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LAPORAN SISTEM

PERIODE JA

No Tanggal Nama Jenis Kelamin

1 20 January 2023 Nurhayati Perempuan

2 20 January 2023 Titik Ayu Andira Perempuan

3 29 January 2023 Sucik Perempuan

4 30 January 2023 Sofia Damayanti Perempuan


LAPORAN SISTEM INFORMASI RUJUKAN TERINTEGRASI
PERIODE JANUARI 2023 S/D DESEMBER 2023

Alamat Desa Status Pasien

Dsn Makam 03/03 Sawaran Kulon BPJS

Dsn Krajan I 002/001 Umbul

Dsn Rejo Agung 08/01 Bondoyudo BPJS

Jln Hariyono 229 Lumajang BPJS


Rumah Sakit
No BPJS Diagnosa Unit
Rujukan

VK RSU

VK RSU

VK RSU

VK RSU
A00
A01DenganLab
A01TanpaLab
A03
A06
A09
A15
A16
A18
A30
A30.A
A33
A35
A36
A37
A50
A54
A60
A64
A66
A71
A80
A82
A90
A91
A92.0
B00
B01
B02
B05
B06
B17
B18
B24
B26
B35
B37
B50
B51
B52
B54
B74
B77
B80
B86
C06.9
C50
C53
C56
C61
C69
C71
C95
D12
D36
D53
D56
D64
E00
E01
E03
E05
E10
E11
E40
E41
E42
E44
E50
E56
E63
E66
E78
E79
F10
F20
F23
F48
F79
F80
F82
F84
F93
F99
G00
G04
G20
G40
G41
G43
G44
G47
G51
G64
G80
G90
G91
G99
H00
H04
H10
H11.0
H11.3
H17
H25
H26.4
H35.1
H36.0
H40
H50
H52.0
H52.1
H52.2
H52.4
H54
H57
H60
H61.2
H65
H66
H70
H81
H90
H91.1
H93
I00
I09
I10
I15
I20
I21
I24
I30
I40
I50
I64
I80
I83
I84
I87
J00
J01
J02
J03
J04
J06
J10
J11
J16
J20
J30
J33
J40
J43
J44
J45
J46
J90
K00
K01
K02.0
K02.1
K02.2
K02.3
K02.4
K02.8
K02.9
K03
K04
K05
K06
K07
K08
K09
K10
K11
K12
K13
K14
K29
K35
K36
K40
L03
L08
L20
L23
L24
L40
L50
L70
L74
M05.9
M10
M13
M32
M43
M79
M81
M86
N00-N19
N04
N18
N20
N30
N34
N40
N44
N49
N64
N76
N91
N92
N94
N95
N97
O03
O04
O11
O15
O20
O21
O23
O24
O26
O30
O42
O44
O60
O63
O64
O65
O70
O72
O73
O80
O81
O82
O84
O90
O91
O95
O96
P01
P10
P21
P80
Q03
Q05
Q37
Q89
Q90
R04
R50
R55
R56
R57
R63
R69
S02
S05
S06
S12
S29
S39
S42
S52
S62
S72
S82
S92
T03
T07
T15
T16
T17
T30
T57
T62
T63
T65
V99
W00-W19
W42
W43
W55
W65
X00-X09
X10-X19
X20-X29
X49
X60-X69
X70-X84
X85-Y09
Z00
Z02.P
Z02.W
Z38
Z41.3
K59
K42
R11
Q50
F00
F00
F05
F10
F11
F31
F32
F40
F40
F41.0
F41.1
F41.2
F42
F43.2
F45
F50
F50.0
F50.1
F50.2
F50.3
F50.4
F51
F51.0
F51.1
F51.2
F51.3
F51.4
F51.5
F52
F52.0
F52.1
F52.2
F52.3
F52.4
F52.5
F52.6
F52.7
F53
F70
F90
F91
F98.0

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