NO NAMA PASIEN NOMOR UMUR DOKTER TGL MASUK TGL SC

RM

1 DEDE KUSNAENI (41 Th) 538194 41 DR.LISNUR 12/31/2020 1/1/2021

2 TRI YULISTIANI 303103 23 DR.LISNUR 12/31/2020 1/1/2021

3 NUR ELISAH 539451 26 DR.JUWITA 1/2/2021 1/2/2021

4 EKA PURWANTI 538419 31 DR.JUWITA 1/2/2021 1/2/2021

5 NAUMI WAHYU 531041 25 DR.LISNUR 1/1/2021 1/3/2021

6 WINDI LASMI 364328 33 DR.JUWITA 1/3/2021 1/3/2021
7 SURYATI 538798 44 DR.JUWITA 1/4/2021 1/4/2021
8 SUSI SUSYANTI 354684 29 DR.LISNUR 1/6/2021 1/6/2021
9 ALDIYANTI ARUM 512958 26 DR.LISNUR 1/6/2021 1/6/2021
10 SARI RATNA DEWI 233068 30 DR.LISNUR 1/5/2021 1/5/2021
11 KHOERUL NISA 539648 23 DR.LISNUR 1/4/2021 1/5/2021
12 DEA YUNITA 539673 28 DR.LISNUR 1/5/2021 1/5/2021
13 IDA FARIDA 529977 35 DR.LISNUR 1/7/2021 1/7/2021
14 YASMIN 539777 31 DR.LISNUR 1/7/2021 1/7/2021
15 TARNIJAH 539766 39 DR.LISNUR 1/6/2021 1/8/2021
16 AJENG LESTARI 539808 30 DR.LISNUR 1/8/2021 1/8/2021
17 KIKI AGNES 539853 29 DR.LISNUR 1/9/2021 1/9/2021
18 TOATUN (39 Th) 539016 39 DR.LISNUR 1/11/2021 1/11/2021
19 NITA HIDATU ADHIYARA 392216 34 DR.LISNUR 1/11/2021 1/11/2021
20 MUNIROH BINTI SLAMET 539899 41 DR.LISNUR 1/11/2021 1/12/2021
21 LILY AULIA YUNITA 538857 24 DR.LISNUR 1/12/2021 1/12/2021
22 ZAHRAQUMI HALIMATI 538752 25 DR.LISNUR 1/13/2021 1/14/2021
23 SUSI SUSANTI 485171 29 DR.JUWITA 1/14/2021 1/14/2021
24 SURIYAH 538718 29 DR.JUWITA 1/14/2021 1/14/2021
25 IDA DAROJATIN 420962 28 DR.LISNUR 1/14/2021 1/14/2021
26 EVA YULIA PURBO SARI 434900 27 DR.JUWITA 1/15/2021 1/15/2021
27 CATUR AYU 256791 26 DR.JUWITA 1/15/2021 1/15/2021
28 DEWI ISTIANAH 540122 26 DR.LISNUR 1/15/2021 1/16/2021
29 INAYATI YULIANI 535509 28 DR.LISNUR 1/16/2021 1/16/2021
30 NOVI MURNIASIH 429140 37 DR.LISNUR 1/17/2021 1/17/2021
31 YUNAAH 540219 37 DR.LISNUR 1/18/2021 1/18/2021
32 FATIA KUSUMA WARDANI 386648 27 DR.MOSJAB 1/19/2021 1/19/2021
33 SRI SUGIARTI 540204 26 DR.JUWITA 1/19/2021 1/19/2021
34 NURUL KHASANAH 540214 32 DR.MOSJAB 1/19/2021 1/19/2021
35 RIZKY APRILIA 309126 33 DR.JUWITA 1/20/2021 1/20/2021
36 INDAH KAROMAH 540255 27 DR.LISNUR 1/19/2021 1/20/2021
37 DWI SETIYANI 540337 37 DR.LISNUR 1/21/2021 1/21/2021
38 SITI NASIROTUL 373947 28 DR.LISNUR 1/21/2021 1/22/2021
39 REZA TRI UMAMI 181070 29 DR.MOSJAB 1/21/2021 1/22/2021
40 ISKURNIATI 110443 36 DR.JUWITA 1/23/2021 1/25/2021
41 YENI RANTEWA 382142 35 DR.LISNUR 1/25/2021 1/26/2021
42 EKA WULAN SUCI 540581 29 DR.JUWITA 1/27/2021 1/27/2021
43 DESI RIZKIANA 537118 35 DR.JUWITA 1/27/2021 1/27/2021
44 EKA LESTARI PUTRI 540540 29 DR.LISNUR 1/26/2021 1/27/2021
45 LAELI NUR HIDAYAH 285611 26 DR.LISNUR 1/30/2021 1/30/2021
46 YULIA KARTIKA 361204 32 DR.JUWITA 1/28/2021 1/28/2021
47 MARTHA PURNASARI DEWI 387304 37 DR.LISNUR 1/29/2021 1/29/2021
48 LINDASARI 540619 31 DR.JUWITA 1/28/2021 1/29/2021
 DATA PASIEN SC
PROFILAKSIS Jam di JAM di JENIS OPERASI
TGL KELUAR LOS INDIKASI Putuskan Lakukan RESPON
YA TIDAK SC SC TIME CITO

1/5/2021 6 KPD, PRESENTASI KAKI, G3P2A0 FASE AKTIF V 1:00 1:30:00 0:30:00 V

1/4/2021 5 G2POA1 PEB 41 MGG INDUKSI GAGAL V 23:50 0:20:00 0:30:00 V

1/5/2021 4 LETAK LINTANG G1P0A0 RENCANA SC V 10:20 13:00 2:40:00

1/5/2021 4 GT2P1A0 KPD RIW SC CPD V 12:00 15:00 3:00:00

1/6/2021 6 INDUKSI GAGAL KPD 3 HR G1P0A0 H. 31 MG V 9:30 10:50:00 1:20:00

1/6/2021 4 SHIPILIS G4P2A1 DALAM PERSALINAN V 19:00 20:25 1:25:00
1/7/2021 4 LETAK LINTANG G4P2A1 H. ATERM V 11:25 13:10 1:45:00
1/9/2021 4 G3P1A1 KPD,RIW SC V 18:50 20:30 1:40:00
1/9/2021 4 G3P0A2 KPD,OBLIGH V 19:00 21:45 2:45:00
1/8/2021 4 G2P0A1 PRESBO V 10:00 12:25 2:25:00
1/8/2021 5 G1P0A0 KPD,PRESBO V 10:00 11:20 1:20:00
1/8/2021 4 G2P1A0 KPD,OLIGO,FETAL DISTRES V 23:15 23:45 0:30:00 V
1/10/2021 4 G2P1A0 RIW SC OBLIGH V 9:10 13:45 4:35:00
1/10/2021 4 G1P0A0 MALPRESENTASI KALA 2 TAK MAJU V 20:00 22:00 2:00:00
1/11/2021 6 G5P4A0 H 32 MGGU GEMELLY SOLUSIO PLAS V 13:00 13:45 0:45:00
1/11/2021 4 G2P1A0 RIW SC DISTOCIA SERVIKALIS V 9:30 10:30 1:00:00
1/12/2021 4 OBLIGH KPD G3P0A1 V 11:08 11:35 0:27:00 V
1/14/2021 4 RUI MALPRESENTASI G3P2A0 PTM V 13:40 14:00 0:20:00 V
1/14/2021 4 PP TOTALIS G2P1A0 RIW SC V 10:30 11:00 0:30:00 V
1/15/2021 5 PEB,GEMELI, G3P2A0 HAMIL 36 MINGGU V 10:30 11:35 1:05:00
1/15/2021 4 MALPRESENTASI, RUI, G1P0A0 HAMIL ATER V 9:30 11:00 1:30:00
1/17/2021 5 INPARTU G1P0A0 POSTDATE, PRESENTASI M V 11:45 13:45 2:00:00
1/17/2021 4 INP G2P1A0 RIW SC FASE AKTIF V 19:40 21:05 1:25:00
1/17/2021 4 G2P1A0 ATERM RIW SC < 2 TAHUN, RIWYAT V 0:00:00
1/17/2021 4 G2P1A0 KPD LETAK LINTANG V 10:00 12:35:00 2:35:00
1/18/2021 4 MALPRESENTASI , RIW SC 6 TH G2P1 V 9:00 11:20:00 2:20:00
1/18/2021 4 KPD , RIW SC< 2TH G2P1A0 V 8:30 12:10 3:40:00
1/19/2021 5 INDUKSI GAGAL KPD G1 41-42 MG V 19:00 20:20:00 1:20:00
1/19/2021 4 OBLIGH KPD OLIGOHIDRAMNION G1 41 V 19:00 20:40 1:40:00
1/20/2021 4 DISTOCIA SERVIKALIS G2P1A0 RIW. SC PE V 20:30 21:50 1:20:00
1/21/2021 4 G1P0A0 PEB INFERTIL 16 TAHUN V 12:00 13:05 1:05:00
1/22/2021 4 G2P1A0 RIW SC,KPD V 6:00 10:05 4:05:00
1/22/2021 4 G2P1A0 LETAK LINTANG,RIW SC V 10:30 11:35 1:05:00
1/22/2021 4 G3P2A0 RIW SC 2 X V 9:00 10:30 1:30:00
1/23/2021 4 G3P2A0 PP TOTALIS V 7:00 12:05 5:05:00
1/23/2021 5 G1P0A0 KPD,INDUKSI GAGAL,BABY GIANT V 9:40 10:40 1:00:00
1/24/2021 4 KPD G3P1A1 RIW SC 2X, SBR TIPIS CUKUP AN V 8:00 11:00 3:00:00
1/25/2021 5 INDUKSI GAGAL, PE, G2P0A1 MALPRESENTASI, V 10:00 10:30 0:30:00 V
1/25/2021 5 G1P0A0 PE, ASD SEKUNDER, PH RIN V 6:00 10:25 4:25:00
1/28/2021 6 G5P4A0 HAMIL 36 MGG PEB V 11:00 13:05 2:05:00
1/29/2021 5 G4P2A1 RIW SC DALAM PERSALINAN, DISTOCI V 10:00 11:15 1:15:00
1/30/2021 4 PEB , GEMELY LETAK LINTANG G2P0 V 20:25 21:45:00 1:20:00
1/30/2021 4 APH e.c PP TOTAL RIW. SC G2P1A0 V 22:00 22:20:00 0:20:00 V
1/30/2021 5 PEB G1P0A0 36 MG INFERTIL 3 TH , DM V 9:00 11:35 2:35:00
2/2/2021 4 G2P1A0 CPD,OBIGH,RIW SC V 7:00 10:50 3:50:00
1/31/2021 4 G2P1A0 RIW SC,GLAUKOMA V 9:00 11:35 2:35:00
2/1/2021 4 G2P1A0 RIW SC DG MIOMA UTERI V 9:00 11:30 2:30:00
2/1/2021 5 G3P0A2,PREEKLAMSI,LETAK LINTANG V 8:00 11:45 3:45:00
8
JENIS OPERASI STATUS ASAL RUJUKAN BUNDLES PASIEN OPERASI PROFILAKSIS
ELEKTI
F UMUM BPJS IGD POLI YA TIDAK DILAKUKAN TIDAK NAMA OBAT

V V V V TIDAK DIBERIKAN

V V V V TIDAK DIBERIKAN

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V TIDAK DIBERIKAN
V V V V TIDAK DIBERIKAN
V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 3 GR
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK DIBERIKAN
V V V V V CEFAZOLIN 2 GR
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK TGL SC
1 UHTI ULFA ALFIYANTI 485973 28 DR.LISNUR 2/1/2021 2/1/2021
2 YOLANDA SARI 266374 31 DR.JUWITA 2/1/2021 2/1/2021
3 NAULI YANUARITA MASUSI 401797 31 DR.JUWITA 2/1/2021 2/1/2021
4 SUSY TRIWANTY 450817 43 DR.JUWITA 2/1/2021 2/1/2021
5 NURJANAH 540343 26 DR.LISNUR 2/2/2021 2/2/2021
6 LUSIANA RENY ESTIKA 360716 34 DR.JUWITA 2/2/2021 2/2/2021
7 INDAH PURWANTI 431056 31 DR.JUWITA 2/2/2021 2/3/2021
8 MUFLIHAH 230368 37 DR JUWITA 2/4/2021 2/4/2021
9 DEWI PUTRI AYUNINGRUM 540925 31 DR.LISNUR 2/5/2021 2/5/2021
10 SRI RUSTINI 499014 40 DR.LISNUR 2/4/2021 2/4/2021
11 YASINTA DEWI 464610 32 DR JUWITA 2/5/2021 2/6/2021
12 IMANIAR SAVITRI 524216 29 DR.LISNUR 2/5/2021 2/5/2021
13 AMALIAWATI BT KADIRUN 487205 43 DR JUWITA 2/5/2021 2/6/2021
14 AENUL LATIFAH 540678 21 DR.LISNUR 2/6/2021 2/7/2021
15 WAHYUNINGSIH BT WAHYUDI 539956 27 DR.LISNUR 2/6/2021 2/7/2021
16 DEWI NURYATI 540980 32 DR.LISNUR 2/7/2021 2/7/2021
17 TRI AGUS TENI 540977 39 DR.LISNUR 2/7/2021 2/7/2021
18 DEWI NUR FITASARI 453001 26 DR JUWITA 2/8/2021 2/8/2021
19 MURNIATI 347987 35 DR JUWITA 2/8/2021 2/8/2021
20 NURKOIDAH 471103 37 DR.LISNUR 2/8/2021 2/9/2021
21 NENI NURAENI 292684 34 DR.LISNUR 2/9/2021 2/9/2021
22 MUTHOHAROH 462277 40 DR.LISNUR 2/10/2021 2/10/2021
23 FIAN MULYAGA (27 Th) 541150 27 DR. JUWITA 2/12/2021 2/12/2021
24 LIA NUR AFIFTIYANI (27 Th) 534460 27 DR.JUWITA 2/12/2021 2/12/2021
25 SHOFIYATUN HANANI (35 Th) 541124 35 DR.JUWITA 2/11/2021 2/12/2021
26 HIMMATUN BALIGHOH AMAR (26 Th) 540596 26 DR.JUWITA 2/13/2021 2/13/2021
27 DEWI JAYANTI (24 Th) 408221 24 DR.JUWITA 2/13/2021 2/13/2021
28 KURNIASIH DWI PANGESTIKA (27 Th) 541272 27 DR.JUWITA 2/15/2021 2/16/2021
29 ASTI WAHYUNI (36 Th) 277358 36 DR.LISNUR 2/16/2021 2/16/2021
30 KUKUH KURNIASIH (32 Th) 541279 32 DR.LISNUR 2/16/2021 2/16/2021
31 WIWIK NATASHA (19 Th) 541236 19 DR.LISNUR 2/15/2021 2/16/2021

32 DR.LISNUR
RANI KUSUMA (25 Th) 534487 25 2/18/2021 2/18/2021

33 DR.LISNUR
BELLA FAUZIYAH LAELY (23 Th) 541381 23 2/18/2021 2/19/2021
34 NUR ISNAENI 541403 30 DR JUWITA 2/20/2021 2/20/2021
35 FIDELLA.dr 486730 34 DR MOSJAB 2/22/2021 2/22/2021
36 TENIS SUPRIYANTI 539780 38 DR LISNUR 2/22/2021 2/22/2021
37 PUJI AROFAH 448296 30 DR MOSJAB 2/22/2021 2/22/2021
38 NIA RIZKI MARTININGTYAS 541545 30 DR.LISNUR 2/23/2021 2/23/2021
39 SITI ADILAH 332094 39 DR,LISNUR 2/23/2021 2/23/2021
40 USWATUN KHASANAH 538706 25 DR,JUWITA 2/23/2021 2/23/2021
41 SRI LIDIA RAHAYU 145520 38 DR.LISNUR 2/24/2021 2/24/2021
42 NUR ANNISA 177321 27 DR.MOSJAB 2/24/2021 2/24/2021
43 MUSLIKHATUN 414949 25 DR.LISNUR 2/24/2021 2/24/2021
44 SITI HALIMATU SADIAH 485889 40 DR,JUWITA 2/25/2021 2/25/2021
ISMI SHOLATUS SHOLIKHAH 35
45 ERISANTI 277000 DR.LISNUR 2/25/2021 2/25/2021
46 MUSRIAH BINTI RAMAD 530197 23 DR.JUWITA 2/26/2021 2/26/2021
47 OKI AYU MEGAWATI 394120 24 DR.LISNUR 2/25/2021 2/26/2021

48 KHOIRUNNISA 238225 25 DR.JUWITA 2/26/2021 2/26/2021

49 MARLINDA FAJARIYANTI 541733 29 DR.JUWITA 2/26/2021 2/26/2021

50 NUR HIDAYAH 454273 30 DR.JUWITA 2/27/2021 2/27/2021

51 SUSI NURHAYATI 541760 27 DR.LISNUR 2/27/2021 2/28/2021
 DATA PASIEN SC TH 2021
PROFILAKSIS Jam di JAM di
TGL KELUAR LOS INDIKASI Putuskan Lakukan
YA TIDAK SC SC
2/4/2021 3 G1P0A0 KPD INFERTIL 5 TH V 8:15 11:50
2/4/2021 3 G3P1A1 PE RIW SC V 9:00 12:00
2/4/2021 3 G3P2A0 RIW.SC V 9:30 12:50
2/4/2021 3 G4P3A0 LETAK LINTANG V 10:00 11:20
2/5/2021 3 G5P3A1 RIW SC < 2TH V 8:30 11:00
2/5/2021 3 G2P1A0 PEB RIW SC V 10:45 12:10
2/6/2021 4 PEB RIW. SC G2P1A0 V 8:10 12:25
2/7/2021 3 PERDARAHAN V 8:00 10:45
2/8/2021 3 OBLIGH, KPD, G2P0A1 HAMIL ATERM V 13:20 15:15
2/7/2021 3 G7P3A3 INPARTU PRESBO + PE V 10:15 10:45
2/9/2021 4 G3P2A0 RIW SC 2X PEB V 6:45 9:15
2/8/2021 3 SOLUSIO PLASENTA, HAMIL 34-35 MINGGU G2P0A1, P V 15:40 16:35:00
2/9/2021 4 G3P1A1 DGN RIW SC LETAK LINTANG PE V 7:00 9:50:00
2/10/2021 4 G1P0A0 40 MGG ANEMIA OLIGOHIDRAMNIOM V 9:45 10:15
2/10/2021 4 G2P1A0 PRESENTASI KAKI + PE V 8:45 9:40:00
2/10/2021 3 G2P1A0 KPD MALPRESENTASI KALA II TAK MAJU V 22:00 22:45:00
2/10/2021 3 G3P1A1 RIW SC PE V 20:45 21:00
2/11/2021 3 G2P1A0 POLIHIDRAMNION MALPRESENTAS V 9:30 11:10:00
2/11/2021 3 G3P2A0 RIW SC MALPRESENTASI PEB V 9:00 12:00
INDUKSI GAGAL OLIGO G4P1A2
2/12/2021 4 V 10:00 10:40:00
POSTDATE
2/12/2021 3 KPD ARITMIA G3P2A0 V 10:00 11:25:00
2/13/2021 3 KPD OBESITAS G3P2A0 KPD V 9:00 12:00:00
2/15/2021 3 KPD, MALPRESENTASI, G1P0A0 ATERM V 16:25 16:55
2/15/2021 3 RUPTUR UTERI IMMINENT, G1P0A0 V 15:40 16:10
2/15/2021 4 G2P1A0 PEB, OEDEM PULMO, DM V 6:00 9:25
2/16/2021 3 LETAK LINTANG V 9:30 11:20
2/16/2021 3 G1P0A0 IUFD, SOLUSIO PLASENTA V 12:08 12:35
2/19/2021 4 DKP PEB G1P0A0 H. ATERM V 6:15 10:40
2/19/2021 3 LETAK LINTANG G2P1A0 RIW. SC DLM V 8:00 11:00
PERSALINAN
2/19/2021 3 CPD KPD G2P1A0 H. ATERM RIW. SC V 8:30 11:50
MALPRESENTASI KALAII PTM G1P0A0 H.
2/19/2021 4 ATERM V 6:00 8:00

G1P0A0, INPARTU FASE AKTIF, LETAK

2/21/2021 3 LINTANG V 11:30 13:00

G1P0A0, KPD, STIMULASI

2/22/2021 4 GAGALOLIGOHIDRAMNION V 12:00 13:15:00
2/23/2021 3 G3P2A0 LETAK LINTANG RUI V 21:50 22:20:00
2/25/2021 3 G2P1A0 PEB V 7:00 7:30
2/25/2021 3 G3P2A0 LETAK LINTANG V 12:40 12:55
2/25/2021 3 G2P1A0 GEMELLY V 5:55 6:20
2/26/2021 3 G1P0AO KPD . 8 JAM V 11:00 12:00
2/26/2021 3 DISTOSIA CERVIKALICALIS V 11:00 12:51
2/26/2021 3 G3P2A0 RIW SC 2X V 9:00 11:00
2/27/2021 3 INP G5P3A1 RIW SC V 10:00 10:47
2/27/2021 3 G1P0A0 PRESBO V 9:30 13:00
2/27/2021 3 G1P0A0 IUGR 37-38 PLR V 11:00 13:10
2/28/2021 3 G5P4A0 LETAK LINTANG RIW SC V 9:30 12:05

2/28/2021 3 G3P2A0, LETAK LINTANG, RIW. SC V 9:00 13:05

3/1/2021 3 G1P0A0 MALPRESENTASI V 8:15 11:00:00
3/1/2021 3 G4P1A2 PEB, GEMELI, RIWAYAT SC V 9:00 10:50

3/1/2021 3 G3P1A1 KPD, IUGR, RIW. SC V 20:45 22:20

3/1/2021 3 G2P1A0 , OLIGIHIDRAMNION, KPD V 22:00 23:00:00

GT4P1A2 36 MINGGU RIW.
3/2/2021 3 JANTUNG, FASE AKTIF V 0:45 1:10:00
3/3/2021 3 DISTOCIA CERVICALIS RUI V 3:55 4:15:00
2021
RESPON JENIS OPERASI STATUS ASAL RUJUKAN
TIME CITO ELEKTIF UMUM BPJS IGD POLI YA TIDAK
3:35 V V V V
3:00 V V V V
3:20 V V V V
1:20 V V V V
2:30 V V V V
1:25 V V V V
4:15 V V V V
2:45 V V V V
1:55 V V V V
0:30 V V V V
2:30 V V V V
0:55 V V V V
2:50 V V V V
0:30 V V V V
0:55 V V V V
0:45 V V V V
0:15 V V V V
1:40 V V V V
3:00 V V V V
0:40 V V V V
1:25 V V V V
3:00 V V V V
0:30 V V V V
0:30 V V V V
3:25 V V V V
1:50 V V V V
0:27 V V V V
4:25 V V V V
3:00 V V V V
3:20 V V V V
2:00 v V V V

