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RS.

AMALIA BONTANG
JL. R. SOEPRAPTO NO. 22

Sensus Rawat Jalan


01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1 0-00-32-21 MURNITIATI, NY. JL KELADI RT 4/80 P Baru; X 64 Th 01-Jul-2019 Gonarthrosis, unspec; M17.9;
GN ELAI
2 0-00-67-11 PARE SILAMBI, NY. JL. IR H JUANDA RT P X 71 Th 01-Jul-2019
6/41 TJG LAUT
3 0-01-11-97 AHMAD DIDAN AN JL ANGKASA RT.08 B L X 12 Th 01-Jul-2019
TENGAH
4 0-02-49-43 PUTRI AMANDA A NY JL. PATIMURA P Lama; X 23 Th 01-Jul-2019 Thyrotoxicosis [hype; E05;
RT.3/13 API-API
5 0-02-80-80 ABDUL SAFI, TN JL. IR H JUANDA RT L Lama; X 82 Th 01-Jul-2019 Gout, unspecified; M10.9;
24 TJG LAUT
6 0-02-98-06 DEDEN JL. KH DEWANTORO L X 35 Th 01-Jul-2019
YUDAWIYANTO TN RT 19 B. TENGAH
7 0-03-07-99 SUHARMI, NY. JL ZAMRUD 14 RT P X 30 Th 01-Jul-2019
50/12 B TENGAH
8 0-03-26-67 SALMIAH BIN ABD JL SUTAN SYAHRIR P Lama; X 35 Th 01-Jul-2019 Supervision of norma; Z34;
KARIM NY RT 2 TJ LAUT INDAH
9 0-03-32-69 IYAN GUNAWAN , TN. Jl. Zamrud II Rt 43/21 P X 6 Th 01-Jul-2019
B. Tengah
10 0-03-37-93 M FATIH THORIQUL K JL P SURYANATA RT L Baru; X 9 Th 01-Jul-2019 Dental caries; K02;
AN 13 NO 24 BTG BARU
11 0-03-53-88 SILA BIN SABBARA JL. MH THAMRIN RT L Baru; X 41 Th 01-Jul-2019 Dengue fever [classi; A90;
TN 1 GN ELAI
12 0-03-59-58 YUNITA NATALIA, NY. JL. BROKOLI RAYA II P X 34 Th 01-Jul-2019
RT / GN ELAI
13 0-04-12-52 MISBA, NY. JL. PEMATANG RT P Baru; X 45 Th 01-Jul-2019 Rheumatoid arthritis; M06.9;
25/16 B. TENGAH
14 0-04-54-67 RAIMON JL. ZAMRUD 9 RT 47 L Lama; X 56 Th 01-Jul-2019 Anaemia due to enzym; D55;
SIMATUPANG , TN. B TGH
15 0-04-54-67 RAIMON JL. ZAMRUD 9 RT 47 L X 56 Th 01-Jul-2019
SIMATUPANG , TN. B TGH
16 0-04-69-05 WANA BUBANG, NY. JL. SULTAN P Lama; X 26 Th 01-Jul-2019 Supervision of norma; Z34;
HASANUDDIN RT 11
B. PANTAI
17 0-04-72-61 TUTIK SUNAYAH, NY JL. SELAT BONE RT P X 39 Th 01-Jul-2019
18 NO 34 TANJUNG
LAUT
18 0-05-35-11 PUTRI AZIZAH JL. S. HASANUDDIN P Lama; X 7 Th 01-Jul-2019 Connective and other; D21.9;
AURELIA AN RT. 4/85 B. PANTAI
19 0-05-49-18 RABSEN MULSU, TN JL. JEND. SUDIRMAN L Lama; X 46 Th 01-Jul-2019 Non-insulin-dependen; E11;
RT.26 TJ. LAUT

20/Sep/2019 1
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

20 0-05-49-18 RABSEN MULSU, TN JL. JEND. SUDIRMAN L X 46 Th 01-Jul-2019


RT.26 TJ. LAUT
21 0-05-73-01 SUGIANTI BIN JL DIPONEGORO RT P X 36 Th 01-Jul-2019
SINGKANG NY 18 B PANTAI
22 0-05-89-59 NANANG DUPPA AN JL. MANUNGGAL L Baru; X 8 Th 01-Jul-2019 Asthma, unspecified; J45.9; Dirawat
RT.12 B PANTAI
23 0-06-25-64 NAGITA NAZWA JL. R SOEPRAPTO P X 7 Th 01-Jul-2019
QIRANI, AN RT 35 NO 36 API API
24 0-06-28-02 GISMAN NY JL. RE P Baru; X 47 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
MARTHADINATA RT.
28/60 LOKTUAN
25 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 01-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
26 0-06-52-41 RATIKA BINTI NY JL. S KARIMATA P Lama; X 30 Th 01-Jul-2019 Acute suppurative ot; H66.0;
RT.09/40 TJ LAUT
27 0-06-56-02 NUR ISALAH, NY JL. ZAMRUD RT 45 P Lama; X 29 Th 01-Jul-2019 Supervision of norma; Z34;
NO 35 BERBAS
TENGAH
28 0-06-56-11 ACHMAD TADDAGA JL BANDENG L Lama; X 63 Th 01-Jul-2019 Cutaneous abscess, f; L02;
TN RT.23/32 TJ LAUT
29 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 01-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
30 0-06-73-25 RITA SEPTIANI P NY P Lama; X 30 Th 01-Jul-2019 Supervision of norma; Z34;
31 0-06-78-33 WILDA FRANSISKA JL. A YANI RT. 05/74 P X 27 Th 01-Jul-2019
NY TJ. LAUT
32 0-06-86-49 ANILAWATI NY ASRAM RUDAL P Baru; X 28 Th 01-Jul-2019 Thyrotoxicosis [hype; E05;
RT.07 GN ELAI
33 0-06-87-94 M ALVARO S AN JL A YANI GG L Baru; X 7 Th 01-Jul-2019 Chronic tonsillitis; J35.0;
ANGGAR 1 RT.03 API
API
34 0-06-87-99 ELIS LISNAWATI NY JL HM ARDAN RT.23 P X 32 Th 01-Jul-2019
SATIMPO
35 0-07-23-40 BLEGOH MURTONO JL. A YANI RT. 09/ L Baru; X 42 Th 01-Jul-2019 Impacted teeth; K01.1;
K,TN GG JANTAN API API
36 0-07-28-85 FAUZIA RAFIFA JL. MT HARYONO P Baru; X 6 Th 01-Jul-2019 Pulpitis; K04.0;
LUBNA AN RT. 37/ GN ELAI
37 0-07-30-19 TIWI SULISTYAWATI JL. ARIF RAHMAN P Lama; X 38 Th 01-Jul-2019 Deposits [accretions; K03.6;
NY HAKIM RT 42
BELIMBING
38 0-07-39-56 SONY AGUS TN JL. BAYANGKARA L X 40 Th 01-Jul-2019
ASPOLRES RT 11 GN
ELAI

20/Sep/2019 2
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
39 0-07-43-28 ANDRI TRIATMO TN JL. BALIKPAPAN 2 L X 34 Th 01-Jul-2019
RT 14 GN TELIHAN
40 0-07-49-49 MAHMUD LAMADJIDE JL ZAMRUD 15 RT L Lama; X 65 Th 01-Jul-2019 Cutaneous abscess, f; L02;
TN 51/15 BEREBAS
TENGAH
41 0-07-50-53 ABDI IZIL AUFAR, AN JL. SELAT KARIMATA L Lama; X 6 Th 01-Jul-2019 Fever, unspecified; R50.9;
RT 09 NO 17
TANJUNG LAUT
42 0-07-65-84 SOKIP JL. KENANGAN RT L X 49 Th 01-Jul-2019
YUSWANTORO, TN 30 TANJUNG LAUT
43 0-07-71-69 MUARA SILALAHI, TN JL PONTIANAK 1 RT L Lama; X 55 Th 01-Jul-2019 Non-insulin-dependen; E11;
24 / 23 GN TELIHAN
44 0-07-71-69 MUARA SILALAHI, TN JL PONTIANAK 1 RT L X 55 Th 01-Jul-2019
24 / 23 GN TELIHAN
45 0-07-77-47 UDIN M, TN JL MELAWAI RT 20 / L X 61 Th 01-Jul-2019
55 B PANTAI
46 0-07-79-98 DARMAWATI BIN JL MH THAMRIN RT P X 34 Th 01-Jul-2019
LADALI NY 26 BTG BARU
47 0-07-81-81 M BURHANUDDIN D, JL BARONANG RT 13 L X 59 Th 01-Jul-2019
TN / 7 TJ LAUT INDAH
48 0-07-82-90 SRIANAH, NY HJ JL. KS UBUN RT 28 P Lama; X 57 Th 01-Jul-2019 Adhesive capsulitis ; M75.0;
TANJUNG LAUT
INDAH
49 0-07-84-71 ASNAENY BIN TAHIR JL. GRANIT RT 18 P Lama; X 41 Th 01-Jul-2019 Non-insulin-dependen; E11;
NY PERUM PAMA B
LESTARI NO E19
50 0-07-84-71 ASNAENY BIN TAHIR JL. GRANIT RT 18 P X 41 Th 01-Jul-2019
NY PERUM PAMA B
LESTARI NO E19
51 0-07-84-75 M NIZAM PUTRA P AN JL R SOEPRAPTO L Lama; X 4 Th 01-Jul-2019 Dengue fever [classi; A90;
RT 21 / 44 API API
52 0-07-86-87 NORHAYANA BIN NY JL A YANI GG P X 40 Th 01-Jul-2019
ANGGAR 5 RT 6 NO.
44 API API
53 0-07-86-87 NORHAYANA BIN NY JL A YANI GG P X 40 Th 01-Jul-2019
ANGGAR 5 RT 6 NO.
44 API API
54 0-07-88-62 NURLINA BIN ARBAIN JL. MULAWARMAN P Baru; X 44 Th 01-Jul-2019 Pulpitis; K04.0;
NY RT 06/01 SALEBA
BTG BARU
55 0-07-93-53 SRI WAHYUNI NY JL. SELAT ROTE RT. P Lama; X 43 Th 01-Jul-2019 Vertigo of central o; H81.4;
32/96 TJ LAUT
56 0-07-95-65 KINETA AL FALLAH L, JL H HABIBON RT 32 P X 15 Th 01-Jul-2019
AN NO. 3 TJ LAUT

20/Sep/2019 3
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

57 0-07-98-58 DJUDI TN JL.. S KARIMATA RT. L Baru; X 82 Th 01-Jul-2019 Dyspepsia; K30; Dirawat
09. NO. 87 TNJUNG
LAUT
58 0-08-03-82 NURAIDAH, NY JL SELAT P Lama; X 40 Th 01-Jul-2019 Gynaecological exami; Z01.4;
MAKASSAR RT 25
NO. 31 TJ LAUT
59 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 01-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
60 0-08-37-16 TOTOK SUHARSOYO, JL SERULING RT 21 L Lama; X 58 Th 01-Jul-2019 Unspecified injury o; S09.9;
TN NO 33 BTG BARU
61 0-08-47-24 RUDIANTO, TN JL. PATTIMURA RT L Baru; X 36 Th 01-Jul-2019 Bell's palsy; G51.0;
27 API API
62 0-08-47-99 SUDARMAN, TN JL ZAMRUD 13 RT 61 L X 51 Th 01-Jul-2019
B TENGAH
63 0-08-51-50 DEZQA PRADIPTA R, JL. SELAT KARIMATA L X 4 Th 01-Jul-2019
AN RT 09 TANJUNG
LAUT
64 0-08-56-96 TIANGGUR SAGALA JL. KALIMANTAN RT. P Lama; X 52 Th 01-Jul-2019 Thyrotoxicosis [hype; E05;
NY 19 BLOK G 3 API API
65 0-08-71-54 AYU NABILA, AN JL. SELAT KARIMATA P X 9 Th 01-Jul-2019
RT 09 TANJUNG
LAUT
66 0-08-74-15 TITAH AMINI, NY JL. SULTAN P X 29 Th 01-Jul-2019
HASANUDDIN RT 25
BERBAS TENGAH
67 0-08-77-54 ERLINA NY JL. GG TENIS 2 RT P Baru; X 54 Th 01-Jul-2019 Gonarthrosis, unspec; M17.9;
37 API-API
68 0-08-82-54 MARLINAWATI BINTI JL MT HARYONO RT P Lama; X 47 Th 01-Jul-2019 Non-insulin-dependen; E11;
NY 29/65 API API
69 0-08-88-80 NUR ATIRA, NY JL MH THAMRIN RT P Baru; X 28 Th 01-Jul-2019 Gynaecological exami; Z01.4;
26 BTG BARU
70 0-08-91-21 EFRAIM BIANTONG R JL, ZAMRUD 3 RT L X 12 Th 01-Jul-2019
AN 42/28 B TGH
71 0-08-97-88 ANNISA AYU ANDINA, JL SELAT KARIMATA P X 9 Th 01-Jul-2019
AN RT 9 TJ LAUT
72 0-09-01-44 KIRAN LARASATI JL SAMRATULANGI P Baru; X 3 Th 01-Jul-2019 Fever, unspecified; R50.9; Dirawat
AGUSTUN AN RT 19/ TJ LAUT
73 0-09-14-25 HASDALIYAH NY JL WR SUPRATMAN P Baru; X 31 Th 01-Jul-2019 Supervision of norma; Z34;
RT 19 B PANTAI
74 0-09-19-67 EXTRADA JL S HASANUDDIN L Baru; X 12 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
MAHARDIKA Y AN RT 5 NO 60 B PANTAI
75 0-09-19-83 KARYATIN BINTI JL SELAT MALAKA P X 51 Th 01-Jul-2019
SAWAL NY RT 21/08 TJ LAUT

20/Sep/2019 4
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

76 0-09-19-85 SUWARNI BINTI NY JL AWANG LONG RT P X 69 Th 01-Jul-2019


06/11 BTG BARU
77 0-09-26-09 INDAH FADJARWATI, JL. DAMAI PERUM P X 38 Th 01-Jul-2019
NY DISNAKER RT 30 NO
11 TELIHAN
78 0-09-28-23 ESTI WIDIASTUTI NY JL. DI PANJAITAN RT P Lama; X 22 Th 01-Jul-2019 Supervision of norma; Z34;
2 BONTANG BARU
79 0-09-31-28 ERNA WATI NY JL. WR SUPRATMAN P X 30 Th 01-Jul-2019
RT 25 B TGH
80 0-09-34-79 DEDEN YUDA JL. SELAT BALI RT 7 L Baru; X 18 Th 01-Jul-2019 Pulpitis; K04.0;
PRATAMA, AN NO 36 TJ LAUT
81 0-09-35-24 JONI EFFENDI TN JL. CUMI-CUMI RT L Baru; X 45 Th 01-Jul-2019 Abdominal and pelvic; R10; Dirawat
01/13 TJ LAUT I
82 0-09-42-48 NURALAM BINTI JL SUTAN SYAHRIR P X 52 Th 01-Jul-2019
LABAGE NY GG BETE BETE 3 RT
2 TJ LAUT INDAH
83 0-09-51-48 ACHMAD FATIH JL KP TENDEAN RT L Baru; X 3 Th 01-Jul-2019 Fever, unspecified; R50.9; Dirawat
AZZAMY AN 20 BTG KUALA
84 0-09-52-58 ANISA ISMAIL, AN JL. KS TUBUN RT, 17 P X 3 Th 01-Jul-2019
TL INDAH
85 0-09-56-42 NOVITA MANI NY JL WORTEL RT P X 22 Th 01-Jul-2019
09/57 GN ELAI
86 0-09-57-76 ARSYLA VARISHA K , JL. TONGKOL NO 43 P X 2 Th 01-Jul-2019
AN TJ LAUT I
87 0-09-59-39 BAU AISYAH JL. SELAT KARIMATA P Baru; X 37 Th 01-Jul-2019 Epilepsy; G40;
MASWALI NY RT 34/77 TJ LAUT
88 0-09-77-59 RIZKY MUHAMMAD JL S HASANUDDIN L Baru; X 21 Th 01-Jul-2019 Low back pain; M54.5;
RIZAL SDR RT 05/67 B PANTAI
89 0-09-86-91 SARMAN BIN SIOLA JL SULTAN SYAHRIR L Baru; X 33 Th 01-Jul-2019 Diarrhoea and gastro; A09;
TN GG BETE BETE RT 2
TJ LAUT INDAH
90 0-09-91-44 RAHMATUN NISA JL. IRIAN HOP V NO P Lama; X 28 Th 01-Jul-2019 Gynaecological exami; Z01.4;
HUSAIN , NN 177 RT 04 GN
TELIHAN
91 0-10-00-07 ANANG N TN JL LOMBOK RT 20/10 L Baru; X 53 Th 01-Jul-2019 Human immunodeficien; B20;
API API
92 0-10-07-32 SAMUEL DOMING , JL. ZAMRUD RT 50 B L X 69 Th 01-Jul-2019
TN TGH
93 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Lama; X 44 Th 01-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
94 0-10-13-89 MEGA ANTONIUS M, JL. B KATAMSO RT L Baru; X 36 Th 01-Jul-2019 Urticaria; L50; Dirawat
TN 16 GN ELAI

20/Sep/2019 5
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
95 0-10-16-22 MAWARDI, TN JL. PATIMURA RT 33 L X 45 Th 01-Jul-2019
NO 30 API API
96 0-10-16-23 ELOK ERMA A, NY JL. PATIMURA RT, 33 P X 38 Th 01-Jul-2019
NO. 30 GG ATLETIK
15 API API
97 0-10-16-24 MARITZA AZALIA V, JL. PATTIMURA RT P X 9 Th 01-Jul-2019
AN 33 NO 30 API API
98 0-10-24-16 KASMITA, NY JL. SEL MALAKA RT, P Baru; X 74 Th 01-Jul-2019 Lateral epicondyliti; M77.1;
21 TJ LAUT
99 0-10-29-21 CAMINA NY JL. ZAMRUD RT 51 P Baru; X 60 Th 01-Jul-2019 Urinary tract infect; N39.0; Dirawat
BERBAS TENGAH
100 0-10-37-76 SITI USWATUN JL. A YANI RT 10 P Baru; X 33 Th 01-Jul-2019 Supervision of norma; Z34;
HASANAH , NY API-API
101 0-10-41-95 M ISHAQ, AN JL. S SAHRIR RT 07 L X 1 Th 01-Jul-2019
TJ LAUT
102 0-10-47-75 YANTI BINTI NURDIN JL TIHI TIHI RT 17 P Baru; X 38 Th 01-Jul-2019 Dyspepsia; K30;
NY BTG LESTARI
103 0-10-50-52 M REYHAN JL GENDANG 5 RT L Baru; X 8 Th 01-Jul-2019 Dengue fever [classi; A90;
SYAHPUTRA AN 21/74 D BTG BARU
104 0-10-51-02 NELSON SITORUS, JL. SELAT ALOR RT L Baru; X 55 Th 01-Jul-2019 Shoulder lesions; M75;
TN 32 NO 41 TANJUNG
LAUT
105 0-10-58-97 ARISKA NOVITA SARI JL SLAMET RIYADI P Lama; X 26 Th 01-Jul-2019 Contraceptive manage; Z30;
NY RT 19/4 LOKTUAN
106 0-10-66-40 KATIRAN BIN, TN JL. KOL RT 42 NO L X 61 Th 01-Jul-2019
119 GN ELAI
107 0-10-68-07 KIKI WIJAYANTI, NY JL. PATTIMURA GG P X 28 Th 01-Jul-2019
ATLETIK 11 RT 27/-
API-API
108 0-10-69-60 ADITYA ATMA JL DIPANJAITAN RT L X 22 Th 01-Jul-2019
NUGRAHA , TN 12 BTG BARU
109 0-10-74-48 ABDUL MUTHOLIB, JL. A YANI RT 03 NO L X 11 b 01-Jul-2019
AN 54 API API
110 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P Baru; X 49 Th 01-Jul-2019 Impacted cerumen; H61.2;
DUSSA NY TANJUNG LAUT
111 0-10-88-07 VINDY LEONI LUCITA JL. GRANIT E-13 P X 25 Th 01-Jul-2019
NN. BONTANG LESTARI
112 0-10-91-08 RABASIAH BIN KACO JL. MH TAMRIN RT P X 46 Th 01-Jul-2019
, NY 02 GN ELAI
113 0-10-94-51 IIS HARTALENA NY. SANTAN ILIR RT 10 P X 25 Th 01-Jul-2019
114 0-10-95-43 NURDIN TN JL POROS BTG SGT L X 49 Th 01-Jul-2019
RT 07/ T PANDAN

20/Sep/2019 6
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
115 0-11-02-74 MIRNA WATI NY JL IR H JUANDA GG P Lama; X 24 Th 01-Jul-2019 Supervision of norma; Z34;
MALUKU 1 RT 6 TJ
LAUT
116 0-11-03-42 ABD HAMID TN JL SOEKARNO L Lama; X 51 Th 01-Jul-2019 Gastro-oesophageal r; K21.0;
HATTA RT 26/30 TJ
LAUT
117 0-11-05-24 VERA RISTA KURNIA JL. MELATI 2 RT P X 23 Th 01-Jul-2019
S, NN 35/19 BUKIT INDAH
118 0-11-07-02 ST ASIAH NY JL HAYAM WURUK P Baru; X 58 Th 01-Jul-2019 Intervertebral disc ; M51.9;
RT 18 NO 6 B
TENGAH
119 0-11-07-03 SITI HAJAR BINTI JL HAYAN WURUK P Lama; X 61 Th 01-Jul-2019 Essential (primary) ; I10;
SAID NY RT 18 B TENGAH
120 0-11-13-15 CHARLY HAMZAH AN JL KH DEWANTARA L Baru; X 6 Th 01-Jul-2019 Otitis media, unspec; H66.9;
2 RT 35 NO 57 TJ
LAUT
121 0-11-13-78 NURHAYATI NY JL KS TUBUN RT 32/ P Baru; X 33 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
GG BERSAMA API
API
122 0-11-20-80 KHAIRUNNISA BIN JL DESA SEMANGKO P Baru; X 13 Th 01-Jul-2019 Periapical abscess w; K04.7;
GALIB AN RT 4 MARANG KAYU
123 0-11-22-30 HARNIA BINTI NY JL. RE P Lama; X 26 Th 01-Jul-2019 Supervision of norma; Z34;
MARTADINATA RT
05/- LOKTUAN
124 0-11-24-04 RAHMADI, AN JL. SEL MAKASSAR L Lama; X 2 Th 01-Jul-2019 Dyspepsia; K30;
RT. 25 TJ LAUT
125 0-11-25-04 RANIA SHEZA S, AN JL. S HASANUDDIN P X 1 Th 01-Jul-2019
RT, 11 BERBAS
PANTAI
126 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L X 52 Th 01-Jul-2019
TN MAS RT 06/11 TJ
LAUT INDAH
127 0-11-29-63 HASAN BASRI TN JL MOH ROEM RT 03 L Baru; X 44 Th 01-Jul-2019 Haemorrhoids; I84;
BON LES
128 0-11-41-06 HAIRUN BIN ALLUN B JL R SOEPRAPTO L Baru; X 41 Th 01-Jul-2019 Intracerebral haemor; I61.9;
TN RT 23 GG AMALIA
API API
129 0-11-41-83 NADIRA ALYA S AN JL. PIER TENDEAN P Baru; X 5b 01-Jul-2019 Acute upper respirat; J06.9;
RT 09/- B KUALA
130 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 01-Jul-2019 Benign neoplasm of b; D24;
RT 28 BONTANG
BARU

20/Sep/2019 7
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
131 0-11-49-46 NADES LASTARI AN JL RARI DEWA P Baru; X 17 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
S, NN DEWA NO 01 RT 13
GUNTUNG
BONTANG
132 0-11-52-39 YASMIN ZAKIA, AN JL A YANI GG P Lama; X 10 Th 01-Jul-2019 Chronic tonsillitis; J35.0;
TAEKWONDO 1 RT
9/82 API API
133 0-11-55-72 MIRNA BINTI JL SELAT ALOR 2 RT L Baru; X 27 Th 01-Jul-2019 Anaemia due to enzym; D55;
BAHTIAR NY 32 NO 64 TJ LAUT
134 0-11-58-63 RISKY SAKINA JL. SAFIR RT, 19 NO. P Lama; X 29 Th 01-Jul-2019 Chronic conjunctivit; H10.4;
RAHMAN, NN 10 BERBAS TENGAH
135 0-11-59-53 YUNI ASTUTIK NY JL KAPAL SELAM RT P Baru; X 36 Th 01-Jul-2019 Human immunodeficien; B20;
18 LOKTUAN
136 0-11-61-04 RUSMIATI NY JL PONTIANAK 2 RT P Lama; X 45 Th 01-Jul-2019 Gynaecological exami; Z01.4;
23/37 GN TELIHAN
137 0-11-65-49 ELSA KRISTIANI EDI, JL. MT HARYONO RT P Baru; X 26 Th 01-Jul-2019 Postpartum care and ; Z39;
NY 29/- API-API
138 0-11-65-56 MASTONAH BINTI JL. B KATAMSO GG P Baru; X 47 Th 01-Jul-2019 Gynaecological exami; Z01.4;
RABAWI, NY SUKUN 2 RT 18/- GN
ELAI
139 0-11-71-23 SUNARTI BINTI KUSNI JL. SELAT ALAS GN P X 54 Th 01-Jul-2019
TN SARI RT08/73 TJ
LAUT
140 0-11-73-65 SINAR NY JL. A YANI RT 1 TJ P Lama; X 44 Th 01-Jul-2019 Non-insulin-dependen; E11;
LAURT
141 0-11-74-69 YUSRIANI BINTI JL IR SOEKARNO GG P Baru; X 40 Th 01-Jul-2019 Supervision of norma; Z34;
PAULUS NY BANDUNG 4 RT
25/80 GN TELIHAN
142 0-11-75-42 NURPAIDA ERNA JL. DESA MAKARTI P Lama; X 28 Th 01-Jul-2019 Supervision of norma; Z34;
UTAMI , NY RT 02 M KAYU
143 0-11-81-95 MEGA CAHYANI NN JL,SELAT SELAYAR P X 24 Th 01-Jul-2019
RT 12 NO 18 TJN
LAUT BTG SELATAN
144 0-11-86-33 JULi SETIAWAN TN JL PC 3 / 103 KOMP L Baru; X 53 Th 01-Jul-2019 Enthesopathies of lo; M76;
BADAK LNG
BONTANG
145 0-11-86-37 MANGASI JL BANDENG NO 54 L Lama; X 62 Th 01-Jul-2019 Non-insulin-dependen; E11;
MANURUNG TN RAWA INDAH RT 23
TJ LAUT INDAH
146 0-11-86-37 MANGASI JL BANDENG NO 54 L X 62 Th 01-Jul-2019
MANURUNG TN RAWA INDAH RT 23
TJ LAUT INDAH

20/Sep/2019 8
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
147 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L Lama; X 61 Th 01-Jul-2019 Hyperplasia of prost; N40;
NO 11 BERBAS
TENGAH
148 0-11-88-04 M RIDHO J, AN JL. SELAT BONE RT. L Lama; X 9 Th 01-Jul-2019 Connective and other; D21.9;
16
149 0-11-89-73 RAMLI BIN SADING JL KENANGAN RT L X 50 Th 01-Jul-2019
TN 29/- TJ LAUT INDAH
150 0-11-91-22 ZOEY UNNA WAHID, JL. B KATAMSO RT P X 24 Hr 01-Jul-2019
AN 18 GN ELAI
151 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Baru; X 44 Th 01-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
152 0-11-94-18 BANNA NY JL SANTAN ULU RT P Lama; X 56 Th 01-Jul-2019 Gynaecological exami; Z01.4;
16 MARANGKAYU
153 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P Lama; X 53 Th 01-Jul-2019 Other intervertebral; M51;
14/33 B TENGAH
154 0-11-95-30 M ANUGRAH AN JL TENIS 1 RT 31/125 L Lama; X 6 Th 01-Jul-2019 Impacted cerumen; H61.2;
API API
155 0-11-95-34 SITI FAJRI LUKITO JL KAPAL LAYAR 2 P Baru; X 23 Th 01-Jul-2019 Supervision of norma; Z34;
NY RT. 22/- KEL.
LOKTUAN
156 0-11-95-65 HASMAWATI BINTI JL. GITAR GG GITAR P Lama; X 35 Th 01-Jul-2019 Connective and other; D21.9;
LABABA NY 2 RT 07/- B BARU
157 0-11-95-78 SUHERNI ZAINUDDIN JL LUTTU A KIRANG P Baru; X 43 Th 01-Jul-2019 Gynaecological exami; Z01.4;
NY RT 23 TJ LAUT
158 0-11-96-00 NUR HAJIJAH NY JL. SLAMET RIYADI P Baru; X 24 Th 01-Jul-2019 Postpartum care and ; Z39;
RT 48/7 KEL. LOK
TUAN
159 0-11-96-08 DEWI PITASARI, NY JL. BUNAKEN RT P X 24 Th 01-Jul-2019
19/68 B PANTAI
160 0-11-96-34 NURAISAH ULFAH NY JL S HASANUDDIN P Baru; X 25 Th 01-Jul-2019 Cholesteatoma of mid; H71;
RT 35 NO 14 B
TENGAH
161 0-11-96-60 DZURRATUL AFRA JL. RA KARTINI RT P Lama; X 19 Th 01-Jul-2019 Connective and other; D21.9;
AFIFAH NN 23 NO 93 BONTANG
BARU
162 0-11-96-89 PARIDA NY JL. SELAT SELAYAR P Lama; X 50 Th 01-Jul-2019 Skin of eyelid, incl; D23.1;
NO 30 RT 13/-
163 0-11-97-14 VERAWATI, NY JL. KEBUN SALAK RT P Baru; X 31 Th 01-Jul-2019 Dengue fever [classi; A90;
19 GUNTUNG
164 0-11-97-46 M ARMANSYAH AN JL SELAT BONE RT L X 13 Th 01-Jul-2019
16 TJ LAUT
165 0-11-97-62 JOSEPHINE ANGGRI JL MT HARYONO RT P Baru; X 8 Hr 01-Jul-2019 Neonatal aspiration ; P24;
S, AN 29 APIAPI

20/Sep/2019 9
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

166 0-11-97-66 HASMIA BIN JL KS TUBUN P Baru; X 28 Th 01-Jul-2019 Postpartum care and ; Z39;
MANDAWI NY ARWANA 2 RT 17 /
58
167 0-11-97-82 MINA NY JL. SELAT ROTE RT P Baru; X 69 Th 01-Jul-2019 Essential (primary) ; I10;
33/- BUKIT INDAH
168 0-11-98-02 LENA MARIANA NY JL MH THAMRIN RT P Lama; X 28 Th 01-Jul-2019 Benign neoplasm of b; D24;
01/76 GN ELAI
169 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 01-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
170 0-11-98-24 HJ NURLIA, NY JL. GAJA MADA RT P X 52 Th 01-Jul-2019
37 BERBAS TENGAH
171 0-11-98-54 ABDUL RASYID, TN JL. KS TUGUN TJ. L X 43 Th 01-Jul-2019
LAUT
172 0-11-98-67 HARTINI NY JL VETERAN RT P X 54 Th 01-Jul-2019
25/12 BEREBAS
TENGAH
173 0-11-98-67 HARTINI NY JL VETERAN RT P Baru; X 54 Th 01-Jul-2019 Essential (primary) ; I10; Dirawat
25/12 BEREBAS
TENGAH
174 0-11-98-72 MUHAMMAD NUR TN JL TENNIS BLOK C L Lama; X 57 Th 01-Jul-2019 Connective and other; D21.9;
RT 39 API API
175 0-11-99-70 ZAHRA RAIHANA JL. MAHONI NO 89 P Lama; X 11 Th 01-Jul-2019 Impacted cerumen; H61.2;
YUSNIAR AN HOP
176 0-11-99-85 ARFAN HAQIQI TN JL MESS PAMA 2000 L Baru; X 23 Th 01-Jul-2019 Deposits [accretions; K03.6;
177 0-12-00-04 ULTRIMAWATI NY JL. MENTE RT 24 P X 27 Th 01-Jul-2019
SATIMPO
178 0-12-00-06 MARIYANA NN JL. PANGANDARAN P Lama; X 19 Th 01-Jul-2019 Other headache syndr; G44;
RT 10 NO 56 BB
PANTAI
179 0-12-00-28 HAMZA, TN JL. KH DEWANTARA L Baru; X 28 Th 01-Jul-2019 Intervertebral disc ; M51.9;
11 RT 35 TJ. LAUT
180 0-12-00-44 ARINA ZAHRA SDR JL KS TUBUN RT 17 P Baru; X 20 Th 01-Jul-2019 Fever, unspecified; R50.9; Dirawat
181 0-12-00-45 NAURAH AYNAYAH JL R SOEPRAPTO L Baru; X 8 Th 01-Jul-2019 Fever, unspecified; R50.9; Dirawat
ALFATIHA AN GG POLO AIR 1 RT
21 / 45
182 0-12-00-46 M RAKA PRADIPTA, JL S HASANUDDDIN L X 0 Hr 01-Jul-2019
AN RT 34 B TENGAH
183 0-12-00-47 CHIKA RIZKA JL MT HARYONO GG P Baru; X 1 Th 01-Jul-2019 Diarrhoea and gastro; A09; Dirawat
SHAKILA AN WORTEL RT 9 / 72
GUNUNG ELAI
184 0-12-00-48 SITI MAISAROH NY JL MT HARYONO 29 P X 0 Hr 01-Jul-2019
BY APIAPI

