saleh 3 NPBI 9 bl L Anak D C627182 8921062
34 Desi Retnowati 3 NPBI 15 th P Anak 1 C580593 8919147
35 Puujo Tasir 3 PBI 73 th L R1B C622220 8920788
36 Sutrisno 1 NPBI 53 th L KPD 1 C597000 8919080
37 Aris Jumiran 3 PBI 64 th L R2B C629404 8917030
38 Sri Kunati 3 PBI 52 th P R3A C400889 8920755
39 Komari 3 NPBI 37 th L R1B C620059 8904420
40 Achmad Riyadin 3 JMD 26 th L R3B C627311 8899877
41 Achmad Afandi 3 NPBI 42 th L R3B C627531 8900000
42 Sukis Surachman IRIN UM 64 th L R1A C628004
43 Washari 3 PBI 31 th L R2B C621222 8918991
44 Sugiharto 3 PBI 35 th L R5A C622927 8921143
46 Shiema Ramadhania 1 NPBI 14 th P Elang 2 B203273 8922181
89 Muhamad Faiz 3 NPBI 6 th L Elang 1 C589113
47 Heni Puji Astuti 3 JMD 36 th P B31 C629892 8921167
48 Agustina VIP NPBI 31 th P B31 C122719 8920758
49 Auli Wuning 1 NPBI 31 th P B31 C307305 8921049
50 Yeni Susianingsih 2 NPBI 19 th P MRK D C589587 8902531

51 Ahmad Muqtaf Haqqi 1 NPBI 6 th L Anak D C620720 8920816
52 Nayla Qonita 3 NPBI 6 bln P Anak 1 C629681 8919851
53 Slamet Irawan 3 PBI 6 th L Anak D C243394 8920822
54 Cahyadi 3 NPBI 73 th L R1B C619894 8916980
55 Sarjani 3 NPBI 58 th L R1B C623505 8895336

M :RK,SC,SE,AU,BR,DY,SU RR : WU,ST,SAM MID : MY,ANM RR GRD : AR SORE PROGRAM : NO,GI,TA,TD,AN,
55 Kasmin 3 PBI 58 th L R3B C629946 8921735
56 Revi Irni Mariska 3 PBI 14th P C1L1 C629102 8914060
57 Muhamad Faiz 3 NPBI 6 th L Elang 1 C589113
58 Keyla Ibrahim Zafier P VIP NPBI 10/26/2016 L GRD L3 C614575 8923122
59 Agus Suci Suningrat VIP NPBI 8/16/1966 L GRD L4 C629223 8923390
60 M. Hasan 3 NPBI 58 th L Transit C630195 8923754
61 Sahyuni 1 NPBI 42 th P KPD 1 C628453 8923522
62 Aji Arifin 2 NPBI 27th L KPD 1 C596946 8923620
63 Suratno 1 NPBI 60th L MRK 1 C349354 8912867
64 Nanda Riyan Perdana 1 NPBI 27th P KTL C565480 8923720
65 Sukandar 3 NPBI 52 th L R5A C624382 8910430
66 Ismojo Darmono 1 NPBI 12/23/1973 L ICU GRD C314366

67 Niri 1 NPBI 31 th P KPD 1 C477510
68 Annida Rahmatunisa 3 NPBI 8 th P Anak D C490166 8923428
69 Irwanto 3 NPBI 52 th L R3B C577315 8902518
CITO
70 Hermin Saputri 2 NPBI 28th P B31 B001320 8923549
71 Fathan Denis Abdillah 3 um 3th L C1LD C630211 8923719
72 Dyra Khalisa Anami 3 NPBI 4th P C1LD C383548 8924048
73 Sugianti 3 PBI 28th P B31 C630154 8923462
74 Ema Maria Ulfa VIP NPBI 29th P GRD 3 C603228 8921250
75 Amna Akhfa Hanafi 2 NPBI 8bl L IGD C623365 8925214

JAMINAN

1 Siti Lestari VIP NPBI 51 th P GRD L6 C216650 8925248
2 Enny Alviana VIP NPBI 41 th P GRD L5 C623465 8923431
3 Datmi 3 NPBI 58 th P R3A C552431 8920783
4 Wiwik Dwi Erlinawati 1 NPBI 46 th P KTL C473982 8910264
5 Komang Saputra 2 NPBI 3 bln L Anak D C616559 8920763
6 Kafa Fariz Al Fano 3 NPBI 14 hr L PBRT C628584
7 Yuyun Eka Lestari 3 Um 13 th P Anak D C629683 8920850
8 Wahyu Pristiana 3 PBI 21 th P Pol MTA C624881
9 Dusri 3 NPBI 50 th P R5B C624253 8933496
10 Handoko 3 PBI 23 th L Pol MTA C615245
11 Faris Bachtiar Privat NPBI 62 th L Pol GRD C413146

12 Sri Winarti 1 NPBI 67 th P Pol MTA B322425
13 Wahyuni 3 NPBI 22 th P Pol MTA C620291
14 Darum 3 PBI 58 th P R2B C629690 8921060
15 Indah Susanti 3 NPBI 34 th P R3A C629910 8921263
16 Ayu Darmaning Putri 2 NPBI 26 th P B31 C490079 8923858
17 Khusnul Amrin 3 NPBI 12 th L Elang 1 C275310 8925012
18 Syafira Khanisa 1 NPBI 26 th P KTL C628684 8921083
19 Wisnu Wardani 2 NPBI 40 th P KPD D C627316 8923435
20 Thoriqoh VIP NPBI 59 th P GRD L5 C629310 8915071
21 Sirin 3 JMD 40 th L R5A C627682 8900170
22 Sarimpi 3 PBI 61 th P R2A C628067 8920767
23 Jasman 3 PBI 76 th L R1B C625978 8919069
24 Subarjo 3 NPBI 61 th L R2B C346991 8928003
25 Wahyu Diah Wasiatul VIP um 25 th P GRD L6 C629234 8923685
26 Giman 3 NPBI 60 th L R1B C611139 8919131
27 Andrian Gerry Pradipta 3 PBI 8 bln L Anak D C606808 8916851

29 Dwi Prasetyo 3 PBI 27 th L R2B C599000 8923507
30 Soen Sambas Adi S 1 NPBI 64 th L GER 1 C616316 8899814
31 Rosidin 3 NPBI 31 th L R2B C627041 8923554
32 M. Arief Setyo W 3 NPBI 25 th L P. MTA C619290
33 Agus Santoso 1 NPBI 46 th L KPD 1 C520976 8916959
34 Fauzi Mardliyah 3 NPBI 46 th P R3A C569558
35 Jumini 3 PBI 54 th P R3A C593429 8919070
36 Sadino 3 NPBI 30 th L R1B C356726
37 Darjati 1 NPBI 68 th P MRK 1 C619736 8869929
38 Sri Supadmi 3 NPBI 44 th P R2A C593532 8902421
39 Elsa Zulfa Raffiq Azizah 2 NPBI 15 th P C1LD C594726 8919483
40 Sukis Surachman IRIN UM 64 th L R1A C628004 8906381
41 TH Sriyati 1 NPBI 69 th P KPD 1 C629714 8921140
42 Purniyanti 1 NPBI 36 th P Elang 2 C574703 8923695
43 Sri Wanti VIP NPBI 43 th P GRD L3 C623498 8922602
44 Siti Rugaya VIP NPBI 41 th P GRD L3 C229054 8923074
45 Noor Aini 2 NPBI 34 th P KPD D C618271 8923470
46 Mutia Ulfa VIP NPBI 31 th P GRD L3 C628297 8922550
47 Soekarmi 2 NPBI 69 th P MRK D C626910 8919084
48 Evi Nur Afiani VIP NPBI 41 th P GRD L4 C603039 8923434
49 Ridwan 3 NPBI 51 th L R1B C626854
M :RK,SC,SE,AU,DW,BR,DA RR : FA,ST,SAM MID : MY,ANM RR GRD : PS SORE PROGRAM : NO,GI,TA,TD,AR,
50 Cholil Wiqnyo Mulyono VIP NPBI 65 th L GRD L4 C629265 8925377
51 Rizal Catur Maulana 3 PBI 20 th L R2B C629897 8925772
52 Rusmiyati 3 PBI 40 th P R3A C629324 8925781
53 Suparmin 3 NPBI 47th L R1B C615755 8914938
54 Suharjo VIP NPBI 54th L MRK 2 C630562 8928003
55 Sanyoto Budi Nugroho 2 NPBI 46th L MRK D C630169 8923610
56 Nini 1 NPBI 31th P KPD 1 C477510 8921316

57 Karyano 2 NPBI 47 th L KPD 1 C625534 8921136
CITO
58 Dian Heris Diana IRIN A NPBI 24th P ICU C573244 8925848
59 Marminah 3 NPBI 67th P GER D A568562 8921268
60 Wahyu Lestari 3 NPBI 32th P B31 C629753 8925415
61 Roro Karmini VIP NPBI 77th P GRD 6 C097413 8906412
62 Rochmad 1 NPBI 69th L MRK 2 C100703 8917005
63 Sari 3 PBI 59th L R6A C614519 8920948
64 Dandy Ardiyana Latif 3 um 5th L C1L1 C330317 8927833
65 Casumi 3 PBI 30th P B31 C628662 8927753
66 2 NPBI 57th L IGD C630630 8927736

Muhammad Abu Khoir
67 Sulastri 3 NPBI 40th P R3A C624625 8906404
68 Murtinah 2 PBI 49th P IGD C630629 8927730

JAMINAN
1 Sungkowo 3 JMD 65 th L R1B C614238 8915022
2 Supi 3 PBI 59 th P R3A C629238 8925557
3 Fadilatun Nisa 3 NPBI 1 th 6 bln P Anak D C604616 8926265
4 Saeful Anwar 2 NPBI 27 th L KPD D C609199 8925833
5 Dinda Cornelia Yastanto 1 NPBI 20 th P KPD 1 C177105 8920838
6 Mukmin 3 NPBI 75 th L R1B C624077 8923405
7 Sariyono Privat NPBI 53 th L P. GRD C630545

8 Budi Wahyono Privat NPBI 59 th L P. GRD C304308
9 Ahir Setiadi 1 NPBI 25 th L P. MTA C618706
10 Denin 3 PBI 64 th L P. MTA C589023
11 Bambang Hoesodo VIP NPBI 60 th L GRD L5 C544472 8925764

12 Fathia Rahmawati 1 NPBI 22 th P KPD 1 C628194 8923447
13 Sukamti 3 PBI 48 th P B31 C618761 8920808
15 Triyanto 3 NPBI 45 th L R2B C629449 8920878
16 Lestari 3 NPBI 23 th P R5B C629071 8915492
17 Sugeng Saryanto 3 PBI 58 th L Transit C630155 8923593
18 Ali Rosadi 3 NPBI 38 th L R1B C475513 8919128
19 Mei Susanti 3 NPBI 33 th P R2A C614543 8923427
20 Warno 3 NPBI 45 th L R1B C623548 8916931
21 Siti Munawaroh 3 PBI 19 th P R3A C629952 8923548
22 Ngadi 3 PBI 20 th L R2B C629480 8920865
23 Untung Tohari 3 PBI 67 th L R1B C629901 8921298
24 Nurlia Irawati Nugroho 3 PBI 30 th P R6A C080106 8894178
25 Via Yeni Setianingsih 3 PBI 7 th P C1L1 C170588 8923538
26 Muh. Ammar Zainal R VIP NPBI 3 bln L GRD 4 C630385 8925799
27 Muh. Zaenuddin 3 PBI 54 th L R1B C629694 8921132
28 Utomo 3 PBI 23 th L R3B C556402 8923548
29 Tatik Suharti 1 NPBI 65 th P KPD D B184573 8923442
30 Dyah Lucy Rihawati VIP um 33 th P GRD L4 C629871 8921109
31 Muhammad Jafar Sodiq 3 NPBI 15 th L Anak 1 C601099 8898234
32 Sudji Praptini 2 NPBI 54 th P MRK D C629915 8922433
33 Sardi IRIN B SKTM 48 th L ICCU C629916 8921287
34 Teguh Slamet Biarno 1 NPBI 36 th L KPD LD C630210 8923733
35 Suyati 3 PBI 51 th P R2A C627023 8920751
36 Nabila Putri Maharani 1 NPBI 7 th P Elang 1 C586177 8925641

37 Any Kusmadewi 2 NPBI 29 th P MRK D C583375 8920924
38 Herlina Kusmiati 2 NPBI 33 th P B31 C616527 8923404
39 Yuni Kristiawati VIP NPBI 35 th P GRD L3 C595289 8925638
40 Sri Rahayu Jitnowati 2 NPBI 65 th P GER D C628425 8923527
41 Umiyatun VIP NPBI 53 th P GRD L5 C625878 8925618
M :GI,AN,DW,DA,DM,DB,PS RR : FA,ST,SAM MID : MY,ANM RR GRD : WU SORE PROGRAM : TA,TD,US,AR,AG
42 Hanna Eunice Doortje 2 NPBI 65th P TRAN C630575 8928704
43 S Eko Wahyuni VIP NPBI 8th L GRD 5 C613621 8925365
44 Sri Rejeki 3 NPBI 34th P R3A C629483 8919130
45 Farrel Rizki Febrianto 3 JMD 1bl L C1LD C629817 8921153

46 Munadi 3 PBI 62th L R5A C630179 8923738
47 Indrawati 3 NPBI 53th P R4B C158229 8925870
48 Tuminah 3 PBI 61th P R6A C629879 8921139
49 Sucipto 1 NPBI 22th L KTL C630676 8929596
50 Kusyanti 3 PBI 42th P R4A C618356 8919105
CITO
51 Suharni 2 um 50th P IGD C630636 8927797
52 Rifqi Mukhtarullah 3 PBI 7bl L C1LD C597922 8925490
53 IRINA NPBI 14th L PICU C541144 8920872

Ardhito Tegar Kurniawan
54 Luki Sofiana 3 NPBI 17th L R3A C629819 8920958
55 3 um 53th P R2A C630786 8929609

Warsini
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
ST
AO,
Tumor Ren Sin Radikal Nefrectomy Sin KH ADS √ EV,AO EV
SR
Tumor Mandibula Susp Maligna Hemimandibulektomi KH OEN √
Rekontruksi Plate & Screw KH RP √
Thoracotomi Explorasi Wedge Reseksi
Tumor Paru Dx KH ALI √ MA EN,VT
Paru Dex
MAR + Fistel Recto Uretra Re PSARP + Fistulektomi KH,B RR √ AI,YN,RI RI AI,YN
Megacolon Kongenital Duhamel KH RR √
Mastitis Granulomatose MRM KH DWT √ AM BD
Spondilitis TB Laminektomi AJ
Mata kanan kiri glaukoma Neovaskuler Mata Kiri Trabekulektomi KH MR √ YW,HR HR Aziz
Azizi,
Mata Kanan Kiri PACG + KSI Mata Kanan Trabekulektomi + Phaco + IOL KH FI √ HR
YW
CKD AV Shunt WW
CKD AV Shunt WW
Hidrosalping Laparascopy Adhesiolisis Biopsi KH HR √ TW,UM
RSK + Polip Nasi Dupleks Gr II FESS + CWL + Polipektomi KH,B,S RH √ UM TW
OMSK Maligna Dx Thympanoplasty Type I KH ZUL √ RA MF
Laparatomi Eksplorasi Drainage Abses +

KH,
Abses Intra Abdomen Ovarium Dex + Kistectomi Sin + JS √ AS TD
KH,S
Apendictomi
Cholechystolithiasis Laparascopic Cholesistectomi KH MM √ TD,RM AS TD
Laparotomi Explorasi Colostomi + Biopsi

Tumor Rectum c/ Ganas KH, KH PB √ TM TM
Hepar
Massa dg Nekrosis Luas Paraanal Debridement + Colostomi KH,B ERI √ TM RM
Multiple Limfadenopati Limfadenektomi Colli Inguinal S ERI √ RM TM
Mixed Invasif Ca Mamae Gr II Limfadenektomi + Wide Eksisi B,S BIS AZ,TK,VQ AZ VQ
Mucoepidermoid Ca Reg Axilla Dx Wide Eksisi + FS Bebas Tumor B DH VQ AZ
VQ,
Tumor Parotis Superficial parotidectomi + FS KH UUD √ AZ
DB
Tumor Mamae c/ Ganas Insisi Biopsi S DWT
Sarcoma Wide Eksisi B DWT YS

Skin Loss Reg Antebrachii Dx + Fr
Debridement + STSG KH NJT √ TA,ES AG DJ
Metacarpal
Reposisi Tertutup + Gips S BIN
SCC Reg Rekonstruksi Pasca Keganasan KH NJT √ TA
Ulkus Dekubitus Gr II-III Eksisi + Rekonstruksi KH ETH √ DY
Mata Kiri Orbitotomi Anterior Pro Fat

Mata Kiri Graves Ophtalmopathy KH,S TL √ NK,DI,DN DN NK,DI
Removal + Elongasi M/ Levator Palpebra
Mata Kanan Kiri Tumor Palpebra Inferior dd Mata Kanan Orbitotomi Anterior + pro Insisi
KH TL √ DN NK,DI
Limfoma Biopsi + PA
Mata kiri secondary Implant IOL +
Mata kiri Afakia KH LN √ DI DN, NK
Vitrektomi Anterior
Mata Kanan Pseudofakia, Mata Kiri Sub Mata Kiri Ekstraksi Lensa + vitrektomi
KH LN √
Luksasi Lensa ec Marfan Syndrome anterior + IOL (iris claw) + PI
Meningioma Craniotomi Dasar Tengkorak KH ER √ LW,IM,DJ TK LW,IM
Hematoma Intra Tumor Kapsul Transphenoid Surgery KH MTA √ BR SA
Craniotomi Konveksitas + Repair

Meningioma KH, KH HY √ MK AG
Duramater (Duraplasty)
OA Genu Sin TKR KH APR √ PR,AP,ANM PR AP
PR,
Fr Metacarpal Manus Dx + Patela Dx ORIF Patella + ORIF Metacarpal KH, KH APR √ AP
ANM
Fr Collum Femur Sin Hemiarthroplasty Hip Sin KH DID √ AP,PR ANM
Fr Clavicula Dx ORIF KH BIN √ II MW
Dislokasi Hip Join Sin Rekonstruksi Hip BIN
PDA Tubular High Flow Resistence, PH Ligasi PDA Bj.06 WW √ EN,MA,VT,B

P,AS,SS
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ NP,WD,TU NP TU
Kista Ovarium Riwayat KET Laparoskopi Adhesiolisis Kista Ov Kanan KH TF √ WD NP
Laparascopy Adhesiolisis KH ERI √

Laparoskopi Kistektomi Ov. Kanan + Ov.
Polip Endometrium KH TF √ TU WD,NP
Drilling + Pilipectomi
Prolaps Uteri Sakro Spinosus Fiksasi KH ER √ AL,TR TR AL
KH,KH,
NOK TAH + BSO + Omenetctomi + FS EN √ TR
S
Laparascopy Adhesiolisis Kompleks +
KH ERI √
Apendiktomi
Wide Excisi + Diseksi Axilla + Rekontruksi B,KH,K
ILC Gr I MD rTxN3aMo YAN √ ER,PS ER PS
payudara H
HNP Lumbal Neuroplasty + Rhizotomy KH, KH TRI A √ TM TM
HNP Cervikal Neuroplasty + Rhizotomy KH, KH TRI A √ BY RG
R GRD : EA SORE PROGRAM : AU,AG,AM,DW,BR,BY,BD,DA,DB,DY,II,WI,MK,RG,SC,SA,SU,WU,PL,RA,MF,TM ALAT : PUR,ET
CKD Pasang Double Lumen K WW √ YW Aziz,H

R
Akut Limb Ischamic Embolektomi KH ALI √ AG II
GPA SCTP + IUD B HR Gatot YS IS,MY
LD + Eksterpasi Massa S,S DAT √ AF SE
G2P1A0, Hml 39mg , KPA, Partus tak maju SCTP + IUD B SR √ Gatot IS SC,AF
G1P0A0, Hml 34mg, Induksi Tak Respon SCTP + IUD B JD √ Gatot
G1P0A0, MVP SCTP dg penyulit B DC √ Arsita
Hidrocephalus VP Shunt KH DP √ SL NH
G2P1A0, Hml 30mg, PPI SCTP +MOW B JD Gatot ST HE
Hidrocephalus VP Shunt KH DP √ SU
G1P0A0, Hml 40mg, Ketuban Pecah Dini SCTP B SR √ Gatot MY SU
Debridement Repair Perineum +

Fr Cruris Sin tbk gr IIIA KH MG IS MY
Sigmoideostomi
Debridement + Gips Back Slap B,K BIN
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
WU,II,E NH,SL,HE,
A ST
Varicocele Mikroskopik Varicocelectomy Dex et Sin B,B ADS √ EV,AO EV AO
Extended Pyelolitotomi Ren Dex + Pasang

Batu Staghorn Partial Dx + Pyelolithiasis KH,B ADS √ S: SU,PL AO EV
DJ Stent Dex
Ulkus Scrotum Debridement S WAN √ AO SU
Mka Masa Retrobulbar ec Perluasan
Mallignant Round Cell Tumor Sinonasal/ Mata kanan Orbitotomi Anterior KH TL √ SU PM
Malignant + Round Cell Tumor Sinonasal
Hemimaksilektomi KH DAT √
Hipospadia Type Penile Post Release
Uretroplasty + Release Chordae KH,B EDW √ AI,RI AI TR,RI
Chordae
Massa Intra Abdomen, Hidronefrosis,
Laparotomi Biopsi Tumor Intraabdoment KH RR √ AR
Hidroureter Dupleks, TB
Adhesive Small Bowel Obstructivus KH,B RR √ S: AR AR
Ileum + Ileostomi
Obstipasi Kronik Evakuasi Skibala K EDW AR Pradi
Mata kanan kiri glaukoma Juvenile Mata kiri Trabekulektomi FI YW,HR,RM
Mata Kanan Kiri Stenoid Induced Glaukoma, HR,

Mata Kiri Trabekulektomi B FI √ Aziz
Mata Kiri Steroid Induced Glaukoma YW
CKD AV Shunt WW
CKD Pasang Double Lumen K AS √ SC IS
RSK + SD + Konka Hipertrofi FESS + SR + Konkoplasti KH,B,S RH √ TW,UM

RSK + SD + Polip Nasi Kanan FESS III + CWL + SR + Konkoplasti KH,B,S RH √ S :AM,RA UM TW
Susp Ca Ovarii Surgical Staging KH EW √
Adeno Ca Recto Sigmoid Laparatomi Explorasi Colostomi permanen KH MM √ TD,RG RG TD
Ca Esofagus Laparatomi Gastrostomy Feeding B PB √ S: TM TD RG
Post Colostomi Reseksi Ileum Anastomose E to E KH PB √ RG TD
Tumor Intra Abdomen Laparotomi uproofing Kista hepar KH PB √ TM RA
Tumor Mamae Dextra FS, Ganas - MRM KH BIS √ AZ,TK,VQ VQ TK
SNNT Dextra C/ Ganas T3N0M0 Isthmolobektomi Dextra + FS, Ganas - TT KH,KH BIS √ S : DB,BY DB,ES

SNNT c/ Ganas KH,KH DWT √ TK,DB VQ
Tiroidektomi
Invasive Ca Of NST Metastasis KGB Insisi Biopsi S DWT DY BD
DM, SNH Debridement B ETH √ TA,SR,DJ SR DJ
Ulkus Dekubitus Gr III Reg Lumbosacral Eksisi + Rekontruksi KH ETH √ S : DY DJ SR

Hemangioma Reg Bucal Sin Eksisi PJ
Massa Hepar + Asites Masif Laparoskopi Diagnostik ERI
Massa Kistik Intra Abdomen c/ Abses Laparatomi Eksplorasi + Drainase Abses KH ERI √ DJ RA
Mata Kanan Dislokasi IOL, Mata Kiri Mata Kanan Reposisi IOL + Vitrektomi
KH,S LN √ NK,DI,DN DI DN,NK
Pseudofakia Anterior
Mata Kiri Ekstraksi Lensa + PPC + Vx
Mata Kiri Katarak Juvenile + Exotrofia KH LN √ S : MK DI DN, NK
Anterior + PI
Mata Kanan Wide Eksisi + MMC + Cryo +
Mata Kanan Suspek Squamous Cell Ca KH,B TL √ DN DI,NK
PA
Mata Kanan Proptosis ec Susp Fibrosis Mata Kanan Orbitotomi Lateral + Insisi
KH TL √ DN DI,NK
Displasia (Hbs Ag+) Biopsi + PA
Mata Kiri Endoftalmitis Post Injeksi AB Intra Mata Kiri Vitrektomi Eksplorasi IOL +
KH,S AW √ MK
Vitreal Injeksi AB Intravitreal
SOL Sphenoid Orbita Craniotomi Tumor Dasar Tengkorak KH ER √ LW,AT AT LW
Meningioma Craniotomi KH DP √ Aziz MF
SOL Temporo Parietal Craniotomi KH AJ √ S : SA,MF SA MF
Fr. Radius Sinistra ORIF KH APR √ PR,AP,ANM
Fr Distal Radius Sin ORIF Multiple Fr KH APR √ S : WI
OA, Chest Pain ACL + PCL Rekonstruksi KH,KH DID √
Fr. Tibia Tbk Gr IIIb,Bone Loss Tibia Post

Removal Implant S BIN √
FSE, Bone Graft + ORIF
Mitral Regurgitasi MVRepair BJ.08 SF √ EN,MA,VT,B EN, VT

P,SS,IM MA
Tumor Paru Dx c/ Ganas Thoracotomi Explorasi Debulking KH ALI √ S : BD,DW BD
Tumor Mamae Dextra C/ Ganas T4bN0M0 FS, ganas - MRM KH YAN √ NP,TU,PS TU NP,PS
G4P2A1, Hml 35mg, Plasenta Previa
SCTP + MOW B JD √ Gatot AR II
Marginalis
Kolporafi Anterior Posterior + Eksterpasi
Prolaps Uteri + Polip Cervix KH ER √ PS NP
Polip
Adenomiosis Histerektomi Total + Adhesiolisis Luas KH,KH HR √ AL,YN YN AL
Uterus Miomatorus Total Abdominal Histerektomi + BSO + FS KH,KH EN √ AL YN
Laparaskopi Ooforectomi Parsial Sin +

Kista Ovarii KH TF √ ER,WD WD ER
Kistectomi Ov. Kanan
Mioma Uteri Laparaskopi Multiple Miomektomi KH TF √ WD ER
Abses Para Anal Incisi Abses K ERI √ NP TU,PS
RR GRD : MW SORE PROGRAM :WU,II,AR,AM,DW,BY,BD,DB,DY,EA,WI,MK,SC,SA,SU,PL,RA,MF,TM ALAT : PUR,ET
Ulkus Granulosum Femur Debridement + Skin Graft KH NJT √ DY RA
Revisi Septum Flap Septum / Septum

Perforasi Septum Pasca SR B ANA √
Koreksi
Massa Nasofaring Biopsi Sinonasal S WY √ MK
Ulkus DM Pedis Sinistra Debridement luas S AS √
Polip Endometrium (Hbs Ag +) Histeroskopi Diagnostik + Polipektomi KH IN √ AR DM
CKD Repair DL dgn C-Arm K AS √
CKD Repair DL dgn C-Arm K AS √ IS SC

CKD Pasang Double Lumen (CVC) K WW √ DW
CKD Repair DL dgn C-Arm K AS √ IS SC
Mata kiri Mata Kiri Injeksi Antibiotik Inf + Vitreus Tap S FET √ HR Aziz
Asites Dranage Acites S PB √ RI TM
ST,NH,
Mata Kiri Ruptur Kornea ec Glaucoma Mata Kiri Evoserasi Bulbi + Graft Lemak B LN √ HE
SL
Wound Degiscen Post CABG Rehecting + Debridment S ALI ST NH,HE
Hidrocephalus VP Shunt + Rekontruksi meningocele KH,KH ER √ II EA
Apendicitis Appendictomi S MM √ AR II
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
WU,II,P NH,SL,HE,
M ST,RE
Hidronefrosis Bilateral Pasang DJ Stent Dex,Sin B ADS √ EV,AO AO EV
Ca Ovarii, Hidronefrosis Ganti DJ Stent B ADS √ AO EV

Hidronefrosis Bilateral Sistoskopi + Biopsi S ADS S: SU,PL
EV,
OMSK Tympanoplasty KH ZUL √ AO
SU
Megacolon Kongenital on Colostomy Duhamel Prosedur (Stepler) KH RR √ AI,RI AI RI
Hipospadia Tp Penil dg Chordae Uretroplasty + Chordectomi KH,B EDW √ S: AR AR
Abses Submandibula Meluas Mediatinum Eksplorasi Abses S AYU √ AR DW
Odontectomi 2 Rahang KH RP √
Mata Kanan Mata Kiri APAC Mata Kanan Trabekulektomi B MR √ YW,HR,RM

Mata Kanan Glaukoma Sekunder +
Mata Kanan Trabekulektomi B MR √
Pseudofakia
Mata kiri Glaukoma Sekunder + Pseudofakia Mata Kiri Trabekulektomi B FI √ YW HR
Aziz,Y
CKD on HD Pasang DL K WW √ HR
W
CKD Pasang DL WW
NOK Ooforectomi Sin + FS B DC √ TW,UM UM TW
Yolk Sac Tumor Ovarii Inadequate Staging Laparotomi Surgical Staging KH EW √ S :AM,RA
Septum Deviasi Berat + Konka Hipertrophi Septum Rekontruksi + Konka Reduksi B,S WY √ AM RA
Obs Jaundice ec Tumor Ampula Vateri Laparotomi Biliodigestif Shunting KH ERI √ TD,EA AE TD
Hernia Inguinalis Lateralis Dx Reponible Hernioplasty MM S: TM
Varises Stripping + Excisi Varises KH WW √ TD EA
Massa Leher Kanan Eksisi Tumor + PA B WW √ TM RA
Limfoma Eksisi + PA S BIS √ AZ,TK,VQ VQ AZ
Superfacial Parotidektomi + FS ganas -

Tumor Parotis B,KH BIS √ S : BY TK,BY VQ
Total Tiroidektomi
Tumor Mamae Dx c/ Ganas T4bN1Mo Insisi Biopsi S DWT √ RA BY
Ishmolobektomi sin + FS Limfadenectomi

SNNT Reg Colli Sin c/ Ganas T4N1Mo KH,S DWT √ Rendi DY
Sin + FS
Ulkus Granulosum Wrist Join Bilateral Debridement + Rekontruksi groin Flap KH RZ √ TA,SR,DJ TA SR,WI
Pasang CVP KH BI √
Skin Degloving + Fr Multiple
Debridement + STSG KH RZ S : DY TA SR,DJ
Metatarsophalangeal
Ulkus Pedis Sin Amputasi Bellow Knee KH ALI √ DY RA
Mata Kiri Orbitotomi Anterior pro Insisi +

Mata Kiri Suspek Massa Glandula Lacrimal KH,S TL √ NK,DI,DN DN DI,NK
Biopsi + PA
Eksisi Massa Tumor Hemangioma + Vena
Hemangioma Reg Bucal Sin KH,K PJ √ DI DN,NK
Secti
Mata kanan ablatio retina Mata kanan scleral buckle + Vitrektomi KH AW √ S : MK MK
Mata Kanan PDR + TRD + CSME, Mata Kiri Mata Kiri Evakuasi Silikon Oil + Phaco +
KH, KH AW √
Silikon filled eye + KSI IOL
Skull Defect Parieto Occipital Cranioplasty Rekontruksi KH GK √ LW,AT,TR TR AT
Rekontruksi Flap B AJ √
SOL Cranietomi KH ER √ S : SA,MF AT LW, TR
Spondilitis TB Laminektomi KH AJ √ PM Fandi

Fusi Posterior + Fiksasi Internal dg PSRA
KH HY √
di L2-L5
ACL Rekontruksi + ORIF Tibia KH,KH DID √ PR,AP,ANM AP PR
Ca Tonsil LD Evaluasi + Biopsi S DAT √
OA Genu Dx TKR D KH BIN √ S : WI WI
BJ.03 √ EN,MA,VT,B
ASD II ASD Closure + Repair Tricuspid WW
BJ.09 P,SS,IM
Defek Esofagus 6-7 Thorakotomi Repair Defek ALI S : BD,DW
Tumor Mammae Sinistra c/ Jinak Wide Eksisi B YAN √ NP,TU,PS PS NP
Tumor Kulit c/ Ganas T2NoMo (Hbs Ag+) Wide Eksisi + Rekontruksi + PA B,KH YAN √ NP PS
Limfadenopati Colli Dextra + Axilla Dextra Limfadenektomi + PA B UUD √ ER WD
NOK TAH + SOS + FS KH,B EN √ NO,YN
Hiperplasia Endometrium, TPO dd/ Miom TAH + BSO KH,KH EN √
AUB ec Mioma Uteri TAH KH INU √ ER,WD WD ER
MAR On Colostomy post PSARP Reseksi Anastomose Colon End To End PTY
RR GRD : IS SORE PROGRAM : WU,II,AR,AM,DW,BY,BD,DY,WI,MK,SC,SA,SU,PL,RA,MF,TM ALAT : PUR,ET
Fr. Metacarpal Revisi ORIF KH √ UM,AM TW

APR
Perforasi Atik Timpano plasti KH PW √ SU
Efusi Pleura Pigtail Thorax S FTR √
G1P0A0, SCTP Histerektomi SubTotal B,B √

JD Gatot
SDH Craniotomi KH ER √
AN BR,AU
P2A0, Hematom Vulva Evakuasi Hematoma B PS √

RE YS
G2P1A0, Hml 38mg, Obs Impartu, Bekas SC SCTP B PS √ HE SL,NH,

ST
SL,ST,
Hematom Volva Vaginoplasty KH ER √ HE
NH
Laparatomi explorasi Repair Bursh
Post Laparatomi Explorasi KH,KH PB √
Abdoment + Reseksi Ileum - Ileustomi
Well Diff Adeno Ca Recti 1/3 Distal Colostomi KH ERI √ Pradi II
Efusi Pericardial Thoracotomi Pericardial Windaw KH ALI √ II
G1P0A0, Hml 40mh, Fatal Tak Kardi SCTP B PS √ Gatot TM
Laparatomi Explorasi Reseksi

Peritonitis KH,S,B PB √ AG
anastomoses + Apendictomi + Herniorhapy
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
PLH: YW,TA P: SL,AO,AS,V
BD,MK,
AP,ET,YN,TA,YR,YW,SAM T,IM,TU, RM
PL
Prostat Enlargement dd/ BPH TURP KH ADS √ S: AT,AR AT AR
Labio Schizis Unilateral Sin Inkomplet Labioplasty KH NJT √ S: WI
Sindactili Simple Komplit Digiti 1 -2 Release Syndactili Kompleks KH NJT √ WI AR
HNP L4 -5, I5 - S1 Stenosis Neuroplasty + Rhizotomy KH TRI A √ S :EA TM

Meningoensepaliti Spinal Tap KH TRI A √ AU
Myelopathi Cervical Neuroplasty + Rhyzotomy KH,KG TRI A √ TM
Endometrial Ca Endometrii St II Surgical Staging KH MZ √ S: NI,TM NI EA
NOK dg Bagian Padat, Mioma Uteri Surgical Staging + Adhesiolisis Kompleks KH,KH EW √ S: II,RA II RA
Astrocytoma Frontal Dextra Craniotomy KH ER √ S :SA,PM

Gips U-Slab K BIN √
WSD S ALI √
T,AR,WI,PM,MK,SA,SC,EA,PL,RA,TM
CKD Pasang Double Lumen K ALI √ pradi MK
CKD Pasang Double Lumen K ALI √ pradi TM
CKD Pasang Double Lumen K ALI √ pradi MK
Gastroscopy Biopsi KH Hery √
EDH r/ Temporo paretal Dex Craniotomi KH ER √ AS VT
Mata Kiri Jahit Palpebra + Rekontruksi

S,S FET √ TU AO
Kanalis lakrimalis
G1P0A0, hml 36mg SCTP dg penyulit + IUD B OP √ Gatot IM VT
RK,SA,
Higroma Colli Tracheostomi S ALI √ MY
NI
CKD Pasang Double Lumen K ALI √ BD PL
Subdural hematom Craniotomi Bor Hole KH AJ √ Aziz
Hidrocephalus VP Shunt KH AJ √ MK BD,PL
Plegmon dasar mulut Odontectomi 2 Rahang KH DV √

SDH Kronis r/ Fronto Temporo Parietal Craniotomi KH ER √ TM II

Pericardial Effusi Thoracotomi Peircardial Window KH ALI √ BY CA,DW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
G1P0A0, hml 32 mg, PEB SCTP dg penyulit B OP √ Gatot YS NO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S: AP,
SL,II,HE,AO
NO,PS
Vesicolithiasis Vesicolitotomi + Biopsi VU B,S ADS √ EV,ET, ANM ANM MW
EV,
Nefrolithiasis Sin Nefrolitotomi Sin KH ADS √ S: MW ET
ANM
Laparatomi Reseksi Anastomose Colon
MAR On Colostomy post PSARP KH PTY √ AI,PL
End To End
Fr. Supracondyler Sinistra ORIF Humerus S KH DID √ S: EA,ST
Kontraktur Artikuler Ankle Dextra ATL (Achiles Tendon Lengthening) B DID √ EA

Mata Kanan Kiri Katarak Senilis Imatur, Mata
Mata Kiri Trabekulektomi B FI √ YW,RI
Kiri Post Trabekulektomi + Glaukoma
Mata kanan katarak senilis imatur, Mata kiri
Mata kiri secondary implant ( iris claw ) RF S : IS
afakia
Mata kanan afakia, mata kiri subluksasi
Mata kiri EKIK RF
lensa
Disfagia Orofaringeal e.c Mekanik Esofaguskopi B MYS √ TW,RM TW Aziz
FESS + SR + Konkoplasty + KH,B,S,

RSK + SD + Konka Hipertrofi RH √ S: DY,TU Aziz TW
Adenoidektomi B
RSK + Septum Deviasi FESS III + SR + Konkoplasty KH,B,S RH TW Aziz
Cholelithiasis Laparoskopi Cholesistektomi KH JS √ RK,MK,RA RA RK
RK,
Adeno Ca Recti 1/3 Proximal Laparatomi LAR + Ileustomi KH,B PB √ S: DM HR
RA
Laparatomi Repair Hernia + Incisional
Hernia Incisional KH PB √
Repair
KH,KH,
SNNT Dx c/ Ganas T4bN1Mo Tiroidektomi + Limfadenektomi + FS BIS AZ,TM TM AZ
S,KH
ganas - RND
Ca Thyroid Total Tirodektomi KH DWT √ S: TR DJ NI
Kontraktur Dermatogen Dig I Manus Dextra Release Kontraktur Kompleks KH NJT √ TA,SR,VQ SR TA
SCC Bucal Eksisi Luas + Hemimandibulektomi B,KH UUD √ S : ER,DJ VQ TA,SR

Mata Kanan Kiri Glaukoma Kongenital dd Mata Kanan Kiri Trabekulektomi +
KH,KH LN √ NK,DI DI NK
Glaukoma Juvenile Trabekulotomi + MMC
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + Gas KH AL √
LW,SA
S : AF,DN
Fr Acetabulum Femur ORIF Fr Acetabulum KH APR √ PR,SE,MF PR SE,MF
ORIF Fr Acetabulum KH BIN √
Fr Tibia Fibula Dx Com ORIF Fr Tibia KH BIN √ S:HI,YS ER HI

Fr Wajah Kompleks Rekontruksi Fr Wajah Kompleks KH NJT √
Non Union Fr. Olecranon Post ORIF ORIF ( Repair) KH BIN √ YS,ER IS
CAD 3VD CABG High Risk BJ.011 SF √ EN,MA TK
Defek Esofagus 6-7 Thorakotomi Explorasi Decortikasi KH ALI √ S: TK,AD AD
Venus Displastic Reg Zygoma Sin Wide Eksisi + Parsial Maxillectomi B,KH YAN √ NP,WD WD NP
Rekontruksi Flap + STSG B,KH RZ √
Hiperplasia Endometrium + NOK TAH + SOD + FS KH,B INU √ AL,AM AM AL
Suspect Keganasan BMP B MOED √

Laparoskopi Adhesiolisis Kistectomi Ov.
Kista Ovarium Bilateral KH,S TF √ AH,SU,MY SU MY
Kanan + MOW
Biopsi Ureter Cutanius + FS + Radikal
Hematuri S,KH MAS √ MY,IS AH, SU
Prostatectomi
RR GRD :WU SORE PROGRAM : AP,NO,AF,AD,DM,TK,DY,EA,ER,HI,IS,TU,MR,PS,MW,YS,TR,DJ,DN ALAT : PUR,YN
ET
Batu Ureter Dx Sin URS D + Uretrolitotomi Sin KH,KH √ EV
ADS ,ANM
Palatoschisisz Bilateral Complete Palatoplasty KH PJ √
Mata Kiri Vitreous Haemoraghe Mata Kiri Vitrektomi KH AL √ DI NK
Tetraparase ec Lesi MS T4-3-5 Cervikal Laminektomi KH √ LW SF,SA

HY
Paraparese Inferior ec Massa MS Laminektomi Kompleks + Laminoplasty KH HY √
Evakuasi Tumor Spinal KH AJ √
SOL Craniotomi Konveksitas KH ER √
Haemoroid Haemoridektomi B MG √ MK
Post Partum Spontan Ingin Steril (HIV +) MOW S SR
Laparatomi Angkat Tampon Vagina +

Post SCTP + Tampon KH,KH EW √ II AP
Ligasi Arteri
Efusi Pleura Pemasangan Pigtail S UUD √ PS NO
Peritonitis Generalisata KH PB √ NO PS
usus
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
AP,AH, SL,II,HE,AO
PS
Ca Pelvis Diseksi Kelenjar Inguinalis Femoral Pelvis KH MAS √ EV,ET, ANM EV, ET
ANM
ANM,
RSK + SD + Konka Hipertropi FESS III + Konkoplasty + SR KH,S,B RH √ S: MW ET
EV
RSK+ Polip Nasi Dextra FESS III + CWL Kanan + Turbinoplasty KH,B,S ANA √ MW RE
RSK + SED + KH FESS III + SR + Konkoplasty KH,B,S RH √ AI,YN,PL UM,AI
Ca Glotis Laringektomi KH DAT √ S: EA,ST EA ST
Mata Kanan Kiri High Miopia Degeneratif +

Mata Kanan Phaco + IOL AK YW,RI
KSI
Mata Kanan KSI, Mata Kiri Pseudofakia Mata Kanan Phaco + IOL WIS S : TR
Mata kanan Subluksasi Lensa Mata Kanan EKIK + Vitrektomi Anterior WIS
Mata Kanan KSI Mata Kanan Phaco + IOL RF
Mata Kanan Vitrectomized Eye + Katarak
Komplikata, Mata Kiri PDR
Mata Kanan Kiri PACG + KSI, Mata Kiri Post
Mata Kanan Trabekulektomi S FI √
Trabekulektomi
Mata Kanan Kiri PACG + KSI Mata Kanan Triple Procedure FI
Mioma Uteri, HMB Total Abdominal Histerektomi KH INU √ TW,RM Aziz TW,IM
Histerektomi Total + SalpingoOoforectomi

Mioma Uteri KH,KH EW √ S: DY,RG TW Aziz
Dex + Other Removal Ovarium Sin
Laparatomi Adhesiolisis Komplesks KH ERI √
Susp Ca Ovarii Surgical Staging EW

Laparotomi, Adhesiolisis, Reseksi
Enterocutan Fistula KH MM √ RK,HR,RA HR RK, RA
Anastomosis Sigmoid
Acites Drainase Asites B RR √ S: MY RA RK, RH
Efusi Pleura Dextra Masif Pasang Pigtail (mini WSD) S BIS AZ,TM AE TM
TMD c/ Ganas T4bN0M0 Insisi Biopsi S UUD √ S : SR
Limfadenopati Inguinal Limfadenektomi Biopsi S DWT TM AZ
Squamous Cell Carcinoma Reg Maxilla Hemimaksilektomi Partial KH DWT √ SR ER
Malformasi Vaskuler Tp Vena Labium Oris

Eksisi KH PJ √ VQ
Superior
Palatoschizis Bilateral Komplet Palatoplasty KH ETH √ TA,MK,VQ MK VQ
Multiple Fr Wajah, Fr ZMC Dextra,

Rekonstruksi Fr. Tulang Wajah Komplit KH ETH √ S : ER,DJ VQ TA
Mandibula Dextra
STTRegio Bucal Sisi Dextra + Multiple
Eksisi + Rekontruksi KH ETH √ DY ER
Gangren Gigi
Oodontectomi 2 Rahang KH RP √
Luka Bakar Gr II a - II b 5% Debridement Luka Bakar KH ETH √ ER DY
Efusi Pleura Masif Dextra Pasang WSD Pigtail S AVIS √ NK,DI DI NK

Tumor Paru WSD S AVIS √ S: RE DI NK
Mata Kiri Eksplantasi IOL + Vitrektomi +
Mata Kiri IOL Drop KH AW √ DI NK
Iris Clip
Mata Kiri PDR + VH + CSME Mata Kiri Vitrektomi + EL + MP AW √
Mata Kiri Pseudofakia + Endoftalmitis Post
Mata Kiri Vitrektomi KH AW √ DI
Inj AB IVT
LW,
Hidrocephalus VP Shunt KH GK √ LW,SF SF,DN
AL
CPA Craniotomi retrosigmoid Approach MTA S : AF,DN
Skoliosis e.c Metal Failure Repair PSRS APR PR,SA,MF
Fr. Tibia Plateu Dextra ORIF Fr Tibia Dex KH BIN √ S:HI MF
Kontraktur Tp Fleksi Digiti V Manus Dextra Rekontruksi Flaxor Tendon Ruptur KH BIN √ HI AD
Ruptur LCL Genu Dextra Rekontruksi ACL Genu Dextra KH DID √ AR
EN,MA,NI,
VSD, Prolap Sinus Valsava VSD Closure SF
BP,SS,IM
Tumor Mediastinum Thorakotomi Dekortikasi KH ALI √ S: TK,AD
Invasive Ca Of MST Mamae Dextra

Ganti Balut K YAN √ NP,WD NP WD
T4cN3cM1 ( Paru & Hepar)
SNNT Bilateral T3N0M0 TT KH YAN √ NP WD
Polidaktili Dig I Manus Dextra et Sinistra Eksisi + Rekonstruksi KH NJT √ AL,AM AM AL

Laparoskopi Miomektomi + Kistectomi Ov.
Adenomiosis KH,KH HR √ GI,SE GI SE
Sin + Adhesiolisis
Abses Gluteal Dg Fistel Para Anal Insisi Drainase Hematoma B EDW √ AL AM
RR GRD :AG SORE PROGRAM : AP,AH,AF,RE,AD,MY,TK,DY,EA,ER,HI,BR,MR,PS,MW,SR,RG,ST,TR,DJ,DN ALAT : PUR
Post Nefrostomy Lepas Ganti Nefrostomy S √

MAS
Laminekomi Dekompresi + Internal Fiksasi
Fraktur VL 1-2 frankle E KH,KH APR √
Fusi
Massa Laring LD + Ekstirpasi Massa S √ DY TK

DAT
Nodul Plika Vokalis LD S DAT √ DY
Ca Thiroid TT KH √ TM AZ
DH
Ruptur Tendon Achilles Dextra Rekonstruksi Achiles Tendon Dex B BIN √
DW, MW,
Selulitis Debridement Luas B AS √
DY RE
STT reg Genud Dextra Repair Arteri KH AS √
CKD ST V Pasang DL + C-Arm K AS √ IS
CKD ST V Pasang DL + C-Arm K AS √ IS
SDH Craniotomi EDH KH DP √

Pasang CVC KH DN √
EDH Temporo Parietal Dex Craniotomi EDH KH DP √ VT YS
Pasang Double Lumen K HA √ AO II
SOL Temporo Parietal Dex Craniotomi dasar Tengkorak KH ER √ LW,IM SF
Avulsi Skin Gloteri Dex Debridment S PJ √ HE II
G2P1A0, Hml 29mg SCTP + IUD B SR √ Adhie AO II
Ileus Partial Sigmoidektomi KH PB √ AH BR
Abses Perianal Debridment B ETH √ PS BR
Anastomose Re Laparatomi KH EDW
G2P1A0, Fatal Distress SCTP + MOW B BE Adhie
Peritonitis Generalisata ec Apedndi Perforasi Laparatomi Explorasi Apendictomi KH PB √ MY,YS ER
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
AP,ST, SL,II,HE,AO
PS
ANM,
Recurent Nefrolihiasis Post Pasang DJ Stent Lepas DJ Stent + Pasang DJ Stent S,B MAS √ EV,ET,ANM EV
ET
Ulkus Granulosum ec Combustio Debridement KH PJ √ S: MW,AN ANM EV,ET
Ulkus Dekubitus Gr III Reg Sacrum Debridement PJ

STT Reg Antebrachii Sin Post Wide Eksisi +
Potong Pedikel Gron Flap S PJ √ MW AN
Groin Flap
Laringoskopi Direk + Eksterpasi Massa
Papiloma Laring Rekuren S,S FAR √ AI,YN,PL
Plika Vokalis
Paraparese e.c Canal Stenosis Posterior Fusi KH AJ √ S: CA AI YN,PL
Mata kanan kiri Blepharochalasis Mata kanan kiri Blepharoplasty INA

Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL AK YW,HA,RI
Mata Kiri Katarak Senilis Matur Mata Kiri Phaco + IOL AK S : IS
Mata Kiri PACG + KSI Mata Kiri Trabekulektomi FI
Mata Kanan Secondary Implant (Iris Claw)
Mata Kanan Afakia, Mata Kiri Pseudofakia WIS
+ Pupiloplasty
Mata Kanan, Mata Kiri High Miopia + KSI Mata Kanan Clear Lens Extraction WIS
Mata kiri ulkus kornea perforasi Mata kiri Amnion Membran Transplantation S DN √
Aziz,
Ca Endometrium St I B Laparotomi Surgical Staging KH EN √ TW,HR,RM TW
HR
Fr. Maxilla Leffort II, Fr Styloideus Radius
Rekonstruksi Fr. Tl Wajah Komplek KH RZ √ S: DY,RG HR TW
Dextra
ORIF Radius KH APR √
Haemorroid Hemorroidektomi B PB √ AH,RK,RA AH RK, RA
Laparotomi Reseksi ILeum + Anastomose

Post Hartmann KH PB √ S: WD RK AH, RA
Ileo coloca
Gastric Outlet Obstruction Gastrojenunostomi PB
Tumor Kulit c/ Ganas c/ SCC Insisi Biopsi S BIS AZ,TM TM
TMD c/ Ganas MRM + STSG Sin KH DH √ S : SR AZ TM
Ca Papiler Thyroid RND KH DWT √ WD RG
STT Reg Mandibula Wide Eksisi + PA B DWT √ SR
Malformasi Vaskuler Multiple Reduksi + Rekonstruksi KH NJT √ TA,DW,VQ DW VQ
Ulkus Granulosum Luas Reg Lumbosacrum Debridement + STSG KH NJT √ S : DJ VQ TA, DW
Aff FSE S BIN √
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + SB KH AL √ NK,DI DI NK,RE
Mata Kiri Massa Konjungtiva Mata Kiri Excisi + Biopsi + PA S TL √ S: RE DI NK
Mata kiri Inj. Triamcinolone Acetat Sub

Mata kiri BRVO AL
Tenon
Mata Kiri Glaukoma Sekunder ec nukleus Mata Kiri Vitrektomi Endofragmentasi +
KH AL √ NK DI
drop secondary Implant
Spondiliosis L4-5, Canal Stenosis ec HNP Laminectomi KH AJ √ LW,SF SF LW
Fusi Posterior Internal Fiksasi PSRS KH HY √
Debridement + Rekontruksi Glutea KH PJ √
Syringomelia Foramen Magnum Decompresi (Kraniotomi HY √ S : AF,DN BR DN

Dasar Tengkorak) KH
Skoliosis e.c Metal Failure Repair PSRS APR PR,SA,MF
Fr. Metatarsal V Pedis Sin, Fr. Phalang
ORIF KH BIN √ S:HI,BR
Medial Digiti IV Pedis Sin
Fr Kondilus Lateral Femur Dx ORIF KH BIN √ AF AN
Ruptur ACL Rekonstruksi ACL KH BIN √ HI MW
BJ,09 EN,MA,BD,
CHF - NYHA III MVRepair + Pericardictomi SF √
BJ.01 BP,SS,IM
Ca Mamae Sin MRM Sin + Rekontruksi FTSG KH,KH YAN √ NP,SU SU NP
Ca Mamae MRM Dex KH YAN √ S:TK,AD NP SU
TMS c/ Ganas Wide Eksisi UUD
Laparoskopi Adhesiolisis, Ooforectomi

Kista Ovarii Bilateral KH TF √ AL,AM AM AI
Parisal Ov Ka, Kistectomi Ov, Kiri
Tumor Hepar Laparotomi Biopsi Hepar KH JS √ GI,SE,NI SE AL,GI
Cholelithiasis Laparoskopi Cholesistektomi KH JS √ GI SE
RR GRD :AG SORE PROGRAM : AP,ST,CA,AF,RE,AD,TK,DY,HI,IS,MR,PS,MW,RG,SR,WD,DJ,DN, BR,AN ALAT : PUR

Laminektomi Dekompresi + Fusi
Canal Stenosis V. Cervical IV, V, VI KH,KH APR √ SA MF
Instrumentasi
Polip Endometrium Multiple + Oklusi Tuba
Polipektomi Histeroscopy KH HR √ AU MY, SC
Bilat
Colonoscopy + Pilipectomi +
Hemorhoid Intrnal gr IV KH,B MG √ MR ST
Hemorhoidectomi
Ca Epidermoid Cervix Uteri II a Sistoskopi Biopsi S WAN √
CKD Pasang DL K WW √
G4P1A2, Hml 37mg SCTP + MOW B TF √ Adhie TU YS
ICH r/ Frontal Sin Koreksi Fr Impresi Komlikata KH AJ √ MK II
Multiple Fr Cruris sin Amputasi Above Knee S APR √ MK II
Laparatomi Repair Leakage Anastomose +

Burs Abdoment KH MG √ PS ST,TK
Repair Burs Abdoment
G2P1A0, Hml 9bl SCTP + IUD B DC √ Gatot DM EA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
AP,ST, SL,II,NH,HE
PS
Mal Posisi CAPD Lepas CAPD Catheter S ADS √ ANM EV, AU
Batu Ginjal Sistoskopi MAS EV,AU, ANM
Lepas DJ Stent + URS + Pasang DJ Stent

HN + HU S,KH,B MAS √ S : MW SA AF
Longterm
OMSK, Telinga Kanan dg Mastoiditis Mastoidektomi Simple + Tympanoplasty B,KH ZUL √ AF SA
Multisinusitis Kronik + SD + Konka Hipertropi FESS III + SR + Konkoplasty KH,B,S RH √ AI,CA,PL
Laparatomi Adhesiolisis Kompleks + KH,KH,

Fistel Enterocutan ec Hernia Scrotalis Dextra RR √
Reseksi Anastomose Ileum + Herniotomi B
MAR Rectovesical + Hipospadia Penoscrotal Limited PSARP + Colostomy KH,B EDW √ S : YN,RE
Mata Kanan Orbitotomi Anterior + Insisi

Mata Kanan Massa Orbita Inferior KH,S TL √
Biopsi + PA
Massa Cavum Nasi Mata kiri Orbitotomi Anterior + Biopsi KH DAT √ TR ER,SF
Hemimaksilektomi KH TL √
Mata kanan afakia Mata kanan secondary implant ( iris clip) RF
CKD AV Shunt WW
Mata kanan pseudofakia + Glaukoma
Mata kanan trabekulektomi MR YW,MK,RI
sekunder
CKD AV Shunt AS
NOK Curiga Ganas Surgical Staging + Adhesiolisis luas + FS KH,KH MZ √ TW,RM TW UM,
Laparatomi Adhesolisis KH PB √ Aziz
Ekstraksi Gigi Multiple 4 gigi + Tambal gigi Aziz,
VSD PM Ø 4.3 mm + Hiperemi pulpa KH DV √ S : RG,MY UM
Karies 4 gigi TW
Hemangioma Dorsum Pedis Dex Excisi KH WW √ RG
Thrombus Arteri Iliaka Embolektomi KH,S WW √ IS RG
CKD Stg V + Ascites Drainase Ascites MM
Tumor Esofagus Distal Total Gastrektomi KH MG √ TD,RK,RA RK TD, RA
Tumor Ampula Vateri Tripple By Pass KH MG √ S : WD WD HR
Gastric Outlet Obstruction Gastrojenunostomi PB

Aneurisma Aorta Abdominal Graft Aorta Abdominal ALI
TMD c/ Ganas T2NoMo Wide Eksisi + FS B UUD √ AZ,TM TM AZ
Wide Eksisi + Wide Excisi + Tracesotomi +

Tumor Lidah c/ Ganas T4bN2cMo B,B,S UUD √ S : SR,AN SU PL
FS
sup Parotidektomi + FS, Ganas _ Total
Tumor Parotis B,KH DWT √ SR AN
Parotidectomi
B,KH,
Tumor Mamae Wide Eksisi + FS ganas- MRM + MRM DWT √ ER DN
KH
Soft Tissue Tumor Wide Eksisi B DWT √ ET
Combustio Gr II, III b, 9 % e.c Arus Listrik Debridement KH ETH √ TA,DW,VQ VQ TA,DW
Ulkus DM Pedis Dextra Debridement + STSG KH ETH √ DW VQ
FR. ZMC Sinistra, Fr. Subcondyle Mandibula DW,

Rekonstruksi Fr. Tl Wajah Komplek KH ETH √ S : DJ TA
Leffort I VQ
Bone Exposed Reg Occipital Debridement + STSG KH ETH √
Panfacial Fraktur Rekonstruksi Fr. Tl Wajah Komplek KH ETH √ DJ DN
Mata Kiri Vitrektomi + EL + Gas SF6 +

Mata Kiri Vitreus Haemoraghe KH,KH AL √ DI NK
Phaco + IOL
Mata Kiri Total Retinal Detachment Mata Kiri Vitrektomi KH AW √ NK,DI DI NK
Mata kanan Regmatogen Retinal
Mata Kanan Vitrektomi + EL + SO KH AW √ NK DI
Detachment
Mata Kiri PDR + VH + CSME Mata Kiri Vitrektomi + EL + MP KH AW √ S : HR DI NK
Mata Kanan Ablatio Retina Mata Kanan Vx + SB + EL KH AW √ HR
Meningioma Falx Craniotomi DP LW,SF,BY
Spondilolitesis VTH 10 -11 Laminektomi T10-11 + Flavektomi L2-3 KH HY √ S : AF,DN MW DN

Fusi Corpus Vetebra KH AJ √
SOL Craniotomi Dasar Tengkorak KH MTA √ SF LW
Skoliosis e.c Metal Failure Laminektomi Decompresi KH DID √ PR,SA,MF PR RE,MF
Instrumentasi (Revisi) + Fusi KH APR √

Fr. Phalang medial dig V Manus Sinistra ORIF + Repair Tendo + Debridement KH,B,S APR √ RE MF
Fr. Phalang medial dig III pedis dextra ORIF + Debridment KH,B APR √ HI
Fr Scapula Dx + Fr Costa Multiple ORIF Scapula KH DID √ S : HI,GI HR MY

Thoracotomi Clipping Costae KH ALI √
Dislokasi Genu Dx + Ostelomilitis + Ulkus
FSE (Fiksasi Skeletal External) KH DID √
Granulosum
STSG Luas + Debridement KH,B PJ √
EN,MA,BD, EN,
MS Moderate, TR Mild, AR Moderate MVRepair + AVRepair BJ,08 SF √ BD
BP,SS,IM MA
S:
VSD, Prolap Sinus Valsava VSD Closure BJ.04 WW √ AH TK
AS,AH,TK
Tu Mamae Dextra Eksisi Biopsi + FS S BIS √ NP,SU,DB DB SU
SNNT c/ Ganas T3NoMo Isthmolobektomi + FS KH BIS √ S : AD,IS SU BD
Laparoskopi Uterine Suspensi + Pound

Prolap Uteri Ligament Sydrum Bilat + Adehsiolisis )+ KH,KH TF √ AL,AM AM AL
Kolpoperineorafi
Polip Endometrium Laparoskopi Kistectomi Bilat + Polipectomi KH TF √ AL AM,SU
Mioma Uteri, Kistoma Ovarii Miomektomi + Adhesiolisis + Kistectomi B,S,B HR √ WU,NI NI WU

Tumor Intra Abdomen Laparatomi Partial Gastrektomi KH ERI
Gist Ileal Laparatomi Biopsi ERI
R GRD :AG SORE PROGRAM : AP,GI,AF,RE,AD,TK,YN,HR,HI,IS,MY,JF,PS,MW,RG,SR,ST,WD,DJ,DN,AH,AN ALAT : PUR
Efusi Pleura Dextra Post WSD e.c Massa
Thoracotomi + Pasang Pigtail KH,S WW √
Paru
AU,
Batu Ginjal Sinistra URSLithotripsi + Pasang DJ Stent KH,B MAS √ EV
ANM
Prolonged ET Trakheostomi S DAT √ AD AL,NP
CKD Pasang DL + C-Arm K AS √ SC PM
Fr Clavicula Dx 1/3 Tengah Trans Displ Ttp

ORIF KH BIN √ GI
Nk
Negleted CTEV Rekotruksi Ankle (ACL) Dex,Sin KH,KH BIN √ BR AY
Polip Endometrium Histeroskopi Polipektomi KH HR √ GI SE
CKD AV Fistula KH WW √
CKD St V Pasang DL + C-Arm K AS √
Laparatomi Explorasi Dranase abses

Abses KH,S PB √ SL NH
Psoas + Apendictomi
G1P0A0, Hml 38mg, TOF SCTP + IUD B BE √ Arsita HE LW
G4P3A0, Hml 29mg, Hellp Sydrum SCTP + MOW DC √

B Arsita II HE
Ruptur Perineum Post Repair Perineum +
Debridment MG √ SL NH
Stoma Nekrosis Scrotum B
Sistostomi + Debridement B,S MAS √
Debridment + FSE B,KH BIN √
Peritonitis Generalisata Laparatomi Explorasi Repair Gaster MG √ AH PS

KH
Efusi Pleura Dextra Pasang WSD Dex S ALI √
Dispneu Jaction II Traceostomi S DAT √
Laringoscopy Flaxible C FAR √
Fr Humerus Dex tbk gr IIIc Fixasi External + Explorasi Nervus , Arteri KH,KH DID √ EA HA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
AP,ST, SL,II,HE,BY
AD
EV,
CKD St V on HD Pasang CAPD Catheter S ADS √ EV,AN, ANM ANM
ANM
Ca Pelvis Diseksi Kelenjar Inguinalis Femoral Pelvis KH MAS √ S : MW,PM ANM EV,AN
Susp Ca Ovarii, Ascites, Efusi Pleura Kiri Laparatomi Dubulking + Adhesiolisis KH,B EW √ ANM EV,AN
Laparascopy Biopsi Hepar + drainase

Kista Hepar KH,B PTY √ AI,CA,PL
Abses
Wound Dehisence post PSARP Repair Wound Dehisence S PTY √ S : YN AI CA
Oklusi Aorta Abdomalis Embolektomi + Debridement KH,S ALI √ RG
Ulkus DM Pedis Dx Amputasi Below Knee Dx ALI

Nekrotik Cruris Pedis Sin (HIV + TB) Amputasi ALI
Mata Kanan Kiri PAC, Mata Kanan KSI,
Mata Kanan Phaco + IOL WIS YW,MK,RI
Mata Kiri Pseudofakia
Mata Kanan KSI, Mata Kiri Afakia Mata Kiri Secondary Implant ( Iris Claw) WIS S : IS
Mata Kanan Glaukoma Degeneratif, Mata

Kiri PACG + KSI
Mata Kanan Kiri PACG, Mata Kiri Katarak
Mata Kanan Trabekulektomi B MR √ RI MK
Komplikata
Mata Kanan Afakia Mata Kanan Iris Claw FET
NOK Complete Surgical Staging KH MZ √ TW,RM TW Aziz
NOK Laparatomi + Biopsi KH MZ √ S : MY, GI TW Aziz
MY,
BCC Reg Buccal Dx Wide Excisi + Rekontruksi + FS B,KH DWT √ RE
TK
Tumor Intra Abdomen Laparotomi Unroofing Abses Hepar KH PB √ TD,RK,RA RA TW,RK
Tumor Colon Sigmoid c/ Ganas T3N2M1 LAR + Reseksi Ileum anastomose KH,KH MG √ S : WD TD,IS RK, RA
HIL Dupleks Hernioraphi Dupleks B,B MG √ IS
Aneurisma Aorta Abdominal Graft Aorta Abdominal KH,KH ALI √
Pasang CVP KH DS √
Limphadenectomi Colli Dex + FS, Ganas - S,KH,
Ca Papilary Tiroid BIS √ AZ,TM TM AZ
TT + RND KH
Tumor Mamae Dx c/ Ganas Wide Eksisi + Diseksi Axilla B,KH BIS √ S : SR

SNNT Isthmolobectomi D + FS, ganas - TT KH,KH DWT √ HR SR
Ca Mamae MRM + Rekontruksi (STSG) KH,B DWT √ DJ AF
Limfadenopati (HIV +) Limfadenektomi Biopsi S DWT √
Malformasi Vaskuler Vena Submandibula Dx Reduksi + Eksisi KH PJ TA,DW,VQ VQ DW
Corpus Alineum Peluru Ekstraksi Alineum Peluru B RZ √ S : DJ
Fr Corpus Sin Mandibula Rekonstruksi Fr Tulang Wajah Kompleks KH RZ √
Ulkus Dekubitus Gr III Reg Calcaneus,

Debridement ETH
Sacrum, Pedis Dextra et Sinistra
Ulkus Granulosum Elbow Dx Debridement + STSG KH ETH √ DW VQ
Removal Implant External B DID √
Mata Kiri Ekstraksi Lensa + PPC + Vx Ant KH LN √ NK,DI DI NK
Kongenital
Mata Kanan Kiri RRD ec High Miopia Mata Kanan Vitrektomi + EL + SO KH AL √ S : HR DI NK
Mata Kiri PDR + TRD, Mata Kanan PDR +

Mata Kiri Vitrektomi + EL + SO KH AL √ NK DI
TRD + GI Absolut
Mata Kanan Kiri PDR + TRD Mata Kanan Vitrektomi + EL + SO KH AL √ DI,HR NK
Mata Kanan Retinal Redetachment, Mata

Mata Kanan Vitrektomi + EL + Gas KH AW √ HR
Kiri PDR + TRD + CSR
ICH Post Craniotomi Re-Craniotomi KH ER √ LW,SF MW AF
Tetra Parese Spastica Laminektomi Kompleks KH HY √ S : AF,DN LW SF

Fusi Korpus Vetebra Posterior KH AJ √
Implant Failure Post PSRS 2 th Yll Laminektomi Decompresi KH BIN √ PR,SA,MF SA PR,MF
Internal Fiksasi Fusi KH APR √
Fr Metacarpal ORIF + Repair Tendo KH,S APR √ S : HI PR SA, MF
Genitis TBC Sin Debridement B BIN √ HI
OA Genu TKR DID

EN,MA,BD, MA,
MR Severe MVRepair + TVRepair BJ.08 SF √ EN
BP,SS,IM BD
DVT Pedis Dextra Embolektomi KH SF √
Adenomiosis, PID Laparoskopi Histerektomi Total KH TF √ NP,SU NP

Kista Skene's Vagina Ekstirpasi Kista Vagina S ER √ NP SU
Mioma Uteri TAH + BSO KH,KH EN √ AL,AM,DB AM AL,DB

Tonsilitis Kronik + Granulasi Hipofaring Tonsilektomi S AYU √ DB AM
STT Femur Dx Insisi Biopsi S DH √ WU,NI
Limfadenektomi Colli Wide Eksisi + Biopsi B UUD √ WU NI
HNP L4 - 5 Percutaneus Disectomy + Neuroplasty KH TRI A √ S : AH,AU
HNP L5 S1 Neuroplasty + Rhyzotomy KH TRI A √
Ganglion Symphatectomy Percutaneus Disectomy KH TRI A √
R GRD :AG SORE PROGRAM : AP,GI,AF,AD,YN,HR,HI,IS,MY,JF,MW,PM,SR,ST,WD,DJ,DN ALAT : PUR
Ca Rectie Rectoscopy Biopsi B MM √

CKD St V on HD Pasang DL + C-Arm K AS √ SA
Hidropneumothorax Dex Pasang WSD S ALI √
G1P0a0, Hml 12mg, HIV+, Kondiloma

SCTP B EN √ SE EM,DM
Akuminata
ET,TR,
G2P1A0, Riw Epilepsi SCTP (bekas SC + Riw Epilepsi) B DC √ Tun Paksi EA
SE
Gas Ganggren r/ Cruris Pedis Dex Multiple Incisi + Debridment B,S WW √ BY II
G3P2A0, Hml 37m, PEB SCTP + MOW B HR √ Arsita
Bypass Arteri Brachialis Dex dgn Vena

Ruptur Arteri KH AS √ PS SE
Saphena Magna Dex
Rekontruksi Safar Kompleks KH DID √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AI,EW,RI,
MF
PLH : NP,AL
Impaksi 4 Gigi Odontektomi Gigi 18, 28, 38, 48 KH DV √ AZ,VQ VQ AZ
Ulkus Granulosum Luas STSG Luas KH PJ √ S : YN,HA VQ AZ
Combustio Gr II a - II b 33 % Debridement Luka Bakar KH PJ √ VQ AZ
CKD Pasang DL K WW √ AY
Myelopathi Lumbal HNP Percutaneus Disektomi + Neuroplasty KH TRI A √ AY AL
KH,KH,
Mioma Uteri + NOK TAH + BSO + Adhesiolisis Kompleks + FS EW √ TW,SU SU TW
KH
NOK dg Bag. Padat c/ Ganas Laparatomi Debulking + FS KH EW √ S : HR,DN TW SU
FESS III + SR + Adenoidektomi + KH,B,B,
RSK + Adenoid Hipertropi ANNA √ DN HR
Konkoplasty S
Mata Kanan Rhegmatogen Retinal Mata Kanan Vitrektomi + EL + Inj.
KH AW √ NK, IS NK IS
Detachment Triamsinolon
Polidaktili + Syndactili Pedis Bilateral Rekonstruksi Jari KH NJT √ IS NK
BCC Regio Nasal Pasca Rekonstruksi Flap Potong Pedikel Flap S PJ √ IS NK
Saddle Nose Rhinoplasty KH PJ √
Hidrocephalus VP Shunt KH GK √ NH,BY DW AL
Hidrocephalus VP Shunt KH GK √ TK SC
CPA Craniotomi Dasar Tengkorak KH √ S : HA,WD BY NH

DP
SOL Craniotomi ER
PR,RK
Eksisi Tumor + ECI (Rekontruksi Tumor √ S: MY,HI
Osteosarcoma Femur Sin B,KH BIN PR RK
Tulang)
EN,AH,DI EN,
MVR, DVR MVR + AVR BJ.08 SF √ DI
BP,SS AH
SORE PROGRAM : GI,HR,YN,HA,MY,JF,MW,WD,DJ,DN
SOM Re Craniotomy KH ER √
Trauma Tumpul Post Laparatomi Packing Laparatomi Explorasi Aff Packing KH ERI √ EW MF
Rhinosinusitis Post FESS Revisi FESS KH RH √ RI AI,MF
G5P3A1, Hml 35mg, Pre Eklamsi SCTP + IUD B OP √ Gatot DJ DN
Abses Serebri Craniotomi KH DP √ RG UM,ST
G1P0A0, Hml 39mg, Parus Tak maju SCTP B PS √ Arsita PS TK,RI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Laringomalesia LD + Replace Canultracea S DAT √ TD,AY
Granuloma Orofaring + LD Nekrotomy Orofaring B DAT √ SR,PL,ANM TR HR
UM,
Bursh Abdoment Laparatomi Explorasi KH EDW AF
TK,RE
Abses Peritonisil Kanan Tonsilektomi S FAR √ SU PL
Mata Kiri Ruptur Bulbi ec Glaukoma Mata Kiri Enukleasi Bulbi S WIS √ ANM IS
ANM,S
G3P0A2, Hml 30mg, Hidrocephalus, CKD SCTP B IN √ Gatot PL
U
Gastrosis Abdominoplasty KH PTY √ SR TD,IS
G4P3A0, hml 38mg, PEB SCTP B HR √ Gatot
Trauma Tumpul Abdoment Splenectomi KH PTY √ DB SA
G4P3A0, Hml 37mg, Partus Macet SCTP + IUD B IN √ Arsita UM MW,AF

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,BY,
RK,AY,
HE
ER
AU,
Vesicolithiasis Sistoskopi + Vesicolitotomy S,B ADS √ GI,AU,MF GI
MF
Prostat Enlargement TURP + Litotripsi KH,KH ADS √ S : DM,AN GI MF
Nefrolithiasis Bilateral + Ureterolithiasis Sistoskopi S ADS √ AH MF
Limfadenopati Colli Limfadenektomi Colli dex S DWT √ AU GI,MF
Tumor Mamae Dextra C/ Ganas T4bN0M1

Insisi Biopsi + PA S DWT √ DM
( Hepar)
Fistel Rectovagina On Colostomy Vaginoplasty + Fistulektomi KH,B PTY √ AI,YN,ANM ANM II,YN
YN,
Fr. Angulus Dextra Mandibula Rekonstruksi Fr Tlg Wajah Kompleks KH RZ √ S : AM II
ANM
Mata Kiri Tumor Palpebra Superior Susp Mata Kiri Eksisi + Cryo + Rekonstruksi
AK
Papiloma dd Granuloma Palpebra
Mata Kanan Pseudofakia, Mata Kiri KSI Mata Kiri Phaco + IOL AK YW,TU,PL
Mata Kiri Afakia Mata Kiri Secondary Implant (Iris Claw) WIS S : MK
Mata Kanan Kiri Pseudofakia +

Mata Kanan Aff Jahitan WIS
Astigmatisma
Mata Kiri Pseudofakia + Astigmatisma, Mata
Mata Kiri Aff Jahitan RF
kanan KSI
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL RF
Mata Kiri KSI Mata Kiri Phaco + IOL KH AK √ YW TU,PL
Mata kanan glaukoma absolut Mata kanan Cyclocryo AK
Mata Kanan Kiri PACG + KSM, Mata Kanan
Mata Kanan Trabekulektomi B FI √
Glaukoma Fakomorfik
Mata Kanan APAC dd Glaukoma Fakomorfik Mata Kanan Trabekulektomi B FI √ MK
NOK C/ Ganas Surgical Staging + Adhesiolisis luas + FS KH,KH MZ √ II,DW TW DW
Cyst Adeno Ca Ovarii Inadequate Staging Complete Surgical Staging KH EN √ S : RI,TW DW TW
Tumor Rectosigmoid 1/3 Proximal C/ Ganas

Laparotomi LAR + Colostomi KH,B ERI √
T4N0M1B
Ca Rectosigmoid Residif Transvestostomi B PB √ TD,RM TD Aziz
Batu CBD + Multiple Divertikel Laparoskopi CBD Konversi Open KH MG √ S : SU TD Aziz
Ascites Permagna + Nodul Hepar Laparoskopi Biopsi + Drainase Ascites KH,S ERI √ SU HA
Hemimandibulketomi + Rekontruksi Plate & KH,KH,

Ca Epidermoid Well Diff Gingiva T2N0M0 Screw + Neck Diseksi + Rekontruksi Pasca KH,KH, UUD √ AZ,TR TR AZ
Keganasan + Wide Excisi Biopsi B
Ca Papilary Thiroid Completion TT UUD S : RA,HA

Osteomielitis + Ulkus DM Pedis Dx Debridement Pedis Dx k/p Amputasi Dig I ETH TA,TM
Tricoepitelioma Rekonstruksi Wajah KH ETH √ S : AT TM TA
Abses Cruris Sin Debridement S ETH √ TA TM
Thoracotomi Explorasi Ligasi Ductus

Post Ligasi PDA ec Chylothorax Sin KH ALI √ EA MK
thoracicus
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + SO KH AL √ NK,HR,VQ HR NK, VQ
Mata Kiri Endoftalmitis Mata Kiri Vitrektomi KH AL √ S : DI VQ
Mata Kanan,Mata Kiri Rhegmatogen Retinal

Mata Kanan Vitrektomi + SB + EL + SO KH AL √ HR,DI NK, VQ
Detachment
Mata Kiri Massa Palpebra Superior dd/
Mata Kiri Ekstripasi Kista + Biopsi + PA TL
Hygroma + NPDR Mild + Non CSME
Mata Kanan Tumor Konjungtiva dd OSSN Mata Kanan Eksisi Tumor + Biopsi + PA TL
SOL Suprasella Craniotomi Dasar Tengkorak KH DP √ LW,SF,DJ LW SF,RA
S : SA,BR
Burst Fr Vertebra Lumbal III KH,KH APR √ PR,AP,DN AP PR,DN
Fusi
Non Union Fraktur Collum Humerus Sinistra PR,
Hemiartroplasty Shoulder Sin KH DID √ S : DA DN,AP
Neer 4 DA
ORIF Fr Femur Dex + ORIF Fr Distal
Fr. Femur Dextra, Fr. Radius Dextra KH,KH BIN √ AN SU
Radius Dex
Fr. Radius Sin 1/3 Tgh Oblique Displ Ttp.NK ORIF Fr Radius Sin KH BIN √ TA TM
BJ.04
Repair Pulmonal (Katup) + VSD Closure + EN,
TOF dg PFO, MR Moderate, TR Severe BJ.09 WW √ BP
Repair Tricuspid MA
BJ.06
Tumor Mediastinum Sternotomi Debulking ALI S : NI,WD

Mioma Uteri + NOK TAH + SOD + SOS + FS KH,KH TF √ NP,YS,VT VT YS,NP
Repair Laserasi Rectum B ERI √
Mioma Uteri + NOK Multiple Miomektomi + Adhesiolisis B,B TF √ YS NP

IDC Mamae Dextra Post KT Diseksi Axilla KH YAN √ AL,PM PM AL
SNNT C/ Ganas T3N2M0 Isthmolobectomi sin + FS, Ganas - TT KH,KH YAN √ PM AL
P4A0, Post Partus Spontan, PEB, Help
MOW S DC √ AH,ES ES AH
Syndrom
Biopsi Ginjal K OM √ AH ES
KH,KH,
NOS c/ Ganas TAH + BSO + Omentectomi + FS INU √ WD NI
S
Limfadenektomi Pelvis Retroperineal B EW √
D : AD SORE PROGRAM : RK,AN,AG,AM,NI,AT,AY,BR,DA,DM,DI,ER,HA,MK,SC,SA,SU,TW,WD,RA,RI ALAT : CA,EM
OA Genu TKR KH DID √ DM DA
Syringomelia Kraniotomi dasar tengkorak KH AJ √ SA BR
Wound Dehisense Post Laminectomy Laminektomi Simple Debridement KH HY √
CKD Pemasangan DL dgn C-Arm K AS √

Biopsi Ginjal K MHM √ ES AH
GPA SCTP B HR Arsita BY NH
SL,NH,
ICH R/ Temporoparietal Dex Kraniotomi ICH KH AJ √ HE
BY
G2P1A0, Hml 40mg, KPD, SCTP + IUD B PS √ Arsita SL NH
Ulkus DM Debridment S ETH √ BY HE
G6P5A0, Hml 40mg, Plasenta Akut SCTP + MOW dgn Penyulit KH PS √ Gatot
G1P0A0, Hml 38mg, HIV+ SCTP B IN √ Gatot AM ER
Efusi Pleura kanan Drainase cavum Pleura (WSD) S WW √ SC AY

Ca Ovarii Acites masif Pemasangan Drainase Acites S ERI √ AM AY
Peritonitis Generlisata ec perforasi Hollow AY,

Peritoneal drainase S JS ER
Akut SC, AM
G2P1A0, PEB SCTP B HR √ Gatot MY EW
Psudoaneurisma Repair arteri KH AS √
Tumor Suprasella Post Craniotomi Craniotomi ICH KH DP √ DB WI
Hidrochepalus VP Shunt KH HY √ MW WU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,BY,
EV,AY,
HE
ER
Massa Reg Inguinal Sinistra Insisi Biopsi S YAN √ AU GI,MF

Sistoskopi S ADS √
VUR Sistoskopi S ADS √ GI,AU,MF GI MF
VUR Sistoskopi ADS S : DM,AI

Open Nefrostomi Dextra + Insisi Drainase
Abses Ginjal Dextra + HU + HN KH,B,S WAN √ AY ER
Abses + debridement
Bone Defect Fronto Parieto Occipital Dextra Cranioplasty KH AJ √ MF GI,AU
Empyema Thoracotomi Explorasi Dekortikasi KH WW √ DM AI
KH,B,S,
Kista Submaxilla + Konka Hipertrofi + SR FESS + CWL + Konkoplasty + SR RH √ II,YN,ANM YN II,ANM
B
Adenoid Kistik Sinonasal, Mata Kiri Massa Maksilektomi, Mata Kiri Total Eksenterasi
DAT + TL S : AM
Palpebra Inf ec Perluasan Massa Sinonasal Orbita
Selulitis Regio Gluteal Dextra Debridement luas S ALI √ ANM II,YN
Nekrotik Cruris Pedis Sin (HIV + TB) Amputasi Above Knee Sin + Embolektomi S,KH ALI √ AM
Mata kanan Makular edema + KSI Mata kanan Phacoemulsifikasi + IOL AW YW,TU,PL
Mata kanan katarak juvenile + Mata kanan
Mata kiri CLE + IOL WIS S : MK
kiri miopya
Mata kanan secondary Implant Iris clip
Mata kanan afakia WIS
( artisan )
Mata kanan pseudofakia + sisa korteks, Mata kanan irigasi aspirasi sisa korteks +
RF
mata kiri KSM Vitrektomi Anterior
Mata kanan pseudofakia + Mata kiri KSI Mata kiri Phacoemulsifikasi + IOL RF
Mata kanan kiri PACG + KSI Mata kiri phaco + IOL + Trabekulektomi FI
CKD Pasang DL + C-Arm K AS √ SC MK
Laparatomi Optimal Debulking +
NOK c/ Ganas KH,KH MZ √ TW,DW TW DW
Adhesiolisis Luas + FS
Surgical Staging (TAH + BSO + LPB + DW,
NOU dg bagian padat c/ ganas, Mioma Uteri KH EW √ TW
Omentectomi ) + FS AN
NOK SOU + FS B EW √ S : RI,AN AN RA
Ca Ovarii Surgical Staging KH EW √ ANM RA
Laparatomi Apendictomi S ERI √
Cholesistolithiasis Laparoscopy Cholesistectomy KH PB √ TD,ET,RM
ET,
Obstruksi Bilier ec Batu CBD Laparatomi Eksplorasi CBD + T-Tube KH PB √ TW
Aziz
GIST Ileal Laparatomi Biopsi KH ERI √ S : SU
Pericolic Abses Percutanius Drainage Abses Abdoment S ERI √
TMS c/ ganas Radikal Mastectomi KH BIS √ AZ,TR TR AZ
KH,KH,
Ca Papilary Thiroid T2N1M0 TT + RND Bilat UUD √ S : RA,HA RI RA
KH
Basalioma Reg Labium Oris Wide Eksisi + Rekonstruksi B,B UUD √
Bone Exposed Reg Cruris Dextra Rekonstruksi Flap NJT TA,TM
Mikrotia Dx et Sin Rekonstruksi Telinga KH ETH √ S : AT TM TA
Fr. Clavicula Sinistra 1/3 tengah, Oblique, ttp

ORIF Clavicula Sin KH BIN √
NK
Ulkus Decubitus Reg Gluteus Debridement Ulkus B PJ √
Mata Kanan Silicon Exchange + SB + Vx +
Mata Kanan Silicon Filled Eye KH AW √ NK,HR,VQ NK HR ,VQ
EL + Inj. SO
Mata Kanan Silicon Filled Eye + Glaukoma
Mata Kanan Evakuasi SO KH AW √ S : DI HR VQ
Sekunder
Mata kanan Trabekulektomi B MR √
Mata Kanan Vitrektomi + EL + Inj. SO KH AW √ HR VQ
Detachment
STT Reg Tumor c/ jinak Wide Eksisi B DWT √ DI EV
Metastasis ca oseus MS T4bN0M0 MRM KH DWT √ DI NI

CPA Kanan Craniotomi Mikro Ds Tengkorak ZM LW,SF,DJ
SOM Craniotomi Mikro Dasar Tengkorak KH DP √ S :WD,PM DJ LW
SOL Frontal Dextra e.c Metastasis Craniotomi Konveksitas KH ER √

Fr Vertebra L5 Laminectomy + Internal Fiksasi Fusi KH,KH APR √ PR,AP,DN PR DN
Fr Metacarpal Dig II-III, IV-V Dx ORIF Multiple Fr KH √ S : DA,RK PR,DA DN

APR
Dislokasi Hip Joint Sin Incisi Biopsi Pelvis B BIN √ DA
ORIF Humerus Sin + ORIF Tibia Dex + KH,KH,

Multiple Fraktur DID √ WI EW
ORIF Fibula Dex KH
BJ.04 EN,MA,VT, VT,
TOF Repair PS + VSD Closure WW √ MA
BJ.09 BP,SS,IM EN
Fr. Femur Sin 1/3 tgh Displ Ttp.NK + Fr.
ORIF Clipping Costae + Femur Sinistra APR S : BD,NI
Costae VI Lateral
Ca Parotis Wide Eksisi B YAN √ NP,SE,YS SE YS,NP
Rekontruksi Flap + STSG B,KH RZ √
STT Reg Colli Sin Limfadenektomi Biopsi + PA B UUD √ IS RK
NOK Bilateral Bilateral Kistektomi + Adehsiolisis KH,S EN √ AL,AR AL AR

Suspect Keganasan Hematologi BMP B HER √
Tumor Mandibula Insisi Biopsi + Odontectomi S,B RP √ AH,ES AH YS

Hernia Inguinal Lateral Dextra Reponible Herniotomi Dextra B EDW √
Hernia Scrotalis Dextra Reponible Herniotomi Dextra B EDW √ ES YS

RR GRD : AD SORE PROGRAM : EV,AI,RK,AN,AM,NI,AT,AY,BR,DA,DM,DI,ER,HA,MK,PM,SU,WD,RA,RI ALAT : CA,SR
Cholilithiasis Laparascopi Chole Konversi Open KH MG √ AR AL
Laringoskopi fleksible + LD + Eksterpasi
Papiloma laring S,S DAT √ WU
Massa Laring
Tu Lidah crg Jinak Excisi Biopsi + FS S UUD √ AM PR
PsudoAneurisma Repair Arteri KH √

AS

Ulkus Obstruksi ec Adeno Ca Cervic KH ERI √ SL NH,BY
Drainase Abses
EDH Fronto Evapora Basal Dex Kraniotomi Evakuasi Hematoma KH HY √ IS AY
Debridment + Gips Bodi Shlap S,S DID √
G1P0A0, Hml 40mg, KPD , Partus Tak Maju SCTP B PS √ Adhie
Corpal Esogagus Esofaguscopy Ekstraksi Corpal B DAT √
Kontosio Serebri Frontal Sin ec Trauma Kraniotomi Decompresi + Duraplasty KH.B HY √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,BY,
EV,AY,
IS,HE
ER
UDT Sin dg Femosis Orchidopexy Sin + Sirkumsisi KH,S ADS √ II,TK,MF II TK, MF
Post DJ Stent Aff DJ Stent ADS S : DM,AI
Ca Prostat + Striktur Uretra Sachse + Orchidectomy KH,B MAS √ II TK,MF
MPNST Pasang Kateter CVC KH HA √ ET,YN,ANM WU ET,YN
Epistaksis Berulang e.c Septum Deviasi

Septum Koreksi + Konkoplasty B,S DAT √ S : AM
Berat, Impaksi
Ulkus Granulosum, Kontraktur Tendogen Debridement + STSG KH RZ √ AM
Mata Kiri Blow Out Fraktur + Laserasi

Mata Kiri Canthoplasty Lateral +
Palpebra Superior Full Thickness + S,S,S INA √ YW,TU,PL
Rekontruksi Palpebra + Debridement
Iridodialisis
Mata Kanan Kiri PACG + KSI Mata Kanan Phaco + IOL MR
Mata Kiri Katarak Senilis Imatur + Glaukoma Mata Kiri Phaco + IOL AK
Mata Kiri Katarak Juvenile Mata Kiri Phaco + IOL WIS

Mata Kiri Vitrektomized Eye + Katarak
Komplikata
KH,KH,
NOK TAH + BSO + Biopsi Omentum + FS PS √ TW,DW DW TW
S
Adhesiolisis Kompleks KH ERI √
KH,KH,
Adeno Ca Cervix Uteri St II A Radikal Histerektomi + BSO + LBP EN √ S : RI,AN AN DA
B
Selulitis Cruris Sin Amputasi Below Knee ALI
Tumor Caput Pankreas Whipple Procedure KH MG √ TD,SU,RM SU TW
Pasang CVP KH DN √ Aziz
Ulkus Granulosum Debridement S PJ √ S : SC
Ruptur Perineum, Fr Tbk Wound Debridement Luas B MAS √
Debridment Luas B AJ √
Inv. Ca NST Gr II MS Wide Eksisi + Diseksi Axilla B,KH BIS √ AZ,TR AZ TR
Ca Mamae Residif Wide Eksisi + Diseksi Axilla B,KH UUD √ S : RA TR AZ
TMS c/ Ganas T4bNoMo c/ Phyloides Wide Eksisi UUD

SNNT Reg Colli c/ Ganas DWT
Tiroidektomi
Labiogna Topalatoschisis Komplit Labioplasty Bilat KH NJT √ TA,SR,TM SR TM
Bone Exposed Reg Cruris Dextra Free Flap KH NJT √ S : AU TA TM
Fr Nasal Rekontruksi Hidung KH ETH √ AY RA
VQ,
Impaksi Odontektomi 2 Rahang KH RP √ NH
HR
Mata Kiri Vitrektomi + Endolaser + Inj. SO
Mata Kiri PDR + TRD + VH KH AL √ NK,HR,VQ HR NK,VQ
+ MP
Mata Kanan Evakuasi Silicon + Phaco +
Mata Kanan Kiri Silicon Filled Eye KH,KH AL √ S : DI HR,DI NK,VQ
IOL
SOL Craniotomi Dasar Tengkorak KH DP √ LW,SF,DJ DJ LW

Fiksasi Internal Tulang Kranial B AJ √
Paraparese ec Spondilitis VL 3-4 Laminektomi Kompleks KH HY √ S :WD,DY WD DY

Fusi Posterior Vetebra KH AJ √
Fr Femur ORIF KH APR √ PR,AP,DN PR AP,DN
Fr Radius 1/3 Distal Sin Tbk ORIF + Debridment KH,B APR √ S : GI
OA Genu Dx TKR Dx KH DID √
OA Genu Dx TKR Dx KH BIN √ MK BR
EN,MA,VT, EN,
MS + AI MVRepair + AVRepair BJ.08 SF √ VT
BP,SS,IM MA
S:
ASD ASD Closure BJ.03 WW √ BD NI
BD,NI,AS
Hidrosalping Duplex Laparoskopi Salpingostomi Bilat KH HR √ NP,SE NP SE
Kista Skene Kolporafi Anterior + Ekstirpasi Kista KH,S ER √ NP SE
Sistokel Gr II + Hernia Kolporafi Anterior KH ER √ S : PS,YS SE NP
Hernioraphy + Mesh B ERI √
Ca Mamae MRM KH YAN √ AL,AR AR AL

Ca NST MD T4bN2a MRM KH YAN √ AL AR
Multiple Limfadenopati Colli Limfadenectomi S DH AR AL
Hernia Insisional Abdominoplasty + Adhesiolisis Kompleks KH,KH PTY √ AH,ES ES AH
Tumor Sacrococygial Laparatomi Explorasi Eksisi Tumor KH EDW √ AH ES

RR GRD : AD SORE PROGRAM : EV,GI,AI,AN,AM,NI,AT,AY,BD,DM,DI,DY,ER,SC,WD,YR,RA,RI,AU,PS,YS ALAT : PUR,CA
Post DJ Stent Sistoscopy Aff DJ Stent S MAS √ NO AS
Ca Ureter Ureteroscopy (Sachse) KH MAS √ NO HI
Canal Stenosis V, Cervical VII - VI, Th 1 Laminoplasty Cervical KH AJ √ BR PM
Luka Bakar Gr II a - II b Debridement B PJ √
CKD on HD Pasang DL K AS √ IS PM
CKD Pasang DL K ALI √ AU
CKD Pasang DL K ALI √ AU YS
CKD + Psudo aneurisma Repair Arteri KH AS √ IS PM
Fr Union Femur Post ORIF K Nail Aff K Nail B APR √
Fraktur dislokasi hip joint dextra Skeletal Traksi S BIN √ DA
G3P2A0, Hml 40mg, PEB SCTP + MOW B PS √ Gatot EW WI
Peritonitis Generalisata ec susp Appendik

Laparatomi Explorasi Appendictomi KH JS √
perforasi
Histerektomi Supreavaginal + Jahit
Ruptur Arteri Post SCTP KH SR √
Lacerasi Portio
Hidrocephalus Non Komunikan Pemasangan VP Shunt KH HY √ BY NH
G2P1A0, Hml 39mg, SCTP + MOW bayi Lynch Procedure B PS √ Gatot AY ER
Incisi Plegmon dasar mulut + Odontectomi

Submandibula Abses S,KH DV √ GI AY,ER
4 gigi
Insisi Abses dgn Penyulit + Odontectomi 2
Abses Mandibula + Impaksi KH,KH RP √ AN AY,ER
Rahang
Laparatomi Explorasi Repair Laserasi
KH JS ER AN,RA
Rectum + Kolostomi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,BY,
EV,AY,
DM,HE
ER
HN + HU Dx + Nefrolithiasis Dx URS Bilat + DJ Stent Bilat KH,B MAS √ AS,TK,MF AS TK
Mata Kiri Proptosis ec Massa Retrobulbar Mata Kiri Eksenterasi Orbita KH TL √ S :DW ,AI MF AS,
Maksilektomi Lateral KH DAT √ TK

SOL Temporo Parietal Dx Craniotomi DP
VSD PM 7 mm, L-R Shunt Multiple Ekstraksi 8 Gigi + Tambal 5 Gigi B DV √ ET,YN,ANM ET, ANM
YN
YN, ET,
OMSK Kanan + Mastoiditis + Kolesteatom Mastoidektomi Radikal KH AYU √ S : AM
AM ANM
Fr. Collum Femur Dextra Hip Hemiarthroplasty KH DID √ RE SR
OMSK Kanan Mastoidektomi ZUL

Mata Kiri Hifema Traumatika Mata Kiri Parasintesis Hifema S INA √ YW,TU,PL
Mata kanan kiri KSI Mata kanan Phaco + IOL RF S : HA
Mata kanan afakia, mata kiri pseudofakia Mata kanan iris claw secondary implant RF
Mata kanan KSI, Mata kiri pseudofakia Mata kiri Buka Jahitan WIS
Mata kanan Pseudofakia, Mata Kiri KSI Mata kiri Phacoemulsifikasi + IOL WIS
Mata kiri PDR Regresi + KSI + Glaukoma
Mata kiri Trabekulektomi MR
Neovaskuler
Mata kanan peripheral Ulcerative keratitis Mata kanan Peritomi Konjungtiva DN
Mata kanan graves opthalmopaty Mata kanan Inj. TCA Sub Muller Peribulber TL
NOK c/ Ganas Surgical Staging + FS KH MZ √ TW,RE TW RE

Apendictomi S PB √
Laparoscopy Salpingo ooforectomi Dex
Abdominal Pain KH INU √ S : RI,AN RE TW
Hematokelectomy
Fistel Tracheo Oesofagus Gastrostomi Feeding + EGD B,KH ERI √ AN RA
Laparoscopy Cholesistectomy + Hernia

Cholecystolithiasis + Hernia Incisionalis KH,KH MM √ TD,UM,RM UM TD,RM
Repair
Adeno Ca Recti Miles Procedure KH MG √
Cholelithiasis, CAPD Macet, CKD Laparoscopy Cholesistectomy + Aff CAPD KH,S MG √ S : SC JF RA
Adeno Ca Rectum Laparatomi Miles Procedure KH ERI √

TMS c/ ganas T4cN3aM1 Insisi Biopsi S BIS AZ,TR AZ TR
Wound Dehisense Post Wide Eksisi Debridement Rehecting S DH TR AZ
Adeno Cystic Ca Labium Oris Inf Dx Wide Eksisi + FS B YAN √ S : RA AZ TR

Rekontruksi Flap KH RZ √ TR AZ
Isthmolobectomi + FS ganas Total
SNNT Sin c/ Ganas T2NoMo UUD
Tiroidektomi
Amputasi Above Knee D + Diseksi KGB
Rhabdomyosarcoma KH,KH UUD √
Inguinal D
BCC Reg Nasal Wide Eksisi + FS Bebas Tumor B UUD √ TA,SR,TM SR TM

Ulkus Dekubitus Gr III SIAS Sin, Ulkus Debridement + Amputasi MCP Dig I Pedis
S,B ETH √ S : BD,AU TM TA
Diabetik Pedis Dextra + Osteomyelitis Dx
Fr ZMC Dx + Fr Sub Condyle Dx Mandibula

Rekonstruksi Fr Wajah Kompleks KH ETH √ AU DW
+ Fr Scapula + Fr Costae Multiple
ORIF Clavicula Dex + ORIF Dig 2-4 KH DID √
Thoracotomi ORIF Costae KH ALI √
Mata Kiri Vitreus Haemoraghe Mata Kiri Vitrectomy KH AL √ NK,HR,VQ HR VQ
Mata Kanan Kiri Proliferatif Diabetic

Mata Kiri Vitrectomy + EL + SO KH AW √ S : DI HR NK,VQ
Retinopaty + TRD
Mata Kanan Vitrectomy + EL KH AW √ HR NK,VQ
Retinopaty + TRD
Meningioma Fronto-Temporal Craniotomi dasar Tengkorak KH ZM √ LW,SF,DJ LW SF

Kranioplasty KH AJ √ DJ
Paraplegia, DM Laminectomy Decompresi HY+AJ+ALI S :WD,II
SOL Craniotomy Dasar Tengkorak KH HY √ II WD
HNP Lumbal ec Fr. Kompresi VL4-5 Laminektomi Dekompresi KH DID √ PR,AP,DN PR AP

Instrumentasi Fusi KH APR √ DN
Fr Femur Sin 1/3 Tengah Displ Ttp Nk ORIF Femur + Gips KH,K APR √ S : GI DN PR
Mal Union ORIF Femur Dx + Rekontruksi ReFraktur KH,KH BIN √ GI EA
Delayed Union Femur Dx Post FSE 1 th Lalu ORIF Fr Femur Dex KH BIN √ PM MK
Fr Clavicula Dx 1/3 Tengah ORIF Fr Clavicula dex KH BIN √ MK SU,BR
EN,MA,VT,
MS Severe, TR Mild, AR Moderate MVRepair + AVRepair BJ.08 SF √ EN VT
BP,SS,IM
Laparoscopy Salpingostomi Ovarium Sin +
Kista Ovarii KH,KH TF √ NP,SE SE NP
NOK dg Bag. Padat c/ Ganas TAH + Adhesiolisis + FS KH,S TF √ NP SE
Limfadenectomi Pelvis Retroperineal +
B,B EN √
SOS
Parsial Eksisi Ileum + Repair Apendiktomi S ERI √
Susp Ca Ovarii + Efusi Pleura Asites Laparatomy Debulking KH EN √ AL,AR AL AR

Repair Laserasi Recto Sigmoid KH ERI √
Striktur Vagina Vaginoplasty Rekontruksi KH ER √ S : YS,PS,NI AR AL

P1A0 29 th Ca Vagina Riw. SC 1x Eksisi Biopsi S ER √
Limfadenectomi Inguinal Bilat S EW √
Ca Papilary Thiroid Post Isthmolobectomy Total Thiroidektomi KH YAN √ AH,ES PS YS

SNNT Dextra C/ Ganas T2N0M0 Isthmolobektomi + FS, Ganas - TT KH,KH YAN √ AH AD
RR GRD : AD SORE PROGRAM : EV,GI,AI,II,AY,AN,AU,AM,NI,DW,BD,DI,ER,HA,YS,IS,WD,YR,RA,RI ALAT : PUR,CA
Cholesistolithiasis Laparoscopy Cholesistectomi KH √ AN AY

MG
Lesi Transversalis MS e.c Fraktur VL -I Laminektomi Kompleks KH HY √ AI,BR AM
Mata Kanan Ulkus Kornea Perforasi Mata Kanan Flap Konjungtiva S DN √ DI
BPH TURP + BNI Sistoscopy KH,KH MAS √ AY HA
G2P1A0, Hml 32mg, Impending Eklamsia SCTP dg penyulit SR √ MK BR

B
Mata Kanan Eviserasi Bulbi S INA √ DM BY,SL
Peritonitis Generalisata Laparatomi Apendictomi PTY √ BY HE,NH

KH
Hernia Herniotomi PTY √ AY ER

B
Ulkus Granulosum r/ Wist dgn perdarahan c/
Debridement & Refenement Flap KH RZ √ DI ER
Ruptur Arteri
Peritonitis Generalisata Laparatomi Eksplorai KH MM √ DY SU,DA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,ER,
EV,AY,
HE
BY
Tumor Gist Laparatomi Wide Eksisi Tumor Gaster KH JS √ AS,TK,MF MF AS,TK

Pasang CVP KH HA √
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ S : DM,AI TK MF
Nekrotik Cruris Sinistra Amputasi Below Knee ALI

Laparascopy Biopsi Incisi + Drainase ET,
Abses PSOAS Sin KH,B PTY √ ET,YN,ANM YN
Abses ANM
Post Laparatomi + Ileostomy ec App Laparatomi Reseksi Anastomose Colon + YN,
KH PTY √ S : IS ET
Perforasi Adhesiolisis ANM
OMSK dg Kolesteatom Komplikasi
ME Radikal KH PW √ IS AI
Mastoiditis + Tonsiloferingitis
Tonsilektomi S FAR √
Mata Kanan Katarak Mata Kanan Phaco + IOL KH AK √ YW,PL

Mata Kanan Desenterasi IOL+CV turbidity,
Mata Kanan Sekunder Implant (iris claw) WIS S : HA
Mata Kiri Katarak Juvenile
Mata kanan kiri katarak senilis imatur Mata kanan Phaco + IOL AL
Mata kiri PACG + KSI Mata kiri Phaco + IOL FI
Mata kiri glaukoma sekunder + Anterior
Mata kiri Trabekulektomi B MR √
chamber IOL
CKD Pasang DL K WW √ SA MK
CKD Psg Double Lumen Longterm K ALI √ HA
Adeno Ca Endometrii St 1b Surgical Staging KH MZ √ TW,RE
Kista Ovarii SOU + FS B EW √ S : RI,TU
Trakheostomi + Eksterpasi Massa Basis

LNH Orofaring S,B WY √ II NI
Lidah
Laparatomi Explorasi Reseksi Jejunum
Fistel Enterocutan Pasca Laparatomi KH PB √ TD,UM,RM UM Aziz,TD
Anastomose Adhesiolisis Kompleks
Bile Leakage Post Cholesistektomi Biliodigestif Shunting + Choledoscopy KH MG √ S : SC SC RA
Ruptur ACL Dx Rekonstruksi ACL Dex KH BIN √ SC RA
OA Genu Total Knee Replacement Dex KH BIN √
Fr. Collum Femur Sinistra Parsial Hip Hemiarthroplasty Sin KH BIN √
Multiple Limfadenopati Colli Sinistra Limfadenektomi Biopsi S BIS √ AZ TR
Invaisve Ca + NST Gr II MS T3N0M0 Post

Wide Eksisi + Deseksi Aksila B,KH BIS √ AZ,TR TR AZ
SM
Post MRM MD dg Multiple STT Multiple Eksisi + PA B UUD √ S : RA RA AD,NI
Tumor Maksila c/ Jinak Eksisi Tumor + Rekonstruksi + PA B,KH UUD √ RA AD,NI
Combustio Gr II - III, 10 % e.c Listrik Debridement + STSG KH ETH √ TA,SR,TM
Malformasi Vaskuler Reg Cruris Pedis

Eksisi + Rekonstruksi KH ETH √ S : NI TM SR
Dextra
Pasca Paket Flap Auricula Sinistra Rekonstruksi Teliga KH PJ √ SR TM
Massa Sinonasal Meluas orbita +

Ekstirpasi Massa + Orbitotomi Anterior WY+ TL
Intracranial
Mata Kanan Kiri Katarak Juvenile dd Mata Kanan Ekstraksi Lensa + PPC + Vx
KH LN √ NK,HR,VQ HR VQ
Kongenital Anterior + IOL
HR,
Mata Kiri TRD Mata Kiri Vitrektomi + EL + Inj. SO KH AL √ S : DI NK
VQ
Mata Kanan TRD + Proliferatif Diabetic
Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ HR NK,VQ
Retinopaty + SO Filled Eye + Katarak
Mata Kanan Kiri VH, Mata Kanan PDR High

Mata Kiri Vitrektomi + EL + SO KH AL √ NK, DI HR,VQ
Risk, Mata Kiri Glaukoma Neovaskuler
Mata Kanan TRD e.c PDR Mata Kanan Vitrektomi KH AW √ DI EV
Mata Kanan PDR + TRD Mata Kanan Vitrektomi + EL + SO KH AW √ DI II
LW,SF,DJ
S :WI,II
SOL Cerebellum Craniotomy Dasar Tengkorak KH ZM √ SF,LW LW,DJ
Rekontruksi Negleted Dsilokasi Elbow +

Dislokasi Elbow Sin KH,KH APR √ PR,AP,DN APR PR,DN
ORIF
Union Fr Femur Lepas K Nail B APR √ S : AT PR DN, AP

Fr. Collum Femur Dextra Hemiarthroplasty Hip Dex KH DID √ AT DW
Fr Patella Dx Post ORIF Removal Implant Patela B DID √ WI AT
EN,MA,AF
MS Severe, TR Moderate, MR Mild MVR SF
BP,SS,IM
Thoracotomi Explorasi Decortikasi + EN,
Fistel Tracheo Esofageal KH ALI √ S : BD,VT
Repair Tracea AF
Repair Esofagus + gastrostomi Feeding KH ERI √
Laparoscopy Adhesiolisis + Ooforectomi KH,KH,

Kistoma Ovarii TF √ NP,SE SE NP
Parsial Dex + Kistectomi Ov Kiri KH
Kista Ovarii Bilateral Laparoscopy TF S: YS,PS

Ca Tiroid Total Tiroidektomi KH YAN √ AL,AR EA AL
AL,
Ca Tiroid Total Tiroidektomi KH YAN √ AR
MY
Limfadenopati Axilla Dx Limfadenectomi Axilla S YAN √ YS PS
NOK TAH + BSO + FS KH,KH DC √ AH,ES AH ES
Laparatomi Adhesiolisis B PB √
Susp Ca Endometrium Surgical Staging KH EN √ PS YS

RR GRD : ST SORE PROGRAM : EV,AI,II,AY,NI,AT,BD,DM,DI,VT,ER,HA,IS,WI,TU,YS,SC,YR,RA,RI ALAT : PUR,CA
Tonsilitis Kronik Tonsilektomi S AYU √ NP SE
Mata Kiri Ablatio Retina Mata Kiri Vitrektomi KH AL √ DW
Keloid Multiple Eksisi + Rekonstruksi KH NJT √ RE TW
CKD Pasang DL K AS √ HA
CKD Pasang DL K AS √ SA MK
Hidrocephalus VP Shunt KH HY √ SF LW,DJ
Laparatomi Eksplorasi Reseksi jejunum

Tumor Kolon KH JS √
anastomose End to End
G3P2A0, Hml 32mg, PEB SCTP B SR √ Adhie IS SL,ER
Esofaguscopy + Businasi + Pasang NGT B,K DAT √
G1P0A0, Hml Aterm, VSD, WR Mild, SCTP B JD √ Arsita
G2P1A0, Hml 41mg, Serotinus , KPD SCTP B DC √ Arsita BY AY
Meningocele Rekontruksi Kele Sacrum KH HY √ BD AY
EDH Frontal Sin Kraniotomi Konveksitas KH HY √ BY BD,AY
Hidrocephalus Lepas VP Shunt K HY √ BD
ICH Kraniotomi Decompresi + Duraplasty KH HY √ AN SU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
OK CITO DIBERSIHKAN (NH,AS,BY,IS,MF) SETTING ALAT : AL,EV,AI,ET,YW,YN,TW,LW, SF, NO,AY,
YS
NK,SE,ES,
OK 1 & 2 PAGI UTK CITO DN,ANM,
TM
NO,
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ S : DM,NO RI
DM
Mioma Uteri d.d Adenomiosis,
TAH + SOD KH,B INU √ S : RA,AF
Menometroragi
YW,PL
Massa Epiglotis LD + Ekstirpasi Massa S,S FAR √ SL,TK,RE RE TK,SL
Stenosis Laring LD + Ganti Canul S DAT √ SL TK,RE
LD + Eksterpasi Massa + Ganti Kanul

Papiloma Laring S,S,K DAT √ S : RI,AH RE TK
Tracea
NKT Cell Nekrotomi B DAT √ SL TK,RE
UM,
OMK Duplex Tympanoplasty Dextra KH PW √ TD,UM,RM TD
Aziz
Hemimaksilektomi + Limfadenektomi +
Ca Sinonasal KH,S,S DAT √ S : PS UM TD
Eksterpasi Massa Bucal
Adenokistik Ca Sinonasal Total Hemimaksilektomi + KH DAT √ YS ET,IS
Mata Kiri Total Eksenetrasi Orbita KH TL √
Impaksi 2 Rahang Odontektomi 4 gigi (2 Rahang) KH DV √ TA,SR,RG
Fr Radius ulna Sin ORIF Radius S APR √ RG TA
Ruptur ACL Dextra Rekonstruksi ACL Dextra KH BIN √ S: NI,DI AN DI
Mata Kiri Vitrektomi + EL + SO + PHACO +

Mata Kiri Tractional Retinal Detachment KH,KH AL √ HR,AR,VQ HR
IOL
SOL Parietal Dex Craniotomi Tumor Konveksitas KH ER √ LW,SF,DJ YS DM
Hemangioma Frontal Sin Craniotomi Tumor Konveksitas KH DP √ S :VT,II SF LW,DJ
Coxitis Sinistra THR Sinistra KH APR √ PR,HI,MY HI PR,MY
OA Genu Sinistra TKR KH APR √ S : MW PR MY
OA Hip Dextra THR Dextra KH APR √
EN,MA,AD EN,
LA Myxoma MVRepair + TVRepair BJ.08 SF √ AD
BP,SS,IM MA
Excisi La Myxoma (op jtg tbk 1 katub) BJ.06 WW √ S : BD
SORE PROGRAM : AH,II,NO,AF,NI,BD,NI,DM,DI,VT,TU,PS,MW,YS,SC,RA,RI ALAT : PUR
CKD Pasang Double Lumen + CVC K,KH WW √ AS MF
Hidrocephalus VP Shunt GK √ LW SF
KH
Hidrocephalus VP Shunt GK √ DJ SF
KH
Fr Patella Debridment B BIN √ AY NO,II
Massa Paru Kanan Bronchoscopy KH SFY √ YR EW,AO
CKD Pasang Double Lumen K AS √ SA MK
ANM,
Wound Dehisence Post Cranioplasty Rekontruksi Flap + Debreidement KH,B AJ √ ES
DN
G2P1A0, Hml 37mg, bekas SC SCTP dg Penyulit bekas SC B OP √ Adhie TM DB
Akut Limb Iskemic Embolektomi KH SF √ DB TM
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Mioma Uteri Histerektomi Total + SOD KH,B EN √ SE DB
ORIF Pelvis + External Fiksasi + KH,KH, WU,AI,AG,

Fr. Pelvis, Fr. Acetabulum DID √ EW SE,AG
Debridment B DB,ER,EW,
JF,WI
Neuroplasty Cervical + Neurplasty Lumbal KH,KH,
Myelopathi Cervical, Thoracal, Lumbal TRI A √ JF WI
+ Neuroplasty Thoracal + Rhizoromi KH,KH
Neurplasty Lumbal + Neuroplasty Thoracal KH,KH,

TRI A √ JF WI
+ Rhizoromi KH
EDH Temporo Parietal sin + ICH Fronto Koreksi Fr Imprefia Komplikata +

KH,KH AJ √ DM DB
Temporal Kraniotomi EDH
G3P2A0, Hml Aterm, KPD SCTP + MOW B DC √ Adhie WU VT
VP Shunt KH AJ √ DB DI,VT
Hidrocephalus
EDH r/ Occipital Kraniotomi EDH KH AJ √ AF MY
G2P1A0, Hml 38mg, Bekas SC SCTP B DC √ Adhie TU AF
Combostio Debridement KH PJ √ MY PS
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S
NH,SL,JF,
:SF,NO,
HE
ES
Fistel Enterocutan Uretroplasty KH ADS √ AS,UM,DN UM AS, DN
Hipospadia Post Stage I Repair Hipospadia Stage II (Uretroplasty) KH ADS √ S : AN,AR
AS,
Batu Staghorn Dextra Nefrektomi Dex KH ADS √ UM,DN
AR
OMSK Kanan Mastoidektomi + Timpanoplasty B,KH ZUL √ AI,YN,MF YN AI,MF
MF,
Ca Laring Repair Fistel Esofagus KH DAT √ S : AD AI,YN
AD
HPS Laparoskopi Pyloromyotomi k/p Open PTY
Mata Kiri Glaukoma Absolut Mata Kiri Cyclocryo FI YW,AG
Mata Kiri Subluksasi IOL Mata Kiri Reposisi IOL / IOL exchange AK S : ANM
Mata Kanan Steroid Induced Katarak, Mata
Kiri Pseudofakia
Mata Kanan Afakia (Post EKIK) Mata Kanan Secondary Implant ( Iris Claw) WIS
Mata Kanan Vitrektomized Eye, Mata Kiri

Mata Kanan Phaco + IOL AL
KSI
Mata Kanan Ulkus Kornea Perforasi Mata Kanan AMT DN
Total Histerektomi + BSO + Omentectomi
NOK C/ Ganas B JD √ ET,SU,PL
+ FS
Choledocolithiasis Laparoscopy Cholesistectomy KH MG √ S : TK,TW SU ET
Laparotomi Reseksi Tumor Besar +

Tumor Liposarcoma KH,KH PB √ TD,NI,RI RA TD
Reseksi Ileum Anastomose E to E
Laparotomi Explorasi + Ileutransvestostomi

Fistel Enterocutan KH,KH PB √ S :HI NI TD,RI
E to E + Adhesiolisis Luas
Ruptur meniscus sinistra Arthroscopy + Debridement S,S BIN √
Ca Medulary Mamae Sinistra T4bN2aM1 B,KH,

Wide Eksisi + Diseksi Aksila + FTSG BIS √ Aziz AZ
( Pleura) KH
STT Reg Gluteus Sin C/ Ganas Wide Eksisi + PA B UUD √ AZ,RM AZ Aziz
Amputasi Below Knee Dex + Diseksi Ing

Ca Epidermoid KH,KH UUD √ S :RG ,TR
Dex
Basal Cell Carcinoma Reg Zygoma Sin
Pasca wide eksisi + Fore Head Flap Debridement B RZ √ TA,RA TA RA
( Compremized )
Ulkus Granulosum Reg Lumbo Sacrum Debridement Luas + STSG Graft KH NJT √ S : SR TA RA
Tumor Mandibula C/ Ganas T2N0M0 Hemimandibulektomi + FS KH,KH DWT √ SR TR
Mata Kiri Endoftalmitis Post Inj Antibiotik IVT

Mata Kiri Vitrektomi + Injeksi Antibiotik IVT KH AL √ NK,MK,DJ MK NK
+ retinal Diabetik
Mata Kanan RRD Mata Kanan Vitrektomi + EL + Gas/SO KH AL √ S : HR,MY

Mata Kiri Ablatio Retina Mata Kiri Vitrektomi + EL + Gas/SO KH AL √ NK MK,DJ
Paraplegia Inferior e.c Fr. Kompresi Vth 7 - 9 Laminektomi + Lateral Plate AJ LW,BR,VQ
S : SA,BY
Spondilosis V Lumbal 4 -5 Canal Stenosis Laminektomi Dekompresi KH DID √ PR,PM,TM MT PR
ORIF Femur Sin + Fixasi Externa Tibia
Fr. Femur Sinistra + Fr. Tibia Dextra KH,KH DID √ S : WU PM TM,PR
Dex
FSE + Debridement S,S APR √
OA genu Bilateral TKR Sinistra KH DID √ PS II
EN,MA,DI
Tumor Mediastinum Thoracotomi Explorasi + Biopsi KH ALI √
BP,SS,IM
Tumor Mediastinum Thoracotomi + Excisi Tumor KH WW √ S : BD,WI
Pasang CVP KH WA √
Laparoskopi Miomektomi + Kistektomi Ov.
Kistoma Ovarii, Mioma Uteri KH,KH TF √ NP,DM,MW NP DM,MW
Kanan
Kista Ovarii Bilateral Laparoscopy Kistektomi ER S: RK,EA
SNNT Dextra C/ Ganas T2N1M1 Isthmolobektomi + FS, Ganas - TT KH,KH YAN √ AL,RE RG AL
Tumor Kidney,Pancreas, Liver Laparoscopy Biopsi Hepar/pankeras KH ERI √ MW EA
Laparascopy Unroofing Kista KH MAS √ DA
Hernia Inguinalis Sinistra Herniotomi Sin B EDW √ AH,DB DB ER

MAR On Colostomy Post PSARP KH PTY √ DB ER
Colon End To End
RR GRD : ER SORE PROGRAM :SF,NO,RK,WU,TW,RG,AN,AR,AD,BY,BD,TK,EA,ES,HR,HI,IS,MY,WI,SA,SR,TR,ANM,CA ALAT : PUR (S : CA)
Kraniotomi Mikro Bedah Epilepsi Amidalo
Epilepsi KH ZM √ IM,VQ
Hyoikapektomi
EEG Intra Kranial (Intra Operasi) KH ARIS √
SOL Temporo Parietal Dextra Craniotomi Ds Tengkorak KH DP √ SA BD
Rhinosinusitis FESS III + SR + Konkoplasty KH,B,S DAT √ AR MY
Rhinosinusitis FESS III + SR + CWL KH,B,B DAT √ YS II
Post TURP Sistoskopi + Evakuasi Cloth S,S MAS √ AN BR
Post Repair Pseudoaneurisma Debridement Luas B AS √ AD MY
CKD Pasang DL dg C-Arm K AS √ IS PM

Ca Cervix + CKD St V on HD Pemasangan Double Lumen K AS √
Massa Nasofaring Nasofaringoskopi Flaxibel + Biopsi B DAT √ BR AR
Empiema Partial Pasang Pigtail (Repair WSD) S ALI √ MY AR
IM,HE,
CKD Pasang Double Lumen K ALI √ JF
NH
Ruptur Hepar gr IV Post Packing Laparatomi Explorasi Aff Packing KH PTY √ JF
SOL r/ Frontoparietal Kraniotomi Dekompresi KH AJ √ ANM ES,NO
SOL Temporo Parietal Dextra Kraniotomi Dekompresi KH AJ √ ANM NO,ES

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S
NH,SL,JF,
:SF,ES,
HE
DY
Hipospadia Post Repair Stage I Repair Stage II (Uretroplasty) KH ADS √ AS,UM,DN DN AS, UM
Batu Renal Sinistra Aff DJ Stent ADS S : AN,AR

UM,
Nefrolithiasis + Ureterolithiasis Dextra Nefrolitotomi Dextra KH ADS √ AS
DN
Post Amputasi Above Knee Debridement S ALI √
Debridement S ETH √
Pasang CVC KH HA √
Hidrocephalus VP Shunt KH GK √ AI,YN,MF YN AI,MF
Laparatomi Explorasi Ureter + DJ Stent +

HN ec Massa Retro Peritoneal KH,B MAS √ AI YN, MF
Diseksi Kelenjar
Buccal Abses Insisi Abses dg penyulit + Odontectomi KH,KH RP √ AD EA
Combustio Gr II B 32% Debridement KH PJ √ AD AR
Mata Kanan Glaukoma Neovaskuler Mata Kanan Trabekulektomi B FI √ YW,AG

Mata Kanan Pseudofakia + Mata Kiri KSI Mata Kanan Phaco + IOL RF S : ANM
Mata Kanan Kiri Pseudofakia, Mata Kiri Mata Kiri Explantasi IOL + Secondary
AW
Desenterasi IOL Implant ( Iris Claw)
Mata Kanan Katarak Komplikata +
Vitrectomized Eye
Mata Kiri Desenterasi IOL Mata Kiri Explantasi IOL WIS
Mata Kiri Sekunder Implant ( In The
Mata Kiri Afakia, Mata Kanan Pseudofakia WIS
Sulcus)
Post Pasang WSD e.c Efusi Pleura Dx Pasang Pigtail (WSD) S ALI √
Angiofibrom Nasofaring Ekstirpasi Angiofibroma Nasofaring DAT √ ET,SU,PL

KH PL ET,GI
Adeno Kistik Ca Sinonasal Aff Tampon Maxilla + Ethmoid + Explorasi K,B DAT √ S : TK,TW ET GI,PL
Aff dan Ganti Tampon K TL √
NKT Colli Limfoma + Loser Periorbita + Hemimaksilektomi Medial + Mata Kanan

Abses Periorbita + Ptisis Bulbi + Laserasi Debridement + Eksplorasi Bulbi Orbita + S,S,KH TL √ TK,GI ET,PL
Palpebra Eksenterasi
Maksilektomi Medial + FESS II KH,KH DAT √
Ca Paru Drainase Asites S PB √ TD,NI,RI
Cholelithiasis Laparoscopy Cholesistectomy KH PB √ S :TR
Tumor Rectum 1/3 Distal Laparatomi Miles Procedure KH ERI √ RI TD,NI

Tumor Maxilla Sin Hemimaksilektomi + Rekontruksi + FS KH,KH BIS √ AZ,RM AZ Aziz
IDC Gr II MS T4bN1M0 Wide Eksisi B UUD √ S :RG RM RA
IDC Gr II T4cN1Mo MRM KH DWT √
Combustio Gr II A 7% Debridement S NJT √ TA,RA RA TA
Tumor Kulit c/ Ganas Eksisi + Rekonstruksi KH NJT √ TA RA
Debridement Necrotomi + Rekontruksi

Skin Avulsi Plantar Pedis KH NJT √ S : SR TA RA
STSG
Fr Zygomaticum Rekonstruksi Tlg Wajah Kompleks KH ETH √ TA RA
Ulkus Dekubitus Gr IV Debridement + Vena Sectie B,K ETH √ SR MY
Mata Kanan Katarak Kongenital, Mata Kiri Mata Kanan Ekstraksi Lensa + PPC + Vx
KH LN √ NK,MK,DJ MK DI,DJ
Afakia Anterior + IOL + PI
Mata Kanan Proliferatif Diabetik Retinopaty +

Mata Kanan Vitrektomi + EL + SO KH AW √ DI MK,DJ
TRD, Mata Kiri Vitrectomized Eye
Mata Kiri RRD VH Mata Kiri Vitrektomi + EL + SO KH AW √ S : HR,MY MK DI,DJ
Mata Kanan Kiri PDR + TRD Mata Kanan Vitrektomi + EL KH AW √ DI MK,DJ
Mata Kiri Panoftalmitis + Post Jahit Kornea Mata Kiri Eviserasi Bulbi + DFG B INA √ HR
Epilepsi Craniotomi Bedah Mikro Epilepsi KH ZM √ LW,BR,VQ BY PM

Craniotomi Epilepsi Anterior Lobektomi
KH MTA √
Amidalko
Paraplegi, DM Thoracotoi Explorasi + Dekortikasi KH ALI √ S : SA,BY BR VQ
spondilolisthesis V.Th XI-XII Laminektomi Dekompresi KH DID √ PR,AP,TM
Dislokasi Hip Joint Dx THR Dex KH BIN √ S : WU AP TM,PR
Union Fr. Radius Ulna Dextra Post OREF Lepas FSE S APR √ WU
EN,MA,DI MA,
TOF BT Shunt (ASD) Bj.03 WW √ SU
BP,SS,IM EN
PDA Ligasi PDA BJ.05 WW √ S : BD,WI BP WI
NOK SOS + FS B HR √ NP,DB,MW DB NP
Laparoscopy Adhesiolisis + Bilat Parsial
Kista Ovarii Bilateral KH,KH ER √ S: IS,EA NP MW,DB
Ooforectomi
Ca Mamae Dx MRM Dx KH YAN √ AL,DM,SA DM AL,SA
HPS Laparoskopi Pyloromyotomi KH PTY √ AL SU, DM
Obstruksi Level Duodenum Laparotomi Explorasi EDW

KH,KH,
NOK TAH + BSO + Omentectomi + FS EN √ AH,RE RI ER
S
NOK dg Bag. Padat c/ Ganas TAH + BSO + FS KH,KH EW √ ER RE
Sakrokolpopeksi KH ER √
RR GRD : ER SORE PROGRAM : SF,RK,WU,TW,AN,AR,AD,BY,BD,TK,DY,EA,ES,HR,IS,MY,WI,RG,SA,SR,TR,ANM ALAT : PUR (S : CA)
SNNT Sinistra C/ Ganas Isthmolobektomi Sin + FS, Ganas - TT KH,KH YAN √ RG

Gas Gangren Regio Cruris Pedis Dextra Debridement B WW √ EA,YS HR
Post Partum P3A0, PEB MOW S BES WU
Ca Cervix Uteri IIIb + Moderate HN + HU URS Kiri KH WAN √ AY AO,DA
Polip Endometrium Histeroscopy Polipectomy KH HR √ RK SF
Efusi Pleura Pasang WSD S ALI √
G4P3A0, Hml 40mg, Impartu Kala I , Partus

SCTP + MOW B BE √ PS II
Tak maju
Massa Tonsil Tracesotomi S FAR √ VT II
Efusi Pleura WSD S YAN √ JF NH
Fr Dekompresi OS Frontal + EDH Kraniotomi KH AJ √
Mata Kanan Ruptur Knalias Kakrimalis Mata kanan Rekanalisasi Silikon larimalis S INA √
MAR Vena Sectie K PTY √
Torsi Kista Ovarium Laparotomi KH EW √
Abses Cerebri Craniotomi Abses KH DP √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S :SF, NH,SL,JF,
AU,AD HE
Ureterolithiasis Dextra Ureterolitotomi Dextra KH WAN √ EV,AS,DN AS EV, DN
Prostat Enlargement c/ BPH TURP KH MAS √ S : AN,AG AS AD, MF
Emfisema Subkutis Thoracotomi Repair Fistel KH ALI √ AN SR
Obstruksi Level Duodenum Laparotomi Explorasi EDW AI,YN,MF
Seroma Inguinalis Drainase + Rehechting S WW √ S : WD MF WD
Laparoscopy Adheiolisis + Drainage Abses

Loculated Abses Hepar KH ERI √
Hepar
Mata kanan High Myopia Mata kanan CLE + IOL WIS YW, DW
Mata kanan kiri katarak diabetika Mata kiri Phaco + IOL AL S : ANM
Mata kiri KSI Mata Kiri Phaco + IOL AL
Tumor Mamae Excisi Tumor Mamae + FS B DH √ ET,SU,PL PL ET,SU
Suspek Keganasan Hematologi BMP MOED S : TK,TW

Suspek Keganasan Hematologi BMP B MOED √ AO
Tumor Rectie 1/3 Distal C/ Ganas T3N0M1 Laparotomi Biopsi + LDOP Ileostomi + FS KH,B MG √ PL ET,SU
Tumor Duodenum Eksisi Biopsi KGB Inguinal S JS TD,NI,RI
Striktur Esofagus Laparatomi Jejunostomi Feeding B PB √ RI TD,NI

App Perforasi KH,KH PB √ S : MY NI TD,RI
Kompleks + drainase abses Abdoment
Laparotomi Explorasi Adhesiolisis + Insisi
Abses Intra Abdomen KH PB √ TD NI,RI
Abses Abdoment
Tumor Mamae Sinistra Wide Eksisi B UUD √ AZ,RM AZ Aziz
SNNT Isthmolobectomy + FS, KH DWT √ AZ RM
SNNT Isthmolobectomy + FS, Ganas - TT KH,KH DWT √ S :RG RG
SNNT Isthmolobectomy + FS, KH DWT √ WD EA
Ulkus Granulosum Luas e.c Combustio 54 % STSG Luas KH PJ √ GI,UM,RA GI RA
SCC Regio Labium Oris Inferior Pasca Wide

Rekonstruksi Bibir KH ETH √ S : SR
Eksisi + Rekonstruksi Flap
Abses Inguinal + Gluteal Sinistra ( HIV +) Debridement S ETH √ GI RA
Mata Kanan Ruptur Bulbi + Ruptur Kanalis Mata Kanan Eksplorasi Bulbi +
Lakrimalis Inferior + Laserasi Margo Rekanalisasi + Rekonstruksi Palpebra + S,S,S,B INA √ EA
Palpebra + Ruptur Palpebra Inferior Eviserasi Bulbi + DFG
Rekontruksi Fr Tulang Wajah Kompleks KH PJ √
Mata Kiri Katarak Traumatika + Eksotropia +

Mata Kiri Phaco + PPC KH WIS √ NK,MK,DJ IS DJ
Glaukoma Sekunder
Mata Kiri Implant GDD KH MR √
Mata Kiri Luksasi IOL Mata Kiri Vitrectomy + Iris Fiksasi IOL KH,KH AL √ S : TR UM IS,DJ
Mata Kiri VH + Pseudofakia Mata Kiri Vitrectomy + EL + Gas SF6 KH AL √ UM DJ,IS
Mata Kiri VH + Endoftalmitis Post Inj AB

Mata Kiri Vitrectomy + gas SF6 KH AL √ TR
Intravitreal
Mata Kiri Nukleus Drop + Glaukoma Mata Kiri Vitrectomy + Endofragmentasi +
KH AL √ TR
Sekunder Iris Fiksasi
Craniofaringioma Craniotomi Dasar Tengkorak KH DP √ LW,BR,VQ BR LW,VQ
Fraktur Vertebra Thoracal XII Laminektomi Kompleks KH AJ √ S : SA,BY BY SA
Fusi Posterior + Fiksasi Internal dg PSRS KH HY √
Laminektomi Dekompresi + internal Fiksasi

TMS C/ Ganas T2N0M1(V. Thorakal) KH,KH APR √ PR,AP,TM TM
Fusi
Insisi Biopsi + PA S BIS
Rekonstruksi (Eksisi + Osteotomi + ORIF S,B,KH,
GCT Radius Sin APR √ S : WU,WI PR TM
Radius + Fibula Graft) KH
Dislokasi Hip Joint Dx ec Coxitis TB Debridement B BIN √ WU WI
Removal Implant + Archiles Tedon

Bone Loss Tibia Sin Post FSE S,B BIN √ WI
Legthening
BJ.08 EN,MA,DI EN,
CAD 3VD, MI, TI CABG + MVR, TVR SF √ DI
BJ.11 BP,SS,IM MA
Laparoscopy Oofotrektomi Partial Sin ,
Kista Ovarii Bilateral KH TF √ NP,DB,MW MW NP,DB
Adhesiolisi, TPT
Sistokel Kolporafi Anterior KH ER √ S: IS,EA DB NP,MW
Laparatomi Adhesiolisis + Salpingektomi

Kista Ovarii dg Perlengketan B,KH ER √ NP MW
Sin + Ooforectomi Parsail Sin
KH,KH,
Mioma Uteri TAH + BSO + Adhesiolisis MZ √ AL,DM,PM AL DM
S
Mola Hidatidosa Histerektomi Total + BSO + KH,KH EN √ PM DM, AL
NOS c/ Ganas Laparatomi Explorasi Adhesiolisis + FS KH HR √ AH,RE RE ER

Laparatomi Reseksi Tumor Mesenterial +
KH JS √
End to End Jejunustomi (Anastomose)
Impaksi 2 Rahang Odontectomy 4 gigi KH DV √ RE ER
RR GRD : ER SORE PROGRAM : SF,RK,WU,TW,AN,AG,AD,BY,TK,IS,EA,MY,WI,RG,SA,SR,TR,WD,ANM,AU ALAT : PUR (S : CA)
Cholesistolithiasis, Cholesistitis Laparoskopi Cholesistectomy KH MG √
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + Gas C3F8 KH AL √
Post Pemasangan DJ Stent URS + Aff DJ Stent KH,S MAS √
CKD Pasang DL K ALI √ DW YW

CKD Pasang DL Longterm K WW √
Tumor Paru c/ ganas + Efusi Pleura Pasang Pigtail S UUD √ ANM SF
Varises Multiple Excisi Varises KH AS √ EA SR
Laparatomi explorasi Repair Perforasi

Peritonitis KH PB √ VT,JF NH,SL
gaster
Massa Hypofaring Traceostomi + LD + Esofaguscopy S,S,B MYS √ SL NH
G2P1A0, Hml 32mg SCTP + IUD B HR √ Gatot
Laparatomi Repair Defek Hernia Umbilical

MAR KH,B PTY √
+ Colostomi
G2P1A0, Hml Aterm SCTP B HR √ Gatot DA JF
Corpus Alienum Batere Jam Esofagus Esofaguscopy + Ekstraksi Corpal + Pasang B MYS √ RK
BGT
Ileus Obstruktif Laparatomi explorasi Hemicolectomi D KH MM √ AD ANM
ICH Craniotomi Decompresi KH AJ √
G5P4A0, SCTP + MOW B PJ √ Adhie

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

S :SF, NH,SL,JF,
AD,NI HE
Bilateral HN + HU ec VUR Sachse KH ADS √ EV,AS,DN AS EV, DN
Adeno Ca Cervix III B + Mild HN + HU Ganti DJ Stent sin B ADS √ S : AN,AG
Tumor Buli c/ Ganas T4bNoMo Diseksi Kelenjar + Pasang DJ Stent KH,B MAS √ DN EV,AS
Laparatomi Biopsi Ileum KH ERI √
Keloid Auricula Dextra et Sinistra Residif Rekonstruksi Telinga RZ AI,YN,MF

Multiple Ekstraksi 2 Gigi + Tambal 7 gigi
VSD KH DV √ S : WD AI MF
(Odontectomi 2 Rahang)
Abses Hepar Laparoscopy Biopsi + Drainase KH MG √ AI MF
Fistel Abdomino Colon Laparotomi Cholesistectomi + Fistulektomi B,KH ERI √ MF YN
Mata Kanan Katarak Mata Kanan Phaco + IOL KH AK √ YW, DW

Mata kiri KSI Mata kiri phaco + IOL MR S : ANM
Mata Kiri Secondary Implant + Vx Anterior (
Mata kiri Afakia RF
Iris Clip )
Mata kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL RF
Mata Kanan Katarak Imatur , Mata kiri
Mata kiri EKEK WIS
katarak senilis hipermatur
Subtotal Histerektomi + BSO + KH,KH,
NOS OP √ ET,SU,PL PL ET,SU
Omenetectomi + FS S
Laparatomi Adhesiolisis Kompleks KH PB √
NOK c/ Ganas TAH + BSO + Adhesiolisis + FS KH,B,B INU √ S : TK,TW SU ET,PL
Ureterolithotomi + Pasang DJ Stent S,B MAS √
Tonsilitis Kronis ATE + Konkoplasty dg Endoscopy B,S FAR √ TK PM
Cholesistolithiasis Laparatomi Cholesistektomi KH PB √ TD,RI TD
PB √ S : MY
Adeno Ca Rectie 1/3 Distal Laparatomi Miles Procedure KH
Wound Dehisense post Laparotomi Laparatomi Reseksi Jejunum + Ileostomi KH,B PB √ MY
Tumor Hepar C/ HCC Laparotomi Biopsi Hepar KH ERI √ AU

Pasang CVC KH TA √
TMD c/ Ganas T2NoM1 Insisi Biopsi S BIS AZ,RM RM AZ
Ca Tiroid Sin T2NoMo Total Tiroidektomi KH UUD √ S :RG AZ RM
Multiple Limfadenopati Colli Limfadenektomi Biopsi + PA S DWT √
Ca Mamae dg STT Paha Kiri Wide Eksisi B DWT √ AZ Aziz
STT Wide Eksisi B DWT √ RG
Combustio Gr II - III 10 % e.c Listrik Debridement + STSG KH ETH √ UM,RA UM RA
Kontraktur Ekstensi Manus Dx Release Kontraktur Kompleks KH ETH √ S : RE
Cumbustio Gr II-III Debridement KH PJ √ RE

Mata Kanan Katarak Senilis Matur, Mata Kiri
Mata Kanan Phaco + IOL KH WIS √ NK,MK,DJ MK NK,DJ
KSI
Mata Kiri Post Rekonstruksi Palpebra Tahap Mata Kiri Rekonstruksi Palpebra Tahap 2 +
S,KH INA √ S : TR DJ NK,MK
I Rekonruksi Soket Dgn GMB
Mata Kiri RRD + Mata Knana Pseudofakia Mata Kiri Vitrektomi + SB + EL + SO KH AW √ NK,TR MK,DJ
Mata Kiri RRD Mata Kiri Vitrektomi + EL + Gas C3F8 KH AW √ TR
Mata Kanan Selulitis Preseptal e.c Mata Kanan Debridement + Insisi Drainase
B,S INA √ TR MY
Dacriosistitis Abses Repair Duktus Lakrimalis
Mata Kiri Basalioma Mata Kiri Eksenterasi Orbita KH TL √ TR MY
SOL Frontalis Dextra Craniotomi Mikro Dasar Tengkorak ZM LW,BR,VQ
SOL Craniotomi Dasar Tengkorak KH AJ √ S : SA,BY BR,VQ LW
Fr. Kompresi + Fr. Femur Sin 1/3 poximal ORIF + Bone Sement + Core Biopsi DID + ALI PR,AP,TM
obliq disp ttp nk
ORIF Rekontruksi + Debridement + Bone KH,B,
Fr Femur Dx APR √ S : WI
Graft KH
OA Genu Dextra TKR BIN
EN,MA,DI MA,
MS Severe MVR + TVR BJ.08 SF √ DI
BP,SS,IM EN
Agenesis Vagina Vaginoplasti KH HR √ NP,MW NP MW
Laparoscopy Oooforectomi Parsial Sin +
Kista Endometrium KH,KH TF √ S: IS,PM,AU MW NP
Kistectomi Ov. Dex + Adhesiolisis
Hematocolpos Haematometra Himen Vaginoplasti KH TF √ NP AM

Mioma Uteri TAH + SOD KH.B MZ √ AL,DM AL DM
Ca Ovarii Surgical Staging KH EN √ DM AL
Prolaps Uteri TVH KH ER √ NP,IS MW
MAR on Colostomy PSARP KH RR √ AT,AM AM AT
Obstruksi Level Duodenum KH EDW √ AU AM
Duodenum
Drop Foot + Lumbal Neuroplasti + Rhizotomy Inj KH,KH TRI A √ DB DB ER
RR GRD : ER SORE PROGRAM : SF,RK,AN,AG,NI,RE,AD,BY,TK,IS,MY,WI,PM,RG,SA,TR,TW,WD,ANM,AU,CA ALAT : PUR (S : CA)
Myastenia Groris Pasang Double Lumen K HA AR NO
Fr Tibia Dx 1/3 Tengah Tbk Gr II ORIF KH DID √ AP TM,PR
Appendicitis Kronik Laparoscopy Appendiktomi KH PTY √ WD IS
Eksplorasi Pseudoaneurisma + Repair

Pseudo Aneurisma KH AS √ AR
Vaskuler Femuralis Dex et Sin
PAD Cruris Dextra AmputasiAbove Knee Sinistra KH √

AS
Hidrocephalus VP Shunt KH DP √ WI BY
Stricture Uretra Sistoskopi + Sache S,KH WAN √ AY GI,DA
Tumor Paru Broncoscopy KH AVIS √ RK SF
Ca Nasofaring EGD + Pemasangan Orogastric Tube S ERI √ RK SF
CKD Psg Double Lumen K ALI √ DW

G2P1A0, Hml 39mg, SCTP √ Gatot HE EW,DY
B JD
Mata Kanan Perforasi Kornea Riw Glaukoma Mata Kanan Eviserasi Bulbi S INA √ HE NH,SL
G3P2A0, Hml 36mg, PEB SCTP + MOW KH PS √ Gatot
Sistostomi S EDW √ HE NH
ORIF Radius S + ORIF Tibia S + Fixasi KH,KH,
Fr Femur Sin + Fr Radius sin + Fr Fibula Sin DID √ AD NI
External Femur S
Efusi Pleura Sin Masif Pasang WSD S ALI √ EA WU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S
:SF,RK, NH,SL,HE, II
NI
Hipospadia Uretroplasty KH ADS √ EV,AS,DN
Ca Cervix st II b Moderate HN + HU Dextra Sistoskopi + DJ Stent Bilat S,B ADS √ EV DN
Moderate HN + HU Sinistra, Severe HN +

Sistoskopi Biopsi S ADS √ S : AN,AG EV AS,DN
HU Dextra
AS,
Kista Pre Aurikula Dx Ekstripasi Kista S PW √ DN
AH
Hidrocephalus VP Shunt KH DP √ AI,YN,MF
MAR on Colostomy Post PSARP Reseksi Anastomose Colon End to End KH RR √ S : MK
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH DV √ AI YN
Mata Kanan Katarak Komplikata + Seklusio

Mata Kanan EKEK + IOL /EKEK +
Pupil, Mata Kiri Ablatio Retina + Luksasi WIS YW, DW
Sinekiektomi
Lensa
Mata Kiri KSI + Miop Degeneratif Mata Kiri Phaco + IOL WIS S : ANM
Mata Kiri Secondary Implant ( Iris Claw) +
Mata Kanan Kiri Afakia RF
Vitrektomi Anterior
Mata Kiri POAG + KSI Mata Kiri Phaco + IOL FI
Mata Kanan Kiri POAG + KSI Mata Kanan Phaco + IOL MR
NOK + Mioma TAH + BSO + FS KH,KH EW √ ET,SU,PL SU ET,PL
Laparatomi Adhesiolisis B ERI √
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ S : TK,TW ET SU,PL
Ikterus Obstruktif e.c Tumor Caput Drainase Asites S PB √ RI TD

Laparotomi Explorasi Sigmoidostomi +
Ileus Obstruktif + Tumor Recti 1/3 Distal KH,B PB √ TD,BD,RI RI TD
Rectoscopy Biopsi
Massa Paru Sin Susp Perdarahan Paru Bronkoscopy KH Thom √ US RI,TD

TMD C/ Ganas T3N0M0 Eksisi + PA + FS S BIS √ AZ Aziz
TMS C/ Ganas T3N1M1 C/ Hepar Eksisi Biopsi + PA S BIS √ AZ,RM AZ Aziz
Phyloides Maligna Mastektomi KH DWT √ S :RG AZ Aziz

Isthomolobektomi Dex + FS, Ganas -Total
SNNT KH,KH DWT √ PS
Tiroidektomi
Ca Mamae Wide Eksisi + FS, Ganas - MRM B,KH DWT √ WU
TMD c/ Ganas T3NoMo Wide Eksisi + FS, Ganas - MRM B,KH DWT √
Silikonoma Penis Eksisi + Rekonstruksi KH RZ √ TA,UM,RA UM TA, RA
Corpus Alineum Elbow Dx Eksplorasi + Ekstraksi B RZ √ S : RE
Mata Kiri Ekstraksi Lensa + IOL+ PPC + Vx

Mata Kiri Katarak Kongenital KH LN √ NK,VT,DJ NK VT
Anterior
Mata Kanan RRD, Mata Kanan Kiri PseudofakMata Kanan Vitrectomy + EL + SO KH AL √ S : TR NK
Mata Kiri Ablatio Retina + Glaukoma Mata Kiri Vitrectomy + EL + SO + PHACO

KH,KH AL √ NK DJ,VT
Fakomofik + IOL
Mata Kiri RRD Mata Kiri Vitrectomy + EL + SO KH AW √ NK DJ,VT
Spondylolisthesis Lumbalis Laminektomi Kompleks + Disektomi KH HY √ LW,BR,VQ

Craniotomi Dasar Tengkorak +
Neurocahe Cyst Pre KH,KH ER √ S : PM,MW MW MP
Laminectomi C I - III
Laminektomi Dekompresi + Eksisi Tumor
Tumor Extradura dd HNP KH,KH APR √ PR,AP,TM AP TM
Fusi
STT Reg Brachii Dx Wide Excisi B APR √ S : WI,AD
Ruptur ACL Rekonstruksi ACL KH BIN √ WD
OA Genu Sin TKR KH BIN √ AD MK
Fr Collum Femur Dx Bipolar Hemiartroplasty BIN

EN,MA,DI
VSD VSD Closure BJ.04 WW √ EN MA
BP,SS,IM
CHF , Sternal Dihiscence Thoracotomi Re Wiring KH SF √ SE AD
Polidactily Manus Dx Eksisi + Rekontruksi KH NJT √ NP,PS,ER NP ER,RE

Kejang Demam LP ALIF
Ca Endometrium Laparatomi Surgical Staging KH MZ √ AL,DM,DB AL DM,DB
Myeloplasty + Spondiliosis Neuroplasty + Rhyzotomi KH,KH TRI A √ DB DM,AL
Cholesistolithiasis Open Cholesistectomy JS AH,AT,AM
Sistokel Kolporafi Anterior + Kolpoperineorafi KH,KH ER √
RR GRD :IS SORE PROGRAM : SF,RK,TW,AN,AG,NI,RE,AD,TK,MY,JF,WI,MW,MK,PM,RG,TR,ANM,YS ALAT : PUR,CA (S : YS )
OMA Std Meringotomi Dex - Sin B AYU √ EW
Pasang Double Lumen dg C-Arm + Ligasi

CKD K,KH AS √ MK SA
Overflow AV Shunt
CKD Pasang Double Lumen dg C-Arm K AS √ SA MK
Acute Limb Amputasi Cruris Sin + Embolektomi KH,KH AS √ EA

Varises Debridement luas S AS √ TW SE
Ulcus DM r/ Pedis sin Amputasi Cruris Sin KH AS √ BY EW
Imaksi Odontectomi 2 Rahang KH DV √ MK AG
STT r/ Kepala Wide Excisi B DWT √ RG
Meningoencefalitis Lumbal Pungsi B Yovita √ MY SE
Laparatomi Adhesiolisi Kompeleks + Byass

ASBD KH JS √ NP RE,ER
Ileostranvestotomi
VP Shunt Malfromasi Removal VP Shunt K HY √ EW
G2P1A0, Impartu Kala I SCTP B JD √ Adhie
Massa Supraglotis Trakeostomi + Eksterpsi Massa + LD S,S,S RR √ AU NH
G P A , bekas SC SCTP dg penylit B OP √ Gatot HE SL
G5P3A1, Hml 40mg, HIV+ SCTP + MOW B OP √ Gatot NH HE
VP Shunt Malfromasi Removal VP Shunt K HY √ AU NH
G1P0A0, CHF, NYHA, SCTP dgn penyulit B OP √ Gatot
G2P1A0, Hml 38mg, AML SCTP + MOW dg Penyulit KH OP √ Gatot TW ANM
Laparatomi Explorasi repair Perforasi

Peritonitis KH PB √ AN RK
Gaster
Skin Soft Lost + Perdarahan Debridment B PJ √ NI RK
SDH Kronis Kraniotomi SDH Kronis KH HY √ EA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S
AU,SL,ES,HE,II,TU,TW,TR,ET,SU,TD,AZ, AP,BR,DA,
PLH : GI,TD :SF,RK,
RM, LW, PR PL,VQ
NI
Impaksi 2.2 , 2.3 Impaksi 1 Rahang Odontectomi 1 Rahang KH DV √ AS,AM,TM
Tumor Gigi Mandibula Eksisi Tumor Ginggiva mandibula kiri B DV √ S : MY,RG AS TM
Tonsilektomi Kanan dan Kiri + Eksterpasi

Massa Tonsil dd Susp LNH S,S RR √ AI,YN,DB DB AI
Massa Dinding Faring Posterior
TA,
Fr ZMC Dx Rekonstruksi Tlg Wajah Kompleks KH PJ √ S : MK RA
ER
Mata Kiri Glaukoma Sekunder Mata Kiri Trabekulektomi B MR √ TR,RI RI TR,DM
HNP L5-S1 Neuroplasty + Rhizotomy KH,KH TRI A √ DM TR,RI
HNP L5 - S1 Neuroplasty + Disectomy KH,KH TRI A √ S : ANM DM R,RI
S :RG
Fr. Parasimfisis Mandibula Rekonstruksi Fr. Tulang Wajah Komplek KH NJT √ TA,RA TA ER,RA
S : RE,JF
Mata Kiri Ekstraksi Lensa + Insersi IOL +
Mata Kiri Katarak Kongenital KH LN √ NK,VT,DJ NK VT,DJ
PPC + Vx Anterior + PI
S : PM,MW
S : WI,RE
EN,MA,BD EN,
CAD 3VD CABG High Risk BJ.011 SF √ VT,DN
BP,SS,IM MA
NP,ER
AL,DM
AH
SORE PROGRAM :SF,RK,NI,RE,MY,JF,WI,MW,MK,PM,RG,US,ANM ALAT : PUR ( S: US)
Hidrocephalus VP Shunt KH GK √ AU LW,SU
SOL r/ Dineal + Hidrocephalus VP Shunt KH GK √ AU Aziz
BR,
Apendikcitis Akut Laparascopy Appendictomi KH PB √ DA
VQ,PL
Apendiktomi Laparatomi Apendiktomi KH RR √ PR BR,RK
Empiyema Thorax Pasang WSD S WW √ DY NI,MW

Mata Kiri Endo Thalmitis Mata Kiri Injeksi Antibiotik Intravitreal S DN √ AD WD
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NO, AF, AM,

HNP L5 - S1 Percutaneus Disectomy + Neuroplasty KH,KH TRI A √ PM, US, RE YW
YW, DJ, DN
Myelopaty Lumbal + HNP Percutanius Disectomi + Neuroplasty KH,KH TRI A √ MW JF,MF
Wound Dehisence Debridment + Hecting Sekunder B,S DP √ AM RE,AM
AF,II,
HNP L4-5, S - SI Percutanius Disectomi + Neuroplasty KH,KH TRI A √ MW
VT,MF
Metatasis Bone Desease Ngeri Spinal Sympatectomi + Rizotomi KH,KH TRI A √ MW JF
Tonsilitis Kronis + Sinusitis ATE + FESS III B,KH DAT √ VT II

Fr Dento Debridment S DV √ AF VT,II
Trauma Tumpul Abdoment Laparatomi Explorai Splenektomi KH PB √ AF II,VT

Debridement + GipsBack Slap B,K APR √
Pasang CVC KH ALI √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,HE,HI,
NO,RK,
DI,
RE
Batu Staghorn Dx, Nefrolithiasis Sin URS Bilat + Pasang DJ Stent Bilat KH,B WAN √ EV,AS,RI AS EV,RI
OMSK Kanan Dengan Kolesteatoma

Tympanoplasty Type IV KH ZUL √ S : AU,RM
Eksterna
Adeno Ca Rectie 1/3 Distal Miles Procedure KH MG √ AU Aziz
Megacolon Congenital Colostomy B RR √
Laparoscopy Eksisi Kista Choleducal +

Ductus Choledocus Cyst KH,KH PTY √ AI,YN,RA Aziz
Rekontruksi Double By Pass
Hernia Umbilical , MAR Vestibuler Abdominoplasty + Colostomy RR S : DB
Mata Kiri Phacoemulsifikasi RF YW,TU
Komplikata
Mata Kanan Buka Jahitan RF
Senilis Imatur
Mata Kiri High Miopia Degeneratif + KSI,
Mata Kiri Phaco + IOL AK
Mata Kanan Pseudofakia
Mata Kanan Pseudofakia + Mata Kiri KSM Mata Kiri EKEK + IOL WIS S : DW
Mata Kanan Kiri Anisometrop + KSI Mata Kanan Phaco + IOL WIS
Mata Kanan POAG Mata Kanan Trabekulektomi FI
Mata Kiri Blow Out Fracture, Fr. Distal Mata Kiri Eksplorasi Bulbi + Reposisioning
Musculus Rectus Inferior + Rekonstruksi S,KH AK √ TW,ET TW ET
Radius Sinistra
Fr. Ds Orbita
Massa Sinus Sfenoid + Ethmoid FESS III + Biopsi KH,S RH √ S : SE SE
Tumor Hepar Segmen 2,3 Laparatomi Reseksi Hepar Anatomical KH ERI √ SE TD

Batu Ureter Laparoscopy Cholesistectomi KH PB √ AN,BD,DN AN DN

URS dex + DJ Stent Dex B WAN √
Tumor Caecum c/ Ganas Laparatomi Hemicolectomy Dex KH PB √ S : SU,TD TD
Laparatomi Adhesiolisis Kompleks + Biopsi

Adeno Ca Rectosigmoid c/ Residif KH,KH ERI √ AT SE
Limfonodi Mesenterial
Wide Eksisi + FS Ganas - mandibulektomi B,KH,
STT Reg Mandibula Sin BIS AZ,PL PL AZ
+ Rekontruksi Plate KH
SNNT Bilateral FS, Ganas - TT KH DH S : ES
Traceheostomi + Extended
Tumor Mandibula Sin c/ Ameloblastoma B,KH UUD √ HA
Hemimandibulectomy Sin
TT + Limfadenektomi + FS,Ganas - RND KH,KH, ES,
Ca Papilary Thiroid T3N1bM0 UUD √ TD,MW
Dex + RND Sin KH RG
BCC Zigomaticus Sin Potong Pedicle (Refinement Flap) S RZ √ UM,RA UM RA
Potong Pedikel Groin Flap Dx + Amputasi

Pasca Groin Flap Bilateral S,KH RZ √ S : TA UM RA
Below Elbow Sin
Skin Degloving Reg Lumbosacrum Debridement Luas B NJT √ TA TD
Ulkus Ankle Sin, Abses Fournier, Nekrotik Debridement + Amputasi Disetal Digiti II
B,B PJ √ TA
Dig II Manus Dx Dex Rekontruksi
Mata Kiri Re Trabekulektomi +
Mata Kanan Kiri Glaukoma Kongenital KH,KH LN √ NK,TR,TM TR TM
Trabekulotomi + MMC
Mata Kiri SO Filled Eye + Katarak Mata Kiri Phaco + IOL + Evakuasi Silikon
KH,KH AL √ S : HA NK TM,TR
Komplikata, Mata Kanan Kiri PDR oil + Gas
Mata Kanan TRD Mata Kanan Vitrectomy + EL + Gas / SO KH AL √ TR TM
Mata Kiri Ablatio Retina Mata Kiri Vitrektomi + Lensektomi KH AL √ HA
Hemangioma Colli Repair Tracheostomy ALI
LW,SF,DJ
S : BR,SC
Fr Femur Dx 1/3 Tgh Tbk Gr II ORIF Femur + Debridement KH,B APR √ PR,AP,MF AP PR,WI
OA Genu Dx TKR Dx KH BIN √ S : VQ,VT
Fr Humerus Dx 1/3 Tengah ORIF KH BIN √
Ruptur ACL Rekontruksi ACL Dex KH BIN √ VQ WI
EN,MA,WI EN,
MI MVRepair , TVR BJ.08 SF √ VT
BP,SS,IM MA
Mioma Uteri TAH + BSO KH,KH MZ √ NP,PS,ER NP ER,PS
Tonsilitis Kronik Tonsilektomi S DAT √ ER PS,NP
TMS BCS KH YAN √ AL,YS AL YS
Tumor Lidah c/ Ganas T2NoMo Wide Excisi + FS B UUD √ YS AL
Post Partum Spontan Ingin Steril Kuretase + MOW bilat K,S PS √ AH,AT AH SU
Post Partum Spontan Ingin Steril, PEB MOW S BES

NOK SOD + FS B TF √ AH SU
RR GRD :AR SORE PROGRAM : NO,RK,TA,TD,SC,AU,DW,BR,DA,DB,VT,ES,HA,SC,SE,SU,US,RM,VQ ALAT : PUR (S : EM )
SOL Temporo Craniotomi Mikro Dasar Tengkorak KH AJ √ LW SF
Pemasangan Intenal Fiksasi Kranium B MTA √
Meningioma Clinoid Craniotomi Mikro Dasar Tengkorak KH DP √ BR SC
Tumor Rectosigmoid Anterior Resection KH MG √ WD NI

Repair Buli S WAN
Post Palatoplasty Wound Dehisense Explorasi Perdarahan B PJ √ RG NH
Combustio Debridment KH PJ √ TA
Corpus Alienum Broncus sin Bronkoscopy KH Sofyan √ US
Pneumo Perinerum ec Perforasi Holloe

Laparatomi Explorasi + Sigmoidostomi KH PB √ HI DI
Viscus
G1P0A0, H,l 34mg Gemeli SCTP + IUD B EW √ Gatot TK NI
Post Relaparatomi ec Burst Abdoment Ileostomi B RR √ DA RK
Efusi Pleura Kiri Pasang WSD S ALI √ DA RK

CKD Paang DL K ALI √ DW DA
Tumor Gaster Pasang CVC KH ALI √ DW RK
Laparatomi Release Intisusepsi
Invaginasi KH,KH RR √ BR SC
(Invaginasi) + Apendiktomi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : CA ST,BD,RI
Skin Nekrotik Femur Dx Pasca Amputasi Debridement + Nekrotomi RZ AK,PS
OMSK Kiri Pasca ME Radikal ME Revisi + Kanaloplasty Teliga Kiri B,B PW √ AN,EA SE AN
Ca Endometrium Surgical Staging KH EW √
Stenosis Trachea LD + Evaluasi Stenosis Trachea S DAT √ HI,EW EW HI
Massa Cavum Nasi Kanan Hemimandibulektomi Medial + Endoscopy KH DAT √ HI EW
Mata Kanan Kiri PDR + CSME, Mata Kanan

Mata Kanan Vitrektomi + EL KH AW √ HR,UM
Katarak Komplikata
Lesi Transversal Parsial Medula Spinalis Thx
Laminektomi Kompleks KH AJ √ UM HR
10 -11 e.c TB
Fusi Posterior Fiksasi Internal dgn PSRS
KH MTA √
Thoracal
SOL Medula Spinalis VTH 9 Laminektomi Kompleks KH MTA √ AT,AD
Evakuasi Tumor Spinal Thorakal KH HY √
AR
,ER,ES,HA,SC,SE,RM,VQ
ES,DW
Nodul Microvaskuler LD Eksterpasi Nodul + TE S,S WY √ ER
,EA
Cholelithiasis Laparascopy Cholesistectomi dg Adhesi KH MG √ AU HA,BD
Evakuasi Hematoma + Rehecting Laserasi

P2A0, Post Partum Spontan , Perdarahan K,KH IN √ RE NI
Vulva & Perineum
Peritonitis Generlisata ec Perforasi Holloe Laparatomi Explorasi Repair Perforasi
KH ERI √ WD II
Viscus Ductus
Obs. Dyseneu Jackson II ec Susp Massa
Traceostomi + LD Biopsi S,S,S DAT √ HI EW
Laring
Ca Sinunasal Residif MidFacial Degloving B DAT √ EW HI
G3P2A0, Hml 37mg, Riw Obstetri jelek SCTP HT √

B
Vulnus Laserasu Lidah 1/3 Anterior Debridement + Penjahitan luka S ETH √ ST PS
Ulkus Granulosum Thoracal debridment B PJ √ RI ST,PS
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,HI,AF,
NO,GI,
AG
DA
UDT Sin + Hernia Inguinalis Dx Reponible Orchidopexy S + Hernioraphy D KH,B ADS √ EV,AS,RI AS RI
Nefrolithiasis Dx,Ureterolithiaisis Ureterolithotomi ADS S : DM,RM

Prostat Enlargement TVP (Open Prostatectomy) B WAN √ RI EV,AS
Hernioraphi + Mesh B ERI √
Ulkus DM Pedis Sin Amputasi Digiti I Pedis Sin + Debridement S,S ALI √ DB Aziz
Arteri Tibialis Dx, Ulkus DM Pedis Dx Debridement ALI
NOK SOU + FS B ER √ AI,RA AI RA
Ca Epidermoid Cervix + HN sin obst. ec Pyelolitotomi Sin + Pasang DJ Stent +

KH,B,S MAS √ S : DB RA AI
Pielolititasis Sin Cystoscopy biopsi
Infected TKR Sinistra Debridement B DRY √ DB Aziz
Mata Kiri Katarak Senilis Matur Mata Kiri EKEK INA YW,TU
Malformasi Vaskuler Pedis Dextra Injeksi Fenodinol PJ S : DW
Mata Kiri PACG Mata Kiri Trabekulektomi B MR √
Mata Kanan Katarak Senilis Imatur, Mata Kiri Mata Kanan Phaco + IOL WIS
Mata Kiri Afakia Mata Kiri Sekunder Implant (Iris Claw) WIS
CKD on HD Psg Double Lumen Long Term K AS √ IS SC
Radikal Vulvektomi + Limfadenektomi
Ca Vulva St I B KH,B EW √ TW,ET TW ET
Inguinal Bilat
Kista Ovarii SOD + Adhesiolisis Kompleks + FS B,KH EW √ S : ES ET TW
Hiperplasia Atipik Histerektomi Total + BSO KH,KH √ ES TD

EN
Laparoscopy Cholesistectomi + Reseksi
Cholesistolithiasis KH ERI √ HR,BD BD HR
Adhesi
Cholesistolithiasis Laparotomi Cholesistectomy B JS S :YN,TD YN TD
Tumor Intra Abdomen Laparotomi Biopsi JS
HIL Dx Reponible Hernioraphi B MG √ HR BD

Tumor Mesenterium d.d Lipoma Laparotomi Hemicolektomi Dex KH ERI √
Hemimaksilektomi Sin + Diseksi KGB Colli

Keratinizing SCC Well Diff Maxilla Sin KH,KH BIS √ AZ,PL PL AZ
Sin (SND)
IDC Gr II MS T3NoMo MRM KH BIS √ S : AD PL AZ
Ca Mamae Dx Mastectomy KH DWT √
Tumor Mamae Wide Eksisi B DWT √ AD EA
SNNT C/ Ganas T2N0M0 FS, Ganas - TT KH DWT √
BCC Residif Wajah Wide Eksisi + FS Bebas Tumor B UUD √ UM,SR UM SR

CKR, Fr ZMC Sin Rekonstruksi Fr Tulang Wajah Kompleks KH ETH √ S : EA,TA AS TA
Kontraktur Dermatogen Release Kontraktur Manus sin + STSG Sin KH,KH PJ √ EA TA
Rhinosderoma Rekonstruksi Flap WY

Mata Kanan Ekstraksi Lensa + PCC + Vx
Mata Kanan Katarak Kongenital KH LN √ NK,TR,TM NK TM
Anterior + PI
Keganasan Hematologi BMP B HER √ TR
Mata Kiri Orbitotomi Anterior + FS +

Mata Kiri Masa Konj. Susp LMNH KH,KH TL √ TM NK
Eksenterasi Total Orbitotomi Kiri
Mata Kanan Evakuasi Silicon + EL + Inj.
Mata Kanan Silicon Filled Eye KH AL √ S : DI NK,DI TM
SO
Mata Kanan Endoftalmitis Post Operatif Mata Kanan Vitrectomi + Implantasi IOL KH,S AL √ DI
Mata Kiri Rekonstruksi Soket + Graft

Mata Kiri Post Enucleation Soket Syndrome KH INA √ DI
Mukosa
Craniotomy Mikro Dekompresi Micro
TIC Facialis Kiri KH ZM √ LW,SF,DJ SF,MF LW
Vaskuler
Meningioma Falk Craniotomi Mikro Dasar Tengkorak KH MTA √ S : AN,AT

Fr Kompresi V Th IX KH,KH APR √ PR,AP,MF PR AP,MF
Fusi
Fr Intercondyler Femur Sin + Fr Radius Ulna
ORIF Femur + Radius Ulna Sinistra APR S : VQ,VT
Sin
Ruptur ACL Rekontruksi ACL KH BIN √
Ruptur ACL Sinistra Rekonstruksi ACL Sinistra + Artroscopy KH,S BIN √ AU SU
Infected Hemiarthroplasty, Dislokasi Debridement + Reposisi B,S BIN √ VQ WI
EN,MA,WI
ASD II L-R Shunt ASD Closure BJ.03 WW √ EN,VT MA
BP,SS,IM
TOF, PS Severe BT Shunt BJ WW √ MA EN,VT
P5A0 Post Partum Spontan, PEB, Ingin
MOW S TF √ AH PS
Steril
Laparoscopy Kistektomi Bilat +
Kista Ovarii Bilateral + Mioma Uteri KH,KH TF √ CA,PS,ER PS AH
Laparoscopy Kistektomi Ov. Kiri Ovrium
Kista Ovarii Bilateral KH,KH TF √ S : HA,AM PS AH
Driiling + Kistektomi Kista Pars Tuba
Impaksi Gigi Odontektomi 2 Rahang + CWL KH,B RP √ AH,PS AL
On Colostomy ec Invaginasi Laparatomi Reseksi Anastomose Colon KH PTY √ AL,YS AM
Hernia Umbilical, MAR Vestibuler Herniotomi + Colostomi B,B RR √ AM YN
Businasi + Reseksi anastomose Colon
Striktur Ani Post PSARP K,KH RR √ YS AL
(Tutup Stoma)
Malignant Fibrohistiositoma Reg Ankle
Wide Eksisi B DH AH,RG RG AR
Brachii
Tumor Parotis RND Sin KH DWT √ HA
RR GRD : AR SORE PROGRAM : NO,GI,TA,TD,AN,AM,AT,DW,AD,DA,DM,DB,DI,VT,EA,YN,ES,HA,US,RM,VQ ALAT : PUR (S : EM )
Ulkus Crusir Pedis Debridement S ALI √
Efusi Pleura Kanan WSD kanan S ALI √ HI
TOF, PS Severe BT Shunt BJ WW √ MA EN,VT
Meningocele Rekonstruksi Hidung KH NJT √ Aziz Aziz
Ablatio Retina Mata Kanan Vx + EL + SO KH AL √ SE
Ulkus DM Pedis Dx Amputasi Distal Cruris S AS √
SCCCervix Uteri St 1b Sistoskopi S MAS √ DS

Rectoscopy B MG √
Striktur Uretra Sachse KH MAS √ AY PM
Ca Prostat TURP + Biopsi Trans Rectal KH,S MAS √ AY PM
CKD on HD Pasang Double Lumen K WW √ DM DW
Diare Kronik Colonoscopy KH DD √
Laparatomi Explorasi + repair Sigmoid KH ERI √
SNH, Hep C, Anemia Bronchial Toilet on Site FTR

CKD on HD Pasang Double Lumen ALI
CKD on HD Pasang Double Lumen dg C-Arm K AS √ IS MK
CKD on HD Pasang Double Lumen K AS √ IS MK
G2P1A0, Hml 32mg, Bekas SC SCTP + MOW B √ Gatot

IN
Ekstraksi Benda Asing (Batu Batrai) di
Corpal Hidung (Batu Batrai) Dex B RR √ MW SU
Cavum Nasi Dex
Ekstraksi Benda Asing (Batu Batrai) di
Corpal Alienum Peniiti di Esofagus B RR √
Hipofaring
G3P2A0, Hml 36mg, Plasenta Previa SCTP + MOW B IN √
AF,HE,
G3P2A0, Hml 36mg, NYHA III SCTP + MOW B HR √ Gatot SL
AG
Ascites Bilier Pungsi Ascites B PTY √ DM DA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,HI,AG
NO,GI,
HE,DN
AR
Multisinusitis Kronik + Konka Hipertrofi FESS III + Konkaplasty KH,S RH √ EV,AS,RI EV AS
Fr Patologis Femur Dx Biopsi Bone Tumor B DRY √ S : DM,RM EV AS
Mata Kiri Proptosis ec Ca Epidermoid Mata Kiri Semi Eksenterasi Orbita KH TL √ Aziz DM
Massa Sinonasal Craniotomi dasar Tengkorak KH MTA DW BR

Hemimaksilektomi Medial KH DAT √
Mata Kanan orbitotomi Anterior + Biopsi KH TL √
MAR + Recto Uretra on Colostomy PSARP + Fistulektomi KH,B EDW √ AI,RA
MAR + Umbilical Cord Hernia Post Repair

Repair Stoma PTY S : DB
Defect + Colostomi
NOK KH ER √
Kompleks + FS
KH ERI √
Reseksi Anastomose Ileum 2 Tempat
Mata kanan katarak juvenile, mata kiri

Mata kanan phaco + IOL WIS YW,TU
pseudofakia, mata kanan kiri high myopia
Mata Kiri Katarak Senilis Matur dd/ KSH +

Mata Kiri EKEK + IOL KH WIS √ S : IS
Glaukoma Sekunder
Mata kiri Secondary Implant ( iris claw ) +
Mata kanan kiri afakia RF
Vx Ant
Mata kiri katarak komplikata Mata kiri phaco + IOL AW
Mata kanan POAG + KSI Mata kanan phaco + IOL MR
Mata kanan kiri glaukoma juvenile Mata kiri trabekulektomi MR
Efusi Pleura Pasang WSD S ALI √ IS
Miastenia Gravis Pasang Double Lumen K ALI √ IS
PoAo NOK Bilateral Susp Kista
Laparoskopi Kistektomi KH HR √ TW,ET TW ET
Endometrium
PS Valvar Berat + PFO dg Gangren Rad
Multiple Ekstraksi 6 Gigi KH DV √ S : ES ET TW
Pulpa
Kista Endometriosis + Mioma Uteri KH,KH INU √ AN TD
Salpingektomi Dex
Laparascopy Cholecystectomy +
Cholecystolithiasis, Appendicitis Kronis KH,KH MM √ HR,SA
Apppendictomy
Limfadenopati Abdomen + Colli c/ Limfoma Limfadenectomy Colli Dex S ERI √ S :YN,TD ES HI
Abses Hepar Segmen 6,7,8 Laparascopy Drainase Abses KH ERI √ YN TD
Invasive Ca of NST Gr II MS T3N1Mo MRM KH BIS AZ,PL Aziz
STT Fronto Parietal Insisi Biopsi S BIS S : AD PL, AZ

Malignant Pleimorfik Femur Dx T3NoMo B,KH UUD √ PL, AZ
Kegasanan + FS Bebas Tumor
Tumor Mamae Asesoris Wide Eksisi B DWT √ AD TA
SCC Reg Buccal Sin Potong Pedikel S DWT √ AD TA
Haemangioma Reg Bucal Sin Eksisi + Rekonstruksi KH ETH √
SCC Buccal Pasca Forehead Flap Rekontruksi Pasca Keganasan KH NJT √ UM,SR UM SR
Lipoma Hemifacial Dx Eksisi + Rekonstruksi KH NJT √ S : EA,TA SR UM
Ulkus Dekubitus Gr IV Reg Sacrum Debridement B ETH √ EN AI,RA
Eksisi Massa Limfadema r/ Penis +

Limfadema Reg Penis & Scrotum B,B PJ √ EA TA
Rekonstruksi Skin Flap
Mata kanan pseudofakia + Sisa korteks,
Mata kanan irigasi aspirasi sisa korteks RF NK,TR,TM
Mata kiri afakia
Mata Kiri Silicon Filled Eye Mata Kiri Evakuasi Silicon + Scleral Buckle KH,KH AW √ S : VT HA
Mata Kanan Old VH + TRD ec PDR Mata Kanan Vitrectomy + EL + Gas / SO AW

Mata Kiri Subluksasi Lensa + Ablatio + High
Mata Kiri Lensektomi + Vitrectomy + SO KH AW √ NK TR,TM
Myopia
Mata Kanan Kiri Ptosis Kongenital + Scar
Mata Kanan Kiri Koreksi Ptosis INA
Corioretina
Meningioma Craniotomy Mikro Dasar Tengkorak KH ZM √ LW,SF,DJ LW MF
TIC Facialis Craniotomy Microvaskuler Dekompresi KH DP √ S : AN,AT SA AT

fr kompresi V. Th IX-XI KH,KH APR √ PR,AP,MF AP PR,DJ
Fusi
Fr Intercondyler Femur Sin + Fr Radius Ulna ORIF Femur + ORIF Radius + ORIF KH,KH,
APR √ S : VQ, PR AP,DJ
Sin Intercondyler + Gips KH
Fr Collum Femur Dx Bipolar Hemiartroplasty KH BIN √
EN,MA,WI
ASD ASD Closure BJ.03 WW √ MA EN,VT
BP,SS,IM
Laparoscopy Ooforectomi Parsial Bilat + KH,KH,
Multiple Mioma + Kista Ovarii TF √ WU,DI,ER DI WU
Adhesiolisis + Multiple Miomektomi KH
S:
Adenomiosis Laparoscopy Adhesiolisis + Miomektomi KH,KH TF √ DI WU
HA,AM,BD
Uterus Miomatosus TAH + BSO KH,KH EN √ AM
Total Abdominal Histerektomi + BSO + KH,KH,
Neoplasma Ovarii MZ √ AL,AF,YS AL AF,YS
Adheiolisis luas + FS KH
Neoplasma Ovarium Kistik Surgical Staging + FS KH EW √ AF YS
KH,B ERI √
Kholesistectomi
Ca Lidah Hemiglosektomi Dex + RND Dex B,KH YAN √ AH,WD AH JF
Isthmolobectomi Sin FS, Gns- TT,
Adeno Ca Papiloma T2N1M0 DH
Limpadenectomi Sin FS-Gns-RND
RR GRD : PS SORE PROGRAM : NO,GI,TA,TD,AR,AN,AM,AT,AD,BD,BM,DB,VT,EA,YN,ES,HA,IS,US,RM,VQ ALAT : PUR (S : EM )
Vitreus Haemoraghe Mata Kanan Vx + EL + gas KH AL √ TR TM
Debridement + Rekontruksi dgn Bone

Fr Dento Alviolar Maxilla S,KH RP √ AN TM
Graft
Bucal Abses + Impaksi Gigi Odontectomi 2 Rahang KH DV √ HA
Striktur Urethra Sachse + Sistoscopy KH,S WAN √ AY MP
CKD Pemasangan Double Lumen K AS √ PM MK
Ulcus DM Pedis Sin Debridement Luas B AS √ TD AN
CKD Repair DL K ALI √ IS

CKD Pemasangan Double Lumen K ALI √ IS
G1P0A0, Hml 26mg, PEB, NOK SCTP dg penyulit + Ooforectomi Dex B,B DC √ Adhie
Resusisitasi + Infus Umnilicalis + Intubasi

ET
CKD Pasang DL K ALI √ SL HI
G2P1A0, Hml 38mg, HIV+ SCTP + MOW B IN √ DN AG
Abses Apendical Insisi Drainase Abses Abdoment S ERI √ DN HE
Peritonitis Generalisata perforasi Sigmoid

Laparascopy Explorasi Repair Sigmoid KH ERI √ AG DN
Prox
Severe Hydronefrosis Bilat Open Nefrostomi KH WAN √ HI DN
Apendcitos Akut Laparatomi Appendiktomi KH √ GI AR

PTY
G2P1A0, Hml 38mg, Letak Lintang SCTP B √ Adhie GI AR

IN
Peritonitis Generalisata Internal Peritoneal Drainase K √ DA

MM
Dispneu Jackson II Traceostomi S MYS √ SC SE
Ileus Obstruktif Laparatomi Explorasi Apendiktomi KH MM √ DA AU
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,HI,
TA,AR,
HE,DN
AG
Rhinoscleroma Rekonstruksi Flap KH WY √ EV,AS,RI AS EV
Massa Sinonasal c/ Ganas Hemimaksilektomi Medial KH WY √ S : RM Aziz AF
Labiognatopalatoschisis Dx Inkomplit Palatoplasty KH ETH √ AI,RA
RSK + Konka Hipertrofi + Septum Deviasi FESS + SR + Konkoplasti KH,B,S RH √ S : BD,AF AI RA
Mata Kanan Kiri Obstruksi Duktus Naso

Mata Kanan Kiri Endol DCR KH INA √ AF BD
Lakrimalis
FESS 1 KH RH √
Mata Kanan Kiri Simblefaron + Katarak

Mata Kanan Kiri Simblefarektomi + Mata
Senilis Imatur, Mata Kanan Ektropion + B,K,S INA √ YW,TU
Kanan Koreksi Ektropion + Eksisi Pterigium
Pterigium
Mata kanan katarak senilis imatur Mata kanan phaco + IOL AL S : DI
Mata kiri katarak senilis imatur Mata kiri phaco + IOL AL
Mata kiri glaukoma sekunder ec SO Filled
Mata kiri trabekulektomi MR
eye
Mata kanan PACG + KSI post
Mata kanan phaco + IOL MR
Trabekulektomi
CKD Pasang Double Lumen Longterm dg C-Arm K AS √ IS SC

NOK SOD + Wedge Reseksi Ovarium Sin + FS B,KH MZ √ TW,ET
Surgical Staging (TAH + SOD + SOS + KH,KH,

Adeno Ca Ovarii Inadequate Staging EW √ S : ES ES TD
Omentectomi + Adhesiolisis) S,S
Ulkus Granulosum Reg Femur Dx et Sin Debridement B ETH √ ES TD
Debridement S ALI √
Pasang CVC KH HS √
Ca Epidermoid Keratinized Recti 1/3 Distal Laparaskopi Milles Procedure KH PB √ HR,SA SA HI
Disfagia e.c Tumor gaster c/ganas T4N2Mx Yeyunostomi Feeding B PB √ S :YN,TD YN TD
Fr. Costae 3,4,5,6 lateral dextra + Fr Radius

Reposisi tertutup + Gips S BIN √ Aziz
Dextra
Malignant Pherperl Nerves System Wide Eksisi + FS B BIS √ AZ,PL PL AZ
Invasive Ductal Ca MS Gr III T4bNoMo FS, ganas - MRM + FTSG KH,KH DH √ S : AD PL AZ
Hemimandibulektomi + Rekotruksi Plate

Tumor Mandibula c/ ganas KH,KH UUD √ AD MK
Screw
Fr Lefort I, Fr ZMC Sin Rekonstruksi Tulang Wajah Kompleks KH RZ √ UM,SR UM SR
Fr. Costae, Radius, Fr. Tl Wajah ORIF KH APR √ UM SR

Rekontruksi Fr Wajah Kompleks KH RZ √
Avulsi Kulit Pedis Dx, Fr Metatarsal Digiti I

Debridement B RZ √ S : EA MK TD
Pedis Dx, Fr Phalang Medial Dig I Pedis Dx
Disartikulasi Dig I Pedis Sin B BIN √
Ulkus Granulosum ec Selulitis Femur Dx STSG Femur + Gluteal Dx KH PJ √ MK TD
Mata Kiri Glaukoma Juvenille Mata Kiri Re-Trabekulektomi + MMC KH LN √ NK,TR,TM TM NK,TR
Mata Kanan Kiri Trabekulotomi + KH,KH,

Mata Kanan Kiri Glaukoma Kongenital LN √ S : VT TR TM
Trabekulektomi + MMC KH,KH
Mata Kiri Sisa Nukleus, Mata Kanan Kiri
Mata Kiri Vitrectomy KH AL √
Pseudofakia
Mata Kanan Vitrectomy + EL + SO KH AL √ TR TM
Detachment
Mata Kiri Vitreous Haemoraghe Non
Mata Kiri Vitrectomy KH AW √ HA US
Clearing
SOL temporal sinistra c/ glioma Craniotomy Dasar Tengkorak KH DP √ LW,SF,DJ SF,TK LW,MF
Scoliosis Koreksi Scoliosis Thoracolumbal KH HY √ S : AT AT US

ORIF Clavicula dex + Bipolar
Fr Clavicula, Fr Collum Femur Sin KH,KH APR √ PR,AP,MF AP PR,DJ
Hemiartroplasty Sin
Fr Tibia Fibula Tbk Gr III B Debridement + FSE B,KH APR √ S : VQ
Fr. Clavicula Sin 1/3 tengah ttp NK ORIF Clavicula KH APR √ PR DJ
Plate Expose Reg Cruris Dx Rekonstruksi Flap Perforasi KH PJ √ VQ US

FSE (Fiksasi Sceletal Eksternal) + Lepas
KH APR √
Plate Screw + Debridment
EN,MA,WI
ASD ASD Closure BJ,03 SF √ VT EN,MA
BP,SS,IM
Laparascopy Kistektomi Sin + Ovarium
Kista Ovarii KH,KH INU √ NP,MK,IS IS NP,EA
Drilling Dex
Lparascopy Kista Ovarium Kanan +
PoAo Polip Endometrium + Menometroragy KH,KH TF √ S : HA,AM EA NP,IS
Histeroscopy Polipektomi
NOK + Mioma Uteri + Nevus Pigmentosis
Wide Excisi Nevus r/ Pipi Kanan + Kiri B,B UUD √ AL,YS YS AL
(HIV +)
Miomektomi + Kistektomi B,B HR √
Radikal Histerektomi + Limfadenektomi

Ca Cervix KH,B EN √ AL YS,EA
Pelvis Bilat
Ca Thyroid Total Tiroidektomi KH YAN √ AH,WD
RR GRD : WU SORE PROGRAM : TA,TD,US,AR,AG,AF,AM,AT,AD,BD,DI,VT,EA,YN,ES,HA,RM,VQ ALAT : PUR (S : EM )
Mata Kiri Antibiotik Intravitreal + Vitreus SL,HE,

Mata Kiri Endoftalmitis S FAT √ HI
Tap NH,DN
Ca Mammae MRM KH DWT √ DA VQ
Tumor Gaster + Limfadenopati Ing Limfadenectomi S PB √ EW PM
Multiple bula Paru Dex Tension WSD Torakal S WW √ US AF

CKD Pasang Double Lumen + C-Arm K AS √
Laparatomi Explorasi Nekrosektomi +

Peritonitis Generalisata KH ERI √ DA SC
Drainase
Laparatomi Adhesiolisis Kompleks + NH,SE,
MAR Post PSARP KH PTY √ DN
Reseksi Anastomose Colon End to End HE,HI
Adhesiolisis Small Bowel Obstruction Laparatomi Adhesiolisis Kompleks KH RR √
EDH Kraniotomi KH AJ √ AG AR,SF
Abses Submandibula Insisi Dranase Abes B ETH √

JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
OK DPJP ANESTI
CT
1 GA TA √ 08.00 09.00-12.45
09.30-12.30
1 GA SF √ 11.00 13.30-17.30
14.10-17.10
12.45-14.45
1 GA WA √ 15.00
13.45-14.45
2 GA TA √ 08.00 08.15-11.30
08.30-11.00
2 GA TA √ 10.30 12.30-17.30
12.45-17.15
2 GA epd TA √ 14.00 18.30-20.45

18.45-20.30
2 GA 17.00 BATAL KARENA ALAT BELUM ADA
3 LA 07.00
3 LA 09.00
3 LA 12.00
3 LA 13.00
4 GA AI √ 08.00 08.00-10.45
08.10-10.40
4 GA UB √ 10.00 11.45-15.15
11.50-15.10
4 GA TA √ 14.00 18.00-20.15
18.10-20.10
5 GA epd VL √ 08.00 08.15-10.00

08.30-09.45
5 GA VL √ 10.00 11.00-13.30
11.15-13.15
5 GA UB √ 12.30 14.30-16.00
14.45-15.45
5 GA VL √ 15.00 17.15-19.30
17.30-19.30
5 GA DS √ 17.30 20.30-21.15
20.45-21.00
07.45-09.30
6 GA JH 07.00
08.00-09.15
6 GA VL √ 09.00 09.30-12.00
10.00-11.45
6 GA JH √ 11.00 13.00-19.30
13.30-19.15
18.15-19.15
6 GA JH 15.00
18.30-19.00
08.15-09.45
6 GA WA 17.00
08.30-09.30
7 GA JH √ 08.00 08.30-11.00
09.00-10.30
7 GA JH √ 11.30 11.30-11.00
12.15-13.45
7 GA HA √ 16.30 16.00-19.30
17.00-19.15
08.00-10.30
8 GA HR 08.00
08.20-10.15
8 GA AI √ 09.30 10.50-12.30
11.10-12.15
12.45-13.30
8 GA HR 11.00
13.00-13.15
14.30-15.30
8 GA HR 12.30
14.45-15.15
06.30-17.10
9 GA HR 08.00
08.00-17.10
9 GA HA √ 12.00 19.00-22.00
19.15-21.30
9 GA HR √ 16.30 16.30-22.00
17.30-21.30
spin, √ 07.00 07.30-10.15

10 GA HN
epd 07.45-10.00
10 GA blok SF √ 10.00 10.30-12.30

13.45-12.15
10 GA spin VL √ 12.30 12.30-16.00

12.45-15.45
10 GA WA √ 15.00 18.30-20.00
18.45-19.45
10 GA 17.00 BATAL KARENA ALAT BELUM ADA

JTG GA HR √ 10.00
GR 1 GA AI √ 08.00 08.55-09.40
GR 1 GA VL √ 10.00 11.30-12.30
GR 1 GA VL √ 12.00 13.00-14.00
GR 2 GA WA √ 08.00 08.15-09.00
GR 2 GA DS √ 10.00 11.00-13.45
GR 3 GA AI √ 07.30 08.15-12.30
GR 3 LA 10.00 14.40-16.30
GR 3 LA 11.30 16.00-
ALAT : PUR,ET
3 LA 14.00
GA WA √ 17.30-
CITO GA spin DS 00.00-01.10
00.15-01.00
CITO GA DN √ 06.45-08.45
07.15-08.15
06.00-07.00
CITO GA spin TA √
06.15-06.45
08.00-09.00
CITO GA spin DS √
08.10-08.55
09.30-10.30
CITO GA spin VL √
09.45-10.30
10.30-12.00
CITO GA DS √
10.45-11.45
11.45-12.45
CITO GA spin DS
12.00-12.45
14.15-15.45
CITO GA DS √
14.45-15.30
16.30-17.30
CITO GA spin DS
16.45-17.15
18.15-22.00
CITO GA DS
18.30-21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA WA √ 08.00 08.45-10.10
09.00-10.00
1 GA SF √ 09.30 11.00-13.30
11.30-13.15
1 LA 13.00 14.30-14.45
1 GA SF √ 14.30 15.30-20.40
16.30-20.20
2 GA blok SF √ 08.00 08.00-10.30

08.05-10.15
2 GA SF √ 11.00 12.30-14.15
12.45-14.00
16.00-19.45
2 GA HS √ 13.00
16.15-19.30
2 GA SF √ 15.00 20.45-22.15
21.00-22.00
3 LA 09.00
3 LA 10.00 10.00-11.00
3 LA 14.00
3 LA 15.30
4 GA HS √ 07.00 07.15-10.15
07.30-10.00
4 GA HS √ 10.30 10.30-13.00
10.45-12.45
4 GA epd SF √ 14.00 14.15-16.30

14.30-16.30
5 GA epd DS √ 07.00 07.30-10.30

07.45-10.15
5 GA WA √ 12.00 11.30-12.30
11.45-12.15
5 GA epd HS √ 14.00 13.30-16.30

14.00-16.30
5 GA HS √ 17.00 17.00-19.15
17.15-19.00
6 GA JL √ 07.30 08.00-12.30
08.15-12.15
6 GA JL √ 09.30 19.15-22.30
19.30-22.15
6 GA JL √ 14.00 15.15-18.30
15.30-18.15
20.00-21.00
6 GA JL 17.00
20.15-20.45
7 GA spin AI √ 08.00 08.15-09.15

08.30-09.10
7 GA JL √ 10.00 10.40-12.45
7 GA 12.00
7 GA 14.00
7 GA epd JL √ 16.00 14.30-16.30

14.45-16.15
8 GA DS √ 06.30 07.00-07.45
07.10-07.30
8 GA DS √ 08.00 07.45-08.30
08.00-08.20
8 GA DS √ 09.30 09.45-11.15
10.00-11.00
8 GA DS √ 11.30 11.30-14.00
11.50-13.45
8 GA AI √ 14.00 15.15-17.15
15.30-17.00
9 GA DS √ 07.00 05.45-11.00
06.30-10.45
9 GA DS √ 12.00 13.30-15.30
13.45-15.15
9 GA DS √ 17.00 19.00-00.00
20.30-23.30
10 GA AI √ 07.00 06.30-07.40
07.00-07.30
10 GA blok HN √ 09.30 09.15-10.15

09.20-10.00
spin, √ 12.30 13.30-19.00

10 GA BI
epd 14.00-18.30
spin AI √ 20.00 20.45-21.45

10 GA 21.00-21.30
JTG GA WA √ 10.00 09.40-
JTG GA WA √ 15.00 14.30-18.00

16.00-18.00
GR 1 GA AI √ 07.30 07.50-11.30
14.00-15.30
CITO GA spin DN 10.00
14.25-15.25
GR 1 GA HN √ 11.00 12.00-13.15
GR 2 GA JH √ 08.00 08.45-12.00
GR 2 GA DS √ 10.30 13.05-14.45
GR 3 GA HA √ 07.30 08.30-09.45
GR 3 GA HA √ 09.30 11.30-14.10
GR 3 GA BI √ 11.00 14.15-14.45
10 GA JL √ 14.00 16.40-19.00
16.50-18.45
19.00-21.00
2 GA HN √ 17.00
19.15-20.45
19.30-20.15
GA SF √
19.45-20.00
21.30-22.30
GA TA √
21.45-22.15
11.30-13.15
DS GA spin HN √
11.45-13.00
22.30-23.00
GA TA √
22.40-22.55
LA 22.00-22.30
LA 20.20-
LA
3 LA
LA 20.15-20.30
07.45-11.30
CITO GA BI √
07.55-11.15
CITO LA 12.50-
16.30-19.00
CITO GA AI √
16.45-18.45
21.00-22.00
CITO GA spin AI √
21.10-21.55
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin HA √ 08.00 08.00-09.30

08.30-09.30
spin, √ 09.30 10.45-11.00

1 GA HA
epd 10.45-11.00
11.15-12.15
1 GA spin HA 10.00
11.30-12.15
1 GA JH √ 13.00 13.30-16.45
14.30-16.30
07.15-11.15
2 GA HA √ 07.00
07.45-11.00
2 GA HS √ 13.00 14.00-16.30
14.30-16.15
2 GA DN √ 16.00 18.00-21.00
18.30-20.45
3 LA 08.00
3 LA 09.00
3 LA 10.00 10.45-11.15
3 LA 13.00
3 LA 14.00
4 GA epd DS √ 08.00 08.00-09.30

08.15-09.25
10.15-12.30
4 GA epd WA √ 13.00
10.25-12.15
4 GA HN √ 16.00 16.15-17.45
16.30-17.45
5 GA epd WA √ 07.00 06.30-11.30

06.45-11.15
5 GA 13.00
5 GA AI √ 16.00 14.15-15.45
14.30.15 20
5 GA SF √ 18.00 16.00-18.45
16.15-18.30
6 GA WA √ 07.00 07.00-08.30
07.15-08.15
6 GA BI √ 08.00 09.00-18.30
09.30-18.15
6 GA epd BI √ 14.00 07.00-08.00

07.15-07.45
6 GA BI √ 15.00 17.00-22.00
17.30-21.45
7 GA BI √ 07.00 07.15-10.45
07.45-10.15
11.30-13.00
7 GA spin BI 12.00
11.45-12.45
spin, √ 17.00 11.30-16.30

7 GA BI
epd 14.45-16.15
8 GA WA √ 07.00 07.30-09.00
07.45-08.45
8 GA WA √ 09.30 11.10-19.45
8 GA JH √ 13.00
21.30-23.00
8 GA WA 15.00
21.45-22.45
9 GA WA √ 07.00 06.15-12.15
08.30-12.00
9 GA HN √ 11.00 12.30-16.30
14.30-16.15
9 GA TA √ 15.00 17.30-21.30
18.00-21.20
spin, √ 07.00 07.00-11.00

10 GA BI
epd 07.30-10.30
14.00-15.00
10 GA DN √ 10.30
14.15-14.45
10 GA DN √ 14.00 16.30-18.00
16.45-17.45
JTG GA HN √ 10.00
JTG GA 15.00 BATAL KARENA ICU PENUH

GR 1 GA WA √ 07.00
GR 1 GA WA √ 09.00 09.30-13.00
GR 1 LA 13.00 13.00-13.30
GR 2 GA DS √ 08.00 08.00-09.00
GR 2 GA DS √ 13.00
GR 3 GA JH √ 07.15 07.45-10.00
GR 3 GA 09.00
13.30-14.30
GA JH √
13.40-14.15
20.45-23.00
GA HR
21.00-22.55
LA
CITO GA √ 04.30-07.30
spin DN 08.45-07.15
CITO GA HA √ 05.45-06.45
06.00-06.30
CITO GA AI 06.30-08.45
spin 07.00-08.30
CITO GA HN √ 07.45-09.15
08.00-09.15
CITO LA
10.45-12.30
CITO GA spin NH √
11.00-12.15
11.30-14.30
CITO GA HN √
11.45-14.15
14.15-17.00
CITO GA epd HA √
14.30-17.00
20.15-21.15
CITO GA HA √
20.30-21.00
20.30-21.30
CITO GA spin HA √
20.35-21.30
CITO GA HA √ 23.30-02.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
spin, √ 14.30 15.00-16.30

1 GA WA
epd 15.30-16.30
2 GA BI √ 15.00 15.00-16.00
15.15-15.45
2 GA BI √ 16.00 16.45-18.15
17.00-18.00
3 LA 15.00 17.00-17.40
3 LA 16.30 22.45-23.30
3 LA 17.30 19.00-20.00
4 GA epd WA √ 15.00 15.00-17.30

15.15-17.15
5 GA epd WA √ 15.00 15.30-18.30

14.45-18.15
9 GA BI 15.00 15.45-20.15
16.00-20.00
LA
LA 19.45-20.00
LA
DS LA
07.15-09.15
CITO GA SF √
07.30-09.00
08.30-10.05
CITO GA SF √
08.45-10.00
10.00-11.15
CITO GA spin SF
10.15-11.00
CITO LA 11.45-
CITO LA
11.30-13.30
CITO GA SF √
12.15-13.15
14.30-15.45
CITO GA BI √
14.45-15.30
16.30-18.00
CITO GA BI √
17.45-17.50
CITO GA BI √ 20.30-22.45
20.45-22.30
20.00-21.30
CITO GA BI √
20.30-21.15
23.00-00.15
CITO GA BI √
23.15-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
16.15-17.30
CITO GA spin TA √
16.30-17.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin SF √ 08.00 14.00-15.45

14.20-15.45
1 GA SF √ 10.00 09.00-10.15
09.15-10.00
2 GA VL √ 08.00 08.30-10.30
08.45-10.15
2 GA DS √ 11.00 13.00-16.30
13.15-16.15
2 GA VL √ 13.00 17.30-18.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
07.30-08.30
4 GA HR 07.00
07.35-08.15
4 GA HS √ 09.00 09.30-13.00
09.45-12.55
13.45-16.30
4 GA JH 12.00
13.50-16.20
5 GA HA √ 08.00 08.15-09.30
08.30-09.15
10.15-16.00
5 GA spin HR 10.30
10.30-15.45
16.45-19.15
5 GA HR 13.00
17.00-19.15
08.00-15.00
6 GA AI 07.00
08.15-14.45
6 GA JH √ 14.00 16.30-19.00
16.45-18.45
7 GA AI √ 07.00 08.15-09.15
08.30-09.00
7 GA AI √ 09.00 10.00-14.00
10.15-13.30
8 GA JL √ 07.00 07.00-08.15
07.15-08.00
8 GA JL √ 09.30 10.30-11.45
10.50-11.30
9
9
10 GA spin HA √ 08.00 08.30-15.00
epd 09.00-14.45
10 GA HA √ 11.00 14.45-19.15
15.00-19.00
10 GA HA √ 14.00 17.15-20.45
17.45-20.30
JTG GA HR √ 08.00 07.30-
JTG GA epd BI √ 15.00 16.00-20.00

17.30-19.45
GR 1 GA VL √ 07.30 08.00-10.00
GR 2 GA SF √ 08.00 08.30-12.30
GR 2 GA SF √ 11.00
GR 3 GA DN √ 07.30 08.30-
10.45-16.45
GR 3 GA spin DN √ 09.00
11.00-16.30
1 GA SF √ 10.00 11.00-12.15
11.30-12.00
05.15-06.45
7 GA HR 05.30
05.30-06.30
12.15-13.10
8 GA HA √ 11.00
12.40-12.50
9 GA JL √ 08.00 08.00-11.00
08.25-10.45
9 GA JL √ 11.30-18.30
11.45-18.15
14.30-19.00
9 GA JL √
15.30-18.45
GA spin JL √ 14.00 16.45-18.00

17.00-18.00
17.15-18.00
4 GA spin HR
17.35-17.55
09.30-13.15
CITO GA spin DN √
10.00-13.00
CITO LA 16.00-16.15
16.30-18.00
CITO GA DN √
16.45-17.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin HS √ 08.00 08.15-12.00

08.45-11.45
1 GA JH √ 12.00 12.15-15.30
12.50-15.15
1 GA JH √ 14.00 16.30-19.00
16.45-18.45
2 GA HA √ 06.00 06.30-09.00
06.45-08.45
2 GA JH √ 09.00 10.45-18.00
12.00-17.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
4 GA HA √ 08.00 08.00-09.30
08.15-09.15
4 GA epd SF √ 12.00 12.45-15.45

13.00-15.30
4 GA 14.00 BATAL KARENA KELAINAN JANTUNG

5 GA HS √ 08.00 07.45-11.45
08.00-11.30
12.30-13.15
5 GA HS √ 11.00
12.40-13.00
6 LA 07.00 06.50-
6 GA AI √ 08.00 10.30-11.30
10.45-11.15
6 GA spin AI √ 12.00 12.15-13.15

12.30-13.00
6 GA DN √ 13.00 13.30-16.00
14.00-15.45
05.30-07.00
7 GA AI 05.00
05.45-06.45
7 GA AI √ 08.00 08.15-09.45
08.45-09.30
7 GA AI √ 09.30 10.30-13.15
10.45-13.00
7 GA VL √ 12.30 14.30-16.30
14.45-16.15
7 GA AI √ 14.00 15.45-17.15
16.00-17.00
8 LA 08.00 09.20-09.30
8 LA 09.00 10.10-10.20
8 GA HA √ 10.00 10.45-12.15
11.10-12.00
8 GA 13.00 BATAL KARENA HIPERTENSI
8 GA DN √ 15.00 13.30-15.00
13.50-14.45
9 GA DN √ 07.00 13.00-15.15
13.15-15.00
spn, √ 11.00 11.30-13.15
10 GA VL
epd 11.45-13.00
10 GA VL √ 13.00 15.30-18.00
15.45-17.45
10 GA VL √ 18.00 22.00-01.00
22.30-00.45
JTG GA 10.00
BATAL KARENA KOREKSI TROBOSIT
10.00-12.15
JTG GA HR 15.00
10.30-12.00
GR 1 LA 07.30
GR 1 GA BI √ 11.00 09.15-12.30
GR 2 GA BI √ 08.00 09.30-10.00
GR 3 GA DS √ 07.30 08.45-12.00
GR 3 GA SF √ 10.00 12.45-
ALAT : PUR
14.00-15.30
GA DN √
14.15-15.00
10 GA VL √ 07.00 07.00-09.15
07.15-09.00
17.30-18.15
2 GA DN √ 15.00
17.45-18.30
18.45-19.45
2 GA DN √ 16.30
19.00-19.30
6 GA JL √ 08.00 07.30-10.00
08.00-09.45
20.15-22.00
10 GA spin HA √ 16.00
20.30-21.45
20.30-22.00
GA spin HS √
20.45-22.00
GA HS √
LA
LA
CITO GA DN √ 00.30-04.00
01.15-03.45
03.00-05.00
CITO GA JL √
03.15-04.55
CITO LA 07.15-07.30
06.00-11.30
CITO GA DN √
06.35-11.00
08.00-09.00
CITO GA spin JL √
08.10-08.55
10.30-11.30
CITO GA spin JL √
10.40-11.20
14.30-16.30
CITO GA JL √
14.35-16.25
16.00-17.00
CITO GA spin JL √
16.05-16.55
17.30-20.30
CITO GA JL √
18.00-20.25
18.30-19.45
CITO GA spin JL √
18.45-19.45
19.30-22.00
CITO GA JL √
19.45-21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA BI √ 08.00 09.30-09.55
09.35-09.45
1 GA BI √ 09.30 10.45-13.00
11.00-12.45
1 GA 13.00 BATAL KARENA KELUARGA MENOLAK
1 GA AI √ 15.00 14.15-15.15
14.30-15.00
2 GA DN √ 06.00 06.45-09.30
07.00-09.15
2 GA HS √ 10.00 10.15-13.30
10.45-13.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
4 GA epd DS √ 07.00 07.30-10.00
07.40-09.50
4 GA UB √ 10.30 12.00-13.00
11.15-12.50
5 GA spin VL √ 08.00 08.15-09.45

08.30-09.30
5 GA epd VL √ 09.30 10.00-13.30

10.15-13.00
6 LA 07.00 07.30-07.50
6 GA AI √ 09.00 08.30-14.30
09.00-14.15
6 GA AI √ 13.00 15.00-19.00
15.15-18.45
6 GA VL √ 17.00 16.30-19.00
16.45-18.45
7 GA HS √ 08.00 08.00-10.00
7 GA JH √ 09.30 11.45-16.00
12.05-15.45
8 GA HA √ 07.00 13.30-14.45
13.50-14.20
09.15-11.15
8 GA HR 09.00
09.40-11.00
8 LA 12.00
8 GA SF √ 13.00 07.15-08.30
07.45-08.15
9 GA JH √ 08.00 08.00-13.15
08.30-13.00
9 GA VL √ 13.00 14.00-18.30
15.00-18.00
10 GA SF √ 12.00 15.30-16.45
15.45-16.30
spin, √ 14.30 15.00-17.00
10 GA AI
epd 16.00-17.00
10 GA SF √ 17.00 17.00-19.45
18.00-19.30
JTG GA HR √ 10.00
GR 1 GA HA √ 08.00 10.30-
GR 1 GA BI √ 09.00 07.50-
GR 1 GA 12.00
GR 2 GA SF √ 07.30 08.10-
GR 3 GA VL √ 08.00 09.00-09.30
GR 3 GA VL √ 10.30 10.20-11.00
08.15-13.45
10 GA SF √
08.45-13.30
spin, 09.00-12.00
DS GA HR √
epd 09.15-12.45
16.15-18.45
DS GA spin DN √
16.30-18.30
DS LA
JT LA
LA
02.00-03.00
CITO GA spin JL √
02.05-02.55
07.45-10.30
CITO GA DS √
08.00-10.45
11.45-14.30
CITO GA spin DS √
12.00-14.15
18.00-20.15
CITO GA HR
18.15-20.00
21.00-22.00
CITO GA spin HR
21.05-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-09.45
1 GA HA √ 08.00
08.45-09.30
1 GA 10.00
1 GA spin SF √ 10.30 19.30-20.30

20.00-20.30
1 GA SF √ 12.00 15.00-18.30
16.00-18.15
2 GA DN √ 06.00 06.35-09.15
07.00-09.00
2 GA AF √ 09.00 10.15-12.30
10.45-12.15
2 GA HS √ 12.00 13.15-16.00
13.30-15.45
2 GA SF √ 14.00 16.45-18.30
17.00-18.15
2 GA SF √ 16.00 20.00-23.45
20.45-23.30
3 LA 08.00
3 LA 10.00
3 LA 14.00
3 LA 15.30
4 GA epd VL √ 08.00 08.00-11.30
08.10-11.20
4 GA HS √ 11.00 12.30-13.45
12.40-13.30
15.45-18.45
15.50-18.30
4 GA spin JH √ 17.00 20.00-21.05

20.05-21.05
5 LA 07.00
08.30-13.00
5 GA DN √ 08.00
09.00-12.45
14.30-19.15
5 GA epd DN √ 11.00
14.45-19.00
5 GA 14.30 BATAL KARENA HERPES
5 GA 16.30 BATAL/TUNDA HARI JUMAT 11/04/2017
6 GA AI √ 07.00 07.30-09.00
08.15-08.45
6 GA VL √ 10.00 11.00-14.00
11.30-13.45
6 GA HA √ 13.00 14.30-20.00
15.00-19.45
6 GA JL √ 16.00 20.30-24.00
20.45-23.45
6 GA VL √ 18.30 21.00-22.30
21.30-22.15
7 GA VL √ 08.00 08.30-10.15
09.00-10.10
7 GA spin VL √ 09.30 10.45-13.15

11.15-13.00
7 GA VL √ 11.30 13.40-16.00
14.00-15.40
7 GA VL √ 14.00 17.00-18.45
17.20-18.30
7 GA VL √ 16.00 19.30-00.30
20.00-00.15
8 GA HA √ 06.30 07.35-08.25
8 GA TA √ 08.00 09.30-10.30
8 GA TA √ 10.00 11.00-12.30
11.15-12.15
8 GA VL √ 12.00 13.00-14.30
13.15-14.15
8 GA VL √ 14.00 14.30-16.00
14.45-15.45
9 GA TA √ 12.00 16.00-20.00
16.25-19.45
9 GA VL √ 18.00 09.00-14.45
10.10-14.30
10 GA AI √ 07.00 07.00-12.00
07.15-11.45
10 GA Blok BI √ 12.00 12.45-14.15
13.00-14.00
10 GA spin AI √ 14.00 14.15-15.15

14.30-15.00
10 GA VL √ 16.00 16.00-18.15
16.30-18.00
10 GA epd AI √ 19.30 19.00-00.45

19.15-00.30
JTG GA HR √ 10.00 07.30-12.30
JTG GA HR 15.00 16.00-19.00
GR 1 GA DS √ 07.15 08.45-10.30
GR 1 GA AI √ 10.30 11.45-15.00
GR 2 GA SF √ 07.30 08.10-09.30
GR 2 GA SF √ 09.00
GR 3 GA VL √ 08.00
GR 3 GA 10.30
GR 3 GA 12.30 BATAL KARENA TENSI TINGGI
23.15-24.30
GA AI √
23.30-24.15
10.45-12.00
1 GA DN √
11.45-11.50
GR 2 GA DN √
22.15-23.15
GA HS √
22.30-33.00
17.15-18.00
DS GA AI √
17.30-18.00
12.00-15.00
DS GA AI √
12.15-15.00
21.00-22.30
DS GA VL √
21.15-22.20
3 LA
LA
08.15-10.30
CITO GA HR √
08.45-10.15
CITO GA BI √ 08.30-09.15
√ 11.30-12.45
CITO GA spin BI 11.45-13.00
11.30-15.30
CITO GA DN √
11.45-15.15
18.00-20.45
CITO GA VL √
18.15-20.30
CITO LA
CITO GA VL √ 21.00-22.30
21.15-22.30
23.30-03.00
CITO GA HS √
JENIS ANESTESI 23.45-02.45
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin VL √ 08.00 09.00-10.30

09.15-10.15
1 GA spin HS √ 10.30 10.00-12.30

10.15-12.15
1 GA epd SF √ 13.00 13.30-15.00

13.45-14.45
2 GA BI √ 08.00 07.15-10.15
07.45-10.00
2 GA HA √ 11.00 10.45-12.15
11.15-12.00
21.00-23.00
2 GA HA 15.00
21.15-22.45
2 GA 17.00 BATAL KARENA MASIH PAKAI ASPILET
2 GA 19.00 BATAL KARENA MASIH PAKAI HEPARIN
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
4 GA HR √ 08.00 08.00-11.00
08.15-10.50
4 GA epd VL √ 11.00 11.45-13.00

11.55-12.50
4 GA DS √ 15.00 16.00-22.30
16.30-22.00
5 GA epd DS √ 08.00 08.15-11.00

08.30-10.45
12.30-16.30
5 GA epd DS √ 10.30
12.45-16.15
17.00-21.00
17.15-21.00
5 GA DS √ 17.00 14.15-18.15
15.00-18.15
6 GA BI √ 07.00 07.30-13.15
08.00-13.00
6 GA BI √ 11.00 13.45-18.00
14.15-17.45
6 GA DN √ 14.00 18.15-23.00
19.30-22.45
6 GA DN √ 17.00 17.00-21.30
17.30-21.15
6 GA BI √ 19.00 17.30-19.30
18.00-19.15
06.15-08.00
7 GA BI 06.00
06.30-07.45
7 GA BI √ 08.00 08.30-10.30
08.40-10.15
7 GA BI √ 10.00 11.00-12.30
11.20-12.00
7 GA 12.00
BATAL KARENA HIPOGLIKEMI
7 GA BI √ 14.00 13.10-16.10
13.25-15.40
8 GA BI √ 06.30 07.00-07.45
07.15-07.35
8 GA HS √ 08.00 08.15-09.45
08.30-09.30
8 GA HS √ 10.00 10.15-11.45
10.30-11.30
8 GA HA √ 13.00 13.15-14.45
13.30-14.30
8 GA VL √ 15.00 15.30-17.00
15.60-16.45
9 GA TA √ 07.00 15.30-19.30
16.00-19.15
9 GA HA √ 13.00 08.00-13.45
09.00-13.30
10 GA TA √ 07.00 07.00-10.30
07.15-10.15
10 GA blok VL √ 10.00 11.30-13.15

11.45-13.00
10 GA spin HS √ 13.00 14.45-17.15

15.15-17.00
JTG GA HR √ 10.00
13.30-15.00
JTG GA spin HR 13.00
13.45-13.00
GR 1 GA SF √ 07.30 08.30-09.
GR 1 GA JL √ 10.00
GR 2 GA DS √ 07.30 08.15-09.45
GR 2 GA DN √ 09.30 11.55-
GR 3 GA AI √ 07.30 08.00-
GR 3 GA JH √ 10.00 09.35-
GR 4 LA 13.00
GR 4 LA 14.30
GR 4 LA 15.30
13.15-13.45
DS GA TA √
13.30-13.45
DS LA
DS LA
04.00-03.00
CITO GA spin VL √
04.15-05.00
06.30-07.15
CITO GA spin VL √
06.35-07.15
09.30-10.30
CITO GA spin UB √
09.35-10.30
15.00-16.30
CITO GA spin SF √
15.15-16.15
17.00-20.45
CITO GA HS √
17.30-20.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
2 GA AI √ 07.00 08.00-09.15
08.05-09.00
2 GA HS √ 09.00 10.00-12.15
10.15-12.00
2 GA HA √ 12.00 13.45-14.45
14.00-14.40
DS LA 07.30 08.45-09.00
3 LA 08.30 11.45-
4 GA epd WA √ 08.00 08.00-10.45

08.30-10.30
4 GA epd WA √ 11.30 10.30-14.00
10.45-13.45
4 GA HS √ 13.00 14.45-17.15
15.00-17.00
8 GA VL √ 07.30 08.15-09.30
08.30-09.15
8 GA HS √ 09.00 10.25-12.00
10.40-11.55
8 GA HS √ 11.00 12.00-13.40
12.10-13.35
8 GA HS √ 12.30 14.30-17.00
15.00-16.45
9 GA HS √ 06.00 08.00-09.45
08.20-09.30
9 GA HS √ 07.00 06.00-09.30
06.20-09.20
9 GA HS √ 09.00 09.15-14.15
09.30-14.00
9 GA 13.00 BATAL KARENA MENINGGAL DUNIA
10 GA epd JH √ 09.00 08.30-16.30
09.00-16.30
JTG GA WA √ 10.00 09.50-13.20
DS LA
9 GA HA √
09.30-11.15
CITO GA HS √
09.45-11.00
12.15-14.30
CITO GA HS √
12.30-14.15
19.00-20.15
CITO GA spin TA √
19.15-20.00
21.45-24.00
CITO GA TA √
22.00-23.45
22.30-23.15
CITO GA spin TA √
22.45-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
14.15-14.35
2 GA DN √
14.20-14.30
14.30-15.00
2 GA DN √
14.35-15.55
00.45-02.15
CITO GA TA
01.00-02.00
06.45-08.15
CITO GA DN √
07.00-08.00
07.00-08.30
CITO GA AI √
07.10-0815
09.00-10.30
CITO GA spin AI √
09.15-10.15
09.45-13.15
CITO GA AI √
10.15-13.00
17.15-18.45
CITO GA spin HR
17.20-18.30
16.00-19.00
CITO GA HR √
16.10-18.50
21.30-23.00
CITO GA spin HR √
21.40-22.40
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA JH √ 07.30 08.00-09.30
08.15-09.15
10.00-11.00
10.15-10.45
1 GA spin VL √ 12.00 11.45-12.15

12.00-12.15
1 GA VL √ 14.00 13.00-14.15
13.15-14.00
1 GA VL √ 15.30 14.15-15.30
14.30-15.15
2 GA VL √ 07.30 09.00-10.15
09.15-10.00
2 GA VL √ 09.00 11.00-13.15
11.15-13.00
2 LA 14.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 10.30
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
4 GA epd HR √ 08.00 08.00-11.45

08.15-11.30
12.30-15.00
4 GA epd HR 11.00
12.40-14.30
spin, 16.15-20.30
4 GA HR 14.00
epd 16.25-20.15
5 GA epd VL √ 08.00 08.30-12.15
09.00-12.00
5 GA DN √ 12.00 12.45-14.45
13.00-14.30
15.30-17.00
5 GA HR 15.00
16.00-16.45
6 GA AI √ 08.00 08.30-14.00
09.00-13.45
6 GA 13.30 BATAL KARENA HIPERTHYROID

7 GA 08.00
BATAL KARENA KU JELEK
7 GA AI √ 10.00
7 GA spin AI √ 11.30 11.30-12.30

11.40-12.30
7 GA AI √ 16.00 16.00-18.15
16.45-18.00
8 GA JL √ 09.00 09.15-11.15
10.30-11.00
8 GA JL √ 11.00 11.30-12.45
11.45-12.30
8 GA HA √ 13.00 13.30-16.30
13.45-16.15
8 LA 15.00
8 LA 16.00
9 GA JL √ 08.00 07.10-14.30
08.50-14.15
9
10 GA HA √ 07.00 07.00-10.00
07.15-09.45
10 GA HA √ 11.00 11.20-15.30
11.45-15.15
15.30-18.45
10 GA HR 14.00
16.30-18.30
10 GA HN √ 17.00 13.45-15.15
14.00-15.00
JT GA HN √ 10.00 07.00-

GR 1 GA TA √ 07.30
GR 1 GA TA √ 09.30 13.25-15.00
GR 2 GA WA √ 07.30 07.30-
GR 2 GA WA √ 11.00 09.35-
GR 3 GA VL √ 08.00 08.15-08.45
GR 3 GA BI √ 09.30 10.15-
GR 3 GA BI √ 11.00 15.30-16.45
epd, 16.30-20.15
10 GA WA √
blok 16.45-20.00
15.30-20.30
9 GA WA √
16.00-20.00
16.00-19.30
9 GA JH √
16.30-19.15
LA
GR 3 GA BI √ 08.30-09.00
06.45-07.50
CITO GA spin HR
06.50-07.50
07.45-10.45
CITO GA DN √
09.00-10.40
10.50-12.00
CITO GA spin DN √
11.00-12.00
12.30-13.30
CITO GA spin DN √
12.35-13.30
15.00-16.15
CITO GA spin JL √
15.15-16.00
17.30-18.30
CITO GA spin JL √
17.45-18.15
CITO LA 18.10-
CITO LA
CITO LA 20.00-20.30
21.30-22.40
CITO GA spin JL √
21.40-22.40
21.15-23.15
CITO GA HS √
21.45-23.00
21.00-23.40
CITO GA JL √
21.30-23.30
22.30-24.00
CITO GA JL √
22.45-23.35
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin WA √ 07.00 07.20-09.30
07.45-09.20
1 GA JH √ 08.00 10.30-11.30
10.45-11.15
1 GA 09.30 BATL KARENA ALAT DAN OPERATOR
CITO GA JL √ 10.30 13.30-15.30
13.45-15.15
1 GA HA √ 12.00 12.30-16.00
13.30-15.45
1 GA JH √ 15.00 17.00-19.30
17.45-19.15
2 GA SF √ 07.00 07.45-11.45
08.00-11.30
2 GA 10.30 BATAL KARENA PPTK MEMANJANG
2 GA spin JH √ 14.00 13.15-14.30

13.30-14.15
2 GA spin JH √ 16:00 16.45-18.30

17.00-18.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 11.30
3 LA 12.00
3 LA 15.00 20.00-20.30
4 GA epd WA √ 08.00 08.30-11.30

08.40-11.20
4 GA epd WA √ 11.30 12.15-15.30

12.25-15.20
4 GA WA √ 14.30 16.00-17.30
16.05-17.20
4 GA epd WA √ 17.00 18.00-21.30
19.00-21.20
5 GA VL √ 08.00 07.45-09.30
08.00-09.00
5 GA epd WA √ 10.30 10.45-13.30

11.00-13.15
5 GA spin WA √ 14.00 15.00-16.00

15.15-16.00
5 GA spin WA √ 15.30 16.45-17.45

17.00-17.45
6 GA WA √ 07.00 07.00-13.30
08.00-13.15
15.30-21.00
6 GA HN √ 09:30
15.45-20.45
6 GA HN √ 13:00 20.15-22.45
21.00-22.30
7 GA 07.30 BATAL KARENA PASIEN BELUM PUASA
7 GA HN √ 12.00 10.00-14.45
10.15-14.30
7 GA √ 16.00 15.30-19.15
16.00-19.00
8 GA DN √ 08.00 08.30-10.30
09.00-10.15
8 GA VL √ 10.00 11.15-12.45
11.30-12.30
8 GA DN √ 12.00 13.00-14.00
13.15-13.45
15.30-18.15
8 GA DN √ 14.00
16.00-18.00
8 GA DN √ 16.00 18.45-21.15
19.00-21.00
9 GA DN √ 13.00 12.15-17.15
12.45-17.00
9 GA DN √ 18.00 07.15-11.30
08.45-11.15
10 GA HN √ 07.00 07.15-10.45
07.30-10.30
10 GA Blok BI √ 10.30 12.15-14.30

12.30-14.15
10 GA epd BI √ 13.30 15.15-18.15

15.30-18.00
10 GA AI √ 18.30 19.00-00.30
19.30-24.00
JTG GA WA √ 11.00 11.45-16.00
JTG GA 14.00 BATAL KARENA OPERATOR

GR 1 GA HA √ 08.00 09.15-14.30
GR 1 GA HA √ 13.00
GR 2 GA DS √ 08.00 08.30-10.30
GR 2 GA 13.00
GR 3 GA TA √ 07.15 08.20-08.50
GR 3 GA WA √ 08.30
GR 3 GA DS √ 10.00 11.30-11.50
GR 2 GA DN √
22.00-23.15
GA DN √
22.15-23.00
20.20-21.20
GA DN √
20.30-21.10
23.00-01.30
GA HS √
23.15-01.30
12.00-14.15
CITO GA JL √
12.30-14.00
CITO GA HN √ 19.15-22.15
20.00-22.15
20.45-21.45
CITO GA spin HN √
21.00-21.45
23.00-00.00
CITO GA DN √
23.15-23.45
23.00-01.30
CITO GA HN √
23.15-01.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA WA √ 08.00 08.00-09.30
08.30-09.15
1 GA 10.00
1 GA spin TA √ 11.00 10.15-11.00

10.30-11.00
06.30-07.30
2 GA 06.00
06.30-07.30
08.30-12.30
2 GA DN √ 07.30
09.00-12.15
2 GA TA √ 12.00 13.30-15.30
14.30-15.15
3 LA 07.00 07.00-
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.30
08.00-14.00
4 GA epd UB √ 08.00
08.15-13.45
4 GA epd UB √ 11.30 14.00-17.30

14.15-17.20
5 GA DN √ 08.00 08.00-15.30
08.15-15.15
5 GA JH √ 12.00 14.45-16.45
15.00-17.00
5 GA JH √ 14.00 17.30-19.15
18.00-19.00
6 GA JH √ 07.00 08.00-10.45
08.15-10.30
6 GA JH √ 10.00 11.30-14.30
12.00-14.15
6 GA 16.00
BATAL KARENA HIPERTHROID
7 GA JH √ 08.00 08.30-09.45
08.45-09.30
7 GA spin JH √ 09.30 10.15-12.15

10.30-12.00
7 GA JH √ 14.00 14.00-16.15
14.15-16.00
8 GA BI √ 07.00 07.35-08.15
8 GA HR √ 10.00 10.30-12.00
10.45-11.45
8 GA HR √ 12.00 13.15-15.15
13.45-15.00
9 GA DN √ 08.00 08.30-14.00
09.30-13.30
9 GA WA √ 14.00 15.00-21.00
√ 16.00-20.30
spin, √ 09.00 09.30-12.00
10 GA HN
epd 09.45-11.45
10 GA blok SF √ 11.00 13.30-15.15

14.00-15.00
10 GA SF √ 13.00 14.00-17.00
14.15-16.45
10 GA spin TA √ 19.00 22.15-01.00

22.30-00.45
JTG GA HN √ 10.00 09.30-12.30
JTG GA WA √ 15.00 17.00-19.00
GR 1 GA SF √ 07.30 08.45-10.20
GR 1 GA JL √ 11.00 14.30-15.30
GR 1 GA SF √ 12.00 12.00-14.00
GR 2 GA WA √ 07.00 07.30-10.00
GR 2 GA JL √ 09.30 10.30-13.00
GR 2 GA JL √ 13.00 14.30-16.00
GR 3 GA BI √ 08.00 08.50-
GR 3 GA AI √ 12.00 13.55-
ALAT : PUR,CA
09.00-09.30
DS GA SF √
09.10-09.30
DS GA HS √ 08.45-09.10
20.00-24.00
9 GA HR 17.00
21.00-23.45
5 GA TA √ 16.00 17.15-19.00
17.45-19.00
3 LA 16.00
3 LA 19.20-19.45
3 LA 20.00-20.30
21.30-23.45
DS GA HS √
21.45-23.30
12.45-14.45
DS GA SF √
13.00-14.30
21.30-22.00
DS GA spin SF √
21.45-22.00
06.00-07.30
CITO GA spin HR
06.10-07.15
09.00-12.00
CITO GA DS √
09.10-11.45
09.30-12.30
CITO GA DS √
09.35-12.20
10.30-11.30
CITO GA JL √
10.45-11.15
14.15-16.00
CITO GA spin DS √
14.25-16.00
17.00-18.30
CITO GA DS √
17.15-18.15
19.30-20.45
CITO GA DS √
19.45-20.30
CITO GA
JENIS ANESTESI DS 19.05-
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin SF √ 07.30 07.45-08.30

08.00-08.30
1 GA SF √ 10.00 10.00-17.00
10.15-16.45
2 GA HA √ 07.30 08.15-09.30
08.30-09.15
2 GA DN √ 08.30 10.45-14.45
11.15-14.30
2 GA epd SF √ 12.00 16.00-21.15

16.45-21.00
2 GA 15.00 BATAL KARENA WAKTU KEMALAMAN
3 LA 07.30
3 LA 08.30
3 LA 09.30
3 LA 10.30
3 LA 11.30
3 LA 12.30
3 LA 13.30
3 LA 14.30
4 GA WA √ 08.00 08.00-11.00
08.10-10.45
4 GA epd HA √ 11.30 12.30-15.00

12.35-14.55
4 GA HS √ 13.30 15.45-17.00
16.00-16.50
5 GA HS √ 07.00 07.00-10.15
07.30-10.00
5 GA epd DN √ 11.00 11.30-15.00

12.00-14.30
5 GA DN √ 14.30 15.30-17.30
15.45-17.15
5 GA HS √ 16.30 17.00-21.00
17.15-20.45
6 GA WA √ 07.00 07.15-07.30
07.15-17.30
6 GA spin UB √ 09.30 09.15-10.30

09.30-10.15
6 GA VL √ 11.00 11.45-17.45
12.00-17.30
6 GA 14.00
BATAL KARENA HYPERTHYROID
6 GA VL √ 17.00 19.30-23.30
20.15-23.15
7 GA VL √ 07.00 08.00-11.30
08.15-11.15
7 GA spin VL √ 11.00 13.30-15.30

13.45-15.30
7 GA VL √ 14.00 16.45-22.45
17.00-22.30
8 GA HA √ 07.00 07.30-08.45
07.50-08.30
8 GA JL √ 09.00 10.00-11.45
10.15-11.30
8 GA JL √ 11.00 12.15-14.00
12.40-13.45
9 GA JL √ 08.00
9 GA 14.00 BATAL KARNA ICU PENUH

9 GA JL √ 18.00 16.15-22.15
18.00-21.45
10 GA AI √ 08.00 07.30-13.00
08.00-12.45
10 GA WA √ 12.00 13.15-16.30
13.20-16.15
10 GA HS √ 15.00 16.00-21.30
16.15-21.15
10 GA AI √ 17.00 22.00-01.15
22.15-01.00
10 GA AI √ 19.00 00.30-02.00
00.45-01.45
JTG GA HN √ 10.00 07.00-
GR 1 GA AI √ 07.30 08.10-
GR 1 GA DS √ 09.30 13.00-14.45
GR 2 GA DS √ 08.00 08.45-11.45
GR 2 GA DS √ 11.00 13.00-14.15
GR 2 GA WA √ 13.00 14.45-17.00
GR 3 GA WA √ 07.30 15.15-
GR 3 GA WA √ 10.30 08.00-
19.00-21.35
5 GA DN √
19.30-21.20
9 GA JL √ 18.30-22.15
19.00-22.00
14.45-16.30
8 GA JL √
15.00-16.15
18.00-18.45
DS GA spin HS √
18.15-18.45
02.15-03.00
CITO GA DS √
02.30-02.50
CITO GA BI √ 07.30-08.15
10.00-11.30
CITO GA epd BI √
10.30-11.30
13.30-16.30
CITO GA BI √
13.45-16.15
18.00-20.15
CITO GA AI √
18.30-20.00
23.45-02.30
CITO GA AI √
24.00-02.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA HA √ 08.00 07.45-10.15
08.15-10.30
1 GA HA √ 10.00 11.00-14.15
12.00-14.00
2 GA DN √ 08.00 07.45-10.30
08.15-10.15
2 GA HA √ 10.30 10.45-13.00
11.15-12.45
2 GA HA √ 13.00 10.15-18.00
14.30-17.45
3 LA 07.30 07.40-
3 LA 08.30
3 LA 09.30
3 LA 11.00
3 LA 12.00
DS LA 15.00 15.05-16.20
3 LA 16.00 17.00-18.00
4 GA DS √ 08.00 08.15-11.30
08.20-11.15
4 GA spin WA √ 13.00 07.00-08.45

07.15-08.30
4 GA DS √ 18.00 20.15-21.00
20.20-20.55
5 GA epd DS √ 08.00 08.00-11.30

08.30-11.15
5 GA epd DS √ 10.00 13.15-17.30

13.30-17.15
5 GA spin SF √ 15.00 18.30-22.30

19.30-22.30
5 GA epd DS √ 18.00 16.15-19.15

17.05-19.00
22.30-00.00
5 GA spin DS 21.00
22.45-00.00
6 GA HS √ 07.00 07.30-09.45
07.45-09.30
6 GA BI √ 09.30 10.00-12.45
10.15-12.30
6 GA BI √ 12.30 14.00-18.00
14.15-17.30
6 GA BI √ 14.00 18.00-20.00
18.15-19.45
7 GA VL √ 06.00 06.00-08.30
06.00-08.15
7 GA epd BI √ 08.00 09.10-12.30

09.30-12.00
7 GA BI √ 10.00 13.30-17.00
14.10-16.45
7 GA 16.00
BTAL KARNA MO KERJASAMA DENGAN BEDAH SYARAF
8 GA WA √ 06.30 07.15-08.15
07.30-08.00
8 GA HA √ 08.00 08.30-10.00
08.45-09.45
8 GA WA √ 10.00 10.45-12.15
11.00-12.00
8 GA WA √ 13.00 13.30-15.15
13.45-15.00
8 GA VL √ 15.00 15.30-16.30
15.45-16.15
8 GA VL √ 17.00 17.30-18.45
17.45-18.30
9 GA
9 GA
08.00-16.30
9 GA WA √
10.30-16.15
10 GA WA √ 07.00 06.30-09.30
10 GA spin TA √ 10.00 10.15-14.30

10.45-14.20
10 GA EL √ 13.00 15.15-17.15
15.30-17.00
10 GA spin SF √ 15.00 18.45-19.15

18.55-19.15
JTG GA 10.00
BATAL KARENA TROMBOSITOPENI
JTG GA HR √ 14.00 09.00-13.00
09.30-13.00
GR 1 GA JL √ 07.30 08.20-
GR 1 GA 09.30
GR 2 GA WA √ 07.30 08.10-12.00
GR 2 GA WA √ 09.00
GR 2 GA JH √ 12.30 16.15-17.30
GR 3 GA VL √ 08.00 08.30-11.00
GR 3 GA DS √ 12.30 14.05-15.45
GR 2 GA DN √ 13.00-13.30
22.15-23.30
8 GA HA √ 21.00
22.30-23.30
13.00-14.45
4 GA JL √
13.15-14.30
DS LA 17.00-18.00
DS LA
CITO GA HN √ 08.15-08.45
09.45-12.45
CITO GA HN √
10.00-12.30
10.00-11.00
CITO GA spin HN √
10.15-11.00
10.15-11.00
CITO GA DN √
10.30-11.00
12.00-13.15
CITO GA spin HN √
12.15-13.00
13.45-15.00
CITO GA spin VL √
14.00-14.45
15.00-16.15
CITO GA EL √
15.15-16.00
17.00-19.00
CITO GA EL √
17.15-18.45
20.00-21.30
CITO GA EL √
20.15-21.15
22.15-00.30
CITO GA EL √
22.30-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
CT
1 GA AI √ 14.00 14.15-15.45
14.30-15.30
2 GA epd VL √ 14.00 14.00-16.30

14.15-16.15
3
4 GA blok DN √ 06.00 06.45-08.15

07.15-08.00
4 GA DN √ 08.00 09.00-09.45
09.05-09.40
10.20-11.15
4 GA DN √ 09.00
10.30-11.00
4 GA DN √ 10.00 12.15-13.45
12.45-13.30
5 GA UB √ 07.00 07.00-09.15
07.15-09.00
5 GA DN √ 10.00 10.30-14.00
10.45-13.45
6 GA DN √ 06.00 07.15-13.30
07.30-13.15
7 GA JL √ 08.00 08.15-09.45
08.30-09.30
11.45-12.45
7 GA UB √ 09.30
12.00-12.30
7 GA HS √ 13.00 15.00-17.45
15.30-17.30
8 GA HA √ 08.00 09.15-11.15
09.30-11.00
09.30-14.15
9 HS √
10.15-13.45
13.00-16.30
9 UB √
13.40-16.00
spin, √ 07.00 07.00-09.15
10 GA HS
epd 07.30-09.00
10 spin UB √ 10.00 10.00-11.30

10.30-11.30
spin, √ 14.00 13.00-15.45
10 GA WA
epd 13.30-15.30
JTG GA HN √ 10.00 07.00-
JTG
3 LA 13.05-13.35
07.45-09.45
9 GA UB √
08.30-09.30
10.15-12.45
9 GA UB √
11.00-12.30
16.30-17.45
10 GA spin TA √
16.45-17.30
09.45-10.00
DS GA UB √
09.50-10.00
DS LA
09.00-13.00
CITO GA UB √
09.45-13.00
09.15-10.30
CITO GA spin UB √
09.45-10.15
11.30-13.30
CITO GA UB √
12.45-13.30
16.00-17.00
CITO GA VL √
16.15-17.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
10.00-11.30
2 GA HS √ GA
10.15-11.15
10.30-16.15
GA HS √ GA
11.30-16.00
3 LA LA
3 LA 19.00-20.00
07.15-10.30
CITO GA VL √
08.15-10.15
09.30-11.00
CITO GA spin HS √
09.45-10.45
CITO GA HS √ 12.00-13.15
12.15-13.00
14.15-16.15
CITO GA WA √
14.45-16.00
16.15-18.00
CITO GA spin VL √
16.30-17.30
17.45-19.30
CITO GA TA √
18.00-19.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.00
1 GA WA √ 08.00
08.45-09.45
1 GA VL √ 10.30 10.30-11.30
10.45-11.15
1 GA epd WA √ 12.00 12.30-15.45

13.00-15.30
2 GA SF √ 07.30 08.00-11.00
08.15-10.45
2 GA VL √ 11.00 14.00-18.00
14.30-17.30
2 GA 14.00 BATAL KARENA TIDAK DIPROGRAM HARI INI
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
07.15-12.00
4 GA epd HR 08.00
08.45-11.30
4 GA DN √ 11.00 13.45-15.15
14.00-15.00
08.00-12.00
5 GA epd HR 08.00
08.30-11.45
12.45-17.45
5 GA epd HR 11.00
13.15-17.30
16.15-18.00
5 GA spin HR 14.00
16.45-18.00
6 GA AI √ 07.00 07.45-11.00
08.00-11.00
6 GA spin SF √ 09.00 11.45-14.00

12.00-14.00
6 GA spin WA √ 11.30 14.45-19.30

15.15-19.30
08.15-09.45
7 GA HS √ 08.00
08.30-09.30
7 GA AI √ 10.00 11.05-15.30
11.50-15.00
7 GA AI √ 14.00 17.00-21.30
17.30-21.15
8 GA EL √ 08.00 08.00-09.15
08.15-09.00
8 GA HA √ 10.00 10.30-11.30
10.45-11.15
8 GA HA √ 13.00 13.00-14.15
13.15-14.00
9 GA 08.00
BATAL KARENA TIDAK DIPROGRAM HARI INI
9
10 GA HA √ 07.00 06.45-10.30
07.00-10.15
10 GA epd HA √ 11.00 11.45-16.45

12.00-16.30
spin, √ 14.00 20.45-24.00

10 GA WA
epd 21.15-23.45
13.00-15.00
JTG GA WA √
14.00-15.00
JTG GA WA √ 14.30 07.45-12.00
10.00-12.00
GR 1 GA DN √ 07.30 08.40-
GR 1 GA 11.00 BATAL KARENA TIDAK DIPROGRAM HARI INI

GR 2 GA BI √ 07.30 08.10-11.10
GR 2 GA DN √ 11.30
GR 3 GA SF √ 08.00 09.50-10.10
GR 3 GA SF √ 10.30 13.00-
ALAT : PUR (S : CA)
9 GA EL √ 08.00 08.00-15.30
09.15-15.15
9 GA JH √ 12.00 16.00-24.00
16.30-23.30
19.30-21.30
2 GA DN √ 17.00
19.45-21.15
2 GA DN √ 19.00 21.30-23.45
21.45-23.30
15.00-16.00
DS GA HS √
15.15-16.00
20.15-21.15
GA HS √
20.30-21.00
LA 21.15-21.45
LA
LA 19.00-19.30
DS LA 17.25-
CITO LA 08.50-
09.15-11.45
CITO GA DS √
09.30-11.15
15.00-18.00
CITO GA WA √
15.30-17.45
20.00-24.00
CITO GA DN √
20.10-23.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin JH √ 07.30 08.45-10.45

09.00-10.30
1 LA 10.00
1 GA HS √ 10.30 12.00-15.45
12.30-15.30
1 GA HA √ 14.00 16.00-21.00
17.00-20.50
2 GA JH √ 06.30 06.45-09.00
07.00-08.45
10.00-13.00
2 GA DN √ 08.00
10.15-12.45
2 GA AI √ 13.00 14.00-14.45
14.15-14.40
2 GA JH √ 15.00 15.45-18.30
16.00-18.15
3 LA 08.00
3 LA 09.00
3 LA 09.30
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00 15.40-15.55
4 GA √ 07.30 08.15-09.30
DN 08.30-09.15
4 GA DN √ 10.30 10.45-12.45
11.00-12.30
4 GA WA √ 13.00 13.00-20.00
13.10-19.50
5 LA 07.30
5 GA VL √ 08.30 09.00-11.00
09.15-10.45
5 GA epd WA √ 11.00 11.45-17.00

12.10-16.45
6 GA WA √ 07.00 06.45-11.15
08.00-11.00
6 GA HN √ 11.00 12.00-14.00
12.15-13.45
6 GA HN √ 13.00 18.00-21.15
18.30-21.00
7 GA HN √ 07.00 07.30-08.45
07.40-08.30
09.00-10.10
7 GA HS √ 08.30
09.20-09.45
7 GA spin BI √ 10.00 11.00-12.45

11.10-12.45
14.00-18.00
7 GA HN √ 13.00
14.30-17.45
7 GA HN √ 15.00 08.15-08.30
08.20-08.35
8 GA DN √ 06.30 07.00-08.15
07.15-08.00
8 GA VL √ 08.00 08.45-10.15
09.15-10.00
8 GA DN √ 10.30 10.45-13.15
11.00-13.00
8 GA VL √ 12.00 13.30-15.00
14.00-14.45
8 GA DN √ 14.00 15.45-17.45
16.00-17.30
9 GA JH √ 08.00 12.40-18.45
12.55-18.30
9 GA JH √ 14.00
10 GA SF √ 07.00 06.45-09.15
07.00-09.00
10 GA HS √ 11.00 10.30-12.00
10.45-12.45
10 GA SF √ 14.00 17.00-18.00
17.15-17.45
JTG GA WA √ 10.00 09.45-11.45
JTG GA HN √ 15.00
GR 1 GA VL √ 08.00 08.30-10.30
GR 1 GA AI √ 13.00 13.30-15.45
GR 2 GA WA √ 07.00 07.40-10.15
GR 2 GA AI √ 09.00 12.15-14.15
GR 2 GA 11.00
GR 3 GA SF √ 07.30 08.35-10.30
GR 3 GA BI √ 11.00
ALAT : PUR (S : CA)

14.30-18.15
5 GA WA √ 15.00
14.45-18.15
8 GA spin BI √ 16.00 20.30-22.15
21.00-22.15
19.00-20.00
10 GA spin SF 16.00
19.15-20.00
DS LA
DS GA spin VL √ 14.00 16.15-18.00

16.30-17.45
3 LA
06.00-07.00
CITO GA spin DN √
06.15-06.45
07.00-08.30
CITO GA DN √
07.30-08.00
CITO LA 09.20-
CITO GA EL √ 12.00-14.00
12.15-13.45
CITO GA EL √ 13.30-14.30
13.45-14.15
CITO GA BI √ 15.00-18.45
15.15-18.30
16.45-17.00
CITO GA spin WA √ 16.00
16.00-16.45
CITO GA BI √ 20.45-22.45
21.00-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA epd BI √ 07.30 08.15-10.30

08.25-10.25
1 GA epd DN √ 11.00 09.30-11.00

09.50-11.00
1 GA epd BI √ 15.00 15.00-16.30

15.30-16.20
2 GA 08.00 BATAL AKRENA PASIEN MAKAN
2 GA spin HN √ 11.00 13.30-14.30
13.45-14.30
2 GA BI √ 13.00 18.00-19.30
18.15-19.15
3 LA 08.00
3 LA 10.00
3 LA 10.30
4 GA HN √ 07.30 07.50-08.30
08.00-08.20
DS GA 11.00
4 GA UB √ 11.30 13.00-13.10
4 GA epd UB √ 12.00 13.30-18.30
14.00-18.15
5 GA spin VL √ 07.00 07.30-08.30

07.45-08.30
5 GA UB √ 08.30 08.30-09.45
08.45-09.30
5 GA epd UB √ 11.00 10.30-12.00

10.45-11.45
5 GA epd UB √ 14.00 12.30-14.00

12.45-13.45
6 GA JH √ 07.00 07.30-10.30
08.00-10.15
6 GA DN √ 10.30 12.00-15.15
12.30-15.00
6 GA BI √ 13.00 16.00-20.30
16.15-20.30
6 GA DN √ 16.00 17.15-21.00
18.15-20.55
7 GA JH √ 07.00 07.15-10.00
07.45-09.30
7 GA JH √ 09.30 11.00-12.45
11.15-12.30
7 GA spin JH √ 12.00 13.30-14.15

13.45-14.15
7 GA JH √ 15.00 16.00-24.00
16.20-23.50
8 GA HR √ 06.30 07.00-08.30
07.15-08.15
8 GA HN √ 08.00 11.00-12.15
11.15-12.00
09.15-10.30
8 GA HR 11.00
09.35-10.15
8 GA HR √ 13.00 16.00-17.15
16.15-17.00
8 GA HR √ 15.00 14.15-15.30
14.30-15.15
08.30-13.45
9 GA HR 08.00
09.00-13.30
9 GA JH √ 12.00 15.00-19.00
15.30-18.45
10 GA SF √ 07.30 07.45-11.45
08.00-11.30
10 GA HS √ 12.00 12.30-15.00
12.45-14.45
10 GA epd BI √ 15.00 16.15-18.15

16.30-18.00
10 GA spin SF √ 17.00 18.45-20.45

19.00-20.30
JTG GA WA √ 10.00 09.40-13.45

GR 1 GA WA √ 07.30 08.00-
GR 1 GA HN √ 09.30 11.50-
GR 1 GA HN √ 12.00 13.45-15.15
GR 2 GA WA √ 08.00 08.15-10.15
GR 2 GA DS √ 11.30 11.30-13.00
GR 3 GA WA √ 07.30 08.30-10.30
GR 3 GA WA √ 12.00 13.00-
T : PUR (S : CA)
20.15-22.00
GA DS √
20.30-21.45
21.45-23.15
GA HN √
22.00-23.00
09.15-09.45
DS GA BI √
09.30-09.45
3 LA 14.00-14.10
LA
LA 15.30-15.45
20.00-21.15
GA spin HS √
20.15-21.00
06.00-10.00
CITO GA epd DS √
06.30-09.45
08.15-10.45
CITO GA DS √
08.30-10.30
09.30-11.00
CITO GA spin DS √
09.45-11.00
10.45-14.45
CITO GA DS √
11.15-14.30
13.15-14.30
CITO GA spin DS √
13.30-14.30
16.00-18.00
CITO GA DS √
16.15-17.45
16.30-19.30
CITO GA DS √
16.45-19.15
21.30-02.00
CITO GA DS √
21.45-01.45
CITO GA spin DS
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA JH √ 08.00 08.00-09.00
08.15-08.45
1 GA spin SF √ 10.00 10.45-11.30

11.00-11.30
1 GA epd SF √ 11.00 09.50-15.10
10.00-15.00
2 GA 08.00
09.00-10.00
2 GA HA 10.00
09.10-09.50
2 GA SF √ 12.00 11.00-13.30
11.15-13.15
2 GA SF √ 14.00 13.15-15.30
13.45-15.30
3 LA 07.30
3 LA 08.00
3 LA 09.00
3 LA 09.30
3 LA 10.00
07.00-11.00
4 GA HS √ 06.30
07.10-10.45
4 GA epd HS √ 09.00 12.15-18.00

12.30-17.30
4 GA DN √ 12.00 17.00-19.00
17.15-18.45
5 GA epd VL √ 08.00 08.15-10.00

08.30-10.00
5 GA √ 10.30 10.15-13.30
epd HS 10.30-13.15
5 GA HS √ 14.00 15.30-17.15
15.45-17.10
5 GA TA √ 16.00 16.30-18.00
16.45-17.45
6 GA VL √ 07.00 07.30-08.30
07.45-08.30
6 GA VL √ 08.30 09.00-12.30
09.30-12.30
6 GA VL √ 12.00 12.30-13.30
12.45-13.15
6 GA spin VL √ 13.30 14.15-15.45

14.45-15.45
18.00-20.00
6 GA JH 15.30
18.30-19.30
7 GA VL √ 08.00 08.30-12.30
09.00-12.30
7 GA VL √ 10.00 13.00-16.30
13.30-16.30
7 GA TA √ 12.00 18.30-20.30
18.45-20.15
8 GA TA √ 08.00 08.45-09.45
09.00-09.30
8 GA HS √ 09.30 10.15-13.00
10.30-12.45
8 GA TA √ 11.00 13.45-15.30
14.00-15.15
8 GA TA √ 13.00 16.00-17.30
16.15-17.15
8 GA TA √ 15.00 18.30-20.15
18.45-20.00
8 GA TA √ 17.00 20.30-23.00
20.45-22.45
9 GA JH √ 14.00 10.10-17.00
10.40-16.45
10 GA 08.00
10 GA AI √ 13.00 10.30-14.15
10.45-13.00
10 GA 15.00 BATAL KARENA HYPERTYHROID
JTG GA HR √ 10.00 09.35-
GR 1 GA DN √ 07.30 07.45-10.00
GR 1 GA DN √ 09.00
GR 1 GA DN √ 11.00 11.45-12.15
GR 2 GA WA √ 08.00 08.15-11.00
GR 2 GA DS √ 10.00 13.00-
GR 2 GA AI √ 13.00 13.50-
GR 3 GA DN √ 08.00 09.45-11.30
GR 3 GA DN √ 11.00 14.30-15.30
GR 4 LA 09.00 10.45-12.30
ALAT : PUR (S : CA)

GA 06.00 07.00-07.30
10 GA spin VL √ 08.00 08.30-10.00

08.45-10.00
17.30-19.15
10 GA DN √ 15.00
18.00-19.00
22.45-24.15
GA spin HS √
23.00-24.00
20.30-23.00
GA spin HS √
21.00-23.00
18.45-20.00
GA JH √
19.00-19.45
07.30-09.00
DS GA spin VL √
08.15-09.00
18.45-19.15
DS GA HN √
18.46-19.14
14.30-15.30
DS GA VL √
14.30-15.30
LA 14.45-15.00
03.15-04.30
CITO GA spin VL √
03.30-04.15
10.00-11.45
CITO GA BI √
10.15-11.30
11.45-13.30
CITO GA epd TA √
12.00-13.20
CITO GA BI √ 13.15-13.30
14.30-18.45
CITO GA BI √
15.00-18.30
CITO LA 24.00-24.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.15
1 GA HA √ 07.30
08.30-10.00
12.15-13.00
12.30-13.00
12.30-13.30
1 GA spin HA 11.30
12.45-13.30
13.45-15.15
1 GA HA 13.00
14.00-15.30
06.30-08.00
2 GA HA 06.00
07.00-07.45
2 GA HA √ 08.00 08.45-10.45
09.15-10.30
2 GA WA √ 13.00 11.15-12.30
11.40-12.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
4 GA WA √ 07.00 07.00-09.45
07.15-09.30
4 GA DS √ 12.00 11.15-13.30
11.30-13.15
5 LA 07.30
5 GA epd DS √ 09.00 09.30-12.15

09.45-12.00
5 GA TA √ 13.00 14.00-15.00
14.05-14.45
6 GA WA √ 07.00 07.30-08.30
07.45-08.15
6 GA BI √ 08.30 09.05-09.40
09.00-09.30
6 GA WA √ 11.00 11.50-12.50
13.30-17.00
6 GA SF 13.00
14.00-16.45
17.30-21.15
6 GA WA 16.00
17.45-21.00
18.00-22.45
6 GA WA 18.00
18.15-22.30
7 GA epd BI √ 07.00 07.45-10.00

08.30-09.45
7 GA BI √ 10.00 10.45-12.00
11.10-11.45
8 GA WA √ 06.30 07.15-08.15
07.30-08.00
DJ,VT GA WA √ 08.00 08.00-10.15

09.00-10.00
8 GA WA √ 10.00 11.00-13.15
11.15-13.00
8 GA WA √ 13.00 13.30-15.30
13.40-15.15
9 GA WA √ 07.00 07.00-11.45
07.35-11.30
14.15-20.30
9 GA WA √
14.45-21.00
10 GA TA √ 07.00 07.00-09.30
07.15-09.15
10 GA TA √ 10.00 10.00-13.00
10.15-12.45
10 GA spin TA √ 14.30 20.30-23.15

20.45-23.15
spin, √ 17.00 19.00-21.00
10 GA WA
epd 19.30-20.45

JTG GA WA √ 10.00 07.00-
JTG GA WA √ 13.00 14.00-17.00

15.00-16.45
GR 1 LA 08.00 08.30-08.40
GR 1 GA 10.00 BATAL KARENA DIARE
GR 2 GA WA 08.00
GR 2 LA 11.00 14.00-14.30
GR 3 GA 08.00 BATAL KARENA PERBAIKAN KU
GR 3 GA SF √ 10.00 11.20-12.00
PUR,CA (S : YS )
GA VL √ 06.15-07.15
06.30-07.00
3 LA
21.30-22.05
GA HS √
21.35-22.00
21.00-23.45
GA epd HS √
21.15-23.30
20.30-21.10
GA spin HS √
20.45-21.00
22.45-01.00
GA spin HS √
23.00-00.45
13.45-15.45
GA HN √
14.15-15.30
16.00-17.00
GA DN √
16.15-16.45
17.15-17.50
GA HA
12.50-17.45
GR 3 GA HR √
06.30-07.45
CITO GA VL
07.00-07.45
08.00-09.15
CITO GA spin HN √
08.15-09.00
09.00-10.15
CITO GA HN √
09.05-10.00
09.45-11.15
CITO GA spin HN √
10.00-11.00
11.30-13.00
CITO GA spin HN √
11.45-12.45
CITO GA HN √ 13.30-
13.45-15.00
CITO GA spin HN √
14.00-15.00
15.00-16.00
CITO GA spin HA
15.05-15.45
18.45-22.30
CITO GA HA
19.00-22.30
19.15-22.00
CITO GA HA
19.45-22.00
21.15-23.15
CITO GA VL
22.00-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.00
1 GA HN √ 07.30
08.15-09.45
09.30-10.30
1 GA DS √ 10.00
10.00-10.15
2 GA DN √ 06.00 07.00-08.30
07.15-08.15
2 GA TA √ 19.00 11.15-14.30
11.45-14.15
3 LA 09.00 09.10-
3 LA 11.00 11.40-12.00
3 LA 12.30 12.35-13.00
7 GA DS √ 08.00 08.30-11.00
08.45-10.45
7
8 GA DS √ 06.30 07.00-08.00
07.15-07.45
9
10
JTG GA HN √ 10.00 09.45-
GR 1
GR 2
GR 3
08.00-09.30
9 GA DS √
08.15-09.15
10.15-12.15
9 GA DS √
10.30-12.00
07.30-09.30
CITO GA DS √
08.00-09.15
10.30-13.00
CITO GA DS √
11.45-12.45
CITO LA 14.35-15.00
CITO LA 22.15-22.40
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
3 LA 10.00 11.05-13.20
3 LA 12.00 18.45-20.00
09.30-10.45
9 GA DN √
10.00-10.30
3 LA 14.15-15.25
3 LA 16.10-
16.15-18.00
GA DN √
16.30-17.45
15.30-17.00
CITO GA HN √
16.00-16.30
CITO GA HN √ 20.00-22.00
20.30-21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin TA √ 07.30 08.00-09.00

08.15-09.00
1 GA VL √ 10.00 09.15-13.15
10.30-13.00
1 GA VL √ 13.00 17.15-19.45
17.30-19.30
2 GA JH √ 08.00 09.30-11.00
09.45-10.45
2 GA VL √ 11.00 11.45-21.00
12.45-20.45
3 LA 08.00
3 LA 09.00
3 LA 09.30
3 LA 10.30
3 LA 11.30
3 LA 13.00
07.30-14.00
4 GA HR 07.00
07.35-13.50
14.30-16.00
4 GA HR 11.00
14.45-15.55
4 GA epd VL √ 14.00 17.00-20.30
17.15-20.15
5 GA DN √ 08.00 08.30-12.30
09.30-12.15
13.30-17.00
5 GA epd HR 10.30
14.00-16.45
5 GA epd VL √ 13.00 18.30-23.00

20.15-23.00
07.30-11.30
6 GA AI 07.00
07.45-11.30
6 GA AI √ 09.00 13.30-18.00
13.45-17.45
6 GA AI √ 12.00 19.30-00.30
19.50-00.15
6 GA WA √ 15.00 19.30-04.00
19.45-04.00
7 GA HS √ 08.00 08.00-10.00
08.15-09.45
7 GA AI √ 10.30 10.45-14.30
11.00-14.15
7 GA AI √ 12.00 14.30-16.45
14.45-16.30
7 GA AI √ 13.00 17.45-18.45
8 GA JL √ 06.30 07.00-08.15
07.20-08.00
8 GA JL √ 08.00 09.15-10.45
09.50-10.35
8 GA JL √ 10.00 11.30-13.15
11.50-13.00
8 GA HA √ 12.00 14.30-16.45
15.10-16.30
8 GA 14.00
SUDAH DIKERJAKAN DI RUANGAN
9
9
spin, √ 08.00 08.15-12.00

10 GA HA
epd 08.30-11.45
spin, √ 11.00 13.00-16.00

10 GA HS
epd 13.30-15.45
10 GA HS √ 14.00 16.45-18.15
17.00-18.00
10 GA epd HA √ 16.00 20.00-22.30

20.30-22.15
JTG GA HR √ 09.35-12.00
GR 1 GA WA √ 07.30 08.30-10.15
GR 1 GA DN √ 10.00 11.30-12.30
GR 2 GA WA √ 07.00
GR 2 GA TA √ 10.00 12.30-
GR 3 GA DS 07.30 08.20-09.00
GR 3 GA DS 08.30
GR 3 GA DS 10.00 11.10-
UR (S : EM )
9 GA JH √ 08.00 08.00-14.00
08.45-15.45
9 GA JL √ 15.00 15.30-00.00
17.00-23.45
GA 22.00-
CITO GA JL √ 05.00 06.30-07.30

06.45-07.15
19.45-21.15
7 GA TA √
20.00-21.00
18.00-19.30
DS GA HA √
18.15-19.15
08.45-12.00
CITO GA DN √
09.00-11.45
CITO GA spin √ 03.45-04.35

HN 03.50-04.30
13.45-15.30
CITO GA DN √
14.00-15.15
CITO LA 17.10-
CITO LA 17.00-17.30
CITO LA 17.45-
20.45-23.15
CITO GA TA √
21.00-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 08.00
2 GA DN √ 07.00 07.00-09.15
07.25-09.00
2 GA epd SF √ 09.30 10.00-14.45

10.30-13.30
5 GA DN √ 08.00 09.45-10.20
10.00-10.15
5 GA DN √ 10.00 12.45-14.15
13.00-14.10
8 GA VL √ 08.00 08.25-10.00
08.50-09.50
8 GA DN √ 10.30 11.00-14.15
11.15-14.00
9 GA JH √ 08.00 08.15-13.15
08.45-13.00
GA AI √ 17.00-19.00
17.15-18.45
GA DN √ 16.15-19.15
16.30-19.15
02.15-05.45
CITO GA spin TA √
02.30-05.30
05.30-07.30
CITO GA TA √
05.45-07.30
08.00-09.30
CITO GA DN √
08.15-09.25
GA DN √ 10.30-12.00
10.45-11.45
√ 08.00-09.15
CITO GA spin DN 08.15-09.00
08.45-09.45
CITO GA DN √
09.00-09.30
09.45-11.30
CITO GA DN √
10.30-11.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
spin, √ 08.00 08.00-11.00

1 GA WA
epd 08.15-10.45
1 GA spin BI √ 13.30 11.45-17.15
12.00-17.00
1 GA spin HA √ 15.30 16.30-17.45

16.45-17.30
07.45-09.30
2 GA epd WA √ 07.30
08.00-09.15
2 GA epd BI √ 10.00 10.30-13.30

11.30-13.15
2 GA spin √ √ 13.00 14.45-15.00

15.00-15.45
3 LA 07.30
3 LA 09.00
3 LA 12.00
3 LA 14.00
3 LA 15.00
3 LA 20.00
4 GA epd UB √ 07.30 08.15-12.15

08.30-12.00
4 GA epd WA √ 12.00 12.30-15.30

12.45-15.15
spin, 17.00-19.30
4 GA DS √ 15.30
epd 17.10-19.20
5 GA UB √ 07.30 10.30-13.45
11.00-13.30
5 GA UB √ 09.30 14.30-17.00
15.00-16.45
5 GA 11.30 BATAL KARENA HIPOALBUMIN
5 GA spin DN √ 13.00 07.45-09.15
08.00-09.00
5 GA spin VL √ 15.00 17.45-20.15
18.00-20.15
6 GA WA √ 07.00 07.30-11.30
08.15-11.20
6 GA WA √ 10.00 12.30-14.55
12.45-14.45
6 GA JL √ 12.30 15.30-18.30
15.45-18.15
6 GA JL √ 15.00 19.30-20.30
19.45-20.30
6 GA DN √ 18.00 20.30-22.00
20.45-21.45
7 GA WA √ 07.00 07.15-13.30
08.00-13.15
7 GA HN √ 11.00 14.00-15.30
14.30-15.20
7 GA WA √ 13.30 16.30-19.45
16.50-19.30
07.30-08.30
8 GA HR 06.30
07.45-08.15
09.37-09.55
8 GA HR 09.00
09.40-09.50
10.30-14.00
8 GA HR 10.00
10.45-13.45
8 GA HA √ 12.00 13.30-15.00
13.45-14.45
15.15-16.45
8 GA HR 14.00
15.30-16.30
17.00-20.00
8 GA HR 16.00
17.15-19.45
07.00-12.00
9 GA HR 08.00
08.00-11.45
14.00-01.00
9 GA HR 14.30
15.30-01.00
10 GA SF √ 08.00 08.00-11.15
08.30-11.00
10 GA 11.00
BATAL KARENA ALAT BLEUM TERSEDIA
10 GA epd SF √ 14.00 18.00-20.30
18.30-20.15
10 GA spin HS √ 16.00 21.30-23.30

22.00-23.15
10 GA HS √ 18.00 15.00-17.30
15.30-17.15
JTG GA WA √ 10.00 07.00-
JT GA HN √ 12.45-
GR 1 GA DN √ 07.15 12.10-
GR 1 GA DN √ 09.00 08.00-09.00
GR 1 GA VL √ 11.00 10.10-11.00
GR 1 GA JL √ 13.00 13.20-15.30
GR 2 GA JL √ 08.00
GR 2 GA DN √ 10.30 14.30-
GR 2 GA DN √ 13.00 09.20-12.20
GR 3 GA JL √ 07.30 08.30-12.00
GR 3 GA JL √ 10.00
ALAT : PUR (S : EM )
GA
LA
JT GA HN √ 12.45-
GA JL √ 19.25-20.00
21.30-23.00
8 GA HN √ 21.00
21.45-22.45
22.00-24.00
22.15-23.45
GA spin DN √ 13.00-13.45
13.15-13.45
10.00-10.30
DS GA spin DS
10.05-10.20
11,15012.15
DS GA spin UB √
11.30-12.15
LA 16.55-
14.00-14.30
GA SF √
14.05-14.15
15.30-18.00
15.45-17.45
LA
LA
LA
11.00-11.30
GA HS √
11.05-11.20
CITO GA spin DS √ 07.15-08.00

07.30-08.00
07.00-07.30
CITO GA HA √
07.05-07.30
08.00-08.30
CITO GA DS
08.05-08.20
CITO GA spin DS 08.45-09.45

09.00-09.45
11.30-12.30
CITO GA spin DS
11.45-12.30
CITO LA 19.50-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA HS √ 07.00 07.30-09.00
07.50-08.50
1 GA spin VL √ 11.00 10.15-12.05

11.00-12.00
1 GA SF √ 13.00 13.30-16.30
14.30-16.15
1 GA DN √ 15.00 18.00-01.00
18.30-00.30
2 GA JL √ 08.00 08.45-10.30
09.15-10.15
2 GA 11.00
BATAL KARENA NUNGGU BERAT BEDAN NAIK
2 GA SF √ 13.30 14.30-18.30
14.45-18.15
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.30
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
4 GA VL √ 08.00 08.15-10.30
08.30-10.15
11.30-12.30
4 GA HR 11.00
12.00-12.20
4 GA HA √ 13.00 15.00-17.15
15.15-17.00
5 GA WA √ 08.00 08.00-13.30
08.30-13.00
5 GA VL √ 12.00 13.45-14.30
13.50-14.15
5 GA HS √ 13.30 15.45-18.00
16.15-17.45
6 GA epd VL √ 07.00 07.15-07.45

07.30-09.30
6 GA VL √ 09.30 11.00-12.00
11.15-11.45
6 GA VL √ 10.30 12.45-17.00
13.00-17.00
6 GA VL √ 14.00 18.45-20.00
19.00-19.45
6 GA VL √ 16.00 17.30-18.30
18.00-18.30
7 GA VL √ 08.00 08.30-09.30
09.00-09.20
7 GA VL √ 10.00 11.00-11.45
11.15-11.35
7 GA VL √ 12.00 12.15-14.15
12.30-14.00
7 GA spin VL √ 14.00 12.45-14.30

13.00-14.15
7 GA spin VL √ 16.00 15.15-18.30

15.30-18.30
8 GA 08.00
8 GA VL √ 10.00 15.45-17,15
16.00-17.00
8 GA 12.00 BATAL KARENA MENSTRUASI HARI 1
8 GA EL √ 14.00 13.15-14.15
13.25-14.00
8 GA 16.00
9 GA HA √ 08.00 07.15-11.15
09.00-11.00
9 GA EL √ 15.00 17.15-
10 GA AI √ 07.00 06.45-09.45
07.00-09.30
10 GA AI √ 11.00 19.15-13.30
11.00-13.15
10 GA epd HS √ 15.00 15.00-17.00

15.45-17.00
JTG GA HR √ 10.00 10.10-12.00
GR 1 GA DN √ 07.30 08.30-10.30
GR 1 GA DN √ 09.00 12.00-13.55
GR 1 GA DS √ 11.00 15.00-17.10
GR 2 GA WA √ 08.00 08.30-11.30
GR 2 GA WA √ 10.30 12.30-
GR 3 GA WA √ 07.00 07.50-10.30
GR 3 GA 10.00
BATAL KAREAN ICU PENUH
ALAT : PUR (S : EM )
08.00-09.00
8 GA HN √ 07.00
08.10-08.45
20.15-21.45
GA SF
20.30-21.35
19.00-20.30
GA SF
19.15-20.15
08.30-09.05
GA spin AI √
09.00-09.05
21.30-21.45
GA HS √
21.30-21.45
19.45-20.45
GA spin HS √
20.15-20.45
LA
LA
00.00-01.00
CITO GA BI
00.10-01.00
CITO LA 08.00-09.15
09.15-10.35
CITO GA spin BI √
09.30-10.30
10.45-11.30
CITO GA spin VL √
10.55-11.25
12.00-14.00
CITO GA epd VL √
12.10-13.55
CITO LA 13.15-14.00
CITO GA WA √ 15.15-17.30
15.30-17.15
CITO GA spin TA √ 20.30-21.45

20.35-21.30
CITO GA TA √ 21.00-22.30
21.15-22.15
CITO GA TA √ 23.00-24.15
23.15-24.00
CITO GA TA √ 23.15-01.15
23.30-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA HA √ 09.00 09.00-11.15
09.45-11.00
1 GA HA √ 15.00 16.00-18.45
17.00-18.30
2 GA HA √ 07.00 07.30-09.15
07.45-09.00
2 GA VL √ 09.30 10.15-13.30
10.45-13.15
2 GA SF √ 13.00 14.15-16.30
14.30-16.00
3 LA 06.30 07.00-09.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 20.00
4 GA epd WA √ 08.00 08.15-10.15
08.30-10.05
4 GA epd DS √ 12.30 12.30-15.15

12.45-15.00
4 GA HS √ 15.00 16.45-20.30
17.00-20.20
epd, √ 08.00 08.15-14.30

5 GA DS
blok 08.30-14.15
5 GA DS √ 11.00 15.30-17.45
15.45-17.30
5 GA DS √ 14.00 12.30-15.30
12.30-15.15
6 GA BI √ 07.30 08.00-10.45
08.45-10.30
6 GA epd BI √ 10.00 12.30-18.15

12.45-18.00
6 GA HN √ 13.00 18.30-23.15
19.30-23.00
7 GA BI √ 07.00 07.05-10.05
07.15-09.45
7 GA BI √ 10.00 10.30-12.45
11.10-12.30
7 GA spin HN √ 13.00 14.10-16.10

14.45-16.00
7 GA HN √ 15.30 17.45-20.30
18.00-20.00
8 GA WA √ 06.30 07.15-08.00
07.30-07.50
8 GA SF √ 08.00 08.30-10.00
08.45-09.45
8 GA WA √ 10.00 10.15-11.30
10.40-11.15
8 GA WA √ 13.00 13.15-14.45
13.40-14.30
8 GA VL √ 15.00 15.30-16.20
15.45-16.05
9 GA SF √ 08.00 07.45-10.45
08.30-10.30
9 GA WA √ 14.00 15.00-20.45
16.30-21.00
10 GA HS √ 07.00 06.30-09.00
06.45-08.45
10 GA HS √ 10.30 09.20-11.30
09.45-11.15
10 GA WA √ 13.00 11.30-12.30
11.45-12.15
10 GA spin HS √ 14.30 14.30-18.30
14.35-18.30
JTG GA WA √ 10.00 07.00-

GR 1 GA HA √ 08.00 08.40-10.00
GR 1 GA VL √ 10.30 11.00-13.00
GR 2 GA WA √ 08.00 09.00-09.40
GR 2 GA DS √ 12.30 13.35-
GR 3 GA WA √ 07.00
3 LA 09.00-09.15
18.15-22.30
6 GA JL √
18.30-22.15
13.00-13.45
DS GA spin HS √
13.15-13.45
DS LA 19.20-19.50
DS LA
DS LA
DS LA
DS LA
DS LA
03.00-05.30
CITO GA TA √
03.15-05.15
10.30-12.45
CITO GA blok HN √
10.45-12.30
15.00-18.00
CITO GA HN √
15.15-17.45
20.15-21.45
CITO GA HN √
20.30-21.30
23.15-00.00
CITO GA HN √
23.30-23.45
HARI / TANGGAL : SABTU, 01 APRIL 2017
JAMINAN
2 Susherwanto VIPA NPBI 55 th L GRD 4 C630293 8925624

3 Yardizal VIP NPBI 65 th L GRD 4 C630608 8927971
4 Yuli Rosidah 3 NPBI 37 th P B 31 C630613 8927752
5 Ribut VIP NPBI 75 th P GRD 6 C629705 8920522
6 Tachrir 2 NPBI 64 th L MRK 1 C628977 8920775
7 Al-Farel Rafqa Ardiyanto VIP NPBI 3 bln P GRD L3 C630492 8927774
8 Sutini 3 PBI 45 th P R2A C617917
9 Agung Supriyanto 1 NPBI 48 th L KPD D C616189 8923453
10 L. Budi Praptono 3 NPBI 45 th L R5A C629109 8915525
M :GI,AR,AN,WI,PS RR : FA,SAM,MW MID : MY,ANM RR GRD : WU SORE PROGRAM : ALAT : CA

11 Yuswono 3 PBI 44th L R3B C629337 8920766
12 Indah Susanti 3 NPBI 34th P R3A C629910 8921263
13 Eko Susilowati 1 NPBI 46th P KPD 1 C540438 8928033
14 Sri Rejeki 1 NPBI 76th P MRK 2 C558629 8925601
15 Suwarto 3 PBI 56 th L R3B C540664 8921193
16 Sucipto 3 JMD 55 th L R6B C630398 8925857
17 Nur Sugiharto Didik Saputra VIP NPBI 35th L GRD 4 C630747 8929308
CITO
18 Karsiyem 3 NPBI 70th P R2A C630763 8929632
19 Ali Munaji 3 PBI 17th L C1L1 C629536 8925845
20 Warno 2 um 45th L IGD C630813 8929613
21 Dewi Sri Purwati VIP NPBI 38th P GRD 3 C597569 8929712
HARI / TANGGAL : MINGGU, 02 APRIL 2017

JAMINAN
1 Amrih Mariyanto 3 PBI 23 th L R1B B392085 8925741
2 M. Teguh Azmi 3 PBI 2 th L C1L1 C626602 8923631
3 Ulya Ayu Ningsih 3 PBI 8 th P C1LD C628021 8925344
M :ST,WD,AG,AF,WI SORE PROGRAM :II,YS,PM,US,AT

CITO
4 Royanah 3 NPBI 53th P R3A C604179 8906337
5 Khumaidi 1 um 49th L KPD 1 C630879 8930020
6 Anis Mahsunah 3 NPBI 23th P B31 C389988 8930017
HARI / TANGGAL : SENIN, 03 APRIL 2017