1:30 V v v v

1:15 V V V V
0:30 V V V V
0:30 V V V V
0:15 V V V V
0:25 V V V V
1:00 v V V V
1:51 V V V V
2:00 V V V V
0:47 V V V V
3:30 V V V V
2:10 V V V V
 2:35 V V V V

4:05 V V V V
2:45 V V V V
1:50 V V V V

1:35 V V V V

1:00 V V V V

0:25 V V V V
0:20:00 V V V V
10
BUNDLES PASIEN OPERASI PROFILAKSIS
DILAKUKAN TIDAK NAMA OBAT
V TIDAK
CEFAZOLIN 3 GR
CEFAZOLIN 3 GR
CEFAZOLIN 2 GR
V TIDAK
V CEFAZOLIN 2 GR
V CEFAZOLIN 3 GR
V CEFAZOLIN 2 GR
V TIDAK
TIDAK
V TIDAK
V TIDAK
V CEFAZOLIN 2 GR
V TIDAK
V TIDAK
V TIDAK
V TIDAK
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V TIDAK
V TIDAK
V TIDAK
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V TIDAK
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V TIDAK
V TIDAK
V TIDAK

v TIDAK

V TIDAK
V CEFAZOLIN 2GR
V CEFAZOLIN 2GR
V TIDAK
V CEFAZOLIN 2GR
V TIDAK
V TIDAK
CEFAZOLIN 2GR
V TIDAK
V CEFAZOLIN 2GR
V TIDAK
V CEFAZOL 2 GR

V TIDAK
V CEFAZOL 2 GR
V TIDAK

V CEFAZOL 2 GR

V CEFAZOL 2 GR

V CEFAZOL 2 GR
V TIDAK
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK TGL SC

1 BETI YULIA OKTAVIANI 532751 39 DR LISNUR 3/1/2021 3/1/2021

2 WASRI 434776 34 DR LISNUR 3/2/2021 3/2/2021
3 LINDA SRIASTUTI 541838 26 DR LISNUR 3/1/2021 3/2/2021
4 PUPUT CHANDRA KIRANA 461953 23 DR JUWITA 3/1/2021 3/3/2021
5 LISTYA PARANITASARI 530310 28 DR JUWITA 3/1/2021 3/3/2021
6 TUNISYA FEBBY SAFITRI 397443 25 DR LISNUR 3/2/2021 3/2/2021
7 YUSRI ANIS FAIDAH 468378 30 DR LISNUR 3/3/2021 3/3/2021
8 SUKMA RESIANA 540948 36 DR JUWITA 3/1/2021 3/3/2021
9 FITRI AMALIA 5414957 25 DR JUWITA 3/4/2021 3/4/2021
10 IKA NATALIA 539906 34 DR JUWITA 3/4/2021 3/4/2021
11 NELIYATUNNISA (33 Th) 288042 33 DR LISNUR 3/5/2021 3/5/2021
12 MARIA ULFA (24 Th) 467650 24 DR JUWITA 3/4/2021 3/5/2021
13 UTARI PANGESTUTI (25 Th) 531727 25 DR JUWITA 3/5/2021 3/5/2021
14 INDAH BARIROH (27 Th) 406819 27 DR LISNUR 3/4/2021 3/5/2021
15HADIATI LUTHFIATUL ALIMIYAH (40 Th)256801 DR LISNUR 3/8/2021 3/8/2021
16 WARSITI SONDARI (41 Th) 542164 41 DR JUWITA 3/9/2021 3/9/2021
17 VENY AMELIA (29 Th) 375984 29 DR JUWITA 3/10/2021 3/10/2021
18 TRY UTAMI (27 Th) 542255 27 Dr. M. Mosjab, Sp. OG,3/11/2021 3/11/2021
19 TUTI RAHAYU (27 Th) 539953 27 DR JUWITA 3/13/2021 3/13/2021
20 TINA YUNIARTI (29 Th) 365341 29 DR LISNUR 3/13/2021 3/13/2021
21 ENDANG APRILIANA (37 Th) 540294 37 DR JUWITA 3/14/2021 3/14/2021
22 IKA MUTIARA (31 Th) 542403 31 Dr. M. Mosjab, Sp. OG,3/15/2021 3/15/2021
23 ENDANG TRIANA (31 Th) 471182 31 DR LISNUR 3/15/2021 3/15/2021
24 YUSICA ANDRIANI (28 Th) 541185 28 DR LISNUR 3/15/2021 3/16/2021
25 SALMA SALSABILA (31 Th) 482993 31 DR LISNUR 3/16/2021 3/16/2021
26 nia purniasih (35 Th) 313042 35 DR JUWITA 3/16/2021 3/16/2021
27 WATI ANDRIYANI (34 Th) 542506 34 DR JUWITA 3/16/2021 3/16/2021
28 ANA SETYOWATI (35 Th) 542290 35 DR LISNUR 3/17/2021 3/17/2021
29 FILIYA INDAH SAPUTRI (28 Th) 440539 28 DR JUWITA 3/17/2021 3/17/2021
30 ANA LUTHFIA (34 Th) 419569 34 DR LISNUR 3/17/2021 3/17/2021
31 AMRINA ROSYADA (29 Th) 433851 29 DR LISNUR 3/17/2021 3/17/2021
32 KHALIMAH (26 Th) 416481 26
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/19/2021 3/19/2021
33 WIJAYANTI MAHARDIKA (29 Th) 541406 29
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/19/2021 3/19/2021
34 YULI RISTA SARI (32 Th) 542646 32
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/19/2021 3/19/2021
35 NURAINI ANNISA MUSLIM (28 Th) 540478 28Dr. Hj. Juwita Elva, Sp. OG,
3/20/2021 3/20/2021
36 NOVITA MERRY DYANA (35 Th) 344869 35 Dr. M. Mosjab, Sp. OG,3/20/2021 3/21/2021
37 ASIH SUHARSIH (41 Th) 536244 41
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/21/2021 3/22/2021
38 ATIEQ SHOFARINA AZZAHRA (21 Th) 506627 21Dr. Hj. Juwita Elva, Sp. OG,
3/22/2021 3/22/2021
39 KANTI RAHAYU (40 Th) 209152 40Dr. Hj. Juwita Elva, Sp. OG,
3/22/2021 3/22/2021
40 NURHIKMAH (21 Th) 542730 21 Dr. M. Mosjab, Sp. OG,3/22/2021 3/23/2021
41 ROZALINA (29 Th) 375202 29Dr. Hj. Juwita Elva, Sp. OG,
3/23/2021 3/23/2021
42 NUNUNG SUGIARTATI (38 Th) 542744 38
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/23/2021 3/23/2021
43 MUMTAHANAH MULIADINI (22 Th) 542466 22
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/23/2021 3/23/2021
44
DESY ANGGRAENI PUSPITA.S, S.PD (33 Th)
541142 33Dr. Hj. Juwita Elva, Sp. OG,
3/23/2021 3/24/2021
45 NUR HIKMAH BEGYO SUCI (25 Th) 439269 25Dr. Hj. Juwita Elva, Sp. OG,
3/24/2021 3/24/2021
46 TIKA FITRIYANTI (27 Th) 363145 27
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/25/2021 3/25/2021
47 MELLY LESTARI (26 Th) 401717 26 Dr. Hj. Juwita Elva, Sp. OG
3/25/2021 3/25/2021
48 INNAROTUT DAROJAH (28 Th) 542923 28 Dr. Hj. Juwita Elva, Sp. OG
3/26/2021 3/27/2021
49 NADIA YOLA MAULINA (25 Th) 542939 25 Dr. M. Mosjab, Sp. OG,3/27/2021 3/27/2021
50 DWI IVA MAULIANA (27 Th) 542895 27
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/28/2021 3/28/2021
51 ULFA AELANI (28 Th) 542975 28 Dr. M. Mosjab, Sp. OG,3/27/2021 3/28/2021
52 ANIFAH NURJANAH (26 Th) 542969 26 Dr. Hj. Juwita Elva, Sp. OG
3/27/2021 3/28/2021
53 KHALIMATUS SADIAH (24 Th) 541043 24 Dr. Hj. Juwita Elva, Sp. OG
3/28/2021 3/28/2021
54 ERWIN FIRGINA PRAMUDYA (30 Th) 499935 30Dr. Hj. Juwita Elva, Sp. OG,
3/31/2021 3/31/2021
55 SUSANTI (42 Th) 541915 42
Dr. Hj. Lisnur Saptowati, Sp.OG,
3/31/2021 3/31/2021
56 SITI AMALIA (31 Th) 361848 31Dr. Hj. Juwita Elva, Sp. OG,
3/31/2021 3/31/2021
 DATA PASIEN SC TH 2021
PROFILAKSIS
TGL KELUAR LOS INDIKASI
YA TIDAK
3/4/2021 4 G2P1A0 CPD, RIWAYAT SC V
3/5/2021 4 G2P1A0 RIW SC CPD PE V
3/5/2021 4 G1P0A0 POSTDATE KPD, INDUKSI GAGAL, OLIGOHIDRAMNION V
3/6/2021 5 PREEKLASMIA, INDUKSI GAGAL, POSTDATE, G2P0A1 V
3/6/2021 5 PREEKLASMIA, INDUKSI GAGAL, G1P0A0 ATERM V
3/5/2021 4 STIMULASI GAGAL, G1P0A0 RIWAYAT PEMASANGAN RING V
3/6/2021 4 G2P1A0 OBLIG RIWAYAT SC V
3/6/2021 5 PEB GIP0A0, INDUKSI GAGAL V
3/7/2021 4 G1P0A0 PRESBO PE V
3/7/2021 4 PP TOTALIS G3P2A0 V
3/8/2021 4 G3P2A0 RIWAYAT SC 38-39MGG V
3/8/2021 5 G2P1A0, KPD GAGAL INDUKSI V
3/8/2021 4 G1P0A0 KPD PE PRO SC V
3/8/2021 5 G2P1AO KALA 1 FASE AKTIF, POSTERM V
3/11/2021 4 G2P1A0 KPD OBLIG RIW SC 3TH YLL V
3/12/2021 4 G3P2A0 PEB POSTDATE V
3/13/2021 4 G3P2A0 KPD RIW. SC 2X V
3/14/2021 4 G3P1A1 V
3/16/2021 4 DKP, G2P1A0 ATERM RIWAYAT SC V
3/16/2021 4 GIP0A0, KPD, OBLIGH V
3/17/2021 4 G2P1A0 PEB, KPD, ATERM, RIWYAT SC, JANIN BESAR V
3/18/2021 4 G1P0A0 PRESBO V
3/18/2021 4 G3P2A0 39-40 PEB PRESBO V
3/19/2021 4 G1P0A0 FASE LATEN, GAGAL INDUKSI BABY GIANT V
3/19/2021 3 G2P1A0 CPD RIW SC V
3/19/2021 3 G5P2A2 OLIGOHIDRAMNION, IUGR, PE V
3/19/2021 3 G2P0A1 KPD OBLIQ
3/20/2021 3 G2P1A0 RIW SC DENGAN KPD V
3/20/2021 3 G2P1A0 RIW SC V
3/20/2021 3 G1P0A0 DISTOCIA SERVIKALIS V
3/21/2021 4 G2P1A0 HAML 38W DG OBLIQUE, POLIHIDRAMNION, GIANT BABY V
3/22/2021 3 OBLIG G2P2A0 39 MINGGU RIW SC V
3/22/2021 3 G2P1A0 37-38MINGGU PRESBO V
3/22/2021 3 MALPRESENTASI, RUPTUR UTERI IMMINENT, G2P1A0, V
3/23/2021 3 G2P0A1 PE POST DATE MAL PRESENTASI V
3/24/2021 3 G2P1A0 INPARTU RIW SC V
3/25/2021 3 G3P2A0 LETAK LINTANG PE V
3/25/2021 3 G2P1A0 RIW SC 10 BLN, PE V
3/25/2021 3 G4P2A1, KPD, RIW. SC V
3/26/2021 3 G2P1A0 RIW SC V
3/26/2021 3 G3P2AA0 40 MGG+2 IUGR V
3/26/2021 3 G3P2A0 PE RIW SC 2 TH V
3/26/2021 3 G1P0A0 HAMIL 38MINGGU PRO SC V
3/27/2021 3 G5P2A2 H 30-31 W DG KPD V
3/27/2021 3 PEB RW SC V
3/28/2021 3 G3P2A0 IUFD V
3/28/2021 3 G2P1A0 ATERM RIW SC V
3/30/2021 4 G1P0A0 , RUPTUR UTERI IMINENT,POST DATE FASE AKTIF V
3/30/2021 3 INPARTU G2 P1 A0 RIW SC PE V
3/31/2021 3 INPARTU G1P0A0 FASE AKTIF OBLIQ V
3/31/2021 4 G1P0A0 KPD RUPTUR UTERI IMINENT V
3/31/2021 4 INPARTU, PEB V
3/31/2021 3 G2P1A0 ANTEPARTUM HEMORAGIC EX PP TOTAL V
4/3/2021 3 G2P1A0, KPD, OBESITAS, GIANT BABY V
4/3/2021 3 G3P2A0 38-39 MG RIW SC INPARTU V
4/3/2021 3 G5P4A0 ATERM RIW SC 3X V
SC TH 2021
JENIS OPERASI STATUS ASAL
Jam di Putuskan SC
JAM di LakukanRESPON
SC TIME
CITO ELEKTIF UMUM BPJS IGD
8:00 13:00 5:00 V V V
9:10 14:20 5:10 V V V
9:00 13:10 4:10 V V V
9:00 12:45 3:45 V V V
8:45 11:10:00 2:25 V V V
14:30 15:00 0:30 v V V
9:00 13:15:00 4:15 V V V
0:00 V V V
11:00 11:45:00 0:45 V V
10:00 10:30:00 0:30 v V
9:30 11:05:00 1:35 V V
9:00 10:45:00 1:45 V V V
10:00 11:00:00 1:00 V V V
10:35 13:00:00 2:25 V V V
11:00 13:15:00 2:15 V V V
15:45 17:30:00 1:45 V V V
23:58 0:55:00 0:57 V V V
4:30 10:00:00 5:30 V V V
9:10 11:15:00 2:05 V V V
10:10 11:45 1:35 V V V
17:30 19:25 1:55 V V V
8:00 13:40:00 5:40 V V V
11:00 13:10:00 2:10 V V V
12:00 13:00:00 1:00 V V V
9:00 13:50:00 4:50 V V
9:50 12:15:00 2:25 V V V
21:00 22:30:00 1:30 V V V
9:00 12:30:00 3:30 V V V
7:30 13:35:00 6:05 V V V
12:00 13:15:00 1:15 V V V
9:30 14:00:00 4:30 V V V
8:30 13:50 5:20 V V V
8:30 13:00 4:30 V V V
22:10 22:40:00 0:30 v V V
8:00 11:15:00 3:15 V V V
6:30 7:50 1:20 V V V
0:00:00 1:20:00 1:20 V V V
8:00 12:15:00 4:15 V V V
16:45 17:45:00 1:00 V V V
9:30 10:10:00 0:40 V V V
10:30 12:40:00 2:10 V V V
7:30 12:00:00 4:30 V V V
11:00 12:25:00 1:25 V V V
4:50 6:10:00 1:20 V V V
11:30 12:55:00 1:25 V V V
9:05 12:55 3:50 V V V
8:00 11:50 3:50 V V V
2:30 3:00 0:30 V V V
8:30 13:50 5:20 V V V
19:00 20:05 1:05 V V V
6:30 7:00:00 0:30 V V V
10:30 11:35:00 1:05 V V V
12:20 12:50:00 0:30 V V V
9:00 12:00:00 3:00 V V V
12:40 13:20:00 0:40 V V
9:00 12:55:00 3:55 V V
7

;
ASAL RUJUKAN BUNDLES PASIEN OPERASI PROFILAKSIS
POLI YA TIDAK DILAKUKAN TIDAK NAMA OBAT
V V TIDAK
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V CEFAZOLIN 2GR
V V V TIDAK
V V V CEFAZOLIN 2GR
V V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V V CEFZOLIN 2GR
V V CEFZOLIN 2GR
V V CEFZOLIN 2GR
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V TIDAK
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOL 2 GR
V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V CEFAZOL 2 GR
V V CEFAZOLIN 2GR
V V TIDAK
V V TIDAK
V V CEFAZOL 2 GR
 V V CEFAZOLIN 2GR
V TIDAK
V TIDAK
V CEFAZOLIN 2 GR
V CEFAZOLIN 2GR
V V TIDAK
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V V TIDAK
V V V CEFAZOLIN 2GR
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK

1 YUSTIKA AULIA FANI (27 Th) 378934 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/1/2021
2 MASQI FITRIA (28 Th) 463253 28 Dr. Hj. Juwita Elva, Sp. OG, 4/1/2021

3 ARUM BUDI SOFINI (29 Th) 504642 29 Dr. M. Mosjab, Sp. OG, M. Kes, 4/1/2021

4 SANTI ISTIANA (31 Th) 306069 31 Dr. Hj. Juwita Elva, Sp. OG, 4/1/2021

5 DIAN EKI FITRIANI (27 Th) 542951 27 Dr. Hj. Juwita Elva, Sp. OG, 4/3/2021

6 SRI RAHAYU (29 Th) 543293 29 Dr. M. Mosjab, Sp. OG, M. Kes, 4/4/2021

7 ARIKA ANGGRAINI (25 Th) 543322 25 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/5/2021
8 MEMY FATIMAH (26 Th) 543266 26 Dr. Hj. Juwita Elva, Sp. OG, 4/5/2021

9 FATIMATUZ ZAHRA (29 Th) 543316 29 Dr. Hj. Juwita Elva, Sp. OG, 4/5/2021

10WIDYA CAHYANI RAMDHAYANTI (20 Th)543326 20 Dr. Hj. Juwita Elva, Sp. OG 4/6/2021
11 SITI NURJANAH (31 Th) 543451 31 Dr. Hj. Juwita Elva, Sp. OG 4/7/2021
12 SOPIYAH (38 Th) 543527 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/8/2021
13 VANI DWI SAPUTRI (27 Th) 543464 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/8/2021
14 NURKHAYATUN (31 Th) 384330 31 Dr. Hj. Juwita Elva, Sp. OG 4/8/2021
15 PATMAWATI BT WAHIDIN (37 Th) 543534 37 Dr. Hj. Juwita Elva, Sp. OG 4/9/2021
16BUNGA RISCHITA WIHARNOKO (28 Th) 418778 28 Dr. Hj. Juwita Elva, Sp. OG 4/9/2021
17 ALIF ALFIANTI FIRAMIDA (33 Th) 543618 33 Dr. Hj. Juwita Elva, Sp. OG 4/9/2021
18 DIAH WIDIARTI (38 Th) 373374 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/10/2021
19 NUR AISAH (29 Th) 354006 29 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/10/2021
20 FITRIANINGRUM (29 Th) 465631 29 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/10/2021
21 WIDYATI INDAH SRI LESTARI (40 Th) 382258 40 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/12/2021
22 SUKMA WIDI ANGGRAENI (29 Th) 490032 29 Dr. M. Mosjab, Sp. OG, M. Kes, 4/12/2021
23 BELINDA SARASWATI DEWI (26 Th) 543725 26 Dr. M. Mosjab, Sp. OG, M. Kes, 4/12/2021
24 SYELLA MONTI APRILIANA (22 Th) 518137 22 Dr. Hj. Juwita Elva, Sp. OG 4/12/2021
25 ANI PUJI LESTARI (29 Th) 543752 29 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/13/2021
26 ERIKA CAHYA MELANI (19 Th) 543903 19 Dr. M. Mosjab, Sp. OG, M. Kes, 4/14/2021
27 RIZQI ROSYANDI AMALIYAH (25 Th) 543858 25 Dr. M. Mosjab, Sp. OG, M. Kes, 4/14/2021
28 USWATUN KHOIRIYAH (34 Th) 392609 34 Dr. Hj. Juwita Elva, Sp. OG, 4/14/2021
29 NUR BAETI (38 Th) 124141 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/13/2021
30 HARLIN EKA YUVITA (27 Th) 543927 27 Dr. M. Mosjab, Sp. OG, M. Kes, 4/15/2021
31 NOVI MAULIDIYATI (33 Th) 323091 33 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/17/2021
32 RATNAWATI 544059 39 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/18/2021
33 ROSIANA MAWARTIKA (35 Th) 304852 35 Dr. Hj. Juwita Elva, Sp. OG, 4/19/2021
34 SRI HARUMI FITRIANI (37 Th) 359787 37 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/19/2021
35 SHOLICHAH (37 Th) 357221 37 Dr. Hj. Juwita Elva, Sp. OG, 4/16/2021
36 MARLIANA CORVIYANTI (31 Th) 447681 31 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/20/2021
37AINAYAH JELITA PURNAMASARI (26 Th) 494120 26 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/20/2021
 38 SITI KHOERUN NISA (34 Th) 544205 34 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/21/2021
39 SARIAH (43 Th) 544169 43 Dr. Hj. Juwita Elva, Sp. OG, 4/20/2021
40 LUSIANA AVIYANTI (31 Th) 349732 31 Dr. Hj. Juwita Elva, Sp. OG, 4/21/2021

41 ROSA AFRINA (34 Th) 463370 34 Dr. Hj. Juwita Elva, Sp. OG, 4/21/2021

42 AISAH MUSRIYANI (26 Th) 544252 26 Dr. Hj. Juwita Elva, Sp. OG, 4/21/2021

43 RINI WAHYU WIDIANI (27 Th) 498835 27 Dr. Hj. Juwita Elva, Sp. OG, 4/22/2021
44 NUR HIKMAH (41 Th) 544026 41 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/22/2021
45 NINA FITRI RIZKIANI (34 Th) 215436 34 Dr. Hj. Juwita Elva, Sp. OG, 4/24/2021
46 RICKA PUSPITA SARI (29 Th) 544213 29 Dr. Hj. Juwita Elva, Sp. OG, 4/24/2021
47 EKA HERAWATI (39 Th) 376011 39 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/26/2021

NADYA
48 NURCHAYATI LUKMAN ALKATIRI, ST (40
112836
Th) 40 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/27/2021

49 SINTA DWI OKTAVIANI (29 Th) 420707 29 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/27/2021
50 ELA SARI NURVILANI (23 Th) 544509 23 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/26/2021
51 KASIYATIN (38 Th) 544549 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/27/2021
52 NUNGKI AMALIA (25 Th) 415736 25 Dr. Hj. Juwita Elva, Sp. OG, 4/27/2021
53 CAHYA MAULIDA ROSY (24 Th) 543001 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/28/2021

54 AZIZAH (29 Th) 423297 29 Dr. Hj. Juwita Elva, Sp. OG, 4/28/2021

55 SINTA ERNA (32 Th) 301318 32 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/30/2021
56 KUSWANTI (26 Th) 524194 26 Dr. Hj. Lisnur Saptowati, Sp.OG, 4/29/2021
 DATA PASIEN SC TH 2021
PROFILAKSIS
TGL SC TGL KELUAR LOS INDIKASI
YA TIDAK
4/1/2021 4/4/2021 3 G1P0A0 KPD V
4/1/2021 4/4/2021 3 RIW SC POSTDATE OLIGOHIDROMNION V

