PUSKESMAS SUNGAI SEMBILAN

DINAS KESEHATAN KOTA DUMAI

PUSKESMAS SUNGAI SEMBILAN
JL. Raya Dumai-Basilam Baru Km 14 - Dum

RUJUKAN PASIEN RAWAT JALAN KE RSUD KOTA DUMAI

BULAN : APRIL
TAHUN : 2021

UMUR
NO NAMA PASIEN DIAGNOSA PENYAKIT
Lk Pr

1 2 3 4 5

- H25.9 Senile cataract, unspecified, - I10

1 SANIAM 53
Essential (primary) hypertension,

- I11.0 Hypertensive heart disease with

2 SITI AMINAH 49
(congestive) heart failure,

- I11.0 Hypertensive heart disease with

3 SUHAIMI 46
(congestive) heart failure,

4 MESKIAH - E05.9 Thyrotoxicosis, unspecified, 45

- D21.5 Other benign neoplasm of connective

5 FINA ARYANI and other soft tissue of pelvis, 9

6 RAHMAD PRASUDI - G40.8 Other epilepsy, 27

7 HANDRAYANI - G08 Intracranial and intraspinal phlebitis and 55

thrombophlebitis,
8 SUCI NAMIRA - N83.2 Other and unspecified ovarian cysts, 22

- I10 Essential (primary) hypertension, - E11.5

9 JUMIDAR Non-insulin-dependent diabetes mellitus with 49
peripheral circulatory complications,

- J44.0 Chronic obstructive pulmonary disease

10 JALI 54
with acute lower respiratory infection,

11 KRIYATNO - H25.9 Senile cataract, unspecified, 64

- E10.6 Insulin-dependent diabetes mellitus

12 EKA VIORA EFFENDI with other specified complications, 38

13 RETNO HANDHAYANI - H25.9 Senile cataract, unspecified, 36

14 SYAMSUDDIN - D01.0 Carcinoma in situ of colon, 47

- I13.0 Hypertensive heart and renal disease

15 HOTMAN SINURAT 54
with (congestive) heart failure,

16 M. KASRAN - H25.1 Senile nuclear cataract, 76

- D14.0 Benign neoplasm of middle ear, nasal

17 DEDI GUSTARI 36
cavity and accessory sinuses,
 - K40.9 Unilateral or unspecified inguinal
18 RAYHAN ALFAREZI 4
hernia, without obstruction or gangrene,

- J44.8 Other specified chronic obstructive

19 SAID ISMAIL 34
pulmonary disease,

- J44.0 Chronic obstructive pulmonary disease

20 SYARIFAH FITRAH 34
with acute lower respiratory infection,

- D17.4 Benign lipomatous neoplasm of

21 ANUAR 64
intrathoracic organs,

22 DWI SETIAWAN - N20.0 Calculus of kidney, 28

23 SRI KANTI - H25.9 Senile cataract, unspecified, 48

24 SUYETNI - I50.0 Congestive heart failure, 32

25 NINDI NURSAKIRA - N92.6 Irregular menstruation, unspecified, 16

26 NILAWATI - K35.9 Acute appendicitis, unspecified, 36

27 LENNI SUHARNI SIAGIAN - O48 Prolonged pregnancy, 30

 YEMIMA APRILIA
28 - H54.2 Low vision, both eyes, 21
SINURAT

29 LASIRAN - F45.9 Somatoform disorder, unspecified, 39

30 ANIZAR - N80.9 Endometriosis, unspecified, 44

31 RAHAYU ERNI - I48 Atrial fibrillation and flutter, 49

- Q03.9 Congenital hydrocephalus,

32 KHAIRA FAZILA NADITYA unspecified, 1

33 SAMEN - H25.9 Senile cataract, unspecified, 80

- K40.9 Unilateral or unspecified inguinal

34 M. ROKIB hernia, without obstruction or gangrene, 53

- Z09.8 Follow-up examination after other

35 MARIANA 42
treatment for other conditions,

- Z09.8 Follow-up examination after other

36 SURYANI 38
treatment for other conditions,

37 SRI WAHYUNI - O32.1 Maternal care for breech presentation, 31

 - Z09.8 Follow-up examination after other
38 ARY ZULFANSYAH 20
treatment for other conditions,

