PASIEN RAWAT INAP

APRIL

UMUR SEX .
LAMA
NO TANGGAL INPUT REGISTER NO. MR NAMA 0<28 28hr - Q1-4 Q5-14 Q15-24 25-44 45-64 65+ USIA RUANG KELAS TGL MASUK TGL KELUAR LAMA RAWAT DIAGNOSA ICD - X CODE EXTERNAL CAUSE
LK PR USIA BARU LAMA
hr. < 1 th. th. th. th. th. th. th
1 2 3 4 5 6 7 8 9 A10 A11 A12 A13 A14 A15 A16 A17 A18 A19 20 21 22 23 24 25 26 27

1 01/11/2018 10:31 1118HK00006 00125370 ERNI SUSILO , Ny 1 1 25 THN 1 326 II 11/1/2018 11/3/2018 2 THYPOID FEVER + INFEKSI SALURAN KEMIH A01.0 , N39.0 -
2 01/11/2018 09:39 1118HK00007 00122773 KHOIRUL IKHSAN, Tn 1 1 20 THN 1 328 II 11/1/2018 11/2/2018 1 SOFT TUMMOR TISUE D48.1 -
3 01/11/2018 11:38 1118HK00012 00125371 AEP SAEPUDIN, Tn 1 1 53 THN 1 324 II 11/1/2018 11/3/2018 2 STROKE EC INFARK SISTEM KARLOTIS RIW FR HT I64 -
4 01/11/2018 15:12 1118HK00033 00122820 HJ.OON DARWATI , Ny 1 1 34 THN 1 323 IA 11/1/2018 11/4/2018 3 G3 P2 A0 HAMIL 40 MINGGU POST SC O82.0 -
5 01/11/2018 15:37 1118HK00034 00077985 AHMAD FAUZAN, Tn 1 1 26 THN 1 324 II 11/1/2018 11/4/2018 3 HIDRONEPHROSIS N13.3 -
6 01/11/2018 19:40 1118HK00051 00125376 M RIZQY FADILAH, Tn 1 1 22 THN 1 328 II 11/1/2018 11/3/2018 2 CLOSED FRACTURE PHALANX PROXIMAL DIGITI V PEDIS DEXTRA + VULNUS EXORIASI S92.5 , T14.0 -
7 01/11/2018 23:26 1118HK00054 00125379 RIZKA WIDIANTO, Tn 1 1 18 THN 1 213-2 HCU 11/1/2018 11/20/2018 19 CEDERA KEPALA BERAT + FRACTURE ANTERIOR MAXXILLA S09.9 -
8 01/11/2018 21:24 1118HK00079 00125386 HJ OON DARWATI , By 1 1 1 HR 1 217 PERINA 11/1/2018 11/4/2018 3 NCB SMK SC P03.4 -
9 02/11/2018 13:56 1118HK00104 00125395 ROY BIN TUIN, Tn 1 1 53 TH 1 334 ISOLASI B 11/2/2018 11/4/2018 2 TUBERCULOSIS PARU + DM TYPE 2 A16.2 + E11.9 -
10 02/11/2018 15:27 1118HK00109 00125396 MUHAMMAD FARHAN, Tn 1 1 21 TH 1 3001 VIP A 11/2/2018 11/7/2018 5 DEMAM TYPOID + PHARINGITIS ACUTE A01.0 + J02.9 -
11 02/11/2018 18:08 1118HK00120 00125398 MAMAN SURYAMAN, Tn 1 1 24 TH 1 328 II 11/2/2018 11/7/2018 5 CLOSED FRACTURE INCOMPLETE OS CUBOID S92,2 -
12 04/11/2018 23:29 1118HK00244 00125430 AHMAD NURKHOLIS , Tn 1 1 25 TH 1 3004 VIP A 11/4/2018 11/5/2018 1 LOW BACK PAIN M54.5 -
13 05/11/2018 00:08 1118HK00245 00055955 SURIYANTO ALI , Tn 1 1 54 TH 1 3004 CLASS VIP A 11/5/2018 11/7/2018 2 GASTROENTERITIS ACUTE + CAD OMI A09 -
14 05/11/2018 15:50 1118HK00266 00125431 ROMA DANUL CHOIRI , Tn 1 1 37 TH 1 3005 CLASS VIP A 11/5/2018 11/7/2018 2 GASTROENTRITIS ACUTE + DYSPEPSIA A09 + K30 -
15 05/11/2018 13:39 1118HK00278 00118634 EI HADIANTY , Ny 1 1 27 TH 1 334 ISOLASI B 11/5/2018 11/9/2018 4 G3P1A1 HAMIL 34 MINGU DENGAN VARICELLA Z34.8 + B01.9 -
16 05/11/2018 23:43 1118HK00366 00125442 RISKI AMELIANA, Ny 1 1 24 TH 1 329 CLASS III 11/5/2018 11/7/2018 2 ABBORTUS IMMINENS O20.0 -
17 06/11/2018 11:48 1118HK00375 00125445 ASEP MAULANA, Tn 1 1 24 TH 1 328 CLASS II 11/6/2018 11/8/2018 2 VULNUS .LACERATUM DIGITI IV MANUS DEXTRA + OPEN FRACTURE T14.1 -
18 06/11/2018 16:50 1118HK00402 00125443 HIRTRITA RISKI ANDISGA, Ny 1 1 28 TH 1 329 CLASS III 11/6/2018 11/9/2018 3 GASTROENTERITIS ACUTE A09 -
19 06/11/2018 19:52 1118HK00407 00091442 WIWIK RISTIYANINGSIH , Ny 1 1 29 TH 1 324 CLASS II 11/6/2018 11/7/2018 1 P2A0 POST SCTP DENGAN BEKAS SCTP + UNREACTIF BABY O82.0 -
