LAPORAN RUANG

NO TGL MASUK Nama Pasien Tanggal lahir

1 1/1/2022 BY NY HARFIANTI 1/1/2022

2 1/1/2022 BY NY PARTINI 1/1/2022
3 1/1/2022 BY NY FITRI YANTI 1/1/2022
4 1/2/2022 BY NY FINA 1/2/2022
5 1/2/2022 BY NY HELPANIS 1/2/2022
6 1/3/2022 BY NY SISKA MAYASARI 1/3/2022
7 1/3/2022 BY NY ELI YAWATI 1/3/2022
8 1/3/2022 BY NY ISWATUN 1/3/2022
9 1/3/2022 BY NY SASTRIA DENI 1/3/2022
10 1/3/2022 BY NY YENI MARLIN 1/3/2022
11 1/4/2022 BY NY ATIRA 1/4/2022
12 10/18/2022 AN FARHA 10/18/2022
13 1/5/2022 BY NY FITRI YANTI 1/5/2022
14 1/5/2022 BY NY FITRI HAYATI 1/5/2022
15 1/5/2022 BY NY CUT PUTRY 1/5/2022
16 1/5/2022 BY NY SITI AISYIAH 1/5/2022
17 1/5/2022 BY NY RINI ADELLA 1/5/2022

1/6/2022 BY NY SUCI WULANDARI 1/6/2022

18
19 1/7/2022 BY NY EFNI OKTAVIA 1/7/2022
20 1/7/2022 BY NY SOLEHA 1/7/2022
21 1/7/2022 BY NY AMRINA 1/7/2022

1/7/2022 BY NY MISTEN 1/7/2022

22
23 1/7/2022 BYNY FITRIA HAFIZA 1/7/2022
24 1/9/2022 BY NY DEWI FUJIAN 1/9/2022
25 1/9/2022 BY NY SITI MASITAH 1/9/2022

1/9/2022 AN FATIH 1/9/2022

26
1/9/2022 AN AQIFA 1/9/2022
27
28 1/10/2022 BY NY LILI SURIANI 1/10/2022
29 1/10/2022 BY NY NURPITA YANTI 1/10/2022
30 1/10/2022 BY NY SITI MASBAH 1/10/2022
31 1/10/2022 BY NY DESI RATNA 1/10/2022
32 1/10/2022 BY NY HUMAIROH 1/10/2022
33 1/10/2022 BY NY WIDI A 1/10/2022
34 1/10/2022 BY NY ELFITRIANI 1/10/2022
35 1/10/2022 BY NY SRI AGUS 1/10/2022
36 11/01//2022 BY NY RINA ZAKHNUR 11/01//2022
37 1/11/2022 BYNY HOTSARI 1/11/2022
38 11/01//2022 BY NY MERINA 11/01//2022
39 1/11/2022 BY NY HERLINDA 1/11/2022
40 1/12/2022 BY NY SARTINI 1/12/2022
41 1/12/2022 BY NY MERRY 1/12/2022
42 1/12/2022 BY NY PUTRI 1/12/2022
43 1/13/2022 BY NY EVIANA 1/13/2022
44 1/14/2022 BY NY SUSILAWATI 1/14/2022
45 1/14/2022 BY NY LINDA 1/14/2022
46 1/14/2022 BY NY NORA DEWI 1/14/2022
47 1/15/2022 BY NY YULIANI 1/15/2022
48 1/15/2022 BY NY SRI AYUNI 1/15/2022
49 1/15/2022 BY NY NURHAYANI ARITYA 1/15/2022
50 1/16/2022 BY NY PUTRI DWI 1/16/2022
51 1/17/2022 BY NY PINTA 1/17/2022
52 1/17/2022 BY NY FIKI 1/17/2022
53 1/17/2022 BY NY RIRI 1/17/2022
54 1/17/2022 BY NY FENTI 1/17/2022
55 1/17/2022 BY NY SRI YARNI 1/17/2022
56 1/17/2022 BY NY IRMA SASNIATI 1/17/2022
57 1/18/2022 BY NY LUSI 1/18/2022
58 1/18/2022 BY NY SITI 1/18/2022
59 1/19/2022 BY NY LISMA 1/19/2022
60 1/19/2022 BY NY NIKAMATUS 1/19/2022
61 1/19/2022 BY NY ALIS 1/19/2022
62 1/20/2022 BY NY MURTI 1/20/2022
63 1/20/2022 BY NY ELFI 1/20/2022
64 1/20/2022 BY NY SUHELMA 1/20/2022
65 1/20/2022 BY NY AULIA 1/20/2022
66 1/20/2022 BY NY INONG SITI ASIYAAH 1/20/2022
67 1/21/2022 BY NY SELVI 1/21/2022
68 1/21/2022 BY NY RESI 1/21/2022
69 1/20/2022 BY NY GUSTRIA 1/20/2022
70 1/22/2022 BY NY SUSANTI 1/22/2022
71 1/22/2022 BY NY ERNI W 1/22/2022
72 1/22/2022 BY NY MARTINI 1/22/2022
73 1/23/2022 BY NY RANTI 1/23/2022
74 1/24/2022 BY NY RIZKI 1/24/2022
75 1/24/2022 BY NY IRMAYANI 1/24/2022
76 1/24/2022 BY NY ANGGUN 1/24/2022
 1/25/2022 BY NY RITA 1/25/2022
77
78 1/25/2022 BY NY MARLINA 1/25/2022
79 1/25/2022 BY NY MELATI 1/25/2022
80 1/26/2022 BY NY LUSI 1/26/2022
81 1/26/2022 BY NY WAHYUNI 1/26/2022
82 1/27/2022 BY NY NURVADILLA 1/27/2022
83 1/27/2022 BY NY SELLY 1/27/2022
84 1/27/2022 BY NY MURNIDAWATI 1/27/2022
85 1/27/2022 BY NY SHERLINA 1/27/2022
86 1/28/2022 BY NY WENI 1/28/2022
87 1/28/2022 BY NY IRA F 1/28/2022
88 1/28/2022 BY NY SITI FATIMAH 1/28/2022
89 1/29/2022 BY NY KRISTIN 1/29/2022
90 1/29/2022 BY NY SISKA 1/29/2022
91 1/30/2022 BY NY FADILA G 1/30/2022
92 1/30/2022 BY NY ENDAH 1/30/2022
93 1/30/2022 BY NY NOVIANI 1/30/2022
94 1/30/2022 BY N Y NURMAIDA 1/30/2022
95 1/30/2022 BY NY RESTI 1/30/2022
96 1/31/2022 BY NY FIKRIA 1/31/2022