4/1/2021 4/4/2021 3 G2P1A0 RIW SC V

4/1/2021 4/4/2021 3 G3 P2 A0 RIW. SC 2X PE V

4/3/2021 4/6/2021 3 G2P1A0 INPARTU H35-36MG DGN PPI V

4/4/2021 4/7/2021 3 G1P0A0 FASE AKTIF V

4/5/2021 4/8/2021 3 G1P0A0, PE, LETAK LINTANG V

4/5/2021 4/8/2021 3 G1P0A0 LETAK LINTANG ATERM RENC S V

4/5/2021 4/8/2021 3 G2P1A0 RIW SC FASE AKTIF V

4/6/2021 4/9/2021 3 G1P0A0 38-39 OLIGOHIDRAMNION, MA V

4/7/2021 4/10/2021 3 G2P1A0 38Mgg,Oblique,Riw SC V
4/8/2021 4/11/2021 3 G2P1A0 POST DATE , PRESBO V
4/8/2021 4/11/2021 3 G1P0A0 39 40 LETAK LINTANG V
4/8/2021 4/11/2021 3 G2P1A0, RIW. SC, PE, CPD V
4/9/2021 4/12/2021 3 G2P1A0 38-39 LETAK LINTANG V
4/9/2021 4/12/2021 3 G2P0A1, KPD DKP V
4/9/2021 4/12/2021 3 G2P0A1 FASE AKTIF FETAL DISTRESS V
4/10/2021 4/13/2021 3 G2P1A0, LETAK LINTANG, DALAM PERSALINAN V
4/10/2021 4/13/2021 3 G2P1A0, LETAK LINTANG DALAM PERSALINAN V
4/11/2021 4/14/2021 4 G2P1A0 RIW.SC KPD DISTOCIA SERVIKALIS V
4/12/2021 4/15/2021 4 G2P1A0 KPD, LETAK LINTANG, RIW SC V
4/13/2021 4/16/2021 4 G2P1A0 RIW SC 2 TH KPD V
4/13/2021 4/16/2021 4 G1P0A0 IUGR KPD V
4/13/2021 4/16/2021 4 PE, OLIGOHIDRAMNION, INDUKSI GAGA V
4/13/2021 4/16/2021 3 G2P1A0 PEB, RIW SC V
4/14/2021 4/17/2021 3 G1 P0 A0 FASE AKTIF, RUPTUR UTERI V
4/14/2021 4/17/2021 3 G4P2A1 RIW SC KPD V
4/14/2021 4/17/2021 3 G2P1A0 HAMIL 39 MG RIW SC INPARTU V
4/14/2021 4/17/2021 3 INPARTU G3P2A0 DG PE, RIWAYAT SC, DISTOCIA CE V
4/15/2021 4/18/2021 3 G1P0A0 KPD V
4/17/2021 4/20/2021 3 G2P1A0 OBLIQ RIW SC H38MG V
4/18/2021 4/21/2021 3 G2 P1 A0 RIW SC KPD RUI V
4/19/2021 4/22/2021 3 G2P1A0 RIW SC POSTDATE V
4/19/2021 4/22/2021 3 G3P2A0 RIW SC 2X, SBR<3,5MM V
4/19/2021 4/22/2021 5 G4P2A1 DENGAN PEB LETAK LINTANG, V
4/20/2021 4/23/2021 3 LWTAK LINTANG G2P1A1 RIW SC V
4/20/2021 4/23/2021 3 G2P1A0 38-39 LETAK LINTANG V
4/21/2021 4/24/2021 4 G4P3A0 PRESBO DALAM PERSALINAN V
4/21/2021 4/24/2021 3 PEB OLIGOHIDROMNION G4P2A1 V
4/21/2021 4/24/2021 3 GEMELI LETAK LINTANG DG PE RIW SC V

4/21/2021 4/24/2021 3 G3P2 39-40 MGG RIW SC 2X V

4/22/2021 4/25/2021 4 G1P0A0 DGN PEB V

4/22/2021 4/25/2021 3 G2P0A1 PPV V

4/23/2021 4/26/2021 4 G2P1A0 FASE AKTIF INDUKSI GAGAL MALPRESENTAS V
4/24/2021 4/27/2021 3 INP G4P3A0 H 30MGG PERDARAHAN V
4/24/2021 4/27/2021 3 G1P0A0, PRESBO,PE V
4/26/2021 4/29/2021 3 G6P5A0, KPD, LETAK LINTANG, RIW. SC 2X V

4/27/2021 4/30/2021 3 G3P2A0 RIW.SC 2X V

4/27/2021 4/30/2021 3 INPARTU G2P1A0 H.39-40MINGGU RIW SC V

4/27/2021 4/30/2021 4 G1P0A0 INPARTU FASE AKTIF V
4/28/2021 5/1/2021 3 G4P2A1 PEB POST DATE V
4/28/2021 5/1/2021 3 G2P1A0 PEB V
4/29/2021 5/2/2021 4 G1P0A0 OLIGO, KPD, POSTDATE V

4/29/2021 5/2/2021 4 G2P1A0 ATERM FASE LATEN V

4/30/2021 5/3/2021 3 INPARTU G3P2A0 FASE AKTIF RIW SC V

4/30/2021 5/3/2021 4 G2P0A1 POST TERM LETAK LINTANG DALAM PERSA V
SC TH 2021
JENIS OPERASI STATUS ASAL
Jam di Putuskan JAM
SC di LakukanRESPON
SC TIME
CITO ELEKTIF UMUM BPJS IGD POLI
13:20 13:40 0:20 V V V
11:10 11:45 0:35 V V V

9:00 15:00 6:00 V V V

9:00 12:15 3:15 V V V

9:30 12:10:00 2:40 V V V

10:45 11:00:00 0:15 V V V

7:30 13:10:00 5:40 V V V

10:00 12:15:00 2:15 V V V

2:00 2:30:00 0:30 V V V

9:00 11:25 2:25 V V V

8:45 11:35 2:50 V V V
8:00 11:35 3:35 V V V
9:05 13:30 4:25 V V V
9:00 11:55:00 2:55 V V V
8:30 12:55:00 4:25 V V V
17:30 19:10:00 1:40 V V V
19:15 19:45:00 0:30 V V V
8:00 13:00:00 5:00 V V V
8:30 13:45:00 5:15 V V V
8:45 10:15:00 1:30 V V V
8:00 13:25 5:25 V V V
8:00 9:40 1:40 V V V
8:00 9:25 1:25 V V V
9:00 10:35:00 1:35 V V V
7:30 13:00:00 5:30 V V V
20:50 21:20:00 0:30 V V V
9:00 12:38 3:38 V V V
9:30 11:35 2:05 V V V
10:00 11:40 1:40 V V V
12:00 13:35:00 1:35 V V V
8:30 10:45:00 2:15 V V V
19:05 19:35 0:30 V V V
8:30 12:45 4:15 V V V
7:30 13:15 5:45 V V V
9:30 12:05:00 2:35 V V V
10:05 12:45:00 2:40 V V V
8:00 11:55:00 3:55 V V V
 9:00 13:10:00 4:10 V V V
9:00 12:55:00 3:55 V V V
10:00 13:45:00 3:45 V V V

9:00 11:35:00 2:35 V V V

10:00 13:30:00 3:30 V V V

7:00 12:45:00 5:45 V V V

16:00 17:00 1:00 V V V
15:00 15:20:00 0:20 V V V
10:30 14:20:00 3:50 V V V
9:30 13:25:00 3:55 V V V

11:00 14:55:00 3:55 V V V

10:00 11:40:00 1:40 V V V

13:00 14:00:00 1:00 V V V
11:30 13:15:00 1:45 V V V
11:30 13:15:00 1:45 V V V
11:00 12:40:00 1:40 V V V

8:35 9:00:00 0:25 v V V V

19:44 20:10 0:26 V V V

23:35 23:55 0:20 V V V

10
 RUJUKAN BUNDLES PASIEN OPERASI PROFILAKSIS
YA TIDAK DILAKUKAN TIDAK NAMA OBAT
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR

V V CEFAZOL 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN

V V TIDAK DIBERIKAN

V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN

V V CEFAZOLIN 2 GR

V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK

1 IVA ANISAH (29 Th) 437534 29 Dr. Hj. Juwita Elva, Sp. OG, 5/1/2021

2 ASIH SUSIATUN (34 Th) 544722 34 Dr. Hj. Juwita Elva, Sp. OG, 5/1/2021

3 DESI SAFITRI (29 Th) 544099 29 Dr. Hj. Juwita Elva, Sp. OG, 5/2/2021

4 MUGIWATI (36 Th) 306207 36 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/3/2021

5 NUR AFIFAH HIDAYATI (28 Th) 444679 28 Dr. Hj. Juwita Elva, Sp. OG, 5/3/2021

6 AGUS TRESNAWATI (36 Th) 355293 36 Dr. Hj. Juwita Elva, Sp. OG, 5/3/2021

7 ESA TRIANA AGUSTIRA (30 Th) 523097 30 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/4/2021

8 AENUN FITRIYA NINGRUM (24 Th) 524240 24 Dr. Hj. Juwita Elva, Sp. OG, 5/4/2021

9 DEWI INDRIYANI (31 Th) 539236 31 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/4/2021
10 MARCELLINA TRISNAWATI (28 Th) 500722 28 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/5/2021
11 MAOSITA YOLARI HARYONO (25 Th) 417555 25 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/5/2021
12 DWI AZIZAH LESTARI (42 Th) 179833 42 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/4/2021
13 DIANA OKTAFIYANA (25 Th) 506117 25 Dr. Hj. Juwita Elva, Sp. OG, 5/6/2021
14 YUMN KHAULAH (22 Th) 544998 22 Dr. Hj. Juwita Elva, Sp. OG, 5/6/2021
15 EMA MUZIANAH (35 Th) 543732 35 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/7/2021
16 TRI WIDIAASTUTI (27 Th) 417111 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/7/2021
17 FARIKHA TRIUMI MARIYANTI K (29 Th) 477270 29 Dr. Hj. Lisnur Saptowati, Sp.OG,5/10/2021
18 NERLIN NABELLA (24 Th) 545120 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 5/9/2021
19 RIZQI KHOLIFATUL ARDILLAH (27 Th) 527575 27 Dr. Hj. Lisnur Saptowati, Sp.OG,5/10/2021
20 DINAR NUR FERARI (24 Th) 545185 24 Dr. Hj. Lisnur Saptowati, Sp.OG,5/10/2021
21 EVA APRILIA FREDI AYU (31 Th) 350769 31 Dr. Hj. Lisnur Saptowati, Sp.OG,5/11/2021
22 MARYANAH WATI (32 Th) 545217 32 Dr. Hj. Lisnur Saptowati, Sp.OG,5/11/2021
23 TUTUT SRI WAHYUNI (29 Th) 545287 29 Dr. Hj. Juwita Elva, Sp. OG, 5/12/2021
24 HALIMAH (39 Th) 545406 39 Dr. Hj. Juwita Elva, Sp. OG, 5/14/2021
25 AULIA NURUL AZIZAH WIJAYANTI (25 Th) 545420 25 Dr. Hj. Juwita Elva, Sp. OG, 5/15/2021
26 EKA NURBETY (25 Th) 545422 25 Dr. Hj. Juwita Elva, Sp. OG, 5/15/2021
27 DEWI SUSIYANTI (35 Th) 543623 35 Dr. Hj. Juwita Elva, Sp. OG, 5/15/2021
28 YUNI MULYATI (22 Th) 545414 22 Dr. Hj. Juwita Elva, Sp. OG, 5/15/2021
29 KHUNAENI (35 Th) 460740 35 Dr. Hj. Juwita Elva, Sp. OG, 5/16/2021
30 YESI YUSFANINGSIH (38 Th) 252425 38 Dr. Hj. Lisnur Saptowati, Sp.OG,5/16/2021
31 KHOMSATUN AISAH (31 Th) 367854 31 Dr. Hj. Juwita Elva, Sp. OG, 5/16/2021
32 FEBRICA ARMY SUKMA NINGTIAS (25 Th) 374243 25 Dr.Mosjab,SPOG 5/17/2021
33 LAELI NUR ISTIQOMAH (26 Th) 331941 26 Dr. Hj. Lisnur Saptowati, Sp.OG,5/17/2021
34 RIZKI SEPTIA HARYANTI (29 Th) 445707 29 Dr. Hj. Juwita Elva, Sp. OG, 5/18/2021
35 DIAN NOVITARINI (36 Th) 316574 36 Dr. Hj. Juwita Elva, Sp. OG, 5/18/2021
36 SYIFA NUR FITRIYANI (29 Th) 431174 29 Dr. Hj. Lisnur Saptowati, Sp.OG,5/18/2021
37 ADINDA PUTRI YODHITA (24 Th) 522218 24 Dr. Hj. Lisnur Saptowati, Sp.OG,5/18/2021
38 ISTIQOMAH (32 Th) 461130 32 Dr. Hj. Juwita Elva, Sp. OG, 5/19/2021
39 LILIS SURIANDINI (35 Th) 286536 35 Dr. Hj. Juwita Elva, Sp. OG, 5/20/2021
40 DESI ARYANI (31 Th) 457618 31 Dr. Hj. Lisnur Saptowati, Sp.OG,5/20/2021
41 MUZARODAH (38 Th) 520235 38 Dr. Hj. Lisnur Saptowati, Sp.OG,5/20/2021
42 RIKA MAYASARI (36 Th) 305331 36 Dr. M. Mosjab, Sp. OG, M. Kes,5/20/2021
43 RIZKI MENTARI SUCI (24 Th) 207942 24 Dr. M. Mosjab, Sp. OG, M. Kes,5/20/2021
44 NURUL FITRIANI (31 Th) 543742 31 Dr. Hj. Lisnur Saptowati, Sp.OG,5/20/2021
45 SYIFAUL FAUZIYAH (30 Th) 308153 30 Dr. Hj. Juwita Elva, Sp. OG, 5/20/2021
46 ANANDA PUTRI PRATAMA (33 Th) 531129 33 Dr. Hj. Juwita Elva, Sp. OG, 5/20/2021
47 DIAH NURHIDAYATI (24 Th) 430634 24 Dr. Hj. Lisnur Saptowati, Sp.OG,5/21/2021
48 ASIH ARYANTI (32 Th) 328925 32 Dr. Hj. Lisnur Saptowati, Sp.OG,5/21/2021
49 NUNI KHOERUNNISA (30 Th) 360801 30 Dr. Hj. Lisnur Saptowati, Sp.OG,5/24/2021
50 KHURUN AEN(29) 546023 29 Dr. Hj. Lisnur Saptowati, Sp.OG,5/24/2021
51 AENUR ASIH AYU SETIANINGRUM 546154 27 Dr. Hj. Lisnur Saptowati, Sp.OG,5/26/2021
52 SUCI NUROH (33 Th) 546210 33 Dr. Hj. Lisnur Saptowati, Sp.OG,5/27/2021
53 UMI FAIZAH (38 Th) 546214 38 Dr. Hj. Lisnur Saptowati, Sp.OG,5/28/2021
54 ISMI MASTHUROH 546176 26 DR.MOSJAB,SPOG 5/27/2021
55 FERI SUCIATI 452306 31 Dr. Hj. Lisnur Saptowati, Sp.OG,5/28/2021
56 UMI INAYATI 191304 41 Dr. Hj. Lisnur Saptowati, Sp.OG,5/29/2021
57 TITA SETIAWATI 373389 30 Dr. Hj. Juwita Elva, Sp. OG, 5/29/2021
58 RATNA FUJIYATI (31 Th) 546405 31 Dr. Hj. Juwita Elva, Sp. OG, 5/30/2021
59 NURUL IZZATI (31 Th) 452884 31 Dr. Hj. Juwita Elva, Sp. OG, 5/31/2021
 DATA PASIEN SC TH 2021
PROFILAKSIS
TGL SC TGL KELUAR LOS INDIKASI
YA
5/1/2021 5/4/2021 4 G1P0A0 KPD, GEMELI V

5/2/2021 5/5/2021 5G3P1A1 HAMIL 36 MINGGU IUFD riwayat sc, LETAK LINTANGV

5/2/2021 5/5/2021 4 G2P1A0 RIW SC DENGAN KPD, RUPTUR UTERI V

5/3/2021 5/6/2021 4 G3 P2 A0 RIWAYAT SC KPD

5/3/2021 5/6/2021 4 G2P1A0 RIW SC 1 KALI, KPD V

5/3/2021 5/6/2021 4 G3P1A0 RIW SC MALPRESENTASI V

5/4/2021 5/7/2021 4 G2P1A0 DG KPD RIW SC

5/4/2021 5/7/2021 4 GEMELI LETAK LINTANG V

5/5/2021 5/8/2021 GIP0A0

4 INPARTU KALA I, FASE AKTIF, POST DATE,GGAL INDUKSI
5/5/2021 5/8/2021 4 INP.G2P1A0 RIWAYAT SC DENGAN KPD
5/5/2021 5/8/2021 4 G1P0A0 PE KPD POST DATE
5/5/2021 5/8/2021 4 G3P1A1 PEB
5/6/2021 5/9/2021 4 G2P0A1 DENGAN PRESBO V
5/7/2021 5/10/2021 4 FETAL DISTRES, PE, OLIGO, G V
5/7/2021 5/10/2021 3 PEB, GEMMELY
5/8/2021 5/11/2021 3 FETAL DISTRES, PEB, G2P1A0 PRETERM
5/10/2021 5/13/2021 3 OBLIGH G2P1A0 RE SC OLIGO
5/10/2021 5/13/2021 4 STIMULASI GAGAL PEB, GIAN BABY G1P0A0
5/11/2021 5/14/2021 4 CPD PARTUS PERCOBAAN OLIGOHIDRAMNION
5/11/2021 5/14/2021 4 INDUKSI GAGAL POST DATE G1P0A0 OLIGO
5/11/2021 5/14/2021 5 OLIGOHIDRAMNION G3P1A1 40-41 MINGGU RE SC
5/12/2021 5/15/2021 4 INPARTU G3P2A0 PEB RIW ASMA
5/12/2021 5/15/2021 4 G2P1A0 RUPTUR UTERI IMINENT RIWAYAT SC, ATERM V
5/14/2021 5/17/2021 4 G2P0A1 ATERM PEB, MALPRESENTASI, INFERTIL 10 TAHUN V
5/15/2021 5/18/2021 4 G1P0A0 PRESBO FASE AKTIF V
5/15/2021 5/18/2021 4 G1P0A0 PEB POST DATE V
5/15/2021 5/18/2021 4 G2P1A0 PEB POST DATE V
5/15/2021 5/18/2021 4 G3P2A0 PRESBO V
5/16/2021 5/19/2021 4 INPARTU PRE EXLAMSI BERAT V
5/16/2021 5/19/2021 4 G3P2A0 RIWAYAT SC 2X
5/17/2021 5/20/2021 4 G2P1A0 RIW SC DALAM PROSES PERSALINAN V
5/17/2021 5/20/2021 4 G2P0A1, PEB V
5/18/2021 5/21/2021 5 INPARTU G1P0A0 POST TERM
5/18/2021 5/21/2021 4 G1P0A0 KPD V
5/18/2021 5/21/2021 4 G3P2A0 OLIGOHIDROAMNION POSTDATE MALPRESENTASI V
5/19/2021 5/22/2021 5 G1P0A0 PEB
5/19/2021 5/22/2021 5 INPARTU G2P1A0 RIW.SC PRESBO V
5/19/2021 5/22/2021 4 G2P1A0, KPD, RIW. SC V
5/20/2021 5/23/2021 4 G3P2A0 RIW. SC 2X V
5/20/2021 5/23/2021 4 G2P1A0 RIW SC PEB
5/20/2021 5/23/2021 4 G3P2A0 HAMIL 38 MINGG DGN PEB
5/20/2021 5/23/2021 4 G1P0A0 KPD PEB V
5/20/2021 5/23/2021 4 G1P0A0, PRESBO, FASE AKTIF KPD V
5/20/2021 5/23/2021 4 G2P1A0 RIW. SC LETAK LINTANG
5/20/2021 5/23/2021 4 G4P2A1 36-37 RIW SC 2X V
5/21/2021 5/24/2021 5 G1P0A0 PP TOTAL LETAK LINTANG V
5/21/2021 5/24/2021 MALPRESENTASI
4 KALA II TAK MAJU G2P1A0 RIW SC TINDAKAN : RE SC
5/22/2021 5/25/2021 MALPRESENTASI
5 STIMULASI GAGAL LILITAN TALI PUSAT, G1P0A0
5/24/2021 5/27/2021 4 G2P1A0 KPS 12 JAM RIW. SC
5/25/2021 5/28/2021 4 G1P0A0 SUSP CPD V
5/26/2021 5/29/2021 4 INP G1P0A0 PEB OBLIQ V
5/28/2021 5/31/2021 4 G1P0A0 PRE EKLAMPSI, INFERTIL 10 TH
5/28/2021 5/31/2021 4 G2P1A0 PRESBO
5/28/2021 5/31/2021 4 G2P1A0 KPD,RIW SC,ANEMIA V
5/28/2021 5/31/2021 4 G2P1A0 RIW SC,DISTOSIA CERVIKALIS
5/29/2021 5/1/2021 4 G5P2A2 KPD,RIW SC
5/29/2021 5/1/2021 4 G3P1A1 RIW SC V
5/31/2021 6/3/2021 5 G2P1A0 RIW PREEKLAMSI PE V
5/31/2021 6/3/2021 4 G3P1A1 FASE AKTIF RIWAYAT SC, RUI V
SC TH 2021
PROFILAKSIS JENIS OPERASI STATUS ASAL
Jam di Putuskan
JAMSCdi LakukanRESPON
SC TIME
TIDAK CITO ELEKTIF UMUM BPJS IGD
8:00 9:00 1:00 V V V

5:45 7:15 1:30 V V V

20:32 21:01 0:29 V V V

V 7:00 13:01 6:01 V V V

10:00 12:50 2:50 V V V

9:00 11:55:00 2:55 V V V

V 10:00 12:45:00 2:45 V V V

10:00 13:00 3:00 V V

V 13:40 14:25 0:45 V V V

V 10:00 13:30:00 3:30 V V V
V 20:00 20:45:00 0:45 V V V
V 21:00 21:45 0:45 V V V
2:15 11:15 9:00 V V V
1:20 1:40 0:20 V V V
V 10:45 11:45 1:00 V V
V 1:15 1:45 0:30 V V V
V 14:00 14:30 0:30 V V V
V 11:00 11:30:00 0:30 V V V
V 8:50 12:20:00 3:30 V V V
V 8:50 12:20:00 3:30 V V V
V 12:50 13:10:00 0:20 V V V
V 10:00 11:05 1:05 V V V
19:55 20:20 0:25 V V V
19:30 20:00 0:30 V V V
6:30 9:20 2:50 V V V
8:00 11:00:00 3:00 V V V
9:00 10:05 1:05 V V V
23:20 0:20 0:00 V V V
8:00 9:00 1:00 V V V
V 2:00 3:10:00 1:10 V V V
8:00 8:30:00 0:30 V V V
10:00 10:45:00 0:45 V V V
V 12:30 14:25 1:55 V V V
8:00 12:30:00 4:30 V V V
8:00:00 13:15 5:15 V V V
V 10:00:00 11:20 1:20 V V V
 9:00 10:40 1:40 V V V
9:00 11:25 2:25 V V V
8:00 11:10 3:10 V V V
V 12:30 14:20 1:50 V V V
V 12:30 13:30 1:00 V V V
9:30 14:55 5:25 V V V
14:00 15:30 1:30 V V V
V 14:00 15:20 1:20 V V V
8:00 12:00 4:00 V V V
6:30 9:00 2:30 V V V
V 21:45 22:10 0:25 V V V
V 11:45 13:15 1:00 V V V
V 10:00 12:20 3:00 V V V
V 22:42 23:05 0:23 v V V
V 18:00 19:40:00 5:00 V V
V 8:30 13:25 4:55 V V V
V 10:30 14:00 3:30 V V V
13:15 14:30 1:15 V V V
V 19:00 20:35 1:35 V V V
V 8:00 10:15 2:15 V V V
10:00:00 12:05 2:05 V V V
7:00 11:55 4:55 V V V
16:45 17:15 0:30 V V V
ASAL RUJUKAN BUNDLES PASIEN OPERASI PROFILAKSIS
POLI YA TIDAK DILAKUKAN TIDAK NAMA OBAT
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V