20 06/11/2018 17:42 1118HK00410 00117412 RIANTO HIDAYATULLOH, An 1 1 14 TH 1 316 CLASS I 11/6/2018 11/8/2018 2 GASTRITIS K29.7 -
21 07/11/2018 08:42 1118HK00439 00125454 WIWIK RISTIYANINGSIH, By 1 1 2 HR 1 217 CLASS II 11/7/2018 11/9/2018 2 Respiration Disttres Syndrome ec SUSP TTN + NCB SMK SC P03.4 -
22 07/11/2018 18:03 1118HK00483 00104114 ARIF YULIAWAN, Tn 1 1 27 TH 1 328 CLASS II 11/7/2018 11/10/2018 3 DEMAM TYPOID A01.0 -
23 08/11/2018 08:41 1118HK00509 00004537 DANIEL PODOSKI SANJAYA, An 1 1 13 TH 1 312 CLASS III 11/8/2018 11/10/2018 2 DEMAM TYPOID A01.0 -
24 08/11/2018 08:26 1118HK00510 00122069 LAELIYAH, Nn 1 1 21 TH 1 331 CLASS III 11/8/2018 11/9/2018 1 CYSTA ATHEROMA L72.0 -
25 08/11/2018 12:34 1118HK00528 00047048 RATAM, Tn 1 1 51 TH 1 333 CLASS III 11/8/2018 11/10/2018 2 HYPERTENSION GRADE II + DYSPEPSIA I10 , K30 -
26 09/11/2018 01:44 1118HK00590 00118420 ERNAWATI , Ny 1 1 29 TH 1 212 III 11/9/2018 11/10/2018 1 P2A0 POST PARTUS SPONTAN DENGAN INDUKSI O80.9 -
27 09/11/2018 08:04 1118HK00592 00125470 ERNAWATI, By 1 1 1 HR 1 217 PERINA 11/9/2018 11/10/2018 1 NCB DMK + PSP Z38.0 -
28 09/11/2018 13:19 1118HK00615 00125472 ARSYILLA AZKADINA ZHAFIRRA, By 1 1 10 BL 1 316 I 11/9/2018 11/11/2018 2 DIARE ACUTE A09 -
29 09/11/2018 22:19 1118HK00671 00013687 SALSABILA DENIA SYIFA, Nn 1 1 21 TH 1 329 III 11/9/2018 11/12/2018 3 POST APPENDECTOMY K36 -
30 10/11/2018 10:03 1118HK00672 00125481 AISYAH AILA SURYANI , By 1 1 8 TH 1 314 III 11/10/2018 11/12/2018 2 DIARE ACUTE A09 -
31 10/11/2018 17:31 1118HK00719 00112043 KIRAN ASKANA FATIM, An 1 1 5 TH 1 310 II 11/10/2018 11/12/2018 2 BACTERIAL INFECTION A49.9 -
32 10/11/2018 22:34 1118HK00742 00125319 DINAH DINYATI , Ny 1 1 33 TH 1 210 II 11/10/2018 11/11/2018 1 POST CURETASE AI ABBORTUS INCOMPLETE O06.4 -
33 10/11/2018 21:21 1118HK00745 00099547 M.FAHRUL ALFARIZI, An 1 1 6 TH 1 310 II 11/10/2018 11/13/2018 3 HYDROCELE N43.3 -
34 11/11/2018 16:28 1118HK00759 00077612 MUHAMMAD RAFFI BOLQIAH , Tn 1 1 19 TH 1 324 II 11/11/2018 11/12/2018 1 SKIN AVULSI + SKIN LOSS PALPEBRA T14.1 -
35 11/11/2018 16:27 1118HK00760 00124042 GLENDA GLORIA L.TOBING, Nn 1 1 29 TH 1 326 II 11/11/2018 11/12/2018 1 GASTROENTERITIS ACUTE A09 -
36 12/11/2018 06:51 1118HK00771 00004236 I GUSTI MADE KRESNA, An 1 1 13 TH 1 3001 CLASS VIP A 11/12/2018 11/14/2018 2 OBSERVASI FEBRIS + TONSILOPHARINGITIS R50.9 , J06.8 -
37 12/11/2018 07:38 1118HK00772 00122514 NUR SAIDAH , Ny 1 1 23 TH 1 212 CLASS III 11/12/2018 11/13/2018 1 P2 A0 POST PARTUS SPONTAN O80.9 -
38 12/11/2018 09:15 1118HK00781 00125506 NUR SAIDAH, By 1 1 1 HR 1 217 CLASS III 11/12/2018 11/13/2018 1 NCB SMK PSP Z38.0 -
39 13/11/2018 00:27 1118HK00889 00125526 JOHNY SIAHAAN, Tn 1 1 63 TH 1 213-2 HCU 11/12/2018 11/17/2018 5 POST ORIF RAHANG ATAS – RAHANG BAWAH S00.8 -
40 13/11/2018 14:07 1118HK00924 00125529 ALULA HYUNA ZELMIRA , An 1 1 1 TH 1 312 CLASS III 11/13/2018 11/16/2018 4 GASTROENTERITIS + BRONCHIOLITIS A09 + J21.9 -
41 13/11/2018 17:15 1118HK00929 00125532 NANI KARTINI , Ny 1 1 29 TH 1 326 CLASS II 11/13/2018 11/17/2018 4 POST SC O82.1 -
42 13/11/2018 21:22 1118HK00973 00125542 NANI KARTINI, By 1 1 1 HR 1 217 CLASS II 11/13/2018 11/17/2018 4 Respiration Disttres Syndrome ec SUSP TTN + KR III + NB METABOLIK P03.4 -
