PEMERIKSAAN RONTGEN : SEPTEMBER 2022

Ruangan

No Tanggal, Jam Jam Selesai No. RM Nama Pasien Tanggal Lahir L /

Pemeriksaan Pemeriksaan P URN

1 2 3 4 5 7 8
1 10/1/2022 8:00 05-61-98 Rizky Putra 3/11/2019 L
2 10/1/2022 8:30 07-14-30 Muhammad Zaid 27/9/2021 L
3 10/1/2022 9:00 06-57-73 Eshan Althaf 2/4/2021 L
4 10/1/2022 9:00 00-19-94 Adinda Purnama Dewi 18/10/186 P
5 10/1/2022 10:30 07-92-79 Salman Amrillah 25/9/2020 L
6 10/1/2022 10:15 06-20-22 Samuel Darrel 27/8/2020 L
7 10/1/2022 11:50 02-40-02 Melody Quinza 7/1/2016 P

8 10/1/2022 14:53 07-10-32 Alyssa Zhafira 9/8/2021 P

9 10/1/2022 21:09 00-73-92 Kheizwa Shaka Madenda7/7/2015 L
10 10/2/2022 8:42 028220 Umar Khalifah 17/06/2017 L
11 10/2/2022 9:59 071567 Rasyabia Kaureen 04//10/2021 P
12 10/2/2022 20:27 05-46-40 Muhammad Sami 25/07/2019 L
13 10/3/2022 10:00 07-92-64 Nining Rohaeni 15/5/1984 L
14 10/3/2022 10:30 07-73-28 Raja Ardasheer 26/6/2022 L R Anak
15 10/3/2022 11:00 02-30-57 Kintan Naurah 29/6/2012 P
16 10/3/2022 11:10 07-11-74 Hindun Abyati 1/5/1997 P
17 10/3/2022 11:30 05-00-41 Khanza Shofiyah 6/11/2019 P

18 10/3/2022 16:12 04-20-44 Muhammad Rafassyah 24/09/2018 L R. Anak

19 10/3/2022 16:14 07-27-20 Najikh Ibtihaj 25/11/2021 L
20 10/3/2022 16:50 06-95-28 Naura Zhafira Qirani 7/7/2021 P

21 10/3/2022 17:33 02-55-07 Muhammad Naufal Afkar28/11/2016 L

22 10/3/2022 18:54 07-19-15 Pierre Aome 14/06/2021 L
23 10/3/2022 7:10 02-47-96 Muhammad Zhalfa 24/08/2006 L
24 10/3/2022 20:13 02-44-39 Cakrawala Althof 8/10/2017 L

25 10/4/2022 10:10 03-00-31 Cut Jasmine 15/08/2017 P

26 10/4/2022 12:51 01-86-92 Chayra Fayyola 5/2/2016 P
27 10/4/2022 12:55 01-38-62 Qisya Qaireen 2/5/2014 P
28 10/4/2022 13:56 07-55-66 Raffasya Attarazqa 22/1/2021 L
29 10/4/2022 21:54 05-45-08 Rhea medina 13/11/2019 P

30 10/4/2022 21:57 07-63-65 Azfa Abqori 20/09/2021 L

31 10/4/2022 21:59 07-52-18 Nizam Ghazzai 28/05/2019 L

32 10/4/2022 22:21 07-86-24 Mira Pandansuri 26/01/1982 P

33 10/5/2022 11:02 02-01-68 Dafa Anugerah 6/11/2016 L R.anak
34 10/5/2022 11:04 07-93-51 Satem bin Sagi 4/1/1954 P

35 10/5/2022 11:08 07-61-12 Sunandar bt Sunanta 11/6/2018 L R. Anak

36 10/5/2022 11:08 07-60-55 Ibrahim Ghazanfar 25/04/2022 L
37 10/5/2022 11:45 01-82-80 Dewi Ariesanti 18/04/1978 P
38 10/5/2022 15:33 02-28-31 Dinny Nurul Fitriani 17/06/1986 P
39 10/5/2022 19:30 06-96-30 Kiano Rahsya 7/11/2021 L
40 10/5/2022 19:45 04-32-56 Muhamad Arqian 9/4/2018 L
41 10/6/2022 11:10 05-56-47 Muhammad Rizky 17/12/2019 L R. Anak
42 10/6/2022 16:38 07-93-83 Keanu Muhammad 16/5/2013 L
43 10/6/2022 17:27 05-57-85 Shakaela Azkadina 25/05/2019 P
44 10/6/2022 20:36 07-93-85 Ramadhan 17/05/2018 L

45 10/6/2022 20:36 07-93-86 Akifa 24/10/2017 P

46 10/6/2022 20:36 03-88-13 Matien 29/05/2018 L

47 10/7/2022 7:30 07-68-09 Iin retno Ningsih 17/03/1996 P

48 10/7/2022 8:50 07-57-81 Chayra Olivia 6/11/2021 P
49 10/7/2022 10:20 07-30-43 Mikail Zaidan 10/7/2017 L