V V V CEFAZOLIN 2 GR

V V
V V
V V
V V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
 V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V V TIDAK DIBERIKAN
V V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOL 2 GR
V V CEFAZOLIN 2 GR
V
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK

1 LENI SAKUROH (37 Th) 361087 37 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/3/2021
2 SRI INDRIYANI (28 Th) 421678 28 Dr. Hj. Juwita Elva, Sp. OG, 6/3/2021
3 IMANIA (30 Th) 480758 30 Dr. Hj. Juwita Elva, Sp. OG, 6/3/2021
4 VIVI NOVIYANTI (32 Th) 462953 32 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/3/2021
5 OKVIYANI (29 Th) 546583 29 Dr. Hj. Juwita Elva, Sp. OG, 6/3/2021
6 HANA FAIZAH (23 Th) 524544 23 Dr. Hj. Juwita Elva, Sp. OG, 6/2/2021
7 ROHMI FITRIA (33 Th) 502686 33 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/3/2021
8 SHABRINA PATRIANI (30 Th) 546280 30 Dr. Hj. Juwita Elva, Sp. OG, 6/3/2021
9 IIN CHASANAH (41 Th) 79101 41 Dr. Hj. Juwita Elva, Sp. OG, 6/4/2021
10 REJEKI TRI UTAMI (38 Th) 535855 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/4/2021
11 KRISNA DEWI (30 Th) 416984 30 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/4/2021
12 WESITHA BT TARIPAN (39 Th) 512793 39 Dr. Hj. Juwita Elva, Sp. OG, 6/4/2021
13 TRIANI RAGIL 516976 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/4/2021
14 ISNA YULIANTI 545937 30 Dr. Hj. Juwita Elva, Sp. OG, 6/5/2021
15 NUR ALFIANI 546847 28 Dr. M. Mosjab, Sp. OG, M. Kes, 6/7/2021
16 UUT ANASIYAH 546877 27 Dr. M. Mosjab, Sp. OG, M. Kes, 6/7/2021
17 ZAKIYAH 539802 26 Dr. M. Mosjab, Sp. OG, M. Kes, 6/7/2021
18 WIDY RELIGIA 488655 27 Dr. Hj. Juwita Elva, Sp. OG, 6/9/2021
19 KHUSNUL HAMIMAH (26 Th) 544887 26 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/8/2021
20 EKA ARIZA ASYAUKI (25 Th) 526437 25 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/8/2021
21 LISA KURNIASIH (39 Th) 146289 39 Dr. Hj. Juwita Elva, Sp. OG, 6/9/2021
22 DEWI SARTIKA 547003 29 Dr. Hj. Juwita Elva, Sp. OG, 6/10/2021
23RIZKI AMANDA FERDITA PUTRI (26 Th)497130 26 Dr. M. Mosjab, Sp. OG, M. Kes, 6/10/2021
24 ATIKAH ANGGRAENI (24 Th) 534945 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/10/2021
25 NOVITA HERYANI (36 Th) 547064 36 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/11/2021
26 NUR HALIMAH (24 Th) 547051 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/11/2021
27 SILVIA EKA WULANDARI (20 Th) 547105 20 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/12/2021
28 EFA SETIYANI (23 Th) 547115 23 Dr. M. Mosjab, Sp. OG, M. Kes, 6/12/2021
UMI LISTIANINGSIH (28 Th) 406754 28 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/12/2021
30 TRI EVI AFIFAH (27 Th) 547113 27 Dr. M. Mosjab, Sp. OG, M. Kes, 6/12/2021
31 SITI ANISAH (34 Th) 538888 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/14/2021
32 VENY VERAWATI (31 Th) 547204 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/14/2021
33 DAMIROH (42 Th) 434891 42 Dr. Hj. Juwita Elva, Sp. OG, 6/16/2021
34 TETI FAZRIYAH 283379 30 Dr. Hj. Juwita Elva, Sp. OG, 6/17/2021
35 anisa novayanti 352650 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/16/2021
36 WARIDAH 545583 35 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/17/2021
37 WIRAYANI 479714 38 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/17/2021
38 KHUSNUL AMALIA 472541 28 Dr. Hj. Juwita Elva, Sp. OG, 6/18/2021
39 MARIFAH 514807 35 Dr. Hj. Juwita Elva, Sp. OG, 6/18/2021
40 PUTRI WULANDARI 547437 20 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/17/2021
41 NURHIKMAH 546607 27 Dr. Hj. Juwita Elva, Sp. OG, 6/18/2021
42 MONICA APRILIYANI 547530 27 Dr. Hj. Juwita Elva, Sp. OG, 6/19/2021
43 SRI AYUNING LESTARI 443312 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/19/2021
44 SRIYATI 545211 43 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/20/2021
45 SANTI WINDISARI 345830 35 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/21/2021
46 DWI SETYANINGRUM 547698 34 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/22/2021
47 JANTI SITI HAWA (27 Th) 547731 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/22/2021
48 IKA SUSILANINGSIH (24 Th) 440601 24 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/23/2021
49 DITA SARAH DAMAYANTI (33 Th) 381055 33 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/24/2021
50 SITI KHOTIMAH (42 Th) 114735 42 Dr. Hj. Lisnur Saptowati, Sp.OG, 6/24/2021
51 ELITA BAHARI 399936 40 Dr. Hj. Lisnur Saptowati, Sp.OG, 28-06-2021
52 ROHYATI (34 Th) 440645 34 Dr. Hj. Juwita Elva, Sp. OG, 6/28/2021
53 TRI AMELIA 428864 28 Dr. Hj. Juwita Elva, Sp. OG, 6/29/2021
 DATA PASIEN SC TH 2021
PROFILAKSIS
TGL SC TGL KELUAR LOS INDIKASI
YA TIDAK
6/3/2021 6/6/2021 4 G3P2A0 RIW SC 2X v
6/3/2021 6/6/2021 4 LETAK LINTANG RIW SC, G4P2A1 ATERM V
6/3/2021 6/6/2021 4 G2P1A0 ATERM DG SIFILIS V
6/3/2021 6/6/2021 4 KET V
6/3/2021 6/6/2021 4 MALPRESENTASI RIW SC 7TH, G2P1A0 ATERM V
6/3/2021 6/6/2021 5 PEB INDUKSI GAGAL, G1P0A0 V
6/4/2021 6/7/2021 5 RUPTUR UTERI IMINENT, KALA II TAK MAJU, KPD OLIGO V
6/4/2021 6/7/2021 5 PEB MALPRESENTASI, G1P0A0 H.ATERM V
6/4/2021 6/7/2021 4 LETAK LINTANG G4P3A0 H.ATERM V
6/4/2021 6/7/2021 4 G3P2A0 RIW SC 2X V
6/4/2021 6/7/2021 4 PRESBO KPD G2P1A0 RIW SC GIANT BABY V
6/4/2021 6/7/2021 4 LETAK LINTANG RIW SC G4P1A2 H.ATERM V
6/5/2021 6/8/2021 5 OBLIQ G1P0A0 GAGAL INDUKSI V
6/6/2021 6/9/2021 5 G3P1A1 KPD OBLIQ, IUGR, INDUKSI GAGAL V
6/7/2021 6/10/2021 4 G1P0A0 KALA 2 TAK MAJU V
6/7/2021 6/10/2021 4 G1P0A0 KALA 1 LAMA V
6/8/2021 6/11/2021 4 G1P0A0 PEB,KPD,PP TOTALIS V
6/9/2021 6/12/2021 4 G2P1A0 KPD,LETAK LINTANG V
6/9/2021 6/12/2021 4 G1P0A0, PEB V
6/9/2021 6/12/2021 4 INPARTU G2P0A1 KPD POST DATE V
6/9/2021 6/12/2021 4 G3P2A0 HML 36MGGU RIW SC V
6/10/2021 6/13/2021 4 G4P2A1 KPD,RIW SC V
6/10/2021 6/13/2021 4 G1P0A0 PEB V
6/11/2021 6/14/2021 5 GAGAL INDUKSI, KPD 24 JAM, G1P0A0, OBESITAS 105 KG V
6/11/2021 6/14/2021 4 OBLIGH, KPD, INFERTIL 10 TH V
6/11/2021 6/14/2021 4 MALPRESENTASI, KALA II TAK MAJU, G1P0A0 POSTDATE V
6/12/2021 6/15/2021 4 OBLIGH KPD >24 JAM, G1P0A0 HAMIL 39 MGGU, OBESISTA V
6/12/2021 6/15/2021 4 MALPRESENTASI, KPD, G1P0A0 HAMIL POSDATE, OLIGO V
6/12/2021 6/15/2021 4 OBLIGH, KPD, G2P1A0 HAMIL 38 MINGGU MIOP 8-8 V
6/12/2021 6/15/2021 4 PRESBO, KPD, G1P0A0 HAMIL ATERM V
6/14/2021 6/17/2021 4 OBLIGH KPD >24 JAM, G1P0A0 INFERTIF 10TH V
6/14/2021 6/17/2021 4 G2P1A0 RIW SC 17BULAN, HAMIL ATERM SBR<3,5MM V
6/16/2021 6/19/2021 4 PE POST DATE RIW SC G2P1A0 V
6/17/2021 6/20/2021 4 G3P2A0 RIW SC KPD V
6/17/2021 6/20/2021 5 G2P1A0 KPD 24 JAM V
6/17/2021 6/20/2021 4 CPD, KPD, G1P0A0 ATERM V
6/17/2021 6/20/2021 4 MALPRESENTASI, G2P1A0 ATERM, PE V
6/18/2021 6/21/2021 4 MALPRESENTASI G2P1A0 RIW SC V
6/18/2021 6/21/2021 4 KPD, MALPRESENTASIG4P1A2 POSTDATE V
6/18/2021 6/21/2021 5 MALRESENTASI PE G1P0A0 INDUKSI GAGAL, OLIG V
6/19/2021 6/22/2021 5 PEB, RIW SC, G2P1A0 ATERM V
6/19/2021 6/22/2021 4 G2P1A0 RUPTUR UTERI IMINENT,RIW SC,KPD V
6/19/2021 6/22/2021 4 G2P1A0 RIW SC OBLIGH,KPD V
6/21/2021 6/24/2021 5 G2P1A0 PEB,ANAK HIDUP(-) V
6/21/2021 6/24/2021 4 G3P2A0 KPD,RIW SC 2X SBR < 3,5 MM V
6/22/2021 6/25/2021 4 G2P1A0 H 33 MINGGU PEB RIW SC CARDIOMEGALLY V
6/23/2021 6/26/2021 5 G1P0A0 KPD POST DATE V
6/24/2021 6/27/2021 5 PEB OLIGOHIDRAMNION G1P0A0 V
6/24/2021 6/27/2021 4 G3P1A0 POSTDATE OBLIG V
6/24/2021 6/27/2021 4 G5P3A1 PE RIWAYAT SC 2THN V
28-06-2021 DISTOCIA CERVIKALIS POLYP CERVIK KPD PE G1P0A0 H. A V
28-06-2021 7/1/2021 4 PEB G3P1A1 RIW STROKE V
6/29/2021 7/2/2021 4 G2P1A0 RIW SC PE V
C TH 2021
JENIS OPERASI STATUS ASAL
Jam di Putuskan SC JAM di Lakukan SC RESPON TIME
CITO ELEKTIF UMUM BPJS IGD POLI
12:00 13:25 1:25 v v v
8:00 11:40 3:40 V V V
12:40 15:00 2:40 V V V
11:00 11:30 0:30 V V V
8:00 12:25 4:25 V V V
10:45 13:05 3:40 V V V
10:05 10:35 0:30 V V V V
13:15 13:45 0:30 V V V
9:00 11:45 2:45 V V V
9:00 10:15 1:15 V V V
10:00 14:40 3:40 V V V
8:00 10:55 2:55 V V V
1:00 1:25 0:25 V V V
9:00 10:15 1:15 V V V
21:10 21:40 0:30 V V V
21:20 22:40 0:50 V V
8:00 11:00 3:00 V V V
7:30 11:00 3:30 V V V
9:20 10:20 1:00 V V V
9:00 11:00 2:00 V V V
8:30 12:40 4:10 V V V
7:30 11:40 4:10 V V V
15:20 16:00 0:40 V V V
11:30 13:10 1:40 V V V
9:00 12:10 3:10 V V V
10:30 11:30:00 1:00 V V V
9:30 12:20:00 2:50 V V V
7:30 13:55:00 6:25 V V V
8:30 11:30 3:00 V V V
8:50 13:30 4:40 V V V
11:00 12:45 1:45 V V V
9:00 13:45 4:45 V V V
9:00 13:10 4:10 V V V
8:00 10:45 2:45 v v v
8:30 10:00 2:30 V V V
19:00 21:15 2:15 V V V
19:05 20:35 1:40 V V V
8:30 11:35 3:05 V V V
8:00 10:50 2:50 V V V
9:30 11:20 2:10 V V V
9:00 12:15 3:15 V V V
11:15 11:45 0:30 V V V V
9:00 11:45 2:45 V V V
10:00 13:15 3:15 V V V
8:00 14:00 6:00 V V V
9:00 12:20 3:20 V V V
11:00 12:10:00 1:10 V V V
8:00 10:50 2:50 V V V
8:30 11:50 3:20 V V V
8:00 12:50 4:50 V V V
10:00 12:15 2:15 V V V
21:00 21:30 0:30 V V V
7:00 10:45 3:45 V V V

5
RUJUKAN BUNDLES PASIEN OPERASI PROFILAKSIS
YA TIDAK DILAKUKAN TIDAK NAMA OBAT
v v TIDAK DIBERIKAN
V V CEFAZOL
V V CEFAZOL
V V TIDAK DIBERIKAN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V TIDAK DIBERIKAN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V TERFACEF
V V CEFAZOLLIN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V CEFAZOLLIN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
v v CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK

1 RIZIQ GHOFI AMALAH 548322 22

Dr. Hj. Juwita Elva, Sp.7/1/2021
OG,
2 EKA NUR AZIZAH 548454 31
Dr. Hj. Juwita Elva, Sp.7/2/2021
OG,
3 WENI PUJIANTI (32 Th) 545664 32
Dr. Hj. Juwita Elva, Sp.7/5/2021
OG,
4 SHINTA DEWANTY PUTRI 543641 Dr.25Hj. Lisnur Saptowati, 7/5/2021
Sp.OG,
5 INDAH NUR FAZIATI 548657 Dr.27Hj. Lisnur Saptowati, 7/5/2021
Sp.OG,
6 RIMA MARYATI (35 Th) 289266 Dr.35Hj. Lisnur Saptowati, 7/6/2021
Sp.OG,
7 MUHAYATIN (38 Th) 293919 Dr.38Hj. Lisnur Saptowati, 7/5/2021
Sp.OG,
8 DEVI PERMATASARI (29 Th) 548775 Dr.29Hj. Lisnur Saptowati, 7/7/2021
Sp.OG,
9 PUTRI RIZKY ARIESTIANY (25 Th) 445572 Dr.25Hj. Lisnur Saptowati, 7/7/2021
Sp.OG,
10 RANTI PUSPITASARI (43 Th) 324304 43
Dr. Hj. Juwita Elva, Sp.7/7/2021
OG,
11 RIZKA FITRIANI (24 Th) 548801 24
Dr. Hj. Juwita Elva, Sp.7/8/2021
OG,
12 UMI KALSUM (23 Th) 401777 Dr.23Hj. Lisnur Saptowati, 7/8/2021
Sp.OG,
13 HANA NUR ERIANA (26 Th) 354508 Dr.26Hj. Lisnur Saptowati, 7/9/2021
Sp.OG,
14 ETIKA ISTI VIRYANI (39 Th) 457083 Dr.39Hj. Lisnur Saptowati, 7/9/2021
Sp.OG,
15 DESSY ARIANTI (38 Th) 199749 38
Dr. Hj. Juwita Elva, Sp.7/10/2021
OG,
16 NUR AUNILLAH (35 Th) 107662 35
Dr. Hj. Juwita Elva, Sp.7/10/2021
OG,
17 YULI FATIMAH 486877 Dr.23Hj. Lisnur Saptowati,7/10/2021
Sp.OG,
18 DIAN SEPTIAN 114982 25
Dr. Hj. Juwita Elva, Sp.7/14/2021
OG,
19 SITI SUGIARTI 346682 37
Dr. Hj. Juwita Elva, Sp.7/16/2021
OG,

20 SUCI NURKHASANAH, S.PD (38 507783 Dr.38Hj. Lisnur Saptowati,7/17/2021

Sp.OG,
Th)
21 JULECHA (25 Th) 549347 Dr.25Hj. Lisnur Saptowati,7/17/2021
Sp.OG,
22 ERNI NOFIANTI (38 Th) 363080 38
Dr. Hj. Juwita Elva, Sp.7/19/2021
OG,
23 SRI MASRIYATI (38 Th) 549344 Dr.38Hj. Lisnur Saptowati,7/19/2021
Sp.OG,
24 TIAS SEPTIANI (33 Th) 547683 33
Dr. Hj. Juwita Elva, Sp.7/20/2021
OG,
LINDA NOVI AFIATUS
25 SALAMAH (25 Th) 546588 25
Dr. Hj. Juwita Elva, Sp.7/21/2021
OG,

26 NUR WIJAYANTI 438190 31

Dr. Hj. Juwita Elva, Sp.
23/07/2021
OG,
27 TASLIMAH 481498 35
Dr. Hj. Juwita Elva, Sp.
27/07/2021
OG,
28 SITI JOLEKHA 549793 Dr.37Hj. Lisnur Saptowati,26/07/2021
Sp.OG,
29 ARIESZA PUSPITA RINI 549805 Dr.28M. Mosjab, Sp. OG,28/07/2021
M. Kes,
30 MAFTUKHAH 160027 41
Dr. Hj. Juwita Elva, Sp.
28/07/2021
OG,
31 AZMI YUNITA 545792 Dr.27M. Mosjab, Sp. OG,28/07/2021
M. Kes,
32 MEILIA RISKI UTARI 549837 Dr.31M. Mosjab, Sp. OG,28/07/2021
M. Kes,
33 EUISNAENI 525254 37
Dr. Hj. Juwita Elva, Sp.
26/07/2021
OG,
34 IMAMATUL IBAROH (43 Th) 245661 43
Dr. Hj. Juwita Elva, Sp.
29/07/2021
OG,
35 RIZKA AMALIA (31 Th) 549508 Dr.31Hj. Lisnur Saptowati,30/07/2021
Sp.OG,
36 INDAH KARTIKAWATI (38 Th) 369556 38
Dr. Hj. Juwita Elva, Sp.
30/07/2021
OG,
37 SRI UTAMI (43Th) 411800 Dr.43Hj. Lisnur Saptowati,31/07/2021
Sp.OG,
38 NGESTI IRYANTI 350527 Dr.24Hj. Lisnur Saptowati,30/07/2021
Sp.OG,
 DATA PASIEN SC TH 2021
PROFILAKSIS
TGL SC TGL KELUAR LOS INDIKASI
YA TIDAK
7/3/2021 7/6/2021 4 G1P0A0 POSTDATE V
7/3/2021 7/6/2021 4 G3P2A0 PEB V
7/5/2021 7/8/2021 4 LETAK LINTANG RIWAYAT SC 2X V
7/6/2021 7/9/2021 4 G1P0A0 INDUKSI GAGAL,PEB,OBESITAS V
7/6/2021 7/9/2021 4 G1P0A0 MALPRESENTASI,GAGAL INDUKSI V
7/7/2021 7/10/2021 4 G3P2A0 IPARTU PEB + RIW SC V
7/7/2021 7/10/2021 4 G4P3A0, H 28 MG, PEB, OLIGOHIDRAMNION V
7/7/2021 7/10/2021 4 G3P2A0 INPARTU FASE AKTIF V
7/7/2021 7/10/2021 4 G1P0A0 FASE AKTIF V
7/8/2021 7/11/2021 4 G4P3A0, PEB V
7/8/2021 7/11/2021 3 INPARTU G1P0A0 29 MGG DG KALA 1 LAMA V
7/8/2021 7/11/2021 3 G1P0A0 KPD LETLIN V
7/9/2021 7/12/2021 3 G2P1A0 RIW SC DALAM PERSALINAN V
7/9/2021 7/12/2021 3 PLASENTA LETAK RENDAH DI BELAKANG, G4P V
7/10/2021 7/13/2021 4 G5P4A1 GMELLI,LETLI,PE, SC 2,6 TH YL V
7/10/2021 7/13/2021 4 MALPRESENTASI RIW SC G2P1A0 H.ATERM V
7/10/2021 7/13/2021 4 G1P0A0 KPD, INDUKSI GAGAL V
7/15/2021 7/18/2021 4 G1P0A0 PEB POSDATE INDUKSI GAGAL V
7/16/2021 7/19/2021 3 G4P3AO RIW SC PE H.ATERM V

7/17/2021 7/20/2021 4 G5P3A1 H. 37-38MGG RIW SC 2THN V

7/17/2021 7/20/2021 4 GIP0A0 KPD PRESBO V

7/19/2021 7/22/2021 4 G2P1A0 KALA 1 FASE AKTIF RIWAYAT SC V
7/19/2021 7/22/2021 4 G3P2A0 PEB V
7/21/2021 7/25/2021 5 PEB INFERTIL 7TH G1P0A0 ATERM V