43 14/11/2018 00:51 1118HK00974 00029751 SOBARI, Tn 1 1 49 TH 1 324 II 11/14/2018 11/16/2018 2 GASTRITIS K29.7 -
44 14/11/2018 12:18 1118HK01006 00125549 DAVIT AROHMAN, Tn 1 1 21 TH 1 331 III 11/14/2018 11/16/2018 2 GASTROENTERITIS ACUTE A09 -
45 14/11/2018 17:26 1118HK01020 00125551 RACHELL ZIVANNA PUTRI RATU P, An 1 1 5 TH 1 313 IA 11/14/2018 11/16/2018 2 DEMAM TYPOID A01.0 -
46 17/11/2018 00:38 1118HK01184 00036893 ANIK RAHMANI, S.H, Ny 1 1 38 TH 1 331 III 11/17/2018 11/18/2018 1 KEMATIAN JANIN DALAM RAHIM O36.4 -
47 17/11/2018 03:33 1118HK01185 00067990 YULIANA , Ny 1 1 33 TH 1 326 II 11/17/2018 11/18/2018 1 POST PARTUS SPONTAN O80.9 -
48 17/11/2018 05:29 1118HK01187 00125583 YULIANA, By 1 1 1 HR 1 217 PERINA SEHAT 11/17/2018 11/18/2018 1 NCB SMK PSP Z23.8 -
49 17/11/2018 12:39 1118HK01207 00088836 FERIA HANDANI, Tn 1 1 32 TH 1 324 II 11/17/2018 11/20/2018 3 RHINOSINUSITIS MAXILARIS J32.0 -
50 17/11/2018 15:46 1118HK01223 00116061 THERESIA NURLESTARI, Nn 1 1 20 TH 1 3003 VIP A 11/17/2018 11/19/2018 2 GASTROENTERITIS + FEBRIS CC BACTERIAL INFECTION A09, R50.9 -
51 17/11/2018 15:44 1118HK01224 00124785 ARFA HUDZAIFAH FAKHRURAZZI, An 1 1 8 TH 1 316 I 11/17/2018 11/19/2018 2 BACTERIAL INFECTION A49.9 -
52 17/11/2018 23:41 1118HK01268 00125541 WAHAR, Tn 1 1 73 TH 1 329 III 11/17/2018 11/18/2018 1 CHRONIC KIDNEY DISEASES SUSPEK TUBERCULOSIS SUSPEK ILEUS N28.9 -
53 18/11/2018 20:02 1118HK01276 00125602 BAGUS SUSILO HADI, Tn 1 1 29 TH 1 331 III 11/18/2018 11/23/2018 5 DENGUE HAEMORRHAGE FEVER A91 -
54 19/11/2018 12:16 1118HK01289 00051898 DODY ENDRO KRISTIANTO, Tn 1 1 36 TH 1 324 II 11/19/2018 11/22/2018 3 GASTRITIS K29.7 -
55 19/11/2018 13:13 1118HK01295 00125605 DEFI YUDANINGSIH, Ny 1 1 32 TH 1 326 II 11/19/2018 11/20/2018 1 POST CURETASE CC ABBORTUS INCOMPLETE O06.4 -
56 19/11/2018 15:26 1118HK01316 00096847 ABIYYU ASYAN NAUFAL, An 1 1 4 TH 1 316 I 11/19/2018 11/21/2018 2 VIRAL INFECTION B34.9 -
57 20/11/2018 00:25 1118HK01375 00061636 PURWANTO, Tn 1 1 36 TH 1 330 II 11/20/2018 11/21/2018 1 VOMITUS EC INTOKSIKASI MAKANAN R11 -
58 20/11/2018 02:51 1118HK01376 00125625 MUIDEH, Ny 1 1 38 TH 1 329 III 11/20/2018 11/21/2018 1 PENDARAHAN POST PARTUM N93.9 -
59 20/11/2018 10:28 1118HK01378 00125627 NUR IZATUL MUSLIKHAH, Nn 1 1 18 TH 1 333 III 11/20/2018 11/23/2018 3 DENGUE HAEMORRHAGE FEVER A91 -
60 20/11/2018 15:40 1118HK01386 00091025 SANDRA PUTRI WINARTO, An 1 1 7 TH 1 312 III 11/20/2018 11/24/2018 4 DEMAM TYPOID + BRONCHITIS A01.0 +J20.9 -
61 20/11/2018 20:39 1118HK01404 00090080 FAWWAS AUFAKHAN IZZANSYAH, An 1 1 8 TH 1 310 II 11/20/2018 11/23/2018 3 DIARE ACUTE A09 -
62 20/11/2018 22:11 1118HK01405 00123298 T JHEN SUFI, Ny 1 1 44 TH 1 323 IA 11/20/2018 11/21/2018 1 DYSPEPSIA K30 -
63 21/11/2018 15:40 1118HK01441 00094834 WARDIYAN LUBIS, Tn 1 1 30 TH 1 324 II 11/21/2018 11/23/2018 2 NEPHOLITHIASIS N20.0 -
64 21/11/2018 17:59 1118HK01447 00124680 AKHDAN PUTRA WINARTO, By 1 1 7 BL 1 312 III 11/21/2018 11/21/2018 0 GASTROENTERITIS + BRONCHIOLITIS A09 + J21.9 -
65 22/11/2018 09:37 1118HK01490 00067387 CHERYL ANINDYA NUGROHO, An 1 1 6 THN 1 314 CLASS III 11/22/2018 11/24/2018 2 DIARE ACUTE POST KLL + OBSERVASI FEBRIS A09 -