di ketahui oleh,
KABID.PELAYANAN

dr.Patriot Pajri Rakasiwi

NH.
LAPORAN RUANG PERINATOLOGI
SURAT KONTROL
JK BB NO.RM DIAGNOSA AWAL TINDAKAN AWAL
YA (TGGL)
PR 3080 008 420 NCB - SMK OBSERVASI 6 JAM
LK 3022 008 400 NCB - SMK OBSERVASI 6 JAM
LK 3520 008 422 NCB - SMK OBSERVASI 6 JAM
LK 2860 008 431 NCB - SMK OBSERVASI 6 JAM
LK 2880 088 428 NCB - SMK OBSERVASI 6 JAM
PR 3275 008 438 NCB - SMK OBSERVASI 6 JAM
PR 2520 008 448 NCB - SMK OBSERVASI 6 JAM
LK 2950 008 457 NCB - SMK OBSERVASI 6 JAM
PR 2920 008 457 NCB - SMK OBSERVASI 6 JAM
LK 3230 008 460 NCB - SMK OBSERVASI 6 JAM
LK 2740 004 867 NCB - SMK OBSERVASI 6 JAM
PR 5700 008 053 NCB - SMK NCB - SMK + RAWAT INAP
PR 2905 008 495 NCB - SMK OBSERVASI 6 JAM
LK 3295 008 512 NCB - SMK OBSERVASI 6 JAM
PR 2840 008 511 NCB - SMK OBSERVASI 6 JAM
LK 3800 008 514 NCB - SMK OBSERVASI 6 JAM
PR 3030 008 493 NCB - SMK OBSERVASI 6 JAM

NCB - SMK + PSANG IVFD +

LK 1870 008 526 NCB - SMK PASANG CPAP + RUJUK +
KARNA KEADAAN MENURUN

LK 3130 008 545 NCB - SMK OBSERVASI 6 JAM

LK 3425 008 547 NCB - SMK OBSERVASI 6 JAM
LK 3120 008 550 NCB - SMK OBSERVASI 6 JAM
NCB - SMK + PSANG IVFD +
PR 4130 008 568 NCB - SMK RUJUK + KARENA CPAP
TERPAKAI
LK 2950 008 577 NCB - SMK OBSERVASI 6 JAM
PR 3535 008 587 NCB - SMK OBSERVASI 6 JAM
LK 3145 008 586 NCB - SMK OBSERVASI 6 JAM
NCB - SMK + PASANG IVFD +
LK 4300 008 485 NCB - SMK
KEJANG 1/15/2022
NCB - SMK + RAWAT INAP +
LK 3000 008 585 NCB - SMK
GEA + PALTOSKISIS
PR 3050 008 598 NCB - SMK OBSERVASI 6 JAM
PR 2585 008 605 NCB - SMK OBSERVASI 6 JAM
LK 3790 008 601 NCB - SMK OBSERVASI 6 JAM
LK 3058 008 595 NCB - SMK OBSERVASI 6 JAM
LK 2725 008 604 NCB - SMK OBSERVASI 6 JAM
PR 3260 008 618 NCB - SMK OBSERVASI 6 JAM
PR 2670 008 148 NCB - SMK OBSERVASI 6 JAM
PR 3465 008 614 NCB - SMK OBSERVASI 6 JAM
PR 2790 008 629 NCB - SMK OBSERVASI 6 JAM
LK 2870 008 858 NCB - SMK OBSERVASI 6 JAM
LK 2880 008 625 NCB - SMK OBSERVASI 6 JAM
LK 2865 008 622 NCB - SMK OBSERVASI 6 JAM
LK 3430 008 651 NCB - SMK OBSERVASI 6 JAM
PR 3185 008 653 NCB - SMK OBSERVASI 6 JAM
LK 3580 008 657 NCB - SMK OBSERVASI 6 JAM
PR 2975 008 655 NCB - SMK OBSERVASI 6 JAM
PR 2750 008 702 NCB - SMK OBSERVASI 6 JAM
PR 3450 008 627 NCB - SMK OBSERVASI 6 JAM
LK 3050 008 709 NCB - SMK OBSERVASI 6 JAM
PR 2835 008 718 NCB - SMK OBSERVASI 6 JAM
LK 2940 008 717 NCB - SMK OBSERVASI 6 JAM
PR 3640 008 719 NCB - SMK OBSERVASI 6 JAM
PR 2790 008 734 NCB - SMK OBSERVASI 6 JAM
PR 2850 008 379 NCB - SMK OBSERVASI 6 JAM
LK 2955 008 741 NCB - SMK OBSERVASI 6 JAM
LK 3560 008 747 NCB - SMK OBSERVASI 6 JAM
L;K 2820 008 786 NCB - SMK OBSERVASI 6 JAM
LK 2210 008 753 NCB - SMK OBSERVASI 6 JAM
PR 2915 008 755 NCB - SMK OBSERVASI 6 JAM
LK 3525 008 779 NCB - SMK OBSERVASI 6 JAM
PR 3560 008 781 NCB - SMK OBSERVASI 6 JAM
PR 2930 008 801 NCB - SMK OBSERVASI 6 JAM
LK 3800 008 807 NCB - SMK OBSERVASI 6 JAM
PR 2635 008 808 NCB - SMK OBSERVASI 6 JAM
PR 2400 008 815 NCB - SMK OBSERVASI 6 JAM
LK 2760 008 812 NCB - SMK OBSERVASI 6 JAM
PR 2600 008 823 NCB - SMK OBSERVASI 6 JAM
PR 2970 008 820 NCB - SMK OBSERVASI 6 JAM
PR 2800 008 829 NCB - SMK OBSERVASI 6 JAM
PR 3580 008 838 NCB - SMK OBSERVASI 6 JAM
PR 2648 008 837 NCB - SMK OBSERVASI 6 JAM
PR 3100 008 841 NCB - SMK OBSERVASI 6 JAM
LK 3365 008 430 NCB - SMK OBSERVASI 6 JAM
LK 2680 008 867 NCB - SMK OBSERVASI 6 JAM
PR 2610 008 862 NCB - SMK OBSERVASI 6 JAM
LK 3710 008 971 NCB - SMK OBSERVASI 6 JAM
LK 2415 008 879 NCB - SMK OBSERVASI 6 JAM
LK 4080 008 881 NCB - SMK OBSERVASI 6 JAM
PR 3660 008 890 NCB - SMK OBSERVASI 6 JAM
 OBSERVASI 6 JAM + PASANG
PR 2200 008 904 NCB - SMK IVFD + PASANG CPAP +
SEMBUH
PR 2500 008 920 NCB - SMK OBSERVASI 6 JAM
PR 2670 008 608 NCB - SMK OBSERVASI 6 JAM
LK 3185 008 936 NCB - SMK OBSERVASI 6 JAM
LK 2750 008 940 NCB - SMK OBSERVASI 6 JAM
LK 2715 008 940 NCB - SMK OBSERVASI 6 JAM
LK 2910 008 941 NCB - SMK OBSERVASI 6 JAM
LK 3220 008 956 NCB - SMK OBSERVASI 6 JAM
PR 3425 008 969 NCB - SMK OBSERVASI 6 JAM
LK 3365 008 970 NCB - SMK OBSERVASI 6 JAM
LK 3690 008 977 NCB - SMK OBSERVASI 6 JAM
PR 2565 008 981 NCB - SMK OBSERVASI 6 JAM
LK 4090 008 985 NCB - SMK OBSERVASI 6 JAM
LK 3455 008 985 NCB - SMK OBSERVASI 6 JAM
LK 2800 008 991 NCB - SMK OBSERVASI 6 JAM
LK 3355 008 993 NCB - SMK OBSERVASI 6 JAM
LK 3620 008 994 NCB - SMK OBSERVASI 6 JAM
LK 2695 008 996 NCB - SMK OBSERVASI 6 JAM
LK 4630 008 987 NCB - SMK OBSERVASI 6 JAM
PR 3680 008 998 NCB - SMK OBSERVASI 6 JAM
SURAT KONTROL KETERANGAN
DPJP
TDK (ALASAN) BPJS Jampersal UMUM IMUNISASI HB 0
BPJS HBO + POLIO DR SUSILOWATI,SPA
0 UMUM HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
0 UMUM DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA

BPJS

DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA
0 UMUM HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS
DR SUSILOWATI,SPA
BPJS
DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
0 UMUM DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
0 UMUM HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
 BPJS
DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
0 UMUM DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
0 UMUM DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
0 UMUM DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA

Bangkinang, JANUARI -2022

di buat oleh,
Ka.Unit Perinatologi

SRI NOVALINDA,Amd. Keb

NH
 LAPO
NO TGL MASUK Nama Pasien

1 2/1/2022 BY NY FEBRRY
2 2/2/2022 By NY SITI ZULEHA
3 2/2/2022 BY NY WIWI
4 2/2/2022 BY NY JUNITA
5 2/2/2022 BY NY DESI RATNA SARI
6 2/2/2022 BY NY FENI EFRINA
7 2/2/2022 BY NY RUSFI
8 2/2/2022 BY NY PARADITA
9 2/2/2022 BY NY NOVI
10 2/3/2022 BY NY RAFNITA
11 2/4/2022 BY NY MAHDINI
12 2/4/2022 BY NY SUSILAWATI
13 2/5/2022 BY NY NETI
14 2/6/2022 BY NY DESVI
15 2/6/2022 BY NY RAHMATULLAH
16 2/6/2022 BY NY SRI WAHYUNI
17 2/7/2022 BY NY SUSILAWATI
18 2/7/2022 BY NY NOVIA SULIS
19 2/7/2022 BY NY KHAIRUNNISAK

BY NY RIKA

20 2/7/2022
21 2/7/2022 BY NY SARTIKA
22 2/8/2022 BY NY IRMA
23 2/8/2022 BY NY IKA NOVA
24 2/9/2022 BY NY DINA
25 2/9/2022 BY NY SALPINA
26 2/10/2022 BY NY TRI
27 2/10/2022 BY ILFIDA
28 2/11/2022 BY NY Ranjeni
29 2/11/2022 BY NY INTAN NOVIDA
30 2/12/2022 BY NY MELISA SURYANI
31 2/12/2022 BY NY HILDA
32 2/12/2022 BY NY RATNA DEWI
 2/12/2022 BY NY NUR YULI

33
34 2/13/2022 BY NY OKNA
35 2/14/2022 NY NY NURFITRAH
36 2/14/2022 BY NY ILVIA

2/15/2022 BY NY YULI SUMARNI

37
38 2/15/2022 BY NY ROZA
39 2/15/2022 BY NY SIWISNI
40 2/16/2022 BY NY RAHMADEHENIS
41 2/16/2022 BY NY VERAWATI
42 2/17/2022 BY NY YUSRITA
43 2/18/2022 BY NY ELVI HASANAH
44 2/18/2022 BY NY YULFI
45 2/18/2022 BY NY DESMI
46 2/18/2022 BY NY NURMARIANI
47 2/20/2022 BY NY NURLINDA I
48 2/20/2022 BY NY NURLINDA II
49 2/20/2022 BY NY NORA I
50 2/20/2022 BY NY NORA II
51 2/22/2022 BYNY RIRIS

2/22/2022 BY NY LULU

52
53 2/22/2022 BY NY CITRA SUCI
54 2/22/2022 BY NY KUNTI
55 2/22/2022 BY NY RATNA JUWITA
56 2/22/2022 BY NY YENA

2/23/2022 BY NY ELVI SRI WAHYUNI

57
58 2/24/2022 BY NY SYAHRINA
2. 59 2/24/2022 By ny seli
60 2/24/2022 By ny yati
61 2/24/2022 BY NY LISMAWATI
62 2/25/2022 BY NY ORIANA
63 2/25/2022 BY NY TIFANI
64 2/25/2022 BY NY ISMA ASTRIA
65 2/25/2022 BYNY NURHAYATI
66 2/26/2022 BY NY SITI SOLIMAH
 LAPORAN RUANG PERINATOLOGI
Tanggal lahir JK BB NO.RM DIAGNOSA AWAL TINDAKAN AWAL

2/1/2022 PR 3360 008 009 NCB - SMK OBSERVASI 6 JAM

2/2/2022 PR 3010 009 043 NCB - SMK OBSERVASI 6 JAM
2/2/2022 PR 2805 009 030 NCB - SMK OBSERVASI 6 JAM
2/2/2022 PR 4565 009 032 NCB - SMK OBSERVASI 6 JAM
2/2/2022 PR 3030 009 034 NCB - SMK OBSERVASI 6 JAM
2/2/2022 PR 3460 009 036 NCB - SMK OBSERVASI 6 JAM
2/2/2022 LK 3570 009 045 NCB - SMK OBSERVASI 6 JAM
2/2/2022 LK 3115 009 044 NCB - SMK OBSERVASI 6 JAM
2/2/2022 PR 4115 009 049 NCB - SMK OBSERVASI 6 JAM
2/3/2022 LK 2965 009 062 NCB - SMK OBSERVASI 6 JAM
2/4/2022 PR 3520 009 076 NCB - SMK OBSERVASI 6 JAM
2/4/2022 PR 2795 009 082 NCB - SMK OBSERVASI 6 JAM
2/5/2022 PR 3040 009 094 NCB - SMK OBSERVASI 6 JAM
2/6/2022 LK 2860 009 101 NCB - SMK OBSERVASI 6 JAM
2/6/2022 LK 3600 009 099 NCB - SMK OBSERVASI 6 JAM
2/6/2022 PR 2300 009 107 NCB - SMK OBSERVASI 6 JAM
2/7/2022 LK 3555 009 110 NCB - SMK OBSERVASI 6 JAM
2/7/2022 PR 2870 009 113 NCB - SMK OBSERVASI 6 JAM
2/7/2022 LK 2860 009 111 NCB - SMK OBSERVASI 6 JAM