7/21/2021 7/25/2021 4 HIPERTENSI KRONIS, IUGR G1P0A0 ATERM V

23/07/2021 26/07/2021 4 G2P1AO RIW SC PEB V

27/07/2021 30/07/2021 4 G2P1A0 POSTDATE RIW. SC V
27/07/2021 30/07/2021 4 G5P1A3 PEB GEMELI V
28/07/2021 31/07/2021 4 G2P1A0 RIW. SC KPD V
28/07/2021 31/07/2021 4 G10P9A0 RIW. SC 2 X LETAK LINTANG V
28/07/2021 31/07/2021 4 G1P0A0 KPD V
28/07/2021 31/07/2021 4 G2P1A0 RIW. SC PEB V
28/07/2021 31/07/2021 4 G3P2A0 PEB V
29/07/2021 1/8/2021 4 G4P3A0, HAMIL 36 MINGGU, KPD V
30/07/2021 2/8/2021 4 Presbo G2 P1 A0 38 Minggu V
30/07/2021 2/8/2021 4 G2P1A0 H-38-39 MINGGU RIWAYAT SC V
31/07/2021 3/8/2021 4 G6P3A2 KALA IITAK MAJU INERTIA UTERI SE V V
31/07/2021 3/8/2021 4 G1P0A0 STIMULASI GAGAL CPD V V
SC TH 2021
JENIS OPERASI STATUS ASAL RUJUKAN
Jam di Putuskan
JAM SC
di Lakukan
RESPON
SC TIME
CITO ELEKTIF UMUM BPJS IGD POLI YA
10:00 12:00 2:00 V V V
13:00 13:25:00 0:25 V V V
8:00 12:40 4:40 V V V
13:00 13:15 0:15 V V V
21:00 21:20 0:20 V V V
9:20 9:45 0:25 V V V
13:30 13:50 0:20 V V V
22:50 23:10 0:20 V V V
21:50 22:10 0:20 V V V
8:30 9:40:00 1:10 V V V
5:00 6:25:00 1:25 V V V
7:00 9:00:00 2:00 V V V
12:30 14:30 2:00 V V V
9:00 14:00:00 4:00 V V V
9:50 12:55 3:05 V V
9:30 11:55 2:25 V V
23:20 23:50 0:30 V V V
11:45 13:05 2:40 V V V
7:30 9:35 2:05 V V V

10:30 10:55 0:25 V V V

11:00 12:00 1:00 V V V

8:55 9:15 0:20 V V V
12:05 13:15 1:10 V V V
7:30 12:00 0.1875 V V V

8:30 11:15 3:30 V V V

6:30 9:50 3:20 V V V

9:30 10:30 1:00 V V V
10:00 11:25 1:25 V V V
9:00 13:35 4:35 V V V
9:00 11:50 2:50 V V
9:00 12:35 3:35 V V V
9:00 13:00 4:00 V V V
9:00 11:05 2:05 V V V
13:00 13:55 0:10 V V V
10:00 11:00 11:50 V V V
9:00 10:55 11:55 V V V
13:00 14:25 12:00 V V V V
10:00 11:09 12:05 V V V V
9
RUJUKAN BUNDLES PASIEN OPERASI
PROFILAKSIS
TIDAK DILAKUKAN TIDAK NAMA OBAT
V V CEFAZOL 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V
V V
V V
V V
V V
V V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK DIBERIKAN
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR
V TIDAK DIBERIKAN
V CEFAZOLIN 2 GR
V CEFAZOLIN 2 GR

V V

V V
V V CEFAZOLIN 2 GR
V V
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V
V V CEFAZOLIN 2 GR
CEFAZOL 2 GR
V V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V
V V
V V CEFAZOLIN 2 GR
V
V V
NO NAMA PASIEN RM UMUR DOKTER TGL MASUK

1 SHINTA NUR UTAMI (28 Th) 550074 28 LISNUR 8/3/2021

2 SHOFA IFNIATUL FITRI (28 Th) 425329 28 JUWITA 8/3/2021
3 YULIANI (34 Th) 461669 34 LISNUR 8/2/2021
4 TITIK JULIANA 346759 30 DR. JUWITA 4/8/2021
5 CASTIYANI 476910 31 DR. JUWITA 4/8/2021
6 ANNISATUN FASIKHA 550232 21 DR. LISNUR 4/8/2021
7 DIAN TRI LESTARI 400179 31 DR. LISNUR 4/8/2021
8 KARINA CITRA 549054 26 DR. JUWITA 5/8/2021
9 ROSIANI RIZKI 486798 29 DR. JUWITA 5/8/2021
10 TITI JIHAN ARIQOH 418102 23 DR JUWITA 7/8/2021
11 ANITA WIDIASTUTI 550411 34 DR LISNUR 8/8/2021
12 UMI FARKHATUN 550438 30 DR LISNUR 9/8/2021
13 FARIKA NAMIRA 425596 32 DR MOSJAB 8/8/2021
14 DYAH KUSUMAWARDHANI 550487 30 DR LISNUR 10/8/2021
15 WULAN AYU OKTAVIANI (21 Th) 550515 21 DR LISNUR 11/8/2021
16 AFRIA ZULYA RISTI AJI (26 Th) 543406 26 DR JUWITA 11/8/2021
17 MELAYANTI UTAMI (25 Th) 512392 25 DR JUWITA 11/8/2021
18 NUR HIDAYATI (26 Th) 495513 26 DR LISNUR 11/8/2021
19 SITI KHADIJAH (27 Th) 550544 27 DR LISNUR 11/8/2021
20 AWALIA AISYAH RIZQIANI (29 Th) 430612 29 DR LISNUR 11/8/2021
21 NADA BAWAZIR (19 Th) 456525 19 DR LISNUR 11/8/2021
22 DIAN UTAMI NINGSIH (34 Th) 550576 34 DR LISNUR 12/8/2021
23 NURIPAH (39 Th) 550575 39 DR JUWITA 12/8/2021
24 DINUN MUTHOHAROH (26 Th) 546836 26 DR JUWITA 13/8/2021
25 RICCA ISNAWATI PUTRI (28 Th) 550591 28 DR LISNUR 13/8/2021
26 SELVI OKTAVIANA (31 Th) 289629 31 DR. LISNUR 8/14/2021
27 ULFA HASANAH (37 Th) 348265 37 DR. JUWITA 8/14/2021
28 NUNUNG SABARIYAH (36 Th) 396845 36 DR. LISNUR 8/15/2021
29 ZELLY MARTINE 374164 41 DR. LISNUR 16/08/2021
30 MARTI ASIH 272226 34 DR. LISNUR 16/08/2021
31 NURUL ISTIQOMAH 550758 29 DR. MOSJAB 16/08/2021
32 SITI SALAMAH 550801 41 DR. LISNUR 8/17/2021
33 VINI SEPTI ANDRIYANI 537611 23 DR MOSJAB 8/18/2021
34 ANISA NUR ROSALINA 519881 29 DR MOSJAB 8/19/2021
35 YUNIA PRANSISCA 550847 27 DR JUWITA 8/18/2021
36 NUR INDAH SARTIKA 273481 29 DR LISNUR 8/19/2021
37 LAILI MUFARIKHAH 550928 25 DR MOSJAB 8/20/2021
38 TYAS DWI HIDAYATI 346972 32 DR JUWITA 8/21/2021
39 INDAH AYU 550824 26 DR JUWITA 8/21/2021
40 YUNI RISMAWATI 232218 35 DR LISNUR 8/21/2021
41 RIZKI AMALIA 549979 29 DR LISNUR 8/21/2021
42 RIZKY NUR SOBAH (28 Th) 496306 28
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/21/2021
43 BETRI LISTIA (27 Th) 548327 27
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/21/2021
44 RUNINGSIH (35 Th) 551054 35
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/22/2021
45 ASRI LESTARI (28 Th) 426092 28 DR JUWITA 8/22/2021
46 INDAH FITRIANI (38 Th) 402207 38 DR LISNUR 8/23/2021
47 LUTFAH KAMALASARI (21 Th) 515417 21Dr. Hj. Juwita Elva, Sp. OG, 8/24/2021
48 DWI KURNIA PRATIWI (30 Th) 412701 30
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/26/2021
49 NISRINA NUR AMALINA (24 Th) 230801 24
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/27/2021
50 NAFILATUN LAILA (32 Th) 379310 32
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/27/2021
51 WINDY APRIYATMONIKA (27 Th) 551259 27
Dr. Hj. Lisnur Saptowati, Sp.OG,
8/27/2021
52 IPAH SUNIPAH 286178 33 DR. LISNUR 8/28/2021
53 SOFIANA ULFAH 491581 35 DR. LISNUR 8/29/2021
54 DIAH SEPTIANA 140539 42 DR. LISNUR 8/29/2021
55 SURYANTI 396647 33 DR. LISNUR 8/29/2021
56 ERNITA 551434 18 DR LISNUR 8/31/2021
57 TUTI MARDIANA 451357 31 DR JUWITA 8/31/2021
58 WAHYUNI 547763 24 DR JUWITA 8/31/2021
59 ETY SRIHASTUTI 112901 41 DR LISNUR 8/31/2021
60 KHAIRUN NISA 551420 29 DR LISNUR 8/31/2021
61 WIWI WIDAD 372326 37 DR LISNUR 8/31/2021
 DATA PASIEN SC TH 2
PROFILAKSIS
TGL SC TGL KELUAR LOS INDIKASI
YA
3 8/6/2021 3 OBLIGH KPD G1P0A0 39 MG MIOPI 6.5-6.5
3 8/6/2021 3 LETAK LINTANG V
3 8/6/2021 4 RUI MALPRESENTASI KALA II TAK MAJU G3P1A1
4/8/2021 3 PEB, G2P1A0 RIW SC V
4/8/2021 7/8/2021 3 KPD, RIW SC, G3P1A1 V
5/8/2021 8/8/2021 4 GAGAL INDUKSI G1P0A0
5/8/2021 8/8/2021 4 DISTOSIA CERVICALIS RIW SC
8/6/2021 9/8/2021 4 INDUKSI GAGAL G1P0A0 PE V
8/6/2021 9/8/2021 4 IUGR G2P1A0 ATERM RIW SC V
7/8/2021 10/8/2021 4 RIW SC 18 BLN G2P1A0 V
8/8/2021 11/8/2021 4 G5P4A0 GEMELLY FAS AKTIF
9/8/2021 12/8/2021 4 KPD G3P2A0 RIW SC 2X
9/8/2021 12/8/2021 5 G2P1A0 RIW SC PEB V
10/8/2021 13/08/2021 4 G1P0A0 INDUKSI GAGAL PEB
11/8/2021 14/08/2021 4 G1P0A0 FASE AKTIF POST TERM
11/8/2021 14/08/2021 4 DKP G1P0A0 ATERM V
11/8/2021 14/08/2021 4 G3P1A1, RIW. SC DALAM PERSALINAN V
11/8/2021 14/08/2021 4 G1P0A0, KPD, PRESBO
11/8/2021 14/08/2021 4 G2P1A0 RIW.SC KPD SUSP MEGACOLON
12/8/2021 15/08/2021 5 G2P0A1, KPD, OLIGOHIDRAMNION, PE,FETAL DISTRES DALAM INDUKSI
12/8/2021 15/08/2021 5 G1P0A0 40-41 MINGGU POSTDATE,OLIGO GAGAL INDUKSI
12/8/2021 15/08/2021 4 G4P2A1 DGN KPD,PRESBO PRO SC
12/8/2021 15/08/2021 4 G5P4A0 PEB RIW SC V
13/8/2021 16/8/2021 4 G1P0A0 POSTDATE OLIGOHIDOMNION SUSP JANIN BESAR V
13/8/2021 16/8/2021 4 G1P0A0, KPD, LET LINTANG
14 8/17/2021 3 PEB G2P1A0 RIW. SC KPD
14 8/17/2021 3 PRESBO JANIN BESAR G4P2A1 V
15 8/18/2021 3 PRESENTASI KAKI G3P2A0 H. ATERM
16/08/2021 8/19/2021 3 KPD, G2P1A0 RIW SC
16/08/2021 8/19/2021 3 FETAL DISTRESS, G1P0A0 ATERM
16/08/2021 8/19/2021 3 PRESBO, G2P1A0 KPD V
8/18/2021 8/21/2021 4 STIMULASI GAGAL G3P2A0 ATERM, LILITAN TALI PUSAT 2 KALI
8/19/2021 8/22/2021 4 G1P0A0 PKPD POSTDATE GAGAL INDUKSI V
8/19/2021 8/22/2021 3 G2P1A0 RIW SC < 2TH KPD V
8/19/2021 8/22/2021 4 KET V
8/19/2021 8/22/2021 3 MALPRESENTASI KALA II TAK MAJU G1P0A0 KPD
8/20/2021 8/23/2021 3 G1P0A0 PRESBO KPD POSTDATE V
8/21/2021 8/24/2021 3 G2P1A0 LETAK LINTANG V
8/21/2021 8/24/2021 3 MALPRESENTASI G3P2A0 RIW SC V
8/21/2021 8/24/2021 3 KPD G3P2A0 RIW SC OLIGO
8/21/2021 8/24/2021 3 CPD G3P1AI RIW SC
22/08/2021 25/08/2021 4 DISTOCIA CERVIKALIS G2P1A0 INPARTU KALA 1 FASE AKTIF RIWAYAT SC
22/08/2021 25/08/2021 4 GAGAL INDUKSI,G1P0A0 KPD OLIGOHIDRAMNION POSTDATE
8/23/2021 8/26/2021 4 G3P2A0 INPARTU KPD
8/23/2021 8/26/2021 4 INPARTU G3P2A0 PIW SC PE V
8/23/2021 8/26/2021 4 INPARTU G3P1A1 RIW SC PEB
8/24/2021 8/27/2021 4 G1P0A0 KPD LETAK LINTANG, FASE AKTIF V
8/26/2021 8/29/2021 4 G2P1A0 KPD RIW. SC, RUI
27 8/30/2021 3 OBLIGH , G1P0A0 H. POSTDATE KPD GLAUKOMA MIPI 6
27 8/30/2021 3 KPD G3P2A0 RIW. SC 2X SBR<3.5 mm
27 8/30/2021 3 KPD OLIGOHIDRAMNION G2P1A0 H. POSTDATE RIW. SC
8/28/2021 8/31/2021 3 G2P1A0 KPD POSTDATE
8/29/2021 1/9/2021 3 G5P2A2 APH ATERM
8/30/2021 2/9/2021 4 OBLIQ, PEB G10 P7A0 H 36-37 MG
8/30/2021 2/9/2021 4 DISTOSIA CERVIKALIS, G3P2A0 RIW SC, MIOPY 7 PEB
8/31/2021 9/3/2021 3 OBLIGUE KPD G1P0A0
8/31/2021 9/3/2021 3 PREEKLAMPSIA RIW SC G2P1A0 V
8/31/2021 9/3/2021 3 G2P1A0 OLIGOHIDRAMNION RIW SC V
8/31/2021 9/3/2021 3 G5P4A0 POLIHIDRAMNION PE
8/31/2021 9/3/2021 3 G2P1A0 KPD RIW SC POSTDATE
8/31/2021 9/3/2021 3 OBSTRUKTIVE LABORA GEMELLY G1P0A0 33 MGG
N SC TH 2021
PROFILAKSIS Jam di JAM di JENIS OPERASI STATUS ASAL
Putuskan Lakukan RESPON TIME
TIDAK SC SC CITO ELEKTIF UMUM BPJS IGD
V 7:30 10:00 2:30 V V V
9:00 13:45 4:45 V V
V 4:45 5:15 0:30 V V V
11:00 12:00 1:00 V V
9:00 11:55 2:55 V V V
V 4:30 6:40 2:10 V V V
V 4:00 5:45 1:45 V V V
18;00 18:20 0:20 V V V
8:00 10:00 2:00 V V V
8:20 12:35 4:15 V V
V 11:15 11:40 0:25 V V V
V 8:00 13:40 4:20 V V V
21:00 14:10 17:10 V V V
V 14:00 15:05 1:05 V V V
V 11:20 12:30 1:10 V V V
9:00 12:00 3:00 V V
12:30 12:55 0:25 V V V
V 11:30 13:10 1:40 V V V
V 14:30 14:50 0:20 V V V
V 8:40 9:05 0:25 V V V
V 13:20 14:05 0:45 V V
V 12:45 13:05 0:20 V V V
10:30 12:45 2:15 V V
11:00 13:15 2:15 V V
V 7:30 10:50 3:20 V V V
V 10:33 13:00 2:27 V V V
8:30 13:30 5:00 V V
V 8:25 8:45 0:20 V V V
V 11:00 13:20 2:20 V V V
V 13:50 14:20 0:30 V V V
12:00 13:35 1:35 V V V
V 10:30 11:55 1:25 V V V
10:00 12:15 2:15 V V V
6:30 12:45 6:15 V V V
8:20 12:25 4:05 V V V
V 23:00 23:25 0:25 V V V
6:30 15:35 9:05 V V V
9:00 11:40 2:40 V V V
9:00 12:10 3:10 V V
V 8:00 12:45 4:45 V V V
V 11:30 13:30 2:00 V V
V 6:20 6:40 0:20 V V V
V 5:00 7:15 2:15 V V V
V 8:35 9:05 0:30 V V V
10:00 11:05 1:05 V V V
V 7:55 8:15 0:20 V V V
20:30 21:00 0:30 V V V
 v 11:30 12:00 0:30 V v v v
v 9:10 13:50 4:40 v V V
v 8:00 12:55 4:55 v V V
v 7:30 11:00 3:30 v V V
V 7:50 8:16 0:26 V V V
V 4:45 5:15 0:30 V V V
V 12:30 13:35 1:05 V V V
V 11:00 12:50 1:50 V V V
V 8:30 12:20 3:50 V V V
5:00 11:00 6:00 V V V
8:30 11:30 3:00 V V
V 7:00 13:00 6:00 V V V
V 7:45 14:00 6:15 V V V
V 10:00 11:40 1:40 V V V