66 22/11/2018 14:04 1118HK01516 00073194 YULIYANTO , Tn 1 1 36 THN 1 324 CLASS II 11/22/2018 11/24/2018 2 GASTRITIS + INFEKSI SALURAN KEMIH K29.7 + N39.0 -
67 23/11/2018 03:48 1118HK01551 00125667 DRS.SUHARIYONO, Tn 1 1 52 THN 1 331 CLASS III 11/23/2018 11/23/2018 0 DYSPEPSIA K30 -
68 23/11/2018 15:43 1118HK01584 00125256 PARYANTO , Tn 1 1 29 THN 1 324 CLASS II 11/23/2018 11/24/2018 1 UNION FRACTURE PHALANX DISTAL DIGITI II MANUS DEXTRA S92.5 -
69 23/11/2018 18:40 1118HK01603 00094567 MELIA NUR ENDAH, Ny 1 1 29 THN 1 326 CLASS II 11/23/2018 11/25/2018 2 KEMATIAN JANIN DALAM RAHIM POST CURETAGE G2 P1 A0 O36.4 -
70 25/11/2018 14:01 1118HK01743 00028063 YUSUP SUPENDI , Tn 1 1 41 THN 1 3001 VIP A 11/25/2018 11/25/2018 0 HAEMORHOID INTERNA GRADE II- III+ POLIP I84.2 -
71 25/11/2018 16:36 1118HK01744 00012606 SATYA BUANA RAMADHAN, An 1 1 12 THN 1 316 I 11/25/2018 11/28/2018 3 THYPOID FEVER + TONSILOPHARINGITIS A01.0 , J00 -
72 26/11/2018 18:00 1118HK01804 00125725 GILANG RAMADHAN, Tn 1 1 26 THN 1 324 II 11/26/2018 11/26/2018 0 CIDERA KEPALA RINGAN S09.9 -
73 26/11/2018 21:37 1118HK01829 00125735 SAYYID AMRAN ALFARIZI , By 1 1 3 BL 1 309 I 11/26/2018 11/28/2018 2 DIARE ACUTE A09 -
74 26/11/2018 22:52 1118HK01830 00117235 MINARIAS ANDRIANA BR.SEBAYANG, Nn 1 1 24 THN 1 326 II 11/26/2018 11/27/2018 1 DYSPEPSIA K30 -
75 26/11/2018 22:54 1118HK01831 00109159 NIN SULISTYOWATI , Ny 1 1 34 THN 1 326 II 11/26/2018 11/28/2018 2 CHRONIC KIDNEY DISEASES N28.9 -
76 27/11/2018 09:50 1118HK01841 00011391 TENGKU SAID ABDUL AZIS, Tn 1 1 40 THN 1 324 II 11/27/2018 11/28/2018 1 OPEN FRACTURE PHALANX DISTAL DIGITI II SINISTRA S62.6 -
77 27/11/2018 13:46 1118HK01866 00010391 BANDI MULYANTO, Tn 1 1 41 THN 1 323 IA 11/27/2018 11/28/2018 1 VERTIGO R42 -
78 28/11/2018 08:20 1118HK01916 00012305 RETNO AJI DILIANTO, Tn 1 1 33 TH 1 324 II 11/28/2018 11/28/2018 0 POST ORIF + DEBRIDEMEN , OPEN FRACTURE S62.6 -
79 28/11/2018 09:33 1118HK01917 00010077 AGUS EKO RIANTO, Tn 1 1 42 TH 1 329 III 11/28/2018 12/1/2018 3 CHOLELITHIASIS +CHOLECYSTITIS K80.2 + K81.9 -
80 28/11/2018 09:53 1118HK01918 00029163 EKO SETIOWATI, Ny 1 1 38 TH 1 331 III 11/28/2018 11/28/2018 0 BLM ISI RESUM - -
81 29/11/2018 10:04 1118HK02005 00118057 TAUFIK ISMAIL, Tn 1 1 26 TH 1 324 II 11/29/2018 12/1/2018 2 DEMAM TYPHOID A01.0 -
82 29/11/2018 18:17 1118HK02035 00005528 NAFILLAH OKTIZA MELOVI , Nn 1 1 25 TH 1 3001 VIP A 11/29/2018 11/29/2018 0 BLM ISI RESUM - -
83 30/11/2018 09:07 1118HK02052 00125758 ANANTIO NAUFAL RAFIF, Tn 1 1 22 TH 1 324 CLASS II 11/30/2018 12/1/2018 1 GANGLION M67.4 -
84 30/11/2018 18:27 1118HK02080 00032741 NOVA RUMANDOR , Ny 1 1 45 TH 1 326 CLASS II 11/30/2018 12/2/2018 2 FEBRIS + VIRAL INFECTION R50,9, B34.9 -
49 35 84 54 30 84 -
-
ODC -
1 22-11-2018 1118HK01512 125649 DANY PRASETYO 1 1 23 TH 1 OK ODC 11/22/2018 11/22/2018 0 OPEN FRACTURE PHALANX DISTAL DIGITI II PEDIS SINISTRA S92.5 -
 PETUGAS
DIAGNOSA LAIN/KOMPLIKASI ICD - X TINDAKAN ICOPIM DOKTER YANG MERAWAT RESUME RESUME DIISI TANGGUNGAN KET
MALAM

28 29 30 31 32 33 34 35 36 37

- - - - FENNY, SpPD ADA SUDAH ADMEDIKA - Asuransi AXA Indonesia

- - - - SALOME MARIA GIRSANG, Sp.B, Dr ADA SUDAH YAMAHA INDONESIA MOTOR MANUFACTURING, PT