- M51.9 Intervertebral disc disorder,

39 LAMISO 61
unspecified,

LAMPITA SAPRIANY - D21.0 Other benign neoplasm of connective

40 20
MANIK and other soft tissue of head, face and neck,

- K40.9 Unilateral or unspecified inguinal

41 SUPRIADI 41
hernia, without obstruction or gangrene,

42 CANDRA FAHDEPI - K35.9 Acute appendicitis, unspecified, 35

- C53.9 Malignant neoplasm of cervix uteri,

43 RIANTI 41
unspecified,

YUNIKA SAFITRI BR - D21.0 Other benign neoplasm of connective

44 MANULANG and other soft tissue of head, face and neck, 23

- I25.8 Other forms of chronic ischaemic heart

45 MUHAMMAD 53
disease,

- C49.0 Malignant neoplasm of connective and

46 MURNI LUBIS soft tissue of head, face and neck, - G51.0 Bells 52
palsy,

ABIDZAR RADITYA
47 - G12.2 Motor neuron disease, 3
PRADHANA
48 BURHAN - H25.9 Senile cataract, unspecified, 58

49 ENI WARTI - F20.0 Paranoid schizophrenia, 33

- D21.6 Other benign neoplasm of connective

50 KASTURI 67
and other soft tissue of trunk, unspecified,

- Z09.8 Follow-up examination after other

51 EDI SAPUTRA 28
treatment for other conditions,

- N20.2 Calculus of kidney with calculus of

52 SARWAN ureter, 59

53 SRI WULANDARI - N60.2 Fibroadenosis of breast, 22

54 SUBHAN AKSA - M79.2 Neuralgia and neuritis, unspecified, 13

55 RIBKA BR SITANGGANG - A87.2 Lymphocytic choriomeningitis, 22

56 PONIAH - J33.9 Nasal polyp, unspecified, 53

- K27.7 Peptic ulcer, chronic without

57 MARSIAH 53
haemorrhage or perforation,
58 SAMSIYAH - I50.0 Congestive heart failure, 46

- Z09.9 Follow-up examination after

59 ZAINAL 57
unspecified treatment for other conditions,

60 SUBHAN AKSA - M79.1 Myalgia, 13

61 ZAINAP - D24 Benign neoplasm of breast, 56

- Z09.8 Follow-up examination after other

62 MISNI treatment for other conditions, 47

63 YUYUN HARIATI - O48 Prolonged pregnancy, 31

64 MARDIYO - H25.8 Other senile cataract, 53

65 TRI AULIA CITRA - Z48.9 Surgical follow-up care, unspecified, 6

- H25.8 Other senile cataract, - E10.5 Insulin-

66 SUMANTO dependent diabetes mellitus with peripheral 48
circulatory complications,

67 LENNI SUHARNI SIAGIAN - O48 Prolonged pregnancy, 30

68 MELISA LESTARI - N63 Unspecified lump in breast, 19

- Z09.8 Follow-up examination after other

69 DAHAM 61
treatment for other conditions,

- C44.9 Malignant neoplasm of skin,