20/Sep/2019 10
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
185 0-12-00-49 AINUN EWA NN JL BRIGJEN P Baru; X 20 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
KATAMSO RT 16/28
GUNUNG ELAI
186 0-12-00-50 CIARA KHALISA JL. MENTE RT.24 P Baru; X 13 Th 01-Jul-2019 Necrosis of pulp; K04.1;
AQILA, AN KEL. SATIMPO
187 0-12-00-51 DARMO BIN WARDI, JL. PATTIMURA GG L Baru; X 68 Th 01-Jul-2019 Sciatica; M54.3;
TN ATLETIK 22 RT 33/-
API-API
188 0-12-00-51 DARMO BIN WARDI, JL. PATTIMURA GG L X 68 Th 01-Jul-2019
TN ATLETIK 22 RT 33/-
API-API
189 0-12-00-52 ABDUL RAHIM P AN JL MH THAMRIN RT L Baru; X 9 Th 01-Jul-2019 Hypospadias; Q54;
26 BONTANG BARU
190 0-12-00-53 DEVI FAUZIAH N, NY JL. AWANG LONG P Baru; X 33 Th 01-Jul-2019 Essential (primary) ; I10; Dirawat
RT 09/- B KUALA
191 0-12-00-54 SUPIATUN NY JL SELAT P X 62 Th 01-Jul-2019
MAKASSAR 2 RT
24/48 TANJUNG
LAUT
192 0-12-00-55 BAKRI KUSWANTO, JL. K S TUBUN GG L Baru; X 59 Th 01-Jul-2019 Cerebral infarction,; I63.9;
TN BERGAMA NO 17 A
193 0-12-00-56 KASMIATI, NY JL. SYAMSUDDIN P Baru; X 24 Th 01-Jul-2019 Thyrotoxicosis [hype; E05;
RT.11 SEMANGKO
194 0-12-00-57 RIYAN HIDAYAT TN JL SELAMET RIYADI L X 30 Th 01-Jul-2019
GG 7 TELUK
PANDAN
195 0-12-00-57 RIYAN HIDAYAT TN JL SELAMET RIYADI L Baru; X 30 Th 01-Jul-2019 Fever, unspecified; R50.9; Dirawat
GG 7 TELUK
PANDAN
196 0-12-00-58 NIKMATUL JL. A YANI GG P Baru; X 23 Th 01-Jul-2019 Fever, unspecified; R50.9;
KHAIRIYAH, NY ANGGAR I RT 03/-
API-API
197 0-12-00-59 MUHAMMAD JL. MANUNTUNG L X 1 Th 01-Jul-2019
SALAHUDDIN, AN RT.7 B. TENGAH
198 0-12-00-60 NANING DWI JL. DSN WONOREJO P Baru; X 28 Th 01-Jul-2019 Supervision of norma; Z34;
JAYANTI, NY RT 06/- SANTAN ULU
M KAYU
199 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P Baru; X 17 Th 01-Jul-2019 Chronic pansinusitis; J32.4;
RT 15/- TJ LAUT
INDAH
200 0-12-00-62 M ALFI AULIYAH W JL PIRUS RAYA RT L Baru; X 23 Th 01-Jul-2019 Epilepsy, unspecifie; G40.9;
SDR 13/14 BEREBAS
TENGAH

20/Sep/2019 11
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
201 0-12-00-63 MASTIYAH BINTI JL. IMAM BONJOL P Baru; X 48 Th 01-Jul-2019 Unspecified renal co; N23;
JUMADI, NY GG SEMAYANG RT
43/6 GN ELAI
202 0-12-00-64 SITTI BINTI LAHABE JL SULTAN SYAHRIR P X 47 Th 01-Jul-2019
NY GGBAWIS 1 RT 07/-
KEL. TJ LAUT
203 0-12-00-65 NURUL HIDAYATI NY JL ZAMRUD 13 RT 51 P Baru; X 29 Th 01-Jul-2019 Supervision of norma; Z34;
KEL. BERBAS
TENGAH
204 0-12-00-66 ARDINA BINTI JL MH THAMRIN RT P Baru; X 20 Th 01-Jul-2019 Dyspepsia; K30; Dirawat
ABUSAENI NN 01/- KEL. GN ELAI
205 0-12-00-67 INDAH JL. KM 10 SEBUNTAL P Baru; X 21 Th 01-Jul-2019 Supervision of norma; Z34;
PURNAMASARI, NY
206 0-12-00-68 NURHAYATI BINTI NN JL. PERUM P X 24 Th 01-Jul-2019
SELAMBAI RT 01/-
LOKTUAN
207 0-12-00-69 FITRIANI, NY DESA SEBUNTAL , P Baru; X 25 Th 01-Jul-2019 Supervision of norma; Z34;
MARANGKAYU
208 0-12-00-70 YULI SESA P TN JL KEMAKMURAN RT P Baru; X 51 Th 01-Jul-2019 Other chest pain; R07.3;
9 SEBUNTAL
209 0-12-00-71 GHAIDA TSURYA, AN JL. KAPAL NIAGA V P X 11 b 01-Jul-2019
NO 08
210 0-12-00-72 KHANZA ALIFA B AN JL MULAWARMAN P Baru; X 4 Th 01-Jul-2019 Acute pharyngitis, u; J02.9;
RT 10 BONTANG
BARU \
211 0-12-00-73 NADYA RISDAYANTI, JL PELABUHAN 1 RT P Baru; X 22 Th 01-Jul-2019 Benign neoplasm of b; D24;
NN 10/11 TJ LAUT INDAH
212 0-12-00-74 MAKSUM ABDULLAH, JL SELAT SELAYAR L X 58 Th 01-Jul-2019
TN RT 12 TJ LAUT
213 0-12-00-75 AHMAD SYAKIR, AN JL. MAKAM RT 24/09 L X 10 Th 01-Jul-2019
SATIMPO
214 0-12-00-76 ADITYA WIBISONO, JL. GAMELAN RT 17/- L X 21 Th 01-Jul-2019
SDR B BARU
215 0-12-00-77 ANWAR TN JL PELABUHAN 2 L Baru; X 34 Th 01-Jul-2019 Urinary tract infect; N39.0; Dirawat
TANJUNG LAUT
216 0-12-00-78 MUH LAJI TN JL KALIMANTAN NO L Baru; X 66 Th 01-Jul-2019 Cerebral infarction,; I63.9;
30 RT 18 BTN KCY
BTG UTARA
217 0-12-00-79 ANDI AHMAD REVAN JL. MELAWAI RT 21 L Baru; X 11 Th 01-Jul-2019 Injury of unspecifie; T14; Dirawat
AN BB PANTAI
218 0-12-00-80 RAISAH ELIFIA AN JL YOS SUDARSO P Baru; X 3 Th 01-Jul-2019 Paralytic ileus and ; K56;
RT 12/2 BONTANG
KUALA

20/Sep/2019 12
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
219 0-12-00-81 BOHARI TN JL. NASTAR BLOK N4 L Baru; X 49 Th 01-Jul-2019 Hordeolum and other ; H00.0; Dirawat
NO 13 BALIKPAPAN
220 0-12-00-82 DZAKI ZAHFRAN AL JL PANTTIMURA RT L X 5 Th 01-Jul-2019
ZIKRI AN 41BTG UTARA
221 0-12-00-82 DZAKI ZAHFRAN AL JL PANTTIMURA RT L Baru; X 5 Th 01-Jul-2019 Injury of unspecifie; T14; Dirawat
ZIKRI AN 41BTG UTARA
222 0-12-00-83 ISNIN BAROKAH TN JL MESS PAMA 2000 L X 53 Th 01-Jul-2019
223 0-12-00-84 RESKY APRILYANTI JL. KAPAL PINISI 2 P X 9 Th 01-Jul-2019
AN RT 48
224 0-12-00-85 NUSAIBAH AFIQAH JL. SELAT MALAKA P X 8b 01-Jul-2019
AN RT 10/- NO 47
225 0-12-00-86 ANNISA AL JL DI PANJAITAN GG P X 10 Th 01-Jul-2019
MAQFIRAH R AN PIANO 12 / 22
BONTANG BARU
226 0-12-00-87 DIDI PURNOMO TN JL. AP P X 26 Th 01-Jul-2019
MANGKUNEGORO
RT 03 BB TENGAH
227 0-12-00-87 DIDI PURNOMO TN JL. AP P X 26 Th 01-Jul-2019
MANGKUNEGORO
RT 03 BB TENGAH
228 0-12-00-89 SYAHRUDIN UDIN TN JL MT HARYONON / L Baru; X 20 Th 01-Jul-2019 Injury of unspecifie; T14; Dirawat
1 GUNUNG ELAI
229 0-12-00-90 RAFSAN JANI TN JL BALANAK RT L X 28 Th 01-Jul-2019
21/38 TJ LAUT INDAH
230 0-12-00-91 ROSMIATI NY JL. KERIKIL GG P X 25 Th 01-Jul-2019
KERIKIL 4 NO 50
SALEBA
231 0-12-00-92 M SULTHAN JL SELAT ROTE RT L X 5 Th 01-Jul-2019
NAZHIRUL A AN 34 TANJUNG LAUT
232 0-00-00- LUKMAN NUR ROFIK JL DI PANJAITAN GG L X 21 Th 02-Jul-2019
TN PIANO 5 RT 03/58A
BTG BARU
233 0-00-42-89 ROSIANA, NY. JL. SULTAN P X 44 Th 02-Jul-2019
SYAHRIR RT 06 NO
25 TANJUNG LAUT
234 0-01-02-66 NONI ARBAIM, AN. - P X 6 Th 02-Jul-2019
235 0-01-10-97 SITI MUDRIAH, NY. JL. R SUPRAPTO GG P Lama; X 51 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
ALPUKAT RT 14/27
BTG BARU
236 0-01-21-33 JUMRIAH HJ NY. JL. KS TUBUN RT P Baru; X 58 Th 02-Jul-2019 Essential (primary) ; I10;
17/05 KEL. TJ LAUT
237 0-01-30-90 M YAHYA HAMJA SHI, JL. BERINGI RT. L X 54 Th 02-Jul-2019
TN. 14//16 B. TENGAH

20/Sep/2019 13
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

238 0-01-33-97 LILIK LINDARWATI, JL INTAN II RT 22/57 P Lama; X 48 Th 02-Jul-2019 Non-insulin-dependen; E11;
NY B TENGAH
239 0-01-70-52 ANANDA AURELIA AN JL. SUTOYO GG P Baru; X 11 Th 02-Jul-2019 Dengue fever [classi; A90;
ZAMRUT 6 NO5 B
TENGAH
240 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Baru; X 57 Th 02-Jul-2019 Non-insulin-dependen; E11;
RT 23/66 B. PANTAI
241 0-02-15-33 NURUL NAZWA JL. JENDRAL P Lama; X 14 Th 02-Jul-2019 Benign neoplasm of b; D24;
ISNAINI, AN SUDIRMAN RT 26
TANJUNG LAUT
242 0-02-70-12 ERNAWATI,NY JL. ASRAMA KODIM P X 40 Th 02-Jul-2019
RT 06 NO 21
BONTANG BARU
243 0-02-86-24 SORAYA GINA R AN JL MAWAR 4 RT 36 P X 11 Th 02-Jul-2019
TJ LAUT
244 0-03-08-75 FEBE YUSTINA JL. LOMBOK RT. P Baru; X 25 Th 02-Jul-2019 Asthma, unspecified; J45.9;
SETIA, NY 20/03 API API
245 0-03-47-42 ALIA PUTRI JL. Batu Sahasa Rt. P X 6 Th 02-Jul-2019
RAMADANI, AN. 03/16 B. Kuala
246 0-03-49-12 GILBERT SEPTIAN D, Jl. GAMA Rt 38/6 B. P Baru; X 9 Th 02-Jul-2019 General medical exam; Z00.0;
AN Tengah
247 0-03-59-58 YUNITA NATALIA, NY. JL. BROKOLI RAYA II P Baru; X 34 Th 02-Jul-2019 Dyspepsia; K30; Dirawat
RT / GN ELAI
248 0-03-61-97 YARIS ALI, TN. JL. GAMA RT 38/03 B. L Lama; X 60 Th 02-Jul-2019 Inguinal hernia; K40;
TENGAH
249 0-03-76-73 ABD RIFAI H TN. JL. DSN MALAHING L Baru; X 76 Th 02-Jul-2019 Pain in throat and c; R07; Dirawat
RT 4 B. KUALA
250 0-03-85-01 SISCA DEWI JL. IR.H.JUANDA RT P X 30 Th 02-Jul-2019
PRASTIWI, NY 24/05 TJG LAUT
251 0-03-97-12 SUPRIADI BIN NUR JL. S. SHARIR L Baru; X 47 Th 02-Jul-2019 Non-insulin-dependen; E11;
TN RT.7/72 TJ. LAUT
INDAH
252 0-03-97-12 SUPRIADI BIN NUR JL. S. SHARIR L X 47 Th 02-Jul-2019
TN RT.7/72 TJ. LAUT
INDAH
253 0-04-65-69 SUNARMI BINTI JL KS TUBUN GG P Lama; X 40 Th 02-Jul-2019 Otitis media, unspec; H66.9;
SUBAKRI NY BASALT RT 15/46
BTG KUALA
254 0-05-25-85 YOHANIS SULLE TN JL. BALIKPAPAN RT L Lama; X 62 Th 02-Jul-2019 Non-insulin-dependen; E11;
13 NO 13 GN
TELIHAN
255 0-05-46-50 NUR AZMI LAWIRA, JL GENDANG 5 RT P Baru; X 29 Th 02-Jul-2019 Bronchitis, not spec; J40;
NN 21 BTG BARU

20/Sep/2019 14
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

256 0-05-46-50 NUR AZMI LAWIRA, JL GENDANG 5 RT P X 29 Th 02-Jul-2019


NN 21 BTG BARU
257 0-05-46-50 NUR AZMI LAWIRA, JL GENDANG 5 RT P X 29 Th 02-Jul-2019
NN 21 BTG BARU
258 0-05-87-87 SITI HADIJAH HJ NY JL. MH. TAMRIN RT P X 53 Th 02-Jul-2019
01/29 GN ELAI
259 0-05-93-20 FAYYADH MUAZZAM JL. MAWAR RT36 NO L X 7 Th 02-Jul-2019
R, AN 19 TANJUNG LAUT
260 0-06-01-20 HASNAWATI BINTI JL. KH DEWANTARA P X 34 Th 02-Jul-2019
TAKKO NY RT.35/05 TJ. LAUT
261 0-06-04-06 SUTRISNO BIN JL RUBY RT 16 NO L Lama; X 61 Th 02-Jul-2019 Inguinal hernia; K40;
KASMUN TN 19 BEREBAS
TENGAH
262 0-06-04-06 SUTRISNO BIN JL RUBY RT 16 NO L X 61 Th 02-Jul-2019
KASMUN TN 19 BEREBAS
TENGAH
263 0-06-33-73 IRMA WATI NY JL. RE P Baru; X 35 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
MARTADINATA RT.
21/10 LOKTUAN
264 0-06-43-14 INGE SUSILAWATI NN JL KS TUBUN GG P X 32 Th 02-Jul-2019
BERSAMA 6 RT 32/1
BTG KUALA
265 0-06-46-86 SRI WAHYUNI NY JL ZAMRUD GG P Lama; X 31 Th 02-Jul-2019 Chronic pansinusitis; J32.4;
ZAMRUD 19 RT 62/17
B TENGAH
266 0-06-50-83 AISYAH RAHMAWATI JL. J SUDIRMAN P Baru; X 5 Th 02-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT.22 TJ LAUT
267 0-06-66-92 LAMIATI NY JL. P SURYANATA P Baru; X 54 Th 02-Jul-2019 Thyrotoxicosis [hype; E05;
RT 19 BTG BARU
268 0-06-69-57 DETRI CNI , NN JL. A YANI RT.05 TJ P Baru; Baru; X 19 Th 02-Jul-2019 Dyspepsia; Urinary tract infect; K30;N39 Dirawat
LAUT Lama; Abdominal and pelvic;
269 0-06-72-97 NURUL NY JL. MANUNGGAL RT. P Baru; X 19 Th 02-Jul-2019 Gynaecological exami; Z01.4;
11/ B PANTAI
270 0-06-79-79 FITRIANI BIN JL. S MAKASSAR RT P X 40 Th 02-Jul-2019
SAMSUDDIN NY 25 TJ LAUT
271 0-06-92-68 KHAIRUNNISA S JL SELAT KARIMATA P X 14 Th 02-Jul-2019
LATONI AN RT.26/17 TJ LAUT
272 0-06-98-49 FARICHA QUEEN JL. ZAMRUT RT 53 L Baru; X 9 Th 02-Jul-2019 Dyspepsia; K30;
AQUILA, AN NO 10 BERBAS
TENGAH
273 0-07-06-55 DARMI BINTI KASIDA JL SOEKARNO P Baru; X 34 Th 02-Jul-2019 Gynaecological exami; Z01.4;
NY HATTA RT 26 TJ
LAUT

20/Sep/2019 15
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

274 0-07-07-37 SUYITNO , TN JL GN SEWU L Lama; X 55 Th 02-Jul-2019 Fibrosis and cirrhos; K74;
RT.36/07 BSD GN
ELAI
275 0-07-11-28 PRISTIYANA YOPI I JL DI PANJAITAN GG P Baru; X 25 Th 02-Jul-2019 Postpartum care and ; Z39;
NY SENAM 3 RT 34 NO
34 API API
276 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L X 18 Th 02-Jul-2019
HAQ SDR 20 TJ LAUT
277 0-07-20-85 ERWIN DARWIN SDR JL BUNAKEN RT 19 B L Lama; X 23 Th 02-Jul-2019 Acute appendicitis; K35;
PANTAI
278 0-07-27-08 BURHANUDDIN L TN JL ZAMRUD 19 RT 62 L Lama; X 61 Th 02-Jul-2019 Non-insulin-dependen; E11;
BEREBAS TENGAH
279 0-07-35-24 NORDIANA JL. MT HARYONO RT P Lama; X 23 Th 02-Jul-2019 Asthma, unspecified; J45.9;
OKTAVIANI T NN 09 NO 95 GN ELAI
280 0-07-41-17 DARMAWATI NY JL ARUMBIA 1 RT 21 P Baru; X 30 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
BTG BARU
281 0-07-43-28 ANDRI TRIATMO TN JL. BALIKPAPAN 2 L X 34 Th 02-Jul-2019
RT 14 GN TELIHAN
282 0-07-45-45 CRISTIAN SIARDO JL ZAMRUD 4 RT L Baru; X 4 Th 02-Jul-2019 Dislocation, sprain ; S53; Dirawat
SINAGA AN 43/5 B TGH
283 0-07-50-76 SANTI BINTI JL KP TENDEAN RT P Baru; X 39 Th 02-Jul-2019 Non-insulin-dependen; E11;
SAHARUDDIN NY 12/ BTG KUALA
284 0-07-57-42 KHOIRUL ANAM, TN JL. HARUAN RT 20 L Baru; X 34 Th 02-Jul-2019 Dyspepsia; K30;
TANJUNG LAUT
285 0-07-61-95 NURJANAH BINTI JL HAYAM WURUK P Baru; X 37 Th 02-Jul-2019 Postpartum care and ; Z39;
ARMAIN NY RT 23/43 B TENGAH
286 0-07-68-10 ANANTA JL. HM ARDANS 4 L Lama; X 52 Th 02-Jul-2019 Non-insulin-dependen; E11;
ROBIANSYAH R TN NO 08 RT 03
SATIMPO
287 0-07-68-10 ANANTA JL. HM ARDANS 4 L X 52 Th 02-Jul-2019
ROBIANSYAH R TN NO 08 RT 03
SATIMPO
288 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 02-Jul-2019 Necrosis of pulp; K04.1;
NY API API
289 0-07-79-41 FATMA BINTI P X 57 Th 02-Jul-2019
RAHMAN NY
290 0-07-95-11 PUJIANTI TOKENDE, JL SELAT KARIMATA L Baru; X 45 Th 02-Jul-2019 Gastro-oesophageal r; K21.0;
TN RT 9 NO. 30 TJ LAUT
291 0-07-95-65 KINETA AL FALLAH L, JL H HABIBON RT 32 P X 15 Th 02-Jul-2019
AN NO. 3 TJ LAUT
292 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Baru; X 27 Th 02-Jul-2019 Supervision of norma; Z34;
INTAP, NY RT 2 TJ LAUT INDAH

20/Sep/2019 16
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
293 0-08-09-69 MONICA LINDA NY JL. ZAMRUD 6 NO 05 P Baru; X 31 Th 02-Jul-2019 Chronic pansinusitis; J32.4;
B TGH
294 0-08-21-05 JABIR BIN HADIDA TN JL. S SELAYAR RT 12 L Lama; X 60 Th 02-Jul-2019 Gastro-oesophageal r; K21.0;
TJ LAUT
295 0-08-22-79 ALYA PUTRI JL. BATU SAHASA P Baru; X 13 Th 02-Jul-2019 Dyspepsia; K30;
RAMADHANI AN RT. 12 BTG KUALA
296 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L Lama; X 16 Th 02-Jul-2019 Necrosis of pulp; K04.1;
BLOK O NO 9 KCY
API API
297 0-08-26-98 RIYAD JINAN FAYI AN JL. PARANG TRITIS L Baru; Lama; X 3 Th 02-Jul-2019 Viral infection, uns; Fever, B34.9;R
RT 11/02 B PANTAI unspecified;
298 0-08-30-14 IMAH BINTI SALI NY JL POROS BTG SMD P Lama; X 43 Th 02-Jul-2019 Gonarthrosis [arthro; M17;
RT 10/11 TELUK
PANDAN
299 0-08-33-15 SITI HAMILAH, NY JL DUSUN BINA RIA P Baru; X 42 Th 02-Jul-2019 Supervision of norma; Z34;
RT 3 TELUK PANDAN
300 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 02-Jul-2019 Traumatic amputation; S88;
RT 027
301 0-08-50-49 AGNETA SABRINA JL. S BONE RT 18/34 P X 14 Th 02-Jul-2019
AN TJ LAUT
302 0-08-51-31 JANWAR YAKOBUS P JL. KEMP 23 L X 32 Th 02-Jul-2019
TN INDOMINCO
303 0-08-60-07 STEVEN PALIT, TN JL SAFIR RT 20 NO L Lama; X 32 Th 02-Jul-2019 Unspecified renal co; N23;
14 B TENGAH
304 0-08-62-91 HALMIA WAHYUNI, JL. GAMELAN RT 15 P Lama; X 35 Th 02-Jul-2019 Chronic hepatitis, u; K73.9;
NY NO 27 BONTANG
BARU
305 0-08-63-07 NURKANA, NY JL. GATSU RT 20 P X 59 Th 02-Jul-2019
BERBAS PANTAI
306 0-08-66-34 MUHAMMAD TN JL. S HASANUDDIN L Lama; X 39 Th 02-Jul-2019 Non-insulin-dependen; E11;
RT 31/25 B TGH
307 0-08-73-24 NAHIRA BINTI, NY JL. PANGANDARAN P X 46 Th 02-Jul-2019
RT 12 BERBAS
PANTAI
308 0-08-84-77 FRICO LINTANG P AN JL. A YANI RT 09 NO L Baru; X 2 Th 02-Jul-2019 Measles; B05;
32 API API
309 0-08-87-43 MESSAN BIN IYIK, TN JL A YANI RT 1 NO 24 L Baru; X 70 Th 02-Jul-2019 Chronic obstructive ; J44.9;
API API
310 0-08-97-88 ANNISA AYU ANDINA, JL SELAT KARIMATA P X 9 Th 02-Jul-2019
AN RT 9 TJ LAUT
311 0-09-04-01 SADARIAH BINTI JL. IR H JUANDA RT P Baru; X 35 Th 02-Jul-2019 Non-insulin-dependen; E11;
KAMIR, NY 34 TANJUNG LAUT

20/Sep/2019 17
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
312 0-09-18-62 HARIANA BINTI JL DI PANJAITAN GG P Lama; X 38 Th 02-Jul-2019 Supervision of norma; Z34;
ARBAIN NY BIOLA 4 RT 3 NO 108
BTG BARU
313 0-09-19-83 KARYATIN BINTI JL SELAT MALAKA P Lama; X 51 Th 02-Jul-2019 Non-insulin-dependen; E11;
SAWAL NY RT 21/08 TJ LAUT
314 0-09-30-19 MIRZA UKAIL H AN JL PELABUHAN 3 GG L Baru; Baru; X 4 Th 02-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
UDANG RT 33/20 TJ
LAUT INDAH
315 0-09-37-22 FAJAR DUNIA PUTRI JL S PARMAN RT 49 P Baru; X 19 Th 02-Jul-2019 Supervision of norma; Z34;
NY NO 11 BELIMBING
316 0-09-40-82 SABRANG MOWO D P JL GAMELAN 2 RT L X 2 Th 02-Jul-2019
AN 17/65 BONTANG
BARU
317 0-09-51-24 M APRILIANSYAH AN JL FLORES RT 16 NO L X 14 Th 02-Jul-2019
10 BTN KCY API API
318 0-09-56-03 FAIZAL NOOR JL R SOEPRAPTO L Baru; X 27 Th 02-Jul-2019 Acute nasopharyngiti; J00; Dirawat
RAMADHAN TN GG WAHYU RT 14
NO 22 BTG BARU
319 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P Baru; X 24 Th 02-Jul-2019 Otalgia; H92.0;
GG ARUMBIA 1 RT
27 BTG BARU
320 0-09-88-98 KALEWANG K , H TN JL AP L Lama; X 68 Th 02-Jul-2019 Otitis externa; H60;
MANGKUNEGORO
RT 7 NO 15 B
TENGAH
321 0-10-00-70 ARGA ANTHONY JL. MARANGKAYU III L X 2 Th 02-Jul-2019
TODING , AN RT 09/
MARANGKAYU
322 0-10-06-29 SHAREENA ARUMI JL. SELAT BADUNG P X 1 Th 02-Jul-2019
PERMATA AN RT 15 NO 22
TANJUNG LAUT
323 0-10-15-53 ADE SISCA SUARDI, JL. PATIMURA RT2 P Baru; X 36 Th 02-Jul-2019 Dengue fever [classi; A90;
NY NO 57 API API
324 0-10-21-59 MARDINA BINTI JL SELAT SELAYAR P Lama; X 60 Th 02-Jul-2019 Dyspepsia; K30;
SUBUH NY RT 12/37 TJ LAUT
325 0-10-30-72 M AIDIL PUTRA , AN JL. S GASPOR II RT L X 3 Th 02-Jul-2019
34 TJ LAUT
326 0-10-35-84 ABIZAR YUSUF AL JL RE L X 1 Th 02-Jul-2019
FATIH AN MARTADINATA RT
28 LOKTUAN
327 0-10-40-90 M DIMYATI TN JL KS TUBUN GG L Baru; X 52 Th 02-Jul-2019 Impacted cerumen; H61.2;
KERAPU 2 RT 16 TJ
LAUT INDAH

20/Sep/2019 18
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
328 0-10-47-95 INDO ESA NY JL PELABUHAN 3 RT P Lama; X 65 Th 02-Jul-2019 Benign neoplasm of b; D24;
12 TJ LAUT INDAH
329 0-10-57-87 RAYYAN SYAUQI R JL. PANGANDARAN L X 1 Th 02-Jul-2019
AN RT, 13 NO. 179
BERBAS PANTAI
330 0-10-59-62 JUMAENI BIN JL. BATU SAHASA 3 P Baru; X 35 Th 02-Jul-2019 Dyspepsia; K30;
SUKARDI, NY RT 04 NO 24 BTG
KUALA
331 0-10-63-47 SHINTA ARYANTI , NY JL. KP BAGANG RT P Baru; X 24 Th 02-Jul-2019 Urinary tract infect; N39.0;
06 SEMANGKO M
KAYU
332 0-10-67-31 FATHURROHMAN, AN JL. ADIPURA RT, 04 L X 6 Th 02-Jul-2019
BONLES
333 0-10-84-92 XAVERIUS INTAP, TN JL. SULTAN L Lama; X 59 Th 02-Jul-2019 Chronic pansinusitis; J32.4;
SYAHRIR RT 02
TANJUNG LAUT
334 0-10-86-84 REJO BIN MAIL , TN JL. GENDANG 5 RT L Baru; X 59 Th 02-Jul-2019 Anaemia due to enzym; D55;
22/ 36 BTG BARU
335 0-10-88-07 VINDY LEONI LUCITA JL. GRANIT E-13 P X 25 Th 02-Jul-2019
NN. BONTANG LESTARI
336 0-10-89-49 ZAINAL PULUNG TN JL MASJID NURUL L X 72 Th 02-Jul-2019
MUTTAQIN RT 37/01
LOKTUAN
337 0-10-92-85 SITI ROFIAH NY JL GN SIBOYOK RT P X 29 Th 02-Jul-2019
41/22 GN ELAI
338 0-10-92-85 SITI ROFIAH NY JL GN SIBOYOK RT P Baru; X 29 Th 02-Jul-2019 Human immunodeficien; B20;
41/22 GN ELAI
339 0-10-95-23 RAHMA NY JL PANGANDARAN P Baru; X 25 Th 02-Jul-2019 Periapical abscess w; K04.7;
RT 13/ B PANTAI
340 0-10-95-84 RUSMAN SEMMAILA JL SELAT BONE RT L Baru; X 55 Th 02-Jul-2019 Inguinal hernia; K40;
TN 09
341 0-10-99-49 NADATUN HAFIZAH JL BELANAK RT 32 P X 4 Th 02-Jul-2019
AN TJ LAUT INDAH
342 0-11-01-38 HARLINA NY JL. LAMPA TIMUR RT P Lama; X 37 Th 02-Jul-2019 Gynaecological exami; Z01.4;
002/002 KEL.LAMPA
DUAMPANUA
343 0-11-02-21 ABD RAHMAN TN JL BELANAK RT 32/ L Lama; X 78 Th 02-Jul-2019 Dyspepsia; K30;
TJ LAUT INDAH
344 0-11-04-37 AMA BINTI KANTOR JL RUBY RT 44/27 B P X 61 Th 02-Jul-2019
NY TENGAH
345 0-11-06-75 SAIDUL BIN BADULU JL. MANUNGGAL RT L Lama; X 54 Th 02-Jul-2019 Vertigo of central o; H81.4;
TN 11 BERBAS PANTAI
346 0-11-08-60 ABD SAMAD, TN JL. KELADI RT 03/06 L X 47 Th 02-Jul-2019
GN ELAI