JAMINAN
1 Tian Anan Firmansyah 3 NPBI 2 th L Anak D C623078 8889801

2 Indah Pupspitasari 1 NPBI 26 th P KPD D C619848 8912842
3 Sulikah 3 NPBI 39 th P P. URO C545777
4 Siti Sarotun 3 PBI 42 th P R4A C613255 8915061
5 Kasdani 3 PBI 56 th L R5A C584773 8921187
6 Ali Munaji 3 NPBI 17 th L Anak 1 C629536
7 Muhammad Ismail 2 NPBI 45 th L KPD 1 C552921 8929972
8 Maryuni 3 PBI 49 th P R3A C628496 8925499
9 Dusri 3 NPBI 50 th P R5B C624253 8923496
10 Sunarto 3 PBI 58 th L Pol MTA C615800
11 Subianto 3 NPBI 60 th L Pol VAS C337958
12 Dewi Chotijah Psuit Um 50 th P GRD L6 C470198 8929976
13 Muhammad Asy'ari 3 PBI 23 th L R5A C502136 8925853
14 Anastasia Hartanti W 1 NPBI 54 th P MRK 2 C455535 8919564
15 Lampiyanto VIP Um 39 th L GRD L4 C628842 8910680
16 Sulis Setyowati 3 PBI 41 th P R2A C490110 8920795
17 Sujiono 1 NPBI 54 th L Transit C629547 8925849
18 Lisyanti VIP NPBI 52 th P GRD L5 C629150 8914646
19 Sumadi VIP NPBI 45 th L GRD L5 C626508 8916633
20 Sarjuni Endang Padmani 1 NPBI 57 th P MRK 1 C628010 8904503
21 Tun Herowati 1 NPBI 63 th P KPD 1 C628089 8925779
22 Siti Nurhayati 3 NPBI 38 th P R5B C630463 8927866
23 Noor Sholichah 2 NPBI 57 th P KPD D C629467 8929951
24 Sugeng 3 PBI 55 th L R5A C629225 8915415
25 Ibad Al Harits 3 NPBI 2 th 9 bln L Anak 1 C624049 8925835
26 Sadino 3 NPBI 30 th L R1B C356726 8923445
27 Priyogo 1 NPBI 62 th L KPD 1 C625503 8919075
28 Darimah VIPA NPBI 53 th P GRD L4 C624048 8927834

29 Salbiah 1 NPBI 68 th P KTL C604931 8904500
30 Stefanus Waluyo 1 NPBI 53 th L MRK 1 C470848
31 Anang Ferdiyanto 2 NPBI 11 th L Anak D C628011 8910618
32 Suwarsi 1 NPBI 87 th P MRK L1 C42618 8921212
Windy Septiani Putri 3 NPBI 16 th P ELA 1 C594308 8929768
33 Latifatul Asror 1 NPBI 17 th P C1L1 C629091 8927834
34 Atsusmiati 2 NPBI 34 th P B31 C622907 8929614
35 Azza Husnu Wahda 2 NPBI 27 th P 27th C630234 8929973
36 Karsini 3 NPBI 57 th P R2A C626252 8923471

37 Eko Prastyono 3 PBI 25 th L R2B C630672 8929585
38 Alya Az-Zahra 3 NPBI 4 th P C1L1 C595259 8923444
39 Muhammad Kevin Saputra 3 JMD 2 bln L C1LD C630219 8923757

40 Shafira Azzahra 1 NPBI 10 th P HCU C629824
M : ST,AF,AG,PM,AT,WD,ES RR : FA,SAM,EM MID : RG,SU RR GRD : IS SORE PROGRAM : WU,II,ET,AU,RE,B
41 Siti Patonah 3 NPBI 42 th P R4A C611161 8904454
42 Warsini 3 PBI 48th P R4A C611152 8919025
43 Sutini 3 NPBI 45 th P R2A C617917 8925747
44 Budi Kurniawan 3 JMD 29th L R3B C561968 8904482
45 Yudits Maulana Arif 2 NPBI 37th L IGD C572218 8932082
46 Suali 2 Um 57th L IGD C621066 8931360
47 Zafran Fatkhur Rafizqi 2 NPBI 8 bl L Anak D C621416 8929591

CITO
48 Sucipto 2 NPBI 47th P IGD C631161 8932250
49 Moh. Zaenul Aslam 3 um 11th L C1LD C630930 8930075
50 Gloria Matital VIP NPBI 26th P GRD 3 C619520 8930079
51 Sukanto VIP NPBI 78th L GRD 6 C427774 8889897
52 Nur Pramitasari 1 NPBI 26th P B31 C272153 8929929
53 Vani Nurulita 1 NPBI 30th P B31 C623513 8929846
54 Haryanto IRINB SKTM 37th L R1A C630904 8931524
55 Mulyati Marginingsih 3 NPBI 36th P B31 C630933 8930064

56 Nurul Ahmaliyah VIP NPBI 46th P GRD 5 C631060 8931821
57 Surati 3 PBI 42th P B31 C631112 8932047
58 By.Ny. Suparni IRINA NPBI 2hr P PICU C631132 8932351
HARI / TANGGAL : SELASA, 04 APRIL 2017
JAMINAN
1 Warsini 3 NPBI 48 th P R4A C611152 8919025
2 Kasiyan 3 NPBI 80 th L R3B C628154
3 Johanes Parjono 1 NPBI 75 th L KPD 1 B343402 8923483
4 Shodikin 3 PBI 53 th L R1B C622108 8928009
5 Muhamad Khoirul Anam 3 NPBI 2 th L Anak D C554993 8929274
6 Fariel Azka Fahreza 3 NPBI 1 th L Anak D C624187 8929223
7 Aura Dwi Agustin 3 NPBI 7 bln P Anak D C601747 8925827
8 Kusyatun 2 NPBI 52 th P P. Mata C629701

9 Kariyanto 1 NPBI 64 th L P. Mata C506188
10 Agus Haryoko 2 NPBI 54 th L P. Mata C618963
11 Sri Yani 1 NPBI 43 th P P. Mata C105785
12 Nur Khafid 2 NPBI 47 th L P. Mata C628220
13 Priyo Suharso 3 NPBI 42 th L Pol VAS C572936
14 Dyah Eko sulistyorini VIP NPBI 56 th P GRD L4 C327352 8925649
15 Rina Lukitawati VIP NPBI 42 th P GRD L6 C625906 8929759
16 Takim 2 NPBI 70 th L MRK D C625849 8925680
17 Betty Sri Kusmiatun 1 NPBI 60 th P KPD D C629571 8925709

18 Yanti 3 NPBI 29 th P R2A C624834 8925385
19 Karti 3 NPBI 66 th P R2A C554952 8922568
20 Jami 3 PBI 50 th P R4A C608260 8919036
21 Sarpi 3 NPBI 49 th P R3A C629717 8923508
22 Saefudin 3 NPBI 18 th L R2B C627555 8929526
23 Risky Kurniawan 2 NPBI 15 th L C1LD C629923 8923329
Muhammad Misbakhul
24 3 PBI 8 th L Anak 1 C624877 8929600
Munir
25 Wastiah 3 PBI 48 th P R2A C531562 8925858
26 Fauzi Mardiyah 3 NPBI 46 th P R3A C569558 8912778
27 Surati 1 NPBI 76 th P MRK 1 C127847 8923504
28 Warti 3 NPBI 51 th P R2A C616975
29 Yasmi 3 NPBI 46 th P R3A C625269 8920778
30 Savina Widyasari 3 NPBI 24 th P R2A C623024 8915052
31 Maulana Farid Esack 1 NPBI 16 th L Anak D C630197 8923679
32 Sukotjo 2 NPBI 63 th L MRK LD C479585 8929630
33 Muhammad Ismaulin Nuha 3 PBI 14 th L Elang 1 C565673 8929953
34 Farrel Rizki Febrianto 2 NPBI 1 bln L Anak D C629817 8921153
35 Siti Maratun 2 NPBI 33 th P B31 C626374 8930010
36 Risky Senditia 3 PBI 24 th P R2B C627260 8929510
37 Sahyuni 1 NPBI 42 th P KPD 1 C628453 8923522
38 Nur Khasanah 3 NPBI 46 th P B31 C609571 8922130
39 I'Iariana VIP NPBI 41 th P GRD L4 C630543 8929743
40 Purnomo 3 NPBI 52 th L R2B C628702 8929259

M : II,AT,ES,HI,MY,YS,PM RR : FA,SAM,EM MID : RG,SU RR GRD : IS SORE PROGRAM : WU,AR,AU,RE,BR,BY
41 Tjan The Nio VIP NPBI 5/30/1938 P GRD L6 C630925 8930902
42 Dwi Jayanti 1 NPBI 30 th P Elang 1 C616076 8931801

In
43 Indiyah Sulistyaningrum VIP 7/10/1969 P GRD L5 C623639 8932116
health
44 Tito Fahri Karnavian VIP NPBI 4/22/2010 L GRD L3 C630845 8932137
45 Surmi VIP NPBI 72th P GRD 5 C631150 8932278
46 Umi Rahayu 3 um 58th P R6A B210317 8929893
47 Akhsanudin 3 PBI 54th L R2B C631241 8934394
48 Chamidah VIP NPBI 70th P GRD 4 C613158 8921080
49 Subari 3 PBI 55th L R1A C629878 8921228
50 Lia Lifiana 3 PBI 17th P R2A C610033 8925684
CITO
51 Syahda Mawardhani 3 um 20th P B31 C621189 8932520
52 Piat Supriatna 3 um 26th L R1B C630884 8929930
53 Mur Wantiningsih 2 NPBI 36th P B31 C630668 8928147
54 Kasran IRIN A NPBI 62th L ICU C629802 8921084
55 Siti Chodijah IRIN A NPBI 70th P HCU C623807 8923040
HARI / TANGGAL : RABU, 05 ARIL 2017

JAMINAN
1 Susilo 2 NPBI 34 th L KPD 1 C593626 8933048
2 Suyoto 3 NPBI 54 th L R1B C629793 8921152
3 Nor Kalim 2 NPBI 47 th L MRK D C594140 8925817
4 Ardi Setiawan 1 NPBI 21 th L KPD 1 C630458 8932338
5 Ngabdul Basit 1 NPBI 47 th L KPD 1 C626811 8932296
6 Kasmiati 3 NPBI 57 th P R3A C629047 8932254
7 Sauri 3 PBI 38 th L R2B C609182 8724301

8 Pri Suhartini 1 NPBI 54 th P Pol MTA C484574
9 Sugeng Gunawan Privat NPBI 63 th L Pol GRD C628139
10 Sudjatmiko Privat NPBI 56 th L Pol GRD B225194
11 Tjong Jek Jin 1 NPBI 76 th P Pol MTA C626913
12 Sadi Suharto 3 NPBI 44 th L Pol MTA C626124
13 Sukinah 3 PBI 53 th P Pol MTA C622863
14 Ahmad Mustakim 3 NPBI 21 th L Pol MTA C628231
15 Aan Tri Nugroho 3 NPBI 19 th L Pol MTA C591225
16 Nini 1 NPBI 31 th P KPD L1 C477510 8921316
17 Emi Surbayanti VIP Um 43 th P GRD L3 C630379 8929979
18 Ridho Parmanto 1 NPBI 53 th L KPD 1 C629765 8932339
19 Mutatohirin 3 NPBI 33 th L R1B C625790 8929521
20 Punto Wicaksono 3 NPBI 38 th L R2B C628691 8910375
21 Sami 3 Um 44 th P R2A C625524 8931950
22 Suyati 3 PBI 51 th P R2A C627023 8920751
23 Sukinem 3 NPBI 56 th P R2A C629490 8919116
24 Kanipah 3 PBI 41 th P R2A C629420 8925801
25 Hariyati 2 NPBI 56 th P KPD D C626616 8933455
26 Siwi 2 NPBI 52 th P KPD D C565343 8934277
27 Tri Lestari 2 NPBI 37 th P KPD D B146188 8932798
28 M Teguh Azmi 3 NPBI 2 th 9 bln L Anak 1 C626602 8923631
29 Sri Hidayah 3 NPBI 20 th P R4B C627750 8905393
30 Atho'illah Yusqi 1 NPBI 38 th L MRK 1 C615493 8932320
31 Harsono 3 PBI 62 th L Transit C375180 8932179
32 Ahmad Rofi' 3 PBI 7 bln L Anak 1 C620322 8929598
33 Sumi VIP NPBI 54 th P GRD L4 C630627 8927862
34 Eriana Sylvia 2 NPBI 24 th P KPD D B065110 8925842
35 Khaerul Anwar 3 NPBI 54 th L R3B C628314 8925851

36 Sukidah 3 NPBI 56 th P R2A C614717 8906354
37 Muhammad Wildan Najid 3 PBI 8 th L Anak D C624588 8910725
38 Erni Kholifah 3 NPBI 15 th P Anak 1 C627749
39 Thomas Djatmiko 1 NPBI 66 th L KTL C630604 8929043
40 Tony Rudiyanto 2 NPBI 36 th L MRK D C630224 8929766
41 Apriyanto 2 NPBI 48 th L MRK D C172652 8927993
42 Muhammad Yahya 3 PBI 26 th L R1B C600309 8923516
43 Susanti 3 NPBI 36 th P Elang 1 C606819 8932181
44 Ramlah 1 NPBI 67 th P B31 C628653 8929520
45 Aminah 1 NPBI 67 th P KPD D C628131 8929553

46 Adelia Faranisa 3 NPBI 10 bln P C1LD C617477 8914619
47 Dwi Rahayuningsih 2 NPBI 34 th P KPD D C607515 8928031
48 Rebin VIP NPBI 63 th L GRD L5 C629984 8931398
49 Rupiah 3 NPBI 48 th P R2A C626379 8929486
M :II,BD,RE,DM,ER,HI,MY RR : FA,SAM,EM MID : RG,SU RR GRD : PS SORE PROGRAM : WU,AR,AU,AD,BR,BY
50 Linda Juliani Pratiwi VIP um 24 th P GRD L6 C386858 8931990
51 Zidhan Choiro P VIP NPBI 14 th L GRD L3 C572605 8934074
52 Achmad Afandi 3 NPBI 42 th L R3B C627531 8900000
53 Wakini 1 NPBI 57 th P KPD L1 C629493 8919143
54 Sunaryo VIP NPBI 68 th L GRD L6 C631052 8932088
CITO
55 Sulkan 3 PBI 75th L R1A C336559 8932656
56 Usi Purnamaning Tyas 3 NPBI 27th P B31 C481651 8934242
57 Agus Tri Purnomo 2 NPBI 43th L IGD C631348 8934319
58 Lestari Muji Yuwarmi 3 PBI 39th P ICU C631510 8936256
59 Shofa Mohamad Kholil 3 NPBI 7bl L C1LD C626231 8921033
HARI / TANGGAL : KAMIS, 06 APIRL 2017

JAMINAN
1 Sunaryo VIP NPBI 68 th L GRD L6 C631052 9832088
2 Rasmi VIP Um 61 th P GRD L6 C630383 8931921
3 Murtiah 2 NPBI 52 th P Transit C631174 8934949
4 Kasdani 3 PBI 57 th L R5A C584773 8921187
5 Citra Widya Astuti 2 NPBI 5 th P Elang 1 C437099 8935958
6 Adios Sabata 2 NPBI 41 th L MRK D C480627 8929843
7 Jayudi 3 PBI 48 th L R6B C630159 8923545
8 Dwi Ambarwati 3 NPBI 29 th P R3A C622567

9 Imam Hartono 3 PBI 53 th L R1B C630781 8932311
11 Suparjan 3 PBI 67 th L Pol MTA C626389

12 M. Zaenal Arifin 2 NPBI 56 th L Pol MTA C628704
13 Cuci Herawati 1 NPBI 48 th P Pol MTA C581144
14 Supartono 2 NPBI 54 th L MRK LD C586436 8929887

15 Tri Rahayu 3 NPBI 38 th P Pol VAS C622422
16 Karnadi 3 NPBI 48 th L Pol VAS C630805
17 Nur Fatimah 3 NPBI 27 th P Pol VAS C631121
18 Siti Sri Widaya Kaningsih 1 NPBI 57 th P KPD D C628713 8925826
19 Titi Yuni Arum VIP NPBI 47 th P GRD L3 C630271 8931008
20 Pasni 3 NPBI 29 th P R3A C570892 8925591
21 Akrom Rosadi 2 NPBI 28 th L Transit C630788 8929628
22 Tirza Faith Vanessa W 1 NPBI 38 th P MRK 1 C630934 8934342
23 Sri Wahyuni 3 NPBI 30 th P R4A C630445 8927853
24 Suyatno, IR MM VIP NPBI 65 th L GRD L4 C574433 8933401
25 Gustari 3 PBI 48 th L R2B C620890 8929578

26 Prasetiya Trisnani 3 NPBI 40 th P R2A C555595 8925593
27 Marliah 3 NPBI 51 th P R2A C621057 8925725
28 Jumiati 3 PBI 50 th P R2A C623447 8925510
29 Rukhaeni 3 NPBI 47 th P R2A C603784 8925703
30 Umi Jamilatur Rohmah 3 NPBI 1 th 7 bln P C1LD C577884 8934340
31 Muhamad Muslimin 3 NPBI 14 th L R1B C621040 8910257
32 Karsem 3 NPBI 76 th P R2A C624109 8932252
33 Suparmi 3 NPBI 66 th P R2A C561296 8932113
34 Masduqi Ama VIP NPBI 72 th L GRD L5 C176700 8932240
35 Asfi'ah VIP NPBI 57 th P GRD L5 C599312 8932194
36 Sunardi VIP NPBI 60 th L GRD L4 C508583 8931842
37 Yuswanto VIP NPBI 53 th L GRD L4 C614467 8934261
38 Rama Alfath Artharian 3 NPBI 6 th L Anak LD C602463 8902542
39 Tasriyatun 3 PBI 30 th P R3A C629316 8917026
40 Pujiyono 3 NPBI 55 th L R2B C628619 8910340
41 Himawan Prastio Putra 1 NPBI 24 th L MRK L1 C629500 8918075
42 Fhonia Syahwal Atira 2 NPBI 16 th P Transit C630137 8923454
43 Supriyati 3 PBI 74 th P GER D C630864 8929915
44 Slamet Riyanto 3 NPBI 29 th L Transit C630840 8932211
45 Makrifatun 3 NPBI 36 th P Elang 1 C541613 8933726
46 Suwarti 1 NPBI 68 th P MRK 2 C156018 8932285

47 Nur Khasanah 3 NPBI 31 th P R2A C621635 8929509
48 Asiyah 2 NPBI 44 th P KPD D C626423 8928012
49 Elatasiya Gizza 3 NPBI 10 th P C1LD C617637 8935867
50 Unsi Dharma Agensi 3 NPBI 15 th L C1LD C630661 8929093

51 Hendro Wahjono,DR,MSC VIP NPBI 68 th L GRD L4 C465593 8923574
52 Veranika Handayani 3 NPBI 26 th P R2A C060285 8934311
53 Marminah 2 NPBI 67 th P GER D A568562 8921268
M : WU,BD,ET,BY,ER,RE,DM RR : FA,SAM,EM MID : RG,SE RR GRD : PS SORE PROGRAM : NO,AD,BR,TK,DB,

54 Suyatni 3 PBI 65th P R2A C622881 8932172
55 Suratin 1 NPBI 64th P KPD 1 C549816 8934407
56 Chamidah VIP NPBI 70th P GRD 4 C613158 8921080
CITO
57 Dyah Eko Sulistyorini IRIN A NPBI 56th P HCU C327352 8925649
58 Relawati VIP NPBI 28th P GRD 3 C221480 8938112
59 Nur Awalia A 3 PBI 15th P C1LD C629488 8919150
60 Bambang Wijanarko 1 NPBI 64th L MRK 1 C560293 8935246
61 Mamik Kasmiati 1 NPBI 61th P KPD 1 C629734 8936300
62 Stefanus Waluyo 1 NPBI 53th L MRK 1 C470848 8905769
63 Saptono 1 NPBI 57th L HCU C405205 8928004
HARI / TANGGAL : JUMAT, 07 APRIL 2017

JAMINAN
1 Djasmin 2 NPBI 59 th L MRK D C582445 8932262
2 Anindita Syacila Azahra 3 NPBI 1 th P PICU C631569 8936336
3 Mustofiah 3 NPBI 48 th P R3A C296361 8932855
4 Ulya Ayu Ningsih 3 PBI 8 th P Anak D C628021 8925344
5 Pracoyo 3 PBI 40 th L Pol MTA C630470
6 Siti Maskanah 3 PBI 71 th P Pol MTA C596624
7 Buyung Rumiati VIP PT 53 th P GRD L3 C622743 8933571
8 Eva Nurrohma 2 NPBI 16 th P C1LD C618184 8934402
9 Ulfah 1 NPBI 35 th P B31 C629408 8934328
10 Sumarmo 3 PBI 57 th L R3B C629949 8925844

11 Eris 2 NPBI 32 th L KPD D C561865 893420
12 Jamilatun Niamah 3 PBI 20 th P R2A C627058 8929515
13 Nur Afifah 3 PBI 21 th P R2A C626872 8925383
14 Soedarti 2 NPBI 66 th P KPD D C630698 8938394
15 Nurokhmah 2 NPBI 22 th P MRK D C595191 8936366
17 Haryanto 3 SKTM 37 th L R1B C630504 8931524
18 Ainayya Fathiyaturahma 3 NPBI 4 bln P C1LD C610847 8932349
19 Nizam Hazzar Hadiyanto 3 JMD 3 bln 9 hr L C1L1 C629535 8934392
20 Suyatmi 3 NPBI 42 th P R6A C625050
21 Musnan 3 PBI 57 th L R2B C589773 8934206
22 Suhartadi 3 PBI 40 th L R1B C629541 8920898
Muhammad Dimas
23 2 um 19 th L KPD 1 C630978 8936743
Hargiharso
24 Linawati Sugiono 2 NPBI 58 th P KPD D C628708 8936813
25 Joe Gie Tjik VIP Um 67 th L Elang 2 C626219 8923627
26 Tria Susana Palupi 3 JMD 35 th P B31 C630887 8929954
27 Bekti Winarni VIP NPBI 52 th P GRD L3 C158631 8935907
28 Taryumi 3 PBI 58 th P R6A C629346 8919017
29 Sri Murni 3 PBI 38 th P R2A C622689 8934327
30 Heri Khoirul Anam 3 UM 12 th L Anak LD C630633 8928037
M : WU,ET,AD,BY,JF,SR,WD RR : FA,SAM,EM MID : RG,SE RR GRD : PS SORE PROGRAM : NO,BR,TK,DB,DI,VT
31 Enny Megawati VIP NPBI 7/13/1967 L GRD L6 C629132 8938338
32 Sukati 2 NPBI 57 th P MRK D C478043 8930012
33 Suradi 3 NPBI 1th L R3B C626802 8936369

34 Tasini 3 PBI 65th L R6A C631156 8932324
35 Akhsannudin 3 PBI 54 th L R2B C631241 8934394
CITO
36 Gimo 1 NPBI 54th L KPD D C610054 8934437
37 Lestari Muji Tuwarni IRIN B PBI 38th P ICU C631510 8936256
38 Risma Oktavianti 3 PBI 16th P B31 C631749 8938460
39 Siti Mahmudah 3 JMD 23th P B31 C629666 8919111
40 Sofiyatun IRIN B um 56th P R1A C318955 8939994

JAMINAN
PLH : SL
1 Yulianti Hendrika 2 NPBI 36 th P MRK D C630671 8938424
2 Rustiati 2 NPBI 40 th P MRK D C521519
3 Indah Puspitasari 1 NPBI 26 th P KPD D C619848 8912842
4 Romantika T 1 NPBI 43 th P KTL C529618
M : UM,SA,AD,JF,SR RR : FA,SAM,EM,RG,PS SORE PROGRAM : NO,TK,DI,AG,AM,VT,YN,IS,WI,TU,MW,MK,ANM,TM,US
5 Henrikus Aditya Christa 3 um 21th L R2B C631699 8940101
6 Rachmi Noenoek Iswarin VIP NPBI 56th L GRD 6 C628916 8935293
CITO
7 Harina Nur Fitriani NPBI NPBI 38th P B31 C631176 8932384
8 Nada Sorayah 3 PBI 28th P TRAN C631878 8940071
9 Fajar Heri Sunarto 3 PBI 23th L R1B C631895 8940155
10 Sri Yanti 3 um 36th P R2A C631936 8940417

JAMINAN
1 Agus Nugroho 2 NPBI 32 th L KPD D C621224
CITO
2 Hana Suryandari 1 PT 50th P TRAN C631947 8940434
3 Muhammad Akhsani Fatih IRIN A NPBI 1th L PICU C619679 8938374
4 Muhammad Ilham Saputra 3 NPBI 6th L C1LD C545989 8940356
5 Giman 2 um 87th L IGD C631955 8940445
6 By.Ny. Turmianah IRIN B PBI 11hr P PICU C631873 8940018
7 Prawito 3 PBI 13th L C1LD C615477 8936396

8 Kirjariyah 2 NPBI 43th P MRK D C629136 8918953
10 Tri Edi Irawan 3 um 19th L R2B C631974 8940494

JAMINAN
1 Tian Anan Fermansyah 3 NPBI 2 th L Anak D C623078 8888901
2 Suyatni 3 NPBI 65 th P R2A C622881 8932172
3 Samilun 1 NPBI 57 th L GER 1 C629733

8925550
4 M Teguh Azmi 3 NPBI 2 th L Anak 1 C626602
8923631
5 Reno Nofi Pratama 3 NPBI 4 bln L C1LD C627372
6 Nandira Fitria Setiani 1 NPBI 9 bln P C1LD C594410 8938435

7 Fulgensius Abel Rakai 1 NPBI 13 th L C1LD C622637 8938345
8 Jusuf Sodjito Privat NPBI 70 th L Pol GRD C627245
9 Sochmadi 3 NPBI 74 th L Poli MTA C625779
10 Rumiyati 3 NPBI 52 th P Poli MTA C620942
11 Hemawati Trijayanti 1 NPBI 50 th P Poli MTA C611208

12 Mashadi 3 PBI 40 th L Poli MTA C629539
13 Jumiah 3 PBI 46 th P B31 C620541 8933029
14 Agustina Tri Rahayu 2 NPBI 25 th P KPD D C631015 8940555
15 Mahmud 1 NPBI 63 th L KPD 1 C627823 8905105
16 Wahyu Kristiyono 3 NPBI 34th L R2B C631322 8934397
17 Sudjarti 1 NPBI 56 th P MRK 1 C629156 8936191
18 Edy Zuhriyanto VIPA NPBI 60 th L GRD B214786 8939071
19 Karep 1 NPBI 58 th L MRK 2 C629450 8918573
20 Sumiatun 3 PBI 41 th P R2A C472602 8925800
21 Sutarti 3 NPBI 57 th P R2A C614342

22 Sakuri 3 NPBI 72 th L R2B C620687
23 Sutini 1 NPBI 49 th P MRK 1 C144786 8936069
24 Lina Winartiningsih 2 NPBI 49 th P KPD D C618863 8940480
25 Dahman 3 PBI 32 th L R2B C631373 8936415
26 Anastasia Hartanti Wahyuni 1 NPBI 54 th P MRK 2 C455535 8919564
27 Abdul Latif 1 NPBI 47 th L MRK 1 C629096 8916936
28 Rafi Nawabi Saleh 3 NPBI 9 bln L Anak D C627182
29 Raysa Azizah Aulia 3 NPBI 4 bln P Anak 1 C627916 8934386
30 Sri Wati 1 NPBI 56 th P KPD D C505509 8925757
31 Hanna Eunice Doortje 2 NPBI 65 th P MRK D C630575 8928704
32 Juhdari Herintowati 1 NPBI 42 th P KPD D C631039 8932738
33 Rahman Hakim Aulia 2 NPBI 1 th L Transit C587326 8934345

34 Muhammad Heru Prasetyo 3 PBI 24 th L R2B C630812 8932358
35 Poni 3 PBI 49 th P R5B C630765 8929788
36 Budi Mintojo 3 NPBI 12/31/1950 L R3B C629373 8936374
37 Noor Fuad 2 NPBI 55 th L KPD 1 C524694

8940541
38 Vicky Gozzali 3 NPBI 20 th L R1B C492893

8934265
64 Partono 3 NPBI 62 th L Elang 1 C600487 8940264
39 Nur Rofiq 3 Um 31 th L R3B C630797 8930052
40 Siti Jumidah 3 NPBI 5/4/1972 P B31 C624499 8939031
41 Alfi Nisfiatul 2 NPBI 20 th P KPD D C608717 8840543
42 Isbatiyah 2 NPBI 38 th P KPD D C629439 8940493

43 Rinawati Wibowo VIP NPBI 76 th P GRD L3 C535587 8938293
44 Elfi Mustika Rahayu 1 NPBI 18 th P B31 C631738 8938401
45 Miryanti VIP NPBI 51 th P GRD L5 C629369 8929790
46 Yuli Handayani 3 NPBI 35 th P R2A C608292 8936269

M : NO,TU,MW,MK,BR,EA,IS RR : FA,MY,ST MID : AG,SAM RR GRD : PS SORE PROGRAM :AP,GI,RK,AN,AI,AM,N
47 Erni Kholifah 3 PBI 10/23/2001 P Anak 1 C627749 8900284
48 Muhammad Ulil Albab 3 PBI 2 th L Anak D C487659 8920814
49 Rumiyatun 3 NPBI 53 th P R3A C628585 8928001
50 Sukma Umbara 3 NPBI 25th P R2B C624173 8920772
51 Muhammad Farhan Aufa VIP NPBI 4/8/2010 L GRD L3 C631946 8940420
52 M Hafiz Rahman 3 NPBI 4/25/2016 L Anak D C616597 8940068
53 Marni 3 NPBI 47 th P R4A C630461 8927952
54 Trisnansah 1 NPBI 33th P MRK 1 C631187 8939775
55 Roidatin 1 NPBI 50 th P MRK 1 B054917 8936405
56 Sri Hardijani 2 NPBI 50 th P KPD D C483929 8872154
57 Indah Suwarni VIP NPBI 52th P MRK 2 C594320 8937011

58 Haniyun Hamid 3 PBI 30th L R6B C631570 8938307
59 Tasini 3 PBI 65th P R6A C631156 8932324
60 Tjipto 3 NPBI 57th L R2B C625892 8939110
CITO
61 Intan Permata Dewi 2 NPBI 24th P B31 C631885 9840152
62 Imam Nurul Chakim 3 NPBI 28th L R6B C525147 8929593
63 Putri Alifia 2 NPBI 7bl P TRAN C609694 8932375
64 Nikhen Dyah Winnarni 3 NPBI 34th P B31 C632039 8941107
65 Robani VIP NPBI 33th L GRD 4 C535510 8934285

JAMINAN
1 Rizal Azzahir Mumtas 3 PBI 3 th L Anak 1 C630204 8923731
2 Lilik Sujarmanto 3 PBI 26 th L R2B C619320 8874150
3 Eko Sulistiyanto 2 NPBI 30 th L MRK D B064852 8940026
4 Romantika Triana 1 NPBI 43 th P KTL C629618 8920886
5 Sukma Umbara 3 NPBI 25 th L R2B C624173

6 Setiobudi Priv PT 54 th L P. GRD C550664
7 Ratnawati 1 NPBI 55 th P P. Mata C302808
8 Suharto 3 NPBI 10/10/1963 L P. Mata C631273
9 Mulyasrai 2 NPBI 2/10/1954 P P. Mata C618956
10 Elisabet Tipulis Endrawati 1 NPBI 54 th P P. GRD C630726
11 Fransiskus Xaverius 1 NPBI 67 th L P. Mata C507530
12 Susi Widiyati 1 NPBI 48 th P B31 C253373 8934351
13 Siti Mahmudah 3 JMD 23 th P ICCU C629666 8919111
14 Warsi 3 PBI 56 th P R5B C629977 8940035
15 Djuharipin 2 NPBI 53 th L MRK D C612115 8938466
16 Jasmani 1 NPBI 54 th L KPD 1 C626438 8928002

17 Repan 3 PBI 60 th L GER D C631328 8934387
18 Solik 3 um 59 th L R2B C630160 8923618
19 Muh. Yahya 3 PBI 26 th L R1B C600309

20 Sahari 3 NPBI 48 th L R6B C629682
21 Karnadi 3 NPBI 64 th L R2B C626252 8929511
22 Sakuri 3 PBI 74 th L R2B C620687 8929456
23 Misman 3 NPBI 40 th L R2B C621466 8892103
24 Umi Aminatuzzahro 3 NPBI 20 th P R2A C585963 8936409
25 Feny Setyaningsih 2 NPBI 27 th P KPD D C536852 8940046
Muhammad Putra
26 3 NPBI 8 th L Anak 1 C624769 8940075
Ferdinand
27 Aditya Saputra 2 PBI 8 th L Anak D C617631 8940005
28 Widodo 3 NPBI 6/21/1986 L R1B C616675 8940119
29 Sekar Sari Audya Ningrum 3 um 8 th P Anak D C467622 8940172
30 Bhisma Kharizallam VIP NPBI 4/21/1992 L GRD L5 C631958 8940492
31 Nunuk Evi Arini 2 NPBI 26 th P KPD D C614278
32 Muniroh, Hj 1 NPBI 50 th P KPD 1 C539849 8934406
33 Daffa Feby Pangestu 3 NPBI 7 th L Anak D C598144 8938397
34 Fitria Indriyati 3 NPBI 42 th P R3A C600757 8936292
35 Wisnu Hidayat VIP NPBI 47 th L GRD L5 C630912 8938372
36 Masfuah 3 NPBI 53 th P R3A C618094 8938347
37 Wagiyo 3 PBI 73 th L R1B C614965 8938391
38 Iqbal Prisma 3 NPBI 23th L R4A C474895 8939945
39 Suyanto 1 NPBI 53 th L KTL C607702 8940510
40 Widodo 2 NPBI 44 th L KPD D C631857 8949155
41 Djoemari 3 NPBI 77 th L R1B C631249 8938485
42 Riski Nanda Ramadhan 3 NPBI 16 th P Transit C631976 8940591
43 Nur Hudayati 1 NPBI 34 th P Elang 2 C453830 8940502

44 Farelly Kurnia Zurin 2 NPBI 6 th P Elang 1 C256566
45 Nor Hayati 2 NPBI 40 th P KPD D C609634 8940354

46 Nurhaeni 1 NPBI 45 th P MRK 1 C631215 8938342
47 Waryatun 2 NPBI 49 th P B31 C625171 8936381
48 Nur Eva Suryani 3 NPBI 31 th P R5B C607759 8940499
49 Indah Sukarni VIP NPBI 46 th P GRD L4 C629606 8938224
50 Komang Saputra 2 NPBI 3 bln L Anak D C630137 8940424
51 Marwah Nor Afiyah 3 PBI 10 bln P Anak D C629006 8939684
M : NO,TU,WI,BD,IS,AM,BR RR : FA,MY,ST MID : AG,SAM RR GRD : PS SORE PROGRAM :AP,GI,RK,AN,NI,AT,DW
52 Siti Aisah VIP NPBI 48th P GRD L6 C627456 8931907
53 Ahmad Sugiman 1 NPBI 10/29/1969 L KPD D C627803 8934408
54 Rustiati 2 NPBI 40th P MRK D C521519 8923747

55 Hendra Sari Puspita VIP NPBI 34th P GRD 6 C461326 8925821
56 Yusuf Maulana 3 PBI 11bl L C1L1 C617719 8940599
CITO
57 Piat Supriatna 3 um 26th L R1B C630884 8932657
58 Silvy Andriani 1 NPBI 28th P B31 C525430 8940595
59 Zaki Hammam Arsyad VIP NPBI 19th L GRD 4 C632190 8943504
60 Nur Khasanah 3 SKTM 22th P B31 C632029 8942724
61 Karnadi 3 NPBI 64 th L R2B C626252 8929511
62 Ahmad Mujiono 3 um 28th L HCU C631963 8940570
63 Suhartono 3 PBI 45th L R1B C632242 8944900
64 Hartatik 1 NPBI 36th P IGD C542947 8945038
HARI / TANGGAL : RABU, 12 APRIL 2017

JAMINAN
1 Munadi 3 PBI 62 th L R5A C630179 8923738

2 Suyamah 3 NPBI 46 th P R2A C620090 8934065
3 Karsim 1 NPBI 55 th P KTL C630251 8925850
4 Aris Karsowijoyo VIP NPBI 71 th L GRD L4 C632056 8942142
5 Stefanus Waluyo 1 NPBI 53 th L MRK 1 C470848 8905769
6 Ermien Sukarningsih 2 NPBI 71 th P KPD D B406706 8944907
7 Ester Paulina Sinaga 3 NPBI 16 th P Anak D C624891 8940063
8 Agus Nugroho 2 NPBI 32 th L KPD D C621224 8938353
9 Dzikri Arya Ashidqi 2 Um 1 th L ELA 1 C632164 8942648
10 Mingan 2 Um 63 th L KPD 1 C568158 8943852
11 Chalimin 3 PBI 59 th L R2B C631044 8942889
12 Wahyuni 3 NPBI 22 th P Pol MTA C620291

13 Djoko Setyono 3 NPBI 56 th L Pol MTA C133718
14 Sri Astuti Privat NPBI 65 th P Pol GRD C627126
15 Hartatik 3 NPBI 40 th P Pol MTA C629334
16 Suti 3 PBI 72 th P R2A C628917 8942864

17 Soejanto 1 NPBI 60 th L P. GRD C492794
18 Widjamurti Gram VIPA NPBI 53 th P GRD L6 C002262 8942850
19 Subianto 3 NPBI 60 th L Pol VAS C337958
20 Chusnul Chotimah 1 NPBI 40 th P KPD D C628311 8942352
21 Hemma Yoga Pramukanto 1 NPBI 36 th L KPD L1 C368816 8942838
22 Fanilia Malinda 3 PBI 22 th P R4B C631883 8940150
24 Subarjo VIP NPBI 57 th L GRD L5 C630714 8939955
25 Riyanto 1 NPBI 55 th L KPD 1 C629534 8923488
27 Badi'ah 2 NPBI 44 th P KPD D C63116 8944021
28 Jimah 3 NPBI 47 th P R2A C629119 8936302
29 Painem 3 NPBI 75 th P R4B C623874 8919055

30 Salwanda Amelia 3 PBI 10 th P Anak 1 C631524 8940519
31 Ismiati 2 NPBI 46 th P KPD D C480566
32 Sardi 3 Um 48 th L R5A C629916 8921287
34 Ulya Ayu Ningsih 3 PBI 8 th P Anak D C628021 8925344
35 Mahmudah 3 PBI 46 th P R3A C562753 8932255
36 Sulistyowati 3 PBI 30 th P R3A C589693 8934349
37 Sri Dono Wati 3 NPBI 52 th P R3A C590113 8934290
38 Slamet Ratam 3 PBI 43 th L R3B C629106 8915078
40 Mukihbatul Isma 3 PBI 17 th P R2A C525755 8942786
41 Dina Tri Christiana 3 NPBI 29 th P R2A C614207 8938360
42 Nur Khasanah 3 um 37 th P R2A C631583 8937916
43 Tan Aij Nio 2 NPBI 60th P KPD D C622073 8944887
44 Sri Sundari 2 NPBI 37 th P Elang 1 C625724 8941804
45 Kubbi Nur Ikhwatis Salima 2 NPBI 2 th 7bln L Elang 2 C526540 8941984
46 Lisda Mulya 2 NPBI 34 th P B31 C525168 8936759

47 Latifah Shahab VIP NPBI 63 th P GRD 6 C607924 8940358
48 Rini Nurhayati 1 NPBI 47 th P KPD 1 C629622 8938411

49 Reno Nofi Pratama 3 JMD 4 bln L Anak D C627372 8938386
50 Atikah Naufalyn 1 NPBI 3 th P Anak D C617191
51 Ngatmi 3 NPBI 37 th P R2A C69422 8938453

52 Sainem 3 NPBI 52 th P R2A C625838 8939500
M :RK,BD,WI,AM,NI,DW,TR RR : FA,DB,ST MID : AG,SAM RR GRD : BY SORE PROGRAM :AP,GI,AI,AN,AT,AD,V
53 Indriani Budi Haryanto VIP NPBI 65 th L GRD L6 C631823 8942410
54 Sunarmi 2 NPBI 39 th P MRK D C618847 8936426
55 Nunuk Evi Arini 2 NPBI 26 th P KPD D C614278 8940140
56 Muhammad Yahya 3 PBI 8/17/1990 L R1B C600309 8923516

57 Dwi Retno A 3 NPBI 34th P R2A C611375 8947060
58 Susmiati 3 PBI 28th P R5B C628458 8930590
59 Repan 3 PBI 60 th L GER D C631328 8934387
60 Novi Aryani 3 NPBI 46th P R4B C632221 8945653
CITO
62 Mardiyah 3 NPBI 44th P R3A C632369 8945478
HARI / TANGGAL : KAMIS , 13 APRIL 2017
JAMINAN
1 Muhammad Zaky Naufal VIP um 6 th L GRD L3 C626920 8942434
2 Muryono VIP NPBI 76 th L GRD L4 C073266 8940328
4 Meiner Prasanti 3 JMD 32 th P B31 C106050 8944872
5 Mochamad Yusup 3 NPBI 46 th L R2B C606633 8938337
6 Wagini 2 NPBI 48 th P KPD D C577870 8912877
7 Suyanto 3 PBI 52 th L R2B C408875 8945037
8 Wahyu Febdiyanto 1 NPBI 2/1/1966 L P. GRD C631386
9 Djumini 3 PBI 41 th P P. Mata C632095
10 Jamal Fauzi 2 NPBI 44 th L P. Mata C587674
11 Sugiyati 1 NPBI 49 th P P. Mata C556422

12 Wiranto 3 NPBI 70th L R1B C631733 8938451
13 Ulvanistiati Aminah 2 NPBI 11/22/1948 P KPD D C627582 8942773
14 Markini 1 NPBI 51 th P KPD 1 C629752 8940060
15 Nurullya Endah Suryanig VIP NPBI 30 th P GRD L4 C628428 8946742
16 Vita Nurafni 1 NPBI 35 th P KPD 1 B331498 8942816

17 Fani Aprilia Dewi 3 NPBI 30 th P R2A C620458 8938329
18 Khairulafif 3 PBI 6 th L Elang 1 C596009 8942568
19 By Dwi Nur Rahman 3 PBI 1 bln L PBRT C631954 8943909
20 Abra Amanat Muthia Habib 3 NPBI 6 th L Anak D C629758 8629758
21 Musinah 3 PBI 56 th P R5B C587069 8942813
22 Yuliastuti 1 NPBI 64 th P KPD D C626827 8942806
23 Christianto Heri Cahyono 1 NPBI 56 th L MRK 2 C629779 8942776
24 Rukimah 3 NPBI 47 th P R5B C385190 8942116
25 Sahari 3 PBI 48th L R6B C629682 8920943
26 Edy Supadi 3 PBI 54 th L R1B C628156 8906353
27 Kusrotib 3 NPBI 46 th L R5A C614236 8934289
30 Daryetno 3 NPBI 51 th L R1B C597562 8932100
31 Didik Eko Budi Santoso VIP NPBI 56 th L GRD L6 C611885 8944904
32 Mokhamad Fauzin 3 NPBI 16 th L R2B C595220 8944819
33 Kasani 3 PBI 51 th L R1B C613344 8942817
34 Muhammad Khambali 3 NPBI 36 th L R2B C614554 8942890
36 Moh. Zaenul Aslam 2 Um 10 th L Transit C630930 8945606
37 Nurul Ahmaliyah VIP NPBI 46 th P GRD 5 C631060 8932303
38 Darminah 1 NPBI 48 th P KTL C627024 8925648

40 Mar'ati 3 NPBI 49 th P R2A C586518 8942808
41 Suprayitno Siswo Atmodjo 2 NPBI 79 th L MRK D B139839 8936404
42 Kuswahyudi HM 1 NPBI 47 th L KPD D C629187 8944868
43 Koesmanto 3 NPBI 62 th L R6A B166315
44 Waskun 3 NPBI 44 th L Elang 1 C566344 8944450
45 Darum 3 PBI 58 th L R2B C629690 8921060
46 Dwi Retno Mulyanti VIP NPBI 22 th P GRD L6 C632019 8942320
47 Taswen 3 NPBI 51 th P B31 C621230 8944788
48 Winda Surya Ningrum 1 NPBI 24 th P KPD 1 C629737 8940083
49 Sulistyorini VIP NPBI 46 th P GRD L5 C631667 8944661
50 Lamini 3 NPBI 47 th P R2A C628196 8942845
Muhammad Abizzar
51 3 NPBI 2 bln L Anak 1 C631931 8940580
Rizqillah
52 Nor Aini Fitriani 3 NPBI 12 th P Anak D C628527
53 Sri Ati VIP NPBI 63 th P GRD L4 C179839 8944815
M :GI,SU,TR,NI,AT,DW,YN RR : FA,EM,ST MID : AG,SAM RR GRD : BY SORE PROGRAM :AP,RK,AN,AD,DA,VT,D
54 Sri Rahayuni LS IRINA+ NPBI 83 th P GCU C632510 8946989
55 Rizki Widya Nur VIPA um 25th P GRD 4 C365103 8947182
56 Siti Nur Fatmawati 3 NPBI 23 th P R2A C619326 8919060
57 Surip VIPA NPBI 6/4/1948 L GER L1 C613418 8947166
CITO
58 Muji Lestari 3 NPBI 26th P B31 C626183 8942741
59 Agus Supriyanto 3 um 18th L R1A C632543 8947088
60 Bambang Soewito NPBI 73th P GER L1 C630639 8929493
61 Sukaenah 3 NPBI 54th P R3A C611433 8949321
62 Faqih Abaasy Ruzain VIP NPBI 3th L GRD 3 C632428 8947140
63 Siti Rochmah 3 NPBI 66th P ICU C585508 8948566
HARI / TANGGAL : JUMAT , 14 APRIL 2017

JAMINAN
1 Diah Mayasari 1 NPBI 16/05/1965 P KPD L1 C623045 8940079
2 Endro Edy Yulianto VIPA NPBI 15/07/1966 L GRD L4 C605744 8942632
3 Sri Utami 1 NPBI 53 th P KPD D C627483 8942810
4 Nayla Hanifa Izza T 3 NPBI 1 th P Anak 1 C584639 8942829
5 Robani VIPA NPBI 33 th L GRD L4 C535510 8934285
6 Muntasirin 2 NPBI 35 th L MRK D C630459 8939971
7 By Sri Purwati 3 PBI 19 hr L PBRT C632050 8945011
8 Kusni VIP NPBI 51 th P GRD L6 C094563 8926214
M : ET,AT,DY,SC,SU SORE PROGRAM :ST,AN,VT,RE,DI,DB

9 Anas Syarifuddin 3 NPBI 37th L R6B C631969 8940528
CITO
10 Suparmi IRINA NPBI 66th P ICU C561296 8932113
11 Ari Sulistyaningsih 3 NPBI 38th P B31 C455571 8949294
12 Maghfiroh 3 PBI 37th P B31 C632135 8942445
13 Muhammad Zidan Nuha 3 PBI 12th L C1L1 C631343 8934438
14 Muhammad Miftah Fawaid 1 NPBI 19th L MRK 1 C632741 8949544
15 Partono 3 um 44th L R2B C632753 8949575
16 Noviantika 3 PBI 18th P R2A C632725 8949572
17 Legiyem 3 PBI 49th P R1A C632748 8949523
18 Derrick Albert Dipta P VIP UM 1th L GRD 3 C591810 8949512
HARI / TANGGAL : SABTU , 15 APRIL 2017

JAMINAN

1 Ermah Zubaedah VIP NPBI 50 th P GRD L4 C631512 8943739
2 Hariyanto 2 NPBI 54 th L MRK D C621132 8944965
3 Herry Setiady VIPA NPBI 41 th L GRD L6 C619275 8946358
4 Alifa Nur Riskia 3 PBI 11 bln P C1LD C605345 8947091
5 Putri Nur Ratul Mubaroh 3 NPBI 9 th P C1LD C626778 8942818
6 M. Teguh Azmi 3 NPBI 2 th L C1L1 C626602 8923631
8 Yanuar Fermana Putri IRIN A NPBI 29th P ELA 2 C630679 8948956
M : ET,AN,VT,DY,PS RR :SAM,ST,MY SORE PROGRAM : AP,AR,AF,AD,DA,DB,DI,EA,ES,IM,II,MW,NO,PM,RK,RG AL
10 Nur Khayati 3 NPBI 39th P R3A C630862 8929881
11 Raditya Abdul Rohim Al B 3 NPBI 8bl L C1LD C594762 8949357
CITO
11 Yuli Purwanti 3 SKTM 33th P B31 C632779 8949636
12 Imam Agus Prasetyo 1 NPBI 25th L KPD D C448821 8949679
13 Nelly Istina Sari 3 Um 21th P R4A C632760 8949592
14 Martini Rahmaniah 3 PBI 29th P B31 C632781 8949643
15 wilujeng Mukaromah 3 PBI 14th P C1LD C632629 8949305
16 By.Ny. Juroh IRIN B PBI 9hr P PICU C632373 8947077
17 Rusdi Rahayu IRIN A NPBI 53th P R1A C490796 8949655
18 Tukiman 3 NPBI 30th L R1B C632151 8944861
HARI / TANGGAL : MINGGU , 16 APRIL 2017

JAMINAN

1 Sudjarti 1 NPBI 56th P MRK 1 C629156 8936191
2 Suhartini 3 NPBI 45th P R3A C631128 8932359
3 Ngarpan 3 PBI 71th L R1B C632823 8949855
4 Tentrem Lasmi 3 PBI 50th P R2A C632842 8949928
5 Aizzah VIP PBI 59th P GRD 4 C632670 8949297
6 Nengah Rening VIP NPBI 71th P GRD 4 C586803 8930008
7 Martono 3 PBI 51th L R1B C629405 8949379
8 Reno Nofi Pratama IRIN B JMD 4bl L PICU C627372 8938386
9 Muriani Puji Lestari IRIN A NPBI 6bl P PBRT C632174 8942652
10 By.Ny. Turmianah IRIN B PBI 18hr P PICU C631873 8940521
HARI / TANGGAL : SENIN , 17 APRIL 2017

JAMINAN
1 Muhammad Rahadian Faza 2 NPBI 2 th L C1LD C590075 8942730
2 Prawoto Pujo Leksono 3 NPBI 48 th L R2B C619238 8938413
3 Suyatni 3 PBI 65 th P R2A C622881 8932172
4 Ismail 3 NPBI 33 th L R1B C631848 8940131
5 Maryati 3 NPBI 53 th P P. URO C549215
6 Azam Aditiyo S VIP Um 48 th L GRD L5 C632545 8947131
7 Sudarni 2 NPBI 46 th P KPD D C595233
8 Atikah Naufalyn 1 NPBI 3 th P Anak D C617191 8941654
9 Ade Kurniawan 1 NPBI 20 th L P. MTA C535714

10 Soegianto S Privat NPBI 71 th L P. GRD C632107
11 Sri Setyowati 1 NPBI 59 th P KTL C625567 8942876
12 Kamso 2 NPBI 10/17/1957 L P. MTA C627042
13 Cetronella 2 NPBI 45 th P P. MTA C552365

14 Bambang Wijanarko 1 NPBI 64 th L MRK L1 C560293 8935246
15 Fitriyani 3 NPBI 43th P B31 C623144 8949577
16 Eli Yuliani 3 NPBI 20th P B31 C622114 8949867
17 Romadhon 3 NPBI 10/13/1971 L R1B C623508 8938415
18 Jaimin 3 PBI 51 th L R1B C625817 8942804
19 Nani Herawati VIP NPBI 53 th P MRK 2 C630709 8929187
20 Muhammad Karim 3 PBI 39 th L R5A C610665 8908561
21 Sudarwati 3 NPBI 55 th P R5B C630444 8925867
22 Sunaryo 3 NPBI 57 th L R1B C549469
23 Sutini 3 NPBI 50 th P R5B C600422 8942768
24 Sulipah 3 PBI 35 th P R5B C628947 8925572
25 Haksini 1 NPBI 56 th P KPD 1 C624971 8944990
26 Sri Ningsih 1 NPBI 59 th P KPD 1 C495662
27 Irsyad Baskara 1 NPBI 19 th L KPD 1 C608541 8945006
28 Luthfiyah 3 NPBI 15 th P C1LD C625327 8947138
29 Diana 3 NPBI 39 th P R5B C629285 8942415
30 Ainayya Fathiyaturahma 3 NPBI 5 bln P C1LD C610847 8947760
31 Darsih 3 NPBI 60 th P R3A C627625 8941849
32 Poniyem 3 PBI 57 th P R3A C576962 8936288
34 Fitri Handayani 3 PBI 14 th P C1LD B216198 8947093
Gian Mario 1 NPBI 68 th L ELA II C623191 8949827
35 Cut Nya' Meutia Hayaatu VIP NPBI 42 th P MRK 2 C524563 8934415
36 Nur Azizah 3 PBI 51th P R4A C611344 8949536

37 Nor Aini Fitriani 3 NPBI 12 th P C1LD C628527 8945001
38 Ahmad Raka Saputra 3 PBI 5 bln L HCU C631896 8940537
39 Alimatun Kuntami 2 NPBI 43 th P KPD D C390563 8949988
40 Kuswati 2 NPBI 47 th P KPD D C596356 8949967

41 Katirin 3 DK 77 th L Kenari C631362
M : II,AF,RE,DB,DI,ES,YS RR : FA,SR,SAM MID :AR,WI RR GRD : PM SORE PROGRAM : EV,SF,AH,AY,WU,AG,A
42 Sri Handayani 3 PBI 9/2/1975 P R3A C602880 8940273
43 Muchamad Syaiful 3 NPBI 22 th L R1B C630634 8928006
44 Rofiah 2 NPBI 68 th P Ger D C632508 8949414
45 Koesmanto 3 NPBI 62 th L R6B B166310 8932242
46 Enny Alviana VIP NPBI 8/17/1975 P GRD L6 C623465 8950011
47 Erma Susanti VIP NPBI 36 th P MRK 2 C631624 8938469
48 Effie Timisela 2 NPBI 55 th P KPD D C549500 8949974
49 Yonathan Adi Gunawan VIP NPBI 1/5/1998 L GRD L4 C632746 8949548
50 Nurullya Endang VIP NPBI P GRD L4 C628428 8946742
51 Mas'adah 3 NPBI 39 th P B31 C491688 8945019
52 Munafiah 2 NPBI 56 th P KPD D C632777 8949800
53 Robiatun 3 NPBI 54th P R6A C632728 8949493
CITO
54 Umi Anianti 3 um 29th P B31 C632894 8950095
55 Nur Asiyah 3 JMD 41th P R3A C632375 8947186
56 Roheni Ekasari VIP NPBI 29th P B31 C501038 8950509
57 Wagini ICU NPBI 49 th P ICU C577870 8912877
58 Soedadi 3 NPBI 71th L R1A C388485 8947184
59 Supriyadi 2 NPBI 29th L TRAN C622002 8947588
60 Sri Kiswati IRN A NPBI 55th P HCU C633084 8952371
HARI / TANGGAL : SELASA , 18 APRIL 2017

JAMINAN
1 Prabowo 1 NPBI 49 th L KPD 1 C359916 8889828
2 Maulana Ibnu Abbats 3 NPBI 3th L ELA 1 C595375 8952256
3 Sukeri 3 JMD 39 th L R3B C631272 8936391
4 Wiwik Handayani 2 NPBI 42 th P B31 C631314 8949881
5 Suroyo 2 NPBI 66 th L GER D C540238
6 Kasmini 3 PBI 54 th P R2A C627295 8949360
7 Darwati Sunardi 2 NPBI 68 th P Pol MTA C491246

8 Muchobirin 3 PBI 35 th L Pol MTA C622442
9 Sriyatun 3 JMD 50 th P R6A C159609 8940423
10 Sutarman 1 NPBI 73 th L Pol MTA C247000

11 Moh. Kahar 2 NPBI 75 th L Pol MTA C622299
12 Nurul Huda 3 PBI 10/12/1989 L Pol MTA C631070
13 Sunarto 1 NPBI 62 th L Pol MTA C576413

14 Nabila Nurul Husna IRIN B NPBI 16 hr P PBRT C631987 8940594
15 Mohammad Enggartiasto 2 NPBI 19 th L MRK D C613792 8949377
16 Desi Ariyani 2 NPBI 36 th P KPD D C632417 8947938
17 Handoyo 1 NPBI 60 th L KTL C359863 8947142
18 Amat Dalari 1 NPBI 69 th L KPD 1 C627636 8947023
19 Sunarti 3 NPBI 46th P R4A C613620 8949887
20 Winarti 3 PBI 48 th P R2A C631396 8944967
21 Susanti 1 NPBI 42 th P KPD D C610535 8949304
22 Puji Utami 1 NPBI 55 th P KPD 1 C195858 8947094
23 Sukamto 3 NPBI 76 th L R2B C629568 8938390

24 Mardiyah 3 NPBI 44 th P R3A C632369 8945478
25 Tri Edi Irawan 3 Um 19 th L R2B C631971 8940561
26 Pujiyono 3 NPBI 55 th L R2B C628619 8910340
27 Rania Putri Kusmawati 3 Um 1 th 4 bln P Anak D C619465 8947707
28 Joko Kusdaryanto VIP PT 52 th L GRD L4 C632187 8949786
29 Slamet Riyadi Privat NPBI 56 th L Pol GRD C626354
30 Badriyah 3 PBI 45 th P R3A C597009 8936382
31 Eni Susanti 3 NPBI 43 th P R3A C593188 8942476
32 Nor Supriyatin Mulyani 3 NPBI 43 th P R3A C630616
33 Sai Sio Vincent Siburian 3 NPBI 19th L R2B C631575 8936419
34 Lilis Santi 3 NPBI 28 th P R6A C629104 8917052
35 Alfin Rizki 3 NPBI 17 th L R1B C631960
36 Mardjuki 1 NPBI 74 th L KTL C632432

37 Praptono 1 NPBI 75 th L KTL C631984
38 Rara Cantika Anggraeni 3 NPBI 10 th P Elang 1 C585885 8949964
39 Sholikhatun VIPA NPBI 4/3/1978 L GRD L5 C631910 8951200
40 Yasmi 3 PBI 53 th P R4B C566242 8949849
41 Sri Wahyuni 3 NPBI 51 th P R5B C621846 8949875
42 Mufa'ati 2 NPBI 50 th P MRK D C622893 8942802
43 Abra Amanat Muthi Al H 3 NPBI 6 th L Anak D C629758 8944215
44 By Atik Kutsiyah 3 NPBI 1 bln P Anak D C628587
M : II,AF,DB,DI,EA,ES,YS RR : FA,SR,SAM MID :AR,WI RR GRD : PM SORE PROGRAM : EV,SF,AH,AY,WU,AG,N
45 Rofi'atun 3 PBI 34 th P R3A C629026 8949319
47 Karsem 3 NPBI 76th P R2A C624109 8932252
48 Sudarti 3 NPBI 47th P R3A C632836 8949934
49 Sucipto 1 NPBI 60th L KTL C630676 8929596
CITO
50 Ahmad Mujiono IRINB um 28th L HCU C631963 8940570
51 Budi Prayitno 3 NPBI 57th L R2B C632873 8950083
52 Joko Supriyanto 3 um 20th L R2B C633088 8952407
53 Diandra Pramuditha F 3 NPBI 7bl L C1L1 C632565 8949421
54 Sairah 1 NPBI 42th P MRK 1 C630216 8949630
55 Sutiyono IRIN B NPBI 41th L ICU B320092 8954228
56 Zyandru Naladhipa Wijan 3 um 3th L C1L1 C632830 8949953
57 Rima Juwanti 3 NPBI 29th P B31 C621720 8949898
HARI / TANGGAL : RABU , 19 APRIL 2017

JAMINAN
1 Kiyandra Danish A VIP NPBI 1 th L GRD L3 C618790
2 Darsiati VIP NPBI 61 th P GRD L4 C628473 8952427
3 Sri Wahyuni VIP NPBI 60 th P GRD L4 C524799 8954301
4 Siti Miladil Camalyah 3 NPBI 20th P R3A C630546 8949776
5 Razza Eka 3 NPBI 7 th L Anak 1 C590543
6 Milka Chyntia Cahyono 2 NPBI 27 th P KPD D C632449 8953085
7 Hilda Rafika Sitadewi VIP NPBI 16 th P GRD L3 C631422 8962136
8 Syaiful Arif Setyawan 2 NPBI 27 th L KPD 1 C632269 8953281
9 Soekarno Atjip 2 NPBI 83 th L Pol GRD C104038
10 Suprapti Privat NPBI 60 th P Pol GRD C227525
11 Tofan K 3 NPBI 54 th L Pol MTA C542083

12 Sartono 2 NPBI 42 th L Pol MTA C627972
13 Hariyadi 2 NPBI 73 th L Pol MTA C215600
14 Sariman 1 NPBI 65 th L Pol MTA C584975

15 Umi Mariyah 3 NPBI 78 th P Pol MTA C395308
16 Kamsah 1 NPBI 62 th P Pol MTA C665056
17 Titik Wahyuni Privat NPBI 58 th P Pol GRD C626553
18 Mazroatun 2 NPBI 39 th P Pol MTA A531012
19 Sriyati 1 NPBI 40 th P Pol MTA C613181
20 Salsabila Azzahra Putri D 2 NPBI 8 th P C1LD C572935 8953752
21 Abdul Kharis 3 NPBI 21 th L R1B C624802 8949389
22 Slamet Sholih VIP NPBI 8/17/1948 L GRD L5 C625985
23 Khoirul Fatikhin 3 NPBI 1 th 5 bln L Anak D C590156 8952477
24 Nawawi VIP NPBI 68 th L GRD L5 C572299 8951047
25 Djuariyah 1 NPBI 51 th P KPD L1 C631605 8949852
26 Tumini 3 NPBI 59 th P R2A C559591 8949591
27 Umrotun 2 NPBI 62 th P KPD D C550883 8952380
28 Sulasmi 3 NPBI 41 th P R4B C588228 8940127
29 Sutiah 3 NPBI 66 th P R2A C629956 8944946
30 Siti Solekah 3 PBI 55 th P R2A C615850 8944880
31 Huri 3 NPBI 34 th L R2B C626215 8942811
32 Sukasih 1 NPBI 43 th P KPD 1 C608521 8947141
33 Florentina Sri Rahayu 1 NPBI 55 th P MRK 1 C562637 8947098
34 Agung Tanduwinata 3 NPBI 30 th L R2A C632317 8949604
35 Suwono 3 Um 31 th L R2A C632860 8950040
36 Supatmi 3 PBI 58 th P R2A C609398 8952347
37 Jumadi 2 NPBI 42 th L MRK LD C631894 8940250
38 Geoffrey Andryano Ne 3 NPBI 1 th 3bln L Anak D C624756 8952543
39 Kunaryati 3 NPBI 58 th P R3A C495642 8936281
40 Suningrum Ariyani 1 NPBI 60 th P KPD D C394912 8949420
41 Devina Eka Pramesti VIP NPBI 25 th P GRD L4 C485648 8951435
42 Tin Susanti VIP NPBI 74 th P GRD L4 C624491 8951558

43 Abraham Fando M 3 PBI 4 bln Anak L1 C631291 8940143
44 E Didit Tri Widianto 1 NPBI 45 th L MRK L1 C588726 8936346
45 Yatmi 3 NPBI 55 th L GER LD C631001 8942622
46 Rebka Sumiyati 2 NPBI 78 th P MRK D C631309 8940134
47 Praptono 1 NPBI 75 th L KTL C631884 8940584
48 Rudy Wijaya Handoyo 1 BPJS 29 th L KTL C587986 8948105
49 Harwati 3 NPBI 29 th P Elang 1 C596563 8951995
50 Suharto 1 NPBI 12/13/1950 L Elang 2 C612561 8952517
51 Kristian Lestari VIP Um 42 th P GRD L3 C622340 8949781
52 Rini Puji Astuti VIP NPBI 34 th P GRD L3 C626767 8949844
53 Sutarti 3 PBI 57 th P R2A C614342 8949925
54 Saniwati 2 NPBI 50 th P B31 C632344 8947118
55 Solekhatun 3 NPBI 47 th P R4A C622596 8952211
56 Ghania Qowiy Laiba 3 NPBI 6 bln P C1LD C632834 8949925
57 Rahmad Ibrahim 3 NPBI 2 th 7 bln L C1LD C629515 8952440
58 Dewi Fajarwati VIP NPBI 33 th P GRD 5 C541076 8952312
59 Lilik Budihartini 2 NPBI 42 th P KPD D C630319 8954563

60 Dwi Isti Hartini 2 NPBI 61 th P KPD D B132454 8954573
M : NO,HA,JF,AD,EA,MW,MY RR : FA,SR,SAM MID :AR,WI RR GRD : ST SORE PROGRAM : EV,SF,AY,WU,AG,N
61 Asmui 3 PBI 48 th L R1B C632520 8947880
62 Budi Hartono 3 UM 42 th L R2B C633267 8956694
63 Wahyu Cahyo D VIP NPBI 7/22/1999 L GRD L4 C622265 8954468
64 Sumarsih 3 NPBI 12/31/1953 P R4A C612040 8906221
65 Sukarno 3 NPBI 39 th L R2B C374907 8949359
CITO
66 Feri Sulistianto VIP Um 25th L GRD 5 C633218 8954709
67 Abdullah Munir VIP NPBI 43th L GRD 6 C621323 8952286
69 Wahyu Teguh Prasetyo 2 um 5th L IGD C633284 8954676

70 Rutiah 3 um 42th P R5B C599142 8956458
71 Arif Budiyono 3 BPJS 21th L IGD C633211 8954019
HARI / TANGGAL : KAMIS, 20 APRIL 2017
JAMINAN
1 Muhammad Rahadian Faza 2 NPBI 2 th L Anak D C590075 8942730
2 Sokib 3 NPBI 33 th L R2B C631469

3 Mohammad Ilyas 1 NPBI 28 th L KPD 1 C489543 8953231
4 Kainah 3 PBI 58 th P R2A C624252 8947105
5 Kholimatul Alifah VIP NPBI 31 th P GRD L6 C633370 8955852
6 Rukayah VIP NPBI 69 th P GRD L4 C632460 8951938
7 By Ny Atik Kutsiyah 3 Um 1 bln P Anak LD C628587 8949487
8 Aditya Irfanul Addin 3 NPBI 2 th L Anak LD C556943 8954533
9 Suwarlan 3 Um 45 th L R1B C632854
10 Sri Marjanah 3 JMD 64 th P R3A C631829 8942863
11 Makmur Privat NPBI 65 th L Pol GRD C619908
12 M. Sukartono 3 NPBI 53 th L Pol MTA C630283
13 Tasih 3 NPBI P Pol MTA C480957
14 Vita Arum 3 NPBI 2/18/1970 P Pol MTA C625202
15 Nur Sahid 3 NPBI 35 th L Pol MTA C515305
16 M. Faizin 3 NPBI 48 th L Pol MTA C604450
17 Pradhypta Adhy Fitriawan 3 NPBI 30 th L MRK L2 C632553 8949531
18 Slamet Sholih VIP NPBI 68 th L GRD L5 C625985 8954243
19 Luqman Adi Prasetyo 2 NPBI 30 th L KPD D C629742 8952501
20 Razza Eka Putra W 3 NPBI 7 th L C1L1 C590543

21 Lasmah 3 NPBI 58 th P R2A C628950 8949314
22 Slamet Herlambang 3 NPBI 46 th L R3B C562743 8940432
23 Tan Mei Hwa 1 NPBI 64 th P MRK 1 C617986 8949491
24 Solih Khudin 3 NPBI 7 bln L Anak D C602591 8954571
25 Destya Alif Prayoga 1 NPBI 1 th L Anak D C556090 8954414
26 MM Titiek Sumijati 1 NPBI 65 th P MRK 1 C628722 8944881
27 Wakhidatun Nur Baiti 3 Um 17 th P R2A C632735 8949566
28 Mohamad Khairul Salam 3 PBI 5 th L C1LD C629727 8954564
29 Mulazim 2 NPBI 47 th L MRK D C608236 8949352
30 Sri Yanti 3 Um 36 th P R2A C631936 8940417
31 Nur Madhoni 3 NPBI 2 th 9 bln P Anak D C616335 8952528
32 Yubelina Tanifan 3 NPBI 65 th P R6A C577236 8946535
33 AH Suali 3 PBI 53 th L R1B C602556 8942758
34 Nurul Malihah VIP Um 33 th P GRD L6 C106814 8950010
35 Budi Santoso VIP NPBI 11/29/1951 L GRD L5 C631709 8954473
36 Artana Nirbaya 1 NPBI 21 th L MRK 1 C631171 8933177
37 Soetrisno 1 NPBI 72 th L Transit C630045 8952541
38 Noor Faizah Anggreini 2 NPBI 34 th P MRK D C633109 8953586
39 Nur Awalia Anisah 3 PBI 15 th P Anak D C629488 8919150
40 Juriyah 3 NPBI 41 th P Elang 1 C606244 8954450
41 Eko Purwaningsih 2 NPBI 38 th P Elang 1 C596905 8954212
42 Junaiti 2 NPBI 31 th P B31 C577194 8949356

43 Sundusiyah 2 NPBI 41 th P B31 C627026 8953376
44 Anik 3 NPBI 30 th P R4A C585539 8952039
45 Khuyati 3 NPBI 51 th P R2A C619219 8952503
46 Ensih 3 PBI 54 th P R2A C631068 8952468
47 Anastasia Hartanti Wahyuni 1 NPBI 54 th P MRK 2 C455535 8919564
M : NO,WU,TK,SU,EW,AD,MW RR : FA,SR,SAM MID : AR,WI RR GRD : ST SORE PROGRAM : EV,SF,AH,AY,AU
48 Tn Umbarwanto 1 NPBI 34 th L KPD L1 C622179 8949893
49 Faizal Hidayat 1 NPBI 6 th L C1Ld C632917 8954620
50 Ny.umi Islamiyati P IGD C607576

51 Nn.Melani Dwi Antika 3 PBI 16 th P R4B C631881 8940333
52 Tn Sriharto Joko Setyono VIP JKN 59 th L GRD L6 C619615 8949922

53 Asihadi 3 PBI 48th L R2B C633049 8952568
54 Margono Wasis VIP NPBI L GRD 4 C630279 8954674
55 Nanik Daryami VIP NPBI 56th P GRD 6 C632998 8952369
CITO
56 Raisa Mutiara Putri 3 UM 4 th P C1L1 C632440 8957085
57 Dian Erri Riana 2 NPBI 16th P C1LD C633441 8956681
58 By.Ny. Nurut Talibah IRINB PBI P PICU C632198 8942885
59 Sri Handayani 2 NPBI 30th P B31 C633307 8956535
60 Kasanah 2 NPBI 37th P B31 C627345 8956682
61 Kuat Eko Yulianto 3 um 18th L R1B C633075 8952569
62 Elmy Setyoningtyas 2 um P IGD C633269 8954612
63 Rimanto 3 PBI 36th L R2B C633271 8958811
64 Sumari 2 PBI 31th L IGD C633456 8956648
65 Yuni Awalusi 1 NPBI 33th P B31 B441317 8956713

JAMINAN
1 Joel Janitra Krisnanto 1 NPBI 1 th L Anak D C537049 8949332
2 Adi Sutanto, SH Psuit NPBI 57 th L GRD L6 C041958 8953865

3 Lucia Sri Sumartini VIP NPBI 11/12/1957 P GRD L5 C630964 8956119
4 Rinawati 2 NPBI 28 th P KPD D C632036 8958754
5 Mohamad Jaenul Aripin 2 NPBI 27 th L KPD 1 C632435 8957009
6 By. Ny. Indamah 3 NPBI 5 hr L PBRT C632868
7 Faiz Hasyim Pratama 3 NPBI 4 th L Anak LD C632906 8957097
8 Surati 1 NPBI 75 th P MRK 2 C632825 8949931
9 Hartatik 3 NPBI 49 th P R4B C543398 8936350
10 Kotimah 1 NPBI 73 th P Transit C620487 8956667

11 Slamet Widodo 3 NPBI 48 th L Pol MTA C624531
12 Moh. Suyuti 1 NPBI 61 th L Transit C182779 8956668
13 Puspa Ardiani 1 NPBI 32 th P KPD LD C594582 8952539
14 Yayuk Yermia VIP NPBI 45 th P GRD L3 C630340 8952382
15 Razza Eka Putra W 3 PBI 7 th L C1L1 C590543 8940388
16 EL Endang Mujiwati 1 NPBI 58 th P KPD 1 C350288 8952444
17 Rustam VIP NPBI 63 th P GRD L4 C632210 8944307
18 Endar Sutarni 1 NPBI 56 th P KPD L1 C550380 8954611
21 Cipto Raharjo 2 NPBI 37 th L KPD D C616652 8954567
22 Sri 3 NPBI 54 th P R2A C628239 8947070
23 Virrelda Renanada W VIP NPBI 16 th P GRD L6 C615423 8952373
24 Dwi Septiani 3 PBI 25 th P R2A C625581 8952508
25 Ahmad Khairul Azzam 3 NPBI 5 th L C1LD C623430 8954535
26 Septian Pandu Prastya 3 NPBI 19 th L R2B C632551 8949424
27 Agam Abdillah Pratama 3 PBI 8 bln L Anak D C595858 8956564
28 Tri Arif Yuda Nugraha 3 NPBI 11 th L Anak D C615914 8954545

Muhuhammad Rasyid
29 3 NPBI 1 th 5 bln L Anak D C583298 8953194
Fasha
30 Iqbal Prasetyo 2 NPBI 10 th L Transit C568415 8954376
31 Hedwig Sriningsih Privat NPBI 57 th P Pol GRD C631486
32 Anton Krissiliyanto 2 NPBI 32 th L MRK D C579433
33 Ahmad David Rafael IRIN B PBI 2 bln L PBRT C632448 8949156
34 Zaenal Arifin 1 NPBI 56 th L KPD 1 C632018 8949376
35 Tino 3 NPBI 33 th L R5A C632736 8949565
36 Esti Komaedah 2 NPBI 69 th P KPD D C627556 8958483
37 Alfin Rizki 3 Um 17 th L R1B C631960 8940566
38 Parinah 3 NPBI 43 th P Elang 1 C631407 8938389
39 Dhara Merahani VIP NPBI 33 th P GRD L3 C632569 8952386
40 Kuswati 3 NPBI 42 th P B31 C604861 8954821
41 Zulikho 3 PBI 32 th P R4A C619967 8955046
42 Sri Ngatini 2 NPBI 42 th P B31 C529240 8954459
43 Dewi Sofia Rini 3 NPBI 33 th P R4B C617898 8949846
44 Siti Nur Azizah 1 NPBI 63 th P B31 C548785 8956652
45 Putri Fajar Rahmawati 2 NPBI 20 th P KPD D C632380 8947172
46 Dri Soesanto 1 NPBI 62 th L MRK 1 C630257 8954540
47 Tarsih 3 NPBI 75 th P R2A C630951 8952434
M : WU,SA,SU,TK,EW,BY,HI RR : FA,SR,IS MID : AR,WI RR GRD : ST SORE PROGRAM : AH,SF,AY,AU,RE,TU,S

48 Suwarlan 3 Um 45 th L R1B C632804 8950012
49 Khanifodin 3 NPBI 24 th L R2B C612987 8956553
50 Muhamad Nurhadi 3 PBI 24th L R2B C618008 8949553
51 Darmo Adji 3 PBI 63 th L R1B C623148 8956569
52 Muriani Puji Lestari 3 NPBI 10 hr P PBRT C632174 8942652
53 Bunga intania VIP NPBI 21th P GRD 3 C599651 8959397
54 Dwi Astuti VIP NPBI 77 th P GRD 5 C632662 8958823
CITO
56 Soemini 3 um 66th P GER D C633432 8968820
57 Prawito 2 NPBI 66th L IGD C633627 8958848
58 Nur Eviana 3 PBI 15th P C1L1 C633440 8958829
59 Rofiatun 2 NPBI 30th P TRAN C632322 8959275
60 Sumirah 3 PBI 57th P R6A C633286 8955467
61 Kasmiati 3 PBI 33th P R6A C631597 8938177
62 Rafanda Aqila Khanza 3 NPBI 10bl L C1L1 C632536 8947156
63 By.Ny. Nur Nafissah 2 NPBI L IGD C633257 8954504
64 Nasriyah 2 um 53th P IGD C633624 8958844
65 Tuminah 3 PBI 66th P R2B C633452 8959352
66 Rasyiq Aji Musa'id 3 PBI 7bl L PICU C633609 8958739
67 Mulyandi 3 NPBI 59th L R2B C633500 8959984

JAMINAN

1 Nurul Fithria Tisnaratih 2 NPBI 36 th P MRK D C630499 8954037
2 Filia Lutfiana 3 NPBI 20 th P R2A C531522 8958725
3 Sri Ningsih 1 NPBI 59 th P KPD 1 C495662 8942762
4 Yuyun Sri Wahyuni VIP Um 52 th P MRK 2 C632934 8951789
5 Erlina Budhi Wahyuni VIP NPBI 58 th P GRD L5 C595964 8954170

6 Siti Murniati 3 NPBI 30 th P R3A C625049 8958747
7 Aditya Candra Putri VIP NPBI 25 th P GRD L5 C631652 8954384
8 Samrah 1 NPBI 51 th P MRK 1 C631784 8946974
9 Sudiyono Marzuki VIP NPBI 64 th L GRD L6 C005751 8952390
10 Suriah 3 NPBI 50 th P R2A C535695 8947146
11 Ninik Sri Suparni 2 NPBI 57 th P KPD D C500148 8949528
12 Kuminah VIP NPBI 33 th P GRD L4 C592820 8958799
13 Jumiyati VIP Um 28 th P GRD L4 C615843 8958785
14 Sukarni VIP NPBI 69 th P GRD L5 C459933 8954663
15 Priyadi 1 NPBI 69 th L Elang 2 C613171 8954043
M :NH, HI,BY,DA,SA RR : FA,AR,RE,ST SORE PROGRAM :RK,AH,AU,AM,AY,BR,DM,IS,MK,SF,WD,PL,RM
16 Kuat Eko Yulianto 3 um 18th L R1B C633075 8952569
17 Suswanti 3 NPBI 40th P R5B C629895 8921195
CITO
18 Devitisya Andriyanti VIP UM 36th P GRD 3 C055137 8960696
19 Muin 3 PBI 55th L R1B C349869 8960404
20 Kiswilopo 2 NPBI 56th L MRK D C498786 8947656
21 Muhammad Asnawi Ghoffar 3 NPBI 4bl L C1LD C614814 8960514
22 Sokeh IRINB PBI 47th L HCU C633751 8960394
23 By.Ny. Indamah IRINB PBI 7hr P PBRT C632868 8954660
24 Shofi'atun 1 NPBI 47th P KPD 1 C472694 8960387

JAMINAN
1 EL Endang Mujiwati 1 NPBI 58 th P KPD 1 C350288 8952444
2 Wiwik Nurcahyani VIP NPBI 36th P GRD 3 C623364 8960138
3 Suharti IRINA NPBI 54th P MRK 1 C606987 8949970
4 Laminto 3 um 35th L R1B C633821 8960804
5 By. Dwi Nur Rahma IRINB PBI 1bl P PBRT C631954 8943909

JAMINAN
1 Timotius Alvrid Qonelson 2 NPBI 14 th L C1LD C633221 8960527
M : RK,PM,WD,NI,BR SORE PROGRAM : HR,AR,AT,EA,IS,PS,TR
2 Sofia Tri Hapsari IRINB PBI 1bl P PBRT C632367 8947042
3 Ngasimah 3 PBI 52th P R4A C632452 895687
4 Imam Subandi 2 NPBI 56th L GER D B366799 8947188
CITO
5 Kasripah 3 PBI 54th P B31 C543595 8954559
6 Wawan Kurniawan 2 NPBI 39th L MRK D C393813 8954621
7 Uswatun Khasanah 3 NPBI 23th P B31 C625124 8960846
8 Dayanti 2 NPBI 35th P B31 C630106 8960568
9 By.Ny. Nok Anti IRINB UM 27hr P PICU C633811 8960667
10 Lani Hariyanti 3 NPBI 35th P B31 C276702 8959829
11 Callista Meylina IRINB NPBI 13hr P PICU C633793 8961018

12 Marminah 2 NPBI 67th P GER D A568562 8921269
13 Rudatin 3 NPBI 56th L R5B C633262 8955096
JAMINAN
1 Sriyono 1 NPBI 53 th L MRK 1 C275763
2 Khunaeni 1 NPBI 58 th P MRk 1 C567232 8949617
3 Sujana 3 PBI 48 th L R2B C628191 8958700
4 Christiyanto 3 NPBI 37 th L R2B C621976 8958077
5 Tarmidi 3 PBI 5/23/1959 L R1B C581883 8952529
6 Akhmad Nur Kholis 3 PBI 21 th L R1B C625186 8958686
7 Tri Setyaningsih 1 NPBI 63 th P P. Mata C014196

8 Ambarsari setyoningrum 2 NPBI 35 th P P. Mata C631790
9 Janadi 1 NPBI 46 th L P. Mata C620430
10 Tony Haryanto 1 NPBI 62 th L P. Mata C644315

11 Fatahillah Ahmadi 2 NPBI 60 th L P. Mata C619944
12 Andrius Budi 3 PBI 20 th L P. Mata C623003
13 Teguh Santoso 1 NPBI 37 th L P. Mata C630694
14 Susiyati VIP NPBI 54 th P GRD L3 C630236 8954356
16 Lilies Setyowati 2 NPBI 52 th P MRK D C603488 8949410
17 Anita Aulia Azahra 3 NPBI 4/18/2015 P Anak D C632882 8952534
18 Masriyah 1 NPBI 47 th P Ger 1 B428698 8947112
20 Maspurah 3 PBI 56 th P R3A C627853 8947090
21 Piat Supriatna 3 BPJS 26 th L R1B C630884 8932657
22 Kuat Eko Yulianto 3 Um 18 th L R1B C633075 8952569

24 Dahirin 3 PBI 51 th L R1B C575614 8942852
25 Sujati 1 NPBI 52 th P KPD 1 C575100 8956558
26 Moch Suchan 1 NPBI 41 th L KPD 1 C489968 8942860
27 Sumarmo 3 NPBI 38 th L R3B C631515
28 Citra Widyastuti 3 NPBI 5 th P Elang 1 C437099 8960717
29 Rasiyem 3 JMD 73 th P R2A C630547 8928046
30 Sairoh 3 Um 47 th P B31 C622140 8960223
31 Murliah 2 NPBI 55 th P KPD D C631022 8959913
32 Faradilla Nursanti VIP NPBI 43 th P GRD 5 C621115 8954691
33 Sugiyarto 3 NPBI 30 th L R6B C631665 8938445
34 Suhardi 3 PBI 54 th L R1B C631130 8952504
M : RK,HR,AR,AM,AT,DM,IS RR : FA,SR,AD MID : AF,SAM RR GRD : WU SORE PROGRAM :GI,NO,EV,AN,AU,A
35 Jarot Yusamsi 1 NPBI 56 th L KPD 1 C592895 8952453
36 Mudrikah 3 NPBI 51 th P R4B C632026 8942518
37 Nor Supriyatin Mulyani 3 NPBI 43th P R3A C630616 8928011
38 Dimas Aji Pamungkas 3 NPBI 10 th L C1LD C626796 8960364
39 Luthfiyah 3 NPBI 15 th P Anak D C625327 8947138
40 Siti Aminah, Hj VIP NPBI 12/31/1957 P GRD L5 C617108 8960573
41 M. Teguh Azmi 3 NPBI 2 th L Anak 1 C626602 8923631
42 Fransisca Sri Mugiarti 3 NPBI 2/21/1954 P R6A C633829 8960784
43 Rusminah 3 PBI 44 th P R3A C633590 8960480
44 Ulil Haidar 1 NPBI 3/17/1979 P ELA 1 C119292 8960818
45 Jumini 1 NPBI 57th P KPD 1 C398658 8949430

CITO
46 Sulastri 3 PBI 40th P R3B C631607 8960390
47 Dexy Rosarto VIP NPBI 28th P GRD 3 C607521 8963196
HARI / TANGGAL : RABU, 26 APRIL 2017
JAMINAN
1 Sriyono 1 NPBI 53 th L MRK 1 C275763 8952442
2 Karti 3 PBI 72 th P R5B C630757 8960742
3 Jasmirah 3 PBI 42 th P R2A C620934 8950110
4 Rosikin 3 PBI 46 th L R6B C630816 8932376
5 Ghufron VIP NPBI 57 th L GRD L4 C633910
6 Aditya Irfanul Addin 2 NPBI 2 th L Anak D C556943 8954533
7 By Atik Kutsiyah IRIN B NPBI 1 bln L PICCU C628587 8949487

8 Umbarwati 3 NPBI 43 th P R4B C632891
9 Sakdun 1 NPBI 66 th L Merpati B318481
10 Riauwati Banu Priv NPBI 67 th P P. GRD C042685
11 Waedi 3 PBI 33 th L Merpati C623797
12 Hasbullah 2 NPBI 52 th L Merpati C608112
13 Darsini 3 NPBI 66 th P Merpati C632099
14 Hery Sugiyono 3 PBI 27th L R6B C633234 8954658
15 Liliany Purnomo VIP NPBI 2/10/1968 P GRD L4 C057787 8956671
16 Ashani Hasna Ezza A 3 NPBI 8 th P Anak D C632898 8961090
17 Slamet Als Ridwan 3 NPBI 60 th L R1B C623313 8958740
18 Sidiq VIP NPBI 74 th L GRD L6 C633324 8956222
19 Darmaji 3 NPBI 40 th L R2B C628932 8944972
20 Sugiman 3 PBI 37 th L R5A C237150 8938340

21 Sugiyarti 1 NPBI 79 th P KPD 1 C592962 8954498
22 Sularsih VIP NPBI 51 th P GRD L4 C633495 8960562
23 Suwarsih 2 NPBI 52 th P MRK D C631828 8960367
24 Sri Palupi VIP NPBI 1/21/1950 P GRD L6 C632082 8963092
25 In Supariyati 3 PBI 35 th P R5B C623942 8942623
26 Samijo 3 NPBI 73 th L GER D C633110 8953771
27 Muhamad Muslimin 3 PBI 14 th L C1L1 C621040 8910257
28 Slamet Al Salim 3 NPBI 48 th L R2B C626726 8890244
29 Winarsih 2 NPBI 25 th P KPD D C631418 8961858
30 Muhamad Nur Kholis 3 PBI 16 th L C1L1 C633825 8960725
31 Kayla Desti Amellia 3 NPBI 9 th P C1L1 C222641 8958796
32 Kamal Bahtiyar 3 PBI 30 th L R2B C626842 8960371
33 Rusito 3 PBI 51 th L R2B C527108 8954642
34 Mujinah 3 JMD 30 th P R3A C614527 8958745
35 Kiswati 2 NPBI 46 th P KPD D C338601 8962481
36 Udiyanto 2 NPBI 43 th L GER D C629633 8944711
37 Sriyatun 3 PBI 44 th P R3A C631133 8942857
38 Rizka Arbiatama 2 BPJS 28 th L KPD 1 C586811 8962291
39 Musripah 3 NPBI 51 th P R2A C632059 8946973
40 Muhamad Amik Fahmi 3 NPBI 19 th L R1B C632793
41 Ani Hartini 3 NPBI 64 th P R2A C624342 8958723
42 Semi 3 NPBI 62 th P Elang 1 C624124 8960918
43 Hayu Enggar Sumunah 1 NPBI 8/8/2007 P Elang 2 C607154 8962669
44 Suhartatik 3 PBI 41 th P R3A C632571 8958684
46 Agustina Windarmastuti VIP NPBI 8/5/1970 P GRD L5 C299806 8962829

47 Ngatini 2 NPBI 49 th P KPD D C628250 8958775
48 Khansayla Maheswara VIP NPBI 11/1/2012 P GRD L3 C633780 8962887
49 Supandri 1 NPBI 61 th L MRK 2 C627344 8923542
50 Lusianah 3 NPBI 43 th P R3A C579859 8947095
51 Netiana 3 PBI 40 th P R2A C571780 8952325
M : GI,TR,AR,DM,HR,IS,SR RR : FA,SU,AD MID : AF,SAM RR GRD : WU SORE PROGRAM :GI,NO,EV,AN,AU,AG
52 Ronald Budi VIP NPBI 9/20/1970 L GRd L5 C633604 8963202
53 Muthi Marzuqoh VIP NPBI 5/2/1974 P GRd L5 C630125 8963062
54 Perodita Apsari VIP um 1/5/1992 P GRd L5 C631303 8963114
55 Bambang Herutomo VIP NPBI 61th L GRD 6 C633413 8963108

56 Luluk Syansiah 3 NPBI 86th P R6A C627251 8942624
57 Prio Tri Purnomo VIP NPBI 56 th L GER 1 C622127 8963360
CITO
58 Sapuri 3 NPBI 43th P R1B C633377 8960592
59 By.Ny. Nurul Muawanah 2 PBI 3hr P IGD C634103 8963384
60 Masrurotun 3 NPBI 46th P R4B C588320 8960392
61 Andrian Valentino 3 PBI 2bl L C1LD C623743 8963432
62 Tri Minarti 1 NPBI 59th P ELA 2 C285134 8963330
63 One Sasria Sakanti 1 NPBI 30th P B31 C634110 8963436
64 Wartono 3 PBI 54th L R3B C633297 8956590

65 Wahyu Pria Gustanto 1 NPBI 30th L MRK 1 C633993 8963403
66 Tumisih 3 NPBI 53th P R6A C633326 8956548
HARI / TANGGAL : KAMIS, 27 APRIL 2017

JAMINAN
1 Rumisih 3 PBI 47 th P R2A C632922 8962901
2 Rohana 3 PBI 39 th P R4B C582170 8956622
3 Tukiran Saputro 1 NPBI 73 th L KPD 1 C632651 8958837

4 Ghufron VIP NPBI 57 th L GRD L4 C633910 8961034
5 Arif Adi Wibowo 2 NPBI 8 th L IGD C628448
6 Farhan Sayeful Bahri 2 NPBI 16 th L Transit C254517 8964412
7 Sochmad 3 NPBI 74 th L P.Mata C625779
8 Mashudi 1 NPBI 47 th L P.Mata C589192
9 Subandi 2 NPBI 71 th L P.Mata C143961
10 Jumain 3 NPBI 52 th P R2B C566828 8949476
11 Janu Wijanarko 1 NPBI 57 th L MRK 2 C633258 8956579
12 Suprihatin 3 PBI 55 th P R4B C622277 8963010
13 Siwi 3 NPBI 47 th P R4B C588007 8962157
14 Sri Hastutik 3 NPBI 55 th P R4B C630501 8961739
15 Sutiyono IRINB PBI 41 th L ICU B320092 8954568
16 Sulistiyanto 3 JMD 27 th L R3B C633371 8956716
17 Djuminah 2 NPBI 57 th P Transit C630635 8960386
18 Ngasminah 3 PBI 66 th P R2A C631448 8952304
19 Muhtadi 3 NPBI 52 th L R1B C628025
20 Sri Hidayah 3 NPBI 20 th P R4B C627750 8905393
21 Umbarwati 3 NPBI 43 th P R4B C632891

22 Abdul Rozaq Prasetyo 3 NPBI 13 th L Anak 1 C495336
23 Vera Septiana 3 um 12 th P Anak 1 C613606 8958781
24 Rosa Permadani 3 PBI 6 th P Anak 1 C620664 8962841
25 Sutikno VIP NPBI 55 th L GRD 6 C632674 8962282
26 Solikhatun 3 NPBI 34 th P R3A C625368 8960353
27 Darwati 3 PBI 51 th P R3A C625996 8956653
28 Solihah 3 PBI 53 th P R2A C623855 8956650
29 Akhmad Faisal 1 NPBI 30 th L KPD 1 C603158 8929575

30 Nur Hasanah 3 NPBI 38 th P R4A C632358 8947143
31 Wira Aulia 3 NPBI 15 th P Anak D C633092 8954582
32 M. Rizal 3 PBI 20 th L R2B C633824 8960721
33 Yulianto 3 NPBI 38 th L R2B C633785 8960656
34 Rumista Panjaitan 2 NPBI 49 th P Elang 1 B291874 8962751
35 Lasinah 1 NPBI 44 th P B31 C627848 8956325
36 Imbawati 3 NPBI 21 th P R4B C628920
37 Suwarni 3 NPBI 61 th P R4B C620538 8962728
38 Suhartati 1 NPBI 36 th P B31 B186796 8963331

39 Yatini 2 NPBI 38 th P B31 C628472 8956311
40 Wahyuti 3 PBI 38 th P R2A C632400 8963367
41 M. Bambang Satoto VIP NPBI 63 th L GRD L4 C623172 8963104
M : GI,TR,SR,SE,HA,PS,RG RR : FA,SU,AD MID : AF,SAM RR GRD : WU SORE PROGRAM : ST,AN,AU,AG,RE,B
Muhammad Akhsani Al
42 3 NPBI 1 th L C1LD C619679 8965581
Fatih
43 Suratmi VIP NPBI 85th P GRD 5 C203498 8962691
44 Harni 3 PBI 57th P GER D C615107 8960369

45 Siti Aminah 3 NPBI 44 th P R3A C626007
CITO
46 Mochamad Muntholib VIP NPBI 45th L GRD 6 C402770 8942464
47 Arya Wishnu Sinung Mursito 3 NPBI 33th L R2B B421803 8966199
48 Yuliyatun 3 PBI 34th P B31 C629437 8965598
49 Asnaniyah 3 NPBI 38th P B31 C629440 8965346
50 Jambari IRIN B NPBI 62th L R1B C634278 8965325
51 Supriyanti 2 NPBI 38th P B31 C634430 8967719
52 Sulastri 3 NPBI 62th P GER D C633273 8954671
53 Sulastri IRIN A NPBI 71th P ICU C634303 8965552
54 Tugiyono 3 um 53th L R2B C634087 8965527

JAMINAN
1 Wastem 2 NPBI 34 th P KPD D C627015 8952443
2 Thomas Tri Danang 1 NPBI 27 th L MRK 1 C631839 8940319
3 Ali Irfan Muhtar VIP NPBI 75 th L GRD L4 A544390 8950038
4 Enny Istanti 1 NPBI 62 th P KTL C633813
5 Siti Saripah 3 NPBI 49 th P R3A C631449 8958744
6 Thoif Zara Amrullah 1 NPBI 16 th L Anak D C621900 8963198
7 Afriyanti 3 PBI 31 th P R3A C630010 8963381
8 Siswanto 2 NPBI 57 th L GER D C618042 8938290
9 Nanik Daryani VIP NPBI 4/29/1960 P GRD L6 C632998 8952369

10 Ade Soeryadi 1 NPBI 74 th L P. Mata C603554
11 Darmanto 3 NPBI 76 th L P. Mata C605565
12 Ahmad Khusain 3 NPBI 48 th L P. Mata C628113
13 Kartimah 3 PBI 72 th P P. Mata C625345
14 Ngatini VIP NPBI 65 th P GRD 3 C462731 8963220
15 Retno Putri Arum SW 2 NPBI 36 th P B31 C495771 8963439
16 FC Arimurdi Maryatun 2 NPBI 53 th P Transit C631621 8960662
17 Moch Sulasno IRIN NPBI 53 th L ICU C495750 8961049
18 Sri Siti Murwati VIP NPBI 37 th P GRD L4 C634194 8965096
19 Agus Sumardi 2 NPBI 48 th L MRK D C629195
20 Titi Prayitno 3 NPBI 67 th L R2B C630678 8942896
21 Sumirah 2 NPBI 39 th P KPD D C598272 8963370
22 Senen Nur Sodiq VIP NPBI 60 th L GRD L5 C631999 8963048
23 Suwandi 2 NPBI 61 th L MRK D C632257 8963401

24 Nur Khayati 2 NPBI 31 th P KPD D C631290 8965876
25 Ismiati 2 NPBI 47 th P KPD D C480566 8967865
26 Nia Ariska 2 NPBI 19 th P KPD D C632884 8957052
28 Lilis Santi 3 NPBI 28 th P R6A C629104 8917052
27 Danu Setyo Widodo 2 NPBI 11 th L IGD C634302 8965548
29 Sri Sukisni 3 NPBI 48 th P R2A C633570 8963425
30 Keysha Azalia Reka F 1 NPBI 1 th 8 bln P Anak D C596278 8964375
31 Abdul Hamid 2 NPBI 51 th L MRK D C565799 8959211
32 Karsiti 1 NPBI 55 th P KPD D C586012 8958802
33 Amen 3 NPBI 29 th P R3A C623854 8958839
34 M. Hidayat Abdulloh 3 NPBI 25 th L R2B C625977 8960299
35 Sunaryo 3 NPBI 11/25/1952 L R1B C633908 8961048
36 Aan Chandra Nufroho 1 NPBI 24 th L KPD 1 C633776 8960657
37 Atik Winarsih 3 PBI 24 th P R4B C571026 8940357
38 Valencia Primadani C 3 NPBI 4 th 2 bln P Elang 1 C584910 8964906
39 Imbawati 3 NPBI 21 th P R4B C628920 8963336
40 Nur Hikmah 3 NPBI 29 th P B31 C627193 8954668
41 Abdul Hanan Atqiya Naja 3 NPBI 6/16/2016 L Anak 1 C634109 8963430
42 Firda Khoirunnisa 3 JMD 6/26/2003 P Anak 1 C633878 8964275
43 Deviana Febriyanti 3 NPBI 12 th P Anak 1 C634053 8963388
44 Sri Sulistyowati 3 PBI 60 th P R4A C630019 8965468
45 Arif Adi Wibowo 2 NPBI 8 th L TRAN C628448 8968429

46 Winarti 3 PBI 60 th P R2A C631419 8963375
47 Suparti 3 NPBI 35 th P R2A C632008 8963273
M : ST,AU,EW,HA,PS,SE,RG RR : FA,SU,AD MID : AF,SAM RR GRD : WU SORE PROGRAM : ST,II,AN,AG,RE,B
48 Umiyati 2 NPBI 54 th P KPD D C575617 8967883
49 Salwa Malika Azzahra VIP NPBI 7/28/2015 P GRD L3 C634421 8967788
50 Suyatmi 3 NPBI 42 th P R6A C625050 8910446
51 Abdul Kharis 3 NPBI 21th L R3B C624802 8968676
53 Eka Juhartini 2 NPBI 45th P TRAN C622616 8963408

54 Heru Kuswanto 3 um L R3B C634265 8967971
55 Tukiyah 2 NPBI 41th P B31 C596560 8964018
56 Miekah Maslichah VIP NPBI 6/6/1948 P GRD L6 C408839 8965576
57 Sugini 2 NPBI 38 th P KPD D C633366 8967932
CITO
58 Jawati 3 um 38th P B31 C634409 8968846
59 Nandya Wahyuningtyas VIP um 26th P GRD 3 C203731 8967463
60 Kasmonah 3 PBI P R6A C633873 8960859
61 Sakimah 2 NPBI 63th P IGD C634641 8969703
62 Sismiyati 3 NPBI 36th P B31 C632769 8967871
63 Candra Buana Pinondang 1 NPBI 58th L MRK 1 C633104 8954088
64 Tuminem 3 NPBI 25th P B31 C633205 8967876
65 Wagi 3 PBI 79th P R1B C634462 8967791
66 Satiyo 2 NPBI 50th L IGD C634486
67 Salma Guritno 2 um 8th P IGD C634482 8967934

JAMINAN

1 Wahyu Ilhami VIP NPBI 36 th L GRD 4 C632588 8967851
2 Muhammad Ardha Raja VIP Um 14th L GRD 3 C577205 8967330
3 Sukma Umbara 3 NPBI 25th P R3B C624173 8920772
4 Sri Soenarti VIP NPBI 73 th P GRD 4 C632402 8967770
5 Sri Hastutik 3 PBI 55 th P HCU C630501 8961739
6 Retno Anggarsih 3 NPBI 45 th P R2A C629140 8967884
7 Nimas Ayu Setianingrum 2 NPBI 9 th P Anak D C633919 8961538
8 Irvan Syaifudin 3 PT 21 th L R2B C634069 8965519
9 Akhsin 3 NPBI 26 th L R1B C633180 8965458
10 Yeni Ekawati 1 NPBI 38 th P KPD 1 C448627 8965568
11 Edwin Setiady 1 NPBI 20 th L KPD 1 C634032 8965571
12 Susilowati Suroto 1 NPBI 66 th P MRK 1 C566487 8960610
13 Fikriyah VIP NPBI 57th P GRD 4 C209922 8963427
14 Yushal Luna Bekti Pasuka 1 NPBI 15 th L Anak D C620267 8963364
M : ST,AN,AU,AG,PM RR : FA,AD,SAM,IM SORE PROGRAM : NO,RE,BR,DB,DY,EA,HI,IS,II,MY,JF,WI,MW,YS,MF,
15 Yoga Kasan Prayitno 3 PBI 26th L R3B C633816 8960838
16 Muhammad Irfan Maulana 3 NPBI 9bl L C1L1 C634026 8963393
17 Gatot Suharso VIP NPBI 54th L GRD 4 C634611 8969743
CITO
18 Nuzulus Sakinah 3 PBI 32th P B31 C634282 8965483
19 Ho Edi Kurniawan VIP Um 45th L GRD 5 C634617 8969701
20 Dwiya Sudalin 2 NPBI 18hr L IGD C634261 8965282
21 Tohari 3 PBI 53th L R3B C634065 8965508
22 Jamaliyah 1 NPBI 46th P KPD 1 C634662 8969815
23 Darsini 3 NPBI 29th P B31 C634665 8969827
24 Sri Mulyati 3 NPBI 39th P R3A C609597 8963412

25 Nur Afni Afiyah 3 um 21th P B31 C634557 8969667
26 Hirawati 2 NPBI 29th P B31 C146072 8969950
27 Yohanna Fenty IRINA+ NPBI 45th P GCU C235181 8967888
28 Arfian Ahmad Wijayanto 2 NPBI 4th L IGD C634678 8969914

JAMINAN
1 Suradi 1 NPBI 75 th L GER 1 C628201 8965988
2 Soemadi 1 NPBI 74 th L KTL C152365 8967620
M : II,AN,AG,DY,PM,YS SORE PROGRAM : WI,BY,BR,RE,JF,MY,MF,VQ
3 Rafanda Sakhiy Wijayanti VIP Um 1th L GRD 3 C634664 8969821
4 Tinem 3 PBI 53th P R3A C956643 8956643
5 Lusiana Dwinarti VIP NPBI 65th P GRD 6 C633545 8969454
CITO
6 Restu Abuka Ashari 3 NPBI 42th L IGD C634712 8970058
7 Muhammad Rino Nur Syafa IRINB PBI 8th L PICU C634720 8970126
8 Supiyah VIP Um 51th P GRD 5 C634707 8970124
9 Dwi Pisca Martha Fitri 3 NPBI 23th P B31 C633576 8958821
10 Saslikah 3 PBI 48th P R6A C643731 8970100
11 Dewi Lestari VIP NPBI 35th P GRD 3 C186493 8970154
12 Supardjo 1 NPBI 67th L MRK 1 C634736 8970123
13 Adiibah Maulina Wafaa IRINA NPBI 6bl L HCU C633229 8954652
14 Gunadi 2 NPBI 51th L IGD C634741 8970132

15 Maulana Umar Jati 3 NPBI 3th L C1LD C634727 8970290
16 Alisha Khaira W 3 um 8bl P C1L1 C634763 8970214
17 Muhammad Lutfi Rohaman IRINB NPBI 13th L R1A C634700 8970032

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
DIAGNOSA TINDAKAN PERAWAT OK
S:
SL,BD,HR,
PLH : NH, EM BP,CA,YN,HE,WU,ANM,TA II,AF,A CT
HI,AO,MY
G
EV,AS,RI 1
S : RM,ST 1
AI,RA
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ S : VQ 2
Mata kanan APAC Mata kanan trabekulektomi B MR √ YW TU 3

HNP L3--5-S1 Neuroplasty + Rhizotomy KH,KH TRI A √ YW,TU 3
P3A0 Post Partum Spontan Ingin Steril MOW S OP √ TW,ET TW IS 4
Kista Ovarii Surgical Staging KH EW √ S : ES IS MK 4

Pasang CVC KH SF √
TD 5
AZ,PL 6
S : AD 6
UM,SR 7
S : EA 7
Mata Kiri Eksisi Tumor + Biopsi + PA +
Mata Kiri Tumor Konjungtiva S,KH TL √ NK,RE,DN RE NK, DN 8
Orbtitotomi Anterior Transkunjungtiva
Hidrocephalus VP Shunt KH HY √ S : VT DN SF,MF 8
Meningioma Planum Sphenoid Craniotomi Mikro Dasar Tengkorak DP SF,SA,DJ 9

WD,PM
Neurotisasi Tahap I (Neuroplasti Pleksus

Monoparese Ekstrimitas Dx ec PBI Dex KH DRY √ PR,MF PR VQ 10
Brachialis Injuri)
VQ,E
Subluksasi Akromio Clavicula Joint Dex ORIF AC Joint Distruptia KH DRY √ PR,AM 10
A
EN,MA,AH
JTG
BP,SS,IM
NP,MK,IS GR 1
S : HA,AM GR 1
AL,YS GR 2
GRD : WU SORE PROGRAM : ALAT : CA (S : US )
Empiema Thorax Dex WSD Thorax S WW √ TD 3

Ca Mammae Std IV (Pleura) WSD Thorax S BIS √ PL AZ

Efusi Pleura Masif Mini WSD S YAN √
Hemoptoe, BE Bronchoscopy KH THOM √ YR EW DS
Pneumothorax Bronchoscopy KH SFY √ YR EW DS
US,AM,
TK Tonsilektomi S DAT √ Aziz
DJ
HR,
SOL Temporoparietal Dex Kraniotomi ICH KH AJ √ MY CITO
BD,HI
RA,R
Abses Cerebri + OMSK Sin Mastoidectomi Radikal KH AYU √ HR,HI CITO
M
Kraniotomi Drainase Abses KH DP √
BD,
ICH Kraniotomi ICH KH AJ √ MY CITO
HR,AO
G2P1A0, Hml 39mg, Impartu Kala I SCTP B TF √ Arsita PM CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
LW,ES,NK,
Neurofibromatosis reg orbita dex pasca
Eksisi + Skin Flap KH PJ √ MR, TA, DJ, EA II
eksisi + Rekonstruksi
RI, TM
Combustio Debridement KH PJ √ ES RI,TA
Kontraktur dermatogen tipe difus reg genu Release Kontraktur + STSG Luas KH,KH PJ √ RI TA,ES
Massa Sinonasal Susp SOM Sin Craniotomi Dasar Tengkorak KH ER √ TM LW,DJ CITO
Maksilektomi Medial KH WY √
NK,Y
Mata Kanan Laserasi Full Thickness Mata kanan Jahit Kornea S FAT √ MR CITO
S
G3P0A2, Hml 10mg, KET Laparatomi Explorasi Salpingektomi Sin S,B PS √ IS EA,YS CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,AO,
CT
HE,MF
EV,
Bilateral HN + HU ec VUR Sistoskopi S ADS √ EV,AS,RM AS 1
Aziz
EV,
Curiga Neurogenic Bladder Sistoskopi S ADS √ AS 1
Aziz
Post Pasang DJ Stent Ganti DJ Stent ADS 1
Moderate HN + HU Bilateral + Ca Cervix III EV,
Sistoscopy Biopsi S ADS √ AS 1
B Aziz
Ca Buli + Hidronefrosis Post Nefrostomi Dilatasi Tract Nefrostomi K MAS √ AS 1
OMSK Sin dg Kolesteatom Komplikasi

Mastoidektomi Radikal AYU AI,DN 2
Abses Cerebri
Papiloma Laring LD + Ekstirpasi S,S DAT √ AI DN 2
OME Kiri Coxitis Media Telinga Kiri Meringotomi dgn Insersi Gromet Kiri S ZUL √ 2
Mata Kanan Reposisi IOL + Vitrectomy

Mata Kanan Desenterasi IOL S,S WIS √ YW,TU,HA 3
Ant
Mata kanan afakia + oklusio pupil Mata kanan sinekiektomi + Irigasi Aspirasi WIS 3
CKD AV Shunt WW 3
Radikal Histerectomy + Limpadenectomi

Ca Cervix KH,B MZ √ TW,NI TW NI 4
Pelvis Bilat
Defect Sinonasal, LMNH Sinonasal Rekonstruksi Hidung + Potong Pedikel KH,S RZ √ AI DN 4
Ulkus Granulosum Nekrotik Reg Femur Debridement B RZ √ DN AI 4
Cumbustio Gr II A - II B 54 % Debridement KH PJ √ RE IS 4
Hernia Insisional Residif Laparatomi Repair Hernia Incicional B ERI √ TD,SA,EA ANM II 5
Cholelithiasis Laparoscopy Cholesistectomy KH PB √ EA TW 5
Tumor Colon Ascenden c/ Ganas Extended Hemicolectomy Sin KH MG √ DM EA,HA 5
Laparoscopy Biopsi Pankreas + Drainage

Tumor Pankreas B,S ERI √ IS TM 5
Ascites
TMS c/ Ganas T3NoMo Post Eksisi Biopsi FS, ganas - MRM KH BIS √ AZ,RI RI AZ 6
AZ,
SNNT Total Thyroidectomi KH BIS √ RI,ET 6
SR
TMS C/ Ganas T4bN1M1 Insisi Biopsi S BIS √ AU II 6
Tumor Parotis Parotidektomi + FS KH DWT √ ET SR 6
Wide Eksisi + Marginal Manidbulektomi + B,KH,K

SCC Labio Oris Inferior BIS √ TA,UM,AR UM TA 7
Uper Neck Disection + FS H
Rekonstruksi Free Flap KH ETH √
Mata Kanan Pseudofakia, Mata Kiri Afakia Mata Kiri Implant IOL + Vx Anterior KH LN √ NK,HR NK EA,HA 8
Mata Kanan Kiri Koreksi Ptosis + Graft KH,B,K

Mata Kanan Kiri Ptosis Kongenital INA √ EA NK,HA 8
Fascial Lata H,B
Mata Kanan RRD + Pseudofakia, Mata Kiri

Mata Kanan Vitrectomy + EL + Gas C3F8 KH AL √ HA NK,AR 8
Vitrectomized Eye + Pseudofakia
Mata kanan Ablatio Retina KH AL √ DI 8
SO
LW,SF,VQ 9
Fr Collum Femur Sin Hemiartroplasty Bipolar sin KH APR √ PR,AP 10
Fr Femur sin ORIF + Bone Cement + Core Biopsi ALI + APR 10
Coxitis TB Reposisi Tertutup + Fixasi dgn Penning S,S BIN √ 10
Fr. Distal Femur Sin ORIF KH BIN √ HI MY 10
ASD Sekundum ASD Closure BJ.03 WW √ MA EN,VT JT

Massa Mediastinum KH ALI √ DI JTG
SO
Adnexitis KH,KH TF √ NP,AM,SE AM NP,SE GR 1
Adhesiolisis + Reseksi Adenomiosis
IUD Translokasi Laparoscopy Estraksi IUD + Adhesiolisis S INU √ SE NP,AM GR 1
Tumor Mamae Insisi Biopsi + FS ganas - MRM S,KH DH √ AL,RK,AD RK AD,AL GR 2

Mata kiri panopthalmitis Mata kiri Enukleasi Bulbi S AK √ AD AL,RK GR 2
AH,
Wilm's Tumor Laparatomi Explorasi Excisi Tumor KH EDW √ AH,DY,MW DS GR 3
YS
Suspect Keganasan Hematologi BMP B HER √ AM SE GR 3
Suspect Keganasan Hematologi BMP HER GR 3
RR GRD : IS SORE PROGRAM : WU,II,ET,AU,RE,BR,BY,BD,DM,TK,DB,DI,ER,HI,MY,JF,MK,YS,SR,PL,DJ,ANM,TM ALAT : PUR,CA (S : YN )
Ca Epidermoid Cervix + Mild HN + HU

Sistoskopi + Pasang DJ Stent S,B MAS √ AY NO DS 1
Dupleks
HN + HU Prox Bilat Sistoscopy Biopsi S ADS √ Aziz EV,IS 1
Meningioma Planum Sphenoid Craniotomi Dasar Tengkorak KH DP √ VQ LW,SF 9
Lesi Tranversal Total MS Sefery V PL,

Laminektomi Kompleks KH AJ √ II
Thorakal ANM
Bedah Mikro Sumsum Tulang Belakang KH HY √
CKD Post AV Shunt Repair AV Shunt + AV Shunt KH,KH AS √ RE TM
CKD Pasang DL dg C-Arm K AS SA DS 1
Keganas Hematologi Susp ALL BMP B HER √ SU YS GR 3
Vulnus Laseratum dgn Ruptur Musculus Debridment + Jahit Luka KH RZ √ ES AF CITO
Mata Kanan Laserasi Kornea Full

Thickness + Proplaps Iris + katarak Mata Kanan Jahit Kornea + Reposisi Iris S,K TL √ AF CITO
Traumatika
g1P0A0, Hml 37mg, Impartu, HIV+ SCTP B HR √ Gatot WD ST CITO
Gagal nafas Traceostomi S DAT √ AO NH CITO
SL,NH,
G2P1A0, Riw Obstetri Kurang Baik SCTP B JD √ Gatot HE CITO
MA
G3P2A0, Hml 36mg, SungSang SCTP B ER √ Gatot HE SL CITO
Pneumoenchephal Koreksi Fr Impresi Komlikata KH AJ √ MF AO CITO
G2P1A0, Hml 36mg, KPD bekas SC SCTP B PS √ Arsita AO NH,SL CITO

Hidreocephalus ec SOL VP Shunt KH AJ √ MW BD,BY CITO
G5P4A0, Hml 36mg, PEB SCTP dgn Penyulit + MOW KH OP √ Gatot CITO
MAR Letak Rendah Tanpa Fistel Mini PSARP (Anoplasty) KH EDW √ AF ES CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
WU, SL,NH,AO,
CT
ER, HE,MF
ANM
Mild HN + HU Prox Bilateral + AKI +

Sistoskopi Biopsi ADS √ EV,IM,RM 1
Azotemia
Retensi Urine + HNP + SNH Sistoskopi k/p Litotripsi Sachse MAS S: DM,AU 1
Extirpasi Tumor Intoto + Diseksi Kelenjar EV,
Ca Prostat KH,KH MAS √ IM 1
Obs Aziz
Ca Sinonasal T3N1M0 Hemimaksilektomi Medial KH DAT √ DM 1
Pasca Chordectomi Uretroplasty + Chordectomi KH,B EDW √ DW AI,DN 2

Ileostomy Pasca Laparatomi Eksplorasi KH, KH PTY √ AI,DW,DN DN AI,DW 2
Repair Fistula Recto Vagina (PSARP

Fistel Retro Vestibuler Tanpa MAR KH RR √ S : RE RE 2
Aproach)
Mata Kiri KSM, Mata Kanan KSI Mata Kiri ECCE + IOL INA YW,TU,HA 3
Mata Kanan Kiri POAG + Pseudofakia Mata Kiri Needling MR 3
Mata Kanan Afakia Mata Kanan Secondary Implant RF S : MK 3
Mata Kiri POAG + Pseudofakia Post
Mata Kiri Retrabekulektomi + MMC FI 3
Trabekulektomi
Mata Kanan Pseudofakia, Mata Kiri Afakia
Mata Kanan Reposisi IOL WIS 3
+ Ablatio Retina
CKD AV Shunt WW 3
Ca Ovarii Residif Sub Optimal Debulking KH MZ √ TW,NI TW NI 4
Laparatomi Explorasi Debulking Tumor +

KH PB √
Adhesiolisis Kompleks
NI,
Adeno Ca Recti Laparatomy Milles Procedure End Stoma KH PB √ S : TK,ET TW,ET 4
TK
Laparatomy Cholecystectomy + Eksplorasi

Choledocholithiasis KH, KH MM √ TD,SA,EA EA TW,SA 5
CBD + Choledochoduodenostomy
Ca Mamae Sin T3N2M0 MRM KH DWT √ S : AR EA 5

Fibroma Adenoma Mamae Dextra Wide Eksisi + FS B DWT √ EA 5
Ca Mamae Residif Wide Eksisi B BIS √ AZ,RI RI AZ,TR 6
Adenoma Parotis Core Biopsi K DH √ S : DJ,SR TR RI 6
Ulkus Granulosum Reg Cruris Sinistra Debridement + STSG KH ETH √ 6
Palatoshisis Inkomplit Bilateral Palatoplasty KH NJT √ TA,UM 7
Fr. Parasimfisis Dx Mandibula, Fr. Radius

Aspirasi Hematoma K AJ √ S : TM TA UM 7
Dx TTp, Hematoma Parietal
Rekontruksi Fr Tulang Wajah KH RZ √
Mata Kiri Trabekulotomi + PI + KH,S,K

Mata Kiri Glaukoma Kongenital LN √ NK,HR DI NK 8
Trabekulektomi + MMC H
Mata Kiri SO Filled Eye + Katarak + SI Mata Kiri Phaco + IOL + Evakuasi SO + KH,
AW √ S : DI NK DI 8
Sekum Excisi Pterigium nasale KH,K
Mata Kanan Tractional Retinal Detachment Mata Kanan Vitrectomi + EL + Gas SF6 KH AW √ DI NK 8
Mata Kiri SO Filled Eye Mata Kiri Evakuasi SO KH AW √ HR NK,DI 8
SOL Cerebellum Craniotomi ZM LW,SF,VQ 9
Meningioma Spheno Orbita Dextra Craniotomi Mikro Dekompresi Orbita Dex KH ZM √ S : BY,BR VQ LW,SF 9
Laminectomi Decompresi + PSRS + revisi KH,KH,

Skiliosis Reg Thoraco Lumbal APR √ PR,AP 10
Skoliosis KH
Fr. Supracondyler Sinistra Fiksasi Internal yg Kompleks KH DRY √ S : DB DB TK 10
Fr. Tibia dextra 1/3 distal comm ttp NK post

ORIF Fr tibia Dex KH BIN √ DB TK 10
ORIF
Total Koreksi (Repair PS(Katup) + VSD BJ.09 EN,MA,VT EN,

TOF WW √ MA JTG
Closure) BJ.04 BP,SS,AS VT
Multiple Bula Paru Dx Thoracotomy Lobektomi KH WW √ S : BD,PL JTG

NOK dg Bag. Padat + Mioma Uteri Kistektomi Bilat + Omentectomi Luas + FS KH,S HR √ NP,AM,SE NP AM,SU GR 1
MID : AM,
Kista Mandibula + Impaksi Gigi Enukleasi Kista + Odontektomi 2 Rahang B,KH RP √ NP GR 1
AD,MW SU
Radikal Histerektomi + Bilat Pelvic
Squamous Cell Ca Cervix St I B KH,B EN √ AL,RK AL RK GR 2
Limfadenectomi Retroperineal
NOS Histerektomi Total + BSO + FS KH, KH EN √ MW AL,RK GR 2
AH,
Tumor Mamae Sin Biopsi Eksisi Tumor + FS ganas - MRM B,KH YAN √ AH,DY IS,AD GR 3
DY
Tumor Parotis C/ Ganas Superficial Parotidektomi + FS KH UUD √ GR 3
RR GRD : IS SORE PROGRAM : WU,AR,AU,RE,BR,BY,BD,DM,TK,DB,DI,ET,YN,ER,JF,DA,SR,PL,DJ,ANM,TM ALAT : PUR,CA (S : YN )
Fr. Collum Femur Bipolar Hemiarthroplasty KH APR √ HI II 10
Post Op VSD Closure Debridement B ALI √ DM RE

Nodul Plika Vokalis LD + Ekstirpasi Massa S WY √
Tonsilitis Tonsilektomi + Adenoidektomi S,B WY √ AU DJ
Ganggren Pedis Sin Amputasi Cruris Sin Batas Sehat S AS √ DM,MY RE,II
Selulitis Pedis Debridment B AS √ MY AT
CKD Post AV Shunt Ligasi AV Shunt KH AS √ AT II
CKD Pemasangan DL (repair) + C-Arm K AS √ IS
SOL Frontal Sin Lobektomi Parsial Sin KH ER √ BY BR 9
Retrated Stoma + Skibala + MAR Laparatomi Repair Stoma + Evakuasi

KH,K EDW √ SC
Rectovestibuler Skibala
G1P0A0, Kembar Siam SCTP dgn Penyulit ( kembar Siam ) B DC √ Gatot HE SL CITO
Vulnus Amputatum Amputasi Above Knee KH DID √ MF AO CITO
G2P1A0, Hlm, 32mg, Gemeli, KPD SCTP Gemeli + MOW B,S IN √ Gatot SL HE CITO
Ileus Obstruktif ec Tumor Caput Pabcreas PTBD + C-Arm KH GUN √ AO MF CITO

ER,
Ileus Obstruktif ec Severe Adhesi Reseksi anastomose Jejenum + KH,KH ERI √ TM CITO
ANM
Ileostransvesostomi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S
SL,NH,AO,
:WU,A CT
HE,MF
U ANM
Batu Ginjal Aff DJ Stent + Sistoscopy S,S MAS √ EV,IM,RM IM EV,RM 1
Tumor Buli TURB + Sistoscopy KH,S MAS √ RM EV,IM 1
Nefrolithiasis Dx + DJ Stent PCN + Open Nefrostomi KH,KH MAS √ S: AD,TU EV IM,Aziz 1
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ AI,DW,DN MY II 2
Massa Plika Vocalis DD Polip LD + Ekstirpasi Massa S RR √ S : IS AI DN,DW 2
Proptosis ec Masa Retrobulbar Orbitotomi Lateral + Biopsi + PA KH AK √ DN AI,DW 2
Fr. Dislokasi Collum Femur Dextra ruptur Soft Tissue Release + Open Reposisi
S,KH BIN √ IS AD 2
PCC Sinistra Head Femur Dex
Mata kanan Glaukoma Sekunder Mata kanan trabekulektomi FI YW,HA,MK 3
Mata kiri katarak senilis imatur Mata kiri phaco + IOL AL 3
Mata kiri KSI Mata kiri phaco + IOL AL 3
Mata kanan kiri katarak diabetika Mata kanan phacoemulsifikasi + IOL WIS 3
Mata kiri Subluksasi lensa Mata kiri EKIK + Vitrektomi Anterior WIS 3
Mata kiri glaukoma absolut Mata kiri Cyclocryo MR 3
Mata kanan post flap konjungtiva Mata kanan ambil jahitan DN 3
Mata kanan kiri debridement band
Mata kanan kiri band keratopaty DN 3
keratopaty
CKD AV Shunt KH ALI √ TU DI
Mioma Uteri + Kista Ovarii TAH + BSO KH,KH MZ √ TW,TR TW TR 4
Impaksi Odontektomi 2 Rahang KH DV √ S : TK,ET TR TW 4
Tumor Mandibula Sin Hemimandibulektomi KH DV √ TW 4
Rekontruksi dg Plat & Screw KH RZ √ TR
Cholecystolithiasis, Cholecystitis Laparoscopy Cholecystectomy KH MM √ TD,SA,EA EA SA,TD 5
Sinus Perianal Fistulotomi B ERI √ S : AR SA TD,EA 5
Bone Exposed Cruris Dx Debridement + Flap + STSG KH,KH PJ √ UZ YR,SC 5
Metastasis Invasive Papiloma Ca Insisi Biopsi + PA S BIS √ AZ,RI RI AZ 6
Ishmolobektomi Dex + FS ganas - Total KH,

SNNT Dx T3NoMo Tiroidektomi , Limfadenektomi + FS ganas KH,S,K BIS √ S : DJ,SR AZ RI 6
- RND H
Tumor Mamae Sin c/ Ganas Insisi Biopsi + PA S DWT √ VT 6
Liposarcoma Wide Eksisi B DWT √ DJ 6
Ca Mamae BCT KH DWT √ SR VT 6
Ulkus Debridement Luas Debridement + Pasang CVC B,KH PJ √ TA,UM 7
Ulkus Granulosum Luas ec Skin Nekrotik

Rekonstruksi STSG Luas KH NJT S : TM UM TA 7
ec Skin Avulsi Reg Lumbosacral
Infeksi Luka Operasi Debridement B RZ √ TA PL 7
ORIF Multiple I & II + Debridement +

Fr Maleolus + Ruptur Tendon KH,B DID √ TM PL 7
Repair Tendon
Debridement + STSG KH ETH √
Mata Kanan Ekstraksi Lens + Pupiloplasty

Mata Kanan Agenesis Pupil KH LN √ NK,HR NK HR 8
+ Vitrectomy Ant + PI
Mata Kanan Vitrectomy + EL + SO +

Mata Kanan Vitreus Haemoraghe KH,B AL √ S : DI HR NK 8
Lensektomi
Mata Kanan Kiri PDR + VH Mata Kanan Vitrectomy + EL + SO KH AL √ HR NK 8
Mata Kanan Kiri RRD Mata Kiri Vitrectomy + EL + Gas KH AL √ 8

Meningioma Craniotomi Dasar Tengkorak KH DP √ LW,SF,VQ LW VQ 9
Craniotomi Dasar Tengkorak per

SOL KH AJ √ S : BY,BR BY BR 9
Endoscopy
AJ +
Abses Paravertebra cervical Drainase Abses paravertebra cervical 9
HY
Fr Femur Dx Ttp, Fr Tibia Fibula Dx Tbk Gr ORIF Multple Fr + Debridement + FSE
KH,B,S APR √ PR,AN 10
III A Cruris Dx
Fr Clavicula Sin 1/3 ORIF Clavicula Sin KH APR √ S : DB PR AN 10
Fr Colles Sin, Fr Styloideus Ulna Sin ORIF Radius KH APR √ 10
Bone Exposed Cruris Post FSE Debridment + Sin Flap KH PJ √ AM IS 10
BJ.03 EN,MA,NI
ASD II Repair Katup Tricuspid + ASD Closure SF √ MA NI JTG
BJ.09 BP,SS,AS
S : VT,PL JTG
Prolaps Uteri Gr IV Sistokel III, Rectocele KH,
TVH + KA + KPR ER √ GI,SE,AM SU GI,DB GR 1
III KH,KH
Sistokel Gr II KA + KPR KH,KH ER √ MID : MW DB GI,SU GR 1
Wound Dehisence Pasca PSARP Debridement B RR √ RK,DA RK MW GR 2
Ca Endometrium Surgical Staging KH EN √ DA MW GR 2
Multiple Limfadenektomi Limfadenektomi Colli + PA S YAN √ AH,DY AH DY GR 3
Curiga Basalioma Wide Eksisi + FS + Rekonstruksi Flap B,B DH √ GR 3
RR GRD : PS SORE PROGRAM : WU,AR,AU,AD,BR,BY,TK,DB,DI,VT,ET,YN,IS,JF,TU,SR,WU,PL,DJ,ANM,TM ALAT : PUR,CA (S : YN )
Tumor Mammae Dextra et Sinistra Multiple Eksisi + FS B DH √ DB GI,SU GRD3
Malformasi Vasculer type vena Inj. Phenodenal S PJ √ DA ST DS 1
DVT reg cruris dextra Embolektomi KH AS √ DM RE
Ulkus DM Debridement luas B AS √
Susp Ca Prostat TURP + Sistoskopi KH,S ADS √ DM II 2
ICH + IVH EVD KH AJ √ SL HE CITO

Kraniotomi Decompresi evakuasi
KH,KH HY √
Hematom + Duraplasty
G3P1A1 + CPD SCTP dg Penyulit + IUD B JD √ CITO
Craniotomi Evakuasi hematoma + NH,SL,

ICH + CKD V + Hertensi KH,KH ER √ MF CITO
Duraplasty HE
Perdarhan Post Partum ec Hipotoni Uterus Histerektomi + Packing KH BE √ TD EA,SA CITO
Post VP Shunt ec Hidrocephalus Debridement + Repair Kele B,KH HY √ AU ANM CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : NO,
SL,NH,AO,
ANM,M CT
HE,MF
K
Susp Ca Prostat TURP + Sistoskopi KH,S ADS √ EV,IM,RM 1
Tumor Mamae Dx Eksisi Biopsi + FS, ganas - MRM Dex B,KH DH √ RI AZ 1
CKD on HD CAPD S MAS S: AD,TU SL AO 1
Ca Buli + Hidronefrosis post repair

Repair Nefrostomi sinistra KH MAS √ IM RM,EV 1
nefrostomi
AI,
VSD Multiple Ekstraksi 20 Gigi Ganggren KH DV √ AI,DN IM 2
DN
Impaksi Odontektomi 2 Rahang Sulit KH DV √ S : IS IS,AI DN 2
Impaksi Odontektomi 2 gigi KH DV √ DN IS 2
OMSK Telinga Kiri dg Mastoiditis ME Simple + Thimpanoplasty Kiri AYU 2

Mata Kanan Glaukoma Absolut Mata Kanan Cyclocryo S MR √ YW,HA YW HA 3
Mata Kiri Hifema + SO Filled Eye + GI
Mata Kanan Irigasi Aspirasi Hifema S MR √ 3
Sekunder
Mata kanan Pseudofakia, Mata kiri SubluksaMata kiri Ekstraksi Katarak + IOL RF 3
Mata kiri KSI Mata kiri phaco + IOL WIS 3
Mata kiri vitrectomized eye + katarak
Mata kiri phaco + IOL AW 3
komplikata
Efusi Pleura WSD Pigtail S SFY √ 3
CKD Double Lumen WW 3
CKD AV Shunt WW 3
Adeno Ca Endometrium Surgical Staging KH MZ √ TW,TR TW TR 4
KH,KH,
Mioma Uteri + Kista Ovarii TAH + BSO + Adheiolisis luas banget MZ √ S : TK TW TR 4
KH
NKT Cell Limfoma Flap Lokal Wajah KH WY √ TK 4
Peritonitis TB + Appendiceal Laparatomi Hemikolektomi Kanan KH PB √ TD,AR AR TW 5

Broncoscopy KH Avis √
Cholelithiasis Laparascopy Cholesistectomi KH PB √ S : AU TW AU 5
Ca Recti + Asites Drainase Asites S ERI √ VT AU 5
Adeno Ca Rectie Colonoscopy + Tutup Colostomy KH,KH ERI √ AU TK 5
Hepatoma Laparascopy Biopsi Hepar KH ERI √ VT AU 5

Invasive Ca Gr I MS Wide Eksisi B BIS √ AZ,RI AZ RI 6
Ca Papilary Thyroid Total Tiroidektomi KH BIS √ S : DJ,SR DJ SR 6
Metastasis Ca Papilary Thyroid FS, ganas - Total Tiroidektomi KH DWT √ DJ ET 6
Ca Papilary Thyroid Total Tiroidektomi KH DWT √ PS EA 6
Malforasi Vaskuler Reg Bibir Rekontruksi Bibir KH ETH √ TA,UM TA UM 7
Ulkus Dekubitus Multiple ec Mobilisasi Debridement luas B NJT √ S : SA,TM UM TA 7
Wide Eksisi + FS bebas tumor +

Rekonstruksi Pasca Keganasan + B,KH,S
Tumor Kulit c/ Ganas c/ Basalioma UUD √ TM SR 7
Limfadenectomi + FS, Upper Neck ,KH
Dissection
Isthmolobektomi + FS ganas-Total
KH,KH,
SNNT Sin c/ Ganas Thyroidectomi + Limfadenectomi + FS, UUD √ IS AD 7
S,KH
Ganas - RND Clasic
Mata Kanan Ablatio Retina Mata Kanan Vitrectomy + EL + SO KH AL √ NK,DW NK DW 8
Mata Kanan Ablatio Retina Mata Kanan Vitrectomy + EL + SB + SO KH AW √ S : DI DW NK 8
Mata Kanan Vitreus Haemoraghe Mata Kanan Vx + EL + Phaco + IOL KH,KH AW √ DW NK 8
Mata Kiri Silicon Filled Eye Mata Kiri Evakuasi Silicon + PHACO + IOL KH,KH AW √ DI 8
Mata kiri tumor palpebra superior dd abses Mata kiri insisi Biopsi + PA S TL √ DI 8
Meningioma Foramen Magnum Craniotomi Dasar Tengkorak KH AJ √ LW,SF,VQ BR SF,SA 9
Paraplegi Inferior ec Fr Vth 12 Laminektomi Kompleks KH AJ √ S : BR SA BR 9
Fusi Posterior + Fiksasi Interna dg PSRS KH HY √
Fr. Olecranon Humeri Dextra Displaced ttp

ORIF Olecranon KH APR √ PR,AN ANM PR 10
NK
Fr Humerus Sin 1/3 Tengah Tttp Nk ORIF Shaft Humerus KH DRY √ S : DB,EA 10
Fr Femur Sin 1/3 Distal Comm Ttp Nk ORIF KH DID √ PR AN 10
Fr Tibia + Fibula Sin ORIF Tibia Sin + ORIF Fibula Sin KH,KH DID √ EA PS 10
EN,MA,NI EN,
MR Moderate , TR Moderate MVR + TVR BJ.08 SF √ NI JTG
BP,SS,AS MA
S : VT,PL
Kistoma Ovarii SOS + FS B HR √ GI,AM AM GI GR 1
Ca Papilary Thyroid Total Tiroidektomi KH DH √ S : WI WI GR 1
Total Abdominal Histerektomi +
Mioma Uteri KH,B EN √ RK,SU SU YN,DA GR 2
SalpingoOoforectomi Kanan
Trichobenzoar Laparotomi Eksplorasi Benzoar KH RR √ YN SU GR 2
Wound Dehiscense pasca Appendictomi Rehecting + Debridement S RR √ SU RK GR 2

HNP Neuroplasty + Rhizotomy KH TRI A √ DA DA DB GR 3
Metas Ca Thyroid Tipe Papiler Total Tiroidektomi + RND Dex KH,KH YAN √ AH,DY DY AH GR 4
HN Dx + HU Proximal ec retretolithiasis Ureterolithotomi KH WAN √ GR 4
RR GRD : PS SORE PROGRAM : NO,AD,BR,TK,DB,DI,VT,YN,IS,JF,TU,SR,PL,DJ,ANM,TM,SA,WI,EA,MW,MK,HR ALAT : PUR,CA (S : YN)

CKD Pasang Double Lumen + C-Arm K AS √ IS SC DS
CKD Pasang Double Lumen + C-Arm K AS √ DS
CKD Pasang Double Lumen + C-Arm K AS √ IS SC DS
Pasca Suboptimal Debulking Pasang

Aff Packing KH MZ √ MF NH,HE CITO
Packing intra Abdoment
G3P3A0, Hml 32mg, HIV+ SCTP penyulit + MOW KH JD √ Adhie ANM SL,HE CITO
Abses Labia Wuyosu Femur Dex + Fr

Debridement Abses Femur Dex B DID √ WM CITO
Pelvis
CKD St V on HD Pasang Double Lumen K ALI √ HR ANM DS
CKD Pasang Double Lumen K ALI √ ANM HR DS
Efusi Pleura Pasang WSD S ALI √ ANM HR DS
Laparatomi Explorasi Repair Duodenum + HR,

Perforasi Fistula KH,B ERI √ TU CITO
Cholesystectomi ANM
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,AO,
NO,HR CT
HE,MF
,ANM
IM,
Vesicolithiasis Litotripsi KH ADS √ EV,IM,RM EV 1
Aziz
Laparatomi Explorasi + plika
Hernia Diafragmatika KH EDW √ S : DB,EA RM EV,IM 1
Diafragmatika
Mata Kanan Orbitotomi Lateral + Biopsi +
Mata Kanan Proptosis ec Meningioma KH AK √ AI,DN 2
PA
Release Kontraktur Poplitea Dex + STSG KH,B,

Pasca STSG + Debridement PJ √ S : IS AI DN 2
+ Debridement poplitea Sin KH
Mata kiri pseudofakia Mata kiri buka jahitan WIS YW,HA 3

Mata kiri Vitrektomi Anterior + Secondary
Mata kiri Afakia WIS S : AG 3
Implant ( Iris Claw )
Laparatomi Radikal Histerektomi +
Ca Cervix KH,B MZ √ TW,TR,ST TW ST,TR 4
Limpadenectomi Pelvis
NOK + Dysmenorhea Laparoscopy Kistektomi KH INU √ S : TK,TU TW,TR 4
Mioma Uteri + Kista Endometriosis Laparascopy Adhesiolisis + Kistektomi KH,KH INU √ TK EA 4
Cholangiocarsinoma Laparatomi Longmire (Triple Bypass) KH ERI √ TD,AR AR TD 5

Rekontruksi Bone Graft Tibia Sin + Achiles
Non Union Tibia Sin KH,B DID √ S : AM AM 5
Lengthening Pedis Dex
Low Grade Fibrosarcoma Manus Dx Wide Eksisi + FS B BIS √ AZ,RI AZ RI 6
Tumor Maksila Sin c/ Jinak Hemimandibulektomi + PA KH DWT √ S : DJ RI AZ 6
Tumor Lidah Insisi Biopsi + PA S DWT √ AZ RI 6
Release Kontraktur Palpebra Inferior Bilat

Kontraktur Palpebra Inferior Sin B,B PJ √ TA,UM,MK MK TA,UM 7
+ Rekontruksi Palpebra inferior Bilat
Siliconoma Penis Debridement + STSG KH RZ √ S :TM UM TA 7
Fr ZMC Sin, Mata Kiri Laserasi Palpebra

Inferior Full Thickness + Ruptur Kanalis
Rekonstruksi Fr Tlg Wajah Kompleks KH ETH √ DB TM 7
Lakrimalis + Hifema Totalis + Eksposure
Kornea
Mata Kiri Jahit Palpebra Inferior +
Rekonstruksi Kanalis Lakrimalis + S,S RF √
Evakuasi Hifema
Kranioplasy KH AJ √
Mata kanan kiri aniridia + Katarak Mata kanan Ekstraksi Lensa + PPC +
KH LN √ NK,DW DW NK 8
kongenital Vitrektomi Anterior
Mata Kanan Kiri Susp Glakuoma Mata Kanan Kiri Trabekulotomi +

KH,KH LN √ S : DI,AU NK DW 8
Kongenital Trabekulektomi + MMC
HY +
Lesi Transversal Partial Medula Spinalis Laminectomy LW,SF,VQ 9
AJ
S : BR,SA
Osteomyelitis Cruris Reg Femur Dextra

Aff Plate + Debridement B,B APR √ PR,AN 10
Post ORIF
Fr. Clavicula Dextra ORIF Shaft Clavicula KH DRY √ S : WI PR AN 10
Ruptur ACL Rekonstruksi ACL KH BN √ WI AG 10
OA Genu Dx TKR Dx KH BIN √ GI NK,DW 10
BJ.11 EN,MA,NI EN,

CAD 3 VD CABG High Risk + MVR SF √ NI JTG
BJ.09 BP,SS,AS MA
S : VT,PL
Post Partum Spontan PEB Ingin Steril MOW S PS √ YS NP,AF GR 1
Total Vaginal Histerektomi +
KH,KH,
Prolaps Tunggul Vagina Sakrospinosus Fixation + Kolporafi ER √ NP,AF,YS NP AF,YS GR 1
KH
Anterior
Susp Ca Ovarii Laparotomi Optimal Debulking + FS KH EW √ AF NP,YS GR 1

Ishmolobektomi Sin + FS, ganas - Total
SNNT Sin T3NoMo KH,KH YAN √ AL,SU AL SU GR 2
Tiroidektomi
Laparatomi Explorasi Adhesiolisis DA,
Abses Intraperitoneal c/ appendicial mass KH,KH PTY √ AH,DY,DA AH GR 3
Kompleks + Appendiktomi DY
RR GRD : PS SORE PROGRAM : NO,BR,TK,DB,DI,VT,YN,IS,TU,PL,DJ,ANM,TM,SA,WI,EA,MW,MK,HR,AG,AM,IS ALAT : PUR,CA (S : YN)
Tumor Buccal Eksisi Biopsi + Odontectomi B,B RP √ 9
Wound Dehisens Post Craniotomi 2 Tahun

Repair Scalp (Kranioplasty) + Debridment KH,B HY √ SA BR 9
Yang Lalu
CKD Pasang DL K AS √ SA MK DS 1
CKD Pasang DL + C-Arm K AS √ SA MK DS 1
CKD Pasang DL K AS √ MK SA DS 1
Laparatomi Explorasi Reseksi Ileum +

Ileus Obstruktifus KH PB √ MF AO CITO
Anastomose E to E
Post Partum Spontan PEB Ingin Steril Laparatomi Aff packing KH BE √ HE SL,NH CITO
G1P0A0, Hml Aterm, Susp LPD SCTP dg Penyulit B EN √ Adhie HE NH CITO
Tamponade Jantung Thoracotomi Perocardial Window KH ALI √ ANM RK CITO
Craniotomi EVD KH DP √ RK,DJ CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NO,WI,
AZ,DA,EW,
MK,
MEJA OPERASI : SS,SC,DA ANESTESI : HE,BP,YR,DY HA,SE,ST, CT
ANM,U
TR,RA
S, TU
BERSIH 2 OK
1 : EV,IM 4 : TW, RI 7 : AO, DB 10 : PR, GI
2 : AI, RM 5 : TD,AR 8 : NK, HR JT : EN,MA

3 : YW,AO 6 : AU 9 : BR,YS ALAT : AF,SU
NOK TAH + SOD + Adheiolisis + FS KH,B,B INU √ VT,AM VT AM 4
Invasive Ca Mamae Mini WSD YAN AG,IS 5

TK,
Lypomyolocele Antetering Spina Bifida KH ER √ DI,MW TM 8
ANM
Meningioma Craniotomi Dasar Tengkorak ZM TK,TM 9
NO,TK,DI,AG,AM,VT,YN,IS,WI,TU,MW,MK,ANM,TM,US ALAT : PUR (S : YN)

Fixaxi IDW + IMW (Rekontruksi Fr Wajah YS,
Fr Denro Alviolar + Fr Condylus Dex KH DV √ US CITO
Kompleks) TU
Mata Kanan Endolaser + Vx + Tamponade
Mata Kanan katarak + ablasioretina KH,KH AL √ DI AG CITO
Gas + PHACO + IOL
G3P2A0, Hml 29mg, Hellp Syndroma SCTP + MOW dg Penyulut bekas SC KH OP √ Gatot DA SE,AZ CITO
Apendicitis Akut Apendiktomi KH PB √ RA TR CITO
Debridment + Repair Arteri Radial + B,KH,K

Ruptur Arteri Radialis + Ruptur Rendo PJ √ HA DA CITO
Repair Tendo H
Fr Femur + Fr Tibia + Fistula close de
Debridment + Repair KH PJ √ AD SR,UM CITO
Glovy
Fiksasi Eksternal yg Kompleks KH DRY √
Repair Arteri Poplitea Dex KH ALI √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PR,AY,AO,
RSK + SD + Konka Hipertrofi FESS + SR + Konkoplasty RH NI,MY,PL, 1
DN,VQ
Corpal Tulang Ayam di Valekula Kanan LD + Extraksi Corpal S,B MYS √ AD UM CITO
Dypneu Jackson I ec Papiloma Laring LD + Eksterpasi Massa S,S DAT √ NI MY,DN CITO
LaringoScopy Flaxible + Exterpasi

Papiloma Laring S,S DAT √ VQ DN CITO
Papiloma
Perforasi Gaster Laparatomi Explorasi + Apendiktomi KH PB √ WI VQ CITO
Laparatomi Shunting Duodeno -

Atresia Duodenum KH PTY √ AM BR,NO CITO
Duodenostomi (Diamond shipe)
Efusi Pleura Mini WSD S UUD √ SA JF CITO
CKD Pasang DL K ALI √ CITO
ORIF Fr Metacarlap IV + V + Fr phalang D

Crush Injury r/ Manus sin KH,KH DID √ TU DW CITO
Distal I + Rekontruksi Tendon Kompleks
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S: SL,NH,AU,
CT
GI,NI HE,ANM
HN + HU ec VUR Re-Implantasi ureter S KH ADS √ EV,DM,MF EV DM,MF 1
Nefrolithiasis Sin + HN Sin Pasang Kateter Ureter B ADS √ DM EV,MF 1
HN + HU ec Ureterolithiasis Dx Ureterolitotomi Dx KH ADS √ S : AT 1
Ulkus Granulosum Thoracoabdominal Debridement B PJ √ AT NI 1
Post Sigmoidostomi ec MAR PSARP EDW II,DB,ID 2
Laparatomi Adhesiolisi Kompleks +

Post PSARP ec Atresia Ani, On colostomy KH PTY √ S : AM,AI DB II 2
Reseksi Anastomose End to End
Orchidektomi + Hidrokelektomi + Biopsi B,S,
Hipospadia Penoscrotal + Hidrokel RR √ 2
uterus KH
Mata kanan KSI Mata kanan phaco + IOL + Trabekulektomi AK 3
Mata Kiri KSM Mata Kiri EKEK + IOL WIS YW,HA 3

Mata Kanan Missed Calculation + Mata Kiri
Mata Kanan IOL Exchange WIS S : IM 3
Pseduofakia
Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL RF 3
Mata Kanan Kiri PACG + KSI Mata Kiri Triple Procedure FI 3
Radikal Histerektomi + Limfadenectomi

Ca Endometroid KH,B MZ √ TW,TM TW TM 4
Pelvis Bilat
Impaksi 2 Rahang Odontektomi 2 Rahang KH DV √ S : TR 4
Tumor Duodenum Laparatomi Biliodigestif Shunting KH ERI √ 4

Pamasangan CVC KH VL √
Laparatomi Cholesistectomi + Eksplorasi

Choledocolithiasis, Obstructive Jaundice KH,KH MM √ 5
CBD Choledocoduodenostomi
Laparatomi Reseksi Ileum + Anastomose

Post Ileostomi KH PB √ TD,AR DY RK 5
E to E
Abses Hepar Laparascopy Drainase Abses KH ERI √ GI EA 5
Wound Dehisence Pasca Laparatomi

Laparatomi Debridment + Repair Iloestomi KH MG S : DY,RK 5
Ileostomi
Dermatofibroma Reg Mandibula Wide Eksisi + Rekontruksi B,KH BIS √ AZ,DJ AZ DJ 6
Hepatoma Needle Biopsi + Guiding USG DH S : DN 6

Tumor Kulit Wide Eksisi DH 6
Ca Mamae BCS KH DWT √ AZ 6
Ca Mamae BCS KH DWT √ DN 6
Fr ZMC Dx, Fr Clavicula Dx Rekontruksi Fr Tlg Wjh Kompleks KH ETH √ TA,ES,RM AU ES,RM 7
ORIF Clavicula KH DRY √
Ulkus Granulosum Debridement + STSG KH RZ √ S : RA 7
Ulkus Granulosum Debridement + STSG KH PJ √ 7
Mata Kanan Afakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + PPC +
LN NK,HR 8
Kongenital Vitrectomy Anterior + PI
Mata Kiri Ekstraksi Lensa + PPC + Vx Ant
Mata Kiri Katarak Kongenital KH LN √ S : DW HR NK 8
+ PI
Mata Kiri PDR + TRD, Mata Kanan PDR
Mata Kiri Vitrectomy + EL + SO KH AL √ HR NK 8
Regresi
Mata Kiri Endoftalmitis Post Inj AB

Mata Kiri Vitrectomy KH AL √ NK HR 8
Intravitreal
Mata Kanan Endofthalmitis (Post Aquous

Mata Kanan Vx + Vitreous Tap KH AL √ 8
Parasintesis + Inj. AB Intravitreal)
Mata Kanan Kiri Afakia + Mata Kiri Blok Mata Kiri Vitrectomy Anterior +
KH LN √ HE NK 8
Pupil Pupiloplasty + PI
SF,TK,VQ 9
S : PM,RG 9
Fr. Femur Sinistra Segmented ttp NK Fiksasi Internal yg Kompleks KH DRY √ PR,HI,RI 10
ORIF Radius Dex + ORIF Metacarpal I + KH,KH,

Fr. Distal Radius Dx + Fr Digiti I Metacarpal DID √ S : AN PR NI,RA 10
Reposisi Fiksasi Dsilokasi Ulna Distal S
Massa Supraglotis LD + Ekstripasi Massa S,S FAR √ AN 10
Massa Glotis dd/ Papiloma LD + Ekstripasi Massa S,S DAT √ MK 10
Ca Nasofaring + Limfadenopati Colli Limfadenektomi S DAT √ MK BR,EA 10
EN,MA,DI EN,
CAD 3 VD CABG High Risk BJ.011 SF √ DI JTG
BP,SS,AS MA
Thoracotomy ekstraksi Extreksi Corpal +
Corpal Thorax Sin KH,KH ALI √ S : VT,SE VT SE JTG
Repair Deafragma , Paru
Laparatomi Explorasi Ekstrasi Corpal KH ERI √
NOS, Agenesis Uterus SOU + FS B INU √ NP,AF,YS NP AF,YS GR 1

Laparoscopy Explorasi Biopsi Ovarium
Amenorhea Primer KH INU √ AF NK,YS GR 1
Kanan + kiri
IUD Translokasi Laparoscopy Extraksi IUD S INU √ YS NP,AF GR 1

Ca Endometrii Laparatomi Surgical Staging KH EN √ AL,SU SU AL GR 2
NOK c/ Ganas, Hidronefrosis Dx, Obs
Surgical Staging + FS KH EN √ AL SU GR 2
Dypneu
RE,
Struma Multi Nodusa Tiroidektomi + FS KH YAN √ AH,RE,ER ER GR 3
AH
Invasive Ca of NST Gr II MD T4bNoMo MRM Dx KH YAN √ RA AH,ER GR 3

RR GRD : PS SORE PROGRAM :AP,GI,RK,AN,AI,AM,NI,AT,DW,VT,DY,IM,MR,PM,RG,SC,SE,TR,DN,RA,CA ALAT : PUR,YN (S : CA)
Abses Paravertebra Cervical I Tracheostomy KH WW √ VQ SF,TK 9
Endoscopy Per Oral KH AJ √
Insisi Drainase abses + Pasang NGT B DAT √
Abses Serebri Craniotomi Evakuasi Abses KH ER √ PM PS 9
Spondilolithesis L4 - L5, L5 - S1 Laminektomi Kompleks KH AJ √ 9

Fusi Posterior + Fiksasi dg PSRS di L3-4-
KH HY √
5-S1
Tumor CPA Sin Craniotomi Drainage Abses KH DP √ PS PM 9
Combustio gr II Debridement KH PJ √ EA MW,UM 7
Labioschiziz Labioplasty + Rekontruksi Hidung KH ETH √ AZ ES 7
SNNT C/ Ganas Lobektomi Sin + Traceostomi KH,B UUD √ GI DN 2
Fr. Tibia Plateu Negleted ORIF Tibia Dex KH DID √ IS MK 1
Hidronefrosis + Terpasang DJ Stent Aff DJ Stent 2 sisi + Cystoscopy B,S MAS √ WD AY,AN DS
Vesicolithiasis Litotripsi + Biopsi Buli KH,S MAS √ AY WD DS
CKD Std V Pasang DL K WW √ DS

CKD DL + C-Arm K AS √ SA SC DS
CKD DL + C-Arm K AS √ SA SC DS
CKD Psg DL Longterm K AS √ SC SA
Laparatomi Salpingektomi Sin + SL,HE,

G2P1A0, Hml 5mg, KEBT KH EW √ AU CITO
Kistektomi Sin ANM
Efusi Pleura Kanan Pasang WSD S ALI √ ANM HE CITO
Hidrocephalus VP Shunt KH GK √ SL NH CITO
G3P2A0, Hml Aterm, PEB SCTP + MOW B HR √ Gatot ANM HE CITO
Ulkus DM Pedis Debridement Luas S AS √ TU MW CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,MF,
AP,GI, CT
HE,ANM
NI
Septik Artritis Genu Sinistra + TB Debridement + Gips B,K APR √ PR,RI PR EM,IM 1
Ulkus Granulosum Debridement + STSG KH RZ √ S : AT 1
OMK Dry Ear Thympanoplasty Kiri + Kanaloplasti KH,B ZUL √ 1
SOL CPA Sin Craniotomi Mikro Dasar Tengkorak KH ZM √ SF,TK,VQ VQ SF,TK 2
Abses CPA Craniotomi Evakuasi Abses ZM S : DA,BY 2

Mata Kanan KSI Mata Kanan Phaco + IOL AK YW,HA 3
Mata Kanan Kiri KSI Mata Kiri Phaco + IOL WIS S : TR 3
Mata Kiri Afakia Mata Kiri Secondary Implant + Iris Claw RF 3
Mata Kanan KSI , Mata Kiri Pseudofakia Mata Kanan Phaco RF 3
Mata Kanan Afakia Mata Kanan Sekunder Implant FET 3

Mata Kanan Glaukoma Sekunder +
Mata Kanan Trabekulektomi FI 3
Pseudofakia
KH,KH,
Kista Ovarii + Uterus Fibroid TAH + BSO + Adhesiolisis MZ √ TW,TM TW TM 4
S
Hamil dg NOK Riw. Pericardial Window Laparatomi Explorasi + FS KH EW √ S : HI TM TW 4
Laparatomi Reseksi Pankreas +
KH,KH ERI √
Splenektomi
Massa Sinonasal Hemimaksilektomi Medial Kanan KH DAT √ HI RK 4
Massa Cavum Nasi Dx Nekrotomi + Biopsi B,S WY √ DA 4
Laparatomi Total Gastrektomi Rekontruksi

Tumor Gaster KH ERI √ TD,AR,DB YS TD,AR 5
RuoX enY
Hernia Scrotalis Dx Hernioraphy B ERI √ S : DY,RK 5

Fistel Sigmoid Cutan, Fistel Sigmoid Vesika Fistula Reseksi Anastomose Ileum - KH,B ERI √ 5
jejunum + Kolostomi
Muscle Expose Cruris Dx Flap + Debridement + STSG PJ 5

Abses Inguinal Insisi Drainase PJ 5
Ca Epidermoid Diff Buruk Wide Eksisi + FS Tepi Bebas Tumor B BIS √ AZ,ET,DJ ET AZ,DJ 6
Wide Eksisi + FS Tepi Bebas Tumor +

Tumor Kulit C/ Ganas C/ Basalioma B,KH DH √ S : DN DJ AZ,ET 6
Rekonstruksi STSG
SNNT Bilateral C/ Gans T3N0M0 Isthmolobektomi + FS, Ganas - TT KH,KH UUD √ DN SE 6
Tumor Phyloides Wide Eksisi + FTSG B,KH DWT √ DN SE 6
Fistula Neuropalatina Palatoplasty KH NJT √ TA,ES,RM TA RM,ES 7
Malformasi Vaskuler Bahu Kanan Eksisi + Rekonstruksi KH NJT √ S : RA ES TA 7
Multiple Anomali Kongenital Rekonstruksi Wajah KH ETH √ RM TA,ES 7
Kontraktur Dermatogen Tp Fleksi Dig II,III,

Rekonstruksi Jari KH ETH √ RA SE 7
IV Manus Sinistra
Combustio Gr IIa-b, III Reg Wajah Debridement KH PJ √ VT NI 7
Fr Leffort III Rekonstruksi Fr. Tlg Wajah Komplek KH PJ √ JF RA 7
Multiple Keloid Eksisi + Rekonstruksi PJ 7
Mata Kiri Vitrectomy + MP + EL + Gas

Mata Kiri TRD KH AL √ NK,HR 8
C3F8
Mata Kiri Katarak Kongenital d.d Juvenile + Mata Kiri Ekstraksi Lensa + Perifer
KH LN √ S : DW HR NK 8
Extropia Sensorik Iridektomi
Mata Kiri Miopia Degeneratif Mata Kiri Vitrectomy KH AW √ HR NK 8
Mata Kiri Vitrectomy + EL + SO + Phaco +

Mata Kiri Katarak + PDR KH,KH AW √ NK HR 8
IOL
Mata Kiri Protosis ec Massa Retrobulber Mata Kiri Orbitotomi Anterior + Biopsi + FS KH,S TL √ DW 8
Mata Kiri Eksisi Massa conjungtiva +

Mata Kiri Massa Konjungtiva B TL √ DW 8
Biopsi + PA
AK,AH,DM,
CKD St V Transpalantasi Ginjal Dextra C ADS √ AK AU,DM 9
AU
S : PM,RG 9
EV,
Donor Ginjal Nefrektomi Dx KH WAN √ EV,AI,II,SU SU 10
AI
KH,KH,
Batu Ginjal PCN + Litotripsi + Pasang DJ Stent MAS √ S : AN AN WD 10
B
Fr. Intertrohanter Femur Sinistra Hemiarthroplasty Hip Sinistra KH DID √ BR AT 10

Fr Femur Dx ORIF Femur Dex + Aspirasi Gen Dex KH,B DID √ 10
BJ.03 EN,MA,DI MA,

ASD + PS ASD Closure + Repair Pulmonal (Katup) WW √ EN JTG
BJ.09 BP,SS,AS DI
S:
VSD VSD Closure SF JTG
VT,SE,IM
SNNT Sin c/ Ganas T3N0M0 FS, ganas - Total Tiroidektomi KH YAN √ NP,AF GR 1
Inv Lobulus Ca Mamae Sinistra MRM KH YAN √ AF NP GR 1
Total Vaginal Histerektomi +

KH,B,B
Prolaps Uteri + Sistokel Gr IV Vesikolithotomi + Laparatomi Adhesiolisis ER √ AL,ER AL ER GR 2
,KH
+ Kolporafi Anterior Posterior
MID :
Mioma Uteri dg Hamil 6 Bulan Miomektomi B ER √ AL ER GR 2
WD,YS
Radikal Histerektomi + BSO + KH,KH,
Susp Ca Cervix EN √ GR 2
Limfadenectomi Pelvis Bilat B
Wound Dehisence Post PSARP Debridement + Re PSARP B,KH EDW √ WU,RE AD WU GR 4

MAR on Colostomy dg Fistel Recto
PSARP KH PTY √ DB TR GR 4
Vestibuler
RR GRD : PS SORE PROGRAM :AP,GI,RK,AN,NI,AT,DW,DA,VT,DY,IM,MR,PM,RG,SC,SE,TR,DN,RA,CA,BY,HI ALAT : PUR,YN (S : CA)
Mata Kana Vitreus Hemoragik Mata Kanan Vitrektomi + EL + SF6 KH AL √ DW TR 8
CKD + Psikiatri Pasang DL K ALI √ 9
Ca Mammae Std IV Mini WSD S YAN √ VT JT

Efusi Pleura Dex Pasang WSD S ALI √ GI VT JT
Laringo Malasia LD Explorasi + Ganti Kanul S DAT √ GI VY JT
HE,
Post Amputasi Debridment + Nekrotomi Stump Amputasi B DID √ MF CITO
ANM
G1P0A0, Partus Tak maju SCTP B OP √ Gatot CITO
Hidrocephalus VP Shunt KH DP √ ANM MF CITO
G1P1A0, Hml 40mg, HIV+ SCTP B HT √ Gatot HE SL,MF CITO
Ca Epidermoid Diff Buruk Post Wide Excisi Explorasi Perdarahan B BIS CITO
Ruptur Amputasi Above Knee S AS √ BD IS CITO
Gangren Pedis Sin Amputasi Below Knee S AS √ IS CITO
CKD Pasang DL + C-Arm K AS √ MK PM CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,MF,
AP,GI, CT
HE,ANM
AD
Mild HN Dx et Sin, CKD St V Sistoscopy S ADS √ ET,AU,DM DM ET,AU 1

Hidronefrosis + Hidroureter Dx Sistoscopy S ADS √ DM ET,AU 1
Ca Buli Nefrostomi Sin KH MAS √ S : AT,AI AU ET,DM 1
AU,A
OA Genu TKR KH DID √ ET,DM 1
T
Tumor Paru, Fr Throcanter Femur Sin Reposisi + Gips S DID √ AT AI 1
Core Biopsi S ALI √
Post TKR Dx TKR Dx KH BIN √ 1
RSK + SD + Konka Hipertrofi + Adenoid

FESS II + Konkoplasty + Adenoidektomi KH,S,B RH √ II,IM,JF IM II 2
Residif
RSK + SD + Konka Hipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ S : DA JF II,IM,ID 2
Hemangioma Eksisi Hemangioma S SF √ DA 2
Abses Manus Dx Debridement B WW √ DA AI 2
Mata Kanan Glaukoma Sekunder + Luksasi

Mata Kanan Trabekulektomi B MR √ YW, DI RI YW 3
Lensa
Mata kanan kiri glaukoma absolut Mata kanan trabekulektomi MR S : PS 3
Mata kanan Desenterasi IOL Mata kanan Reposisi IOL AL 3
Mata kanan IOL Opacification Mata kanan IOL Exchange AL 3
Mata kanan pseudofakia missed calculation Mata kanan IOL Exchange RF 3
Mata Kanan KSI + Glaukoma Sekunder Mata Kanan ECCE + IOL KH WIS √ 3
Mata Kiri Afakia Mata Kiri Secondary Implant WIS 3
Efusi Pleura Kanan Pasang Pigtail S Sofian √ SE PS 3
CKD AV Shunt WW 3
Histerektomi Total + Salpingektomi Bilat KH,KH,

Kistoma Ovarii + Mioma Uteri HR √ TW,TM TW TM 4
Kistektomi Sin + Adhesiolisis Luas KH
OA Sinonasal Nekrotomi B DAT √ S : YN,PM TM TW 4
Mioma Uteri Total Abdominal Histerektomi KH EW √ 4
Ca Sinonasal Hemimaksilektomi KH WY √ YN PS 4
Abses Hepar Laparoscopy Drainase Abses Hepar KH ERI √ TD,AR,DB AR TD 5
Laparatomi Cholesistektomi jejunustomi

Tumor Gaster + Cholelithiasis KH, ERI √ S : DY 5
Fedding
Pasang CVC KH VL √
Adeno Ca Gaster Gastrostomy Feeding B ERI √ 5
Ca Papiler Thyroid Total Tiroidektomi KH DWT √ DN RK 5
Near Total Thyroidectomi + FS ganas

SMNT Bilateral KH,KH UUD √ AZ,DJ 6
-Total Tiroidektomi
Melanoma Maligna, Ulkus Reg Pedis Sin Debridement + Nekrotomi B UUD √ S : DN AZ DJ 6

STT Reg Colli Anterior Wide Eksisi B DWT √ DN 6
Ca Mamae MRM DWT 6
Ulkus Granulosum Cruris Dextra Wound Debridement + STSG KH NJT TA,ES,RM RM TA,ES 7
Ulkus Granulosum Pedis Dx ec Skin Avulsi

Debridement + STSG KH RZ √ S : RA TA ES,RM 7
Pedis Dx
Kontraktur Genu Dx et Sin Debridement B PJ √ RA 7
Mata Kiri Retinal Still Detachment + SO Mata Kiri SB + Vx + SO Exchange +

KH,KH AL √ NK,HR 8
Filled Eye Endolaser + PHACO + IOL
Mata Kiri RRD, Mata Kanan Miop Patologis Mata Kiri Vitrectomy + PHACO + IOL KH,KH AL √ S : HA 8
Mata Kiri RRD Mata Kiri Vitrectomy + EL + PHACO + IOL KH,KH AL √ HR NK 8
Paraparese Inf. Ec Fr. Kompresi VThg

Laminektomi Kompleks KH AJ √ SF,TK,VQ TK SF,VQ 9
spondilitis
Fusi Posterior + Fiksasi dg PSRS KH HY √
SOL Reg Temporo Occipital Craniotomi Tumor dasar Tengkorak KH DP √ S : PM,SA SA PM 9
Pasca PSRS ec Aff Implant Scoliosis KH APR √ PR,HI,RI 10
Ankylosing Elbow Dx Ganti Sendi + Debridement KH DRY √ 10
Fr Pelvis + Laserasi Vagina Fiksasi Internal yg Kompleks KH DRY √ S : AN AN AD 10
Repair Laserasi Labia Mayora Dex et Sin KH ERI √
OA Genu Sin Arthroscopy Debridment S,B DID √ WI 10
EN,MA,DI
MS Severe MVRepair + Evakuasi Trombon BJ.09 SF √ MA DI JTG
BP,SS,AS
PDA Ligasi PDA BJ.05 WW √ S : VT,SE VT SE JTG
Adenomiosis Osada Procedure B TF √ NP,AF,SU NP AF,SU GR 1

Mioma Uteri + NOS c/ Ganas Kistektomi + TAH KH EN √ S : RG,MY AF NP,SU GR 1
NOK c/ Ganas TAH + BSO + FS KH,KH EN √ RG MY GR 1

MAR PSARP KH EDW √ AL,ER,YS ER AL,YS GR 2
Kista Ductus Choledocus Laparoscopy Eksisi Kista + RouX en Y RR GR 2
SMNT c/ Ganas T3NoMx FS, ganas - Total Tiroidektomi KH YAN √ WU,RE GR 4
Ca Infiltrat MD Gr II-III T4aNoMx Wide Eksisi + Diseksi Axilla B,KH YAN √ MY RG GR 4
RR GRD : BY SORE PROGRAM :AP,GI,AI,AN,AT,AD,VT,DY,YN,HA,MY,MR,PS,PM,RG,SC,SE,SA,DN,RA,DA,CA ALAT : PUR,EM (S : CA)
OA Genu TKR Dx KH BIN √ AM
SOL Intracerebral, Abses Cerebri Craniotomi Tumor KH DP √ PM SA 9
Eksisi Multiple Excisi + Rekontruksi KH PJ √ 7
Muscle Exposed Reg Cruris Dextra Pasca

Debridement + STSG KH PJ √ RA RE 7
Rotational Flap e.c Bone Exposed Cruris
CKD Pasang Double Lumen + C-Arm K AS √ IS SC DS 1
CKD Pasang Double Lumen + C-Arm K AS √ IS SC DS 1
CKD St V Pasang Double Lumen + C-Arm K AS √ IS DS 1
CKD St V Pasang Double Lumen + C-Arm K AS √ IS DS 1
Skin Avulsi r/ Cruris Pedis Sin Debridment + STSG KH NJT ANM MF CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,DN
AP,RK, CT
HE,ANM
AD
UDT Orchidopexy D KH ADS √ ET,AU,DM DM ET,AU 1
Nefrolithiasis Sin Nefrolitotomi Sin KH ADS √ S : IM AU ET,DM 1
Nefrolithiasis Dextra et Sinistra,

Ureterolitotomi + Nefrolitotomi Dextra KH,KH ADS √ 1
Hidronefrosis, Ureterolithiasis
P3A0 Post Parus Spontan, Ingin Steril MOW S JD √ 1
Ca Laring Laringektomi Total KH DAT √ II,JF 2
BSO + Omentektomi + Adhesiolisis

NOS + Ca Mamae KH,B EW √ S : DY 2
Kompleks + FS
Laparatomi Adhesiolisis Kompleks, Repair

KH ERI √
Sigmoid , packing
Mata Kiri Glaukoma Sekunder e.c SO Filled
Mata Kiri Trabekulektomi B MR √ YW,UM 3
Eye
Mata Kanan Kiri Katarak Diabetika Mata Kanan Phaco + IOL MR S : PS 3
Mata Kiri Katarak Komplikata + Retinal
Mata Kiri ECCE ( Diagnostik) WIS 3
Detachment
Mkaki Proliferative Diabetic Retinopathy,
Mata Kiri Phaco + IOL AW 3
Mki Vx Eye + KSI
Mata Kiri KSI Mata Kiri Phaco + IOL AW 3
Efusi Pleura Kiri WSD Thorakal S WW √ 3
KH,KH
Prolap Uteri TVH + KA + KPR + SOB ER √ TW,TM TM TW 4
KH,KH
Prolaps Tunggul Cervix + Sistokel + KH,KH

TVH + KA + KPR ER √ TW,TM TM TW 4
Rectokel KH
Pansinusitis FESS III + SR + Konkoplasty KH,B,S RH √ S : MF 4
TAH + Sapingo Ooforectomi Kiri +

Mioma Uteri KH,B,B EN √ HR 4
Salpingektomi Kanan
Choledocolithiasis Laparoscopy Cholesistektomi KH PB √ TD,DB TD DJ 5
PDA Multiple Ekstraksi Gigi B DV √ S : DA 5
Laparatomi Explorasi
KH,KH,
Stenosis Duodenum Duodenosduodenostomy + Adhesiolisis PTY √ DA 5
B
Kompleks + gastrstomi Dekompresi
Megacolon Kongenital on Kolostomi Duhamel S RR √ SU 5
ILC Ca Mamae Sin Wide Eksisi + Diseksi Axilla B,KH BIS √ AZ,DJ 6
Ca Mamae Gr III T4bNoMx Wide Eksisi + Diseksi Axilla B,KH UUD √ S : PM DB AZ 6
COMMANDO (Hemimandibulektomi KH,KH, MP,

Tumor Rongga Mulut c/ Ganas DWT √ 6
Parsial + RND + Rekontruksi Plate Screw) KH AT
Ca Mamae Dextra Recurrent Insisi Biopsi S DWT 6
Eritroderma Insisi Drainase S PJ √ AM 7
Ulkus Granulosum Colli Anterior Debridement B PJ √ TA,ES,RM RM TA 7
Ulkus Granulosum Debridement + STSG KH RZ √ S : RA TA RM 7
Ulkus Dekubitus Gr III-IV Sacrum Debridement KH ETH √ AZ TA 7

Pasang WSD S ALI √
Nekrosis Stump Femur Bilateral, Ulkus

Debridement B ETH √ RA 7
Dekubitus Gr 4 Reg Sacrum
Debridment S ALI √
Mata Kanan Vitrectomy + SO + Phaco +

Mata Kanan Katarak + Retinal Detachment KH,KH AL √ NK,MY NK MY 8
IOL
Mata Kiri + SO Filled Eye Mata Kiri Phaco + IOL + Evakuasi SO KH,KH AW √ S : HA NK MY 8
Mata Kanan Miopia Degeneratif, Mata Kiri

Mata Kanan Scleral Buckle + Cryotherapi KH AW √ NK MY 8
Vx Eye + Pseudofakia
Mata Kiri RRD Mata Kiri Vitrectomy + EL + SO KH AW √ 8
Mata Kanan Kiri Katarak Juvenile +

Mata Kanan Kiri Phaco + IOL KH,KH WIS √ 8
Mikrokornea + Nystagmus
Mata Kiri Post Aspirasi Irigasi Hifema,

Mata Kiri Cyclocryotherapy S MR √ HA 8
Glaukoma Sekunder + Vitrectomized Eye
Mata Kanan Post Laserasi Kornea + Mata Kanan Re-Hecting Kornea +

S,K TL √ DW GI 8
Prolaps Iris Reposisi Iris
SOL CPA Craniotomi Dasar Tengkorak KH DP √ SF,TK,VQ 9

Intra Operatif Monitoring (IDM) KH Aris √
Meningioma Craniotomi Dasar Tengkorak KH ER √ S : HR,SA SA AD 9
Fr Pelvis Post FSE ORIF Femur KH DID √ PR,HI,RI HI PR,RI 10

Debridment luas B NJT √
Fascitis Pedis Dextra Biopsi + PA B DRY √ S : AN PR RI 10
Fr Intertrocanter Undisplaced ORIF Femur KH DID √ HI PR,RI 10
Ruptur ACL Sin Rekonstruksi ACL Sin KH DID √ PS AP 10
Post THR Dx Revisi THR Dx BIN 10

EN,MA,DI
CHF ec MS Severe, LA Trombus MVR + TVR BJ.08 SF √ MA VT JTG
BP,SS,AS
Tumor Mediastinum + SVCS Sternotomi Inominata Atrial by Pass BJ.06 ALI √ S : VT,SE VT SE JTG
Laparoscopy Eksplorasi - Laparatomi

Kista Ovarii Bilateral B TF √ NP,AF NP AF GR 1
Parsial ooforectomi Sin
Conservatif Surgical Staging KH EN √
NOK dg Bagian Padat c/ Ganas TAH + BSO + FS, KH,KH INU √ S : RG NP AF GR 1
Lifadenoctomi Pelvis bilat +
B EN √ RG
Limfadenectomi ParaAorta
Kista Ovarii Laparascopy Kistectomy Bilateral KH INU √ RG SC GR 1
Tumor Mamae Sin Eksisi Biopsi + FS, Malignan - MRM B,KH YAN √ AL,SR SR AL,ER GR 2
Limfadenektomi + FS, Malignan - RND
Ca Papiler Thyroid + Limfadenektomi Colli S,KH YAN √ ER AL,SR GR 2
Type III
Megacolon Kongenital Trans Anal Pull Through KH EDW WU,RE GR 4
Tumor Intra Abdomen dd/ Limfoma Laparatomi Eksplorasi Biopsi EDW GR 4
Spondilolitesis + Myelopato Lumbal L4-5 Neuroplasty + Rhizotomi + KH,KH TRI A √ YS GR 3
RR GRD : BY SORE PROGRAM :AP,RK,AN,AD,DA,VT,DY,HA,HR,IM,MR,PS,PM,RG,SC,SE,DN,RA,YN,SA ALAT : PUR,CA (S : SE )
Fr Collum Femur Dx Bipolar Hemiartroplasty KH APR √ HR

Pemasangan CVC KH JL √
Apenicitis Kronis Apendiktomi S ERI √ PM MF 6
Tumor Intra Abdomen Colonoscopy KH PB √ MR DS
Pasang Double Lumen Long Term + C-

CKD K AS √ IS PM
Arm
G1P0A0, Hml 36mg, Oligohiramniom, HE,SL,

SCTP B INU Gatot ANM CITO
HBSAG + NH
EDH Temporo Parietal Craniotomi EDH KH DP √ DN SL CITO
Laparatomi Eksplorasi Release Hernia

Ileus KH PB √ DN HE,SL CITO
Interna
Wound Dehisense Osteomitilis Debridment KH AJ √ RK AP CITO
Abses leher (Kulit) c/ TBC Incisi Drainase Abses + Derbidment B,S RR √ SU CITO
Peritonitis generlisata Laparatomi Eksplorasi KH JS CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,AG,
Tumor Mukosa pipi kiri Eksisi kelenjar Ludah + PA KH RP √ AG NH
DM
Tumor Mandibula Kiri Partial Hemimandibulektomi KH RP √
Cyst Adenoma Cervix Uteri Surgical Staging KH EN √ YW,IS IS YW 4
Susp Keganasan Hematologi BMP B MOE √ IS 4
Mata kanan ablatio retinal detachment Mata kanan vitrektomi + MP + EL + SO KH AL √ HR,HI HR 8
Mata Kiri TRD Mata Kiri Vitrectomi + EL + MP + SO KH AL √ 8
Hidrocephalus Non Communican VP Shunt KH GK √ SA,AU 9
Meningioma Cloroid Craniotomi Mikro Dasar Tengkorak KH DP √ SA AU 9
CKD Pasang DL K ALI √
Post TT + RND ec Trakeomalasia Tracheostomi B UUD √ DW SU CITO
G3P2A0, Hml 41mg, HIV+ SCTP dg penyulit + MOW KH OP √ Gatot CITO
G2P1A0, Hml 32mg, PEB SCTP B TF Gatot CITO
SOL Kraniotomi decompresi KH HY √ DI RE,DB CITO
Tortis Testis Orchidopexy Sin KH ADS √ VT RE,DB CITO
Hernia Scrotalis Herniorhapy + Mesh B ERI √ RA VT,DI CITO
Corpus Alienuem Susp Jarum Bronkus Bronkoskopy Flaxible + Ekstraksi Benda

KH,B AVIS √ CITO
Kanan Asing
ICH + FBC Kraniotomi Decompresi + Duraplasty KH,KH HY √ AT ET,SU CITO
Hernia Scrotalis Rep Herniotomi B PTY √ SC DY,SU CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
UM,ER,BR,
PLH : TW,TD CT
IS,MF
SL,AL,AY,CA AU,DM 1
GN,HE,HA,HR,JF,LW,MR,MK,YS 1
PUR,SF,SR,US 1
WU,WD,PL,VQ,TM 1
SA,RE, SA,
Abses Hepar Laparascopy Drainase Kista Hepar KH MG √ 5
ANM ANM
Ganglion Femur Sin Biopsi + Ekstripasi Ganglion + PA B DH √ AZ,HI,DN DN AZ,HI 6
Mata kanan RRD + Pseudofakia + Gas

Mata kanan Vitrektomi + MP + EL + SO KH AW √ DI AD 6
Filled Eye + Post SB
Syndactili Dig 2-4 Manus Sin Dig 1-3 Pedis
Rekontraktur Jari KH NJT √ TA,TK,SE TK TA,SE 7
Dex
Sindaktili Digiti 2-3-4-5 Rekontraktur Jari KH NJT √ SE TA,TK 7
Parafimosis + Luka Bakar Debridment + Circumcisi KH,S PJ √ TK, TA,SE 7
MRSevere MVRepair + AVRepair BJ.08 SF √ EN,MA,WD, EN, DW JT

SS,AS,BP MA
Ca Sinonasal AFF Tampon + Hecting K WY √ YR,EW YR EW DS 2
AF,AD,DA,DB,DI,EA,ES,IM,II,MW,NO,PM,RK,RG ALAT : PUR,EM (S : CA)
SOL ec Meningioma Craniotomi Tumor Conveksitas KH ER √ SF,VQ LW,YS 9
Atresia Post Colostomi Reseksi Anastomose Colon KH EDW √ DM AU 2
G2P0A1, Hml 34mg, Eklamsia SCTP dgn penyulit B DC √ Gatot DY SU CITO
Laparatomi Explorasi Repair usus +

Corpal Alienum ec Vulnus Lovetorum KH,S MM √ MF BR,IS CITO
Extraksi Peluru
Odontektomi 2 Rahang + Insisi Absess
Plegmon Dasar Mulut KH,KH RP √ IS,MK SR CITO
dgn Penyulit
G1P0A0, Hml 42mg, PEB SCTP + Insersi IUD B DC √ Gatot BR ER CITO
MK,
Abses Maxilla Insisi Abses dg Penyulit + Extraksi gigi KH,K RP √ IS CITO
MF
Gastrostomi + Yeyenostomi Feding +

Atresia Esofagus + MAR KH,B,B EDW √ PR DM,DA CITO
Colostomi
Kraniotomi Evakuasi Hematoma
ICH KH,KH HY √ DA II,IS,RG CITO
Intracranial + Durarapy
EDH Temporal Parietal + SDH + SAH Craniotomi KH ER √ AR AF,MW CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

Ileus Obstruktif Post Tutup Stoma Laparatomi explorasi Reseksi Ileum + KH KH PB √ ANM TU CITO
Hartman Procedure
SOL Craniotomi KH ER √ MF PM,EA CITO
SDH Akut Craniotomi Dekompresi KH HY √ DB TK CITO
Ileus Obstruktif Reseksi anastomose Usus + Hernioplasty KH,B MM √ RA TW CITO
Neuroplasty + Rhizotomi + Foraminal

MYELOPATY Tumor + HNP L4-5, L5-S1 KH,S TRI A √ AL TW CITO
Block
Fr Collum Femur sin Parsial Hip Artroplasty Sin KH BIN √ YS MW CITO
Rhinosinusitis FESS III + SR + Konka Reduksi KH,B,S RH √ ES MW CITO
Laringomalasia Trakesotomi + LD S,S DAT √ MW II CITO
VP Shunt + Rekontruksi meningocele

Hidrocephalus KH,KH ER √ DI MK CITO
Lumbal
ES,
Burs Abdoement Repair Burs Abdomen KH PTY √ YS MK, CITO
MW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,HE,
EV,AY, CT
AM,RM
TK
Hidronefrosis + Hidroureter ec VVR Sistoscopy S ADS √ RK,AU,PL 1
Ureterolithiasis Distal Sin URS S + DJ Stent S KH,B ADS √ S : AH RK 1
Multiple Nefrolithiasis Sin + HN Sin Nefrolithotomi Sin KH ADS √ AU RK 1
Fr Costa 3,4,5 Posterior, Osteomed Plate Thoracotomi ORIF Costa KH,KH ALI √ AH MY 1
Nefrolithiasis Sin Post DJ Stent AFF DJ Stent WAN 2
Ureterolithiasis Sin URS kiri KH WAN √ AI,AO,DJ 2
Torus Maxilla + Mandibula Eksisi Torus Palatinus B RP S : AD,MY 2

Laparoscopy Assisted Eksisi Kista Ductus
Kista Ductus Choledocus KH RR √ AD MY 2
Choledocus + Roux n y
Mata kanan kiri glaukoma juvenile Mata kanan revisi Blep FI YW,MK 3
Mata kanan KSI Mata kanan phaco + IOL AK 3
Mata kanan pseudofakia + PDR + TRD +
Mata kiri ECCE + IOL KH WIS √ YW MK 3
mata kiri KSM + PDR + TRD
Mata kanan phaco + IOL + Mata kiri buka
Mata kanan KSI RF 3
jahitan
Mata kiri KSI Mata kiri phaco + IOL AL 3
CKD AV Shunt KH WW √ YS 3
Mioma Uteri TAH KH PS √ TW,UM TW UM 4
NOK SOS + Omentectomi + FS B,B INU √ S : BY,IS UM TW 4
Hernia Inguinalis Lateralis irreponible +

Herniotomi + Hernioraphy B,B ERI √ DJ AI,AO 4
CKD on HD
Hepatoma c/ HCC Segmen 2,3 Laparatomi Anantomical Liver Reseksi KH ERI √ DB TM 4
Pasang CVC KH AI √
Cholelithiasis Laparoscopy Cholesistectomi KH PB √ TD,EA,DN EA DN 5
Abses Perihepatic (Hbs Ag +) Laparatomi Eksplorasi Biopsi KH PB √ S : ST DN EA 5
Laparoscopy Cholesistectomi +
Multiple Cholelithaisis + Pankreas Cyst KH,KH MG √ DN TD 5
Laparascopy Drainase Kista Pankreas
STT Reg Temporal Sin Wide Eksisi + PA BIS AZ,IM 6
Ca Thyroid Total Tiroidektomi KH BIS √ S : DM IM, AZ 6
Superficial Parotidectomi + FS, Ganas -

B,KH BIS √ AZ IM 6
Total Parotidectomi
Ca Papiler Thyroid Total Tiroidektomi KH UUD √ AG RE 6
Ca Mamae Dx Residif Wide Eksisi B,KH,B UUD 6
Ulkus Granulosum, Kontraktur Digiti II, III

Debridement + Eksisi + Rekonstruksi KH,KH ETH √ TA,ANM ANM TA,YN 7
Manus Sin
Bone Rekontruksi pd Extermitas Atas KH DRY √
Neurofibroma Eksisi + Rekonstruksi KH ETH √ S : WU,RI WU RA,EV 7
Wide Eksisi + FS bebas tumor,

Fibroma Nasal B,KH DWT √ 7
Rekonstruksi Flap
Mata kiri Ekstraksi lensa + PPC + Vx
Mata kiri katarak kongenital KH LN √ NK,HR NK HR 8
Anterior
Mata kiri anoftalmia Mata Kiri Rekonstruksi Socket B INA √ S : AG HR NK 8
Mata kanan Vitreus Hemoragi non Mata kanan Vitrektomi (Mekanikal) + EL +

KH AL √ NK HR 8
Clearing, Mata kiri PDR regresi + TRD gas SF6
LW,BR,VQ 9
S : SF,HA 9
Infeksi Pasca Bipolar Hemiartroplasty Sin Remove Implant B BIN √ PR,AP,TM 10
Kontraktur artrogen tipe flexi genu dextra Stretching Release Kontraktur + Gips S,K DID √ S : HI 10
EN,MA,BD MA,
CAD 3 VD CABG High Risk BJ.011 SF √ BD JTG
BP,SS,AS EN
Laparatomi Adhesiolisis + Reseksi
Kista Ovarii Adenomyosis + Multiple Miomektomi + B,B,B TF √ NP,ER ER NP GR 1
SalpingoOoforectomi Sin
Laparatomi Adhesiolisis Kompleks KH JS √
Kistectomi + Ometectomi + Adhesiolisis
NOS B,S,KH HR √ S : TU,MW NP ER GR 1
Luas + FS
Laparatomi Explorasi KH ERI √
Tumor Intra Abdomen dd/ Limfoma Laparatomi Biopsi KH EDW √ AL,SE SE AL GR 2
Hernia Scrotalis Bilateral Herniotomi Dex + Herniotomi Sin B,B PTY √ SE AL GR 2
Ca Mamae + Limfadeopati Colli Sin Limfadenektomi Colli Sin S YAN √ WD,DA DA WD GR 4
Ca Mamae Radical Mastectomy KH YAN √ DA WD GR 4
Limfadenopati Inguinal Sin Insisi Biopsi UUD GR 4

R GRD : PM SORE PROGRAM : EV,SF,AH,AY,WU,AG,AD,BY,DM,TK,HA,HI,IS,MY,JF,TU,MW,ST,RI ALAT : PUR,CA (S :EM )
Meningolumbal Menigioma Craniotomi Mikro Ds Tengkorak KH DP √ VQ BR,LW 9
Paraparese Inferior Laminektomi + Mikro deseksi KH AJ √ 9
Mata Kanan Endoftalmitis Mata Kanan Vitrektomi KH AL √ HR NK 8
Post Hemiarthroplasty Hip Dextra Revisi Hip Artroplasty Dex KH BIN √ AP PR,MF 10
Giant Cell Tumor Fiksasi Internal yg Kompleks KH DRY √ DB 10
Laparotomi SOS + Biopsi Peritonium +

Susp Ca Ovarii B,S,KH EW √ ST TM 5
Ca Mamae MRM KH DWT √ HA,DI SF 7
Fr Mandibula Rekontruksi Fr Wajah Kompleks KH NJT √ AM 8
Pansinusitis Pasca FESS + SR +

Eksplorasi + Aff Tampon K RH √ DS 2
Konkoplasty
P3A0, Post Partum IUFD, PEB, Ingin Steril MOW + Kuretase S,K HR √ 1
Nekrotik Pedis Sinistra Amputasi Below Knee Sin KH AS √ II
G2P1A0, Hml 41mg, Partus Macet SCTP dg Penyulit B EN √ Gatot NO RE CITO
SL,HE,
CKD Pasang Double Lumen K ALI √ DM CITO
NH,
SL,HE,
G2P1A0, Bekas SC SCTP B DC √ DM CITO
NH,
Pasca Sub Optimal Debulking + Packing Laparatomi Aff Packing KH EW √ NH GI CITO
Retensi Urine Sistostomi S WAN DM CITO
CKD Tutup AV Shunt (AV Shunt) KH WW √ YS CITO
ICH Ocipital Dex Craniotomi Mikro Ds Tengkorak KH MTA √ ES AF CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,HE,
EV,AY, CT
AM,RM
TK
Nefrolithiasis Dx, Vesicolithiasis TUR Buli KH ADS √ RK,AU,PL RK AU 1
Multiple Ekstraksi 7 gigi Ganggen +

Tetralogy of fallot B DV √ S : AD AI,DJ AO 1
Tambal 10 gigi Karies
Massa Laring c/ Granuloma LD + Eksterpasi Biopsi S FAR √ RK,PL 1
Polip Endometrium Multiple, Mioma Uteri

Histeroscopy Polipektomi KH HR √ 1
Intramural
Ca Buli Cystectomi + Prostatectomi + Neo bladder MAS+ERI AI,AO,DJ 2
RSK + Septum Deviasi + Impaksi FESS + SR + CWL KH,B,B INA √ S : AG,AH AH AG 2
Odontectomi 2 rahang KH RP √
Mata kanan kiri POAG + KSI Mata kiri phaco + IOL FI YW,MK, 3
Mata kanan afakia Mata Kanan Sekunder implant ( iris clip ) WIS S : TU 3
Mata kanan kiri KSI, dd katarak diabetika Mata Kanan Phacoemulsifikasi + IOL KH WIS √ 3
Mata kanan kiri wet AMD + KSI Mata Kanan Phacoemulsifikasi + IOL RF 3
Mata kiri KSI, Mata kanan Pseudofakia Mata kiri phacoemulsifikasi + IOL RF 3
Mata kanan clear lens extraction + IOL
Mata kanan kiri anisometrop FET 3
( iris claw )
Mata kanan kiri PACG, Mata kiri KSI Mata kiri phaco + IOL MR 3
Atresia Koana Bilateral Tipe Membrana Kanaloplasty Transnasal dg Endoskopi KH RH √ TW,UM,ID TW UM 4
OMSK Kiri Pasca ME Simple Tympanoplasty Type II KH ZUL √ S : NI 4
Cholesistitis Akut + Cholelithiasis Laparoscopy Cholesistektomi KH PB √ TD,YN,DN 5
Abses Perianal Insisi Abses Paraanal S ERI √ S : MW,ST YN DN 5
Tumor Colon Descenden Laparatomi Sigmoidectomi KH ERI √ DN YN 5
KH,KH,
Adeno Ca Cervix Uteri IIa2 Radikal Histerektomi + BSO + LPB EW √ 5
B
AZ,IM,
STT Supra Clavicula Wide Eksisional Biopsi + PA B BIS √ AZ,IM,MF 6
MF
ADH Mamae Sin Wide Eksisi + FS B UUD √ S : MY MF AZ,IM 6
TMS Wide Eksisi B UUD √ MF IM,AZ 6
TA,RG,
Tumor Kulit c/ Ganas c/ Basalioma Wide Excisi + FS B UUD √ ANM TA,RG 7
ANM
Skin Avulsi Reg Cruris Pedis Sin Debridement Nekrotomi Luas B NJT √ S : RI IM TW 7
RG, TA,
Skin Loss Reg Manus Sin Debridement + VAC S PJ √ 7
RA ANM
Ulkus Dekubitus Reg Sacrum Gr III Debridement + Rekonstruksi Gluteus KH PJ √ RA MY 7
Mata Kanan Ekstraksi Lensa + IOL + PPC

Mata Kanan Kiri Katarak Kongenital KH LN √ NK,HR HR NK 8
+ Vx Anterior
Mata Kiri Ablatio Retina Mata Kiri Vitrectomi + EL + MP + SO KH AW √ S : HA HR NK 8
Mata kiri PDR Mata kiri Inj. TCA AW 8
Mata Kanan PDR + TRD + VH Mata Kanan Vitrectomi + EL + SF6 KH AW √ HR NK 8
Mata Kiri PDR + TRD + Pseudofakia, Mata

Mata Kiri Vitrectomi + EL KH AW √ 8
Kanan TRD + Katarak Komplikata
SOL Intrakranial c/ Meningioma Olfaktori Craniotomi ZM LW,BR,VQ 9
Spondilolithiasis Laminektomi Kompleks KH AJ √ S : SF,BY 9

Fusi Posterior + Fiksasi Internal dg PSRS
KH HY √
T8-9-10-11
Laminektomi Dekompresi + Debridment

Paraplagia Inferior ec Lesi MS LII-IV KH,KH APR √ PR,AP,TM AP TM,PR 10
Instrumentasi Fusi
Fr. Femur 1/3 proximal comm ttp NK, Fr.
ORIF DRY S : HI,WU 10
Metacarpal V Manus Sin
Dislokasi Hip Sin Skeletal Traksi S BIN DS
Fr Interthrocanter Femur Sin Bipolar Hemiartroplasty Sin DID 10
BJ.09
Total Koreksi (Repair PS + VSD + Tutup EN,MA,BD EN,
TOF BJ.04 WW √ MA JTG
PDA) BP,SS,AS BD
BJ.05
Mastitis TB Wide Eksisi B YAN √ NP,ER,TR TR NP,ER GR 1

KH,KH,
NOK dg Bag. Padat c/ Ganas TAH + BSO + Omentectomi INU √ S : SU,IS ER NP GR 1
S
Adhesiolisis dg Repair Sigmoid Simple
KH MG √
Closure
Histerektomi Total + SOB + Omentectomi KH,KH,
NOK dg Bag. Padat c/ Ganas JD √ AL,SE,AT SE GR 2
+ FS S
NOS c/ Ganas, Asites Permagna, Hernia Surgical Staging + Adhesiolisis Kompleks
KH,KH EW √ GR 2
Umbilikus + FS
Repair Hernia umbilicalis + Apendiktomi B,S ERI √
Megacolon on Colostomi Duhamel (Stepler) KH EDW √ WD,DA DA WD GR 4
Wound Dehisence Post Meningokelektomi Eksisi + Debridement PTY GR 4
R GRD : PM SORE PROGRAM : EV,SF,AH,AY,WU,AG,NI,AD,BY,TK,HA,HI,IS,MY,JF,TU,MW,SC,SU,ST,RI,EM ALAT : PUR,CA (S :EM )
Massa palatum Extirpasi Biopsi S RR √
Debridment B UUD √ AZ AM 6
CKD Pasang Double Lumen + C-Arm K AS √ SA PM DS
CKD AV Shunt KH AS √ SA PM DS
Ulkus Post Amputasi Above Knee Amputasi KH AS √ DI YS CITO
Fr Pedis Dex tbk ec Crush Injury Amputasi Pedis Dex KH DID √ RE VT,PS CITO
Apedik Akut Apendiktomi Open S PB √ AM MR CITO
Asites Drainage Asites S RR TK CITO
Efusi Pleura WSD S Avis √ AY TK CITO
Laparatomi Reseksi Anastomoses Colon + KH,KH,

Trauma Tumpul Abdoment ERI √ AM HE CITO
Repair Vena Mesenterium Superior KH
Pasang CVC KH JH √
Hernia Inguinalis Inkarsirata Laparatomi Herniotomi B PTY √ AD AY CITO
GPA SCTP dg penyulit + IUD B OP √ Gatot DI ES CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,HE,
EV,AY, CT
AM,RM
TK
Malposisi Scrotum Transposisi Scrotum ADS GI,AU,PL 1
Nefrolithiasis Dx Nefrolithotomi Dx KH ADS √ S : SA PL GI,AU 1
KH,B,
Uretrolithiasis URS + DJ Stent Long Term + Nefrostomi MAS √ AU GI,PL 1
KH
Giant cell tumor manus sinistra Eksisi + Bone Graft KH BIN √ SA 1
Tonsilitis Kronik Hipertrofi, OSAS ATE FAR AI,DJ 2
Impaksi 2 Rahang Odontektomi 2 Rahang KH DV √ S : DA,AG AI DJ 2
Tumor Mandibula Susp Parsial mandibulektomi KH OEN √ AI DJ 2
Rekonstruksi Bone Graft KH RP √
Impaksi 2 Rahang Odontektomi 2 Rahang KH RP √ 2
Mata kanan kiri KSI Mata kanan ECCE + IOL RF YW,UM 3

Mata kanan Evakuasi IOL + Secondary
Mata kanan Descenterasi IOL AL 3
Implant ( Iris Claw )
Mata kanan kiri PDR Mata kanan Inj. TCA AL 3
Mata kiri katarak traumatika Mata kiri phaco + IOL WIS S : MK 3
Mata kanan kiri KSI Mata kiri phaco + IOL WIS 3
Mata kanan Kiri POAG, Mata Kanan KSI Mata kanan Phacoemulsifikasi + IOL MR 3
Mata kiri POAG + KSI Mata kiri phaco + IOL FI 3
Mata kanan kiri POAG + KSI Mata kanan Trabekulektomi FI 3
Mata kanan Suspect Graves Mata kanan Inj. TCA Submuller TL 3
Mata kanan eksisi massa palpebra inferior
Mata kanan massa palpebra inferior TL 3
+ Biopsi + PA
Mata kanan eksisi massa kantus medial +
Mata Kanan Massa Kantus Medial TL 3
Biopsi + PA
RSK FESS III + Adenoidektomi + Konkotomi KH,B,S RH √ TW,YN,ID ID TW 4
TW,
RSK FESS III + CWL + Konka Reduksi KH,B,S RH √ S : NI ID 4
YN
Obs. Hoarnes c/ Massa Laring Laringoscopy Direk + Biopsi + PA DAT 4

Hidrokelektomi ( Ligasi Tinggi Hidrocele
Hidrokel S RR √ NI EV,RI 4
Bilat)
Ca Recti, Hernia Laparatomi + Repair Hernia Incicional B JS √ TD,DN DN,TD 5
Laparatomi Reseksi Ileum Anastomose E

Post Hartman Procedure KH PB √ DN TD 5
to E Functional
Laparatomi Explorasi CBD +

Batu CBD KH,B MG √ S : MY,RK TD DN,TD 5
Cholesistectomi
Laparatomi Adhesiolisi Kompleks - Repair

Hernia Insisional KH ERI √ HA MY 5
Dinding Abdoment
Tumor Recto Sigmoid Laparatomi LAR + Colostomi KH,B ERI √ AS HA 5
Invasive Breast ca mammae Wide Eksisi + Diseksi Aksila B,KH BIS √ AZ,IM,MF IM AZ,MF 6
Invasive Ca MST Gr III Wide Eksisi + Diseksi Aksila B,KH BIS S : DW MF AZ,IM 6
Tumor Maksila c/ ganas Hemimaksilektomi KH UUD √ SU AG 6
Tumor Mamae Sin c/ Jinak Wide Eksisi + FS ganas - MRM B,KH UUD √ 6
Ca Mamae Dx Residif Wide Eksisi + Rekonstruksi B UUD √ SU NI 6
TA,RG,AN
Blow Out Fractur Mata Kiri Rekonstruksi Fr Tulang Wajah Kompleks KH NJT √ TA ANM 7
M
Fr Sin Mandibula Rekontruksi Fr Wajah Kompleks KH NJT √ S : RI ANM TA 7
Malformasi Vaskuler Reg Lingkar Eksisi + Rekontruksi KH NJT √ AM TA 7
Fr. Tulang Wajah Kompleks ( ZMC

Rekonstruksi Fr. Tulang Wajah Kompleks KH PJ √ MY RI 7
Sinistra )
Mata Kiri Katarak Kongenital KH LN √ NK,HR HR NK 8
Vx Ant + PI
Mata Kiri Vitreous Haemoraghe Mata Kiri Vitrectomi KH AL √ HR NK 8
Mata Kanan Vitreous Haemoraghe Mata Kanan Vitrectomi + EL KH AL √ HR NK 8
Mata Kiri Silicon Filled Eye Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AL √ S : TU NK HR 8
Mata Kanan Vitrectomi + Mechanical

Mata Kanan Vitreous Haemoraghe KH AL √ 8
Endolaser
Ventriculomegali dd hidrocephalus,
Craniotomi Aspirasi LCS KH DP √ LW,BR,VQ 9
ventrikulitis
Epilepsi lobus terporal Pemasangan EEG Intrakranial KH MTA √ S : SF,BY 9

Monitoring EEG Intracranial (Durate Op) KH Aris √
HNP Thoracolumbal ( Th12-L1) Laminektomi Dekompresi KH APR √ PR,AP,TM AP TM,PR 10
Negleted Fr Collum Femur Sin Ttp Nk Bipolar Hip Hemiartroplasty Sin KH DID √ S : HI,WU PR TM 10
Fr. Interthrocanter Femur Sin Komunitif ttp

Bipolar Hemiarthroplasty Sinistra KH DID √ 10
NK
Ruptur Meniscus Medial Genu Sin Rekontruksi Arthroscopy Menisectomy S BIN √ EA HI 10
EN,MA,BD EN,
MR Severe, TR Severe MVR + TVR BJ.08 SF √ BD JTG
BP,SS,AS MA
AV Fistula Femoralis Dextra Repair Arteri Femuralis + Embolektomi KH,KH SF √ JTG
Laparoscopy Miomektomi + Kista

Mioma Uteri KH,KH TF √ NP,ER,TR RG NP,ER GR 1
Paratuba
Adnexitis Dupleks + Hiperplasia Laparoscopy Miomektomi + Kistectomi
KH,KH TF √ S : PM ER NP,RG GR 1
Endometrium Ov. Kanan
Hepatoma Needle Biopsi + USG Guiding S Nurdopo √ AH AT GR 1
Mioma Uteri TAH + BSO KH,KH MZ √ AL,SE SE AL GR 2
Granulosa Cell Tumor Ovarii Inadequat

Surgical Staging KH EN √ AL SE GR 2
Staging
Atresia Ani on Colostomi Fistel Recto PSARP + Fistulektomi + Relokasi
KH,B,B EDW √ AH,AT AH AT GR 3
Vesica Recro Uterus Colostomi
Megacolon Kongenital Laparatomi Colostomi KH PTY √ PM GR 3
Tumor Mamae Dx BCS Dex KH YAN √ WD,DM DM WD GR 4
Ca Mamae MRM KH YAN √ WD DM GR 4

Ca Mamae MRM KH YAN √ DA PM GR 4
RR GRD : ST SORE PROGRAM : EV,SF,AY,WU,AG,NI,BY,TK,HI,IS,MY,JF,TU,SC,SU,RI,EM,DA,RK,MK,PM,SA,DW ALAT : PUR,CA (S :EM )
Fr. Kompresi VL III Laminektomi Kompleks KH AJ √ 9

Gangren Pedis Sin ec ESW reg Poplitea
Amputasi Bellow Knee S AS √ MW MY
Sin
OMK dry ear Timpanoplasty telinga kiri KH PW √ AD JF
Adeno Ca cervix Uteri III B, HN Bilat + CHF

Sistoscopy S MAS √ AO IS,RA DS
FC II-III, Efusi Pleura
Multiple Vesikolithiasis + Fistel Vesikokutan Vesikolithotomi + Fistelektomi B,B WAN √ IS RA DS
Debridment Eksplorasi + Repair Tendo +

Ulkus Laserasi c/ Ruptur Tendo S,S,K BIN √ RM HE,NH, CITO
Pasang Gips Fose Slap
SL, AW
Ruptur Uretra Sachse + ureroscopy /Sistoscopy KH,S MAS √ CITO
CKD Pasal DL K WW √ RM AM CITO
Corpus Alienum Coin Esofagus Esofaguscopy + Ekstraksi Corpal Coin B ZUL √ SL AM CITO
Wound Dehiscense Debridment + Remove Implant S,B AJ √ AM RM CITO
Crush Injuri + Fr Pelvis Colostomi B PB √ AY TK CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,HE,
EV,AY, CT
AG,AM
RM
HN + HU ec VUR Neo Implantasi Ureter Dupl KH ADS √ GI,AN GI AN 1
Tumor Ginjal Dx c/ Ganas Insisi Biopsi ADS S : SA 1

Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ 1
Tumor Lidah Insisi Biopsi S RP √ AG AU 1
Polip Endometrium Multiple Histeroskopi Polipektomi KH HR √ SC BR 1
Mata Kiri Glaukoma sekunder subluksasi

Mata Kiri IOL Exchange + Vx Anterior KH AK √ 2
lensa
Excisi Teratoma + Rekontruksi + Vena

Wound Dehisence Post Meningocelectomi KH,K EDW √ AI,RE DA AU 2
Secti
Megakolon Kongenital short segment Evakuasi Skibala K RR √ S : AU,DA 2
Corpal Reg Hemithorax Kiri Thoracotomi Ekstraksi Corpal WW 2

Mata Kanan Kiri PACG + KSI, Mata Kiri Mata Kiri Triple Procedure
B,KH MR √ YW,UM 3
Glaukoma Fakomorfik (Trabekulektomi + PHACO + IOL)
Mata kanan PACG + KSM Mata kanan phaco + IOL MR 3
Mata kanan pseudofakia + NPDR + PCO, Mata kiri EKEK + IOL, Mata kanan buka
RF S : MK 3
Mata kiri KSM jahitan
Mata kanan kiri pseudofakia, Mata kiri
Mata krii IOL Exchange RF 3
Missed Calculation
Mata kanan kiri high miopia, Mata kanan
Mata kanan phacoemulsifikasi + IOL AW 3
PVD
Mata kiri Vitrectomized eye + katarak
Mata kiri phacoemulsifikasi + IOL AW 3
komplikata
Mata kiri Inj. Triamcinolone Acetat
Mata kanan kiri PDR high Risk + CSME AW 3
Subtenon
CKD Repair Double Lumen K WW √ RI PL 3
RK,
Obs. Hoarnes c/ Massa Laring Laringoscopy Direk + Biopsi + PA S DAT √ TW,YN,ID AM 4
DW
RSK + Polip Nasi Gr II + Adenoid Persisten KH,B,S

FESS III + SR + Konkotomi + Adenektomi RH √ S : NI YN TW 4
+ SD ,B
Tonsilitis Kronik Hipertropi ATE FAR 4

TD,
Adeno Ca Colon Laparascopy Extended Hemikolektomi Dx KH PB √ TD,DN 5
ANM
Laparatomi Eksplorasi Bypass Jejunu TD,

Ileus Obs. Partial ec c/ adesi KH PB √ S : RK,PL DN 5
Ileustomi Side to Side + Biopsi Tumor ANM
Laparatomi Hemicolektomi +
KH,B,
Chron Disease + Cholelithiasis Cholesistectomy + Reseksis Anastomose ERI √ 5
KH
jejunum
Labiognatopalatoshiziz Labioplasty KH PJ √ AZ,MF AZ MF 6
Gips K BIN √
Pelvis Rekontruksi Hip S + Achiles

Kongenital DDH Sin + Club Foot Bilateral KH,B BIN √ S : DW MF AZ 6
Tendon Legthening
Tumor Maxilla Sin c/ Ganas Hemimaksilektomi Sin KH BIS √ AM EV 6
TA,RG,
Skin Loss Hemifacial Dx Debridement + Rekonstruksi Flap KH NJT √ RG TA 7
ANM
RG,
Labiopalatoschisis Palatoplasty KH ETH √ S : RI TA 7
ANM
Pasca Eksisi BCC + Rekonstruksi Rekonstruksi Hidung KH ETH √ RI 7
STT Loss Reg Poplika Dx Debridment + Rekontruksi Flap B,B PJ √ 7

Mata Kiri Katarak Kongenital KH LN √ NK,HR HR NK 8
Vx Anterior
Mata kanan silicon filled eye + katarak Mata kanan phaco + IOL + Mekanikal
KH,KH AW √ S : TU HR NK 8
komplikata Vitrectomi + Evakuasi Silicon
Mata Kanan Vitreus Haemoraghe Mata Kanan Vitrectomi KH AW √ NK HR 8
Mata Kanan Ablatio Retina Mata Kanan Vitrectomi + EL + SO + SB KH AW √ HR NK 8
Mata kiri Ablatio Retina Mata kiri Vitrektomi + EL + SO KH AW √ DW 8
SOL Intracranial Susp Chordoma Craniotomi Mikro Dasar Tengkorak KH MTA √ LW,AF,VQ 9
Open Endoscopy KH AJ √
S : SF,BY 9
Canalis Stenosis ec Fr Kompresi Laminektomi Dekompresi + Insturmentasi KH DID √ PR,AP 10
ORIF Femur Dex + ORIF Radisu Dex + KH,KH,

Fr Radius Ulna Dx, Femur Dx Tbk Gr II DID √ S : HI,DJ 10
ORIF Ulna Dex KH
Fr Ramus Sup et Inf Pubis, Fr Ilium Rekontruksi Pelvis Kompleks KH DID √ HI DJ 10
EN,MA,
BJ.09 MA,
ASD II + PFO + TR Severe Repair Katup Trikuspid + ASD Closure WW √ PM, PM JTG
BJ.03 EN
BP,SS,AS
S:
VSD VSD Closure KH WW √ JTG
AH,BD,IM
Mioma Uteri Posterior Miomektomi B HR √ NP,ER,TR NP TR,ER GR 1
Mioma Uteri Histerektomi Supravaginal KH HR √ S : WD,IS TR NP GR 1
NOK SalpingoOoforectomi + FS B EN √ AL,SE SE AL GR 2
Ca Mamae MRM KH YAN √ IS WD GR 2
TMS c/ Ganas Radikal Mastectomi KH YAN √ AT,DM DM AR GR 4
Ulkus Granulosum Debridement + STSG KH RZ √ AR DM GR 4
RR GRD : ST SORE PROGRAM : EV,SF,AH,AY,AU,NI,BY,HI,IS,TU,SC,RI,EM,DA,RK,MK,SA,DW,BR,BD,WD,PL,DJ,RM ALAT : PUR,CA (S :EM
Meningoensefalitis Lumbal puncsi B Yovita √ DA DW
Susp keganasan hematologi BMP B Herni √ DS

ah
CKD Doble Lument AS
Fr Impresi Laminektomi Kompleks KH AJ √ 9
Fsui Posterior + Fiksasi PSRS KH HY √
CKD Pasang Doble Lument + C-Arm K AS √ PM SA
Massa nasofaring Nasofaringoscopy Flaxible + Biopsi B DAT √ BR SC DS
Corpal Benda Asing Hidung Kiri Ekstraksi Corpal B ANNA √ CITO
LD + Ekstraksi Benda Asing dg Guiding C-

Benda Asing kawat di Hipofaring S,B AYU √ MK NK CITO
Arm
Laparatomi Eksplorasi Shunting

Atresia Duodenum KH PTY √ SA MK,SL CITO
Duodenoduodenustomi Side to Side
G4P3A0, Hml 39mg, Susp Meningocele SCTP + IUD B IN √ Gatot MK NH,SL CITO
G2P1A0, PEB SCTP + Miomektomi B,B IN √ Gatot SA SL CITO
Fr Kompresi Frotal Craniotomi Fr Impresi B MTA √ MK SA CITO
MAR PSARP / Anosplasty KH RR √ AU AY CITO
Debridment + Reposisi Tertutup (C-Arm) +

Fr Radius Ulna Sin tbk + Bone Loss S,S,S BIN √ RM AU CITO
Eksternal Fiksasi
ORIF + Repair Tendo + Debridment + KH,S,B

Crus Injury Fr Ulna + Ruptur Tendo APR √ IS,SU WD CITO
Gips ,K
SCTP + IUD B HR √ Gatot CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,NH,HE,
EV,AY, CT
DN,AM
RM
UDT Bilateral Orchidopexy Dex KH ADS √ GI,AN EV AN 1
Uretrolithiasis Dextra URS D + Pasang DJ Stent D KH,B ADS √ S : PM 1

Sialolithiasis dd Tumor Eksisi Biopsi Tumor dasar Mulut B DV √ ANM EV 1
Sialolithiasis Wide Eksisi Kel. Ludah B DV √ PM 1
Impaksi 2 Rahang Odontektomi 2 Rahang KH DV √ PL PM 1
Hernia Umbilikal Cord Inkarserata Repair Herniorafi k/p reseksi RR AI,IM 2
Massa Cystic Intra Abdomen Laparatomi Eksisi Kista Mesenterial KH RR √ S : AU,DA 2
Mata Kiri Anopthalmi dg Ulcerasi Susp Mata Kiri Eksenterasi Orbita + Biopsi +
KH,B TL √ AI GI 2
Keganasan orbita Wide Excisi + PA
IDC Gr II Pungsi Ascites K DWT AU DA 2
Mata Kiri Advance POAG Mata Kiri Trabekulektomi + Phaco + IOL KH MR √ YW,UM 3
Mata kiri subluksasi IOL Mata kiri reposisi IOL / IOL Exchange AK S : MK 3
Mata Kanan Trabekulektomi + Phaco +
Mata Kanan Kiri POAG + KSI KH MR √ 3
IOL
Mata kanan SO Filled Eye + Glaukoma
Mata kanan Parasintesis SO S AL √ 3
Sekunder
Radikal Vulvektomi + Bilat
Carsinoma Vulva KH,B MZ √ TW,DW,ID TW DW 4
Limphadenectomi Ing
Tonsilitis Kronik Hipertropi ATE dg Endoscopy B FAR √ S : DY DW TW 4
NOS + Asites Surgical Staging + Tampon Abdodoment KH EN √ TW DY 4
Anastomose Ureter KH MAS
Cholelithiasis Laparoscopy Cholesistectomy KH JS √ TD,YN 5
Fistula Recto Vagina Sigmoidostomi B ERI √ S : RK,PL 5
Adeno Ca Gaster Laparatomi Gastrotomi Feeding B ERI √ PR RK 5
Ca Papiler Mamae Dx MRM Dx KH BIS √ AZ,MF MF AZ 6
Ca Tiroid Total Tiroidektomi KH UUD √ S : DM AR SE 6
Wide Eksisi + Ground Diseksi + B,KH,

Metastasis SCC Well Diff UUD √ AZ MF 6
Rekontruksi KH
ES,RG,
In Growing Toe Nail Pedis sin Rozor's Plasty K ETH √ ES RG 7
ANM
Negleted Fr Zygoma Dx Rekonstruksi Tulang Wajah Kompleks KH ETH √ S : RI ANM RG,ES 7
RG, ES,
Malformasi Vaskuler Palpebra Eksisi + Rekonstruksi Palpebra Inferior Sin KH PJ √ 7
ES ANM
Ostemolitis Reg Cruris Fixasi External + Removal Implant S,B DID √ RI 7
Debridment B PJ √
Mata Kanan Kiri Katarak Kongenital + Mata Kanan Ekstraksi Lensa + PPC + Vx
KH LN √ HR NK 8
Nistagmus Ant + PI
Mata Kiri Ekstraksi Lensa + IOL + Vx Ant

Mata Kanan Kiri Subluksasi Lensa KH LN √ NK,HR NK HR 8
+ Iris Clau
Mata Kanan Kiri Afakia + Susp Distrofi
Mata Kanan Vx Anterior + Impant IOL + PI KH LN √ S : TU NK HR 8
Retina + Nistagmus
Mata Kanan Pseudofakia, Mata Kiri Mata Kiri Ekstraksi Lensa + Vx Ant + IOL
KH LN √ NK HR 8
Subluksasi ec Marfan + Iris Claw
Mata kanan Abses Ductus Lacrimalis Mata kanan Insisi Abses Ductus AK 8
Mata Kiri Ablatio Retina + SO Filled Eye +

Mata Kiri SB + Vitrectomi + SO + EL KH AL √ TU MK 8
Mata kanan kiri glaukoma juvenile
Mata kanan trabekulektom B MR √
Mata Kanan Retinopathy of Prematurity St

Mata Kanan Kiri Injeksi Anti VEGF
III, Mata Kiri Retinopathy of Prematurity St S AW √ 8
Intravitreal
IV
LW,VQ 9
S : SF 9
ACDF (Anterior Corpectomi Decompresi + KH,KH,

Canal Stenosis Cervical 5-6 APR √ PR,AP AP PR 10
Disektomi + Intenal Fiksasi Fusi) KH
Fr Tibia Dx ORIF Tibia KH DID √ S : RE,DJ 10
OA Genu Dx TKR Dx KH BIN √ PS WI 10
Fr. Femur 1/3 Prox ttp NK, Fr Metacarpal ORIF Femur Sin + ORIF Fr Metatarsal
KH,KH BIN √ 10
Dextra Manus Sin
Reposisi Fr Septum (Closed Reduction

Nasal Fr) + Evakuasi Hematosinus (NAW S,K WY √
- Nasoantral Window/Antrostomi)
Repair Katup Tricuspid + Excisi LA EN,MA,NI

LA Myxoma BJ.09 WW √ MA NI JTG
Myxoma BP,SS,AS
S : AH,BD JTG
Laparoscopy Kistektomi + Reseksi KH,KH,
Kista Ovarii Bilateral + Adenomiosis TF √ NP,ER,TR NP ER,TR GR 1
Adenomiosis + Adhesiolisis KH
Oooforectomi Parsial Bilat + Adhesiolisis +
NOK c/ Ganas KH,S TF √ TR ER,NP GR 1
FS
Mioma + Kista Endometriosis TAH + SOD + Adhesiolisis KH,B,S TF √ ER TR GR 1
Kista Endometriosis Bilateral Laparatomi Kistektomi B HR √ AL,SE DM AL GR 2
Laparatomi Debulking Massa Tumor

NOK dg Bag. Padat c/ Ganas KH ER √ S : WD,AG AL DM GR 2
Abdoment
Laparatomi Adhesiolisis kompleks KH ERI √
Prolaps Tunggul Cervix Gr IV Sistokel + Sakrospinosus Fixation + Kolporafi
KH,KH ER √ AG WD GR 2
Rectokel Antrerior
HNP L4-5 Neuroplasty + Rhizoromi KH,KH TRI A √ MY MY ST GR 3
AT,
Ca Papilary Thyroid Total Tiroidektomi KH YAN √ AT,PS MY GR 4
RE
Tumor Kulit c/ Ganas Wide Eksisi + FS B YAN √ RE MY,AT GR 4
Rekontruksi Flap B RZ √
RR GRD : ST SORE PROGRAM : AH,SF,AY,AU,RE,TU,SC,RI,EM,DA,RK,MK,AG,BR,BD,WD,PL,DJ,RM,PM,DY,DM,JF ALAT : PUR,CA (S :EM )

Corpal Reg Thorax Kiri Thoracotomi + Ekstraksi Corpal KH,B WW √ BD JT
CKS Post Craniotomi Cranioplasty KH AJ √ LW 9
wound Dechiscen Debridment + Hecting B HY √ AU SF, 9
Ureterolithiasis Distal Obs URS Bilat + DJ Stent Sin KH,B MAS √ AO HA,RA DS 1
Dislokasi Genu Pasang Gips K BIN √ HA AU,RA DS 2
GPA SCTP B TF √ Gatot MY ST GR 1
CKD St V on HD Double Lumen Long Term + C-Arm K AS √ IS SC
CKD Double Lumen K √ IS SC

AS
Abses Colli Explorasi Insisi + Drainase Abses B AYU √ ER SU CITO
Efusi Pleura Sin Pasang WSD Sin S WW √ AM RE,DN CITO
Abses mandibula Dex Incisi Abcess dg Penyulit + Odontectomi KH,B RP √ HE DN CITO
Hidrocephalus VP Shunt KH HY √ CITO
CKD Pasang Double Lumen K WW √ JF RM,AY CITO
Dress dd/ SJJ Pasang CVC KH SF √ RM AY CITO
SDH Bore Hole D + S KH AJ √ RM AY CITO
MAR Letak Tinggi Colostomi B PTY √ PL AY,RM CITO
Abses Manus Sin Debridment + Amputasi Below Knee Sin S,KH AS √ DA RM,AY CITO
Hernia Scrot Herniorhapy B PB √ AD WU CITO
Hernia Scrot Bilat Bilat Herniotomi B PTY √ WU SA CITO
Efusi Pleura Sin Pasang WSD Sin S WW √ ER SU CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SR,PM,US,
PLH : YW,UM CT
VQ,TM
ALAT : EM,AL ANEST : HE, ER 1
MEJA OP : JF,MY 1
Laminektomi Debridement + internal
Fr Kompresi Vth 11-12 KH,KH APR √ PR,WI,YS WI PR,YS 2
Fiksasi Fusi
Post ORIF Radius Ulna ec Fraktur Lepas Plate Screw Radius Ulna B APR √ PR WI,YS 2
Wound Dehisense Rehecting S UUD √ YS WI 2

Ganglionektomi + Sympatectomy
Neuralgya Myelopathi KH TRI A √ IS HA,SR 3
(Neurplasty)
HNP Neuroplasty KH TRI A √ IS HA 3
Neuralgia Trigeminal Cephalgia Kronik Ganglionektomi + Sympatectomy B,KH TRI A √ MK DM 3
TW,DN,ID 4
NOK SOS + Adhesiolisis berat + FS, B,KH MZ √ TW DN,ID 4
Ikterus Obstruktif e.c Tumor Caput Laparatomi Tripple ByPass-Biliodigestif

KH,KH PB √ TD,IM,YN IS TW,YN 5
Pankreas Shuting + Biopsi Hepar
Tumor Maxilla Dx Parsial Maxillectomy Dx KH YAN √ AZ,AG,RE RG AZ 6
Ca Mamae Wide Eksisi + Diseksi Axilla B,KH UUD √ AZ RE 6
Mata Kanan Silikon filled eye + katarak Mata Kanan Evakuasi Silikon+
KH,KH AL √ HR,HA,TR TR HR 8
komplikata Phacoemulsifikasi + IOL
LW,RG,PS 9
POS MPFC Sin Removal Implant B BIN √ AP,DY,RA AP DY,RA 10
STT Pedis Dx Wide Eksisi Tumor B BIN √ DY AP,RA 10
Rekonstruksi Pasca Keganasan KH NJT √
HR,
Multiple Fraktur ORIF Fr Prox Femur D KH BIN √ TR,AY 10
PS
EN,MA, EN,
CAD 3VD CABG High Rish BJ.11 SF √ VT JTG
VT,SS,AS MA
GRAM :RK,AH,AU,AM,AY,BR,DM,IS,MK,SF,WD,PL,RM ALAT : PUR,CA
Fr Panfacial Rekontruksi Fr Tulang wajah Kompleks KH RZ √ ET UM 7
Craniotomi dasar Tengkorak KH DP √ 9
G3P2a0, Hml 40mg, SCTP B PS √ Adhie CITO
Obs Dyspheu Jackson I & II Trakeostomi S AYU √ NH SU CITO
Hidrocephalus Pemasangan VP Shunt KH HY √ CITO
VP Shunt Expose Lepas VP Shunt K HY √ TM US CITO
BR,
ICH Kraniotomi Dekompresi KH HY √ MK,PS CITO
MK
Laparatomi Explorasi Multiple Adhesiolisis
Hernia Umbikalis Kompleks + Reseksi Anastomose Colon KH,KH PTY √ PL AM CITO
End to End
IDC gr II MS TxN3M1 (Tulang Pleura) std Pasang Pigtail Sin S WW √ DA HI CITO

IV + Efusi Pleura Sin
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NOS + Asites Post Surgical Staging +

Aff Abdoment Packing KH EN √ YN RE CITO
Tampon Abdoemnt
YN,RE,
G3P2A0, Bekas SC 2x, Miopi berat SCTP + MOW B ER √ Arsita SR CITO
RI
Meningioma Konveksitas Kraniotomi Tumor Konveksitas KH ER √ PS DW,VT 9
Trauma Tumpul Abdoment Laparatomi Explorasi Drainase KH PB AM RM CITO
Burst Abdoment Abdominoplasty KH PTY √ ER RM CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
II,AD,BD,
DM,DB SC
YR,PL,RI
Angiofibroma Juvenil Nasofaring Ekstirpasi Massa Angiofibroma KH DAT √ PM NI
Hidrocephalus VP Shunt KH GK √ PL 9
Hidrocephalus VP Shunt KH GK √ PL 9
SOL cerebelum Craniotomi KH DP √ 9
Ca Vaginal Melena Pasang CVC KH TA √ BR NI,DA CITO

Efus Pleura Pemasangan Pigtail / WSD S THOM √ CITO
G1P0A0, fatal distres SCTP dg penyu;it B OP √ Adhie DM PS CITO
G2P1A0, Hml 34mg,

SCTP + IUD B PS √ Adhie AM RK CITO
Meningiomaenchepalocele
Laparatomi Shunting
Atresia Duodenum Doudenoduodenostomi (Diamond Slape) + KH,KH PTY √ DM PS CITO
Gastrostomi Decompression)
Post Partum MOW S PS √ TR HR CITO
Susp Laringomalisia Traceostomi + Laringoskopi Direks S,S DAT √ HR TR CITO

CKD Pasang Double Lumen K ALI √ PS EA CITO
CKD Pasang Double Lumen K ALI √ PS EA CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
SL,HE,IM,D
GI,NO, CT
J ,TM
AG
Post Pemasangan DJ Stent Dextra Aff DJ Stent ADS II,AO,ANM 1
Hidroureter URS + PNS KH,KH MAS √ S : AU,EV AO II,ANM 1
KH,KH,
Nefrolithiasis Dextra PCN Dextra + URS + DJ Stent MAS √ AO II,ANM 1
B
OMSK Telinga Kiri Mastoidektomi Simple + Thympanoplasty B,KH AYU √ AI,YN,RA 2
Flap Delto Pectoralis + Laringectomi

Fistel Esofagocutan KH,B WY √ S : DY AU EV 2
Repair
OMSK Kanan dg Kolesteatom dg Fistel AI,

ME Radikal Kanan KH AYU √ RA 2
Retroauricula YN
Mata Kanan Kiri KSI Mata Kanan Phaco + IOL AK YW,TU 3

Mata Kanan KSI, Mata Kiri Afakia Mata Kiri Secondary Implant WIS 3
Mata Kanan Secondary Implant + Vx
Mata Kanan Afakia WIS 3
Anterior
Mata Kanan Kiri Katarak Diabetika Mata Kiri Phaco + IOL RF 3
Mata Kiri Miss Calculation IOL Mata Kiri IOL Exchange RF S : MK 3
Mata Kanan Steroid Induced Glaukoma Mata Kanan Retrabekulektomi MR 3
Mata Kanan Pterigium Mata Kanan Eksisi Pterigium WIN 3

Ca Cervix Uteri St 2A KH,B MZ √ TW,DW TW TK 4
Pelvis Bilat
Varises Reg Cruris Bilateral Stripping Vena + Varisectomi KH ALI √ S : SE,ST TK TW 4
Choledocolithiasis Laparoscopy Explorasi CBD + Bypass KH ERI √ TD,MF,ID MF TD 5
Appendicitis Infiltrat Apendiktomi Open KH RR √ S : MW MW 5
Ca Mamae Residif Wide Eksisi B BIS √ AZ,RE RE AZ 6
RI,
SNNT c/ Ganas Sub Total Tyroidectomi + FS KH UUD √ S : PS 6
RG
SNNT C/ Ganas T3N1bM0 Tracheostomy S UUD √ 6
Ulkus Granulosum Stump Femur Sin Wound Debridment Luas KH NJT √ ET,UM UM ET 7
Fr Tulang Wajah Rekonstruksi Fr Tulang Wajah Kompleks √ S : TR 7

KH RZ
Avulsi Dorsum Pedis Dx, Nekrosis Dig II-III Debridement + Amputasi Jari S,B RZ √ TR 7

Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AW √ NK,DI DW NK 8
Komplikata
Mata Kanan RRD + VH + Glaukoma

Mata Kanan Phacoemuksifikasi Diaknostik KH AW √ S : HA NK DW 8
Neovascular
Mata Kanan PDR + TRD Mata Kanan Vitrektomi + EL + PL KH AW √ DW NK 8
LW,SF,DN 9
S : AN,VQ 9
Paraplegia Inferior e.c Fr. Kompresi IX - X, Laminektomi Dekompresi + Internal
KH,KH APR √ PR,AP,RI PR AP,RI 10
Ulkus Dekubitus Fiksasi Fusi
Debridment B ETH √ S : RG
EN,MA,WI, EN,
VSD SADC VSD Closure BJ.01 SF √ MA JTG
BP,SS,AS WI
PAD Extremitas Superior Bilateral Thoracotomi Symphatectomi Dex KH ALI √ S :BD,ER JTG
Mioma Uteri Histerektomi KH HR √ NP,VT,YS VT NP,YS GR 1
Total Vaginal Histerektomi + Kolporafi KH,KH,

Prolaps Uteri Gr 4 ER √ NP YS,VT GR 1
Anterior + Kolpoperineorafi KH
Massa Pelvis Residif, Riw Histerektomi Laparatomi Debulking KH EN √ AL,ES,DB ES AL,DB GR 2
Laparatomi Adhesiolisis kompleks KH ERI √
STT Femur Sin Insisi Biopsi S UUD √ GR 2
Tumor Parotis Parotidectomi + FS, B YAN √ AH,EA EA ER, GR 4
RR GRD : WU SORE PROGRAM :GI,NO,EV,AN,AU,AG,BD,DY,ER,HA,MY,PS,MW,MK,RG,SE,ST,TR,US,VQ ALAT : PUR,EM (S : CA )
Mata Kanan PDR + VH Non Clearing, Mata Mata Kanan Vitrektomi + EL + PI + Gas
KH AL √ NK DW 8
Kiri PDR SF6
SF,
SOL C/ Glioma Craniotomi Mikro Ds Tengkorak KH DP √ LW 9
DN
Meningioma Olfactory Craniotomi Mikro Ds Tengkorak KH ZM √ AN VQ 9
Fiksasi Intenal Kranial B AJ √

Pasang CVC KH BI √
Limfadenopati Colli Dextra / Limpoma

Limfadenectomy Biopsi S PTY √ 5
Maligna
STT Regio Punggung d.d

Insisi Biopsi S PTY √ MW MK 5
Rhabdomyosarcoma
Ca Mamae Sinistra MRM sin KH DWT √ 8
Ulkus Granulosum Luas Pasca Combustio Debridement B PJ √ AF MK 7
Ulkus Dekubitus Debridement + incisi Drainase B,S PJ √ 7
Mastoidektomi Simple + Thympanoplasty

Mastoiditis B,KH ZUL √ DY,IS TR,HR
Type IV
Fistel Post ASD Closure Thorakostomi Aff Wire Sternum S ALI √
CKD Pasang DL K WW √ MY NO DS 1
NKT Cell Limfoma Nasal Traceostomi S DAT √ AM NI,BR CITO
G1P0A0 SCTP B HR √ Adhie CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : ST, SL,HE,
CT
AG,RE DJ ,TM
EV,AO,
Post Pasang DJ Stent Dx Aff DJ Stent Dx S ADS √ AO EV 1
ANM
EV,
Ca Cervix Uteri St IIIB + Hidronefrosis Pasang DJ Stent Sin B ADS √ AO 1
ANM
Pyelolithiasis Dx Extended Pyelolitotomi Dx KH WAN √ S : AU ANM EV 1
Thoracotomy Explorasi Dekortikasi +

Massa Paru Sin, Pnemothorax Sin c/ TB KH ALI √ 1
Biopsi
Massa Laring LD + Ekstirpasi Massa k/p Tracheostomi FAR 2
Megacolon Kongenital Short Segmen Trans Anal Pull Thrugh (TAPT) KH EDW √ AI,YN,RA AI YN,RA 2
Teratoma dg Wound Dehisence Rehecting + Debridement S RR √ S : DY 2
Fr. Tibia 1/3 Tgh tbk Gr II, Fibula ORIF DID 2

Mata Kiri Loose Suture Mata Kiri Aff Hecting FET YW,TU 3
Mata Kanan Katarak Senilis Imatur Mata Kanan Phaco + IOL AK 3
Mata Kanan Granuloma Post Rekanalisasi Mata Kanan Eksisi Granuloma INA S : MK 3
Mata Kiri Katarak Senilis Imatur Mata Kiri phaco + IOL WIS 3
Mata Kanan Iris Clip ( Sekunder Implant )
Mata Kanan Afakia WIS 3
Artisan
Efusi Pleura Pasang Pigtail S FTR √ MK 3
Mioma Uteri TAH + BSO KH,KH MZ √ TW,II TW II,BY 4
Ekstirpasi Granulasi /Massa CAE Sin

Granulasi CAE Sinistra KH AYU √ S : SE,ER II TW, BY 4
(Timpanoplasty)
OMSK Kiri Mastoidektomi Simple B AYU √ 4
Laparatomi Reverse Colostomy + Reseksi

Post Colostomy KH,KH JS √ TD,MF,ID MF TW 5
anastomose End to End Sigmoid
Tumor Intra Abdomen + Hidronefrosis

Laparatomi Explorasi Reseksi Tumor KH JS √ S : MW TW MF,ID 5
Dextra
Urethrosystoscopy KH ADS √ AO
Ikterus Obstruksi e.c Hepatico Lithiasis Laparotomi Explorasi + Excisi KH JS √ MW 5

Adenoid Rectosigmoid Trasvestostomi + Adhesiolisis Kompleks B,KH JS √ MW MY 5
Ca Mamae MRM Dex KH BIS √ AZ,TK AZ,TK 6
STT Punggung c/ Jinak Wide Eksisi + FS ganas Wide Eksisi B BIS S : PS TK AZ 6
Tu Mamae Sinistra Excisi Biopsi + FS, Ganas - MRM B,KH DWT √ PS ST 6
Noduler Fasciitis Mamae Sinistra Wide Eksisi + FS B DWT √ 6
STT Reg Thorax + Femur Insisi Biopsi S DWT √ PS ST 6
Ulkus Dekubitus Gr III-IV Debridement + Rekonstruksi Flap KH NJT √ TA,ET ET TA,IM 7
Ulkus Dekubitus Reg Sacrum Gr III Debridement + STSG KH NJT √ IM TA,ET 7
AN,
Malformasi Vaskuler Genu Eksisi + Rekontruksi KH RZ √ S : AN ET,IM 7
TA
Fr Segmental Mandibula Rekontruksi Fr Tulang Wajah Kompleks K PJ √ AN SE 7
Mata Kanan Katarak Kongenital + Mata Kanan Ekstraksi Lensa + Vitrectomi

KH LN √ NK,UM,DI UM DI,NK 8
Strabismus + Nistagmus Anterior + IOL Sklera Fiksasi
Mata Kanan RRD, Mata Kanan Kiri Miopia
Mata Kanan Vitrectomi + EL + SO KH AL √ S : HA NK DI,UM 8
Degeneratif
Mata Kiri SO Filled Eye + Glaukoma

Mata Kiri Evakuasi SO + Sekunder Implant KH,KH AL √ DI UM,NK 8
Sekunder + Pseudofakia
Mata Kiri Dacryostenosis + SD Mata Kiri Endoscopy DCR KH INA √ DI NK,UM 8

FESS KH RH √
Soft Tissue Tumor Wide Eksisi B DWT √ HA 8
CPA Tumor Craniotomi Dasar Tengkorak KH MTA √ LW,SF,DN 9
SOL Clinoid Craniotomi KH AJ √ S : SA,VQ 9

Pasang CVC KH SF √
Post FSE Reg Cruris Sin + Ostemilitis Revisi FSE + Debridement B,KH APR √ PR,AP,RI AP PR 10
Charcott Joint Sin Arthrodesis Ankle B APR √ S : RG PR SI 10
Fr Segmental Mandibula ORIF Mandibula + ORIF Femur PJ + APR 10
OA Genu Dx TKR Dx KH DID √ 10
EN,MA,VT EN,
CAD 3 VD CABG High Rish BJ.11 SF √ VT JTG
BP,SS,AS MA
S
PDA Ligasi PDA BJ.05 WW √ BD WI JTG
:BD,WI,IM
Mata Kiri Proptosis ec Fibrous Displasia Mata Kiri Orbitotomi Lateral Biopsi + PA KH AK √ NP,DW,YS GR 1
Mata Kanan Debridement Orbita + Excisi

Mata Kanan Abses Periorbita S,S AK √ GR 1
Massa Cavum Orbita
Insisi drainage Abses B DV √
Impaksi Odontektomi 2 Rahang KH OEN √ GR 1

Mioma Uteri + Riwayat Laparatomi TAH + Salpingoooforectomi Kiri + kanan KH,B,B EN √ AL,ES,DB ES DB,AL GR 2
Tonsilitis ATE B DAT √ DM IS GR 2
Massa Infra Clavicula Insisi Biopsi S YAN √ AH,EA EA AH GR 4
Near Total Lobektomi + FS, ganas Total

SMNT c/ Ganas T3NoMo KH,KH UUD √ GR 4
Tiroidektomi
IDC Gr II MS TxMxNo Wide Eksisi + Diseksi Axilla B,KH UUD √ GR 4
RR GRD : WU SORE PROGRAM :GI,NO,EV,AN,AU,AG,BD,DY,ER,HA,MY,PS,MW,MK,RG,SE,ST,TR,US,VQ ALAT : PUR,EM (S : CA )
Nodul Plika Vokalis Obs Hoarness LD + Ekstirpasi Massa S,S DAT √ AL ES,DB GR 2
SNNT Isthmolobektomi + FS, Ganas - TT KH,KH DWT √ DY 6
Tu Mamae Sinistra Wide Eksisi B DWT √ DY 6
CKD St V Pasang DL Longterm + C-Arm K ALI √ DS 3

CKD St V Pasang DL Longterm + C-Arm K AS √ SA SC
CKD St V Pasang DL Longterm + C-Arm K AS √ SA SC
ANM,
LNH Orofaring Traceostomi S DAT √ BR CITO
NI
MAR Letak Tinggi Tanpa Fistula Colostomi B EDW √ NO HE, CITO
ICH Frontal kiri Kraniotomi Tumor Konveksitas KH HY √ TM HI,SL, CITO
Phemosis Sirkumsisi S PTY √ DJ HE, CITO
CHF Pasang CVC KH HR CITO
G1P0A0, Hml 38mg, Partu Tak maju SCTP + IUD √ Adhie AG CITO
B HR
WSD Thoracal S WW √ AG RE CITO
Hidropneumothorax kiri WSD Thoracal S WW √ AG RE CITO
Efusi Pleura Sin WSD Thoracal S WW √ AG RE CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH, SL,HE,
ST,AG, CT
DJ ,TM
RE
Transuretheal Removal Of Obstruction

EV,AO, EV,
Ureterolithiasis Distal Dx + HN From Ureter + Ultrasonic Fregmentation KH,B ADS √ AO 1
ANM ANM
Of Stone + DJ Stent
EV,
Adeno Ca Cervix St. III b Susp Metas VU Sistoskopi S ADS √ AO 1
ANM
Nefrolithiasis Dx Nefrolitotomi Dx KH ADS √ S : ES,AU ANM EV,AO 1

LD + Extirpasi Massa Tumor +
Massa Laring S,S,S FAR √ AI,YN,RA 2
Tracheostomi
Abdominal Pain Laparascopy Diagnostik + adhesiolisis PTY S : YS 2
Pansinusitis + Epistaksis + Konka Hipertrofi FESS III + Konka Reduksi KH,S RH √ 2
Mata Kanan Kiri Pseudofakia + Mata Kiri

Mata Kiri Buka Jahitan WIS YW,TU 3
Astigmatisma
Mata Kanan Katarak Komplikata + Retinal
Mata Kanan Phacoemulsifikasi + IOL WIS 3
Detachment
Mata Kanan Kiri Proptosis e.c Graves Mata Kiri Injeksi TCA Peribulbar +
TL 3
Ophtalmopathy Submuller
Mata Kanan Kiri Glaukoma Sekunder + KSI
Mata Kanan Trabekulektomi B FI √ S : MK 3
+ PDR
Mata Kanan Phacoemulsifikasi + IOL KH AW √
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Kiri Phacoemulsifikasi + IOL KH,KH FET √ 3
KH,KH,
NOK dg Bagian Padat c/ Ganas TAH + BSO + Omentectomi + FS OP √ TW,II TW II 4
S
Mioma Uteri TAH + Adhesiolisis KH,B INU √ S : ER II TW 4
Suboptimal Debulking ( Parsial SOD +

NOK dg Bagian Padat c/ Ganas KH,B,B INU √ MW DB 4
Parsial SOS + Adhesiolisis Luas) + FS
Ruptur V. Mesenterika Neovaskularisasi Laparatomi Repair Anastomose Colon +

KH,B ERI √ TD,UM,ID UM TD,ID 5
Colon Post Laparotomi + Leakage Stoma Kolostomi
Fr Mandibula Dx Rekontruksi Plate Screw + KH DV √ S : MW TA ET 5

Reposisi Fiksasi IDW + IMW S RZ √
Tumor Mamae Insisi Biopsi + FS ganas - MRM S,KH BIS √ AZ,TK TK AZ 6
IDC Mamame Sin MRM KH UUD √ S : MY,DB AZ TK 6
Tumor Lidah c/ Ganas T2NoMo Eksisi + FS ganas Hemiglosektomi UUD 6
Ulkus Granulosum Lumbosacral Debridement + STSG luas KH NJT √ TA,ET ET TA 7
Fr. Tibia 1/3 Tgh tbk Gr II, Fibula ORIF DID 7
Mastoiditis TB Rekuren Dg Granulasi Kuret Granulasi + Tympanoplasty ZUL S : MF 7
Mata Kanan Katarak Juvenile + Eksotropia Mata Kanan Ekstraksi Lensa + Vitrektomi
KH LN √ NK,DI DI NK 8
sensorik + Suspek Ablatio Retina Anterior + PI
Mata Kiri Ekstraksi Lensa + Insersi IOL +

Mata Kiri Katarak Kongenital KH LN √ S : DY NK DI 8
PI + Vitrektomi Anterior
Mata Kanan Vitrektomi + Endolaser + Gas

Mata Kanan Ablatio Retina KH AL √ NK DI 8
C3F8
Mata Kiri Dacryocystocele Mata Kiri Endo DCR KH INA √ DI NK 8
FESS I KH RH √
Meningioma Craniotomi Tumor Konveksitas KH ER √ LW,SF,DN DN LW 9
Meningioma Craniotomi KH ER √ MF YS 9
Epilepsi Lobus Temporal Craniotomi Epilepsi KH MTA √ S : SA,VQ LW SF,DN 9

Paraparese Inferior ec fr Vth II + TMS C/
Laminektomi Dekompresi KH DID √ PR,AP,RI RI 10
Ganas
Insisi Biopsi + PA S UUD √
Primary Bone Tumor Femur Dex +

Biopsi Tumor + Limfadenektomi + Gips S,S,K APR S : AN RA PR 10
Limfadenopati
Fr Femur Dx 1/3 Tengah Ttp Nk ORIF KH BIN √ AP RI 10
ORIF Fr Phalang Medis Dig III manus Dex

Fr Phalang Medial Sin Tbk Gr II KH,S BIN √ AN ER DS
+ Repair Tendo Flexor Extensor
EN,MA,VT EN,
MS Severe, TR Moderate MVRepair + TVRepair BJ.08 SF √ VT JTG
BP,SS,AS MA
Adenomiosis + Kista Ovarii TAH + BSO KH,KH TF √ NP,DW,DA DW NP,DA GR 1
Kista Endometriosis Laparoscopy TF GR 1

Prolaps Tunggul Vagina + Sistokel + Sakrospinosus Fixation + Kolporafi
KH,KH ER √ S :BD,WI NP DW GR 1
Rectocel Anterior
Adnexitis Dupleks + NOK Laparoscopy Miomektomi KH HR √ AL,BY GR 2
NOK Surgical Staging + FS KH EN √ AU AL GR 2
TMS c/ Ganas T4bN0M0 c/ Sarcoma Radikal Mastectomi KH YAN √ NO,EA EA NO GR 4
Rekontruksi STSG KH RZ √
Prostatectomi + Diseksi kelenjar getah KH,S,
Ca Prostat MAS √ GR 4
Bening Inguinal + Orchidectomi KH
RR GRD : WU SORE PROGRAM : ST,AN,AU,AG,RE,BD,DB,DY,ER,ES,MY,JF,WI,MW,MK,YS,SA,ST,US,MF,VQ,CA ALAT : PUR,EM (S : CA )
Dispnea Jackson I - II e.c Papiloma Laring LD + Ekstirpasi Massa S,S DAT √ DB MW,IS 5
Reposisi Tertutup + Gips S APR √ AP RI 10
CKD Pasang DL Long Term K AS √ SA MK DS

CKD On HD Pasang DL AS
CKD Pasang DL K WW √ SL NH,DJ CITO
EDH Craniotomi EDH KH AJ √ TM NK,SL CITO
G3P2A0, Hml 37mg, HIV+ SCTP + MOW B IN √ DJ NK CITO
GPA SCTP + MOW dg penyulit KH OP √ Adhie DJ HE CITO
Intracerebral Hemorage Ganglion Basal

Cranitomi Evakuasi ICH KH AJ √ CITO
Dex
G P A , Gemeli Caesaria Histerektomi B,KH DC √ Adhie ANM EV,AO CITO
Efusi Pleura Pasang WSD S ALI √ AG CITO
Peritonitis Laparatomi Eksplorasi Ometal Patch KH JS √ RE JF CITO
ICH R/ Temporal Sin Kraniotomi KH AJ √ AG MF,VQ CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH, SL,HE,
II,AG,R CT
DJ ,TM
E
Eksplorasi CBD + Cholesistektomi + By EV,AO,

Hepatolithiasis + Choledocolithiasis KH,KH JS √ ANM AO,EV 1
Pass Choledocoduodenostomi ANM
AO,
Impaksi Odontektomi 4 gigi dg penyulit KH DV √ S : ES EV 1
ANM
Ulkus Pedis, DM Amputasi Cruris Distal + Embolektomi KH,KH WW √ ES AN 1
Ulkus DM Pedis Sin Debridement ALI 1
Mata Kiri Tumor Cantus Medial Mata Kiri Eksisi Massa Canthus Medial B AK √ AI,YN,RA 2
Mata Kiri Rekontruksi Canthus Medial dg

KH INA √
Fullthicknes Skin graft
Konka Hipertrofi + Septum Deviasi FESS + Turbektomi (Konkotomi) KH,S ANNA √ S : MW MW ES 2
Konka Hipertrofi + Septum Deviasi + RSK FESS III + SR + Konkoplasty KH,B,S RH √ DN AI,RA 2
Ulkus DM Pedis Sin Amputasi Below Knee + Embolektomi B,KH ALI √ AN ES 2
Mata Kanan Katarak Mata Kanan Phaco + IOL KH AK √ YW,TU 3

Mata Kanan Kiri POAG + KSI Mata Kanan Phaco + IOL MR S : MK 3
Mata Kanan Pseudofakia Mata Kanan Buka Jahitan WIS 3
Mata Kanan Blok Pupil + Glaukoma
Mata Kanan Sinekiektomi + PPC WIS 3
Sekunder
Mata Kiri PACG + KSI Mata Kiri Triple Procedure FI 3
KH,S,K
Ca Endometrium TAH + Omentectomi + Adhesiolisis luas MZ √ TW,UM 4
H
Aterm Inkomplit + Tumor Hepar Kuretase K JD √ S : ER UM TW 4
Ca Endometrium St II Surgical Staging KH EN √ TW UM 4
Ulkus DM Pedis Dextra + CKD Debridement + Pasang DL B,K ALI √ ER US 4
Cholelithiasis Laparoscopy Cholesistectomy KH JS √ TD,RK,ID II TD 5
Laparoscopy Eksplorasi + CBD k/p Open

Ikterus Obstrutif MG S : YS 5
By Pass
Tumor Intra Abdomen Laparatomi Eksplorasi + Biopsi KH PB √ TD II 5
Ikterus Intermita ec Hepaticolithiasis + Eksplorasi CBD + By Pass

KH ERI √ TD II 5
Cholelithiasis Choledocoduodenustomi
Isthmolobektomi Dex + FS, ganas -Total

SNNT c. Ganas KH,KH BIS √ AZ,DA DA AZ 6
Tiroidektomi
Wide Eksisi + Rekontruksi FS tepi Bebas

SCC Inguinal Sin + Scrotal B,KH BIS √ S : MY,DB 6
Tumor
Ca Thyroid Total Tiroidektomi KH DWT √ DB US 6
YS,
Ca Mamae MRM KH DWT √ US,ER 6
RG
Pan Facial + Multiple Fraktur Rekonstruksi Fr.Tlg Wajah Kompleks KH NJT √ TA,ET ET TA 7
ORIF Fmur Dex + ORIF Tibia Dex + ORIF KH,KH,
DID √
Clavicula Dex KH
Ulkus Dekubitus Gr III-IV Sacrum Excisi + Rekonstruksi KH ETH √ MF MY 7
Skin Loss, Skin Avulsi Manus Dx, Fr

Metacarpal II Manus Dx Oblique Disp Gr III Debridement B ETH √ S : MF MF MY 7
B
Ulkus Granulosum Antebrachii Dx Rekontruksi Digiti Ulna (Tenso Tranfer) KH DID √ ER VQ 7
STSG Luas + Debridment KH PJ √ SE RG
Mata Kanan Secondary Implant +

Mata Kanan Kiri Afakia KH,S LN √ NK,DI DI NK 8
Vitrectomi Anterior + PI
Mata Kanan Ablatio Retina + Desentrasi Mata Kanan Vitrectomi + EL + SO +

KH AL √ S : DY DI NK 8
IOL Evakuasi IOL
Mata Kanan SO Filled Eye + Katarak Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ DI NK 8
Mata Kiri Melanoma Maligna dd Kissing Mata Kiri Eksisi Tumor Palpebra Superior
B AK √ DI NK 8
Nevus dan Inferior
Mata Kiri Rekontruksi Palpebra dg

KH INA √
Fullthicknes Skin graft
LW,SF,DN 9
S : AN,VQ 9
Pasca PSSW Lepas PSSW (Laminektomi Sederhana) KH APR √ PR,AP,RI AP PR,RI 10
Fr. Tibia + Fr. Corpus mandibula Dx Rekontruksi Hidung KH ETH √ PR RI 10
ORIF Tibia Dex KH DID √
Fr Fibula Sin 1/3 Distal Kominutif Ttp Nk ORIF Fr Fibula Sin KH BIN √ S : BD,HI 10
OA Genu TKR D KH BIN √ HA EW 10
EN,MA,VT EN,
VSD VSD Closure BJ.04 WW √ VY JTG
BP,SS,AS MA
Kista Endometriosis Laparoscopy Kistectomi KH TF √ NP,DW,TK TK DW GR 1

OSADA Procedure + Tes Potensial Tuba
Adenomiosis B INU √ S :WI WI NP GR 1
(Laparatomi Miomektomi)
Susp Keganasan Hematologi Pungsi Sumsum Tulang B MOED √ DW TK GR 1
Susp Keganasan Hematologi Pungsi Sumsum Tulang B MOED √ DW TK GR 1
Susp Keganasan Hematologi BMP B MOED √ GR 1
Prolaps Uteri Gr IV Sistokel + Rectokel TVH + KPR KH,KH ER √ AL,BY,SA BY SA,AL GR 2
Abdominal Pain Laparascopy Adhesiolisis Kompleks KH PTY √ WI AL,AT GR 2

Low Grade Sarcoma Gr I Femur Dx Wide Eksisi Kompartemen B YAN √ NO,EA EA NO GR 4
TMS C/ Ganas T4bN1M0 Insisi Biopsi + FS ganas - MRM KH UUD √ EA NO GR 4
RR GRD : WU SORE PROGRAM : ST,II,AN,AG,RE,BD,DB,DY,ER,ES,HI,MY,JF,WI,MW,MK,YS,SA,US,MF,VQ ALAT : PUR,EM (S : CA )
Nefrolithiasis Sistoskopi + Aff DJ Stent S,S MAS √ DS 1
Palatoschizis Palatoplasty KH NJT √ DY MY 7
Lesi Trans Vertebra Partial Laminektomi Kompleks + Excisi Tumor KH HY √ SF LW,DN 9
Fiksasi Internal dg PSRS + Fusi Posterior KH AJ √
FSK + Septum Deviasi Ligasi Arteri Spenupalatina KH ANA √ PS ST 2
CKD Pasang DL K ALI √ MK AN,ES 2
Miestem Gravis Pasang DL K ALI √ 2

CKD Pasang DL + C-Arm K AS √ IS 3
CKD Pasang DL + C-Arm K AS √ IS 3
Varises / Selulitis Eksisi Varises KH √ AU

AS
Union Fr Clavicula Tibia Remove Implant S BIN √ JF MW
G3P2A0, CHF NYHA II - III SCTP dg penyulit + MOW KH DC √ Arsita PS SR,SE CITO
G1P0A0, Hml 39mg, SCTP B DC √ Arsita TM NH CITO
CKD Pasang DL K ALI √ DJ SL CITO
Kraniotomi Trepanasi Konvesitas

ICH KH MTA √ VT SL,RA CITO
Hematoma
G1P0A0, Hml 32mg, Gemeli SCTP Gemeli B OP √ TM HE CITO
Wound Dehisence Repair Dinding Abdoment + Debridment S PB √ CITO
G2P1A0, Hml 38mg, HIV+ SCTP B BE √ Arsita RI MK CITO
Mata Kanan Ruptur Bulbi Spontan Mata Kanan Enukleasi bulbi + Biopsi + PA S INA √ CITO
Peritoneitis generlisata Peritonial Drainage S JS CITO

Cystostomi S WAN
Fr Impresi OS Parietal Sin Koreksi Fr Impresi Kompleks KH AJ √ CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S:
NH,SL,VT,
PERSIAPAN TRANSPLANT : EV,AI,RK,AK SETTING ALAT : LW,SF,AL,EN,NK,YW II,AG,R CT
TU,ID
E
BERSIH Meja OP : MA,SS PLH : AH,GN

ANEST : AS,BP,YR,HE NP,DJ,RA,RM,AY,YN,EM
Neuropathy Lumbal + HNP Percutanius Disectomy + Neuroplasty KH,KH TRI A √ BD,MK MK BD,ER 3
OMSK Atikotomi (Thympanoplasty) KH PW √ TW,UM,AM 4
Abses cerebri Prolaps Craniotomi dasar tengkorak KH MTA √ UM TW,AM 4
Ca Mamae MRM KH DH √ TD,AO,PL PL AO,TD 5
Pasca Sub Optimal Debulking + Packing Laparotomi Aff Packing KH INU √ DB TW 5
Ca Mamae Sin MRM Sin KH YAN √ AZ,VT,DA DA AZ 6
AZ,
Fr Dentoalveolar Maxilla Reposisi Terbuka Maxilla KH RP √ DA 6
MR
TA,ET,
Finger Tip Injury Rekontrukai jari Kanan + FTSG KH,B PJ √ ANM TA,ET 7
ANM
Ruptur Nevus Medianus Sin Debridement B PJ √ IS JF 7
Mata Kiri Ablatio Retina Mata Kiri Vitrectomi + EL + SO KH AL √ DI,DW,TM DI TM 8
Mata Kanan Retinal Detachment (Makula

Mata Kanan Vitrectomi + EL + Gas C3F8 KH AL √ DI TM 8
On)
Mata Kanan Macular Hole + Epiretinal Mata Kanan Vitrectomi + Membran

KH AL √ DI DY,YS 8
Membran + Pseudofakia Peeling + gas SF6
Meningioma Konveksitas Craniotomi Konveksitas KH DP √ WU,AF,DN EA BR 9
Scoliosis Thoracolumbal Koreksi Scoliosis + Instrumentasi Fusi KH,KH APR √ PR,WD,RI PR WD,RI 10
ROGRAM : NO,RE,BR,DB,DY,EA,HI,IS,II,MY,JF,WI,MW,YS,MF,VQ,BY ALAT : PUR,EM,CA (S : ES)
Efusi Pericardial Thoracotomi Perocardial Window KH ALI √ JT
US,RM,
Susp Keganasan Sumsung Tulang Tulang B MOEN √ AY
YR
Incisi Abses dg penyulit + odontectomi 2

Abses Manxila Sin KH,KH RZ √ RM
rahang
GPA SCTP + IUD B EN √ Adhie AU EW,SE CITO
Fr mandibula Reposisi Fiksasi IDW , IMW B DV √ ID TU CITO
Multiple Extraksi gigi B RZ √
Hidrocephalus Communican VP Shunt KH AJ √ RM VT CITO
Efusi Pluera kiri WSD Thoracal S ALI √ VT CITO
Peritonitis generalisata ec Perforasi

Laparatomi Apendictomi KH PB √ VT,MY YS CITO
Apendic
G2P2A0, Fatal Distres SCTP + IUD B INU Arsita WI RE CITO
EA,IS,
HNP Lumbal 4-5 Mikro Disektomi KH AJ √ BR CITO
MW
VT,RE,
G2P0A1, HIV+ SCTP B INU √ Arsita MY CITO
YS
G1P0A0, PEB SCTP B EN √ Adhie MF DY CITO
Craniotomi Evaluasi Hematoma

IVH KH MTA √ MW II CITO
Konvesitas
Apendicitis Perforasi Laparatomi Apendictomi KH RR √ PM AU CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AZ,NI,DA,I
CT
M,DI, VT
Ca Palatum Durum Maksilektomi Total KH DAT √ TA,WD,AM RE DA
Ca Laring T4N1Mx Laringektomi KH DAT √ RE DA
JF,MY,MF,VQ
Finger Tip Injury Rekontruksi jari KH NJT √ TA DI 7
meningioma Konvesitas Craniotomi Tumor dasar Tengkorak KH ER √ WD VT 9

Pasang CVP KH UB √
OA Genu Dex TKR Dex KH BIN √ JF MF 10
Peritonitis Generalisata Laparatomi Explorasi KH MM √ NI IM CITO
Laparatomi Adhesiolisis Kompleks

Peritonitis Generalisata KH,KH RR √ AU PM,AN CITO
Reseksi Ileum + Ileustomi
Mata Kanan Palpebra Inferior + Kanalis Mata kanan Rekontruksi Palpebra Inferior
S,S AK √ DI CITO
Lakrimalis + Rekanalisasi
G1P0A0, Hml 31mg, ASD II SCTP + IUD B SR √ Adhie IM NI CITO
Combustio Debridment Luka Bakar KH ETH √ TA AZ CITO
G2P1A0, hml 38mg, bekas SCTP SCTP + IUD B HR √ Tun Paksi AM MY CITO
Mata Kanan Vitreus Haemorrhage Susp

Mata Kanan Eksplorasi Bulbi S,S AK √ DI CITO
Ruptur Bulbi
SDH Kraniotomi KH AJ √ MY AM CITO
Mata kanan Ruptru kanalis kakrimalis Mata Kanan Heathing palpebra Inferior +
S,S AK √ DI DN CITO
Inferior Recanalisasi
MY,
Fr Kompresi OS Frontal Koreksi Impresi Fr Kompleks KH MTA √ BY CITO
ANM
Laparatomi Milking Invaginasi +
Invaginasi KH,KH RR √ AN PM CITO
Appendictomi
Fr Inpresi terbuka OS Pericardial Kiri Kraniotomi Fr Impresi KH MTA √ AG DY CITO

JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
10.00-12.30
GA VL √ 10.00
10.15-12.15
LA 09.00 09.30-09.45
LA 10.30
07.00-08.30
GA spin VL √ 07.00
07.15-08.15
GA SF √ 10.00 09.30-11.45
10.15-11.30
08.15-09.00
GA VL √ 08.00
08.30-09.30
09.15-11.00
GA VL √ 10.30
09.50-10.50
GA 08.00 UNTUK PROGRAM HARI SENIN
07.00-12.00
GA AI √ 07.00
08.00-11.45
13.15-15.15
GA VL √ 11.00
13.30-15.00
LA
LA
LA 09.10-09.20
LA
GA VL √
10.15-11.00
GA VL √
10.30-10.45
19.30-20.45
GA DN √
19.45-20.30
05.45-08.45
GA HN √
06.00-08.30
GA VL √ 08.00-14.45
08.45-14.30
GA VL √ 10.30-12.10
20.15-21.30
GA spin TA √
20.20-21.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
14.00-14.45
14.15-14.45
07.45-09.45
GA TA √ 09.30
08.30-09.30
10.00-13.15
GA TA √ 12.00
10.15-13.00
GA TA √ 09.00-13.00
10.45-12.45
11.30-14.00
GA TA √
12.00-13.45
18.30-20.45
GA HA √
18.45-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.30-09.30
GA HR 08.00
08.45-09.15
09.45-10.45
GA WA √ 09.00
10.00-10.30
GA 10.00
11.45-12.45
GA spin HR 11.00
12.00-12.30
13.15-14.30
GA HR 12.00
13.20-14.25
GA 07.00
SUDAH OPERASI HARI SENIN, 01 APRIL 2017
GA DN √ 11.00 07.50-08.00
09.00-10.00
GA HR 13.00
09.30-10.00
LA 09.00
LA 10.00
LA 13.00
07.15-11.45
GA epd WA √ 08.00
07.30-11.30
11.00-12.15
GA AI √ 11.00
11.15-12.00
12.45-13.50
GA HA √ 13.00
13.00-13.45
14.30-15.30
GA TA √ 15.00
14.45-15.15
15.00-17.00
GA AI √ 08.00
15.15-16.45
08.30-12.15
GA VL √ 09.30
09.15-12.00
spin, 13.00-16.00
GA DN √ 11.30
epd 13.45-15.45
17.15-18.30
GA epd VL √ 14.00
17.45-18.30
07.30-13.00
GA VL √ 07.30
08.00-12.45
GA AI √ 10.00 13.45-15.45
LA 12.00 17.20-17.50
16.30-20.45
GA DS √ 14.00
16.45-21.00
08.15-20.15
GA JL √ 07.00
08.30-19.45
06.20-08.00
GA HA √ 06.30
07.20-07.50
08.30-11.30
GA HA √ 08.00
09.00-11.15
12.15-14.15
GA HA √ 11.00
12.30-14.00
14.00-16.15
GA HN √ 13.00
14.30-16.00
08.15-10.45
09.00-10.45
GA 11.00 BATAL KARENA KELAINAN JANTUNG
12.30-14.00
GA EL √ 14.00
12.45-13.45
16.00-17.45
GA HS √ 16.00
15.15-17.45
GA HN √ 10.00 10.00-
14.00-16.15
GA HN √ 14.00
14.30-16.00
GA UB √ 07.30 08.15-09.20
GA DN √ 10.00 10.45-11.15
GA SF √ 08.00 08.15-11.00
GA SF √ 11.00 12.30-14.00
GA DS √ 08.00 09.30-11.00
GA DS √ 11.00 12.30-12.40
GA 12.00 BATAL KARENA KU JELEK
ALAT : PUR,CA (S : YN )
12.45-13.00
GA spin EL √
12.45-13.00
07.15-07.45
GA spin WA √
07.30-07.40
07.30-19.00
GA HA √ 08.00
09.15-19.00
18.00-23.30
GA HA √
19.30-23.15
20.00-22.00
GA HS √
20.30-22.00
LA
GA DS √ 13.00
02.30-04.00
GA JL √
02.45-03.45
03.15-04.45
GA HA √
03.30-04.30
05.00-06.45
GA spin HA √
05.15-06.45
07.45-08.30
GA blok DN √
08.00-08.30
08.15-09.15
GA spin VL √
08.20-09.15
10.30-11.45
GA spin VL √
10.35-11.45
10.45-12.30
GA VL √
11.00-12.15
13.00-14.30
GA spin VL √
13.15-14.30
18.45-20.00
GA JL √
19.00-19.45
20.30-22.00
GA spin JL √
20.45-21.45
23.00-00.00
GA JL √
23.15-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA WA √ 07.00
GA 08.00 BATAL KARENA KELUARGA MENOLAK

09.15-12.30
GA DN √ 10.00
09.30-12.25
10.00-16.00
GA WA √ 15.00
14.15-15.45
08.00-10.30
GA blok WA √ 08.00
09.00-10.15
10.30-14.45
11.15-14.30
15.45-17.15
GA WA 14.00
16.15-17.15
LA 07.30
LA 08.30
LA 10.30
LA 13.00
LA 14.00
LA 15.00
08.00-11.00
GA epd WA √ 08.00
08.30-10.45
12.00-16.30
GA epd VL √ 12.00
12.15-16.15
08.15-11.45
GA epd DS √ 08.00
08.30-11.30
13.15-16.15
GA DS √ 13.00 13.30-
16.00
17.15-20.30
GA HN √ 15.00
17.30-20.15
07.15-09.00
GA EL √ 07.00
07.30-08.45
09.00-10.00
GA EL √ 09.00
09.15-09.45
11.00-13.30
GA epd EL √ 10.00
11.15-13.15
08.00-09.15
GA EL √ 08.00
08.15-09.00
10.00-14.30
GA EL √ 10.30
10.15-14.15
06.30-08.15
GA BI √ 06.30
07.30-08.00
08.45-10.45
GA BI √ 08.00
09.30-11.00
12.00-13.00
GA BI √ 10.00
12.15-12.50
13.30-15.00
GA VL √ 12.00
14.00-14.45
GA 08.00 BATAL KARENA APS
08.00-15.00
GA BI √ 14.00
10.30-14.30
GA JL √ 07.00
14.30-18.30
GA JL √ 11.00
15.00-18.15
19.30-23.30
GA spin DS 14.00
19.45-23.30
GA HR √ 10.00 07.05-
GA HR √ 14.00
GA UB √ 08.00 09.00-12.30
GA HA √ 12.00 14.00-15.00
GA DS √ 08.00 08.15-
GA HA √ 11.30 12.40-
GA WA √ 07.00 07.45-11.30
GA HA √ 10.00
PUR,CA (S : YN )
GA JL √ 19.00 21.00-22.00
18.10-19.25
GA TA √
18.30-19.15
16.30-17.15
GA DN √
16.45-17.00
15.15-16.15
GA DN √
15.30-16.00
20.30-21.30
GA spin HS √
20.40-21.30
22.00-23.00
GA spin HS √
22.15-23.00
23.15-23.45
GA TA √
23.20-23.40
LA
15.15-21.15
GA BI √
16.30-20.45
15.15-18.15
GA JL √
15.30-18.00
08.00-09.45
GA Spin JH √
08.30-09.45
08.00-10.45
GA Spin JH √
08.30-10.45
10.30-11.30
GA Spin JH √
10.45-11.30
12.30-13.45
GA JH √
12.45-13.30
17.00-18.00
GA VL √
17.05-18.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-09.15
GA DN √ 08.00
09.00-09.10
09.45-10.45
10.00-10.30
11.30-15.15
GA DN √ 10.00
12.30-15.00
06.15-08.45
GA DN √ 06.30
06.45-08.30
10.00-11.00
10.15-10.45
11.30-13.00
GA UB √ 11.00
12.00-12.45
17.15-20.30
GA JH √ 16.00
18.15-20.30
LA 08.00
LA 09.30
LA 10.00
LA 10.30
LA 11.30
LA 12.30
LA 13.30
LA 14.30
LA 16.00 19.45-21.00
07.15-10.00
GA epd WA √ 07.00
07.30-09.45
10.30-11.30
GA AI √ 10.00
10.45-11.15
GA JH √ 12.00 12.30-18.00
12.45-17.45
08.15-10.00
GA JH √ 08.00
08.30-09.45
10.45-11.45
GA spin JH √ 11.00
11.00-11.45
13.15-16.00
13.20-16.00
07.30-09.00
GA HR √ 07.00
07.45-08.45
11.00-17.30
GA HR √ 10.00
11.15-17.15
15.45-17.00
GA VL √ 15.00
16.00-16.45
18.00-20.45
GA spin HA √ 16.30
18.15-20.45
17.15-20.00
GA VL √ 18.00
17.30-19.30
06.45-08.15
GA HR √ 06.00
07.00-08.00
09.00-13.00
GA HR 07.30
09.30-12.45
14.00-15.00
GA VL √ 10.00
14.15-14.45
15.45-19.30
GA spin HR √ 12.30
16.00-19.15
epd
07.30-09.15
GA SF √ 06.30 08.00-
09.00
09.00-11.00
GA HA √ 08.00
09.40-10.45
11.20-13.15
GA HA √ 10.30
12.00-13.00
13.00-14.15
GA SF √ 12.00
13.25-14.00
GA SF √ 08.00 07.30-15.30
08.30-15.15
16.15-20.15
GA SF √ 12.30
17.15-20.00
GA 14.30
08.30-11.15
GA epd BI √ 08.00
08.45-11.15
12.45-13.45
GA DS √ 10.30
13.00-13.45
14.15-15.30
GA DS √ 12.00
14.30-15.30
15.45-18.30
GA DS √ 14.00
16.00-18.30
GA WA √ 10.00 07.00-
GA UB √ 08.00 08.20-09.30
GA AI √ 10.30 10.20-11.00
GA WA √ 08.00 10.10-10.30
GA DS √ 09.30
GA WA √ 07.00
GA AI √ 08.30
PUR,CA (S : YN )
GA JL √ 13.45-14.45
13.30-13.45
GA TA √
13.35-13.45
21.00-24.00
GA spin HS √
21.05-23.30
20.30-22.00
GA spin HS √
20.45-22.00
05.45-07.45
GA spin WA √
06.00-07.45
GA TA 07.45-12.45
09.00-12.30
08.00-09.45
GA spin TA √
08.15-09.30
10.00-14.00
GA TA √
11.00-13.30
12.15-14.30
GA TA √
12.30-14.15
15.15-17.30
GA JH √
15.30-17.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA WA √ 05.30
07.00-11.30
GA JL √ 07.00
07.15-11.15
10.30-11.00
GA spin HS 11.00
10.45-11.00
GA HS √ 12.30
08.00-09.30
GA HR √ 08.00
08.30-09.15
10.45-12.30
GA DS √ 09.30
11.15-12.15
13.15-14.30
GA HS √ 11.00
13.45-14.15
GA 12.30 BATAL KARENA HYPERTYROID
LA 07.00 08.50-
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
LA 15.00
08.45-10.15
GA epd WA √ 07.30
09.00-10.00
11.00-13.45
GA WA √ 11.30
11.15-13.30
16.30-20.00
GA VL √ 14.00
16.45-19.30
GA VL √ 07.00 08.30-11.15
08.45-11.00
12.15-14.45
GA VL √ 09.30
12.30-14.30
07.30-07.45
GA VL √ 11.30
07.30-07.15
15.30-18.15
GA VL √ 13.00
16.00-18.15
20.00-21.15
GA VL √ 15.00
20.15-21.00
12.00-13.45
GA HR √ 07.00
12.15-13.40
14.30-17.30
GA HR √ 09.30
14.45-17.15
18.15-22.45
GA HR √ 13.00
18.30-22.30
18.45-21.45
GA HR √ 16.00
19.00-21.30
08.45-10.30
GA HR √ 08.00
09.00-10.15
11.30-12.45
GA HR √ 10.00
11.45-12.30
13.00-20.30
GA HR √ 11.30
12.15-20.15
16.15-22.00
GA HR √ 14.30
16.30-21.45
07.15-08.45
GA HA √ 07.00
07.35-08.35
09.15-11.05
GA VL √ 09.00
09.50-10.50
12.25-14.10
GA VL √ 11.30
12.55-13.55
14.40-16.00
GA VL √ 13.30
14.50-15.50
16.35-18.00
GA AI √ 15.30
16.50-17.50
07.30-15.30
GA AI √ 08.00
09.15-15.15
GA AI √ 13.00 17.00-22.00
18.30-22.00
06.30-07.45
GA VL √ 07.00
07.15-07.45
09.15-10.45
GA BI √ 08.30
09.10-10.30
12.00-14.30
GA epd BI √ 09.30
12.15-14.15
15.00-17.30
GA blok BI √ 12.00
15.15-17.30
GA WA √ 10.00 07.10-
GA VL √ 07.15 08.30-10.30
GA HN √ 11.00
GA DS √ 08.00
GA DS √ 10.00 11.40-13.15
GA HN √ 12.30
LA 10.00 10.15-12.00
GA HN √ 07.15 08.50-12.00
08.45-10.15
GA spin HN √ 09.00
09.00-10.10
LAT : PUR,CA (S : YN)