70 SAMIRAH unspecified, - I10 Essential (primary) 51
hypertension,

71 SUNARTI - D05.7 Other carcinoma in situ of breast, 57

- Z09.8 Follow-up examination after other

72 SITI BAROROH treatment for other conditions, 41

73 ARSYAT - H25.8 Other senile cataract, 28

74 SUPARNO - H25.8 Other senile cataract, 50

75 SUPARNO - H25.8 Other senile cataract, 77

76 WAGINI - F20.0 Paranoid schizophrenia, 43

- L92.3 Foreign body granuloma of skin and

77 RAHAMAH 63
subcutaneous tissue,
78 MARYANI - O14.0 Moderate pre-eclampsia, 37

- R19.0 Intra-abdominal and pelvic swelling,

79 TUKIYEM 55
mass and lump,

80 PONIMAN - H54.2 Low vision, both eyes, 43

81 SURIATI - N72 Inflammatory disease of cervix uteri, 38

- Z09.0 Follow-up examination after surgery

82 SUNARTI for other conditions, 57

83 MIIN - N20.1 Calculus of ureter, 63

84 JUANDA - H16.9 Keratitis, unspecified, 17

- J44.0 Chronic obstructive pulmonary disease

85 SALMAH 38
with acute lower respiratory infection,

86 SUWAIHATUL - M54.5 Low back pain, 53

87 SARI MAYUNI - I47.1 Supraventricular tachycardia, 41

88 SARMAN - H25.0 Senile incipient cataract, 60

- S34.5 Injury of lumbar, sacral and pelvic

89 SLAMET 19
sympathetic nerves,

90 ERWIN SETIAWAN - H16.9 Keratitis, unspecified, 29

91 KAILA ANGGRI FINA - I88.9 Nonspecific lymphadenitis, unspecified, 8

92 SARONO - Z48.8 Other specified surgical follow-up care, 41

- I69.4 Sequelae of stroke, not specified as

93 IMAR DIAH 73
haemorrhage or infarction,

94 ANIZAR - Z48.9 Surgical follow-up care, unspecified, 40

95 SARTIKA - Z34.0 Supervision of normal first pregnancy, 31

- O03.4 Spontaneous abortion, incomplete,

96 SUSILAWATI 37
without complication,

- I64 Stroke, not specified as haemorrhage or

97 SARDI 50
infarction,
 - Z34.0 Supervision of normal first pregnancy, -
98 NURUL FEBRIANI 20
A53.9 Syphilis, unspecified,

- S06.00 Concussion, without open intracranial

99 SUBHAN AKSA 13
wound,

HANIF ZAMANI
100 - N43.3 Hydrocele, unspecified, 7
MUSTAKIM

101 PARNINGOTAN SIBURIAN - H25.8 Other senile cataract, 56

102 SELVIA TRI RIZKI - R07.1 Chest pain on breathing, 19

JUMLAH

Mengetahui
Plt.Kepala Puskesmas Sungai
Sembilan

dr. Nanda Utama

NIP. 19830325 200904 1 001

PUSKESMAS SUNGAI SEMBILAN

DINAS KESEHATAN KOTA DUMAI
PUSKESMAS SUNGAI SEMBILAN
JL. Raya Dumai-Basilam Baru Km 14 - Dum