50 10/7/2022 10:40 04-07-66 Argathan Satriaka 8/8/2018 L

51 10/7/2022 12:38 07-48-27 Muhammad Rafaizan 11/9/2017 L
52 10/7/2022 15:04 10/7/2022 15:06 06-23-79 Alisha Fahhirra Siddiq 9/11/2020 P
53 10/7/2022 17:24 10/7/2022 17:30 03-48-50 Alisha Faranisa 16/1/2018 P
54 10/7/2022 21:09 10/7/2022 21:13 07-07-45 Kaisar Zaidan 16/10/2019 L

55 10/7/2022 21:20 10/7/2022 21:24 07-88-98 Hanan Iqbal 9/11/2022 L

56 10/8/2022 9:46 10/8/2022 9:49 05-19-50 Agung Kurniawan 6/10/1987 L

57 10/8/2022 9:50 10/8/2022 9:53 20-90-47 Khalisa Hafza 15/07/2017 P R. Anak

58 10/8/2022 10:22 10/8/2022 10:25 05-20-07 Sheryl 21/08/2019 P
59 10/8/2022 10:50 10/8/2022 10:55 05-52-15 Fazia 12/10/2019 P R. Anak

60 10/8/2022 16:19 10/8/2022 16:22 03-40-20 Muhammad Arrasyid 26/06/2016 L

61 10/8/2022 18:26 10/8/2022 18:29 03-70-58 Arrayhan 7/1/2014 L
62 10/9/2022 7:52 10/9/2022 7:55 07-93-96 Akhmad zakir 18/05/2017 L
63 10/9/2022 9:25 10/9/2022 9:28 02-87-76 Arkana Rasyid 7/7/2017 L
63 10/9/2022 10:22 10/9/2022 10:27 02-88-57 Riza avianty 10/5/1985 P ICU
64 10/9/2022 14:45 10/9/2022 14:50 07-94-30 Rafael Torang 3/12/2011 L

65 10/9/2022 20:15 10/9/2022 20:18 07-92-27 Turiah Bt Suja 11/10/1970 P

66 10/9/2022 20:21 10/9/2022 20:24 06-85-29 Anindita Keisha Zahra 26/8/2018 P
67 10/10/2022 9:25 10/10/2022 9:30 07-94-31 Dena Eshal 21/04/2022 P R. Anak
68 10/10/2022 13:08 10/10/2022 13:11 06-66-55 Ghaisan Arkana 13/03/2021 L
69 10/10/2022 13:30 10/10/2022 13:34 00-79-38 Ruri Kusuma wardani 19/09/1988 P
70 10/10/2022 13:35 10/10/2022 13:38 00-88-20 Windu Putra Darmawan 3/2/1986 L
71 10/10/2022 17:30 10/10/2022 17:37 02-51-97 Floreta Adiskania 4/12/2017 P
72 10/11/2022 7:42 10/11/2022 7:44 07-33-70 Mentari Adzania Humair 14/12/2021 P
73 10/11/2022 8:41 10/11/2022 8:43 06-75-76 Kiara Citra 24/04/2021 P R. Anak
74 10/11/2022 9:19 10/11/2022 9:21 07-94-67 Nuna Labiqa 24/04/2022 P R. Anak
75 10/11/2022 9:44 10/11/2022 9:46 06-81-91 Anaka Hannan 20/05/2021 L
76 10/11/2022 10:53 10/11/2022 11:10 07-89-71 Emir Zayn Alister 15/9/2022 L
77 10/11/2022 12:00 10/11/2022 12:05 07-49-53 Kindza Caialla 2/3/2021 P

78 10/11/2022 12:32 10/11/2022 12:40 03-31-07 Sri Nurkhaesih 16/02/1977 P

79 10/11/2022 12:40 10/11/2022 12:45 00-40-25 Shakira 24/3/2014 P
80 10/11/2022 12:34 10/11/2022 12:36 03-95-36 Gusri Zakir 26/6/2018 L
81 10/11/2022 14:23 10/11/2022 14:26 00-40-25 Shakira Maryam 24/03/2014 P

82 10/11/2022 15:19 10/11/2022 15:24 07-94-80 Devan Rafizqi 19:01/2018 L

83 10/11/2022 15:42 10/11/2022 15:45 05-06-14 Mikayla Safa 7/1/2019 P
84 10/11/2022 17:13 10/11/2022 17:26 06-44-49 Hamizan Alaric 29/06/2020 L
85 10/12/2022 7:30 10/12/2022 7:55 07-90-95 Erna Listia Wati 20/12/1989 P
86 10/12/2022 8:55 10/12/2022 8:59 03-64-38 Aqmar Hanif 27/03/2017 L
87 10/12/2022 10:29 10/12/2022 10:31 029048 Siti Hujaemah 25/01.1991 P
88 10/12/2022 17:00 10/12/2022 17:04 07-94-96 Yudha 31./08/2015 L
89 10/12/2022 18:16 10/12/2022 18:19 07-95-01 Nadhira 18/03/2020 P
90 10/13/2022 8:30 10/13/2022 8:33 03-96-61 Muhammad rifad 25/07/2017 L
91 10/13/2022 8:54 10/13/2022 9:10 07-88-33 Dzyn malik 9/9/2022 L
92 10/13/2022 10:34 10/13/2022 10:37 07-05-40 Khalid 17/08/2021 L

