Inpatient From IGDRpt

Charitas Hospital
Jl. Jend. Sudirman No.1054

Palembang
Phone (0711) 353374 / 353375
Fax (0711) 377088
Laporan Pasien Gawat Darurat Berdasarkan Cara Keluar
Tanggal 01-Jan-2022 s/d 31-Jan-2022
DIRAWAT (MRS)
All
All
No. No.Reg No. RM Nama Pasien JK Umur Penjamin Bayar Cara Keluar Kasus
1 REG/OP/220101-0002 01-28-24-12 SLAMET RIADI L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-37-47-26
2 REG/OP/220101-0009 NURLELA P 70 Th PRIBADI DIRAWAT (MRS) 02
3 REG/OP/220101-0010 01-02-99-35 CORI META PARKIN P 34 Th PRIBADI DIRAWAT (MRS) 03
4 REG/OP/220101-0011 01-28-77-88 OCTARINA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
5 REG/OP/220101-0015 01-28-77-92 SLAMET SUKRI L 56 Th PRIBADI DIRAWAT (MRS) 02
6 REG/OP/220101-0022 01-21-33-43 HAMNAH ZHOFIROH P 2 Th PRIBADI DIRAWAT (MRS) 05

00-37-86-80
7 REG/OP/220101-0023 MARCEL ADIPUTRA L 18 Th BPJS KESEHATAN DIRAWAT (MRS) 02
8 REG/OP/220101-0039 01-28-78-03 K. M. AMMARRULLAH R L 17 Th PRIBADI DIRAWAT (MRS) 05

00-31-27-12
9 REG/OP/220101-0044 MUSLIMAH P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-53-00-29
10 REG/OP/220101-0056 ISMI ERIANI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
11 REG/OP/220101-0070 01-28-78-14 HUSDI L 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
12 REG/OP/220101-0074 00-99-86-00 MISTI P 52 Th PRIBADI DIRAWAT (MRS) 02

00-50-26-85
13 REG/OP/220101-0079 ZARLIKA WAHYUNI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-75-99-42
14 REG/OP/220101-0083 YESSICA P 26 Th PRIBADI DIRAWAT (MRS) 03
15 REG/OP/220101-0085 01-20-95-43 AAFIYAH NAYYARA RAMBE P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
16 REG/OP/220101-0094 01-27-55-07 MARIA ELISABETH SOESILAWATI P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-41-85-64
17 REG/OP/220101-0095 JESSLYN CAPRISYA P 21 Th PRIBADI DIRAWAT (MRS) 02
18 REG/OP/220101-0106 01-28-78-28 NOVIYANTI P 44 Th PRIBADI DIRAWAT (MRS) 02

00-93-24-61
19 REG/OP/220101-0109 BUSTOMI L 58 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 02
20 REG/OP/220101-0113 00-99-67-71 TRIO EVANGGA L 21 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
21 REG/OP/220101-0135 01-28-78-25 RIZKY MAHARDHIKA PRATAMA L 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02

22 REG/OP/220101-0144 01-28-78-37 ZAZILI L 57 Th PRIBADI DIRAWAT (MRS) 02
23 REG/OP/220101-0164 01-08-61-94 EVAN GRACIO ANG L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
24 REG/OP/220101-0184 01-28-78-49 NGATMAN L 71 Th PRIBADI DIRAWAT (MRS) 02
25 REG/OP/220101-0188 00-99-67-78 SRI HARTATI P 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02
Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

26 REG/OP/220101-0194 01-28-78-53 I KETUT SURYANTO L 53 Th PRIBADI DIRAWAT (MRS) 02
27 REG/OP/220101-0196 01-22-24-89 ROSDIANA P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

GENERALI, Asuransi Jiwa Generali Indonesia ( Peserta
28 REG/OP/220101-0201 00-99-69-69 THEDDORA VONNI P 35 Th DIRAWAT (MRS) 02
)
29 REG/OP/220101-0200 01-26-18-86 AULIA ZAHRA P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 02
30 REG/OP/220101-0202 01-15-05-34 SULAIMAN L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
31 REG/OP/220101-0212 01-25-77-35 WAHYU FITRIATI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-68-75-16
32 REG/OP/220101-0213 DENNY SOETANTO L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02
33 REG/OP/220101-0215 01-28-78-59 NUR'AINI P 28 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 03
00-37-35-77
34 REG/OP/220101-0227 NURBANI HAKIM L 47 Th BPJS KESEHATAN DIRAWAT (MRS) 02
35 REG/OP/220101-0230 01-28-78-69 BY. NY. NUR'AINI L 0 Hr PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 05
36 REG/OP/220102-0007 01-28-78-73 GRAYSON FRANSISCO L 1 Th PRIBADI DIRAWAT (MRS) 05
37 REG/OP/220102-0013 01-28-78-76 NOVITA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

38 REG/OP/220102-0016 01-05-48-64 WAHYU SUSANTI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
39 REG/OP/220102-0017 01-28-78-79 R. A. FEBRYANTI PUTRI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-83-31-02
40 REG/OP/220102-0018 RIZKY HANDAYANI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-43-73-01
41 REG/OP/220102-0019 FITRIA HAQ P 33 Th PRIBADI DIRAWAT (MRS) 03
00-40-13-98
42 REG/OP/220102-0033 DJEMAIN L 83 Th PRIBADI DIRAWAT (MRS) 02
43 REG/OP/220102-0035 01-17-17-34 QUEEN ELEORA AHOLYA P 8 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
44 REG/OP/220102-0039 01-28-78-41 PUTRI ALLIYAH NURSHABRINA P 18 Th PRIBADI DIRAWAT (MRS) 03
CHATARINA INDAH HESTYA
45 REG/OP/220102-0036 01-17-80-93 P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02
NINGRUM
46 REG/OP/220102-0046 01-18-83-76 FELICIA KIMBERLY LIM P 2 Th DIRAWAT (MRS) 02
)
VINCENTIA DITA PUTRI
47 REG/OP/220102-0056 01-24-05-72 P 26 Th PT. ASURANSI SINAR MAS DIRAWAT (MRS) 03
PERMATASARI
48 REG/OP/220102-0059 01-16-72-89 BUDIYANTO L 49 Th AXA Financial Indonesia ( Peserta ) DIRAWAT (MRS) 02
49 REG/OP/220102-0068 01-28-78-86 LINDA YANA P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02
50 REG/OP/220102-0071 01-19-36-05 M. YASIN PRATAMA L 25 Th PRIBADI DIRAWAT (MRS) 02
51 REG/OP/220102-0083 01-28-78-95 BASILIUS KENZHI L 0 Hr PT. ASURANSI SINAR MAS DIRAWAT (MRS) 05
00-51-84-42
52 REG/OP/220102-0093 JOHANNA TRUIDA P 81 Th BPJS KESEHATAN DIRAWAT (MRS) 02
53 REG/OP/220102-0094 01-14-34-89 CELINE SHINE FELYCIA P 4 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
54 REG/OP/220102-0111 01-28-79-09 LIANG KENG SIAUW P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02

55 REG/OP/220102-0126 01-28-79-15 YENNY P 67 Th PRIBADI DIRAWAT (MRS) 02
56 REG/OP/220102-0132 01-28-79-16 RM. IRIANTO L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
57 REG/OP/220102-0141 01-24-39-22 PRONISA ALMA CHRISTANTI DR. P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 02
58 REG/OP/220102-0147 01-28-79-21 REJA KUSUMA WARDANI L 25 Th PT. TRUBA JAYA ENGINERING DIRAWAT (MRS) 02

59 REG/OP/220102-0149 01-25-20-52 DESIANI OKTAVIA SITORUS P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
60 REG/OP/220102-0153 01-28-25-85 TETI OKTAVIANI TELAUMBANUA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-67-45-02
61 REG/OP/220102-0166 SRI BANUN P 30 Th PT Zurich Asuransi Indonesia, Tbk. DIRAWAT (MRS) 03
62 REG/OP/220102-0168 01-09-05-41 SUSANTI P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
63 REG/OP/220102-0181 01-12-59-45 ZAHIRA PUTRI P 4 Th PRIBADI DIRAWAT (MRS) 02

64 REG/OP/220102-0190 01-28-79-35 WIDYA FEBRIYANI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
65 REG/OP/220102-0195 01-28-79-38 ZAINUDIN L 71 Th PRIBADI DIRAWAT (MRS) 02

66 REG/OP/220102-0197 01-19-34-49 NANI RATNAWATI P 74 Th BPJS KESEHATAN DIRAWAT (MRS) 01
67 REG/OP/220102-0203 01-11-78-66 IMAM SYAFEI L 54 Th PRIBADI DIRAWAT (MRS) 02
68 REG/OP/220102-0201 01-28-79-41 SUMINAH P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-77-33-63
69 REG/OP/220103-0005 NOVRIDA TAMPUBOLON P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03
70 REG/OP/220103-0007 01-19-36-80 IGNATIUS RICKY ALVIANTO L 20 Th BPJS KESEHATAN DIRAWAT (MRS) 02
71 REG/OP/220103-0011 01-28-79-46 DANUARTA L 19 Th PRIBADI DIRAWAT (MRS) 02

00-62-00-84
72 REG/OP/220103-0012 VERONICA MEGA AYUNI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
MAXIMIANUS ENZO GANENDRA
73 REG/OP/220103-0018 01-28-79-49 L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
CANDRA
74 REG/OP/220103-0083 01-05-52-37 OLEN JANUA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-53-41-95
75 REG/OP/220103-0187 ELDA YUNITA SARI P 25 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-96-84-99
76 REG/OP/220103-0287 RESKA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
77 REG/OP/220103-0298 01-28-79-88 TSAMARA ALMIRA OKTAFIAN P 5 Bl PRIBADI DIRAWAT (MRS) 05
78 REG/OP/220103-0330 01-28-79-95 MUHAMMAD AIJAZ ALBIRU L 1 Bl PRIBADI DIRAWAT (MRS) 05

79 REG/OP/220103-0370 01-26-48-71 RUKIYAH SAPITRI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
80 REG/OP/220103-0435 01-28-80-10 HABIBULLAH L 64 Th PRIBADI DIRAWAT (MRS) 02
81 REG/OP/220103-0456 01-28-80-14 ELISABETH JULIANA MONICA P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-49-34-12
82 REG/OP/220103-0478 SYAMSU BUNYAMIN L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02
83 REG/OP/220103-0486 01-20-60-02 DESI APRIYANTI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
84 REG/OP/220103-0505 01-28-80-22 CAWEN P 72 Th PRIBADI DIRAWAT (MRS) 02

00-66-95-90
85 REG/OP/220103-0548 D. AJI SYAHPUTRA L 32 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-28-98-66
86 REG/OP/220103-0573 GILANG RAMADHAN L 22 Th PRIBADI DIRAWAT (MRS) 02
87 REG/OP/220103-0583 01-23-28-60 EIREEN NAWAWI P 1 Th PRIBADI DIRAWAT (MRS) 02
00-92-43-60
88 REG/OP/220103-0593 NOVIA VERONICA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
89 REG/OP/220103-0601 01-02-27-23 HARUN CHANDRA TJONG L 69 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
00-78-06-35
90 REG/OP/220103-0606 SITI WARSITAH P 79 Th PT. PLN (PERSERO) UIW S2JB DIRAWAT (MRS) 01
00-38-50-87
91 REG/OP/220103-0619 DJOELIAR L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
92 REG/OP/220103-0655 01-28-80-47 KARINEM P 68 Th PRIBADI DIRAWAT (MRS) 02

00-47-35-79
93 REG/OP/220103-0768 SINDY P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 03
94 REG/OP/220103-0844 01-26-14-37 AHMAD SYAFIQ AL AYYUBI CAHYA L 8 Bl PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
95 REG/OP/220103-0859 01-15-15-87 YULINDA PRATIWI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02

96 REG/OP/220103-0885 01-11-34-96 PONILAWATI P 37 Th PRIBADI DIRAWAT (MRS) 02
97 REG/OP/220103-0916 01-28-80-77 PARIDA P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-66-75-21
98 REG/OP/220103-0939 ENGGAR SAPUTRA L 31 Th BPJS KESEHATAN DIRAWAT (MRS) 02
99 REG/OP/220103-0956 01-03-59-79 LIZA FITRIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-29-46-66
100 REG/OP/220103-0973 EVRYANTI P 48 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
101 REG/OP/220103-0979 01-28-80-88 DIANA P 35 Th PRIBADI DIRAWAT (MRS) 03

102 REG/OP/220103-0982 01-28-79-69 TUMINAH P 67 Th DIRAWAT (MRS) 02
)
103 REG/OP/220103-0983 01-28-80-89 SUJONO L 69 Th PRIBADI DIRAWAT (MRS) 02
104 REG/OP/220103-0990 01-20-55-75 LISMANELA SE P 55 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02

00-82-02-61
105 REG/OP/220103-0994 LUSI ISNEN P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-56-67-98
106 REG/OP/220103-0997 KIM THONG L 71 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
107 REG/OP/220103-1000 01-11-34-66 DJIE BIE - SARIJA JAYA P 95 Th PRIBADI DIRAWAT (MRS) 02
108 REG/OP/220103-1002 01-27-78-71 NURLELA P 54 Th PRIBADI DIRAWAT (MRS) 02
109 REG/OP/220104-0001 01-28-80-93 AGUS SATRIA WIJAYA L 37 Th PRIBADI DIRAWAT (MRS) 01

00-71-38-51
110 REG/OP/220104-0005 DENDI ISWANTO L 31 Th BPJS KESEHATAN DIRAWAT (MRS) 02
111 REG/OP/220104-0007 01-20-15-97 ENDANG UMIYATI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02
112 REG/OP/220104-0013 01-18-56-64 NASUHA DANI AMA P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
113 REG/OP/220104-0017 01-06-24-86 NURMA ZAITA P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
114 REG/OP/220104-0019 01-18-60-00 AURELINO NIZAR SETIADJI L 2 Th PRIBADI DIRAWAT (MRS) 05
115 REG/OP/220104-0023 01-28-81-00 JOSHUA ZION HUTABARAT L 9 Th PRIBADI DIRAWAT (MRS) 02
116 REG/OP/220104-0027 01-04-31-30 AMIRUDDIN L 57 Th PRIBADI DIRAWAT (MRS) 02

00-87-08-52
117 REG/OP/220104-0041 DELI SRIWIJAYANTI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
118 REG/OP/220104-0094 01-18-10-07 NAOMI SHEZA AZURA P 2 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 05
00-60-15-49
119 REG/OP/220104-0121 MUTIA RISTI KARUNIA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
120 REG/OP/220104-0237 01-21-20-03 RIMA DHANI MARAMIS P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
121 REG/OP/220104-0245 01-28-81-18 SUFRIYADIN L 35 Th BPJS KESEHATAN DIRAWAT (MRS) 02
122 REG/OP/220104-0332 01-28-81-29 HANAPIAH L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-29-01-95
123 REG/OP/220104-0341 DASIMAH P 63 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
AHMAD MUZAMMIL ABDILLAH
124 REG/OP/220104-0442 01-21-83-58 L 2 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 05
CAHYA
DIAN CRISANTANOV YUSTIKARINI
SINAGA