OBSERVASI 6 JAM +
PASANG IVFD +
NCB - SMK + BBLR PASANG OGT +
PASAng CPAP +
SEMBUH
2/7/2022 PR 2420 009 116
2/7/2022 PR 3090 009 124 NCB - SMK OBSERVASI 6 JAM
2/8/2022 LK 3850 009 129 NCB - SMK OBSERVASI 6 JAM
2/8/2022 PR 3235 009 136 NCB - SMK OBSERVASI 6 JAM
2/8/2022 LK 3100 009 148 NCB - SMK OBSERVASI 6 JAM
2/9/2022 PR 3425 009 168 NCB - SMK OBSERVASI 6 JAM
2/10/2022 PR 2245 009 171 NCB - SMK + BBLR OBSERVASI 6 JAM
2/10/2022 PR 3040 009 1`73 NCB - SMK OBSERVASI 6 JAM
2/11/2022 PR 3010 009 118 NCB - SMK OBSERVASI 6 JAM
2/11/2022 PR 3115 009 185 NCB - SMK OBSERVASI 6 JAM
2/12/2022 PR 3115 009 187 NCB - SMK OBSERVASI 6 JAM
2/12/2022 PR 2335 009 204 NCB - SMK + BBLR OBSERVASI 6 JAM
2/12/2022 LK 3235 009 210 NCB - SMK OBSERVASI 6 JAM
 OBSERVASI 6 JAM +
PASANG IVFD +
2/12/2022 PR 2525 009 214 NCB - SMK PASANG OGT +
PASAng CPAP +
sembuh

2/13/2022 PR 2945 009 216 NCB - SMK OBSERVASI 6 JAM

2/14/2022 PR 2940 009 231 NCB - SMK OBSERVASI 6 JAM
2/14/2022 LK 3550 009 235 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM +
PASANG IVFD +
2/15/2022 LK 3125 009 926 NCB - SMK
PASANG OGT +
SEMBUH
2/15/2022 LK 2445 009 928 NCB - SMK + BBLR OBSERVASI 6 JAM
2/15/2022 PR 2035 009 929 NCB - SMK + BBLR OBSERVASI 6 JAM
2/16/2022 PR 2900 009 272 NCB - SMK OBSERVASI 6 JAM
2/16/2022 PR 2675 009 278 NCB - SMK OBSERVASI 6 JAM
2/17/2022 PR 2430 009 297 NCB - SMK + BBLR OBSERVASI 6 JAM
2/18/2022 PR 2800 009 302 NCB - SMK OBSERVASI 6 JAM
2/18/2022 LK 3400 009 706 NCB - SMK OBSERVASI 6 JAM
2/18/2022 LK 3010 009 307 NCB - SMK OBSERVASI 6 JAM
2/18/2022 PR 2135 009 322 NCB - SMK + BBLR OBSERVASI 6 JAM
2/20/2022 PR 2155 009 325 NCB - SMK + BBLR OBSERVASI 6 JAM
2/20/2022 PR 2855 009 311 NCB - SMK OBSERVASI 6 JAM
2/20/2022 PR 2857 009 315 NCB - SMK OBSERVASI 6 JAM
2/20/2022 PR 3230 009 327 NCB - SMK OBSERVASI 6 JAM
2/22/2022 PR 2905 009 343 NCB - SMK OBSERVASI 6 JAM

OBSERVASI 6 JAM +
PASANG IVFD +
2/22/2022 LK 2590 009 353 NCB - SMK PASANG OGT +
PASANGG CPAP +
SEMBUH

2/22/2022 PR 2870 009 352 NCB - SMK OBSERVASI 6 JAM

2/22/2022 PR 3040 009 354 NCB - SMK OBSERVASI 6 JAM
2/22/2022 PR 2985 009 350 NCB - SMK OBSERVASI 6 JAM
2/22/2022 PR 3015 009 358 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 1 JAM +
2/23/2022 LK 365 009 264 NCB - SMK + BBLSR
EXIT
2/24/2022 LK 3100 009 278 NCB - SMK OBSERVASI 6 JAM
2/24/2022 PR 2685 009 399 NCB - SMK OBSERVASI 6 JAM
2/24/2022 PR 2865 009 400 NCB - SMK OBSERVASI 6 JAM
2/24/2022 LK 2860 009 401 NCB - SMK OBSERVASI 6 JAM
2/25/2022 PR 2746 009 415 NCB - SMK OBSERVASI 6 JAM
2/25/2022 PR 2380 009 412 NCB - SMK + BBLR OBSERVASI 6 JAM
2/25/2022 PR 3215 009 422 NCB - SMK OBSERVASI 6 JAM
2/25/2022 LK 3290 009 423 NCB - SMK OBSERVASI 6 JAM
 2/26/2022 PR 3925 009 421 NCB - SMK OBSERVASI 6 JAM

di ketahui oleh,
KABID.PELAYANAN

dr.Patriot Pajri Rakasiwi

NH.
 SURAT KONTROL KETERANGAN
YA (TGGL) TDK (ALASAN) BPJS Jampersal UMUM IMUNISASI HB 0
BPJS HBO + POLIO
0 UMUM HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
0 UMUM HBO + POLIO
BPJS
0 UMUM HBO + POLIO
0 UMUM HBO + POLIO
BPJS HBO + POLIO

BPJS

BPJS
BPJS HBO + POLIO
BPJS HBO + POLIO
0 UMUM HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
0 UMUM HBO + POLIO
BPJS HBO + POLIO
0 UMUM
0 UMUM HBO + POLIO
BPJS
BPJS
BPJS

BPJS
BPJS
BPJS HBO + POLIO

BPJS

BPJS
BPJS
BPJS
0 UMUM
BPJS
BPJS
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS HBO + POLIO
BPJS
BPJS
BPJS
BPJS
BPJS