- - - - DWI HANY FEBRINA S., SpS, Dr ADA SUDAH MANULIFE
- - SECTION CAESAREAN 74.99 MARTHIN WALEAN, SpOG, dr ADA SUDAH -
- - - - FENNY, SpPD ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - ORIF 79.06 REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - DWI HANY FEBRINA S., SpS, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH -
- - - - FENNY, SpPD ADA SUDAH -
- - - - FENNY, SpPD ADA SUDAH AJ CENTRAL ASIA RAYA
- - DEBRIDEMENT + PASANG GIPS - REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - DWI HANY FEBRINA S., SpS, Dr ADA SUDAH -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH - AWALNYA DR. FENNY
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - LIPPO GENERAL
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - FWD
- - - - MARTHIN WALEAN, SpOG, dr ADA SUDAH -
- - - - REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - SECTION CAESAREAN 74.99 PUDJI WINDARINI, SpOG, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - IRMA LAILA, Spa, dr ADA SUDAH PRUDENTIAL RI - Internasional SOS (PT.Prima Sarana Jasa)
- - - - IRMA LAILA, Spa, dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH -
- - - - SALOME MARIA GIRSANG, Sp.B, Dr ADA SUDAH ADMEDIKA - INTERNATIONAL SERVICES PACIFIC CROSS
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH
- - - - PUDJI WINDARINI, SpOG, Dr ADA SUDAH YAMAHA INDONESIA MOTOR MANUFACTURING, PT
- - - - IRMA LAILA, Spa, dr ADA SUDAH YAMAHA INDONESIA MOTOR MANUFACTURING, PT
- - - - IRMA LAILA, Spa, dr ADA SUDAH -
- - APPENDECTOMY 47.09 GUNADI P, SpB-KBD, Dr ADA SUDAH BNI LIFE
- - - - IRMA LAILA, Spa, dr ADA SUDAH -
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH INDOKUAT SUKSES MAKMUR, PT
- - CURETAGE 69.02 MARTHIN WALEAN, SpOG, dr ADA SUDAH AJ CENTRAL ASIA RAYA
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH PRIBADI 1
- - DEBRIDEMENT + REPAIR 86.28 SALOME MARIA GIRSANG, Sp.B, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - INTERNATIONAL SERVICES PACIFIC CROSS
- - - - IRMA LAILA, Spa, dr ADA SUDAH LIPPO GENERAL
- - - - MARTHIN WALEAN, SpOG, dr ADA SUDAH -
- - - - IRMA LAILA, Spa, dr ADA SUDAH -
- - - - Rina Simamora, drg, SpBM ADA SUDAH -
- - - - IRMA LAILA, Spa, dr ADA SUDAH ADMEDIKA - BNI LIFE
- - - - MARTHIN WALEAN, SpOG, dr ADA SUDAH ADMEDIKA - PT. ASTRA AVIVA LIFE
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH ADMEDIKA - PT. ASTRA AVIVA LIFE
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ASURANSI ASTRA BUANA, PT (GARDA MEDIKA)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH HANKEN INDONESIA, PT
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH RELIANCE
- - CURETAGE 69.02 MARTHIN WALEAN, SpOG, dr ADA SUDAH AVRIST - AIA
- - - - MARTHIN WALEAN, SpOG, dr ADA SUDAH ASURANSI ASTRA BUANA, PT (GARDA MEDIKA)
- - - - IRMA LAILA, Spa, dr ADA SUDAH ASURANSI ASTRA BUANA, PT (GARDA MEDIKA)
- - - - Pandu Putra H, dr, SpTHT-KL ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - ASS. JIWA SEQUISE LIFE
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH PRUDENTIAL RI - Internasional SOS (PT.Prima Sarana Jasa)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - PUDJI WINDARINI, SpOG, Dr ADA SUDAH BNI LIFE
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH ADMEDIKA - ACA (ASURANSI CENTRAL ASIA )