00-53-54-19 PT Zurich Asuransi Indonesiam Tbk, Multi Finance,
126 REG/OP/220104-0627 FERDINAND GULTOM L 45 Th DIRAWAT (MRS) 02
PT.
127 REG/OP/220104-0648 01-09-60-56 DARREN IMMANUEL MANIK L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 01
128 REG/OP/220104-0660 01-28-81-80 ANTONIUS YATIN L 62 Th PAROKI ST. YOSEPH DIRAWAT (MRS) 02
00-48-51-41
129 REG/OP/220104-0730 SILVIA AGUSTINA DJAINUDIN P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
130 REG/OP/220104-0734 01-12-55-49 MUHAMMAD HASAN BASRI L 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02
131 REG/OP/220104-0773 01-09-64-93 CHRISTO MARQUEZ YOHANDI L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
132 REG/OP/220104-0776 01-25-05-39 SURANI L 86 Th PRIBADI DIRAWAT (MRS) 02
133 REG/OP/220104-0792 01-21-46-52 M. RIMBA ALFARIZI NUSANTARA L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
134 REG/OP/220104-0802 01-28-82-03 LAUW HOAIJ TEK L 92 Th PRIBADI DIRAWAT (MRS) 02
00-84-06-95
135 REG/OP/220104-0810 ELINA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-74-94-08
136 REG/OP/220104-0842 BOBI FIRDAUS NUGRAHA L 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
137 REG/OP/220104-0845 01-28-82-13 MUHAMMAD RAFKA ARSALAAN L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 05
138 REG/OP/220104-0848 01-11-09-91 DWI QURNIANI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
139 REG/OP/220104-0851 01-26-34-69 LISBET SIMATUPANG P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
140 REG/OP/220104-0854 01-05-92-81 NEVILIA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
141 REG/OP/220104-0855 01-28-42-13 FILDA RIZKI P 30 Th AEA, Asih Eka Abadi ( AEA/SOS) ( Peserta ) DIRAWAT (MRS) 03
00-64-51-87
142 REG/OP/220104-0863 DEASY SAPTA NINGSIH P 42 Th PRIBADI DIRAWAT (MRS) 03
00-28-43-23
143 REG/OP/220104-0870 UTARI DAMAYANTI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
144 REG/OP/220104-0873 01-14-40-26 YUNIDAH P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
145 REG/OP/220104-0876 01-28-82-26 EKA HUSNITA P 42 Th PRIBADI DIRAWAT (MRS) 02

00-28-49-62
146 REG/OP/220104-0892 RAHAYU P 47 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 02
00-43-98-57
147 REG/OP/220105-0010 MAMNUN WAHYUDIN P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
148 REG/OP/220105-0014 01-08-09-63 BAHUDA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
149 REG/OP/220105-0073 01-28-82-11 AYU WANDARI P 21 Th PRIBADI DIRAWAT (MRS) 02

00-74-16-43
150 REG/OP/220105-0108 NAUFAL SAALIM L 11 Th CAR, PT.Asuransi Jiwa Central Asia Raya ( Peserta ) DIRAWAT (MRS) 02
00-71-95-44
151 REG/OP/220105-0111 SUYANTO/NG LIONG SENG L 82 Th PRIBADI DIRAWAT (MRS) 02
00-81-83-47
152 REG/OP/220105-0188 FADHATUL CHOIRIA P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
153 REG/OP/220105-0200 01-28-82-58 RONI LIE L 59 Th PRIBADI DIRAWAT (MRS) 02
154 REG/OP/220105-0207 01-28-07-60 AYU ADZANIAH ARNAZTIKHA PUTRI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-51-09-56
155 REG/OP/220105-0255 LEONITA RUMENTA P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 03
156 REG/OP/220105-0320 01-28-69-15 HUSNIA P 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-96-70-14
157 REG/OP/220105-0337 PURI YULINDA SARI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
158 REG/OP/220105-0357 01-28-82-93 RAHMAT DENNY L 31 Th PRIBADI DIRAWAT (MRS) 01
159 REG/OP/220105-0428 01-28-82-88 EMELDA OKTARI P 39 Th PRIBADI DIRAWAT (MRS) 03

160 REG/OP/220105-0468 01-28-83-10 SILA MAHARANI P 24 Th PRIBADI DIRAWAT (MRS) 03
00-74-45-13
161 REG/OP/220105-0494 M. ZAHIR RAMADHAN L 11 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02
162 REG/OP/220105-0506 01-08-77-35 WIRDA P 40 Th BPJS KESEHATAN DIRAWAT (MRS) 03

163 REG/OP/220105-0507 01-15-13-01 JULIYANTO L 38 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-49-00-90 MARIA FRANSISCA/TJHANG MEI
164 REG/OP/220105-0514 P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02
LIAN
165 REG/OP/220105-0522 01-11-94-65 MEDI IRWANSYAH L 30 Th BPJS KESEHATAN DIRAWAT (MRS) 02
166 REG/OP/220105-0588 01-28-83-30 A. PAUZI L 63 Th PRIBADI DIRAWAT (MRS) 01
167 REG/OP/220105-0596 01-17-06-37 FIRDAUS L 53 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 01

00-84-78-62
168 REG/OP/220105-0621 M. FARIS ABRAR L 16 Th BPJS KESEHATAN DIRAWAT (MRS) 02
169 REG/OP/220105-0630 01-12-00-53 ANIE P 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
170 REG/OP/220105-0643 01-28-83-41 AQEELA CHIARA GHAZELLA P 5 Bl PT Zurich Asuransi Indonesia, Tbk. DIRAWAT (MRS) 05
171 REG/OP/220105-0705 01-27-90-67 NAYLA NUR FADHILAH P 5 Th PRIBADI DIRAWAT (MRS) 02

00-80-86-39
172 REG/OP/220105-0730 DEDDY KOERNIAWAN L 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
173 REG/OP/220105-0739 01-28-83-58 CARAVA LORENZO L 19 Th PRIBADI DIRAWAT (MRS) 02
174 REG/OP/220105-0744 01-28-83-60 M. BAYU RADHITYA L 11 Th DISKON MISKIN DIRAWAT (MRS) 05

RADEN MUHAMMAD ELLENIO
175 REG/OP/220105-0753 01-27-52-15 L 7 Bl PRIBADI DIRAWAT (MRS) 02
MADHIAS
176 REG/OP/220105-0759 01-17-93-15 MENTARI DESY RATNASARI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-63-37-43
177 REG/OP/220105-0783 TIFANI P 28 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
178 REG/OP/220105-0791 01-28-83-66 BULYAMIN L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
179 REG/OP/220105-0794 01-28-83-67 SHAKIRA ADZKIYA MECCA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
180 REG/OP/220105-0802 01-28-83-69 ADZRA NAYLA SALSABILA P 14 Th PRIBADI DIRAWAT (MRS) 02
00-93-59-52
181 REG/OP/220105-0803 SUJI ANTI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-37-77-80
182 REG/OP/220105-0808 RAHMAN L 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
183 REG/OP/220105-0815 01-28-75-42 MUHAMMAD UKAIL RAFFASYA L 7 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
184 REG/OP/220105-0823 01-28-83-80 LANDI MESSA L 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
185 REG/OP/220105-0824 01-28-83-81 MARZUKI L 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02
186 REG/OP/220105-0835 01-18-56-78 SONY WIRA UTAMA L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-73-05-54
187 REG/OP/220105-0841 HARIYANTO L 48 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-40-96-32
188 REG/OP/220106-0003 ELMA TRIYANI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02
189 REG/OP/220106-0019 01-07-74-17 HAMIDAH GATHMYR P 68 Th PRIBADI DIRAWAT (MRS) 02
190 REG/OP/220106-0032 01-00-25-67 IE TOENG FONG ISKANDAR L 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02
191 REG/OP/220106-0216 01-28-84-08 REVANDI AZAHRIL L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

192 REG/OP/220106-0236 01-27-03-34 DANIYAL CHAIRIL ASSHAUQI L 9 Bl PRIBADI DIRAWAT (MRS) 05
193 REG/OP/220106-0420 01-28-84-36 DANIYAL CHAIRIL ASSHAUQI L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 05

00-86-66-15
194 REG/OP/220106-0241 PARIS ATALLAH L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
195 REG/OP/220106-0284 01-11-50-51 NI WAYAN LISA NATALIA P 24 Th PRIBADI DIRAWAT (MRS) 03
196 REG/OP/220106-0345 01-06-00-73 SIAMBO L 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

197 REG/OP/220106-0350 01-16-43-92 YUSHANIA P 34 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-59-54-06 LIDWINA SEPTIE
198 REG/OP/220106-0380 P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
CHRISTYAWARDANI
00-62-01-10
199 REG/OP/220106-0409 RISZKI AMALIA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
200 REG/OP/220106-0412 01-26-72-87 FELIANI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
201 REG/OP/220106-0453 01-15-38-69 GHANIYYAH HAFSHAH ABIDAH P 3 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 05
202 REG/OP/220106-0567 01-28-84-53 YUSUF L 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-28-85-76
203 REG/OP/220106-0578 ACHIR KARIM LUBIS H. L 86 Th PRIBADI DIRAWAT (MRS) 02
204 REG/OP/220106-0585 01-18-35-51 FATHURRAHMAN AL GHAZALI L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 05

00-44-22-45
205 REG/OP/220106-0588 SUKINO L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
206 REG/OP/220106-0599 01-25-66-16 YOHANES SUKATNO L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-38-70-43
207 REG/OP/220106-0612 SOPIAH DEWANTY P 46 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-76-57-78
208 REG/OP/220106-0618 YULIA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-66-26-15
209 REG/OP/220106-0641 MEIRIA MISLAN P 36 Th PRIBADI DIRAWAT (MRS) 02
210 REG/OP/220106-0686 01-28-84-74 ERISKA PITRIANI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02
211 REG/OP/220106-0696 01-03-92-39 ALEXANDER KURNIAWAN L 55 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
212 REG/OP/220106-0728 01-02-73-99 GREGORIUS ERNEST KRISNADI L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 05
213 REG/OP/220106-0739 01-25-82-65 FRANSISKA WIWIN ARSITA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-64-17-61
214 REG/OP/220106-0740 APRIYANI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-87-14-14
215 REG/OP/220106-0744 ERMADALINA P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
216 REG/OP/220106-0745 01-28-84-84 AYU SRI WULAN P 25 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
217 REG/OP/220106-0746 01-28-84-82 YOGI PRATAMA L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02

218 REG/OP/220106-0750 01-28-41-29 SUPRAPTO L 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-91-01-41
219 REG/OP/220106-0760 ANNA TRISNANI P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
220 REG/OP/220107-0002 01-24-99-17 CHANDRA DHAMAYANTI P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
221 REG/OP/220107-0010 01-17-57-23 SEPLIA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02

222 REG/OP/220107-0012 01-28-84-95 AHMAD SUPANI L 42 Th PRIBADI DIRAWAT (MRS) 02
00-40-97-73
223 REG/OP/220107-0018 P. PARWATA L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-72-61-75
224 REG/OP/220107-0020 SISKA APRIANI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-53-15-81
225 REG/OP/220107-0027 HAIRANI P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
226 REG/OP/220107-0029 01-28-84-99 ERSA PURNAMASARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
227 REG/OP/220107-0093 01-26-70-72 MUHAMMAD TAUFIK L 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02

228 REG/OP/220107-0212 01-28-29-01 MARIONO L 52 Th PRIBADI DIRAWAT (MRS) 02
00-49-06-30
229 REG/OP/220107-0224 PONIYEM P 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02
230 REG/OP/220107-0334 01-28-85-30 WARSIAH P 68 Th PRIBADI DIRAWAT (MRS) 02

00-81-01-99
231 REG/OP/220107-0364 DEWI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 03
232 REG/OP/220107-0396 01-28-85-31 NADRA MUTIARA SARI P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03
233 REG/OP/220107-0412 01-26-48-71 RUKIYAH SAPITRI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
234 REG/OP/220107-0460 01-28-85-43 LISNAWATI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

235 REG/OP/220107-0464 01-00-09-27 NELSON PAKPAHAN L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-46-54-96
236 REG/OP/220107-0503 HARIYANTO L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
237 REG/OP/220107-0538 01-28-85-59 SUARNI HUSIN P 79 Th BPJS KESEHATAN DIRAWAT (MRS) 02

238 REG/OP/220107-0544 01-28-85-61 ELLY MARDIANTINA P 47 Th BPJS KESEHATAN DIRAWAT (MRS) 03
239 REG/OP/220107-0560 01-18-33-20 RONIMA P 54 Th PRIBADI DIRAWAT (MRS) 02
00-56-18-31
240 REG/OP/220107-0558 SIN HAK L 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02
241 REG/OP/220107-0599 01-28-85-73 NOVA SETIAWAN L 29 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
242 REG/OP/220107-0617 01-28-85-74 ROMAT L 52 Th PRIBADI DIRAWAT (MRS) 02
243 REG/OP/220107-0656 01-28-75-38 BENRY DESMOND UNEDO L 16 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
244 REG/OP/220107-0685 01-28-85-85 SURYATI P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
245 REG/OP/220107-0700 01-14-62-46 MARIYAM P 70 Th PRIBADI DIRAWAT (MRS) 02

246 REG/OP/220107-0711 01-27-53-11 DJOHAN L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
247 REG/OP/220107-0726 01-28-85-89 JOHN ELVIS L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
248 REG/OP/220107-0728 01-23-42-91 LENI SUNAININGSIH P 24 Th PRIBADI DIRAWAT (MRS) 03

00-94-91-23
249 REG/OP/220107-0732 LILY PURNAMASARI P 28 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
250 REG/OP/220107-0735 01-28-80-45 MUHAMMAD THORIQ RACHMAN L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
251 REG/OP/220107-0742 01-28-78-95 BASILIUS KENZHI L 5 Hr PRIBADI DIRAWAT (MRS) 05

00-27-97-34
252 REG/OP/220107-0744 FENNY RAHMA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-69-64-11
253 REG/OP/220107-0746 CANDRA L 32 Th PRIBADI DIRAWAT (MRS) 02
00-63-31-84
254 REG/OP/220107-0751 HENDRA L 34 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-29-17-83
255 REG/OP/220107-0761 HERYANTO L 34 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
256 REG/OP/220107-0763 01-02-76-26 FARRAS PASHA AL AIMAN L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 05
00-35-17-82
257 REG/OP/220108-0005 ANWAR L 40 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
258 REG/OP/220108-0010 01-17-69-66 MERIYANA P 26 Th PRIBADI DIRAWAT (MRS) 03

00-86-55-14
259 REG/OP/220108-0013 CIK DIN L 65 Th PRIBADI DIRAWAT (MRS) 02
260 REG/OP/220108-0017 01-05-36-01 STEVANNY .T P 37 Th PRIBADI DIRAWAT (MRS) 03

261 REG/OP/220108-0043 01-26-53-77 CHYNTIA VERONICA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-77-43-52
262 REG/OP/220108-0049 GILANG PERASTRA BATARA L 23 Th PRIBADI DIRAWAT (MRS) 02
00-42-58-33
263 REG/OP/220108-0060 FAN LIAN MOY EMI P 84 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-53-71-41
264 REG/OP/220108-0217 MARYATI P 43 Th ADMEDIKA, PT. FWD LIFE INDONESIA DIRAWAT (MRS) 02
265 REG/OP/220108-0270 01-28-86-24 MINA P 48 Th DIRAWAT (MRS) 02
)
266 REG/OP/220108-0283 01-28-86-28 M. NILA L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-92-95-32
267 REG/OP/220108-0294 ST. WASIYATSIH P 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-33-33-78
268 REG/OP/220108-0303 DAMAR ARIMATEA L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-56-14-56
269 REG/OP/220108-0325 YUDI PRAMANA PUTRA L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-77-86-34
270 REG/OP/220108-0445 DELVIN WIJAYA L 11 Th BPJS KESEHATAN DIRAWAT (MRS) 02
271 REG/OP/220108-0478 01-28-86-51 RAFI AHMAD ADITYA L 12 Th PRIBADI DIRAWAT (MRS) 05
272 REG/OP/220108-0521 01-28-86-67 HENRY WIJAYA L 67 Th PRIBADI DIRAWAT (MRS) 02