BPJS

BPJS HBO + POLIO

BPJS
BPJS
BPJS HBO + POLIO

BPJS

BPJS HBO + POLIO

0 UMUM
BPJS
BPJS
BPJS
BPJS HBO + POLIO
BPJS
BPJS HBO + POLIO
BPJS HBO + POLIO

Bangkinang, FEBRUARI -2022

di buat oleh,
Ka.Unit Perinatologi

SRI NOVALINDA,Amd. Keb

NH
 DPJP

DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA

DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA

DR FARADILAH ,SPA
DR FARADILAH ,SPA

DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR FARADILAH ,SPA

DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA
DR FARADILAH ,SPA

DR FARADILAH ,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
DR SUSILOWATI,SPA
 LAPOR
NO TGL MASUK Nama Pasien

1 3/1/2022 BY NY OKTALIA
2 3/1/2022 BY NY HERLINDA
3 3/1/2022 BY NY MAIMONA
4 3/1/2022 BY NY ISTIQOMAH
5 3/2/2022 BY NY CUDTIA
6 3/2/2022 BY NY YULIA HASAN

7 3/2/2022 BY NY SITI APRIYANI

8 3/3/2022 BY NY ELI SANIYA

9 3/3/2022 BY NY RETNO TRI

10 3/3/2022 BY NY RAHAYU
11 3/4/2022 BY NY SUSI SANTI
12 3/4/2022 BY NY ANNISAK
13 3/4/2022 BY NY SUSWATI

14 3/4/2022 BY NY WIDIA

15 3/4/2022 BY NY NURLIANA
16 3/5/2022 BY NY NORA
17 3/5/2022 BY NY EKA
18 3/5/2022 BY NY INDAH HARNITA
19 3/5/2022 BY NY IKA ANDRIANI
20 3/5/2022 BY NY GITA ROZA NOVIDA
21 3/6/2022 BY NY RINA WATI
22 3/6/2022 BY NY ROSMIDAR YANTI
23 3/7/2022 BY NY LESTARI
24 3/7/2022 BY NY NURNANIK
25 3/7/2022 BY NY DIAN
26 3/8/2022 BY N Y NURMALA
27 3/8/2022 BY NY RENY
28 3/10/2022 BY NY EMA
29 3/10/2022 BY NY META FITRIZA
30 3/10/2022 BY NY ROVITA
31 3/10/2022 BY NY MARLINA
32 3/10/2022 BY NY NOVA SANTI
33 3/10/2022 BY NY WILDAYANI

34 3/10/2022 BY NY SRI MAYA O

35 3/10/2022 BY NY NURFITRIANA
36 3/10/2022 BY NY NUR EFNI
37 3/10/2022 BY NY NURSAMAH
38 3/11/2022 BY NY EVA
39 3/11/2022 BY NY R PUTRI
40 3/11/2022 BY NY SULASTIN
41 3/12/2022 BY NY LIDYA
42 3/12/2022 BY NY SUPARTIK
43 3/14/2022 BY NY DINA
44 3/14/2022 BY NY NELEKSUM

45 3/14/2022 BY NY EMMI YUNITA

46 3/15/2022 BY NY MELA DINA
47 3/15/2022 BY NY RAFINA BR
48 3/15/2022 BY NY NURHASANAH
49 3/16/2022 BY NY WIRDA
50 3/17/2022 BY NY RINA YANTI

51 9/17/2022 BY NY ENI TRIANI

52 3/18/2022 BY NY SRI JULAIDA
53 3/19/2022 BY NY SUMIYATI
54 3/19/2022 BY NY WIDIA
55 3/19/2022 BY NY NURMARISYA
56 3/19/2022 BY NY NURHAIDA
57 3/19/2022 BY NY DWI FEBRIANI
58 3/19/2022 BY NY DINIE
59 3/20/2022 BY NY RAHMIATI
60 3/21/2022 BY NY MUTIARA
61 3/21/2022 BY NY SRI WULANDARI
62 3/21/2022 BY NY DELVI
63 3/21/2022 BY NY INDA LESTARI
64 3/21/2022 BY NY NELLY
65 3/21/2022 BY NY FATHMA
66 3/22/2022 BY NY NOVA HARDIANTI
67 3/22/2022 BY NY MARDHATILLAH
68 3/22/2022 BY NY RINA
69 3/22/2022 BY NY NURANA
70 3/22/2022 BY NY ISMI
71 3/22/2022 BY NY MESTIKA
72 3/23/2022 BY NY MARLINDA
73 3/24/2022 BY NY MELA

74 3/24/2022 BY NY RINA
75 3/25/2022 BY NY SYAFRIDA
76 3/25/2022 BY NY SUMIATI
77 3/26/2022 BY NY ERAWATI
78 3/26/2022 BY NY HOTMARINA

79 3/26/2022 BY NY MITA I

80 3/26/2022 BY NY MITAII
81 3/26/2022 BY NY LISA
82 3/26/2022 BY NY CITRA
83 3/26/2022 BY NY SELVI
84 3/27/2022 BY NY YULFITRIAZA
85 3/27/2022 BY NY NURZILA
86 3/28/2022 BY NY RANTIKA
87 3/28/2022 BY NY HUSNITA
88 3/28/2022 BY NY YULIANA
89 3/28/2022 BY NY NURAZIMA
90 3/29/2022 BY NY RETNO PULPY
91 3/29/2022 BY NY YESI
92 3/30/2022 BY NY WENI
93 3/30/2022 BY NY HENI
94
95
96
 LAPORAN RUANG PERINATOLOGI
SURAT KONTROL
Tanggal lahir JK BB NO.RM DIAGNOSA AWAL TINDAKAN AWAL
YA (TGGL)
3/1/2022 PR 2990 009 476 NCB - SMK OBSERVASI 6 JAM
3/1/2022 PR 2735 009 460 NCB - SMK OBSERVASI 6 JAM
3/1/2022 PR 2745 009 475 NCB - SMK OBSERVASI 6 JAM
3/1/2022 PR 4150 009 484 NCB - SMK OBSERVASI 6 JAM
3/2/2022 PR 2880 009 494 NCB - SMK OBSERVASI 6 JAM
3/2/2022 PR 3535 009 495 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
+PASANG OGT+ PASANG CPAP +
NCB - SMK RUJUK RS PRIMA (KEADAAN
MEMBURUK )
3/2/2022 LK 3705 009 574
3/3/2022 PR 2360 009 519 NCB - SMK + BBLR OBSERVASI 6 JAM