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - SOMPO
- - - - PUDJI WINDARINI, SpOG, Dr ADA SUDAH -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH ADMEDIKA - AJ CENTRAL ASIA RAYA
- - - - IRMA LAILA, Spa, dr ADA SUDAH MANULIFE
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - PAULUS, SpU, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - IRMA LAILA, Spa, dr ADA SUDAH ADMEDIKA - AJ CENTRAL ASIA RAYA
- - - - IRMA LAILA, Spa, dr ADA SUDAH -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - CURETAGE 69.02 MARTHIN WALEAN, SpOG, dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - COLONOSCOPY 45.23 R. IWANTORO, SpPD, Dr ADA SUDAH RELIANCE
- - - - IRMA LAILA, Spa, dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - DWI HANY FEBRINA S., SpS, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - IKROMI DALIMUNTHE, SpA, dr ADA SUDAH ADMEDIKA - BNI LIFE
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH ADMEDIKA - EQUITY FINANCIAL SOLUTION
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH BPJS KETENAGAKERJAAN
- - - - DWI HANY FEBRINA S., SpS, Dr ADA SUDAH ADMEDIKA - ACA (ASURANSI CENTRAL ASIA )
- - ORIF + DEBRIDEMEN 79.23 REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH SINAR MAS RWI
- - - - R. IWANTORO, SpPD, Dr BELUM BELUM -
- - - - R. IWANTORO, SpPD, Dr ADA SUDAH UNILEVER INDONESIA, PT (92430)
- - - - R. IWANTORO, SpPD, Dr BELUM BELUM -
- - EKSISI 83.39 SALOME MARIA GIRSANG, Sp.B, Dr ADA SUDAH ASURANSI ASTRA BUANA, PT (GARDA MEDIKA)
ANEMIA D64,9 - - R. IWANTORO, SpPD, Dr ADA SUDAH -
- - - - - BELUM BELUM -
- - - - - BELUM BELUM -
- - - - - BELUM BELUM -
- - - - REYGAIS R, M.Kes, SpOT, Dr ADA SUDAH -
NO NAMA ASURANSI
1 2 3 4 5 6 7 8 9
1 A.J. CENTRAL ASIA RAYA
2 A.J. CENTRAL ASIA RAYA - CONOCO PHILIP
3 A.J. CENTRAL ASIA RAYA – SANYO INDONESIA
4 ABDA INSURANCE
5 ACA - (PT. DNC ENGINEERING COMPANY)
6 ADMEDIKA
7 ADMEDIKA - AIA
8 ADMEDIKA – COMMONWEALTH
9 ALLIANZLIFE
10 ASURANSI APRIANI SITEPU
11 ASURANSI AVIVA
12 ASURANSI CENTRAL ASIA
13 ASURANSI JAYA PROTEKSI – ADMEDIKA
14 ASURANSI JIWA GENERALI INDONESIA
15 ASURANSI JIWA SINARMAS
16 ASURANSI UMUM MEGA
17 AVRIST - (PT. LINFOX LOGISTICS INDONESIA)
18 AVRIST - DUPONT INDONESIA (SUBB OFF 100)
19 AVRIST- AIA
20 AVRIST ASSURANCE
21 AXA FINANCIAL INDONESIA
22 BLUE DOT
23 BLUE DOT - AJB BUMI PUTERA
24 BLUE DOT - ASS JIWA NUSANTARA
25 BLUE DOT - ASURANSI JAYA PROTEKSI
26 BLUE DOT - BANK BUKOPIN
27 BLUE DOT - FERRO MAS
28 BLUE DOT - KRESNA LIFE
29 BLUE DOT I'M CARE 177
30 BNI LIFE
31 BRINGIN LIFE
32 CIU - QSMART ASSISTANCE
33 EQUITY FINANCIAL SOLUTION
34 GARDA MEDIKA / ASTRA BUANA
35 GENERALI INDONESIA, ASURANSI
36 GESA ASSISTANCE
37 GLOBAL ASSISTANCE AND HEALTHCARE (MEDILUM)
38 GLOBAL DOCTOR (PT MEDIKA JASA UTAMA)
39 HMO - BINTANG TUJUH
40 HMO- KALBE
41 HMO
42 INTERNASIONAL SOS / ASIH EKA ABADI
43 JASINDO
44 JASINDO (GARUDA FOOD PUTRA PUTRI JAYA)
45 JASINDO (PT. NESINAK INDUSTRIES QQ)
46 JASINDO (PT. TOYOTA BOSHOKU INDONESIA)
47 JASINDO HEALTH CARE
48 JAYA PROTEKSI ASURANSI
49 JAYA PROTEKSI ASURANSI - ADMEDIKA
50 JAYA PROTEKSI ASURANSI YALANDA
51 KRESNA LIFE INSURANCE
52 LIPPO GENERAL
53 MANULIFE
54 MAYAPADALIFE
55 MEGALIFE