00-77-97-52
273 REG/OP/220108-0541 REVINA TANIADY P 12 Th PRIBADI DIRAWAT (MRS) 02
00-90-37-77 PT. ASURANSI JIWA INHEALTH INDONESIA (AJII-
274 REG/OP/220108-0569 DINA DEFYANTI SINAGA P 27 Th DIRAWAT (MRS) 02
MANAGE CARE)
275 REG/OP/220108-0573 01-28-86-74 ATUM WIJAYA L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-59-80-92
276 REG/OP/220108-0579 FADHYL ZUHRY LUBIS L 31 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
00-40-56-62
277 REG/OP/220108-0592 M. RAIHANSYAH L 17 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-36-72-94
278 REG/OP/220108-0593 AQSOMAL REDHOTULLOH L 22 Th PT. Bukit Asam Tbk. DIRAWAT (MRS) 02
279 REG/OP/220108-0594 01-19-73-28 HASIHISMUN L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-69-07-67
280 REG/OP/220108-0600 WONG SE JIN P 86 Th BPJS KESEHATAN DIRAWAT (MRS) 01
281 REG/OP/220108-0604 01-13-29-02 OEY KIM HONG P 84 Th BPJS KESEHATAN DIRAWAT (MRS) 02
282 REG/OP/220109-0003 01-28-86-86 AZZAHRA SHALLU ASYABILA P 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-71-87-10
283 REG/OP/220109-0013 DIANTI AGUSTINA P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-88-71-20
284 REG/OP/220109-0014 RUSMALA P 67 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
285 REG/OP/220109-0027 01-22-96-78 PRASTILIA WARNIASIH SAPUTRI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
286 REG/OP/220109-0039 01-28-87-00 MIHARSO L 50 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
287 REG/OP/220109-0042 01-28-87-01 CARLY ZAKARIA L 5 Th PRIBADI DIRAWAT (MRS) 02
288 REG/OP/220109-0043 01-28-87-02 EVELIN MAURA OKTAVIANA P 13 Th PRIBADI DIRAWAT (MRS) 02

00-86-45-90
289 REG/OP/220109-0052 SUARNI TJENDRA P 62 Th PRIBADI DIRAWAT (MRS) 02
290 REG/OP/220109-0066 01-28-87-11 KASMITO L 48 Th PRIBADI DIRAWAT (MRS) 02
291 REG/OP/220109-0074 01-01-56-14 INDRA GUNAWAN L 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
292 REG/OP/220109-0086 01-28-87-14 M.DEVANO SAPUTRA L 7 Bl PRIBADI DIRAWAT (MRS) 02
293 REG/OP/220109-0093 01-28-81-01 ELVANITA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-46-95-68
294 REG/OP/220109-0096 HERLIMAWATI P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
295 REG/OP/220109-0101 01-28-87-24 ZAINURI L 59 Th PRIBADI DIRAWAT (MRS) 02

296 REG/OP/220109-0123 01-28-87-31 JUWITA AYRIN P 5 Th PRIBADI DIRAWAT (MRS) 02
297 REG/OP/220109-0134 01-28-87-36 ROBANI L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
298 REG/OP/220109-0141 01-24-93-16 MARSINAH P 56 Th PRIBADI DIRAWAT (MRS) 02

299 REG/OP/220109-0142 01-28-87-39 TUKIYEM P 44 Th PRIBADI DIRAWAT (MRS) 02
300 REG/OP/220109-0146 01-28-87-41 ROKIBAH P 70 Th PRIBADI DIRAWAT (MRS) 02

301 REG/OP/220109-0148 01-06-83-09 ENGELA MERICI SRI YUNITA SARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
PT. ASURANSI JIWA INHEALTH INDONESIA (AJII-
302 REG/OP/220109-0164 01-28-87-46 ANTO NARASOMA L 61 Th DIRAWAT (MRS) 02
MANAGE CARE)
00-39-81-03
303 REG/OP/220109-0177 DWI GINARDI PUTRA L 29 Th PRIBADI DIRAWAT (MRS) 02
00-82-22-41
304 REG/OP/220109-0180 YUNSARI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02
305 REG/OP/220109-0186 01-20-73-17 MERRY VERAWATI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-94-89-07
306 REG/OP/220109-0188 RUSLAN L 51 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-82-97-61
307 REG/OP/220110-0004 HIBZONE FIRDAUS L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
308 REG/OP/220110-0006 01-10-78-22 HARTATI OEMAR P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
309 REG/OP/220110-0009 01-22-99-34 ANJUR MANIK L 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02
310 REG/OP/220110-0010 01-27-69-22 PRADHITA APRILLIA P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-56-67-98
311 REG/OP/220110-0044 KIM THONG L 71 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
312 REG/OP/220110-0391 01-28-87-91 CIKYA P 59 Th PRIBADI DIRAWAT (MRS) 02

00-85-02-54
313 REG/OP/220110-0503 YULIANA P 40 Th PRIBADI DIRAWAT (MRS) 02
00-40-13-98
314 REG/OP/220110-0508 DJEMAIN L 83 Th PRIBADI DIRAWAT (MRS) 02
315 REG/OP/220110-0531 01-28-25-26 MELLIYATI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

316 REG/OP/220110-0641 01-07-69-16 SHINTA AGUSTINA SIREGAR P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
317 REG/OP/220110-0676 01-28-86-91 ENI KUSRINI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-89-92-80
318 REG/OP/220110-0682 ANI APRIYANTI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
319 REG/OP/220110-0687 01-08-77-47 APRILIA MURIAN SARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
320 REG/OP/220110-0717 01-17-85-87 MURNI SINAGA P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
321 REG/OP/220110-0815 01-18-63-80 MASAYU ARDELLIA PUTRI W P 18 Th BPJS KESEHATAN DIRAWAT (MRS) 02
322 REG/OP/220110-0841 01-01-52-84 MUHAMMAD HATTA, ST L 45 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 02
00-45-55-20
323 REG/OP/220110-0866 METY SUSILAWATY P 34 Th PT. CNG HILIR RAYA DIRAWAT (MRS) 03
324 REG/OP/220110-0870 01-28-88-63 ABU BAKAR L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-41-70-04
325 REG/OP/220110-0872 YOSEFIE ISTILA MARGANINGSIH P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 03
326 REG/OP/220110-0882 01-28-88-66 RUMIYANTI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

327 REG/OP/220110-0891 01-28-88-69 NURHAYATI P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
328 REG/OP/220110-0893 01-28-10-04 YUMITA SARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
329 REG/OP/220110-0894 01-28-88-70 SUGIMANTO L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-34-86-95
330 REG/OP/220110-0898 DARMAWAN JOHAN L 74 Th PRIBADI DIRAWAT (MRS) 02
00-64-50-24
331 REG/OP/220110-0904 TEDDY SENGTOSO L 73 Th PRIBADI DIRAWAT (MRS) 02
00-33-44-92
332 REG/OP/220110-0908 NAISYAH P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
333 REG/OP/220111-0006 01-27-86-54 YELLY KUSNITA P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
334 REG/OP/220111-0011 01-28-88-77 HANI HULWA AUFI P 4 Th PRIBADI DIRAWAT (MRS) 02

335 REG/OP/220111-0017 01-28-88-80 ISKANDAR L 80 Th PRIBADI DIRAWAT (MRS) 02
00-81-73-96
336 REG/OP/220111-0018 IRTARIA P 40 Th PRIBADI DIRAWAT (MRS) 02
337 REG/OP/220111-0026 01-13-16-12 ADREENA QIRANI MALAYEKA P 4 Th PRIBADI DIRAWAT (MRS) 05
338 REG/OP/220111-0030 01-27-32-37 MELIANA P 28 Th Inhealth, Asuransi Jiwa Inhealth Indonesia (Peserta) DIRAWAT (MRS) 03
00-80-34-55
339 REG/OP/220111-0031 DELA RIANI SIMANIHURUK P 29 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 03
340 REG/OP/220111-0117 01-14-59-79 KAMSIN L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-68-45-44 BPJS KESEHATAN ( CHARITAS HOSPITAL
341 REG/OP/220111-0168 BERLIAN ISTIANING UTAMI P 37 Th DIRAWAT (MRS) 03
PALEMBANG )
00-73-28-04
342 REG/OP/220111-0272 SUKINAH P 62 Th PRIBADI DIRAWAT (MRS) 02
00-34-93-67
343 REG/OP/220111-0345 ZULPADRI L 62 Th PT. PLN (PERSERO) UIK SBS DIRAWAT (MRS) 02
344 REG/OP/220111-0407 01-28-89-24 DJOKO UNTUNG L 70 Th PRIBADI DIRAWAT (MRS) 02
00-82-38-95
345 REG/OP/220111-0440 LILY P 53 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
QUIRINUS ELGIOZORA GHUFRAN
346 REG/OP/220111-0441 01-26-48-12 L 7 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
NARESWARA
00-79-24-18
347 REG/OP/220111-0490 JAWINAH P 65 Th PRIBADI DIRAWAT (MRS) 02
348 REG/OP/220111-0515 01-28-88-84 RIA SUSANTI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
349 REG/OP/220111-0554 01-15-33-30 AIRINESA TEMERE P 6 Th PRIBADI DIRAWAT (MRS) 02

350 REG/OP/220111-0562 01-21-09-36 DODIE KURNAIDI L 45 Th PRIBADI DIRAWAT (MRS) 02
351 REG/OP/220111-0568 01-28-89-45 NYIMAS ROBIATUL ADAWIYAH P 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-79-49-35
352 REG/OP/220111-0576 SIHAT LUMBAN TOBING P 81 Th BPJS KESEHATAN DIRAWAT (MRS) 02
353 REG/OP/220111-0589 00-99-18-94 WAHYU FITRIATI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

354 REG/OP/220111-0630 01-28-84-32 RATNA DEWI P 44 Th PRIBADI DIRAWAT (MRS) 02
355 REG/OP/220111-0640 01-28-85-74 ROMAT L 52 Th PRIBADI DIRAWAT (MRS) 02
356 REG/OP/220111-0667 01-24-72-01 HERY L 41 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

357 REG/OP/220111-0682 01-03-40-59 PUTRA RIZKY PRATAMA L 24 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
358 REG/OP/220111-0685 01-28-75-09 ULANSARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
359 REG/OP/220111-0719 01-28-83-26 RUSDI ILIAS L 71 Th PRIBADI DIRAWAT (MRS) 02

360 REG/OP/220111-0739 01-02-11-12 SUPIYANI P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
361 REG/OP/220111-0740 01-28-45-04 ROSITA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-35-07-34
362 REG/OP/220111-0744 RIKA OKTAVIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-45-82-32
363 REG/OP/220111-0774 ING NIO P 78 Th PRIBADI DIRAWAT (MRS) 02

364 REG/OP/220111-0776 01-27-48-35 LIYA YUSSILAWATI P 33 Th PRIBADI DIRAWAT (MRS) 03
365 REG/OP/220111-0777 01-28-89-80 RICKY GAUTAMA L 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
366 REG/OP/220111-0780 01-28-89-81 ANIKA P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-39-24-10
367 REG/OP/220111-0787 ALDY SUTAN NICOLAS L 17 Th PT. TANJUNG ENIM LESTARI PULP & PAPER DIRAWAT (MRS) 02
368 REG/OP/220111-0789 01-04-04-33 FEBRI L 33 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

369 REG/OP/220111-0792 01-28-89-86 ADINDA PUTRI RAMADHANI P 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02
370 REG/OP/220111-0803 01-28-89-88 SASKIA RACHMAWATI P 20 Th PT. TANJUNG ENIM LESTARI PULP & PAPER DIRAWAT (MRS) 02
371 REG/OP/220112-0008 01-26-06-02 LISWATI P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
372 REG/OP/220112-0010 01-08-47-52 EVANDHER GRAZIANO RUDYANTO L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-67-85-20 SERGIUS CHESA KRISNA
373 REG/OP/220112-0023 L 12 Th BPJS KESEHATAN DIRAWAT (MRS) 02
WICAKSONO
374 REG/OP/220112-0032 01-02-28-90 SUPARTIN P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
375 REG/OP/220112-0047 01-28-89-99 SUPRIHATI P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-54-36-25
376 REG/OP/220112-0100 IFFA HIDAYATI P 47 Th PRIBADI DIRAWAT (MRS) 03
377 REG/OP/220112-0108 01-25-30-72 MASAGUS MASCEK L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
378 REG/OP/220112-0116 01-07-44-07 DESY RATNASARI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-32-06-12
379 REG/OP/220112-0156 GERALDO PETER MANURUNG L 20 Th BCA LIFE (ADMEDIKA) DIRAWAT (MRS) 02
00-47-63-45
380 REG/OP/220112-0154 NAPIS L 55 Th PRIBADI DIRAWAT (MRS) 02
381 REG/OP/220112-0165 01-28-90-15 JAWAL DIANSYAH L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

382 REG/OP/220112-0197 01-28-90-20 JESICA PUTRI P 6 Th PRIBADI DIRAWAT (MRS) 02
383 REG/OP/220112-0208 01-24-48-37 RUSLAN L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-36-75-85
384 REG/OP/220112-0239 DAVID NURCAHYADI L 40 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
385 REG/OP/220112-0247 01-28-69-99 CARMAN L 72 Th PRIBADI DIRAWAT (MRS) 02
00-84-29-26
386 REG/OP/220112-0272 LIDIA PURNAMA SARI P 50 Th PRIBADI DIRAWAT (MRS) 02
00-43-50-91
387 REG/OP/220112-0309 VELIX PATRIAS ANTHONI L 17 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-35-42-92
388 REG/OP/220112-0357 SR. M. ENGELINA, FCH P 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-96-43-15
389 REG/OP/220112-0444 AQILA BILQIS NUR AZIZAH P 7 Th PRIBADI DIRAWAT (MRS) 02
390 REG/OP/220112-0453 01-12-25-68 OFI SOFIUDIN L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-54-74-75
391 REG/OP/220112-0463 NG KIM HIU P 71 Th PRIBADI DIRAWAT (MRS) 02
392 REG/OP/220112-0510 01-28-90-64 SUTINAH P 69 Th PRIBADI DIRAWAT (MRS) 02
393 REG/OP/220112-0538 01-28-90-67 SHOBIYATI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-33-27-73
394 REG/OP/220112-0608 TEDDY HERIYADI L 35 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
395 REG/OP/220112-0621 01-28-90-77 SUWARNI P 61 Th PRIBADI DIRAWAT (MRS) 02
00-69-43-90
396 REG/OP/220112-0630 DARAMI L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
ABDUL HAFIZH RAMADHAN
397 REG/OP/220112-0631 01-28-89-87 L 2 Th AXA Mandiri Financial Services (ADMEDIKA) DIRAWAT (MRS) 02
PRASETYA

398 REG/OP/220112-0646 01-14-53-96 ZAKI RAZQA ZAIDAN L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
399 REG/OP/220112-0655 01-06-61-83 LIOE KWEE ING P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02
400 REG/OP/220112-0675 01-28-90-82 DARNIS SUTAN SINARO L 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
401 REG/OP/220112-0676 01-25-31-30 MARATUL AZIZAH P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
402 REG/OP/220112-0705 01-28-90-87 HAMIDAH P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 01

403 REG/OP/220112-0717 01-28-90-90 HENGGRIADI L 31 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-73-60-96
404 REG/OP/220112-0724 BRYANT ALVINO WILLIAM L 11 Th PRIBADI DIRAWAT (MRS) 02
405 REG/OP/220112-0754 01-28-90-94 INDAWAN L 30 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-41-29-30
406 REG/OP/220112-0769 YANTI P 67 Th PRIBADI DIRAWAT (MRS) 02
00-43-97-68
407 REG/OP/220112-0771 TENGAH ALAM L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
408 REG/OP/220112-0777 01-27-30-47 WULAN AGDIYANTI P 23 Th PRIBADI DIRAWAT (MRS) 02
409 REG/OP/220112-0779 01-28-91-04 MUSLIM L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-80-37-19
410 REG/OP/220112-0786 USIN L 52 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
411 REG/OP/220112-0791 01-28-91-08 AYSHA ARDHANI NATA IMAM P 5 Th PRIBADI DIRAWAT (MRS) 05
412 REG/OP/220112-0793 01-28-76-87 SUTARMAN L 54 Th PRIBADI DIRAWAT (MRS) 02

00-89-24-23
413 REG/OP/220112-0794 ELMA RIZKI YANTI P 26 Th PRIBADI DIRAWAT (MRS) 03
414 REG/OP/220112-0799 01-25-48-82 AISYAH PUTRI SEPRIANI P 1 Th PRIBADI DIRAWAT (MRS) 05
415 REG/OP/220112-0800 01-28-91-12 ASTRIT RAMADANI P 13 Th PRIBADI DIRAWAT (MRS) 01

