REKAPITULASI TINDAKAN OPERASI BULAN JULI 2022

RUMAH SAKIT UMUM SRIWIJAYA PALEMBANG

NO TANGGAL NAMA PASIEN MED.REG DPJP OPERATOR TINDAKAN OPERASI TIM ANASTESIdr Anak Resusitasi
GOLONGAN KET PEMBAYARAN
SEP / NOTA KETERANGAN
1 7/1/2022 Ny.Endah Dwi Kurnia 21.00.21739
dr.Eka HandayaniSpOg
dr.Eka HandayaniSpOg SC dr.ZulkipliSpAn
Lisnawati
dr.SonySpA
dr.Aal
OBGYN MRS BPJS 5302 Rp 6,023,900.00
2 7/1/2022 Ny.Novita Sari 21.00.21737 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkipliSpAn
Lisnawati
dr.SonySpA
dr.Aal
OBGYN MRS BPJS 5300 Rp 6,023,900.00
3 7/1/2022 Bp.Mursid Sunardi 21.00.3752 dr.MarliniSpMdr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 5271 Rp 6,685,700.00
4 7/1/2022 Bp.Amir Syarifuddin 21.08.10497 dr.MarliniSpM
dr.MarliniSpMTrabekulektomi ODS MATA MRS BPJS 5227 Rp 9,359,900.00
5 7/1/2022 Bp.Abdul Muklis 21.00.21037 dr.PettySpM dr.PettySpM Amnion Graft +AU OS dr.AuliaSpAnEndang MATA MRS BPJS 5277 Rp 13,371,400.00
7 7/1/2022 Bp.Friandari Sumenda 21.00.21753 dr.TrisnoSpOg dr.TrisnoSpOg Curettage dr.AuliaSpAnEndang OBGYN MRS BPJS 95 Rp 1,722,200.00
8 7/1/2022 Ny.Leni Binti Darsuan 21.00.21690 dr.RianiSpMdr.RianiSpM Ekisi tumor OD MATA MRS BPJS 5265
9 7/1/2022 Ny.Puspita Sari 21.00.21646 dr.NirwanSpB dr.NirwanSpBEksisi Luas+AU dr.DiptaSpAnEndang BEDAH MRS BPJS 5304 Rp 5,043,900.00
10 7/1/2022 Ny.Sri Purwatiningsih 21.00.21758 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn
Endang+Fredy
dr.SriSpA
dr.Dio
OBGYN MRS BPJS 93 Rp 5,019,900.00
11 7/1/2022 Ny.Denti Lesember 21.00.21765 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn
Endang+Fredy
dr.SriSpA
dr.Dio
OBGYN MRS BPJS 100 Rp 5,019,900.00
12 7/1/2022 Ny.Riska Aprillia 21.00.21774 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn
Endang+Fredy
dr.SriSpA
dr.Dio
OBGYN MRS BPJS 124 Rp 5,019,900.00
13 7/2/2022 Ny.Sundari Binti Hasan Effe 21.00.21785 dr.TrisnoSpOg dr.TrisnoSpOg SC dr.DiptaSpAn Fredydr.SriSpAdr.Dio
OBGYN MRS BPJS 138 Rp 5,019,900.00
14 7/2/2022 Ny.Dekawati Binti Amiluddi 21.00.21788 dr.RikaSpOgdr.RikaSpOg SC dr.DiptaSpAn Fredydr.SriSpAdr.Dio
OBGYN MRS BPJS 149 Rp 5,019,900.00
15 7/2/2022 Ny.Dian Islamiyati 21.00.21789 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Fredydr.SriSpA OBGYN MRS BPJS 152 Rp 5,019,900.00
16 7/2/2022 Lia Utami 21.00.21784 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Fredydr.SriSpA OBGYN MRS BPJS 139 Rp 6,362,800.00
17 7/2/2022 Ny.Peruka Apsari 21.00.21786 dr.PutriSpOGdr.PutrSpOg SC dr.DiptaSpAn Fredydr.SriSpA OBGYN MRS BPJS 145 Rp 6,362,800.00
18 7/2/2022 Bp.Bachtiar Muhammad 21.00.20034 dr.ElzaSpM dr.ElzaSpM Entropion OD MATA MRS BPJS 111 Rp 6,151,400.00
21 7/2/2022 Bp.H.Arizin RZ 19.09.19697 dr.ZulfikarSpB dr.ZulfikarSpB
Herniaraphy+Sinal OD dr.AuliaSpAn Fredy BEDAH MRS BPJS 98 Rp 6,589,400.00
22 7/2/2022 Ny.Suryati Susianto 21.00.21607dr.Herry RaharjoSpB
dr.Herry RaharjoSpB
EksisiLuas+Spinal dr.AuliaSpAn
Endang+Fredy BEDAH MRS BPJS 5040
23 7/2/2022 Bp.Aminuddin 21.00.5452 dr.RianiSpMdr.RianiSpM Entropion OS MATA MRS BPJS 127 Rp 5,272,600.00
24 7/3/2022 Ny.Defitria Binti Harsun 21.00.21846 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAnEndangdr.SonySpA
dr.Dio
OBGYN MRS BPJS 292 Rp 5,019,900.00
35 7/4/2022 Bp.Darmawan 21.00.2161 dr.PettySpM dr.PettySpMPerostel Graft+AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 4851
36 7/4/2022 Bp.Pardi 21.00.21689 dr.RamziSpMdr.RamziSpMVitrektomi +AU OS dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 5306 Rp 13,371,400.00
39 7/5/2022 Ny.Shelly dr.RikaSpOgdr.RikaSpOg SC dr.ZulkipliSpAn
Endang+Fredy
dr.HerkaSpA
dr.Rosita
OBGYN MRS BPJS 483 Rp 7,423,300.00
40 7/5/2022 Ny.Triyani Binti Samiyu 19.09.28916 dr.IdaSpOg dr.IdaSpOg SC dr.ZulkipliSpAn
Endang+Fredy
dr.HerkaSpA OBGYN MRS BPJS 459 Rp 6,362,800.00
41 7/5/2022 Ny.Resty Yunidar Silvia 21.00.21933 dr.IdaSpOg dr.IdaSpOg SC dr.ZulkipliSpAn
Endang
dr.HerkaSpA OBGYN MRS BPJS 517
42 7/5/2022 Bp.Heryanto Bin Kolilan 21.00.18529dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKL Inj.Avastin THT MRS BPJS 464 Rp 1,562,600.00
7/5/2022 Ny.Wati Binti M Idi Kanala 21.00.21951 dr.IdaSpOg dr.IdaSpOg Kuretase dr.ZulkipliSpAn
Endang OBGYN MRS BPJS 591 Rp 1,977,200.00
43 7/5/2022 Ny.Masjaya 21.00.21445 dr.RamziSpMdr.RamziSpM Eksterpasi Pteregium OD MATA MRS BPJS 493
44 7/5/2022 Bp.Damius Sarto 21.00.20844 dr.RamziSpMdr.RamziSpMVitrektomi +AU ODdr.ZulkipliSpAn Endang+Fredy MATA MRS BPJS 506
45 7/5/2022 Bp.Misran Bin Karso dikan 21.00.18517 dr.RamziSpMdr.RamziSpM Vitrektomi+EL+ESO+AU OSdr.ZulkipliSpAn
Endang+Fredy MATA MRS BPJS 501 Rp 16,045,600.00
47 7/5/2022 Ny.Intan Damayanti 21.00.15594 dr.RamziSpMdr.RamziSpM Vitrektomi+ESO+AU ODdr.ZulkipliSpAnEndang+Fredy MATA MRS BPJS 514 Rp 14,708,500.00
48 7/5/2022 Ny.Asmawati 19.09.31115 dr.RamziSpMdr.RamziSpMViterktomi+AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 507 Rp 13,371,400.00
49 7/5/2022 Ny.Runaidah 19.09.28720 dr.RamziSpMdr.RamziSpM Vitrektomi+EL+ESO+AU OD dr.diptaSpAn
Endang+Fredy MATA MRS BPJS 498 Rp 14,992,000.00
54 7/5/2022 Bp.A.Sugianto 21.00.2785 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 448 Rp 8,306,300.00