OBSERVASI 6 JAM + PASANG IVFD

NCB - SMK +PASANG OGT+ RUJUK RSUD
BKN (KEADAAN MEMBURUK )
3/3/2022 LK 2550 009 518
3/3/2022 PR 2765 009 502 NCB - SMK OBSERVASI 6 JAM
3/4/2022 LK 3555 009 536 NCB - SMK OBSERVASI 6 JAM
3/4/2022 LK 3200 009 526 NCB - SMK OBSERVASI 6 JAM
3/4/2022 PR 3035 009 539 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK + BBLR +PASANG OGT+ PASANG CPAP +
3/4/2022 PR 1520 009 550 SEMBUH 3/17/2022
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ RUJUK RSUD
3/4/2022 PR 2560 009 555 BKN (CPAP TERPAKAI )
3/5/2022 PR 3060 009 537 NCB - SMK OBSERVASI 6 JAM
3/5/2022 PR 3070 009 551 NCB - SMK OBSERVASI 6 JAM
3/5/2022 LK 2755 009 556 NCB - SMK OBSERVASI 6 JAM
3/5/2022 LK 3225 009 555 NCB - SMK OBSERVASI 6 JAM
3/5/2022 PR 3475 009 557 NCB - SMK OBSERVASI 6 JAM
3/6/2022 PR 2980 009 563 NCB - SMK OBSERVASI 6 JAM
3/6/2022 LK 2780 009 575 NCB - SMK OBSERVASI 6 JAM
3/7/2022 LK 2980 009 572 NCB - SMK OBSERVASI 6 JAM
3/7/2022 PR 3100 009 467 NCB - SMK OBSERVASI 6 JAM
3/7/2022 PR 2940 009 603 NCB - SMK OBSERVASI 6 JAM
3/8/2022 PR 3035 009 620 NCB - SMK OBSERVASI 6 JAM
3/8/2022 PR 3420 009 634 NCB - SMK OBSERVASI 6 JAM
3/10/2022 LK 2975 009 639 NCB - SMK OBSERVASI 6 JAM
 OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ RUJUK RSUD AA
(KELAINAN HIDROSEFALUS )
3/10/2022 LK 3180 009 633
3/10/2022 LK 3210 009 637 NCB - SMK OBSERVASI 6 JAM
3/10/2022 LK 3480 009 639 NCB - SMK OBSERVASI 6 JAM
3/10/2022 LK 3210 009 644 NCB - SMK OBSERVASI 6 JAM
3/10/2022 PR 3680 009 636 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ PASANG CPAP +
3/10/2022 PR 2600 009 640 SEMBUH
3/10/2022 PR 3450 009 655 NCB - SMK OBSERVASI 6 JAM
3/10/2022 LK 3165 009 654 NCB - SMK OBSERVASI 6 JAM
3/10/2022 LK 3715 009 666 NCB - SMK OBSERVASI 6 JAM
3/11/2022 LK 3105 009 657 NCB - SMK OBSERVASI 6 JAM
3/11/2022 LK 2655 009 657 NCB - SMK OBSERVASI 6 JAM
3/11/2022 LK 2805 009 659 NCB - SMK OBSERVASI 6 JAM
3/12/2022 PR 3290 009 605 NCB - SMK OBSERVASI 6 JAM
3/12/2022 LK 3035 009 667 NCB - SMK OBSERVASI 6 JAM
3/14/2022 LK 3090 009 691 NCB - SMK OBSERVASI 6 JAM
3/14/2022 PR 3370 009 692 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ PASANG CPAP +
3/14/2022 LK 3555 009 695 SEMBUH
3/15/2022 LK 2730 009 713 NCB - SMK OBSERVASI 6 JAM
3/15/2022 PR 3220 009 716 NCB - SMK OBSERVASI 6 JAM
3/15/2022 LK 2460 009 728 NCB - SMK + BBLR OBSERVASI 6 JAM
3/16/2022 LK 3000 009 743 NCB - SMK OBSERVASI 6 JAM
3/17/2022 PR 2795 009 744 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
+PASANG OGT+ PASANG CPAP +
NCB - SMK + BBLR
RUJUK RSUD (KEADAAN
MEMBURUK )
9/17/2022 LK 2120 009 762
3/18/2022 LK 3480 009 751 NCB - SMK OBSERVASI 6 JAM
3/19/2022 LK 2225 009 767 NCB - SMK OBSERVASI 6 JAM
3/19/2022 LK 2770 009 772 NCB - SMK OBSERVASI 6 JAM
3/19/2022 LK 3985 009 777 NCB - SMK OBSERVASI 6 JAM
3/19/2022 PR 3775 009 778 NCB - SMK OBSERVASI 6 JAM
3/19/2022 LK 2935 009 781 NCB - SMK OBSERVASI 6 JAM
3/19/2022 PR 2555 009 785 NCB - SMK OBSERVASI 6 JAM
3/20/2022 PR 2715 009 782 NCB - SMK OBSERVASI 6 JAM
3/21/2022 LK 2265 009 793 NCB - SMK + BBLR OBSERVASI 6 JAM
3/21/2022 PR 2460 009 797 NCB - SMK + BBLR OBSERVASI 6 JAM
3/21/2022 PR 3460 009 806 NCB - SMK OBSERVASI 6 JAM
3/21/2022 PR 3290 009 803 NCB - SMK OBSERVASI 6 JAM
3/21/2022 PR 2250 009 820 NCB - SMK + BBLR OBSERVASI 6 JAM
3/21/2022 PR 3250 009 818 NCB - SMK OBSERVASI 6 JAM
3/22/2022 PR 3410 009 821 NCB - SMK OBSERVASI 6 JAM
3/22/2022 LK 2805 009 824 NCB - SMK OBSERVASI 6 JAM
3/22/2022 PR 3530 009 841 NCB - SMK OBSERVASI 6 JAM
3/22/2022 PR 3420 009 836 NCB - SMK OBSERVASI 6 JAM
3/22/2022 PR 3170 009 837 NCB - SMK OBSERVASI 6 JAM
3/22/2022 LK 3070 009 827 NCB - SMK OBSERVASI 6 JAM
3/23/2022 PR 3185 009 862 NCB - SMK OBSERVASI 6 JAM
3/24/2022 PR 3000 009 866 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ PASANG CPAP +
3/24/2022 PR 3420 009 374 SEMBUH
3/25/2022 PR 3250 009 879 NCB - SMK OBSERVASI 6 JAM
3/25/2022 PR 3980 009 893 NCB - SMK OBSERVASI 6 JAM
3/26/2022 PR 3870 009 894 NCB - SMK OBSERVASI 6 JAM
3/26/2022 PR 3930 009 907 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM + PASANG IVFD
NCB - SMK +PASANG OGT+ PASANG CPAP +
3/26/2022 PR 1700 009 903 SEMBUH