00-88-68-75
416 REG/OP/220113-0005 BETTY P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
417 REG/OP/220113-0008 01-28-79-38 ZAINUDIN L 71 Th PRIBADI DIRAWAT (MRS) 02
418 REG/OP/220113-0015 01-28-91-19 EVY WIDIANI P 45 Th PRIBADI DIRAWAT (MRS) 02

419 REG/OP/220113-0072 01-14-10-69 RUSMAWATI P 62 Th PRIBADI DIRAWAT (MRS) 02
00-34-96-23
420 REG/OP/220113-0211 SUARMIN L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
421 REG/OP/220113-0222 01-12-89-13 IGA NURYANI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
422 REG/OP/220113-0283 01-28-91-35 SRIATI P 57 Th PRIBADI DIRAWAT (MRS) 02

423 REG/OP/220113-0319 01-28-91-38 ABDUL AZIZ L 17 Th PRIBADI DIRAWAT (MRS) 01
424 REG/OP/220113-0412 01-28-91-52 SUPARLAN L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
425 REG/OP/220113-0436 01-28-91-64 GALLAN AGUSTO TASLIM L 15 Th PRIBADI DIRAWAT (MRS) 02
00-40-56-53
426 REG/OP/220113-0453 HERMAN SASUNTO L 61 Th PRIBADI DIRAWAT (MRS) 02
00-90-12-02 PT. INTERNATIONAL SERVICES PACIFIC CROSS
427 REG/OP/220113-0485 HELIDA YUSNANI P 54 Th DIRAWAT (MRS) 02
(ISPC) ADMEDIKA
428 REG/OP/220113-0505 01-18-24-38 ARI YUNANDA L 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-59-96-08
429 REG/OP/220113-0534 ELLY DARWATI P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-62-03-93
430 REG/OP/220113-0552 ASNAWI L 65 Th PRIBADI DIRAWAT (MRS) 02
00-65-13-56
431 REG/OP/220113-0555 SUROTO L 62 Th PRIBADI DIRAWAT (MRS) 02

00-31-36-55
432 REG/OP/220113-0623 FRANSISKA ANJAR YANI P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
433 REG/OP/220113-0640 01-28-91-89 DAVINO ATTHARRAZKA L 1 Bl PRIBADI DIRAWAT (MRS) 02

00-56-04-60 GRACIANUS DARMA SETIAWAN
434 REG/OP/220113-0661 L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02
LASE
UMMI HANIK LAILATUL
MUSYAROPAH
436 REG/OP/220113-0712 01-28-77-05 HELEN SEPTI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
437 REG/OP/220113-0715 01-00-77-36 GITA ETIKA ERAWAN P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
438 REG/OP/220113-0760 01-12-73-11 MAHDINI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
439 REG/OP/220113-0730 01-23-39-74 BERYL JUNARTA HUTAGAOL L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-95-85-38
440 REG/OP/220113-0752 INDAH SEPTIYANI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-85-12-91
441 REG/OP/220113-0769 REDI YANSA L 41 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
442 REG/OP/220113-0773 01-28-92-15 SYARIFAH AQILLAH PUTRI P 5 Th PRIBADI DIRAWAT (MRS) 02
443 REG/OP/220113-0774 01-25-02-67 RINAWATI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

444 REG/OP/220113-0776 01-26-76-40 SRI YUNITA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
445 REG/OP/220113-0780 01-28-92-19 RENDI NOVIANSYAH L 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02

446 REG/OP/220113-0782 01-16-29-53 IE PAO TJEN / ELISA P 57 Th PRIBADI DIRAWAT (MRS) 02
447 REG/OP/220113-0785 01-28-92-22 SUPOYO L 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02

448 REG/OP/220113-0789 01-12-90-79 SELVY DWI NAYOAN P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
449 REG/OP/220113-0790 01-28-92-23 MAULIA SALSABILLA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
450 REG/OP/220113-0791 01-28-92-24 DARWIN L 27 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
451 REG/OP/220113-0795 01-28-92-28 ROSSE MERY P 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

452 REG/OP/220114-0001 01-18-84-99 MUSTAMIN. ST L 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
453 REG/OP/220114-0006 01-28-92-32 SURYATI P 68 Th PRIBADI DIRAWAT (MRS) 01
454 REG/OP/220114-0013 01-28-80-88 DIANA P 35 Th PRIBADI DIRAWAT (MRS) 02

00-97-24-77
455 REG/OP/220114-0016 NIA NURMALA SARI P 33 Th PRIBADI DIRAWAT (MRS) 03
456 REG/OP/220114-0017 01-28-92-37 BY. NY. NIA NURMALA SARI L 0 Hr PRIBADI DIRAWAT (MRS) 05
00-61-55-68
457 REG/OP/220114-0083 LILI OKTASARI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-64-30-25
458 REG/OP/220114-0096 IDA WARDATI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
459 REG/OP/220114-0114 01-24-35-37 RHIKA ANGGRAINI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-68-23-28
460 REG/OP/220114-0171 TEDDY EKA SAPUTRA L 35 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-51-54-82
461 REG/OP/220114-0164 DAVID YONANT CHANDRA L 15 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
462 REG/OP/220114-0296 01-28-92-61 BY. NY. LILI OKTASARI L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
463 REG/OP/220114-0277 01-28-92-58 SULTAN AS-SALAAM L 1 Hr DISKON MISKIN DIRAWAT (MRS) 05

00-91-08-27
464 REG/OP/220114-0435 LIAUW GIOK HOEI P 59 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
465 REG/OP/220114-0441 01-28-92-81 SUTIAH P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02

466 REG/OP/220114-0444 01-15-29-76 ADIBA SHAKILA PUTRI P 5 Th PT. GALVA GALINDRA MULTI CIPTA DIRAWAT (MRS) 05
467 REG/OP/220114-0465 01-09-53-25 MUHAMMAD RAQILA AZKA GHANI L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05
468 REG/OP/220114-0467 01-28-92-89 ARDI PRATAMA L 24 Th BPJS KESEHATAN DIRAWAT (MRS) 01

469 REG/OP/220114-0473 01-26-91-80 SUARNI P 63 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-74-56-67
470 REG/OP/220114-0491 DENITA S. KOM P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
471 REG/OP/220114-0500 01-28-92-86 GRACE DAMAYANTI P 1 Bl PRIBADI DIRAWAT (MRS) 02
00-55-41-51
472 REG/OP/220114-0557 SUPIAH JUWITA P 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02
473 REG/OP/220114-0569 01-10-09-30 MUHAMMAD NABIL L 8 Th PT. PHAPROS, TBK CABANG PALEMBANG DIRAWAT (MRS) 05
00-75-40-48
474 REG/OP/220114-0609 MAGDALENA YENDRI P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-75-84-44
475 REG/OP/220114-0642 MAIMUNAH P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
476 REG/OP/220114-0703 01-16-17-28 RUSDIANA P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
477 REG/OP/220114-0712 01-28-93-15 KIRAN PAWIRO L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-55-07-70
478 REG/OP/220114-0715 FITRI YULIANA P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 03
RAFAEL RAFIF MARTUA
479 REG/OP/220114-0718 01-26-37-30 L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
SIMORANGKIR
480 REG/OP/220114-0730 01-28-93-19 MUHAMMAD FATTAN IBRAHIM L 1 Th PRIBADI DIRAWAT (MRS) 02
00-73-93-59
481 REG/OP/220114-0743 KHO HUI LIONG L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-49-56-80
482 REG/OP/220114-0751 ULY FITRIYAH MIRANTI P 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02
483 REG/OP/220114-0759 01-28-93-25 M. WAJIO L 56 Th PRIBADI DIRAWAT (MRS) 02

484 REG/OP/220114-0766 01-28-93-28 HERIYANTO L 30 Th BPJS KESEHATAN DIRAWAT (MRS) 01
485 REG/OP/220114-0769 01-25-68-15 ZOYA NADEERA SAFIYYAH P 10 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
486 REG/OP/220114-0770 01-28-93-29 ALFIAN L 26 Th BPJS KESEHATAN DIRAWAT (MRS) 02
487 REG/OP/220114-0777 01-28-93-32 WANDRI L 29 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
488 REG/OP/220114-0778 01-18-74-55 EZI ARISTI PUTRI P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-89-67-02
489 REG/OP/220115-0001 ZECKLAND SINAGA L 58 Th PRIBADI DIRAWAT (MRS) 02
490 REG/OP/220115-0015 01-28-93-39 ECKLEYSHANI NAUREEN ARSHANA P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-72-48-16
491 REG/OP/220115-0016 DESSY NATALIA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
492 REG/OP/220115-0156 01-28-93-55 CHAYRA NADHIFA P 10 Bl PRIBADI DIRAWAT (MRS) 02
493 REG/OP/220115-0198 01-16-22-66 YURIS PRATIWI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 02

494 REG/OP/220115-0206 01-21-89-72 DEWI NATALIA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
495 REG/OP/220115-0263 01-28-93-71 SARDI L 89 Th BPJS KESEHATAN DIRAWAT (MRS) 02
496 REG/OP/220115-0335 01-28-26-42 ROSNY ELLY RANGKUTY P 69 Th PRIBADI DIRAWAT (MRS) 02

497 REG/OP/220115-0349 01-26-62-68 JENNAIRA GWEN STEFANI P 6 Bl BPJS KESEHATAN DIRAWAT (MRS) 05
498 REG/OP/220115-0411 01-28-93-88 BY. NY. DEWI NATALIA P 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
499 REG/OP/220115-0391 01-28-93-86 RUKIYAH P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-53-55-96
500 REG/OP/220115-0495 ANDREAS MANUEL P. L TORUAN L 22 Th PRIBADI DIRAWAT (MRS) 02
501 REG/OP/220115-0514 01-20-77-29 LEONARDUS BENJAMIN AGARDI L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
502 REG/OP/220115-0527 01-08-48-61 LIM SIOK HOA P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-85-93-08
503 REG/OP/220115-0537 KUSUMA WARDANI P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 02
504 REG/OP/220115-0552 01-28-94-02 SANTI P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-66-17-61
505 REG/OP/220115-0557 THERESIA PUJIYANTI P 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
506 REG/OP/220115-0582 01-28-94-09 MIE MIE P 54 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-64-18-40
507 REG/OP/220115-0617 TOHIR L 75 Th PRIBADI DIRAWAT (MRS) 02
ZIO HARMEL PARLINDUNGAN
508 REG/OP/220115-0619 01-23-63-31 L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
MUNTHE
509 REG/OP/220115-0631 01-28-94-24 M. ADAM RAZKA ARZANKA L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
510 REG/OP/220115-0650 01-25-41-62 WOE SIOE PHING, SIOEPIA WUNIS P 65 Th PRIBADI DIRAWAT (MRS) 02
00-31-48-58
511 REG/OP/220115-0655 SUSTIYATMI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
512 REG/OP/220115-0658 01-28-94-33 MAT TEGUH L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-51-74-36
513 REG/OP/220115-0659 MGS FAISAL RAHMAN L 44 Th PRIBADI DIRAWAT (MRS) 02
514 REG/OP/220115-0663 01-28-94-34 BILLY NOVALDO SETIAWAN L 12 Th PRIBADI DIRAWAT (MRS) 02

00-76-64-08
515 REG/OP/220115-0665 FERAWATI P 41 Th PRIBADI DIRAWAT (MRS) 02
00-64-34-85
516 REG/OP/220115-0671 CYNTHIA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
517 REG/OP/220115-0672 01-25-28-50 YUHANI P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02

518 REG/OP/220115-0673 01-16-40-70 DANIEL TRIVALDO SIMATUPANG L 22 Th PT. TANJUNG ENIM LESTARI PULP & PAPER DIRAWAT (MRS) 02
519 REG/OP/220115-0675 01-28-94-38 HAMZAH L 21 Th PRIBADI DIRAWAT (MRS) 01

00-83-79-49
520 REG/OP/220115-0676 BAKTI PANDAWA LIMA L 33 Th PT. Asuransi Jiwa Sequis Life ( Peserta ) DIRAWAT (MRS) 02
521 REG/OP/220115-0682 01-16-64-63 ROSIANA LISMI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
522 REG/OP/220115-0683 01-19-37-35 AZZAHRA MAHARANI P 3 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
523 REG/OP/220115-0686 01-28-94-41 HELEN SRI INDAH P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
524 REG/OP/220116-0005 01-28-94-44 RAHMAD TRISKARYA L 36 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
525 REG/OP/220116-0017 01-28-94-52 NADIA ULFA KHOIRIYA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-90-10-38
526 REG/OP/220116-0018 INDAH ANDARINI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-91-21-64
527 REG/OP/220116-0022 NURMALA SARI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-83-14-36
528 REG/OP/220116-0023 NELSON ANTONIO L 10 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
529 REG/OP/220116-0026 01-20-53-22 SUJONO TASLIM L 56 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
530 REG/OP/220116-0048 01-22-08-43 MUTIARA SRI UTAMI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
531 REG/OP/220116-0062 01-28-94-63 MARTAPANI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
532 REG/OP/220116-0068 01-28-47-79 JOKO PRAMONO L 39 Th PRIBADI DIRAWAT (MRS) 02
533 REG/OP/220116-0073 01-28-92-57 NIRWANA SUPIT P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

534 REG/OP/220116-0079 01-28-94-55 PRIMA ELVA NOVANIA P 21 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
535 REG/OP/220116-0090 01-16-65-63 M. ALIF SYAHPUTRA L 14 Th BPJS KESEHATAN DIRAWAT (MRS) 02
536 REG/OP/220116-0105 01-28-94-79 MUHAMMAD FARIZ NOUVAL L 7 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-80-24-97
537 REG/OP/220116-0101 SO YAN HWUI P 53 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
538 REG/OP/220116-0118 01-28-94-85 A. JAILANI L 83 Th PRIBADI DIRAWAT (MRS) 02

539 REG/OP/220116-0131 01-27-31-52 AKAT L 81 Th PRIBADI DIRAWAT (MRS) 02
540 REG/OP/220116-0138 01-28-62-47 OKA MALINDA P 26 Th PRIBADI DIRAWAT (MRS) 02

541 REG/OP/220116-0140 01-28-94-95 NABILAH RILMA PUTRI P 15 Th PRIBADI DIRAWAT (MRS) 02
542 REG/OP/220116-0141 01-28-91-22 NOVITA SARI SUSANTO P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02
543 REG/OP/220116-0144 01-28-69-15 HUSNIA P 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02

544 REG/OP/220116-0162 01-28-69-70 KYANU EZRA A. ROMLI L 1 Th PRIBADI DIRAWAT (MRS) 02
545 REG/OP/220116-0163 01-16-86-54 DIONISIUS BINTANG DELVIN ARION L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 05
546 REG/OP/220116-0172 01-21-04-81 VANIA SCHALEA ZHITA P 2 Th PRIBADI DIRAWAT (MRS) 02

00-90-70-77
547 REG/OP/220116-0173 VICKY FERNANDO CHANDRA L 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-71-29-78
548 REG/OP/220116-0179 SITI FATIMAH P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-88-62-32
549 REG/OP/220116-0180 JASTIN LEONARDO SIREGAR L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
550 REG/OP/220116-0185 01-20-91-56 RIZA UMAMI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-40-89-05
551 REG/OP/220116-0194 DJUNAIDI ZA L 67 Th PRIBADI DIRAWAT (MRS) 02
00-86-97-61
552 REG/OP/220116-0196 TJU BANTHO L 47 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
553 REG/OP/220116-0201 01-25-89-73 NURHABIBA P 63 Th PRIBADI DIRAWAT (MRS) 02

554 REG/OP/220117-0002 01-01-65-70 DESMA PRAMITASARI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-97-11-77
555 REG/OP/220117-0004 HOLLAND S. L 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02
556 REG/OP/220117-0005 01-27-27-32 RIAMSA SIHOMBING P 45 Th BPJS KESEHATAN DIRAWAT (MRS) 02
557 REG/OP/220117-0010 01-28-95-11 SRI HANDAYANI P 40 Th PRIBADI DIRAWAT (MRS) 02