LA
LA
LA
10.15-11.30
GA SF √
10.30-11.15
13.30-14.45
GA spin SF
13.45-14.30
15.45-16.30
GA BI √
16.00-16.30
LA 16.45-17.30
LA 17.40-18.10
LA 19.00-19.15
19.30-23.00
GA WA √
19.45-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-08.45
GA DS √ 08.00
08.15-08.40
GA WA √ 09.00 10.30-12.15
07.15-08.45
GA blok DS √ 07.00
07.30-08.30
10.00-13.15
GA DS √ 09.30
10.15-13.00
LA 08.00
LA 09.00
07.15-10.00
GA epd WA √ 07.00
07.30-09.45
10.45-14.00
GA HA √ 10.00
11.00-13.45
14.30-17.45
GA HA √ 13.00
14.45-17.30
08.00-13.30
GA epd BI √ 08.00
08.30-13.15
spin, 14.45-17.00
GA AI √ 12.30
epd 15.00-17.00
07.30-09.30
GA WA √ 07.00
07.45-09.15
10.30-12.30
GA WA √ 13.00
10.45-12.15
LA 15.00 14.00-14.10
07.15-09.15
GA DS √ 07.00
07.30-09.00
09.45-11.45
GA epd WA √ 09.30
10.00-11.30
13.00-20.00
GA WA √ 12.00
13.30-19.45
06.45-07.45
GA TA √ 06.30
07.15-07.35
08.15-09.15
GA TA √ 08.30
08.30-09.00
GA 08.00
BATAL KARENA KELAINAN JANTUNG
08.15-09.45
GA HN √ 08.00
08.30-09.30
10.45-12.15
GA HN √ 10.00
11.00-12.00
15.15-18.00
16.30-18.00
10.15-13.45
GA blok SF √ 16.00
11.45-13.45
GA HR √ 10.00 10.10-15.30
GA JL √ 07.00 07.00-08.00
GA SF √ 08.00 09.00-
GA JL √ 10.00 13.30-14.45
GA JL √ 07.00 07.50-11.15
GA JH √ 08.00 09.45-12.15
AT : PUR,CA (S : YN)
10.00-11.30
GA BI √ 10.00
10.25-11.15
14.00-16.30
GA DS √ 12.00
14.30-16.00
LA
LA
LA
08.00-11.00
GA epd VL √
08.15-10.45
08.30-09.45
GA HA √
08.45-09.30
10.45-12.15
GA HA √
11.00-12.00
16.15-17.45
GA DS √
16.30-17.30
17.00-18.30
GA DS √
17.30-18.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
17.00-19.00
GA epd HA √ 17.00
17.15-18.45
LA 15.00 BATAL KU JELEK

14.30-16.30
GA WA √ 15.00
15.15-16.30
GA 15.00 TUNDA HARI SELASA , 11/4/2017
17.00-19.15
GA TA √
17.30-19.00
16.45-18.15
GA HA √
16.45-18.00
06.45-08.15
GA spin DS √
07.00-08.00
08.00-09.00
GA spin HS √
08.15-09.00
10.30-12.30
GA HS √ 10.45-
12.15
22.00-04.15
GA TA √
22.15-04.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30 TUNDA HARI SELASA, 11/4/2017
06.45-07.00
GA TA √
06.48-06.50
11.30-12.30
GA TA √
11.45-12.15
12.45-13.45
GA DN √
13.00-13.30
13.45-15.15
GA TA √
14.00-15.00
15.15-19.15
GA DS √
15.30-19.00
LA
LA
20.00-24.45
GA DS √
20.15-24.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
09.45-11.00
GA HR √ 08.00
09.00-10.50
LA 11.00 12.00-12.15
13.15-15.15
GA WA √ 12.00
13.30-15.00
16.45-18.15
GA HR √ 15.00
17.00-18.00
GA 08.00 BATAL KARENA ASMA
10.00-13.00
GA HR √ 11.00
10.15-12.45
15.00-19.00
GA HR 14.00
15.15-19.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
08.15-11.45
GA epd AI √ 08.00
08.30-11.30
12.00-14.00
GA AI √ 11.00
12.15-13.45
GA epd VL √ 14.00 14.45-20.00

15.00-19.30
08.30-14.00
GA AI √ 08.00
08.45-13.45
13.45-18.00
GA epd VL √ 12.00
14.00-17.45
20.15-21.45
GA VL √ 15.00
20.30-21.30
spin, 19.00-22.00
GA VL √ 17.00
epd 19.15-22.00
07.30-10.00
GA JL √ 07.00
07.45-09.45
GA 09.00 BATAL KARENA KESADARAN MENURUN
GA 11.00 BATAL KARENA PERBAIKAN KU
11.30-14.00
GA VL √ 13.00
11.45-13.45
14.45-17.15
GA JL √ 15.00
15.00-17.00
GA JL √ 08.00 09.15-12.15
09.30-12.10
13.15-16.15
GA CSE HA √ 11.00
13.30-16.15
17.15-19.30
GA epd VL √ 13.00
17.30-19.30
GA 06.30
BATAL KARENA DEMAN
07.00-07.45
GA HA √ 08.00
07.15-07.30
10.15-12.00
GA AI √ 10.00
10.45-11.45
12.45-13.45
GA HA √ 12.00
13.15-13.30
14.00-15.30
GA HA √ 14.00
15.00-15.15
08.15-09.15
GA HR √ 16.00
08.30-09.00
08.45-11.30
GA spin DN √ 08.00
09.00-11.15
12.00-14.30
GA DN √ 10.00
12.15-14.15
15.45-17.00
GA DN √ 12.00
16.00-16.45
21.30-22.30
GA DN √ 14.00
21.45-22.15
21.45-24.45
GA DN √ 16.00
23.15-24.30
GA WA √ 10.00 07.05-12.20
15.00-19.00
GA WA √ 14.00
16.00-18.45
GA VL √ 08.00 14.20-
GA JL √ 10.00 10.45-11.45
GA JL √ 12.00 12.35-13.15
GA DS √ 08.00 08.15-10.45
GA DS √ 11.00 11.40-14.00
GA WA √ 07.00 07.45-11.00
GA TA √ 10.00 12.15-
UR,YN (S : CA)
GA HA √ 08.00 08.15-12.00
09.15-11.45
12.30-17.00
GA HA √ 12.00
15.00-17.00
GA HA √ 16.00 11.30-21.15
11.45-21.00
19.30-21.15
GA HA √
20.00-21.00
05.15-06.15
GA VL √ 05.00
05.30-06.00
07.15-09.00
GA JL √ 08.00
07.30-08.45
18.15-19.15
GA blok HA √ 17.00
18.30-19.15
20.45-23.00
21.00-22.50
09.00-09.30
GA HS √
09.05-09.30
09.30-10.00
GA HS √
09.35-10.00
LA
LA
LA
LA
07.15-08.15
GA WA √
07.30-08.00
LA 08.50-09.00
08.30-10.45
GA VL √
09.15-10.30
09.45-11.15
GA spin VL √
10.00-11.00
22.30-00.30
GA spin TA √
22.40-00.25
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-09.00
GA WA √ 08.00
08.15-08.50
09.45-12.00
GA WA √ 10.00
10.00-11.45
15.00-17.00
GA JL √ 13.00
15.15-16.50
07.30-18.30
GA HA √ 08.00
09.00-17.00
GA 15.00 SUDAH DIKERJAKAN HARI SENIN, 10/4/2017

LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
08.00-11.00
GA epd WA √ 08.00
08.15-10.45
GA HN √ 10.30 12.00-16.00
12.30-15.30
15.00-20.15
GA HN √ 14.00
15.15-20.00
20.30-22.45
GA DS √ 17.00
20.45-22.30
08.30-13.45
GA epd VL √ 08.00
09.15-13.30
15.00-16.45
15.15-16.45
17.30-22.00
GA HN √ 13.00
18.45-21.45
GA 15.00 BATAL KARENA OPERATOR KELELAHAN

08.00-11.00
GA DN √ 07.00
08.15-10.45
12.45-15.00
GA DN √ 10.30
13.00-14.45
15.30-19.50
GA DN √ 14.00
15.45-19.45
19.45-21.15
GA DN √ 18.00
20.00-21.00
07.45-09.15
GA DN √ 08.00
08.00-09.00
10.00-11.00
GA DN √ 09.00
10.15-10.45
11.45-14.45
GA DN √ 11.00
12.00-14.30
15.30-18.30
GA DN √ 13.30
15.45-18.00
19.35-20.30
GA DN √ 16.00
19.45-20.15
20.00-01.45
GA JH √ 18.00
20.30-01.30
07.20-09.00
GA HA √ 06.30
07.45-08.45
09.00-09.40
GA BI √ 08.00
09.15-09.30
09.55-11.45
GA BI √ 10.00
10.30-11.30
11.45-13.20
GA VL √ 12.00
12.10-13.10
14.45-16.00
GA BI √ 14.00
15.05-15.45
16.25-18.15
GA BI √ 16.00
16.50-18.00
08.30-12.30
GA HN √ 07.00
09.00-12.15
07.00-12.00
GA JH √ 07.00 07.45-
11.30
15.15-18.15
GA DN √ 12.00
15.45-18.00
GA JL √ 18.00 19.15-22.45
20.00-22.30
22.30-01.00
GA JL √ 20.00
23.00-01.00
GA HN √ 10.00 07.05-
GA 14.30
BATAL KARENA ALAT BELUM ADA
GA WA √ 07.30
GA WA √ 11.00 10.15-14.15
GA UB √ 07.15 07.45-
GA TA √ 10.00 10.40-12.00
GA DS √ 12.00
GA UB √ 08.00 10.30-11.00
GA HA √ 11.00 13.30-16.00
PUR,YN (S : CA)
20.25-22.00
GA HA √ 20.00
20.45-21.45
15.45-16.15
GA DN √ 15.00
15.50-16.05
LA 14.15-
LA 16.10-16.20
16.45-17.30
GA DN √
17.00-17.15
08.00-09.30
GA spin JH √
08.30-09.30
10.00-11.00
GA spin JH √
10.15-11.00
10.50-12.50
GA JH √
11.00-12.35
11.45-13.45
GA spin JH √
12.15-13.45
14.30-16.30
GA DN √
14.45-16.15
23.45-02.00
GA spin HS √
24.00-02.00
22.00-23.45
GA spin HS √
22.45-23.45
LA 22.10-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
LA 07.30 08.30-08.45
09.00-09.30
09.15-09.25
10.30-12.00
GA HS √ 09.00
10.45-11.45
13.15-17.00
13.30-16.45
17.30-18.00
GA VL √ 15.00
17.40-17.55
LA 18.30-18.45
18.30-21.00
GA epd AI √ 17.00
18.45-20.45
07.30-09.30
GA HN √ 07.00
07.45-09.15
09.45-12.45
GA HS √ 09.30
10.00-12.30
13.30-15.00
GA UB √ 13.00
14.30-15.00
15.45-16.30
GA SF 15.00
16.00-16.30
LA 07.00
LA 08.00
LA 09.30
LA 10.00
LA 10.30
LA 11.30
LA 12.30
LA 14.00
LA 15.00
spin, 08.30-12.30
GA DN √ 08.00
epd 08.45-12.15
13.15-14.15
TV DN √ 11.00
13.30-14.00
spin, 15.15-18.15
GA JH √ 13.00
epd 15.45-18.00
19.15-22.30
GA JH √ 16.00
19.45-22.15
08.30-10.15
GA VL √ 08.00
08.45-10.00
11.15-16.30
GA VL √ 10.30
11.30-16.30
GA 14.00
17.30-20.00
GA DN √ 16.00
17.45-20.00
07.30-13.00
GA HR √ 07.00
07.45-12.30
13.00-14.00
GA epd HR √ 12.00
13.15-14.00
15.00-16.30
GA HR √ 15.00
15.15-16.15
GA 17.30 BATAL KARENA PASIEN TIDAK DATANG (FASTRACK)
08.00-10.15
08.15-10.00
spin, 11.00-14.00
GA HR √ 10.00
epd 11.15-13.45
14.45-16.00
GA HR √ 14.00
15.00-15.45
08.00-10.45
GA BI √ 08.00
09.15-10.30
11.00-12.30
GA BI √ 10.30
11.30-12.15
13.00-14.45
GA BI √ 12.00
13.30-14.30
07.30-12.30
GA BI √ 08.00
09.00-12.15
13.30-17.00
GA BI √ 13.00
14.45-16.45
08.30-10.45
GA DS √ 08.00
09.00-10.30
11.30-14.00
12.15-14.00
GA DS √ 13.00 15.00-20.30
15.30-20.15
20.45-23.30
21.00-22.00
GA HR √ 10.00 09.30-12.30
GA WA √ 14.00 16.00-17.00
GA UB √ 07.30 08.30-09.00
GA DS √ 09.30 11.00-14.00
GA DS √ 13.00 15.45-17.15
GA VL √ 08.00 10.00-10.35
GA 11.00
GA VL √ 08.00
GA WA √ 11.00
: PUR,EM (S : CA)
22.15-24.00
22.30-23.50
18.30-21.30
GA DS √ 19.00
19.30-21.30
17.30-22.00
GA DN √ 17.00
18.00-21.30
17.00-18.45
17.15-18.30
LA
LA
LA
LA
07.00-09.30
GA spin DN √
07.15-09.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.30-10.00
GA HR √ 08.00
08.40-09.50
10.00-13.15
GA WA √ 10.00
10.15-13.00
14.00-19.30
GA HS √ 13.00
14.15-19.15
20.00-20.30
GA HS √ 16.00
20.15-20.15
07.30-14.45
GA DN √ 07.00
08.00-14.30
15.00-18.30
GA epd HA √ 14.00
15.45-18.15
LA 07.00
LA 08.00
LA 09.00
LA 10.00
LA 10.30
LA 12.00
spin, 07.00-09.00
GA DN √ 07.00
epd 07.15-08.45
spin, 09.30-11.00
GA DN √ 08.30
epd 09.45-11.00
11.45-14.30
GA JH √ 11.00
12.00-14.15
spin, 15.00-17.00
GA DS √ 14.00
epd 16.00-17.00
08.00-10.30
GA VL √ 08.00
08.15-10.15
12.00-13.00
GA VL √ 10.00
12.15-12.45
15.00-19.45
GA VL √ 11.00
15.15-19.30
21.00-21.30
GA VL √ 14.00
21.15-21.25
07.30-11.00
GA HA √ 07.00
07.45-10.45
11.45-15.15
GA WA √ 09.00
12.00-15.00
20.15-00.15
GA VL √ 12.00
20.30-00.15
23.15-00.00
GA HA 20.00
23.30-00.00
05.30-06.00
GA HA 05.00
05.35-05.55
07.15-08.00
GA HA √ 06.00
07.30-07.45
08.45-10.45
GA HA √ 08.00
09.00-10.30
GA HA √ 10.00 11.30-12.45
11.45-12.30
14.15-17.30
GA UB √ 13.00
14.30-17.15
06.45-08.45
GA AI √ 06.30
07.35-08.30
12.15-14.00
GA VL √ 08.00
12.30-13.45
09.30-11.30
GA AI √ 11.00
10.00-11.15
14.15-16.15
GA AI √ 12.30
14.45-16.00
16.45-18.15
GA AI √ 14.00
17.50-18.00
19.00.20.15
GA AI √ 16.00
19.15-20.00
09.00-11.00
GA HR √ 18.00
09.15-10.45
GA JH √ 08.00 08.00-16.00
09.30-15.30
16.45-21.45
GA BI √ 15.00
18.15-21.45
GA BI √ 07.00 07.00-11.30
08.45-11.15
11.30-12.45
12.15-12.45
13.30-16.30
13.45-16.30
spin, 17.45-21.00
GA DS √ 15.30
epd 18.00-21.00
GA 17.30 BATAL KARENA

GA HN √ 10.00 10.25-13.00
16.15-19.30
GA WA √ 14.00
17.15-19.15
GA JL √ 07.00 08.00-
GA DN √ 08.30 13.15-16.45
16.30-19.00
GA HA √ 13.00
16.45-18.45
GA WA √ 07.00 07.30-12.00
GA DN √ 10.00 13.10-
GA 08.00
GA 11.00 BATAL KARENA PICU PENUH

LA 09.00 10.00-11.00
GA JL √
16.30-18.00
GA spin VL √
17.00-17.45
18.30-20.00
GA BI √
18.35-20.00
LA
07.15-08.30
GA spin SF
07.30-08.15
08.45-10.30
GA SF √
09.00-10.15
13.40-14.30
GA VL √
14.00-14.30
17.30-19.30
GA VL √
17.15-19.15
22.00-22.45
GA VL √ 21.15-
22.30
23.30-03.00
GA VL
23.45-02.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-10.15
GA DS √ 08.00
08.45-10.00
10.15-13.30
GA DS √ 10.00
10.45-13.15
GA DS √ 08.00
14.00-14.15
GA TA √ 11.00 14.05-
14.15
08.15-09.35
GA JH √ 08.00
08.30-09.30
10.10-11.30
GA JH √ 10.00
10.20-11.20
GA TA √ 07.00
07.00-11.15
GA JH √ 08.30
08.00-11.00
LA
01.00-01.45
GA VL √
01.15-01.45
08.00-09.00
GA spin TA √
08.15-09.00
10.0011.00
GA spin TA √
10.10-11.00
14.00-16.45
GA TA √
14.30-16.30
15.15-17.30
GA spin TA √
15.30-17.15
spin, 18.15-21.00
GA TA √
epd 18.20-20.55
18.30-20.00
GA TA √
19.00-20.00
22.30-01.45
GA TA √
23.00-01.30
23.00-02.45
GA TA √
23.15-02.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
09.00-10.15
GA DN √ 09.00
09.15-10.00
07.30-09.30
GA UB √ 08.00
07.45-09.15
15.15-17.30
GA VL √ 15.00
15.30-17.20
08.15-09.30
GA UB √ 08.00
08.30-09.15
10.00-11.00
GA UB √ 10.00
10.15-10.45
11.15-13.45
GA UB √ 12.00
11.30-13.30
GA HN √ 07.00-
08.45-09.15
GA UB √ 08.00
08.45-09.15
10.00-15.00
GA UB √
11.00-14.30
08.00-10.30
GA UB √
08.15-10.15
01.15-02.30
GA TA √
01.30-02.30
07.15-10.45
GA UB √
07.30-10.30
10.30-12.00
GA UB √
10.45-11.45
10.15-11.45
GA spin UB √
10.30-11.30
11.15-13.15
GA UB √
11.30-13.00
11.45-13.30
GA UB √
12.00-13.15
14.15-18.00
GA BI √
14.45-17.45
15.30-17.30
GA BI √
16.00-17.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.45-12.00
GA epd VL √
09.00-12.00
09.30-14.30
GA HN √
10.30-14.00
09.00-12.45
GA BI √
09.15-12.30
11.00-12.30
GA HN √
11.15-13.30
LA 12.00-12.45
13.45-15.30
GA spin DN √
14.00-15.30
13.45-17.45
GA HN √
14.00-17.30
16.00-18.00
GA DN √
16.15-17.45
16.00-18.00
GA EL √
16.15-17.45
19.00-20.15
GA EL √
19.15-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
09.30-10.30
GA JH √ 08.00
09.35-10.15
10.45-11.45
10.55-10.40
12.15-15.15
GA HR √ 10.00
12.30-15.00
16.45-20.00
GA HR 14.00
17.00-19.45
GA 07.30
09.30-10.15
10.00-10.30
GA 11.00
14.30-22.30
GA JH √ 13.00
15.00-22.15
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00 21.30-22.30
07.30-11.00
GA epd AI √ 07.30
07.45-10.45
11.30-14.15
GA epd AI √ 11.00
11.45-14.00
11.15-13.30
GA spin AI √ 14.00
11.30-13.15
16.30-20.30
GA AI √ 16.00
16.45-20.15
07.00-11.00
GA VL √ 07.00
07.15-11.00
11.45-13.30
GA AI √ 09.30
12.00-13.15
13.45-17.00
GA AI √ 13.00
14.00-17.00
GA 07.00 BATAL KARENA HIPERTHYROID

13.30-15.15
GA EL √ 09.00
13.45-15.30
07.15-12.45
GA EL √ 12.30
07.30-12.30
16.00-18.30
GA WA √ 16.00
16.30-18.15
GA 19.00
08.15-14.00
08.45-13.45
14.15-15.45
GA EL √ 11.00
14.30-15.30
16.45-21.15
GA EL √ 15.00
17.00-20.45
13.00-14.00
GA HA √ 06.30
13.15-13.45
08.45-11.00
GA HA √ 08.00
09.10-10.45
06.45-08.15
GA HA √ 10.00
07.15-08.00
GA TA √ 08.00
15.00-16.30
GA DN √ 10.00
15.30-16.15
GA HR √
GA UB √ 07.30 09.15-10.00
GA HN √ 10.00 12.00-16.30
GA HN √ 08.00 10.00-11.15
GA HN √ 11.00 13.10-14.45
GA WA √ 07.00 08.40-09.10
GA WA √ 09.00 08.55-11.00
07.45-12.15
GA HA √ 08.00 08.30-
12.00
14.00-16.45
GA HA √ 14.00
15.15-16.30
11.30-12.45
GA JH √ 10.00
11.45-12.30
spin, 11.00-14.00
GA DN √ 10.00
epd 12.15-13.45
21.30-01.30
22.30-01.15
18.00-20.15
GA TA √ 15.00
18.15-20.00
18.15-21.15
GA HR √ 17.00
19.00-21.00
14.45-16.45
GA JL √ 15.00
15.00-16.30
12.45-13.45
GA HS √ 15.00
12.50-13.45
14.30-20.45
14.40-20.45
22.00-23.10
GA HS √ 20.00
22.20-23.00
11.00-11.10
GA HS √
11.00-11.10
06.15-06.45
GA epd EL √
06.20-06.45
LA 09.05-09.15
09.30-10.30
GA spin VL √
09.45-10.30
10.45-12.00
GA VL √ 17.00
11.00-11.45
LA 12.50-
LA 23.15-23.45
20.30-23.00
GA HR
21.10-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.45-09.15
GA spin WA √ 08.00
08.50-09.10
09.30-10.30
GA WA √ 10.00
09.45-10.30
10.45-12.15
GA WA √ 12.30
11.00-12.00
14.00-15.30
14.15-15.15
GA 07.30
BATAL KARENA HB RENDAH (4)
15.00-20.30
GA WA √ 16.00
15.30-20.15
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
GA HN √ 07.00
14.45-18.45
GA JL √ 12.00
15.30-18.30
07.15-09.00
GA VL √ 07.00 07.30-
08.45
10.00-11.00
10.15-11.00
11.30-14.00
GA epd VL √ 10.30
12.00-14.00
15.30-19.30
GA epd HN √ 15.00
16.00-19.15
08.00-11.00
GA DN √ 07.30
08.15-10.45
11.00-12.30
GA WA √ 08.30
11.15-15.15
13.45-14.45
GA WA √ 11.00
14.00-14.30
09.00-13.00
GA DN √ 08.00
09.15-12.45
12.25-14.45
GA DN √ 12.00
14.00-14.30
13.30-15.00
GA DN √ 14.00
13.45-14.45
16.00-18.00
GA DN √ 16.00
16.15-17.45
06.50-07.55
GA BI √ 06.30
07.10-07.35
08.20-10.15
GA VL √ 08.00
09.00-10.00
LA 10.00
10.55-12.30
GA BI √ 11.00
11.20-12.20
13.25-15.00
GA BI √ 13.00
13.45-14.45
GA 08.00
BATAL KARENA INJEKSI DEKSA KURANG
GA BI √ 13.30-15.15
15.00-18.00
07.15-10.00
GA EL √ 08.00
07.45-09.45
GA 12.00
BATA/TUNDA BESOK
GA 15.00
GA 17.00 BATAL/TUNDAL BESOK
GA WA √ 10.00
GA WA √ 07.00
GA DS √ 10.00 11.20-
GA DS √ 08.00 08.25-
11.30-15.30
GA WA √ 11.00
12.00-13.15
GA HA √ 08.00 10.00-14.45
GA 12.00
UR,CA (S :EM )
JL √ 16.15-19.00
16.30-18.45
11.00-12.00
GA JH √
11.15-12.00
23.00-23.20
GA TA √
23.05-23.15
LA
01.00-03.45
GA spin HS √
01.15-03.45
01.30-03.30
GA blok EL √
01.45-03.30
08.15-09.30
GA spin JH √
08.35-09.30
LA 16.25-16.35
LA 18.30-18.40
13.00-18.30
GA JH √
13.15-18.00
19.00-22.30
GA JL √
19.15-22.15
21.00-22.15
GA spin JL √
21.15-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA 08.00 BATAL KAERNA ISPA

08.45-10.30
GA epd WA √ 10.30
09.00-10.15
11.30-13.30
11.45-13.15
14.00-16.15
GA UB √ 16.00
14.15-16.00
08.30-09.45
GA JH √ 08.00
09.00-09.30
GA WA √ 10.00 11.00-12.45
11.15-12.30
13.00-14.30
GA DN √ 16.00
13.30-14.15
LA 08.00
LA 09.00
LA 09.30
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
LA 15.00
LA 16.00
LA 17.00
GA DN √ 07.00 07.50-
11.30-15.45
GA JH √ 10.00
11.45-14.30
GA 13.00 BATAL KARENA GDS TINNGI (609)

17.00-18.45
GA blok JH √ 14.30
17.15-18.30
08.15-09.30
GA AI 08.00
08.30-09.30
10.00-12.00
GA epd VL √ 09.30
10.15-12.00
12.15-20.30
GA JH √ 11.30
13.00-23.30
22.00-23.30
GA epd VL √ 14.30
22.15-23.30
00.15-02.45
GA epd JH 16.00
00.30-02.30
GA DN √ 07.00 07.25-09.45
11.30-14.45
GA HR 09.00
11.45-14.30
16.00-18.30
GA HR 13.00
16.15-18.15
17.30-21.30
GA WA √ 16.00
17.45-21.15
19.00-20.30
GA HS √ 18.30
19.15-20.15
08.15-10.00
GA HR 08.00
08.30-09.45
10.30-12.15
GA HR 11.00
10.45-12.00
13.00-15.15
GA HR 13.00
13.45-15.00
18.30-22.45
GA HR 14.00
18.45-22.30
07.00-08.15
GA SF √ 06.30
07.30-08.00
08.45-10.30
GA SF √ 08.00
09.15-10.15
10.45-12.15
GA HA √ 10.00
11.00-12.00
13.00-14.30
GA HA √ 12.00
13.15-14.15
15.15-16.45
GA HA √ 14.00
15.30-16.30
14.30-17.00
GA SF √ 08.00
15.45-16.45
GA SF √ 11.00 08.30-13.30
09.00-13.15
08.30-12.30
GA SF √ 07.00
09.15-12.00
13.00-15.00
13.30-15.00
spin, 16.00-19.00
GA DS √ 12.30
epd 16.30-19.00
20.45-23.00
21.15-23.00
GA HN √ 10.00
16.45-20.00
GA spin HN 14.00
17.00-19.45
GA VL √ 07.30 08.00-09.15
GA BI √ 09.00 10.00-11.00
LA 10.30 08.50-13.00
GA WA √ 08.00 08.30-10.00
GA AI √ 11.00
GA VL √ 07.00 08.50-13.00
GA VL √ 11.00
GA WA √ 07.00 07.30-10.40
GA WA √ 10.00
GA WA √ 13.00 15.30-18.00
ALAT : PUR,CA (S :EM )
GA √
24.00-02.30
GA spin HS √
24.05-02.30
22.30-01.00
GA DN √ 20.00
22.45-00.30
GA DS √ 13.20-13.45
08.00-09.00
GA DS √
08.15-09.00
07.00-09.30
GA JL √
07.15-09.15
GA DN √ 09.00-10.00
09.30-09.45
LA 11.30-11.45
11.45-12.15
GA TA √
11.50-12.10
13.00-15.30
GA TA √
13.15-15.15
15.00-22.00
GA HN √ 15.45-
21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-13.15
GA JH √ 08.00
08.15-13.00

GA JL √ 12.00
16.15-16.45
GA HS √ 14.00
16.20-16.40
17.00-18.45
17.10-18.35
06.45-08.15
GA DS √ 06.30
07.15-08.00
12.30-16.30
GA HS √ 08.00
13.30-16.15
08.45-10.00
GA HS √ 10.30
09.15-09.45
GA 13.00
LA 07.00
LA 08.00
LA 09.00
LA 10.00
LA 11.30
LA 12.00
LA 12.30
LA 14.00 20.30-20.45
20.30-21.00
GA DN √ 07.00
20.45-21.00
08.45-12.30
GA DN √ 08.30
09.00-12.30
GA 11.30 BATAL KARENA ICU PENUH

08.00-10.30
GA epd VL √ 08.00
08.30-10.15
11.15-13.15
GA VL √ 10.30
11.30-13.00
13.15-18.00
GA VL √ 13.00
14.00-17.45
GA HA √ 06.00 06.30-10.00
07.00-09.45
11.00-15.30
GA JH 08.00
11.30-15.15
16.45-18.45
GA HS √ 13.00
17.00-18.30
08.15-11.15
GA HA √ 08.00
08.30-11.00
12.15-14.45
GA HA √ 10.00
12.30-14.00
15.15-17.00
GA HA √ 12.00
15.30-16.45
13.45-17.30
GA HA √ 14.30
14.00-17.30
06.45-06.15
GA AI √ 06.30
07.15-08.00
08.30-10.15
GA AI √ 08.00
09.00-10.00
10.30-12.00
GA AI √ 10.00
11.00-11.45
13.30-15.30
GA VL √ 13.00
13.45-15.15
16.00-17.45
GA VL √ 15.00
16.30-17.30
GA AI √ 08.00 08.00-13.15
09.30-13.00
07.00-10.00
GA BI √ 07.00
07.30-09.45
12.15-16.30
GA BI √ 11.00
13.30-16.15
18.00-21.00
GA BI √ 15.00
18.15-21.00
GA HR √ 10.00
GA WA √ 15.00
GA DS √ 08.00 08.50-11.15
GA DS √ 10.30 12.15-
GA DN √ 08.00 08.35-
GA DN √ 12.00 14.20-
GA HN √ 07.00 07.30-09.00
GA UB √ 10.00 10.00-12.30
LA
GA JH 13.00
LA 18.00
GA AI √
LA
LA
LA
21.00-21.20
GA DN √
21.05-21.20
07.15-08.15
GA spin VL √
07.30-08.00
07.00-08.15
GA SF √
07.15-08.00
07.30-11.00
GA SF √
07.30-10.45
10.00-11.15
GA spin SF √
10.15-11.00
11.45-13.00
GA spin SF √
12.00-12.15
13.00-14.00
GA SF √
13.15-13.45
16.45-17.45
GA AI √
17.00-17.30
19.45-00.30
GA AI √
20.00-00.15
20.30-23.15
GA AI √
20.45-23.00
GA SF √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.45-09.30
GA JH √ 08.00
09.00-09.25
10.30-11.30
GA WA √ 10.00
10.45-11.20
13.30-15.15
GA AI √ 11.30
13.40-15.05
16.00-17.00
GA HR √ 12.30
16.20-16.45
17.45-19.00
GA AI √ 14.00
18.00-18.50
GA 07.00 BATAL KARENA PERBAIAKN KU

08.45-10.30
09.15-10.30
11.15-15.30
GA JH √ 13.00
11.30-15.30
16.30-17.00
GA DS 15.30
16.45-17.00
LA 07.00 07.35-
LA 08.00
LA 12.00
LA 13.30
08.00-11.15
08.15-11.00
GA BI √ 11.00 12.15-
15.00-18.30
GA epd DS √ 13.00
15.15-18.15
08.15-09.15
GA HR √ 08.00
08.30-09.00
10.00-11.30
GA spin BI √ 10.00
10.15-11.15
13.30-15.00
14.00-15.00
08.00-11.45
GA WA √ 07.30
08.30-11.30
17.00-19.30
GA WA √ 10.00
17.15-19.15
14.15-16.00
15.30-16.00
LA 07.00 07.50-08.10
08.45-10.45
GA WA √ 10.00
09.00-10.30
11.15-13.00
GA WA √ 12.30
11.30-12.45
GA WA √ 15.00 15.00-16.25
07.00-08.00
GA TA √ 06.30
07.15-07.45
09.00-10.15
GA TA √ 07.30
09.15-10.00
10.30-11,15
GA TA √ 09.00
10.45-11.00
12.30-13.30
GA HA √ 10.00
12.50-13.20
GA 11.30
13.00-14.15
GA HA √ 13.00
15.15-14.00
16.00-16.30
GA TA √ 16.00
16.15-16.30
07.15-10.00
GA SF √ 07.30
07.30-10.00
11.15-12.30
11.30-12.30
14.00-17.30
GA epd HN √ 13.00
14.15-17.30
19.00-24.00
GA HS √ 16.00
19.15-23.45
GA HN √ 10.00 07.00-
GA BI √ 07.30 08.10-
GA JH √ 09.30 12.30-
GA JH √ 13.00 10.45-
GA DS √ 08.00 08.25-09.45
GA JH √ 10.30 10.50-14.10
GA DS 13.30 15.50-
LA 09.00 11.00-12.45
GA WA √ 08.00 07.45-
GA AI √ 11.00 10.30-

16.30-20.45
GA SF √ 13.00
18.30-20.30
10.45-12.15
GA BI √ 10.00
11.10-12.10
17.30-19.45
GA SF √
18.30-19.30
08.45-09.25
GA spin HN √
08.50-09.20
LA 13.15-
GA HA √ 13.30-15.00
LA
LA
06.15-08.30
GA AI √
06.50-08.15
LA 09.00-09.30
09.30-10.15
GA HA √
09.45-10.00
08.45-10.15
GA HA √
09.45-10.00
LA 15.00-15.20
16.20-17.00
GA
16.30-17.00
16.00-18.30
GA SF √
17.30-18.15
20.00-23.00
GA SF √
20.15-22.45
20.30-22.30
GA HS √
20.45-22.15
23.30-02.00
GA AI √
23.45-01.45
23.45-01.15
GA SF √
00.00-01.00
LA 00.30-00.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA
GA
07.15-10.00
GA HA √ 08.00
07.45-09.45
11.15-12.45
GA HA √ 10.00
11.30-12.30
LA 11.00
LA 09.00 11.00-12.00
LA 11.00 13.15-
LA 13.00
GA 08.00
11.00-12.45
GA epd HR √ 11.00
11.30-13.30
08.00-11.30
GA BI √ 08.00
08.30-11.15
07.30-09.30
GA HR √ 07.00
07.45-09.15
09.45-12.30
GA HA √ 10.00
10.00-12.15
08.30-10.00
GA HA √ 08.00
08.45-09.45
09.30-10.15
09.45-10.15
GA HA √ 10.00 10.45-13.15
11.00-13.15
12.15-14.30
GA HA √ 13.00
13.00-14.15
GA HR 10.00 10.10-13.30
10.30-13.00
GA DN √
10.45-12.45
GA EL √
04.45-06.15
GA epd EL √
05.00-06.15
06.00-08.30
GA HA √
06.30-08.15
08.00-09.30
GA HA √
08.30-09.15
09.00-10.00
GA HA √
09.15-09.50
16.30-20.30
GA EL √
16.45-20.30
20.00-23.00
GA EL √
20.15-22.45
LA 23.00-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
09.30-10.45
GA epd DS √
09.45-10.30
12.00-13.00
GA spin BI √
12.15-12.45
10.00-15.00
GA TA √
11.00-14.45
14.00-17.00
GA TA √
14.15-16.45
15.45-17.15
GA TA √
16.00-17.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
21.30-23.00
GA DN √ 15.00
21.50-22.45
08.00-10.10
GA HR
09.00-10.00
11.00-13.00
GA HR
11.30-12.30
15.00-19.00
GA BI √
16.15-19.00
GA 06.10-06.30
LA 12.45-12.55
spin, 14.45-16.00
GA BI √
epd 15.00-15.45
17.15-18.30
GA epd EL √
17.30-18.30
17.30-21.15
GA BI √
18.00-21.00
LA 17.15-18.00
19.45-20.45
GA DN √
20.00-20.35
LA 17.25-17.40
LA 19.55-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
LA 08.00 BATAL /TUNDA HARI RABU

08.30-10.30
GA DN √ 09.00
09.00-10.30
12.00-14.00
GA WA √ 12.00
12.15-14.00
06.30-11.00
GA WA √ 06.30
07.15-11.00
16.30-21.30
GA WA √ 11.00
17.00-21.00
13.00-17.00
GA WA √ 14.00
13.15-17.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
08.00-12.00
GA epd WA √ 08.00
08.30-11.45
13.45-15.30
14.00-15.30
08.15-13.45
GA VL √ 08.00
08.30-13.30
15.00-16.15
GA HN √ 10.30
15.15-16.00
08.00-10.15
GA SF √ 07.00
08.15-10.30
12.30-15.45
GA DN √ 09.00
12.45-13.30
12.00-13.30
GA DN √ 13.00
12.30-13.30
08.45-09.45
09.00-09.30
GA √ 10.00
DN
14.00-15.30
14.15-15.15
08.30-10.15
GA BI √ 08.00
09.00-10.00
10.00-12.30
GA VL √ 10.00
10.15-12.15
13.00-14.30
GA VL √ 12.00
13.15-14.15
GA
07.30-11.15
GA JL √ 07.30
08.15-11.00
WA √
17.00-20.15
GA HR 13.00
18.15-20.00
GA SF √ 07.30 08.40-09.45
GA HR 10.30 11.35-12.30
GA DS √ 08.00 08.40-12.10
GA 11.00 13.50-14.30
GA VL √ 07.10 08.00-12.45
PUR,EM (S : CA )
07.00-08.45
GA HA √ 07.00
07.30-08.30
07.30-12.15
GA BI √
09.00-12.00
14.00-08.00
GA BI √
13.30-08.00
15.30-16.00
GA WA √ 12.30
15.45-16.00
17.30-18.00
GA WA √ 14.00
17.35-18.00
15.00-18.15
GA WA √ 15.00 15.15-
18.00
18.00-19.15
GA WA √ 14.30
18.15-19.00
16.15-17.15
16.30-17.00
18.30-22.00
GA WA 18.00
18.45-22.00
13.30-14.45
GA HR
13.50-14.30
LA
00.30-01.30
GA BI √ 00.35-
01.25
17.30-19.15
GA spin TA √
18.00-19.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
LA 08.00 08.30-08.35
09.15-10.30
09.30-10.20
11.00-14.30
GA epd UB √ 09.30
11.15-14.15
20.30-22.00
GA HR 15.00
20.45-21.45

08.30-11.00
GA blok JH √ 08.00
09.00-10.45
GA UB √ 11.30
GA 14.00 BATAL KARENA GDS TINGGI (400)
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
07.30-10.30
GA epd HR √ 07.30
07.45-10.15
11.00-13.45
GA JH √ 10.00
11.30-13.30
14.15-19.30
GA JH 13.00
14.45-19.30
08.15-10.45
GA HN √ 08.00
08.30-10.30
11.30-13.00
GA JH √ 10.30
11.45-12.45
13.45-16.45
GA JH √ 14.00
14.00-16.35
17.45-20.00
GA epd WA √ 17.00
18.00-20.00
07.30-10.15
GA DS √ 07.00
07.45-10.00
11.00-13.00
GA HR 09.30
11.30-12.45
14.30-17.15
GA JH √ 15.00
14.45-17.00
18.30-20.00
GA HR 17.00
19.00-19.45
18.45-19.15
GA HR 19.00
18.45-19.15
07.30-10.15
GA HR √ 07.00
07.45-10.00
11.45-13.00
GA HR √ 10.30
12.00-12.45
spin, 14.00-15.00
GA WA √ 12.00
epd 14.05-14.50
15.45-19.15
GA HR √ 13.30
16.00-19.00
19.25-11.30
GA SF √ 06.30
10.45-11.15
07.00-08.30
GA SF √ 08.00
07.15-08.15
08.45-10.00
GA SF √ 10.00
09.00-09.45
GA SF √ 12.00 12.15-14.00
12.45-13.30
15.30-19.45
GA spin JL √ 15.00
16.30-19.45
10.00-14.45
GA SF √ 08.00
11.00-14.30
GA SF √ 14.30 15.00-02.00
16.00-01.45
08.00-11.30
09.00-11.30
12.00-13.30
12.15-13.30
spin, 14.30-17.00
GA DS √ 16.00
epd 15.00-17.00
GA HN √ 10.00 09.15-13.00
GA HR 14.00
GA DN √ 07.30
GA DN √ 10.00 12.25-12
GA WA √ 12.00 13.00-14.00
GA DS √ 08.00 09.00-10.45
06.15-07.00
GA DN √ 11.00
06.30-07.00
LA 07.15 07.30-07.45
GA WA √ 08.00
GA WA √ 12.00
UR,EM (S : CA )
GA DN 11.00 12.45-
13.30-15.00
GA JL √
13.45-14.45
16.15-17.00
GA JL √
16.20-16.45
LA 16.00-16.15
LA
LA
00.15-01.00
GA blok BI √
00.15-01.00
08.30-10.00
GA TA √
08.45-10.00
11.30-16.00
GA TA √
12.45-15.45
11.00-12.00
GA TA √
11.15-12.00
LA
15.30-16.30
GA spin HR
15.45-16.30
LA 18.00-18.15
LA 19.45-
LA 19.30-19.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.45-10.00
GA HS √ 08.00
09.00-09.55
LA 09.00 10.20-10.25
10.30-12.30
GA epd WA √ 09.30
10.45-12.15
07.30-09.00
07.45-08.45
GA 07.30 BATAL KARENA PASIEN MAKAN

10.00-12.30
GA HA √ 10.00
10.30-12.15
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.30
07.00-11.00
GA epd VL √ 06.30
07.15-10.45
11.30-15.00
GA epd VL √ 10.00
11.45-14.45
14.00-17.30
GA epd VL √ 13.00
14.30-17.30
09.00-13.00
GA BI √ 08.00
09.15-12.30
GA VL √ 11.00 11.15-13.30
11.30-13.15
08.00-12.30
GA HA √ 07.00
08.30-12.00
12.30-15.45
GA EL √ 10.30
12.45-15.30
GA 12.30 BATAL KARENA VISKOSITAS DARAH

08.45-10.30
GA EL √ 08.00
09.00-10.15
GA 11.00 BATAL KARENA GDS TINGGI

GA 15.00 BATAL KARENA SCRENING TB
06.45-08.00
GA AI √ 06.30
07.15-07.45
08.30-09.30
GA AI √ 07.30
08.45-09.00
10.15-12.15
GA HA √ 10.00
11.00-12.00
GA AI √ 12.00 13.30-15.15
14.00-15.00
08.00-11.00
GA AI √ 08.00
09.00-11.00
14.00-17.30
GA AI √ 13.00
15.15-17.15
12.30-18.45
GA WA √ 17.00
13.30-18.30
07.15-09.30
GA BI √ 06.30
07.30-09.30
10.30-11.30
GA spin BI 10.00
10.45-11.30
13.15-15.00
GA epd BI √ 11.30
13.30-15.00
16.15-18.30
16.30-18.30
GA WA √ 10.00 09.30-12.00
GA DS √ 07.30
GA 11.00 BATAL/TUNDA HARI JUMAT

GA JL √ 12.30 10.45-12.30
GA DS √ 08.00
GA DS √ 10.00 13.00-
GA DN √ 07.30 10.30-13.30
GA DN √ 09.30
LAT : PUR,EM (S : CA )
20.45-22.00
GA DN √ 17.00
21.00-21.45
LA 10.05-10.30
LA
LA
LA 08.00-
08.15-10.45
GA SF √
08.45-10.30
09.15-11.45
GA SF √
09.30-11.30
12.00-14.00
GA spin SF √
12.15-14.00
13.00-16.00
GA SF √
13.30-15.45
14.00-15.45
GA SF √
14.10-15.40
LA 17.00-17.25
19.00-21.00
GA VL √
19.15-20.45
20.00-23.00
GA VL √
20.30-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-10.30
GA epd HR √ 07.30
08.30-10.30
11.15-13.00
GA HN √ 10.30
11.30-12.45
14.00-15.15
14.15-15.15

GA DS √ 06.30 07.00-13.00
07.15-12.45
16.30-19.20
GA EL √ 09.00
16.45-19.15
13.30-15.30
GA DS √ 12.30
13.45-15.30
spin, 16.00-18.45
GA DS √ 15.00
epd 16.50-18.45
LA 07.30
LA 08.00
LA 09.00
LA 10.00
LA 13.00
epd, 07.45-10.45
GA WA √ 08.00
blok 08.00-10.40
11.15-12.00
GA DS √ 11.30
11.30-11.45
13.00-15.30
GA DS √ 13.30
13.15-15.15
17.30-18.45
GA BI √ 17.00
17.45-18.30
08.15-09.15
GA DN √ 08.00
08.30-09.00
GA 10.00
BATAL KARENA PASIEN MENINGGAL DUNIA
10.00-11.30
GA BI √ 13.00
10.15-11.30
13.00-16.45
GA VL √ 15.00
14.00-16.30
07.45-11.15
GA WA √ 07.30
08.00-11.00
13.30-16.30
13.45-16.30
17.30-21.30
GA WA √ 13.00
17.45-21.15
18.30-21.15
GA DN √ 16.30
19.00-21.00
GA HR √ 08.00 08.45-15.30
10.15-15.15
16.30-19.00
GA WA √ 11.00
16.45-18.45
19.45-21.15
GA WA 14.00
20.00-21.00
GA WA 17.00 20.30-00.30
20.45-00.35
06.45-08.00
GA DS 06.30
07.15-07.45
08.55-10.30
GA HA √ 08.00
09.15-10.15
11.00-12.15
GA HA √ 10.00
11.15-12.00
13.00-17.45
GA TA √ 12.00
13.20-17.30
06.45-08.30
GA HN √ 07.30
07.15-08.15
GA HN √ 10.00 09.30-13.15
10.00-13.00
18.15-20.30
18.30-20.30
21.45-24.30
GA spin EL √ 16.00
22.15-24.30
GA HN √ 10.00 07.00-
GA JL √ 07.30 09.50-
GA JL √ 09.00
GA JL 11.00 13.50-
GA JL 11.30 14.10-14.15
GA JL 12.00
GA JL √ 08.00 08.25-
GA JL √ 10.00
GA JH 07.15
GA JH √ 11.00 11.45-
: PUR,EM (S : CA )
09.15-09.35
GA HN √
09.20-09.30
19.00-20.00
GA JL √
19.15-19.45
07.45-13.00
GA TA √
08.30-12.45
22.45-00.45
GA EL √
23.00-00.30
LA 20.15-
LA 20.55-
LA
LA
GA TA √ 22.45-23.45
GA DS √
06.00-07.00
GA epd VL √
06.15-07.00
07.45-08.30
GA spin VL √
08.00-08.30
LA 07.30-07.45
08.00-08.45
GA JH √
08.15-08.45
09.15-10.45
GA spin HA √
09.30-10.45
11.30-12.00
GA spin VL √
11.30-12.00
14.15-16.00
GA spin HA √
14.30-16.00
13.30-15.15
GA HA √
13.45-15.00
LA
18.45-22.15
GA EL √
19.00-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
LA 09.00 11.00-13,30
07.30-10.30
GA BI √ 07.00
07.45-10.15
11.45-15.45
GA JH √ 10.00
12.45-15.00
07.45-10.45
GA DN √ 07.30
08.00-10.30
15.15-16.15
GA epd JL √ 15.00
15.30-16.00
08.00-11.00
GA JH √ 07.30
08.15-10.45
12.30-13.30
GA AI √ 13.00
12.45-13.15
08.30-14.00
GA JH √ 08.00
08.45-13.45
15.00-16.15
GA JH √ 11.00
15.15-16.00
11.15-12.30
GA HA √ 11.00
11.45-12.15
13.00-14.15
GA HA √ 13.00
13.15-14.00
14.30-15.45
GA HA √ 15.00
14.45-15.30
GA DN √ 09.00 09.30-15.00
11.30-14.45
07.45-11.45
GA JH √ 07.00
08.05-11.30
11.00-11.45
GA JH √
11.15-11.45
12.15-12.45
GA JH √
12.30-12.45
14.30-15.15
GA AI √
14.45-15.00
00.45-02.00
GA EL √
00.55-01.45
GA HA √ 07.15-08.30
07.30-08.30
10.15-11.15
GA JH √
10.45-11.15
LA 13.00-13.15
13.00-15.30
GA JH √
13.30-15.30
15.45-16.45
GA spin JL √
16.00-16.45
17.00-19.30
GA JH √
17.30-19.30
17.30-18.30
GA spin JL √
17.45-18.30
20.15-21.15
GA spin JL √
20.30-21.15
GA JL √ 20.10-21.10
21.30-23.30
GA JL √
21.45-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-10.00
GA DN √ 08.00
08.15-09.45
11.45-18.00
GA DN √ 11.00
12.00-18.00
09.15-09.45
GA BI √
09.30-09.40
GA UB √ 09.15-16.15
10.15-16.00
spin, 15.00-18.15
GA DS √
epd 15.45-18.15
06.45-08.45
GA JL √
07.00-08.30
GA JL √ 08.50-
09.30-13.00
GA AI √
09.45-12.45
11.00-12.00
GA spin UB √
11.15-12.00
12.30-14.00
GA UB √
12.45-13.45
13.30-14.45
GA spin DN √
13.45-14.45
13.30-15.00
GA UB √
14.00-14.45
16.00-17.00
GA SF √
16.15-16.45
16.00-17.15
GA SF
16.15-17.00
18.45-21.30
GA SF √
19.00-21.15
22.45-01.15
GA SF
23.15-23.15
22.15-24.00
GA SF
22.30-23.45
HARI / TANGGAL : SENIN, 01 MEI 2017
JAMINAN
1 Amin Mustofa VIP NPBI 33 th L GRD L6 C633346 8962710
M :II,DY,ES,BR,YS
2 Suhardi 2 NPBI 52th L MRK D C633809 8960684
3 Mutawadhiah 2 NPBI 43th L MRK D C603846 8956563
4 Farhan Syaeful Bahri 2 NPBI 16th L TRAN C254517 8964412
5 M. Teguh Azmi 3 NPBI 2th L C1L1 C626602 8923631
6 Muhammad Bahauddin 2 NPBI 7bl L C1LD C633864 8961052
7 Indrawati 2 NPBI 48th P TRAN C634696 8970117
CITO
8 Adelia Hanung Puspaningtyas VIP um 28th L MRK 2 C321621 8974425
9 Aldrico Davish Sasmita 3 um 3th L TRAN C633769 8970279
10 Harijanto Siswo Saputro 3 PBI 59th L R5A C614024 8970401
11 Winda Ayu Octaviana VIP um 28th P GRD 3 C633587 8970176
12 Bela Putri Lestari 3 um 16th P C1L1 C634785 8970439
13 Purwanti VIP NPBI 31th P GRD 3 C634794 8970365
14 Muhammad Barokah IRIN A NPBI 29th L ICU C634746 8970152
15 Vely Lonica 3 um 26th P R2A C634755 8970275
16 Kevin Gunawan 2 NPBI 2th L IGD C634810
17 Wanisih VIP um 64th P MRK 2 C634772 8970348
18 Hendika 1 NPBI 31th L KPD 1 C508498 8968430
HARI / TANGGAL : SELASA, 02 MEI 2017

JAMINAN
1 Muhamad Amik Fahmi 3 Um 19 th L R1B C632793 8949981
2 Sukinah 3 PBI 62 th P R2A C631029 8961797
3 Khanifodin 3 NPBI 24 th L R2B C612987 8956553
4 Umbarwati 3 PBI 43 th P R4B C632891 8952548
5 Suci Arbiatni Priv NPBI 53 th P P. GRD C152344

6 Simeon 3 NPBI 66 th L P. MRPT C245659
7 Sarpiah 3 NPBI 71 th P R4A C632927 8963435
8 Jumadi 2 NPBI 61 th L P.MRPT C633638
9 Puji Astuti 3 NPBI 38 th P B31 C611839 8969937
10 Nurus sholikha 3 NPBI 54 th P R3A C632412
11 Mulyadi 3 NPBI 60 th L R2B C633500 8959984
12 Subandi 3 NPBI 56 th L R2B C563083 8963350
13 Khomarudin 3 NPBI 43 th L R1B C615083 8960363
14 Abdul Rozaq Prasetyo 3 NPBI 13 th L Anak 1 C495336 8960458
15 Adi Setiawan 3 PBI 24 th L R2B C595951 8963349
16 Sunaryo 3 NPBI 57 th L R1B C549469 8944937
17 Zaenah 3 PBI 57 th P R2A C632078 8963271
18 Mansur 3 PBI 52 th L R2B C632033 8965440
20 Enny Istanti 1 NPBI 32th P KTL C633813 8960782
21 Salsa Nagita Salma 3 NPBI 10 th P C1LD C173332 8965575

22 Ahmad Denis Satiansyah 3 PBI 4 th 8 bln L C1L1 C631191 8965041
23 Febriyanto 3 PBI 29 th L R6B C570394 8968304
24 Siti Kopsah Priv NPBI 48 th P P.MRPT C621269
25 Daluji 3 PBI 61 th L R3A C599026 8967927
26 Ayu Wulandari 3 NPBI 21 th P R3A C632986 8963306
27 Dimas Widi Hidayatullah 2 NPBI 25 th L R4A C617235 8969674
28 Wiharto 2 NPBI 59 th L KPD D C618333 8970219
29 Rubi'atun 3 PBI 63 th P R3A C612564 8967917
30 Aswin Satya Mahendra Jati 1 NPBI 41 th L Elang 1 C603437 8970031
31 Abdullah 3 um 52 th L R2B C633955 8963444
32 Siti Chomariah 3 NPBI 59 th P R4B C627905 8965369
33 Uni Andayani 2 NPBI 38 th P B31 C612728 8967448
34 Djoni Subchan 1 NPBI 59 th L MRK 2 C626228 8967820
35 Alfin Ariando 3 NPBI 2 th L Anak D C633319
36 Yudha Adi Pradana 3 PBI 1/26/2011 L Anak 1 C620857 8965521
37 Muhamad Arfan Alfarizi 2 NPBI 5 bl L Anak D C632643 8949853
M : WU,NI,DW,BR,BY,ES,MY RR : FA,HI,SR MID :TK,SAM RR GRD :AD SORE PROGRAM :NO,TD,AF,AM,AT,RE,B
38 E Didit Tri Widianto 1 NPBI 1/5/1972 L MRK 1 C588726 8936346
39 Sutarni 2 NPBI 40 th P KPD D C601533 8955604
40 Lina Syifa Ulna Aulia 2 NPBI 12/31/2011 P Elang 1 C556046 8970345
41 Kustiani Prawoto VIP Um 63 th P GRD L4 C633605 8970172
42 Lasimin 2 NPBI 58 th L MRK D C634080 8965594
43 Ator Rohman 3 PBI 25th L R2B C630239 8969809
44 Annida Rahmatunisa 2 NPBI 8th L IGD C490166 8972219
45 Alfan Alfiansyah 2 NPBI 13th L IGD C616556 8972655
46 Masdar Chudlori 3 NPBI 58th L R3B C634500 8970021
47 Yatmi 1 NPBI 52 th P KTL C633064

CITO
48 Kartini 3 PBI 38th P B31 C634841 8970511
49 Suliyah 3 PBI 35th P R2A C634834 8970529
50 Romdhonah 1 NPBI 52th L GER 1 C496436 8969790
51 Siti Rofiah 3 PBI 28th P B31 C634842 8970513
52 By.Ny Nok Anti IRINB Um 1bl P PICU C633811

8960980
53 Warmiati 2 NPBI 53th P IGD C634901 8972144
54 Raditya Jazila 2 NPBI 5th L IGD C635006 8972517
55 Siti Marrahajoe VIP NPBI 82th P GCU C054667 8954683
56 Zahra Sekarlita Anggraini 3 PBI 18th P B31 C589628 8972505
HARI / TANGGAL : RABU, 03 MEI 2017

JAMINAN
1 Pandu Soetjitro VIP NPBI 63 th L GRD 4 C556963 8971523
2 Kwiky Yanuar K VIP NPBI 55 th P GRD 5 C598921 8971319
3 Sutarti 3 NPBI 57 th P R2A C614342 8916952
4 Zaenal Arifin 3 PBI 20 th L R2B C631202 8957927
5 Sri Puji Lestari 3 PBI 25 th P R2A C634781 8970329
6 Aqila Sabrina Qaisara 2 NPBI 2 th P Anak D C621199 8967860
7 Queena El Fairuz 3 NPBI 2 th 11 bln P Anak 1 C625163 8963373
8 Aji Luhur Pangestu 3 PBI 7 bl L Anak D C601138 8967882
9 Slamet Sunyatmi 2 NPBI 36 th P KPD D C633953
10 Sutrimah 3 NPBI 37 th P R4A C615742
11 Irianto Budiarso Priv NPBI 67 th L P. GRD C628281
12 Kasmidi 3 NPBI 6/12/1936 L P. Mata C627384

13 Jawadi 1 NPBI 54 th L P. Mata C621661
14 Haryanto Edi Santoso 1 NPBI 59 th L P. Mata C630327
15 Jasmiati Priv NPBI 64 th P P. GRD C619124
16 Eni Sukaesih VIP NPBI P P. GRD C619236

17 Subiarso 2 NPBI 57 th L KPD 1 C518139 8970977
18 Bambang Heru Tomo VIP NPBI 61 th L GRD L6 C633413 8963108
19 Sartitik 3 NPBI 28 th P R3A C618848 8963026
20 Nihwida Nasalaya 3 NPBI 12/16/1991 P R2A C633000 8969770
21 Ali Wahyudi 2 NPBI 53 th L KPD 1 C633667 8971335
22 As'at Bin Harjo Muslim 1 NPBI 76 th L MRK 2 B335853 8969775
23 Sarijah 3 NPBI 57 th P R2A C632398 8960290
24 Tuningsih 3 PBI 39 th P R2A C631210 8952516
25 Sumiatun 3 NPBI 54 th P R2A C633514 8963297
26 Kartinah 2 NPBI 35 th P KPD D C633120 8965445
27 Masfiah 2 NPBI 37 th P KPD D C633340 8969702
28 Sunarti 1 NPBI 55 th P KPD D C629332 8963334
29 Sulis Setyana VIP Um 14 th P GRD L3 C634911 8972272
30 Lilik Suwarni Psuit Um 11/15/1972 P GRD L5 C360866 8971674
31 Piat Supriatna 3 BPJS 26 th L R1B C630884 8932657
32 Jevri Tanjung 2 NPBI 23 th L Transit C633592 8970446
33 Vania Three Oktarina 3 PBI 1 th 6 bln P C1LD C577988 8967944
34 Ulya Azizah 3 NPBI 7 bln P C1LD C620081 8967943
35 Oey Sin Boen 2 NPBI 29 th L MRK D C574691 8968818
36 Rasbulan 3 NPBI 56 th L R1B C547445 8967915
37 Hilmy Zhafran 2 NPBI 10 th L Anak D C634217 8967913
38 Anna Endah Winarni 1 NPBI 53 th P KTL C461048 8961007
39 Waskinah 3 NPBI 46 th P R2A C624762 8956651

40 Susantiana 2 NPBI 50 th P KPD D C620952 8958317
41 Noviandri Agus Harjanto 2 BPJS 23 th L MRK D C633874 8960966
42 Rini Rahayu VIP NPBI 55 th P GRD L6 C063676 8969729
43 Abdul Gofur 3 NPBI 31 th L R2B C634112
44 Nasimin 3 PBI 63 th L R2B C627931 8967286
45 Surono 3 PBI 48 th L Elang 1 C599295 8970416
46 Istiani 2 NPBI 43 th P Transit C634227 8965540
48 Eko Wiyarti 3 NPBI 52 th P R4A C626512 8970443
49 Gracediana Kairupan 1 NPBI 26 th P B31 C629553 8970483
50 Nugroho Wijaya Pratama 2 NPBI 1 th L TRAN C555436 8970489
51 Rizky Nugroho 3 NPBI 8 th L Anak 1 C555432 8965484

52 Ratna Wilis 1 NPBI 65 th P MRK 2 C632780 8949748
53 Heru Slamet Montjon VIP NPBI 69 th L GRD L5 C327342 8970381
54 Rizki Azizah Nur Laily 1 NPBI 17 th P KPD 1 C634153 8969741
55 Muhtadi 3 NPBI 52 th L R1B C628025 8947136
M : WU,NI,RE,BY,BD,MY,MW RR : FA,HI,SR MID :TK,SAM RR GRD :AD SORE PROGRAM :NO,RK,TD,AF,AM,AT,
56 Cahyaningsih VIP A NPBI 64 th P GRD L5 C569591 8972300
57 Aditya Reza Kurniawan 3 PBI 8th L C1LD C634819 8970503
58 Muhammad Hasanudin 3 NPBI 17 th L R1B B385129 8970328
59 Noor Khasanah VIP A NPBI 57 th P GRD 4 C558398 8972572
60 Shima Dwi Jayanti VIP A NPBI 31 th P GRD 6 C634985 8972541
61 Mikrad 3 NPBI 57 th L R6B C633021 8954643
62 Suradi 1 NPBI 75 th P Ger D C628201 8965988
63 Ahmad Mujiono 3 NPBI 28 th L R3B C631963 8940570
CITO
64 Slamet Senari 2 PBI 35th L IGD C635007 8972551
65 Julianto 2 um 46th L IGD C634977 8972257
67 Nur Annisa Ramadhani 3 NPBI 4th P C1L1 C634835 8970524

68 Ahmad Attha Uddin Arfin 2 NPBI 9th L IGD C541350 8972555
HARI / TANGGAL : KAMIS, 04 MEI 2017
JAMINAN
1 Dava Risky Kurniawan 3 PBI 4 th 5 bln L C1LD C557605 8967888
2 Imza Hermawan VIP NPBI 8/16/1962 L GRD L4 C107553 8972256
3 Nur Kamalia 3 PBI 11 th P Anak D C607331 8969684
4 Rusnaningsih VIP NPBI 47 th P GRD 4 C631649 8970207
5 Tukiyah 2 NPBI 41 th P B31 C596560 8964018
6 Khodijah 2 NPBI 46 th P MRK D C634449 8967956
7 Sujana 3 NPBI 48 th L R2B C628191
8 Yuni Hidayati 3 NPBI 23 th P R5B C634494 8969805
9 Surati 3 PBI 55 th P P. MTA C361765

10 Hariyadi 2 NPBI 73 th L P. MTA C215600
11 Sutikno Privat NPBI 52 th L P. GRD C627639
12 Nur Asyikin 3 NPBI 67 th L P. MTA C633159
13 Theresia Dewi Kristanto 3 NPBI 72 th P GER LD C634631 8969890
14 Murtiyah VIP NPBI 76 th P GRD 3 C633304 8962404
15 Mifta Janati 2 NPBI 39 th P B31 C548000 8967847
16 Mutrofi 1 NPBI 63 th L KTL C203453 8967196
17 Sulistiowati 1 NPBI 53 th P KPD LD C634654 8969911
18 Hilal Azzam Zaidan 1 NPBI 5 th L C1LD C630238 8967853
19 Ahmad Thohiron 3 NPBI 59 th L R2B C629059
20 Abid Raditia Saputra VIP NPBI 3 th L GRD L3 C550339 8972486
21 Sutarminah 3 PBI 31 th P R2A C622617 8967717

22 Sunarto 3 NPBI 56 th L R1B C412981 8954519
23 Tuaniyah 3 NPBI 21 th P R2A C632145 8942867
24 Ina Tutyaona 3 PBI 28 th P R2A C631101 8963270
25 Imbang Tri Hanekowati VIP NPBI 7/1/1969 P GRD L6 B050549 8972589
26 Marinem 3 JMK 72 th P R6A B386676 8968872
27 Tri Arif Yuda Nugraha 3 NPBI 11 th L C1LD C615914 8969796
28 Haryanto 3 NPBI 58 th L R2B C618551 8968284
29 Agam Abdillah Pratama 3 PBI 9 bln L C1L1 C595858 8967970
30 Sugiyo Pranoto VIP NPBI 56 th L GRD L5 C586745 8972533
31 Punirah 3 NPBI 43 th P R3A C552436 8969736
32 Ugi Sutikno 3 JMD 34 th L R1B C610481 8967922
33 By. Ny. Dayanti Hasta Dewi 3 NPBI 5 hr PBRT C633801 8960625
34 Sutiyatun 3 PBI 57 th P R6A C632957 8952107
35 Catur Retno Utami 3 NPBI 42 th P R2A B001136 8963254
36 Devia Azzalea Putri 3 NPBI 2 th P C1LD C633520 8967914
37 Markamah 3 PBI 63 th P R2A C631826 8962388
38 Slamet 3 NPBI 58 th L R1B C614035 8965464
39 Tuntoro 3 NPBI 28 th L Elang 1 C539771 8972577
40 Cici Sugiarti 3 PBI 28 th P R5B C631794 8970255
41 Ristiyaningsih 1 NPBI 29 th P B31 C632038 8972410
42 Siti Fatonah 3 PBI 49 th P R5B C630111 8971572
43 Aminah 3 PBI 46 th P R5B C621101 8972288
44 Lia Lifiana 3 PBI 17 th P C1LD C610033 8972678
45 Adam Firmansyah 3 PBI 7 bln L C1LD C629368 8967861
46 Dewi Sugiarsih VIP NPBI 33 th P GRD L5 C623493 8972550
47 Arum Anggita 1 NPBI 22 th P KPD 1 C601770 8972782

M : BD,TU,JF,WI,RE,MW RR : FA,HI,SR* MID :TK,SAM RR GRD : AS SORE PROGRAM : NO,TD,AF,AM,AT,DA,DM
48 Lifditya Puri Rachmawati 2 NPBI 25 th P MRK D C231504 8949616
49 Mujiyatun 3 PBI 42 th P R2A C616692 8972396
50 Devi Puspitasari 1 NPBI 27 th P KTL C628602 8972724
51 Sutrima 3 PBI 37th P R4A C086155 8953136
CITO
52 Mario Andre Asmoro 2 NPBI 41th L IGD C635208 8974932
53 Dimas Widi Hidayatullah IRINA NPBI 26th L ICU C617235 8969674
54 M Bambang Satoto VIP NPBI 63th L GRD 4 C623172 8963104
55 Uti Soetinah VIP PT 61th P GRD 6 C412628 8949973
56 Rubiyanto 1 NPBI 54th L KPD D C628184 8956523
57 Supariyah 3 PBI 39th P R3A C419867 8974888
58 Budi Irawan VIP PT 23th L MRK 2 C634995 8977141
59 Nana Utami Maulida 2 NPBI 20th P IGD C634863 8971944
60 Ais Ulul Janah 2 NPBI 11hr P IGD C635016 8972666
HARI / TANGGAL : JUMAT, 05 MEI 2017

JAMINAN
1 Umar Syarif VIP NPBI 4/6/1952 L GRD L5 C634358 8976366
2 Bernadinus Tukidjo 2 NPBI 67 th L MRK LD C634531 8969979
3 Sri Untari VIP NPBI 39 th P GRD L5 C634061 8972647
4 Musripah 3 JMD 56 th P R4B C635186 8976604
5 Mutmainah 3 NPBI 52 th P B31 C620864 8974685

6 Ainur Rofiq 2 NPBI 50 th L KPD 1 C633596
7 Muhamad Ismail 2 NPBI 45 th L KPD 1 C552921 8976760
8 Aspuntik 3 NPBI 46 th P R3A C572223 8974828
9 Hartoyo 3 PBI 49 th L Pol MTA C625518

10 Kariyan 3 PBI 60 th L Pol MTA C635222
11 Abdul Rochim 3 NPBI 80 th L Pol MTA C499462
12 Gari Privat NPBI 59 th L Pol GRD C629138

13 Sapari Privat NPBI 55 th L Pol GRD C329889
14 Djumini Privat NPBI 65 th P Pol GRD C633311
15 Kastubi 3 NPBI 79 th L Pol MTA C616134
16 Hardiyatin 3 PBI 65 th P Pol MTA C622236
17 Tri Setyaningsih Privat NPBI 65 th P Pol GRD C014196
18 Soeharto M Privat NPBI 90 th L Pol GRD C627258
19 Eko Purwanto 3 NPBI 29 th L R5A C626029 8972769
20 Khusnul Khotimah 1 NPBI 17 th P B31 C631556 8973967
21 Aguswanto 1 NPBI 44 th L KTL C633890 8960976
22 Tri Purwati 1 NPBI 59 th P KTL C062901 8970418
23 Eko Harminto VIP UM 2/21/1963 L GRD L6 C634445 8974303
24 In Sarni Endah Supandi 2 NPBI 73 th P GER LD C635024 8972788
25 Noor Hasyim 3 NPBI 47 th L R5A C611823
26 Petra Dewi Asri VIP PBI 48 th P GRD L5 B263382 8974618
27 Soekarto 1 NPBI 70 th L KPD L1 C62959 8972679
28 Darmanto 1 NPBI 79 th L MRK L1 C522980 8963316
29 Titin Suwartini 3 NPBI 51 th P R2A C593422 8972676
30 Sugiarti 3 NPBI 46 th P R2A C495120 8967852
31 Kusyantini 3 NPBI 3/18/1981 P R5B B129568 8969549
32 Yuli Suprayitno 3 Um 48 th L ELA 2 C626844 8892323
33 Tasripin 2 NPBI 60 th L MRK LD C632218 8960361
34 Setyorini 3 PBI 8 th P C1L1 C551236 8970122

35 Tri Hadi Lestari VIP NPBI 7/6/1948 P GRD L4 C634341 8974429
36 Karsipah 3 NPBI 68 th P R2A C593695
37 Rania Putri Kusmawati 3 Jmkd 1 th P C1LD C619465 8967907
38 Tarsudi 3 PBI 49 th L R1B C633947 8972789
39 Tarmidi 3 PBI 5/23/1959 L R1B C581883 8952529
40 Muhammad Syaefudin 3 PBI 30 th L R3B C632478 8966258
41 Purwanto 3 PBI 31 th L R2B C627409 8967021
42 Agus Surya Laksana 2 NPBI 10/19/1985 L KPD L1 C462160 8975613
43 Mardjuki 1 NPBI 74 th L KTL C632432 8947868
44 Earlina Dwi Larasati 3 NPBI 2 th P Elang I C548230 8974706
45 Khairulafif 3 PBI 6 th L Elang I C596009 8974256
46 Kevin Viktori Eelangga 3 PBI 4 th L Anak D C390930 8974818
48 Hartatik 3 PBI 45 th P R4A C632973 8972698
49 Suyanto 3 PBI 67 th L R5A C632334 8945027
50 Mey Moza Zahrutul Muna 3 Um 8 th P Anak D C601872 8963320
51 Oei Giem Nio 1 NPBI 73 th P MRK L1 C016455 8972684
M : NH,SA,VT,WI,JF,DM,TU RR : FA,SR,YS MID :TK,SAM RR GRD : AS SORE PROGRAM : NO,RK,ET,AN*,AG*,AF
52 Alv Hamzan Tsany 2 NPBI 1 bl L C1LD C633502 8974852
53 Badriyatul Hidayah 3 NPBI 9/12/2007 P C1LD C634649 8972763
54 Kiswilopo IRIN B NPBI 56th L HCU C498786 8947656
55 Galih Hermawan VIP Um 35th L GRD 4 C625087 8976790

CITO
56 Maryani VIP Um 36th P GRD 3 C632535 8976399
57 Rakidjo VIP NPBI 69th L GRD 4 C444498 8977118
58 Sulastri 3 NPBI 31th P B31 C631443 8974693
59 Yatimah 3 NPBI 59th P TRAN C634805 8970400
60 Kastam 2 NPBI 57th L GER D C635196 8975767
61 Varisa Firnaya 2 um 4bl P IGD C634340 8972491

62 Ruyaufah 3 PBI 24th P B31 C635434 8978801
63 Paqih Utomo 3 JMD 8th L C1L1 C634792 8970469
64 Sarengat 3 PBI 36th L IGD C635494 8978610
65 Ozzie Al Fatih Rajendra 1 NPBI 7bl L C1LD C634619 8977150
HARI / TANGGAL : SABTU, 06 MEI 2017

JAMINAN
1 Nabil Rahman Saputra 3 NPBI 7 th P C1L1 C628335 8970468
2 Eka Oktaviyani 3 NPBI 19 th P R2A C633132 8977041
3 Saslikah 3 PBI 48 th P R6A C634731 8970188
4 Ainun Khusniyati VIP NPBI 8/14/2015 P GRD L3 C611058 8977017
5 Murniati Hadisantoso 1 NPBI 66 th L MRK 1 C442216
6 Puji Wahyuni 2 NPBI 51 th P KPD D C633381 8977108
7 Sumarni 2 NPBI 42 th P B31 C633364 8977077
8 Suharto 3 PBI 65th L R2B C634643 8969800

CITO
9 Ilham Wahyu Saputra 2 um 14th L IGD C635497 8978671

10 Warsini 2 NPBI 63th P IGD C635519 8978859
11 Sepulloh 2 NPBI 58th P IGD C635398 8977155
13 Suyati 1 NPBI 49th P MRK 1 C565451 8977082
14 Mulyo Diharjo 3 BPJS 27th L R1B C635530 8978924
15 Chika Khanza Hanifah IRINB NPBI 1th P IGD C616547 8972174
HARI / TANGGAL : MINGGU, 07 MEI 2017

JAMINAN
1 Ahmad Nur Purwa Yudisti 3 NPBI 1 th L C1LD C569743 8977054
2 Ahmad Alby Alkholifi 3 NPBI 1 th L C1L1 C563847
3 Andy Cahyo Saputra 3 PBI 19 th L R1B C634744 8970278
4 Devin Wijayanto 3 NPBI 5/6/2000 L TRAN C635382 8979569
5 Yusuf Maulana 3 PBI 4/16/2016 L C1L1 C617719 8970157
6 Siti Maryamah 3 NPBI 26 th P R3A C552250 8974764
M : ET,AN,AT,AD,IS S : HR,HI,AU,MY,PS*
7 Abid Raditia Saputra VIP PT 3th L GRD 3 C550339 8972486
8 Hemma Yoga Pramukanto 1 NPBI 36th L KPD 1 C368816 8978880
9 Muhammad Ilham Saputra 2 NPBI L TRAN C545989 8979594
10 Desy Fitriana 3 um 16th P R2A C635708 8979538
11 Jarot Pasmardanu 2 NPBI 39th L MRK D C532796 8978883
12 Kardi 3 PBI 53th L R2B C610989 8972366
13 Endy Restiawan 1 NPBI 37th L KPD 1 B037824 8978904
14 Ainur Rofiq 2 NPBI 50th L KPD 1 C633596 8977028

CITO
15 Alpiah IRIN NPBI 65th P IGD C635705 8979525
16 Frans Mangoe 2 PBI 54th L IGD C635709 8979541
17 Zahra Hasan VIP Um 26th L GRD 3 C601999 8978926
18 Puji Wahyono 3 PBI 20th L R1B C635703 8979630
19 Didik Sutarto 1 NPBI 52th L ELA 2 B112151 8967739

JAMINAN
1 Ali Murni 3 NPBI 19 th L R2B C632042 8974891
2 Supardjo 1 NPBI 51 th L KPD D B327248 8965459
3 Djamari 3 PBI 78 th L R2B C624150 8974873
4 Ngasmi 3 PBI 57 th P R2A C629333 8977043
5 KPD L1
Djoko Suseno 1 NPBI 6/20/1947 L C629998 8977113
6 Pasni 3 NPBI 29 th P R3A C570892 8974789
7 Mujiyanti 3 NPBI 42 th P R2A C616692 8972396
8 Bayu Aji Prayogo 1 NPBI 2/27/1993 L MRK 1 C471260 8974821
9 Aril Vinusa Putra 1 NPBI 21 th P KPD 1 C630377 8977057
10 Suparno 3 NPBI 63 th L P. Mata C677013
11 Slamet Raharjo 3 NPBI 58 th L P. Mata C632401
12 Dusri 2 NPBI 50 th P P. Mata C624253
13 Suharyo 2 NPBI 66 th L P. Mata C635245
14 Erwinda Priv NPBI 65 th P P. GRD C455361
15 Abdul Ghofur 3 NPBI 70 th L P. Mata C540758
16 Ngatinem 3 NPBI 56 th P R3A C623705
17 Nanik Ria H Priv NPBI 54 th P P. GRD C122002

18 Sri Astuti Priv NPBI 65 th P P. GRD C627126
19 Sutinah VIP NPBI 60 th P GRD L3 C634127 8969095

20 Suharti VIP NPBI 4/17/1968 P GRD L4 C631799 8939993
21 Mustadliroh 3 NPBI 48 th P R5B C633129 8970018
22 Sukayati 3 PBI 48 th P R2A C632224 8972632
23 Sukiman 3 NPBI 68 th L R2B C627836 8972740
24 Pamungkas Dedy Kurniawan 1 NPBI 35 th L KPD 1 C575016 8972695
25 Dany Prasteyo Kurniawan 2 NPBI 33 th L MRK D C595476 8960373
26 Supriyatiningsih 2 NPBI 49 th P Transit C620500 8970426
27 Sitrus Purnomo VIP NPBI 6/7/1949 L GRD L4 C477564 8976324
28 Pudji Hastuti 1 NPBI 59 th P KPD 1 C635083 8977035
29 Minarsih 2 NPBI 11/24/1984 P KPD D C631461
30 Muchajaroh 2 NPBI 59th P KPD D B420649 8979623
31 Zakia Khansa Khamida 3 NPBI 1 th P Anak D C587003 8977049
32 Irsyad Baskara 1 NPBI 19 th L KPD 1 C608541 8945006
33 Kasmari 3 NPBI 52 th L R2B C633619 8960372
34 Muhamad Rasyid Fasha 3 NPBI 1 th L Anak 1 C583298 8967972
35 Rafi Nawabi Saleh 3 NPBI 10 bl L Anak D C627182 8969795
36 Makrifah VIP Um 71 th P GRD L4 C634951 8972593

37 Supardjo 1 NPBI 67 th L MRk 1 C634736 8970197
38 Munajad 3 NPBI 52 th L R1B C632150 8972475
39 Widayanto 3 NPBI 44 th L R1B C586917 8960304
40 Kartini 3 PBI 41 th P R2A C402161 8947152
41 Ahmad Labib 3 BPJS 31 th L R1B C634775 8970324
42 Abdul Gofur 3 NPBI 31 th L R2B C634112 8965514
43 Heriyanto 3 NPBI 56 th L P. Vas C635308

44 RR. Sri Puji 3 NPBI 53 th P P. Vas C627495
Agus Wiryadi 2 NPBI 56 th L Elang 2 C623622 8979236
45 Indri Ratnamurti VIP Bank 45 th P GRD L4 C635401 8977636
46 Yulia Suwartini 2 NPBI 50 th P MRK D C623514 8974799
47 Ali Muksin 3 NPBI 78 th L R2B C627418 8972603

48 Ermah Zubaedah VIP NPBI 5/17/1966 P GRD L5 C631512 8974833
49 Juwariyah 1 NPBI 48 th P KPD 1 C605203 8977094
50 Umi Kulsum 2 NPBI 9/18/1940 P KPD D C634115 8979653
51 Ika Fitriyah Fina 3 NPBI 29 th P R2A C633556 8967948
52 Kafa Fariz Al Fano 3 NPBI 1 bln L Anak LD C628584 8977056
53 Athaya Al Khalifi 1 NPBI 1/11/2016 L Anak D C634284 8965574
54 Muyassar Rohim Hidayat 3 NPBI 3/17/2015 L Anak 1 C585937 8974907
M :ET,AN,HR,HI,DB,PS,SU RR : FA,EM,SAM MID : ER,SE RR GRD : WU SORE PROGRAM : RK,AI,TA,AR,AU,NI,R
55 Faisal Nur Afif 3 NPBI 13 th L Anak D C606588 8978837
56 Wielda Kartika Sari 2 NPBI 29 th P KPD D C295357 8940444
57 Suwarti 3 NPBI 44th P R2A C519688 8969686
58 Mugiono 3 PBI 44 th L R3B C282256 8963418

59 Heri Susanto 3 NPBI 31th L R1B C635731 8981931
60 Ahmad Al By Alkholifi 3 NPBI 1 th L Anak 1 C563847 8977119
61 Mohtadin 3 PBI 3/20/2000 L R2B C635732 8979712
62 Maudziina Ardiana Sari 2 NPBI 12/31/2016 P C1L1 C627989 8979751
63 Nur Fauzi 3 PBI 12 th L C1L1 C633179 8979701
64 Elawati 3 PBI 21 th P R3A C635378 8978799
66 Rasyqul Abid IRINB NPBI 4bl L PICU C633564 8958842
67 Kumarsi VIP NPBI 2/19/1964 L GRD L5 C414906 8979658
68 Sutarwi 1 NPBI 55 th L KTL C635203 8978850
69 Soetarno 1 NPBI 66 th L KPD D C626835 8977032
70 Sarwi 2 NPBI 1/21/1957 L KPD 1 C153179 8979612
71 Wijoto 2 NPBI 8/5/1953 L KPD 1 C583112 8979651
72 Andri Yuliyanto 2 NPBI 27 th L Transit C634793 8970442
73 Marfuati VIP NPBI 12/15/1969 P GRD L4 C633705 8979286
74 Rami 2 NPBI 62 th P Transit C635694 8979489
CITO
75 Pesta Idaria Meyliana M VIP NPBI 26th P GRD 3 C591178 8979783
76 Joko Galih IRINB um 25th L R1A C635771 8981660

JAMINAN
1 Djuwahir 1 NPBI 73 th L MRK 1 C633909 8961042
2 Sujana 3 PBI 48 th L R2B C628191 8958700
3 Widodo 3 NPBI 44 th L R2B C623536 8974085
4 Tasya Ayu Anggraeni 3 NPBI 8 hr P NICU C635520 8979597
5 By.Ny. Nurul Talibah 3 PBI 30 hr L PBRT C632198 8942885
6 Rusnadi 3 PBI 38 th L R1B C597382
7 Ruslani 3 NPBI 73 th L R1B C626812 8978804
8 Taulya Dewi 3 NPBI 45 th P Pol MTA C466964
9 Supardi 3 PBI 60 th L Pol MTA C593963
10 Kasminah 3 PBI 46 th P Pol MTA C634317
11 Suhardi 2 NPBI 43 th L Pol MTA C634422
12 Tutik Susilowati 2 NPBI 52 th P KPD D C497524 8978779
13 Suwantini 3 NPBI 37 th P R4B C626201
14 Bambang Supriyadi VIP NPBI 47 th L GRD L4 C635487 8979690
15 Ngatemii 1 NPBI 67 th P KPD 1 C562014
16 Ronald Kusumah 1 NPBI 57 th L KPD 1 C620756 8949470
17 Nafi'ah 3 NPBI 45 th P R2A C633063 8977092
18 Sri Sunarni 2 NPBI 66 th P MRK D C344416 8978890
20 Budi Irawan VIP JASA 23 th L MRK 2 C634995 8977141
21 Danu Setyo Widodo 3 NPBI 11 th L Anak 1 C634302 8970150
22 Supriantoro 1 NPBI 48 th L KPD 1 C631547 8977101
23 Nur Madhoni 3 NPBI 2 th P Anak D C616335 8973982
24 Suharto, BA VIP NPBI 71 th L MRK 2 C632519 8972616

25 Sudanarko 1 NPBI 48 th L KPD 1 C595974 8972594
26 Achamd Muchdori 3 PBI 69 th L R1B C633134 8977114

27 Rupadi 1 NPBI 56 th L MRK 1 C500494 8969989
28 Abdurochim Al Farisi 2 NPBI 6 th L Anak D C634460 8970145
29 Parinah 3 PBI 61 th P R3A C633513 8965596
30 Komara Titis Hardini 1 Um 30 th P MRK 1 C405831 8979609
31 Bambang Heriyanto 1 NPBI 50 th L KPD D C603765 8977109
Y Wahyuni Dewi Kusbianto 3 NPBI 35 th P R2A C555276 8960301
33 Slamet Senari 3 PBI 35 th L R3B C635007 8977131
34 Julianto 2 Um 45 th L MRK LD C634977 8977140
35 Naning Martdiastuti 2 NPBI 53 th P KPD D C629253 8978815
36 Nailul Khusni 3 NPBI 26 th P B31 C482209 8979523
37 Zendy Aulia Azzahra 2 NPBI 4 th P Transit C635680 8979638
38 Aan Soe Saseno 2 NPBI 3 th L Transit C624314 8979580
39 M Subchan Nuzari VIP NPBI 10/31/1964 L GRD L6 C604152 8980604
40 MM. Suyatni VIP NPBI 1/23/1953 P GRD L5 C229029 8976893
41 Werdi Astuti 1 NPBI 53 th P B31 C365773 8979515
42 Murniati Hadi Santoso 1 NPBI 66 th P MRK 1 C442216 8974856
43 Sri Tunggal 3 PBI 10/10/1960 P R3A B278114 8977136
44 Tutut Ariyanti 3 NPBI 28 th P R4A C623694 8979299
45 Turiyah 3 PBI 46 th P R4B C623694 8979501
M : NO,AU,HR,DB,SU,PS,EA RR : FA,EM,SR MID : SAM,MW RR GRD : WI SORE PROGRAM : RK,TW,WU,TR,AR

46 Rini Manfaati 1 NPBI 34th P KPD 1 C635973 8982322
CITO
47 Sriamah 3 NPBI 55th P R2A C635819 8982339
48 Adelya Hulut Rahmawati 3 NPBI P C1LD C626682 8983813
49 Suasri VIP NPBI 53th P GRD 6 C332107 8980686
50 Saryadi 3 NPBI 62th L R6B C623808 8977486

51 Pindi Kurniawati 1 NPBI 28th L B31 C394172 8981347
52 Rachel Widodo Saputro IRINB Um 3th P PICU C635937 8984394
53 Millraitiningrum VIP NPBI 36th P GRD 3 C625553 8982340

54 Lis Setyowati 3 um 32th P B31 C636112 8984235
JAMINAN
1 Farizan Ahmad Luthfani 3 PBI 13 th L Anak 1 C634271 8970270
2 Diah Ayu Senja Puspita Sari VIPA NPBI 29 th P GRD L5 C595841 8974922
3 Gibran Ghani 3 NPBI 29 th L Pol URO C628226
4 Sri Hardjanto VIP NPBI 3/12/1945 L GRD L6 C634535 8982156
5 Ad Teguh 1 NPBI 51 th L KPD 1 C629350 8982289
6 Suratno 1 NPBI 60 th L MRK 1 C349354 8949617
7 Sri Kuswati VIP NPBI 5/31/1953 P GRD L6 C632274 8980902
8 Asih Sholihah VIP NPBI 12/31/1940 P GRD 5 C629194 8982170
9 Munosarotul K 3 NPBI 1/18/1972 P R3A C595326

10 Tan Yau Lim Privat NPBI 60 th P Pol GRD C634171
11 Sri Astuti Privat NPBI 65 th P Pol GRD C627126
12 Sujanto Privat NPBI 57 th L Pol GRD C566490

13 Subut 1 NPBI 63 th L Pol MTA C622642
14 Masriah 3 PBI 52 th P Pol MTA C363298
15 Witono Privat NPBI 76 th L Pol GRD C630287
16 Reyna Christiana 3 NPBI 35 th P R5B C633155 8982221
17 Siti Fatonah 2 NPBI 37 th P B31 C635762 8979750
18 Slamet Raharjo 3 PBI 32 th L R3B C626852 8978873
19 Poniman Alias Ngadimoen 3 PBI 70 th L R3B C608420 8978805
20 Jefri Arif Pambudi 1 NPBI 21 th L MRK L1 C471261 8984191
21 Tan Ermin Nio VIP NPBI 8/15/1955 P GRD L6 C497244 8981224
Agnes Elisabeth
22 2 NPBI 56 th P MRK 1 C499880 8977081
Purwaningsih
23 Ghupron 3 NPBI 45 th L R6B C635311

24 Sutar 1 NPBI 66 th L KTL C281359
25 Lucia Sunarsih 2 NPBI 48 th P MRK D C633507 8972756
26 Endang Utami Sayekti 2 NPBI 34 th P KPD D C623451 8982273
27 Nur Hidayati 1 NPBI 3/16/1972 P KPD D C509509 8983256
28 Sumini 2 NPBI 40 th P KPD D C618290 8982267
29 Kenzie Varen Rafassya VIP NPBI 9/4/2015 L GRD L3 C633666 8981700
30 Fransisca Sri Mugiarti 3 NPBI 2/21/1954 P R6A C633829 8960784
31 Sri Widiastuti 2 NPBI 48 th P MRK D C622853 8978875
32 Sukarlin 3 PBI 42 th P R2A C628283 8982187
33 Nizam Hazzar Hadiyanto 3 JMD 4 bln L Anak D C629535 8978842
34 Fadlan Hadi Chuseno 3 PBI 50 th L R1B C602562 8974919
35 Tohari 3 PBI 39 th L R1B C630044 8977072
36 Machfud 1 NPBI 74 th L KPD D C629176 8972689
37 Sulaiman Soediharto 3 NPBI 73 th L R2B C634250 8979528
38 Rafanda 3 NPBI 10 bl L Anak 1 C632536 8947156

39 Dwi Setiono 3 JMD 31 th L R3B C634481 8969358
40 Sri Handayani 3 PBI 41 th P R3A C602880 8940273
41 Mahmudi 3 PBI 43 th L R2B C634659 8974893
42 Dian Syah 3 um 25 th P R1B C633749 8960959
43 Akhmad Samlawi 2 NPBI 8/14/1962 L KPD 1 B265322 8982490
44 Tumini 2 NPBI 2/22/1960 P KPD 1 C632438
45 Samron 3 NPBI 49 th L Elang 1 C577743 8980723
46 Rufaiyah 1 NPBI 49 th P KTL C634224 8965579
47 Nadiroh 3 NPBI 36 th P R4B C629979 8980651
48 Nurina Febriyanti 1 NPBI 26 th P B31 C630508 8979738
49 Bambang Budiono VIP NPBI 4/16/1962 L GRD 5 C635780 8979627
50 Sumiyatun VIP NPBI 4/3/1962 P GRD 5 C631905 8981798
51 Nuhkin 3 NPBI 44 th L R2B C633306 8978866

52 Adelliya Intan Ariana 3 NPBI 5 th P ELA 1 C321273 8982131
53 Arif Pambudi 2 NPBI 16 th L KPD 1 C635093 8984328
54 Qaulalhaq Endra Adina 2 NPBI 1 bl L C1LD C635701 8984220
55 Bagas Dwi Laksono 3 NPBI 1 th L C1LD C587989 8978836
56 By. Ny. Atik 3 NPBI 1 bln P C1LD C628587
M : NO,UM,WD,AR,AU,EA,HA RR : FA,EM,ST MID : SAM,SE RR GRD : WI SORE PROGRAM : TW,RK,WU,AY,NI,R
57 Budi Suroso VIP NPBI 52th L GRD 4 C636118 8984486
58 Jefri Faunus Tolib 3 UM 23th L R3B C634986 8972650

59 Tri Budiarti 3 NPBI 51th P R6A C175759 8979759
60 Maryam 3 PBI 55th P R2A C595454 8977036
61 Ma'mun H 2 NPBI 61th L KPD 1 C583467 8984417
CITO
62 Akhmad Samlawi 1 NPBI 54th L KPD 1 B265322 8982490
63 Fanty Haswiyanti 2 NPBI 29th P B31 C441243 8982161
64 Suyati 3 NPBI 54th P R4A C633481 8977865
65 Sutinah 3 NPBI 60th P GCU C634127 8969095
66 Indah Pujihastuti VIP NPBI 32th P GRD 3 C386009 8984490
67 Iklimah 3 PBI 23th P B31 C636060 8984335
68 Harsini IRINB PBI 52th P ICU C636123 8986607
69 Sarwati IRINB um 44th P ICU C636152 8984576
70 Siti Jamilah 3 PBI 57th P R4A C524963 8984543
71 Nanda Nur Hasanah 1 NPBI 33th P B31 C464427 8986558
72 Sutiman 3 JMD 56th L R2B C635528 8979508

73 Nur Hikmah 2 NPBI 36th P MRK D C530653 8954668
74 Budi Suroso VIP NPBI 52th L GRD 4 C636118 8984486
75 Roni Cahyo Lelono 3 JMD 36th L R5A C185856 8980727

JAMINAN
1 Rita Wulandari VIP NPBI 46 th P GRD L3 C634638 8969742
2 Syifa Maulida Agustina VIP um 21th P GRD 3 C629075 8982209

3 Keysha Azalia Reka Firdaus 1 NPBI 1 th 8 bl P Anak 1 C596278 8978887
4 Aufa Salsabila 1 NPBI 26 th L KPD 1 C632111 8967928
5 Muhamad Afif Wicaksono 1 NPBI 10 th L Anak D C624755 8978835
6 Naveen Kalila Bellaqua 3 NPBI 2 th 6 bl P Anak D C625088 8978852
7 Sudarmono VIP Umum 55 th L GRD L4 C634315 8980234
8 Harinus 1 NPBI 50 th L KPD 1 C630746 8977125
9 Sukirman 3 NPBI 50 th L R2B B249402 8954646
10 Cahyaningsih VIP NPBI 2/22/1956 P GRD 6 C585641 8972609
11 Slamet Arifin 3 NPBI 38 th L R2B C084065 8984527
M : NH,WD,HA,AR,RE SORE PROGRAM :GI*,AF,SR,DY,RG*,AM
12 Dolly Hapy Pradana 1 NPBI 23th L KPD 1 B035112 8986662
CITO
13 Subardi 2 um 37th L IGD C636342 8986824
14 Ambar Pujiati 3 PBI 34th P B31 C636316 8986747
15 Rita Wulandari VIP NPBI P GRD 3 C634638 8969742
16 Tumijo IRINA NPBI 56th L ICU C636328 8986878
17 Murtinah 3 PBI 35th P B31 C462063 8984381

18 Muhammad VIP um 2bl L GRD 3 C634702 8970064
20 Jimmy Rahman 3 um 18th L R1A C636346 8986937
21 Sugiyanto 3 NPBI 66th L R1B C636230 8986959
22 Djatmiko 2 NPBI 64th L IGD C612000 8986876

JAMINAN
1 Hideyosi Dimas N 3 NPBI 3 th L Pol URO C636025

2 Sutinah 2 NPBI 31 th P KPD D C404767 8972719
3 Marji 3 PBI 44th L R2B C609358 8974895
4 Rofi Handayani 3 NPBI 41 th L Pol URO C473331
5 Robiyati 3 NPBI 4/4/1974 P R4A C618113 8984556
6 By,. Nila Witria 2 NPBI 1 hr P IGD C636059
7 M. Rino Nur Syafa'a 3 NPBI 8 th L Anak 1 C634720
8 Arza Alfiansyah Saputra 3 PBI 3 bl L Anak D C628298 8982321
9 Neneng Zubaidah 1 NPBI 30 th P MRK 2 C635291 8978985
10 A. Sukarjo 1 NPBI 68 th L Pol MTA C606749
11 Titik Purwaningsih Privat NPBI 56 th P Pol GRD C515182

12 Prio Prambodo 2 NPBI 18 th L Pol MTA C635081
13 Soehartono 1 NPBI 65 th L Pol MTA C635300
14 Ngatinem 3 NPBI 56 th P R3A C623705 8972784
15 Isnaeni VIP NPBI 5/18/1970 P GRD L6 C632632 8972606
16 Diana Mocodompis 2 NPBI 43 th P MRK D C635104 8974847
17 Sri Sukadarmaningsih VIP NPBI 60 th P GRD L5 C635047 8981954
18 Saodah 3 NPBI 56 th P R4A C634318 8968682
19 Sugiyem 3 NPBI 10/11/1954 P R2A A482137 8982307
20 Ummi Syafaah 2 NPBI 37 th P KPD D C532885 8984557
21 Ngatemi 1 NPBI 57 th P KPD 1 C562014 8978889
22 Kariyati 3 NPBI 37 th L R4B C634969 8972755
23 Dwi Ferinawati 2 NPBI 2/28/1966 P KPD D C607862 8986857
24 Ita Rustiana 2 NPBI 1/3/1996 P KPD D C630399 8986017
25 Muslikah 2 NPBI 9/8/1963 P KPD D C630358 8986918
26 Sri Hidayah 3 PBI 6/6/1996 P R4B C627750 8909393
27 Haryono 3 NPBI 40 th L R2B C635768
28 Sulkan 3 NPBI 42 th L R5A C635396 8978918
29 Rohyadi 3 NPBI 67 th L R5A C635312 8984395

30 Dinda Dewi 3 NPBI 7 th P Anak D C625372
31 Esther Yuniarti 1 NPBI 43 th P KTL C192225 8979268
32 Warjo 3 NPBI 59 th L R2B C604110 8974876
33 Gimin 3 NPBI 65 th L R1B C628120 8982186
34 Ahmad Dul Wahab 3 PBI 26 th L R1B C597101 8982252
35 Muhamad Dhori 3 PBI 20 th L R1B C239129 8982183
36 Sujarmi 3 NPBI 47 th P R3A C633980 8982323
37 Hasnna Putri 3 NPBI 5 th P Anak 1 C556522 8982198
38 Nuryati 2 NPBI 3/11/1960 P KPD D C632514 8986827
39 Teguh Basuki 3 NPBI 41 th L R1B C625538 8960225
Muhammad Fathir Faikar 2 NPBI 15th L ELA 1 C590230 8986280
40 Widyaningsih 2 NPBI 1/17/1990 P KPD D C420922 8982721
41 Getmi Arum Puspitasari VIP NPBI 1/16/1983 P GRD L6 C625370 8982073
42 Suci Rahayu 2 NPBI 55 th P B31 C636036 8984455
43 Muchayanah 3 NPBI 48 th P R2A C465288 8982247
44 Anna Endah Winarni 1 NPBI 7/2/1963 P KTL C461048 8961007
45 Eko Supriyanto 2 NPBI 4/7/1971 L KPD 1 C635010 8986836
46 Jhony Anwar 2 NPBI 46 th L MRK D C614070 8970159
M :NH,RG,SR,TR,RE,MK,AM RR :FA,EM,AT MID : SAM,SE RR GRD : WI SORE PROGRAM :RK,GI,AI,II,TW,SA,AY
63 Soeparti 2 NPBI 56 th P MRK D C628980 8986676
64 Mexiatlia Setiawati,dr VIP NPBI 2/27/1967 P GRD L6 C085560 8986929
65 Wanto 3 PBI 32th L R2B C635982 8984367
66 Falih Ubaidillah 1 NPBI 1 th L Anak D C622541 8986892
67 Ariyadi 1 NPBI 54 th L KPD 1 C579066 8986646
68 Munasarotul Khoiriyyah 3 PBI 1/18/1971 P R3A C595326 8982205

69 Muhammad Arkan Nizar 3 PBI 8/2/2008 L C1LD C625094 8982283
70 Oka Giang Fahreza 3 NPBI 14 th L C1L1 C630890 8984533

71 Muhammad Ridho Maulana 3 NPBI 4 th L C1L1 C635998 8984529
72 Jumariah 3 NPBI 62 th P B31 C247034 8979613
73 Muh Rodin 3 PBI 64th L R3B C634060 8986744

74 Djatmika 1 NPBI 7/18/1968 L MRK 2 C574940 8979306
75 Lastri 1 NPBI 37 th P MRK 2 C597882 8977138
CITO
76 Kasmari 3 NPBI 52th L R2B C633619 8960372
77 Sugeng Efendi 2 NPBI 51th L MRK D C633957 8986740
78 Djatmiko IRINA NPBI 54th L HCU C612000 8988681
79 Galoeh Dasa Poetriyani 1 NPBI 37th P B31 C605253 8986705
80 Jumyati 3 NPBI 24th P B31 C636527 8988599
81 Fifi Amalia 3 um 28th P B31 C636385 8987013
82 Siti Sholekhah 3 um 30th P B31 C636392 8987020
83 Nur Winarsih VIP NPBI P GRD3 C636332 8986789
84 Sugiyanto 3 NPBI 50th L R6B C636379 8988753

85 Kholifah 3 NPBI 56th P IGD C636413 8988453
86 Novita sari 3 PBI 19th P R4A C635293 8977901
87 Qushay Ichsan Al Fathah 3 PBI 16th L C1LD C636513 8988735

JAMINAN
1 Sri Wulandari 2 NPBI 40 th P KPD D C558224 8980712
2 Endang Djoehartini VIP NPBI 56 th P GRD L4 C617093 8986862

3 Sri Rejeki VIP NPBI 2/22/1955 P GRD L4 C618921 8986861
4 Naufal Galen VIP Um 10 th L GRD L3 C523021 8988507

5 Munawati 3 NPBI 45 th P R4B C613082 8986690
7 Steven PO 2 NPBI 62 th L Transit C630306 8986729
8 Puspa Ardiani 1 NPBI 32 th P Transit C594582 8984563
9 Kasni 3 PBI 57 th P R4A C634869 8982336
M :GI,TR,AF,AM,MK,RG,SR RR :FA,AT,SAM,SE SORE PROGRAM : TD,TW,AY,AN,SA,DY,YN,ES,MY,MW,YS,DN,RA,RI,RM,VQ

10 Junaedi Rahajo 1 NPBI 55th L KPD D C577712 8986984
11 Wahyu Trijotho VIP NPBI 49th L GRD 4 C636010 8985878
12 Rifana Stegfani Ashadia 3 NPBI 1th P C1LD C619192 8979699
13 Sutarmisih IRIN B PBI 43th P R6A C603381 8979224
14 Caridin 3 NPBI 55th L R3B C635454 8979555
CITO
15 Muhammad Akhsani Al Fatih 3 NPBI 1th L C1L1 C619679 8988630
16 Tanyu 3 NPBI 62th P R4B C605282 8952495
17 Parti 3 NPBI 24th P R2B C636575 8988988
18 Sofiyatun 1 NPBI 56th P KEMO C563052 8982120
19 Sarwati 3 JMD 44th P B31 C636152 8984576
20 Retno Sutantri VIP NPBI 42th P GRD 3 C440795 8988987

JAMINAN

1 Adytya Dwi Kurnia 1 um 21th L MRK 1 C636641 8989105
2 Bukhori 3 PBI 47th L R2B C636623 8989239
3 Retno Sutantri VIP NPBI 42th P GRD 3 C440795 8988987
JAMINAN
1 Najata Tahta Auliya 2 NPBI 6 th P Anak D C573672 8982292
2 Hery Susanto 1 NPBI 74 th L KPD 1 C632585 8978820
3 Nikmah 2 NPBI 49 th P KPD D C593670 8979564
4 Lian Afaf Adil Saputra 3 JMD 18 th L R3B C634954 8972661
5 Ani Tristianti 3 NPBI 36 th P R3A C633383 8986689
6 Farras Auzan Al Muzamil 3 NPBI 5 bl L C1LD C628197 8982275
7 Anisa Wianida Nurjanah 3 NPBI 7 bl P C1LD C629175
8 Muhammad Rino Nur Syafa'a 3 PBI 8 th L Anak 1 C634720 8970126
9 Nanik Daryami Privat NPBI 57 th P Pol GRD C632998

10 Sulastri 1 NPBI 60 th P P. Mata B219820
11 Sukari 2 NPBI 59 th L P. Mata C635788
12 Joni Yoga 3 NPBI 17 th L P. Mata C635351
13 Johanes 3 NPBI 72 th L Pol VAS C556695
14 Linggayanti Wijaya 1 NPBI 42 th P KPD 1 C635260 8979752
15 An M. Teguh Azmi 3 NPBI 2 th L P. Bdh C626602
16 Nur Solikhin 2 NPBI 7/21/1971 L KPD D C634498 8989168
17 Mulyatni 1 NPBI 55 th P KPD 1 C620444 8967978
18 Rukanah 1 NPBI 59 th P MRK 1 C559230 8982239
19 Nurul Hidayah 3 NPBI 25 th P R3A C376676 8982256
20 Leginah 3 NPBI 53 th P R3A C628097 8984555
21 Yayah 3 NPBI 7/1/1970 P R2A C633121 8986490

22 Wahyu Erlina 2 NPBI 9/19/1972 P KPD D C493277
23 Lina Safitri 3 NPBI R2A 8986640

2/4/1998 P C631813
24 Paini 2 NPBI 2/16/1970 P KPD D C633358 8989146
25 Yuniati 2 NPBI 10/17/1981 P KPD D C635872 8989163
26 Agus Priyono 3 NPBI 42 th L R2B C624300 8977153
27 Abyar Rizqi Daffa 1 NPBI 20 th L KPD 1 C636050 8989144
28 Siti Rochaniah 2 NPBI 11/16/1986 P P. ORT C629073
29 Dinda Dewi Febrianti 3 NPBI 7 th P Anak D C625372 8982293
30 Ahmad Denis Setiansyah 3 NPBI 4 th 8 bl L Anak D C631191 8986761
31 Zara Safia Kaynara Shanui 3 NPBI 3 th 3bl P Anak D C624632 8986764
32 Muhamad Farel Nur V 3 NPBI 2 th 7 bl L Anak D C632576 8984440
33 Vania Three Oktarina 3 PBI 1 th 6 bl P Anak D C577988 8986759
34 Ulya Azizah 3 NPBI 7 bl P Anak D C620081 8986762
35 Fathiya Tanisha Nurgaza VIP NPBI 3/24/2014 P GRD L3 C557654 8988170
36 Darimah 3 PBI 52 th P R3A C418895 8979522

37 Sukamto 3 NPBI 66 th L Pol ORT C432553
38 Putri Wulan 3 NPBI 17 th P Pol OBG C584347
39 Sugiyanto 3 NPBI 69 th L Pol ORT B032273
68 Sumarti 1 NPBI 41 th P Elang 1 C606440 8976953
41 Ida Susana 3 NPBI 38 th P R5B C614638

42 Supriyadi 2 NPBI 29 th L KPD 1 C622002 8989131
43 Dewi Astuti 2 NPBI 32 th P B31 C633960 8986906
44 Ponirah 2 NPBI 39 th P B31 C624566 8924566
45 Jumiah 3 NPBI 47 th P R5B C620541 8980834
46 Dwiyanto 3 PBI 32 th L R2B B424603 8978848

47 Sugito 3 NPBI 63 th L Ger D C635032 8972771
48 Nur Asiyah 3 NPBI 55 th P R2A C614956 8986658
M : ST,AN,AT,DY,ES,MY,YS RR :FA,AR,DN MID : SAM,SA RR GRD : AS SORE PROGRAM :AP,WU,II,BD,AG,BR,
49 Kusmiatun 2 NPBI 41 th P KPD D C6372220 8977100

50 Sri Pujiati VIP NPBI 7/28/1971 P GRD L5 C636130 8988941
51 Andrius Budi Darminto 3 PBI 20 th L R5A C623003 8986875
52 Gaozhan Tristan P 1 NPBI 1 th L MRK D C560590 8986727
53 Isnanto 3 PBI 28 th L R2B C636219 8987961
54 Yulita Hartini VIP NPBI 7/30/1962 P GRD L5 C397828 8982215
55 By. Muriani Puji Lestari IRINA NPBI 16th P PBRT C632174 8982337
56 Sudirman 3 NPBI 58 th L R1B C634880 8986742
57 Mochamad Muntholib VIP NPBI 45th L GRD 6 C420770 8942464

58 Tri Endang Kurniasih VIP NPBI 7/26/1959 P GRD L3 B225769 8965584
59 Yusuf Wibowo 1 NPBI 58 th L KPD D C624386 8986939
60 Mochamad Muntholib VIP NPBI 12/18/1971 L GRD L6 C402770 8942464
CITO
61 Sigit Ardiyanto IRINB PBI 19th L R1A C636606 8989185
62 Yuniza Putri 2 um 2th P IGD C636669 8989205
63 Ahmat Asfa Aditya IRINB Um 2th L HCU C636679 8992019
64 Gina Nurhaeni VIP NPBI 30th P GRD 3 C630641 8989277
65 Bambang Priyanto 3 NPBI L R2B C636683 8991269
66 Anik Sari Utami 3 PBI 36th P B31 C636866 8991133
67 Gaozhan Tristan Pachrossy 1 NPBI 1th L C1LD C560590 8986727
68 Rokhani 3 NPBI 30th P R2B C635235 8990757
69 Anita Khoirala 3 PBI 18th P R3B C632963 8991105

JAMINAN
1 Mohamad Amin VIPA NPBI 56 th L GRD L5 C527906 8989060
2 Tri Endang K VIP NPBI P GRD L3 B225769
3 Chamidah 3 NPBI 58 th P R2A C622934 8977040

4 Sri Munjanah 3 PBI 56 th P R3A C343514 8987845
5 Anisa Wianida Nurjanah 3 NPBI 7 bl P C1LD C629175
6 Al Ariq Davi Rafandra 3 NPBI 2 th L C1LD C556442 8987614
7 Zafran Fatkhur Rafizqi 3 NPBI 9bl L C1L1 C621416 8984535
8 Sri Andayani 3 PBI 12/19/1975 P R6A C634086 8963404
9 Tan Yauw Liem Privat NPBI 60 th P Pol GRD C634171

10 Sukirno 3 NPBI 48 th L Pol MTA C635107
11 Ahmadi 3 NPBI 60 th L Pol VAS C626924
12 Shokip 3 NPBI 61 th L Pol VAS C539304
13 Sri Kusmiyani 1 NPBI 44 th P B31 C557678 8986593
14 Sri Kuntari VIP NPBI 54 th P GRD L3 C635856 8988120
15 Tri Handayani 1 NPBI 58 th P KPD L1 C615405 8988709
16 Tanyu 3 NPBI 62 th P R4B C605282
17 Yanuar Fermana Putra 1 NPBI 29 th L Elang II C630679 8972778
18 Munafiah 3 NPBI 50 th P R3A C636378 8987021
19 Eveline Sarkam 2 NPBI 67 th P GER LD C384701 8970387
20 Mundiroh 3 NPBI 46 th P R6A C628088 8982284
21 Subarta 1 NPBI 57 th L KTL C121099 8986286
22 Sutar 1 NPBI 69 th L KTL C281359
23 Wiranto Hadinata 2 NPBI 83 th L KPD D C635699 8979577
24 Trisadar Santoso 2 NPBI 49 th L MRK D C633331 8974784
25 Fenustin Oktolina 1 NPBI 42 th P KPD 1 C626529 8989009
26 Muntaroh 1 NPBI 56 th P KPD LD C594497 8988746
27 Safinati 3 PBI 42 th P R4B C598127 8986698
28 Sulistinah 3 NPBI 39 th P R2A C613627 8988639
29 Tarsih 3 PBI 75 th P R2A C630951 8989018
30 Tumin VIPA NPBI 3/5/1945 L GRD L4 C412665 8989206
31 Rizki Imam Mundori 2 UM 20 th L Transit C636630 8989183

32 Riyandi 3 PBI 17 th L R1B C635976 8984547
33 Akhsin 3 PBI 26 th L R1B C633180 8965458
34 Sukamto Haryono 3 NPBI 23 th L R3B C633932
35 Reni Puspitasari 2 NPBI 36 th P MRK LD C608749 8989033
36 Mustianah 3 PBI 65 th P R3A C223556 8984545
37 Ina 1 NPBI 26 th P KPD L1 C636519 8988759
38 Afifah 3 PBI 71 th P R3A C627426 8984532
39 Sukati 3 PBI 49 th P R3A C631998 8988667
40 Suntini 3 NPBI 46 th P R2A C621848 8974105
41 Johari Firdaus 3 PBI 16 th L C1L1 C620642 8986930
42 Nurchasanah 3 NPBI 42 th P R5B C634901 8975333
43 Rizal Muhaimin 3 NPBI 15 th L C1LD C589148 8978921
45 Oetarijah VIP NPBI 69 th P GRD 4 B404509 8986904
46 Yulda Lena 3 NPBI 45 th P Elang I C603537 8989154
47 Ido Rikardo 3 PBI 15 th L Elang I C453119 8989141
48 Suripah VIP NPBI 5/5/1970 P GRD 4 C529953 8989164
49 Damisih 3 PBI 39 th P B31 C623180 8988939
50 Ernawati VIP NPBI 7/7/1976 P GRD L3 C635265 8988668
51 Sri Lestari 3 NPBI 44 th P R4B C627940
52 Ajeng Kusumadianti VIP NPBI 5/17/1994 P GRD L6 C633420 8989819
53 Karmijan 2 NPBI 9/21/1955 L Transit C597552 8987004
54 Saslikah 3 NPBI 48 th P R6A C634731 8979188
55 Tasripin 2 NPBI 60 th L MRK LD C632218 8960361
M :II,PM,ES,DM,MY,YS,IS RR :FA,AR,DN MID : SAM,EM RR GRD : AS SORE PROGRAM :AP,WU,AG,BR,BY,BD,D
56 M Hafizh Arfaditya VIP NPBI 9 bln L GRD 3 C621416 8991321
57 M. Izaz Syakib 3 PBI 1 th L C1LD C630971 8988417
58 Nabila Zalfa 3 um 7th P C1L1 C635989 8986617

59 M Galih Tri Cahyono 3 NPBI 10th L C1L1 C636302 8986994
60 Ghufron VIP NPBI 57th L GRD 4 C633910 8989967
61 Rusti 3 PBI 47th P R4A C419371 8974811
62 Tjasidi VIP NPBI 66th L GRD 4 C636180 8986750
CITO
63 Nur Mahmudah 2 NPBI 30th P B31 C636663 8989189
64 Elisabeth Weringkukly 1 NPBI 18th P B31 C636977 8993478
65 Amin 1 NPBI 50th L KPD 1 C635581 8979309
66 Sumarno 1 NPBI 61th L MRK 1 C632353 8993537
67 Darminah 1 NPBI 80th P ELA 1 C609800 8993161
68 Tan Ermin Nio VIP NPBI 61th L GRD 6 C497244 8981224
69 Rusnawati 2 um 22th P B31 C63098 8993411
70 Suyanto 3 PBI 39th L R2B C629052 8993524

JAMINAN
1 Zidan Ivan Azhar VIP NPBI 9 th L GRD L3 C636767 8992555
2 Ukik Yulianto 3 NPBI 28 th L R2B C621886 8974872
3 M. Khoerul Azam 3 NPBI 4 th L C1LD C633130 8982288
4 Marji 3 PBI 44 th L R2B C609358 8974895
5 Anisa Wianida Nurjanah 3 JMD 7 bl P Anak D C629175 8982254
6 Hakiki Kurnia Wicaksono 3 PT 21 th L R2B C636341 8988037

7 Ariati Mawarih Atmojo 2 NPBI 42 th L MRK D C191350 8977805
8 Riauwati Priv NPBI 68 th P P. GRD C092685

9 Sri Sulastri 1 NPBI 61 th P P. Mata C615133
10 Reny Herawati 1 NPBI 60 th P P. Mata C536775
11 Djumini 3 NPBI 41 th P P. Mata C632095
12 Sukardi 3 PBI 57 th L P. Mata C636240
13 Tri Rahayu 1 NPBI 4/3/1979 P KPD D C622420 8993395
14 Riyatun 3 NPBI 54 th P R6A C636400 8988636
15 Sri Murtini 3 NPBI 1/22/1980 P R3A C630719 8987654
16 Tjai Seng VIP Um 3/15/1963 L GRD L4 C637005 8992740
17 Gafur Rahadian, SE VIP NPBI 6/29/1983 L GRD L5 C635414 8991159
18 Bambang Sukamto 3 NPBI 54 th L R3B C634267 8967818
19 Yahya VIP NPBI 7/12/1960 L GRD L4 C346187 8991052
20 Sri Narwati 1 NPBI 48 th P KTL C557105 8991294
21 Wasiah 3 PBI 48 th P R2A C614066 8985542
22 Wasiti 3 NPBI 56 th P R2A C634874 8988716
23 Kalimah 3 NPBI 69 th P R2A C634888 8988729
24 Christian Dedy Wibowo 3 NPBI 21 th L R5A C635869 8986795
25 Ali Akhwan 1 NPBI 56 th L MRK 1 C636675 8989238
26 Khoirul Imam 3 PBI 24 th L R2B C636628

8989089
27 Mulyo Diharjo 3 BPJS 27 th L R1B C635530 8979536
28 Sulkan 3 um 42 th L R5A C635396 8978918
29 Nafiah Afnan Afanin 3 NPBI 1 th P Anak D C595234 8988473
30 Muhamad Lizamuddin 3 NPBI 1 th L Anak 1 C636705 8991308
31 Muh Ali Murtadho 3 NPBI 38 th L R1B C614721 8988627
32 Sudri 2 NPBI 53 th L KPD D C567229 8979757
33 Warmiati 3 NPBI 53 th P R4B C634901 8978100
34 Nur Hayati 1 NPBI 7/1/1971 P KTL C626246 8964549
35 Budi Mulyanti 3 Um 51 th P R2A C636140 8986898
36 Sutarmi 2 NPBI 41 th P HCU C635500 8979587
37 Koo Djoe Thay VIP NPBI 73 th L GRD 4 C574894 8991302

38 Dedy Surya Pranoto 3 NPBI 20 th L R5A C606602
39 Ceysa Rahlil Habibah 2 Um 8 th P PICU C636515 8988535
40 Luluh Heningtyas 1 NPBI 24 th P Elang 1 B431637 8989167
41 Triyanti 3 NPBI 27 th P R5B C631620 8991396
42 Novy Zulaykha Paramitha 3 NPBI 22 th P R5B C631297 8991386
43 Aminah VIP NPBI 5/10/1963 P GRD L5 C636751 8990702

44 Enny Fakartiningtijas 2 NPBI 50 th P KPD 1 C633336 8991415
45 Sunarti 2 NPBI 43 th P KPD D C635904 8993136
M :II,PM,BD,SC,AG,BR,IS RR :FA,AR*,EM MID : SAM,RG RR GRD : EA SORE PROGRAM :AP,WU,NO,HR,BY,DA
46 Janti Mariana VIP NPBI 8/7/1947 P GRD 5 C636942 8993443
47 Rudolf Willem Valentino 2 NPBI 57 th L GER D C601252 8984922
48 Agung Yuliadi 1 NPBI 44 th L MRK 2 C636279 8986590
49 Damariyah 3 NPBI 35 th P R4A C631268 8986922
CITO
50 Khalimatus Sa'diyah 3 um 21th P B31 C637120 8993542
51 Bejo Sarjono 3 um 42th L R2B C637103 8993416
52 Rita Wulandari 1 NPBI 46th P GCU C634638 8969742
53 Haryanto, SH 1 NPBI 38th L KPD D C636599 8989021
54 Eni Purwati 1 um 24th P ELA II C636634 8989072
55 Ahmad 3 NPBI 48th L R2B C636915 8993473
56 Ruci Hema Sabrina 1 NPBI 30th P B31 C247620 8995445

JAMINAN
1 Samin 3 NPBI 57 th L R1B C627199 8977037
2 Ngasmi 3 PBI 57 th P R3A C629333 8993421
3 Supriyanti 3 NPBI 33 th P B31 C631293 8993436
4 Gilang Agustian Pradian 3 NPBI 3 th L Anak D C632346 8993469

5 Rayhan Dybala Ardhiyanto 1 NPBI 1 th L Anak D C604123 8988962
6 Muhammad Zidan Arzaqul 3 PBI 8 th L Elang 1 C635825 8981947
7 Wahyu Febdiyanto Privat NPBI 51 th L Pol GRD C631386

8 Sri Hartinigsih Privat NPBI 50 th P Pol GRD C317171
9 Ong Kwie Tjay Privat NPBI 79 th P Pol GRD C627325
10 Sutarni 3 NPBI 48 th P B31 C630248 8988700
11 Ahmad Zamroni 3 NPBI 41 th L R2B C636220 8986972
12 Sri Rahayu VIP NPBI 10/11/1960 P GRD L6 C105747 8993412
13 Bambang Susanto 3 PBI 12/10/1991 L R3B C402987 8993468
14 Rosikha 3 NPBI 53 th P R2A C634853
15 Juminah 3 NPBI R2A C635824 8994734

46 th P
16 Sutiah 3 NPBI R2A C629956 8993455

66 th P
17 Karsiti 3 PBI 52 th P R5B C635776 8991398
18 Kusuma Rahayu 3 PBI 17 th P R2A C597102 8988654
19 Agus Priyono 2 NPBI 10/9/1974 L ICU C624900 8977153
20 Heri 3 NPBI 31 th L R1B C635731 8981931
21 Mohammad Ali Sahid 3 NPBI 31 th L R1B C577695 8989066
23 Yahmin Daladi 1 NPBI 51 th L KPD 1 C622125
24 Jarmani 2 NPBI 53 th L MRK D C607671 8982241
25 Kuni 3 PBI 51 th P R3A C627281 8991155
26 KPD D 8990135
Rita Hastuti 2 NPBI 52 th P C634938
27 Sri Handayani 3 NPBI 41 th P R2A C621578 8984506
28 Dhifan Ilmi Pratama VIP um 20 th L GRD 5 C637207 8995163

29 Tasni VIP NPBI 11/12/1950 P GRD 5 C634132 8977725
30 Aditya Dwi Kurnia 1 NPBI 17 th L MRK 1 C636641 8989211
31 Suprihati 1 NPBI 47 th P Elang 2 C603439 8993168
32 Yeni Faradila 1 NPBI 33 th P B31 C630497 8991418
33 Hikam Nurmawati 1 NPBI 29 th P B31 C608144 8993394
34 Mukhamad Arkha Asyari 3 NPBI 5 bl L Anak D C625251

8993426
35 Stiven Jekonio Novianto 3 NPBI 2 th L Anak D C634419 8993454
36 Bagas Bayu Satria 3 PBI 4 th L Anak D C634505 8993450
37 Sumarti 3 um 48 th P R4A C635397 8977154
38 Ahmad Maulana Dian 3 NPBI 1/15/2014 L Anak 1 C636783

39 Joko Prihantoro Agung 1 NPBI 42 th L KPD 1 C633536 8991355
40 M. Thohir VIP NPBI 6/3/1952 L GRD L4 C631628 8991314
M :NO,AG,BR,BY,BD,DA,SC RR :FA,EM,WD MID : SAM,RG RR GRD : EA SORE PROGRAM :WU,HR,SA*,AR,AD*
41 Rami 2 NPBI 62 th P MRK D C635694 8979489
42 Umbarwati 3 NPBI 50 th P R2A C603244 8986696
43 Sai Sio Vincent 3 NPBI 19 th L R2B C631575 8936419
CITO
44 Lana Jauhar Putra 2 um 5th P IGD C637312 8995571
45 Darmaji 3 NPBI 40th L R2B C628932 8944972
46 Agung Nugroho IrinB NPBI 41th L ICU C637082 8996402
47 Dhani Ardhianto 3 PBI 22th L R6B C614678 8993357
48 By. Ika Nur Laila IrinB um 2th P PICU C637315 8994489
49 Bejo Basuki 3 um 28th P R2B C637316 8995594
50 Sulasih 3 PBI 35th P B31 C637453 8997602

JAMINAN

1 Soearti 2 NPBI 27/08/1950 P KPD D C636709 8997392
2 Darmin 3 PBI 83 th L R2B C627229 8978844
3 Jumino 3 NPBI 12/31/1969 L Ger D C613242 8995369
4 Yohanes Surlani 1 NPBI 60 th L KPD 1 C624981 8991361
5 Rusmiati Prasetio VIP NPBI 12/6/1999 P GRD L4 C635826 8995051
6 Maono 2 Um 65 th P Ger D C637254 8995428
7 Hosea Agus Priv NPBI 67 th L P. GRD C637177

8 Astuti 1 NPBI 52 th P P. Mata C610077
9 Hendi Sunarko Priv NPBI 64 th L P. GRD C617948
10 Tofan Kusnanda 3 NPBI 10/2/1962 L P. Mata C542083
11 Arif Septyana 2 NPBI 32 th L KPD 1 C589386 8996047
12 Rasumi 3 NPBI 59 th P R4A C622562 8995435
13 Sugeng Raharjo 3 Um 37 th L R2B C636917 8993515
14 Brian Indra P VIP NPBI 10/12/1981 L GRD L5 C635091
15 Siti Aminah 2 NPBI 63 th P MRK D C611340 8993488
16 Elisabeth Natalia 2 NPBI 12/19/1988 P KPD D B421358 8996613
17 Agung Yuhono 1 NPBI 41 th L KPD 1 C633529
18 Ahmad Nur Purwa Yudistira 3 NPBI 18 bl L Anak 1 C569743 8989223
Abimanyu Muhammad
19 1 NPBI 8 bl L Anak D C604964 8995511
Rayyan
20 Sudarmanto 3 NPBI 26 th L R2B C636297 8986973
21 Tupingi 3 PBI 44 th L R1B C623432 8989067
22 Sutarno 3 PBI 58 th L R1B C636605 8989065
23 Sukron Arifin 3 PBI 16 th L P. Mata C598022
24 Dwi Mulyanto 3 NPBI 23 th L R3B C635289 8978860
25 Nanik Wahyuningsih 3 NPBI 48 th P R3A C635948 8988736
26 Tin Suyati 2 NPBI 8/17/1956 P KPD D C318657 8995615
27 Kunaeni 2 NPBI 12/29/1962 P KPD D C636780 8997724

28 Agus Sudarmadji 3 NPBI 51 th L Elang 1 C634868 8994827
29 Zakiyyah 3 NPBI 15 th P Elang 1 B356541
30 Sugiarti 2 NPBI 47 th P Transit C628869 8993528
31 Hana Yuliana 3 NPBI 35 th P R2A C528503 8995438
32 Usmawati 3 NPBI 32 th P R2A C494430 8995526
33 Subandi VIP Um 5/30/1960 L GRD L6 C402106 8995523
34 Suhemi 3 PBI 46 th P R2A C635407 8995525
35 Ardika Arziki 3 NPBI 2/6/2016 P Anak 1 C636125 8986683

M :NO,AG,BR,BY,BD,DA,SC RR :FA,EM,ST MID : SAM,RG RR GRD : EA SORE PROGRAM : WU,AN,HR,AR,AD,T
36 Karmijan 2 NPBI 61th L MRK D C597552 8987004
37 Brian Indra Pradana VIP NPBI 35th L GRD 5 C635091 8991086
38 Nugroho Fajar Budiman 2 NPBI 35th L MRK D C634523 8997749
39 Causa Rahlil Habibah IRINB Um 8th P ICU C636515 8988535
40 Ahmad Maulana Dian K 3 NPBI 1/15/2014 L Anak 1 C636783 8991406
CITO
41 Ayu Candra 2 NPBI 22th P B31 C625296 8988733
42 Suprapti 1 NPBI 66th P GER 1 C256887 8992310
43 Syahubudin 1 NPBI 46th L KPD 1 C637490 8997764
44 Subur 3 um 58th L R5A C637492 8998142
45 M Galih Tri Cahyono IRINA NPBI 16th L C1L1 C636302 8986994
46 Masilah 2 NPBI 76th P Ger D C078326 8991447

JAMINAN

1 Usman VIP NPBI 76 th L GRD L4 C484480 8997645
2 Sri Harnanik 1 NPBI 55 th P B31 C631465 8993419
3 Dwi Harfiani Oktasari 3 NPBI 21 th P R5B C636117
4 Dewi Sugiarsih VIP NPBI 8/13/1983 P GRD 6 C623493 8997289
5 Nur Cholimah VIP NPBI 5/27/1963 P GRD 4 C636466 8997558
6 Dedy Surya P 3 NPBI 20 th L R5A C606602 8978862
7 Maskuri 1 NPBI 62 th L KPD 1 C617370 8984458
8 Yuli Budiyanto 3 NPBI 41 th L R3B C636982 8995556
9 Joko Pramono 2 PBI 44 th L KPD D C619036 8984189
10 Sumiati 2 NPBI 44 th P KPD D C636701 8991382
11 Rifa'i 3 JMD 35 th L R1B C634697 8970163
12 Sunaryo 3 PBI 53 th L R1B C609838 8993467
M :RK,SA,AR,AT,AD,EW,WI RR :FA,EM,SAM,EA SORE PROGRAM : AN,DY,HI,IS,JF,TU,PS,US,WD,MF,ANM,RM,TM ALA
13 Dwi Harfiani Oktasari 3 NPBI 21th P R5B C636117 8986933
14 Arif Wibowo VIP Um 47th L GRD 4 C635287 8999277
15 Siti Amanah 1 NPBI 61th P MRK 1 C188139 8969901
CITO
16 Panca Irawati 3 NPBI 32th P B31 C636066 8999202
17 Sopingi IRINA NPBI 61th L IGD B288982 8999598
18 Saadah IRINA NPBI 56th L ICU C501570 8999337
19 Ahmad Hafiz Hanafi 3 PBI 8th L C1LD C636931 8995579

20 Kusdi 1 NPBI 41th L KPD D C620369 8997743
21 Samoji 3 um 62th L R3B C637334 8999299
22 Kastari 3 PBI 60th P R6B C637124 8995354
23 Tuti Sugijarti VIP NPBI 67th P GRD 5 C066435 8999651
JAMINAN
1 Muhamad Munif Hidayat 3 PBI 29/12/2004 L Anak D C622297 8995466
2 Dio Satria Ansori 3 NPBI 19/10/2000 L Anak D C559813 8995476
M : RK,AN,AD,WI,WD S : DY,EA*,ER,TU,MW*
3 Sri Rahayu VIP NPBI 56th P GRD 6 C105747 8993412
4 Rukmi Indarwati VIP NPBI 48th P GRD 5 C632108 8997467
5 Rosidah 3 PBI 51th P R3A C201566 8990858
CITO
6 Imron IRINB PBI 54th L 54th C637686 8999772
7 Fanesa Intansari 1 NPBI 24th P B31 C452206 8989170

JAMINAN
1 Juna Tahrino Romadhon 3 NPBI 4 th L Anak D C498631 8991390
2 Chrisna Setyaningsih 2 NPBI 45 th P KPD D C636604
3 Sri Supartini 3 PBI 50 th P R2A C587988 8982255
4 Sulastri 3 NPBI 47 th P R5B C636340 8986957
5 Rakha Hamizan Arrasyid 3 NPBI 6 bl L Anak D C633363 8993481

6 Dimas Samana 3 NPBI 11 bl L Anak D C588919 8993445
7 Widiyanta 1 NPBI 48 th L MRK 1 C440788
8 Dasilah 3 NPBI 54 th P R6A C564053 8993503
9 Karwijono 3 NPBI 47 th L Pol MTA C630062
10 Imam Sutardi 2 NPBI 74 th L Pol MTA B236939
11 Darimah Privat NPBI 54 th P Pol GRD C624048
12 Nurjanah 3 NPBI 50 th P Pol MTA C605939
13 Haryanto 3 NPBI 56 th L Pol VAS C635308
14 Erlin 2 NPBI 39 th P MRK D C629513 8993519
15 Muksodah 3 NPBI 21 th P B 31 C631456 8995503
16 Insiyah 2 NPBI 60 th P R4B C629983 8993003
17 Brian Indra Pradana VIP NPBI 10/12/1981 L GRD L5 C635091 8991086
18 Fendy Gunawan 2 NPBI 12/28/1986 L Transit C636660 8989202
19 Sutar 1 NPBI 69 th L KTL C281359 8964084
20 Edi Rahmat 2 NPBI 44 th L Transit C587538 8991313
21 Gien Hok Nio 2 NPBI 62 th P KPD D C635829 8997654
22 Mukhtar 2 NPBI 58 th L MRK D C635925 8995574
23 Sutartik 3 NPBI 47 th P R2A C633136 8994810
24 Turahni 1 NPBI 61 th P Ger 1 C635146 8975575
26 Sukandar 3 PBI 46 th L R2B C636972 8993652
27 Imam Nawawi 3 NPBI 49 th L R5A C637143 8995552
28 Sani Budi S VIP NPBI 36 th L GRD 6 C541044 8997593
29 Khodirin 3 NPBI 53 th L R5A C617648 8993530
30 Rudhito VIP NPBI 6/18/1978 L GRD 6 C636370
31 Mamik K 3 PBI 44 th P R2A C625513 8984483
32 Mufrozi 1 NPBI 55 th L KPD 1 C635282 8993222

Murdiansyah 3 NPBI 69 th P ELA 1 C605001 8999593
Zakiyah 3 PBI 15 th P ELA 1 B356541 8994785
33 Parmi VIP NPBI 11/12/1983 P GRD L3 C172736 8995365
34 Ajeng Ayuningrum 2 NPBI 33 th P MRK D C602734 8995522
35 Hanifah 1 NPBI 45 th P KPD D C579074 8991379
36 Iswahningsih 2 NPBI 47 th P KPD D C436539 8976456
37 Lutfia Aurelita Daniswara 2 NPBI 11/11/2004 P Anak D C532259 8997704
38 Mustianah 2 NPBI 33 th P KPD LD C637588 8999885
39 Anindita Catur Hapsari 1 NPBI 20 th P MRK 2 C635486
40 Asyraff Arnino Danisawa 2 NPBI 1/1/2015 L Anak 1 C636918 8993397
M :NH,AN,EA,ER,TU,SE,WD RR :FA,SAM,SR MID : PS,DB RR GRD : AG* SORE PROGRAM :AH,AP,NI,BD,DY,EM
41 Sukini 3 PBI 51 th P R2A C624885 8984485
42 Siti 3 NPBI 57 th P R4A C637152 8996604
43 Siti Kodriyatun 2 NPBI 47 th P KPD D C322089 8999852
44 Naning Yuningtik 1 NPBI 6/27/1955 P KTL C609248 8999702
45 Tri Gunarni VIP NPBI 9/17/1967 P GRD 4 C637374 8999008
46 Kiswanto 2 NPBI 3/7/1989 L KPD 1 C632084 8999923
47 Ahmad Taryono VIP NPBI 8/2/1964 L GRD 4 C322937 8999666
48 Feri Hardin Bukhori 3 NPBI 43 th L R2B C637223 8997572
49 Zainal Abidin 3 NPBI 62 th L R1B C637706 8999895
50 Lingga Farah Hesti VIP NPBI 28th P GRD 3 C265086 8999938
51 Maryono 3 NPBI 49 th L R3B C637268 8995563
52 Fatkhun Najah 3 NPBI 7/24/2002 L Anak D C490537 8986888

53 Naufal Eki Alfariz 3 NPBI 3/21/2005 L Anak 1 C637510 8999423
54 Darmadi 3 PBI 47 th L R3B C591613 8995580
55 Fasicha 3 PBI 46th L R3A C637598 8999445
56 Luhur Soedijat 1 NPBI 71 th L KTL C466312
CITO
57 Weny Reida Rahmawati 1 PT 28th P B31 C637725 8999948
58 Heri Widias Mono 3 um 44th L R1B C637722 8999937

59 Agus Minarto 1 NPBI 56th L KPD 1 C637702 8999873
60 Indah Widyastuti 1 PT 42th P B31 C636969 8999633
61 Karnadi 3 NPBI 72th L IGD C634249 9002288

62 Suwardi 3 NPBI 56th L R6A C636974 8993525
63 Naisirah Katrina Talan 3 um P C1LD C637801 9002270
64 Tri Widiyanto 3 um 25th L TRAN C637721 8999935

JAMINAN
1 Slamet Paryoto 1 NPBI 58 th L MRK L2 C637097 9000331
2 Talkhish As'ary 2 NPBI 59 th L MRK D B436824 8993464
3 Nana Supriatna 2 NPBI 36 th L MRK D C630134 8997729
5 Zumi 2 NPBI 35 th L Transit C634945
6 Muh As Adilah 3 PBI 12/2/2008 L Anak D C608967 8999392
7 Nugroho Fajar Budiman 2 NPBI 35 th L MRK D C634523 8997749
8 Siti Nur Mar'atusholihah 3 NPBI 15 th P R2A C635942

9 Ahmad Saefudin 3 NPBI 17 th L Anak D C635483 8995467
10 Dea Amalia 3 NPBI 13 th P Anak D C618163

11 Maesaroh Privat NPBI 63 th P Pol GRD C574868
12 Khoiriyah Privat NPBI 63 th P Pol GRD C636757
13 Sugeng Wisnu 1 NPBI 60 th L Pol MTA C408615
14 R. Prayogo Privat NPBI 54 th L Pol GRD C628221
15 Ngatini 1 NPBI 55 th P Pol MTA C619494
16 Sunardi 2 NPBI 72 th L Pol MTA C283149
17 Mutiyati 1 NPBI 56 th P Pol MTA C595120
18 Solpi Ostalgia 3 NPBI 26 th P Pol MTA C602813

19 Susmiati 3 NPBI 28 th P B31 C628458 8967957
20 Sarmini 1 NPBI 55 th P KPD D C632441 8995505
21 Muhamad Syafiq 2 NPBI 1/27/2014 L RPO C505379 9002009
22 Imam Susianto 3 um 43 th L R1B C635944 8986710
23 Prijo Soekotjo VIP NPBI 77 th L Ger 1 B199637 8997774
24 Soemarno Soeratman 1 NPBI 76 th L KPD 1 C379485 8988727
25 Slamet 2 NPBI 73 th L GER D C603991 8974909
26 Mahfut 3 NPBI 43 th L R1B C636011 8997655
27 Sukarti 3 PBI 84 th P R2A C636447 8997714
28 Warno 3 PBI 62 th L R2B C469178 8999341
29 Adi Wiryanto 3 NPBI 51 th L R5A C636613 8989198
30 Miftakhul Jannah 3 um 48 th P R3A C634081 8999351
31 Royatin 3 PBI 44 th P R2A C634511 8999365
32 Aditya Dwi Kurnia 1 um 21 th L MRK 1 C636641 8989211
33 Achmad Arfian 3 PBI 21 th L R1B C627850 8995412
34 Sulasi 1 NPBI 61 th KPD L1 C635328 8878422
35 Sarengat 3 PBI 36 th L R1B C635494 8979618
37 Setyo Hariyanto 3 NPBI 20 th L R2B C637305 8995601
38 A. Rifqi Hidayat 3 NPBI 34 th L R2B C565340 8986771
39 Rudhito VIP NPBI 6/18/1978 L GRD L6 C636370 8986986
40 Najwa Latifa Tricahya 3 NPBI 2 th P Anak D C636153 8988902
41 Kahar 2 NPBI 61 th L Transit C634133 8993526
42 Sarbini 3 NPBI 57 th L GER D C584123 8986855

43 Anton S 3 NPBI 27 th L R2B C471065 8999404
44 Sukiyem 3 PBI 6/19/1960 P R6A C636625
45 Faradilla Shandradewi 2 NPBI 22 th P KPD D C625467 8999840
46 Maulana Ibnu Abbats 3 NPBI 3 th L Elang 1 C595375 8999811
47 M. Mirza Ali 3 NPBI 10 th L Anak L1 C636406 8988740
48 Sanusi 3 NPBI 43 TH L R2B C636568 8989015
49 Laksmi Paramita VIP NPBI 44 th P GRD L3 C595178 8999132
50 Siswoyo 3 PBI 64 th L R3B C636493 8995562
51 Anggun Dwi Puspita 2 NPBI 26 th P Transit C637302 8997662
52 Lazuardi Arga Herawan 2 NPBI 2/23/1999 L Transit A541214 8999617

53 Melinda Nur Andriana 3 NPBI 14 th P Anak D C637481 8999381
54 Bagas Puguh Widodo 3 PT 20 th L R2B C637087 8995585
55 Choiryah 3 PBI 33 th P R3A C632468 8997002
M :WU,TK,EA,ER,TU,MW,SE RR :FA,SAM,SR MID : PS,DB RR GRD : AG,AR SORE PROGRAM :AH,AP,SF,GI,BD,D
Arita K 3 NPBI 18 th P R3A C632963 8991411
Suswiyanto 1 NPBI 52 th L KPD L1 C572588 8965304
Tatiek Samsudiyati 1 NPBI 53th P MRK 2 C389604 8997696

CITO
Luhur Soedijat 1 NPBI 71th L KTL C466312 8999767
Tri Widiyanto 3 um 25th L TRAN C637721 8999935
Roidatin VIP NPBI 51th P GRD 4 B054917 8999757
Turahni 1 NPBI 51th P GER 1 C635146 8975575

JAMINAN
1 Soleh Fachruddin Nazid 2 NPBI 18 th L MRK LD C498851 8995507
2 M Nurhakim 3 PBI 40 th L R1B C635323 8988673
3 Machani 2 NPBI 51 th P B31 C538914 8995570

4 Syaekhoh Affah 3 PBI 16 th P C1LD C617976 8999431
5 Rasto 2 NPBI 54 th L KPD 1 C636772 9003498
6 Jayadi 3 NPBI 5 th L Anak 1 C627314 9002171
8 Imam Sharoni 3 NPBI 14 th L Anak L1 C623857 9002176
9 Rayonah Privat UM 47 th P Pol GRD C633320

10 Sapari Privat NPBI 55 th L Pol GRD C329889
11 Djoko Soeyono 1 NPBI 86 th L Pol MTA C116890
12 Sunarto 3 PBI 58 th L Pol MTA C615800
13 Shabirin 3 NPBI 48 th L Pol MTA C631618
14 Parmadi 1 NPBI 61 th L Pol MTA C637172
15 Sri Wahyuni Eli Ernawati 3 NPBI 44 th P B31 C624116 9001211
16 Usturiyah 3 NPBI 48 th P B31 C602436 9001742
17 Sri Sarwati VIP NPBI 60 th P GRD L5 C626622 9001052
18 HJ Siti Koidah 3 NPBI 51 th P R5B C605069
19 Pariyatun 3 Um 50 th P R4B C637553 8999749
20 Widiyanta 1 NPBI 46 th L MRK L1 C440788 8986927
21 Kabul 3 NPBI 44 th L R3B C635712 8979679
22 Noor Khamid VIP NPBI 67 th L GRD L5 C622951 9001407
23 Sukiwati 3 NPBI 54 th P R2A C636793 8997660
24 Pariman Hadiantok 3 NPBI 53 th L R2B C636711
25 Titiek Setyorini Rahmawati 1 NPBI 44 th P KPD L1 C632284 8999429
26 Faizun 2 NPBI 49 th P KPD D C623964 9004631
27 Paing Pambudi 2 NPBI 54 th L KPD D C520689 8991389
28 Fotari 3 PBI 28 th L R2B C620246 8979065
29 Alif Mukhamad Iqbal 3 PBI 14 th L Anak D C637538 8999468
30 Santoso 3 NPBI 57 th L R2B C555138 8997673

31 Suharyo 2 NPBI 66 th L MRK D C635245 8988795
32 Apni Waldi 3 NPBI 25 th L R5A C637227 8999802
33 Rizky Cipto Suci 3 NPBI 12 th L Anak D C636564 8989012
34 Novita Sari 3 PBI 19 th P R1A C635293 8977901
35 Noor Faizah Anggreni 2 NPBI 34 th P KPD D C633109 9004613
36 Sapto Priyono 2 NPBI 56 th L MRK D C636721 8991438
37 Riyadi 3 NPBI 41 th L R2B C637622 8999760
38 Parti 3 NPBI 74 th P R2A C638979 8988988
39 Siti Alifiati 1 NPBI 52 th P KPD L1 C471568 8999369
40 Sujinah 2 NPBI 44 th P Elang 1 C604103
41 Karsinah 3 NPBI 53 th P R2A C605315 8999402
42 Sity Aminah 2 NPBI 33 th P KPD D C595029 8995517
43 Samsri VIP NPBI 44 th P GRD L4 C636723 9000766
44 Maemunah VIP NPBI 55 th P GRD L3 C631292 8999079
45 Sri Lestari 3 PBI 44 th P R4B C627940 8932329
46 C. Purwaningsih VIP NPBI 63 th P GRD L6 C637269 9001244
47 Pinki Lailatul Akhyuni VIP um 14 th P GRD L6 C637737 9001547
48 Agustinah 2 NPBI 8/17/1971 P B31 C084263 9004622
49 Ariyani 2 NPBI 65 th P KPD D C623633 9004586

50 Tyas Ambarwati 1 NPBI 29 th P MRK 1 C276322 9001704
M :WU,BD,TK,YN,HA,JF,MW RR :FA,SAM,SR MID : PS,DB RR GRD : AG,AR SORE PROGRAM :AP,GI,SF,EV,AU,D
51 Agung Yuhono 1 NPBI 41 th L KPD 1 C633529 8959374
52 Endang Sulastri VIP NPBI 6/21/1967 P GRD L6 C622883 9004100
53 Maraiki Yuliana 1 NPBI 60th L KPD 1 B064409 8999832
54 Mahfud 3 JMD 56th L R1A C637679 8999927

55 Supandil 3 PBI 61th L R2B C612157 9006924
CITO
56 M Andi Kurniawan 3 NPBI 17th L R1B C638040 9004865
57 By.Ny. Siti Rohmah IRINB NPBI P PICU C637662 8999758
58 Warkini 3 NPBI 51th P R4A C638035 9005057
59 Sofiyatun 1 NPBI 56th P KEMO C563052 8982120
60 Ika Suci Wardani 3 NPBI 31th P B31 C37916 9002296
61 Khosimah VIP um 59th L GRD 5 C618190 9003667
62 Muchmmad Romadhon IRINB PBI 17th L ICU C637033 9006847

JAMINAN
1 Solikul 3 NPBI 27 th L R6B C636903 8993532

2 Sabarti VIP NPBI 61 th P GRD L4 C612147 9004216
3 Lunanda Nurdiana 1 NPBI 24 th P KPD 1 C637401 8997737
4 Zumaroh Dra VIP NPBI 57 th P GRD L5 B267110 9004608
5 Sirkhan 3 PBI 42 th L R1B C624304 9002131
6 Amir Kalali 3 NPBI 13 th L Anak 1 C620853 9002085
7 Ny. Liya Farokah 3 PBI 22th P B31 C638305 9002283
8 Vika Putri Purna Lestari VIP Um 13 th P GRD L3 C637195 9004618
9 Nurwijayadi VIP NPBI 41 th L GRD L5 C637385 9004185
10 Sugiarti 3 NPBI 51 th P R3A C589649 9002081
11 Gatot Indartono 1 NPBI 58 th L MRK 2 C369174 9005034
12 Heri Susanto 3 NPBI 31 th L R6B C635731 8981931
13 Ngatinah 3 PBI 53 th P R3A C634037 9002175
14 Mardjuki 1 NPBI 74 th L KTL C632432 8947868

15 Kuswati 3 PBI 51 th P R2A C627373 8993434
17 Liswati 3 JMD 40 th P R3A C637151 8998780
M : GI,BD,HA,NI,YN SORE PROGRAM : HR,AU*,DW,AM,MY*,IS

18 Rizky Cipto Suci IRIN B PBI 12th L C1LD C636564 8989012
19 Jupriyadi VIP NPBI 64th L GRD 5 C637825 9002280
20 Yahmi 3 PBI 52th P R4B C633965 9007032
21 Djoko Susilo 1 NPBI L MRK 1 C636357 8988888
22 Endang Sri Utami 2 NPBI 39th P TRAN C637779 9004818
23 Abdul Rojok 3 PBI 26th L TRAN C636875 8999807
CITO
24 Intan Muawanah 3 UM 20th P B31 C638091 9004772
25 Siti Asiyah 3 PBI 54th P GER D C636653 9007118
26 Syifa Izabath Rahayuningsih VIP NPBI 31th P GRD 3 C629838 9007130
27 Dastan Al Fabian Djohan VIP NPBI 3th L GRD 3 C638299 9007090
28 Sri Wahyuni 2 NPBI 32th P B31 C638326 9007198
29 Ratih Pujiastuti 3 NPBI 33th P B31 C638321 9007162
30 M. Zarkoni VIP NPBI 57th L GRD 6 C588926 9006914
31 Ratih Puji Astuti 2 NPBI 33th P B31 C638321 9007162
32 Suroto 3 Um 31th L R2B C638306 9007309
33 Sonhadi Suwandi 1 NPBI 56th L KPD 1 C638387 9007105

34 Tasmi 2 um 50th P IGD C638097 9004758

JAMINAN

1 Siham Ahmad Privat UM 1 th L Pol GRD C615929
2 Pujianto 2 NPBI 51 th L MRK LD C627054 9004744
3 Osner Simbolon 1 NPBI 33 th L KPD L1 C637360 9002217
4 Adeeva Afsheen Myesha VIP um 2 th P GRD L3 C636778 9004733
Syareefa Orlin Hanum

5 1 NPBI 1 th P Anak D C612472 9004671
Hasyim
6 Uswatun Khasanah 3 PBI 8 th P Anak D C626526 9001439
7 Siti Nur Aisah 3 NPBI 15 th P Anak 1 C589362 9002116
8 Rusyatun 2 NPBI 52 th P P. Mata C629701

9 Supardam 3 NPBI 66 th L P. Mata C635806
10 Bayu Putra Adi 2 NPBI 29 th L P. Mata C636832
11 Solpi Ostagia 3 NPBI 26 th P P. Mata C602813
12 Sejo Prayoga 3 PBI 51 th L P. Mata C602733
13 Jaminah 3 PBI 74 th P GER D C635812 9002295
14 Titik Soegiarti VIP NPBI 64 th P GRD L3 C566551 8999058
15 Siti Lestari 1 NPBI 24 th P MRK 1 C632677 8999435
16 Sri Widaiati Aningsih 3 NPBI 31 th P R2A C634604 9002264
17 Mikrad 3 NPBI 57 th L R6B C633021
18 Parmi 3 NPBI 53 th P R5B C635484 8978917
19 Suwito 1 NPBI 70 th L KPD 1 C636813 8999434
20 Darni 3 NPBI 53 th P R2A C633939 9002186
21 Sriyanti 3 NPBI 36 th P R2A C631035 8999355
22 Daryanto 3 NPBI 32 th L R1B C581930 8999368
23 Turmiyati 3 NPBI 43 th P R3A C571738 8999478
25 Umbarwati 3 PBI 43 th P R4B C632891 8952548
26 Desy Fitriana 3 Um 16 th P R2A C635708 8979662

27 Maria Marmi Setyawati VIP NPBI 51 th P GRD L6 C615788 9001351
28 Tjoa Sioe Giap 1 NPBI 44 th L MRK 1 C584086 8999460
29 Alifah Husna Salsabilla 3 PBI 13 th P Transit C616664 9003590
30 Suparsih 3 PBI 52 th P R3A C601942 9002230
31 Dwi Puspitaningsih 3 PBI 20 th P R2A C620461 8998274
32 Syaerozi 3 PBI 33 th L R1B C632914 8993512
33 Rakim 1 NPBI 67 th L KPD D C389360 8999863
34 Mulyani 3 NPBI 41 th P R2A C636659 8989220
35 Gemar Kanseringgo 1 NPBI 54 th L KPD 1 C582494 8993446
36 Ghalih Prasetyo 3 NPBI 37 th L R1B C637664
37 Yusroh 2 NPBI 55 th P KPD D C157384 9007178
71 Khusnul Amrin 1 NPBI 12 th L Elang 1 C275310 9006598
72 Luna Syifa Ulan Aulia 1 NPBI 5 th P Elang 1 C556046
38 RR Endang Sri Widati VIP NPBI 80 th P GRD L4 C316869 8988738
39 Novi Sari Yuniati VIP NPBI 36 th P GRD L5 C296740 9002212
40 Sutarsih VIP NPBI 43 th P GRD L4 C379934 9001852
41 Nuryati 1 NPBI 58 th P B31 C629744 8999340
42 Ginta Triswara Meutya 3 NPBI 13 th P Anak 1 C636712 9006989
43 Maulida Khilyan Nafiah 3 Um 10/2/2015 P Anak 1 C637873 9004707
44 Endang Tri Ningsih VIP NPBI 33 th P GRD L6 C638065 9004651
45 Kasmi 3 PBI 65 th P R2A C618792 9001279
46 Kartono 3 PBI 56 th L R5A C327479 8999586
47 Ngatini 3 JMD 52 th P R2A B208788 9002248
48 Yasinta Istighfari 2 NPBI 17 th P MRK LD C517503 9004578
M : GI,AU,AM,NI,DW,HR,MK RR :FA,SAM,SE MID : PS,MF RR GRD : AG,AR SORE PROGRAM :AH,EV,TA,TD,BR*
49 Muhlis 3 PBI 24 th L R2B C637675 8999770
50 Mamik K 3 NPBI 44 th P R2A C625513 8984483

51 Nur Roichanah 2 NPBI 11/29/1949 P KPD D 497836 9007214
52 Dea Amelia 3 PBI 14 th P Anak D C618163 8999440
53 Nur Fatimah 3 NPBI 27th P R4B C631121 9009194
CITO
54 Ika Novitasari 1 NPBI 28th P B31 C636507 9007341
55 Dwi Afriyanti 3 NPBI 22th P B31 C638332 9007231
56 Abu Khaeri 1 NPBI 46th L KPD D C634492 9004812

JAMINAN
1 Muhammad Imam Turmudzi 2 NPBI 27th L MRK D C616007 8999437
2 Aldila Mareta Purwasari 1 NPBI 23th P MRK 1 C535721 8999915
3 Hayfa Inaira Adiba VIP NPBI 3 th P GRD L3 C638140 9009087
4 Ibnu Sadjaja Hadi 1 NPBI 55 th L KPD 1 C636995 9007057
5 Umi Khusnah 3 NPBI 62 th P GER D C635172 8999653
6 Faruq Fanny Hermansyah 3 NPBI 15th L C1L1 C595182 9007306
7 Karsi 2 NPBI 41 th P B31 C613787 9008799
8 Eko Indrawan Budi VIP NPBI 34 th L GRD L4 C636736 9008193
9 Bernadius Gilang 1 NPBI 18 th L MRK 2 C613239
10 Muhammad Asy'ari 3 PBI 23 th L R2B C502136 9007110
11 Suwono 1 NPBI 70th L GER 1 C637479 8999449
13 Sapan 2 NPBI 66 th L Transit C637857 9002314
14 Ruminah 3 PBI 52 th P R3A C637819 9002308

15 Yahmin Daladi 1 NPBI 61 th L KPD 1 C622125 8972574
17 Syauqillah Al Affan 3 NPBI 8 th P Anak D C630998 9007300
18 Marsini 3 JMD 49th P R6A C636979 8993533
19 Franciscus Asisi Soerono 1 NPBI 66 th L Elang 2 C628724 9007192
20 Luna Syifa Ulan Aulia 1 NPBI 5 th P Elang 1 C556046 9006167
M :ST,HR,AU,AM,DW,MY,MK RR :FA,SAM,SE,AG,AR SORE PROGRAM :AH,AN,BR,DB,DI,EM,HI,IS,MR,PS,PM,SC,SF,SR,TD,TR,

21 Saroni 2 NPBI 62th L GER D C345028 9009082
22 Wagiyo 3 PBI 59th L R2B C636955 8999802
23 Saryati 2 NPBI 65th P TRAN C638426 9009284
24 Wasupi 3 PBI 68th L R2B C638394 9009193
25 Mujiati 1 NPBI 43th P KTL C637471 8999101
CITO
26 Partiyem IRINB PBI 71th P ICU C638476 9069352
27 Oktavia Kurniasari VIP um 29th P GRD 3 C267267 9009068
28 Rasipah 3 um 70th P R4A C637514 9009333
29 Fajar Kurniawan 3 PBI 13th L R1B C634839 9009419
30 Muhammad Akhsani 3 NPBI 13th L C1LD C619679 9009452
31 Alvaro Iqbal Maulana 3 um 2bl L C1L1 C638482 9008831
32 Tri Widiyanto 2 BPJS 25th L MRK D C637721 9000213
33 Rochimah IRINB NPBI 72th P R1A C638516 9009498
34 Yuniadinda Utari Kusuma 3 NPBI 19th P B31 C638560 9009476

JAMINAN
1 Dzaki Azhar Radhitya VIP PT 11th L GRD 3 C575078 9008735
2 Corolina Hartanto VIP um 33th P GRD 5 C637999 9009385
3 Wage Siswoyo 3 NPBI 48th L R1B C637179 9009112
4 Muhammad Syah Amar 3 um 17th L R2B C635426 9009169
5 Darmasto, dr, MMR VIP NPBI 65th L GRD 4 C017049 9004713
CITO
6 Poniman IRIN NPBI 64th L ICU C638569 9009484
7 Agus Munarto 1 NPBI 66th L KPD 1 C637702 9001778
8 Fahmi Alfares IRIN B PBI 14th L PICU C638588 9009543
9 Maulana Firman 3 um 4bl L C1L1 C638576 9009639
10 Dedeh Istiqomah VIP NPBI 34th L GRD 3 C057876 9009570
11 Tohir 2 um 26th L IGD C638601 9009576
12 Darli IRIN B PBI 38th L ICU C638612 9009607

JAMINAN
1 Prasetyo Pamungkas 3 PBI 44 th L R1B C580230 8993490
2 Muhtadi 3 PBI 57 th L R1B C618710 8988635
3 Wasinah 3 JMD 66 th P R3A C618320 9006978
4 Junarni 3 PBI 12/24/1966 P R2A C628494 9007063
5 Siti Sundariyah 3 PBI 8/18/1962 P R2A C579927 9001962

6 Kartimah 3 PBI 72 th P Pol MTA C625345
7 Bandiyah 3 NPBI 70 th P Pol MTA C529235

8 Yuliantini Privat NPBI 53 th P Pol GRD C634023
9 Ngadinem 3 PBI 54 th P Pol MTA C520467
10 Sutinah 3 NPBI 52 th P Pol MTA C621921
11 Yanto Sutejo 3 NPBI 56 th L Pol MTA C590766
12 Solpi Ostagia 3 NPBI 26 th P P. Mata C602813
13 Marikah 3 PBI 51 th P R3A C634415 8993487
14 Mu'adah 2 NPBI 45 th P MRK D C631670 9007083
15 Titik Maswah 3 NPBI 55 th P R2A C627527

16 Saroah 3 NPBI 51 th P R3A C637682
17 Sukandar 2 NPBI 60 th L MRK D C630120 8991424
18 Abu Khaeri 1 NPBI 46 th L KPD D C634491 9004812
19 Lie Kiem Ming 1 NPBI 51 th L KPD 1 C606130 8993254
20 Ida Sakti Roosilawati 2 NPBI 48 th P KPD D C553276 9009565

21 Naura Salwa VIP NPBI 11/19/2000 P GRD L3 C637630 8999631
22 Abdul Kholiq 3 NPBI 51 th L R2B C630032 9004716
23 Dyah Winda Ariani 2 NPBI 30 th P KPD D C628058 9009618
25 Khaerul Yusuf 2 NPBI 50 th L KPD 1 C636399 9009583
26 Dinda Dewi Febrianti 3 NPBI 7 th 3 bln P Anak 1 C625372 9007273
27 Anando Izatul Karim 3 NPBI 7 bln L Anak D C638022 9007296
28 Farhan Miftahun Nuha 3 NPBI 9 th L Anak D C600840 9002209
29 Jumarno 3 PBI 52 th L R1B C637794 9005008
30 Surati 3 NPBI 49 th P R3A C552182 9002151
31 Endang Sri Wardani 3 PBI 59 th P R5B C603386 9002309
32 Zuni Khusnawan 2 NPBI 35 th L MRK LD C634945

33 Djumiko 3 Um 44 th L R2B C638066 9006927
34 Ghalih Prasetyo 3 PBI 37 th L R1B C637664 8999805
Ilham Ramadhan 3 PBI 18 th L Elang 1 C235001 9009432
36 Dyah Kusumaning P 1 NPBI 29 th P MRK 1 C637792 9004694
37 Yunita Ginting 2 NPBI 30 th P KPD D C635782 9004751
38 Murhartini 2 NPBI 37 th P B31 C629390 9007034
39 Salimah 3 PBI 47 th P R3A C633397 9001859
40 Sarnubi IRIN NPBI 45 th L R1A C637631 8999571
41 Maria Ulfah 2 NPBI 34 th P KPD D C634892 8997656

42 Fatimah 3 NPBI 49 th P R2A C596378 9002257
43 Lukni Mustofa 3 NPBI 44 th L R5A C628750 8999496
44 Tamit 3 NPBI 69 th L R2B C635987 9004703
M : ET,AN,SR,PM,TR,HI,BR RR : FA,EM,JF MID : SAM,SC RR GRD :AT SORE PROGRAM : WU,RK,II,SA,AF,YN,A
45 Latifah Hanum 1 NPBI 49 th P KPD LD C628937 9006956
46 Lila Setiawati VIP NPBI 20 th P GRD L6 C638414 9009573
47 Ani Setyowati 1 NPBI 58 th P KPD LD C630281 9009089
48 Kholifah 3 PBI 55 th P R2A C636413 8988926
49 Sukirno 3 PBI 51 th L R1B C628471 8997665
50 Kartika Setiawati VIP Um 61 th P GRD L6 C637947 9006204
51 Tri Agung Haryono 2 NPBI 47th L KPD 1 C586977 9009629
52 Tureni 3 PBI 51 th P R2A C633533 9004769
53 Jupriyadi VIP NPBI 64 th L GRD L5 C637825 9002280
54 Santoso Aribowo 1 NPBI 53 th L KPD L1 C637477 8999128
CITO
55 Sri Munarsih 3 PBI 32th P B31 C638649 9009735
56 Julia Andriani 3 PBI 24th P B31 C638607 9009622

57 Joseph Akbar Kusuma L C1L1 C646417 8986791
3 PBI 14th
58 Kuwat 3 NPBI 63th L R3B C638603 9009628
59 Hadjar Nadzifah 3 PBI 8th L C1LD C591955 9003712
60 Soepratiwi VIP NPBI 70th P ELA 2 C591717 9009892
61 Rubiah 3 NPBI 42th P PBRT C638485 9009033
62 Tiara Eka Putri 3 PBI 23th P B31 C638809 9011766
63 Rijanu Ismoko 3 NPBI 23th L 23th C622978 9009691

JAMINAN
1 Aditya Affandi 3 PBI 14 th L Anak L1 C637307 8995343
3 Surati 3 PBI 47 th P R3A C637027 8993534
4 Nuryati 3 NPBI 43 th P R2A C629997 8993370
5 Maesaroh Privat PLN 64 th P Pol GRD C574868

6 Masnan Privat NPBI 52 th L Pol GRD C636957
7 Siti Mukanah 3 NPBI 63 th P Pol MTA C638703
8 Sri Haryati Privat NPBI 55 th P Pol GRD C592182
9 Eni Nuryanti Privat NPBI 47 th P Pol GRD C619132
10 Amin Kusyanto Privat NPBI 63 th L Pol GRD C586313
11 Parmin Privat NPBI 70 th L Pol GRD C599748
12 Sri Hartono R VIP NPBI 59 th P GRD L4 C627406 9002090
13 Lilik Pudjiastuty VIP NPBI 43 th P GRD L3 C632666 9003806
14 Siti Asiyah VIP NPBI 54 th P GRD L4 C637518 9007201
15 Yayuk Asturroji 1 NPBI 26 th P KTL C637924 9004211
16 Amazi 3 PBI 54 th L R1B C636602 8989064
17 Rustini 3 NPBI 53 th P R2A C515161 9002144

18 Evi Lestari 3 NPBI 24 th P R6A C628151 9007168
19 Tumadzur Adibah VIP NPBI 51 th L GRD L4 C638227 9008584
20 Sunarso S Cipto 3 NPBI 60 th L R3B C636748 8991461
21 Muhammad Adam Brian 3 PBI 9 bln L C1LD C595825 9007017
22 Kevin Danish Prasetya 3 NPBI 2 th L Transit C638541 9009523
23 Bambang Wibowo 2 NPBI 57 th L KPD D C636873 9008729
24 Sutarmi 3 PBI 50 th P R2A C618379 9004721
25 Linda Tejosugondo 1 NPBI 85 th P MRK L2 C620831 9007114
26 Dini Octaviana Nuraini 3 NPBI 22 th P KPD LD C632900 9007037
27 Abistha Daffa Abdee H 3 NPBI 8 th L C1LD C637868 9007303
28 By Ny Meri Yuliani 2 NPBI 1 bln P PBRT C637759 9009098
29 Herry Setiady VIP NPBI 41 th L GRD L4 C619275 9009620
30 Nurhadi 1 NPBI 65 th L KPD L1 C618106 9002265
31 Ruskan 2 NPBI 57 th L MRK LD C620314 9002226
32 Alma Almira Janitra 1 NPBI 30 th P R4A C583344 9009392
33 Enny Kadhie Irianingsih 1 NPBI 58 th P KTL C613345 9009632
34 Suciati VIP NPBI 48th P GRD L5 C635070 9010068
35 Darto 3 NPBI 61 th L R1B C638028 9007279
36 Dwi Noviani 3 NPBI 25 th P R6A C566952 9002316
37 FX. U.T.S. Irianto 1 NPBI 55 th L Elang 2 C595269 9009585
38 Ruben Surya Pratama VIP NPBI 21 th L Elang 2 C638656
39 Tarjonah 3 NPBI 34 th P B31 C519315 9009069
40 Susiati VIP NPBI 41 th P GRD L3 C591383 9008977
41 Umi Kholifatur Rosidah 2 NPBI 38 th P B31 C637574 9009619
42 Jamiatun 3 PBI 44 th P R2A C637148 9009149
43 Sutiyah 3 PBI 45 th P R2A C628073 9007019
44 Melinda Nur Andriana 3 NPBI 14 th P Anak LD C637481 8999381

45 Bagas Puguh Widodo 1 NPBI 20 th L MRK L1 C637087 8995585
46 Ngatini 3 PBI 54 th P B31 C627430 9008475
47 Arwahi 1 NPBI 62 th L MRK L1 C619446 9007908
M : ET,AN,SR,PM,TR,HI,BR RR : FA,EM,JF MID : SAM,SC RR GRD :AT SORE PROGRAM : WU,GI,AR,AF,AD,BY,D
Mujiati 3 JMD 53 th P R2A C631478 9009146

48
49 Noor Arifin VIP NPBI 51th P GRD C638696 9011577
FX. U.T.S. Irianto 1 NPBI 55 th L Elang 2 C595269 9009585

50
CITO
51 Rizal Ma'ruf Hibatullah 2 PBI 5bl L IGD C638799 9011515
52 Yusuf Arif Darmawan 3 um 4th L C1LD C638824 9011826
53 Mukhammad Khafif Al I IRIN B PBI 30hr L HCU C637919 9009435
54 Sri Rahayuningsih VIP NPBI 51th P GRD 5 C638795 9011450
55 Siswadi VIP NPBI 25th L MRK 2 C638834 9013542

56 Mirna Nawi Butun 1 NPBI 60th P MRK 2 C637692 8999830
57 Asmui 3 PBI 48th L R6B C638100 9007305
58 Tinyem 2 NPBI 49th P GCU C512638 8993231
59 Jumini 3 PBI 33th P R4B C637623 8999744
60 Ardhi Hermani IRIN B NPBI 46th L R1A C638930 9014083
61 Dwi Haryani 2 NPBI 31th P MRK D C625812 8999776
62 M Misbah IRIN B PBI 33th L ICU C638891 9013837
63 Hartatik 2 NPBI 49th P TRAN C543398 9007122

JAMINAN
1 Jumirah 3 NPBI 61 th P R2A C621957 8997707
2 Alpiah 1 NPBI 65 th P KTL C635705 8979591

3 Tri Endang Kurniasih VIP NPBI 57 th P GRD L3 B225769 8965584
4 Saiful Alim 3 NPBI 33 th L R1B C368810 9004729
5 Rohmad 3 NPBI 46 th L Pol URO C334237
6 Pariyatun 3 Um 50 th P R4B C637553 8999749
7 Bukhori 3 PBI 47 th L R2B C636623 8989239
8 Muh. Hukma Shabiyya VIP NPBI 8 bln L GRD L3 C603516 9011564
9 Nor Kalim 2 NPBI 47 th L MRK LD C594140
10 Nur Kholifah 3 NPBI 45 th P R3A C629706 9011723
11 Oemi Salamah 2 NPBI 82 th P KPD LD C635427 9008530
12 Siti Robiatun Priv NPBI 62 th P P. Mata C373650

13 Barino Priv NPBI 58 th L P. GRD C622450
14 Sadi Suharto 3 NPBI 44 th L P. Mata C626124
15 Kasnadi Priv NPBI 58 th L P. Mata C482149
16 Septa Nugroho Priv NPBI 19 th L P. Mata B202591
17 Romadhon Prayogo Priv NPBI 22 th L P. Mata C634411

18 Yunita Eka Sari 3 NPBI 33 th P Pol VAS C625728
19 Yanuar Firdaus VIP NPBI 25 th L GRD L4 C548634 9012350
20 Luluk Dwi Wijayanti 3 NPBI 19 th P R3A C636161 9011745
21 Usman 1 NPBI 63 th L KPD L1 C634605 9011749
22 M. Zarkoni VIP NPBI 60 th L GRD L6 C588926 9006914
23 Elly Lathiefah Pranoto VIP NPBI 59 th P GRD L4 C130589 9011206
24 Resmiwati 3 PBI 61 th P R2A C635238 9007023
25 Mundiroh 3 PBI 54 th P R2A C632046 9007020
26 Muh Khiya Runni'am 2 NPBI 23 th L KPD LD C619391 9009160
27 Agus Abdillah 2 NPBI 42 th L MRK LD C629173 9011783
28 Purwanto 3 NPBI 45 th L R2B C632120 9004773
29 Khariyatun Khasanah 3 NPBI 33 th P R2A C634159 9002161
30 Lasmi 3 NPBI 55 th P R2A C636164 9006965

31 Sonhadi Suwandi 1 NPBI 56 th L KPD L1 C638287 9007105
32 Zaenal Abidin 3 PBI 22 th L R1B C602993 9007066
33 Maulana Firman Fajari 3 Um 4 bln L Anak L1 C638576 9009639
34 Sukartini 1 NPBI 76 th P MRK L1 C638526
35 Maheswara Sindya A VIP NPBI 2 th P GRD L3 C637455 9011588
36 Afifa Nahda Rafanda 3 NPBI 1 th P Anak L1 C637943 9007264
37 Paniti 3 NPBI 48 th P R2A C628146 9007236
38 Aji Sulistiawan 3 NPBI 26 th L R1B C637744 9009156
39 Meri Linda 3 NPBI 12 th P P. Mata C637419
40 Waginah 3 PBI 74 th P R3A C637962 9009056
41 Inti Eva Ariyanti 3 NPBI 37 th P R3A C550933 8999531
42 David Yudha Pratama 1 NPBI 18 th L KPD L1 C631142 9011779
43 Winarsih 2 NPBI 41th P IGD C619258 9013483
44 Sarahna Dinda 2 NPBI 18 th P KPD LD C623711 8999897
45 Ngadinah 3 PBI 59 th P R4B C634435 9002709
46 Destiya Alif Prayoga 1 NPBI 1 th L Anak D C556090

47 Kumaeroh 3 NPBI 45 th P R2A C629561
48 Turyati 3 NPBI 42 th P Elang 1 C607262 9011662
50 Yunita Cahyani 2 NPBI 38 th P B31 C275271 9009687
51 Arista Pitriawanti 1 NPBI 28 th P GRD L3 C347838 9011732
54 Yatiningsih VIP NPBI 32 th P GRD L5 C638842 9013112
55 Umaroh VIP Um 49 th P GRD L4 C439327 9013128

56 Enol 2 NPBI 42 th P KPD LD C625608 9012208
57 Warsini 2 NPBI 42 th P KPD LD C600931 9013497
58 Zuni Khusnawan 2 NPBI 35 th L MRK D C634945 8999617
59 Bilqis Astila Rahma 3 NPBI 3 th P Anak L1 C638087
M : NO,AF,AR,AG,PS,DB,IS RR : FA,EM,BD* MID : SAM,WD RR GRD :AT,EA SORE PROGRAM : WU,RK,SA,AD,B
60 Agus Minarto 1 NPBI 65 th L KPD 1 C637702 9001778
61 MR Samsoeni VIP NPBI 81 th L GRD L5 C603127 9003333
62 Sumarno 2 NPBI 50 th L KPD L1 C415125 9012108
63 Laurensia Novita Sari 1 NPBI 65 th P KPD 1 C626628 8993531
64 Koriah 3 PBI 58 th P R2A C633341 C633341
65 Andryan Prihanto Wicaksono 3 NPBI 23th L R3B C637594 8999726

66 Adib Ahsan Hanstono IRINB JMD L PBRT C638282 9007293
67 Susi Sumaryati 2 NPBI 32 th P Obstetri C637014 9013061
CITO
68 Huningsih 2 PBI 51th P IGD C638970 9013725
69 Apriyani Sumardi 3 PBI 33th P B31 C276397 9009534
70 Fitriana Puji Raharjo 2 NPBI 30th P B31 C278787 9013825
71 Handayani Jiwaningsih 1 NPBI P ELA 2 C454341 9004043
72 Nur Jannatun Naima 3 PBI 18th P B31 C627381 9015787
73 Lesmono Widodo 2 BPJS 45th L IGD C639017 9014195

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AI,NI,DB,EA
S : BY,TU,RE, DA,MW
SC,DN,ANM
Laparatomi Explorasi CBD +
Choledocolithiasis Cholesistectomi Anastomose KH, KH JS √ WU ANM
Choledocodudenostomi
Hidrocephalus VP Shunt KH GK √ EA DB
Meningioma Tubeskulum sella Craniotomi Dsar Tengkorak KH DP √ DB EA
Pansinusitis FESS III + NAW Kanan KH,K ANA √ DN ANM
Ulkus Granulosum Debridment B PJ √
Phemosis Sirkumsisi S RR √ TM DN
Apendicitis Laparscopy Apendictomi KH PB √ DA DN
Apendicitis Akut Apendictomi KH ERI √
Hernia Inguinal Herniotomi Sin B RR √ DN US
Sistostomi S MAS √ AR
G1P0A0, SCTP Bekas SC B HR √ Arsita
Mata Kanan Hifema gr IV ec Trauma

Mata Kanan irigasi Aspirasi Hipopion S FET √
Tumpul
G2P1a0, Hmol 40mg, Impartu kala I , c/
SCTP B HR √ Arsita EA DA
Bayi Besar
Fr Kompresi cervical 5-6 Fusi Corpus Vt Approach Posterior KH MTA √ IS AR
Apendik Akut Appendictomi KH MM √ DA BY
Exterpasi Corpus Iliemun Hidung +

Corpal Alienum B WY √ DA TU
Explolari Evakuasi dg Endoscopy
Abses Sumnadibula Odontectomi 2 rahang KH RP √ YS II
Traceostomi + Insisis drainase Abses S.S WY √
Susp Meningiencephalitis Lumbal Funksi B RETNO √ YS II

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH, SL,HE,
S : NO, TD, DM
SE,AR
Fr. Segmental Femur Sinistra + FR.

ORIF Femur KH APR √ PR,AP,VQ AP VQ
Segmental Mandibula Parasimfisis
Rekontruksi Fr wajah Kompleks KH PJ √
OA Genu TKR Sin KH BIN √ S : PL,AT PL AT
Wound Dehisense Debridement + Rehecting S,S DID √ DA
Fr Tibia Fibula 1/3 Tengah ORIF Tibia Shaft + ORIF Maleolar Fibula KH, KH DID √ DA
LW,SF,DN
S : RG
Mata Kiri KSI Mata Kiri Phaco + IOL AK S : DA
Mata Kanan Kiri KSI Mata Kanan Phaco + IOL AK
Mata Kanan Primary Angle Closure
Mata Kanan triple Procedure KH MR √ YW,HA
Glaukoma
Mata Kanan Kiri Steroid Induced Katarak
d.d Katarak Polaris
Granuloma Tumor Ovarii Inadequate
Complete Surgical Staging KH MZ √ TW,TR,RA TW TR,RA
Staging
Susp Ca Ovarii SOU + FS Persiapan CSS EW S : AM
Fr. Costae Segmented, Fr Costae 6,8 Thoracotomi + ORIF Costa KH,KH WW √ AM AF
Tumor Intra Abdomen Laparotomi Biopsi KH PB √ GI,UM,ID
Wound Dehisense Laparatomi Explorasi + Drainase KH PB √ S : RE,SC ID GI,UM
Mastoiditis Tp Rekuren dg Granulasi Radikal Mastoidectomi KH ZUL √ RE SC,DN
Ca Papilary Thyroid Completion Total Tiroidektomi KH BIS √ AZ,TM TM AZ
Limfadenectomy, + FS, Ganas - RND Bilat

SNNT C/ Ganas S,KH,B BIS √ S : DJ AZ TM
+ Wide Excisi + PA
Near Total Tiroidektomi + FS ganas Total
SMNT Bilateral c/ Ganas (Riwayat TB) KH, KH UUD √ DJ TU
Tiroidektomi
Ulkus Kronis Cruris Dx c/ BCC Debridement + Incisi Biopsi B,S NJT √ TA,ET TA ET
Ulkus Granulosum Cruris Pedis Sin Debridement + Skin Graft Luas KH NJT √ S : ANM ET TA
Ulcus DM Pedis Dex Derbidment S ALI √ ANM
Mata Kiri Katarak Kongenital + Glaukoma Mata Kiri Ekstraksi Lensa + Vx Anterior +
KH LN √ NK,HR,RI HR RI
Sekunder dd Juvenile PI + IOL
Mata Kanan Kiri Katarak Juvenile dd Mata Kanan Ekstraksi Lensa + Vitrektomi
KH LN √ S : TU HR
Kongenital Anterior + PI + IOL

Mata Kiri Evakuasi Silicon + Gas Injeksi KH AW √ NK HR,RI
Sekunder
Mata Kiri ARMD ( Wet AMD ) Mata Kiri Injeksi Triamcinolone Acetat AW
Mata Kiri VH + Ablatio Retina Mata Kiri Vitrektomi + EL + SO KH AW √ RI NK
Mata Kanan Simblefarektomi +

Mata Kanan Simblefaron B,KH INA √
Cantoplasty
ADS
AK,RK,AH, AH,A
CKD St V Transplantasi Ginjal Resipien C MAS √ IS,RK
IS K
SF
S :MW,AF
WAN EV,AI,
Donor Ginjal Nefrektomi C √ EV,AI AO,SU
WW AO,SU
RSK + SD + Konka Hipertrofi FESS + Konkoplasty KH,S ANNA √ AM SE

Odontectomi 2 Ranag KH RP √
EN,MA,DI, EN,M
CHF NYHA II, e.c CAD 2 VD CABG High Risk BJ.11 SF √ DI
BP,SS,IM A
Fr. Costae Posterior 4,5,6,7 Thoracotomi Evakuasi Cloth KH ALI √ S :BD,VT BD VT
Histerektomi Total + Salpingo Ooforectomi

NOK C/ ganas KH,B,B HR √ NP,DB,ER ER NP,DN
Dex + Bilateral Salpingo Ooforectomi
G2P1A0 Hamil 37 minggu + Ca Ovarii
SCTP + CSS B,KH EN √ Arsita NP ER,DB
(Hbs Ag+)
Tumor Parotis Dextra C/ Ganas T3N0M0 Superfisial Parotidektomi + FS, B YAN √ AL,PS,MK MK AL,PS
Limfadenopati Colli Limfadenektomi Biopsi EDW
Kista Hepar Laparoscopy Biopsi Hepar KH PTY √ AS,EA AS EA

High Output Stoma On Ileustomi Short KH, KH RR √ PS ER
Reseksi Anastomose Jejunum -Colon
RR GRD :AD SORE PROGRAM :NO,TD,AF,AM,AT,RE,BD,DA,DM,VT,YN,JF,TU,MR,MW,NO,RG,SC,TD,PL,DJ,ANM ALAT : PUR ,EM (S :YN )
Epilepsi temporal Sisnitra Kraniotomi Mikro Bedah Epilepsi KH √ DN LW

ZM
Makroadenoma Hipofise Bedah Mikro Transphenoid KH ZM √ MW RG
Multiple Ekstraksi Gigi ganggren + 1 AO,S

VSD dg Caries dentis B DV √ EV,AI
Tmabal gigi Karies U
AP Perforasi Tympanoplasty Tympanoplasty KH ZUL √ RE SE
Hidropneumothorax Dx Pasang WSD S SFY √ DA HA
Poudoaneurisma Cruris Dex Eksplorasi Ligasi KH AS √ MY BR
CKD Pasang DL K AS √
CKD Pasang DL K AS √
Debridement + Embolektomi B,KH AS √
CKD On HD Pasang DL K AS √
G3P2A0, Hml 38mg, PEB SCTP + MOW B VG √ ES DY
Peritonitis Generalisata Laparatomi Explorasi KH MM √ AR HE
Mata Kiri Endoftalmitis Mata Kiri Eviserasi Bulbi KH DN √ SE AR
GPA SCTP B VG √ Arsita

Relaparatomi explorasi + Hecting √ HE SE,AR
Duodenoduodenustomi Diamont Slap KH PTY
Hidrocephalus VP Shunt KH DP √ DM TD
Corpal Batu baterai Ekstaksi benda Asing Cavum Nasi KH ZUL √ TW DM
SDH Craniotomi SDH KH MTA √ DW ES
G1P0A0, Hml 36mg, SCTP B TF √ Adhie WU NI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH, SL,HE,
S : NO, TD, DM
SE,AR
Blader Neck Slerosis Blader Neck Incision KH ADS √ EV,AO AO EV
Prostat Enlargement TURP KH ADS √ AO EV
Hidronefrosis + Hidroureter Dextra URS D/S KH ADS √ S : PL,AT EV AO
Post Colostomy + Striktur Uretra Laparatomi Anastomose Colon KH MM

√ AO EV
Sachse KH MAS √
Fr Costa 7,8,9 Posterior Dx Thoracotomi ORIF Costae Dex KH ALI √ PL DJ
Wilms Tumor Dx Nefrectomy Dx KH PTY √ AI,ST
Massa Intra Abdomen Laparatomi Eksisi Tumor Ovarium Kiri KH PTY √ S : RG DB PS
MAR Letak Tinggi On Kolostomi Post Laparatomi Adhesiolisis Kompleks +

KH PTY √
PSARP Reseksi Anastomose Colon
Tonsilitis Kronis Tonsilektomi FAR
Wound Dehisense Reg Femur Dextra Post
By Pass Arteri Femoralis Dextra AS
Embolectomy
Mata Kiri Konjungtiva chalasis Mata Kiri Koreksi Konjungtiva chalasis AK YW,HA
Mata Kanan KSI + Mata Kiri Pseudofakia Mata Kanan Phaco + IOL WIS S : DA
Mata Kanan Kiri KSI, Mata Kiri
Vitrectomized Eye
Mata Kanan Phaco + IOL +
Mata Kanan Kiri PACG FI
Trabekulektomi (triple Prosedur )
Mata Kanan KSI + Mata Kiri Pseudofakia Mata Kanan Phaco + IOL AL
CKD Psg DL ALI

CKD Pasang Double Lumen Long Term K ALI √ DA
CKD AV Shunt KH ALI √ DA
Mata Kanan Dacrocystocele, Mata Kiri

Mata Kanan Kiri Probing + DCR KH INA √ TW,TR,RA RA TW
ODNL
FESS + Konka Reduksi KH,S RH √
Septum Deviasi + Konka Hipertropi FESS III + SR + Konka Reduksi KH,B,S RH √ S : AM TR TW,RA
Massa Plica Vocalis Kiri LD + Ekstirpasi Massa S,S MYS √
Massa Supraglotis LD Biopsi + Tracheostomi S,S WY √ AM
Tumor Intra Abdomen Laparatomi + Eksisi Tumor KH JS √ GI,UM,ID
Laparatomi Tranvertostomi + Biopsi

Adeno Ca Recti KH,S PB √ S : SC
Rektum
Tumor Intra Abdomen Laparotomi Biopsi KH ERI √ SC
Subtotal Thyroidectomi + FS ganas - Total

SMNT c/ Ganas T3NoMo KH, KH BIS √ AZ,TM AZ TM
Tiroidektomi
Tumor Mamae Dx c/ Ganas T4cN2M1 Insisi Biopsi S BIS √ S : DJ TM AZ
CTS + STT c/ Jinak Release CTS KH DID √ DJ
Eksisi B DH √
Abses Preauricula Insisi Abses S AYU √ DJ
Aging Eye Bleparoplasty Atas Bawah + Atas C,C NJT √ ET,IS IS ET
Ulkus Granulosum Reg Stump Femur Sin Rekonstruksi + STSG KH NJT √ S : ANM ET IS
RSK + SD + Konka Hipertrofi FESS III + Konkotomi KH,S ANNA √ ANM
Mata Kanan Kiri Afakia, Mata Kanan Mata Kiri Secondary Implant (Iris clip) + PI
KH LN √ NK,HR,RI HR NK,RI
Esotropia Deviasi Sensoris + Vitrectomi Anterior
Mata Kanan Ekstraksi Katarak + PPC +

Mata Kanan Kiri Katarak Kongenital KH LN √ S : TU RI NK
Vitrectomi Anterior
Mata Kiri Ablatio Retina Mata Kiri Vitrectomi + SO KH AL √ RI HR,NK
Mata Kanan Kiri KSI, Mata Kiri PDR + TRD Mata Kiri Vitrectomi + EL + SO + Phaco +
KH, KH AL √ HR NK,RI
+ VH IOL
Fr Femur 1/3 Distal Transversal Ttp Nk ORIF Femur Dex KH BIN √
Ostemolylitis Debridement + Remove Implant B,B BIN √ MY MW
Spheno Orbita Meningioma Craniotomi Dasar Tengkorak KH MTA √ LW,SF,DN SF DN

Pasang CVC KH DS √
Spheno Orbita Meningioma Craniotomi Dasar Tengkorak KH DP √ S :SA,AF AF SA

Laminektomi Dekompresi + Internal
Fr Kompresi VL1 KH, KH APR √ PR,AP,VQ
Fiksasi Fusi
Fr Maleolus Tibia Sin ORIF Tibia Sin KH DID √ S : WI VQ
Fr Fibula Sin 1/3 Distal + Fr Tibia ORIF DID
OA Tip Sin THR Sin KH BIN √
EN,MA,DI, EN,
MR Severe MVRepair + TVRepair BJ.08 SF √ DI
BP,SS,IM MA
Mioma Uteri TAH + BSO KH,KH MZ √ NP,SU,ER NP ER,SU

Histerektomi Total + Bilat
NOK c/ Ganas KH, KH EN √ SU ER
SalpingoOoforectomi + FS
Prolaps Uteri Gr IV Sistokel + Rectokel TVH + KA + KPR KH,KH, ER √ AL,MK AL NK

KH
Mioma Uteri Reseksi Uterus + Rekontruksi Uterus B,B HR √ DB RK
Fimosis Sircumsisi S EDW PS,DB
Phimosis Sircumsisi S RR √ PS DB
Myelopathi Cervical HNP Neuroplasty + Rhizotomy KH TRI A √ RK DB
Myelopathi Thoraco Lumbal HNP Multiple Neuroplasty + Rhizotomy KH TRI A √
Tumor Mamae Sin c/ Jinak Eksisi Biopsi + FS B UUD √ AH,EA

Eksisi + FS, Ganas Hemiglosektomi
Tumor Lidah c/ Ganas T2NoMo B UUD √
Sinistra
RR GRD :AD SORE PROGRAM :NO,RK,TD,AF,AM,AT,DA,DM,YN,JF,WI,TU,MR,RG,SC,SA,PL,DJ,ANM ALAT : PUR ,CA (S :YN )
MFM Sin Wide Eksisi + Rekontruksi Graft B,B UUD √ SE AM
Fr. Dentoalveolar + Avulsi Palatum Rekontruski Fr Maxilla + Debridment KH,B PJ √ BY DW
Fr Radius Distal + Fr Ulna 1/3 Distal ORIF Radius + ORIF Ulna KH,KH BIN √ ANM
Tumor Mammae Sin Wide Eksisi + FS, Ganas - MRM B,KH DWT √
Batu Ureter URS + DJ Stent KH,B MAS √ AY MF
Tumor Buli C/ Ganas Sistoskopi + Biopsi Buli S,K MAS √ AY MF
Ca Pasca Ekstirpasi Aff Tampon K WY √
Post Amputasi Debridement B AS √ TW
EDH Craniotomi EDH KH MTA √ BR MY
Fr Tibia Fibula Sin Com tbk gr III Amputasi bawah Lulut KH DID √ AR SE
CKD Std V Repair DL K ALI √ SL NH,SE

Kista Ovarium + Adhesi KH,KH PTY √ SE AR
Kompleks + Appendictomi
Torsi Kista Terinfeksi (Salpingingektomi
B VG √
Dex)
Wound Dehicense Post Appendictomi Laparatomi Adhesiolisis Kompleks B PTY √ DM TW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : NO,TD,DM
SE,AR
Hipospadia Release Chordae + Scrotoplasty B,S ADS √ EV,AU ES
AU,
Batu Staghorn Sin PCN Sin + Nefrolitotomi Sin KH,KH ADS √ S : PL*,AT EV,PL
RK
OMSK Kiri dg Kolesteatoma Mastoidektomi Simple B ZUL √ AM
Massa CAE Evakuai Jaringan Granulasi S ZUL √ RE BD
Moderate HN Dx + HU Dx URS Sin + DJ Stent Sin KH,B MAS √ AI,ST,HI
Hidronefrosis + Hidroureter Sinistra URS S + DJ Stent S KH,B MAS √ S : RG
Nefrolithiasis Dextra PCN MAS
Susp Massa Maksila Kiri FESS + CWL Kiri KH,S ANA √ RK RG

Mata kanan PACG + KSI Mata kanan phacoemulsifikasi + IOL MR YW,HA
Mata kanan KSI, Mata Kiri Pseudofakia Mata kanan phacoemulsifikasi + IOL WIS S : AG,DA
Mata kiri katarak traumatika Mata kiri phaco + IOL ( Iris Claw ) AW
Mata kanan pterygium nasale Mata kanan eksisi pterygium DN
CKD on HD Double Lumen K WW √ AG DN
Compled Surgical Staging + Adhesiolisis

NOK Susp Ganas + CKD KH,KH MZ √ TW,TR,RA TW TR,RA
Luas Banget + FS
Ca Ovarii Residif Laparatomi Sistoreduksi / Debulking KH EN √ S : AM TW TR,RA
Laparatomi Adhesiolisis KH ERI √
Ulkus DM Pedis Distal Debridement S ALI √ AM
CKD on HD Double Lumen K ALI √
Laparascopy Reseksi CBD + Rekontruski

Kista Ductus Choledocus KH,KH PTY √ GI,UM,ID GI UM
Heapticojejunustomi Roux n y
Massa Hipofaring post Tracheostomi Ganti Kanul + Laringoscopy Flexible FAR S : AN
Fibrosarcoma Cavum Nasi Ekstirpasi Massa Fibrosarcoma Nasofaring KH DAT √ AN
SMNT c/ ganas Sub Total Thyroidectomi + FS, KH BIS √ AZ*,TM AZ TM

Tumor Pedis Sinistra Insisi Biopsi + PA S DH S : VT,DJ DJ SR
Malformasi Vaskuler Insisi Biopsi + PA S UUD √ SR DJ

SNNT c/ Ganas KH,KH UUD √
Tiroidektomi
Basalioma Wide Eksisi Multiple + FS tepi bebas tumor B DWT √ TA,ET,IS ET TA
Ulkus Diabeticum Reg Pedis Dx Debridement B PJ √ S : ANM* ANM
Mata Kanan Subluksasi Lensa, Mata Kiri Mata Kanan Ekstraksi Lensa + IOL +
KH LN √ NK*,HR,RI HR NK,RI
Pseudofakia Vitrektomi Anterior + PI
Mata Kiri TRD Mata Kiri Vitrectomi + EL + SO KH AL √ RI NK,HR
Mata Kanan Afakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + PPC +
KH LN √ S : MK HR NK
Kongenital Vitrektomi Anterior + PI
Mata Kanan Evakuasi Silicon + Secondary

Mata Kanan Silicon Filled Eye + Afakia KH,KH AW √ HR RI,NK
Implant
Mata Kanan SO Filled Eye+ Katarak

Mata Kanan Phaco + IOL + Evakuasi SO KH,KH AW √ NK HR,RI
Komplikata
Mata Kanan Ablatio Retina, Mata Kanan Kiri

Mata Kanan Vitrectomi + EL + Gas C3F8 KH AW √ MK NK
High Miopia
Meningocele Rekontruksi KH ER √ LW,SF,DN LW SF,DN
Meningioma Craniotomi Konvesitas KH DP √ S : SA,AF
OA Reg Wrist Dx Release Kontraktur KH DRY √ PR,AP,VQ VQ
AP,
Mata Kanan Ptosis Kongenital Mata Kanan Koreksi Ptosis KH INA √ S : PM,AD PR
VQ
Charcot Foot Dx ORIF KH BIN √ AD PM
Neglected Dislokasi Posterior Femur Dextra THR Dextra + Acetabuloplasty Hip Dex KH,KH BIN √ PM AD
EN,MA,DI, EN,
MR Severe, TR Severe MVR + TVR BJ.08 SF √ DI
BP,SS,IM MA
OSADA Procedure (Adenomiomectomi )
Adenomiosis B,B INU √ NP,SU*,ER NP ER,SU
Kistectomi Sin
Laparoscopy Kistectomi + Ooforectomi
Kista Ovarii KH,KH TF √ ER NP,SU
Parsial Sin Adhesiolisis
TAH + BSO + Adhesiolisis + Repair
Mioma Uteri + NOK Bilateral KH,B,S ER √ AL,DW*
Laserasi Usus + FS
NOK dg Bagian Padat c/ Ganas SOU + CSS + FS B,KH SR √
MAR on Kolostomi, fistel recto vestibular PSARP KH RR √ PS,DB DB PS
MAR on Kolostomi, fistel recto uretra PSARP + Fistulektomi KH,B EDW √ SU DA
Ca Mamae Sin MRM KH YAN √ AH,EA EA AH
Limpoma Gluteal T2bNoMo Insisi Biopsi S YAN √

RR GRD : AS SORE PROGRAM : NO,TD,AF,AM,AT,DA,DM,YN,MR,RG,SA,DJ,AN,AG,AD,VT,MK,PM,RK,SC*,PL*,ANM* ALAT : PUR,SR (S :YN )
SOL Intracranium C/ Residif Craniotomi Op Elipesi ECOG KH MTA

√
EEG Intra Operatif / IOM KH ARIS √
RSK Dg Polip Nasi FESS III KH ANA √ RG PL
Polip Endometrium Histeroscopy + Polipektomi KH HR √ VT NO
Wound Dehisence r/ Femur Dex Post

Embolectom + Eksplorasi KH,B AYU √ WI RE
Embolektomi
EDH Craniotomi EDH KH DP √ AR NH,SE
Post Tranplantasi Ginjal Blood Clot Evakuasi S ADS √ SE NH
Laparatomi Hemicolectomi Dex +

Peritonitis Generalisata ec Perforasi usus KH ERI √ HE AR,SL
Anastomose End to end Ileostomi
CKD Repair DL K ALI √ HE NH,SE
CKD on HD Pasang CVC KH ALI √
CKD Repair DL K ALI √ HE NH,SE
Colostomi + Debridement + repair

Ruptur Perineum B,B,B PB √ JF
Anoperineal
Hidrocephalus VP Shunt KH,KH ER √
MAR Letak Tinggi Kolostomi + Vena Secti B,K PTY √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,EA
S : NO,RK,HI
SE*,AR
Nefrolithiasis Dextra Nefrolitotomi Dex + Pasang DJ Stent Dex KH,B ADS √ EV*,AU* AU EV
Nefrolithiasis Sectio Alta + Sistoscopy B,S ADS √ EV AU
Mioma Uteri Total Abdominal Histerektomi KH VG √ S : PL AU EV
Plegmon Dasar Mulut Insisi S OEN √ MK SC
NOK, Riw. Ca Mammae, Riw. Op.

SOS + FS B DC √ AI,ST
Kandungan
Susp Hemangioma Supraglotis LD + Ekstirpasi Massa + Biopsi FAR
Papiloma Laring LD + Ekstirpasi Massa + Biopsi S,S DAT √ S : AD
Fistula Oroantral Penutupan Fistula Oroantral KH DAT √ AD AF
Mata kiri pseudofakia + Astigmatisma Mata kiri buka jahitan WIS YW,HA
Mata kanan pseudofakia Mata kanan aff jahit WIS S : AG
Mata kanan katarak senilis imatur, Mata
Mata kanan Phaco + IOL MR
kanan kiri POAG
Mata kiri KSI Mata kiri phaco + IOL INA
Mata kanan katarak Mata kanan phaco + IOL AK
Mata kanan CME Mata kanan Inj. Steroid Sub Tenon AK
Mata kanan Mata kiri PACG + KSI Mata kiri triple procedure FI
Mata kanan kiri POAG Mata kanan Trabekulektomi FI
Mata kiri KSI Mata kiri phaco + IOL AK
Mata kanan subluksasi IOL Mata kanan IOL Exchange AK
Mata Kiri Dakriosistocele Dengan Perforasi

Mata Kiri External DCR KH INA √ TW,TR*,RA TR TW,SE
+ Fistula + ( HBSAg + )
Pembentuka Ostium B AK
NOK c/ Ganas Surgical Staging + FS, Persiapan CSS KH EN √ S : AM TW TR
Selulitis Pedis Dextra et Sinistra Debridement B ALI √ DA
Abses Insisi Drainase Abses S,S VG √ ANM
Hernia Inguinalis Dextra Repair Hernia + Mesh B MM √ TD,UM,ID UM TD,ID
Massa post lien c/ abses Laparatomi Splenektomi KH PB √ S :DA,ET
Adeno Squamous Esofagus Repair Jejenustomi Feeding B PB √ DA ET
Limpadenopati Colli Kistreang Procedure (Limpadenectomi) S DWT √ AZ TM
Near Total Thyroidectomi + FS, Total

SNNT c/ ganas T3N0M0 KH,KH DWT √ ET DA
Thyroidectomi
Ca Thyroid Limfadenectomi S BIS AZ,TM DJ NO
Inv Ca Of MST Gr III, MD MRM Dex KH BIS √ S : DJ TM AZ
SCC Lidah Well Diff Hemiglosektomi B UUD √
Wound Dehiscense & ILO pasca laparatomi

Debridement + Rekontruksi Flap KH RZ √ TA,GI,IS GI TA
dd tumor intraperitoneal
Ulkus Femur Bilateral + Dekubitus Debridement + STSG KH ETH √ S : ANM IS TA,GI

Debridement B ALI √
Tumor kulit c/ ganas scc shoulder Dex Wide Eksisi + FS B UUD √ ANM AG
Mata Kiri Katarak Kongenital + Esotropia Mata kiri Ekstraksi Lensa + Vitrektomi
KH LN √ NK,HR*,RI HR NK
Sensoris Anterior+ PI + IOL
Mata kanan Ablatio Retina Mata kanan Vitrektomi KH AL √ S : MK RI HR
Mata Kiri RRD Mata kiri vitrektomi + EL + C3F8 KH AL
Mata kanan pseudofakia, Mata kiri katarak Mata kiri Ekstraksi Lensa + IOL +
KH LN √ HR RI
kongenital PPC+Vitrektomi Anterior
Mata kanan RRD + Pseudofakia + PCO Mata kanan Vitrektomi + EL + SO KH AW √ MK HR
Ca Laring Pasca Deltopectoral Flap Fistula Clossure KH WY √ AF
Spondilithiasis + HNP VL4-5 Laminectomi Disectomi KH DP √ LW,SF,DN DN LW
S : AF,AN
Canal Stenosis KH,KH APR √ PR,AP,VQ AP VQ
Fiksasi Fusi
Osteomilitis Remove Implant + Debridement B,B BIN √ S : AT AT PL
Central Dislokasi Hip Sin Revisi THR Sin KH BIN √ PL DJ
MA,AH,DI, AH,
VSD PMO VSD Closure BJ.04 WW √ MA
BP,SS,IM DI
PDA Ligasi PDA BJ.05 WW √ PM,RG PM RG
Prolap Rectie Anoplasty KH PTY √ SU,ER,DB ER DB,SU
NOK SOU + FS B,KH SR √ AL,DW AL DW
Fistula Vesico Vagina Repair Fistula Vesico Vagina Kompleks KH ER √ DW AL
Hemorhoid Gr IV Haemorhoidectomi B JS √ PS,DY BR PS
STT Reg Cruris Dextra Biopsi Eksisi Bone Tumor B DRY √ PS BR
Ca Thyroid RND Dextra KH YAN √ II,EA EA II
RR GRD : AS SORE PROGRAM : NO,RK,ET,AN*,AG*,AF,AM,AT,AD,DA,HI*,MR,MK,PM,RG,SC,PL,DJ,ANM ALAT : PUR,CA (S : )
Hernia Herniotomy B √ DB SU,ER

PTY
Bisitopenia BMP B HER √ AF
Hidrocephalus Post VP Shunt Replecement VP Shunt KH DP √ DN LW
Limpadenopati Colli dex Limfadenectomi Colli S YAN √ II
G5P2A2, Riw KET SCTP + MOW B EN √ Arsita JF HI
Hernia Scrotalis Herniorhapy + Mesh B PB √ AR SE
G3P2A0, Plasenta Previa Totalis SCTP + IUD B IN √ Arsita HE SL,SE
CKD Std V Pasang DL K ALI √ HE SE
CKD Std V Pasang DL K ALI √ HE SE
Laparatomi Duodenoduodenostomi
HPS KH RR √ SE AR
(Diamond Shape)
G3P1A1, Hml 36mg, HIV+ SCTP + MOW B IN √ Adhie HI PL,SE

Apendicitis KH,S PTY √ HI RK
Apendictomi
CKS Craniotomi Devasi Fraktur KH DP √ SA VT
Efusi Pleura Thoracotomi Peridarcial Window KH ALI √ VT WI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S: NK,GI,TR,ID
PLH : RK,AY ET,HI, AR,DW,SE,
YS SR
Bulloe Regio Colli Anterior Insisi Drainase Bullae S ETH √ RG DJ,PL
Neurofibromatosus Rekonstruksi Palpebra S ETH √ S : PL,RG PL RG,DJ
Luka Bakar Gr II + III 4 % Debridement Luka bakar KH ETH √ DJ RG,PL
Labiognatopalatoschizis Labioplasty KH RZ √ S : ANM WI VT
Fr. Kompresi Thoracal, Myelopathi Lumbal

Neuroplasty + Rhyzotomy TRI A S : AG
+ Thoracal
Mioma Uteri TAH + BSO KH,B MZ √ TW PM,
Mioma Uteri TAH + SOS + Adhesiolisis Luas KH,B,B MZ √ S : PS,PM ET HR,DY
BERSIH2 OK
OK 1 : EV,AU OK 6 : AF,RA
OK 2 : ER,SU OK 7 : TA,ST
OK 3 : YW,HA OK 8 : DI,RI
OK 4 : TW, TK OK 9 : SF,DB
OK 5 : II,UM OK 10 : PR,AO
OK JTG : MA, IM
DS : GN,EW,YR
ALAT ANEST : HE,BP,AY
MEJA OP : SAM,EM,SS
Craniotomi Komveksitas KH MTA √
Corpal Hipofaring Ekstraksi Corpal K ANA √

Ileus Obstruktif Post Laparatomi Eksplorasi Laparatomi Explorasi + Reseksi Stoma KH PB √
Ganggren Pedis Sin ec POAD Amputasi Above Knee Sin + Embolektomi KH,KH ALI √
YS,
CKD Pasang CVC KH ALI √ HI
ANM
CKD Pasang DL Long Term K ALI √ PS Aziz
Trauma Tumpul Abdoment + Ruptur

Debridement Scrotum + Pasang DC S ADS ANM YS,MR
Trauma Ureter
Debridement B PJ
Hidrocephalus VP Shunt KH MTA √ ANM
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,BR*,SC
Labiognatopalatoschizis Pasca Labioplasty Palatoplasty KH ETH √ LW,ES LW ER
Malformasi Vaskuler Bucal sisi dextra Rekonstruksi Lanjutan ETH
Fr. Segmented Mandibula Sinistra Rekonstruksi Fr Tl Wajah Kompleks KH ETH √ PS RK
Neglected Parafacial Fracture Rekonstruksi Fr Tlg. Wajah Kompleks KH PJ √ WU,TM TM RG
Ganti Kanul Trakhea + LD +

Laringomalasia Post Trakheostomi K,S,KH DAT √ MY HR
Supraglosektomi
LNH Tonsil Tonsilektomi S DAT √ HR HI
HR,HI,AU,MY,PS*
Fibrosarcoma Cavum Nasi Aff Tampon + Nasokopy B DAT √ DY ES
Ca Sinonasal Nekrotomi B DAT √ DY HR
Papiloma Lararing Post Traceostomi LD + Eksterpasi Massa + Ganti kanul S,B DAT √ HR PS
Debridment + Pasang Gips Extermitas

Skin Nedrotic Pedis Sin B,S PJ √ RK TM
Inferior
OMK Dry Type I Thympanoplasty Type I KH PW √ ES DY
Defec Cranium Cranioplasty KH ER √ AU HI
KH,B,B,
RSK + Konka Hipertrofi FESS + SR + CWL + Konkoplasty RH √ SC AH
S
Susp Hemangioma Supraglotis Traceostomi + LD + Eksterpasi Massa S,S FAR √ MY HA

SDH Craniotomi SDH KH DP √ IS AT,SA
IVH EVD KH DP √
G1P0A0, Hml 40mg, Fatal Distres , KPD 1

SCTP B PS √ DY ES
hr, KMK
EDH Craniotomi EDH KH DP √ LW ER
CKD Pasang DL Long Term K ALI √ ER AH
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,ES,B
S : RK,TA,AU
R,DJ
Hipospadia Penoscrotal Uretroplasty KH ADS √ AK,AS,AO AO EA
Prostat Enlargement TURP + Sistoscopy KH,S ADS √ S :AR AO AS
Prostat Enlargement TURP KH ADS √ AS AO
Hidroureter Sinistra Batu Staghorn Sin Sistoscopy + Pasang DJ Stent S,B ADS √
Laringoscopy Direct + Eksterpasi Massa + S,S RR √ AR

Massa Glotis Anterior Biopsi
NKT cell lympoma + Defek cavum nasi Repair Flap Lokal Wajah KH WY √ AR
RSK + Polipnasi Pasca FESS Aff Tampon + Eksplorasi Perdarahan K,B ANA √ II,BD BD II
Ameloblastoma Hemimandibulectomy KH OEN √ S : RE,AI

Rekontruksi Plate & Screw KH RZ √
Perforasi Membran Timpani e.c Trauma Tympanoplasty Kiri KH AYU √

Mata Kiri Phaco + IOL , Mata Kanan Buka
Mata Kanan Pseudofakia, Mata Kiri KSI RF YW,DW
Jahitan
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL RF S : HA
Mata Kanan Kiri Pseudofakia + Mata Kiri
Mata Kiri Buka Jahitan WIS
Astigmatisma
Mata Kanan Pseudofakia + Retinal
Detachment, Mata Kiri KSI
Mata Kanan Katarak Mata Kanan Phaco + IOL AL
Mata kanan KSI, Mata kiri pseudofakia +

glaukoma sekunder Mata kiri trabekulektomi MR
Mata Kiri Glaukoma Sekunder e.c Katarak
Mata Kiri ECCE + IOL + Trabekulektomi FI
Hipermatur
Mata Kanan Katarak Mata Kanan Phaco + IOL AL
Mata Kanan Afakia Mata Kanan iris Fiksasi IOL AL
Complete Surgical Staging + Adhesiolisis
NOK Susp Ganas KH,KH MZ √ TW,AM* TW AM
Luas + FS
NOK Complete Surgical Staging + FS KH MZ √ S : NI TW AM
Suspect Ca Ovarii Laparatomi Biopsi + Omentectomi KH,S EW √ NI AM
Miomektomi Retroperineal +
NOK C/ Ganas Salpingektomi Sin + Parsial Ooforectomi B,B,B,S EW √ NI VQ
Dex + Adhesioliosis
Hepatomegali C/ HCC Laparotomi Biopsi Hepar KH JS √ AF TD
Fistula Dinding Abdomen Rectoscopy + Fistulektomi B,B MM √ TD,AF* TD AF
Laparatomi Explorasi Feeding Jejenustomi

Ca Gaster KH,B PB √ S : TR AF TD
Biopsi
Metastasis Adeno Ca Hepar Laparatomi Extended Lobecectomi Dex KH ERI √ TR AF
STT Wide Eksisi + FS, B BIS √ AZ,MY,ID ID AZ, MY
Ca Mamae Dextra MRM KH BIS √ S : EA
TMD Wide Eksisi + PA DWT
Ca Thiroid Total Tiroidektomi KH DWT √ EA
Labiognatopalatoschizis Palatoplasty KH NJT √ SR,DY* AG DY
Osteomyelitis Reg Sisi Sinistra Debridement + STSG KH ETH √ S : ANM DY,AG

Post End Ileostomi KH ERI √ RA DY
Reseksi Anastomosis Ileum
Mata Kiri Afakia, Mata Kanan

Pseudofakia,Mka Mki Esotropia Sensorik + Mata Kiri Implantasi IOL + Vx Anterior KH LN √ NK,MK MK NK
Nistagmus
Mata Kiri Ekstraksi Lensa + PPC + Vx

Mata Kiri Katarak Kongenital KH LN √ S : DI,RI MK NK
Anterior + IOL + PI
Mata Kanan Vitreus Hemorrhage Mata Kanan Vitrektomi + EL + Gas KH AL √ NK MK
Mata Kanan Hemophtalmus Mata Kanan Vitrektomi KH AL √ MK DW
Mata Kanan Silicon Filled Eye + Glaukoma Mata Kanan Evakuasi Silikon + PHACO +
KH,KH AL √ DI
Sekunder IOL
LW,SF,PL
S : WD,DN
Ankylosing Elbow Knee Rekonstruksi Tendo KH DRY √ PR,AP,MF PR AP, MF
ORIF Tibia Dex + ORIF Tibia Sin + KH,KH,

Giant Cell Tumor Reg Cruris Dextra DID √ S : YS,RA YS
Kuretase Bonegraft B
Fr. Phalang Proximal Manus Dextra Pasang Gips Back Slap K BIN √ RK TA
Fr. Fibula , Fr. Maleolar ORIF Tibia S + ORIF Fibula S KH,KH DID √ YS
CKD Ganti DL WW
CKD AV Shunt WW
EN,MA,VT, EN,
CAD 3 VD CABG High Risk BJ.11 SF √
BP,SS,IM MA
Mioma Uteri Histerektomi Total + Adhesiolisis KH,S PS √ NP,RG,TM TM NP,RG
KH,KH,
Mioma Uteri + Kista Ovarii TAH + BSO + Adhesiolsis EN √ NP TM,RG
S
Diseksi Kelenjar + Simple Prostatectomi +
Adeno Ca Prostat KH,B,B MAS √ AL,PM,RM RM PM,AL
Simple Orchidectomi
Kista Hepar Laparatomi Reseksi Hepar KH MG √
SNNT C/ Ganas, T3N0M0 Isthmolobectomy + FS, Ganas - TT KH,KH YAN √ AH,TK* TK AH
STT Hemothorax Insisi Biopsi S YAN √ RA AH
Superficial Parotidectomi + Total

Tumor Parotis C/ Ganas KH,KH UUD √ HR ET
Parotidektomi + FS
Laparatomi Adhesiolisis kompleks +
Retracted Stoma Post kolostomi KH,B PTY √ ST,BY*
Colostomi
Tumor Intra Abdomen Flank Dextra Laparatomi Biopsi KH RR √ ST BY
Varises Esofagus e.c C/ Fibrosis Hepar Laparotomi Biopsi Hepar KH EDW √ BY ST
RR GRD : WU SORE PROGRAM : RK,AI,TA,AR,AU,NI,RE,AY*,DI,EA*,HA,YS*,TR,WD,DN,RA,RI,VQ ALAT : PUR,YN (S : )

Mata Kiri Massa Konjungtiva d.d Kista
Mata Kiri Eksisi Kista + Biopsi + PA S TL √ DI
Derma
Localized Efusi Pleura Dextra Toracotomi KH WW √ AN AY
Meningioma Spheno Orbita Craniotomi Ds Tengkorak KH DP √
Trigeminal Neuralgia Dx Craniotomi Dasar Tengkorak KH MTA √ WD DN

Fr Cruris Sin tbk Reposisi Ankle + Debridement + Gips B,B,K DID √ TA HA
Malformasi Vaskuler Bucal Sisi Dextra Rekonstruksi Bibir KH ETH √ RI AY
Fr. Parasymphisis Dextra Mandibula Rekonstruksi Fr. Tlg Wajah Kommpleks KH ETH √ SU ET
Hemangioma Labium Oris Superior Eksisi KH PJ √

Kontraktur Dermatogen Tipe Flexi Reg Release Kontraktur Leher + Rekontruksi
KH,B PJ √ DB AY
Cruris Leher dg Flap Leher
Fr. Dentoalveolar + Fr. Maxilla Lefort I Rekonstruksi Fr. Tlg Wajah Kommpleks KH √ PS HR,SU
PJ
Hemoroid Internal Gr III Hemoroidektomi Stepler KH MG √ PS
Traceostomi + LD S,S DAT √ HI
Stenosis Laring LD S DAT √ HI

MU,
Hematuria C/Tumor Buli Blood Clot Evakuasi + Biopsi Buli S,S ADS √ GI
ANM
UM,
Tumor Buli C/ Ganas TURB + Sistoscopy KH,S WAN √ GI
ANM
UM,
Ca Buli Uretrosistoscopy S MAS √ GI
ANM
URS D + Lepas Ganti DJ Stent + Pasang
Ca Buli KH,S,B MAS √ AY VQ
DJ Stent
Sudden Deafness Injeksi Intra Tympani (Thympanoplasty) B AYU √ VQ
Ca Papiler Thiroid Total Thiroidektomi KH DWT √ EA
Ulkus DM Pedis Sinistra Amputasi Digiti III Pedis Sin B AS √ PS
G1P0A0, Hml 35mg, PEB, IUGR,

SCTP B VG √ Gatot DJ BR
Oligohdramniom
CHS + ICH Craniotomi SDH B MTA √ ES BR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,ES,B
S : RK,WU,NI
R,DJ
KH,KH,
Prostat Hiperplasia Sachse + BNI + TURP MAS √ EV,AS,DA
KH
Nefrolithiasis Dextra Nefroscopy KH MAS √ S :AR AN YS
Multiple Nefrolithiasis Dextra Post

Nefroscopy + Ganti DJ Stent KH,B MAS √ AS EV,DA
Nefrostomi
Atresia Esofagus Gastrostomi Feeding B PTY √ AI,BD* BP AI
Post Op Duodenojejunostomi + Gastrostomi

Debridement + Rehecting KH PTY S : RE NH BD,HE
dekompresi dg wound dehisense
Mata Kiri Proptosis, Mata Kanan Kiri Grave Mata Kiri Elongasi Muskulus Levator
TL
Ophtalmopati Palpebra Superior
Mata Kanan Tumor Palpebra Inferior + Mata Kanan Orbitotomi Anterior + Insisi + KH,S TL √ BP AI,RE
Ptosis Biopsi + PA
Mata Kanan Debridement + Jahit Sklera +
Mata Kanan Anoftalmia Exposure Sklera INA YW,DW
Konjungtiva
Mata Kiri PACG + KSI Mata Kiri Phacoemulsifikasi + IOL MR
Mata Kanan Afakia RF S : HA*
Kapsulotomi Posterior
Mata Kanan High Miopia + Komplikata Mata Kanan Phaco + IOL RF
Endometrioid Ca Ovarii Inadequate Staging Laparatomi Eksplorasi KH EN √ II,AM,IM II ANM,ID
Laparoscopy Kistektomi + Neo

Kista Ovarii Bilateral + Oklusi Tuba HR S : TW
Salpingostomi
SNNT Isthmolobectomy + FS, Ganas - TT KH,KH DWT √ RA VQ
Adeno Ca Ovarii On Colostomy Tutup Stoma Colostomy PB TD,AF
Adeno Ca Colon Laparotomi Explorasi + Ileo Ileostomi KH,B ERI √ S : TR AF TD
Prolap Rectum Laparotomi Reseksi Anastomose Sigmoid KH ERI √ AF TD

+ Rectopexy
Wound Dehisense Repair Wound Dehisense S BIS √ AZ,MY,ID AZ MY,ID
Tumor Kulit C/ Ganas Wide Eksisi + FS B BIS √ S : RI ID AZ
Rekontraktur + STSG KH RZ √ MY
Ruptur Perineum Rekontruksi Perineum KH ETH √ TA*,DY DY TA
Skin Loss + Soft Tissue Loss ORIF (K-Wire) KH BIN √ S : VQ* DY TA

Debridment + STSG KH ETH √
Kista Ductus Thyroglosus Sistrunk Procedure B DH √ TA VQ
Mata Kana PCO, Mata Kanan Kiri Mata Kanan Vitrektomi Anterior +
KH LN √ NK,MK NK MK
Pseudofakia Kapsulotomi Posterior + IOL Exchange
Mata Kiri RRD Mata Kiri Vitrektomi + EL + Gas C3F8 KH AW √ MK NK

Mata Kanan Kiri Vitreus Hemorage Mata Kiri Vitrektomi + MP + EL + Gas/SO KH AW √ S : DI,RI MK NK
Mata Kanan Vitreus Hemorage Mata Kanan Vitrektomi KH AW √ DI

Mata Kanan Ulkus Kornea Perforasi Mata Kanan Flap Konjungtiva S DN √ MA EN,VT
SF,
Meduloblastoma Craniotomi Mikro Tumor dasar Tengkorak KH ZM √ LW,SF,PL LW
DL
Glioma Temporo Parietal Sinistra Craniotomi Mikro Ds Tengkorak KH DP √ S : WD*,DN
Fr. Femur Sin 1/3 tengah ORIF Femur KH APR √ PR,AP,MF MF PR
Non Union Femur Dextra Revisi ORIF + Bone Graft KH,KH APR √ S : YS,RA AP PR,MF
Mal Union Fr Tibia Dextra Rekontruksi OST Tibia KH BIN √ MF YS
Fr. Clavicula dextra 1/3 tengah ORIF Clavicula Dex KH DID √
ORIF Tibia Dex + ORIF Fibula + KH,KH,

Fr. Tibia post amputasi dig I repair stump DID √ EA DB,SU
Disartikulasi Genu Sin KH
EN,MA,VT,
RSK + SD + KH FESS III + Reseksi (SR ) + Konkoplasty KH,B,S RH √ VT EN,MA
BP,SS
Laparoscopy Adheiolisis + Kista Ovarii Kiri KH,KH,
Pelvic Inflamation Desease TF √ NP,RG,TM NP TM, RG
+ Neosalpigostomi KH
Peritonitis Generalisata C/Perforasi Laparoskopi Adhesiolisis Kompleks +
KH,KH RR √ TM NP,RG
Appendict Appendictomi
Laparotomi Eksplorasi Anastomose
Obstruksi Usus Duodenum KH,KH EDW √
Duodenum shepp
Suspek Ca Kulit Wide Eksisi + FS + Rekonstruksi B,KH YAN √ AL,PM,RM PM RM,AL
Ca Thiroid Completion Total Thiroidectomy KH YAN √ AZ AL
Mioma Uteri Total Abdominal Histerektomi + SOD KH,B ER √ AH,ER,AG ER AG,
Myelopathi, Fr Compresi Neuroplasty + Rhizotomy KH,KH TRI A √ AG WI,ER
HNP Cervical Rhozotomy + Neuroplasty KH,KH TRI √ WI AG,ER
Kistectomi Bilat + Simple Clasure

NOK KH,B INU √ TK,BY,SR BY TK
Perineum + FS
NOS SOS + FS B INU √ TK SR
RR GRD : WI SORE PROGRAM : RK,TW,WU,TR,AR,NI,RE,AY,DI,HA,JF,TU,YS,WD,DN,RA,RI,VQ ALAT : PUR,YN (S :TU )

Ulkus DM Pedis Sin Debridment + Ekstraksi Korpal B,B AS √ VQ HA
Abses Submandibula Odontectomi 2 rahang KH RP √ BR HE

Eksplorasi Drainase Abses B DAT √
Lepas Arch Bar + IDW + Release
S,B ETH √ BR DJ
Kontraktur Intra Oral
Laparatomi Eksplorasi + Adhesiolisis +
KH MG √ DJ BR,ES
Ileoasceudostomi
Efusi Pleura Sin Pasang WSD S ALI √ HE SL
G2P1A0, Hml 30mg, bekas SC SCTP dg penyulit + Adhesiolisis B,S JD √ Adhie
Apendicitis KH,KH PTY √ WU VQ
Kompleks + Apendictomi
G1P0A0, Hml 35mg, PPI, KPD, Hipertiroid SCTP B JD √ Adhie JF NI
GPA SCTP + MOW B DC √ Gatot JF NI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,ES*,
S : RK*,WU, MW
BR,DJ*
Ruptur Uretra Pars Membranasea PER KH ADS √ AS EV
Ca Cervix Pasang DJ Stent Sin B ADS √ EV,AS
Suspect Tumor Buli Sistoscopy ADS √ S :SR
Mata kiri Tumor Palpebra Mata kiri Wide Ekisi + Cryotherapy + PA B,S AK √ AS EV
Mata Kiri Rekontruski Palpebra Inferior KH INA √
Mastoiditis ME Simple + Tympanoplasty B,KH ZUL SR
Ca Prostat Subcapsuler Orchidectomi B MAS √ AI,BD
Ameloblastoma Reseksi Mandibula KH OEN √ S : RE
Rekontruksi dgn Plate dan Screw KH RP √
Massa Sinonasal Dextra Maksilektomi Medial KH WY √ RE
LNH Tonsil Ekstirpasi Massa Tumor WY

Mata kiri KSM Mata kiri phaco + IOL AK YW,DW
Mata Kanan Afakia Mata kanan Iris Fiksasi IOL ( Iris Claw ) AL S : TU
Mata kiri Katarak Mata kiri phaco + IOL AL

Mata kanan kiri POAG + KSI Mata kanan Triple Procedure FI
Mata kanan phacoemulsifikasi + IOL +
Mata kanan PACG + KSI FI
Retrabekulektomi
Mata kiri afakia Mata kiri iris fiksasi IOL ( Iris Claw ) AL
NOK C/ Ganas Kistectomi Dex + Adhesiolisis + FS B,B HR √ II*,AM AM II
Post Partum Spontan, PEB MOW S JD √ S : TW AM
Mata Kanan kiri Orbitotomi Anterior +

Mata Kanan Kiri Tumor palpebra Superior KH TL √
Biopsi + PA
Mata Kiri Massa Kantus Lakrimalis Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TL √
OMK Kanan Tympanoplasty telinga kanan KH PW √ UM RA
Laparotomi Re Anastomose Colon -

Ca Rectum KH PB √ TD*,AF AF TD
Rektum (Hartman Prosedur)
Cholelithiasis Laproscopy Cholesistectomy KH PB √ TD AF
Tumor Intra Abdomen, HbsAg + Laparotomi Biopsi + PA PB S : TR

Laparotomi Explorasi Resksi k/p
Adeno Ca Rectosigmoid ERI
Colostomy
Struma Adenomatosa Completion TT KH BIS √ AZ,MY,ID MY AZ,ID
SNNT Dextra C/ Ganas T3N0M0 Isthmolobektomi Dex + FS, Ganas - TT KH,KH DWT √ S : RI AZ,ID MY
Ca Mamae Wide Eksisi B DWT √ RA
Ca Mamae Sinistra MRM Sinistra KH DWT √ TR TD
Tumor Maxilla Sinistra CWL Simple + Wide Excisi Biopsi B,B UUD √ DY,DA DY YS
Ulkus Diabetikum Pedis Debridement B PJ √ S : VQ YS DY
Insisi Biopsi Mamae Bilat +

Tumor mamae, SNNT B,B,KH UUD √ YS DY
Isthmolobektomi + FS, Ganas TT
Inv Breast Cancer, NST, Gr II, III Radikal Mastektomi KH UUD √ VQ EA
Mata Kanan Kiri Glaukoma Kongenital,

Mata Kiri Trabekulotomi +Trabekulektomi B,B LN √ NK,MK MK NK
Mata Kanan Post Trabekulektomi + MMC
Mata Kanan Vitrektomi + Endofragmentasi
Mata Kanan Kiri Nukleus Drop KH AL √ S : DI MK NK
+ Iris Fiksasi IOL
Mata Kanan Afakia + RRD Mata Kanan Vitrektomi + EL + SO KH AL √ NK MK
Mata Kanan Kiri POAG + Katarak Senilis
Mata Kiri Vitrektomi + Phaco + IOL KH,KH AL √ MK NK
Imatur + Mata Kiri Vitreus Hemorage
Mata kanan ulkus kornea perforasi
Mata kanan eviscerasi bulbi + DFG B DN √ DI
epitelisasi
Leakage LCS Post Burr Hole Repair Leakage LCS (Duraplasty) KH DP √ LW,SF,PL LW SF,PR
tumor Intrinsik Frontal Dextra Craniotomi Tumor Konvesitas KH ZM √ S : NI,DN LW SF
IDO Duraplasty/Debridement B AJ √ BR MW
Striktur Uretra + Fr. Pelvis Vertical Shear PER KH MAS √ PR,AP,MF AP MF,PR
ORIF Pelvis KH APR √
Fr. Scapula Komunitif Dextra + Clavicula ORIF Clavicula Dex + ORIF Sclapula Dex KH DID √ S : YS,RA* DA RA
Thoracotomy ORIF Costae KH ALI √
Ruptur Rotator Cuff Rekontruksi Supraspinalis Sholder sin KH BIN √ WD EA,HA
OA Genu TKR BIN

EN,MA,VT, EN,
AR Severe AVR BJ.09 SF √ VT
BP,SS,IM MA
Massa Mediastinum Thoracotomy Eksisi Tumor KH WW √ RK RA
Nos C/ Ganas Sub Optimal Debulking + Adhesiolisis KH ER √ NP,RG,TM RG NP,TM

Laparatomi Reseksi Omentum + AdhesiolisiKH PB √
Laparatomi Miomektomi + Omentectomi +
NOS C/ Ganas B,S,B EN √ NP RG,TM
Adhesiolisis + FS
Limfadenopati Inguinal Limfadenektomi Inguinal S YAN √ AL,PM,RM AL RM
Struma Multinodusa Isthmolobectomi + FS, Ganas - TT KH,KH YAN MP AL,RM
Ca Parotis Total Parotidektomi KH YAN RM MP,AL

Carries Dentis dg PJB Multiple Ekstraksi Gigi B DV √ AH,ER,AG
Impaksi 2 rahang Odontektomi 4 gigi KH DV √ AG,ER AH
Obstruksi Duodenum e.c HPS Laparatomi + Pyloromyotomi KH,B EDW √ TK,BY BY TK
Hidrokel Testis Dx, Phimosis Herniotomi + Sirkumsisi B,S PTY √
Wound Dehisence Post Eksisi Hamartoma Rekonstruksi Wound Dehiscense RR
RR GRD : WI SORE PROGRAM : TW,RK,WU,AY,NI,RE,DI,JF,TU,YS,SR,TR,DN,RA,RI,VQ ALAT : PUR,YN (S :CA )
Ulkus Diabetikum Pedis Debridment luas B AS √ AU AR
Susp Meningo enchepalitis Lumbal Fungsi B Ratna √ AY DI

Meningoen Sefalitis Lumbal Fungsi B ARIS √ DI AY
AO,
Post DJ Stent Ganti DJ Stent Sin B ADS √ GI
ANM
Ca Prostat URS + Aff-Ganti DJ Stent KH,B MAS √ GI,AY AO
Rekontruksi M Supraspinal Sholder KH DID √ WD EA,HA
G1P1A0, Hml 36mg, IUGR SCTP B JD √ Adhie DN
Ikteril Obstruktif Drainase Asites B MG √
Post Histrektomi Total Aff Tampon Debridment Luas KH MZ √
GPA SCTP + Miomektomi B,B MZ √ ES DN,SL
GPA SCTP + IUD B BE √ Gatot DJ DN,SL
Hidrocephalus VP Shunt KH ER √ NI DJ
GPA SCTP + MOW dg Peyulit KH DC √ Arsita
Efusi Pleura WSD S DWT RA
G2P1A0, Hml 36mg, PEB SCTP + IUD B PS √ Gatot MW NI
Apendicitis Akit Laparatomi Appendictomi KH PB √ MW RA

Obstruksi Pasang CVC KH DS √
Ulkus Diabetikum Pedis Debridment luas B AS √ AU AR
Pneumothorax dex Pasang WSD Dex S ALI √ AU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : EV EV,II,AK*,NP,DM*,EM,MK,ID*,BR,DI,NI
Ca Ovarii Inadequate Staging Surgical Staging KH MZ √ NP,ID NP
G2P1A0, Hml 32mg, Ca Nasofaring SCTP dg penyulit SC + Pasang IUD B OP √ Gatot

Mata Kiri Secondary Implant + Virectomi
Mata Kanan Pseudofakia, Mata Kiri Afakia KH LN √ DI
Anterior + IOL
Craniofaringioma Cranotomi Mikro Dasar Tengkorak KH DP √ II,AM EV,RG
Mata Kanan Afakia e.c Katarak Traumatika Mata Kanan Vitrektomi Anterior + IOL ( Iris
S LN √ DI,MK DI MK
+ Leukoma Kornea Clip )
Mata Kiri Katarak Traumatika + Lekoma Mata Kiri Ekstraksi Lensa + Vitrektomi
KH LN √ DI MK
Kornea Anterior + Sinekiektomi + Iridektomi
Mata Kanan Vitrektomi + EL + SO + Gas

Mata Kanan Vitreus Hemorage KH AL √ DI
C3F8
HNP Cervical 4 -5 Laminektomi Kompleks KH AJ √ EM,BR EM BR
Fr. Cervical II Frankle C Laminektomi Dekompresi C4-5-6 KH HY √ AF DY
Laminoplasty KH AJ √
Wound Dehisense Reg Vertebra Post

Debridement B APR √ NI,DM NI DM
Laminektomi
Dislokasi Acromioclaviculare Joint Dextra Repair Acromioclaviculare Joint Dextra KH APR √
Ruptur ACL Rekontruksi ACL + Meniskus Repair KH,KH DID √
Corpus Alienum Extraksi Corpal B NJT √ HA AR
G2P1A0, PEB, Post Stroke SCTP + MOW B PS √ Gatot AK II
Laparatomi Reseksi Sigmoid + Reseksi

KH PB √ NP AK
Ileum + Double Barrel Ileustomi
Craniotomi Decompresi Dex + Craniotomi

DH + SAH + ICH KH,KH ER √ NI DM
Tempoeoparietal sin
GPA SCTP + IUD B OP √ Gatot AK SR
Sindrom Nefrotik dg Asites Peritoneal Drainase S PTY √ RG
Skin Loss r/ Pelvis Debridment B PJ √ DY
Fr Impresi Frontal Basal + Epidural

Craniotomi KH ER √ GI AF
Hematoma Temporo Basal
Mata Kiri Eksplorasi IOL + Reposisi Iris AB
Mata Kiri Endoftamitis S,K,S DN √ HA RE
Intravitreal
Peritonitis Generalisata Peritoneal Drainase S JS RE NH
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,BR,D
S : RK, GI,DY
J,IS*
Phimosis Sircumsisi ADS
Hipospadia Penoscrotal dan Fistel
Uretroplasty KH ADS √ EV,DM
Uretrocutan
Nefrolithiasis Sistostoscopy Pasang Ureter Kateter S ADS √ S : SA DM EV
Ca Buli Sistoscopy ADS
LNH Tonsil Tonsilketomi + Ekstirpasi Massa Tonsil S,S WY √ SA DN
Atresia Ani, Fistel Rectovestibula Kolostomi RR AS,BD

Laparotomi Reseksi Ileum + Anastomosis
Post Laparotomi Reseksi Ileum + Ileustomi RR S : AI,YS
End to End
Granuloma Umbilicalis e.c Ductus Laparotomi Reseksi + Anastomose End To
KH EDW √ AS BD
Omphalocele Mesenterium End Ileum
Kista Ovarii Laparotomi Fistelektomi dex + FS B EW √ YS DN

Reseksi Anastomose sigmoid + repair KH,S ERI √
laerasi Ileum + Apendiktomi
Mata kanan pseudofakia, Mata kiri Afakia Mata kiri Secondary Implant AK YW,TU
Mata kanan katarak + Myopia Mata kanan phaco + IOL AL

Mata kanan Mata kiri Afakia Mata kiri Secondary Implant RF
Mata kanan KSI, Mata kiri katarak senilis
Mata kiri ECCE + IOL FET
hipermatur
Mata kiri glaukoma sekunder ec katarak
Mata kiri ECCE + IOL + Trabekulektomi KH FI √
hipermatur
Mioma Uteri TAH + SOD KH,B MZ √ ET,RM ET RM,AI
Mioma Uteri TAH + SOD KH,B MZ √ S : TW,ES AI RM,ET
KH,KH,
Ca Cervix St I Radikal Histerektomi + BSO + LPB EN √ ET AI,RM
B
Reseksi Tumor Intraabdoment + Reseksi

Tumor Colon Transversum Distal KH,KH JS √ TD,HI HI TD
Duodenum yeyenum Hemicolektomi sin
Poliksitik Hepar Laparotomi Unroofing KH MM √ S : RA RA
Cholelithiasis Laparoskopi Cholesistektomi KH PB √ AF DN
Ca Ovarii On Colostomy Tutup Colostomy + Repair Hernia KH,B PB √ RI YS
Limfadenitis Colli Sinistra Limfadenektomi Biopsi Colli Sinistra B UUD √ AZ,ID ID AZ
Ca Mamae MRM KH DWT √ S : RI,ST AZ ID
Ca Throid TT KH DWT √ RI ST
Tumor Mamae Insisi Biopsi S DWT √ RI
Skin necrotic e.c Degloving Regio Limb

Debridement + STSG Lanjutan KH NJT √ TA,DA DA TA
Sacrum + Fr. Pelvis
Combustio Gr III 51 % Debridement NJT

Ulkus Granulosum Reg Wrist Joint Reg
Genu Dextra et Sinistra E.c Combustio Debridement Luas B PJ √ S : VQ VQ VT
Listrik
Massa Glotis LD + Ekstirpasi Massa Biopsi S,S FAR √ VQ

Mata Kanan Pseudofakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + PPC +
LN NK,AG
Kongenital Vitrektomi Anterior + IOL
Mata Kiri Ablatio Retina (Makula on) Mata Kiri Vitrektomi + EL + Gas KH AL √ S : DI NK AG
Mata Kiri RRD + Pseudofakia Mata Kiri Vitrektomi + EL + SO KH AL √ AG NK
Mata Kanan Buka Jahitan, Mata Kiri Phaco

Mata Kanan Pseudofakia, Mata Kiri KSI S,KH RF √ DI
+ IOL
Mata Kiri Phaco + IOL KH RF √ DI
Juvenile
Mata Kiri Secondary Implant (Iris Clip) +
Mata Kiri Afakia KH RF √ DI
Vitrektomi Anterior
Mata kanan kiri KSI, Mata kiri Glaukoma

Mata kiri Cyclocryoterapi S MR √ DI
Absolut
LW*,SF
S : AF,DN
Mata Kanan Ptosis Mata Kanan Koreksi Ptosis KH AK √ PR,AP,MF PR AP
OA Genu Sinistra TKR Sinistra KH BIN √ S : II,MW AP PR,MF
Plate Exposed Cruris Dextra, Osteomyelitis Amputasi Trans Tibia sin KH BIN √ II
BJ.09 EN,MA,VT*
ADS II + TR Repair Katup Trikuspid + ADS Closure WW √ MA EN,VT
BJ.03 BP,SS,IM*
Laparoscopy Adhenomiosis +
Kista Infeksi Ovarii Bilateral Neosalpingostomi + Kistectomi Bilat + KH TF √ NP,NI*,TK NP TK,NI
Hiperplasia Endometrium
SPOK Laparoscopy Ovarium Drilling + Polip KH TF √ TK NP,NI
KH,KH,
NOK TAH + BSO + Omentectomj + FS VG √ NI NP
S
Limpadenectomi Pelvis Bilat B MZ √
SNNT Dextra C/ Ganas T2N1M0 Isthmolobectomi + Limfadenektomi + FS, KH,S YAN √ AL,AD, ANM AD, AL
ANM
Failed Back Surgery Syndrome Rhyzotomy + Neuroplasty KH,KH TRI A √ AH,ER ER PL
PM,
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ PL
BY
CKD CAPD S MAS √ PM,BY,PL PM BY,PL
RR GRD : WI SORE PROGRAM :RK,GI,AI,II,TW,SA,AY,AF,DW,DI,DY,ES,MY*,MW*,YS,SA,ST*,DN,RA,RI,VQ ALAT : PUR,CA (S : YN)
SNNT Near Total Thiroidektomi + FS, Ganas - TT KH,KH DWT √ ES RA
Limfadenopati Wide Excisi + Limfadenectomi Colli B,S √ LW SF

DWT
Combustio Gr II - III 51 % Debridement luas KH NJT √ TA DA
Hidrocephalus VP Shunt KH GK √ LW SF
Mata Kanan Obstruksi Ductus Naso

Mata Kanan Endo DCR KH INA √ II AF
Lakrimalis
FESS I + Konka Reduksi KH,S RH √
LNH Tonsil Ekstirpasi Massa Tonsil S WY √ SA MY

ALL BMP B HER √ PL
ALL Post Kemo BMP Evaluasi B MOED √

Susp Keganasan Hematologi BMP B MOED √ ER PL
Ca Cervix Uteri Uretrosistoskopi + Biopsi Ureter KH MAS √
CKD Pasang DL Long Term K AS √ IS

CKD AV Shunt KH ALI √ MW MY
Myastenia Gravis Pasang DL Long Term K WW √ IM
Leakage Pasca Laparatomi Laparatomi Repair Ileum KH ERI √ DJ HE
Fr OS Temporal Meringotomi Telinga Kanan B AYU √ DJ RE
FESS III KH RH √ IS BR
Laparatomi Repair Duodenum Ometal
B JS √ IS BR
Patch
SCTP + IUD B IN √ Arsita
SCTP dg penyulit + IUD B EN √ Gatot GI DY,ST
G2P1A0, PEB, Fatal Distres SCTP + IUD B TF Gatot ES TW
SCTP B TF Gatot GI DY,ST
G4P2A1, Hml 31mg, PEB, Help Symdrum +

SCTP + MOW dg penyulit KH OP √ Gatot TW DY,ST
IUGR
CKD Pasang DL K ALI √ MW
Efusi Pleura Pasang WSD S ALI √ MK
Fr Clavicula VII Traksi Kepala S ER √ RG NH
Hidrocephalus VP Shunt KH ER √ TR RG
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AO,DJ,HE,HR,DJ,AS,LW,PR,EN,MA,SS,I S: AY,
SF,WI,PM,
PLH : AP M, AN,
SC,IS,MF
NI,TK,AL,AD,BY,PL,WU,JFYR,US,GN,MR MY
Isthmolobectomi Sin + FS, Ganas - TT, KH,KH,

SNNT Sin C/ Ganas UUD √ EV,HI,DM DM EV,HI
Wide Excisi + FS, Ganas - RND B,KH
S : SA,RM
Myelopathi Lumbar + HNP, Scoliosis Neuroplasty + Rhyzotomi KH,KH TRI A √ BD,TU
Myelopathi Lumbar + HNP, Scoliosis Percutanius Disectomi + Rhyzotomi KH,KH TRI A √ TU DB
Appendicitis Akut Appendictomy S EDW √

OMK Dry Ear Kiri ME Simple + Tympanoplasty Kiri B,KH AYU √ ET,BY DJ ET,BY
OMSK dg Kolesteatoma dg Komplikasi RM,

Radikal matoidectomi KH AYU √ S : TW,ES RI,ES
Mastoiditis Kanan TW
MESIN ANEST DIKALIBRASI J. 07.00 AZ
MESIN ANEST DIKALIBRASI J. 07.30 TA
MESIN ANEST DIKALIBRASI J. 08.00
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + Gas KH AL √ NK,AG,VT
Mata Kanan Silicon Oil Filled Eye +

Mata Kanan Cyclocryotherapi S MR √ VT AG,NK
Glaukoma Sekunder
Mata Kiri Glaukoma Absolut, Mata Kanan

Mata Kiri Cyclocryotherapi S MR √ AG VT,NK
PACG
MESIN ANEST DIKALIBRASI J.09.00

S : DY,DN
S : MW
EN,MA,VT*
BP,SS,IM*
AM : TD,TW,AY,AN,SA,DY,YN,ES,MY,MW,YS,DN,RA,RI,RM,VQ ALAT : PUR,CA (S : YN)

CKD Pasang Double Lumen Long Term K ALI √ MA EN
Cholelithiasis Laparascopy Cholesistectomi KH MG √ ER AL,US
Hidrocephalus VP Shunt KH GK √ PL LW,AO
SOL Craniotomi KH ER √
Fr Kompresi Fiksasi Internal dg PSRS T10-11 & L1-2 KH MTA √ AD
OSS Dyspneu Jackson II + Papiloma Laring LD + Eksterpai Massa + Traceostomi S,S,S FAR √ MF
Efusi Pleura Pasang WSD S ALI √ PM II.SC

Debridment + Gips Backslab Extermitas
Inferior , Fore Slab Extermitas Superito B,K BIN IS MF,PM
Dex
CKD Pasang Double Lumen K ALI √ RA VQ
MY,
CKD Pasang Double Lumen K ALI √ VQ
RA,YS
G3P2A0, SOS + Kuretase B,K DC √ DM II,ES,YS

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

Multiple Vulnus Schysum Debridment + Hecting B,S NJT √ PL UM,DI,
Fr Tibia Fibula Sin Amputasi Above Knee sin KH ALI √ MY II
G3P2A0, SOS + Kuretase B,K DC √ DM II,ES,YS
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE*,WD,
S :AP,WU, DA,PL
NI, RI
Laparoskopi Diagnostic + Open Biopsi

Ambigus Genitalia S,S ADS √ EV,AU EV AU
Testis
Kista Ginjal Dextra et Sinistra Laparoskopi Kista Ren sin KH ADS √ S : DM AU EV
Ca Ovarium Mild HN + HU Sinistra Aff DJ Stent S ADS √ AU EV
Massa Ginjal Kiri e.c RCC Biopsi Ginjal Sin KH ADS √ DB PS
Massa Sinonasal Medial maxilectomi KH WY √ DB MF
Megacolon Congenital Trans Anal Pull Trough KH EDW √ AI,VQ
Malformasi Vaskuler Thorakal Eksisi + Rekonstruksi PTY S : EA,MF
Post Laparotomi Reseksi Ileum + Ileustomi Laparotomi Reseksi Anastomose Colon KH RR √ VQ AI
Mata Kiri Katarak Mata kiri Phaco + IOL AK YW,TU*

Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL RF S : AG
Mata kiri Subluksasi Lensa Mata kiri EKIK RF
Mata Kiri Keratitis Post Ulkus Kornea Mata Kiri AMT DN
CKD AV Shunt WW
NOK C Ganas Surgical Staging + FS KH EN √ TW,SU* TW SU
Ulkus Granulosum Luas Pasca Luka Bakar Debridement PJ S : TK,PS
Tonsilektomi Kronis Tonsilektomi S FAR √ SU TK
Tumor Caput Pancreas Laparatomi Biliodigestif Shunting KH JS √ TD,SE SE TD
LMNH Laparotomi Biopsi KH PB √ S : RM TD RM
Mata Kiri Proptosis e.c Massa Orbita d.d

Mata Kiri Orbitotomi Lateral + Biopsi + PA KH TL √ RM TK
Gland Lakrimalis
Mata Kanan Massa Konjungtiva d.d Lifoma Mata Kanan Massa Konjungtiva/ Limfoma
S TL √ RM
Maligna Malignan
SNNT Sin C/ Ganas T2N0M0 Isthmolobektomi + FS, Ganas - TT KH,KH UUD √ AZ,ET,ID ET AZ,ID
Tumor Mamae Eksisi Biopsi UUD S : DJ,PM AZ ET,ID
Tumor Mamae Eksisi Biopsi B UUD √
Ca Mamae MRM KH DWT √ DJ PM
Tumor Mamae Dextra Wide Eksisi Bilat B DWT √ PM DJ
SCC reg Bucal Dextra Hemimandibulektomi Dex + FS KH UUD √ TA,UM
Fr. Metacarpal V hand Dex ORIF KH DID √ ANM
Bonelast Aff Implant + Debridement DID S : ANM
Mata Kanan Pseudofakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + PPC +
KH LN √ NK,HR VT NK
Kongenital Vitrektomi Anterior + IOL
Mata Kanan Pseudofakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + Vitrektomi
KH LN √ S : II,VT VT NK
Kongenital + Esotropia Anterior +PPC +IOL
Mata Kiri Afakia ( Post Ekstraksi Lensa e.c Mata Kiri Secondary Implant ( Iris Clip) +
KH LN √ NK VT
Katarak Traumatika) IOL + Vitrektomi Anterior
Mata Kanan Massa Palpebra Superior Mata Kanan Eksisi Massa + Biopsi +
S LN √ VT NK
Suspek Kista Dermoid Hecting Konjungtiva + PA

Mata Kiri pseudofakia, Mata Kanan Afakia KH LN √ NK VT
Vitrektomi Anterior + IOL
Mata Kanan Afakia, Mata Kiri Katarak Mata Kiri Ekstraksi Lensa + Vitrektomi
KH LN √ HR II
Kongenital Anterior + PI + PPC
LW,SF
S : BY,TM
Neuroplasty Plexus Brachialis Injury +
Plexus Brachialis Injury KH DRY √ PR,RK PR WU
Rekontruksi Tendo
Fr. Subtrochanter Femur Dextra Fiksasi Internal yg Kompleks KH DRY √ WU PR
Union Fr. Tibia Aff Implant BIN S : IS
Post ORIF Remove Implant BIN
Union Fr. Aff Implant BIN
Fr. Femur Post Revisi THR Sisnitra ORIF Femur Sinistra BIN
EN,MA,DI* EN,
MS Severe + TR Severe MVRepair + TVRepair BJ.08 SF √ DI
BP,SS,IM MA
Empyema Paru Sinistra Thoracotomi WW S : BD,WI
Overflow AV Shunt, CKD Tutup AV Shunt KH WW √ NP,HI,AD AD NP
NOK Susp Torsi Kista SOD + Adhesiolisis + Miomektomi + FS KH,S,B VG √ NP HI,AD
NOK, DM Tp II Surgical Staging + FS KH MZ √ AL,MW AL IS

Wound Dehisense Post Radikal
Re Hecting S MZ √
Histerektomi
Ulkus Granulosum reg pedis dex Eksisi + PA + Rekonstruksi KH ETH √ AH,DB
Ulkus Dekubitus Reg Pedis Dextra Debridement B ETH √
Isthmolobectomy + FS, Ganas TT,

Metastasis Colli Anterior KH,KH BIS √ NO,ER
Limfadenectomy + FS, Ganas RND
RR GRD : AS SORE PROGRAM :AP,WU,II,BD,AG,BR,BY,DA,DM,TK,VT,IS,JF,WI,PS,PM,SC,YR,PL,DJ,MF,ANM,RM,TM ALAT : PUR, YN* (S :CA )
Clinoid Meningioma Craniotomi Ds Tengkorak KH DP √ SF LW

Kista Ovarii SOD + Adhesiolisis + FS B,S EW √ EA MF
Mata Kanan Steroid Induced Glaukoma,

Mata Kanan Kiri Cyclocryotherapi S,S MR √ HR II
Mata Kiri Glaukoma Absolut
Stenosis Trakhea LD + Ganti Kanul S √ AG TK

DAT
TK,
Disfagia Esofagus e.c Striktur Esofagus Esofaguscopy + Businasi B DAT √ AG
MY
Laparoskopi Cholesistektomi +
Cholesistolithiasis KH,KH MG √ BY TM
Adhesiolisis
Dislokasi Gas Bilat Gisp Fose Slap K BIN √ JF
Mata Kanan POAG, Mata Kanan Kiri KSI Mata Kiri Trabekulektomi B MR √
CKD St V On HD AV Shunt KH ALI √ TU AG

Ca Cervix, CKD HN Repair DL K AS √
CKD St V On HD Psg DL Longterm K AS √
CKD St V On HD AV Shunt KH ALI √
Hidrocephalus VP Shunt KH ER √ AN AT
Hidrocephalus Peritoneal Shunting VP Shunt KH ER √ WD RI
Hidrocephalus VP Shunt KH ER √ PL RK
G1P0A0, Hml 39mg, Blum Impartu,susp

SCTP B PS √ Arsita HE PS
CFD
Insisi Abses dg penyulit + Odontectomi 2

KH,KH RP √ RK PL
rahang
G3P2A0, PEB SCTP + MOW B EW √ Gatot PS DA
Stenosis Tracea LD + Ganti Kanul S DAT √ AG TK
LMNH Nasofaring Traceostomi + Biopsi Massa Nasofaring S,S DAT √ ER DY
Ruptur Paraanal Debridment + Repair Paraanal B MM √ YS MY

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S :AP,WU, JF,PL
WD ,RI
KH,KH,
Batu Ginjal ( HBSAg + ) PCN + Nedrolithotomi + DJ Stent MAS √ EV,AU AU EV
B
Ca Cervix, Hidronefrosis, CKD Pasang DJ Stent ADS S : BR*
Nefrolithiasis Dupleks Nefrolitotomi Dextra + DJ Stent Dextra KH,B ADS √ BR EV

Ca Sinonasal Hemimaksilektomi Medial KH WY √ BR TM
Malformasi Vaskuler Thorakal Eksisi + Rekonstruksi PTY AI*,VQ
Fistel Uretrocutan Repair Uretroplasty + Chordectomi KH,B EDW √
Hernia Scrot Sin Herniotomi Scrotalis B PTY √ S : MF MF AI
Explorasi ec Bleding KH PTY √
POAD Femoro-Poplitea Dex By Pass Arteri KH ALI √ TM MF
Mata Kanan KSI Mata kanan Phacoemulsifikasi + IOL AK YW,TU

Mata kanan katarak traumatika Mata kanan Phacoemulsifikasi + IOL RF S : AG
CKD AV Shunt WW
CKD AV Shunt WW
Elongatio Colli Post Histerektomi
TVH KH ER √ TW,SU SU TW
Supravaginal
TVH + Kolporafi Anterior + KH,KH,
Prolaps Uteri, Elongatio Colli ER √ S : TK,PS SU TW
Kolpoperineorafi KH
Sistokel Gr III Kolporafi Anterior KH ER √ TW SU
NOK C/ Ganas SOU + FS s.d CSS SR
Wound dehisence post DVR Debridement B ALI √ TW SU
Ulkus Diabetikum Pedis Dextra Debridement B ALI √ TW SU
Hernia Umbilikalis Hernia Repair Mesh B MM √ TD,SE SE TD
Abses Hepar Segmen 6 Laparascopy Drainase Abses KH ERI √ S : RM TD SE

Patern ductus uracus terinfeksi KH,B ERI √ TD SE
Anatomose Ileum + Ileotomi Double Barel
Adeno Ca Recto Sigmoid Laparatomi Eksplorasi k/p colostomi ERI

Laparatomi Eksplorasi + Explorasi CBD +
Cholecystolithiasis + Choledocolithiasis KH,KH ERI √ RM TK
Bypass Choledoco - Duodenustomi
SNNT Bilateral Sub Total Thyroidectomi + FS, Ganas - TT KH,KH BIS √ AZ*,ET,ID AZ ET,ID
ET,
Ca Mammae Sin MRM Sin KH DH AZ
ID
Ca Mammae Sin Residif Wide Eksisi + Diseksi Aksila B,KH UUD √ S : DJ
Invasive ca of WST Gr II MD T4bN1M0 Wide Eksisi + Diseksi Aksila B,KH UUD √ ANM
Metaplastic Ca Mamae Sinistra Wide Eksisi + Diseksi Aksila B,KH UUD √ DJ AP
Fore Head Flap Potong Pedicle Flap S RZ √ TA UM
Infeksi Daerah Operasi Debridement/ Nekrotomi B NJT √ UM
Fr. Os Nasal Rekonstruksi Fr Nasal KH NJT √ TA,UM TA UM

Fr. Parasimfisis Sinistra Mandibula Rekontruksi Fr Wajah Kompleks (ORIF) KH NJT √ S : ANM UM TA
Ulkus Granulosum Debridement + STSG KH PJ √ ANM PS
Rekonstruksi Leher dg Flap + Debridment

Ulkus Granulosum reg Colli KH,KH PJ √ ES IS
STSG
Mata kanan massa konjungtiva Mata kanan re-eksisi massa konjungtiva S AK √ NK,HR HR NK
Mata kiri endoftalmitis post operatif Mata kiri Eviscerasi Bulbi S DN √ S : VT HR NK
Fr Olegranon Dex ORIF KH BIN √ HR NK
Mata kanan kiri eksisi nevus + Rekontruksi

Mata kanan kiri nevus pigmentosa S,S TL √ VT BY
Palpebra
Mata kanan orbitotomi lateral + Biopsi +

Mata kanan proptosis ec massa retrobulbar KH TL √ DM IS
PA
Meningioma Petrosal Craniotomi Dasar Tengkorak KH ZM √ LW,SF,EA LW SF

S : BY*,TM
Post FSE Bone Graft KH APR √ PR,RK PR MW
Laminektomi Disektomi + Instrumentasi

LBP e.c HNP VL 4 - 5 KH,KH APR √ S : DA PR RK
Fusi
Post ORIF Fibula Dextra Bone Rekontruction pd Eksterpasi Bawah KH DRY √
Fr. Femur Post Revisi THR Sisnitra ORIF Femur Sinistra BIN
OA Genu TKR Genu Dextra KH DID √ DA BY
EN*,MA,DI EN,
MR Severe, MS Mild MVRepair BJ.09 SF √ DI
BP,SS,IM MA
VSD VSD Closure BJ.04 SF √ S : BD*,WI
Laparoscopy Salpingektomi Bilat +

Salpingitis KH HR √ NP,HI,AD HI NP,AD
Adhesiolisis
Laparoscopy Salpingektomi Bilat +
Adnexitis Dextra KH,KH HR √ AD HI
Kistectomi Ov Dex
TAH + BSO + Omentectomi + Adhesiolisis KH,KH,
Kista Ovarii MZ √ AL,MW AL MW
luas S,KH
NOK C/ Ganas SOU + FS Persiapan Optimal Debulking EN
FESS III + Konkaplasty + Tonsilektomi
Sinusitis,Konka Hipertropi, Tonsilitis Kronik KH,S,S RH √ AH*,DB
Deseksi
Ca Sinonasal Maksilektomi KH DAT √ DB EA
Luka Bakar reg wajah Gr II-III 4 % Rekontruksi Wajah KH ETH √ NO,ER*,SA ER SC,NI
Ulkus Granulosum Debridement + STSG KH PJ √ NI ER,SC
RR GRD : AS SORE PROGRAM :AP,WU,AG,BR,BY,BD,DA,TK,VT,JF,WI,PS,SC,YR,PL,DJ,MF,ANM,RM,TM ALAT : PUR, YN* (S :CA )
Hernia Scrotalis Sinistra Laparoscopy Herniotomi KH PTY √ S : MF MF AI
Megacolon Congenital Rectal Biopsi S PTY √
Susp Keganasan Hematolog Pungsi Sum sum Tulang B MOER √

Susp Meningoencephalitis Lumbal Pungsi B Retno √
Laringoscopy Flaxible B FAR √
Efusi Pleura Dex Pesang WSD Dex S UUD √ AY RI,HA
PAOD Amputasi Below Knee KH AS √ PM II
G P A , PEB, Hellp Sydrum SCTP + IUD B PS √ ES DY
Biopsi Susp Cervic + Pasang Tampon

Mioma Gerburt S,K VG √ VQ SU
Padat Vagina
ICH Craniotomi ICH KH AJ √ WD RI
Efusi Pleura Dupl WSD Thorakal Kiri S WW √ HE NH
POAD Amputasi Below Knee KH ALI √
Burst Abdoment Repair Hecting Abdoment S ERI √ SA PL
G5P3A1, Bekas SC SCTP + MOW B HR √ Adhie JF PL
Trakeostomi S DAT √ MY II
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S :AP,WU, ,PL
VQ ,RI
Undensensus Testiculorum Sinistra +
Orchidopexy Sinistra + Sircumsisi KH,S ADS √ EV,AU AU EV
Fimosis
Striktur Uretra Reanastomose Urether KH ADS √ S : SA EV AU
Tumor Ginjal Dextra Open Biopsi Ginjal KH ADS √ SA
Nefrolithiasis Dextra, Hidroneferosis Dextra Nefrolitotomi Dextra KH ADS √ SA
Eksisi Tumor + Rekonstruksi Dinding KH PTY √ AI,SR

Malformasi Vaskuler Thorakal Dada
Pasang CVC KH JH
Fr Distal Radius Sinistra ORIF Distal Radius KH DID √ S : MF
Fr. Costae 4-5-6-7 + Fr. Scapula ORIF Scapula KH DID √ MF AR
Mata Kiri Katarak Mata Kiri Phaco + IOL AK YW,TU

Mata Kanan KSI Mata Kanan Phaco + IOL RF S : NO
Mata Kanan KSI Mata Kanan Phaco + IOL WIS
Mata Kanan KSI Mata Kanan Phaco + IOL WIS
Mata Kanan Subluksasi Lensa Mata Kanan EKIK WIS
CKD Pasang DL Longterm K WW √ WI
KH,KH,
NOK C/ Ganas Histerektomi + BSO + Omentectomi + FS EN √ TW,SU,YN TW SU
S
OMSK Kanan Dg Kolesteatoma ME Radikal kanan KH PW √ S : TK,PS* SU TW
Cholelithiasis Laparoscopy Cholesistectomi KH MG √ RK,SE RK SE
Cholesistolithiasis Laparoscopy Cholesistectomi KH ERI √ S : RM SE RK
Striktur Esofagus / Massa esofagus Laparatomi Gastrostomy Feeding B,B ERI √ SE RK
Cholesistolithiasis Laparoscopy Cholesistectomy KH ERI √ RM TK
TMS C/ Ganas Core Biopsi K DH AZ,ET,ID ID AZ,ET
Inv Breast Ca MS Gr I - II T3N0M0 Post KT

MRM Sin KH DH S : DJ
3x
Superficial Parotidectomi + FS Ganas -

Tumor Parotis sin c/ ganas B,KH UUD √ AZ ET,ID
Total Parotidectomi
Tumor kulit c/ ganas Wide Eksisi + FS + Rekontruksi STSG B,KH UUD √ PS TK
Fr. Squesterd Symphisis Mandibula Rekonstruksi Fr. Tlg Wajah Kompleks KH NJT √ TA,DN TA DN
Combustio Gr II Debridement luka bakar luas KH NJT S : ANM TA,DN
Luka Bakar Gr II, III 18 % Debridement KH NJT DN TA,

ANM
Skin Nekrotik Reg Pelvis Debridement B PJ √ ANM RM
Ulkus Granulosum Reg Cruris Dextra Debridement + Skin Graft KH PJ √ ANM
Mata Kanan Afakia + Eksotropia + Mata Kanan Secondary Implant +

KH,S LN √ NK,UM NK UM
Mikrokornea Vitrektomi Anterior + Perifer Iridectomi

Mata Kanan Glaukoma Kongenital KH,B,S LN √ S : HR
Trabekulektomi + PI
Mata Kanan Orbitotomi Anterior

Mata Kanan Massa Palpebra Superior KH TL √
Transkutaneous + biopsi + PA
Mata Kanan Squamous Cell Carcinoma
Mata Kanan Total Eksenterasi Bulbi KH TL √ NK
Well Diff Orbita
Wide Excisi + Rekontruksi STSG B,KH UUD √
SOL Cerebellum Craniotomi Dasar Tengkorak KH MTA √ LW,SF SF LW
S : BY,TM
Laminektomi Disektomi + Instrumentasi

Spondilosis VL 1 S1 KH,KH APR √ PR*,WD
Fusi
Fr. Metatarsal + Fr Metacarpal ORIF Multiplw Fr KH APR √ PR DA
Fr. Costae 4,5,6,7, Fr. Pelvis Thoracotomi ORIF Costae KH ALI √ S : DA DA WI
ORIF Pelvis + ORIF Clavicula (Multiple Fr) KH APR √
Fr Femur Dextra Bipolar Hemiarthroplasty Dex KH BIN √ BY TM

Osteosarcoma Cruris Sinistra Reseksi Tumor BIN
EN,MA,DI
MR Severe MVRepair BJ.09 SF √
BP,SS,AS
Redo Sternotomi Rusisitasi Bleeding KH ALI √ WI VT,ID
S:
TOF Post BT Shunt Operasi Jantung Terbuka BJ.09 SF √ VT WI
VT,WI*,IM
Kista Cokelat Laparoscopy Kistectomi Bilat KH HR √ NP,HI,AD AD HI
Giant Gartner Cyst Ekstirpasi Abses Vagina S HR √ HN AD
Limfadenopati Colli Dextra Limfadenectomy + PA S YAN √ AL*,MW,NI MW AL,NI

SNNT Sin C/ Ganas T3N0M0 Isthmolobectomi + FS, Ganas - TT KH,KH YAN √ NI AL,MW
Impaksi 2 Rahang Odontektomi 2 Rahang KH RP √ GI,DB*,ER GI DB

RR GRD : EA SORE PROGRAM :AP,WU,NO,HR,BY,DA,TK,VT,JF,WI,PS,SA,YR,PL,DJ,MF,ANM,RM,TM ALAT : PUR,DW (S :CA )
Otitis Media Efusi Insersi Gromet S AYU √ HR TK
Disfonia + Disfagia FEES + Pasang NGT B AYU √
Ikterus Obstruktif ec tumor caput pankreas Cholesistostomi B MG √ JF YR
Ca Epidermoid Cervix Uteri Rectoscopy B JS JF YR
G1P0A0, Hml 36mg, Blum Impartu, Eklasia SCTP B JD √ PM MY,DM
Vulnus Laserasi r/ Anebrachii Debridement + STSE KH RZ √ ES YS,IS

Peritonitis Generaliasta KH ERI √ SL VQ
Ileum
Ulkus DM Pedis Dex Debridment B ETH √
G1P0A0, Hml 31mg SCTP + IUD B HR √ Gatot PL WU
Laparatomi Hemicolectomi Dex KH MM √ RI
G2P1A0, Hml 37mg, Bekas SC SCTP B DC √ Arsita

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S :WU,AD ,PL AS,CA,DM
VQ ,RI
Nefrolithiasis Dextra RARS Dex (PCN) + DJ Stent dex KH,B ADS √ EV,AU* AS EV,AU
Nefrolithiasis Sinistra Nefrolithotomi sin KH ADS √ S : SA
Mioma Uteri Eksklusi Tuba Bilateral Histeroscopy Miomektomi KH HR √ JF TK
Severe Chordae Chordectomi + Rekontruksi Flap B,B EDW √ AI,SR*

Megacolon Kongenital on Colostomi Duhamel Prosedur + Stepler KH EDW √ S : VT,WI AI SR
Thoracotomi Explorasi Biopsi Tumor

Massa Mediastinum KH ALI √ SA MF,TK
Mediastinum Posterior
Mata kanan katarak diabetika Mata kanan phaco + IOL MR YW,MK
Mata kiri katarak mata kiri phaco + IOL AW S : TU
Mata kiri Entropion Mata kiri Koreksi Entropion AK
NOS C/ Ganas TAH + BSO + FS KH,KH MZ √ TW,SU,YN TW DJ,SU
Neglected Fr Dislokasi Ankle Dextra Rekontruksi Fr Ankle Dex KH BIN √ S : TK SU TW
FESS + CWL Sinistra + Konkotomi Dupl + KH,B,S,

Pansinusitis DAT √ TD,SE* SE TD
NAW Kanan K
OMSK Kiri Dg Kolesteatoma Mastoidektomi Radikal Kiri KH PW √ S : RM SE TD
SNNT Dextra C/ Ganas Isthmolobektomi + FS, Ganas TT BIS AZ,ET,ID
SMNT C/ Ganas T2N1M0 Subtotal Thyroidectomi + FS, KH BIS √ S : PS,ANM ET AZ,ID
Inv Breast Ca Of NST Gr II MS Wide Eksisi B BIS √ ID ET,AZ
Ca Papilary Reg Colli Dextra Susp Ca S,KH,

Adenectomi + FS, Ganas - RND + TT DWT √ PS ANM
Thiroid KH
SNNT Dextra et Sinistra c/ ganas T3N0M0 Isthmolobektomi + FS, Ganas - TT KH,KH DWT √ AZ SC
Defect Wajah Pasca Eksisi Tumor Luas Free Flap (Bedah Mikro) KH,KH NJT √ TA,DN CA DN
Multiple Fr + Fr. Parasymphisis Dextra

Rekontruksi Fr Wajah Kompleks KH PJ √
Mandibula
ORIF Radius dex + ORIF Radius Sin +

KH,KH,
ORIF Ulna Segmental Sin + ORIF Femur
KH,KH, DID √
Dex + ORIF Femur Sin + ORIF Lakrimalis
KH,KH
Sin
Mata Kiri Silicon Oil Filled Eye + Still Mata Kiri Re Vitrektomi + SO Exchange +
KH AL √ NK,UM UM NK
Detachment EL + MP
Mata Kanan Proliferatif Diabetik Retinopati

Mata Kanan Vitrektomi + EL + Gas C3F8 KH AW √ UM NK
+ Tractional Retinal Detachment
Mata Kanan Vitreus Hemorage + Mata

Mata Kanan Vitrektomi + EL+SO/ Gas AW S : HR
Kanan Kiri Proliferatif Diabetic Retinopati
Mata Kanan & Kiri Proliferatif Diabetic

UM,
Retinopati + Tractional Retinal Detachment Mata Kanan Vitrektomi + EL+ SO+ Gas KH AW √ NK
HR
+ Vitreous Haemorhage
Mata Kanan Orbitotomi Anterior + DCR +

Mata Kanan Tumor Saccus Lakrimalis KH,KH TL √
Silikon Tube
KH √ LW,SF SF LW
Tumor Ekstradural VL 4 - 5 Bedah Mikro Tumor Medula Spinal HY
Meningioma Clinoid Craniotomi Mikro Dasar Tengkorak KH ZM √ S : HI,TM LW SF
Fr. Radius Ulna Dextra ORIF Multiple Fr Radius, Fr Ulna KH APR √ PR,AP
Canal Stenosis V Lumbalis Laminektomi Dekompresi + Fusi KH,KH APR √ S : AR,MF PR
Fr. Ulna Sinistra, Fr. Metacarpal Sinistra, Fr.