61 7/5/2022 Ny.Niar Dasmun 18.12.15322 dr.PettySpM dr.PettySpM Periostel Graft+AU ODdr.ZulkipliSpAn
Endang+Fredy MATA MRS BPJS 290 Rp 16,045,600.00
64 7/5/2022 Ny.Paina Binti Nawawi 21.00.21952 dr.RikaSpOgdr.RikaSpOg Kuretase dr.ZulkipliSpAnFredy OBGYN MRS BPJS 609 Rp 1,647,700.00
73 7/5/2022 Bp.Syawal 21.00.21860 dr.AnsyoriSpM
dr.AnsyoriSpM .Phaco+IOL OD dr.DiptaSpAn
Endang+Fredy MATA MRS BPJS 506 Rp 7,342,000.00
84 7/6/2022 Nn.Jeni Patricia Dela Pramith 21.00.12728dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKL
Tonsilektomi+AU dr.AuliaSpAnEndang THT MRS BPJS
85 7/6/2022 Bp.Dulfatah Bin Dahlan 21.00.21869 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 707
88 7/6/2022 Ny.Sriwahyuni 21.00.21939 dr.PettySpM dr.PettySpM Evicerasi +AU OD dr.AuliaSpAnEndang MATA MRS BPJS 730 Rp 4,393,800.00
89 7/6/2022 Bp.Hendra Bin Ali Syari 21.00.21954 dr.PettySpM dr.PettySpM
i/a Hipopion +Fluconazole
OD MATA MRS BPJS 719 Rp 6,685,700.00
 90 7/6/2022 Bp.Ali Imron 21.00.17160 dr.RamziSpMdr.RamziSpM Vitrektomi SO+AU OD dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 721 Rp 16,045,600.00
91 7/6/2022 Bp.aril Nahi 21.00.21858 dr.RamziSpMdr.RamziSpMViterktomi+AU OD dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 712 Rp 14,708,500.00
92 7/6/2022 Bp.Rusli 21.00.17801 dr.RamziSpMdr.RamziSpMVitrektomi+AU OS dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 505 Rp 18,314,500.00
93 7/6/2022 Ny.Nuryani Lubari 21.00.12370dr.MulawanSpBONK
dr.MulawanSpBONK mastektomi +AU OD dr.AuliaSpAn Endang+Fredy BEDAH MRS BPJS 640 Rp 6,052,700.00
94 7/6/2022 An.Desty Intan Nuraini 21.00.21935 dr.RianiSpMdr.RianiSpMBiopsi Eksisi+PA OD MATA MRS BPJS 738
95 7/6/2022 Ny.Sumiati Binti Sanusi 21.00.19352 dr.PettySpMPro dr.PettySpM
Inj.Vancomicin + Ceftazidine OS
Intravitreal MATA MRS BPJS 266 Rp 8,306,300.00
120 7/6/2022 Ny.Antriana Binti Narun 21.00.22062 dr.RikaSpOgdr.RikaSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 922 Rp 5,019,900.00
121 7/6/2022 An.Bagas Satria Putra 21.00.21983dr.Herry RaharjoSpB
dr.Herry RaharjoSpB
Eksisi Luas+AU dr.DiptaSpAnEndang BEDAH MRS BPJS 903 Rp 3,842,100.00
124 7/6/2022 Ny.siti Nurhalimah 19/01.0639 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAnEndang dr.SonySpA OBGYN MRS BPJS 779 Rp 5,302,400.00
125 7/7/2022 Ny.Sefti Handaiyani 21.00.22074 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 952 Rp 5,019,900.00
126 7/7/2022 Ny.Ainun Jariah 21.00.22072 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 1054 Rp 5,019,900.00
127 7/7/2022 Bp.M.Sani 21.00.21586 dr.RamziSpMdr.RamziSpMVitrektomi +AU ODdr.ZulkipliSpAn Lisnawati MATA MRS BPJS 940 Rp 13,371,400.00
129 7/7/2022 Ny.Rika Aniyah 21.00.21587 dr.RamziSpMdr.RamziSpMVitrektomi +AU ODdr.ZulkipliSpAn Lisnawati MATA MRS BPJS 926
130 7/7/2022 Ny.Ruswani 21.00.22007 dr.RamziSpMdr.RamziSpM
Vitrektomi + Fiksasi Sklera OS
+AU
dr.ZulkipliSpAnLisnawati MATA MRS BPJS 945
131 7/7/2022 Bp.Juniawan Binti Ngatiman 21.00.11358 dr.RamziSpMdr.RamziSpM Vitrektomi + ESO +AUOD dr.DiptaSpAn Lisnawati MATA MRS BPJS 945 Rp 14,708,500.00
137 7/7/2022 Ny.Ria Apriani 21.00.22077 dr.JamalSpOgdr.JamalSpOg SC +Tubek dr.ZulkipliSpAnLisnawati
dr.SonySpA OBGYN MRS BPJS
138 7/7/2022 Ny.Meliyanti Binti Kusman 21.00.22084 dr.JamalSpOgdr.JamalSpOg SC +Tubek dr.ZulkipliSpAnLisnawati
dr.SonySpA OBGYN MRS BPJS 1024 Rp 6,023,900.00
141 7/7/2022 Ny.Netty 21.00.22085 dr.JamalSpOgdr.JamalSpOg SC +Tubek dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 1033 Rp 5,019,900.00
142 7/7/2022 Ny.Wenny Yunairah 21.00.22094 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Lisnawati
dr.SonySpA OBGYN MRS BPJS 1125 Rp 5,019,900.00
143 7/7/2022 Ny.Sri Ulina BR Surbangun 21.00.22108 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Lisnawati
dr.SonySpA OBGYN MRS BPJS 1121 Rp 7,423,300.00
153 7/7/2022 Ny.Mila Erlina 21.00.4479 dr.IdaSpOg dr.IdaSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 1076 Rp 5,019,900.00
157 7/8/2022 Ny.Septi yanti 10.07.11801 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Lisnawati
dr.SriSpA OBGYN MRS BPJS 1169 Rp 7,027,900.00
158 7/8/2022 Ny.Suyatmi Binti Darso 21.00.22129 dr.PettySpM dr.PettySpM Periostel Graft+AU OS dr.AuliaSpAnEndang MATA MRS BPJS 1187 Rp 13,371,400.00
159 7/8/2022 Ny.Rumiyati Binti ujang 21.00.21931 dr.RamziSpMdr.RamziSpMVitrektomi +AU OS dr.AuliaSpAnEndang MATA MRS BPJS 1154 Rp 16,045,600.00
160 7/8/2022 Ny.Solda Binti Sahdenis 21.00.21984 dr.RamziSpMdr.RamziSpM Vitrektomi + EL + SO +AU OS dr.AuliaSpAnEndang MATA MRS BPJS 1162 Rp 16,045,600.00
161 7/8/2022 Bp.Herry Irbanjaya 21.00.21984 dr.RamziSpMdr.RamziSpM Vitrektomi +EL +SO +AU OD dr.AuliaSpAnEndang MATA MRS BPJS 1181 Rp 16,045,600.00
162 7/8/2022 Bp.Nanung Bin A.Rosyid 21.00.22031 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.AuliaSpAnEndang MATA MRS BPJS 1165 Rp 13,371,400.00
163 7/8/2022 Ny.Hawati Binti Aridi 21.00.21998 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.AuliaSpAnEndang MATA MRS BPJS 1154 Rp 18,314,500.00
164 7/8/2022 Ny.Jamilah Binti Abdul 21.00.22103 dr.PettySpM dr.PettySpM
i/a Hipopion + Inj.Vancosepta Intravitreal