558 REG/OP/220117-0013 01-10-00-42 NAURA ELSHAQIRA HIDAYAT P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-91-70-63
559 REG/OP/220117-0070 EKA WULANDARI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02
560 REG/OP/220117-0235 01-28-95-39 HANAN ALFARIZI L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
561 REG/OP/220117-0303 01-28-95-47 LILIAN ZUZANA BRU SIHOMBING P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
562 REG/OP/220117-0312 01-01-03-14 LISTAWATI P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
563 REG/OP/220117-0334 01-28-07-73 NOVI HERIYANTI P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-90-86-84
564 REG/OP/220117-0362 FURIWAN L 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-98-03-70
565 REG/OP/220117-0374 MARWIYAH P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
566 REG/OP/220117-0433 01-28-95-61 ANTONI L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02
567 REG/OP/220117-0457 01-27-77-18 ERLINA SUSANTI P 24 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

568 REG/OP/220117-0489 01-00-32-55 CHANDRA HERYADI L 53 Th PT. ABSOLUTE SERVICES DIRAWAT (MRS) 02
00-95-33-52
569 REG/OP/220117-0505 KHANZA KALISTA P 9 Th PRIBADI DIRAWAT (MRS) 02
570 REG/OP/220117-0603 01-04-22-86 TAMI P 61 Th PRIBADI DIRAWAT (MRS) 02

571 REG/OP/220117-0633 01-28-65-77 SHINTHYA WUTY P 36 Th PRIBADI DIRAWAT (MRS) 02
572 REG/OP/220117-0656 01-28-96-04 MUHAMMAD JUNAIDI L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 01

573 REG/OP/220117-0696 01-28-95-29 WELA APRIANI P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-93-28-59
574 REG/OP/220117-0719 MARDIANA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
575 REG/OP/220117-0740 01-28-96-20 AHMAD FARUK L 73 Th PRIBADI DIRAWAT (MRS) 02
00-73-64-84
576 REG/OP/220117-0818 JUNI SUSANTI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
577 REG/OP/220117-0875 01-28-51-41 DAYATI P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

578 REG/OP/220117-0884 01-21-33-50 REINHART AUDRICH TANJANI L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 01
579 REG/OP/220117-0889 01-28-96-37 M.DEDI L 40 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-71-87-10
581 REG/OP/220117-0898 01-27-81-82 QIANA AISAH P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
582 REG/OP/220117-0910 01-23-29-98 ANDIKO APRIADI L 40 Th PRIBADI DIRAWAT (MRS) 02

00-52-26-36
583 REG/OP/220117-0915 BASTIAN ALWI L 64 Th PRIBADI DIRAWAT (MRS) 02
584 REG/OP/220117-0930 01-28-96-38 LIE BIE TJOE P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
585 REG/OP/220117-0942 01-28-78-44 FATHIR RAMADHAN L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02

586 REG/OP/220117-0945 01-28-96-45 BACHRI AFANDI L 37 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
587 REG/OP/220117-0955 01-28-96-50 ICU SUGIARTI P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03
588 REG/OP/220117-0962 01-28-96-52 MATZEN REBU L 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02

589 REG/OP/220117-0964 01-08-81-76 M. MAURIS ALBARI L 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
590 REG/OP/220117-0965 01-17-54-96 INDARWATI P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
591 REG/OP/220117-0971 01-08-59-65 MUJI TRIYONO L 58 Th AXA Mandiri Financial Services (ADMEDIKA) DIRAWAT (MRS) 02
00-36-72-86
592 REG/OP/220117-0972 JUNUS GUNAWAN L 71 Th PRIBADI DIRAWAT (MRS) 02
593 REG/OP/220117-0974 01-28-73-53 YOVIAR AGUNG PERMANA L 20 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 01
594 REG/OP/220117-0975 01-28-96-55 VIENA YANG P 12 Th ADMEDIKA, CIGNA DIRAWAT (MRS) 02
595 REG/OP/220118-0003 01-11-59-63 SERAPHINE JOYCELYN RIANRA P 4 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
596 REG/OP/220118-0010 01-21-05-18 ANDI MUHAMMAD ABDUL KHOLIK L 41 Th PRIBADI DIRAWAT (MRS) 02
597 REG/OP/220118-0015 01-28-96-47 LASHIRA ARSYFA SHAREEN P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
598 REG/OP/220118-0019 01-04-36-01 MARIA DYAH PERMATASARI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
599 REG/OP/220118-0246 01-10-94-10 ANG LILY P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-80-88-57
600 REG/OP/220118-0264 SESILIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-60-09-06
601 REG/OP/220118-0273 MARTINI P 59 Th PRIBADI DIRAWAT (MRS) 02

602 REG/OP/220118-0398 01-28-67-07 ARIZON FEROLI L 27 Th BPJS KESEHATAN DIRAWAT (MRS) 02
603 REG/OP/220118-0492 01-28-97-04 NUR ROHMATUN P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
604 REG/OP/220118-0497 01-28-97-11 AMALIA DAISY MARIA KWEE P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
605 REG/OP/220118-0507 01-28-96-02 SOBRI BAIHAKI L 50 Th PRIBADI DIRAWAT (MRS) 02
00-93-80-76
606 REG/OP/220118-0513 JUDIN L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
607 REG/OP/220118-0571 01-27-68-32 REFMAWARDI L 53 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02
608 REG/OP/220118-0592 01-28-25-85 TETI OKTAVIANI TELAUMBANUA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
609 REG/OP/220118-0599 01-28-97-24 MUHAMMAD RIZKY L 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-34-71-49
610 REG/OP/220118-0601 DARLINA P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
611 REG/OP/220118-0631 01-26-77-60 MUTIARA CITRA LESTARI ALI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
612 REG/OP/220118-0661 01-21-71-06 DIAN RIANTO L 45 Th PRIBADI DIRAWAT (MRS) 02
613 REG/OP/220118-0673 01-28-80-42 ATRIZON EFENDI L 37 Th PRIBADI DIRAWAT (MRS) 02
614 REG/OP/220118-0729 01-28-97-42 HENDRA ASANI L 64 Th PRIBADI DIRAWAT (MRS) 02

615 REG/OP/220118-0739 01-25-89-50 WAHDANIAH ELIZA PUTRI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
616 REG/OP/220118-0746 01-28-12-05 SISA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-50-46-85
617 REG/OP/220118-0749 SUYADI L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
618 REG/OP/220118-0762 01-19-55-28 NADYA UTAMI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
619 REG/OP/220118-0781 01-14-06-59 ELVINA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

620 REG/OP/220118-0785 01-18-61-99 NETTY DINASTY P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
621 REG/OP/220118-0804 01-23-01-77 LIE SUI DJUN P 54 Th PT. SYNTECH MITRA INTEGRASI DIRAWAT (MRS) 02
622 REG/OP/220118-0807 01-28-95-98 SUKIMAN L 75 Th PRIBADI DIRAWAT (MRS) 02

623 REG/OP/220118-0810 01-24-64-25 BATSYA ATHAR ALBASIR L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
624 REG/OP/220118-0813 01-03-51-21 MEGA MUKTIANA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
625 REG/OP/220119-0001 01-28-97-60 INDA FEBRIANI P 16 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-47-80-01
626 REG/OP/220119-0013 DARREN LIE ALINTO L 17 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-90-84-74
627 REG/OP/220119-0016 SRI RIZKY AMELIA SAPUTRI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
628 REG/OP/220119-0074 01-28-95-96 MUTIARA RAHMADAYANTI P 24 Th PRIBADI DIRAWAT (MRS) 03
00-41-35-46
629 REG/OP/220119-0214 MARLI SIBURIAN P 53 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
630 REG/OP/220119-0224 01-24-68-47 ANINDYA ISNA RAHMAWATI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
631 REG/OP/220119-0236 01-28-97-91 ADITIYA PRANATA L 10 Th BPJS KESEHATAN DIRAWAT (MRS) 02
632 REG/OP/220119-0244 01-28-97-67 NIA MEILIZA P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

633 REG/OP/220119-0249 01-28-97-69 YENI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
634 REG/OP/220119-0255 00-99-42-53 RODIAH P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-68-39-52
635 REG/OP/220119-0271 SAKURA YULIA IRYANI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-97-25-37
636 REG/OP/220119-0287 AURELYA SALSABILA HUMAIRA P 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
637 REG/OP/220119-0400 01-14-78-45 SUHANDI L 34 Th PRIBADI DIRAWAT (MRS) 02

00-63-07-98
638 REG/OP/220119-0409 AGNES ENI SUSANTI P 34 Th Adira Dinamika, Asuransi (Peserta) DIRAWAT (MRS) 04
639 REG/OP/220119-0442 01-28-90-30 SITI ARIFAH P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
640 REG/OP/220119-0470 01-18-55-69 ERCILIA BRYLEE P 3 Th PT. SYNTECH MITRA INTEGRASI DIRAWAT (MRS) 02
641 REG/OP/220119-0473 01-28-69-80 META P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
642 REG/OP/220119-0492 01-13-19-66 SADIN L 71 Th PRIBADI DIRAWAT (MRS) 02

643 REG/OP/220119-0502 01-12-16-39 MEGA MERCIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
644 REG/OP/220119-0519 01-28-98-29 ADRIANSYAH L 48 Th PRIBADI DIRAWAT (MRS) 02
645 REG/OP/220119-0591 01-28-98-40 BY. NY. META L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
00-42-77-90
646 REG/OP/220119-0605 ELYSIA SEPTYARA P 17 Th BPJS KESEHATAN DIRAWAT (MRS) 02
647 REG/OP/220119-0611 01-28-97-10 NURAINI P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-62-31-80
648 REG/OP/220119-0642 ROSTIANA TARIGAN P 49 Th PT. SAMPOERNA AGRO, TBK DIRAWAT (MRS) 03
649 REG/OP/220119-0677 01-17-08-45 SUROSO ADI NUGROHO L 76 Th PRIBADI DIRAWAT (MRS) 02
00-33-20-60
650 REG/OP/220119-0682 LIA WAHYUNI P 28 Th PRIBADI DIRAWAT (MRS) 03
00-35-61-89
651 REG/OP/220119-0720 RIKA MANDA SARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
652 REG/OP/220119-0724 01-26-64-82 ZURYATI P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
653 REG/OP/220119-0739 01-28-98-60 CLARISSE LUXIA SUSANTO P 0 Hr PRIBADI DIRAWAT (MRS) 05

MUHAMMAD ALVINO DEFFA
654 REG/OP/220119-0730 01-25-69-84 L 10 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
MUWAFFAQ
655 REG/OP/220119-0738 01-28-98-59 MAYRA KHAIRUN NISA P 6 Bl MANDIRI INHT MI CARE DIRAWAT (MRS) 02
00-49-83-08
656 REG/OP/220119-0743 JOEY KATMONO LAY L 55 Th PRIBADI DIRAWAT (MRS) 02
657 REG/OP/220119-0745 01-04-78-32 FATHAN HABIBI IRAWAN L 9 Th PT. HINDOLI ( A Cargill Company ) DIRAWAT (MRS) 02
00-93-58-36
658 REG/OP/220119-0760 MUHAMMAD ALI L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
659 REG/OP/220119-0763 01-16-75-66 NOURA ALEEYA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-37-43-09
660 REG/OP/220119-0769 TJENG HOA P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
661 REG/OP/220119-0776 01-28-98-75 SULISTIAWATI P 32 Th PRIBADI DIRAWAT (MRS) 03

662 REG/OP/220119-0785 01-28-98-77 NAUVAL PRADIPTA L 8 Bl PRIBADI DIRAWAT (MRS) 05
663 REG/OP/220120-0007 01-22-04-94 ADONIA GITA ALFIONI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
664 REG/OP/220120-0009 01-28-98-85 MALA SARI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
665 REG/OP/220120-0010 01-28-98-86 INDRAWATI.S.ST P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-53-79-58
666 REG/OP/220120-0054 SITI MASIDAH P 48 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 03
667 REG/OP/220120-0170 01-25-93-56 ADELIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-68-70-85
668 REG/OP/220120-0194 RUSMYATI SALIM P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
669 REG/OP/220120-0222 01-28-99-09 MULYADI L 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02

670 REG/OP/220120-0236 01-28-99-11 FATONA P 83 Th BPJS KESEHATAN DIRAWAT (MRS) 02
671 REG/OP/220120-0245 01-16-98-94 SURYADI L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
672 REG/OP/220120-0259 01-28-98-50 HEMI YATI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

673 REG/OP/220120-0270 01-27-73-81 LENY MARDIANA P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
674 REG/OP/220120-0292 01-26-44-37 LINDA TRINITA SIMANJUNTAK P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
675 REG/OP/220120-0388 01-28-72-25 MUHAMMAD UWAIS RAMADHAN L 9 Bl MANDIRI INHT MI CARE DIRAWAT (MRS) 02
676 REG/OP/220120-0398 01-28-99-27 MUHAMMAD RAFFA ALFARIZQI L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 01
677 REG/OP/220120-0408 01-20-25-27 MIRSY GUSWINDA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02
678 REG/OP/220120-0413 01-05-45-92 PUTRI SORAYA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
679 REG/OP/220120-0421 01-28-21-94 HERLINAWATI P 33 Th PRIBADI DIRAWAT (MRS) 03

680 REG/OP/220120-0439 01-17-88-38 PERAWATI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
681 REG/OP/220120-0451 01-28-87-39 TUKIYEM P 44 Th PRIBADI DIRAWAT (MRS) 02
00-28-19-83
682 REG/OP/220120-0491 MARIA MAGDALENA JURIAH P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 01
683 REG/OP/220120-0548 01-28-99-51 FITRIA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
684 REG/OP/220120-0558 01-12-71-65 HABIBA P 42 Th PRIBADI DIRAWAT (MRS) 03
685 REG/OP/220120-0579 01-24-99-17 CHANDRA DHAMAYANTI P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
686 REG/OP/220120-0606 01-28-99-32 NI WAYAN MURTI P 42 Th PRIBADI DIRAWAT (MRS) 03

00-63-95-39
687 REG/OP/220120-0620 YUSRI L 49 Th PRIBADI DIRAWAT (MRS) 02
688 REG/OP/220120-0635 01-28-99-46 AMIRA P 51 Th PRIBADI DIRAWAT (MRS) 02
689 REG/OP/220120-0669 01-02-27-23 HARUN CHANDRA TJONG L 69 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
VERRANIKA YUNITA ESTU
HANDAYANI
691 REG/OP/220120-0700 01-28-95-51 SITI MURNIATI P 27 Th PRIBADI DIRAWAT (MRS) 03
692 REG/OP/220120-0723 01-05-17-92 PUTRI ANGELICA EVELYN P 18 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
693 REG/OP/220120-0733 01-28-99-76 SUSANTI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-74-95-65
694 REG/OP/220120-0736 NELLY P 49 Th PRIBADI DIRAWAT (MRS) 02
695 REG/OP/220120-0737 01-28-99-85 SARNO L 52 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

696 REG/OP/220120-0743 01-28-99-87 MUHAMMAD BINTANG PRATAMA L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
697 REG/OP/220120-0744 01-17-07-09 M. SANDI ANUGERAH L 3 Th PRIBADI DIRAWAT (MRS) 02

00-83-19-02
698 REG/OP/220120-0751 YANTI LING LING P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-59-27-32
699 REG/OP/220120-0754 HERMANSYAH L 33 Th BPJS KESEHATAN DIRAWAT (MRS) 02
700 REG/OP/220120-0757 01-28-99-93 HUSNA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-49-27-85
701 REG/OP/220121-0012 ANGEL ROSEMARI WILSON P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03
702 REG/OP/220121-0186 01-14-00-04 DIAN JULIANTI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
703 REG/OP/220121-0189 01-28-81-43 NURAINI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-90-35-01
704 REG/OP/220121-0191 ALAN KURNIAWAN L 14 Th ADMEDIKA (ADMINISTRASI MEDIKA) DIRAWAT (MRS) 02
705 REG/OP/220121-0246 01-29-00-01 MELYSA KUSUMA P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
706 REG/OP/220121-0274 01-20-85-40 SYEILA NOVIARA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