20/Sep/2019 19
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

347 0-11-08-73 ATIKA BINTI AMIN JL. DUSUN L Lama; X 60 Th 02-Jul-2019 Non-insulin-dependen; E11;
CABA NY KAMPUNG MESJID
RT 005 SANTAN
TENGAH
348 0-11-08-79 PAHIRAN TN. JL. GAMELAN NO 55 L Lama; X 66 Th 02-Jul-2019 Fibrosis and cirrhos; K74;
RT 17 KEL BONTANG
BARU
349 0-11-16-28 NGATMIKAH BIN JL IKAN MAS RT 6 TJ P X 65 Th 02-Jul-2019
KARTIMAN NY LAUT INDAH
350 0-11-21-83 M JUNEDI, AN JL PELABUHAN RT L X 6b 02-Jul-2019
14 TJ LAUT INDAH
351 0-11-22-66 EDDIE ARWIANTO , JL. S SAHRIR RT 04 L X 41 Th 02-Jul-2019
TN TJ LAUT I
352 0-11-25-77 ASEP MULYANA, TN JL. DEWI SARTIKA L Baru; X 6b 02-Jul-2019 Non-insulin-dependen; E11;
RT, 28 BTG BARU
353 0-11-28-48 ZIANDRA KALA JL. R SUPRAPTO RT, L X 6b 02-Jul-2019
ALHFIZ, AN 35 API API
354 0-11-29-85 HERNAWATI BINTI JL. LETJEN URIP P Baru; X 38 Th 02-Jul-2019 Asthma, unspecified; J45.9;
AMIN , NY SUMOHARJO RT 12/-
BTG LESTARI
355 0-11-30-65 HATINAH, NY JL. PENCAKSILAT 1 P Baru; X 82 Th 02-Jul-2019 Acute upper respirat; J06.9;
RT, 12 API API
356 0-11-33-63 NURHAEDAH BINTI, JL. HARUAN RT P X 44 Th 02-Jul-2019
NY 20/50 TJ LAUT INDAH
357 0-11-35-22 ASNAH BIN TATIK NY JL. BATU SAHASA 4 P X 34 Th 02-Jul-2019
RT, 06 BONTANG
KUALA
358 0-11-41-83 NADIRA ALYA S AN JL. PIER TENDEAN P X 5b 02-Jul-2019
RT 09/- B KUALA
359 0-11-50-14 ELMINA RODIANA NN JL. TAEKWONDO P Baru; X 22 Th 02-Jul-2019 Chronic maxillary si; J32.0;
RT.10 NO 35 API API
360 0-11-51-25 RASMA BINTI EDO NY JL. SATYA LENCANA P Baru; X 37 Th 02-Jul-2019 Acute suppurative ot; H66.0;
RT. 14 BONTANG
LESTARI
361 0-11-51-79 ARHAM APO TN JL ZAMRUD 69 L Lama; X 45 Th 02-Jul-2019 Chronic renal failur; N18.9;
ZAMRUD 13 RT 51
KEL BERBAS
TENGAH
362 0-11-61-97 AGE TOLA TN JL ZAMBRUD RT L X 67 Th 02-Jul-2019
50/04 BERBAS
TENGAH
363 0-11-64-66 HAIKAL BIN AMMAN JL. PANGANDARAN L X 9b 02-Jul-2019
AN RT 11 B TENGAH

20/Sep/2019 20
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
364 0-11-65-64 DIANA DUMA, NY JL. DSN WONOREJO P Baru; X 21 Th 02-Jul-2019 Supervision of norma; Z34;
RT 011/- SANTAN
ULU M KAYU
365 0-11-66-34 MARIATI BIN JL WR SUPRAPTO P X 61 Th 02-Jul-2019
PARTOWIRYO NY GG POLO AIR 1 RT
22/21 API API
366 0-11-69-38 NAYLA ANANDA S AN JL. GERAHA EXPO P X 13 Th 02-Jul-2019
SANGGATA UTARA
367 0-11-70-39 SYAMSUDDIN BIN TN JL. DESA L Lama; X 63 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
SEMANGKO RT 10/-
M KAYU
368 0-11-75-37 MUHAMMADIA , TN JL. DUSUN WIRA II L X 75 Th 02-Jul-2019
RT 02 SANTAN ULU
M KAYU
369 0-11-75-83 SITTI ANNA, NY JL. IR H JUANDA RT, P X 62 Th 02-Jul-2019
32 NO. 04 TANJUNG
LAUT
370 0-11-79-23 KAMSIAH, NY JL. DS SEBUNTAL P Lama; X 23 Th 02-Jul-2019 Supervision of norma; Z34;
RT 03 MARANGKAYU
371 0-11-79-77 ABDUL KADIR BIN JL PATTIMURA GG L X 36 Th 02-Jul-2019
HUSAIN SEPAKAT RT 12/57
API API
372 0-11-81-14 KAHARUDDIN TN JL SULTAN L X 36 Th 02-Jul-2019
HASANUDIN RT 27
BEREBAS TENGAH
373 0-11-81-19 JULY ROMBE NY JL SUTOYO RT 48/12 P X 62 Th 02-Jul-2019
BERBAS TENGAH
374 0-11-82-88 SAENAL, TN JL. CARITA RT 11 L Baru; X 45 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
BERBAS PANTAI
375 0-11-84-79 M NOVANDI WIJAYA JL GENDANG 2 RT L Lama; X 12 Th 02-Jul-2019 Connective and other; D21.9;
K AN 23/10 TJ LIMAU
376 0-11-84-87 CALON TN JL. CARITA RT 12 L X 87 Th 02-Jul-2019
BERBAS PANTAI
377 0-11-86-14 AGATHA NAOMI JL. DURIAN 03 NO 70 P X 27 Th 02-Jul-2019
PUTRI NY SATIMPO
378 0-11-86-15 DEWI ULANDARI NY JL SELAT ALOR 1 RT P Lama; X 30 Th 02-Jul-2019 Dyspepsia; K30;
32 TANJUNG LAUT
379 0-11-86-58 UTOMO TN JL KH AGUS SALIM L Lama; X 55 Th 02-Jul-2019 Malignant neoplasm o; C18;
RT 05 BERBAS BTG
SELATAN
380 0-11-87-00 ARBAINAH NY JL. S SYAHRIR RT 8 P Baru; X 36 Th 02-Jul-2019 Blighted ovum and no; O02.0;
NO 5 TJ LAUT
381 0-11-92-84 RISMAH NY JL HOP 6 NO 88 P Baru; X 55 Th 02-Jul-2019 Otalgia; H92.0;
SATIMPO

20/Sep/2019 21
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

382 0-11-93-56 M SAIL TN JL MH THAMRIN RT L Lama; X 47 Th 02-Jul-2019 Otitis media, unspec; H66.9;
26 BTG BARU
383 0-11-93-56 M SAIL TN JL MH THAMRIN RT L X 47 Th 02-Jul-2019
26 BTG BARU
384 0-11-94-38 EKA APRILIANI YOLA JL MOCH ROEM RT P Lama; X 22 Th 02-Jul-2019 Supervision of norma; Z34;
D NY 003 BONLES
385 0-11-95-53 SUSANAH BINTI NY JL. TARAKAN RT P Baru; X 62 Th 02-Jul-2019 Viral pneumonia, not; J12;
022/23 GN TELIHAN
386 0-11-95-59 AMBOTANG BON JL HM ARDANS L X 74 Th 02-Jul-2019
KALLABE TN SATIMPO RT 22
387 0-11-95-74 FONY DESYANTIKA, JL. SION RT 06 P Lama; X 21 Th 02-Jul-2019 Thyrotoxicosis [hype; E05;
NN KANAAN
388 0-11-96-08 DEWI PITASARI, NY JL. BUNAKEN RT P X 24 Th 02-Jul-2019
19/68 B PANTAI
389 0-11-96-25 SALSABILA ADRIANI JL SULTAN P Baru; X 1 Th 02-Jul-2019 Cleft palate, unspec; Q35.9;
AN HASANUDDIN RT
01/24 B PANTAI
390 0-11-96-59 SATRIA RIDHO D, AN JL. MH THAMRIN RT L X 10 Th 02-Jul-2019
04 GN NELAI
391 0-11-97-31 SABURDIN BIN TN JL. ZAMRUD GG L Lama; X 54 Th 02-Jul-2019 Inguinal hernia; K40;
ZAMRUD 13 RT 51/-
B TENGAH
392 0-11-97-33 HERMAN BIN ABD JL. M KAYU RT 27/- L Baru; X 31 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
SANI, TN SEBUNTAL
393 0-11-97-77 NISWAR TN JL. TANPU BOLON L X 28 Th 02-Jul-2019
HOP 4 NO 41
394 0-11-97-80 NURHAYATI BINTI JL KS TUBUN GG P Lama; X 59 Th 02-Jul-2019 Non-insulin-dependen; E11;
AZIZ NY KERAPU 2 RT 16
TANJUNG LAUT
395 0-11-97-93 HJ SUHERAH NY JL SANTAN ILIR RT 4 P Baru; X 41 Th 02-Jul-2019 Gynaecological exami; Z01.4;
MARANGKAYU
396 0-11-98-04 PESTINA JL PARIKESIT GG P Baru; X 54 Th 02-Jul-2019 Non-insulin-dependen; E11;
SIMANJUNTAK NY KAKAK TUA RT 07/27
BTG BARU
397 0-11-98-06 SAMAUDDIN BIN TN JL MH THAMRIN RT L Baru; X 59 Th 02-Jul-2019 Non-insulin-dependen; E11;
04/- GN ELAI
398 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 02-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
399 0-11-98-54 ABDUL RASYID, TN JL. KS TUGUN TJ. L Lama; X 43 Th 02-Jul-2019 Connective and other; D21.9;
LAUT
400 0-11-98-76 SRI WAHYUNI NY JL POROS RT 1 P Lama; X 24 Th 02-Jul-2019 Typhoid fever; A01.0;
SAMBERA BARU

20/Sep/2019 22
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
401 0-11-98-76 SRI WAHYUNI NY JL POROS RT 1 P X 24 Th 02-Jul-2019
SAMBERA BARU
402 0-11-98-87 AISYAH NURQALBY , JL HAYAM WURUK P X 6 Hr 02-Jul-2019
AN RT 23/43 B TENGAH
403 0-11-98-93 DINI HARIANTO JL WR SUPRAPTO P Lama; X 17 Th 02-Jul-2019 Necrosis of pulp; K04.1;
PUTRI NN RT 28 BONTANG
BARU
404 0-11-99-44 ANJAS KUMALA YUS JL SELAT BONE 3 RT L Lama; X 23 Th 02-Jul-2019 Diarrhoea and gastro; A09;
PRADA TN 20 TJ LAUT BTG
SELATAN
405 0-12-00-09 SYAHRUL RUMADI TN JL. PELABUHAN P Baru; X 41 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
TANJUNG LAUT RT
14
406 0-12-00-85 NUSAIBAH AFIQAH JL. SELAT MALAKA P X 8b 02-Jul-2019
AN RT 10/- NO 47
407 0-12-00-88 NURMALIA NY JL RE P X 43 Th 02-Jul-2019
MARTADINATA RT
04 LOKTUAN BTG
UTARA
408 0-12-00-93 JUMADI BIN TN JL PELABUHAN RT L Baru; Baru; X 45 Th 02-Jul-2019 Unspecified renal co; Abdominal N23;R10 Dirawat
31 TANJUNG LAUT and pelvic;
INDAH
409 0-12-00-94 SRI PUTRI JL SELAT P Baru; X 10 Th 02-Jul-2019 Cluster headache syn; G44.0; Dirawat
RAMADANIA S AN MAKASSAR RT 24 TJ
LAUT
410 0-12-00-95 ERIN SANDI PUTRA JL MH ARDAN RT 23 L Baru; X 36 Th 02-Jul-2019 Abdominal and pelvic; R10; Dirawat
TN SATIMPO
411 0-12-00-96 NUR ISALAH BY NY JL. ZAMRUD RT 45 P X 0 Hr 02-Jul-2019
NO 35 BERBAS
TENGAH
412 0-12-00-97 YUNI RAHMADANIE, JL. BATU SAHASA P Baru; X 21 Th 02-Jul-2019 Multiple sclerosis; G35; Dirawat
NN RT 01/- B KUALA
413 0-12-00-98 LUKMAN NUR ROFIK JL DI PANJAITAN GG L X 21 Th 02-Jul-2019
TN PIANO 5 RT 02/58A
BTG BARU
414 0-12-00-99 KISMAN BIN JL. SYAMSUDDIN RT L Baru; X 47 Th 02-Jul-2019 Tuberculosis of lung; A15.0;
PASEWAI, TN 03/- DESA
SEMANGKO M KAYU
415 0-12-01-00 ZULFAHMI AMIN, SDR JL. DSN HANDIL L X 19 Th 02-Jul-2019
MICO RT 11/- M
KAYU
416 0-12-01-01 FARIDAH HANISAH JL MH THAMRIN RT P X 7 Th 02-Jul-2019
AN 01/117 GN ELAI

20/Sep/2019 23
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
417 0-12-01-02 HAFIFA BINTI YUDA JL GAJAH MADA RT P X 2 Th 02-Jul-2019
AN 37/16 KAMPUNG
BARU
418 0-12-01-03 SUWARDI BIN JL. BINA MARGA RT L Baru; X 47 Th 02-Jul-2019 Necrosis of pulp; K04.1;
PALILE, TN 06/- M KAYU
419 0-12-01-04 DIDAH BINTI DAMING JL SANTAN TENGAH P Baru; X 60 Th 02-Jul-2019 Essential (primary) ; I10;
NY M KAYU
420 0-12-01-05 SURYANI BINTI JL. VETERAN RT 60/- P X 40 Th 02-Jul-2019
ABBAS , NY B TENGAH
421 0-12-01-06 M ASHADIL JL. PATTIMURA RT L X 6 Th 02-Jul-2019
ALAMSYAH, AN 14/- API-API
422 0-12-01-07 AZKAYRA APRIL JL HANDIL PANGULU P Baru; X 2 Th 02-Jul-2019 Fever, unspecified; R50.9; Dirawat
SYAUQIA A AN 3 SANTAN ILIR M
KAYU
423 0-12-01-08 NURDIN BIN DAENG P JL MH THAMRIN RT L Baru; X 46 Th 02-Jul-2019 Other hyperlipidaemi; E78.4;
TN 26/- BTG BARU
424 0-12-01-09 M SULAIMAN, TN JL. B KATAMSO RT L Baru; X 34 Th 02-Jul-2019 Connective and other; D21.9;
15/- GN ELAI
425 0-12-01-10 SEPTYANINGRUM NY JL POROS BTG-SMD P X 33 Th 02-Jul-2019
KM 5,5 KEC. TELUK
PANDAN
426 0-12-01-11 SEPTYANINGRUM BY JL POROS BTG-SMD P X 33 Th 02-Jul-2019
NY KM 5,5 KEC. TELUK
PANDAN
427 0-12-01-12 ULFAH MARLAH JL RAPAK LAMA RT P Baru; X 10 Th 02-Jul-2019 Connective and other; D21.9;
PUTRI NN 11/- DESA
SEMANGKO
428 0-12-01-13 MUNAWIR BIN JL. GITAR 5 RT 07/- B L X 44 Th 02-Jul-2019
YAHYAH, TN BARU
429 0-12-01-14 EKAYESI BY NY JL PATTIMURA RT 33 L X 0 Hr 02-Jul-2019
NO 27 API API
430 0-12-01-15 EDY PURWANTO, TN JL. CEMPAKA BLOK L X 32 Th 02-Jul-2019
D 07 RT 10 BTN PKT
BELIMBING
431 0-12-01-16 CAHYO PUSOKO TN JL DUSUN L Baru; X 32 Th 02-Jul-2019 Acute tonsillitis, u; J03.9;
PENEWON RT 5
MOJOKERTO
432 0-12-01-17 RESKIMAN TN JL LETTU A KIRANG L Baru; X 30 Th 02-Jul-2019 Acute nasopharyngiti; J00;
RT 23/49 TANJUNG
LAUT
433 0-12-01-18 ADITYA ATHAFARIZ, ASRAMA L Baru; X 2 Th 02-Jul-2019 Acute suppurative ot; H66.0;
AN DENARHANUD
RUDAL 002

20/Sep/2019 24
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
434 0-12-01-19 M ADE WiSNATRA, DATAR PUSPA RT.02 L X 44 Th 02-Jul-2019
TN ALAMENDAH
435 0-12-01-20 M JL. KS TUBUN L Baru; X 6 Th 02-Jul-2019 Acute upper respirat; J06.9;
GHOFURUROHMIN,A GG.KOL 4 RT-29
N
436 0-12-01-21 BREN DAUD TN JL TOMAT RT 14 GN L X 55 Th 02-Jul-2019
ELAI
437 0-12-01-22 FAJAR DAVID A, SDR JL. AHMAD YANI GG L X 19 Th 02-Jul-2019
RAWA API-API
438 0-12-01-23 HENDRI AGUS JL GN SIBAYA NO 22 L Baru; X 32 Th 02-Jul-2019 Human immunodeficien; B20;
WAWAN TN BSD GN ELAI
439 0-12-01-24 MEGAWATI NN JL KAPAL SELAM 1 P X 18 Th 02-Jul-2019
RT 18 TANJUNG
LAUT
440 0-12-01-24 MEGAWATI NN JL KAPAL SELAM 1 P X 18 Th 02-Jul-2019
RT 18 TANJUNG
LAUT
441 0-12-01-25 DEWI RAHMAWATI JL KP TENDEAN RT P Baru; X 22 Th 02-Jul-2019 Bursopathy, unspecif; M71.9;
NN 3/17 BTG KUALA
442 0-00-00-12 ADITYA ARJUNA P, JL. LELE RT. 32/01 P X 9 Th 03-Jul-2019
AN TJ. LAUT INDAH
443 0-01-16-80 ROSTATI BIN MIDI NY JL. CUT NYAK DIEN P Lama; X 39 Th 03-Jul-2019 Gynaecological exami; Z01.4;
RT 08 NO 23
BONTANG BARU
444 0-01-28-92 NARALENG BINTI JL. ARWANA 2 RT 17 P X 66 Th 03-Jul-2019
LAJA NY TJ LAUT
445 0-01-55-01 DARMIN BINTI JL KH DEWANTARA P Baru; X 49 Th 03-Jul-2019 Unspecified renal co; N23;
MARZUKI NY RT 35/41 TJ LAUT
446 0-01-70-52 ANANDA AURELIA AN JL. SUTOYO GG P X 11 Th 03-Jul-2019
ZAMRUT 6 NO5 B
TENGAH
447 0-02-57-93 JAMALUDDIN BIN JL SAMRATULANG L Baru; X 65 Th 03-Jul-2019 Dyspnoea; R06.0; Dirawat
TOHA TN H GG LOHAN RT 15/64
TJ LAUT INDAH
448 0-03-37-93 M FATIH THORIQUL K JL P SURYANATA RT L Lama; X 9 Th 03-Jul-2019 Pulp degeneration; K04.2;
AN 13 NO 24 BTG BARU
449 0-03-42-18 SYAMSIR ALAM, TN. JL. SELAT BALI RT L Baru; Baru; X 61 Th 03-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
7/21 TJG LAUT
450 0-03-55-47 MUSRIFA, NY JL. MANUNGGAL NO. P Baru; X 58 Th 03-Jul-2019 Essential (primary) ; I10;
11 RT 14 B PANTAI
451 0-03-58-34 JAMINAH BINTI JL. SULAWESI GG P Lama; X 50 Th 03-Jul-2019 Non-insulin-dependen; E11;
WARSIMIN NY TAEKWONDO 1 RT
10 NO 69 API API

20/Sep/2019 25
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
452 0-05-19-58 GUSTINA BIN JALIL JL BRIGJEN P Lama; X 26 Th 03-Jul-2019 Female infertility; N97;
NY KATAMSO RT17/23
GN ELAI
453 0-05-25-86 YOHANA BALA.P NY JL. BALIKPAPAN RT P Lama; X 58 Th 03-Jul-2019 Non-insulin-dependen; E11;
13/13 GN. TELIHAN
454 0-05-42-44 SILVA JABALNUR NY JL. R SUPRAPTO P Lama; X 30 Th 03-Jul-2019 Supervision of norma; Z34;
API-API
455 0-05-79-86 DURROH NASIKAH JL. TAMBORA RT 21 P Lama; X 55 Th 03-Jul-2019 Thyrotoxicosis [hype; E05;
HJ, NY PC V/34 PT BADAK
SATIMPO
456 0-05-82-30 YULIANA NY JL. KH AGUS SALIM P Baru; X 42 Th 03-Jul-2019 Pain in throat; R07.0; Dirawat
GG LOSARI RT 15/- B
PANTAI
457 0-05-82-85 SANTI S NY JL SELAT LOMBOK P Lama; Lama; X 48 Th 03-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
RT 5/26 TJ LAUT
458 0-05-97-25 LENI AYU JL. HM ARDAN RT 22 P X 23 Th 03-Jul-2019
ROSALINDA, NY NO 17 SATIMPO
459 0-05-97-74 HUSNI. NY JL PELABUHAN 2 RT P X 45 Th 03-Jul-2019
10/- TJ LAUT INDAH
460 0-06-05-99 YASRINA, NY JL. SULTAN P Baru; X 27 Th 03-Jul-2019 Supervision of norma; Z34;
SYAHRIR RT 32
TANJUNG LAUT
461 0-06-24-64 SUHARTONO TN HOP V RT 25/368 GN L Lama; X 52 Th 03-Jul-2019 Non-insulin-dependen; E11;
ELAI
462 0-06-46-22 IMAM HAMBALI TN JL. PC 5 RT. /34B L Baru; X 64 Th 03-Jul-2019 Non-insulin-dependen; E11;
SATIMPO
463 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 03-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
464 0-06-56-11 ACHMAD TADDAGA JL BANDENG L Lama; X 63 Th 03-Jul-2019 Cutaneous abscess, f; L02;
TN RT.23/32 TJ LAUT
465 0-06-60-21 FITRIYANI BIN JL KAPAL LAYAR 5 P Lama; X 30 Th 03-Jul-2019 Supervision of norma; Z34;
MAHMUDIN NY RT 21 NO 22
LOKTUAN
466 0-06-81-73 ACHMAD PATARAI, JL. UTUNG L Lama; X 61 Th 03-Jul-2019 Chronic renal failur; N18;
TN SUROPATI RT 20
TANJUNG LAUT
467 0-06-86-05 NAYYA SHAQIELLA, JL. SULTAN P X 8 Th 03-Jul-2019
AN HASANUDDIN RT 56
NO 16 BERBAS
TENGAH
468 0-06-90-96 ELLA NOVITA NN JL KENANGAN RT.28 P Baru; X 27 Th 03-Jul-2019 Dyspepsia; K30;
TJ LAUT

20/Sep/2019 26
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
469 0-07-17-85 SAID ANDREAN SDR JL. PIERE TENDEAN L X 19 Th 03-Jul-2019
RT. 05 / 06 BTG
KUALA
470 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Baru; X 18 Th 03-Jul-2019 Connective and other; D21.0;
HAQ SDR 20 TJ LAUT
471 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L X 18 Th 03-Jul-2019
HAQ SDR 20 TJ LAUT
472 0-07-27-89 ANDRI ARTA WINATA JL. S HASANUDDIN L X 12 Th 03-Jul-2019
AN RT 56/33 B TENGAH
473 0-07-48-65 NURHAYATI BINTI JL ADIPURA 1 RT 4 / P Lama; X 40 Th 03-Jul-2019 Non-insulin-dependen; E11;
HAMMA NY BONTANG LESTARI
474 0-07-51-46 WANCIK BIN DAMIN JL A YANI RT 05 TJ L Baru; X 52 Th 03-Jul-2019 Thyrotoxicosis with ; E05.0;
TN LAUT
475 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Lama; X 30 Th 03-Jul-2019 Connective and other; D21.9;
NY RT 12 MARANGKAYU
476 0-07-56-23 BASRI TN JL. MANUNGGAL RT. L Lama; X 48 Th 03-Jul-2019 Connective and other; D21.9;
10/66 B PANTAI
477 0-07-71-94 SARWI BIN RATAM JL. PENCAK SILAT 1 L Lama; X 57 Th 03-Jul-2019 Non-insulin-dependen; E11;
TN RT 14 API-API
478 0-07-71-94 SARWI BIN RATAM JL. PENCAK SILAT 1 L X 57 Th 03-Jul-2019
TN RT 14 API-API
479 0-07-77-47 UDIN M, TN JL MELAWAI RT 20 / L X 61 Th 03-Jul-2019
55 B PANTAI
480 0-07-79-41 FATMA BINTI P Lama; X 57 Th 03-Jul-2019 Diarrhoea and gastro; A09; Dirawat
RAHMAN NY
481 0-07-81-30 MARLIYANA BIN JL MULAWARMAN P Baru; X 36 Th 03-Jul-2019 Postpartum care and ; Z39;
ANANG NY GG ARUMBIA 4 RT
10/51 BONTANG
BARU
482 0-07-96-82 MIRA WATI DEWI, NY JL PULAU GUSUNG P Baru; X 22 Th 03-Jul-2019 Superficial injury o; S00.0;
RT 3 GUNTUNG
483 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 03-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
484 0-08-13-22 RHEZYANA BHIANCA JL TARI DEWA RT P Lama; X 28 Th 03-Jul-2019 Supervision of norma; Z34;
NY 16/17 GUNTUNG
485 0-08-20-93 HARDIANSYAH JL GENDANG 3 RT L Baru; X 8 Th 03-Jul-2019 Injury of unspecifie; T14; Dirawat
PUTRA, AN 22 BTG BARU
486 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L Lama; X 16 Th 03-Jul-2019 Necrosis of pulp; K04.1;
BLOK O NO 9 KCY
API API
487 0-08-24-86 MAISARO BINTI JL SUTAN SYAHRIR P Baru; X 28 Th 03-Jul-2019 Vertigo of central o; H81.4; Dirawat
ABDUL NY GG PESUT 2 RT 5 TJ
LAUT INDAH

20/Sep/2019 27
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

488 0-08-40-20 ENY SISLAWATI NY JL PATTIMURA GG P Lama; Lama; X 38 Th 03-Jul-2019 Asthma; Dyspepsia; J45;K30; Dirawat
ATLETIK 16 RT 14
NO 157 API API
489 0-08-48-17 IDA LAILA NY JL KOL I RT 08/15 GN P X 29 Th 03-Jul-2019
ELAI
490 0-08-52-37 M FIRDAUS AL IDRUS, JL SELAT BONE RT L X 3 Th 03-Jul-2019
AN 17 NO 13 TJ LAUT
491 0-08-52-37 M FIRDAUS AL IDRUS, JL SELAT BONE RT L X 3 Th 03-Jul-2019
AN 17 NO 13 TJ LAUT
492 0-08-52-86 CHRISTINA NATALIA JL. CUT NYAK DIEN P Baru; X 23 Th 03-Jul-2019 Supervision of norma; Z34;
M H NY GG AKUSTIK 1 RT
19/48 API-API
493 0-08-57-84 MUSDANIAH, NY JL. P SURYANATA P Lama; X 30 Th 03-Jul-2019 Gynaecological exami; Z01.4;
RT 19 BONTANG
BARU
494 0-08-57-84 MUSDANIAH, NY JL. P SURYANATA P X 30 Th 03-Jul-2019
RT 19 BONTANG
BARU
495 0-08-81-98 NOVITA HERMAWATI, JL R SOEPRAPTO P Baru; X 27 Th 03-Jul-2019 Disorder of muscle, ; M62.9;
NY GG AMALIYAH RT 23
NO 48 API API
496 0-08-85-07 M ALFINO AN JL MH THAMRIN RT L X 2 Th 03-Jul-2019
02/ GN ELAI
497 0-08-97-88 ANNISA AYU ANDINA, JL SELAT KARIMATA P X 9 Th 03-Jul-2019
AN RT 9 TJ LAUT
498 0-09-04-58 RANDIKA HARYA A, JL. ZAMRUD RT 51 L X 2 Th 03-Jul-2019
AN BERBAS TENGAH
499 0-09-08-26 HALIMAH TUSSADIYA JL P SURYANATA RT P Baru; X 28 Th 03-Jul-2019 Supervision of norma; Z34;
NY 19 NO 19 BTG BARU
500 0-09-28-12 MULYONO BIN ALI TN JL PC 4 NO 21 PT L X 45 Th 03-Jul-2019
BADAK SATIMPO
501 0-09-40-69 NUR RESKY RAZAK JL MELAWAI RT 20 P Baru; X 17 Th 03-Jul-2019 Chronic hepatitis, u; K73.9;
AN NO 37 B PANTAI
502 0-09-40-77 NAUFAL ABBAD JL. AP L X 5 Th 03-Jul-2019
NAILUN N, AN MANGKUNEGORO
RT 03 BERBAS
TENGAH
503 0-09-54-57 PAINI, NY JL. BHAYANGKARA P X 58 Th 03-Jul-2019
RT 14/6 GN ELAI
504 0-09-57-41 ABIZAR AL GAFARI JL RA KARTINI RT 23 L Lama; X 23 Th 03-Jul-2019 Asthma; J45; Dirawat
SDR BTG BARU
505 0-09-60-96 DINA MODEONG NN JL ZAMRUD RT 61 B P X 28 Th 03-Jul-2019
TENGAH

20/Sep/2019 28
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

506 0-09-62-40 M PURNAMA AN JL WR SUPRARMAN L X 3 Th 03-Jul-2019


RT 58/01 B TENGAH
507 0-09-74-23 ROSMINI BIN JL MH THAMRIN RT P Baru; X 45 Th 03-Jul-2019 Polyp of cervix uter; N84.1;
MIDDING NY 02/- GN ELAI
508 0-09-80-21 SUPINI , NY JL. R SUPRAPTO GG P Lama; X 62 Th 03-Jul-2019 Non-insulin-dependen; E11;
POLO AIR 1 RT 21 RT
35 API-API
509 0-09-80-21 SUPINI , NY JL. R SUPRAPTO GG P X 62 Th 03-Jul-2019
POLO AIR 1 RT 21 RT
35 API-API
510 0-09-83-74 AYU AULIYA NN JL MULAWARMAN P Baru; X 19 Th 03-Jul-2019 Thyrotoxicosis [hype; E05;
GG AKUSTIK 3 RT 10
BTG BARU
511 0-10-21-54 SALMAN HAKIM AN. JL. D.I PANJAITAN L X 2 Th 03-Jul-2019
GG. SENAM 2 RT 34
API-API
512 0-10-34-05 WAHYUNI NY JL JEND SUDIRMAN P Baru; X 30 Th 03-Jul-2019 Other headache syndr; G44;
RT 23/52 TJ LAUT
513 0-10-46-13 YOCHANAN DAVID Y JL PARIKESIT RT L X 3 Th 03-Jul-2019
E AN 11/59 BTG BARU
514 0-10-52-27 BANJI BINTI LABORA JL AP P X 61 Th 03-Jul-2019
NY MANGKUNEGORO
RT 03/31 B TENGAH
515 0-10-58-41 PONERAN TOKIYOH, JL. TAEKWONDO RT L Baru; X 51 Th 03-Jul-2019 Other headache syndr; G44;
TN 10 NO 77 API API
516 0-10-59-92 LISNAWATI BINTI JL TIHI TIHI RT 17/ P Baru; X 24 Th 03-Jul-2019 Anaemia due to enzym; D55;
JUHAMA NY BTG LESTARI
517 0-10-61-99 IRWANDA MAKATITA JL HARUAN RT 20/54 L Baru; X 35 Th 03-Jul-2019 Fever, unspecified; R50.9;
TN TJ LAUT INDAH
518 0-10-64-87 DARWIN HUTAJULU, JL. ZAMRUD RT 47 L Baru; X 44 Th 03-Jul-2019 Chronic hepatitis, u; K73.9;
TN NO 19 B TENGAH
519 0-10-67-48 CONI FEBRI JL MT HARYONO GG P Lama; X 28 Th 03-Jul-2019 Supervision of norma; Z34;
TRIASTUTI NY SELANCAR 7 RT 28
NO 105 API API
520 0-10-69-02 DEDI JULIANTO, TN JL. MESS 2000 PAMA L X 34 Th 03-Jul-2019
521 0-10-69-49 FIFIE ALWI, NY JL. PIRUS RAYA RT P X 21 Th 03-Jul-2019
13 /- BERBAS
TENGAH
522 0-10-69-89 RATNAWATY BINTI JL AWANG LONG RT P X 46 Th 03-Jul-2019
NANANG NY 07/88 BTG BARU
523 0-10-73-54 ODE BATARA A, TN JL. KP TENDEAN RT L Baru; X 69 Th 03-Jul-2019 Haemoptysis; R04.2;
11 BONTANG KUALA