RUJUKAN PASIEN RAWAT INAP KE RSUD KOTA DUMAI

BULAN : APRIL
TAHUN : 2021

UMUR (th)
NO NAMA PASIEN DIAGNOSA PENYAKIT
Lk Pr

1 2 3 4 5
G2P1A0+UK:12-13 Mgg+Susp.Abortus
1 Susilawati 36
inkomplit

2 Friska sagala PE Pada G4P3A0 37

3 Warsiati PE Pada G4P3A0 UK:37-38 Mgg 34

4 Salis irnanda Dypsneu+Hepaqtitis B 18

5 Juliana Abortus inkomplit 33

6 Suriani Abortus insipien pada G3P2A0 Uk:6-7 mgg 33

7 Muslimah G4P3A0 uk:37-38 mgg +KPD Mikrosemia 34

8 M.Ardi farhan kejang e.c 23

9 Sudarno Ca orbital dextra+dypsnoe+low intake 38

10 Dwi setiawan Urolitiasis -Nefrolitiasis 28

11 Mariani G3P2A1 uk:33-34 mgg Jth+PEB 36

12 Bambang suardi App acut 40

13 Tri Aulia cetor App akut 7

14 Susi Sumarni Anemia berat + susp. hepatitis 26

15 Anita Br.pinem Penurunan kesadaran 52

16 Dolma Naibaho G1P0A0 + kpd + ptm 22

17 Rastik cholelitiasis 56

18 Boiman Susp Tb.paru 69

19 Agus Salim Vulnus punctum tembus sampai mukosa pipi 16

20 Jura G2P1A0 Gravid 37-38 mgg + Kpd 24

21 Nurma parapat colic Abdomen 57

22 Nurul Halimah Dsypnoe e.c dd pneumonia 12

23 Riki Rolan susp.Covid 19

24 Saidah G7P4A2 uk 38-39 mggu+ oligohidramnion 42

G4P2A0+ Plasenta previa totalis uk 37-38

25 Diana 32
mngg

26 Aliyah Hiperglikemi 48

27 Marni m Dypsnou ec dd pneumonia+hiperglikemi 50

28 Nurlela Anemia+DM.Tipe 2+Ganggreng 45

29 Herman Dyspepsia 45

30 Suwaihatul dd Refroliziasi 54

31 Dewi br marpaung Poskt date G3p2a0+Obesitas 31

32 Yuni Kerlina G1P0A0,Uk:40-41 mgg+Postdate 25

33 Sarono Colic renal dd Apendisitis Akut 41

34 Susilawati G2P1A0 UK:40-41 Mgg +kpd 26

35 Husin Colic renal +dd peritonitis 81

36 Suhartanto Cidera kepala sedang GCS 15 29

37 Siti romlah Susp.Strok sistemik 61

38 Wartini Ht emergensi dd SHN +Anemia+Dm tipe 2 47

39 Rajimin Ht emergency 58

40 Ribut riadi Kolic abdomen ec.Susp.Appenditis Acut 51

41 Wartini G4P3A0 Uk: 39 mgg +PEB 35

G1P0A0 Uk:27-28 mgg+Susp.Placenta

42 Dwi Rahayu previa+fetal distres 22

43 Darmiati TB paru+anemia+susp.efusi pleura 30

44 Samsudin dyspneu ec dd pneumonia 93

45 Ngatemen Hematemesis+anemia 63

46 Khairul Fahmi Combustio 35

Preterm pada G1P0A0 uk 32-33mggJPKTH

47 Agnes Putri Sarana 20
dengan inpartu

48 Dara Liasna susp. Plasenta rest pada P2A0 20

49 Syahril Sidik susp. Ileus obstruktif 54

50 Warsiati KPD pada G4P2A1 39 mnggu 35

51 By.Lenny Suharni Asfiksia berat 0

52 Putriani Panjaitan G2P1A0 32-33mngg inpartu +sungsang+BSC 21

Alda Friska Ayu

53 Kista Bartolini 20
Damayanti Purba

54 Hotma Rotua S susp.colik abdomen 48

55 By Ny.Eny Rohayati Susp. Bronkopneumonia 0

56 Apui dyspneu ec dd pneumonia 59

57 Rini Lestari G1P0A0 UK : 37-38 Mgg + KPD 23

58 Sri Lestari G3P2A0 UK : 38-39 Mgg Inpartu + Post SC 28

59 Demma br Nababan HT Emergency 40

60 Sukarman Kolic Renal 53

61 Giman Kolic Renal 64

62 Ujang Odem Anasarka ec CHF 50

63 Rafa al Fahri Kejang Ec 0

64 Nuraisyah GEA Dehidrasi s/b 0

65 Tasinah Dyspneu Eec CHF 58

66 Arkin Simbolon Hemiparesis ec dd SNH 50

67 Mariyan Penurunan kesadaran ec dd SNH 63

Hernia Scrotalis Stad Starngulata + Oral

68 Sumanto 48
Candidiasis + B-20

69 Deka KJDK 30

JUMLAH

Mengetahui
Plt.Kepala Puskesmas Sungai Sembilan

dr. Nanda Utama

NIP. 19830325 200904 1 001
 dr. Nanda Utama
NIP. 19830325 200904 1 001
USKESMAS SUNGAI SEMBILAN
NAS KESEHATAN KOTA DUMAI
USKESMAS SUNGAI SEMBILAN
Dumai-Basilam Baru Km 14 - Dumai