OS MATA MRS BPJS 1190 Rp 6,685,700.00
165 7/8/2022 Bp.I Gede Putra 21.00.14189 dr.PettySpM dr.PettySpMKeratoplasty +AU OD dr.AuliaSpAnEndang MATA MRS BPJS 1135 Rp 13,371,400.00
171 7/8/2022 Bp.Sahruddin Bin H.Royan 21.00.18082 dr.NirwanSpB dr.NirwanSpB Debridemant +AU OD dr.DiptaSpAnEndang BEDAH MRS BPJS 669
173 7/11/2022 Bp.Isgandhi Bin Syarbani 21.00.21532 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 1307 Rp 6,685,700.00
174 7/11/2022 Ny.Lely Binti Bahtian 21.00.22182 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAnEndangdr.HerkaSpA
dr.Rizky
OBGYN MRS BPJS 1321 Rp 5,019,900.00
175 7/11/2022 Ny.Hj.Supiah 21.00.22125 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 1259 Rp 9,359,900.00
180 7/11/2022 Ny.Siti Khodijah 21.00.18215 dr.PettySpM dr.PettySpM
i/a Hipopion + Inj.Vancosepta Intravitreal
OD MATA MRS BPJS 1264
181 7/11/2022 Ny.Rizkianti Octa Putri 21.00.22213 dr.TrisnoSpOg dr.TrisnoSpOg SC dr.DiptaSpAn Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 1434 Rp 5,019,900.00
194 7/11/2022 Ny.Dewi Widianingsih 21.00.22238 dr.IdaSpOg dr.IdaSpOg Kuretase dr.DiptaSpAn Lisnawati OBGYN MRS BPJS 1471 Rp 3,600,400.00
199 7/12/2022 Ny.Rosidah Binti Rozak 21.00.21792 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 1462 Rp 6,685,700.00
200 7/12/2022 Bp.M Jamil 21.00.17509 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 1474 Rp 6,685,700.00
201 7/12/2022 Bp.Azhari AS 21.00.22048 dr.RamziSpMdr.RamziSpM Vitrektomi +EL +SO +AU OSdr.ZulkifliSpAn
Endang+Lisnawati MATA MRS BPJS 1494 Rp 16,045,600.00
202 7/12/2022 Ny.Yuzarni 21.00.8016 dr.RamziSpMdr.RamziSpMVitrektomi +AU ODdr.ZulkifliEndang+Lisnawati
SpAn MATA MRS BPJS 1495 Rp 14,992,000.00
207 12.07.2022 Ny.Eka Maryani 09.10.8910 dr.ElzaSpM dr.ElzaSpM
Pteregium +Graft konjungtiva
OS MATA MRS BPJS 1491 Rp 4,393,800.00
208 7/12/2022 Bp.Marjito Bin Resoparjono 21.00.17332 dr.ElzaSpM dr.ElzaSpMRepair Entropion OD MATA MRS BPJS 1490
213 7/12/2022 Ny.Siti Khalimah 21.00.22292 dr.JamalSpOgdr.JamalSpOg SC+TUBEK dr.ZulkifliSpAn
Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 1584 Rp 5,019,900.00
214 7/12/2022 Ny.Adinda Sari 21.00.22301 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 1691 Rp 5,019,900.00
230 7/12/2022 Ny.Ayu Kharsella 19.04.6515 dr.IdaSpOg dr.IdaSpOg SC dr.ZulkifliSpAnEndang
dr.HerkaSpA
dr.Aal
OBGYN MRS BPJS 1742 Rp 5,019,900.00
232 7/13/2022 Ny.Nesty Kusnita 21.00.22318 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSpAnEndang
dr.SonySpA OBGYN MRS BPJS 1723 Rp 5,302,400.00
233 7/13/2022 Ny.Iriantini Binti Jamhuri 21.00.22291 dr.TrisnoSpOg dr.TrisnoSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 1673 Rp 5,302,400.00
234 7/13/2022 Ny.Nok Winarsih 21.00.22198dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKL Biopsi Eksisi+PA THT MRS BPJS 1720 Rp 3,688,700.00
235 7/13/2022 An.Fely Suniyah 21.00.22276 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 1740 Rp 9,359,900.00
239 7/13/2022 Bp.Kuwat Yoga Atmojo 21.00.13111 dr.RamziSpMdr.RamziSpMVitrektomi +El+Iol Sekunder+AU
OS dr.AuliaSpAnEndang+Fredy MATA MRS BPJS 1743 Rp 14,992,000.00
240 7/13/2022 Bp.Sarijan Bin Wasimin 21.00.22251 dr.RamziSpMdr.RamziSpMVitrektomi+AU OS dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 1745 Rp 13,371,400.00
241 13.07.2022 Bp.Karnubi 21.00.21679 dr.RamziSpMdr.RamziSpM Vitrektomi+EL+AL OD dr.AuliaSpAn Fredy MATA MRS BPJS 1500
243 7/13/2022 An.Rangga Bayu Pradani 21.00.20931 dr.PettySpM dr.PettySpMECCE+IOL+AU OD dr.AuliaSpAn Fredy MATA MRS BPJS
245 7/13/2022 Ny.Rukmini Binti Zariyan 21.00.22370 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn Fredydr.SonySpA OBGYN MRS BPJS 1900
265 7/14/2022 Ny. Dina Novianti 21.00.22378 dr.JamalSpOgdr.JamalSpOg SC dr. Zulkifli Sp. An
Endang
dr. Sonny Sp. AOBGYN MRS BPJS 1384
266 7/14/2022 Ny. Misnawati 21.00.22375 dr.JamalSpOgdr.JamalSpOg SC dr. Zulkifli Sp. An
Endang
dr. Sonny Sp. AOBGYN MRS BPJS 1970 Rp 5,019,900.00
267 7/14/2022 Ny. Zaitun 21.00.22302 dr.RamziSpMdr.RamziSpMVitrektomi + AU OD dr. Zulkifli Sp.
Endang
An + Fredy MATA MRS BPJS 1988 Rp 18,314,500.00
268 7/14/2022 Ny. Parida 21.00.22273 dr.RamziSpMdr.RamziSpMVitrektomi + AU OD dr. Zulkifli Sp.
Endang
An + Fredy MATA MRS BPJS 1905
269 7/14/2022 Tn. Muhammad Almadini 21.00.20499 dr.RamziSpMdr.RamziSpMVitrektomi + AU OD dr. Zulkifli Sp.
Endang
An + Fredy MATA MRS BPJS 1982 Rp 16,045,600.00
271 7/14/2022 Ny. Mistia 21.00.9862 dr.RamziSpMdr.RamziSpMVitrektomi + AU OD dr. Zulkifli Sp.
Endang
An + Fredy MATA MRS BPJS 1992 Rp 14,708,500.00
272 7/14/2022 Tn. Burhanuddin 19.08.13574 dr.RamziSpMdr.RamziSpMVitrektomi + AU OD dr.DiptaSpAn Endang + Fredy MATA MRS BPJS 1387
277 7/14/2022 Ny. Pariyati 21.00.22385 dr.JamalSpOgdr.JamalSpOg SC dr. Zulkifli Sp.
Endang
An dr.
+ Fredy
Sonny Sp. AOBGYN MRS BPJS 2034 Rp 5,019,900.00
278 7/14/2022 Ny. Laila 21.00.21934 dr.PettySpM dr.PettySpM Evicerasi +AU OS dr.diptaSpAnEndang+fredy MATA MRS BPJS 2082 Rp 5,272,600.00
279 7/14/2022 Ny. Gilang Wulandari 21.00.22404 dr.JamalSpOgdr.JamalSpOg SC dr. Zulkifli Sp.
Endang
An dr.
+ Fredy
Sonny Sp. AOBGYN MRS BPJS 2150 Rp 6,023,900.00