20/Sep/2019 29
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
524 0-10-79-28 I GUSTI ALDA B ,TN JL. SAFIR RT.19 NO L Baru; X 21 Th 03-Jul-2019 Cellulitis; L03; Dirawat
26 b tgh
525 0-10-91-88 SHAKIEL ALFARIQ JL. TOMAT RT 43 NO L X 1 Th 03-Jul-2019
RAMA AN. 25 BONTANG UTARA
526 0-10-92-80 BIA BINTI GEDONG JL. ZAMRUTRT 044 P Lama; X 46 Th 03-Jul-2019 Dyspepsia; K30; Dirawat
NY N0 24 BERBAS
TENGAH
527 0-11-01-02 NABIL ALIF ALTAF, AN JL. MARANGKAYU L Baru; X 3 Th 03-Jul-2019 Connective and other; D21.0;
RT 16/- M KAYU
528 0-11-02-24 NURWAJADA BIN JL. KAPAL PINISI 1 P Lama; X 42 Th 03-Jul-2019 Anaemia due to enzym; D55;
BACO NY RT. 47 NO. 25
LOKTUAN
529 0-11-03-09 SABAHRIA BIN JL. PELABUHAN 3 RT P Baru; X 22 Th 03-Jul-2019 Gynaecological exami; Z01.4;
KAMARUDIN NY 014 TJ.LAUT
530 0-11-11-52 SYARIFAH ARPIAH , JL. P TANDEAN GG P Baru; X 55 Th 03-Jul-2019 Necrosis of pulp; K04.1;
NY BATU SAHASA 4 RT
11/15 BTG KUALA
531 0-11-12-00 ELIS SUTIANI , NY JL. HABIBON GG P Lama; X 44 Th 03-Jul-2019 Non-insulin-dependen; E11;
GURAME RT 03/46 TJ
LAUT INDAH
532 0-11-13-62 ALIEF NUR ATHAYA, JL. MARKISA RT 01 L X 8 Th 03-Jul-2019
AN GN ELAI
533 0-11-21-83 M JUNEDI, AN JL PELABUHAN RT L Baru; X 6b 03-Jul-2019 Cutaneous abscess, f; L02;
14 TJ LAUT INDAH
534 0-11-22-88 SRI PURWONINGSIH , JL. KENANGAN RT P Baru; X 48 Th 03-Jul-2019 Dyspepsia; K30;
NY 29 TJ LAUT
535 0-11-23-07 AFLAH AL HANAN JL. PERUM GRIYA L X 3 Th 03-Jul-2019
SYAH, AN WISATA RT 14
BONTANG KUALA
536 0-11-30-36 WALDAN AMIR JL. SULTAN L Baru; X 5 Th 03-Jul-2019 Fever, unspecified; R50.9;
PRATAMA, AN HASANUDDIN RT 22
BERBAS TENGAH
537 0-11-31-60 SHERLY UMROH, NY JL. KP TENDEAN RT, P Lama; X 30 Th 03-Jul-2019 Other rheumatoid art; M06;
11 NO. 15 BTG
KUALA
538 0-11-32-86 M BAYU PUTRA TN JL DANAU L X 31 Th 03-Jul-2019
SEMAYANG NO 26
RT 23 SAMARINDA
539 0-11-39-12 ENNI BR RUNAH JL. ZAMRUD RT 47 P Baru; X 32 Th 03-Jul-2019 Supervision of norma; Z34;
BUTAR, NY NO 51 BERBAS
TENGAH
540 0-11-47-06 AQYLA SYAFA JL. PARANGTRITIS P X 1 Th 03-Jul-2019
SYAHREZA, AN RT 11 NO 15
BERBAS PANTAI

20/Sep/2019 30
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

541 0-11-56-49 MURNI B TAMBUNAN, JL. ZAMRUD 15 NO P Baru; X 63 Th 03-Jul-2019 Other surgical follo; Z48; Dirawat
NY 12 BERBAS TENGAH
542 0-11-58-02 MICHAEL CHRISYUAN JL BRIGJEN P Baru; X 10 Th 03-Jul-2019 Asthma; J45; Dirawat
H AN KATAMSO RT 17/21
GUNUNG ELAI
543 0-11-64-18 AMBAR AGUSTINA NY JL BROKOLI 11 / 101 P Lama; X 50 Th 03-Jul-2019 Non-insulin-dependen; E11;
D RT 20
544 0-11-67-98 GANESHA PRADIPTA JL PATTIMURA GG. L Baru; X 1 Th 03-Jul-2019 Fever, unspecified; R50.9; Dirawat
S AN ATLETIK 8 RT 32/21
KEL. API-API
545 0-11-68-01 KINARA SARASWATI JL. KS TUBUN NO 31 P Baru; X 3 Th 03-Jul-2019 Acute pharyngitis, u; J02.9; Dirawat
AN RT 32 API-API
546 0-11-69-26 M RADYASA AKBAR JL. SELAT MALAKA L X 18 Th 03-Jul-2019
SDR GG PIRAS II B
TENGAH
547 0-11-75-38 KRISTINA SALU P , NY JL. DAMAI RT 12 P Lama; X 37 Th 03-Jul-2019 Gastro-oesophageal r; K21.0;
KANAAN
548 0-11-79-48 RIZAL BIN YUSUF TN JL IR JUANDA RT 25 / L Lama; X 24 Th 03-Jul-2019 Necrosis of pulp; K04.1;
04
549 0-11-80-89 NISRAH NY JL. HARUAN RT 32 P Baru; X 20 Th 03-Jul-2019 Supervision of norma; Z34;
RAWAH INDAH TJ
LAUT INDAH
550 0-11-81-19 JULY ROMBE NY JL SUTOYO RT 48/12 P Baru; X 62 Th 03-Jul-2019 Non-insulin-dependen; E11;
BERBAS TENGAH
551 0-11-86-50 LAELATUS JL. BRIGJEN P X 32 Th 03-Jul-2019
SHOLIKHAH NY KATAMSO NO 03 RT
45
552 0-11-86-90 BRENDA LYDIA NN JL AP P X 20 Th 03-Jul-2019
MANGKUNEGORO
RT 05 BERBAS
PANTAI
553 0-11-88-62 PUTRIANI NY JL PELABUHAN RT P X 37 Th 03-Jul-2019
14 TANJUNG LAUT
INDAH
554 0-11-95-03 RICHA DEWI ASIH AN JL SELAT BADUNG P X 13 Th 03-Jul-2019
RT 15/30 TJ LAUT
555 0-11-95-63 IRA BINTI SAID NY JL WR SUPRATMAN P X 52 Th 03-Jul-2019
RT 9 / 23 BERBAS
PANTAI
556 0-11-98-50 NUR RASYIDAH JL SAMRATULANGI P Baru; X 18 Th 03-Jul-2019 Necrosis of pulp; K04.1;
APRILIA NN RT 19/20 TJ LAUT
557 0-11-98-56 MARYAM BINTI CAKKI JL BUNAKEN RT P Baru; X 33 Th 03-Jul-2019 Blighted ovum and no; O02.0;
NY 19/55 B PANTAI

20/Sep/2019 31
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
558 0-11-99-20 UBAIDILLAH ANWAR JL IMAM BONJOL RT L X 6 Hr 03-Jul-2019
AN 35 API API
559 0-11-99-74 TUTI ARNI DASULI NY JL. RA KARTINI GG P Baru; X 44 Th 03-Jul-2019 Cutaneous abscess, f; L02;
KRIKIL 4 NO 54
560 0-12-00-83 ISNIN BAROKAH TN JL MESS PAMA 2000 L Baru; X 53 Th 03-Jul-2019 Non-insulin-dependen; E11;
561 0-12-01-01 FARIDAH HANISAH JL MH THAMRIN RT P X 7 Th 03-Jul-2019
AN 01/117 GN ELAI
562 0-12-01-08 NURDIN BIN DAENG P JL MH THAMRIN RT L X 46 Th 03-Jul-2019
TN 26/- BTG BARU
563 0-12-01-26 SARYANTO, TN JL. SUTNADDIN RT 9 L X 43 Th 03-Jul-2019
NO 3 SALEBA
564 0-12-01-27 SYAHRUL M AN JL. KIT ABDULLAH L X 18 Th 03-Jul-2019
NOOR RT02 SANTAN
ILIR
565 0-12-01-28 ICAL JL. PATTIMURA L X 21 Th 03-Jul-2019
566 0-12-01-29 HERMANSHA TN JL. KUDA LAUT RT5 L X 21 Th 03-Jul-2019
18 TJ LAUT
567 0-12-01-30 OKTABIANDRA PUJA JL. KS TUBUN GG L X 15 Th 03-Jul-2019
S AN ARWANA II RT 17 NO
52 TJ LAUT
568 0-12-01-31 NIKMAN SIRAD TN JL. BATU SAHASA 3 L X 74 Th 03-Jul-2019
BTG KUALA
569 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L X 48 Th 03-Jul-2019
TN NO 2 B TENGAH
570 0-12-01-33 IMAM ROKHIM TN JL. RA KARYINI RT L Baru; X 52 Th 03-Jul-2019 Essential (primary) ; I10; Dirawat
23 TJ LIMAU
571 0-12-01-34 AJENG NABILA F NY JL. P SURYANATA P Baru; X 20 Th 03-Jul-2019 Supervision of norma; Z34;
NO 67 RT 13
572 0-12-01-35 AGUSTINA PARE NY JL TARAKAN RT P Baru; X 44 Th 03-Jul-2019 Non-insulin-dependen; E11;
18/41 BTG BARAT
573 0-12-01-36 AHMAD RINALDI, TN JL. PELABUHAN RT L Lama; X 23 Th 03-Jul-2019 Necrosis of pulp; K04.1;
14/- TJ LAUT
574 0-12-01-37 SARINAH BY NY JL OTISTA RT 26/- P X 0 Hr 03-Jul-2019
KEL. BTG BARU
575 0-12-01-38 WUGU BIN JONO TN JL MARANGKAYU RT L Baru; X 58 Th 03-Jul-2019 Stomatitis and relat; K12;
15 SABUNTAL
576 0-12-01-39 SUMARSIH BINTI JL MARANGKAYU P Baru; X 47 Th 03-Jul-2019 Necrosis of pulp; K04.1;
SANIDI NY PASAR RT 15
SAMBUTAL
577 0-12-01-40 RUSMIATI , NY JL SALAK PC 4 NO 21 P X 38 Th 03-Jul-2019
PT BADAK SATIMPO
578 0-12-01-41 ABDUL KAHAR TN JL ZAMBRUD 2 RT L Baru; X 21 Th 03-Jul-2019 Injury of unspecifie; T14; Dirawat
BERBAS TENGAH

20/Sep/2019 32
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

579 0-12-01-42 NUR EKA PRATIWI , JL. AKUSTIK RT 10 P X 23 Th 03-Jul-2019


NY BTG BARU
580 0-12-01-43 FIFIN KURIATAN TN JL DUSUN SUKA L Baru; X 41 Th 03-Jul-2019 Abdominal and pelvic; R10; Dirawat
MAKMUR RT 08/-
SANTAN ULU M
KAYU
581 0-12-01-44 DEWI RULAN JL. PENCAK SILAT P X 39 Th 03-Jul-2019
HAPSARI, NY RT 12/31 API-API
582 0-12-01-45 AQILA ZAHRA R AN JL BINTAN RT 16/03 P X 4 Th 03-Jul-2019
BTN KCY
583 0-12-01-46 MARIA NATALIA , NY JL. SEMARANG RT P X 25 Th 03-Jul-2019
29 GN TELIHAN
584 0-12-01-47 ABDUL ARSYAD, TN JL. TENGIRI RT 25/- L X 67 Th 03-Jul-2019
TJ LAUT INDAH
585 0-12-01-48 WIWIK WINARNI , NY JL. POROS BTG P Baru; X 31 Th 03-Jul-2019 Supervision of norma; Z34;
SAMARINDA RT 07
TELUK PANDAN
586 0-12-01-49 HAIDAR IRFAN TN JL MESS PAMA L X 23 Th 03-Jul-2019
CAMP 2000
587 0-12-01-50 AGUNG BIN ASRI, TN JL. IMAM BONJOL RT L Baru; X 22 Th 03-Jul-2019 Fever, unspecified; R50.9; Dirawat
12/7A GN ELAI
588 0-12-01-51 CELCIUS AGUNG JL. TENIS RT 37 NO L X 35 Th 03-Jul-2019
NGAMEL ,TN 3A API-API (MESS
KARYAWAN)
589 0-12-01-52 SERGIO RAMOS JL SELAT BONE RT L Baru; X 2 Th 03-Jul-2019 Injury of unspecifie; T14; Dirawat
MUTAQQI AN 18/29 TJ LAUT INDAH
590 0-12-01-53 ANIES FITRIAYANTI, JL. PERUM P Baru; X 19 Th 03-Jul-2019 Injury of unspecifie; T14; Dirawat
NN BEACUKAI RT/- TJ
LAUT
591 0-12-01-54 LAILATUL ASRORI JL SUNGAI API API P Baru; X 25 Th 03-Jul-2019 Supervision of norma; Z34;
NUR H NY RT 07 DESA SUKA
RAHMAT
592 0-12-01-55 SITI ANJARWATI, NY JL. SELAT KARIMATA P Baru; X 74 Th 03-Jul-2019 Anaemia due to enzym; D55;
RT 09/67 TJ LAUT
593 0-12-01-56 ANDRIAN YULIANTI JL JL KUBURAN L X 26 Th 03-Jul-2019
TN LAMA RT 13/05
LOKTUAN
594 0-12-01-57 TOLE MULYADI R JL SELAT LOMBOK L X 20 Th 03-Jul-2019
SDR RT 05/- TJ LAUT
INDAH
595 0-12-01-58 M ZHAQIR SATRIYADI JL MULAWARMAN L Baru; X 5 Th 03-Jul-2019 Foreign body in alim; T18; Dirawat
AN RT 10/- SALEBA
596 0-12-01-59 AKHMAD BAIQUNIE, JL. M SAID GANG L Baru; X 34 Th 03-Jul-2019 Fever, unspecified; R50.9;
TN DAMAI NO 99

20/Sep/2019 33
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

597 0-12-01-60 M NOOR JL PANGANDARAN L Baru; X 69 Th 03-Jul-2019 Dyspnoea; R06.0; Dirawat


SUMAKKARA TN RT 13/148 BERBAS
PANTAI
598 0-12-01-61 NURBAYANTI NY JL DI PANJAITAN GG P X 25 Th 03-Jul-2019
PIANO 8 BONTANG
BARU
599 0-12-01-62 MUSTAMIN, TN JL.KS RIBUN RT 16 L Baru; X 50 Th 03-Jul-2019 Orchitis and epididy; N45; Dirawat
KERAPU 2 TJ. LAUT
INDAH
600 0-12-01-63 ARJUNA, SDR JL. PELABUHAN 3 RT L X 20 Th 03-Jul-2019
14 NO 96
601 0-12-01-64 BERLIAN Y, NY JL. APT PRANOTO P Baru; X 58 Th 03-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
GG NITA
602 0-12-01-65 RINI, NY JL. IR H JUANDA GG L X 49 Th 03-Jul-2019
SARI TJ. LAUT
603 0-12-01-66 AI ROHAYATI NY JL S HASANUDDIN P X 50 Th 03-Jul-2019
GG LOSARI 2 RT
4/120 BERBAS
PANTAI
604 0-12-01-67 TEGUH BIN RUSMAN JL MT HARYONO L Baru; X 46 Th 03-Jul-2019 Vertigo of central o; H81.4;
TN ASRUD GN ELAI
605 0-00-37-90 YUWONO JL. PERUM L Lama; X 44 Th 04-Jul-2019 Other hyperlipidaemi; E78.4;
SUDARMASTO, TN DANARTA RT 28 NO
B-1 API API
606 0-00-56-07 VITO RAMA, AN. JL. DI. PANJAITAN L Lama; X 15 Th 04-Jul-2019 Diarrhoea and gastro; A09; Dirawat
RT. 25/02 API API
607 0-01-87-91 ABDUL SAMAD, TN. JL. KAPAL SELAM RT L X 61 Th 04-Jul-2019
18 LOKTUAN
608 0-02-04-97 MEGAWATI BIN JL PANGANDARAN P Baru; X 19 Th 04-Jul-2019 Insertion of (intrau; Z30.1;
SUWANDI NY RT 13 NO 179 B
PANTAI
609 0-03-05-05 FAKHIHATUN NN, AN. JL. BRIGJEN P X 15 Th 04-Jul-2019
KATAMSO RT 15/22
GN. ELAI
610 0-03-50-43 MUNA IFFATUR JL PATTIMURA GG P X 14 Th 04-Jul-2019
RAHIMAH AN ATLETIK 20 RT 41
NO 132 API-API
611 0-04-36-13 RAMLA DEWI, NY. JL. PELABUHAN RT P Lama; X 34 Th 04-Jul-2019 Chronic hepatitis, u; K73.9;
14/166 TL. LAUT
INDAH
612 0-04-96-02 HARTATI NY JL. MULAWARMAN P X 34 Th 04-Jul-2019
RT 10/7 BTG BARU

20/Sep/2019 34
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
613 0-05-43-75 EKA HANDAYANI, NY JL. SELAT KARIMATA P Lama; X 34 Th 04-Jul-2019 Dyspepsia; K30; Dirawat
RT 26 NO 53
TANJUNG LAUT
614 0-05-47-34 MUGIARTO. TN JL. PERUM GRIYA L Baru; X 48 Th 04-Jul-2019 Thoracic aortic aneu; I71.1;
WISATA RT 14
BONTANG KUALA
615 0-05-62-50 ANGGA PERMANA JL LOSARI RT 4 B L X 27 Th 04-Jul-2019
PUTRA, SDR PANTAI
616 0-05-65-08 RITA ARIYANA NY JL. DI PANJAITAN RT P Lama; X 46 Th 04-Jul-2019 Dyspepsia; K30; Dirawat
02 BONTANG BARU
617 0-05-89-94 GALANG TORA JL. SELAT KARIMATA L Lama; X 9 Th 04-Jul-2019 Asthma, unspecified; J45.9; Dirawat
SUTENO AN RT.23 TJ. LAUT
618 0-05-91-97 SUSI SUSANTI NY JL PELABUHAN GG P Baru; X 26 Th 04-Jul-2019 Supervision of norma; Z34;
UDANG RT 33 TJ
LAUT INDAH
619 0-06-02-02 FARANISSA JL. VETERAN GG P X 6 Th 04-Jul-2019
SALSABILA A AN INTAN RT 28 NO 55 B
TENGAH
620 0-06-29-18 SURYA DEWI JL PATTIMURA GG P Lama; X 31 Th 04-Jul-2019 Supervision of norma; Z34;
WULANDARI NY ATLETIK 5 RT 33/77
A API API
621 0-06-33-12 RAHMAH S NY JL KENANGAN RT 28 P X 42 Th 04-Jul-2019
TJ LAUT INDAN
622 0-06-46-86 SRI WAHYUNI NY JL ZAMRUD GG P X 31 Th 04-Jul-2019
ZAMRUD 19 RT 62/17
B TENGAH
623 0-06-83-97 FARKHATUL KIPIYATI JL PARIKESIT RT.12 P Baru; X 23 Th 04-Jul-2019 Supervision of norma; Z34;
NY BTG BARU
624 0-06-86-05 NAYYA SHAQIELLA, JL. SULTAN P X 8 Th 04-Jul-2019
AN HASANUDDIN RT 56
NO 16 BERBAS
TENGAH
625 0-06-88-00 ASHILLA APRILLIA AZ JL HM ARDAN RT.23 P X 5 Th 04-Jul-2019
AN SATIMPO
626 0-07-08-17 HANIF BIN MUSTAFA, JL. MH TAMRIN RT L Lama; X 7 Th 04-Jul-2019 Otitis media, unspec; H66.9;
AN 03/40 BTG BARU
627 0-07-08-54 GABRIELA JUANNE A, JL. PELABUHAN I RT L Lama; X 7 Th 04-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN 31 TANJUNG LAUT
INDAH
628 0-07-10-95 AYRA DESVITA AYU JL. SULTAN P Lama; X 8 Th 04-Jul-2019 Nausea and vomiting; R11; Dirawat
AN HASANUDDIN RT 36
NO 42 BERBAS
TENGAH

20/Sep/2019 35
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
629 0-07-13-94 JUSTINAH TAHIR NY JL. IR SUKARNO P Baru; X 29 Th 04-Jul-2019 Chronic sinusitis, u; J32.9;
HATTA RT. 59/ B
TENGAH
630 0-07-23-41 M ABDUL AZIS TN JL. MT HARYONO L X 34 Th 04-Jul-2019
RT. 30/83 API API
631 0-07-36-80 REYDA REYHAN JL. GAJAH MADA RT L Baru; X 4 Th 04-Jul-2019 Varicella [chickenpo; B01;
RABBANI AN 10/4 B TGH
632 0-07-54-31 MARYATUN NY JL. KAPT P P X 37 Th 04-Jul-2019
TENDEAN RT. 14/21
BTG KUALA
633 0-07-69-72 M FAIREL HERYADI JL. KS TUBUN RT. L Baru; X 5 Th 04-Jul-2019 Other and unspecifie; R10.4; Dirawat
AN 29/ TJ LAUT INDAH
634 0-07-76-41 BECCE BINTI , NY JL S HASANUDDIN P Lama; X 47 Th 04-Jul-2019 Rheumatoid arthritis; M06.9;
RT 9 B PANTAI
635 0-07-76-41 BECCE BINTI , NY JL S HASANUDDIN P X 47 Th 04-Jul-2019
RT 9 B PANTAI
636 0-07-77-98 MARTHA RITA P, NY JL TARAKAN RT 18 / P X 38 Th 04-Jul-2019
52 GN TELIHAN
637 0-07-93-59 M AKMAL LATIF AN JL. PATIMURA RT. L Baru; X 4 Th 04-Jul-2019 Nausea and vomiting; R11;
32/ API API
638 0-07-99-32 HENI, NY JL KP TENDEAN RT P X 32 Th 04-Jul-2019
1 NO. 15 BTG KUALA
639 0-08-09-51 ERNA BINTI, NY JL. BINA RAGA RT 07 P Lama; X 34 Th 04-Jul-2019 Supervision of norma; Z34;
MUARA BADAK
640 0-08-19-08 AHMAD ZAKI JL DI PANJAITAN GG L X 9 Th 04-Jul-2019
MAULANA, AN PIANO 8 RT 2 BTG
BARU
641 0-08-22-14 ARKIAH BIN M TAHIR JL SELAT BONE RT P Lama; X 49 Th 04-Jul-2019 Non-insulin-dependen; E11;
NY 17/9 TJ LAUT
642 0-08-37-16 TOTOK SUHARSOYO, JL SERULING RT 21 L Baru; X 58 Th 04-Jul-2019 Other and unspecifie; S09;
TN NO 33 BTG BARU
643 0-08-44-95 ARVIN ARDAM, AN JL ZAMRUD RT 53 B L Baru; X 3 Th 04-Jul-2019 Injury of unspecifie; T14; Dirawat
TENGAH
644 0-08-68-79 MAYLAFAISHA JL. KAPAL PANDU III L X 3 Th 04-Jul-2019
AURUM S AN NO 09 BELIMBING
645 0-08-70-40 RAMLI BIN, TN JL. HOP I RT 03 NO L Lama; X 44 Th 04-Jul-2019 Non-insulin-dependen; E11;
84 SATIMPO
646 0-08-74-24 AYU ANGGRAENI NY JL. BATU SAHASA P Lama; X 27 Th 04-Jul-2019 Supervision of norma; Z34;
RT 02/44 BTG KUALA
647 0-08-81-98 NOVITA HERMAWATI, JL R SOEPRAPTO P X 27 Th 04-Jul-2019
NY GG AMALIYAH RT 23
NO 48 API API

20/Sep/2019 36
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
648 0-08-90-01 MARKANI BIN JL. UNTUNG L Lama; X 59 Th 04-Jul-2019 Essential (primary) ; I10;
TUKIMIN TN SUROPATI RT 20
TANJUNG LAUT
649 0-08-96-74 LUDOVIKA JL. KENANGAN RT. P Baru; X 28 Th 04-Jul-2019 Fever, unspecified; R50.9; Dirawat
VALENTINE S NY 30 NO. 49 T LAUT
650 0-08-99-05 M ARIE ANDREA JL. S SAHRIR RT 02 L Baru; X 8 Th 04-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
LUTFI AN TJ LAUT
651 0-09-19-67 EXTRADA JL S HASANUDDIN L X 12 Th 04-Jul-2019
MAHARDIKA Y AN RT 5 NO 60 B PANTAI
652 0-09-24-94 NURMILA BINTI NY JL PIANO 6 RT 03/91 P Baru; X 50 Th 04-Jul-2019 Gynaecological exami; Z01.4;
BTG BARU
653 0-09-25-18 HARYATI NY JL. IR H JUANDA RT. P Baru; X 30 Th 04-Jul-2019 Postpartum care and ; Z39;
36 TJ LAUT
654 0-09-29-51 GABRIEL ALVARO M JL R SOEPRAPTO L Lama; X 3 Th 04-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT 13 BTG BARU
655 0-09-34-45 NURUL FITRI NY JL PARIKESIT RT 5 P X 43 Th 04-Jul-2019
NO 5 BTG BARU
656 0-09-43-98 SYARIFAH AULIA JL BATU SAHASA RT P Baru; X 17 Th 04-Jul-2019 Diarrhoea and gastro; A09; Dirawat
DEFITRI AN 04 NO 27 BTG KUALA
657 0-09-65-02 SUNARSIH BINTI NY JL GAMELAN RT P Baru; X 45 Th 04-Jul-2019 Pulpitis; K04.0; Dirawat
13/50 BTG BARU
658 0-09-67-37 PUTRI REZKY AZHARI JL JEND SUDIRMAN P Baru; X 17 Th 04-Jul-2019 Chronic sinusitis, u; J32.9;
,SDR RT 26/ TJ LAUT
659 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P X 24 Th 04-Jul-2019
GG ARUMBIA 1 RT
27 BTG BARU
660 0-09-69-84 YAYUK ZULFIKA NY JL AWANG LONG RT P X 24 Th 04-Jul-2019
17 BTG BARU
661 0-09-85-16 MARKUS BURA, TN JL. SAWO I RT 34 NO L Lama; X 60 Th 04-Jul-2019 Otitis media, unspec; H66.9;
15 TANJUNG LAUT
662 0-09-92-91 MURNI BINTI JL DIPONEGORO RT P Lama; X 45 Th 04-Jul-2019 Vertigo of central o; H81.4;
HAMURUDDIN NY 15 BERBAS PANTAI
663 0-09-97-78 ARIDA BASIR, NY JL. ASPOL BLOK D P X 43 Th 04-Jul-2019
NO 21 GN ELAI
664 0-10-08-38 NADYA AMELIA PUTRI JL PATIMURA RT P X 1 Th 04-Jul-2019
AN 42/GG ATLETIK 16
API API
665 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Lama; X 44 Th 04-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
666 0-10-22-01 NUR ROFIFA P , AN JL. MULAWARMAN P Lama; X 1 Th 04-Jul-2019 Fever, unspecified; R50.9; Dirawat
RT 04/15 GN ELAI
667 0-10-23-28 FITRIA NURJAYANTI, JL. PAPRIKA RT, 44 P X 26 Th 04-Jul-2019
NY NO. 31 GN ELAI

20/Sep/2019 37
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

668 0-10-25-47 AISYA MECCA JL MT HARYONO P Baru; X 1 Th 04-Jul-2019 Urticaria, unspecifi; L50.9; Dirawat
VARISHA Y AN ASRUD RT 6 BLOK S
NO 7 GN ELAI
669 0-10-38-72 AFIF AHWAL SAID AN JL. KOL RT 11 API L Baru; X 1 Th 04-Jul-2019 Asthma; J45; Dirawat
API
670 0-10-51-02 NELSON SITORUS, JL. SELAT ALOR RT L Lama; X 55 Th 04-Jul-2019 Shoulder lesions; M75;
TN 32 NO 41 TANJUNG
LAUT
671 0-10-60-99 M ARDIAN PRATAMA, JL. KAPAL LAYAR RT L Baru; X 8 Th 04-Jul-2019 Chronic sinusitis, u; J32.9;
AN 23 LOKTUAN
672 0-10-68-07 KIKI WIJAYANTI, NY JL. PATTIMURA GG P Baru; X 28 Th 04-Jul-2019 Otitis media, unspec; H66.9;
ATLETIK 11 RT 27/-
API-API
673 0-10-68-60 SUMANTO TN JL LUMBA LUMBA RT L X 59 Th 04-Jul-2019
27/76 TJ LAUT INDAH
674 0-10-69-02 DEDI JULIANTO, TN JL. MESS 2000 PAMA L Baru; X 34 Th 04-Jul-2019 Deposits [accretions; K03.6;
675 0-10-69-49 FIFIE ALWI, NY JL. PIRUS RAYA RT P X 21 Th 04-Jul-2019
13 /- BERBAS
TENGAH
676 0-10-75-52 JUARIAH, NY JL. KENANGAN RT P Lama; X 44 Th 04-Jul-2019 Supervision of norma; Z34;
28 TANJUNG LAUT
677 0-10-92-80 BIA BINTI GEDONG JL. ZAMRUTRT 044 P Lama; X 46 Th 04-Jul-2019 Diarrhoea and gastro; A09; Dirawat
NY N0 24 BERBAS
TENGAH
678 0-10-93-47 MIKAYLO AXELLO, AN JL. GENDANG 5 RT L X 9b 04-Jul-2019
21 NO BTG BARU
679 0-10-94-43 WAHYUNI BINTI, AN JL RE P Baru; X 14 Th 04-Jul-2019 Calculus of kidney a; N20;
MARTADINATA RT
26/19 LOKTUAN
680 0-10-98-25 TOSIAH NY JL PATIMURA RT 27/ P Lama; X 50 Th 04-Jul-2019 Non-insulin-dependen; E11;
API API
681 0-11-14-08 HENI PURNIAWATI JL PELABUHAN 3 RT P X 20 Th 04-Jul-2019
NN / TJ LAUT INDAH
682 0-11-15-26 YASIN ABIDZAR Y, AN JL. WORTEL RT L X 7b 04-Jul-2019
09/135 GN ELAI
683 0-11-19-94 BAHERIA NY JL SELAT BANDUNG P Lama; X 43 Th 04-Jul-2019 Thyrotoxicosis [hype; E05;
RT 14/ TJ LAUT
684 0-11-21-52 KARDIANA HU HJ, NY JL. S SYAHRIR RT P X 59 Th 04-Jul-2019
06/02 TJ LAUT INDAH
685 0-11-34-62 ALESHA PUTRI N , AN JL. CUT NYAK DIEN P X 5b 04-Jul-2019
RT 09 BONTANG
BARU

