DATA PASIEN RUJUKAN NON COVID

NO TANGGAL NAMA NO RM RS TUJUAN

1 4/1/2022 Achmad Hatta Zakaria 1901977 RSSA
2 12/1/2022 Kastik 1608470 Persada
3 12/1/2022 Ny. Nabila Shofiya 1902746 RSSA
4 13/1/2022 By. Ny. Oktavioni Margaleta Suryono 1903304 RSUD Gadang
5 14/1/2022 Sdr. Aditya Isvidha Gandhi 1850499 RST Soepraoen
6 18/1/2022 Tn. Anung Nindita 1903213 RSSA
7 21/1/2022 Tn. M. Jafar 1903978 RSSA
8 Ny. Sumiyati 1904072 RSSA
9 28/1/2022 Ny. Harti 1904746 RSSA
10 Ending Dyah Winarni 1903423 RSSA
11 29/1/2022 Ike Arisanti 1800157 RSSA
12 Tn. Suradji 1904615 RSSA
13 Samsul Bahri 1899591 RSSA
14 30/1/2022 By. Ny. Shita Wulandari 1904910 RSUD Kota Malang
15 Eniyati Masitoh 1901427 RSSA
DATA PASIEN RUJUKAN NON COVID 2022
PERAWAT DRIVER
Sandy
Serly Sukar
Sandy
Rivan Wahyu
Sandy Wahyu
Sandy Wahyu
Rivan Suryanto
Rivan Wahyu
Makmur Edi
Makmur Edi
Makmur Suryanto
Rivan & Makmur Sukar
Rivan Rosi
Makmur Rosi
Makmur Rosi
NON COVID 2022
DIAGNOSA
Cerebral Infarction, unspecified

Pneumonia + Edema paru + TF +DF

sus neonatal pneumonia
Close Fraktur Wrist
Other and unspecified abdominal pain
ICH Minimal
CVA ICH + IVH, Elektrolit Imbalance
Ileus, unspecified
Respiratory tuberculosis unspecified, confirmed bacteriologically and histologically
Dyspnoea
shock cardiogenic
Malignant neoplasm of brain, unspecified