280 7/14/2022 Ny. Arini 21.00.21957 dr.IdaSpOg dr.IdaSpOg SC dr. Zulkifli Sp.
Endang
An dr.
+ Fredy
Sonny Sp. AOBGYN MRS BPJS 2132 Rp 6,023,900.00
301 7/14/2022 Ny.Angelica 21.00.22364 dr. Riani ErnaSpM
dr. Riani ErnaSpM Papiloma + PA OD MATA MRS BPJS 2109
307 7/14/2022 Ny. Tatiek 21.00.22112 dr. MulawanSp.Bdr. MulawanSp.B
Eksisi Soft Tissue Tumor + AU
dr. Zulkifli Sp.
Endang
An + Fredy BEDAH MRS BPJS
308 7/14/2022 Ny. Rika 21.00.19602 dr. MulawanSp.Bdr. MulawanSp.B
Ismulobektomi + Au dr. Zulkifli Sp.Endang
An + Fredy BEDAH MRS BPJS 1977 Rp 6,960,900.00
310 7/14/2022 Tn. Edi Subeno 21.00.13659 dr.AnsyoriSpM dr.AnsyoriSpM
Pteregium +Graft konjungtiva
OS MATA MRS BPJS 2222 Rp 6,151,400.00
311 7/15/2022 Ny. Vinitiara Surga 21.00.15351 dr.JamalSpOgdr.JamalSpOg SC dr. Zulkifli Sp. An
Fredy
dr. Sonny Sp. AOBGYN MRS BPJS 2258 Rp 7,027,900.00
312 7/15/2022 Ny.Rusdiana Binti Teras 21.00.16243 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 2210 Rp 6,685,700.00
313 7/15/2022 Ny.Hj.Jawariah 19.09.16305 dr.RamziSpMdr.RamziSpMTrabekulektomi OD MATA MRS BPJS 2194 Rp 9,359,900.00
320 7/15/2022 Ny.Farida Maharani dr.TrisnoSpOg dr.TrisnoSpOg SC dr.AuliaSpAn
Endang +dr.HerkaSpA
Fredy OBGYN MRS BPJS 2358 Rp 6,023,900.00
335 7/15/2022 Ny.Hartatik dr.PettySpM dr.PettySpM
i/a Hipopion + Inj.Vancosepta Intravitreal
OS MATA MRS BPJS 2256 Rp 6,685,700.00
336 7/15/2022 Ny.Rodiah Binti Nungcek 21.00.22033 dr.PettySpM dr.PettySpM Pteregium OS MATA MRS BPJS 2216 Rp 4,393,800.00
337 7/15/2022 Bp.Sardin Bin Tais 21.00.22382 dr.MarliniSpM
dr.AnsyoriSpM .Phaco+IOL OD MATA MRS BPJS 2212 Rp 7,342,000.00
338 7/15/2022 Bp.M.Rabi Alfiyah 19.09.23760 dr.AnsyoriSpM dr.AnsyoriSpM
Ekstraksi Lensa +IOL+AU
OS dr.AuliaSpAn Fredy MATA MRS BPJS 2250 Rp 6,685,700.00
345 7/15/2022 Ny.Fenni Rahmasari 21.00.21094 dr.IdaSpOg dr.IdaSpOg SC dr.AuliaSpAn Fredy
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2453
346 16.07.2022 Ny.Nur Ayani 21.00.22473 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2440 Rp 6,023,900.00
347 7/16/2022 Ny.Lastri Binti Abdul Karim 21.00.22471 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2437 Rp 6,023,900.00
348 7/16/2022 Ny.Emilia Nurhayani 21.00.22484 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2462 Rp 6,023,900.00
349 7/16/2022 Ny.Miftahul Rizqiyah 21.00.22149 dr.PutriSpOGdr.PutrSpOg SC dr.AuliaSpAn
Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2454 Rp 6,023,900.00
350 7/16/2022 Ny.Sella Azuari 21.00.22483 dr.IdaSpOg dr.IdaSpOg SC dr.AuliaSpAn
Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS 2480
352 7/16/2022 An.Anggraini Binti Budiman 21.00.22061 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 2443 Rp 6,685,700.00
353 7/16/2022 Ny.Tasripah 21.00.21148 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 2227 Rp 6,685,700.00
354 7/16/2022 Ny.Fitriani Binti Zulkirman 21.00.22437 dr.MarliniSpM dr.MarliniSpM
Trabekulektomi +AU OS dr.AuliaSpAn Fredy MATA MRS BPJS
355 7/16/2022 Ny.Kwan In Tjoe 21.00.4669 dr.MarliniSpM dr.MarliniSpM
Pro Implant Surgery +AU
OS dr.AuliaSpAn Fredy MATA MRS BPJS 2451 Rp 8,022,800.00
357 7/16/2022 Ny.Shinta Arisona 21.00.22509 dr.PutriSpOGdr.PutrSpOg SC dr.AuliaSpAn Fredydr.SonySpA OBGYN MRS BPJS
358 7/16/2022 Ny.Wiwik Dari 21.00.22434 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn Fredydr.SonySpA OBGYN MRS BPJS 2254 Rp 1,818,200.00
359 16/07/2022 Ny.Rahayu Puspitasari 21.00.22464 dr.IdaSpOg dr.IdaSpOg SC dr.AuliaSpAn Fredy dr. OBGYN MRS BPJS 2566 Rp 5,019,900.00
360 7/17/2022 Ny.Neni Lestari 21.00.22517 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn Fredydr.SonySpA OBGYN MRS BPJS 2611 Rp 5,019,900.00
361 7/17/2022 Ny.Komariyah Ariyono 19.07.11615 dr.ZulfikarSpBdr.ZulfikarSpB
Debridement +AU OS dr.DiptaSpAn Lisnawati BEDAH MRS BPJS 2452 Rp 4,429,400.00
362 7/17/2022 Ny.Grefta Mela Paksi 21.00.22495 dr.PutriSpOGdr.PutrSpOg SC dr.DiptaSpAn
Lisnawati
dr.HerkaSpA
dr.Pandu
OBGYN MRS BPJS 2627 Rp 6,023,900.00
363 7/17/2022 Ny.Eva Susanti 21.00.22481
dr.Eka HandayaniSpOg
dr.Eka HandayaniSpOg SC dr.DiptaSpAn
Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 2446 Rp 5,019,900.00
364 7/17/2022 Ny.Renny Melani Putri 21.00.22534 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn
Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 2631 Rp 5,019,900.00
365 7/17/2022 Ny.Iptiza Binti Askolani 21.00.22537 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Lisnawati
dr.HerkaSpA OBGYN MRS BPJS 2637 Rp 5,019,900.00
366 7/17/2022 Ny.Okta Wulandari 180,672 dr.TrisnoSpOgdr.TrisnoSpOg SC dr.DiptaSpAn Lisnawati
dr.HerkaSpA
dr.Reyhan
OBGYN MRS BPJS dr.ZulfikarSpB
368 7/18/2022 Ny.Widia Puspita 180,689 dr.RikaSpOgdr.RikaSpOg Kuretase dr.DiptaSpAnEndang OBGYN MRS BPJS 2737 Rp 1,647,700.00
369 7/18/2022 Ny.Sri Dewi Pertiwi 10.11.14112 dr.RamziSpMdr.RamziSpMVitrektomi +AU OS dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 2622 Rp 16,653,200.00
370 7/18/2022 Bp.Zainal Andy 21.00.22188 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.DiptaSpAn Endang + Fredy MATA MRS BPJS 2560