707 REG/OP/220121-0286 01-29-00-06 SONYA YUNIANTI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
708 REG/OP/220121-0309 01-15-20-66 NYIMAS INAYAH AYU MENTARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
709 REG/OP/220121-0363 01-19-08-04 HIRMA SASTRI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 02
710 REG/OP/220121-0402 01-20-55-06 CHRISNA AMELIA BR S DEPARI P 29 Th PERUM LPPNPI (AIRNAV INDONESIA) DIRAWAT (MRS) 03
00-47-20-59
711 REG/OP/220121-0407 FERDINAND L 22 Th BPJS KESEHATAN DIRAWAT (MRS) 02
712 REG/OP/220121-0412 01-29-00-50 SISWANTO L 41 Th PRIBADI DIRAWAT (MRS) 01
713 REG/OP/220121-0441 01-08-51-98 WAYAN TANTRE L 55 Th PRIBADI DIRAWAT (MRS) 02

714 REG/OP/220121-0454 01-06-61-33 METRI PUJA OKTALINA P 26 Th PRIBADI DIRAWAT (MRS) 03
715 REG/OP/220121-0458 01-11-57-33 ARIP L 62 Th PRIBADI DIRAWAT (MRS) 02
716 REG/OP/220121-0467 01-29-00-59 STELLA KALLISTA P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-89-63-82
717 REG/OP/220121-0491 TIARA HARTONO P 32 Th PRIBADI DIRAWAT (MRS) 03
00-71-87-47
718 REG/OP/220121-0552 IDRIS L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
719 REG/OP/220121-0557 01-29-00-76 IIK SUPRIYATNA L 39 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 02
720 REG/OP/220121-0560 01-20-97-90 CHOSIATILLA NUR ANGGRAILY P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 02
721 REG/OP/220121-0563 01-21-07-22 INDAH ANDRIANI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

722 REG/OP/220121-0585 01-06-25-27 ANES VENIRA SELA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-40-89-05
723 REG/OP/220121-0591 DJUNAIDI ZA L 67 Th PRIBADI DIRAWAT (MRS) 02
724 REG/OP/220121-0603 01-29-00-81 AHMAD ROHIMIN L 59 Th PRIBADI DIRAWAT (MRS) 02

00-86-64-75
725 REG/OP/220121-0614 SHEREN ANGGREANY NATALIA P 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-98-40-94
726 REG/OP/220121-0619 YOANDA TASLIM P 24 Th PRIBADI DIRAWAT (MRS) 03
727 REG/OP/220121-0624 01-16-26-96 AMAN L 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-63-02-35
728 REG/OP/220121-0629 KEVIN YAOHARI L 30 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
729 REG/OP/220121-0638 01-16-02-39 LIA ANDRIANI P 27 Th ADMEDIKA, PT. FWD LIFE INDONESIA DIRAWAT (MRS) 03
730 REG/OP/220121-0645 01-29-00-88 RENDY STEVEN JODI L 17 Th BPJS KESEHATAN DIRAWAT (MRS) 01
731 REG/OP/220121-0647 01-29-00-89 LIZA OKTAFIANI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-90-67-63
732 REG/OP/220121-0652 DELLA NOVITA ARDENIA P 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-51-81-59
733 REG/OP/220121-0653 LIONG KOK HIN L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
734 REG/OP/220121-0664 01-08-75-11 RIA SEPTIANA P 32 Th PRIBADI DIRAWAT (MRS) 03

735 REG/OP/220122-0002 01-29-00-96 NILUH ELSIAWATI P 30 Th PRIBADI DIRAWAT (MRS) 03
736 REG/OP/220122-0007 01-29-00-98 KHODIJAH ATHIRAH P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02

737 REG/OP/220122-0022 01-29-01-01 AGNES P 53 Th PRIBADI DIRAWAT (MRS) 02

738 REG/OP/220122-0023 01-19-80-00 DESIANA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
739 REG/OP/220122-0026 01-29-01-07 PATAN ADJI SAPUTRA L 11 Th PRIBADI DIRAWAT (MRS) 02
740 REG/OP/220122-0044 01-04-36-00 NATALIA INDRI ANITA HUTAHURUK P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
741 REG/OP/220122-0094 01-16-90-21 DEVI YULIANTI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-56-30-91
742 REG/OP/220122-0154 ARLITA FELICIA P 25 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
743 REG/OP/220122-0206 01-29-01-40 NAFISAH P 45 Th PRIBADI DIRAWAT (MRS) 02
744 REG/OP/220122-0250 01-29-01-50 ANDI RUSTAM HADI WIJAYA L 37 Th BPJS KESEHATAN DIRAWAT (MRS) 01
745 REG/OP/220122-0282 01-29-01-53 SYAFFA NAURA BOBBY PUTRI P 6 Th PRIBADI DIRAWAT (MRS) 05
747 REG/OP/220122-0340 01-29-01-59 SUSIANI ACHMAD P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 01
748 REG/OP/220122-0349 01-29-01-63 RALIN NOURA ADZKIYAH P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-70-93-46
749 REG/OP/220122-0354 VENIE KUSUMA NEGERI P 34 Th ASURANSI BNI LIFE DIRAWAT (MRS) 03
750 REG/OP/220122-0448 01-29-01-76 YAMA ARYANI P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-75-20-11
751 REG/OP/220122-0490 CHAERUL SALIM L 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02
752 REG/OP/220122-0533 01-29-00-90 ABRAHAM MALIK HANDJANA L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
753 REG/OP/220122-0545 01-09-97-53 DWI ATIKA SARASWATI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
754 REG/OP/220122-0552 01-20-25-64 EDWAR EFRIANTO L 42 Th Manulife Indonesia, Asuransi Jiwa ( Peserta ) DIRAWAT (MRS) 02
00-62-07-82
755 REG/OP/220122-0599 THERESIA P 48 Th PT. ASURANSI JIWA MANULIFE INDONESIA DIRAWAT (MRS) 02
756 REG/OP/220122-0610 01-29-02-01 FATIH AL MAKARIM FIRARIANSYAH L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
757 REG/OP/220122-0622 01-07-08-77 NURMALASARI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03

758 REG/OP/220122-0634 01-29-02-04 KEVIN ANGGARA MANIK L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
759 REG/OP/220122-0648 01-29-00-75 HENDRA LIOE L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
760 REG/OP/220122-0671 01-15-67-13 SYAMSIAH P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
761 REG/OP/220122-0675 01-29-02-14 M.OKTARIALDI L 24 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

00-44-14-80 GENERALI, Asuransi Jiwa Generali Indonesia ( Peserta
762 REG/OP/220122-0676 DIANTHE P 36 Th DIRAWAT (MRS) 02
)
763 REG/OP/220122-0686 01-25-61-69 EMILIA P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
764 REG/OP/220122-0689 01-28-99-96 M. ALFERO SAPUTRA L 1 Th PRIBADI DIRAWAT (MRS) 02

765 REG/OP/220122-0698 01-00-12-60 RIKI KURNIAWAN L 28 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
766 REG/OP/220123-0012 01-29-02-31 MOCH. ICHSAN NURDIN L 28 Th PRIBADI DIRAWAT (MRS) 01
767 REG/OP/220123-0024 01-29-02-33 QEENAN NAQI KP. ARCELIO L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
768 REG/OP/220123-0023 01-04-53-71 SUKMA WIDYA RAHAYU P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
769 REG/OP/220123-0032 01-05-24-31 FRANSISKA P 56 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

00-61-29-49
770 REG/OP/220123-0058 SYAHRINA CINTAMI P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02
771 REG/OP/220123-0059 01-19-80-00 DESIANA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

772 REG/OP/220123-0060 01-29-02-47 ASSYIFA DURROTUL MARYAM P 5 Bl PRIBADI DIRAWAT (MRS) 02
773 REG/OP/220123-0068 01-29-02-43 NOFITA SARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
774 REG/OP/220123-0071 01-29-02-52 ALTAIR ZAYN L 9 Bl BPJS KESEHATAN DIRAWAT (MRS) 02

775 REG/OP/220123-0074 01-14-86-08 MUHAMMAD AZZAM ARSENIO L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05
00-77-55-55
776 REG/OP/220123-0079 ALFIAN YOSUNARTO L 35 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
777 REG/OP/220123-0080 01-28-49-17 MUHAMAD AZIZ UMAIR L 5 Bl PRIBADI DIRAWAT (MRS) 05
778 REG/OP/220123-0103 01-06-16-07 SITI AISYAH P 73 Th BPJS KESEHATAN DIRAWAT (MRS) 02

779 REG/OP/220123-0109 01-18-28-18 IRYADI L 57 Th PRIBADI DIRAWAT (MRS) 02
00-87-61-02
780 REG/OP/220123-0119 FIYIN P 56 Th PRIBADI DIRAWAT (MRS) 02
00-65-23-99
781 REG/OP/220123-0121 AKHMAD SYAMSIE L 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02
782 REG/OP/220123-0122 01-27-51-12 LANDRA RAJA PURNAMA L 50 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
783 REG/OP/220123-0125 01-29-02-74 MONICA SILABAN P 2 Th PRIBADI DIRAWAT (MRS) 02
784 REG/OP/220123-0129 01-29-02-76 ITIHA P 64 Th PRIBADI DIRAWAT (MRS) 02

785 REG/OP/220123-0143 01-29-02-83 JAMILAH P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02
786 REG/OP/220123-0144 01-29-02-84 DZAKY ATHAYYA ISKANDAR L 8 Bl PRIBADI DIRAWAT (MRS) 01
787 REG/OP/220123-0146 01-29-02-37 SAMSUDIN L 72 Th PRIBADI DIRAWAT (MRS) 02
788 REG/OP/220123-0155 01-28-91-00 TAUFIQ HIDAYAT L 18 Th PRIBADI DIRAWAT (MRS) 02
789 REG/OP/220123-0164 01-25-20-52 DESIANI OKTAVIA SITORUS P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-64-63-44
790 REG/OP/220123-0167 NADRIYAH P 72 Th PRIBADI DIRAWAT (MRS) 02
791 REG/OP/220124-0001 01-16-57-14 FITRI JUNIKA SIREGAR P 33 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
792 REG/OP/220124-0003 01-27-01-59 EMIYA RIMTA BR SITEPU P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-50-35-09
793 REG/OP/220124-0005 SISKA NOVIANTI P 29 Th PRIBADI DIRAWAT (MRS) 03
794 REG/OP/220124-0007 01-28-91-89 DAVINO ATTHARRAZKA L 1 Bl PRIBADI DIRAWAT (MRS) 02

00-64-63-44
795 REG/OP/220124-0010 NADRIYAH P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
796 REG/OP/220124-0013 01-29-02-95 MUHAMMAD RASTA AL IRSYAD L 1 Th PRIBADI DIRAWAT (MRS) 01

797 REG/OP/220124-0015 01-25-68-15 ZOYA NADEERA SAFIYYAH P 11 Bl BPJS KESEHATAN DIRAWAT (MRS) 05
798 REG/OP/220124-0037 01-28-81-96 DIANA NAPSIAH P 27 Th PRIBADI DIRAWAT (MRS) 03
00-28-17-67
799 REG/OP/220124-0044 SISILIA SUDARTATI P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-57-26-97
800 REG/OP/220124-0119 BERNARDINUS ANDY HENDRATNO L 36 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
801 REG/OP/220124-0173 01-25-64-56 CLARA ANINDITA ROSSALINA P 5 Th PRIBADI DIRAWAT (MRS) 02
802 REG/OP/220124-0180 01-14-96-22 VEVI WULANDARI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-46-98-53
803 REG/OP/220124-0188 ELLY OKTARIANI P 51 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02
804 REG/OP/220124-0241 01-29-03-19 WIRIYANTO L 27 Th PRIBADI DIRAWAT (MRS) 02

805 REG/OP/220124-0252 01-27-91-36 EMMANUEL NATHAN JULIANDREW L 10 Th BPJS KESEHATAN DIRAWAT (MRS) 05

806 REG/OP/220124-0262 01-27-42-24 HASANUDDIN M L 58 Th PRIBADI DIRAWAT (MRS) 02
807 REG/OP/220124-0289 01-29-03-24 HENDRI L 37 Th BPJS KESEHATAN DIRAWAT (MRS) 01

00-28-07-97
808 REG/OP/220124-0296 OCTAVIANUS CALVIN L 21 Th BPJS KESEHATAN DIRAWAT (MRS) 02
809 REG/OP/220124-0306 01-14-38-49 JAKA L 29 Th PRIBADI DIRAWAT (MRS) 02
00-46-64-65
810 REG/OP/220124-0415 AHMAD DHEZA FAUZAN LUBIS L 17 Th BPJS KESEHATAN DIRAWAT (MRS) 02
811 REG/OP/220124-0526 01-03-71-38 ABDURAHMAN L 62 Th PRIBADI DIRAWAT (MRS) 02
812 REG/OP/220124-0580 01-24-81-75 STELLA KATARINA P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02

813 REG/OP/220124-0598 01-06-65-31 MARVEL ALFAREZEL NURHANAFI L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-35-68-19
814 REG/OP/220124-0634 SITI MUTIA TUZAHRA P 24 Th PT. PLN (PERSERO) UIW S2JB DIRAWAT (MRS) 02
00-94-65-30
815 REG/OP/220124-0694 VIKA LARASANTI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
816 REG/OP/220124-0777 01-28-87-46 ANTO NARASOMA L 61 Th DIRAWAT (MRS) 02
MANAGE CARE)
00-54-02-71
817 REG/OP/220124-0783 HENDRY ST L 45 Th PRIBADI DIRAWAT (MRS) 02
00-82-78-98
818 REG/OP/220124-0798 KWEK TJUK SING L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
819 REG/OP/220124-0820 01-29-03-84 YATIMAH P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
820 REG/OP/220124-0865 01-29-03-96 CHELSEA AMELIA P 12 Th PRIBADI DIRAWAT (MRS) 02
821 REG/OP/220124-0872 01-05-99-42 HENDRA WIJAYA L 24 Th PRIBADI DIRAWAT (MRS) 02
822 REG/OP/220124-0885 01-15-56-68 MILANAH P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
823 REG/OP/220124-0892 01-10-38-60 I BOH TAN P 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02

824 REG/OP/220124-0924 01-29-04-09 SAMSUL BAHRI L 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-35-76-46
825 REG/OP/220124-0928 JURAMA ERLITA SIHOMBING P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
826 REG/OP/220124-0931 01-29-04-12 KURNIATI WARINGIN P 70 Th PRIBADI DIRAWAT (MRS) 02
827 REG/OP/220124-0932 01-29-01-50 ANDI RUSTAM HADI WIJAYA L 37 Th BPJS KESEHATAN DIRAWAT (MRS) 01
828 REG/OP/220124-0935 01-28-41-29 SUPRAPTO L 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
829 REG/OP/220124-0938 01-22-86-10 MIHRIMAH NAFASYA BASTIAN P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
830 REG/OP/220124-0940 01-29-04-13 META SAPITRI P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02
831 REG/OP/220124-0944 01-03-54-64 AL GHANY IRAWAN L 21 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
832 REG/OP/220125-0007 01-01-80-39 MIRNAWATI P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-34-48-42
833 REG/OP/220125-0008 RAHMAWATI P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-86-50-89
834 REG/OP/220125-0010 IVAN TRISYANTO L 47 Th BPJS KESEHATAN DIRAWAT (MRS) 02
835 REG/OP/220125-0017 01-23-01-54 AISYAH NAZIHA SHAFIA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-58-98-42
836 REG/OP/220125-0169 VEGA MELINDA GUNAWAN P 23 Th PRIBADI DIRAWAT (MRS) 03
837 REG/OP/220125-0252 01-29-04-38 SRI WAHYUNI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
838 REG/OP/220125-0267 01-29-04-24 NINDI YULIATI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
839 REG/OP/220125-0294 01-29-04-33 RAJIKAN L 66 Th PRIBADI DIRAWAT (MRS) 02

840 REG/OP/220125-0333 01-11-94-99 TARSAN L 57 Th PRIBADI DIRAWAT (MRS) 02
841 REG/OP/220125-0356 01-29-04-54 EKA AYU LESTARI P 24 Th PRIBADI DIRAWAT (MRS) 02