56 MNC LIFE ASSURANCE
57 PAN PACIFIC INSURANCE
58 PJPK SINT CAROLUS
59 PRUDENTIAL
60 PRUDENTIAL LIFE INSURANCE
61 PRUDENTIAL RI - INTERNATIONAL SOS
62 RELIANCE
63 RELIFE LIFE INSURANCE
64 SINAR MAS RWI
65 TUGU MANDIRI
66 TUGU MANDIRI - (PT YKK ZIPPER INDONESIA)
67 TUGU MANDIRI (PT. MURINDA IRON STEEL)
68 WANAARTHA ASSISTANCE & HEALTHCARE
69 ZAKIRAH HEATH CARE
70 ZURICH TOPAS LIFE
71 WANAARTHA ASSISTANCE & HEALTHCARE
72 ZAKIRAH HEALTH CARE
73 ZURICH TOPAS LIFE
 TANGGAL
TOTAL
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 TA
NO NAMA ASURANSI
1 2 3 4 5 6 7 8 9 10 11
1 AISIN INDONESIA
2 AJINOMOTO CALPIS BEVERAGE INDONESIA
3 AKADEMI TEKNIK MESIN INDONESIA
4 ANDHIKA MITRA TEKHNIK
5 APTAR B & H INDONESIA
6 ASIAN ISUZU CASTING CENTER
7 ASTOM INDONESIA
8 ASTRA HONDA MOTOR
9 ASTRA NIPPON GASKET
10 AVERY DENNISON
11 BERLINDO MITRA UTAMA
12 BINA NIAGA MULTIUSAHA
13 CAHAYA KALBAR
14 CHEMCO HARAPAN NUSANTARA
15 CIKARANG LISTRINDO
16 CLINIC ''STUDENT HEALTHCARE''
17 COCA COLA AMATIL INDONESIA BOTTLING
18 COCA COLA BOTTLING INDONESIA
19 CONITEC SONOCO
20 DAE IN TECH INDONESIA
21 DAIDO INDUSTRI MANUFACTURING
22 DAYA CIPTA KEMASINDO
23 DELTA DJAKARTA
24 DNT INDONESIA
25 DUPONT POWDER COATINGS INDONESIA
26 DUTA LASERINDO METAL
27 ENKEI INDONESIA
28 EXEDY MOTORCYCLE INDONESIA ( EMI )
29 EVONIK DEGUSSA PEROXIDE INDONESIA
30 EVONIK INDONESIA
31 FCC INDONESIA
32 FILTECH INDONESIA
33 FUJI BIJAK PRESTASI
34 FUJI PRESISI TOOL INDONESIA
35 FUJITA INDONESIA
36 GALVA KAMI INDUSTRY
37 GEOGRAPHE ENERGY INDONESIA
38 GEREJA
39 GOEGRAPHE ENERGY GOBEL
40 GRAFINDO MITRA SEMESTA
41 G-SHANK PRECISION
42 HALDIN PACIFIC SEMESTA
43 HANKEN INDONESIA
44 HARAPAN KELUARGA JABABEKA
45 HARAPAN KELUARGA JABABEKA – KOMISARIS
46 HI - TECH INK INDONESIA
47 IDEMITSU LUBE TECHNO INDONESIA
48 IDEMITZU COMPOUNDING INDONESIA
49 IDEMITZU COMPOUNDING INDONESIA
50 IHARA MANUFACTURING OF INDONESIA
51 INDIONESIA THAI SUMMIT AUTO
52 INDOALUMUNIUM INTIKARSA INDONESIA
53 INDOFOOD SUKSES MAKMUR
54 INDOMARCO PRISMATAMA
55 INDONESIA EPSON INDUSTRY
56 INGRESS MALINDO VENTURES
57 ISOGAI INDONESIA
58 KAJI MACHINERY INDONESIA
59 KANAGATA TEKNOLOGY INDONESIA
60 KAO INDONESIA
61 KARYA KASIH PERSADA
62 KARYA PERMATA ABADI
63 KATSUSIHRO INDONESIA
64 KAWAI NIP
65 KAYABA INDONESIA
66 KERRY INGREDIENTS
67 KIYOKUNI, PT
68 KOBAYASHI INDONESIA
69 KOHNO INDONESIA
70 KOMATSU UNDERCARRIAGE INDONESIA
71 KRAFT INDONESIA
72 KRAMA YUDHA TIGA BERLIAN MOTORS
73 KYOSHA INDONESIA
74 LAZUARDI RUKUN PERKASA
75 LIWAYWAY
76 MATTEL INDONESIA
77 MADA WIKRI TUNGGAL
78 MENARA TERUS MAKMUR
79 MITRA AGUNG SEJATI
80 MITRAPAK ERA MANDIRI
81 MITRATAMA KENCANA SEJATI
82 MITRATAMA MAULANA
83 MITRATAMA RASA SEJATI
84 MITSUBISHI ELECTRIC AUTOMOTIVE
85 MMC METAL FABRICATION
86 MNC LIFE ASSURANCE
87 MULIAGLAS HEALTH CARE
88 MULTISTRADA ARAH SARANA
89 MURAMOTO ELECTRONIKA
90 MUSASHI AUTOPARTS INDONESIA
91 MUTSUKI ELECTRIC INDONESIA
92 NARUMI INDONESIA
93 NIHON SEIKI INDONESIA
94 NOK INDONESIA
95 OCHIAI MENARA INDONESIA
96 OMRON MANUFACTURING OF INDONESIA
97 ORIENTAL ASAHI JP CARTON BOX PT
98 PACIFIC INTERNASIONAL INDONESIA
 99 PASADENA METRIC INDONESIA
100 PATEC PRESISI ENGINEERING
101 PEMBINA GALINDRA
102 PLN, PT P3B
103 PLN, PT (PERSERO) APJ BEKASI