93 10/13/2022 11:26 10/13/2022 11:30 06-92-00 Lakeisha 13/05/2017 P

94 10/13/2022 11:06 10/13/2022 11:08 04-20-85 Faresta Dirga 25/09/2018 L
95 10/13/2022 13:25 10/13/2022 13:28 07-95-06 Reyhan Abid L
96 10/13/2022 17:17 10/13/2022 17:19 07-95-14 Yuki Albaslina 24/04/2020 P
97 10/14/2022 7:30 10/14/2022 7:50 07-75-60 Rina Herlina 6/1/1996 P
98 10/14/2022 9:58 10/14/2022 10:02 01-32-80 Adhyastha 2/4/2016 L
99 10/14/2022 10:14 10/14/2022 10:17 06-13-39 Rizki Nur 28/07/2020 L
100 10/14/2022 10:21 10/14/2022 10:25 07-17-14 Qyovvan 21/03/2021 L

101 10/14/2022 10:28 10/14/2022 10:31 07-17-15 Arkana Fathan 28/12/2016 L

102 10/14/2022 12:03 10/14/2022 12:06 07-56-34 Dzkira Madinah 26/08/2016 P R. Anak
103 10/14/2022 12:29 10/14/2022 12:34 02-88-57 Riza Avianty 10/5/1985 P R. Obgyn
104 10/14/2022 14:37 10/14/2022 14:40 02-87-91 Jasmine 7/7/2017 P

105 10/14/2022 20:19 10/14/2022 20.30 06-69-18 Rafka 24/03/2021 L

106 10/14/2022 21:18 10/14/2022 21:20 01-24-36 febriana 1/7/1990 P
107 10/14/2022 22:20 10/14/2022 22:25` 07-85-11 Nabeel 2/9/2006 L
108 10/15/2022 11:00 10/15/2022 11:05 06-23-70 Hanif faisal Mubarok 13/1/2016 L
109 10/15/2022 10:36 10/15/2022 10:40 07-95-34 Alkhalifi Arsa Alvaro 4/11/2016 L
110 10/15/2022 13:00 10/15/2022 13:10 01-30-52 Elanur Lelasari 13/5/1988 P
111 10/15/2022 17:30 10/15/2022 17:35 04-07-51 Joanna Christie 8/8/2018 P
111 10/15/2022 18:26 10/15/2022 18:30 07-95-51 Vidya 15-12-1996 P
112 10/15/2022 21:15 10/15/2022 21:18 02-49-67 Kenan 11/8/2015 L
113 10/15/2022 21:26 10/15/2022 21:29 07-79-86 Izzan 22/02/2022 L
114 10/16/2022 9:40 10/16/2022 9:45 06-03-96 Euisa 13/12/1986 P R. Obgyn
115 10/16/2022 10:16 10/16/2022 10:18 05-80-89 Ameera 8/6/2018 P
116 10/16/2022 10:24 10/16/2022 10:26 03-45-06 Aisyah 1/6/2018 P
117 10/16/2022 11:01 10/16/2022 11:05 03-30-96 Hanum 21/11/2017 P
118 10/16/2022 20:31 10/16/2022 20:34 07-93-42 Lianawati 3/4/1956 P
119 10/17/2022 7:15 10/17/2022 7:50 07-64-74 Puji Astuty 02/04/19930 P
120 10/17/2022 8:29 10/17/2022 8:31 00-64-25 Ayatul Husna 1/8/2015 P
121 10/17/2022 9:02 10/17/2022 9:05 04-66-74 Troy Khanatul 23/11/2017 P R. Anak
122 10/17/2022 9:18 10/17/2022 9:21 05-16-30 Ibrahim Sakha 15/05/2019 L R. Anak
123 10/17/2022 10:52 10/17/2022 10:55 00-41-01 Heppy Ayu 5/2/1988 P
124 10/17/2022 11:08 10/17/2022 11:11 07-87-54 Ken Athar Muhammad 15/06/2022 L
Ruangan Pelaksanaan Pemeriksaan