ORIF Multiple Fr + Repair Tendo KH,S APR √ MF AR
Radius Sinistra
EN,MA,DI EN,
MS Severe, MR Moderate, AS Severe AVRepair + MVRepair BJ.08 SF √ DI
BP,SS,IM MA
Laparoscopy Kistectomi Ov + Miomektomi
Adnexitis Duplex KH,KH TF √ NP*,AM AM NP
+ Adhesiolisis
Adnexitis, Tuba Bilateral Non Paten Laparoscopy Miomektomi + Adhesiolisis KH TF √ NP AM
Eksisi & Rekonstruksi KH RZ √ MW AI,NI

Malformasi Vaskuler Reg Pectoralis Dextra
Sindactily Inkomplit Simplek Dig 2-3 Manus AL,
Release Kontraktur Kompleks + STSG KH,B ETH √ AL,MW,NI NI
Dextra MW
Sindactili Komplit Simplek Digiti IV - V
Release Kontraktur Kompleks + STSG KH ETH √
Manus Sinistra
P3A0 Mioma Geburt TAH + Exterpasi Mioma geburth KH INU √ RK,AF AF RK
Susp Keganasan Hematologi BMP NYO GI,DB,ER
Embeded 8 Odontektomi Sulit 37,35 KH DV √ GI,DB DB,ER

Myelopathy Lumbal, HNP L4 - S1 Neuroplasty + Rhizotomy KH,KH TRI A √
RR GRD : EA SORE PROGRAM :WU,HR,SA*,AR,AD*,TK,VT,HI,JF,WI,TU,PS,US,PL,MF*,ANM,RM,TM ALAT : PUR,DW (S :DJ )
Ulkus Pedis Dextra Debridement Luas B AS √ BD SC
Nefrolithiasis Dextra Post Nefrolitotomi Aff DJ Stent Sistoascopy S MAS √ AY RA,HA
Efusi Pleura Kanan Bronchoscopy KH FRD √
Mata Kanan Rekanalisasi Kanalis +

Mata Kanan Canalis Lakrimalis Inferior S,S LN √ RI VQ
Hecting Lalpebra
CKD Pasang DL Long term K ALI √
Efusi Pleura Kanan Thoracotomi + Pericardial Window KH WW √
Efusi Pleura Kanan Pasang WSD S ALI √
Malformasi Anorectal Letak Tinggi Colostomi B RR
Apediksitis Akut Perforasi Laparatomi Adhesiolisis KH ERI √ PL US
G7P5A1, Hml 8bl, Impending Eklansi, Fatal

SCTP dg penyulit B BE √ Adhie AD US
Distress
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S :WU,AN ,PL AS,CA,DM
VQ ,RI
Batu Renal Dextra URS D Pecah Batu + Pasang DJ Stent D KH,B ADS √ EV,AU,AS AU AS,EV
Vesicolithiasis + Striktur Uretra Sachse + Vesicolithotomi KH,B ADS √ S : AD AS EV,AU
Ca Nasofaring Trakheostomi S WY √
Mata Kiri Proptosis e.c Pseudotumor Mata kiri Orbitotomi Anterior + Biopsi + PA KH AK √ AI,SR
Ameloblastoma Mandibula Dextra Enukleasi Kista Besar + Ekstraksi gigi KH,B DV √ S : WI AI SR
RSK Komplikasi Mata kanan abses orbita FESS III + CWL Kanan KH,B ANA √ TU HR
Mata Kanan Debridement Abses B AK √
Mata Kiri Subluksasi IOL Mata Kiri EKIK AK YW,MK

Mata Kiri Katarak Diabetika Mata Kiri Phaco + IOL WIS
Mata Kanan Katarak Komplikata Mata Kanan Phaco Diagnostik AL S : TU
Mata Kanan Kiri PDR Mata Kanan Kiri Inj TCA Sub Tenon AL
Repair Aneurisma (Ligasi Arteri) + AV
Aneurisma AV Fistula KH,KH WW √
Shunt
nok c/ Ganas + Ca Mamae Dextra BSO + FS KH DC √ TW,SU SU TW
Fr. ZMC + Leffort V Rekonstruksi Fr Tl Wajah Kompleks KH RZ √ S : TK DN SU,ET
Obesitas Grade II Laparoscopy Gastric Plycation JS TD,SE*

S : RM
Limfadenopati Colli Limfadenektomi Biopsi + PA S BIS √ AZ,ET,ID ET AZ,ID
odontektomi 2 Rahang KH RP √
Tumor Mamae Sinistra Biopsi B BIS √ S : PS,ANM AZ ET
Sarcoma Rongga Mulut Total Mandibulektomi DWT
Wound Dehisense Pasca Palatoplasty Re Palatoplasty KH ETH √ TA,DN DN TA
Hemangioma Reg Retroauriculla Sinistra Eksisi + Rekonstruksi KH NJT √ DN TA
Fr. Parasimfisis Mandibula Dextra Rekontruksi Fr Wajah Kompleks KH NJT √ S : DJ TA DN
Mata Kanan Kiri Retinal Detachment Mata Kiri Vitrektomi + EL + MP +SO KH AL √ NK,UM UM NK
Mata Kanan Ablatio Tractional e.c

Mata Kanan Vitrektomi + EL + SO KH AL √ S : HR
Degenerative Diabetic Retinopathy
Mata Kanan Kiri Subluksasi Lensa Mata Kiri Phaco + IOL + CTR WIS
SOL Cranio Cervical Junction Craniotomi Ds Tengkorak KH DP √ LW,SF SF LW

Laminektomi Kompleks KH AJ √ S : HI,TM
IOM KH Aris √

HNP V Lumbalis S - S1 KH,KH APR √ PR,AP
Fiksasi Fusi
OA Genu TKR D KH BIN √ S : AR,MF MF AR
OA Genu dex TKR Dex KH BIN √

EN,MA,DI EN,
AR Severe, MR Moderate MVRepair + BJ.08 SF √ DI
BP,SS,IM MA
PDA Ligasi PDA SF
TAH + BSO + Adhesiolisis + Omentectomi KH,KH,
NOK + Mioma Uteri VG √ NP*,AM NP AM
+ FS S,S
Reseksi Yeyenum + Anastomose E to E KH JS
NI,
SNNT Dextra C/ Ganas T3N0M0 St III Isthmolobectomy + FS, Ganas - TT KH,KH YAN √ AL
MW
Ca Papiler Varian Folikuler Completion TT KH YAN √ AL,MW,NI SE TD
HNP L VT 5 - S1 Neuroplasty + Rhizoromi + Foraminal Blok KH,KH TRI A √ RK,AF,TR RK TR,AF
TMS C/ Ganas T3N0M0 St III Insisi Biopsi S YAN √ GI,DB,ER DB GI,ER
Prolonged Fevers Lumbal Pungsi B ALIF √
RR GRD : EA SORE PROGRAM : WU,AN,HR,AR,AD,TK,HI,JF,WI,TU,PS,WD,PL,DJ,MF,ANM,RM,TM ALAT : PUR,DW (S :YN )

Ca Sinonasal Aff Tampon + Evaluasi K DAT √ JF PS
Obesitas Grade II Laringoscopy Flaxible B DAT √ JF
FEES + Laringoscopy Flaxible B,B FAR √ PS JF
Post MVR Debridemnet + Sternal Closure B ALI √ WI WD
Susp Keganasan Hematologi BMP B NYO √ HI
Kista Ovarii dex Laparatomi Eksplorasi Bilat + Adhesiolisis KH,S HR √ VQ RI
CKD Repair Double Lumen K ALI √ RI HE
Scrotal Swely ec Femuralis Gangren Debridement B ADS √ RI NH,HE
Corpal di Telinga Extraksi Benda Asing B PW √ TM RM
Hidrocephalus VP Shunt KH DP √ AN RM
Hidrocephalus VP Shunt KH DP √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,ST,UM,R
S : AN ,PL
I,VQ,RG
EV,AU
S : AD
AI,SR
S : WI
HNP Neuroplasty + Rhizotomy KH,KH TRI A √ MK AZ PS
S : TU
TAH + BSO + Adhesiolisis Luas + KH,KH,
Mioma Uteri + NOK MZ √ TW,SU TW SU
Omentectomi KH,S
Impaksi gigi 2 rahang + Meningitis Odontectomi 2 Rahang RP S : DY
TD, MY
S : RM
Ca Mamae Pemasangan Chestport KH YAN √ ET,ID ID ET
Tumor Mamae Dextra Biopsi Insisi + PA S YAN √ S : PS,ANM ET ID
Osteosarcoma Cruris Sinistra Limb Bone Tumor Protese KH BIN √ DY
TA,ES
S : DJ
Mata Kanan Vitrectomized Eye, Mata Kiri
Mata Kiri Vitrektomi + EL + Gas C3F6 KH AW √ YW,DI
PDR + TRD
Mata Kanan RRD Mata Kanan Vitrektomi + SB + SO KH AW √ S : HR YW DI
Mata Kanan Still Detachment Of Retina + Mata Kanan Re Vitrektomi + SB + SO

KH,KH AW √ DI YW
SO Filled Eye Exchange + Phaco + IOL
Meningioma Craniotomi Mikro Ds Tengkorak KH DP √ SF,TK,YS MY SF,TK
Duraplasty KH AJ √
Pasang CVC KH HA √ S : HI,TM
Burst Fr VTH XII Fusi Posterior KH AJ √ PR,AP PR AD
Pasca Craniotomi Cranioplasty KH AJ √ S : AR,MF MF WD
EN,MA
SS,IM
NP,AM
AL,MW,NI
AF,TR
GI,DB,ER
RAM : AN,DY,HI,IS,JF,TU,PS,US,WD,MF,ANM,RM,TM ALAT : PUR,DW (S :YN )
SU,
Impaksi 2 Rahang Odontectomi 2 Rahang KH RP √ TW
AL
Ruptur ACL Sin Rekontruksi ACL Sin KH BIN √ WD RI
Adenoma Ca Paru Bronkonscopy KH Fathur √ JF RM
G3P0A1, PEB, Type II SCTP dg penyulit B OP √ Gatot ER VT
Hidrocephalus + SOL VP Shunt KH ER √ BM SA
Peritonitis generalisata Laparatomi Eksplorasi KH JS √ RG RI
Hidrocephalus Aspitasi LCS K AJ √ DM NH

Craniotomi Decompresi KH AJ √ UM,IS PS
Traceostomi + Biopsi Tonsil + Pasang

Massa Tonsil Bilat S,S FAR √ AL US
NGT
Efusi Plura WSD S ALI √ IS
AD,
Ileus Obstruktif Laparatomi Eksplorasi + Release Band KH JS √ US,PS
AR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Massa Antrokoana Ekstirpasi Massa Antrokoana + FESS I S,KH DAT √ AZ,EM,HR,Y EM YW,HR
W,DN
Ekstirpasi Massa + CWL + FESS

Undiff Ca Sinonasal + Sinekia Cavum Nasi S,B,KH DAT √ DY TU
Sinekiotomi
Pansinusitis Aff Tampon K DAT √ TU ER
Mata Kanan Vitreus Hemorge Mata Kanan Vx + EL + SF6 KH AL √ HR YW
SOL Cranitomi Dasar Tengkorak KH MTA √ PM DN
ICH Temporoparietal Sin Craniotomi KH AJ √ DN
G2P1A0 SCTP + IUD B PS √ Arsita ER DY,TU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,TR,
S : AH,GI,NI
DJ, TM
Hipospadia Penoscrotal + Chordae Release Chordae + Uretroplasty B,KH ADS √ AS,AU
Nefropati Obstruktif Pasang DJ Stent ADS
Reseksi Anastomose End To End Ureter

Fistel Ureterovagina KH,B ADS √ S : EV,VQ EA ANM
Sin + Pasang DJ Stent Sin
Multiple Fraktur Costae + Fr Acetabulum Thoracotomi ORIF Costae KH ALI √ DJ EV

Skeletal Traksi (ORIF Fmur) KH DRY √
Megakolon Kongenital on Colostomy Duhamel Procedure + Stapler KH EDW √ AI,RE AI RE

Megakolon Kongenital Duhamel + Stapler KH RR √ S : DY DY EV
Total Gastrektomi + Reseksi Colli Dinding
Adeno Ca Colon + Gaster MG/PJ
Abdomen + Rekonstruksi
Laparascopy Unroofing Kista Hepar +
Kista Hepar KH,KH MG √ DY EV
Marsupialisasi Kista Hepar
Mata kiri subluksasi lensa + KSH Mata kiri EKIK + PI RF YW,MK
Mata kanan PACG + katarak senilis imatur Mata kanan Phacoemulsifikasi + IOL MR
Mata kiri katarak Mata kiri phaco + IOL AL

Mata kanan bulous keratopati +
Mata kanan AMT DN S : HA*
decompensated kornea post ECCE
CKD AV Shunt WW

Ca Cervix St II a KH,B MZ √ TW,ES* TW ES
Pelvis
Mola Hidatidosa Dilatasi Kuretase K MZ √ S : EM ES TW
KH,KH,
Ca Cervix Uteri St II a Radikal Histerektomi + BSO + LPB EW √
B
Obesitas Grade II Laparoscopy Gastric Plycation KH JS √ TD,DI TD MF
Laparotomi Cholecystectomy + Explorasi

Ikterik Obstruktif e.c striktur + Batu CBD B,KH MM √ S : RA*,WU MF TD
CBD + Choledocoduodenostomy
Adeno Ca Recto Sigmoid Laparotomi Explorasi + Colostomi KH ERI √ RA WU
Laparotomi Adheiolisis Kompleks Repair

AH,
Fistula Enterocutan Ileum Reseksi Anastomose Iloe Colon KH ERI √
AN
Tranversum Repair Dinding Abdoment
Ca Mamae MRM KH BIS √ AZ,ET,ID ID AZ
MFH Wide Eksisi + FS Bebas Tumor B BIS √ S : DN ET ID,AZ
Tumor PAROTIS c/ Ganas Incisi Biopsi S BIS √ DN
STT Punggung + Infeksi Wide Excisi +Debridment B,B UUD √ DN CA
Basal Cell Ca Maxilla Sinistra Rekontruksi Bedah Mikro / Free Flap KH NJT √ CA,TK,MF TK TA
Mata Kanan Ptisis Bulbi Mata Kanan Enukleasi Bulbi + DFG B TL √ S : TA,RI RA CA
Mata Kanan Ablatio Retina Rhegmatogen Mata Kanan Vitrektomi + EL + Gas SF6 KH AL √ HR*,UM UM DI
Mata kiri TRD Mata kiri Vitrektomi + EL + SO KH AL √ S : HR
Mata Kanan Post Endo DCR + Abses Mata Kanan Insisi Abses + DCR Endo S,KH TL √
Laminektomi Komplek dg Fusi Posterior,

Tumor Intranmeduler Reg C1 - C7 ZM LW,BR
Evakuasi Tumor
S : SF*,MW
Laparascopy Uretrolitotomi + Pasang DJ

Hidroureter, Hidronefrosis, Batu Ureter KH,B MAS √ PR,HI
Stent
OA Hip Joint Sinistra THR S KH BIN √ S : AP

BJ.11 EN,MA,VT, EN,
CAD 3 VD + MI Severe CABG High Risk + MVR SF √ VT
BJ.09 BP,SS,IM MA
PDA Thoracotomi KH WW √ S : BD, SU
Total Laparoscopy Histerektomi + AM,
Adenomiosis KH TF √ NP,AM,MY NP
Adhesiolisis MY
Laparoscopy Kista Ov. Kanan +
NOK KH,KH TF √ AM NP, MY
ooforectomi Ov, Kiri + Adhesiolis
Manchester Fortagyl (Vaginal Histerektomi
Elongatio Colli KH ER √ SU AL
)
Histerektomi Total + BSO + Biopsi KH,KH,
Susp Ca Ovarii EN √ AL,AF AL SU
Omentum S
PM,
Impaksi 21,23,25 Odontektomi KH DV √ II
PL
PL,
18,28,38,48 impaksi Odontektomi KH DV √ II*,PM,PL II
PM
TB Peritoneal Laparotomi Biopsi ERI
Pansitopeni, Susp Keganasan Hematologi BMP + Biopsi B HER √ ST,RG,ANM
RR GRD : AG* SORE PROGRAM :AH,AP,NI,BD,DY,EM,YN,EV,HA,MR,SF,GI,SU,TA,WU,YR,DN,RA,RI,VQ ALAT : PUR,DW* (S :YN )
Meningioma Clinoid Sinistra Craniotomi Mikro Ds Tengkorak KH DP √ SA LW
Fiksasi Internal Kranium B AJ √

SOL Cerebellum Craniotomi Dasar Tengkorak KH DP √ MW SF
IOM KH ARIS √
Obs Hoarness LD S DAT √ ER
Ca Sinonasal Trakeostomi + Pasang NGT Freca S DAT √ ER NH
Tumor Mamae Eksisi Biopsi + FS, ganas - MRM B,KH BIS √ DN CA
SCC Wide Eksisi + STSG B,KH DWT √ SE
Soft Tissue Tumor Wide Eksisi Multiple B DWT √
Mata Kanan Ulkus Kornea Perforasi Mata Kanan Eviserasi Bulbi + DFG B DN √ HA
Plegmon Dasar Mulut Odontektomi 2 Rahang + Insisi Dranage KH,S DV √ II AG
G1P0A0 SCTP B OP √ Arsita RG ST
Gross Hematur c/ Tumor Buli TURBuli KH WAN √ DM IS

Mata Kanan Kiri PDR, Mata Kiri Glaukoma
Mata Kiri Trabekulektomi B MR √
Sekunder
CKD On HD Pasang DL K AS √ SA PM
CKD on HD Pasang DL ALI
G3P2A0, Hml 5mg, KET Laparatomi Salpingektomi Sin B EN √
EDH Kraniotomi EDH KH AJ √

Tumor Buli Cystoscopy + Evakuasi Clot B,S MAS √ SL VQ
G7P4A2, Pre Eklmasi SCTP + MOW B HR √ Gatot
Efus Pleura Pasang WSD S ALI √

Efus Pleura Pasang WSD S ALI √
Laparatomi Eksplorasi + Release Adhesi +
Apendik S EDW
Apendictomi
Aputatum Replantasi Wrist Sin + Vena Graft KH,KH PJ √
Neuroplasty-Syaraf Perifer + ORIF Radius
KH, DRY √
Ulna
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,TR*,
S : AH,GI,RI
DJ*, TM
Uretrolithiasis Sinistra URS Sin Becah Batu + DJ Stent Sinistra KH,B ADS √ AS AU
Nefrolithiasis Dextra Post Psg DJ Stent Aff DJ Stent S ADS √ AS,AU AS AU
Microscopic Varicocelectomy Sin +

Kista Epidedemis Dextra, Varicocel dextra Kistectomi D (Exicional Cyst of B,B ADS √
Epididimys)
Ca Laring Dg Fistel Esofagocutan Repair Fistel Esofagocutan KH,B DAT √ VQ, EV
Mata Kiri Debridement + Eksplorasi

Mata Kiri Abses Orbita dd/ Basalioma Jaringan + DCR + Silikon Tube + TL S : EV,VQ*
Rekonstruksi Palpebra
Tonsilektomi + FESS II +
Polip Antrokoana + RSK + Tonsilitis Kronik S,KH,B ANA √ AI,RE*
Adenotonsilektomi
Massa Tonsil Kiri + Massa LD + Biopsi Tonsil (Tonsilektomi) S,S FAR √
Tumor Hepar C/ SCC Laparoscopy Biopsi ERI + PTY S : DA

Massa Sinonasal Hemimaksilektomi Medial KH WY √ VQ DA,EV
Craniotomi Dasar Tengkorak KH MTA √
Massa Dorsum Nasi Ekstirpasi Massa WY

Mata kiri Katarak Mata kiri Phaco + IOL MR YW,UM,MK
Mata kiri kleus pupil + katarak Mata kiri phaco + IOL WIS
Mata kanan KSI Mata kanan phaco + IOL WIS S : HA
Mata kiri pseudofakia + Astigmat Mata kiri Buka Jahitan WIS
Mata kanan Glaukoma Neovaskuler Mata kanan Triple Procedure FI
Mata kanan kiri POAG + KSI Mata kiri Phacoemulsifikasi + IOL FI
Mata kanan kiri PACG, Mata kiri KSI Mata kiri Phacoemulsifikasi + IOL FI
Mata kanan kiri Injeksi Gancyclovir
Mata kanan kiri retinitis CMV DN
Intravitreal
CKD, Ca Cervix Ganti Cateter Double Lumen K ALI √ TW,ES ES TW
NOK C/ Ganas BSO + Omentectomi + FS KH,S MZ √ S : EM TW ES
PDA Multiple Ekstraksi Gigi B RP √ ES TW
Fr. Intertrohanter Femur Dextra ORIF KH BIN √
Hernia Scrotalis Dextra Reponible Repair Hernia + Mesh B MM √ TD,DI IS TD
Laparoskopi Cholesistektomi +
Fistel Enterovesica + Cholesistolithiasis KH,KH MG √ S : RA BY
Sigmoidectomi
KH MAS √
Laparotomi Hemicolectomi Dex +

Tumor Colon Anastomose End to End Reseksi KH,KH ERI √ RA
Anasomose Ileum
Cholelithiasis Laparascopy Cholesistectomi KH ERI √ RA EA
Tumor Kulit C/ Ganas Wide Eksisi + FS + FTSG B,B BIS √ AZ,ET,ID ID AZ,ET
LMNH Rekuren Limfadenectomi Biopsi B UUD √ S : DN ET ID
Fr. Radius Dextra Incomplete, Ruptur Tendo Neuroplasty-N Ulnaris, Rekontruksi Tendo,
KH DRY √
Carpi Radialis Partial Musculoplasty, Debridement
STT Colli C/ Jinak T2N0M0 Eksisi Biopsi B UUD √
TMS CX/ Ganas Insisi Biopsi B UUD √ ID ET,AZ
N VII Injury Repair Injury N VII (Rekontruksi Syaraf) KH NJT √ CA,NI,MF NI CA,MF
Kondiloma Akuminata Reg Perianal

Reduksi + Rekonstruksi KH NJT S : TA,RI MF NI,CA
( HIV +)
Ulkus Decubitus Gr III-IV reg Sacrum Eksisi + Rekontruksi KH ETH √ RI TA
Panfacial Fraktur Rekonstruksi Fr Tl Wajah Kompleks KH PJ √ ER
Mata Kanan Kiri Grave's Ophtalmopaty Mata kiri Reseksi Rectus Medial KH AK √ NK,HR NK DI
Mata Kanan Susp Ruptur Bulbi + Ablatio

Mata Kanan Vitrektomi + Lensektomi KH,B AL √ S : HR DI NK
Retina
Mata Kanan Katarak Komplikata +
Mata Kanan Phaco + IOL + Evakuasi SO KH,KH AW √ DI
Emulsifikasi + SO + Glaukoma Sekunder
Tumor Intrameduler reg C1 - C7 Laminektomi Mikro Angkat Tumor C2-C6 KH ZM √ LW,BR BR LW
IOM KH Aris √
Laminoplasty KH HY √
Kraniotomi Mikro bedah Epilepsi Frontal
Epilepsi KH ZM √ S : SF,HI MW TK
Dex
IOM KH Aris √
Operasi Epilepsi Monitor EEG Durate
KH MTA √
Operasi
Fr. Kompresi VL 4 - 5 KH,KH APR √ PR,NO PR NO
Fiksasi Fusi
Fr. Femur Dextra 1/3 Prox Ttp NK ORIF KH APR √ S : AP* NO PR

Spondilitis TB Post PSSW Lepas PSSW + Debridement B,B APR √
Gangren Ulkus Pedis Sinistra Debridement + Amputasi ALI
Stiffnes Pasca Avulsi ACL Athroscopy + Debridement S,B DID √ AP AH
TOF BT Shunt (ASD Closure) BJ.03 SF √ EN,MA,VT*, VT MA

SS,IM
Venacava Superior Syndrome e.c tumor
Core Biopsi S ALI √ S : BD, SU SU VT
mediastinum
Abses Hepar Laparotomi Drainage Abses KH JS NP,AM,MY MY AM,NP
KH,KH,
Ca Cervix Uteri III b, NOK TAH + BSO + Omentektomi + FS EN √ NP MY
S
Tumor Rongga Mulut C/ Ganas FNAB S YAN AL,DY,RG DY AL,RG
Kista Ovarii Laparoskopi Ovarium Drilling Adhesiolisis KH HRY √ RA DY
Finger Tip Injury Rekonstruksi Ibu Jari KH RZ √ II,PM,PL PM II,DL

Open Degloving Reg Gluteal Sinistra Debridement B RZ √ PL II
Closed Degloving Reg Inferior Dextra Debridement B RZ √ BD
Mata Kanan Adenoma Glandula Lakrimalis Mata Kanan Eksisi Tumor Biopsi + PA S AK √ ST,ANM ANM AG
RR GRD : AG,AR SORE PROGRAM :AH,AP,SF,GI,BD,DA,EM,EV,HA,HI,MR,SU,TA,YR,DN,RA,RI,VQ ALAT : PUR,DW (S :YN )
Post FSE Aff Steinman Pen S APR √ AZ YS,US
Hematomesis Colonoscopy KH MG √ JF BY
CKD Pasang Double Lumen + C-Arm K AS √ SA IS
CKD Pasang Double Lumen K ALI √ TM HE

Explorasi Perdarahan + Anastomose +
Post Replantasi Wrist Sin + Vena Graft B,KH PJ √ WI TM,TR
Graft Vena
Ileus Obstruktif Laparatomi Explorasi + Ileostomi KH ERI √
Hematoma Luka Operasi Eksplorasi + Evakuasi Hematoma B UUD √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,TR,
S : AP,GI,RI
DJ, TM*
Striktur Uretra Reseksi Anastomosis Urether KH ADS √ HI AS
Striktur Uretra Posterior Reseksi Anastomosis Urether KH ADS √ AS,HI AS HI
Hernia Insisional Laparatomi + Repair Hernia Insisional KH,B ERI √ S : EV VQ EV

RSK + SD + Konka Hipertrofi + Adenoid FESS + SR + Konkoplasty +
KH,B,B ANNA √ EV
Hipertrofi Adenoidektomi
Granulasi CAE Kanan Ekstirpasi Massa CAE Kanan S AYU √ AI,RE RE AI
Mastoidektomi Radikal Kanan +

OMSK Telinga Kanan dg Granulasi CAE KH,B PW √ S : DA
Canaloplasty
Massa Glotis, Epiglotis Traceostomi + LD + Ekstirpasi Massa B,S,S FAR √
OMSK kiri dgn parese N VII Mastoidectomi Radikal KH AYU √ DA
Mata kiri tumor limbus Mata kiri Eksisi Tumor + PA INA

Mata kanan proptosis Mata kanan Inj. Triamcinolone AK YW,MK
Mata kanan kiri KSI Mata kanan phacoemulsifikasi + IOL WIS
Mata kanan secondary Implant + IOL ( Iris
Mata kanan afakia, Mata kiri pseudofakia WIS
Clip )
Mata kanan kiri katarak komplikata +
Mata kiri phacoemulsifikasi + IOL WIS
myopia degeneratif
Mata kanan kiri IOL miscalculation Mata kanan Exchange IOL RF
TAH + Ooforectomi Dex + Adhesiolisis KH,B,

Adenomiosis + Kista Endometriosis HR √ TW*,ES ES TW
Luas KH
Ca Ovarii Inadequat Surgical Staging KH EW √ S : SU TW ES

Apendiktomi + Repair Hernia Insisional S,B ERI √
Radikal Histerektomi + BSO + Bilat Pelvis KH,KH,
Ca Cervix EW √ TW SU
Limfadenectomi B
DVT Embolektomi ALI
Ulkus Dekubitus Debridement + Amputasi Dig III Manus Sin B,B ALI √
Laparatomi Eksplorasi Reseksi Gaster +

Adeno Ca Gaster infiltrasi dinding abdomen Reseksi Anastomose end to end KH MG √ TD,DI TD DI
Jejunustomi Reseksi Duodenum

Ikterus Obstruktif ec Tumor Caput Pankreas Triple Bypass KH MG √ S : MY DN
Ca Recti Laparatomi Ultra LAR KH ERI √ MY
SNNT c/ Ganas Isthmolobektomi + FS KH BIS √ AZ,ET,ID* AZ ET,ID
Ishmolobektomi + FS ganas Total

SNNT Dx c/ Ganas BIS S : AU
Tiroidektomi
Ca Thyroid Total Thyroidectomi KH UUD √ VT EN,MA
Ca Mamae Residif Wide Eksisi B DWT √ ID AZ,ET
Ulkus Granulosum Reg Plantar Pedis Debridement + STSG KH ETH √ TA,CA
Osteomyelitis + Bone Expose Bedah Mikro Free Flap KH NJT √ S : DN TA CA

Neuroplasty - N Pevineus + ORI Nobe
KH DRY √
Graft
Mata Kiri Ekstraksi Lensa + Vx Anterior +

Mata Kiri Subluksasi Lensa + Iridodialisis KH AK √ NK*,UM
IOL
Mata kanan ablatio retina, mata kiri silikon

Mata kanan vitrektomi + MP + EL + Gas KH AL √ UM NK
oil filled eye + katarak komplikata
Mata Kanan Total Retinal Detachment Mata Kanan Vitrektomi + MP + EL + SO KH AW √ UM NK
Mata kiri ulkus kornea perforasi epitelisasi Mata kiri Eviscerasi Bulbi + DFG B DN √ NK HR
SOL Cervical Bedah Mikro Tumor Medula Spinal KH ER √ LW*,BR,IS LW BR,SA
IOM KH Aris √
Fr Cervical Laminektomi Kompleks KH AJ √ S : SF,VQ SF VQ
Fiksasi Cervical Ankle dg ADD + Fusi KH AJ √
IOM KH Aris √
Dislokasi Reposisi + Fixasi Distal Ulna Dex S DID √ PR,NO
Fr Collum Femur Hemiartroplasty Hip Sin KH DID √ PR NO
KH,KH,
Fr Metacarpal + Phalang Proximal Dx ORIF MeTacarpal II + III + IV + V DID √ S : MF NO TM
KH,KH
ORIF Fr Tibia Dex + ORIF Fr Tibia Sin + KH,KH,

Multiple Fr Ext Superior et Inferior BIN √ MF HR
ORIF Radius Dex KH
OA Genu Dextra TKR Dex KH BIN √ MW HA
EN,MA,VT,
AR Severe, MS Severe DVR SF
BP,SS,IM
Ca Mamae Gr III MRM Sin KH UUD √ NP,AF,AM AM NP,AF
Laparoscopy Adenomiosisi + Eksisi

Kista Ovarii KH,KH TF √ AF AM, NP
Obarium + Neosalpingostomi
Laparoscopy Adenomiosisi Kistectomi Ov
Kista Ovarii KH TF √ NP AM,AF
Kiri, Kista Para Tuba Kanan
KH,KH,
Mioma Uteri dg Perlengketan, DM Histerektomi Total + BSO + Adhesiolisis EN √ AH,DY,RG AH RG,DY
S
Susp Ca Ovarii Laparatomi Debulking + FS KH EN √ RG
Prolaps Uteri + Sistokel Total Vaginal Histerektomi KH ER √ II,PM,PL II PL
Agenesis Vagina Distal (Hbs Ag +) Vaginoplasti Neovagina KH ER √ II PL
Histerektomi Total + SalpingoOoforectomi

Mioma Uteri, Heavy Uterus Bleeding KH,B,B VG √ PM II
Sin + Salpingectomi Dex
Ca Mamae MRM KH YAN √ ST,ANM

Tumor Mandibula Dx Hemimandibulektomi KH OEN √ ST AG
Rekonstruksi Plate dan Screw KH RP √
RR GRD : AG,AR SORE PROGRAM :AP,GI,SF,EV,AU,DA,MY,MR,SU,YR,DN,RI,MF,VQ,AT,RA ALAT : PUR,DW
Total Mandibulektomi + Tracheostomy + B,KH,

Sarcoma Rongga Mulut DWT √ AU ID
Rekontruksi Plate + Screw KH
Tu Mamae Sinistra Wide Eksisi + FS, B DWT √
Ulkus Antebrachii Kiri Debridment B WW √ YR
Empyema + Efusi Pleura Pasang WSD S ALI √ MA EN,VT

LF + Pasang NGT Freka + ganti Kanul B DAT √ YR

Peritonitis generalisata ec Apendik Perforasi KH,KH PTY √ TM SL
Kompleks + Apendiktomi
Laparatomi Explorai Repair Perforai

Obs Doudenum KH PTY √ DJ IS
Gaster dgn Omental Patch
Insisi Abses dg Penyulit + Odontectomi 2

Plegmon dasar Mulut KH,KH RP √
rahang
CKD Repair DL K ALI √ BY DM
G1P0A0, PEB SCTP dg Penyulit PEB + Pasang IUD B √ Gatot TR IS

OP
LD Ekstirpasi Tonsil Lingualis + Cauter
Granulasi Faring + Tonsil Lingualis S,S FAR √ TM TR
Granuler Faring
Multiple Abses Cebrbri Craniotomi KH DP √ GI RI
FESS + Antrostomi KH,S ANA √ RI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Efusi Pleura Dextra Masif Pasang Pigtail S SFY √ VT TW

Spondilitis Lumbalis Neuroplasty + Rhizotomy KH,KH TRI A √ TW,SA
Myelopathy Lumbal HNP Percutanius Disectomi + Neuroplasty KH,KH TRI A √
Sinusitis FESS III + Konka Reduksi KH,S RH √ MF,YS* YS MF
FESS III + Polipektomi + CWL Duplex KH,S,

RSK + Polip Nasi Gr I + SD + Sinekia RH √ MF YS
Sinekiektomi KH
RSK + Sinekia + Adenoid Hipertrofi FESS III + Konkotomi + Adenoidektomi KH,S,B ANNA √ DW
G1P0A0 Hamil 8 bln, PEB SCTP Gemeli B OP √ DI,RE
Tonsilitis Tonsilektomi B DAT √ DI RE
Obs Hoarnes dd Massa Laring LD + Eksterpasi Massa Laring S,S DAT √ MY
Ca Sinonasal Maksilektomi Medial KH DAT √ MY
Fr Tibia ORIF Tibia dex KH DID √ DA,ID DA
Ganggren Pedis Sin Amputasi Below Knee Sin KH DID √ DA
Granulasi CAE Kanan dg OMSK ME Radikal Kanan + Eksterpai Massa B,S AYU √
Fr. Femur post revisi THR Sinistra ORIF Femur Sinistra KH BIN √ IS HI
Meningioma VP Shunt KH DP √ BY*,VT BY SA
Meningioma Craniotomi Tumor Convexitas KH ER √ SA BY
Pasang CVC KH HN √
Meningioma Craniotomi Dasar Tengkorak KH AJ √
Pasang CVP KH HN
Tumor Medula Spinal Bedah Tumot Medula Spinal KH ER √ LW BR,SA

IOM KH Aris √
Selulitis + DVT Embolektomi + Debridement Luas KH,B AS √ JF HA
CKD Pasang DL K ALI √ HR
CKD Pasang DL K ALI √ HR
Efusi Pleura Dextra Masif Pasang Pigtail S SFY √ VT RE
Dislokasi Collum Femur Dex Skletal Traksi S BIN √ IS HR
G1P0A0, HML 35MG, ASD SCTP B PS √ Gatot TU SE
G5P2A2, Bekas SC SCTP dgn penyulit bekas SC + MOW KH OP √ Adhie DI RE
Susp Benda Asing di Cavum Nasi Nasofaringoscopy B RH √ MF YS
G P A , NYHA II SCTP dgn penyulit B OP √ Gatot TW VY
G3P2A0, Hml 38mg, bekas SC SCTP B DC √ Arsita AM BY
Laparascopy Explorasi Adhesiolisis +

Ileus Obstruksi KH MG √
Ileustomi Bypass
G1P0A0 SCTP B PS √ MY YS
Mata Kiri jahit Sklera + Eksplorasi Bulbi +

Mata Kiri Ruptur Bulbi S,S,S RF √
Aspirasi Irigasu Hipopion
Open Degloving r/ Antebrachii Sin Debridment + STSG + Repair Tendo KH,S ETH
Peritonitis Generalisata Laparatomi Explorasi KH ERI √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

NH,SL,HE,
S : AH,ST,RI
TM, RM
Fimosis Sircumsisi ADS AS,SA
Striktur Uretra Pars Posterior Sachse KH ADS √ S : EV,PM AS EV
Varicocele Dextra et Sinistra Microscopy Varicocelektomi D + S B,B ADS √
Nekrosis Digiti V Amputasi Dig V manus Dex S ALI √

Atresia Ani Post PSARP Evakuasi Skibala + Reseksi Anastomose KH EDW √ AI,RE
Colon end to End
OMSK Kiri + Mastoiditis Kiri ME Simple + Thympanoplasty Kiri B,KH AYU √ S : DB AI RE
VQ,A
OMSK Telinga Kanan + Massa Tonsil ME Radikal + Ekstirpasi Massa KH,B AYU √ HR
M
Mata Kanan Kiri KSI Mata Kiri Secondary Implant + Iris Clip RF YW,AD
Mata Kanan Kiri KSI + Dry AMD Mata Kanan Phaco + IOL WIS S : IS
Mata Kanan Kiri anisometropia, Mata kanan
Mata Kanan Clear Lens Ekstraksi + IOL FET
kiri Astigmat Myopi Compositus
Mata Kanan Kiri Injeksi Ganciclovir
Mata Kanan Kiri Retinitis CMV DN
Intravitreal
Mata Kiri Glaukoma Absolut Mata Kiri Cyclocryotherapi FI
Mata Kanan Kiri POAG, Mata Kanan Kiri Mata Kiri Triple Procedure
KH MR √
KSI ( Trabekulektomi + PHACO + IOL)
Ca Ovarii St III B, Riw CSS Residif Optimal Debulking + Adhesiolisis Luas S,KH MZ √ TW,ES TW ES
Appendiktomi + Adhesiolisis Kompleks +

S,KH ERI √
Repair Defek dinding Abdoment dg Mesh
NOS c/ Ganas Surgical Staging + FS KH EN √ S : DN TW ES
Philoides Tumor Varian Jinak Radikal Mastectomi KH DWT √ PM VQ

Adeno Ca Recti, Recto Vesical Fistula Laparatomi Devided Colostomy MM RK,WI
Tumor Gaster c/ ganas T1N0M0 Laparatomi Partial Gastrektomi + FS, KH ERI √ S : TD,MY WI TD
SNNT C/ Ganas Total Parotidectomi + RND KH,KH BIS √ AZ,ET,ID ID,ET AZ
SNNT Dextra C/ Ganas T2N0M0 Isthmolobectomi + FS, Ganas - TT KH,KH DH S : TR ID DM
SNNT Dextra C/ Ganas T2N0M0 Isthmolobectomi + FS, Ganas - TT KH,KH UUD √ TA,NI HR
Mixoid Liposarcoma Wide Eksisi + rekonstruksi B,KH UUD √ DM IS
Limfedema Vulva Rekonstruksi Bedah Mikro KH NJT √ CA,AT,RM AT CA
Ulkus Granulosum Regio Lumbosacral Debridement + STSG KH NJT √ S : TA,SR CA AT
Ulkus Granulosum Pedis ec skin avulsi Debridement + Rekonstruksi STSG KH PJ √ SR TA
Skin Nekrotik ec Skin Degloving Pedis Debridement + STSG Luas KH PJ √ PR RM

ORIF D III KH APR √
Mata Kanan TRD Mata Kanan Vitrektomi + EL + SO KH AL √ NK,UM UM NK
Mata Kanan VH + Mata Kiri PDR Mata Kanan Vx + EL + C3F8 KH AL √ S : DI UM NK
Mata Kanan Subluksasi Lensa ec Marfan

Mata Kanan EKIK + IOL + PI + Vx Anterior S,B,S WIS √ NK UM
syndrom
Mata Kiri Retinal Detachment Mata Kiri Vitrektomi + EL + SO KH AL √ DI
Mata Kiri Glaukoma Sekunder Post GDD Mata Kiri Revisi Bleb KH MR √
SOL Susp Meningioma Atipikal Craniotomi Mikro Ds Tengkorak KH MTA √ LW,BY,IS BY SE
Fiksasi Internal Kranium B AJ √ S : BR,VQ
Fr Intertrochanter Femur Sin Hemiarthroplasty Bipolar KH APR PR,AP PR RM
Symphysiolisis Fr OS Pubis ORIF Pelvis KH DRY √ VQ BR
Osteomyelitis Femur Sinistra Debridement + Removal Implant B,B BIN S : HI AU GI
Fr. Komunitif Calcaneus Dextra ORIF BIN
OA Genu Arthroscopy + Debridement S,S BIN √ HI BR
BJ.09 √ EN,MA*,VT,
PS Valvular PFO Repair PS + ASD Closure WW
BJ.03 BP,SS,IM*
VSD PMD VSD Closure SF
CKD, Abses Double Lumen Aff Double Lumen + Incisi Drainase Abses K,B WW √ MA
Laparoscopy Adhesiolisis + Multiple

Mioma Uteri + Hidrosalping KH TF √ NP,AF*,PL* PL NP,AF
Myomektomi
Laparoscopy Multiple Miomektomi + KH,KH,

Mioma Uteri TF √ NP AF,PL
Kistektomi Ovarium Kiri + Salpingoysis Kiri KH
P2A0 Susp Ca Ovarii Surgical Staging + FS KH EW √ MY RG

Laparatomi Bypass Ileo Tranvestostomi +
KH,S ERI √
Apendiktomi
Agenesis Vagina + Hematometra + Down
TAH KH ER √ AL,NO,RG NO AL
Syndrome
Kejang Demam Komplek Lumbal Pungsi B ALIF √
Ca Mamae Sin MRM KH YAN √ II,DA,DJ DJ DA
IDC Gr II MD T4bN3cM0 MRM KH YAN √ S : RA DA DJ
Tumor Kulit C/ Ganas T4N1M0 CWL Sin + Excisi Biopsi B,B UUD √ PL ANM
WD,SU*, WD,
Fr OS Nasal Rekonstruksi Hidung KH ETH √ ANM
ANM SU
Mata kiri Rekontruksi Socket + flap ANM,W
Mata kiri ptisis bulbi B,S INA √ SU
konjungtiva D
RR GRD : AG,AR SORE PROGRAM :AH,EV,TA,TD,BR*,DB*,DI,EM,HI*,MY,MR,PM,SC,SR,ST,TR,DN,RA,RI,VQ ALAT : PUR ( S: EM)
EDH Koreksi Impresi Komplikata KH AJ √ LW SE
Ureterolithiasis Post Laparoskopi

URS - Revisi DJ Stent KH MAS √
Ureterolitotomi
OA Genu TKR Dex KH BIN √ HI BR
Massa Dorsum Nasi Ekstirpasi Massa S WY √ DN MY
CKD Pasang DL + Ligasi AV Shunt K,KH AS √
G1P0A0, Hml 40mg, Miopi Tinggi SCTP B PS √ Gatot TM NH
SL,HE,
G1P0A0, Hml 31mg, ASD SCTP + IUD B IN √ Arsita TM
NH
Efusi Pleura Dex WSD Thoracal S WW √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : AH,ST,RI
Sevre Hipospadia Type Penoscrotal

Release Chordae + Uretroplasty B,KH ADS √ AS,SA SA NH,EW
Chordae
CKD Std V Pasang CAPD S ADS √ S : EV,PM ANM DJ,RK
Mata Kanan Tumor Palpebra Superior, Mata Mata Kanan Eksisi Tumor + Biopsi + PA
S,K AK √ AI,RE RI WD
Kiri Hordeolum Mata kiri Eksisi Hordiolum
Mata Ka-Ki Orbitotomi Anterior + Biopsi + KH,KH,

Mata Ka Ki Massa Glandula Karimalis TL √ WD AI,RE
Eksisi Glandula Lakrimalis S,S
Myelopathi Lumbal + HNP Neuroplasty + Rhyzotomi KH,KH TRI A √ YW,AD AD YW
Mata Ka Ki glaukoma Juvenil Mata Kiri Re Trabekulektomi B MR √ S : IS UM NK
Hiperplasia Glandulasi Kompleks TAH + BSO KH,KH EN √ TW,ES TW ES,EA
S : DN
RK,
Cholelithiasis Laparascopy Cholesistektomi KH ERI √ RK,WI WI
ANM
Amputasi BIN S : TD,MY
AZ,ET,ID
S : TR
Dehisence Reg Sinonasal Pasca
Reflenement Flap B RZ √ CA,AT,RM ET AT,RM
Rekonstruksi
Debridment B PJ √ S : TA,SR RM ET,AT
Sekontruksi Scrotum sg Medial Flap +

Nekrotik Skin r/ Pelvis B,KH PJ √ EA TD,ES
STSG Luas
Mata Kanan Glaukoma Absolut Mata Kanan Cyclocryoterapi S MR √ NK,UM PL UM
Mata Kanan PACG, Mata Kiri Glaukoma

Mata Kiri Cyclocryoterapi S MR √ S : DI PL NK,UM
Absolut
Mata Kanan Non Clearing VH Mata Kanan Vx + EL KH AW √ UM NK

Mata Kiri Exchange Silicon + EL + Vx KH AW √ DI TR,RI
Sekunder, Mata Kanan Afakia
Hidrocephalus VP Shunt KH GK √ LW,BY,IS LW TM,AF
SOL Craniotomi dasar Tengkorak KH DP √ S : BR,VQ AF TM,LW
Debridment B PJ √
PR,AP
S : HI
CAD 3VD CABG High Risk BJ.11 SF √ EN,MA*,VT, MA, VT

BP,SS,IM* EN
VSD PMD VSD Closure BJ.04 WW √ AH BR
NP,AF*,PL*
II,DA,DJ
S : RA
WD,SU*,
ANM
ROGRAM :AH,AN,BR,DB,DI,EM,HI,IS,MR,PS,PM,SC,SF,SR,TD,TR,US,DN,RA,RI,VQ ALAT : PUR ( S: EM)
Reposisi + Gips S BIN √ SA
Laringitis Kronis ec Lepra dd/ TB Laringoscopy flaxible B FAR √ YR RG
Mta Kiri Vitreus Tap + Injeksi Vancomycin
Mata Kiri Endoftalmitis S DN √ AD YW
+ Ceftazidim Intravitreal
Mta Kiri Vitreus Tap + Injeksi Vancomycin
Mata Kiri Endoftalmitis S DN √ AD YW
+ Ceftazidim Intravitreal
Meningioma Konveksitas Craniotomi Tumor Coveksitas KH ER √ DJ PR,AP

Severe Sepsis ec Perforasi gaster KH ERI √ DA AY,ID
gaster
G2P1A0, Hml Aterm Bekas SC SCTP + MOW B ER √ Gatot II DM,SL
Mata Kiri Ruptur Bulbi Mata Kiri Rviserasi Bulbi S INA √
Kraniotomi Evakuasi Lesi Kistik KH HY √ ID NO,AY
Pelebaran Stoma + LD Eksterpasi Massa

Papiloma Laring S,S FAR √ MF JF,AN
+ Traceostomi
Hernia Herniotomi B PTY √ HI RI
Amputai Setinggi Level Wrist Sin / Repair

S PJ √
Stump
ICH Extenal Ventrikulo Dranase KH HY √ JF IS
G1P0A0, Decomp SCTP dg penyulit + IUD B OP √ Gatot MK AU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
FESS III + Konka Reduksi +

Sinusitis KH,S,B RH √ TR NH
Adenoidektomi
Ptuson Panyudara Rekontruksi Panyudara KH ETH √ NH SU
Mata Kanan Eksisi Tumor +

Mata Kanan Tumor Konjungtiva + palpebra B,S AK √ DI JF
Cyclocryotherapi
Mata Kiri Eksisi Massa Konjungtiva +

Mata Kiri Massa konjungtiva B AK √ DI
Biopsi + PA
Mata Kiri Pseudofakia Mata Kiri Vx + EL + Gas KH AL √ NK
Peritonitis Generalisata ec Perforasi Laparatomi Explorasi Repair Perforasi

KH ERI √ TM NH
Duodenum Pars I Duodenum
Retensi Urine Evakuasi Clot + Sistoscopy + Biopsi S,S,K MAS √ JF TM
Laserasi Serebri Kraniotomi + Durplasty KH HY √ AT TM
Debridment B DID √ PS BR,DN
G4P2A1, Hml 41mg, Belum Impartum SCTP B PS √ Gatot DN BR,PS
ORIF K Wire + Debridment + Repair

Cruth Injuri Dig II,III,IV Manus Dex KH,S,S BIN √ AN HI
Tendo
ICH EVD KH HY √ SR MY,ST

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : WU,
VQ,DJ
Tumor Ginjal Kiri, Hidronefrosis URS + Laparoscopy Nefrektomi KH,KH ADS √ AS,WD WD AS
Nefrolithiasis Dextra Pasang DJ Stent B ADS √ RG WI
Necrotomi dg Biopsi Jar Retroaurikula

OMSK dg Mastoiditis, Fistel Retroaurikula B AYU √
kanan
Ca Buli + Nefrolithiasis sinistra PCN sin Open Sistoscopy Biopsi KH MAS √ AI*,AO AO AK,RA
KH,KH,
Nefrolithiasis Post DJ Stent PCN Dextra + Nefrostomi + DJ stent MAS √
B
Mata Kanan Glaukoma Absolut, Mata Kiri
Mata Kanan Cyclocryotherapi FI YW,TU
PACG + Pseudofakia
Mata kiri KSI + NTG Mata kiri phaco + IOL RF
Mata kanan afakia Mata kanan iris fiksasi + IOL(iris claw) AL
Mata kanan PDR + KSI Mata kanan phaco + IOL AL
Mata kanan kiri PDR + Mata kiri katarak Mata kanan Inj. TCA + Mata kiri phaco +
AL
komplikata IOL
Mata kanan edema makula ec PDR Mata kanan Inj. TCA subtenon AL
Mata Kanan Kiri Injeksi Ganciclovir
Mata Kanan Kiri Retinitis CMV DN
Intravitreal
NOS c/ Ganas + Asites Laparatomi Debulking KH EN √ TW,RE TW RE
Mioma Uteri + NOK TAH + BSO + FS KH,KH EN √ TW RE
Ulkus Diabetikum Pedis Dx Debridement WW

Ulkus Diabetik Debridement ALI
Tumor Recti 1/3 Tengah c/ Ganas LAR Stepler KH MG √ TD*,DI* DI TD
Kista Hepar Laparoscopy Unroofing Kista KH MG √ TD DI
Reverse Colostomi Anastomose

Post Hartman Procedure KH ERI √ MW DI
Ileotranvsostomi End to End
Cholelithiasis Laparoscopy Cholesistektomi KH ERI √
Carcinoma Apandices Kulit Wide Excsisi B YAN √ AZ,TM,ID ID TM,AZ

Evakuasi Tumor Spinal Thorakal KH AJ √
Laminektomi KH APR √
Mixoid liposarcoma Wide Eksisi + PA B UUD √ TM AZ,ID
Ca Mamae Mastektomi KH DWT √ ER ES
Osteomyelitis + Bone Expose Cruris Sin Bone Recontruction pd Ekstermitas Bawah KH DRY √ TA,RA
Free Flap KH PJ √
SNNT Ishmolobektomi + FS KH DWT √ PS RM
Mata Kanan Vitrektomi Ant + IOL

Mata Kanan Katarak Sekunder KH LN √ NK,UM
Exchange + Sinikiectomi
Mata Kanan Ekstraksi Katarak + PPC + PI

Mata Kanan Katarak Kongenital KH LN √ UM NK
+ Vx Ant
Mata Kiri Katarak Komplikata + Ablatio

Mata Kiri Vx + Lensektomi KH AL √ UM NK
Retina
Mata Kanan PACG, Mata Kiri Glaukoma

Mata Kiri Cyclocryotherapi S MR √
Absolut
Mata Kanan TRD ec PDR+CSME, Mata Kiri

Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AL √ AG AD
Katarak Komplikata + SO Filled Eye

Mata Kiri Evakuasi SO KH AL √ AG AD
Sekunder
Mata kiri debridement + eksplorasi

Mata kiri Abses Orbita dd/ basalioma jaringan + DCR + Silicone Tube + TL
Rekonstruksi Bulbi
LW,SF
Combustio + Fr Femur Dx Debridement luka bakar KH ETH √ PR*,AP AP PR
ORIF Femur KH APR √
Fr Komunitif Os Calcaneus Dextra ORIF KH DID √ PR AP
EN,
MR Severe, TR Severe MVR + AVR BJ.08 SF √ VT
MA
EN,MA*,VT,
Thoracotomi Decortikasi WW
BP,SS,IM
Adnexitis + Kista Ovarii Laparoscopy Adhesiolisis Kistektomi Bilat KH TF √ NP,YS,PL MF YS,NP
Laparoscopy Adhesiolisi , Neo

Kista Bilateral KH TF √ YS NP
Salpingostomi Bilat
Adenomyomectomi + OSADA Procedure

PoA1 37 th Adenomiosis B,S,B INU √ YS PL
Adhesiolisis + Kistektomi + FS
Mata Kiri Proptosis ec Massa Retrobulber Mata Kiri Orbitotomi Lateral + Biopsi + PA KH AK √ DY,EA DY EA
Ulkus Dekubitus Maleolus Lat + Aurikula Sin Debridement B ETH √ EA PL
Ca Mamae Dx Insisi Biopsi + Pungsi Drainage S,S BIS √ SE*,DN DN SE

Ca Mamae Sin MRM KH DH √ SE DN
Superficial Parotidektomi + FS, Ganas -
Tumor Parotis Sin c/ Ganas T2N1Mo B,KH UUD √ NO,RI RI NO
Total Parotidectomi
NO,D
Ca Papilary Thyroid Total Thyroidectomi KH UUD √ SE
B
RR GRD :AT SORE PROGRAM : WU,RK,II,SA,AF,YN,AG,BY,TK,ER,WI,SU,RG,DM,ES,IS,MW,DB,PS,MF,RM,AR*,AD*,DA* ALAT : PUR,CA ( S: EM)
Mioma Uteri TAH + Adhesiolisis + SOD KH,S,B EW √ SU
Appendicitis Laparoscopy Appendiktomi KH MG √ RG MF
Ca Sinonasal Eksterpasi Massa Sinonasal dg FESS III KH WY √ WI SU
Abses Cerebri Dx Craniotomi Tumor Konveksitas KH HY √ SF LW
Stenosis L4-5 Laminektomi KH AJ √ SA
Ca Mamae Sin Insisi Biopsi + PA S DH √ EA DY
Batu Ureter URS + Pasang DJ Stent KH,B MAS √ AY ANM
Limpadenopati Colli Sin Insisi Biopsi S DWT
Ulkus Selulitis Debridement Luas B √

AS
Ulkus DM Pedis Sin Debridement KH AS √ AN
G3P2A0, Hml 39mg, c/ Bayi Besar SCTP B EW √ Arsita SL NH
G1P0A0, SCTP + IUD B EW √ Arsita HE VQ

SL,NH,
Infeksi Ventrikel EVD KH DP √ VQ
HE
Efusi Pleura Pasang WSD S ALI √ DA II
CHF Pasang CVC KH HA √ II DA
CHF Pasang CVC KH HN √ II DA
Laparatomi Explorasi Hemcolektomi Kiri

Ileus Obstruktif KH MG √ AM DW,MY
Anastomose End to End + Ileostomi
G1P0A0, Hml 31mg, PEB, Impending

SCTP dg penyulit B DC √ Gatot DA II,
Eklamsi
Hidrocephalus VP Shunt KH MTA √ BR HI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : WU,GI,ER
VQ,DJ
Laminektomi Decopresi + Debridment
Spondilitis TB VL 3-5 KH,KH APR √ PR,AP AP PR
Internal Fiksasi
Mata Kiri Ulkus Kornea Perforasi Epitelisan Mata Kiri Cyclocryotherapy S DN √ S : AD PR AP
SA,
Meningioma Clinoid Sin Craniotomi Dasar Tengkorak KH DP √ LW,SF BY
BR
Meningioma Sphenoid Wings Dextra Craniotomi Mikro Dasar Tengkorak KH ZM √ S : SA,BY LW SF

Fiksasi Internal Kranium B AJ √
Mata kiri Katarak Mata kiri Phaco + IOL MR

Mata kanan KSI Mata kanan Phaco + IOL WIS
Mata kiri Pseudofakia Mata kiri Buka Jahitan WIS YW,TU
Mata kanan Katarak Diabetik Mata kanan Phaco + IOL WIS
Mata kiri Katarak Komplikata Mata kiri Phaco + IOL AW
Mata kanan katarak komplikata Mata kanan Phaco + IOL AW
Mata kanan KSI ( HbSAg + ) Mata kanan Phaco + IOL WIS
CKD AV Shunt KH WW √
Radikal Histerektomi + Limpadenektomi

Ca Cervix St 2A KH,B MZ √ TW,RE TW RE
Pelvis
Ca Cervix Uteri Radikal Histerektomi KH,B,S EN √ S : TK,MF TW RE
Fr Scapula Dextra Debridement B DRY √ ES TA
Sternotomi By Pass V Inominata Atrium

Massa Mediastinum KH ALI √
Dex
Haemorhoid Haemorhoidectomi B MM √ TD,AS

Multiple Cholelithiasis Laparoscopy Cholesistektomi KH MG √ S : MW AS TD
Tumor Abdomen Laparoscopy Biopsi KH ERI √ AS TW
Multiple Nodul Hepar Laparoscopy Biopsi KH ERI √ MF MW
MAR on Kolostomi Post PSARP Laparatomi Reseksi Anastomosis Colon KH PTY √ AZ,TM,ID ID TM,AZ
Abses Hepar Laparatomi Drainase Abses Hepar KH RR √ S : RG AD AR
SNNT Isthmolobectomy + FS, Ganas - TT KH,KH DWT √ IM AZ,ID
Phyloides Mammae Sin MRM KH DWT √ BD ET
Ulkus Granulosum sin Debridement + STSG KH ETH √ TA*,WI,RA RA TA,WI
kontraktur ankle dextra + ulkus granulosum

Free Flap KH NJT √ S : ES WI TA,RA
calcaneal dextra
Mata Kanan Ekstraksi Lensa + PPC + PI +
Mata Kanan Katarak Traumatika KH LN √ NK,UM
IOL + Vx Ant
Mata Kanan Kiri Injeksi Avastin + ELIA
Mata Kanan Kiri ROP St III 2-1-II S,S,K,K AW √ S : HA
Retcam
Mata Kanan Retinal Detachment Mata Kanan Vitrectomi + EL + SO KH AW √ UM NK
Mata Kanan Re-Vitrektomi + EL + MP +

Mata Kanan Retinal Detachment KH AW √
SO
Mata Kanan RRD Mata Kanan Vitrektomi + EL KH AW √ HA
ADS
CKD Transplantasi Ginjal C √ AK,RK,BD AK RK
SF
S : SU,RM
WAN √ EV*,AI,II,WD EV,

Pendonor Ginjal Nefrektomi Ren (Donor) KH II,WD
WW AI
Batu Pyelum Sinistra URS + Pasang DJ Stent KH,B MAS √ S : DM WD EV,AI
TCC URS + Pasang DJ Stent KH,B MAS √ DM EV
Ca Recti, Hidronefrosis Sin URS + Cystoscopy + Pasang DJ Stent KH,B MAS √ DM EV
BJ.11 √ EN,MA,VT*,
CAD 2 VD, MR Severe CABG High Risk + MVR SF
B9.09 BP,SS,IM
Massa Mediastinum Sternotomi Eksplorasi + Angkat Tumor SF S : AF,AR
Agnesis Vagina 1/3 Tengah Vaginoplasty KH ER √ NP,YS,PL NP PL
Laparatomi TAH + Parsial Bilat

Kista Ovarii Recurent KH,KH INU √ PL NP
Ooforectomi
Mioma Uteri + Kista Ovarii Laparoscopy Kistectomi Bilat KH INU √
SNNT dextra c/ ganas T2N0M0 Isthmolobectomi + FS, ganas - TT KH,KH BIS √ AL*,SE,EA EA AL,SE
AL,
Ca Papilary Thyroid Total Thyroidectomi KH UUD √ SE
EA
Fr Pelvic + Open Degloving Reg Gluteal Sin
Aff Implant FSE B DRY √ AH,DY,DN DN AH,DY
Post FSE
Debridement + STSG KH RZ √
Skin Degloving Luas Debridement Lanjutan B RZ
P3A0 54 th, Mioma Uteri TAH + SOD KH,B JD √ NO,RI* NO RI
Mata kiri Proptosis ec melanoma maligna Mata kiri Eksenterasi Bulbi + FS KH TL √ RI NO
RR GRD :AT SORE PROGRAM : WU,GI,AR,AF,AD,BY,DA,DM,TK,ER,HA,II,MW,RG,SC,SA,MF,RM ALAT : PUR,CA ( S: YN)

AY,
TMD c/ ganas T4cNcMx Insisi Biopsi S DH √ AO
ANM
SNNT Dex Isthmolobectomi + FS, ganas - TT KH,KH DWT √ AD WU
CAD 2 VD, MR Severe Post CABG Sternotomi Surgical resusitasi ec Bleeding KH ALI √ PM IS
Laparatomi Explorasi Reseksi + Colostomi

Hernia KH,B PTY √ VQ
Double Barel + Herniotomi
Corpal Alienum Extraksi Corpal K ZUL √ NH WI
EDH Craniotomi KH MTA √
Mata Kiri Rekanalisasi + Hecting Palp

Mata Kiri Ruptur Kanalis Lakrimalis S,S INA √ HE NH,DJ
Inferior
Pneumothorax Kiri WSD Thoracal Kiri S WW √ SL HE

Efusi Pleura Sin Drainase Cavum Pleura S WW √
Laparatomi Explorasi Biopsi +

Ileus Obstrutif c/ Tumor KH ERI √
Tranvestosotomi
Ikterus Obstuktif Laparatomi Triple Bypass KH ERI √ MW MF
Peritonitis Generalisata Laparatomi explorasi + Repair Buli KH,S MAS √ DM RM
ICH EVD KH AJ √
CKD Pemasangan CVC KH HN √
ICH Craniotomi AVM KH MTA √ PS ET,AU
Skeletal Traksi + Debridment + Back Slap S,B,K DRY √
Drainase Asites S DWT

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL*,HE,
S : WU,ER
VQ,DJ
UPJ Dx et Sin + Hidronefrosis Bilateral Pyeloplasty D + DJ Stent + Aff DJ Stent KH,B,S ADS √ AU EV
Hematuria Sin Evakuasi Blood Cloth S ADS √ EV,AU AU EV

Ca Cervix, CKD, Hidronefrosis Sistoscopy + Biopsi S ADS √ S : AD AU EV
Horse Shoe Kidney + Nefrolithiasis Dx et

Aff DJ Stent Sin S ADS √ AD RM
Sin
BSK Pasang DJ Stent ADS
Ulkus Diabetik Amputasi Above Elbow Sin KH ALI √ AD RM
Ganggren Femur Pedis Post Amputasi Debridement B ALI √ AD RM
Hernia Ventral Abdominoplasty KH RR √ GI,AI,AO GI AI,AO
Nefrolithias Dx Re-PCN Dx MAS S : SA,BY
Massa Tonsil c/ Ganas Ekstirpasi Massa + Biopsi (Tonsilektomi) S WY √ DA AD
Ca Sinonasal Medial Maksilektomi KH WY √ MK ES
Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasi + IOL AL

Mata Kiri Katarak Diabetika Mata Kiri Phacoemulsifikasi + IOL AL
Mata Kiri Afakia Mata Kiri Secondary Implant ( Iris Clip) WIS
Mata Kanan Katarak Senilis Matur Mata Kanan ECCE + IOL WIS
Mata Kanan Kiri Pseudofakia ( Iris Capture) Mata Kanan PPC + Vitrektomi Anterior WIS
Mata Kanan Kiri Katarak Diabetika Mata Kanan Phacoemulsifikasi + IOL RF YW,TU
CKD AV Shunt ALI
RSK FESS III + SR + Konkoplasty KH,B,S RH √ TW,RE RE TW
RSK + SD + Konka Hipertrofi + FESS III + Konka Reduksi +

KH,S,B RH √ S : TK,MF
Adenoidektomi Adenoidectomi
OMSK Kiri dg Kolesteatom Komplikasi

Atikotomi Thympanoplasty Kiri KH AYU √ MK
Mastoiditis
Fistel Enterocutan Hight Op Re-Laparatomi + Repair Fistel Entrocutan KH MG √ TD,II II TD
Pasca Colostomi Tutup Colostomi B ERI √ S : MW TD II
Hernia Umbilical Residif Laparatomi Repair Hernia Incisional KH ERI √ SU MK
Adeno Ca Recti Well Diff Laparoscopy LAR + Stoma KH ERI √ SU TK
Adeno Fibromatosis Eksisi B UUD √ AZ,TM,ID

SMNT Dx c/ Ganas KH,KH UUD √ S : RG TM ID
Tiroidektomi
Eksisi + FS ganas - Wide Exisi +

Tumor Kulit Reg Gland Penis c/ Ganas S,B,KH UUD √
Rekontruksi Flap
KH,B,
Malignant Phyloides Tumor Tutup Defect + Wide Eksisi + Rekonstruksi UUD √
KH
Tumor Lidah Dx c/ Ganas Eksisi Biopsi + PA S DWT

Open Degloving Antebrachii Sin Debridement + STSG KH ETH √ RA TA
Osteomilitis Cruris Sin + Bone Expose Debridment + Rekontruksi KH NJT √ TA,RA

Lepas FSE + Gips B,S √
Fr Tibia Fibula Dx Fixas External Tibia S DID √ S : ES DM BY
Debridement + VAC KH PJ √
Abses Perianal Insisi Drainase Abses ERI
Mata Kanan Ekstraksi Lensa + Vitrektomi

Mata Kanan Katarak Kongenital KH LN √ NK,UM UM NK
Anterior + PPC + IOL
Mata Kanan Kiri Probing + Spoeling +

Mata Kanan Kiri ODNL K,K LN √ S : HA UM NK
ELIA
Mata Kanan Kiri Tractional Retinal

Detachment + Proliferatif Diabetic Mata Kiri Vitrektomi + EL + SO KH AL √ UM NK
Retinopathy
Mata Kiri Katarak Komplikata +

Mata Kiri Lensektomi + Vitrektomi + EL +
Rhegmatogen Retinal Detachment, Mata B,KH AL √ UM NK
SO
Kiri Myopia Degeneratif
Mata Kanan Kiri Subluksasi Lensa e.c

Mata Kanan EKIK + IOL ( Iris Clip) RF
Syndrom Marfan
Mata Kanan Glaukoma Absolut, Mata Kiri Mata Kanan Cyclocryoterapi, Mata Kiri Re-
S,B MR √
PACG Trabekulektomi
Tumor Spinal Vt 12 - L2 Laminoplasty Thoracal KH HY √ LW,SF
Tumor Spinal Thoracal KH AJ √

IOM KH Aris √
Defect Cranium Cranioplasty + VP Shunt KH,KH DP √ S : SU,RM SA MW
Wound Dehiscense Post Craniotomi Debridement + Rehecting B DP √
Paraparese Inferior ec Fr V.Th II Laminectomy Decompresi KH APR √ PR,AP AP PS
Ekstepasi Tumor Medula Spinal KH HY √
Laminektomi Decompresi + Internal

Paraparese Inferior ec Fr V Lumbal I KH,KH APR √
Fiksasi Fusi
CTEV Post ORIF + Gips Aff Implant + Gips DRY

Avaskular Nekrosis Caput Humerus Sin Hemiartroplasty Shoulder Sin DRY S : DM
EN,MA,VT, EN,
MS Severe, MR Moderate MVR BJ.09 SF √ VT
BP,SS,IM MA
Efusi Pleura Loculated Thoracotomi Decortikasi WW S : AF,AR
Laparoscopy Adhesiolisis + Kistectomi Ov
Mioma Uteri + Kista Ovarii KH,KH TF √ NP,YS*,PL PL NP
Kanan + Adhenomiosisi
Kolpoperineorapi + Vaginoplasti
Ruptur Perinei Total Lama KH,KH ER √ NP YS,PL
Rekonstruksi
P2A0 Mioma Uteri TAH + BSO KH,KH EN √ AL,AM,DN AL AM,DN
Pasca Eksisi + Rekonstruksi ec BCC Potong Pedikel Flap B RZ √ DN AL ,AM
Odontektomi 2 Rahang + Eksisi Tumor AM,

Impaksi KH,B DV √ DN
mandibula AL
c/ Phyloides Mastectomy Total KH YAN √ AH,DY* AH DY
Ca Mamae MRM + LD Flap KH,KH DWT
Sarcoma Wide Eksisi B DWT √ YS PL,NP
Mata Kiri Wide Excisi + Debridement + DI,
Mata Kiri Abses Orbita d.d Basalioma B,S,KH TL √ SE,DI SC
Rekonstruksi Palpebra STFG + FS ES
Mata Kanan Kiri Retinoblastoma dengan
Mata Kanan atau Mata Kiri Biopsi + PA TL
metastase
RR GRD :AT,EA SORE PROGRAM : WU,RK,SA,AD,BY,DA,DM,TK,ER,ES,HA,WI,MW,MK,RG,SA,SU,MF,RM ALAT : PUR,YN ( S: )
Open Prostaectomi + Diseksi Kelenjar +
Retensio Urine B,KH,S MAS √ DA RM
Biopsi Prostat + FS
BPH TURP KH MAS √
Batu Ureter URS- Pasang Stent + ESWL KH MAS √
Ca Cervix + Hidronefrosis Aff DJ Stent 2 sisi + Pasang DJ Stent D S,B MAS √
Spondilolithesis L3 - L4 - L5 Laminektomi Kompleks KH AJ √

MW SA
Fiksasi Intenal dg PSRS + Fusi Posterior KH HY √
CKD Pasang DL + C-Arm KH AS √

Neonatal Sarcoma BMP B Alif √
Multiple Polip Endometrium Histeroscopy Polipectomi KH HR √
ICH + IVH EVD KH AJ √
G6P4A1 SCTP + IUD B BE √ Gatot HE NH
G3P2A0, Hml 39mg SCTP B JD √ Gatot
CKD Pasang CVC KH WA √
SCTP dg Penylit B EN √ Gatot AF AG

G1P0A0, Hml Aterm, dgn Prolap Colostomi
Repair Prolaps KH MM √
ICH Pemasangan EVD KH HY √ MF ER

JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
09.00-11.00
09.30-11.00
07.30-09.15
9 GA JH √
08.00-09.00
11.00-16.00
9 GA JH √
11.30-15.30
07.45-09.30
GA HA √
08.00-09.15
11.00-12.15
GA DS √
11.15-12.00
12.15-13.15
GA blok DS √
12.30-13.00
13.45-15.15
GA VL √
14.00-15.00
08.30-10.00
CITO GA spin DS
08.45-10.00
10.15-12.15
CITO GA DS √
10.30-12.00
CITO LA 12.45-13.00
13.30-15.00
CITO GA spin HR
14.00-15.00
15.45-17.00
CITO GA BI √
16.00-16.45
15.30-16.45
CITO GA spin HR
15.45-16.45
15.00-19.30
CITO GA DS √
15.30-19.20
17.15-18.30
CITO GA BI √
17.30-18.15
19.15-20.15
CITO GA BI √
19.20-20.00
CITO GA BI √ 20.30-23.30
20.45-23.15
CITO GA DN √ 22.15-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
06.00-14.00
1 GA HN √ 07.00
06.15-14.00
16.30-19.00
1 GA HN √ 12.00
16.45-19.00
16.00-17.00
1 GA HN √ 14.00
16.15-16.45
19.00-20.30
1 GA HN √ 19.00
19.30-20.30
2
2
3 LA 07.30
3 LA 08.15
3 LA 09.00
3 LA 10.00
08.00-11.00
4 GA epd DN √ 08.00
08.30-10.45
4 GA 11.00 BATAL KARENA APS
15.45-18.45
4 GA DN √ 15.00
16.00-18.30
08.00-09.00
5 GA DN √ 08.00
08.15-08.45
09.30-11.00
09.40-11.00
11.30-15.30
5 GA DN √ 13.00
11.45-15.15
07.00-09.30
6 GA BI √ 07.00
07.15-09.15
09.45-15.00
6 GA BI √ 12.00
10.00-14.45
15.30-19.30
6 GA BI √ 15.00
15.45-19.20
08.45-10.15
7 GA BI √ 08.00 09.00-
10.00
11.00-13.30
11.15-13.00
16.00-16.45
16.15-15.30
06.45-08.00
8 GA JL √ 06.30
07.15-07.45
08.30-09.15
8 GA JL √ 08.00
08.45-09.00
10.00-11.05
8 GA JL √ 09.30
10.25-11.00
8 LA 11.30
12.00-14.00
8 GA JL √ 12.00
12.30-13.45
14.30-15.30
8 GA JL √ 14.00
14.40-15.15
08.00-14.30
9 GA HR √ 07.00
08.20-14.15
07.00-11.00
10 GA JH √ 06.30
08.00-10.45
10 GA EL √ 11.00 11.45-15.30
12.00-15.15
JTG HR √ 07.00
16.45-19.15
JTG GA WA √ 14.00
17.00-19.00
GR 1 GA AI √ 08.00 08.00-13.00
GR 1 GA DS √ 11.00 14.00-
GR 2 GA WA √ 07.30 07.45-12.30
GR 4 GA 08.00 BATAL KARENA APS

GR 4 GA AI √ 10.00 09.25-11.45
13.00-16.00
GR 4 GA AI √ 13.00
12.15-15.45
ALAT : PUR ,EM (S :YN )
07.45-15.00
2 GA JL √
08.45-14.45
16.00-19.00
9 GA HA √
16.15-18.45
13.00-14.30
10 GA WA √
13.15-14.15
15.45-18.00
5 GA JL √
16.00-17.45
3 LA 11.00 14.00-
21.45-24.00
GA spin HS √
22.00-23.45
21.15-22.00
DS GA HS √
21.30-21.45
22.00-22.30
DS GA HS √
22.15-22.25
00.15-03.00
GA HS √
01.30-02.45
LA
04.00-05.15
CITO GA spin BI √
04.30-05.15
06.30-08.45
CITO GA WA √
07.00-08.30
08.00-10.15
CITO GA WA √
08.15-10.00
CITO GA WA √
CITO GA √ 13.45-
WA
CITO GA WA √ 19.30-
CITO GA WA
22.30-23.15
CITO GA TA √
22.45-23.15
23.40-01.15
CITO GA spin TA √
23.45-01.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.45-09.45
08.15-09.45
09.15-10.15
09.45-10.15
11.00-12.00
11.15-11.45
1 GA JH √ 12.30 13.00-16.45
13.15-16.30
18.45-21.00
1 GA JH √ 16.00
19.45-20.45
2 GA AI √ 08.00 08.00-12.30
10.00-12.15
2 GA HN √ 12.00 09.10-10.00
16.00-19.00
2 GA JH √ 13.30
16.15-18.45
2 GA 15.00 BATAL KARENA PASIEN TIDAK DATANG
2 GA 18.00
3 LA 07.30
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
08.15-10.15
4 GA HR √ 08.00
08.30-10.15
10.45-13.15
4 GA HR √ 12.00
11.00-13.00
14.40-15.45
4 GA HR 15.00
14.45-15.30
18.00-18.30
4 GA DS 16.30
18.00-18.30
08.15-10.15
5 GA epd HR 08.00
08.30-10.00
11.00-13.15
5 GA spin HR 11.30
11.15-13.15
13.30-15.15
5 GA spin HR 15.00
13.45-15.15
08.00-12.00
6 GA HA √ 07.30
08.30-11.45
12.15-13.00
6 GA HA √ 11.30
12.30-13.00
6 GA HA √ 12.30 14.00-15.45
14.15-15.30
16.00-17.15
6 GA DN √ 15.00
16.15-17.00
07.45-09.30
7 GA SF √ 07.30
08.00-09.15
10.15-12.15
10.15-12.15
14.15-16.45
7 GA HN √ 13.00
14.30-16.30
06.30-08.00
8 GA DS √ 06.30
07.20-07.40
08.00-09.15
8 GA DS √ 08.00
08.30-09.00
09.40-11.30
8 GA HA √ 10.00
10.30-11.15
11.45-13.15
8 GA DS √ 12.00
12.00-13.00
14.00-16.15
8 GA AI √ 14.00
14.45-16.00
22.00-00.30
8 GA HS √ 16.00
22.50-00.15
9 GA DS √ 08.00 07.30-14.30
08.30-14.00
9 GA HA √ 14.00 15.30-18.00
16.00-18.00
07.30-12.15
10 GA JH √ 07.30
08.30-12.00
11.30-13.00
10 GA spin VL √ 11.00
11.45-13.00

20.00-23.15
10 GA TA √ 17.00
21.00-23.00
JTG GA WA √ 10.00 07.30-12.30
GR 1 GA WA √ 08.00 08.45-10.45
GR 1 GA HN √ 10.30 11.50-13.30
GR 2 GA BI √ 07.30 09.00-
spin, 13.15-16.45
GR 2 GA BI √ 10.00
epd 13.45-16.30
14.30-15.30
DS GA JH 08.00
14.45-15.15
GR 3 GA HN √ 09.30 10.30-
GR 3 LA 10.00 17.00-
GR 3 LA 12.00
GR 4 GA HN √ 08.00
GR 4 GA HN √ 11.00
: PUR ,CA (S :YN )
16.15-17.30
GA spin WA √
16.30-17.30
GA TA √
18.45-20.45
8 GA JL √
19.00-20.30
14.15-18.00
10 GA DS √
14.45-17.45
12.00-13.00
DS GA spin HS √
12.10-13.00
10.45-11.15
DS GA TA √
10.55-11.10
13.30-14.00
DS GA DN √
13.40-13.50
21.15-22.30
GA spin HS √
21.30-22.30
01.15-03.00
CITO GA TA √
01.30-03.00
06.00-07.45
CITO GA TA √
08.30-07.30
CITO LA 08.40-08.50
09.45-12.30
CITO GA UB √
10.15-12.15
14.45-18.15
CITO GA HR √
15.00-18.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.30
1 GA blok VL √ 08.00
08.45-10.15
13.30-18.00
1 GA epd WA √ 10.00
13.45-17.45
19.00-21.15
1 GA VL √ 13.00
19.15-21.15
22.00-23.00
1 GA JL √ 15.00
22.30-22.45
09.20-10.30
09.30-10.30
11.30-12.30
11.45-12.30
2 GA 11.00
2 GA VL √ 13.00 15.30-18.00
15.55-17.45
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
08.00-11.00
4 GA epd WA √ 08.00
08.30-10.45
4 GA epd DS √ 11.00 12.00-13.30
12.15-13.30
15.00-15.30
15.15-15.30
4 LA 16.00 16.30-16.50
08.00-17.30
5 GA AI √ 07.00
08.00-17.15
DS GA 13.00
19.00-20.30
5 GA DN √ 16.00 19.15-20.15
07.30-13.00
6 GA AI √ 07.00
07.45-12.45
14.30-15.00
14.40-14.50
15.15-16.00
15.20-15.45
6 GA AI √ 15.00
7 GA JL √ 07.00 08.00-15.00
08.15-14.45
17.15-18.00
17.30-18.00
06.55-08.10
8 GA BI √ 06.30
07.25-07.55
08.15-10.00
8 GA BI √ 07.30
08.25-09.45
10.15-11.15
8 GA BI √ 09.00
10.30-11.00
12.00-13.45
8 GA VL √ 11.00
12.15-13.30
13.45-14.45
8 GA BI √ 13.00
13.30-14.30
15.45-17.30
16.15-17.15
06.30-08.45
9 GA BI √ 06.00
07.00-08.45
21.00-01.30
9 GA VL √ 08.00
21.30-01.00
08.45-10.00
10 GA blok SF √ 08.00
09.00-10.00
11.00-13.30
10 GA SF √ 10.30
11.15-13.30
15.45-16.15
10 GA spin SF √ 15.00
16.00-16.30
18.30-21.30
10 GA epd SF √ 17.00
18.45-21.30
JTG GA HN √ 10.00 07.00-11.55
GR 1 GA DS √ 07.30 08.15-10.45
GR 1 GA DS √ 09.30 12.15-14.00
GR 2 GA DS √ 08.00 08.10-11.15
GR 2 GA DS √ 11.00 13.25-
GR 3 GA DS √ 07.30
GR 3 GA DS √ 11.00 14.30-15.30
GR 4 GA WA √ 07.00
GR 4 GA DS √ 09.30
ALAT : PUR,SR (S :YN )
9 GA JH √ 10.00 10.00-20.15
11.00-20.00
20.00-22.15
GA VL √
20.20-22.00
DS GA spin WA √ 17.00-17.45
21.30-01.15
DS GA spin HS √
22.00-01.15
07.30-10.45
CITO GA HR
08.15-10.30
11.45-12.45
CITO GA spin BI √
12.00-12.45
12.30-17.30
CITO GA DN √
12.45-17.00
CITO LA 14.00-14.10
CITO LA
CITO LA
20.30-23.30
CITO GA VL √
21.00-23.15
22.45-01.00
CITO GA HR
23.00-01.00
22.15-00.45
CITO GA HR
22.30-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.15
09.00-10.00
11.00-12.00
11.15-12.00
13.30-14.30
1 GA BI √ 13.00
13.45-14.15
17.45-18.15
1 GA BI √ 17.00
18.00-18.15
2 GA BI √ 06.30 07.00-10.15
07.15-10.00
2 GA 10.00 BATAL KARENA PASIEN MENOLAK TRACEOSTOMI
14.30-15.30
2 GA DN √ 13.00
14.30-15.15
16.30-18.00
2 GA BI √ 14.30
16.45-17.45
3 LA 08.00
3 LA 08.30
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 11.30
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 14.30
08.30-10.15
4 GA WA √ 08.00
08.45-10.15
13.00-15.00
13.15-15.00
16.30-18.00
16.45-17.45
16.30-17.30
4 GA epd VL √ 17.30
17.00-17.30
08.30-09.30
08.45-09.30
10.45-12.30
5 GA epd WA √ 09.30
11.00-12.15
13.45-14.40
14.00-14.15
13.15-14.45
5 GA JL √ 17.00
13.30-14.30
15.45-19.00
5 GA DN √ 18.30
16.00-18.45
6 LA 08.00
08.00-11.30
6 GA TA √ 13.00
08.15-11.15
16.30-19.15
6 GA TA √ 15.00
16.45-19.00
spin, 08.00-09.45
7 GA TA √ 07.00
epd 08.15-09.30
7 GA HS √ 09.00 10.15-16.30
10.30-16.15
7 GA WA √ 13.00 17.00-02.00
17.30-01.45
07.00-08.15
8 GA HN √ 06.30
07.15-08.00
08.30-10.00
8 GA HN √ 08.00
08.45-09.45
8 GA 10.00
14.00-15.00
8 GA HN √ 12.00
14.15-14.45
15.30-17.50
8 GA HN √ 14.00
15.45-17.15
19.00-21.30
8 GA HN √ 16.00
19.15-21.15
08.45-11.00
9 GA HN √ 08.00
09.15-10.45
06.45-10.15
10 GA epd HA √ 07.00
07.00-10,00
14.15-17.30
10 GA spin VL √ 13.00
14.30-17.30
spin, 19.15-00.15
10 GA VL √ 16.00
epd 19.45-00.00
JTG GA HR √ 10.00 07.30-12.00
JTG GA WA √ 14.00 17.15-19.00
GR 1 GA VL √ 08.00 13.15-14.15
GR 2 GA VL √ 07.30 08.40-10.45
GR 2 GA VL √ 11.00
GR 3 GA SF √ 08.00 09.25-09.45
GR 3 GA SF √ 09.30 11.00-12.30
GR 4 GA WA √ 07.00 07.35-10.45
AT : PUR,CA (S : )
GR 1 GA VL √ 08.00 10.10-11.00
17.15-17.30
DS 1 GA HA √
17.20-17.45
07.00-08.00
9 GA HR
07.15-07.45
GR4 LA
06.30-07.30
CITO GA spin DS √
06.15-07.30
06.00-09.00
CITO GA epd VL √
06.45-09.00
08.00-09.00
CITO GA spin BI √
08.10-09.00
CITO LA 10.55-11.05
CITO LA
11.00-13.40
CITO GA DS √
11.15-13.30
14.00-15.00
CITO GA spin DS √
14.25-15.10
17.30-21.00
CITO GA HA √
17.45-21.00
22.00-01.00
CITO GA HA √
23.00-01.00
23.00-24.00
CITO GA HA √
23.15-23.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 LA 15.00 14.10-15.30
16.30-17.30
1 GA AI √ 16.00
16.45-17.15
18.00-19.00
1 GA AI √ 18.00
18.15-18.45
06.15-07.00
2 GA BI √ 06.30
06.30-06.50
3 LA 14.30
BATAL KARENA UNTUK PROGRAM SELASA
14.00-16.15
4 GA epd WA √ 14.05
14.15-16.00
16.15-18.15
4 GA WA √ 15.35
16.30-18.00
9 GA AI √
08.00-08.10
CITO GA HS √
08.05-08.10
11.00-14.45
CITO GA spin HS √
11.15-14.45
12.45-16.15
CITO GA spin HS √
13.00-16.15
CITO LA 16.00-16.15
CITO LA 16.45-17.15
18.00-20.00
CITO GA AI √
18.30-19.50
19.00-20.15
CITO GA AI √
19.15-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
12.45-14.45
GA WA √ 08.00
13.15-14.30
GA 09.30 BATAL KAREN AUTUK PROGRAM SENIN

15.15-17.45
GA WA √ 11.00
15.30-17.30
07.45-11.30
GA WA √ 08.00
08.15-11.15
19.30-20.30
GA DN √ 14.00
19.45-10.15
16.00-17.45
GA DN √ 17.00
16.30-17.30
13.30-14.45
GA DN √
14.00-14.30
15.00-16.00
GA DN √
15.30-15.45
18.15-19.15
GA DN √
18.30-19.00
12.00-15.00
GA WA √
12.15-14.45
10.45-12.30
GA WA √
11.00-12.15
18.00-22.00
GA DN √
19.00-21.45
09.00-12.30
GA WA √
09.15-12.15
13.45-17.00
GA DN √
14.45-16.45
01.15-03.00
CITO GA AI √
01.30-02.45
04.30-06.15
CITO GA AI √
04.45-06.00
07.15-09.00
CITO GA spin VL √
07.30-08.45
07.45-11.45
CITO GA WA √
08.30-11.00
CITO LA 11.00-11.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.45
1 GA AI √ 08.00
08.45-10.35
11.30-12.30
12.00-12.30
13.15-14.15
13.45-14.15
1 LA 12.30 BATAL KARENA SCRET POSITIF

1 GA DN √ 14.00 19.40-20.30
1 GA AI √ 16.00 17.45-18.45
08.00-10.30
2 GA AI √ 08.00
08.15-10.15
2 GA JL √ 11.00
2 GA DN √ 13.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 10.30
3 LA 11.30
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 14.30
4 GA WA √ 08.00 08.40-11.45
4 GA WA √ 11.30 13.00-13.50
4 GA JL √ 15.00 16.00-
4 GA JL √ 17.30
5 GA JL √ 08.00 08.25-09.15
5 GA BI √ 10.30
5 GA VL √ 12.00 12.40-
5 GA VL √ 16.00 16.15-22.00
6 GA DS √ 07.30 08.30-10.00
11.15-13.00
6 GA BI √ 11.00
11.30-12.50
6 GA JL √ 17.00 15.30-18.00
09.00-10.00
7 GA HA √ 08.00
09.15-09.50
7 GA VL √ 10.00 11.10-12.30
7 GA HA √ 15.00
07.00-08.00
8 GA EL √ 06.30
07.15-07.45
08.45-10.00
8 GA EL √ 08.00
09.00-09.45
8 GA HA √ 10.00
8 GA HA √ 12.00 12.40-13.40
8 GA EL √ 15.00 14.45-15.20
9
9
08.45-12.30
10 GA VL √ 08.00
09.30-12.15
10 GA VL √ 11.00 14.00-15.30
10 LA 12.00 19.40-19.45
10 GA VL √ 13.00 17.00-18.30
10 LA 14.30
10 LA 15.00
JTG HR √ 09.30-
GR 1 GA WA √ 07.30 07.50-
GR 1 GA DS √ 10.30 11.20-13.00
GR 2 GA WA √ 08.00 09.30-12.45
GR 2 GA DN √ 11.00
GR 3 GA WA √ 07.30 08.15-
GR 3 GA VL √ 11.00 14.45-15.15
GR 3 GA HA √ 12.30 22.00-
GR 4 GA TA √ 08.00
GR 4 GA TA √ 11.00 09.00-10.00
GR 4 GA TA √ 13.00 13.45-14.15
8 GA JL √ 17.00 16.55-17.40
GA HA √ 22.00-
07.45-13.15
9 GA EL √
09.00-12.45
9 GA EL √ 16.05-
GA HA √
GA JL √ 20.30-21.00
7 GA JL √ 22.50-00.30
7 GA DN √ 06.30
7 GA JL √ 01.00-07.00
7 GA JL √ 02.15-04.15
2 GA JL √ 17.00 21.25-22.15
GA DN √ 23.30-24.00
GA DN √
DS 1 GA WA √ 10.10-11.30
DS 1 GA HA √ 09.00-09.15
DS 1 GA HA √ 13.30-13.45
DS 1 GA HS √
DS2 GA JH √
GA JL √ 19.07-20.37
GA HS √
CITO GA HR √ 07.00-
CITO GA HR √ 13.15-16.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-09.30
1 GA HS √ 08.00
09.00-09.30
1 GA HN √ 09.00 15.00-17.30
11.30-13.00
1 GA HN √ 11.00
11.45-12.45
08.00-09.45
2 GA HN √ 07.30
08.30-09.30
2 GA HN 09.30 11.20-12.20
2 GA 13.00
13.45-15.30
2 GA HN √ 15.00
14.00-15.15
3 LA 08.00
3 LA 09.00
3 LA 11.00
3 LA 12.00
4 GA DS √ 08.00 08.30-
4 GA 11.00 BATAL KARENA

14.15-16.45
4 GA DS √ 16.00
14.30-16.30
5 GA 08.00 BATAL KARENA ECHO dulu
5 GA VL √ 10.00 09.15-12.00
5 GA WA √ 12.00 13.20-15.30
07.30-08.45
6 GA WA √ 07.30
07.45-08.30
6 GA BI √ 09.00 09.30-13.30
09.45-13.15
7 GA DS √ 06.00 07.30-09.45
7 GA BI √ 08.00 11.15-11.30
11.30-14.00
7 GA BI √ 11.00 15.10-16.35
06.50-08.00
8 GA JL √ 06.30
07.20-07.40
09.00-11.00
8 GA VL √ 08.00
09.20-10.45
8 GA JH √ 10.00 12.50-13.00
8 GA JL √ 12.00 15.00-15.30
8 GA WA √ 14.00 11.45-13.30
9 GA AI √ 08.00 08.30-14.15
9 GA JL √ 14.00 15.45-19.20
10 GA JL √ 07.00 07.30-08.30
10 GA HA √ 09.30
10 GA JH √ 12.00
10 GA JH √ 19.00 19.00-20.00
10 GA JH √ 20.00 21.15-00.15
JTG GA HA √ 07.30 08.30-10.00
GR 1 GA AI √ 07.30 08.25-09.25
GR 1 GA AI √ 09.00 11.15-13.15
GR 1 GA AI √ 12.30
GR 2 GA WA √ 07.30 07.30-10.15
GR 2 GA WA √ 11.00 11.00-12.45
GR 3 GA HR √ 07.30 08.00-10.40
GR 3 LA 10.00
GR 3 LA 11.30
GR 4 GA HR √ 08.00 08.30-09.45
GR 4 GA HR 11.00
UR,YN (S :TU )
GA HS √ 20.50-21.00
CITO GA JL √ 06.45-07.45
06.45-07.45
CITO GA UB √
CITO GA DN √
CITO LA 10.30-11.00
CITO GA DN √
CITO GA JH √
CITO GA DN √ 15.15-16.00
CITO GA JH √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
OK DPJP ANESTI
CT
08.00-09.00
1 GA JH 08.00
08.15-08.50
11.30-12.15
11.45-12.00
09.45-10.45
1 GA JH √ 10.00
10.00-10.30
1 GA DS √ 12.00 13.00-15.00
13.15-14.45
15.45-20.00
1 GA BI 14.00
16.00-19.45
08.15-09.15
2 GA DN √ 08.00
08.30-09.00
2 GA JH √ 10.30 10.45-14.30
11.00-14.15
16.45-18.30
2 GA HN √ 16.00
17.00-18.15
2 GA 18.00
3 LA 08.00
3 LA 10.00
3 LA 10.30
3 LA 11.00
3 LA 12.00
3 LA 13.30
08.15-12.00
4 GA HR 08.00
09.30-11.45
12.45-14.00
4 GA spin HR 12.00
13.00-14.00
14.30-16.00
4 GA HR 14.00
15.15-15.50
4 GA HR 16.00
21.15-23.15
4 GA JL √ 20.00
21.45-23.00
5 GA VL √ 08.00 09.15-
11.45-14.15
5 GA VL √ 11.00
12.00-14.00
5 GA 13.00
5 GA 15.30
07.30-09.30
6 GA WA √ 07.30
07.45-09.15
10.15-14.00
6 GA HA √ 11.00
10.30-13.45
14.45-15.45
6 GA VL √ 15.00
15.00-15.30
15.15-18.30
6 GA HA √ 17.00
15.30-18.15
06.30-08.45
7 GA WA √ 07.00
07.00-08.30
7 GA SF √ 09.00
11.30-14.45
7 GA SF √ 11.00
12.00-14.30
16.30-21,30
7 GA SF √ 14.00
17.00-21.15
8 GA DS √ 06.30 07.20-07.50
08.45-10.30
8 GA DS 08.00
09.15-10.15
8 GA DS √ 10.00 11.50-12.30
13.15-14.45
8 GA BI 12.00
13.30-14.35
15.00-17.45
8 GA DS √ 14.00
15.15-17.30
9 GA DS √ 06.30 07.30-
9 GA DS √ 09.00 09.05-
9 GA DS √ 15.30 16.45-
10 GA TA √ 07.00 09.30-10.45
09.45-10.45
10 GA TA √ 10.30 17.15-18.50
10 GA TA √ 14.30 21.00-02.30

JTG GA WA √ 10.00 09.50-12.20
14.45-18.00
JTG GA HN √ 14.00
15.15-18.00
GR 1 GA JL √ 08.00 08.35-
GR 1 GA DS √ 11.00 12.00-
GR 2 LA 07.30
GR 2 GA WA 09.00 08.55-13.00
GR 2 GA JL 12.30 13.45-
GR 3 GA HA √ 08.00
GR 3 GA DN √ 10.00
GR 4 GA AI √ 07.00 09.35-
GR 4 GA 10.00
GR 4 GA 13.00
23.45-01.00
GA HS √
00.00-01.00
LA 19.35-20.00
LA 20.35-
09.15-10.00
GA spin TA √
09.20-10.00
12.45-14.15
DS GA HS √
13.50-14.10
CITO GA TA √ 21.00-02.30
08.00-09.30
CITO GA DN √
08.30-09.30
CITO LA
CITO GA WA √ 09.30-10.15
CITO GA WA √ 11.30-12.30
CITO GA WA √ 12.10-12.45
14.55-15.45
CITO GA WA √
14.55-15.30
15.15-16.15
CITO GA spin DS √
15.30-16.00
CITO LA 16.55-
17.00-18.00
CITO GA spin DS √
17.20-18.00
CITO GA JH 19.15-20.00
CITO LA 20.50-
23.45-01.00
CITO GA HS √
00.00-01.00
CITO LA 21.00-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
06.45-08.00
2 GA HR √ 06.30
07.00-07.45
09.15-10.15
2 GA HA √ 09.30
09.50-10.00
2 GA HA √ 11.00 13.15-19.00
07.00-07.45
8 GA DS √ 06.30
07.10-07.30
08.00-09.00
8 GA HA √ 08.00
08.15-08.45
10.45-12.00
8 GA HA √ 09.30
11.00-11.45
08.00-12.00
9 GA BI √ 08.00
08.15-11.45
9 GA SF √ 12.00 14.00-17.30
14.30-17.15
07.00-08.00
10 GA AI √ 06.30
07.15-07.50
08.45-10.15
10 GA HA √ 08.00
09.00-10.00
19.40-22.40
GA SF √
19.50-22.40
CITO GA SF √ 02.00-03.00
08.30-10.00
CITO GA spin HA
08.45-09.45
CITO GA WA √ 11.30-13.30
10.30-15.00
CITO GA HA √
11.30-15.00
CITO GA spin SF √ 15.50-17.20
CITO LA 15.00-16.00
17.05-18.15
CITO GA SF √
17.15-18.10
CITO GA SF √ 18.15-20.30
CITO GA SF √ 21.00-22.40
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 07.30
09.30-11.45
1 GA WA √ 08.30
09.45-11.30
15.45-14.15
14.00-14.15
1 GA 12.30
14.30-17.15
1 GA BI √ 14.00
15.45-17.00
2 GA 07.00 BATAL KARENA ADA FISTEL

2 GA 08.00
BATAL UNTUK PROGRAM ULANG
2 GA BI √ 11.00
2 GA WA √ 13.00
14.00-16.45
3 LA 08.00
3 LA 09.30
3 LA 10.00
3 LA 11.00
3 LA 12.00
08.00-10.45
4 GA epd WA √ 08.00
08.30-10.30
10.45-12.00
4 GA epd WA √ 10.30
11.15-11.45
13.30-16.45
4 GA epd DS √ 13.00
13.45-16.30
5 GA WA √ 08.00 09.00-
5 GA WA √ 10.30 14.00-18.00
16.45-19.45
5 GA VL √ 13.30
17.00-19.30
5 GA VL √ 15.00 19.00-21.00
07.15-09.00
6 GA AI √ 07.30
07.30-08.45
09.15-11.45
6 GA AI √ 09.00
09.30-11.45
13.00-16.00
6 GA AI 13.00
13.15-15.45
16.45-17.45
6 GA DS √ 16.00
17.00-17.30 AI
08.00-10.00
7 GA AI √ 07.00
08.45-10.00
7 GA 09.00
14.00-15.45
7 GA AI √ 11.00
14.15-15.45
16.15-20.00
7 GA AI √ 13.00
16.30-19.50
8 GA 06.30
08.30-10.00
8 GA HA √ 08.00
09.00-09.50
10.30-11.45
8 GA HN √ 10.00
10.50-11.30
8 GA HN √ 12.00 14.20-15.00
8 GA HN √ 14.00 15.45-16.15
16.45-17.45
8 GA HN √ 16.00
17.00-17.30
18.15-19.15
8 GA HN √ 18.00
18.20-19.10
9
9
06.45-08.15
10 GA HA √ 07.00
07.00-08.00
09.00-17.15
10 GA SF √ 09.00
10.00-17.00
15.00-16.00
10 GA HA √ 13.00
15.15-15.45
JTG HN √ 10.00 09.45-12.30
GR 1 GA VL √ 07.30 07.50-
GR 1 GA VL √ 09.00 10.50-11.45
GR 1 GA JH √ 13.00 13.00-16.00
GR 2 GA AI √ 07.30 08.00-16.00
GR 3 LA 07.30 10.00-10.40
GR 3 GA VL √ 10.00 10.50-
GR 4 GA 08.00 08.40-09.40
ALAT : PUR,CA (S : YN)

18.00-22.15
6 GA DS √ 18.15-
22.00
12.30-15.30
9 GA HR √
12.45-15.15
11.15-13.00
7 GA AI √
11.30-13.00
09.30-10.35
9 GA HN √ 09.00
09.40-10.30
17.45-19.00
GA JH √
18.00-18.45
19.15-20.30
GA EL √
19.30-20.15
GR 4 GA TA √ 15.30-16.00
GR 4 LA 14.40-
GR 4 GA HA √ 14.05-
11.00-11.30
DS 2 GA HS √
11.05-11.25
DS 2 LA
LA
3 LA
07.30-09.45
DS √
07.45-09.30
CITO GA DS √ 10.30-14.00
10.45-13.45
CITO GA EL √ 14.00-
CITO GA SF √
16.15-17.30
CITO GA epd EL √
16.35-17.15
17.00-17.55
CITO GA SF √
17.05-17,50
18.15-19.35
CITO GA spin EL √
18.20-19.30
CITO GA HR √
CITO LA 20.00-20.20
CITO LA
CITO LA 22.00-22.30
22.00-24.00
CITO GA EL √
22.30-23.50
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA WA √ 07.00
1
3 LA 09.00
3 LA 10.30
08.00-09.45
4 GA BI √ 08.00
08.30-09.30
13.30-16.30
4 GA UB √ 12.00
13.30-16.20
16.30-21.15
4 GA UB √ 14.00
17.00-21.00
6
07.15-08.45
8 GA HN √ 07.00
07.30-08.30
09.15-10.35
8 GA HA 09.00
09.30-10.20
11.00-12.15
8 GA UB √ 10.30
11.15-12.00
10
JTG
LA 10.45-
08.45-10.15
GA HA √
09.00-10.00
07.15-08.15
GA UB √
07.45-08.00
09.30-14.30
GA UB √
10.00-14.15
11.30-14.30
GA UB √
11.45-14.15
08.05-11.00
CITO GA UB √
08.15-10.50
CITO LA 11.15-11.40
CITO GA UB √ 12.55-14.00
CITO LA
CITO LA 17.15-
16.45.18.30
CITO GA VL √
17.00-18.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
12.00-16.00
CITO GA VL √
12.15-16.00
14.00-15.45
CITO GA VL √
14.30-15.30
16.45.18.30
CITO GA VL √
17.00-18.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.45
1 GA WA √ 08.00
08.30-09.30
10.30-12.45
1 GA WA √ 10.30
11.00-12.30
13.00-13.30
13.15-13.30
14.00-16.00
1 GA epd AI √ 13.00
14.30-16.00
17.15-20.45
1 GA AI √ 16.00
17.45-20.40
09.00-11.00
2 GA AI √ 08.00
09.30-10.45

2 GA AI √ 14.00 13.30-16.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
08.00-11.00
4 GA epd JH √ 08.00
08.15-10.45
4 GA 11.30
4 GA AI √ 14.00
08.15-11.30
5 GA epd VL √ 08.00
08.30-11.15
12.15-14.00
5 GA JL √ 12.00
12.30-13.45
5 GA JL √ 14.00 15.15-17.00
5 GA JL √ 16.00 18.10-
07.45-11.15
6 GA HA √ 07.30
08.00-11.00
12.30-13.00
6 GA HA √ 12.30
12.45-13.15
13.45-16.30
6 GA JL √ 14.00
14.00-16.15
17.15-19.00
6 GA JL √ 16.00
17.30-18.45
08.15-13.00
7 GA HA √ 07.30
08.30-13.00
14.15-16.15
7 GA AI √ 11.00
14.30-16.00
7 GA 13.30
06.50-07.50
8 GA DN √ 06.30
07.20-07.40
08.30-09.30
8 GA DN √ 08.00
09.45-09.15
09.45-10.55
8 GA DN √ 09.30
10.00-10.45
11.15-12.30
8 GA DN √ 11.00
11.45-12.45
13.00-14.05
8 GA DN √ 12.30
13.30-13.50
14.30-15.30
8 GA DN √ 14.00
14.50-15.15
9
9
10 GA BI √ 08.00 09.20-
10 GA VL √ 11.30
10 GA 13.00
10 GA 14.30
10 GA 16.00
JTG GA HN √ 10.00 07.30-

GR 1 GA DN √ 08.00 08.45-
GR 1 GA JH 10.00
GR 2 GA WA √ 08.00
GR 2 GA WA √ 11.00
GR 3 GA JH √ 08.00
GR 3 GA JH 11.00
GR 4 GA HN √ 07.30
ALAT : PUR, YN* (S :CA )
07.30-15.30
GA DN √ 08.00
08.30-15.15
16.15-18.00
2 GA WA √ 16.00
16.30-17.45
16.30-18.15
8 GA BI √
16.45-18.00
19.00-19.30
GA DN √
19.20-19.30
20.00-21.00
GA BI √
20.15-21.00
17.30-19.45
GA HA √
17.45-19.30
GA
LA
LA
LA
LA
LA
05.00-07.15
CITO GA JH
05.30-07.00
CITO GA BI √ 08.00-
13.45-15.15
CITO GA BI √
14.30-15.00
15.30-17.00
CITO GA spin VL √
15.15-16.45
CITO GA VL √ 16.20-17.45
17.30-19.00
CITO GA BI √
17.35-18.55
19.00-19.30
CITO GA DN √
19.20-19.30
20.15-22.00
CITO GA BI √
20.45-21.45
23.00-23.45
CITO GA BI √
23.20-23.35
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-13.00
1 GA DN √ 08.00
09.30-12.45

14.00-16.15
1 GA HN √ 15.00
14.40-16.00
18.00-20.00
1 GA HN √ 17.00
18.15-19.45

11.45-13.15
2 GA HN √ 09.30
12.00-13.00
08.00-11.15
2 GA HN √ 12.30
08.15-10.45
16.00-18.00
16.30-18.00
19.00-22.30
19.30-22.30
3 LA 08.00
3 LA 10.00
3 LA 11.00
3 LA 12.30
07.30-09.00
07.45-08.45
09.15-10.30
4 GA HA √ 10.00
09.30-10.15
08.15-09.35
08.30-09.30
12.00-13.00
4 GA WA √ 16.00
12.15-12.45
13.30-15.00
4 GA DN √ 19.00
13.45-14.45
08.00-09.00
08.15-09.00
09.30-11.30
5 GA DN √ 09.30
09.45-11.15
5 GA VL √ 12.00 13.00-

17.30-15.15
5 GA VL √ 16.30
17.45-15.15
07.15-11.30
6 GA BI √ 07.30
07.35-11.15
12.15-15.30
6 GA BI √ 11.00
12.30-15.15
15.30-18.30
6 GA BI √ 13.00
15.50-18.20
15.30-18.30
6 GA BI √ 16.00
16.00-18.15
16.15-19.15
6 GA BI √ 18.00
16.30-19.00
06.45-08.15
7 GA BI √ 07.00
07.00-08.00
09.00-09.35
7 GA JL √ 08.30
09.15-09.30
10.15-10.50
7 GA VL √ 09.30
10.30-10.45
11.30-13.00
7 GA BI √ 11.00
11.45-12.45
7 GA BI √ 14.00 14.30-20.00
7 GA BI √ 16.00 22.00-
07.10-08.30
8 GA HN √ 07.00
07.30-08.15
09.30-12.00
8 GA JL √ 08.30
09.45-11.45
13.00-15.00
8 GA HS 11.00
13.30-14.45
16.15-18.45
8 GA JL √ 15.30
16.45-19.30
20.00-23.15
8 GA JL √ 18.30
21.00-23.00
9 GA JL √ 08.00 07.00-15.15
08.00-15.00
9
07.30-09.30
10 GA spin JH √ 08.00
07.45-09.30
10.30-14.00
10 GA JH √ 10.00
10.45-14.00
15.15-17.10
10 GA JH √ 14.00
15.30-17.00
07.15-10.00
10 GA epd BI √ 20.00
07.45-10.00
JTG GA WA √ 10.00 07.30-11.00
JTG GA HN √ 14.30
GR 1 GA WA √ 08.00
GR 1 GA HA √ 11.00 13.00-14.00
GR 2 GA WA √ 08.00
GR 2 GA 10.30 BATAL KARENA ICU PENUH

GR 5 GA HS √ 07.30
GR 5 GA DN √ 12.00 12.30-
GR 6 GA VL √ 08.00 09.15-11.00
GR 6 GA AI √ 10.30
PUR, YN* (S :CA )
16.00-18.00
2 GA HA √ 12.30
16.30-18.00
DS GA JH √
14.45-15.15
DS GA BI √
15.00-15.15
DS LA 10.30-11.00
DS LA 11.00-11.15
DS LA 13.55-14.00
22.00-24,00
GA HS √
22.15-23.45
06.30-08.15
CITO GA BI √
06.45-08.00
07.00-07.45
CITO GA UB √
07.15-07.45
08.30-11.00
CITO GA TA √
08.45-10.45
CITO LA 12.00-12.15
13.15-14.45
CITO GA spin DN √
13.30-14.45
CITO GA VL √ 16.30-17.30
19.15-20.45
CITO GA spin DN √
19.30-20.30
CITO LA 21.40-
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA WA √ 08.00 08.30-09.45
11.00-12.00
11.15-12.00
14.15-15.45
1 GA JH √ 13.00
14.45-15.30
16.30-21.00
1 GA epd JH √ 15.00
17.00-21.00
2 GA JH 08.00
2 GA HN √ 11.00
2 GA HN √ 13.00 15.25-18.00
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00 14.40-15.10
07.30-11.15
4 GA epd JL √ 08.00
07.45-11.00
12.15-14.15
4 GA JL √ 12.00
12.25-14.05
08.00-09.30
5 GA DN √ 08.00
08.15-09.15
10.00-12.30
5 GA VL √ 10.30
10.15-12.15
13.00-15.15
5 GA JL √ 13.00
13.15-15.00
5 GA VL √ 15.00 16.15-18.00
07.00-08.00
6 GA WA √ 08.00
07.15-07.45
08.30-11.30
6 GA WA √ 10.00
09.00-11.15
12.15-16.45
6 GA WA √ 12.00
12.30-16.30
15.45-19.15
6 GA spin WA 16.00
16.00-19.15
08.30-11.00
7 GA WA √ 08.00
08.45-10.30
11.30-12.45
7 GA WA √ 10.30
12.00-12.30
13.30-14.45
7 GA WA √ 12.00
14.00-14.30
7 GA WA 14.00 20.00-21.00
16.00-19.00
7 GA WA 16.30
16.15-18.45
07.00-08.00
8 GA HN √ 06.30
07.20-07.40
08.30-09.45
8 GA HN √ 08.00
09.00-09.30
10.30-12.15
8 GA HN √ 10.00
10.45-12.00
12.45-18.30
8 GA DN √ 12.00
13.00-18.15
07.45-17.30
9 GA HN √ 08.00
09.00-17.30
08.00-12.30
10 GA UB √ 08.00
08.15-12.15
13.00-14.30
10 GA HN √ 11.30
13.30-14.15
10 GA 13.00
18.15-21.45
10 GA HA √ 16.00
18.45-21.45
JTG GA HN √ 10.00 09.30-11.50
20.00-
JTG GA HN √ 14.00
GR 1 GA HA √ 08.00 18.15-
GR 1 GA HA √ 11.00 13.00-14.00
GR 2 GA WA √ 07.15 07.30-08.45
GR 2 GA WA √ 09.00 09.20-13.00
GR 5 GA HA √ 08.00 08.30-09.30
R,DW (S :CA )
20.30-21.15
GA DN √ 20.00
21.45-21.00
DS LA
DS LA
16.15-17.00
DS 1 GA HN
16.25-16.50
CITO GA DN √ 04.30-05.15
04.45-07.00
CITO GA DN √
05.00-07.00
09.30-11.15
CITO GA WA √
09.45-11.15
13.00-14.00
CITO GA spin UB √
13.15-14.00
CITO GA JH √ 19.15-20.15
CITO GA UB √ 11.15-14.45
11.30-14.30
CITO GA VL √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-12.30
1 GA VL √ 08.00
09.15-12.15
13.45-16.00
1 GA epd AI √ 11.00
14.00-16.00
16.30-17.20
17.45-17.15
2 GA VL √ 08.00
11.30-16.30
2 GA WA √ 11.00
11.45-16.15
18.30-20.15
2 GA VL √ 14.00
19.45-20.00
3 LA 08.00
3 LA 10.00
3 LA 11.00
08.15-10.45
4 GA WA √ 08.00
08.30-10.30
12.30-16.00
4 GA blok DN √ 12.00
13.00-16.00
07.15-09.45
5 GA DN √ 07.00
07.40-09.30
5 GA DN √ 12.00 10.30-12.45
10.45-12.30
6 GA 08.00 BATAL KARENA HYPERTYROID
07.45-12.00
6 GA AI √ 11.00
08.00-11.45
12.00-14.00
6 GA epd AI √ 13.00
12.15-13.45
14.00-17.45
6 GA AI √ 15.00
14.15-17.30
13.45-19.15
6 GA AI √ 18.00
14.15-19.00
08.00-14.00
7 GA AI √ 07.30
08.25-14.00
16.00-02.00
7 GA AI √ 12.30
16.15-02.00
06.45-08.00
8 GA BI √ 06.30
07.00-07.45
08.30-10.30
8 GA BI √ 08.00
09.00-10.15
12.45-14.45
8 GA UB √ 12.30
13.10-14.30
15.45-18.30
8 GA BI √ 14.30
16.10-18.15
9 GA JH √ 06.00 07.30-10.15
07.45-10.00
11.00-21.30
9 GA BI √ 11.00
12.00-21.00
06.50-08.15
10 GA DN √ 07.00
07.10-08.10
10.15-13.30
10 GA DN √ 09.00
10.45-13.15
10 GA WA √ 13.00 14.15-18.00
JTG GA WA √ 10.00 07.30-
GR 1 GA JL √ 07.30 08.15-
GR 1 GA JL √ 10.00 10.30-12.10
GR 2 GA HN 08.00 08.40-09.40
GR 2 GA HN √ 10.00 16.20-13.15
GR 2 GA HN 12.30
GR 5 GA JL √ 08.00 05.45-09.45
GR 6 GA 07.30 BATAL KARENA PERBAIKAN KU

GR 6 GA UB √ 09.00 08.30-10.15
GR 6 LA 13.00
R,DW (S :DJ )
21.00-22.00
GA spin HS √
21.15-22.00
08.15-08.30
DS GA WA
08.20-08.25
08.30-09.00
DS GA WA √
08.35-08.55
08.00-09.30
CITO GA HS √
08.25-09.15
CITO LA
11.00-11.45
CITO GA HS √
11.00-11.45
CITO LA 12.30-12.45
13.15-15.00
CITO GA HS √
13.30-14.45
15.30-17.15
CITO GA HS √
15.45-17.00
15.45-17.00
CITO GA spin AI √
16.00-17.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.00
1 GA epd WA √ 08.00
08.45-09.00
10.30-12.15
1 GA epd BI √ 10.30
10.45-12.15
14.40-16.00
1 GA VL 16.00
15.20-15.55
08.15-10.30
2 GA HA 08.00
08.30-10.15
11.15-14.00
2 GA BI √ 10.00
11.45-13.45
2 GA BI √ 15.00 15.30-18.15
16.00-18.00
3 LA 07.30
3 LA 08.30
3 LA 09.30
3 LA 10.00
DS GA HA 13.00
08.00-11.00
4 GA HS √ 08.00
08.15-11.00
13.15-16.00
4 GA HS √ 11.00
13.30-16.00

5
6 GA AI √ 07.00 08.15-11.30
08.30-11.15
11.45-13.00
6 GA DN √ 08.30
12.00-12.45

07.00-08.45
7 GA TA √ 07.00
07.15-08.30
09.30-10.30
7 GA WA √ 08.30
09.45-10.15
11.00-13.00
7 GA TA √ 10.30
11.30-12.45
8 GA HN √ 08.00 08.50-09.50
10.15-11.50
8 GA HN √ 10.30
10.35-11.35
8 GA 12.00
9 GA HN 08.00 07.30-12.00
9 07.45-11.45
08.30-11.15
10 GA HA √ 07.00
08.45-11.00
15.30-18.30
10 GA AI √ 18.00 15.45-
18.30
20.15-23.45
10 GA JH 20.30
20.30-23.30
JTG GA WA √ 10.00 07.30-

GR 1 GA VL √ 08.00 08.30-12.30
GR 2 GA JL √ 07.30 07.50-11.10
09.30-12.00
GR 2 GA JL √ 11.00
09.45-11.45
GR 5 LA 08.00
GR 6 GA DN √ 08.30 10.10-10.30
GR 6 GA DN √ 10.00 11.50-11.55
DS GA DN √
DS LA 16.30-16.45
DS LA 18.00-18.20
JT GA HN 17.15-
15.40-16.00
4 GA HA
15.45-15.50
07.00-09.45
CITO GA AI √
07.15-09.30
CITO LA 08.00-08.15
11.15-13.45
CITO GA spin AI √
11.30-13.45
CITO GA HN
CITO GA HN 18.40-19.20
20.15-22.00
CITO GA HN
20.45-21.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1
1
2
2
3 LA 15.00 17.00-17.35
3
07.30-10.30
4 GA epd WA √ 08.00
08.15-10.15
4 GA 12.00
5
5
07.00-08.00
6 GA WA √ 07.00 07.15-
07.45
08.15-09.00
6 GA WA √ 08.00
08.30-08.50
6 GA VL √ 12.00 16.00-21.15
16.50-21.00
7
7
8 GA VL √ 08.00
11.00-13.00
8 GA JL √ 10.00
12.30-12.50
8 GA VL √ 12.00 14.00-15.00
9 GA HA √ 09.00 06.30- 20.30

09.00-20.30
9 GA
08.00-13.00
10 GA JL √ 08.00
08.30-12.45
14.00-17.15
10 GA JL √ 12.00
15.00-17.00
JTG
GR 1
GR 2
GR 5
GR 6
11.45-13.00
GA JL √
12.00-12.50
20.00-23.15
10 GA DS √
20.15-23.00
15.15-15.45
DS GA VL √
15.30-15.40
05.30-06.30
06.15
05.45-07.00
CITO GA HN √
06.00-06.45
08.30-11.00
CITO GA JL √
08.45-10.45
CITO LA 13.30-14.00
13,45-16.00
CITO GA JL √
14.00-15.45
15.45-16.30
CITO GA VL √
15.30-16.30
CITO LA 18.00-18.35
20.15-23.30
CITO GA VL √
20.30-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
10.30-11.30
GA DN √ 14.00
10.45-11.15
12.45-16.00
GA DN √ 16.00
13.00-15.30
15.30-16.05
GA DN √
15.45-16.00
8 GA HN √ 12.30-13.30
12.00-18.00
9 GA HS √
13.00-17.30
CITO GA HS √ 09.45-12.00
18.50-19.45
CITO GA spin VL √
19.00-19.40
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.45
1 GA AI √ 08.00
09.00-10.30
1 GA 10.30 BATAL KARENA PENYAKIT DALAM BLUM ACC
11.15-16.00
1 GA AI √ 11.00
11.45-15.45
1 GA AI √ 14.00 17.05-20.00
17.45-19.45
2 GA AI √ 08.00 09.50-13.15
2 GA AI √ 11.00
2 GA 14.00
2 GA AI 18.00 20.50-22.50
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.30
3 LA 13.00
08.00-12.15
4 GA WA √ 08.00
08.30-12.00
12.30-13.15
4 GA spin HR 11.30
12.45-13.00
4 GA HR 16.00
08.45-12.45
5 GA DN √ 08.00
09.00-12.30
14.30-17.00
5 GA VL √ 12.00
14.45-16.45
18.00-21.15
5 GA VL √ 17.00
18.15-21.00
5 GA VL √ 20.00 00.30-01.15
08.00-11.45
6 GA HA √ 08.00
08.15-11.30
12.00-14.00
6 GA HN √ 10.00
12.15-13.45
14.00-16.00
6 GA HA √ 13.00
14.15-15.45
15.00-16.30
6 GA WA √ 17.00
15.15-16.15
7 GA HA √ 07.30 08.00-13.45
09.00-13.45
16.30-19.00
7 GA HA √ 15.00
16.45-18.45
08.30-09.30
8 GA DN √ 08.00
08.45-09.15
09.30-11.15
8 GA HA √ 10.30
10.00-11.00
13.15-16.00
8 GA DN √ 12.30
13.35-15.45
9 GA 08.00
BATAL/TUNDA BESOK SELASA, 23/5/2017
9
08.45-13.00
10 GA VL √ 08.00
09.45-12.30
13.00-16.30
10 GA HR √ 12.00
13.45-16.30
JTG GA HR 10.00 10.10-14.00
JTG HR 15.00
GR 1 GA VL √ 07.30 08.00-
GR 1 GA HN √ 09.00
GR 2 GA BI √ 08.00 08.20-08.55
GR 2 GA DS √ 10.00 11.10-13.00
GR 5 GA SF √ 08.00 08.45-09.30
GR 5 GA VL √ 10.00
GR 6 GA 08.00 BATAL KARENA PASIEN MENINGGAL DUNIA

GR 6 GA 10.00
PUR,DW* (S :YN )
9 GA DN √ 08.00-15.30
08.30-15.00
9 GA DN √ 16.30-23.30
18.00-23.15
GA DN √ 23.00-23.30
GA DN √ 18.00 21.45-22.30
17.00-21.15
GA WA √
17.00-21.00
22.00-24.00
GA DN √
22.15-23.45
18.55-20.15
GA WA √
19.15-20.00
16.30-19.00
8 GA HN √ 14.30
16.45-18.45
15.00-16.45
GR GA HN √
15.15-16.30
GR GA spin HA √ 12.00-
09.00-10.00
DS GA spin VL √
09.15-10.00
GA HN
GA HN
LA
LA 21.30-22.10
LA
07.30-09.00
CITO GA HS √
07.45-08.45
09.15-11.15
CITO GA HS √
09.30-11.00
10.45-11.45
CITO GA spin HS √
11.00-11.45
17.30-18.30
18.20
CITO LA 23.00-23.20
CITO LA
CITO GA
CITO GA HS √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.45-09.00
08.00-09.00
09.15-09.45
1 GA WA √ 09.30
09.30-09.45
10.00-11.30
1 GA WA √ 10.30
10.15-11.15
13.15-16.30
1 GA DS √ 13.00
13.45-16.15
1 GA 16.00 BATAL KARENA PANAS
06.30-09.15
2 GA HN 06.00
07.15-09.00
11.30-12.45
2 GA DN √ 09.00
12.00-12.30
2 GA 11.00 BATAL KARENA HCU PENUH

2 GA 14.00 16.00-19.45
16.30-19.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
3 LA 15.00
4 LA 08.00 08.00-
09.00-12.15
4 GA epd WA √ 09.00
09.30-12.00
13.00-14.00
4 GA JL √ 12.00
13.30-13.50
17.00-21.00
4 GA DN √ 14.00
18.15-21.00
08.00-09.30
08.15-09.30
5 GA HR 10.00 11.00-12.15
11.05-12.00
5 GA VL √ 14.00 16.30-19.50
19.45-21.45
5 GA DN √ 16.30
20.00-21.30
07.45-09.45
6 GA HR 07.00
08.00-09.30
10.15-11.45
6 GA HR 11.30
10.30-11.30
12.45-14.30
6 GA HR 12.30
13.00-14.30
16.00-17.45
6 GA HR 15.00
16.45-17.30
11.15-12.00
6 GA spin HR 16.00
11.30-12.00
08.15-10.00
7 GA HR 08.00
08.45-09.45
10.15-12.00
7 GA spin HR 10.00
10.30-12.00
13.00-16.45
7 GA spin HR 12.00
13.15-16.45
7 GA HR 14.00 21.00-00.15
07.15-09.15
8 GA JL √ 06.30
07.30-09.00
8 GA JL √ 08.00 10.00-12.00
15.00-16.50
8 GA JL √ 14.00
15.15-16.45
9 GA BI √ 08.00 07.30-16.30
08.30-17.15
18.00-01.00
9 GA JL √ 14.00
19.30-00.45
07.00-11.00
10 GA VL √ 08.00
07.30-10.30
11.30-14.30
10 GA BI √ 11.00
11.30-14.00
14.45-17.00
10 GA BI √ 13.00
14.30-16.45
10 GA 16.00 BATAL KARENA PASIEN PANAS 39oc

19.15-22.00
10 GA HN 19.00
19.30-22.00
JTG GA HR 10.00 10.30-12.00
JTG GA HN √ 13.00 16.10-16.30
GR 1 GA VL √ 08.00 08.30-
GR 1 GA DS √ 11.36 11.05-13.30
GR 2 LA 07.30 07.45-08.15
GR 2 GA VL √ 12.00 12.00-13.00
GR 5 GA VL √ 08.00 08.50-10.00
GR 5 GA SF √ 10.00 11.20-12.10
GR 5 GA SF √ 12.00
GR 6 GA SF √ 08.00 09.30-10.30
13.15-13.30
DS GA BI √
13.20-13.25
11.00-12.10
DS GA HR √
11.05-12.00
DS LA
CITO LA 09.00-
14.00-17.45
CITO GA WA √
14.15-17.30
CITO GA VL √
19.00-20.00
CITO GA JL √
19.15-19.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-11.00
1 GA WA √ 08.00
08.15-10.45
11.15-14.30
1 GA JH 11.00
11.30-14.15
15.00-17.15
1 GA VL √ 14.00
15.30-17.15
19.00-22.45
1 GA JH √ 18.00 19.30-
22.30
2 GA JH 06.30 07.20-08.35
10.00-12.30
2 GA JH 10.00
10.30-12.15
2 GA JH 13.30
2 GA JH 15.00 17.45-21.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 14.00
08.00-11.30
4 GA HR 08.00
08.30-11.15
4 GA HR 11.00 12.00-15.30
12.30-15.20
15.30-20.00
4 GA epd WA √ 14.00
15.45-19.45
21.00-22.30
4 GA blok HR 19.00
21.15-22.00
09.00-13.00
5 GA VL √ 08.00
09.15-12.45
5 GA HR 12.00 18.30-22.15
17.30-22.15
5 GA VL √ 17.00
17.45-22.00
07.00-10.30
6 GA SF √ 07.00
07.15-10.15

6 GA WA √ 13.00
11.30-13.15
6 GA JL √ 15.00
11.45-13.00
spin, 07.20-08.20
7 GA WA √ 07.00
epd 07.25-08.20
7 GA SF √ 11.00 10.45-
06.30-08.30
8 GA DS √ 06.30
07.00-08.15
09.30-11.00
8 GA DS √ 08.00
10.00-10.45
12.30-14.00
8 GA VL √ 10.00
13.00-13.45
15.30-18.15
8 GA DS √ 12.00
16.00-18.00
9 GA HN √ 08.00 17.00-21.00
17.30-21.00
9 GA DS √ 12.00 17.00-21.00
17.30-21.00
08.35-09.30
10 GA WA √ 08.00
08.45-09.15
spin, 10.00-12.00
10 GA HN 10.00
epd 10.15-11.45
13.00-16.30
10 GA WA √ 13.00
13.15-16.00
18.45-22.30
10 GA WA √ 15.00
19.30-22.15
22.45-01.00
10 GA DS √ 18.00
23.00-01.00
GR 1 GA DN √ 08.00 08.10-11.45
GR 1 GA DN √ 10.30 12.30-13.00
GR 1 GA VL √ 12.00 14.00-
GR 2 GA DS √ 08.00
GR 2 GA DN √ 11.00 09.30-
GR 5 GA AI √ 07.30 08.10-09.00
GR 5 GA AI √ 10.00
GR 5 GA JL √ 12.00 12.10-13.30
GR 6 GA 07.30
GR 6 GA JL √ 10.00 12.00-
16.30-21.15
6 GA WA √
16.45-21.00
14.15-16.00
6 GA WA √
14.30-15.45
19.15-20.30
GA VL √
19.30-20.15
JT LA 10.30-11.00
DS LA
07.30-09.45
CITO GA UB √
07.45-09.30
10.30-13.30
CITO GA UB √
10.45-13.15
08.00-09.15
CITO GA UB √
08.15-09.00
CITO LA 09.15-09.30
10.00-10.45
CITO GA spin UB √
10.15-10.45
13.15-14.30
CITO GA DN √
13.30-14.15
CITO GA JH √ 15.00-20.15
15.30-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
3 LA 09.00
3 LA 12.30
3 LA 14.30
09.15-11.45
1 GA DS √ 07.00
09.30-11.30
11.45-15.30
1 GA HN √ 10.00
12.00-15.00
16.30-20.15
1 GA DN √ 13.00
16.45-19.45
2 GA JH 08.00
12.00-13.00
2 GA DN √ 09.30
12.15-12.45
2 GA DN √ 11.00 14.30-15.00
16.00-18.30
2 GA DN √ 12.30
16.15-18.15
07.00-09.00
10 GA HS √ 07.00
07.15-08.45
09.30-12.00
10 GA spin HN √ 10.00
09.45-11.45
13.00-15.30
10 GA HN √ 12.00
13.15-15.15
16.15-18.45
10 GA spin HS √ 15.30
16.30-18.30
08.00-10.00
9 GA HN √ 07.00
08.15-09.45
9 GA HN √ 08.00 10.30-16.00
11.00-15.45
9 GA HN √ 14.00
9 GA HN √
24.00-01.30
GA spin HS √
24.15-01.30
LA
LA
LA 10.10-
19.30-20.00
GA spin DN √
19.45-20.00
00.30-01.30
CITO GA JL √
00.45-01.30
05.30-07.15
CITO GA JH
06.00-07.00
06.30-07.45
CITO GA spin JH √
06.45-07.45
07.00-08.00
CITO GA DN √
07.15-07.45
CITO GA DN √ 13.40-14.40
16.30-17.15
CITO GA spin DN √
16.30-17.15
17.30-22.45
CITO GA DN √
17.45-22.30
20.15-21.15
CITO GA DN √
20.30-21.00
20.30-23.15
CITO GA DN √
20.45-23.00
CITO GA JH
CITO GA JH √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 08.00
09.45-10.15
1 GA WA √ 09.00
09.45-10.00
11.15-12.30
11.30-12.15
13.45-14.30
1 GA HA √ 14.00
14.00-14.15
08.45-11.45
2 GA WA √ 08.00
09.15-11.30
13.00-18.15
2 GA BI √ 10.30
13.15-18.00
18.30-00.30
2 GA SF √ 14.00
19.00-00.00
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 13.00
3 LA 14.00
07.45-11.30
4 GA epd WA √ 08.00
08.30-11.15
13.00-16.00
4 GA epd DS √ 13.00
13.30-16.00
4 GA WA √ 16.00 15.30-20.30
16.00-20.15
09.45-12.45
5 GA WA √ 11.00
10.15-12.30
08.00-14.00
6 GA HR 08.00
08.15-13.45
15.45-19.15
6 GA TA √ 13.00
16.00-19.00
18.15-22.15
6 GA TA √ 16.00
18.30-22.00
20.15-23.15
20.30-23.00
08.15-10.30
08.45-10.30
11.15-14.15
7 GA TA √ 11.00
11.45-14.00
15.30-17.00
15.45-16.45
7 GA spin HA √ 15.30 09.00-12.00

09.30-12.00
08.10-10.15
8 GA HA √ 08.00
08.20-10.00
11.15-12.30
8 GA HN 10.00
11.30-12.00
13.00-13.50
8 GA HN 12.00
13.10-13.40
14.30-16.30
8 GA HN 14.00
14.45-16.00
16.45-18.15
8 GA HN 16.00
17.00-18.00
9 GA HN √ 08.00 06.00-10.30
9 07.00-10.15
spin, 07.00-08.30
10 GA WA 07.00
epd 07.30-08.30
13.45-15.45
10 GA HA √ 10.00
14.00-15.30
22.30-01.00
10 GA spin WA 13.00
23.00-01.00
18.00-22.00
10 GA spin DS √ 17.00
20.45-22.00
JTG WA √ 07.00-

14.15-16.00
JTG GA HN √
15.15-15.45
GR 1 GA VL √ 07.30 08.00-09.00
GR 1 GA VL √ 09.30 10.15-11.00
GR 1 GA WA √ 13.00 14.00-17.00
14.30-16.45
GR 2 GA AI √ 08.00 08.30-
GR 2 GA AI √ 10.00 11.45-12.00
GR 5 GA WA √ 07.30 08.00-10.00
11.00-15.45
GR 5 GA HR 10.00
11.30-15.30
GR 5 GA HR 12.30 13.45-14.15
GR 6 GA HR 07.30
GR 6 GA VL √ 10.00 11.50-12.40
T : PUR ( S: EM)
10.30-12.15
9 GA HN √
10.45-12.00
11.30-11.45
GA HS √
11.35-11.40
14.00-16.00
10 GA WA √
14.30-15.45
17.00-18.30
GA SF √
17.30-18.20
21.45-22.45
GA HS √
22.00-22.30
08.30-09.30
CITO GA spin DS √
08.45-09.30
13.15-14.30
CITO GA epd DS √
13.20-14.30
CITO LA 16.30-16.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 GA WA √
08.30-09.45
10.15-11.30
1 GA spin WA √
10.45-11.30
07.00-08.30
2 GA VL √ 06.30
07.15-08.15
10.00-12.30
2 GA HA √
10.30-12.00
3 LA 09.00
3 LA 11.35-12.15
spin, 08.30-11.00
4 GA DS √ 08.30
epd 09.00-10.45
4
08.00-09.45
5 GA VL √ 08.00
08.15-09.30
5 GA
6
6
7 GA TA √ 08.35-
7 VL √ 11.30-12.00
12.00-17.00
7 TA √
12.15-16.45
08.45-09.45
8 GA VL √
09.00-09.30
10.00-11.00
8 GA TA √ 10.00
10.30-10.50
13.15-14.30
8 GA VL √ 14.00
13.30-14.15
15.45-17.00
8 GA EL √ 16.00
16.00-16.45
08.00-09.30
9 GA TA √
08.30-09.15
11.00-15.00
9 TA √
11.30-14.30
10
10
JTG GA HN √ 10.00 10.00-13.00
JTG GA HR 16.10-18.00
GR 1
GR 5
GR 5
GR 6
LA 12.25-13.00
DS LA 10.00-
3 LA
3 LA
08.15-12.15
10 GA UB √
08.45-12.00
CITO GA 09.30-
09.30-10.45
CITO GA spin HA √
09.45-10.45
09.15-12.00
CITO GA TA √
09.30-11.30
12.45-16.15
CITO GA TA √
13.00-16.00
13.45-15.00
CITO GA DN √
14.00-14.45
16.15-17.45
CITO GA EL √
16.30-17.30
16.45-17.45
CITO GA EL √
17.00-17.30
19.45-21.00
CITO GA EL √
20.15-20.45
22.00-23.30
CITO GA epd EL √
22.30-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
08.30-16.30
2 GA HA √ 08.45-16.15
09.30-15.30
7 GA VL √
10.00-15.15
07.45-08.45
8 GA UB √
08.00-08.30
09.00-10.00
8 GA UB √
09.15-09.45
10.15-11.45
8 GA HA √
10.25-11.30
CITO GA EL √ 07.10-09.00
10.00-11.15
CITO GA spin UB √
10.15-11.15
12.30-15.15
CITO GA UB √
13.15-15.00
16.30-17.00
CITO GA Blok DS √
16.30-16.45
20.30-22.00
CITO GA spin VL √
20.45-21.45
21.00-02.30
CITO GA DS √
21.15-02.15
22.45-24.30
CITO GA DS √
23.30-24.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-13.15
1 GA AI √ 08.00
08.15-13.00
13.45-15.00
14.00-15.00
1 GA AI √ 12.00
08.45-12.15
2 GA HS √ 08.00
09.00-12.00
14.30-18.00
2 GA HS √ 11.00
15.00-17.30
3 LA 08.00
3 LA 09.00
3 LA 10.30
3 LA 11.00
3 LA 11.30
3 LA 12.00
3 LA 13.00
08.30-10.45
4 GA epd EL √ 08.00
09.00-10.30
11.15-14.00
4 GA epd DS √ 11.00
11.30-13.45
4 GA 14.00 BATAL KARENA IMBALANCE ELEKTROLIT

4 GA 16.00 BATAL KARENA PERBIKAN KU
08.30-12.00
5 GA DN √ 08.00
08.45-12.00
12.30-14.00
5 GA DN √ 11.30
12.45-13.45
15.15-12.30
5 GA epd VL √ 13.00
15.30-17.30
5 GA VL √ 15.30
6 GA HA √ 07.00 07.00-12.30
07.15-12.15
13.15-16.00
13.30-15.45
17.30-22.00
6 GA DN √ 16.00
17.45-21.45
08.15-20.00
7 GA HA √ 08.00
09.30-19.45
16.00-22.30
7 GA JL √ 17.00
16.30-22.00
07.00-08.00
8 GA DN √ 06.30
07.15-07.45
12.15-13.15
8 GA DN √ 07.45
12.30-13.00
08.30-10.00
8 GA DN √ 09.00
08.45-09.45
10.45-12.00
8 GA DN √ 10.30
11.00-11.45
14.00-15.30
8 GA DN √ 12.30
14.15-15.15
16.00-17.00
8 GA DN √ 14.00
16.15-16.45
8 GA 16.00 BATAL KARENA PASIEN DEMAM

9
9
10 GA VL √ 07.00 07.30-12.30
08.00-12.15
13.30-14.30
10 GA VL √ 12.00
13.45-14.15
JTG GA WA √ 10 10.30-
GR 1 GA HS √ 07.30 08.00-
GR 1 GA VL √ 09.00 10.15-11.45
GR 1 GA JH √ 12.00 12.35-14.30
GR 2 GA JH √ 07.30 08.25-09.30
GR 2 GA JH √ 09.00 16.00-16.20
GR 5 GA WA √ 07.30 08.00-08.30
GR 5 GA WA √ 10.00 09.15-13.30
GR 6 GA WA √ 08.00 08.20-12.20
GR 6 GA WA √ 12.00 14.00-15.15
ALAT : PUR,CA ( S: EM)
14.15-18.15
GA spin WA √
14.30-18.00
18.30-20.15
GA DN √
14.00-20.00
19.15-21.30
GA HN 18.30
19.30-21.15
08.15-12.15
9 GA DN √ 08.00
09.30-12.00
14.00-16.15
9 GA DN √ 12.00
14.30-16.00
GRD GA AI √ 13.05-13.20
13.00-14.00
DS GA spin HS √
13.05-13.55
DS LA
GA HS √ 21.00 23.00-24.00
22.00-23.00
GA spin HS √
22.10-22.50
06.45-07.45
CITO GA spin HR √
07.00-07.45
08.30-09.30
CITO GA spin HR
08.45-09.30
12.00-13.15
CITO GA HR
12.30-13.00
CITO LA 15.10-15.15
CITO GA HA
19.30-18.45
CITO GA HN
18.30-18.45
20.45-02.00
CITO GA EL √
20.44-01.50
20.00-21.00
CITO GA spin HA
20.15-21.00
22.00-23.30
CITO GA HA √
22.15-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-12.00
1 GA HN √ 08.00
08.45-11.30
12.30-13.30
1 GA HN √ 12.00
13.00-13.15
16.30-23.00
2 GA HN √ 08.00
17.30-22.45
2 GA HN √ 14.30 07.00-16.00
08.00-15.45
3 LA 08.00
3 LA 09.00
3 LA 09.30
3 LA 10.00
3 LA 11.00
3 LA 11.45
3 LA 13.30
3 LA 14.30
07.45-11.45
4 GA epd WA 08.00
08.30-11.30
13.00-16.30
4 GA epd DS √ 11.00
13.15-16.15
14.45-16.45
4 GA HS √ 13.00
13.00-16.30
17.00-20.45
4 GA DN √ 15.00
18.30-20.30
08.30-09.30
5 GA DN √ 08.00
0845-09.15
10.30-12.30
5 GA DN √ 09.30
10.45-12.20
12.00-14.00
5 GA VL √ 12.00 12.15-14.00
19.15-20.00
5 GA HN √ 14.30
19.30-19.45
08.15-12.00
6 GA BI √ 08.00
08.30-11.45
18.15-21.00
6 GA VL √ 10.00
18.30-20.45
13.15-17.30
6 GA DS √ 14.00
13.30-17.15
20.00-23.00
6 GA BI √ 17.00
20.30-22.45
08.00-08.45
7 GA DN √ 07.00
08.15-08.30
09.15-13.45
7 GA EL √ 09.00
09.30-13.30
07.00-08.15
8 GA EL √ 06.30
07.30-08.00
08.50-09.15
8 GA VL √ 08.00 09.05-
10.15
10.00-13.00
8 GA VL √ 10.00
10.30-12.45
14.00-15.30
8 GA VL √ 12.30
14.10-15.20
16.00-17.30
8 GA VL √ 14.30
16.10-17.15
08.30-13.30
9 GA HR √ 08.00
09.00-13.00
07.45-12.00
10 GA JH √ 07.30
08.15-11.45
13.00-13.45
10 GA spin DN √ 12.00
13.30-13.45
14.00-14.45
10 GA spin HS √ 15.00
14.15-14.45
15.15-16.00
10 GA JH √ 17.00
15.30-16.00
JTG GA HN √ 10.00

GR 1 GA TA √ 08.00 08.30-09.30
GR 1 GA HA √ 10.00 10.15-12.45
GR 1 GA HA √ 12.30
GR 2 GA TA √ 08.00 08.15-12.00
GR 2 GA TA √ 11.00 12.50-15.00
GR 5 GA HA √ 08.00 09.15-12.00
GR 5 GA HA 10.00
GR 6 GA HA √ 08.00 08.20-
GR 6 GA HA √ 10.00 11.00-15.00
DS LA 13.20-13.25
14.15-18.00
GA DN √
14.45-17.30
JT GA HN √
07.30-13.00
CITO GA HA √
08.00-12.15
08.30-09.30
CITO GA WA √
08.45-09.15
09.45-11.00
CITO GA HN √
10.00-10.45
10.15-12.15
CITO GA WA √
10.25-12.10
CITO LA 13.15-13.30
CITO LA
15.00-17.00
CITO GA WA √
15.10-16.50
15.00-18.00
CITO GA VL √
15.30-18.00
17.15-19.00
CITO GA HN
17.25-18.45
19.30-20.45
CITO GA HN √
19.45-20.30
20.25-20.55
CITO GA
20.35-20.50
CITO GA HN √ 23.20-07.15
23.45-07.00
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-12.00
1 GA JH √ 08.00
09.30-11.45
12.00-12.45
1 GA WA √ 11.00
12.15-12.45
12.00-12.45
1 GA spin WA 12.00
12.15-12.45
14.30-14.45
14.35-14.45
1 GA 13.00
16.30-19.00
1 GA JH √ 14.00
17.00-18.30
20.00-22.00
1 GA spin JH 15.00
20.30-22.00
09.00-11.00
2 GA TA √ 08.00
09.30-10.45
2 GA 10.30
18.30-19.30
2 GA JH √ 14.00
18.35-19.15
19.45-23.00
2 GA HN √ 16.00
20.00-22.30
3 LA 08.00
3 LA 08.30
3 LA 09.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA
06.45-09.45
4 GA WA √ 07.00
07.30-09.30
10.30-13.30
4 GA HR 10.30
11.00-13.00
14.30-18.00
4 GA TA √ 14.00
15.00-17.45
08.15-10.00
5 GA DN √ 08.00
08.30-09.15
11.15-13.30
5 GA epd VL √ 10.00
11.30-13.30
14.15-16.30
5 GA HR 11.30
14.30-16.30
17.00-20.00
5 GA HR 14.00
17.30-19.45
08.15-09.00
6 GA SF √ 08.00
08.30-09.00
09.30-14.00
6 GA HN √ 09.00
09.45-13.45
14.45-18.00
6 GA SF √ 12.00
15.00-18.00
15.00-21.00
6 GA SF √ 14.00
19.15-21.00
19.30-20.45
6 GA SF 16.00
19.45-20.30
07.15-09.15
7 GA DN √ 07.00
07.30-09.00
7 GA spin SF √ 10.00 10.00-13.30

10.30-13.30
7 GA SF √ 12.30 15.00-17.30
15.30-17.15
7 GA 15.00 BATAL KARENA ECHO DULU
06.40-08.00
8 GA HA √ 06.30
07.20-07.40
08.15-09.20
8 GA DS √ 07.45
08.45-09.10
10.00-11.40
8 GA DS √ 09.00
10.25-11.25
12.00-14.00
8 GA DS √ 11.00
12.30-13.45
8 GA 13.00
8 GA 15.00
07.45-12.15
9 GA DS √ 08.00
08.00-12.00
19.00-22.00
9 GA HR √ 13.00
19.30-21.45
08.30-10.30
9 GA UB √ 15.30
09.00-10.15
10 GA TA √ 08.00 09.15-14.00
09.30-13.45
15.00-18.00
10 GA TA √ 11.00
11.30-12.45

JTG GA HR √ 10.00 09.45-
JTG GA 14.00 BATAL KARENA APS

GR 1 GA WA √ 07.15 07.45-09.15
GR 1 GA HA √ 11.00 10.40-11.30
GR 2 GA DS √ 08.00 08.45-
GR 2 GA WA √ 10.00 11.10-12.00
GR 2 GA DN √ 11.00 13.00-13.50
GR 3 GA WA √ 07.30 08.00-10.00
GR 3 GA HN √ 10.00
GR 3 GA HS √ 12.30 13.30-14.45
GR 4 GA HN √ 08.00 10.40-15.30
GR 4 GA 10.00
AT : PUR,YN ( S: )
2 GA HS √ 14.00-
09.30-10.30
GA spin DN √
09.35-10.20
11.30-11.30
GA spin HS √
10.35-11.25
12.00-12.30
GA HS √
12.05-12.25
GA DS
√ 13.30-17.30
14.00-17.00
LA
GA TA √ 08.25-
15.00-16.30
GA TA √
15.15-16.25
11.30-13.00
CITO GA UB √
12.00-12.45
11.45-13.30
CITO GA spin UB √
12.00-13.15
CITO GA HR 14.50-15.40
CITO LA
23.15-24.30
CITO GA HR √
23.30-21.15
CITO GA HR √ 20.30-
HARI / TANGGAL : KAMIS, 01 JUNI 2017
JAMINAN
1 Abdul Aziz 1 NPBI 46 th L KPD LD C638827 9013839
2 Agung Bawa Laksana 1 NPBI 24 th L MRK L1 C638486 9009222
3 Ida Yuliastanti VIP NPBI 25 th P GRD L3 C510639 9013745
4 Edo Irian Pradana Putra 1 NPBI 23 th L MRK 2 C624026 9013740
5 Suhadi 3 NPBI 64 th L R2B C625105 9013785
6 Siti Komisah 3 NPBI 49 th P R2A C530509 9013808
7 Muslimah 3 PBI 53 th P R3A C619568 9013267
8 Callista Meylina 2 NPBI 1 th P Transit C633793 9013717
10 Sri Hartini 3 PBI 7/7/1991 P R3A C356661 9011700
11 Wahyuningsih 3 NPBI 62 th P R3A C272984 9009077
12 Fransiskus Stefanus L 2 NPBI 41 th L MRK LD C638023 9011764
13 Rachel Indra Pramudya 1 NPBI 6 th P C1LD C629422 9008803
14 Joko Agus Susantho 1 NPBI 48 th L KTL C633973 9002258
15 Edy Supardi 1 NPBI 62 th L KPD LD C633123 9002267
16 Aisyah VIP NPBI 9/23/1935 P GRD L4 C638772 9014956
17 Arif Maret Pribadi VIP Um 52 th L GRD L5 C638714 9013000
18 Adam Baim Albiruni 3 JMK 5 bln L C1LD C638404
19 M Arsyad 3 NPBI 14 th L C1LD C636948 8993539
20 Kuswati 3 NPBI 51 th P R2A C627373
21 Kumaeroh 3 NPBI 45 th P R2A C629561 8997637
22 Destiya Alif Prayoga 1 NPBI 1 th L C1LD C556090 9011793
23 Matius Misranto 1 NPBI 59 th L KPD 1 C632582

M : NO,AF,AD,AR,BY SORE PROGRAM : NH,RG*,RE,DA,DM,TK,VT,MW*,MF,YS
24 Endang Sri Utami 2 NPBI 39th P MRK D C637779 9004818
25 Tomy Hartono VIP NPBI 45th L GRD 4 C155171 9015404
26 M Syafrizal Nawaf Izzu 3 NPBI 10th L C1LD C367324 9015786
27 Sugiyono 2 NPBI 36th L MRK D C639141 9015763
CITO
28 Jularsih 3 PBI 34th P B31 C639188 9015975
29 Alfin Azizi 3 PBI 20th L R2B C639132 9015643
30 Bima Anggoro Putra 2 um 19th L IGD C638982 9013835
31 Gozali Imam Rifai 2 NPBI 19th L TRAN C639150 9016107
32 Slamet 3 NPBI 58th L GER D C539554 9015938
33 Nadia Dwi Pramesti 1 NPBI 29th P KPD 1 C639163 9015876
34 Nur Kunderin 3 PBI 59th L ICU C638925 9015173
35 Dewi Ayu Mega Wati VIP Um 20th P MRK 2 C638969 9013842
36 Siti Ngafiyah IRINA+ um 38th P GCU C636901 8991375
37 Zubaidah 2 PBI 14th P IGD C639151 9015794
HARI / TANGGAL : JUMAT, 02 JUNI 2017

JAMINAN
1 Aan Kurniawan 3 NPBI 18 th L R2B C376331 9004640
2 Wiro Supar 3 PBI 82 th L R2B C629713 8995404
3 Misranto 2 NPBI 15 th L P. URO C637743
4 Muhtadi 3 PBI 57 th L R1B C618710 8988635
5 Amat Slamet 3 NPBI 51 th L R3B C637186 8995591
6 Kaswaji 2 NPBI 55 th L MRK D B390941 9002231

7 Nia Ariska 2 NPBI 19 th P KPD D C632884 9015933
8 Tariyem 3 NPBI 70 th P Pol MTA C630283
9 Victoria Karnasih 2 NPBI 53 th P Pol MTA C603572

10 Kardi 3 PBI 55 th L Pol MTA C603552
11 Suti 3 PBI 72 th P Pol MTA C6289917
12 Rusmiyati 3 NPBI 50 th P Pol MTA C620942

13 Suyati 3 NPBI 54 th P Pol MTA C627801
14 Rokhanah 1 NPBI 54 th P KPD L1 C638527 9009529
15 Sudarmanto 3 NPBI 48 th L HCU C610762 8999827
16 Fitri Suharwati 3 NPBI 3/11/1983 P B31 C631030 9012731
17 Umiyati 1 NPBI 38 th P B31 C483294 9011500
18 Suharso Arif Wardhono 2 NPBI 57 th L KPD LD C629406 9011702
19 Sudarmi 3 NPBI 46 th P R2A C637382 9007029
20 Ali Mursidi 3 PBI 35 th L R1B C627223 9011670
21 Turinah 1 NPBI 65 th P KTL C637041 9005249

22 Junaryo 3 NPBI 38 th L R2B C637907
23 Trio Budi Prasetyo U 3 NPBI 26 th L R2B C634359 9006926
24 Ahmad Ali Ramadhan 3 NPBI 11 bln L Anak LD C621522 9011788
25 Rusmi 3 NPBI 46 th P R2A C616943 9011697
26 Dwi Rahmi Aningdyah 3 NPBI 38 th P R2A C615371 9013809
27 Darmadi Susanto 3 PBI 27 th L R2B C634056 9004756
28 Sutomo 3 PBI 53 th L R2B C621969 9011756
29 Slamet Mulyono 3 NPBI 53 th L R1B C638843 9013829
30 Saroah 3 NPBI 51 th P R3A C637682 8999812
31 Sri Murti 3 NPBI 62 th P GER LD C636275 8986912
32 Moh Zaenul Aslam 3 NPBI 10 th L C1LD C630930 9013714
33 Eko Budi Santoso 1 NPBI 58 th L KPD L1 C636827 9011706
34 Muhammad Fahmi 3 NPBI 25 th L R1B C599683 9011824
35 Suparno 2 NPBI 59 th L MRK D C638759 9011823

36 Suherman VIP UM 30 th L GRD 5 C637642 9016978
37 Sunaryo Gana VIP NPBI 57 th L GRD L4 C059436 9011693
38 Endang Retnowati 3 NPBI 52 th P R4B C633689 9011837
39 Tri Iwan Arianto 3 NPBI 35 th L R2B C638108 9007098
40 Sri Lestari 2 NPBI 61 th P KPD LD C610772 9015916
41 Bernardus Gilang 1 NPBI 18 th L MRK 2 C613239 9006489
42 Adelliya Intan Ariana 3 PBI 5 th P Elang 1 C321273 9015127
43 Rahma Devia Fitriyah 3 NPBI 7 th P Elang 1 C578491 9014737
44 Wardinah 3 JMD 72 th P R6A C637183 8997693
45 Ina Muskhafiati 2 NPBI 23 th P Transit C637090 9013599
46 Dewi Sekartaji 3 NPBI 25 th P R4B B314930 9013221
Muhammad ' Abid

47 3 PBI 11 bln L C1LD C606615 9011685
Miftahurrohman
48 Adelia Faranisa 3 NPBI 1 th P C1LD C617477 9011791
49 Ria Sofiadi 2 NPBI 38 th P KPD LD C625525 9015930
50 Masirah 3 NPBI 56 th P R5B C632054 9013799
M : NH,II,AD,BY,RG,UM RR : FA,EM,RM MID : SAM,ST RR GRD :SR, EA SORE PROGRAM : WU,RK,SA*,AN*,RE
51 Hiendarto 1 NPBI L MRK 1 C636629 8989103
52 Thohir 2 UM 26 th L MRK D C638601 9009679
53 Rohmat Shofie 1 NPBI 68 th L MRK 1 C234829 9015931
54 Dwi Agustina Arini VIP UM 26 th P B31 C639094 9015968
55 Novita Agung Prameswari VIP NPBI 35 th P GRD L3 C615849 9015959
56 Sri Pangesti VIP NPBI 2/26/1958 P GRD L5 C601320 9015449
57 Siti Nurhidayah VIP NPBI 47th P GRD 5 C466051 9015640
58 Nuriya Susilawati 3 NPBI 32 th P B31 C431530 9014811
59 Setiawati 1 NPBI 78th P MRK 1 C638779 9015380
60 Kiamijati VIP Um 81th P GRD 4 C638816 9011807
61 Sukardi 3 PBI 72th L R1B C609476 9017922

62 Nurul Qomariyah 1 NPBI 67 th P Transit C635938 9008559
63 Kastolani 3 PBI 47 th L R3B C639075 9015819
CITO
64 Dian Apriyanti VIP NPBI 27th P GRD 3 C523625 9016022
65 AG Sajarwo 2 NPBI 51th L IGD C530638 9015734
66 Muhammad Nasrul Ilmi 2 NPBI 1th L TRAN C639011 9015683
67 As'adah 3 PBI 53th L R6A C638804 9015620
68 MM. Liem Lanawati VIP NPBI 65th P GRD 6 C638952 9013644
69 Kasmi 3 um 63th P R4B C638644 9011816
HARI / TANGGAL : SABTU, 03 JUNI 2017

JAMINAN
1 Sakuri 3 NPBI 47 th L R3B C577048 9013751
2 Ahmad Rizki Khoirul A 3 NPBI 7 bl L Anak D C606521 9015663
3 Sunarsih 2 NPBI 56 th P MRK LD C633357 9014761
4 Masriah 1 PBI 54 th P KPD LD C633645 9007041
M : NH,UM,TK,VT,RG,MW RR : EM,RM,SAM,ST,EA SORE PROGRAM : RK,ER,AN,SA,SU,RE,DY,ES,JF,WI,YS ALAT : P
CITO
5 Indah Sucihariyani 3 PBI 20th P B31 C639230 9017562
6 Aminah 3 NPBI 31th P ICU C639310 9017768
7 Suhartono IRINA+ NPBI 54th L GRD 4 C560240 9007311
8 Desy Indira Ardiana VIP UM 27th P GRD 3 C246345 9017741
9 Hari Sudarmanto 1 NPBI 52th L MRK 2 C600448 9017805

10 Warsiti 1 NPBI 30th P B31 C236488 9016030
11 Nur Fatimah 3 NPBI 27th P R3A C631121 9017955
12 Suparmi 3 PBI 72th P R4A C639315 9017717
13 By. Jesica Olivia IRINB PBI 4bl P IGD C639304 9017537
14 Nilawati 3 PBI 27th P B31 C636278 9017479
15 Ummi Falikhatur Royanah 1 NPBI 25th P B31 C525530 9017810
HARI / TANGGAL : MINGGU, 04 JUNI 2017

JAMINAN
1 Ratna Yunita 2 NPBI 36 th P KPD D C621228 9009162
M : RK,AN,TK,VT,MW
2 Hemma Yoga Pramukanto 1 NPBI 36th L KPD 1 C368816 9017735
3 Masronah 2 NPBI 49th P MRK D C562144 9015753
4 Hartonah 3 PBI 36th P R3A C622649 9017233
5 Sudarmi 3 PBI 46th P R3A C626410 9016914

6 Mulyono Tjandra VIP Um 59th L GRD 5 C639107 9015427
7 Setyaningsih IRIN NPBI 38th P R2A C628678 9013765
8 Ayra Mysha Raekina 3 NPBI 2bl P C1L1 C632254 9013818
9 Ahmad Solihin 3 PBI 25th L R2B C576803 9015646
CITO
10 Alima Almira Janitra 3 NPBI 30th P R4A C583344 9009392
11 Giri Winarto 2 NPBI 38th L MRK D C237978 9015776
HARI / TANGGAL : SENIN, 05 JUNI 2017

JAMINAN
1 Sholikin VIP Um 61 th L GRD L6 C638813 9011831
2 Imam Iswanto 3 NPBI 48 th L R2B C631788 9004734
3 Iqbal Prisma Pradana 1 NPBI 24 th L MRK L1 C474895 9015731
4 Muhamad Ismail 2 NPBI 45 th L KPD L1 C552921 9018135
Muhammad Shaffnan
5 2 PBI 16 th L R1B C639154 9017777
Nurul
6 Nor Kalim 2 NPBI 47 th L MRK LD C594140 9009145
7 Arief Gunarto 2 NPBI 56 th L KPD L1 C609149 9018132
8 Alimatul Abidah 2 NPBI 32 th P B31 C637444 9015647
9 Siti Hartatik 3 PBI 34 th P B31 C631767 9016401
10 Suripna 3 NPBI 67 th L R2B C588112 9012398
11 Ain 3 NPBI 19 th L R1B C609142 9011775
12 Indra 2 NPBI 40 th L KPD LD C621243 9015716
13 Nurul Indah Fitriani 2 NPBI 44 th P KPD LD C624985 8994596
14 Rojikin B Risjad 3 NPBI 38 th L R3B C636333
15 Abdul Said 3 NPBI 59 th L R6B C633580 8997747
16 Nuriyadi 3 PBI 39 th L R1B C637342 9009319
17 Suyono 3 NPBI 58 th L R C638494
18 Casmirah 3 PBI 70 th P GER LD C636943 9013739
19 Sulistyowati 3 NPBI 42 th P R4A C634908 8999492
20 Rukayin 3 NPBI 46 th L R1B C633659 8993441
21 Adam Slamet Purnomo 3 PBI 8 bl L C1LD C602902 9015762
22 Syakira Afika Naila 3 NPBI 1 th P C1LD C636482

23 Rimbun Sari 1 NPBI 6/21/1971 P B31 C633059 9013784
24 Muhammad Solikhin 3 PBI 47 th L Transit C638831 9013848
25 M Hidayat Abdulloh 3 PBI 25 th L R2B C625977 9013670
26 Musnunah 1 NPBI 54 th P Transit C495487 9015989
27 Abdul Rojak 3 PBI 26 th L R1B C636875 8999807
64 Sujinah 3 NPBI 44 th P Elang 1 C604103 9017997
28 Sumiati 3 NPBI 58 th P R3A C637881 9011851
29 Djajoes Joeswadji 1 NPBI 74 th L KPD 1 C427688 9011839
30 Enny Lestari 1 NPBI 57 th P KTL C624869 9011800
31 Andi Setyo Nugroho 1 NPBI 29 th L MRK L2 C577773 9011782
32 Meri Linda 3 NPBI 12 th P C1L1 C637419 9015934
33 Warti 3 NPBI 49 th P B31 C631317 9016951
34 Nur Aini 2 NPBI 46 th P MRK D C637778 9015723
35 Djoko Rasmanto 3 JMD 57 th L R1B C638817 9012319
36 Yuliati 1 NPBI 53 th P KPD LD C620415 9015752
37 Astuti 1 NPBI 57 th P KPD L1 C637007 9013802
38 Atho'illah Yusqi 1 NPBI 38 th L MRK L1 C615493 9015806
M :RK,AN,DY,JF,YS,SA,SU RR : FA,SAM,SR* MID : DB,ER RR GRD : WU,PS SORE PROGRAM : NO,AY,AR*,AU,
40 Suwarno 3 PBI 59 th L R2B C631692 9004699
41 Suhri 3 NPBI 53 th L R1B C621273 9011747
Ernest Timothy
42 2 NPBI 8 th L KPD D C638966 9015867
Chrisviadhy
43 Marsiti 2 NPBI 42th P TRAN C277561 9009513
44 Soemadi 1 NPBI 74th L KPD 1 C152365 9018230
CITO
45 Siti Aisyah 2 PBI 37th P IGD C639428 9018249
46 Choiriyah 2 NPBI 31th P B31 C620641 9017556
47 Marsiti 2 NPBI 42th P TRAN C277561 9009513
48 Suciati VIP NPBI 49th P GRD 5 C464009 9020244
49 Vani Demiawanti 3 NPBI 35th P B31 C639299 9017594
HARI / TANGGAL : SELASA, 06 JUNI 2017
JAMINAN
1 Moh. Alim Istiawan 3 NPBI 10 th L C1LD C602907
2 Suwarni 2 NPBI 46th P B31 C580160 9012496
3 Marsam 3 NPBI 52 th L R1B C614466 9017680
4 Lagi 3 PBI 56 th L R6B C635019 8975805
5 Setya Havis Divi Ravael 3 JMD 5 th L C1LD C630680 9013719
6 Karsidi 3 PBI 30 th L R1B C628855 9015542
7 Wasmuri 3 NPBI 50 th L R1B C638633 9011762
8 Khumaedah VIP NPBI 45 th P GRD L4 C604349 9018002
9 Sriyati 2 NPBI 50 th P B31 C622653 9017854
10 Yenny Susilowati 3 NPBI 38 th P R5B C638823 9012304
11 Suaimah 3 NPBI 56 th P R4B C638561 9009528
12 By Hesty Dwi A 2 NPBI 2 bln P C1LD C634277
13 Sunti 3 PBI 49 th P R2A C631116 9017645
14 Hartutik 3 NPBI 50 th P R5B C625500 9013811
15 Endang Haryani 1 NPBI 51 th P KPD L1 C610185 9018777
16 Mardiyah IRIN A NPBI 44 th P ICU C632369 8945478
17 Teguh Azmi 3 NPBI 2 th L P. DIG C626602

18 Firma Afrido 3 NPBI 18 th L R5A C639327 9018039
19 Muhammad Hasan AL B 3 NPBI 2 th L C1LD C632001
20 Ambyah 1 NPBI 63 th P KPD L1 C629804 9011696
21 Sri Wahyuni 1 NPBI 37 th P MRK L1 C638811 9011860
22 Sulastri 2 NPBI 47 th P Transit C638708 9011848
23 M Misbah IRIN B PBI 33 th L ICU C638891 9013837
24 Matius Misranto 1 NPBI 59 th L KPD L1 C632582 9011712
25 Handayani Megarini 2 NPBI 36 th P Elang 1 C593346 9018143
26 Muhamad Syafiq 3 NPBI 3 th L Elang 1 C505379 9018138
27 Siti Robiatun 2 NPBI 61 th P Transit C373650 9018145
28 Djoko Widodo 3 JMD 41 th L R5A C636870 9011850

29 Abdul Hadi VIP NPBI 48 th L GRD L4 C639311 9017750
30 Seger 3 PBI 63 th L P. Mata C638901
31 Solikin 3 PBI 47 th L R1B C639359 9018082
32 Rohmatul Anam 1 NPBI 53 th L P. Mata C636834
33 Sunyi 3 PBI 44 th P P. Mata C619239
34 Semi 3 PBI 58 th P R4B C610419 9017955
35 Sumirah 3 NPBI 57 th P R4B C605096 9018003

36 Ahmad Muhajir 3 NPBI 17 th L C1LD C639206 9017632
37 Witiyanti 1 NPBI 58 th P KPD D C638164 9017638
38 Jamaludin 3 PBI 20 th L R6B C611376 8986756
39 Melinda Nur Andriana 3 NPBI 14 th P C1LD C637481 8999381
40 Bagas Puguh Widodo 1 JASA 20 th L MRK L1 C637087 8995555
M : BD,AU,EA,PS,SC,VQ RR : FA,SAM,SR MID : DB,ER RR GRD :PM MID : YS SORE PROGRAM : NO,WU,AY*,A
41 Suratno VIP NPBI 7/27/1959 L GRD L4 C634144 9015529
42 Marjuki 2 NPBI 59 th L MRK D C455430 9013788
43 Djoko Rasmanto 3 JMD 57th L R1B C638817 9012319
44 Dasi 3 NPBI 56 th P R6A C632315 9004786
45 Djahroh IRINA NPBI 56th L R1A C636323 8986833

CITO
46 Fathimatun Masudah 2 NPBI 25th P IGD C639614 9020475
47 Wantiyem 1 NPBI 55th P TRAN C541925 9020507
48 Agus Dwi Purwanto IRIN A NPBI 44th L ICU C555377 9018053
49 Linda Kristiyaningsih VIP Um 32th P GRD 3 C638481 9019656
50 Disniasih 3 NPBI 37th P B31 C637724 9020356
51 Devi Ayu Lestari 2 PBI 19th P IGD C639707 9021654
52 Yuliarni 2 NPBI 32th P TRAN C638592 9009630
53 Hindayani Jiwaningsih 1 NPBI 52th P ELA 2 C454341 9004043
54 Koes Nirmala Ningsih 3 NPBI 30th P B31 C639770 9022522
HARI / TANGGAL : RABU, 07 JUNI 2017

JAMINAN
1 Mohamad Alim Istiawan 3 PBI 10 th L C1LD C602907 9017693
3 Chrisna Setyaningsih 1 NPBI 45 th P KPD LD C636604 8989042
4 Wiro Supar 3 PBI 82 th L R2B C629713 8995404
5 Kasmijan 3 NPBI 52 th L R1B C633880 8961020
6 By Ny Kholifah 3 NPBI 10 hr P PBRT C638573 9009508
7 Muh Hasan AL Bashri 3 NPBI 2 th L C1LD C632001 9011767
8 Zubaidah 3 NPBI 14 th P C1LD C639151 9018018
9 Wahyu Ariyadi 3 PBI 19 th L R3B C604394 9019611
10 Temu 3 NPBI 59 th P R2A C636960 9019411
11 Rumiyatun VIP NPBI 64 th P GRD 5 C636407 9017234

12 Ade Ariyani 2 NPBI 44 th P B31 C522234 9020437
13 Untung VIP NPBI 55 th L GRD 4 C639579
14 Stefanus Wisnu Ari P 3 NPBI 34 th L R1B C633928 9007329
15 Hasniasih VIP NPBI 54 th P GRD 6 C638142 9020211
16 Djuwadi VIP NPBI 54 th L GRD 5 C563961
47 Ceysa Rahil Hababah IRIN B Um 8th P PICU C636515 8988535
18 Widodo Rahardjo, SH VIP NPBI 71 th L GRD 4 C224937 9010534
19 Khamsinok 3 NPBI 51 th P R2A C638872 9017736
20 Haryati 1 NPBI 53 th P KPD D C629240 9013744
21 Tatik Muryani VIP PLN 45 th P GRD 4 C636537 9020425
22 Fahmi Alfares 3 PBI 15 th L C1LD C638585 9009617
23 Sudharti 1 NPBI 57 th P GER 1 B042784 9013838
24 Djumiko 3 Um 44 th L R2B C638066 9006927
25 Khumaidi 3 NPBI 19 th L R2B C638967 9017740
26 Anwaz Azwar 1 NPBI 31 th L KTL C515780 9011768
27 Siti Fatichach 1 NPBI 48 th P KPD LD C637634 8999680
28 Slamet 3 NPBI 57 th L R5A C636440
29 Wardjini 3 um 71 th P R2A C639411 9018242
30 Panggih Prayitno 3 PBI 17 th L C1L1 C631274 9015817
31 Siska Ita Nur Susanti 3 NPBI 28 th P R2A C638597 9009708
32 Suparmi 1 NPBI 48 th P Elang 1 C455947 9019473
33 Ruben Surya Pratama VIP NPBI 21 th L Elang 2 C638656 9020308
34 Muhammad Nasrul Ilmi 3 NPBI 1 th 4 bln L C1LD C639011 9015683
35 Yosi Maryono 3 NPBI 43 th L R2B C639362 9018081
36 Saliyem 3 PBI 61 th P R3A C638847 9013774
37 Mulyono 1 NPBI 57 th L KPD LD C540799 9011785

38 Soekarno Atjip 2 NPBI 84 th L P. Mata C204038
39 Drajat Suitanto 1 NPBI 67 th L MRK L2 C542395 9015807
40 Sunarti 3 PBI 53 th P P. Mata C637361
41 Sudarjono Priv PT 65 th L Poli Grd C514994
42 Marmiyati 1 NPBI 56 th P P. Mata B304938
43 Sulastri 3 PBI 58 th P P. Mata C635860
44 Sri Marjanah 3 JMK 64 th P P. Mata C631829
45 Murdiyaningsih 2 NPBI 37 th P KPD LD C572162 9017981
46 Bilqis Astila Rahma 3 NPBI 3 th 1 bln P C1L1 C638087 9004326
47 Tri Jumiyati VIP NPBI 55 th P GRD L6 C240262 9020344
48 Mahmudin 3 NPBI 40 th L R6B C637515 8999443
49 Dwi Wijayanti 2 NPBI 45 th P KPD LD C599009 9020846

50 Abdul Hadi VIP NPBI 48th L GRD 4 C639311 9017750
51 Tenti Anita Aries 2 NPBI 39 th P KPD LD C639238 9022078
52 Alexander Gumilang R 2 Healt 31 th L KPD L1 C638921 9021198
53 Ulfiah 3 PBI 18 th P R2A C638993 9020291
M : BD,AU,EA,PS,SC,VQ RR : FA,SAM,SR MID : DB,ER RR GRD : ST MID : YS SORE PROGRAM : NO,WU,AY*,A
54 Fairuz Khilfi Al Bahij 2 Um 4 th L Transit C639431 9018991
55 Sumiyati VIP NPBI 7/26/1966 P GRD L5 B198269 9022300
56 Carisa IRIN B PBI 3 bln L HCU C638504 9009282
57 Siti Cholifah VIP NPBI 12/4/1971 P GRD L4 C586680 9022473
58 Supardi 3 PBI 63th L R3B C638563 9009514
59 Uswatun Hasanah VIP NPBI 32th P GRD L3 C639765 9022540
CITO
60 Muhamad Davin Rasya 2 NPBI 1 bl L IGD C639764 9022469
61 Fitri Tudian 3 NPBI 38th P R1B C639814 9024514
62 Ngatmin PBI 40th L IGD C639586 9020143

2
63 Khumaidi 3 PBI 19th L R2B C638967 9017740
64 Murdiansyah M IRINA NPBI 69th L HCU C605001 8999593
65 Farizan Ahmad Luthfani 3 PBI 13th L TRAN C634271 9024380
66 Indah Widyastuti VIP Um 28th P GRD 4 C468171 9024367

JAMINAN
1 Ruslan 1 NPBI 64 th L KPD 1 C612512 9020465
2 Dekon Soim 2 NPBI 71 th L MRK D C628508 9020392
3 Parijan 3 PBI 55 th L R1B C638690 9022530
4 Mudhori Muri 3 NPBI 03/05/1945 L R1B C636656 9022528
5 Untung VIP NPBI 55 th L GRD L4 C639579 9020413
6 Rustiyanto VIP NPBI 56 th L GRD L4 C639351 9022003
7 Liskiyah 3 NPBI 34 th P R3A C635130 9016565
8 Fathin Afkari Rafi 1 NPBI 10 th L Anak LD C629056 9020373
9 Jarwati 3 NPBI 48 th P R3A C629180 9022513
10 Ngatemi 3 PBI 50 th P B31 C633040 9021225
11 Susanto 1 NPBI 55 th L KPD LD C635189 9022374
12 Miftakhul Iza 3 PBI 27 th L R3B C628071 9020238
13 Djuharipin 3 NPBI 53 th L R5A C612115 9020296
14 Soediono 3 NPBI 65 th L R5A C628248 9020364
15 Roidah 3 NPBI 21 th P R3A C626632 8987427
16 Djumadi 3 NPBI 82 th L R2B C626525 9023591
17 Purwanto 3 NPBI 51 th L R2B C632442 9013698
18 Rukmiyatun 3 NPBI 43 th P R2A C602367 9020307
19 Wantini 3 NPBI 47 th P R2A C637984 9017683

20 Ariyanti VIP NPBI 39 th P GRD L6 C638945 9022202
21 Sumitro 1 NPBI 53 th L KPD 1 C628707 9017753
23 Sarah Titi By Ny IRIN NPBI 1 bln P PBRT C638981 9015448
24 Sairoh By Ny IRIN NPBI 20 hr P PBRT C638524 9009277
25 Muhammad Abro Jiha 3 NPBI 1 th 7 bln L C1L1 C635758 9017771
26 Sefina Febru Siswaka NPBI 13 th P C1LD C639769 9022519
27 Slamet 3 NPBI 57 th L R5A C636440 9011652
28 Adam Baim Albiruni 3 JMD 12/30/2016 L Anak D C638404 9011849
29 Labibatus Syifa Aisyah 1 NPBI 5 th P Anak D C322495 8999728
30 Musyarofah 3 NPBI 47 th P R3A C636779 9009184
31 Hidayati 3 PBI 48 th P R3A C637898 9006873
32 Zhafran Haidar 1 NPBI 20 th L KPD LD B434108 9022553
33 Rini Novitasari 3 PBI 19 th P R3A C638419 9013747
34 Titi Sri Hastuti 1 NPBI 66 th P GER L1 C624970 8999865
35 Nurita 3 NPBI 54 th P Elang 1 C607356 9021791
36 Asrori VIP NPBI 45 th L GRD L6 C636578 9020336
37 Wanto 3 NPBI 32 th L R3A C526836 9010361
38 Fuad Suryoprojo 1 NPBI 45 th L KPD L1 C632657 9011748
39 Machmudin Latif 3 JMD 58 th L R3B C247069 9011655
40 Soepardi 3 NPBI 72 th L Pol MTA C638034
41 Sukari 2 NPBI 59 th L Pol MTA C635788
42 Suryati Privat NPBI 58 th P Pol GRD C612199

43 Martina Sri Privat NPBI 62 th P Pol GRD C627287
44 Mari 3 PBI 67 th P Pol MTA C604609
45 Sri Yuniati 1 NPBI 44 th P B31 C637229 9017725

46 Nailin Ni'mah 2 NPBI 38 th P B31 C638676 9022517
47 Marwah 3 NPBI 56 th L R6B C639512 9020470
48 Catharina Anggraini, SE VIP NPBI 43 th P GRD L5 C302430 8022063
49 Istianingsih 3 NPBI 50 th P R5B C618824 9016507
50 Nadia Priv Um 35 th P P. Grd C639592
51 Andi Hermawan 1 NPBI 18 th L MRK 1 C639584 9020462
M : BD,HR,AU,EA,EW,SC,PS RR : FA,SAM,SR MID : DB,ER RR GRD : ST MID : YS SORE PROGRAM : NO,WU,A
52 Dr. Suprijono SpOG VIP NPBI 7/19/1948 L GRD L4 C541889 8908445
53 Jumilatun VIP NPBI 4/15/1958 P GRD L4 C639903 9024422
54 Galih Mudi Nugroho 3 NPBI 24th L R2B C640076 9026423
55 Sunyoto 1 NPBI 59 th L KPD 1 C630462 9022505
56 Asiyatun Asiah 3 NPBI 44 th P B31 C637356 9021002
57 Rini Windi Yanti 3 NPBI 34 th P R5B C553360 9022484
CITO
58 Rossy Tunjungsari 2 NPBI 26th P B31 C470449 9017793
59 Dewi Rosalia Indah 3 PBI 32th P B31 C625783 9024566
60 Jumiatun 3 NPBI 37th P B31 C617162 9024267
61 Suratno 3 NPBI 36th L MRK D C488943 9026424
62 Rochadi 1 NPBI 55th L MRK 1 C289620 9022481
63 Istachori 2 NPBI 75th L GER D C639945 9026503
64 Shopiyah IRINB PBI 51th L HCU C315405 9026618

JAMINAN
2 Suni 3 NPBI 61 th P R4B C632051 9024415

3 Sumiyati 2 JMD 51 th P KPD LD C637335 9020407
4 Ngadenin 3 PBI 53 th L R2B C549848 9024044
5 Sutarno VIP Um 56 th L GRD L5 C639603 9025644
6 Saeful Anwar 2 NPBI 27 th L KPD LD C609199 9024501
7 Sholihin 3 NPBI 61 th L R1B C623909
8 Siti Nuraeni 1 NPBI 58 th P MRK L2 C630505 9010650

9 Tarti 1 NPBI 49 th P MRK 2 C639798 9024487
10 Hesty Sativa Juliningrum VIP NPBI 45 th P GRD L3 C605991 9019864
11 Siti Rahayutin 1 NPBI 49 th P KTL C634887 9022543
12 Maryati 3 NPBI 56 th P R2A C637011 9020449
13 Suprihatin 2 NPBI 32 th P MRK LD C632586 9020443
14 Devi Ayu Lestari 3 PBI 19 th P R3A C639707 9022436
15 Prawito 3 PBI 51 th L R1B C636259 9020189
16 Pariman Hadiantok 3 NPBI 53 th L R2B C636711 8993928
17 Pami 3 NPBI 41 th P R3A C636467 9011307
18 Imam Sutrisno 2 NPBI 51 th L KPD L1 C638744 9025739
19 Siti Rahmiatun VIP NPBI 7/8/1967 P GRD L4 C636517 9022521
20 Siti Mulyani IRIN A NPBI 69 th P ICU C637060 9015863
21 Suyono 2 NPBI 61 th L KPD L1 C582658 9026442
22 Sumiyani 3 NPBI 47 th P R4B B061356 9024318
23 Suyono 1 NPBI 56 th L MRK L1 C639144 9015861
24 Sri Pudjiati 2 NPBI 50 th P KPD LD C635504 9025242
25 Andhika Wildan K 2 NPBI 21 th L KPD L1 C634428 9025613
26 Ainur Rofiq 2 NPBI 50 th L Transit C633596 9020478
27 Maslan Ahmad 3 NPBI 47 th L R2B C638773 9011842

28 Suprihati By Ny IRIN NPBI 10 hr P PBRT C639369
29 Sri Wahyuni 2 NPBI 39 th P Transit C638620 9009720
30 Rodin 1 NPBI 50 th L KPD L1 C638583 9009597
31 Tio Mie Ing 2 NPBI 58 th P KPD LD C620998 9026227
32 Susilowati 3 NPBI 61 th P Elang 1 C637818 9022326
33 Kumaeri 1 NPBI 40 th L MRK 1 C638898 9014906
34 Ananda Izatul Karim 3 NPBI 8 bl L C1L1 C638022 9022527
35 Dian Adi Saputra 3 NPBI 12 th L C1L1 C619287 9020466
36 Endang Sulistiyowati 1 NPBI 48 th P KPD LD C565199 9017697

37 Caswari 3 PBI 63 th L P.Mata C636480
38 A Fatkhurrozak Priv NPBI 57 th L P. GRD C638916
39 Benny Sutanto Priv Um 39 th L P. GRD C594830
40 Lamijah 3 NPBI 76 th P R4A C634328 9022579
41 Siti Alfiah 1 NPBI 49 th P B31 B332445 9022501
42 Citra Juhana 1 NPBI 34 th P KPD LD C511467 9020401
43 Ipit Laelasari 1 NPBI 44 th P KPD 1 C639335 9022518
44 Turadah 3 NPBI 63 th P R2A C572439 9020011
45 Chalimah VIP NPBI 11/5/1949 P GRD L4 C434351 9026015
46 Adib Maliki Alma VIP NPBI 22 th L GRD L5 C639764 9024460
47 Hisyam Syafi'ie 1 NPBI 28 th L MRK L1 C620574 9017713
48 Desy Cristiana 3 NPBI 25 th P R2A C266661 9018054
M : WU,HR,EW,WD,NI,MK,ANM RR : FA,SAM,SR MID : DB,ER RR GRD : ST MID : YS* SORE PROGRAM : NO,W
49 Museri 3 NPBI 67 th L Ger D C639639 9022426
50 Dwi Handayani VIP NPBI 54th P GRD 6 C631606 9026170
51 Risya Arvinta Eivadiani 1 NPBI 8 th P Transit C441062 9022439
52 Wainah 3 NPBI 57 th P Ger D C569968 9020480
CITO
53 Ngadinah 3 um 43th P B31 C640027 9026410
54 Aristanti 3 PBI 26th P B31 C640013 9026324
55 Agitya Ayu Saraswati 3 NPBI 26th P B31 C452246 9006619

56 Sri Sahadatwati 3 NPBI 54th P R4B C614148 9009693
57 Marlinda IRIN B UM 25th P ICU C640110 9027606
By.Ny. Ike Ari

58 IRINA NPBI 1hr P ICU C640093 9026528
Widyaningsih
59 2 NPBI 18hr L IGD C636548 9027813

Muhammad Rafif Alfarizqi

JAMINAN
1 Jamaludin 1 NPBI 34 th L MRK L1 C639321
2 Isnanto 3 NPBI 28 th L R2B C636219 9026599
3 Sudaryono 3 NPBI 45 th L R3B C243303 9011450
4 Riyanti Dewi 2 NPBI 24 th P B31 C636933 9022556
5 Turyani 3 NPBI 29 th P B31 C639931 9024518
6 Heni Widiastuti VIP NPBI 43 th P GRD L3 C640066 9026483
7 Ahmad Zaeni 3 PBI 43 th L R3B C638262 9009685
8 Rukilah 2 NPBI 53 th P MRK LD C636863 9024461
9 Issasatul Ifadah 3 NPBI 24 th P R4A C637815 9011832
10 Mudrikah 2 NPBI 29 th P KPD LD C574993 9025732
11 Aura Dwi Agustin 3 NPBI 10 bln P C1LD C601747 9026526
Yunita Dyah
12 VIP NPBI 22 th P GRD L6 C638841 9017644
Kusumaningrum
13 Ida Ridar B VIP NPBI 56 th P GRD L4 C395568 9018068

14 Ita Mustikasari VIP NPBI 34 th P GRD L4 C585643 9028069
15 Sri Murdiyanti VIP NPBI 51 th P GRD L5 C638050 9026232
16 Sholihin 3 NPBI 61 th L R1B C623909 9024123
17 Maulina Wahyu Dewi 3 PBI 1 th 5 bln P C1LD C564591 9026547
18 Sholikah 3 NPBI 49 th P R5B C614107 9024382
19 Siti Zulikatun 3 NPBI 46 th P R2A C630735 9015653
M : WU,WD,NI,MK,ANM,RM RR : SAM,SR,DB,ER SORE PROGRAM : ET,II,AF,AM,BR,DN,TK,DI,MY,MW,MF*,PM*,RA
20 Sabhira Nur Shifa 3 NPBI 14hr P PBRT C638559 9021834
21 Soemadi 1 NPBI 74th L KPD 1 C152365 9018230
22 Nurma Yalis 1 NPBI 66th L MRK 1 C631013 9022534
CITO
23 Ratri Ade Hapsari IRIN A NPBI 22th P ICU C640247 9028197
24 Sumo Kasih Wardiono 3 PBI 42th L R6B C640113 9028236
25 Riana Santy VIP NPBI 34th P GRD 3 C399851 9028305
26 By.Ny. Lina Mudhakiroh IRINB Um 1hr P PICU C640225 9027939
27 M Zarkoni 1 NPBI 57th L GRD 6 C588926 9006914
28 Sahal Akmad Dinejad IRINB Um 9th L HCU C640277 9039328

JAMINAN
1 Ika Maryati 3 NPBI 34 th P R4B C637107 9024408

2 Safiul Anam 3 PBI 23 th L R3B C624863 9026608
M : ET,SE,PS,AM,RM SORE : II,PM,TR,MF,RA
3 Chayanah 3 PBI 43th P R2A C632044 9020454
4 Jeany Cahya Kusuma VIP NPBI 17th P GRD 4 C559784 9027797
5 Kalimah 3 NPBI 50th P R3A C640290 9028425
CITO
6 Ahmad Erham Saefuloh 3 PBI 35th L R1B C640314 9028462
7 Kuswati IRIN B PBI 51th P HCU C627373 8993434
8 Rosid Khoirul Anam 3 um 17th L C1LD C640311 9028407
9 Sukini IRINB um 46th P ICU C640297 9028383
10 Sri Lestari 3 um 31th P HCU C640343 9028518
11 Ratna Dwi Kartikasari VIP NPBI 26th P GRD 3 C637100 9028278
12 Widyono Widodo 1 NPBI 70th L KPD D C640280 9028557
13 Dimas Aji Maulana 2 PBI 20th L IGD C640324 9028444

JAMINAN
1 Chrisna Setyaningsih 2 NPBI 45 th P KPD LD C636604 8989042
2 Kumisih 3 NPBI 52 th P R5B C633696 9020081
3 Desi Akhirana Resdiawati 2 NPBI 42 th P MRK LD C626873
4 Tarminto Hadi 3 NPBI 69 th L R3B C639063
5 Suntoyo 3 NPBI 66 th L R2B C639414 9018231
6 Tri Ernawanti 2 NPBI 42 th P Transit C639370 9018151
7 Jumadi 3 PBI 66 th L R3B C622918 9023918

8 Indahwati 1 NPBI 58 th P B31 C243370 9022189
9 Novy Zulaykha Paramitha 2 NPBI 22 th P B31 C631297 9018022
10 Labiba Najiya Kamila 3 NPBI 2 bln P C1L1 C634566 9017776
11 Heni 3 PBI 19 th P R6A C635706 8979721
12 Sriningsih 2 NPBI 48 th P Transit C639100 9015805
13 Sugiri 2 NPBI 55 th L GER LD C639511 9020247
14 Naisah 3 NPBI 56 th P R5B C630269 8999694
15 Anan Wahyu Hadiyanto 3 NPBI 13 th L R1B C636412 9020423
16 Nurrochmah 3 NPBI 47 th P R2A C616431
17 Sulastri 2 NPBI 54 th P KPD LD C625904 9028466
18 Sariyatun 3 PBI 51 th P R2A C620083 9020406
19 Meyla Putriani 3 NPBI 3 th P C1LD C634850 9011786
20 Muhammad Ulin Ni'am 2 NPBI 22 th L KPD L1 C639528 9028503
21 Jenny Winoto 1 NPBI 46 th P KPD LD C639939 9024560
22 Yoga Paripurna 2 NPBI 27th L KPD L1 C378588 9028575
23 Mujib Rohman 3 PBI 24 th L R2B C637982 9022317
24 Nurul Fadillah 2 NPBI 25 th P KPD LD C637210 9028501
25 Hartono Hadi Abidin 1 NPBI 65 th L Elang 1 C624733 9028238
26 Kurwed Suro Sutarso VIP NPBI 56 th L GRD 6 C385000 9011427

27 Rusmiyati 3 PBI 45 th P R3A C547830 9020370
28 Suyami 1 NPBI 54 th P KPD D C539775 9024464
29 Utomo 3 PBI 23 th L R5A C556402 9020327
30 Nurcholis 3 NPBI 33 th L R1B C581232 9026584
31 Suharto 1 NPBI 56 th L P. Mata C570639
32 Saifudin Ahmad 1 NPBI 63 th L P. Mata C639866

33 Mahfud Privat NPBI 75 th L P. GRD C629176
34 Sukarni 3 NPBI 59 th P P. Mata C197729
35 Endang Suprihatiningsih 3 NPBI 58 th P P. Mata C619806
36 Solikatun 3 PBI 58 th P R6A C636781 9020411
37 Panus 3 NPBI 68 th L P. Mata C638238
38 Benny Sutanto Privat UM 39 th L P. GRD C594830

39 Fatimah 3 PBI 44 th P R4A C625197 9026539
40 Sumarno 2 NPBI 29 th L MRK D C638686 9022482
41 Siti Kusmayati 3 NPBI 55 th P R2A C624946 9022510

42 Barikah 3 PBI 58 th P R2A C618027 9022486
43 Waslim 3 PBI 42 th L R1B C482515 9020455
44 Mulyo Diharjo 3 BPJS 27 th L R1B C635530 8979536
45 Alfin Azizi 3 PBI 20 th L R2B C639132 9015818
M : ET,EM,SE,TR,AM,PS,RA RR : FA,SAM,IM MID : MY,SC RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI
46 Endang Purwati 3 NPBI 59 th P R2A C476029 9025558
47 Karsini 3 NPBI 49 th P R2A C638381 9026603
48 Mutmainah Setyo Lestarini 1 NPBI 46 th P MRK L1 C083919 9017743
49 Sri Hayati 1 NPBI 55 th P MRK L1 C637968 9017749
50 Sri Minatun 1 NPBI 50 th P MRK L1 C625998 9013791
51 Kenya Kenesti Nurani 3 NPBI 7 th P C1LD C621402 8986763
52 Musnad 1 NPBI 57 th L MRK L1 C639944 9026439
53 Masiyo 3 PBI 81 th L R2B C638377 9009226
54 Arif Yakun 2 NPBI 42th L KPD L1 C480881 9028527
55 Masitoh 3 NPBI 52 th P R5B C604543 9022480
56 Sudjatwati 3 NPBI 60 th P R4A C592086 9018214
57 Liskiyah 3 PBI 39 th P R3A C635130 9016565
58 Djuharipin 3 NPBI 53 th L R5A C612115 9020296
CITO
59 Henny Ekajanti Soeito 2 NPBI 35th P ELA 1 C635767 9026530
60 Henny Ekajanti Soeito 2 NPBI 35th P ELA 1 C635767 9026530
61 Hadi Suroso VIP NPBI 68th L GRD 6 C124752 9017650

62 Casmirah 3 NPBI 70th P GER D C636943 9013739
HARI / TANGGAL : SELESA, 13 JUNI 2017
JAMINAN
1 Akbar Agustiansyah 3 PBI 8 th L C1LD C625190 9024457
2 Ratini 3 NPBI 43 th P R2A C636020 9022536
3 Maryamah 3 PBI 58 th P R3A C637705 8999896
4 Romyati 3 NPBI 50 th P R4A C639671 9024541
5 Muhlisin VIP um 30 th L GRD L4 C638991 9029088
6 Saodah 3 NPBI 49th P R4A C639815 9024542
7 Kinah 2 NPBI 61 th P B31 C636174 9026541
8 Kumiyatun 2 um 44 th P MRK D C636825 9026510
9 Desiyani 2 NPBI 29 th P MRK D C632989 9026559
10 Suwarti 3 NPBI 74 th P R2A C639860 9024537
11 Subandi 3 NPBI 53 th L R5A C626281 9019101
12 Bambang Sukamto 3 NPBI 54 th L R6B C634267 9022532
13 Amriti 3 NPBI 58 th P R3A C628488
14 Nugroho 3 NPBI 51 th L R2B C639434 9020482
15 Nasahi 3 NPBI 54 th L R1B C638119 9020512
16 H Riau Anna 1 NPBI 52 th P KPD 1 C627648 9028055
17 Asmaah 3 PBI 56 th P R2A C617389 9020412
18 Ninghati 3 NPBI 47 th P R2A C491372 9020357

19 Sumadi 3 JMD 57 th L R2B C635049 9022453
20 Afif Zakaria Ahmad 3 um 4 th L C1L1 C640249 9028124
21 Suwono 1 NPBI 70 th L GER 1 C637479 8999449
22 Jamaludin 1 NPBI 34 th L MRK 1 C639321 9017853
23 Muhammad Komsiyanto S 3 JMD 8 bln L C1L1 C639242 9020334
24 By Ny Suprihati IRIN NPBI 13 hr L PBRT C639369
25 Umi Rahmawati 3 PBI 6 th P C1KD C624849 9017951
26 Silvia Lu'Luatul Hasna 3 NPBI 12 th P C1LD C637621 8999504
27 Sopingi 1 NPBI 61 th L MRK 2 B288982 8999720
28 Gunawan 1 NPBI 64 th L MRK 1 C639471 9020385
29 Risky Haerul Imam 2 NPBI 24 th L MRK 2 C621153 9028123
30 Maulana Ikhsan 3 NPBI 15 th L C1LD C640312 9028561
31 M Misbah 3 NPBI 33 th L R2B C638891 9013837
32 M. I. Buntari 2 NPBI 69 th L Transit C598481 9026175
33 Djoko Slameto Rohadi VIP NPBI 67 th L GER L1 B354504 9027020
34 Bintang Tentrem Rahayu 3 PBI 11 th P Elang 1 C572351 9028465
35 Saminah 3 PBI 41 th P R5B C482624 9007314

Muhammad Hafidz Al
36 3 NPBI 5 bln L C1LD C629525
Bahri
37 Kayla Nada Putri 3 NPBI 5 bln P CILD C636946 9024416
38 By Ny Sulami 3 NPBI 18 hr L PBRT C639479 9024558
39 Kuswanto 3 NPBI 61 th L R1B C575842 9013798
40 Marju 3 PBI 56 th L R1B C568940 9013753
42 Agung Cahyono VIPA NPBI 40 th L GRD L4 C637440 9028309

43 Yamtini Privat NPBI 75 th P Pol GRD C638996
44 Perti 3 PBI 56 th P P. Mata C605209
45 Suhardi 3 NPBI 43 th L P. Mata C634422
46 Aziz Soedarman 3 NPBI 68 th L P. Mata C636806

47 Septa Nugroho 3 NPBI 19 th L P. Mata B202591
48 Parmin Privat NPBI 70 th L Pol GRD C599748
49 Zumaroh 2 NPBI 45 th P KPD LD C636499 9028085
50 Sri Lestari VIP NPBI 32 th P GRD L4 C640142 9027850
51 Nur Yuliasih 3 PBI 47 th P R2A C623292 9020338
52 Pariyono 3 PBI 71 th L R2B C632273 9022489
53 Anindita Nur Keisha Zahra 3 NPBI 1 th 3 bln P C1LD C601945 9026167
54 Muhammad Rifa'i 2 NPBI 70 th L KPD LD C622285 9026412
55 Tsenia Alvi Nofika 3 NPBI 12 th P C1L1 C638449 9026512

M : EM,II,UM,TR,PM,MF,RA RR : FA,SAM,IM MID : MY,SC RR GRD : RG MID : VQ SORE PROGRAM : RK,AI,TA,A
56 Ubaidir Rohman VIP Um 13 th L GRD L3 9030574 9030574
57 Solikin VIP NPBI 51 th L GRD L4 C579845 9030609
58 Didik Setiadi 3 PBI 28 th L R1B C535426 9028060
59 Dzaka Putra Ardhani 3 NPBI 2 th L C1L1 C640229 9028141
60 Darmaji 3 NPBI 40 th L R3B C628932 9028155
CITO
61 Sikni Retno Karminingtyas VIP NPBI 34th P GRD 5 C400897 9030741
62 Amelia Eka Lestari VIP UM 33th P GRD 3 C610262 9030323
63 Siti Faizah 3 PBI P B31 C638771 9030625

64 Siti Munawaroh 3 NPBI P B31 C640692 9032616
65 Yami 3 PBI 43th P B31 C640697 9032671
66 Diah Kurniarti 3 PBI 36th P R3A C599186 9028128
67 Juaeni 1 NPBI 59th L MRK 2 C639701 9024515

JAMINAN
1 Wartinah 1 NPBI 57 th P KPD LD C639635 9030688

2 Supriyanto 2 NPBI 48 th L KPD L1 C635831 9031472
3 Isnawati 3 PBI 32 th P R4A C638501 9009192
4 Budi Prastiyo 3 NPBI 17 th L R2B C624114 9030451
5 Fajar Budi Setyawan 3 NPBI 26 th L R1B C637054 9030673
6 Ardiansyah Putra Al Fahri 3 NPBI 6 th L C1L1 C298854 9026514
7 Shodiq 3 NPBI 46 th L R2B C635307 9030585
9 Sugimin 2 NPBI 54 th L MRK LD C637504 9011852
10 Zuhaimi Goraahe 1 NPBI 50 th L KPD LD C640278 9028481
11 Musinah 2 NPBI 57 th P GER LD C305026 9017765

12 Budiono 3 UM 45 th L P. VAS C640509
13 Tri Martini 3 NPBI P B31 C640329 9028456
14 Muawanah 2 NPBI 29 th P MRK LD C610700 9028053
15 Iswanti 3 NPBI 42 th P R4B C636034 9022458
16 Titik Maswah 3 NPBI 55 th P R2A C627527 8992665
17 Sri Andayani 3 NPBI 41 th P R3A C634086 9028370
18 Djuwadi VIP NPBI 54 th L GRD L5 C563961

19 Junaryo 3 NPBI 39 th L R2B C637907 9004805
20 Tarminah 2 NPBI 67 th P TRAN C639795 9025299
21 Slamet Mamuk 3 NPBI 64 th L R2B C136538 9023131
22 Retnowati Wibowo N 2 NPBI 34 th P KPD D C639500 9030695
23 Wahyuni 3 NPBI 40 th P R3A C638259
24 Ika Siptin Fidyastuti VIP NPBI 54 th P GRD 6 C639246 9030597
25 Supardi 3 PBI 68 th L R2B C629341 9022496
26 Nafisha Syakila 2 NPBI 7 bln P TRAN C639975 9027319
27 Prasetia Abdi Pratama 3 PBI 6 bln L C1LD C617850 9030594
28 Auliya Fadilatussa'adah 3 NPBI 5 th P C1LD C635537 9028029
29 Suparti 2 NPBI 32 th P KPD LD C640398 9032569
30 Harmanto 3 NPBI 57 th L R3B C637805 9002326

31 Rita Hastuti VIP NPBI 53 th P MRK 2 C634938 9020348
32 Juningsih 3 NPBI 36 th P R2A C633317 9017640
33 Subatin 3 PBI 49 th P R2A C637347 9019249
34 Nasihah 3 NPBI 42 th P R3A C529522 9011843
35 Rizal Muslihuddin 3 NPBI 16 th L C1L1 C639659 9022448
36 Ihdina Sulistianingtias 2 NPBI 21 th P KPD LD C586102 9031823
37 Muh. Rozikan 2 NPBI 32 th L TRAN C636944
38 Yulita Hernani VIPA NPBI 40 th P GRD 6 C585761 9032068
39 Suyati 3 NPBI 54 th P Elang 1 C292084 9028573
40 Suwardi 3 NPBI 56 th L R6B C636974 8993525
41 Sulistyani, BA VIP NPBI 55 th P GRD 6 C630370 9029399
42 Bambang Supriyadi VIP NPBI 51 th L GRD 4 C639976 9030469

43 Titien Suharni VIP NPBI 61 th P GRD 4 C639746 9030455
44 Soeparno 2 NPBI 74 th L GER D C387201 9022570
45 Andra Eka 1 NPBI 18 th L Pol MTA C423029
46 Ely Sofiyanti 1 NPBI 41 th P Pol MTA C640419
47 Sutarno 3 PBI 56 th L Pol MTA C636605

48 Matraji 3 NPBI 58 th L Pol MTA C638671
49 Tukini 1 NPBI 64 th P Pol MTA C615361
50 Mashadi 3 PBI 60 th L Pol MTA C629539
51 Marsini VIP NPBI 69 th P GRD 3 C640118 9027437
52 Mulyanto 2 NPBI 57 th L KPD 1 C572109 9031956
53 Sugiarto 3 NPBI 26 th L R5A C639748 9024333
54 Sulasi 3 NPBI 43 th P R2A C623658 9024491
56 Ni'Matul Zahra 2 NPBI 10 th P C1LD C640536 9030729
57 Sukardi 3 Um 51 th L R1B C640293 9028505
58 Cipto Utoyo 3 PBI 53 th L R1B C623869 9020404
59 Djoko Rasmanto 3 PBI 57 th L R1B C638817 9012319
M : II,ST,AG,PM,HI,DJ,RI RR : FA,SAM,IM MID : MY,SC RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI,AN

60 By.Ny. Suprihati IRIN B NPBI 14hr P PICU C639369 9020347
61 Ita Ulya VIP NPBI 6/26/1984 P GRD 5 C640638 9032409
62 Josephine Wahjuni 1 NPBI 74 th P KPD 1 C640288 9028445
63 Dhina Maulana Prayoga 3 PBI 9 th P C1L1 C640368 9030750
CITO
64 Hario Bimantoro 3 um 47th L R1B C640686 9032488
65 Tukiyem 3 PBI 26th P B31 C639069 9030627
66 Tirta Aji Kumbara VIP NPBI 29th L GRD 4 A540928 9029465
67 Amanda Safira Ramdani 3 PBI 9th P C1LD C640698 9033990
68 Siti Kotijah 3 PBI 22th P B31 C613548 9032258
69 Farid 3 PBI 45th L R1B B357454 9034644
70 Muhamad Ridwan 3 PBI 25th L R5A C640216 9028152
71 Tias 2 NPBI 7th P IGD C640713 9032766
72 Sulasmi IRIN A NPBI 72th P R1A C640822 9034246

JAMINAN
1 Yezi Suci Ratnawati 3 NPBI 18 th P R4B C631413 9031492
2 Muh. Rozikan 2 NPBI 32 th L Transit C636944 9030582
3 Wawan Uliyono 2 BPJS 26 th L KPD LD C637369 9032273
4 Denis Wisnu 3 Um 8 th L C1L1 C637878 9028150
5 Irfan Maulana 3 NPBI 10 th L C1L1 C635452 9030635
6 Casduri 3 NPBI 56 th L R1B C635849 9032423
7 Ari Wibowo 3 PBI 22 th L R3B C370659 9022525
8 Eddy Susanto 3 PBI 29 th L R2B C640541 9030754

9 Naili Rohmah 2 Um 19 th P MRK D C639626 9022572
10 Hartatik 2 NPBI 49 th P KPD D C543398 9007122
11 Wahyudi 3 NPBI 34 th L Transit C639531 9032730
12 Debora Ikawati,dr VIP NPBI 36 th P GRD L6 C445160 9030617
13 Eko Subiyakto 2 NPBI 39 th L MRK LD C638586 9009541
14 Sri Laraswati 3 NPBI 59 th P R6A C639129 9016172
15 Kristinah 2 NPBI 46 th P KPD LD C535604 9030728
16 Saimah 3 PBI 67 th P R2A C637821 9030037
17 Nurnaningsih 3 NPBI 36 th P R2A C618387 9030697
18 Amazi 3 PBI 54 th L ICU C636602 8989064
19 M Nur Fakhri 3 NPBI 10/28/2009 L Elang 1 C607006 9034497
20 Masrokhan 2 NPBI 27 th L MRK LD C639644 9032713
21 Tri Windarti VIP NPBI 31 th P GRD L5 C639199 9032589
22 Tirta Setiadji 1 NPBI 73 th L GER L1 C229545 9026516
23 Munasari 2 NPBI 46 th P R6B C639102 9020432
24 Titik Rustiana 3 PBI 45 th P R2A C636454 9017634
25 Sukirah 3 PBI 47 th P Transit C640389 9031455
26 Soedarmini 1 NPBI 82 th P MRK L1 C155306 9030621
27 Santoso 3 NPBI 51 th P Ger D C545458
28 Rosid Khoirul Anam 3 NPBI 17 th L C1LD C640311 9028469
29 Novita Anggraeni 2 NPBI 20 th P Elang 1 C625000 9032433
30 Badrun 2 NPBI 51 th L KPD LD C638361 9018211
31 Matsalim 1 NPBI 74 th L KPD LD C629271 9030714
32 Fitriyati 2 NPBI 54 th P Transit C630710 9020484
33 Kamal Bahtiyar 3 PBI 30 th L R2B C626842 9030744

34 Casmen Privat NPBI 53 th P P. GRD C640740
35 Nurcholis 3 NPBI 33 th L R1B C581232 9026584

36 Faizul Mubin 3 NPBI 18 th L P. MTA B275886
37 Khumaidi 3 NPBI 49 th L P.Mata C630879
38 Benny Sutanto Privat UM 39 th L P. GRD C6534830
39 Putri Nanda Fatimah VIP NPBI 26 th P GRD L5 C633496 9031498
40 Sugiarti 2 NPBI 22 th P KPD LD C545973 9028433

41 Ikhsan Zuhri 1 NPBI 18 th L MRK 2 C639987 9026462
42 Romlah 3 NPBI 63 th P R2A C637784 9026564
43 Muhammad Wildan VIP NPBI 14 th L GRD L3 C614767 9030565
M : NH,HI,SR,AG,DJ,IS,RI RR : FA,IM,TR MID : MY,SC RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI,TA,A
44 Hariyanto 2 NPBI 34 th L Transit C637871 9034465
45 Budi Wahyuni VIP NPBI 6/11/1964 P GRD L4 C230214 9034372
46 Susilo 1 NPBI 50th L KTL C640953 9036653
47 Maria Suliyem 3 NPBI 9/2/1969 P R6A C630853 9020502
48 Tarti VIP NPBI 49 th P MRK L2 C639798 9024487
CITO
49 Kasiroh IRINB PBI 36th P HCU C640861 9034490
50 Sri Andita Auraningsih 2 Um 6th P IGD C640891 9034632
51 Sudarni 2 NPBI 50th P B31 C639650 9028147
52 Sami 1 NPBI 58th P KEMO2 C640552 9031453
53 Hariyanto 3 NPBI 45th L R2B C640753 9036565
54 Depit Ernawati 3 PBI 20th P B31 C641000 9036572

JAMINAN
1 M Rafa Azka Putra VIP NPBI 2 th L GRD L3 C636053 9034406
2 Pandu Soedjitro VIP NPBI 64 th L GRD L4 C558963 9034121
3 Markinah 3 NPBI 58 th P R4A C632644 9017969
4 Ahmad Romadhon 3 PBI 29 th L R6B C638954 9013831

5 Sobana 3 NPBI 56 th L TRAN C640884
6 Elizabeth Alenanentte 3 NPBI 2 th P C1LD C616966 9032738
7 Christina Laelani 1 NPBI 60 th P KPD L1 C639724 9032718
8 Suparno 3 NPBI 6/8/1953 L R1B C635834
9 Aisyah Novita Sari 3 NPBI 18 th P R3A C637578
10 M. Fadloli 3 NPBI 41 th L Pol VAS C640913
11 Woro Yuli Sulistyaningrum VIP NPBI 47 th P GRD L5 C639317 9018087
12 Sugiyanto 3 NPBI 53 th L R2B C638562 9009536
13 Munawaroh 2 NPBI 52 th P Transit C640633 9032419
14 Dimah 1 NPBI 68 th P KPD LD C639043 9030730
15 Tri Wulandari 3 PBI 22 th P R5B C640409 9032719
16 Tasrip 3 PBI 63 th L R3B C640299
17 Sumadi 3 NPBI 50 th L R1B C639493 9032725
18 Puji Rahayu 1 NPBI 48 th P KPD LD C638151 9032676
19 Suradal 1 NPBI 58 th L MRK L2 611930 8991330
20 Muzaenal VIP NPBI 56 th L GRD L4 C639698 9026610
21 Candidus Handi Anuto 1 NPBI 68 th L MRK L2 C638711 9030743
22 Supoyo 3 NPBI 47 th L R2B C628507 9032412
23 Yuni Hidayati 3 PBI 24 th P R2A C634494 9032679
24 Mukhalali 3 PBI 13 th L Transit C640805 9034548
25 Mohammad Nur Solikin 3 um 24 th L Transit C640711 9034425
26 Febrian Resa Widayat 3 um 22 th L R2B C640865 9034683
27 Mita Kristia 3 NPBI 14 th P C1L1 C630493 8992369
28 Sunjoto 3 NPBI 48 th L R3B A551528 9007968
29 Tan Slamet Tano 1 NPBI 58 th L KPD L1 C559390 9013741
30 Lina Kristianti 1 NPBI 68 th P KPD LD C640229 9028538
31 Santoso 3 BPJS 51 th P GER LD C545458 9028511

32 Siti Kabsah 2 NPBI 60 th P KPD LD C636213 9035801
33 Muhamad Wildan Ajda 3 NPBI 3 th L Elang 1 C594482 9033524
34 Samiyah 2 NPBI 76 th P GER LD C640303 9031234
35 Ibrahim Riziq Alfarobbi VIP NPBI 5/2/2017 L GRD L3 C637420 9036306
36 Kardi 3 NPBI 15 th L C1LD C601892 9034635
37 Eko Purwanto 2 NPBI 29 th L MRK LD C626029 9030668
38 Nur Asykin 3 NPBI 53 th P P. Mata C633159
39 Jumirah Priv NPBI 58 th P P. GRD C639690
40 Djoko Sujono 1 NPBI 55 th L P. Mata C116890
41 Harwan 1 NPBI 68 th L P. Mata C280467
42 Jaliyah 3 PBI 51 th P R4B C640391 9030766
43 Munafiah 1 NPBI 39 th P KPD LD C630682 9034619
44 Leonora Flora Rebecca K 1 NPBI 71 th P MRK 1 C639070 9015785
45 Kustiyah 3 NPBI 38 th P R3A C636159 8999398
46 Tri Gunarni VIP NPBI 9/17/1967 P GRD L4 C637374 9036038
47 Yamini 3 PBI 55 th P R2A C598559 9038559
48 Sunardi 3 NPBI 48 th L R5A C487559 9015755
49 Moh Firman Maulana 3 PBI 12 th L C1LD C635215 9034538

50 Dimas Saputra 3 NPBI 1 th L C1LD C633519 9032549
M : NH,AR,AT,AD,ES,SR,IS RR : FA,IM,DY* MID : MY,SC RR GRD : RG MID : VQ ,NP SORE PROGRAM : EV,RK,
51 Ensial Winoto VIP NPBI 75 th L GRD L5 C538221 9034307
52 Taslitsa Laili Akmalia VIP NPBI 20th L GRD 5 C639598 9034278
53 Wahyu Pamungkas 3 NPBI 30th P R2B C620148 9038329
54 Sri Sumarni 3 JMD 56th P R2A C640895 9034870
CITO
55 Marini Winarti 3 um 28th P B31 C641024 9036696
56 Fatimah Azzahra IRINB PBI 1bl P GRD 6 C639924 9025171
57 Kusniyati 3 um 20th P B31 C641020 9036700
58 Anggraeni Marlita Sari 1 NPBI 32th P B31 C350842 9036991
59 Istiqomah 3 NPBI 38th P B31 C633682 9036474

60 Handoyo Mukti Nugroho 2 NPBI 12th L TRAN C640539 9030740
61 Emi Subiyanto 1 NPBI 52th P KTL C638808 9034386
62 Sugeng 3 PBI 55th L R1B C641023 9036692
63 Diah Kuniarti 3 PBI 36th P R3A C599186 9028128
64 Sutejo 3 PBI 55th L R2B B134414 9038310
65 Masiyo 3 PBI 81th L R2B C638377 9009226
66 Nurunnisa Novitna 3 NPBI 18th P B31 C641164 9038342

JAMINAN
PLH : YW,HR
1 Uwais Abid Ar Rasyid 3 NPBI 10 bl L Anak 1 C632978 9030583
2 Aisyah Novita Sari 3 PBI 18 th P R3A C637578 9030588
3 Noval Akbar Mahendra 1 NPBI 3 th L Transit C470742 9036671
4 Wenty Dwi Septiana 3 NPBI 26 th P R5B C507340 9030738
5 Suliyanto 3 JMK 43 th L R3B C638885 9030610
6 Sri Waluyo 2 NPBI 44 th L MRK D C640125 9028130
7 Tuginem Al Sunarsih 2 NPBI 54 th P KPD LD C638749 9030692
8 Siti Rochwati VIP NPBI 63 th P GRD L6 C136201 9026201
9 Sri Umi 3 NPBI 53 th P R2A C456822 9034586
10 Sunari 3 PBI 37 th L R2A C637405 9036554
11 Moh Zahuri 3 NPBI 42 th L R1B C638870 9036611
12 Suparno 3 PBI 63 th L R1B C635834 9032712

13 Nurul Kumariyatun 1 NPBI 66 th P MRK 1 C638052 9028017
14 Khairil Romza 2 NPBI 32 th P KPD LD C639227 9037908
15 Makhfudz 1 NPBI 54 th L KPD L1 C557958 9028099
16 Narto 3 NPBI 37 th L R1B C636473 9034664
M : RK,AT,AR,AD,VT,ES RR : FA,DY,MY,SE SORE PROGRAM : AN,AU,NI,BR,BY,DA,EA,HA*,JF,WI,MW,MK,ND,PL,S
17 Halimah VIP NPBI 43th P GRD 6 C378546 9038273
18 Sefina Febru Siswaka 3 NPBI 13th P C1LD C639769 9024643
19 Christian Dedy Wibowo 3 NPBI 21th L R1B C635869 9024543
CITO
20 Akhmad Ismanto 3 um 14th L C1L1 C641131 9038198
21 Sartono 3 NPBI 52th L R2B C641158 9038324
22 Amalia Fadilla VIP NPBI 33th P GRD 3 C413303 9038264
23 Darwanto 3 NPBI 40th L R2B C641177 9038598
24 Wasripah 3 NPBI 45th P R2A C641171 9038497
25 Najaikhah 2 NPBI 32th P B31 C539005 9036471
26 Prasetia Abdi Pratama 3 PBI 4hr L C1LD C617850 9030594
27 Najwa Khoirunnisa IRIN B NPBI 1th P PICU C605178 9038656

JAMINAN
1 Siti Nur Aisyah 3 NPBI 2 bln P C1LD C640175 9032753
M : RK,AN,BY,RE,BR,MW S : AU,ER,RG*,VQ*
2 Suliani VIP Um 51th P GRD 4 C632287 9038575
3 Tarsini VIP Um 51th P GRD 5 C640054 9038549

4 Fathimatuzzahra Ulya 3 NPBI 3th P C1L1 C640420 9034642
CITO
Novia Afriyani 2 NPBI 27th P B31 C640792 9034185

5
Arsanto Pudyo L 3 UM 35th L R1B C641232 9038719

6
7 Noviul Hidayah 3 PBI 23th P B31 C562259 8960729

JAMINAN
1 Tafrikan Lutfi 3 NPBI 16 th L C1L1 C006321 9030747
2 Sutamar 2 NPBI 61 th L KPD L1 C273137 9038712
3 Kustini 2 NPBI 43th P KPD D C521498 9038749
5 Surono 1 NPBI 59 th L KPD L1 A529241 9032636
6 R Lufi Hendra Pratiknya 3 PBI 38 th L R1B C488968 9033892
7 Kautsaroh 2 NPBI 32 th P KPD LD C637987 9036619
8 Fitri Nur Aini 2 NPBI 42 th P MRK LD C634425 9030678
9 Tasrip 3 NPBI 63 th L R3B C640299 9028485
10 Sobirin 2 NPBI 50 th L MRK LD C638828 9012246
11 Moch Rachim 2 NPBI 75 th L GER LD C639812 9030773
12 Amriti 3 NPBI 58 th P R3A C628488 9028113
13 Ali Nastain 3 NPBI 52 th L R2B C638256 9020240
14 Nurrochmah 3 NPBI 47 th P R2A C616431 9020410
15 Firdaus Gilang Saputra 3 PBI 9 bln L C1LD C632009 9034530
16 Jesica Olyvia 3 PBI 4bl P C1L1 C639304 9018201

17 Fitri Fudian 3 NPBI 38 th L R1B C639814 9024514
18 Dyah Lestari 2 NPBI 19 th P KPD L1 C445785 9038713
19 Hendra Wibowo 3 NPBI 63 th L Elang 1 C628251 9038519
20 V Sardju DRS 1 NPBI 64 th L KPD LD B204539 9030579
21 Sugiyati 1 NPBI 56 th P KPD LD C589037 9036623
22 Ikhman Riyadi 2 NPBI 40 th L KPD LD C611974 9036622
23 Dwi Winarto 2 NPBI 52 th L P. MTA C628469
24 Suramti 1 NPBI 60 th P P. MTA A526105
25 Khoiriyah 1 NPBI 64 th P P. MTA C636757

26 Martiani Susanti Priv NPBI 3/4/1948 P P. GRD C558851
27 Sri Pangesti Priv NPBI 2/26/1958 P P. GRD C601320
28 Benny Susanto Priv Um 5/1/1978 L P. GRD C594830
29 Rosalia Dwi Kartika P VIP NPBI 33 th P GRD L3 C038255 9035359
30 Indah Sri Windaryani 1 NPBI 37 th P MRK L2 C639665 9036586
31 Mohamad Junaedi 2 NPBI 46 th L Ger D C635789 9034648
32 Rudy Darmawan 2 NPBI 17 th L MRK LD C637884 9032727
33 Afif Zakaria Ahmad 3 NPBI 4 th L C1L1 C640249 9028124
M : NH,AN,AU,BY,RE,EA,MW RR : FA,IM,TR MID : SAM,ST RR GRD : JF MID : PS SORE PROGRAM : NO,WU,SF
34 Sudarno 3 NPBI 64 th L R2B C640128 9028133
35 Siti Sumirah 1 Um 42 th P MRK 2 C640279 9028476
36 Wawan Uliyono 2 NPBI 26 th L KPD LD C637369 9032273
37 Yuni Hidayati 3 NPBI 21th P R2A C634494 9032679
38 Bambang Sayekti Wibowo 3 PBI 59 th L R3B C629207 9034472
39 Umi Kulsum 3 PBI 37 th P R3A C637767 9036635
40
41 Sri Sunarsi VIP NPBI 57th P GRD 4 C314269 9030605

42 Indra Setiawan VIP NPBI 1/29/1993 L GRD L4 C640380 9038621
43 Eddy Susanto 3 PBI 29 th L R2B C640541 9030754
44 H Yusuf Effendi 2 NPBI 58 th L Elang 1 C640393 9030985
45 Denis Wisnu Firnanda 3 Um 8 th L Anak L1 C637878 9028150
46 Musiah IRIN PBI 77th P R1A B086777 9029235
47 Ersiah Winoto VIPA NPBI 1/31/1942 P GRD L5 C538221 9034307
48 Eddy Susanto 3 NPBI 29 th L R2B C640541 9030754
49 Harsoyo 2 NPBI 45th L IGD C640950 9040920
50 Indayati 3 PBI 55th P R6A C225065 9024552
CITO
51 Aisha Shakila Hakim 3 um 1hr P IGD C641267 9039936
52 Nooren Alzalea N 2 NPBI 4th P TRAN C641414 9040859
53 Tulis Setiadi 3 um 29th L R2B C641226 9038701
54 Yuniza Putri Irvina IRIN B JMD 2th P PICU C636669 8991325
55 Komariyah 3 PBI 41th P IGD C641450 9040972
56 Johan Kustyanto 1 NPBI 36th L MRK 1 C640999 9036672
57 Wiyono 1 NPBI 54th L KPD 1 C619763 9038613

58 Martini 3 NPBI 54th P IGD C641452 9041040
59 Amriti 3 NPBI 58 th P R3A C628488 9028113

JAMINAN
1 Karto Jaman 3 PBI 70 th L R1B C612373 9036652
2 Agung Bahtiar 2 NPBI 31 th L KPD LD C616924 9032664
Muhammad Akhsani Al
3 3 NPBI 1 th 2 bln L C1LD C619679 9038726
Fatih
4 Hari Sasongko, ST 2 NPBI 39 th L KPD LD C259690 9039065

5 Mahmudi 3 NPBI 49 th L R3B C623527 9025512
6 Amanah 3 NPBI 51 th P R3A C629268 9032708
7 Ngadinem 3 NPBI 56 th P R6A C591873 9034675
8 Sundari 2 NPBI 38 th P MRK LD C641153 9038338
9 Christiana Sugiarti 2 NPBI 40 th P KPD LD C635285 9036612
10 Tuti Hartati 3 NPBI 38 th P R3A C622254 9030652
11 Jose Marie Pelayo S 1 NPBI 32 th L Ger 1 C641275 9040043
12 Jumain 3 Um 1/2/1998 L R5A C640890 9036429
13 Bayu Andriyanto Wibowo 3 NPBI 26th L R6B C202602 9026590
14 Jonathan Krisna VIP NPBI 9/13/2006 L GRD L3 C639113 9039482
16 Sulhan 3 PBI 41 th L R1B C629424 9028024
17 Zaskia Annasya Faira 3 PBI 1 bln P C1L1 C637601 9034636
Muhammad Rafka Putra

18 3 NPBI 8 bln L C1L1 C639569 9032722
Jaelani
19 Mohamad Gunawan 3 NPBI 8 th L C1L1 C640898
20 Karwi 2 NPBI 66 th L GER LD C640266 9032631
21 Rustani 1 NPBI 68 th P KPD L1 C639949
22 Helmi Arifudin 3 NPBI 39 th L R3B C640374 9030732
23 Nihayatus Sholihah 3 NPBI 31 th P R4B C639536 9032692
24 Dimas Aji Maulana 3 PBI 20 th L R1B C640324 9028588
25 Rudi Sugiyarto 2 NPBI 25 th L Kenari C639937 9024956
26 Rusmiyati 3 PBI 62 th P R2A B279520 9034654
27 Siti Maslikha 2 NPBI 33 th P Elang 1 C639319 9017797
28 Zilda Anjelia Meela 3 PBI 9 th P Elang 1 C592118 9038707

29 Muhammad Nasrul Ilmi 3 NPBI 1 th 4 bln L C1L1 C639011 9036678
30 Suroto 3 NPBI 31 th L R3B C638306 9034674
31 Endri Fajar Bowo Leksono 3 NPBI 20 th L R2B C425488 9034669
32 Siti Maemonah 3 NPBI 68 th P P. Mata C640742
33 Sucipto 3 PBI 39 th L P. Mata C638218
34 Murtini 3 NPBI 56 th P P. Mata C511419

35 Sri Yanti 2 NPBI 58 th p P. Mata c508792
36 Pri Suhertin Puspitowa 1 NPBI 57 th P KPD L1 C484574 9038346
38 Nandana Adhyasta Abqiri 3 NPBI 2 th P C1L1 C639106 9026524
39 Istikomah 3 NPBI 46 th P R2A C585809 9028063
40 Nanang Kosim 3 NPBI 36 th L R3B C637232
41 Ni'matul Zahra 3 NPBI 9/4/2015 P C1LD C633666 9030729
42 Darwanto 3 NPBI 40 th L R2B C641177 9038598

44 Febrian Resa Widayat 3 Um 22 th L R2B C640865 9034683
M : NH,AU,SU,TR,VQ,EW,ANM RR : FA,IM,SR MID : SAM,ST RR GRD : JF MID : PL SORE PROGRAM : NO,SF*,W
45 Muhammad Edi 2 NPBI 34th L MRK D C636273 9040934
46 Naura Talita Ulfa 3 PBI 4th P C1L1 C641007 9038283
CITO
47 Doni Eko Saputro 3 BPJS 35th L R2B C641454 9041329
48 Septiana Tutuarima 3 Um 20th P R2A C641314 9041087
49 Yuli Sulistiyowati 3 JMD 37th P B31 C574234 9042951
50 Sumali IRINA+ NPBI 60th L GCU C641169 9038559
51 Sumarmi 1 NPBI 80th P KTL C641577 9043060

52 Yunita Novi Untari 3 PBI 21th P B31 C641592 9043050
53 Nur Afifah 2 NPBI 24th P B31 C641405 9041030

JAMINAN
1 Treas Sukmani Willy Ardi 2 NPBI 6 th P C1LD C640713 9034641
3 Sulistyono 2 Um 44 th L KPD L1 C641451
4 Tarsiti VIP um 9/8/1965 P GRD L5 C640054 9038549
5 Painem 2 NPBI 81 th P GER LD C628202 9036675
6 Samsuri 3 PBI 53 th L R5A C591137 9036599
8 Yaroh 3 NPBI 25 th P R4A C491091 9028114
9 Waseni 3 PBI 64 th P R3A C639817 9024377
10 Siti Khotimah 3 NPBI 37 th P R3A C608252 8999691
Johana Widhi
11 1 NPBI 45 th P KPD L1 C629770 9038308
Purwaningsih
12 Fiki Rosalia 3 Um 19 th P R2A C640555 9032628
13 Anasya Khoirun Nisak 3 JMD 16 hr P PBRT C640684 9034646
14 Muhamad Jafar Jamil 3 NPBI 9 th L Anak 1 C641127 9038382
15 Amalia Nur Arifin 3 NPBI 1/23/2017 P Anak D C622013 9036649
16 Sri Mulyani 3 PBI 3/13/2014 P Anak D C608023 9038336
17 Rochimah 2 NPBI 72 th P Ger D C638516 9009498
18 Ikhsani Zuhri 1 NPBI 18 th L MRK L2 C639987 9026462

19 Darwin 3 PBI 51 th L R1B C641027 9038495
20 Sutiyem 3 PBI 39 th P R2A C636823 9028057
21 Abrianto Pradonokusuma 1 NPBI 28 th L KPD L1 C641281 9040975
22 Fatimah Handiani Privat UM 56 th P Pol GRD C640888
23 Ratri Ade Hapsari IRIN A NPBI 22 th P R1A C640247 9028197
24 Atik Winarsih 3 PBI 24 th P R3A C571026 9036664
25 Titik Kadarwati 2 NPBI 57 th P Elang 1 C590261 9039814
26 Hasri Purwati 1 NPBI 63 th P KPD L1 C639954 9033240
27 Jawadi 3 NPBI 53 th L R2B C621661 9036576
28 Diah Mega Lestari 3 NPBI 18 th P R2A C640401 9038255
29 Ngatini 1 NPBI 55 th P MRK L1 C619494 9036668
30 Martiani Susanti Priv NPBI 3/4/1948 P P. GRD C558851

31 Putri Septiani Gusari Priv NPBI 9/27/1987 P P. GRD C641320
32 Hartono 3 NPBI 58 th L P. Mata C63330
33 Dino P 3 NPBI 31 th L P. Mata C640476
34 Tarmuji 3 PBI 54 th L P. Mata C513851
35 Sofi`i 3 NPBI 57 th L P. Mata C595497

36 Slamet Salikun Priv NPBI 12/30/1955 L P. GRD C636417
37 Anindita Rosenda H VIP NPBI 29 th P GRD L3 C581579 9038500
38 Srimah VIP NPBI 43 th P GRD L3 C640369 9038744
39 Nanang Kosim 3 PBI 36 th L R3B C637232 9030381
40 Muhamad Gunawan Satrio 3 NPBI 8 th L C1L1 C460898 9036396
41 Rangga Tegar Lingga 3 PLN 13 th L C1LD C641222 9038702
42 Sukardi 3 NPBI 51 th L R1B C640293 9028505
M : WU,EW,WI,ANM,TR,SU,MK RR : FA,IM,SR MID : SAM,ST RR GRD : WD MID : PL SORE PROGRAM : NO,SF*
43 Chaidir Syah 2 NPBI 73th L R6B C640251 9028270
44 Sumino 3 NPBI 60 th L R5A C368548 9024511
45 Fuad Arrasid Fitriyanto 3 NPBI 21 th L R2B C641478 9042042
CITO
46 Uslikha Aprisha Utami 2 NPBI 30th P B31 C639023 9042782
47 Dipwa Kusumowardanu IRINB PBI 2bl L PICU C641598 9043121
48 Soegito 3 PBI 62th L R2B C641608 9044207
49 Dita Ayu Indriyana 2 NPBI 20th P B31 C641599 9043092
50 Iwan Mardi Santoso 3 NPBI 20th L R1A C641672 9044789

JAMINAN
1 Edy Bungkus 3 NPBI 66 th L R6B C639950 9025868
3 Rasyiqul Abid 3 NPBI 5 bln L C1L1 C633564 9041069
4 Yusuf Maulana 3 PBI 1 th L C1L1 C617719 9035919
5 Umi Kulsum 3 NPBI 37 th P R3A C637767 9036635
6 Wusatini VIP NPBI 57 th P GRD L4 C628634 9036534
7 Kasmani 3 NPBI 67 th L R1B C641460 9041583
8 Darwin 3 PBI 51 th L R1B C641027 9038495
9 Sri Sutarlin 1 NPBI 57 th P MRK 2 B403017 9038425
10 Azril Rahandika Alfariq 3 NPBI 3 bln L C1L1 C639501 9041072
11 Diah Siti Lestari IRIN A NPBI 6/1/2017 P PBRT C641199 9038585
12 Althaf Amrullah Ibrahim 2 NPBI 1 th 4 bln L HCU C637493 8999461
13 Puji Rahayu 3 PBI 33 th P R3A C639978 9028111

14 Tarmin 3 NPBI 50 th L R3B C616706 9036940
15 Laila Muniati 3 PBI 10 th P C1LD C641382 9040925
Muhammad Afif
16 2 NPBI 10 th L C1LD C624755 9044474
Wicaksono
17 Yudhi Budianto 1 NPBI 63 th L KPD LD C605656 9030696
18 Sulistiyani 1 NPBI 57 th P KPD LD C588438 9034537
19 Rukayah Priv NPBI 8/24/1937 P P. GRD C632460
20 E Rini sukowati Priv NPBI 10/26/1973 P P. GRD C637799
21 E Rini sukowati Priv NPBI 5/1/1978 L P. GRD C594830
22 Yuliati VIP NPBI 30 th P GRD L4 C436049 9040903
23 Sri Djumikowarni 1 NPBI 57 th P GER L1 C624908 9038297
24 Rukayin 3 PBI 45 th L R1B C633659 8993441
M : WU,SE,NI,BD,DY,WI,RG RR : FA,IM,SR,SS MID : SAM,ST RR GRD : HA MID : PL SORE PROGRAM : NO,SF*
25 Nurul Azizah 1 um 16 th P Transit C641386 9040973
26 Mirna Nawi Butun 1 NPBI 60 th P MRK 1 C637692 9042315
27 Supardi 2 NPBI 7/5/1969 L Transit C641709 9044874
28 Sudirnya 3 PBI 61 th L R1B C641646 9044873
29 Slamet 1 NPBI 16 th L KPD 1 C641699 9044692
CITO
30 Soleh 2 NPBI 43th L KPD D C641681
9044919
31 Anik Muspiah 3 NPBI 32th P B31 C641722

9044889
Anang Trinanto Isti
32 3 um 26th L R2B C641721 9044878
Wibowo
33 Hani Sepya Astuti IRINB um 19 th P ICU C641737 9046131
34 Amanda Widiyastuti 3 NPBI 15th P C1LD C640394 9044770
35 Susatyo Pambudi IRINB NPBI 27th L R1A C556152 9046481
36 Vita Fatmawati 1 NPBI 32th P B31 C641680 9044629
37 Wulan Afifah 3 NPBI 20th P B31 C641864 9045535
38 Waryuni 3 NPBI 35th P B31 C641775 9046473

39 Dhea Ayus Widyastuti 3 PBI 15th P C1LD C641736 9044912
40 Athiyyatul Khusna 3 NPBI 5th P C1LD C641854 9046437
41 Ellif Susiani IRIN A NPBI 49th P ICU C641859 9046472
42 Munadliroh 3 PBI 26th P B31 C641867 9046551
JAMINAN
1 Heny Sukasih 3 NPBI 64th P GER D C641870 9046549
2 Soetono VIP NPBI 73th L GRD 6 C629162 9023933
3 Muhammad Khoerul Muna 3 NPBI 9th L C1LD C614765 9038538
4 Indra Sukanti VIP NPBI 51th P MRK 2 C640892 9034673
5 Amin Narni 2 NPBI 25th P MRK D C641839 9046583
6 M. Habli Khirsal Hikam 3 NPBI 7bl L C1LD C639827 9038311
7 Agnis Pramudyaningtyas VIP NPBI 30th P GRD 3 C634089 9046660
8 Yaroh 3 NPBI 25th P R4A C491091 9028114
9 Ahmad Huda Mustofa IRIN B NPBI 4hr L PICU C641695 9046569
Muhammad Ridho
10 3 NPBI 4th L C1L1 C635998 9046343
Maulana
11 Moch Rochim IRIN A NPBI 75th L HCU C639812 9030773
12 Sriwati 3 PBI 38th P R6A C641706 9045533
13 Mundakir IRIN B Um 66th L ICU C641923 9046753

JAMINAN
1 Hayik Layinah 3 PBI 18th P B31 C641933 9046783
2 Migiyawati 3 PBI P B31 C641927 9046777
3 Rudjito IRIN B JMD 66th L R1A C381792 9046734
4 Siti Zulaikhah 3 Um 31th P B31 C641886 9046598
5 Supanto IRN B Um 31th L R1A C641943 9046812
6 Febrian Resa Widayat 3 um 22th P R2B C640865 9034683
7 Fransisca Kurniawati 1 NPBI 42th P B31 C641875 9046585
8 Kaswati 3 PBI 28th P B31 C641887 9046601
9 Rupadi 2 PBI 42th L IGD C641938 9046792
10 Agus Dwi Purwanto VIP NPBI 44th L GRD 5 C555377 9018053
11 Desy Murwidyanti 2 NPBI 24th P B31 C641954 8046872
12 Maulana Akbar 3 PBI 11th L C1L1 C628627 9046906
13 Sri Sugiarti 2 NPBI 54th P KPD D C641793 9046538
14 Ghulam Haufanhazza Al IRIN A NPBI 2bl L PICU C641909 9046961

JAMINAN
1 Istirokah 3 PBI 34th P R4B C642015 9047003
2 Ari Murtiwi 2 NPBI 33th P B31 A572681 9046586
3 Eka Wahyu Saputra 2 um 14th L C1LD C641996 9046964
4 Adiba Khanza Fairus 3 NPBI 2bl P C1L1 C637467 8998128

5 Daminten 3 um 48th L R1A C642000 9047063
6 Muhammad Revandhika Z 3 um 1th L C1L1 C641942 9046820
7 Romelah 2 NPBI 62th P KPD D C518498 9046521
8 Jean Bangun 3 PBI 21th L R2B C642007 9047091
9 Mohamad Afrihan Syafiq 2 um 9th L IGD C642035 9047043
10 Andy Maryanto 1 um 23th L KPD 1 C641985 9047012
11 Sukati 3 NPBI 57th P R6A C641697 9044858
12 Nur Asiah 3 PBI 25th P B31 C642065 9047113
13 Muliyah 1 NPBI 55th P KPD 1 C641907 9046778

JAMINAN
1 Muhammad Zarkasyl 2 PBI L IGD C642063 9047104
2 Suwarni 2 PBI 51th P IGD C642084 9047150
3 Fidia Eka Pertiwi 2 NPBI 25th P B31 C593849 9046945
4 Rubaingah 1 NPBI 60th P MRK 2 C641916 9046795
5 Lutfi Nurul Hidayah 3 NPBI 24th L B31 C633360 9047119
6 Andrea F P 2 PBI 9th L IGD C642047 9047066
7 Sugiyatno 2 NPBI 52th P IGD C642078 9047140
8 Sulimin 2 NPBI 53th L IGD C642041 9047058
9 Imron Sumasidi 2 NPBI 48th L ICU C642036 9047259
10 Vita Martina 3 PBI 32th P B31 C637226 9045506
Muhammad Revandhika
11 3 um L C1L1 C641942 9046820
Zaidan
12 Agus Munir Rahmatullah 3 PBI 7th L C1LD C642068 9047114

13 Agus Supriyono 2 NPBI 41th L IGD C642038 9047048
14 Luwarti 2 um 69th P IGD C642119 9047248
JAMINAN
1 Ngaimah 3 PBI 37th P R2A C642190 9047495
2 Fatimah Ratna Febriyani 2 NPBI 30th P B31 C642165 9047377
3 Suwardi 2 NPBI 53th L IGD C642123 9047267
4 Desta Abdi Nugroho 1 um 12th L C1LD C642155 9047472
5 Sariyem 2 um 42th P B31 C641919 9047366
6 Darsono VIP 41th L GRD 5 C642070 9047167
7 Nur Aliyah 3 um 34th P B31 C642168 9047402
8 Ogya Reja Mahardika 1 NPBI 9th L C1LD C074531 9047286
9 Sunarso 1 um 50th L KPD 1 C642145 9047418
10 Erlangga Gilang 3 um 2th L C1LD C642181 9047537
11 Djuremi 2 um 61th L GER D C642192 9047568
12 Rusyati Wahyuningsih 2 NPBI 22th L B31 C642107 9047237
13 Feri Kurnianto 2 NPBI 27th L MRK D C485245 9046878

JAMINAN
1 Siti Ngatmini 2 NPBI 48th P IGD C642141 9047302
2 Wasis Listyo Harso 1 NPBI 58th L KTL C642173 9047479

3 Moch Randi R 3 PBI 12th L C1LD C641791 9046389
4 Giyanto 3 um 44th P R2B C642204 9047574
5 Siti Amanah 1 NPBI 31th P B31 C642239 9047615
7 Nararya Athaya Reyfa VIP NPBI L GRD 3 C630939 9047716
8 Kholidah 3 JMD 41th P B31 C398815 9046797
9 Rema Safira VIP um 24th P GRD 3 C642269 9047728
10 Susanne Widyastuti W IRIN A NPBI 53th P R1A C642276 9047773

JAMINAN
1 Kuntoro Bin Kastono 2 NPBI 43th L MRK D C641958 9046907
2 Ramualda Sri Wardjija VIP NPBI 32th P GRD 4 C203900 9045996
3 Maulifah 2 NPBI 51th L IGD C642127 9047273
4 Yuni Triani 3 um 42th P R2A C642210 9047597
5 Eviy Lutvatul Amaliyah 2 PBI 23th P IGD C642326 9047886
6 Mulyono 3 PBI 63th L HCU C642191 9047943
7 Ella Fauziyah 3 PBI 6th P HCU C641594 9043080
8 Wagiyo 3 PBI 59th L R2B C636955 9032750
9 By.Ny. Rofiah 3 PBI 8hr P PBRT C642033 9047046
10 Chamdan Abdul Wachid 1 NPBI 34th L MRK 1 C637108 9047945
11 Kasturi 3 PBI 42th P R2B C642334 9048003

JAMINAN
1 Neti Setyo Maharani VIP NPBI 35th P GRD 3 C577228 9048000
2 Solikin 3 PBI 59th L R2B C642130 9047330
Anastasia Hartanti
3 1 NPBI 54th P MRK 1 C455535 9047709
Wahyuni
4 Sumiati 3 PBI 38th P R3A C642167 9047536
Nararya Athaya
5 VIP NPBI 4th P GRD 3 C630939 9048044
Reyfaputra
6 Naim Maturohman 2 NPBI 31th P B31 C642378 9048088
7 Aditya Rizki Bimasatya 1 NPBI 3th L C1LD C642021 9047256
8 Adhesiar Omega Trisnor 1 NPBI 20th L MRK 1 C642296 9047814
9 Hafidz Abdul Majid 3 NPBI 1th L NICU C642372 9048030
10 Senah 3 um 39th P R2A C642355 9047975
11 Irfa'i 3 um 36th L R3B C642353 9047971
12 Misran 2 um 60th P KPD D C642246 9047741
13 Moh Sabiqul Umam 1 um 18th L MRK 1 C642083 9047257
14 Erty Sukarti 1 NPBI 71th P MRK 2 C458328 9047572
Muhammad Da'im
15 3 PBI 19th L R3B C641956 9046953
Tafrihan
16 Darmawan 3 NPBI 44th L R3B C620478 9046913
17 Zarotum 3 PBI 55th P R3A C642069 9047148

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AI
Abses Peritonsil Dx Tonsilektomi + Evakuasi Abses S,S RR √ EV,SA SA EV
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ S: EV SA
Polip Endometrium Multiple Histeroskopi Polipektomi KH HR √ DM DA
Defect Cranium Cranioplasty KH MTA √ YS TK
Bone Defect reg Temporal Cranioplasty KH AJ √ AE LW
Meningioma Cranioplasty KH AJ √
Mata Kanan Kiri Enteropion Mata Kanan Kiri Koreksi Enteropion B,B INA √ TW,AM AM TW
Laringomalasia LD S DAT √ AM TW
Laringoscopy Flaxible + ganti NGT Freka +

Ca Laring C DAT √ TW AM
Canul Trakea
Adeno Ca Sinonasal + Fistel Oronasal Maksilektomi Medial + Tutup Fistel KH,KH DAT √ RG DA
HNP L3 - 4, 4-5, 5- S4 Degeneratif Disc Percutaneus Disectomy + Neuroplasty Multi

KH,KH TRI A √ ANM MF AI
Desease Level + Foraminal Multi Level
RSK + SD + RA FESS + SR + Konka Reduksi KH,B,S RH √ EM,DN* DN EM
Mata Kiri Susp ODNL Kongenital Mata Kiri Endo DCR + Silicon Tube KH INA √
FESS 1 KH RH √
Mata Kiri RRD Mata Kiri Vitrectomy + EL + SO KH AW √ DI,TU DI
Mata Kiri Vx + Seconder Implant +

Mata Kiri Afakia + Lensa Drop KH,KH AW √ S: DI
Endofragmen
Mata Kanan Retinal Detachment Mata Kanan Vitrektomi + EL + Gas KH AW √ DI
Mata Kanan Ablatio Retina Mata Kanan SB + Vix + EL + C3F8 KH AW √ DI DY
Hidrocephalus VP Shunt MP GK LW,EA
Epilepsi Craniotomi Mikro Bedah Epilepsi KH ZM √ LW EA
Meningioma Craniotomi DP S:
Ganti Sendi Partial (Hemiartroplasty

Avaskular Nekrosis Caput Humerus Sin KH DRY √ DY*,RA RA DY
Shoulder Sin)
CTEV Post ORIF + Gips Aff Implant B DRY √ RA DJ
RCT Dextra Arthroscopy RC Rekonstruksi k/p Open DID

,VT,MW*,MF,YS
Susp Massa Paru Sin Broncoscopy KH Sofian √ MW
Meningioma Craniotomi Dasar Tengkorak KH DP √ TK YS
ORIF Fr Femur + ORIF Fr Tibia (ORIF

Fr Tibia Dex 1/3 tgh ttp KH,KH APR √
Multiple Fraktur)
Fr Radius sin 1/3 tgh ttp ORIF Fr Galeasi KH APR √
G3P2A0, Hml 41mg, Bekas SC SCTP B OP √
Combustio 30% ec Listrik Nekrosis

Amputasi Above Elbow Dex et Sin S,S PJ √ DB NO
Antebrachii Dex et Sin
Fr impresi Temporal Kiri Koreksi Fr Imfresi Komlikata KH AJ √ DJ
Apendicitis Peforasi Laparatomi Apendictomi KH MM √
CKD Pasang Double Lumen K ALI √ NH
Apendicitis Kronis Laparascopy Appendiktomi KH MG √ RE DN
Efusi Pericardial Thoracotomi Pericardial Window KH ALI √ NI NH
Hidrocephalus VP Shunt KH MTA √ DA NI
Mola Hidatidosa Kuretase K OP √ RE MF
Abses Cerebelum Craniotomi Dasar Tengkorak KH MTA √ AD AR

DPJP OPERATOR
OPERATOR RILL
Circulating
DIAGNOSA TINDAKAN PERAWAT instrumen
SL,HE, DJ,
S : WU,RK,RE
DY,VQ
Hipospadia Tp Penoscrotal Post Uretroplasty

Re Uretroplasty KH ADS √ EV,AU AU EV
1 th yll
Massa VU, Hematuria Sistoskopi S ADS √ S : ER,DM EV AU
Retensi Urin Sistoscopy ADS
Nefrolithiasis Dextra Nefrolitotomi Dex + Pasang DJ Stent Dex KH,B ADS √ EV AU
Mata Kanan Proptosis d.d Lifoma susp

Mata Kanan Orbitotomi Anterior + Biopsi KH TL √ AI,AO DW AO,AI
Selulitis orbita + Massa Sinonasal
Maksiliktomi Medial KH DAT √
Kuret Granulasi CAE Kiri + Eksisi Luas

Otitis Eksterna Maligna S,B ZUL √ DM MW
Liang Telinga
Atroscopy + Release Kontraktur +
ACL Ankle + Stiffnus Knee S,S,S DID √ DM MW
Debridment
Mata kanan kiri Retinal Detachment + Mata
Mata kanan Phaco + IOL RF YW,TU*,MK
Kanan KSI
Mata kanan kiri POAG, Mata kiri KSI Mata Kiri Phacoemulsifikasi + IOL FI S : TR
Mata kiri PACG + KSI Mata kiri triple Procedure MR
Mata kanan kiri pseudofakia + High
Mata kanan buka jahitan WIS
Astigmatisma
Mata Kanan Missed Calculated IOL Mata kanan IOL Exchange WIS
Mata kiri Afakia Mata kiri Secondary Implant + Iris Clip WIS
Efusi Pleura WSD S FTR √
Efusi Pleura Dextra WSD S FTR √
NOS + Ascites Susp Kista Hepar Laparatomi Explorasi KH INU √ TW,NI NI TW
Laparatomi Excisi Tumor Besar Abdoment KH ERI √
NOK c/ Ganas Surgical Staging + FS KH EN √ S : TK ES
Apendiktomi S ERI √
Cholelithiasis Laparascopy Cholesistektomi KH ERI √
Hernia Umbilical Residif Laparatomi Repair Hernia Incisional + Mesh KH,B ERI √ NI TW
Appendicitis Kronis Laparascopy Appendictomy KH MM √ TD,BD BD TD
Ascites Masif c/ Serosis Hepatis Incisi Drainase S MG √ S :ES TD BD

Ikterik Obstruktif ec Tumor Duodenum Whiple Procedure k/p By Pass MG
Fistel Perianal Fistulotomi + Debridment S,S ERI √ SU GI
STT Femur Sin c/ Ganas Wide Eksisi + Rekonstruksi B,KH DH √ AZ,TM,ID TM ID
SNNT Sin c/ Ganas Ishmolobektomi Sin + FS KH UUD √ S :MY,MF MY MF
Eksisi Mammae + Eksisi Roux + Eksisi B,B,B, AZ,

SMNT Bilateral, STT UUD √ TM,MF
Masoid + FS ganas Total Parotidectomy + KH MY
AZ,
Tumor Parotis Sin c/ Ganas Superficial Parotidectomi + FS B UUD √ TM,MF
MY
BCC Regio Nasal Pasca Ekstirpasi Rekonstruksi Pasca Keganasan KH NJT √ TA,RA RA TA
Rekonstruksi Fr Wajah Kompleks +

Fr Corpus Sin Mandibula KH,KH PJ √ S : YS TA RA
Rekontruksi Bibir
Ulkus Dekubitus Debridement S ALI √ YS MF
Selulitis Wrist Joint Distal Debridement S ALI √ YS MF
Mata Kanan Ekstraksi Lensa + PI + IOL +

Mata Kanan Katarak Traumatika KH LN √ NK,HR NK HR
Vitrectomi Anterior + Sinikiektomi
Mata kanan Total Retinal Detachment Mata kanan Vitrektomi + EL + SO + MP KH AL √ HR NK

Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ S : HA HR NK
Komplikata
Mata Kanan Pseudofakia + RRD, Mata Kiri

Mata Kanan Vitrektomi + EL + SO KH AL √
Glaukoma Absolut ( HBSAg + )
Mata kiri Katarak Traumatika + Iridoreksis Mata Kiri Ekstraksi Lensa + Jahit Iris B RF √ MK
HNP Laminektomi KH ZM √ LW,SF SF LW
Fiksasi Internal + Fusi Posterior KH AJ √
S : SA,SU
Laminektomi Decompresi + Internal Fiksasi
Fr. Kompresi Vertebra L 5, Canal Stenosis KH,KH APR √ PR,AP AP PR
Fusi
Plexus Brachialis Injury Sin Rekontruksi Fr Tulang wajah KH RZ √ S : AN SU AN
Neuroplasty KH DRY √
OA Genu Dx TKR Dx KH BIN √ RG AN
Osteosarcoma Femur Sinistra Amputasi Above Knee KH BIN √ SA
EN,MA,DI, EN,
VSD VSD Closure BJ.04 WW √ MA
BP,SS,IM DI
PDA Ligasi PDA BJ.05 SF √ WI TK
TAH + BSO + Omentektomi + Adhesiolisis +

NOK dg Bagian Padat KH,S,S EW √ NP,WD,PL NP WD
FS
Parsial Ooforectomi Sin + Salpingostomi
NOK B,B,S VG √ WD NP
Dex + Adhesiolisis + FS
Reseksi Uteri / Adenomiomektomi Luas +
Adenomiosis B,KH HR √ AL,AM*,DN DN AL,AM
Adhesiolisis
UDT Bilateral Orchidopexy Bilateral S,S EDW √ AH,RI* AH RI
PSARP Failure, MAR on Kolostomi Re-PSARP KH RR √ RI AH
Ca Mamae Diseksi Axilla Dex KH YAN √ GI,SE* PL SE

SMNT Sin c/ Ganas KH,KH YAN √ SE PL
Tiroidektomi
RR GRD :SR, EA SORE PROGRAM : WU,RK,SA*,AN*,RE,DA*,DM,TK,VT,YN,ER,ES,HA,MY,JF,WI,MW,MF,YS,SU,TR ALAT : PUR,CA ( S: YN )
OME Telinga Kiri Insersi Gromet S AYU √ ER MW
Nekrosis Digiti II - IV Manus Dextra Amputasi B BIN √ SA
Dislokasi Elbow Joint Reposisi Tertutup + Gips S APR √ AP PR
SC B ER √ Gatot AM AL,DN
G3P2A0 Bekas SC SC + MOW B ER √ Arsita AM DN,AL
Mata Kiri Vitrektomi + Endolaser + Explorasi

Mata Kiri Vitreus Hemorage KH AL √ MK JF
IOL
Molahidatidosa Bleding ec DVR Kueretase S DC √ ER MW
P3A0 Ingin Steril MOW S PS √
Ulkus Digiti Pedis sin Amputasi Jari i Pedis Sin + Osteotomi B,S AS √ DA NH
Nekrosis Digiti IV Pedis Amputasi Jari IV Pedis Dex + Osteotomi B,S AS √ UM NH
Ganggren Dig I Pedis Dex Multiple Amputasi Jari Pedis Sin B AS √ AD NH

Mata Kanan Primary Angle Glaukoma +
Mata Kanan Trabekulektomi B MR √
Pseudofakia
Mata Kanan EKIK + Vitrektomi Anterior S,B RF √ MK JF
Glaukoma Sekunder
G2P1A0 SCTP B TF √ Gatot DJ VQ

CKD Pasang DL K ALI √ VQ DJ
Incisi Drainase Abses B RR √ VQ SL
Hell Obstruktid Partal + Tumor Intra

Laparatomi Explorasi + Iloestomi KH MG √ RK
Abdoment
CKD Pasang CVC KH ALI √ RK RE
Ileus Obstruktif ec Tumor Recti Sigmoid Laparatomi Explorasi + Colostomi KH MM √ RE TK
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
LW,HR,AU,
PLH : AH,AP EW, RM,MK,
SR, TM
PINDAHAN OK GRD BERSIH 2 OK

NK,YW,TR,VQ,NP,AL,WD,AM 1 : AO,IM 5 : TD,BD 9 : SF, YN
ANEST : HE,BP,YR,SC 2 : AI, DW 6 : AZ,ID 10 : PR,PL
MEJA OP : AS,SL,SS 4 : TW,RI 7 : TA,SE JT : EN,MA
DS : GN,AY,US,MR
IM,
Ca Sinonasal + Mata Kiri Proptosis Maksilektomi Medial KH WY √ AN
SU
Mata Kiri Oebitotomi Anterior + Biopsi KH TL √
MAR Tanpa Fistel Post Kolostomi PSARP KH PTY √ YS EA
Adeno Ca Endometrium IA Surgical Staging KH MZ √ RE TW RE
Spondilitis Lumbalis Laminectomy Lumbalis KH AJ √ SA,DY SA VQ

Fusi Posterior Terbuka KH MTA √
ROGRAM : RK,ER,AN,SA,SU,RE,DY,ES,JF,WI,YS ALAT : PUR,CA ( S: YN )
G1P0A0, Graves Disease SCTP + IUD B IN √ Arsita
G1P0A0, Hml 32mg, HELP Sydrum, SCTP B IN √ Gatot UM NH
Obstruksi Colon Dex Laparatomi Explorasi + Colostomi KH ERI √ BY AD,RG
GPA SCTP + Adhesiolisis B,S ER √ Arsita II HR
Abses Submandibula Kanan Odontectomi 2 rhanag dg Penyulit KH RP √ RM LW,ER

Incisi Drainase Abses B DAT √
G3P1A1, Hml 37mg, Gemeli SCTP Gemeli Dengan Penyulit KH DC √ Arsita
MK,
Post AV Shunt Explorasi Ruptur a. Radialis Sin KH ALI √ TM
AU
Corpal Biji Kluwih Esofaguscopy B DAT √ AU SR
Invaginasi dd/ Tumor Laparatomi Explorasi Eksisi Tumor + Biopsi KH PTY √ MK RM,ER
GPA SCTP + MOW B IN √ Adhie JF ER
G1P0A0, HML 34MG, IUFD SCTP B PS √ Gatot SU YS,DY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AY,AG,
NI,BR,WU,
HI,MY,ANM,
PL, WD

Mata Kanan Vx + EL KH AW √ AG,WD AG WD
Retinopathy High Risk
Nekrotomi + Pelepasan Sinekia Konka ANM,S

B,S DAT √ NI
Media Kanan U
TAH + SOS + Omentectomi + KH,B,B
Granulosa ec Tumor Ovarii EW √ SU AY
Limfadenectomi Pelvis Bilat ,S
Percutanius Disectomi + Discography +
HNP L3-4, 4-5 KH,KH TRI A √ RM ANM
Neuroplasty
HNP Rhizotomi + Neuroplasty KH,KH TRI A √ RM ANM
Mata Kanan SB + Vx + C3F8 KH AW √ AG WD
Meningioma Spheno Orbita sin Craniotomi dasar tengkorak KH ER √ BR MY
Hidrocephalus VP Shunt KH GK √ HI AY
Bone Defect Frontal Sin Cranioplasty KH GK √
Laparatomi explorasi Releas Hermasi +

Ileus Obstruktif KH,KH MG √ NI
Herniorafi + Apendiktomi
Ileus Obstruktif Laparatomi Eksplorasi + Ileostomi KH ERI √ WI VQ

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,SE,IS,
S : NO,AY, EA
DJ*
Hidronefrosis + Nefrolithiasis URS Dx et Sin + Pasang DJ Stent Dex KH,B ADS √ EV,AO,ID EM EV,AO
Percutaneus Nefrolithotomi D + Pasang DJ

Nefrolithiasis Dx KH,B ADS √ S : AU AO EV,EM
Stent D
Pasca Transplantasi Ginjal dg CAPD Aff CAPD S ADS √ DA
Papiloma Laring LD + Eksterpasi Massa S,S DAT √ AI,EM,YN
Fr Femur Dx 1/3 Prox ORIF Femur Dex KH DID √
Nefrolithiasis Dx + Ca Buli Re-PCN Dx + Nefrostomi KH,KH MAS √ AG DM, DJ
CKD Pasang Double Lumen Longterm K WW √
NOK c/ Ganas Surgical Staging + FS KH EN √ TW,NI TW NI

Apendiktomi S ERI √
NOK Kistectomi Bilat + Adhesiolisis + FS KH,S INU √ S : DA DA
Hernia Inguinalis Sin Residif Hernia Repair + Mesh B MM √ TD,RE* RA TD
Post Colostomy Laparatomi Anastomosis Colon KH MM √ S : TM TW RI
Cholelithiasis Laparoscopy Cholesistektomi KH ERI √ DA DJ
Laparatomi Hemicolektomi Dex +

Tumor Colon Ascenden KH,KH ERI √ TM
Anastomose E to E
Hepatomegali + Nodul Laparoscopy Biopsi ERI
Laparoscopy Biopsi + Drainase Abses

Multiple Nodul Hepar (Hbs Ag +) KH ERI √
Hepar
STT Reg Thorax Anterior Insisi Biopsi S BIS AZ,DN DN AZ
Tumor Rongga Mulut C/ Ganas Eksisi Biopsi KGB Colli BIS S : RM

SNNT c/ Ganas KH UUD √ DN AZ
Tiroidektomi
SMNT c/ Ganas + Stenosis Esofagus Isthmolobektomi + FS KH UUD √ AZ AR

Feeding Yeyunustomi KH ERI √
Ulkus Kronis reg calcaneus dex c/

Eksisi + Limfadenektomi + FS B,S UUD √ TA,ES* ES TA
malignansi
Free Flap KH PJ √ S : ANM
Hernia Umbilikalis Post Repair Omphalocele Abdominoplasty KH RR √ ET,BR,MY BR ET,MY
Tumor Hepar C/ Hepatoblastoma Biopsi RR S :HI,VQ

NOK Debulking Ovarii + FS KH EW √ ET BR
LW,SF
S :AT
Fr collum humeri sin ORIF Calaneus + Debridment KH,B APR √ PR,AP AP PR
Plexus Brachialis Injury Dextra Neurotisasi Tahap 1 KH DRY √ S : AG PR AP
Repair Vaskuler KH WW √
Fr. Collum Humeri Sinistra ORIF KH BIN √ HI
HI,
Dislokasi Posterior Hip Joint Revisi THR Dx KH BIN √ DI
AN
EN,MA,WI EM,
MI + AI MVR + AVR BJ.08 SF √ WI
BP,SS,AS MA
S : BD,DM
Mata Kanan APAC, Mata Kiri PACG +
Mata Kanan Trabekulektomi B MR √ YW,HA,RI HA YW,RI
Katarak Senilis Imatur
Mata Kanan Vitrektomi Eye + SO Filled Eye
Mata Kanan Evakuasi SO KH AL √ NK,HR HE NK
+ Glaukoma Sekunder
S:
Retinopathy + Mata Kanan Tractional Retinal Mata Kanan Vitrectomy + EL KH AL √ HR NK
DI,TU,MK
Detachment
Mata Kiri Katarak Komplikata + SO Filled
Mata Kiri Phaco + IOL + Evakuasi SO KH,KH AL √ HA NK,HR
Eye
Mata Kanan Kiri Subluksasi Lensa ec Marfan Mata Kanan EKIK + IOL (Iris Clip) + Vx
KH,S RF √ DI
Syndrome Anterior
Mioma Uteri TAH + BSO + Adhesiolisis KH,B BES √ NP,AM,WD AM NP,
Mioma Uteri + Heavy Menstruasi Bleeding Adenomyomektomi B TF √ PL AF
Mata kanan Glaukoma Sekunder Mata kanan Cyclocryoterapi B MR √
TMS Eksisi Biopsi S YAN √ AL,TR TR AL
SMNT c/ Ganas Subtotal Tiroidektomi + FS, Ganas - TT KH,KH UUD √ AL TR
Osteomyelitis Mandibula Pasca ORIF Debridement + Lepas Plate + Screw B,S RZ √ AH,AF*,PL
RR GRD : WU,PS SORE PROGRAM : NO,AY,AR*,AU,AG,AT*,BD,DA,DM,DI,EA,HI,TU,MR,ANM*,MK,RM,SC,TM,VQ ALAT : PUR,CA ( S: DW )
Meningioma Craniotomi Mikro Ds Tengkorak KH DP √
Spondilosis Laminektomi Kompleks KH HY √ VQ SC

Adenohipofise Transphenoid KH MTA √ AG AT
Fr Fissure Intercondyler Humeri Sinistra Pemasangan Gips S DRY √ AP ER
Efusi Pleura Dex Pasang WSD S ALI √ IS RA,DJ
Ca Laring Pasang NGT Freka KH DAT √ ER RA
G5P2A1, Hml 38mg, Impartu Kala II , Partus

SCTP B BE Gatot MW
Macet
G2P1A0, Hml 28mg, SCTP B JD √ Adhie IS SL
Efusi Pleura Dex Pasang WSD S ALI √ IS RA,DJ
Embolektomi + Pasang Jalur Vena Secti
Emboli Arteri KH,KH WW √ AE AY
(CVC)
G2P1A0, Hml 40mg, Partus Tak Maju SCTP B IN √ Gatot EA AY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,II,HE,IS,
S : NO,AY, EA
DJ
Hipospadia Uretroplasty ADS EV,AO,ID
HN e.c Ca cervix URS D + DJ Stent D KH,B MAS √ AO EV
OMSK Kiri Thympanoplasty Kiri KH PW √ S : AU EV AO
Efusi Pleura Dextra Loculated Thorakotomi Explorasi Decortikasi KH ALI √ AU TM
Mata Kanan Silikon Tube + Probing + Eksisi

Mata Kanan Ateroma dd/ Dacryosistocele K,S INA √ AI,EM,ND ND AI,EM
Tumor + Biopsi + PA
FESS I + Konka Reduksi KH,S RH √
Mata Kanan Anofthalmia, Lagofthalmos ec

Mata Kanan Rekonstruksi Palpebra KH INA √ S : AR AI ND,EM
Traumatik
Compartement Syndrome post fasciotomi Amputasi Above Knee + Embolektomi S,KH AS √ ANM RM
Radikal Histerektomi + Adhesiolisis + BSO KH,KH

Ca Cervix EW √ TW,YN TW ES,YN
+ Omentectomi + Biopsi Peritonium + FS ,S,K
KH,KH
Endometrioid Ca Endometrium St II Klinis TAH + BSO + Limfadenectomi Pelvis Bilat EW √ S : SE TW ES,YN
,B
Cholecystitis, Cholesistolithiasis Cholecystectomy B MM √ TD,RE RA TD
Multiple Cholelithiasis Laparoscopy Cholesistectomy KH ERI √ S : TM TD RI
Septik Arthritis Genu Sin Debridement + Kultur Jaringan BIN
Ca Papilary Thyroid Completion TT KH BIS √ AZ*,DN DN AZ
Subtotal Thyroidectomi + FS ganas - Total

SMNT c/ Ganas T4NoMo KH,KH DWT √ AZ DN
Tiroidektomi
EM,
Ca Mamae Sin Gr III Wide Eksisi + Diseksi Axilla B,KH UUD √ S : RM AI
AR
Ulkus Granulosum Cruris Pedis Sin Amputasi Above Knee KH NJT √ TA,AD AD TA
Ulkus Tranfesus Debridement PJ

Fr Mandibula KH,B PJ √ S : ANM ANM AD
Eksterpasi gigi
Megacolon Kongenital TAPT RR ET,BR,MY
Neuralgia Trigeminal Dx Craniotomi Dasar Tengkorak KH DP √ S : AG,AT BR ET,MY
Meningioma Tuberculum Selae Craniotomi Dasar Tengkorak KH ZM √ LW*,SF LW SF
S :BY
Paraparese ec Lumbal Stenosis Vth 11-12 KH,KH APR √ PR,AP AP PR
Fusi
Fr Femur Sin, Fr Ulna Sin, Fr Radius Sin Multiple Fr Tulang Panjang -ORIF KH DRY √ S : HI SE TM
Arthroscopy + Debridment + Anomion HI,

Dislokasi Gleno Humeral S,S,KH DID √ DA
Decompresi + Repair Rotation Cutf DM
BJ,09 EN,MA,WI WI,
ASD II L-R Shunt Repair Katup Tricuspid + ASD Closure WW √ MA
BJ,03 BP,SS,AS EN
PDA 4 mm Ligasi PDA BJ.05 WW √ S : BD,NI BD NI
Mata Kanan Afakia + Glaukoma Sekunder + Mata Kanan Vitrektomi + Endofragment +

KH,KH AL √ NK,HR HR NK
Lens Drop Sekunder Implant
Mata Kanan Glaukoma Neovaskular Mata Kanan Cyclocryoterapi S MR √ NK HR
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √
Mata Kanan KSI, Mata Kiri Leukoma Kornea Mata Kanan ECCE + IOL RF YW,HA,RI
Mata Kiri Subluksasi Lensa + Glaukoma S:

Mata Kiri EKEK + Vitrectomi Anterior + PI KH,S WIS √
Sekunder DI,TU,MK
Mata Kanan Pseudofakia + Phimosis
Mata Kanan Kapsulotomi Anterior WIS
Capsula Anterior
Mata Kanan Kiri Injeksi Steroid
Mata Kanan Kiri Grave, Opthalmopati Triamcinolone Acetat Sub Muller + TL
Peribulber
NOS c/ Ganas, NOK TAH + BSO + Omentectomi + FS KH,B,S INU √ AF,AM AM AF

Repair Laserasi Sigmoid KH ERI √
Mioma Uteri TAH KH AF √ AF AM

SNNT Total Tiroidektomi KH YAN √ AL,TR*,MF MF AL,TR
Hemimandibulektomi Dex + Rekonstruksi
Curiga Ameloblastoma KH,KH YAN TR AL,MF
Plate & Screw
Ektima Gangrenosa Debridement + STSG KH ETH √ AH,PL PL AH
Ulkus Granulosum Gluteal Debridement + STSG KH RZ √ AH PL
Ulkus Granulosum Femur s/d Cruris Dx et

Debridement + STSG KH RZ √
Sin
RR GRD :PM MID : YS SORE PROGRAM : NO,WU,AY*,AR,AG,NI,AT,BR*,BY,DI,HI,TU,MR,ANM,MK*,RG,RM,TW,WD ALAT : PUR,CA ( S: DW )
Osteosarcoma Amputasi Trans Femoral KH APR √
Spondilosis Lumbalis Laminektomi Komplex KH HY √ AT AG
Mata Kanan glaukoma Sekunder Mata Kanan Cyclocryoterapi S MR √ TU MK
Multiple Renal Cyst Pasang DJ Stent + Ureteroscopy RPG B,S MAS √ AO EV
SNH dgn Ohesi Pasang CVC KH WW √ AY EA

SA,
G3A0 Perdarahan Post Partum TAH KH PS √ RK
DY,SU
Myastenia Stenosis Pemasangan Double Lumen KH HA √ II SE

Peritonitis Generalisata KH ERI √ SE II
Draniage Abses
G3P2A0, Bekas SC SCTP + MOW dg Penyulit KH JD √ Arsita HE SL
G4P1A2, Hml 35mg, Plasenta Previa Totalis SCTP + MOW B JD Gatot DJ HE
Eksplorasi Perdarahan + Uvulopalato

Epistaksis Masif c/ Angiofibroma B,B DAT √ II SC
Faringoplasty
Fr Radius Dex ttp NK ORIF KH BIN √ ST PM,IM
CKD Pasang CVC KH WA √
G3P1A1, PEB, KPD SCTP + MOW dg Penyulit KH JD √ Gatot SA NH,DY
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,II,HE,SE ,
S : NO, WU, NI
IS
Hipospadia Release Chordae + Uretroplasty B,KH ADS √ EV,AO,ID AO EV,ID
Ca Cervix, CKD, Hidronefrosis Dx Nefrostomy Dx Open KH ADS √ S : WD EV AD,ID
Hidronefrosis + Hidroureter Bilateral Pasang DJ Stent Duplex B ADS √ AO EV,ID
Prostat Enlargement + Tumor Buli TUR Buli KH ADS √ WD AR
Hidropneumothorax Sinistra Thoracoplasty II KH ALI √ WD RG
Excisi Teratoma Sacrococygeal +

Massa Sacro Ileococcygeal dd/ Teratoma KH EDW √ AI*,YN* YN AI
Rekontruksi
Megacolon Kongenital TAPT KH RR √ S : AR YN AI
OMSK Simple Mastoidectomi + Thympanoplasty B,KH ZUL √ AG AT
OMSK Kiri dg Kolesteatom Tympanoplasty Kiri KH PW √
Myelopathy Lumbal + HNP Percutanius Disectomy + Neuroplasty KH,KH TRI A √ ND
Susp Ca Ovarii, DM, Hipertensi Laparatomi Debulking KH EN √ EM,ES ES EM

Uterus Miomatus, Adenomiosis TAH + Adhesiolisis KH,S EW √ S : TW
Rhinosinusitis dg Septum Deviasi FESS + SR DAT
Ca Sinonasal Infiltrasi Maksilektomi Medial KH WY √ TW DJ
Cholelithiasis Laparoscopy Cholecystectomy KH JS √ TD,RE MY TD
Infiltrat Abdomen Laparoscopy Explorasi k/p Laparatomi PB S : RG
Prolong ET Traceostomi + LD S,S DAT √ IS II
Abses Paru Thoracotomy Lobektomi KH WW √ MY TD
ILC Gr III Wide Excisi + Diseksi Axilla B,KH BIS AZ,DN AZ DN
SMNT c/ Ganas T3N1Mo Total Thyroidectomi + FS KH DH S : RM DN AZ
Tumor Mamae Dx Wide Eksisi + FS B DWT √ TD MY
Fr. Tulang Wajah Rekonstruksi Fr. Tulang Wajah Kompleks KH NJT √
Ulkus DM Reg Pedis Sin Debridement B ETH √ TA,AD* AD TA
Luka Bakar 17% Debridement Luka Bakar KH ETH √ S : ANM AD TA
Rekonstruksi Fr Wajah Kompleks + Eksisi

Pan Facial Fr KH,B PJ √ ANM DJ
Granuloma bibir
Tumor Intradura Extra Medular d.d Kista Bedah Mikro Tumor Medula Spinal KH HY √ ET,UM UM ET
Laminiktomi Kompleks KH AJ √ S : AG,AT
Meningioma Tentorium Craniotomi Dasar Tengkorak KH DP √ LW,SF SF LW
Schwanoma VC 2-3 Bedah Mikro MS + Laminectomy HY + AJ S : BY,BR
Fr Interthrocanter Femur Sin ORIF Shaft Femur KH DRY √ PR,AP
HI,
Arthritis Genu Dx et Sin Arthroscopy Debridment S,S DID √ S : HI PR
AP
ORIF Fr Femur Sin + Fr Tibia Dex + Fr KH,KH

Multiple Fraktur BIN √ VQ PS
Collum Femur Dex ,KH
EN,MA,WI EN,
MS Severe, AS Severe, AR Mild MVRepair + AVRepair BJ.08 SF √ WI
BP,SS,AS MA
Tumor Mediastinum Sternotomi Eksplorasi Angkat Tumor KH SF √ S : BD,NI
Mata Kanan Kiri Katarak Kongenital ec Mata Kanan Ekstraksi Katarak + PPC + PI +
KH LN √ NK,HR* NK HR
Rubella Syndrome IOL+ Vx Anterior
Mata Kanan Ablatio Retina dd/ RRD dengan
Mata Kanan Vitrectomi + EL + SF6 KH AL √ HR NK
Makula on
Mata Kiri Ablatio Retina + Susp Endoftalmitis Mata Kiri Vitrektomi + EL + Inj. AB
KH,S AL √ DI HR
dd/ VH Intravitreal (Vancomicin dan Ceftazidim)
Mata Kanan Evakuasi SO + Secondary

Mata Kanan SO Filled Eye + Afakia KH,KH AL √ HR NK
Implant (Iris Fixasi IOL)
Mata Kanan Buka Jahitan, Mata Kiri Phaco
Mata Kanan Pseudofakia, Mata Kiri KSI RF YW,HA,RI
+ IOL
S:
Mata Kanan Kiri Glaukoma Sekunder +KSI Mata Kiri Phaco + IOL KH WIS √ HA YW
DI,TU,MK
Mata Kanan Pseudofakia, Mata Kiri KSI Mata Kanan Reposisi IOL WIS
Mata Kanan Evaluasi IOL + Iris Fixasi (iris
Mata Kanan Dislokasi IOL AL
clip)
Mata Kiri Katarak Senilis Imatur + High
Miopia
Mata Kanan PACG + KSI Mata Kanan Phaco + IOL MR
Mata Kanan Kiri PACG, Mata Kanan Katarak
Mata Kanan Phaco + IOL MR
Senilis Imatur
Multiple Mioma Laparoscopy Miomektomi KH TF √ AF,AM AF AM
Mata Kanan Kiri Proptosis dd/ Mata Kiri Orbitotomi Transkonjungtiva +
KH TL √ AM AF
Retinoblastoma, Neuroblastoma Biopsi + PA
Ca Papillary Thyroid Total Thyroidectomy KH YAN √ AL,TR
Multiple Limfadenopati Colli Limfadenektomi Biopsi S YAN √ AL TR
Ca Mamae Eksisi Biopsi + FS S UUD √ AL TR

Impaksi Odontectomi 2 Rahang KH RZ √ AH*,PL,MF NK HR
Impaksi Odontektomi 2 Rahang + Exo 1 gigi KH DV √
MF,
Impaksi 2 Rahang Odontektomi 2 gigi 38,39 (Sulit) B DV √ AH
PL
MF,
Impaksi 2 Rahang Odontektomi 4 gigi KH DV √ HA
PL
RR GRD : ST MID : YS SORE PROGRAM : NO,WU,AY*,AR,AG,NI,AT,BR*,BY,DI,HI,TU,MR,ANM,MK*,RG,RM,TW,WD ALAT : PUR,CA ( S: DW )
Susp ALL WSD thoracal S WW √ WU TU
Batu Ureter ( UPJ ) dextra URS - DJ Stent KH MAS √
Suspect Infant BMP B Herni √ IM TM
Tu Mamae Sinistra Wide Eksisi B DWT √
POAD Pedis Dex Embolektomi KH AS √ EA
G3P2A0, Bekas SC SC B DC √ Arsita AM AF
Dyspepsia Jacson II - III Tracheostomi S DAT √ SC AU
Pemasangan Chest Tube + WSD sin S WW √ SC AY

Laparatomi Explorasi Reseksi anastomose
Peritonitis Generalista c/ perforasi gaster KH ERI √ IS SC
Jejunum
Rekontruksi Fr Wajah Kompleks + Eksisi
Panfacial Fr KH,B PJ √ ANM DJ
Granulasi bibir
CKD Pasang DL K ALI √ SL HE,IS
Retensi Urine Open Sistectomi B ADS
Apendicitis Akut Laparascopy Apendictomi KH MG √ AU BD

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,II,HE,SE ,
S : NO, WU, DN
IS
Nefrotomi Dextra + Pasang DJ Stent +

Nefrolithiasis Dextra KH,B,S ADS √ EV,AO,ID AO EV,ID
Sirkumsisi
Prostat Enlargement TURP KH ADS √ S : WD
Abses Ginjal Dextra Drainase Abses Ginjal + Biopsi Ginjal B,KH ADS √ EV AO,ID
Prostat Enlargement Open Prostatectomi B WAN WD RG
Rhinosinusitis dg Septum Deviasi + Impaksi FESS II + SR + Konkotomi KH,B,S DAT √ AI,YN
Massa Sinonasal FESS I + NAW KH,K DAT √ S : AR
Ca Sinonasal, Mata Kiri Proptosis ec Massa

Maksilektomi Medial + Ekstirpasi Massa KH DAT √ AR
Sinonasal
Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TL √
Tonsilofaringitis Kronis Adeno Tonsilektomi B ZUL √
Percutanius Disectomy + Discography + KH,S,K

Myelopathy Lumbal, Spondylolitesis HNP TRI A √ ND ND AT
Neuroplasty H
KH,KH
NOK TAH + BSO + Omentectomi + FS OP √ EM*,ES EM ES
,S
Bilat Retroperineal Plevis Limfadenektomi B EW √
Pansinusitis FESS III + Konka Reduksi + CWL Kanan KH,S,B RH √ S : TW EM TW
OMK Dry Ear Dupleks Tympanoplasty Kanan KH PW √ TW ES
RM,
Ca Sinonasal Nekrotomi B WY √ ANM
TW
Ca Vestibula Nasi Ekstirpasi Massa + Flap Lokal Wajah B,KH WY √
Post Jejenustomi Feeding Reseksi Jejunum Anastomose E to E KH PB √ TD,RE RR TD
Hernia Scrotalis Sinistra Reponible Laparoscopy Herniorafi (TEP) KH MG √ S : RM TD RE
STT Reg Femur Sin c/ Ganas T2bNoMo Insisi Biopsi + PA B UUD √ AR
Fibro Cyst MST T4aNoMx MRM KH DWT √ AZ
IDC Gr II MS T2NoMx BCS KH BIS √ AZ,DJ AZ DJ

TMD c/ ganas T3N0M0 Wide Eksisi + FS, Ganas - MRM B,KH DH √ DI AZ
Tumor Lidah C/ Ganas T2N3M0 Insisi Biopsi + Limfadenectomi + PA S,S DH √ S : ET ET
Flap Nekrotik Debridement B PJ √ VQ SC
Megacolon Kongenital TAPT KH PTY √ TA,AD ANM DW
Laparotomi Eksplorasi Shunting

Atresia Duodenum dd/ Duodenal Webb KH PTY √ S : ANM AD TA
Duodenojejunustomi Side to Side
Multiple Limfadenopati Colli Limfadenektomi Biopsi S EDW AD TA
Multiple Abses Cerebri + in growing nail dig I

Craniotomi Evakuasi Abses KH DP √ UM,BY UM BY
Pedis Dextra
Roserplasty Dig I Pedis dex K PJ √
Schwanoma VC 2-3 Laminektomi Kompleks KH AJ √ S : TM,MY TM MW
Bedah Tumor Medula Spinal KH HY √
Hidrocephalus Pemasangan VP Shunt KH GK √ LW,SF LW SF
Craniotomi bedah Epilepsi Lobectomi Fr

Epilepsi Tuberosclerosis KH ZM √ S : AF,BR LW SF
Dex
EEG Intra Operatif (Intra Kortikal) KH Aris √

Craniotomi Epilepsi EEG KH MTA √
Mata Kiri Proptosis C/ Meningioma Craniotomi Mikro Ds Tengkorak KH MTA √ BR AF
Craniotomi Fibrodisplasia KH ZM √
Paraparese Inferior ec Fr Kompresi VL1 KH,KH APR √ PR,AP* PR AP
Fusi
Fr Malleolus Lateral OS Fibula Sin ORIF Maleolus Lat KH APR √ S : HI AP PR
Osteomyelitis Pedis Dx, Bilateral CTEV Rekontruksi Neglected Case Bone KH DRY √ AP PR,RG
Neglected Fr Os Fibula Sinistra Artrodesis Ankle Sin S BIN √ RG DN
EN,MA,WI EN,
MR Severe MVRepair + TVRepair BJ.08 SF √ DJ
BP,SS,AS MA
S : NI,RG
Mata Kanan Ablatio Retina Mata Kanan Vitrectomi + EL KH AW √ NK,MK MK DI
Mata Kanan Katarak Komplikata + SO Filled
Mata Kanan Phaco + IOL + Evakuasi SO KH,KH AW √ DI MK
Eye
Mata Kiri Pseudofakia + RRD Mata Kiri Vitrectomi + EL KH AW √ NK MK
Mata Kanan TRD ec PDR + KSI, Mata Kiri Mata Kanan Vitrectomi + EL + SO / Gas +
KH,KH AW √ TU YS
Total Ablatio Retina Phaco + IOL
Mata kanan secondary Implant + Vitrektomi
Mata kanan Afakia RF YW,HA,RI
Anterior (Iris Clip)
Mata kiri Afakia Mata kiri Secondary Implant (Iris Clip) RF S : DI,TU,AG
Mata kiri Katarak Komplikata Mata kiri Phaco + IOL AW

Mata kanan katarak komplikata Mata kanan Phaco + IOL AW
Mata kiri Glaukoma Absolut Mata kiri Cyclocryoterapi FI
Ca Ovarii Compled Surgical Staging KH MZ √ NP,AM NP AM

Laparoscopy Kistektomi Bilat + TPB +
Kista Ovarii Bilateral KH,KH TF √ ANM NP
Adhesiolisis
Mata Kanan Endofthalimitis Eksogen Post
Mata Kanan Evisecrasi Bulbi + Vitreous Tap S DN √ HA
Operatif + Ulkus Kornea
Ca Thyroid RND Sin KH YAN √ AL*,TR TR AL
AL,A
Invasive Ca of WST MD T2NoMo MRM Dx KH YAN √ TR
G
Lipodystropy Liposuction leher + Malarplasti RZ AH,PL,MF
Fr. Segmented Mandibula Rekonstruksi Fr Tlg Wajah Kompleks KH NJT √ MF AH,PL
RR GRD : ST MID : YS SORE PROGRAM : NO,WU,AY,TW,ET,AR,AG,AF,NI,BR,DN,DI,MY*,TU,ANM,MW,RG*,RM,TM,WD ALAT : PUR,CA ( S: DW
Adeno Ca Colon Pasang Chest Port KH WW √ PM AY
Tumor Mamae sinistra Insisi Biopsi + PA S DWT √ DW ET
Psudoaneurisma Repair Arteri KH AS √ PS HR
Striktur Urethra Pars Prostatika+ Prostat

Sachse + TURP KH,KH MAS √ DM DA
Enlargement
P2A0 Post Partum Ingin Steril MOW S HT √ PM
Polip Endometrium Multiple Histeroskopi Polipektomi KH HR √ AY
G1P0A0, Hml 32mg, Gemeli Conjoidd Twin SCTP dg penyulit Gemeli KH JD √ Gatot, Arsita II SE,SL
G1P0A0, Hml 28mg Histerotomi Blynch (SCTP) B JD √ Gatot SE HE,IS,II
G3P3A0, Hml 38mg, HIV+ SCTP B IN √ Gatot HE SE,IS

Ileus Obstruktif KH MG √ AF NI
Ileostomi
Efusi Pleura Pasang WSD S ALI √ NI WU,DN
SDH Kronis Craniotomi Bor Hole KH AJ √ MW TM
Amputasi Above Knee KH AS √ SC EA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL*,HE,I
S : ET,II, DN
S, VT
Bivalve Nefrolithotomi Dx + Pasang DJ

Nefrolithiasis Dx + DJ Stent Dx KH,B ADS √ EV,AO,ID AO EV,ID
Stent Dx
Tumor Renal Sinistra Biopsi Renal Sinistra KH ADS √ S : TK EV AO.ID

NOK c/ Ganas Laparatomi Debulking KH EN √ AF DA
Squamousa Cell Carsinoma Rekonstruksi Mata KH ETH √ AI,AN
Pansinusitis FESS + CWL KH,B RH √ AI AN
RSK + SD + Konka Hipertrofi Pasca FESS + FESS III + SR + Konka Reduksi

KH,B,S RH √ AR
SR + Konkoplasty Sinekia Sinekiektomi
Septoplasty + Konkoplasty Ligasi Spheno
Epistaksis Anterior, Septum Deviasi ANNA S : AR
Palatum
HNP + Spondyliosis Cervical Neuroplasty Multiple + Endoneurolysis KH TRI A √ ND,HI
Efusi Pleura Dextra Pasang Pigtail (WSD) S SFY √
Kistoma Ovarii Multiple TAH + SOD + Salpingektomi Sin KH,B,B MZ √ EM,ES TW ES
Histerektomi Total + SOS + Adhesiolisis KH,B,K

Cystadenoma Ovarii Mesentrium Papiliferum VG √ S : TW TW ES
Luas + FS H
TMS c/ Ganas T4NoMo Insisi Biopsi S DWT √
Tumor Hepar Laparoscopy Biopsi KH JS √ TD, RK RK TD
RSK Pasca Etmoidectomi + Evaluasi

Aff Tampon Posterior + Evaluasi Eksplorasi K DAT √ S : RM TD RK
Perdarahan
Mata Kanan Proptosis ec Susp Massa Mata Kanan Orbitotomi Anterior + Biopsi +
KH TL √ TW RK
Retrobulber PA

KH,KH
SNNT Dx c/ Ganas T4bN1Mo Tiroidektomi + Limfadenectomi + FS, ganas BIS √ AZ,DJ AZ DJ
,S,KH
- RND

SNNT Sin c/ Ganas T2NoMx KH,KH UUD √ S : MF MF SE
Tiroidektomi
Ca Papila Thyroid Total Tiroidektomi KH DWT √ AZ
Tumor Parotis Wide Eksisi + PA B DWT AR AF
Amputasi Bellow Knee Sin + Debridement

Ganggren Pedis Sin + Ulkus Decubitus KH,B NJT √ TA,AD AD TA
Ulkus Decubitus
Massa Sub Glotis LD + Ekstirpasi Massa k/p Biopsi S,S FAR √ RA
Hiperplasia Glandularis Endometrium TAH KH EW √ S : RA TK AS
KH,KH
URS + Lithotripsi + DJ Stent Dex ADS √
,B
Selulitis dd/ Abses Femur Dx Debridement B ALI √ RI SE
OA Genu Dx TKR D KH BIN √ UM,BY AP UM
ACL Tear ACL Rekonstruksi KH DID √ S : TM,MY AP MY
Fr Clavicula Dx 1/3 Tengah Displ Ttp Nk LD + Ekstirpasi Massa Supraglotis S,S FAR √ RG PM
ORIF Clavicula KH BIN √
SOL Temporo Parietal Craniotomi Dasar Tengkorak KH ER √ LW,SF LW SF
Pasang CVP KH HA
SOL Craniotomi Evaluasi Tumor MTA S : AF,BR
Laminektomi Dekompresi Debridment +

Canal Stenosis Vth 11-12 KH,KH APR √ PR,AP PR BY
Internal Fiksasi Fusi
Charcot Joint Fraktur Arthrodesis Ankle + Debridement S,S APR √ S : PM BY PR
OA Genu TKR S KH BIN √
Excisi LA Myxoma (Operasi Jantung EN,MA,WI

LA Myxoma BJ.06 WW √ MA EN
Terbuka ) BP,SS,AS*
Tumor Mediastinum CORE Biopsi K ALI √ S : RG,SE RG SE
Mata Kiri Ekstraksi Lensa + Vitrektomi
Mata Kiri Katarak Kongenital KH LN √ NK,HA* HA NK
Anterior + PPC + PI
Mata Kanan SO Filled Eye + Still Detach, Mata Kanan Sckleral Buckle + Vitrectomi +
KH AL √ HA NK
Mata Kiri TRD SO
Mata Kanan PDR + TRD Mata Kanan Vitrectomi + MP + Gas KH AL √ HA NK
Mata Kiri PACG Mata Kiri Triple Procedure FI YW,AG,RI
Mata Kanan Luksasi IOL + Glaukoma S:
Mata Kanan Explantasi IOL WIS
sekunder DI,TU,AM
Mata Kiri CMV Retinitis Mata Kiri Injeksi Gancyclolvir Intravitreal DN
KH,KH
NOK dg Bag. Padat, Rectocele Gr III TAH + BSO + Omentectomi + FS TF √ NP,RE,AT
,B
Colostomi B MG √
Fistula Vesico Vagina Repair Fistula Recto Vagina Kompleks KH ER √ NP RE
Tonsilitis Kronik + Adenoid Hipertensi Adenotonsilektomi B AYU √ TU HA
Ca mamae Sinistra MRM Sinistra KH YAN √ AL,TR TR AL
SNNT Sin C/ Ganas T3N1M0 Isthmolobektomi Sinistra + FS, Ganas -TT KH,KH YAN √ AL TR
Nodul Axilla Lmphadenectomi Axilla S DWT √ AM
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ AH,PL,MF PM AH
Impaksi Gigi 2 Rahang, CKD Odontektomi 2 Rahang KH RP √
Rekonstruksi Fr Tulang Wajah Kompleks + AH,

Fr Mandibula KH,KH PJ √ PL
Rekontruksi bibir bawah dg Flap DI
RR GRD : ST MID : YS* SORE PROGRAM : NO,WU,AY,TW,ET,AR,AG,AF,NI,BR,DN,DI,MY*,TU,ANM,MW,RG*,RM,TM,WD ALAT : PUR,YN ( S
Massa Buli Cystoscopy Evaluasi S MAS √
Biopsi Tulang + Gips B,K APR √

Mata Kanan Vx + EL + gas SF6 + PHACO +
Mata Kanan Katarak + Ablasio Retina KH,KH AL √ DI AM
IOL
ALL BMP B Her √
CKD St V On HD Pasang Double Lumen K ALI √ MY TM
G2P1A0, IUFD SCTP dg penyulit B DC √ Gatot HR EW
G P A , Plasenta Previa Berdarah SCTP dg penyulit B DC √ Gatot HR EW
G2P1A0, Hml Aterm, Impending Eklamsia SCTP + IUD B DC √ Arsita

SL,HE,
Efusi Pleura Dextra Pasang WSD Kanan S UUD √ IS
VT
Hernia Diafragma Pemasang WSD S ALI √ IS VT

Laparatomi explorasi Repair Diafragma +
reseksi Ileum ec Devakulasi Anastomose E KH,KH MG √
to E
MAR Tanpa Fistel Limited PSARP KH EDW √ ET SL
Hernia Scrotalis Sin Herniotomi Sin B RR √ ANM DN,II
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
HE,AO,ES,
PLH : NO AH,EV,AL,TA,AP,PR,YW,TU,RI
DA,WI,SE
Pan Facial Fraktur Rekonstruksi Tulang Wajah PJ RK,YN,ID
Disfagia Esofageal ec Striktur Esofagus Esofaguscopy + Dilatasi B DAT √ AT RK
Ameloblastoma Maxilla Kiri + Konka

Ekstirpasi Massa + FESS + Konka Reduksi SKH,S DAT √ AT RK
Hipertrofi + RSK + Impaksi
Odontectomi 2 rahang + Enukleasi Kista KH,B RP √ BR RA
G2P1A0 Hamil 38 Minggu Bekas SC DW,

SCTP dg penyulit + IUD B OP √ NH,HI,DW HI
Panggul Sempit NH
G3P2A0 Hamil 37 Minggu SOL Intra Cranial
SCTP + MOW B OP √ Gatot DW NH,HI
dd/ Meningioma Astrositoma
G3P2A0 Hamil 38 Minggu Bekas SC 2x SCTP + MOW B MZ √ Arsita NH HI,DW
Casserian Ganglionectomy/Simpathectomy
Cephalgia Kronis / Hemifacial Spasme
+ Endoneurolisis + Face Block Multi Level KH TRI A √ ND,JF JF ND
Sinistra
Cervical
Susp Ca Ovarii Surgical Staging + FS KH EW √ TW,DM TW TR
Laparatomi Sigmoidectomi + Anastomose E

KH ERI √
to E
NOK dg Bag. Padat c/ Ganas Surgical Staging + FS KH EW √ TW TR

KH,S ERI √
Apendiktomi
Kista Ovarii Bilateral Laparoscopy Kistectomi Dex KH INU √ AN MY
Fistel Recto Vagina on Kolostomi Post

Laparatomi Reseksi Anastomose Colon KH PTY √ TD,TU TU TD
Repair Fistel
TBC Inksmail Laparoscopy Biopsi KH ERI √
Tumor Sigmoid c/ Ganas Laparotomi Reseksi Anastomose sigmoid KH ERI √ TM MW

Vaginoplasty + Hymenoplasty KH,KH ETH √ AZ DJ
Multisinusitis FESS II KH RH √ AZ,DJ DJ AZ
DI,AM,
Epitaksis Anterior, Septum Deviasi Berat Septoplasty + Konkotomi B,S ANNA √ MF
RA
Palatoschiziz Komplit Palatoplasty KH NJT √ EM,RG,YS RG EM,YS
Palatoschiziz Rekonstruksi Hidung + Palatoplasty KH,KH NJT √ YS RG,AG
UM,BY
Meningioma Falk Craniotomi Dasar Tengkorak KH DP √ LW,SF SF LW
EN,MA,BP,
SS,AS*
SORE PROGRAM : ET,II,AF,AM,BR,DN,TK,DI,MY,MW,MF*,PM*,RA,IS,TM,TR ALAT : PUR,CA
Meningoencepalocele Meningocelectomi Rekontruksi KH GK √ UM BY
Ca Laring Pemasangan NGT C DAT √
HNP L4-5 Neuroplasty + Fase Block Multiple KH,S TRI A √
SDH Temporo parietal Sin Kraniotomi Decompresi KH AJ √ WI SE,AF
Vulnus Laserasi r/ Antebrachii Sin c/ Ruptur Repair Mucle + Tendo (Mucle Tendorapy) +
KH,B DID √ ES AF,SE
Tendo Repair Nervus Ulna (Neuroraphy)
Repair Arteri Radius + Ulna sin KH ALI √
G2P0A1, Hml Aterm, HIV+ SCTP dg penyulit B OP √ Gatot SE HE
MAR Letak Tinggi Colostomi B RR √ DM II
Fistel Entrocutan Laparatomi Repair Fistel Entrocutan KH MG √ DN DA

Pneumeoncepal + Depressed Koreksi Fr Impresi Kompleks KH AJ √ MK WD,NI
Reposisi Tertutup Wrist Joint S APR √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
ST,AT,AR, RE,AD, VT*, DY, NK, SA,SU*
KH,KH
Ca Endometrium TAH + BSO + BPL + Peritonilalectomi EW √ SU DY
,B
Septum Deviasi + Konka Hipertropi + RSK FESS + SR + Konkoplasty KH,B,S ANA √ VT SU
II,PM,TR,MF,RA
Meningioma P Craniotomi Dasar Tengkorak KH ER √ SA VT
RSK + ISD + Konkahipertrofi FESS III + SR + Konkoplasty KH,B,S RH √ PM VT
CKD Std V Pasang Double Lumen K ALI √ FM II
Mata Kanan Palpebra Fulll Thickness (Susp Mata Kanan RekontruksimPalpebra Inferior
S,S AK √ RE NK
INF Ruptur Bulbi) + Enukleasi Bulbi
Meningioma Post VP Shunt Revisi VP Shunt KH AJ √ Gatot RM SE
CKR Fr Kompresi Frontal Koreksi Fr Kompresi Komleks KH AJ √ AT AR
Hernia Diafragmatika Sin Laparatomi Repair Difragma + Splenektomi KH,KH JS √ RE NK
G1P0A0, Hml 23mg, Laparatomim Histerostomi (SCTP) B JD √ Gatot SU VT
G1P0A0, Hml 41mg, Oligohidromnion SCTP B OP √ Gatot TW MF
SDH Kronis Kraniotomi EDH KH AJ √ AD RA
Fr Femur Dex Pasca ORIF + Troboemboli a.