Hydrocephalus
 DATA PASIEN RUJUKAN NON COV
NO TANGGAL NAMA NO RM RS TUJUAN ASAL RUANGAN
1/2/2022 Jum Rumbouw 1894868 RSSA Seruni A
1 2/2/2022 Asrofil 1905174 IGD RSSA
2 Sulistyowati 1507704 RSSA IGD
3 5/2/2022 Sunardi 1843388 RSSA Seruni
4 Siti Chumaidah 1885994 RS Prima Husada IGD
5 02/11/22 Sukardi RSU Karsa Husada
6 14/02/2022 Maristo Lende 1905993 RSSA
7 17/02/2022 Endah Triana 1906600 RS Karsa Husada Mawar A
8 26/2/2022 Tn. Tarji 1907597 RSSA IGD
9 28/2/2022 Moh. Mansyur 1872283 RST Soepraoen Serly
ASIEN RUJUKAN NON COVID 2022
PERAWAT DRIVER DIAGNOSA
Sandy Aris Hernia Inguinalis
Sandy Aris Pneumonia Aspirasi
Arga Intracranial Injury
Sandy Nova Status epilepticus, Hepatitis E
Sandy Suryanto GII Poooo ab100
Makmur Edi Cerebral Infarction, unspecified
Makmur Rossi Encephalitis, myelitis and encephalomyelitis, unspecified
Sandy Aris HIV Stadium 3-4
Sandy Nova DOC + S Tumor Cerebri
Makmur Edi CVA, Trombosis
 DATA PASIEN RUJUKAN NON COVID 2022
NO TANGGAL JAM NAMA NO RM RS TUJUAN
1 1/3/2022 Magatan Nadi Dwi P. 1907844 RS Unisma
2 5/3/2022 Iin Sugiastutik 1881555 RSSA
3 7/3/2022 Qalista Khansa 1890926 RSSA
4 9/3/2022 By. Vina Abizakaria 1908303 RSSA
5 14/3/2022 An. Angelica Novita Sari 1904657 RSSA
6 19/03/2022 Tn. Suwardi 1822662 RSSA
7 26/03/2022 09:00:00 AM Ahmad Taufiq RSIA
8 12:00:00 PM R. Hartono RSIA
9 31/3/2022 10:00:00 AM Mega Hariyanto RSIA
ATA PASIEN RUJUKAN NON COVID 2022
ASAL RUANGAN PERAWAT DRIVER DIAGNOSA
IGD Makmur Edi CKR +
Arga Nova Other Specified disorders of peritoneum
Mawar B Makmur Wahyu
Perinatologi Sandy Wahyu Ileus obstruksi
Ruang Anak Sandy Suryanto Penyakit Jantung Reumatik (PJR)
ICU Makmur Suryanto Stemi Anterior Ekstensif
IGD Arga Nova Chest pain, unspecified
IGD Arga Nova Acute transmural myocardial infarction of unspecified site
IGD Ikhwal Nova Acute myocardial infarction, unspecified
 DATA PASIEN RUJUKAN NON COVID 202
NO TANGGAL JAM NAMA NO RM RS TUJUAN
1 1/4/2022 02:18:00 AM Moh. Yusuf 1909973 RSSA
2 2/4/2022 01:00:00 AM Tn. Misman 1909981 RSSA
3 3/4/2022 10:00:00 AM Tn. Sugeng Muliono 1910212 RSSA
4 4/4/2022 Feni Furianti RSSA
5 6/4/2022 05:00:00 PM Ny. Rumaniyah Aziz RSSA
6 7/4/2022 08:00:00 PM Tn. Munawar 1910471 RSSA
7 9/4/2022 01:30:00 AM Choirul Arief Fathoni 1863669 RSSA
8 20/4/2022 07:50:00 PM Ny. Sunarti 1807506 Karsa Husada
9 21/4/2022 09:05:00 PM By. Ny. Aprilia Indriani 1911436 RSSA
10 25/4/2022 03:30:00 AM Abdul Rachman Kahar 1911662 RSSA
11 26/4/2022 12:00:00 AM By. Muhammad Hasbi Al Farizy 1911332 RSSA
12
PASIEN RUJUKAN NON COVID 2022
ASAL RUANGAN PERAWAT DRIVER DIAGNOSA
Mawar A Makmur Edi Anemia, Leukositosis, Hiponatremia, CF
Mawar A Ikhwal Wahyu Anemia, Tu Abdomen
IGD Ikhwal Wahyu Subdural Hematoma
Mawar Arga Surianto Nausea & Vomiting
IGD Arga Wahyu Encephalopathy heptikum
IGD Arga Sukar Acute myocardial infarction, unspecified, stemi inferior
IGD Makmur Wahyu varices esophagus
ICU Makmur Sukar Pneumonia
Perinatologi Makmur Wahyu Asfixia Neo cc pneumonia + HMD Gr I
IGD Makmur Wahyu Crush Injury
Ruang Anak Ikhwal Sukar Heus Paralitik
KETERANGAN

