PASIEN RAWAT INAP PERTANGGAL 20/02/2023

NO. NAMA/DPJP JK/ NO NIK / PASSPORT ALAMAT DIAGNOSIS KLAIM KETERANGAN

KMR UMUR/TGL RM/TGL NUMBER
LAHIR
MRS
301 I WAYAN SUYASA P/45TH 162013390 5104070808770005 BR. PANECA, - DHF GR 1 FEBRIS D-6 BPJS KLS 3 NACL 0,9% 30 TPM
08/08/1977 17/02/2023 MELINGGIH KELOD - PERSISTEN VOMITING BSN 2 JAM PP @HARI
dr. Tjok, Sp. PD - OBS HIPERGLIKEMIA EC SUSP CEK DL @HARI
dm DD STRES RELATED CEK SEROLOGI
- AKI DD ACKD DENGUE DAY 6 TGL
- TRANSAMINITIS 20/02/23
302 NI MADE DARSI P/ 64th 262027284 5104064210580002 BR. KEBON, - BBPV BPJS KLS 3 NACL 0,9% 20 TPM
02/10/1958 17/02/2023 KEDISAN
dr. Nara, Sp. N TEGALLALANG
303 NI NENGAH RENI P/45TH 262005174 5104076503770001 BR BAYAD - PNEUMONIA EC BACTERIAL DD BPJS NACL 20 TPM
25/03/1977 16/02/2023 MELINGGIH VIRUS PCR SWAB HASIL
dr. Tjok, Sp.PD PAYANGAN - DYSPEPSIA SYNDROME NEGATIF TGL
- OBS TRANSAMINITIS 17/02/2023
- HIPOKALEMIA
304 NGAKAN PUTU L/38TH 162002806 5104071207840001 BR ULAPAN BUKIAN - DM TYPE 2 BKK NACL : AMINOFUSIN
SUARJANA 12/07/1984 16/02/2023 PAYANGAN - GASTROPATI DM 1:1 20 TPM
DD/DYSPEPSIA SYNDROME CEK BSN 2 JAM PP
dr. Tjok, Sp.PD - AKI DD ACKD @HARI
- HIPONATREMIA
- INFEKSI HIV ST IV
-ISK
305 NI KADEK P/43TH 262027264 5104057012790002 BR PENESTANAN - PERITONITIS GENERALISATA BKK RL 16 TPM
KARNIASIH 10/09/1979 16/02/2023 KAJA SAYAN UBUD - OBS HIPERGLIKEMIA EC SUSP CEK BSN @HARI
DM TYPE 2 DD STRESS RELATED OBS PRODUKSI DRAIN
dr. Kepakisan, Sp.B HIPERGLIKEMIA @HARI
dr. Brammartha, Sp.OG - HIPONATREMIA
dr. Tjok, Sp.PD - POST LAPARATOMY
EKSPLORASI + APPENDIKTOMY
H-3
306 I PUTU REGUG L/54TH 162027247 5104063112680057 BR TEBUANA TARO - OF METACARPAL DIGITI II BPJS (UHC) RL 20 TPM
31/12/1968 15/02/2023 TEGALLALANG MANUS S R/KRS HARI SELASA
dr. Alit, Sp.OT - HIPOKALEMIA
dr. Tjok, Sp.PD - POST ORIF MINIPLATE H-4
307 NI KETUT PELUNG P/74TH 262027335 5104055502490001 BR. SINDU, DESA - CF TIBIA PLATEAU SINISTRA BPJS KLS 3 RL 20 TPM
15/02/1949 19/02/2023 SAYAN, UBUD SEDANG MENGURUS
dr. Alit, Sp.OT JASA RAHARJA,
R/ECHO HARI INI
DISANJIWANI JAM
10.00 WITA
308 NI WAYAN P/64TH 262027265 5104074107580073 BR SEMAON PUHU - LBP SUSP FRACTURE DD BPJS (UHC) NACL 20 TPM
GELUNTUK 31/12/1958 16/02/2023 PAYANGAN DEGENERATIF R/TINDAKAN CESI
HARI INI DIPOLI
dr. Stanu, Sp.OT ORTHO JAM 09/10
WITA
309 NI MADE GELOH P/65TH 262017628 5104074107570076 BR BUKIAN KAJA - CF NECK FEMUR DEXTRA BPJS KLS 3 RL 20 TPM
01/07/1957 15/02/2023 DESA BUKIAN - HT STAGE 1 PRO ARTHROPLASTY
dr. Alit, Sp.OT PAYANGAN - OBS TRANSAMINITIS EC HIP HARI INI JAM 12.00
dr. Tjok, Sp.PD REAKTIF WITA
AMPRAH ICU POST OP