Embolektomi KH WW √ PS AM
Femuralis Dex Ganggren Cruris Dex
Amputasi Bolow Knee KH APR √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : RK, II, ND
BD,SU
URS Dextra Pecah Batu + Repair DJ Stent
Nefropati Obstruktif HN + HU KH,B ADS √ UM,AR,ID
Dextra
Ca Cervix + HN + HU Sistoskopi + Pasang DJ Stent D S,B ADS √ S : AN UM AR
Adeno Ca cervix Std IV A Nefrostomi WAN
Tumor Mediastinum + SVCS Chamberlain Procedure WW
Ruptur Uretra Posterior PER + Sachse Sistocopy KH,S MAS √ AO,AU,TK* AG AO,TK
Abses Ginjal Laparoscopy Drainage Abses KH MAS √ S : AI TK AO, AU
AR,
Fistula Oronasal Fistula Clossure KH WY √ IM
UM
BY
Wound Dehisence Riw TAH + BSO Repair Wound Dehisence KH MZ √ TW,YN
Abses Vagina Eksisi Abses Vaginal K HR √ S : ES
Eventerasio Diafragma Sin Thoracotomi Plikasi Diafragma Sin KH ALI √
Empyema Thorakotomi Explorasi Dekortikasi KH ALI √ YS ST
Gall Bladder Sludge Laparoscopy Cholecystectomy KH MM √ TD,TM TD TM
Adeno Ca Recti Laparatomi LAR + Ileustomi KH,B PB √ S : PM AR TD
Pankreaticojejunustomi Roux ny +
Ikterus Obstruktif ec Cholangitis KH,KH ERI √ TA MF
Cholecoso-duodenostomi
Tumor Maxilla Kiri c/ Ganas Hemimandibulektomi Sin + Rekontruksi KH BIS √ AZ,DB
SNNT Sin c/ Ganas T3NoMo Istmolobectomy + FS, Ganas - TT UUD S : SR
Ca Mamae MRM Dex KH DWT √ SR MF
Adeno Ca Parotis Total Parotidectomy KH DWT √ DB AZ
STT Reg Flank Sin dd/ Limfangioma

Eksisi Tumor S RR √ DY, EA EA DY
Hemangioma
Impkasi Gigi 2 Rahang Odontektomi 2 Rahang KH DV √ S : TA DY EA
SF,AF
S : AT
LW,BR
S : SA
Fr Maleolus Medial Sin ORIF Tibia + ORIF Maleolus Medial KH,KH APR √ PR,AP
Post ORIF Wire Lepas K-Nail B APR √ S : HI
HR,
Fr Pillon Negleted ORIF Tibia Distal Dex + ORIF Fibula Dex KH,KH DID √ AP, AN
HI
Ruptur ACL Rekontruksi ACL Dex KH BIN √ PS SE
EN,MA,VT EN,
CAD 3 VD CABG High Risk BJ.11 SF √ VT
BP,SS, AS MA
Efusi Pleura Kiri, Loculated Thoracoscopy Biopsi KH WW √ S : WI, WI EN
Mata Kanan Kiri VH ec PDR Mata Kanan Vitrectomi + EL + SF6 KH AL √ NK,DI NK DI
Mata Kanan Kiri PDR + VH Mata Kanan Vitrektomi + EL KH AL √ DI NK
Mata Kanan SO Filled Eye + Still Detach,
Mata Kanan SB + Re-Vitrectomi KH AL √ DI NK
Mata Kiri Vx Eye + TRD + Pseudofakia
Mata Kanan Kiri Glaukoma Sekunder e.c
Mata Kanan Trabekulektomi B FI √ YW,TU,RI
Steroid
S : HA,AG,
Mata Kanan Pseudofakia, Mata Kiri KSI Mata Kiri Phaco + IOL RF
IS
Mata Kanan Kiri Katarak Juvenile Mata Kiri Phaco + IOL RF
Mata kanan kiri katarak Mata kanan phaco + IOL AL
Mata Kanan Koroidal Neovaskularisasi
Mata Kanan Injeksi TCA / Anti VEGF AL
Mata Kanan Kiri PDR + CSME, Mata Kanan Mata Kanan Injeksi Triamcinolone Acetat
AL
Post CRVO Sub Tenon
Mata Kana Kiri Glaukoma Neovaskuler Mata Kanan Kiri Trabekulektomi B,B MR √
Mata Kiri Eksisi Pterigium + Limbal Stem
Mata Kanan Kiri Pterigium DN
Cell Graft
Mata kiri CMV Retinitis Inj. Gancyclovir Intravitreal DN
Adeno Ca Endometrium St II Surgical Staging KH EN √ NP*,RE,YS
Tumor Intra Abdomen Laparoskopi Biopsi KH ERI √ RE NP,ES
IDC Gr III MD T4bN2Mo MRM Dex KH YAN √ AL,AD AD AL

Ca Papilary Thyroid Total Tiroidektomi KH YAN √ NP
Mata Kiri Eksisi Kista + Rekonstruksi
Mata Kiri Kista Konjungtiva K,S INA √ AG AD
Palpebra
Ulkus Granulosum Reg Pelvis Anterior Debridement Luas + STSG S,KH PJ √ AH,ER,DN DN AH,ER
Pasca Amputasi Above Elbow Bilateral Debridement + Repair Stump B,S PJ √ ER AH,DN
RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI,II,TA,AN,AG,AT,DJ,ES,HA,HI,IS,JF,WI,MF,ND,PM,PL,SA,SR,ST,US ALAT : PUR,DW* ( S: )
IDC Gr II MS, TxN2aMo Post MRM Diseksi Axilla KH DWT √ SC
Hidrocephalus VP SHunt KH HY √ AF SF
Multiple SOL VP Shunt KH GK √ AF SF
SOL Craniotomi KH ER √
BR, LW,
Meningioma Craniotomi Dasar Tengkorak KH DP √
SA MW
Fiksasi Intenal Kranium B AJ √
CCF Ligasi Carotis Eksterna KH MTA √ SA MW
Ulkus Pedis Dx Debridement + VAC B ALI √ IM RA
POAD Amputasi Pedis Sin KH AS √ RA AM
Batu Ginjal Lepas + Ganti DJ Stent + ESWL S,B,S MAS √ AU AO,TK
Ca Cervix c/ Metas VU Sistoskopi S WAN √ DM AY, DA
Ca Cervix Uteri c/ Metas VU Sistoskopi Biopsi S WAN √ DM DA
Ca Sinonasal Aff Tampon K DAT √ DA
Eksplorasi perdarahan + Aff Tampon +

Ca Sinonasal B,K,S WY √ BD NH,SU
Debridement dg Endoscopy
TAUB Pasang CVC KH AI √
TAUB Pasang CVC KH AI √ RK ND

Peritonitis Generalisata ec Perforasi Hollow
Laparatomi Explorasi + Sigmoidostomi KH MG √ ND RK,II
Viseus
Ca Tiroid Tracheostomi B UUD √ II RK
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : RK,ND, DJ
BD,SU
Mata Kiri Probing, Silicon Tube + Mata
Mata Kiri Fistula Saluran Lakrimalis K,K INA √ ST,AR,ID* AR ST,ID
Kanan Probing
FESS II + Konka Reduksi KH,S RH √
ST
Polikistik Laparoscopy Unroofing Kista Hepar KH ERI √ S : AN
,AN
Hemorhoid Hemorhoidectomi B MG √ AI
Massa Laring LD + Ekstirpasi Mssa Biopsi S,S FAR √ AO,AU,TK AU TK,AO
Ameloblastoma Mandibula Dx Hemimandibulektomi Dx KH OEN √ S : AI

Rekontruksi dg Plate dan Screw KH RP √
Traceostomi S DAT √ AI
BY
NOK c/ Ganas Complete Surgical Staging KH MZ √ TW*,YN,PL TW YN,PL
NOK dg Bag. Padat c/ Ganas Surgical Staging KH EW √ S : SR TW YN,PL
Repair Laserasi Sigmoid + Apendiktomi KH EW √
Parsial Ooforectomi Dex + Kistectomi Dex +

NOK B EW √ TW SR
FS
Fr Collum Femur Dx Parsial Hip Replecement Dex KH BIN √ PM
Tumor Intra Abdomen c/ Extra Luminer Laparatomi Explorasi + Biopsi KH PB √ TD,TM TM TD
Laparatomi Repair Fistula Gaster +

Ca Esofagus Post Jejunostomi Feeding KH,B ERI √ S : JF,RI TD TM
Gastrostomi Feeding
Splenomegali Splenektomi ERI
Laparatomi Sigmoidectomi + Anastomoses KH,KH

Tumor Recto Sigmoid ERI √ TM TD
End to End + Biopsi Hepar ,KH
Eksisi + FS, Ganas - Wide Eksisi + Groin S,B,

Melanoma Maligna Reg Inguinal Dx BIS √ AZ,DB DB AZ
Diseksi + Rekonstruksi Pasca Kegasan KH,KH
Ca Mamae Insisi Biopsi S UUD √ S : YS
IDC Gr II MD TxNoM1 (Kontra Lateral) MRM Dex KH UUD √ AZ DB
IDC Gr II MS T4bNoMo Insisi Biopsi S UUD √ YS JF

Limfadenopati Colli Limfadenektomi Biopsi S UUD √
Cumbustio Gr II 18% Debridement/Nekrotomi Luas KH NJT √ DY,EA EA DY
Ulkus Cruris Debridement B PJ √ S : TA EA DY
Rekonstruksi Tulang Wajah Kompleks +

KH,KH
Pan Facial Fraktur ( HBSAg + ) Rekontruksi Fijer Tp Injuri + Repair Stump PJ √ TA YS
,S
Dig IV
Hidrocephalus VP Shunt KH GK √ SF,AF
SOL Parieto Temporo Occipital Sin Craniotomi Biopsi MTA S : AT
three layer reconstruction/ Rekontruksi

lipomeningocelle KH ER √ SF AF
Meningocele
Kraniotomi Mikro Bedah Epilepsi

Epilepsi KH ZM √ LW,BR BR LW
Hemisferotomi Kiri
Tumor Intra Suprasella Bedah Mikro Transpenoid KH ZM √ S : SA SA AT

HNP L4-5 KH,KH APR √ PR*,AP AP PR
Fusi

Spondilitis KH,KH APR √ S : HI
Fusi
Fr. Clavicula Sin 1/3 tengah ttp NK Pasang Ransel Perban S APR √
Fr Femur Sin 1/3 Tengah Ttp Nk Fiksasi Internal yg Kompleks KH DRY √ HI AT
Fr Patologis Tibia Sin 1/3 Tengah Ttp Nk ORIF Tibia Dex + Kuretage + PA KH,B DID √ HI AT
Fr Tibia Dx Reposisi Tertutup + Gips Sirkuler S DID √ AT
BJ.09
Total Koreksi (Repair PS(Katub) + VSD EN,MA*,VT EN,
TOF post BT Shunt BJ.04 SF √ MA
Closure + Tutup BT Shunt) BP,SS, AS VT
BJ.03
Tumor Mediastinum Thoracotomi Explorasi Eksisi Tumor KH ALI √ S : WI RI AN

Mata Kiri Ekstraksi Lensa + Vx Anterior +
Mata Kiri Katarak Kongenital ec Rubella KH LN √ NK,DI* NK DI
PPC + PI
Mata Kanan Kiri Katarak Kongenital ec Mata Kanan Ekstraksi Lensa + PPC + PI +
KH LN √ NK DI
Rubella Syndrome Vx Anterior
Mata Kanan Kiri ROP St III + Plus Disease Mata Kanan Kiri Inj. Avastin S AW √ DI NK
Mata Kiri SO Filled Eye + Katarak

Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AW √ DI
Komplikata
Mata Kanan SO Filled eye Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AW √ DI
Mata Kanan Glaukoma Sekunder + SO

Mata Kanan Evakuasi SO KH AW √ DI
Filled Eye
Mata Kanan Kiri PDR + TRD Mata kanan Vitrektomi + EL KH AW √ DI NK
Mata kiri Katarak + Glaukoma Mata kiri Trabekulektomi + Phaco + IOL MR YW,TU
S : HA,AG,
Mata Kanan Kiri POAG + KSI Mata Kiri Phaco + IOL MR
IS
Mata Kanan Pseudofakia Mata Kanan Irigasi Aspirasi Sisa korteks RF
Mata Kiri Subluksasi Lensa + Glaukoma

Mata Kiri EKIK WIS
Sekunder
Mata Kanan Kiri Pseudofakia Mata Kiri PPC + Vitrectomi Anterior WIS
Mata kiri KSI + HBsAg (+) Mata kiri Phaco + IOL WIS
NOS c/ Ganas Surgical Staging KH EN √ NP,RE,ES NP RE,ES
Kista Ovarii Laparoscopy Oooforectomi parsial Bilat KH INU √ ES RE,NP
Tumor Kulit c/ Ganas c/ Basalioma Wide Eksisi + FS B DH √ HR,AD

Tumor Parotis Dx c/ Ganas T4N1Mo Total Parotidektomi KH UUD √
MAR on Kolostomi Post PSARP Reseksi Anastomose Colon KH EDW √ AH,ER,DN DN ER
Mata Kanan Massa Saluran Lakrimalis + Mata Kanan Wide Excisi + FS +

B,S TL √ ER DN
Fistula Rekontruksi Palpebra (Advance Procedure)
Mata Kanan Kiri Galukoma Juvenile Mata Kanan Kiri Trabekulektomi B,B FI √ opmic HA
RR GRD : RG MID : VQ SORE PROGRAM : RK,AI,TA,AN,AT,DJ,HA,HI,JF,WI,MF,ND,SA,SR,US,CA,RI,YR,AG*,IS* ALAT : PUR,DW ( S : CA )
Labioskitis Labioplasty + Rekontruksi Hidung KH NJT √ DY EA
Soft Tissue Tumor Wide Eksisi + PA B DWT √ YS
Striktur Uretra Posterior Sache + Sectio Alta KH,B WAN √ DM DA
Kejang Demam Lumbal Fungsi B TUN √ YN US
Meningitis Lumbal Pungsi B Ratna √ US YR
G3P3A0, Hml 37mg, bekas SC SCTP + MOW B HR √ Gatot SU
G1P0A0, Hml 37mg, Infertilitas Primi 6 th SCTP B BE √ Adhie BY BD
GPA SCTP + Pasang IUD B JD √ Gatot

GPA SCTP dg penyulit B EN √ Gatot
G2P1A0, Hml 37mg, Eklamsi, Obesitas,
SCTP + MOW EN √ Adhie DJ ND
Fatal Distres B
CKD Post AV Shunt Repair AV Shunt (Ligasi) KH ALI √ SA ND
Efusi Pleura Sin WSD Torakal S WW √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : EV,RK,ND,PL
BD,SU
Nefrolithiasis Dx + Hidronefrosis Dx URS + Pasang DJ Stent Dx KH,B ADS √ AU,WD,ID WD AU,ID

Batu Ureter URS Sin + Pasang DJ Stent Sin KH,B ADS √ S : AN AU WD,ID
Ca Cervix Uteri St III B + Hidronefrosis Open Nefrostomi D KH ADS √ AU WD,ID
Kista Atherom Telinga Kanan Kiri Rekuren Ekstirpasi Kista Atherom Bilat S,S PW √ AN EV
Kolesteatoma Eksterna Kanan Ekstirpasi Kolesteatom Eksterna Kanan S PW √ AN EV
Mata Kanan Perforasi Bulbi ec Galukoma Mata Kanan Eviscerasi Bulbi + Graft Lemak
B LN √ AO,TK IS AO
Sekunder (DFG) + PA
Massa Cavum Nasi FESS + CWL KB,B ANNA √ S : AI AU IS
Pansinusitis Kronis + Perforasi Septum +

FESS III KH ANA √
Gangren Pulpa + Gangren Radix + Impaksi
Limfadenopati Colli Biopsi Endoscopy S WY √
Evaluasi Hemato Sinus + FESS +

Fr Maksila Facial K,KH,S WY √
Polipektomi
Efusi Pleura Dextra Pasang Pigtail (WSD) S THOM √ BY

CKD AV Shunt WW
G3P1A1, Molahidatidosa Kuretase + MOW K,S OP √ TW,UM,YN MF RA
SalpingoOoforectomi Kiri + Kistektomi

NOK B,B,S EN √ S : SR TW ST,YN
Kanan + Adhesiolisis
Histerektomi Total + SOB + Omentectomi + KH,KH
NOK dg Bag. Padat VG √ PM TW
Adhesiolisis Luas + FS ,S,KH
Ulkus Pedis Cruris Dextra Debridement B WW √ SR
POAD Tungkai Dextra Amputasi + debridment KH,B ALI √ SR AG
Ileus ec Peritonitis Laparotomi Eksplorasi PB TD,TM,YS PM

Ikterik Obstruktif ec Tumor Duodenum Whiple Procedure KH MG √ S : JF
Laparatomi Rseksi anastomise Ileum +
Tumor Ileocaecal KH,KH ERI √
Ileus ec Peritonitis Laparacopy Biopsi hepar KH ERI √ PM
SNNT Bilateral Subtotal Thyroidectomi KH BIS √ AZ,DB,DN* AZ DN,DB
Ca Papilary Thyroid Total Thyroidectomi BIS
Tumor Mamae Dupleks c/ Jinak Multiple Wide Eksisi + FS B, B UUD √ S : ES DB AZ,DN
Tumor Parotis Dx c/ Ganas T2N1Mo Superficial Parotidectomi + FS B UUD √ DN DB,ES

Eksisi Biopsi Multiple Lympadenectomi +
Multiple limpadenopati colli B,K PTY √ DY,EA EA DY
Vena Seksi
DY,
MAR dg Fistel recto perineal on colostomi PSARP KH RR √ S : AR EA
AR
Laparatomi Explorasi Reseksi Tumor
Tumor Intra Abdomen KH EDW √ AR
Ovarium Sin
Limfadenopati Colli Wide Excisi B DWT √ AR
Spondilits TB Laminektomi Kompleks KH AJ √ SF,AF* SF AF

Fusi Posterior vetebra KH HY √
LCS Leakage Laminektomi Kompleks KH HY √ S : AT* AT
Meningioma Craniotomi Dasar Tengkorak KH DP √ LW,BR SA DA
Fiksasi Internal Kranial B AJ √
Meningioma Sphenoid Craniotomi Dasar Tengkorak KH MTA √ S : SA SA DA

Paraparese Inferior ec Fr Kompresi VL4-5 KH,KH APR √ PR,AP AD EV
Fus

Spondilits TB KH,KH APR √
Fus
Fr Supracondylus Sin Lepas Implant B APR √ S : AD AP DR
BCT of tendon + Osteomilitis Kronis Debridement + Kultur + Pengecatan Gram DRY
Neglected femur patela Rekonstruksi Patela KH BIN √

EN,MA,VT EN,
AS Severe AVR + MVR BJ.08 SF √ VT
BP,SS,AS MA
Tumor Paru Kanan Biopsi S WW √ S : WI WI
Mata Kanan Orbitotomi Anterior + Biopsi +

Mata Kanan Proptosis KH AK √ NK*,DI NK DI
PA
Mata Kanan Ablatio Retina Mata Kanan Vitrectomi + EL KH AL √ DI NK
Mata Kanan Vitreus Haemoraghe Mata Kanan Vitrectomi + EL + SO KH AL √ DI NK
Mata Kanan NPDR, Mata Kiri RRD, Mata
Mata Kiri Vitrectomi + EL + SF6 KH AL √ NK DI
Kanan Kiri Pseudofakia + PCB
Mata Kanan Nevus Pigmentosa Mata kanan Eksisi Nevus + PA AK YW,TU*
Mata kiri Katarak komplikata + High Myiopia
Mata kiri EKIK WIS S : HA,IS
+ Sub luksasi lensa
Mata kiri katarak komplikata Mata kiri sinekiektomi + ECCE Diagnostik WIS
Mata kiri KSM Mata kiri ECCE + IOL WIS
Mata kiri PACG + KSI Mata kiri Phacoemulsifikasi + IOL FI
Mata kanan kiri PACG, Mata Kanan KSI Mata kanan Triple Procedure FI
Prolaps Uteri Gr IV, Sistokel Gr III, Rectocele KH,KH
TVH + Kolporafi Anterior + Kolpoperineorafi ER √ NP,RE NP RE
Gr III ,KH
Plate Exposed Mandibula + Fr Mandibula Aff Plate Mandibula + Ekstraksi gigi 1 & 2 S,K PJ √ RE NP

Fr Basis Orbita Sin + Fr ZMC Sin KH,KH PJ √ NP RE
Fat Cartilage Graft
IDC Gr II MS TxN1M0 MRM Sin KH YAN √ AL,HR HR AL
Ishtmolobectomi + FS, Ganas - Total
SNNT dextra c/ ganas T2N0M0 KH,KH YAN √ HR AL
Thyroidectomi
Skin Nekrotik ec Closed Degloving Debridement S RZ √ AH,ER,MK MK AH,ER
Cumbustio Gr II-III Debridement KH NJT √ ER MK

Mata Kanan Cyclocryotherapy + Wide
Mata Kanan Susp OSSN dd/ Papiloma S,B TL √ TK
Eksisi + PA
Mata Kanan Panoftalmitis + Ulkus Kornea
Mata Kanan Eviscerasi Bulbi + Vitreus Tap S,S DN √ TK
Inpending Perforasi
RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI,AN,HA,JF,WI,ND,SA,SR,US,CA,YR,IS,AD,ES,PL,AR*,AT* ALAT : PUR,DW ( S : CA )
SOL r/ Temporoparieto Occipital Sin VP Shunt KH AJ √ AT US
Craniotomi konveksitas KH MTA √
Limfadenopati Colli Wide Excisi B DWT √ ES
DVT Embolektomi KH AS √
Suspect Keganasan Hematologi BMP B Herni √ PL
Hidrocephalus Non Komunikan VP Shunt KH ER √ NI EM
G1P0A0, Hml 32mg, Hidrops Totalis SCTP dg Penyulit B JD √ Gatot SU SL,NH
appendisitis Akut Apendiktomi S ERI √ NH BD
Appendisitis Akut Perforasi + Adhesi Small Laparatomi Adhesiolisis Kompleks +

KH,S,S RR √ BD SU
Bowel Omentektomi + Apendiktomi
G2P1A0, HIV + SCTP B JD √ Gatot HE SL,BD
Peritonitis Laparatomi Explorasi KH MM √ ND RK

Reseksi Anastomose Ileum Repair Laserasi KH ERI √
Ileum
CKD Std V Pasang DL K ALI √ RK ND
Craniotomi Evakuasi Hematoma +

ICH + IVD KH ER √ HI WI
Durplasty
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,SU,
S : EV,RK,ND
ST, DN
NOK Kistektomi Bilat + FS KH INU √ AU,WD*,ID WD AU,ID
BCT of tendon + Osteomilitis Kronis Neuroplasty N. Medialis KH DRY √ S : AR
Fr OS Nasal Reposisi OS Nasal + SR S,B WY √ WD AU,ID
Massa Sinonasal dd/ Polip Nasi Gr III, Mata

Maxilectomi KH WY √ AR WI
Kiri Proptosis ec massa Sinonasal
Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TA √
RSK FESS II + Adenoidektomi KH,B RH √ NO*,AO AO NO
Pansinusitis Kronis + Konka Hipertropi

FESS III + CWL KH,B ANA √ S : AI AO NO
septum Deviasi
Stenosis Trachea LD + Inj. Kenakort + Ganti Kanul Trakea S DAT √ AI
Insersi Gromet + Inj. Dexametason Intra

Sudden Deafness Telinga S,S ZUL √ YS TA
Timpano
BY*
Histerektomi SubTotal + BSO + KH,KH
NOK MZ √ TW,YN,RM TW RM
Omentectomi + Adhesiolisis luas + FS ,S,KH
YN,
Susp Ca Ovarii Laparotomi Biopsi + FS KH EW √ S : ES TW
RM
Ulkus Variko pedis dextra Stripping Vena Tungkai Kanan KH ALI √ JF TD
Tumor Paru Thoracotomi Explorasi Sigmentectomi KH ALI √ AD ES,NI
Laparotomi Explorasi + Parsial

Cholangio Ca KH,B PB √ TD*,TM TM TD
Cholesistektomi + Biopsi
Laparatomi Eksplorasi CBD + Bypass
Ikterus Obstruksi ec Choledocolithiasis KH,KH ERI √ S : JF*,TA TD TM
Choledocoyeyunustomi Roux en y
Ca Mamae Sin Residif Wide Eksisi B BIS √ AZ,DB,DN DB AZ
TMS c/ Ganas T4bN1Mx Insisi Biopsi + PA S BIS √ AZ DB
Maligna Spindel Cell Reg Pelvis Sin Wide Eksisi + PA B DWT √ S : PL AZ DB
Tumor Mediastinum Prolong Ventilator Tracheostomi S ALI √
VSD, Prolaps RCC, Carries Dentis Multiple Ekstraksi Gigi Gangren B DV √ DY,EA* AR DY
Tumor Mandibula Hemimandibulektomi KH OEN √ S : YS DY AE

Otitis Media Kronis Thympanoplasti KH PW √
Canal Stenosis Vertebrae Cervicalis 5-6 Laminektomi Kompleks KH AJ √ SF,AF AF SF
Fusi Posterior Fiksasi Lateral Mass KH HY √
Spondilitis TB Laminektomi Kompleks KH HY √ S : AT HA AT

Meningioma Sphenoid Wing Dex Craniotomi Dasar Tengkorak KH ZM √ LW,BR BR LW
Pemasangan Fikasi Intena Kranium B MTA √ S : SA

Fr. Femur Dextra 1/3 dextra transver displ ttp
Gisp Siekuler extermitas K APR √ PR,AP
NK
Fr Collum Femur Sin AMP Bipolar/Parsial Hip Replecesement KH APR √ S : AD* AP PR
Fr. Costae Clipping Costae + ORIF Radius Ulna ALI + APR
Fr Clavicula Sin 1/3 Tgh Com Disp Ttp Nk ORIF Clavicula KH DID √ PR AP
BJ.03 EN,MA,TK
ASD II L-Shunt Repair Katup Tricuspid + ASD Closure SF √ MA EN
BJ.09 BP,SS,AS
Thorakotomi + Reseksi Costa (Biopsi
Massa Paru KH,KH WW √ S : BD,WI TK EN,MA
Excisi)
Mata kanan Cholesterolosis + KSI Mata kanan Vitrektomi + Phaco + IOL KH,KH AL √ NK,DI DI NK
Mata Kanan Phaco + IOL + Vitrectomi + MP

Mata Kanan Kiri PDR + VH KH,KH AW √ DI NK
+ EL
Mata Kanan Kiri Glaukoma Sekunder Mata Kanan Kiri Trabekulektomi B,B MR √ YW,TU
Mata kanan KSI Mata kanan Phaco + IOL AK S : HA,VT
Mata Kanan Kiri Glaukoma Sekunder ec
Mata Kiri Trabekulektomi B FI √
Steroid
Mata kanan kiri iol capture + Pseudofakia,
Mata kanan PPC + Pupiloplasty WIS
Mata kiri Keratopati
Mata Kanan Post Hecting Kornea + Ulkus
Mata Kanan Aff Hecting Loose Suture DN
Kornea
Mata kiri CMV Retinitis Mata kiri Inj. Gancyclovir IVT DN
Laparoscopy Adhesiolisis + Neo KH,KH
Hidrosalping TF √ NP,RE
Salpingostomi Bilat + Kista Ov. Kiri ,KH
MRKH Vaginoplasty KH ER √ NP RE
Multiple Limfadenopati Colli Limfadenectomi Colli S YAN √ AL,HR AL HR
Ca Papilary Thyroid Total Tiroidektomi KH YAN √ HR AL
Laparatomi Adhesiolisis + Reseksi Usus
Chron's Disease KH RR √ AH,ER,MK AH MK,ER
Anastomose Ileo-Colon
RR GRD : RG MID : VQ SORE PROGRAM : EV,RK,AI,TA,AR,AT,AD,BD,VT,ES,HA,JF,WI,YS,ND,PL,SA,US,YR ALAT : PUR,DW ( S : CA )
Hidrocephalus e.c tumor Pineal VP Shunt KH AJ √ BD NI
Ca Sinonasal Nekrotomi Endoscopy B DAT √ AI
Ulkus DM Amputasi Jari + Osteotomi B,S AS √ SR IS,NH
Ulkus Diabetikum Pedis - Cruris Dextra Debridement B AS √ AG RI
Efusi Pleura Bronchoscopy KH Sofyan √ ER MW
RI,
ICH + IVH External Ventricular Drainage KH ER √ HI
DN
Corpal Esofaguscopy + Ekstraksi Benda Asing B MYS √
CKD Std V Pasang DL K ALI √ RK ND
Efusi Pleura Pasang WSD S ALI √ ND RK
Hidrocephalus VP Shunt KH AJ √ HI DJ
G P A , PEB, Gemeli SCTP dg Penyulit + Reseksi IUD B VG √ Adhie ID SR,NH

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,SU,
S : EV,RK,ND
ST, DN
UDT Dx Orchidopexy Dx KH ADS √ AU*,WD,ID WD AU,ID
Bladder Neck Sclerosis Residif Bladder Neck Incisi (BNI) KH ADS √ S : JF,AN AU WD,ID
AU,
Ca Cervix Susp Metas VU Sistoskopi Biopsi S ADS √ ID
WD
AU,
Buerger Disease Amputasi Bawah Lulut KH WW √ ID
WU
DVT Femoral Sin Thrombectomy WW
Mata Kanan Ptosis Kongenital Mata Kanan Koreksi Ptosis KH INA √ NO,AO
RSK + Konka Hipertrofi FESS III + Konka Reduksi + CWL KH,S,B RH √ S : AI MW AI
RSK + SR + Konka Hipertropi FESS III + Konka Reduksi + CWL RH
OMSK Dupleks ME Simple + Thimpanoplasty Kanan AYU
CKD AV Shunt WW WU,
CKD Pemasangan Double Lumen K WW √ PM
Tumor Paru Kiri, Efusi Pleura Kiri Repair WSD S ALI √
Salpingooforectomi Parsial Dex +

NOK B,S VG √ TW,AM* AM TW
Omentectomi + FS
Laparatomi + ileostomi KH PB √
NOK Optimal Debulking + FS KH MZ √ S : RE TW AM
Massa Basis Lidah LD + Ekstirpasi Massa + Pasang NGT S,S FAR √ AM RE
Hernia Scrotalis Sin, Hernia Inguinalis Dx Hernioraphy Kanan Kiri JS TD,RM
Fistel Rectovesica Adeno Ca Rectie Laparatomi Colostomy KH PB √ S : TM AZ TD
Tumor Intra Abdomen Extra Luminer Laparatomi Reseksi Pankreas Distal KH ERI √ TD AZ
Laparoscopy Biopsi KH ERI √
Isthmolobektomi + FS Ganas - Total

Struma Nodusa, HT, Azotemia KH,KH YAN √ AZ,DB* DB AZ
Tiroidektomi
Tumor Intra Abdomen c/ LMNH Laparoscopy Biopsi - Laparatomi Biopsi KH MG √ S : PL* AZ TK
Massa Sinonasal Maxilectomi medial KH WY √
Ekstirpasi Massa Cavum Nasi dg Endoskopi

Ca Sinonasal KH,S WY √ SA TM
+ FESS III
Fraktur Mandibula Rekonstruksi Fraktur Tulang Wajah KH RZ √ TA, ET* ET TA
Fraktur ZMC Sin Rekonstruksi Tulang Wajah KH RZ √ S : YS TA ET
Luka Bakar Listrik 27% Debridement KH RZ √ ET TA
Craniotomi Conveksitas KH ER √ SF,AF SF AF
Pasang CVC KH HA √ S : BY,BR*
Spondilitis TB Laminektomi Kompleks + Squestrectomi KH HY √ LW,NI LW NI
Fusi Posteriot Vetebra KH AJ √
Multiple Gigi Gangren + CKD Odontektomi 2 Rahang KH RP √ S : SA,WI SA WI
ORIF Femur Com + Reposisi Tertutup Gips

Fr Femur Sin, Fibula Dx KH,S APR √ PR,BD BD PR
Cruris
Fr. Costae Thoracotomi ORIF Costae KH ALI √ S : MW PR BD

ORIF Radius + ORIF Ulna KH,KH APR √
OA TKR D KH BIN √ BY BR
EN,MA,TK TK
ASD ASD Closure BJ.03 SF √ MA
BP,SS,AS ,EN
Mata Kiri Glaukoma Sekunder + Nukleus
Mata Kiri VitreKtomi + Endofragmentasi KH AL √ NK,DI NK DI
Drop
Mata Kanan Probing Spoeling, Mata kaki
Mata Kanan ODNL Congenital S,S LN √ NK DI
Examination Under Anastesi
Mata Kiri Katarak Komplikata d.d Katarak
Mata Kiri Ekstraksi Lensa+ Vitrektomi
Traumatika e.c Uveitis Sanata + Band KH LN √ DI NK
Anterior + PPC + PI + IOL
Keratopathy
Mata Kiri Post Eksternal DCR + Abses Mata Kiri Insisi Abses + Drainase B INA √ YW,HR
S:
Mata Kanan Kiri KSI Mata Kanan Phacoemulsifikasi + IOL WIS
HA,VT,EA
Mata Kanan Explantasi IOL+ Vitrektomi
Mata Kanan Dislokasi IOL WIS
Anterior
Mata Kiri KSI Mata Kiri Phacoemulsifikasi + IOL WIS
Mata Kiri Phacoemulsifikasi + IOL MR
Imatur
Mata Kanan PACG, Mata Kiri APAC Mata Kiri Triple Procedure KH MR √
Mioma Uteri TAH KH INU √ ER,PS PS ER
Susp Ca Ovarii Laparatomi Biopsi KH EW √ ER NP,PS
Histerektomi Total + BSO + Adhesiolisis + KH,KH

NOK, ITP EN √ NP ER,PS
FS ,S
Post Mastektomi Wide Eksisi + Diseksi Axilla + PA B,KH BIS √ AL MK
IDC Gr II MS T4bNoM1 MRM Sin KH BIS √ AL,MK MK AL
Total Tiroidektomi + Limfadenektomi + FS, KH,S,K MK,

Ca Papilary Thyroid UUD √ AL
Ganas - RND Bilat H,KH VT
Microta Dx et Sin Rekonstruksi Telinga Kanan + Kiri KH,KH NJT √ AH,TU AH TU

Megakolon Kongenital Duhamel Prosedur KH EDW √
RR GRD : RG MID : VQ ,NP SORE PROGRAM : EV,RK,AI,AN,SA,RE,BR,BY,VT,EA,HA,JF,WI,MW,YS,ND,PL,SC,TM,US ALAT : PUR,DW ( S : YN )

GN,
Tumor Recto Sigmoid Colonoscopy KH PB √ MR
ANM
RSK + ATK FESS III + Konka Reduksi + ATE KH,B,S RH √ NO AO
Aneurisma A Femuralis Repair Arteri KH AS √ AD TM
Amputasi jari B AS √
G1P0A0, HML 40mg, Oligohidramion SCTP B EN √ Gatot RI DJ
Laparatomi Explorasi Shunting

Atresia Duodenum KH PTY √ DN SU
Duodenojejunustomi Side to Side
G3P2A0, Hml 23mg, PEB SCTP + MOW B VG √ Gatot HE SU,DN
G6P3A2, Hml 38mg, bekas SC SCTP + MOW dg penyulit KH HR √ Gatot SU HE
G5P3A1, Hml 37mg, Gemeli SCTP Gemeli + MOW B,S IN √ Gatot DN SU

Laparatomi Drainage External KH RR √ ST HE
Oklis A. Femuralis Sin Embolektomi KH SF √ YS ET
EDH Kraniotomi KH AJ √ WI DY,RK
CKD std V Pasang DL K ALI √ RK

Peritonitis Generalisata ec Perforasi Gaster KH PB √ ND WI
gaster (Patch)
POAD Amputasi Bolow Knee KH AS √ ES NH
G2P1A0, Hml 33mg, Bekas SC SCTP dg penyulit bekas + Pasang IUD B OP √ Gatot SR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
BUKU PUTIH + KOMPETENSI : SL*,UM,AM,

CA,YN,HE,ET,TR,PS,AY,YR,EW,MR
GN,EV,TA,AL,AH* ANM*,VQ*
HIL Dextra Reponible Herniotomi B PTY √ NO,WD WD PS
OMSK Dupleks ME Simple + Thimpanoplasty Kanan KH AYU √ PS WD
Obs Dyspneu Pasca Tracheostomi LD S DAT √ AI,AO,RE
Stenosis Trachea, Stiffnes MIT dig IV - V,

Pasang Kanul T-Tube + LD S DAT √
Manus Sinistra
Manual Stracing S BIN √

Massa Cavum Nasi Kiri dd/ Inverted
Ekstirpasi Massa Cavum Nasi + FESS II S,KH DAT √ BY MW
Papiloma Polip Nasi
Neuroplasty + Facet Block Multilevel + KH,S,K
Myelopathi Lumbal TRI A √ WU WU MR
Rhizotomi H
NOS c/ Ganas Surgical Staging + FS KH EW √ TW,AM TW AM
Susp Ca Ovarii Optimal Debulking KH EW √ TW AM
Biopsi hepar + Apendiktomi S,S ERI √
Mata Kanan Massa Palpebra ec

Mata Kanan Re Wide Excisi + FS B TL √ TD,RM,YS
Trichilemmal Ca
Mata Kanan Rekontruksi Palpebra + Graft
KH INA √
Kortilago
Impaksi Gigi Odontektomi 2 Rahang KH DV √ AZ,DB,DN DB DN
Impaksi Gigi Odontektomi 4 Gigi Sulit KH DV √ DN DB
RSK + SD + Konka Hipertrofi FESSIII + CWL + Konkareduksi KH,B,S RH √ SU,DM* DM SU
SF
LW,SA

HNP KH,KH APR √ PR,BD,DM* PR BD
Fusi
Ruptur ACL Sin Rekontruksi ACL Sin KH BIN √ JF
EN,MA,BP,
SS,AS
Mata Kanan Vx Eye + KSI, Mata Kiri PDR +
Mata Kiri Vx + EL + SF6 KH AW √ NK,DI,TU DI MK,HA
TRD + VH
Mata Kanan Retinal Detachment dg Makula
Mata Kanan Vitrectomi + EL + SB + C3F8 KH AW √ DI TU,NK
on
E PROGRAM : AN,AU,NI,BR,BY,DA,EA,HA*,JF,WI,MW,MK,ND,PL,SC*,TM ALAT : PUR, DW
Kista Ovarii SOD + SOS + Adhesiolisis B,B,S EW √ TM NI
Abses Cerebri Craniotomi KH DP √ AY SF
Pneumoenchephal + LCS Leakage Craniotomi KH ER √ SA LW
Hidrocephalus VP Shunt KH ER √ IS NH
Rupture Tendon ACL Repair Tendo KH DID √ ANM
UM,
G P A , Bekas SC SCTP + MOW B TF √ Arsita DA
ANM
Pemasangan Chest Tube + WSD Dex KH,S WW √ VQ ANM
Laparatomi Hemikolektomi Kanan + UM,SL,

Ileus Obstruksi ec Adhesi KH,B PB √ VQ
Ileustomi Double Barel DA
G2P1A0, Bekas SC SCTP + MOW B TF √ Arsita DA DN
Sistostomi B PTY √ ANM VQ, BR
Obstruksi Letak Tinggi Pasca Reseksi

Ileostomi B RR √ AR AD
Anasromose Ileum End to End
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AP,BD,TK, PS,ID,MK, MF,RA,TR, US

BD,
Hidrocephalus VP Shunt LP + L-Connector KH GK √ NI
TK
Sinusitis FESS III + Konka Reduksi + CWL KH,S,B RH √ RA US
Ca Sinunasal Hemimaksilektomi KH DAT √ US NI,RA

Hidrocephalus Obstruktif VP Shunt Ka KH GK √ MW BD,TK
G1P0A0, Hml 34mg, PEB, Fatal Distres SCTP + IUD B IN √ Arsita MK NI,MF
ICH + EDH Craniotomi EDH KH MTA √ MF PS
Post Partum Curetase K OP √ VQ HA
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE*,UM,
S : NO,WU, SE
AG ,RM
Nefrolithiasis Sin, Ureterolithiasis Sin,
Nefrolithotomi Sin + Nefrostomi Sin KH,KH ADS √ EV*,DB EV DB
Hidronefrosis Sin
Massa Glotis LD + Ekstirpasi Massa S,S DAT √ S : DM DB EV
Tonsilitis Kronis Tonsilektomi S RR √ DB EV
Mata Kanan Obstruksi Saluran Lakrimalis Mata Kanan Re-Endo DCR KH INA √ AI,AO,ID
FESS I KH RH √
RSK + SD + Konka Hipertrofi FESS III + SR + Konka Reduksi KH,B,S RH √ S : DN,ANM AO AI,ID
Ca Sinonasal Medial Maksilektomi KH WY √ ANM DN
TU
Mioma Uteri Miomektomi B HR √ TW,PL PL TW
KH,KH
NOK c/ Ganas TAH + BSO + Adhesiolisis + FS EN √ S : SU
,S
Hernia Scrotalis Sin, Hernia Inguinalis Dex Hernioraphy Bilat (Mesh) B,B JS √ TD, HA TW HA
Laparoscopy Hemikolektomi Sin +

Tumor Desenal KH MG √ S : DY,ER HA TW
Anastmoses End to End
Laparotomi Extended Hemikolektomi Dex +

Tumor Colon Ascenden c/ Ganas KH,KH ERI √ SU BD
Reseksi Anastomose Ileum
Splenomegali Laparatomi Splenektomi Besar KH ERI √ DY PM

S,B,
Malignant Soft Tissue Tumor Cruris Dex Eksisi + FS ganas - Wide Eksisi + STSG BIS √ AZ,ET ET AZ
KH
Ismolobektomi + FS ganas - Total AZ,
SNNT c/ Ganas KH,KH UUD √ S : DA ET
Tiroidektomi DA
Megacolon Kongenital on Kolostomi Duhamel Procedure + Stepler KH EDW √ EM,MY ER EM
Laparatomi Eksisi Tumor Teratoma +

Teratoma Matur KH,KH RR √ YS DA
Laparatomi Adhesiolisis Kompleks
II, SA
S : AF,NI
LW, HI
S : SF, VQ
Fr. Scapula Dextra , Fr. Acromion Dex ORIF Acromion Clavicula Dex KH APR √ PR,WD PR WD
Ruptur Meniscus Rekontruksi Memiscus Sin KH BIN √ S : PM
EN,MA,TK
EN
CAD 3 VD CABG High Risk BJ.11 SF √ BP,SS,AS, TK
MA
ND
S : BD,WI
Mata Kiri SO Filled Eye Mata Kiri Evakuasi Silicon KH AL √ NK,DI DI NK
Mata Kanan Evakuasi SO + Phaco + IOL KH,KH AL √ NK DI
Komplikata
Mata Kiri SO Filled Eye + KSI Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AL √ NK DI
Mata kanan Kiri KSI Mata kanan phaco + IOL RF YW,HR

Mata kanan Pseudofakia + Decompensated
Mata kanan evakuasi IOL WIS S : MK,RI
Cornea
Mata kanan Katarak Komplikata Mata kanan Sinekiektomi + Phaco + IOL WIS
Mata kiri glaukoma absolut Mata kiri Cyclocryotherapy AK
Mata kiri glaukoma sekunder Mata kiri Rekonstruksi COA AL
Mata Kiri CMV Retinitis Mata Kiri Injeksi Gancyclovir Intra Vitreal DN
Laparoscopy Neosalpingostomi +
KH,KH AM,
Adenomiosis + Tuba Ovarial Abses Kistectomi Ov. Ka , Ki + Adenomiosisis TF √ NP,AM,RA NP
,KH RM
Adhesiolisis
Histerektomi Total + SOB + Adhesiolisis + KH,KH

NOK VG √ TW PL
Limfadenectomi Pelvis Bilat + FS ,S,B
Limfadenopati Colli Limfadenektomi Colli S YAN √ AL,TM AL TM
Tumor Mandibula Hemimandibulektomi KH DV √ NI AF

Rekontruksi dg Plate & Screw KH RP √
Luka Bakar Derajat Iib-III 20,5% Debridement S NJT √ TA,DJ* TA DJ
RR GRD : JF MID : PS SORE PROGRAM : NO,WU,SF,AF,NI,DA,DM,DN,DY,YN,ER,WI,ANM,MK,YS,PM,RG,RI,SE,SU,VQ,BD*,ANM* ALAT : PUR,
Craniopharingioma Craniotomi Dasar Tengkorak KH DP √ LW HI
Massa Paravertebra Laminektomi Kompleks KH AJ √ SA II
Fr. Of Nasal Aff Tampon K WY √
Ca Sinonasal Aff Tampon Anterior K WY √ VQ
Massa Sinonasal Maxilektomi Medial KH WY √ ANM YS
Mata Kiri Proptosis e.c Susp Metastase Ca

Mata Kiri Enukleasi Bulbi + Biopsi + PA KH TL √ DM EV
Mamae d.d Susp Massa Sinonasal
Maksilektomi Medial KH DAT √
Adeno Ca Colon Tranversum Laparatomi Reseksi Anastomoses Colon KH ERI √

Tumor Parotis Sinistra Superficial Parotidektomi Sin + FS B BIS √ DJ TA
Sudden Deafness Telinga Kanan Inj. Steroid Intra Timpani S ZUL √ RG
CKD on HD, CAD 3 VD Pasang DL K WW √ MY
Massa Sinonasal Aff Tampon K DAT √ RG JF
NH susp TB Pemasangan CVC KH Ratna √ WU SE
Tumor Recto Sigmoid Colonoscopy + Biopsi KH PB √ JF
Sudden Deafness Telinga Kanan Inj. Steroid Intra Timpani S ZUL RG
Nekrose Dig II Manus Dex Amputasi Dig II Manus dex B AS √
Ulkus DM Debridment Luas B AS √ AU
Laparatomi Reduksi Gastroshisis + HE,UM

Gastroschisis KH RR √ AG
Adhesiolisis Kompleks ,SC
Corpal Liontin Esofagus Esofaguscopy + Extraksi Benda Asing B,B DAT √ WU SE
EDH Craniotomi KH MTA √ VQ AG,ER
Hidrocephalus VP Shunt KH MTA √ ND BR
MY,
G3P0A1, Hml 3bl, Susp KET Laparatomi Explorasi + Salpingektomi Dex B,B PS √ SE
WU
CKD Pasang DL K ALI √ WU DA
Plasmacystoma Pasang DL K ALI √ MY WU
Efusi Pleura Sin Pasang WSD S ALI √ MY SE
Splenomegali Post Laparatomi perdarhana Re Laparatomi KH ERI √ MW AN

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,UM,
S : NO,WU, SE
TU ,RM
Ca Laring Laringektomi KH WY √ EV,DB DB EV,GI
Ca Palatum Ekstipasi Massa Palatum S WY √ S : IS, DM DM IS
LD Evaluasi + Ekstirpasi Massa + Ganti

Papiloma Laring S,S FAR √
Kanul
RSK + Adenotonsilitis Kronik FESS + ATE KH,B RH √ AI,AO,ID AO AI,ID

Malignant Tumor Nasofaring Nasofaring Biopsi + Uncinektomi B DAT √ S : PS PS IS
Massa Palatum Ekstipasi Massa S DAT √ PS DM
Percutaneus Disectomi Multilevel +

Myelopathy Lumbal HNP, Spondiliosis KH,S,
Discogrfaphy Multilevel + Neuroplasty 3 TRI A √ AG* ER
Lumbal KH
Level
Miomektomi TAH + BSO KH,KH OP √ TW,TK TK TW

Adhesiolisis Mioma Uteri Rectosigmoid KH ERI √
KH,KH
NOK TAH + BSO + Adhesiolisis EN √ S : DN TW TK
,S
Mata Kiri Proptosis ec Massa Retrobulber Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TL √ DN DA
Cholelithiasis Laparoscopy Cholesistectomi KH PB √ TD, HA HA TD
Vulnus Sclopetorium Thoracotomi + Evakuasi Peluru KH,B WW √ S : DY HA TD
Massa Mediastinum Sternotomi Debulking Tumor Mediastinum KH ALI √
Massa Colli Multiple Excisi B BIS √ AZ,ET ET AZ

BMP B NYO √
Invasive Ca Mamae Dx Wide Excisi B BIS √ S : DA AZ ET
ET,
Rabdomiosarcoma RND Sin + Wide Excisi + FS KH,B DWT √ AZ
DA
Tumor Colli c/ Hygroma Colli Eksisi Biopsi S EDW √ EM,MY MY EM
Observasi Kolestasis Laparotomi Liver Biopsi B PTY √ S : YS EM MY
Massa Intra Abdomen C/ Lympoma Laparotomi Biopsi RR
Osteomilitis Luas Debridment + Squestrektomi KH DID √
Normo Pressure Hidrocephalus VP Shunt ER II, SA
Abses Multiple Intra Cranial Craniotomi KH AJ √ S : AF,NI
Meningioma Falx Craniotomi Dasar Tengkorak KH ZM √ LW,HI* SF LW
Craniotomi Fiksasi Internal Kranium B MTA √
Pasang CVC KH JH √ S : SF
Boxer Fraktur Manus Dx ORIF Boxer Fr KH APR √ PR,WD
Plate Failure Humerus Sin Post ORIF Revisi Metal Fr + ORIF Humerus KH,KH APR √ S : PM WD PR
Closed Fr Collum Femur Sin Parsial Hemiarthroplasty Hip Sin KH BIN √ PR WD
EN,MA,VT
BJ,08 EN,
AR Severe, MR Severe MVRepair, AVRepair + TVRepair SF √ BP,SS,AS, VT
BJ,09 MA
ND
PDA Ligasi BJ.05 WW √
PDA Ligasi PDA BJ.05 WW √ S : BD,WI BD WI

Mata Kiri Katarak Kongenital ec Rubella Mata Kiri Ekstraksi Lensa + Vx Anterior +
KH LN √ NK,DI,DW DI NK
Syndrome IOL + PPC + PI
Mata Kiri Luksasi Lensa + Hemoftalmus Mata Kiri Aspirasu Irigasi Massa Lensa + Vx KH AW √ DI DW
Mata Kanan Retinal Detachment, Mata Kiri

Mata Kanan SB + Vitrectomi + EL + Gas KH AW √ DW NK,DI
Katarak Komplikata
Mata Kanan Secondary Implant (Iris Claw) +
Mata Kanan Afakia FET YW,HR
Vitrektomi Anterior
S:
Mata Kanan Kiri Myopia Degeneratif Mata Kiri Clear Lens Extraction FET
MK,RI,ER
Mata Kiri KSI + Pupil Atropi Mata Kiri Phaco + IOL WIS
Mata Kanan KSI + PDR + CSME Mata Kanan Phaco + IOL WIS
Mata Kanan Glaukoma Sekunder Post
Mata Kanan Re-Trabekulektomi B FI √ HR YW
Vitrectomi
Mioma Uteri TAH + Adhesiolisis KH,B HR √ NP,AM,RA AM NP,RA
AM,
Mata Kiri Retino Blastoma Mata Kiri Enukleasi Bulbi + PA KH TL √ ND
RI
Maligna Spindel Cell Wide Eksisi + STSE + PA B,KH UUD √ AL,TM AL TM
Mata Kiri Proptosis ec Susp Pseudo Tumor Mata Kiri Orbitotomi Lateral + Biopsi + PA AK
Ulkus Granulosum Sacrum e.c Skin Avulsi Debridement + STSG KH RZ √ TA DJ
Fr. Parasimfisis Mandibula Rekonstruksi Fr. Tlg Wajah Komplek KH RZ √ TA,DJ TA DJ
Ulkus Granulosum Tungkai Debridement + STSG KH RZ √ AG

Combostio Gr 2a-b 27% Debridement S RZ √ TM AL
RR GRD : JF MID : PL SORE PROGRAM : NO,SF*,WU,AF,NI,BD,DA*,DM,DN,DY,ER,IS,WI,PS,MK,YS,PM,RG,RI,SE ALAT : PUR, CA ( S : YN )
Mata Kanan Lateral Traumatika Glaukoma
Mata Kanan Evakuasi Massa Lensa + IOL KH INA √ MK
Sekunder
Susp Keganasan Hematologi Pungsi Sum Sum Tulang B MOED √ AU MF
Fr Tibia Dex + Sin Fiksasi Eksternal yg Kompleks KH DRY √ SE WU
Peritonitis Laparatomi Explorasi KH MM √ HE UM,TU

SalpingoOoforectomi Kanan B EN √
GPA SCTP + MOW B DC √ Gatot YS WU
Trauma Tumpul Abdoment Laparatomi Explorasi KH PB √ AF PS

ICH Craniotomi KH DP √ DA SE
GPA SCTP + IUD B DC √ Gatot TR EW
G2P1a0, Hml 36mg, bekas SC 2x SCTP dg Penyulit + Pasang IUD B OP √ Gatot SU DA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL*,HE,UM,
S : NO,ET,SE
AR, RM
Curiga UPJ Stenosis Dex et Sin Urethrocystoscopy KH ADS √ EV,DM,DB EV DM,DB
Ca Cervic, CKD Repair Nefrostomi KH ADS √ S : IS*,AM
Massa Cavum Nasi Ekstirpasi Massa DAT AI,AO,ID
Ca Sinonasal Aff Tampon K DAT √ S : PS
Ca Sinonasal Hemimaksilektomi Medial KH WY √ AO AI,ID
Mata Kiri Tumor Orbita ec Suspek

Mata Kiri Orbitotomi Anterior + Biopsi + PA KH TL √ AM AF
Metastasis Ca Sinonasal
AG
Susp Sarcoma Uteri Surgical Staging KH EN √ TW,TK TW TK
NOK dg Bagian Padat c/ Ganas SubOptimal Debulking + Omentectomi KH,S HR √ S : DN TK TW
Adeno Ca Recti Well Diff Laparotomi Hemikolektomi Kiri KH PB √ TD, ER ER TD

Fistula Enterocutan + Distal Obstruksi Ileo-Transvestostomi + Anastomose End to KH,KH ERI √ S : DY, BD TD ER
End
Fibrolipoma Sternodalicular Wide Excisi B UUD √ AZ*,AT,ES ES AT
ORIF Stemo Clavicula Joint sin KH APR √
Fr Femur, Fr Tibia Fibula, Fr Parasimpisis ORIF Femur Sin + ORIF Tibia Sin + ORIF KH,KH
DID √ S : DA AT ES
Mandibula Fibula Sin ,KH
Rekontruksi Fr Wajah Kompleks KH RZ √ AZ

Pasang CVC KH DS √ DA
Wide Excisi tumor r/ Sacrum + Rekontruksi

Teratoma Reg Sacrum B,B RR √ EM,MY,AD
Flap
Abses Hepar Laparoskopi Drainase Abses Hepar KH RR √ S : YS DB EV,DM

Atresia Colon KH,KH RR √ AM BR
Reseksi Anastomose Anastomose Colon
MY,
MAR On Kolostomi dg Fistel Rectovestibuler PSARP + Fistulektomi KH,B RR √ AD
EM
ICH, IVH On EVD Pemasangan VP Shunt KH HY √ IS SA
SOL Fronto Temporal Dx Craniotomi Dasar Tengkorak KH ER √ II, SA,BR SA IS
Ligasi Kanalis Temporal KH AJ √

Fr Impresi OS Frontal Dx + Fr Femur Dx Koreksi Fr Impresi Kompleks KH AJ √ S : AF,NI NI AF
Meningioma Suprasella Craniotomi Dasar Tengkorak KH DP √ LW,HI HI LW

Pasang CVC KH TA √ S : SF
Laminektomi Debridment + Internal Fiksasi
Fr Kompresi KH,KH APR √ PR,AP PR AP
Fusi
Fr. Choles Sinistra Reposisi APR
Fr Clavicula Dx ORIF KH APR √ S : PM AP PR
OA Genu Sin TKR S KH BIN √ PM PS
EN,MA,VT
BJ.09 VT,
ASD II Repair Katup Tircuspid + ASD Closure WW √ BP,SS,AS, MA
BJ.03 EN
ND
Mata Kiri Afakia + Retinal Detachment +
Mata Kiri Vitrectomi + EL + SO KH AL √ NK,DI,DW DI NK
Vitreus Haemorage
Mata Kiri Ablatio Retina Mata Kiri Vitrectomi + EL KH AL √ DI DW
Mata Kanan Kiri High Miopi + Afakia + Mata

Mata Kiri Vitrectomi + EL + SO KH AL √ DW NK
Kiri Rheugmatogen Retinal Detachment
Mata Kanan Kiri Glaukoma Neovaskuler,

Mata Kanan IOL Exchange S RF √ HA RI
Mata Kanan Dislokasi IOL
Mata Kiri Re Trabekulektomi B FI √
Ulkus Pedis Dex Debridement S ALI √
Mata Kiri Glaukoma Mata Kiri Cyclocryotherapi AK YW,HR

Mata Kiri Katarak Mata Kiri Phacoemulsifikasi + IOL AK
Mata Kanan Phacoemulsifikasi + IOL RF S : RI,HA
NPDR
Mata Kanan Katarak Komplikata,Mata Kiri Mata Kiri Secondary Implant + IOL +
WIS
Afakia Vitrektomi Anterior ( Iris Claw)
Mata Kiri Phacoemulsifikasi + IOL MR
Imatur
Mata Kiri Glaukoma Absolut Mata Kiri Cyclocryotherapi FI
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasi + IOL FET
NOK, Torsi SalpingoOoforectomi Sin B TF √ NP,RA RA TU
Laparatomi Adhesiolisis Kompleks B ERI √
Adenomiosis Laparoscopy Total Histerektomi KH TF √ TU AH,RA
Mata Kiri Proptosis ec Susp Pseudo Tumor Mata Kiri Orbitotomi Lateral + Biopsi + PA KH,S AK √ AL,TM TM AL
Pansitopenia BMP K NYO √ AL TM
Fr Maksila ZMC Sin, Dislokasi Anterior Sin

Rekonstruksi Fr Tulang Wajah Kompleks KH RZ √ TA,DJ TA DJ
Mandibula
Combustio 32% Debridement S NJT √ DJ TA
RR GRD : WD MID : PL SORE PROGRAM : NO,SF*,WU,AF,NI,BD,DA*,DM,DN,DY,HA,IS,WI,PS,MK,YS,PM,RG,RI,SE ALAT : PUR, CA ( S : YN
Susp TB Paru Broncoscopy KH Thom √ MR US
Anemia Colonoscopy KH DID √ GN
Fr Radius Ulna Sinistra ORIF KH BIN √ PS YS

G2P1A0, Hml 37mg, Janin Omphalocele SCTP B IN √ Adhie
SDH Craniotomi SDH KH DP √ UM LW
Peritoonitis Generalisata Laparatomi Repair Gaster Omental Plag KH MG √ RM AR
G2P1A0, SCTP + IUD B DC √ Gatot AR RM,II
EDH Craniotomi EDH KH DP √ DN SE
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,UM,
S : NO,ET, WD
AR, AM
Vesicolithiasis + Fr Collum Femur Sin Sectio Alta B WAN √ EV,RK, DB DB EV
Parsial Hip Replacement Arthroplasty KH APR √ S : IS,DM
Ca Laring Laringektomi KH WY √ AI,AO,ID ID AI,AO
S : MF
Bronkopneumonia Pasca Trakeotomi LD + Ganti Kanul S DAT √ TW,TK TW TK
Laringomalasia Pasca Tracheostomi Evaluasi LD + Supraglototomi + Dekanulasi S,B DAT √ S : DN, DJ TK TW
Debridment + Aff Tampon Anterior Cavum

Massa Sinonasal Pasca Maksilektomi S,K DAT √ TW TK
Nasi
Laparatomi Bypass Gastrojejunostomy
Tumor Ampula Vateri KH PB √ TD, AS,ER ER TD,AS
(Side To Side)
Fr. Tibia Dextra Multiple Fr Tulang Panjang - ORIF KH DRY √ AZ,AT,ES SU TR,AZ
Rekontruksi Fr Wajah Kompleks KH PJ √ AT ES
Fr. Femur Dextra ORIF Shaft Femur KH DRY √ S : DA,RM DA AZ
UM,
Abses Intra Peritoneum Laparoskopi Explorasi + Drainage Abses KH ERI √ EM,MY,AD AD
MY
S : YS
Hidrocephalus Pasang VP Shunt KH GK √ II, SA*,ND II SA
Hidrosephalus Pasang VP Shunt KH ER √ S : AF PM SA
Epilepsi Intractable, Mikrocephal Craniotomi Mikro Bedah Epilepsi KH ZM √ LW,HI,VQ VQ HI
Kraniotomi Fiksasi Intenal Kranium KH MTA √
Meningioma Temporoparietal Craniotomi Dasar Tengkorak KH MTA √ S : SF,BR BR SF

Kraniotomi Fiksasi Intenal Kranium KH ZM √
Para Parese Inferior ec Fr Kompresi Vth 8-9, Laminektomi Dekompresi + Internal Fiksasi
KH,KH APR √ PR,AP
VL 1-2 Fusi
S : PM
Laparatomi Adhesiolisis Kompleks -
Biloma Intrahepatik KH,B RR √ EN,MA,VT VT EN,MA
Drainase Kista Hepar
Mata Kanan Reposisi IOL + Vitrektomi
Mata Kanan Subluksasi IOL S,S LN √ DI TK
Anterior
Mata Kiri Ablatio Retina Mata Kiri Vitrectomi + EL KH AW √ NK,DI,DW DW NK,DI
Mata Kiri PDR + TRD Mata Kiri Vitrectomi + EL KH AW √ DI NK,DW
Mata Kiri Afakia Mata Kiri Sekunder Implant + Iris Claw AK YW,HR*
S :AH,AG,
Mata Kanan Glaukoma Juvenil Mata Kanan Trabekulektomi MR
RI
Mata Kiri CMV Retinitis Mata Kiri Injeksi Gancyclovir Intravitreal DN
Laparoscopy Adhesiolisis + Histeroscopy NP,
Kista Endometriosis + PID KH,KH TF √ NP,RA TM
Kistectomi + TPT RA
AL*,TM
Gangren Pedis ec DM Amputasi Below Knee Sin KH ETH √ TA,TU TU TA
Ulkus Kronis Reg Cruris Pasca Rekonstruksi Debridement B ETH √ AL TM
RR GRD : HA MID : PL SORE PROGRAM : NO,SF*,WU,AF,NI,BD,DA*,DM,DN,DY,HA,IS,WI,MF,MK,YS,PM,RG,RI,SE ALAT : PUR, CA ( S : YN
Pansitopenia BMP B NYO √ RA MW
Ca Paru WSD Torakal S WW √ AS TD,ER
Fr. Colles Sinistra Ttp NK ORIF Radius KH APR √ PM IS
Hidrocephalus VP Shunt KH ER √ II SA
Fr Impresi Os Frontal Craniotomi Elevasi Fr KH DP √ DN AF,DJ
Ruptur Tendo Debridment + Repair Tendo B,S APR
G1P0A0, Hml Aterm , Let Su, PEB SCTP + MOW B EN Adhie EW TR,SU
Laparatomi Reseksi Ileum Reseksi Caecum

KH MG √ AR SL,UM
Anastomose End to End
HE,SL,
G1P0A0 SCTP dg Penyulit B OP √ Gatot AM
UM
Hindrocephalus Non Comunican VP Shunt KH AJ √ DM RI
EVD KH DP √ MW
G2P1A0, Hml 37mg, Partus Tak maju SCTP B BE √ Gatot RI DM,DN
G1P0A0, Hml 30mg, SCTP B HR √
GPA SCTP B HR √ Gatot PM NI

Debridement B PJ √ MF YS
Combustio gr IIIb 30% Debridement KH PJ √ WI

Laparatomi Explorasi Reseksi Ileum
Ileus Obstruktif Anastomose E to E + Repair Hernia KH,B PB √ DY BD
Umilicalis
G2P1A0, Hml 45mg, SCTP B HR √ Gatot SE NI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Ulkus DM r/ Cruris Dex Amputasi Belwo Knee KH AS √ NI WI
Susp Glioblastoma Frontoparietal Kraniotomi Mikro Tumor Konvesitas KH ZM √ VQ BR,AF
Hidrocephalus VP Shunt KH ER √ PS II,DM
Massa Intra Abdoment Incisi Biopsi S WAN √ RK HR
Ca Sinonasal Hemimaksilektomi KH DAT √ DJ HI
Megacolon Congenital Colostomi B RR √ HA UM,ES
G1P0A0, Hml 41mg, Oligohidramnion, Fatal

SCTP B OP √ Arsita TK DM,PS
Distres
Post Suboptimal Debulking ec Ca Ovarium

Aff Packing KH MZ √ TW TM
III
Laparatomi Explorasi Duodeno

Atresia Duodenum KH,B RR √ ES UM,HA
Duodenustomi + Jejunustomi Feeding
Susp Leukimia Akut Pungsi Sum Sum Tulang K Mudrik √ RM DJ
Laparatomi Explorasi + Ileostomi Repair

Peritonitis Generalisata KH ERI YS AG,RM
Anastomoses Ileocalica
DB,RI,
Susp Keganasan Lumbal Pungsi B AMIN √ ANM
ET

Peritonitis ec Perforasi Gaster KH PB √ RG BD,SC
Gaster
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
G1P0A0, Hml 41mg, Prebo SCTP + IUD B BE Adhie SE DY,SU
G1P0A0, Hml 41mg, Partus Tak Maju SCTP B BE Adhie BD SA
ICH Kraniotomi KH DP √ SA NO
G3P2A0, PEB, Fatal Distress SCTP + MOW B HR √ Gatot PS EA,RE
EDH Kraniotomi EDH KH HY √ AN MW
Combustio Debridement Luka Bakar KH RZ √ AU VQ,AM
G1P0A0, Hmo 30mg, PEB SCTP B HR √ Gatot RE AL,AM
G4P2A1, Hml 35mg, PEB, Bekas SC SCTP + MOW B HR √ Gatot AL MY
Skin Loss Femur Sin Debridement + STSE + Release Otot KH,KH PJ √ VQ AU

Gastrocnemen
HNP Neuroplasty 2 Level + Endoneuroplasty KH TRI A √ SC EA

Multilevel
G1P0A0, Hml 27mg, Eklamsia SCTP dgn Penyulit + IUD B OP √ Gatot AM AL,PS
CKD Pasang Double Lumen + C-Arm K AS √ HA DM,DB
CKD Pasang Double Lumen K ALI √ DB IS
Laparatomi Explorasi + Pyloromiotomi KH EDW √ BR ET,YS

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
G3P2A0, Hml 4mg, KET SOD KH VG √ IS RE,SC
G3P2A0, Hml 35mg, PEB SCTP + MOW B HR √ Gatot AZ
Fr Manus Sin ORIF Dig I + ORIF Dig II S,S DID √ RE IS
Debridement + STSG Repair Muscle

KH PJ √
Thumb Sin
Hidrocephalus VP Shunt KH HY √ DM IS
IVH + ICH Pemasangan EVD KH HY √ IS TR
Efusi Pleura Sin Pemasaangan WSD Sin B ALI √ WD HA
Efusi Pleura Dex Pasang Pigtail S THOM √ HA AL
Fr Metatarsal Dig I - II Pedis ORIF KH DID WD IS
Mata Kanan Ruptur Bulbi + Laserasi Palp

Mata Kanan Eksplorasi Bulbi + Jahit Palp Inf S AK √ RI TR
Inferior
Debridement + Rekontruksi Hidung + HT r/ KH,KH

Crush Injury r/ Manus Dex PJ √ AE DM
Palpebra Superior Sin ,S
ORIF Phalang I + ORIF Phalang III +

S,S,S DID √
Debridment Repair Figer Tip
Hidropnemothorax WSD Sin S ALI √ AM RI
G P A , PEB SCTP B VG √ Arsita PM AM,DB
CKD Pasang DL K AS √ AU MW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
EDH Kraniotomi Epidural KH HY √ MW AM,DB
Peritonitis generalisata ec Perforasi Gaster Laparatomi Eksplorasi Omental Plug KH PB √
G2P1A0, Oligohidramion SCTP B OP √ Gatot AZ AL,SC
Mastoiditis + Kolesteatum Mastoidectomi radikal Dex KH PW √
G1P0A0, Hml 37mg, HIV + SCTP + IUD B IN √ Gatot
Fr Depresi Frontal Koreksi Depressed Fr B HY √ JF AO,
Corpal Alienum r/ Esofagus Esofaguscopy + Eksterpasi Corpal B,B PW √
Laparatomi Eksplorasi Repair Perforasi

Peritonitis KH PB √ AZ NH,PR
gaster
Kraniotomi Decompresi + Evakuasi
ICH r/ Temporo Parietal Dex KH HY √ DA ANM
Hematoma
G1P0A0, Hml 34mg, PEB SCTP + IUD B IN √ Gatot AU MF
Efusi Pleura Sin Pasang WSD S √
Crush Injuri Manus sin + Skin Avulsi Phalang

ORIF Phalang I & III + Repair Tendon DIP B,S DID √ IS MF,HA
Distal Dog III Manus Sin
Fr tbk Dig IV + V Manus dex ORIF B DID √ IS WD
Hernia Femuralis Sin Herniorhapy B ERI √ AM HR,TK
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Mata Kanan Ruptru Bulbi Spontan Mta Kanan Enukleasi Bulbi S AK √ TK HR
G2P1A0, Letak Sungsang SCTP B IN √ Gatot RA IS
Akut Scrotal Swelly Wksplorasi + Evakuasi Heamtoma S WAN MF IS
Vulnus Amputatum Gland Penis Debridment + Uretroplasty + FTSG KH PJ √ ANM BR,AO
Mioma Geburt + Mioma Uteri Eksterpasi + Miomektomi K,B EN √ IS DA,RE
Post Pasang Tampon Lepas + Pasang Tampon + Evaluasi K,K ANA √ VT AD,RE
G P A , Gemeli SCTP Gemeli + MOW B,S IN √ Gatot DA IS
Abses Serebri Craniotomi KH DP √ RE AR
Susp Meningoencehepalocele Lumbal Pungsi B Retno √ VT RA
Repair Stump + Rekontruksi Tendo FDS III

Traumatik Amputasi Phalang Prox Dig IV S,B DID √ MK DA,RE
+ STSG Dig IV,V
Herniorhapy + Reseksi Ileum Anastomose
Hernia Scrot Sin Inkasirata B,KH PB √
End to End
G1P0S0, Hml 40mg, KPD, Induksi Tak
SCTP B IN √ Adhie IM AT
Respon
Efusi Pleura WSD S WW √ WD TK

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Ekstermitas Inferior Sin Embolektomi KH ALI √
AO,ES,
Fr OS Clacaneus ORIF KH DID √ MK
TU
BY,
SDH Kraniotomi Konvensional KH HY √ MF
ANM
Repair Tendo + EPL S DID √ ES MK
G3P2A0, Hml 28mg, Eklamsia SCTP + IUD B PS √ Gatot
Debridement + Disartikulasi PIP Dig III,IV

Combustio B,B PJ √ MF ES
Manus Sin
Fimosis Sirkumsisi S PJ √ MY BR,DA
G4P2A1,CHF SCTP + MOW B BE √ Gatot PL RM
GPA SCTP B DC √ Arsita re RM,MY
SDH Kraniotomi Decompresi KH HY √ IS II
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Astrositoma gr III Craniotomi Excisi Tumor + Cranioplasty KH,KH ER √ BY TM
Fr Collum Femur Bipor Hemiathroplasty KH DID √ PS PR
Laparatomi Explorasi Apendictomi +

Peritonitis Generalisata KH,KH PB √ DN TW,SE
Release Adhesi Kompleks
Fr Clavicula Kanan ORIF S DID √ PR PS
G1P0A0, Hml 37mg, Eklamsi SCTP dg Penyulit B EN √ Adhie TW SE,NH
Ileus Obstruktif Laparatomi Explorasi + Stoma KH PB √ RE DJ,VQ
MK, BR.
Hidrocephalus VP Shunt KH HY √
VQ ANM
Ca Laring TxN2M0 Explorasi Perdarahan B WY √ MF VQ
Gastrostomi Dekompresi + yeyunustomi

MAR B,B,B PTY √ PL ES
Feeding + Colostomi
CKD Pasang Double Lumen + C-Arm K AS √ ES VT
Vulnus amputatum r/ Wrist Repair Stump Amputasi B AS √ ND ES

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
G2P0A1, Hml 40mg, Plasenta Letak Rendah SCTP B PS √ Adhie AD DI,YS
DI,
Mal Oklusi ec Fr mandibula Rekontruksi dg Plate an Screw KH RP √ YS
AD
Ulkus Granulosum Debridement + STSG KH RZ √ IS SE,DW
SOL c/ Abses Cerebelum Kraniotomi Tumor Kistik KH HY √ MK BY
Pedarahan Post Sirkumsisi Explorasi Perdarahan B PJ √ RA ID,PS
Laparatomi Explorasi + Eksterpasi Kista

G3P2A0, Hml 7mg, KET KH,K DC √ AF NH
Labia
Phimosis Sircumsisi S PTY √ ID PS,RA
YS,D
Plegmon dasar Mulut Odontectomi B RP √ AD
I
Laparatomi Explorasi Reseksi anastomose

Ileus Obstruktif KH,B,B PTY √ RI
Colon + Colostomi + herniotomi
Ileus Obstruktif Laparatomi Reseksi Usus + Colostomi KH MM √ MF VQ
Insisi Drainase Abse Parafaring +

Deep Neck Abses S,S FAR √
Retrofaring + Ttonsilektomi
Odontectomi B RP √
Skin Avulsi Dig I Pedis Dex Rekontruksi Jari KH ETH √ ND SR
Fr ZNC Sin + VL Nasal Rekontruksi Fr wajah KH PJ √ PL ES
Abses Dig I Pedis Sin Debridement B AS √ SR ND
Lumbal Punksi B Aris √ YR DA
CKD Std V Pasang DL + C-Arm K AS √ AR VT
CKD Std V Pasang DL + C-Arm K AS √ AR VT

JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
11.15-12.30
1 GA DN √ 07.00
11.30-12.30
09.00-10.00
1 GA AI √ 09.00
09.15-10.00
14.15-16.30
1 GA VL √ 12.00
14.30-16.30
20.00-23.00
1 GA JH √ 14.00
21.00-22.30
06.45-08.15
1 GA TA √ 16.00
07.25-08.00
19.15-20.30
1 GA TA √ 18.00
20.10-20.45
08.30-10.45
2 GA TA √ 08.00
08.45-10.30
12.00-13.00
2 GA DN √ 10.00
12.15-12.45
13.00-14.00
2 GA DN √ 13.00
13.10-13.45
14.30-16.45
2 GA TA √ 14.00
14.45-16.30
3 LA 10.00
08.00-11.00
4 GA HS √ 08.00
08.15-10.45
4 GA AI √ 11.00 11.30-14.00
11.45-13.45
08.30-10.15
8 GA VL √ 08.00
08.50-10.00
10.45-12.30
8 GA VL √ 10.00
11.00-12.15
12.45-13.30
8 GA VL √ 12.00
13.00-13.30
3.45-15.45
8 GA VL √ 14.00
14.00-15.30
9 GA 07.00
08.45-13.30
9 GA TA √ 09.00
09.25-13.15
9 GA 14.00
08.00-11.30
10 GA TA √ 08.00
08.30-11.15
12.00-13.15
10 GA AI √ 10.30
12.15-13.00
10 GA 12.00
15.15-16.00
DS GA TA √
15.20-15.45
14.30-18.15
9 GA HA √
15.45-18.00
08.15-11.30
GA AI √
09.30-11.15
11.30-14.00
GA AI √
11.45-13.45
00.00-01.15
CITO GA spin TA √
00.15-01.15
02.30-04.00
CITO GA HR
02.45-03.45
07.45-10.45
CITO GA TA √
08.45-10.30
12.15-14.45
CITO GA TA √
12.30-14.30
CITO LA 16.45-16.55
15.00-16.30
CITO GA WA √
15.15-16.15
16.30-17.00
CITO GA TA √
16.30-17.00
19.30-21.00
CITO GA TA √
19.45-20.45
CITO GA TA √
22.45-01.15
CITO GA TA √
23.00.01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.15
1 GA WA √ 08.00
08.15-09.00
09.45-10.15
1 GA WA √ 10.00
10.00-10.45
1 GA 11.00
11.00-13.15
1 GA WA √ 12.00
11.15-13.00
08.45-11.45
2 GA WA √ 08.00
09.00-11.00
13.03-15.00
2 GA JH 13.00
14.00-14.30
16.00-17.30
2 GA spin HR 15.00
16.30-17.30
3 LA 08.00
3 LA 10.00
3 LA 11.00
3 LA 12.00
3 LA 12.30
3 LA 13.30
3 LA 14.30
3 LA 15.30
4 GA AI √ 08.00 08.30-10.30
08.45-10.15
4 GA epd DS √ 13.00 13.45-16.40
14.00-16.30
16.30-17.40
4 GA VL √ 15.00
17.00-17.30
10.45-13.30
4 GA AI √ 17.00
11.00-13.15
08.15-10.30
5 GA AI √ 08.00
08.30-10.15
5 LA 10.00
14.45-16.30
15.15-16.15
08.45-10.00
6 GA HN √ 08.00
09.00-09.50
6 GA HN √ 11.30 18.00-21.30
11.15-16.30
6 GA HN √ 14.30
12.00-16.15
17.15-21.45
6 GA HN √ 17.30
18.30-21.30
08.00-10.00
7 GA HN √ 08.00
08.30-09.45
10.30-14.45
7 GA HN √ 10.00
10.45-14.30
15.45-17.15
7 GA blok HN √ 14.00
14.30-17.15
17.30-19.30
7 GA HN √ 15.30
18.35-19.15
07.00-08.00
8 GA HA √ 06.30
07.30-07.45
08.45-10.15
8 GA DN √ 08.00
09.00-10.00
10.45-12.15
8 GA HA √ 10.00
11.00-12.00
13.15-15.00
8 GA HN √ 13.00
13.45-14.45
16.00-17.30
8 GA VL √ 14.30
16.15-17.15
9 GA JH √ 07.00 07.00-11.00
08.00-10.30
9
09.00-11.30
10 GA epd DS √ 07.00
09.10-11.20
13.30-17.00
10 GA DS √ 10.30
13.45-16.45
spin,e 20.30-23.00
10 GA DS √ 16.00
pd 20.45-23.00
spin,e 15.15-19.00
10 GA DS √ 18.00
pd 15.30-18.50
JTG WA √ 10.00 07.00-
JT GA HN √ 14.00 17.00-18.30
GR 1 GA HR √ 08.00 09.00-11.30
GR 1 GA VL √ 12.30 13.55-
GR 2 GA HR √ 08.00 08.30-11.15
GR 3 GA JH 08.00 09.45-11.30
GR 3 GA JH √ 10.30 14.25-15.30
GR 4 GA DS √ 07.30 08.00-10.00
GR 4 GA JH √ 09.00 11.00-15.15
ALAT : PUR,CA ( S: YN )
15.45-16.45
GA DN √ 15.00
16.00-16.30
21.00-23.00
GA DS √
21.15-22.45
10 GA DS √ 07.00 07.15-
GR 2 GA HR √ 10.30 12.35-13.35
GR 2 GA HR √ 11.30 13.45-14.30
19.30-21.15
8 GA HN √ 19.00
20.00-21.00
17.15-17.30
CITO GA spin VL √
17.20-17.30
13.45-14.30
DS 2 GA DS √
14.30-14.30
21.30-22.15
GA spin HS √
21.45-22.15
22.15-23.00
GA spin HS √
22.35-23.00
23.00-01.00
GA HS √
23.30-00.40
3 LA
3 LA 18.25-19.15
CITO GA BI √
CITO LA 08.00-08.50
CITO LA 09.00-10.00
14.15-16.15
CITO GA DS √
14.30-16.15
CITO LA 20.15-20.30
20.00-22.30
CITO GA DS √
20.15-22.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
1 GA 14.00
2 GA SF √ 15.00 15.15-18.15
4 GA SF √ 14.00 15.30-16.35
9 GA WA √ 14.00 14.15-
9 GA HA √
02.45-03.45
CITO GA spin DS √
03.00-04.00
00.15-02.00
CITO GA spin DS √
00.45-02.00
01.30-02.30
CITO GA DS √
01.45-02.15
05.45-07.30
CITO GA spin HR
06.00-07.30
CITO DN √ 06.45-08.15
07.00-08.00
07.45-09.15
CITO GA spin VL √
08.00-09.15
09.30-10.15
CITO GA HS √
09.45-10.00
09.30-10.45
CITO GA HS √
09.45-10.30
CITO GA HS √ 12.30-
CITO GA SF √ 17.00-18.00
19.15-20.15
CITO GA spin SF √
19.20-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
GR2 GA VL √ 08.00
GA DN √ 13.30-
09.30-13.00
4 GA epd WA √
09.45-12.45
3 LA
3 LA
GR2 GA VL √ 11.30-
08.30-14.30
9 GS HR √
09.00-14.00
10 GA HR 08.50-09.30
10.15-13.15
10 GA HR
10.50-13.00
09.00-10.45
CITO GA HR
09.15-10.40
14.15-17.15
CITO GA HR 14.30-
17.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.00
08.45-10.00
10.30-13.30
1 GA JL √ 09.00
10.45-13.15
14.15-15.00
14.30-15.00
08.45-10.00
2 GA DN √ 08.00
09.00-09.45
11.30-13.45
2 GA JL √ 09.30
11.40-13.30
14.45-17.45
2 GA HS √ 11.30
15.00-17.30
3 LA 08.00
4 GA epd DS √ 08.00 08.00-11.00

08.30-10.45
12.45-14.45
4 GA HA √ 12.00
13.00-14.30
08.30-11.00
09.00-11.00
11.30-16.40
5 GA epd HA √ 09.30
12.00-16.30
16.30-18.30
5 GA VL √ 12.30
16.45-18.15
17.45-20.30
5 GA epd VL 14.30
18.00-20.00

19.30-21.00
5 GA HA √ 17.30
19.30-20.45
09.00-09.25
6 GA DN 07.00
09.05-09.20

10.00-15.00
6 GA DN √ 10.00
10.30-14.45
6 GA DN √ 14.00 16.15-21.00
16.45-20.45
08.30-23.30
7 GA DN √ 08.00 09.30-23.15
09.15-11.30
8 GA VL √ 08.00
09.30-11.30
12.45-15.00
8 GA WA √ 15.00
13.00-15.00
9
9
07.00-09.00
10 GA spin HR 08.00
07.10-08.45
10 GA HR √ 10.30 10.00-13.30
10.15-13.20
14.45-17.00
10 GA DS √ 15.00
15.00-16.45
20.00-03.00
10 GA HR 17.00
20.10-02.00
JTG HR √ 10.00 07.00-
JTG
GR 1 LA 07.30
GR 2 GA HA √ 08.00 09.00-09.50
GR 2 GA HA √ 10.00
GR 2 GA DS √ 12.00 13.05-
GR 2 GA DS √ 14.00 11.30-16.15
GR 3 GA DS √ 08.00 10.45-11.40
GR 3 GA JH 10.30
GR3 GA DS 15.00
GR 4 GA HA √ 07.30 08.15-09.00
GR 4 GA WA √ 09.00 10.30-
GR 5 GA JL √ 08.00 08.30-10.15
ALAT : PUR,CA ( S: DW )
9 GA VL √ 07.00
9 GA VL √ 15.00 11.30-20.45
9 GA VL √ 19.30 20.40-23.40
LA 13.50-14.10
3 LA 08.00-09.00
09.15-10.00
GA DN √
09.30-19.45
05.00-06.00
CITO GA spin JL
05.15-06.00
CITO GA spin AI √ 11.30-12.15
CITO LA 08.00-09.00
CITO GA AI √ 14.50-17.00
19-15-20.30
CITO GA HA √
19.30-20.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT

09.30-11.00
10.00-11.00
13.45-15.30
1 GA DN √ 13.00
14.00-15.00
16.30-18.30
1 GA DN √ 16.00
17.00-18.30
2 GA DN √ 08.00 08.00-
10.30-12.30
2 GA DN √ 11.00
10.45-12.30
20.00-23.00
20.15-23.00
3
07.45-09.45
4 GA epd WA √ 08.00
08.00-09.30
09.45-12.45
4 GA WA √ 12.00
10.00-12.30
08.15-12.00
5 GA epd BI √ 08.00
08.30-11.45
12.30-15.30
5 GA BI √ 10.00
12.45-15.15
07.15-09.45
6 GA JL √ 07.00
07.45-09.30
11.00-16.30
6 GA JL √ 10.00
11.15-16.15
13.30-16.30
6 GA WA √ 14.00
13.45-16.15
08.30-11.15
7 GA JL √ 08.00
08.45-11.00
7 GA 10.00
13.00-16.45
7 GA JL √ 11.00
13.15-16.30
8 GA 08.00 BATAL KARENA ISPA
09.15-13.45
8 GA BI √ 11.30
10.00-13.35
09.00-17.45
9 GA JL √ 08.00
09.45-17.15
07.00-10.45
10 GA UB √ 08.00
07.15-10.30
14.00-16.00
10 GA JL √ 11.30
14.15-15.45
18.45-23.00
10 GA DN √ 18.00
19.15-22.45
JTG GA WA √ 10.00 07.00-
JTG GA HN √ 14.00 15.00-16.00
GR 1 GA HA √ 07.30 08.00-09.15
GR 1 GA HA √ 11.00 11.00-11.30
GR 1 GA JL √ 12.30
GR 2 LA 09.00
GR 2 LA 10.00 09.45-
GR 2 LA 11.00
GR 2 LA 12.30
GR 3 GA HA √ 08.00 08.30-12.15
GR 3 GA HA √ 12.00 13.55-
GR 4 GA AI √ 07.00 07.30-10.00
GR 4 GA HA √ 10.00 10.40-13.40
GR 5 GA AI √ 07.30 08.55-10.55
GR 5 GA AI √ 10.00 11.30-12.50
GR 5 GA JL √ 12.00
12.30-15.45
10 GA spin HR 10.00
13.00-15.30
8 GA JL √ 12.00 14.00-19.00
15.00-18.45
GR 1 LA
12.30-13.30
1 GA spin WA √
12.45-13.30
DS 2 LA 15.05-15.15
00.00-03.00
CITO GA HA √
00.10-02.45
CITO LA 07.25-07.35
07.45-10.00
CITO GA VL √
08.15-09.45
08.00-09.00
CITO GA spin DN √
08.15-09.00
10.30-11.30
CITO GA spin HN
10.45-11.30
11.00-12.15
CITO GA HN √
11.10-12.00
13.00-14.45
CITO GA UB √
13.15-14.30
CITO LA 14.40-14.50
23.45-24.00
CITO GA spin TA √
23.00-24.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.15
1 GA HR √ 08.00
08.45-10.00
09.45-12.00
10.15-12.00
12.45-13.30
1 GA spin HR 12.30
13.00-13.30
14.30-15.15
1 GA spin HR 13.30
14.45-15.15
19.00-21.30
1 GA HR √ 16.00
20.00-21.15
08.45-12.00
2 GA HR √ 08.00
09.00-11.30
14.00-16.15
2 GA HR √ 11.00
14.15-16.00
14.15-18.00
2 GA HR √ 14.00
14.30-17.45
20.00-22.00
2 GA HR 19.00
20.15-21.45
3 LA 08.00
08.15-11.00
4 GA epd DS √ 08.00
08.30-10.40
11.15-13.15
4 GA epd WA √ 11.00
11.45-13.00
4 GA 14.00 BATAL KARENA GDS TINGGI

14.30-16.30
4 GA HS √ 17.00
15.00-16.15
08.00-09.30
5 GA VL √ 08.00
08.15-09.15

06.45-07.45
CITO GA DN √ 13
07.00-07.40
12.15-16.15
5 GA WA √ 15.00
12.30-16.00
13.15-17.00
6 GA DS √ 08.00
13.45-16.45
08.30-13.15
6 GA WA √ 11.00 08.45-
13.00
10.15-11.30
6 GA JL √ 15.30
10.30-11.15
08.45-10.15
7 GA DS √ 08.00
09.15-10.00
11.00-12.30
7 GA epd DN √ 10.00
11.15-12.30
13.45-14.45
7 GA DS √ 11.30
13.30-14.30
15.15-19.45
7 GA HS √ 13.00
15.30-19.30
8 GA AI √ 08.00 08.45-12.45
8 GA 10.00-12.30
9 GA HA √ 07.00 07.30-14.30
09.30-14.00
09.00-11.30
10 GA spin UB √ 08.00
09.15-11.15
12.15-15.00
10 GA spin UB √ 10.00
12.45-15.00
20.15-01.00
10 GA AI 19.00
20.45-24.45
JTG GA HR √ 10.00
JTG GA HS √ 14.00 14.30-17.45
15.00-17.30
GR 1 GA AI √ 07.30 09.30-08.00
GR 1 GA WA √ 09.00 10.20-11.00
GR 1 GA WA √ 11.30 14.30-
GR 1 GA HA √ 13.30 12.10-13.15
GR 2 LA 08.00
GR 2 LA 09.00 10.15-10.50
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 11.30
GR 2 LA 12.30
GR 2 LA 13.30
GR 3 GA HA √ 08.00 08.45-10.30
GR 3 GA WA √ 10.00 11.50-
GR 4 GA WA √ 07.30 07.35-08.35
GR 4 LA 11.00 09.30-10.15
GR 4 GA WA √ 12.00 11.20-13.15
GR 5 GA JL √ 08.00
GR 5 GA JL √ 11.00 08.15-09.30
GR 5 GA JL √ 13.00 11.40-12.05
GR 5 GA JL √ 15.00 10.00-10.30
15.30-16.00
DS GA AI √
15.35-15.55
DS GA HS √ 14.55-
12.30-13.00
GA UB √
12.30-13.00
16.45-19.45
GA JL √
18.15-19.30
22.00-00.30
GA spin HS √
22.15-00.15
GR 2 GA VL √
00.15-01.15
CITO GA AI √
00.30-01.00
CITO LA 10.00-10.15
CITO GA EL √ 10.45-12.00
15.15-19.45
CITO GA HS √
15.30-19.30
CITO LA 13.30-13.50
20.00-21.15
CITO GA AI √
20.15-21.00
21.45-23.30
CITO GA DN √
22.00-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.45-11.15
1 GA epd BI √ 08.00
08.00-11.00
14.30-15.30
15.00-14.30
12.00-14.15
1 GA epd HA √ 13.00
12.45-14.00
16.30-17.45
1 GA spin HA 15.00
17.00-17.45
08.30-11.45
2 GA DN √ 08.00
08.45-11.30
18.45-20.15
2 GA DN √ 11.00
19.00-20.00
13.15-18.00
2 GA HA √ 14.00
14.00-17.45
19.15-20.45
2 GA JL √ 17.00
19.45-20.30
3 LA 08.00
06.30-11.30
4 GA epd AI √ 06.30
06.45-11.15
12.30-14.30
4 GA HS √ 10.00
12.45-14.15
4 GA AI √ 12.00 16.45-17.45
20.00-21.30
4 GA AI √ 16.00
20.15-21.15
21.15-23.30
4 GA AI √ 17.00
21.30-23.15
08.00-10.30
5 GA epd BI √ 08.00
08.30-10.30
11.00-13.30
5 GA AI √ 10.30
11.15-13.15
14.00-15.45
5 GA epd AI √ 13.00
14.30-15.30
15.15-19.30
5 GA AI √ 15.00
15.45-19.15
06.30-10.00
6 GA BI √ 07.00
07.00-09.45
10.45-14.30
6 GA WA √ 10.00
11.15-14.15
15.00-17.00
6 GA WA √ 13.00
15.45-16.45
05.30-07.15
06.00-07.15
15.15-17.45
7 GA BI √ 08.00
15.45-17.30
11.00-14.15
7 GA BI √ 11.00
11.15-14.15
08.45-10.00
7 GA BI √ 14.00
09.00-09.45
11.30-12.00
8 GA HS √ 06.30
11.30-12.00
8 GA SF √ 11.00 12.00-16.00
13.00-15.30
07.15-08.45
9 GA SF √ 07.00
07.55-08.30
09.30-15.00
9 GA AI √ 08.30
10.20-14.45
9 GA SF √ 14.00 16.00-22.00
16.30-21.45
09.00-12.15
10 GA HS √ 07.00
09.15-12.00
07.00-08.00
10 GA spin BI √ 11.00
07.15-08.00
12.45-14.45
10 GA spin HS √ 13.00
13.00-14.30
19.45-21.45
10 GA spin HA √ 15.00
20.00-21.40
JTG GA WA √ 10.00
14.00
GR 1 GA VL √ 08.00 08.40-09.40
GR 1 GA DN √ 10.00 10.25-11.25
GR 1 GA VL √ 12.00 12.30-14.00
GR 1 GA DN √ 14.00 15.00-16.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.30
GR 2 LA 11.30
GR 2 LA 13.00
GR 3 GA WA √ 08.00 08.10-10.30
GR 3 GA DN √ 10.30 11.00-12.45
GR 3 GA DN √ 13.00 14.00-
GR 4 GA WA √ 07.30 07.55-11.00
GR 4 GA DS √ 11.00 11.50-15.45
GR 5 GA 08.00
GR 5 GA JL √ 10.00 11.20-12.00
WD ALAT : PUR,CA ( S: DW )
13.30-14.30
DS GA HR √ 11.00
13.30-14.30
18.00-19.00
6 GA JL √
18.30-19.45
22.30-00.30
GA spin HS √
23.00-00.15
09.15-10.00
DS GA spin HS √
09.30-10.00
11.15-12.15
DS GA spin HS √
11.30-12.00
17.00-18.45
DS GA spin HS √
17.15-18.45
08.15-09.30
CITO GA spin VL √
08.30-09.30
10.30-11.30
CITO GA spin VL √
10.30-11.30
12.45-13.45
CITO GA spin VL √
13.00-13.45
13.45-17.00
CITO GA epd VL √
14.00-17.00
CITO LA 17.40-
17.15-18.15
CITO GA VL √
17.30-18.00
23.30-02.00
CITO GA spin TA √
23.45-02.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.30
1 GA epd WA √ 08.00
09.00-10.15
11.45-12.45
1 GA WA √ 11.00
12.00-12.30
1 GA epd DS √ 13.00 13.30-17.15
14.00-17.00
07.00-10.30
2 GA WA √ 07.00
07.15-10.20
10.30-13.00
2 GA HS √ 09.00
10.45-12.50
14.15-16.00
2 GA HN √ 12.00
14.30-15.45
2 GA 15.00
BATAL KARENA
3 LA 08.00
3 LA 12.00
08.00-11.00
4 GA epd WA √ 08.00
08.30-10.30
11.15-14.45
4 GA VL √ 12.30
11.30-14.30
16.00-17.00
4 GA AI √ 15.00
16.15-16.45
08.00-09.30
5 GA WA √ 08.00
08.15-09.15
09.45-11.00
5 GA AI √ 10.00
10.00-11.30
13.00-15.15
5 GA AI √ 13.00
13.15-15.00
07.15-11.30
6 GA HN √ 07.00
07.30-11.30
6 GA HN √ 13.00 16.00-20.00
15.45-18.15
6 GA JL √ 16.00
16.00-18.00
18.45-19.45
6 GA JL √ 17.00
19.00-19.30
7 GA spin HN √ 08.00 09.05-11.45
7 GA HR √ 10.00
13.15-17.00
13.30-17.00
16.30-17.30
16.45-17.30
07.45-10.45
8 GA VL √ 07.00
08.30-10.45
13.00-15.45
8 GA spin HA 10.00
13.30-15.45
8 GA DS √ 14.00 14.30-19.15
14.45-19.00
9 GA HA 08.00 07.00-12.00
08.30-11.30
08.00-10.30
10 GA UB √ 07.00
08.15-10.15
10.45-11.50
10 GA epd BI √ 10.30
11.15-11.45
20.00-24.00
10 GA spin WA √ 16.00
21.00-23.45
JTG GA HN √ 10.00 07.00-12.30
JTG LA 14.00 14.55-15.05
GR 1 GA VL 07.30 08.20-
GR 1 GA VL 09.00 10.00-11.45
GR 1 GA HA √ 12.30 13.30-
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 3 GA HR √ 07.30 09.55-
GR 3 GA HR √ 10.00 13.40-
GR 3 GA DN √ 12.00 15.45-16.45
GR 4 GA BI √ 07.30 07.45-10.30
GR 4 GA HR √ 10.00 11.20-15.30
GR 4 GA JL √ 13.00 16.15-16.50
GR 5 GA BI √ 07.30 08.15-09.15
GR 5 GA JL √ 09.00 10.00-11.15
GR 5 GA VL √ 11.00 13.00-17.00
M,WD ALAT : PUR,YN ( S: DW )
DS1 GA spin DS 11.15-12.00
11.30-12.00
GR 1 GA HN √ 19.30-20.20
14.30-15.45
DS1 GA JH √
14.35-15.40
LA 17.25-17.40
00.45-02.00
CITO GA VL √
01.00-01.45
CITO GA VL √ 02.45-03.45
04.15-05.45
CITO GA spin VL
04.30-05.30
CITO LA 08.30-08.45
CITO LA
10.00-12.30
GA BI √
10.15-13.15
15.15-16.15
CITO GA TA √
15.20-16.05
21.00-22.30
CITO GA TA √
21.15-22.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 06.00
BATAL KARENA
11.45-12.30
1 GA UB √ 11.00
12.00-12.30
13.15-15.45
1 GA UB √ 12.00
13.30-15.30
07.15-08.15
07.30-08.15
08.30-09.30
08.45-09.30
10.30-12.45
10.45-12.45
3 LA 09.00
09.15-12.45
4 GA WA √ 09.00
09.30-12.30
4 GA UB √ 12.00 13.00-16.15
13.15-16.00
16.00-17.15
4 GA HA √ 15.00
16.15-17.00
08.15-10.30
5 GA UB √ 07.30
08.30-10.15
5 GA VL √ 11.00
13.30-16.30
5 GA epd VL √ 12.00
14.00-16.15
08.30-11.00
08.45-11.00
6 GA HN √ 10.00 12.25-15.00
18.30-21.45
6 GA HN √ 13.00
19.00-21.30
08.15-10.15
7 GA UB √ 08.00
09.00-10.00
10.15-12.00
7 GA UB √ 09.30
10.15-11.45
07.45-13.45
9 GA UB √
08.35-13.15
JTG
08.00-11.00
GA UB √
08.30-10.30
12.00-12.15
GA DN √
12.00-12.15
GA
06.00-08.45
CITO GA TA √
06.15-08.30
08.15-13.15
CITO GA WA √
08.45-13.00
13.30-14.45
CITO GA spin UB √
13.45-14.45
14.45-16.00
CITO GA HN √
15.15-16.00
CITO GA DN √ 14.45-17.30
15.30-17.30
CITO GA HN √ 20.45-00.30
21.00-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
09.45-11.30
GA epd WA √ 09.00
10.00-11.15
12.15-14.15
GA AI √ 10.00
12.30-14.00
09.15-13.45
9 GA AI √
10.30-13.30
08.15-11.15
GA DN √
08.30-11.00
LA
07.30-09.45
CITO GA AI √
07.45-09.30
08.30-22.30
CITO GA DS √
08.45-22.15
08.30-12.00
CITO GA AI √
09.00-11.45
12.15-15.30
CITO GA epd AI √
12.45-15.00
15.00-16.45
CITO GA DS √
15.15-16.30
16.00-17.15
CITO GA DS √
16.15-17.05
17.00-18.45
CITO GA DS √
17.45-18.30
21.30-00.30
CITO GA spin DS √
21.45-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.00
08.30-09.00
09.15-10.30
1 GA spin JL √ 10.00 09.45-
10.15
1 GA 11.00
BATAL KARENA PASIEN MENINGGAL DUNIA
1 GA 13.00
09.00-09.45
09.15-09.45
12.30-15.30
2 GA JL √ 11.00
13.00-15.15
11.30-12.45
2 GA JL √ 16.00
11.15-12.30
3
3
08.00-10.30
4 GA WA √ 08.00
08.30-10.15
11.30-12.00
11.45-12.00
13.15-15.00
4 GA HA √ 14.00
14.00-15.00
15.30-18.30
4 GA HA √ 17.00
16.30-18.30
07.30-09.15
5 GA UB √ 08.00
07.45-09.00
09.45-15.00
5 GA epd VL √ 10.30
10.00-14.45
12.45-18.15
5 GA HA √ 14.00
13.00-18.00
07.15-09.15
6 GA EL √ 08.00
07.45-09.00
6 GA 11.30 BATAL KARENA HYPERTHYROID
13.45-17.00
6 GA DN √ 15.00
14.15-16.45
10.30-13.15
6 GA EL √ 17.00
10.45-13.00
08.30-10.15
7 GA EL √ 08.00
09.00-10.00
10.45-12.15
7 GA BI √ 10.00
11.00-12.00
8
8
9
9
07.00-08.00
10 GA spin HA √ 07.00
07.40-08.00
09.00-10.30
10 GA JL √ 09.00
09.15-10.15
11.15-16.30
10 GA spin HR √ 10.00
11.30-16.20
19.30-22.30
10 GA spin DS √ 13.00
20.30-22.20
JTG GA WA √ 07,00 09.55-12.45
JTG GA HN √ 15.00
GR 1 GA TA √ 08.00 08.30-09.30
GR 1 GA HA √ 09.30 09.40-11.25
GR 1 GA TA √ 12.30 12.40-14.40
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 11.30
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 2 LA 15.00
GR 3 GA BI √ 08.00 08.50-
GR 3 GA VL √ 12.00 12.45-13.30
GR 4 GA BI √ 07.30 08.00-11.00
GR 4 GA BI √ 09.00
GR 4 GA BI √ 13.00
GR 5 GA TA √ 08.00 08.40-
GR 5 GA TA √ 11.00 13.05-
S ALAT : PUR,DW* ( S: )
15.45-17.30
6 GA JL √
16.00-17.15
06.00-08.15
8 GA VL √ 06.00
07.00-08.00
09.15-11.15
8 GA JL √ 08.00
09.45-11.00
13.30-17.45
8 GA JL √
14.45-17.30
07.00-16.00
9 GA JL √ 07.00
09.30-15.30
16.00-19.30
9 GA VL
17.00-19.00
22.15-23.30
GA spin JL √
22.30-23.30
21.00-22.00
21.15-22.00
10.15-10.45
DS GA HS √
10.15-10.45
DS LA
DS LA
10.30-10.45
DS GA HR
10.30-10.45
07.00-08.15
DS GA DS √
07.15-08.15
13.00-13.15
CITO GA
13.00-13.15
CITO GA 16.00-
CITO GA DN √ 16.40-
CITO GA JL √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA EL √ 07.00 08.00-
12.30-16.15
1 GA EL √ 10.30
12.45-16.00
17.00-18.00
1 GA spin EL √ 14.30
17.15-18.00
08.00-09.45
2 GA EL √ 07.00
08.15-09.40
2 GA WA √ 09.00 10.45-14.00
11.00-14.00
20.15-21.30
2 GA DN √ 14.30
20.30-21.30
3
08.00-10.30
4 GA epd WA √ 08.00
08.30-10.15
4 GA WA √ 11.30 11.30-15.00
12.00-14.45
15,30-17.30
4 GA epd WA 14.30
15.45-17.15
spin,e 20.30-22.15
4 GA HS √ 19.00
pd 20.45-22.15
07.30-09.15
5 GA epd BI √ 08.00
08.15-09.00
09.30-11.15
5 GA epd BI √ 10.00
10.00-11.15

12.00-16.10
5 GA epd BI √ 15.00
12.30-16.00
07.00-10.15
6 GA JL √ 06.30
07.30-10.00
14.15-15.00
6 GA WA √ 10.30
14.15-15.00
11.15.14.15
6 GA JL √ 12.00
11.45-14.00
14.45-15.30
6 GA JL √ 14.30
15.00-15.15
6 GA JL √ 17.30
08.00-17.45
7 GA JL √ 08.00
08.30-10.30
13.30-13.45
7 GA JL √ 09.30
13.35-13.45
14.30-23.30
7 GA JL √ 11.30
15.00-23.30
07.15-09.00
8 GA JH √ 06.30
08.00-08.30
8 GA 08.00 BATAL KARENA KOREKSI ALBUMIN (1,7)

12.00-13.15
8 GA JH √ 14.00
12.15-13.00
08.00-13.30
9 GA JH √ 08.00
08.50-13.15
13.40-18.30
9 GA DS √ 15.00
14.40-18.00
07.00-11.30
10 GA JL √ 07.00
07.30-11.15
12.30-15.45
10 GA DS √ 10.00
12.45.15.30
10 GA 14.00
16.30-19.45
10 GA WA √ 14.30
16.45-19.30
20.45-23.30
10 GA WA √ 19.00
21.00-22.30
15.00-15.15
10 GA spin JH √ 21.00
15.00-15.15
JTG GA HR √ 10.00 07.30-
JTG GA HR 14.00 18.15-
GR 1 GA AI √ 07.30 08.35-
GR 1 GA AI √ 08.45 09.40-
GR 1 GA AI √ 10.00 11.00-
GR 1 GA AI √ 12.00 14.50-15.40
GR 1 GA AI √ 16.15-
GR 1 GA AI √ 16.00 18.15-
GR 1 GA VL √ 18.00 12.45-
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA DS √ 08.00 08.50-11.15
GR 3 GA HA √ 11.30 12.40-
GR 4 GA HA √ 07.30 08.45-
GR 4 GA HA √ 12.00
GR 5 GA AI √ 08.00 09.05-
GR 5 GA HA √ 10.00 12.50-14.00
GR 5 GA AI √ 14.00
ALAT : PUR,DW ( S : CA )
11.15-12.30
7 GA JL √
11.30-12.15
6 GA JL √ 17.30-18.00
09.45-10.30
DS GA spin WA √
10.00-10.30
16.15-16.30
DS GA WA √
16.15-16.30
DS LA 20.00-21.00
12.00-13.15
CITO GA spin WA √
12.15-13.00
13.15-14.45
CITO GA EL √
13.30-14.30
CITO GA WA √
CITO GA TA √
19.00-20.30
CITO GA TA √ 19.15-
20.15
20.00-22.00
CITO GA TA √
20.15-21.45
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-09.15
08.20-09.15
09.15-10.15
09.20-10.15
10.30-11.30
1 GA HR √ 12.00
10.45-11.15
14.00-15.30
1 GA HR 13.30
14.30-15.30
1 GA HR 15.30 16.40-17.00
07.00-09.15
2 GA HR √ 06.30
07.30-09.00
10.15-13.00
2 GA HR √ 09.00
10.30-12.45
13.00-16.00
2 GA HR 12.30
13.15-16.00
18.00-19.00
2 GA JH √ 16.00
18.15-18.45
20.00-21.00
2 GA HA 17.00
20.15-21.00
3 LA 10.00
3 LA 12.00
06.15-07.30
06.30-07.30
08.15-10.45
4 GA epd DS √ 08.00
08.30-10.30
11.15-14.30
4 GA epd SF √ 11.30
11.30-14.15
15.00-16.30
4 GA SF √ 15.00
15.15-16.15
19.30-21.00
4 GA spin SF 17.00
19.45-21.00

5 GA SF √ 10.30 08.30-
20.00-23.30
5 GA epd VL √ 16.00
20.15-23.15
21.30-22.45
5 GA 19.00
21.45-22.30
06.15-10.45
6 GA HA √ 06.00
06.45-10.30
6 GA 09.30 BATAL KARENA HYPERTHYROID

11.15-13.00
6 GA VL √ 13.00
11.30-12.45
6 GA DS √ 16.30 14.00-16.00
08.30-11.30
7 GA UB √ 08.00
08.40-11.20
7 GA DS √ 09.00 13.30-16.30
7 GA DS √ 12.00
19.30-21.00
7 GA JL √ 15.00
19.45-20.50
8 GA TA √ 08.30 08.00-15.00
09.15-14.45
17.00-18.45
8 GA JH √ 12.00
16.00-18.30
9 GA TA √ 08.00 07.30-15.30
08.30-15.15
15.00-19.00
9 GA TA √ 14.30
16.00-18.30
15.00-17.30
10 GA UB √ 07.00
15.15-17.15
07.30-12.00
10 GA UB √ 10.30
08.00-12.00
13.30-14.30
10 GA HR √ 14.00
13.45-14.15
10 GA 15.30
10 GA VL √ 19.00
JTG GA HN √ 10.00 10.05-13.30
15.30-16.00
JTG GA HN √ 14.30
15.35-15.50
GR 1 GA DS √ 07.00 07.40-08.10
GR 1 GA JL √ 09.00 09.35-10.00
GR 1 GA JL √ 11.00 12.05-12.45
GR 1 GA JH √ 13.00 13.00-14.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA WA √ 08.00
GR 3 GA BI √ 11.00 11.50-12.30
GR 3 GA WA √ 13.00 13.55-
GR 4 GA WA √ 07.30 07.45-10.10
GR 4 GA WA √ 11.00 11.45-
GR 5 GA AI √ 08.00 08.15-
GR 5 GA JL √ 10.00
GR 5 GA JL √ 12.00 14.30-15.30
GR 5 GA JL √ 14.00 16.30-
T : PUR,DW ( S : CA )
CITO GA JH √ 21.00-22.15
18.15-19.15
GA DS √
18.30-19.00
22.00-00.00
GA spin HS √
22.30-00.00
GA BI √ 13.30-13.50
06.00-08.00
CITO GA TA √
06.30-07.45
CITO GA JH √ 07.30-09.00
08.45-10.00
CITO GA spin VL √
09.00-09.50
10.30-12.45
CITO GA JH √
10.45-12.30
10.00-11.00
CITO GA spin JH √
10.10-11.00
CITO GA JH √
16.30-20.00
CITO GA BI √
17.00-19.45
CITO GA BI √
21.30-24.30
CITO GA BI √
22.00-24.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.15
1 GA epd DS √ 08.00
08.30-10.00
11.00-13.15
1 GA epd JH √ 11.00
11.30-13.00
14.00-16.30
1 GA HA √ 13.00
14.10-16.15
17.00-20.15
1 GA DS √ 17.00
17.30-20.00
2 GA DS √ 08.00
11.30-16.00
2 GA DS √ 11.00
11.45-15.45
17.15-18.45
2 GA DS √ 14.00
17.30-18.30
17.30-19.30
2 GA DS √ 16.00 18.00-
19.15
3
07.15-11.00
4 GA epd WA √ 08.00
08.00-10.45
12.30-14.30
4 GA WA √ 11.30
13.00-14.15
15.15-17.00
15.30-16.45
16.30-18.45
4 GA HS √ 17.00
17.00-18.45
08.30-10.30
5 GA epd VL √ 08.00
08.45-10.15
10.30-13.30
5 GA AI √ 11.00
11.00-13.00
07.15-08.15
6 GA HA √ 07.00
07.30-08.00
09.00-09.35
6 GA BI √ 08.00
09.15-09.30
10.45-12.30
6 GA BI √ 10.00
10.50-12.15
16.15-17.00
6 GA BI √ 13.00
16.30-17.00
08.15-09.00
7 GA BI √ 07.30
08.30-09.00
7 GA JL √ 09.00 09.30-13.15
10.00-13.00
14.30-16.45
7 GA TA √ 14.00
14.45-16.30
8 GA JH √ 08.00 07.30-14.30
08.30-14.00
8 GA SF √ 14.00 15.00-19.30
16.00-19.15
9 GA SF √ 08.00 07.30-19.00
9 09.25-18.45
10 LA 07.00
09.30-11.00
10 GA JL √ 08.00
10.00-10.45
12.00-13.15
10 GA HS √ 15.00
12.15-13.00
JTG GA HR √ 10.00 09.25-11.30
13.45-15.45
JTG GA HA √ 14.00
14.00-15.30
GR 1 GA HA √ 07.30 08.25-09.35
GR 1 GA VL √ 09.00 12.30-13.45
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA WA √ 07.30 08.00-08.40
GR 3 GA HA √ 10.00 10.20-
GR 4 GA WA √ 07.30 07.30-08.00
GR 4 GA JH √ 09.30 08.50-12.30
GR 5 GA TA √ 08.00 08.55-11.15
PUR,DW ( S : CA )
19.30-21.45
9 GA JH √
20.30-21.30
19.00-20.30
7 GA DN √ 17.00
19.15-20.15
21.30-22.15
GA spin HS √
21.45-22.00
21.00-22.15
GA HS √
21.15-22.00
DS GA HN √ 08.30-08.40
06.30-08.00
CITO GA BI √
07.00-07.45
CITO GA √
CITO LA 19.50-20.10
CITO LA 20.30-20.45
21.45-23.00
CITO GA AI √
22.00-23.00
23.00-24.00
CITO GA spin AI √
23.15-24.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.45
1 GA WA √ 08.00
08.30-09.45
08.15-12.00
1 GA WA √ 10.00
08.30-12.00
14.30-12.00
1 GA WA √ 11.30
11.45-12.00
14.30-16.00
15.00-16.00
1 GA 15.00 BATAL KARENA PASIEN PANAS (39oc)
07.00-09.30
2 GA WA √ 07.00
07.30-09.30
15.00-18.15
2 GA WA 09.00
15.30-18.00
2 GA 12.30
2 GA 17.00
3 LA 09.00
3 LA 10.00 15.45-16.00
3 LA 13.00 15.40-16.00
07.45-12.00
4 GA epd DS √ 08.00
08.00-11.45
13.10-14.30
13.15-14.30
15.30-17.15
4 GA TA √ 16.00
15.45-17.00
5 GA 08.00 BATAL KARENA PASIEN PANAS (38,7oc)

07.45-09.45
5 GA epd VL √ 11.00
08.00-09.45
10.45-13.45
5 GA epd VL √ 13.00
11.15-13.30
14.45-17.00
5 GA VL √ 15.30
15.15-16.45
07.00-11.00
6 GA WA √ 07.00
07.30-10.45
11.30-14.45
6 GA TA √ 13.00
11.45-14.30
15.30-17.30
6 GA HN √ 15.00
16.00-17.15
17.30-20.00
6 GA HN √ 19.00
18.00-19.45
06.45-08.00
7 GA HN √ 07.00
07.00-08.00
08.30-10.45
7 GA HN √ 09.30
09.10-10.25
11.30-12.30
7 GA HN √ 13.00
11.35-12.30
8 GA HA √ 08.00 08.00-11.45
09.00-11.30
9 GA HA √ 08.00 07.45-11.45
08.30-11.30
13.30-15.30
9 GA AI √ 11.00
14.00-15.00
07.15-09.30
10 GA UB √ 07.00
07.45-09.15
10 GA JH √ 10.00 10.00-14.30
10.30-14.15
14.30-17.00
10 GA JL √ 14.30
15.00-16.45
JTG GA WA √ 10.00 07.15-
GR 1 GA HR 07.00 07.50-08.40
GR 1 GA VL √ 09.30 12.20-12.30
GR 1 GA DS √ 11.30 11.00-12.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA HA √ 07.30 08.05-09.45
GR 3 GA WA 10.00 10.55-
GR 3 GA VL √ 13.00
GR 4 GA WA √ 07.30 07.45-09.45
GR 4 GA VL √ 09.00 10.25-12.00
GR 4 GA VL √ 12.00
GR 5 GA SF √ 08.00
GR 5 GA SF √ 10.00
ALAT : PUR,DW ( S : YN )
10.30-11.00
GA spin VL √
10.45-11.00
10.00-14.00
GA JH √
10.15-14.00
20.45-23.00
GA HS √
21.00-22.45
21.30-22.15
GA blok HS √
21.45-22.15
02.00-03.15
CITO GA AI √
02.15-03.15
08.15-10.55
CITO GA BI √
08.45-10.45
08.15-10.45
CITO GA BI √
09.00-10.30
13.30-15.00
CITO GA spin HN √
13.40-14.50
13.00-15.00
CITO GA spin BI √
13.30-15.00
14.15-15.15
CITO GA HN √
14.30-15.00
15.45-18.15
CITO GA HN √
11.00-18.00
CITO LA 17.15-17.30
19.00-20.45
CITO GA HN √
19.30-20.30
22.30-00.30
CITO GA HS √
22.50-00.20
22.00-23.15
CITO GA spin HN √
22.15-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA JH √ 08.00 09.00-10.00
11.15-15.00
1 GA JH √ 10.00
11.30-14.45
10.00-11.00
2 GA DN √ 09.00
10.15-10.45
12.30-14.30
2 JH √ 10.30
12.45-14.15
15.00-17.00
2 GA VL √ 13.00
15.30-16.45
3 LA 08.00
08.30-11.15
4 GA WA √ 09.00
09.00-11.00
4 GA WA √ 12.00 12.00-15.30
12.15-15.15
08.15-14.15
5 GA JH √ 08.00 08.30-
14.00
09.15-10.15
6 GA JH √ 08.00
09.30-10.00
11.15-11.30
6 GA JH √ 10.00
12.15-12.00
10.00-13.30
7 GA JH √ 09.00
10.15-13.15
8
9
08.00-10.00
10 GA HN 08.00
08.15-09.45
13.45-16.30
10 GA JH √ 11.00
14.00-16.20
JTG
GR 1 GA VL √ 10.00
GR 1 GA JH √ 12.00 10.30-12.30
5 GA WA √ 15.30-17.00
16.00-16.45
08.00-10.00
9 GA JH √
08.30-09.30
10.00-14.00
9 GA JH √
10.45-13.45
06.00-07.15
CITO GA HN
06.30-07.00
06.30-09.00
CITO GA spin HN √
07.15-09.00
11.45-13.10
CITO GA AI √
12.00-13.10
CITO LA 10.00-14.30
CITO GA JH √ 10.25-13.30
13.30-14.30
CITO GA spin JH √
13.40-14.15
15.45-16.30
CITO GA VL √
16.00-16.15
21.30-22.30
CITO GA VL
22.00-23.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
09.15-10.45
9 GA TA √ 08.00
09.45-10.45
08.45-13.00
GA DN √
09.00-12.45
13.00-16.15
GA DN √
13.15-16.00
08.00-09.45
9 GA TA √
08.35-09.30
07.15-08.30
CITO GA spin VL √
07.30-08.30
10.45-13.30
CITO GA TA √
11.00-13.15
16.15-16.30
CITO GA HA √
16.15-16.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.00
1 GA JL √ 08.00
08.45-10.15
12.00-12.45
1 GA DN √ 11.00
12.15-12.30
13.00-14.30
1 GA JH √ 12.30
13.15-14.15
2 GA JL √ 07.00 07.45-09.00
08.00-09.00
10.00-13.15
2 GA DN √ 11.00
10.15-13.00
16.00-17.30
2 GA JL √ 15.00
16.15-17.30
3
08.15-10.15
4 GA epd WA √ 08.00
08.45-10.00
GR 3 GA DS √ 11.00 11.25-13.30
08.00-10.30
5 HA √ 08.00
08.15-10.30
11.30-15.00
5 GA epd DN √ 09.30
12.00-14.45
14.45-17.45
5 GA VL √ 11.30
15.00-17.30
5 GA HA √ 14.30 16.15-18.30
16.30-18.15
spin,e 07.00-11.30
6 GA DN √ 07.00
pd 07.15-11.30
12.15-15.30
6 GA DN √ 09.30
12.45-15.15
7 GA DN √ 08.00
13.45-15.30
7 GA DN √ 10.30
14.00-15.15
8
8
9
9
08.15-10.00
10 GA HR √ 08.00 08.30-
09.45
13.15-15.30
10 GA DN √ 10.30
13.35-15.20
JTG GA HN √ 10.00 07.30-
GR 1 GA HA √ 08.00 07.40-08.30
GR 1 GA HA √ 10.00 10.15-11.10
GR 1 GA HA √ 12.00 12.10-13.10
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 11.30
GR 2 LA 12.30
GR 3 GA VL √ 08.00 08.50-11.30
11.00-13.30
4 GA epd HA √ 09.30
11.15-13.15
GR 4 GA WA √ 07.30 08.10-08.30
GR 4 GA BI √ 10.00 14.00-17.00
14.30-16.45
GR 5 GA BI √ 08.00 09.10-10.30
Q,BD*,ANM* ALAT : PUR, CA ( S : YN )
08.00-14.00
9 GA VL √ 08.00
09.25-13.45
8 GA JH √ 08.00 07.30-12.30
08.15-12.15
DS GA
17.00-17.15
DS GA HR 14.00
17.00-17.15
2 GA HR 17.00 19.30-21.00
16.15-21.00
GA HR √
16.30-20.45
11.30-14.00
5 GA epd VL √
11.45-13.45
GR 5 GA WA √ 12.10-20.10
DS LA 15.30-16.30
3 LA
15.20-15.45
DS LA
15.30-15.40
DS LA 16.05-16.25
15.30-16.15
DS GA spin VL √
15.45-16.15
DS LA 15.20-16.20
20.15-22.00
GA blok HS √
20.30-22.00
GA HS √ 22.15-22.40
08.00-09.45
CITO GA AI √
08.30-09.30
14.30-15.10
CITO GA DN √
14.45-15.00
18.30-20.00
CITO GA HA √
18.45-19.45
16.45-18.00
CITO GA VL √
17.15-18.00
18.15-20.00
CITO GA HR √
18.30-19.45
CITO LA 19.50-20.00
CITO LA
CITO LA 20.45-20.50
22.00-23.15
CITO GA HA √
20.15-23.10
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-15.00
1 GA DN √ 07.00
08.00-14.45
16.30-19.30
1 GA HN √ 17.00
17.00-19.15
07.00-09.00
2 GA DN √ 07.00
07.15-08.50
09.45-14.00
2 GA HN √ 09.30
10.00.14.00
17.00-18.15
2 GA DN √ 13.00
17.15-18.15
18.30-20.00
2 GA DN √ 14.00
18.45-19.45
3 LA 08.00
4 GA epd AI √ 06.00 06.00-09.15

06.10-09.15
spin,e 10.15-12.45
4 GA DS √ 09.00
pd 10.30-12.30
16.15-19.00
4 GA BI √ 16.00
16.30-18.45
08.15-11.15
5 GA VL √ 08.00
08.30-11.00
12.00-16.45
5 GA BI √ 14.00
12.45-16.00
15.00-17.30
5 GA BI √ 17.00
16.00-17.15
6 GA BI √ 07.00 07.00-09.30
07.15-09.15
10.00-12.00
6 GA JL √ 10.00
10.15-11.45
13.00-15.30
6 GA JL √ 13.00
13.30-15.15
09.00-10.30
7 GA JL √ 08.00
09.05-10.15
11.00-12.45
7 GA JL √ 09.30
11.30-12.35
7 GA 13.00 BATAL KARENA MO BMP DULU
21.00-22.30
7 GA HR 21.00
21.10-22.30

08.00-14.00
8 GA JH √ 08.00
09.35-13.35
9 GA JL √ 08.00 07.00-23.00
09.00-22.30
07.15-08.15
10 GA blok WA √ 07.00
07.30-08.00
09.00-12.15
10 GA WA √ 09.30
09.30-12.00
spin,e 13.15-15.30
10 GA HS √ 12.00
pd 14.00-15.30
JTG GA WA √ 10.00 10.30-
JTG GA HN √ 14.30
GR 1 GA AI √ 07.30 08.10-08.30
GR 1 GA AI √ 09.00 09.45-10.00
GR 1 GA AI √ 11.00 11.15-13.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00 12.30-12.45
GR 3 GA AI √ 08.00
GR 3 GA AI √ 10.30 11.00-14.30
GR 4 GA AI √ 08.00 08.45-
GR 4 GA HN 11.00 BATAL KARENA OPERATOR
GR 5 GA WA √ 07.15 07.30-09.30
GR 5 GA AI √ 09.00 10.35-13.00
GR 5 GA AI √ 12.00
GR 5 GA AI √ 14.00
ALAT : PUR, CA ( S : YN )
GR 3 LA
14.30-14.45
DS GA WA
14.30-14.45
08.30-14.30
CITO GA epd HN √
08.30-14.30
CITO GA HN √ 11.15-13.30
11.45-13.00
14.30-15.45
CITO GA spin DN √
14.45-15.30
CITO GA DN √ 1.45-17.30
16.00-17.30
CITO GA DN √ 20.00-21.30
CITO GA DN √ 21.30-22.15
22.00-23.15
CITO GA spin DN √
22.15-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.00
1 GA WA √ 08.00
08.30-08.45
09.45-10.45
1 GA epd WA √ 10.00
10.15-10.30
2 GA 08.00
BATAL KARENA PASIEN TIDAK DATANG
2 GA DN √ 10.00
10.45-13.30
2 GA DN √ 14.00
11.00-13.00
18.45-22.00
2 GA HR √ 19.30
19.00-22.00
3
08.15-11.00
4 GA epd DS √ 08.00
08.30-10.45
11.45-13.45
4 GA epd SF √ 11.00
12.20-13.30
09.00-11.30
5 GA epd SF √ 08.00
09.15-11.15
12.15-16.00
5 GA SF √ 11.30
12.30-15.45
08.00-11.00
6 GA WA √ 08.00
08.15-10.45
11.30-17.00
6 GA DS √ 11.00
12.00-16.45
09.30-12.00
7 GA DS √ 08.00
10.30-11.30
11.45-14.15
7 GA DS √ 11.30
12.00-14.00
15.15-17.30
7 GA DS √ 14.00
15.45-17.15
12.30-15.00
7 GA DS √ 16.30
13.45-14.45
07.15-09.00
8 GA JH √ 06.30
07.30-08.30
8 GA TA √ 08.00 10.30-14.00
11.00-13.50
8 GA TA √ 16.00 15.30-16.30
9 GA TA √ 08.00
08.15-12.15
10 GA DN √ 08.00
08.45-12.00
10 GA 11.00
13.40-14.30
10 GA UB √ 12.00
13.50-14.20
15.15-18.00
10 GA TA √ 13.30
15.45-17.45
JTG GA HR √ 10.00 09.20-
GR 1 GA DN √ 08.00 09.10-10.10
GR 1 GA WA √ 10.00 11.00-11.35
GR 1 GA WA √ 12.00 12.35-13.35
GR 1 GA HN √ 14.00
GR 2 LA 09.00
GR 2 LA 09.30
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA VL √ 07.30 12.00-13.50
GR 3 GA VL √ 10.00 08.40-09.50
GR 4 GA HN √ 07.15 08.00-09.15
GR 4 GA HN √ 11.30 12.15-12.30
GR 5 GA WA √ 07.15 07.00-09.15
GR 5 GA WA √ 11.00 11.30-13.15
DS 1 GA UB √ 14.00-14.15
DS 3 GA UB √ 14.35-14.05
16.30-19.00
10 GA TA √
16.45-18.45
07.00-07.45
CITO GA spin JH √
07.10-07.30
07.30-08.30
CITO GA JH √
07.45-08.15
10.15-12.00
CITO GA JH √
10.30-11.45
12.45-14.00
CITO GA spin JH √
12.50-14.00
16.30-18.15
CITO GA TA √
17.20-18.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA spin JL √ 08.00 09.00-12.45

epd 09.30-12.45
08.00-14.00
2 GA JL √ 07.00
08.30-13.45
09.15-09.45
4 GA AI √ 08.00
09.30-09.40
10.00-10.45
4 GA AI √ 09.00
10.10-10.40
11.30-12.30
4 GA AI √ 10.00
11.15-12.15
09.15-10.30
5 GA epd VL √ 08.00
09.15-10.15
6 GA BI √ 05.00 06.00-13.15
06.30-13.00
14.00-16.00
6 GA epd BI √ 10.00
14.45-16.00
09.30-11.30
7 GA VL √ 08.00
10.00-11.15
08.30-10.15
8 GA SF √ 08.00
09.00-10.00
06.15-07.45
8 GA SF √ 10.00
06.55-07.30
9 GA VL √ 08.00 07.30-13.30
08.00-13.15
9 GA SF √ 14.00 14.00-20.45
14.30-20.30
07.45-12.45
10 GA HS √ 07.00 08.45-
12.30
JTG GA WA √ 08.00 07.40-
GR 1 GA DS √ 07.15 07.00-08.00
GR 1 GA VL √ 08.30 08.20-09.20
GR 1 GA VL √ 10.30 10.45-11.45
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 3 GA VL √ 07.30 08.20-09.20
GR 4
GR 5 GA HR √ 08.00 08.45-11.30
GR 5 GA DS √ 10.00 10.10-12.25
14.45-16.00
DS GA SF √
14.45-15.00
11.45-12.15
5 GA HN √
11.50-12.10
14.00-15.15
10 GA VL √
14.15-15.00
11.30-13.30
8 GA SF √
12.15-13.15
15.00-16.45
8 GA DN √
15.15-16.30
00.30-01.30
CITO GA spin TA
00.45-01.30
09.15-12.15
CITO GA epd VL √
09.30-12.00
11.00-12.00
CITO GA spin VL √
11.15-12.00
13.45-15.15
CITO GA SF √
14.15-15.00
CITO GA SF √ 19.45-20.15
19.00-20.15
CITO GA spin SF √
19.15-20.15
19.45-20.45
CITO GA spin HN √
19.50-20.45
21.15-23.00
CITO GA spin SF √
21.30-23.00
CITO GA SF √ 20.15-23.00
22.30-23.15
CITO GA SF √
22.45-23.15
22.45-00.45
CITO GA SF √
23.00-00.30
23.45-01.00
CITO GA spin SF √
24.00-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CITO GA HS √
07.00-13.45
CITO GA HA √
09.45-13.30
07.00-09.30
CITO GA UB √
08.00-09.15
08.15-09.45
CITO GA WA √
08.20-09.30
09.30-12.15
CITO GA DN √
09.45-12.00
09.15-10.45
CITO GA UB √
09.30-10.40
09.30-10.45
CITO GA UB √
09.40-10.40
09.00-10.30
CITO GA UB √
09.20-10.15
13.30-16.00
CITO GA UB √
13.45-15.45
14.00-14.15
CITO GA UB √
14.05-14.15
14.15-16.15
CITO GA epd VL √
14.30-16.00
CITO LA 19.00-
21.30-22.45
CITO GA epd EL √
21.45-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
00.00-01.15
CITO GA spin EL √
00.15-01.15
05.30-07.30
CITO GA spin EL √
05.40-07.30
05.30-07.30
CITO GA EL √
05.45-07.15
07.30-08.30
CITO GA spin HS √
07.40-08.30
08.00-11.30
CITO GA HS √
09.15-11.15
08.30-10.00
CITO GA HS √
08.45-09.45
09.45-10.45
CITO GA spin HS √
10.00-10.45
09.00-10.30
CITO GA spin HS √
09.10-10.20
10.30-13.30
CITO GA spin HS √
10.45-13.30
CITO LA 10.50-
12.45-14.00
CITO GA spin HS √
13.00-14.00
14.45-15.15
CITO GA HS √
14.50-15.15
CITO LA
23.30-00.45
CITO GA VL
00.00-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
09.30-11.00
CITO GA TA √
09.45-10.45
11.30-13.30
CITO GA spin HS √
11.45-13.30
CITO GA TA √ 12.15-15.00
12.30-14.45
13.15-14.45
CITO GA TA √
13.03-14.30
16.00-17.45
CITO GA HN √
16.15-17.30
CITO GA HN √ 16.30-16.45
CITO LA 18.45-19.15
18.45-19.30
CITO GA spin HN √
19.15-19.30
18.00-19.00
CITO GA HN √
18.15-18.45
CITO GA TA √
CITO LA 20.55-
22.00-23.15
CITO GA epd HN √
22.15-23.15
CITO LA 23.20-23.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
00.45-03.30
CITO GA HN √
01.00-03.15
00.00-03.00
CITO GA epd EL √
00.30-03.00
07.30-09.30
CITO GA spin TA √
09.45-09.15
08.15-09.30
09.25
10.50-11.30
CITO GA spin TA √
10.45-11.30
12.15-14.15
14.00
12.15-13.15
CITO GA TA √
12.30-13.00
13.00-16.00
CITO GA TA √
13.15-15.45
15.00-18.30
CITO GA EL √
16.00-18.30
15.00-16.00
CITO GA epd EL √
15.15-16.00
16.30-17.00
CITO GA √
16.35-16.55
18.00-19.45
CITO GA EL √
18.15-19.30
21.00-23.00
CITO GA EL √
21.15-22.45
22.30-00.30
CITO GA epd EL √
22.45-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
04.00-05.15
CITO GA DN √
04.15-05.00
07.00-08.15
CITO GA spin UB √
07.15-08.00
09.00-11.00
CITO GA spin UB √
09.45-11.00
11.45-14.00
CITO GA UB √
12.00-13.45
14.00-15.00
CITO GA DN √
14.15-14.45
CITO LA 15.25-15.40
17.30-18.30
CITO GA spin DN √
17.35-18.30
17.00-18.30
CITO GA DN √
17.15-18.15
CITO LA 18.00-19.15
19.30-22.45
CITO GA DN √
19.45-22.30
22.30-02.15
CITO GA spin DN √
22.45-02.00
22.00-23.00
CITO GA spin DN √
22.15-23.00
CITO LA √ 23.50-23.55
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
05.00-06.15
CITO GA DN √
05.15-06.15
07.45-09.00
CITO GA spin SF √
08.00-09.00
08.15-10.45
CITO GA SF √
08.30-10.30
CITO GA SF √ 09.00-
09.45-11.00
CITO GA spin SF √
09.50-10.50
12.45-14.30
CITO GA SF √
13.00-14.15
14.00-15.30
CITO GA HR √
14.15-15.15
17.30-19.15
CITO GA epd HR √
17.45-19.00
19.45-21.00
CITO GA spin VL √
20.00-20.55
CITO GA HR 21.30-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
08.00-13.45
CITO GA DS √
09.00-13.30
09.15-11.15
CITO GA DS √
09.45-11.15
10.00-13.45
CITO GA DS √
10.30-13.30
11.45-12.45
CITO GA DS √
12.00-12.30
12.25-13.10
CITO GA DS √
12.25-13.10
15.30-19.30
CITO GA JL √
15.45-19.15
17.15-19.00
CITO GA JL √
17.45-18.45
19.15-22.15
CITO GA JL √
19.30-22.00
21.15-24.00
CITO GA JL √
21.30-23.45
CITO LA 22.15-22.45
23.00-00.30
CITO GA HS √
23.15-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
07.10-08.20
CITO GA spin VL √
07.20-08.20
08.45-10.30
CITO GA HA √
09.00-10.15
08.00-09.30
CITO GA Blok HA √
08.15-09.30
09.00-12.45
CITO GA HA √
10.00-12.30
09.00-10.15
CITO GA HA √
09.15-10.00
10.15-11.30
CITO GA spin HA √
10.30-11.15
12.30-13.45
CITO GA HA √
12.45-13.30
12.45-14.15
CITO GA HA √
13.00-14.00
15.45-19.45
CITO GA BI √
16.00-19.30
16.15-19.45
CITO GA BI √
16.30-19.30
17.45-20.15
CITO GA BI √
18.00-20.00
21.30-23.00
CITO GA BI √
21.45-22.45
22.00-23.15
CITO GA BI √
22.15-23.00
epd, 23.30-00.05
CITO GA TA √
blok 23.45-00.05
CITO LA
CITO LA 22.30-23.00
CITO LA
HARI / TANGGAL : SABTU, 01 JULI 2017
JAMINAN
1 Kasno 3 um 56th L R2B C642402 9048227
2 Hambali 3 um 12th L C1LD C642399 9048171
3 Mei Monah 3 JMD 43th P R2A C642413 9048197
4 Dhea Ayus Widyastuti 3 PBI 15th P C1LD C641746 9046539
5 Kuneng IRIN B PBI 63th P R1A C642396 9048255
7 Rumaisa Albais 1 NPBI 27th P B31 C642406 9048202
8 Farania Rahmadani IRIN B PBI 21hr P PBRT C641715 9047142
9 Sofuah IRIN B PBI 69th L ICU C642418 9048232
10 Sudiyanto 1 NPBI 60th L KTL C214259 9047636

11 Suberi 2 NPBI 46th L MRK D C495499 9047056
12 Moelyono 3 PBI 39th L R6B C642258 9047726
13 Labiba Najiya Kamila IRINA NPBI 3th P PICU C634566 9017776
14 Taswan 1 NPBI 38th L MRK 2 C279010 9048319
15 Kardi 2 um 69th L IGD C642436 9048288
HARI / TANGGAL : MINGGU, 02 JULI 2017

JAMINAN
1 Srimah 2 NPBI 50th P MRK D C642139 9047401
2 Wahyu Nilam Cahaya 3 PBI 23th P B31 C641801 9048467
3 Zahra Syifa Wibowo VIP NPBI 7th P GRD 3 C501919 9048460
4 Ramini VIP Um 59th P GRD 5 C642449 9048400
5 Sari Warni Indah IRINA+ NPBI 32th P GRD 3 C641115 9048354
6 E Didit Tri Widianto IRINA+ NPBI 45th L ICU C588726 9036639

7 Richard Jeremy Sutandi 2 NPBI 19th L MRK D C642388 9048164
8 Rahmat Rizal Maulana 1 NPBI 15th L C1LD C642410 9048228
9 Kamsih 3 PBI 59th P R3A C642472 9048554
10 Arum Kurniasari IRIN B PBI 21th P B31 C536660 9048430
11 Suparno 3 PBI 54th L R6B C642466 9048571
HARI / TANGGAL : SENIN, 03 JULI 2017 JAMINAN
1 Ferry Fitiriadi 2 NPBI 42 th L MRK D C642426 9048269
2 Bondan Adhi Prasetyo 2 Um 6/22/2002 L C1LD C641995 9047010
Fastra
3 Fajar Sidiq 2 Um 2/7/1997 L C640818 9048514
ck
4 Yoyok Supriyo 2 NPBI 34 th L MRK D C641992 9047014
5 Warsini 3 PBI 42 th P B31 C633493 9048284
6 Warniti 3 NPBI 62 th P R4A C639805 9028076
7 Rasdi VIP NPBI 6/19/1968 L MRK 2 C477823 9047810
8 Siti Koiriyah 3 NPBI 53 th P Kenari C642344
10 Cami 2 NPBI 52 th P MRK 1 C641604 9043541
9 Agus Supriyono 3 NPBI 43 th L R3B C642422
10 Fiki Rosalia 3 NPBI 9/10/1997 P` R2A C640555 9032628
11 Lioeng Ngiat Njiauw VIP NPBI 60 th P GRD L5 C642157 9047453
Fastra
12 Mariza Sultanah 2 NPBI 2/5/1996 P C589011 9048479
ck
13 Ella Septiana 3 PBI 19 th P R2A C642097 9047301
14 Sutrimah 3 PBI 44 th P R2A C641970 9046928

15 Siti Amsiyah 1 NPBI 65 th P Elang 2 C594310 9047794
16 Ali Suparmin 3 NPBI 54 th L R1B C642297 9047836
17 Jumadi 2 NPBI 61 th L P. Mata C633638
18 Ahmad Syarifudin 3 PBI 21 th L P. Mata C639866
19 Siti Ruanah 3 NPBI 44th P R4B C587498 9048251
20 Afif Zakaria Ahmad 3 Um 4 th L C1L1 C640249 9028124
21 Ita Apriliyani 3 NPBI 16 th P C1L1 C642114 9047361
M : NH,EM,BD,EW,WI,RG,MK RR : FA,PS,SAM RR GRD : AH SORE PROGRAM : AP,AN,AU,AG,PM,AD,CA,DN,DI,DJ,EA,HA,HI,JF

CITO
22 Syamsuddin Boli Trio 3 NPBI 50th L R3B C642461 9048402
23 Siti Aminah 3 um 30th P B31 C642692 9050776
Muhammad Faisal
24 1 NPBI 16th L C1LD B401173 9050327
Apriyanto
25 Yusuf Suwarno 3 um 45th L R2B C642518 9045626
HARI / TANGGAL : SELASA, 04 JULI 2017

JAMINAN
1 Zakaria Ahmed Abimanyu 3 PBI 12 th L C1L1 C565585 9050702
2 Theodora Justine Darello 3 NPBI 9 th L C1L1 C373783 9050435
3 Nuranto 2 NPBI 33 th L MRK D C642349 9048097
4 Lutfi Salam 3 PBI 14 th L C1LD C642231 9047611
5 Tutik Mulyani 3 NPBI 47 th P R4B C614015 9048488
6 Ferry Sanjaya 1 NPBI 32 th P KPD L1 C642064 9047351
7 Bagas Wahyu Andiansah 3 NPBI 5/1/2006 L C1L1 C642487 9048599
8 Sulastri 2 NPBI 58th P KPD 1 C622066 9049819
9 Sigit Nugroho 3 PBI 24 th L R2B C642357 9048076
10 Ircham Fadla Rezqi IRIN B PBI 8 th L PICU C642287 9047906
11 Nining Suryono 3 NPBI 50 th L R3B C640301 9030776

12 Endang Suswati 3 PBI 11/22/1982 P R2A C642254 9047723
13 Yudi Puprayitno 3 NPBI 28 th L R1B C641251 9039081
14 Ning Indah Noviani 3 PBI 25 th P R2A C641881 9046743
15 Mochadar 3 NPBI 83 th L R2A C642054 9047227
16 Abil Abbas Ahmadibni Ali 3 NPBI 2 th L Elang 1 C573793 9048474
17 Supriyanto VIP Um 56 th L GRD 5 C642483 9048492
18 Karwijiono 3 NPBI 47 th L P. Mata C630062
19 Fathullah Ahmadi 3 NPBI 60 th L P. Mata C619944
20 Ida Farikhah 2 NPBI 47 th P KPD D C069458 9048129
21 Slamet 1 NPBI 66 th L KPD 1 C641699 9044892
22 Melinda Nur 3 NPBI 14 th P C1LD C637481 8999381
23 Guruh Yuli Pratama VIP um 19 th L MRK 2 C641998 9047084
M : NH,AU,BD,DY,EW,WI,MF RR : FA,PS,SAM RR GRD : AH SORE PROGRAM : AP,AN,AG,AD,DN,DI,DJ,EA*,HI,JF,TU,NO,RA,SE,

24 Rizki Kris Yuanita 2 NPBI 25th P B31 C088569 9050747
25 Ito Soetati 1 NPBI 78th P KPD 1 C449575 9044883
26 Rinhandoyo 1 NPBI 45th L KPD 1 C602862 9047130
CITO
27 Sukanti 3 PBI 47th P R2A C642675 9050510
28 Eko Retnowati 3 JMD 36th P B31 C642719 9051043
29 Rokhidah 1 NPBI 50th P MRK 1 B289348 9046985
30 Suranti 3 NPBI 37th P R2A C642592 9051018
31 Kasmuin 2 NPBI 48th L MRK D C642224 9047624
32 Laily Kondariyah 2 NPBI 35th P B31 C642481 9048480
33 3 Um 45th L R2B C642518 9050888

Yusuf Suwarno
HARI / TANGGAL : RABU, 05 JULI 2017

JAMINAN
1 Ghofrun Bahar 1 NPBI 58 th L KPD 1 C627844 9050945
2 Syafiq Riffat Airlangga 3 NPBI 2 th L C1L1 C488685 9051543

3 Imam Lutfi 3 NPBI 6/27/2014 L C1L1 C598241 9051925
4 Haikal Ibnu Aqil 3 PBI 11 th L C1LD C486521 9050874
5 Novi Herawati VIP NPBI 11/2/1979 P GRD 4 C278286 9052584
6 Tuti Maryati 1 NPBI 1/12/1980 P KPD D C640795 9053096
7 Sukranto 3 NPBI 4/1/1976 L R3B C629592 9050911
8 Siti Mahmudah 1 NPBI 52 th P GRD 3 C640790 9050162
9 1 NPBI 36 th L KTL C368816 9050973

Hemma Yoga Pramukanto
10 Sungkowo 3 PBI 12/31/1951 L R3B C614238 9050831
11 Soediono 3 NPBI 65 th L R3B C628248 9050773
12 Ranyu VIP NPBI 9/16/1946 P GRD 5 C642497 9048579
13 Siti Mahmudah 3 NPBI 56 th P Ger D C068292 9047993
14 Hartono 3 NPBI 72 th L R2B C618704 9050894
15 Alia Afridah 3 PBI 21 th P R2A C565349 9050760
16 Masriah 3 PBI 34 th P R2A C630393 9050766
17 Pariyono 3 NPBI 71 th L R2B C632273 9050993
18 Lailatul Hidayah 2 NPBI 6/23/2017 L PBRT C642441 9048442
19 Rusmiyati 1 NPBI 37 th P KPD 1 C641932 9046870
20 Muhammad Danish Haidar 3 NPBI 4 th L Transit C642718 9051041
21 TMC Sri Mijarsi 1 NPBI 65 th P MRK 1 C200848 9050940
22 Kasdomo 3 NPBI 52 th L R2B C642294 9047838
23 Ngarpan 3 PBI 12/31/1945 L R1B C632823 9050901
24 Imron 3 PBI 35 th L R1B C657686 9050774
25 Dheanira Intan R.S 2 NPBI 22 th P Ger 1 C642515 9049736
26 Listyorini 2 NPBI 47 th P MRK D C613556 9050998

27 Dwi Deswantoro 2 NPBI 42 th L KPD 1 C297225 9053019
28 Najwa Salma Salsabila NPBI 9 th P RPO C624369 9049752
29 Karman 1 NPBI 10/6/1966 L KTL C628856 9048214
30 Kayla 3 NPBI 6 bl P C1LD C636946 9024416
31 Agus Suci Diningrat VIP NPBI 8/16/1966 L GRD 6 C6299223 9050969

32 Rika Dwi Nailufar VIP PT 2/17/1955 P GRD 4 C589127 9050963
33 Sri Astuti VIP NPBI 65 th P GRD 4 C627126 9050010
34 Wing Genah 3 PBI 57 th P P. MTA C610717
35 Nur Ali NPBI 72 th L P. MTA C638683
36 Panus 3 PBI 68 th L P. MTA C638238
37 Sunarto 3 PBI 59 th L P. MTA C615800

38 Djumadi 3 NPBI 74 th L P. MTA C637411
39 Sujaib 3 PBI 46 th L P. MTA C632640
40 Supatmi 3 PBI 29 th P B31 C640630 9049258
41 Milchatus Syifail Muna 3 NPBI 4 th P C1L1 C484218 9050948

Muhammad Fahrudin
42 2 NPBI 29 th L KPD 1 C641773 9051469
Muna
43 Kasiyati 1 NPBI 63 th P MRK 1 B262494 9050954
44 Maskholiq 1 NPBI 48 th L KPD 1 C642358 9048005
45 Rohyatun VIP NPBI 10/27/1950 P GRD 6 C635360 9050875
46 Muhamad Umar Abdillah 3 NPBI 2 th L C1LD C556750 9050913
47 Moch Fikri 3 Um 15 th L C1LD C637865 9050860
48 Riyanto 3 NPBI 5/4/1989 L R1B C642687 9051005
M : RK,AU,PM,HI,DY,AM,MF RR : FA,SR,SAM (MID : DA,RM) RR GRD : AH (MID : PL) SORE PROGRAM : AP,AN,AG,AD,DN,DI,DJ,E
49 Priyanti Isnaeni VIP Um 56 th P GRD 4 B410942 9053038
50 Rubaingah 1 NPBI 60 th P MRK 1 C641916 9045795
51 Nasiyah 3 PBI 36 th P R3A C639252 9050924
52 Asiyah 3 PBI 42 th P B31 C642871 9053152
53 Angelin Melody Kusumo 3 NPBI 3 bl P C1LD C640612 8953969
54 Treas Sukmani Willy Ardi 3 NPBI 3th L C1L1 C640713 9053306
55 Misbakhul Munir 2 NPBI 32th L IGD C501778 9055347
56 Suratno 2 NPBI 61 th L KPD D C349354 9048429
CITO
Ulul Albab Qisthiana
57 1 NPBI 26th P B31 C639968 9053331
Hawawati
58 Citra Fitri Ananda IRIN B PBI 15th P ICU C642924 9053682
59 Casmurdiati 3 JMD 22th P B31 C642770 9053090
60 Waljinati IRIN B NPBI 41th P ICU C642889 9053270
61 Mariah 3 NPBI P R3A C642780 9053308
62 Kasiroh 3 PBI 36th P R2A C640861 9035153
63 Eni Rohmawati 2 NPBI 31th P B31 C642696 9050932
64 Subyanto 2 NPBI 44th L MRK D C562368 9046821
HARI / TANGGAL : KAMIS, 06 JULI 2017

JAMINAN
1 Mohammad Gindarno VIP PT 7/9/1956 L GRD 4 C597400 9052703
2 Prabowo 1 NPBI 50 th L KPD L1 C359916 9050935
3 Fitri Handayani 3 NPBI 28 th P R4B C636809 9048459
4 Sri Rahayu 1 NPBI 49 th P KPD L1 C217683 9050971
5 Inbasuki 3 PBI 38 th L R2B C639703 9053167
6 Alfian Pramudita 1 NPBI 23 th L KPD D C640651 9053222
7 Santi Indra Susanti 3 NPBI 29 th P R3A C642332 9048370
8 Agus Purwanto VIPA NPBI 8/13/1966 L GRD C619431 9053202
9 Nur Khaerudin 3 PBI 38 th L RIB C626214 9053286
10 Bambang Supriyadi 3 NPBI 9/14/1954 L R1B C636888 9050867
11 Sudi Rahayu 3 Um 58 th L R2B C642311 9047896
12 Indra Eka Mahani 1 NPBI 32 th L KTL C642460 9048435
13 Sutamar 3 PBI 74 th L R1B C629704 9063195
14 Amin Suntoro VIP NPBI 50 th L GRD 6 C533277 9053139
15 Ishmatul Maula VIP Um 18 th P GRD 5 C642747 9053001
16 Afif Mubarok 3 PBI 25 th L R2B C626779 9050988
17 Khulafa Birrul Adil 3 NPBI 6/8/2016 L C1L1 C505762 9055430
18 Ellgha Nadia Tatary VIP NPBI 18 th P GRD 5 C638166 9052903

19 Bernadus Dwiatmo W 3 JMD 54 th L R3B C642511 9048625
20 Iswanti 3 PBI 37 th P R6A C276099 9048296
21 Didik Harsono VIP um 50th L GRD 5 C642605 9050484
22 Tri Rochmawati VIPA NPBI 42 th GRD 4 C001739 9050865
23 Mohamad Fandholi 3 PBI 22 th L R1B C642310 9047893
24 Muhamad Khoerul Muna 3 NPBI 9 th L C1LD C614765 9038538
25 Muhammad Aunurrohman 1 NPBI 17 th L C1LD C641960 9047185
26 Thoyib 2 NPBI 37 th L MRK D C642230 9047782
27 Mahmud Nur Aftiantok 3 PBI 21 th L R2B C641968 9047188
28 Lailatul Arofah 2 NPBI 36 th P RPO C608661 9052259
29 Davigo Ozilian Ardianka 3 JMD 5 th L C1LD C639823 9050839
30 Handoko Henderiyanto 3 PBI 24 th L R2B C615245 9063295
31 Sri Yayuk 3 NPBI 52 th P R3A C591161 9053108
32 Fx. Surawan 1 NPBI 61 th L P. MTA C606728
33 Darmasto. DR MMR VIPB NPBI 66 th L GRD 6 C017049 9053059
34 Sri Zumarti VIP NPBI 7/3/2017 P GRD 6 C584450 9050604
35 Suyati Menik 1 NPBI 29 th P MRK 1 C568973 9050527
36 Toiful Uhro 3 PBI 63 th L R2B C636619 9053298
37 Soegimin 3 NPBI 66 th L R2B C639960 9050816

38 Siti Mikuwati 3 PBI 33 th P R2A C639010 9050930
39 Dimas 3 PBI 10th L C1LD C501942 9055424
40 Muhammad Asy`ari 3 PBI 24 th L R2B C502136 9050983
41 Maria Suliyem 2 NPBI 47 th P KPD D C630853 9047126
M : RK,SE,HI,TU,PM,AM,RA RR : FA,SR,SAM (MID : DA,RM) RR GRD : AH (MID : PL) SORE PROGRAM : AP,AN,AG,AF,NI,AD,BY,C
42 Sunarti 3 PBI 42th P R4A C638019 9013859
43 Siti Rahayu VIP NPBI 55th P GRD 6 C622867 9055300
44 Nardi
3 PBI 57th L R2B C604772 9053178
45 Abdie S Pribadie
2 NPBI 59th L TRAN C642241 9051000
46 Sudarni
3 NPBI 55th P R2A C607260 9053193
CITO
47 Azkia Silmi Arfida IRIN A NPBI 1th L PICU C642853 9055467
48 Azis Sholeh VIP NPBI 55th L GRD 5 C642479 9048489
49 Elisabeth Rumini 1 NPBI 47th P KTL C220045 9034690
50 Eni Erawati 3 PBI 37th P B31 C642969 9055358
51 Suryadi 2 NPBI 52th L IGD C643104 9055496
52 Fika Adin Laila 2 NPBI 39th P B31 C622993 9054919
53 Lindiana Puspitasari 1 NPBI 35th P B31 C643184 9056969
54 Akuwan IRIN B PBI 60th L R1A C643299 9057617
HARI / TANGGAL : JUMAT, 07 JULI 2017

JAMINAN
1 Dzecka Laqif Mahardika 3 NPBI 5 th L C1LD C558539 9058539
2 Arkhana Tsaqib Syaddad 3 NPBI 2 th L C1L1 C517759 9057733
3 Mirza Yusuf Fatoni 3 NPBI 6 th L C1L1 C452516 9057721
4 Berlianti Puspitorini 1 NPBI 45 th P KPD LD C288605 9055436
5 Khusnul Fuadah VIP NPBI 44 th P GRD 3 C640939 9050798
6 Yuannita Fransiska Nur S 2 NPBI 23 th P B31 C619907 9050633
7 Fika Adin Laila 3 NPBI 39 th P B31 C622993
8 Syamsul Arifin 2 NPBI 24 th L KPD D C638190 9053218
9 Moh. Tolhah Mansur 3 PBI 27 th L R1B C607194 9053301
10 Yuli Septi Nurhayati 3 NPBI 39 th P R3A C480605 9053129
11 Bustomi Cholili 2 NPBI 17 th L C1LD C439221 9049380
12 Saiful Anwar 3 PBI 32th L R2B C642708 9051023
13 Abdul Muhti 2 Um 23 th L KPD LD C642740 9057320

14 Totok Kimeng 3 PBI 18 th L R2B C635342 9053174
15 Najikha VIP Um 61 th P GRD L6 C642905 9053291

16 Sri Rejeki 3 NPBI 45 th P R3A C642888
17 Agus Widodo 1 NPBI 64 th L KPD LD C545314
18 Jeehan Amira Azkadina 3 NPBI 3 bln P C1LD C635327 9050360
19 Sukati 3 NPBI 67 th P R6A C641697

20 Haryoko IRIN A NPBI 54 th L HCU C639325 9055950
21 Astuti 1 NPBI 61 th P KPD L1 C458176 9047032
22 Fahrul Al Usman 3 PBI 5 th L ELA 1 C607673 9057209
23 Linda Lestari 2 um 20 th P KPD D C642599 9055834
24 Asief Nor Khoiroman 2 NPBI 24 th L KPD 1 C642635 9057607
25 Viki Nur Listiani 3 PBI 16 th P C1LD C567543 9055463
26 Widodo 3 PBI 49 th L R1B C208225 9055360
27 Christian Dedi Wibowo 3 NPBI 21 th L R1B C635869 9046926
28 Rubinu Muh Syamsi 3 PBI 47 th P R3B C641611 9044023
29 Retnaningrum 1 NPBI 3/31/1952 P KPD 1 C643062 9055466
30 Sri Supeni Bariati 1 NPBI 80 th P MRK 1 C563738 9047283
31 M. Jefri Aldiyanto 2 NPBI 20th L KPD L1 C637216 9057565
32 Fitriyani 3 NPBI 34 th P ELA 1 C225774 9055304
33 Muhamad Hajar Alexza 3 NPBI 1 th 11 bln L ELA 1 C577896 9055292
34 Makrifah VIP NPBI 71 th P GRD 5 C634951 9050827
35 Bramantyo VIP NPBI 52 th L GRD 5 C642869 9053083
36 Gede Tjakra 1 NPBI 62 th L KPD 1 C637788 9053166
37 Jumini 3 NPBI 54 th P P. MTA C593429
38 Supardam 3 PBI 66 th L P. MTA C635806

39 Sunarti 3 NPBI 52 th P P. MTA C637361
40 Musrinah 3 PBI 58 th P P. MTA C303541
41 Maria Marmi S Privat NPBI 52 th P P. GRD C615788
42 Sulistyowati 3 NPBI 55 th P B31 C625830 9055094

43 Muntiah 3 PBI 38 th P B31 C642183 9050994
Candra Roberto
44 2 NPBI 21 th L MRK D C520547 9048367
Sihombing
45 Sapari 3 NPBI 68 th L R1B C640459 9053180
46 Siti Maesun 3 NPBI 42 th P R2A C641653 9052733
47 Ginanjar Wahyu Muttaqin 1 BPJS 20 th L KPD D C607399 9053289
48 Siti Aisah 3 NPBI 21 th P R2A C606813 9050917
M : ST,BD,TU,SE,SU,TR,RA RR : FA,SR*,MK (MID : DA,RM) RR GRD :MY (MID : PL) SORE PROGRAM : AP,NO,AN,AG,AF,AD,BY,
49 Sri Mulyati VIP NPBI 53 th P GRD 4 C615032 9053148
50 Siti Khoirotun Muzaro'ah 3 JMD 20th P R2A C558879 9053253
51 Agustini Pudji Hardjanti 1 NPBI 59th P B31 B213881 9047488
52 Sukirno VIP NPBI 64th L ELA II C643095 9055492

53 Hemawati Trijayanti, drg VIP NPBI 51th P GRD 5 C614208 9050835
54 Dwi Siswanto 3 NPBI 39th L R2B C638079 9059544
55 Saifudin 3 NPBI 36th L R1B C643171 9057766
CITO
56 Annisa Dina Ayuningtyas VIP UM 27th P GRD 3 C642881 9055524
57 Kartika Kusuma Wardani 1 NPBI 30th P B31 B349300 9055312
58 Yuyun Handayani 3 PBI 19th P B31 C311171 9057783
59 Eka Saryani 3 PBI 30th P B31 C643422 9059173
60 Yoyok Supriyo IRIN A NPBI 34th L MRK D C641992 9047014

JAMINAN
1 Izhar Benazhir Fikri VIP NPBI 20 th L GRD 6 C633245 9050814
2 Jupri 3 NPBI 41 th L R1B C619254 9055385
3 Mulyanto 3 NPBI 37 th L R2B C510549 9057368
4 Sri Purwati 2 NPBI 45 th P MRK D C616409 9057669
5 Waimah 3 PBI 52 th P R3A C640428 9055295
6 Linda Yuliawati 1 NPBI 36 th P MRK 2 489133 9057527

7 Suswini VIP NPBI 2/16/1969 P GRD 5 C641767 9052818
M : NO,AN,AT,ST,RA RR : EW,DM,IS*,DA,MY SORE PROGRAM : WU,AF,AG,RE,AD,BY,DB*,DI,DY,EA,JF*,PS,RM,US,VQ,WD AL

8 Wisnu Hidayat VIP NPBI 48th L GRD 6 C630912 9053206
CITO
10 Yuliani 2 NPBI 36th P B31 C643338 9058807
11 Massusi 3 um 33th P B31 C643600 9059597
12 Parsih 3 PBI 58th P R2A C643289 9059723
13 Supiyati IRIN B PBI 51th P ICU C643451 9059073
14 Su'udi 1 NPBI 55th L KPD D C642805 9057689
15 Eman Lestari 2 NPBI 55th L MRK D B258776 9047260

16 Ahmad Niam 1 NPBI 47th L KTL C642374 9048140
17 Ita Handayani 1 NPBI 38th P MRK 1 C606785 9055937
18 Sucipto Hadi IRIN A NPBI 53th L ICU C307319 9059572
19 Kasiyono 1 NPBI 58th L MRK 2 C613270 9055340

JAMINAN
1 Muh Ilham Saputra 3 NPBI 6 th L C1L1 C545989 9055488
2 Sumardi 2 NPBI 44 th L TRAN C597971 9059774
3 Mudholi Yahya 3 PBI 42 th L R1B C618322 9053183
4 Faridah Soetris Nany 3 NPBI 50 th P R3A C501346 9054861
M :NO,WD,AT,AN,PS SORE PROGRAM :WU,BY,DY,AD,RE,IS,ANM,SC
6 Sri Prihatiningsih VIP NPBI 50th P GRD 4 C431641 9057609
7 Yoelano Prastiya VIP NPBI 25th P GRD 5 C555851 9059754
8 Vivi Andriani 2 PBI 16th P C1LD C106100 9059592
CITO
9 Hesti Aryasari 3 PBI 12th P HCU C643102 9057730

10 Supriyanto 3 um 33th L IGD C643638 9059965
11 Siti Winarsih 2 NPBI 35th P B31 C643671 9059978
12 Lusi Astutik 3 PBI 23th P B31 C507941 9059526
13 Subyanto 2 NPBI 44th L MRK D C562368 9046821
14 Oktafarul Nurbaningsih VIP NPBI 26th P GRD 6 C643580 9059728
15 Nur Rokhim 3 um 42th L R2B C643697 9060080
16 Ariya Triwibowo 3 NPBI 4th L C1LD C643689 9060025
HARI / TANGGAL : SENIN, 10 JULI 2017

JAMINAN
1 Marijo 2 NPBI 63 th L MRK D C641459 9041130
2 Muhammad Maulana Zaqi 3 PBI 11 th L C1L1 C484747 9059956
3 Hilmi Farros 3 PBI 13 th L C1L1 C565328 9059954
4 Maqsudi NPBI 60 th L TRAN C638128 9051027
5 Mikael Budining Santoso 3 PBI 60 th L R2B C615443 9055443
6 Maulana Yusuf 3 JMD 51 th L R1B C640720 9057750
7 Sulistyarini 1 NPBI 57 th P MRK 2 B378954 9057363
8 Mertania Puspita 1 NPBI 31 th P MRK 2 C626401 9057556
9 Iin Ambarwati 1 NPBI 44 th P KPD D C074350
11 Sri Rahayu 1 NPBI 57 th P MRK 2 C641752 9056800
12 Septi Maryani 1 NPBI 27 th P TRAN B331203
13 Edi Kurniawan VIP NPBI 8/17/1995 L GRD 5 C637750 9047504
14 M Kristianto 2 NPBI 32 th L MRK D C642184 9047496
15 Sri Harni 2 NPBI 59 th P TRAN C641557 9053133
16 Sulasmi 3 NPBI 41 th P R2A C588228 9055495

17 Siti Mahmudah 3 NPBI 21 th P R3A C289544 9051569
18 Rusti 3 PBI 47 th P R2A C419371 9055429
19 Eko Rubiwati 2 NPBI 52 th P KPD D C623020 9060027
20 Siti Koiriyah NPBI 53 th P Kenari C642344 9047981
21 Suyanti 3 NPBI 31 th P R2A C636846 9053100
22 Abdullah Safiq 3 NPBI 1 th 6 bln L C1L1 C641282 9050770
23 By Ny Nila Witia Tantri 3 NPBI 2 bln P C1LD C636059 9057735
24 Fajar Nor Prasetyo 3 NPBI 4 th L C1L1 C643319 9057772
25 Cahyaningsih VIP NPBI 64 th P GRD 6 C569591 9050736
26 Naniek Christine Jamin 1 NPBI 71 th P MRK 1 C616645 9050947
27 Ernaningsih 1 NPBI 69 th P KPD D A087881 9052247
28 Eka Sri Lestari 3 NPBI 29 th P R2A C642837 9053297
29 Kustinah 3 NPBI 49 th P R2A C631599 9055341
30 Arno Budi Cahyono 1 NPBI 51 th L ELA 2 C610158 9059670
31 Nur Hamid VIP NPBI 56 th L GRD 5 C620189
32 Hilal Al Munir 3 PBI 13 th L C1LD C641530 9057729
33 Eni Erlinawati 3 NPBI 36 th P R3A C584769 9053204
34 Tarmuji 3 NPBI 63 th P R3A C593965 9053256
35 Aziz Soedarman 1 NPBI 68 th L GER L1 C636806 9052370
36 Afifah 3 PBI 72 th P P. Mata C627426
37 Veri Yuliani 3 PBI 21 th P P. Mata C619919
38 Sobana 2 NPBI 56 th L MRK D C640884 9034679
30 Sucipto 3 NPBI 1/20/1978 L P. Mrpti C638218
50 M Romli 3 NPBI 4/17/1963 L P. Mrpti C640613
51 Ekik Emawati 3 NPBI 17 th P R5B C618277 9050749
52 Sumaryani VIP NPBI 2/2/1957 P GRD 3 C643395 9058784
53 Sukati 3 NPBI 33 th P R2A C640407 9050957

54 Siti Solechah 3 PBI 49 th P R2A C490623 9055342
55 Ilham Nur Afendi 3 PBI 14 th L C1L1 C643279
56 Fauziah Maghfiroh 3 NPBI 10 th P C1L1 C576293 9032723
57 Muhammad Handyan Azmi 3 NPBI 3 th L C1L1 C514801 9059994
58 Fazarani Khasna Lathifa 3 NPBI 6 th P C1LD C642313

59 Nizar Pangestu 3 NPBI 14 th L C1LD C642503 9050742
60 Muhamad T NPBI 6 th L C1LD C395402
M :AF,WD,RE,AD,BY,PS RR : FA,NI*,JF (MID : ER,SAM ) RR GRD : WU (MID : VQ) SORE PROGRAM : GI,AP,II,TW,AR*,BR,DA,DM*
61 Salamun 3 PBI 60 th L R3B C642147 9047408
62 Ida Royani 3 PBI 14 th P R2A C641035 9038364
63 Priyono 2 NPBI 52 th L MRK D C642179 9047516
64 Tarmidi 1 NPBI 54 th L KPD 1 C641029 9053260
65 Agus Widodo 1 NPBI 64 th L KPD D C545314 9053223
67 Suhardi 3 NPBI 48 th L R3B C642686 9051029
68 Sutarismanto 3 NPBI 41 th L R2B C637971 9053265
69 Mohamad Junaedi 2 NPBI 46 th L MRK LD C635789 9050337
70 Darmawan 3 NPBI 44th L R5A C620478 9060012
71 Athiyyatul Khusna 3 NPBI 5 th P C1LD C641854 9046567
72 Fauziah Maghfiroh 3 NPBI 10 th P C1L1 C576293 9032723
CITO
73 Purwaningsih Endang 2 NPBI 38th P B31 C643713 9060104
74 Kartika Rini 3 NPBI 35th P B31 B271642 9060108
76 Ninik Nur Aditriana IRIN B PBI 16th P R1A C643711 9060081
77 Aqila Zahira Ningrum IRIN B NPBI 1bl P PBRT C642922 9059350
78 Resti Amida Rudi Saputri 1 NPBI 22th P B31 C643677 9060026
Fahri Prasetya Dhiya

79 3 NPBI 6th L C1L1 C643681 9060006
Ulhaq
80 Desta Abdi Nugroho 2 um 12th L IGD C642155 9060114
81 Nurul Hanifah 1 NPBI 25th P B31 C611168 9062566

JAMINAN
1 Dentito Della Dento VIP NPBI 12 th L GRD L3 C539116 9061163
2 Muhammad Ikmal Maulana 3 NPBI 7 th L C1L1 C395402 9059957
3 Muhammad Khoirul Anwar 3 Um 12 th L C1L1 C641003 9057666
4 Shinta Dewi Shasanti 2 NPBI 40 th P KPD LD C636204 9059463
5 Sulistyono VIP NPBI 44 th L GRD L4 C641451 9059434
6 Iin Ambarwati 1 NPBI 44 th P KPD LD C074350 9057739
7 Sri Mulyani VIP NPBI 30 th P GRD L6 C547939 9061631
8 Rizky Febrian 1 NPBI 24 th L KPD L1 C641630 9059487
9 Asroni 2 NPBI 30 th L KPD LD C625027 9059917
10 Nur Fasicha VIP NPBI 44 th P GRD L3 C643382 9059203
11 Istiqlaliyah 2 NPBI 57 th P MRK LD C639534 9059547
12 Margito 3 PBI 59 th L R3B C632091 9050697
13 Hendi Setiawan 3 PBI 49 th L R2B C637849 9053225
14 Alif Alfauzan Sabekti VIP NPBI 4/18/2001 L GRD L3 C643249 9061877
15 Su'udi 1 NPBI 55 th L KPD LD C642805 9057689
16 Muryani 1 NPBI 53 th P KPD LD C631492 9059553
17 Nurul Hikmah 3 PBI 18 th P R2A C638840 9050825
18 Rupito 3 PBI 38 th L R2B C636753
19 Kenji Putra Prabowo 3 NPBI 2 th 2 bln L C1L1 C536842 9059899
20 Bernika Irnawati 2 NPBI 16 th P C1LD C271668 9057704
21 Sukati 3 NPBI 67 th P R6A C641697
22 Slamet Riyadi 1 NPBI 59 th L KPD LD C639652 9055348
23 Machmudi 1 NPBI 61 th L KPD LD C633990 9055489

24 Juariyah 3 PBI 48 th P R2A C642970 9055034
25 Maryatun 1 NPBI 63 th P GER L1 C620904 9059829
26 Rohmiyati 2 NPBI 36 th P MRK LD C608591 9059540
27 P. Bdh
28 Dani Amirul Khakim 2 JASA 13 th L Transit C643288 9059198
29 Sutarno 3 NPBI 15 th L ELA 1 C581873 9059999
30 Nur Hamid VIP NPBI 56 th L GRD L5 C620189 9050723
31 Sigid Nusantoro 3 NPBI 55 th L R1B C606200 9057695
32 Surgiyatno 3 PBI 49 th L R1B C575675 9049842
33 Sri Patoni 1 NPBI 66 th P KPD LD C006943 9053278
34 Zuliono PBI 28 Tahun L P. Mata C612174
35 Tasih 3 PBI 59 th P P. Mata C400957
36 Warsiti 3 PBI 50 th P R2A C643044 9057771
37 Paiman 3 NPBI 42 th L P. MTA C642723
38 Ranti 3 NPBI 66 th P P. MRPTI C636882
38 Sri Asih 2 NPBI 75 th P P. MTA C622146

39 Herlin Puspajati 3 NPBI 33 th P R5B C269216 9060009
40 Zumrotun Ni'mah 2 NPBI 28 th P B31 C589481 90594437
41 Esty Nur Utami 3 NPBI 17 th P R2A C633712 9054736

42 Nikmah 1 NPBI 54 th P KPD L1 C642571 9059508
43 Roidah VIP NPBI 64 th P GRD 4 C643321 9059711
44 Shinta Hartini 1 NPBI 48 th P KPD LD C641044 9055435
45 Muhamad Ihsan Maulana VIP NPBI 1/30/2014 L GRD L3 C643026 9061927
46 Bela Prihatin 3 NPBI 14 th P C1LD C643668 9060047
47 M. Nizam Al Fatah 3 NPBI 3 th L C1LD C616703 9059441
48 Pudjiastuti, HJ VIP NPBI 75 th P GRD 4 C005484 9059765
49 Rizqi 1 NPBI 19 th L GER 1 C468103 9059296
M :BD,AF,RE,DY,IS,WI,ANM RR : FA,NI*,JF (MID : ER,VQ ) RR GRD :AH (MID :MF ) SORE PROGRAM : GI,ET,TW,II,HR,AR,AU,BR
50 Dita Priska Pravita VIP NPBI 9/15/1980 P GRD 3 C632641 9062471
51 Intan Arisya VIP NPBI 7/29/1998 P GRD 3 C643070 9062504
52 Niken Widyantini, dr VIP NPBI 2/12/1970 P GRD 4 C511487 9062655
53 Maria Suliyem 2 NPBI 47 th P KPD D C630853 9047126

54 Rahman VIP NPBI 57 th L MRK 2 C642939 9059574
55 Rustiyanto VIP NPBI 4/13/1961 L GRD 4 9062676 9063676
56 Juwariyah 3 NPBI 52th L R6A C643459 9059650

57 Sutardi 3 PBI 65th L GER D C643598 9059854
58 Sutamar 3 PBI 74 th L R1B C629704 9053195
59 Dahroni 3 PBI 28 th L R2B C637949 9053268
CITO
61 Sukanti 3 PBI P R2A C642675 9051017
62 Suminah 2 NPBI 55th P IGD C643974 9062725
63 Noer Hadi VIP NPBI 78th L GRD 4 C644104 9064237
64 Khunaeni 1 NPBI 58th P KPD 1 C567232 9047428
65 Tumino 3 PBI 61th L R3B C643715 9060117

JAMINAN
1 Akhmad Maulana 2 NPBI 13 th L KPD L1 C547845 9052323
2 Moh Alif Mahardika 3 PBI 7 th L C1LD C638410 9057705
3 Edi Warsono 3 NPBI 21 th L R2B C643942 9062709
4 Isbijanto Budiarto 2 NPBI 49 th L KPD LD C557953 9069541
5 Ani Farida VIP NPBI 54 th P GRD L6 C637402 9061671
6 Sutarmini 1 NPBI 49 th P KPD L1 C640649 9057635
7 Rubiatun 3 NPBI 57 th P R4A C633994 9062501
8 Andi Khairudin 3 PBI 13 th L C1LD C479439 9057706
9 Qoyyum 3 NPBI 48 th P R5B C642133 9047338
10 Ranyu VIP NPBI 60 th P GRD 5 C642497 9048579

11 Sri Astutik Atik 1 NPBI 51 th P KTL C640403 9055406
12 Sukati 3 NPBI 67 th P R6A C641697 9044858
13 Nur Hasanah 1 NPBI 49 th P KPD L1 C462121 9062602
14 Titik Mulyatun 3 NPBI 26 th P R2A C633373 9061120
15 Dewi Kristini VIP NPBI 49 th P GRD C604415
16 M Fauzi 1 NPBI 37 th L KTL C636835 9059667
17 Rubinah 2 NPBI 65 th P Transit C643509 9060084
18 Hartanto Sulistio 2 NPBI 62 th L KPD LD C609090 9059548
19 Handoyo Mukti N 2 NPBI 13 th L IGD C640539 9065528
20 Kevin Septian S 2 NPBI 4 th L IGD C643786 9062491
21 By Ny Eevy Anasari IRIN NPBI 5 hr P PBRT C643283 9057749
22 Fani Suryo Wibowo 3 NPBI 21 th L R3B C640497

23 Edy Soelistijo 2 NPBI 46 th L MRK LD C642312 9047923
24 Yulis Asnan 3 PBI 32 th L R1B C617943 9050858
25 Zumrotun Ni'mah 2 NPBI 28 th P B31 C589481 9059437
26 Aulia Iqbal Maulana 3 NPBI 28 th L R6B B012565 9058696
27 Sudarwati 1 NPBI 52 th P KPD L1 C643955 9062732

28 Budi Waluyo 1 NPBI 55 th L MRK L1 C243474
29 Fiki Rosalia 3 BPJS 19 th P R2A C640555 9032628
30 Juriyah 2 NPBI 47 th P ELA 1 C611748 9060602
31 Maskanah 3 NPBI 51 th P R3A C637837 9055105
32 Novia Ratnawati Sandy VIP NPBI 25 th P GRD 6 C640952 9062174
33 Hendi Soenarko 3 PBI 64 th L R1B C617948 9053317
34 Maria Anna Susanti 3 NPBI 44 th P R2A C643593 9059928
35 Khoeron F 2 NPBI 54 th L Transit C635648 9061883

36 Achmad Adyar Priv NPBI 48 th L P. GRD C612413
37 Hartono Priv NPBI 58 th L P. MTA C633330
38 Soleh 1 NPBI 76 th L P. MTA C616457
39 Benny Sutanto Priv NPBI 51 th L P. GRD C375116

40 Jatmi 2 NPBI 41 th P R6A C642990 9057849
41 Tjioe Tjiok Thian 3 NPBI 54 th L P.MRPTI C633037
42 Siti Aminah 1 NPBI 39 th P MRK 1 C623389 9862986
43 Sekar Ayu Putri U VIP um 16 th P GRD 4 C419305 9064733
44 Abdul Rokhim VIP NPBI 69 th L GRD 4 C641361 9062386
45 Kartono 3 NPBI 57 th L R2B C327479
46 Dimas Edo Saputra 3 PT 18 th L R6B C641926 9059901

47 Marcellino Noreen K 2 NPBI 14 th L KPD 1 C588980 9062478
48 Dhea Ayus Widyastuti 3 NPBI 15 th P PICU C641736 9046539
M : NO,AR,DY,IS,WI,SC,ANM RR : FA,NI*,JF (MID : ER,SAM ) RR GRD :AH (MID :ST ) SORE PROGRAM : GI,ET,II,AU,BR,DA,DM,D
49 Dewi Setyo Hermawan 2 NPBI 19 th P KPD 1 C643756 9064763
50 Kabul Suparno VIP NPBI 68 th L GRD 6 C604670 9064843
51 Sulaiman 3 NPBI 45 th L R1B C627088 9053094
52 Giyanto 3 PBI 53 th L R3B C640129 9062632
53 By.Ny. Wahyu Palupi IRINA NPBI 1bl L PBRT C641138 9038282
54 Sigid Nusantoro 3 NPBI 55 th L R1B C606200 9057695
CITO
55 Athalia Handoko VIP NPBI 27th L GRD 6 C644307 9066953
56 Tukiyem 2 NPBI 56th P GER D C643997 9064947
57 Rian Elidiana 3 um 17th P C1L1 C644372 9066861
58 Amalia Damayanti 3 um 24th P B31 C644404 9067065
59 Suwarti IRIN B PBI 60th P R1A C643963 9062693
60 M Arya Rukmana 3 PBI 3th L IGD C644185 9066539
61 Abdul Kafid 3 PBI 36th L R1B C644057 9065205
62 Kumiyati VIP um 31th P GRD 3 C503396 9064944
63 Dwi Anggraini VIP um 36th P GRD 3 C475805 9064550
64 Andini Gendhis Dwi IRIN B Um 5bl P PICU C644186 9064906

Hapsari
65 Wiwik Ambarwati 3 NPBI 38th P B31 C644332 9066520
66 H.M. Waluyo VIP NPBI 61th L GRD 6 C400230 9064939
67 Siti Nur Azizah 3 PBI 26th P B31 C642763 9064852

68 IRIN A NPBI 3hr P PICU C644350 9067015
By.Ny. Titik Yuliyanti
69 Gabriella Adientya VIP NPBI 27th P GRD 3 C611874 9065017
70 Paniran 2 NPBI 60th P KPD D C641347 9050997
JAMINAN
1 Tri Endang Kurniasih VIP NPBI 57 th P GRD 3 B225769 9057614
2 Ade Ircham Iryanto 2 NPBI 16 th L KPD 1 C482926 9066778
3 Muhammad Dzaliwan 2 PBI 6 th L KPD 1 C282671 9066881
4 Lintang Ananda S 3 NPBI 5 th L C1LD C374648 9059436
5 Nanik Suharni 1 NPBI 62 th P KTL C640098 9046776
6 Landiarti VIP NPBI 73 th P GRD 4 C640547 9064837
7 Mulyono 3 PBI 46 th L R2B C643961 9062738
8 Naylia Putri Firdiani 1 NPBI 10 th P C1LD C633022 9062680
9 Hesti Aryasari IRIN B PBI 13 th P HCU C643102 9057730
10 Wigatining Warsini 1 NPBI 55 th P KPD L1 C643988 9064769
11 Kamisah Meliza Sari 3 JMD 55 th P R5B C643633 9059919
12 Budi Waluyo 1 NPBI 55 th L MRK L1 C243474 9055338
13 Juriyah 3 NPBI 59 th P R2A C635045 9059530
14 Panggih Prayitno 3 PBI 17 th L R3B C631274 9059519
15 Alimah 3 NPBI 50 th P R2A C620179
16 Musniyati 3 NPBI 67 th P R5B C640097 9059888
Jessica Olivia Budhi

17 VIP Um 18 th L GRD 3 C644035 9066964
Hartono
18 Moch Dzakfar Arifin VIP NPBI 68 th L GRD 4 C626138 9050637
19 Oemar Salam 1 NPBI 76 th L KPD 1 C631723 9062600
20 Rofiatul Andaliyah 1 NPBI 61 th P MRK 1 C643164 9062452
21 Sariyanti 3 NPBI 46 th P R2A C595149 9062597

22 Tri Dewi Kristini VIP NPBI 49 th P GRD C604415 9064634
23 Yetty Meylasari 1 NPBI 41 th P MRK 2 C600935 9064761
24 Sri Hartini 3 PBI 26 th P R3A C356661 9062607
25 Laila Muniati 3 PBI 10 th P C1LD C641382 9040925
26 Nadiya Maysun S Priv NPBI 14 th P P. Grd C643828
27 Warsito 2 NPBI 54 th L Transit C623069 9063520
28 Jawi 3 PBI 52 th P R2A C641067 9050780
29 Sudirnya 3 PBI 61 th L R1B C641646 9044873
30 Furiyah 3 PBI 44 th P R2A C642519 9048988
31 Hemawati Trijayanti VIP NPBI 51 th P GRD L5 C614208 9050835
32 Kusnanik 3 NPBI 39 th P R6A C638127 9063274
33 Wiwik Setyati 1 NPBI 65 th P KPD 1 C643091 9059923
34 M Misbah 2 NPBI 33 th L TRAN C638891 9059539
Atik Kusmiati 2 BPJS 33 th P TRAN C643427 9059913

35
36 Fatkhun Nikmah 1 NPBI 47 th P Elang 2 C230848 9064315
37 Teguh Kurniawan 3 JMD 6 th L C1L1 C643185 9059896
38 Suningsih VIP NPBI 49 th P GRD 6 C606207 9061805

39 Budi Prasongko VIP NPBI 2/6/1964 L GRD 6 C635143
40 Tumini 3 NPBI 45 th P R3A C598267 9059464
41 Ely Yuliatun 2 NPBI 25 th P Transit C578484 9059567
42 Parmadi 1 NPBI 61 th L P. MTA C637172

43 Sarto 3 PBI 82 th L P. Mata C642989
44 Zaenal Fathur Rachman 3 NPBI 24 th L R2B C640528 9062726
45 Siti Maftahah 3 NPBI 59 th P R2B C643853 9063064
46 Martini 3 PBI 37 th P P. Mata C559435
47 Damin 3 PBI 52 th L P. Mata C638912

48 Suharjanto 1 NPBI 60 th L P. Mata C598483
49 Tari 3 NPBI 48 th P R4A C624012
50 Maryamah VIP NPBI 67 th P GRD 6 C180993 9063479

51 Sarimpi 3 PBI 62 th P R2A C628067 9062487
52 Fadil Muhammad Arrodli VIP NPBI 5 th L GRD 3 C643945 9065969

53 Galang Gavrila Alden 2 NPBI 3 th L KPD L1 C489972 9066487
54 Ahmad Sulton Kasyafani 3 NPBI 5 bln L C1LD C628949 9064909
55 Muhammad Farkhan 3 NPBI 6 th L C1L1 C525955 9066538
56 Hamidah Zahrotul H 3 Um 1 th 2 bln P C1LD C607279 9064860
M : NO,ET,AU,SC,MW,DB,BR RR : FA,EM,PS (MID : ER,SAM ) RR GRD : AH (MID : ST ) SORE PROGRAM : GI,II,TW,TR,SA,DA,DM

57 Wahyu Indah Ruritasari VIP NPBI 22 th P GRD 4 C643743 9064899
58 Desyana Kartika 3 NPBI 24 th P R3A C594162 9066919
59 Mochammad Rafi'i 1 NPBI 59 th L KTL C639875 9062424
60 Susilo VIP NPBI 60th L GRD 5 C640953 9057763
61 Madmursi 3 PBI 57th P R6B C637736 9051330

62 Syai'in 3 NPBI 53 th L R6B C604132 9057762
63 Imroatussaadhah 3 NPBI 19th P R5B C642588 9050817
64 Mansyur 2 NPBI 56th L MRK D C642685 9051891
65 H.R. Djuhari VIP NPBI 75th L GER 1 B155930 9057681

66 Hari Rina Mawarti VIP NPBI 44th P GRD 6 C496293 9064912
67 Eman Lestari 2 NPBI 55th P MRK D B258776 9047260
68 Triyani 1 NPBI 49th P MRK 2 C643982 9067039
69 Rakhman 1 NPBI 57 th L MRK 2 C641937 9059574
CITO
70 Suratun 3 NPBI 51th P R4B C643846 9066978
71 Suparno 3 NPBI 58th L R5A C643993 9066893
72 Ifani Khairunisa VIP NPBI 30th P GRD 3 C505951 9065802
73 Moenisih 2 NPBI 76th P IGD C644009 9068954
74 Maelani Dwi Nur Ainun 3 um 8th P IGD C644399 9067054
75 Kevin Septian Susanto 2 NPBI 4th L TRAN C643786 9062491
76 Yogi Cahyanto 2 PBI 16th L IGD C644398 9067053
77 Bangkit Assidiq VIP NPBI 17th L GRD 6 C625729 9067000
78 Harmanto 3 PBI 57th L R2B C637805 9069206

JAMINAN

1 Wagiman 3 PBI 47 th L R2B C641322 9059577
2 Mamik 2 NPBI 56 th P IGD C640135
3 Sri Endang Rejeki 3 NPBI 51 th P R6A C643092 9057747
4 Kelvin Avgnileno 3 NPBI 3 th L Elang 1 C477014 9067626
5 Arief Setiawan C 2 NPBI 31 th L MRK D C640631
6 Susyanti 3 NPBI 26 th P R3A C638175 9066928
7 Callista Meylina 2 NPBI 1 th P C1LD C633793 9069300
8 Painem VIP NPBI 61 th P GRD 3 C643989 9066752
9 Sulasih VIP NPBI 49 th P GRD 5 C643385 9059438
10 Dewi Masyithoh 1 um 23 th P MRK 1 C643632 9060021
11 Arif Sulistyo 3 NPBI 25 th L R2B C620367 9064867
12 Khanapi 2 NPBI 47 th L MRK D C638115 9064931
13 Edi Pranoto 2 NPBI 41 th L MRK D C629716 9062635
14 Sunarti 1 NPBI 64 th P MRK 1 C636521 9066958
15 Hanna Lestari VIP NPBI 34 th P GRD 4 C295305 9053228
16 Saeful Ariyadi 3 PBI 10th L C1L1 C546057 9069237
Muhammad Zam Zam

17 3 NPBI 3th L C1L1 C563452 9069182
Alfarizi
18 Innawati Sutiono 2 NPBI 55 th P KPD LD C633599 9067980
19 Nur Ihsan 3 NPBI 30 th L R1B C641305 9051030
20 Nasukib 3 NPBI 68 th L R2B C628939 9064905
22 Rivaldi Yudistira Brata 2 NPBI 8/7/1995 L KPD 1 C641052 9069164
23 Jumilah 2 NPBI 51 th P KPD LD C637800 9068051
24 Ani Suhartati 3 NPBI 42 th P R2A C643888 9062707
25 Retno Wulandari 2 NPBI 26 th P KPD LD C640601
26 Mahdya Elis Werdi 3 NPBI 23 th P Elang 1 C571519 9066421
27 Nia Febriyanti 2 NPBI 6 th P Elang 1 C284150 9066040

28 Paimin Priv NPBI 79 th L P. Grd C051534
29 Wiji Utami VIP NPBI 55 th P GRD L5 C604253 9062633
30 Wawan 3 PBI 39 th L R1B C638382 9064900
31 Endang Herawati 1 NPBI 62 th P MRK 2 C088160 9062722
32 Kasyo 3 NPBI 28 th L R1B C604118 9062750
33 Casmen Priv NPBI 53 th P P. Grd C640740

34 Wage Siswoyo Priv NPBI 48 th L P. Grd C637179
35 Alimah III NPBI 70 th P P. Mata C641612
36 Riston Situmorang III NPBI 60 th L P. Mata C543835
37 Wahyu I 3 NPBI 54 th L P. Mata C605207
38 Muntirah III PBI 85 th P P. Mata C644438
39 Temon 3 PBI 77 th L P. Mata C644418
40 Athiyyatul Khusna 3 NPBI 5 th 11 bln P C1LD C641854 9046567
41 Martam 3 NPBI 31 th L R5A C519266 9064796
42 Kartono 3 PBI 57 th L R2B C327479 9053258
43 Sardjiono VIP NPBI 60 th L GRD L5 C603912 9066526

44 Eko Riyanto 3 um 22 th L R2B C640384 9067016
M : II,AU,ES,PM,BR,DB,MW RR : FA,PS,AD (MID : ER,SAM ) RR GRD : NI (MID : ST ) SORE PROGRAM : GI,II,TW,TR,DA,DM,ES,ID
66 Sri Bangun Setyowati 2 NPBI 50 th P KPD D C642700 9051006
67 Mamik Heru Purwati 1 NPBI 4/4/1961 P MRK 2 C640135 9069313
68 Susiati 3 NPBI 51th P R4A C615446 9059874
69 Rakhman 1 NPBI 57th L MRK 2 C642939 9059574

70 Rossi Magritha VIP Um 4/20/1963 P GRD 4 C490120 9062659
CITO
71 Suprapto 3 NPBI 48th L R1B C644604 9071013
72 Satriya Maulana 3 um 4th L C1L1 C644401 9087057
73 Mei Nur Azizah 3 um 20th P B31 C644620 9069330
74 Muhammad Rasyid Syafiq 3 JMD 4bl L C1L1 C643953 9063364
75 By.Ny. Eevy Anasari IRIN A NPBI 8hr P PBRT C643283 9057749
76 Karnadi 3 NPBI 48th L R3B C630805 9059558
77 Suriyah 3 NPBI 55th P R6A C644397 9067271

JAMINAN
AK,SL,DI,EA,FA,PS,MK,GI,GN,EW
1 Tini 3 NPBI 63 th P R3A C636196 9066912
2 Qoyyum 3 NPBI 48 th P R5B C642133 9047338
3 Suratmi 3 PBI 12/15/1995 P R6A C644146
4 Sutistyono VIP NPBI 44 th L GRD L4 C641451 9059434
5 Rustiyanto VIP NPBI 56 th L GRD L4 C639351 9062676
6 Sukarsih VIP NPBI 50 th P GRD L4 C638041 9069124
7 Isniatun 1 NPBI 52 th P KPD LD C564772 9069225
8 Hari Sudarmanto 1 NPBI 52 th L KPD L1 C600448 9069226
9 Novi Retnowati VIP NPBI 29 th P GRD L4 C614244 9069000
10 Naomi Nani Irawan 2 NPBI 40 th P B31 C641735
11 Ery Ardiyanti 3 JMD 39 th P B31 C644167 9064890
12 Mardiyani 2 NPBI 39 th P MRK D C641303 9067108
13 Murwati 2 NPBI 29 th P B31 C568669 9066979
14 M Arzanul Haq 2 NPBI 10/7/2007 L Transit C643033 9059178
15 Valent 3 PBI 6 th P Anak D C644505
16 P Sunarto 2 NPBI 66 th L GER LD C638039 9053330
17 Exsa Putri Lestari 3 NPBI 11 th P C1L1 C480106 9068529
18 Sri Martini 3 NPBI 49 th P R5B C638880 9069975
19 Faris Eko Nur Prajito 3 PBI 23 th L R2B C644374 9069216
20 Rakha Zidane Muhammad VIP NPBI 15 th L GRD 3 C143870 9070874
21 Yundi Koswara 2 NPBI 28 th L MRK LD C554157 9062689
22 Musriah 3 PBI 41 th P R2A C582292 9064929
23 Sudarwati 1 NPBI 63 th P KPD 1 C643955 9062732

24 Sutarman 3 NPBI 31 th L R5A C603752 9066939
25 Ratri Ade Hapsari 2 NPBI 22th P KPD D C640247 9066947

26 Moeljani 1 NPBI 76 th P MRK L1 C643359 9069894
27 Triswanti 2 NPBI 55 th P KPD LD C503539 9068734
28 Benyamin Susanto 1 NPBI 18 th L MRK L2 C634873 9066965
29 Achmad Sulaiman 1 NPBI 58 th L Elang 2 C643120 9068259
M : II,AU,ES,PM,BR,DB,MW RR : SAM,ST,RA,TM SORE PROGRAM : ALAT : PUR, ( S : SE)
30 Siti Nigayati VIP NPBI 47th P GRD 5 C410156 9059268

CITO
31 Naomi Nani Irwan 3 NPBI 40th P B31 C641735 9057746
32 Muhammad Ibnu Khaqim 3 NPBI 3th L C1LD C644763 9070887
33 Devi Ariani 3 NPBI 23th P B31 C644794 9071055
34 Sri Kusmiyati 2 PBI 35th P IGD C644797 9071069
35 Sri Kurniati 2 NPBI 42th P B31 C413986 9071209
36 Radi Marjoko VIP NPBI L GRD 6 C644778 9071039
37 Sugiyono 1 NPBI 36th L KPD D C644619 9071011

JAMINAN
1 Bagas Ardhianto Saputra 1 NPBI 35th L KPD 1 C644603 9071285
2 Iman Puji Lestari 3 PBI 23th P B31 C644881 9071435
3 Kerep IRIN A NPBI 40th L R1A C644777 9071457
4 Suratmi 3 PBI 59th P R6A C644146 9067041
5 Kasdi 3 PBI 24th L R1B C644878 9071516
6 Djumiati 2 um 39th P IGD C644858 9071364
7 E Didit Tri Widianto IRINA+ NPBI 45th L GCU C588726 9036639
8 Martoyo 3 um 27th L R5A C644877 9071546
9 Lanawati VIP um 57th P GRD 6 C186025 9071238
10 Partini 3 PBI 64th P R5B C644793 9071519
11 Jamin 3 NPBI 56th L R5A C640665 9066864

12 Valent Radwisti Maulida IRIN B PBI 6th P PICU C644505 9069309
13 Warsito 2 NPBI 54th L TRAN C623069 9071424
Retno Mpuryanti
14 3 um 22th P B31 C644909 9071560
Anggraeni
JAMINAN
S :EV,AH,RG
1 Ferry Fitriadi 2 NPBI 42 th L MRK D C642426 9048269
2 Mochammad Fiqi Raharjo 3 NPBI L Anak 1 C516323 9071492
3 Rizky Nur Hidayati 2 NPBI 7 th L Anak 1 C543144 9071445
4 Puji Rahayu 3 NPBI 29 th P R3A C643183 9066967
5 Ersiah Winoto VIP NPBI 1/31/1942 P GRD L5 C538221 9062000
6 Novianto Dwi Prasongko VIP NPBI 11/10/1979 L GRD L5 C422374 9068808
7 Suhartin 3 NPBI 47 th P R4A C611545 9062622
8 Tari 3 NPBI 48 th P R4A C624012 9064871
9 Ahmad Saefudin 3 NPBI 17 th L R2B C635483 9066970
10 Sri Sugianti 3 PBI 47 th P R2A C643726 9068981
11 Santi Otapiah 3 NPBI 34 th P R2A C643744 9062706
12 Rochmat 3 NPBI 34 th L R3B C629516 9059769
13 Sri Ruwiyastuti 1 NPBI 56 th P KPD 1 C642620 9066983
14 Paryati 2 NPBI 49 th P MRK D C348959 9067021
15 Suryani 2 NPBI 50 th P KPD D C643294
16 Celsi Meylatul Keyna 3 NPBI 2 th P Anak D C643330 9060048
17 Rasyid Sidiq Budi Pratama 3 NPBI 5/14/2016 L Anak 1 C565803 9071446
18 Riyati 3 PBI 42 th P R3A B441196 9066933
19 By.Ny. Al Maidah 3 NPBI 8hr PBRT C643958 9064823
20 Suwawi VIP NPBI 67th L GRD 4 C643374 9062494

21 Setiawan 3 PBI 55 th R3B c341023 9046563
22 Sukinah 3 NPBI 52 th R3A R3A 9048295
23 Soemadi 2 NPBI 52 th L MRK D C643137
24 Alimah 3 PBI 50 th P R2A C620179 9055402
25 Rahayu 2 NPBI 11/21/1983 P KPD D C637541 9071523
26 Angelina Nathalia Andri 2 NPBI 18 th P KPD D C641109 9071459
27 Nuruddin IRIN B PBI 30th L ELA 1 C552630 9071099
28 Prijono 3 NPBI 54 th L R1B C599852 9062629
29 Sularti VIP NPBI 54 th P GRD 4 C644463 9068480
30 M. Ikmal Priv NPBI 27 th L P. GRD C566771

31 Surikan Priv NPBI 64 th L P. GRD C643217
32 Sri Budiningsih NPBI 55 th P P. Mata C644013
33 Sobhirin 3 PBI 50 th L P. GRD C631618
34 Juminah Priv NPBI 58 th P P. GRD C639690
35 Mukaromah 3 PBI 42 th P P. Mata C638192
36 Soedarwati 1 NPBI 78 th P KPD 1 C643245 9062598

37 Rosilawati 2 NPBI 10/2/1963 P KPD D C639147 9071521
38 Yamtini 3 NPBI 50 th P R2A C643228
39 Herliana 3 PBI 43 th P R3A B225263 9059797
PT.
40 Sri Purnamawati VIP 3/15/1971 P GRD 5 C641223 9070383
PLN
41 Bagas Puguh Widodo 1 NPBI 20 th L MRK 2 C637087 9028353
42 Muhammad Zidnal Fatah 3 PBI L Anak 1 C558145 9071481
M :NH,EW,DY,HI,YS,RM,SE RR : FA,SAM,ID(MID : DJ,WD ) RR GRD : (MID :ST ) SORE PROGRAM : EV,AH,RK,AG,AM,AT,AY,DW
43 Retno Wulandari 2 NPBI 26th P KPD D C640601 9069220
44 Asepulloh Khumaeni 3 NPBI 15th L C1LD C471134 9071008
45 Sumadi 3 um 47th L R1B C644506 9071058
46 Siti Maisyaroh 3 PBI 19th P R3A C643043 9062620

47 Nur Sofiati 3 NPBI 45th L R6A C546043 9046813
48 Suprapto Parman 2 NPBI 73th L MRK 5 C644225 9070959
CITO
49 Arkan Ataya Ramadhan 2 NPBI 5th L IGD C645115 9073467
50 Aji Mulyo Setiawan 3 PBI 24th L R1B C644870 9072717

51 Muslikatul Basiroh 3 PBI 22th L B31 C645137 9073696
52 Budianto Saputra 3 PBI 37th L R1A C644923 9073637
53 Sumiyatun 3 um 63th P R3A C645148 9073733
JAMINAN
1 Abid Naufal Maulana 3 PBI 3TH L C1L1 C459721 9073705
2 Farell Athylla 3 NPBI 6 th L C1L1 C389974 9073080
3 Sutiah 3 NPBI 56 th P R4A C641019
4 Sutikno 1 NPBI 56 th L KPD L1 C443097 9050045
5 Warikhin 3 NPBI 27 th L R1B C622053 9070904
6 Mattasdjiskan 1 NPBI 77 th L MRK L2 C224488
7 Heribowo 3 NPBI 23 th L R1B C635793 9069281
8 Chintia Matiase VIPA NPBI 23 th P GRD 4 C603686 9073210
9 Miftahudin 3 PBI 6 th L Elang I C609925 9072637
10 Fajrul Falah 3 NPBI 19 th L R1B C638387 9070914
11 Endah Setyorini 1 NPBI 48 th P B31 C640736 9069222
12 Galuh Paramita 2 NPBI 29 th P B31 C637734 9064844
13 Reba Nurfiyanto 3 NPBI 3 th L C1LD C596473 9069241
14 Tutik Sri Lestari 3 NPBI 21 th P R2A C632063

15 Juroh 3 NPBI 34 th P R2A C644864 9071511
16 Heri Laksono 3 NPBI 48 th L C644571
17 Slamet Rochadi 1 NPBI 62 th L KPD L1 C640780
18 Heri Wibowo 3 PBI 49 th L R2B C615303 9070997
19 Amin Suyatno 3 NPBI 51 th L R2B C637813 9070926
20 Wahyuni 2 NPBI 47 th P Transit C544177 9069273
21 Riyanto 1 NPBI 56 th L MRK L1 C629534 9071490

22 Tiah 3 NPBI 70 th P R2A C466088 9070975
23 Dewi Santi 3 NPBI 35 th P R4B C644589 9069329
24 Ngatini 3 NPBI 61 th P R2A C497316 9064738
25 Nuryati 3 NPBI 51 th P R4A C644796 9071341
27 Pradhipta Adhi F 1 NPBI 31 th L Pol BD C632153
28 Pandu Wijaya Bawa L 3 JMD 3 th 6 bln L C1LD C644322 9071052
29 Ita Fatmawati 2 NPBI 28 th P Transit C644856 9071478
30 Sujono 3 Um 54 th L R2B C644839 9071392
31 Ahmad Amin 3 Um 45 th L R1B C642695
32 Bitsmar Alviyan 1 NPBI 21 th L KTL C643578 9059890
33 Fani Suryo Wibowo 3 NPBI 21 th L R3B C640497 9031810
34 Andi Parasetyanto 1 NPBI 29 th L MRK 1 C616251 9067002
35 Prabowo Anggoro VIP NPBI 28 th L GRD 4 C641041 9062070
36 Sakdanah 2 NPBI 46 th P MRK LD C632954 9064851
37 Thomas Djatmiko 1 NPBI 66 th L KPD L1 C630604 9059499
38 Paniran 2 NPBI 60 th L KPD LD C641347 9050997
39 Murdiyah 1 NPBI 49 th P KPD L1 C576002 9067051
40 Adim Dimjati VIP NPBI 75 th L GRD 4 C447886 9070989
41 Soemadi 2 BPJS 52 th L MRK D C643137 9059555
42 Suci Budi Utami 1 NPBI 64 th P Elang 2 C207308 9071456
43 Kismanto 3 NPBI 54 th L R5A C643685 9075388
44 Ong Sioe Khim 3 NPBI 66 th P R5B C627878 9069025
45 Nurhadi 3 NPBI 45 th L R1B C577745 9062731
46 Hadi Sunarjo 3 NPBI 65 th L R1B C618085 9062737

47 Kiswanto 2 NPBI 45 th L P. Mata C620648
48 Very Yuliani 2 NPBI 21 th P P. MTA C619919
49 Sudarmi 3 NPBI 48 th P P. MTA C626174
50 Aulia Lutviyanti VIP NPBI 27 th P GRD 4 C638682 9064446
51 Rika Irnawati 1 NPBI 24 th P KPD 1 C241299 9066221
52 Tursinah VIP NPBI 30 th P GRD 4 C643212 9070879
53 Amilatun 3 NPBI 25 th P R6A C642375 9053277
54 Yuliarsih 1 NPBI 57 th P MRK 2 B272352 9070996
55 Moh. Zaidan Rizky 3 NPBI 15 th L C1LD C644259 9071016

56 Najwa Choirin Najihah 1 NPBI 9 th P C1LD C643723 9070920
57 Titi Rahayu 1 NPBI 21 th P KPD D C620534 9069169
58 Abdul Kafid 3 NPBI 36 th L R1B C644057 9065205
M : NH,DY,SE,HI,PS,MF RR : FA,SAM,ID (MID : DJ,WD) RR GRD : ER (MID : PM) SORE PROGRAM : EV,AH,RK,AM,AT,AY,DW,TK,H
59 Sukini 3 PBI 63 th P GER D C349234 9071369

60 Abdullah Munir VIP NPBI 43th L GRD 4 C621323 9060100
61 Sukarjinah 2 NPBI 75th P GER D C638766 9056006
62 Arief Gunarto 1 NPBI 56 th L KPD 1 C609249 9070982
63 Rohmad 3 NPBI 47 th L R5A C644790 9071313
64 Ismiatun 1 NPBI 52 th P KPD LD C564772 9069225
65 Lina Triyanthi VIP NPBI 3/17/1958 P GRD 5 C644772 9071031
CITO
66 Siti Asmah 3 PBI 30th P B31 C632169 9072989
67 Nora Octavia VIP NPBI 38th P GRD 3 C393576 9073671
68 Budi Prayitno IRIN B PBI 53th L R1A C645125 9074476
69 Sulimah 3 PBI 64th P R1A C646150 9075737
70 Muhamad Syafiq 1 NPBI 3th L ELA 1 C505379 9073650
71 Indah Setyawati 3 NPBI P B31 C645220 9075115

JAMINAN

1 M Fadil Saputra 1 NPBI 6 th L C1LD C276094 9073751
2 Kho Rona Widyawati 2 NPBI 83 th P GER D C642273 9047744
3 Pajiyem 3 NPBI 53 th P GER D C643663
5 Edi Siswanto 3 Um 28 th L R2B C644848 9071455
6 Umi Aminati VIP NPBI 61 th P GRD 6 C645023 9073588
Falensia Indah
7 2 NPBI 13 th P C1L1 C644838 9071451
Ayuningtyas
8 Maftukah VIP NPBI 40 th P GRD 6 C454090 9061582
9 Amirin 1 NPBI 59 th P MRK 2 C602828 9071040
10 Hermilia VIP NPBI 48 th P GRD 6 C599837 9073139
11 Siti Rohaniyah 3 PBI 51 th P R4A C644811 9071387

12 Yunita Ekasari 3 NPBI 34 th P P.VAS C625728
13 Ramli Privat UM 51 th L P. GRD C164820
14 Sumarti 2 NPBI 39 th P B31 C636250 9067004
15 Imroatussaadhah 3 NPBI 19 th P R5B C642588
16 Kasad Al Aminudin VIP NPBI 71th L GRD 4 C644161 9069230
17 Solik 2 NPBI 59 th L MRK D C630160 9069217
18 Slamet Syukur 3 PBI 27 th L R2B C640034 9069269
19 Dyah Subaningsih 1 NPBI 53 th P MRK 1 C105907 9048613
20 Sarmiati 3 PBI 42 th P R2A C639468 9070995
21 Painah 3 PBI 48 th P R2A C523917 9073386
22 Masripah 3 PBI 43 th P R2A C617045 9069335
23 Wahyu Erla 2 NPBI 44 th P KPD LD C493277 9075767
24 Sukamti 2 NPBI 40 th P KPD LD C605024 9073994
25 Jihan Novitasari IRN B PBI 1 bln P PBRT C643355 9059602
26 Heni Puji Lestari 3 NPBI 17 th P C1L1 C604162 9072671
27 Raihana Yazmina F 3 NPBI 5 th P C1L1 C644071 9067047
28 Sutoyo 2 NPBI 51 th L KPD LD C584675 9048001

29 Achmad Satria Janiyarto 3 NPBI 15 th L C1LD B165320 9071322
30 Dimas Aji Maulana 3 PBI 20 th L R2B C640324 9064943
31 Rizki Ardiyansah 3 NPBI 9 th L C1LD C644774 9071396
32 Taufik Rizky Aris Lima 1 NPBI 33th L KPD L1 C643413 9062674
33 Rosa Lina Harsyanti 3 PBI 52 th P R5B C643425 9059936
34 Lazuardi Arga Herawan 3 NPBI 17 th P R2A C635815
35 Maria Magdalena W 1 NPBI 59 th P GER L1 C608791 9071138
36 Wahyudana Setyawan 2 NPBI 17 th L C1LD C557538 9071564
37 Siti Nur Wikoyati 3 NPBI 39 th P R2A C643968

38 Wahyu Naufal Eka P 2 NPBI 17 th L KPD L1 C555575 9076056
39 Tjia Kian Seng 2 NPBI 76 th L MRK LD C644537 9070896
40 Ponik 2 NPBI 47 th P Elang 1 C613663 9075026
41 Sri Rahayu 1 NPBI 54 th P KPD LD C596440 9066989
42 Rusinah 1 NPBI 52 th P KPD LD C607303 9070963
43 Teguh Hernawan 1 NPBI 50 th L KPD L1 C515945 9066968
44 Subari 1 NPBI 61 th L KPD L1 C644188
45 Kasadi 3 NPBI 56 th L R2B C643728 9071351
46 Paidjan Hadi Suwignyo 2 NPBI 72 th L P. MTA C642940
47 Sri Endrastuti 1 NPBI 68 th P P. MTA C549424
48 Sutopo 1 NPBI 64 th L P. MTA C644713
49 Sri Unani Priv PT 54 th P P. GRD C620428
50 Kustantriyah 1 NPBI 55 th P P.MTA C609104
51 Cynthia Pangesti Ryan VIP NPBI 38 th P GRD L4 C643741 9071219
52 Dian Lestari 1 NPBI 40 th P KPD L1 C640962 9064925
53 Sudarmi 3 PBI 57 th P R4A C638726 9071286

54 Soffi Twentinsari 1 NPBI 49 th P KPD LD C642828 9073693
55 Rebi 3 PBI 74 th P R2A C639041 9050882
56 Lazuardi Arga Herawan 3 NPBI 18 th L R2B A541214 9073528
57 Devdas Sulthan Al Farezel 3 NPBI 1 th 4 bln L C1LD C642672 9073732
58 Muhammad Fiqri 3 NPBI 5 th L C1LD C643851 9072984

59 Nur Arifin 3 NPBI 16 th L R1B C644657 9071323
60 Nizar Pangestu 3 PBI 14 th P C1LD C642503 9050742
M : ST,HR,TK,WI,PS,MY,MF RR : FA,SAM,ID (MID : DJ,WD) RR GRD : ER (MID : PM) SORE PROGRAM : EV,AH,RK*,AM,AT,AY,D
61 Rissa Maula Sakinah 3 PBI 17th P R2A C635815 9055421
62 Muhammad Rafa Azka R VIP Um 1th L GRD 2 C643272 9075712
63 Suprapto Parman 2 Um 73th L MRK 2 C644225 9070959
64 Warsiah 3 NPBI 41 th P R4A C639736 9070927
65 Malikha Widyastuti VIP PT P GRD 4 C627276 9075742
66 Siti Nuraeni 1 NPBI 58th P MRK 1 C630505 9048603

CITO
67 Listiyowati 2 PBI 36th P IGD C645375 9075882
68 Fitri Sari 3 NPBI 30th P B31 C100217 9078016
Rahmanisa Aprilia Aulia

69 3 NPBI 1th P PICU C642456 9048630
Qudsiyah
70 Fatma Septiani 2 NPBI 22th P KPD D C479760 9075795
71 Bani Ismoyo 1 NPBI 40th L TRAN B298651 9076571
72 Ika Andriana VIP NPBI 32th P GRD 3 C131027 9074036
73 Temi 3 PBI 84th P R2A C644859 9071467
74 Muhammad Putra Andhika 3 NPBI 14th L C1LD C644917 9073776
75 Hartini 3 NPBI 32th P B31 C506993 9077754

JAMINAN
PLH : AL
1 Adena Eka Saputra 3 NPBI 6 th L C1L1 C602512 9076822
2 Muhammad Adam Khilid 3 PBI 7 th L C1L1 C469544 9076892
Feri Prihatun 1 NPBI 52 th P MRK 2 C120677 9072936

3
4 Kustinah 3 NPBI 49 th P R2A C631599 9055341
5 Fiki Rosalia 3 BPJS 19 th P R2A C640555 9032628
6 Dwi Andikawati 3 JMD 22 th P R3A C639649 9075771

7 Kusaeni 1 NPBI 53 th L GRD 6 C644979 9075640
8 3 NPBI 21 th P R2A C632063 9055321

Tutik Sri Lestari
9 Manisem 3 PBI 65 th P R2A C644393 9069185
10 Winarno 1 NPBI 41 th L KTL C643971 9064934
11 Susilowati 1 NPBI 54 th P B31 C634932 9069083
12 Yuyun Sri Lestari 2 NPBI 44 th P B31 C633118 9075736
13 Dormauli Simarmata 2 NPBI 41 th P B31 C641069 9073880
14 Sutrisno 1 NPBI 55 th L KTL C643779 9061611
15 Wenty Dwi Septiana 3 NPBI 26 th P R2A C507340 9075802
16 Kurdi VIP NPBI 67 th L GRD L6 C639900 9073233
17 Winarni 1 NPBI 54 th P MRK L1 C566832 9069223
18 Mustofa 2 NPBI 37 th L KPD LD C576050 9069253
19 Sri Handayani 1 NPBI 45 th P KPD D C275328 9073762
20 Suratmi 3 PBI 42 th P R3A C643831 9075722
21 Lasmini 1 NPBI 54 th P MRK L2 C640462 9050626
22 Abdullah Safiq 3 NPBI 12/11/2015 L C1L1 C641282
23 Muhammad Safiudin 3 PBI 13 th L C1L1 C513667 9077930
24 Shakila Zea 3 PBI 1 th 2 bln P C1LD C583043 9050471
25 Nanang Wahyudi 3 NPBI 24 th L R1B C631323 9075689
26 Sriyanti 1 NPBI 54 th P MRK L2 C643784 9062513
27 Sri Siswanti 1 NPBI 55 th P KPD L1 C643673 9060044
28 Sherly Carolina 2 NPBI 28 th P KPD LD C628373 9069276
29 Siti Nurwikoyati 3 PBI 39 th P R2A C643968 9066883
30 Rhendy Anvar Hanafiah 1 NPBI 25 th L MRK L2 C128672 9071501

31 Sidik Heriyawan 1 NPBI 47 th L MRK L1 C645146 9075864
32 Tri Haryati 2 NPBI 55 th P MRK L1 C274830 9067040
33 Suminah 3 NPBI 61 th P Kenari C644748
34 Sugiyanto 2 NPBI 57 th L Elang 1 C639020 9075026
35 Eny Nuryanti VIP NPBI 48 th P GRD L6 C619132 9073713

36 Lucas Ariyanto 2 NPBI 40 th L MRK LD 501181 9062704
37 Slamet Sriyadi 2 NPBI 63 th L MRK LD C591957 9069180
38 Maulvi Bahrul M 1 NPBI 35 th L MRK L1 C284067 9071298
39 Sugiarto 3 NPBI 22 th L P. Mata C546638
40 Kusmiyati 1 NPBI 49 th P P. Mata C560881
41 Martini 3 NPBI 37 th P R3A C559435 9071059
42 Sri Harningsih 3 NPBI 62 th P P. Mata C356081
43 Istiadah 3 NPBI 57 th P B31 C626179 9075641
44 Siti Syamsiyah 1 NPBI 49 th P KPD LD C632537 9070972
45 Dwi Resnu Aryani 1 NPBI 25 th P MRK L1 C644227 9073558
46 Ngatmirah 1 NPBI 36 th P KPD LD C625498 9075729
47 Rohjanah 1 NPBI 48 th P KPD L1 C644686 9075782

48 Budi Noor Chayati 2 NPBI 31 th P MRK LD C610337 9069243
49 Gilang Cahya Saputra 3 NPBI 11 th L C1L1 C584891 9077991
50 Fatoni 3 NPBI 3/21/1989 P R1B C620246 9069229
51 Karbani 3 um 47 th L R2B C644847 9077507
M : BD,DN,TK,HR,MY,WI,ST RR : FA,SAM,ID (MID : DJ,WD) RR GRD : ER* (MID : PM) SORE PROGRAM : NO*,EV,AH,RK,WU,YR
52 Lina Triyanti VIP NPBI 59 th P GRD 5 C644772
53 Suramti 1 NPBI 61th P GRD 4 A526105 9080125
54 Brilian Syahrul Aflah VIP NPBI 16 th L GRD L3 C477818 9075544
CITO
55 Moyong 3 PBI 50th L R2B C645556 9078009
56 Nur Layinatussiffah 3 PBI 18th P R2A C644855 9073052
57 Jumiran 2 NPBI 60th P IGD C645565 9077964
58 Maftuh Faiz Ashshidiqi 1 NPBI 8th L TRAN C645563 9077958

JAMINAN

PLH : AL
1 Muhammad Hafidz Zurro 3 NPBI 1 th L KPD 1 C589543 9080086
2 Rifqy Dzahwan Anafi 3 NPBI 6 th L KPD 1 C595429 9080085
3 Andriyanto 3 PBI 47 th L R6B C645099 9078001
4 Sarip 2 NPBI 53 th L KPD 1 C644353 9079062
5 Rini Murtini 3 PBI 24 th P R2A C644289 9077960
6 Suprihatiningsih VIP NPBI 37 th P GRD 6 C643149 9075692
7 Khalimatus Zahro 3 PBI 24 th P R3A C643263 9075650
8 Suharjo 3 PBI 56 th L R2B C626357 9064911
9 Taufik 3 PBI 54th L R2B C624494 9066006
10 Sudjarwati 1 NPBI 68 th P KPD LD C641504 9077948
11 Suratmi 3 NPBI 51 th P R2A C643718 9070981
12 Anna Nurul Aini 2 NPBI 26 th P KPD D C620385 9080079
13 Ahid Abdillah Humam 2 BPJS 33 th L MRK D C645353 9077929
14 Kalriska Lisfaroh Dea R 3 NPBI 1 th P C1LD C612306 9066887
15 Dhea Ayus Widyastuti 3 PBI 15 th P C1L1 C641736 9046539

16 Sri Hastuti Privat NPBI 54 th P P. GRD C511147
17 M. Alvino 3 NPBI 3 th L Pol BA C553065
18 Garyati 3 NPBI 37 th P R2A C644912 9072061
19 Siti Masruroh 2 NPBI 48 th P KPD LD C643849 9079604
20 Budi Hartono 3 PBI 42 th L R1B C643454 9062718
21 Stevani Citra Faradilla 3 PBI 14 th P C1LD C644380 9071026
22 Syoat 2 NPBI 44 th L KPD L1 C639265 9079243
23 Siannywaty Hartono 2 NPBI 36 th P KPD LD C605492 9079992
24 Tri Wulansari 3 PBI 36 th P Elang 1 C620759 9077284
25 Suradinah VIP NPBI 62 th P GRD 4 C617171 9073256
26 Ahmad Akadir 3 NPBI 44 th L R1B C499469 9071024
27 Sri Umi 3 NPBI 53 th P P. Mata C456822

28 Nikmah 3 NPBI 57 th P P. Mata C579217
29 Natalia Indriastuti 1 NPBI 41 th P MRK 1 C642530 9073361
30 Wahyu Suryaningsih 1 NPBI 40 th P B31 C354951 9077450
31 Jasmini VIP um 45 th P GRD 4 C645549 9077896

32 Maria Magdalena Mainem 2 NPBI 66 th P MRK D C640598 9073731
33 Aisyah Hanun Putri P 3 NPBI 2 th 7 bln P C1LD C623664 9077916
34 Supardi 3 NPBI 56 th L R1B C636133 9075765
M : WU,AT,RE,DN,EA,IS,DB RR : FA,SAM,ID (MID : DJ,WD) RR GRD : ER (MID : PM) SORE PROGRAM : NO,RK,AU,AG,AF,AY,A
35 Mukhidin 3` NPBI 57 th L R2B C642724 9073509
Muhammad Ridho
36 3 NPBI 4 th L C1LD C635998 9059494
Maulana
37 Joy Kristanto VIP NPBI 41 th L GRD 5 C643688 9060086
38 Hasan 2 NPBI 27th L TRAN C645762 9080052

39 Juwariyah 3 NPBI 52 th P R6A C643459 9059650
40 Mushoffachah 3 JMD 47th L R2A C639831 9062589
41 Maemun 3 PBI 58 th P GER LD C644918 9071592
CITO
42 Ella Kusumastuti VIP NPBI 34th P B31 C311033 9077959
43 Sudaryono IRINB NPBI 50th L R1A C644916 9081513
44 Budi Waluyo 1 NPBI 55th L MRK 1 C243474 9055338
45 Feri Fitria Sari 3 NPBI 22th P R4B C645844 9081562
46 Rima Dita Saputra 2 um 11th P IGD C645875 9061312
47 Kuswanto 1 NPBI 37th P MRK 1 C120942 9081574

JAMINAN
PLH : SF*
1 Suyitno 3 NPBI 65 th L Ger D C644214 9066992
2 Zavier Arzaqul Yusuf 3 NPBI 5 th L ELA 1 C419570 9081174
3 Mat Salim 3 NPBI 52 th L R1B C645647 9080142

4 Mushoffachah 3 NPBI 47 th P R2A C639831
5 Farida Yuliani 2 NPBI 46 th P B31 C198167 9077526
6 Setia Kusuma Lestari 3 NPBI 25 th P B31 C645767 9080135
7 Casmitun 3 PBI 38 th P R4B C637496 9080127
8 Lydiawati 1 NPBI 62 th P MRK 1 C644091 9080060
9 Adam Uwais Alfarezi 2 NPBI 6 bln L C1LD C618479 9077955
10 Sri Haryati VIP NPBI 55 th P GRD L4 C592182 9080047
11 Sugiharto 1 NPBI 58 th L KPD L1 C643224 9075809
12 MC Sri Mulyati Winarni 1 NPBI 73 th P KPD L1 C642736 9075761
M : WU,NO,AT,EA,IS RR : FA,SAM,ID RR GRD : ER (MID : PM) SORE PROGRAM : RK,YR,AY,AF,AU,HA,AD,DY,TU,MF,BR,YS,B
13 Endah Setyorini 1 NPBI 48th P B31 C640736 9069222
14 Zaenab 3 NPBI 45 th P R4B C641525 9069487

15 Slamet Supriadi VIP NPBI 58th L GRD 5 C527835 9071045
CITO
16 Ratna Noviyanti Nisha VIP Um 33th P GRD 3 C202655 9081767
17 Muhammad VIP NPBI 26hr L GRD 3 C634702 9073282

JAMINAN
1 Adhitya Nahardhika VIP NPBI 25th L GRD 4 C645189 9081817
2 Sunarti 3 PBI 54th P R1A C645915 9081708
3 Desinia Wahyu Wardani VIP NPBI 29th P GRD 3 C319140 9082173

4 Yumna Hanifa Zalni 3 um 11th P C1LD C645957 9082049
5 Iwan Yudhi Setyanto 1 NPBI 36th L MRK 2 C635239 9082117
6 Abid Raditia Saputra 3 um 3th L C1L1 C550339 9082217
7 Murtoyo VIP um 56th L GRD 4 C645271 9081910
8 Rusman IRIN B PBI 69th L ICU C645964 9081998
9 Yatim IRIN A NPBI 65th L ICU C645980 9082212
10 M. Akhsani Al Fatih 3 NPBI 1th L C1LD C619679 9082218

JAMINAN
Muhammad Wisnu
1 3 PBI 10th L C1L1 C502460 9082131
Ramadhani
2 Akbar Risqi Saputra 3 NPBI 5th L C1L1 C466889 9082097
3 Ristrihanto 3 NPBI 41 th L R2B C579744 9059569
4 Slamet Rochadi 1 NPBI 62 th L KPD L1 C640780 9069193
5 Suwarti 3 PBI 61 th P R2A C645187 9079981
6 Eko Pujiastuti 2 NPBI 28 th P B31 C544858 9077860
7 Ratih Restuningsih VIP um 55th P GRD C638005 9050495
8 Solikhah 2 NPBI 38th P KPD D C521378 9081604
9 Sulastri 2 NPBI 48 th P MRK D C517182 9073746
10 Sumiyardi 2 NPBI 52 th L Transit C644844
11 Subekti 3 PBI 57 th P R1B C639610 9070740
12 Zaenal Arifin 2 NPBI 36 th L Transit C639709 9073234
13 Saefudin 3 NPBI 52 th L R2B C640927 9077843

14 Muhammad Nur Hamid 2 NPBI 32 th L MRK D C636401 9077682
15 Darsan 3 NPBI 67 th L R2B C639007 9064869
16 Murip Solichin 2 NPBI 52 th L KPD L1 C644623 9082203

17 Adelia Azahra Afni 3 PBI 1 th P C1LD C594283 9071017
18 Abdullah Safiq 3 NPBI 2 th L C1L1 C641282 9071385
19 Muhammad Fajar NPBI L C567699
20 Akhmad Mujiono 3 NPBI 30 th L R1B C631963 9075755
21 Moch. Chosin 3 PBI 59 th L R2B C644223 9069204
22 Syamsuddin Boli Trio 3 NPBI 50 th L R3B C642461 9066938
23 Revalina Firdaus 2 NPBI 1 th L C1LD C643804 9081752
24 Rohmawati 3 NPBI 38 th P R3A C642647 9070881
25 Bambang Heriyanto 2 NPBI 50 th L KPD LD C603765
26 Agus Surya Laksana 3 NPBI 32 th L R5A C462160 9071444
27 Yogi Cahyanto 1 NPBI 16 th L C1L1 C644398 9070660
28 Muhamad Mustamar 2 NPBI 34 th L KPD LD C576288
29 Sariah 1 NPBI 63 th P MRK L1 C597809 9077975
30 Ratmin B Pawiro 1 NPBI 68 th L ELA 2 C430986 9081787
31 Sodik Fatal Hidayat VIP NPBI 48 th L GRD L6 C644094 9077922

32 Tulipah 2 NPBI 52 th P KPD LD C607018 9073229
33 Achtat 2 NPBI 82 th L KPD LD C586062 9078991
34 Sudiyono 1 NPBI 54 th L KPD L1 C630559 9071281
35 Sapari Privat NPBI 55th L P. GRD C329889
36 Fx. Eddy Prapto T 3 NPBI 62 th L P. MTA C643843
37 Sudi Maeni 1 NPBI 54 th L P. MTA C616454
38 Pasemi 3 PBI 67 th P P. MTA C645065
39 Lisa Handayani 3 PBI 58 th P P. MTA C537978
40 Tan Ay Lie Privat NPBI 53 th P P. GRD C186251
41 Siti Maemunah 3 NPBI 68 th P P. MTA C640742
42 Siti Nur Lhasanah 3 NPBI 51 th P P. MTA C503872
43 Ny. Dr. Febriana BL VIP NPBI 51 th P GRD L4 C067715 9078760
44 Ayu Rahayu 1 NPBI 27 th P B31 C645514

45 Romana Surip 1 NPBI 68th P KPD L1 C640000 9077917
46 Maryam 3 NPBI 67 th P R2A C640906 9059474

47 Suryani 2 NPBI 50 th P KPD LD C643294 9082144
48 Rizal Bayu H 3 NPBI 14th L C1L1 C512915 9082119
49 Marsini Dewi K 3 PBI 29th P R2A C645350 9078008
50 Harsono 2 PBI 62 th L R3B C35180 9081680

M : ET,BD,AF,AD,BR,DY,DM RR : FA,SR,RM ( MID : SAM,ER ) RR GRD : ST (MID : TR) SORE PROGRAM : SF,II,TA,AN,ND,PM,SU,NI,BY
51 Nur Kholifah 3 NPBI 14 th P C1L1 C642352 9048173
52 Yoga Trisna Andromega M 2 NPBI 9 th L ELA 1 C645686 9081457
53 Suwarti 3 NPBI 71th P R3A C645984 9082167

54 Nur Sofiati 3 NPBI 45th P R6A C546043 9046813
55 Sutini VIP NPBI 62 th P GRD 6 C645775 9081576
56 Keisya Alicia Zahra 3 NPBI 1th P C1L1 C645340 9077979
57 M Arya Rukmana 3 PBI 9th L C1L1 C644185 9066539
58 Desi Indah Pratiwi 1 NPBI 28 th P KPD LD C639893 9081643
59 Turipah 3 um 60th P R2A C645999 9082236
60 Fransiscus Xaverius 1 NPBI 67 th L KPD 1 C507530 9080065
CITO
61 Abdul Muiz Al M 3 PBI 5th L C1LD C646024 9082279
62 Lestari 3 PBI 28th P B31 C645372 9075887
63 Andri Setyowarhani 1 NPBI 32th P B31 C572215 9081620
64 Ariyani Rahmawati 3 NPBI 31th P B31 C645991 9082090
65 Raguwan S 1 NPBI 26th L KPD D C204984 9082177
66 Endang Astuti IRIN B PBI 36th P B31 C646032 9082265

JAMINAN
S : SF,RK,DB
1 Narendra Vebriano 3 NPBI 9 th L C1L1 C530038 9084375
2 Hafidz Ilham F 2 NPBI 12 th L KPD L1 C617375 9084202
3 Theresia Dewi K 1 NPBI 72 th P KPD L1 C634631 9077910

4 Suirah 1 NPBI 54 th P KPD L1 C644563 9069311
5 Arnando Azmi Hail 3 NPBI 9th L PICU C642892 9053750
6 Nurchamid 3 NPBI 25 th L R2B C634943 9077745
7 Hadi Astutik VIP NPBI 54 th P GRD 4 C644432 9083044
8 Henny CH Pangkey 1 NPBI 58 th P MRK 1 C553358 9082027
9 Mursahid 1 NPBI 42 th L KPD 1 C622628 9079775
10 Widik Triyatno 2 NPBI 42 th L Elang 1 C645581 9084329
11 Heri Laksono 2 NPBI 48 th L MRK D C644571 9071000
12 Salamah 3 NPBI 45 th P R5B C618421 9081740
13 Achmadi 3 um 54 th L R3B C644831 9071303
14 Asrokah 2 NPBI 43 th P B31 C615152 9075582
15 Fitri Candra Erlita 3 PBI 19 th P R4A C625502 9082163
16 Ahmat 3 NPBI 58 th L R2B C636998 9047285
17 Pamungkas Dedy K 1 NPBI 39 th L KPD L1 C575016 9081524
18 Sri Sasanti VIP NPBI 62 th P GRD L6 C071507 9075877
19 Rukiyanto 3 NPBI 52 th L R3B C508428
20 Tasripah 1 NPBI 58 th P KPD 1 C645595 9081710
21 Sri Surati 1 NPBI 71 th P GER 1 C140387 9078824
22 Sarijan 1 PBI 59 th L GER 1 C644659 9081901
23 Sarwini VIP NPBI 49 th P GRD 4 C643872 9082101
24 Warkini VIP NPBI 64 th P GER 1 C644029 9064932
25 Eka Lutfi Aulia 3 PBI 16 th P C1LD C645425 9081655
26 Kasmir 3 NPBI 58 th L R2B C531936 9053055
27 Muhammad Fajar Saputra 3 PBI 6 th L C1L1 C567699 9082102
28 Gibran Alexi Prabu A 3 NPBI 1 th L C1LD C614530 9079896
29 Marwah Nor Afiyah 3 PBI 1 th P C1LD C629006 9081628
30 Karsem 3 PBI 43 th P R2A C598003 9075848
31 Sunarmi 3 NPBI 40 th P R3A C618847 9075818

32 M Arya Rukmana 3 NPBI 9 th L C1L1 C644185 9066539
33 Lestariningsih VIP NPBI 55 th P GRD 4 C217049 9077826
34 Farhan Nurazmi 1 NPBI 40 th MRK L1 C644899 9071563
35 Siti Mastirah VIP NPBI 61 th P GRD L5 C644851 9071454
36 Roebijatun 3 NPBI 45 th P R3A C645089 9073777
37 Esti Pamulatsih 3 BPJS 38 th P R1A C645113 9077913
38 Berlian Assyabiya N 3 NPBI 3 th P ELA 1 C502223 9084520
39 Sarno 3 NPBI 55 th L R2B C624029 9059479
40 Hilal Almunir 3 PBI 13 th L C1LD C641530 9081729
41 Hartini 3 NPBI 35 th P R3A C513137 9073754
42 Sumilah 3 PBI 44 th P R3A C604467 9073627
43 Soemidjo 1 NPBI 69 th L KPD L1 C245796 9067031
44 Haryanto Edi S 3 NPBI 59 th L P. MRPTI C630327
45 Daryanto Priv NPBI 63 th L P. Grd C605494
46 Asbad 3 NPBI 65 th L P. MTA C644514
47 Zumroh Priv Um 82 th P P. Grd C017333
48 Ramilah Priv NPBI 55 th P P. Grd C644360
49 Anisah 3 NPBI 53 th P P MRPTI C623858
50 Sudarmi 3 NPBI 38 th P R4A C638378 9081959
51 Ayu Rahayu 1 NPBI 27 th P B31 C645514 9077989
52 Ila Kristiana 1 NPBI 34 th P MRK 1 C585488 9071348
53 Anik Susi Susanti 2 NPBI 26 th P B31 C640052 9077914
54 Ulvatin Nashiroh 1 um 22 th P KPD D C497366 9081634
55 Suyadi 3 NPBI 42 th L R1B C635058 9062631
56 Afif Zakaria Ahmad 3 NPBI 4 th L C1L1 C640249 9028124

57 Eko Slamet Sulistyo 1 NPBI 37 th L KPD L1 C645021 9077944
58 Ahid Abdillah Humam 2 NPBI 33 th L MRK D C645353 9077929
M : ET,BD,BY,NI,DY,DA,BR RR : FA,SR,RM ( MID : SAM,TM ) RR GRD : ST (MID : TR) SORE PROGRAM : SF,WU,AN,ND,PM,SU,MW,M
86 Mario Renya Rosari 1 NPBI 18 th L KTL C641033 9046509
87 Ratih Septi Damayanti VIP NPBI 28 th P GRD L3 C244503 9082267
88 Siti Kunaesih VIP NPBI 43 th P GRD 6 C645397 9083283
89 Laksamana Mukhammad 2 NPBI 1 th 5 bln L TRAN C646095 9065379
90 Rubiati 3 NPBI 54 th P R6A C637169 9077925
Siti Rubiah 3 PBI 50th P R6A C588064 9084505
Karbani 3 um 47th P R2B C644847 9077507
CITO
Ani Istiharoh IRIN B NPBI 24th P B31 C634167 9084428
Mega Olivia um 22th P GRD 3 C552433

VIP 9082156
Salimin 2 NPBI 78th P IGD C646274 9084411
Vita Erni VIP NPBI 26th P GRD 3 C643188 9084371
Sarijan 1 PBI 59 th L GER 1 C644659 9081901
Indah 3 PBI 17th P B31 C646494 9086536
Mohamad Masud 3 um 37th L R2B C646284 9086574

JAMINAN
S : SF*,NO,DB
1 Baskoro Witjaksono VIP NPBI 49 th L GRD L4 C638643 9082175
2 Verra Aulia Ayuningtyas 1 NPBI 17 th P KPD L1 C630320 9080000
3 Ahmad Miftakhul Huda 1 Um 28 th L KPD L1 C645676 9081630
4 Pajiyem 3 NPBI 53 th P GER LD C643663
5 Muhammad Safdar As'ad 1 NPBI 12 th L MRK L2 C044187 9084483
6 Titi Putrijati 1 NPBI 63 th P KPD L1 C638160 9081698
7 Abdul Syukur 2 NPBI 42 th L MRK LD C641090 9084446

8 Waryono 3 NPBI 52 th L R2B C645142 9081587
9 Endang Susilowati IRIN A NPBI 56 th P R1A C552565 9053199

10 Nurul Istiqomah 1 NPBI 27 th P KPD L1 C645349 9075868
12 Dina Kristanti Privat NPBI 35 th P P. VAS C646230
13 Sutrisno Privat NPBI 53 th L P. GRD C234760
14 Sarmini 3 NPBI 57 th P R4A C450716 9064868
15 Maimunah VIP NPBI 28 th P GRD 6 C640723 9083252
16 Suryani VIP NPBI 51 th P GRD 4 C644718 9084012
17 Sarijan 1 NPBI 59 th L GER L1 C644659 9070472
18 Hubertus Djoko Pramono VIP NPBI 64 th L GRD L6 C646259
19 Abadi Subekti VIP NPBI 56 th L GRD L6 C644800 9084392
20 Ngadinah 3 NPBI 55 th P R2A C643128 9080042
21 Raban 3 PBI 74 th L R1B C640621 9080019
22 Jumilah 3 NPBI 46 th P R5B C645229 9084258
23 Revano Ardiansyah 3 NPBI 7 th L C1LD C643863 9084389
24 Solichan 3 NPBI 60 th L R1B C605041 9080028
25 Sri Gunawati 2 NPBI 40 th P B31 C639990 9086511
26 M. Jazuli 1 NPBI 66 th L MRK L2 C644932 9076504
27 Kasampurni 3 PBI 51 th P R6A C641122 9073708
28 Siti Suwatun 3 NPBI 32 th P R3A C644781 9071339
29 Eka Fatimatuz Zahroh 3 PBI 7 th 6 bln P C1LD C645764 9081728
30 Endang Purwani 3 NPBI 46 th P R2A C645703 9081711
31 Supijah 1 NPBI 74 th P MRK 1 B160441 9082023
32 Nurul Fatonah 3 Um 46 th P R2A C645384 9079930
33 Rully Tri Wibowo 3 NPBI 18 th L R2B C646003

Heriyana Dwi
34 2 NPBI 26 th P KPD D C176474 9085637
Wahyuningsih
35 Ahmad Ramdani 3 NPBI 19 th L R1B C644775
36 Suminah 3 Um 61 th P Kenari C644748 9070983

37 Toky Djoewito Koesoemo 1 NPBI 66 th L Elang 2 C632422 9081777
38 Sarosa 1 NPBI 50 th L KPD L1 C645673 9084493
39 Haris Arkana 3 NPBI 2 th L C1L1 C643992 9081690
40 Siti Asripah VIP NPBI 68 th P GRD L4 C643133 9084046
41 Subari 1 NPBI 61 th L KPD L1 C644188 9071324
42 Shofiatun 3 NPBI 47 th P R3A C556730 9077919
43 Kusnan 3 NPBI 48 th L R1B C609083 9080031

44 Mukaromah Priv Um 43 th P P. Grd C576083
45 Ong Hwie Tjay Priv NPBI 79 th P P. Grd C627325
46 Kundori 3 PBI 49 th L P. Mata C643146
47 Tri Hadi Priv NPBI 69 th P P. Grd C634341
48 Anang Susetya Priv NPBI 48 th L P. Grd C645836
49 Nanik Zulfa Priv NPBI 40 th P P. Grd C645856
50 Machmudin Priv NPBI 53 th L P. Grd C644964
51 Sihar 3 PBI 68 th L P. Mata C644332
52 Rokmah 3 PBI 39 th P B31 C636777 9084227
53 Muniroh 3 NPBI 53 th P R4A C623938 9077961
54 Jumi 3 NPBI 67 th P R2A C637512 9070953
55 Nadliroh 3 NPBI 47 th P R5B C609710 9081414

56 Ahmad Fatih Faizullah 3 NPBI 2 th 1 bln L C1LD C584435 9080017
57 Gendies Avika Azzahra 3 PBI 7 bl P C1LD C622462 9082796
M : RK,AG,AR,NI,DA,BY,MK RR : FA,SR,IS ( MID : SAM,TM ) RR GRD : ST (MID : TR) SORE PROGRAM : SF*,AN*,NO,TA,ND,PM,SU,M
58 Nur Haenun 2 NPBI 33 th P KPD D C337063 9084465
59 Sutarjo 3 NPBI 56th L R3B C643777 9088345
60 Moyong 3 NPBI 50 th L R2B C645556 9078009
61 Marwanto 3 NPBI 51 th L R2B C646276 9085143
62 Abid Raditia Saputra 1 PT 3th L C1L1 C550339 9082217
63 Istiqomah 2 NPBI 59 th P MRK D C646023 9082295

64 Siti Choliatul 3 NPBI 36 th P R6A C646036 9082559
65 Maemun 3 PBI 58 th L GER D C644918 9071592
66 Sulastri 2 NPBI 39th P TRAN C646655 9088325
CITO
67 Susianto 3 um L R2B C646486 9086953
68 Uci Permatasari 3 PBI 24th P B31 C646501 9086576

69 Marko 3 PBI 56th L R1B C645724 9066379
70 Nur Khasanah 3 NPBI 32th P B31 C646321 9086376
71 Suyahman Manto Hartono IRIN B JMD 61th L ICU C645555 9080044
72 Sumiyati 1 NPBI 52th P MRK 1 C646057 9084003
73 Faita Nur Rohmi IRIN A NPBI L HCU C646488 9088342
74 Eka Fatimatuz Zahroh 3 PBI P C645764 9081728
75 Abdul Syukur 2 PBI L IGD C646289 9084497
76 Ahmad Faizar 3 um 19th L R2B C646505 9088367

JAMINAN
S : SF,TA,RM
1 Davin Ricky Zadal Boling VIP NPBI 8 th L GRD L3 C452500 9085310
2 Muhammad Yusuf Rifa'i 3 NPBI 10 th L C1L1 C566241 9087844
3 Rozaq Ridho Wibowo 1 NPBI 19 th L KPD 1 C293902 9086540
4 Pribadi 3 NPBI 45 th L R1B C623611 9081674
5 Muh Imam Fadillah 3 PT 4 th 1 bln L C1LD C633553
6 Mariana Resti VIP NPBI 69 th P GRD L5 C292730 9084121
7 Rizki Adi Rismawan 3 NPBI 16 th L R1B C595669 9081658
8 Pasni 3 NPBI 29 th P R5B C570892 9081586
9 Mei Nurhayati 1 NPBI 44 th P B31 C641648 9077943
10 Henny Perwitasari 1 NPBI 42 th P KPD L1 C645243 9080009
11 Afitah 2 NPBI 40 th P B31 C623192 9082221
12 Frida Prastuti 2 NPBI 40 th P Transit C074574 9082042
13 Rini Kusmaryati VIP NPBI 56 th P GRD 6 C542118
14 Rukiyanto 3 NPBI 52 th L R3B C508428 9073786
15 Ade Irawan 3 NPBI 17 th L C1L1 C643902 9071211

16 Andri Zafrullah 1 NPBI 60 th L KPD L1 C245046 9080020
17 Kasmo 3 NPBI 77 th L R1B C643114 9059468
18 Suratmi 2 NPBI 61 th P MRK LD C645103 9086543
19 Rheina Maghfirotunnisah 3 NPBI 10 bl P C1LD C615516
20 Aqila Misha Shafana 3 NPBI 3 bl P C1LD C644375 9086140
21 Nurois Hayati 2 NPBI 49 th P MRK LD C249216 9080049
22 Trisni Prihatin 3 PBI 21 th P R3A C451120 9078772
23 Supi 3 NPBI 47 th P R2A C644823 9071461
24 Karep IRIN NPBI 40 th L R1A C644777 9071457
25 Aliena Julia Affra 3 PBI 7 th P C1LD C524357 9073326
26 Diani Rahmalida 1 NPBI 17 th P C1LD C548249 9080102
27 Rully Tri Wibowo 3 PBI 18 th L R2B C646003 9082191
28 Budiyansyah 2 NPBI 42 th L MRK LD C601069 9081768
29 Leni Wahyuningsih VIP NPBI 31 th P GRD L4 C640557 9086580
30 Riva Andriyadi 3 NPBI 49 th L R3B C645867
31 Ninik Suwarti 3 NPBI 42 th P Elang 1 C626305 9086417
32 Santoso 3 NPBI 65 th L R2B C640426 9064893
33 Yudha Adi Argantara 3 NPBI 9 bln L C1LD C644450 9084414
34 Tala Firdaus Zulianisa 1 NPBI 15 th P C1LD C636191 9080003
35 Ginah 1 NPBI 64 th P MRK L1 C575098 9077970
36 Trio Rastama 3 NPBI 25 th L R3B C641506 9073787
37 Djoko Rasmanto 3 NPBI 57 th L R2B C638817 9084485
38 Sulastri 1 NPBI 61 th P P. MTA B219820
39 Endang Insriyati 3 NPBI 51 th P P.MTA C643132
40 Jayin 3 JMKD 58 th L P. MTA C644650
41 Siti Rofi'atin 3 NPBI 50 th P R4B C632162 9084477
42 Kasmini 3 NPBI 53 th P R3A C491252 9084362

43 Hotijah 3 NPBI 31 th P R4A C644381 9081609
44 Dian Kusumawati VIP NPBI 40 th P GRD L5 C645599 9084381
45 Sapari 3 NPBI 68 th L R2B C640459 9081542
46 Siti Danuarsih 3 NPBI 42 th P R5B C639963 9081662
47 Rofidoh VIP NPBI 54 th P GRD L6 C053750 9086402
48 M Ghofar Hermansyah 2 NPBI 5 th L KPD L1 C581404 9087665

M : RK,AN,EW,AG,AR,AM,MK RR : FA,SR,IS ( MID : SAM,TM ) RR GRD : ST (MID : TR) SORE PROGRAM : SF,TA,ND,PM*,SU,MW,DI,E
49 Ahmad Ramdani 3 NPBI 19 th L R1B C649775 9071373
50 Hubertus Djoko Pramono VIP NPBI 64 th L GRD L6 C646259 9084523
52 Slamet Haryono 3 NPBI 37 th L R2B C645962 9086023

CITO
53 Yuni Purwanah 1 NPBI 29th P B31 C646221 9084312
54 Anugraha Citra Putra P 3 Um 24th P R1B C646508 9086595
55 Dessi Farida 1 NPBI 30th P B31 C608146 9088308
56 Merry Andryani IRIN B Um 19th P B31 C646826 9090241
57 Ainun Naimah 3 JMD 19th P B31 C646292 9084518
58 Arkha Ikhsanul Akmal 2 NPBI 3th L IGD C625592 9088227

JAMINAN
S : SF,TA,RM
1 Baizalin Yumna Lumaksa 1 NPBI 7 th L C1LD C201477 9086553
2 Ainur Rofiah 3 NPBI 4 th P Elang I C404688 9089979
3 Hernawati Purwaningrum VIP NPBI 36 th P GRD L5 C642725 9053151
4 Fitria Indriyati 2 NPBI 29 th P MRK D C628132 9084442
5 Tri Lestari 2 NPBI 53 th P MRK D C636456 9088340
6 Muhammad Imam Fadillah 3 PT 4 th 1 bln L C1LD C633553 9084472
7 Kus Budiyati 1 NPBI 54 th P KPD LD C645380 9081615