Dokter Pengirim Konven Non Konven

URJ UGD Radiografer
Kontras Kontras

9 10 11 12 13 14
V dr. Shalika Ramadhan Thorax AP
V dr. Shalika Ramadhan Thorax AP
P Anak dr. Isyanto, Sp.A Ramadhan Thorax AP
V dr. Shalika Ramadhan Thorax PA
P Anak dr. Defa, Sp.A Ramadhan Thorax AP
P Anak dr. Isyanto, Sp.A Ramadhan Thorax AP
V dr. Shalika Ramadhan Ankle Ap
Ankle Lat
V dr. Shalika Shandika Thorax AP
V dr.Rizki Shandika Thorax PA
V dr. Rahma ike Thorax PA
V dr. Rahma ike Thorax AP
V dr.Rizki Shandika Thorax PA
V dr. Shalika Ramadhan Thorax PA
dr. Theo Ramadhan Thorax AP
V dr. Shalika Ramadhan Thorax PA
V dr. Shalika Ramadhan Thorax PA
V dr. Defa, Sp.A Ramadhan Thorax AP
Thorax Lat
dr. Shalikha ike Thorax AP
V dr. Rahma ike Thorax AP
P. Anak dr. Isyanto ike Thorax AP
Thorax Lat
V dr. Rahma ike Thorax PA
V dr. Rahma ike Thorax AP
V dr. Rahma ike Thorax PA
P. Anak dr. Ludy ike Thorax PA
Thorax Lat
V dr.Lintang ike Thorax PA
V dr.Lintang Shandika Thorax PA
V dr.Lintang Shandika Thorax PA
P. Anak dr. Isyanto ike Thorax AP
P. Anak dr.Ludy Ramadhan Thorax AP
Thorax Lat
P. Anak dr.Isyanto Ramadhan Thorax PA
P. Anak dr.Ludy Ramadhan Thorax PA
Thorax Lat
V dr.Rahma Shandika Thorax PA
dr. Theo ike Thorax PA
 V dr.Lintang ike Pedis AP
Pedis Oblique
dr. Rizki ike Thorax AP
V dr.Lintang ike Thorax AP
V dr. Lintang ike Thorax PA
V dr. Theo ike Thorax PA
V dr. Theo Ramadhan Thorax AP
V dr. Theo Ramadhan Thorax PA
dr. Shalika ike Thorax AP
V dr. Theo Shandika Thorax PA
V dr. Theo Shandika Thotax AP
P. Anak dr. Ludy Shandika Thorax AP
Thorax Lat
P. Anak dr. Ludy Shandika Thorax PA
Thorax Lat
P. Anak dr. Ludy Shandika Thorax PA
Thorax Lat
P. Obgyn dr. Yasmin ike HSG
P. Anak dr. Defa ike Thorax AP
P. Anak dr. defa ike Thorax PA
Thorax Lat
V dr. Shalika ike Thorax PA
V dr. Shalika Ike Thorax PA
V dr. Rahma Ramadhan Thorax AP
V dr. Rahma Ramadhan Thorax AP
V dr. Rahma Ramadhan Thorax AP
Thorax Lat
V dr. Theo Ramadhan Thorax AP
Thorax Lat
P. Saraf dr. adrial Shandika Lumboscral AP
Lumboscral Lat
dr. Theo Shandika Thorax PA
P. Anak dr. Defa Shandika Thorax AP
dr. Sujanto Shandika Thorax AP
Thorax Lat
P. Anak dr. Ineu ike Thorax PA
V dr. Shalika ike Thorax PA
V dr. rahma Shandika Thorax PA
V dr. rahma Shandika Thorax PA
dr. bactiar Shandika Thorax Ap
V dr. Theo Ramadhan Pedis AP
Pedis Lat
V dr. Theo Ramadhan Thorax PA
V dr. Theo Ramadhan Thorax PA
dr. Iman ike Thorax AP
 V dr. Lintang ike Thorax AP
P.PD dr. Sulis ike Thorax PA
P.PD dr. Sulis ike Thorax PA
P Anak dr. Isyanto, Sp.A Ramadhan Thorax PA
V dr.Rizki Shandika Thorax AP
dr. Rizki Shandika Thorax AP
dr. Rahma Shandika Thorax AP
V dr. Lintang Shandika Thorax AP
V dr. Lintang Shandika Thorax AP
P Anak dr. Defa, Sp.A Shandika Thorax AP
Thorax Lat
V dr. Lintang Ramadhan Thorax PA
V dr. Lintang Ramadhan Thorax PA
V dr. Lintang Ramadhan Thorax PA
V dr. Lintang ike Abd AP
Abd LLD
P. Anak dr. Isyanto ike thorax PA
P. Anak dr. Isyanto Ike Thorax PA
V dr. Theo ike Thorax AP
P. Obgyn dr. Yasmin ike HSG
V dr. Shalika ike Thorax PA
V dr. Shalika ike Thorax PA
V dr. Rizki Shandika Thorax AP
V dr. Rizki Shandika Thorax AP
V dr. Shalika Ramadhan Thorax PA
V dr. Shalika Ramadhan Thorax Ap
P. Anak dr. Defa, Sp.A Shandika Thorax AP
Thotax Lat
P. Anak dr. Defa, Sp.A Shandika Thorax PA
P. Anak dr. Defa, Sp.A Shandika Thorax PA
V dr. Theo Shandika Thorax PA
V dr. Rizki ike Thorax AP
P. Obgyn dr. Yasmin ike HSG
V dr. Lintang ike Thorax PA
P. Anak dr. Defa ike Thorax AP
P. Anak dr. Defa ike Thorax AP
Thorax Lat
P. Anak dr. Defa ike Thorax PA
Thorax Lat
dr. Fitri ike Thorax PA
dr. Sulis ike Thorax AP
V dr.Lintang Shandika Thorax PA
Shandika Thorax AP
P. Anak dr. Ludy Thorax Lat
V dr. Rizki Shandika Thorax PA
 V dr. Rizki Shandika Thorax PA
P Anak dr. Defa, Sp.A Ramadhan Thorax AP
P Anak dr. Defa, Sp.A Ramadhan Abdomen AP
V dr. Lintang Ramadhan Thorax AP
V dr. Theo Shandika Thorax PA
V dr. Theo Shandika Thorax AP
V dr. Theo Shandika Thorax AP
V dr. Theo Shandika Thorax AP
dr. Shalika Shandika Thorax PA
P Anak dr. Defa, Sp.A Shandika Thorax PA
P Anak dr. Isyanto, Sp.A Shandika Thorax PA
P Anak dr. Isyanto, Sp.A Shandika Thorax AP
V dr. Theo ike Thorax PA
P. Obgyn dr. Husny ike HSG
V dr. Shalika ike Thorax PA
dr. Lintang ike Thorax AP
dr. Sujanto ike Thorax AP
V dr. Shalika ike Thorax AP
V dr. Shalika ike Thorax AP
 Triage Dosis Paparan Pemakaian Film