371 7/18/2022 Ny.Rusmianti Kamaludin 21.00.14103 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 2621 Rp 14,708,500.00
372 7/18/2022 Bp.Indra Kesuma 21.00.19215 dr.PettySpM dr.PettySpMKeratoplasty +AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 2618 Rp 13,371,400.00
378 7/18/2022 Bp.Immanuel Edi Chandra 21.00.22447 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.DiptaSp Endang+Fredy MATA MRS BPJS 2826 Rp 13,371,400.00
382 7/18/2022 Ny.Oey Swat Leng 21.00.21900 dr.PettySpM dr.PettySpM
i/a Hipopion+Inj.Venconazole
OD MATA MRS BPJS 2615 Rp 6,685,700.00
401 7/19/2022 Bp.Muhammad Fauzi Fadilla 10.02.0571dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKLTonsilektomi+AU dr.ZulkifliSpAnEndang THT MRS BPJS 2064
402 7/19/2022 Ny.Selnis Binti M.Nawawi 21.00.17446 dr.RianiSpMdr.RianiSpM Entropion OS MATA MRS BPJS 2050 Rp 5,272,600.00
403 7/19/2022 Ny.Sri Riadi Ningsih 00.18.0469 dr.RamziSpMdr.RamziSpMVitrektomi +AU ODdr.ZulkipliSpAn Endang+Fredy MATA MRS BPJS 2698 Rp 16,045,600.00
404 7/19/2022 Ny.Nurbia 21.00.19997 dr.RamziSpMdr.RamziSpMVitrektomi +AU OSdr.ZulkipliSpAn Endang+Fredy MATA MRS BPJS 2678 Rp 13,371,400.00
405 7/19/2022 Bp.Indra Gunawan 21.00.22234 dr.RamziSpMdr.RamziSpMVitrektomi +AU OS dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 2677 Rp 18,314,500.00
414 7/19/2022 Ny. Malita 00.18.0705 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSp.An
Endang+Fredy
dr.HerkaSpA OBGYN MRS BPJS 2790 Rp 6,647,200.00
415 7/19/2022 Ny. Yuslina 00.18.0760 dr.IdaSpOg dr.IdaSpOg SC dr.ZulkifliSp.An
Endang+Fredy
dr.HerkaSpA OBGYN MRS BPJS 2993 Rp 5,019,900.00
425 7/19/2022 Tn. M. Syarif 00.18.0685 dr.AnsyoriSpM dr.AnsyoriSpM ECCE+IOL+AU ODdr'ZulkifliSp Endang+Fredy
An MATA MRS BPJS 2887 Rp 6,685,700.00
426 7/19/2022 Ny. Rida Qanitah 21.00.22018 dr.AnsyoriSpM dr.AnsyoriSpMKalazion+AU OD dr.DiptaSpAnEndang+Fredy MATA MRS BPJS 2659 Rp 6,151,400.00
428 7/19/2022 Ny. Asriana 00.18.0757 dr.TrisnoSpOg dr.TrisnoSpOg SC dr.DiptaSpAn
Endang+Fredy
dr. Herka Sp. AOBGYN MRS BPJS 2969
431 7/19/2022 Ny. Hafizhah Salma 00.18.0802 dr.RikaSpOgdr.RikaSpOg SC dr'ZulkifliSp
Endang+Fredy
An dr. Herka Sp. AOBGYN MRS BPJS 3082 Rp 7,027,900.00
432 7/20/2022 Ny. Vina April Yani 00.18.0805 dr.TrisnoSpOg dr.TrisnoSpOg SC dr.ZulkifliSp.An
Endang+Fredy
dr. Herka Sp. AOBGYN MRS BPJS 3088 Rp 5,302,400.00
433 7/20/2022 Ny. Siti Jira A 00.18.0678 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSp.An
Endang+Fredy
dr. Herka Sp. AOBGYN MRS BPJS 2691 Rp 5,302,400.00
434 7/20/2022 Ny. Elni Septiani 21.00.15012 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSp.An
Endang+Fredy
dr. Herka Sp. AOBGYN MRS BPJS 3084 Rp 7,027,900.00
440 7/20/2022 Ny. Ragil Audrelina Azzu 21.00.21799 dr.RikaSpOgdr.RikaSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 3080 Rp 7,027,900.00
441 7/20/2022 Ny. Eka Trinawati 00.17.9557 dr.RikaSpOgdr.RikaSpOg SC dr.AuliaSpAnEndang dr.SonySpA OBGYN MRS BPJS 3212
445 7/20/2022 Tn. Asep Saepul 00.18.0698 dr.RamziSpMdr.RamziSpM Vitrektomi OD dr.AuliaSpAn Fredy MATA MRS BPJS 3065
446 7/20/2022 Ny. Yusna Ningsih 21.00.11075 dr.RamziSpMdr.RamziSpM Vitrektomi OD dr.AuliaSpAn Fredy MATA MRS BPJS 3066 Rp 16,045,600.00
448 7/20/2022 Ny. Rena Pernanda 00.18.0816 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn Fredydr.SonySpA OBGYN MRS BPJS 3189 Rp 5,302,400.00
458 7/20/2022 Tn. Amir Hamzah 00.18.0744 dr.AnsyoriSpM dr.AnsyoriSpM
Vitrektomi Anterior+Ekstraki Katarak+AU
OD dr.AuliaSpAn Fredy MATA MRS BPJS 3199 Rp 13,371,400.00
464 7/20/2022 Ny. Rizky Anggriai 00.17.0040 dr.PutriSpOGdr.PutrSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SonySpA OBGYN MRS BPJS 3139 Rp 7,027,900.00
466 7/21/2022 Ny.Maulia Binti Dwi 00.18.0422dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKLFess+AU dr.ZulkifliSpAn
Lisnawati THT MRS BPJS
467 7/21/2022 Ny.Linda Binti Majidin 00.18.0865 dr.IdaSpOg dr.IdaSpOg Kuretase dr.ZulkifliSpAn
Lisnawati OBGYN MRS BPJS 3340 Rp 1,647,700.00
468 7/21/2022 Bp.Asrul Rozi 00.17.9390 dr.RamziSpMdr.RamziSpMVitrektomi+AU OSdr.ZulkifliSpAn Lisnawati MATA MRS BPJS 3078 Rp 16,045,600.00
469 7/21/2022 Bp.Sarman Ginting 00.17.9322 dr.RamziSpMdr.RamziSpMVitrektomi+AU ODdr.ZulkifliSpAn Lisnawati MATA MRS BPJS 3310 Rp 16,653,200.00
470 7/21/2022 Ny.Romnah 00.18.0435 dr.RamziSpMVitrektomi+Fiksasi
dr.RamziSpM Sklera+Parasintesa+AU
OS dr.DiptaSpAn Lisnawati MATA MRS BPJS 3356
473 7/21/2022 Ny.Nurul Damayanti 00.18.0900 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 3490 Rp 7,027,900.00
474 7/21/2022 Ny.Yulia Ani 00.18.0453dr.MulawanSpBONK
dr.MulawanSpBONK
Eksisi Tumo Mamae+AU OSdr.ZulkifliSpAn
Lisnawati BEDAH MRS BPJS 3263 Rp 5,043,900.00
475 7/21/2022 Bp.Suhaimi A Karim 00.15.9087dr.MulawanSpBONK
dr.MulawanSpBONK Eksisi+AU dr.ZulkifliSpAn
Lisnawati BEDAH MRS BPJS 3268
476 7/21/2022 Ny.Hasna Adelia 00.17.2029dr.MulawanSpBONK
dr.MulawanSpBONK
Eksisi+Limpadenopaty+AUdr.ZulkifliSpAn Lisnawati BEDAH MRS BPJS 3272 Rp 4,782,500.00
487 7/21/2022 An.Alvin Alviansyah 00.18.0753 dr.AnsyoriSpM
dr.AnsyoriSpM .Phaco+IOL OS dr.DiptaSpAn Fredy MATA MRS BPJS 3318 Rp 7,342,000.00
493 7/22/2022 Ny.Imroatu 00.18.0933 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA
dr.Rosita
OBGYN MRS BPJS 3584 Rp 6,023,900.00
495 7/22/2022 Ny.Dwi Ayu Kartika 00.18.0910 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAnEndangdr.SriSpA OBGYN MRS BPJS 3557 Rp 6,023,900.00
496 7/22/2022 Ny.Meka Mailetra 00.18.0925 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAnEndangdr.SriSpA OBGYN MRS BPJS 3567 Rp 9,563,100.00
499 7/22/2022 Bp.Asep Saepul 00.18.0698 dr.RamziSpMdr.RamziSpMInj.Vancomicin OD MATA MRS BPJS 3576
500 7/22/2022 An.Arsyla Qiana 00.18.80775 dr.RianiSpMdr.RianiSpMKalazion+AU+PA OD dr.AuliaSpAn
Endang+Fredy MATA MRS BPJS 3624 Rp 5,272,600.00
501 7/22/2022 Ny.Leni Puspita 00.17.9358 dr.RianiSpMdr.RianiSpM Pteregium OD MATA MRS BPJS 3551 Rp 4,393,800.00
502 7/22/2022 Ny.Novera Rezki Hadini 00.18.0935 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SriSpA
dr.Rizki
OBGYN MRS BPJS 3616 Rp 7,027,900.00
503 7/22/2022 Bp.Junaidi 00.17.9999 dr.MarliniSpM
dr.MarliniSpMTrabekulektomi OS MATA MRS BPJS 3525
504 7/22/2022 Ny.Nurita Binti Yusnedi 00.18.0938 dr.RikaSpOgdr.RikaSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SriSpA
dr.Rizky
OBGYN MRS BPJS 3645 Rp 5,019,900.00
505 7/22/2022 Bp.Agus Ismail 00.18.0491 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 3547 Rp 16,045,600.00
506 7/22/2022 Bp.Akiong 00.18.0842 dr.RamziSpMdr.RamziSpMVitrektomi +AU OD dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 3581
507 7/22/2022 Bp.Achmad Judian 00.16.9697 dr.RamziSpMdr.RamziSpM Vitrektomi+EL+SO+AUOD dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 3582
510 7/22/2022 Bp.Supriadi 00.18.0929 dr.PettySpM dr.PettySpMPerostel Graft+AU OS dr.AuliaSpAn Endang+Fredy MATA MRS BPJS 3572 Rp 13,371,400.00
513 7/22/2022 An.Nauval Marvin 00.18.0873 dr.AnsyoriSpM dr.AnsyoriSpM
Ekstraksi Katarak+IOL+AU
OD dr.AuliaSpAn Fredy MATA MRS BPJS 3580
514 7/22/2022 Ny.Maria Laurensia 00.18.0966 dr.PutriSpOGdr.PutrSpOg SC dr.AuliaSpAn Fredydr.SriSpA OBGYN MRS BPJS 3713 Rp 6,023,900.00
525 7/23/2022 Ny.Ninik Binti Kadino 21.00.21167 dr.ElzaSpM dr.ElzaSpM Eksisi Nevus OS MATA MRS BPJS 692
526 7/23/2022 Ny.Nikmah Binti Muhamma 21.00.20385 dr.RianiSpMdr.RianiSpM Inj.Avastin OD MATA MRS BPJS 3765 Rp 1,562,600.00
527 7/23/2022 Bp.Asurdin Bin Kodir 21.00.20385 dr.MarliniSpM dr.MarliniSpMTrabekulektomi OD MATA MRS BPJS 3720
530 7/23/2022 Bp.Mat Hasan 00.18.0887dr.Herry RaharjoSpB
dr.Herry RaharjoSpB
Eksisi Luas+AU dr.DiptaSpAn
Endang+Fredy BEDAH MRS BPJS 3796 Rp 5,587,600.00
531 7/23/2022 Bp.Dandi Meriska 00.18.0585 dr.ZulfikarSpB dr.ZulfikarSpB
Herniaraphy+Spinal dr.DiptaSpAn
Endang+Fredy BEDAH MRS BPJS 3863 Rp 5,648,100.00
532 7/23/2022 An.Rasyid Atala 21.00.21872 dr.RianiSpMdr.RianiSpM Ekisi +PA+AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 3729 Rp 5,272,600.00
533 7/24/2022 Ny.Vivi Milawati 00.17.7120 dr.EmirSpOgdr.EmirspOg Kuretase dr.DiptaSpAn Lisnawati OBGYN MRS BPJS 3906 Rp 1,977,200.00
534 7/25/2022 Ny.Fithrah Nursalina 00.18.1027 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Lisnawati
dr.SonySpA
dr.Reyhan
OBGYN MRS BPJS 3910 Rp 7,027,900.00
535 7/25/2022 NY.Ekawati 00.14.6973 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Lisnawati
dr.SonySpA
dr.Reyhan
OBGYN MRS BPJS 3886 Rp 6,023,900.00
536 7/25/2022 Ny.Dona Agnesia 00.18.1026 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAnEndangdr.HerkaSpA
dr.Rizky
OBGYN MRS BPJS 3900
545 7/25/2022 Bp.Bastari Juin 00.05.3186 dr.PettySpM dr.PettySpM Evicerasi +AU OS dr.DiptaSpAn
Endang+Fredy MATA MRS BPJS 3890
546 7/25/2022 Bp.Aman Nurmal 21.00.19167 dr.RamziSpMdr.RamziSpMVitrektomi+AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 3294 Rp 18,314,500.00
550 7/25/2022 Bp.Apep Saipul 00.18.0698 dr.PettySpM dr.PettySpM Periostel Graft+AU OD dr.DiptaSpAn
Endang+Fredy MATA MRS BPJS 3570 Rp 16,045,600.00
551 7/25/2022 Ny.Fithrah Ramdhayani 00.14.8895 dr.RikaSpOgdr.RikaSpOg SC dr.DiptaSpAn
Endang+Fredy
dr.HerkaSpA
dr.Aal
OBGYN MRS BPJS 4046
553 7/25/2022 Bp.Fajrial 00.18.1012 dr.SiscaSpMdr.SiscaSpM Vitrektomi+AU OD dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 3897 Rp 13,371,400.00
576 7/26/2022 Ny.Novi Priyanti 00.18.1091 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSpAnEndang
dr.HerkaSpA
dr.Rizky
OBGYN MRS BPJS 4126 Rp 5,019,900.00
578 7/26/2022 Ny.Nurhayati 00.17.9683 dr.RamziSpMdr.RamziSpM
Vitrektomi+Viksasi Sklera+AU
OSdr.ZulkifliSpAn
Endang+Fredy MATA MRS BPJS 383
579 7/26/2022 Ny.Liana Dulfatah 00.18.0202 dr.RamziSpMdr.RamziSpM Vitrektomi+ESO+AU OSdr.ZulkifliSpAn
Endang+Fredy MATA MRS BPJS 4143 Rp 13,371,400.00
580 7/26/2022 Bp.Idham Saputra 21.00.15338 dr.RamziSpMdr.RamziSpM Vitrektomi+SO+AU OSdr.ZulkifliSpAn
Endang+Fredy MATA MRS BPJS 4129 Rp 13,371,400.00
581 7/26/2022 Ny.Marlina 00.18.8337 dr.RamziSpMdr.RamziSpM Vitrektomi+ESO+AU OS dr.DiptaSpAn Endang+Fredy MATA MRS BPJS 4142 Rp 14,992,000.00
593 7/26/2022 An.Galih Raka Siwi 00.18.1050 dr.PettySpM dr.PettySpM Amnion Graft +AU OSdr Zulkfli SpAn
Endang+Fredy MATA MRS BPJS 4139 Rp 13,371,400.00
594 7/26/2022 Ny.Tia Ning 00.18.1021dr.Herry RaharjoSpB
dr.Herry RaharjoSpB
Eksisi Hemoroid dr.ZulkifliSpAn