JENIS PELAYANAN
BPJS(PBI/NON
ALAMAT BAYAR GRATIS JENIS POLI RUJUKAN
PBI)
L P L P L P
6 7 8 9 10 11 12 13

JL.NERBIT KECIL 1 Mata::MATA

Penyakit
JL. SUKA JADI RT.005 1 Dalam ::PENYAKIT
DALAM

Penyakit
NERBIT BESAR 1 Dalam ::PENYAKIT
DALAM

JL. SIDODADI 1 Bedah::BEDAH

JL. M. SOLEH 1 Bedah::BEDAH

JL. SUKA DAMAI 1 Saraf::SARAF

JL. KAMBOJA RT.005 1 Saraf::SARAF

( MANDIRI)
JL. RAYA BANGSAL ACEH 1 obgyn::OBGYN

Penyakit
JL.NERBIT BESAR RT.016 1 Dalam ::PENYAKIT
DALAM

JL. PUTRI BUMI 1 PARU::PARU

GG. KARYA 12 TANJUNG

1 Mata::MATA
PENYEMBAL

Penyakit
JL. NURI RT.018 1 Dalam ::PENYAKIT
DALAM

JL. NURI/RT.018 1 Mata::MATA

NERBIT KECIL 1 Bedah::BEDAH

JANTUNG DAN
JL. PANTANG MUNDUR PEMBULUH
1
RT.006 DARAH::JANTUNG DAN
PEMBULUH DARAH

JL. DARUSSALAM 1 Mata::MATA

JL.MEKAR SARI 1 THT-KL::THT-KL

JL.SUNGAI MAHANG RT.005 1 Anak::ANAK

JL. PARIT HILIR 1 PARU::PARU

JL. SINAR MAJU RT. 10 1 PARU::PARU

JL. CUT NYAK DIEN 1 Bedah::BEDAH

GG. RINDU 1 Bedah::BEDAH

JL. MELATI 1 Mata::MATA

JANTUNG DAN
PEMBULUH
PEMATANG DUKU RT.015 1 DARAH::JANTUNG DAN
PEMBULUH DARAH

JL. SUKADAMAI 1 obgyn::OBGYN

SIMPANG PULAI 1 Bedah::BEDAH

JL.KARYA JADI RT.016 1 obgyn::OBGYN

 JL. PANTANG MUNDUR
1 Mata::MATA
RT.006

JL. SUKAJADI 1 JIWA::JIWA

GG. ANDI SAPUTRA RT.003 1 obgyn::OBGYN

JANTUNG DAN
JL. RIMBUN JAYA RT.004 PEMBULUH
1
( MANDIRI) DARAH::JANTUNG DAN
PEMBULUH DARAH

JL. PANDOWO GG BALAM 1 Anak::ANAK

JL. PURWO SALIM 1 Mata::MATA

JL. NELAYAN 1 Bedah::BEDAH

Penyakit
JL. MAKMUR 1 Dalam ::PENYAKIT
DALAM

JL. SYEH M. QOSIM RT.002 1 Saraf::SARAF

JL. KAMPUNG BARU 1 obgyn::OBGYN

 JL. RAYA LUBUK GAUNG 1 Bedah::BEDAH

BANGSAL ACEH ( PENERIMA

1 Saraf::SARAF
PENSIUN)

JL. BUMI PUTRA 1 Bedah::BEDAH

JL. SIDOMULIO RT.022 1 Bedah::BEDAH

PANGLIMA AS IV 1 Bedah::BEDAH

JL. KUD RT.021 1 obgyn::OBGYN

JL. SUKAREJO 1 Bedah::BEDAH

JANTUNG DAN
PEMBULUH
JL. PRIBUMI 1
DARAH::JANTUNG DAN
PEMBULUH DARAH

JL. REJOSARI 1 Bedah::BEDAH

JL.PENDOWO NO.28 1 Anak::ANAK

 GG.KOMBET 1 Mata::MATA

JL. ANSOR RT.012 1 JIWA::JIWA

JL. DUKUH HARJO 1 Bedah::BEDAH

JL. BUNGA RT.007 1 Bedah::BEDAH

JL. AL ANSHOR 1 Bedah::BEDAH

JL. KUD MAMPU JAYA 1 Bedah::BEDAH

JL. KAMPUNG SEJATI 1 Saraf::SARAF

SIMPANG PULAI 1 Bedah::BEDAH

JL. KAPLINGAN 1 THT-KL::THT-KL

Penyakit
JL. PERINTIS 1 Dalam ::PENYAKIT
DALAM
 Penyakit
JL. MASJID RT.018 1 Dalam ::PENYAKIT
DALAM