104 PLN, APP KARAWANG
105 PRIBADI KARYAWAN
106 PROCOAT ENERGI BARU
107 PROGRESS DIE CAST
108 PROPACK KREASI MANDIRI
109 PT. SEJAHTERA
110 RAMA SATRIA WIBAWA
111 ROKI INDONESIA
112 RUDOLF CHEMICALS INDONESIA
113 SAKAI
114 SAMINDO ELECTRONICS
115 SAMSUNG ELECTRONICS INDONESIA
116 SANKYU INDONESIA INTERNATIONAL
117 SANYO INDONESIA
118 SARI ENESIS INDAH
119 SCHOTT IGAR GLASS
120 SELECTRIX
121 SHIBAURA SHEARING INDONESIA
122 SHOWA INDONESIA MANUFACTURING
123 S-IK INDONESIA
124 SMURFIT CONTAINER INDONESIA
125 STARTEC PACIFIC
126 SUCOFINDO
127 SUCUFINDO SBU MINERAL JAKARTA
128 SUGITY CREATIVE
129 SUPERLABEL INDONESIA
130 SUPERNOVA FLEXIBLE PACKAGING
131 T.RAD INDONESIA
132 TAIHO NUSANTARA
133 TEMPO SCAN PACIFIK INDONESIA
134 TOA GALINDRA ELECTRONICS
135 TOYOTA MANUFACTURING OF INDONESIA
136 TOYOTA MOTOR KARAWANG
137 TMS / TRI TUNGGAL MANDIRI SOLUSINDO
138 UNILEVER INDONESIA
139 VS TECHNOLOGY
140 WILMAR BENIH INDONESIA
141 YAMAHA MOTOR MANUFACTURING WEST JAVA
142 YASUFUKU INDONESIA
143 YQ TECH INDONESIA
144 YUTAKA MANUFACTURING INDONESIA
 TANGGAL
TOTAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA DIAGNOSA ICD
1 2 3 4 5 6 7 8 9 10 11
1 DEMAM TYPOID A01.0
2 DEMAM PARATHYPOID A01.4
3 DIARE / GEA A09
4 TB PARU A16.2
5 DHF A91
6 DM E11.9
7 KONJUNGTIVITAS H10.9
8 RHINOPHARYNGITIS J00
9 VIRAL INFECTION B34.9
10 PHARINGITIS ACUTE J02.9
11 TONSILOPHARYNGITIS J06.8
12 ISPA J06.9
13 BAYI LAHIR SC P03.4
14 BAYI LAHIR SPONTAN P07.3
15 PARTUS SC O82.0
16 PARTUS SC O82.1
17 PARTUS SPONTAN O80.9
18 ISK N28.8
19 BRONCHITIS J40
20 ASMA BRONCHIALE J45.9
21 HRB J98.0
22 PERSISTENSI K00.6
23 CALCULUS K03.6
24 PULPITIS KRONIS K04.1
25 GANGRENE PULPA K04.1
26 NECROSIS PULPA K04.1
27 DYSPEPSIA K30
28 APP AKUT K35.9
29 BATU URETER N20.1
30 DERMATITIS ALERGI L23.9
31 BLIGHTED OVUM O02.0
32 HYPERBILIRUBIN P59.9
33 COUGH R05
34 COLIC ABDOMEN R10.4
35 VERTIGO R42
36 FEBRIS R50.9
37 CEPHALGIA R51
38 HYPEREMIA PULPA R68.8
39 CKR S06.0
40 CONTUSIO JARINGAN T14.0
41 PERIKSA GYNEKOLOGI Z01.4
42 KONTROL POST OPERASI Z09.0
43 KONTROL RAWAT Z09.8
44 IMUNISASI
45 KONTROL HAMIL Z34.9
46 KONTROL LUKA Z48.0
 4

TANGGAL TOTAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA DIAGNOSA TANGGAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CASH
 4

TANGGAL TOTAL
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0
 Sheet6
5 00077985 AHMAD FAUZAN, Tn HIDRONEPHROSIS
19 00091442 WIWIK RISTIYANINGSIH , Ny P2A0 POST SCTP DENGAN BEKAS SCTP + UNREACTIF BABY
21 00125454 WIWIK RISTIYANINGSIH, By RDS ec SUSP TTN + NCB SMK SC
22 00104114 ARIF YULIAWAN, Tn DEMAM TYPOID
34 00077612 MUHAMMAD RAFFI BOLQIAH , Tn SKIN AVULSI + SKIN LOSS PALPEBRA
49 00088836 FERIA HANDANI, Tn RHINOSINUSITIS MAXILARIS
54 00051898 DODY ENDRO KRISTIANTO, Tn GASTRITIS
63 00094834 WARDIYAN LUBIS, Tn NEPHOLITHIASIS
66 00073194 YULIYANTO , Tn GASTRITIS + INFEKSI SALURAN KEMIH
69 00094567 MELIA NUR ENDAH, Ny KEMATIAN JANIN DALAM RAHIM
71 00012606 SATYA BUANA RAMADHAN, An THYPOID FEVER + TONSILOPHARINGITIS
78 00012305 RETNO AJI DILIANTO, Tn POST ORIF + DEBRIDEMENT , OPEN FRACTURE
81 00118057 TAUFIK ISMAIL, Tn THYPOID

Page 21
 Sheet6
N13.3
O82.0
P03.4
A01.0
T14.1
J32.0
K29.7
N20.0
K29.7 + N39.0
O36.4
A01.0 , J00
S62.6
A01.0

Page 22