8 Nok Jumiah 1 NPBI 40 th P MRK L1 C643910 9081717
9 Sulasih 3 PBI 54 th P R4B C643411 9071007
10 Kartono VIP NPBI 61 th L GRD L4 C112633 9088344
11 Rosi Merliana 3 NPBI 26 th P R3A C644920 9073784
12 Hanif Wahyu 1 NPBI 23 th L KTL C645790
13 Sutaman 3 NPBI 27 th L R2B C645181 9079998
14 Aprilia Cahyani 1 NPBI 38 th P MRK L1 C135638 9086524
15 Maslikhah 1 NPBI 58 th P KPD L1 C587005 9084374
16 Waryono 2 NPBI 57 th L MRK LD C644254 9084451
17 Suci Sofianingsih 1 NPBI 37 th P MRK L2 C153002 9066894
18 Muhammad Eka Pratama 3 NPBI 2 bln L C1LD C645958 9082058
19 Hanik Mastiah VIP RS 28 th P GRD L6 C646671 9088406
20 Machmudi 1 NPBI 61 th L GER L1 C633990 9087923
21 Watini 3 NPBI 31 th P R3A C645366 9078022
22 Suwarti IRIN B PBI 60 th P R1A C643963 9062693
23 Raihan Risqy NPBI 9 th L TRAN C646531

24 Ahmad Aflah Abdur 1 NPBI 8 th L TRAN C645548 9079483
25 Yusron Fadhlil M 3 NPBI 16 th L C1L1 C638979 9080118
26 Khoirin Nisa 3 NPBI 16 th L C1LD C625075 9088415
27 Sri Winarni 1 NPBI 66 th P KPD LD C629076 9081678
28 Yani Kristanti 2 NPBI 57 th P GER LD C547895 9080077
29 Juminah 3 NPBI 75 th P R2A C646014 9082231
30 Dani Salem Hidayat 1 NPBI 52 th L Elang 2 C617133 9087307
31 Ahmad Rifai 3 NPBI 20 th L R1B C610668 9080023
32 Ayang Murniati 3 NPBI 51 th P R4B C644001 9080128
33 Kiswanto 3 PBI 23 th L R2B C645806 9082013
34 Dzakir Khafadi 3 NPBI 3 th L C1LD C645172 9084401

35 Taryumi 3 PBI 57 th P R4B C597235 9084436
36 Mungin Privat NPBI 73 th L P. GRD C553297

37 Urip Sunarjo Privat NPBI 66 th L P. GRD C465241
38 Dwi Winarti 1 NPBI 56 th P P. MTA C588351
39 Muniroh 3 NPBI 64 th P P. MTA C631200
40 Siniati 2 NPBI 61 th P P. MTA C541440
41 Artin, Hj VIP NPBI 71 th P GRD L6 C642987 9088278
42 Juju Jubaedah VIP NPBI 42 th P GRD L3 C555229 9086174
43 Rochmiyati VIP NPBI 63 th P GRD L6 C645398 9083948
44 Herlina Puji Astuti 1 NPBI 38 th P MRK L2 C642781 9088412
45 Khoriyah 2 NPBI 55 th P KPD LD C639790 9088358

46 Athaya Salsabila VIP um 12 th P GRD L3 C643073 9088240
47 Sulkan 3 NPBI 42 th L R2B C635396 9084351
M : NH,AN,EW,JF,ES,AM,ANM RR : FA,SR,IS ( MID : SAM,TM ) RR GRD : ST SORE PROGRAM : SF,TA,ND,PM,SU,MW,DI,PS,VQ,PL*,R
48 Sarmudi 3 NPBI 44 th L R2B C646311 9088842
49 Susanti 2 NPBI 44th P TRAN C646898 9091773
50 Lutik Suprihatin 1 NPBI 54 th P MRK L2 C631675 9077686
51 Annisa Ratna Sari VIP NPBI 26th P GRD 3 C637238 9090528
52 Rini Kusmaryati VIP NPBI 56 th P GRD L6 C542118 9083623

53 Dani 2 NPBI 6th L GER D C646316 9086459
CITO
54 Susanti 3 NPBI 28th P B31 C646881 9090356
55 Mayya Dzawil Chasna VIP um 11th L GRD 5 C646843 9090275
56 Buang Salim 3 um 37th L R2B C646889 9091761
57 Annie Lestari 1 NPBI 35th P B31 C640924 9090261
58 Siti Rohaniyah 3 PBI 51th P R4A C644811 9071387
59 Pramono 3 PT L R2B C646610 9090213
60 Juwita 3 PBI 26th P B31 C646922 9091594
61 Nia Kurniawati 1 NPBI 37th P B31 C641656 9088051

JAMINAN
1 Sri Yuliastuti VIP NPBI 36 th P GRD L4 C055182 9091458
2 Michael Darmawan VIP UM 20 th L GRD L5 C646153 9089733
3 Endang Susilowati 2 NPBI 27 th P B31 C646855 9090264
4 Muhamad Anas Fanigi 3 PBI 18 th L R3B C646690 9091748
5 Jimmy Hardjito 1 NPBI 63 th L KPD D C533453 9072248
6 Hanif Wahyu Badroni 1 NPBI 23 th L KTL C645790 9081975
7 Vanessa Prisca Safitri 3 PBI 2 th P C1LD C644936 9090338
8 Wulandari 3 PBI 47 th P R3A C512152 9073665
9 Karminah 1 NPBI 47 th P KPD LD C404897 9077849
M : NH,WI,JF,ES,ANM RR : FA,SR*,IS,SAM SORE PROGRAM : SF,II,BY,DI,MR,MW,MF,YS,PM,PL,RA,SA,SU,TA,VQ,PS* ALAT : PUR

L : AR,AN,AG,AM,NI,RE,BR,BD,DA,DM,DY,RT,EW,HA,MK,ND,NK,RK,RI,RM,TM,TW,WU,WD
10 Darningsih 3 PBI 26th P R4A C636745 9092112
11 Ngateno 3 NPBI 50th L R1B C645909 9082039
12 Budhi Subagio VIP NPBI 69th L GRD 4 C623388 9072333
13 Siti Nur Azizah 3 NPBI 25th P R3A C556623 9091849
14 Siti Nihayati VIP NPBI 47th P GRD 6 C410156 9059268

CITO
15 Eni Kisrini 1 NPBI 39th P B31 C645952 9091310
16 Suryanto 3 NPBI 59th L R1B C647042 9092139
17 Lilis 3 SKTM 33th P B31 C647078 9092119
18 Siti Maskhiroh 3 SKTM 30th P R2A C647035 9091893
19 Ginah 3 PBI 52th P R4B C646876 9091731
20 Rusman 2 PBI 56th L IGD C647074 9092096

JAMINAN
1 Subiati 1 NPBI 61th P MRK 2 C485920 9076450
2 Petrus Sumanto 3 NPBI 53th L R3B C645520 9077996
M : II,WI,MW,YS,PL RR : ( MID : ) SORE PROGRAM : RG,WD,RI,RM,RA

3 Khomisah 3 PBI 44th P R2A C641660 9081556
4 Ulin Khoirun Najib 2 NPBI 3th L TRAN C646908 9091934
5 Tedy Supriyanto VIP NPBI 16th L GRD 5 C643350 9091841
6 Wahyudin 2 NPBI 35th L MRK D C643151 9086465
CITO
7 Suwanto 3 PBI 52th L R1B C647073 9092093
8 Ferlina Tri Suryani 3 SKTM 21th P B31 C647079 9092125
9 Amalia Harfitaningtum VIP NPBI 29th P GRD 3 C509804 9092239
10 Subkhan Budi Legawa IRIN B NPBI 39th L ICU C647094 9092364
11 Ayu Kristiningsih 3 NPBI 29th P B31 C646429 9086473
12 Istiya Apriliyani 2 um 13th P IGD C647117 9092242
13 Mariana Resti VIP NPBI 69th P GCU C292730 9084121
14 Erwin Yudhaswara 3 PBI 25th L R5A C632988 9088420

JAMINAN
1 Andika Candra Winata 3 PBI 9th L C1L1 C304485 9092257
2 Dava Risky Kurniawan 3 PBI 4 th L C1L1 C557605 9092259

3 Anggit Mursidi 1 NPBI 37 th L KPD L1 C572236 9088365
4 Mundiyah 3 NPBI 46 th P R2A C630337 9086479
5 Wahyudin 3 PBI 34 th L R2B C643834 9090337
6 Anandya Ayu Kusumaning 2 NPBI 20th P KPD LD C646418 9092299
7 Abdul Choliq Murod LC 2 NPBI 62 th L KPD LD C207515 9086229
8 Iman Toekiman 3 NPBI 75 th L R2B C629418

9 Dani Ahmad Hanifa 2 NPBI 18 th L MRK LD C641689
10 Subagyo 2 NPBI 56 th L KPD L1 C633153 9092289
11 Dyah Saba Anisah VIP NPBI 47 th P GRD 3 C644230 9084183
12 Sri Maryuni 3 PBI 44 th P B31 C629757 9085960
13 Ning Yayuk 3 PBI 44 th P R4B C646305 9086545
14 Ngasini 3 NPBI 54 th P R5B C643265 9084408
15 Filka Catur Windiastuti 2 NPBI 19 th P KPD D C638239 9090306
16 Sri Harni 3 NPBI 59 th P R3A C641557 9082192
17 Indriejati Widjaja 1 NPBI 66 th P KPD LD C646285 9086573
18 Budi Purwanto 3 NPBI 30 th L R1B C634574 9073694
19 Tomas Surya 2 NPBI 7 th L KPD L1 C392951
20 Rheina Maghfirotunisa 3 PBI 10 bln P C1LD C615516 9084454
21 Maya Ratnasari S 3 NPBI 7hr P PBRT C646280 9087721
22 Andy Mardjanto 2 NPBI 22 th L KPD L1 C641985 9092286
23 Baebarbara Pamungkas 3 PBI 14 th L R1B C645970 9082050
24 Kasdomo 3 PBI 52 th L R3B C642294 9090317
25 Tarkani 3 NPBI 52 th L R3B C642893 9059506
26 Siti Fatimah 1 NPBI 56 th P MRK L1 C626770 9086528
27 M. Saidon 3 NPBI 34 th L R2B C646491

28 Siauw Sherly Indriyani 1 NPBI 41 th P KPD L1 C624842 9080103
29 Fatiros Handayani 2 NPBI 34 th P MRK LD C644854 9071432
30 Partinem 3 PBI 57 th P R2A C642348 9088427
31 Bambang Heriyanto 1 NPBI 50 th L KPD LD C603765
32 Rini Novitasari 3 NPBI 19 th P R5B C638419 9081707
33 Kasti 1 NPBI 78 th P MRK L1 C634546 9080045
34 Muh Mustamar 2 NPBI 34 th L KPD LD C576288 9077927
35 Siti Fatonah 3 NPBI 36 th P R5B C645429
Dewi Fitriyani 1 NPBI 24 th P Elang 2 C629013 9077819
36 Bayu Tri Hatmojo 3 NPBI 10 th L C1LD C643387 9086522
37 Wira Pandya Suwardana 3 NPBI 1 th L C1LD C616620 9090350
38 Ahir Setiadi 1 NPBI 26 th L KPD LD C618706 9081749
39 Suyanto Sukamto 2 NPBI 43 th L Transit C616086 9081731
40 Susilo 1 NPBI 44 th L KPD LD C575395
41 Siti Maisyaroh 3 PBI 19 th P R3A C643043 9090287
42 Priyo Prambodo 3 NPBI 21 th L Pol MTA C635081
43 Maria Magdalena 3 PBI 54 th P Pol MTA C212221
44 Suwati 3 PBI 60 th P Pol MTA C644631
45 Oey Sin Boen Priv JKN 29 th L Poli Grd C574691
46 Renny Herawati H 2 NPBI 60 th P Pol MTA C536775
47 Kasih 3 NPBI 42 th P Pol MTA C644486
48 Sugijati 1 NPBI 62 th P MRK L1 C645326 9091890

51 Cakiyan 3 PBI 58 th L R2B C537106 9090322
52 Mutmainah 3 NPBI 42 th P R2A C641362 9086544
53 Ramda Yanti, Hj 1 NPBI 46 th P KPD LD C317449 9088373

54 Sulastri 2 NPBI 54 th P KPD LD C625904 9092277
55 Siti Mufiroh 3 NPBI 31 th P R5B C605604 9081436
M : II,RG,MW,YS,PL,RI,RA RR : FA,SAM,AG ( MID : ND,ER ) RR GRD : WU (MID : TM) SORE PROGRAM : AI,AY,HR,DM,DN,TK,DY,DJ,E
56 Nurul Istiqomah 1 NPBI 27 th P KPD L1 C645349 9074868
57 Vincentia Sigit Pratiwi 1 NPBI 40 th P MRK L2 C645941 9081995

58 Isnawati 3 NPBI 32 th P R4A C638501 9080119
59 Rizki Adi Rismawan 3 NPBI 16 th L R1B C595669 9081658
60 Koernia Widianingsih 1 NPBI 39th P KPD 1 C583322 9090346
61 Subandi Widada VIP NPBI 50 th L GRD L6 C566303 9091768
62 Welda Kartika Sari 2 NPBI 29th P TRAN C295357 9091572
CITO
63 Nok Jumiah IRIN A NPBI 40th P ICU C6438910 9081717
64 Stiven Richard Al 3 um 4th L C1LD C647071 9092171
65 Titin Nurhayati IRIN B PBI 22th P HCU C646884 9090365
66 Tumadi 3 NPBI 70th L R5A C641163 9091913
67 Muhammad Khotip 3 um 24th L R1B C647138 9094042
68 Karyanto 3 NPBI L R2B C647145 9094465

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Ganggren Pedis Sin Amputasi Cruris Distal B AS √ CITO
Abses Mandibula Insisi Drainase + Ekstraksi gigi 6 S,S PJ √ ES PL CITO
Mta Kiri Laserasi Kornea gr IV Afakias Mata Kiri Hecting Kornea S TL √ VT ES CITO
Ulkus Granulosum r/ Pelvis Debridement B PJ √ AR ES CITO
SDH Temporoparietal Dex Kraniotomi Dekompresi KH HY √ DW WU CITO
Combustio gr III Debridement + Amputasi Jari B,B PJ √ MF IM,MR CITO
G1P0A0, Hml 34mg, NYHA II-III, ASD SCTP dg Penyulit B DC √ Arsita DM MF CITO

Stenosis Doudenum Duodenojejunustomi + Gastrostomi KH,KH PTY √ AD BD,MR CITO
Decompresi
Ileus Obstruktif Laparatomi Repair Duodenum KH MM √ AM MK CITO
CKD Pasang Double Lumen K ALI √ RI CITO

CKD Pasang Double Lumen K ALI √ RI CITO
Pneumothorax WSD S ALI √ ANM DWI CITO
Susp laringomalesia Traceostomi + LD B,S DAT √ DJ ANM CITO
Odontektomi 2 Rahang + Insisi Abses dg AD,

Plegmon Dasar Mulut KH,KH RP √ MR,RG CITO
Penyulit ANM

Peritonitis generalisata KH ERI √ IS VQ CITO
Sigmoid + Colostomi Tranversum
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Laparatomi Explorasi Reseksi

Ileus Obstruksi KH ERI √ VQ IS CITO
anastomose usus halus
G1P0A0, Gravid Atum + Fatal Distress SCTP B JD Adhie VQ SR CITO
STT r/ Parotis Sin Eksisi + PA S DWT √ WD RI CITO
Granggren Pedis Dex Debridment S ALI √ BY WD,IS CITO
G2P1A0, Hml 38mg, Bekas SC SCTP dg penyulit B JD √ Gatot RI IS,SC CITO
Prolong ET + DVT Vena Embolektomi + Traceostomi KH,S ALI √ RG WD,KSFCITO

Fr Metatarsal Dig manus Dex ORIF Shaft Digitiy KH DRY √ AU AM,DN CITO
Fr Radius Ulna 1/3 tgh Obliq ORIF Multiple Fr KH DRY √ AM AG,DN CITO
Plegmon Incisi + Evakuasi Abses KH AYU √ DN ST CITO

Odontektomi 2 rahang KH RP √
Post Partum Spontan ec Perdarahan Laparatomi Eksplorasi + jahit Laserasi KH BE √ ST AM CITO
DVT Cruris Dex Embolektomi KH ALI √ RG MK CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,UM,YS CT
Hematuria Evakuasi Blood Cloth S ADS √ EV, AS AS EV 1
Fr Os Nasal Reposisi Fr OS Nasal Tertutup S WY √ AS EV 1
Perforasi Membran Tympani e.c Trauma Tympanoplasty Kiri KH AYU √ AI,GI,ID 2
Fr. Of Nasal Fiksasi Mandibula + Fiksasi Maxilla B,B RP √ GI AI,ID 2
Reposisi OS Nasal + Septoplasty +

S,B,S WY √
Antrostomi
NOK SOU + FS B PS √ TW,SU SU TW 4
Biopsi Omentum + Biopsi Mesenterium +

NOS C/ Ganas KH VG √ 4
FS
Adhesiolisis Kompleks KH ERI √
Hernia Inguinalis Lateralis Dextra Repair Hernioraphy B MM √ AZ,RI,ANM TM RI 5
Ulkus DM Pedis Sinistra Debridement ALI 7
Ulkus DM Pedis Sinistra Debridement Luas B AS √ WU,DM MK EM 7
CKD On HD Psg DL AS 7
Fr. Humerus, Antebrachii, Avulsi Cruris
Debridement Luas B DID √ SF ANM 8
Pedis
ORIF Humerus Dex + ORIF Radius Dex KH,KH, DID √
+ ORIF Ulna Dex KH
Tumor Intrinsit Fronto Parietal Kraniotomi Mikro Dasar Tengkorak KH ZM √ LW,BY,DY BY 9
Fr tibia Dextra ORIF KH BIN √ PR,DB PR DB 10
Fr. Femur Sin ORIF KH DID √ 10

Rekontruksi Fr Wajah Kompleks KH ETH √
ORIF Femur dex + Debridement + KH,B,K
Fr. Femur Distal Dextra DID √ AM SA,TR 10
Rekontruksi Ligament H
EN,MA,WD,B EN,
CAD 3 VD CABG High Risk BJ.011 SF √ WD JT
P,SS,IM MA
Mata Kiri Vulnus Laceratum Palpebra
Mata Kiri Jahit Palpebra Inferior S RF √ NK,HR,DW DW NK,HR GR 1
Inferior 1/2 Lateral Thickness
Mata Kanan Katarak Senilis Imatur
Mata Kanan Phacoemulsifikasi + IOL RF YW,MY GR2
Steroid Induced Cataract
Mata Kanan Katarak Juvenile Mata Kanan Phacoemulsifikasi + IOL RF GR 2
Sub Optimal Debulking + Adhesiolisis
Adeno Ca Cervix Uteri KH,KH MZ √ NP,RE NP RE GR 3
Luas
AL,MW GR 4
Combustio Gr Iib-III 20.5% Debridement S NJT TA,ER ER TA GR 5
Fr. Parasimfisis Sinistra Mandibula Rekonstruksi Fr. Tulang Wajah Kompleks KH ETH √ TA AL,ER GR 5
SORE PROGRAM : AP,AN,AU,AG,PM,AD,CA,DN,DI,DJ,EA,HA,HI,JF,TU,MF,NO,RA,SE,SA,ST,TM,TD,TR,US ALAT : PUR
SOL ec Hidrocephalus VP Shunt KH HY √ AE VQ CITO
SCTP dg Penyulit bekas SC + Pasang

GPA B OP √ Adhie RM DN,US CITO
IUD
Abses Genu Dex Debridement B BIN √ AN AU,SE CITO
Emolektomi KH ALI √ EA RM,DJ CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : AP*,NO,NI SL,HE,UM,YS CT
Hipospadia Release Chordae B ADS √ EV, AS AS EV 1
Hipospadia Uretroplasty + Release Chordae KH,B ADS √ 1
Fr. Segmental Mandibula Rekontruksi Fr Wajah Kompleks KH ETH √ AI,GI,ID AI 2
Corpal Regio Thorax Eksplorasi + Ekstraksi Corpal KH,KH ALI √ S : AN GI ID 2
KH,KH,
Ca Endometrium Std 1A TAH + BSO + Biopsi Omentum MZ √ TW,SU TW SU 4
S
Abses Hepar Laparascopy Drainase Abses KH ERI √ II,ANM ANM II 5
Obs Kejang Penurunan Kesadaran Lumbal Pungsi B TUN √ 5
Ca Thiroid Total Thiroidektomi KH BIS √ AZ,RI RI AZ 6
Fr. Tibia dextra ORIF KH BIN √ S : AD,AM AZ RI 6
Laparatomi + Repair Hernia

Hernia diafragmatika + Fr. Ulna Dex KH,KH RR √ WU,DM 7
Diagframatika Kiri + Splenektomi
Reposisi Tertutup + Gips S APR √ S : TU,DN 7

Tetraparese e.c HNP Cervical Laminektomi Kompleks Cervical KH AJ √ SF,AF 8
Fusi Posterior (Fixasi Posterior Cervical /
KH HY √
PSRS Cervical Lateral Mass)
LW, SA,
Sphenoorbita Meningioma Sinistra Craniotomi Mikro Dasar Tengkorak KH HY √ LW*,BY,DY 9
WD BY,DI
S : SA, SE
Fr. Clavicula Sin ORIF KH APR √ PR,DB DB PR 10
Fr. Femur Dex, Fr. Pelvis ORIF Pelvis (Multiple Fr) + ORIF Femur KH,KH APR √ S : HI, RA PR DB 10
Fr. Collum Femur Sin tertutup ORIF ( Bipolar Hemiarthroplasty ) KH DID √ EA HI,RA 10
EN,MA,WD,B EN,
VSD VSD Closure BJ.04 WW √ MA JT
P,SS,IM SE
Mata Kanan Ablatio Retina KH AW √ NK,HR,DW HR NK,DW GR 1
Endo Laser + SO
Mata Kanan Phacoemulsifikasi + IOL RF YW,MY GR2
Myop Degeneratif
Mata Kanan Mata Kiri Pseudofakia Mata Kiri Buka Jahitan RF GR 2
Uterus Miomaterus Histerektomi Total + Adhesiolisis Berat KH HR √ NP,RE* NP RE GR 3
Skin Avuksi Cruris Dextra Debridement + STSG KH PJ √ AL,MW MW AL GR 4
Ulkus Granulosum Debridement + STSG KH RZ √ TA,ER* TA ER GR 5

TR,
Panfacial Fraktur Rekonstruksi Tulang Wajah Kompleks KH PJ √ DN 7
AM
ORE PROGRAM : AP,AN,AG,AD,DN,DI,DJ,EA*,HI,JF,TU,NO,RA,SE,SA,ST,TM,TD,TR,US ALAT : PUR,ET ( S : CA)
G1P0A0 SCTP B JD √ Gatot DW NK,HE GR 1
Ulkus DM Debridement Luas B AS √ DA NO,TD
Ulkus DM Debridement Luas B AS √ DA NO,TD
Phlegmon Dasar Mulut Odontectomi 2 Rahang KH RP √ CITO
Insisi Drainase Abses Submandibula B,S FAR √

Odontegenik + TE
G4P3A0, Hml 38mg, Pre Eklansia SCTP dg Penyulit + MOW KH OP √ Gatot CITO
Myastenia Pasang Double Lumen K HA √ CITO
Massa Supraglotis Laringoscopy Direct Biopsi + Trakeostomi S,S FAR √ CITO
Laparatomi Adhesiolisis Kompleks Biopsi

Ileus obstruktif KH,B ERI √ SL UM CITO
+ Colostomi
G4P3A0, Fatal Distres SCTP B JD √ Gatot CITO
Comparetemeny Syndrom Cruris Sin Fasciotomi B ALI √ AN DA CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : AP,NO,NI,TR SL,HE,UM,YS CT
Nefrolithiasis dex et Sinistra, CKD URS D + Pasang DJ Stent KH,B ADS √ EV, AS AS EV 1
Hipospadia Hidrokelektomi S ADS √ S : AN,TM EV AS 1

Hipospadia Chordectomi B ADS √ AS EV 1
Adenotonsilitis Kronis ATE B FAR √ AI,GI,ID ID AI,GI 2
Pansinusitis FESS III + SR + Konka Reduksi KH,B,S RH √ ID,GI AI,GI 2
Tonsilitis Kronis + Hipertrofi Lingualis

Tonsilektomi S AYU √ S : AG AN TM 2
Tonsil
RSK + Polip Nasi Duplex FESS III + CWL + Polipektomi KH,B,S ANA √ EA TD 2
KH,KH,
Ca Cervix St 1b Radikal Histerektomi + BSO + LPB EN √ TW,HA TW HA 4
B
Ca Sinonasal Nekrotomi B DAT √ HA TW 4
Rhinoscleroma Pelepasan Pedicle Flap S WY √ TK RI 4
Ca Cavum Nasi Kiri pasca Ekstirpasi

Rekonstruksi Flap B WY √ S : TK,DJ TK TU 4
Massa
tumor Intra Abdomen Laparatomi Explorasi + Sigmoidostomi KH JS √ II,ANM II ANM 5
Ca Cervix Uteri, Entero Vagina Fistula, Laparotomi Small Bowel By Pass +

KH,B MM √ S : SU,TD ANM II 5
Stenosis Ani Colostomy
LMNH Reg Colli Sinistra Insisi Biopsi S BIS √ AZ,RI* RI AZ 6
TMD C/ Jinak Wide Eksisi Biopsi + PA B DH S : AD AZ RI 6
STT Reg Occipitale Wide Eksisi + FS Tepi Bebas Tumor B DWT √ RI AZ 6
Ca Parotis Dextra Pasca Wide Eksisi +

Debridement + Rekontruksi B,KH UUD √ RI AZ 6
Rekonstruksi
Thoracotomy + Reseksi Anastomosis KH,KH,

Atresia Esofagus + Fistel Tracheo Esofag EDW √ WU,DM 7
Esofagus + Fistelektomi B
Fr. ZMC Sinistra Rekonstruksi Fr. Tlg Wajah Kompleks KH PJ √ S : TU,DN WU DM 7
Suspect Keganasan BMP B NYO √ SF AF 8
Kista Ginjal Laparoskopi Unroofing Kista KH MAS √ SF,AF EV 8
Fr. Ulna Dex, Fr. Femur Dex, Fr. ORIF Femur Dex + ORIF Ulna Dex + KH,KH,
DID √ S : DI,EA SF AF 8
Metacarpal ORIF Metacarpal I & 5 KH
ICH Post Craniectomi Cranioplasty KH GK √ LW,BY LW SA 9
Post Craniotomy Cranioplasty KH AJ √ S : SA,WD SA LW 9
Fr. Tibia Sinistra 1/3 tgh Obliq disp Tbk

ORIF Tibia + Debridment KH,B APR √ PR,DB 10
Gr II
Peri Implant Fr. Radius Dextra 1/3 tgh
ORIF Radius KH BIN √ S : ST,RA PR DB 10
ttp.NK
Ruptur ACL Dextra Rekonstruksi ACL Dex KH BIN √ PM HI 10
VSD PMO Highflow Moderate VSD Closure BJ.04 WW √ EN,MA,SE,BP EN SE JT

,SS,IM
CKD On HD AV Shunt KH WW √ JT

Mata Kiri Ekstraksi Lensa + Vitrektomi HR,
Kongenital, Mata Kanan Kiri Nistagmus + KH LN √ NK GR 1
Anterior + PPC + PI DW
Mikro Kornea
Mata Kanan Silikon Filled Eye Mata Kanan Evakuasi Silikon Oil KH AL √ NK,HR,DW HR NK GR 1
Mata Kanan Emulsifikasi Silikon Oil Mata Kanan Evakuasi Silikon Oil KH AL √ DW NK GR 1
Mata Kanan Afakia Mata Kanan Iris Fiksasi IOL KH AL √ NK DW GR 1
Mata Kanan Inj. Sub Tenon
Mata kanan kiri Wet AMD AL YW,MY GR 2
Triamcinolone Asetat
Mata kanan Buka Jahitan + Mata kiri
Mata kanan Pseudofakia, Mata kiri Afakia WIS GR 2
Secondary Implant ( Iris Claw )
Mata kanan kiri Katarak Senilis Imatur Mata kanan Phacoemulsifikasi + IOL WIS GR 2
Mata kanan kiri Pseudofakia Mata kanan kiri Aff Jahitan WIS GR 2
Mata kiri Desenterasi IOL Mata kiri Explantasi IOL RF GR 2
Mata kanan glaukoma sekunder ec
Mata Kanan EKIK RF GR 2
subluksasi lensa
Elongatio Colli, Polip Cervix Manchester Fortegyl, Polipektomi (TAH) KH ER √ NP,RE NP RE GR 3
Tounge Tie Frenektomi K DV √ NP HR GR 3

NP,
Impaksi 4 Gigi Odontektomi 2 Rahang KH DV √ HR GR 3
RE
SNNT Sinistra Isthmolobectomy Sinistra + FS KH YAN √ AL,MW MW AL GR 4
Limfadenopati Limfadenektomi Biopsi + PA S YAN √ AL MW GR 4
Ca Mamae MRM Sinistra KH UUD √ JF GR 4
Palatoschizis Palatoplasty KH NJT √ TA*,ER ER TA GR 5
Mikrotia Rekonstruksi Telinga KH NJT √ TA ER GR 5
Corpus Alienum Peluru Ekstraksi Corpal B NJT √ TA ER GR 5
D : AH (MID : PL) SORE PROGRAM : AP,AN,AG,AD,DN,DI,DJ,EA*,HI,JF,TU,NO,RA,SE,SA,ST,TM,TD,TR,US ALAT : PUR,ET ( S : CA)
NP,
Papiloma Lidah Eksisi Tumor Lidah + Ekstraksi 2 gigi B,B DV √ HR GR 3
RE
Abses Cerebri Kraniotomi Exterpasi Abses Serebri KH HY √ BY WD 9
Duraplasty + Fiksasi Tulang Tengkorak B AJ √
Mata Kanan Insisi + Kuretase + FS +

Mata Kanan Tumor Palpebra Superior B TL √ DI TA GR 1
Biopsi + Palpebra Besar + PA
P4A0, Post Partum MOW S SR TD 5
Labioshizis Unilateral Sin Komplit Labioplasty KH PJ √ 8
Pseudoaneurisma + CKD Std V Repair Arteri KH AS √ MF AM
CKD St V Pasang DL K ALI √ TU SU
G1P0A0, Hml 39mg, Let Su SCTP B OP √ Gatot YS SL CITO
G1P0A0, Hml 37mg, Blum Impartu SCTP B SR Gatot CITO

G3P2A0, Hml 38mg, SCTP + MOW B HR √ Gatot HE YS CITO
Relaparatomi Explorasi Aff Packing + KH,KH,
Post Laparatomi Packing ER √ US HE CITO
Histerektomi Supra Servical + SOB KH
Ca Thyroid Trakeostomi S BIS √ YS SL CITO
Hidrocephalus VP Shunt KH ER √ DJ AN CITO
G3P1A1, Hml 34mg, HIV+ SCTP dg Penyulit HIV+ MOW KH OP √ Adhie TR NI CITO
Ileus Obstruktif c/ Abses Laparatomi Explorasi + Ileostomi KH ERI √ NO AD CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : AP,NO,NI,SU SL,HE*,UM,YS CT
Ca Buli Sistoskopi S ADS √ EV, AS AS EV 1
Massa Buli Hydronephrosis Sistoskopi S ADS √ S :AN,WU AS EV 1
Hematuri, TTG, HN, HU Dextra Sistoskopi Biopsi + Evakuasi Clot S,S ADS √ AS EV 1
Batu Staghorn Ren Dextra Pyelotomi Dex + Pasang DJ Stent Dex KH,B ADS √ AS EV 1
RSK + Konka Hipertropi + SD + Impaksi FESS III + Septum Koreksi + Konka

KH,B,S RH √ AI*,GI,ID ID AI,GI 2
Gigi 3.8 & 4.8 Reduksi
RSK + SD FESS 3 + SR+ Konka Reduksi KH,B,S ANNA √ S : AD AI GI,ID 2
Epistaksis, SD Ligasi A Sphenopalatina KH ANNA √ AD AF 2
LNH Tonsil Laringoscopy Direk S DAT √ TW,HA 4
Ekstirpasi Granulasi CAE Kiri +

OMK Dry Ear Kiri + Granulasi CAE Kiri S,KH ZUL √ S : TK TW HA 4
Thympanoplasty Kiri
Neuritis Retrobuler + Suspect MS Lumbal Pungsi B Yovita √ 4
Rectosigmoidectomi Anastomosis
Prolap Rectie KH MM √ II,ANM ANM II 5
Rectum & Sigmoid
Laparotomi Eksplorasi Dekompresi +
Ileus Obstruksi e.c Tumor Rectosigmoid KH ERI √ S : TD, TM II ANM 5
Colostomi
Biopsi Buli + Sistoscopy S,S MAS √
Repair Hernia Incisional + Repair Hernia
Hernia Scrotalis Bilateral Reponible B,B ERI √ AZ RI 5
Bilat Inguinal
Limfadenopati Colli Sin c/ ganas Adenectomy + PA S DH √ AZ,RI RI AZ 6
TMS c/ Jinak Eksisi + FS S DH √ S : AG AZ RI 6
Schwanoma Reg Punggung Wide Eksisi + PA B UUD √ RI AZ 6
Hipospadia Rekontruksi Hipospadia KH NJT √ ET,DM DM ET 7
Tumor Mandibula Dextra Hemimandibulektomi Rekonstruksi KH OEN √ S : DN ET DM 7

Rekontrukai Mandibula dg Plate + Screw KH RP √
Ulkus Pedis Dextra Debridement B WW √ DN 7
Ulkus DM Debridement B WW √ SE TK 7
Miastenia Pasang Double Lumen K HA √ HI 8
Canal Stenosis Servikal Laminektomi Kompleks + Reopening KH HY, AJ √ SF, IS IS SF 8
Spondilolistesis VTL 12-L1 Laminektomi Kompleks KH AJ √ S : AF,VQ BY SA 8

Fusi Posterior + Fusi dg PSRS T11-
KH HY √
12,L1-2
SOL c/ Teratoma Craniotomi Mikro Dasar Tengkorak KH ZM √ LW,PS LW PS 9
S : BY,SA
Fr. Radius Sin 1/3 Distal Oblique
ORIF Radius Sin + ORIF Ulna Sin KH,KH DID √ PR,AO AP PR 10
Displaced
PR, EW,
Fr. Tibia Plateu Reg Arteri Tibia Anterior ORIF Tibia Sin KH DID √ S : WD,DB 10
DB AO
ORIF Femur Dex + ORIF Radius Dex + KH,KH,
Multiple Fraktur DID √ VQ WD 10
ORIF Ulna Dex KH
Debridement + STSG KH PJ √
CHF NYHA II e.c RHD MVRepair + AVRepair BJ.08 SF √ EN,MA,ND,BP EN, ND JT

,SS, IM MA
Mata kiri Ekstraksi Lensa + Vitrektomi
Mata kiri Katarak Traumatika KH LN √ NK,HR,DW HR NK GR 1
Anterior + IOL
Mata Kanan Rhegmatogenous Retinal
Mata Kanan Vitrektomi + Endolaser + SO KH AW √ S : DI,TR,EA DW HR,NK GR 1
Detachment + Afakia
Mata kiri SO Filled Eye + Vitrectomized Mata kiri Evakuasi SO +

KH,KH AW √ DI GR 1
eye + Katarak Komplikata Phacoemulsifikasi + IOL
Mata kanan Vitrectomized Eye + Katarak

Mata kanan Phacoemulsifikasi + IOL AW YW,MY GR 2
Sekunder
Mata kiri Glaukoma Sekunder Mata kiri Trabekulektomi B FI √ YW MY GR 2
Mioma Uteri TAH + BSO + Adhesiolisis KH,B,B EN √ NP,RE* NP RI GR 3
Mata kiri Tumor Glandula Lakrimalis Mata kiri Orbitotomi Anterior + Biopsi +
KH TL √ ND RE GR 3
Suspek Jinak PA
Mata Kanan Ulkus Perforasi e.c
Mata Kanan Eviserasi Bulbi + Dermis Fat
Endoftalmitis + Mata Kiri Decompensated B DN √ ER MW GR 3
Graft
Kornea
Tumor Kulit C/ Lymphoma Incisi Biopsi Multiple S YAN √ ER,MW MW ER GR 4

Ca Papilary Thiroid Total Thiroidektomi KH YAN √ MW ER GR 4
Hipospadia Uretroplasty Tahap I KH RZ √ TA DJ GR 5
Fistula Palatum Palatoplasty KH RZ √ TA,DJ* TA DJ GR 5
Ulkus DM Debridement + STSG KH PJ √ DJ TA GR 5
: AH (MID : PL) SORE PROGRAM : AP,AN,AG,AF,NI,AD,BY,CA,DN,TK,DB,DI,EA,JF,NO,SU,ST,TM,TD,TR,US,WU,WD,SA*,VQ* ALAT : PUR ( S : CA)

ALL Pasang CVC KH WW √ ST DS
Myastenia Gravis Pasang Double Lumen B Retna √ DN ST DS
Post Pasang DJ Stent Cystoscopy + Aff DJ Stent S,S MAS √ AY AR DS
Tumor Buli TURB KH MAS √ AY AR DS

URS Kiri + Pasang DJ Stent Kiri + Aff DJ
Hidronefrosis KH,B,S WAN √ DS
Stent Kiri
Pericardial Window Thoracotomi KH ALI √ AU AM,RK CITO
Laparatomi Hemikolektomi Dex +

Ileus Obstruktif KH ERI √ CITO
Anastomose Side to Side
Polip Servic Uteri Kuretase Bertingkat K PS √ UM CITO
G4P3A0, Bekas SC SCTP + MOW B HR √ Arsita NO RA CITO
Hidrocephalus VP Shunt KH MTA √ UM EA CITO
GPA SCTP + MOW B BE √ Arsita HE NI CITO
G1P0A0, KPD SCTP + IUD B BE √ Gatot AD NO,MR CITO
SDH Craniotomi SDH KH MTA √ AM TU,SU CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : AP,NO,BY SL,HE,UM,YS CT
Chordae Penis Release Chordae B ADS √ EV, AS AS EV 1
Hipospadia Chordectomi + Rekontruksi B,KH EDW √ S :AN,WU EV AS 1
Hipospadia Uretroplasty KH PTY √ WD 1
RSK + Septum Deviasi + Konka

FESS + SR + Konkoplasti KH,B,S ANNA √ 1
Hipertropi
Susp Ca Ovarii Surgical Staging + FS KH EN √ TW*,GI,ID TW IG,ID 2
NOK Bilat Kistektomi + Adhesiolisis + FS KH,S EW √ S : TM TW IG,ID 2
G3P2A0 39th, hml 34 mgg SCTP JD 2
RSK FESS III + SR + Konkotomi KH,B,S ANNA √ AI,HA AI HA 4
OMSK dg Granulasi CAE Pasca Repair Repair Thimpanoplasty + Ekstirpasi

KH,S ZUL √ S : SA 4
Thimpanoplasty Granulasi CAE
Kolestetoma Pasca ME Radikal Revisi Mastoidektomi Radikal KH ZUL √ 4
Mata Kanan Rekonstruksi Palpebra +

Mata kanan Simblefaron + Ptosis Post
Simblefarektomi + Koreksi Ptosis (Frontal S,KH AK √ II,ANM II ANM 5
sling)
Abses Mandibula Odontectomi B RP √ YS SL 5
Insisi Drainase Abses Para faring +
B,S FAR √
Tonsilektomi
Fr. Radius Ulna ORIF Radius Sin KH DID √ S : TD ANM II 5

Hemimandibulektomi + Rekontruksi Plate
Ameloblastoma KH,KH DWT √ AZ*,RI RI AZ 6
& Screw
Tumor Lidah c/ Ganas Insisi Biopsi + PA S UUD √ S : AG AZ 6
Ca Lobuler MS Insisi Biopsi MS + Pasang Pigtail UUD AN 6
Tumor Paru Kanan Thoracotomi Debulking WW 6
Megacolon Kongenital TAPT KH EDW √ ET,DM DM ET 7
Hidropneumothorax Sin on WSD Thoracotomi Decortikasi ALI 7

Akut Limb Iskemik Cruris Sinistra Embolektomi KH ALI √ S : DN DN AN 7
SDH Kronis Frontal Kiri Kraniotomi Irigasi SDH Kronis KH ZM √ SF, ES,NI SF ES,NI 8
Multiple Ekstraksi Gigi 12 gigi + tambali

VSD + PH, Caries Denti B DV √ S : AF,VQ 8
gigi
Epulis Mandibula Eksisi tumor Mandibula + Ekstraksi gigi B DV √ ES NI 8
Impaksi Gigi Odontektomi 4 Gigi KH DV √ NI,ES SF 8
Embeded 4 Gigi + 36 Gangren Odontektomi 4 Gigi Sulit KH DV √ VQ AF 8
Tumor Lidah ( ODHA ) Hemiglosektomi Biopsi + Ekstraksi Gigi B DV √ AF VQ 8
Hydrocephalus VP Shunt KH ER √ LW,PS PS LW 9
Paraparese Inferior Laminectomi Kompleks KH AJ √ LW PS 9
Fr. Tibia Plateu dextra ORIF Shaft Tibia KH DRY √ PR,AO PR AO 10
Fr Intra Trochanter Femur Dx Bipolar Hemiarthroplasty Hip Dx KH BIN √ S : WD,DB 10
Ruptur ACL Sin Rekonstruksi ACL Sin KH BIN √ DB WU 10
CHF Nyha II, MR Moderate Severe TR √ EN,MA,RG,BP

MVRepair + TVRepair BJ.08 SF JT
Moderate ,SS, IM, ND
PDA Ligasi PDA BJ.05 SF √ S : TK,AD TK AD JT
Mata kiri Vitrektomi + IOL + MP + EL +
Mata kiri vitreus Haemoragic KH,KH AL √ NK*,DW DW NK GR 1
Gas + PHACO + IOL
Mata kanan Vitreus Haemoragic +
Mata kanan Vitrektomi + Membrane
Proliferatif Diabetic Retinopathy + KH AL √ S : DI,EA DW NK GR 1
Peeling + EL + Gas
Tractional Retinal Detachment
Mata kanan Vitrektomi + Membrane
Mata Kanan Macular Hole KH AL √ NK DW GR 1
Peeling
Mata kanan Katarak Senilis Imatur, Mata
Mata kanan Phaco + IOL WIS YW,HR GR 2
kiri Silicone Filled Eye
Mata kiri Katarak Senilis Imatur Mata kiri Phaco + IOL WIS GR 2
Mata kiri Katarak Senilis Imatur Mata kiri Phaco + IOL WIS GR 2
Mata kanan pseudofakia , Mata kiri
Mata kiri Cyclocryotherapy FI GR 2
glaukoma Absolut
Mata kanan Glaukoma Sekunder ec
Mata kanan Aspirasi Hifema AL GR 2
Hifema
Mioma Uteri TAH KH SR √ NP,RE* RE IS GR 3
Post Partum Spontan Plasenta Resti Kuretase + MOW K,S TF √ RI ER GR 3
Limpoma Hodgkin Insisi Biopsi S BIS √ ER,MW MW ER GR 4
Tumor Rongga Mulut T4N0M0 Insisi Biopsi S DH MW ER GR 4

TMD c/ Ganas Insisi Biopsi MD + PA S UUD √ MW ER GR 4
Kontraktur Digiti I-II-III Manus Dx Release Kontraktur + Rekontruksi STSG KH,B RZ √ TA,DJ* TA DJ GR 5
Labiognatopalatoschizis Palatoplasty KH ETH √ DJ TA GR 5
:MY (MID : PL) SORE PROGRAM : AP,NO,AN,AG,AF,AD,BY,DN,TK,DB,DI,EA,JF,SA,TM,TD,US,VQ,WU,WD ALAT : PUR ( S : CA)

Mata Kiri Vitrektomi + EL + SO + MP +
Mata Kiri TRD KH,KH AL √ DI AE 2
Phaco + IOL
Nefrolithiasis URS R-L + DJ Stent R-L KH,B WAN √ EW AY DS 1
Ca Cervic Metas VU Sistoscopy Biopsi + URS-DJ Stent S,KH ALI √ AY EW DS 1
CKD Std V Pasang Double Lumen K WW √ BY

Efusi Pleura Dupl WSD Thoracal S WW √ BY TM
SC,
CKD on HD Ruptur AV Shunt Ligasi A. Bracheali (Repair Arteri) KH AS √ RA
TR
Repair Aneurisma Repair Arteri A Femur Com KH AS √ SU TR,TU
G2P1A0, Hml Aterm, Partus Tak Maju SCTP B OP √ Arsita HE UM CITO
G2P1A0, Hml 38mg, Bekas SC SCTP + IUD + Adheiolisis B PS √ Gatot YS UM CITO
G1P0A0, Hml 38mg, Fatal Distres SCTP + IUD B JD √ Gatot NO IS CITO
G2P1A0, Prolapsus SCTP + IUD B HR √ Adhie BY NO CITO
Laparatomi Explorasi Repair Perforasi + KH ERI √ NO DN CITO

Peritonitis Generalisata Ileostomi DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AH,AK,AP,SL,AL,NI,DW,AZ,DM,
TK,EN,ER,ES,FA,GN,HE,IM,,II,LW,MR, ND,MK,AR,
CT
MW,YS,MA,NH,NK,PUR,RG,RI,GI,SS DJ,ID
,TW,TA, UM,YR,YW
Tumor Adrenal Laparoscopy Adrenalectomi KH MAS √ EV, AS,AO AO EV 1

Laparatomi Adhesiolisis Kompleks KH ERI √ AS
Pasang CVC KH DN √ YS
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH DV √ WD AD 1
Avulsi Auricula Colli Rekonstruksi Auricula (Telinga) KH ETH √ DY 2
Neuroplasty Cervical - Lumbal +

Myelopati Lumbal + Cervical KH,S TRI A √ DB 3
Foraminal Blok Multilevel
OMSK Telinga Kiri Simple ME + Thympanoplasty Kiri B,KH PW √ RM AG 4
OMK Dry Ear Kanan Thympanoplasty Kanan KH PW √ AG 4

Hidrocephalus Obstruktif VP Shunt KH ZM √ VQ BY 9
U,AF,AG,RE,AD,BY,DB*,DI,DY,EA,JF*,PS,RM,US,VQ,WD ALAT : PUR,CA

Mata Kanan Silicon Filled Eye Mata Evakuasi SO + MP KH AW √ DI GR 1
G2P1A0, Hml 38mg, Parus Tak Maju SCTP Dg Penyulit B OP √ Arsita SE TR,TU CITO
G2P1A0. KPD SCTP + IUD B PS √ Arsita BD ST,RA CITO
Insisi Drianase Abses Parafaring +

Abses Submadibula + TK B,S FAR √ ID PL CITO
Tonsilektomi
Oodontectomi 3 gigi KH DV √
Laparatomi Adhesiolisis Reseksi

Ileus Obstruksi Anastomose Jejenum Side to side + KH ERI √ PL RG CITO
Repair Hernia Insisional
Maksilektomi Medial + Eksterpasi Massa
Massa Sinunasal KH DAT √ MK ID CITO
Palatum
CKD Pasang CVC KH ALI √ CITO
CKD Pasang Double Lumen K ALI √ RG ND CITO
Laparatomi Eksplorasi End to End Ileum
Ileus Obstruksi KH,KH ERI √ EA AF CITO
+ Ileostomi
SDH Craniotomi SDH KH MTA √ AI US CITO
Hidrocephalus Obstruktif VP Shunt KH GK √ BY VQ CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
LW,TD,AU,
S: CT
BP, DN,HA
Papiloma Laring Pasca Ekstripasi Massa
LD + Evaluasi + Ganti Kanul Trachea S DAT √ AY,PL,TM
+ Tracheostomi
NKT Cell Limfoma Type Std II Nekrotomi B DAT √ RE ANM
Inverted Papiloma Maksilektomi Medial Eksterpasi Massa KH DAT √ TM
OMSK Post ME Radikal Mastoidektomi Radikal 2 nd Look KH AYU √ DN LW
Neuroplasty + Foraminal Blok

HNP Neuroplasty Multilevel + Endoneurolysis KH,S,S TRI A √ SE ND 3
Multilevel
Rhinosinusitis FESS II + CWL + Konkotomi KH,B,S DAT BY DY
Papiloma Laring Exterpasi Papiloma Laring B DAT √ IS TM
Hidrocephalus Non Comunican VP Shunt KH AJ √ AU LW CITO

Pneumothorax Dex WSD Dex S ALI √ BP LW CITO
G3P2A0, Hml 38mg, Sponlilitis Thoraco SCTP + MOW B HR √ Gatot IS HA CITO

Cervical
SCTP + Pasang IUD B HR √ Gatot HA IS,DN CITO

G1P0A0, Hml 34mg, PEB, HIV+
BY,
Hecting Fistula K TA √ RE CITO
DY
Pasang CVC KH ALI √ SC DJ,ND CITO

CKD
Impaksi Odontektomi 18 + Exo 38 gigi KH DV √ WD,PS NO CITO
WD,
Fr Tibia Fibula Dex Reposisi + Gips S DID √ AN CITO
PS
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : GI,AP,ES NH,SL,HE,UM CT
Aff DJ Stent + Re Insensi DJ Stent Dex +

Fistula Nefrocutan Post Nefrolitotomi S,B,KH ADS √ EV, AS AS EV 1
Explorasi Ginjal Dex, Nefrolithotomi Dex
Hipospadia Uretroplasty II KH ADS √ S : DM,DB EV AS 1
Hipospadia Release Chordae B ADS √ DM DN 1
Vasicolithiasis Sectio Alta B,S WAN √ EM DN 1
Varises Cruris Sin Stripping Varises KH WW √ ID MY 1
Tumor Tonsil Kanan Tonsilektomi (Ekstripasi Massa Tonsil) S FAR √ BD,TM TM WU 2
Pan Sinusitis FESS III + CWL + Konka Reduksi KH,B,S RH √ S : DA WU TM 2

FESS III + SR + Konkotomi KH,B,S ANNA √ DA EM 2
Hipertrofi
Multisinusitis, Mata Kanan Kiri Proptosis
FESS + CWL ANNA 2
Susp Massa Retrobulber
Radikal Vulvektomi + Bilateral Inguinal

Ca Vulva St I B KH,B MZ √ EM,AM* TW AM 4
Limfadekenektomi
Susp Ca Ovarii Laparatomi Debulking KH EN √ S : TW,RI AM TW 4

Ca Laring Nekrotomi + Ganti NGT WY 4

Laparatomi Pancreatolithotomi
Pankreaticolitis KH,KH JS √ TK TD 5
Palcreatojejunustomo + Splenectomi
Tumor Ileosoas Laparotomi Explorasi + Biopsi Tumor KH PB √ TD,TK ANM 5
Peritoneal Carsinomatosis Laparotomi Biopsi Tumor KH ERI √ AR 5

S : ANM
Prolaps Stoma Tutup Colostomi KH ERI √ ANM MY 5

Limfadenopati Colli Sinistra Limfadenektomi Colli Sinistra S YAN √ AZ,AG AG AZ 6
IDC Gr II MS T4bN1M1 Mastektomi + WSD Pleurodesisi KH,KH UUD √ S : ET, ID AZ AG 6
Ca Mamae MRM KH DWT √ AG AZ 6
Ulkus Digiti I Pedis Dextra Debridement B ALI √ ID ET 6
Ulkus Hemithorax Sin Debridement B ALI √ ET ID 6

Insisi Biopsi S UUD √
Tumor Pelvis c/ Rhabdomyosarcoma Kolostomi + Biopsi Tumor Pelvis B,S RR √ AI,DN 7
MAR Rectovestibuler Kolostomi B PTY √ S : AR AR DN 7
Limfadenopati Colli + Inguinal Biopsi S PTY √ AR 7
Groin Disection + Kompartement Anterior

MFH KH,KH UUD √ SF, AU AU SF 8
Femur Sin +
Rekontruksi Keganasan KH NJT √ S : II,BR 8
LW, SA 9
OA Hip Sin Coxifis Sin THR Sin KH BIN √ PR,AO AO PR 10
OA Genu DX TKR Dex KH BIN √ S : PL AP ES 10
ORIF Fr Femur Dex + ORIF Fr Humerus

Fr Femur + Fr Collum Humerus KH,KH BIN √ PS 10
Dex
Charcoat Joint Ankle Sinistra Debridement Pedis Sin + Gips Pedis Sin S,S DID √ 10
BJ.11 EN,MA,RG, EM,

CAD 3VD + MR Moderat CABG + MVR SF √ RG JT
BJ.09 BP,SS, IM, ND MA
Striktur Trachea Superior Thoracoplasty ALI S : PM,IS JT

Mata Kiri Ekstraksi Katarak (PHACO) + MK,
Mata Kanan Kiri Katarak Juvenile KH,S LN √ NK,DI*,YS DI GR 1
IOL + PI NK
Mata Kiri Silikon Filled Eye + Katarak Mata Kiri Vitrektomi + EL + SO Exchange
KH,B AL √ S : MK,MY DI MK,NK GR 1
Komplikata + Lensektomi
Mata Kanan VH + Ablasio Retina Mata Kanan Vitrectomi + EL KH AL √ MK DI,NK GR 1
Mata Kiri Afakia + VH + Glaukoma
Mata Kiri Vitrectomi + gas SF6 KH AL √ DI NK,MK GR 1
Sekunder
Mata Kanan KSI + Mata Kiri KSM Mata Kiri ECCE + IOL RF YW,HA GR 2
Mata Kiri Buka Jahitan + Vitrektomi
Mata Kiri Afakia + Post Jahitan Kornea WIS GR 2
Anterior + Secondary Implant + IOL
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL KH AL √ GR 2
Mata Kanan Kiri Miopia Degeneratif +

Mata Kanan CLE + IOL FET GR 2
Mata Kiri Pseudofakia Post CLE
Mata Kiri Pterigium Nasale Mata Kiri Eksisi Pterigium + CLAG DN GR 2
MF
NOK SOS + Adhesiolisis + FS B.S HR √ AL,TR,MF TR GR 3
,AL
Fistula Vesico Vagina Repair Fistula Vesiko Vaginal Kompleks KH ER √ MF TR GR 3
STT Reg Ankle Dextra+ Femur Dextra et SWide Eksisi + FS, B BIS √ AH,EA EA AH GR 4
Invasife Ca of NST MS Wide Eksisi + Diseksi Axilla Dex B,KH BIS √ EA AH GR 4
Suspect Keganasan Hematologi BMP MOED GR 4
ALL - HR BMP B MOED √ EA MY GR 4
Hipospadia Uretroplasty I KH ETH √ TA,DJ DJ TA GR 5
Abses Labio Oris Debridement ETH GR 5

Combustio Gr II A - II B 19% Debridement Luka bakar KH ETH √ AR DN GR 5
Hipospadia Uretroplasty I PJ GR 5
WU (MID : VQ) SORE PROGRAM : GI,AP,II,TW,AR*,BR,DA,DM*,DB,DY,ET,ES,ID,IS,MY,MR,ANM,MW,MK*,PM,PL,RI,SC ALAT : PUR,DW ( S : DY)
Ulkus DM Reg Punggung Debridement B ETH √ TA DJ GR 5
Glioma Corpus Callosum Craniotomi KH,KH ER √ SA LW 9
Pemasangan CVC KH HR √
SOL Perietal Sin Craniotomi KH AJ √ II PL 9
Craniotomi Fiksasi Intra Cranial B MTA √
Paraplegi Inferior ec Canal Stenosis Laminektomi Kompleks KH HY √ 8
Tumor Paru Dx Thoracotomi + Biopsi Tumor Paru KH WW √ ID PM
Pemasangan CVC KH WA √
HN + Ureterolithiasis Sinistra URS Sin + DJ Stent Sin KH,B WAN √ AY AZ,JF DS
Massa VU Sistoskopi S WAN √ DS
Striktur Uretra Posterior Pars Posterior Sachse KH WAN √ RM EA DS
Prostat Hiperplasia c/ Ganas c/ Tumor

TURP + Sistoscopy KH,S MAS √ JF RM DS
Sigmoid
Aneurisma r/ Atebrachii Ligasi A. Radialis Sin KH AS √ AR
Combustio Gr II Debridement + STSG Luas KH PJ √ AF BD
ALL - HR BMP B MOED √ EA MY DS
G1P0A0, Hml 38mg, PEB SCTP + IUD SR √ Arsita WD PS CITO

B
G3P2A0, KPD SCTP + MOW B HR √ Arsita NO WD,PS CITO
Ganggren Manus-Wrist S ec Luka Bakar

Amputasi Bellow Elbow Sin KH PJ √ AT,SL HE CITO
Listrik
EDH Kraniotomi KH AJ √ AN,UM NH CITO
Ileus Obstruktif ec Megacolon Laparatomi Biopsi Ileum + Ileostomi KH RR √ SL NH CITO
GPA SCTP + IUD B HR √ Gatot HE NH CITO
Mata Kiri Ruptur Kanalis Karimalis Mata Kiri Rekanalisasi Kanalis Lakrimalis
S,S INA √ UM HE CITO
Inferior + Laserasi Palpebra + Jahit Palpebra Inferior
Catheter Urethra Entrapment Ekstraksi Cateter Uretra S MAS √ PL ES CITO
G1P0A0, PEB SCTP B TF √ Adhie ES RI CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
S : GI,II,ES NH,SL,HE,UM CT
Fistel Uretrocutan Uretroplasty KH ADS √ EV, AS EV AS 1
Hipospadia Penoscrotal pasca

Uretroplasty Tahap II KH ADS √ S : DM,DB EV AS 1
uretroplasty
AS,
RSK + Polip Nasi Gr II FESS III + CWL Kanan + Konkotomi KH,B,S ANNA √ EV 1
AO
Pansinusitis Kronis + Multiple Gangren FESS III + Konkoplasty + Antrostomi KH,S,S ANNA √ AO 1
Odontectomi 4 gigi + Ekstraksi 8 gigi KH,B DV √

Massa Sinonasal Hemimaksilektomi KH DAT √ DY AF 1
Mata Kanan Orbitotomi KH TL √
Multisinusitis, Mata Kanan Kiri Proptosis
FESS III + Konkoplasti KH,S ANNA √ TM SE 2
Susp Massa Retrobulber
Tonsilitis Kronik Dupleks TE + FESS S,KH RH √ WU,SE,TM SE TM 2
Pansinusitis + Konka Hipertrofi + SD FESS + SR + CWL + Konka Reduksi KH,S,B RH √ S : DA DA 2
Pansinusitis FESS + CWL + Polipektomi KH,B,S DAT √ DA 2
Histerektomi Total + BSO + Omentectomi KH,KH,

Mioma Uteri EW √ EM,AM TW AM 4
+ Adheiolisis + FS S,S
TAH + BSO + Omentektomi +
KH,KH,
Susp Ca Ovarii Limfadenectomi Pelvis Bilat + EW √ S : TW,MY TW AM 4
B,S
Adhesiolisis
Massa Sinonasal Maksilektomi Medial KH WY √ AF 4
Mata Kanan Orbtitotomi Anterior KH TL √
Ca Cauda Pancreas Laparatomi Biopsi + PA KH ERI √ TD*,TK* 5

Varicocele Laparoscopy Varicocele KH MAS √ S : AR TD TK 5
Massa Sinonasal Pasca Maksilektomi Aff Tampon K DAT √ PL MW 5
Tumor Kulit Wide Excisi + FS B YAN √ AZ,AG RM AG 6
Rekontruksi Pasca Keganasan + STSG KH RZ √
STT Reg Punggung Insisi Biopsi S YAN √ S : ET, ID ET ID 6

SNNT Reg Colli DWT 6
Tiroidektomi
Hernia Inguinalis Lateralis Sin Herniotomi B PTY √ AI,DN AR 7
Megacolon Kongenital on Stoma Duhamel Procedure KH RR √ S : AR DN AI 7
Hidropneumothorax Sin Thoracotomi Dekortikasi 7
Meningioma Parietal Craniotomi Dasar Tengkorak KH DP √ SF,SU SA LW 8
Paraplegi Inferior Canal Stenosis Fusi Posterior KH AJ √ S : AU,BR SF SU 8

Laminektomi Kompleks KH HY √
Meningioma Suprasella Craniotomi Dasar Tengkorak KH MTA √ LW, SA BR AU 9
Fr Kompresi VL 4-5 KH,KH APR √ PR,AP SF SU 10
Fiksasi Fusi
HNP VL 4-5 KH,KH APR √ S : PL PL 10
Fiksasi Fusi
Aff Implant BIN 10
Fr Tibia Fibula ORIF Tibia KH DID √ PL BR 10
EN,MA,RG, EN,
PDA Ligasi PDA BJ.05 WW √ MA JT
BP,SS, IM, ND RG
Striktur Trachea Superior Thoracoplasty (Sternotomi) KH ALI √ S :PM,MW PM MW JT

Mata Kiri Explantasi IOL + Sckleral
Mata Kiri Desenterasi IOL KH RF √ NK,DI,YS NK YS GR 1
Fiksasi (Iris Clip)
Mata Kiri Rhegmatogenous Retinal
Mata Kiri Vitrektomi + PHOCO + Silicone NK,
Detachment+ High Myopia + Katarak KH,KH AW √ S : HR,MK YS GR 1
Oil HR
Senilis Imatur
Mata Kiri Nucleus Drop Mata Kiri Vitrektomi + Lensektomi KH,B AW √ HR GR 1
Mata Kanan Anophtalmia + Abses
Mata Kanan Insisi dan Drainase Abses INA GR 2
Lakrimal
Mata kanan kiri Pseudofakia, Mata
Kanan Posterior Vitreous Detachment Mata kiri Aff Jahitan RF GR 2
Complete
Mata kanan Glaukoma Secunder e/c Mata kanan Phacoemulsifikasi + Vx
KH,S WIS √ YW,HA YW HA GR 2
Luksasi Lensa Anterior Anterior
Mata Kanan Secondary Implant ( Iris
Mata kanan afakia WIS GR 2
Claw )
Mata Kanan Primary Angel Closure
Glaucoma Paska Akut + Katarak Senilis Mata Kanan Phacoemulsifikasi + IOL FI GR 2
Imatur, Mata Kiri Leukoma
Mata Kanan Kiri Glaukoma Absolut Mata Kiri Cyclocryoterapi FI GR 2
Salpingitis Kronis Laparoscopy Salpingektomi KH HR √ NP,TR ND TR GR 3
PoAo 28 th Hidrosalping Bilateral, PID Laparoscopy salpingektomi + Adhesiolisis KH TF √ GR 3
Kista Maxilla Dx Enukleasi Kista Besar KH RP √ TR NP GR 3

TMS c/ Ganas Insisi Biopsi S BIS √ AL,EA ER AL GR 4
Tumor Colli c/ Ganas Incisi Biopsi + Limpadenektomi + PA S,S UUD √ AL ER GR 4
TMS c/ Ganas Insisi Biopsi S UUD √ ER AL GR 4
Palatoschizis Inkomplet Palatoplasty KH RZ √ TA DJ GR 4
Corpal ec peluru senjata api Ekstraksi Corpal KH NJT √ DJ TA GR 5
Kontraktur dermatogen Release Kontraktur Kompleks KH ETH √ TA DJ GR 5
Ulkus DM Pedis Debridement S ETH √ TA,DJ DJ TA GR 5
LGB Bilateral, Hipoplasia Maxilla Palatoplasty + Rekonstruksi Hidung KH,KH RZ √ MK JF GR 5
AH (MID :MF ) SORE PROGRAM : GI,ET,TW,II,HR,AR,AU,BR,DA,DM,DB,ID,MY,MR,MW,MK,PM,PL,RI,SC ALAT : PUR,DW ( S : RI)
Polip Endometria Histeroskopi Operatif KH HR √ MR US DS 1
Tumor Mamae Sinistra Wide Eksisi B DWT √ ID ET 6
Ca Mamae Residif Wide Eksisi + PA B DWT √ TK TD 6
Ulkus Dekubitus STSG Luas KH PJ √ AR RE

Perdarahan Post AV Shunt Reduksi AV Shunt KH ALI √ ID
LNH Nekrotomi B DAT √ MW
CKD St V Pasang DL K ALI √ ID PM DS 1

CKD St V Pasang DL K ALI √ PM ID DS 1
Strictur Uretra, PH TURP + Uretrocystoscopy KH,KH MAS √ AY RM, DS 1
Tumor Testis Partial Orchidectomy + Vasoepidedemis B,B MAS √ RM HI,AY DS 1
BD,
GPA SCTP + IUD B DC √ Arsita DY CITO
ANM
Abses Submandibula Insisi Drainase Abses Submandibula B FAR √ AD WD,RE CITO
Ileus Obstruktif ec Tumor Laparatomi Eksplorasi + Biopsi KH JS √ HE SL CITO
SDH Kronis r/ Fronto Parietal Dex Kraniotomo Bor Hole KH AJ √ ES II CITO
Post Nefrostomi Repair Nefrostomi K MAS √ ID DB CITO

Laparatomi Eksplorasi Repair Perforasi
Peritonitis generalisata KH ERI √ ANM WI CITO
Gaster
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : GI,II,ES CT
UM,MF
Hipospadia Post Uretroplasty Uretroplasty Tahap II KH ADS √ EV, AS EV AS 1
NP,
UDT Bilateral Laparascopy Orchidopexy Bilateral KH ADS √ S : DM,DB RA GR
TR
DM,
Mal Oklusi + Fr Mandibula + Fr Maxilla Rekonstruksi Fr Tulang Wajah Kompleks KH RP √ 1
RA
RSK + Konka Hipertrofi + Septum SE,
FESS III +Konkoplasty KH,S ANNA √ WU,SE*,TM TM 2
Deviasi WU
FESS III + Konka Reduksi + Reseksi WU,
Multiple Sinusitis KH,S RH √ S : DA SE 2
cartilago Deflexi TM
Tonsilofaringitis Kronik Tonsilektomi S MYS √ DA SE 2
KH,KH,
NOK TAH + BSO + Omentectomi + FS HR √ TW,AM AM TW 4
S
Mata Kiri Massa Palpebra Superior ec
Mata Kiri Wide Eksisi Tumor Palpebra B TL √ S : RK,MY 4
Neurofibroma
Mata Kiri Rekontruksi Palpebra KH INA √
Massa Sinonasal Maxilektomi Medial KH WY √ DN MY 4
Ca Recti Laparatomi LAR KH JS √ TD,EM,TK TK TD 5

Re Implantasi Urether S,D + Pasang DJ
KH,B ADS √
Stent S,D
Psang CVC KH HR √
Cholelithiasis + Kistoma Ovarii Laparoscopy Cholesistektomi KH JS √ S : SA DN RK 5
Aff IUD + Laparascopy Kistectomi
K,KH,B TF √
,Adhesiolisis
Hidropnemouthorax Sin Thoracotomi Explorasi Dekortikasi KH ALI √ RK 5
Ca Mamae MRM Sin KH YAN √ AZ,AG AZ AG 6
Ca Papilary Thyroid Total Tiroidektomi KH YAN √ S : ET, ID AG AZ 6
Ca Mammae MRM DWT 6
Fr Tibia Post ORIF dg Metal Failure Rekonstruksi Tibia Prox KH BIN ET II 6
Fr Tibia Fibula Sin ORIF Fr Ankle S KH BIN √ ET ID 6
Mata Kiri Rekontruksi Palpebra dg Silicon

Mata Kiri Ptosis KH AK √ AI,DN 7
Tube (Koreksi Ptosis)
Laparatomi Explorasi Anastomose
Pseudocyst Pankreas KH,B EDW √ S : PM,RI 7
Cystoyeynustomi
Megacolon Congenital Colostomi + Biopsi KH,S PTY √ 7
MAR dg Fistel Rectovestibuler dd/

Kolostomi B RR √ RI 7
Kloaka
Fr Kompresi Vert L1-2 Occipital Cervical Fusi + Laminektomi HY + AJ SF,SU 8
SOL Parietal Dx Craniotomi Dasar Tengkorak KH MTA √ S : AU,BR AU VQ 8
IOM KH Aris C √
SOL Fronto Temporal Sin Craniotomi Dasar Tengkorak KH DP √ LW,VQ BR LW 9

Fiksasi Internal Kranium KH AJ √
IOM KH Aris C √
PoAo 28 th, Hidrosalfing Bilateral, PID Laparoscopy Salpingostomi Adhesiolisis KH TF √ 10
Lamiektomi Debridement + Internal

Spondilitis TB KH,KH APR √ AP PR 10
Fiksasi Fusi
Fr Femur Dx Pasang Skin Traksi S DRY √ PR,AP 10
Artritis Genu Debridement Arthroscopy DID 10
ORIF Humerus S + ORIF Radius S + KH,KH,
Multiple Fraktur DID √ S : PL PL 10
ORIF Ulna S KH
Debridment + STSG KH RZ √
EN*,MA,RG, EN,
CHF Nyha II ec MR Severe TR Severe MVR + TVR BJ.08 SF √ RG JT
BP,SS, IM, ND MA
Mata Kanan Afakia, Mata Kiri Mata Kanan Scleral Fiksasi + Mata Kiri
KH,K WIS √ NK,DI,YS MK NK GR 1
Pseudofakia Buka Jahitan
Mata Kanan Vitreous Turbidity Mata Kanan Vitrectomi KH AL √ S : HR,MK MK NK GR 1
Mata Kanan Vitrectomi + Scleral Buckle +
Mata Kanan Ablatio Retina KH AL √ NK MK GR 1
EL + SO
Mata Kiri Afakia + Nukleus Drop + Mata Kiri Vitrectomi + Endofragmentasi +

KH AL √ HR GR 1
Glaukoma Sekunder Secondary Implant
Mata Kanan Ulkus Kornea Perforasi Mata Kanan Flap Konjungtiva S DN √ HR MK GR 1

Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasi + IOL AL YW,HA,TU* GR 2
Mata kiri Katarak Senilis Imatur Mata kiri Phacoemulsifikasi + IOL RF GR 2
Mata kiri Afakia Mata kiri Secondary Implant WIS GR 2
Mata Kiri Anterior Chamber IOL +
Mata Kiri Explantasi IOL WIS GR 2
Glaukoma Sekunder
Mata Kanan Glaukoma Neovaskuler,
YW
Mata Kiri Proliferative Diabetic Mata Kanan Cyclocryotherapy S FI √ TU GR 2
,HA
Retinopathy
Mata kanan kiri Normal Tension
Mata kiri Phacoemulsifikasi + IOL MR GR 2
Glaucoma + Katarak Senilis Imatur
Cervical Mioma BSO + Adhesiolisis EN NP,TR,RA GR 3
EA,
Impaksi 4 gigi Odontectomi 1 Rahang B DV √ EV GR 3
SE
Mandibulektomi + Rekontruksi + Diseksi KH,KH,
Squamous Cell BIS √ AL,EA EA AL GR 4
Colli KH
BCC Reg Maxilla Sin T4NoMo Tumor
Wide Eksisi + FS + Hemimandibulektomi
Kulit Reg Intra Orbita Dx c/ Basalioma UUD + NJT GR 4
+ Rekonstruksi
T2NoMo
Ulkus Granulosum Digiti II Rekonstruksi Jari KH ETH √ TA,DJ TA DJ GR 5

Hipospadia Tipe Penoscrotal Release Chorde (Chordectomi) B PJ √ NK MK GR 5
Ulkus Granulosum reg iliaca femur dex et
Debridement + Insisi Drainase Abses B,B PJ √ ANM GR 5
sin
D :AH (MID :ST ) SORE PROGRAM : GI,ET,II,AU,BR,DA,DM,DB,ES,HR,ID,MY,MR,MW,MK,PM,PL,RI,SA,SR,RK ALAT : PUR,DW ( S : SR)
Impaksi Odontektomi 1 Rahang B DV √ SF ER
Ca Laring Tracheostomi S WY √ MW
Ca Sinonasal Ekstirpasi Massa Sinonasa dg FESS III KH WY √
Tumor Ginjal Kiri C/ Abses Gluteal Explorasi + Biopsi Ginjal Kiri KH WAN √ DM DB DS
Susp keganasan Lumbal Pungsi B Alif √ HI RM DS
Mata Kiri Post Eksplantasi IOL + Skleral

Mata Kiri Reformasi COA + Jahit Kornea S RF √ TU GR 2
Fiksasi
Plegmon Dasar Mulut Insisi Abses dg penyulit RP √ ANM WI CITO

KH
Ulkus DM Amputasi Cruris Dex AS √ WI IS CITO

S
Fr Impresi + EDH Koreksi Fr Impresi kompleks AJ √ IS NO CITO

KH
G1P0A0, Impending Eklamsi SCTP + IUD EN √ Gatot ANM DY CITO

B
ICH + IVH EVD AJ √ ANM BD CITO

KH
EDH Kraniotomi AJ √ MF NH CITO

KH
EDH Kraniotomi AJ √ CITO

KH
G3P1A0, Hml 39mg, bekas SC SCTP + MOW DC √ Arsita HE NH CITO

B
G2P1A0, Bekas SC SCTP HR √ Arsita CITO

B
Laparatomi Explorasi Milking Procedire +
Ileus Obstuksi ec Invaginasi KH PTY √ SL,ES NH CITO
Ileostomi
GPA SCTP Penyulit + MOW KH EN √ Gatot EN PM CITO
Apendicitis Akut Perforasi Laparatomi Explorasi KH MM √ II CITO
G4P3A0, Servic Inkompenten Pemasangan Criklase S HR √ CITO

Laparatomi Repair Hernia Diafragmatika
Hernia Diafragmatica KH RR √ CITO
kiri
GPA SCTP dgn Penyulit B OP √ Adhie DY NO CITO
Retensi Urine ec Ca Prostat Open Sistostomi B ADS √ II CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
S : GI,II,ES CT
UM,MF
Ca Cervix Repair Nefrostomi KH ADS √ EV*, AS AS EV 1
Hipospadia Uretroplasty Tahap II KH ADS √ S : DM 1
AS
Hipospadia Uretroplasty KH ADS √ 1
,EV
Rekonstruksi Collumella (Rekontruksi DM,
CTEV Bilateral KH DRY √ EV 1
Negleted Case Bone) DB
DM,
Fr Collum Humeri Dx ORIF Shaft Humeri Dx KH DRY √ MK 1
DB
KHB,S, WU,
Pansinusitis FESS III + CWL + Konka Reduksi + SR RH √ WU,AT AT 2
B DA
Pansinusitis FESS III + CWL + Konka Reduksi KH,B,S RH √ S : SE,DA 2
Granulasi + Kolesteatom Eksterna Ekstirpasi Kolesteatoma Eksterna Kiri &

S,S PW √ DA SE 2
Telinga Kiri Kanan
OMSK Duplex dg Komplikasi Mastoiditis Mastoidektomi Radikal Kiri KH PW √ DA 2
NOK TAH + BSO + FS KH,KH VG √ AN,AM AM AN 4
TAH + BSO + Omentectomi + KH,B,S

NOK dg Bag. Padat c/ Ganas VG √ S : TW,MY AN ANM 4
Adhesiolisis + FS ,S
Artritis Septik Genu Sin Athroscopy + Debridement S,B DID √ MW NO 4
Pasang CVC KH JL √ BR
Fr Radius Dx Post ORIF Removal Implant S DID √ TW MY 4
Artritis Genu Dextra Debridement + Synovectomi Genu Dex B,KH DID √ TW MY 4
OA Genu Sinistra TKR DID 4

Obstruktif Jaundice, Tumor Caput
Laparatomi Biliodigestif Anastomosis KH MM √ TD,TK TK TD 5
Pankreas
Appendicitis Akut Laparascopy Appendictomi KH PB √ TD TK 5

S : RM
Fistula Enterocutan Low Anterior Laparotomi Repair Fistula + Colostomi KH,B ERI √ RM TW 5
Cholesitolithiasis Laparoscopy Cholesistectomy KH MG √ RM 5
TMS c/ Ganas T2NoMx Eksisi + FS Ganas - MRM B,KH YAN √ AZ,AG AZ AG 6
IDC Gr III MS T4bN1Mo MRM Sin KH YAN √ S : TR, ID AG AZ 6

Ca Mammae MRM Sin KH DWT √ AL MK GR 4
Nodul Plica Vocalis LD + Biopsi S DAT √ ID 6
Adeno Ca Sinonasal Repair Fistel B DAT √ ID BR 6
Kista Hepar Laparatomi Unroofing Kista Liver KH RR √ AI,DN 7
Mata Kiri Tumor Palpebra Superior Eksisi Tumor Palpebra + PA +

TL S :RI 7
(Hbs Ag +) Rekonstruksi Palpebra
Pseudoaneurisma Inguinal Dx Repair Pseudoaneurisma KH ALI √ RI SE 7
Meningioma Suprasella Craniotomi Dasar Tengkorak KH MTA √ SF,SU* SU SF 8

Pemasangan CVC KH HS √
Schwanoma Vestibular Dx Craniotomi Dasar Tengkorak KH,KH ZM √ LW,VQ LW VQ 9

IOM KH Aris √
Meningioma Fronto Temporal Sin Craniotomi Dasar Tengkorak KH ER √ S : SA,PM SA PM 9
Hemaarthrosis + Limfadenopathy + CKD Arthroscopy + Debridement Genu Dex S,S DID √ AP PR 10
Limfadenectomi S APR √
HNP L5-S1 Laminektomi Dekompresi + Fusi KH,KH APR √ PR*,AP 10
Fr. Ulna Dextra + Fr. Phalang Digiti V Reposisi Tertutup Splinting S APR S : PL PR PL 10
Fr Digiti I Pedis Sin Post ORIF Aff Implant + Debridement B DRY √ PL PR 10

STSG KH PJ √
Fr Clavicula Dx + Fr Radius Dx ORIF Fr Radius Dex KH BIN √ PL GI 10
EN,MA,RG,
CHF Nyha II e MS Severe, TR Moderate MVRepair + TVRepair BJ.08 SF √ MA RG JT
BP,SS, IM, ND
Mata kanan katarak traumatika + lekoma

Mata kanan Phac + IOL + Vx Anterior KH,S AK √ NK,YS NK YS GR 1
kornea
Mata kanan Vitreus Hemoragic Mata kanan Vitrektomi + MP KH AW √ S : HR,MK NK YS GR 1
Mata Kiri Vitreus Hemorage Mata Kiri Vitrektomi AW GR 1
Mata Kanan PDR + TRD Mata Kanan Vitrectomy + EL + Gas KH AW √ NK YS GR 1
Mata Kiri Silicon Oil Filled Eye + Mata Kiri Re-Vitrectomy + MP + EL + SO
KH,KH AW √ HR GR 1
Redetachment Retina + Phaco + IOL
Mata kiri IOL Missed Calculation Mata kiri Exchange IOL RF YW,HA,TU GR 2
Mata Kiri Afakia Mata Kiri Iris Clip (Secondary Implant) RF GR 2
YW,
Mata Kanan Kiri Glaukoma Juvenile Mata Kanan Trabekulektomi B MR √ TU GR 2
HA
Mata Kanan Triple Procedure
Mata Kanan Kiri PACG + KSI KH MR √ GR 2
(Trabekulektomi + PHACO + IOL)
Mata Kiri Vitrektomized Eye + Katarak

Mata Kiri Phaco + IOL AW GR 2
Komplikata + Mata Kanan PDR Regresi
Mata kiri ulkus kornea Mata kiri pro AMT DN GR 2

Mata kanan kiri pterigium nasal Mata kanan eksisi pterigium + CLAG DN GR 2
NOS SOU + FS HR NP,BY,RA GR 3
Hernia Insisional Repair Hernia Insisional + Mesh Besar B ERI √ NP TR,BY GR 3

Invasive Ca of NST Wide Eksisi + PA + Limpadenectomi Colli B,S BIS √ AL*,EA EA AL GR 4
Tumor Parotis Parotidectomi B DWT √ AL EA GR 4

Hipospadia Uretroplasty Tahap I KH NJT √ DJ TA GR 5
Defek Collumella Rekonstruksi Collumella (Hidung) KH RZ √ TA,DJ GR 5
Release Chordae & Tunnely
Hipospadia KH RZ √ TA DJ GR 5
( Uretroplasty)
Sindactili Digiti 2-3 Manus Sin Release Syndactili B PJ √ SE GR 5
RD : AH (MID : ST ) SORE PROGRAM : GI,II,TW,TR,SA,DA,DM,ES,ID,MY,JF,MR,MK,PM,PL,RI,RM,SE,SR,HR ALAT : PUR,DW ( S : SR)

Impaksi Odontektomi 2 Rahang KH OEN √ NP RA GR 3
Impaksi Odontektomi 2 Rahang KH DV √ GR 3
Osteomielitis Femur Dx Debridement + Sequestrectomi B,KH BIN √ HI RK DS
Ulkus DM Pedis Debridement Luas + Osteotomi B,B AS √ DS
Efusi Pleura WSD S Avis √ DS

Ca Paru Dg Efusi Pleura Pasang WSD S WW √ DS
Efusi Pleura Dex Pasang WSD Thorakal S WW √ DS
CKD St V Pasang DL K WW √ DS
CKD St V Pasang DL K WW √ DS
CKD St V Pasang DL K ALI √ DS
Massa Glotis LD + Biopsi + Trakeostomi + Endoscopy S,S,S FAR √ MF NH,UM CITO
LD + Ekstirpasi Massa Supraglotis

Massa Glotis S,S,S FAR √ MF HE CITO
Endoscopy + Traceostomi
G2P1A0, Hml SCTP + IUD B MZ √ Arsita CITO
Laparatomi Explorasi + Simple Closure

Ileus Obstruktif KH PB √ MF NH,UM CITO
Perforasi Sigmoid
Peritonitis Generalisata Laparatomi Apendiktomi KH RR √ CITO
Laparatomi Colostomi + Rectal Biopsi KH,S PTY √ RI CITO

Ruptur Arteri Poplitea Post ORIF Tibia
Repair A. Poplitea Dex B ALI √ II ES CITO
Dex
Post Ileostomi Repair Ileostomi B RR √ RI RA CITO
Wound Dehiscent Post Laminektomi Debridement B AJ √ AU CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

NH,SL,HE,
S : GI,RK,ES CT
UM
Ca Prostat / Buli Vesicolithotomi + Repair Buli B,S MAS √ EV, AS* DA 1
Pyonefrosis Dextra + Pasang DJ Stent URS + Ganti DJ Stent Dex,Nefrolitotomi

KH,KH MAS √ S ; DM 1
Dex Dextra
Batu Calix Inf Dextra PCNL Dextra + Pasang DJ Stent KH,B WAN √ AS DM 1
Multiple Ekstraksi 9 gigi ganggren +

TOF B DV √ 2
Tambal 2 gigi
RSK + CME FESS + Insersi Gromet RH + AYU AT,MF 2
OMSK dg Kolesteatom + Komplikasi
ME Radikal + Kanaloplasty KH,B PW √ S : DA DA 2
Mastoiditis Kiri
Laringomalaisia post Tracheostomi Laringoscopy Direk + Supraglosektomi S,B DAT √ DA DM 2
Ca Endometrii Radikal Histerektomi KH MZ √ TW,AM TW AM 4
Susp Ca Ovarii Laparatomi Debulking + FS KH EN √ S : MY TW AM 4

Laparotomi Eksplorasi Repair Perforasi

Fistula Enterocutan KH PB √ TD,TK TK TD 5
Rektum + Ileostomi Adhesiolisis
Hemoroid Interna Gr II Hemoroidectomy B PB √ TD TK 5

S : TM,RM*
Adeno Ca Rectum Laparoscopy TMF Procedure (Milles) KH ERI √ TM RM 5
Spindel Cell Ca + Adeno Ca Recti Wide Eksisi B YAN √ AZ,AG AZ AG 6

Rekontruksi Dinding Abdoment KH ERI √
Limfadenopati Colli c/ Ganas Limfadenektomi Biopsi + PA S DWT √ S : TR, ID AG AZ 6
Miastenia Gravis Extended Tymotymectomi KH SF √ BD TR,SE 6
Hipospadia penoscrotal Uretroplasty I + Chordectomi I KH,B EDW √ AI,DN AI DN 7
Hipospadia penoscrotal Uretroplasty + Chordectomi KH,B EDW √ S :RI DN AI 7
OA Genu TKR KH BIN √ RI

7
Lesi MS Vert Th 3-4 Laminectomi Fiksasi Internal KH HY √ SF,SU SF SU 8
STT Reg Occipital Craniectomi Tumor Konveksitas KH DP √ LW,VQ VQ LW 9

Eksisi Tumor Maxilla Tumor besar +
Epulis Maksila KH DV √ PL GI 9
Ekstraksi gigi
Impaksi gigi Odontektomi 4 gigi + Exo 2 gigi (Sulit) KH DV √ PL HI 9
OA Genu TKR KH APR √ PR,AP AP PR 10
Reposisi Terbuka Fr Lat Condiles

Fr Capitulum Humeri S APR √ S : HI,PL PR LW 10
Humerus Sin
ACL Ruptur Rekonstruksi ACL + Arthroscopy DID 10
EN,MA,RG,
TOF BT Shunt BJ.03 WW √ EN RG JT
BP,SS, IM, ND
PDA Ligasi PDA BJ.05 WW √ S : BD,SE SE BD JT

Mata Kanan Glaukoma Absolut Mata Kanan Cyclocryoterapi AK GR 1
Mata Kanan Tractional Retina Mata Kanan Vitrektomi + Endolaser + S:
KH AL √ NK TU GR 1
Detachment Silicone Oil HR,MK,YS*
Mata Kanan Traumatika Post Jahit
Mata Kanan Ekstraksi Katarak + IOL KH INA √ NK,TU TU NK GR 1
Kornea
Mata Kanan Rhegmatogenosa Retinal Mata Kanan Vitrektomi + Endolaser +
KH AL √ GR 1
Detachment Gas
Mata Kanan Desenterasi IOL + Suspek
Mata Kanan Vitrektomi + Evakuasi IOL
Ablatio Retina + Tractional Retinal KH,KH AL √ HR GR 1
Luksasi + Gas
Detachment
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasi + IOL AK GR 2

Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasi + IOL AK YW,HA,DI GR 2
Mata Kanan Afakia Mata Kanan Sekunder Implant RF GR 2
Mata Kanan Mata Kiri Katarak Diabetika

Mata Kiri Phacoemulsifikasi + IOL AL GR 2
+ Non Proliferatif Diabetik Retinopati
Mata Kanan Mata Kiri Primary Open

Mata Kanan Trabekulektomi FI GR 2
Angle Glaucoma
Mata Kiri Pseudofakia + High
Mata Kiri Buka Jahitan Kornea RF GR 2
Astigmatisma
Mata Kiri Pseudofakia + High
Mata Kiri Buka Jahitan Kornea RF GR 2
Astigmatisma
Ulkus Granulosum Reg Brachii Axilla AH,
Debridement S PJ √ AH,BY,RA BY GR 3
Femur Dx RA
BY,
Plate Reject Aff Rek Plate + Rekontruksi Tulang KH OEN √ RA GR 3
AH
BCC Reg Maxilla + Tumor Kulit Reg Intra Wide Eksisi + FS, ganas -
B,KH UUD √ NP,AL,EA AL NP,EA GR 4
Orbita Dx Hemimaksilektomi
Defek Mandibula Debridement + Rekonstruksi Flap S,B NJT √ TA,DJ TA DJ GR 5

Silikonoma Eksisi + Rekonstruksi KH NJT √ TA DJ GR 5
: NI (MID : ST ) SORE PROGRAM : GI,II,TW,TR,DA,DM,ES,ID,MY,JF,MR,MK,PM,PL,RI,RM,SE,SR,HR,BD ALAT : PUR,DW* ( S : SR)
Mioma Uteri, HN Sistoskopi Biopsi + Evakuasi Clot S,S MAS √ 1
URS - Lepas Ganti DJ Stent Dex EV,

HN Dextra KH,KH MAS √ AS 1
Nefrostomi AN
Ca Endometrium + DJ Stent URS L + DJ Stent L + Aff DJ Stent L KH,B,S WAN √ DS
CKD Repair Double Lumen + C-Arm K ALI √ DS

Gagal Ginjal Pasang Double Lumen K WW √ DS
Crush Injuri Multiple Fr ORIF + Debridment KH DRY √ HE NH,SL CITO
Mata Kiri Laserasi Kornea Mata Kiri Jahit Kornea S INA √ UM NH CITO
G1P0A0, Fatal Distress SCTP B OP √ Gatot RK GI CITO
SDH Kraniotomi KH AJ √ ID GI CITO
Prolaps Stoma Repair Stoma (Ileostomi) B PTY √ MY YS CITO
Hidrocephalus VP Shunt KH AJ √ JF IM CITO
Ulkus DM Peids Sin Amputasi Bellow Knee KH AS √ DB MW CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AP,AG,AD,
Persiapan Workshop IGES : NP,AL,SE PLH : TA ,RK S :TW,HR,YS CT
BY,DN
Mata Kiri Tumor Palpebra Susp
Mata Kiri Orbitotomi Anterior Biopsi + PA KH TL √ NK, AS MK NK 1
Pseudotumor
Massa Sinonasl Aff Tampon K WY √ S : DM* MK NK 1
Abses Sub Mandibula Insisi Abses + Odontektomi RP + FAR NH,AT 2
Massa Sinonasal Post Operasi Aff Tampon S DAT √ S : DA,MR AT NH 2
LNH Tonsil Aff Tampon K DAT √ MY MR 2
RSK FESS + CWL + Konka Reduksi KH,B,S DAT √ AT NH 2
Ca Sinonasal, Mki susp. Massa

Maksilektomi Medial KH DAT √ MK NK 2
Retroorbita
Mata Kiri Orbitotomi Anterior KH TL √
Abses Sub Mandibula Pasca Insisi Abses Repair Incision KH DAT √ 2
Repair Sympathic Ganglion + Cervical

Neuroatgth Trigiminal KH TRI A √ AR AR 3
Sympathectomi
Post Partum Spontan, PEB, Ingin Steril MOW OP RE,AM 4
RE,
Post Partum Spontan Retentio Plasenta MOW S DC √ SU 4
AM
Bilat Parisial Ooforectomi + TAH + KH,KH, SU,
Kistoma Ovarii EW √ S : TR RE 4
Omentectomi + BPL + FS S,B AM
Bilat Parisial Ooforectomi + TAH + KH,KH,
PoAo NOK Bilateral EW √ TR 4
Omentectomi + BPL + FS S,B
Megakolon Kongenital Laparastomi Leviting Colostomi KH PTY √ TD,TK TK TD 5
Tumor Intra Abdomen Extra Lumen C/

Transversostomi Biopsi PTY 5
Limfoma
Adeno Ca Colon Ascenden Hemikolektomi KH MG √ S : RM 5
Kista Ductus Thyroglosus Residif Sistrunk Procedure B YAN √ AZ,AO AZ AO 6
Incisi Biopsi + Multiple Ekstraksi gigi EA,

Tumor Mandibula S,B DV √ S : MY AZ 6
ganggren AO
EA,
Mal Oklusi e.c Fr Dento Alveolar Fiksasi Mandibula B RP √ AZ 6
AO
Impaksi Gigi 2 Rahang Odontectomi 2 Rahang KH RP √ MY 6
Plexus Brachial Injury Rekontruksi Tendo KH DRY √ PR,BD BD PR,PS 7
DRUJ Disruption Rekonstruksi Tendon KH DRY √ PR PS 7
Fr. Femur ORIF Sheft Femur Proximal KH DRY √ PR 7

Coxitis Hips Bilateral Debridement B DRY √ S :RI 7
SF,SU 8
Skull Defect FTP Kiri Cranioplasty Rekontruksi KH GK √ LW,VQ LW SF,WD 9

Fr Collum Femur Sin Bipolar Hemiarthroplasty Sin KH BIN √ HI RA 10
OA Genu Bilateral Arthroscopy Debridement S,S BIN √ S : HI,PL* HI 10
Ruptur Miniskus Dx Repair Miniskus Dx (Rekontruksi ACL) KH BIN √ 10
EN,MA,RG, EB,
APS CCS II ec CAD 2VD CABG High Risk BJ.11 SF √ RG JT
BP,SS, IM MA
AM : ALAT : PUR, ( S : SE)
Efusi Pleura Pasang WSD S UUD √ TK SU
ES,
G P A ,Gemeli SCTP Gemeli + MOW B,S OP √ Gatot BR CITO
AM
Hidrocephalus VP Shunt KH AJ √ DN BY,AD CITO
GPA SCTP B EW √ Gatot AD AG CITO
G1P0A0, Hml 38mg, Plasenta Previa SCTP B HR √ Gatot AG BY,AD CITO
G7P1A5, Hml 29mg, KPD, SungSang SCTP + MOW B HR √ BY AG,DD CITO
Mata Kanan Glaukoma Absolut +

Mata Kanan Cyclocryoterapi S DN √ HR DA CITO
Lekoma
EDH Kraniotomi EDH KH AJ √ YS WD CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
YW,
Kista Maxilla Insisi Abses dg penyulit KH RP √ SE,ID CITO
TU
GIP0A0, Hml 40mg, Impartu kala 1 CPD SCTP + IUD B SR √ Adhie HA SE,NI CITO
SOL r/ Frontal Kraniotomi KH AJ √ NI TU CITO
Abses Submandibula Odontektomi 2 Rhang KH RP √ RM HI CITO

Insisi Drainase Abses B FAR √
Hernia Ing Lat Sin + Peritonitis Laparatomi Repair perforasi Usus +
KH,B MM √ ID SE CITO
Generalisata Hernia Repair
ICH Kraniotomi KH AJ √ HA MF CITO
Hidrocephalus VP Shunt KH AJ √ DJ MF CITO
Flekmon Dasar Mulut Insisi Drainase + Odontectomi 1 Rahang S,B DV √ RM MF CITO
HNP L4-5, S-S1 Neuroplasty + Foraminal Block Multilevel KH,S TRI A √ NH CITO
IVH EVD KH AJ √ DJ MF CITO
Tumor Tonsil Exterpasi Tumor Ganas Tonsil S DAT √ HI CITO

Tumor Intra Abdomen Extra Lumen C/
Laparatomi Explorasi + Biopsi KH PTY √ TM HI CITO
Limfoma
Pseudoaneurisma Ing Dex Repair Pseudo Anerurisma KH ALI √ RM CITO
GPA SCTP + IUD B SR √ Gatot NI SR CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE*,AR,
PLH KARU : AL CT
DA
Tumor Ginjal Kanan Infiltrasi Hepar Radikal Nefrektomi Dextra KH ADS √ AS,DM 1
Hippospadia Repair Fistel Uretrocutan (Uretroplasty) KH ADS √ S : AT 1
Hippospadia Repair Fistel Uretrocutan (Uretroplasty) KH ADS √ 1
RSK + SD + Konka Hipertropi FESS + Konkoplsty KH,S RH √ EM,ST AO EM 2

Ca Rectum KH,B PB √ EM AO 2
Ileustomy
Adeno Ca Anorectum T4bH2M0 Laparotomi Miles Procedure KH ERI √ S : WI AF ANM 2
Ca Ovarii Complete Surgical Staging KH MZ √ TW,ER TW ER 4
NOS, Efusi Pleura Duplex TAH + SOU + FS KH HR √ S : AM ER TW 4

Fistula oronasal Repair Fistel Oronasal KH WY √ AM AY 4
Hernia Incisional Repair Hernia + Omentectomi B,S JS √ GI,RI TK RI 5
Adeno Ca rectie Sigmoidostomy B JS √ RI TK 5

S : AG,ANM
Tumor Extraperitoneal C/ Ginjal Laparotomi Explorasi KH MG √ AG ANM 5
SNNT C/ Ganas Isthmolobektomi + FS, Ganas - TT KH,KH BIS √ AZ*,TM AZ TM 6
IDC Gr II MD Tx N0 Mx MRM Dex KH DWT √ S : MY TM AZ 6
SNNT TT DWT 6
Mata Kanan Proptosis e.c Susp
Mata Kanan Insisi Biopsi + PA S AK √ AI,DN DN AI 7
Retinoblastoma d.d Neuroblastoma
Hipospadia Release Chordae + Tunniling B ETH √ S : RK AI DN 7
Limfedema Reg Pedis Dextra Eksisi + Rekonstruksi KH NJT √ AI DN 7
Meningocele Rekontruksi 3 Lapis Meningocele KH ER √ SF,TR SF DJ 8
Scoliosis + Spondilolitis L4-5, L2-3 Laminektomi Kompleks KH AJ √ S : WU,RA WU RE 8

Fusi Posterior + Fiksasi Posterior dg
KH HY √
PSRP
SOL Temporal Dex Craniotomi Dasar Tengkorak KH DP √ LW,VQ VQ LW 9
Tumor SOL Falk Serebri Craniotomi Tumor Dasar Tengkorak KH ER √ S : SA,PS SA PS 9
Fr. Tibia Fibula Dextra ORIF DID PR,AP 10
OA Genu Dextra TKR Dextra KH DID √ S : MF MF PR

10
Tibia Avulsi ORIF Fr Tibia Plateu KH BIN √ MF GI 10
Ruptur ACL Rekontruksi ACL KH BIN √ HI SE 10
EN,MA,AF, EN,
MS Severe + AR Mild MVRepair + AVRepair BJ.08 SF √ WI JT
BP,SS, IM, ND MA
S : BD,TK JT
Mata kanan Reposisi IOL ( bila perlu
Mata kanan Desenterasi IOL S AL √ NK,TU GR 1
skleral fiksasi )
Mata Kiri Vitreous Hemorrhage Mata Kiri Vitrektomi + EL KH AL √ S :HR,MK,HA GR 1
Mata Kiri Katarak Komplikata Mata Kiri Phacoemulsifikasi + IOL AL GR 2

Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasi + IOL AL YW,DI GR 2
Mata Kanan Kiri Katarak Senilis Imatur Mata kiri Phacoemulsifikasi + IOL RF GR 2
Mata Kanan Katarak Komplikata + High
Mata Kanan Phacoemulsifikasi + IOL WIS GR 2
Myopia
Mata Kanan Sekunder Implant dg Iris
Mata Kanan Afakia WIS GR 2
Claw
Mata Kiri Eksisi Pterigium + Limbal Stem
Mata Kanan Kiri Pterigium Rekuren DN GR 2
Cell Graft
Susp Ca Ovarii Surgical Staging + FS KH EN √ SU,BY GR 3
Cholelithiasis Laparoscopy Cholesistectomy KH ERI √ BY SU GR 3
TMD C/ Ganas Eksisi + Biopsi + FS Ganas MRM YAN ET,AD GR 4
TMD C/ Ganas T3N0M1 Eksisi Biopsi Multiple + PA B UUD √ GR 4
Fr. Zygomaticum Maxilla Complex Rekonstruksi Fr. Tl Wajah KH RZ √ TA,EA TA DA GR 5
Ulkus Dekubitus Gr III - IV Reg Sacrum Debridement + Rekonstruksi Flap KH RZ √ HA GR 5
Hipospadia Uretroplasty KH PJ √ GR 5
: (MID :ST ) SORE PROGRAM : EV,AH,RK,AG,AM,AT,AY,DW,BD,TK,HA,HR,MY,WI,ANM,PS,MF,RK,RG,RA,SC,SA,WU ALAT : PUR ( S : DW)
Ruptur ACL Rekontruksi ACL KH DID √ AP PS 10
Keloid Preauricular Eksisi & Rekontruksi STSG KH RZ √ MK HA GR 5
Mata Kanan Glaukoma Sekunder ec Mata Kanan Ekstraksi katarak Intra B,S RF √ HR GR 2
Subluksasi Lensa Kapsuler + Vx Anterior
Mata kiri Katarak Juvenile Mata Kiri Phacoemulsifikasi + IOL KH RF √ GR 2
CKD Pasang WSD S ALI √ AN PL
Mata Kanan Selulitis Orbita ec Tumor Mata Kanan Eksenterasi Orbita Biopsi + KH TL √ EW RM GR 2
Retrobulber Susp Ca Sinonasal PA
Maksikeltomi Medial KH DAT √
Peritonitis ec Apendiksitis Laparatomi Eksplorasi Appendiktomi KH RR √ YS NH CITO
ICH + EDH Kraniotomi KH AJ √ AR HE CITO

G2P0A1, Eklamsia + PPI + KPD SCTP B JD √ Gatot MY RG, CITO
EDH Craniotomi KH ER √ YS DY CITO
SDH Kronis Craniotomi KH ER √ DY RM CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE*,AR,
PLH KARU : AL, LOKET SORE : GI, RR SORE : DN,RM S: EV,AH,RG CT
DA
Hipospadia Repair Fistel Uretrocutan (Uretroplasty) KH ADS √ AS,DM 1
Hipospadia Repair Fistel Uretrocutan (Uretroplasty) KH ADS √ S : AT,EA AS DM 1
Sistoscopy Biopsi + DJ Stent k/p

Ca Cervix 3B, Hn + HU Bilateral ADS 1
Nefrostomi
Nefrolithiasis Dx et Sin + Uretrolithiasis Pyelotomi + DJ Stent dex KH,B ADS √ 1
OMSK Kiri Pasca ME Simple +

Simple ME + Thimpanoplasty Revisi B,KH ZUL √ EA AT 1
Thimpanoplasty
LF DAT EM,AO DS
LNH Sinonasal + Mata kiri palpebra
Hemimaksilektomi KH DAT √ S : WI EM AO 2
superior suspect malignansi
Mata kiri Orbitotomi Anterior +
KH TL √
Rekontruksi Palpebra
Impaksi Odontectomi 2 Rahang KH OEN √ AZ 2
Multiple Ekstraksi 7 Gigi ganggren +

Gangren B DV √ AZ 2
Multiple 7 gigi Tambal
Fr Mandibula Reposisi Fixasi IMW KH DV √ PS SE 2
KH,KH,
P1A0 48 th NOK TAH + BSO + Adhesiolisis Luas + FS MZ √ TW,ES TW ES 4
KH
Surgical Staging (TAH + BSO + LPB + KH,KH,
Adeno Ca Endometrii EW √ S : TR,AM TW ES 4
Adhesiolisis ) B,S
Multiple Gigi Ganggren Multiple Ekstraksi Gigi B RP √ TR AM 4
Tumor Mediastinum Sisi Anterior Thoracotomi + Eksisi Tumor WW 4

Efusi Pleura Sin Pasang WSD Torakal Kiri S ALI √ AG 4
Ulkus Pedis dextra Debridement ALI 4
Cholelithiasis Laparoscopy Cholesistectomy PB TD,RI* 5
Post Kolostomi Tutup Kolostomi B MG √ S : AG,ANM RI TD 5
Abses Hepar Laparatomi Drainase Abses Biopsi + PA KH MG √ TD RI 5

Fistel Recto Vagina KH,B ERI √ TM RI 5
Tranvestosotomi
Post Gastrojejunostomi, selang terlepas Repair Jejjunustomi Feeding B ERI √ ANM 5

IDC Gr II MD T3N1Mo, Limfadenektomi Wide Eksisi + Diseksi Axilla Dex B,KH BIS √ AZ,TM TM AZ 6
TMS c/ ganas T4N3M1 Insisi Biopsi + PA + Pasang WSD S,S BIS √ S : MY TM AZ 6

Debridement + Rekonstruksi
Mesh exposed post eksisi + Rekonstruksi KH BIS √ AZ MY 6
Debridement
TMS c/ ganas T4bN0M1 Insisi Biopsi S UUD √ MY EV 6
STT Reg Gluteus Femur Dx Wide Eksisi + PA B DWT √ MY RE 6
CKD Ganti Double Lumen WW 6

Laparotomi Eksplorasi Reseksi
Prolaps Ductus Omphalomesentericus KH EDW √ AI*,DB BY AI 7
Anastomosis Ileal
Corpal Digit I Ekstraksi CorpalAlienum B RZ √ S : RK,ST DB AI 7
Debridement + Rekonstruksi Wajah +

Fingertip Injury KH,KH RZ √ AI DB 7
Rekontruksi Figer Tip Injury
Fr. Acetabulum ORIF BIN 7
Fr Clavicula Sin + Hematom Reg Femur
ORIF Clavicula Sin KH BIN √ 7
Sin
Insisi Drainase S NJT √
Fr Kompresi Vth L1-2 Laminektomi KH AJ √ SF,BR 8

Fusi Posterior + Lateral Mass KH HY √
Tetraparese ec Spondilitis Cervical,
Tumor Servical KH AJ √ S : WU,RA WU DJ 8
Abses
Carvernous di Frontal Dx (Epilepsi
Craniotomi Bedah Epilepsi KH ZM √ LW,VQ VQ LW 9
Terkontrol)
Craniotomi Fiksasi Internal Cranium KH MTA √
IOM KH Aris C √
Meningioma Suprasella Craniotomi Dasar Tengkorak KH MTA √ S : SA PM DN 9
Craniotomi Fiksasi Internal Cranium KH ZM √
Fr Femur Dx Post ORIF, Fr Tibia Dx Post Revisi ORIF Femur + ORIF Tibia + Lepas KH,KH,
APR √ PR,AP 10
ORIF FSE + Debridement B,B
Tumor Ekstradura Vth 11-12, L2, Ca
Laminektomi Decompresi + FUSI KH,KH APR √ S : NO,YS 10
Prostat
Core Biopsi Prostat B ADS √
Plexus Brachialis Injury Rekontruksi Negleted Case bone KH DRY √ NO 10
Fr Collum Femur Hemiartroplasty Biporal Hip Dex KH DID √ MF HI 10
Fr Kompresi VL 5 + Tibia Fibula ORIF Tibia Dex KH DID √ HI PS 10
EN,MA,AF, EN,
CHF Nyha I ec CAD 3VD CABG High Risk BJ.11 SF √ JT
BP,SS, IM, ND MA
Fr. Costae 2-3-4 segmental trauma

tumpul thoraco abdominal + Fr. Radius Thoracotomi + Clipping Costae KH,KH ALI √ S : BD,TK TK BD JT
Ulna 1/3 tengah segmental
Multiple Fr Tulang Panjang-ORIF +
KH,B DRY √
Debridement
Mata Kanan Coloboma Palpebra Mata Kanan Koreksi Coloboma Palpebra B AK √ NK,TU TU NK GR 1
Mata Kanan RRD + Pseudofakia Mata Kanan Vitrectomy + SB + EL + SO KH AW √ S : HR,HA,RE TU NK GR 1
Mata Kiri RRD Mata Kiri Vitrectomy + EL + SO KH AW √ HR GR 1

Mata Kanan KSI + PDR Mata Kanan Phaco + IOL RF YW,DI GR 2
Mata kiri buka jahitan + vitrektomi
Mata kiri afakia + Post Jahit kornea WIS GR 2
Anterior + secondary implant (iris clip)
Mata kiri PDR + CSME + vitrektomi

Mata kiri injeksi TCA subtenon AW GR 2
hemorage
Laparoscopy Adesiolisis Reseksi
Adnexitis KH TF √ NP,BY NP BY GR 3
Adenomiosis Salpingostomi
Laparoscopy Adesiolisis Kistectomi Ov
Kista Ovarii KH TF √ BY NP GR 3
Kiri
KH,KH,
NOK TAH + BSO + Adhesioisis + FS EN √ BY NP GR 3
S
Tumor Paratiroid + GCT reg genu dex,
Paratiroidektomi Sin + PA KH YAN √ ET*,AD ET AD GR 4
elbow dex
Fisioterapi + Pasang Gips Back Slap S APR √
Ismolobektomi Dex + FS ganas - Total
SNNT Dx c/ Ganas KH,KH YAN √ ET AD GR 4
Tiroidektomi
Vulnus Labium Sin Rekonstruksi Bibir KH RZ √ TA AU,SU GR 5
Malformasi Vaskuler Reg Femur Dx Eksisi + Rekonstruksi KH NJT √ TA,AU,SU AU SU GR 5
Entrapment Bola Mata Kanan + Multiple
Rekonstruksi Mandibula KH NJT √ SU AU,SU GR 5
Fr Tulang Wajah
Fr ZMC Bilateral Rekonstruksi Fr Wajah KH PJ √ RE HA GR 5
(MID : PM) SORE PROGRAM : EV,AH,RK,AM,AT,AY,DW,TK,HA,MY,ANM,RG,RA,SC,SA,WU,RE,DN,EA,HR,YS,NO,RM,ST,TR,YR,GI,AG*,BD*,WI* ALAT :
Efusi pleura dextra Pasang WSD S ALI √ AG

MAN 57 Pasang CVC KH HA √
Efusi pleura dextra Pemasangan Pigtail (WSD) S THOM √ DS
URS-Pasang DJ Stent Sin-Lepas DJ

Nefrolithiasis Dx et Sin KH MAS √ AN PL DS
Stent 2 sisi
Retensi Urin Uretrocopy + Litotripsi KH,KH MAS √ AN PL DS
Ca Sinonasal Aff Tampon Anterior Cavum Nasi K DAT √ DS
CKD amputasi tangan Kanan B AS √ DY SE
G3P2A0, CHF, NYHA II SCTP + MOW B HR √ Gatot HE AR CITO

SCTP B DC √ Adhie DA AR CITO
Totalis
ICH Kraniotomi KH ER √ AR SL CITO
EVD KH ER √ ST AH,RG CITO
Post Ligasi PDA Debridement + Rehecting B ALI √ AH RG CITO
G2P1A0, mpending Eklamsi SCTP + IUD B PS √ Gatot HE DA CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

S: EV,AH,RG SL,HE,AR, DA CT
Hydrocele Dx Hydrocelectomy + Sirkumsisi S,S ADS √ AS,DM DM AS 1
Massa Buli, HN Blood Clot Evakuasi + Biopsi Buli S,S ADS √ S : AT,EA AS DM 1
Policystic Kidney Eksplorasi Ginjal Dx + DJ Stent Dx ADS 1
Silikonoma Penis Eksisi + Rekonstruksi Penis KH RZ √ AS DM 1
Combustio Debridement B RZ √ EA AT 1
Batu ureter, Kista Ginjal URS + Laparascopy Kista Unrofing KH,KH MAS √ EM,AO SA AO 2
Kolesteatom Eksterna Kiri Ekstirpasi Kolesteatom S PW √ S : TU SA AO 2
CVST + Multisinusitis Kronik FESS III + Konka Reduksi KH,S RH √ TU AT 2
TU,
Limfadenopati Colli ec Ca Tonsil Limfadenektomi S WY √ 2
HR
Percutanius Disectomi + Discography + KH,S
Myelopathy Lumbal HNP L3-4-5 TRI A √ AD* 3
Neuroplasty KH
Hidropneumothorax Sinistra WSD S ALI √ 3
CKD Double Lumen ALI 3
CKD + Dilatasi Vena Ligasi Vaskuler WW 3
PoAo 39 th Mioma Uteri TAH + SOD KH,B MZ √ TW*,ES TW ES 4
NOK dg Bag. Padat c/ Ganas SOU + FS EW S : DN 4

Laparatomy Anterior Reseksi +
Tumor sigmoid ganas KH ERI √ ES TW 4
Colostomy
Fistula Recto Vesica Post Colostomy Tutup Colostomy KH ERI √ DN 4
CKD on HD, Asites Drainase Asites S PB √ TD,RI RI TD 5
Fistula Recto Vagina Colostomy B MG √ TD RI 5
Adeno Carsinoma Recti T4bN2Mx Miles Procedure KH MG √ S : AG,ANM RI TD 5
Cholesistolistihasis Laparascopy Cholesistectomy KH MG √ AG ANM 5
Invasive Ca of MST Gr III MS MRM KH DH AZ,TM AZ TM 6
B,KH,B
Tumor Mamae Wide Eksisi + Diseksi Axilla Dex,Sin UUD √ S : MY TM AZ 6
,KH
Ca Mamae Wide Eksisi + Diseksi Axilla B,KH DWT √ 6
Ekstrofi Bladder + Vacterl Syndrome Laparatoi Reseksi Colon + Ileostomi KH EDW √ AI*,DB DB AI 7
Rekontruksi Abdoment KH NJT √
Bladere Recontruction + Ureterostomi
KH,S ADS √
Bilat
Recontruction Pelvis KH BIN √
Observasi Cholestasis, Serosis Hepatis Laparatomi Explorasi Biopsi Hepar KH EDW √ S : RK,YR RK AM 7
Tumor Dinding Abdomen Insisi Biopsi S EDW √ AM RK 7
Fr VL 2 Frankel E Laminectomy Kompleks KH AJ √ SF,BR BR SF 8

Fr Distal Radius Ulna ORIF Radius + ORIF Ulna dex KH,KH DID √ S : BD MF 8
Repair Stump Amputasi Femur Dex +

Bone Expose S,S DID √ MF 8
Removal Implant Manus Dex
Skin Loss reg antebrachii dextra, fr. MF,
Debridement B RZ √ MY 8
Dislokasi elbow joint sin BD
ORIF Humerus Sin + Fiksasi External
KH,KH DID √
Radius Ulna
ICH post craniectomy Cranioplasty Rekontruksi KH GK √ LW,VQ LW VQ 9
SOL suprasella Craniotomi Dasar Tengkorak KH DP √ VQ LW

S : GI* 9
Scoliosis Thoracolumbal Koreksi Scoliosis APR PR,AP 10
Laminectomy Debridement sampai
Abses Paravertebra Th 11 - L2 KH APR √ 10
Tulang
Fr Radius Ulna Dx 1/3 Distal ORIF Radius + ORIF Ulna KH,KH APR √ S : NO NO 10
Fr Femur ORIF DRY 10

Ruptur ACL Arthroscopy Rekontruksi ACL KH BIN √ PS TK 10
Fr Intratocanter Femur Dx Hip Artroplasty Dex KH BIN √ WI HR 10
EN,MA,AF, EN,
CHF Nyha II ec MR Severe MVR BJ.09 SF √ AF JT
BP,SS, IM, ND MA
Mata Kanan Silicone Oil Filled Eye + Mata Kanan Evakuasi Silicone Oil +
KH,KH AL √ NK, MK NK GR 1
Glaukoma Sekunder Sinekiotomi
Mata Kiri Katarak Senilis Imatur +
Mata Kiri Vitrectomi + EndoLaser + Gas
Tracsional Retinal Detachment + KH AL √ S : HA,RE MK NK GR 1
C3F8 + MP
Proliferative Diabetic Retinopathy
Mata Kiri Silicone Oil Filled Eye + Retinal Mata Kiri Vitrectomi + EL + Silicone Oil
KH AL √ MK GR 1
Still Detach + Glaukoma Sekunder Exchange
Mata Kiri Glaukoma Sekunder ec Luksasi

Mata Kiri Vitrectomi + Secondary Implant AL GR 1
Lentis
Mata Kanan Kiri Primary Angle Closure

Mata Kanan Trabekulektomi B MR √ YW,DI* DI YW GR 2
Mata kanan Katarak Senilis Imatur, Mata Mata kiri secondary Implant ( Iris Claw ) +
FET GR 2
kiri Afakia Vitrektomi Anterior
Mata kiri Katarak Senilis Matur Mata Kiri Phacoemulsifikasi + IOL WIS GR 2
Mata kanan Kiri Katarak Senilis Imatur +
Mata kanan Phacoemulsifikasi + IOL WIS GR 2
Myopya Degeneratif
Mata Kiri Katarak Senilis Mata Kiri Phacoemulsifikasi + IOL AL GR 2
Mata kanan Primary Angle Closure
Glaucoma + Katarak Senilis Imatur , Mata kanan Phacoemulsifikasi + IOL MR GR 2
Mata kiri Pseudofakia
Kista Ovarii Laparoscopy Kistektomi KH TF √ NP,BY BY ER GR 3

Laparoscopy Multiple Miomektomi
Multiple Mioma KH TF √ BY NP GR 3
Adhesiolisis
NOK c/ ganas Surgical Staging + FS KH EN √ HA GR 3
Ca Thyroid Total Tiroidektomi KH YAN √ ET*,SU ET SU GR 4
Ca Thyroid Total Tiroidektomi KH YAN √ SU ET GR 4
Finger Tip Injury Rekonstruksi B RZ √ TA AU GR 5
Kontraktur Dermatogen Reg Flexi Digiti
Release Kontraktur Kompleks KH NJT √ TA,AU AU TA GR 5
II, III, IV Manus Dx
Malformasi Vaskuler Eksisi + Rekonstruksi KH NJT √ AU TA GR 5
Fr ZMC Dx Rekonstruksi Tulang Wajah Kompleks KH ETH √ TA AU GR 5
Ulkus Granulosum Reg Ekstermitas

Superior Sin, Ekstermitas Inferior Sin, Debridement Luka Bakar KH ETH √ RE EA GR 5
Flank
ER (MID : PM) SORE PROGRAM : EV,AH,RK*,AM,AT,AY,DW,HA,MY,ANM,RG,SC,SA*,WU,RE,DN,EA*,NO,RM,TR,YR,GI,AG,BD,TU ALAT : PUR ( S : D
Scoliosis Thoracolumbal Koreksi Scoliosis + Instrumentasi Fusi KH,KH APR √ AP PR 10
Fimosis Sirkumsisi S PTY √ AY
Mata Kanan Post Eksenterasi Orbita Mata Kanan Hemostasis + Rehecting S TL √ DI GR 2
Ca Cervix c/ Metastase VU Sistoskopi Biopsi S WAN √ AN PL DS
Nefrolithiasis URS + DJ Stent KH,B MAS √ AN DS
Efusi Pleura Dx Pasang WSD S ALI √ LA
G2P1A0, Hml 39mg, Bleum Impartu SCTP dg penyulit + IUD KH PS √ Gatot HI SE CITO
G3P1A1, Hml 39mg, Bekas SC SCTP B EN √ Gatot CITO
Gagal Nafas ec Prolong ET Traceostomi S DAT √ DA WD CITO
Stenosis Tracea LD evaluasi S DAT √ WD CITO

Laparatomi Hemikolektomi Kanan +
Apendicitis Infiltrat Abses KH PB √ WD DA CITO
Anastomose E to E
G3P1A1, Hml 37mg, Bekas SC SCTP B MZ √ Arsita WD DA CITO
Laparatomi Hemicolectomi Dex KH MM √ TR AH,RG CITO
Fr Impresi Koreksi Fr Impresi Kompleks KH AJ √ CITO
G3P1A1, Hml 37mg, Bekas SC SCTP + MOW B VG √ CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,HE,UM,
S: EV,AH,RG CT
AR, DA
Epispadia dgn Chordae Uretroplasty KH ADS √ AS,DM AS DM 1
Hipospadia Uretroplasty KH ADS √ S : AT,EA DM AS 1
ACL Artroscopy + ACL Rekonstruksi S,KH DID √ EA JF 1
Arthrodesis Ankle Joint + Postro Medial

Charcot Joint Sin B,B DID √ EA TR 1
Lagthening Tendon
Fiksasi External Cruris + Removal ST,
Multiple Fraktur S,S DID √ WI 1
Implant DN
Tonsilitis Kronis Tonsilektomi S FAR √ GI,AO HR TK 2

Kista Ginjal Nefrectomy Radikal Laparascopy KH MAS √ S : TU 2
Tumor Mediastinum Sternotomi Explorasi Excisi Tumor KH WW √ TU RK 2
Akut limb Iskemik Pedis Dx Embolektomi + Amputasi KH,S ALI √ BD DN 2
CKD Psg DL K ALI √ AD AD 3
Ca Cervix Surgical Staging KH MZ √ TW*,ES TW ES 4
Mioma Uteri TAH + SOS KH,KH VG √ S : AM ES TW 4
P2A0 Adeno Ca Endometrii ST II Surgical Staging KH EW √ TW AM 4
Multiple Limfadenopati Paraaorta Laparotomi Explorasi + Biopsi Tumor KH PB √ TD,RI RI TD 5
Fistula Paraaorta Fistulectomy B PB √ TD RI 5
Laparatomi Bypasss
Tumor Ampula KH MG √ S : AG RI TD 5
Coledocoduodenustomi
Repair Fistula dgn Lokalotral
Fistula Rectovagina KH ERI √ AG 5
Advancement Flap Vagino Rectum
Mucinous Ca Recti on Colostomy Tutup Colostomy KH ERI √ AM YR 5
Ismolobektomi + FS ganas - Total

SNNT c/ Ganas KH,KH BIS √ AZ,TM AZ TM 6
Tiroidektomi
Limfadenopati Colli c/ Ganas Limfadenektomi Biopsi S BIS √ S : NI 6
Tumor Mamae Bilateral Wide Eksisi Mammae Dex,Sin + FS B,B UUD √ AZ TM 6
Tumor Intra Abdomen Reg Pelvis Laparotomi Eksisi Tumor RR AI,DB 7
Hipospadia Uretroplasty tahap I KH ETH √ DB AI 7
Malformasi Vaskuler Reg Hemithorax Sin Injeksi Kortikosteroid Intra Vestibuler S ETH √ S : RK,TM AI DB 7
Ulkus Granulosum Reg Pedis Sin STSG B PJ √ DB AI 7
Meningioma Spheno Orbita Craniotomi Dasar Tengkorak KH DP √ SF,BR VQ SF 8

Pasang CVC KH HN √ S : TR
Meningiomatosis Craniotomi Dasar Tengkorak KH MTA √ LW,SA,VQ TR 9
Tutup Defect Kranial KH HY √
Macroadenoma Hipofise Transpenoid Surgery KH ZM √ S : MF,WU MF WU 9
Fr Femur ORIF Shaft Femur KH DRY √ PR,AP 10
Fr Distal Radius Dx ORIF Multiple Fr KH APR √ S : NO* AP PR 10

Dislokasi Elbow Dextra Reposisi Tertutup S APR √ PL 10
Tumor Medula Spinalis Laminektomi Dekompresi + Biopsi KH APR √ NO 10
Fr. Tibia Sin 1/3 Distal ORIF DID 10
EN,MA,AF, EN,
CHF Nyha II CAD 3VD CABG High Risk BJ.11 SF √ AF JT
BP,SS, IM, ND MA
Mata Kanan Silicone Oil Filled Eye + Mata Kanan Phacoemulsification + IOL +
KH,KH AW √ NK*,MK MK NK GR 1
Katarak Silicone Oil Evacuation + MP
Mata Kanan Rhegmatogen Retinal Mata Kanan Vitrectomy + MP + Gas +
KH,KH AW √ S : HA,RE MK NK GR 1
Detachment PHACO
Mata Kanan Katarak Komplikata + Mata Kanan Vitrectomy + Endolaser +
KH,KH AW √ NK GR 1
Ablasio Retina Gas + PHACO
Mata Kiri Silicone Oil Evacuation + Re Vx
Mata Kiri Silicone Oil Filled Eye KH,KH AW √ NK GR 1
+ EL + SO exchange
Mata Kanan Vitrectomized Eye + Katarak
Mata Kanan Phacoemulsification + IOL AL YW,DI GR 2
Komplikata
Mata Kiri Vitrectomized Eye + Katarak
Mata Kiri Phacoemulsification + IOL AL GR 2
Komplikata
Mki Katarak Komplikata + Vitrectomized
Eye, MKa Proliferative Diabetic Mata Kiri Phacoemulsification + IOL KH AW √ GR 2
Retinopathy Regression
Mata Kanan Phacoemulsification + IOL AW GR 2
Vitrectomized Eye
P2A1 57 th NOK SOU + FS B INU NP,BY,ANM BY ANM GR 3
BY,
Mioma Uteri dd/ Sarcoma Uteri Histerektomi Total + BSO + Adhesiolisis KH,B EN √ NP GR 3
ANM
Laparoscopy Salpingektomi Sin +
Kista Ovarii, Hidrosalphing Neosalpingostomi Dex + Driiling Ovarium KH,KH INU √ GR 3
Bilat
Laparoscopy Kistektomi sin + KH,KH,
Kistoma Ovarii INU √ RE HA GR 3
Myomektomi + Neosalpingostomi Bilat KH
TMS c/ Ganas Insisi Biopsi S DH √ ET,SU SU ET GR 4

Ca Papillary Thyroid Total Thyroidectomy KH DH ET GR 4
Hipospadia Rekontruksi Hipospadia KH NJT √ TA,AU AU TA GR 5
Osteomyelitis Debridement / Nekrotomi B NJT √ TA AU GR 5
Luka Bakar gr II 1b 65 % Debridement KH RZ √ TA AU GR 5

ER* (MID : PM) SORE PROGRAM : NO*,EV,AH,RK,WU,YR,GI,AG,AM,NI,AT,RE,AY*,EA,HA,TU,MF,RG,SC,TM,YR ALAT : PUR,SR ( S : DW)
CKD Repair Double Lumen K AS √ MK NK
Mata kanan Inj. Ceffasidine Vansomycin
Mata Kanan Endoftalmitis + Afakia S AL √ HR
Intravitreal
ALL BMP B NYO √ PL WD DS
Phlegmon Dasar Mulut Meluas ke

Insisi Drainage + debridement S,B WW √ AR,HE DA CITO
Thorax
Odontectomi 2 Rahang + Insisi Abses dg
KH,B RP √
penyulit
Fr Tibia Dex ORIF KH DID √ AH NI CITO
Kraniotomi Konvensional KH HY √
Apendicitis Akut Laparascopy Appendiktomi KH MG √ TK MY CITO
Laparatomi Explorasi Release Valvulus +

KH,S EDW √ CITO
Apendiktomi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

SL,HE,UM,
S: NO,RK,RG* CT
AR, DA
Hipospadia Chordectomi B EDW √ EV,AS,DM 1
Hipospadia Uretroplasty I + Chordectomi KH,B EDW √ S : AU,MF 1
Corpal Peluru Senapan Angin Ekstraksi Corpal Peluru di laring B WY √ AU YS 1
Massa Laring dd/ Granuloma LD + Exterpasi Tumor S,S FAR √ S : AD,AY DN MY 2
Tumor Mandibula Parsial Mandibulektomi KH DV √ GI,AO GI AO 2

Rekontruksi dg Plat dgn Screw KH RZ √
3
Histerektomi T otal + SOB + Adhesiolisis KH,KH,
Neoplasma Ovarium Padat EN √ TW,ES* TW ES 4
+ FS S
Timpanoplasty Telinga Kanan +
OMK Dry Ear Dx KH,B ZUL √ S : DY DY ES 4
Kanaloplasty
Adeno Ca Recti T2N1M1 Laparatomi Milles Procedure KH PB √ TD,RI RI TD 5
Ascites Drainage Ascites S PB √ S : AG ES TW 5

SNNT c/ Ganas KH,KH BIS √ AZ,SR AZ SR 6
Tioridektomi
SCC Reg Temporal Dx Eksisi Biopsi + FS Tepi Bebas Tumor B BIS S : YS,YR SR AZ 6
SNNT Ismolobektomi + FS KH DWT √ YS YR 6
Skin Loss Reg Femur Sin Sisi Anterior +

Derbidement B ETH √ AI,AM AM AI 7
Fr Metacarpal
ORIF Metatarsal 2 Dex KH DID √
Hemangioma Reg Bucal Sin Eksisi Hemangioma + Inj. Triamsinolon S,S PJ √ S : TM AI AM 7
Ulkus Granulosum Reg Iliaca Dx et Sin Debridement + STSG Luas B,KH PJ √ TM YR 7

Wound Dehiscense Re-Hecting DP SF,II* 8
Phimosis Sircumsisi EDW S : BY 8
Meningioma Sphenoid Wing Craniotomi Dasar Tengkorak KH ER √ LW,SA,VQ SA VQ 9
Pasang CVC KH DS √ S : AF
OA Genu Bilateral TKR Genu Dx KH APR √ PR,AP AP PR 10
Osteomilitis Pedis Sin Amputasi Below Knee KH APR √ BR SC 10
Fr Acetabulum Sin, Avulsi Femur Sin Debridement Luas + Eskarektomi B RZ √ S : BR*,SC 10
Ruptur Tendo Achilles Rekontruksi Tendon Achiles Dex KH BIN √ EA BR 10
Genu Striktur Remove Implant B BIN √ AT EA 10
BJ.03 EN,MA,NI EN,

ASD Repair Katup Tricuspid + ASD Closure WW √ NI JT
BJ.04 BP,SS, IM, ND MA
Mata Kiri Vitrectomy + EL + MP + Gas

Mata Kiri Vitreos Hemorage KH AL √ NK,MK MK NK GR 1
SF6
Mata Kiri RRD Mata Kiri Vitrectomy + EL + SO KH AL √ S : HA,TU MK NK GR 1
Mata Kanan Granuloma Post Rewide
Mata Kanan Eksisi Granuloma TL YW,DI GR 2
Eksisi + Rekonstruksi Palpebra
Mata kanan kiri PDR regresi + CSME +
Mata kiri Inj. TCA Sub Tenon AL GR 2
KSI
Laparoscopy Supra Sevical Histerektomi NP,
P2A1 Multiple Mioma Uteri KH,KH TF √ NP,ANM,PL PL GR 3
+ Kistectomi Sin ANM
NOK SOU + FS B SR √ GR 3
Limpadenectomi Plevis Bilat B MZ √
Repair Buli S MAS √
TMS C/ Ganas Subkutan Mastektomi KH DH √ ET,SU SU ET GR 4
Ca mammae dextra Wide Eksisi + Deseksi Axilla KH,B UUD √ ET SU GR 4

Kontraktur Dermatogen Digiti I Manus Release Kontraktur Kompleks KH NJT √ TA,TR TR TA GR 5
Ulkus Granulosum Reg Brachii Dx STSG + Debridement KH RZ √ TA TR GR 5

ER (MID : PM) SORE PROGRAM : NO,RK,AU,AG,AF,AY,AD,BR,BY,DY,HA,TU,MF,YS,RG,SC,TM,YR ALAT : PUR,SR ( S : DW)
Laparascopy Drainage Abses + Biopsi
Abses Hepar KH MG √ AG II 5
Nodul Hepar
Pansitopenia BMP B NYO √ AU MF 8
Localized Empiema Dex C/ Tumor Paru Thoracotomy Dekortikasi + Repair Fistula KH,KH WW √ AD 2
Efusi Pleura WSD Sin S WW √ II

CKD Repair Double Lumen K ALI √ SF II 8
Insisi Biopsi + PA S BIS √
CKD Pasang Double Lumen K ALI √ II SF
GIP0A0, Partus Tak maju SCTP + IUD B HR √ Gatot DA HE,UM CITO
ICH Kiri Craniektomi Dekompresi KH ER √ AF BY CITO
OA Genu Sin Debridement KH DID √ RG RK CITO
Laparatomi Explorasi Salpingektomi Sin +

G2P1A0, Hml 15mg, KET B,B DC √ CITO
Kistektomi Dex
Corpal Bronkoscopy Ekstraksi Benda KH MYS √ MF CITO
Fr Femur Dex 1/3 tgh Displ Ttp NK + Fr
ORIF Multiple Fr Femur,Tibia Patela KH APR √ RG RK CITO
Tibia
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ET,NI,ES,
S: RK,AU,MF,HA CT
DA
Tetraparese Inferior e.c Multiple HNP
Laminoplasty Internal Fiksasi + Fusi KH APR √ AS,DM 1
Cervical
Multiple Ekstraksi 3 gigi ganggren +
Ginggiva Abses + Caries Dental B DV √ GI*,DJ,EW DJ,GI GI 2
Tambal gigi Karies 9 gigi
Reposisi Fiksasi IDW IMW (Rekontruksi
Mal Oklusi ec Fr Mandibula KH DV √ S : AY,AD DJ,GI PL 2
Fr Wajah Kompleks)
3
TMS c/ Ganas Insisi Biopsi + PA BIS TW,WD 4
ER,
PoAo Mioma Uteri TAH + Adhesiolisis Luas Banget KH MZ √ S:DY,TU,BY* TW 4
VQ
G3P2A0 Hamil 7 minggu, KEBT Laparoscopy Salpingostomi Dex KH INU √ 4
Mioma Uteri Histerektomi Supra Vaginal KH INU √ DY AD 4
TVH + Kolporafi Anterior + KH,KH, UM,

Prolaps Uteri ER √ UM,RI RI 5
Kolpoperineorafi KH RE
Limpadenopati Colli Diseksi Axilla Dex KH UUD √ AZ,SR SR AZ,DI 6
AZ,
Charcot Joint Dx Remove Implant Pedis Dex B BIN √ S:BR,SC*,YS PM 6
SR
BR,
OA TKR Sin KH BIN √ YS 6
SC
AI,AM 7
II,HE 8
SA,VQ 9
OA Genu TKR Dex KH DID √ PR,AP AP PR 10
S : YR,AF 10
EN,MA,BP
JT
,SS,IM
NK GR 1
YW,DI GR 2
NP,PL GR 3
TA,TR GR 5
SORE PROGRAM : RK,YR,AY,AF,AU,HA,AD,DY,TU,MF,BR,YS,BY*,SC* ALAT : PUR,SR ( S : )
Ileus Obstruksi Laparatomi Explorasi Reseksi Ileum + KH PB √ AM AI

Double Barel Ileustomi
Efusi Pleura Dx Psg WSD S Fathur √ JF US DS
Efusi Pleura Pigtail Thorax WSD S Fathur √ JF US DS
G4P2A0, Hml 37mg, Impatu kala 1 SCTP + IUD B OP √ Arsita DA SL, ET CITO
Drainage Asites S RR √ AU AF CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
FESS III + SR + Konkoplasty KH,B,S RH √ MF EW

RSK + Septum Deviasi + Konka hipertrofi
ICH + IVH Kraniektomi + EVD KH,KH AJ √ BR BY CITO
G2P1A0, Hml 38mg, Bekas SC SCTP dg Penyulit B OP √ MK NI CITO

Susp Cav Polip Laring Bronkoscopy + Ekstraksi Corpal Bronkus KH,B DAT √ DA BD CITO
Traceostomi S DAT √ AD DM CITO
Fibrosarcoma Cavum Nasi Eksterpasi Fibrosarcoma Cavum Nasi S DAT √ BD DA CITO
FESS + CWL KH,B DAT √ NI DA CITO
Ileus Obstruksi Laparatomi Explorasi Repair Perforasi KH PB √ RE RG CITO
ICH Kraniektomi KH AJ √ BY BR CITO
Papiloma Laring LD Ekstirpasi Massa + Ganti Kanul S FAR √ AF NO CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,
PLH : EV CT
SL,HE,UM,ID
Hipospadia Uretroplasty Tahap II KH ADS √ AS,AM 1
Hipospadia Uretroplasty Tahap II KH ADS √ AS AM 1
Burger Disease Pedis Sin Debridement B WW √ AN DI 1
Laparatomi CBD Explorasi + T Tube +

Choledocolithiasis KH,KH PB √ GI,AO AO II 2
Cholesistectomy + Adhesiolisis
Ileus Obstruktive + Partial + Ascites Drainase Ascites S PB √ II AO 2
G2P1A0 Hamil 37 mg Janin 1 Hidup

SCTP B INU √ ADHIE DB RI 2
Intrauterin dg VSD, PH Mild to Moderate
Ca Ovarii Inadequate Staging Laparatomi Explorasi + Biopsi KH MZ √ TW, RE TW RE 4

KH ERI √
Kompleks
Adenomiosis + Salphingitis Kronik TAH + Kistektomi Dex + Adhesiolisis KH,B,S HR √ RE TW 4
Surgical Staging + Histerektomi Total + KH,KH,

Tumor Padat Ovarii EW √ SU 4
BSO + FS KH
Tumor Gaster Laparatomi Gastrectomi MM TD,TM 5
Laparotomi Biopsi + Gastrojejunostomi
Tumor Caput Pankreas KH,KH MG √ TD US 5
Roux en Y
Laparatomi Eksplorasi + Sigmoidostomi +
Adeno Ca Recti KH ERI √ TM TD 5
Biopsi Tumor
Tumor Intra Abdomen extraluminer Laparatomi Biopsi KH ERI √ VQ 5
Tumor Parotis Sin c/ Ganas Insisi Biopsi + PA S YAN √ SE, DJ BY SE 6
SNNT c/ Ganas T2N1M0 TT + RND Sin + FS KH,KH DWT √ SE BY 6
SNNT Ismolobektomi + FS ganas - TT KH,KH DWT √ ES NI 6

Atresia Billier Kasai Procedure KH PTY √ AI,RG RG AI 7
Tumor Intra Abdomen Laparatomi Biopsi KH RR √ PS NI 7
Hipospadia Uretroplasty Tahap I PJ 7
Ulkus Granulosum reg femur sin Debridement + STSG KH PJ √ DA GI 7
Spondilosis Cervical Laminektomi Dekompresi (Kompleks) KH AJ √ RK,ANM ANM RK 8
SOL Cerebellum Craniotomi Dasar Tengkorak KH ER √ SA PL, 8
Hidrocepalus VP Shunt KH GK √ LW,HI 9
Meningioma Spheno Orbita Craniotomi Dasar Tengkorak KH DP √ HI LW 9
Plexus Brachialis Laring Sin SAHA Procedure DRY PR,AP 10

Debridement + Rekontruksi Bone Expose
Osteomilitis KH NJT √ PM PR 10
(Flap Lokal)
Pasang External Fiksasi KH BIN √
Skin Loss reg cruris dex post ORIF Tibia Amputasi Above Knee KH BIN √ AP 10
Ankylosing Hip Kiri THR BIN 10
AVN + Gr Sin THR Sin KH BIN √ AR 10
EN,MA,WI, EN
CAD 3VD, CHF Nyha II CABG High Risk BJ,11 SF √ WI JT
BP, SS, IM, MA
Mata Kanan Ablatio Retina Mata Kanan Vitrektomi + EL + SO KH AL √ NK,HR* NK DW GR 1
Mata Kanan Silicone Oil Filled Eye Mata Kanan Evakuasi Silicone Oil KH AL √ NK HR GR 1
Mata Kiri Post Endoftalmitis ( post
Mata Kiri Sinekiotomi S AL √ HR NK GR 1
operatif )
Mata Kanan Proliferative Diabetic Mata Kanan Vitrectomy + Endo Laser +
KH,KH AL √ HR HA GR 1
Retinopathy + Vitreous Hemorrhage Silicone Oil + PHACO + IOL
Mata kanan Proptosis Mata Kanan Inj. Triamcinolone Asetat AK GR 2
Mata Kanan Extracapsuler Cataract
Mata Kanan Katarak Senilis Imatur RF YW,HA GR 2
Extraction + IOL
Mata Kiri Reposisi IOL + Irigasi Aspirasi

Mata Kiri Pseudofakia + Sisa Korteks WIS GR 2
Sisa Korteks + Reformasi COA
Mata kiri afakia Mata kiri Secondary Implant ( Iris Claw ) WIS GR 2
Mata Kiri Katarak Komplikata ec

Mata Kiri Phacoemulsifikasi + IOL AL GR 2
Vitrectomized Eye
Mata kanan POAG + KSI + Miopia Tinggi Mata kanan Phacoemulsifikasi + IOL MR GR 2
Mata Kanan Pseudofakia, Mata Kiri

Mata Kiri Phacoemulsifikasi + IOL FET GR 2
Mata kanan glaukoma absolut Mata kanan Cyclocryoterapi FI GR 2
Laparoscopy Kistektomi + Oooforectomi

Parisial Sin,Salpingostomi Dex + KH,KH,
Adenomiosis + NOK TF √ NP,AU,MY MY NP GR 3
Adhesiolisi Reseksi Adenomiosis KH
Polipektomi
PoAo Kista Ovarii Bilateral Laparoscopy TF GR 3

NOK Surgical Staging + FS KH EN √ NP MY GR 3
Ismolobektomi Sin + Limfadenectomi
SNNT c/ Ganas KH,S BIS √ AZ,EM AZ EM GR 4
Colli Dex,Sin + FS
Ismolobektomi + FS ganas - TT KH,KH,
SNNT DWT √ EM AZ GR 4
Limfadenectomi + FS, Ganas - RND S,KH
Hipospadia Uretroplasty Tahap I KH ETH √ WU, TK TK TA GR 5
Fr ZMC + Fr Maxila + Fr Segmental
Rekontruksi Fr Wajah Kompleks KH ETH √ TA TR GR 5
Mandibula
Ulkus DM reg Pedis Dex Debridement B ETH √ DB GR 5
T (MID : TR) SORE PROGRAM : SF,II,TA,AN,ND,PM,SU,NI,BY,MW,MK,JF,DI,MF,AR,AG,DA,ES,PS,VQ,PL,RI,DB*,SA* ALAT : PUR,DW ( S : )
Nefrilis Lupus Biopsi Ginjal B OME √ AM AS 2
USG S Ayu d √
Efusi Pericardium Masif Thoracotomi Pericardial Window KH ALI √ ND DI
CKD Std V Pasang Double Lumen K ALI √ AN

CKD Pasang WSD S ALI √ AN PL
Fr Tibia Platea Dx ORIF Tibia Platea KH APR √ AR PS 10
Susp Keganasan Hematomesa BMP B HER √ DS
Fr Radius Dex ORIF KH BIN √ BD ET
Polip Endometrium Histeroscopy Polipektomi KH HR √ JF DS
Ulkus DM Amputasi + Embolektomi KH AS √ DA MW
Mata Kanan Pseudofakia, Mata Kanan

Mata Kanan Trabekulektomi B FI √ AG GR 2
Kiri POAG
Corpal Benda Asing Koin Esofaguscopy Ekstraksi Benda Asing B FAR √ AD DM CITO
G3P2A0, Hml 30mg, Fatal Distres SCTP + MOW B PS √ Gatot CITO
G4P2A1, ASD SCTP dg Penyulit + MOW KH JD √ Gatot HE SL CITO
G5P2A2, Hml 30mg, bekas SC SCTP dg Penyulit + MOW KH JD √ Adhie SL HE CITO
Apendicistis Apendictomi KH ERI √ NH SL CITO
G3P2A0, Hml 39mg, HELP Hyndrum,

SCTP + MOW B BE √ Gatot HE UM CITO
PEB
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : EV NH, SL,UM,ID CT
Hipospadia Uretroplasty KH ADS √ AS,AM AM AS 1
Hipospadia Release Chordae + Uretroplasty B,KH ADS √ S : AR,PS 1
Hidronefrosis Dex / Sin Sistoscopy + Nefrostomi sin S,KH ADS √ PS MF 1

Hidronefrosis Dex / Sin Cystocopy Pasang Kateter Ureter S ADS √ RK PS 1
Prolonged ET Tracheostomy S DAT √ 1
Rekontruksi Retroauricula Sin dg Flap
Defect Pre Auricula KH PJ √ PS 1
Fasciocutan
Mata Kiri Eksisi Massa + Silicone Tube +
Mata Kiri Tumor Palpebra Superior S,S AK √ DW AO,GI 2
Cryotherapy + PA
AO,
OMK Telinga Kanan Timpanoplasty Kanan KH PW √ GI,AO,DW GI 2
DW
Nefrolithiasis Dx PCN Dex + Pasang DJ Stent KH,B MAS √ S : AN AO GI 2
Varises Varisectomi KH SF √ AN MF 2
Ulcus Pedis Dx Debridement B ALI √ MF 2
Ulkus Varicosum Pedis Dx Striping Varises KH ALI √ AN MF 2
Ulcus Pedis Dx Debridement S ALI √ DA 2
NOK c/ Ganas TAH + BSO + FS KH,KH MZ √ TW, RE TW RE 4
NOK c/ Ganas, Depresi SOS + FS B EW √ S : ES,PL TW RE 4
Laparascopy Explorasi + Biopsi Tumor

Konstipasi kronis c/ tumor hepar KH PB √ ES PL 4
Abdoment
Colostomy Laparotomi Anastomosis Colon KH MM √ TD*,ER ER TD 5
Laparoscopy Konversi Open ER,

Peritonitis KH MG √ S : MW TD 5
Cholesistectomy MW
Tumor Intra Abdomen c/Ganas Re Laparatomy Eksisi Tumor MG 5
Laparatomi Choesistectomi + Biopsi
Tumor Intra Abdomen-Cholelithiasis B,B MG √ MW RK 5
Tumor
Hernia Umbilicalis Laparotomi Repair Hernia Umbilicalis KH,B ERI √ NI ES,PL 5
Tumor Abdominalis Laparotomi LAR ERI 5
Invasife Ca Mamae Dx MRM Dx KH YAN √ SE, DJ DJ SE 6
Multiple Limphadenopaty Biopsi Incisi + FNAB S YAN √ S : DB,RI SE DJ 6
Multiple Limfadenopati Limfadenektomi Multiple + PA B UUD √ SE DJ 6
Total Tiroidektomi + Adenektomi + FS, KH,S,K

Papilary Tiroid Carsinoma DWT √ 6
Ganas - RND Bilat H
Hipospadia Release Chordae Tunnelling B PJ √ DM DY 7
Megacolon Congenital On Stoma Duhamel Procedure KH RR √ AI,RG RG AI 7

MAR Fistula Recto Vagina on Colostomi KH,KH PTY √ S : SU AI RG 7
Reseksi Anastomose Colon E to E
Meningioma Spheno Orbita Dx Craniotomi Dasar Temgkorak KH HY √ II,ANM II ANM 8
SOL Parietal Dx Craniotomi KH AJ √ S : SA,VQ SA VQ 9

IOM KH Aris C √
Fr Distal Radius Dx Displaced Ttp Nk ORIF KH BIN √ 10
Laminektomi Disektomi + Dekompresi

Ishcialgia pasca trauma KH,KH APR √ AP PR 10
Internal Fiksasi
Paraplegi Inferior ec Fr. Kompresi VT.10 KH,KH APR √ YS WU 10
Fiksasi Fusi
Fr Ulna ORIF Shaft Ulna KH DRY √ PR,AP WU YS 10
Fr Clavicula Sin Ttp Nk + Fr Tibia Fibula

ORIF Multiple Fr Tulang Panjang KH DRY √ S : WU,YS WU YS 10
1/3 Prox Tbk
Fr. Clavicula ORIF KH DRY √ 10
BJ.09 EN,MA,WI,
TOF Total Koreksi (Repair PS + VSD Closure) WW √ EN MA, JT
BJ.04 SS, IM
Tumor Mediastinum Thoracotomi Chamberlain Prosedure KH ALI √ S : PM,ND JT
Mata Kanan Katarak Juvenile, Mata Kiri Mata Kanan Ekstraksi Lensa + Perifer
KH LN √ NK,HR* HR NK GR 1
Pseudofakia Iridektomi + IOL
Mata Kiri Katarak Komplikata + Silicone Mata Kiri Evakuasi SO + MP +
KH,KH AW √ S : DI,AG,MK NK HR GR 1
Oil Filled Eye Phacoemulsification + IOL
Mata Kiri Proliferative Diabetic
Mata Kiri Vitrectomy + Endolaser + Gas
Retinopathy + Tractional Retinal KH AW √ HR NK GR 1
C3F8
Detachment
Mata Kanan Vitrectomy + Membrane
Mata Kanan Epiretinal Membran KH AW √ MK GR 1
Peeling
Mata kanan Pseudofakia + Primary
Angle Closure Glaucoma, Mata kiri + Mata kiri Trabekulektomi FI YW,HA GR 2
Katarak Senilis Imatur + Pterigium
Mata Kanan Katarak Komplikata Mata Kanan Phacoemulsification + IOL AW GR 2
Mata kanan IOL Captured + Posterior

Capsular Opacity + Posterior Vitreous Mata kanan Eksplantasi IOL + PPC RF GR 2
Detachment Completed
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsification + IOL WIS GR 2
Mata Kanan Katarak Diabetika Mata Kanan Phacoemulsification + IOL WIS GR 2
Mata kanan Primary Angle Closure

Glaucoma + Pseudofakia, Mata kiri
Mata kiri Phacoemulsification + IOL MR GR 2
Primary Angle Closure Glaucoma +
NP,
Fistula Vesicovagina Repair Fistula KH ER √ NP,DN*,MY MY GR 3
DN
Laparoscopy Sevic Adhesiolisis +
P0A0 Kista Ovarii Bilateral Abdominal KH,KH, NP,
Ooforectomi Parsial Dex + Kistektomi Ov TF √ DN GR 3
Pain KH MY
Kiri
NOK c/ Ganas Laparatomi Debulking + FS KH EN √ AM DN GR 3
Adhesiolisis Kompleks + Reseksi
KH,KH ERI √
Anastomose Ileum
Tumor Ovarii Bilateral Surgical Staging + FS KH EN √ DI AG GR 3
STT Pedis Sin Eksisi + PA S DH √ AZ,AL AZ AL GR 4

Wide Excisi + Superficial Parotidektomi +
Tumor Kulit c/ Ganas B,B BIS √ AL AZ GR 4
FS
Ulcus Granulosum ec Luka Bakar Debridement + STSG Luas KH NJT √ TA,TK TK TA GR 5

Ulkus Reg Glutea Femur Dx dg Fistula Debridement + Rekontruksi Flap KH NJT √ TA TK GR 5
Skin Loss Genu Sinistra Eksisi + Rekontruksi KH ETH √ DI GR 5
Ulkus Granulosum reg femur dextra post
Disartikulasi Above Knee Dex KH ETH √ GR 5
amputasi
T (MID : TR) SORE PROGRAM : SF,WU,AN,ND,PM,SU,MW,MK,DI,AR,AG,ES,PS,VQ,PL,RI,DB,SA,YS,MR,RK,JF*,MF* ALAT : PUR ( S : )
Epilepsi Craniotomi Epilepsi KH MTA √ LW HI 9

DN,
G1P0A0 Letak Oblique Spasmofilia SCTP B TF √ Gatot NP GR 3
MY
Ca Mamae MRM KH DH √ DJ SE 6
Megacolon Kongenital Laparatomi Colostomi + Biopsi KH PTY √ SU
Varises Multiple Eksisi Varises KH AS √ BD
CKD Post AV Shunt Ligasi AV Shunt KH AS √ DA BR
Combustio Debridment Lukar bakar KH RZ √ WD AY
G2P1A0, Hml 34mg, PEB SCTP BE √ Gatot HE NH CITO

B
SCTP HR √
B Gatot HE NH CITO
Laparatomi Reseksi Ileum Anastomosis +
KH,KH MG √ TM SL CITO
Sigmoidektomi
G1P01A0, Hml 36mg, ASD SCTP B BE √ Gatot HE SL CITO

Laparotomi Adhesiolisis Kompleks
Tumor Abdominalis Reseksi Ileocacecum + Stoma Double KH ERI √ DB AR CITO
Barel
G1P0A0, Hml 8 bln, SCTP B TF √ Gatot DB ET CITO
Fr Frontalis Craniotomi Derbidement Rekontruksi KH DP √ DB AR CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
PLH : CT
UM,ID
Ureteronefrolithotomi Sin + Pasang DJ
Batu Ureter + Ginjal Kiri + Hidronefrosis KH,B ADS √ AS,AM AM AS 1
Stent
Ambigous Genitalis Laparoscopy Orchydectomy D/S KH ADS √ S : AN*,MF AS AM 1
Eksisi Silikonoma + Scrotoplasty

Silikonoma Penis KH ADS √ AN MF 1
(Rekontruksi)
Polikistik Disease Eksplorasi Ginjal + DJ Stent Dextra ADS 1
Limfadenopati Colli Wide Excisi B UUD √ GI,AO GI AO 2
Nefrolithiasis Dx SPCNL R + Pasang UK R KH WAN √ S : PS AO GI 2
OMK Kiri Timpanoplasty Kiri KH PW √ TA MF 2

Debridement luka bakar + Revisi Luka
Fr. ZMC, Multiple VL Luka Bakar Dig II KH,B RZ √ TA MF 2
Wajah
Abses Calcaneus Dx Debridement S ETH √ EM,EA EA EM 3
Efusi Pleura, Massa Padat Ovarium Pemasangan Pigtail Thorax (WSD) S FTR √ 3
Myelitis Lumbal Pungsi B Yovita √ EM EA 3
CKD AV Shunt WW 3
Cystadeno Ovarii Serosum Papiliferum
Laparatomi Debulking Massa Pelvis KH EN √ TW, RE TW RE 4
Borderline Malignancy
Laparatomi Reseksi Tumor Dinding
KH,KH PB √
Abdomen + Adhesiolisis Kompeleks
Laparatomi Eksplorasi (Reseksi Uterus +
Mioma Uteri KH,B HR √ S : PL PL 4
Adhesiolisis)
Mata Kiri Wide Eksisi + FS +
Mata Kiri Tumor Ganas Palpebra B,S TL √ SU PL 4
Tumor Abdominalis Laparotomi LAR + Reseksi Hepar KH,KH ERI √ TD,ER TD ER 5
Ulkus Pedis Dx + Selulitis Debridement Ulkus WW S : MW 5
Ca Mamae Biopsi Insisi + FS, Ganas - MRM Dex S,KH YAN √ SE,DJ DJ SE 6
STT Reg Punggung Insisi Biopsi + PA S YAN √ SE DJ 6
Tumor lidah c/ ganas T2N0M0 Insisi Biopsi S YAN √ SE DJ 6
SMNT C/ Ganas T2N0M0 Isthmolobektomi + FS, Ganas - TT KH,KH YAN √ ES SU 6
Kontraktur Dermatogen Release Kontraktur Kompleks KH NJT √ AI,RG AI SA 7
SCC Labium Oris Superior Pasca RND +

Eksisi + PA B NJT √ S : TA,SU AI SA 7
Rekonstruksi Wajah
P0A1, 40 th, NOK Abdominal Pain SOS + SOD + Adhesiolisis + FS B,B,S VG √ AI SA 7
Laminektomi Kompleks + Fusi Posteior

Spondilitis L4-5 KH,KH HY √ II,AU AU II 8
Fiksasi dg PSRS
Siringomyelia dengna malformasi Chiary Kraniotomi dasar Tengkorak KH AJ √ S : SA,VQ VQ AZ 8
SOL Suprasella Craniotomy Dasar Tengkorak KH DP √ LW,HI,AT 9

Pasang CVC KH UB √
RG,
SOL Reg Temporal c/ Astrocytoma Craniotomy Tumor Konveksitas KH ER √ AZ 9
AN
Fr Tibia Dx FSE + Debridement KH,B APR √ PR,AP AP PR 10
Fr. Collum Femur Dextra Parsial Hip Artroplasty KH APR √ AP PR 10
Fr Metacarpal Pedis Fiksasi Internal yg Kompleks KH DRY √ S : ANM ANM 10
Fr Phalang Manus Dx ORIF DRY 10
Union Femur Dx Removal Implant sin S DID √ JF ANM 10
Fr. Humerus Dextra ORIF DID 10
Fr Tibia Sin 1/3 Distal ORIF KH DID √ ANM BY 10

BJ.09 EN,MA,WI, EN,
CHF Nyha II CAD 3VD CABG High Risk + AVR SF √ WA JT
BJ.11 SS,BP,IM MA
DVT Tungkai Kiri Embolektomi KH WW √ S : PM,ND PM JT
Mata Kanan Retinoblastoma Extraoculer

Mata Kanan Enukleasi Bulbi + PA + DFG B,KH LN √ NK,HR,TU HR NK GR 1
+ Glaukoma Sekunder
Mata Kiri Ablatio Retina Mata Kiri Vitrectomy + EL + Gas C3F8 KH AL √ S : DI,YS GR 1
Mata kiri glaukoma sekunder ec luksasi Mata kiri vitrektomi + Endofragmentasi

KH,KH AL √ GR 1
lensa ( post phaco ) sekunder implant Iris Fixasi
Mata Kanan Emulsifikasi SO + Katarak
Mata Kanan Phaco + IOL + Evakuasi SO KH,KH AL √ DI NK GR 1
Komplikata
Mata Kiri Retinal Detachment Mata Kiri Vitrectomy + EL + Gas C3F8 KH AL √ DI GR 1
Mata Kanan Post Hecting Kornea Mata Kanan Pro Aff Hecting Kornea AK GR 2
Mata Kiri Entropion Mata Kiri Koreksi Entropion AK YW,HA* GR 2
Mata Kanan KSI d.d Katarak Komplikata Mata Kanan Phaco + IOL WIS GR 2
Mata Kanan Katarak Mata Kanan Phaco + IOL AL GR 2
Mata Kiri Tumor Karunkula Mata Kiri Eksisi Tumor Karunkula + PA TL GR 2
Mata Kanan Eksisi Tumor Karunkula +

Mata Kanan Tumor Karunkula TL GR 2
PA
Mata Kiri PED Mata Kiri AMT DN GR 2
Mata kanan esotropia + pterigium nasal

Mata kanan eksisi pterigium DN GR 2
mata kiri pterigium nasal + temporal
NP,
NOK c/ Ganas SOU + Adhesiolisis Kompleks + FS B,KH EW √ NP,DN,MY DN GR 3
MY
NP,
Ca Endometrii St II Surgical Staging KH EW √ MY GR 3
DN
Isthmolobektomi + Adenectomi
SNNT Dx c/ Ganas T3N1M1 KH,S BIS √ AZ,AL AL AZ GR 4
(Limfadenectomi) + FS
Mixed ILC MS Gr II Wide Eksisi + Diseksi Axilla B,KH DWT √ AZ AL GR 4
Megacolon Kongenital on Stoma Duhamel Procedure + Stepler KH EDW √ WU,TK TK WU GR 5
Megakolon Kongenital TAPT KH EDW √ YS TK GR 5
(MID : TR) SORE PROGRAM : SF*,AN*,NO,TA,ND,PM,SU,MW,DI,ES,PS,VQ,PL,RI,DB,SA,YS,MR,JF,MF,ANM*,RM ALAT : PUR,EA ( S :ES)
Loculated Laparascopy Biopsi KH MG √ MW PL
Mata Kiri Ulkus Kornea Perforasi Mata Kiri Periosteal graft B DN √ YS PS
Abses Reg Thorax Debridement B ALI √ VQ AZ
Ulkus Pedis Dextra Debridement KH ALI √ DA RK
Post Eksterpasi Massa Aff Tampon Anterior Cavum Nasi K DAT √ HI

CKD Stg V Pasang Double Lumen K ALI √ BY
Selulitis Ekst IUF Sin Debridment + Eksisi Varises B,KH AS √ PL MF
Sigmoidostomi + Debridment Repair

Trauma Tumpul Abdoment B,B JS √ BR DY CITO
Perineum
G1P0A0, Hml 42mg, IUGR SCTP B EN √ Adhie CITO

Mata Kanan Ulkus Perforasi Mata Kanan Eviserasi Bulbi + DFG B DN √ UM ID CITO
G1P0A0, Hml 30mg Presentasi bokong SCTP + IUD B HR √ Gatot HE NH CITO
SDH Boor Hole KH AJ √ CITO
Ulkus DM Pedis Sin Debridment WW √ DB NO CITO

B
Laparatomi Explorasi + Ileostomi KH,B EDW √ NO DB CITO
SOL r/ Temporal Craniotomi Tumor Convensitas KH ER √ RK, AZ CITO

AN
Rekontruksi Palpebra Inferior +
S,B NJT √ DB VQ CITO
Debridment
Mata Kiri Ruptur Lensa + Corpal Alienum Mata Kiri PHACO + IOL + Ekstraksi
KH,K LN √ DI CITO
Intraocular Corpus Alienum Intraokuler
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
PLH : EV* CT
UM,ID
Hipospadia Uretroplasty KH ADS √ AS,EA AS EA 1
Hipospadia Release Chordae + Uretroplasty B,KH ADS √ S : MF EA AS 1
ACL ACL Rekonstruksi Dex KH DID √ MF RI 1
Mata Kanan Proptosis ec Susp Massa Mata Kanan Orbitotomi Lateral + Biopsi +
KH AK √ 2
Glandula Lakrimalis PA
Mata Kanan Susp Obstruksi Duktus Mata Kanan Endo
TL + ANNA GI,AO 2
Nasolakrimalis Dacryocystorhinostomy + FESS
Hemiglosektomi + Limfadenectomi dasar
Mukoepidermoid Ca Lidah B,S DAT √ S : PS,RI GI AO 2
lidah
Massa Sinonasal Maksilektomi Parsial KH WY √ PS RI 2
NKT Cell Pasca Kemoradiasi Rhinoplasty KH WY √ SE PL 2
EM 3
Ca Endometrii MZ √ TW,MY TW MY 4
Limfadenektomi Pelvis B
Histerektomi Supra Vag + Adhediolisis + NP,
Adenomyosis KH,B HR √ S : PL RE GR
Kistektomi Bilat DN
Mioma Uteri Miomektomi + Kistektomi Adnexa Dex B,B INU √ ER PL 4
Adenomiomektomi Osada Procedure + SC,

Adenomiosis B,B INU √ PL 4
SOD SU
Limfoma Lien Laparotomi Splenektomi k/p Biopsi PB TD,ER SA 5
Tumor Intra Abdomen Laparotomi Eksisi Tumor Intra Abdoment KH MG √ S : MW ER TW 5
Rekonstruksi Tulang Wajah Kompleks +

Fr. ZMC Bilateral Fr. Os Nasal KH,S PJ √ TD ER 5
Eksisi
Myxo Fibrosarcoma Femur Sin Compartementectomi + FS KH UUD √ NO,DJ 6
Total Tiroidektomi + RND + Eksisi KH,KH,

Ca Papillary Thyroid UUD √ S : ND NO DJ 6
Limpoma + FS B
STT Reg Wajah Wide Eksisi + Biopsi B UUD √ ND SU 6
MAR Dg Fistula Rectovistibuler on

Tutup Stoma PTY AI,RG 7
Stoma
MAR dg Fstula Rectoperineal Laparatomi Colostomi KH PTY √ S : SU RG AI 7
Hemotimpanum Telinga Kanan Evakuasi + Pemasangan Gromet S,S ZUL √ 7
OMSK kiri pasca ME + Timpanoplasti Mastoidectomi + Timpanoplasty Revisi B,KH ZUL √ SU 7
SOL Sphenoid Wing Sinistra Craniotomi Tumor Dasar Tengkorak KH ER √ II,AU II,AU AT 8
SOL Reg Frontal Craniotomi Tumor Dasar Tengkorak KH AJ √ S : SA,VQ 8

Fiksasi Internal Tulang Kranium B HY √
Meduloblastoma Rekuren Craniotomi Tumor Dasar Tengkorak KH DP √ LW,HI,AT ES MW 9

Epilepsi Craniotomy Bedah Epilepsi KH MTA √ S : ES MW, ES 9
Pasang CVC KH HR SA
Fr Phalang Manus Dx Fiksasi Internal yg Kompleks KH DRY √ 10
Laminectomi Dekompresi + Intenal

Fr Kompresi VL4 KH,KH APR √ PR,AP AP PR 10
Fiksasi Fusi
Laminectomy Debridement + Intenal
Fr Kompresi KH,KH APR √ S : ANM ANM MW 10
Fiksasi Fusi
Ulkus Pedis Digiti III Debridement k/p Amputasi ALI 10
BJ.03 EN,MA,SE, EN,
ASD Repair Tricuspid + ASD Closure SF √ SE JT
BJ.09 SS,BP,IM MA
Tumor Mediastinum Thoracotomi Chamberlain Prosedure KH ALI √ S : WI,PM PM WI JT
Mata Kanan Ekstraksi Lensa + Primary

Mata Kanan Kiri Katarak Kongenital ec
Posterior Capsulotomy + Vitrectomy KH LN √ NK,HR,TU HR NK,TU GR 1
Susp CRS + Nistagmus + Mikrokornea
Anterior + Perifer Iridectomy
Mata Kanan Kiri Persisten Fetal
Mata Kiri Vitrectomy + MP KH AW √ S : DI,YS TU NK,HR GR 1
Vasculature
Mata Kiri Pseudofakia+ Silicone Filled
Mata Kiri Evakuasi Silicone Oil KH AW √ GR 1
Eye
Mata Kiri Vitrectomy + Endo Laser +
Mata Kiri Vitreous Hemorrhage KH AW √ GR 1
Silicone Oil / Gas
Mata Kanan Wound Dehisense, Mata Kiri
Mata Kanan Enukleasi Bulbi + Nekrotomi S,B DN √ YS DI GR 1
Katarak Senilis Imatur + Dry Eye
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasi + IOL RF YW,HA GR 2
Mata Kanan Secondary Implant ( Iris
Mata Kanan Afakia WIS GR 2
Claw )
Mata kanan katarak senilis hipermatur + Mata kanan Extra Capsular Cataract
WIS GR 2
subluksasi lensa + ruptur kapsul anterior Extraction + IOL
Mata Kanan Kiri Glaukoma Sekunder Mata Kanan Phacoemulsifikasi + IOL KH MR √ GR 2

Mata kanan glaukoma absolut + mata kiri
Primary Angel Closure Glaucoma + Mata kiri Trabekulektomi B MR √ GR 2
katarak senilis imatur
SOS + Miomektomi + Kistectomi Kanan +
NOK B,B,B EN √ TW MY 4
FS
Laparoscopy Adhesiolisis Reseksi

Adenomiosis + NOK Torsi KH,KH TF √ NP,DN,RE* DN NP,RE GR 3
Adenomiosisi Polipektomi + Kistektomi
Hemimaksilektomi Sin dgn Rekontruksi +

Tumor Maxilla KH,KH DH √ AZ,AL AL AZ GR 4
Neck Diseksi
Ca Papillary Thyroid Total Tiroidektomi KH DWT √ RE GR 4
Eksisi Luas + Rekonstruksi Pasca
Tumor Kulit B,KH NJT √ WU,TK TK WU GR 5
Keganasan
Hipospadia Rekontruski Hipospadia KH NJT √ WU TK GR 5
ST (MID : TR) SORE PROGRAM : SF,TA,ND,PM*,SU,MW,DI,ES,PS,VQ*,PL,RI,SA,YS,MR,JF,MF,ANM,RM,WI* ALAT : PUR,DW ( S : ES)
ORIF Humerus + ORIF Ulna + Repair KH,KH,
Fr Montegia + Fr Humerus DID √ MF RI 1
Terbuka Elbow S
Ulkus Pedis Dx + Selulitis Debridement Ulkus B WW √ PS RI
G1P0A0, Hml 39mg, Trombositopeni SCTP dg penyulit + IUD B DC √ Arsita HE NH CITO
ICH + SDH Craniotomi Evakuasi Hematoma KH GK √ UM ID CITO
G3P2A0,mHml 37mg, bekas SC SCTP + MOW B TF √ Gatot NP RE,DN CITO
G2P1A0, PEB Histerostomi Ambil bayi (SCTP) B VG √ AZ TA CITO
G2P0A1, PEB SCTP + IUD B DC √ WI TA CITO
megacolon Congenital Colostomi + Biopsi B EDW

DPJP OPERATOR CITO
OPERATOR RILL
Circulating
DIAGNOSA TINDAKAN PERAWAT instrumen OK
SL,HE,UM,ID,
PLH : EV CT
AD
Congenital Adrenal Hiperplasia Laparascopi Diagnostik S ADS √ AS,EM,EA AS 1
TOF, Multiple gangren radix Multiple Ekstraksi 20 Gigi Ganggren B DV √ S : SU EA AS 1
NOK c/ Ganas, Efusi Pleura Laparatomi Debulking + FS KH EN √ 1
Adhesiolisis Komepleks + Apendiktomi KH,S ERI √

FESS III + SR + Konka Reduksi KH,B,S RH √ 2
Hipertrofi
Pansinusitis FESS II + CWL + SR KH,B,B RH √ GI,AO GI AO 2
Mata Kanan Susp Obstruksi Duktus Mata Kanan Endo

KH TL √ S : PS,VQ PS VQ 2
Nasolakrimalis Dacryocystorhinostomy (DCR)
FESS KH ANNA √
Ca Cervix KH,B MZ √ TW,MY TW DM 4
Pelvis Bilat
HT + SOB + Omentectomi + Adhesiolisis KH,KH,
NOK dg Bag. Padat c/ Ganas EW √ S : PL,PM TW DM 4
Kompleks S,KH
Laparatomi Sigmoidectomi + Anastomose
KH ERI √
end to end
Kista Ovarii Laparatomi Debulking + FS KH EW √ MW SU 4
Eksisi Tumor Umbilicalis S ERI √
Hernia Inguinalis Dextra Laparascopy Hernioraphy KH JS √ TD,ER ER TD 5
Tumor Rectie 1/3 Distal c/ Ganas Laparatomi + Sigmoidostomi KH PB √ TD ER 5
Laparascopy Biopsi k/p Open Drainase

Abses Mesentrial Peritoneal TBC PB S : MW 5
Abses
ER,
Adeno Carsinoma Rectie T4bN2M1b Colostomi B PB √ TD 5
MW
Mastitis TB Mammae Sin Wide Eksisi B YAN √ NO,DN DN NO 6
Wide Eksisi + Aff Plate B,S YAN √ S : ND NO DN 6

Debridment + Rekontruksi Flap KH RZ √
Tumor Kulit c/ Ganas c/ Basalioma Wide Eksisi + FS tepi bebas tumor B YAN √ MY 6
Rontruksi Flap + STSG B,KH RZ √
Limpadenopati Inguinal Sin Limpadenectomi Biopsi S YAN √ DN NO 6

Massa Intra Abdomen Extra Lumina c/
Laparatomi Biopsi Hepar KH RR √ AI,RG SA AI 7
Hepatoblastoma
Laparoskopi Neosalphingostomi +
Hidrosalping Tuba Non Paten + PCO KH,KH INU √ S : DM WI ND 7
Ovarian Drilling
Wound Dehisence Post Laminektomi Debridement B AJ √ AF,AU AU AF 8
TMS c/ Ganas T4bN0M0 Insisi Biopsi S UUD √ AF AU 8
Hidrochepalus Communican VP Shunt + Aff Vent Canule Kocherpoint KH GK √ LW,HI,AT RG II 9
Bisitopenia BMP NYO S : II,SA DS 1

Neuroblastoma Bisitopenia BMP B NYO √ YR 9
CML BMP B HER √ MR US 9
Anemia Aplastik BMP B NYO √ US 9
OsteARTRITIS Genu sin TKR Sin KH APR √ PR,AP AP PR 10
Fistula Recto Vagina Sigmoidostomi B ERI √ S : MF PR AP 10
Hernia Inguinalis Medialis Dextra Hernioraphy + Mesh B ERI √ MF 10
EN,MA,SE, EN
CHF Nyha II MR Severe MVR + TVR BJ.08 SF √ SE JT
SS,BP,IM MA
Mata Kanan Vitreus Haemorrhage Mata Kanan Vitrektomi + EL + Gas + SF6 KH AL √ NK,HR,TU TU NK,HR GR 1
Mata Kiri Proliferative Diabetic

Retinopathy + Tractional Retinal Mata Kiri Vitrektomi + Endolaser KH AL √ S : DI,YS GR 1
Detachment
Mata Kiri Katarak Traumatika + Mata Kiri Hecting Kornea+ Ekstraksi

KH,S INA √ DI GR 1
Glaukoma Sekunder Susp Endofthalmitis Katarak + IOL

Mata Kanan Kiri Katarak Kongenital Posterior Capsulotomy + Vitrectomy KH LN √ GR 1
Anterior + Perifer Iridectomy + IOL
Glaucoma + Pseudofakia, Mata Kiri Mata Kiri Cyclocryoterapi S MR √ YS GR 1
Glaukoma Absolut
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsification + IOL AK YW,HA GR 2
Mata Kanan Subluksasi IOL Mata Kanan Evakuasi IOL AL GR 2
Mata kiri katarak komplikata ec
Mata kiri Phacoemulsification + IOL AL GR 2
Vitrectomized eye
Mata kanan Mata kiri Primary Angle
Closure Glaucoma + Katarak Senilis Mata kanan triple prosedur FI GR 2
Imatur
Mata kanan Primary Open Angle

Mata kiri Cyclocryoterapi FI GR 2
Glaucoma, Mata kiri glaukoma absolute
Mata Kanan Primary Angle Closure Mata Kanan Phacoemulsification + IOL +

KH MR √ GR 2
Glaucoma + Katarak Senilis Imatur Trabekulektomi
Laparatomi Osada Prosedur + Kistektomi
Adenomyosis B,B,S TF √ NP,DJ*,RE DJ NP,RE GR 3
Dex + Adhesiolisis
Prolaps Tunggul Serviks Total Vaginal Histerektomi KH ER √ RI NP GR 3
SNNT Dextra c/ Ganas T2N0M0 Isthmolobectomi Dex + FS, ganas - TT KH,KH BIS √ AZ,AL AL AZ GR 4
TMS c/ Ganas Insisi Biopsi + FS S BIS √ AZ AL GR 4

Makrodactyli Eksisi Reduksi + Rekonstruksi KH RZ √ AH,TK TK AH GR 5
Abses Regio Wrist Joint Sinistra Post Rekontruksi Wrist Dex dg STSG +
KH PJ √ GR 5
Debridement + STSG 2 Bl Yll Derbidement Wrist Sin
ST SORE PROGRAM : SF,TA,ND,PM,SU,MW,DI,PS,VQ,PL*,RI,SA,YS*,MR,MF,RM,WI,II,DM ALAT : PUR,DW ( S : RI)
Defek Cranium Cranioplasty Rekontruksi KH GK √ AT HI,LW 9
Psudo Aneurisma Repair Arteri KH AS √ JF EW
Massa Sinonasal c/ Ganas, Mata Kanan

Maksilektomi Medial KH WY √ VQ PS
Massa Retro Orbita Susp Ganas
Mata Kanan Orbitotomi Lateral Subtotal

KH TL √
Eksenterasi
G1P0A0, Hml 41mg, Post Plate SCTP B ER √ Adhie GR
Efusi Pleura Kiri WSD Thorakal S WW √ DI SU

Efusi Pleura Kiri WSD S Avis √ SU DI
G2P1A0, Hml 32mg. SCTP + IUD B VG √ Arsita EW AM CITO
Tonilitis Kronis Tonsilektomi S DAT √ CITO
Fr Depressed as Fronto Craniotomi Rekontruksi Orbita KH ER √ AS SL,ID CITO
G3P2A0, SCTP + MOW B HR √ Gatot SL,ID CITO
Efusi Pleura Kiri Pasang WSD S ALI √ ID SL CITO

Mata kiri Ekstraksi Corpal + Debridment +
Mata Kiri Ruptur Bulbi + Endoftalmitis K,S,S INA √ HE ID CITO
inj. AB Subkonjungtiva
G2P1A0, Hml 38mg. SCTP + IUD B IN √ Gatot RM TA CITO

SCTP + MOW + Myomektomi B,B IN √ Adhie RM MF CITO
Totalis
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PERAWAT :
AZ,UM,TU,HI,
PLH : EV AS,EM,AI,PR,AP,EN,MA,SS,BP,IM,GI,Y CT
RG
W,NP,DJ,AL,AH,AY,DB,GN,SC,ST,EA
Multisinusitis FESS III + Konka Reduksi KH,S RH √ AO,SE SE AO,GI 1
Mata Kanan Anofthalmia + Dermatofat Mata Kanan Rekonstruksi Soket Inferior +

KH TL √ YW,HR 2
Graft + Soket Dangkal Graft Mukosa Bibir
G2P1A0 Hamil 41 Minggu dg ODHA SCTP dg penyulit HIV+/Bekas SC + IUD B OP √ TR,MY TR MY 4
Gatot √
TR,
Impaksi 4 Gigi Odontectomi 4 gigi KH DV √ MY 4
EA
Paraparese Inferior Pungsi Lumbal B AJ √ PL 4
Abses Mesentrial Peritoneal TBC Laparatomi Explorasi + Biopsi KH PB √ TD,ER 5
Defek Cullomela ec skin nekrotik Rekonstruksi Hidung KH NJT √ NO*,DN DN NO 6
Meningiomatosis Rekuren Craniotomi KH ER √ AF,AU AU 8

Optik + Heat Meningioma Craniotomi Dasar Tengkorak KH DP √ TK,AT TK AT,DB 9

,BY,DI,MR,MW,MF,YS,PM,PL,RA,SA,SU,TA,VQ,PS* ALAT : PUR,DW ( S : RI)

W,WU,WD
Efusi Pleura + NOK Pasang WSD S ALI √ BD AO,GI 1
Efusi Pleura Pasang WSD S ALI √ BD UM
Fr Humerus Dex ORIF Shaft Humerus KH DRY √ DJ PD CITO
Massa Cavum nasi + Sinusitis FESS III + CWL Dupl KH,KH DAT √ DI ER CITO
Ca Mammae Pleurodesis KH UUD √ MF PM CITO
G4P2A1, Hml 37mg, Usia Tua SCTP + MOW B OP √ Gatot HI TU,AZ CITO
IVH + Hemiparese Sin EVD KH DP √ CITO
BY,
G3P2A0, HIV + SCTP penuilti dg (HIV+) + MOW B OP √ Gatot DP CITO
YS
IVH ec Stroke Hemoragik EVD DP √ SA II CITO

KH
MF,
Efusi Pleura Sin Pasang WSD S ALI √ YS CITO
VQ
Peritonitis Generalisata Internal Peritoneal Drainage S MM √ JF EM, WI CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NK,BD,ET,ND
,HA,BR,TM*,U CT
M*
Neuroplasty + Foraminal Block Multi
HNP KH,S TRI A √ AO BD 3
Level
Neuropaty Lumnal + Failed Back Surgery Neuroplasty + Foraminal Block Multi
KH,S TRI A √ BD AO 3
Sydrum Level
Meningioma Frontal Craniotomi Tumor Convesitas KH ER √ BR ND

Pasang CVC KH BI √
ND, BR,
Hidrocephalus VP Shunt dex KH GK √ CITO
HA ANM
Pansinusitis FESS II + Konkotomi KH,S DAT √ RI,MW PL
Sinusitis Kronis + Septum Deviasi Kronis

FESS + Septoplasty + Konkoplasty KH,B,S ANNA √ RI UM
+ Konka Hipertrofi
Ileus Obstruktif Laparatomi Adhesiolisis Kompleks KH MM √ ET UM CITO
G2P1A0, Hml 34mg, KPD, Fatal Distress SCTP dg Penyulit HIV+ B OP √ Gatot CITO
G1P0A0, Hml 40mg, Partus Macet SCTP B HR √ Adhie TM AO CITO
Laparatomi Explrasi + Repair Perforasi

Peritonitis Generalisata KH PB √ WD TM CITO
Jejeunum
Fiksasi Interna yg Kompleks KH DRY √
G2P1A0, Hml 34mg, Gemeli SCTP Gemeli + IUD B BE Gatot CITO
Benda Asing Jarum Pentul di Tracea Bronkosocopy Ekstraksi Benda Asing KH MYS √ CITO
Perdarahan Post Trakeostomi + Eksplorasi Perdarahan S,B WY √ SA CITO

Lumbal Punsi B ARIS √ WI MW,YS CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NP SL,HE,AT,ID CT
Hipospadia Uretroplasty III KH ADS √ EV,GI,AU AU EV,GI 1

EV,
Hipospadia Uretroplasty Tahap 2 KH ADS √ S : HI,DJ GI 1
AU
Striktur Ureter URS D KH ADS √ EV GI,AU 1
Non Visualized Ren Dex Nefrektomi Dextra KH WAN DJ 1
RSK + Konka + Septum Deviasi FESS + SR + Konkoplasty KH,B,S RH √ EM,NI NI NH 2
Veruka Fesibomasi Ekstirpasi B DAT √ S : SR NH NI 2
OMSK Kanan Ekstraksi Granulasi + Timpanoplasty S,KH ZUL √ SR AS 2
Aneurisma Abdominalis Endovaskuler ALI 2

Pneumothorax Dupleks on WSD Thoracotomi ALI 2
Myelopathi Lumbal + HNP L2-5 Neuroplasti + Foraminal Block Multi Level KH,S TRI A √ NO AY 3
KH,KH,
NOK Suspect ganas TAH + BSO + Adhesiolisis Luas + FS MZ √ ET,IM TW IM 4
KH
Mioma Uteri, NOK SubTotal Histerktomi + SOS + FS KH,B INU √ S : SE,RM IS TW 4
KH,KH,
P3A0 NOK dg Bag. Padat TAH + BSO + Adhesiolisis + FS VG √ AZ RA 4
KH
Reseksi Tumor Mesenterial +
KH,KH,
hemicolektomi Dex + Resekis Ileum + PB √
KH
Anastomose End to End + FS
Adeno Ca Recti 1/3 Distal Laparatomi Miles Procedure KH MG √ TD,VQ TD VQ 5
Tumor Intra Abdomen Insisi Drainase + Debridement S,B ERI √ S : IS IS 5
DVT Embolektomi KH ALI √ IS SE 5
Fr Segmental Mandibula + Fr. Tibia

ORIF Tibia + Debridment + Gips KH,B,S APR √ 6
Plateau
ORIF Mandibula (Rekontruksi Fr Wajah
KH NJT √
Kompleks)
Bone Exposed Reg Parietal ec
Craniektomi Debridement KH ERI √ AZ,ST PM ST 6
Combustio Gr III
FreeFlap KH ETH √
Hipospadia Uretroplasty ETH S : TU 6

MAR df Fistula Rectovestibuler on Stoma KH PTY √ RK,AD,DB DB AD 7
Ekstrofi Kloaka KH,KH RR √ S : DY,DN 7
Reseksi Colon + Ileostomi
Rekontruksi Plevis KH BIN √
Rekontruksi Abdoment (Defek Abdoment) KH NJT √
Vesicoraphy + Ureterostomi Dex KH,S ADS √
Post Wire Remove Implant Manus S DID √ DM AS 7
Fr Distal Humerus + Fr Ulna ORIF Humerus Dex + ORID Radius Dex KH,KH DID √ MK IS 7
Osteomilitis Femur Dx Debridement Osteomilis B DID √ PL II 7
HNP Vertebra L4-5 Multiple Level Dissectomi KH AJ √ SF,BY BY SF 8
Spondilolitesis Scoliosis Lumbal Laminektomi Kompleks KH AJ √ DA MY 8
SOL Fronto Parietal Craniotomi Dekompresi AJ S : DA* 8

LW,
Meningioma Tuberculum Sella Craniotomi Dasar Tengkorak KH DP √ LW,SA,BR BR 9
TK
SA,
SOL Reg Temporal Craniotomi Dasar Tengkorak KH MTA √ S : TK,MY MY 9
MW
Plexus Brachilais Injury Neuroplasty - Pleksus Brachialis Injuri KH DRY √ PR,AP 10
Plexus Brachilais Injury SAHA Procedure DRY S : DM,EA 10
CTEV Bilateral Rekonstruksi Ekstermitas bawah KH DRY √ 10
Osteomilitis Bilateral TKR Sin KH BIN √ AR DM 10
Ankylosis Spondilosis THR KH BIN √ RG YS 10
Dyslokasi Ankle Join Sin Open Reposisi BIN 10

CHF Nyha II ec AR Severe, MR EN,MA,BD, EN, AS,
MVRepair + AVRepair BJ.08 SF √ JT
Moderate, TR Severe SS,AS*,BP BD BP
Mata Kanan Kiri Katarak Kongenital, Mata Kanan Ekstraksi Lensa + PPC +
KH LN √ NK,DI NK DI GR 1
Sindroma Down Vitrektomi Anterior + PI + IOL
Mata Kanan Kiri Katarak Kongenital + Mata Kiri Ekstraksi Lensa + PPI + Vx S:
KH LN √ GR 1
Nistagmus Anterior + PI + IOL HR,MK,WD*
Mata Kiri SO Filled Eye + KSI +

Mata Kiri Phaco + IOL + Evakuasi SO KH,KH AL √ NK TM GR 1
Glaukoma sekunder post trabekulektomi
Mata Kiri Katarak Komplikata + Ablasio Mata Kiri Vitrectomi + MP + EL + SO +

KH,KH AL √ HR TM GR 1
Retina PHACO + IOL
Mata Kiri PDR + VH non Clearing Mata Kiri Vitrectomi + EL + SO / Gas AL GR 1
Mata kanan katarak juvenile ( Riwayat
Mata Kanan Phaco + IOL KH RF √ HR GR 1
Epilepsi )
Mata kanan Secondary Implant ( Iris Claw

Mata kanan Afakia + sisa Korteks RF YW,HA GR 2
) + Irigasi Aspirasi Sisa Korteks
Mata kiri katarak komplikata + Myopia

Mata kiri ECCE + IOL WIS GR 2
Degeneratif
Mata kanan Pseudofakia + PCO +
Mata kanan Capsulotomi Anterior + PPC WIS GR 2
Fibrotik Kapsul Anterior
Mata Kanan Katarak Komplikata Mata Kanan Phaco + IOL AL GR 2
Mata kanan PACG + Pseudofakia, Mata
Mata kiri Phaco + IOL FI GR 2
kiri PACG + KSI
Mata kanan kiri PACG Mata kanan Trabekulektomi FI GR 2
Prolaps Uteri + Sistokel + Rectocele Gr II TVH + KA + KPR KH,KH ER √ AL,SU* SU AL GR 3
Ulkus Granulosum Debridement + STSG Lanjut KH RZ √ AL SU GR 3

Ulkus DM Pedis Sin Debridement B RZ √ SU GR 3
Tumor Parotis dextra + multiple Superficial Parotidectomi + Adenektomi +
B,S BIS √ AH,AF AH AF GR 4
limpadenopati FS
AF,
Ca Papilari Thyroid Total Thyroidectomi KH UUD √ AH GR 4
WD
Ca Mamae MRM KH DH √ TA,PM,MF ANM AZ GR 5
Ca Mamae Debridement + Rehecting S DWT √ AZ ANM GR 5
TMD c/ Ganas Wide Excisi + FS ganas - MRM B,KH DWT √ ANM AZ GR 5
U (MID : TM) SORE PROGRAM : AI,AY,HR,DM,DN,TK,DY,DJ,EA,HI,IS,MY,TU,MK,RM,SC,SE,SR,TR,US,DA*,WD* ALAT : PUR ( S : DW )
Tumor Ovarii Konservatif Surgical Staging + FS KH EW √ AS DN
NOK Histerektomi Supra Cervical + SOS + FS KH,B EW √ DJ DN JT

KH,S PB √
Apendictomi
Hidronefrosis Bilateral Percutaneus Nefrostomi Dex,Sin KH,KH NDA √ AO AR DS
Kista AFF Tampon K WY √ AR AO DS
Ulkus DM Debridment B AS √ PL II
HN ec Ca Rectum URS - DJ Stent KH MAS √ DS 1
CKD Pasang DL K AS MK WI DS
Post Optimal Debulking ai Ca Ovarii Aff Packing KH EW √ CITO
Avulsi Bibir Atas (Rekontruksi Bibir Atas)

Vulnus Laserasi r/ Nasal KH,KH PJ √ PL YS CITO
+ Rekontruksi Fr Wajah Kompleks
G2P1A0, Hml 33mg, CHF II - II, ASD SCTP + IUD B JD √ Adhie CITO
Cholelithiasis + Asistes Cholecystostomi B MM √ CITO
Mata Kiri Corpal Orbita + Ruptur Mata Kiri Rekontruksi Palpebra

S TL √ CITO
Palpebra (Caunthoplasty) + debridment
Craniotomi dasar Tengkorak KH HY √
EDH Parietal Kraniotomi Konvensional KH HY √ RI CITO
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
01.15-03.00
GA spin TA √
01.20-03.00
01.15-02.00
GA BI √
01.30-01.50
02.45-04.15
GA BI √
03.00-04.00
05.15-07.15
GA BI √
05.30-07.00
07.45-11.30
GA AI √
08.45-11.15
08.15-09.30
GA AI √
08.30-09.15
13.00-14.15
GA spin AI √
13.15-14.00
14.15-16.00
GA AI √
14.30-15.45
16.00-18.50
GA epd BI √
16.15-18.30
LA 16.05-16.15
LA 15.15-15.25
LA 16.30-16.45
19.20-20.00
GA DN √
19.30-20.00
20.30-21.30
GA BI √
20.45-21.15
21.15-00.15
GA BI √
21.30-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
00.00-03.15
GA epd BI √
00.30-03.00
05.30-06.45
GA spin BI
05.45-06.45
08.15-09.15
GA WA √
08.30-09.00
10.30-11.45
GA WA √
10.45-11.45
12.45-14.00
GA spin WA √
13.00-14.00
12.00-13.30
GA WA √
12.15-13.15
15.30-17.00
GA TA √
15.45-16.45
17.15-19.15
GA TA √
17.45-19.00
GA TA √ 18.15-20.30
18.45-20.00
20.15-22.30
GA TA √
20.30-22.15
21.00-22.15
GA spin TA √
21.15-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
09.15-10.45
GA spin SF √ 08.00
09.45-10.45
11.30-13.00
GA HA √ 13.00
12.00-12.45
08.15-09.15
GA HA √ 07.00
08.30-09.00
10.00-12.30
GA SF √ 10.00
10.15-12.15
07.30-09.30
GA epd DN √ 07.30
07.50-09.15
GA epd DN √ 11.00 12.00-14.45
12.30-14.30
08.30-10.00
08.40-10.00
GA BATAL KARENA PERBAIKAN KU
21.00-22.00
GA spin HS √
21.15-22.00
LA
GA HR 11.00 10.15-15.30
10.30-15.15
08.00-16.15
GA HA √ 08.00
08.30-16.00
10.15-13.00
GA HS √ 08.00
10.30-12.45
GA AI √ 10.00 13.45-16.30
14.00-16.15
GA AI √ 13.00 16.00-19.00
GA WA √ 10.00 07.30-13.00
GA SF √ 08.00 08.50-10.45
LA 10.00
LA 11.00
08.00-11.30
GA DS √ 08.00
08.15-11.15
GA DS 08.00 09.15-
GA SF √ 10.00 11.15-13.45
06.15-07.45
GA TA √
06.30-07.30
15.15-16.45
GA HN √
15.30-16.30
16.15-17.30
GA HN √
16.30-17.30
GA HR 20.00-20.40
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-10.45
GA VL √ 08.00
09.00-10.30
11.00-13.00
GA BI √ 11.00
11.30-12.45
06.00-10.30
GA SF √ 06.00
06.15-10.15
11.30-14.15
GA BI √ 11.00
12.00-14.00
08.15-10.30
GA epd EL √ 08.00
08.35-10.30
08.00-09.45
GA VL √ 08.00
08.15-09.30
10.45-11.00
GA EL √ 10.00
10.45-11.00
07.30-09.30
GA WA √ 07.00
08.00-09.15
11.15-13.00
GA epd JH √ 11.00
12.00-13.00
GA JH √ 08.30
GA
GA √ 08.00 08.00-13.00
09.00-12.45
10.30-19.00
GA WA √ 08.00
13.15-18.45
07.15-08.15
GA HN √ 07.00
07.30-08.15
09.15-11.45
09.30-11.45
19.30-21.15
GA HN √ 19.00
19.45-21.00
GA HN √ 10.00 09.45-12.00
GA VL √ 08.00 08.50-10.00
LA 10.00
LA 11.00
GA WA √ 08.00 09.05-12.00
GA HA √ 08.00 09.45-
GA HA √ 08.00
14.00-21.15
GA JH √ 14.00
14.40-21.00
GA spin DN √
20.15-21.30
GA spin HS √
20.30-21.30
GA spin HS √ 20.45-22.15
20.30-22.00
GA DN √ 06.45-09.15
07.00-09.00
07.15-08.45
GA spin DN √
07.30-08.30
09.45-10.30
GA
09.45-10.30
10.00-12.00
GA DN √
10.15-11.45
11.45-14.30
GA spin VL √
12.00-14.15
15.45-17.00
GA spin BI √
16.00-17.00
15.00-15.30
GA BI √
15.15-15.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-09.00
08.30-09.00
GA VL √ 09.30 10.00-11.00
GA VL √ 12.00
08.15-10.00
GA SF √ 07.00
08.30-09.45
10.45-14.15
GA HS √ 08.30
11.00-14.00
14.15-16.15
GA HN √ 12.00
14.30-16.00
GA SF √ 14.00 18.45-21.30
08.15-10.45
GA epd DS √ 08.00
08.30-10.30
12.15-13.15
GA DN √ 12.00
12.30-13.00
15.45-16.45
GA DS √ 17.00
16.00.16.40
17.30-18.30
GA DS √ 18.00
17.50-18.25
08.30-10.15
GA HR √ 08.00
08.30-10.00
11.15-14.30
GA BI √ 10.30
11.30-14.15
07.00-08.15
GA TA √ 07.00
07.15-08.00
08.30-10.00
GA TA √ 08.30
08.45-09.45
11.00-12.45
GA TA √ 10.00
11.30-12.30
13.15-14.00
GA TA √ 14.00
13.30-14.00
08.15-10.15
GA TA √ 07.00
08.40-10.15
13.15-16.45
GA UB √ 12.00
13.30-16.30
GA HS √ 07.30 08.35-08.45
09.30-11.30
GA DN √ 08.30
09.45-11.15
12.45-17.45
GA UB √ 12.00
13.00-17.40
08.10-10.00
GA UB √ 08.00
08.45-10.00
GA UB √ 10.00 11.00-14.00
11.30-13.30
08.45-10.30
09.15-10.30
11.15-14.45
GA TA √ 10.30
12.45-14.30
20.30-23.15
GA epd HS √ 13.00
21.15-23.00
GA HR √ 09.00 10.40-
LA 12.00
GA WA √ 07.30 07.50-10.30
GA HA √ 09.00 09.00-09.50
GA HA √ 10.30 10.40-11.10
GA HA √ 12.00 12.25-13.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
GA VL √ 08.00 08.15-09.10
GA VL √ 10.30 10.30-
GA HA √ 11.00 11.30-
GA WA √ 07.30
LA 10.00 11.30-
GA WA √ 11.30
GA WA √ 08.00 09.15-10.00
GA WA √ 09.30 11.15-12.15
GA WA √ 11.00 13.15-14.30
GA HS √
GA BI √ 16.45-18.45
GA WA √ 14.00 14.30-15.00
15.45-16.30
GA spin JH
16.00-16.30
06.30-07.55
GA DN √ 06.00
06.15-06.30
10.15-10.45
GA HS √
10.30-10.45
22.45-01.00
GA blok HS √
23.15-01.00
LA 19.45-20.00
07.00-08.00
GA spin HR
07.15-08.00
GA HR √
GA HR √ 09.30-10.30
13.15-16.30
GA HR
13.30-13.30
GA HR
18.15-19.30
GA JH √
18.45-19.15
18.00-19.00
GA JH √
18.15-19.00
20.00-22.45
GA epd TA √
20.15-22.35
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-08.40
08.15-08.40
09.00-09.40
09.15-09.30
GA AI √ 10.30
11.45-14.30
GA epd WA √ 11.30
12.15-14.15
07.30-11.15
GA AI √ 07.00
07.45-11.00
12.00-14.45
GA DN √ 11.00
12.15-14.30
15.45-17.15
GA AI √ 14.00
16.00-17.00
07.00-08.15
GA DN √ 07.00
07.15-08.00
11.45-14.30
GA BI √ 09.00
12.15-14.15
LA 13.00
08.15-11.30
GA epd BI √ 08.00
08.45-11.30
13.15-18.00
GA epd VL √ 11.00
14.00-18.00
13.30-14.30
13.45-14.30
06.45-08.15
GA WA √ 07.00
07.00-08.00
08.45-10.00
GA HR √ 09.30
09.00-09.45
10.45-12.00
GA SF √ 13.00
11.00-11.45
08.15-10.00
GA VL √ 08.00
08.40-09.45
GA JL √ 11.00 11.30-15.15
11.50-15.00
15.45-17.00
GA blok SF √ 14.00
16.15-16.45
16.00-17.00
16.10-16.30
GA HA √ 06.30 06.40-07.05
09.30-13.30
GA JH √ 09.00
09.45-13.15
GA HS √ 13.00 16.00-18.00
06.30-12.30
GA HS √ 07.00
07.00-12.0
08.15-10.00
GA blok VL √ 07.00
08.30-10.00
11.45-15.30
12.00-15.30
15.00-21.30
GA VL √ 12.00
15.00-21.30
GA WA √ 10.00 07.15-
GA DN √ 07.30
GA DN √ 11.30 13.00-14.00
14.45-16.45
GA DN √ 13.30
15.00-16.30
LA 11.00
LA 13.00 13.45-13.57
GA DS √ 07.55 08.35-10.30
12.30-14.15
GA DN √ 12.00
13.00-14.00
13.10-16.15
GA HN √ 14.00
14.00-16.00
GA HN √ 07.30 07.45-08.45
GA HN √ 09.00 09.45-11.30
GA DN √ 08.00 08.15-10.30
GA DN √ 10.30 11.00-12.20
13.30-14.45
13.45-14.45
ALAT : PUR ( S : CA)
LA
LA 20.40-21.00
GA HS √ 09.30-10.00
09.40-10.00
GA spin HS √ 10.30-11.00
10.45.11.00
LA
GA TA √ 00.00-01.00
00.15-00.45
GA epd VL √ 08.00-11.30
08.30-11.30
GA spin VL √ 09.00-09.45
09.15-09.45
GA spin VL √ 15.45-17.00
16.00-17.00
GA JH √ 12.30-14.45
13.30-14.30
GA VL √
GA spin VL √ 18.15-19.30
18.30-19.30
23.30-00.45
GA VL √
23.45-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.30-10.30
GA TA √ 08.00
08.45-10.45
11.45-13.45
GA TA √ 10.30
12.00-13.30
14.30-16.30
GA TA √ 13.00
15.00-16.15
16.00-19.00
GA DN √ 15.00
16.15-18.45
08.00-11.00
GA epd DS √ 07.55
08.15-10.45
13.00-15.30
GA WA √ 13.00
13.15-14.45
GA 15.00 SUDAH DI CITO
08.00-12.00
GA DN √ 07.00
08.30-11.45
13.45-16.15
GA HN √ 13.00
14.00-16.00
17.15-18.30
GA HN 16.00
17.45-18.15
07.30-10.45
GA VL √ 07.00
07.45-10.30
GA VL √ 10.00 06.15-08.15
06.30-08.00
13.00-17.00
GA SF √ 13.00
13.15-16.45
07.00-12.00
GA JH √ 07.00
07.30-11.50
GA WA √ 11.00 14.45-14.50
GA 13.00 BATAL KARENA PASIEN MENINGGAL
09.15-11.00
GA JH √ 08.00
09.45-10.45
GA JL √ 12.30 14.30-15.15
14.20-15.15
07.40-08.25
GA HA √ 07.00
07.45-08.15
09.15-11.00
GA DS √ 09.30
09.30-10.50
11.30-12.30
GA SF √ 11.00
11.50-12.20
13.45-14.45
GA AI √ 12.30
13.50.14.30
15.15-17.00
GA DS √ 14.00
15.30-16.50
18.45-20.00
GA DS √ 16.00
19.00-19.55
08.00-09.45
GA DS √ 07.00
08.30-09.30
10.30-14.30
GA DS √ 08.30
11.00-14.15
07.00-09.30
07.15-09.30
spi, 10.55-14.30
GA SF √ 09.00
epd 11.00-14.30
18.15-20.00
GA HA √ 13.00
18.30-20.00
GA HN √ 10.00 09.45-
GA HR √ 15.00 17.10-19.50
GA HA √ 08.00 08.45-09.40
GA HA √ 10.00 10.50-11.30
GA HA √ 13.00 13.50-14.30
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.30
GA AI √ 08.00
GA AI √ 10.30 12.20-13.30
GA WA √ 07.30 08.05-09.05
GA AI √ 09.00 09.30-10.00
GA AI √ 10.00
GA VL √ 08.00 09.00-10.15
GA JH √ 12.30 12.45-14.45
GA HA √ 15.15-16.00
08.15-10.00
GA spin BI √
09.00-10.00
10.15-11.00
GA epd BI √
10.20-11.00
LA 14.15-14.30
LA 20.15-20.45
20.30-22.30
GA blok HS √
21.00-22.15
21.30-23.00
GA HS √
22.00-23.00
07.45-09.00
GA WA √
08.05-08.50
09.30-10.45
GA spin VL √
09.50-10.45
14.05-15.20
GA spin WA √
14.20-15.30
15.45-17.30
GA spin WA √
16.00-17.30
16.45-19.30
GA epd VL √
17.00-19.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA DN √ 07.30 09.00-15.15
10.00-15.00
18.00-20.30
GA EL √ 14.00
18.15-20.30
16.00-17.15
GA EL √ 16.00
16.15-17.15
LA 15.00 15.30-17.55
16.30-19.30
GA EL √ 14.00
17.00-19.15
14.30-16.15
GA DN √ 16.00
14.45-16.00
14.00-15.00
GA JH √ 15.00
14.30-15.00
GA VL √ 18.00-19.00
01.15-02.45
GA spin TA √
01.20-20.45
05.15-06.20
GA spin TA √
05.20-06.20
06.45-08.45
GA HS √
07.00-08.30
GA HS √ 08.00-12.00
10.00-13.15
GA DN √
10.30-13.00
LA
LA 11.00-13.00
14.30-20.00
GA epd VL √
15.15-19.45
16.30-20.30
GA HS √
15.45-20.00
16.00-17.00
GA JH √
16.15-16.50
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA DN √ 08.00
15.30-16.45
GA DN √ 09.30
16.00-16.30
12.15-14.00
GA DN √ 11.00
12.30-14.00
08.45-10.45
GA DN √ 07.00
09.00-10.30
LA
15.15-16.30
GA DN
15.30-16.16
10.00-11.00
GA DN √
10.15-11.00
08.30-10.00
GA DN √
08.45-09.45
LA 09.40-09.55
11.30-12.45
GA DN √
11.30-12.30
14.15-15.30
GA spin DN √
14.30-15.30
GA TA √ 17.30-17.50
LA 20.45-
21.15-22.15
GA AI √
21.30-22.00
23.30-00.15
GA AI √
23.45-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA WA √ 08.00 09.30-12.00
12.30-14.30
GA HA √ 11.00
13.00-14.15
15.00-17.15
GA HA √ 13.00
15.30-17.00
18.00-20.15
18.15-20.15
20.30-21.30
20.45-21.30
06.45-09.15
GA HA √ 06.30
07.00-09.00
12.00-15.45
GA HA √ 09.00
12.15-15.30
16.00-21.45
GA HN √ 12.00
16.15-21.30
GA 16.00
spin, 08.00-11.00
GA DN √ 07.30
epd 08.30-11.00
GA epd DS √ 13.00 11.00-15.00

11.45-14.45
07.30-13.15
GA HR √ 08.00
07.45-13.00
GA VL √ 11.00 17.10-18.30
18.30-19.30
GA epd VL √ 13.30
18.45-19.15
19.30-22.30
19.45-22.30
LA 07.00 08.20-08.50
10.00-12.30
GA VL √ 08.00
10.30-12.00
13.00-16.00
GA JL √ 11.00
13.30-15.30
17.45-18.30
18.00-18.30
GA VL √ 17.30 16.30-17.30
17.00-17.30
09.30-13.00
GA VL √ 08.00
09.45-12.45
14.00-15.45
GA VL √ 11.30
14.10-15.30
16.00-16.45
GA VL √ 13.00
16.15-16.30
06.45-16.45
GA epd WA √ 07.00
07.30-16.30
10.30-13.00
GA VL √ 08.00
10.45-13.00
15.30-18.00
GA DS √ 11.00
15.45-17.50
22.15-01.15
GA AI √ 14.00
22.30-01.00
21.15-22.30
GA spin AI 17.00
21.30-22.30
GA WA √
14.00 BATAL KARENA ICU PENUH

GA TA √ 07.30 07.45-08.10
GA TA √ 09.00
GA TA √ 11.30 11.50-12.30
GA HA √ 13.00 13.30-14.10
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
GA BI √ 08.00 08.45-11.15
GA UB √ 11.00 12.20-13.20
GA BI √ 07.30 08.25-10.30
GA BI √ 11.00 11.15-13.15
GA 14.00
GA TA √ 08.00 09.00-11.00
GA 10.00 BATAL KARENA KELUARGA MENOLAK

GA VL √ 11.30 15.30-16.30
GA 13.00 BATAL/RUNDA BESOK
AT : PUR,DW ( S : DY)
GA TA √ 11.00 13.00-13.45
GA HR √ 08.00
GA SF √ 16.00-21.00
16.15-20.50
GA HA √ 18.30-00.30
19.30-00.00
GA WA √ 19.05-20.45
08.30-09.30
GA spin AI √
08.45-09.30
LA
09.45-11.00
GA spin AI √
10.00-11.00
12.30-14.00
GA HS √
12.30-13.45
20.30-22.00
GA blok HS √
20.45-21.56
21.00-23.30
GA HA √ 19.00
21.15-23.15
GA BI √ 14.00-14.30
01.00-02.15
GA spin AI √
01.15-02.15
GA spin AI √ 02.30-03.45
02.45-03.45
GA AI √ 05.45-08.00
06.00-07.50
GA AI √ 06.00-09.00
06.15-08.45
GA JL √ 09.00-12.30
09.15-12.15
GA spin JL √ 10.00-11.30
10.15-11.15
GA JL √ 12.15-14.15
12.30-14.00
GA HA √ 14.00-14.45
11.15-14.30
GA epd HA √ 17.15-18.30
17.30-18.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30-09.45
GA WA √ 08.00
08.30-09.30
10.00-11.45
GA BI √ 10.30
10.15-11.30
12.00-16.00
GA BI √ 14.00
12.30-15.45
GA HN √ 17.00 16.15-20.45
16.45-20.30
GA DN √ 19.00 21.15-01.15
22.30-01.00
07.15-09.30
GA VL √ 07.00
07.30-09.15
10.15-13.45
GA HS √ 10.00
10.30-13.30
15.15-19.00
GA DN √ 13.00
15.30-18.45
20.30-23.00
GA DN √ 16.00
20.45-22.45
08.00-10.00
GA epd WA √ 08.00
08.15-09.45
11.45-16.00
GA epd WA √ 11.00
12.00-15.45
GA JL √ 17.00 18.00-22.00
18.15-21.45
GA JL √ 07.30
12.30-14.00
GA HS √ 12.00
12.45-13.45
18,15-19.00
GA DN √ 17.00
18.30-18.45
GA VL √ 07.00 07.00-14.15
07.30-14.00
15.45-16.15
GA JH √ 11.30
15.45-16.15
GA 13.00
BATAL KARENA PERBAIKAN KU (hb 8)
16.15-18.15
GA JH √ 08.00
16.30-18.00
09.30-15.00
GA DN √ 10.30
09.50-14.45
GA 14.00 BATAL KARENA PERBAIKAN KU (Kalium rendah )
09.30-13.30
GA VL √ 08.00
10.30-13.15
GA VL √ 12.00 07.35-12.45
GA WA √ 08.00 14.30-22.30
15.00-22.15
09.30-12.30
GA DS √ 08.00
10.00-12.30
15.30-16.15
GA epd DS √ 11.30
15.45-16.15
GA 14.00
19.15-20.30
GA HN √ 19.00
19.30-20.30
GA HN √ 07.20-
GA WA √ 15.00 14.45-17.00
GA AI √ 08.00 09.00-10.30
GA AI √ 12.30 13.30-15.30
LA 14.30
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
GA SF 08.00 09.20-
GA HN √ 10.30
GA SF √ 13.00 11.30-12.00
GA HA √ 07.30 08.00-09.00
LA 09.00 11.00-11.45
GA WA √ 10.00 13.15-13.45
GA WA √ 11.00 07.45-08.30
GA AI √ 08.00 09.15-09.30
GA AI √ 10.00 13.00-
GA VL √ 12.00 11.00-11.30
GA BI √ 14.00
16.00-18.00
GA spin WA √
16.15-18.00
16.30-17.30
GA WA √
16.40-17.15
15.30-16.15
GA DN √
15.45-16.00
20.30-23.30
GA VL √
20.45-23.30
21.15-23.00
GA JL √
21.30-22.45
19.30-20.45
GA DN √
19.45-20.30
LA
LA 20.30-20.45
09.00-10.00
GA spin HS √
09.00-10.00
10.30-12.30
GA spin HS √
10.45-12.15
GA JH √
07.00-08.00
GA HA √
07.10-07.50
11.00-13.45
GA epd DN √
11.15-13.45
17.00-18.00
GA JH √
17.15-17.45
LA 18.50-
22.45-24.30
GA JH √
23.00-24.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-10.15
GA EL √ 08.00
08.20-10.00
GA WA √ 10.30 12.45-
13.45-16.00
GA SF √ 13.00
14.30-15.45
07.15-09.45
GA HN √ 07.00
07.30-09.30
11.00-13.45
GA WA √ 11.00
11.30-13.30
15.00-16.30
GA HN √ 14.00
15.15-16.15
08.15-13.15
GA epd DS √ 08.00
09.00-13.00
14.00-19.00
GA DS √ 12.00
14.15-18.45
19.45-21.45
GA DS √ 16.00
20.00-21.30
GA epd HR √ 08.00 08.15-13.15
08.45-13.15
GA DS √ 12.00 14.45-16.45
15.00-16.30
18.30-21.45
GA DS √ 15.00
19.45-21.45
06.30-09.00
GA WA √ 07.00
07.00-08.30
10.30-13.30
GA TA √ 10.00
10.45-13.00
GA 14.00
16.30-17.30
GA spin DS 16.00
17.00-17.30
13.30-15.30
14.00-15.30
06.30-08.15
GA VL √ 06.30
07.00-08.00
08.30-11.45
GA BI √ 08.00
10.30-11.30
14.00-15.45
14.30-15.30
17.00-19.00
GA TA √ 12.00
18.00-18.45
GA 08.00 BATAL KARENA ALAT BLUM ADA
GA blok SF √ 12.00 15.30-20.30
16.30-20.00
GA UB √ 08.00 09.00-13.00
09.55-13.00
07.15-08.30
GA HN √ 06.00
07.30-08.30
10.15-13.00
GA EL √ 08.00
10.30-13.00
LA 12.00
GA 13.00 BATAL KARENA OPERATOR
15.15-21.30
GA DS √ 16.00
15.30-21.15
GA HR √ 10.00
GA VL √ 07.30 08.15-09.20
GA HA √ 09.00 10.30-11.00
GA VL √ 11.00 12.30-13.45
GA VL 13.00
GA HN √ 15.00 17.00-18.15
LA 08.30
LA 09.00
LA 10.00
LA 11.00
LA 12.00 13.00-
LA 13.00

10.45-12.30
GA WA √ 10.30
11.00-12.15
GA WA √ 07.30 08.30-
GA VL √ 08.00 09.45-11.00
GA VL √ 10.30 12.30-15.00
20.00-22.00
GA DS √ 12.30
20.30-21.45
UR,DW ( S : SR)
13.00-14.00
GA HA √
13.15-13.45
20.00-24.00
GA HN √ 16.00
20.05-20.40
GA DS √
18.45-20.45
GA DS √
19.15-20.30
12.30-12.45
GA BI √
12.35-12.40
LA 14.00 15.30-16.00
24.45-01.45
GA BI √
01.00-01.30
24.00-01.30
GA spin HS √
24.15-01.30
20.00-02.00
GA DS √
20.15-01.45
04.00-05.30
GA spin DS √
04.15-05.15
06.00-07.15
GA JH √
06.30-07.00
12.30-14.45
GA HR √
12.50-14.30
08.00-10.45
GA HR √
09.15-10.30
08.00-09.00
GA spin VL √
08.15-09.00
10.00-11.00
GA spin HN √
10.10-11.00
13.15-17.45
GA HR √
13.30-13.30
14.00-15.00
GA spin HR √
14.00-15.00
16.30-18.15
GA epd DS √
16.45-18.00
16.15-17.00
GA spin HR √
16.30-17.00
21.00-22.30
GA DS √
21.10-22.15
22.00-23.15
GA spin DS √
22.15-23.15
LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.30-12.00
GA epd WA √ 08.00
09.15-11.45
12.15-13.15
GA AI √ 10.00
12.30-13.00
13.30-15.30
GA AI √ 12.00
14.00-15.15
16.00-19.15
GA AI √ 14.00
16.15-19.00
19.00-22.00
20.30-22.00
12.00-15.45
GA HR √ 07.00
12.15-15.30
07.30-11.15
GA AI √ 10.00
07.45-11.00
17.00-18.00
GA DN √ 13.00
17.15-17.45
GA AI √ 16.00 20.15-23.00
20.30-22.45
08.15-10.30
GA VL √ 08.00
08.45-10.15
10.45-15.00
GA epd BI √ 11.00
11.15-15.00
GA spin JL √ 14.00 20.30-23.15
21.15-23.15
16.00-17.30
GA BI √ 15.30
16.05-17.15
18.10-19.45
18.30-19.30
08.30-12.00
GA BI √ 08.00
08.45-11.45
13.00-14.00
GA VL √ 12.00
13.10-13.50
16.00-17.00
GA epd VL √ 14.00
16.00-17.00
18.15-20.00
GA DN √ 18.00
18.30-19.45
07.00-10.30
GA WA √ 07.00
07.30-10.15
11.30-15.00
GA SF √ 10.00
11.45-14.45
GA HA √ 14.00 15.10-17.45
GA DN √ 17.00 18.45-19.15
19.45-21.15
GA SF √ 18.00
20.00-21.00
08.30-10.45
GA SF √ 08.00
09.00-10.30
GA 11.00
14.45-15.45
15.00-15.45
GA HS √ 08.00 08.15-18.30
09.00-18.15
GA HS √ 08.00 08.00-14.30
09.30-14.15
GA HS √ 14.30 16.30-20.00
17.00-19.30
08.30-11.45
GA spin HR √
08.00 09.30-11.15
12.30-14.15
GA epd VL √ 11.00
12.45-14.00
LA 13.00 14.30-15.00
GA spin HS √ 15.00 15.30-16.45

16.00-16.45
18.00-19.15
GA HS √ 19.00
18.30-19.00
GA WA √ 10.00
GA DS √ 07.15 08.00-09.00
GA VL √ 09.00 10.30-11.15
GA DN √ 13.00 12.30-13.30
GA VL √ 15.00 15.30-17.00
LA 08.00
LA 09.00
LA 10.00 11.10-12.20
LA 11.00 12.30-13.15
LA 12.00
LA 13.00
LA 14.00
GA VL √ 12.30 12.00-14.00
GA HN √ 07.30 08.20-10.20
GA HR √ 10.00 12.00-13.00
GA DN √ 08.00 08.25-10.00
GA DN √ 10.00 11.30-12.00
GA DN √ 12.00 13.30-14.45
19.45-22.00
GA DN √ 15.00
20.00-21.45
,DW ( S : SR)
GA TA √ 12.00 14.45-16.00
GA SF √ 17.15-17.55
08.30-12.30
GA DS √
09.15-12.15
23.15-00.00
GA spin TA √
23.30-00.00
LA
LA
LA
LA
LA
LA
LA
LA
LA
GA HA √ 07.00-08.30
07.15-08.30
GA blok HA √ 10.00-11.30
10.15-11.30
GA spin WA √ 09.30-10.45
10.00-10.45
12.00-14.30
GA VL √
13.15-14.30
13.45-16.00
GA HA √
14.15-16.00
GA BI √ 14.15-16.00
16.45-19.00
GA epd SF √
17.00-19.00
20.15-22.30
GA TA √
20.45-22.15
21.15-22.45
GA SF √
21.30-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
16.00-18.00
GA HS √ 08.00
16.15-17.45
GA HS √ 09.30
14.30-16.45
GA TA √ 13.00
14.45-16.30
09.15-10.15
GA TA √ 08.00
09.30-10.00
GA 09.00 BATAL KARENA KELUARGA
13.45-16.45
GA TA √ 13.00
14.00-16.30
20.00-20-15
GA DN √ 17.00
20.15-20.15
08.15-11.15
GA epd WA √ 08.00
08.30-11.00
GA epd DS √ 12.00 13.30-16.30
13.45-16.15
07.45-10.45
08.00-10.45
12.00-13.00
12.15-13.00
13.45-19.30
GA VL √ 13.00
14.00-19.45
GA WA √ 07.00
13.15-13.45
GA JL √ 11.00
13.15-13.30
15.00-17.30
GA HN √ 15.00
15.30-17.00
08.15-09.30
GA HA √ 07.00
08.35-09.15
10.15-12.00
GA HA √ 11.00
10.30-11.45
14.45-17.00
HA √
GA 14.00 15.00-16.45
GA epd DS √ 08.00 08.00-12.00
09.00-11.45
GA DS √ 08.00 09.30-
GA DS √ 11.00 13.30-16.00
GA DS √ 13.00 17.00-19.00
07.45-09.45
GA epd HA √
07.00 08.00-09.30
11,30-12.45
11,45-12.30
GA 13.00 BATAL KARENA OPERATOR
GA HN √ 09.00 10.20-13.50
GA HR √ 15.00 17.30-18.30
TV 07.00
GA HN √ 09.00 09.35-11.15
GA JL √ 11.00 12.15-13.00
GA HA √ 13.00
GA JL √ 15.00 16.00-16.50
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 13.30
GA SF √ 07.00 07.50-08.25
GA SF √ 09.00 09.00-11.30
GA SF √ 07.30
GA JL √ 08.00 08.15-10.15
GA JL √ 10.00 13.30-14.45
13.15-13.45
GA spin TA √
13.30-13.45
10.45-11.25
GA spin HA √
11.00-11.20
LA
LA 19.45-20.00
LA
GA spin WA √ 08.00-10.00
08.20-10.00
09.15-12.00
GA WA √
09.30-11.45
15.00-16.15
GA epd EL √
15.15-16.16
14.15-16.00
GA WA √
14.30-15.45
20.30-21.30
GA EL √
20.45-21.15
20.00-21.45
GA EL √
20.45-21.30
23.00-01.00
GA TA √
23.15-01.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-09.30
GA AI √ 07.30
08.15-09.15
11.30-12.00
GA AI √ 12.00
11.40-11.50
GA 06.00 TUNDA BESOK MINGGU
10.15-11.00
GA DN √ 10.00
10.30-10.45
17.15-18.00
GA DN √ 11.00
17.30-17.50
11.45-14.15
GA DN √ 12.00
12.00-14.00
13.15-16.30
GA DN √ 13.00
13.30-16.15
15.00-16.45
GA DN √ 15.00
15.15-16.30
LA 10.00 12.50-13.00
GA 05.30 SUDAH CITO

10.00-10.30
10.10-10.25
14.45-16.45
GA epd HA √ 14.00
14.15-16.35
GA 14.00
08.00-10.15
GA BI √ 08.00
08.30-10.00
GA 11.00 TUNDA BESOK MINGGU

GA DN √ 13.00
07.00-08.45
GA HN √ 07.00
07.15-08.30
09.30-11.00
GA HN √ 10.00
09.45-10.45
12.15-14.00
GA HN √ 13.00
12.45-13.45
GA DN √ 16.00 14.45-15.30
07.15-11.00
GA SF √ 07.00
08.00-10.50
12.00-14.00
GA SF √ 10.00
12.30-13.45
GA HA √ 11.30 15.30-17.30
GA VL √ 14.00
GA VL √ 13.45-15.00
spin, 14.30-16.00
GA HN √ 13.00
epd 14.45-16.00
18.45-20.00
19.00-19.30
GA VL √ 17.00
GA HN √ 10.00 07.00-
LA 12.00-12.15
05.30-07.30
GA epd EL √
05.45-07.20
06.00-09.00
GA EL √
06.15-08.45
08.00-09.00
GA epd EL √
08.05-09.00
10.00-11.15
GA spin TA √
10.15-11.00
12.15-13.45
GA spin TA √
12.30-13.45
17.15-18.30
GA HN √
17.30-18.15
18.15-19.30
GA VL √
18.30-19.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.45-09.30
GA BI √
09.00-09.30
09.45-11.00
GA spin VL √
10.00-11.00
10.45-14.00
GA VL √
11.00-14.00
GA VL √ 13.30-15.30
13.45-15.15
13.00-15.30
GA epd VL √
13.15-15.30
14.30-16.00
GA VL √
15.00-16.00
19.30-21.30
GA DN √
19.45-21.30
17.45-20.00
GA DN √
18.00-19.45
LA 17.30-18.15
17.00-18.30
GA DN √
17.15-18.15
17.00-18.00
GA DN √
17.15-17.45
18.00-20.00
GA DN √
18.30-20.00
20.15-21.45
GA HN √
20.45-21.45
GA spin DN √ 23.00-23.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30-12.15
GA WA √ 08.00
09.00-12.00
13.00-14.00
GA JL √ 12.00
13.10-13.50
14.30-15.45
GA HA √ 14.00
13.40-15.35
08.15-11.00
GA HA √ 08.00
08.30-10.45
12.30-16.30
GA epd VL √ 12.00
12.45-16.15
17.15-21.00
GA epd VL √ 16.00
17.30-20.45
08.30-11.45
GA epd DN √ 08.00
08.45-11.30
GA DN √ 11.00 12.45-15.45
13.15-15.30
17.15-19.15
GA DN √ 16.00
17.30-19.00
08.30-09.45
08.45-09.45
11.00-12.45
11.15-12.45
GA DN √ 14.00
07.00-11.30
GA WA √ 07.00
07.30-11.15
12.00-14.30
GA DN √ 11.00
12.30-14.15
GA 14.00 FASTRACK Tanggal 24/72017
07.00-07.45
GA VL √ 07.00
07.15-07.30
11.30-11.30
GA UB √ 09.00
11.50-11.20
09.00-11.00
09.30-11.00
09.00-11.30
GA HR 08.00
09.30-11.15
GA JH √ 11.00 12.00-20.00
12.15-19.50
GA HR √ 08.00 08.45-12.45
10.45-12.30
GA HR √ 14.00 14.30-20.00
16.00-19.30
GA 07.30 BATAL/TUNDA BESOK

12.45-15.00
AI √
GA 09.00 13.00-15.00
16.00-19.00
GA spin JL √ 12.00
16.45-19.00
22.15-24.00
22.30-24.00
GA WA √
GA DS √ 08.00
GA HN √ 10.00
LA 08.00
LA 08.30
LA 09.00
LA 10.00
LA 11.00
LA 12.00
GA DS √ 08.00
GA VL √ 11.00 12.45-14.00
GA JH √ 10.00
GA HR √ 07.30 11.30-13.15
GA HN √ 10.00 14.30-
GA DS √ 12.00
ALAT : PUR ( S : DW)
08.30-11.30
GA spin HS √
08.45-11.30
GA JL √ 18.00-19.30
LA 15.00-16.00
LA
LA 13.30-13.50
GA DN √ 21.00-01.30
21.30-01.15
01.00-03.30
GA JL √
01.15-03.15
10.00-13.15
GA JL √
10.30-13.00
19.30-20.15
GA spin JL √
19.35-20.15
22.00-23.30
GA JL √
22.15-23.15
23.15-24.15
GA JL √
23.30-24.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-09.45
GA EL √ 08.00
08.45-09.30
10.15-11.15
GA EL √ 10.00
10.30-11.00
GA 12.00
BATAL KARENA URINCREATININ TINGGI
12.00-14.15
GA WA √ 15.00
12.15-14.00
16.00-19.15
GA WA √ 18.00
16.30-19.00
GA 08.00
09.00-15.00
GA EL √ 09.30
09.30-14.45
16.15-17.30
GA TA √ 14.00
16.30-17.15
18.30-19.30
GA HN √ 16.00
18.45-19.15
19.15-22.15
GA WA √ 18.00
19.30-22.00
07.30-11.15
GA epd WA √ 08.00
08.00-11.00
11.45-15.45
GA WA √ 11.00
12.30-15.30
16.15-17.30
GA JL √ 14.00
16.30-17.15
LA 18.30 16.00-16.30
GA 19.30 BATAL KARENA PERBAIAKAN KU
GA 08.00 BATAL KARENA KALAINAN JANTUNG
09.30-12.00
GA JL √ 10.00
09.45-11.45
GA JL √ 12.00 13.00-14.15
15.15-17.45
GA epd VL √ 14.00
15.30-17.45
18.45-19.30
GA VL √ 17.00
19.00-19.30
07.00-08.45
GA JH √ 07.00
07.30-08.15
LA 09.00 12.00-12.45
13.30-15.00
GA JH √ 10.00
13.45-14.45
LA 12.00 16.0017.00
16.45-21.00
17.00-21.00
LA 17.00
07.45-11.00
GA JH √ 07.00
08.00-10.45
11.30-12.45
GA JL √ 10.00
11.50-12.30
13.30-16.45
GA JH √ 11.30
13.45-16.30
GA 14.00 BATAL KARENA PASIEN MENOLAK
19.15-20.45
GA JH √ 16.00
19.30-20.30
GA WA √ 08.00 09.00-14.30
10.30-14.15
18.00-22.00
GA JH √ 13.00
19.30-21.30
07.00-14.00
GA HA √ 07.00
07.30-13.45
GA DN √ 15.00
spin, 07.45-10.30
GA UB √ 08.00
epd 08.00-10.30
11.30-14.30
GA VL √ 10.30
11.45-14.15
17.15-18.30
GA WA √ 14.30
17.30-18.30
20.30-23.45
GA VL √ 18.00
20.45-23.30
23.00-01.00
GA HS √ 20.00
23.30-01.00
GA HR √ 10.00 07.30-
15.15-21.00
GA HR 15.00
16.20-20.30
GA AI √ 07.30 08.20-10.45
GA AI √ 11.00 11.55-14.00
GA AI √ 14.00 14.45-
LA 08.00
LA 11.00
LA 13.00
GA VL √ 07.30 08.00-08.30
GA UB √ 09.00 09.30-10.30
GA DS √ 11.00
GA HA √ 07.00
GA WA √ 12.00 11.15-15.15
GA AI √ 07.30 08.30-09.15
GA AI √ 09.00
GA TA √ 11.00 13.30-
GA AI √ 13.00 16.15-17.30
GI,AG*,BD*,WI* ALAT : PUR ( S : DW)
LA
GA
LA
09.00-09.45
GA spin HS √
09.15-09.45
10.00-10.45
GA spin HN √
10.15-10.45
13.45-14.00
GA DN √
13.45-14.00
22.15-24.45
GA blok HS √
22.45-24.45
GA DN √ 08.00-09.00
08.15-09.00
GA spin VL √ 09.15-10.15
09.30-10.00
GA DN √ 11.15-11.45
11.15-11.45
16.45-17.45
GA WA √
17.00-17.30
GA TA √ 20.00-20.30
20.00-2.30
GA VL √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.45-09.30
GA WA √ 08.00
08.15-09.15
10.15-11.15
10.45-11.15
GA 12.00
12.30-14.30
GA AI √ 14.00
12.45-14.15
15.15-16.45
GA AI √ 16.00
15.30-16.30
08.00-10.15
GA DN √ 07.30
08.15-10.00
11.30-14.00
GA HR 10.00
11.45-14.15
14.30-17.30
GA DN √ 13.00
14.45-17.15
20.00-21.40
GA DN √ 16.30
20.15-21.45
LA 08.00
LA 10.00
LA 11.00
LA 12.00
08.20-10.45
GA epd WA √ 08.00
08.30-10.30
GA 10.00
11.15-16.30
GA epd VL √ 12.30
11.45-16.15
16.30-18.30
GA epd VL √ 15.00
17.00-18.30
08.00-09.00
GA DS √ 08.00
08.15-08.45
09.30-11.00
GA VL √ 09.00
09.45-10.45
13.00-18.00
GA epd DS √ 11.00
13.15-18.00
GA DS √ 14.00 19.30-20.30
07.00-10.00
GA blok TA √ 08.00
07.30-09.45
11.00-13.45
GA WA √ 10.00
11.30-13.15
14.00-16.00
GA DN √ 12.00
14.30-15.50
GA HR √ 07.00 09.00-12.00
17.15-18.45
GA TA √ 13.00
17.40-18.00
19.00-19.45
GA TA √
19.20-19.35
GA HS √ 08.00 08.00-12.15
08.15-12.00
13.30-15.30
GA UB √ 11.00
14.00-15.00
16.15-17.00
16.30-17.00
GA BI √ 14.00 20.30-23.00
08.15-10.15
GA UB √ 08.00
08.35-10.00
12.00-15.15
UB √
GA 10.00 13.45-15.00
GA 07.00
12.15-14.15
GA EL √ 11.00
12.45-14.00
15.00-16.45
GA HR √ 14.00
15.15-16.30
GA 16.00
GA TA √ 18.00 21.35-23.30
23.30-02.00
23.45-02.00
GA WA √ 10.00
GA AI √ 08.00 08.45-09.15
GA VL √ 10.00 10.35-11.35
GA VL √ 12.00 13.30-14.15
GA 14.00
LA 07.00 07.50-08.30
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 13.00
GA VL √ 07.30 08.15-10.15
GA VL √ 09.00 12.35-14.00
GA TA √ 11.00 15.30-18.00
GA WA √ 07.30 07.30-09.50
GA WA √ 10.00 11.30-16.00
GA VL √ 07.00 08.00-08.50
GA VL √ 08.30 10.00-10.35
GA VL √ 10.00 11.30-12.15
GA VL √ 11.30 13.30-
GA VL √ 14.00 18.00-19.00
D,TU ALAT : PUR ( S : DW)

06.45-11.30
GA TA √
07.00-11.15
18.00-19.15
GA BI √
18.15-19.00
LA 15.30-16.45
LA 08.00-08.30
11.15-12.00
GA spin DN √
11.30-12.00
GA spin TA √ 04.45-05.45
04.40-05.50
GA spin HR
04.45-05.50
06.45-07.30
GA DN √
07.00-07.30
GA DN √ 09.15-09.30
09.30-13.00
GA spin HR
09.45-12.00
11.30-12.00
GA spin WA √
11.45-12.00
12.30-20.15
GA epd HR √
12.45-20.00
13.30-15.30
GA HR √
13.45-15.15
14.30-15.30
GA spin HR √
14.45-15.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.30-11.00
GA AI √ 08.00
09.00-11.00
11.00-13.45
GA AI √ 10.30
11.15-13.30
14.30-19.00
15.00-19.00
20.00-23.00
20.10-23.00
23.30-01.00
GA AI √ 18.30
23.45-01.00
06.00-07.45
GA AI √ 06.00
06.15-07.30
09.30-15.30
GA DN √ 09.00
09.45-15.15
17.00-19.45
GA AI √ 14.00
17.15-19.45
21.00-23.30
GA AI √ 17.00
21.15-23.15
LA 08.00 09.00-09.30
07.30-11.00
GA WA √ 08.00
07.45-10.50
12.00-15.00
GA epd WA √ 10.30
12.10-14.50
13.00-18.00
GA epd SF √ 13.00
15.00-18.00
08.45-09.30
GA VL √ 08.00
09.00-09.30
10.15-12.00
10.30-12.00
13.00-15.15
GA DN √ 11.30
13.15-15.00
18.30-19.30
GA VL √ 18.00
18.00-19.20
19.45-21.30
GA epd VL √ 19.30
20.00-21.30
06.30-11.00
GA WA √ 07.00
07.30-10.45
11.00-12.15
GA SF √ 11.00
11.15-12.00
12.30-15.00
GA WA √ 13.00
13.00-15.00
09.00-11.00
GA SF √ 10.30
09.20-10.50
GA SF √ 12.00 12.30-12.45
13.30-15.00
13.40-15.00
GA HN √ 08.00 10.30-14.00
GA WA √ 08.00 09.00-17.00
10.30-16.30
GA HS √ 12.00 17.30-20.00
18.00-19.30
07.15-10.30
08.00-10.30
GA HN √ 09.30 16.30-
LA 12.00 14.15-14.30
GA DS √ 14.00 16.00-
GA 19.00 BATAL KARENA ADMINISTRASI BELUM BERES
GA HN √ 10.00
GA VL √ 08.00 09.00-10.00
GA VL √ 11.00 11.00-12.30
GA VL √ 14.00
GA VL √ 16.00 16.00-
LA 08.00
LA 09.00
LA 10.00 11.25-11.40
LA 13.00
GA TA √ 07.30 08.00-09.30
GA DS √ 10.30 11.35-
GA HA √ 13.00
GA HA √ 15.00
GA TA √ 07.30 08.30-09.50
GA DN √ 09.00 10.15-13.00
GA HN √ 07.30 09.00-10.00
GA HN 10.00 11.15-11.30
GA HN √ 12.00
: PUR,SR ( S : DW)
LA 22.00-23.00
08.30-08.45
GA BI √
08.35-08.40
10.30-12.00
GA EL √
10.45-11.45
GA EL √ 14.00-17.00
14.30-16.45
22.15-00.30
GA AI √
22.30-00.15
GA AI √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30-09.30
GA blok UB √ 07.00
08.15-09.15
10.00-11.30
GA UB √ 10.00
10.15-11.15
16.45-19.00
GA TA √ 17.00
17.30-18.45
07.00-07.45
GA DN √ 06.00
07.15-07.30
GA TA √ 08.00 09.00-13.15
09.45-12.45
07.00-10.15
GA epd DS √ 07.00
07.30-10.00
14.15-18.15
GA HN √ 14.00
14.30-18.10
07.30-13.15
GA epd HN √ 08.00
08.30-13.00
GA HN √ 12.00 11.30-11.40
07.15-10.45
GA WA √ 07.00
07.45-10.30
11.15-12.30
GA HA √ 11.00
11.30-12.15
13.30-16.15
GA BI √ 14.30
14.00-16.00
08.30-10 00
GA DN √ 08.00
09.00-09.45
11.00-13.15
GA TA √ 11.30
11.15-13.00
GA HA √ 13.00 15.45-19.45
LA 08.00
GA 09.00
GA DS √ 08.00 08.30-14.00
10.00-13.30
08.00-12.00
GA BI √ 08.00
09.00-12.00
spin, 14.15-18.45
GA BI √ 11.00
epd 14.30-18.45
20.30-22.00
GA HN √ 15.00
20.45-22.00
19.45-20.30
20.00-20.30
21.00-22.45
GA HN √ 21.00
22.15-22.45
GA HR √ 10.00 07.00-12.30
GA HN √ 08.00 08.30-09.25
GA JH √ 10.30 10.15-11.30
LA 08.00
LA 09.30
GA VL √ 07.30 08.00-10.30
GA SF √ 09.00
GA HN √ 07.30 08.00-09.00
GA WA √ 11.00 10.00-12.30
GA JH √ 08.00 08.50-09.15
GA JH √ 10.30 10.30-12.00
14.00-16.00
GA HN √ 14.00
14.30-15.45
14.00-14.30
GA HN √ 11.00
14.05.10.25
GA BI √ 13.30 16.20-18.40
LA 08.30-09.00
LA 14.00-14.30
07.00-07.30
GA UB √
07.15-07.30
LA
08.15-09.40
GA spin DS √
08.50-09.40
14.30-18.30
GA HN √
15.00-18.15
15.00-17.00
GA spin DS √
15.15-17.00
15.30-17.30
GA HN √
15.45-17.30
GA TA √ 18.30-18.45
20.00-22.15
GA spin HN √
20.30-22.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA UB √ 08.00
08.15-09.45
GA UB √ 07.30
08.30-09.30
10.00-12.00
GA UB √ 09.30
10.15-11.45
GA 07.00
12.15-14.30
GA WA √ 11.00
12.30-14.15
14.45-16.15
GA JH √ 15.00
15.00-16.00
17.00-19.15
17.15-19.00
09.15-10.30
09.30-10.15
07.15-08.15
GA WA √ 07.00
07.30-08.10
10.15-11.00
10.30-11.00
14.00-17.15
GA JH √ 10.30
15.00-17.00
09.30-12.30
GA UB √ 09.00
09.55-12.15
08.30-11.30
GA epd VL √
08.45-11.30
LA 13.40-14.00
LA 13.00-13.15
08.00-09.30
GA spin UB √
08.15-09.30
LA 16.00-16.20
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA DN √ 09.30-13.15
10.15-13.00
GA DN √ 15.00-17.00
15.15-17.30
GA spin DN √ 15.00-16.00
15.15-15.45
GA DN √ 17.45-18.30
17.45-18.30
GA DN √
GA DN √ 16.05-17.00
19.00-20.30
GA DN √
19.20-20.15
GA BI √
GA DN √ 19.00-23.00
19.30-22.45
20.30-21.15
GA DN √
21.00-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-10.00
GA HA √ 08.00
08.15-09.45
10.30-12.30
GA HA √ 10.30
10.45-12.15
15.00-15.45
15.15-15.45
GA VL √ 08.00 09.20-15.30
14.45-15.00
GA HA √ 10.00
14.45-15.00
11.00-16.00
15.05-15.55
GA WA √ 08.00 08.15-10.30
08.30-10.15
11.15-13.30
GA epd DN √ 11.00
11.30-13.30
14.00-17.15
GA epd WA √ 14.00
14.30-17.00
08.50-11.15
09.00-11.15
12.45-15.00
GA epd VL √ 14.00
13.00-15.00
GA DN √ 15.30
GA WA √ 07.00 07.00-07.30
08.30-14.30
GA WA √ 08.00
08.45-14.00
15.15-20.00
GA JL √ 12.00
15.30-18.30
08.45-15.30
GA VL √ 08.00
09.15-15.00
15.45-17.30
GA VL √ 10.00
16.00-17.15
GA 13.00
spin 16.30-18.00
GA VL √ 15.30
epd 16.45-18.00
08.45-12.00
GA HR √ 08.00
09.30-12.00
14.30-18.00
GA HR 13.00
15.00-17.45
GA HR √ 08.00 09.00-10.15
09.30-10.00
10.45-14.45
GA HR √ 12.00
11.00-14.40
GA 06.00 BATAL KARENA VES
GA spin AI √ 10.00 10.00-14.00
epd 10.15-14.00
spin 15.00-18.00
GA AI √ 13.00
epd 15.15-18.00

19.00-21.30
GA HS √ 19.00
19.15-21.30
GA WA √ 07.30-15.00
GA HA √ 08.00 08.30-09.15
GA HA √ 09.30 10.30-11.15
GA HA √ 11.30 12.40-12.50
GA HA √ 13.00 15.30-17.00
LA 07.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
LA 14.00
GA VL √ 07.30
GA 09.00
GA DS √ 11.00 13.25-15.45
GA TA √ 07.30
GA HA √ 11.00
GA BI √ 08.00 09.00-11.00
GA BI √ 10.00 12.30-15.45
GA 13.00
PUR,DW ( S : )
GA JL √ 13.00-13.30
13.05-13.25
GA JL √ 17.30-
LA 17.00-17.30
LA 13.30-13.50
19.30-21.45
20.00-21.45
15.15-15.30
GA AI √
15.15-15.30
05.00-06.30
GA HN √
06.15-06.15
16.30-18.30
GA spin HS √
16.45-18.30
20.15-22.45
GA spin HS √
20.45-22.45
LA 15.00 16.00-16.45
05.45-07.15
GA DN √
07.00-07.05
06.45-08.15
GA spin DN √
07.00-08.00
08.15-09.30
GA spin JL √
08.30-09.15
09.45-11.15
GA spin JL √
10.00-11.00
10.45-12.30
GA JL √
11.30-12.15
12.45-14.15
GA JL √
13.00-14.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-10.15
GA BI √ 08.00
08.30-10.00
10.45-13.15
GA DS √ 11.00
11.00-13.00
14.15-16.30
14.30-16.15
GA BI 14.30 17.00-17.15
GA BI √ 15.00
17.40-19.40
GA BI √ 17.00
18.15-19.15
06.30-08.00
GA DS √ 06.30
06.45-07.45
08.45-11.15
GA AI √ 09.00
09.00-11.00
11.45-14.45
GA HS √ 11.00
12.30-14.45
16.45-18.30
GA JH √ 14.00
17.00-18.15
20.30-22.00
21.00-22.00
GA BI √ 17.30 20.00-20.30
22.30-23.00
GA BI √ 19.00
22.30-23.00
07.45-10.30
GA epd WA √ 08.00
08.00-10.15
11.00-14.45
GA epd JL √ 11.00
11.15-14.30
15.00-19.15
GA JL √ 14.00
15.15-19.00
08.00-12.00
GA epd VL √ 08.00
08.15-11.50
GA DN √ 11.00 14.20-16.20

GA DN √ 15.30 19.00-21.00
20.45-23.00
GA epd VL √ 17.30
21.15-23.00
GA 20.00 BATAL / TUNDA BESOK
06.45-09.00
GA WA √ 07.00
07.00-09.00
LA 09.00 10.15-10.45
11.00-12.30
GA JH √ 10.00
11.30-12.30
GA JH √ 12.00
05.15-08.15
GA JH √ 05.00
06.30-08.00
12.30-16.30
GA JH √ 08.30
13.05-16.15
09.00-11.30
GA JH √ 11.30
09.30-11.15
GA WA √ 08.00
GA WA √ 08.00
20.45-22.00
GA HN √ 05.00
21.00-21.45
07.00-10.00
GA WA √ 07.00
07.15-09.45
11.00-14.00
GA AI √ 10.30
11.15-13.45
15.30-17.00
GA HA √ 14.30
15.45-16.45
17.00-19.00
GA HA √ 16.30
17.15-18.45
GA HN √ 18.00
GA HN √ 10.00 07.40-
GA WA √ 14.00
GA SF √ 07.30 08.15-08.30
GA SF √ 09.30 10.30-11.30
GA SF √ 11.00 12.15-13.30
GA VL √ 13.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00
LA 12.00
LA 13.00
GA HA √ 08.00 08.30-10.20
GA SF √ 10.30
GA DS √ 12.00 15.00-17.00
GA DS √ 15.00 17.45-21.00
18.00.20.45
GA TA √ 07.30 08.00-08.20
GA HA √ 08.30
GA SF √ 08.00 09.10-09.50
GA SF √ 11.00 10.50-11.50
GA DN √ 12.30
16.15-18.45
16.30-18.30
PUR ( S : )
GA WA √ 08.00-14.00
09.00-13.00
GA DN √ 11.10-11.40
13.30-16.00
GA BI √
14.00-15.45
18.15-19.30
GA HN √
18.30-19.15
23.30-01.45
GA spin HS √
24.00-01.45
23.45-02.05
GA blok HS √
24.30-02.00
13.30-15.30
HN √
13.45-15.15
GA epd DN √ 07.45-09.00
08.00-09.00
GA √ 10.30-11.30
spin DN 10.45-11.30
GA JL √ 11.00-
13.15-14.15
GA spin DN √
13.30-14.15
15.30-18.30
GA epd HN √
16.00-18.30
GA spin HN √ 21.15-22.15
21.30-22.15
GA HN √ 20.30-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30-11.00
GA epd WA √ 08.00
08.15-10.45
11.00-14.00
GA WA √ 11.00
11.45-13.45
14.15-16.15
GA WA √ 13.00
14.30-16.00
08.30-10.00
GA WA √ 08.00
08.45-09.45
10.30-12.15
GA UB √ 10.00
10.45-12.00
13.30-16.30
GA DN √ 13.00
13.45-16.15
17.00-19.45
GA SF √ 15.00
17.15-19.30
LA 07.00
LA 09.00
LA 10.00 13.30-13.55
LA 11.00
LA 12.30
08.15-13.30
GA epd DS √ 08.00
09.00-13.15
13.45-17.15
GA WA √ 13.00
14.00-17.00
18.15-21.00
18.45-20.30
GA VL √ 07.00 07.30-15.00
07.45-14.45
06.30-09.30
GA WA √ 07.00
06.45-09.15
12.00-12.30
GA TA √ 09.30
12.00-12.30
13.00-14.00
GA TA √ 11.00
13.15-14.00
15.00-19.30
GA TA √ 12.30
15.15-19.15
08.15-09.30
GA TA √ 07.30
08.25-09.15
10.30-11.30
GA TA √ 09.00
10.45-11.15
12.45-14.30
GA SF √ 16.00
13.00-14.15
08.30-12.00
GA epd UB √ 08.00
09.15-11.30
14.00-17.30
GA UB √ 11.00
16.30-17.00
GA UB 08.00 09.00-14.30
09.30-14.15
GA DS √ 11.30 16.50-19.00
spin, 09.45-11.30
GA JH √ 08.00
epd 10.00-11.30
spin, 12.00-13.30
GA AI √ 10.00
epd 12.30-13.30
14.15-15.00
GA JH √ 13.00
14.30-15.00
GA 15.00
16.00-18.30
GA DN √ 17.00
16.15-18.30
GA 18.30
21.30-23.00
GA spin JH 20.30
21.45-23.00
GA HR √ 10.00 07.30-
16.30-18.00
17.00-18.00
GA DN √ 07.30 08.25-10.00
GA HN √ 09.00 11.20-11.45
GA HA √ 11.00 12.45-13.45
GA DN √ 12.30 14.25-15.15
GA DN √ 14.00 16.15-17.00
LA 07.30
LA 08.30
LA 09.30
LA 10.30
LA 11.30
LA 12.30
LA 14.00
LA 15.00
GA JL √ 08.00 08.45-11.00
GA JL √ 11.00 12.30-14.10
GA JL √ 07.30 08.40-10.30
GA JL √ 12.00 13.15-15.15
GA DN √ 07.30 10.15-12.15
GA DN √ 11.00 14.15-15.15
UR,EA ( S :ES)
18.00-19.45
GA DN √
18.10-19.30
GA DS √ 19.25-21.25
20.00-21.00
GA DS √
20.30-20.45
RA HS √ 22.20-01.00
15.00-15.30
GA JH
15.10-15.30
LA
LA 21.00-21.30
LA 21.00-21.30
00.00-01.30
GA spin HS √
00.15-01.15
GA HN √ 06.15-09.30
06.30-09.15
07.00-08.00
GA spin HR
07.15-07.50
10.00-12.45
GA HR
10.15-12.30
11.15-12.15
GA spin HR
11.30-12.00
13.30-14.30
GA HR
14.00-14.15
14.30-16.00
GA spin HR
14.45-15.45
GA DS √ 16.30-19.00
16.45-18.45
GA DS √ 16.50-19.00
17.30-19.00
GA DS √
17.45-18.45
GA DS √ 19.30-19.55
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.00-10.00
GA WA √ 08.00
08.15-09.45
10.45-13.00
GA AI √ 10.30
11.00-12.45
14.00-16.30
GA UB √ 12.00
14.15-16.30
06.45-08.15
GA AI √ 07.00
07.00-08.00
GA 09.00
BATAL / TUNDA BESOK
10.00-13.30
GA DN √ 12.30
10.15-13.15
19.00-20.30
GA AI √ 15.00
19.15-20.15
20.30-21.45
GA AI √ 17.00
20.15-21.30
07.30-10.45
GA epd WA √ 07.00
08.30-10.30
GA WA √ 11.00 11.45-13.15
15.15-16.30
GA epd HA √ 13.00
15.30-16.15
16.30-18.30
GA HA √ 15.00
16.45-18.30
08.30-11.00
GA BI √ 11.00
08.45-11.00
11.30-13.45
GA BI √ 15.00
12.00-13.30
07.00-10.45
GA WA √ 06.30
07.45-10.00
GA SF √ 11.30 11.30-
20.15-22.15
GA WA √ 16.00
20.45-22.00
GA 06.00
BATAL KARENA ISPA
09.00-11.15
GA SF √ 09.00
09.15-11.00
12.30.13 45
GA DN √ 12.00
12.45-13.30
14.30-17.45
GA SF √ 14.00
14.55-17.30
08.00-15.30
GA HR 08.00
08.30-15.00
GA √ 13.00 17.15-23.15
17.30-23.00
GA HS √ 08.00 08.00-16.00
10.00-15.45
GA HR 12.00 17.30-23.30
18.30-23.00
06.00-08.00
GA VL √ 05.00
06.15-08.00
10.15-13.00
GA DN √ 08.00
10.30-13.00
14.00-16.00
GA WA √ 12.00
14.15-16.00
GA 16.00 BATAL KARENA GDS TINGGI (400)
GA WA √ 10.00 07.30-12.30
GA HN √ 14.00
GA JH √ 07.30 08.20-08.35
GA VL √ 09.00 10.45-11.30
GA VL √ 11.00
GA JH 13.00 14.00-15.35
GA JH √ 15.00 18.30-18.00
LA 08.00
LA 09.00
LA 10.00
LA 11.00 11.10-12.00
LA 12.00 12.40-13.20
11.45-14.30
GA DN √ 07.30
12.00-14.30
GA HA √ 09.30 08.15-09.30
GA DN √ 07.30 08.55-12.00
GA DN √ 10.00
GA JL √ 08.00 09.30-11.15
GA UB √ 10.30 12.00-13.20
W ( S : ES)
18.00-22.00
GA epd AI √
18.30-21.45
15.30-16.30
GA HN √
15.45-16.15
LA
GA spin VL √ 07.15-08.45
07.30-08.30
GA DS √ 09.45-12.15
10.00-12.00
GA spin DS √ 09.50-10.50
GA AI √ 16.30-17.30
16.30-17.30
GA spin AI √ 18.15-19.15
18.30-19.15
GA DS 22.45-00.00
23.00-00.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
08.15-09.45
GA HR √ 08.00
08.45-09.30
10.15-11.30
GA TA √ 11.00
10.30-11.15
GA epd DS √ 13.00 13.00-16.00
13.30-15.45
07.00-10.00
GA DN √ 07.00
07.15-09.45
10.30-13.30
GA JH √ 10.00
10.45-13.15
14.45-16.30
GA TA 13.00
15.00-16.15
08.00-11.45
GA WA √ 08.00
08.30-11.30
13.15-17.00
GA WA √ 12.30
13.30-16.45
GA HN √ 15.00 17.25-19.15
08.00-10.30
GA VL √ 08.00
08.15-10.15
11.00-12.45
11.15-12.45
GA 14.00
BATAL/TUNDA BESOK
14.00-15.30
14.15-15.15
06.00-07.30
GA WA √ 06.30
06.30-07.00
GA WA √ 08.30 08.30-12.00
09.00-11.45
GA WA √ 12.30 11.30-16.00
11.45-15.45
LA 15.00 13.55-14.30
08.30-09.45
GA HA √ 08.00
08.45-09.45
15.30-18.15
GA HA √ 15.00
15.45-18.00
09.00-11.30
GA JH √ 08.00
09.15-11.15
13.30-14.00
GA DS √ 10.00
13.45-14.00
14.00-16.30
GA DS √ 08.00
14.15.16.15
GA 09.00
LA 10.00
16.15-16.45
GA BI √ 11.00
16.30-16.45
15.00-15.15
GA BI √ 13.00
15.00-15.15
06.00-09.30
GA HS √ 06.00
06.15-09.30
10.30-12.00
GA epd VL √ 10.00
10.45-12.00
14.15-15.30
GA BI √ 13.00
14.30-15.15
GA HN √ 10.00 09.30-12.00
GA JL √ 07.30 08.00-09.15
GA JL √ 10.00 10.00-11.00
GA JL √ 13.00 14.45-16.00
GA JL √ 11.30
GA JL √ 14.30
LA 08.00
LA 09.00
LA 09.30
LA 12.30
LA 13.30
LA 14.00
GA VL √ 07.00 08.00-09.00
GA BI √ 09.00 11.00-11.50
GA WA √ 07.30 08.30-11.30
GA WA √ 11.00
GA DS √ 08.00 08.45-10.45
GA JL 10.30 15.30-16.30
08.00-11.30
GA DS √ 08.00
08.30-11.00
22.00-00.30
GA HS √
22.15-00.30
17.30-22.15
GA HN √ 17.00
18.00-22.00
GA spin JH √
LA 19.15-
LA 20.20-
GA spin AI √ 01.15-02.45
01.20-02.45
GA DN √ 07.00-07.45
07.10-07.40
09.30-12.45
GA WA √
10.00-12.30
10.45-12.00
GA spin WA √
11.00-12.00
LA 10.00-10.15
LA 12.30-13.15
19.45-21.00
GA spin BI √
20.30-21.00
19.30-20.30
GA spin HA √
19.45-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
07.30-11.00
GA HS √ 07.00
07.45-10.45
08.00-11.15
GA HA √ 07.30
08.15-11.00
08.45-10.15
08.50-10.00
11.00-12.00
GA HN √ 09.00
11.15-11.45
LA 11.00 13.50-14.10
09.45-10.30
GA VL √ 09.00
10.00-10.30
08.15-10.00
GA HN √ 08.00
08.45-09.45
GA HN √ 08.00 08.25-14.55
11.25-14.25
GA HA √ 08.00 08.30-13.30
09.20-13.20
LA 09.00-09.20
LA 09.50-10.05
08.45-11.00
GA VL √
09.30-10.45
15.15-18.45
GA DN √
15.30-18.30
LA 16.15-16.30
07.15-09.00
GA spin HN √
07.30-09.00
13.45-15.00
GA HN √
14.00-14.30
15.15-16.45
GA DN √
15.30-16.30
15.45-16.45
GA DN √
16.00-16.30
LA
24.00-01.00
GA DN √
24.00-00.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
LA 08.00
LA 16.00
GA BI √ 10.00-14.00
10.30-13.30
08.30-10.00
GA BI √
09.00-09.55
20.00-21.45
GA DN √
20.15-21.30
15.30-18.45
GA DN √
16.00-18.30
07.45-10.45
GA epd BI √
08.00-10.30
11.30-13.00
GA spin BI √
11.45-12.45
13.00-14.00
GA spin BI √
13.05-14.00
16.00-20.00
GA SF √
16.15-19.45
16.15-17.45
GA spin SF
16.30-17.45
GA BI √
GA DN √
LA 22.30-22.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
GA HA √ 08.00
GA HR 10.00
11.15-12.00
11.30-12.00
GA HA 14.00 13.35-15.30
07.15-11.45
GA HA √ 07.00
07.30-11.30
12.30-13.30
GA DN √ 10.30
12.45-13.15
14.15-15.30
GA JL √ 13.00
14.30-15.15
LA 08.00 09.30-10.30
08.00-11.00
GA epd WA √ 08.00
08.15-10.45
11.30-14.45
GA epd DN √ 10.30
12.45-14.45
16.00-21.00
GA epd DN √ 14.00
16.15-20.45
08.30-13.15
GA DN √ 08.00
09.00-13.00
14.00-15.00
GA VL √ 13.00
14.15-14.45
16.30-18.00
17.00-18.00
08.15-10.30
GA HS √ 08.00
08.30-10.15
11.30-22.30
GA VL √ 10.00
12.30-22.00
GA 17.00 BATAL/TUNDA
07.45-10.30
GA VL √ 06.00
08.00-10.15
12.45-20.30
GA √ 08.00
13.10-20.30
15.30-16.30
GA HN √ 14.00
15.45-16.15
20.00-23.00
GA VL √ 15.00
20.30-22.45
21.45-23.15
22.00-23.00
10.00-12.15
GA HR √ 08.00
10.15-12.00
13.15-21.15
GA HR 12.00
14.15-19.15

08.00-14.45
GA UB √ 08.00
10.35-14.40
18.15-22.40
GA DN √ 14.00
18.30-22.35
07.00-09.00
GA AI √ 07.00
07.15-08.45
12.00-14.00
12.45-13.45
spin, 17.30-21.00
GA AI √ 16.30
epd 18.15-20.45
00.00-03.00
GA TA √ 19.30
00.15-02.45
GA 21.30 BATAL/TUNDA
GA HR √ 07.25-
GA BI √ 07.30 07.50-08.15
GA BI √ 09.00 09.15-09.45
GA HA √ 10.30 12.00-12.50
GA 13.00 13.30-14.30
GA 14.30 BATAL KARENA KALIUM TINGGI

LA 16.00 16.00-17.00
LA 08.00
LA 09.00
LA 10.00
LA 12.00
LA 13.00
LA 14.00
GA AI √ 08.00 08.30-09.30
GA HN √ 11.30 11.55-14.00
GA DS √ 14.00 15.20-15.40
GA DS √ 07.30 08.35-12.30
GA DS √ 11.00 13.35-15.15
GA WA √ 08.00 08.20-10.30
GA DS √ 13.00 11.30-13.00
GA BI √ 14.30 13.25-16.00
( S : DW )
15.20-18.00
GA WA √
15.35-17.30
18.00-21.30
GA WA √
18.15-21.15
LA 12.00-12.30
LA 13.50-14.05
00.15-01.00
GA spin HS √
00.30-01.00
09.45-10.45
GA DN √
10.00-10.30
LA
06.45-07.30
GA SF √
07.00-07.30
06.00-08.45
GA SF √
06.30-08.40
09.15-10.30
GA spin HN √
09.30-10.30
09.30-10.45
GA JL √
09.45-10.30
13.30-17.15
GA JL √
14.00-17.00
GA HA 25.00-24.00
HARI / TANGGAL : SELASA, 01 AGUSTUS 2017
JAMINAN
S : AI,AY,WU
1 Rawoto 1 NPBI 51 th L KTL C645094 9077909
2 Nur Siti Zaumarsih 2 NPBI 41 th P GER LD C356033 9087371
3 Bariq Khosidulkhaq 3 NPBI 13 th L C1LD C647099 9092261
4 Ira Hermanto 3 PBI 30 th L R2B C647105 9092262
5 Soedasijah 2 NPBI 75 th P Transit C644417 9081704
6 Karsini 3 PBI 49 th P R2A C638381 9075800
7 Kaswati 3 NPBI 41 th P R3A C644265
8 Tunik 3 NPBI 59 th P R4B C624789 9092348
9 Ginah 3 PBI 52 th P R4B C646876 9091731
10 Darwati 2 NPBI 43 th P B31 C646419 9091895
11 Akhmad Mujiono 3 NPBI 30 th L R1B C631963 9075755
12 Anang Sunyoto 3 NPBI 29 th L R1B C635807 9080081
13 Oei Kiem Tien VIP NPBI 59 th P GRD L6 C646415 9089771
14 Siti Fatimah 1 NPBI 33 th P KPD L1 B376167 9088211
15 Bantar Mujoko Yuwono 2 NPBI 56 th L GER LD C270189 9091906
16 Soedijono VIP NPBI 81 th L GRD L5 749933 9080148
17 Sitono 2 NPBI 46 th L Transit C647085 9092213
18 Musnad 3 NPBI 57 th L GER LD C639944 9090373
19 Imam Toekiman 3 NPBI 75 th L R2B C629418
20 Suparmi 3 PBI 38 th P R2A C644954 9090253
21 Nur Lailiyah 1 NPBI 52 th P MRK L1 C288634 9090212
22 Sarahwati Manggarsari 3 NPBI 47 th P R5B C642117 9081326
23 Sumiyati 3 NPBI 35 th P R5B C642705 8984466
24 Rizki Ardiyansah 3 NPBI 9 th L Anak LD C644774 9071396
25 Stevani Citra Faradilla 3 NPBI 14 th P Anak LD C644380 9071026

26 Laurentia Gesta Puji R VIP NPBI 50 th P GRD L4 C645699 9091930
27 Mohammad Ali Zen VIP Um 10 th L GRD L3 C488703 9093978
28 Made Mahatma Indragosa VIP NPBI 17 th L GRD L4 C646650 9093863
29 Ambyah 2 NPBI 53 th L KPD LD C468970 9088386
30 Carsi 3 NPBI 49 th P R3A C646052
31 Muhammad Amrin 2 um 71 th L KTL C647161 9093881
32 Puryanto 2 NPBI 42 th L IGD C647221 9094281
33 Tjan Liang Tien 2 NPBI 61 th L GER LD C546052 9087186
34 Mulyono 3 NPBI 58 th L R1B C647092 9092316
35 Suryo Widodo VIP NPBI 47 th L GRD L6 C608332 9084934
36 Virgiawan Listanto 3 NPBI 11 th L Elang 1 C598164 9093369
37 Bambang Herutomo VIP NPBI 61 th L GRD L4 C633413 9088435
38 Karbani 3 NPBI 47 th L R2B C644847
39 Zulkarnain VIP NPBI 49 th L GRD L6 C619034 9092267
40 Untung Santoso 3 NPBI 47 th L R6B C635672
42 Pudjono Mardi Atmodjo 1 NPBI 65 th L Elang 1 C640472 9092249
43 Jamilatul Mila 3 NPBI 14 th P Anak L1 C594873 9091517
44 Lilik Suharti VIP NPBI 58 th P GRD L4 C622694 9083880
45 Suminto 2 NPBI 46 th L KPD LD C608108 9086330
46 Sulistiyani 3 PBI 38 th P R3A C606047 9086120
47 Arif Prasetyo 2 NPBI 23 th L P. Mata C644470
48 Sukarno 3 PBI 60 th L P. Mata C645054
49 Asripah 3 PBI 48 th P P. MTA C647223
50 Adi Yulianto 1 NPBI 42 th L KPD LD C645939 9082072
51 Sutirah 3 NPBI 76 th P P. Mata C643213
52 Romlah VIP NPBI 62 th P GRD L3 C186254 9092142
53 Darningsih 3 PBI 26 th P R4A C636746 9092112
54 Sudarti 1 NPBI 65 th P GER L1 C643787 9092365

55 Sutardi VIP NPBI 53 th L GRD L6 C646706 9090222
56 Jasman 2 NPBI 34 th L MRK LD C638992 9091867
57 Tursinah 2 NPBI 52 th P KPD LD C548486 9083999
58 Muhammad Soleh 3 PBI 36 th L R5A C646050 9084386
59 Agus Al Imron 2 NPBI 31 th L Transit C635229 9082065
60 Ahid Abdillah Humam 2 BPJS 33 th L MRK LD C645353 9077929
61 Suprianto 3 Um 26 th L R2B C646034 9083054

M : ST,RG,HI,AM,DB,RI,RM RR : FA,SAM,AG ( MID : NI,ER ) RR GRD : BR (MID : SE) SORE PROGRAM : AI,AY,HR,DM,DN,SA,DJ,EA,IS,
L : AN,DY,EM,JF,WI,MR,ANM,MW,YS,NH,PL,RK,RA,TR
62 Dani Ahmad Hanifa 2 8/9/1996 L MRKLD C641689 9044795
63 Rahayu Ambar Setyorini VIP NPBI 34th P GRD 3 C646361 9093846
64 Lutik Suprihatin 1 NPBI 55 th P MRK L2 C631675 9077686
65 Irmayani 3 NPBI 6/14/1969 P R5B C519839 9092376
CITO
66 Nandana Adhyasta Abqari 3 NPBI 2th L C1L1 C639106 9090286
67 Nur Chasanah 3 NPBI 23th P B31 C644340 9094362
68 Meyling Afriana 3 um 4th P C1L1 C619411 9094343
69 Kusharwanto 1 NPBI 54th L MRK 1 B321827 9092319
70 Sari Kusumaningrum 1 NPBI 36th P B31 B354785 9094403
71 Sri Wahyuni 2 NPBI 52th P IGD C640611 9096256
72 Masrokhah VIP NPBI 38th P GRD 3 C601881 9094219
73 Berlianne Putri VIP NPBI 11th P GRD 3 C641951 9091924
74 Indah Yuli Lestari 2 NPBI 39th P B31 C646506 9086591
75 Rochimatun 2 NPBI 35th P B31 C647147 9092760
76 Yazid Maulana IRIN B Um 1th L PICU C647401 9096568
77 Sujono 2 PBI 62th L IGD C646392 9095977
HARI / TANGGAL : RABU, 02 AGUSTUS 2017

JAMINAN
S : WU,AI,EA
1 Tomas Surya Pratama 2 NPBI 7 th L KPD L1 C392951 9092287
2 Sri Sugiarti 1 NPBI 57 th P KPD L1 C598675 9091877
3 Masturah 2 NPBI 41 th P B31 C646157 9092153
4 Ajay Devana Lissaputra 2 NPBI 15 th L Transit C485602 9092382
5 Eko Trihandono 2 NPBI 43 th L KPD LD C641440 9059977
6 Daim 3 NPBI 73 th L R5A C646516 9091993
7 Jumilah 1 NPBI 47 th P KPD LD C461812 9091814
8 Khafidhotun Rofia'ah 3 PBI 25 th P R4B C616585 9092130

9 Suhardi 3 NPBI 5/14/1969 L R3B C642686
10 Niah 3 PBI 47 th P R4B C644863 9071433
11 Suminten VIP NPBI 59 th P GRD L6 C646229 9094358
12 Taryuni 2 Um 51 th P Transit B362471 9092318
13 Nurkhayati 1 NPBI 51 th P KPD L1 A544325 9091817
14 Budi Irawan VIP Um 24 th L GRD L4 C634995 9093915
15 Kanaya Fitrisia Agustin 3 PBI 1 th P Anak LD C636754 9091811
16 Carsi 3 NPBI 49 th P R3A C646052 9091787
17 Lasmi 2 NPBI 58 th P KPD LD C640902 9088382
18 Sumiyati 3 NPBI 47 th P R5B C539467 9081450
19 Sudiyarti 2 NPBI 56 th P KPD LD C377934 9096454
20 Tutik Apriyati 2 NPBI 33 th P KPD LD C645661 9096521
21 Meshin 2 NPBI 34 th L KPD L1 C646241 9095753
22 M Mujtaba Salim 2 NPBI 1 th L Anak LD C616357 9094288
23 Roki Wahyu Pratama 3 NPBI 2 th L Anak L1 C623969 9086464

24 Muhammad Ilmy Fatah 3 NPBI 3 th L Anak LD C643803 9095592
25 Nasikoen 2 NPBI 45 th L MRK LD C301287 9078004
26 Khusna Latifah 3 NPBI 1 th P Anak LD C585300 9064739
27 Eni Astuti 2 NPBI 53 th P KPD LD C633676 9081988
28 Liano VIP NPBI 8/15/1996 L GRD L5 C647281 9094474
29 Abdul Syukur 3 PBI 35 th L R2B C646289 9088918
30 Suwarto 1 NPBI 57 th L KPD C647118 9092314
31 Sri Subiati 3 NPBI 75 th P Ger D C647340
32 Imam Pambudi 3 PBI 28 th L Elang 1 C630173 9093690
33 Yulianti 3 NPBI 32 th P Elang 1 C645040 9094417
34 Shodik 3 PBI 30 th L R1B C641650 9088349
35 Pramono 3 PT 44 th L R2B C646610 9090213
36 Sukoyo VIP NPBI 48 th L GRD L4 C611740 9094200
37 Susilo 2 NPBI 54 th L MRK LD C536125 9086516
38 Supranoto 3 NPBI 56 th L R1B C546145 9084508
39 2 NPBI 34 th L KPD LD C631792 9096335

Titok Yuni Nurakhmadiyatno
40 Kalsoem 3 NPBI 76 th P P. Mata C569372
41 Eko Zaenul 1 NPBI 48 th L P. Mata C549220
42 Udjiati Priv NPBI 68 th P P. GRD C299867

43 Sunardi Priv NPBI 73 th L P. GRD C645284
44 Wahono 3 NPBI 57 th L P. Mata C644474
45 Suriptinah 1 NPBI 69 th P P. Mata C584349
46 Yamtini Priv NPBI 65 th P P. GRD C638996
47 Arelia Devi Gitaswari VIP NPBI 23 th P GRD 6 C646059 9094086
48 Siti Masrifah 1 NPBI 43 th P B31 C512396 9094988
49 Naela Ishmatul Aeni VIP NPBI 13 th P GRD 3 C647404 9094497
50 Sri Haryuni VIP NPBI 55 th P GRD 4 C608518 9093755
51 Lanang Galih Prasetyo VIP NPBI 17 th L GRD 4 C644640 9094302

52 Sri Hadi Wiji Mulyani 2 NPBI 42 th P KPD D C486041 9091852
53 Nuridah, S. AG 2 NPBI 41 th P KPD D C318132 9096080
54 Ali Nur Mukit VIP NPBI 49 th L GRD 4 C645449 9093519
55 Waryono 3 NPBI 52 th L R2B C645142 9081587
56 Dhea Ayu Widyastuti 3 PBI 15 th P C1L1 C641736 9046539
57 Ramijan 3 JMD 58 th L R3B C646676 9090319
M : ST,BD,DY,DB,DN,AM,RM RR : FA,SAM,AG ( MID : NI,EM ) RR GRD : ANM (MID : ER) SORE PROGRAM : AI,AY,WU,AT,RE,DA,DM
L : AN,DHI,WI,MR,MW,YS,NO,PL,RK,RG,RI,RA
58 Tn.Herbertus Djoko P VIP NPBI 64 th L GRD L6 C646257 9084523
59 Surochmi VIP NPBI 58 th P GRD L5 C 645675 9096425
60 Siti Fatonah 3 NPBI 36th P R5B C645429 9081718
61 Efanda H VIP Um P GRD L5 C647543 9096418

70 th
62 Abizar Kauki Alvaro 3 PBI 1 th 5 bln L Anak LD C609524 9094354
63 Tn Eko Untoro VIP NPBI 40th L GRD L4 C623198 9096512

64 Lestari 1 NPBI P KPD 1 C551835 9088417
65 Purwanti 3 PBI 48 th P R 2A C641367 9086551
67 Febrianto Pamungkas 2 NPBI 35 th L KPD LD C647019 9092201
CITO
68 Heni Widiyastuti VIP 35th P GRD 4 C647483
NPBI 9096404
69 Siti Eni Purwati IRIN A NPBI 33th P HCU C646765 9092244
70 Saripin 1 NPBI 50th L MRK 1 C646998 9092114
71 Endang Yosepha 3 NPBI 48th P R1A C066036 9098686
72 Siti Rahmawati 3 PBI 27th P B31 C379046 9096619
HARI / TANGGAL : KAMIS, 03 AGUSTUS 2017

JAMINAN
S : WU,AI,EA
Muhammad Faza Fauzan

1 2 NPBI 5 th L KPD L1 C541025 9098488
Adzima
2 AH Tegar Faqih 3 NPBI 15 th L C1L1 C564792 9098484
3 Muhammad Farros Albar 2 NPBI 3 th L C1LD C629593 9091806