20/Sep/2019 38
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
686 0-11-36-11 NURROH MADONA JL. PATOIMURA RT P Baru; X 16 Th 04-Jul-2019 Supervision of norma; Z34;
DWI A, AN 27 NO 13 API API
687 0-11-50-75 AFITRIANI NY JL. MH TAMRIN RT. P Lama; X 18 Th 04-Jul-2019 Supervision of norma; Z34;
26 BONTANG UTARA
688 0-11-52-39 YASMIN ZAKIA, AN JL A YANI GG P Baru; X 10 Th 04-Jul-2019 Acute pharyngitis, u; J02.9;
TAEKWONDO 1 RT
9/82 API API
689 0-11-59-02 SUARDI M TN JL MELATI RT 35 NO L Lama; X 56 Th 04-Jul-2019 Connective and other; D21.9;
33 TJ LAUT INDAH
690 0-11-59-16 SIRUANA BINTI HADIL JL PULAU GUSUNG P Baru; X 24 Th 04-Jul-2019 Postpartum care and ; Z39;
NY RT 3 GUNTUNG
691 0-11-63-30 HAURA ASSYIFA AN JL ADIPURA 3 NO 53 L Baru; X 3b 04-Jul-2019 Chronic tonsillitis; J35.0;
RT 06 KEL.
BONTANG LESTARI
692 0-11-64-10 HAMIDA HJ NY JL DI PONEGORO RT P X 51 Th 04-Jul-2019
15/115 BERBAS
PANTAI
693 0-11-64-81 M GIBRAN JL KS TUBUN GG L X 9b 04-Jul-2019
ALFARISKY AN NILA 1 RT 28
694 0-11-65-61 INTIFAAH BIN JL WR SUPRATMAN P Lama; X 37 Th 04-Jul-2019 Supervision of norma; Z34;
MASFUAD NY RT 27 TANJUNG
LAUT
695 0-11-67-55 RAFIKA CANDRA D JL IR H JUANDA / 58 P Baru; X 30 Th 04-Jul-2019 Syncope and collapse; R55; Dirawat
NY RT 32
696 0-11-68-05 AYRA NUR ALIFA, AN JL. IR JUANDA RT 35 P X 1 Th 04-Jul-2019
TANJUNG LAUT
697 0-11-70-94 ALRESCHA KIANO F, JL. TENIS RT 38 NO L X 3b 04-Jul-2019
AN 25 API API
698 0-11-85-49 SALSABILA HANUM JL. GAJAH MADA RT P X 1b 04-Jul-2019
AR R, AN 38 GG MASKUL 2 NO
22
699 0-11-86-97 DHINA MASRIFATUL JL. KP TENDEAN RT P Baru; X 27 Th 04-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
H, NY 18/- B KUALA
700 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L X 61 Th 04-Jul-2019
NO 11 BERBAS
TENGAH
701 0-11-89-38 LEONARDO IVANO L , JL PONTIANAK 1 RT L X 31 Hr 04-Jul-2019
AN 19/56 GN TELIHAN
702 0-11-89-84 JUNI ARKA PASARIBU JL. FROLES RT 01 L X 30 Hr 04-Jul-2019
AN
703 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 04-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API

20/Sep/2019 39
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
704 0-11-92-56 YULIUS RURU TN JL PONTIANAK 4 RT L Baru; X 64 Th 04-Jul-2019 Inguinal hernia; K40;
19 / 69 GUNUNG
TELIHAN
705 0-11-92-84 RISMAH NY JL HOP 6 NO 88 P X 55 Th 04-Jul-2019
SATIMPO
706 0-11-95-56 HALIM ALI, TN JL. TIPALAYO RT L X 66 Th 04-Jul-2019
033/28 B TENGAH
707 0-11-95-65 HASMAWATI BINTI JL. GITAR GG GITAR P Lama; X 35 Th 04-Jul-2019 Connective and other; D21.9;
LABABA NY 2 RT 07/- B BARU
708 0-11-96-60 DZURRATUL AFRA JL. RA KARTINI RT P Lama; X 19 Th 04-Jul-2019 Connective and other; D21.9;
AFIFAH NN 23 NO 93 BONTANG
BARU
709 0-11-96-99 THALIA BLEZINKY NY JL. CUT NYAK DIEN P Baru; X 23 Th 04-Jul-2019 Supervision of norma; Z34;
NO 07 RT 9/- BTG
BARU
710 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 04-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
711 0-11-98-42 SADELI TN JL. GENDANG 1 NO L X 67 Th 04-Jul-2019
19
712 0-11-98-61 ABD MALIK, TN JL. KS TUBUN RT 29 L X 62 Th 04-Jul-2019
NO 37
713 0-11-99-22 LESTARI PRANA A, JL. JEND SUDIRMAN P X 17 Th 04-Jul-2019
AN RT 22/- TJ LAUT
714 0-11-99-26 NURLITA ZUL FITRIAH JL ZAMRUD GG P Baru; X 27 Th 04-Jul-2019 Postpartum care and ; Z39;
NY ZAMRUD 15 RT 51/37
KEL. BERBAS
TENGAH
715 0-11-99-28 GHIFARI SYAFI JL ZAMRUD GG L X 7 Hr 04-Jul-2019
AHMAD M AN ZAMRUD 15 RT 51/37
KEL. BERBAS
TENGAH
716 0-11-99-35 SUGIANTO BIN TN JL. A YANI RT 05/- L X 55 Th 04-Jul-2019
API-API
717 0-11-99-58 DEWI AGUSNAWATI JL DESA SEBUNTAL P X 18 Th 04-Jul-2019
NN RT 13 MARANG
KAYU
718 0-11-99-75 ALKHALIFI ZIKRI H AN JL IR H JUANDA RT L X 6 Hr 04-Jul-2019
36 TJ LAUT
719 0-12-00-20 HJ BAU NY JL WR SUPRATMAN P Lama; X 59 Th 04-Jul-2019 Essential (primary) ; I10; Dirawat
RT 59 TJ LAUT BTG
SELATAN
720 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P Baru; X 17 Th 04-Jul-2019 Chronic sinusitis, u; J32.9;
RT 15/- TJ LAUT
INDAH

20/Sep/2019 40
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

721 0-12-00-82 DZAKI ZAHFRAN AL JL PANTTIMURA RT L X 5 Th 04-Jul-2019


ZIKRI AN 41BTG UTARA
722 0-12-00-82 DZAKI ZAHFRAN AL JL PANTTIMURA RT L X 5 Th 04-Jul-2019
ZIKRI AN 41BTG UTARA
723 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Baru; X 48 Th 04-Jul-2019 Inguinal hernia; K40;
TN NO 2 B TENGAH
724 0-12-01-45 AQILA ZAHRA R AN JL BINTAN RT 16/03 P Baru; X 4 Th 04-Jul-2019 Fever, unspecified; R50.9; Dirawat
BTN KCY
725 0-12-01-61 NURBAYANTI NY JL DI PANJAITAN GG P X 25 Th 04-Jul-2019
PIANO 8 BONTANG
BARU
726 0-12-01-68 HAMDANI BIN HANAFI JL. DI PANJAITAN L Baru; X 16 Th 04-Jul-2019 Haemorrhage from res; R04.9; Dirawat
AN GG ATLETIK 3 RT 27
727 0-12-01-69 HARTATI NY BY JL. MULAWARMAN L X 0 Hr 04-Jul-2019
RT 10/7 BTG BARU
728 0-12-01-70 ARYA ASKA AN JL. TIPA LAYO RT 36 P Baru; X 3 Th 04-Jul-2019 Nausea and vomiting; R11; Dirawat
BB PANTAI
729 0-12-01-71 EKA DINI FATMAWATI JL. A YANI NO 6A P Baru; X 37 Th 04-Jul-2019 Other and unspecifie; R10.4; Dirawat
NY RT11/-
730 0-12-01-72 WIDIAWATI NY JL. IR H JUANDA GN P Baru; X 46 Th 04-Jul-2019 Other and unspecifie; R10.4; Dirawat
TELIHAN
731 0-12-01-73 HAJIRAH BINTI JL SANTAN TENGAH P Baru; X 50 Th 04-Jul-2019 Dyspepsia; K30;
DAENG M NY HANDIL DUA RT 008
MARANGKAYU
732 0-12-01-74 AKSARA BIRU JL. KS TUBUN GG L Baru; X 10 b 04-Jul-2019 Epidermolysis bullos; Q81.1;
WIDIYANTO, AN BREKSI RT 15/- B
KUALA
733 0-12-01-75 HASANUDDIN BIN TN JL MH THAMRIN RT 1 L Baru; X 63 Th 04-Jul-2019 Injury of unspecifie; T14; Dirawat
/ 15 TJ LIMAU
734 0-12-01-76 SUMARINA BINTI JL. KS TUBUN GG P Baru; X 34 Th 04-Jul-2019 Necrosis of pulp; K04.1;
MARZUKI, NY VULKANIK RT 08/- B
KUALA
735 0-12-01-77 ERANA AMBARWATI JL DI PANJAITAN RT P X 19 Th 04-Jul-2019
NY 1 / 50 BONTANG
BARU
736 0-12-01-78 ANDI PUTRA AN JL RE L X 3 Th 04-Jul-2019
MARTADINATA RT 4
LOKTUAN
737 0-12-01-79 FAEYZA FAFQI D AN JL SELAT MADURA L X 7 Th 04-Jul-2019
21 GN SARI TJ LAUT
738 0-12-01-80 YUNIATI BINTI NY JL. KAPAL FERI RT P Baru; X 29 Th 04-Jul-2019 Traumatic shock; T79.4; Dirawat
07/- LOKTUAN
739 0-12-01-81 RAHMAN BIN MARALI JL RUSUNAWA P Baru; X 43 Th 04-Jul-2019 Muscle strain; M62.6;
TN APIAPI

20/Sep/2019 41
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

740 0-12-01-82 RUQAYYAH BINTI JL SULTAN SAHRIR P Baru; X 28 Th 04-Jul-2019 Supervision of norma; Z34;
RASYID NY RT 6 TJ LAUT INDAH
741 0-12-01-83 MISIRAH NINGSIH NY JL PC 6 24 B KOMP P X 43 Th 04-Jul-2019
PT BADAK
742 0-12-01-84 SAMIRAN TN JL PC 6 24 B KOMP L X 47 Th 04-Jul-2019
PT BADAK
743 0-12-01-85 DARNAWATI BIN JL PELABUHAN 2 RT P Baru; X 45 Th 04-Jul-2019 Thyrotoxicosis [hype; E05;
ISMAIL NY 9 / 36 TJ LAUT INDAH
744 0-12-01-86 PUTRI ZAHRA R, NN JL. HM ARDANS P Baru; X 18 Th 04-Jul-2019 Necrosis of pulp; K04.1;
PISANGAN 1 RT 22/-
SATIMPO
745 0-12-01-87 ETI OKTAPIYANTI, NY JL. PELABUHAN III P Baru; X 19 Th 04-Jul-2019 Supervision of norma; Z34;
GG UDANG RT 14/-
TJ LAUT INDAH
746 0-12-01-88 AGUS SULARNO TN JL KEPODANG / 16 L Baru; X 45 Th 04-Jul-2019 Abdominal and pelvic; R10;
PERUMAHAN BTN
PKT BONTANG
747 0-12-01-89 ANDI MUNAWIR TN JL PANTAI INDAH RT L Baru; X 44 Th 04-Jul-2019 Cutaneous abscess, f; L02;
24 M KAYU
748 0-12-01-90 WINARTI NY DUSUN PADAELO P Baru; X 26 Th 04-Jul-2019 Supervision of norma; Z34;
RT 2 MARANGKAYU
749 0-12-01-91 DARWIS BIN AMIR TN JL KAPT PIERE L X 37 Th 04-Jul-2019
TENDEAN GG BATU
SAHASA RT 6
750 0-12-01-92 YATINEM BINTI JL POROS BTG SGT P X 59 Th 04-Jul-2019
DARMAN NY RT 7 TELUK PANDAN
751 0-12-01-93 MAYA SARI NY JL INSAN RAYA RT P Baru; X 28 Th 04-Jul-2019 Supervision of norma; Z34;
10 MUARA BADAK
752 0-12-01-94 RIFAIE SOEWITO TN JL RE L X 60 Th 04-Jul-2019
MARTADINATA RT
10 LOKTUAN
753 0-12-01-95 M GIBRAN, AN JL JEND SUDIRMAN L Baru; X 17 Th 04-Jul-2019 Other and unspecifie; R29.8; Dirawat
RT 10 / 30 TJ LAUT
754 0-12-01-96 MANSYUR TN JL PANGANDARAN L Baru; X 46 Th 04-Jul-2019 Injury of unspecifie; T14; Dirawat
RT 12 BERBAS
PANTAI
755 0-12-01-97 ROSMIATI, NY JL. POROS P Baru; X 38 Th 04-Jul-2019 Otitis media, unspec; H66.9;
BONTANG -
SANGATA
756 0-12-01-98 I WAYAN DAUH TN JL BHAYANGKARA L Baru; X 71 Th 04-Jul-2019 Essential (primary) ; I10;
GG TIARA RT 09/22
GUNUNG ELAI

20/Sep/2019 42
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
757 0-12-01-99 FAKHIRA MISHA S AN JL PELABUHAN RT P Baru; X 10 b 04-Jul-2019 Other and unspecifie; S09; Dirawat
10/25 TANJUNG
LAUT
758 0-12-02-02 ROSALINA NY JL WR SUPRATMAN P X 24 Th 04-Jul-2019
RT 24 BEREBAS
TENGAH
759 0-12-02-06 SHIREEN NAZIHA B JL ZAMRUD GG P Baru; X 8b 04-Jul-2019 Other and unspecifie; R10.4; Dirawat
AN ZAMRUD 13 RT 61/37
BEREBAS TENGAH
760 0-00-32-17 OZZAMA ZAHRI A K P JL. BINTAN RT 16/9 L X 18 Th 05-Jul-2019
AN. API-API
761 0-00-42-89 ROSIANA, NY. JL. SULTAN P X 44 Th 05-Jul-2019
SYAHRIR RT 06 NO
25 TANJUNG LAUT
762 0-00-77-93 NONI ARBAINI, AN JL S SYAHRIR RT P X 17 Th 05-Jul-2019
06/25 TJ LAUT
763 0-00-90-86 GUNARSIH, NY. JL. DIPONEGORO P X 54 Th 05-Jul-2019
RT. 23/50 API API
764 0-02-57-93 JAMALUDDIN BIN JL SAMRATULANG L X 65 Th 05-Jul-2019
TOHA TN H GG LOHAN RT 15/64
TJ LAUT INDAH
765 0-03-10-24 ROSMINI HJ, NY. JL MULAWARMAN P Baru; X 47 Th 05-Jul-2019 Injury of unspecifie; T14;
RT. 01 B. BARU
766 0-03-37-93 M FATIH THORIQUL K JL P SURYANATA RT L Lama; X 9 Th 05-Jul-2019 Pulp degeneration; K04.2;
AN 13 NO 24 BTG BARU
767 0-03-40-03 ERNAWATI, NY JL. AWANG LONG P Lama; X 52 Th 05-Jul-2019 Non-insulin-dependen; E11;
RT 006 NO. 5 B BARU
768 0-03-48-26 YELLING HJ NY JL. JUANDA RT.36/7 P Baru; X 64 Th 05-Jul-2019 Bronchitis, not spec; J40;
TJ. LAUT
769 0-04-20-94 ROHANI BINTI JL. RE P Lama; X 55 Th 05-Jul-2019 Bronchitis, not spec; J40;
ABDULLAH NY MARTADINATA RT
08/- LOKTUAN
770 0-04-48-56 ANDI SUWARDI , TN. JL. PANGANDARAN L Lama; X 39 Th 05-Jul-2019 Non-insulin-dependen; E11;
RT 13 B PANTAI
771 0-05-49-18 RABSEN MULSU, TN JL. JEND. SUDIRMAN L X 46 Th 05-Jul-2019
RT.26 TJ. LAUT
772 0-05-82-85 SANTI S NY JL SELAT LOMBOK P X 48 Th 05-Jul-2019
RT 5/26 TJ LAUT
773 0-05-87-34 NOLISYAH BINTI JL. BELANAK RT. P X 28 Th 05-Jul-2019
ABBAS NY 21/60 TJ. LAUT
INDAH
774 0-05-89-94 GALANG TORA JL. SELAT KARIMATA L Lama; X 9 Th 05-Jul-2019 Asthma; J45; Dirawat
SUTENO AN RT.23 TJ. LAUT

20/Sep/2019 43
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
775 0-05-90-55 SAENAB HJ NY JL. GG BAWAL RT P Lama; X 60 Th 05-Jul-2019 Diarrhoea and gastro; A09; Dirawat
13/77 TJ LAUT I
776 0-06-18-76 NURHAYATI BIN AMIR JL. MULAWARMAN P X 45 Th 05-Jul-2019
NY RT 10 NO 30 BTG
BARU
777 0-06-21-44 SITI ZULAEHA, NY JL SULTAN SYAHRIR P Baru; X 28 Th 05-Jul-2019 Insertion of (intrau; Z30.1;
RT 6 TANJUNG LAUT
INDAH
778 0-06-25-64 NAGITA NAZWA JL. R SOEPRAPTO P Baru; X 7 Th 05-Jul-2019 Other surgical follo; Z48;
QIRANI, AN RT 35 NO 36 API API
779 0-06-29-77 ARSIAH, NY HJ JL. R SOEPRAPTO P Baru; X 55 Th 05-Jul-2019 Nausea and vomiting; R11; Dirawat
RT 24 NO 32 API API
780 0-06-37-95 ZEIN NATHAN JL. IR H JUANDA RT L X 5 Th 05-Jul-2019
FATTIR, AN 32 TANJUNG LAUT
781 0-06-58-78 AHMAD DEFAN P AN JL. P SURYANATA L X 6 Th 05-Jul-2019
RT. 12/ BTG BARU
782 0-06-72-29 KADIO BINTI KILA ALI JL. MH THAMRIN RT P Baru; X 84 Th 05-Jul-2019 Essential (primary) ; I10;
NY 26 BTG BARU
783 0-07-17-83 ABDILLAH DANI JL DI PANJAITAN RT L Lama; X 9 Th 05-Jul-2019 Asthma; J45; Dirawat
OSMAN AN 4 NO BONTANG
BARU
784 0-07-31-86 NURSIA BIN WERE HJ JL. KAPAL FERI RT P Lama; X 45 Th 05-Jul-2019 Chronic hepatitis, u; K73.9;
NY 08 NO 24 LOKTUAN
785 0-07-33-19 MARCE PAKONDO NY JL. BANDUNG 4 RT P X 47 Th 05-Jul-2019
23 GN TELIHAN
786 0-07-34-16 KASIAMI BIN MISMAN JL RUBY RT 16 B P Lama; X 59 Th 05-Jul-2019 Connective and other; D21.9;
NY PANTAI
787 0-07-41-16 RAHMAT BIN ANWAR JL ZAMRUT RT 52 / 2 L X 26 Th 05-Jul-2019
TN B PANTAI
788 0-07-41-16 RAHMAT BIN ANWAR JL ZAMRUT RT 52 / 2 L Baru; X 26 Th 05-Jul-2019 Acute upper respirat; J06; Dirawat
TN B PANTAI
789 0-07-49-49 MAHMUD LAMADJIDE JL ZAMRUD 15 RT L Lama; X 65 Th 05-Jul-2019 Cutaneous abscess, f; L02;
TN 51/15 BEREBAS
TENGAH
790 0-07-50-92 USMAN TN JL. ZAMRUD RT. 52/ L X 34 Th 05-Jul-2019
B TENGAH
791 0-07-74-13 JALEHA BINTI JL. MERAUKE RT P X 48 Th 05-Jul-2019
AMANDEKA NY 16/3 API-API
792 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Baru; X 27 Th 05-Jul-2019 Other chronic suppur; H66.3;
INTAP, NY RT 2 TJ LAUT INDAH
793 0-07-99-12 SITI NUR RIZKIANA JL PELABUHAN RT P X 22 Th 05-Jul-2019
NN 14/22 TJ LAUT
UNDAH

20/Sep/2019 44
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

794 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 05-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
795 0-08-13-05 TUMIRAN BIN TN JL. PARIKESIT GG L Baru; X 64 Th 05-Jul-2019 Dyspnoea; R06.0; Dirawat
GITAR RT 07/ BTG
BARU
796 0-08-22-28 M FIRMANSYAH, TN JL A YANI RT 8 NO 23 L X 41 Th 05-Jul-2019
API API
797 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L Lama; X 16 Th 05-Jul-2019 Necrosis of pulp; K04.1;
BLOK O NO 9 KCY
API API
798 0-08-23-79 ELVINA AQILA JL. ASRUD RT 07 GN P X 3 Th 05-Jul-2019
RAHARJO, AN ELAI
799 0-08-25-49 NORLINAH, NY JL. LETJEN P X 51 Th 05-Jul-2019
SOEPRAPTO RT 23
NO 15 API API
800 0-08-26-63 DANCE BUDIMAN TN JL KEBUN SALAK RT L Baru; X 45 Th 05-Jul-2019 Injury of unspecifie; T14; Dirawat
019/ GUNTUNG
801 0-08-36-88 SUNARTI, NY JL. SELAT SELAYAR P X 57 Th 05-Jul-2019
RT 13 TANJUNG
LAUT
802 0-08-43-31 TANTO SAPUTRO, TN JL MT HARYONO GG L Baru; X 27 Th 05-Jul-2019 Acute upper respirat; J06.9;
SELANCAR 7 RT 28
NO 82 API API
803 0-08-44-10 KUMALA HJ NY JL RE P Baru; X 65 Th 05-Jul-2019 Fracture of upper en; S82.1;
MARTADINATA RT
31/12 LOKTUAN
804 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 05-Jul-2019 Traumatic amputation; S88;
RT 027
805 0-08-68-79 MAYLAFAISHA JL. KAPAL PANDU III L X 3 Th 05-Jul-2019
AURUM S AN NO 09 BELIMBING
806 0-08-89-36 RUSMIATI HJ BINTI JL WR SUPRATMAN P X 67 Th 05-Jul-2019
NY RT 09/61 B PANTAI
807 0-08-90-58 IBRAHIM BIN USMAN, JL PANGANDARAN L X 25 Th 05-Jul-2019
TN RT 13 NO 176 B
PANTAI
808 0-09-08-37 AZISHA JL. SELAT MALAKA P X 5 Th 05-Jul-2019
FEBRINAFASA, AN RT 10 NO 46
TANJUNG LAUT
809 0-09-08-74 ARVINO ADINATA N JL A YANI GG RAWA L Baru; X 2 Th 05-Jul-2019 Intra-abdominal and ; R19.0;
AN INDAH API API
810 0-09-11-94 BUSRAWATI BIN JL SULTAN P X 30 Th 05-Jul-2019
MARZUKI NY HASANUDDIN RT 4
TANJUNG LAUT
INDAH

20/Sep/2019 45
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

811 0-09-25-16 UMI KHASANAH NY JL JATI 3 RT 21 NO 4 P Lama; X 27 Th 05-Jul-2019 Supervision of norma; Z34;
SATIMPO
812 0-09-33-60 DIANA SILVIA NURUL JL. JET SKY RT 8/23 P X 11 Th 05-Jul-2019
A. AN API-API
813 0-09-51-86 FITRI LIASARI NY JL PERUM P Baru; X 31 Th 05-Jul-2019 Thyrotoxicosis [hype; E05;
COUNTRYWOOD RT
/75 GN TELIHAN
814 0-09-54-57 PAINI, NY JL. BHAYANGKARA P Lama; X 58 Th 05-Jul-2019 Non-insulin-dependen; E11;
RT 14/6 GN ELAI
815 0-09-58-22 RIZAL WAHYU JL. DEWI SARTIKA L X 31 Th 05-Jul-2019
STYANSYAH, TN RT, 08 NO. 89 BTG
BARU
816 0-09-64-38 HARWINARSIH BIN JL KH AGUS SALIM P X 36 Th 05-Jul-2019
BAHAR NY RT 05 B PANTAI
817 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P Baru; X 24 Th 05-Jul-2019 Otitis media, unspec; H66.9;
GG ARUMBIA 1 RT
27 BTG BARU
818 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L Baru; X 33 Th 05-Jul-2019 Cutaneous abscess, f; L02; Dirawat
NANANG TN 10 BTG KUALA
819 0-09-92-75 ISKANDAR ISMAIL TN JL HARUAN RT 20 L X 62 Th 05-Jul-2019
NO 09* TJ LAUT
INDAH
820 0-09-97-78 ARIDA BASIR, NY JL. ASPOL BLOK D P X 43 Th 05-Jul-2019
NO 21 GN ELAI
821 0-10-06-75 MARWAH, NN JL. POROS BTG SGT P X 23 Th 05-Jul-2019
RT, 15 TLK PANDAN
822 0-10-16-22 MAWARDI, TN JL. PATIMURA RT 33 L X 45 Th 05-Jul-2019
NO 30 API API
823 0-10-16-23 ELOK ERMA A, NY JL. PATIMURA RT, 33 P X 38 Th 05-Jul-2019
NO. 30 GG ATLETIK
15 API API
824 0-10-34-72 ADITYA ATHAFARIZ JL. ASRUD BLOK J L Lama; X 2 Th 05-Jul-2019 Acute suppurative ot; H66.0;
W , AN NO 6 GN ELAI
825 0-10-42-55 RANIA JL SERULING RT 21 P X 2 Th 05-Jul-2019
KHAIRUNNISYA AN BLOK B NO 6 BTG
BARU
826 0-10-74-83 ANNISYA PUTRI ,NN JL. A YANI GG P X 21 Th 05-Jul-2019
RAWIN RT 9/46
API-API
827 0-10-79-40 TSAMARA ZEIN AN JL MULAWARMAN P X 12 b 05-Jul-2019
GG AKUSTIK 3 RT 10
BTG BARU
828 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P Baru; X 49 Th 05-Jul-2019 Epistaxis; R04.0;
DUSSA NY TANJUNG LAUT

20/Sep/2019 46
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

829 0-10-84-92 XAVERIUS INTAP, TN JL. SULTAN L Lama; X 59 Th 05-Jul-2019 Chronic pansinusitis; J32.4;
SYAHRIR RT 02
TANJUNG LAUT
830 0-10-89-49 ZAINAL PULUNG TN JL MASJID NURUL L Lama; X 72 Th 05-Jul-2019 Acute pharyngitis; J02;
MUTTAQIN RT 37/01
LOKTUAN
831 0-10-94-15 ADYATAMA RAZKA A JL MT HARYONO GG L Baru; X 9 Th 05-Jul-2019 Injury of unspecifie; T14; Dirawat
AN SELANCAR 8 RT 28
API API
832 0-10-97-85 ZEYHAN FATHARIZAL JL R SUPRAPTO RT L X 1 Th 05-Jul-2019
AN 14/22 GG WAHYU
BTG BARU
833 0-11-04-29 ANDI SETIAWAN , TN JL. CAMP 2000 PAMA L X 18 Th 05-Jul-2019
834 0-11-08-15 ALVARO ADE RIYADI, JL. IR H JUANDA RT L X 8b 05-Jul-2019
AN 35 TANJUNG LAUT
835 0-11-12-02 SITTI KAMARIAH , NY JL. DI PANJAITAN P X 67 Th 05-Jul-2019
GG SENAM 2 RT 34/2
API-API
836 0-11-13-15 CHARLY HAMZAH AN JL KH DEWANTARA L Baru; X 6 Th 05-Jul-2019 Acute pharyngitis; J02;
2 RT 35 NO 57 TJ
LAUT
837 0-11-15-04 RIANI MUTIA JL. P X 4 Th 05-Jul-2019
AZZAHRA, AN CIPTOMANGUNKUS
UMO RT. 37 GN ELAI
838 0-11-20-23 AKHTAR ZIYYAN F, JL. GN KARANG L Baru; X 4 Th 05-Jul-2019 Connective and other; D21.9;
AN RT,26 NO. 10 BSD
GN ELAI
839 0-11-23-04 M DENIS JL. KAPAL PINISI RT L X 7 Th 05-Jul-2019
HERYANSYAH, AN 48 NO 65 LOKTUAN
840 0-11-24-79 DEVANO CHRISTMAS JL BANJARMASIN RT L X 6b 05-Jul-2019
A AN 21 NO 44 GN
TELIHAN
841 0-11-29-51 NIA WITRIYANI NY JL MULAWARMAN P Lama; X 30 Th 05-Jul-2019 Supervision of norma; Z34;
GG ARUMBIA 1 RT
10 NO 12 BTG BARU
842 0-11-30-65 HATINAH, NY JL. PENCAKSILAT 1 P X 82 Th 05-Jul-2019
RT, 12 API API
843 0-11-33-18 AWALIAH, NY JL. ZAMRUD RT, 52 B P X 49 Th 05-Jul-2019
TENGAH
844 0-11-52-69 ALEXANDER WOWA, JL. S KARIMATA RT L X 59 Th 05-Jul-2019
TN 9/55 TJ LAUT
845 0-11-70-55 SYAMSUDDIN SADAT JL JEND SUDIRMAN L X 57 Th 05-Jul-2019
TN RT 23 TJ LAUT BTG
SELATAN

20/Sep/2019 47
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

846 0-11-70-94 ALRESCHA KIANO F, JL. TENIS RT 38 NO L X 3b 05-Jul-2019


AN 25 API API
847 0-11-81-06 ANDI NAURA YUKI JL DIPONEGORO RT P Baru; X 1 Th 05-Jul-2019 Dyspnoea; R06.0; Dirawat
ZAHIRA AN 15 BERBAS PATAI
848 0-11-83-94 WAHYU DWI JL KAPT PIERE L X 20 Th 05-Jul-2019
SAPUTRA TN TENDEAN RT 09/36
BONTANG KUALA
849 0-11-86-58 UTOMO TN JL KH AGUS SALIM L Lama; X 55 Th 05-Jul-2019 Malignant neoplasm o; C18;
RT 05 BERBAS BTG
SELATAN
850 0-11-92-87 NOVITA NUR RIZKY JL SULAWESI BTN P Baru; X 20 Th 05-Jul-2019 Otitis media, unspec; H66.9;
NN KCY BLOK EE/5 API
API
851 0-11-93-56 M SAIL TN JL MH THAMRIN RT L Baru; X 47 Th 05-Jul-2019 Impacted cerumen; H61.2;
26 BTG BARU
852 0-11-95-19 JULMIDA BINTI JL ZAMBRUT 24 RT P Baru; X 34 Th 05-Jul-2019 Acute pharyngitis; J02;
HAMZAH NY 53/11 B TENGAH
853 0-11-96-62 ROLANDO SAMUEL JL. AWANG LONG L Baru; X 27 Th 05-Jul-2019 Dyspepsia; K30;
MARTUA TN GG ADHIAKSA RT
11/24 KEL. B. BAR
854 0-11-99-19 VINA ZAHRA R AN JL MULAWARMAN P X 6 Th 05-Jul-2019
RT 23/64 TANJUNG
LIMAU
855 0-11-99-22 LESTARI PRANA A, JL. JEND SUDIRMAN P X 17 Th 05-Jul-2019
AN RT 22/- TJ LAUT
856 0-11-99-39 SOMMENG TN JL. DESA TELUK L Lama; X 70 Th 05-Jul-2019 Connective and other; D21.9;
PANDAN RT 07/-
TELUK PANDAN
857 0-11-99-48 HASNAWATI BIN JL POROS BTG SMD P X 37 Th 05-Jul-2019
SANUSI NY KM 13 RT 05/- TELUK
PANDAN
858 0-11-99-58 DEWI AGUSNAWATI JL DESA SEBUNTAL P X 18 Th 05-Jul-2019
NN RT 13 MARANG
KAYU
859 0-11-99-61 UMAR AN JL. SELANCAR 7 NO L X 1 Th 05-Jul-2019
34
860 0-11-99-62 ARMAN MAULANA AN JL. SULTAN L Baru; X 14 Th 05-Jul-2019 Other complications ; T88;
HASNUDDIN RT 11
BB PANTAI
861 0-11-99-70 ZAHRA RAIHANA JL. MAHONI NO 89 P X 11 Th 05-Jul-2019
YUSNIAR AN HOP
862 0-11-99-88 M RIVKY ADITYA P AN JL IKAN TUNA RT L X 9 Th 05-Jul-2019
11/14 TJ LAUT INDAH