00-42-62-36
842 REG/OP/220125-0359 MULYADI TOLU L 70 Th PRIBADI DIRAWAT (MRS) 02
843 REG/OP/220125-0394 01-26-57-69 SRI MANTILI P 27 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
844 REG/OP/220125-0436 01-25-87-17 YAP TJUAN ENG L 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-79-78-51
845 REG/OP/220125-0454 SUPRAPTI P 36 Th PRIBADI DIRAWAT (MRS) 03
846 REG/OP/220125-0461 01-29-04-67 JONI M. NASIR L 44 Th PT. ABSOLUTE SERVICES DIRAWAT (MRS) 01
00-67-21-30
847 REG/OP/220125-0474 KGS. YANGCIK L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-72-77-15
848 REG/OP/220125-0522 ABRAHAM COLLIN L 12 Th PRIBADI DIRAWAT (MRS) 02
00-85-36-01
849 REG/OP/220125-0528 SUROITI P 64 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
850 REG/OP/220125-0533 01-29-04-74 DENCIK L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
851 REG/OP/220125-0543 01-29-04-52 JUNAIDI HATTA L 49 Th PRIBADI DIRAWAT (MRS) 02
852 REG/OP/220125-0575 01-15-05-34 SULAIMAN L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-36-61-82
853 REG/OP/220125-0583 SILVANO LEONARDI PUTRA L 37 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-36-65-57
854 REG/OP/220125-0594 RUSMALI L 71 Th PRIBADI DIRAWAT (MRS) 02
855 REG/OP/220125-0606 01-29-04-86 KEYLA NATASYA P 2 Th PRIBADI DIRAWAT (MRS) 02
856 REG/OP/220125-0665 01-12-54-11 ATHIF RAQILA SURYA L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-84-27-42
857 REG/OP/220125-0668 DEWI INDRIYANI P 29 Th PRIBADI DIRAWAT (MRS) 02
858 REG/OP/220125-0672 01-02-09-35 FAREL ALIKA TAMA PRASETYA L 14 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-71-29-45
859 REG/OP/220125-0688 ENDERIA SARI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-86-11-86
860 REG/OP/220125-0702 RAHMAD MADINA L 10 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-49-97-58
861 REG/OP/220125-0712 EMRAN ROESAD L 64 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
JUVENTINUS ALVARENDRA
862 REG/OP/220125-0729 01-28-93-50 L 10 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
HARDJASA
864 REG/OP/220125-0737 01-29-05-13 LOLA P 17 Th PRIBADI DIRAWAT (MRS) 02
865 REG/OP/220125-0741 01-19-55-28 NADYA UTAMI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03

JULIO JOSUA ENSTEIN
866 REG/OP/220125-0747 01-26-94-03 L 2 Th PRIBADI DIRAWAT (MRS) 05
SIMANJUNTAK
867 REG/OP/220126-0002 01-29-05-16 MUHAMMAD LIAM L 5 Bl PRIBADI DIRAWAT (MRS) 02
00-95-85-38
868 REG/OP/220126-0010 INDAH SEPTIYANI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
869 REG/OP/220126-0016 01-15-08-74 IKALIA AZORA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-77-44-04
870 REG/OP/220126-0017 LEPY P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03
871 REG/OP/220126-0022 01-29-05-23 BY. NY. IKALIA AZORA P 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
00-96-34-44
872 REG/OP/220126-0032 LIM TIK HUA P 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-90-01-62
873 REG/OP/220126-0124 ROBINSON L 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-42-19-23
874 REG/OP/220126-0132 ESY SORAYA P 36 Th PRIBADI DIRAWAT (MRS) 03
875 REG/OP/220126-0242 01-17-06-02 NOVI ROMA ULI P 28 Th DIRAWAT (MRS) 02
)
MEITY MASITHA ANGGRAINI
KESUMA
00-46-59-86
877 REG/OP/220126-0283 MARETHA ANGGRAINI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
878 REG/OP/220126-0369 01-20-65-92 SYAHMIN MAAT L 76 Th PRIBADI DIRAWAT (MRS) 02
879 REG/OP/220126-0477 01-29-05-70 NING MAS P 77 Th PRIBADI DIRAWAT (MRS) 02

880 REG/OP/220126-0501 01-29-05-72 BUSRONI L 55 Th PRIBADI DIRAWAT (MRS) 02
881 REG/OP/220126-0502 01-28-53-66 NAIMAH P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

882 REG/OP/220126-0511 01-28-88-31 NURLAILI P 53 Th PRIBADI DIRAWAT (MRS) 02
883 REG/OP/220126-0519 01-29-05-74 WIJI LESTARI P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 03

884 REG/OP/220126-0619 01-12-67-74 NURLELAH P 68 Th PRIBADI DIRAWAT (MRS) 02
885 REG/OP/220126-0629 01-03-81-07 MARIANA P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02

886 REG/OP/220126-0638 01-24-28-23 ROBINTANG JAMAYKO L 26 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-35-42-92
887 REG/OP/220126-0644 SR. M. ENGELINA, FCH P 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02
888 REG/OP/220126-0647 01-26-54-83 NUR WULAN OKTAVIANI P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03
889 REG/OP/220126-0664 01-29-05-19 NAYLA NURFADILLAH FAIRUZ P 11 Th ASURANSI BNI LIFE DIRAWAT (MRS) 02
890 REG/OP/220126-0686 01-29-05-99 HARTONO L 67 Th PRIBADI DIRAWAT (MRS) 02
891 REG/OP/220126-0710 01-10-27-65 KHOIRUNNISA P 52 Th PRIBADI DIRAWAT (MRS) 02
892 REG/OP/220126-0713 01-13-34-06 FITRI WILIANA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
893 REG/OP/220126-0716 01-29-06-02 RIZAL APENDI L 31 Th PRIBADI DIRAWAT (MRS) 02

894 REG/OP/220126-0721 01-29-06-04 ERICK SUGIONO L 32 Th PRIBADI DIRAWAT (MRS) 02
895 REG/OP/220126-0735 01-20-13-96 SYARIF AL- DANI L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 05
00-89-78-39
896 REG/OP/220126-0741 SYARIF LUKMAN L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
897 REG/OP/220126-0756 01-29-06-13 ADI ARIA MAHENDRATA L 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02
898 REG/OP/220126-0759 01-09-04-53 GIDEON SIMANJUNTAK L 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05
899 REG/OP/220126-0760 01-29-06-14 ARFAN HUSEIN L 2 Th PRIBADI DIRAWAT (MRS) 02
900 REG/OP/220126-0769 01-14-18-32 LATHIFAH P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-84-40-22
901 REG/OP/220126-0772 JULIANA P 24 Th PRIBADI DIRAWAT (MRS) 03
902 REG/OP/220126-0777 01-29-06-23 AYU IFTALIYANA P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 05
903 REG/OP/220127-0001 01-26-19-48 FILZA RAHMADANI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05
904 REG/OP/220127-0007 01-28-97-44 JUWITA PUSPA SARI P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 03
905 REG/OP/220127-0009 01-24-58-05 BUDI TANUWIJAYA L 34 Th BPJS KESEHATAN DIRAWAT (MRS) 02

906 REG/OP/220127-0013 01-29-06-31 M. FATHAN ALFARIZI L 7 Bl PRIBADI DIRAWAT (MRS) 05
907 REG/OP/220127-0089 01-26-65-07 CHRISTIN P 27 Th PRIBADI DIRAWAT (MRS) 03

908 REG/OP/220127-0103 01-17-83-15 VIOLA ZIVANA ALMAHYRA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-76-40-02
909 REG/OP/220127-0249 CHARLY FEBRIAN L 11 Th BPJS KESEHATAN DIRAWAT (MRS) 02
910 REG/OP/220127-0302 01-22-59-99 ANGGI YOLANDA P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-39-16-90
911 REG/OP/220127-0366 MASNUN MANALU P 79 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-64-33-12
912 REG/OP/220127-0392 YATINEM P 40 Th PRIBADI DIRAWAT (MRS) 03
00-75-34-60
913 REG/OP/220127-0406 CHITRA FRISILIA MEITRIANA S P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
914 REG/OP/220127-0460 01-29-06-87 YOHANES MORO L 25 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
00-51-86-86
915 REG/OP/220127-0466 ELIYATUN SAKDIAH P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
916 REG/OP/220127-0476 01-26-02-93 M. IZZAN MUTASHIM L 9 Bl ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
917 REG/OP/220127-0525 01-28-96-86 AMINALLAH L 60 Th PRIBADI DIRAWAT (MRS) 02

00-73-93-97
918 REG/OP/220127-0558 IRWAN RISWANDA L 40 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02
00-77-41-54
919 REG/OP/220127-0591 DIANA MUKMIN P 36 Th PRIBADI DIRAWAT (MRS) 02
00-83-00-48
920 REG/OP/220127-0634 RISKA PLASMA SARI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
921 REG/OP/220127-0656 01-22-45-53 MUHAMMAD FAIZ RAFFAZA L 1 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-63-10-24
922 REG/OP/220127-0661 DESSY ZULMI P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
923 REG/OP/220127-0670 01-29-07-21 ANY P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
924 REG/OP/220127-0671 01-27-18-93 RIRIN NUR OCTAVIANI JANUAR P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
925 REG/OP/220127-0686 01-28-85-90 AL ZAIDAN FAEYZA L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

926 REG/OP/220127-0700 01-29-07-26 MUTMAINNAH P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-56-67-98
927 REG/OP/220127-0719 KIM THONG L 71 Th Allianz Life Indonesia, Asuransi (Peserta) DIRAWAT (MRS) 02
928 REG/OP/220127-0722 01-29-07-31 SARI KUSMIATI P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-62-28-39
929 REG/OP/220127-0724 RESDINITA SARAGIH P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02
930 REG/OP/220127-0726 01-22-65-04 KHOIRUNISYA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02
931 REG/OP/220127-0729 01-29-07-33 JUAIRIAH P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
932 REG/OP/220127-0731 01-29-07-35 OLIVIA CAROLINE P 10 Th BPJS KESEHATAN DIRAWAT (MRS) 02

933 REG/OP/220127-0734 01-26-06-02 LISWATI P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
934 REG/OP/220127-0738 01-29-07-30 ALULA SHANUM SYAKIRA P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05
935 REG/OP/220128-0012 01-10-82-41 YOSSI PRATIWI P 26 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 03
936 REG/OP/220128-0015 01-05-53-97 EZRAFAEL DEVAN WANG L 9 Th PRIBADI DIRAWAT (MRS) 02

00-49-37-30
937 REG/OP/220128-0043 ERIK JUANDA L 37 Th BPJS KESEHATAN DIRAWAT (MRS) 02
MUHAMMAD AR SAKHA ABIYYU
938 REG/OP/220128-0100 01-23-02-53 L 1 Th Inhealth, Asuransi Jiwa Inhealth Indonesia (Peserta) DIRAWAT (MRS) 02
ZULKARNAIN
939 REG/OP/220128-0269 01-29-07-71 HARNI P 39 Th PRIBADI DIRAWAT (MRS) 02
00-93-31-86
940 REG/OP/220128-0278 FITRIYANTI P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-91-99-64
941 REG/OP/220128-0285 MUKIRAN L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-85-06-21
942 REG/OP/220128-0332 DIANA OKTAVIANI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
943 REG/OP/220128-0339 01-18-53-96 AHMAD FARHAN SUTAMI L 14 Th PRIBADI DIRAWAT (MRS) 02

00-36-27-07
944 REG/OP/220128-0344 ALFAN WIRANATA L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-89-62-30
945 REG/OP/220128-0349 STEFANUS LAFRIDO SIAHAAN L 31 Th PRIBADI DIRAWAT (MRS) 02
00-94-58-02
946 REG/OP/220128-0350 MARTIN MATJIK L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
947 REG/OP/220128-0372 01-29-07-92 USMAN HASAN L 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
948 REG/OP/220128-0428 01-18-17-92 RENDY RAMAYUDI L 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02

949 REG/OP/220128-0439 00-99-55-54 RATIH PUTRI DINANTI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
950 REG/OP/220128-0458 01-29-07-52 JUMINI P 45 Th BPJS KESEHATAN DIRAWAT (MRS) 03
951 REG/OP/220128-0475 01-29-07-78 DAFFA DZUHAIRI ALFARIZI L 1 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
952 REG/OP/220128-0480 01-29-07-12 SHAKIRA FAIDAH YODA P 6 Bl PT. ASURANSI RELIANCE INDONESIA DIRAWAT (MRS) 02
953 REG/OP/220128-0517 01-29-08-19 MUHAMMAD RAFA ZAIDAN L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 01
954 REG/OP/220128-0537 01-28-26-17 A ROHIM L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

955 REG/OP/220128-0547 01-05-71-55 BIE TIN P 52 Th PRIBADI DIRAWAT (MRS) 02
956 REG/OP/220128-0551 01-17-97-06 PETI WINDA SARI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02
957 REG/OP/220128-0561 01-29-07-87 FIANIRAZHA PRIMESA CAESARANI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
958 REG/OP/220128-0571 01-29-08-28 NYIMAS NETTY S P 53 Th PRIBADI DIRAWAT (MRS) 02
959 REG/OP/220128-0600 01-01-61-92 NAVIYA KHUMAIROH P 6 Th PRIBADI DIRAWAT (MRS) 02

960 REG/OP/220128-0603 01-22-88-60 SUSILAWATI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-40-73-27
961 REG/OP/220128-0609 BESLI RIDWAN SINAGA L 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
962 REG/OP/220128-0616 01-17-41-66 EVANDER KENICHI WENJAYA L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
963 REG/OP/220128-0618 01-24-09-50 ZURAIDAH P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-79-70-77
964 REG/OP/220128-0624 INDRA GUNAWAN L 37 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
965 REG/OP/220128-0627 01-29-08-45 ANGGI EKA CAHYA PUTRI P 22 Th PRIBADI DIRAWAT (MRS) 02
966 REG/OP/220128-0632 01-18-62-45 REZA KURNIAWANSYAH L 31 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-36-42-65
967 REG/OP/220128-0645 HARDY L 45 Th BPJS KESEHATAN DIRAWAT (MRS) 02
968 REG/OP/220129-0004 01-28-93-71 SARDI L 89 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
969 REG/OP/220129-0007 01-29-08-50 NUR SYAMSU P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
970 REG/OP/220129-0012 01-07-21-90 MUILIA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

971 REG/OP/220129-0014 01-08-96-42 SARI UTAMI NINGSIH P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-67-70-74
972 REG/OP/220129-0016 DEWI YANTI FAJAR SARI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03
973 REG/OP/220129-0017 01-25-39-30 ADELIA ANJANI S P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 03
974 REG/OP/220129-0041 01-28-86-16 DESI WARNI P 30 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 03
975 REG/OP/220129-0118 01-29-08-69 MARIANNE PRIHADI P 3 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 05

00-49-14-67
976 REG/OP/220129-0218 TANWIL ADITJAYA L 16 Th PRIBADI DIRAWAT (MRS) 02
00-39-54-39
977 REG/OP/220129-0305 SANTI THENG P 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-97-60-19
978 REG/OP/220129-0345 YUNIANSYAH P 39 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-60-83-60
979 REG/OP/220129-0347 MELLYANY P 40 Th PRIBADI DIRAWAT (MRS) 03
00-66-51-60
980 REG/OP/220129-0376 MIRA APRIASTUTI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-70-68-60
981 REG/OP/220129-0390 MELY APRIYANI P 30 Th BNILIFE ( Peserta ) DIRAWAT (MRS) 03
982 REG/OP/220129-0422 01-10-04-53 SUPARMIN L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-93-12-53
983 REG/OP/220129-0505 HJ. ADIDAH P 79 Th OWLEXA HEALTHCARE DIRAWAT (MRS) 02
984 REG/OP/220129-0553 01-29-09-18 DIAN RETNO YUDISTIRA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
985 REG/OP/220129-0588 01-25-61-20 FIA ANGGRAINI P 27 Th PRIBADI DIRAWAT (MRS) 03