Diagnosa ON 20 x 25 25 x 30
Biasa Cito Kritis kV mAs BB (Kg)
Call (s) (m)

15 16 17 18 19 20 21 22 23 24
HRB, Susp BP V 115 2,5 1
HRB, Susp BP V 115 2,5 1
TB V 115 2,5 1
Pro Persiapan Op V 115 2,5 1
Susp TB V 115 2,5 1
evaluasi TB OAT V 115 2,5 1
Susp Dislokasi Ankle J Sin V 60 6.3 1
60 6.3
Febris h 1 + ISPA V 115 2.5 1
OBS Febris H 6 + ISPA V 115 2.5 1
Obs Febris H1 V 115 2.5 1
GEA Dehidrasi sedang V 115 2.5 1
ISPA V 115 2.5 1
Pro Kuret V 115 2,5 1
Bronchopneumonia V 115 2,5 1
Obs Febris V 115 2,5 1
Kista Endometrosis V 115 2,5 1
Lymphadenopathy V 115 2,5 1

OF H1 V 115 2.5 1
Febris H3 V 115 2.5 1
Susp TB V 115 2.5 1

Diare Akut V 115 2.5 1

Obs Vomitus V 115 2.5 1
OF H5 + ISPA V 115 2.5 1
Batuk Lama V 115 2.5 1

HIL bilateral PRO Hernitomy V 115 2.5 1

obs febris h1 + ispa + low intake V 115 2.5 1
obs febris h1 + ispa V 115 2.5 1
susp tb V 115 2.5 1
V 115 2.5 1
Screening tb
TB V 115 2.5 1
BP V 115 2.5 1

PRO curatage V 115 2.5 1

obs febris h 5 + viral infection V 115 2.5 1
Susp fraktur metacarpal dextra V 60 6.3 1

GEA + DRS V 115 2.5 1

Phymosis gr 3 + isk V 115 2.5 1
OF H1 + Faringitis Akut V 115 2.5 1
PRO curatage V 115 2.5 1
Obs Febris, ISPA V 115 2,5 1
Obs Febris V 115 2,5 1
OF H7 V 115 2.5 1
Tonsilofaringitis akut V 115 2,5 1
Obs febris h 6 V 115 2.5 1
Obs Febris V 115 2.5
1
Batuk 3 minggu V 115 2.5
1
Bronchitis V 115 2.5

Promil V 75 25 1
TB V 115 2.5 1
Obs Kelenjar Getah Bening V 115 2.5 1

KDS V 115 2.5 1

OF H3 V 115 2.5 1
V 115 2,5 1
Obs Febris, Low Intake V 115 2,5 1
Obs Febris V 115 2,5 1
120 5
BP V 115 2,5 1
120 5
LBP 80 45 1

commond cold + dipepsia V 115 2.5 1

Screnning TB V 115 2.5 1
susp TB V 115 2.5 1

Limpadenitis Coli Multiple V 115 2.5 1

OF H4 V 115 2.5 1
Hiperpireksia V 115 2.5 1
HRB V 115 2.5 1
Post sc + Histerectomy h 2
Muscle Pain V 60 6,3 1

Pro Op V 115 2,5 1

Common Cold V 115 2,5 1
Susp BP V 115 2.5 1
OF H3 + Viral Infection V 115 2.5 1
Pro Screening TB V 115 2.5 1
Pro Screening TB V 115 2.5 1
Susp TB V 115 2,5 1
Obs konvusi dd ensefalitis V 115 2,5 1
Thypoid fever V 115 2.5 1
dehidrasi ringan sedang, Febris h 1 V 115 2.5 1
Phymosis gr 2 V 115 2.5 1
Pymosis Gr2 V 108 2 1
Obs Lymphadenopathy V 115 2,5 1
125 3,2
Febris, Susp Typhoid V 115 2,5 1
Obs Febris H4, Dyspepsia, Susp.ISK V 115 2,5 1
Obs Febris,h4, ISPA V 115 2,5 1
Susp Ileus V 65 20 1

Nyeri dada V 115 2.5 1

SUSP TB V 115 2.5 1
OF H4+ ISPA V 115 2.5 1
V 75 25 1
OF H2 + GEA + DRS + ISPA V 115 2.5 1
Pro Curetage V 115 2.5 1
Susp DHF V 115 2.5 1
of h 2 + Ispa V 115 2.5 1
BP V 115 2.5 1
Pymosis Gr2 V 115 2.5 1
Screening tb V 115 2.5 1

Screening tb V 115 2.5 1

Susp TB V 115 2.5 1
DHF V 115 2.5 1
of h2 V 115 2.5 1
Promil V 75 25 1
UDT Sinistra V 115 2.5 1
TB V 115 2.5 1
TB Dost V 115 2.5 1