13
ASAL RUJUKAN BUNDLES PASIEN PROFILAKSIS
OPERASI
DILAKUKA
POLI YA TIDAK N TIDAK NAMA OBAT
V V TIDAK
V V V CEFAZOLIN 2 GR
V TIDAK
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V V CEFAZOLIN 3 GR
V V CEFAZOLIN 3 GR
V V TIDAK
V V TIDAK
V V TIDAK
V V V TIDAK
V V TIDAK
V V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2 GR
V V TIDAK
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V TIDAK
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V TIDAK
V V V TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2 GR
V V TIDAK
V V CEFAZOLIN 2 GR
 v v TIDAK
v TIDAK
v TIDAK
v TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V TIDAK
V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V TIDAK
V V TIDAK
V V TIDAK
 UMU TGL
NO NAMA PASIEN RM DOKTER TGL SC
R MASUK
1 DWI SEPTIANI (32 Th) 551461 32 Dr. Hj. Lisnur Sapt 8/31/2021 9/1/2021
2 MUNIROH (39 TH) 460200 39 Dr. Hj. Juwita Elva, 9/1/2021 9/1/2021
3 RESTI AMALIA (25TH) 549757 25 Dr. Hj. Lisnur Sapt 9/1/2021 9/2/2021
4 IIS DAHLIA (28 Th) 482945 28 Dr. Hj. Lisnur Sapt 9/2/2021 9/3/2021
5 TITA MENTARI (25 Th) 551569 25 Dr. Hj. Lisnur Sapt 9/2/2021 9/4/2021
6 RANTUN SARI (42 Th) 551629 42 Dr. Hj. Lisnur Sapt 9/4/2021 9/4/2021
7 ARISAH (41 Th) 541811 41 Dr. Hj. Lisnur Sapt 9/4/2021 9/4/2021
8 TIAS PENGET WIGATI (29 Th) 129586 29 Dr. Hj. Lisnur Sapt 9/4/2021 9/4/2021
9 MUMINAH (38 Th) 523112 38 Dr. Hj. Lisnur Sapt 9/4/2021 9/4/2021
10 ISWATUN KHASANAH 551687 26 Dr. Hj. Lisnur Sapt 9/6/2021 9/6/2021
11 NAELUL AZIZAH 313451 31 Dr. Hj. Lisnur Sapt 9/6/2021 9/6/2021
12 AMRIATUSSOLIHAH 356487 30 Dr. Hj. Juwita Elva, 9/6/2021 9/6/2021
13 WAHYU SURENI (34 Th) 471412 34 Lisnur Saptowati 7/9/2021 7/9/2021
14 WILDA HABIBAH (31 Th) 455985 31 Dr. Hj. Juwita Elva, 8/9/2021 8/9/2021
15 DINA ARIYANTI (23 Th) 551811 23 Dr. Hj. Juwita Elva, 8/9/2021 8/9/2021
16 AMELIA NUR HIDAYAH (37 Th) 550394 37 Dr. Hj. Juwita Elva, 8/9/2021 8/9/2021
17 NADYA SAFITRI (22 Th) 551550 22 Dr. Hj. Juwita Elva, 9/9/2021 9/9/2021
18 WIHELMI (31 Th) 551863 31 Dr. Hj. Juwita Elva, 9/9/2021 9/9/2021
19 EKA YULIYANTI (32 Th) 285081 32 Dr. Hj. Lisnur Sapt 9/9/2021 9/9/2021
20 SURYANTI (33 Th) 396647 33 Dr. Hj. Lisnur Sapt 9/7/2021 9/10/2021
21 SARAH NUR FADILAH (24 Th) 551967 24 Dr. Hj. Lisnur Sapt 9/11/2021 9/11/2021
22 ENEKE ALFA LIDIA (32 Th) 375721 32 Dr. Hj. Juwita Elva, 9/11/2021 9/11/2021
23 NGESTI NIGNROH 353256 28 Dr. Hj. Lisnur Sapt 9/13/2021 9/13/2021
24 IKA AGUSTINA 357670 38 Dr. Hj. Lisnur Sapt 9/13/2021 9/13/2021
25 RIZKI ANUGRAHAENI 396200 31 Dr. Hj. Lisnur Sapt 9/14/2021 9/14/2021
26 HIKMAH (27 Th) 409195 27 Dr. Hj. Juwita Elva, 9/15/2021 9/15/2021
27 NAENI ROSIANA (29 Th) 395717 29 Dr. Hj. Lisnur Sapto 9/15/2021 9/15/2021
28 FITRIANA BR GIRSANG (32 Th) 464130 32 Dr. Hj. Lisnur Sapto 9/15/2021 9/16/2021
29 GINA FITRIANI (25 Th) 551774 25 Dr. Hj. Juwita Elva, 9/16/2021 9/16/2021
30 NAELI ROHMAH (31 Th) 399909 31 Dr. Hj. Lisnur Sapto 9/16/2021 9/16/2021
31 DEVINA ARIFIANIE (44 Th) 96565 44 Dr. Hj. Lisnur Sapto 9/17/2021 9/17/2021
32 IIS TRI SAYOGI (40 Th) 552244 40 Dr. Hj. Lisnur Sapto 9/17/2021 9/17/2021
33 NURUL FADLIYAH (24 Th) 552232 24 Dr. M. Mosjab, Sp. 9/17/2021 9/17/2021
34 SOFIYAH (31 Th) 552253 31 Dr. Hj. Lisnur Sapto 9/17/2021 9/17/2021
35 NOFIYANI (38 Th) 552233 38 Dr. M. Mosjab, Sp. 9/17/2021 9/17/2021
36 SITI NURJANAH (26 Th) 541592 26 Dr. Hj. Lisnur Sapto 9/17/2021 9/17/2021
37 NELY DINI (35 Th) 550761 35 Dr. Hj. Juwita Elva, 18/09/2021 19/09/2021
38 IIN ROHAYATI (34 Th) 552328 34 Dr. Hj. Lisnur Sapto 19/09/2021 19/09/2021
39 LILIS DANIATI (26 Th) 552362 26 Dr. Hj. Lisnur Sapto 9/20/2021 20/09/2021
40 FIFIAN DWI SEPTI ANGGRIANA (31 Th) 510949 31 Dr. Hj. Juwita Elva, 9/19/2021 20/09/2022
41 PUTRI DIAN CAHYANI (26 Th) 552352 26 Dr. Hj. Lisnur Sapto 9/20/2021 9/21/2021
42 NIAMIL AISI (25 Th) 552420 25 Dr. Hj. Juwita Elva, 9/20/2021 9/21/2021
43 NUR HIDAYAH (27 Th) 376786 27 Dr. Hj. Lisnur Sapto 9/21/2021 9/21/2021
44 NUR ANIS FITRIYANI (27 Th) 552402 27 Dr. Hj. Lisnur Sapto 9/20/2021 9/21/2021
45 NUR KHASANAH (46 Th) 214758 46 Dr. Hj. Lisnur Sapto 9/20/2021 9/21/2021
46 ELISA DIAH NURSUSANTY (26 Th) 549678 26 Dr. Hj. Lisnur Sapto 9/21/2021 9/22/2021
47 LINA (29 Th) 461149 29 Dr. Hj. Lisnur Sapto 9/22/2021 9/22/2021
48 RIZKI AMALINA (22 Th) 537576 22 Dr. Hj. Juwita Elva, 9/22/2021 9/22/2021
49 MONICA DWI TARADIPA (26 Th) 432783 26 Dr. Hj. Lisnur Sapto 9/23/2021 9/23/2021
50 NUR ASIYAH (22 Th) 552540 22 Dr. Hj. Juwita Elva, 9/23/2021 9/23/2021
51 TUTI MUSHLIHAH (30 Th) 438166 30 Dr. Hj. Juwita Elva, 9/23/2021 9/23/2021
52 NOVA AVIANTI 545080 28 Dr. Hj. Lisnur Sapto 9/24/2021 9/24/2021
53 RICA PUSPITA AYU OKTAVIA 49994 21 Dr. Hj. Lisnur Sapto 9/24/2021 9/24/2021
54 DIAN PURWANTI 529597 27 Dr. M. Mosjab, Sp. 9/25/2021 9/25/2021
55 SINTA YULIANTI 531649 28 Dr. Hj. Lisnur Sapto 9/25/2021 9/25/2021
56 DEDE RISMA 552563 26 Dr. M. Mosjab, Sp. 9/24/2021 9/25/2021
57 SRI ANDRIYANI 552565 34 Dr. M. Mosjab, Sp. 9/24/2021 9/25/2021
58 RETNOWATI (29 Th) 302800 29 Dr. Hj. Lisnur Sapto 9/26/2021 9/27/2021
NISRINA NINDHIA ADZILLINA (26
59 526764 26 Dr. Hj. Lisnur Sapto 9/26/2021 9/27/2021
Th)
60 HERLINA (39 Th) 552741 39 Dr. M. Mosjab, Sp. 9/28/2021 9/28/2021
61 RITA YULIANA (36 Th) 198411 36 Dr. Hj. Lisnur Sapto 9/28/2021 9/28/2021
62 ULUL AZMI (24 Th) 121934 24 Dr. Hj. Juwita Elva, 9/29/2021 9/29/2021
 DATA PASIEN SC TH 2
TGL
LOS INDIKASI
KELUAR
9/4/2021 3 G2P1A0 RUPTURA UTERI IMMINENT
9/4/2021 3 KPD RIW SC 2CX G3P2A0
9/5/2021 3 DISTOCIA CERVICALIS MALPRESENTASI G2P1A0
9/6/2021 3 G2P1A0 PEB
9/7/2021 5 G1P0A0 H. 38-39MGG, IUFD
9/7/2021 3 G4P2A1 FASE AKTIF
9/7/2021 3 INPARTU G2P1A0 KPD
9/7/2021 3 g1p0a0 40-41 oblig
9/7/2021 3 INPARTU G3P2A0 DG PPI
9/9/2021 3 G2P1A0 KALA 2 RIW SC MAL PRESENTASI
9/9/2021 3 G3P1A1 KPD RIW SC
9/9/2021 3 G4P3A0 RIWS SC MALPRESENTASI
10/9/2021 3 G3P2A0 RIW SC 2X KPD
11/9/2021 3 G2P0A1 LETAK LINTANG
11/9/2021 3 INPARTU G2P1A0 RIW SC PE
11/9/2021 3 G3P2A0 ATERM RIW SC
9/12/2021 3 LETAK LINTANG H. ATERM G1P0A0
9/12/2021 3 KPD RIW. SC G2P1A0 H. ATERM
9/12/2021 3 G3P2A0 RIW. SC 2X SBR < 3.5 mm + MOW
9/13/2021 6 HEMATOM POST SC HARI 8
9/14/2021 3 CPD KPD G1P0A0 H. 40-41 MG
9/14/2021 3 KPD MALPRESENTASI G6P5A0 H. ATERM
9/16/2021 3 LETAK LINTANG KPD RIW SC G2P1A0 MIOPI 8
9/16/2021 3 KPD LETAK LINTANG MIOPI 6 G3P2A0
9/17/2021 3 MALPRESENTASI KALA II TAK MAJU G2P1A0
9/18/2021 3 G3P2A0 HAMIL ATERM RIW SC 2X
9/18/2021 3 G2P1A0, LETAK LINTANG, RIW. SC
9/19/2021 4 OLIGOHIDRAMNIOS G2P1A0 H.38MGG, GAGAL INDUKSI
9/19/2021 3 G1P0A0 H. ATERM H. 37-38 MGG, LETAK LINTANG, DG PPV
9/19/2021 3 OBSTRUKTIVE LABOUR, E/C OPERASI PANGGUL G2P1A0 H 34 MGG DG TB TULANG
9/20/2021 3 G6P2A3 RIW SC 2X
9/20/2021 3 G3P2A0 H37MG IUFD + PEB +SOLUTIO PLASENTA
9/20/2021 3 G1P0A0, KPD, PRESBO, MIOPIA
9/20/2021 3 SHOK HYPOVOLEMIK, G4P2A1 PP TOTAL RIW SC
9/20/2021 3 G3P2A0, KPD, PRESBO
9/20/2021 3 KPD, CPD G3P2A0 HAMIL 39 MINGGU RIW SC 2X
22/09/2021 4 G2P1A0 RIW SC DAN PE
22/09/2021 3 G3P1A1 PE
23/09/2021 3 G2P0A1, KPD, CPD, PRESBO, PE
23/09/2022 4 G2 P1 A0 RIWAYAT SC PE
9/24/2021 4 INDUKSI GAGAL G1P0A0 H. ATERM KPD
9/24/2021 4 DKP PE G1P0A0 OLIGOHIDRAMNION POSTDATE
9/24/2021 3 MALPRESENTASI G1P0A0 H. ATERM
9/24/2021 4 MALPRESENTASI G3P0A2 H. ATERM STIMULASI GAGAL
9/24/2021 4 DISTOCIA CERVIKALIS G3P3A0 RIW. SC PEB
9/25/2021 4 KPD > 24 JAM G5P2A2 RIW. SC
9/25/2021 3 GEMELLI KPD PRESBO-LINTANG G2P10 H. 37
9/25/2021 3 KPD LETAK LINTANG G2P1A0
9/26/2021 3 KET KRONIS EXABSORBSI AKUT, SYOK HIPOVOLEMIK………?
9/26/2021 3 RUPTUR UTERI IMMINENT KPD G1P0A0 H. ATERM
9/26/2021 3 LETAK LINTANG IUFD KPD PEB G2P1A0 H. ATERM
9/27/2021 3 MALPRESENTASI KALA II TAK MAJU PEB G2P0A1
9/27/2021 3 G3P2A0 RIW SC 2X
9/28/2021 3 G2P1A0 LETAK LINTANG POSTDATE FASE AKTIF
9/28/2021 3 KPD G2P1A0 RIW SC <2TH SBR <3,5
9/28/2021 4 G2P1A0 RIW SC KPD
9/28/2021 4 G2P1A0 PEB RIW SC
9/30/2021 4 G2P1A0 RIW SC POSTDATE
9/30/2021 4 G1P0A0 PEB
10/1/2021 3 G6P4A1 PE + RIW SC
10/1/2021 3 G4P1A0 H ATERM RIW SC
10/2/2021 3 DKP SUSP JANIN BESAR,G1P0A0 POST DATE ALIGOHIDROMIOS
N SC TH 2021
PROFILAKSIS Jam di JAM di JENIS OPERASI STATUS
RESPON
Putuska Lakuka ELEKTI
YA TIDAK TIME CITO UMUM BPJS
n SC n SC F
V 9:00 9:20 0:20 V V
V 8:30 12:00 3:30 V V
V 10:10 10:30 0:20 V ASURANSI
V 9:30 11:00 1:30 V V
V 20:00 20:25 0:25 V V
V 12:30 15:00 2:30 V V
V 10:15 11:50 1:35 V V
V 7:35 14:15 6:40 V ASURANSI
V 12:00 13:05 1:05 V V
V 6:10 6:40 0:30 V v
v 19:20 19:50 0:30 v v
V 8:00 11:30 3:30 V V
v 8:00 11:30 3:30 V V
V 9:00 11:35:00 2:35 V - V
V 8:30 12:30:00 4:00 V - V
V 10:00 13:05:00 3:05 V - V
V 8:00 13:15 5:15 V V
V 9:10 12:30 3:20 V V
V 11:00 12:15 1:15 V UMUM
V 7:00 13:50 6:50 V V
V 8:30 11:15 2:45 V V
V 8:45 11:25 2:40 V V
V 8:00 13:30 5:30 V V
V 8:15 14:15 6:00 V V
V 7:30 13:45 6:15 V V
V 8:00 11:20 3:20 V V
V 7:15 12:40 5:25 V V
V 10:30 11:45 1:15 V V
V 20:05 20:30 0:25 V V
V 19:50 20:10 0:20 V V
V 9:00 14:30 5:30 V V
V 10:45 11:00 0:15 V V
V 7:10 14:15 7:05 V V
V 10:20 11:50 1:30 V V
V 7:00 13:55 6:55 V V
V 11:45 15:35 3:50 V V
V 11:11 12:25 1:14 V V
V 10:20 12:25 2:05 V V
V 8:00 12:45:00 4:45 V V
V 5:00 12:05:00 7:05 V V
V 10:00 12:50 2:50 V V
V 8:30 11:40 3:10 V V
V 13:00 14:25 1:25 V V
V 11:00 12:00 1:00 V V
V 12:30 13:30 1:00 V V V
V 10:30 12:35 2:05 V V
V 10:30 13:30 3:00 V V
 V 11:00 12:55 1:55 V V
V 8:35 13:15 4:40 V V
V 20:05 20:30 0:25 V V
V 13:00 15:00 2:00 V V
V 0:30 2:30 2:00 V V
V 1:05 1:35 0:30 V V
V 9:00 10:55 1:55 V V
V 7:30 10:45 3:15 V V
V 7:30 11:50 4:20 V V
V 7:00 11:25 4:25 V V
V 10:00 13:50 3:50 V V
V 14:30 15:00 0:30 V V
V 12:40 13:10 0:30 V V
11:00 11:30 0:30 V V
V
11
 BUNDLES
ASAL RUJUKAN PASIEN PROFILAKSIS
OPERASI
DILAK TIDA
IGD POLI YA TIDAK NAMA OBAT
UKAN K
V V V TIDAK
V V V CEFAZOLIN 2GR
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
v v v TIDAK
V V V CEFAZOLIN 2GR
V V V TIDAK
V V V CEFAZOLIN 2GR
V V V CEFAZOLIN 2GR
V V V CEFAZOLIN 2GR
V V V CEFAZOLIN 2GR
V V V CEFAZOLIN 2GR
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2GR
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2GR
V V V TIDAK
V V V TIDAK
V V V CEFAZOL 2 GR
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 3 GR
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
V V V TIDAK
V V V TIDAK
V V V CEFAZOLIN 2 GR
V V V CEFAZOLIN 2 GR
 DATA PASIEN SC TH 2021
BUNDLES
PROFILAKSI JENIS
STATUS ASAL RUJUKAN PASIEN PROFILAKSIS
S Jam di JAM di OPERASI
UMU TGL TGL RESPO OPERASI
NO NAMA PASIEN RM DOKTER TGL SC LOS INDIKASI Putuskan Lakuka DILA
R MASUK KELUAR TIDA N TIME ELE UMU
YA SC n SC CITO BPJS IGD POLI YA TIDAK KUK TIDAK NAMA OBAT
K KTIF M
AN
1 ARINI NUR IZZATI (24 Th) 420589 24 Dr. Hj. Lisnur Saptowati, Sp.OG 9/29/2021 9/30/2021 3/10/2021 4 G1P0A0 FASE LATEN V 1:40 2:50:00 1:00 V ASURANSI V V V TIDAK
2 ULI AMRINA (26 Th) 552850 26 Dr. M. Mosjab, Sp. OG, M. Kes, 9/30/2021 9/30/2021 3/10/2021 3 INPARTU G1P0A0 FASE AKTIF V 13:00 14:15:00 1:15 V V V V V CEFAZOLIN 2GR
3 ARNUM FAOZALIYAH (27 Th) 527679 27 Dr. Hj. Lisnur Saptowati, Sp.OG 9/30/2021 9/30/2021 3/10/2021 3 INP G1P0A0 H ATERM V 9:00 13:55:00 4:00 V V V V V TIDAK
4 RISKA ANDRIANA (33 Th) 552874 33 Dr. Hj. Lisnur Saptowati, Sp.OG 9/30/2021 9/30/2021 3/10/2021 3 G2P1A0, PEB, OLIGOHIDRAMNION, PRESBO V 11:00 14:35:00 3:45 V V V V V TIDAK
5 LULUK INAYATUL AINI (27 Th) 552860 27 Dr. Hj. Juwita Elva, Sp. OG 1/10/2021 1/10/2021 4/10/2021 3 g1p0a0 aterm renc sc V 9:00 11:05:00 2:00 V V V V V CEFAZOLIN 2GR
6 UMI NURLAELI HIDAYAH (32 Th) 552052 32 Dr. Hj. Lisnur Saptowati, Sp.OG 1/10/2021 1/10/2021 4/10/2021 3 G2P1A0, PE, PRESBO, RIW. SC V 8:00 11:20:00 3:20 V V V V V TIDAK
7 IIN CASRIDA (36 Th) 552911 36 Dr. Hj. Juwita Elva, Sp. OG 1/10/2021 1/10/2021 4/10/2021 3 G2P1A0,PEB V 10:00 12:45:00 2:45 V V V V V CEFAZOLIN 2GR
8 DINIYATUL HIDAYAH (28 Th) 311573 28 Dr. Hj. Lisnur Saptowati, Sp.OG 9/30/2021 1/10/2021 4/10/2021 4 G1P0A0 INPARTU KALA 1 FS AKTIF, POSTDATE GAGAL INDUKSI V 10:00 14:10:00 4:00 V V V V V TIDAK
9 AINUN RIZQI DIANA 552909 22 Dr. M. Mosjab, Sp. OG, M. Kes, 1/10/2021 2/10/2021 5/10/2021 4 INPARTU G1 P0 A0 GAGAL INDUKSI V 5:30:00 14:20:00 8:00 V V V V V CEFAZOLIN 2GR
10 ANI HAYANI (27 Th) 551965 27 Dr. Hj. Juwita Elva, Sp. OG 10/4/2021 10/4/2021 10/7/2021 3 MALPRESENTASI RIW. SC G3P2A0 H. ATERM V 8:30 12:55 4:25 V V V V CEFAZOLIN 2GR
11 IZA UMAMI FARHATI (38 Th) 477352 38 Dr. Hj. Juwita Elva, Sp. OG 10/4/2021 10/4/2021 10/7/2021 3 RIW. SC 2X G4P2A1 H. ATERM V 9:00 11:55 2:55 V V V V CEFAZOLIN 2GR
12 SITI AMELIA (31 Th) 473615 31 Dr. Hj. Lisnur Saptowati, Sp.OG 10/3/2021 10/4/2021 10/7/2021 4 DISTOCIA CERVIKALIS G3P2A0 RIW. SC V 11:30 13:15 1:45 V V V V TIDAK
13 EMBUN MELATI WIDI ASIH (25) 553093 25 Dr. Hj. Lisnur Saptowati, Sp.OG 10/5/2021 10/5/2021 10/8/2021 3 G2P0A1 POSTDATE KPD V 17:10 17:40 0:30 V V V V V TIDAK
14 UMMU NAZILAH (26 Th) 553096 26 Dr. Hj. Lisnur Saptowati, Sp.OG 10/5/2021 10/5/2021 10/8/2021 3 INPARTU G2P0A1 POST DATE OLIGO PE V 7:00 11:15 4:15 V V V V V TIDAK
15 SISKA NURYATI 165511 26 Dr. Hj. Juwita Elva, Sp. OG 6/10/2021 6/10/2021 9/10/2021 3 G2P1A0 RIW SC,OLIGOHIDRAMNION,POSTDATE V 8:35 11:10 2:35 V V V V V CEFAZOLIN 2GR
16 USWATUN CHASANAH 552291 34 Dr. Hj. Lisnur Saptowati, Sp.OG 6/10/2021 7/10/2021 10/10/2021 3 G3P2A0 MALPRESENTASI,PE V 9:00 9:55 0:55 V V V V V TIDAK
17 NIKEN ESTRI YULIANI 429969 28 Dr. Hj. Juwita Elva, Sp. OG 7/10/2021 7/10/2021 10/10/2021 3 G2P1A0 MALPRESENTASI,RIW SC V 8:00 12:45 4:45 V V V V V CEFAZOLIN 2GR
18 RESKI DIAN EKA PUTRI 444815 29 Dr. Hj. Juwita Elva, Sp. OG 7/10/2021 7/10/2021 10/10/2021 3 G2P1A0 RIW SC,LETAK OBLIGH V 9:00 13:30 4:30 V V V V V CEFAZOLIN 2GR
19 KHAYYU KHALIDAH HANUM (27 Th) 552683 27 Dr. Hj. Lisnur Saptowati, Sp.OG, 8/10/2021 10/10/2021 13/10/2021 MALPRESENTASI
4 KALA II TAK MAJU, G1P0A0 HAMIL 38 MINGGU KPD V 6:10 6:40 0:30 V V V V V TIDAK
20 SLAMET KINANTI (21 Th) 552863 21 Dr. Hj. Juwita Elva, Sp. OG, 9/10/2021 10/10/2021 13/10/2021 3 LETAK LINTANG, G1P0A0 V 8:00 13:10 5:10 V V V V V CEFAZOLIN 2 GR
21 ELSSA KANIA AFISTA (27 Th) 553314 27 Dr. Hj. Juwita Elva, Sp. OG, 9/10/2021 10/10/2021 13/10/2021 3 PREEKLAMSI, LETAK LINTANG, G2P1A0 ATERM V 8:00 12:10 4:10 V V V V V CEFAZOLIN 2 GR
22 AYU FARHATY (27 Th) 241663 27 Dr. M. Mosjab, Sp. OG, M. Kes, 10/9/2021 10/10/2021 13/10/2021 4 G3P2A0 RIW SC2X KPD V 7:00 9:25 2:25 V V V V V CEFAZOLIN 2 GR
23 ARRINI NURUL MARDIANI (31 Th) 347724 31 Dr. M. Mosjab, Sp. OG, M. Kes, 10/9/2021 10/10/2021 13/10/2021 4 G2P1A0 RIW SC KPD V 7:00 8:20 1:20 V V V V V CEFAZOLIN 2 GR
24 TRI OCTAVIANI (27 Th) 551366 27 Dr. M. Mosjab, Sp. OG, M. Kes, 10/9/2021 10/10/2021 13/10/2021 4 G2P1A0 KPD V 7:00 8:45 1:45 V V V V V CEFAZOLIN 2 GR
25 NURMALA SEKAR YANUARI (27 Th) 526215 27 Dr. M. Mosjab, Sp. OG, M. Kes, 10/10/2021 10/11/2021 14-10-21 4 G2P1A0,RIWAYAT SC KURANG DARI 2 TAHUN V 8:00 14:35 6:35 V V V V V CEFAZOL 2 GR
26 TOENI (36 Th) 472092 36 Dr. Hj. Juwita Elva, Sp. OG, 10/11/2021 10/11/2021 14-10-21 3 RIW INFERTIL G2P0A1 ATERM V 8:00 12:30 4:30 V V V V V CEFAZOLIN 2GR