310 NI WAYAN TANGSI P/62TH 262027287 5104054107600093 BR. PAYOGAN, - PNEUMONIA EC BACTERIAL DD BPJS (UHC) IVFD NACL 0,9% 18
01/07/1960 17/02/2023 KEDEWATAN VIRAL TPM
dr. Tjok, Sp. PD - DM TIPE 2 SWAB PCR NEGATIF
- NEUROPATI DM TGL 17/02/23
- HT CEK BSN DAN 2 JAM PP
- TRANSAMINITIS
- HIPONATREMIA
-ISK

311

312 NI NYOMAN P/40TH 262027328 5104075706520002 BR. PAUSAN, - CKR BKK RL 16 TPM
MARIYANI 17/06/1982 18/02/2023 BUAHAN KAJA - EDEMA MAKSILOFACIAL RENCANA OK BILA KU
- CF DISTAL RADIUS DEXTRA OPTIMAL
dr. Kepakisan, Sp.B KONSUL POLI GIGI
dr. Alit, Sp.OT HARI INI

313 I WAYAN ADITYA L/5TH 162027276 5104051512170001 BR BUDUK - PNEUMONIA BKK D5 ½ NS 14 TPM
YUDISTIRA 15/12/2017 16/02/2023 SINGAKERTA UBUD - PROLONG FEBRIS
 dr. Agustini, Sp.A
314 NI KOMANG ANI P/25THN 262027307 5104066404970004 BR SAPAT. DESA - SUSP APPENDICITIS AKUT DD BPJS (UHC) NACL 0,9% 20 TPM
24/04/1997 19/02/2023 TEGALALANG HIDROSALFING
Dr.Pakis,Sp.B - BRONCHITIS AKUT
Dr.Bram,Sp.OG - OBS TRANSAMINITIS EC
Dr.Tjok,Sp.PD REAKTIF
- OBS KARDIOMEGALI
315 I WAYAN TANTRA L/1 BLN 16202794 5104062012220001 BR. PUAKAN, TARO - PNEUMONIA BERAT BPJS (UHC) D5 ¼ NS 20 TPM
ADIWIJAYA 20/12/2022 17/02/2023 - WHEEZING
- TINEA VERSICOLOR
dr. Agustini, Sp.A
316 I WAYAN SUANTARA L/26THN 162026267 5104052402960002 BR LOBONG, - DYSPEPSIA SYNDROME BPJS KLS 3 RL 20 TPM
24/02/1996 19/02/2023 SINGAKERTA UBUD DEHIDRASI R-S R/USG ABDOMEN
dr.Tjok,Sp.PD - AKI DD ACKD ATAS BAWAH HARI
- HIPOKALEMIA SELASA TGL 21/02/2023
DI PH
317

318 NI KADEK P/41TH 262025030 5104075111810001 BR. SUSUT, BUAHAN, - VULNUS APPERTUM REGIO BKK RL 16 TPM
DARMAYANTI 11/11/1981 18/02/2023 PAYANGAN DIGITI 1 MANUS SINISTRA
- ANEMIA RINGAN EC SUSP ADB
dr. Kepakisan, Sp.B DD ACD
dr. Tjok, Sp.PD - POST OP REPAIR TENDON
DIGITI 1 MANUS S H-1
319 I KOMANG ABIMANA L/8BLN 162020985 5104061506220001 BR.TARO KAJE,DESA - DISENTRI EC SUSP SHIGELLA BPJS (UHC) KAEN 3B 30 TPM
SAPUTRA 15/06/2022 19/02/2023 TARO, TEGALALANG +DEHIDRASI RINGAN SEDANG

Dr.Agustini,Sp.A
320 NI MADE KUNUNG P/76TH 262026889 5104067112460005 BR. GAGAH, DESA - SH EC RUPTUR BPJS KLS 2 NACL 20 TPM
31/12/1946 03/02/2023 TEGALLALANG MIKROANEURISMA H-19 NRM 15 LPM
dr. Nara, Sp, N - PNEUMONIA ASPIRASI
dr. Tjok, Sp.PD - SYNDROME OBSTRUKSI
- AKI DD ACKD (MEMBAIK)
321
322

323

324 I NENGAH L/ 54th 162027290 5106042212680005 DESA KATUNG, - SNH EC TROMBUS H-5 BPJS KLS 3 NACL 0,9% +
GUNAKSA 22/12/1968 17/02/2023 KINTAMANI CITICOLIN 500MG 20
TPM
dr. Nara, Sp.N
325

326

327

329