20/Sep/2019 48
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
863 0-12-00-00 SAPRUDIN BIN TN SAMBERA BARU 1 M L Baru; Baru; X 48 Th 05-Jul-2019 Other disorders of m; Disorder of M62;M6 Dirawat
KAYU RT 16/- muscle, ;
864 0-12-00-43 RESTI NURUL LINDA JL DUSUN WONO P Baru; X 28 Th 05-Jul-2019 Cutaneous abscess, f; L02;
NY ASRI RT 6 MAKARTI
865 0-12-00-43 RESTI NURUL LINDA JL DUSUN WONO P X 28 Th 05-Jul-2019
NY ASRI RT 6 MAKARTI
866 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P X 17 Th 05-Jul-2019
RT 15/- TJ LAUT
INDAH
867 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P X 17 Th 05-Jul-2019
RT 15/- TJ LAUT
INDAH
868 0-12-00-73 NADYA RISDAYANTI, JL PELABUHAN 1 RT P X 22 Th 05-Jul-2019
NN 10/11 TJ LAUT INDAH
869 0-12-01-09 M SULAIMAN, TN JL. B KATAMSO RT L Lama; X 34 Th 05-Jul-2019 Connective and other; D21.9;
15/- GN ELAI
870 0-12-01-22 FAJAR DAVID A, SDR JL. AHMAD YANI GG L Baru; X 19 Th 05-Jul-2019 Injury of unspecifie; T14; Dirawat
RAWA API-API
871 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L X 48 Th 05-Jul-2019
TN NO 2 B TENGAH
872 0-12-01-86 PUTRI ZAHRA R, NN JL. HM ARDANS P Baru; X 18 Th 05-Jul-2019 Pulpitis; K04.0;
PISANGAN 1 RT 22/-
SATIMPO
873 0-12-02-00 RATNAH BASI NY JL DEWI SARTIKA P X 36 Th 05-Jul-2019
GG KULINTANG 4 RT
28 BONTANG BARU
874 0-12-02-01 FRANSISKUS JL KAPAL NIAGA 1 P Baru; X 28 Th 05-Jul-2019 Otalgia; H92.0;
HUBSON K NY NO 9 RT 52
LOKTUAN
875 0-12-02-03 NURLAELIN NAJAH JL IMAM BONJOL RT P X 18 Th 05-Jul-2019
NY 12 GN ELAI
876 0-12-02-04 YESIA KRISTI, NN JL.SURABAYA RT 20 P Baru; X 21 Th 05-Jul-2019 Thyrotoxicosis [hype; E05;
KEL, GUNUNG
TELIHAN
877 0-12-02-05 SULIS ANIKA PUTRI , JL. SELAT SELAYAR P X 4 Th 05-Jul-2019
AN TJ. LAUT
878 0-12-02-06 SHIREEN NAZIHA B JL ZAMRUD GG P X 8b 05-Jul-2019
AN ZAMRUD 13 RT 61/37
BEREBAS TENGAH
879 0-12-02-07 SITI ULFA NY JL PATTIMURA RT 41 P X 20 Th 05-Jul-2019
API API
880 0-12-02-08 CYNTIA DWI N NY JL BRIGJEN P X 22 Th 05-Jul-2019
KATAMSO RT 45
BELIMBING

20/Sep/2019 49
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

881 0-12-02-09 RAHMATIA NY JL SULTAN P Baru; X 36 Th 05-Jul-2019 Dyspepsia; K30; Dirawat


HASANUDDIN RT 35
BEREBAS TENGAH
882 0-12-02-10 ELIN JURIA NY JL OTISTA RT 24 P X 22 Th 05-Jul-2019
BONTANG BARU
883 0-12-02-11 ENISTA WANNY JL AKUSTIK 2 RT 9 P Baru; X 40 Th 05-Jul-2019 Fracture of lumbar s; S32; Dirawat
LIMBONG NY BTG BARU
884 0-12-02-12 SILVIA HARLALENI NY JL. OTISTA RT 26/- P Baru; X 29 Th 05-Jul-2019 Supervision of norma; Z34;
BTG BARU
885 0-12-02-13 FANNIZA EBNU JL. B KATAMSO RT P X 23 Th 05-Jul-2019
WANJAR , NN 15 GN ELAI
886 0-12-02-14 SRI WAHYUNI BINTI JL SELAT BONE RT P X 29 Th 05-Jul-2019
NY 20 / 22 TJ LAUT
887 0-12-02-15 KRISHAGA DEREY TN JL MT HARYONO L X 23 Th 05-Jul-2019
BONTANG BARU
888 0-12-02-16 FIRMAN BIN JL WR SUPRATMAN L Baru; X 30 Th 05-Jul-2019 Neuralgia and neurit; M79.2;
BACHTIAR TN RT 59 BERBAS
TENGAH
889 0-12-02-17 NANA NOVIANA A NY JL. MH THAMRIN RT P Baru; X 24 Th 05-Jul-2019 Other disorders of u; N39; Dirawat
26
890 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P Baru; X 20 Th 05-Jul-2019 Connective and other; D21.9;
SARI NN ARWANA I RT 17/64
TJ LAUT I
891 0-12-02-19 SYARIFAH MIFHATUL JL BIOLA GG BIOLA 2 L X 16 Th 05-Jul-2019
I AN BONTANG BARU
892 0-12-02-20 NINIK BINTI M JL KEBUN GG TUPAI P Baru; X 23 Th 05-Jul-2019 Supervision of norma; Z34;
HUSAIN NY RT 13 LOKTUAN
893 0-12-02-21 NOVIA NUR AISYAH JL MOCH ROEM RT 3 P Baru; X 24 Th 05-Jul-2019 Supervision of norma; Z34;
NY BONTANG LESTARI
894 0-12-02-22 SATRIA MAULANA W, JL. KAPAL NIAGA V L X 10 b 05-Jul-2019
AN GREND TEMPUTU
LOKTUAN
895 0-12-02-23 SYAILA DWI JL PATIMURA GG P X 12 Th 05-Jul-2019
AZZAHRA AN ATLETIK 20 A / 100
APIAPI
896 0-12-02-24 HAMIDAH BINTI ABD JL KELEDAI P Baru; X 46 Th 05-Jul-2019 Supervision of norma; Z34;
WAHAB NY GUNUNG ELAI RT 4
897 0-12-02-25 HADARIAH NY JL. KENANGAN RT P Baru; X 53 Th 05-Jul-2019 Unspecified renal co; N23;
29 TJ LAUT
898 0-12-02-26 INDAH ANDRIANI NN JL KAPAL LAYAR 5 P Baru; X 18 Th 05-Jul-2019 Urinary tract infect; N39.0;
RT 23 / 19
899 0-12-02-27 ABDHURROHMAN JL. DI PANJAITAN RT L Baru; X 10 Th 05-Jul-2019 Injury of unspecifie; T14; Dirawat
BAKRI AN 31

20/Sep/2019 50
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

900 0-12-02-28 ANGELIKA GRACIA B , JL. NURI BLOK T 08 P Baru; X 4 Th 05-Jul-2019 Dyspepsia; K30;
AN BTN PKT BELIMBING
901 0-12-02-29 CHOIRUN NISA NY JL BRIGJEN P X 47 Th 05-Jul-2019
KATAMSO RT 44
BELIMBING
902 0-12-02-30 FARIDA ARIYANI NY JL MALUKU RT 16/10 P X 49 Th 05-Jul-2019
BTN KCY API API
903 0-12-02-31 INDAH PERMATASARI JL RUBY 1 RT 17 P Baru; X 10 Th 05-Jul-2019 Unspecified complica; T81.9; Dirawat
AN BERBAS TENGAH
904 0-12-02-32 JUNEDE BIN MADE JL HJ SRAILAH RT 4 L X 38 Th 05-Jul-2019
AMIN TN
905 0-12-02-33 KASIATI NY JL. LETTU AKIRANG P X 48 Th 05-Jul-2019
RT 23 TJ LAUT
906 0-12-02-34 RISKA INDRIANI AN JL. SANTAN ILIT RT P Baru; X 14 Th 05-Jul-2019 Otitis media, unspec; H66.9;
09/- M KAYU
907 0-12-02-35 GUSMAN TN JL A YANI RT 06 API L X 29 Th 05-Jul-2019
API BTG UTARA
908 0-12-02-36 RIFKY HANANI TN JL. KS TUBUN GG L Baru; X 23 Th 05-Jul-2019 Other surgical follo; Z48;
PLN NO 13
909 0-12-02-37 KASRIATI NY JL KENANGAN RT 29 P X 34 Th 05-Jul-2019
TANJUNG LAUT
910 0-12-02-38 M FATHIR AZAKI AN JL GUNUNG L X 8b 05-Jul-2019
MENANGIS RT 12
SEMANGKO M KAYU
911 0-12-02-39 HERI HERMANTO TN JL MENTE RT 24/02 L Baru; X 32 Th 05-Jul-2019 Fever, unspecified; R50.9; Dirawat
SATIMPO
912 0-12-02-40 DESMON, P, SDR JL. GANG SINABUNG L X 27 Th 05-Jul-2019
NO 1 PERUMAHAN
BSD PKT
913 0-12-02-43 GINBO ARTONO, SDR JL, P SURYANATA L X 24 Th 05-Jul-2019
NO. 58 RT 13
914 0-12-02-44 ELIS BINTI ALIT NY JL PELABUHAN RT P X 37 Th 05-Jul-2019
31 TANJUNG LAUT
INDAH
915 0-12-02-45 YUSUF JL. KS TUBUN GG L X 18 Th 05-Jul-2019
ROHMATULLAH,SDR KOL 4 RT 29
916 0-12-02-46 ABD WAHAB JL LUMBA LUMBA RT L X 46 Th 05-Jul-2019
DACHLAN TN 27/126 TJ LAUT
INDAH
917 0-12-02-47 M MAHARONI TN JL KENANGAN RT 29 L X 31 Th 05-Jul-2019
TANJUNG LAUT
918 0-12-02-51 RINA RUSTAMI NY JL TENNIS RT 37 API P X 27 Th 05-Jul-2019
API

20/Sep/2019 51
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

919 0-02-11-65 SAMANANG JL. IR JUANDA RT 33 P Lama; X 87 Th 06-Jul-2019 Low back pain; M54.5;
LANAKKE, NY TANJUNG LAUT
920 0-02-15-33 NURUL NAZWA JL. JENDRAL P X 14 Th 06-Jul-2019
ISNAINI, AN SUDIRMAN RT 26
TANJUNG LAUT
921 0-02-28-89 AUFA FELADIA M AN JL. PERUM L X 11 Th 06-Jul-2019
DANARTHA RT 29
API-API
922 0-03-61-41 PUSPA SALSARIA S, Jl. Pos 7 RT 18 No. - P Baru; X 26 Th 06-Jul-2019 Dyspepsia; K30;
NY. Loktuan
923 0-04-04-19 SRI UTAMI, NY JL. S SYAHRIL RT P X 55 Th 06-Jul-2019
003 NO. - T LAUT
INDAH
924 0-05-39-65 INDRAYANTI BIN JL BATU SAHASA 5 P Baru; X 26 Th 06-Jul-2019 Urinary tract infect; N39.0;
USMAN NY RT 12 BTG KUALA
925 0-05-62-50 ANGGA PERMANA JL LOSARI RT 4 B L X 27 Th 06-Jul-2019
PUTRA, SDR PANTAI
926 0-05-80-80 HARNI NY JL. DEWANTARA RT. P X 45 Th 06-Jul-2019
35/ TJ. LAUT
927 0-06-06-16 MULYO BIN RAPII TN JL. SULAWESI L X 65 Th 06-Jul-2019
RT.20/01 API API
928 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L X 47 Th 06-Jul-2019
HASANUDDIN RT 01
BERBAS PANTAI
929 0-06-69-69 PATIMAH NY JL. SAWO II RT 34 TJ P Lama; X 58 Th 06-Jul-2019 Synovitis and tenosy; M65.9;
LAUT
930 0-06-72-83 SETIAWATI NY JL OTISTA RT.26/36 P X 54 Th 06-Jul-2019
BTG BARU
931 0-06-85-95 SUMIRAN, TN JL. PIRUS RAYA RT L X 59 Th 06-Jul-2019
54 NO 12 BERBAS
TENGAH
932 0-06-92-34 NAWAWI BIN JL. AWANG LONG L X 44 Th 06-Jul-2019
JANGKANG, TN RT 01 BONTANG
BARU
933 0-06-92-94 DAENG BUYANG, TN JL. SAMRATULANGI L X 58 Th 06-Jul-2019
RT 15 TANJUNG
LAUT INDAH
934 0-07-27-75 TAJUDDIN BIN RIMI JL. MANUNGGAL RT L Baru; X 63 Th 06-Jul-2019 Urticaria; L50;
TN 06 NO 102 B PANTAI
935 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 06-Jul-2019 Necrosis of pulp; K04.1;
NY API API
936 0-07-79-97 SHAFA YUMNA P, AN JL PATTIMURA RT 42 P X 9 Th 06-Jul-2019
API API

20/Sep/2019 52
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

937 0-07-83-64 BADERIAH BINTI, NY JL, MH THAMRIN RT P Baru; Baru; X 62 Th 06-Jul-2019 Benign paroxysmal ve; Essential H81.1;I1
01 GN ELAI (primary) ;
938 0-07-97-55 KARMONO TN JL. S SAHRIR RT 06 L X 38 Th 06-Jul-2019
TJ LAUT I
939 0-08-12-05 MUSLIMIN, TN JL SANTAN TENGAH L X 42 Th 06-Jul-2019
RT 9 MARANGKAYU
940 0-08-13-05 TUMIRAN BIN TN JL. PARIKESIT GG L X 64 Th 06-Jul-2019
GITAR RT 07/ BTG
BARU
941 0-08-29-77 HARMONI NY JL. HARUAN RT 20 P X 47 Th 06-Jul-2019
TJ LAUT I
942 0-08-40-92 ALIEN AINUL M SDR JL MH HARYONO RT P Baru; X 20 Th 06-Jul-2019 Systemic lupus eryth; M32.9;
/16 A API API
943 0-08-47-99 SUDARMAN, TN JL ZAMRUD 13 RT 61 L X 51 Th 06-Jul-2019
B TENGAH
944 0-08-52-49 HERLINA, NY JL. SINGA JUNJUNG P X 35 Th 06-Jul-2019
RT 27 NO 05
MARANGKAYU
945 0-08-77-54 ERLINA NY JL. GG TENIS 2 RT P Lama; X 54 Th 06-Jul-2019 Gonarthrosis, unspec; M17.9;
37 API-API
946 0-09-03-59 AQILA AZZAHRA, AN JL. ZAMRUD 23 RT P X 2 Th 06-Jul-2019
52 NO 28 B TENGAH
947 0-09-16-11 ROSMINI BINTI JL PANGANDARAN P X 24 Th 06-Jul-2019
SULTAN NN RT 13 BERBAS
PANTAI
948 0-09-17-70 DIANITA AYOMI NY JL IR H JUANDA TJ P X 29 Th 06-Jul-2019
LAUT
949 0-09-41-61 M HAERUL A, TN JL SELAT MALAKA L Baru; X 24 Th 06-Jul-2019 Fever, unspecified; R50.9;
RT 10/57 TJ LAUT
950 0-09-41-61 M HAERUL A, TN JL SELAT MALAKA L X 24 Th 06-Jul-2019
RT 10/57 TJ LAUT
951 0-09-57-16 BAMBANG JL SELAT SELAYAR L Lama; X 39 Th 06-Jul-2019 Chronic hepatitis, u; K73.9;
IRWANSYAH TN RT 12 NO 11 TJ LAUT
952 0-09-59-37 SAIMAN BIN TN JL DESA BUNGA L Baru; X 44 Th 06-Jul-2019 Atrophy of edentulou; K08.2;
OUTIH RT 02/ M
KAYU
953 0-09-69-31 NINDI PURWATY JL. TELUK PANDAN P X 26 Th 06-Jul-2019
KARINDA, NY RT 07 KUTIM
954 0-09-71-19 SYARIFAH JL BIOLA 2 RT 5 NO P X 40 Th 06-Jul-2019
HAIRUNNISA NY 50 BTG BARU
955 0-09-78-22 ANDI MUH JL. PANGANDARAN L X 2 Th 06-Jul-2019
FEBRIANSYAH AN RT 13 B PANTAI

20/Sep/2019 53
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
956 0-09-79-64 ILHAM BIN LARUNI TN JL ASRUD RT 6 L X 47 Th 06-Jul-2019
BLOK I NO 1 GN ELAI
957 0-09-83-04 IROSTIKA, NY JL. PELABUHAN RT, P X 27 Th 06-Jul-2019
12 NO. 59 TANJUNG
LAUT
958 0-09-83-54 AZZAHRA ALMAIRAH JL. WR SUPRTAMAN P X 1 Th 06-Jul-2019
R AN RT 59/01 TJ LAUT
959 0-09-84-97 NURUL AISYAH , NN JL. S KARIMATA RT P Baru; X 21 Th 06-Jul-2019 Fever, unspecified; R50.9;
9/77 TJ LAUT
960 0-09-84-97 NURUL AISYAH , NN JL. S KARIMATA RT P X 21 Th 06-Jul-2019
9/77 TJ LAUT
961 0-09-97-89 IWAN FAISAL, TN JL. KALIMANTAN RT L X 46 Th 06-Jul-2019
19 NO 39 API API
962 0-10-04-18 MARSIAH BINTI M JL. S. HASANUDDIN P X 40 Th 06-Jul-2019
SAID NY GG OBSIDIAN RT
27/25 B TENGAH
963 0-10-04-18 MARSIAH BINTI M JL. S. HASANUDDIN P Lama; X 40 Th 06-Jul-2019 Non-insulin-dependen; E11;
SAID NY GG OBSIDIAN RT
27/25 B TENGAH
964 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Baru; X 44 Th 06-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
965 0-10-14-13 LILIK HANDAYANI, NY JL. KOL RT 08 NO 27 P Baru; X 52 Th 06-Jul-2019 Other headache syndr; G44;
GN ELAI
966 0-10-22-52 LAILATUS SAIDAH A JL BUNGA PUTIH RT P X 1 Th 06-Jul-2019
AN 01 MARANGKAYU
967 0-10-38-16 REXANNE KAFFAHIA JL. BHAYANGKARA P X 2 Th 06-Jul-2019
S, AN RT 14 GN ELAI
968 0-10-40-32 YUMNA SYAFIRA AN JL S HASANUDDIN P X 4 Th 06-Jul-2019
GG OBSIDIAN RT 27
NO 25 B TENGAH
969 0-10-47-95 INDO ESA NY JL PELABUHAN 3 RT P X 65 Th 06-Jul-2019
12 TJ LAUT INDAH
970 0-10-72-35 FATHIYYAH ADIBA JL SULTAN P Baru; X 2 Th 06-Jul-2019 Dermatitis, unspecif; L30.9;
ELIF P AN HASANUDDIN RT 27
B TENGAH
971 0-10-74-83 ANNISYA PUTRI ,NN JL. A YANI GG P X 21 Th 06-Jul-2019
RAWIN RT 9/46
API-API
972 0-10-86-12 NURLINDA BIN ISMAIL JL KS TUBUN GG P X 52 Th 06-Jul-2019
NY KOI 1 RT 29 TJ LAUT
INDAH
973 0-10-93-75 BUATI BINTI SUKARI, JL. B KATAMSO RT P X 47 Th 06-Jul-2019
NY 47/- BELIMBING

20/Sep/2019 54
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
974 0-10-99-16 ELIS SOLIHAH, NY JL. R SUPRAPTO RT. P X 57 Th 06-Jul-2019
16 BTG BARU
975 0-11-00-12 JUNITHA E NGAGIE JL. .DAMAI GG AMAN P X 50 Th 06-Jul-2019
NY. RT 12 KANAAN
976 0-11-08-00 M PAMBUKO SURYA JL. DEWI SARTIKA L Baru; X 7 Th 06-Jul-2019 Pulpitis; K04.0;
A, AN PERUM SERATON
RT 8/93 BTG BARU
977 0-11-13-04 ABDUL LATIF TN. JL WR SUPRATMAN L X 65 Th 06-Jul-2019
RT 17 NO 66 B
PANTAI
978 0-11-13-31 FAIREL BIN ,MASDIR JL. HANDIL RT 03 L X 7b 06-Jul-2019
AN MARANGKAYU
979 0-11-39-15 AHMAD IDUNA TN JL SELAT SELAYAR L Baru; X 59 Th 06-Jul-2019 Other headache syndr; G44;
RT 12/038 TJ LAUT
980 0-11-39-36 INTAN NY JL GATOT SUBROTO P X 54 Th 06-Jul-2019
RT 24 NO 240 B
PANTAI
981 0-11-44-90 DAFFI NOUFANI W, JL. AP L X 12 Th 06-Jul-2019
AN MANGKUNEGORO
RT, 06 NO. 13 B TGH
982 0-11-48-66 NURSIN, TN JL. PERUM SMKN 1 L X 53 Th 06-Jul-2019
BONTANG RT, 37 GN
ELAI
983 0-11-62-14 MAKRAH BINTI COLLI JL PANGANDARAN P X 71 Th 06-Jul-2019
NY RT 13 BERBAS
PANTAI
984 0-11-62-80 SYARIEF AL FAHRI JL. TIHI TIHI RT 15 L X 7b 06-Jul-2019
AN
985 0-11-66-90 FITRIAH AMANDA JL KS TUBUN GG P X 14 Th 06-Jul-2019
SALMA AN KERAPU 2 RT 16/-
KEL. TANJUNG LAUT
986 0-11-83-54 MASRIANI BINTI JL ZAMBRUD 11 RT P X 15 Th 06-Jul-2019
BAHAR NN 49/49 BERBAS
TENGAH
987 0-11-87-05 ADZKIYA ALNAIRA AN JL. P ANTASARI RT P X 1b 06-Jul-2019
06 BERBAS PANTAI
988 0-11-89-73 RAMLI BIN SADING JL KENANGAN RT L X 50 Th 06-Jul-2019
TN 29/- TJ LAUT INDAH
989 0-11-94-25 RADITYA PRABA JL MUSANG BLOK JJ L X 7 Th 06-Jul-2019
BUANA AN NO IV BTN PK T
990 0-11-97-41 SITI MARYAM, NY JL. MANUNGGAL RT P X 54 Th 06-Jul-2019
14/- B PANTAI
991 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 06-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH

20/Sep/2019 55
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

992 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P X 14 Th 06-Jul-2019


RT 23/12 B TENGAH
993 0-11-98-67 HARTINI NY JL VETERAN RT P X 54 Th 06-Jul-2019
25/12 BEREBAS
TENGAH
994 0-11-98-93 DINI HARIANTO JL WR SUPRAPTO P Lama; X 17 Th 06-Jul-2019 Necrosis of pulp; K04.1;
PUTRI NN RT 28 BONTANG
BARU
995 0-11-99-98 PAULUS NELWAN TN JL TENGIRI RT 25 TJ L X 77 Th 06-Jul-2019
LAUT
996 0-12-00-07 SITI JAMILAH NY JL DUSUN BUKIT P X 39 Th 06-Jul-2019
RAYA DESA
MAKARTI
997 0-12-00-28 HAMZA, TN JL. KH DEWANTARA L Baru; X 28 Th 06-Jul-2019 Low back pain; M54.5;
11 RT 35 TJ. LAUT
998 0-12-00-55 BAKRI KUSWANTO, JL. K S TUBUN GG L X 59 Th 06-Jul-2019
TN BERGAMA NO 17 A
999 0-12-00-93 JUMADI BIN TN JL PELABUHAN RT L X 45 Th 06-Jul-2019
31 TANJUNG LAUT
INDAH
1,000 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L X 48 Th 06-Jul-2019
TN NO 2 B TENGAH
1,001 0-12-01-52 SERGIO RAMOS JL SELAT BONE RT L X 2 Th 06-Jul-2019
MUTAQQI AN 18/29 TJ LAUT INDAH
1,002 0-12-02-00 RATNAH BASI NY JL DEWI SARTIKA P X 36 Th 06-Jul-2019
GG KULINTANG 4 RT
28 BONTANG BARU
1,003 0-12-02-05 SULIS ANIKA PUTRI , JL. SELAT SELAYAR P X 4 Th 06-Jul-2019
AN TJ. LAUT
1,004 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P X 20 Th 06-Jul-2019
SARI NN ARWANA I RT 17/64
TJ LAUT I
1,005 0-12-02-41 MAKSUM BIN TN JL SULTAN L X 57 Th 06-Jul-2019
HASANUDDIN RT
01/07 B PANTAI
1,006 0-12-02-42 JUSALI BIN DARWAN JL WR SUPRATMAN L X 18 Th 06-Jul-2019
TN RT 24/- B TENGAH
1,007 0-12-02-43 GINBO ARTONO, SDR JL, P SURYANATA L X 24 Th 06-Jul-2019
NO. 58 RT 13
1,008 0-12-02-44 ELIS BINTI ALIT NY JL PELABUHAN RT P X 37 Th 06-Jul-2019
31 TANJUNG LAUT
INDAH
1,009 0-12-02-47 M MAHARONI TN JL KENANGAN RT 29 L X 31 Th 06-Jul-2019
TANJUNG LAUT

20/Sep/2019 56
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,010 0-12-02-48 RAHMATUL LAIL, AN JL MULAWARMAN P X 9 Th 06-Jul-2019


RT 10
1,011 0-12-02-49 ERAYANI NY JL HM ARDANS P X 39 Th 06-Jul-2019
PISANGAN 1 RT 22
SATIMPO
1,012 0-12-02-50 MARIUNUS MINNA TN JL TARAKAN RT 18 / L Baru; X 48 Th 06-Jul-2019 Unspecified soft tis; M70.9;
66 TELIHAN
1,013 0-12-02-52 DEWI HERIYANI NY JL SUTAN SYAHRIR P X 52 Th 06-Jul-2019
RT 5 TANJUNG LAUT
INDAH
1,014 0-12-02-52 DEWI HERIYANI NY JL SUTAN SYAHRIR P X 52 Th 06-Jul-2019
RT 5 TANJUNG LAUT
INDAH
1,015 0-12-02-53 AINAYYA MALIKA A L JL SELAT BANDA 1 P X 2 Th 06-Jul-2019
AN RT 35 /71 TANJUNG
LAUT
1,016 0-12-02-54 SURIANTI NY JL. JALAN POROS P X 28 Th 06-Jul-2019
TELUK PANDAN
1,017 0-12-02-55 QURROTA AINI JL. DEWI SARTIKA P Baru; X 3 Th 06-Jul-2019 Acute apical periodo; K04.4;
NURIL Q AN PERUM SERATTON
NO 30/93
1,018 0-12-02-56 FEMINA WELEM NY JL SAWI NO 27 RT 44 P Baru; X 33 Th 06-Jul-2019 Necrosis of pulp; K04.1;
KEL. GN ELAI
1,019 0-12-02-57 PUTU YOGA ANANTA JL SELAT GASPOR 4 L X 12 Th 06-Jul-2019
P AN RT 34 TJ LAUT
1,020 0-12-02-58 RAFARDANA GIBRAN JL SERULING RT 21 L X 1 Th 06-Jul-2019
AL F AN BONTANG BARU
1,021 0-12-02-59 M DENI RIWANTO TN JL AHMAD YANI L Baru; X 22 Th 06-Jul-2019 Periapical abscess w; K04.7;
1,022 0-12-02-60 NANANG RESTU JL. AHMAD YANI RT L X 26 Th 06-Jul-2019
PALUPI TN 05
1,023 0-12-02-61 SUKMAWATI BINTI JL PELABUHAN 1 RT P X 26 Th 06-Jul-2019
NN 10/5 KEL. TJ LAUT
INDAH
1,024 0-12-02-62 MAHDIYATU SYAQIYA JL YOS SUDARSONO P X 3 Th 06-Jul-2019
M AN 1 GG MUJUR JAYA
RT 37 / 80
1,025 0-12-02-63 RETNO WULANDARI JL JEND SUDIRMAN P X 26 Th 06-Jul-2019
NY RT 22 TJ LAUT
1,026 0-12-02-64 SUBADI BIN BACTIAR JL MUTIARA RT 8/ 31 L X 34 Th 06-Jul-2019
(ALM) TN KEL. BERBAS
TENGAH
1,027 0-12-02-65 SIGIT DIBYO P SDR JL MANGGA 1 RT 25 L X 20 Th 06-Jul-2019
SATIMPO BTG
SELATAN
20/Sep/2019 57
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,028 0-12-02-65 SIGIT DIBYO P SDR JL MANGGA 1 RT 25 L X 20 Th 06-Jul-2019


SATIMPO BTG
SELATAN
1,029 0-12-02-66 LISNA ASTUTI NY BY JL. GARUDA RT 04 P X 0 Hr 06-Jul-2019
MARANGKAYU
1,030 0-12-02-67 ASYILA DWI NATA AN JL. SELAT KARIMATA P X 1 Th 06-Jul-2019
RT 09 TJ LAUT
1,031 0-12-02-68 M AZRIL PRATAMA JL SELAT KARIMATA L X 4 Th 06-Jul-2019
AN RT 09 TJ LAUT BTG
SELATAN
1,032 0-12-02-69 RAFLI RABBANI AN JL. TIPALAYO RT 36 L X 15 Th 06-Jul-2019
NO 4 BB TENGAH
1,033 0-12-02-70 M IKRAM JAYA JL. LOMBOK NO 02 L X 15 Th 06-Jul-2019
PRATAMA AN
1,034 0-12-02-71 AHMAD FAREZI SDR JL PELABUHAN RT L X 16 Th 06-Jul-2019
11 TJ LAUT BTG
SELATAN
1,035 0-12-02-72 VERI ARYANDI SDR JL PELABUHAN 3 RT L X 15 Th 06-Jul-2019
12 TJ LAUT BTG
SELATAN
1,036 0-12-02-73 ZAKY FATIH FARIZKY JL BIOLA GG BIOLA L X 15 Th 06-Jul-2019
AN III RT 05 KEL.
BONTANG BARU
1,037 0-12-02-74 MUHAMMAD RAKA JL S PARMAN NO 7 L X 15 Th 06-Jul-2019
WIBOWO SDR RT 48 BELIMBING
BTG BARAT
1,038 0-12-02-75 UMAR SAUDI TN JL WR SUPRATMAN L X 62 Th 06-Jul-2019
RT 27/- TJ LAUT
INDAH
1,039 0-12-02-76 DIMAS JL SERULING 4 RT L Baru; X 26 Th 06-Jul-2019 Fever, unspecified; R50.9;
ARDIYULIANTO TN 21/- BTG BARU
1,040 0-12-02-77 ALIF RIZQI JL HALMAHERA RT L X 14 Th 06-Jul-2019
FIRMANSYAH AN 18/J11 BTN KCY API
API
1,041 0-12-02-78 SITI AMINAH NY JL KENANGAN RT 29 P X 51 Th 06-Jul-2019
TJ LAUT
1,042 0-01-49-27 APRI SABILA JL. JAWA RT.36 API P X 15 Th 07-Jul-2019
RAHMANIAR AN API
1,043 0-02-28-89 AUFA FELADIA M AN JL. PERUM L X 11 Th 07-Jul-2019
DANARTHA RT 29
API-API
1,044 0-02-66-61 ALIMIN BIN SADDIKA, JL SULTAN L X 58 Th 07-Jul-2019
TN HASSANUDDIN RT 6
NO 73 B PANTAI

20/Sep/2019 58
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,045 0-02-86-01 LAUMPA TN JL. IR H JUANDA RT. L X 66 Th 07-Jul-2019


33/ TJ. LAUT
1,046 0-03-55-71 NURJANAH BIN ABD JL. MULAWARMAN P X 60 Th 07-Jul-2019
HALID NY RT 28 NO 42 BTG
BARU
1,047 0-03-72-78 ASNUN BIN JL. PATIMURA RT 33 P Lama; X 37 Th 07-Jul-2019 Diarrhoea and gastro; A09;
SYAMSUDIN NY NO 16 API API
1,048 0-03-72-78 ASNUN BIN JL. PATIMURA RT 33 P X 37 Th 07-Jul-2019
SYAMSUDIN NY NO 16 API API
1,049 0-04-05-25 CHAIRUL RAHMAN, JL. GAMELAN RT L X 30 Th 07-Jul-2019
TN. 15/39 B. BARU
1,050 0-05-46-31 IZZAT ANANDA JL AWANG LONG RT L X 7 Th 07-Jul-2019
ATHAILLAH AN 07/ BTG BARU
1,051 0-06-74-38 M AIDIL ASYARO AN JL. MELAWAI RT L X 5 Th 07-Jul-2019
23/77 B TGH
1,052 0-06-93-15 AAN OTAPRIADI TN JL. SELAT SELAYAR L Baru; X 31 Th 07-Jul-2019 Localized swelling, ; R22.9;
RT. 12/ TJ LAUT
1,053 0-07-09-44 M WAHYU SDR JL KS TUBUN GG L X 20 Th 07-Jul-2019
ARWANA 2 RT.17/77
TJ LAUT
1,054 0-07-23-29 M RADITYADIKA JL. A YANI RT 12 NO L Baru; X 10 Th 07-Jul-2019 Fever, unspecified; R50.9;
PRATAMA AN 66 API-API
1,055 0-07-91-53 M FARUQ TAQIYYAH, JL. SULTAN L Baru; X 4 Th 07-Jul-2019 Acute tonsillitis; J03;
AN SYAHRIR RT 01 NO
33 TANJUNG LAUT
1,056 0-08-52-49 HERLINA, NY JL. SINGA JUNJUNG P X 35 Th 07-Jul-2019
RT 27 NO 05
MARANGKAYU
1,057 0-08-74-29 EKA MUKARRAMAH JL ZAMRUD RT 61/13 P X 29 Th 07-Jul-2019
NY B TENGAH
1,058 0-08-88-40 SHAKILA AZZAHRA JL KP TENDEAN RT P X 3 Th 07-Jul-2019
MYESA AN 18 NO 1 BTG KUALA
1,059 0-09-09-09 DESI ANGRAINI AN JL PATTIMURA RT 15 P X 8 Th 07-Jul-2019
NO 38 API API
1,060 0-09-40-55 UDDIN BIN TURIANG JL. SAMRATULANGI L X 61 Th 07-Jul-2019
TN RT 16 TANJUNG
LAUT INDAH
1,061 0-09-64-53 HASNAH, AN JL. ZAMRUD 53 P Baru; X 20 Th 07-Jul-2019 Diarrhoea and gastro; A09;
BERBAS TENGAH
1,062 0-09-77-09 KHANZA ADHELIA JL MULAWARMAN P Lama; X 6 Th 07-Jul-2019 Nausea and vomiting; R11;
ROMI AN RT 23/53 BTG BARU
1,063 0-09-78-22 ANDI MUH JL. PANGANDARAN L Baru; X 2 Th 07-Jul-2019 Diarrhoea and gastro; A09;
FEBRIANSYAH AN RT 13 B PANTAI