27 WADIAH (32 Th) 371046 32 Dr. Hj. Juwita Elva, Sp. OG, 10/11/2021 10/11/2021 14-10-21 3 G2P1A0, PRESBO,KPD,PE V 7:00 13:15 6:15 V V V V V CEFAZOLIN 2GR
28 ANDHITA WANZA FAULIAN (25 Th) 542607 25 Dr. Hj. Lisnur Saptowati, Sp.OG 10/11/2021 10/12/2021 15-10-21 4 G1 41-42 MG OLIGO V 9:00 10:15 1:15 V V V V V TIDAK
29 YATI SUTARDI (23 Th) 553439 23 Dr. M. Mosjab, Sp. OG, M. Kes, 10/12/2021 10/12/2021 15-10-21 4 G2P1A0 RIW SC PRESBO,KPD V 6:30 14:15 7:45 V V V V V CEFAZOLIN 2GR
30 NUR KHOLIFAH (26 Th) 409303 26 Dr. Hj. Juwita Elva, Sp. OG 10/12/2021 10/12/2021 15-10-21 4 OLIGOHIDRONION RIW SC V 8:00 12:20 4:20 V V V V V CEFAZOLIN 2GR
31 ISMATUN NAHDIYAH (24 Th) 553440 24 Dr. Hj. Juwita Elva, Sp. OG 10/12/2021 10/12/2021 15-10-21 4 G1P0A0 ATERM MIOPI MALPRESENTASI V 9:00 11:30 2:30 V V V V V CEFAZOLIN 2GR
32 NURDIANAH (29 Th) 361415 29 Dr. M. Mosjab, Sp. OG, M. Kes, 10/12/2021 10/12/2021 15-10-21 4 G3P2A0 KPD V 8:00 13:45 5:45 V V V V V CEFAZOLIN 2GR
33 DIAN SUSTI RAMSILAH (34 Th) 468149 34 Dr. Hj. Lisnur Saptowati, Sp.OG 10/12/2021 10/12/2021 15-10-21 4 G3P2A0 INPARTU FS AKTIF + GEMELI PEB V 8:35 9:10 0:35 V V V V V TIDAK
34 SITI NAFISAH (31 Th) 348788 31 Dr. M. Mosjab, Sp. OG, M. Kes, 10/13/2021 13-10-21 16-10-21 4 G3P1A1, PLASENTA PREVIA TOTALIS, POST DATE V 8:30 10:00 1:30 V V V V V CEFAZOLIN 2GR
35 SELVI CHADIJAH RIYANI (28 Th) 553467 28 Dr. Hj. Lisnur Saptowati, Sp.OG, 10/12/2021 13-10-21 16-10-21 5 G1P0A0 KPD V 9:00 10:55 1:55 V V V V V TIDAK
36 LIA NURINDAH SAFITRI (26 Th) 494127 26 Dr. M. Mosjab, Sp. OG, M. Kes, 10/12/2021 13-10-21 16-10-21 4 G2P1A0 FASE AKTIF V 9:00 10:30 1:30 V V V V V CEFAZOLIN 2GR
37 HERI PURWANTI (40 Th) 553548 40 Dr. Hj. Lisnur Saptowati, Sp.OG 14-10-21 14-10-21 17-10-21 4 INPARTU G2P1A0 PEB V 9:00 11:45 2:45 V V V V V TIDAK
38 ESTY NURDIANAH R. (29 Th) 539655 29 Dr. M. Mosjab, Sp. OG, M. Kes, 14-10-21 14-10-21 17-10-21 4 G2P1A0 INPARTU RIW. SC DALAM PERSALINAN V 8:00 10:45 2:45 V V V V V CEFAZOLIN 2GR
39 SITI ULPIYA MULYANI (24 Th) 553105 24 Dr. Hj. Lisnur Saptowati, Sp.OG 14-10-21 14-10-21 17-10-21 4 OBLIG G1P0A0 38 MGG RENCANA SC V 10:00 12:30 2:30 V V V V V TIDAK
40 LINDAWATI (40 Th) 345396 40 Dr. Hj. Juwita Elva, Sp. OG, 10/14/2021 15/10/2021 18/10/2021 4 G3P1A1 POSTERM OLIGO V 11:00 12:45 1:45 V V V V V CEFAZOLIN 2GR
41 DEWI HARTINI (36 Th) 369933 36 Dr. Hj. Lisnur Saptowati, Sp.OG 10/13/2021 15/10/2021 18/10/2021 5 G2P1A0 H. 28 MGG PEB V 11:30 13:00 1:30 V V V V V TIDAK
42 MERIYAM SEPTIANA (36 Th) 399240 36 Dr. Hj. Lisnur Saptowati, Sp.OG 10/16/2021 10/16/2021 10/19/2021 3 OBLIGH PLR G3P2A0 H. ATERM V 11:30 12:50:00 1:20:00 V V V V V TIDAK
43 SITI LATIFAH (32 Th) 469097 32 Dr. Hj. Lisnur Saptowati, Sp.OG 10/16/2021 10/17/2021 10/20/2021 4 G4P3A0 RIW SC,DISTOCIA CERVIKALIS V V V V V V TIDAK
44 RIZQI NOVITA SARI 553785 27 Dr. Hj. Juwita Elva, Sp. OG, 17/10/2021 18/10/2021 21/10/2021 4 G1P0A0 KPD,INDUKSI GAGAL,POSTDATE V 11:00 12:00:00 1:00 V V V V V CEFAZOLIN 2 GR
45 NURCHASANAH 547408 40 Dr. Hj. Lisnur Saptowati, Sp.OG 18/10/2021 18/10/2021 21/10/2021 4 G1P0A0 KPD,LETAK LINTANG,PRIMITUA V 9:00 12:10 3:10 V V V V V TIDAK
46 DWI YULISTYANI 525165 31 Dr. Hj. Lisnur Saptowati, Sp.OG 18/10/2021 18/10/2021 21/10/2021 4 G2P1A0 KPD,LETAK LINTANG V 11:00 13:15 2:15 V V V V V TIDAK
47 YUNDA FESTI 395576 29 Dr. Hj. Juwita Elva, Sp. OG, 20/10/2021 20/10/2021 23/10/2021 4 G3P1A1 LETAK LINTANG V 12:00 14:30 2:30 V V V V V CEFAZOLIN 2 GR
48 USWATUN KHASANAH 553875 32 Dr. Hj. Juwita Elva, Sp. OG, 20/10/2021 20/10/2021 23/10/2021 4 G2P1A0 DKP,RIW SC V 11:00 13:55 2:55 V V V V V CEFAZOLIN 2 GR
49 DITA YUNIARTI 520028 30 Dr. Hj. Lisnur Saptowati, Sp.OG 21/10/2021 21/10/2021 24/10/2021 4 G3P2A0 ATERM LET LINTANG V 9:00 11.45 2:45 V V V V V TIDAK
50 DEWI SRI PRIYANTINI 553927 32 Dr. Hj. Juwita Elva, Sp. OG, 20/10/2021 21/10/2021 24/10/2021 5 G2P1A0 PEB V 12;55 14;00 1.05 V V V V V CEFAZOLIN 2 GR
51 SARI DEWI SUMIRAH 553923 38 Dr. Hj. Juwita Elva, Sp. OG, 20/10/2021 21/10/2021 24/10/2021 4 G3P2A0 PEB V 07;00 07;50 0;50 V V V V V CEFAZOLIN 2 GR
52 DENI APRILIA AISYAH 545525 29 Dr. Hj. Juwita Elva, Sp. OG, 21/10/2021 21/10/2021 24/10/2021 4 G2P1A0 ATERM GEMELY V 09;00 10;10 1;10 V V V V V CEFAZOLIN 2 GR
53 SYARIFATUNNISA 404249 31 Dr. Hj. Juwita Elva, Sp. OG, 21/10/2021 22/10/2021 25/10/2021 4 G3P1A0 RIW SC 2X V 09;00 13:15 4.15 V V V V V CEFAZOLIN 2 GR
54 CINDY APRILIA 536484 24 Dr. Hj. Lisnur Saptowati, Sp.OG 21/10/2021 22/10/2021 25/10/2021 4 G1P0A0 POSTDATE KALA 2 TAK MAJU V 1:30 1:45 0:15 V V V V V TIDAK
55 RIKY ROCHMUJIATI (34 Th) 355150 34 Dr. Hj. Lisnur Saptowati, Sp.OG 23/10/2021 23/10/2021 26/10/2021 4 G1P0A0 ATERM V 21:00 21.45 0:45 V V V V V TIDAK
56 ALITA SUKMA DEWI (26 Th) 554084 26 Dr. Hj. Juwita Elva, Sp. OG, 23/10/2021 23/10/2021 26/10/2021 4 G1P0A0 KPD POSTDATE PRESBO V 21:00 21:30 0:30 V V V V V CEFAZOLIN 2 GR
57 SRI AYU FUJIARTI (22 Th) 552843 22 Dr. Hj. Juwita Elva, Sp. OG, 23/10/2021 23/10/2021 26/10/2021 4 G1P0A0 HAMIL 33 MNGGU DENGAN PEB V 21:30 22:15 0:45 V V V V V CEFAZOLIN 2 GR
58 RULIATI (28 Th) 553884 28 Dr. Hj. Lisnur Saptowati, Sp.OG 24/10/2021 25/10/2021 28/10/2021 4 G1P0A0 KPD GAGAL INDUKSI V 17:20 17:40 0:20 V V V V V TIDAK
 Dr. Hj. Juwita Elva, Sp. OG,
59 BUNGA ARIFIA SHINTA (26 Th) 554128 26 25/10/2021 25/10/2021 28/10/2021 4 G1P0A0 KPD PE GAGAL INDUKSI V 20:40 21:10 0:30 V V V V V CEFAZOLIN 2 GR
60 TIA FEZA QORINA (26 Th) 311162 26 Dr. M. Mosjab, Sp. OG, M. Kes, 25/10/2021 26/10/2021 29/10/2021 5 G1P0A0 OLIGOHIDRAMNION 10:00 11:30 1:30 V V V V V CEFAZOLIN 2 GR

Dr. Hj. Lisnur Saptowati, Sp.OG

61 SUSI SUSANTI,AMDKEB (32 Th) 318490 32 25/10/2021 26/10/2021 29/10/2021 5 G2P1AO PRESBO FASE AKTIF V 4:15 4:45 0:30 V V V V V TIDAK
62 ERNA SUGIARTI (35 Th) 411266 35 Dr. Hj. Lisnur Saptowati, Sp.OG 26/10/2021 26/10/2021 29/10/2021 4 G4P3A0 KPD POST DATE V 7:30 11:10 3:40 V V V V V TIDAK
63 ERNA RAHMAYANTI (24 Th) 419484 24 Dr. Hj. Lisnur Saptowati, Sp.OG 26/10/2021 26/10/2021 29/10/2021 4 g1p0a0 plasenta pravia total V 9:00 12:00 3:00 V V V V V TIDAK

Dr. M. Mosjab, Sp. OG, M. Kes,

64 YULIANA WIDI ASTUTI (27 Th) 414467 27 26/10/2021 26/10/2021 29/10/2021 4 G1P0A0 KPD V 10:00 11:00 1:00 V V V V V CEFAZOLIN 2 GR
65 RIZKI TIKA AMALIA (27 Th) 471459 27 Dr. Hj. Juwita Elva, Sp. OG, 26/10/2021 26/10/2021 29/10/2021 4 RIW SC 1,5 THN G3P1A1 ATERM V 9:30 14:00:00 AM 1:30 V V V V V CEFAZOLIN 2 GR
66 KIKI RISKI AMALIA (26 Th) 513355 26 Dr. M. Mosjab, Sp. OG, M. Kes, 10/27/2021 10/27/2021 30/10/2021 4 G2P1A0 RIW SC <2TH V 11:30 12:15 0:45 V V V V V CEFAZOLIN 2 GR
67 KHARISNA AENI (25 Th) 554263 25 Dr. Hj. Lisnur Saptowati, Sp.OG 10/27/2021 10/27/2021 30/10/2021 4 G1P0A0 KPD POST DATE V 11:30 0:15 0:30 V V V V V TIDAK

Dr. Hj. Juwita Elva, Sp. OG,

68 ISMA FITRI PURNAWATI (30 Th) 553676 30 10/26/2021 10/27/2021 30/10/2021 4 G2P1A0 PE V 13:00:00 AM13:40:00 AM 0:30 V V V V V CEFAZOLIN 2 GR
69 ANISAH (35 Th) 509991 35 Dr. M. Mosjab, Sp. OG, M. Kes, 10/27/2021 10/27/2021 30/10/2021 4 G2P1A0 PEB V 9:00 14:45:00 PM 0:30 V V V V V TIDAK
70 ANIS MAWAR DANI (32 Th) 554316 32 Dr. Hj. Lisnur Saptowati, Sp.OG 10/27/2021 28/10/2021 31/10/2021 4 G3P2A0 POST DATE FASE AKTIF V 1:00 1:25 0:25 V V V V V TIDAK

Dr. Hj. Lisnur Saptowati, Sp.OG 10:00 11:35 1:35

71 RIZTIANA ADIVIYANTI (24 Th) 554268 24 10/27/2021 28/10/2021 31/10/2021 4 G1P0A0 PE, KPD, OLIGO V V V V V V TIDAK
72 INDAH SORAYA (33 Th) 371148 33 Dr. Hj. Lisnur Saptowati, Sp.OG 10/28/2021 28/10/2021 31/10/2021 3 G3P2A0 KPD RIW. SC 2X V 10:00 12:10 2:10 V V V V V TIDAK
73 NURUL HIKMAH (30 Th) 470696 30 Dr. Hj. Juwita Elva, Sp. OG, 10/28/2021 28/10/2021 31/10/2021 3 DKP RIW SC ATERM V 9:00 11:45 2:45 V V V V V CEFAZOLIN 2 GR
74 NURKHASANAH (36 Th) 372933 36 Dr. Hj. Juwita Elva, Sp. OG, 10/28/2021 28/10/2021 31/10/2021 3 G3P1A1 38-39 MGG MALPRESENTASI V 9:00 12:25 3:25 V V V V V CEFAZOLIN 2 GR

Dr. Hj. Lisnur Saptowati, Sp.OG G2P1A0, PRESBO, PE, KALA 1 FASE AKTIF, 19:40 20:00 0:20
75 WARNITI (31 Th) 554343 31 10/28/2021 28/10/2021 31/10/2021 3 POSTDATE V V V V V V TIDAK
76 FURY SETIANE (38 Th) 204474 38 Dr. Hj. Lisnur Saptowati, Sp.OG 10/29/2021 10/29/2021 1/11/2021 3 G2P1A0 KPD V 8:00 10:45 2:45 V V V V V TIDAK
77 UMI HANI (29 Th) 542653 29 Dr. Hj. Lisnur Saptowati, Sp.OG 10/29/2021 10/29/2021 1/11/2021 3 INPARTU G1P0A0, PE, PP TOTAL V 6:30 10:15 3:45 V V V V V TIDAK
78 KHUSNUL KHOTIMAH 554391 23 Dr. Hj. Lisnur Saptowati, Sp.OG 10/29/2021 30/10/2021 2/11/2021 3 G1P0A0 INDUKSI GAGAL,KPD >24 JAM V 8:30 9:10 0.027778 V V V V V TIDAK
79
80
 DATA PASIENPROFILAK
SC TH 2021
Jam di JAM di JENIS OPERASI
UMU TGL TGL SIS RESPO
NO NAMA PASIEN RM DOKTER TGL SC LOS INDIKASI TIDA Putuska Lakuka N TIME
R MASUK KELUAR YA CITO
K n SC n SC
1 RIZKA SANTIKA AYU 554711 35 dr.Lisnur,SPOG 1/11/2021 1/11/2021 4/11/2021 4 G3P1A0 PP TOTALIS PERDARAHAN V 20:05 20:35 0:30 V
2 AMALYA INAYAH 525647 33 DR.JUWITA.SPOG 1/11/2021 1/11/2021 4/11/2021 4 G2P1A0 LETAK LINTANG,RIW SC V 9:00:00 12:40 3:40
3 SITI NURKHANIFAH 360546 28 dr.Lisnur,SPOG 1/11/2021 1/11/2021 4/11/2021 4 G2P1A0 KPD,PRESBO V 10:00:00 13:15 3:15
4 DAYINTA FADHILAH 511879 26 dr.Lisnur,SPOG 1/11/2021 2/11/2021 5/11/2021 4 G1P0A0 KPD PE INDUKSI GAGAL V 9:00:00 15:30 6:30
5 VIDYA UMMU 307888 35 dr.Lisnur,SPOG 2/11/2021 2/11/2021 5/11/2021 4 G2P1A0 RIW SC KPD V 15:00 16:00 1:00
6 DEWI SARI 341765 41 DR.JUWITA.SPOG 2/11/2021 2/11/2021 5/11/2021 4 G3P1A1 RIW SC IUGR LET LING KPD V 8:40 11:20 2:40
7 NURFANI ZARETA 554583 22 DR. MOESJAB.SPOG 1/11/2021 2/11/2021 5/11/2021 4 G1P0A0 POSTDATE KPD V 7:30 13:35 6:05

8 KOMARIYAH 554323 30 dr.Lisnur,SPOG 2/11/2021 3/11/2021 6/11/2021 4 G3P2A0 RIW SC DISTOCIA CERVICALIS V 0:35 1:05 0:30 V
9 NOVI NURYANTI 554804 39 DR.JUWITA.SPOG 3/11/2021 3/11/2021 6/11/2021 4 G5P4A0 RIW SC PEB V 11:30 13:15 1:45
10 NUR LAELA (38 Th) 380083 38 dr.Lisnur,SPOG 4/11/2021 4/11/2021 7/11/2021 4 G3P2A0 PRES KAKI V 12:00 13:00 1:00
G1P0A0 POSTTERM RUPTUR UTERI
11 WARTI BINTI RAKIM 500820 19 DR.JUWITA.SPOG 4/11/2021 4/11/2021 7/11/2021 4 V 13:30 14:35 1:05
IMMINENT
SITI EKA ROSYTA (28
12 496373 28 DR. MOESJAB.SPOG 11/4/2021 5/11/2021 8/11/2021 5 G2POA1 KPD IUFD V 18:00 19:25 1:25
Th)
TRISFANUR LIANA (26 G1P0A0 H39MG + PE + SUSP GIANT
13 499695 26 dr.Lisnur,SPOG 11/4/2021 5/11/2021 8/11/2021 5 V 8:30 9:55 1:25
Th) BABY
DIAN KURNIANINGSIH
14 554899 27 dr.Lisnur,SPOG 11/4/2021 5/11/2021 8/11/2021 5 G1P0A0 PEB V 19:45 20:30 0:45
(27 Th)
15 TITIS AGUSTIANI 552932 27 dr.Lisnur,SPOG 5/11/2021 6/11/2021 9/11/2021 5 G3POA2 INDUKSI GAGAL V 10:00 11:45 1:45
16 ISTIROCHA 553333 25 DR.JUWITA.SPOG 6/11/2021 7/11/2021 10/11/2021 5 G1P0A0 PEB GAGAL INDUKSI V 11:10 11:40 0:30 V
Dr. Hj. Juwita Elva, Sp.
17 AYU ZURIAH (30 Th) 375541 30 OG,
8/11/2021 8/11/2021 11/11/2021 4 G4P3A0 37-38 MGG RIW SC 2X V 9:00 14:05 5:05

IFFAH NURUL Dr. Hj. Lisnur Saptowati,

18 352025 32 Sp.OG
8/11/2021 8/11/2021 11/11/2021 4 G3P0A0 RIW SC, KPD V 9:00 13:00 4:00
ATHIFAH (32 Th)
Dr. Hj. Juwita Elva, Sp.
19 DEWI MASITOH (25 Th) 477477 25 OG,
8/11/2021 8/11/2021 11/11/2021 4 G3P1A1 39-40 MGG RIW SC V 10:00 15:55 5:55

FINDO
Dr. M. Mosjab, Sp. OG, M.
20 YULYANINGTIAS (29 555058 29 Kes,
8/11/2021 8/11/2021 11/11/2021 4 G2P1A0 RIW SC,PE V 6:30 7:25 0:55
Th)
INTAN KOMALASARI Dr. Hj. Juwita Elva, Sp.
21 311676 29 OG,
8/11/2021 8/11/2021 11/11/2021 4 IUGR G2P0A1 V 9:00 10:25 1:25
(29 Th)
AVELIA VITA AVIONITA Dr. M. Mosjab, Sp. OG, M.
22 555150 24 Kes,
8/11/2021 8/11/2021 11/11/2021 4 G1P0A0 PEB IMPENDING EKLAMPSI V 19:30 21:20 1:50
(24 Th)
Dr. Hj. Juwita Elva, Sp. PREEKLAMPSIA OLIGO G1 P0 A0
23 RISNA ARSYIANA 554065 25 OG,
8/11/2021 8/11/2021 11/11/2021 4 V 9:00 9:40 0:40
MALPRESENTASI
Dr. Hj. Lisnur Saptowati, INPARTU G1 P0 A0 G1 P0 PRESENTASI
24 LISWANTI 555513 26 Sp.OG
8/11/2021 8/11/2021 11/11/2021 4 V 23:20 23:40 0:20 V
KAKI
Dr. Hj. Juwita Elva, Sp.
25 GUSTI INDRIANI 408364 26 OG,
9/11/2021 9/11/2021 12/11/2021 4 INP G3 P2 A0 RIW SC 2X DKP V 8:00 12:50 4:50
Dr. M. Mosjab, Sp. OG, M.
26 AULIA KHOFI SINAGA 279255 34 Kes,
9/11/2021 9/11/2021 12/11/2021 4 INPARTUG3 P2 A0 PEB PRESBO V 8:00 16:25 8:25

27 LARAS IFANTRI 529686 30 DR LISNUR 10/11/2021 10/11/2021 13-11-21 4 KPD OBLIGHT G3 P2 A0 PE V 10:30 12:25 1:55
28 SARI KOMALA DEWI 535782 41 DR LISNUR 10/11/2021 10/11/2021 13-11-21 4 INDUKSI GAGAL, PEB G4 P2 A1 V 20:00 20:55 0:55
Dr. Hj. Lisnur Saptowati, MALPRESENTASI,KALA 2 TAK
29 CHELA ZUMROTUL 555288 26 Sp.OG
11/11/2021 11/11/2021 14/11/2021 4 V 20:30 21:55 1:25
MAJU,KPD,G1P0A0 POSTDATE
 Dr. M. Mosjab, Sp. OG, M.
30 DYAN SRIANTIKA 555284 25 Kes,
11/11/2021 11/11/2021 14/11/2021 4 G2P1A0 KPD,RIW SC V 9:30 10:30 1:00
Dr. Hj. Lisnur Saptowati,
31 FADLILAH NUR AULIA 309824 33 Sp.OG
11/11/2021 11/11/2021 14/11/2021 4 G6P1A4 KPD,OBLIGH V 8:10 13:40 5:30

Dr. M. Mosjab, Sp. OG, M.

32 RIZKI AISYANINGTYAS 377290 33 Kes,
10/11/2021 11/11/2021 14/11/2021 4 G2P1A0 RIW SC,MIOPI 16-15 V 9:00 10:30 1:30

Dr. Hj. Juwita Elva, Sp.