4 Farizan Ahmad Luthfani 3 PBI 14 th L C1LD C634271 9084404
5 Agus Sunandar 1 NPBI 54 th L MRK L1 B101297 9091876
6 Lukman Majid 2 NPBI 45 th L MRK LD C553289 9096631
7 Jumadi 3 NPBI 58 th L R3B C645198 9077988
8 Jihan 3 PBI 1,5 bln P PBRT C643355
9 Chalimah VIP NPBI 67 th P GRD L4 C434351 9094263

10 Haryono 3 NPBI 42 th L R3B C645416 9088755
11 Nur Salam 3 NPBI 58 th L GER LD C647046 9092122
12 Bambang Supriyanto Priv NPBI 54 th L P. ELG C095138
13 Sri Lestari 3 PBI 51 th P R6A C643905
14 Yuliana Inawati 1 NPBI 57 th P B31 C645674 9094394
15 Rusmiati 3 NPBI 48 th P R4A C620058 9088142
16 Mawarni Girsang VIP NPBI 29 th P GRD 4 C645781 9098721
17 Lilik Juliandari 1 NPBI 56 th P KPD L1 C644940 9091863
18 Zuhdi VIP NPBI 53 th L GRD L6 C646589 9094327
19 Rina Astuti 3 NPBI 22 th P R2A C644318 9091846
20 Umairoh 3 NPBI 51 th P R5B C640909 9084328
21 Eduard Sarqi 2 NPBI 67 th L MRK LD C645569 9080764
22 Harto VIP NPBI 53 th L GRD L5 C642980 9096518
23 Amelia Nur Fitriana 3 PBI 1 th 1 bln P C1LD C603157 9093350
Muhamad Gibran Ahnaf

24 3 NPBI 1 th L C1LD C646554 9096581
Firdaus
25 Nor Atikoh 3 NPBI 18 th P R2A C639520 9093796
26 Samsuri 3 PBI 54 th L R5A C591137 9096560
27 Mas Sukoyo 3 PBI 41 th L R3B C645152 9080124
28 Lucia Kasih Anggoro VIP NPBI 46 th P GRD L5 C373926 9091091
29 Basuki 1 NPBI 56 th L KPD L1 C623782 9094453
30 Solekah 1 NPBI 59 th P KPD LD C636177 9086519
31 Nur Eddy Utomo 2 NPBI 61 th L MRK LD C645976 9082162
32 Sugiyanti 1 NPBI 66 th P MRK L1 C647104 9092339

33 Wafiati 1 NPBI 78 th P GER L1 C647296 9094498
34 Sri Soebiati 3 NPBI 75 th P GER LD C647340 9094503
35 Kelvin Avgnileno 3 NPBI 3 th L Elang 1 C477014 9095958
36 Imam Toekiman 3 NPBI 75 th L R2B C629418 9055389
37 Lauw Tung Sing 3 NPBI 65 th L R5A C646978 9092016
38 M. Rifqi Abqori 3 PBI 9 th L C1LD C607139 9094344
39 Damin 2 PBI 52 th L R1B C638912 9098329
40 Machmudin Latif 3 PBI 58 th L GER LD C247069 9088430
41 Mary Lestari 3 PBI 43 th P R3A C537913 9086299
42 Kamin 3 PBI 66 th L P.Mata C645087
43 Sunardi 2 NPBI 70 th L P.Mata C283149
44 Nuju 3 PBI 57 th L P.Mata C647312
45 Chandirin 3 PBI 75 th L P.Mata C646514
46 Endang Sri Wardani 3 NPBI 59 th P P.Mata C603386
47 Sunarjati 3 NPBI 78 th P P.Mata C135295
48 Mukaromah 2 NPBI 42 th P P.Mata C638192
49 Elisabeth Weringkukly 1 NPBI 18 th P KPD LD C636977 9078248
50 Kistiyah 2 NPBI 54 th P B31 C640724 9095790
51 Alpiyah 3 NPBI 46 th P R4A C585425 9096045
52 Indah Sukmasari VIP NPBI 34 th P GRD 5 C645813 9095867
53 Paulus Sukidi 1 NPBI 55 th L KPD 1 C645029 9094402

54 Kartini 3 NPBI 41 th P R2A C402161 9094432
55 Noor Hadimakruf 3 NPBI 30 th L R2B C647313 9094495
56 Maulama Satya Ibrahim 3 NPBI 7 th L C1LD C202866 9096493

M : NO,AT,BD,DN,DY,DJ,PS RR : FA,SAM,AG ( MID : NI,EM ) RR GRD : ANM (MID : ER) SORE PROGRAM : AI,AY,WU,RE,DA,DM*,SA,
L : AM,DB,MW,YS,PL,RK,RG,RI,RM,RA,ST,SR
57 Jafar Alim 3 PBI 12th L C1L1 C556002 9098683
58 Eko Ferdy Wijayanto 3 PBI L C1L1 C439183 9095714

8th
59 Tono Iriyanto 1 NPBI 54 th L MRKL2 C618522 9098623
60 Ustiati 3 PBI 1/21/1900 P R6A C646900 9092196
61 Supangat 3 PBI 47th L R3B C647086 9092186
CITO
62 Widayat Rochani 2 um 38th P IGD C648099 9101166

63 Sumiyati 1 NPBI 52th P MRK 2 C646057 9084003
64 Maria Resti VIP NPBI 69th P GRD 5 C292730 9084121
65 Zulaifah 3 PBI 35th P B31 C647814 9098814
66 Parwanto 2 PBI 64th L IGD C648022 9100845
67 Siti Aisyah 2 PBI 64th P IGD C647884 9100955
HARI / TANGGAL : JUMAT, 04 AGUSTUS 2017
JAMINAN
S : WU,AI
1 Achmad Jindan 2 um 45 th L KPD L1 C585500 9100146
2 Rohani 3 NPBI 62 th L R3B C645558 9082109
3 Nizar Pangestu 3 PBI 14 th L C1LD C642503 9050742
4 Lukas Erry Susanto 3 NPBI 19 th L R3B C621703 9071021
5 Puriah 3 NPBI 35 th P R2A C643143 9096480
6 Zulfa Anisah 3 NPBI 21 th P R3A C639548 9094340
7 Suhardi 3 NPBI 48 th L R3B C642686 9051029
9 Asripah 2 NPBI 51 th P GER LD C645624 9091905
10 Jumi'atun 1 um 47 th P KPD L1 C647664 9098293
11 Endah Syukuriyah 1 NPBI 32 th P KTL B381127 9098656
12 Zaenal Abidin 1 NPBI 56 th L KPD L1 C606150 9096629
13 Karti 3 JMD 54 th P R2A C640993 9090247
14 Dwi Joko Setiyono 1 NPBI 35 th L KPD L1 C645680 9096649
15 Tukiran 2 NPBI 64 th L KPD L1 C645631 9101136
16 Endang Suyatmi 2 NPBI 39 th P KPD LD C645846 9101042
17 Ahmad Naufal 3 NPBI 6 th L C1L1 C597225 9100123
18 Edi Sudono 3 PBI 41 th L R3B C642387 9048158

19 Sri Andayani 3 PBI 41 th P R4B C634086 9096656
20 Ambar Berlian VIP NPBI 44 th P GRD L4 A534647 9093803
21 Masanah 3 PBI 64 th P R2A C642236 9086500
22 Saptasari Pujiastuti VIP NPBI 38 th P GRD L5 C582899 9096525
23 Maelinda Tasyani 2 NPBI 10 th P Transit C646296 9067880
24 Indah Setioawati 2 NPBI 61 th P KPD LD C645454 9099060
25 Muryati 2 NPBI 57 th P KPD LD C632514 9101035
26 Firman Muzadi 1 NPBI 16 th L Elang 1 C525030 9098169
27 Ahmad Rifai 1 NPBI 26 th L Elang 1 C640204 9099623
28 Rumiyati VIP NPBI 55 th P GRD L4 C519351 9094372
29 Muhammad Fahmi 3 NPBI 25 th L R1B C599683 9088440
30 Sumian 3 NPBI 48 th L R1B C505447 9084475
31 Siti Sani 2 NPBI 42 th P MRK LD C618996
32 Dafris Luthfi 3 PBI 25 th L R3B C647235 9094482
33 Hartansi 3 NPBI 46 th P Poli Mata C628463
34 Murdiyanti 3 NPBI 55 th P Poli Mata C644078
35 Subadi Priv NPBI 70 th L Poli Grd B327668

36 Sri Yuni Diryanti Priv NPBI 62 th P Poli Grd C519946
37 Jungki Nugroho 1 NPBI 63 th L Poli Mata C646424
38 Kasdan Priv NPBI 85 th L Poli Grd C647305
39 Sunyi 3 PBI 44 th P Poli Mata C619329
40 Dianita Wijayanti 2 NPBI 40 th P MRK LD C436893 9096562
41 Sulistyoningsih Astriani 1 NPBI 29 th P KPD L1 C637762 9094380
42 Djumirah 3 NPBI 54 th P R3A B352440 9084484
43 Ujang Suhendra 2 NPBI 49 th L KPD LD C622187 9092190
45 Jihan Talita Mahira 3 NPBI 10 bl P Anak D C640126 9098761

46 Suprapto 3 NPBI 48 th L R1B C644604 9071013
47 Nurul Fatonah 3 BPJS 46 th P R2A C645384 9079930
M : NO,AT,DJ,EA,IS,PS,WD RR : FA,SAM,AG* ( MID : NI,EM ) RR GRD : DM (MID : ER) SORE PROGRAM : AI,WU,RE,DA,PL,SA,ES,HR
48 Nafisa Majid Tamara VIP um 17th P GRD L3 C647960 9100961
49 Umi Salmah 3 PBI 39 th P R5B C615199 9090285
50 Bantar Mujoko Yuwono 2 NPBI 56th L GER D C270189 9091906
51 Muliyana 2 NPBI P R6A C641135 9092276
52 Ahmadi 2 NPBI 48th L KPD D C646627 9092131

53 Luqman Hartanto 3 NPBI 25th L R3B C647413 9096978
CITO
54 Ngatinem 3 NPBI 50th P IGD C647827 9101022
55 Mustika Larasati 3 um 21th P B31 C648103 9101164
56 Siti Khodijah 3 NPBI 26th P B31 C643781 9100484
57 Sutejo IRIN B PBI 35th L HCU C647837 9101299
58 Manis 3 PBI 74th L R4A C647862 9101174
59 Dullah 3 NPBI 54th L R2B C648089 9103049
60 Sarwono 3 PBI 57th L R2B C648096 9101150
61 Damini 3 PBI 46th P R6A C647584 9100554
62 Lasmi 3 NPBI 35th P B31 C648256 9103029
HARI / TANGGAL : SABTU, 05 AGUSTUS 2017

JAMINAN
S : AI,II,HI,MK
1 Muhammad Khanif Muslim 3 PBI 17 th L C1L1 C588607 9100370
2 Mardina Dewi 1 NPBI 26 th P MRK 1 C624306 9101147
3 Sulastri VIP NPBI 68 th P GRD 4 C473561 9100979
4 Dian Aprilia Utami 3 NPBI 27 th P Transit C647494 9098768
5 Sri Rahayu VIP Um 56 th P GRD 5 C539762 9101943

6 Muhamad Rido Putra 3 PBI 9 bl L C1LD C625862 9101131
7 Nur Maulidiyah 1 NPBI 4 th 6 bln P C1LD C582897 9101083
8 Naviza Nur Mulyani 3 NPBI 4 th 2 bln P C1LD C646187 9101026
OK 1 : EV, AU OK 3 : AL,DI
OK 2 : GI, RI DS : MR, HE
M : NO,AT,DJ,EA,IS,PS,WD RR : SA,VQ,SAM,NI SORE PROGRAM : AI,AN,AY,II,AD,BR*,BY,DA,DM,ER,ES,HI,MY,TU,ANM*,MK,SC,TR

Laurensia Gesta Puji
9 VIP NPBI 50 th P GRD 4 C645699 9091930
Rahayu
10 Heni Widiyastuti VIP NPBI 35 th P GRD 4 C647483 9096404
Tolaat 1 NPBI 57th L GER 1 C580733 9103085
CITO
11 Atila Salsa Whaya 3 PBI 12th L C1LD C525390 9103238
12 Samsiatun 2 NPBI 26th P IGD
Marina Ichwani 1 Um 33th P B31 C646938 9102898

13
14 Sri Wahyuni 1 NPBI 83th P KPD 1 C648164 9103010
Murtoyo IRIN+ Um 56th L GRD 5 C645271 9098819

15
16 Syauqillah Al Affar 2 NPBI 3th L IGD C630998 9103299
17 Istiharoh 3 PBI 36th P R4B C648310 9103315
18 Hidayatullah 1 NPBI 49th L MRK 2 C648214 9102963
19 Raswin 3 PBI 47th L R2B C648074 9103077
HARI / TANGGAL : MINGGU, 06 AGUSTUS 2017

JAMINAN
1 Dastip 3 PBI 50 th P R4B C646692 9091179
2 Uswatun Khasanah 3 NPBI 9 th P C1L1 C626526 9096062
3 Masruri 2 NPBI 31 th L ELA 1 C570423 9101723
M : WU,AN,RE,ES,MY S :II,NH,AR,AD,SA,BR,ANM
4 Suryadi 1 NPBI 64th L MRK 1 C638016 9098765
CITO
Zaenah Arifin 3 NPBI 48th P R1A C648320 9103356

5
Tasya Maisaroh 3 NPBI 3th P C1LD C648327 9103370

6
7 Suharjo 3 PBI 56th L R2B C626357 9064911
8 Qurrota A'yun 2 NPBI 3th P PBRT C648368 9103483
9 Lintar Sandika 3 PBI 16th L PICU C648333 9103382
10 Rosalia Fransisca Harpini 1 um 69th P KPD 1 C648317 9103368
11 Muhammad Rosikhul 2 NPBI 13th L IGD C648345 9103410
12 Dwi Vita Indriyani 2 um 9th P IGD C648336 9103396
HARI / TANGGAL : SENIN, 07 AGUSTUS 2017

JAMINAN
S : AH,RK,RI
1 Eko Untoro VIP NPBI 40 th L GRD L4 C623198 9096512
2 Maulana Angga Pratama 3 PBI 5,5 th L C1L1 C594274 9103481
3 Alfie Raditya Farich 3 NPBI 6 th L C1L1 C605014 9103462
4 Jihan Novitasari IRIN B NPBI 1 bln 15 hr P PBRT C643355 9059602
5 Suparlan 1 NPBI 60 th L KPD L1 C643077 9101140
6 Sri Supartiyatun VIP NPBI 48 th P GRD L4 C333359 9092086
7 Aan Rama Setiawan 2 NPBI 23 th L KPD L1 C646164 9103495
8 Sri Martini 3 NPBI 49 th P R3A C638880 9090277
9 Heradini Ferdela Diniyani 2 NPBI 23 th P KPD LD C640840 9103503
10 Maryani 3 NPBI 42 th P Pol VAS C646165

11 Mahsuni 3 NPBI 67 th P Pol VAS C442075
12 Pradipta 3 NPBI 31 th L Pol VAS C632553
13 Haetik Setianingsih 3 PBI 40 th P R4B C636072 9094450
14 Rasyiqul Abid 3 NPBI 7 bln L C1LD C633564 9101171

15 Bramantio Ishaq Bahar 1 NPBI 20 th L KPD LD C646198 9098738
16 Susilo Hadi 3 PBI 11/25/1980 L R3B C644162 9067063
17 Achmad Nurofik Hidayat VIP um 51 th L GRD 6 C062302 9094556
18 Rini Kusmaryati VIP NPBI 57 th P GRD 6 C542118 9083623
19 Darman 3 PBI 57 th L R6B C646703 9090357
20 Kusri 3 PBI 49 th P R4A C643105 9059579
21 Anis Tri Wulandari 2 NPBI 47 th P Transit C603588 9092371
22 Umini VIP NPBI 56 th P GRD L5 C644060 9101853
23 Jasmail 3 NPBI 69 th L R6B C648065 9101114
24 Sumarto Buwak 3 NPBI 65 th L R5A C645726 9082009
25 Nurdaningsih 2 NPBI 48 th P KPD LD C647274 9103438
26 Teguh Cahyono 2 NPBI 22 th L KPD L1 C622865 9103435
27 Chintya Valda Maharani 3 NPBI 2 th P C1L1 C538870 9094011
28 Adam Affan Asyaran B 3 NPBI 1 bln L C1L1 C647604 9101059
29 Khoirul Anam 3 NPBI 6 th L C1L1 C647045 9091958
30 Alfin Ariando 3 NPBI 2 th L C1LD C633319 9096482
31 Sutar VIP NPBI 78 th L GRD L6 C647945
32 Altaf Nabil Mustofa 3 PBI 1th L Anak 1 C636726 91034464
33 Ahmad Ahda Sabila Rasyad 2 NPBI 10th L Anak 1 C597617 9103490
34 Kaswati 3 PBI 41 th P R3A C644265 9067383
35 Mohamad Masud 3 NPBI 37 th L R3B C646284 9086574
36 Sri Sabarini 2 NPBI 52 th P KPD LD C646064 9103455
37 Suwarto 1 NPBI 57 th L KPD LD C647118 9092314
38 Kasmudi 3 NPBI 57 th L R5A C645982
39 Slamet Arifin 2 NPBI 38 th L KPD L1 C084065 9103466
40 Bambang Mudjiarto 2 NPBI 58 th L KPD L1 C645355 9077945
41 Soedasijah 2 NPBI 75 th P KPD LD C644417 9081704
Agus Sukisto 2 NPBI 7/12/1968 L Elang 1 C596243 9103191
Yulian Aditya 3 PBI 7/29/1999 L Elang 1 C103106 9103208

42 Dwi Refresing Sugiarto 3 PBI 44 th L R2B C595486 9092032
43 Erfan Soelistijo 1 NPBI 40 th L MRK L2 C555014 9098788
44 Dzakir Khafadi 3 NPBI 3 th L Anak L1 C645172 9101024
45 Yudha Adi Argantara 3 NPBI 9 bln L Transit C644450 8199295
46 Siti Zulaikah Priv NPBI 62 th P P. Grd C632065
47 Bambang Susilo Priv NPBI 51 th L P. Grd C634248
48 Ali Sahli 3 NPBI 64 th L P. MTA C635111
49 Sudarmanto Priv NPBI 56 th L P. Grd C634315

50 Suharno 3 NPBI 67 th L P. MTA C646688
51 Lastini 3 PBI 59 th P P. MTA C646058
52 Maria Marmi Priv NPBI 52 th P P. Grd C615788
53 Sumiyatun 3 NPBI 51th P TRAN C635269 9102848
54 Mariyatun 1 NPBI 68 th P MRK L1 C646051 9098765
56 Shodikun 2 NPBI 52 th L MRK LD C626768 9098599
57 Saginem 1 NPBI 78 th P MRK L1 C623631 9096590
58 Suparti 1 NPBI 59 th P KPD L1 C159260 9098709
59 Wajo 3 NPBI 61 th L R2B C480305 9086454

60 Kartono 3 NPBI 57 th L R2B C327479 9053258
61 Hidayatun Ni'mah 1 NPBI 36 th P MRK 2 C496446 9094975
M : II,AN,AD,ES,MY,BR,ANM RR : FA,DB,SR ( MID : SAM,EW ) RR GRD : MK (MID : SE) SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,E
1 Lisa VIPA NPBI 3/25/1984 P GRD 6 C636405 9102880
2 Dayem 1 NPBI P KPD 1 C645473 9101100

1/18/1950
3 Ninik Sri Rejeki 3 NPBI 2/21/1971 P MRK 1 C647866 9101148
9 Fatimah VIP NPBI 2/7/1942 P GRD L 6 C645823 9098641
4 Noor Fatonah 3 PBI 31 th P R6A C645440 9096672
5 Ana Cholifah VIP A um 15 th P GRD L 5 C647924 9102932
7 Sechatabina Dhahia M 1 Um 4/16/2004 P C1LD C648347 9103422
10 Sugianto Sutjondro 2 NPBI 60 th L KTL 1 C646227 9102595

11 Mujiasih 2 Um 12/31/1963 KPD D C646886 9092202
12 Kustini 3 PBI 10/10/1965 P R1A C647512 9096555
13 Asmah 3 NPBI 4/20/1967 P R2A C593986 9079019
CITO
14 3 um 15th P GRD 5 C647424 9102932
Maria Turinah
15 Nur Halimah 3 PBI 31th P B31 C648399 9103592
16 Suryanto 3 Um L R2B C648379 9104512
17 Nur Akhlis 2 NPBI 42th P MRK D C648396 9103583

JAMINAN
S : AH,RK,RI
1 Gibran Rahman Zuhdi 3 NPBI 2 th L C1L1 C588005 9104794
2 Sandy Rakasyifa 3 PBI 11 th L C1L1 C417494 9104677
3 Sunardi 3 NPBI 59 th L R1B C638857 9096547

4 Subeki 3 PBI 57 th L R1B C639610 9070740
5 Irmayani 3 NPBI 48 th P R5B C519839 9092376
6 Nasikah 3 PBI 52 th P R3A C593895 9100888
7 Tsalisa Laila Akmalia VIP NPBI 20 th P GRD L6 C639598 9105738

8 Wantono 2 NPBI 45 th L KPD L1 C641371
9 Karyono 1 NPBI 47 th L KPD LD C625534 9100709
10 Sohib 3 PBI 59 th L P. BDH C648534
11 Rukun Sari 1 NPBI 46 th P MRK 2 C498448 9103195
12 Bambang Supriyadi 3 NPBI 52 th L R1B C644298 9098697
13 Kasmonah 3 NPBI 53 th P R3A C519415 9071279
14 Siti Nuraini VIP NPBI 66 th P GRD L4 C647227 9102798
15 Tasini 2 NPBI 52 th P Transit C647307

16 Kliwon 3 PBI 6/4/1956 L R1B C641068
17 Parsih 3 PBI 58 th P R4B C645401 9091985
18 Itminani VIP NPBI 36 th P GRD L6 C609161 9104394
19 Sopiyah 3 PBI 47 th P R2A C596671 9102997
20 Sumitri 3 PBI 42 th P R2A C630750 9088328
21 Tasya Ayu Anggraini IRIN B PBI 3 bln P PICCU C635520 9085795
24 Sutar VIP NPBI 78 th L GRD L6 C647945
25 Harinius 1 NPBI 60 th L KPD L1 C630946 9094386
26 Afid Maharyono 1 NPBI 52 th L Transit C631505 9103182
27 Kastari 2 NPBI 66 th L Ger D C611031 9098345
28 Saman 3 PBI 63 th L R5A C645369 9081725
29 Ayu Pradipta 3 NPBI 16 th P Anak D C602729 9092067

30 Sauri 3 PBI 38 th L R2B C609182 9096609
31 Muayanah 3 PBI 46 th P Elang 1 C631310 9103432
32 M. Luthfi 3 NPBI 12 th L C1LD C630693 9100141
33 Adityo Kusworo 1 NPBI 18 th L MRK 2 C645407 9094413
34 Moch Zaichan 1 NPBI 61 th L KPD L1 C641673 9091862
35 Anita 3 NPBI 49 th P R3A C502418 9090303
36 Sutikno Priv NPBI 57 th L P. Grd C627639
37 Rodiyah 3 PBI 57 th P P. Mata C510999
38 Mukhlasin NPBI
3 58 th L P. Mata C647213
39 Djumiati 1 NPBI 65 th P P. Mata C640438
40 Suparman 3 NPBI 73 th L P. Mata C642960
41 Wahyudin 2 NPBI 24 th L P. Mata C644023
42 Kelarah 3 NPBI 64 th P P. Mata C639490
43 Diah Prasetyahati 1 NPBI 34 th P B31 B096320 9103033
44 Dian Apriliyana 1 NPBI 37 th P B31 C159968 9103039
45 Suyono 2 NPBI 55 th L KPD LD C645989

46 Liya Safithri 3 NPBI 12 th P Anak D C638667 9101037
47 Malawi 2 NPBI 72 th L MRK D C647241 9102984

48 Candra Pamungkas 1 NPBI 31 th L KPD LD C626400 9039735
49 Agus Rofik Riyanto VIP NPBI 2/10/1971 L GRD L6 C482538 9104989
50 Endang Purwani 3 NPBI 46 th P R2A C645703 9081711

M : II,NH,GI,SA,AD,BR,ANM RR : FA,DB,SR (MID : SAM,EW) RR GRD : MK (MID : SE) SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,EM
52 Falensia Indah A 3 NPBI 3/17/2004 P C1LD C644838 9105899
53 Ayuningtyas Listya N VIP NPBI 6/4/1998 P GRD L4 C525114 9105842
54 Syarifatul Ulya 1 NPBI 26 th P KPD L1 C481625 9105159
55 Dwi Pudjiningsih 3 NPBI 49 th P R3A C643747 9077999
56 Sutoyo 2 NPBI 6/10/1966 L TRAN C584675 9103100
57 Muhasanah 2 umum 3/15/1954 P TRAN C647836 9101191
58 Sularji 2 NPBI 55th L GER D C648366 9103550
CITO
56 Turipah 2 um 60th P IGD C645999 9105753
58 Giyarno 3 um 39th L R2B C648401 9106114
59 Nikmatun 2 NPBI P MRK D C584512 9106765
60 Denok Arfian 1 NPBI 34th P KPD 1 C648338 9103474
61 Chaerul Amat 3 NPBI 32th L R2B C646322 9103071
62 Hana Julia Dina VIP NPBI 18th P GRD 3 C648578 9108132
63 Rohadhatul Aisy 1 um 21th P MRK 1 C648371 9103561
64 Suraji Hartosuwiryo IRIN A um 71th L ICU C648675 9105957
65 Suwaryo 1 NPBI 65th L MRK 1 C386354 9102651

66 Abu Halim Zainal 3 NPBI L R3B C647090 9092285
67 Anis Tri Wulandari IRIN A NPBI 47th P HCU C603588 9092371
68 Eka Saraswati IRIN B NPBI 21th P ICU C648847 9108017

JAMINAN
1 Winarno 2 NPBI 41 th L MRK D C622836

2 Martha Mince 1 NPBI 50 th P MRK 2 C648236 9103200
3 Sular 3 PBI 52 th L R6B C644812 9071290
4 Niswatun 3 NPBI 31 th P R2A C644460 9091173
5 Sri Rahayu 1 NPBI 49 th P KTL C603538 9105442
6 Tri Wahyuni 2 NPBI 25 th P KTL C635061 9105800
7 Murni 3 PBI 72 th P R4B C648062 9102619
8 Irfan Maulana 3 NPBI 12/19/2010 L Anak L1 C634754 9098737
9 Wantono 2 NPBI 45 th L KPD L1 C641371 9108103
10 Sri Wardono 1 NPBI 51 th L KPD 1 C577613

11 Soenardi Wihardjo 1 NPBI 3/23/1953 L KPD 1 C647572 9096657
12 Marpiyah 2 NPBI 3/25/1954 P KTL C584257
13 Tutik Yuliati 3 PBI 52 th P R4A C476051 9103499
14 Surono VIP NPBI 6/11/1957 L GRD L4 C647225 9105668
15 Eva Christanti 2 NPBI 10/16/2009 P KPD D C647252 9108071
16 HoseAjanto VIP NPBI 12/29/1963 L GRD L4 C647267 9094342
17 Guruh Djulianto VIP NPBI 7/16/1982 L GRD L5 C644049 9105502
18 Kliwon 3 NPBI 6/4/1956 L R1B C641068 9090320
19 Partimah VIP NPBI 12/3/1940 P GRD L4 C647882 9105096
20 Inah 3 NPBI 46 th P R6B C215690 9083569
21 Kusmito 1 NPBI 65 th L KPD D C637951 9103014
22 Taslikah 3 NPBI 47 th P R2A C644368 9105855
23 Djasmin 2 NPBI 60 th L MRK D C582445 9105278
24 Stevani Citra Faradilla 3 PBI 14 th P Anak D C644380 9071026
25 Sutarno 3 Um 65 th L R5A C648668 9106430

26 Rosiah 3 NPBI 32 th P R6A C646685 9092124
27 Sukaenah 2 NPBI 54 th P KPD D C611433 9108153
28 Mat Zuni VIP NPBI 6/22/1967 L GRD 6 C641279 9100935
29 Sri Hadiwarti 3 NPBI 47 th P R3A C647288 9094999
30 Samin Siswanto 2 NPBI 58 th L MRK D C607991 9102967

31 Supar 3 PBI 71 th L R5A C644743 9071034
32 Muhamad Riski Widiyanto 2 NPBI 9/20/2003 L KPD 1 C647337 9108137
33 Y Iwan Setiawan S.SOS 1 NPBI 47 th L Transit C217036 9103310
34 Eka Susena 3 PBI 42 th L R2B C645839 9100631
35 Monica Adellya Putri 3 NPBI 14 th P Elang 1 C600852 9104057
36 Susilo 2 NPBI 44 th L KPD D C575395 9084422
37 Andi Setyo Nugroho 1 NPBI 29 th L MRK 1 C577773 9101090
38 Sudarmanto 2 NPBI 7/6/1984 L KTL C642843 9102976
39 Salsa Nagita Salma 3 NPBI 10 th P Anak D C173332 9105871
40 Haitham Zidan Hawwari 3 NPBI 5 th L Anak L1 C618461 9101025
41 Sukemi 3 NPBI 44 th L R3B C647261 9106638
42 Zaenuri 3 PBI 1/5/2017 L P. Mata C647689
43 Sugeng Gunawan Priv NPBI 6/18/1954 L P. GRD C628139

44 Chusnul Khotimah Priv NPBI 1/1/1957 P P. GRD C647912
45 Ely Sofiyanti 1 NPBI 10/13/1975 P P. Mata C640419
46 Dhakirin 3 NPBI 54 th L P. Mata B385879
47 Sugiyanto 3 NPBI 66 th L P. Mata C636230
48 Karsini 3 NPBI 54 th P P. Mata C624841
49 Atik Rumsari NPBI 48 th P B31 C645046

50 Indri Putri Sari 3 NPBI 25 th P R4B C648619
51 Kasmi 2 NPBI 62 th P KPD D C643735 9105897
52 Layyinatussifa 3 PBI 32 th P B31 C648344 9103423
53 Kaswati 2 NPBI 45 th P KPD D C647718 9107222

55 Nicholas Arsen Bimo W 3 NPBI 3 bl L C1LD C638724 9105928
56 Ailish Nesha Elzulema 3 PBI 6 th P Transit C648370 9103557
57 Zumrah 3 PBI 54 th P R2A C647858 9102934
M :NH,BY,HI,SE,SA,GI,WD RR : FA,DB,SR (MID : SAM,EW) RR GRD : MK (MID : EM) SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,EM,HI,ID,JF,MR,PM,PL
Alvandy Rahman
58 VIP NPBI 7/13/2007 L GRD L3 C648161 9108076
Ardyansyah
59 Sri Murwati VIP NPBI 54th P GRD 6 C479813 9108014
60 Attala Mahardhika Pratama 3 NPBI 4 bln L C1LD C635159 9108155
61 Luqman Hartanto IRIN B NPBI 25th L ICU C647413 9096978
62 Sitono 2 NPBI 46 th L MRK D C647085 9092213

CITO
63 Kasmo 3 NPBI 77th L R1B C643114 9059468
64 Sodikin IRIN B PBI 20th L R1A C648865 9109623
65 By.Ny. Wahyuni IRIN B Um 1hr P PICU C648858 9110185
66 Samsudin 3 NPBI 51th L R2B C613236 9110342

JAMINAN
S : RK,ET,RI
1 Mursahid VIP NPBI 1/11/1975 L GRD L5 C622628 9109315
2
Dimas Rezka Nugraha 2 NPBI 19 th L KTL 1 C610326 9105726
3 Lukman Majid 2 NPBI 45 th L MRK LD C553289 9096631
4 Bismo Linuwuh 1 NPBI 47 th L MRK 2 C648330 9103458
5 Hartutik 3 NPBI 59 th P R3A C648325 9103381
6 Idah Mutmainah VIP PT 7/30/1979 P GRD L4 C590390 9109399
7 Pujiati 3 NPBI 50 th P R2A C646618
8 Andy Wibowo 2 NPBI 39 th L KPD LD C513945 9106046
9 Ramelan 3 Um 49 th L R1B C647599 9098787
10 Farhan Al Fatih 3 JMD 11 th L KPD 1 C617199 9110141
11 Eny Sri Kuswati VIP NPBI 53 th p GRD L3 C630338 9108007
12 Lili Septiyani 3 NPBI 35 th P R4B C606043
13 Jumi 2 NPBI 59 th P Transit C638903 9108141
14 Sri Nanik Linawati 3 PBI 29 th P R4B C648726 9108128
15 Suratno 3 PBI 49 th L R2B C648218 9103074
16 Tono Iriyanto 1 NPBI 54th L MRK L2 C618522 9098623

17 Martha Mince 1 NPBI 50 th P MRK 2 C648236 9103200
18 Waginah 2 NPBI 50 th P KPD LD C558392 9101063
19 Moh Imam Khozin 3 NPBI 49 th L R2B C632393 9082285
20 Sri Murwati VIP NPBI 54 th P GRD L6 C479813

21 Rifqi Alfarisy 3 NPBI 17 th L R1B C522781 9084471
22 Ayunda Sella Wulandari 3 NPBI 6 bln P C1L1 C641855 9105925
23 Muhammad Fatih Umarul H 2 NPBI 4 th L KPD L1 C429068 9110271
24 Radif Khairal Mala 2 NPBI 4 th L KPD L1 C336862 9109780
25 Muhammad Yahya Abadi 3 NPBI 33 th L R2B C643879 9094293
26 Sadiyo 3 NPBI 44 th L R2B C644543 9108125
27 Istikharoh 2 NPBI 61 th P Transit C647169 9098794
28 Sri Sudarni VIP NPBI 63 th P GRD L6 C647900 9105773
30 Sri Indarwati 3 PT 20 th P R3A C648522 9105939
31 Kustiningsih 2 NPBI 49 th P KTL L1 B146209 9108052
32 Mintarsih 3 NPBI 64 th P R6A C647591

33 Tjan Nonik Nio 2 NPBI 72 th L GER LD C584068 9092207
34 Asfariyah 3 PBI 59 th P R3A C282426 9085277
35 Wachid Ismanu 3 NPBI 37 th L R2B C643421 9102889
36 Suparno 3 NPBI 32 th L R2B C603831
37 Setiyawan 3 NPBI 39 th L R1B C648107 9102999
38 Ari Nugroho 3 PBI 41 th L Elang 1 C615930 9103205
39 Ismani Sri P VIP NPBI 65 th P GRD L4 C436294 9104777

40 Agung Budi Muljono VIP NPBI 46 th L GRD L5 C647709 9108064
41 Slamet 3 JMD 41 th L R1B C644345 9108058
43 Lestari VIP NPBI 12/3/1936 P GRD L6 C608795 9108104
44 Dami 3 NPBI 51 th P R4B C646356 9102858
45 Marpiyah 2 NPBI 63 th P KTL 1 C584257 9102896

46 Aan Tri Nugroho 3 NPBI 22 th L P. Mata C591225
47 Gimsah 3 NPBI 64 th P R3A C647842 9108040
48 Istri Martini 3 NPBI 62 th P R3A C636877 9108143
49 Ana Fitriani 2 NPBI 29 th P KPD LD C644549 9105908
50 Nanik Sugiharti 3 NPBI 36 th P R4B C629966 9105870
51 Febri Aenun Nur K 2 NPBI 17 th P Transit C645348 9108225
52 Apriliani 3 PBI 4/30/2014 P Anak D C647616 9102968
53 Aan Sholehuddin VIP Um 31 th L GRD L6 C645824 9105715
54 Eliya Hidayah VIP NPBI 42 th P GRD L4 C640869 9107732
55 Walmi Yuliyati 3 PBI 53 th P R2A C635233 9105806
56 Aditya Kurniawan 1 NPBI 28 th L KPD L1 C647685 9105824
57 Warsono 1 NPBI 55 th L KTL C648131 9107599
58 Sutami 2 NPBI 42 th P KTL 1 C631208 9105813
59 Sapiyo 3 NPBI 61 th L R1B C589875 9100569
M : AU,HI,BY,TK,DY,WI,SE RR : FA,DB,SR (MID : SAM,EW) RR GRD : MK (MID :EM ) SORE PROGRAM : RK*,TA,AR,AG,BD,DA
Parmo 2 Um 55th L IGD C648876 9108220

60
61 Suwawi VIP NPBI 7/12/1950 L GRD L4 C643374 9062494
62 Komari 3 NPBI 55 th L R3B C648758
63 Ali Chomarun 3 NPBI 60th L R6B C499964 9090913

64 Sri Wardono 1 NPBI 61 th L KPD1 C577613
65 Robertus Purnomo 1 NPBI 61 th L MRK 1 C648348 9103443
66 Muhammad Qaidaraniq 3 JMD 15th L C1L1 C567297 9110172
67 Abu Halim Zainal 3 NPBI 61 th L R3B C647090 9092285

68 M Didik Achadi 3 NPBI 51 th L R6B C648953
CITO
69 Kunyati 3 PBI 54th P R4B C641520 9098796
70 Faiza Nur Rohmi VIP NPBI 17th L GRD 3 C646488 9110231
71 Amallia Ardana Reswari VIP NPBI 25th P GRD 3 C038684 9110462
72 Ngadiono 3 NPBI 76th L TRAN C648973 9110348
73 Ahmad Saekhu 3 NPBI 46th L R6B C646273 9089917
74 Sri Martini 2 NPBI 24th P B31 C648300 9103332

JAMINAN
S : RK,RI,DJ
1 Chamidah 1 NPBI 58 th P KPD L1 C622934 9105931
2 Winarno 2 NPBI 41 th L MRK LD C621065 9105579
3 Sarmiati 3 NPBI 42 th P R2A C639468
4 Sunari 2 NPBI 61 th L KPD LD C644388 9110334
5 Harjono 1 NPBI 56 th L KPD LD C648471 9110211
6 Rebo 3 PBI 60 th L R2B C648681 9107967
Richo Bayu Ardika

7 3 NPBI L C1L1 C616433 9112053
Setyawan
8 Ramijan 3 JMD 58 th L R3B C646676 9090319
9 Umi Salmah 3 NPBI 39 th P R5B C615199 9090285
10 Ana Nurul Khusna 2 NPBI 32 th P KTL L1 C640025 9105706
11 Paulus Soedardjijo 1 NPBI 83 th L GER L1 C221326 9110314
12 Lukman Gilang Permana 2 NPBI 6 th L Elang 1 C596650 9111520
13 Sumarsono 2 NPBI 32 th L KPD L1 C647736 9111531
14 Mira Renggani 2 NPBI 37 th P KPD LD C408247 9112476
15 Kip Andayani 3 NPBI 37 th P R2A C648674 9107881
16 By Ny Anita Rahayu IRIN A NPBI 17 hr L G. PBRT C648662 9105947
17 By Ny Siti Maryam 3 NPBI 1 bulan P PBRT C648261 9103279
18 Listyoraniimawati VIP NPBI 37th P GRD 3 C623652 9112017
19 Sulaiman Bakri VIP NPBI 30 th L GRD L5 C648640 9108041
20 Heri Kusnanto 2 BPJS 22 th L MRK LD C647028 9092264
21 Wahyu Nur Akhmadi 3 PBI 17 th L R1B C648462 9105822
22 Disa Anindya Putri VIP NPBI 4 th P GRD L3 C647828 9100115

23 Zaila Syafa Islami 3 NPBI 2th P TRAN C534113 9105945
24 Sri Idiawati 2 NPBI 41 th P KTL L1 C634123 9108114
25 Teguh Setiono 2 NPBI 49 th L KPD LD C621183 9105895
26 Veronica Heriyanti 2 NPBI 69 th P KPD LD C621883 9112437
27 Kuswahyudi HM 48 th L P. ORT C629187
28 Sarwono 3 NPBI 57 th L R2B C648096
29 Kasmini 2 NPBI 49 th P KPD LD C643396 9111740
30 Slamet Widodo 3 NPBI 42 th L R2B C648318 9103461
31 Sri Wahyuningsih 2 NPBI 16 th P Elang 1 C607414 9109294
32 Priyadi Agung Widodo 1 NPBI 53 th L Elang 2 C623551 9110170
33 Wira Pandya Suwardana 3 NPBI 1 th 1 bln L Anak LD C616620 9090350
34 Sri Widayati 2 NPBI 62 th P MRK L1 C644724 9105767
35 Karimin 3 NPBI 62 th L GER LD C626894
36 Murniati 2 NPBI 56 th P KTL L1 C473466 9103523
37 Ahmad Najib 1 NPBI 56 th L P. Mata C498707

38 Djumiati 1 NPBI 65 th P P. Mata C640438
39 Erlyana Priv NPBI 69 th P P. Grd C601363
40 Sumiati 3 NPBI 49 th P P. Mata C637354
41 Sugiyanto 3 NPBI 66 th L P. Mata C636230
42 Marsi 3 PBI 46 th P P. Mata C644500

43 Siti Aminah 3 NPBI 36 th P R4A C640572 9108086
44 Surlelaningsih VIP PLN 56 th P GRD L5 C551606 9110239
45 Asti Widiastuti 1 NPBI 42 th P KTL C647121 9092335
46 Siti Khomsah VIP NPBI 57 th P GRD L6 C410048 9108098
47 Sofiyatun 1 NPBI 59 th P KPD LD C620872 9108131

48 Tasori 3 PBI 21 th L R2B C644025 9105920
49 Isnarti 2 NPBI 40 th P MRK LD C626847 9105718
50 Tri Utami 1 NPBI 62 th P KPD LD C538506 9108121

51 Laili Farihah 2 NPBI 34 th P KPD LD B245677 9112434
M : ET,AU,TK,SU,RG,WI,DY RR : FA,DB,SR (MID : SAM,EW) RR GRD : MK (MID : TM ) SORE PROGRAM : RK,TA,AR,AG,BD,DA
52 Suhardi 1 NPBI 45th L KPD 1 C597398 9105902
53 Sumadi 3 JMD 71 th L R1B C645294 9110295

54 Suparno 3 PBI 32th L R2B C603831 9096269
55 Abdul Rohman 3 PBI 22th L R6B C648863 9108227

56 Sitono 2 NPBI 96th L MRK D C647085 9092213
57 Musnad 2 NPBI 57th L GER D C639944 9090317
CITO
58 Vivi Ana Andriastuti 3 um 22th P B31 C648670 9105937
59 Naufal Bilal Maulana 3 NPBI 1th P C1LD C599258 9108096
60 Umiyati 3 PBI 44th P R4A C649117 9112603
61 Budiyono IRINA+ NPBI 40th L GCU C648867 9110353
62 Kuswandari 1 NPBI 52th P GER 1 B076539 9113847
63 Lola Khafisah 3 um 30th P B31 C649300 9112674
64 Khoirun Niswa IRIN B PBI 29th P ICU C649430 9114359
65 Dwi Hidayati M 1 NPBI P B31 C264521 9114305
HARI / TANGGAL :SABTU, 12 AGUSTUS 2017

JAMINAN
S : AH,RK,DN, PS
1 Sugiyati 1 NPBI 43 th P KPD LD C646427
2 Suhiroh VIP NPBI 66 th P GRD L4 C601030 9113917
3 Muhamad Rizki Dita S 2 NPBI 17 th L MRK LD C637566 9107079
4 Sofiati 3 NPBI 34 th P B31 C225273 9112622
5 Nanik Kusniwati 2 NPBI 56 th P KTL L1 C645682 9105711
6 Ahmad Aziz, SE VIP NPBI 49 th L GRD L5 C145251 9112447
7 Setyorini 2 NPBI 43 th P KTL L1 C639513 9105775
8 Dwi Astuti Setyiyoningsih VIP NPBI 46th P GRD 3 C187711 9110005

9 Syafiqa Aulia Putri 3 NPBI 3 bln P Anak L1 C644036 9110360
10 Suswuri 1 NPBI 48 th P MRK L1 C641767 9110001
11 Daniel Budi Susanto 1 NPBI 31 th L Elang 2 C063022 9111254
MK (MID : TM ) SORE PROGRAM : AH,AG,AD,DA,DN,DJ,HA,ID,JF,MR,PS,RK,RI ALAT : PUR,DW ( S : )
12 Edi Suprapto 3 NPBI 37th L R1B C643030 9112486
Istikanah 3 NPBI 52th P R2A C649463 9114810

13
Lisa Melia VIP NPBI 37th P GRD 3 C204591 9114061

14
CITO
15 Adzana Nur Ayu Ningtyas 3 SKTM 2th P C1L1 C649477 9114867
16 Rasmi 2 NPBI 49th P IGD C649427 9114303

JAMINAN
2 Sudarwati 1 NPBI 63 th P GER L1 C643955
Supriyanto 2 NPBI 39th L MRK D C587651 9110339
3 Puji Astuti 1 NPBI 61th P KPD 1 A447057 9112541
4 Caroline Filmawati 1 NPBI 25 th P KPD L1 C633045 9112565
M : NO,HR,EM,AG,DN S : AN,JF,MF,DJ,AR*,PS*
5 Surono 2 NPBI 45th L MRK LD C644296 9114445
6 Ferry Santoso VIP NPBI 39th L GRD 4 C625435 9114652
7 Mochtar 3 PBI L R3B C624210 9114464
8 Siti Khulailah VIP NPBI 29th P GRD 4 C644576 9112539

CITO
9 Chika Khanza H 3 NPBI 1th P C1L1 C616547 9098546
10 Muchlisin IRIN B PBI 21th L IGD C649490 9114738
JAMINAN
S : AP,ST,BR
1 Enny Susilowati VIP NPBI 62 th P GRD L5 C603893 9110042
2 Aditya Galuh Utama 2 NPBI 14 th L KPD 1 C597573 9114864
3 Giat Agus Salim 3 PBI 17 th L R1B C578523 9108107
4 Razma Astiliano 2 NPBI 9 th L KPD 1 C608574 9114905
5 Ulya Ayu Ningsih 3 PBI 8 th P Anak LD C628021 9108174
6 Muhammad Dliyaul Haq 2 NPBI 13 th L KPD L1 C598575 9114910
7 Salekan 3 NPBI 77 th L GER LD C647462 9112519
8 Rajab Ahmad Hanif 3 NPBI 4 th L Anak L1 C631638 9114896
9 Rendy Faturokhim 3 NPBI 13 th L Anak L1 C629329
10 Lili Septiyani 3 NPBI 35 th P R4B C606043 9108170
11 Kartiyem 2 NPBI 56 th P KTL L1 C617974 9110345
12 Noor Asiyah 2 NPBI 31 th P B31 C629970 9114337
13 Sulistyowati 3 NPBI 42 th P R2A C634908 9081623
14 Sy Achmad Farid Assegaff VIP NPBI 59 th L GRD L6 C646914 9105725
15 Hermanto 1 NPBI 56 th L KTL C278716 9105955
16 Ani Lestari 1 NPBI 77 th P MRK L1 C648852
17 Kusnadi 2 NPBI 56 th L MRK LD C647180 9105906
18 Kasan 3 PBI 34 th L R1B C646639 9105527
19 Sutiyem 2 NPBI 45 th P KPD LD C624654 9114886
20 Umi Kristiani 3 NPBI 36 th P R2A C643296 9091853

21 Najmi Ahmad Qodama 2 NPBI 3 th L Anak LD C469521 9112526
22 Akhsan Yusuf Ferdinanda 3 NPBI 4 th L Anak LD C583345 9112510
Muhammad Rizky
23 3 NPBI 3 th L Anak LD C619802 9112559
Wahyudin
24 Anisul Fuadah 3 NPBI 7 th P Anak LD C647478 9112504
26 Mahmud Slamet Priyadi 2 NPBI 10/28/1966 L KTL 1 C611664 9108217
27 Ika Purwati 3 NPBI 26 th P R6A C646909 9092145
29 Agus Suprihatin 3 PBI 26 th L R3B C605403 9098186
30 Kasmudi 3 NPBI 57 th L R5A C645982 9082189
31 Kharis Lubis 2 BPJS 36 th L TRAN C129676 9114505
32 Sarwono 3 PBI 57 th L R2B C648096 9102917
33 Adiningsih 2 NPBI 53 th P KPD LD C648791 9114908
34 Sujaroh 3 NPBI 68 th P R5A B377562 9110371
35 Tuminah 3 PBI 45 th P R2A C639897 9091842
36 Sugeng Purnomo 2 NPBI 32 th L KTL L1 C611280 9105789
37 Siti Rokhanah 1 NPBI 46 th P KPD LD C580786 9112538
38 Tukini 1 NPBI 65 th P KPD LD C615361 9112455
39 Sukiyah 3 NPBI 50 th P P. Mata C585310
40 Ismail 2 NPBI 79 th L P. Mata C587344
41 Kokok Djatmiko 3 NPBI 42 th L P. Mata C646087
42 Wage 3 NPBI 63 th L P. Mata C648883
43 Warino Priv NPBI 59 th L P. Grd C362798
44 Mulono Hidayat 2 NPBI 63 th L P. Mata C630255
45 Moch Andy Setya Priv NPBI 29 th L P. Grd C629274
46 Sugiyati 3 NPBI 48 th P R4A C643403 9114767
47 Murniati 3 PBI 53 th P R4B C646219 9114562
48 Siti Khulailah VIP NPBI 29 th P GRD 4 C644576 9112539

49 Tuminah 3 NPBI 47 th P R4B C647152 9102807
50 Anggun Mutiara Dewi 3 NPBI 11 th P Anak LD C641364 9112461
51 Maharani Ropiah 3 NPBI 17 th P R4A C641102 9101169
52 Naila Hilyatus Shafa 3 PBI 8 bl P Anak D C646169 9114402
53 Afif Zakaria Ahmad 3 NPBI 4 th L Anak L1 C640249 9028124
54 Meilinda Tasyani 2 NPBI 14 th P Anak LD C646296 9087880
55 Radhiko Beryla Arsatya 3 NPBI 2 th L Anak L1 C613651 9114875

56 Wahyu Adi Caerul Umam 3 PBI 12 th L Anak L1 C613482 9114857
M : JF,AG,ER,PS,MF,DN,DJ RR : FA,SAM,GI (MID : AF,ANM) RR GRD : RI (MID : TR ) SORE PROGRAM : AP,ST,BR,TD,YR,AR,N
72 Kartika Kusumantrini VIP NPBI 10/25/1966 P GRD L4 C592738 9114482
73 Ivy Adzkiya Faliha 1 NPBI 3 bl P Anak D C649364 9114421
74 Joko Santoso 3 Um 3/9/1981 L R2B C648957 9112147
75 Slamet Budiarso VIP NPBI 3/8/1962 L GRD L5 C649309 9113449
CITO
76 Mulyati 2 NPBI 32th P B31 C649563 9114993
77 Aristiyan Nasta Prasetya 2 NPBI 26th P TRAN C419328 9114748
78 Ratna Puspitasari 1 NPBI 26th P B31 C649503 9114790
79 Sujaroh 3 NPBI 68th L R5A B377562 9110371
80 Muhammad Ali Murtadho 3 NPBI 25th L R2B C649576 9115020
81 Dewi Maheni 3 JMD 15th P B31 C649512 9114827
82 Sukarti 3 PBI 43th P R2A C649666 9117403
83 Sri Lestari 3 PBI 51th P R6A C643905 9075393
84 Sriyani 3 um P B31 C649767 9117078

JAMINAN
S : AP,ST,WI
1 Harlan Fatih Al Fahri 2 NPBI 4th L KPD 1 C598034 9116947
2 Dimas Rezka Nugraha 1 NPBI 19 th L KTL L1 C610326 9105726
3 Tasripah 2 NPBI 47 th P KPD D C646180 9111980
4 Sri Purwaningsih 1 NPBI 39 th P KTL C643470 9110364
5 Budi Lestari 1 NPBI 50 th L KPD LD C646580 9114422
6 Nurul Hidayah 3 PBI 25 th P R3A C376676 9114387
7 Djoni Kunarto 2 NPBI 48 th L MRK LD C648203 9114443
8 Suwarto 1 NPBI 50 th L KPD LD C647118 9092314
9 Dhea Ayus Widyastuti 3 PBI 15 th P Anak L1 C641736 9046539
10 Sugiati 2 NPBI 57 th P B31 C602576 9105839
11 Suprihati 3 NPBI 47 th P R5B C632281 9110229
12 Mariyati 3 NPBI 56 th P R4B C640018
13 Nur Hayati 3 PBI 58 th P R4B C648846 9108063
14 Wisnu Budihara VIP Um 52 th L GRD L4 C648673 9105958
15 Munyati VIP NPBI 60 th P GRD L5 C649436 9114476
16 Kasori 3 PBI 60 th L R1B C644989 9114349
17 Wagimin 3 NPBI 56 th L R1B C641758
18 Noor Amriyah 1 NPBI 49 th P KPD L1 C647915 9114323
19 Endang Dwi Ningsih 2 NPBI 45 th P KTL L1 C641517 9105580
20 Sri Suciati 1 NPBI 55 th P KPD L1 C016947 9105893
21 Agus Adi Purwanto VIP NPBI 40 th P GRD L5 C528388 9114923
22 Musritantini VIP NPBI 60 th P GRD L4 C583218 9114909
23 Surip 3 NPBI 68 th L R3B C646512
24 Hanifah Hasan 3 PBI 7 th P Anak LD C643822 9112480
25 Marcelino 3 PBI 14 th L Anak LD B189486 9114768
26 Amalia Nur Arifin 3 NPBI 6 bln P Anak LD C622013 9112491
27 Faza Fiiaunillah 3 NPBI 3 th P Anak LD C649338 9119659
28 Mokhamad Kristianto 2 NPBI 32 th L MRK LD C642184 9108407
29 Tardi 2 NPBI 46 th L MRK LD C638846 9108162

30 Apriliyanti Rahayu 2 NPBI 25 th P MRK LD C647740 9110333
31 Elvia Laili Aristawati 1 NPBI 17 th P KTL C637516 9103479
32 Chyntia Marcia Ramadhani VIP NPBI 23 th P GRD L5 C649367 9114021
33 Lis Ngatinah 1 NPBI 36 th P KTL C636185 9103217
34 Suhartono 1 NPBI 71 th L KPD L1 C284629
35 Muhammad Najib 1 NPBI 65 th L MRK L1 C647901 9102840
36 Sie Kiok Lin VIP NPBI 83 th P GRD L4 C649086 9111094
38 Ika Sumartin 1 NPBI 39 th P KPD L1 C646558 9108168
39 Kiswanto 1 NPBI 28 th L KTL L1 C632084 9105597
40 Ahmad Fathan Hanif 3 NPBI 4 bln L Anak LD C647674 9114447
41 Kamidjan Dwidjo Pranoto 1 NPBI 79 th L KPD L1 C642767 9112551
42 Kunanto 1 NPBI 50 th L MRK L1 C644072 9112544
43 Hartono Pobela 1 NPBI 29 th L KPD L1 C619486 9114407
44 Arif Prasetyo 2 NPBI 23 th L Pol MTA C644470
45 Ardiansyah Taufik 3 PBI 21 th L Pol MTA C587379
46 Nasikun 1 NPBI 56 th P Pol MTA C644996
47 Ahmad Akhsin 3 NPBI 51 th L Pol MTA C644210
Sanuri 2 NPBI 43th L MRK D C648395 9105953
49 Eka Diah Handayani 3 NPBI 24 th P B31 C552066 9114678
50 Siti Sundari 2 NPBI 29 th P KPD LD C647832 9114313
51 Nowiyah 3 NPBI 58 th P R4A C638438

52 Khatijah 3 NPBI 58 th P R4A C633296
53 Sukarti VIP NPBI 67 th P GRD L6 C649354 9113894
54 Emi Kustri Wigati 2 NPBI 41 th P MRK LD C621324 9114343
55 Wartini 3 NPBI 81 th P R4B C645402 9098668
56 Luqmanul Iqbal 2 NPBI 18 th L KPD LD A561694 9114340

57 Supadi 3 NPBI 39 th L R5A C644999
M : JF,ER,AR,PS,EA,DN,DJ RR : FA,SAM,GI (MID : AF,ANM) RR GRD : RI (MID : TR ) SORE PROGRAM : AP,ST,TD,YR,NI,DW,D
59 Afdal Gilang Arief 3 NPBI 1th L Anak L1 C623926 9117296
60 Amida Sofiana 2 NPBI 31 th P KPD LD C618708 9114795
61 Tri Astuti VIP NPBI 2/10/1980 P GRD L5 C582522 9116902
62 Fathan Aditya Risqi VIP NPBI 7/18/2016 L GRD L3 C618776 9116992
63 Ahmad Zamroni 3 NPBI 39th L R3B C649457 9114799
64 Rafi'i Idris 1 NPBI 69th L MRK 2 C633577 9096648
CITO
65 Abdilah Abqari Agam IRIN B Um 4th L PICU C649798 9117774
66 Muadhomah 2 BPJS 26th P IGD C649833 9117510
67 Nuraini Rahmawati VIP Um 31th P GRD 3 C228017 9118902
68 Nur Patomi 3 PBI P R3B C647339 9094492
69 Bantar Mujoko Y 2 NPBI L IGD C270189 9119172

JAMINAN
S : AP,WI,DA
1 Suntoyo 3 NPBI 66 th L R5A C639414 9107993
2 Suwono 3 NPBI 40 th L R3B C434826 9102698
3 Untarti 1 NPBI 48 th P KPD L1 C645866 9116403
4 Didik Nguntungno 3 NPBI 34 th L R1B C551635
5 Ibnu Sholeh Fauzi 3 PBI 38 th L R2B C645048 9117413
6 Sugiyati 1 NPBI 43 th P KPD LD C646427 9110299
7 Taufik Ghofur Rochani 2 NPBI 23 th L MRK LD C631710 9117435
8 Budi Wahyuni NPBI 53th L MRK 1 C230214

1 9117359
10 Sri Utami 3 PBI 34 th P R5B C642931 9117445
11 Irene Ardiana Linanda VIP NPBI 35 th P GRD L6 C646943 9116330

12 Riyanto 3 PBI 49 th L R5A C630949 9114763
13 Siti Istianah Yuniati, Hj VIP NPBI 62 th P GRD L6 C645668 9111763
14 Tasini 2 NPBI 52 th P Transit C647307
15 Ani Lestari 1 NPBI 77 th P MRK L1 C648852 9108182
16 Zaenah 2 NPBI 59 th P KTL L1 C330773 9110338
17 Ngatijah 2 NPBI 54th P KTL 1 C185413 9114371
18 Mursilah 2 NPBI 5/13/1970 P KPD D C439972 9118482
19 Erwin Hasbullah 1 NPBI 73 th L MRK L1 C248655 9117432
20 Sugirah 3 PBI 56 th P R2A C640573 9094429
21 Samini 3 PBI 66 th P R2A C645608 9096606

22 Arjuna Ammarsatwika 2 th L Transit C632541
23 Supadi 3 NPBI 39 th L R5A C644999 9110373
24 Andika Dwi Setiawan 1 NPBI 23 th L KPD 1 C649523 9114997
25 Heroe Soegijanto A 3 NPBI 44 th L R6B C614392 9092126
26 Sukarjo 3 NPBI 48 th L R2B C646191 9102835
27 Sabarti VIP NPBI 62 th P GRD L5 C612147 9108123
28 Febrianto Pamungkas 2 NPBI 35 th L KPD LD C647019
29 Roni 2 NPBI 44 th L KPD LD C639439 9114395
30 Suharti 3 NPBI 52 th P R2A C646072 9094355
31 Tomy Pranata 3 PBI 26 th L R1B C649521 9114894
32 Luthfi Fauzy Asriyanto VIP NPBI 35 th L GRD L4 C637018 9116880
33 Darjono 2 NPBI 81 th L KPD L1 C340301
34 Sri Sulistianah 2 NPBI 51 th P KPD D C648142 9118118
35 Chris Agustina Pertiwi 1 NPBI 28 th P MRK L2 C096715 9110352
36 Suhadak VIP NPBI 67 th L GRD L6 C648205 9116260
37 Nif Atul Farida 3 NPBI 21 th P R3A C488996 9117415
38 Darpinah 3 NPBI 43 th P R3A C646743 9117453
39 Purwadi S VIP NPBI 55 th L GRD L4 C648562
40 Renik Sulistyo Ningsih 3 PBI 36 th P R3A C649078

41 Karimin 3 PBI 65 th L GER LD C626894
42 Agus Triyono 2 NPBI 47 th L KTL 1 C645405 9118968
43 Suherman, SHUT 1 NPBI 33 th L MRK L2 C648569 9117417
44 Helda Wulandari 3 NPBI 9/15/2000 P Anak D C639277 9115796

45 Haryati Priv NPBI 71 th P P. Grd C503730
46 Kaswaji 3 NPBI 63 th L P. Mata C647293

48 Ujianti Priv JKN 57 th P P. Grd C645270
49 Sumadji Marsam 1 NPBI 4/9/1948 L P. Mata C281375
50 Nur Chostika 3 NPBI 19 th P P. Mata C644127
51 Apriyanti 3 NPBI 43 th P P. Mata C640209
52 Ratna Murniwiyati 3 NPBI 51 th P R4B C361820 9115977
53 Sri Lestari 3 NPBI 51 th P R6A C643905 9075393
54 Ristanti VIP NPBI 26 th P GRD L5 C648444 9114913
55 Lucia Yuyun Dian S 1 NPBI 37 th P MRK L1 C618514
56 Yuni Susanti VIP um 26 th P GRD L5 C422604 9116000
57 Siti Sudati 2 NPBI 61 th P KPD LD C442625 9119703

58 Suwarti 2 NPBI 50 th P KPD D C588199 9119679
59 Wahyuni 3 NPBI 41 th P R3A C638259 9114466
60 Sri Sugiarti 1 NPBI 70 th P KPD L1 C642737 9105889

61 Febrian Arditia Pratama 3 NPBI 1 th L Anak D C579727 9116979
62 Windy Nafsitasari VIP um 26 th P GRD L4 C649446 9114666
63 Sigit Wahyu Widodo 3 NPBI 34 th L R1B C637720 9114733
M : ST,AR,AN,AT,DM,EA,EW RR : FA,SAM (MID : AF,ANM) RR GRD (MID : TR ) SORE PROGRAM : AP,TD,YR,NI,DW,DA,DI,MW
64 Afrizal Dian Pratama 3 NPBI 14 th L Anak LD C650000 9120796
65 Hartati 3 NPBI 41 th P R4B C646729 9117326
66 Rendi Fatturokhim 2 PBI 13th L C1L1 C629329 9114874
67 Yuni Yanti 3 NPBI 43 th P R2A C627841 9117373
68 Nur Sholihah 3 PBI 35 th P B31 C649945 9119236
69 Suparni 3 NPBI 74th P R3B C588199 9117402
70 Asripah 2 NPBI 51 th P GER LD C645624 9191905

CITO
71 Budi Wahyuni NPBI 53th L MRK 1 C230214
1 9117359
72 Prizaida Syakara NPBI 4th L IGD C381696

2 9119848
73 Rusdah IRIN B PBI 32th P ICU C650215 9122062

74 Haryati 3 um 35th P B31 C650072 9120829
JAMINAN
1 Arif Saputra 3 PBI 14 th L Anak L1 C649306 9114414
2 Didik Nguntungno 3 PBI 34 th L R1B C551635 9114448
3 Kasniatun 2 NPBI 39 th P KTL L1 C549711 9116111
4 Zulzila Prista Arlina 1 NPBI 35 th P B31 C318447 9121382
5 Retno Dyah Wahyuingrum 1 NPBI 35 th P KPD L1 C637171 9119797
6 Widia Saputri 3 NPBI 15 th P R2A C649645 9117522
7 Isniatun 1 NPBI 52 th P KPD L1 C564772 9119778
8 Abdillah Umar 2 NPBI 56 th L IGD C577019
9 Nova Sri Wahyuningsih VIP NPBI 41 th P GRD L6 B212737 9118508
10 Rukayah 2 NPBI 49 th P KTL L1 C649509 9114876
11 Slamet Risyadi VIP NPBI 42 th L GRD L5 C649110 9112498
12 Sudiharti 1 NPBI 60 th P MRK L1 C572703 9112571
13 Saroni 3 PBI 68 th L R1B C646390 9112467
14 Tri Rahayu VIP PT 40 th P GRD L4 C642527 9108802
15 Edy Kuswoyo VIP NPBI 44 th L GRD L6 C650046 9120729
16 Bambang Widagdo 1 NPBI 62 th L MRK L2 C100406 9114929
17 Kasmiyati 3 NPBI 60 th P R6A C509893 9108228
18 Tan Ing Jauw 3 NPBI 58 th L R2B C649366 9114630
19 Wagiyanti 1 NPBI 62 th P Elang 2 C482206 9099567
20 Tegar Bangun Satriya 3 NPBI 20 th L R2B C629595 9119726
M : NO,AN,AT,EW,RE,WI,DY SORE PROGRAM : RK,NI,MW,DA,AM,IS,MY,VQ*
21 Lathifa Nasama VIP NPBI 6th P GRD 3 C650223 9122122

Nunung Mudji
22 VIP NPBI 52th P GRD 4 C650127 9121988
Setyaningtyas
23 Heri Supiar Budi 3 PBI 57th L R3B C649275 9114484
24 Rizki Eka Febriyanto 2 NPBI 20th L MRK D C623164 9119620
CITO
25 Iis Susanti IRIN B Um 28th P ICU C650241 9122162
26 Eko Juhartini 2 NPBI 45th P TRAN C622616 9119805
27 Erkhanah Khoriroh IRINA NPBI 52th L MRK 2 C622864 9089763
28 By.Ny. Supriyanti IRIN B PBI p PICU C650240 9122319
29 Noneng Kartini 3 PBI 31th P R6A C649429 9114728

JAMINAN
S : AP,GI,ES
1 Daut Tabarok 3 NPBI 22 th L R3B C611354
2 Iswanti Sulanjarisasi 2 NPBI 54 th P Transit C647815 9100587
3 Parsih 3 PBI 58 th P R4B C645401 9191985
4 Suprihatin VIP NPBI 55 th P GRD L4 C646324
5 Tumini 2 NPBI 57 th P KPD LD C632438 9122296
6 Minarti 1 NPBI 56 th P KPD LD C648935 9119714
7 Sulikah 2 NPBI 44 th P MRK D C626415 9117478
8 Anita Purwanti Wulandar 2 NPBI 28 th P B31 C639749 9110316
9 Catur Rini Widayanti 1 NPBI 32 th P KPD L1 C362229 9117347
10 Tutik Wasiyat 3 PBI 32 th P R6A B443533 9081876
11 Tasini 2 NPBI 52 th P TRAN C647307 9096528
12 Reni Setiawati VIP Um 43 th P GRD L5 C647307 9119604
13 Arfaeni VIP NPBI 47 th P GRD L5 C639672 9118838
14 Sugiyarti VIP NPBI 42 th P GRD L4 C628455 9119622

15 Tayuni 3 NPBI 53 th P R2A C640759 9088293
16 Muhammad Wrego F.I 3 NPBI 12 th L C1L1 C632622 9122239
17 M. Hanif Ibrohim 3 NPBI 13 th L C1L1 C617179 9122217
18 M. Rizky Wahyudi 3 NPBI L Anak LD C613802

19 Laila Muniati 3 NPBI 10 th P Anak LD C641382
20 Muzaini 3 NPBI 32 th P R2B C649495 9114927
21 Irvan Daroji 3 NPBI 16 th L R2B C643021

22 Kristiyani 3 NPBI 41 th P R4A C647590 9103281
24 Suko Prabowo VIP NPBI 65 th L GRD L4 C438954 9117444
25 Agus Supriyono 2 NPBI 41 th L KPD C642038 9122196
26 Alwiyah 2 NPBI 33 th P KPD LD C648485 9122218
27 Roliharoh 2 NPBI 40 th P KPD LD C603536 9122215
M. Nur Fakhri 3 NPBI 7 th L Elang 1 C607006 9121504
28 Purwadi Saputra VIP NPBI 55 th L GRD L4 C648562 9116837
29 Renik Sulistyo Ningsih 3 PBI 37 th P R3A C649078 9112441
30 Arif Dwi Kusuma 3 PBI 13 th L Pol MTA C391596
31 Karimin 3 PBI 62 th L GER LD C626894 9103536
32 Sunitiarso 1 NPBI 65 th L GER L1 C594909 9117409
33 Kasdan Priv NPBI 85 th L Poli Grd C647305

34 Mohammad Arza Priv NPBI 38 th L Poli Grd C574602
35 Suharti Priv NPBI 66 th P Poli Grd C629990
36 Achmad Subchan 3 JKN 37 th L Pol MTA C555627
37 Lucia Yuyun Dian S 1 NPBI 37 th P MRK L1 C618514 9117422
38 Dian Aritasari VIP NPBI 31 th P GRD L6 C646040 9121379

39 Windayani 2 NPBI 40th P B31 C233050 9121886
40 Joko Santoso 3 Um 36 th L R2B C648957 9112147
41 Siti Zulaekah 2 NPBI 45 th P KTL L1 C640458 9114360
42 Sumiyati 3 PBI 56 th P R2A C551280 9105814

43 Sofiah 1 NPBI 52 th P MRK L2 C321840 9114976
44 Khoerudin 1 NPBI 37 th L KPD LD C287233 9114380
45 Sumiyati 1 NPBI 52 th P MRK L2 C646057 9084003
46 Suseno 2 NPBI 59 th L MRK LD C649725 9117502
M : NO,NI,WI,RE,DA,AM,DY RR : FA,SAM,EM,ID (MID : AF,ANM) RR GRD : RI (MID : TR ) SORE PROGRAM : AP,TD,YR,RK,GI,B
48 Aisyah Hanun Putri P 3 NPBI 2 th P Anak LD C623664 9119784
49 Augustina Purnama D 1 NPBI 50 th P MRK L1 C372601 9098620
50 Rizky Nur Muhamad 2 NPBI 22th L MRK LD C613304 9122003
51 Cantika Zahira Khoirunnisa 3 NPBI 5 th P Anak L1 C633511 9119743
52 Valdo Nado Bryan 3 PBI 6 th L Anak L1 C649821 9119806
53 Rakim 3 NPBI 86th L R3B C643738 9097125
54 Kristanto VIP NPBI 34th L GRD 4 C646841 9122320

55 Muji Susanti 3 NPBI 37 th P R5B C647409 9096660
CITO
56 Hendra Ade Putra IRINB PBI 18th L R1A C650243 9122361
57 Atik Rumsari 2 NPBI 48th P B31 C645046 9105836
58 Siti Munyasaroh 3 PBI 41th P B31 C646552 9119796
59 Mukhibah 2 NPBI 50th P KTL 1 C650050 9122609
60 By.Ny. Umi Kiptiyah IRIN A NPBI 11hr P PICU C650210 9121924
61 Muasirotun 3 um 39th P B31 C650204 9122105
62 Robiyatun 3 NPBI 30th P B31 C546098 9123978
63 Rizki Eka Febriyanto 2 NPBI 20th L MRK D C623164 9119620
64 Heri Kurniani 2 NPBI 34th P B31 C441917 9124067
65 Jasman 2 NPBI 58th L GER D C647333 9108190
66 Sri Winarni 2 NPBI 24th P IGD C650407 9123943
67 Kristanto IRINA+ NPBI 34th L GCU C646841 9122320
68 Sumitro 3 um 38th L R2B C650267 9124303
69 Akhmad Samlawi 1 NPBI 56th L KTL B265322 9124279

JAMINAN
S:TD,BD*,PM
1 Irvan Daroji 3 NPBI 16 th L R2B C643021 9110272

2 Faiz Surya Dewantara 3 NPBI 4 th L Anak LD C517164 9122019
3 Sumardi 2 NPBI 44 th L Transit C597971 9122272
4 Tuginem 1 NPBI 45 th P KTL C635416 9122083
5 Suprihatin VIP NPBI 56 th P GRD L4 C646324 9116767
6 Sailah 1 NPBI 52 th P KPD LD C628206 9117474
7 Murti Hindariyati 1 NPBI 43 th P MRK L1 C648713 9121974
8 Hariyanto 2 NPBI 55 th L MRK LD C621132 9121993
9 Arjuna Ammarsatwika F 2 NPBI 2 th L Transit C632541 9114878
10 Luh Agny Pramesitha I 3 NPBI 6 th P Anak LD C564465 9117379
11 Kiswanto 2 NPBI 28 th L KTL L1 C632084 9105597
12 Suhartono 1 NPBI 71 th L KPD L1 C284629 9105966
13 Muhammad Ali Murthodo 3 NPBI 25 th L R2B C649576 9116169
14 Ajeng Dyah Pangestika 1 NPBI 20 th P Elang 1 C593474 9121530
M : RK,NI,MW,DA,AM,MY,IS RR : FA,SAM,ID SORE PROGRAM : TD,BD*,YR,PM,TU,DW,ND,ER,ES,AD,DI,BR,YS,PL,DB* ALAT : PUR
16 Isniatun 1 NPBI 52th P KPD 1 C564772 9119778
17 Abdul Hamid 1 PT 50th L MRK 1 C452545 9124229
18 Chotidjah VIP NPBI 70th P GRD 4 C402645 9123710
19 Vivien Rinaini 1 NPBI 28th P KTL C059063 9124265
20 Muhammad Ilham Setiawan 3 NPBI 3th L C1L1 C650339 9124297
21 Martha Mince 1 NPBI 50th P MRK 2 C648236 9103200

22 Kun Dipowati VIP NPBI 54th L GRD 5 C623482 9109695
CITO
23 Suharti 3 PBI 37th P R4B C649909 9122138
24 By.Ny. Rusdah IRIN B PBI 3th P PBRT C650259 9124280
25 Maryatun 1 NPBI 25th P B31 C520696 9124402
26 Dinis Dorawati Sari 3 NPBI 36th P B31 C650453 9124310

27 Iis Susanti IRIN B Um 27th P ICU C650241 912262
28 Imam Sofian 3 NPBI 46th L R3B C162932 9117430
29 Michael Alelka Insprirano VIP NPBI 10th L GRD 3 C643110 9123858
JAMINAN
M : RK,AD,BR,MW,IS,MY S : BD,TU,ES,YS,PL,PM*,GI*
CITO
1 R. Prawoto 1 NPBI 63th L KTL C650437 9124317
2 Sutrisno 3 um 59th L R2B C649560 9124367
3 By.Ny. Istiyani IRIN B Um 3th P PICU C650490 9124555
4 Kartika Kusumantrini VIP NPBI 50th P GRD 4 C592738 9114482
5 Deni Titin Adiyanti 3 NPBI 21th P B31 C648646 9124857
6 M. Rizqi Ikhyaful F 3 um 8th L C1LD C650520 9124773
7 Ahmad Tamalul Ulum 3 PBI 2th L C1LD C650494 9124563

JAMINAN
S : GI,II,SA
1 Dimas Bayu Aditya 3 PBI 12th L Anak L1 C393322 9124654
2 Reza Fajar Tri Andika 3 NPBI 6th L Anak L1 C390684 9124647
3 Agus Syawaludin 2 NPBI 47 th L MRK LD C603872 9117434
4 Luthfilhakim Alkadhim 1 NPBI 13 th L Anak LD C628695 9122112

5 Alpiyah 3 NPBI 46 th P R4A C585425
6 Sita Nur Azizah 3 NPBI 17 th P Anak L1 C647400 9094489
7 Suprapto 3 NPBI 46 th L R1B C644604 9071013
8 Sarmiati 3 PBI 42 th P R2A C639468 9070995
9 Marnan 2 NPBI 64 th L C645697 9124651
10 Afrioko 2 NPBI 32 th L KPD 1 C646509 9124772
11 Jasmail 3 NPBI 69 th L R6B C648065
12 Katarina Tri S 1 NPBI 52 th P GER L1 C649167 9117431
13 Mariyati 3 NPBI 56 th P R4B C640018 9114736
14 Siti Juwariyah 2 NPBI 41 th P B31 C645045 9114401
15 Erik Firdiyanto 2 NPBI 43 th L KTL L1 C459187 9117458
16 M. Soekaryanto 2 NPBI 73 th L KPD LD C644955 9114344
17 Machmud Tamsir VIP NPBI 76 th GRD L4 C649785 9117352
18 Kasdi 2 NPBI 57 th L KPD LD C644043 9119774
19 Djumirah 1 NPBI 61 th P GER L1 C318271 9110190
20 Tarsih 3 NPBI 65 th P R2A C649488 9114801
21 Tarsipah 3 NPBI 63 th P R2A C643291 9096583
22 Rinah 3 NPBI 70 th P R3A C647803 9101192
23 Samilah 2 NPBI 44 th P KPD LD C647257 9124649
24 Laila Muniati 3 PBI 1 th P Anak LD C641382
25 Fadel Muhammad 3 NPBI 8th L Anak LD C649601 9122129
26 Nayla Atika Putri 3 NPBI 1 th P Anak LD C573127 9123647
27 Suyanti 3 NPBI 31 th P R2A C636846 9053100
84 Mulyono 3 PBI 54th L R2B C649837 9120404
28 Niti 2 NPBI 61 th P KTL L2 C630885

29 Irfanto 2 NPBI 43 th L KPD L1 C648688 9124631
31 Warsinah 2 NPBI 63 th P KPD LD C316469 9124661
32 Agusstinto 3 um 29 th L R3B C649298 9114486
33 Hartono Soetjipto 2 NPBI 61 th L GER LD C650255 9122322
Siti Murni 2 NPBI 40 th P Elang 1 C599080 9124351
34 Ahmadika F 3 NPBI 3 th L Anak LD C631232 9121989
35 Suwati 3 PBI 59 th P R3A C644631 9117353
36 Eriana Sylvia 2 NPBI 24 th P MRK L2 B065110 9119818
37 Sulastri 2 NPBI 53 th P KTL L1 B212920 9119828
38 Firda Santi Priv JKN 36 th P P. GRD C649642
39 Rusmini 3 PBI 61 th P P. Mata C646739
40 Haryati Priv NPBI 71 th P P. GRD C503730

41 Moh. Arza Priv NPBI 38 th L P. GRD C574602
42 Zainal Abidin Suryanta 1 NPBI 53 th L P. Mata C650139
43 Soedigdojo Priv NPBI 66 th L P. GRD C384945
44 Suparyono 2 NPBI 59 th L MRK LD C646709 9119771
45 Siti Sarah 2 NPBI 67th P B31 C646587 9124447

46 Darti 3 PBI 72th P R5B C644100 9124163
47 Waryono 2 NPBI 57th L PRKIT C644254 9122210
48 Legiman 3 PBI 44 th L R2B C650014 9122120
49 Parti 3 NPBI 56 th P R2A C446398 9114381
50 Segita Armeilia S 1 NPBI 17 th P KPD LD C647489 9122061

51 Rizky Satria Ibrahim 3 NPBI 5 th L Anak L1 C644003 9214658
52 Andika Maula Al Baihaki 2 NPBI 4 th L Anak L1 C563712 9124663
53 Farelito Arvin Tsaqif 3 NPBI 7 th L Anak L1 C241487 9122113

54 Sularni 3 NPBI 28 th P R2A C649669 9117484
M : BD,EM,AF,PM,AD,BR,YS RR : FA,IM,TU (MID : SAM,DN) RR GRD : HA (MID : AT ) SORE PROGRAM : GI,II,TW,AY,HR,SR,US
55 Suratno 2 NPBI 55 th L Parkit C645785 9122160

56 Mursiti 2 NPBI 49 th P KTL L1 C649433 9114459
57 Mujiono 3 NPBI 55 th L R6B C646400 9088362
58 Muhammad Syaeful Amin 2 NPBI 35 th L KPD 1 C592080 9124635
59 Adelia Faranisa 3 NPBI 1 th 3 bln P Anak LD C617477 9124225
60 Sri Mulwati VIP NPBI 51 th P GRD 4 C649885 9119534
61 Tan Handika Lesmana VIP NPBI 59 th L GRD 4 C650317 9124274
62 Sakimin 3 PBI 74 th L GER D C650420 9124357
63 Koimun VIP NPBI 65th P ELA 2 C297099 9121896
64 Enny Susilowati Basirun VIP NPBI 62th P GRD 5 C003893 9110042
65 Abdillah Al Fatih 3 NPBI 2 th L Anak L1 C647831 9124269
CITO
66 Geta Alviani VIP NPBI 30th P GRD 3 C552490 9124664
67 Siti Masruroh 2 NPBI 31th P B31 C649484 9114746

68 Iis Susanti IRIN B um 27th P ICU C650241 9122162
69 Siti Zaenab IRIN B NPBI 63th P R1A C650533 9124736
70 Sri Purwanti 1 NPBI 53th P MRK 1 C649805 9119665
71 Fitri Nur Sawiji VIP NPBI 30th P GRD 3 B303905 9127341
72 Herman Pelani 3 NPBI 30th L R1B C650557 9127367

JAMINAN
S : GI,SA,TK
1 Fatih Elva Watoni Daula 3 PBI 10th L Anak L1 C381904 9126903
2 Ahmad Muzaki Jamil 2 NPBI 14th L KPD C149774 9127321
3 Wastiah 3 NPBI 63 th P R2A C631764 9123247
4 Diharto 3 NPBI 67 th L R3B C470636 9110182
5 Ahmad Zamrani 3 NPBI 39 th L R3B C649457 9114799
6 Ahmad Maulana Dian K 3 NPBI 3 th L Anak L1 C636783 9112477

7 Bambang Irawan 1 NPBI 73 th L MRK L1 C304778 9123791
8 Kasini 2 NPBI 40 th P KTL L1 C643237 9122099
10 Fittriya Henny Marfuah 2 NPBI 38 th P KTL 1 C634211 9117428
11 Eni Sofiawati 3 PBI 60 th P R4B C636409 9124466
12 Zubaedah Iklima 3 NPBI 40 th L B31 C650068 9125605
13 Hari Widodo 1 NPBI 48 th L KPD LD C645799 9124154
14 Wagimin 3 NPBI 66 th L R1B C641758 9112456
15 Yamti 3 PBI 48 th P R4A C646916 9108204
16 Retiningasih 3 NPBI 36 th P R2A C643721 9124887
17 Sanimah VIP NPBI 58 th P GRD L4 C643848 9122025
18 Toipah 3 NPBI 32 th P R2A C514041 9090326
19 Sayep 3 NPBI 56 th P R2A C644624 9105922
20 Laila Muniati 3 PBI 10 th P Anak D C641382
21 Zulfanita Putri Maharani 3 JMD 3,5 th P C650280 9124194

Anak D
22 Doni Ramadhani K 3 PBI 2 th L Anak L1 C644073 9122108
23 Sukirno 3 NPBI 35 th L R3B C646697 9114631
24 Giri Winarto 2 NPBI 39 th L MRK LD C237978 9124198
25 Millatus Sholikhah 3 NPBI 18 th P R2A C639557 9117376

26 Febrianto Pamungkas 2 NPBI 35 th L KPD LD C647019
27 Suyatminah 3 NPBI 54 th P R2A C650093 9122282
28 Akhmad Sopuan 1 NPBI 39 th L KPD L1 C649783 9119768
29 Sumiyati 3 PBI 38 th P R2A C621910 9114334
30 Dadang 2 NPBI 42th L KTL 1 C632272 9108117
32 Nur Khayati 3 NPBI 28 th P P. ORT C623069
33 Ika Fitriyani 3 PBI 38 th P R3A C649090 9112448
34 Sudarwati 1 NPBI 63 th P GER L1 C643955 9108089

35 Agus Sofi'i 3 PBI 20 th L R1B C584170 9123151
36 Cicik Sriwati 1 NPBI 42 th P Elang II C400561 9124636
37 Aji Kristami Pamungkas VIP NPBI 15 th L GRD L3 C209217 9114871
38 Sutojo, IR 1 NPBI 68 th L MRK L2 C245828 9124471
39 Sulimin 2 NPBI 45 th L R1B C649874 9125132
40 Sukar 3 NPBI 47 th L R6B C631111 9112612

41 Wahyu Oktaviana 2 NPBI 24 th P KTL L1 C632231 9124160
42 Afifah 3 PBI 7/1/1945 P P. Mata C627426
43 Iin Indarwati 3 NPBI 44 th P P. Mata B325352
44 Solikin 3 NPBI 2/25/1970 L P. Mata C639359
45 Appandi Sudarsono Priv NPBI 7/5/1948 L P. GRD C635828
46 Siti Aminah 3 NPBI 62 th P P. Mata C646804
47 Purwi Hastuti Priv NPBI 5/30/1960 P P. GRD C569831
48 Uswatun Khasanah Priv NPBI 4/1/1969 P P. GRD C537802
49 Supiyati 2 NPBI 47 th P Transit C438490 9117455
50 Khikmah 2 NPBI 44 th L MRK LD C646789 9114367
51 Mamik Slamet 2 NPBI 60 th L Elang 1 C642587 9103394

52 Hindun 3 NPBI 51 th P R2A C509861 9114442
53 Ariyah 3 NPBI 51 th P R2A C646056
54 Melinda Nur Andriana 3 NPBI 14 th P Anak LD C637481 8999381
55 Umi Salmah 3 NPBI 39 th P R5B C615199 9090285
56 Shafwan Arsenio P 3 NPBI 1 th L Anak LD C603672 9124137

57 Partoyo 1 PT 45 th L KPD L1 C650526 9124755
58 Kusharwanto 1 NPBI 54 th L KPD L1 B321827 9122016
M : EM,BD,AF,PM,ES,YS,PL RR : FA,IM,TU (MID : SAM,DN) RR GRD : HA (MID : AT ) SORE PROGRAM : GI,II,TW,AY,HR,SR,US
59 Suzie Angrijani P 1 NPBI 66 th P MRK 2 C649679 9124524
60 Tasmuri 3 PBI 44th L R5A C626456 9119162
61 Anang Setiawan 2 NPBI 35th L MRK D C622685 9108133
62 Hema Dewi VIP NPBI 12/18/1985 P GRD L3 B323404 9127291

63 Bagas Puguh W 1 NPBI 20 th L MRK L2 C637087 9029353
64 Warnimah 1 NPBI 51th P MRK 1 C608135 9127594
CITO
65 Slamet Riyadi 3 PBI 39th L R1B C650818
9127418
66 Fajar Kurniawan 3 PBI 13th L C1LD C634839 9124184
67 Riyan Agung Pangestu 3 JMD 16th L TRAN C650807 9127360
68 Fransiska Devi IRIN A NPBI 23th P HCU C650949 9129263
69 Sulistia Ningsih 3 PBI 28th P R4B C634718 9119676
70 Muidah 1 NPBI 75th P KPD D C650482 9124597
71 Narsih 1 um 45th P KPD 1 C650820 9129549
71 Umi Khasanah 3 PBI 21th P B31 C648558 9127222
72 Aminah 2 NPBI 74th P GER D C648926 9117485

JAMINAN
S : TW,SA*,TK
1 Akhdaniyal Prabhat Trini 3 NPBI 1 th 7 bln L Anak L1 C576339 9129051
2 Martha Mince 1 NPBI 50 th P MRK L2 C648236 9103200
3 Erik Ariyansyah 3 NPBI 15 th L Anak L1 C493047 9124692
4 Moh Syarifudin 3 NPBI 46 th L R2B C650802 9129648
5 Ginapasha Febriharuci VIP NPBI 23 th P GRD L4 C645298 9127099
6 Cyntia Unggul Dwi Rahayu 1 NPBI 56 th P KPD L1 C523324 9126353
7 Suratiyah 1 NPBI 65 th P KPD L1 C415974 9124259
8 Aril Vinusa Putra 2 NPBI 21 th L KPD L1 C630377 9129504
9 Sarwono 3 PBI 57 th L R2B C648096 9102917
10 Stevani Citra Fara 3 PBI 14 th P Anak LD C644380 9071026
11 Mohamad Soim 3 NPBI 34 th L R2B C650218 9129648
12 Sulasih VIP NPBI 60 th P GRD L4 C650155 9127075
13 Muslimin VIP NPBI 43 th L GRD L5 C642543 9126897
14 Dyah Subaningsih 1 NPBI 53 th P KPD L1 C105907

15 Adrian 1 NPBI 77 th L KPD LD C569605
16 Sulasmi 2 NPBI 58 th P KPD LD C604442 9129298
17 M. Sofyan Nasution 3 NPBI 74 th L R2B C648502 9117394

18 Kuswati 2 NPBI 47 th P KPD LD C338601 9129129
19 Kasnadi 3 NPBI 52 th L R2B C6499912
20 Raihana Yazmina Faiha 3 NPBI 5 th P Anak L1 C644071 9127284
21 Septian Putra Sadwi 3 PBI 7 bl L C604456 9124379

Anak L1
22 Laila Muniati 3 PBI 10 th P Anak D C641382 9116074
23 Sri Rahayu 1 NPBI 44 th P MRK L2 C545622 9122103
24 Retno Widyaningsih 2 NPBI 35 th P KTL L1 C619191 9124162
25 Ana Kunthi 3 NPBI 27 th P R2A C643774
26 Luqman Hartanto IRIN B NPBI 25 th L ICU C647413 9096978
27 Rosalia Fransisca Harpini IRIN A BPJS 69 th P ICU C648317 9103368
28 Nirwan Fajar Hermawan VIP NPBI 13 th L GRD L3 C649335 9123689
30 Eko Mariyono Susanto 2 Um 33 th L KPD LD C650009 9119820
31 Markonah 3 PBI 49 th P R3A C647222 9094485
32 Rasidin 3 PBI 40 th L R3B C649235 9112593
33 Jumina 1 NPBI 52 th P KPD L1 C650516 9124648
34 Rayhan Zuliyan Syah 3 NPBI 11 th 1 bln L Elang 1 C590201 9127113
35 Nur Meida Achmad 1 NPBI 9 th P Anak LD C643332 9127274
36 Siti Mudawamah 3 PBI 6 th P Anak LD C649647 9127289
37 Sutini VIP NPBI 52 th P GRD L6 C645005 9127201
38 Manovikanto 3 NPBI 54 th L R1B C435060 9122049
39 Bobby Nogroho Wijaya 2 NPBI 26 th L MRK LD C550779 9127319
40 Moch. Cholidin 3 PBI 36 th L R3B C649632 9126614
42 Juariyah Priv NPBI 61 th P P. Grd C648813
43 Setiya 1 NPBI 55 th L P. Mata C649871
44 Siti Siin 2 NPBI 63 th P P. Mata C603297
45 Sutinah 3 NPBI 45 th P P. Mata C641032
46 Sumadji Marsam 1 NPBI 69 th L P. Mata C281375
47 Hendi Soenarko Priv NPBI 65 th L P. Grd C617948

48 Wahyono Priv NPBI 62 th L P. Grd C553783
49 Sofiatun 3 NPBI 61 th P P. Mata C640770
50 Deni Romandhoni Priv NPBI 24 th P P. Grd C650736
51 Evi Rofi Enni 1 NPBI 59 th P KTL C127244 9127323
52 Tami VIP NPBI 43 th P GRD L3 C650582 9126597
53 Mustamilah 1 NPBI 64 th P KPD LD C648739 9128290
54 Endang Setyaningrum VIP NPBI 26 th P GRD L5 C647707 9127220

55 Waryono 1 NPBI 10/11/1956 L KPD 1 C341532 9119791
56 Ariyah 3 PBI 51 th P R2A C646056 9101127
57 Nur Hidayah 3 NPBI 47 th P R4A C643234 9119689

58 Inem 3 NPBI 72 th P R4B C645182 9126777
59 Susilowati Budiningsih VIP NPBI 61 th P GRD L4 C649315 9124678
M : GI,AU,DY,ES,HI,PL,RI RR : FA,IM,NI (MID : SAM,DN) RR GRD : HA (MID : AT ) SORE PROGRAM : TW,AY,HR,SR,US,SA*,SE
60 Fatimah 2 NPBI 84th P GRD 6 C402348 9124129
61 Sofyan Yusthiva Alvinda 3 NPBI 14th P C1L1 C295941 9131803

62 Kiswanto 2 NPBI 28th L KTL 1 C632084 9105597
63 Djunarto 1 PT 71th L KPD 1 C650984 9129376
64 Sukar 3 NPBI 47th L R6B C631111 9112612
65 Wahyu Ilhami VIP NPBI 36th L GRD 4 C632588 9127244
66 Rustianah 3 NPBI 37 th P R6A C649886 9122028
CITO
67 Kunti Afifah 3 PBI 35th P B31 C650338 9130520
68 Slamet Khanto IRIN B PBI 38th L R1A C651021 9131164
69 Nila Amriyani Firta 2 NPBI 20th P B31 C651017 9129606
70 Ahmad Nur Udin IRIN B Um 17th L R1A C651161 9131298
71 Alfiah 2 Um 26th P KTL 1 C650960 9130092
72 Arif Sartono 3 Um L ICU C650509 9124626

JAMINAN

S : TW,SA,DA
1 Annida Rahmatunisa 3 NPBI 9 th P Anak L1 C490166 9129623
2 A. Afdoli 3 NPBI 14th L Anak L1 C446994 9131613
3 Davi Farhansyah 2 NPBI 14 th L KPD L1 C483902 9130160
4 Hartono 1 NPBI 84 th L GER L1 C131589 9124529
5 Darmawan 2 NPBI 62 th l KPD D C362794 9129548
6 Raka Dwi Prayoga 2 NPBI 12 th L Anak LD B358878 9127303
7 Nur Arofah 32 th
VIP Um P GRD L6 C650041 9126634
8 Kurniawan 2 NPBI 30 th L MRK LD C648514 9127297
9 Asih Setiyono 2 NPBI 39 th L MRK LD C639522 9127283
10 Muhammad Rahaudin 3 NPBI 9 th L Anak L1 C619839 9131623
11 Kiswanto 3 NPBI 3/7/1989 L KTL 1 C632084 9105597
12 Supiyah 2 NPBI 37th P B31 C650684 9127232
13 Zaenab 3 NPBI 46 th P R4B C641525
14 Sri Yuniati 1 NPBI 54 th P MRK L2 C645859 9124730
15 Wenny Winarni 1 NPBI 57 th P MRK L2 C649729 9124083
16 Fatmawati 1 NPBI 53 th P MRK 2 C638070 9114281
17 Suntama 1 NPBI 61 th L KPD LD C605802 9124219
18 Muslichah 3 NPBI 50 th P R3A C632969 9121996
19 Najmah 1 NPBI 45 th P MRK L1 C183527 9129535
20 Musawwa 2 NPBI 40 th P MRK LD C636822
21 Sujarati 1 NPBI 51 th P KPD L1 C463120 9127349
22 Ratnasih VIP NPBI 66 th P GRD L5 C649460 9129527
23 Sofiah VIP NPBI 64 th P GRD L6 C643858 9127133
24 Turipah 2 NPBI 53 th P KTL L1 C646575 9129111
25 Muhidin 3 NPBI 40 th L R5A C650258 9122981
26 Eduard Saroi 2 NPBI 67 th L KTL L1 C645569 9114899
27 Ngatman 3 PBI 39 th L R6B C619141 9103092

28 Hubertus Djoko Pramono VIP NPBI 64 th L GRD L5 C646259 9129359
29 Sujat 3 NPBI 47 th L R1B C650131 9122267
30 Naeli Fauziyah VIP NPBI 13 th P GRD L3 C614957 9121400
31 Azwar Anas 3 PBI 21 th L R2B C650196 9122298
32 Denis Wisnu Fernanda 2 NPBI 9 th L Parkit C637838
33 Harry Prabowo 3 PBI 19 th L R1B C649535 9117521
34 Muhammad Santoso 3 PBI 26 th L R1B C649536 9114897
35 Mukiyem 2 NPBI 51 th P MRK LD C643760 9129515
36 Hikmah Nurani Agzamari VIP NPBI 3/18/1995 P GRD L6 C560085 9131278
37 Kiswandi 3 NPBI 53 th L Elang 1 C617029 9128831
38 Khomar Taufiq 2 NPBI 47 th L KTL 1 C642971 9102526
39 Haitham Zidan Hawwari 3 NPBI 5 th L Anak LD C618461 9127279
40 Supriyani VIP NPBI 52 th L GRD L4 C615188 9127148
41 Endang Pasmirah VIP NPBI 63 th P GRD L6 C549061 9126820
42 Sarwanto 1 NPBI 52 th L KPD L1 C623471 9127255
43 Achmad Johan 3 NPBI 51 th L R1B C620365
44 Sudarlan 3 NPBI 41 th L P. Mata C649045
45 Muharto 2 NPBI 54 th L P.Mata C644950
46 Munasir 3 NPBI 38 th L P.Mata C649343
47 Fx Eddy Prapto 1 NPBI 62 th L P.Mata C643843
48 Siti Ngasiatun 2 NPBI 38 th P MRK LD C628979 9119713
49 Indah Arum Wahyuning 1 NPBI 41 th P KTL C379058 9127741
50 Anita Siregar 3 NPBI 34 th P R4A C607572 9128523

51 Siswandari 3 NPBI 50 th P R4A C645421 9129347
52 Ragil 3 PBI 13 th L Anak LD C419351 9129541
53 Muhammad Aminudin 3 NPBI 17 th L Anak LD C650012 9122216
54 Muhamad Fairus Zabadi 3 NPBI 5 bln L Anak LD C642887 9129445

55 Risky 3 NPBI 1th L Anak L1 C619883 9131567
56 Teguh Rijanto 3 PBI 49 th L R1B C650527 9124701
57 Muhammad Rizal Amrulloh 3 Jasa 23 th L R2B C650485 9124589
M : II,AU,WI,HI,SE,DY,RI RR : FA,IM,NI* (MID : SAM,DN) RR GRD : MF (MID : AT ) SORE PROGRAM : TW,AY*,HA,SR,US,SA,AR

58 Silvi Lutfiyah VIP NPBI 1/21/1979 P GRD 5 C511472 9126770
59 Kurhadi 3 PBI 26th L R2B C518729 9133189
60 Lucia Kasih Anggoro VIP NPBI 46 th P GRD L6 C373926 9131700
61 Abdul Rahman 1 NPBI 38 th L KPD 2 C618926 9112597
CITO
62 Henny Wati Soeseno 2 NPBI 52th P IGD C499967 9129499
63 Sujarwanti 1 NPBI 39th P B31 C648787 9131686
64 Firdha Hanum Hadhian 3 NPBI 18th P R3A C651064 9131716
65 Dwi Karti Andayani 3 PBI 43th P IGD C651307 9133278

JAMINAN
S : WU*,ET,DA
1 Sutomo VIP NPBI 63 th L GRD L4 C650642 9127241
2 Supangat 3 PBI 47 th L IGD C647086 9135389
3 Sukardi 2 NPBI 61 th L MRK LD C593408 9129538
4 Sukirah 2 NPBI 63 th P MRK LD C625325 9131665
5 Sri Endang Purnomowati 1 NPBI 63 th P KPD 1 C650521 9124695
6 Oex Lily Amelia 2 NPBI 52 th P KPD D C149681 9133615
7 Zuvi Setiana 2 NPBI 14th P KPD 1 C649904 9133814
8 Uswatun Khasanah VIP NPBI 41 th P GRD L5 C643176 9131788
Solikah 3 PBI 26th P B31 C651200 9131784
10 Ubaidah 3 NPBI 18 th P R4B C627939 9127234
11 Ratri Purnami Krisnaya VIP NPBI 55 th P GRD L3 C647582 9127235
12 Tukiyem VIP NPBI 75 th P GRD L4 C646574 9126788
13 Taruni 3 PBI 45 th P R4A C626203 9114396
14 Musyahid 3 PBI 41 th L R2B C606576 9101893

15 Arsinta Mahilda Hayadi 2 NPBI 31 th P KPD LD C574719 9122133
16 Sawi 3 PBI 67 th P R2A C645487 9108056
17 Faisal Aiman Wijaya 3 PBI 4 th L Anak L1 C622212 9132760
18 Mohammad Fikri 3 NPBI 4 th L Anak L1 C479503 9132414
Muhammad Albifardzan
19 1 NPBI 2 th 6 bln L Anak LD C530087 9131675
Ariyadi
20 Desvia Salsabila 3 NPBI 1 th 10 bln P Anak LD C612099 9114125
21 Wahyudi 2 NPBI 38 th L MRK LD C625038 9129521
22 Laila Nurul Bahiyah 3 NPBI 23 th P R3A C648889 9131668
23 Muhamamad Asyraf Irfan 3 NPBI 11 bln L C1L1 C648901 9134152
24 Kuneng 3 NPBI 63 th P R2A C642396 9127298
25 Agusstinto 3 jasa 29 th L R3B C649298 9114486
26 Fachrurrozi 3 Um 23 th L R2B C650804 9127357
27 Iqbal Hanah 2 NPBI 24 th L KPD L1 C649614 9133826
28 Najla Hanani 3 NPBI 14 th P Anak LD C650023 9122330
29 Miftahudin 3 NPBI 6 th 6 bln L Elang 1 C609925
30 Faradillah Salma A 2 NPBI 16 bln P Anak LD C587387 9129520
31 Veronika RE 3 NPBI 43 th P R3A C650039 9131791
32 Dapi 3 NPBI 70 th P R3A C647818 9129508
33 Suparyono 2 NPBI 50 th L Parkit C650875 9129570

34 Yohan Suprianto Priv NPBI 42 th L P. Grd C650291
35 Susharyati 3 NPBI 51 th P R4A C645230 9130883
36 Endang Susilowati VIP NPBI 58 th P GRD L4 C543997 9133312
37 Maydina Octavia 2 NPBI 14 th P KPD D C368722 9133847
38 Eben Manalu 2 Um 49 th L KPD 1 C649929 9133873

39 Heriawan Yudi S 2 NPBI 46 th L MRK LD C647613 9107627
40 Novica Ardyanti 3 NPBI 22 th P R2A C650805 9127386
M : II,SA,AG,WI,RM,SE,TR RR : FA,IM,NI* (MID : SAM,DN) RR GRD : MF (MID : AT ) SORE PROGRAM : WU*,ET,TW,AY,HR,SR,U
41 Dyah Subaningsih 1 NPBI 53th P KPD 1 C105907 9114477
42 Isnawati 3 NPBI 32 th P R4A C638501
43 Musawwa 2 NPBI 40 th P MRK LD C636822 9127300
CITO
44 Muhammad Salman Ulil 2 NPBI 6bl L IGD C625726 9133545
45 Siti Nur Khamidah 3 NPBI 25th P B31 C651387 9133947
46 3 um 36th L R5A C651377 9135507

Purwanto
47 Yumiatun 2 NPBI 33th P B31 C651216 9133880
48 Miftakhul Jannah 3 NPBI 23th P B31 C651381 9133954
49 Hafidz Abdul Majid 3 NPBI 1th L PARKIT C642372 9135761
50 Aninda Putri Udaya 2 NPBI 12th P PARKIT C651386 9135673
51 Sri Haryanti VIP NPBI 55th P GRD 4 C372003 9135602
52 Parti 3 NPBI 74th P ELA 1 C603016 9133443
53 Yuanita IRINA NPBI 35th P HCU C650793 9127365

JAMINAN
1 Siti Humairo VIP Um 2 th 6 bl P GRD L3 C650128 9132822
2 Suparmi 2 NPBI 31 th P KTL L1 C645063 9133869
3 Karti VIP NPBI 51 th P GRD L4 C650564 9133229
4 Farichah Hanum , drg VIP NPBI 53th P GRD L6 C002766 9135529
5 Suherti VIP NPBI 49 th P GRD L6 C651167 9135087
6 Darno 2 NPBI 60 th L GER LD C649328 9129568
7 Moh. Syarifudin 3 NPBI 46 th L R2B C650802 9129648
8 Basuki IRIN B PBI 63 th L ICCU C650489 9124584
9 Habli Khirsal 3 NPBI 9 bln L Anak LD C639827 9133881
10 Sri Mulyani 3 PBI 3 th P Anak L1 C608023 9131636
11 Resqiano Kevin Alvaro 3 NPBI 1 th L Anak LD C631045 9133904
12 Wardiyanti Sariwati VIP NPBI 22 th P GRD L6 C649698 9129205

13 Riski Nanda Ramadhan 3 NPBI 17 th P Anak L1 C631976
M : AN,SA,TR,WD,AG,DA,RM RR : BD,IM,SAM,DN,MF SORE PROGRAM : NO*,WU,ET,SF,AY,AR,BY*,DJ,HR,ANM,SR,SU,TM,VQ
14 Agustinus Heru M 2 NPBI 50 th L MRK LD C651378 9133960
15 Askun 3 JMD 67 th L GER LD C651004 9121818
Muhammad Syarif
16 2 NPBI L IGD C651540 9135664
Hidayatullah
17 Denis Wisnu Firnanda 2 NPBI 8 th L Parkit C637878 9124731
CITO
18 Sucipto IRIN B PBI 68th L R1A C651530 9135732
19 Karsono 2 NPBI L IGD C651542 9135668
20 Yuniwati Utami 2 NPBI 40th P B31 C651132 9131286
21 Siti Humairo VIP um 2th P GRD 3 C680128 9132822
22 Syifa Thalita Nuthania IRINA NPBI 9th L HCU C651534 9136099
23 Yuniyani 3 NPBI 39th P B31 C590456 9131778
24 Nadia Nur Amalina 3 NPBI 12th P C1LD C651552 9135972
25
26 Budi Santoso IRIN B PBI 52th L HCU C651581 9136029
27 Rena Widyastuti VIP NPBI 30th P GRD 3 C454739 9135733

JAMINAN
1 Dinda Bayu Permana 1 NPBI 26 th L MRK L2 C650149 9131838
2 Jaka Wahyono VIP NPBI 23 th L GRD L4 C626862
3 Jumanto 3 PBI 35 th L R2B C545266 9131792
4 Alfiatun Nufus 2 NPBI 22 th P KTL L1 C645245 9131737
5 Zulkarnaen VIP NPBI 47 th L GRD L6 C651060 9131366
6 Wildan Rizki Pradita 3 PBI 3/17/2017 L PICU C649491 9114786

7 Jati Lastomo 1 NPBI 42 th L KPD L1 C650132 9131785
8 Callista Meylina 2 NPBI 1 th 3 bln P C1LD C633793 9135696
9 Afiyah 3 NPBI 59 th P R5B C640990 9131031
10 Herman Pelani 3 NPBI 31 th L R1B C650557 9127367
11 Nurjanah 1 NPBI 52th P MRK 1 C650661 9127351
M : ET,AN,UM,VQ,DA SORE PROGRAM : NO,MW*,TK,DJ,ER,RE

12 Suhartini VIP NPBI 62 th P GRD L5 C634709 9135326
13 Arkaan Radlurrohman 3 NPBI 1th L C1LD C585507 9135615
14 Karwati 1 NPBI 45 th P KPD LD C609538 9135553
15 Siti Rokhani 3 NPBI 28 th P R5B C647203 9135628
16 Rahmi Mutia 1 um 22th P KPD D C651256 9113930
CITO
17
Dimas Bayu Ananto VIP NPBI 17th L GRD 4 C649652 9135929
18
Seno 1 NPBI 75th L KTL C651605 9136038
19
Ady Setyawan IRIN B um 43th L R1A C651604 9136039
20
Siti Aminah 3 um 35th P B31 C651634 9136053
21
Ahmad Tamalul Alum IRIN B PBI 2th L PICU C650494 9124759
22 Suwarni 3 NPBI 46th P R4A C580160

23 Sugiri 3 NPBI 55th L R5A C639511 9126882
24
Subeno IRIN A NPBI 51th L R1A C651533 9135759
25
Sudirman IRIN B um 60th L R1A C651537 9135653
26 Ani Kurniawati IRIN B um 20th P ICU C651668 9136194

JAMINAN
S : NO,RK,AU
1 Naufal Afkan Idlan 3 NPBI 8 th L Anak L1 C135725 9136068
2 M. Adhi Irwan Ariyanto 3 NPBI 13 th L Anak L1 B431344 9136063
3 Solikha 2 NPBI 43 th P KTL L1 C651009 9131814

4 Su'udi 3 NPBI 57 th L R2B C650883 9133919
5 Harjoko 3 NPBI 52 th L R1B C647276 9133886
6 Anang Setiawan 2 NPBI 35 th L MRK LD C622685 9108133
7 Solekah 3 NPBI 43 th P R4A C251764 9131596
8 Sujinah VIP NPBI 53 th P GRD L3 C640719 9131472
9 Sopiyah 2 NPBI 52 th P KPD LD C597254 9122308
10 Mursiti 2 NPBI 49 th P KTL L1 C649433 9114459
11 Adimas Desta Wirawansyah 1 NPBI 33 th L KPD LD C648454 9122079
12 Rofaida 2 NPBI 45 th P Parkit C639833 9129622
13 Adrian 1 NPBI 77 th L KPD LD C569605 9124192
14 Slamet Sihono 1 NPBI 66 th L MRK L2 C598652 9131628
15 Nenik Yuliyanti Aslima 3 JMD 30 th P R6A C651026 9131816
16 Dian Octavia 2 NPBI 24 th P KTL L1 C617172 9124159
17 Suyami 2 NPBI 43 th P KPD LD C626371 9129517
18 Sulastri 1 NPBI 62 th P MRK L1 C639578 9127295
19 Yuliani Sulistyowati 2 NPBI 47 th P KPD LD C624956 9127389
20 Aminah 2 NPBI 66 th P KPD LD C318003
21 Adrian Valentino 3 NPBI 6 bln L Anak LD C623743 9131693
22 Ahmad Ramdhani 3 PBI 2 bln L Anak L1 C650819 9129563
23 Sudiono 3 NPBI 61 th L R2B C647634
24 Rofiqoh 3 NPBI 50 th P R2A C620994 9098674
25 Sucipto 2 NPBI 52 th L KPD L1 C425277 9136108
26 Kartono Wibowo 2 NPBI 35 th L KPD L1 C606573 9136062
27 Masrikah 2 NPBI 71 th P KPD LD C640177 9136083
Kusdi IRIN A NPBI 2/6/1974 L Elang 1 C612584 9134449

28 Miftahudin 3 NPBI 6 th 6 bln L Elang 1 C609925
29 Sarmini 2 NPBI 68 th P KTL L1 C635041 9133910
30 M. Syukron Najib 1 NPBI 52 th L KPD LD C546168 9128723
31 Teguh Raharjo 2 NPBI 39 th L KTL L1 C648434
32 Suyati Priv NPBI 68 th P Poli Grd C648448
33 Endang Ruswati Priv NPBI 57 th P Poli Grd C061073
34 Nur Ali 3 PBI 72 th L Poli Mata C638683
35 Nur Fathikin Priv NPBI 17 th P Poli Grd C651266
36 Kaswaji 3 JMK 57 th L Poli Mata C647293

37 Tri Hadi Lestari Priv NPBI 69 th P Poli Grd C634341
38 Asbad 3 PBI 65 th L Poli Mata C644514
39 Sarto 2 NPBI 82 th L Poli Mata C642989
40 Sanipah 2 NPBI 56 th P Poli Mata C644498
41 Ririn Kurniasih 3 NPBI 28 th P R4A C360967 9130527
42 Dyah Putri A 3 NPBI 22 th P C640496

43 Rendy Nur Prasetio 3 NPBI 6 th 2 bln L Anak LD C648882 9133901
44 Bambang Sukarlan VIP NPBI 60 th L GRD L5 C473138 9128459
45 Sri Rejeki 3 UM 30 th P R5B C643081 9131489
46 M. Subhi 3 NPBI 31 th L R1B C643363 9124167

47 Shofiyah 3 NPBI 46 th P R2A C649448 9114577
48 Wahyu Setiawan 3 NPBI 11 th L Anak L1 C644239 9136084

49 Mohamad Rendy Pratama 3 NPBI 9th L C1L1 C642536 9136080
M : ET,NI,DY,DJ,EA,VQ RR : FA,SAM,SR (MID :EM,AD ) RR GRD : PM (MID :ER ) SORE PROGRAM :NO,SF,RK,AU,AM,AT,RE,DW
50 Zulfi Baihaqi Al Fathir VIP NPBI 3/1/2017 L GRDL3 C651147 9131763
51 Musyarofah 3 PBI 11/8/1972 P R6A C651206 9131821
52 Anna Sulaebah 2 NPBI 8/4/1965 P KTL 1 C648561 9117497
53 Inawati Widjaja 1 NPBI 2/10/1962 P MRK L2 C645796 9129283
54 Febrianto Pamungkas 2 NPBI 2/25/1982 L KPD LD C647019 9092201
55 Giyah Yuliari VIP NPBI 7/20/1951 P GRDL4 C217239 9136196
56 Afini Putri Intania 2 NPBI 22th P KPD D C624258 9136070

57 Amat Kamin NPBI 4/3/1957 L KTL 1 C298768 9133917
58 Solichah VIP NPBI 11/3/1969 P GRD L5 C650680 9135939
59 Sarwidi 2 NPBI 62 th L GER D C637620 9127372
60 Endang Ruslainy CH.DRA 1 NPBI 12/6/1960 P KPD L1 C238745 9135675
61 Marwati 2 NPBI 9/22/1973 P KTL1 C651007 9131750
62 Nur laela Aprilina 3 NPBI 37 th P R4B C650305 9127142
63 Ismiyati 3 NPBI 12/4/1964 P R2A C484302 9110275
64 Aprilia Annisa Putri 3 PBI 4/30/2010 P C1L1 C648312 9105923
65 Amanda Tasya Valmay VIP NPBI 5/20/2006 P GRD L4 C651342 9133810
66 Turhadi 1 NPBI 58th L GER 1 B425036 9129613
67 Rumi IRIN A NPBI 76 th P HCU C651615 9136082
68 Resa Trinovia 1 NPBI 35 th P B31 C649773 9135176
69 Ari Prasetya 3 NPBI 30 th L R3B C651260 9134245
CITO
70 Muthohar 3 PBI 59th L R2B C651654 9136219
71 Mail 3 PBI 65th L R3B C615663 9136895
72 Intan Cahya Permatasari 3 um 15th P B31 C651677 9136208
73 Achmad Fatikhunaja 2 NPBI 4th L PARKIT C644256 9137617
74 Nabila Ramadhani VIP NPBI 20th P GRD 4 C440323 9136094
75 Risya Arvinta Eivadiani 3 NPBI 8th P C1L1 C441062 9134293

JAMINAN
S : SF,RK*,AU
1 Bima Sena Abby Subari 2 NPBI 5 th 2 bln L KPD L1 C614204 9137237
2 Wildan Jati Atmaja 2 NPBI 5 th L KPD L1 C160915 9137330
3 Agus Susanto 2 NPBI 28 th L MRK LD C651674
4 Zesy Claudya Susilo 3 PBI 11 th P UPJ C439096 9137655

5 Romanah 3 PBI 47 th P R5B C180952 9135390
6 Lam'atul Minawaroh 3 um 22 th P R3A C645203 9135935
7 Khifdzil Athfalin 2 NPBI 30 th L MRK LD C623693 9135661
8 Indah Nurhasanah 3 PBI 28 th P R5B C572101 9134804
9 Purminah 3 NPBI 38 th P R3A C647849
10 Turhadi 1 NPBI 58 th L GER L1 B425036
11 Asmanah 1 NPBI 53 th P MRK L2 C269162 9135595
12 Triana Aminingnrum 1 NPBI 38 th P KTL 1 C639706 9115000
13 Kunjiwati 3 NPBI 39th P R2A C651664 9136201
14 Henny Wati Soeseno 2 NPBI 52 th P GER LD C499967 9132082
15 Ngatmun 3 NPBI 55 th L R2B C645017
16 Slamet Solikha 3 NPBI 26 TH P R2A C632073 9119728
17 Chabib 3 NPBI 42 th L R2B C644795 9129638
18 Warnadi 3 NPBI 47 th L R2B C646065
19 Sukri 3 PBI 80 th L R1B C647850 9105875
20 Jumirah 3 PBI 59 th P R2A C643755 9131669
21 Heni Sri Utami Ningsih VIP NPBI 52 th P GRD L6 C649057 9131730
22 Fatkhiyatur Rizqiyah 1 NPBI 23 th P KPD L1 C636303 9133831
23 Eduard Saroi IRIN A NPBI 67 th L ICCU C645569 9114899
24 Iqbal Putra Ansivri 2 NPBI 10 th L C1LD B418227 9135690
25 Saripah 2 NPBI 48 th P R6A C651708 9138086
26 Fajar Kurniawan 3 NPBI 13 th L Anak LD C634839 9124184
27 Darti 1 NPBI 54 th P MRK L1 C641633 9129567
28 Moh Sinun 2 NPBI 57 th L GER LD C651018 9131793
29 Sri Sumarsih 1 NPBI 58 th P GER L1 C651522 9135663
30 Karsini 3 PBI 71 th L R6A C656620 9127353
31 Sauri 3 PBI 38 th L R2B C609182 9096609
32 Mulyati 3 NPBI 46 th P ELA 1 C566373 9136076
33 Teguh Raharjo 2 NPBI 39 th L KTL L1 C648434 9133942
34 Thohari 3 NPBI 66 th L GER LD C648499 9124768

35 Tindar Arsy Handoko 1 NPBI 1 th P Anak LD C651448 9135631
36 Ericha Oktaviani 3 NPBI 2 th 10 bl P Anak L1 C636042 9131776

37 Moh Syarifudin 3 NPBI 46 th L R2B C650802
38 Lanna wati 1 NPBI 61 th P Pol DS C498507
39 Juariyah Privat NPBI 61 th P Pol GRD C648813

40 Hasyim Ahmad 3 NPBI 72 th L Pol MTA C650647
41 Syukron Arifin 3 NPBI 17 th L Pol MTA C598023
42 Sumino 1 NPBI 60 th L Pol MTA C650037
43 Sriyani 3 NPBI 42 th P Pol MTA C105785
44 Ida Fitriyanti 3 NPBI 29 th P R4B C623166 9135966
45 Nowiyah 3 NPBI 58 th P R4A C638438

47 Agus Sundoro VIP NPBI 54 th L GRD L6 C651567 9137624
48 Sukati 3 NPBI 52 th P R5B C638836 9133849
49 Rahayu 2 NPBI 53 th P KTL L1 C627215 9131815
50 Assandra Naurin Arisa 3 NPBI 11 bln P PARKIT C650943
51 Nur Laela Aprilina 3 NPBI 37 th P R4B C650305 9127142

52 Tri Minarsih VIP NPBI 31 th P GRD L6 C621063 9137663
M : NO,SU,TK,NI,MW,DY,EA RR : FA,SAM,RI (MID :EM,AD ) RR GRD : PM (MID :ER ) SORE PROGRAM : SF,II,RK*,AU,AM,AT,RE,
53 Muhammad Nalendra Putra VIP NPBI 1th 4bulan L GRD L3 C650789 9137822
54 Dyah Subaningsih 1 NPBI 53 th P KPD L1 C105907 9114477

55 Suwito 3 PBI 61th L R3B C646721 9124662
56 M Asrori 3 PBI 50th L R5A C651914 9138570
57 Zuliyono 3 PBI 39th L R3B C651915 9138530
58 Jayari 3 NPBI 68 th L R2B C622242 9133852
59 Yayuk A 1 NPBI 26 th P MRK L1 C637927 9136203
60 Atiqotul Maula Alfarihah 1 NPBI 7th P C1LD C651584 9135988
61 Hanindiyo 3 NPBI 43 th L C1LD C651399 9135707
62 Soeryati 3 NPBI 50 th P R3A C650387 9124273
63 Rasendriya Dantra Y VIP um 8 th L GRD L3 C651195 9138511

64 Parno 1 NPBI 59th L MRK 1 C651131 9131797
65 Martha Adi Andana 1 NPBI 3/3/1966 L KPD LD C623619
CITO
Sonia Putri Andita 3 PBI 20th P B31 C651842 9138403
66
Natasya Cahaya Ramadan 3 NPBI 11th P C1LD C604380 9135644
67
Sudarwati IRIN A NPBI 37th P ICU C651933 9139563

68
Tri Supriyanto VIP NPBI 50th L GRD 4 C650628 9135524

69
Iva Kriestino Sari 2 NPBI 44th P B31 C207923 9138422

70
Sudasno 3 um 27th L R2B C651922 9140389

71
Yanuar Ismawati Sofiana VIP NPBI 30th P GR 3 C652002 9140361

72
Siti Sulastri VIP NPBI 62th P GRD 5 C598235 9135965

73
Agustinus Heru Mulyadi 2 NPBI 50th L MRK D C651378 9133960

74
75
Agus Waluyo 2 NPBI 35th L IGD C648373

JAMINAN
S : SF,RK,AU
1 Adenes 2 NPBI 63 th P KTL L1 C537879 9138450
2 Sri Gumuniyati 1 NPBI 60 th P KPD L1 C645431 9137471
3 Sri Andayani 1 NPBI 51 th P KPD LD C640635 8139863
4 Sri Indrati 2 NPBI 57 th P KPD LD C648729 9139838
5 Riyadi VIP NPBI 65 th L GRD L4 C651559 9137565
6 Murwati 3 NPBI 40 th P R5B C642528 9135398
7 Sri Indianik 2 NPBI 33 th P KTL L1 C646416 9135640
8 Suratun 3 NPBI 51 th P R5B C643846 9137556
9 Wahyu Pamungkas 3 NPBI 15 th P R1B C602052
10 Ariska Herma Setiyanti 2 NPBI 29 th P B31 C638919 9136183
11 Tarisah VIP Um 27 th P GRD L3 C651946 9139396
12 Mariana 3 PBI 50 th P R5B C651116 9131025
13 Mujiyono 2 NPBI 47 th L KENARI C651189 9131765

14 Kamisah 3 NPBI 58 th P R4B C647167 9102887
15 Roikha 3 NPBI 56 th P R2A C642580
16 Heri Santoso 3 NPBI 37 th L R1B C567185 9114348
17 Siti Rabi'ah VIP NPBI 11/11/1964 P GRD L5 C429487 9136107
18 Janirah 3 NPBI 47 th P R2A C648695 9131334
19 Ngatini 3 NPBI 53 th P R2A C649119 9129317
20 Elisabeth Laitenu 1 NPBI 66 th P KPD L1 C576631 9105880
21 Soedjiwo Hadi Prayitno 2 NPBI 79 th L KTL L1 C6540120 9127904
22 Muh Riswanto 3 PBI 13 th L Anak L1 C651063
23 Fikri Surya Hadi Pratama 3 NPBI 16 th L Anak L1 C651148 9133939
24 Suratmi 3 PBI 53 th P R2A C651572 9135941
25 Moh Syarrifudin 3 NPBI 46 th L R2B C650802 9129648

26 Sudiono 3 NPBI 61 th L R2B C647634
27 Amir Makruf 1 NPBI 32 th L KTL C650431 9124291
28 Ana Kunthi Faizah 3 PBI 27 th P R2A C643774 9119701
29 Rahmi Fitta Sary 2 NPBI 32 th P PARKIT C651291 9133962
30 Mukhamad Isrok 1 NPBI 42 th L KPD LD C618324 9131786
31 Wagirah 3 PBI 56 th P R2A B363750 9122088
32 Rasdi 3 PBI 70 th L R2B C619898 9117372
33 Lasto 3 NPBI 59 th L R1B C650261 9124349
34 Rochmad Romadhon 1 PT 31 th L KPD L1 C600392 9135642
35 Emrifat Siregar 2 NPBI 53 th P KPD LD C649686 9139739
36 Abd Rohman 3 NPBI 58 th L R2B C631485 9129487
37 Virgiawan Listanto 3 NPBI 11 th L Elang 1 C598164 9136838
38 Makhpul 2 NPBI 26 th L KPD LD C650298 9138266
39 Fateen Ayskaa R 3 NPBI 1 th P Anak L1 C592495 9135855
40 Miftakhul Naura A 3 NPBI 4 th P Anak LD C649658 9138327
41 Saefudin 3 Um 35 th L R2B C650525 9124739
42 Agus Triyono 2 NPBI 47 th L KTL L1 C645465 9140656

43 Hari Biantoro Priv NPBI 65 th L P. Grd C622856
44 Supiyah Priv NPBI 51 th P P. Grd C634707
45 Sulistiyono Basuki 2 NPBI 59 th L P. Mata C651259
46 Puspikha 3 PBI 40 th P P. Mata C647157
47 Tohari 3 PBI 39 th L P. Mata C630044

48 Jamsuri 3 NPBI 56 th L P. Mata C599685
49 Kamsah 1 NPBI 62 th P P. Mata C615056
50 Noor Septaningrum 2 NPBI 24 th P P. Mata C562090
51 Yatmi 3 NPBI 62 th P R4A C645692 9136761
52 Dyah Putri Aprilia Ningrum 2 NPBI 22 th P KPD LD C640496 9135975
53 Khirnawati VIP Um 40 th P GRD L5 C650569 9137765
54 Rokhayati 2 NPBI 32 th P B31 C651927 9138560
55 Titik Muryatiningsih VIP NPBI 10/2/1949 P GRD L4 C650857 9139363
56 Eunike Immanuella Berta 2 NPBI 19 th P KTL L1 C589601 9138490
57 Ni'matul Farida VIP NPBI 27 th P GRD L4 C648235 9136114
59 Sardi 2 NPBI 48 th L MRK LD C629916 9135952
60 Diana 3 NPBI 40 th P R5B C629285 9137804
61 Luhursyah Satriana 2 NPBI 5 th 11 bl P Anak LD C638412 9138334

M : NO,ST,RE,SU,TK,MW,AM RR : FA,SAM,RI (MID :EM,AD ) RR GRD : PM (MID :ER ) SORE PROGRAM : SF,II,RK,AU,DW,DM,DI,
62 Dewi Sugiarsih VIP NPBI 8/13/1983 P GRD L6 C623493 9140546
63 Purminah 3 PBI 3/14/1979 P R3A C647849 9133868
64 Ridho Rener 3 NPBI 25th L R1B C600210 9131742
65 Parno 1 NPBI 59th L MRK 1 C651131 9131797
CITO
66 Lintang Ananda Soleman 3 NPBI 5th P C1L1 C3974648 9141789
67 Ana Ismawati 3 PBI 28th P B31 C652104 9140614
68 Rachel Rania Calista 2 NPBI 2th P IGD C651888 9138251
69 Sri Hartinah 2 NPBI 25th P B31 C652133 9140763
70 Djoemadi KS 2 NPBI 77th L IGD A550359 9140609
71 Siti Sarifah 1 NPBI 70th P KPD D C649875 9119829
72 Ahmad Zacky K 2 NPBI 7bl L C1LD C651598 9136019

HARI / TANGGAL : KAMIS 31 AGUSTUS 2017
JAMINAN
S : SF,RK,AU
Rukayin 3 PBI 47 th L R3B C633659 9137889

1
Akhmad Al Ghazali R 2 NPBI 1 th 10 bl L KPD 1 C638364 9142636

2
Muhammad Rizki Saputra 3 NPBI 10 th L Anak L1 C437814 9141724

3
Ibnu Wira Safii 3 PBI 8th L C1L1 C152141 9141712

4
Sukari Usman 1 NPBI 53 th L KTL C628266 9140583

5
Ali Mustofa 2 NPBI 54 th P MRK LD C461437 9140713

6
Bima Abhicandra 2 NPBI 2 th L PARKIT C647246 9141209

7
Abdul Azis 2 NPBI 41 th L KPD LD C419952 9140620

8
Talitha Zahra Aurora VIPA NPBI 6 th P GRD L5 C011909 9133825

9
Nurkamto 2 NPBI 47 th L KTL L1 C470427 9138365

10
11 Nganimun 3 PBI 50 th L R1B C640734
Ari Wibowo 3 PBI 23 th L R2B C370659 9135665

12
Rinna 3 NPBI 35 th P R4B C641300 9138103

13
14 Miftachus Subur 1 NPBI 40 th L KPD L1 C582242 9138425
Damariyah 2 NPBI 35 th P KTL L1 C631268 9133943

15
Sri Kartini 2 NPBI 7/26/1978 P KTL L1 C611468 9140543

16
Khodiatul Rokhmah 2 NPBI 30 th P KTL L1 C617262 9140272

17
Aldera Pintoko Ayu W 2 NPBI 21 th P KPD LD C649348 9140608

18
Ngatmun 3 NPBI 55 th L R2B C645017 9121912

19
Djauratul Maknum 2 NPBI 63 th P MRK LD C650194 9138436

20
Isnanto 3 PBI 29 th L R1B C636219 9140677

21
Sutriyono 3 PBI 21 th L R1B C649005 9138445

22
Rochimi 3 PBI 54 th P R2A C134995 9129485

23
Heri Nugroho 3 NPBI 38 th L R1B C644313 9124218

24
25 Kasnadi 3 NPBI 52 th L R2B C499912 9122115
Shofiyah 3 NPBI 46 th P R2A C649448 9114577
26
27 Riski Nanda Ramadhan 3 NPBI 17 th L C1L1 C631976 9129562
28 Assandra Naurin Arisandre 3 NPBI 11 bln P PARKIT C650943 9131811
Komang Saputra 3 NPBI 8 bln L C1LD C616559 9138473

29
30 Doni Ramadani 3 NPBI 2 th L C1L1 C644073
31 Sugimin 3 NPBI 55 th L R1B C649556
32 Chyntia Marcia Ramadhani VIP Um 23 th P GRD 5 C649367 9114021
Manisah 3 PBI 53 th P R6A C651029 9130457

33
Mohammad Husnan VIP NPBI 72 th L GRD L5 C123670 9136000

34
Jumarno 3 NPBI 41 th L R2B C639026 9119723

35
Joko Sugeng Rahayu 3 PBI 33 th L R1B C651498 9135592

36
Muhadirin 2 NPBI 23 th L MRK LD C651344 9135697

37
Nur Kholis 3 NPBI 48 th L R2B C633327 9129520

38
39 Rofiqoh 3 NPBI 50 th P R2A C620994
Paulus Tri Purnomo 3 NPBI 53 th L Elang 1 C608091 9140129

40
41 Putri Masla Atika Fauzia 1 NPBI 14 th P Elang 2 C604512 9140129
Moch Maksum 3 NPBI 28 th L R1B C651011 9129646

42
Dwi Saputri Tunggal Ari VIP NPBI 9/13/1963 P GRD L5 C650776 9141557
43
Achmad Johan 3 NPBI 51 th L R1B C620365 9126955

44
Ahmad Fathan Hanif 3 PBI 5 bln L Anak LD C647674 9140594

45
Achmad Bagus 3 NPBI 8 th L Anak LD C648160 9140640

46
47 Adi Kurniawan 2 NPBI 26 th L MRK LD C648217 9140745
Eko Paridjan 3 PBI 61 th L Poli Mata C622426

48
49 Maryatun 3 PBI 60 th P Poli Mata C652239
50 Endang Richati VIP NPBI 48 th P GRD L3 C651539 9135708
Kasiami VIP NPBI 30 th P GRD L5 C651231 9138378

51
52 Mahmudi 2 NPBI 54 th L GER LD C651089
Tabita Oktaviana VIP NPBI 26 th P GRD L6 C572837 9139795

53
Sindi Susilowati 1 NPBI 18 th P MRK L2 C510056 9140714
54
55 Tariyatun 3 NPBI 54 th P R2A C636469 9129394
56 Sulistyowati 1 JKN 41 th P KPD L1 C651194 9133855
58 Kastamah 3 NPBI 54 th P R5B C610787 9138275
59 Dwi Prasetyo 3 PBI 27 th P R1B C599000 9138489

60 Bagas Rizky A 2 NPBI L KPD 1 C643768 9142122
M : NH,AT,EW,BY,RE,DM,AM RR : FA,SAM,RI (MID :EM,AD ) RR GRD : PM (MID :ER ) SORE PROGRAM : SF,EV,RK,AU,DW,DI,ID
61 Fajar Kurniawan 3 PBI 2/23/2004 L C1LD C634839 9124184
62 Sri Sugiyani VIP A NPBI 11/24/1956 P GRD L4 C627072 9135048
63 Sapardi 2 NPBI 59th L KPD D C652111 9141758
64 Vera Ayu Nungraheni 3 NPBI 34th P R6A C223053 9132312
65 Kusriyah 3 NPBI 38th P R2A C6268211 9140601
66 Rusi Hartono 3 NPBI L R2B C624283 9131780
67 Yayuk Ismirahyu 1 NPBI P KTL 1 C600744 9140082
68 Rudi Hartono 3 NPBI 8/9/1984 L R2B C624283 9131780
69 Effendhy 2 NPBI 58th L R6B C652283 9142610
70 Galeh VIP A um 34 th L GRD L5 C559100 9140718
CITO
71 Moh Syarifudin 3 NPBI 46th L C650802 9139648
72 Ilsa Nadhirotus Syafa 2 NPBI 10bl L IGD C652270 9142521
73 Dini Indra Sari 3 PBI 20th P B31 C652092 9140541
74 Surtini 3 NPBI 31th P B31 C652308 9142803
75 Mirnasari 3 PBI 13th P C1LD C652031 9142800
76 Sujinah IRIN A NPBI 54th P ICU C640719 9131472
77 Kaswati 3 PBI 40th P R4B C644265 9144406
78 Eka Sihabudin 3 PBI 29th L R5A C652303 9144555
79 Aan Sstyobudi 3 um 20th L R3B C652320 9144656

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NP SL,HE,ND,ID
Metal Failure Post ORIF Femur Dx Revisi Fr Femur Segmental + Debridement KH,B APR √ PR,AP AP PR
Rekontruksi dg Parsial Hiip Replecemant PR,

Aneurismal Bone Cyst Femur Dx KH APR √ S : SA,MY AP
Long Stem MY
Fr. Clavicula Sin 1/3 Tengah Transfer
ORIF Shaft Clavicula KH DRY √ MY
Displaced ttp NK
Fr. Clavicula Sin 1/3 Tengah Transfer
ORIF Shaft Clavicula Sin KH DRY √ MY
Displaced ttp NK
Implant Failure Femur Sin Bipolar Hemiarthroplasty Hip Sin KH BIN √ MY
SOL Cerebellum Craniotomi Dasar Tengkorak KH ZM √ LW,TK TK KW

Pemasangan CVP KH JL √
SOL Reg Parietal Craniotomy AJ + DP S : DM,EA
Ca Cervix Surgical Staging KH MZ √ TW,IM TW NI

NOK dg Bag. Padat c/ Ganas VG √ S : RE,AT* TW NI
+ FS S,S
KH,KH,
NOK TAH + BSO + Adhesiolisis + FS VG √ RI AT
B
Ulcus Granulosum Reg Femur Debridement + STSG KH PJ √ AT RE
Eksisi S PJ √ AT RE
Tumor Pankreas Laparotomi Biopsi Pankreas B ERI √ TD,VQ VQ TD
Cholelithiasis Laparoscopy Cholecystectomy KH MG √ S : IS TD VQ
Adeno Ca Recti Post Miles Repair Stoma KH MG √
Tumor Hepar Multiple Laparoscopy Biopsi Hepar KH ERI √ IS
Ulkus DM Debridement B ALI √ IS
Ulcus Pedis Dx Debridement B ALI √ RI
Aneurisma Aorta Abdominalis Open Aneurisma ALI

SNNT Dx c/ Ganas T2NoMo KH,KH BIS √ AZ,TM AZ TM
Tiroidektomi
IDC Gr II MS TxNoM1 (Pleura) Pungsi Pleura + PA B DH S : TU TM AZ
TMD c/ Ganas Insisi Biopsi + FS S DH TM AZ
Ca Papilary Thyroid T2NoMo Total Tirodiektomi KH DWT √
Degloving Antebrachii Debridement + STSG KH RZ √ TU ES

ORIF KH DID √
Degloving Iliaca ext Inferior Sin Debridement B RZ √ HI

Massa Ethmoidalis ke Orbita, Mata Kiri
Maxilektomi Medial + FS KH DAT √ ET,GI ET GI
Tumor Orbita
Mata Kiri Eksentrasi Orbita Subtotal KH TL √
Adenotonsilitis Kronik Adenotonsilektomi dg Endoscopy B FAR √ S : ES,DN DN ES

Tonsilektomi + Adenoidectomi dgn
Tonsilits Kronis B FAR √ DN ES
Endoscopy
Striktur Daerah Velofaring s/d Hipofaring Laringoscopy Direck + Biopsi S FAR √
Angiofibroma Nasofaring Ekstirpasi Massa dg WY

Craniotomi 2 Boorhole Evakuasi
SDH Kronis KH GK √ SF,BY SF BY
Hematoma
Hidrochepalus VP Shunt KH GK √ BY SF
Spondilotesis Lumbal Laminektomi Kompleks KH AJ √ S : DA* DA SA

Fusi Posterorp + Fiksasi dg PSRS KH HY √
SDH Craniotomi SDH KH DP √ ND ID
ADS,
CKD on HD Transplantasi Ginjal Resepien KH √ AK,AH,AD AH AD
SF
Pasang CVP KH HR √ AK
Ganggren Radix, Gingivitis, Caries Dentis Multiple Ekstraksi 4 Gigi B DV √ S : SR SR WI
Multiple Gigi Ganggren + CKD + TB + CHF Odontektomi 2 Rahang KH RP √
Luka Bakar Gr II 65% Debridement RZ

Nefrektomi Ren Kanan + Repair Vaskuler WAN, EV, RK,
Donor Ginjal C √ EV,II*,AI,AU
(Donor Ginjal) WW AI AU
Nefrolithiasis PCNL k/p Open WAN S : HI,DJ
Bivalve Nefrolitotomi Sin + Pasang DJ
Nefrolithiasis Sin KH,B NDA √ DJ RK
Stent Sin
EN,BD,UM EN
CHF ec NYHA II ec CAD 3VD CABG High Risk BJ.011 SF √ UM
SS,AS,BP MA
Mata Kiri Katarak Juvenile,Mata Kanan

Psuedofakia + Deep Ambliopia, Mata Kanan Mata Kiri Ekstraksi Lensa + IOL KH LN √ NK,DI DI NK
Mata Kiri Mikrokornea + Nistagmus
Mata Kanan Proliferative Diabetic

Mata Kanan Vitrectomi + EL KH AW √ S: DI NK
Retinophaty
Mata Kiri Total Detachment Mata Kiri Vitrectomi + Endo Laser +
KH AW √ HR,MK,WD DI NK
(Rhegmatogenosa R etinal Detachment) Silicone Oil
Mata Kanan Rhegmatogenosa Retinal Mata Kanan Vitrectomi + Scleral Buckle +
KH AW √ D NK
Detachment Gas
Mata Kanan Kiri Miopia Degeneratif Mata Kanan CLE (Clear Lens Extraction) FET YW*,HA
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phacoemulsifikasi + IOL WIS
Mata kanan pseudofakia + Suture Induced
Mata kanan buka jahitan WIS
Astigmatisma
Mata Kiri Glaukoma Sekunder Mata Kiri Aspirasi Massa Lensa S AL √
Mata Kanan Cyclocryoterapi FI
PACS (Primary Angle Closed Suspect)
Sistokel Gr II, Hipertensi + DM TVH + Kolporafi Posterior KH,KH ER √ AL,SU AL SU
Surgical Staging (Histerektomi Total + KH,KH,

NOK dg Bag. Padat c/ Ganas EW √ SU AL
SOB + Bilat Limfadenectomi Pelvis) + FS B
Sub Optimal Debulking (BSO +

NOS c/ Ganas KH,S,S EW √ SE WD
Omentectomi + Adhesiolsis) + FS
Adhesiolisis S ERI √
LMNH Limfadenektomi Colli sin S YAN PM,AF PM AF

Tumor Kulit c/ Ganas c/ Basalioma Eksisi Luas + FS B YAN √ PM AF
Malignant Phyloides Tumor Radikal Mastectomi KH YAN √ MK WD
Rekonstruksi Flap + STSG B,B RZ √
Limfadenopati Colli c/ Limfoma Limfadenektomi Colli S YAN √ MK WD
Plate Expose Reg Acetabulum Sin Pasca

Aff Plate S ETH √ TA,MF MF TA
Hemimandibulektomi ec Mixoid Sarcoma
Ulcus Granulosum Debridement + STSG KH ETH √ TA MF
Combustio 12% ec Listrik Debridement Luka Bakar KH ETH √ SE YW

MID : SE) SORE PROGRAM : AI,AY,HR,DM,DN,SA,DJ,EA,IS,MY,TU,MK,SC,SR,US,WD,RE,DW,ES,WU,AT*,DA* ALAT : PUR ( S : DW )
Pneumothorak duplex on WSD Thoracotomi Explorasi Repair Fistel KH AL √ DA EA
Histeroscopy Polipektomi + Laparascopy

PoA5, Polip Endometrium KH IN √ US SA
Explorasi Driiling
Massa Sinonasal c/ ganas AFF Tampon K WY √ EW YS
Massa Laring + Dyspneu Jakson I-II Laringoscopy Flexibel + Traceostomi C,S FAR √ AM
Hidrocephalus VP Shunt KH ER √ RI MW
G2P1A0, B2O SCTP + MOW B IN √ PL
Bronkoscopy + Ekstraksi Corpal di

Corpal Alienum KH,S RR √ ID HE
Bronkus
NO,
Abses r/ Pedis Dex Debridement B PJ √ AR
AO
G2P1A0, bekas SC, CPD SCTP dg penyulit (mioma uteri) B PS √ Adhie
Ca Laring Traceostomi B DAT √ ID NH
G1P0A0, Fatal Distress SCTP B TF √ Gatot HE SL
Apendiktomi Akut Laparascopy Adhesiolisis Kompleks + KH,KH RR √ EA AY

Apendiktomi
GPA SCTP B TF √ DM AY
GPA SCTP + MOW B PS √ DM AY
Ilues Obstruktif KH EDW DB

Laparatomi Explorasi
Massa Laring c/ ganas Traceostomi + Laringsocpy Biopsi S,C FAR √ PL

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NP NH,SL,HE,ID
Hipospadia Scrotal Post Uretroplasty IV Uretroplasty Tahap V KH ADS √ EV,AU EV AU
HN Sin Gr IV ec Nefrolithiasis Sin Nefrolithotomi Sin KH ADS √ S : DA,DJ AU EV
Histerektomi Total + SOS+ Adhesiolisis +

P0A0 Mioma Uteri KH,B,S EW √ AU EV
FS
Fr Femur Sin 1/3 Tgh Trans Displ Ttp Nk ORIF KH DID √ DJ AI
Hiperplasia Adrenal Dupleks Laparoscopy Adrenalektomi KH MAS √ RK,BR BR RK
Laparascopy Adhesiolisis Kompleks KH ERI √

Mka Mki Proptosis + Limfadenopati Colli Limfadenektomi Biopsi S UUD √ S : WD
Mata Kanan Kiri Orbitotomi Biopsi + PA + KH,S TL √
Ca Mammae MRM sinistra + BilateralOoforektomi KH,KH DWT √ AT AI
Meningitis Lumbal Pungsi B ARIS √ PS

HNP L4 - 5, L5 - S1 Rhizotomy + Epidurolisis TRI
Mioma Uteri + Penyakit Hepar Kronik Histerektomi Total + Adhesiolisis + FS KH,S HR √ SE TW
Ca Cervix I B Radikal Histerektomi + BSO+ FS KH,KH EN √ TW,SE TW SE
NOK TAH + SOD + Adhesiolisis + FS KH,B,S VG √ S : RE RE
Cholecystolithiasis Laparoscopy Cholecystectomy KH PB √ TD,VQ VQ TD
Laparatomi Reseksi Sigmoid +

Post Repair Ruptur Pertoneal Post Colostomi KH PB √ S : IS
Anastomose E to E
Mata Kanan Eksisi Massa Biopsi + Graft
Mata Kanan Massa Konjungtiva S,S TL √ IS
Konjunctiva + PA
Angiofibroma Nasofaring FESS II KH WY √ IS
Isthmolobektomi D + FS ganas - Total KH,KH,

SNNT C/ Ganas BIS √ AZ,AR AZ AR
Tiroidektomi + Li,fadenectomi D + RND D S,KH
IDC Gr III MD T4bN3cMo Wide Eksisi + Diseksi Axilla B,KH UUD √ S : SR AR AZ
Ca Mamae Wide Eksisi B DWT √ SR
Ca Thyroid Total Thyroidektomi KH DWT √
Limfadenopati Colli Insisi Biopsi + PA S DWT √ DN
Hipospadia Peno Scrotal Uretroplasty Rekontruksi + Cordectomi KH,B EDW √ ET,UM UM ET
Ekstropi Buli Adhesiolisis KH EDW √ S : ES,DN

Vesicoraphy + Cystostomi KH,B ADS √
Rekontruksi Dinding Abdoment KH NJT √
Removal External Fixasi S BIN √
Tumor Axilla Sin Eksisi + PA B EDW √ ES US
HNP Lumbo Sacral Flavektomi L4-5, L5-S1 Kiri KH GK √ SF,BY
Meningitis + Ventrikulitis VP Shunt KH AJ √ S : DA,AT
Meningioma Sphenoid Craniotomi Dasar Tengkorak KH DP √ LW,TK TK LW

Pasang CVC KH DS √ S : DM,SA
Soft Tissue Tumor Insisi Biopsi + Limfadenectomi S,S APR √ PR,AP PR AP
Fr. Metacarpal Digiti V Manus ORIF Metacarpal + Debridement KH,B APR √ S : MY AP PR
Fr. Tibia Fibula Dextra Tbk Gr III a, Finger Fiksasi Eksternal + BoneGraft + ORIF dig
KH DRY √ MY DM
Tip Injury Digiti II Manus Dextra I,II,III ( Fiksasi Internal yg Kompleks)
STSG Dig IV Manus Dex + Debridment KH PJ √
Fr. Radius Ulna 1/3 Distal Tbk Gr III a FSE BIN

EN,AF,ND
MS mod-severe, MR mod, AR mod, TR mod MVRerpair + AVRepair BJ.08 SF √
SS,AS,BP
Excisi LA Myxoma (Operasi jantung
LA MYXOMA BJ.09 SF √ S : MA,WD,IM EN AF
terbuka)
Mata Kiri Anofthalmia + Post Enukleasi
Mata Kiri Rekonstruksi Socket + Graft DI,
Socket Syndrome, Mata Kanan Subluksasi KH INA √ AD
Mukosa Bibir NK
Lensa + Lekoma Adheren
Mata Kiri Eviserasi Bulbi + Dermato Fat DI,
Mata Kiri Endophthalmitis Eksogen B INA √ NK
Graft AD
Mata Kanan Tractional Retinal Detachment Mata Kanan Vitrektomi + MP + Retinotomi

KH AL √ NK,DI,AD DI NK
ec Proliferative Diabetic Retinopathy + EL + Gas C3F8
Mata Kanan Vitreus Hemoragik + Mata Kanan Vitrectomi + MP + Gas SF6 +

KH,B AL √ S:
Proliferative Diabetic Retinopathy Ekstraksi katarak
Mata Kiri Afakia + Silicone Oil Filled Eye + Mata Kiri Evakuasi Silicone Oil + HR,MK,TU,
KH,KH AL √
Glaukoma Sekunder Secondary Implant (Iris Fiksasi) TR
Mata Kiri Lekoma Mata Kiri Keratoplasty KH DN √ HR

Primary Angle Closure Glaucoma + Mata Kanan Cyclocryotherapy FI YW*,HA
Pseudofakia
Mata Kanan Phacoemulsification + IOL MR
Mata Kiri Katarak Mata Kiri Phacoemulsification + IOL AL
Mata Kanan Katarak Senilis Matur Mata Kanan Phacoemulsification + IOL AL
Mata Kanan Phacoemulsification + IOL WIS
Myop Degeneratif
Mata Kanan Kiri Katarak Senilis Imatur + Non
Mata Kanan Phacoemulsification + IOL FET
Proliferative Diabetic Retinopathy
Mata Kanan Phacoemulsification + IOL+
Mata Kanan Katarak + Glaukoma MR
Trabeculectomi
Laparoscopy Ooofroectomi Parsial Dex +
Adenomiosis KH TF √ AL,PM AL PM
Reseksi + Adhesiolisis
Laparoscopy Kistektomi Bilat + KH,KH,
Kista Endometrium TF √ PM AL
Adhesiolisis Neosalpingostomi KH
Septum Vagina Transversal Eksisi Septum Vagina B AF √ AL PM
Isthmolobektomi + FS ganas - Total KH,KH,
SNNT Dx YAN √ AH,SU SU AH
Tiroidektomi + Eksisi + PA S
Limfadenopati Reg Inguinal Dx Wide Eksisi + PA B YAN √ ANM SU
Ca Mamae BCS KH YAN √ MK
Ca Mamae Wide Eksisi + PA B YAN √ MK
Malformasi Vaskuler Bibir Bawah Eksisi + Rekonstruksi KH RZ √ TA,MF TA MF
Luka Bakar Gr II Post Debridement Debridement + Rekontruksi KH RZ √ MF TA
Ulkus Granulosum reg iliaca femur dex et sin STSG Luas KH PJ √ TR
Snake Bite Debridement B PJ √ TR HR
NM (MID : ER) SORE PROGRAM : AI,AY,WU,AT,RE,DA,DM,SA,DJ,EA,ES,HR,IS,MY,TU,MK,SC,SR,TR,US,WD ALAT : PUR,TM ( S : DW )
Debridement + Amputasi Jari V Radius

Ulcus pedis Dx + selulitis S,B WW √ RE
Dex
OA Genu Dx TKR dx KH BIN √ AM DN
MY,B
Dislokasi Ankle Sin Debridement Ankle Sin B BIN √ AY
D
Ca Buli TURP KH MAS √ JF EA
MAR on Colostomi Post PSARP Businasi K EDW √ AY
CKD Doble Lument K WW √

CKD Pasang Double Lumen K ALI √ DB
Pareparise Laminectomi Kompleks KH AJ √ SF BY
Fusi Posterior + Fiksasi Internal KH HY √
Pareparise ec Intradural Laminctomi KH ER √ SA DM
RSK FESS II + Konkoplasty + TE DAT √

KH,S,S DB RI,
G2P1A0, Hml 31mg, NYHA II - III SCTP + MOW B JD √ Adhie HE SL
EDH Craniotomi Evakuasi Hamatoma KH DP √ EA
GPA SCTP + MOW B HR √ Gatot HE

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE, IM,
PLH : NP
ID
Hipospadia Release Chordae + Uretroplasty Tahap I B,KH ADS √ EV,AU EV AU
Hipospadia Release Chordae + Uretroplasty Tahap I B,KH ADS √ S : DA,TR AU EV
UDT Dx Laparoscopy Orchydopexy KH ADS √ TR EA

Striktur Uretra Posterior Anastomose Uretroplasty + Cystostomi KH,B ADS √ TR DW
Hernia Inguinalis Lat, Batu Buli Batu Ureter Hernioraphy + Mesh B,KH ERI √ GI,BR,ANM BR GI
URS + DJ stent KH,B MAS √
KH,B,
Multiple Nefrolithiasis Sin PCN + DJ Stent + Nefrostomi MAS √ GI BR
KH
Prostat Enlargement TURP KH MAS √ S : WD WD DW
Wound Dehiscense post repair buli Debridement + repair buli k/p sistostomi NDA,BIN,NJT
Efusi Pleura Dx Pasang Pigtail S SFY √ ND,WI ND HI

Efusi Pleura Dx Pasang WSD S SFY ND HI
Meningoencefalitis TB Lumbal Pungsi B RAHMI √ ND HI
CKD AV Shunt SF
NOK c/ Ganas SOU + FS OP TW,SE
Ca Endometrium St II Surgical Staging KH EN √ S : RE TW SE
KH,KH,
Ca Endometrium St II, NOK TAH + BSO + Omentectomi + FS EW √ TW SE
S
Cholelithiasis Laparoscopy Cholesistectomi KH PB √ TD,VQ VQ TD
Tumor Dinding Abdomen Laparotomi Reseksi Tumor Intra Abdoment KH PB √ S : IS* TD VQ
Adeno Ca Recti Laparoscopy LAR + Colostomy KH,B ERI √ IS AY
STT Reg Punggung Wide Eksisi + Biopsi + PA B BIS AZ,AR AR AZ
ILC MS T4bN3CMo Wide Eksisi + Diseksi Axilla B,KH DH S : HI AZ AR
STT Reg Pipi Kiri c/ Ganas Incisi Biopsi + FS + PA S UUD √ RE
Ca Parotis Sup Parotidectomi + PA B DWT √ RE

Fistel Rectovagina on Stoma Tanpa MAR KH,KH PTY √ ET,UM ET UM
Tumor Femur Wide Eksisi Biopsi B PTY √ UM ET
Plate Expose Reject Mandibula Rekonstruksi Mandibula Soft Tissue KH RP √ S : ES ES

Aff Plate S OEN √
Ca Sinonasal Debridement + Defek Sinonasal S,KH WY √ ES
SOL Fossa Posterior + SDH Craniotomi Dasar Tengkorak KH MTA √ SF,BY

Fiksasi Internal Kranium KH HY √
Canal Stenosis Cervical Fiksasi Internal + Fusi Cervical KH HY √ S : AN AN DM
Laminektomi Cervicalis / Laminoplasty KH AJ √
Defek Cranium Post Craniectomi Cranioplasty KH AJ √ DN
Remove Plate S BIN √
Tumor CPA Dx Craniotomi Mikro Dasar Tengkorak KH ZM √ LW,TK LW TK
SOL Craniotomi Dasar Tengkorak KH DP √ S : DM*,SA SA DM
Fraktur Distal Femur + Fr. Mandibula ORIF Femur KH DRY √ PR,AP*

Rekontruksi Fr Wajah Kompleks KH PJ √
Fr Collum Femur Dx Bipolar Hemiartroplasty Hip Dex KH BIN √ S : MY MY AP
Fr Antebrachii Dx ORIF Fr Radius Ulna Dex KH BIN √ MY DM

BJ.04 EN,MA,AF, EN,
PJB Diagnostik, Tetralogi of Fallot Repair PS (Katup) + VSD Closure SF √ AF
BJ.09 SS,AS,BP MA
Repair Aorta Abdominalis + Bypass
Aneurisma Aorta Abdominal KH,KH ALI √ DJ DA
Femoro-Femuralis
Pasang CVP + Arteri Line KH WA √
Mata Kiri Pseudofakia + Nukleus Drop +
Mata Kiri Vitrektomi + Endofragmentasi KH AL √ NK,DI,AD DI NK
Glaukoma Sekunder
NK,
Mata Kanan Katarak Juvenile Mata Kanan Ekstraksi Lensa + IOL KH LN √ S: DI
AD
HA,MK,TU, NK,
Mata Kiri Ulkus Kornea Post AMT + BCL Mata Kiri Flap Konjungtiva S DN √ AD
TR DI
Mata Kanan Redetachment + Gas Filled Eye Mata Kanan Re-Vitrectomi + Inj TCA + EL
KH AW √ NK DI
+ Pseudofakia + SO
Mata Kiri SO Filled Eye + Katarak Komplikata Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AW √
Mata Kanan Lekoma, Pterigium Rekuren Mata Kanan Eksisi Pterigium + CLAG DN YW,HR
Mata Kiri Irigasi Aspirasi Sisa Korteks +
Mata Kiri Pseudofakia + Sisa Korteks RF
Reposisi IOL
Mata Kanan Subluksasi Lensa + Glaukoma
Mata Kanan EKIK WIS
Sekunder
Mata Kanan Pseudofakia + PCO +
Mata Kanan IOL Exchange + Vx Anterior WIS
Subluksasi Lensa + Miss Calculation IOL
Mata Kanan Kiri Pseudofakia, Mata Kiri Vx
Mata Kiri Trabekulektomi MR
Eye + Glaukoma Sekunder
Mata Kanan (Triple Procedure) Phaco +
Mata Kanan Kiri POAG + KSI MR
IOL + Trabekulektomi
Mata Kanan Eksisi Double Pterigium +
Mata Kanan Pterigium Multiple Rekuren DN
CLAG
Ca Cervix St III B, Tumor Intra Abdomen Laparotomi Eksplorasi + Biopsi KH MZ √ AL,PM AL PM
Total Vaginal Histerektomi + Kolporafi
Prolaps Uteri, Sistokel Gr II KH,KH ER √ PM AL
Anterior + Kolpoperineorafi
Ca Cervix St II A, Rectocele Repair Fistula Abdomina Vaginalis KH ER √ PM AL
SNNT KH,KH YAN √ AH,SU AH SU
Tiroidektomi
Liposarcoma Wide Eksisi B YAN √ SU ER
Tumor Parathyroid Parathyroidectomy B YAN √ MK
Fr Parasimpisis Mandibula Dx, Corpus
ORIF Mandibula KH NJT √ TA,MF TA MF
Mandibula Sin
Labiognatopalatoschiziz Sin Komplit Gnatoplasty / Alveolar Bone Graft KH RZ √ MF TA
M (MID : ER) SORE PROGRAM : AI,AY,WU,RE,DA,DM*,SA,EA,ES,HR,IS*,MY,TU,MK,SC,TR,US,WD,AN,DW,HI ALAT : PUR,TM ( S : DW )
Hipospadia Rekontruksi Hipospadia KH NJT √ TA MF
MF,
Hipospadia Uretroplasty tahap I KH RZ √ TA
US
CKD Std V On HD Pasang Double Lumen K ALI √ DA
SGB Pasang Double Lumen K ALI √
CKD Std V On HD Pasang Double Lumen K ALI √ DA
GPA SCTP dg penyulit bekas SC + MOW B OP √ Gatot DJ DN

Ulkus Pedis Sin Debridement B WW √ HE SL
Ca Lidah Post Hemiglosektomi Eksplorasi Perdarahan B DAT √ ID NH
G3P1A1, Hml 39mg, Plasenta Previa Total SCTP B BE √ WU EA
ICH Traumatika Kraniotomi Evakuasi Hematoma KH HY √ DY AT
Ganggren Pedis Dex Amputasi KH AS √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NP AY,SL,HE, IM
Batu Ginjal URS + Lepas Pasang DJ Stent KH,S,B MAS √ EV,AU AU EV
Prostat Enlargement TURP KH MAS √ AU EV
Ulkus Granulosum Reg Ekstermitas Superior

Debridement + STSG Luas KH ETH √ S : DA,TR PL AG
Inferior
Osteomilitis Eksisi + Rekontruksi KH ETH √ EA AD
Debridement KH BIN √
RSK + Septum Deviasi + Impaksi FESS III KH ANA √ GI,UM UM GI

Multiple Ekstraksi 11 gigi Ganggren B DV √
OMK Kiri ME + Thympanoplasty Kiri B,KH ZUL √ S : AD,ANM AD ANM
HNP L4 - 5, L5 - S1 Neuroplasty + Foraminal Blok Multilevel KH,S,B TRIA √ ND ND
Wound Dehisence Rehecting Luka Operasi Bilat S MZ √ II,SE II SE
Tumor Ovarium Bilateral Laparotomi Debulking + FS KH EN √ S : RE II SE

Laparatomi Adhesiolisi B ERI √
Kista Ovarii Histerektomi Supra Vaginal + BSO + FS KH,KH INU √ SE II
Appendicitis Laparoscopy Appendiktomi KH JS √ TD,VQ ES TD
Fistula Perianal Fistulektomi + Debridment S ERI √ S : BY TD ES
Ca Papilary Thiroid T2N0M0 Total Thiroidektomi KH DH √ AZ,AR AZ NI
Tumor Lidah c/ Ganas Himiglosektomi B DWT √ S : HI*,SR AZ NI
Tumor Kulit Wide Eksisi + FS B DWT √
Ismolobektomi + FS, Ganas - Total

SNNT KH,KH DWT √ AR SR
Thyroidectomi
Hipospadia Type Penoscrotal Uretroplasty KH EDW √ ET,WI ET WI
Empyema Thoracotomi Explorasi Derkotikasi KH ALI √ S : ES SA VQ

Pseudoaneurisma Inferior Dx Repair A. Poplitea + Ligasi Graft KH,KH ALI √
Canal Stenosis (HNP L3-4, L4-5) Flavektomi (Laminektomi Kompleks) KH AJ √ SF,YS YS

Open Disekstomi Multiple KH HY √ S : MY*
Meningioma Pterosus Craniotomi Mikro Dasar Tengkorak KH DP √ LW,TK TK LW
S : SA,PL
Chondrosarcoma Pelvis Eksisi Chondrosarcoma S APR PR,AP
Histerektomi Total + BSO + Adhesiolisis + KH,KH,
EW
FS S
Skin Degloving Brachil Antebrachii Dx Debridement Luas + Marginal Excisional B,B NJT √ BR SE
FSE KH APR √
OA Genu Dx TKR Dx KH BIN √ S : AN,BR AH
OA Genu Dx TKR Dx KH BIN √
EN,MA,AH, EN,
VSD VSD Closure BJ.04 SF √ AH
SS,AS,BP MA
Efusi Pericardial Thoracotomi Pericardial Window KH ALI √ DA
Mata Kiri Vitrectomy + Phacoemulsifikasi +

Mata Kiri Ablatio Retina Tractional + Cataract KH,KH AL √ NK,DI DI NK
IOL
Mata Kiri Katarak Komplikata + Silicone Oil Mata Kiri Evakuasi Silicone Oil +
KH,KH AL √ S: NK DI
Filled Eye Phacoemulsifikasi + IOL
Mata Kiri Cyclocryoterapi + Flap
Bulous Keratopathy + Leukoma Kornea Post S,S MR √ HR,MK,TU DI NK
Konjungtiva
Glaucoma Drainase Device
Mata Kiri Glaukoma Absolut, Mata Kanan DI, NK,
Mata Kiri Cyclocyroterapi S MR √
Katarak Komplikata HR TU
Mata Kiri Afakia ec Luksasi Lensa Mata Kiri Vitrectomy + Lansectomy KH AL √
Mata Kanan Kiri Ocular Hypertension, Mata Mata Kanan Inj. Triamcinolone Acetate
AK YW,HA
Kanan Pseudoptosis ec Pseudo Tumor Submuller + Mata Kanan Trabekulektomi
Mata Kiri Katarak Senilis Imatur dd Katarak

Mata Kiri Phacoemulsifikasi + IOL WIS
Komplikata
Mata Kanan Katarak Mata Kanan Phacoemulsifikasi + IOL AL
Mata Kanan Kiri Katarak Sinilis Mata Kiri Phacoemulsifikasi + IOL AL
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasi + IOL RF
Mata Kanan Extra Capsular Cataract
Mata Kanan Katarak Matur FAT
Extraction + Implant IOL
Mata Kanan Kiri Proptosis ec Graves Mata Kanan Kiri Inj. Triamcinolone Acetate
TL
Opthalmopathy Peribulber
Laparoscopy Kistectomi Ov Kiri +
Kista Ovarii KH,KH TF √ AL,PM PM AL
Salpingostomi Dex
Hiperplasia Uteri Laparoscopy KH TF √ PM AL
Odontektomi 1 Rahang + Eksisi Biopsi SU,
Multiple Gigi Gangren B,B DV √ AL
Tumor Lidah PM
Limfadenopati Colli Wide Eksisi B,B UUD √ AF,SU* SU AF

SNNT Sin T3NoMo (HIV +) KH UUD √ AF SU
Tiroidektomi
LabiognatoSchizizs Labioplasty + Rekontruksi Hidung KH ETH √ TA,MF MF TA
Ulkus Granulosum + Fr Digiti II Pedis Dx Debridement S PJ √ TA MF
Ulkus Pedis Sin Debridement B PJ √
M (MID : ER) SORE PROGRAM : AI,WU,RE,DA,PL,SA,ES,HR,MY*,TU,MK,SC,TR,US,AN,DW,HI*,AY,AD,BR,BY,ANM,SR ALAT : PUR,TM ( S : DW )
Tumor Payudara Dextra Wide Excisi Dextra B DWT √ NI AZ
Tumor Vulva Colostomy B MG √ BY MY
ES,
Post Lapartomi Eksplorasi Repair Stoma B MG √ TD
BY
Lumbal Pungsi B Retna √ IS AT
Lumbal Pungsi B Herlin √ US

Lumbal Pungsi B ARIS √ MY
Ganggren Manus Sin Amputasi S AS √ BD NO
G2P0A1, Hipertiroid SCTP B JD √ Gatot DN
G3P2A0, Hml 40mg, c/ Bayi Besar SCTP B TF √ Gatot HE
Efusi Pericardium Masif Thoracotomi (Pericardial Window) KH WW √ SL AY

Laparatomi Reseksi Sigmoid + End
Ileus Obstruktif KH,KH PB √ ANM NH
Trasvestostomi (Hartman)
Plegmon dasar Mulut Insisi Drainase Abses + Multiple Eksisi B,B DV √
Fr Calcaneus Pedis Sin Debridement + Back Slap B,K DID √ WD
Diabetik Food Dex Debridement S AS √
G5P1A3, PEB SCTP + IUD B TF Gatot

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,TD,YR,
PLH : NP,NK PROLONG: SA*, VQ*
AH,JF,YS
Hipospadia Re Uretroplasty Tahap III KH EDW √ AY YS
Pansinusitis + Polipnasi + Adenoid Hipertrofi FESS II + Polipektomi + Adenoidektomi KH,S,S AYU √ GI,UM ANM AD
S : AD,ANM*
Neuroplasty + Foraminal Block Multilevel +
HNP KH,S TRI A √ DA MY SE
Endoneurocysis
Kista Endometriosis Laparoscopy + Laparatomi Histroplasty KH,B INU √ II,SE AN ES
S : ES,AN
Rekonstruksi Pasca Keganasan +
Defek Pasca Keganasan KH,KH ETH √ AZ,AR TU TR
Abddominoplasty
S : TU,TR
Labiognatopalatoschizis Labioplasty Bilat KH NJT √ ET,WI DM ER
Kontraktur Tendogen Release Kontraktur Kompleks KH NJT √ S : DM,ER ER DM
ER,
Sindactily Digiti 3-4 Manus Dx Release Sindictily Kompleks KH NJT √ DM
US
OK 4 : TA,SE OK 6 : AZ, PL OK 8 : SF, UM OK 10 : AP,PR ANEST : BP, AS, SR, SU
OK 5 : RK, WI OK 7 : ET,MF OK 9 : LW, PM OK JT : EN,MA,IM,SS MEJA OP : YW,ND, S : MY
S :BR*,BY
: AI,AN,AY,II,AD,BR*,BY,DA,DM,ER,ES,HI,MY,TU,ANM*,MK,SC,TR,US ALAT : PUR ( S : DW )
Massa Sinonasal Aff Tampon Hidung K WY √ YR,EW DA NI
Sinonasal Aff Tampon K WY √ DA NI

Percutanius Disectomi + Discography + KH,KH,
Spondilitis Lumbal TRIA √ ER AF
Neurplasty KH
Debridment + Back Slab B,K BIN √

G2P1A0,hml 34mg, HIV+ Partus Spontan dg HIV+ OP √ Gatot
G2P1A0, hml 37mg, bekas SC SCTP + IUD B JD √ Gatot MK II
Fr Prox Humerus Dex ORIF KH BIN √ EA ANM

Trakeostomi + LD Biopsi + Laringoscopy
Infilbrat Sumnadibulla, Massa Supraglotik Flaxible + Incisi Drainase Abses + Pasang KH,S WY √ HI II
NGT
SOL Craniotomi Dasar Tengkorak KH MTA √
Craniotomi Fiksasi Internal Cranium B HY √
G5P3A1, hml 12mg, KET Operasi KET + MOW B,S OP √ MK II
Peritonitis Generalisata ec Perforasi gaster Laparatomi Explorasi + Stoma (Ileostomi) KH,B MG √ IS II
EDH Craniotomi Evakuasi Hematoma KH HY √ BR NH

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,ST*, HR*,
EW, DI,
HR,
Hidrocephalus, e.c Tu CPA VP Shunt KH GK √ RG
HA
OMSK Kiri + Granulasi CAE Kiri + Tonsilitis Eksplorasi Granulasi CAE +
S,KH AYU √ AH,RG,AF WI AD
Kronik Tympanoplasty
Adentonsilektomi dg Endoacopy B FAR √
DI,
OSAS + Tonsilitis Kronik Hipertrofi + CHF Tonsilektomi S AYU √ RG
HR
Percutanius Disectomi + Neuroplasty + KH,KH,
HNP TRI A √
Biscography S
ICH + IVH Ventrikulostomi (Pemasangan EVD) KH HY √ DI AF
RG,
Ivaginasi Laparatomi Explorasi Millking Procedure KH PTY √ ST
AF
Laparatomi Repair Trans Ureter + Brust

Burst Abdoment KH PB √
Abdoment
G2P0A1, Hml 32mg, PEB SCTP + IUD B TF √ Gatot
EDH Kraniotomi EDH KH HY √ BR ANM
ICH + IVH + SDH Pemasangan EVD KH DP √
EDH Kraniotomi EDH KH HY √ ES MY
EDH Kraniotomi EDH KH HY √ RE AN
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH, AY,
PLH : AL
SL*,HE, UM
Removal Heakhoff Cateterm CAPD +
CKD S,S NDA √ DM EV
Omentectomi
Hipospadia Release Chordae + Uretroplasty II B,KH ADS √ EV,DM EV DM
Hipospadia Release Chordae + Uretroplasty B,KH ADS √ S : AU,EM DM EV
Wound Dehisence Post Rekonstruksi Repair Buli + Cystomi B,S NDA √

Debridment B BIN √
Massa CAE Kanan Ekstirpasi Massa CAE + Tympanoplasty S,KH ZUL √ PM RM
Multiple Ekstraksi Gigi ganggren + Eksisi

Ca Mandibula B,B DV √ AI,IM AI IM
Biopsi
Impaksi Odontektomi 2 Rahang KH DV √ S :PM,RM AI IM
AZ,
Tumor Mandibula Eksisi + Rekonstruksi KH RP √
PL
Impaksi Odontektomi 2 Rahang KH RP √ PL
CKD AV Shunt ALI ND

CKD AV Shunt WW
CKD Double Lumen WW
Total Abdominal Histerektomi + Kistektomi
Mioma Uteri KH,B VG √ AF,MW SU WN
Dex
Stenosis Trachea Pasca Tracheostomi ec
LD + Evakuasi + Ganti Kanul S DAT √ S : TK,ID
Prolong ET
RSK FESS II + Konkoplasty KH,S DAT √ MW SU
Abses Hepar Laparoscopy Drainase Hepar KH MG √ TK ID
Cholelithiasis Laparascopy Cholesistectomi KH JS √ TD,VQ VQ TD
Laparatomi Explorasi + Biopsi Tumor

Limpoma KH PB √ S : DY,GI TD VQ
Abdoment
Tumor Intra Abdomen c/ Gaster Laparotomi Explorasi Biopsi Tumor KH PB √ VQ TD
Ikterus Obs ec Caput Pancreas Laparascopy Biliodigestis Shunting KH ERI √ DY GI
Adeno Ca Rectie 1/3 tengah Laparatomi LAR + Colostomi KH ERI √

SMNT KH,KH YAN √ AZ,TR AZ TR
Tiroidektomi
Multiple Limpadenopati Limpadenektomi Biopsi S YAN √ S : PL TR AZ
SNNT c/ Ganas Total Tiroidektomi + RND + FS KH,KH DWT √ PL BY
Tumor Mamae Sin Insisi Biopsi + PA S DWT √ AG
Limfadenopati Colli Limfadenektomi + PA S DWT

Laparatomi Adhesioliis Kompleks +
Post PSARP on colostomi, Hidrochepalus KH,KH PTY √ ET,RG ET RG
Reseksi Anastomoses Colon
HPS Laparascopy Pyloromiotomi KH PTY √ S : BY,TM TM BY
Tumor Wilms dd/ limpoma Laparatomi Biopsi KH RR √ BY TM
Limpadenopati Limpadenektomi Biopsi S RR √ TM
Paraparese e.c Tumor Ekstra Dural VT IV Laminektomi Fusi Posterior HY + AJ SF,YS
Hipospadia Uretroplasty tahap I KH ETH √ S : SU,WI AF NH

Orchidopexy Sin KH RR √
Release Chordae + Tunneling
Hipospadia KH PJ √ NH AF
( Uretroplasty tahap I)
SOL Parietal Craniotomi Dasar Tengkorak KH DP √ LW,DA
panfacial fraktur, fr digiti manus dextra,fr
ORIF Fr Femur Dex KH BIN √ S : SA,HI
distal femur dextra
Rekontruksi Fr Wajah Kompleks KH NJT √
OA Knee Dx TKR KH APR √ PR,AP AP PR
fr. Metacarpal manus dx Multiple Fr Tulang Panjang - ORIF KH DRY √ S : AR

Debridement II B PJ √
Fr Clavicula Sin Segmental ORIF Clavicula DRY
Fr Scapula Dx Pasca ORIF ORIF Clavicula dex KH DID √ AR PR
Fr Subtrocanter Femur Dx ORIF Fr Femur Dex KH BIN √ AR MY
Fr Femur Sin ORIF Femur Sin + ORIF Tibia Sin KH,KH BIN √ MY
EN,MA,BD, MA,
CAD 3VD CABG High Risk BJ.11 SF √ BD
SS,AS,BP ER
EN,MA,BD,
PDA Ligasi PDA BJ.05 WW √ WI JF
SS,AS,BP
Mata Kiri Silicone Oil Emulsification + Mata Kiri Silicone Oil Evacuation +
KH,KH AL √ NK,DI DI NK
Katarak Komplikata + Glaukoma Sekunder Phacoemulsification + IOL
Mata Kanan Glaukoma Sekunder ec Silicone Mata Kanan Silicone Oil Evacuation +
KH,KH AL √ S : TA,HA,DN DI NK
Oil Emulsification + Katarak Komplikata Phacoemulsification + IOL
Mata kiri ekstraksi lensa + Primary

Mata kiri katarak kongenital ec suspect
Posterior Capsulotomy + Vitrektomi KH LN √ NK DI
Congenital Rubella Syndrome
Anterior + Perifer Iridektomi + IOL
Mata kiri ekstraksi lensa + Primary

Mata Kiri Katarak Kongenital Posterior Capsulotomy + Vitrektomi KH LN √ DI NK
Anterior + Perifer Iridektomi
Mata Kiri Katarak Senilis Matur Mata Kiri Phacoemulsification + IOL AK YW,HR
Mata Kiri Katarak Hipermatur + Subluksasi
Mata Kiri Ekstraksi Katarak Intra Kapsular AL
Lensa
Mata kanan Primary Angle Closure Suspect Mata kanan Triple Procedure
+ Katarak Senilis Imatur, Mata kiri Primary (Phacoemulsification + IOL + FI
Angle Closure Glaucoma Trabekulektomi)
Mata Kanan Katarak Komplikata Mata Kanan Phacoemulsification + IOL AL
Mata kanan Katarak Senilis Imatur Mata kanan Phacoemulsification + IOL WIS
Mata kanan Katarak Komplikata + Suspect Mata kanan Phacoemulsification
WIS
Retinal Detachment (Diagnostik) + IOL
Mata Kanan Glaukoma Sekunder ec Hifema Mata Kanan Aspirasi Hifema AL

Ca Cervix KH,B EN √ NP,AM NP AM
Pelvis Bilay
Mata Kiri Suspek Melanoma Maligna Mata Kiri Biopsi + FS + Eksenterasi Orbita S,KH TL √ AM NP
Multiple Loculated Abcess Intra Abdomen Laparatomi Drainase Abses KH ERI √ DN
Limfadenopati Colli Wide Eksisi + RND Level II - IV + PA B,KH BIS √ TU*,ER*
High Grade Myxoid Liposarcoma Wide Eksisi + FS Tepi Bebas Tumor B DH TU ER
Ca Mamae Diseksi Axilla + PA B UUD √ ER TU
MPNST Reg Punggung Wide Eksisi + FS bebas tumor B UUD √
Defek Reg Maxilla Rekonstruksi Bedah Mikro Free Flap KH NJT √ NI,MF
STT Reg Thorax c/ Jinak Eksisi + Rekonstruksi KH ETH √
Ulkus DM Debridement B ETH √ TA

K (MID : SE) SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,EM,HI,ID,JF,WI,MR,NH,PM,PL,RK,RI,RM,SA,GI,SU,TM,TA,AU*,HA* ALAT : PUR,DW ( S : )
Lobectomi Thyroid Sin + Adenectomi Colli
Struma Nodusa Sinistra KH,S DH √ PL BY
Sin + FS
Ca Mamae MRM KH DWT √ BR
TMS C/ Ganas Incisi Biopsi S DWT √ BY TM
Tumor mammae dextra Insisi Biopsi + FS S DWT √
Tum Intra Abdomen C/ Limphoma Laparatomy Biopsi KH PB √ ANM
Multiple Limfadenopati Colli Limfadenectomi Colli S YAN √ AZ TR
NOK Laparatomi Eksplorasi KH OP √ RK AU
Laparatomi Reseksi Kista + Reseksi

KH ERI √
Anastomose Ileum
Mki eviserasi sampai enukleasi bulbi +
Mki susp endoftalmitis B TL √
DFG
Trombosis arteri Embolektomy KH AS √ BR
Hernia umbilikalis Laparatomi Herniorhapy B MG √ ID TK
Laminektomi Kompleks Excisi Tumor

Canal stenosis VL 4-5 KH HY √ YS SF
Lumbal T11-12
Laminektomi Sederhana KH AJ √
Multiple Limfadenopati Colli Limfadenectomi Colli S YAN √ AZ TR
G3P2A0, Hml 42mg SCTP + MOW B EN √
Corpal Esofagus Esofaguscopy + Ekstraksi Corpal B,K ZUL √ RI

Kraniotomi SDH Akut Sisi Kiri + Sisis
EDH KH HY √
Kanan
Debridement B NJT √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NO*,SL,HE,
PLH : AL
UM, MW
Hipospadia Release Chordae + Uretroplasty I B,KH ADS √ EV,DM DM EV
Hipospadia Release Chordae + Uretroplasty I B,KH ADS √ S : AU DM EV
Batu dg Divertikel Vesicolithotomi B MAS √ AU

Tumor Gaster Pasca Laparotomi Drainase Ascites S MG √ TD VQ
Massa Laring c/ Ganas Post Trakeostomi LD + Biopsi + Cuci Kanul S FAR √ ET,IM
RSK + Polip Nasi FESS III + Konkoplasty KH,S ANNA √ S : RM IM ET
Sinusitis Rekuren + Sinekia Dupleks FESS II + Turbinektomi (Konkotomi) KH,S RH √ RM

HNP Neuroplasty + Rhizotomy TRI A AT,ND
CKD AV Shunt + Repair DL KH,KH ALI √
CKD AV Shunt WW
NOK dg Bag. Padat c/ Ganas Surgical Staging + FS KH EN √ TW,AF TW EM
Repair Traceostomi B ALI √
Pasang CVP KH DS √
Mal Oklusi ec Mal Union Refraktaktur IDW + IMW KH OEN √ S : TK,ID PL
Rekontruksi Mandibula + Rekontruksi Bibir KH RP √
Miastenia Gravis Extended Total Thymektomi KH ALI √ TK AG

Pasang CVP KH JH √
Ca Pankreas Laparotomi Exp + Biopsi Tumor KH PB √ TD,VQ VQ TD
Tumor Gaster Laparotomi Total Gastrektomy PB S : DY
Ca Rectie Laparoskopi LAR + Ileustomy k/p Miles PB

Ascites Exudativa Laparoscopy Biopsi KH ERI √ VQ TD
Ca mammae residif Biopsi Eksisi + PA S YAN √ AZ,TR TR AZ
IDC MS Gr II Wide Eksisi + PA B YAN √ S : PL,AG AZ TR
Ca Papillary Thyroid T2NoMo Total Thyroidektomi KH DWT TR AZ
Atresia esofagus Thoracotomi Explorasi KH EDW √ AI,RG
Ulkus Dekubitus Reg Sacrum Eksisi + Rekonstruksi KH ETH √ S : BY AI BY
Ulkus Granulosum Reg Femur Dextra e.c

Combustio
Debridement KH NJT RG AU
Paraparese Inferior ec Tumor Extradura Laminektomi HY SF,YS
Canal Stenosis VL4-5 S1 Open Disektomi KH AJ √ S : SU,WI MY SF
Craniotomi Konveksitas Craniotomi Mikro Tumor konvesitas KH ZM √ LW,DA DA LW

Pasang CVC KH JH √ S : HI,PM
Canal Stenosis Vert L4 - L5 KH,KH APR √ PR,AP
Fusi
Fr Vertebra L2 KH APR √ S : AR,PS AP PR
Fusi
Plexus Brachialis Injury Dextra Neurotisasi Th II KH DRY √ PM HI
Dislokasi Hip Joint Dextra Rekontruksi HIP dex KH BIN √
EN,MA,BD, MA,
MS Severe, MR Mild, AS Mild, AR Mild MVRepair + TVRepair BJ.08 SF √ BD
SS,AS,BP EN
Mata Kanan Vitreus Hemoragi e.c Trauma + Mata Kanan Vitrektomi + Lensektomi +
KH AW √ NK,DI,DJ* DI NK
Glaukoma Neovaskuler Membran Peeling
Mata Kanan Vitrektomi + EL + MP +
Mata Kanan Ablatio Retina KH AW √ S : TA,HA,DN DI NK
Retinotomi
Mata Kiri Phaco + IOL + Vitrectomi + Endo
M. Ka.ki VH non clearing + KSI KH AW √ NK DI
Laser + gas SF6
Mata Kiri SO Filled Eye + Katarak Komplikata Mata Kiri Evakuasi SO + Phaco + IOL KH,KH AW √ DI
Mata Kiri Afakia Mata Kiri Sekunder Implant AW YW,HR

Mata Kiri Simblefaron, Mata Kanan
Mata Kiri Simblefarektomi INA
Glaukoma Sekunder
Mata Kanan Kiri Katarak Komplikata + Mata Kiri Phaco + IOL WIS
Myopia Degeneratif
Mata Kanan Katarak Diabetika + Susp VH,
Mata Kanan ECCE + IOL WIS
Mata Kiri Katarak Senilis imatur
Mata Kanan Kiri Katarak Senilis Imatur Mata Kanan Phaco + IOL WIN
Mata kiri Secondary Implant ( Iris Clip)+
Mata Kiri Afakia RF
Pupiloplasty
Laparoscopy Adhesiolisis + Kistektomi

KH,KH,
Adnexitis + PID Kista Para Tuba Dex + Ooforerektomi TF √ NP,AM AM NP
KH
Parsial Dex
Laparoscopy Adhenomiomektomi +
Multiple Mioma KH,KH TF √ AM NP
Kistektomi Ovarium
Impaksi Odontektomi + Multiple DV
Osteosarcoma Maxilla Dextra Hemimaksilektomi Dextra KH BIS √ TU,ER
STT gluteal c/ ganas Insisi biopsi + limfadenektomi Ing S,S BIS √ ER TU

Ca Thyroid Total Thiroidektomi + Limfadenectomi KH,S UUD √ TU ER
Neurofibroma Eksisi + Rekonstruksi KH NJT √ NI,MF MF NI
Ulkus Granulosum Reg Cruris Pedis Dextra Debridment + STSG KH NJT √ MF NI
Basalioma Reg Nasal Refinement Flap B RZ √ TA TM

(MID : SE) SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,EM,HI,ID,JF,MR,PM,PL,RK,RI,RM,SU,TA,AU,HA,PS,ID*,WI* ALAT : PUR,DW ( S :EM )
Granulasi Telinga Kiri Ekstirpasi granulasi CAE telinga kiri S PW √ DN TA
Tumor mammae Wide eksisi + PA B DWT √ TR AZ
Polip Endometriosis Histeroskopi polipektomi KH HR √
Hidronefrosis Bilateral URS Dex + Pasang DJ Stent Sin KH,B NDA √ JF
Wound dehiscence post PSRS Relaminektomi Debridement KH AJ √ WI SU

AR,
Artritis septic Debridement S BIN √
PS
CKD Pasang DL K ALI √ RM HA
Ulkus DM Amputasi Below Knee S AS √
SL,
G2P1A0, Hml SCTP + MOW B HT √ HE
UM
Fr Phalang Bone Rekontruksi pd Ekstermitas Atas KH DRY √
Repair Traceostomi S ALI √
KET Laparatomi Explorasi + SOD KH,B EN √ UM HE
Ileus Obstruktif Laparatomi Explorasi + Colostomi KH PB √ NO WN
Peritonitis generalisata Laparatomi Explorasi + Ileostomi KH ERI √ RK RI
Fr Femur Dex ORIF Shaft Femur KH DRY √ HI PM
ICH Craniotomi KH MTA √ GI BR
Pasang WSD S ALI √ ANM SA

Massa Paru Dex Pasang WSD S ALI √ ANM SA
Adeno Ca Recti Laparatomi LAR + Colostomi KH ERI √ DY GI
Laparatomi Explorasi Repair Perforasi +
Ileus Obstruktif KH ERI √ NH II
Ileostomi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NO,SL,HE,
PLH : AL
MW
Batu Ureter Litotripsi + URS MAS EV,DM
Abses Ginjal PNS Bilateral (Perkutan Nefrostomi 2 sisi) KH MAS √ S : AU DM EV
CKD Dg Ureterolithiasis Bilateral Ureterolitotomi Sin + DJ Stent Sin KH,B NDA √ DM EV
Ca Papilary Thiroid TT KH UUD √ ER TU
RSK FESS II + Konkotomi KH,S RH √ UM,IM
OMK Duplek Tympanoplasty Polikade Kiri KH PW √ S : RM,ET
Selulitis Regio Cruris Sinistra Debridement B ALI √
Massa Nasofaring susp Angiofibroma Ekstirpasi Massa B WY √ RM ET
Percutaneus Disectomi + Discosraphy +

HNP KH,S,S TRIA √ AT,ND ND AT
Foraminal Blok
Efusi Pleura Pasang Pigtail FTR
Adeno Ca Paru, Efusi Pleura Kiri Pasang Pigtail (WSD) S THOM √
Efusi Pleura Psg Pigtail THOM
Mioma Uteri TAH + BSO KH,KH EN √ TW,EA TW EA
Kista Dentigerous, Impaksi Odontektomi 2 Rahang KH OEN √ S : TK,ID EA, YTW

Enukleasi Kista KH RP √
TK,
Impaksi Gigi 2 Rahang Odontektomi 4 gigi KH DV √ SU
ID
Tumor Hepar Laparoscopy Biopsi KH JS √ TD,VQ VQ TD
Cholecystolithiasis Laparascopy cholesistektomy KH PB √ S : DY,RG TD VQ
VQ, TD,
Ca rectie Laparascopy LAR + Ileustomy Open LAR KH,B PB √
DY RG
Tumor Lidah Wide Eksisi Tumor Lidah B YAN √ AZ TR
Ca thiroid RND Sin KH YAN √ AZ,TR TR AZ
Tumor Mandibula Hemimandibulektomi sin + Wide Excisi KH,B YAN √ S : PL,AG PL AG

Rekontruksi Mandibula KH RZ √
Laparotomi, Sigmoidostomi + Eksisi
Adeno Ca Recti KH,B MM √ AI,IS IS AI
Tumor Perineum
HIL Sin Reponible Hernioraphy + Mesh B ERI √ AI IS
Skin Degloving reg Iliaka Femur Sin e.c KLL Debridement + STSG KH RZ √ S : BD BD AG
Fr. Mandibula Rekonstruksi Fr. Tlg Wajah Komplek KH RZ √ GI SA

Paraparese e.c tumor Medula Spinalis Laminektomi Kompleks KH HY √ SF,YS SF YS
Evakuasi Tumor Thoracal KH AJ √
Bone Defect Cranioplasty KH AJ √ S : SU,WI WI SU
LW,
Tumor Intra Sella Bedah Mikro Transphenoid KH ZM √ LW,DA WU
DA
Menigioma Frontotemporal Dextra Craniotomi Konveksitas KH ER √ S : PM PM LW
Pasang CVP KH JH √
OA Hip Dextra THR Dex + ORIF Femur KH,KH APR √ PR,AP AP PR

Laminoplasty Dekompresi + Internal
HNP KH,KH APR √ S : AR,PS AR PS
Fiksasi Fusi
Union Fraktur Humerus Sinistra Pasca ORIF Lepas Implant S APR √ ID TK
Fr. Digiti I Pedis Dextra ORIF KH APR √ PS AR
Avaskuler Nekrosis Hip Joint Sinistra THR Sinistra KH BIN √ PS EA
Total Koreksi ( Repair PS-Katub + VSD BJ.09 EN,MA,AF

TOF SF √ EN MA
Closure) BJ.04 SS,AS,BP
Mata Kiri Proliferative Diabetic Retinopathy + Mata Kiri Vitrectomy + Endolaser + Gas
KH AL √ NK,DI,DJ DI NK
Vitreous Hemorhage Non Clearing SF6

Mata Kanan Evakuasi Silicone Oil +
Retinopathy Regresi + Silicone Oil Filled Eye KH,KH AL √ DI
Phacoemulsifikasi + IOL
+ Katarak Senilis Imatur
Mata Kiri Endoftalmitis Post Uveitis Posterior Mata Kiri Vitrectomy KH AL √ S : TA,HA,DN DI DJ
Mata Kiri Glaukoma Sekunder+ Pseudofakia Mata Kiri Trabekulektomi B LN √ NK DI
Mata Kiri Secondary Implant IOL + Vx

Mata Kanan Kiri Afakia + Esotropia KH,S LN √
Anterior + PI
Mata Kanan Ulkus Kornea Perforasi
Mata Kanan Periosteal Graft B DN √ HA TA
Epitelisasi
Mata Kanan Afakia Mata Kanan Secondary Implant ( Iris Clip) RF YW,HR
Mata Kanan Katarak Mata Kanan Phacoemulsifikasi + IOL AL

Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasi + IOL FET
Mata Kanan Extra Capsuler Cataract
Mata Kanan Katarak Senilis Hipermatur WIS
Extraction + IOL
Mata Kanan Primary Open Angle Glaucoma
+ Katarak Senilis Imatur, Mata Kiri Glaukoma Mata Kanan Phacoemulsifikasi + IOL FI
Absolute
Mata Kanan Katarak Senilis Imatur + Ocular
Hypertension, Mata Kiri Compensated Mata Kanan Phacoemulsifikasi + IOL FI
Cornea
Mata Kanan Mata Kiri Primary Angle Closure

Glaucoma + Katarak Senilis Imatur, Mata Kiri Mata Kiri Phacoemulsifikasi + IOL MR
Post Trabekulektomi
Susp Mola Hidatidosa Dilatasi Curetage + FS EW
Mola Hidatidosa Curetase EW √ NP,AM

NOK SOU + FS + Sub Optimal Debulking B EW √

P3A0, Perdarahan Post Partum e.c Plasenta
Kuretase + Pasang Implant KB K JD √ AM NP
Restant
Limfadenopati Colli Limfadenectomi + PA S DWT √ TU,ER ER TU
TMS C/ Ganas T2N0M0 Wide Eksisi + FS, B DWT √ ER TU
Labioschizis Unilateral Komplit Labioplasty Bilat KH NJT √ NI,MF
Combustio 27 % Debridement Luka Bakar KH NJT √ DN TA
Skin Loss Regio Frontal Debridment + Skin Graft KH NJT √ MF NI
SORE PROGRAM : AH,AR,AG,BY,DN,TK,DY,EM,HI,ID,JF,MR,PM,PL,RK,RI,RM,SU,TA,AU,HA,PS,ID*,WI* ALAT : PUR,DW ( S :EM )
Fr. Radius Ulna Lepas Plate Radius Ulna B APR √ AG RM
Ca Hidung Eksisi + Rekontruksi KH NJT √ TR AZ

Labiognatopalatoschiziz Labioplasty KH PJ √ SE NH
Efusi Perikardial Masif Thoracotomi Pericardial Window KH ALI √ NO MW
Empiema Thorax Pasang WSD S ALI √ AH
Prolong ET Tracheostomi + Debridment Rehecting B,B UUD √ SL
Hidrocephalus Non Com VP Shunt KH DP √ VQ
Laparatomi Explorasi Adhesiolisis Reseksi

Peritonitis Generalista KH,KH RR √ RI RK
Ileum + Iloestomi
Retensi Urine Open Cystostomi B WAN √ WD
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL NO,SL,HE, AT
Batu Ginjal PCN + Nefrostomi KH MAS √ EV,DM DM EV
√
VUR Cystoscopy S MAS DM EV
Multiple Nefrolithiasis Sin Re-PCN Sin KH MAS √ S : MF DM EV
POAD Ekstremitas Inferior Gangren Pedis Repair A Femoralis ( Patch Graft ) dg Graft
KH,B ALI √ MF
Dextra Gortex + Amputasi D III & IV Pedis Dex
DM Tipe II, Ulkus Diabetik Reg Punggung Debridement B ALI √ ID PL
FESS II + SubMokosa Reseksi +

Multi Sinusitis, konka Hipertrophi KH,S,K RH √
Trubinektomi (Konkotomi)
Pansinusitis + Septum Deviasi FESS + SR + CWL RH WU,IM
Defect + Reg Nasal Rekonstruksi Pasca Keganasan KH NJT √
Pan Facial Fracture Rekonstruksi Tulang Wajah Kompleks KH NJT √ RM
Hipospadia Rekontruksi Hipospadia (Uretroplasty) KH NJT √ RM
TTG Resiko Tinggi TAH + BSO KH,KH MZ √ TW,EA TW EA
Ca Cervix Radikal Histerektomi MZ S : SU

TAH + BSO + Omentektomi + Adhesiolisis KH,KH,
NOK VG √ EA TW
+ FS S,S
Limpfadenectomi Pelvis Bilat B MZ √
KH,KH,
NOK c/ Ganas TAH + BSO + Omentektomi + FS VG √ AM
S
Tumor Epigastrium Laparotomy Biopsi KH MM √ TD,VQ VQ TD
CKD Laparascopy Pasang CAPD KH MG √ S : RG TW VQ

Multiple Cholelithiasis Laparoscopy Cholesistectomy KH MG √ VQ TD
Vistula Recto Vagina Colostomi KH ERI √ RG

Tumor Intra Abdomen C/ Tu Ginjal d.d Tumor
Totaly Laparascopic Liver Reseksi KH ERI √ RG
Hepar
Tumor Hidung Eksisi + Rekonstruksi NJT AZ,TR
Sinonasal Sarcoma Maxilla Dx Hemimandibulektomi Dex KH BIS √ S : PL,ID TR AZ
Laparatomi Shunting Biliodigestif
Kolestosis KH,B PTY √ AI,IS IS AI
Choledocoyeyunostomi + Biopsi Liver
Hipospadia Release Chordae + Uretroplasty B,KH NDA √ S : BD
Hipospadia Release Chordae + Uretroplasty B,KH NDA √ BD
Fistel Uretrocutan Uretroplasty Johan Tahap 1 KH NDA √ ID PL
Paraparese e.c Tumor Intramedula Spinalis Fusi Posterior + Fiksasi Intenal KH HY √ PM EA
Evakuasi Tumor Spinal Thoracal KH AJ √
Tumor Mandibula Eksisi Biopsi B OEN √ SF,YS AG
Reseksi Mandibula + Multiple Excisi + KH,B,

Ameloblastoma OEN √ S : AG
Rekontruksi mandibula KH
Rekontruksi dg Bone Graft KH RP √
Mal Oklusi ec Fr Dento Alveolar Fiksasi Mandibula B RP √ RM AU
Hemifacial Spasme MVD (Micro Vaskuler Decompresi) KH DP √ LW,DA DA LW
SOL Cerebelum C/ Astrocytoma Craniotomi Mikro ds Tengkorak DP S : PM

Fr Supra Condiler Humerus Sin ORIF KH APR √ PR,AP
Implant Failure Post PSRS Lepas PSRS KH APR √ S : AR,PS
Multiple Tophus e.c Gout Arthritis Debridement B APR √ AP PR
Fr. Acetabulum Sinistra ORIF DID

Fr. Radius Dextra et Sin, Fr. Ulna Dextra, Fr.
ORIF Costae (Clipping Costeae) KH ALI √ HI
Costae
ORIF Radius Dex + ORIF Sin + ORIF
KH DID √
Humerus Sin (ORIF Multiple Fr)
EN,MA,NI EN,
AR Severe, MR Mild, TR Mild AVR BJ.09 SF √ NI
SS,AS,BP MA
CKD Pasang Double Lumen Long Term K WW √ AF
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ NK,DI,DJ DJ NK
Mata Kanan Kiri Katarak Senilis Hipermatur + Mata Kanan Kiri Ekstraksi Katarak Ekstra
KH,KH WIS √ DJ NK
Glaukoma Sekunder + Retardasi Mental Kapsular+ IOL
S:
Mata Kanan Silicone Oil Filled Eye + Mata Kanan Silicone Oil Evacuation +
KH,KH AW √ TA,HR,HA, DI DJ
Glaukoma Sekunder + Katarak Komplikata Phaco + IOL
DN
Mata Kanan Katarak Komplikata Mata Kanan ECCE KH AW √
Mata Kiri Proliferative Diabetic Retinopathy +

Mata Kiri Vitrectomy + Membrane Peeling
Tractional Retinal Detachment + Perdarahan KH AW √ HA
+ Endolaser + Gas SF6
Vitreus
Efusi Pleura Pasang Pigtail S THOM √ YW,TU

Mata Kanan Kiri Katarak Komplikata + Band Mata Kanan Phacoemulsification + IOL +
RF
Keratopathy Sinekiektomi
Glaucoma, Mata Kiri Primary Angle Closure KH MR √ YW HR
Trabekulektomi
Suspect
Mata Kanan Non Proliferative Diabetic

Retinopathy Non CSME, PACS, Mata Kiri Mata Kiri Trabekulektomi) B MR √ YW HR
PACG
Adenomiosis Laparoscopy Kistektomi KH HR √ NP,AM NP SU
Susp Adnexitis Adhesiolisis + TAH S,KH ER √ SU NP
NOK SOU + FS B EW √ DN NP
STT Reg Wajah Wide Eksisi B BIS √ ND ER

SupraFicial Parotidectomi + FS, Ganas
Tumor Parotis Sin KH,KH UUD √ ER,ND ND ER
-Total Parotidektomi
Ca Mamae FS, Ganas - MRM Sin KH UUD √ TU
IDC Gr I MD T4bN0M0 MRM Dex KH UUD √ DN SE
Tumor Testis Dx Orchidectomy Dex KH YAN √ ST RE
Tumor Parotis Dx Total Parotidektomi KH YAN √ RE ST
PTC T3N0M0, Post Isthmolobektomi Total Thyroidektomy KH YAN √ TR
Limfadenopati Colli Eksisi + PA S DWT √ TA
MK (MID :EM ) SORE PROGRAM : RK*,TA,AR,AG,BD,DA,DN,HA,ID,JF,MR,PS,MF,PM,PL,RG,RI,RM*,SU,AF ALAT : PUR,DW ( S : )
Fr Dislokasi Cervical IV - V Laminektomi Kompleks Cervical KH HY √

SF YS
Fusi Posterior Cervical KH AJ √
Relaminektomi (debridement +
Pasca laminektomi kompleks + fiksasi KH HY √ BY TK
refreshment luka)
Fraktur costa 3,4,5,6,7,8 Fiksasi internal + WSD SF
CKD Pasang DL + C-Arm K AS √ PM

Efusi pleura Pasang pigtail THOM
Empiema thorax sinistra WSD sinistra S WW √ MR JF
Hipospadia Uretroplasty tahap 1 KH RZ √ TM AY
Massa mediastinum, efusi pleura duplek WSD sinistra S ALI √

CKD stg V, CHF NYHA IV AS
LW DA
Wound Dehisecen Pasca Laparatomi Debridement + Rehecting S RR √

NO HE
G1P0A0, Hml 38mg, SCTP dg penyulit Gemeli KH JD √

Adhie SL AT
Mata Kanan Kornea + Endotalmitis Mata Kanan Enukleasi Bulbi + DFG B DN √
Tumor Colon Laparatomi Hemicolektomi Dex S ERI √ RI ET
P1A0, Post Partus Spontan, TOF Kuretase K OP √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL NO,SL,HE, AT
Nefrolithiasis Dx Nefrolithotomi Dx + DJ Stent Sin KH,B ADS √ EV,DM
EV,
Batu Ureter URS-DJ Stent Sin + DJ Stent Dex KH,B MAS √ S : MF GI
DM
RPG + URS + DJ Stent Bilateral k/p
Fistula Uretrocutan NDA
Eksplorasi
Prostat Enlargement TVP B WAN MF
RSK + Septum Deviasi FESS III + SR + CWL KH,B,B RH √ WU,TR WU TR
TW,
Fr ZMC Dx, Fr Maxilla Rekonstruksi Tulang Wajah Kompleks KH RZ √ WU
DN
Hipospadia Release Chordae + Tunnely B PJ √ S : DN DN PL
Ulkus Granulosum Reg Manus Dx Debridement B PJ √ DN PL
Radikal Vulvektomi + Limfadenectomi TW,

Ca Vulva St. III A2 KH,B MZ √ TW,EA,EM EM
Pelvis Ingunal EA
Rekontuksi Paska Keganasan KH NJT √
NOK c/ Ganas Laparatomi Surgical Staging KH EN √ S : RM RM PS
Hidrocelectomi D + Eksplorasi Inguinalis MY,

Hernia S JS √ TD,VQ VQ
Sin TD
VSD Multiple Ekstraksi Gigi ganggren B DV √ S : DA TW VQ
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH DV √ DA
MY,
Impaksi Gigi + Kista Radikuler Odontektomi 2 Rahang KH RP √ VQ
TD
Mal Oklusi ec Fr Maxilla + Fr Radius Ulna Fiksasi maxilla B RP √ MF PL
Reposisi Tertutup + Gips S BIN √
Laparotomi Explorasi Release Band +
Atresia Duodenum KH PTY √ AZ,AN AN AZ
Shunting Duodenostomi
Megacolon congenital Kolostomy B RR √ S : PL,ID PL RK
G P A , Hml 37mg SCTP dg Penyulit B JD √ Adhie
WI, BY,
Limfadema Eks Inferior Dx Reduksi Massa + Rekonstruksi KH ETH √ AI,IS
IS AI
Skin Loss Reg Pedis Sin Debridement + STSG KH NJT √ S : PS IS AI
Fr Maxilla Sin Rekonstruksi Tulang Wajah Kompleks KH NJT √ IS MY
Gangguan Miksi Tree Layer Rekontruksi Dex KH AJ √ SF,YS SF YS

Hidrocephalus Post VP Shunt Revisi VP Shunt KH AJ √ S : AG AG RK
Meningioma Konveksitas Temporal Sin Craniotomi Tumor Konveksitas KH DP √ LW,AF

Pasang CVC KH EL √
OMSK Kiri Komplikasi + Mastoiditis Dupleks ME Simple + Thympanoplasty B,KH ZUL √
OA Knee Dx TKR Dx KH APR √ PR,AP AP PR
Stiffness Knee Release Stiffness DID S : AR

DID +
Fr Dislokasi Pedis + Skin Degloving Repair + ORIF + Debridement + STSG
NJT
OA Genu Sin TKR Sin KH BIN √ AR JF
Nekrosis Dig IV Pedis Dextra Disartikulasi B BIN √ MF ID
EN,MA,NI EN,
AR Severe, MR Severe, TR Mild, PR Mild DVR + AVRepair BJ.08 SF √ NI
SS,AS,BP MA
ASD Sewndum ASD Closure BJ.03 WW √ S : BD,PM*,IM MA PM
Mata Kanan Katarak Kongenital + Mata Kiri Mata Kanan Ekstraksi Lensa + PPC + Vx
KH LN √ NK,DI
Pseudofakia + Mata Kanan Kiri Nistaghmus Anterior + PI + IOL
Mata Kiri Dakriosistitis Mata Kiri External DCR KH INA √ S: DI NK

Mata Kiri osteotomi Ductus Lacrimalis K AK √
Mata Kiri KSI + Ablatio Retina Mata Kiri Vitrectomi + Phaco + IOL AL TA,HR
Mata Kanan Silicon Filled Eye + Glaukoma Mata Kanan Evakuasi SO + Secondary
KH,KH AL √ HA HR
Sekunder + Afakia Implant (Iris Fixasi)
Mata Kiri KSI Mata Kiri Phaco + IOL WIS YW,TU
Mata Kanan KSM Mata Kanan ECCE + IOL WIS
Mata Kanan Kiri PACG + KSI Mata Kanan Phaco + IOL MR
Mata Kanan PACG + KSI, Mata Kiri
Mata Kiri Cyclocryoterapi FI
Glaukoma Absolute
Mata Kanan KSI + OHT, Mata Kiri
Mata Kanan Phaco + IOL FI
Compensated Cornea
Mata Kanan KSM Mata Kanan ECCE RF
Prolaps Uteri Gr II TVH KH ER √ UM,AM
TVH + Salpingo Ooforectomi + Kolpofari KH,B,
Sistocele Rectocele ER √
Anterior KH
Kista Ovarii Laparoscopy Kistektomi + Adhesiolisis KH,KH TF √
Tumor Lidah Hemiglosectomi + FS B BIS √ ND,ER ND ER
Ca Mamae Sin Wide Eksisi + Diseksi Axilla B,KH BIS √ ER ND

Biphase Sinovial Sarcoma Pedis Sin Wide Eksisi B BIS √ HA
Tumor Lidah + SNNT Dx Biopsi Lidah + FS + Ishmolobektomi B,KH YAN √ ST,RE
Ca Thyroid Adenektomi + FS ganas - RND KH UUD √ RE SI

STT Wide Eksisi + PA B DWT √
MK (MID : TM ) SORE PROGRAM : RK,TA,AR,AG,BD,DA,DN,HA,ID,JF,MR*,PS,MF,PM*,PL,RI,RM,DJ,HR ALAT : PUR,DW ( S : )

Mata Kiri Katarak Senilis Imatur + SO Filled Mata Kiri Evakuasi SO + Mata Kiri PHACO
KH,KH AL √ HR DI
Eya + IOL
Striktur Uretra Posterior Sache + Sectio Alta KH,B WAN √

Fr Acetabulum Femur Dex Rekontruksi Pelvis KH DID √
Lumbal Pungsi B Retno √

CKD Pasang CVC KH ALI √ PS
Debridement Luas B AS √
Plasenta Restan Manula Plasenta + Kuretase K IN √ NO HE
Hemangioma r/ Papebra Eksisi S PJ √ DY SE
Plegmon Dasar Mulut Mediastinum Drainase Abses + Trachesotomi B,S WW √ NO HE

Multiple Eksterpasi gigi gangren + Insisi
B,S DV √
Plegmon dasar Mulut
Laparatomi Explorasi Distal

Ruptru Tail Pankreas KH ERI √
Pankreatectomi , Exploarasi Repair colon
Mata Kiri Ulkus Kornea Perforasi mata Kiri Eviscerasi Bulbi S RF √
G3P2A0, Hml Aterm, PEB, Help syndum SCTP + IUD B JD √ Arsita JF NK
G3P0A2, Hml 32mg, Eklamsi SCTP + IUD B DC √ Gatot RI
G3P2A0, SCTP + MOW B DC √ Gatot RI
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AY,AT,NI,
PLH : AL,YW
DB,VQ
RSK FESS RH EV,TR,SL
OA Genue Dextra Arthroscopy Debridement S,S BIN √ S : AG,DJ AG DJ
OMK Dry Ear Kiri Thympanoplasty KH ZUL √ AN,EA AR AN

G3P2A0 Hamil 38 mgg Trombositopeni JD
SCTP + MOW B √ S : AD,ID
Riwayat Laserasi Perinium Gr IV Gatot
Neuroplasty + Rhizotomy + Foraminal Blok KH,KH,
HNP L4-5-S1 Spondilosis TRI A √ NP,RE
Multiple S
RE,
Neuroplasty + Foraminal Blok Multiple +
Spondilistesis L4-5, HNP L4-5 KH,S TRI A √ NP IS,
Endoneurolisis
MW
HNP Cervical Neuroplasty + Endoneurolisis + Rhizotomy KH,KH TRI A √ NP RE
NOK BSO + FS KH PS √ TW,AM* AM TW

S : HA,RI
TD
S : DA,MR
AZ,DM
S : JF,MF*
Megacolon Colostomi B RR √ TA,MW MW TA
S : PL*
SF
LW,Y
Meningioma Fossa Posterior Craniotomi Dasar Tengkorak KH DP √ LW,YS,BR BR
S
PR,AP
Pseudo Aneurisma Femoral Dx Repair Pseudo Aneurisma KH SF √ EN,AS AS EN

SS,BP
PUR,DW ( S : )
TW,
Impaksi Odontectomi 5 gigi sulit KH DV √ TM
AM
Apencitis Perforasi Laparatomi Explorasi KH MM √ JF
G3P1A1, Hml Aterm, bekas SC, HNP SCTP B MZ √ Arsita
Fr Impresi Koreksi Fr Impresi B MTA √ NO BD
EDH Fronto Parietal Sin Koreksi Fr Impresi KH AJ √ VQ DB
Pasang CVC KH HR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
GI,AD,RE,
AM,IS,ANM,M
K*,US*
Fr Tibia Fibula Sin Terbuka Fiksasi Internal yg kompleks KH DRY √ PS ANM
Osteomilitis Femur Dextra Debridement DRY

AD,
Limfadenopati Colli dex LD + Biopsi S DAT √ DN
IS
OMSK Kiri Thympanoplasty Kiri KH ZUL √ AM RE
OME Kiri Insersi Gromet Telinga Kiri S ZUL √ DJ PS
OMK Kanan Tympanoplasty KH ZUL √ DJ
Neuroplasty + Rhizotomi + Foraminal Blok KH,KH,

HNP Multiple Lumbal TRI A √ MW AR
Multiple + Endoneurolisis S,S
Neuroplasty + Rhizotomi + Foraminal Blok KH,KH,
HNP L4-5-S1 TRI A √ MW AR
Multiple S
Mioma Uteri Reseksi Uterus B HR √ AR MW

Hidrocephalus Post VP Shunt Dranage S RR √ JF AD,MK
EDH Kraniotomi EDH KH AJ √ MF EM,HR
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
PLH : AH
SE,PL
EV,G
Abses Ginjal + Massa Ginjal Kiri Nefrektomi Ren L KH WAN √ EV,AD ND
I
ND,
Hipospadia Penoscrotal Release Chordae + Uretroplasty B,KH ADS √ S : TD,DW GI
EV
Uretroscopy Interna + Repair Fistel
Striktur Uretra, Fistel KH,KH NDA √ DM DW
Vesicocutan
Hipospadia Uretroplasty Tahap I KH PJ √ DM DW
Kontraktur Dermatogen reg poplitea dex et
Debridement + Gradual Streching S PJ √ DM DA
sin
Hipospadia Release Chordae + Uretroplasty B,KH NDA √ II,RM II RM
LNH Tonsil Ekstirpasi Massa Tonsil S WY √ RM II
Hipospadia Release Chordae + Uretroplasty B,KH ADS √ S : NI AR DW
Hipospadia Uretropasty (Tambahan) ADS

Ca Cervix II A KH,B MZ √ TW,SU TW SU
Pelvis Bilat
Ca Ovarii Surgical Staging KH EN √ S : AR SU TW
NOK BSO + FS KH EW √
KH ERI √
Repair laserasi Ileum
Stenosis Esofagus Laparatomi Colon Interposisi KH JS √ RK,DB,TM DB RK
Tumor Hepar c/ HCC Laparatomi Reseksi Hepar KH ERI √ TD NI
Fistula Paraanal + Abses Fistulotomi + Debridement S ERI √
Cholelithiasis Laparascopy Cholesistectomi ERI

AZ,
Tumor Kulit c/ Ganas Wide Eksisi + Rekontruksi Flap + FS B,B BIS √ AZ,ES*,ID ID
ES
ES
BCC Reg Occipital Wide Eksisi + FS + Rekonstruksi B,KH BIS √ AZ
,ID
Isthmolobectomi + FS, Ganas - Total
SNNT KH,KH DWT √ DA
Tiroidektomi
SNNT Dx c/ Ganas T3NoMo KH,KH DWT ES DA
Tiroidektomi
Hipospadia dg fistel enterocutan Uretroplasty + Rekontruksi KH EDW √ AI*,IS IS AI
Hipospadia Uretroplasty + Chordectomi KH,B EDW √ S : DM,WD IS AI
MAR dextra fistula perianal Repair Colostomi B RR √ AI IS
Masa Colon Congenital Rectal Biopsi + Evakuasi Skibala S,K PTY √
Bedah Micro tumer Medula spinal

Tumor MS Intrinsik dd astrocytoma KH AJ √ SF,BY
Laminektomi Kompleks
Fiksasi Internal KH HY √
Tumor Medula Spinalis Operasi Tumor Medula Spinal Bedah Mikro KH AJ √ S : EA SF EA
Fiksasi Internal Laminektomi KH HY √
Adenoma Hipofise Transphenoid KH DP √ LW,SA
SOL c/ metastase Craniotomi Tumor Konveksitas KH MTA √ S : YS,VQ PL YS
Plexus Brachialis Injury Dx Neuroplasty Pleksus Bachialis Injuri KH DRY √ PR,MY*
Fr Clavicula Sin Rekontruksi Negleted Case KH DRY √ S : MK PR MY
Fr. Olecranon Sin ORIF KH DID √ PR MY
Fr Calcanesu Dx + Skin Degloving Debridement B NJT √

ORIF Metacarpal Repair Dislokasi KH DID √
BY,Y
OA Genu Sin TKR Sin KH BIN √ NK
S
EN,MA,PM,
Cholelithiasis Laparoscopy Cholecystectomy KH PB √
IM,ND,BP
Ismolobektomi + FS ganas Total MA,H
SMNT c/ Ganas T3NoMo KH UUD √ UM
Tiroidektomi I
Mata Kiri Rhegmatogenous Retinal Mata Kiri Vitrectomy + EL + MP + Gas
KH AL √ NK*,HA HA NK
Detachment C3F8
Mata Kiri Katarak Komplikata + Silicone Oil Mata Kiri Phaco + IOL + Evakuasi SO + EL
KH,KH AL √ HA NK
Filled Eye + MP + SO Exchange
Mata Kiri Afakia + IOL Drop (Luksasi Lensa) Mata Kiri Vitrectomy + Sekunder Implant S:
KH,KH AL √ NK HA
+ Primary Angle Closure Glaucoma (Iris Fixasi) DI,MW,AT*
Mata Kiri Ptosis + Proptosis ec Pseudo

Mata Kiri Injeksi TCA Resibulber TL YW,TU
Tumor
Mata Kiri Debridement Bad Keratoplasty +
Mata Kiri Bad Keratoplasty WIN
EDTA
Mata Kanan Pseudofakia + Eksotropia
Mata Kanan IOL Exchange WIS
Sensorik
Mata Kiri Extra Capsular Cataract
Mata Kanan Kiri Katarak Senilis Matur RF
Ectraction + IOL
Mata Kiri Katarak Komplikata Mata Kiri Phacoemulsifikasi + IOL AL
Mata Kanan Glaukoma Sekunder + Central

Mata Kanan Trabekulektomi FI
Retinal Vein Occlusion + Edema Makula
Mata Kanan Katarak Juvenile Mata Kanan Phacoemulsikasi + IOL AL
TVH + Sakro spinosul Fixasi + Komporafi KH,KH,

Prolaps Uteri Gr IV, Sistokel + Rectocele ER √ NP,AM NP AM
Anterior + Kolpoperinerorafi KH, KH
TVH + Kolporafi Anterior + Kolporafi AM,

Prolaps Uteri Gr I, Sistokel + Rectocele KH,KH ER √ AM
Posterior NP
Mioma Uteri Miomektomi B HR √
NOK Laparotomy Debulking + FS KH EW √ DS
Laparatomi Adhesiolisis Kompleks beat
Reseksi Anasromose Ileum end to end KH PB √
Bypass ilio iliacal side to side
AI,
STT Reg Cruris Sin Wide Eksisi B YAN √ AL,UM,HI HI
DM
Benign Phyloides Tumor Mamae Dx MRM KH UUD √ MW
Hemangioma Reg Labialis Superior Eksisi + Rekontruksi KH NJT √ TA,RE RE TA
Ulkus Granulosum Reg Ekstermitas Inf Dx Debridement + STSG KH NJT √ TA RE
Debridement Luas Nekrotomi + Skin

Skin Nekrotik Reg Antebrachii Dx B NJT √ RE TA
degloving
Hipospadia Uretroplasty Tahap I KH ETH √ AT
Hipospadia Uretroplasty Tahap I KH ETH √ RE
RI (MID : TR ) SORE PROGRAM : AP,ST,BR,TD,YR,AR,NI,DW,DA,DM,DI,EA,EW,MW,MK,YS,VQ,WD,AN*,AT* ALAT : PUR,SR ( S : )
TMS C/ Ganas Incisi Biopsi S UUD √ DA TR
Labiognatopalatoschizizs Labioplasty + Rekontruksi Hidung KH ETH √ AT
Combustio Gr II Debridement Luka Bakar S RZ √ AR DW
Cholesistolithiasis Laparoscopy Cholesistectomy KH MG √ AN BR
G2P1A0, gemeli, PEB SCTP B AF Adhie HR EM
Infiltrat Peritonsil kiri Tonsilektomi + Insisi Drainase Abses S,S FAR √

VQ
Eksplorasi Perdarahan B FAR √
SL,
G1P0A0, hml 41mg, partus tak maju SCTP B DC √ Gatot SE
NH
EN,
Cholelithiasis Laparascopy Cholesistectomi KH PB √ MA
PR
VQ,
Fr Humerus Dex Debridment B APR √ IM
SE
Molahidatidosa Kuretase Mola K PS √ VQ SL
Corpal Esofaguscopy + Ekstraksi gigi palsu B,B DAT √
Hidropneumothorax WSD S WW
G1P0A0, hml 39mg, KPD SCTP + IUD B OP √ Gatot

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
PLH : AH
PM ,PL
Hipospadia Release Chordae + Uretroplasty KH,B ADS √ II*,AD II GI
VUR Sin Laparoscopy Neo Implantasi Uretra KH MAS √ S : TD,DW GI II
TAH + BSO + Bilat Limfadenctomi Pelvis + KH,KH,

NOS EW √ DI
Omentectomi + FS S
Histerektomi Total + SOS + Adhesiolisis + KH,KH,
NOK EW √ TD DW
FS B
FESS III + CWL + SR (Septoplasty) +
RSK + Konka Hipertrofi + Septum Deviasi Konka Reduksi (Konkoplasty / KH,B,B RH √ WU,RM AZ WU
Turbinektomi)
Mata kiri Proptosis + Ptosis Mata kiri Koreksi Ptosis dg Frontal Sling KH TL √ S : NI AD WU
Tumor Mandibula Hemimandibulektomi KH DV √ NI TD

Rekontruksi Mandibula dg Bragigi Plate KH RP √
Ulkus Granulosum reg pedis dex Debridement + STSG KH PJ √ NI MK
Ulkus Granulosum Femur Dx et Sin Debridement + STSG Luas S,KH PJ √ AR

Ca Cervix std 2a KH,B MZ √ TW,SU TW SU
pelvis Bilat
Ca Ovarii Inadequat Staging Surgical Staging KH MZ √ S : ND,DA TW SU
Ca Ovarii Inadequat Staging Surgical Staging EN
Mola Hidatidosa Kuretase Bertingkat K VG √
RK,
Cholithis Disease Gall Blader Sludge Laparatomi Cholesistojejunostomi KH MM √ RK,DB,TM DB
ANM
Abses Hepar Laparotomi Drainase Abses Hepar B PB √ S : AN TM DB
Adeno Ca Rectie Laparascopy Milles Procedure KH PB √ AN DA
Adeno Ca rectie 1/3 Distal Laparoscopy Miles Procedure MG

AZ,
Ca Mammae Residif Eksisi Biopsi B BIS √ AZ*,ES,ID ID
ES
TMS c/ Jinak Eksisi + FS, B BIS √ S : RE,AM ES AZ
SMNT Ishtmolobektomi + FS, Ganas - TT KH DWT √ AZ ES
AN,
Adeno Rectum 1/3 Tengah Laparotomi LAR KH ERI √ RG
DA
Laparotomi Adhesiolisis + Repair Dinding
Hernia Insisional + Adhesi B,B ERI √ PS JF
Abdomen dg Onlay Mesh
Tumor Pankreas Biliodigestive Shunting ERI
Megacolon Kongenital Biopsi Rectum S PTY √ AI,IS IS AI

MAR on Colostomy KH,KH PTY √ S : DM,WD AI IS
Reseksi Anatomosose Colon
Atresia Colon on Ileostomi Reseksi Anastomose Ileum KH RR √ DN
Laparatomi Exp + Reseksi Jejunum +

Stenosis Duodenum KH RR √
Santuli Procedure (Anastomse E to E)
Fr. Kompleks VT VII Laminektomi Kompleks KH AJ √ SF,BY BY SF
SOL CPA Dextra Craniotomi Dasar Tengkorak KH DP √ S : BR

SOL Temporo Parietal Sin Craniotomi Tumor Konveksitas KH ER √ BR
Pasang CVP KH HN √
Kraniotomi Mikro Bedah Epilepsi
Epilepsi KH ZM √ LW,SA SA LW
Kollosotomi
Epilepsi Multi Fokal Craniotomi Pasang EEG Intracranial KH ZM √ S : YS,VQ VQ YS
EEG Durate Operasi KH MTA √

EEG Intra Operatif KH Aris √
SOL Intracranial Craniotomi dasar Tengkorak KH MTA √ VQ YS
Fr. Vertebra LII PSRS APR PR,MY

Laminektomi Dekompresi + Intenal Fiksasi
Paraparese Inferior Fr Th 5-6 KH,KH APR √ S : MK PR MY
Fusi
Fr Inter Trochanter Femur Sin Arthroplasty KH DRY √ MK AM
Fr. Acromnion sin + Fr. Maksila ORIF Scapula KH RZ √ WI EA

Rekonstruksi Tulang Wajah KH DRY √
Kista Tiroglosus Sistrunk Procedure B UUD √ EN,MA, IM,BP MA EN
BCC fronto temporo parietal dextra Wide Eksisi + FS bebas Tumor B DWT √ BP MA
Debridment + Elevasi Flap KH ETH √

Mata Kanan, Mata Kiri Katarak Kongenital +
Posterior Capsulotomy + Vitrektomi KH LN √ NK,HA NK
Nistagmus
Anterior + Perifer Iridektomi
Mata kanan Vitrektomi + Inj TCA

Mata kanan Pseudofakia + Rhegmatogenous
intravitreal + Membrane Peeling + KH,S AW √ S : DI,MW,AT NK RM
Retinal Detachment
Endolaser + gas C3F8
Mata Kanan Rhegmatogenous Retinal Mata Kanan Vitrectomy + Scleral Buckling
KH AW √ NK RM
Detachment + Silicone Oil
Hipospadia Type Penoscrotal Rekonstruksi Hipospadia KH NJT √ TA AU
Mata kanan Pseudofakia + Mata kiri High Mata kiri Clear Lens Extraction
FET YW,TU
Miopia ( Phacoemulsifikasi + IOL )
Mata kanan vitrectomized eye + katarak
Mata kanan Phacoemulsifikasi + IOL AW
komplikata
Mata kiri katarak komplikata Mata kiri Phacoemulsifikasi + IOL WIS
Mata kanan Extra Capsular Cataract
Mata kanan kiri lekoma adherens + katarak
Extraction + Sinekiolisis + IOL ( Iris RF
komplikata
retractor )
Meningitis Lumbal Pungsi B Herlin √ TU
Laparascopy Adhesiolisis + Ooforektomi
Kista Bilateral, Torsi Kista KH,KH TF √ UM,TK TK UM
Dex + Ov Driiling sin
Laparascopy Oooforectomi Parisial Sin +
Kista Ovarii KH,KH TF √ UM TK
Kistectomi Dex + Adhesiolisis
NOK dengan bagian padat curiga ganas SOU + FS s/d CSS INU
NOK c/ Ganas SOU + FS s/d CSS INU
IDC Gr II MS T3N3M0 Insisi Biopsi S YAN √ SE HI
SNNT Dextra c/ ganas T3N0M0 Isthmolobektomi Dex + FS, Ganas - TT KH YAN √ SE,HI HI SE
Wide Eksisi + FS(Tepi Bebas Tumor) +
SCC Inguinal B,KH UUD √ MW
Rekontruksi Pasca Keganasan
Labiognatopalatoschizis Labioplasty + Rekonstruksi CLP Nose KH,KH NJT √ AU TA

Ulkus Kronis Pedis Dextra Debridement + Rekonstruksi Free Flap NJT TA,AU
Ulkus Granulosum reg femur STSG Luka Bakar KH NJT √ AU TA
RI (MID : TR ) SORE PROGRAM : AP,ST,TD,YR,NI,DW,DA*,DI,EW,MW*,MK,YS,VQ,WD,AN,AT,AM,RE,DY,WI,ND,DM ALAT : PUR,SR ( S : DY )
Hipospadia Penoscrotal Release Chordae + Uretroplasty B,KH NDA √ PS
Polip Endometrium Histeroskopi Kistectomi KH HR √ YR EW
Limfadenopati Colli Sin Limfadenektomi Biopsi Sin S YAN √ SE HI
Malformasi Anorectal PSARP KH RR √
CKD Std V Pasang DL K WW √ JF PS
CKD std V Pasang DL + C-Arm K AS √ PM IS
PL,
MAR Colostomi B RR √ PM NH,
SL
NH,
EDH Temporal Kiri Kraniotomi EDH KH AJ √ AN
HE
G3P1A1, Hml 31mg, Asma SCTP dg penyulit + Pasang IUD B EN √ Gatot PM NH
Hedropneuthorax Kanan Pasang WSD Kanan S WW √ ND

Laparatomi Explorasi Repair Burst
Burst Abdoment KH MG √ ND AM
Abdoment
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,HE,
,PL
Ruptur Uretra Uretroplasty KH MAS √ RK,AU AU RK
Hidrocele Sinistra Hidrocelectomi Sin S NDA √ S : IS TM DA
OMSK Kiri dg Kolesteatom Canal Wall Down/CWD ( Myringoplasty) B PW √ AF
Union Fr Radius Dx Aff Implant DRY
Akalasia Esofaguskopi + Businasi B RR √ WU,RG WU RG
RSK FESS III + Konka Reduksi + SR KH,B,S RH √ S : NI
KH,S,B,
Pansinusitis + Septum Deviasi FESS III + Konkotomi + CWL Kanan + SR ANNA √ NI DY
B
Ca Sinunasal Nekrotomi B DAT √ DJ NH
Susp Ca Endometrii TAH + BSO KH,KH MZ √ TW,SU* TW SU
KH,KH,
NOK dg Bag.Padat c/ Ganas TAH + BSO + Omentectomi + FS VG √ S : AM SU TW
S
Ca Endometrium Laparotomi Surgical Staging + Adhesiolisis KH,B EN √ DW AM
Anastomose End to End Ureter Dex +

KH,B NDA √
Pasang DJ Stent Dex
Laparatomi Tutup Stoma Ilo-Coloca Side to
LMNH Post KT on Stoma side Anastomosis + Adhesiolisis Kompleks KH,KH JS √ II,GI GI II
Berat
Adeno Ca Recti Miles Operation KH MM √ S : WD II GI
Tumor Gaster Total Gastrektomi PB
Cholelithiasis Laparoscopy Cholesistectomy KH ERI √ TD PL
Melanoma Maligna Wide Eksisi + FS B BIS √ AZ,ID ID AZ
STT Genu Dex Wide Excisi + FS B BIS S : RE ID
Ca Mamae Wide Eksisi + PA B DWT AZ ID
STT Reg Femur Insisi Biopsi S DWT
STT Reg Femur Sin c/ Ganas Insisi Biopsi S DWT
TMD c/ Ganas Insisi Biopsi S DWT RE TD

Megakolon Colostomy RR AI,ET
Ulkus Kronis Pedis Dx Debridement/Nekrotomi + ORIF Kwire B,KH NJT √ S : YS* AI ET
Fr. ZMC, Fr Maxilla, Fr Radius Dextra ORIF Fr Distal Radius Dex KH BIN √ PL
Rekontruksi Fr Tulang Wajah KH RZ √ RI
Foramen Magnum Dekompresi + Pasang

Curiga Syringomyelia (TBC Paru +) KH AJ √ SF, PM PM SF
SS Shunt (Craniotomi dasar Tengkorak)
Spondilolitesis L 4- 5, Canal Stenosis HNP

Laminektomi Kompleks KH AJ √ S : BR
L2 - 3
Stenosis Foramen Neuralis L4-5 Laminektomi Flavektomi L4-5 Bilateral KH ZM √ LW,SA LW SA
SOL Cyst Intra Thoracal Vth 4-5-6 Laminoplasty + Fusi Posterior ER + HY S : VQ,ND
Laminoplasty Decompresi + Internal
Parastesia ec Canal Stenosis Cervical KH,KH APR √ PR,IM IM PR
Fiksasi Fusi
Laminektomi Dekopresi + Internal Fiksasi
HNP Vert L3-4-5 KH,KH APR √ S : MY MY TD
Fusi
Fr Phalang Dig III ORIF + Repair tendon KH,S APR √ MY BR
Ruptur ACL Dx Arthroscopy Rekonstruksi ACL dex KH BIN √ VQ BR
Fr Intratrocanter Femur Dx Bipolar Hemiartroplasty BIN
Artroscopy + Debridment S,S BIN √
Tumor Mandibula Parsial Hemimandibulektomi KH OEN √ EN,MA,BP MA EN

Rekontruksi dg Bone graft KH RP √
Akalasia Esofaguskopi + Businasi B FAR √ S :TD,MW
Tonsilitis Kronis + Tetralogi Fallot Tonsilektomi S RR √ MW DW
Hoarness ec Nodul Plika Vocalis LD + Ekstirpasi Nodul S,S RR √ MW
Mata Kanan Vitrectomy + EL + MP So/

Mata Kanan PDR + TRD AL NK,HA
Gas
Mata Kiri Scleral Buckle + Vitrectomi + SO
Mata Kiri Ablatio Retina AL S:
Exchange
Mata Kiri Katarak Ablatio Retina Mata Kiri Phaco + Vitrectomi AL DI,MK,TU
Mata Kanan Ulkus Kornea Impending
Mata Kanan Flap Konjungtiva S DN √ HA NK
Perforasi
Mata Kanan Wide Eksisi + MMC +
Mata Kanan Tumor Konjungtiva Susp OSSN B,S TL √ DI
Cryotherapy
Mata Kanan Kiri Glaukoma Juvenile Mata Kanan Trabekulektomi B FI √
Mata Kanan Katarak Mata Kanan Phacoemulsifikasi + IOL AL YW,ES
Mata Kiri Katarak Senilis Imatur ( One Eye) Mata Kiri Phaco + IOL WIS
Mata Kanan Kiri Katarak Komplikata Mata Kanan Phaco + IOL RF

Mata Kanan Massa Konjungtiva Bulbi Susp Mata Kanan Eksisi Massa Konjungtiva +
TL
Nevus Konjungtiva PA
Mata Kanan Injeksi TCA Peribulber +
Mata Kanan Graves Ophtalmopati TL
Submuller
TVH + Kolporafi Anterior +
Elongatio Colli KH,KH ER √ TK,SE* SE TK
Kolpoperineorafi
NOK c/ Ganas SOS + FS B OP √ TK SE
Laparoscopy Ooforectomi Parsial Bilat +
Adenomiosis Dupleks + Hidrosalping KH TF √
TPT + Adhesiolisis
Adenomiosis, Kista Ovarii Bilateral Laparoscopy TF
Missing Tail IUD Laparoscopy Parsial Kistektomi + Aff IUD KH TF √ SE DI
Ca Mamae Wide Eksisi B YAN √ AL,HI HI AL

Ca Mamae Wide Eksisi B YAN √ AL HI
Ca Papilary Thiroid TT KH YAN √ HI AL
Ca Thyroid Total Tiroidektomi + RND KH,KH UUD √ MK DI

Labiognatopalatoschizis Palatoplasty KH NJT √ TA,RM TA RM
Rekonstruksi Fr Tulang Wajah + KH,B,K
Fr ZMC Bilateral ETH √
Debridement + Rekontruksi bibir H
STT Labium Oris Rekontruksi Bibir KH ETH √
ID : TR ) SORE PROGRAM : AP,TD,YR,NI,DW,DA,DI,MW,MK,YS*,VQ,WD,RE,DY,WI,ND,IS,MY,TU,BR,AM ALAT : PUR, RA ( S : DW )
EDH Reg Occipital Craniotomi Evakuasi Hematom KH AJ √ SA LW
Polip Endometrium Histeroscopy Polipektomi KH HR √ DA

Release Chordae + Tunneling
Hipospadia KH PJ √
(Uretroplasty)
URS Dex Pecah batu + Pasang DJ Stent
Batu Ureter Kanan KH,B ADS √ RK AU
Dex
Post Partum Spontan Ingin Steril MOW S SR
Mata Kiri Re Eksisi Filiform Wart +

Mata Kiri Post Eksisi S,S TL √ DI
Rekontruksi Palpebra
Efusi Pleura Pasang Pigtail (WSD) S THOM √
Ca Sinunasal Nekrotomi B DAT √ DJ NH
Apendicitis Akut Laparatomi Apendiktomi KH EDW √ HE YS
Perdarahan Post Partum Laparatomi Histerektomi KH HR √ NI DA

GPA SCTP + MOW B HR √ Gatot AF
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Fr Radius Pasca ORIF Release Kontraktur + Aff Implant KH DRY √ NK,BD RM NK
Union Fr Radius Dx Release Kontraktur + Aff Implant KH DRY √ RM IS
Disfagia Fase Anofaringeal FEES + Pasang NGT Freka B DAT √ NK
G2P1A0 Hamil Aterm Riwayat Bekas SC SCTP B TF √ Gatot AU
OMK Dry Ear Kanan Thympanoplasty Kanan KH PW √ AU
OMSK Kiri dg Kolesteatom Komplikasi ME Radikal KH PW √ AU
Ca Sinonasal Media Maksilektomi KH DAT √ VQ NI

Mata Kiri Orbitotomi Anterior KH TL √
Ca Laring Tracheostomi DAT
Thympanoplasty telinga Kanan +
OMSK Dx + Konka Hipertrofi KH,B DAT √ NI RK
Konkotomi Bilat
Appendicitis Appendiktomi KH MM √ HA HA NK
RM Onlop
Limfadenopati Abdomen Laparoscopy Biopsi KH ERI √
OK1,2
Ca Cervix Kolostomi B ERI √ DA RK
Hernia Inguinalis Dx Laparatomi Repair hernia Residif KH,B ERI √ DA IS
Meningioma Craniotomi Dasar Tengkorak KH ZM √ BY,RG RG BY
Fr Radius Sin ORIF Radius Sin KH APR √ HI IS RK
Fr Collum Dex Hemiarthroplasty Hip Dex KH DID √ HI
Fr Collum Femur Hemiarthroplasty Hip Sin KH DID √ AM RM
Fr Collum Femur Dx Bipolar Hemiarthroplasty KH BIN √ AM
Repair Pseudoaneurisma (Repair A.