OBSERVASI 6 JAM + PASANG IVFD

NCB - SMK
+PASANG OGT+ PASANG CPAP +
3/26/2022 PR 2390 009 904
3/26/2022 PR 3510 009 905 NCB - SMK OBSERVASI 6 JAM
3/26/2022 PR 3320 009 908 NCB - SMK OBSERVASI 6 JAM
3/26/2022 PR 3005 009 907 NCB - SMK OBSERVASI 6 JAM
3/27/2022 LK 2865 009 909 NCB - SMK OBSERVASI 6 JAM
3/27/2022 PR 2290 009 912 NCB - SMK OBSERVASI 6 JAM
3/28/2022 LK 3130 009 918 NCB - SMK OBSERVASI 6 JAM
3/28/2022 PR 2795 009 919 NCB - SMK OBSERVASI 6 JAM
3/28/2022 LK 3030 009 924 NCB - SMK OBSERVASI 6 JAM
3/28/2022 LK 1670 009 941 NCB - SMK OBSERVASI 6 JAM
3/29/2022 LK 3385 009 945 NCB - SMK OBSERVASI 6 JAM
3/29/2022 PR 2870 009 949 NCB - SMK OBSERVASI 6 JAM
3/30/2022 PR 2840 009 957 NCB - SMK OBSERVASI 6 JAM
3/30/2022 PR 2395 009 962 NCB - SMK OBSERVASI 6 JAM
NCB - SMK OBSERVASI 6 JAM
NCB - SMK OBSERVASI 6 JAM
NCB - SMK OBSERVASI 6 JAM
di ketahui oleh,
KABID.PELAYANAN

dr.Patriot Pajri Rakasiwi

NH.
SURAT KONTROL KETERANGAN
DPJP
TDK (ALASAN) BPJS Jampersal UMUM IMUNISASI HB 0
0 UMUM HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA

0 UMUM

DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA

BPJS HBO + POLIO

DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS
BPJS HBO + POLIO
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS

DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
0 UMUM HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA

BPJS
DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR SUSILOWATI,SPA

BPJS HBO + POLIO

DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
0 UMUM DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
0 UMUM DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA

BPJS HBO + POLIO

DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA

BPJS
DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA
0 UMUM DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS
BPJS
BPJS
Bangkinang, MARET -2022

di buat oleh,
Ka.Unit Perinatologi

SRI NOVALINDA,Amd. Keb

NH
NO TGL MASUK Nama Pasien Tanggal lahir

1 BY NY BAULIA RAHMA 4/1/2022

2 BY NY NOFRI 4/1/2022
3 BY NY NEPI 4/2/2022
4 BY NY SYOFIA 4/2/2022

5 BY NY DWI 4/3/2022
6 BY NY kasmania 4/3/2022
7 BY NY NURHEPNI 4/4/2022
8 BY NY RENI 4/4/2022
9 BY NY AYU 4/4/2022
10 BYNY ENDANG 4/4/2022
11 BYNY YUNITA 4/4/2022
12 BYNY YULIDAR 4/4/2022

13 BY NY NURMANIK 3/7/2022
14 BYNY DINIA ASTIKA 4/5/2022
15 BY NY VIVI 4/5/2022
16 BY NY SARIAH 4/5/2022
17 BYNY MITRA SARI 4/5/2022
18 BY NY HENI SETIAWATI 4/6/2022
19 BY NY WIDYA 4/6/2022
20 BY NY ORI 4/6/2022
21 BYNY ROSMIATI 4/7/2022
22 BYNY NURLIANIS 4/7/2022
23 BYNY DEWI 4/7/2022
24 BY NY RENI 4/8/2022
25 BYNY SEPTIA DILA 4/8/2022
26 BYNY ROSSALINA 4/8/2022
27 BYNY TITI ALIMAH 4/9/2022
28 BY NY SIAMAH 4/9/2022
29 BYNY MELIA 4/9/2022
30 BYNY NADIA 4/10/2022
31 BY NY SISKA 4/11/2022
32 BY NY HENI 4/11/2022
33 BY NY YULIANA 4/11/2022
34 BY NY SYAIDATUL 4/11/2022
35 BY NY MAYA PUSPITA 4/11/2022
36 BYNY SEERI 4/11/2022
37 BY NY NURUL SAHINA 4/12/2022
38 BY NY EKI WULANDARI 4/16/2022
39 BYNY WITANTRI 4/16/2022
40 BYNY SAMIATI 4/16/2022
41 BYNY HARTATI 4/18/2022
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44 BYNY YESILAWATI 4/18/2022
45 BYNY MISKI 4/18/2022
46 BYNY ELPI SURIATI 4/18/2022
47 BY NY FITRI SUSANTI 4/18/2022
48 BY NY SETIAWATI 4/18/2022
49 BYNY WIDIAWATI 4/18/2022
50 BYNY SUPIYANI 4/18/2022
51 BYNY KUNTUM 4/18/2022
52 BYNY MIRA 4/19/2022
53 BYNY YENI 4/19/2022
54 BYNY ROZA 4/19/2022
55 BYNY LINDA ASTUTI 4/20/2022
56 BYNY DEBY 4/20/2022
57 BYNY DARMAWATI 4/20/2022
58 BYNY SATRINA 4/20/2022
59 BY NY LASTRI 4/21/2022
60 BYNY OKTAVIA 4/21/2022
61 BYNY DEWI ASTUTI 4/21/2022
62 BYNY SITI AMINAH 4/22/2022
63 BYNY MARIYANI 4/22/2022
64 BYNY RAHMELIA 4/22/2022
65 BYNY LUCY 4/22/2022
66 BYNY DWI MANDINI 4/22/2022
67 BYNY RUMI ASIH 4/22/2022
68 BY NY RANTI 4/23/2022
69 BYNY SUNI 4/24/2022
70 BYNY TRI PATRIANI 4/24/2022
71 BYNY PUTRI DEWI 4/25/2022
72 BYNY ARMALENI 4/25/2022
73 BY NY NENI 4/25/2022
74 BY NY SURYANI 4/25/2022
75 BYNNY ANNISA ULFA 4/26/2022
76 BYNY YENNI 4/26/2022
77 BY NY ARNIDA 4/26/2022

78 M. ELZIO
79 BYNY DEDEK 4/27/2022
80 BYNY SARI CITRA 4/27/2022
81 BY NY RAHMA NONA 4/27/2022
82 BY NY DES NURBILAH 4/29/2022
83 BY NY NURLIANA 4/29/2022
84 BYNY UZLI 4/29/2022
85 BYNY SERPIANI 4/30/2022
86 BYNY RAYARIA 4/30/2022

di ketahui oleh,
KABID.PELAYANAN

dr.Patriot Pajri Rakasiwi

NH.
 LAPORAN RUANG PERINATOLOGI
SURAT KONTROL
JK BB NO.RM DIAGNOSA AWAL TINDAKAN AWAL
YA (TGGL)
LK 3055 NCB - SMK OBSERVASI 6 JAM
LK 3390 NCB - SMK OBSERVASI 6 JAM
LK 3150 NCB - SMK OBSERVASI 6 JAM
LK 2675 NCB - SMK OBSERVASI 6 JAM
OBSERVASI 6 JAM +
NCB - SMK + BBLR PASANGIVFD + PASANG
P 2400 CPAP,PSSNG OGT ,SEMBUH
LK 3200 NCB - SMK OBSERVASI 6 JAM
LK 3200 NCB - SMK OBSERVASI 6 JAM
PR 3385 NCB - SMK + BBLR OBSERVASI 6 JAM
PR 2520 NCB - SMK OBSERVASI 6 JAM
PR 2680 NCB - SMK OBSERVASI 6 JAM
LK 3070 NCB - SMK OBSERVASI 6 JAM
LK 4000 NCB - SMK OBSERVASI 6 JAM