JL. BARU 1 Mata::MATA

JL. KAMPUNG SEJATI 1 Anak::ANAK

JL. SINAR WAJO RT.002 1 Bedah::BEDAH

Penyakit
JL. REJO SARI 1 Dalam ::PENYAKIT
DALAM

JL. DURIAN 1 obgyn::OBGYN

JL. MAMPU JAYA 1 Mata::MATA

JL.KAPLINGAN RT.021 1 Bedah::BEDAH

JL. REJO SARI 1 Mata::MATA

JL.KARYA JADI RT.016 1 obgyn::OBGYN

 SIMPANG PULAI 1 Bedah::BEDAH

JL. RAYA PU BANGSAL ACEH 1 Bedah::BEDAH

JL. RAYA LUBUK GAUNG 1 Bedah::BEDAH

KAPLINGAN RT.008 1 Bedah::BEDAH

Penyakit
JL.PEMATANG DUKU RT.013 1 Dalam ::PENYAKIT
DALAM

JL.MELAYU 1 Mata::MATA

JL. KAPLINGAN 1 Mata::MATA

JL. KAPLINGAN 1 Mata::MATA

KAPLINGAN RT.021 1 JIWA::JIWA

JL. PUTRIBUMI 1 Bedah::BEDAH

 JL.KAPAS 1 obgyn::OBGYN

JL. SUKADAMAI 1 Bedah::BEDAH

SIMPANG PULAI 1 Mata::MATA

JL. PERINGGAN RT.011 1 obgyn::OBGYN

KAPLINGAN RT.008 1 Mata::MATA

JL. MERGO MULYO RT.007 1 Bedah::BEDAH

JL. MELAYU RT.003 1 Mata::MATA

JL. BUMI PUTRA RT.001 1 PARU::PARU

Penyakit
JL.MAWAR RT.001 1 Dalam ::PENYAKIT
DALAM

JANTUNG DAN
PEMBULUH
JL. TERATAI RT.004 1
DARAH::JANTUNG DAN
PEMBULUH DARAH
 JL. PERMAI 1 Mata::MATA

JL. AS I BULU ALA 1 Bedah::BEDAH

JL. CUT NYAK DIEN RT.006 1 Mata::MATA

JL. DARUSSALAM RT.011 1 Anak::ANAK

JL. MORGO MULYO 1 Bedah::BEDAH

JL. PARET NO. 1 1 Saraf::SARAF

GG. BARU 1 Bedah::BEDAH

JL.BUNGA 1 obgyn::OBGYN

JL PERINGGAN 1 obgyn::OBGYN

JL. REJO SARI 1 Saraf::SARAF

 JL. PELAJAR RT.013 1 obgyn::OBGYN

BEDAH SARAF::BEDAH
JL. KAMPUNG SEJATI 1
SARAF

SUKABUMI 1 Bedah::BEDAH

JL. HORAS SIMPANG PULAY 1 Mata::MATA

Penyakit
JL.SMU GG. MEKAR,
TJ.PENYEMBAL 1 Dalam ::PENYAKIT
DALAM

0 0 41 57 3 1

Dumai , 03 Mei 2021

Penanggung jawab laporan

Eko Pranata, SKM

NRPK. 04.7.0609924

USKESMAS SUNGAI SEMBILAN

NAS KESEHATAN KOTA DUMAI
USKESMAS SUNGAI SEMBILAN
Dumai-Basilam Baru Km 14 - Dumai
 JENIS PELAYANAN

ALAMAT BAYAR BPJS(PBI/NON GRATIS JENIS POLI RUJUKAN/IGD

PBI)
L P L P L P
6 7 8 9 10 11 12 13

Nerbit besar 1 UGD RSUD

Besilam Baru 1 UGD RSUD

Bangsal aceh 1 UGD RSUD

Mampu jaya 1 UGD RSUD

Mampu jaya 1 UGD RSUD

Simpang pulai 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Mampu jaya 1 UGD RSUD

Jl.Kapas 1 UGD RSUD

Besilam baru 1 UGD RSUD

Kaplingan 1 UGD RSUD

Sidodadi 1 UGD RSUD

Simp. Pulai 1 UGD RSUD

Jl.bambu 1 UGD RSUD

 Tianjung 1 UGD RSUD

jl.Makmur 1 UGD RSUD

Basilam Baru 1 UGD RSUD

Nerbit Kecil 1 UGD RSUD

Bangsal aceh 1 UGD RSUD

Basilam Baru 1 UGD RSUD

Batu Teritip 1 UGD RSUD

Kampung Baru 1 UGD RSUD

Batu teritip 1 UGD RSUD

Bangsal aceh 1 UGD RSUD

Gg.Damai,L.Gaung 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Tanjung Penyembal 1 UGD RSUD