33 FARIDATIL AMANIYAH 555362 28 OG,
12/11/2021 12/11/2021 15/11/2021 4 G1P0A0 DKP,PE V 10:15 11:10 0:55

NUIR ANISYAH Dr. Hj. Lisnur Saptowati,

34 378662 37 Sp.OG
11/11/2021 12/11/2021 15/11/2021 4 G2P1A0 PEB,RIW SC V 9:00 11:30 2:30
ROCHAYATI
Dr. Hj. Juwita Elva, Sp.
35 FAELA SUFAH 555341 28 12/11/2021 12/11/2021 15/11/2021 4 G1P0A0 KPD,LETAK LINTANG V 8:30 10:25 1:55
OG,
Dr. Hj. Juwita Elva, Sp.
36 DIANA NASIHA 520846 37 OG,
12/11/2021 13/11/2021 16/11/2021 4 G4P3A0 PEB,PLR,ANEMIA V 21:00 21:30 0:30
Dr. Hj. Lisnur Saptowati,
37 FRIDA AGUSTIN 555441 35 Sp.OG
13/11/2021 13/11/2021 16/11/2021 4 G2P1A0 POSTDATE,LETAK LINTANG V 19:40 19:50 0:10 V
Dr. Hj. Lisnur Saptowati,
38 NUR CHAYATUN 216113 32 Sp.OG
13/11/2021 13/11/2021 16/11/2021 4 G5P2A2 PRESENTASI KAKI V 17:45 18:10 0:25 V
SULUH ADITYA Dr. M. Mosjab, Sp. OG, M.
39 555501 22 Kes,
15/11/2021 15/11/2021 18/11/2021 4 G1P0A0 PRESBO KPD V 9:00 15:45 6:45 V
NINGRUM
Dr. Hj. Juwita Elva, Sp.
40 FATMAWATI (29 Th) 410512 29 OG,
16/11/2021 16/11/2021 19/11/2021 4 G2P0A1 KPD V 10:00 12:15 2:15

ARUM DWI ARIYANTI Dr. Hj. Lisnur Saptowati,

41 499170 28 Sp.OG
16/11/2021 16/11/2021 19/11/2021 4 G1P0A0 OBLIQUE POSTDATE KPD V 8:00 11:35 3:35
(28 Th)
ADE SUNINGSIH (36 Dr. Hj. Lisnur Saptowati,
42 555566 36 Sp.OG
16/11/2021 16/11/2021 19/11/2021 4 INP. G3P2A0 KPD RIWAYAT SC V 8:00 12:25 4:25
Th)
AINUR RIZQI AMALIA Dr. Hj. Lisnur Saptowati, G1A0P0, PE , KPD, IUGR, FETAL
43 303071 33 Sp.OG
16/11/2021 16/11/2021 19/11/2021 4 V 21:50 22:20 0:30 V
(33 Th) DISTRESS
FIDHIANA SAPUTRI (23 Dr. M. Mosjab, Sp. OG, M.
44 555640 23 Kes,
17-11-21 17-11-21 20-11-21 4 G1P0A0 KPD, IUGR, KPD V 9:00 13:30 4:30
Th)
Dr. Hj. Lisnur Saptowati,
45 AJENG QURANI (31 Th) 280421 31 Sp.OG
17-11-21 17-11-21 20-11-21 4 G3P2A0, KPD, RIW. SC 2X V 8:00 11:35 3:35

ALIYAH
Dr. Hj. Lisnur Saptowati,
46 SULISTYADILLAH (18 554413 18 Sp.OG
18-11-21 18-11-21 21-11-21 4 G1P0A0 POST TERM, KPD,CPD V 8:00 13:30 5:30
Th)
NURLY RAVIA DEVI (29 Dr. Hj. Juwita Elva, Sp. G1P0A0 POSTDATE OLIGOHIDRONION
47 460776 29 OG,
18-11-21 19/11/2021 22-11-21 5 V 8:30 9:30 1:00
Th) GAGAL INDUKSI
INDAH PURNAMA SARI Dr. Hj. Lisnur Saptowati, G2P1A0,RIWAYAT SC DALAM
48 366059 28 Sp.OG
18-11-21 19/11/2021 22-11-21 5 V 9:00 9:35 0:35
(28 Th) PERSALINAN
ISWATUN KHASANAH Dr. Hj. Lisnur Saptowati,
49 555759 23 Sp.OG
18-11-21 19/11/2021 22-11-21 5 G3P0A2 PE + KPD GAGAL INDUKSI V 7:30 9:15 1:45
(23 Th)
VINA NURUL UTAMI Dr. Hj. Juwita Elva, Sp.
50 553312 32 OG,
19/11/2021 19/11/2021 22-11-21 4 G2P1A0 RIW SC PE, DM INSULIN V 8:00 10:25 2:25
(32 Th)
Dr. Hj. Lisnur Saptowati,
51 ZUWIDA SYIFA (26 Th) 335201 26 Sp.OG
19/11/2021 19/11/2021 22-11-21 4 KPD G2P1A0 RIW SC V 8:00 10:25 2:25

SITI NUR SECHA (28 Dr. Hj. Juwita Elva, Sp. G1P0A0, INPARTU KALA 1 FASE AKTIF
52 555833 28 OG,
11/20/2021 11/20/2021 23/11/2021 4 V 8:35 11:35 3:00
Th) CPD
INDAH NURBAETI (28 Dr. Hj. Juwita Elva, Sp.
53 553936 28 OG,
11/20/2021 21/11/2021 24/11/2021 4 G2P1A0 GEMELLI FASE AKTIF V 5:35 6:35 1:00
Th)
AFIFAH NURIYANI (23 Dr. Hj. Juwita Elva, Sp.
54 554809 23 OG,
11/20/2021 21/11/2021 24/11/2021 4 G1P0A0 OLIGOHIDRAMNION,KPD V 5:15 6:35 1:20
Th)
DEVANI ALITA Dr. M. Mosjab, Sp. OG, M. G1P0AO GAGAL INDUKSI PE POST
55 340951 27 Kes,
11/22/2021 23/11/2021 26/11/21 4 V 4:00 4:25 0:25 V
PRAHASTIWI (27 Th) DATE
Dr. Hj. Juwita Elva, Sp.
56 JENI PUTRI ATINIKA 548131 25 OG,
23/11/2021 23/11/2021 26/11/21 4 G1P0A0 KPD,DKP,JANIN BESAR V 10:30 13:45 3:15
 G1P0A0
RINA CANDRA Dr. Hj. Juwita Elva, Sp.
57 553106 29 OG,
23/11/2021 23/11/2021 26/11/21 4 PREEKLAMPSIA,OLIGOHIDRAMNION,P 6:30 12:50 6:20
PERMATASARI
OSTDATE
Dr. Hj. Juwita Elva, Sp.
58 MUKALIMATUS 399707 33 OG,
24/11/2021 24/11/2021 27/11/2021 4 G3P2A0 PEB RIW SC V 12:00 13:30 1:30
Dr. Hj. Juwita Elva, Sp.
59 HENI FAOZAH 375344 34 OG,
24/11/2021 24/11/2021 27/11/2021 4 G4P2A1 KPD,RIW SC V 8:30 ### 7:20

G1P0A0
Dr. Hj. Juwita Elva, Sp.
60 RETNO AMBARWATI 442541 39 OG,
24/11/2021 24/11/2021 27/11/2021 4 PE,OLIGOHIDRAMNION,INFERTIL 5 V 7:30 12:20 4:50
TAHUN
Dr. Hj. Juwita Elva, Sp.
61 KHULTONISAK (33 Th) 553450 33 OG,
11/25/2021 11/25/2021 28/11/2021 4 G3P2A0 HAMIL ATERM RIW SC 2X V 8:30 12:35 4:05

Dr. M. Mosjab, Sp. OG, M.

62 DEA PUTRI (29TH) 152524 29 Kes,
11/25/2021 11/26/2021 29/11/2021 4 G1P0A0 PRESBO KALA I LAMA KPD V 5:30 ### 8:28

DIAH WARDANI ISKA Dr. Hj. Juwita Elva, Sp. G2P1A0 PEB RIW. SC 2 TH, FETAL
63 502444 28 OG,
11/26/2021 27/11/2021 11/30/2021 4 V 1:50:00 2:20 0:30 V
MARSELIN (28 Th) DISTRESS, SOLUSIO PLASENTA
Dr. Hj. Juwita Elva, Sp.
64 RINA INDRIYANI 549986 24 OG,
11/26/2021 27/11/2021 30/11/2021 4 G1P0A0 PEB LETAK LINTANG V 8:00 9:10 1:10

YENI SULISTYOWATI Dr. M. Mosjab, Sp. OG, M.

65 516705 40 Kes,
29-11-21 30/11/2021 3/12/2021 4 G3P1A1 RIW SC PEB V 10:30 11.1 15:54
(40 Th)

KARTIKA Dr. Hj. Juwita Elva, Sp. G2P1A0 PRESENTASI KAKI FASE
66 556402 26 OG,
30-11-21 30/11/2021 3/12/2021 3 V 6:10 7:35 1:25 V
NUROKTAVIANI (26 Th) AKTIF

Dr. Hj. Lisnur Saptowati,

67 SUPRICHATIN (29 Th) 307508 29 Sp.OG
12/2/2021 12/2/2021 5/1/2021 3 G3P0A2 38 MGG V 0:10 0:45 0:35

MITHA AIRDRESYATI Dr. Hj. Juwita Elva, Sp.

68 346044 32 OG,
12/2/2021 12/2/2021 5/1/2021 3 G1P0A0 PEB, GEMELLI V 8:30 12:20 3:50
(32 Th)

0:00
0:00

0:00
0:00
 BUNDLES
S OPERASI STATUS ASAL RUJUKAN PASIEN PROFILAKSIS
ELEKTI OPERASI
DILAKU
UMUM BPJS IGD POLI YA TIDAK TIDAK NAMA OBAT
F KAN
V V V V TIDAK
V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK
V V V V V TIDAK
V V V V V TIDAK
V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR

V V V V TIDAK

V V V V V CEFAZOLIN 2 GR
V V V V V TIDAK

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR
V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR
V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR
V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V

V V V V V CEFAZOLIN 2 GR

V V V V V

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR
V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR

V V V V V CEFAZOLIN 2 GR
NO NAMA PASIEN RM UMUR

1 VINNA SEPTIANI ADITYA (26 Th) 393327 26

2 NUNUNG DIYANAH (42 Th) 453542 42
IZMI ROFIKOH WALIATUN
3 520191 27
MELATI (27 Th)
4 NANIK SULANDARI 400110 35

5 GLADI PATRIATIKA PURINAGARI 547400 33

6 WIDHYANINGRUM 556784 31
7 WINA ERFIANA 556842 24
8 INTAN AYU TRIANA 500982 31
9 SRI AGUS LINDAH 506823 29
10 SITI AMINAH 556912 33

11 AISYAH 381998 31

12 INA AENUN NISA 556971 25

13 ENNI RAHMAWATI 556979 32
14 AENI ROHMI 231457 39

15 LINA MUNFAROH 426076 30

16 ERA ERVIANA 500832 24

17 RIEZKA DWI ADHIANTI 557102 23
18 NURHAYATI 557095 27
19 ROSE INDAH 448490 35
20 UMMU ATIYAH AL 396320 28
21 KHOLIPAH 486847 40
22 APRIL MULYANI (37 Th) 557170 37
23 ANITA FITRIAH (37 Th) 557177 37
24 DINA AGUSTINA (34 Th) 544850 34

25 25
EKA OKTAVIA NINGRUM (25 Th) 557256

26 33
FERA YULIAT DWI ASTUTI (33 Th) 333269
27 ISNA RAKHMANI (27 Th) 511452 27

28 26
NOVIKA AYU WIJAYANTI (26 Th) 431423

29 24
FITRI NOVIYANTI (24 Th) 534655
30 NIKEN AYU HAPSARI (23 Th) 557295 23

31 39
PENI INDRI YULIAWATI (39 Th) 557242

32 557451 38
NUR AFIYATIE
33 INTAN KURNIASIH 522781 27
34 DYAH AYU 557508 25
35 557520 22
SEPTI PANINGRUM

36 524291 24
INDAH SRI
37 NUR AFRIH AHMILATI 557048 26
38 KANITA 512626 30

39 TRI MEI NINGSIH 557564 20

40 LAELI NURCHURYATI (28 Th) 484169 28

41 NURUL KHIKMAH (33 Th) 202757 33
42 SUSI SUSANTI (29 Th) 557670 29

43 25
PRAMUDITA PROBOSIWI (25 Th) 557761
44 ESTI KAROMAH (34 Th) 557713 34
45 NURUL AINIA (30 Th) 488266 30
46 APRILYANI PUJIARTI (28 Th) 480619 28

47 26
AZIMATUZ ZULFA AZNIKA (26 Th) 557836

48 APRIANTI KUSUMAWARDANI (27

Th) 495990 27

49 TIA HARDIKA LESTARI ZAIN (31

Th) 413876 31
50 PUTRI AISAH (21 Th) 481397 21
51 HANIFAH (20 Th) 557965 20
52 EKA NOOR LIFANI (31 Th) 260730 31

53
SITI JULAEKHA (33 Th) 309665 33

54
SITI ANGGI LESTARI (22 Th) 558105 22

55
NENI TRISNAWATI (39 Th) 558123 39
56 HENNI EKA SETIAWATI (21 Th) 461573 21
57 DIANA FEBRIANTI 558174 23

58 CIPTANING EKA SAFITRI 446750 28

59 TRI AMALIA RACHMAWATI 366015 34

60 NADIYAH RODESTA 5453945 24
61 BINTANG MAYAPADHA 557989 27
62 LAELATUL LATIFAH 435216 39
63
64
65
66
 DOKTER TGL MASUK TGL SC

Dr. M. Mosjab, Sp. OG, M. Kes, 30-11-21 12/1/2021

Dr. Hj. Juwita Elva, Sp. OG, 12/1/2021 12/1/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 12/4/2021 12/4/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 12/6/2021 12/6/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 12/6/2021 12/6/2021

Dr. M. Mosjab, Sp. OG, M. Kes, 12/6/2021 12/6/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 12/7/2021 12/7/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/7/2021 12/7/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/7/2021 12/7/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/8/2021 12/8/2021

Dr. Hj. Juwita Elva, Sp. OG, 9/12/2021 9/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 8/12/2021 9/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 9/12/2021 9/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 8/12/2021 9/12/2021

Dr. Hj. Juwita Elva, Sp. OG, 9/12/2021 9/12/2021

Dr. Hj. Juwita Elva, Sp. OG, 11/12/2021 11/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 11/12/2021 11/12/2021
Dr. Hj. Juwita Elva, Sp. OG, 11/12/2021 11/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 9/12/2021 11/12/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 11/12/2021 11/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/12/2021 12/12/2021
Dr. Hj. Juwita Elva, Sp. OG, 12/13/2021 12/13/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 12/13/2021 12/13/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/13/2021 12/13/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/14/2021 12/14/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/14/2021 12/14/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/14/2021 12/14/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/13/2021 12/14/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/13/2021 12/14/2021
Dr. Hj. Juwita Elva, Sp. OG, 12/14/2021 12/15/2021

Dr. Hj. Juwita Elva, Sp. OG, 12/16/2021

12/14/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

16/12/2021 17/12/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 17/12/2021 18/12/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 17/12/2021 18/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 18/12/2021
18/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 18/12/2021

17/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 18/12/2021 18/12/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 18/12/2021 18/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 18/12/2021

18/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/20/2021 12/20/2021
Dr. Hj. Juwita Elva, Sp. OG, 21/12/2021 21/12/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 21/12/2021 21/12/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/22/2021 12/22/2021
Dr. Hj. Juwita Elva, Sp. OG, 12/22/2021 12/22/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 12/22/2021 23-12-21
Dr. M. Mosjab, Sp. OG, M. Kes, 12/23/2021 23-12-21

Dr. M. Mosjab, Sp. OG, M. Kes, 23-12-21

12/23/2021

Dr. Hj. Lisnur Saptowati, Sp.OG 24-12-21 24-12-21

Dr. Hj. Lisnur Saptowati, Sp.OG 24-12-21 24-12-21

Dr. Hj. Juwita Elva, Sp. OG, 22-12-21 24-12-21

Dr. Hj. Juwita Elva, Sp. OG, 25-12-21 25-12-21
Dr. Hj. Lisnur Saptowati, Sp.OG 12/26/2021 12/27/2021

Dr. M. Mosjab, Sp. OG, M. Kes,

12/26/2021 12/27/2021

Dr. M. Mosjab, Sp. OG, M. Kes,

12/27/2021 12/28/2021

Dr. Hj. Lisnur Saptowati, Sp.OG

12/28/2021 12/28/2021
Dr. Hj. Lisnur Saptowati, Sp.OG 12/28/2021 12/28/2021
Dr. M. Mosjab, Sp. OG, M. Kes, 12/29/2021 12/29/2021

Dr. Hj. Juwita Elva, Sp. OG, 12/28/2021 12/29/2021

Dr. M. Mosjab, Sp. OG, M. Kes, 12/29/2021 12/29/2021

Dr. Hj. Juwita Elva, Sp. OG, 12/28/2021 12/29/2021
Dr. Hj. Juwita Elva, Sp. OG, 12/29/2021 12/30/2021
Dr. Hj. Juwita Elva, Sp. OG, 12/30/2021 12/30/2021
 DATA PASIEN SC
PROFILAKSIS
TGL KELUAR LOS INDIKASI
YA
12/4/2021 4 G1P0A0 KPD,PE V
12/4/2021 4 G3P2A0 RIW SC 2X PEB V
G2P0A1 KPD OLIGOHIDRAMNION ,
12/7/2021 3 V
GAGAL INDUKSI
12/9/2021 4 G3P2A0 RIW SC 2X,KPD V

12/9/2021 4 G2P1A0 RIW SC,KPD V

12/9/2021 4 G2P1A0 KPD,OBLIHG,RIW SC V
12/10/2021 4 G1P0A0 PEB,CPD V
12/10/2021 4 G3P2A0 KPD,BABY GIANT V
12/10/2021 4 G2P1A0 DISTICIA CERVIKALIS,RIW SC V
12/11/2021 4 G4P3A0 PEB POSTTERM V
G6P4A1 MALPRESENTASI,RIW SC
12/12/2021 4 V
3X,ANEMIA
12/12/2021 4 G1P0A0 PEB,OBLIGH V
12/12/2021 4 G1P0A0 PE,INDUKSI GAGAL V
12/12/2021 4 G3P2A0 RIW SC,LPD V
G2P1A0 RIW SC,GEMELLYY LETAK
12/12/2021 4 V
LINTANG
14/12/2021 4 G2P1A0 KPD,RIW SC V
14/12/2021 4 G2P1A0 KPD,RIW SC V
14/12/2021 4 G1P0A0,PE,PRESBO V
14/11/2021 6 G6P4A1 GAGAL INDUKSI,POSTERM V
14/12/2021 4 G2P1A0 KPD,RIW SC V
15/12/2021 3 G4P3A0 RIW SC FASE AKTIF V
16/12/2021 3 G3P1A1 PEB V
16/12/2021 3 G3P2A0 RIW SC KPD V
16/12/2021 3 G2P1A0 PE, POST DATE V

17/12/2021 V
3 G1P0A0 KALA II TAK MAJU

17/12/2021 V
3 RIW SC 2X G3P2A0 ATERM
17/12/2021 3 G2P1A0 RIW SC PRESBO KPD V

17/12/2021 4 G1P0A0 INPARTU KALA I FASE AKTIF

INDUKSI GAGAL MIOPI 7

17/12/2021 4 G2P0A1 INPARTU RUPTUR UTERI

IMINENT
18/12/2021 4 G1P0A0 KPD PE INDUKSI GAGAL V

19/12/2021 5 G3P1A1 PE, RIW SC,ANEMI, V

CARDIOMEGALI
G2P1A0 RUPTUR UTERI
20/12/2021 5 IMINENT,MALPREENTASI
21/12/2021 4 G2P1A0 RIW SC,FEBRIS
21/12/2021 4 G1P0A0 KPD,INDUKSI GAGAL
 G1P0A0 KPD,PRESENTASI PUNCAK V
21/12/2021 4 KEPALA
G2P0A1 MALPRESENTASI,DISTOSIA V
21/12/2021 4 CERVIKALIS
21/12/2021 4 G1P0A0 CPD,KPD V
21/12/2021 4 G2P1A0 RIW SC,FASE VAKTIF V
G2P1A0 MALPRESENTASI,KALA 2 TAK
21/12/2021 4 MAJU,RUI
23-12-21 4 PRESBO G2P1A0 V
24-12-21 4 G2P1A0,PE RWYT SC V
24-12-21 4 G1P0A0 PEB

25-12-21 4 V
G1P0A0 KPD,OBLIG
25-12-21 4 PEB, OLIGO V
26-12-21 4 G2P1A0LETAK LINTANG + RIW SC V
26-12-21 4 G3P2A0 PRESBO+ RIW SC V

26-12-21 4 V
G2P1A0 H. 35 MGG, KPD, FASE AKTIF

27-12-21 4 V
G2P1A0 KPD, RIW. SC

27-12-21 4 V
G2P1A0 KPD OLIGO RIW SC
27-12-21 6 G2PIA0,H 36 MINGGU PE, IUGR V
28-12-20 4 G1P0A0 PRESENTASI KAKI POST TERM V
12/30/2021 5 G2P1A0 HAMIL ATERM RIW SC KPD V

12/30/2021 5 G3P2A0 PERDARAHAN PERVAGINAM V

TOTAL

V
12/31/2021 5 G1P0A0 OLIGOHIDRAMNION, POST DATE
G2P1A0 KPD, LETAK LINTANG, GERAKAN V
12/31/2021 4 JANIN MENURUN
12/31/2021 4 G1P0A0 H.39-40MGGU PRESBO V
1/1/2022 4 G1P0A0 PRESBO,KPD V
G1P0A0 INDUKSI GAGAL
1/1/2022 4 V
OLIGOHIDRAMNION
1/1/2022 4 G4P2A1 HAMIL ATERM,RIW SC,KPD V
1/1/2022 4 G2P1A0 PE,RIW SC V
1/2/2022 4 G1P0A0 KDP,INDUKSI GAGAL V
1/2/2022 4 G2P1A0 RIW SC,LETAK LINTANG V
ASIEN SC TH 2021
PROFILAKSIS
Jam di Putuskan SC JAM di Lakukan SC RESPON TIME
TIDAK
5:00 6:15 1:15
12:00 13:55 1:55

0:10 0:30 0:20

8:00 12:00 4:00

9:30 11:15 1:45

9:00 14:35 5:35

12:00 13:10 1:10
9:00 10:35 1:35
9:10 10:00 0:50
9:00 11:20 2:20

7:00 8:25 1:25

12:00 14:30 2:30

15:40 16:30 0:50
10:00 13:00 3:00

8:20 9:40 1:20

10:00 12:00 2:00

12:00 12:45 0:45
10:05 13:00 2:55
9:00 11:45 2:45
10:00 15:00 5:00
17:00 17:30 0:30
4:30 6:00:00 1:30
14:00 15:45:00 1:45
11:00 12:35:00 1:15

19:30 0:30
20:00:00

9:00 3:15
12:15:00
8:30 11:05:00 2:35

V 3:30 0:15
3:45:00

V 1:45 0:30
2:15:00
10:00 10:55:00 0:55

10:00 2:55
12:55:00

9:35
V 10:05:00 0.020833333333333
V 5:30 7:30:00 0.083333333333333
V 6:00 7:00:00 0.041666666666667
 13:00
14:05:00 0:00

12:15
13:00:00
9:00 13:20 4:20
5:20 6:45 1:25

V 18:20 18:45 0:25

9:00 13.2 4:20

7:30 12:30 5:00
V 10:40 11:00 0:20

8:00 12:45 4:45

8:00 11:00 3:00

21:00 10:20 13:20
6:30 10:50 4:20

11:00 11:30 0:30

7:30 2:45
10:15:00

10:30 23:45
10:15:00
20:00 10:05:00 14:05
5:45 7:50 2:05
10:00 13:25:00 3:25

7:00 8:45
15:45:00

14:30 1:15
15:45:00

10:00 3:30
13:30:00
11:00 14:30:00 3:30
7:00 16:15 9:15

9:30 11:30 2:00

7:20 16:00 8:40

8:00 12:00 4:00
8:45 11:00 2:15
8:30 12:30 4:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
 JENIS OPERASI STATUS ASAL
CITO ELEKTIF UMUM BPJS IGD POLI
V V V
V V V

V V V
V V V

V V V
V V V
V V V
V V V
V V V
V V V

V V V

V V V
V V V
V V V

V V V

V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V
V

V V
V
V V V

V V
V

V V
V
V V V

V V V

V V V
V V V
V V V
 V V V

V V V
V V V
V V V

V
V V
V V
V V V
V V V

V V V

V V V
V V V
V V V

V V V

V V V

V V V

V V V
V V V
V V V

V V V

V V V

V V V

V V V
V V V

V V V

V V V
V V V
V V V
V V V
 BUNDLES PASIEN
RUJUKAN PROFILAKSIS
OPERASI
DILAKUKA
YA TIDAK TIDAK NAMA OBAT
N
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2GR

V V CEFAZOLIN 2GR
V V CEFAZOLIN 2GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V

V V

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V
V
V V
V V
 V CEFAZOLIN 2 GR
V

V CEFAZOLIN 2 GR
V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V
V
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOL 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR

V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR
V V CEFAZOLIN 2 GR