986 REG/OP/220129-0612 01-29-09-35 AZIZAH MAHARANI P 13 Th BPJS KESEHATAN DIRAWAT (MRS) 01
987 REG/OP/220129-0628 01-29-09-39 ANITA P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03
988 REG/OP/220129-0639 WANDI L 66 Th DIRAWAT (MRS) 02
MANAGE CARE)
989 REG/OP/220129-0651 01-16-90-78 MUHAMMAD FADHIL L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
990 REG/OP/220129-0681 01-29-09-54 M.ZIKRY AL GIBRAN L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-37-61-47
991 REG/OP/220129-0693 TAUHID L 68 Th PRIBADI DIRAWAT (MRS) 02
00-91-28-77
992 REG/OP/220129-0694 GIO HENSU L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-65-37-21
993 REG/OP/220129-0711 THEN SE PHEN L 86 Th BPJS KESEHATAN DIRAWAT (MRS) 02
994 REG/OP/220129-0718 01-24-00-65 MAYA NOVITA SARI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
995 REG/OP/220129-0722 01-27-61-60 JAHIYA L 52 Th PRIBADI DIRAWAT (MRS) 02

996 REG/OP/220129-0727 01-29-09-74 NURYANTI P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02
997 REG/OP/220129-0728 CHANDRA DATI P 57 Th DIRAWAT (MRS) 03
MANAGE CARE)
998 REG/OP/220129-0730 01-26-92-47 ANISA ADELLIA SUKMA P 18 Th BPJS KESEHATAN DIRAWAT (MRS) 01
999 REG/OP/220129-0732 01-29-09-75 JAMILA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

00-90-12-38
1000 REG/OP/220129-0736 GABRIELLA FEBY DWINOV SILALAHI P 11 Th PRIBADI DIRAWAT (MRS) 02
1001 REG/OP/220129-0738 01-29-09-77 BAHAR SOPIAN L 54 Th PRIBADI DIRAWAT (MRS) 02

00-30-62-64
1002 REG/OP/220129-0741 CHATRINE MARIA KRIST P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1003 REG/OP/220129-0745 01-28-37-24 QIANA LASHIRA ARINI P 8 Bl PRIBADI DIRAWAT (MRS) 02
00-71-87-10
1005 REG/OP/220130-0015 01-29-09-88 AKHDAN AL FAHRI L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1006 REG/OP/220130-0026 01-28-80-03 MARIA FRANSISKA ARITONANG P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1007 REG/OP/220130-0040 01-19-02-12 M. FATAHILAH WIJAYA L 14 Th PRIBADI DIRAWAT (MRS) 02

00-59-08-07
1008 REG/OP/220130-0046 MICHO L 16 Th PRIBADI DIRAWAT (MRS) 02
1009 REG/OP/220130-0061 01-27-71-08 HARUN RASYID L 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1010 REG/OP/220130-0084 01-29-10-10 VECHIA GRACIELLA HENDRAWAN P 2 Hr PRIBADI DIRAWAT (MRS) 05
00-28-46-47
1011 REG/OP/220130-0085 ROSDA SARI P 45 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-80-88-62
1012 REG/OP/220130-0089 FIFI SOEGANDI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-70-04-08
1013 REG/OP/220130-0090 PUTERI CAHAYA KASIH P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1014 REG/OP/220130-0095 01-29-10-15 NEVER YANSEN L 47 Th DISKON MISKIN DIRAWAT (MRS) 01

1015 REG/OP/220130-0102 01-29-10-19 MISNA P 69 Th PRIBADI DIRAWAT (MRS) 02
00-84-45-66
1016 REG/OP/220130-0105 KARMILA ANGRIATI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1017 REG/OP/220130-0112 01-29-10-04 SEPTY ARPRIYANTY P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-51-41-18
1018 REG/OP/220130-0114 MANIS P 81 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1019 REG/OP/220130-0124 01-29-10-29 SUPRIADI L 50 Th PRIBADI DIRAWAT (MRS) 02

00-32-34-37
1020 REG/OP/220130-0132 NETTI HERAWATI P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1021 REG/OP/220130-0164 01-14-00-03 ROKIAH P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-86-47-19
1022 REG/OP/220130-0165 STEPHANIE PUTRI KOSIM P 16 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-35-61-80
1023 REG/OP/220130-0168 SUSAN ONDOIKE BESSIE P 45 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-42-95-39
1024 REG/OP/220130-0176 CHIRO ARIELKEN L 17 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-89-77-86
1025 REG/OP/220130-0190 DIKE BAKTI PIANSA L 32 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02
00-66-27-10
1026 REG/OP/220130-0191 NORA PUSPARIA P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1027 REG/OP/220130-0194 01-29-10-42 MARO P 81 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1028 REG/OP/220130-0200 01-21-47-71 MARTA NORITA SINAGA P 27 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 03
00-32-82-57
1029 REG/OP/220130-0202 ZAHIDIN YALI NASUTION L 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1030 REG/OP/220130-0212 01-23-68-92 AXELLE GIAN ELVANO L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1031 REG/OP/220130-0217 01-26-34-46 YENI PRADIAN PUTRI P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-36-79-78
1032 REG/OP/220130-0222 VALENTINA COSTANTIE LAHUTUNG P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1033 REG/OP/220130-0223 01-08-46-61 THERESIA EVI YULIANI LUBIS P 26 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 02
1034 REG/OP/220131-0005 01-29-10-49 ISMAIL L 48 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-55-29-10
1035 REG/OP/220131-0009 GLEEN HENSU L 14 Th PRIBADI DIRAWAT (MRS) 02
00-96-58-60
1036 REG/OP/220131-0010 ANDRY PUJA KESUMA L 35 Th BNILIFE ( Peserta ) DIRAWAT (MRS) 02
1037 REG/OP/220131-0011 01-29-10-51 NAUFAL SETIA PRAMADAN L 11 Th PRIBADI DIRAWAT (MRS) 01

1038 REG/OP/220131-0015 01-10-66-20 SARIL L 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1039 REG/OP/220131-0017 01-06-00-73 SIAMBO L 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-95-07-41
1040 REG/OP/220131-0018 CINDY AZIYA SALMA P 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-54-58-74
1042 REG/OP/220131-0407 ENI PUSPA SARI P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1043 REG/OP/220131-0434 01-01-29-23 SUMIATI P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1044 REG/OP/220131-0476 01-12-70-18 ZIDANE ARRAFIF L 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-65-26-59
1045 REG/OP/220131-0503 DAFIN PUTRA RAMADHAN L 13 Th PRIBADI DIRAWAT (MRS) 02
1046 REG/OP/220131-0566 01-28-56-89 MAIZAKIATUL FATHMAH P 29 Th PT HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
1047 REG/OP/220131-0569 01-28-96-86 AMINALLAH L 60 Th PRIBADI DIRAWAT (MRS) 02
1048 REG/OP/220131-0575 01-07-75-89 STEVEN WIRANATA L 17 Th PRIBADI DIRAWAT (MRS) 02

1049 REG/OP/220131-0664 01-29-11-47 ABDUL WAHAB L 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1050 REG/OP/220131-0675 01-29-11-49 JAILANI L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1051 REG/OP/220131-0697 01-29-02-37 SAMSUDIN L 72 Th PRIBADI DIRAWAT (MRS) 02
00-68-90-33
1052 REG/OP/220131-0703 SUYONO L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1053 REG/OP/220131-0731 01-28-84-22 R.A. RISKI WAHYUNI P 31 Th DIRAWAT (MRS) 03
MANAGE CARE)
00-73-46-30
1054 REG/OP/220131-0737 IFRIZAL HENDRI L 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1055 REG/OP/220131-0763 01-29-06-31 M. FATHAN ALFARIZI L 7 Bl PRIBADI DIRAWAT (MRS) 02

1056 REG/OP/220131-0798 01-29-01-86 ALISIANA AGUSTIANINGSIH P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-86-79-94
1057 REG/OP/220131-0821 MARIA MAGDALENA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-95-79-23
1058 REG/OP/220131-0853 LAUW BOK PIK P 85 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1059 REG/OP/220131-0858 01-29-11-77 HUSIN RACHMAN L 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1060 REG/OP/220131-0859 01-29-10-77 TINAH P 45 Th PRIBADI DIRAWAT (MRS) 02

00-96-35-82
1061 REG/OP/220131-0860 AGUSTINI P 37 Th PT. ASURANSI RELIANCE INDONESIA DIRAWAT (MRS) 02
1062 REG/OP/220131-0862 01-13-02-59 PAHRUR ROZI L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1063 REG/OP/220131-0865 01-29-11-78 DEDI CANDRA L 33 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
1064 REG/OP/220131-0866 01-28-16-67 FARELL ALVINO ARDIANSYAH L 4 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
1065 REG/OP/220131-0870 01-21-63-24 NOVERA GUMAY YANTI P 21 Th PRIBADI DIRAWAT (MRS) 02
1066 REG/OP/220131-0874 01-29-11-81 ADHE PUTERI PRIHATINI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1067 REG/OP/220131-0879 01-29-11-83 SALEHA P 84 Th BPJS KESEHATAN DIRAWAT (MRS) 02

00-43-69-04
1068 REG/OP/220131-0880 YATI P 55 Th PRIBADI DIRAWAT (MRS) 02
00-45-65-42
1070 REG/OP/220131-0889 IMRON SYARKOWI L 74 Th Yakes Telkom DIRAWAT (MRS) 02
Jenis Kasus Kriteria GD

Palembang,17-11-2022
01 : Bedah 01 : Gawat Darurat
02 : Non Bedah 02 : Gawat Tidak Darurat Petugas Gawat Darurat
03 : Kebidanan 03 : Darurat Tidak Gawat
04 : Kejiwaan 04 : Tidak Gawat Tidak Darurat
05 : Anak 05 : Meninggal
Tiurma Malau Gurning

GD
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Charitas Hospital

Jl. Jend. Sudirman No.1054

1 REG/OP/220101-0002 01-28-24-12 SLAMET RIADI L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

4 REG/OP/220101-0011 01-28-77-88 OCTARINA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

5 REG/OP/220101-0015 01-28-77-92 SLAMET SUKRI L 56 Th PRIBADI DIRAWAT (MRS) 02

6 REG/OP/220101-0022 01-21-33-43 HAMNAH ZHOFIROH P 2 Th PRIBADI DIRAWAT (MRS) 05

8 REG/OP/220101-0039 01-28-78-03 K. M. AMMARRULLAH R L 17 Th PRIBADI DIRAWAT (MRS) 05

12 REG/OP/220101-0074 00-99-86-00 MISTI P 52 Th PRIBADI DIRAWAT (MRS) 02

16 REG/OP/220101-0094 01-27-55-07 MARIA ELISABETH SOESILAWATI P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02

18 REG/OP/220101-0106 01-28-78-28 NOVIYANTI P 44 Th PRIBADI DIRAWAT (MRS) 02

20 REG/OP/220101-0113 00-99-67-71 TRIO EVANGGA L 21 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

21 REG/OP/220101-0135 01-28-78-25 RIZKY MAHARDHIKA PRATAMA L 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02

24 REG/OP/220101-0184 01-28-78-49 NGATMAN L 71 Th PRIBADI DIRAWAT (MRS) 02

25 REG/OP/220101-0188 00-99-67-78 SRI HARTATI P 76 Th BPJS KESEHATAN DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

27 REG/OP/220101-0196 01-22-24-89 ROSDIANA P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

36 REG/OP/220102-0007 01-28-78-73 GRAYSON FRANSISCO L 1 Th PRIBADI DIRAWAT (MRS) 05

37 REG/OP/220102-0013 01-28-78-76 NOVITA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

50 REG/OP/220102-0071 01-19-36-05 M. YASIN PRATAMA L 25 Th PRIBADI DIRAWAT (MRS) 02

54 REG/OP/220102-0111 01-28-79-09 LIANG KENG SIAUW P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

60 REG/OP/220102-0153 01-28-25-85 TETI OKTAVIANI TELAUMBANUA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03

63 REG/OP/220102-0181 01-12-59-45 ZAHIRA PUTRI P 4 Th PRIBADI DIRAWAT (MRS) 02

65 REG/OP/220102-0195 01-28-79-38 ZAINUDIN L 71 Th PRIBADI DIRAWAT (MRS) 02

67 REG/OP/220102-0203 01-11-78-66 IMAM SYAFEI L 54 Th PRIBADI DIRAWAT (MRS) 02

68 REG/OP/220102-0201 01-28-79-41 SUMINAH P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

71 REG/OP/220103-0011 01-28-79-46 DANUARTA L 19 Th PRIBADI DIRAWAT (MRS) 02

78 REG/OP/220103-0330 01-28-79-95 MUHAMMAD AIJAZ ALBIRU L 1 Bl PRIBADI DIRAWAT (MRS) 05

81 REG/OP/220103-0456 01-28-80-14 ELISABETH JULIANA MONICA P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 02

84 REG/OP/220103-0505 01-28-80-22 CAWEN P 72 Th PRIBADI DIRAWAT (MRS) 02

92 REG/OP/220103-0655 01-28-80-47 KARINEM P 68 Th PRIBADI DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

95 REG/OP/220103-0859 01-15-15-87 YULINDA PRATIWI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02

97 REG/OP/220103-0916 01-28-80-77 PARIDA P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02

99 REG/OP/220103-0956 01-03-59-79 LIZA FITRIA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

101 REG/OP/220103-0979 01-28-80-88 DIANA P 35 Th PRIBADI DIRAWAT (MRS) 03

104 REG/OP/220103-0990 01-20-55-75 LISMANELA SE P 55 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02

108 REG/OP/220103-1002 01-27-78-71 NURLELA P 54 Th PRIBADI DIRAWAT (MRS) 02

109 REG/OP/220104-0001 01-28-80-93 AGUS SATRIA WIJAYA L 37 Th PRIBADI DIRAWAT (MRS) 01

115 REG/OP/220104-0023 01-28-81-00 JOSHUA ZION HUTABARAT L 9 Th PRIBADI DIRAWAT (MRS) 02

116 REG/OP/220104-0027 01-04-31-30 AMIRUDDIN L 57 Th PRIBADI DIRAWAT (MRS) 02

122 REG/OP/220104-0332 01-28-81-29 HANAPIAH L 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

140 REG/OP/220104-0854 01-05-92-81 NEVILIA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

145 REG/OP/220104-0876 01-28-82-26 EKA HUSNITA P 42 Th PRIBADI DIRAWAT (MRS) 02

148 REG/OP/220105-0014 01-08-09-63 BAHUDA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

149 REG/OP/220105-0073 01-28-82-11 AYU WANDARI P 21 Th PRIBADI DIRAWAT (MRS) 02

153 REG/OP/220105-0200 01-28-82-58 RONI LIE L 59 Th PRIBADI DIRAWAT (MRS) 02

159 REG/OP/220105-0428 01-28-82-88 EMELDA OKTARI P 39 Th PRIBADI DIRAWAT (MRS) 03

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

162 REG/OP/220105-0506 01-08-77-35 WIRDA P 40 Th BPJS KESEHATAN DIRAWAT (MRS) 03

167 REG/OP/220105-0596 01-17-06-37 FIRDAUS L 53 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 01

169 REG/OP/220105-0630 01-12-00-53 ANIE P 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

171 REG/OP/220105-0705 01-27-90-67 NAYLA NUR FADHILAH P 5 Th PRIBADI DIRAWAT (MRS) 02

174 REG/OP/220105-0744 01-28-83-60 M. BAYU RADHITYA L 11 Th DISKON MISKIN DIRAWAT (MRS) 05

178 REG/OP/220105-0791 01-28-83-66 BULYAMIN L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02

185 REG/OP/220105-0824 01-28-83-81 MARZUKI L 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02

189 REG/OP/220106-0019 01-07-74-17 HAMIDAH GATHMYR P 68 Th PRIBADI DIRAWAT (MRS) 02

191 REG/OP/220106-0216 01-28-84-08 REVANDI AZAHRIL L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:37 Page : 1/1

195 REG/OP/220106-0284 01-11-50-51 NI WAYAN LISA NATALIA P 24 Th PRIBADI DIRAWAT (MRS) 03

196 REG/OP/220106-0345 01-06-00-73 SIAMBO L 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

204 REG/OP/220106-0585 01-18-35-51 FATHURRAHMAN AL GHAZALI L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 05