TB Dost V 115 2.5 1

Obs Vomitus V 115 2.5 1

Pneumonia Plo Evaluasi V 115 2.5 1
Obs febris h 7 + ispa + low intake V 115 2.5 1
Batuk 2 minggu V 115 2.5 1

dengue fever V 115 2.5 1

Tonsilitis Kronis V 115 2.5 1
Skrining TB V 70 20 1
Obs nyeri Perut, Konstipasi V 70 20 1
Tyfoidi Fever V 115 2,5 1
GEA V 115 2,5 1
V 115 2,5 1
febris h1 + bacterial infection V 115 2,5 1
febris h3 + bacterial infection V 115 2,5 1
GERD + ISK V 115 2,5 1
SUSP TB V 115 2,5 1
SUSP TB V 115 2,5 1
SUSP TB V 115 2,5 1
Prolaps Uteri V 115 2.5 1
Promil V 75 25 1
Pro Tonsilektomi V 115 2.5 1
Vomitus + Obs Febris H1 V 115 2.5 1
DHF + Commond Cold V 115 2.5 1
G3P2A0 39-40mgg V 115 2.5 1
Hisprung Disease V 115 2.5 1
emakaian Film Expertise Pemeriksaan Ulang

Film Waktu Penyerahan Tanggal, Jam Banya

Dokter Expertise Durasi
Gagal Film Basahan Experrtise knya

25 26 27 28 29
dr. Irene Max, Sp.Rad 10/1/2022 10:49 02:48:59 AM
dr. Irene Max, Sp.Rad 10/1/2022 10:49 02:19:00 AM
dr. Irene Max, Sp.Rad 10/1/2022 13:10 04:09:59 AM
dr. Irene Max, Sp.Rad 10/1/2022 10:49 01:48:59 AM
dr. Irene Max, Sp.Rad 10/1/2022 13:10 02:40:00 AM
dr. Irene Max, Sp.Rad 10/1/2022 13:10 02:55:00 AM
dr. Irene Max, Sp.Rad 10/1/2022 13:10 01:20:00 AM

dr. Irene Max, Sp.Rad 10/1/2022 16:06 01:13:00 AM

dr. Irene Max, Sp.Rad 10/2/2022 8:49 11:40:00 AM
dr. Irene Max, Sp.Rad 10/2/2022 8:49 12:06:59 AM
dr. Irene Max, Sp.Rad 10/2/2022 12:55 02:56:00 AM
dr. Irene Max, Sp.Rad 10/3/2022 8:01 11:34:00 AM
dr. Irene Max, Sp.Rad 10/3/2022 14:30 04:30:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 14:29 03:59:59 AM
dr. Irene Max, Sp.Rad 10/5/2022 14:29 03:29:59 AM
dr. Irene Max, Sp.Rad 10/6/2022 14:29 03:19:59 AM
dr. Irene Max, Sp.Rad 10/7/2022 14:29 02:59:59 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/3/2022 19:45 03:33:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 19:44 03:30:59 AM
dr. Irene Max, Sp.Rad 10/5/2022 19:44 02:54:59 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 19:44 02:11:59 AM
dr. Irene Max, Sp.Rad 10/8/2022 19:44 12:50:59 AM
dr. Irene Max, Sp.Rad 10/9/2022 19:44 12:34:59 PM
dr. Irene Max, Sp.Rad 10/3/2022 20:15 12:01:59 AM
dr. Irene Max, Sp.Rad 10/4/2022 10:54 10:54:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 10:54 12:44:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 22:01 12:00:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 22:01 09:06:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 22:01 08:05:00 AM
dr. Irene Max, Sp.Rad 10/4/2022 22:01 12:07:00 AM