Endang+Fredy BEDAH MRS BPJS 3902 Rp 5,514,200.00
599 7/26/2022 Ny.Wahyuni 00.18.1109 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSpAn
Endang +dr.HerkaSpA
Fredy dr.Aal OBGYN MRS BPJS 4251 Rp 5,019,900.00
608 7/26/2022 Bp.Nusirwan 00.17.7162 dr.AnsyoriSpM
dr.AnsyoriSpM .Phaco+IOL OD dr.DiptaSpAn
Endang+Fredy MATA MRS BPJS 4134 Rp 7,342,000.00
615 7/26/2022 Ny.Nindia Efriliani 00.18.1159 dr.PutriSpOGdr.PutrSpOg Kuretase dr.DiptaSpAnEndang OBGYN MRS BPJS Rp 1,977,200.00
616 7/27/2022 Ny.Tati Hartati 00.18.1107 dr.IdaSpOg dr.IdaSpOg SC dr.AuliaSpAnEndang
dr.SonySpA OBGYN MRS BPJS 4278 Rp 5,302,400.00
617 7/27/2022 Ny.Amara Alfa Aulia 00.18.1140 dr.IdaSpOg dr.IdaSpOg SC dr.AuliaSpAnEndang
dr.SonySpA OBGYN MRS BPJS 4341 Rp 5,302,400.00
618 7/27/2022 Bp.Arsyad Ahmad 00.14.9910dr.SuyantiSpTHTKL
dr.SuyantiSpTHTKLFess+AU dr.AuliaSpAnEndang THT MRS BPJS 4347 Rp 7,105,700.00
623 7/27/2022 Nn.Yolanda Febrianti 21.00.1786 dr.RamziSpMdr.RamziSpM .Phaco+IOL OD dr.AuliaSpAn
Endang+Fredy MATA MRS BPJS 4359 Rp 7,342,000.00
625 7/27/2022 An.M.Rizky Syahputra 00.18.1194 dr.RianiSpMdr.RianiSpM Repair Kornea+AU OD dr.AuliaSpAn Fredi MATA MRS BPJS 4538 Rp 8,022,800.00
626 7/27/2022 Ny.Siti Solekha 00.13.9104 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SonySpA OBGYN MRS BPJS 4466 Rp 5,019,900.00
627 7/27/2022 Ny.Suyani Binti Suradi 00.18.1175 dr.JamalSpOgdr.JamalSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SonySpA OBGYN MRS BPJS 4469 Rp 5,019,900.00
639 7/27/2022 Bp.Hazlam Putra 00.18.1138 dr.AnsyoriSpM dr.AnsyoriSpM
Ekstraksi+IOL+AU OD dr.DiptaSpAn
Endang+Fredy MATA MRS BPJS 4389 Rp 8,022,800.00
645 7/28/2022 Ny.Suryani 00.18.0721 dr.RamziSpMdr.RamziSpMVitrektomi+AU OSdr.ZulkifliSpAn Lisnawati MATA MRS BPJS 4583 Rp 18,314,500.00
646 7/28/2022 Bp.Sulaiman Darmin 00.17.8647 dr.RamziSpMdr.RamziSpMVitrektomi+AU ODdr.ZulkifliSpAn Lisnawati MATA MRS BPJS 4685
647 7/28/2022 Bp.Ismur Abdul Rozak 00.13.2878 dr.PettySpM dr.PettySpM Pteregium OS MATA MRS BPJS 4572 Rp 6,151,400.00
651 7/28/2022 Ny.Susi Aryanti 00.18.1213 dr.JamalSpOgdr.JamalSpOg SC+TUBEK dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 4644 Rp 7,027,900.00
655 7/28/2022 Ny.Afrina Hani 00.18.1197 dr.RamziSpMdr.RamziSpMVitrektomi+AU OS dr.DiptaSpAn Lisnawati MATA MRS BPJS 4800 Rp 16,045,600.00
657 7/28/2022 Bp.Wiwi dr.Herry RaharjoSpB
dr.Herry RaharjoSpB
Haemorhoidektomi+AU dr.ZulkifliSpAnLisnawati BEDAH MRS BPJS 4083
663 7/28/2022 Ny.Siti Jariah 00.18.1179 dr.AnsyoriSpM dr.AnsyoriSpM Pteregium OD MATA MRS BPJS 9598 Rp 7,342,000.00
668 7/28/2022 Ny.Vinny Melinda 00.18.1242 dr.RikaSpOgdr.RikaSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 4765 Rp 7,027,900.00
669 7/28/2022 Ny.Latifah Handayani 00.18.1240 dr.JamalSpOgdr.JamalSpOg Circlase dr.ZulkifliSpAn
Lisnawati OBGYN MRS BPJS 4771 Rp 3,600,400.00
670 7/28/2022 Ny.Asma Wiana 00.18.1238 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 4795 Rp 6,023,900.00
671 7/28/2022 Ny.Ria Efriani 00.18.1238 dr.JamalSpOgdr.JamalSpOg SC dr.ZulkifliSpAn
Lisnawati
dr.SonySpA OBGYN MRS BPJS 4760 Rp 6,023,900.00
672 7/29/2022 Ny.Nopiyanti 21.00.21877 dr.RikaSpOgdr.RikaSpOg SC dr.AuliaSpAn
Endang+Fredy
dr.SriSpA
dr.Mira
OBGYN MRS BPJS 4762 Rp 5,019,900.00
682 7/29/2022 An.Jethro Holy Matthew 21.00.14562dr.Herry RaharjoSpB
dr.Herry RaharjoSpB Eksisi dr.AuliaSpAn Fredy BEDAH MRS BPJS 4929 Rp 3,842,100.00
684 7/29/2022 Ny. Meri Rosnita 181272 dr.IdaSpOg dr.IdaSpOg SC +Tubek dr.AuliaSpAn Fredy OBGYN MRS BPJS 4954 Rp 5,019,900.00
685 7/29/2022 Ny. Reni Tri Sapitri 181288 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Fredydr.SriSpA dr.Dio
OBGYN MRS BPJS 4969 Rp 6,023,900.00
687 7/30/2022 Ny. Sholihat Muhajirin 181303 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Fredydr.SriSpA OBGYN MRS BPJS 4998 Rp 6,023,900.00
688 7/30/2022 Ny. Sakurawati 181298 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn Fredydr.SriSpA OBGYN MRS BPJS Denda Rp 5,019,900.00
689 7/30/2022 Ny. Diah Islamiyah 181261 dr.MarliniSpMdr.MarliniSpMtrabekulektomi OS MATA MRS BPJS 4964 Rp 9,359,900.00
690 7/30/2022 Ny. Yulistini Karsan 179710 dr.MarliniSpMdr.MarliniSpMtrabekulektomi OS MATA MRS BPJS 4959 Rp 9,359,900.00
693 7/30/2022 Ny. Safariyani 179131 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Fredydr.SriSpA dr.Dio
OBGYN MRS BPJS 5007 Rp 5,302,400.00
695 7/31/2022 Ny. Diah Salsabila 181327 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Lisnawati
dr.SriSpA OBGYN MRS BPJS 5020 Rp 5,019,900.00
696 7/31/2022 Ny. Rina febryanti 181330 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Lisnawati
dr.SriSpA
dr.Rosita
OBGYN MRS BPJS 5026 Rp 5,019,900.00
697 7/31/2022 Ny. Anngi Anggraini 18325 dr.IdaSpOg dr.IdaSpOg SC dr.DiptaSpAn Lisnawati
dr.SriSpA
dr.Rosita
OBGYN MRS BPJS 5015 Rp 6,023,900.00
698 7/31/2022 Ny. Novita Binti 181326 dr.JamalSpOgdr.JamalSpOg Circlase dr.DiptaSpAn Lisnawati OBGYN MRS BPJS 5017 Rp 5,742,600.00
699 7/31/2022 Ny. Fatimah Septiana 181329 dr.JamalSpOgdr.JamalSpOg SC dr.DiptaSpAn
Lisnawati/fredy
dr.SriSpA OBGYN MRS BPJS 5026 Rp 6,023,900.00
 BAGIAN : INSTALASI BEDAH SENTRAL
BULAN / TAHUN : JULI 2022