BPJS
 DATA PASIEN RUJUKAN NON COVID 2022
NO TANGGAL JAM NAMA NO RM RS TUJUAN
1 1/5/2022 07:55:00 PM Dwi Iriani 1911460 RSSA
2 09:35:00 PM An. Abrina Pradipta Suhadi 1912062 RS Karsa Husada
3 3/5/2022 11:15:00 AM Ny. Purnawati 1899064 RSSA
4 6/5/2022 08:14:00 AM Nn. Irianti Klaru 1912198 RSI Aisyiyah
5 11/5/2022 02:40:00 PM Tn. Gatot Budi 1912487 RST Soepraoen
6 17/05/2022 09:30:00 AM Viska Al Karina Putri 1905334 RSSA
7 18/5/2022 08:30:00 PM Djumaatin 1506132 RSSA
8 20/5/2022 11:00:00 AM Fitriatul 1912737 RSSA
9 09:30:00 AM Kris Bandono 1913238 RSSA
10 23/05/2022 06:10:00 AM Widi Prasetyanto 1720858 RSI Aisyiyah
11 27/5/2022 10:55:00 PM Ny. Lilis Rastyowati 1516603 RS Persada
N RUJUKAN NON COVID 2022
ASAL RUANGAN PERAWAT DRIVER DIAGNOSA
Lily A Makmur Sukar Ileus Obstruktif
IGD Makmur Sukar COB
IGD Makmur Rossi General Weriknes Post Kemoterapi
IGD Ikhwal Rossi Condyloma Acuminara
IGD Ikhwal Sukar CVA Infark
IGD Ikhwal Suryanto Hydrosefalus Obstruktif
Lily Makmur Edi CAD, HF
Mawar Makmur Aris cholangitis cholelithiasis
IGD Makmur Aris Stemi Anterior, Acute myocardial infarction
IGD Makmur Suryanto Stemi
Tulip Ikhwal Nova UTI (Sepsis)
KETERANGAN

Umum

BPJS
Umum
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
 DATA PASIEN RUJUKAN NON COVID 2022
NO TANGGAL JAM NAMA NO RM RS TUJUAN
1 3/6/2022 10:29:00 AM Khawla Aizahra Hafizah 1859817 RS UB
2 01:00:00 AM Tn. Djoko Isworo 1707588 RSSA
3 7/6/2022 05:10:00 PM Tn. Medi 1817852 RSI Aisyiyah
4 15/6/2022 08:19:00 AM Ny. Rosuna Chilmi 1913174 RSSA
5 17/6/2022 03:10:00 PM An. Arsha Rafka Fahreza 1915569 RSSA
6 18/6/2022 09:45:00 PM Tn. Herman Wijayanto 1913860 RSSA
7 20/6/2022 10:50:00 PM An. Mufaisha Rahma 1908537 RSSA
8 21/6/2022 10:40:00 AM Tn. Umar Daruslan 1512330 RSSA
9 22/6/2022 04:30:00 PM Tn. Djani 1914069 RSSA
10 26/6/2022 06:27:00 PM By. Ny. Ria Ernanda RS Prima Husada
11 29/06/2022 10:40:00 PM Ny. Suwarti 1916190 RSSA
12 30/06/2022 05:58:00 AM Agustinus Suhartono 1911728 RSSA
ASIEN RUJUKAN NON COVID 2022
ASAL RUANGAN PERAWAT DRIVER DIAGNOSA KETERANGAN
IGD Makmur Suryanto ISPA BPJS
ICU Sandy Wahyu Post URS BPJS
IGD Ikhwal Aris Stemi Anteroseptal BPJS
Seruni A Sandy Wahyu Pseudo Aneurisma Arten Femoralis Kanan BPJS
ICU Makmur Wahyu DSS Proventiator BPJS
IGD Makmur Wahyu CVA BPJS
IGD Ikhwal Edi ALL BPJS
IGD Ikhwal Sukar CVA BPJS
Mawar A Makmur Rosi HF BPJS
Perinatologi Makmur Sukar Asfixia Pneumonia BPJS
Alamanda Mawar D Makmur Edi BPJS
Mawar Makmur Nova Batu Ginjal BPJS
 DATA PASIEN RUJUKAN NON COVID 2022
NO TANGGAL JAM NAMA NO RM RS TUJUAN ASAL RUANGAN
1 3/7/2022 08:50:00 AM Ny. Suwati 1916410 RS Lavalette IGD
2 09:40:00 AM Tn. Joyo Supeno 1852415 RS Lavalette IGD
3 01:20:00 PM An. Rasendriya Krisna A. 1049542 RSSA IGD
4 6/7/2022 12:35:00 PM Ny. Sulastri 1916866 RSSA Mawar D
5
6
7
8
9
10
PERAWAT DRIVER DIAGNOSA KETERANGAN
Ikhwal Nova Adominal Pain BPJS
Ikhwal Sukar Anemia ca. Prostate BPJS
Ikhwal Sukar PJB BPJS
Makmur Nova BPJS