dr. Irene Max, Sp.Rad 10/11/2022 11:30 01:33:00 PM

dr. Irene Max, Sp.Rad 10/4/2022 22:00 12:01:00 AM

dr. Irene Max, Sp.Rad 10/5/2022 8:34 10:13:00 AM

dr. Irene Max, Sp.Rad 10/5/2022 19:00 07:58:00 AM
dr. Irene Max, Sp.Rad 12:56:00 PM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/5/2022 19:00 07:52:00 AM
dr. Irene Max, Sp.Rad 10/5/2022 19:00 07:52:00 AM
dr. Irene Max, Sp.Rad 10/5/2022 19:00 07:15:00 AM
dr. Irene Max, Sp.Rad 10/5/2022 19:00 03:27:00 AM
dr. Irene Max, Sp.Rad 10/5/2022 21:12 01:42:00 AM
dr. Irene Max, Sp.Rad 10/6/2022 21:11 01:26:59 AM
dr. Irene Max, Sp.Rad 10/6/2022 13:11 02:01:00 AM
dr. Irene Max, Sp.Rad 10/6/2022 18:18 01:39:59 AM
dr. Irene Max, Sp.Rad 10/6/2022 18:18 12:51:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 7:15 10:39:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 7:13 10:37:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 7:12 10:36:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 8:00 12:30:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 18:00 09:10:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 18:00 07:40:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 15:00 04:20:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 15:00 02:22:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 15:13 10/7/2022 18:00 02:56:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 17:47 10/7/2022 18:00 12:36:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 21:29 02:51:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/7/2022 21:29 02:40:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 10:57 10/8/2022 10:57 01:11:00 AM
12:00:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 10:55 10/8/2022 10:55 01:05:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 19:54 09:32:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 19:46 08:56:00 AM
12:00:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 19:49 03:30:00 AM
dr. Irene Max, Sp.Rad 10/8/2022 18:32 10/8/2022 19:50 01:24:00 AM
dr. Irene Max, Sp.Rad 10/9/2022 10/9/2022 8:15 12:23:00 AM
dr. Irene Max, Sp.Rad 10/9/2022 9:27 10/9/2022 11:13 01:48:00 AM
dr. Irene Max, Sp.Rad 10/9/2022 10:41 10/9/2022 10:51 12:29:00 AM
dr. Irene Max, Sp.Rad 10/9/2022 14:55 10/9/2022 18:53 04:08:00 AM
dr. Irene Max, Sp.Rad 03:45:00 AM
dr. Irene Max, Sp.Rad 10/9/2022 20:28 10/10/2022 6:20 #REF!
dr. Irene Max, Sp.Rad 10/9/2022 20:28 10/10/2022 6:20 09:59:00 AM
dr. Irene Max, Sp.Rad 02:35:00 PM
dr. Irene Max, Sp.Rad 10/10/2022 13:15 10/10/2022 16:24 03:16:00 AM
dr. Irene Max, Sp.Rad 10/10/2022 16:24 02:54:00 AM
dr. Irene Max, Sp.Rad 10/10/2022 21:26 07:51:00 AM
dr. Irene Max, Sp.Rad 10/10/2022 21:26 03:56:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 7:47 10/11/2022 7:52 12:10:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 8:53 10/11/2022 9:47 01:06:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 9:28 10/11/2022 9:51 12:32:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 10:25 10/11/2022 14:11 04:27:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 11:14 10/11/2022 11:18 12:25:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 14:10 02:10:00 AM
dr. Irene Max, Sp.Rad 11:28:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 12:43 10/11/2022 14:07 01:26:59 AM
dr. Irene Max, Sp.Rad 10/11/2022 12:48 10/11/2022 13:46 01:06:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 12:43 10/11/2022 14:06 01:32:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 14:26 10/11/2022 14:26 12:03:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 19:53 04:34:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 19:52 04:10:00 AM
dr. Irene Max, Sp.Rad 10/11/2022 17:30 10/11/2022 19:53 02:40:00 AM
dr. Irene Max, Sp.Rad 10/12/2022 8:00 10/12/2022 8:00 12:30:00 AM
dr. Irene Max, Sp.Rad 10/12/2022 9:54 10/12/2022 18:15 09:20:00 AM
dr. Irene Max, Sp.Rad 10/12/2022 10:35 10/12/2022 18:15 07:46:00 AM
dr. Irene Max, Sp.Rad 10/12/2022 18:16 10/12/2022 18:15 01:15:00 AM
dr. Irene Max, Sp.Rad 10/12/2022 18:17 10/12/2022 20:22 02:06:00 AM
dr. Irene Max, Sp.Rad 10/13/2022 8:38 10/13/2022 13:21 04:51:00 AM
dr. Irene Max, Sp.Rad 10/13/2022 9:16 10/13/2022 13:21 04:27:00 AM 1
dr. Irene Max, Sp.Rad 10/13/2022 13:21 02:47:00 AM

dr. Irene Max, Sp.Rad 10/13/2022 13:25 01:59:00 AM

dr. Irene Max, Sp.Rad 12:54:00 PM
dr. Irene Max, Sp.Rad 10:35:00 AM
dr. Irene Max, Sp.Rad 10/13/2022 17:21 10/13/2022 18:55 01:38:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 7:55 12:25:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 10:04 10/14/2022 14:33 04:35:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 09:13:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 09:06:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 07:27:00 PM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 08:59:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 07:27:00 PM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 07:24:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 19:27 06:58:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 14:40 10/14/2022 19:27 04:50:00 AM
dr. Irene Max, Sp.Rad 10/15/2022 22:50 10:50:00 PM
dr. Irene Max, Sp.Rad 03:41:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 21:25 10/15/2022 22:50 01:32:00 AM
dr. Irene Max, Sp.Rad 10/14/2022 22:30 10/15/2022 22:50 12:30:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 11:23 12:23:00 AM
dr. Irene Max, Sp.Rad 01:24:00 PM
dr. Irene Max, Sp.Rad 10/16/2022 11:23 10:23:00 PM
dr. Irene Max, Sp.Rad 10/15/2022 17:40 10/15/2022 18:59 01:29:00 AM
dr. Irene Max, Sp.Rad 10/15/2022 18:32 10/15/2022 18:59 12:33:00 AM
dr. Irene Max, Sp.Rad 10/15/2022 21:29 10/15/2022 21:35 12:20:00 AM
dr. Irene Max, Sp.Rad 10/15/2022 21:28 10/15/2022 21:35 12:09:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 9:55 10/16/2022 11:23 01:43:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 11:23 01:07:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 11:23 12:59:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 11:23 12:22:00 AM
dr. Irene Max, Sp.Rad 10/16/2022 20:36 03:29:00 AM
dr. Irene Max, Sp.Rad 10/17/2022 7:56 12:41:00 AM
dr. Irene Max, Sp.Rad 10/17/2022 8:03 10/17/2022 8:33 12:04:00 AM
dr. Irene Max, Sp.Rad 02:58:00 PM
dr. Irene Max, Sp.Rad 02:42:00 PM
dr. Irene Max, Sp.Rad 10/17/2022 10:59 01:08:00 PM
dr. Irene Max, Sp.Rad 10/17/2022 11:15 12:52:00 PM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
dr. Irene Max, Sp.Rad 12:00:00 AM
12:00:00 AM
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
dr. irene M, Sp.Rad
Pemeriksaan Ulang