Pseudoaneurysma Femoral Sin KH SF √ IM IM HR
Femural)
HR Onlop
Tumor Mandibula Rekonstruksi dgn Plate dan Screw KH RP √ BD
OK10,JT
Hemimandibulektomi Dex KH DV √
Fr Femur ORIF Fr Femur + Debridement KH,B APR √ AM RM

Fr Radius Sin ORIF Plate & Screw KH BIN √ AT AN
Efusi Pleura WSD S SF √ IM HR
TK kronis Hipertrofi Tonsilektomi S RR √ EW
G4P3A0, Post partum Atonia Uteri Blynek Procedure (Histerektomi) KH HR √ AR DM
MG Pasang Double Lumen K HA √ IS RM

Ileus Obstruktif KH,KH ERI √ RM IS
Reseksi Anaatomose Ileum
Laparatomi Explorasi Reseksi Ileostomi
KH PTY √ MY
Double barel
Impaksi Odontectomi 2 rahang KH RP √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,WU,HE
PLH : AH
,TM
Post Transplantasi Aff DJ Stent ADS EV,HI
Nefrolithiasis dextra post DJ Stent PCNL Dex + AFF DJ Stent Dex KH,S WAN √ S : RK AO HI
Adeno Carsinoma dd/ Susp Ca Ovarii Laparotomi Debulking + FS KH EW √ HI AO

Kista Ovarii Salpingo Ooforektomi + FS EW
OA Genu Dextra TKR dex KH BIN √ II,ET AM ET
RSK + Septum Deviasi + Konka Hipertrofi FESS II + SR + Konkotomi KH,B,S ANNA √ S : MW ET AM
Mata Kiri Proptosis ec Massa Orbita Mata Kiri Orbitotomi Lateral + Biopsi + PA KH TL √ MF PL
Radikal Histerektomi + Lmfadenectomi

Ca Epidermoid Cervix Uteri II A2 KH,B MZ √ TW,SU TW SU
Pelvis Bilat
NOK Laparatomi SOD + FS B EN √ S : DB TW SU
Cholesistolithiasis, Thalasemia Laparascopic Cholesistectomi KH MM √ ST,AO
Laparatomi Explorasi + Jejenustomi

Tumor Gaster KH,B PB √ S : TD TD PM
Feeding
Laparatomi Triple Bypass + Biopsi Tumor AD,
Ileus Obstruktif KH MG √ PL
Duodenum BR
AU,
Ca Mammae Residif Diseksi Aksila Dextra KH YAN √ AZ,AU AZ
SR
Ca Mammae Wide Eksisi + PA B YAN √ S : MY SR AZ

Ishtmolobektomi + FS, Ganas - TT KH,KH,
SNNT Sin c/ ganas T3N1bM0 DWT √ MY PM
Adenectomi + FS S
Hipospadia Uretroplasty + Chordectomi KH,B EDW √ AI,SA,RA AU AI
Hipospadia Uretroplasty KH RR √ S : MK AI AU
MAR on fistel on colostomi PSARP RR

Choleducal Cyst Reseksi Hepar RR
Combustio Grd III Manus sin nekrosis dig II
Koreksi Fr Impresi KH AJ √ SF,TK TK SF
manus sin + Pneumo Enchepali
Debridment Luka bakar KH RZ √
Tumor Mandibulektomi OEN S : BR,PL

Adenoma Hipofise Bedah Transpenoid KH MTA √ LW,BY BY LW
Koreksi Fr Komplikata KH ZM √ S : AD
HNP Multiple KH,KH APR √ PR,WD WI AN
Fusi
Union Fr. Phlang Remove Implant Manus Dex B DID √ S : IS PR WD
Ca Mammae MRM KH UUD √ WD PR
Ca Mammae Diseksi Aksila Sin B,KH UUD √ AD TU
VSD VSD Repair BJ.04 WW √ EN,MA,RG,BP EN MA

,IM,ND*
S : BD,PM
Mata kanan Proliferative Diabetic Mata kanan Vitrektomi + Endo Laser +

KH,KH AL √ NK,HA
Retinopathy + Tractional Retinal Detachment Membrane Peeling + Gas + PHACO + IOL
Mata kiri Silicone Oil Filled Eye + Still Mata kiri Scleral Buckle + ReVitrektomi +
KH AL √ S : DI,YS
Detachment Silicone Oil Exchange
Mata Kiri Corpus Alienum Intraokuler Mata Kiri Ekstraksi Corpus Alienum INA
Mata Kiri Phaco + IOL + Vitrectomy + MP
Mata Kiri KSI + Ablatio Retina KH,KH AL √
+ EL + SO
Mata kanan Glaukoma Absolut, Mata Kiri
Mata Kanan Cyclocryoterapi S MR √ DI
Primary Open Angle Glaucoma
Mata Kiri Katarak Senilis Imatur Mata Kiri ECCE + IOL FET YW*,HR
Mata Kanan Katarak Mata Phaco + IOL AL
Mata kanan GIPB Kista, Mata Kiri
Mata kanan Re-Trabekulektomi MR
Pseudofakia
Laparoscopy Ooforectomi Parsial Dex +
Adenomiosis, Kista Ovarii Bilateral KH,KH TF √ NP,SE
Adhesiolisis Reseksi Adenomiosis
Multiple Mioma Laparoscopy Multiple Miomektomi KH TF √ SE TR
Mioma Uteri Miomektomi B HR √ YS DI
Luka Bakar Gr II A 18% Debridement Luka Bakar S RZ √ YS DI
IDC Gr II MS TxN0M0 MRM Sin KH BIS √ AL,RM* RM AL
Ca Mammae Sinistra MRM KH BIS

TMS c/ Ganas Core Biopsi K DH
Ca Thyroid RND KH DWT √
Ulkus Diabetik Ankle Pedis Dx Debridement S ETH √ TA*,DN TA MW

Combustio 27 % Debridement Luka Bakar KH ETH √ MW TA
Ulkus DM Pedis Dextra Debridement + STSG KH ETH √ TA
D : RI (MID : TR ) SORE PROGRAM : AP,TD,YR,RK,GI,BD,DW,DI,MW,MK,YS,AD BR,DB,ES,IS,MY,TU,PM,PL ALAT : PUR,SR ( S : DW )
Kontraktur Dermatogen Dig 1 Manus Dex Rekontruksi jari KH NJT √ MW TA
Abses Reg Manus Dextra Insisi Drainage S PJ MK RK
Rekonstruksi Fr Wajah Kompleks

Neglected Fr. OS Frunel KH PJ √ MK RK
(Negleted)
ALL - SR BMP B HER √ YR
ALL - SR BMP B HER √ YR
Limfadenopati Colli Limfadenectomi Biopsi + Incisi Biopsi S,S UUD √ YR
Efusi Pleura WSD S SF √ BR

Fr. Humerus Sin Pasang Gips K APR √ PR
EDH Kraniotomi KH AJ √ TM SL,
G4P3A0, Hml 3bl, Molahidatidosa Dilatasi + Kuretase K EW √ SL NH
G8P6A1, Molahidatidosa, Kuretase K HR √ SL NH
Mata kiri laserasi Palpebra + Ruptur Kanalis Mata Kiri Rekontruksi Plapebra +
S,S INA √
lakrimalis Rekanalisasi lakrimalis
Laparatomi Explorasi Release Band +
KH,B PTY √ ES
gastostomi decompresi
G2P1A0, Fatal Distres SCTP + IUD B HR √ Gatot HE SL,
G2P1A0, Hml 34mg, SCTP + MOW B IN √ Gatot
Tonsilitis Kronis post Tonsilektomi Eksplorasi Perdarahan + hematoma B RR √
G3P2A0, Hml 38mg, bekas SC SCTP + IUD B IN √ Gatot ND BD
Tumor Regtosigmoid Trans Vesciosistostomi B ERI √ DB ES
G P A , fatal Distres SCTP B JD √ BD ES
Tumor Paru Thoractomi Explorasi Biopsi Tumor KH SF √ WI NI
Peritonitis Generalisata Laparatomi Explorasi Rehecting Ileostomi KH PB √ RE DY
Ulkus Ganggren Pedis Dex Amputasi Above Knee KH AS √ NO DA

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : NH,TA PERAWAT : HE,EM,ANM,SE II,SA,SL,SC,RI
Tumor Mandibulektomi Hemimandibulektomi KH OEN √ EV,UM,MF UM SE

Rekontruksi dg Plate & Screw KH RP √ S : ND,DW RI
Laringoscopy Direct + Ganti Kanal Trakea MK,
Stenosis Trakea S DAT √ ET,DM* ET
+ Injeksi Kenakort ANM
ET,
NKT Cell Limfoma Nasal Type Nekrotomi B DAT √ ANM
MK
TM,
Multi Sinusitis FESS III + Konkoplasty KH,S ANNA √ S : ES,AD DI
MY
Surgical Taging (TAH + BSO + KH,KH,
Kista Ovarii EW √ TW,SU SU TW
Omentectomi ) + FS S
Hemicolektomi Dex + Adhesiolisis KH JS √
Ca Cervix ST II A2 MZ √ S : DI,ER TW SU
Limfadenectomi Pelvis Bilat B
Cholesistolithiasis Laparascopy Cholesistectomi KH PB √ ST,AO
STT Multiple Eksisi Marginal Multiple B YAN √ AZ,WD AZ WD
TR,
Megacolon on Colostomi SOAVE Procedure KH EDW √ AI,TR,RA AI
RA
Megacolon Congenital On Colostomi Duhamel Procedure + STAPLER KH EDW √ S : YS,TU YS TU
TK,
BCC Reg Scalp Rekonstruksi Free Flap KH ETH √ SF,TK,TM ES
SF
S : YR,DB*
LW,BY*
S : BR,PL
Laminektomi Dekompresi + Internal Fiksasi AP,
Fr. Vertebra L2 KH,KH APR √ PR,AP,RM PR
Fusi RM
PR,
Fr. Manus Dextra tbk Gr II a ORIF Fr Humerus + Debridment KH,S APR √ AP
BY
ASD Secundum, MR Mild, TR Moderate, PR BJ.04 EN,MA,AF, MA.
ASD Closure + TV Repair WW √ EN
Mild BJ.09 BP,IM,AS AF
Mata Kanan, Kiri Primary Angle Closure
Mata Kanan Phacoemulsification + IOL KH MR √ YW,HR HR YW
BD*,YR,PM,TU,DW,ND,ER,ES,AD,DI,BR,YS,PL,DB* ALAT : PUR,SR ( S : - )
Ca Sinonasal Post Pasang Tampon Aff Tampon Anterior K DAT √
ET,
Esofaguscopy + Businasi B DAT √ MK
ANM
US,
Tumor Vesica Filea Laparatomi Eksisi Tumor Vesica Filea KH MG √
LW
Apendiksitis Akut Laparscopy Apendiktomi KH MG √ MK YR
Tonsilektomi + Adenoidektomi dg
ATK S,S FAR √ DB YS
Endoscopy
CKD Pasang Double Lumen KH SF √ WI NI
Efusi Pleura Dex WSD Dex S ALI √ WD NH
Abses Insisi Drainage Abses + Biopsi B FAR √ RI SC
G1P0A0, Hml 37mg, IUGR SCTP B OP √ Gatot SA
G3P1A1, Hm 39mg, PEB, Fatal Distres SCTP dg penyulit + IUD B RR √ Gatot SL RI

Laparatomi Explorasi KH HR √ BD PL
TM,
Apendiksitis Akut Laparascopy Apendiktomi KH PB √
MY
Fr OS Nasal Reposisi OS Nasal S WY √ ER DW
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
AY,EM,JF,
AG,PS,MK,
DN,DJ*,EA*
Buccal Abses Dex Insisi Abses dg penyulit KH RP √ PS,PL
Fr OS Nasal dg Epitaksis Closed Reduction S PJ √ DN PL,ES

KH,B,
Duodenojejunustomi Side to Side + PTY √ YS TU
KH
Gastostomi Decompresi + Pasang CVC
Efusi Pleura WSD Thorax Dex S UUD √
G2P1A0, Hml Aterm, HIV + SCTP B IN √ Gatot
Fr Kompresi OS Temporal Dex Koreksi Fr Impresi KH AJ √ BR MY,
Aspirasi Bor Hole KH AJ √

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,WU,
PLH : EV
PS
Hipospadia Uretroplasty KH ADS √ RI AO
Hipospadia Uretroplasty KH ADS √ AO RI
KH,B,
Nefrolithiasis Dextra PCNL + Pasang DJ Stent + Nefrostomi MAS √ AO,RI
KH
UDT Dextra s/ Ruptur Testio dextra Laparascopicy Orchidectomi dex KH NDA √ S : AY JF

Striktur Ureter Bilateral Implantasi Ureter Bilateral NDA
Fr. Pelvis + Fr. Clavicula Sin + Fr. Collum
Repiar Buli S NDA √ ET,EA EA ET
Femur, Ruptur Vagina, Uretra, Buli
Rekontruksi Pelvis KH BIN √ MF
Vaginoplasty KH AF √
Ulkus Granulosum + Fr. Dig II Pedis Dextra Debridement + STSG KH PJ √ S : AU,MF AF YS
Fistel ureterocutan URS Bilat + Pasang DJ Sin KH,B NDA √ JF AU
Endoneurolysis spinal + Percutaneus

HNP Lumbal S,KH,S TRI A √ HE HE
Disectomi + Foraminal Blok
Endoneurolysis cervical , Thoracal +
HNP L6-7 S,KH TRI A √ HE
Rhizotomi
Efusi Pleura WSD THOM
Ca Endometrium Surgical Staging KH EN √ SU,DJ TD ES
Ca Ovarii Inadequat Staging Laparatomi Debulking KH EN √ S : TW

Adhesiolisis Kompleks + Reseksi
Anastomose End to end + Intwetrial KH ERI √
bypass
Ca Endometrium Std 1A Klinis Surgical Staging KH EW √ SU
Multiple Cholelithiasis Laparascopy Cholesistectomi KH JS √ TD,ST* TD ST
Tumor Intra Abdomen Laparatomi Eksplorasi KH MM √ S : SE,TM ST TD

Parsial Cystectomi KH NDA √
TD,
Tumor Sigmoid c/ ganas Anterior Resection KH MG √ ST
TM
TM,
Adeno Ca rectie 1/3 prox T4N1M0 Laparatomi LAR + Colostomi KH,B ERI √
YS
Tumor Mamae Sin c/ Ganas + Hidronefrosis
Wide Eksisi B YAN √ DM AZ
Bilateral
URS Bilat KH NDA √
STT Mandibula Insisi Biopsi Colli + Inguinal + PA S,S UUD √ AZ,DM DM AZ
Ismolobektomi + FS ganas -Total

SNNT Sin c/ Ganas T3NoMo KH,KH DWT S : AR AR AZ
Tiroidektomi
Tumor Lidah T4N1M0 Insisi Biopsi + PA S DWT AR
Sarcoma Soft Tissue Tumor Wide Eksisi B DWT √ AR
Choleducal Cyst Reseksi Hepar RR AI,MK,RA

Laparatomi Explorasi Cystoyeyenustomi
Pseudokista pankreas KH,KH EDW √ S : ES MK AI
Roux & y
MAR KH PTY √ MK AI
Colon
Abses Reg Hemithorax Thoracotomi Eksplorasi Dekortikasi KH ALI √
Spondilitis Cervicalis Laminektomi Kompleks KH AJ √ SF,TK* II SF

Fiksasi Intenal Fusi Servical KH HY √ S : PL
Meningioma Craniotomi Dasar Tengkorak KH DP √ LW,ND
Pasang CVC KH HN √ S : BY,VQ

SCA po kuate Dislokasi Rekonstruksi Neglected Case KH DRY √ PR,AP
Disrupsi AC Joint Sin Release Kontraktur + ORIF Dig II,III, IV,V KH DRY √
OA Genu Arthoscopy + Debridement S,S BIN √ BR
Fr. Tibia Fibula Dextra et Sin ORIF KH DID √ S : ANM
Fr. Radius ORIF Fr Radius + Ulna Sin KH BIN √ ANM
BJ.08 EN,MA,AH, EN
MS Severe, TR Moderate, Thrombus LA MVR + TVR + Evakuasi Thrombus SF √ SE
BJ.09 BP,AS,SS MA
S : RG*
Mata kanan kiri refraktorik glaukoma DI,
Mata kiri Retrabekulektomi + PI KH LN √ NK,DI NK
kongenital post trabekulektomi HR
Mata kiri Katarak Komplikata + Retinal Mata kiri Phacoemulsification + IOL +
KH,KH AL √ NK DI
Detachment Vitrektomi
Mata kiri Proliferative Diabetic Retinopathy + Mata kiri Vitrektomi + Endolaser + Silicone DI,
KH AL √ NK
Tractional Retinal Detachment Oil HR
Mata kiri Katarak Komplikata + Ablasio Mata kiri Vitrektomi + EL + SO + DI,
KH,KH AL √ NK
Retina Phacoemulsification + IOL HR
Mata kanan Katarak Traumatika + Mata kanan Phacoemulsification + IOL +
RF
Subluksasi Lensa Capsular Tension Ring
Mata Kiri Katarak Senilis Matur dd/ Katarak
Mata Kiri Phacoemulsification + IOL RF YW,DW*
Komplikata, Katarak Diabetika
Mata kanan Katarak Mata Kanan Phacoemulsification + IOL AL
Mata kiri Katarak Komplikata Mata kiri Phacoemulsification + IOL AL
Mata Kanan Rhegmatogenous Retinal
Mata Kanan Pneumatic Retinoplasty AW
Detachment
Mata kiri katarak senilis imatur Mata kiri Phacoemulsification + IOL AL
Mata Kanan, Kiri Primary Open Angle
Mata kanan trabekulektomi B FI √
Prolaps Gr 1, Sistokel Gr 2 TVH + KA + Kolpoperineorafi KH,KH ER √ UM,DB UM DB
NOK dg Bag Padat TAH + BSO + FS KH,KH VG √
Potong pedikel Potong Pedikle Flap S RZ √ SR HR
Fr Maxilla Lefort II + Fr Radius Dx + Mata kiri

Mata Kiri Enukleasi Bulbi + DFG B INA √
Suspek Ruptur Bulbi
ORIF Radius Dex + Reposisi Dislokasi
KH,S DID √
DRUJ +
Rekontruksi Fr Tulang Wajah KH RZ √
Cystosarcoma Phyloides Mammae Dextra Wide Eksisi + PA B BIS √ AL,ER HA ER
Ca Thyroid Post Ismolobektomi Completition Total Tiroidektomi KH DH ER HA

Hipospadia Uretroplasty I KH ETH √ TR TA
Hipospadia Release Chordae + Tunnely B PJ √ TA,TR RI JF
LGP Bilateral Gnatoplasty (Alveolar Bone Graft) KH ETH √ S : HR,SR TA TR

Fr ZMC Dx, Fr Metacarpal Manus Dx ORIF dig I manus Dex KH DRY √ HI*,RG* HI
Rekontruksi Fr Wajah Kompleks KH ETH √
HA (MID : AT ) SORE PROGRAM : GI,II,TW,AY,HR,SR,US,SA,AU,SE,AR,BY,ES,ANM,MF,PL,RM,SC,TM,VQ,HI*,RG* ALAT : PUR ( S : )
SOL Craniotomi Konveksitas KH AJ √
Adeno Ca Ovarii, Hidronefrosis Bilateral Pasang DJ StentVDex,Sin B,B ADS √ AY ID
Hidronefrosis URS - DJ Stent 2 sisi KH MAS √ AR ID
Batu Ginjal Dextra Cystostomi + AFF DJ Stent S,S MAS AY ID
MAR on Colostomy Post PSARP Reseksi Anastomose Colon KH RR √
HA,
TMS c/ Ganas Insisi Biopsi S DH SR
ER
Ulkus DM Debridement S WW √ PM
Repair A. Femuralis Dex + Embolektomi

Ruptur A Femoralis KH,KH AS √ AD YS
Femuralis Dex
CKD Pasang Double Lumen K ALI √ PM
Lumbal Pungsi B Sofian √ PL
G2P1A0, Hml 37mg, bekas SC SCTP dg penyulit bekas SC B JD √ Arsita
G P A , gemeli SCTP Gemeli + MOW B PS √ Gatot WU PS

Post Laparatomi Explorasi + Packing Relaparatomi Aff Packing KH HR √ SL NH
Laparatomi Explorasi + Dekompresi KH JS √
ICH + SAH + IVH Kraniotomi ICH KH AJ √ PL II
Ileus Obstruktif Laparatomi Hartmann Procedure KH MG √ ND TK
G2P1A0, Hml Aterm, bekas SC SCTP dg penyulit bekas SC B OP √ Adhie BD
Fr Fibula terbuka gr IIIA Debridment + Gips Back Slap B,K BIN √ BR

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
TEST : AL,NP,AH,EV SL,NH, HE,PS
Hipospadia Kuretase Bertingkat KH ADS √ AN,AO AN AO
Penoscrotal Hipospadia Uretroplasty KH ADS √ S : AU AO AN
Tumor Ginjal Kanan Insisi Biopsi S WAN √ AU
Hidronefrosis Dextra + Batu Ureter Dex URS Dex + Ins DJ Stent Dex KH,B NDA √ AO AN
URS Bilateral + Litotripsi Kanan + Ins DJ KH,KH,

HN Bilateral + HU Bilateral NDA √ AU
Stent Bilat B
Mata kiri massa palpebra suspect, ALL SR
Mata kiri Insisional Biopsi + PA S AK √ ET*,MK
pro kemo minggu ke-10
Mata kiri Ptosis Mata kiri Koreksi Ptosis (Frontal Sling) KH AK √ S : RI,TM MK ET
Tumor Kulit c/ Ganas reg nasal Wide Eksisi + FS Bebas Tumor B DH ET TM

Rekontruksi Pasca Keganasan KH PJ √ MK
Kontraktur Dermatogen poplitea dex et sin Debridement + Gradual Strethcing KH PJ √
Ca cervix Std 2 A Radikal Hieterektomi + LPB KH,B MZ √ II,DJ II DJ
Ca Endometrium St II Biopsi Massa Anterior Ulang + SOB KH EW √ S : TW TW
KH,KH.
NOK curiga ganas TAH + BSO + Omentectomi + FS INU √ TW SE
S
Limfadenectomy Plevis + Paraaorta B EN √
Laparatomi Cholesistectomi + Eksplorasi

Cholesistolithiasis, Choledocolithiasis KH,KH MM √ TD*,ST ST TD
CBD + Choledocoduodenostomi
Adeno Ca Rectie 1/3 Distal Milles Procedure KH MG √ S : SE,RM TD ST
Laparatomi Extended Hemikolektomi

Tumor Colon Ascenden KH MG √ ES
Dextra
SMNT Bilateral FS + Ganas - TT KH YAN √ AZ ID
TMS c/ ganas Insisi Biopsi + FS, Ganas - MRM S,KH DH ID AZ
SNNT Dextra et Sin T3N0M0 Isthmolobektomi + FS, ganas - TT KH,KH UUD √ AZ,ID ER TR
Wide Eksisi + FS tepi dan dasar bebas
STT Femur SinGxT2bN0M0 B DWT √ S : AR AR
tumor
Choledoca Cyst Neoplasia Reseksi Hepar RR AI, EA
Laparotomi Adhesiolisis Komepleks +
Ileus Obstruksi e.c SBO KH RR √ S : WI EA AI
Repair Jejenum
Hystiocytosis Nail Bilateral Insisi Biopsi S RR √ AI EA
Tumor Intrapentoneal c/ limpoma maliqna Laparatomi Biopsi KH ERI √ AI EA
Post Ileostomi ( Stoma ) Tutup Stoma KH ERI √
True Cyst Tail Pancreas Laparatomi Distal Pankreatektomi KH ERI √ WI EA,AI

SOL Cystic Intra Thorakal Vth 4-5-6 Laminoplasty + Fusi Posterior HY SF,AG
Mata kanan selulitis pre septal + pansinusitis Mata kanan Debridement B TL √ S : RG VQ MF
FESS I + Debridment KH,S WY √
SOL Sphenoid Wings Tumor Craniotomi Dasar Tengkorak KH MTA √ LW,ND ND LW
Meningioma Tubercullum Sellae Craniotomi Dasar Tengkorak KH DP √ S : BY,VQ AG SF

Artitis THR Dextra THR Dextra KH APR √ PR*,AP
Osteomilitis Femur Sin Debridement KH APR √ S : ANM* AP PR
Fr Femur Aff Implant DRY
Fr. Humerus Sin ORIF + Rekonstruksi Shoulder Sin KH DRY √
Osteomilitis Femur Dex Debridement B DRY √

PBI Dextra Neurotisasi Tahap II KH DRY √ WI VQ
EN,MA,SU, MA,
MS Severe, AR Mild to Moderate MVRepair + AVRepair BJ.08 SF √ SU
BP,AS,SS EN
Mata kanan Perseptal Selulitis Mata Kanan Probing Saluran Lacrimalis K INA √ NK,DI DI NK
Mata Debridment + Jahit Luka Operasi S FET √
Mata kiri Pseudofakia + Retinal Detachment Mata kiri Vitrektomi + EL + MP + SO KH AW √
Mata kiri Skleral Buckle + Cryoterapi +

Mata kiri RRD KH AW √ DI NK
Udara
Mata Kiri PDR + TRD + VH Mata Kiri Vitrektomi + MP + EL + Udara KH AW √ DI
Mata kiri Ptosis Kongenital Mata kiri Koreksi Ptosis KH TL √ HE DI
Mata Kanan Phaco + IOL, Mata Kiri Buka
Mata Kanan KSI, Mata Kiri pseudofakia RF
Jahitan
Mata Kanan Mata Kiri Katarak Diabetika +
Mata Kiri Phaco + IOL WIS YW,DW
NPDR
Mata Kiri Afakia Mata Kiri Secondary Implant ( Retropupil) WIS
Mata Kiri Katarak Mata Kiri Phaco + IOL AW
Mata Kanan Kiri PACG+Glaucoma Absolute Mata Kanan Cyclocryotherapi FI

Mata Kanan Katarak + Glaukoma MR
Trabekulektomi
Mata Kiri Katarak Mata Kiri Phaco + IOL MR
Kista Endometriosis riw laparascopy TAH + Salpingi Ooforectomi + Adhesiolisis KH,B,B TF √ UM,DB
NOK dg bag padat Surgical Staging + FS KH EN √ UM DN

Laparatomi Adhesiolisis Kompleks KH ERI √ SR RM
Mioma Uteri, CHF NYHA IV, Azotemia Kuretase Bertingkat K EW √ YS RM
ILC Gr II MS T4bN2M0 Wide Eksisi + PA B BIS √ ER,TR TR ER

Hemimandibulektomi + Upper Neck
SCC Ginggiva T3N2aM0 BIS
Dissection
Ulkus Granulosum Reg Gluteal Debridement + STSG KH RZ √ TM
Ca Epidermoid pasca radikal vulvektomi +
Debridement Flap KH NJT TA,MF BY TA
Rekonstruksi pasca Keganasan
Labiognatopalatoschizis Palatoplasty KH ETH √ TA BY
Fr. Tibis Dextra Tbk + Fr. ZMC Dextra Rekontruksi Fr Wajah Kompleks KH ETH √ TA PS
ORIF Tibia + Debridment KH,B APR √
Ulkus Granulosum Reg Pedis Dex Rekonstruksi KH PJ √ S : HR,SR,HI HI
A (MID : AT ) SORE PROGRAM : GI,II,TW,AY,HR,SR,US,SA,AU,SE,AR,BY,ANM*,RM,SC*,TM,VQ,HI,RG,AR,DY,RI,WI ALAT : PUR ( S : DY )
Limfadenopati Colli Wide Excisi B DWT √ YS
Adeno Ca Rectie 1/3 Distal Cystoscopy + Biopsi Buli S MAS √
KH,KH,
Vesicolithiasis Post DJ Stent Lithotripsi + URS + Aff DJ Stent MAS √
S
G5P1A0, Bekas SC SCTP B TF √ Adhie PS HA
Ulkus Granulosum Debridement + STSG KH RZ √ AY
CKD std V + Psudoaneurisma Repair Arteri + Pasang DL KH,K AS √ BD
Peritonitis Generalisata Laparatomi Eksplorai + repair Ileum ERI √

KH PS NH
Apendicitis Laparatomi Appendiktomi KH RR √
HE,
Mata Kanan Laserasi Kornea gr IV Mata kanan Reposisi Iris + jahit Kornea K,S INA √ SL
NH
G3P2A0, Eklamsi SCTP + IUD B PS √ Gatot HE SL,NH
CKD Pasang CVC KH TA √
Abses Drainage Abses + Debridment B ERI √ DM TK
Abses Submandibula Debridment S ALI √ DM TK

odontectomi 4 gigi KH DV √
G1P0A0, Hml 38mg, CHF SCTP B HT √ Gatot
Efusi Pleura Sin WSD Sin S UUD √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,
HE*,PS
Hipospadia Uretroplasty KH ADS √ AN,AO AO AN
Batu Staghorn Dx PCN Dex Open Nefrostomi KH MAS √ S : SU,AG AN AO
Septum Deviasi Berat + Konka Hipertrofi Septoplasty + Sinekiektomi B WY √ SU
Combustio Gr II - III 56% Debridement B PJ √
RSK + Deptum Deviasi FESS + SR + Konka Reduksi KH,B,S RH √ ET,MK MK ET
RSK FESS II + Turbinektomi KH,S RH √ EY MK
ME Simple + Thympanoplasty Kiri +

OMSK Kiri B,KH AYU √ S : TM TM
Kanaloplasty
Perforasi Membran Thympani Kiri ec Trauma Thympanoplasty kiri KH AYU √ RI GI
Skin Degloving Pedis Sinistra Rekonstruksi Free Flap KH NJT √ II,RE,DJ ANM II,RE
Ulkus Granulosum Reg Sias Femur Sin Debridement + STSG KH RZ √ S : RM RM TK
Combustio Gr III Reg Abdomen Debridement KH ETH √ RM TK
Cholelithiasis Laparoscopy Cholecystectomy KH JS √ TD,ST TD ST
Laparotomi Cholecystectomy + Eksplorasi

Cholecystolithiasis, Choledocolithiasis KH,B MM √ S : SE ST TD
CBD Ekstraksi Batu CBD
Wound Dehisence Stoma Repair Stoma MG
Hernia Scrotalis Dx Hernioraphi ERI
Ca Mamae Wide Excisi Biopsi B YAN √ AZ,ID AZ ID
SNNT Dx c/ Ganas FS, ganas - Total Tiroidektomi KH YAN √ S : AR ID AZ

Sarcoma Wide Eksisi B DWT √ AR
Plate Ekspose Pasca Wide Eksisi Adeno Debridement + Rekonstruksi Dectopectoral

DWT
Cyst Flap
STT regio Abdomen Incisi Biopsi S EDW AI, EA EA AI
Hernia Inguinalis Rep Sinistra Herniotomi B PTY √ S : WI AI EA

Choledoca Cyst Neoplasia KH,KH RR √ EA AI
Reseksi Liver
SNNT Total Tiroidektomi KH UUD √ SE TK
SNNT Dx c/ Ganas Near Total Tiroidektomi KH UUD √
Paraplegi ec Tumor Medulla Spinalis L III -

Laminektomi Kompleks + Fusi HY / AJ SF,DA
Th IV
Prolong ET Tracheostomi S WY √ S : RG SF BY
Prolong ET Tracheostomi S WY √ BY SF
Cranio Pharingioma Craniotomi Mikro Dasar Tengkorak KH ZM √ LW,ND ND LW
Meningioma Craniotomi Dasar Tengkorak KH DP √ S : BY,VQ*

Fr V Lumbal I KH,KH APR √ PR,AP AP PR
Fusi
Spondilolisthesis Vert L4-5 KH,KH APR √ S : ANM DJ HE
Fusi
Fr Patologis Femur Dx Biopsi Tulang S APR √ DJ
Rekontruksi Ligamen Patella + Parsial

Fr Patela Dx KH DID √ HI
Patelectomi
EN,MA,AH
VSD VSD Closure BJ.04 SF √ EN MA
BP,AS,SS
Mata Kanan Katarak Juvenile Mata Kanan Ekstraksi Katarak + IOL KH LN √ NK,DI NK DI
Mata Kanan Kiri Katarak Kongenital, Mka Mata Kiri Ekstraksi Lensa + PPC +
KH LN √ NK DI
Eksotropia Vitrectomy Anterior + IOL + PI
Mata Kanan Vitrectomy + Endo Laser +
Mata Kanan Ablatio Retina Tractional KH AL √ DI NK
Silicone Oil
Mata Kiri Vitrectomy + Endo Laser + Gas
Mata Kiri Retinal Detachment KH AL √ DI NK
C3F8
Mata Kanan Emulsifikasi Silicone Oil + Mata Kanan Evakuasi Silicone Oil +
KH,KH AL √ HR
Katarak Komplikata + Glaukoma Sekunder Phacoemulsifikasi + IOL
Mata Kanan Ulkus Korena Perforasi Mata Kanan Periosteal Graft B DN √ HR
Mata Kanan Kiri Katarak Komplikata Mata Kanan Phaco + IOL RF YW,TU,DW
Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasion + IOL INA
Mata Kanan Pseudofakia + Suture Induced

Mata Kanan Buka Jahitan WIS
Astigmat
Mata Kanan Afakia Mata Kanan Sekunder Implant (Iris Claw) WIS
Mata Kanan Kiri Katarak Komplikata Mata Kanan Phacoemulsifikasion + IOL DN

Mata Kanan Phacoemulsifikasion + IOL MR
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasion + IOL AL
Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasion + IOL AL
Mata Kiri Glaukoma Sekunder + Distrofi

Mata Kiri Trabekulektomi FI
Kornea
Mata Kanan Eksisi Pterigium + Flap
Mata Kanan Pterigium Nasal Residif DN
Konjungtiva
KH,KH,
Kista Ovarii Dx TAH + BSO + Omentectomi + FS HR √ UM,DB DB UM
S
Prolaps Uteri Gr I-II, Uterus Miomatosis Laparascopy Miomektomi KH TF √ S: UM DB
Tumor Bibir Eksisi Biopsi + Multiple Ekstraksi gigi B,B DV √ HR,SR,HI
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ SC

Basalioma Residif Wide Eksisi + FS B BIS √ AL,ER ER AL
Mata Kanan Rekontruksi Palpebra + Skin
KH INA √
graft
Hemimandibulektomi + Rekontruksi +
SCC Gingiva KH,KH BIS √ ER AL
Upper Neck Disection
Mioma Uteri TAH + BSO KH,KH EN √ TA,MF TA MF
Mioma Uteri TAH + BSO KH,KH VG √ TA MF

TPO EW √ TR
+ FS S,S
(MID : AT ) SORE PROGRAM : TW,AY,HR,SR,US,SA*,SE,AR,BY,ANM,RM,SC,TM,VQ*,RG,WI,AG,TK,SU,TR ALAT : PUR,RA ( S : TR )
UlkusDekubitus Sacrum Debridment B ETH √
CKD Pasang Double Lumen + C-Arm K AS √ MW WI

Post Free Flap Pasang CVC KH ALI √
Anure Lim Ischemic Sin Embolektomi KH ALI √ HE NH
Amputasi Below Knee KH AS √ PL GI
ES ,
NHP Laminektomi Discectomi L4-5 KH ZM √ AU
GI
Moherneuron Disease Pasang Double Lumen K RETNA √ US AY
G4P3A0, SCTP + MOW B IN √ Gatot
EDH Craniotomi KH ER √ PS SL
G1P0A0, Hml 34mg, CHF , PEB SCTP + IUD B RR √ Gatot HR NH
EDH Kraniotomi EDH KH HY √
Mata Kanan Laserasi palpebra Inferior Full

Mata Kanan Jahit palpebra Inferior S INA √ US
Thickness
Odontektomi 4 gigi (Sulit) + Multiple
Multiple Ganggren gigi KH DV √ TW SA
Ekstraksi 20 gigi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen

PLH : EV SL,NH, HE,PS
CKD ST V Pasang CAPD S ADS √ AO,MW
Hipospadia Uretroplasty KH ADS √ S : AN,AG AO AI
AO,
Hipospadia Uretroplasty Tahap II KH ADS √ SA
AN
Prostat Enlargement c/ BPH TURP KH ADS √ AN NI
Kista Renal Dextra Laparosokopi Unroofing Kista Ginjal KH NDA √ AN TW
Tonsilitis Kronis Hipertrofi + OSA Tonsilektomi B FAR √ ET,MK MK ET
Mata Kanan Proptosis e.c Tumor Orbita Mata Kanan Eksenterasi Orbita KH AK √ S : TM ET MK
ME dg pendekatan Canal Wall Down +

OMSK Kanan dg Kolesteatom B,KH PW √ MK ET
Thympanoplasty Kanan
OMSK Dupleks Thympanoplasty Type I KH PW √ TM NI
Hipospadia Rekontruksi Hipospadia (Uretroplasty) KH NJT √ TM
BCC Post Rekonstruksi Free Flap Pasang CVC KH ALI √ MY
Post Partum MOW B OP √ TK*,AM DY
Ca Ovarii Inadequat Staging Cito Reduksi MZ S : SU

KH,KH,
Ca Cerviks St I B Radikal Histerektomi + BSO + LPR EW √ TK AM
B
NOK dg Bag. Padat c/ Ganas Surgical Staging + FS KH EN √ AM TK
Apendictomi S ERI √
Cholelithiasis Cholesistectomy B MM √ TD,ST ST TD
Ca Colon Tutup Kolostomi + Repair Hernia Perforasi KH,B ERI √ S : WD,RM
Cholesistolithiasis, Choledocolithiasis Laparoskopi Cholesistektomi dg penyulit KH ERI √ RM SE
Disfungsi Tuba + OME Kiri Myringotomi + Insersi Gromet Kiri B,S ZUL √ RM
OMSK Kanan ME Simple + Thympanoplasty Kanan AYU

ES,
Ca Mamae Pasang Chest Spot KH YAN √ AZ,ID ID
AZ
Ca Thyroid Total Tiroidektomi + RND Dex KH,KH YAN √ S : AR AZ ID
Ca Thyroid Total Tiroidektomi KH YAN √ AR SE
STT Femur Dx c/ Ganas Wide Eksisi + FS B YAN √ AR SE
Limfadenopati Colli Limfadenektomi Biopsi + PA S UUD √
Hemimaxilektomi + Hemimadibulektomi +
KH,KH,
Noma Reg Bucalis Wide Excisi + Rekontruksi Plate & Screw + UUD √ AI,EA SU SE
B,KH,S
Limfadenectomi
CKD St V Evaluasi Double Lumen K ALI √ S : SC SE SU
Ulkus DM Dx Amputasi + Debridment KH,S ALI √ SU SC
Meningioma Craniotomi KH ER √ SF,RE RE SF

Craniotomi Lobektomi
Kejang Berulang Epilepsi Kiri KH MTA √ S : RG
Amigdalohipocampek (Epilepsi)
SOL Intraventrikel, Hidrocephalus Craniotomi Dasar Tengkorak KH AJ √ LW,ND ND LW
Extenal Ventrikuler Drainase KH DP √
Malignant Round Cell Tumor Sinonasal + Mki Maksilektomi Medial + Mki Orbitotomy
WY/TL S : BY,VQ*
Proptosis e.c Massa Retrobulber, Anterior + Biopsi+ PA
Fr Femur Sin 1/2 Proximal ORIF Femur Proximal Sin KH DID √ PR,AP
Fr Femur Dx 1/2 Tengah ORIF Femur KH DID √ S : ANM PR AP
Pansinusitis FESS III + CWL Kanan + Konkotomi KH,S,B RH √ DJ AG

Odontektomi 4 gigi + Multiple Ekstraksi 5
KH,B DV √
gigi ganggren
Impaksi Gigi Odontektomi 2 Rahang KH RP √ RI DY
EN,MA,AH EN,
MS Severe, TR Severe MVRepair BJ.09 SF √ AH
BP,AS,SS MA
Thoracotomy Explorasi Lobektomi Dex
Obs Hemoptoe KH ALI √ WD TW
Inferior + Evakuasi Fungsi Ball
Mata Kanan Afakia + Esotropia, Mata Kiri Mata Kanan Vitrektomi Anterior + IOL +
KH LN √ NK,DI DI NK
Pseudofakia Secondary Implant + PPC + PI
Mata Kiri Proliferative Diabetic Retinopathy + Mata Kiri Vitrectomy + Endolaser +

KH AW √ DI NK
Tractional Retinal Detachment Membrane Peeling + Gas C3F8
Mata Kiri Vitrectomy + Endolaser +

Mata Kiri Perdarahan Vitreus KH AW √ DI NK
Membrane Peeling + Silicone Oil + Gas
Mata Kanan Rhegmatogenous Retinal Mata Kanan Vitrectomy + Endolaser +
KH AW √ DI NK
Detachment Silicone Oil
Mata Kiri Rhegmatogenous Retinal Mata Kiri Vitrectomy+Endolaser +
AW
Detachment Membrane Peeling + Silicone Oil / Gas
Mata Kanan Kiri Primary Angle Closure
Mata Kiri Phacoemulsification + IOL FI YW,TU,DW
Glaucoma, Mata Kiri Katarak Komplikata
Mata Kiri Katarak Komplikata Mata Kiri Phacoemulsification + IOL WIS
Mata Kanan Afakia, Mata Kiri Posterior Mata Kanan Secondary Implant (Iris Claw)
WIS
Vitreous Detachment Complete + Vitrectomy Anterior
Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsification + IOL RF
TLH (Total Laparascopy Histerektomi) +

Adenomiosis + Kista Ovarii KH,KH, TF √ UM,DB UM DB
Ooforectomi Parsial Sin + Adhesiolisis
Laparoskopi Adhesiolisis Miomectomi +
Kista Ovarii, Adnexitis Dupleks KH TF √ S:
Ooforectomi Parsial Sin
Mioma Uteri Miomektomi B INU √ HA,SR,TR
Uterus Miomatosis TAH KH INU √
Hipospadia + Chordae Uretroplasty Tahap I + Chordectomi KH,B EDW √ AL,ER ER AL

Laparatomi Explorasi External Drainage +
Pseudo Kista Panceras KH PTY √ AL ER
Biopsi
vollvulus post laparotomi on Colostomi Laparatomi Reseksi Anastomose Colon KH RR √ SR ER
Hipospadia + UDT Uretroplasty KH RZ √ HR TA
Fr Angulus Mandibula Dx + multiple fraktur
Rekonstruksi Fr Tulang Wajah Kompleks KH ETH √ TA,HR TR
costae
ORIF Costae KH ALI √
Fr ZMC Sin KH ETH √

Rekonstruksi Fr Tulang Wajah Kompleks
MID : AT ) SORE PROGRAM : TW,AY*,HA,SR,US,SA,AR,BY,ANM,RM,SC,TM,VQ,RG,AG*,SU,TR,AN,DA,DJ,WD ALAT : PUR,RA ( S : DJ )
Soft Tissue Tumor SarcomFemur Wide Eksisi + Rekonstruksi + PA B,KH UUD √ SE TM
Fr Metacarpal Dig III Manus Sin + Fr ulna 1/3

Reposisi + Gips S DRY √ SL PS
Prox
Luka Terbuka Post Laminectomy Refreshment Luka (Re Hecting) S HY √ DA MW
Thrombosis Vena Femoralis Sinistra Embolectomy Sinistra KH AS √ WI DY
Fr Fiksasi Eksternal yg Kompleks KH DRY √ MY PS
G3P2A0, Histerostomi + MOW B ER √
Hidrocephalus Non Com VP Shunt KH AJ √ MW DA
Intracerebri Haemorharge Subdural

Cranitomi KH ER √
Haemorharge
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
SL,NH,MY
PLH : EV GI
HE,ER
Radikal Penektomi + Diseksi Kel Inguinal +
Ca Penis KH,S,B MAS √ AO,MW AG
Prostatectomi
Batu Ureter Distal Uretrolitotomi + DJ Stent KH,B NDA √ S : AN AN AF
Vesicolithiasis Vesicolitotomi B WAN √ AN AF
Ca Tonsil Ekstirpasi Massa Tonsil + Limfadenektomi S,S WY √ AF AN
Impaksi Odontectomi 4 gigi + Ekstraksi 3 gigi KH DV √ RK,MK RK MK

Insersi Gromet Telinga Kanan + Injeksi
OME S,S AYU √ S : TM TM AF
Kortikosteroid
Hemothympani Insersi Gromet Telinga Kanan S AYU √ AF TM
Polip Endometrium TPO dd/ Mioma TAH + Kistectomi +Adhesiolisis + FS KH,B,S HR √ TK,AM* AM TK
G2P1A0, PEB SECTP + IUD B JD √ Gatot HE SL
NOK dg Bag. Padat c/ Ganas SOU + FS B EW √ S : TW TK AM
KH,KH,
Ca Endometrii TA + BSO + Limfadenectomi + Adhesiolisis EW √ TW AM
B,S
Ca Colon Laparatomi Biopsi KH ERI √ TD,ST
Ascites Exudatif Kurulen Drainase Ascites S ERI √ S : WD*
Laparoscopy Eksplorasi CBD +

Ikterus Obstruktif ec Choledocolithiasis KH,KH ERI √ WD
Cholesistectomi
STT Wide Eksisi + FS B BIS √ AZ,ID ID AZ
FS, ganas - Hemiglosektomi + Upper Neck

Tumor Lidah B,KH BIS √ S : AR AZ ID
Disection
Hipospadia Phenoscrotal Chordae Uretroplasty Tahap I + Chordectomi KH,B EDW √ AI,EA EA AI
Hipospadia Chordectomi B EDW √ S : SC AI EA
Hidrokel Ligasi Tinggi Laparoscopy KH PTY √ SU
Myelomeningocele Rekonstruksi 3 Layer KH AJ √ SF*,RE*
OMSK Thympanoplasty KH PW √ RG US
OMSK Kiri Thympanoplasty Kiri KH PW √ S : RG
Hidrocepahlus e.c Dendy Walker Syndrome VP Shunt KH GK √ LW,ND
Defect Cranium Post Craniectomi Cranioplasty KH DP √ S : BY,VQ* ND LW
Fr Talus Sinistra ORIF KH DID √ PR,AP AP PR
Ulkus Granulosum Antebrachii Dex+

Fiksasi Internal yng Kompleks KH DRY √ S : ANM,SU
Nekrosis Digiti V Manus Dx
STSG Luas KH PJ √
Union Fr Clavicula Remove Implant Clvicula B DID √ ANM
Pneumothorax Dx on WSD Thoracotomi Explorasi Decortikasi KH ALI √
ASD II, TR Moderate, MR Moderate, Mitral EN,MA,AH*

ASD Closure SF / ALI
Valve Prolaps BP,AS,SS
Mata Kanan Vitrectomi Anterior + IOL

Mata Kanan Kiri Afakia + Nistagmus KH,S LN √ NK,DI NK DI
Implant + Sinekiektomi + Irigasi Aspirasi
Mata Kiri Anofthalmia + Massa Palpebra

Mata Kiri Wide Eksisi + Biopsi + PA B AK √ DI NK
Superior
DI,
Mata Kiri Ulkus Kornea Perforasi Mata Kiri Periosteal Graft B DN √ NK
HE
Mata Kiri Katarak Traumatika Mata Kiri Phaco + IOL KH AL √ YW,TU,DW DW YW
Mata Kanan KSI Mata Kanan Phaco + IOL AK
TVH + Kolporafi Anterior +
Prolaps Uteri Gr III, Sistokel Gr II KH,KH AF √ UM,HA HA UM
Kolpoperineorafi
Ca Mamae Dx MRM KH YAN √ AL,PS PS AL
Rekontruksi STSG B RZ √
Laringoscopy Direct + Ekstirpasi Massa
Papiloma Laring Rekuren S,S MYS √
Papiloma
Tonsilitis Kronis Tonsilektomi S MYS √ AT
Ulkus Granulosum Cruris Posterior Debridement + STSG KH RZ √ TA, AD AD TA
Panfacial Fraktur Rekonstruksi Fr Tulang Wajah Kompleks KH PJ √ S : HR,SR SR HR
(MID : AT ) SORE PROGRAM : WU*,ET,TW,AY,HR,SR,US,AR,BY,ANM,SC,TM,VQ,RG,SU,AN,DA,DJ,WD* ALAT : PUR,RA ( S : DJ )
Ca Cervix St III b + CKD Repair Nefrostomi Percutan Dex,Sin KH NDA √
BR,
OMSK Kanan ME Simple + Thympanoplasty Kanan B,KH AYU √ MK
RK
Hernio Herniotomi B PTY √ RI SC
G1P0A0, SCTP B VG √ Gatot SE RI
Multiple Fr Debridment + Reposisi Tertutup B,S BIN √
G1P0A0, Hml 40mg, Partus Tak Maju SCTP B VG √ Gatot HE NH
GPA SCTP + IUD B VG √ Gatot
Phimosis Sirkumsisi S PTY √ SL NH
Mata kiri Laserasi Palpebra + Ruptur Kanalis Mata Kiri Rekontruksi Palpebra +
S,S INA √ MY NH
Karimalis Rekanalisasi
Apendicitis Apendictomi KH JS √ DA ET,SC
Pseudoaneurisma Repair Pseudineurisma KH ALI √
Wound Dehisence Post SCTP Explorasi KH JD √ BY ET,SC

Debridement B NJT √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
EV,AH,AL,DW,BP,EN,GN,JF,TU,MR,MF,M RK,AO,RE,
A AD,EA
NP,NH,RA,SAM,SC,SA,SS,TA,YW AS,HA,MW
Abses Retroauricula, Mastoiditis Kolesteatom Mastoidektomi Simple B PW √ GI,AT,UM AT UM
OMSK + Kolesteatom ME Simple + Thympanoplasty Kiri B,KH PW √ S : HR,DJ UM
Surgical Staging (TAH + BSO + KH,KH, TK

Tumor Padat Ovarium EW √ TW,TK,AM TW
Omentectomi + Biopsi Peritonium) + FS S ,AM
Laparatomi Adhesiolisis Kompeks KH ERI √
ET,
Sinusitis Kronik + Konka Hipertropi FESS KH ANA √ S : SU,TM TM
BY
Ca Mammae Insisi Biopsi S YAN √ TD,ST,TU
ST,
Tumor Colon Ascenden Laparoscopy Hemikolektomi Dex KH ERI √ TD
TU
Combustio Gr II-III 65% Debridement KH PJ √ AZ,AF,DM
Tetanus Generalisata + Gigi Multiple

Oodontectomi 1 Rahang KH RP √ DB AF
Ganggren
Megacolon Kongenital on Colostomi Duhamel Prosedure + Stapler KH EDW √ AI,MK,DN
MAR on Kolostomi Post PSARP Repair Fistula B PTY √ S : AR,SR
Limfangioma Colli Sin Axilla Wide Eksisi B PTY √
LW,BR,ER
Hemangioma Eksisi Hemangioma B ALI √ PR,AP,PS PS

Implant Failure Femur Re-ORIF Femur DID S : ANM
OGRAM : NO*,WU,ET,SF,AY,AR,BY*,DJ,HR,ANM,SR,SU,TM,VQ ALAT : PUR,RA ( S : DJ )
Abses Submandibula Eksplorasi Abses + Tonsilektomi S,S AYU √
Oodontectomi B RP √
SDH Fronto Temporo Parietal Craniotomi KH ER √ WD
AD,
Open Left Panetal Depressed Fracture Craniotomi KH ER √ WU
EA
Malignant Round Cell Tumor Sinonasal Mata Kiri Orbitotomi Biopsi + PA KH TL √
Craniotomi Dasar Tengkorak KH MTA √

ICH Frontal Dex Craniotomi KH ER √ SA II
Peritonitis Generalisata Laparatomi explorasi KH JS
G3P1A1, PEB SCTP + MOW B HT √ MW HA
Abses Retro Auricula ME Simple B PW √ AT UM
Laparatomi Eksplorasi Adhesiolisis AO, EA,

Ileus Obstruktif KH PTY √
Reseksi Stoma + Iloesotomi Double Barel DJ HR
WU,A
G3P2A0, Hml 33mg, PEB, bekas SC SCTP + MOW dg penyulit bekas sc KH JD √ Arsita RE
D
HE,
Apendicitis Akut Laparatomi Appendiktomi KH PTY √ DJ
SR
Laparatomi Eksplorasi Omental Pagve +

Peritonitis Generalisata KH JS √ DA RM
Apendiktomi
G1P0A0, Partus Tak Maju SCTP B ER √ WD TR

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
Impkasi Gigi Odontektomi B RP √ AO,ND,PM AO ND
Impaksi Gigi Odontektomi RP
OMSK Kanan dg Cholesteatoma ME Simple Kanan B ZUL √ AO,ND TK NO
OMSK Kiri Thympanoplasty Kiri KH ZUL √ TK ER
Adeno Ca Recti Ultra LAR + Ileosotomi KH,B MG √ PM PL NO
Prolong ET Tracheostomi S DAT √ PL* RE

RSK + Konka Hipertrofi FESS + Konkotomi KH,S DAT √ RE
Laringomalaysia Pasca Trachestomi LD Supraglotoplasty+ Ganti Kanul Trakea S, DAT √ RE DA
Disfagia Fase Esofagus dd/ Curiga Massa Esofaguskopi Rigid B DAT √ DA
Fr Femur Sin 1/3 Prox ORIF Fr Femur Sin KH BIN √ MY,YS IS ER
Fr Radius Negleted Dex Rekontruksi OS Radius Dex KH BIN √ IS ER
HNP Endoneurolysis + Rhizoromi S,KH TRIA √ PM AG
Hipospadia dg Fistel Uretrocutam Re Uretroplasty + Fistulektomi KH,B EDW √ YS MW
OMSK dg Koleateatom ME Simple + Thympanoplasty B,KH AYU √ DJ NO
OMSK dg Komplikasi Mastodidektomi ME Simple + Thympanoplasty B,KH AYU √ DJ MY
Impaksi 38 Odontectomi 1 rahang B DV √ ER YS
OMSK + Mastoiditis Sin ME Simple + Thympanoplasty B,KH AYU √ UM ET
Peritonitis Laparatomi Eksplorasi Apendiktomi KH JS RM AN
ICH Craniotomi KH MTA √ WD SA
KET Laparatomi Salpingectomi B BE √ IM
Caries Multiple Extraksi gigi B RP √ MY
Bore Hole Dranase KH AJ √

CKD Pasang Double Lumen KH ALI √ YS
CKD Pasang Double Lumen KH ALI √ YS
SNH r/ Fronto Craniotomi Konveksitas KH MTA √ ER YS,
Right Temporobasal Epidural Craniotomi KH ER √ TM AY
Trauma Tumpul Abdoment Laparatomi Eksplorasi Splenectomi KH MM √ VQ PL

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL NH,SL, HE,PL
Fistel Uretrocutan Uretroplasty Tahap II KH ADS √ EV,DN DN II
Fistel Uretrocutan ec Hipospadia Uretroplasty KH ADS √ S : AT,JF II DN
Fr Zygomatico Maxilla Kompleks + Suspect

Reposisi Fraktur KH WY √ JF DN
Ruptur Bulbi
Massa Orofaring Traceostomi + Tonsilektomi S,S WY √
GI,
Massa Septum Nasi Kanan Maksilektomi Medial KH DAT √ GI,AO,AR AO
AR
KH,KH,
PCN + URS + Litotripsi + Aff DJ Stent +
DJ Stent Membatu KH,S, MAS √ S : DM GI AO
Nefrostomi
KH
Repair Nefrostomi + Ganti Kateter
Fistule Nefrostomi KH MAS √ DM EV
Nefrostomi
NOK c/ Ganas Laparatomi Optimal Debulking + SOD KH,B MZ √ TW,ES TD ES
Ca Ovarii Residif Laparotomi Debulking KH EN √ S :AM ES TW
Ca Ovarii Inadequat Staging Surgical Staging KH EW √ AT TW
Cholesistolithiasis (HbsAg +) Laparoscopy Cholesistektomi KH JS √ TD,MY MY TD
Tumor Intra Abdomen Extra Luminer Laparotomi Biopsi KH MG √ TD MY
Hernia Scrotalis Dx Reponible Herniotomi + Hernioraphi B ERI √ S :PS,ST MY TD
Hernia Insisional Repair Hernia Insisional Mesh KH ERI √
TB Mesenterial Laparotomi Biopsi KH ERI √ ST PS
Adeno Ca Thyroid Total Tiroidektomi + RND Sin KH,KH UUD √ AZ,ANM ANM AZ
Ca Thyroid Total Tiroidektomi KH UUD √ S :ID AZ ANM
Ca Mamae MRM KH DWT √ EA ID
SF,
Tumor Mamae Dx Insisi Biopsi S DWT √ IS
TK
Ca Mamae Wide Eksisi DWT
PSARP + Laparatomi Adhesiolisis + KH,KH,
MAR Letak Tinggi RR √ AI,YS AI YS
Ileostomi + Orchidopexy B,B
UDT Bilateral + HILS Reponible Orchidopexy + Herniotomi Bilateral B,B,B,B RR √ S : BD
Massa Paru Kanan Thoracotomi ALI

AF,BR
S : TK
LW,BY
S : SF, IS*
Implant Failure Hip Sin Revisi THR Sin KH BIN √ PR,AP AP PR
OA Genu Arthoscopy + Debridement S,S BIN √ S : MF*
OA Genu Arthoscopy + Debridement S,S BIN √ MF
OA Genu Sinistra TKR Sin KH BIN √ MF
AH,
AR mod-severe, AS mild-mod, MS mod MVRepair + AVRepair BJ.08 SF √ EN
MA
ASD II, TR Moderate, MR Moderate, Mitral EN,MA,AH
ASD Closure SF / ALI
Valve Prolaps BP,AS*,SS
Mata Kanan Massa Konjungtiva Palpebra
Mata Kanan Wide Eksisi + FS B TL √ NK,HR HE NK
Superior
Mata kanan Rekontruksi Palpebra KH INA √

Retinopathy Combine Tractional Retinal Mata Kanan Vitrectomi + Endo Laser + MP
KH AL √ DJ DI
Detachment + Regmatogenous Retinal + SO
Detachment
Mata Kanan Vitrectomi + Endo Laser +

Mata Kanan Ablatio Retina AL
Silicone Oil / Gas
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasion + IOL AK YW,TU
Mata Kanan Katarak Senilis Imatur Mata Kanan Phacoemulsifikasion + IOL AK
Mata Kanan Pseudofakia Mata Kanan Buka Jahitan WIS

Mata Kanan Katarak Traumatika + Glaukoma
Mata Kanan Ekstraksi Katarak WIS S : DI,HA
Sekunder
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulsifikasion + IOL WIS
Mata Kiri Katarak Mata Kiri Phacoemulsifikasion + IOL AL
Mata Kanan Sekunder Implant +
Mata Kanan Afakia RF
Vitrectomy Anterior
Mata Kiri Pseudofakia Mata Kiri Buka Jahitan RF
Mata Kanan PACG, Mata Kiri PACS Mata Kanan Phacoemulsifikasion + IOL FI
Laparoscopy Kistectomi Bilat +

Kista Ovarii KH,KH TF √ NP,RG,RI RG NP
Adhesiolisis
Kista Ovarii Laparoscopy TF S : SU
UDT Bilateral Orchidopexy Bilat B NDA √ RI NP
SNNT Total Tiroidektomi + RND Sin KH,KH YAN √ WU,TM TM WU
SMNT Sin c/ Ganas KH DH S : RE RG
Tiroidektomi
STT Reg Axilla Dx Wide Eksisi + FS Tepi Bebas Tumor B DH AD ER
Ulkus Decubitus Gr III + TMS c/ Ganas Incisi Biopsi S UUD √ TA, ND ND TA
Eksisi + Rekontruksi KH ETH √
Hipospadia Uretroplasty Tahap I KH ETH √ S : MK MK
Hipospadia Uretroplasty Tahap I KH ETH √ S : MK MK
D :ER ) SORE PROGRAM :NO,SF,RK,AU,AM,AT,RE,DW,BD,DM,TK,DI,EW,HA,ID,IS,JF,PS,MW,MK,MF,SU,ST,YR ALAT : PUR,RA ( S : DW )
Hernia inguinalis dextra Herniotomi Dex B RR √ YS AI
Meningioma sphenoid wing Craniotpmi Dasar Tengkorak KH DP √ BY LW

Fr patologi VL 2-3 e.c spondilitis TB Fusi Posterior KH AJ √ BR AF

Laminektomi Kompleks KH HY √
Hemiparese sin e.c kompresi VL 3-5 Laminektomi Fiksasi Internal KH AJ √ TK SF
Relaminektomi Fusi Fiksasi Internal dg

SOL cysta intratoracal VL 4-5-6 KH HY √ IS SF
Mini Plate + Re Freshmen Luka Operasi
Fr wrist sinistra ORIF Radisu Distal KH DRY √ EM
Union Fr Radius Ulna Aff Implant B DRY √ EW YR

Vesicolithiasis Sectio Alta (Vesicolithotomi) B WAN √ DN
Cholisistolithiasis Laparascopy cholesistectomy KH ERI √
Tumor intra abdomen Laparascopy biopsi KH ERI √ PS ET
OMK Tympanoplasty Kanan KH ZUL √ DM EV
Fraktue zigomasticus Rekonstruksi Fr Wajah Kompleks KH PJ √ DY
TMS C/ ganas T4cN2aM1 Insisi biopsi S DWT √
SNNT sinistra c/ ganas T3N0M0 Ismolobektomi + FS, ganas- TT KH,KH BIS √ ID
Meningoenchepalitis bakterial LP B TUN √ YR EW
Susp meningitis LP B TUN √ EW YR
CKD Pasang DL K ALI √ WD
Akut limb ischemia reg ekstremitas inf dex Amputasi Cruris Dex KH AS √ DJ EM
G3P1A1 Hamil 35 mgg plasenta previa SC B JD √ Gatot HE RK

Histerektomi Total + SOS KH,B EN √
Batu Uretra Lithotripsi Batu Buli KH NDA √
Mata Kiri Laserasi Palpebra Fulthikness Mata Kiri Eksplorasi Bulbi + jahit Palprbra S,S WIS √
Sklera
Peritonitis Generalisata KH MM √ SL PL
Laparatomi Explorasi + Sigmoidostomi
G1P0A0, Partus Tak Maju SCTP B VG √ Gatot RK HE
Mata Kanan Corpal Kornea + Laserasi Mata Kanan Ekstraksi Korpal + Jahit
S,S INA √
Kornea Full Thickness Kornea
Impaksi Odontectomi 4 gigi KH DV √
Tonsilektomi S AYU √
Efusi Pleura Masif Sin WSD Thorakal Sin S WW NI ET

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL NH,SL, HE,SE
Hipospadia Uretroplasty KH ADS √ GI,DN
Hipospadia Uretroplasty KH ADS √ S : EV,JF
Fr Mandibula Reposisi Fixasi Fr Mandibula DV
TOF Caries Multiple Ekstraksi Gigi B DV √ DN GI

Rhinosinusitis Kronik, Konka Hipertrofi FESS III + Konkoplasty KH,S ANNA √ AO,AR AR AO
RSK FESS III + CWL Kanan + Konka Reduksi KH,B,S RH √ S : DM AP AR
EV,
OMSK Kanan ME Modifikasi + Thympanoplasty Type I KH,KH DAT √ DM
JF
OMSK Kiri Pasca ME Simple + Atikotomi ME Radikal Kiri KH ZUL √ DM EV
OMSK Kiri + Stenosis CAE Kiri ME + Tympanoplasti Kiri ZUL
CKD Double Lumen ALI WD
P4A0 NOK c/ Ganas, Ca Cervix Uteri Complet Surgical Staging + FS KH MZ √ TW,ES TW ES
Mioma uteri TAH + BSO KH,KH EN √ S : EW ES TW
Fr. Radius Distal ORIF Shaft Radius Distal KH DRY √ EW
Fr. Ankle + Skin Degloving reg cruris sin Multiple Fr Tulang Panjang ORIF KH DRY √ EW
Debridment KH PJ √
Multiple poliposis colon asesden Laparascopy Total Colectomy k/p Open PB TD,MY
Megacolon post coloctomy Evakuasi skibala K PB √ S :ST MY TD
Fistel Enterocutan high output Laparatomi Repair Fistela KH MG √ MY TD
Burger Disease Sympatectomy ALI

Superfisial Parotidektomi+ FS, ganas -total
Tumor Parotis B,KH BIS √ AZ,ANM ANM AZ
parotidektomi
Ismolobektomi + FS ganas Total KH,KH,
SNNT Sin DH √ S : ID AZ ANM
Tiroidektomi + RND Sin KH
Tumor Mamae Dx et Sin Multiple Eksisi Tumor Mamae Dx et Sin B DH √ ID
TMS c/ Jinak Wide Eksisi + PA B DH √
Defect Reg Bucal Sin Rekonstruksi Free Flap KH NJT √ AI,YS MK AI
Gnatoschizis Alveolar bone graft KH NJT √ S : BD AI MK
Hidrocephalus + Massa CPA VP Shunt KH GK √ AF,BR BR AF
Abses Cerebri Craniotomi Evakuasi Abses KH AJ √ S : AT,RE
Meningioma Sphenoid Sin Craniotomi Dasar Tengkorak KH ZM √ LW,BY BY LW

Pasang CVC KH HN √ S : IS
Laminektomi Dekompresi + Intanl Fiksasi
Fr Vertebra L II KH,KH APR √ PR,AP
Fusi
PR,
Implant Failure Femur Sin Revisi Implant Fr Femur sin KH APR √ S : MF AP
SA
Ulkus diabetic cruris pedis Amputasi bawah Lutut KH APR √ MF
Dislokasi Hip Joint Dx THR Dx KH BIN √ MF IS

BJ.03 EN,MA,AH
ASD II, TR Severe, PR Mild ASD Closure + Repair Katup Tricuspid WW √ AH MA
BJ.06 BP,AS,SS
Mata Kanan Vitrektomi + Endolaser + NK,
Mata kanan Ablatio retina KH AL √ NK,HR,PL HR
Silicone Oil PL
Mata Kanan Kiri Massa Palpebra dd/ Tumor Mata Kanan Kiri Orbitotomi Anterior + NK,
KH,S TL √ S: MK DL
Glandula Lakrimalis, Limfoma Biopsi + PA HR
NK,
Combustio Gr IIa-b 2% Manus Dx Debridement Luka bakar KH ETH √ RE
PL
Labiopalatoshiziz Palatoplasty KH PJ √ YS DI
Combustio Gr II-III 65% Debridement + STSG PJ
Mata kanan kiri Primary Open Angle Mata kanan Trabekulektomi AK YW,TU
Glaucoma + pseudofakia
Mata Kanan Katarak Senilis Imatur Mata kanan Phacoemulsification + IOL INA S : DI
Mata kanan kiri katarak senilis imatur Mata kiri Phacoemulsification + IOL WIS
Mata kiri Pseudofakia Mata kiri Buka Jahitan WIS
Mata kiri Afakia Mata kiri secondary Implant ( Iris Claw ) RF
Mata kanan glaukoma absolut, Mata kiri

Primary Open Angle Glaucoma + Mata kanan Cyclocryoterapi FI
Pseudofakia
TM,
Mioma Uteri TAH KH HR √ NP,RG,TM* RG
NP
NOK c/ Ganas SOU + FS s/d CSS IN
NOK c/ Ganas SOU + FS s/d CSS IN S : AM
Basalioma Pipi Kiri Wide Eksisi + FS Tepi Bebas Tumor B YAN √ WU,SR* WU SR
Rekontruksi Flap + FTSG B,KH RZ √
Invasive Ductal Ca Gr II MD MRM KH YAN √ SR ER
Ishmolobektomi + FS, Wide Excisi + FS,
metastase adeno ca colli bilateral KH,B,S UUD √ TM NP
Limfadenectomi
Laparotomi Eksplorasi Duodeno-
Stenosis Duodenum RR TA,ND
duodenostomi
TMS c/ Ganas Insisi Biopsi S DWT √ S:PS ND TA
Soft Tissue Tumor Wide Eksisi + Pasang Mesh + PA B,KH DWT √ AM
(MID :ER ) SORE PROGRAM : SF,II,RK*,AU,AM,AT,RE,DW,BD,DM,DI,EW,ID,IS,JF,PS,MK,MF,ST,YR ALAT : PUR,RA ( S : DW )
Orchidopexi Dextra + Aspirasi Hidrecele
UDT dextra B,S RR √ ND TA
Sin
CKD Pasang DL K ALI √ WD
CKD Repair DL K ALI √ US
CKD Pasang DL K ALI √ US
CKD Pasang DL K ALI √ US
Striktur Uretra Sectio Alta B WAN √ AY HI
Retensi Urin Sistoscopy S NDA √ HI AY
Susp Keganasan ALL BMP B NYO √ AY HI
Fr parasimpisis mandibula dex et sin Rekonstruksi Fr Tulang wajah KH PJ √ SU DY
Tumor MS, Fr kompresi VL Laminektomi Kompleks KH HY √ BR AF

Phimosis Sirkumsisi S RR √ ND TA
Ulkus DM r/ Pedis Sin Amputasi Cruris Sin KH AS √ WI TR
Ileus obstruktif Hemicolektomi sinistra k/p colostomi KH MG √ JF ST
G1P0A0, Susp Hidrocephalus SCTP B TF Arsita SL NH

Ca Sinonasal Maksilektomi Medial + Eksterpasi Massa KH DAT √ SE HE
GPA, SCTP + MOW B AF √
LD + Eksterpasi Massa + Biopsi +

Massa Glotis c/ ganas S,S,S FAR √
Traceostomi
G5P3A1, Hml 37mg, HIV+ SCTP + IUD B IN √ Arsita WD NH
Peritonitis Generalisata Laparatomi Explorasi KH MM √

AG RK
G2P1A0, KPD SCTP B PS √ Gatot RK AU
Asites Punksi Drainase Asites S MG √ AU AM
Peritonitis Generalisata Eksplorasi Abses Submandibula S AYU √ TK EA
Laparatomi Explorasi perforasi Duodenum KH MG √ HA RK

Ometal Plug
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
NH,SL,
PLH : AL
HE,SE*
Nefrolithiasis dekstra Percutanius Nefrolithotomi KH ADS √ EV,GI,RM GI II
Tumor renal dextra c/ RCC Nefrektomi dextra KH WAN √ S : EW,AR II GI
Ca Mamae BCS KH DWT √ GI II
TMS Wide Eksisi B DWT √ EW AU
Massa Sinonasal Maksilektomi Medial KH DAT √ AO,MK RM AO

Mata Kanan Orbitotomi Anterior KH TL √
OMK Dupleks Thympanoplasty Kanan KH ZUL √ S : DM ST
OMK Dry Ear Kanan Thympanoplasty Kanan KH ZUL √ DN AO
Papiloma Glotis Pasca Tracheostomi LD + MBL (Mikro Bedah Laringoscopy) S FAR √ DN YR
Angiofibroma Ekstripasi Massa WY
G3P1A1 Hamil 38 Minggu Teratoma Matur SCTP B VG √ Gatot TW ES
Conservatif Surgical Staging KH MZ √ TW,ES
G1P0A0 Hamil 38 mgg letak sungsang SCTP B MZ √ Arsita TW ES
Ca Endometrium St II Klinis Complet Surgical Staging KH EW √ S : DN TW ES

KH ERI √
Repair Laserasi Ileum
Fr Metatarsal V ORIF KH DID √ DN EV

Tumor Colon Sigmoid LAR KH JS √ TD,AG AG TD
Hernia Insisional Reg Abd Dx Repair Hernia PB S : II,TR
Pasca Colostomi Tutup Colostomi KH ERI √ TR EV
Ca mamae sinistra Diseksi Axilla KH DWT √ TR EV
Limfadenopati Colli c/ Ganas Insisi Biopsi S BIS AZ,ANM
TMS c/ Ganas T3N1M0 Insisi Biopsi + FS ganas - MRM S,KH DH √ S : ID TM AZ
Sub total Lobectomi + FS ganas - Total

SNNT c/ Ganas KH,KH UUD √ ANM AZ
Tiroidektomi
Tumor Kulit c/ Ganas Wide Eksisi + FS Bebas Tumor B UUD √ ID
Mata Kiri Flap Kunjungtiva + Rekonstruksi
S,S TL √
Palpebra
Tumor Hepar Laparotomi Biopsi RR AI,WD
Panfacial Fraktur Rekonstruksi Fr Tulang Wajah Kompleks KH PJ √ S : BD,MY AI WD
Combustio Gr I-II 13,5% ec Api Debridement KH PJ √ MY BD
Combustio Gr II-III 65% ec Api Debridemnet + STSG KH PJ √
Massa Paru Kanan Thoracotomi Explorasi ALI

SOL Extradura Bedah Mikro Tumor Medula Spinal KH HY √ AF,BR AF BR
Laminektomi Kompleks + Fiksasi Internal KH AJ √
Paraplegi ec Tumor Medula Spinalis LIII-Th
Tumor Extradura Medula Spinal KH HY √ S : AT*,BY
IV
Epilepsi Craniotomi Bedah Epilepsi KH ZM √ LW,SA SA LW
Tortikolis Cervicalis Laminektomi Kompleks KH MTA √ S : IS IS AT

IOM B Aris √
Fr Kompresi Vert Th 6-7, 11-12 KH,KH APR √ PR,AP
Fusi
Spondilitis Vert L3 KH,KH APR √ S : MF MF
Fusi
Fr Clavicula Dx ORIF Clavicula KH APR √ MF
Union Fr Fibula Removal Implant S BIN √ AM
OA Genu Sin Arthorscopy + Debridement S,S BIN √ BD MY
OA Genu Bilateral TKR Sin KH BIN √ AM RE
EN,MA,WI MA,A
TOF BT Shunt (ASD) BJ.03 WW √ WI
BP,AS,SS S
Tumor Mediastinum Eksisi Tumor Dinding dada + Core Biopsi B,S WW √ S : HA HA
NH,
Mata Kanan Kiri Afakia Mata Kanan Vx Anterior + Implant IOL KH LN √ NK,HR*,PL HR
PL
Mata Kanan Kiri Katarak Kongenital + Mata Kanan Ekstraksi Lensa + PPC + Vx NK,
KH LN √ S: MK HR
Nistagmus Anterior + IOL + PI PL
Mata Kiri Laserasi Palpebra Sup Post
Mata Kiri Rekonstruksi Palpebra + NK,
Hecting + Lagoftalmus + Fr Naso Orbita S,S INA √ PL
Reposisi Fraktur HR
Ethmoid
Mata Kanan Ulkus Kornea Mata Kanan Keratoplasty KH WIN √ DI HR
Mata Kanan KSI + Subluksasi IOL Mata Kanan Phaco + IOL / EKIK AK YW,TU
Mata Kanan KSI Mata Kanan Phaco + IOL AK S : DI
Mata Kanan Kiri KSI Mata Kanan Phaco + IOL RF
Mata Kanan Phaco Diagnostik +
Mata Kanan Katarak Komplikata + RD WIS
Sinekiolisis
Mata Kanan Kiri Afakia Mata Kiri Secondary Implant WIS
Mata Kanan Glaukoma Absolute Mata Kanan Cyclocryoterapi FI
Mata Kanan Kiri PACG + KSI Mata Kiri Phaco + IOL FI
Mata Kiri Persistent Epitelial Defect Mata Kiri Pro AMT DN
NOK c/ Ganas TAH + BSO + Omentectomi + FS KH,B,S EN √ NP AR
Laparoscopy Adhesiolisis + Ooforectomi
Kista Ovarii KH,KH TF √ NP,RG,TM ER AR
Parisial Dex
Laparoscopy Adhesiolisis + Salipigostomi
Hidrosalping KH TF √ MID : VQ
Dex
Laparascopy Adhesiolisis KH JS √
P4A0 Post Partum Ingin Steril MOW S AF RG
Ca Mamae Sinistra BCS Sin + FS KH YAN √ WU,SR SR WU
SMNT c/ Maligna Ishmolobektomi Dex + FS KH YAN √ S : YS WU SR
Soft Tissue Tumor Wide Eksisi B DWT √
Rekonstruksi Pasca Keganasan KH ETH √
Skin Nekrotik ec Skin Degloving Debridement + STSG Luas B,KH NJT √ TA,ND TA
Bone Expose Tibia Dx Debridment + Rekontruksi Flap KH NJT √ S : PS ND TA
Basalioma Ala Nasi Post Wide Eksisi +
Rekontruksi Pasca Keganasan KH NJT √ ND TA
Rekonstruksi
Kontraktur Tipe Ekstensi Ankle Release Kontraktur Kompleks KH ETH √ PS
(MID :ER ) SORE PROGRAM : SF,II,RK,AU,DW,DM,DI,EW,ID,IS,JF,PS,MF,YR,AR,BY,DN,HA,MY,YS,TR,AT*,BD* ALAT : PUR,RA ( S : DW )
Impaksi + Ganggren Odontektomy 4 gigi + Ekstraksi 2 gigi KH,B DV √
OMSK Kiri + CAE ME + Tympanoplasty kiri B,KH ZUL √ RM AO
Union Fr Illium Sin Removal Implant B BIN √
Ulkus DM Post Amputasi Debridment Luas B AS √
CTEV Debridment + Aff implant B DRY √ SE SL
G1P0A0, Hml 40mg, Fatal Distres SCTP B SR Gatot HE NH
Laparatoi Explorasi + Iileostomi +

Leakage anastomose post laparatomi KH,KH RR √ WD AI
G1P0A0, KPD, fatal distres SCTP + IUD B SR Gatot HE NH
Hidrocephalus VP Shunt KH DP √ SL SE
Laparatomi Explorasi Simple Closure +

Perforasi gaster Post ERCP KH ERI √ AU RK
Bypass Gastrojejunustomi
Post VP Shunt Aff VP Shunt K AJ √ TK SU

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL SL,SE,HE, TM
Ulkus Kronis Plantar Pedis Dx Debridment + STSG KH ETH √ RE AM
Hipospadia Uretroplasty tahap I KH RZ √ II,GI GI II
Fistel Uretrocutan Post Uretroplasty Uretroplasty KH ADS √ S : AR,TR
Hipospadia Uretroplasty Tahap IV KH ADS √ II GI
Abses Peritonsil Kiri Tonsilektomi + Insisi Drainase Abses S,S RR √
Disfagia ec Nodul Plika Vocalis LD + Ekstirpasi Massa S,S RR √ NH EV
Adenoidectomi dgn Endoscopy +

Adenoid Hipertrofi B,S FAR √ AO,RM RM AO
Tonsilektomi
RSK + Konka Hipertrofi FESS III + Konkotomi + SR KH,,S,B RH √ S : EV AO RM
Adeno Tonsilitis Kronis ATE B RH √ AR TR
RSK + KNF FESS + CWL KH,B DAT √ AR EV
Massa Cavum Nasi Ekstirpasi Massa DAT
Stenosis Trakea LD + Release Stenosis Trakea S DAT √ EW
Ca Sinonasal Maksilektomi Medial KH DAT √
Myelopathy Lumbal + HNP Endoneurolysis + Rhyzotomi S TRIA √ MID : PL IS SF

KH,KH,
Ca Cervix Radikal Histerektomi + BSO + LPB MZ √ TW*,ES TW ES
B
Mioma Uteri TAH KH INU √ S : DN ES TW
Laparascopi Adhesiolisis +
Hidrosalping KH INU √ DN TW
Neosalpingostomi
Mata Kiri Orbitotomi Anterior Trans
Mata Kiri Tumor Palpebra Inferior KH TL √ DN
Konjungtival
Multiple poliposis colon asesden Laparascopy Total Colectomy k/p Open KH PB TD,MY TD MY
Kista Hepar Laparascopi unroofing Kista Hepar KH ERI
Disfagia Fase Esofageal ec Striktur Esofagus Esofaguskopi + Businasi KH,K DAT √ S : DJ DJ DA
Akalasia Esofaguskopi + Businasi B DAT √
IDC Gr II MD rT4bN1M1 (Hepar) Insisi Biopsi S BIS √ AZ,ANM ANM AZ
Subtotal Tiroidektomi + FS ganas - Total

SMNT Dx et Sin T3NoMo KH,KH UUD √ S : ID AZ ANM
Tiroidektomi
Plate ekspose Debridement + Aff Plate B,B DWT √ ID
Debridement + Rekonstruksi Pasca
B,KH NJT √
Keganasan
Fr Subtrocanter Hemiartroplasty Hip Rekonstruksi KH DID √
Refraktur ORIF Re ORIF Femur KH DID

Laparatomi Explorasi Anastomose
Stenosis Duodenum KH EDW √ AI,WD WD AI
Duodenoduodenostomi Diamond Shap
MAR On Colostomi Laparatomi Reseksi Anastomose Colon KH PTY √ S : DA AI WD
Kolestasis Laparatomi Biopsi hepar RR
Tetraparese ec Fr Kompresi VCS Frankle A Laminoplasty + Fiksasi Interna HY-AJ AF,YS
S : BR*
Epilepsi Craniotomi Mikro Bedah Epilepsi KH ZM √ LW*,SA
EEG Intra Operatif KH Aris √
Meningioma Fronto Parietal Sin Craniotomi Tumor Konveksitas KH ER √ S : IS
Fr Collum Femur Bipolar Hemiartroplasty KH APR √ PR,AP* AP PR
Laminoplasty Dekompresi + Internal

HNP Reg Vert Cervical KH,KH APR √ S : MF AP PR
Fiksasi Fusi
KH,KH,
Fr Cruris Dx 1/3 Distal ORIF Tibia + ORIF Fibula + Gips APR √ AP PR
K
Fr Tibia Dx Comm Tbk ORIF Fr Tibia Dex KH BIN √ ID
Avaskuler Nekrosis Hip Joint Sin THR Sin KH BIN √
Dislokasi Hip Joint Sin Post THR Revisi Implant BIN

EN,WI
MR Moderate MVR BJ.09 SF √ EN WI
BP,AS,SS
ASD ASD Closure BJ.03 WW √ MID : IM,MA MA BD

S : BD
Mata Kiri Katarak Traumatika + Iridodialisis + Mata Kiri Iridopeksi + Ekstraksi Katarak +
KH INA √ HR NK
Susp Subluksasi Lensa IOL
Mata Kanan Vitrectomy + Endolaser + PM
Mata Kanan Ablasio Retina KH AW √ HR NK
+ Gas C3F8
Mata Kiri Rhegmatogeneous Retinal Mata Kiri Vitrectomy + Endolaser + Gas
KH AW √ NK,HR HR NK
Detachment C3F8
Mata Kiri Ekstraksi Lensa + Primary
Posterior Capsulotomy + Vitrectomy KH,S LN √ S: MK HA PS
Kongenital + Nistagmus
Anterior + IOL + Perifer Iridectomy
Mata Kanan Ekstraksi Lensa + Perifer
Mata Kanan Katarak Juvenile KH,S LN √ HA PS
Iridectomy + IOL
Mata Kiri Nistagmus + Afakia Mata Kiri Sekunder Implant (Iris Claw) KH WIN
Mata Kanan Katarak Senilis Imatur + Mata Kanan Extra Capsular Cataract
RF YW,TU
Keratitis Filamentosa + Dry eye Extraction + IOL
Mata kiri desenterasi IOL Mata kiri IOL Exchange RF
Mioma Uteri Laparoscopy Total Histerektomi KH TF √ NP,RG RG NP
Laparoscopy Adhesiolisis + KH,KH
Hidrosalping Dupleks TF √ S : DI NP RG
Neosalpingostomi + Kistektomi Bilat KH
Ulkus Dekubitus Debridement ETH
Adeno Ca Paru, KGB Limfadenektomi Colli Dx + PA S YAN √ WU,SR WU SR

TMS c/ Jinak Eksisi Biopsi B YAN √ SR WU
IDC Gr II MD T4bNoMo MRM KH DH √ S : HA* AF ER

Ulkus Pedis Dextra Debridement B WW √ AF ER
Ulkus Granulosum Pedis Sin Debridement + STSG KH ETH √ S : PS TA AG
SCC Reg Buccal Pasca Flap + STSG Rekonstruksi Pasca Keganasan KH NJT √ TA,ND AG TA
Lipoma Hemifacial Dextra Hemimandibulektomi KH NJT √ PS AG
Hipospadia Rekontruksi Hipospadia (Uretroplasty) KH NJT √
(MID :ER ) SORE PROGRAM : SF,EV,RK,AU,DW,DI,ID,IS,JF,PS,MF,YR,AR,DN,HA*,TR,BD,BR*,BD,DA,DJ,MK ALAT : PUR,RA ( S : DW )
Post VP Shunt e.c hidrocephalus Repair VP Shunt KH AJ √ DI YS
Makroadenoma Hipofisis Bedah Mikro Transfenoid KH ZM √ BR SF
Reposisi Tertutup + Gips S APR √ AP MF

TM,
CKD Pasang DL K ALI √ SL
SE
Sistoskopi S WAN √
Sistostomi B ADS
Poli Endometrii Histeroscopy Polipektomi KH HR √ PL YR
Fistel Ureterocutan Sistostomi B ADS GI II
Mata Kiri Eviserasi S WIN √ HA
Ulkus palatum dg HIV+ Debridemen/ Nekrotomi B DAT √ NH
Combustio gr II - III 65% Debridement KH PJ √
Laparatomi Explorasi + Reseksi usus

invaginasi KH,KH EDW SU
Stoma
G1P0A0, IUFD SCTP B SR √ Gatot
G2P1A0, belas SC SCTP B PS √ TM PL
Hidrocephalus VP Shunt KH DP √ SL SE
Post Laparatomi Optimal Debulking +

Aff Packing KH MZ √ SE TM
Pasang Tampon
Wound Desisence Craniotomi Debridment B DP √ HE TM
Ruptur Perianal Colostomi B PB SL RK
Laparatomi Hemikolektomi Sin +

KH PB √ RK AU
Anastomose E to E
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-11.00
1 GA JL √ 08.00
08.30-11.00
12.00-14.45
1 GA HS √ 10.30
12.45-14.45
15.30-15.45
1 GA JL √ 13.30
15.45-15.30
16.30-17.45
1 GA JL √ 15.00
16.50-17.30
20.00-22.30
1 GA HS √ 17.00
20.30-22.30
2 GA JL √ 08.00 08.00-14.30
08.30-14.15
08.15-11.30
4 GA epd JH √ 08.00
08.30-11.15
11.45-15.15
4 GA JH √ 11.00
12.00-15.00
16.00-18.50
4 GA epd AI √ 14.30
16.15-18.45
20.00-21.00
20.15-21.00
22.30-00.00
4 GA JH 19.30
22.45-23.45
08.45-09.45
5 GA VL √ 08.00
09.00-09.30
11.00-12.45
5 GA DN √ 10.30
11.30-12.30
13.15-16.45
5 GA DN √ 13.00
13.30-16.30
17.30-18.30
5 GA epd VL √ 15.00
17.45-18.15
19.00-20.00
19.45-20.00
21.15-22.00
21.30-22.00
06.30-10.30
6 GA WA √ 07.00
06.45-10.15
6 LA 10.00 10.40-11.30
11.45-14.00
6 GA WA √ 11.00
12.15-13.45
14.30-17.45
6 GA WA √ 14.00
15.15-17.30
6 GA WA √ 17.00 19.00-21.00
19.30-20.45
22.00-23.45
6 GA WA 20.00
22.15-22.30
08.15-14.30
7 GA DN √ 08.00
09.00-14.15
7 GA DN √ 11.00 15.45-17.00
18.30-20.00
7 GA DN √ 13.00
18.45-19.45
21.00-22.45
7 GA DN √ 14.30
21.30-22.30
7 GA 16.00 BATAL/TUNDA OPERASI
08.15-09.30
8 GA HN √ 07.00
08.30-09.15
10.00-11.45
8 GA HN √ 10.00
10.30-11.30
8 GA JH √ 11.30 12.30-17.30
13.30-17.15
11.30-14.00
CITO GA BI √ 16.00
12.00-13.45
09.00-13.00
9 GA HR √ 08.00
09.15-12.45
15.45-16.30
9 GA HN √ 14.00
15.50-16.15
17.30-18.30
9 GA DS √ 16.00
17.45-18.15
08.00-12.00
10 GA BI √ 08.00
08.15-11.45
10 GA 13.00 BATAL KARENA PENGOBATAN TB
14.00-16.00
10 GA DN √ 16.00
14.15-15.45
JT GA WA √ 10.00
GR 1 GA SF √ 07.30 08.20-08.35
GR 1 GA VL √ 09.00 10.00-10.40
GR 1 GA VL √ 11.00 11.45-13.00
GR 1 GA SF 13.00
GR 2 LA 08.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00 12.45-13.10
GR 2 LA 13.00
GR 3 GA HN √ 08.00 08.00-09.00
GR 3 GA SF √ 10.30 19.00-
GR 3 GA WA √ 14.00 15.50-
GR 4 LA 07.30 08.00-09.30
GR 4 GA WA √ 09.00 09.15-
GR 4 GA WA √ 12.30 142.45-
GR 4 GA HA √ 15.00 18.45-19.45
GR 5 GA SF √ 07.30 09.15-10.15
GR 5 GA WA √ 10.30 13.00-15.00
GR 5 GA SF √ 13.00 15.00-17.30
( S : DW )
20.00-22.00
GA WA
21.30-21.45
DS GA HS √ 16.00-20.15
13.30-14.30
DS GA JH √
13.45-14.15
21.45-23.30
GA DN √
22.00-23.15
05.45-07.30
CITO GA HA √
06.15-07.15
06.00-07.10
CITO GA spin BI √
06.15-07.15
07.45-08.45
CITO GA BI √
08.00-08.30
08.15-09.30
CITO GA spin BI √
08.30-09.30
08.45-09.45
CITO GA spin VL √
09.00-09.45
10.00-11.00
CITO GA blok DN √
10.15-10.50
10.30-12.30
CITO GA spin VL √
10.45-12.30
15.30-18.00
CITO GA HN √
16.00-17.45
15.45-17.00
CITO GA spin WA √
16.00-17.00
17.45-19.00
CITO GA WA √
18.00-19.00
20.00-21.45
CITO GA TA
20.15-21.30
22.00-01.30
CITO GA DN √
22.15-01.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.45-09.45
1 GA WA √ 07.00
08.00-09.30
10.15-11.45
1 GA epd WA √ 11.00
10.30-11.30
12.30-16.00
1 GA epd WA √ 14.00
13.00-15.45
17.30-19.30
1 GA DS √ 17.00
17.45-19.15
08.30-14.30
2 GA DN √ 07.00
09.00-14.00
2 GA DS √ 15.00 15.30-18.30
16.00-18.15
18.45-21.30
2 GA JL 18.00
19.00-21.15
3 LA 08.00 09.15-09.45
3 LA 09.00 BATAL/TUNDA BESOK
08.30-11.15
4 GA TA √ 08.00
08.45-11.00
12.20-15.45
4 GA epd DS √ 11.00
12.30-15.30
4 GA AI 14.00
08.15-09.45
5 GA VL √ 08.00
08.45-09.30
10.45-14.30
5 GA VL √ 10.30
11.00-14.15
15.45-17.00
5 GA HR 13.00
16.00-16.45
17.45-20.00
5 GA HA 15.00
18.00-19.45
06.45-11.30
6 GA WA √ 06.30
07.00-11.15
12.00-14.30
6 GA UB √ 10.00
12.15-14.15
6 GA DN √ 13.00 19.30-
16.00-18.00
6 GA VL √ 15.30
16.15-17.45
20.45-21.30
6 GA VL √ 19.30
21.00-21.30
07.30-10.00
7 GA BI √ 07.30
08.30-09.45
7 GA UB √ 09.30
18.45-19.45
7 GA HR 15.00
19.00-19.30
08.30-11.00
8 GA WA √ 08.00
08.45-10.45
18.00-20.15
8 GA JH 12.00
18.15-20.00
9 GA DS √ 08.00 07.30-12.30
9 08.45-12.00
08.45-09.45
10 GA HA √ 08.00
09.30-09.45
11.15-12.45
10 GA blok HR √ 10.00
11.45-12.45
14.00-19.00
10 GA spin HS √ 12.30
14.30-19.00
10 GA 16.00 BATAL/TUNDA BESOK

JT GA HN √ 10.00 10.05-
JT GA HN √ 10.00 17.40-20.00
GR 1 GA WA √ 07.00 07.45-10.15
GR 1 GA WA √ 08.30 10.50-12.15
GR 1 GA HN √ 11.00 13.10-14.00
GR 1 GA HA 12.30
GR 1 GA WA 14.30
GR 1 GA AI 16.30 16.15-19.30
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 10.30
GR 2 LA 11.30
GR 2 LA 12.30
GR 2 LA 14.00
GR 3 GA VL √ 07.30 08.15-09.30
GR 3 GA AI √ 09.30 10.10-11.00
GR 3 GA HS √ 12.00 12.15-13.00
GR 4 GA WA √ 07.00 07.30-08.45
GR 4 GA WA √ 10.00 12.15-14.15
GR 4 GA WA √ 12.00 14.10-
GR 4 GA SF √ 15.00
GR 5 GA UB √ 08.00 08.45-09.30
GR 5 GA WA √ 10.00 10.45-12.00
GR 5 GA WA 12.00 14.15-
GR 5 GA WA 15.00 19.30-21.30
M ( S : DW )
20.00-21.30
GA spin HN √
20.30-21.30
spin, 23.00-01.30
10 GA DS √
epd 23.30.01.15
21.00-22.00
10 GA spin HR
21.15-22.00
15.45-17.00
DS GA spin DN √
16.00-17.00
14.30-15.00
DS GA HR
14.45-14.45
DS LA
DS LA 22.30-23.00
8 GA JH √ 12.30-16.30
13.00-16.15
14.30-19.30
9 GA epd DS √
15.40-19.30
√ 06.30-
CITO GA DN 06.45-
CITO GA HN √ 08.25-09.30
CITO GA BI √ 13.00-17.45
14.00-17.30
CITO GA HR 18.00-19.15
18.15-19.00
13.15-14.30
CITO GA spin SF √
13.30-14.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.15
1 GA BI √ 08.00
08.30-10.00
10.30-13.00
1 GA BI √ 11.00
10.45-12.45
15.00-17.00
1 GA BI √ 13.00
15.15-16.50
1 GA BI √ 16.00
2 GA epd VL √ 07.30 08.30-12.00
08.45-12.00
12.30-15.00
2 GA epd VL √ 10.00
12.45-15.00
2 GA BI √ 14.00
2 GA 16.00
3 LA 08.00 08.40-09.00
3 LA 09.00 09.30-09.50
3 LA 10.00 11.40-12.00
3 LA 11.00
08.00-10.00
4 GA epd DS √ 09.30
08.15-10.00
11.30-14.00
4 GA SF √ 18.00
11.45-14.00
08.45-10.15
5 GA VL √ 08.00
09.00-10.00
5 GA VL √ 10.30
17.00-24.00
5 GA VL √ 14.00
17.15-23.45
07.00-10.30
6 GA HS √ 07.00
07.15-10.15
12.45-15.45
6 GA HS √ 11.00
13.00-15.30
17.30-17.00
6 GA WA √ 13.00
17.35-17.50
17.30-22.00
6 GA JL √ 18.00
18.00-21.30
08.45-12.15
7 GA HS √ 08.00
09.00-12.00
11.45-14.00
7 GA HS √ 10.00
12.00-13.45
7 GA HS √ 12.00 15.20-17.15
18.30-20.00
7 GA HS √ 17.00
18.45-19.30
8 GA VL √ 08.00 08.00-13.00
09.30-12.30
8 GA JH √ 12.00 13.30-17.30
15.00-17.00
8 GA VL √ 16.30 19.30-22.00
20.00-22.00
08.00-15.30
9 GA SF √ 08.00
08.30-15.15
18.00-21.00
9 GA WA √ 14.00
18.15-20.45
10 GA SF √ 08.00 08.30-12.30
08.45-12.30
13.30-16.00
10 GA blok HS √ 12.00
13.45-16.00
10 GA HA √ 15.00 18.00-19.20
JT GA WA √ 10.00
15.30-20.30
JT GA WA 14.30
16.30-20.15
GR 1 GA DN √ 07.30 09.00-09.30
GR 1 GA DN √ 09.00 10.35-10.50
GR 1 GA DN √ 10.30 11.40-13.00
GR 1 GA DN √ 13.00 14.00-14.45
GR 1 GA DN √ 15.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 2 LA 15.00
GR 3 GA WA √ 08.00 08.30-10.00
GR 3 GA AI √ 11.30 11.05-12.30
GR 3 GA HN 14.00 13.25-14.15
GR 4 GA WA √ 07.30 07.50-11.00
GR 4 GA WA √ 11.00 12.30-14.15
GR 4 GA HN √ 13.00
GR 5 GA DN √ 08.00 09.15-10.45
GR 5 GA DN √ 10.00 15.00-16.00
TM ( S : DW )
GR 5 GA DN √ 11.45-13.50
GR 5 GA DN √ 17.00-
LA 15.20-15.15
LA
LA
00.45-02.15
CITO GA spin AI √
01.00-02.15
07.45-09.00
CITO GA DN √ 08.30-11.00
08.45-11.00

16.00-17.00
CITO GA AI √ 22.45-01.00
23.30-00.30
CITO GA HS √
23.45-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.45-09.15
09.00-09.15
10.00-11.00
10.15-11.00
14.30-17.30
1 GA HN √ 13.00
14.45-17.30
1 GA HN 15.00 19.45-22.00
20.00-22.00
2 GA HN 07.00 07.45-12.00
08.00-12.00
13.45-17.00
2 GA HN √ 13.00
14.00-17.00
3 LA 08.00
08.00-09.45
4 GA spin HA 07.00
08.15-09.45
4 GA epd HA √ 09.30 13.30-16.45
14.00-16.15
10.00-12.15
10.15-12.15
08.30-10.00
5 GA TA √ 08.00
08.45-09.45
11.00-11.30
11.15-11.30
07.00-09.00
6 GA AI √ 08.00
07.25-08.45
13.30-14.45
6 GA VL √ 11.00
13.45-14.30
16.00-17.00
6 GA WA √ 13.00
16.15-16.45
16.00-22.00
6 GA JH √ 16.00
16.30-21.45
08.00-10.30
7 GA AI √ 08.00
09.00-10.15
14.00-18.00
7 GA AI √ 11.00
15.00-17.45
19.15-21.45
20.00-21.45
8 GA JH √ 08.00 08.00-12.00
08.15-11.45
07.30-12.00
9 GA BI √ 08.00
09.30-11.30
10 GA epd AI 07.00 07.00-12.30

07.30-12.00
10 GA WA √ 10.00 13.00-17.30
13.30-17.15
16.00-18.30
10 GA spin BI √ 15.00
16.30-18.30
20.00-23.45
10 GA epd WA √ 18.00
20.45-23.45
JT GA HN √ 10.00 07.10-
15.30-16.45
JT GA HN √ 14.00
15.30-16.45
GR 1 GA HN √ 08.00 08.30-09.15
GR 1 GA JL √ 09.30 10.15-11.00
GR 1 GA JL 11.00 12.00-13.00
GR 1 GA WA 13.00 13.30-14.45
GR 1 GA JL 15.00
GR 2 LA 07.30
GR 2 LA 08.30
GR 2 LA 09.30
GR 2 LA 10.00
GR 2 LA 10.30
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA VL √ 07.30 09.15-10.00
GR 3 GA VL √ 09.00 08.00-08.30
GR 3 GA JH √ 11.00 11.10-11.30
GR 4 GA WA √ 08.00 08.20-09.30
GR 4 GA JH √ 10.00 10.50-
GR 5 GA JL √ 08.00 09.00-09.45
GR 5 GA JL √ 10.00 11.15-11.45
GR 5 GA JL 12.00 12.15-
T : PUR,TM ( S : DW )
09.30-10.45
6 GA JL √
10.00-10.30
15.30-17.15
5 GA epd EL √
16.00-17.00
13.30-15.30
GA HA √
13.45-15.15
DS LA
DS LA 19.45-20.15
DS LA 19.00-19.30
00.15-02.30
CITO GA blok HS √
00.45-02.15
03.00-04.00
CITO GA spin AI √
03.05-04.00
08.15-09.45
CITO GA spin TA √
08.30-09.30
CITO GA TA √ 08.20-09.00
17.00-20.00
CITO GA epd EL √
17.15-20.00
19.45-22.00
CITO GA EL √
20.00-21.30
20.45-22.30
CITO GA epd EL √
21.00-22.15
22.00-23.30
CITO GA spin HS √
22.30-23-.15
23.30-00.30
CITO GA epd EL
23.45-00.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
02.45-09.00
CT GA spin HS √ 07.00
08.00-09.00
15.30-18.00
2 GA TA √ 15.00
16.00-17.45
3 LA 14.00
4 GA TA √ 15.40-
6 GA VL √ 15.00 16.00-
15.30-18.30
7 GA TA √ 15.00
15.45-18.00
17.00-18.00
7 GA TA √ 16.30
17.15-17.45
18.30-20.00
7 GA TA √ 18.00
18.45-19.45
DS 2 LA
DS 2 LA 12.05-12.15
3 LA 14.10-14.30
CITO GA HS √
CITO LA
14.30-16.15
CITO GA spin HS √
14.45-16.15
CITO GA TA √
15.00-17.00
CITO GA TA √
15.15-17.00
CITO GA TA √ 15.00-18.45
15.30-18.30
17.00-19.15
CITO GA TA √
17.15-19.00
18.15-21.30
CITO GA TA √
18.30-21.15
19.30-22.30
CITO GA TA √
19.45-22.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-10.45
9 GA TA √ 08.00
08.45-10.30
15.00-19.45
GA BI √ 12.00
15.15-19.30
12.45-14.15
GA WA √ 15.00
13.00-14.00
3 LA
CITO GA TA √ 06.45-10.15
07.00-10.15
CITO GA WA √ 10.15-12.00
10.30-12.00
CITO GA epd BI √ 14.45-18.00

15.00-18.00
CITO GA spin WA √ 11.45-13.15

12.00-13.00
CITO GA BI √ 17.00-18.00
17.30-17.55
CITO GA BI √ 20.15-21.45
20.30-21.30
CITO GA BI √ 20.30-22.15
21.15-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.00-08.15
1 GA WA √ 06.30
07.30-08.00
09.00-11.15
1 GA DN √ 07.30
09.45-11.00
12.00-13.45
1 GA DN √ 10.00
13.15-13.30
1 GA DN √ 12.00 15.30-17.30
15.45-17.15
18.00-20.30
1 GA JH √ 15.00
18.15-20.15
08.00-09.45
2 GA UB √ 08.00
08.30-09.30
10.30-12.00
2 GA SF √ 09.30
10.45-11.45
14.00-16.00
2 GA DN √ 12.00
14.15-15.30
16.15-17.45
2 GA SF √ 15.00
16.45-17.30
3 LA 08.00
3 LA 09.00
3 LA 10.00
08.00-10.30
4 GA epd VL √ 08.00
08.15-10.15
4 GA VL √ 10.30
13.45-15.15
4 GA DN √ 12.00
14.00-15.00
16.15-17.30
4 GA VL √ 15.00
16.30-17.15
08.15-09.30
5 GA HR √ 08.00
08.30-09.15
10.30-11.30
5 GA VL √ 10.30
11.00-11.30
12.30-13.30
5 GA VL √ 14.00
12.45-13.15
14.15-18.00
5 GA VL √ 17.00
14.30-18.00
19.30-02.30
5 GA VL √ 22.00
20.00-02.00
07.15-11.15
6 GA WA √ 07.00
07.30-11.00
6 LA 10.00 11.40-12.00
14.00-18.45
6 GA HR √ 11.30
14.15-18.45
15.15-15.50
6 GA HA √ 15.00
15.30-15.40
6 GA DS 16.30
08.30-12.00
7 GA HR √ 08.00
10.00-11.45
13.30-16.45
7 GA HR 11.00
13.45-16.30
17.15-18.00
7 GA HR √ 13.00
17.30-17.45
19.00-20.00
7 GA HR 15.00
19.15-19.45
8 GA 08.00 BATAL / TUNDA HARI

8 GA AI √ 12.00 15.30-18.00
15.45-17.45
18.30-21.45
8 GA AI √ 14.30
18.45-21.30
9 GA JH √ 08.00 08.00-12.30
08.15-12.15
15.00-18.45
9 GA AI √ 14.00
15.15-18.30
06.30-09.00
10 GA blok VL √ 07.00
07.00-09.00
10 GA DS 09.00 10.00-13.14
10.30-12.50
10 GA 11.00 BATAL KARENA HIPONATREMI
13.30-16.00
10 GA EL √ 13.00
13.45-15.45
10 GA VL √ 15.30
01.00-02.00
10 GA spin DS 18.00
01.15-02.00
JT GA HR √ 07.00-
JT GA HN √ 17.00-19.00
GR 1 GA DS √ 07.30 08.15-09.00
GR 1 GA HA √ 09.00 10.00-11.00
GR 1 GA DS √ 10.30 12.30-12.45
GR 1 GA DS √ 12.00 13.30-13.50
GR 2 LA 07.30
GR 2 LA 08.30
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA DS √ 08.00
GR 3 GA HA √ 11.30
GR 3 GA TA √ 14.00 17.00-19.15
GR 4 GA WA √ 07.30 07.45-10.00
GR 4 GA SF √ 09.00 10.45-14.00
GR 4 GA WA √ 12.00 14.45-16.00
GR 4 GA TA √ 14.00
GR 5 GA DS √ 08.00 09.30-12.00
GR 5 GA VL √ 11.00
GR 5 GA DS √ 13.00 18.15-19.15
ALAT : PUR,DW ( S : )
20.15-01.15
GA HR √
20.30-01.00
22.00-02.00
GA VL √
22.30-01.30
20.30-21.15
GA DS √
20.30-21.00
21.00-21.45
GA HR √
21.15-21.30
21.30-22.45
5 GA spin HA √
21.45-22.30
6 GA WA √ 12.30-13.30
12.45-13.15
19.15-22.00
5 GA epd HA √
19.45-21.45
GA
02.15-03.00
GA spin HS √
02.30-03.00
19.00-20.45
GA spin HA √
19.15-20.30
08.15-13.30
GA AI
08.30-13.15
CITO GA WA √ 12.30-13.30
12.45-13.15
CITO GA BI √
CITO GA HA √ 15.30-16.00
16.30-22.45
CITO GA HA √
16.45-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
09.30-11.45
1 GA EL √ 08.00
09.45-11.30
12.15-14.15
1 GA EL √ 10.30
12.30-14.00
1 GA EL √ 12.00 15.15-17.00
1 LA 15.00
2 GA EL √ 06.00
09.15-12.45
2 GA EL √ 08.00
09.45-12.30
2 GA UB √ 11.00 14.00-
3 LA 08.00 FASTRACK BLUM DATANG
3 LA 11.00
3 LA 12.30
4 GA epd DS √ 08.00 08.30-14.45
07.00-14.30
4 GA JH √ 11.00 15.30-17.45
16.00-17.30
4 GA JH √ 14.00 17.45-19.00
18.00-19.00
08.30-09.45
5 GA VL √ 07.30
08.45-09.30
12.15-13.45
5 GA JH √ 16.00
12.45-13.30
06.00-08.00
6 GA WA √ 07.00
07.00-08.00
08.30-09.45
6 GA WA √ 08.30
09.00-09.30
6 GA WA 11.00 12.45-15.00
08.00-10.45
7 GA WA √ 07.30
09.00-10.30
11.30-14.15
7 GA WA √ 11.00
12.00-14.30
15.30-19.15
7 GA WA 13.00
16.00-19.30
09.30-13.15
8 GA VL √ 12.00
09.45-13.00
9 GA JH √ 08.00 07.00-13.00
9 09.00-12.30
07.30-11.30
10 GA WA √ 07.00
08.00-11.15
10 GA DN √ 10.00
10 GA DN √ 13.30
10 GA DN √ 17.00
JT GA WA √ 10.00 07.00-
GR 1 GA HA √ 08.00 08.25-09.00
GR 1 GA VL √ 10.00 10.00-11.30
GR 1 GA VL √ 12.00 12.30-14.00
GR 1 GA HA √ 14.00 15.00-16.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA AI √ 07.30 08.00-08.45
GR 3 GA AI √ 09.00 09.00-10.30
GR 3 GA 12.00 BATAL KARENA SESAK NAFAS

GR 4 GA AI √ 07.30 08.30-10.30
GR 4 GA WA √ 13.00 11.30-12.10
GR 4 GA WA √ 14.00
GR 5 GA HR √ 08.00 08.35-09.45
GR 5 GA HA √ 10.00 11.00-14.00
GR 5 GA HA √ 12.00 15.30-16.30
PUR,DW ( S :EM )
20.30--21.30
GA JH √
20.45-21.15
10.30-12.00
GA UB √
11.00-11.30
12.30-14.30
DS GA spin WA √
12.45-14.30
16.00-16.30
DS GA spin DN √
16.15-16.30
9 GA HN √ 19.30-
17.00-18.15
GA WA √
17.10-18.15
3 LA 19.45-20.45
02.30-03.30
CITO GA spin HS √
02.45-03.30
07.45-09.15
CITO GA spin BI √
08.00-09.15
07.15-09.45
CITO GA BI √
07.30-09.30
CITO LA
11.00-14.00
CITO GA DS √
11.15-13.45
13.30-18.00
CITO GA JH √
13.45-17.45
19.00-23.00
CITO GA JH √
19.15-22.45
18.15-20.30
CITO GA JH √
18.30-20.30
20.00-23.00
CITO GA JH √
20.15-22.45
CITO LA 21.00-21,15
CITO LA 20.00-22.15
CITO GA VL √ 10.00-03.15
23.30-04.00
CITO GA JH √
23.45-03.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 08.00 BATAL KARENA HIRPTENSI

1 LA 09.00 09.30-
12.30-14.45
1 GA epd DS √ 11.00
12.45-14.30
1 GA DS √ 15.00
07.30-09.30
2 GA HN √ 07.00
07.45-08.15
10.15-12.45
2 GA HN √ 10.00
10.30-12.30
14.00-15.00
2 GA spin DS 14.00
14.15-14.45
18.00-19.30
2 GA VL √ 17.00
18.15-19.15
3 LA 08.00
3 LA 10.00 BATAL KARENA PERBAIKAN KU

3 LA 11.00
3 LA 12.00 BATAL KARENA PERBAIKAN KU
07.30-10.00
4 GA WA √ 08.00
07.45-09.45
4 GA WA √ 11.00 11.30-13.00
11.45-12.45
14.15-16.45
4 GA AI √ 13.00
14.30-16.30
08.00-08.45
5 GA DS √ 07.30
08.15-08.40
09.30-11.00
5 GA VL √ 09.00
09.45-10.45
12.00-15.45
5 GA epd VL √ 11.00
12.30-15.30
07.15-08.15
6 GA WA √ 07.00
07.30-08.00
08.45-14.00
6 GA UB √ 09.30
09.00-14.00
6 GA WA √ 15.00 15.45-21.15
16.00-21.00
08.15-12.00
7 GA UB √ 08.00
08.15-11.45
12.15-14.00
12.30-14.00
15.00-19.30
7 GA DS 14.00
15.15-19.15
7 GA DS 16.00
8 GA JH √ 08.00 07.30-13.15
09.00-13.00
14.00-17.30
8 GA DN √ 12.00
14.45-17.15
08.00-12.00
9 GA JH √ 08.00
08.15-11.45
9 GA JH √ 12.00 13.30-18.30
13.45-18.15
spin, 08.15-14.45
10 GA WA √ 08.00
epd 08.45-14.45
16.00-19.00
10 GA HR √ 11.00
16.30-18.45
10 GA JH √ 14.00 18.55-19.30
19.45-20.15
10 GA spin SF √ 15.00
20.00-20.15
20.45-24.00
10 GA cse HR 16.00
21.00-24.00
JT GA HR √ 10.00 07.00-
GR 1 GA HA √ 07.30 08.10-08.45
GR 1 GA HA √ 09.30 09.45-10.45
GR 1 GA HA √ 11.00 12.15-12.50
GR 1 GA VL √ 12.30 13.30-14.00
GR 1 GA VL √ 14.00
GR 1 GA VL √ 15.30 15.50-17.30
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 09.30
GR 2 LA 10.30
GR 2 LA 11.30
GR 2 LA 12.30
GR 2 LA 13.30
GR 3 GA 08.00 BATAL KARENA PERBAIKAN KU (T4 TINGGI)

GR 3 GA 09.00 BATAL KARENA PERBAIKAN KU (Bag. Peny. Dalam Belum ACC)
GR 3 GA WA √ 10.00
GR 3 GA BI √ 13.00
GR 4 GA BI √ 08.00 08.00-08.30
GR 4 GA BI √ 09.30 09.30-11.00
GR 5 GA VL √ 08.00 09.00-09.45
GR 5 GA VL √ 10.00
GR 5 GA VL √ 11.30 11.10-13.00
15.00-16.30
10 GA HA √
15.15-16.15
GA BI √ 07.15-07.45
21.30-23.30
GA DS √ 21.00
21.45-23.15
08.00-09.00
JT GA AI √
08.15-08.45
LA 15.35-16.00
CITO LA
11.45-13.00
CITO GA AI √
12.00-12.45
17.00-19.00
CITO GA DS √
17.10-19.00
21.45-22.30
CITO GA DS √
22.00-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-11.00
1 GA VL 08.00
08.15-10.45
1 GA √ 10.30 12.00-12.10
DN 12.00-12.10
13.15-16.15
1 GA VL √ 13.00
14.15-16.00
17.45-20.45
18.00-20.30
20.00-21.30
1 GA BI √ 17.00
20.30-21.15
07.30-11.15
2 GA DN √ 07.00
08.00-11.00
2 GA 09.00 BATAL GDS 500
13.00-15.00
2 GA DS √ 13.00
13.30-14.45
19.00-20.30
2 GA BI √ 14.30
19.15-20.15
16.00-17.45
2 GA BI 17.00
16.15-17.30
08.00-10.00
08.15-10.00
4 GA 10.00
10.45-16.00
4 GA SF √ 13.30
11.00-15.30
16.30-19.15
4 GA epd SF √ 16.00
16.45-18.45
08.30-09.30
5 GA epd SF √ 08.00
08.45-09.15
10.15-11.45
5 GA DN √ 09.00
10.30-11.30
12.30-14.15
5 GA DN √ 11.00
12.45-14.00
5 GA VL √ 13.00 15.00-16.00
16.30-21.30
5 GA SF √ 15.30
17.00-21.15
6 GA 07.00
6 GA HS √ 08.30 08.30-14.45
09.00-14.30
08.30-13.30
7 GA HS √ 07.30
09.30-13.30
14.30-16.00
7 GA UB √ 11.00
14.45-16.00
7 GA EL √ 13.00 17.00-18.30
17.00-18.45
7 GA HS √ 15.00
17.15-18.30
15.30-20.45
8 GA VL √ 08.00
17.30-20.30
15.00-16.30
8 GA HA √ 12.00
15.15-16.15
17.45-21.45
8 GA HR √ 13.00
18.45-21.15
22.00-23.45
8 GA VL √ 15.00
22.15-23.30
08.30-13.00
9 GA HA √ 08.00
10.00-12.30
9 GA 11.00
10 GA DS √ 07.00
13.45-16.30
10 GA TA √ 09.00
14.15-16.15
08.45-10.45
10 GA TA √ 12.00
09.00-10.30
10 GA 13.30
17.00-00.45
10 GA TA √ 16.00
17.15-00.30
JT GA WA √ 10.00 10.10-13.00
JT LA 12.00 16.00-16.45
GR 1 GA AI √ 07.30 08.00-09.00
GR 1 GA DN √ 10.00 11.00-11.45
13.45-15.15
GR 1 GA DN √ 12.30
14.00-15.00
16.15-17.15
GR 1 GA VL √ 14.30
16.30-17.00
17.45-19.15
GR 1 GA DN √ 16.00
18.00-19.00
GR 2 LA 08.00 08.40-09.05
GR 2 LA 10.00
GR 2 LA 11.00 11.45-12.45
GR 2 LA 12.00
GR 3 GA DS √ 07.30 09.15-11.15
12.15-14.15
GR 3 GA cse HN √ 10.30
12.25-14.15
14.45-17.00
GR 3 GA WA √ 13.00
15.00-16.45
GR 4 GA HN √ 07.30 08.00-09.00
10.00-16.00
GR 4 GA WA √ 08.30
10.15-15.30
16.30-20.30
GR 4 GA TA √ 12.00
17.00-20.15
19.00-23.00
GR 4 GA HN √ 14.30
19.15-22.45
GR 5 GA WA √ 07.30 07.40-09.00
10.30-16.00
GR 5 GA WA √ 09.00
10.45-15.30
16.00-19.00
GR 5 GA WA √ 10.30
16.30-18.30
20.30-21.45
GR 5 GA DN √ 14.00
20.45-21.30
R,DW ( S : )
GA AI √ 09.15-14.00
CITO 10.00-13.45
21.30-00.30
GA JH √
22.00-24.00
GA
DS LA
LA
DS LA
12.45-16.00
GA HS √
13.00-15.45
LA
LA
GA √ 06.30-08.15
CITO DS 07.15-08.00
GA √ 07.15-08.45
CITO DS 07.30-08.30
GA spin AI √ 08.00-09.00
CITO 08.05-09.00
GA AI √ 11.15-14.15
CITO 11.30-14.00
15.30-19.15
CITO GA AI √
15.30-19.15
19.15-20.15
CITO GA spin HN
19.30-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
11.00-13.00
1 GA epd WA √ 07.00
11.15-12.45
08.00-09.00
08.15-09.00
1 GA 12.00
14.45-17.00
1 GA spin DS 15.00
15.00-16.45
08.00-11.00
2 GA SF √ 07.00
08.15-11.45
2 GA HN √ 10.00 12.00-15.00
16.30-18.30
2 GA HN √ 13.00
16.45-18.15
20.00-21.30
2 GA HN 15.00
20.15-21.15
spin, 08.15-13.00
4 GA HA √ 08.00
epd 08.45-12.45
14.30-17.45
4 GA epd DS √ 13.00
14.45-17.30
08.00-09.15
08.15-09.15
13.30-15.00
5 GA HN √ 09.00
13.45-14.45
15.45-17.45
5 GA JH √ 10.30
16.00-17.30
11.00-12.00
5 GA HA √ 13.00
11.15-11.45
5 GA HA √ 15.00 17.45-19.00
09.00-12.00
6 GA BI √ 08.00
09.30-11.45
6 GA DS √ 11.00 14.30-15.30
08.30-10.00
CITO GA spin DN √ 15.00
08.45-09.45
7 GA VL √ 05.00 06.30-
10.00-11.30
7 GA WA √ 08.00
10.15-11.15
13.30-16.00
7 GA DS √ 11.30
13.45-15.45
08.00-12.00
8 GA TA √ 08.00
09.00-11.30
14.00-16.15
8 GA JH √ 11.30
15.00-16.00
9 GA EL √ 08.00 07.30-12.00
08.00-11.45
14.30-17.15
9 GA JH 13.30
14.45-17.00
07.30-10.00
10 GA spin UB √ 08.00
07.45-10.00
10 GA 11.00
10 GA 12.30
spin, 20.00-23.00
10 GA DN √ 15.00
epd 20.45-23.00
19.45-20.45
10 GA spin WA √ 18.00
20.00-20.30
JT GA HN √ 10.00 07.20-12.15
JT GA HN √ 14.00 16.00-18.45
GR 1 GA BI √ 07.30
GR 1 GA JH √ 09.00 09.30-12.15
GR 1 GA 13.00
GR 1 GA HA √ 15.00 16.00-17.15
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA SF √ 07.30
GR 3 GA SF √ 09.30
GR 3 GA JH √ 11.00
GR 4 GA WA √ 07.30 08.30-09.30
GR 4 GA DS √ 09.00 11.30-
GR 4 GA SF √ 12.30 16.00-16.45
GR 5 GA WA √ 08.00
GR 5 GA WA √ 11.30 11.30-15.30
GR 5 GA HA √ 13.00 16.30-17.00
GA HA √ 14.15-15.30
08.15-10.00
spin WA √
08.30-10.00
13.30-18.00
GA CSE TA √
13.45-18.00
LA 20.00-20.30
GA HS √
CITO GA spin VL √ 07.30-08.00

07.45-08.00
06.00-07.15
CITO GA AI √
06.15-07.00
CITO GA VL √ 11.00-13.00
11.30-13.00
11.15-14.00
CITO GA VL √
11.30-13.45
14.15-15.00
CITO GA VL √
14.30-15.00
15.00-16.00
CITO GA spin HN √
15.15-16.00
CITO GA HN √ 17.30-18.30
19.00-20.00
CITO GA spin HN √
19.15-20.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT

20.30-22.30
1 GA DN √ 19.00
20.45-22.15
2 GA JH √ 08.00 08.40-11.20
2 GA HR 11.00
3 LA 09.00
3 LA 10.30
3 LA 14.00 12.20-13.10
4 GA VL √ 06.00 06.55-
4 GA
5
6
07.45-09.15
7 GA BI √ 07.00
08.00-09.00
8
10.30-14.30
9 GA BI √ 10.00
11.30-14.00
10
JT GA HR √ 08.00 10.00-11.30
JT
GA BI √ 10.30-12.30
10.45-12.15
GA DN √ 19.45-22.15
20.00-22.00
GA VL √ 10.45-11.45
10.50-11.30
CITO GA DN √ 00.00-01.30
00.15-01.15
CITO GA HR 07.45-10.00
08.15-09.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
18.15-19.30
18.45-19.30
GA DN √ 12.00 13.30-14.15
13.45-14.00
12.30-15.30
GA JH √ 12.00
13.00-15.15
15.00-16.30
GA JH √ 14.30
15.45-16.15
16.45-20.30
GA JH √
17.15-20.15
3 LA 13.50-15.00
3 LA 16.30-
18.45-20.45
GA JH √
19.00-20.30
CITO LA 08.00-08.10
21.30-22.45
CITO GA JH √
21.45-21.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.15
1 GA HS √ 08.00
08.30-10.00
10.30-12.30
1 GA EL √ 12.00
10.45-12.15
11.00-16.00
1 GA DN √ 14.00
11.15-15.45
1 GA JL 12.00 17.30-19.30
1 GA DN √ 17.00 20.15-21.00
08.00-09.00
2 GA DN √ 08.00
08.15-08.45
2 GA DN √ 11.00 11.35-
14.15-16.00
2 GA JL √ 13.00
14.30-15.45
2 GA 15.00 BATAL/TUNDA
07.15-11.00
4 GA epd VL √ 08.00
07.30-10.45
11.45-14.00
12.00-13.45
4 GA epd JL √ 14.00 18.45-22.30
19.00-22.15
08.30-14.00
5 GA VL √ 08.00
09.15-14.00
16.00-21.20
5 GA VL √ 12.00
16.30-21.00
16.00-16.30
16.15-16.30
07.30-10.00
6 GA BI √ 07.00
08.00-09.45
11.00-13.15
6 GA HR √ 10.00
11.15-13.00
12.00-15.30
6 GA HA √ 14.30
12.30-15.15
13.45-17.15
6 GA HR 17.00
14.00-17.00
07.45-10.00
7 GA BI √ 08.00
08.00-09.45
10.15-12.15
7 GA HR 10.00
10.30-12.00
13.45-14.15
7 GA HR 12.00
14.00-14.15
15.15-17.00
7 GA HR 15.00
15.30-16.45
8 GA AI √ 08.00 08.30-11.00
13.00-16.15
8 GA JL √ 12.00
13.30-16.00
9 GA AI √ 08.00
14.30-19.00
9 GA AI √ 13.00
16.00-18.30
06.15-09.15
10 GA JL √ 06.00
06.30-09.00
09.30-11.30
10 GA JL √ 10.00
10.00-11.15
12.30-14.15
10 GA JL √ 12.30
12.45-14.00
10 GA JL √ 15.00 15.30-18.00
16.00-17.40
spin, 19.30-23.00
10 GA DS √ 18.00
epd 20.00-23.00
JT GA VL √ 08.00
JT GA DS √ 11.00 11.00-15.30
GR 1 GA HA √ 07.30 08.05-08.55
GR 1 GA HN √ 12.30 13.00-14.15
GR 1 GA HN √ 14.30 15.30-16.00
GR 2 LA 07.30
GR 2 LA 08.30
GR 2 LA 09.30
GR 2 LA 10.30
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA DS √ 08.00 10.35-12.15
GR 3 GA DS √ 10.00 20.35-09.50
GR 3 GA JH √ 12.00
GR 3 GA DS √ 13.30 15.30-21.20
GR 4 GA DS √ 07.30 07.45-
GR 4 GA DS √ 15.00
GR 5 GA JL √ 08.00 08.30-09.00
GR 5 GA BI √ 10.30 10.25-11.15
GR 5 GA BI √ 12.30 12.15-13.00
GR 5 GA BI √ 14.00 17.00-
GR 5 GA BI √ 16.00 14.15-16.00
UR,SR ( S : )
18.00-19.00
GA HR √
18.15-18.45
GA JL √
GA JL √ 17.30-18.10
17.00-19.30
GA DN √
17.15-19.15
CITO GA spin JH 02.15-03.15

02.25-03.15
GA DN √ 06.45-08.15
CITO 07.00-08.15

08.15-09.00
08.00-11.30
CITO GA VL √
09.30-11.30
10.15-11.30
CITO GA HA √
10.30-11.15
12.00-13.00
CITO GA spin HA √
12.15-12.45
20.15-20.45
CITO GA JL √
20.30-20.45
CITO LA
21.00-22.00
CITO GA spin JL √
21.15-22.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.00
1 GA HS √ 08.00
08.30-09.45
11.15-15.00
1 GA DN √ 10.00
11.30-14.45
1 GA SF √ 14.00
17.15-20.30
1 GA SF √ 17.00
17.30-20.15
08.00-12.00
2 GA VL √ 08.00
09.00-11.45
12.15-13.45
2 GA JL √ 12.00
13.00-13.40
2 GA BI √ 14.00 15.00-19.30
15.15-19.15
19.00-21.30
19.15-21.15
22.00-01.30
2 GA JL 21.00
22.15-01.15
08.00-11.30
4 GA VL √ 08.00
08.15-11.15
12.30-15.30
4 GA EL √ 11.00
12.45-15.15
14.15-14.45
14.30-14.45
08.00-11.30
5 GA UB √ 08.00
08.30-11.15
12.15-13.45
5 GA epd VL √ 11.00
12.30-13.45
16.00-22.30
5 GA BI √ 13.00
16.30-22.15
07.00-09.30
6 GA VL √ 07.00
07.15-09.10
10.15-12.00
6 GA JL √ 08.30
10.30-12.00
12.30-15.30
6 GA VL √ 11.00
12.45-15.30
17.00-21.00
6 GA epd VL √ 14.00
17.15-21.00
22.00-23.45
22.15-23.45
08.15-08.30
7 GA HS √ 08.00
08.30-09.30
10.15-14.00
7 GA HS √ 09.30
10.30-14.00
19,45-21.00
7 GA HS √ 12.00
20.00-21.00
16.00-18.30
7 GA HS √ 14.00
16.15-18.00
8 GA JH √ 08.00 07.30-11.30
08.30-11.00
8 GA HN √ 12.00 13.00-17.30
14.30-17.15
8 GA HN √ 19.00 18.30-23.00
19.30-22.30
07.30-13.00
9 GA JL √ 08.00
08.30-12.45
14.00-17.30
9 GA HA √ 12.00
14.15-17.15
9 GA JL √ 15.00 21.00-01.00
21.15-00.45
10 GA 07.00 BATAL KARENA ASMA ATACK
10.30-13.30
10 GA SF √ 12.00
11.00-13.15
17.15-19.45
10 GA DS √ 16.00
17.45-19.45
10 GA DN √ 19.30 19.30-22.00
20.00-21.45
07.15-09.15
JT GA BI √ 06.30
07.30-09.00
JT GA JL √ 09.00 09.30-18.00
10.45-17.45
GR 1 GA HA √ 07.30 08.10-08.35
GR 1 GA VL √ 09.30 10.15-11.30
GR 1 GA VL √ 11.30
GR 1 GA VL √ 13.30 10.45-12.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 14.15-14.30
GR 3 GA AI √ 07.00 07.50-08.30
GR 3 GA DS √ 09.30 09.40-10.30

GR 4 GA 07.00 07.30-07.50
GR 4 GA BI √ 09.00 10.30-13.45
GR 4 GA 12.00
GR 5 GA DS √ 08.00 08.40-09.30
GR 5 GA 10.00 BATAL / TUNDA BESOK
GR 5 GA HA √ 16.00
LAT : PUR,SR ( S : DY )
1 GA BI √ 06.30-07.45
17.30-20.15
DS GA spin DS √
15.00-20.00
GR 4 GA BI √ 08.30-09.15
7 GA TA √ 19.30 22.45-01.00
23.00-01.00
DS LA
21.15-21.30
DS GA HS √
21.20-21.25
07.45-09.00
CITO GA BI √
08.00-09.00
10.45-14.15
CITO GA BI √
11.00-14.00
11.15-12.30
CITO GA spin BI √
11.30-12.30
CITO LA 15.15-15.45
19.00-20.30
CITO GA epd BI √
19.15-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
10.45-14.00
11.00-13.45
1 GA DS √ 11.00
14.30-17.30
1 GA VL √ 13.00
14.45-17.15
07.30-08.30
2 GA DS 07.00
08.00-08.20
09.30-12.30
2 GA HN √ 09.00
09.45-12.15
14.00-18.00
2 GA HN √ 13.00
14.15-17.45
07.00-08.15
2 GA DN √ 16.00
07.15-08.00
07.15-10.15
4 GA epd VL √ 08.00
07.30-10.00
11.00-14.00
4 GA epd VL √ 11.30
11.15-14.00
4 GA DS √ 15.00 18.30-19.00
08.00-12.00
5 GA epd DS √ 08.00
08.30-12.00
12.45-18.15
5 GA TA √ 10.30
13.15-18.00
18.30-20.30
5 GA VL √ 19.00
18.45-20.15
07.30-09.15
08.00-09.15
10.00-11.10
GA spin HN 09.30
10.00-11.10
11.45-14.15
6 GA HA 12.00
12.00-14.00
15.15-16.00
6 GA WA 13.30
15.30-16.00
16.00-17.15
6 GA spin EL √ 15.00
16.45-17.15
6 GA EL √ 16.30 17.45-18.00
spin, 10.00-13.00
7 GA UB √ 10.00
epd 10.30-13.00
7 GA HS √ 15.00 15.15-
07.30-11.00
8 GA EL √ 08.00
08.00-10.45
13.00-17.30
8 GA EL √ 12.00
13,30-17.00
07.30-10.30
9 GA HA √ 08.00
09.00-10.00
08.15-12.30
10 GA HR √ 08.00
09.15-12.45
14.15-18.00
10 GA epd HR 10.00
14.45-17.45
19.00-20.00
10 GA HR 14.00
19.00-20.00
16.30-20.00
10 GA spin HS √ 16.00
18.30-20.00
21.30-23.00
10 GA cse HR √ 22.00
22.00-23.00
JT GA JH √ 07.00 07.15-13.00
08.30-12.45
17.00-19.45
JT GA spin DN √ 11.30
17.15-19.45
16.00-18.30
JT GA HN √ 13.00
17.15-18.15
19.15-20.15
JT GA HN 15.30
19.30-20.00
GR 1 GA 07.30
BATAL/TUNDA BESOK
GR 1 GA 09.30
BATAL/TUNDA BESOK
GR 1 GA 12.00 BATAL/TUNDA BESOK
GR 1 GA HN √ 14.00 13.15-14.15
GR 1 GA JL √ 16.00 16.00-17.00
GR 2 LA 07.30 09.00-09.45
GR 2 LA 09.00
GR 2 LA 09.30
GR 2 LA 10.30
GR 2 LA 11.30
GR2 LA 13.00
GR 2 LA 14.00
GR 2 LA 15.00
GR 3 GA WA √ 07.30 07.45-09.00
GR 3 GA WA √ 09.00 10.15-12.45
GR 3 GA 12.00
GR 3 GA 13.30 BATAL/TUNDA BESOK

GR 3 GA VL √ 15.00 14.45-15.40
GR 4 GA UB √ 07.30 07.15-09.00
GR 4 GA JH √ 10.00 09.30-10.15
GR 4 GA WA √ 12.00 11.05-14.00
GR 4 GA WA √ 15.00 15.20-21.05
GR 5 GA VL √ 08.00 08.45-09.15
GR 5 GA VL √ 10.00 11.45-
GR 5 GA 13.00
12.00-14.00
9 GA EL √ 12.00
12.30-13.45
DS GA HR
06.00-09.30
GA BI √
06.20-09.15
08.30-10.00
DS GA spin HR √
08.45-10.00
19.45-20.30
DS GA spin EL √
20.00-20.30
GR 1 LA
DS LA 21.45-
CITO GA DN √ 07.00-08.15
07.15-08.00
CITO GA SF √ 12.00-13.00
12.15-12.45
CITO GA EL √ 17.15-18.00
CITO GA spin EL √ 19.20-20.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-08.15
CT GA AI √ 07.00
07.45-08.15
08.30-10.15
CT GA AI 08.00
08.45-10.00
CT LA 09.00 10.20-10.40
10.00-11.00
10.15-11.00
08.30-10.30
1 GA AI √ 09.00
09.00-10.00
12.00-14.30
1 GA AI √ 11.00
12.30-14.15
1 GA DN √ 14.00 18.45-22.00
19.00-21.45
1 GA 17.00 SUDAH DIKERJAKAN DI IGD
15.00-18.00
1 GA DN √ 20.00
15.15-17.45
09.15-11.00
2 GA HN √ 09.00
09.30-10.45
11.30-14.00
2 GA VL √ 11.00
11.45-13.45
16.00-17.30
2 GA epd VL √ 13.00
16.15-17.15
18.00-20.00
2 GA 15.00
18.15-19.45
07.30-19.15
9 GA BI √ 09.00
08.30-19.00
15.45-17.15
10 GA VL √ 09.00
16.00-17.00
spin, 10.30-12.30
10 GA AI √ 11.30
epd 10.45-12.30
spin, 13.00-16.30
10 GA VL √ 14.30
epd 13.15-16.30
20.45-21.45
10 GA spin VL √ 17.30
21.00-21.45
JT GA TA √ 08.00
13,39017.30
JT GA AI √ 12.00
14.15-17.30
CITO GA AI √ 17.30-19.15
17.45-19.00
CITO GA VL √ 22.55-23.30
22.30-23.15
CITO LA
CITO GA VL √ 21.15-22.30
21.30-22.15
CITO GA spin EL √ 04.00-05.45

04.00-05.30
CITO GA 08.00-08.15
08.00-08.15

11.30-15.30
CITO GA VL √ 19.30-21.30
19.45-21.30
CITO GA VL √ 20.15-21.45
20.30-21.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
DS LA 08.00
08.00-10.30
1 GA HS √ 09.00
08.15-10.15
1 GA HN √ 13.00 12.00-15.00
12.15-14.45
1 GA 16.00 BATAL/ TUNDA BESOK
06.00-08.30
2 GA WA √ 06.00
07.00-08.20
11.00-13.45
2 GA HN √ 09.00
11.30-13.30
15.00-18.00
2 GA DN √ 14.00
15.30-17.45
08.00-11.30
4 GA VL √ 08.00
08.30-10.15
13.15-15.15
4 GA epd DS √ 13.00
13.30-15.00
08.15-10.45
5 GA UB √ 08.00
09.00-10.30
5 GA VL √ 10.30
15.15-20.45
5 GA epd DN √ 16.00
15.30-20.30
07.00-10.15
6 GA WA √ 07.00
07.15-10.00
10.30-11.45
6 GA WA √ 10.00
10.45-11.30
13.00-17.00
6 GA DS √ 13.00
13.15-17.00
07.15-09.30
7 GA DS √ 08.00
08.00-09.30
10.15-12.30
7 GA DS √ 11.00
10.30-12.30
08.00-12.30
8 GA BI √ 08.00
08.30-12.00

9 GA BI √ 08.00 08.00-14.30
9 GA 08.30-14.15
06.00-10.30
10 GA epd DS √ 05.30
06.30-10.15
10.45-11.30
10 GA WA √ 10.00
11.00-11.15
13.15-16.00
10 GA WA √ 11.30
13.35-15.45
17.15-18.45
10 GA WA √ 14.30
17.45-18.30
JT WA √
JT
GR 1 GA HN √ 07.30 08.00-09.00
GR 1 GA AI 09.30 10.15-11.45
GR 1 GA 11.00
GR 1 GA 13.00
GR 1 GA AI √ 15.00 16.50-18.00
GR 2 LA 07.30
GR 2 LA 09.00
GR 2 LA 11.00
GR 2 LA 13.00
GR 3 GA DN √ 07.00 08.00-10.00
GR 3 GA VL √ 08.30 11.00-13.00
GR 3 GA WA √ 11.00 14.10-15.10
GR 3 GA JL √ 14.00 16.30-17.00
GR 4 GA WA √ 07.00 07.30-09.30
GR 4 GA 09.00
GR 4 GA AI 11.00 16.15-17.00
GR 4 GA JL 13.00
GR 5 GA AI √ 08.00 10.30-12.00
GR 5 GA AI √ 10.00 13.30-14.30
GR 5 GA AI √ 12.00
R,SR ( S : DW )
GR 5 GA AI √ 09.00-09.30
18.00-18.25
GA BI √
18.05-18.20
19.00-21.30
GA BI √
19.15-21.15
18.15-19.00
DS GA BI √
18.30-19.00
18.45-19.30
DS GA BI √
19.00-19.30
16.30-17.15
DS GA WA √
16.45-17.15
3 LA
10 LA 13.00-13.10
CITO GA VL √ 06.15-09.30
07.00-09.15
CITO GA spin WA √ 08.45-09.15

09.00-09.15

10.05-10.30
CITO GA AI √ 10.15-12.15
10.30-12.00
14.00-16.00
CITO GA AI
14.30-16.00
11.00-12.15
CITO GA AI √
11.15-12.00
14.00-15.00
CITO GA spin AI √
14.15-15.00
CITO GA AI 15.00-15.45
15.15-15.40
CITO GA spin BI √ 14.45-17.00

15.00-17.00
17.30-18.00
CITO GA epd VL √
17.35-18.00
17.30-18.30
CITO GA BI √
17.30-18.30
22.15-23.15
CITO GA WA √
22.30-23.00
23.00-02.30
CITO GA epd BI √
23.30-02.15
23.00-01.00
CITO GA HS √
23.15-00.45
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA UB √ 09.00 09.45-13.45
1 10.15-13.30
08.00-09.00
2 GA UB √ 08.00
08.15-08.45
10.15-11.15
2 GA DN √ 10.00
10.30-11.00
16.00-18.30
2 GA DN √ 14.00
16.15-18.15
07.00-09.45
4 GA WA √ 07.00
07.30-09.30
11.30-14.00
4 GA epd VL √ 11.00
11.45-13.45
08.30-11.00
5 GA VL √ 08.00
08.45-10.45
06.30-11.30
06.45-11.30
08.30-12.45
7 GA UB √ 08.00
09.00-12.30
14.00-18.15
7 GA UB √ 12.00
14.30-18.00
11.00-19.00
8 GA VL √ 08.00
11.15-18.45
9
9
08.00-11.45
10 GA VL √ 07.00
08.15-11.30
10 GA UB √ 11.00 12.15-14.45
JT GA HR √ 10.00 07.00-13.00
GR 2 LA 10.00
GA DN √ 08.30-09.15
08.35-09.00
GA DN √ 12.00-13.00
12.15-12.45
11.30-13.00
DN √
11.4 5-12.45
13.15-15.15
GA UB √
13.30-15.00
12.15-14.45
GA HR
12.30-14.30
LA 00.15-00.30
LA 12.30-13.00
07.00-09.00
CITO GA UB √
07.30-09.00
07.30-09.00
CITO GA UB √
07.45-08.45
10.20-11.15
CITO GA spin UB √
10.30-11.15
10.30-11.45
CITO GA spin UB √
10.45-11.45
18.00-20.30
CITO GA DS √
18.15-20.15
19.15-22.00
CITO GA DS √
19.30-21.45
16.00-17.45
CITO GA TA √
16.30-17.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CITO GA BI √ 07.30-08.45
07.45-08.30
CITO GA DN √ 12.30-13.30
12.45-13.15
17.00-21.00
CITO GA HA
17.15-20.45
CITO LA 17.30-17.45
18.45-19.45
CITO GA spin HA
18.50-19.45
22.00-00.00
CITO GA HA √
22.30-23.45
CITO GA DN √
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.15-10.15
1 GA EL √ 08.00
08.30-10.00
10.30-12.15
1 GA EL √ 10.00
10.45-12.00
13.30-15.45
1 GA HS √ 12.00
14.00-15.30
16.45-19.15
1 GA HR 16.00
17.30-19.00
1 GA 20.00 BATAL/TUNDA
08.00-18.00
2 GA WA √ 08.00
08.15-18.00
22.15-00.30
22.30-00.30
20.15-20.45
2 GA spin HR 18.00
20.30-20.45
3 LA 08.00 09.00-11.30
3 LA 09.30
3 LA 11.30 BATAL/TUNDA
08.00-10.30
4 GA DS √ 08.00
08.15-10.15
4 GA epd VL √ 11.00 11.15-15.30
11.30-15.15
15.15-18.45
4 GA WA √ 14.00
15.30-18.30
08.15-09.00
5 GA HN √ 08.00
08.30-09.00
5 GA epd VL √ 10.00 10.15-12.45
10.45-12.45
13.15-15.45
5 GA DN √ 13.00
13.30-15.30
17.30-21.30
5 GA epd VL √ 16.00
17.45-21.15
07.30-09.30
6 GA WA √ 07.00
07.45-09.15
11.00-11.25
6 GA HR 10.00
11.15-11.20
12.00-15.45
6 GA HR 11.00
12.15-15.30
16.45-17.00
6 GA HR 15.00
16.50-16.55
17.30-20.00
18.00-20.00
08.30-12.00
7 GA HR 11.00
09.00-11.45
12.30-14.30
7 GA HR √ 14.00
12.45-14.15
15.45-19.15
7 GA HR 17.00
16.00-19.00
8 AI √ 08.00-12.00
8 08.30-11.45
07.30-13.30
9 GA HN √ 08.00
09.00-13.00
9
08.00-10.30
10 GA VL 08.00
08.30-10.15
11.30-14.45
10 GA HR 11.00
12.00-14.30
20.30-22.45
10 GA spin HS √ 14.00
22.00-22.45
spin, 14.30-17.30
10 GA JL √ 16.00
epd 14.45-17.30
17.30-19.45
10 GA JL √ 20.00
18.30-20.00
JT HN √ 07.15-12.35
JT
GR 1 GA TA 07.30 07.50-08.30
GR 1 GA TA 09.00 09.50-10.40
GR 1 GA TA √ 11.00 11.10-12.45
GR 1 GA HA 13.30 14.00-15.30
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.30
GR 2 LA 11.00
GR 2 LA 11.30
GR 2 LA 12.30
GR 2 LA 13.00 13.45-14.20
GR 3 GA WA √ 07.30 08.00-09.30
GR 3 GA SF √ 11.00 11.30-15.45
15.00-18.00
GA JL √ 14.00
15.30-17.45
GR 3 GA SF √ 15.30 17.15-
GR 4 GA SF √ 07.30 07 .45-09.45
GR 4 GA SF 09.30 11.30-13.00
GR 5 GA TA √ 08.00 09.45-11.00
19.30-21.45
GR 5 GA HR 10.30
19.45-21.30
GR 5 GA TA √ 13.00 12.30-14.00
GR 5 GA TA √ 14.30
: PUR ( S : )
8 GA AI √ 14.00 14.15-20.00
14.30-19.45
12.44-13.30
DS 1 GA spin WA √
13.00-13.30
11.00-12.30
DS 1 GA JL √
12.00-12.30
11.00-11.30
DS 1 GA spin JL √
11.15-11.30
20.30-22.30
GA HR
21.00-22.15
GR 4 GA WA 14.15-14.30
21.30-23.00
GA spin HN √
21.45-22.45
00.00-03.30
GA epd TA √
00.30-03.15
LA
21.10-21.35
GA DN √
21.15-21.15
15.00-15.45
DS 1 GA JL
15.15-15.45
CITO GA spin DN √ 07.45-09.00

08.00-09.00
CITO GA HA √ 10.00-
HA √ 12.45-16.15
12.45-16.00
14.30-18.00
CITO GA HR
15.00-17.45
16.30-20,00
CITO GA DN √
17.00-20,99
22.30-23.30
CITO GA spin HR
22.45-22.30
23.30-00.30
CITO GA HR
23.30-20.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.30
1 GA EL √ 08.00
08.30-09.15
10.30-12.00
1 GA SF √ 10.30
10.45-11.45
16.15-18.00
1 GA JL √ 13.00
16.45-17.45
13.30-14.15
13.45-14.15
15.00-15.30
15.00-15.30
07.30-08.30
2 GA JL 07.00
07.45-08.00
09.00-10.30
2 GA JH √ 08.30
09.15-10.15
2 GA HN √ 11.00 11.00-15.00
11.15-14.45
16.30-18.30
2 GA JL √ 14.00
16.45-18.15
07.30-11.30
4 GA epd WA √ 08.00
08.30-11.15
4 GA epd JH 11.30 17.30-19.45

18.30-19.30
12.00-17.15
4 GA epd HA √ 14.30
12.15-17.00
08.00-15.45
5 GA JH √ 08.00
08.30-15.30
16.45-21.30
5 GA JH √ 12.00
17.15-21.15
spin, 20.45-23.30
5 GA JH 17.00
epd 21.00-23.15
07.00-10.00
6 GA WA √ 07.00
07.15-09.45
13.30-17.30
6 GA WA 09.30
13.45-17.15
6 GA WA √ 12.30 11.15-14.15
18.20-20 00
6 GA WA √ 14.30
18.35-19.45
08.15-10.45
7 GA WA √ 11.00
08.30-10.30
11.15-12.00
7 GA WA 14.00
11.25-12.00
12.15-13.30
7 GA WA 15.00
12.30-13.15
18.00-19.15
7 GA VL √ 17.00
18.30-19.00
7 GA WA √ 19.00 14.10-
14.30-17.30
8 GA HN √ 13.00
14.45-17.15
√
07.45-13.15
9 GA HS √ 08.00
08.00-13.00
9 GA HN √ 14.00 11.30-19.30
12.30-19.00
06.00-09.00
10 GA spin HN √ 07.00
06.15-09.00
10.15-11.15
10 GA spin EL √ 09.30
10.30-11.15
10 GA 11.00
14.00-17.15
10 GA EL √ 12.30
14.15-17.00
22.00-23.15
10 GA WA √ 14.00
22.15-22.15
17.45-20.00
10 GA WA 16.00
18.00-19.45
JT GA WA √ 10.00 10.45-
GR 1 GA JL √ 08.00 08.05-08.50
GR 1 GA VL √ 09.00 10.00-11.00
GR 1 GA DS 11.30 12.00-13.45
GR 1 GA DS 13.00 14.45-15.15
GR 1 GA DN √ 15.00 16.55-
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA SF √ 07.30
GR 3 GA DS √ 09.00 13.00-16.30
GR 3 GA AI √ 13.00 17.30-17.45
GR 4 GA AI √ 07.30 08.15-10.00
GR 4 GA 09.30 BATAL KARENA HCU PENUH

GR 4 GA AI √ 13.00 15.45-19.45
GR 5 GA DS √ 08.00
GR 5 GA DS √ 10.00 11.30-12.15
GR 5 GA HS √ 11.30 13.35-15.30
GR 5 GA HS √ 15.00 17.00-18.00
AT : PUR ( S : DY )
21.00-22.00
6 GA AI √
21.15-21.30
12.45-13.45
DS GA spin EL √
13.00-13.45
10.45-13.00
DS GA spin HS √
11.00-12.00
GR 6 GA DS √ 12.15-12.50
DS GA AI √ 15.15-18.00
23.00-00.15
GA TA √
23.15-00.00
GA √ 07.00-09.30
CITO epd HR 07.15-09.30
08.45-09.30
CITO GA HR √
08.00-09.15
10.30-12.30
CITO GA WA √
10.45-12.30
CITO GA WA √ 13.45-15.00
14.00-15.00
CITO GA
CITO GA epd VL √ 16.00-17.15

16.15-17.00
CITO GA TA √ 19.00-20.45
19.15-20.30
21.30-22.30
CITO GA spin TA √
21.45-22.15
CITO LA
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 GA DS √ 08.00
08.15-09.45
11.00-14.30
1 GA DS √ 10.30
11.15-14.15
16.00-17.15
1 GA DS √ 16.00
16.15-17.00
1 GA DS 18.00
07.00-09.45
2 GA JH √ 07.00
07.30-09.30
11.00-12.45
2 GA HS √ 11.00
11.15-12.30
13.30-20.00
2 GA DN √ 14.00
13.45-19.45
20.00-01.00
2 GA SF √ 17.00
21.00-00.30
08.00-12.15
4 GA TA √ 08.00
08.30-12.00
15.15-18.45
4 GA TA √ 15.00
16.00-18.30
19.30-21.30
4 GA TA √ 17.00
19.45-21.15
08.00-09.00
5 GA DS √ 08.00
08.15-09.00
09.45-15.30
5 GA epd DS √ 10.30
10.00-15.30
5 GA 15.00 BATAK KARENA MO HD DULU
5 GA 17.00 BATAK KARENA VEES
13.00-14.00
6 GA WA √ 07.00
13.15-13.45
07.15-12.30
6 GA UB √ 08.30
07.30-12.15
spin, 14.15-21.30
6 GA DN √ 12.00
epd 14.30-21.30
6 GA 14.30
BATAL/TUNDA BESOK
07.00-07.45
7 GA UB 08.00
07.20-07.40
10.00-11.15
7 GA UB √ 09.00
10.00-11.00
7 GA UB √ 10.30 13.00-
7 GA WA √ 14.00 17.30-19.30
20.15-22.35
7 GA HN √ 17.30
20.30-22.15
8 GA 08.00
BATAL KARENA ALAT BELUM ADA
10.30-11.45
8 GA JH √ 13.00
10.35-11.35
12.15-13.15
8 GA VL 15.00
12.30-13.00
08.00-16.00
9 GA HA √ 08.00
08.30-15.30
9 GA JH 15.00 16.30-23.00
16.45-22.45
08.00-11.45
10 GA HR 07.00
08.30-11.15
14.00-17.00
10 GA epd HR 11.00
14.15-16.45
17.30-18.30
10 GA HR 15.00
18.00-18.30
20.00-23.00
10 GA HS √ 16.30
21.00-22.45
JT GA HN √ 10.00
GR 1 GA WA √ 07.30 07.45-08.45
GR 1 GA WA √ 09.00 08.45-09.00
GR 1 GA HN √ 10.30 10.30-11.00
GR 1 GA WA √ 12.30 12.50-13.50
GR 1 GA HA √ 15.00
GR 1 GA WA 17.00 17.00-20.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 2 LA 14.30
GR 2 LA 15.00
GR 2 LA 16.00
GR 3 GA HN √ 07.30 08.30-11.15
GR 3 GA VL √ 11.00 12.15-
GR 3 GA WA 12.30
GR 3 GA JL √ 14.00 18.00-
GR 4 GA HS √ 07.30 09.50-12.50
13.45-17.30
GR 4 GA VL √ 11.00
14.15-17.35
GR 5 GA WA √ 08.00 11.15-13.00
GR 5 GA WA √ 10.30 08.30-10.15
GR 5 GA SF √ 13.00 14.45-17.00
RA ( S : TR )
10.45-12.00
GA VL √
11.00-11.45
GA HS √
LA
08.45-10.30
GA blok SF √
09.00-10.25
22.45-23.45
GA spin HS √
23.00-23.45
23.15-02.45
GA HA √
23.45-02.30
LA 20.50-
10.15-11.30
CITO GA spin SF √
10.30-11.30
11.45-13.45
CITO GA SF √
12.15-13.30
13.15-14.30
CITO GA spin SF √
13.30-14.30
20.15-22.45
CITO GA JH
20.30-22.30
18.15-19.30
CITO GA HN √
18.30-19.15
CITO GA JH √ 18.00-19.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.30-09.30
1 GA BI √ 08.00
08.45-09.30
10.30-13.00
1 GA BI √ 09.30
10.45-13.00
14.00-15.30
1 GA JH √ 12.00
14.15-15.15
15.45-17.00
16.00-17.00
18.00-20.00
1 GA DN √ 16.00
19.00-20.00
2 GA DN √ 06.00 07.30-08.45
07.45-08.30
09.30-11.00
2 GA DS √ 08.00
09.45-10.45
2 GA BI √ 10.00 11.35-14.00
16.00-17.30
2 GA DN √ 12.00
16.15-17.15
2 GA DN √ 14.00 18.30-19.00
3 LA 07.00
06.00-07.00
06.15-06.45
16.45-16.45
4 GA WA √ 11.00
12.00-16.30
4 GA DS √ 15.00 08.00-11.30
08.15-11.15
08.30-11.00
5 GA AI √ 08.00
08.45-10.45
11.30-15.00
5 GA SF √ 11.00
11.40-14.45
16.00-19.00
5 GA SF √ 13.00
16.15-18.45
19.45-21.00
5 GA JH √ 16.00
20.00-20.45
06.40-07.45
6 GA WA √ 06.30
07.00-07.30
08.00-13.00
6 GA WA √ 07.00
08.15-13.15
13.45-17.00
6 GA WA √ 11.00
14.30-16.45
spin, 14.00-17.00
6 GA WA √ 14.00
epd 14.15-16.45
6 LA 16.00 20.10-
7 GA WA √ 07.00 07.00-
7 LA 15.00 19.00-19.30
7 GA HS √ 16.00 20.45-
8 GA EL √ 08.00 08.00-14.30
09.30-14.15
16.45-22.45
8 GA HA √ 13.00
18.15-22.30
9 GA EL √ 08.00 08.00-14.00
08.15-13.45
9 GA 17.00
08.30-10.00
10 GA spin HA √ 08.00
08.45-10.00
12.00-13.30
10 GA spin HA √ 11.00
12.15-13.30
10 GA HS √ 13.00 15.00-19.00
15.15-19.00
21.30-23.00
10 GA BI √ 16.00
22.00-23.00
JT GA HR √ 10.00 07.00-12.00
17.00-21.00
JT GA HR 15.00
18.00-21.00
GR 1 GA HN 07.30 08.05-08.30
GR 1 GA VL 09.00 10.30-11.30
GR 1 GA AI √ 11.00 12.25-13.10
GR 1 GA AI √ 13.00
GR 1 GA 15.00
GR 2 LA 08.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 3 GA JH √ 07.30 08.30-12.30
GR 3 GA HN √
GR 3 GA JH
GR 3 GA JH √
GR 3 GA JH √ 07.15 08.15-09.45
GR 3 GA JH √ 09.30 11.00-13.15
GR 3 GA JH √ 13.00 14.25-
GR 5 GA HN √ 07.30 09.15-11.00
GR 5 GA JH √ 10.00 12.15-16.30
GR 5 GA HN 13.00
UR,RA ( S : DJ )
21.00-23.00
GA spin WA √
21.15-22.45
LA 10.25-10.30
19.00-19.45
GA JH √
19.15-19.30
GA TA √
CITO GA AI √ 08.15-10.30
08.45-10.30
CITO GA DN √ 15.15-16.45
15.30-16.30
17.00-17.45
CITO GA DN √
17.15-18.00
CITO GA DN √ 21.15-22.30
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-12.00
1 GA epd WA √ 08.00
08.30-11.30
14.00-15.30
1 GA epd HN √ 13.00
14.15-15.15
16.00-17.30
16.15-17.30
18.45-20.45
1 GA TA √ 17.00
19.00-20.30
2 GA DN √ 07.00
15.00-16.00
2 GA DN √ 08.30
15.15-15.45
16.15-17.45
2 GA DN √ 11.00
10.30-17.30
08.00-10.30
4 GA WA √ 08.00
08.15-10.15
CITO GA spin AI √ 12.00 12.15-13.30

12.30-13.30
11.30-14.15
4 GA epd HA √ 13.00
11.45-14.00
15.00-17.30
4 GA epd WA √ 16.00
15.15-17.15
08.15-10.00
5 GA WA √ 08.00
08.30-09.30
10.00-10.30
5 GA HA √ 10.00
10.05-10.25
5 GA HA √ 13.00 13.15-
07.00-09.15
6 GA HS √ 07.30
08.00-09.00
10.15-14.30
6 GA HS √ 09.00
10.30-14.00
07.30-10.30
7 GA HS √ 08.00
08.15-10.15
11.15-13.00
7 GA HS √ 11.00
11.45-12.45
7 GA HS √ 14.00 13.00-18.30
07.30-13.00
8 GA BI √ 08.00
08.00-12.45
15.00-18.00
8 GA BI √ 13.00
15.45-17.45
20.45-23.30
8 GA HA √ 16.00
21.00-23.15
08.30-10.00
9 GA BI √ 07.30
09.00-09.45
13.00-14.30
9 GA BI √ 09.00
13.30-14.15
07.00-09.00
10 GA spin WA √ 07.00
07.15-08.00
10.00-15.00
10 GA WA √ 09.00
10.30-14.45
18.30-19.45
10 GA HA √ 13.00
19.00-19.30
14.00-16.15
10 GA WA √ 14.30
14.30-16.00
JT GA 10.00
BATAL/TUNDA BESOK
GR 1 GA JL √ 07.30 08.00-08.30
GR 1 GA JL √ 09.00 09.30-10.45
GR 1 GA JL √ 13.00 13.50-14.50
GR 2 LA 07.30 07.50-08.15
GR 2 LA 08.00
GR 3 GA JH √ 08.00 08.30-10.30
GR 4 GA WA √ 07.30 07.30-08.25
GR 4 GA JH √ 11.00
GR 4 GA JH √ 13.00 14.00-15.15
GR 5 GA BI √ 08.00 09.15-11.00
GR 5 GA JL √ 11.00
LA
LA
5 GA HN √ 18.00 09.40-14.15
CITO GA DN √ 01.00-02.00
07.00-09.30
CITO GA DN √
07.15-09.30
08.15-09.30
CITO GA spin SF √
08.30-09.30
11.00-12.00
CITO GA spin SF √
11.15-12.00
13.30-15.00
CITO GA SF √
13.45-14.30
13.00-15.00
CITO GA SF √
13.15-15.00
16.00-18.00
CITO GA spin HA √
16.15-18.00
18.15-19.15
CITO GA HA √
18.30-19.15
CITO GA epd HA √ 19.30-21.00
20.00-21.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
1 GA 07.00
08.00-10.15
2 GA DS √ 08.00
08.35-10.00
11.15-13.15
2 GA HN √ 12.00
11.45-13.00
08.45-12.45
4 GA epd WA √ 09.00
09.00-12.30
14.00-17.30
4 GA DN √ 14.00
14.15-17.15
06.15-08.00-
5 GA WA √ 07.00
07.00-07.45
10.00-13.00
5 GA TA √ 10.00
10.30-12.15
08.00-10.00
6 GA DS √ 08.00
08.15-09.45
11.00-13.00
6 GA DS √ 11.00
11.15-12.45
08.00-11.00
7 GA DS √ 08.00
08.15-11.00
13.00-14.00
7 GA blok DS √ 11.00
13.15-14.00
14.45-17.00
7 GA DS √ 14.00
15.00-17.00
9
09.15-11.15
10 GA HN √ 09.00
09.45-11.00
14.30-18.15
9 GA DN √ 12.00
14.45-18.00
20.30-
9 GA JL √ 18.00
21.00-
09.00-11.15
9 GA DS √
09.15-11.00
GA DN √ 20.00 20.00-23.00
20.15-22.45
05.30-08.15
CITO GA HA √
05.45-08.00
06.00-08.15
CITO GA HA
06.30-08.00
08.00-09.30
CITO GA spin DS √
08.30-09.30
08.00-10.15
CITO GA DS √
08.35-10.00
13.00-16.15
CITO GA DS √
13.15-16.00
13.00-14.15
CITO GA spin DS √
13.15-14.00
18.45-21.00
CITO GA JL √
19.15-20.45
23.30-01.45
CITO GA JL √
23.00-01.30
23.00-00.15
CITO GA spin JL √
23.15-00.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
07.30-08.30
1 GA BI √ 07.00
07.15-08.15
1 GA 09.00
14.00-18.00
2 GA DN √ 12.00
14.15-17.45
2 GA HN √ 15.00 19.40-
14.30-18.30
5 GA DN √ 13.00
14.45-18.15
19.30-20.05
6 GA DN √ 13.00
19.45-20.00
15.00-18.00
6 GA DN √ 14.00
15.15-17.45
09.00-09.30
6 GA DN √ 16.00
09.10-09.25
10.00-11.00
6 GA DN √ 17.00
10.15-10.45
15.15-17.30
10 GA spin DN √ 13.00
15.45-17.30
19.00-20.45
CITO GA DN √ 15.00
19.30-20.30
3 LA 14.00 12.30-13.00
08.45-10.30
GA TA √
09.15-10.15
07.00-11.00
10 GA DN √ 06.00
07.30-10.45
10.45-13.30
10 GA TA √ 09.00
11.00-13.15
GA DN √ 14.30-15.30
22.15-02.00
CITO GA DN √
22.45-01.45
03.30-05.00
CITO GA spin JL
03.45-05.00
03.30-05.00
CITO GA JL √
03.45-04.45
06.30-08.45
CITO GA JL √
06.45-08.30
07.45-08.45
CITO GA TA √
08.00-08.40
CITO LA 13.30-13.45
CITO LA 13.00-13.30
16.00-20.00
CITO GA DN √
16.30-19.45
17.30-21.00
CITO GA JL √
18.00-20.45
CITO GA DN √ 20.30-23.30
20.45-23.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-09.30
1 GA blok DN √ 08.00
08.30-09.15
10.00-11.30
1 GA DN √ 10.00
10.15-11.15
15.30-20.45
1 GA TA √ 12.00
15.45-20.30
21.00-22.30
1 GA DN √ 17.00
21.15-22.15
07.00-09.30
2 GA DN √ 07.00
07.30-09.15
10.00-13.15
2 GA HS √ 09.00
10.15-13.00
14.00-16.30
2 GA HS √ 13.00
14.30-16.15
4 GA WA √ 08.00 07.00-11.30
08.15-11.15
4 GA WA √ 11.30 13.15-16.30
13.30-16.00
15.45-18.45
4 GA WA √ 15.00
16.00-18.30
08.45-10.00
5 GA VL √ 08.00
09.00-09.45
10.30-11.45
5 GA DN √ 10.00
10.45-11.30
11.30-13.30
12.35-13.30
14.15-16.30
5 GA epd VL √ 14.30
14.30-16.30
17.15-18.15
5 GA VL 16.00
17.30-18.00
07.15-12.30
6 GA WA √ 07.00
07.30-12.15
12.15-13.45
6 GA WA √ 10.30
12.30-13.30
15.00-17.15
6 GA DN √ 14.00
15.30-17.00
6 GA HR √ 16.00 20.30-20.55

10.00-16.45
7 GA HR 08.00
10.30-16.30
18.00-20.15
7 GA HR 11.00
18.30-20.00
8
8
9
9
07.00-10.00
10 GA CSE HA √ 06.00
07.15-10.00
11.00-13.30
10 GA VL √ 09.30
11.15-13.30
10 GA HI √ 13.00
19.00-22.00
10 GA SF √ 16.00
19.15-21.45
JT GA WA √
JT GA 10.00
BATAL KARENA PASIEN TIDAK DATANG
GR 1 GA HN √ 07.30 08.00-13.00
GR 1 GA HA √ 10.00 14.30-
GR 1 GA 12.30
BATAL KARENA KESIANGAN
GR 2 LA 07.30
GR 2 LA 08.15
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 2 LA 15.00
GR 3 GA BI √ 07.00 08.00-09.45
GR 3 GA 09.00 BATAL KARENA ANEMIA

GR 3 GA BI √ 12.00 12.15-13.30
GR 4 GA WA √ 07.00 07.30-14.00
GR 4 GA BI √ 11.00 13.50-21.00
GR 4 GA BI √ 14.00 16.30-21.30
GR 5 GA SF √ 08.00 09.00-
GR 5 GA SF √ 11.00 14.00-16.00
GR 5 GA SF √ 14.00 16.45-
: PUR,RA ( S : DW )
06.45-08.45
7 GA HN √ 06.00
07.15-08.30
9 GA AI √ 08.00 08.00-14.00
08.15-13.45
8 GA JH √ 08.00 08.30-13.00
09.30-12.30
14.00-20.00
8 GA AI √ 13.00
15.30-19.45
15.30-19.30
8 GA WA √
15.45-19.15
GA DS √ 22.45-24.00
23.00-24.00
GA JL √ 19.15-22.15
19.30-22.00
DS GA spin BI √ 13.15-15.00
13.30-15.00
GA VL √
21.45-22.30
GA WA √
22.00-22.15
GA HA √ 17.45-20.15
18.00-20.00
23.00-24.30
GA HN √
23.30-24.15
GA UB √
18.45-21.30
GA HN √
19.00-21.15
17.00-17.30
DS GA HN √
17.15-17.30
17.30-18.00
GA HA
17.45-18.00
DS LA 07.00-07.10
00.45-03.00
GA spin HS √
01.00-02.45

09.00-10.00
GA 11.00-12.15
DS spin JL 11.15-12.15
06.30-08.15
CITO GA DN √
06.45-08.15
09.00-11.30
CITO GA HA √
09.15-11.30
CITO GA spin HA √ 11.30-12.30

11.45-12.30
CITO GA HA √ 12.45-14.00
13.00-14.00
CITO GA DN √ 16.30-18.15
16.45-18.15
CITO GA HN 23.15-23.30
23.20-23.25
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.00
1 GA blok HS √ 08.00
08.30-09.45
10.00-12.00
1 GA blok HS √ 11.00
10.15-11.45
1 GA 14.00 BATAL KARENA KEBERATAN BIAYA
13.00-14.00
1 GA HN √ 16.00
13.15-13.45
07.00-10.00
2 GA HS √ 07.00
07.15-09.45
12.00-14.30
2 GA HS √ 11.00
12.15-14.15
14.45-18.15
2 GA DN √ 15.00
15.30-18.00
19.00-22.30
2 GA HS √ 17.00
19.45-22.15
3 LA 07.00
08.00-10.30
4 GA epd WA √ 08.00
08.30-10.15
11.00-13.30
4 GA DS √ 11.00
11.30-13.15
14.30-16.00
4 GA JH √ 14.00
15.00-16.15
4 GA BI √ 16.00 17.00-
5 GA 08.00
BATAL KARENA HCU PENUH
09.15-09.45
09.30-09.45
11.45-14.30
5 GA JH √ 17.00
12.00-14.15
5 GA 19.00 BATAL KARENA TROMOSITOSIS
07.00-10.00
6 GA WA √ 07.00
07.45-09.45
11.00-16.00
6 GA WA √ 12.00
11.30-15.45
16.30-18.45
6 GA HA √ 15.30
17.15-18.30
16.45-18.00
6 GA HS √ 17.00
17.00-17.45
09.45-17.00
7 GA WA √ 08.00
10.15-16.30
07.30-09.00
7 GA WA √ 14.00
08.00-08.45
08.00-10.00
8 GA HN √ 08.00
08.30-09.30
16.30-20.30
8 GA HN √ 12.00
17.00-20.15
9 GA HN √ 08.00 07.30-15.30
9 09.30-15.00
07.00-10.00
10 GA BI √ 06.00
07.15-09.45
11.00-14.00
10 GA UB √ 10.00
11.15-13.45
17.00-19.15
10 GA DN √ 12.00
17.15-19.00
10 GA DN √ 15.00 21.15-23.45
JT GA HN √ 10.00
GR 1 GA HA √ 07.30 08.05.09.00
GR 1 GA UB √ 09.00 10.20-11.45
GR 1 GA DN √ 11.00 13.35-14.15
GR 1 GA BI √ 13.00
GR 1 GA 15.00 BATAL KARENA AMENIA, TROMBOSITOPENI
GR 2 LA 08.00
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 3 GA HA 08.00 08.40-12.00

GR 4 GA WA √ 07.00 07.30-12.15
GR 4 GA HA √ 11.00 15.00-
GR 4 GA WA √ 13.00 13.00-
GR 5 GA 08.00 BATAL KARENA AMENIA, TROMBOSITOPENI

GR 5 GA UB √ 11.00 06.30-10.45
GR 5 GA DS √ 13.00
GR 5 GA HN √ 08.45-09.30
3 LA 08.00-08.30
DS LA 16.30-17.00
DS LA 16.00-16.30
DS LA 13.35-
08.15-10.45
DS GA spin HS √
08.30-10.30
11.00-12.15
DS GA spin WA √
11.15-12.15
13.00-13.45
DS GA DN √
13.15-13.45
20.45-01.00
GA BI √
21.00-00.45
GA HN √ 11.00-14.45
11.15-14.30
GR 5 GA HN √ 12.10-12.50
GA HS √ 22.50-23.50
17.45-20.30
GA DN √
18.15-20.15
CITO GA spin BI 07.45-08.45

07.50-08.30
CITO GA HN √ 07.15-09.45
07.00-09.30
CITO GA HN √ 04.00-05.00
04.15-05.00
CITO GA BI √ 11.00-13.30
11.15-13.15
CITO GA spin HA √ 12.30-14.00

12.45-13.45
√ 14.30-16.00
CITO GA epd BI 14.45-16.00
CITO GA spin BI √ 17.00-18.30

17.15-18.15
CITO LA 20.00-20.15
CITO GA BI √ 20.15-23.15
20.30-23.00
15.15-17.30
CITO GA BI √
15.30-17.15
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
DPJP ANESTI
OK
CT
08.00-10.30
1 GA HN √ 08.00
09.00-10.15
11.00-13.00
1 GA epd WA √ 12.00
11.15-12.45
13.30-18.00
1 GA HA √ 15.00
13.45-17.45
16.00-17.30
1 GA JL √ 17.00
16.30-17.15
2 GA DN √ 06.00 06.30-11.00
07.00-10.45
22.15-00.45
2 GA DS √ 11.00
22.30-00.30
17.00-21.00
2 GA JL √ 13.00
17.30-20.45
19.45-21.15
2 GA DS √ 15.00
19.30-21.00
4 GA epd WA √ 07.30 08.00-09.45
08.05-09.30
4 GA WA √ 11.00 10.50-
4 GA epd WA √ 12.30 12.00-16.00
12.45-16.00
16.30-18.00
4 GA spin SF 16.00
16.45-18.00
08.45-12.00
5 GA epd WA √ 08.00
09.00-12.00
14.00-15.30
5 GA epd WA 14.00
14.15-15.30
15.30-18.30
5 GA DN √ 16.00
16.45-18.30
07.00-08.00
6 GA UB √ 07.00
07.15-07.45
10.00-12.15
6 GA UB √ 08.00
10.15-12.00
13.15-16.00
6 GA WA √
10.30 13.30-15.45
6 GA WA √ 15.30 17.00-21.45
17.15-21.30

11.45-16.30
7 GA UB √ 11.00
12.30-16.15
17.30-18.30
7 GA AI √ 14.00
17.45-18.00
CITO GA AI 17.00
8 GA JH √ 07.00 07.00-12.30
09.00-12.00
8 GA JH √ 12.00 14.00-22.00
16.00-20.30
08.00-14.00
9 GA HA √ 08.00
08.30-13.50
9 GA JH √ 14.00 15.00-01.00
15.30-01.45
08.00-12.00
10 GA HR 07.00
08.15-11.45
15.00-19.00
10 GA epd HR 11.00
15.30-18.30
19.30-21.30
10 GA HR 15.00
19.45-21.15
22.00-23.00
10 GA spin AI √ 17.00
22.15-23.00
21.00-22.00
10 GA HR 18.30
21.15-21.45
24.00-03.00
10 GA HR √ 20.00
24.15-02.45
JT GA HR 10.00 09.45-
14.30-17.30
JT GA WA √ 14.00
15.00-17.30
GR 1 GA JL √ 07.30 08.30-09.00
GR 1 GA JL √ 09.00 09.55-10.10
GR 1 GA JL √ 10.30 11.15-13.20
GR 1 HN √ 15.00 16.15-20.00
GR 2 LA 07.30
GR 2 LA 08.15
GR 2 LA 09.00
GR 2 LA 10.00
GR 2 LA 11.00
GR 2 LA 12.00
GR 2 LA 13.00
GR 2 LA 14.00
GR 3 GA HN √ 07.30 08.00-10.15
GR 3 GA HN √ 10.00 11.50-13.00
GR 3 GA JL √ 11.30 13.40-16.30
GR 3 GA WA 13.00 17.00-18.00
GR 4 WA √ 07.30 07.30-10.00
GR 4 GA WA √ 11.00 11.00-13.50
GR 4 GA JL √ 14.00 15.25-16.25
GR 5 GA JL √ 08.00 12.30-15.20
GR 5 GA JL √ 10.00 10.30-11.15
GR 5 GA JL √ 13.00 08.45-09.15
GR 5 GA JL √ 15.00 13.30-
: PUR,RA ( S : DW )
19.30-20.30
GA HA √
19.45-20.30
11.30-15.30
2 GA DS √
12.00-15.00
DS GA
01.00-03.45
GA spin TA √
01.15-03.30
07.00-08.15
CITO GA BI √
07.15-08.00
08.00-09.00
CITO GA spin SF
08.15-09.00
08.15-10.45
CITO GA SF √
08.45-10.30
10.45-12.00
CITO GA spin SF
11.00-12.00
10.00-11.45
CITO GA SF √
10.30-11.30
18.30-20.00
CITO GA DN √
18.45-20.00
21.45-23.15
CITO GA AI
22.15-23.00
JENIS ANESTESI
ANESTESI RILL
JAM OPERASI
JAM OPERASI
OK DPJP ANESTI
CT
05.35-07.30
06.15-08.30
13.15-16.00
1 GA DS 08.00
13.45-15.30
08.15-09.45
1 GA BI √ 11.00
08.30-09.30
10.00-11.45
1 GA BI √ 14.00
10.15-11.30
16.00-17.45
1 GA BI √ 17.00
16.45-17.30
18.45-19.30
1 GA BI √ 19.00
19.00-19.15
06.45-09.15
2 GA DN √ 06.00
07.00-09.00
09.45-12.30
2 GA DN √ 09.00
10.00-12.15
14.00-18.15
2 GA AI √ 12.00
14.30-16.00
17.00-19.45
2 GA DN √ 14.30
17.30-19.30
2 GA 18.00
21.00-22.30
2 GA SF √ 20.00
21.15-22.15
21.00-22.30
2 GA SF √ 22.00
21.15-22.15
3 LA 15.00
08.00-11.30
4 GA epd WA √ 08.00
08.15-10.15
12.30-14.30
4 GA epd HA √ 12.00
12.45-14.15
15.15-17.30
4 GA HA √ 13.30
15.30-17.20
18.30-20.00
4 GA SF √ 16.30
18.30-19.45
08.15-15.15
5 GA TA 08.00
08.30-15.00
15.45-17.15
5 GA VL 15.00
16.15-17.00
18.00-19.15
5 GA SF √ 17.00
18.15-19.00
19.45-20.45
5 GA SF √ 19.00
20.00-20.30
07.30-08.00
6 GA HN √ 07.00
07.35-08.00
08.45-12.30
6 GA HN √ 08.00
09.00-12.15
6 GA HN √ 11.00 14.00-17.00
14.30-16.45
18.15-22.15
6 GA HN 14.00
18.30-22.00
6 GA HN 16.00
09.00-10.15
7 GA HN √ 08.00
09.15-10.00
12.45-14.30
7 GA HN √ 11.00
13.00-14.15
8 GA 08.00
8
08.00-14.30
9 GA HA √ 08.00
09.00-14.00
14.00-18.30
9 GA VL √ 15.00
14.15-18.15
08.30-11.00
10 GA epd VL √ 08.00
09.00-11.00
11.30-14.30
10 GA TA √ 11.00
11.45-14.00
15.00-16.45
10 GA epd TA √ 14.00
15.15-16.45
19.00-21.00
10 GA epd SF 16.00
19.30-21.00
19.30-22.30
10 GA spin TA √ 20.00
20.00-22.30
10 GA 22.30 BATAL / TUNDA BESOK
JT GA WA √ 10.00
JT GA HN √ 15.00 13.25-
GR 1 GA DS √ 07.30 07.35-09.30
GR 1 GA VL √ 10.00 10.30-11.25
GR 1 GA DS √ 12.00 13.00-13.30
GR 1 GA DS √ 14.00 16.20-16.40
GR 1 GA DS 15.30
GR 1 GA DS 17.00
GR 2 LA 08.00
GR 2 LA 09.00
GR 3 GA VL √ 07.30 08.15-10.30
GR 3 GA VL √ 09.30 12.05-13.00
GR 3 GA 11.00
GR 4 GA WA √ 07.30 07.50-08.45
GR 4 GA WA √ 08.30 09.30-10.30
GR 4 GA DN √ 10.00 11.30-15.30
GR 4 GA DN √ 13.00
GR 5 GA VL √ 07.30 08.35-10.30
GR 5 GA DS √ 10.00 13.00-14.00
GR 5 GA DS √ 13.00 14.15-15.15
GR 5 GA JL √ 16.00 15.30-16.30
PUR,RA ( S : DW )
08.15-10.45
8 GA VL √
08.30-10.30
14.30-18.30
9 HA √
15.00-18.00
10 LA 14.30-15.00
DS LA 09.00-09.10
DS LA
DS GA SF
15.15-16.45
DS GA HN √
15.30-16.45
11.45-13.30
1 GA spin SF
12.15-13.30
GR GA SF 19.00-20.00
22.45-24.00
DN √
23.00-23.45
05.30-08.00
CITO AI √
05.45-07.45
01.30-03.45
CITO AI
02.00-03.30
10.00-11.15
CITO GA spin AI √
10.15-11.00
11.30-12.30
CITO GA spin AI √
11.45-12.15
11.00-13.00
CITO GA AI √
11.15-12.45
14.00-15.00
CITO GA WA √
14.15-15.00
13.00-15.00
CITO GA AI
13.15-14.45
16.00-18.00
CITO GA SF
16.15-17.45
19.00-22.15
CITO GA SF
19.15-22.00
HARI / TANGGAL : JUMAT, 01 SEPTEMBER 2017
JAMINAN
1 Sumaryati 3 NPBI 55 th P R3A B177625 9138527
2 Sutarti 2 NPBI 64 th P KTL L1 C650044 9140755
3 Joko Ari Wardoyo 2 NPBI 39 th L KPD LD C328261 9140628
4 Rifki Ahmad Khoirudin 3 Um 15 th L Anak L1 C652298 9143990
5 Hadharatina Arifatul U VIP NPBI 24 th P GRD L4 C652296 9142773
6 Dolly Happy Pradana 2 NPBI 23 th P KPD LD B035112 9144401
7 Slamet Rahayu 3 NPBI 46 th P R3A C649594 9117385
8 Dian Meylana 2 NPBI 34 th P IGD C652317 9144765
9 Ludy Bustomi 1 NPBI 49 th L KPD L1 C626337 9138452
M : NH,AT,BY,DM,DN,EW,ANM SORE PROGRAM : PM,AR,AF,DA,HA*,IS*
10 Sudiono IRIN B NPBI 51th L ICU C647634 910656
11 Suemi 3 NPBI 49th L R4B C624263 9144066
CITO
12 Siti Nur Asiyah 1 NPBI 31th P B31 C643428 9143970
13 Waryati 3 PBI 27th P B31 C651787 9138364
14 Nur Khamidah 3 NPBI P R4B C652266 9142816
15 Bambang Heru Utomo VIP NPBI L GRD 4 C633413 9144572
16 Mariana IRIN B PBI 50th P ICU C651116 9131025
17 Muhammad Azhari Naufal IRIN B PBI 16th L R1A C652494 9144966
18 Saiful Mu'min 3 PBI 46th L R1B C652463 9144850
19 Mardiyah 3 um 25th P B31 C652550 9144815
20 Siti Rohmah 3 PBI P B31 C652487 9144659

21 Sutejo 3 SKTM 44th L R2B C652490 9144877
22 Jazuri 2 NPBI 50th L IGD C620105 9142670
23 Shella Azma Riyadiningsih 1 Um 2th P C1LD C652543 9144872
24 Isman 3 Um 57th L R2B C652530 9144886
HARI / TANGGAL : SABTU, 02 SEPTEMBER 2017
NO NAMA KLAS JAMINAN UMUR L/P RUANG CM REG
1 Fachrul Rozi 2 um 19 th L MRK LD C648538 9142489
2 Rajiman 2 NPBI 45 th P MRK LD C650645 9142781
3 Warsini 3 NPBI 53 th P R5B C649866 9142570
4 Firraya Lalita Putri 2 NPBI 8 th P Anak LD C631514 9142749
5 Fajar Suryono 1 NPBI 57th L MRK L1 C651970 9142828
6 Extosim Solikhul 1 NPBI 51 th L KPD L1 C648805
7 Imedia Kusuma VIP A NPBI 11/19/1999 P GRD L4 C651815 9144135
8 Soeratmi 3 NPBI 64 th P R3A C649644 9142037
9 Nur Yuliasih 3 NPBI 47 th P R3A C623292 9142626
10 Hendro Novianto 1 NPBI 30 th L KPD L1 C585355 9140710
11 Rofiqoh 3 NPBI 50 th P R2A C620994 9098674
12 Mesyam Dadgar Zarnaqi VIP Umum 8/9/1991 L GRD L4 C645587 9143940
M : BD,HA,AR,DN,ANM RR : FA,PL,RI,EM SORE PROGRAM : GI,ND,AF,PM,ER,JF,WI,SA,RG,VQ,HI,IS,AN*,AD*,DA* ALAT : PUR,
1 Kasirun 3 NPBI 60 th L R3B C651096 9131795
2 Sumaryati 3 NPBI 55 th P R3A B177625 9138527
3 Narsih 1 NPBI 45 th P KPD L1 C650820 9129549
4 Siti Zhulaikha Nur Faiza 3 NPBI 1 th P C1LD C624134 9144591

5 Ulya Ayu Ningsih 3 NPBI 9 th P C1LD C628021 9108174
6 Agus Sukaryo 2 NPBI 36 th L MRK LD C641073 9138485
7 Endang Purwati 2 NPBI 58 th P KTL C645698 9140582
8 Nadia Mega Riziq 1 NPBI 7 th P C1LD C641647 9144584
10 Riyadi VIP A PT 1/1/1952 L GRD L4 C651559 9137565
11 Sabuang Wiro 1 NPBI 12/22/1953 L KTL C558545 9144822
CITO
12 Rosyidah 1 NPBI P GER 1 C557650 9142251
13 Sukiyem 3 um 80th P R2A C652496 9144978
14 Eny Maryam VIP Um 38th P GRD 2 C652585 9144960
15 Wildan IRIN B PBI 5bl P NICU C649491 9114786
16 Jazky Abinaya anggara 2 PBI 3th L IGD C551528 9144831
17 Ali Subkan 3 PBI 25th L 25th C086933 9145077
18 Ria Rachman 2 NPBI 37th P B31 C645723 9138362
19 Siyami 3 PBI 42th P B31 C518351 9144950
20 Muhamad Rizky Maulana IRIN B NPBI 9th L HCU C652579 9145159
21 Ari Widiyanto 3 um 28th L R2B C652610 9145165
HARI / TANGGAL : MINGGU, 03 SEPTEMBER 2017

JAMINAN
1 Achmad Ramli Efendi 2 NPBI 62th L GER D C572375 9135904
2 Harits Setiono VIP NPBI L GRD 3 C308070 9145080
3 Extosim Solikhul 1 NPBI 51 th L KPD L1 C648805 9142785
4 Paryono 2 NPBI 57th L MRk D C650099 9144627
5 Widyartini VIP NPBI 56th P GRD 5 C201384 9145092
6 Ngabdi 3 PBI 41th L R3B C651545 9135715
CITO
7 Solikhin 2 NPBI 65th L KPD D C652576 9145042
8 Danang Setiyanto IRIN B PBI 30th L ICU C652633 9145280
9 Sri Soejono 3 um L R1B C652646 9145313
10 Derry Septyan IRIN B Um 27th L R1A C652316 9144763
HARI / TANGGAL : SENIN, 04 SEPTEMBER 2017

JAMINAN
S : GI,TA,AD
1 Mohamad Alif istiawan 3 PBI 10th L Anak L1 C602907 9145214
2 Andi Haryanto 2 NPBI 63 th L MRK LD C641514
3 Mohamad Alif Al Hafiidz 3 PBI 10th L Anak L1 C406249 9145224
4 Abd Wahab 3 PBI 66 th L R5A C651703 9142844
5 Yayuk Asrurroji 2 BPJS 26 th P MRK L1 C637924 9136203
6 Semin 3 NPBI 51 th L R1B C650922 9140689
7 Fatma Septiani 2 NPBI 22 th P KPD LD C470760 9145270
8 Suntari 3 PBI 54th P R5B C648798 9135505
9 Eka Mahdalena Oktovina 1 NPBI 45 th P KPD LD C651190 9142673
10 Nowiyah 3 NPBI 58 th p R4A C638438 9103070
12 Sutarti 3 NPBI 46 th P R4A C651482 9135654
13 Nursafaat 2 NPBI 48 th P MRK LD C632225 9140635
14 Era Zuliana 3 JMD 22 th P R5B C641726 9124526

15 Suman 3 PBI 65 th L R1B C645022 9131632
16 Untari Yanuari 2 NPBI 54 th P KPD LD C644708 9145243
17 Jumi 2 NPBI 81 th P KPD LD C645008 9129555
19 Antono Rehan Maulana 3 PBI 10 th L Anak LD C649169 9142775
20 Uktafiyana Rifda 1 NPBI 2 th P Anak LD C545489 9142692
21 Agus Nurmansyah 3 PBI 5th L Anak L1 C637991 9145216
22 Toyyibun 3 NPBI 12th L Anak L1 C642876 9145239
23 Umi Salmah 3 PBI 39 th P R5B C615199 9090285
24 Dedi Haryanto 2 NPBI 23 th L MRK L1 C651589

25 Siti Romelah 3 NPBI 44 th P Poli C644651
26 Stevani Citra Fardilla 3 PBI 14 th P Anak LD C644380 9071028
27 Fatchul Munif 2 NPBI 29 th L MRK LD C535909 9135932
28 Zaenuri Borhan 3 PBI 27 th L R5A C648140 9110372
Mugi Rahadi 1 NPBI 59 th L ELA 2 C628486 9144049
29 Janeeta 3 NPBI 5th 11 bl P C1L1 C631494 9142768
30 Ilmi Islamudin 1 NPBI 18 th L MRK L2 C600238 9142335
Muhammad Mahmudy
31 1 NPBI 66 th L MRK L2 C641381 9142722
Sjamsuri
32 Izzatin Nissa 1 NPBI 24 th P MRK L1 C455068 9142623
33 Kwek Tjoen K Priv NPBI 74 th P Poli Grd C635155
34 Wahyudin 3 PBI 29 th L Poli Grd C644023
35 Djuminem 3 PBI 59 th P Poli Mata C345005

36 Chusnul Khotimah Priv NPBI 60 th P Poli Grd C647912
37 Maemunah 3 PBI 53 th P R4B C632455 9135964
38 Nurul Aini 2 NPBI 37th P R4B C652009 9144807

39 Atmirah 2 NPBI 55 th P KPD LD C479666 9140705
40 Suto Wahyuningsih 1 NPBI 52 th P KPD L1 C502434 9131273
41 Susana 2 NPBI 52 th P KPD LD C651094 9145217

42 Budi Purwanto 3 NPBI 11/29/1986 L R2B C634574 9140756
43 Eka Oktaviyani 3 NPBI 19 th P R3A C633132 9142698
M : NO,WU,AN,AF,DA,HI,ID RR : FA,AS,AG (MID :SAM, EM ) RR GRD : ST (MID :JF ) SORE PROGRAM : GI,ET,TA,II,NI,AD,BR,TK
44 Cori Elma Aprilia 2 NPBI 4/8/2009 P C1LD C650383 9127152
45 Ida Nur Imaniar 2 NPBI 34 th P MRK LD C590123 9140165
46 Ngarimin 3 NPBI 66 th L R1B C640734 9133863
47 Rinna 3 NPBI 35 th P R4B C641300 9138103
48 Sri Hartini 3 PBI 26 th P R3A C356661 9138480
49 Ari Wibowo 2 NPBI 23 th L R2B C370659 9135665
50 Watinah 2 NPBI 11/26/1957 P KTL L1 C651407 9138406
51 Purwanti VIP A NPBI 57 th P GRD L6 C651909 9138468
52 Made Ngurah 2 NPBI 68 th P MRK LD C324303 9140749

53 Sudarsono 2 NPBI 7/17/1960 L KTL L1 C652492 9144701
54 Atmi 3 um 48 th P R5B C652265 9142852
55 Muhammad Faza Asyqi'yak 3 NPBI 14 th L C1L1 C502478 9142758
56 Dwi Syani Handarini 2 NPBI 26 th P KPD LD C131273 9155678
57 Listiyanah 2 NPBI 32 th P MRK LD C612687 9144668
58 Siswo Hidayat 3 NPBI 8/5/1994 L R2B C652625 9145166
59 Mahmudi 2 NPBI 54th L GER D C651089 9135898
60 Singgih Prasetyo 3 PBI 15 th L C1LD C644969 9144696
61 Dwi Prasetia Fendi VIP A NPBI 12/25/1985 P GRD L5 C629675 9145275
62 Sisca Septiana Nurmalade 3 NPBI 9 th P ELANG 1 C418310 9145211
63 Sulistiani 1 NPBI 33 th P KTL C652305 9144647
64 Caciek Rahmawati 1 NPBI 37 th P KTL C205359 9145062

66 Sri Maritiyem 3 JMD 48 Tth P R2A C648285 9144623
67 Siti Muntiah 3 NPBI 52 th P R2A C648907 9131500
68 Sri Subiarti 1 NPBI 63 th P MRK L2 C652480 9144676
69 Bambang Husodo 2 NPBI 71 th L KPD L1 C409070 9145223
70 Malakin 3 NPBI 50 th L R2B C570334 9142707
CITO
71 Ahmat Azka Maulana 3 um 4th L C1LD C652655 9145330
72 Shofiyah 3 PBI 46th P R2A C649448 9114577
73 Untung 2 NPBI 52th L KPD D C652651 9145258
74 Sudjari 1 NPBI 51th L MRK 1 C652661 9145320
75 Ngatmun 3 PBI 55th L R2B C645017 9121912
HARI / TANGGAL : SELASA, 05 SEPTEMBER 2017

JAMINAN
1 Kholil 3 PBI 49 th L R5A C651551 9135854
2 Pani 3 PBI 76 th P GER LD C650486 9124565
3 Darman 1 NPBI 53 th L KPD L1 C652302 9142902
4 Bagas Budiyatno 3 NPBI 36 th L R5A C652326 9144285
5 Ani Kurniwati 3 NPBI 19 th P R3A C651668 9136194
6 Ridwan Bayu Priyatna 3 PBI 15 th L Anak L1 C652325

7 Syafa Nur Ilyin 3 NPBI 6 th 4 bl P Anak LD C652294
8 Mohamad Masud 3 NPBI 37 th L R1B C646284 9140750
9 Irfan Muchlas 3 NPBI 17 th L R1B C565688 9131789

10 Sekso Arti 3 NPBI 55 th P R5B C645050 9131756
11 Sriyatun VIP NPBI 64 th P GRD L6 C634368 9145061
12 Yusup Setio Budi Utomo 1 NPBI 31 th L MRK L1 C652051
13 Ali Mustofa 2 NPBI 54 th L MRK LD C461437
14 Wagimin 2 NPBI 52 th L KTL L1 C643045 9138311
15 Danu Setyo Widodo 3 NPBI 11 th L C1LD C634302 9144658
16 Supriyanto 2 NPBI 58 th L KPD LD C645252 9144598
17 Tarsini 3 NPBI 38 th P R2A C644948 9134386
18 Roikha 3 NPBI 56 th P R2A C642580 9131826
19 Sumarja 1 NPBI 41 th L MRK L2 C589253 9136207
20 Tien Sumartini 1 NPBI 68 th P KPD LD C651763 9142360
21 Sri Mudjiyati 1 NPBI 64 th P KPD LD C087395 9142724
22 Masripah 3 NPBI 39 th P R2A C648424 9119697
23 Siti Sibah 3 NPBI 46 th P R2A C624772 9142680
24 Suti 2 NPBI 82 th P KTL L1 C641357
25 Muhamad Riswanto 3 NPBI 13 th L C1L1 C651068 9138339
26 Abdilah Abqari Agam 3 JMD 8/11/2017 L PBRT C649798 9117774
27 Mahardika Arhamul Qulbi VIP NPBI 1 th L GRD L3 C648494 9147160
28 M. Arsenio Asha P 2 NPBI 1 th 11 bl L Anak LD C626152 9144682
29 Istiyani 1 NPBI 58 th P KPD LD C646179
30 Bambang Setiawan 2 NPBI 60 th L KTL L1 C576353 9137763
31 Sadar 3 PBI 55 th L R3B C650425 9124346
32 Nur Aliyah 3 PBI 43 th P R3A C652105 9140728
33 Susila 3 NPBI 51 th L R5B B161081
34 Ryan Rahardiantoro 2 NPBI 24 th L KPD LD C627471 9144832

35 Sutrisno VIP NPBI 76 th L GRD L4 C652246 9142737
36 Munadhiroh 3 NPBI 41 th P R4A C649820
37 Rutimah 3 NPBI 71 th P R4B C628217 9138677
38 Harsini 3 NPBI 45 th P R2A C553993 9145218
39 Riyul Aribi NPBI L KPD C633999

40 Tiyan Afif J NPBI L KPD C645002
41 Devand Bagas Saputra NPBI 14 th L Anak L1 C015570
42 Suparlan 1 NPBI 60 th L Elang 2 B415185 9145244
43 By Ny Mafiakhtun II 2 NPBI 1 bln P PBRT C650478 9124735
44 By Ny Susanti 2 NPBI 1 bln L PBRT C646887 9144147
45 By Sinta Zahrah Annuriyah 3 PBI 2 bln P PBRT C650858 9139720
46 Wartiyem 1 NPBI 53 th P KPD LD C524071 9142592
47 Rasmin 2 NPBI 63 th L MRK LD C649719 9144675
48 Atminah Priv NPBI 65 th P P. Grd C541718

49 Bambang Suprapto Priv NPBI 63 th L P. Grd C472706
50 Moch. Gugat 3 NPBI 43 th L P.MTA C646725
51 Jumirah Priv NPBI 58 th P P. Grd C639690
52 Siti Kuswati 3 PBI 54 th P P.MTA C649128
53 Erlyana Priv NPBI 69 th P P. Grd C601363
54 Sriyatun 2 NPBI 74 th P B31 C455778 9145225
55 Sri Handayani VIP NPBI 56 th P GRD L3 C647619 9140241
56 Mulyanto 3 PBI 45 th L R3B C152284 9129595
57 S. Monica Suratmi VIP NPBI 5/4/1959 P GRG L5 C648599 9146564
58 Lydia Yehswy Irsanti 2 NPBI 37 th P KTL L1 C646097 9140652
59 Jumiah 2 NPBI 51 th P KPD LD C649319 9140697
60 Nuryanah 2 NPBI 52 th P KPD LD C645603 9142719
61 Puryadi 3 NPBI 33 th L R1B C626199 9142798
62 Sriyatun Nisak 3 NPBI 37 th P R2A C395363 9129564
63 Lintang Ananda Soleman 3 NPBI 5 th 7 bl P Anak L1 C374648 9141789

64 Susila 3 NPBI 61 th P R5B B161081
M : NO,AN,AF,WI,HI,DJ,IS RR : FA,AS,AG (MID :SAM, EM ) RR GRD : ST (MID :JF ) SORE PROGRAM : GI*,ET,TA,II,NI,AD,BR,TK,
65 Siti Patimah 3 NPBI 48 th P R6A C652074 9140690
66 Maulana Akbar 3 PBI 11th L C1L1 C628627 9148786

67 Atmi 3 um 48 th P R5B C652265 9142852
68 Utami 2 NPBI 33 th P TRAN C650822 9128846
69 Qomimah 3 PBI 34 th P R2A C647415 9142770
70 Tuminah 3 NPBI 53 th P R4B C45044 9142695
CITO
71 Sri Yamtini IRIN A NPBI 48th P R1A C652879 9147757
72 Dimas Widi Hidayatullah 1 NPBI 27th L MRK 2 C617235 9145242
73 Rikhlatul Iffah VIP NPBI 29th P GRD 3 C652281 9147771
74 By.Ny. Dyah Suwantina IRIN B PBI 4hr P PICU C652738 9148417
75 Sukarni IRIN A NPBI 69th P HCU C652617 9145203
76 Ferry Ariyanto 2 NPBI 22th L KTL 1 C172433 9149628
77 Whendy Brasiliana VIP NPBI 28th P GRD 4 C652642 9145221
78 Supono 3 PBI 49th L R5A C122730 9148841
79 Ragil Budiarto 1 NPBI 19th L KPD 1 C652917 9147784
80 Sofiyah 2 NPBI L GER D C651347 9133906
HARI / TANGGAL : RABU, 06 SEPTEMBER 2017

JAMINAN
S : ET,TA,AD
1 Devano Bagas Saputra 3 NPBI 14 th L Anak L1 C015570 9147391
2 Alif Wibowo 3 NPBI 19 th L Anak L1 C318012 9148234
3 Tiyan Afif Juliana 1 NPBI 8 th L KPD L1 C645002 9147430
4 Muhammad Riyul Aribi 1 NPBI 10 th L KPD L1 C633999
5 Siti Nafiah 3 NPBI 26 th P R2A C624053 9147465
6 Edi Haryanto 2 NPBI 51 th L KTL L1 C603446 9137952
7 Meida Aditia Arifiani 1 NPBI 25 th P KPD L1 C641399 9147668
8 Sri Wagiarti 1 NPBI 33 th P MRK L2 C651003 9131830

9 Turmudi VIP UM 48 th L GRD C613626 9149474
10 P. Eliyani Wibowo 1 NPBI 58 th P KPD L1 C633410 9149573
11 Maktub 1 NPBI 52 th L KTL C652899 9147779
12 Maryuti 3 NPBI 63 th P R6A C651403
13 Asmil Edo Priv NPBI 18 th L Pol GRD C589551

14 Sri Sugiyarti 3 NPBI 54 th P Pol VAS C581607
15 Pradhipta Adhy Fitriawan 2 NPBI 31 th L KPD L1 C632553 9150048
16 Sri Enilawati 3 NPBI 39 th P R4B C630282 9144834
17 Sukarmi 3 PBI 48 th P R4A C649850 9145295
18 Rohmiyati 3 PBI 41 th P R4B C652006 9147698
19 Azzalea Damara Kristyanti 2 NPBI 12/11/2012 P Elang 1 C650289 9149409
20 Khoirin Naila Rusian 2 NPBI 11 th P KPD LD C646903 9149374
21 Agus Susanto 3 NPBI 28 th L R2B C651674 9136205
22 Dyan Pramudya 2 NPBI 31 th L PARKIT C650357 9133923
23 Bayu Adhi 3 NPBI 34 th L R2B C652068 9140662
24 Zaenal Arifin 2 NPBI 36 th L KTL L1 C639709 9142825

25 Budi Irawan 1 NPBI 24 th L MRK L1 C634995
26 Rukiyah 3 NPBI 52 th P R4B C650227
27 Slamet Solikha 3 PBI 26 th P R2A C632073
28 Waltiyah 2 NPBI 53 th P KTL L1 C644037 9147530
29 Jumaeni 3 NPBI 42 th P R2A C649877 9147599
30 Badawi 3 NPBI 59 th L R6B C650663 9127361
31 Ifa Syafaatiin K 3 NPBI 14 th P R2A C642559
32 Tuginah 2 NPBI 54 th P KPD LD C647860 9149408
34 Andrian Valentino 3 NPBI 6 bln L C1LD C623743 9131693
35 Yusup Setio Budi Utomo 1 NPBI 31 th L MRK L1 C652051 9144368
36 Kaswati 3 NPBI 47 th P R5B C639878
37 Mahsuni VIP NPBI 67 th L GRD L5 C442075 9144711
38 Sumanan 3 NPBI 43 th L R1B C652641
39 Sonia 3 NPBI 8/29/2017 P PBRT C651980 9139337

40 Galang Rambu Biru 2 NPBI 18 th L KTL L1 C645849 9140230
41 Isa Ansari 1 NPBI 51 th L MRK L2 C651292 9140715
42 Suharmini 2 NPBI 45 th P MRK LD C629514 9138474
43 Saenah 1 NPBI 68 th P KTL C651688 9142476
44 Sarmiasih 1 NPBI 16/07/956 P KPD LD C639231
45 Afida Dewi Widowati 1 NPBI 44 th P KPD LD C639611 9144558
46 Suliyem 3 PBI 78 th P R2A C652662 9145335
47 Marzuki H 1 NPBI 55 th L KPD L1 C574585 9147721
48 Agustini Wahyuni R 1 NPBI 63 th P MRK L1 C239097 9142810
49 Siti Alfiyati 1 NPBI 52 th P KTL C471568 9144026
50 Kholis 1 NPBI 5/4/1974 L KPD L1 C652195 9145824
51 Melody Layyinatussifa 3 NPBI 3 th 3 bl P Elang 1 C522907 9146176
52 Susilowati 3 PBI 44 th P R2A C630984 9142791
54 Safarudin 2 NPBI 29 th L KTL L1 C651586 9135997
55 Yuningsih 1 NPBI 52 th P KPD LD C283343 9147663
56 Kuswati 3 PBI 51 th P P. Mata C562052

57 Sudjono Priv NPBI 70th L P. Grd C523999
58 Soleh 1 NPBI 76 th L P. Mata C616457
59 Suharno 3 NPBI 67 th L P. Mata C646688
60 Kusyono Priv NPBI 52th L P. Grd C373486
61 Sri Indiyah 2 NPBI 74 th P KTL L1 C628129 9146400
62 Lilik Pudjiastuty VIP NPBI 43 th P GRD L3 C632666 9146991
63 Rukiah VIP NPBI 65 th P GRD L4 C651526 9146610
64 Ipa Saripah VIP NPBI 40 th P GRD L5 C649681 9146808
65 Siti Rohmah 3 NPBI 52 th P R2A C650070

66 Marmi 3 NPBI 35 th P R2A C637380
67 Soedjiwo Hadi Prayitno 2 NPBI 79 th L KTL L1 C540120
68 Zaitun Nooraidar 1 NPBI 62 th P MRK L2 C649125
69 Nafisni Afidati 3 NPBI 3 bln P C1L1 C638076 9147409
70 Sutiyem 3 NPBI 67 th P GER LD C652505 9144760
71 Ulya Ayu Ningsih 3 PBI 9 th P C1LD C628021 9108174
72 Sutimah VIP A Um 58 th P GRD L5 C652106 9149314
M : GI,SA,WI,ER,PS,IS,DJ RR : FA,AS,AG (MID : SAM, EM ) RR GRD : ST (MID : JF ) SORE PROGRAM : ET,TA,II,NI,AD,BR,TK,DB
73 Mutiara Anindya Putri VIP A NPBI 9/16/2006 P GRD L3 C613562 9147556
74 Ridwan Bayu Priyatna 3 PBI 15th P C1L1 C652325 9143590
75 Wartini 3 NPBI 53 th P R4A C618278 9135603
76 Radianita 2 NPBI P KPD LD C586187 9150027
77 Dimas Widi H 1 NPBI 27 th L MRK L2 C617235 9145242
78 Sunarto 3 PBI L R3B C605986 9144653
79 Dasinem VIP A NPBI 9/2/1943 P GRD L5 C650583
CITO
80 Nadira Endri Liana Hapsari 3 PBI P PARKIT C653053 9150135
81 Dandi Nur Efendi IRIN B PBI 15th P HCU C653085 9151973
82 Kusmiyati 3 PBI 20th P B31 C651234 9147704
83 Subiyanto 2 NPBI 50th L IGD C653943 9149727
84 Sumini 3 PBI 41th P B31 C653088 9150117
85 Ghany Yazid Khoiry 3 PBI 11bl L C1LD C653092 9152296
86 Budiyono IrinA+ NPBI L GCU C648867 9110353
87 Angger Prasetiyo 1 NPBI 27th L KTL C653275 9152412
HARI / TANGGAL : KAMIS, 07 SEPTEMBER 2017

JAMINAN
S : AP,ET,RK
1 Hery Susanto 2 NPBI 60 th L KTL L1 C649843 9147686
2 Muhammad Riyul Aribi 2 NPBI 10 th L KPD L1 C633999 9147135
3 Sutikno 1 NPBI 56 th L KPD L1 C443097 9147570
4 Kamin 3 NPBI 46 th L R1B C652398 9149934
5 Istiyani 1 NPBI 58 th P KPD LD C646179 9142099
6 Khoiriyah 3 NPBI 40 th P R6A B422984 9126189
7 Andi Setia 3 PBI 22 th L R1B C608483 9147397
8 Munirah 3 PBI 54 th P R4A C650334 9145260
9 Zubaedah VIP NPBI 42 th P GRD L3 C651044 9144965
10 Nur Purnama Laeli 3 NPBI 17 th P R4B C639464 9147572
11 Dewi Fajarina Mulyaningsih 2 NPBI 43 th P MRK LD C651684 9140615
12 Dami Indiyanti 3 NPBI 48 th P R3A C651701
13 Totok Darmanto VIP NPBI 58 th L GRD L5 C651554
14 Yuda Bayu Pratama 3 NPBI 17 th L Anak L1 C630381
15 Budi Irawan 1 UM 24 th L MRK L1 C634995 9147602
16 Rachyudi 2 NPBI 69 th L PARKIT C623470 9138497
17 Slamet Solikha 3 NPBI 26 th P R2A C632073 9119728
18 Andi Gunawan 1 NPBI 31 th L KPD L1 C652601 9115074
19 Siti Saripah 1 NPBI 70 th P KPD L1 C649875 9119829
20 Ngadinah 3 PBI 55 th P R2A C643128 9147620
21 Umi Umayah 3 NPBI 34 th P R2A C642591 9147685
22 Saisah 3 NPBI 53 th P R2A C645617 9142684
23 Ngatno 3 PBI 61 th L R1B C599766 9131655
24 Valen Kazana I 3 NPBI 3 th L ANK LD C652632 9145227
25 Kayun 3 PBI 53 th L R6B C651948 9140534

26 Mislam 3 NPBI 49 th L R1B C648123 9147723
27 Witono Hadi 1 NPBI 58 th L MRK L2 C651384
28 Nurlamiyati 2 NPBI 43 th P KTL L1 C636847 9142598
29 Siti Romlah 3 PBI 39 th P R2A C646326 9140624
30 Triyonah 3 NPBI 53 th P R5B C626025 9130268
31 Mohamad Fandholi 3 PBI 22 th L R2B C642310 9147753
32 Syafa Nur Ilyin 3 NPBI 6 th 4 bln P Anak LD C652294 9144217
33 Siti Parmi 3 NPBI 39 th P R2A C647260 9140666
34 Suharman 2 NPBI 39 th L PARKIT C651519 9135905
36 Udi Triyanto 3 NPBI 37 th L R3B C652132 9142619
37 Suryo Pramono 3 NPBI 46 th L R3B C651930 9139635
38 Margaretha Lanya Agustin 1 NPBI 21 th P MRK L2 C626545 9142797
39 Go Mikael Yordan S 2 NPBI 18 th L MRK LD C648191 9140590
40 Mustikowati 2 NPBI 32 th P Elang 1 C520712 9148953
41 Seffi Utami 3 NPBI 35 th P Elang 1 C642994 9126272
42 Kartini VIP NPBI 55 th P GRD L6 C612543
43 Zainal Abidin Suryanta VIP NPBI 53 th L GRD L6 C650139
44 Moch Bedjo 2 NPBI 60 th L MRK LD C580065
45 Rina Kesiya 3 NPBI 8 th 11 bln P Anak LD C598994 9147722
46 Faradillah Salma A 2 NPBI 1 th 5 bln P Anak LD C587387 9147730
47 Agus Effendi 3 PBI 47 th L R3B C650480 9149641
48 Nur Aini Priv NPBI 69 th P Poli Grd C651788
49 Rohmat Saronji 3 UM 95 th L Pol MTA C606374
50 Siti Rofiatin 2 NPBI 50 th P Pol MTA C632162
51 Seger 3 NPBI 64 th L Pol MTA C638901
52 Ngahadi 1 NPBI 55 th L Pol MTA C550004
53 Tri Kusuma Nirwana Priv NPBI 29 th P Poli Grd C651788

54 Suryati 2 NPBI 40 th P KTL L1 C617905 9145052
55 Sri Purwani 2 NPBI 35 th P KTL L1 C651940 9149940
56 Badawi VIP NPBI 67 th L GRD L4 C651961 9147605
57 Ratna Setyohandani VIP NPBI 54 th P GRD L4 C163132 9147585
58 Cahyaningsih VIP NPBI 64 th P GRD L6 C569591 9149393
59 Ulyanasikhah 3 NPBI 15 th P PARKIT C653022 9149950
60 Dio Nur Cahyo 3 NPBI 3 th L Anak L1 C563710 9152312
61 Syafiul Umam 3 NPBI 6 th L Anak L1 C636046 9150941

M : II,SA,ER,TK,ES,DY,DB RR : FA,AS,AG (MID : SAM,ND ) RR GRD : ST (MID : JF ) SORE PROGRAM : AP,ET,RK,NI,AD,BR,DI,TU
62 M. Bryan Aswahyudi 3 NPBI 6th L C1L1 C617854 9152367
63 Inni Zakwan Saputra 3 NPBI 3th L C1L1 C570741 9152307
64 Suliyah 2 NPBI 57th P MRK D C653004 9152364
65 Serlina 3 PBI 5th P C1L1 C652319 9142995
66 Wasiyah 3 NPBI 34th P R2A C612485 9144880
67 Agus Sutrisno IRIN B JMD 43th L R1A B067618 9131833
68 Akmal Shaum Nadzirin VIP UM 11th L GRD 3 C564804 9152458
69 Sauri 3 NPBI 38 th L R2B C609182 9096609
70 Sri Suhartini Kustantiyah VIP NPBI P GRD 4 C460389 9145312
71 Kun Dipowati VIP NPBI 54th L GRD 5 C623482 9148899
72 Muzahid 1 NPBI 55th L KTL C651899 9147781
73 Sugiri 3 NPBI 55th L R5A C639511 9126882
74 Rifai Ragil IRIN A NPBI 42th L HCU C431349 9154741
75 Darsih 1 NPBI 63th P MRK 2 C640808 9108055
76 Bery Wirawan VIP PT 33th L GRD 6 B219633 9150000
77 Sumiyati 3 PBI 47th P R5B C614613 9144667
78 Jumiati 3 NPBI 46th P R3A C652868 9147627
CITO
79 Indri Putri Sari 3 NPBI 25th P B31 C648619 9148519
80 Atmi 3 NPBI 45th P R5B C652265 9142852
81 Irvan Kurniawan 3 PBI 16th L R1B C653073 9154494
82 Sudiyana 1 NPBI 54th L KPD 1 C476400 9154650
83 Siti Hartini 3 NPBI 34th P B31 C653277 9152439

JAMINAN
S : AP,ET,RK
1 Siti Kabsah 2 NPBI 63 th P KPD LD C636213 9154600
2 Nur Hasanah 3 NPBI 22 th P R2A C651047 9152411
3 Rosi Handayani 1 NPBI 42 th P KPD L1 C473331 9152442
4 Herry Santoso 2 NPBI L KPD L1 C642120
5 Nur Chamid 2 NPBI 38 th L KTL L1 C633385 9147489
6 Arya Puji Ramadhan 3 NPBI 12 th L Anak L1 C571412 9152349
7 Nur Cholifah 3 NPBI 20 th P R3A C652003 9151893
8 Sri Yulieni 1 NPBI 52 th P KPD LD C649720 9147493
9 Ika Yogyasari 2 NPBI 34 th P B31 C651099 9145318
10 Suahmad 2 NPBI 50 th L MRK LD C581852 9152404
11 Sapiasari Pujiastuti VIP NPBI 38 th P GRD L5 C582899 9151749
12 Bagus Utami Merzal VIP NPBI 52 th L GRD L5 C451872 9151928
13 Anis Tri Wulandari 2 NPBI 47 th P PARKIT C603588 9142004
14 Rukiyah 3 NPBI 52 th P R4B C650227 9122214
15 Bambang Prihadi Mulyo 3 NPBI 40 th L R3B C643630
16 Siti Murni 3 NPBI 46 th P R2A C632005 9147490
17 Sarahwati Manggarsari 3 NPBI 47 th P R5B C642117 9152294
18 Kenzie Ahmad Airlangga 3 NPBI 3th L Anak L1 C565495 9154657
19 Syamsid 3 NPBI 10 th L Anak L1 C645191 9138034
20 M Rizqi Virdana 3 NPBI 10th L Anak L1 C651501 9154282
21 Imam Syafi'i 1 NPBI 67 th L KTL C652695 9147557
22 Sumarman IRIN NPBI 54 th L R1A C255967 9147774

23 Yunita Nur Ramadhani 3 NPBI 6/17/2017 P Anak L1 C641199
24 Nurul Istiqomah 2 JMD 3 bln P IGD C652946 9153395
25 Sri Wahyuni 3 NPBI 42 th P R4A C652906
26 Suradi 3 NPBI 38 th L R1B C598574 9138442
27 Kaswati 3 PBI 47 th P R5B C639878 9135469
28 Triyonah 3 NPBI 53 th P R5B C636025 9130268
29 Damin 3 NPBI 59 th L R1B C651556 9136030
30 Sugianto 1 NPBI 2/21/1950 L KPD L1 C648875
31 Herman Erwani 3 Um 31 th L PARKIT C653099 9152460
32 Nor Hidayah 3 NPBI 27 th P Elang 1 C612206 9151581
33 Tyas Shinta Anggraeni VIP NPBI 25 th P GRD L6 C651813 9149920
34 Dodot Adi Triananda 2 PT 61 th L KPD LD C596167 9147695
35 Supinah 2 NPBI 39 th P KTL L1 C566362 9147242
36 Sukandar 2 NPBI 67 th L MRK LD C649173 9149933
37 Yohanes Dita Permana 2 NPBI 26 th L KTL L1 C650318 9149993
38 Suyati Priv NPBI 69 th P Pol GRD C648448

39 Rofiah Priv NPBI 68 th P Pol GRD C632508
40 Subadi Priv NPBI 70 th L Poli Grd B327668
41 Kasni 3 NPBI 77 th P R4A C626050 9147719
42 Purwanto 1 NPBI 30 th L KPD LD C646243 9150013
43 Sarwono 3 NPBI 57 th L R2B C648096 9102917
44 Sitah Rahayu 2 NPBI 40 th P MRK LD C597461 9152319
45 Endy Soewani 2 NPBI 75 th P KPD LD C647628 9154545
46 Padi 3 NPBI 29 th L R2B C653081 9150120
47 Kintya Yuli Pratiwi 3 PBI 22 th P R2A C652578 9145146
M : II,NH,NI,ES,TK,DY,DB RR : FA,AS,AG ( MID : SAM S : DA ) RR GRD : ST (MID : JF ) SORE PROGRAM : AP,ET,RK,AD,BR,DI,T
48 Muhamad Fajar Hidayat 2 NPBI 15 th L C1LD C646397 9154696
49 By. Ny. Rikhatul Iffah 1 NPBI 9/5/2017 P PBRT C652993 9149176

50 Dwi Wahyuni 2 NPBI 19 th P B31 C605103 9138304
51 Anggi Riska Ristiana 3 NPBI 16 th P Anak LD C599089 9147561
52 Pratono 3 PBI 34th L R6B C509704 9152374
53 Parwi 1 NPBI 55 th L KPD 1 C651016 9129650

54 Rina Puji Susiati 1 NPBI 33 th P MRK L1 C254007 9152416
55 Zarotun 3 PBI P R3A C642069 9152982
CITO
56 Ahmad Solikin 3 um L R3B C653436 9155705
57 Mardiyah 3 PBI 26th P B31 C652550 9154637
58 Mutiara Dewi 3 PBI 23th P B31 C653457 9154715
59 Surik Amaliya 2 NPBI P B31 C649377 9156760
60 Jenah IRIN B PBI 55th P ICU C653283 9155737
61 Sriwahyuni IRIN A NPBI 53th P R1A C653446 9154654
62 Tjamun Munthori 3 NPBI 62th L R5A C653537 9156940
63 Juari 3 um L R5A C653283 9156946

JAMINAN
S : AP,ET,RK*, AR
1 Hardiyoso VIP NPBI 51 th L GRD L4 C650257 9147285
2 Wagimin 2 NPBI 52 th L KTL L1 C643045 9138311
3 Wahyu Prima Yoga 2 NPBI 22 th L MRK LD C652970 9152385
4 Moh Rifai 3 NPBI 27 th L R3B C642833 9152279
5 Fransisca Marques VIPA UM 36 th P GRD L6 C653147 9156571

6 Henny Wati Soeseno 2 NPBI 52 th P GER LD C499967 9132082
7 Ainur Rofiq 2 NPBI 50 th L MRK LD C633596 8150110
8 Ida Nur Imaniar 2 NPBI 34 th P MRK LD C590123 9140165
9 Firsta Dely Wicaksono VIP NPBI 12/13/1989 L GRD L6 C652940 914911
10 Kartini VIP NPBI 55 th P GRD L6 C612543 9145219
11 Zainal Abidin Suryanta VIP NPBI 54 th L GRD L6 C650139 9147639
12 Moch Bedjo 2 NPBI 60 th L MRK LD C580065 9145237
M : NH,NO,JF,TU,NI,MF RR : FA,AS,SU,SAM RR GRD : ST (MID : JF ) SORE PROGRAM : AP,AR,AT,BY,BD,DM,DI,ET,MR,MK,YS,N

CITO
13 Ramin 3 um 58th L R5A C653520 9156008
14 Dhian Santi Octarina 3 Um 37th P R4A C653547 9156972
15 Iis Susanti 3 um 28th P B31 C650241 9122162
16 Nendah H 2 NPBI 21th P B31 C653740 9157135
17 Padi 3 PBI 29th L R2B C653081 9150120
18 Nopi Saputri 3 um 19th P B31 C653748 9157180
19 Pranowo Agung Wiyatno IRINA Um 59th L ICU C644988 9156963
20 Qolifatul Chasanah 2 NPBI 25th L B31 C653769 9157234
21 Murwani 1 NPBI 53th L MRK 1 C565335 9154744

JAMINAN
1 Dwi Cahyaningsih 3 NPBI 14 th P Anak L1 C645878 9145186
2 Dinna Noorlyana 1 NPBI 41 th P KPD LD C590937 9154669
M : NO,TU,JF,MK,MF SORE PROGRAM : RK,ND,YS,MW,DN,PL*,PM*
3 Muhammad Khoiruniam 3 PBI 21th L R1B C653805 9157388

CITO
4 Indah Purimasari 2 NPBI 20th P PARKIT C633436 9152327
5 Muhammad Akhsani Al Fath 3 NPBI 1th L C1L1 C619679 9156810
6 Ahmad Zacky K 2 NPBI 8bl L C1LD C651598 9136019
7 Kun Dipowati IRIN A NPBI 54th P ICU C623482 9148899
8 Reza Antoni Saputra 3 Um 14th L C1L1 C653800 9157453
9 Risna Wahyudianto 3 Um 21th P R2B C652914 9148519
10 Sularmi 3 NPBI 33th P B31 C653834 9157429
11 Nur Rochmad IRIN B NPBI 74th L R1A C653798 9157417

JAMINAN
S : WU,AY,ANM
1 Muhammad Nawal Rizqi 3 NPBI 1th L Anak L1 C568769 9157302
2 Alunan Mahardika Afandi 3 NPBI L Anak L1 C503902 9157329
3 Suwarni 2 NPBI 51 th P KPD LD C652949 9157317
4 Pujoko 2 NPBI 54 th L KPD L1 C313421 9157306
5 Yatman 3 NPBI 41 th L R5A C648788 9150096
6 Diran 3 PBI 55 th L R1B C644203 9146858
7 Bambang Sayekti 3 NPBI 59 th L R1B C629207 9152418
8 Aditya Tjahya P 2 NPBI 31 th L MRK LD C557705 9154680
9 Sudiarti 3 NPBI 48 th P R4A C651050 9142817
10 Surip 3 NPBI 68 th L R3B C646512
11 Sugiarto 2 NPBI 58 th L KTL L1 B222919 9138538
12 Mutakin 3 NPBI 32 th L R3B C651461 9144755
13 Yatminah 3 PBI 66 th P R2A C594490 9147206

14 Puji Hariyanti 2 NPBI 51 th P KTL L1 C649102 9144645
15 Budiono 3 NPBI 68 th L R2B C648718 9121330
16 Suprihatiningsih 2 NPBI 31 th P KPD LD C650646 9157313
17 Muhammad Fikri Mahfudz 3 NPBI 1 th 4 bln L Anak LD C624713 9151526
18 Rasyid Sidiq Budi Pratama 1 NPBI 2 th L Anak LD C565803 9154693
19 Totok darmanto VIP NPBI 58 th L GRD L5 C651554
20 Darsono 3 NPBI 41 th L R5A C598320 9149080
21 Ping Siu Pin 2 NPBI 59 th P KPD LD C645843 9157377
22 Sri Rahayu 2 NPBI 58 th P KPD LD C643433 9157322
23 Arief Widodo 2 NPBI 27 th L KPD L1 C647730

24 Gusti Chausar 2 NPBI 32 th L KPD L1 C650141
Riko Cahyono 3 PBI 29 th L Elang C614531 9157086
25 Erni Rahayuningsih 2 NPBI 37 th P KTL L1 B316316 9150073
26 Marla Kristiyanti Priv NPBI 63 th P P. Grd C648983
27 Paidjan Priv NPBI 63 th L P. Grd C643752
28 Jaenuri 2 NPBI 60 th L P. Mata C649923
29 Haniah Priv NPBI 69 th P P. Grd C650745

30 Tadem 1 NPBI 67 th P P. Mata C643019
31 Pariyah 3 PBI 59 th P P. Mata C636938
32 Soeprajitno NPBI 73 th L P. Mata C229309
33 Paryoto 3 NPBI 45 th L R2B C652907 9147760
34 Sumartini 3 NPBI 40 th P R4B C643207
35 Juniasih 3 NPBI 46 th P R4B C647437 9154480
36 Kamdanah 3 PBI 40 th P B31 C653508 9156197
37 Sunarni 3 NPBI 46 th P R5B C650299 9152297

38 Rukiyah 1 NPBI 58 th P MRK L1 C651042 9152405
39 Suradi 2 NPBI 51 th L KPD LD C649646 9154579
40 Muhammad Syifa Zakiya 3 NPBI 16 th L C1LD C652666 9145333
41 Narsih 1 NPBI 45 th P KPD L1 C650820 9129549
42 Yuanita 2 NPBI 35 th P KPD LD C650793 9127365
43 Muhammad Rizqie Zadi Niam 3 NPBI 2th L Anak L1 C550184 9157375
44 Faisal Rahman 3 PBI 10 th L C1L1 C632970 9157349
M : RK,HR,ND,YS,PM,PL,MK RR : FA,PS,SAM ( MID : ER S : SU ) RR GRD : MY (MID : TM ) SORE PROGRAM : WU,AY,AM,RE,DW
45 Partinah 3 NPBI 30 th P R2A C652073 9140757
46 Raniti 3 NPBI 52 th P R4A C648426 9152413
47 Desvia Salsabila 3 NPBI 1 th P Anak D C612099 9154717
48 Darojah 3 NPBI 32 th P R6A C653214 9152369
50 Rizki Ardiansyah 3 NPBI 9 th L Anak D C644774 9154431
51 Supinah 1 NPBI 39 th P KTL 1 C566362 9147242
52 Teguh Supriyadi 2 NPBI 55 th L KPD D C652980 9156890
53 Aris Fatoni 2 NPBI 34 th L MRK D C649629 9154686
54 Daffa Adly Mudloffar 3 PBI 8th L C1L1 C640003 9150106
55 M Azka Nur Karmi VIP Um 5/22/2014 L GRD L3 C653702 9156927
56 Desi Ratnawati 3 NPBI 12/30/2001 P Anak 1 C580593 9152444
57 Ahmad Gani 3 NPBI 8 bl L Anak 1 C653463 9156833
58 Bambang Kusmanto 3 NPBI 58th L R3B C653503 9156947
59 Edi Riyanto 2 NPBI 55th L KTL 1 C632645 9157399
60 Arum Widtaningsih 1 NPBI P KTL 1 C634041 9133944
61 Rina Puji Susiati 1 NPBI 33 th P MRK 1 C254007 9152416
62 Tjondro Lukito 3 PBI L R3A C653750 9157191
63 Siti Aisahtun 3 NPBI 27th P R3A C525005 9144544

64 Liong Sie Nyan 1 NPBI 77 th P MRK 1 C594406 9150101
CITO
65 Wulan Puasa Sari 3 PBI 25th P R5A C430382 9159884
67 Tina Mulyanti 1 NPBI 34th P B31 C650980 9157331
69 Abdul Aziz 3 PBI 33th L R1B C653218 9151770
71 Ropin IRIN B PBI 63th L R1A C653820 9157389
73 Umi Rifatul Ulya 3 PBI 19th P R3A C653815 9159579
74 Altin Wahyu Ningsih 3 NPBI P B31 C649376 9159597
75 Khusnul Masam 3 PBI 28th P R2B C653808 9159797
HARI / TANGGAL : SELASA, 12 SEPTEMBER 2017

JAMINAN
S : WU,VQ,RA
1 Achmad Badrut Tamam 3 NPBI 14 th L Anak L1 C644972 9157586
2 Arkana Irhab H 3 NPBI 1th L Anak L1 C633151 9159824
3 Hasan Mudhofar 1 NPBI 29 th L MRK L2 C624179 9150105
4 Tri Sumiyati 1 NPBI 62 th P KPD LD A521305 9156891
5 Anwar 1 NPBI 55 th L GER L1 C651339 9158180
6 Nanda Bangkit Prakasa 2 NPBI 19 th L PARKIT C652918 9148645
7 Harmanto 3 PBI 25 th L R3B C651805
8 Mohammad Ali 3 NPBI 15 th L Anak L1 C652220 9148810
9 Paimin 3 PBI 73 th L R3B C296476 9151718
10 Dwi Wahyuni 2 NPBI 19 th P B31 C605103
11 Agus Zulianto 3 PBI 25 th L R2B C650173 9152402
12 Andi Setiawan 3 NPBI 34 th L R2B C647460 9156863

13 Nor Kafid 3 PBI 19 th L R2B C653719 9157052
14 Raharjo 3 NPBI 63 th L R1B C589018 9147147
15 Susi Heryawati 1 NPBI 53 th P KPD L1 C607453 9150054
16 Suwarni 3 NPBI 61 th P R6A C651284 9149898
17 Ani Yuliana 3 PBI 40 th P R4A C603260 9150011
18 Elina Mulyanti 1 NPBI 47 th P KPD L1 C550483 9152330
19 Yaji 3 PBI 73 th P R2A C646779 9156936
20 Upik Supriyatin 1 NPBI 58 th P KPD LD B118956
21 Sugiyono 2 NPBI 45 th L PARKIT C651993 9140739
22 M. Arief Widodo 2 NPBI 27 th L KPD L1 C647730 9157325
23 By Ny Asri Awaliyah 1 NPBI 11 bln P PBRT C653455 9154695
24 Anisul Fuadah 3 NPBI 7 th P Anak LD C647428 9156871
25 Najwa Safira 3 PBI 10 th P Anak L1 C645610 9154678
26 Mudrichah 1 NPBI 65 th P KPD L1 C628094 9140610
27 Eko Sudiyanto 3 NPBI 46 th L R6B C144620
28 Sumanan 3 PBI 43 th L R1B C652641 9145338
29 Subari 2 NPBI 63 th L PARKIT C651780 9138479
30 Sutoyo 2 NPBI 65 th L KTL L1 C651437 9147731
31 Suhartini 2 NPBI 45 th P KTL L1 C636261 9147677
32 Achmad Supandi 1 NPBI 63 th L MRK L1 C644079 9151183
33 Daffa Victorio VIP NPBI 7 th L GRD L3 C296928 9157447
34 Sarmiasih 1 NPBI 71 th P KPD LD C639231
35 Linarti 3 PBI 56 th P R2A C650627 9157182
36 Eka Sihabudin 3 PBI 30 th L R5A C652303 9144555
37 Gusti Chausar 2 NPBI 32 th L KPD L1 C650141 9157324

38 Muhammad Khikamuddin 1 NPBI 19 th L Elang 2 C626128 9140719
39 Baihaqi Rakha Rabbani 3 NPBI 4 th 6 bln L Anak L1 C652342 9157232
40 Ngatiyah VIP NPBI 68 th P GRD L5 C652800 9157327
41 Salamun 3 NPBI 60 th L R1B C637211 9147473
42 Rusidi 3 Um 40 th L R2B C653253 9152457
43 Hartono 1 NPBI 64 th L P. DS C598276
44 Jaliyah 3 PBI 62 th P P. Mata C640391
45 Juariyah Priv NPBI 61 th P Poli Grd C648813
46 Ely Sofiyati 1 NPBI 42 th P P. Mata C640419
47 Antoni 3 NPBI 39 th L P. Mata C649163
48 Mochamad Yani 3 NPBI 51 th L P. Mata C652384
49 Sumarni VIP NPBI 62 th P GRD 4 C647795 9154434
50 Setyaning Pamujiati 3 NPBI 52 th P R4A C648118 9156577
51 Islamianah 3 JMD 40 th P R2A C646261 9156847
52 Siti Zaenah 3 NPBI 40 th P R2A C650969 9156930
53 Ali Wahyudi 2 NPBI 23 th L KTL L1 C653689 9156999
54 Herman Erwani 2 Um 31 th L PARKIT C653099 9152460
55 Rizqi Libaset At Taqwa 3 PBI 9 th L Anak LD C651279 9152336
56 Dwi Indah Darini 3 NPBI 33 th P R2A C650608 9147309
57 Nehemia Anjas Saputra 3 NPBI 20 th L R2B C652581 9145189
M : HR,PM,ND,YS,AM,DN,PL RR : FA,PS,SAM ( MID : ER S : SU ) RR GRD : MY (MID : TM ) SORE PROGRAM : WU,AY,RE,DW,BR
Muhammad Zaidan
58 VIP A NPBI 8/25/2015 L GRD L3 C653853 9159523
Dewantoro
59 Silvi Angelina Iga Putri 3 NPBI 17 th P B31 C643136 9157330
60 Candra Saputra 2 NPBI 5/26/2003 L Elang 1 C623736 9159603
61 Hanif Syaefudin 2 PBI 11 th L IGD C647627 9159696
62 Sri Sugiarti 1 NPBI 63 th P MRK 1 C652480 9144676

63 Oei Herry Santoso 1 NPBI 50th L KPD 1 C642120 9154601
64 Setyo Pramono 1 NPBI 48th L KPD 1 C100083 9157438
65 Sabawi 2 NPBI 63th L GER D C653865 9159822
66 Muhammad Edi 2 NPBI L MRK LD C636273 9140698

34 th
67 Rusno Priv NPBI 36 th L P. Mata C645239
CITO
68 Venny Ayu Lestari VIP NPBI 30th P GRD 4 C654036 9159671
69 Muafaroh 3 NPBI 31th P B31 C650724 9157403
70 Mohammad Kenzo Jayendra IRIN B NPBI 1bl L PICU C653765 9161190
71 Ana Faizah 3 NPBI 30th P B31 C653724 9157023
HARI / TANGGAL : RABU, 13 SEPTEMBER 2017

JAMINAN
S : WU,TR,RA
1 Aditya Pratama 3 PBI 7/1/1997 L R2B C145371 9150081
2 M Nurhakim 3 PBI 41 th L R1B C635323 9149974
3 Tafrikan Lutfi 3 NPBI 16 th L R2B C006321 9156110
4 Toriyah 1 NPBI 55 th P KPD D C589859 9156958
5 Mayang Sari 1 NPBI 22 th P KTL C413037 9158728
6 Ratna Dewi Dian Handian 2 NPBI 34 th P KTL 1 C653343 9156921
7 Elies Widyawati 3 NPBI 57 th P R3A C653014
8 Kusnarti 1 NPBI 56 th P MRK L2 C437070 9157239
9 Suherna 3 PBI 60 th P GER LD C653494 9156789

10 Suwarti 3 NPBI 61 th P R5B C645187 9135650
11 Muchamad Ali VIP NPBI 57 th L GRD L5 C653341 9154690
12 Rosalina Ingrid Pramudita VIP NPBI 20 th P GRD L3 C653123 9158961
13 Niken Dian Utami 1 NPBI 34 th P KPD LD C653291 9154670
14 Noor Yatissilmi 2 NPBI 40 th P KTL L1 C652612 9145107
15 Parmo 3 Um 46 th L R2B C653722 9157169
16 Likhatus Saadah 1 NPBI 46 th P KPD L1 C653717 9157194
17 Mas'adah VIP NPBI 44 th P GRD L4 C651410 9147655
18 Amin 3 PBI 47 th L R3B C653729 9157236
19 Sokhibul Muttaqin 3 NPBI 19 th L R5A C653767 9157276
20 Slamet VIP NPBI 55 th L GRD L4 C652355 9154488
21 Marminah 3 PBI 54 th P R2A C647452 9154590
22 Rofiah Al Toyimah 2 NPBI 67 th P KPD LD C653534 9161979
23 Sumarti 3 NPBI 54 th P R2A C652077 9159751
24 Siti Maesaroh 1 NPBI 56 th P KPD LD C349963 9133843
25 Parmin Sumarjo 3 NPBI 57 th L R2B C649095 9150041
Rayendra El Mannaf
26 2 NPBI 3 bln L Anak LD C640772 9150093
Diwangkara
27 Ais Lulul Janah 3 NPBI 6 bl P Anak D C635016 9159841
28 Wiwi Daniyati 3 NPBI 14 th P Anak 1 C653852
29 Arif Hermawan 2 NPBI 31 th L MRK D C653004 9152364
30 Pudji Astuti VIP NPBI 75 th P GRD L5 C605484 9160882
31 Ngatijah 1 NPBI 63 th P MRK L2 C652611
32 Salbiah 1 NPBI 68 th P MRK L1 C604931 9151836
33 Sudarwati 2 NPBI 49 th P KTL L1 C604243 9147733
34 Darwati 2 NPBI 56 th P MRK LD C633160 9150079
35 Muhamad Ridho Prasetya 3 NPBI 20 th L R2B C654003 9162095
36 Tohir 3 PBI 44 th L R6B C651714 9138471

37 Warsiyah 3 NPBI 36 th P R5B C649706 9141323
38 Muhammad Muhrozi 3 PBI 24 th L R3B C633312 9152302
39 Kasti 1 NPBI 81 th P KPD LD C634546 9153488
40 Lanny Setiawati 2 NPBI 57 th P Elang 1 C542678 9158920
41 Keisya Nabila Janeeta 2 NPBI 6 th 11 bln P Elang 1 C622245
42 Alif Maulana Ilham S 2 NPBI 7 th 2 bln L Anak LD C650600 9156860
43 Mahmudun VIP NPBI 55 th L GRD L5 C647822 9159394
44 Suyanto Sukamto 3 NPBI 44 th L R3B C616086 9157332
45 Sukardi 3 PBI 43 th L R3B C568569 9157359
46 Suhadi 3 NPBI 55 th L R1B C651891 9159819
47 Noor Septianingrum 2 NPBI 25 th P KTL 1 C562090 9162049
48 Sutarti 2 NPBI 63 th P P.Mata C650044

49 Brahmantyo Priv NPBI 53 th L P. Grd C642869
50 Haniah Priv NPBI 69 th P P. Grd C650745
51 Tadem 1 NPBI 67 th P P.Mata C643019
52 Nuju 2 NPBI 63 th L P. Mata C647312
53 Maria Magdalena 3 PBI 54 th P P. Mata C212221
54 Sudiyono Priv NPBI 55 th L P. Grd C632464
55 Tarmuji 3 NPBI 63 th P P.Mata C593965
56 Tjioe Tjiok Thian 1 NPBI L P.Mata C633037
57 Novita Ikhtiyanti VIP NPBI 36 th P GRD L3 C652350 9157393
58 Sandrawati VIP NPBI 38 th P GRD L6 C652692 9159690
59 Yuyun Sukma Triani 2 NPBI 40 th P KTL L1 C647853 9159805
60 Christina Goenanto VIP NPBI 37 th P GRD L6 C625635 9159779
61 Susi Ristiyanti VIP NPBI 12/31/1981 P GRD L5 C303150 9159542
62 Sri Rahayu 1 NPBI 6/5/1971 P KPD 1 C633568 9158945
63 Agus Cahyono 3 JMD 55 th L R1B C590787 9154581
64 Sayanto 3 NPBI 26 th L R1B C647148 9150094
65 Sri Widiantoro 3 NPBI 20 th L R1B C650585 9149966
66 Munadi 3 NPBI 42 th L R1B C646048 9149946

M : EM,AG,MW,BR,AM,DN,VQ RR : FA,PS,SAM ( MID : ER S : SU ) RR GRD : MY (MID : TM ) SORE PROGRAM : WU,AY,RE,DW,B
68 Sri Wahyuni 2 NPBI 51 th P KPD LD C647904 9159748
69 Muchamad Ali VIP NPBI 57th L GRD 5 C653341 9154690
70 Muhamad Akmal 3 NPBI 1 th L Anak LD C562316 9159740
71 Bunga Cahyaning Kinasih 1 NPBI 8th P C1L1 C652933 9159782
72 Rosmawati 3 NPBI 38th P R5B C651718 9156856
73 Madriyah 3 NPBI 52 th P R4B C653728 9157128
74 Teguh Sutrisno 1 NPBI 53th L MRK 1 C653076 9150089
75 Nur Nahidah 3 NPBI 48th L R2A C653753 9157405
76 Mardiyah 3 NPBI 52th P R4B C653728 9157128
77 Utami Rahayuningdyah 2 NPBI 58th P R3A C642704 9159832
CITO
78 Tyas Intani VIP Um 32th P GRD 6 C654255 9162066
79 Kurnia Marlista 1 NPBI 30th P B31 C555542 9161995
80 Aprilia Annisa Putri 3 PBI 7th P C1L1 C648312 9105923
81 Yuliana Warsyanti 3 PBI 33th P B31 C414844 9162010
82 Choerudin IRIN A BPJS 29th L HCU C654269 9164193
83 Ari Wijaya 3 um 42th L R1B C654256 9164283
84 Sri Murtini 2 NPBI 37th P KTL 1 C654069 9160116
HARI / TANGGAL : KAMIS, 14 SEPTEMBER 2017

JAMINAN
S : WU,TR,RA
1 Sukiman VIP NPBI 54 th L GRD L6 C608582 9147702
2 Ida Krisnawati 3 PBI 27th L R2B C639062 9161994

3 Suntik 3 Um 58 th L R2B C411063 9157659
4 Sumaryati 3 NPBI 58 th P R3A C618489 9159745
5 Ajib Ulil Albab 3 NPBI 18 th L R3B C650001 9159834
6 Yuliana VIP NPBI 25 th P GRD L4 C649464 9161480
7 Sriyatun 3 NPBI 37 th P R4B C649174 9162014
8 Listiyani 3 NPBI 20 th P B31 C649203 9161982
9 Akhmad Adrian 1 NPBI 45 th L MRK L1 C653933 9159846
10 Eko Setiawan VIP NPBI 37 th L GRD L6 C649927 9160523
11 Dahirotun 3 NPBI 41 th P R4B C651963 9152459
12 Harwanto Karyanto 1 NPBI 61 th L GER L1 C653328 9158877
13 Djasmani 1 NPBI 53 th L KPD L1 C518843 9159741
14 Sukamti 2 NPBI 60 th P KPD LD C646934 9154666
15 Feri Prihatun 1 NPBI 42 th P C120677
16 Rizky Ramadhan 1 NPBI 2 th 2 bln L Anak LD C647201 9156858
17 Wiwi Daniyati 3 NPBI 15 th P Anak L1 C653852 9159838
18 Bayu Prakoso 3 NPBI 17 th L Anak LD C653704 9157039
19 Warnadi 3 NPBI 47 th L R2B C646065 9105919
20 Abdul Lathief 1 NPBI 47 th L MRK L2 C629096 9157314
21 Wildan Al Khadafi 1 NPBI 4 bln L Anak L1 C652136 9152324
22 Kustiyah 3 PBI 42 th P R6A C652079 9140633
24 Musyaronah 2 NPBI 37 th P KTL L1 C637752 9147576
25 Suparmin 2 NPBI 66 th L PARKIT C634173 9159829
26 M. Ali Imron 3 PBI 23 th L R2B C625578 9117234
27 Risdiyanto 2 NPBI 32 th L KTL L1 C654071 9160490

28 Amin 3 PBI 69 th L R2B C594819 9157119
29 Sarmudan 3 NPBI 56 th L R2B C653757 9157307
30 Emi Taryumi VIP NPBI 70 th P GRD L4 C653770
31 Ainur Rofiah 3 NPBI 4 th 6 bln P Elang 1 C404688 9161923
32 Suparsih 3 NPBI 44 th P ELA 1 C647690 9164263
33 Adelard Dyastha Axel VIP NPBI 2 th L GRD L3 C574271
34 Murwati 2 NPBI 62 th P MRK LD C590905 9159744
35 Suyono 2 NPBI 53 th L KPD LD C600753 9159742
36 Titis Riyanto 3 NPBI 62 th L R3B C608429 9159197
37 Soyi 3 NPBI 50 th P R3A C595223 9157162
38 Kasyono 1 NPBI 46 th L KPD L1 C503893 9147119
39 Fikriyah Priv NPBI 57 th P Poli Grd C209922
40 Sri Harminingsih Priv NPBI 51 th P Poli Grd C639965
41 Ngahadi 1 NPBI L Pol MTA C550004
42 Sukartono 3 NPBI L Pol MTA C630285
43 Sri Budiningsih 2 NPBI 56 th P Pol MTA C644013
44 Anisah 3 JKN 23 th P Pol MTA C652037
45 Novita Kusuma Wardani 3 NPBI 36 th P B31 B371148 9158930
46 Ike Ratna Palupi VIP NPBI 31 th P GRD L6 C182396 9159856
47 Eka Puji Septiyanah 3 PBI 16 th P Anak LD C653841 9159105
48 Bagas Budiyatno 3 PBI 36 th L R5A C652326 9144285
49 Dwi Fitri Paramita 1 NPBI 34 th P GER L1 C653038 9160268
50 Tasimah 3 NPBI 42 th P R2A C648128 9159651

51 Sulistyani 3 PBI 33 th P R2A C617621 9159490
52 By Ny Nuridah 3 NPBI 8 hari P PBRT C653064 9152414
54 Sauqi Dinar Abdullah VIP NPBI 2 th 10 bln L GRD L3 C651419 9161554
55 Sumiyati 1 NPBI 52 th P MRK L2 C646057

M : ST,EM,BD,AG,MW,BR,VQ RR : FA,PS,SAM ( MID : SU S : ER ) RR GRD : MY (MID : ANM ) SORE PROGRAM : WU,RE,DW,DA,HA,T
76 Sri Kanti Agustina PS NPBI 8/14/1953 P GRD L5 C071455 9164164
77 Siti Rosidah 2 NPBI 6/19/1997 P MRK D C653764 9157255
78 Besari VIP NPBI 1/12/1964 L GRD 4 C654412 9164145
Siti Efiyatun VIP Um 52th P GRD 5 C014940 9162009
Rosmawati 3 NPBI 38th P R5B C651718 9156856
M Rumi Darnisih VIP NPBI 64th P GRD 5 C562094 9157240
Treas Sukmani 3 NPBI 6th P C1L1 C640713 9166541
Ginem 1 NPBI 56th L MRK 2 C628762 9166524

Lestari 2 NPBI P PARKIT C551835 9166529
79 Bambang Herutomo VIP A NPBI 6/20/1955 L GRD 4 C633413 9144572
CITO
Suryati IRIN B um 36th P HCU B019632 9164352
Siska Yuli Ayu Setiyani 1 NPBI 27th P KPD 1 C653725 9163747
Wahyu Muspita Sari 1 NPBI 26th P MRK 1 C648933 9157467
Purwanto 3 NPBI 36th L R2B C651377 9144714
Valenzio Aditya Dwi Putra IRIN B um 4th L HCU C654244 9164336
Muafaroh IRIN A NPBI 31th P ICU C650724 9157403
Firda Ayu Andini 2 NPBI 15th P IGD C616083 9161993
Amanah 3 um 53th P R3A C654479 9166301
Nur Laela Aprilina 3 NPBI 37th P R4A C650305 9145199

JAMINAN
S : WU,TR,RA
1 Sueti 3 NPBI 49 th P R2A C637519
2 Oei Herry Santoso 1 NPBI 50 th L KPD L1 C642120 9154601

3 Hendrati 2 NPBI 57 th P MRK LD C638374 9159734
4 Sarmini 3 NPBI 41 th P R5B C651747 9161939
5 Pasni 3 NPBI 30 th P R5B C570892 9161920
6 Rasyiqul Abid 3 NPBI 8 bln L Anak L1 C633564
7 Fathimatum Masudah 2 NPBI 29 th P KPD D C639614 9165911
8 Agustinus Heru Mulyadi 2 NPBI 50 th L MRK LD C651378 9133960
9 Harmanto 3 PBI 25 th L R3B C651805 9152306
10 Khomsana Mardiyahna 1 NPBI 43 th P KPD L1 C442674
11 Sri Suwarti 1 NPBI 54 th P B31 C649625 9157298
12 Artika Agustine 1 NPBI 41 th P KTL C652156 9159851
13 Rastinah 3 NPBI 54 th P R6A C636032 9154627
14 Kusni 3 NPBI 59 th P R2B C582579 9147617
15 Soenarto 1 NPBI 71 th L KPD LD C653398 9154698
16 M. Ma'ruf 2 NPBI 49 th L MRK LD C615358 9159825
17 Abdul Rozak 3 NPBI 30 th L R1B C648945 9147588
18 Sri Mulyani 2 NPBI 54 th P GER LD C653467 9156983
19 Rendra Yusuf Al Faruq 3 NPBI 1 th 11 bln L Anak L1 C653766 9157312
20 Meriam Tuminah 3 NPBI 62 th P R6A C641858
21 Anton Nugroho 3 NPBI 39 th L R5A C654204 9162569
22 Moh. Umar Khafidz 3 JKN 14 th L Elang 1 C611515 9165266
23 Andini Gendhis Dwi Hapsari 3 PBI 7 bln P Anak L1 C644186 9159189
24 Almaiera 3 NPBI 1 th 4 bln P Anak LD C651303 9164163
25 Yasmin Latifah VIP NPBI 25 th P GRD L4 C620437 9165709
26 Saifudin 3 PBI 38 th L R2B C653703 9157046

27 Siti Roqoyyah 3 PBI 44 th P R3A C643200 9142187
28 Sri Lestari VIP um 59 th P GRD L5 C653509 9165146
29 Retno Budinigsih VIP NPBI 31 th P GRD L5 C068381 9165160
30 Tumari 2 NPBI 49 th L MRK LD C646500 9162062
31 Surata VIP NPBI 55 th P GRD L5 C652419 9164156
32 Alvino Yudha Pratama 1 NPBI 6 th 6 bln L PARKIT C579907 9157226
33 Eris 2 NPBI 32 th L KPD L1 C561865 9155905
34 Tatik Istiyawati 2 NPBI 19 th P KTL L1 C654402 9164348
35 Djoko Sutrijono 2 NPBI 59 th L Elang II C369181 9161075
36 M. Kikhamudin 2 19 th L ICU
37 Muhammad Rehan Amirur 3 NPBI 8 th 4 bln L Anak LD C603060 9164107
38 Sudjak 2 NPBI 61 th P KTL L1 C501397 9159857
39 Roestinah Priv JKN 66 th P Pol GRD C653487
40 Nurhasan 3 NPBI 72 th L Pol MTA C653163
41 Sukotjo Priv PT 62 th L Poli Grd C619434
42 Wismiati 3 NPBI 57 th P R3A C653928 9161392
43 Siti Sa'idah 1 NPBI 39 th P B31 C649234 9164209
44 Lailatun Najikhah VIP NPBI 31 th P GRD L5 C540835 9161700
45 Devi Sarah Intan 1 NPBI 26th P KTL C654549 9166395
46 Abdul Rochman 2 NPBI 59 th L KPD LD C514905 9164281
47 Tuti Novalina 3 NPBI 25 th P R2A C647565 9159630
48 Umi Rifatul Ulya 3 NPBI 19 th P R3A C653815 9159570

49 Muhammad Asy'ari 3 PBI 24 th L R5A C502136 9164307
50 Sari Cahyaningsih 3 PBI 13 th P Anak LD C653761 9157258
51 Marzuki, H 1 NPBI 55 th L KPD L1 C574585 9147721
M : BD,SE,SC,HI,DA,MF,RI RR : FA,PS,SAM ( MID : SU S : ER ) RR GRD : MY (MID : TM ) SORE PROGRAM : WU*,AP,II,AY,RE,DW,ANM
76 Muhammad Rayyanka Sutan VIP NPBI 27 hr L G. PBRT C654578 9165017
Mohammad Ali 3 NPBI 14 th L Anak L1 C652220 9149910

Ari Suwito 3 NPBI 31th L R5B C654254 9163216
Surono 3 NPBI L R5B C654247 9163082
Siti Heri Muslikha 2 NPBI 43th P KPD D C594383 9164300
79 Siti Kuswati 3 NPBI 54 th P R4A C649128 9165539
Siti Soimah 3 NPBI 43th P KTL 1 C652484 9144697

80 Saji 3 PBI 45 th L R5A C654075 9159890
CITO
Muhamad Lailatuz Zaman 2 PBI 15th L IGD C654856 9168077
Ahmad Samiyo D 3 um 53th L R1B C652477 9166368
Bellvia Stepani Fajrin VIP Um 28th P GRD 3 C654715 9166424
Siti Safa'ah 3 PBI 35th P B31 C654721 9166468
Slamet Supriyanto 3 um 69th L R2B C654741 9166538
Saji 3 PBI 45th L R5A C654075 9159890

Muhammad Khikamuddin IRIN A NPBI 19th L ICU C626128 9140719
Ade Rosiyani
3 PBI 25th P B31 C654833 9168171
Nazriel Irvan Ahmad
Gunawan 3 PBI 6th L C1L1 C654726 9166565

JAMINAN
1 Noer Wahyu Mustika 3 NPBI 16 th P Elang 1 C611871

2 Mahardika Angriani 3 NPBI 22 th P R3A C654014
3 Dasri 3 NPBI 53 th P R4B C653490
4 Sutipah 2 NPBI 43 th P MRK LD C620357
5 FC Agiesta Soedarningtyas 1 NPBI 34 th P MRK L1 C528759
6 Mahmudi 3 NPBI 54 th L R3B C650302
7 Jasman 2 NPBI 34 th L KPD LD C638992
8 Halwa Halisa Privat UM 3 th P Pol GRD C652586
9 Yona Pramela Eransya VIP NPBI 16 th P GRD L4 C654366
10 Djumiati 3 PBI 42 th P R3A C652683
11 By Ny Ranti Eka Deviani IRIN NPBI 25 hr P PBRT C653077

12 Rusmi 1 NPBI 58 th P KPD LD C653360
13 Juari 3 NPBI 12/31/1929 L R5A C653445
14 Edi Susilo 2 NPBI L IGD C654759
15 Sie Kiok Lin VIP NPBI 83 th P GRD L4 C649080
16 Misran 2 NPBI 61 th L KTL L1 C654492
BERSIH2:
M : RG,WI,HI,BY,DA,MF,RI RR : FA,SAM,TM RR GRD : SORE PROGRAM : AP,II,AT,AY,SR,TR,WD,AU,DW,AD,RE,DY,EA,ID,ANM,RA,MY*

JAMINAN
M : AT,RG,AD,BY,WI SORE PROGRAM : II,RE,DM,DB,MY,GI*,WD*

JAMINAN
S : AI,JF,NO,MY
1 Firdon Abid Haidar Al M 3 NPBI 1 th 4 bln L C1L1 C622438 9168734
2 Gesang Pramudya R 3 NPBI 1th L KPD C588050 9168729
3 Nathan Erlangga 2 NPBI 4 th 4 bln L Anak LD C654102

4 Dimas Widi Hidayatullah 1 NPBI 27 th L MRK L2 C617235
5 Amin Rofiyatun 2 NPBI 37 th P KPD LD C562692

6 Khoirun Nisa 3 NPBI 4 th P Elang 1 C636494 9168754
7 Kusyairi 3 PBI 50 th L R1B C649389
8 Rasyqul Abid 3 NPBI 8 bln L Anak LD C633564 9161964
9 Sakuri 3 NPBI 47 th L R4A C577048 9167032
10 Edy Tri Irianto 3 NPBI L R1B C651838
11 Jawahirul Khisan 3 PBI 34 th L R1B C650846 9161967
12 Sri Cahyani H 2 NPBI 50 th P KPD LD C649941 9168746
13 Susanti Subroto VIP NPBI 60 th P GRD L4 C651975 9166489
14 Purwatiningsih 3 NPBI 53 th P R3A C647640
15 Upik Supriyati 1 NPBI 58 th P KPD LD B118956 9156886
16 Pariki 3 PBI 50 th L R2B C605862 9160181
17 Suwarti 3 NPBI 50 th P R3A C585526 9166310
18 Saroni 3 NPBI 68 th L R6B C646390
19 Heni Robayanti 1 NPBI 50 th P KPD LD C197650 9166485
20 Ali Safi'i 2 NPBI 29 th L MRK LD C645505 9164285
21 Faisal Rizki Surya Diputra 3 NPBI 13 th L Anak L1 C653168 9159785
22 Heri Supiar Budi 3 NPBI 57 th L R3B C649275
23 Poniyem 3 NPBI 57 th P R2A C631776
24 Arif Nur Rochman 2 Um 32 th L KPD L1 C654087 9158741
25 Suwarto 1 NPBI 50 th L Pol BDH C647118
26 Daiq Hiherriyana Privat NPBI 25 th P Pol GRD C637981
27 Choerudin IRIN A BPJS 29 th L HCU C654269 9164193
28 Dini Citra Puspita 2 NPBI 36 th P KTL L1 C634502 9157218
29 Purwati 2 NPBI 70 th P KPD LD C638167

30 Juweriyah 3 NPBI 66 th P R2A C653783
Maryoto 3 NPBI 23 th L Elang 1 C501888 9168431
Elsita Lisnawati IRIN A NPBI 25 th P Elang II C276224 9164301

31 Elsita Lisnawati 2 NPBI 25 th P Elang II C276224 9164301
32 Annisa Lutfiana 3 PBI 8 th P Anak LD C645503 9166488
33 Muhanani 3 PBI 48 th L R2A C595649 9166481
34 Muyatmi 3 PBI 78 th P R3A C546342 9166486
35 Handoko 2 NPBI 43 th L R1B C652058 9168307
36 Sri Nurdjanah Priv PT 62 th P Poli Grd C503051

37 Sri Harjanto Priv PT 77 th L Poli Grd C634535
38 Very Yuliani JKN 22 th P Pol MTA C619919
39 Munasir 3 NPBI 38 th L Pol MTA C649343
40 Kokok Djatmiko 3 PBI 42 th L Pol MTA C646087
41 Sri Winarni 2 NPBI 77 th P Pol MTA C627816

42 Ning Susanti Priv NPBI 39 th P Poli Grd C646705
43 Roihanah Priv NPBI 59 th P Poli Grd C649323
44 Siti Munjaroh Priv NPBI 43 th P Poli Grd C651825
45 Victoria Karnasih 3 NPBI 53 th P Pol MTA C603572
46 Triarti 1 NPBI 45 th P KPD LD A569009
47 Resmiyati Utami 2 NPBI 49 th P KTL L1 C624638 9162118
48 Mustamilah 1 NPBI 64 th P MRK L1 C648739 9164319
49 Maftukhah 3 NPBI 47 th P R5B C654260 9163905
51 Muhammad Hildan S 3 NPBI 5th L KPD C654311 9168721

53 Meriem Tuminah 3 NPBI 62 th P R6A C641898
M : GI,II,AT,RE,AD,DY,BD RR : FA,ID,MK ( MID : SAM S : BR ) RR GRD : DB* (MID : AU ) SORE PROGRAM : AI,EM,TW,WU,NO,AF,NI,B
82 Mokhamad Kristianto 2 NPBI 32 th L MRK LD C642184 9154751
83 Sami 2 NPBI 42 th P KPD LD C631463 9156870
84 Sakiyem 3 NPBI 57 th P R3A C653438
85 Chintya Valda Maharani 2 NPBI 2 th 5 bln P Anak LD C538870 9153582
86 Kaswati 3 NPBI 41 th P R4B C644265
87 Maryoto 3 NPBI 23 th L Elang 1 C501888
88 Mastamah 3 NPBI 56 th P R2A C230219 9166482

89 Mohammad Ali 3 NPBI 14 th L Anak L1 C652220
90 Kaimin 1 NPBI 32 th L KPD L1 C653495
91 Sunarti 1 NPBI 65 th P KTL B319982
92 Mujahidin 3 NPBI 51 th L R3B C643719 9152436
Rochiyati 2 NPBI 35th P KPD D C654787 9168467
93 Jenah 3 PBI 55 th P ICCU C653283

94 Siti Aminah 3 NPBI 54 th P R5B C611340
CITO
Erizka Fitriana VIP NPBI 27th P GRD 3 C572163 9168813
Nono Suryono 2 NPBI 58th L IGD C654997 9168839
Ni'matul Murtafi'ah 3 PBI 30th P B31 C654641 9166381
Komsatun 3 NPBI 29th P B31 C334036 9168319
MC Sri Mulyati Winarni 1 NPBI 73th P KPD D C642736 9171016
Susi Rahayu 3 um 29th P B31 C655203 9171092
Supar IRIN B PBI 41th L R1A C655008 9168859

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
ND,MY,DJ*, CT
Keredupan Paru Kanan Pasang WSD / Pigtail S THOM √ 3
Mata Kanan Orbitotomi Anterior +

Mata Kanan Massa Palpebra Superior KH AK √ DI,AG DI ER 1
Biopsi + PA
Mata Kiri Konjungtivalisasi ec Kerato

Mata Kanan Kiri Keratektomi KH AK √ ER DI 1
Konjungtivitis Sicca (HIV)
Fr Mandibula Reposisi Fixaxi Fr Mandibula B DV √ 1
Multisinusitis FESS III KH RH √ HA PM 1
Stiffness Knee Arthroscopy Debridement S,S DID √ ES*,MF MF ES 2
Laminektomi Dekompresi + Intal Fiksasi

Fr Kompresi Vert L1-2 KH, KH APR √ HI,YS RI YS 10
Fusi
Laminektomi Dekompresi + Intal Fiksasi
Canal Stenosis VL 1-2 Frankle D KH, KH APR √ AR 10
Fusi
Gonitis Genu Sin Debridement S APR √ 10
Massa Paru dex Thoracotomi Explorasi + Biopsi KH ALI √
CKD + Pseudoanerisma Evakuasi Hematoma + Repair Arteri KH AS √
G3P0A2, Hml 37mg, SCTP B TF √ Arsita MY ES,MFCITO
G2P1A0, Hml 38mg SCTP B TF √ Gatot ES DJ,RI CITO
CKD Pasang DL K ALI √ YS MF CITO
CKD Pasang DL K ALI √ YS MF CITO
Post Laparatomi + Packing Intra Abdoment Aff Packing KH EW √ DA CITO
EDH Craniotomi KH DP √ IS MY CITO
Sistostomi B NDA √
SDH Craniotomi KH DP √ IS DA CITO
G1P0A0, Hml 40mg, Partus Macet SCTP + Pasang IUD B DP √ Gatot AF PM CITO
G2P1A0, Hml 40mg, KPD , HIV+ SCTP + MOW B DC √ Arsita AF DA CITO

Ganggren Pedis Dex Amputasi Above Knee KH AS √ ANM CITO
Ganggren Pedis Dex Amputasi Bawah Kutut + Embolektomi KH,KH WW √ BY AM CITO
Mata Kiri Laserasi Palpebra Mata Kiri Jahit Laserasi S WIN √ DN CITO
Mata Kanan Ulkus Kornea Mata Kanan Eviserasi Bulbi KH WIN √
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PERAWAT :
SL,AY,SC,
PLH : AL,EV DW,DI,DJ,HE,HR,MF,RK,SR,YW,NK,H CT
SR,UM
R,AZ,YS,LW,TD,MY,PM
OMK Dry Ear Dupleks Timpanoplasty Telinga Kanan KH PW √ II,IM,ER IS II 1
OMK Dry Ear Telinga Kiri Timpanoplasty Kiri KH PW √ RG II 1
OMK Dry Ear Dupleks Timpanoplasty Telinga Kanan KH PW √ II IS 1
Adenoid Hipertrofi + Tonsilitis Hipertrofi Adenotonsilektomi dg endoscopy B FAR √ AO,AD,RM RM AO 2
Laringoscopy Direk + Ekterpasi Massa

Massa Glotis c/ Ganas S,S,S FAR √ AO RM 2
dgn Tracheostomi
Massa Cavum Nasi Susp Polip
Ekstripasi Massa RH 2
Antrokoana
Rhinosinusitis FESS III + Konkotomi KH,S ANNA √ DJ AF 2
Eksisi Luas (Wide Eksisi) + TA,

Curiga Melanoma Maligna B,KH NJT √ TW,TA,ES ES 4
Rekonstruksi Pasca Keganasan TW
Infiltrat Basalioma Rekonstruksi Pasca Keganasan KH NJT √ TW TA 4
TW,
Kontraktur Digiti I-IV Manus Sinstra Release Kontraktur Kompleks KH NJT √ TA 4
ES
Dislokasi Hip Joint Sinistra Post THR Revisi THR Sin KH BIN √ RK,AG 10
Ruptur ACL Artroscopy + ACL Rekontruksi Genu Sin S,KH BIN √ DA AR 10
EN,AS,BP, SS JT
AF,PM,ER,JF,WI,SA,RG,VQ,HI,IS,AN*,AD*,DA* ALAT : PUR,RA
Myelopathy Lumbal Endoneurolysis + Rhizoromi S,KH TRI A √ MY SA 3
Keredupan Paru Kanan Pasang WSD (Pigtail) S THOM √ VQ 3
Abses Sub mandibula Debridement S NJT √ PL 4
RK,
Palatoschizis PalatoplastY KH PJ √ DW 5
AU
Gradual Streching r/ poplitea Bilat
Ulkus Granulosum Reg Ekstremitas B,KH PJ √ WI ER 5
(Release Kontraktur) + STSG Luas
Ulkus Granulosum Reg Cruris Dextra Debridement + Rekonstruksi STSG KH PJ √ ND PL 5
DI,
Hemiparese Bilateral cc SOL MakroadenomTranspenoid Surgery KH DP √ LW 9
YS
Labiognatoschizis Gnatoplasty (Alveolar Bone Graft) KH RZ √ AG RK 10
US,
Massa Sinonasal Posy Maxilektomy Aff Tampon K DAT √ HE DS1
TT
Susp Meningitis LP B Retna √ IS DS1
CKD Pasang Double Lumen K ALI √ WU DN CITO

Laparatomi Explorasi Reseksi Ileum +
UM,
Double Barrel Ilesotomi + Repair Henia KH,B PB √ SR CITO
AY
Internal
G5P4A0, Hml 38mg, bekas SC 2X SCTP + MOW B ER √ Arsita MF CITO
Prolong ET Ganti Kanul Trakea K DAT √ IS DA CITO
Altieus Obstruktif Laparatomi Appendiktomi KH PTY √ VQ AN CITO
Fr femur Sin Amputasi Above Knee S BIN √ AN MF CITO
G3P2A0, Hml 32mg, SCTP dg penyulit + MOW B EN √ AN ER CITO
G2P1A0, Hml 35mg + TOF SCTP + MOW B BE √ Arsita DN HA CITO
Laparatomi Appendiktomi +
Apendik KH,S PTY √ ANM AR CITO
Omentektomi
Mata Kiri Corpal Alienum Intraokuler +

Mta Kiri Eviserasi Bulbi + DFG B AK √ HA DN CITO
Endoftalmitis Eksogen
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
IS,
Meningioma Craniotomi KH ER √ DJ 9
RM
Mata Kiri APAC dd/ Glaukoma Sekunder Mata Kiri Trabekulektomi + PI B AK √
Massa Cavum Nasi Susp Polip FESS III + Exterpasi Polip Antrocoanal
KH,S,B RH √ WI
Antrokoana + CWL
Esofaguscopy + Businasi B DAT √
Fr Tibia Sin ORIF KH BIN √
Lumbal Fungsi B Rahmi √ HI PL

Benda Asing di Esofgus Esofaguscopy B WY √ CITO
Abses Submandibula Incisi Drainase Abses S DAT √ BD DA CITO
Odontectomi 2 Rahang KH DV √
Sternotomi Explorasi Mediatinum ALI √

Debridment + WSD Dex,sin KH,S
Odontectomi 2 Rahang + Insisi WU,
Plegmon dasar mulut KH,S,B DV √ ID CITO
Drainase Abses dasar mulut AR
Pnemothorax Sin WSD Sin S ALI √ CITO
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
UM,SL,HE*, TM
PLH : AL CT
,RM
Hipospadia Post Uretroplasty Uretroplasty Tahap II KH NDA √ EV,AU EV AU 1
Nefrolithiasis Sin PCNL Sin ADS S : II,ES 1
Hipospadia Release Chordae + Uretroplasty B,KH NDA √ AU EV 1
Uretrolithasis Distal Sin URS Sin + explorasi ureter KH NDA √ AN 1

Urethroplasty Anastomosis E to E +
Ruptur Urethra Posterior KH,B NDA √ ES RK 1
Open Cystostomi
Massa Sinonasal Susp Polip Antro Koana FESS III + CWL Kiri KH,B ANNA √ RK,EA EA II 2
Stenosis Trachea LD + Evakuasi T Tube S DAT √ S : NI II EA 2
Sialodenitis Tonsilektomi S FAR √ EA II 2

Oodontectomi 2 rahang KH DV √
Ca Endometrii Surgical Staging KH EN √ TW,MY TW MY 4
NOK C/ Ganas SOU + FS B IN √ S : TK 4
Limfadenectomy Pelvis Bilat +

B EN √
Limfadenectomi ParaArota
NOK c/ ganas SOU + FS s/d CSS IN 4
Tumor Caecum Laparotomi Hemicolectomy D KH MM √ TD, PL TW PL 5
Ca Papiler Thyroid Completion Total Tiroidektomi KH UUD √ S : DY,ET PL TD 5
Malignant Spindel Cell Tumor Wide Excisi + Rekontruksi B,KH UUD √ ET US 5

Limfadenopati Colli c/ Ganas Limfadenectomy Biopsi S UUD √ DA 5
Ca Mamae Biopsi Insisi Mamae Sin + PA S YAN √ AZ*,DW DW AZ 6
Tumor Kulit c/ Ganas Wide Eksisi + FS B DN √ S : PS AZ DW 6

SNNT Dx et Sin T3NoMo FS ,ganas - Total Tiroidektomi KH DWT PS AZ 6
Megacolon Kongenital on Colostomi Duhamel KH EDW √ AI, RG RG AI 7

RG,
Hernia Insisional Abdominoplasty KH PTY √ S : YS* AI 7
YS
Hipospadia Uretroplasty tahap I KH ETH √ TU AG 7
Hipospadia Uretroplasty tahap I KH PJ √ YS 7
Ca Epidermoid Vulva Pasca Radikal

Debridemen + STSG KH NJT √ 7
Vulvektomy
SF ,VQ 8
S : BR,IS 8
LW, RI 9
S : SA* 9
Fr Pelvis ORIF Pelvis DRY PR,AP 10
Union Fr. Metatarsal Dig IV Aff Implant + Fisioterapi DRY 10
Fr Acetabulum, Ulcus Granulosum Rekontruksi Pelvis & Acetabulum KH BIN √ S : MF,DJ 10
OA Genu Pasca Rekonstruksi ACL Arthroscopy Debridement S,S BIN √ DJ MF 10
Negleted Dislokasi Hip Joint Sin (HIV) Reposisi Terbuka + Pinning S BIN √ 10
CHF NYHA II ec CAD 3VD CABG High Risk BJ.11 SF √ EN,AH,SE, BP, EN, SE JT
IM,SS AH
S : WI JT

Mata Kanan, Mata Kiri Katarak Juvenile Posterior Capsulotomy+ Vitrectomy KH LN √ NK,HR,DW NK HR GR 1
Anterior + IOL + Perifer Iridectomy
Mata Kiri Silicone Oil Filled Eye +

Mata Kiri Silicone Oil Evacuation KH AL √ S : DI HR NK GR 1
Glaukoma Sekunder
Mata Kanan Vitreous Haemorrhage + Mata Kanan Vitrectomy +
KH, KH AL √ HR NK GR 1
Katarak Senilis Imatur Phacoemulisification + IOL
Mata Kanan Pseudofakia + Silicone Oil Mata Kanan Re Vx + EL + MP +
KH AL √ HR NK GR 1
Filled Eye Silicone Oil Exchange
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulisification + IOL AK YW,MK GR 2
Mata Kiri Vitrektomi Anterior (dgn
Mata Kiri Pseudofakia (Anterior Chamber) RF S : TU GR 2
mesin) + pupiloplasty+ reposisi IOL
Mata Kiri Pseudofakia + Pupil Hamox Mata Kiri Pupiloplasty WIS GR 2
Mata Kiri Katarak Senilis Imatur Mata Kiri Phacoemulisification + IOL FET GR 2
Ca Endometrium St I B Laparatomi Biopsi KH MZ √ NP, AM* GR 3
NOK TAH + BSO + Omentectomi + FS KH,B VG √ S : ER NP AM GR 3

Ca Mammae Residif Wide Eksisi B BIS √ SU,SR SR SU GR 4
Ca Mammae Sinistra MRM dex + Rekonstruksi STSG KH,B BIS √ SU SR GR 4
Tumor Mamae Core Biopsi K BIS JF GR 4

Scalp Loss Debridement + STSG KH ETH √ TR,ND ND TR GR 5
Neurofibroma Palpebra Sup Sin Bleparoplasty Superior C ETH √ S : DB AG TU GR 5
MID :JF ) SORE PROGRAM : GI,ET,TA,II,NI,AD,BR,TK,DB,DI,DY,DJ,ER,ES,IS,WI,TU,MR,PS,MF,YS*,SA*,US,WD ALAT : PUR,RA ( S : DW )
Glioma Chiasma Opticum Craniotomi Dasar Tengkorak KH DP √ BR LW

Fiksasi Internal kranial B AJ √
Blok Pain (Simple Function
Perineural Cyst KH AJ √ RA SF 8
Neurosurgery)
Massa Cavum Nasi Kiri Maksilektomi KH DAT √ VQ DM
Ca Sinonasal Pasca Maksilektomi Medial Aff Tampon K DAT √ SF RI
Adeno Ca Sinonasal Ekstirpasi Massa + Rekonstruksi KH WY √ VQ DM
Stenosis Trakea Post Release Stenosis+T

Evaluasi LF B DAT √
tube
Debridemen + Amputasi Dig III, IV
PAOD Tungkai Kiri B,B ALI √ NI
Pedis Sin
Ulkus DM Tungkai Dextra Debridemen Luas B AS √ AN
CKD Stage V on HD Repair DL K AS √

CKD Pemasangan DL K ALI √
CKD Stg V Pemasangan DL K ALI √ DJ
Phimosis + Sirkumsisi S EDW √ PM
Amenore Primer Laparascopi Biopsi Ov Kanan KH TF √ AM DI
Laparascopi Adhesiolisis + Ooforectomi

Susp kista Ovarii KH, KH TF √ AM NP,DI
Parsial Dex + Kistectomi Ovarium Sin
Combustio Gr I-II 85 % Debridement KH PJ √ ST RM
Debrement B ETH √ AG TU
Hipospadi Rekontruksi Hipospadia (Uretroplasty) KH NJT √ YS
Haemorrhoid Gr IV Haemorrhoidektomi + STAPLER KH MG √
DE PJB Sianotik Multiple Ekstraksi Gigi B DV √ NI RK
Fr Tibia Fibula Dextra 1/3 Proximal Fiksasi Eksternal yg Kompleks KH DRY √
Limfadenopati TB Insisi Biopsi S BIS √
Invasive Ca Of NSTMD T4bN0M0 MRM KH BIS √ MW DI

Tumor Mamae Sinistra Insisi Biopsi S BIS √ DA
Ca Papillary Tiroid T3N0M0 Completion TT KH BIS MW
Ulkus DM Pedis Dx Amputasi Cruris batas sehat KH AS √ AN
Striktur Urethra Sache (Ureterotomi Internal) KH NDA AY WD DS
Batu Ureter + Batu Ginjal URS + DJ Stent KH,B WAN √ AY WD DS
Mata Kanan Rekontruksi Palpebra

Mata Kanan Laserasi Palpebra S,S AIN √ CITO
Superior + Rekanalisasi
Fr Patologis Ca Mamame ORIF Femur dex KH DID √ RM UM CITO

Duodenum + Pyloric exclasia + Bypass B,KH PB √ TA HI,AD CITO
Gastrojejunustomi
Abses Submandibula Oodontectomi 2 rahang KH DV √ AD TA CITO

Eksplorasi Abses Submandibula KH DAT √
Laparatomi Repair Perforasi

Leakage Anastomose anasromose Ileorektal + Ileustomi Doble KH,B PB √ TK TA CITO
Barrel
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
UM,SL,HE,
PLH : AL CT
TM ,RM
Spodilosis VL 1-2 , Frankle C KH, KH APR √ PR,AP AP PR 1
Fiksasi Fusi
Fr. Femur Dextra 1/3 Distal ORIF Supracondyler Femur KH APR √ S : AT,ES PR AP 1
Fr. Clavicula Dextra ORIF Fr Clavicula + Gips KH,K APR √ AP PR 1
Fr. Maleolus Sin sisi medial + Skin Avulsi

Gips S APR √ AT ES 1
reg pedis
Debridment S NJT √
Fr. Clavicula Sinistra 1/3 Medial ttp NK Multiple Fr - ORIF KH DRY √ AT ES 1
Fr Radius Ulna 1/3 Distal ORIF BIN 1

SOL Medulo Blastoma Craniotomi DP LW*,EA 2
Reseksi Liquor + Rekontruksi Facial +

Leakage LCS Pasca Craniotomi KH, KH DP √ S : NI EA LW 2
Duraplasty + Cranioplasty
Plexus Brachialis Injury Dextra Neuroplasti Pleksus Brachialis Injuri KH DRY √ NI ES 2
Free Flap Bedah Micro KH NJT √

TAH + BSO + Limfadenectomi Pelvis + KH,KH,
Ca Endometrium EW √ TW,MY TW MY 4
Adesiolisis (Surgical Staging) B,S
Ca Endometrium Surgical Staging KH EN √ S : TK TW MY 4

KH ERI √
Widge Excisi + Repair Sigmoid
RSK + SD + Konka Hipertrofi FESS + SR + Konkoplasty RH 4
Esofaguskopi Flexible + Ekstripasi
Disfomia ec Susp Polip Plika Vocalis RR DS
Massa
Ekstripasi Massa dg Rinotomi Lateral
Massa Sinonasal c/ Ganas S,KH DAT √ BY 4
(CWL) + Hemimaksilektomi
Craniotomi dasar Tengkorak KH MTA √ BR
Stifness Digiti I-II ec Luka Bakar Rekonstruksi Tangan Kanan KH ETH √ DA EW 5
Laparoscopy Hemikolektomi Dex +

Tumor Colon Ascenden KH PB √ TD, PL TD PL 5
Anasromose E to E
Limpoma Lien Limfadenektomi Inguinal sin S PB √ S : ET,YR ET YR 5
Hernia Insisional Herniorhapy B PB √ YR ET 5
Adeno CA Recti 1/3 Distal Laparatomi Adhesiolisis KH MG √ ET YR 5
Tumor Mamae Sin c/ Ganas T4aNoMo Insisi Biopsi + FS ganas - SM S,KH YAN √ AZ,DW DW AZ 6
Folikuler Ca Tiroid Dx FS , ganas - Total Tiroidektomi KH YAN √ S : PS AZ DW 6

SNNT KH, KH BIS 6
Tiroidektomi
SMNT Dx c/ Ganas T1N1M0 FS ganas - Total Tiroidektomi KH BIS √ TK YR 6
Wide Eksisi + FS Bebas Tumor

BCC BIS + DAT 6
Rekonstruksi + Mastoidektomi Radikal
Hepatoceluler Ca Laparatomi Biopsi Hepar KH RR √ NH*,RG NH RG 7

Wound Dehisence Post Ileostomy Rehecting S RR √ S : YS YS NH 7
Epitelium Cyst Eksisi Kista S PTY √ NH YS 7
Abses Hepar Percutanius Drainase guiding USG S PTY √ YS NH 7
RP +
Tumor Mandibula Hemimandibulektomi + Rekonstruksi 7
DV
Ginggivoplasty + Odontectomi 2 KH,KH

Hiperplasi ginggiva DV √ RG AF 7
Rahang Ekstraksi 4 gigi B
Spondilitis TB Fusi Posterior + Fiksasi PSRS KH HY √ SF ,VQ VQ SF 8

SOL Intrakranial Craniotomi Tumor Convexitas KH ER √ S : BR,BY VQ SF 8
SDH Kronis Bor Hole AJ 8
ADS
CKD on HD Transplantasi Ginjal C √ AK,AH,RK AH RK 9
SF
Obs Jaundice ec Ca Pankreas Laparotomi Biliodigestif Shunting KH ERI √ S : SA GI 9
Ca Sigmoid Kolostomi ERI 9
NOS C/ Ganas Metas Hepar DD/ Tumor

Laparascopi Biopsi KH ERI √ SA TK 9
Rektum
WAN EV,
Pedonor Ginjal Transplantasi Ginjal Kiri Donor KH √ EV,AI,II,AU II,AU 10
WW AI
Hipospadia Uretroplasty ADS S : EW,YS 10
Hipospadia Uretroplasty ADS 10
Hipospadia Uretroplasty ADS 10
Stabel Angina Pectons CCS II CABG High Risk BJ.11 SF √ EN,MA,SE, BP, EN, SE JT
IM,SS MA
Mata Kanan Kiri Inj. Anti VEGF
Mata Kanan Kiri ROP St 3 Zona I, Plus + S AW √ NK*,HR,DW HR NK GR 1
Intravitreal
Mata Kanan Kiri Inj. Anti VEGF
Mata Kanan Kiri ROP St III S AW √ S : DI MR NK GR 1
Intravitreal
Mata Kanan Kiri Perdarahan Luas Retina + Mata Kanan Kiri Inj. Anti VEGF
S AW √ NK HR GR 1
CV Haemoraghe Intravitreal
Mata Kanan Kiri PDR + TRD Mata Kiri Vitrektomi + EL + Gas KH AW √ HR NK GR 1
Mata Kanan Proptosis ec Massa Mata Kanan Orbitotomi Anterior +

KH TL √ NK DI GR 1
Retrobulber Biopsi + PA
Mata Kiri Katarak Mata Kiri Phaco + IOL MR GR 2
Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL LN YW,MK GR 2
Mata kanan KSI + Myop Degeneratif Mata Kanan Phaco + IOL RF GR 2
Mata Kiri Katarak Senilis Imatur Mata Kiri Phaco + IOL WIS S : TU,DY GR 2
Mata Kanan Pseudofakia Suspect IOL
Mata kanan Eksplantasi IOL WIS GR 2
Miscalculation
Mata Kanan Katarak + Glaukoma Mata Kanan Phaco + IOL MR GR 2
Prolaps Uteri + Sistokel + DM TVH + KA + KPR KH, KH ER √ NP, AM NP AM GR 3

Ca Cervix 2A MZ √ S : ER GR 3
Limfadenectomi S
Impaksi Gigi 2 Rahang Odontektomi 2 Rahang KH RP √ ER DI GR 3
Ca Tiroid Total Tiroidektomy KH BIS √ SU SR GR 4

SNNT KH BIS √ SU,SR SR SU GR 4
Tiroidektomi
SNNT Sin T3NoMo Total Tiroidektomi + FS + PA KH BIS √ S : MF*,DM DM DY GR 4
IDC Gr II MS T4bNoMi (Paru) MRM Sin KH BIS GR 4

Ameloblastoma Post Mandibulektomi Plate
Debridement + Aff Plate S,S BIS √ TR,ND ND TR GR 5
Expose
Rekontruksi Mandibula KH NJT √
Ameloblastoma Post Mandibulektomi Plate
Debridement + Aff Plate Mandibula S,S DH √ S : DB BD ER GR 5
Expose
Ulkus Pedis Sin Debridement + VAC B PJ √ DB ER GR 5
Ulkus Dekubitus Reg Sacrum Debridement k/p Tutup Defek PJ GR 5
ID :JF ) SORE PROGRAM : GI*,ET,TA,II,NI,AD,BR,TK,DB,DI,DY,ER,ES,TU,MR,PS,MF*,YS,SA,US,WD,AT,EW,BY,DM,YR ALAT : PUR,RA ( S : )
CKD Stg V Pasang DL K ALI √
CKD Stg V Pasang DL K ALI √ EA WD

CKD Stg V Pemasangan DL K ALI √ AF
CKD Stg V Pasang Double Lumen + C-Arm K AS √ MW HA
SOL Dextra Craniotomi dasar Tengkorak KH DP √ LW AG
Lympadenopathy Colli c/ Ganas Limfadenektomi S UUD √ MF DS
ICH Craniotomi Evakuasi Hematoma KH ER √ CITO
CKD Pasang DL K WW √ RM UM CITO
G2P1A0, Hml 38mg, Letak Lintang SCTP B JD √ Arsita RM UM CITO
HI,
MAR Colostomi B RR √ UM CITO
TM
Laparatomi Explorasi Resksi jejunum +

Peritonitis Generalisata KH PB √ TM WD CITO
Anastomose E to e
Apendicitis Akut Laparascopy Appendiktomi KH MG √ WD TM CITO
Mola Hidatidosa Kuretase K EN √ TM UM CITO
Apendicitis Akut Appendiktomi Open KH ERI √ AD TA CITO
Apendicitis Akut Laparascopy Konversi Open Laparatomi KH MG √ AD TA CITO
Amputasi Below Knee S AS √ HI CITO

DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
UM,SL,NH,
PLH : AL,EV CT
HE,TM
Hipospadia Pasca Uretroplasty Tahap I Uretroplasty Tahap II KH ADS √ AU,DN DN 1
DSD + UDT Dx et Sin Laparoscopy Diagnostik + Sistoskopi S,S ADS √ S : AT,ES AU DN 1
Release Chordae + Uretroplasty Tahap

Hipospadia B,KH NDA √ DN AU 1
I
Hipospadia Uretroplasty NDA 1
Laparatomi Eksplrasi CBD + Bypass
Choleducolithiasis multipel KH ERI √ ES 1
Choledocojejunustomi
Ca Buli Diseksi Kelenjar KH MAS √ RK,SE* RK SE 2
Psang CVC KH JH √
OMK Dry Ear Kanan Thympanoplasty Kanan KH PW √ S : NI SE RK 2
Tumor Pancreas Metas Hepar Laparoscopy Biopsi KH MG √ NI SE 2

Tumor Colon Ascenden Laparatomi Hemikolektomi Dextra KH MG √ AT YR 2
Cholelithiasis Laparascopy Cholesistectomi KH MG AT YR 2
Efusi Pleura Sinistra Pasang Pigtail S SFY √ ANM ANM 3
Efusi Pleura Duplek c/ Massa Paru Dextra WSD ALI 3
Sindroma Nefrotik Biopsi Ginjal DL 3

CKD AV Shunt WW 3
CKD Pasang Double Lumen Long Term K WW √ IM 3
Cyst Adeno Ca Ovarii Inadequate Staging Debulking KH EN √ TW,MY DM TW 4
TAH + BSO + Omentectomi + KH,

NOK dg Bag. Padat c/ Ganas VG √ S : TK,DM AT YR 4
Adhesiolisis + FS KH,S,S
SOD + Ooofroectomi Parisial Dex +
Mioma Uteri B,B,B,K VG √ TK MY 4
Miomektomi + Biopsi Omentum
ASD Multiple Ekstraksi 16 gigi ganggren B DV √ TK MY 4
Impaksi Odontektomi KH DV √ TK AF 4
Rekontruksi dg Bone Graft KH RP √
Fr Mandibula Fiksasi Mandibula Sin B DV √ WI GI 4
Rekontruksi dgn Plate & Crew KH RP √
Adeno Ca Recti 1/3 Tengah Laparotomi LAR KH JS √ TD,PL PL TD 5
Laparotomi Eksplorasi Adhesiolisis

Periappendicular Infiltrat KH MM √ S : YR TD PL 5
Appendiktomi
Ascites Masif Drainase Ascites S PB 5

Striktur Ani Anoplasty PB 5
Tumor Sigmoid T4bN1M1b Laparotomi Anterior Reseksi PB 5
Post Colostomi Double Barrel Tutup Colostomi PB 5
SNNT Endoskopi Tiroidectomi KH YAN √ AZ,RM AZ RM 6
Ca Mamae Sin T4bNoMo MRM Sin KH YAN √ S : II RM AZ 6
Multiple Limfadenopati Limfadenektomi Biopsi S YAN √ II 6

Adenectomi + Ismolobektomi + FS
Metastasis Papilary Thiroid Ca UUD 6
ganas TT + RND
SNNT Ismolobektomi + FS ganas - TT KH, KH DWT √ DI TU 6
SNNT Total Thyroidectomi + FS,Ganas - TT KH, KH DWT DI DB 6
Wound Dehiscense Post PSARP Re Laparatomi KH RR √ AI,RG RG AI 7
FESS III + Septoplasty (SR) +

RSK + SD + Konkoplasty KH,B,S RH √ S : AF,DY AI RG 7
Konkoplasty
Stenosis CAE Canaloplasty + ME AYU 7
A-V Fistula + Hipotensi Vena Tutup A-V Fistula (Ligasi Arteri) KH WW √ AF DY 7
Ruptur Pseuodaneurisma Eksplorasi ALI 7
Hidrosefalus Non Comunican VP Shunt KH GK √ SF,VQ VQ SF 8

LBP Tumor Dura Laminectomy Kompleks KH AJ √ S : BY,WD 8
Evakuasi Tumor Medula Spinal KH HY √
SOL Intradural Ekstra Medular VTH 9-10 Tumor Spinal Thoracal KH AJ √ BR WD 8
SOL Clinoid Sin Craniotomi Dasar Tengkorak KH MTA √ LW,EA EA LW 9

HNP Laminektomi Kompleks KH HY √ S : BR SF VQ 9
Canal Stenosis Lumbal PSRS APR 10
Laminoplasty Dekompresi Internal +

Canal Stenosis cervical KH,KH APR √ PR,AP 10
Fixasi Internal Fusi
Fr Antebrachii 1/3 Distal Ttp Nk Multiple Fr ORIF KH DRY √ YS 10
Abses Anule Dx Pasca Repair Tendon Debridement Luas B DRY √ S : YS YS BR 10
OA Genu Sin TKR Sin KH BIN √ IS GI 10
Osteo Artritis Genu TKR Sin KH BIN √ S GI 10
Plantar Fasalis Reseksi Spur B BIN √ US 10
Total Koreksi (Repair PS + VSD BJ.09 √ EN,MA,AH, BP, AH,

TOF WW MA JT
Closure) BJ.04 IM*,SS EN
Mata Kanan Vitrectomy + Membran
Retinopathy + Tractional Retinal KH AL √ NK,HR,DW HR NK GR 1
Peeling + Endo Laser + Silicone Oil
Detachment + Vitreous Hemorrhage
Mata Kiri Vx + MP + EL + Silicon
Mata Kiri Afakia + Siline Ool Filled Eye KH AL √ S : DI NK HR GR 1
Exchange
Mata Kanan Iridodialisis + Subluksasi
Mata Kanan Vitrectomy + Iridopeksi +
Lensa + Katarak Traumatika + Vitreous KH,B AL √ DW HR GR 1
Lensektomi
Hemorrhage + Glaukoma Sekunder
Mata Kanan Vitreous Hemorrhage Mata Kanan Vitrectomy + EL + Gas SF6 KH AL √ DI GR 1
Mata Kanan Kiri Katarak Komplikata Mata Kiri Phacoemulsifikasi + IOL RF YW,MK GR 2
Mata Kiri Katarak Mata Kiri Phacoemulsifikasi + IOL AL GR 2
Mata Kiri Pseudofakia Mata Kiri Buka Jahitan WIS S : TU GR 2
Mata Kiri Ekstraksi Katarak Intra
Mata Kiri Katarak Traumatika WIS GR 2
Kapsuler
Mata Kanan Katarak Mata Kanan Phacoemulsifikasi + IOL AL √ GR 2
Prolaps Uteri + Sistokel + Rectokel (Hbs

TVH + KA KH,KH ER √ NP AM GR 3
Ag +)
Ca Cervix Wound Dehisence Repair Wound Dehisence S MZ √ NP,AM AM NP GR 3
Surgical Staging (SubTotal Histerektomi KH,B,S,

Ca Endometrium EW √ AM NP GR 3
+ BPL + Omentectomi + Adhesiolisis) ,S
Ca Mamae BCS KH BIS √ SR,SU SR SU GR 4
SNNT Sin T3NoMo Ismolobektomi + FS ganas TT BIS S : DB* GR 4

SMNT c/ Metas T4bNoMo Ismolobektomi + FS Maligna TT UUD GR 4
Tumor Kulit c/ Ganas Rekonstruksi Post Wide Eksisi UUD GR 4
Tumor Mamae Sin c/ Ganas Insisi Biopsi UUD GR 4
Labiognatopalatoschizis Labioplasty KH NJT √ TR,RI* TR RI GR 5
Neurofibroma Eksisi Reduksi Massa Lunak B RZ √ S : MF RI TR GR 5
Ulkus Granulosum reg Poplitea Debridement B PJ √ RI TR GR 5
Kista Mandibula Enukleasi Kista Besar KH RP √ MF GR 5
MID : JF ) SORE PROGRAM : ET,TA,II,NI,AD,BR,TK,DB*,DI,DY,ES,TU,MR,MF,YS,US,WD*,AT,AF,BY,DM,YR ALAT : PUR,RA ( S : )
Nefritis Cupur Biopsi Ginjal Dengan Guiding B,S OMG √ US
Fr Radius Ulna 1/3 Distal Debridment + ORIF S,S BIN √ MF YS
HN + HU Bilateral Sistoscopy S WAN √ AY DS
Batu Ureter URS D + DJ Stent D KH,B ADS √ DS
Hidronefrosis Aff DJ Stent S ADS √ DS
Miastenia Gravis Pasang Double Lumen K Retna √ ANM DS
Tumor Parotis Dextra C/ Ganas Insisi Biopsi UUD
Abses Auricula Dex Incisi Drainage + Explorasi Abses B AYU √ CITO
Crush Kepala Kraniotomi Dekompresi + Duraplsty KH HY √ TM NH CITO
G1P0A0, CHF, NOK SCTP B HT √

Gatot CITO
TAH + BSO + Omentectomi + FS KH, EW √

KH,S
Peritonitis Generalisata ERI √ HE TM CITO
gaster KH
G4P3A0, Hml 37mg, Impending Eklansia SCTP + MOW B AF √ Gatot AD TM CITO
Invaginasi Laparatomi Release Invaginasi KH RR √ TA AD CITO
Post Laparatomi Kolostomi B ERI CITO
Gips K BIN
Mata Kanan Hecting Konjungtiva +
S,S WIN DJ CITO
Explorasi Bulbi
DPJP OPERATOR
OPERATOR RILL
Circulating
instrumen
PLH : AL,EV UM,SL,NH, HE CT

Divertikelotomi + Sectio Alta + Pasang
Divertikel + Vesicolithiasis KH,B,B MAS √ AU,DN* DN AU 1
DJ Stent D
Uretroplasty Tahap I + Release

Hipospadia KH,B NDA √ S : AT,AD AT DN 1
Chordae
Aff DJ Stent Dx + Nefrolithotomi Sin +
Batu Ureter Sin + Ren Sin + DJ Stent S,KH,B NDA √ AT DN 1
Insersi DJ Stent Sin
Hidronefrosis + Hidroureter Bilat Ureterolithotomi Dx + DJ Stent KH,B NDA AT AT 1
Tumor Mandibula Hemimandibulektomi Dex KH DV √ SE,RI SE RI 2

RA,
RSK + Konka Hipertrofi + Septum Deviasi FESS III + Septoplasty + Konkoplasty KH,B,S ANA √ S : NI 2
SE
Odontectomi 4 gigi + EXO 2 gigi KH DV √
OMSK Dupleks ME Radikal Kiri KH AYU √ 2
Ekstripasi Massa Tonsil +

Ca Tonsil Kiri S,S WY √ 2
Limfadenectomi
KH,KH,
NOK TAH + BSO + Adhesiolisis Luas + FS MZ √ TW,MY TW MY 4
KH
NOK dg Bag. Padat c/ Ganas SOU + FS B SR √ S : DM MY TW 4
Akalasia Laparoscopy Heller Seromyotomi KH ERI √ 4
Laparoscopy Drainase Ascites + Biopsi

Nodul Hepar, Ascites ERI 4
Hepar
Fistula Broncho Pleura Thoracotomi ALI 4
DVT Sin + Ulkus Dekubitus Gr III Reg ALI +
Embolektomi + Debridement 4
Sacrum PJ
Striktur Ani Anoplasty V - Y Flap S PB √ TD,PL TD PL 5
Laparotomi Explorasi Ileustomi + Biopsi

Ca Recto Sigmoid 1/3 Tengah KH PB √ S : YR,TM* PL TD 5
tumor
Post Colostomi Double Barrel Reseksi Colon + Anastomose E to E KH PB TM YR 5
Cholelithiasis Laparoscopy Cholesistectomy KH ERI √ TM YR 5
Ca Caput Pankreas Laparatomi Biliodigestif Shunting KH ERI √ YR TM 5
WSD Torakal S WW
Total Tiroidektomi + Reseksi Tulang

Metastasis Papilary Thyroid Carsinoma KH YAN √ AZ,RM AZ RM 6
scapula Sin
Ca Papilary Thyroid T2NoMo Completition TT KH YAN √ S : TU TU AF 6
STT reg pipi Wide Eksisi B UUD √ 6
Tumor Palpebra Wide Eksisi B UUD √ 6

Tumor Intra Abdomen + Mata kanan

Laparatomi Biopsi Tumor KH RR √ AI*,RG AI BR 7
Massa Orbita
Mata kanan Orbitotomi Anterior + Biopsi
KH TL √
+ PA
Hepatomegali Laparascopy Biopsi Hepar KH MG √ S : AF BR AI 7

Tumor Sigmoid Sigmoidektomi KH MG √ AF AI 7
Ulkus DM Debridement WW 7
Massa Paru dd/ mediastinum Thoracotomi Biopsi Tumor KH WW √ DY II 7
Makro Adenoma Hipofise Craniotomi dasar Tengkorak KH MTA √ SF,VQ VQ SF 8
Lesi Transfersal Partial MS Sekmen VL3-4 Laminoplasty AJ S : BY,WD 8
Wound Dehisence Pasca PSRS Re Laminektomi + Debridement KH,S HY √ WD 8
SOL Meduloblastoma Craniotomi Dekompresi Tumor KH DP √ LW,EA EA LW 9
Sphenoid Wing Tumor Sin Craniotomi dasar Tengkorak KH DP √ S : BR RG WD 9
Laminectomy Dekompresi + Internla

Ankilosy Vertebra Cervicalis KH,KH APR √ PR,ANM PR ANM 10
Fiksasi Fusi
ORIF Tibia + Lepas Plate Implant +
Post ORIF FSE Cruris Dx KH,B,B APR √ S : MW ANM PR 10
debridment
Fr Maleolus Bilateral Cruris Dx ORIF Tibia + ORIF Fibula KH,KH APR √ 10
Fr Clavicula Sin 1/3 Tengah Disp Ttp Nk ORIF Shaft Clavicula KH DRY √ MW 10
Union Pelvis Dx Aff Implant B BIN √ 10
Mal Union Fr Radius Ulna Rekontruksi OS Union Fr Radius Sin KH BIN √ DB 10
EN,
MR, MS, AR MVR + AVR BJ.08 SF √ EN,AH,BP, IM BP JT
AH
BJ.09 √ MID : MA,SS
ASD II, TR Severe, PH Severe Repair Katup Trikuspid + ASD Closure WW JT
BJ.03 S : BD*
Mata Kiri Vitrectomi + Membrane
Mata Kiri Proliferative Diabetic Retinopathy AW NK,HR*, DW* GR 1
Peeling + Endolaser
Mata Kanan Rhegmatogenous Retinal Mata Kanan Vitrectomi + Endolaser +
AW GR 1
Detachment Gas
Mata Kanan Vitrectomi + Endolaser +
Mata Kanan Vitreous Haemorrhage Non
Silicone Oil / Gas + Phacoemulsification AW GR 1
Clearing + Katarak Senilis Imatur
+ IOL
Mata Kanan Reposisi IOL ( Iris clip) +
Mata Kanan Dislokasi IOL S,S LN √ HR NK GR 1
Vitrectomi Anterior Mekanical
Mata Kiri Secondary Implant +
Mata Kiri Afakia KH LN √ HR NK GR 1
Vitrectomi Anterior
Glaucoma, Mata Kiri Acute Primary Angle Mata Kiri Trabekulektomi B FI √ YW,MK GR 2
Closure
Mata Kiri Katarak Diabetik Mata Kiri Phacoemulsifikasi + IOL WIS S : DI GR 2
Mata kanan kiri Primary Angle Closure
Mata Kiri Phacoemulsifikasi + IOL MR GR 2
Mata kanan pseudofakia, mata kiri
glaukoma sekunder + Katarak Senilis Mata kiri Phacoemulsifikasi + IOL MR GR 2
Matur
Mata kanan Pseudofakia M

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HARI / TANGGAL : MINGGU, 01 JANUARI 2017

1 Giyono 3 um 50th L R3B C617745 8802658

2 Alifia Putra Izzati VIP NPBI 10th P GRD 3 C565755 8789613

3 Mutiara Nia Ramadhani VIP Um 8th P GRD 3 C617717 8802690

4 Hanif Arya B VIP NPBI 17th L GRD 6 C488571

5 Kaswadi 3 PBI 59th L R2B C617771 8802768

6 Yatmi 2 NPBI 56th L IGD C617759 8802708

HARI / TANGGAL : SENIN, 02 JANUARI 2017

NO NAMA KLAS UMUR L/P RUANG CM REG

1 Syaiful Anwar 3 NPBI 12th L HCU C617787 8802881

2 Wahmad 3 um 33th L R2B C617800 8302852

3 Juwadi 3 NPBI 52th L TRAN C611912 8747795

4 Naomi Suwarti 2 NPBI 56th P IGD C613689

5 Sri Rejeki 2 NPBI 55th P MRK 2 C616730 8793946

6 Indah Riyanti 3 NPBI 38th P ICU C617795 8802942

7 Athariz Davin Al Azka 3 um 3th L C1L1 C617535 8801084

8 Sutianah VIP NPBI 49th P GRD 6 C615553 8783197

9 Cahyo Sasangko 3 PBI 42th L R3B C617803 8803010

10 Misli 3 PBI 22th P R2B C617806 8802866

11 Kasmani 2 NPBI 46th P TRAN C617798 8803047

HARI / TANGGAL : SELASA, 03 JANUARI 2017

1 Dwi Retna Prasetyaningrum 3 PBI 54 th P R4A C590799 8793955

2 Nur Alimah 3 NPBI 44 th P R2A C606494

3 Suwarsono 3 NPBI 45 th L R2B C610916

4 By Ny Sri Puji Astuti 3 PBI 8 hr P PBRT C616787 8796099

5 Fasikhatul Mukaromah 3 NPBI 13 th P Anak 1 C615738

6 Jumini 3 NPBI 59 th P P. Merpati C613490

9 Kumyati 3 NPBI 12/31/1966 P B31 C604996 8800808

10 Sukatmiatun 3 PBI 46 th P R4B C605583 8800790

11 Asmui 3 NPBI 54 th L R3B C614706

13 Chandra 3 NPBI 43 th L R3B C615617 8783209

14 Sunoto 3 PBI 51 th L R1B C611131 8785474

15 Niamah 3 NPBI 46 th P R2A C610372 8785669

16 Sutarni 3 NPBI 49 th P R2A C606054

17 Muhammad Khoiruroziqin 3 PBI 5 th L C1LD C612215 8798485

18 Muh. Zaini 3 NPBI 47 th L R2B C605613

19 Siti Sumarti 3 PBI 40 th P R2A C607078 8777355

20 Muhammad Asy'Ari 3 PBI 23 th L R2B C502136 8787854

21 Islahuddin 3 NPBI 21 th L R2B C608769 8800578

22 Muntamah 2 NPBI 61 th P Ger D C607621 8798478

23 Sutarmi 3 NPBI 49th P R2A C604462 8789795

24 Rochani 2 NPBI 54th P KPD D C615542 8792011

26 Arif Riyanto 3 NPBI 51 th L R1B C533951 8789222

27 Amirulah Siregar 2 NPBI 45th L ELA 1 C584268 8802743

28 Faqih Faizul Nizam 1 NPBI 5 th L Elang 1 C574520 8802729

29 Rukati 3 PBI 30 th P R4A C513948 8800846

30 Andini Ayu Almira 3 NPBI 20 th P R4A C601688 8802355

MALAM: CA,BR,NI,AD,DY,MY,EW RR :FA,SAM,EM MID :ER,JF RR GRD : PS SORE PROGRAM :GI,WU,ST,AN,AR,AI,AF,AG

31 Sudarni 3 NPBI 56th P R4B C617667 8802409

Sutarni 3 PBI 49th P R2A C606054 8785601

Siti Muawanah VIP NPBI 52th P GRD L5 C617659 8802572

Nuriyah 1 NPBI 38 th P KPD D C597216 8802343

Slamet Priyanto 3 NPBI 37th L R2B C506038 8772985

Boyke Komul 1 NPBI 58th L KPD 1 C615763 8802635

V Sri Lestari Susantasari 1 NPBI 59th P MRK 2 C418196 8802613

Hasan Faiq 2 NPBI 30th L IGD C543731 8805000

Kusnan Bukhori 2 NPBI 50 th L MRK D C566834 8798575

40 Aisha Yumna Fariha Prasya 3 NPBI 5bl P C1L1 C617828 8803420

41 Karjono 3 NPBI 58th L ICU C614411 8791937

42 Dhiro Anggaphalo 1 NPBI 17th L C1LD C324683 8783265

By. Fauzun Nesfah 3 um 5hr P PICU C617750 8804988

46 Jumari 2 um 50th L IGD C447548 8803068

47 Jordan Amadeus Soetowidjo 2 NPBI 13th L IGD C617967 8804871