20/Sep/2019 59
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,064 0-09-86-60 M LATHIF, AN JL. AP L X 1 Th 07-Jul-2019


MANGKUNEGOROI
RT 04 NO 16
BERBAS TENGAH
1,065 0-09-97-37 HAFIDZ ALGHAZALI JL KS TUBUN RT 15 L X 3 Th 07-Jul-2019
AN BTG KUALA
1,066 0-10-05-34 RETNO WULANDARI JL SELAT BONE RT P Baru; X 27 Th 07-Jul-2019 Acute nasopharyngiti; J00;
NY 15/19 TJ LAUT INDAH
1,067 0-10-07-80 BAGUS JL. PATTIMURA GG L X 36 Th 07-Jul-2019
SUDARMASTA , TN ATLETIK 24 RT 41/35
API-API
1,068 0-10-16-67 M FAIRUZ AN JL. SUTOYO RT 52 L X 1 Th 07-Jul-2019
BERBAS TENGAH
1,069 0-10-37-87 GALIH PRASETYO , CAMP 2000 L Baru; X 28 Th 07-Jul-2019 Gingivitis and perio; K05;
TN
1,070 0-10-63-36 JAMALUDDIN , TN JL. ARIF RAHMAN L X 29 Th 07-Jul-2019
HAKIM RT 40
BELIMBING
1,071 0-10-63-58 CANDRA, TN JL. BINTAN RT, 16 L X 29 Th 07-Jul-2019
NO. 13 API API
1,072 0-10-69-38 M AZRIEL JL. PATIMURA RT 42 L X 2 Th 07-Jul-2019
MAHARDIKA , AN API-API
1,073 0-10-77-08 JOKO MULYO JL. TANDUNG L X 23 Th 07-Jul-2019
SEMBODO , TN MAYANG KM 200
BTG SGT
1,074 0-10-79-00 INDRAWATI, NY JL. GITAR RT 07 NO P X 50 Th 07-Jul-2019
52 BTG BARU
1,075 0-10-80-28 NOBER BIN TANDI S JL GN ARJUN RT L X 27 Th 07-Jul-2019
TN 26/21 BSD
BELIMBING
1,076 0-10-82-25 THAMRIN BIN HADAR JL MULAWARMAN L X 44 Th 07-Jul-2019
TN RT 28 NO 42 BTG
BARU
1,077 0-10-83-20 KHOLIF NURINDAH S JL. MH TAMRIN RT L X 27 Th 07-Jul-2019
, NY 01 GN ELAI
1,078 0-10-93-74 SITI ASNIAH NY JL DI PANJAITAN GG P X 56 Th 07-Jul-2019
PIANO 12 RT 1 NO 34
BTG BARU
1,079 0-10-94-15 ADYATAMA RAZKA A JL MT HARYONO GG L X 9 Th 07-Jul-2019
AN SELANCAR 8 RT 28
API API
1,080 0-11-00-44 M YUSUF, TN JL. ZAMRUT RT 46 L X 63 Th 07-Jul-2019
NO 10 BERBAS
TENGAH

20/Sep/2019 60
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,081 0-11-21-53 M RAFFA PUTRA AN JL. LETJEN URIP L X 7b 07-Jul-2019


SUMOHARJO RT 12/-
B LESTARI
1,082 0-11-26-72 ASRI DALLELE TN JL WR SUPRATMAN L X 52 Th 07-Jul-2019
RT 27/ TJ LAUT
1,083 0-11-30-78 RAHMAT SAFRI , TN JL. ZAMRUD 12 RT L X 32 Th 07-Jul-2019
61/13 B TGH
1,084 0-11-38-88 NURUL ABRIA JL R SUPRPATO GG P Baru; X 26 Th 07-Jul-2019 Dyspepsia; K30;
INDRIAMI NY PANAHAN 2 RT 24
NO 27 API API
1,085 0-11-39-94 JIAN MAYA SARI, NY JL. APT PRANOTO P X 32 Th 07-Jul-2019
RT. 10 SANGATTA
UTARA
1,086 0-11-51-68 DAMRA AMRAN P, TN JL. MURI RT, L Baru; X 51 Th 07-Jul-2019 Fever, unspecified; R50.9;
BELIMBING
1,087 0-11-59-68 ENY RISTAULY T NY JL SURABAYA 1 RT P X 47 Th 07-Jul-2019
19 NO 22 GUNUNG
TELIHAN
1,088 0-11-64-55 CATHERINE JL SOERNO HATTA P X 28 Th 07-Jul-2019
ELIZABET ELA NY RT 26/- GN TELIHAN
1,089 0-11-71-83 STEVEN SESAR JL MARANGKAYU L X 10 b 07-Jul-2019
THIMOTY AN DESA SEBUNTAL
1,090 0-12-02-06 SHIREEN NAZIHA B JL ZAMRUD GG P X 8b 07-Jul-2019
AN ZAMRUD 13 RT 61/37
BEREBAS TENGAH
1,091 0-12-02-06 SHIREEN NAZIHA B JL ZAMRUD GG P X 8b 07-Jul-2019
AN ZAMRUD 13 RT 61/37
BEREBAS TENGAH
1,092 0-12-02-77 ALIF RIZQI JL HALMAHERA RT L X 14 Th 07-Jul-2019
FIRMANSYAH AN 18/J11 BTN KCY API
API
1,093 0-12-02-79 AZKADINA AYASHA M JL CUT NYAK DIEN L X 1 Th 07-Jul-2019
AN RT 13/17 BTG KUALA
1,094 0-12-02-80 ANINDITA KEISHA JL ZAMRUD RT 50/07 P X 7b 07-Jul-2019
ZAHRA AN BERBAS TENGAH
1,095 0-12-02-81 ARDINA SHOLEHAH JL PATIMURA RT 42 P X 4 Th 07-Jul-2019
AN API API
1,096 0-12-02-82 RIFALDI BIN RAMLI JL PELABUHAN RT L X 20 Th 07-Jul-2019
TN 13 TJ LAUT INDAH
1,097 0-12-02-83 JUWITA BINTI JL WR SUPRATMAN P X 22 Th 07-Jul-2019
JUHING NY RT 17/34 BERBAS
PANTAI

20/Sep/2019 61
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,098 0-12-02-84 SITTI MARWAH NY JL MH THAMRIN RT P X 39 Th 07-Jul-2019
25/- TJ LIMAU BTG
BARU
1,099 0-12-02-85 WAHYU RAMADANA JL SELAT LOMBOK 5 L X 14 Th 07-Jul-2019
AN RT 05/- TJ LAUT
INDAH
1,100 0-12-02-86 AGUNG WIJAKSONO JL GATOT SUBROTO L X 23 Th 07-Jul-2019
TN NO 62 RT 23
BERBAS BTG
SELATAN
1,101 0-12-02-87 SURYO AJI TN JL PERUMA HOP V L X 30 Th 07-Jul-2019
1,102 0-12-02-88 AMINAH NY JL. SANTAN ILIR RT P X 28 Th 07-Jul-2019
03 MARANGKAYU
1,103 0-12-02-89 AURIELIA FITIRANI W JL. S.SEAYU PERUM P Baru; X 11 Th 07-Jul-2019 Acute pharyngitis; J02;
AN HOP 4/58 PT BADAK
1,104 0-12-02-90 AMINAH BY NY JL SANTAN ILIR RT P X 0 Hr 07-Jul-2019
03 MARANGKAYU
1,105 0-12-02-91 AINUR ROHMAN AN JL JENDRAL L Baru; X 1 Th 07-Jul-2019 Fever, unspecified; R50.9;
SUDIRMAN RT 24/24
TJ LAUT INDAH
1,106 0-12-02-92 EFFIS MARSONJA JL GENDANG 3 RT L Baru; X 32 Th 07-Jul-2019 Cutaneous abscess, f; L02;
MUNTHE TN /31 TJ LIMAU
1,107 0-12-02-93 SYAHRIR JL BUKIT PELANGI L X 57 Th 07-Jul-2019
KANDACONG TN RT 40 TELUK
LINGGA
1,108 0-12-02-93 SYAHRIR JL BUKIT PELANGI L X 57 Th 07-Jul-2019
KANDACONG TN RT 40 TELUK
LINGGA
1,109 0-12-02-94 RUSLI BIN DAENG JL MELAWAI RT 20 L X 44 Th 07-Jul-2019
KASENG TN BERBAS PANTAI
1,110 0-12-02-95 HARSONO BIN M ALI JL KS TUBUN RT 32 / L X 49 Th 07-Jul-2019
TN 50
1,111 0-12-02-96 NAJAMUDDIN BIN TN JL PELABUHAN 3 RT L X 48 Th 07-Jul-2019
14/- TJ LAUT INDAH
1,112 0-12-02-97 M AMRI JL MH THAMRIN RT L X 23 Th 07-Jul-2019
BINBURHANUDDIN 01 GN ELAI
SDR
1,113 0-12-02-98 NOVALYANO JL KALIMANTAN RT L X 8 Th 07-Jul-2019
ARNOLDUS A AN 19/33 API API
1,114 0-00-01-01 M ALWI TIKE TN JL. SAFIR RT 17 NO L Lama; X 64 Th 08-Jul-2019 Non-insulin-dependen; E11;
09 BERBAS TENGAH
1,115 0-00-21-30 NOVIANI MAULIDYA, JL. SULTAN P Baru; X 22 Th 08-Jul-2019 Other and unspecifie; R20.8;
NY SYAHRIR RT 06/25
TJG LAUT INDAH

20/Sep/2019 62
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,116 0-00-90-37 SARWONO HIDAYAT , JL. TOMAT RT 13 / 29 L Baru; X 57 Th 08-Jul-2019 Tuberculosis of lung; A15.0;
TN. GN ELAI
1,117 0-01-55-01 DARMIN BINTI JL KH DEWANTARA P Lama; X 49 Th 08-Jul-2019 Unspecified renal co; N23;
MARZUKI NY RT 35/41 TJ LAUT
1,118 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P Lama; X 10 Th 08-Jul-2019 Otitis media, unspec; H66.9;
47/5 B TENGAH
1,119 0-02-66-61 ALIMIN BIN SADDIKA, JL SULTAN L X 58 Th 08-Jul-2019
TN HASSANUDDIN RT 6
NO 73 B PANTAI
1,120 0-02-88-59 EMAR SUMARNI JL. SULTAN P Lama; X 32 Th 08-Jul-2019 Fracture of upper en; S52.0;
LATIFA NY. HASANUDDIN RT
4/48 B. PANTAI
1,121 0-03-34-46 ARIANTO JL. CATUR RT 007 L Lama; X 39 Th 08-Jul-2019 Chronic pansinusitis; J32.4;
HASANUDDIN, TN. NO. 10 API - API
1,122 0-03-37-93 M FATIH THORIQUL K JL P SURYANATA RT L Baru; X 9 Th 08-Jul-2019 Pulp degeneration; K04.2;
AN 13 NO 24 BTG BARU
1,123 0-03-50-40 BAGAS TOHPATI. AN JL. SULTAN L X 9 Th 08-Jul-2019
HASANUDDIN RT
33/15 B. TENGAH
1,124 0-03-97-31 NURBAYA BIN DG JL. SULAWESI RT. P Lama; X 51 Th 08-Jul-2019 Non-insulin-dependen; E11;
MAGANG NY 15/5 API" BTN. KCY
1,125 0-04-41-35 MUSDIRON, TN. JL. CAMP 2000 PAMA P Lama; X 53 Th 08-Jul-2019 Non-insulin-dependen; E11;
1,126 0-04-62-49 JUFRIADI TN. JL. JL PEMATANG L X 21 Th 08-Jul-2019
RT 25 B TENGAH
1,127 0-05-58-46 ESRA MANAN NY JL. PIPA RT.23 P Baru; X 33 Th 08-Jul-2019 Low back pain; M54.5;
GUNTUNG
1,128 0-05-81-43 SAEFUL CAHYO JL. CAMP 2000 PAMA L Baru; X 26 Th 08-Jul-2019 Arthrosis, unspecifi; M19.9;
WINARKO, TN
1,129 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L Baru; X 6 Th 08-Jul-2019 Acute pharyngitis; J02;
A P AN RT 10 NO 24 TJ LAUT
1,130 0-06-00-57 YULIUS GANTI, TN JL. A. YANI RT 07 L X 30 Th 08-Jul-2019
API-API
1,131 0-06-06-16 MULYO BIN RAPII TN JL. SULAWESI L Baru; X 65 Th 08-Jul-2019 Epilepsy; G40;
RT.20/01 API API
1,132 0-06-08-36 ISNAWATI NY JL. S SYAHRIR RT.08 P X 28 Th 08-Jul-2019
TJ. LAUT INDAH
1,133 0-06-10-95 NUR HUSNA AN JL. KS TUBUN RT32 P X 14 Th 08-Jul-2019
API API
1,134 0-06-29-18 SURYA DEWI JL PATTIMURA GG P X 31 Th 08-Jul-2019
WULANDARI NY ATLETIK 5 RT 33/77
A API API
1,135 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 08-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH

20/Sep/2019 63
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,136 0-06-52-41 RATIKA BINTI NY JL. S KARIMATA P X 30 Th 08-Jul-2019


RT.09/40 TJ LAUT
1,137 0-06-56-11 ACHMAD TADDAGA JL BANDENG L Lama; X 63 Th 08-Jul-2019 Cutaneous abscess, f; L02;
TN RT.23/32 TJ LAUT
1,138 0-06-67-52 NUZUL RAHMANIA NY JL. MELAWAI RT 20 P Baru; X 24 Th 08-Jul-2019 Acute pharyngitis; J02;
NO 33 B PANTAI
1,139 0-06-67-52 NUZUL RAHMANIA NY JL. MELAWAI RT 20 P X 24 Th 08-Jul-2019
NO 33 B PANTAI
1,140 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 08-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
1,141 0-06-78-34 KASMAWATI NY JL. KELADI RT. 04 P X 29 Th 08-Jul-2019
GN ELAI
1,142 0-06-87-94 M ALVARO S AN JL A YANI GG L Lama; X 7 Th 08-Jul-2019 Chronic tonsillitis; J35.0;
ANGGAR 1 RT.03 API
API
1,143 0-06-96-62 APRICO YANURI YUDI JL. MT HARYONO L Baru; X 30 Th 08-Jul-2019 Other specified head; G44.8;
TN ASRUD GN ELAI
1,144 0-07-11-62 DWI KRISTIN JL. AR HAKIM RT 51 P Lama; X 28 Th 08-Jul-2019 Supervision of norma; Z34;
RAHAYU, NY NO 61 LOKTUAN
1,145 0-07-12-56 HALIJA, NY JL. BTG - SANGATTA P Baru; X 41 Th 08-Jul-2019 Thyrotoxicosis [hype; E05;
RT 07 TELUK
PANDAN
1,146 0-07-12-59 SITTI HAJRAH, NY JL. MH THAMRIN RT P Baru; X 29 Th 08-Jul-2019 Surveillance of (int; Z30.5;
01 GN ELAI
1,147 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Baru; X 18 Th 08-Jul-2019 Other benign neoplas; D21;
HAQ SDR 20 TJ LAUT
1,148 0-07-20-85 ERWIN DARWIN SDR JL BUNAKEN RT 19 B L Lama; X 23 Th 08-Jul-2019 Acute appendicitis; K35;
PANTAI
1,149 0-07-28-85 FAUZIA RAFIFA JL. MT HARYONO P X 6 Th 08-Jul-2019
LUBNA AN RT. 37/ GN ELAI
1,150 0-07-32-14 ELISA BINTI YUDIN JL. JEND SUDIRMAN P Lama; X 19 Th 08-Jul-2019 Hypokalaemia; E87.6;
NN RT. 22/ TJ LAUT
1,151 0-07-32-14 ELISA BINTI YUDIN JL. JEND SUDIRMAN P X 19 Th 08-Jul-2019
NN RT. 22/ TJ LAUT
1,152 0-07-37-64 M TAMRIN TN JL. PELABUHAN I RT L X 53 Th 08-Jul-2019
10 NO 28 TANJUNG
LAUT INDAH
1,153 0-07-38-95 HAFSAH BIN JL. SANTAN TENGAH L Baru; X 62 Th 08-Jul-2019 Essential (primary) ; I10;
TOLLENG NY RT 01 MARANGKAYU
1,154 0-07-42-19 BAIM FIRMANSYAH M, JL. MAKASSAR RT 24 L X 14 Th 08-Jul-2019
AN TANJUNG LAUT
1,155 0-07-43-62 PUTRIYA RAHMA JL. MT HARYONO RT P X 26 Th 08-Jul-2019
HIDAYAH NY 30 API-API

20/Sep/2019 64
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,156 0-07-48-60 SYAFIRA RAMADHANI JL. TENIS RT. 38/ API P X 10 Th 08-Jul-2019
AN API
1,157 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Lama; X 30 Th 08-Jul-2019 Connective and other; D21.9;
NY RT 12 MARANGKAYU
1,158 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Baru; X 30 Th 08-Jul-2019 Dyspepsia; K30;
NY RT 12 MARANGKAYU
1,159 0-07-56-23 BASRI TN JL. MANUNGGAL RT. L Lama; X 48 Th 08-Jul-2019 Connective and other; D21.9;
10/66 B PANTAI
1,160 0-07-74-13 JALEHA BINTI JL. MERAUKE RT P Lama; X 48 Th 08-Jul-2019 Non-insulin-dependen; E11;
AMANDEKA NY 16/3 API-API
1,161 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 08-Jul-2019 Cutaneous abscess, f; L02;
B PANTAI
1,162 0-07-76-20 BILAL ANUGRAH AN JL. RUBY I RT. 17/36 L X 5 Th 08-Jul-2019
B TENGAH
1,163 0-07-77-47 UDIN M, TN JL MELAWAI RT 20 / L X 61 Th 08-Jul-2019
55 B PANTAI
1,164 0-07-84-66 NURUL JANNAH NY JL. TARI ENGGANG P Baru; X 30 Th 08-Jul-2019 Other nontoxic goitr; E04;
RT 11/45 GUNTUNG
1,165 0-07-86-84 ILHAM YAHYA TN JL S SYAHRIR GG L Lama; X 39 Th 08-Jul-2019 Otitis media, unspec; H66.9;
IKAN MAS RT 18/30
TJ LAUT INDAH
1,166 0-07-97-55 KARMONO TN JL. S SAHRIR RT 06 L Baru; X 38 Th 08-Jul-2019 Superficial injury o; S20;
TJ LAUT I
1,167 0-07-98-78 WINDA HARYANI NY JL R SOEPRATO RT P Baru; X 30 Th 08-Jul-2019 Contraceptive manage; Z30;
14 BTG BARU
1,168 0-07-99-04 M FAUZAN JL. MT HARYONO RT L X 4 Th 08-Jul-2019
RAMADHANI AN 30 NO 83 API API
1,169 0-08-13-33 MARTINA STEVANI JL. ZAMRUD RT. 50 B P Lama; X 26 Th 08-Jul-2019 Chronic pansinusitis; J32.4;
NY TENGAH
1,170 0-08-19-09 GRACIO DAVILLA JL GAJAH MADA RT L X 3 Th 08-Jul-2019
SAMPE, AN 37 NO 26 B TENGAH
1,171 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L X 16 Th 08-Jul-2019
BLOK O NO 9 KCY
API API
1,172 0-08-26-63 DANCE BUDIMAN TN JL KEBUN SALAK RT L X 45 Th 08-Jul-2019
019/ GUNTUNG
1,173 0-08-26-63 DANCE BUDIMAN TN JL KEBUN SALAK RT L X 45 Th 08-Jul-2019
019/ GUNTUNG
1,174 0-08-28-06 ABDUL RAHMAN TN JL BALANAK RT L X 43 Th 08-Jul-2019
21/38 TJ LAUT INDAH
1,175 0-08-37-16 TOTOK SUHARSOYO, JL SERULING RT 21 L Lama; X 58 Th 08-Jul-2019 Other and unspecifie; S09;
TN NO 33 BTG BARU

20/Sep/2019 65
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,176 0-08-40-75 ERLANGGA GIBRAN JL B KATAMSO RT L X 3 Th 08-Jul-2019
R AN 046/23B GN ELAI
1,177 0-08-46-00 M ADAM KALEPPE, JL SELAT L X 55 Th 08-Jul-2019
TN MAKASSAR 2 RT 24
NO 48 TJ LAUT
1,178 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 08-Jul-2019 Traumatic amputation; S88;
RT 027
1,179 0-08-47-88 USMAN BIN NAHIRA JL PELABUHAN RT L Baru; X 61 Th 08-Jul-2019 Unspecified renal co; N23;
TN 09 NO 15 TJ LAUT
INDAH
1,180 0-08-47-99 SUDARMAN, TN JL ZAMRUD 13 RT 61 L X 51 Th 08-Jul-2019
B TENGAH
1,181 0-08-47-99 SUDARMAN, TN JL ZAMRUD 13 RT 61 L Baru; X 51 Th 08-Jul-2019 Unspecified renal co; N23;
B TENGAH
1,182 0-08-74-15 TITAH AMINI, NY JL. SULTAN P Lama; X 29 Th 08-Jul-2019 Otitis media, unspec; H66.9;
HASANUDDIN RT 25
BERBAS TENGAH
1,183 0-08-81-98 NOVITA HERMAWATI, JL R SOEPRAPTO P Lama; X 27 Th 08-Jul-2019 Disorder of muscle, ; M62.9;
NY GG AMALIYAH RT 23
NO 48 API API
1,184 0-08-91-21 EFRAIM BIANTONG R JL, ZAMRUD 3 RT L Baru; X 12 Th 08-Jul-2019 Infection following ; T81.4;
AN 42/28 B TGH
1,185 0-08-98-65 ZUHAIDAH BIN JL. GAJAH MADA RT P Baru; X 29 Th 08-Jul-2019 Supervision of norma; Z34;
USMAN NY 37/22 B TENGAH
1,186 0-09-03-25 FITRI BINTI TAHARI JL. KENANGAN RT P Lama; X 17 Th 08-Jul-2019 Connective and other; D21.9;
AN 30 TANJUNG LAUT
1,187 0-09-08-37 AZISHA JL. SELAT MALAKA P X 5 Th 08-Jul-2019
FEBRINAFASA, AN RT 10 NO 46
TANJUNG LAUT
1,188 0-09-17-92 UMAR BIN RUSTAM JL S HASANUDDIN L Baru; X 28 Th 08-Jul-2019 Necrosis of pulp; K04.1;
TN RT 11 B PANTAI
1,189 0-09-24-05 ABDULLAH B, TN JL. PANGANDARAN L Baru; X 68 Th 08-Jul-2019 Low back pain; M54.5;
RT 13 NO 153
BERBAS PANTAI
1,190 0-09-26-09 INDAH FADJARWATI, JL. DAMAI PERUM P Baru; X 38 Th 08-Jul-2019 Benign neoplasm of b; D24;
NY DISNAKER RT 30 NO
11 TELIHAN
1,191 0-09-26-17 HAYATI TALIK MAHIS JL MULAWARMAM P X 56 Th 08-Jul-2019
NY RT 01/38 GN ELAI
1,192 0-09-32-17 MANNANG BEDDU, JL. LETTU AKIRANG L Lama; X 67 Th 08-Jul-2019 Cerebral infarction,; I63.9;
TN RT 23 NO 17
TANJUNG LAUT

20/Sep/2019 66
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,193 0-09-46-68 MARYATI BINTI JL PENCAK SILAT 1 P Lama; X 30 Th 08-Jul-2019 Non-insulin-dependen; E11;
SISWANTO NY RT 12 BLOK A NO 3
API API
1,194 0-09-52-28 DEVI USMAN , TN JL. J SUDIRMAN RT L Lama; X 32 Th 08-Jul-2019 Chronic hepatitis, u; K73.9;
10/24 TJ LAUT
1,195 0-09-52-31 SYAIMA ADHA AN JL MH THAMRIN RT P X 7 Th 08-Jul-2019
23 NO 14 BTG BARU
1,196 0-09-67-67 M DAHLAN BIN JL P SURYANATA RT L X 55 Th 08-Jul-2019
ANSOR S TN 13 BTG BARU
1,197 0-09-68-30 IIN KURNIAWATY NY JL SELAT KARIMATA P Lama; X 42 Th 08-Jul-2019 Essential (primary) ; I10;
RT 09 NO 97 TJ LAUT
1,198 0-09-77-17 BILAL ARI WIRANATA JL RE L X 2 Th 08-Jul-2019
AN MARTADINATA GG
KAKAK TUA NO 11
LOKTUAN
1,199 0-09-88-25 MISTI BINTI, NY JL. MH THAMRIN RT. P X 54 Th 08-Jul-2019
10 BTG BARU
1,200 0-09-89-13 M DAVID BIN JL. IMAM BONJOL RT L Baru; X 11 Th 08-Jul-2019 Dyspnoea; R06.0;
SUKARNO , AN API-API RT 04
1,201 0-09-93-14 NILA ANGREYANI, NY JL. DESA SEBUNTAL P Baru; X 18 Th 08-Jul-2019 Fever, unspecified; R50.9; Dirawat
RT, 02
MARANGKAYU
1,202 0-10-10-58 JEFRI WELMIEN M, JL. AP L Baru; X 69 Th 08-Jul-2019 Constipation; K59.0;
TN MANGKUNEGORO
RT, 005 NO. 21
BERBAS TENGAH
1,203 0-10-21-78 SHELIYANA JL. PELABUHAN 1 P Baru; X 18 Th 08-Jul-2019 Deposits [accretions; K03.6;
WINANDA, NN RT, 10 NO. 12
TANJUNG LAUT
INDAH
1,204 0-10-24-16 KASMITA, NY JL. SEL MALAKA RT, P Lama; X 74 Th 08-Jul-2019 Lateral epicondyliti; M77.1;
21 TJ LAUT
1,205 0-10-24-16 KASMITA, NY JL. SEL MALAKA RT, P X 74 Th 08-Jul-2019
21 TJ LAUT
1,206 0-10-29-23 RAESHA ARSYILA N, JL. NANAS RT 32 NO P Baru; X 1 Th 08-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN 20 BELIMBING
1,207 0-10-31-59 TUTIANA BINTI DAHRI JL DSN HANDIL P X 19 Th 08-Jul-2019
NY MICO RT 09
MARANG KAYU
1,208 0-10-33-03 ADIBA SHAKILA JL A YANI RT 05/ API P X 2 Th 08-Jul-2019
ATMARINI AN API

20/Sep/2019 67
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,209 0-10-37-53 M SADAR, TN JL. POROS BTG SM L Baru; X 39 Th 08-Jul-2019 Connective and other; D21.9;
KM 21 DANAU
REDANG RT, 01
SANTAN
1,210 0-10-37-58 NIRWANA BINTI JL OTISTA RT 26/19 P Baru; X 50 Th 08-Jul-2019 Epilepsy; G40;
PALUSERI NY BTG BARU
1,211 0-10-63-33 M RIZKI BIN ZULFRAN JL. GELATIK P 09 RT L Baru; X 31 Th 08-Jul-2019 Deposits [accretions; K03.6;
, TN 14 BELIMBING BTN
PKT
1,212 0-10-67-71 AMIR BIN TONGGO JL GUNUNG L Baru; X 57 Th 08-Jul-2019 Gastro-oesophageal r; K21.0;
TN MENANGIS RT 12
SEMANGKO
MARANG KAYU
1,213 0-10-82-25 THAMRIN BIN HADAR JL MULAWARMAN L Baru; X 44 Th 08-Jul-2019 Dyspepsia; K30;
TN RT 28 NO 42 BTG
BARU
1,214 0-10-83-03 MAILINDA BINTI JL HM ARDANS 10 P Baru; X 31 Th 08-Jul-2019 Deposits [accretions; K03.6;
KASPUL NY RT 22 SATIMPO
1,215 0-10-94-15 ADYATAMA RAZKA A JL MT HARYONO GG L X 9 Th 08-Jul-2019
AN SELANCAR 8 RT 28
API API
1,216 0-10-95-84 RUSMAN SEMMAILA JL SELAT BONE RT L Lama; X 55 Th 08-Jul-2019 Unilateral or unspec; K40.3;
TN 09
1,217 0-10-97-85 ZEYHAN FATHARIZAL JL R SUPRAPTO RT L X 1 Th 08-Jul-2019
AN 14/22 GG WAHYU
BTG BARU
1,218 0-10-97-97 HARMA K , NY JL. SUTOYO GG P Baru; X 45 Th 08-Jul-2019 Low back pain; M54.5;
TUNAS KARYA RT
49/- B TENGAH
1,219 0-10-99-45 GAVRILA CLAIRE JL. GUNUNG WILIS P X 1 Th 08-Jul-2019
HASEA, AN RT. 29 NO. 23 GN
ELAI
1,220 0-11-00-70 EDY BIN JL. TOMAT RT 43/27 L Baru; X 55 Th 08-Jul-2019 Chronic hepatitis, u; K73.9;
LABOMBANG, TN GN ELAI
1,221 0-11-01-02 NABIL ALIF ALTAF, AN JL. MARANGKAYU L Lama; X 3 Th 08-Jul-2019 Connective and other; D21.0;
RT 16/- M KAYU
1,222 0-11-01-19 SITI RAMLAH NY JL ZAMRUD 16 RT 50 P X 49 Th 08-Jul-2019
B TENGAH
1,223 0-11-09-05 RISMA BATUBARA, JL. LOSARI VII RT 02 P Lama; X 51 Th 08-Jul-2019 Non-insulin-dependen; E11;
NY BERBAS PANTAI
1,224 0-11-09-32 MIKE DEWI, NY JL. MURI BLOK T NO. P Baru; X 36 Th 08-Jul-2019 Chronic tonsillitis; J35.0;
01 RT. 17 BELIMBING
1,225 0-11-12-32 RATNA NY JL BAWAL RT 12/56 P X 51 Th 08-Jul-2019
TJ LAUT INDAH

20/Sep/2019 68
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,226 0-11-13-31 FAIREL BIN ,MASDIR JL. HANDIL RT 03 L X 7b 08-Jul-2019