jl.horas,sei sembilan 1 UGD RSUD

Jl.Mampu jaya 1 POLI RSUD

Tanjung penyembal 1 UGD RSUD

Rimbun jaya,L.Gaung 1 UGD RSUD

Jl. Melayu 1 UGD RSUD

 Purnama 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Gg.Kapas 1 UGD RSUD

Besilam Baru 1 UGD RSUD

Pematang duku 1 UGD RSUD

Jln. SMU 1 UGD RSUD

Mampu jaya 1 UGD RSUD

Mampu Jaya 1 UGD RSUD

Rejosari 1 UGD RSUD

Rejosari 1 UGD RSUD

Purnama 1 UGD RSUD

Jalan Jeruk 1 UGD RSUD

Medan 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Bangsal Aceh 1 UGD RSUD

Simpang pulai 1 UGD RSUD

Jalan Bunga 1 UGD RSUD

Medan 1 POLI RS Pertamina

Basilam Baru 1 UGD RSUD

 Batu Teritip 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Simpang pulai 1 UGD RSUD

Basilam Baru 1 UGD RSUD

Bangsal aceh 1 UGD RSUD

Basilam Baru 1 UGD RSUD

Basilam Baru 1 UGD RSUD

Batu Teritip 1 UGD RSUD

Lubuk gaung 1 UGD RSUD

Bangsal aceh 1 UGD RSUD

Jl. SMU Tj Penyembal 1 UGD RSUD

Mampu Jaya RT 10 1 UGD RSUD

Mampu Jaya RT 22 1 UGD RSUD

Rejosari 1 UGD RSUD

Duri 1 UGD RSUD

0 3 19 25 10 12

Dumai , 03 Mei 2021

Penanggung jawab laporan

Eko Pranata, SKM

NRPK. 04.7.0609924
 Eko Pranata, SKM
NRPK. 04.7.0609924
NONPBI

PBI

PBI

PBI

PBI

PBI

NONPBI
 PBI

PBI

PBI

GR

NONPBI

NONPBI

NONPBI

NONPBI

PBI

GR
NONPBI

PBI

NONPBI

PBI

PBI

PBI

PBI

PBI

PBI

NONPBI
NONPBI

PBI

PBI

NONPBI

PBI

PBI

PBI

PBI

PBI

PBI
 PBI

NONPBI

PBI

PBI

PBI

PBI

PBI

NONPBI

NONPBI

NONPBI
 PBI

PBI

PBI

NONPBI

PBI

PBI

PBI

PBI

PBI

PBI
NONPBI

PBI

PBI

PBI

PBI

PBI

PBI

PBI

PBI

NONPBI
 PBI

PBI

PBI

PBI

PBI

PBI

GR

PBI

NONPBI

PBI
PBI

PBI

PBI

PBI

PBI

PBI

PBI

PBI

PBI

PBI
PBI

PBI

PBI

PBI

PBI

PBI

PBI

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KETERANGAN

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 DIAGNOSA TERBANYAK RUJUKAN PELAYANAN RAWAT JALAN DAN RAWAT INAP
PESERTA JKN/KIS
NAMA FASKES : PUSKESMAS SUNGAI SEMBILAN
BULAN : APRIL
TAHUN : 2021
A. PELAYANAN RAWAT JALAN
JUMLAH KASUS
NO KODE DIAGNOSA
LAKI-LAKI PEREMPUAN
1 Z09.9 Follow-Up Examination After Other Treatment For 3 4
Other Conditions,
2 H25.8 Other Senile Cataract, 5 0
3 H25.9 Senile Cataract, Unspecified, 2 3
Chronic Obstructive Pulmonary Disease With
4 J44.0 1 2
Acute Lower
Unilateral Or Respiratory
UnspecifiedInfection
Inguinal Hernia, Without
5 K40.9 3 0
Obstruction Or Gangrene
6 O48 Prolonged Pregnancy 0 3
JUMLAH 11 8

Mengetahui Dumai , 03 Mei 2021

Plt.Kepala Puskesmas Sungai Sembilan Penanggung jawab laporan

dr. Nanda Utama Eko Pranata, SKM

NIP. 19830325 200904 1 001 NRPK. 04.7.0609924
AWAT INAP

MLAH KASUS
JUMLAH
7
5
5
3
3
3
19

umai , 03 Mei 2021

nggung jawab laporan

Eko Pranata, SKM

RPK. 04.7.0609924