NCB - SMK OBSERVASI 6 JAM + PASANG

PR 2700 IVFD
PR 4200 NCB - SMK + BBLR OBSERVASI 6 JAM
PR 3725 NCB - SMK OBSERVASI 6 JAM
PR 2545 NCB - SMK OBSERVASI 6 JAM
LK 3125 NCB - SMK OBSERVASI 6 JAM
LK 3485 NCB - SMK OBSERVASI 6 JAM
PR 2055 NCB - SMK + BBLR OBSERVASI 6 JAM
PR 2680 NCB - SMK OBSERVASI 6 JAM
PR 2735 NCB - SMK OBSERVASI 6 JAM
LK 2830 NCB - SMK OBSERVASI 6 JAM
PR 3350 NCB - SMK OBSERVASI 6 JAM
PR 2670 NCB - SMK OBSERVASI 6 JAM
PR 3000 NCB - SMK OBSERVASI 6 JAM
LK 3130 NCB - SMK OBSERVASI 6 JAM
PR 1965 NCB - SMK + BBLR OBSERVASI 6 JAM
PR 2770 NCB - SMK OBSERVASI 6 JAM
PR 2915 NCB - SMK OBSERVASI 6 JAM
PR 2920 NCB - SMK OBSERVASI 6 JAM
LK 2670 NCB - SMK OBSERVASI 6 JAM
LK 3190 NCB - SMK OBSERVASI 6 JAM
PR 3185 NCB - SMK OBSERVASI 6 JAM
LK 2745 NCB - SMK OBSERVASI 6 JAM
LK 3660 NCB - SMK OBSERVASI 6 JAM
PR 2235 NCB - SMK + BBLR OBSERVASI 6 JAM
LK 2695 NCB - SMK OBSERVASI 6 JAM
LK 2800 NCB - SMK OBSERVASI 6 JAM
LK 2955 NCB - SMK OBSERVASI 6 JAM
PR 2780 NCB - SMK OBSERVASI 6 JAM
PR 3740 NCB - SMK OBSERVASI 6 JAM
PR 3080 NCB - SMK OBSERVASI 6 JAM
PR 3250 NCB - SMK OBSERVASI 6 JAM
LK 3410 NCB - SMK OBSERVASI 6 JAM
PR 2730 NCB - SMK OBSERVASI 6 JAM
LK 3220 NCB - SMK OBSERVASI 6 JAM
PR 2775 NCB - SMK OBSERVASI 6 JAM
PR 2670 NCB - SMK OBSERVASI 6 JAM
LK 3610 NCB - SMK OBSERVASI 6 JAM
PR 3725 NCB - SMK OBSERVASI 6 JAM
LK 2940 NCB - SMK OBSERVASI 6 JAM
LK 3025 NCB - SMK OBSERVASI 6 JAM
PR 2855 NCB - SMK OBSERVASI 6 JAM
PR 3130 NCB - SMK OBSERVASI 6 JAM
PR 3310 NCB - SMK OBSERVASI 6 JAM
L;K 3335 NCB - SMK OBSERVASI 6 JAM
LK 3635 NCB - SMK OBSERVASI 6 JAM
PR 2285 NCB - SMK OBSERVASI 6 JAM
LK 2555 NCB - SMK OBSERVASI 6 JAM
PR 3070 NCB - SMK OBSERVASI 6 JAM
LK 2920 NCB - SMK OBSERVASI 6 JAM
PR 34052 NCB - SMK OBSERVASI 6 JAM
LK 3140 NCB - SMK OBSERVASI 6 JAM
PR 3160 NCB - SMK OBSERVASI 6 JAM
PR 3270 NCB - SMK OBSERVASI 6 JAM
PR 3880 NCB - SMK OBSERVASI 6 JAM
PR 3590 NCB - SMK OBSERVASI 6 JAM
PR 3530 NCB - SMK OBSERVASI 6 JAM
PR 3050 NCB - SMK OBSERVASI 6 JAM
LK 2735 NCB - SMK OBSERVASI 6 JAM
PR 2730 NCB - SMK OBSERVASI 6 JAM
PR 32200 NCB - SMK OBSERVASI 6 JAM
PR 2712 NCB - SMK OBSERVASI 6 JAM
LK 3230 NCB - SMK OBSERVASI 6 JAM
PR 3375 NCB - SMK OBSERVASI 6 JAM
PR 3715 NCB - SMK OBSERVASI 6 JAM
 LK 3000 NCB - SMK OBSERVASI 6 JAM

NCB - SMK OBSERVASI 6 JAM + PASANG

LK 3175 IVFD
LK 3135 NCB - SMK OBSERVASI 6 JAM
PR 2835 NCB - SMK OBSERVASI 6 JAM
LK 2175 NCB - SMK OBSERVASI 6 JAM
LK 3900 NCB - SMK OBSERVASI 6 JAM
PR 2780 NCB - SMK OBSERVASI 6 JAM
PR 2720 NCB - SMK OBSERVASI 6 JAM
PR 2920 NCB - SMK OBSERVASI 6 JAM
LK 3070 NCB - SMK OBSERVASI 6 JAM

etahui oleh,
ID.PELAYANAN

atriot Pajri Rakasiwi

SURAT KONTROL KETERANGAN
DPJP
TDK (ALASAN) BPJS Jampersal UMUM IMUNISASI HB 0
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA

BPJS HBO + POLIO

DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
0 UMUM HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO
DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS
BPJS HBO + POLIO
0 UMUM HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
0 UMUM HBO + POLIO DR SUSILOWATI,SPA
BPJS UMUM DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
0 DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS DR FARADILAH ,SPA
0 DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR FARADILAH ,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS
DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS HBO + POLIO DR SUSILOWATI,SPA
BPJS DR SUSILOWATI,SPA
BPJS UMUM DR SUSILOWATI,SPA
BPJS DR FARADILAH ,SPA

Bangkinang, APRIL -2022

di buat oleh,
Ka.Unit Perinatologi

SRI NOVALINDA,Amd. Keb

NH