JUMLAH KUNJUNGAN PASIEN : 699 Pasein > Tindakan : 718

Umum 156
BPJS 554
Jaminan 3
Gratis 5

RINCIAN Sbb
LAYANAN PER ITEM

A : MATA PEMBAYARAN
Jenis Tindakan
UMUM BPJS JAMINAN GRATIS

Phaco + IOL : 289 Tindakan 63 226

Phaco Saja : 3 Tindakan 2 1

ECCE + IOL : 2 Tindakan 2

Eksisi Katarak : 1 Tindakan 1

Vitrektomi : 39 Tindakan 2 37

Vitrektomi Anterior + Ekstraksi Katarak : 1 Tindakan 1

Vitrektomi + ESO : 13 Tindakan 13

Vitrektomi + Fiksasi sklera : 3 Tindakan 3

Pro Implant Surgery : 1 Tindakan 1

Trabektulektomi : 20 Tindakan 2 18

Ekstraksi + IOL : 1 Tindakan 1

Ekstraksi Lensa : 1 Tindakan 1

Amnion Graft : 2 Tindakan 2

Entropion : 5 Tindakan 1 4

Reposisi IOL : 1 Tindakan 1

IOL Multifokal : 0 Tindakan

IOL Sekunder : 2 Tindakan 2

Lasik : 26 Tindakan 26
Sembleparon : 1 Tindakan 1

Repair Ruptur Kornea : 2 Tindakan 1 1

IOL Exchange : 1 Tindakan 1

Litiasis : 1 Tindakan 1

Eviserasi : 3 Tindakan 3
Eksisi + PA : 2 Tindakan 2

Pseudofakia : 1 Tindakan 1

Pterigium : 1 Tindakan 1

IOL Exchange + IOL Sekunder : 9 Tindakan 3 6

Periosteal Graft : 5 Tindakan 5

Keratoplasty : 2 Tindakan 2

Repair Palpebra + Canaculi : 1 Tindakan 1

Papiloma : 1 Tindakan 1

Eksisi Nevus : 1 Tindakan 1

 Keratektomi : 1 Tindakan 1
Granuloma : 0 Tindakan
Inj. Avastin : 91 Tindakan 26 61 3 1
Inj. Patriza : 1 Tindakan 1

Kalazion : 8 Tindakan 2 6
Aspirasi + Fluconazole : 1 Tindakan 1
Inj Gas Sf6 : 1 Tindakan 1
Aspirasi + Inj. Vanco + Inj. Septa : 9 Tindakan 1 6 2
Irigasi : 1 Tindakan 1
Pro Elektro Couter : 1 Tindakan 1
Biopsi ekisi + PA : 1 Tindakan 1
Aspirasi Sisa Korteks : 6 Tindakan 1 4 1
Eksisi Xantalasma : 1 Tindakan 1
Parasintesa : 4 Tindakan 2 2
Up Heating : 5 Tindakan 2 3
TOTAL : 572 Tindakan 142 422 3 5

B : Bedah Umum PEMBAYARAN

Jenis Tindakan
UMUM BPJS JAMINAN GRATIS

Eksisi Soft Tissue Tumor : 1 Tindakan 1

Hemoroidektomi : 1 Tindakan 1
Eksisi : 6 Tindakan 6
Debridemant : 2 Tindakan 2
Eksisi Hemoroid : 1 Tindakan 1
Eksisi Tumor Mamae : 1 Tindakan 1
Eksisi + Limpadenopati : 1 Tindakan 1
hernioraphy : 2 Tindakan 2
Ismulobektomi : 1 Tindakan 1
Mastektomi : 1 Tindakan 1
TOTAL : 17 Tindakan 17

C : Kebidanan PEMBAYARAN
Jenis Tindakan
UMUM BPJS JAMINAN GRATIS

Sectio Caesaria : 106 Tindakan 13 93

SC + Tubektomi : 6 Tindakan 6
Circlase : 2 Tindakan 2
Laparatomi : 1 Tindakan 1
Curetase : 9 Tindakan 9
TOTAL : 124 Tindakan 14 110

D : THT PEMBAYARAN
Jenis Tindakan
UMUM BPJS JAMINAN GRATIS
Tonsilektomi : 2 Tindakan 2
Eksisi Biopsi + PA : 1 Tindakan 1
FESS : 2 Tindakan 2
TOTAL : 5 Tindakan 5
 Tindakan kamar operasi

Operasi Berdasarkan
Golongan Januari Feb Maret
KH B S R Pasien 629 555 736
Tindakan 669 592 770

Grafik Tindakan Operasi Per Sub Divisi

Januari Feb Maret

Mata 543 488 648
Obgyn 101 92 106
Bedah 20 106 10
THT 5 1 1

Pengumpul Data

Rizki Seri Wahyuni, Am. Kep dr. Herry Rahard

 Operasi Berdasarkan
Golongan
K B S K

Operasi Berdasarkan
Golongan
K B S K

Operasi Berdasarkan
Golongan
K B S K
ar operasi

April Mei
417 606
441 634

Per Sub Divisi

April Mei
326 491
109 132
3 7
3 4

Diketahui

dr. Herry Rahardjo, Sp.B