Alasan

30
 Tanggal, Jam Ruangan
No No. RM Nama Pasien Tanggal Lahir L / P
Pemeriksaan URN
1 10/1/2022 15:46 01-84-65 Ikah Kurnengsih 15/11/1992 P

2 10/3/2022 8:30 01-38-49 Naufal Rizky Nurfalah 26/11/2015 L

3 10/3/2022 8:30 03-62-79 Nuke Irningtyas 9/11/1987 P

4 10/3/2022 8:30 2/16/1998 Ayuni Zainiyyah 15/10/1987

5 10/3/2022 14:30 02-30-57 Kintan Naurah Kinasih 29/06/2012 P R. Anak

6 10/5/2022 8:17 00-06-16 Suryani Pratiwi 17/05/1980 P

7 10/5/2022 9:31 04-39-46 Hj Inah 1/4/1966 P
8 10/10/2022 7:15 7/6/1935 Fiony Adeeva Al Casta 13/08/2018 P
9 10/10/2022 8:14 07-85-45 Aisyah Nuha Zahira 7/2/2017 P
10 10/12/2022 8:05 01-32-80 Adhyasta 4/2/2016 L
11 10/12/2022 17:37 3/31/2007 Sri Nurkhaesih 16/02/1997 P R. Obgyn
12 10/14/2022 8:30 7/14/1950 Tezra Tangguh 10/1/2015 L

13 10/14/2022 8:38 02-61-97 Floreta Disakania 12/4/2017 P

14 10/16/2022 15:00 6/3/1996 Euisa 13/12/1986 P R. Ibu

15 10/17/2022 8:30 07-95-34 Alkalifi 11/4/2016 L

 PEMERIKSAAN USG : AGUSTUS 2022
Ruangan
Dokter Pengirim Dokter Radiologi
URJ UGD
. dr.Moch Yusuf, M.Si, SpB dr. Irene Max, Sp.Rad

P B Anak dr. Irene Max, Sp.Rad

dr. Tita, Sp.A
P P Dalam dr. Ilone, Sp.PD dr. Irene Max, Sp.Rad
dr. Shalika dr. Irene Max, Sp.Rad

dr. Irene Max, Sp.Rad

dr. Shalikha
P P Dalam dr. Sulis dr. Irene Max, Sp.Rad
P P Dalam dr. Sulis dr. Irene Max, Sp.Rad
P. Anak dr. Isyanto dr. Irene Max, Sp.Rad
P. Anak dr. Isyanto dr. Irene Max, Sp.Rad
P. BA dr. Tita, Sp.A dr. Irene Max, Sp.Rad
dr. Sulis dr. Irene Max, Sp.Rad
P. Anak dr. Defa dr. Irene Max, Sp.Rad

P.BA dr. Irene Max, Sp.Rad

dr. Tita, Sp.A
dr. Sulis dr. Irene Max, Sp.Rad

P. Anak dr. Irene Max, Sp.Rad

dr. Defa
dr. Irene Max, Sp.Rad
 Triage
USG Diagnosa FILM
Biasa Cito Kritis
USG Mammae Mitosis V 2
Multiple Lymphadenopathu Colli
USG Doppler Sinistra V 4

USH Whole Abdomen Colic Abdomen V 7

USG Mammae V 2
OF H12 Colic Abdomen cc Susp
USG Whole Abdomen APP V 6

USG Whole Abdomen Dispepsia V 5

USG Whole Abdomen CA Cervix V
USG Whole Abdomen ISK V 6
USG Lower Abdomen ISK V 2
USG TESTIS UDT V 3
USG Whole Abdomen + USG Tyroid V
USG Whole Abdomen Obs Nyeri Akut V 6

USG Doppler Multiple Lymphadenopathu Colli V 5

USG Whole Abdomen Susp APP V 6

USG Whole Abdomen Obs Nyeri Abdomen + Konstipasi V 6

 Ruangan
Tanggal, Jam
No No. RM Nama Pasien Tanggal Lahir L / P
Pemeriksaan URN

1 10/17/2022 6:30 6/3/1996 Euisa Suzan 13/12/1986 P R. Obgyn

Ruangan
Dokter Pengirim Pemeriksaan Tempat Rujukan
URJ UGD

dr. Sulis CT SCAN ABDOMEN WHOLE + KONTRAS Klinik Mitra Karanggetas

 Triage Expertise
Harga
Diagnosa Tanggal, Jam Harga + 25%
Biasa Cito Kritis Durasi Pemeriksaan
Experrtise
Susp App V 10/17/2022 13:10 3.740.000
Penilaian Mutu
rujuk Luar