AN MARANGKAYU
1,227 0-11-16-27 ELYSABETH SAD UMI JL. A YANI NO 15 13 P X 39 Th 08-Jul-2019
W NY API API
1,228 0-11-21-52 KARDIANA HU HJ, NY JL. S SYAHRIR RT P Baru; X 59 Th 08-Jul-2019 Non-insulin-dependen; E11;
06/02 TJ LAUT INDAH
1,229 0-11-21-53 M RAFFA PUTRA AN JL. LETJEN URIP L X 7b 08-Jul-2019
SUMOHARJO RT 12/-
B LESTARI
1,230 0-11-23-04 M DENIS JL. KAPAL PINISI RT L Lama; X 7 Th 08-Jul-2019 Otitis media, unspec; H66.9;
HERYANSYAH, AN 48 NO 65 LOKTUAN
1,231 0-11-24-44 LILIS SURYANI NY JL SELAT ALOR I RT P Lama; X 52 Th 08-Jul-2019 Non-insulin-dependen; E11;
32 NO 35 TJ LAUT
1,232 0-11-27-05 JAHRA AQILAH JL SELAT ALOR 2 RT P Lama; X 6 Th 08-Jul-2019 Disturbances in toot; K00.6;
SHOOFIYAH AN 32 NO 70 TJ LAUT
1,233 0-11-27-05 JAHRA AQILAH JL SELAT ALOR 2 RT P X 6 Th 08-Jul-2019
SHOOFIYAH AN 32 NO 70 TJ LAUT
1,234 0-11-35-22 ASNAH BIN TATIK NY JL. BATU SAHASA 4 P X 34 Th 08-Jul-2019
RT, 06 BONTANG
KUALA
1,235 0-11-37-91 ABD HAMID , TN JL. S HASANUDDIN L X 25 Th 08-Jul-2019
RT 34/09 B TENGAH
1,236 0-11-39-87 KIKI NUR SALSABILA, JL. HABIBON RT P Baru; X 14 Th 08-Jul-2019 Epilepsy; G40;
AN 35/22 TJ LAUT
1,237 0-11-40-50 ZAINAL ABIDIN, TN JL. SELO L Baru; X 51 Th 08-Jul-2019 Chronic hepatitis, u; K73.9;
SEMALANG, RT. 06
SANTAN ILIR
1,238 0-11-44-06 NURISYA BINTI RAMLI JL SELAT P X 15 Th 08-Jul-2019
AN MAKASSAR 2 RT
24/20 TJ LAUT
1,239 0-11-47-52 ASMIA BIN ASDAR NY JL KENANGAN RT 28 P Baru; X 37 Th 08-Jul-2019 Otitis externa; H60; Dirawat
NO 60 TJ LAUT
1,240 0-11-48-66 NURSIN, TN JL. PERUM SMKN 1 L Baru; X 53 Th 08-Jul-2019 Cerebral infarction,; I63.9;
BONTANG RT, 37 GN
ELAI
1,241 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 08-Jul-2019 Benign neoplasm of b; D24;
RT 28 BONTANG
BARU
1,242 0-11-50-75 AFITRIANI NY JL. MH TAMRIN RT. P X 18 Th 08-Jul-2019
26 BONTANG UTARA
1,243 0-11-51-25 RASMA BINTI EDO NY JL. SATYA LENCANA P Lama; X 37 Th 08-Jul-2019 Other chronic suppur; H66.3;
RT. 14 BONTANG
LESTARI

20/Sep/2019 69
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,244 0-11-52-69 ALEXANDER WOWA, JL. S KARIMATA RT L X 59 Th 08-Jul-2019


TN 9/55 TJ LAUT
1,245 0-11-59-02 SUARDI M TN JL MELATI RT 35 NO L Lama; X 56 Th 08-Jul-2019 Connective and other; D21.9;
33 TJ LAUT INDAH
1,246 0-11-62-81 DISA NUR PRATIWI, JL. TARI ENGGANG P Baru; X 25 Th 08-Jul-2019 Connective and other; D21.9;
NN RT 15/- GUNTUNG
1,247 0-11-66-34 MARIATI BIN JL WR SUPRAPTO P X 61 Th 08-Jul-2019
PARTOWIRYO NY GG POLO AIR 1 RT
22/21 API API
1,248 0-11-72-73 SUDAMI NY JL PIERE TANDEAN P Lama; X 39 Th 08-Jul-2019 Supervision of norma; Z34;
RT 09/- BTG KUALA
1,249 0-11-75-32 FATIMAH BIN JL SULTAN AGUNG P Baru; X 14 Th 08-Jul-2019 Connective and other; D21.9;
SABARUDDIN AN RT 7 B PANTAI
1,250 0-11-75-32 FATIMAH BIN JL SULTAN AGUNG P X 14 Th 08-Jul-2019
SABARUDDIN AN RT 7 B PANTAI
1,251 0-11-76-63 MARWAH BIN JL BATU SAHASA 4 L Baru; X 26 Th 08-Jul-2019 Dyspepsia; K30;
HASIDAH NY RT 11 / 8
1,252 0-11-77-98 FATMAWATI BIN JL. IMAM BONJOL RT P Baru; X 22 Th 08-Jul-2019 Postpartum care and ; Z39;
MISRAN,NY 35 API-API
1,253 0-11-78-42 RUSDHIA JL KENANGAN RT P Baru; X 6 Th 08-Jul-2019 Injury of unspecifie; T14; Dirawat
SYARAFANA AN 29/06 TJ LAUT
1,254 0-11-80-36 TONI HAR TN JL A YANI RT 01/83 L X 57 Th 08-Jul-2019
API API
1,255 0-11-82-51 MELIYANA NN JL DESA KERSIK RT P Baru; X 26 Th 08-Jul-2019 Other benign neoplas; D21;
2 MARANGKAYU
1,256 0-11-85-08 ANDI REGINA A AN JL PANGANDARAN P X 11 Th 08-Jul-2019
RT 12 BERBAS
PANTAI
1,257 0-11-86-03 YESI LAILIYAH , NY JL. KAPAL SELAM 3 P Baru; X 20 Th 08-Jul-2019 Postpartum care and ; Z39;
RT 13/52 LOKTUAN
1,258 0-11-86-58 UTOMO TN JL KH AGUS SALIM L Lama; X 55 Th 08-Jul-2019 Malignant neoplasm o; C18;
RT 05 BERBAS BTG
SELATAN
1,259 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L Baru; X 61 Th 08-Jul-2019 Connective and other; D21.9;
NO 11 BERBAS
TENGAH
1,260 0-11-89-62 SUDADI, TN JL. PC 6 RT 13 NO L Lama; X 57 Th 08-Jul-2019 Lateral epicondyliti; M77.1;
104 SATIMPO
1,261 0-11-89-73 RAMLI BIN SADING JL KENANGAN RT L Baru; X 50 Th 08-Jul-2019 Gonarthrosis, unspec; M17.9;
TN 29/- TJ LAUT INDAH
1,262 0-11-92-10 FAHTUR ROHIM, TN JL. R SOEPRAPTO L Baru; X 19 Th 08-Jul-2019 Headache; R51; Dirawat
GG AMALIA RT 23/62
API-API

20/Sep/2019 70
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,263 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 08-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
1,264 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P Lama; X 53 Th 08-Jul-2019 Other intervertebral; M51;
14/33 B TENGAH
1,265 0-11-96-34 NURAISAH ULFAH NY JL S HASANUDDIN P Lama; X 25 Th 08-Jul-2019 Cholesteatoma of mid; H71;
RT 35 NO 14 B
TENGAH
1,266 0-11-96-35 TIARA FRISKA A M, JL. AMBON RT/08 P X 11 Th 08-Jul-2019
AN API-API
1,267 0-11-96-60 DZURRATUL AFRA JL. RA KARTINI RT P Lama; X 19 Th 08-Jul-2019 Connective and other; D21.9;
AFIFAH NN 23 NO 93 BONTANG
BARU
1,268 0-11-97-31 SABURDIN BIN TN JL. ZAMRUD GG L Baru; X 54 Th 08-Jul-2019 Connective and other; D21.9;
ZAMRUD 13 RT 51/-
B TENGAH
1,269 0-11-98-02 LENA MARIANA NY JL MH THAMRIN RT P Lama; X 28 Th 08-Jul-2019 Benign neoplasm of b; D24;
01/76 GN ELAI
1,270 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 08-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
1,271 0-11-98-24 HJ NURLIA, NY JL. GAJA MADA RT P Baru; X 52 Th 08-Jul-2019 Other bursitis, not ; M71.5;
37 BERBAS TENGAH
1,272 0-11-98-46 SALMIATI BINTI NY JL ZAMBRUD RT P X 51 Th 08-Jul-2019
51/48 B TENGAH
1,273 0-11-98-54 ABDUL RASYID, TN JL. KS TUGUN TJ. L Lama; X 43 Th 08-Jul-2019 Connective and other; D21.9;
LAUT
1,274 0-11-98-61 ABD MALIK, TN JL. KS TUBUN RT 29 L X 62 Th 08-Jul-2019
NO 37
1,275 0-11-99-35 SUGIANTO BIN TN JL. A YANI RT 05/- L X 55 Th 08-Jul-2019
API-API
1,276 0-11-99-39 SOMMENG TN JL. DESA TELUK L Lama; X 70 Th 08-Jul-2019 Connective and other; D21.9;
PANDAN RT 07/-
TELUK PANDAN
1,277 0-11-99-63 SITTI SUAEBAH, NY JL. KAPAL LAYAR II P X 48 Th 08-Jul-2019
RT 22/- LOKTUAN
1,278 0-11-99-74 TUTI ARNI DASULI NY JL. RA KARTINI GG P Lama; X 44 Th 08-Jul-2019 Cutaneous abscess, f; L02;
KRIKIL 4 NO 54
1,279 0-11-99-85 ARFAN HAQIQI TN JL MESS PAMA 2000 L X 23 Th 08-Jul-2019
1,280 0-12-00-00 SAPRUDIN BIN TN SAMBERA BARU 1 M L Baru; X 48 Th 08-Jul-2019 Acute appendicitis, ; K35.9;
KAYU RT 16/-
1,281 0-12-00-51 DARMO BIN WARDI, JL. PATTIMURA GG L Baru; X 68 Th 08-Jul-2019 Arthrosis, unspecifi; M19.9;
TN ATLETIK 22 RT 33/-
API-API

20/Sep/2019 71
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,282 0-12-00-63 MASTIYAH BINTI JL. IMAM BONJOL P Baru; X 48 Th 08-Jul-2019 Other disorders of u; N39;
JUMADI, NY GG SEMAYANG RT
43/6 GN ELAI
1,283 0-12-00-73 NADYA RISDAYANTI, JL PELABUHAN 1 RT P Lama; X 22 Th 08-Jul-2019 Benign neoplasm of b; D24;
NN 10/11 TJ LAUT INDAH
1,284 0-12-00-74 MAKSUM ABDULLAH, JL SELAT SELAYAR L Baru; X 58 Th 08-Jul-2019 Cerebral infarction,; I63.9;
TN RT 12 TJ LAUT
1,285 0-12-01-09 M SULAIMAN, TN JL. B KATAMSO RT L Lama; X 34 Th 08-Jul-2019 Connective and other; D21.9;
15/- GN ELAI
1,286 0-12-01-12 ULFAH MARLAH JL RAPAK LAMA RT P Baru; X 10 Th 08-Jul-2019 Other benign neoplas; D21;
PUTRI NN 11/- DESA
SEMANGKO
1,287 0-12-01-21 BREN DAUD TN JL TOMAT RT 14 GN L Lama; X 55 Th 08-Jul-2019 Cellulitis; L03;
ELAI
1,288 0-12-01-31 NIKMAN SIRAD TN JL. BATU SAHASA 3 L Baru; X 74 Th 08-Jul-2019 Essential (primary) ; I10;
BTG KUALA
1,289 0-12-01-53 ANIES FITRIAYANTI, JL. PERUM P Lama; X 19 Th 08-Jul-2019 Injury of unspecifie; T14; Dirawat
NN BEACUKAI RT/- TJ
LAUT
1,290 0-12-01-62 MUSTAMIN, TN JL.KS RIBUN RT 16 L X 50 Th 08-Jul-2019
KERAPU 2 TJ. LAUT
INDAH
1,291 0-12-01-66 AI ROHAYATI NY JL S HASANUDDIN P Baru; X 50 Th 08-Jul-2019 Acute appendicitis, ; K35.9;
GG LOSARI 2 RT
4/120 BERBAS
PANTAI
1,292 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P Lama; X 20 Th 08-Jul-2019 Connective and other; D21.9;
SARI NN ARWANA I RT 17/64
TJ LAUT I
1,293 0-12-02-60 NANANG RESTU JL. AHMAD YANI RT L Baru; X 26 Th 08-Jul-2019 Other hyperlipidaemi; E78.4;
PALUPI TN 05
1,294 0-12-02-60 NANANG RESTU JL. AHMAD YANI RT L X 26 Th 08-Jul-2019
PALUPI TN 05
1,295 0-12-02-99 FAUZI BIN M NUR JL ANGGREK 2 RT L Baru; X 17 Th 08-Jul-2019 Fracture of clavicle; S42.0;
SAPPE AN 37/62 TJ LAUT
1,296 0-12-03-00 I NENGAH R TN JL BHAYANGKARA L Baru; X 58 Th 08-Jul-2019 Sciatica; M54.3;
RT ? NO 22
1,297 0-12-03-01 M AGUS RIYADI SDR JL RE L Baru; X 20 Th 08-Jul-2019 Schizophrenia; F20;
MARTADINATA RT
34/48 LOKTUAN
1,298 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L Baru; X 50 Th 08-Jul-2019 Other benign neoplas; D21;
YUSUP TN 09 TJ LAUT INDAH
1,299 0-12-03-03 RUSMIATI BINTI JL SELAT SELAYAR P X 59 Th 08-Jul-2019
ANAWI NY RT 12 TJ LAUT

20/Sep/2019 72
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,300 0-12-03-03 RUSMIATI BINTI JL SELAT SELAYAR P X 59 Th 08-Jul-2019


ANAWI NY RT 12 TJ LAUT
1,301 0-12-03-04 SURYA DEWI W BY JL PATIMURA RT L X 0 Hr 08-Jul-2019
NY 22/77A API API
1,302 0-12-03-05 ISAFA, NY JL KILO METER 10 P Baru; X 61 Th 08-Jul-2019 Disorder of thyroid,; E07.9;
RT. 022 MARANG
KAYU
1,303 0-12-03-06 SILFIYANA JL H M ARDANS 10 P Baru; X 12 Th 08-Jul-2019 Deposits [accretions; K03.6;
MAEFANINDIA Z AN RT 22 / 15
1,304 0-12-03-07 LASIA BINTI NY JL. VETERAN GG P Baru; X 58 Th 08-Jul-2019 Gonarthrosis, unspec; M17.9;
INTAN 1 RT 21/- B
TENGAH
1,305 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P Baru; X 31 Th 08-Jul-2019 Other benign neoplas; D21;
HUSAIN NY RT 2 SANTAN ILIR
1,306 0-12-03-09 TEGUH PRASASTI B JL KERIKIL 4 RT L X 29 Th 08-Jul-2019
S TN 13/113 B BARU
1,307 0-12-03-09 TEGUH PRASASTI B JL KERIKIL 4 RT L X 29 Th 08-Jul-2019
S TN 13/113 B BARU
1,308 0-12-03-10 HASAN BASRI TN JL DESA SANTAN L Baru; X 49 Th 08-Jul-2019 Pure hypercholestero; E78.0;
TENGAH RT 08
SANTAN
1,309 0-12-03-11 NIAR BINTI JL. MALAHING RT P Baru; X 15 Th 08-Jul-2019 Supervision of norma; Z34;
JUMALANG, NY 30/- TJ LAUT INDAH
1,310 0-12-03-12 DWI CAHYONO P JL SELAT MALAKA L X 19 Th 08-Jul-2019
SDR RT 21 TANJUNG
LAUT
1,311 0-12-03-13 AHMAD TN JL PELABUHAN 3 GG L X 52 Th 08-Jul-2019
BAWAL RT 12 TJ
LAUT INDAH
1,312 0-12-03-14 NINDI LESTARI NY JL PIPE LINE CITRA P Baru; X 30 Th 08-Jul-2019 Supervision of norma; Z34;
RT 15 DESA
TANJUNG LIMAU
1,313 0-12-03-15 HARMAN BIN DG JL. PELABUHAN III L X 27 Th 08-Jul-2019
PASAU, TN RT 14/- TJ LAUT
INDAH
1,314 0-12-03-16 DHIRTYK AL-QAIRO JL. KS RIBUN L Baru; X 2 Th 08-Jul-2019 Foreign body in ear; T16;
AN KERAPU 2 RT 16 TJ.
LAUT
1,315 0-12-03-17 HASMI AMIN, NY JL. JENDRAL P Baru; X 39 Th 08-Jul-2019 Schizophrenia, unspe; F20.9;
SUDIRMAN RT 26 TJ.
LAUT

20/Sep/2019 73
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,316 0-12-03-18 SUMIRAH NY JL JALUR 6 RT 11 P Baru; X 60 Th 08-Jul-2019 Essential (primary) ; I10;
DESA KEBUN
AGUNG RANTAU
PULUNG
1,317 0-12-03-19 MANGINDRE TN JL MH THAMRIN RT 3 L X 57 Th 08-Jul-2019
GUNUNG ELAI
1,318 0-12-03-20 KRISTIANI PONNO NY JL KEMAKMURAN RT P X 48 Th 08-Jul-2019
9 DESA SEBUNTAL
1,319 0-12-03-21 M RESSA TN JL MARANGKATU 1 L Baru; X 64 Th 08-Jul-2019 Tinnitus; H93.1;
DESA SEBUNTAL
1,320 0-12-03-22 MASNIAH BINTI JL. HARUAN RT 32/- P X 48 Th 08-Jul-2019
MATONG, NY TJ LAUT INDAH
1,321 0-12-03-23 INDA NY JL RE P X 19 Th 08-Jul-2019
MARTADINATA RT
06 LOKTUAN
1,322 0-12-03-24 RITA HARYANTI, NN JL. KAPAL SELAM 3 P Baru; X 23 Th 08-Jul-2019 Otitis media, unspec; H66.9;
GANG MERAPI 11
LOKTUANG
1,323 0-12-03-25 FATIMA AZZAHRAH, JL. WR SUPRATMAN P X 1 Th 08-Jul-2019
AN RT 27/- B TENGAH
1,324 0-12-03-26 HUSNIATI BINTI NY JL. M KAYU RT 02/- P X 45 Th 08-Jul-2019
DESA SEBUNTAL M
KAYU
1,325 0-12-03-27 HUSNAENI, NY DESA SEBNTAL P Baru; X 38 Th 08-Jul-2019 Supervision of norma; Z34;
KEC. MARANG KAYU
1,326 0-12-03-28 SALMAH , NY JL. MARANGKAYU P Baru; X 30 Th 08-Jul-2019 Supervision of norma; Z34;
RT 15
1,327 0-12-03-29 SYAHRUN RANGKUTI JL. SULTAN L X 0 Hr 08-Jul-2019
, TN HASANUDDIN RT
32/04 B TGH
1,328 0-12-03-30 HERMAN ,TN JL. KS TUBUN RT.16 L Baru; X 49 Th 08-Jul-2019 Connective and other; D21.9;
TJ. LAUT INDAH
1,329 0-12-03-31 AL HAFI RAMADHAN, JL. SELAT SELAYAR L Baru; X 2 Th 08-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT 13/- TJ LAUT
1,330 0-12-03-32 SASKA IBNU AL JL PARIKESIT RT 7 / L X 7 Th 08-Jul-2019
KHAFI AN 22 BONTANG BARU
1,331 0-12-03-33 NUR JANNAH NY JL. RE P X 38 Th 08-Jul-2019
MARTADINATA RT
29 NO 30 LOKTUAN
1,332 0-12-03-34 SURIANSYAH TN JL. RE L X 45 Th 08-Jul-2019
MARTADINATA RT
29 LOKTUAN

20/Sep/2019 74
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,333 0-12-03-35 M ILHAM AKBAR SDR JL GAJAH MADA RT L Baru; X 19 Th 08-Jul-2019 Other specified diso; M62.8;
37 / 14 BREBAS
TENGAH
1,334 0-12-03-36 HELMI ISMAIL TN JL. SELAT BONE RT L Baru; X 37 Th 08-Jul-2019 Radiculopathy; M54.1;
20 TJ LAUT
1,335 0-12-03-37 CHEPY CHAIRIL JLAANGKASA NO. 3 L X 46 Th 08-Jul-2019
ANWAR TN KEL. BERBAS
TENGAH
1,336 0-12-03-38 HERLIANA RYAN JL EMRALD RT 19/30 P Baru; X 11 Th 08-Jul-2019 Nausea and vomiting; R11; Dirawat
AGUSTIN AN BERBAS TENGAH
1,337 0-12-03-39 TITUS TANDI BANGA JL PERINTIS NO 36/6 L X 35 Th 08-Jul-2019
TN KEL. KANAAN
1,338 0-12-03-40 SUHAENI NY JL. ZAMRUD RT 50 P X 47 Th 08-Jul-2019
NO 12 BB TENGAH
1,339 0-12-03-41 YULIANSYAH ALDO JL KP PALASARI RT L X 18 Th 08-Jul-2019
SDR 16 RW 05 KEL.
SUDAJAYA
1,340 0-12-03-42 NURSAN BINTI SAHID JL BELANAK NO 16 P Baru; X 61 Th 08-Jul-2019 Diarrhoea and gastro; A09; Dirawat
NY RT 21 KEL. TJ LAUT
INDAH
1,341 0-12-03-44 NUHA ADINDA R AN JL IR H JUANDA RT L X 3 Th 08-Jul-2019
34 TJ LAUT
1,342 0-12-03-45 ARFAN HAFIZAN, AN JL MH THAMRIN RT L X -1 Hr 08-Jul-2019
26 BONTANG UTARA
1,343 0-00-07-64 NURJITO BIN ABD JL. SULTAN L X 62 Th 09-Jul-2019
MAJID TN HASANUDDIN RT
03/02 BERBAS
PANTAI
1,344 0-00-31-57 SUNARTI, NY JL. GG SEPAKAT RT P X 53 Th 09-Jul-2019
12 NO 14 API API
1,345 0-00-35-68 RACHMAN SE, TN. JL. DIPONEGORO RT L X 62 Th 09-Jul-2019
23/37 BTG BARU
1,346 0-00-69-32 UMI H NY JL. P ANTASARI P X 49 Th 09-Jul-2019
RT.09/67 API API
1,347 0-00-90-37 SARWONO HIDAYAT , JL. TOMAT RT 13 / 29 L X 57 Th 09-Jul-2019
TN. GN ELAI
1,348 0-01-09-42 MARIANA, NY. JL MT HARYONO RT P X 33 Th 09-Jul-2019
30820 API API
1,349 0-01-56-95 DARISE TN JL. MANUNGGAL RT L X 64 Th 09-Jul-2019
11 BERBAS PANTAI
1,350 0-01-93-80 ARNA ARAFAH, NY. JL. DIPONEGORO RT P Lama; X 39 Th 09-Jul-2019 Dyspepsia; K30;
17 NO 52 BERBAS
PANTAI

20/Sep/2019 75
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,351 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P X 58 Th 09-Jul-2019
RT 23/66 B. PANTAI
1,352 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P X 58 Th 09-Jul-2019
RT 23/66 B. PANTAI
1,353 0-02-00-31 HAWI, NY. JL. PELABUHAN P X 61 Th 09-Jul-2019
RT.12 NO.11
1,354 0-03-30-82 SITI MANAWIYAH, NY JL. KH A DAHLAN RT P X 52 Th 09-Jul-2019
4/11 BTG BARU
1,355 0-03-33-95 HILDA YANTI NY JL KENANGAN RT 29 P Lama; X 33 Th 09-Jul-2019 Thyrotoxicosis [hype; E05;
TJ LAUT
1,356 0-03-55-71 NURJANAH BIN ABD JL. MULAWARMAN P Lama; X 60 Th 09-Jul-2019 Dyspepsia; K30; Dirawat
HALID NY RT 28 NO 42 BTG
BARU
1,357 0-03-61-97 YARIS ALI, TN. JL. GAMA RT 38/03 B. L Lama; X 60 Th 09-Jul-2019 Inguinal hernia; K40;
TENGAH
1,358 0-03-61-97 YARIS ALI, TN. JL. GAMA RT 38/03 B. L Baru; X 60 Th 09-Jul-2019 Other chronic suppur; H66.3;
TENGAH
1,359 0-03-73-63 M FARHAN AN JL KENANGAN RT 28 L Baru; X 10 Th 09-Jul-2019 Otitis media, unspec; H66.9;
NO 32 TJ LAUT
1,360 0-03-84-36 SYIFA ZAHIRA A, AN. JL. SULTAN P Baru; X 6 Th 09-Jul-2019 Dyspepsia; K30;
HASNUDDIN RT
27/05 B. TENGAH
1,361 0-03-96-25 HELDIAN SUGIHARTO JL SELAT MALAKA L X 26 Th 09-Jul-2019
SDR RT 21/26 TJ LAUT
INDAH
1,362 0-03-96-60 MARYAM, NY.,HJ JL. PANGANDARAN P X 39 Th 09-Jul-2019
RT. 13/179 B. PANTAI
1,363 0-04-01-35 ROHANI NY HJ JL. S BANDA I RT 35 P X 50 Th 09-Jul-2019
TJ LAUT
1,364 0-04-54-67 RAIMON JL. ZAMRUD 9 RT 47 L Baru; X 56 Th 09-Jul-2019 Acute pharyngitis; J02;
SIMATUPANG , TN. B TGH
1,365 0-04-72-61 TUTIK SUNAYAH, NY JL. SELAT BONE RT P Baru; X 39 Th 09-Jul-2019 Necrosis of pulp; K04.1;
18 NO 34 TANJUNG
LAUT
1,366 0-04-83-61 AHMAD FADIL AN JL. G. GITAR RT.7/40 L Baru; X 7 Th 09-Jul-2019 Urticaria; L50; Dirawat
BTG BARU
1,367 0-05-44-21 JAMADE.TN JL. PELABUAN RT L X 82 Th 09-Jul-2019
14/85 TJ. LAUT
1,368 0-05-54-95 MULIANA M. ANAS NY JL. ARU PALAKKA RT P Baru; X 49 Th 09-Jul-2019 Acute abdomen; R10.0;
02 SEMANGKO
1,369 0-05-69-06 NURDIN P TN JL. AJI HASAN RT,02 L Baru; X 40 Th 09-Jul-2019 Chronic hepatitis, u; K73.9;
TELUK PANDAN
1,370 0-05-77-45 SULIS SETIAWATI NY JL. SELAT SELAYAR P Baru; X 38 Th 09-Jul-2019 Haemorrhoids; I84; Dirawat
RT. 11/06 TJ. LAUT

20/Sep/2019 76
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,371 0-05-82-06 YULIANI BIN JL. AWANG LONG P X 36 Th 09-Jul-2019


TAJUDDIN NY RT.06/46 BTG BARU
1,372 0-05-96-03 SITI NUR KHAYATI NY P X 33 Th 09-Jul-2019
1,373 0-05-96-70 DAHLIA, NY JL. DEWI SARTIKA P X 23 Th 09-Jul-2019
RT 8/82 BONTANG
BARU
1,374 0-06-05-33 NURLAILA BINTI JL S HASANUDDIN P Lama; X 59 Th 09-Jul-2019 Non-insulin-dependen; E11;
MURTADA NY RT 4 NO 95 B PANTAI
1,375 0-06-08-24 NUR INTAN NY JL SELAT ALOR RT P Baru; X 49 Th 09-Jul-2019 Typhoid fever; A01.0;
32/45 TJ LAUT
1,376 0-06-16-17 ABDI RAHMAT JL. PANO 4 RT 3/16 L Baru; X 10 Th 09-Jul-2019 Other surgical follo; Z48; Dirawat
HIDAYAT, AN BONTANG BARU
1,377 0-06-20-22 ERNAH BINTI JL. ZAMRUD RT 44 P X 49 Th 09-Jul-2019
ISKANDAR NY NO 14 BERBAS
TENGAH
1,378 0-06-38-16 MARYAM ULYA A S JL. BALIKPAPAN P X 5 Th 09-Jul-2019
AN RT.14/25 GN
TELIHAN
1,379 0-06-46-86 SRI WAHYUNI NY JL ZAMRUD GG P Lama; X 31 Th 09-Jul-2019 Chronic pansinusitis; J32.4;
ZAMRUD 19 RT 62/17
B TENGAH
1,380 0-06-60-62 ARIS AFRIANSYAH TN JL. TARI JEPEN RT L Baru; X 26 Th 09-Jul-2019 Dengue fever [classi; A90;
10/5 GUNTUNG
1,381 0-06-63-95 YUNA HAIRINISA AN JL KS TUBUN RT.32 P X 6 Th 09-Jul-2019
API API
1,382 0-07-14-81 DINDA FARRAS F, AN JL. R SUPRAPTO RT P X 7 Th 09-Jul-2019
21 API API
1,383 0-07-17-10 ROSNAH NY JL BANDENG RT 22 P X 46 Th 09-Jul-2019
TJ LAUT INDAH
1,384 0-07-28-25 ANGGA SAPUTRA AN JL RE L X 20 Th 09-Jul-2019
MARTADINATA RT 6
NO 35 LOKTUAN
1,385 0-07-31-24 JULINAR TIO JL. SEMARANG RT P X 39 Th 09-Jul-2019
MARLINANG NY 29 NO 66 BLOK A GN
TELIHAN
1,386 0-07-34-16 KASIAMI BIN MISMAN JL RUBY RT 16 B P Lama; X 59 Th 09-Jul-2019 Connective and other; D21.9;
NY PANTAI
1,387 0-07-41-83 SUMETY ADINDA JL MENTE RT 24 NO P Lama; X 39 Th 09-Jul-2019 Chronic pansinusitis; J32.4;
SARI, NY 28 SATIMPO
1,388 0-07-48-60 SYAFIRA RAMADHANI JL. TENIS RT. 38/ API P X 10 Th 09-Jul-2019
AN API

20/Sep/2019 77
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,389 0-07-49-49 MAHMUD LAMADJIDE JL ZAMRUD 15 RT L Lama; X 65 Th 09-Jul-2019 Cutaneous abscess, f; L02;
TN 51/15 BEREBAS
TENGAH
1,390 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Lama; X 50 Th 09-Jul-2019 Tuberculosis of lung; A15.0;
AHMADA NY 20/35 B PANTAI
1,391 0-07-62-86 DEDE RISKI R AN JL. BATU SAHASA 4 L Lama; X 18 Th 09-Jul-2019 Postprocedural muscu; M96;
RT 06 NO 30
BONTANG KUALA
1,392 0-07-66-17 NUR ENDANG NY JL. BUNAKEN RT 19 P Baru; X 39 Th 09-Jul-2019 Connective and other; D21.9;
B PANTAI
1,393 0-07-68-66 DITA SETYAWATI NY JL DI PANJAITAN GG P Baru; X 45 Th 09-Jul-2019 Idiopathic periphera; G90.0;
PIANO 1 RT 4 NO 5
BTG BARU
1,394 0-07-77-54 SYAMSUDDIN TN JL R SOEPRAPTO L X 77 Th 09-Jul-2019
GG PANAHAN 1 RT
23 NO 23 API API
1,395 0-07-78-84 ZAYYAN ABID AKHILA JL. J SUDIRMAN RT L X 6 Th 09-Jul-2019
R AN 26 TJ LAUT
1,396 0-07-79-61 SUCIPTO SILAN, TN JL TARI GANTAR RT L Baru; Baru; X 54 Th 09-Jul-2019 Essential (primary) ; Dyspepsia; I10;K30;
7 GUNTUNG
1,397 0-07-87-34 AINUN BINTI AN JL. SELAT MALAKA P X 9 Th 09-Jul-2019
RT. 55 BERBAS
TENGAH
1,398 0-07-92-23 SUNU H BIN BACO TN JL. PADA IDI TELUK L X 80 Th 09-Jul-2019
PANDAN
1,399 0-07-92-25 AUDIA MEINANDA, NY JL. KS TUBUN RT 29 P Baru; X 20 Th 09-Jul-2019 Dyspepsia; K30; Dirawat
TJ LAUT INDAH
1,400 0-08-06-12 SYAMSIAH S NY JL SELAT LOMBOK P X 51 Th 09-Jul-2019
RT 4 TJ LAUT
1,401 0-08-19-09 GRACIO DAVILLA JL GAJAH MADA RT L X 3 Th 09-Jul-2019
SAMPE, AN 37 NO 26 B TENGAH
1,402 0-08-20-33 LISA ANDRIYANI, NY JL POROS BTG SMD P X 22 Th 09-Jul-2019
KM 13 RT 3 TELUK
PANDAN
1,403 0-08-21-05 JABIR BIN HADIDA TN JL. S SELAYAR RT 12 L Lama; X 60 Th 09-Jul-2019 Dyspepsia; K30; Dirawat
TJ LAUT
1,404 0-08-33-19 AMELIA ASMA JL MT HARYONO RT P X 14 Th 09-Jul-2019
ZAKIYAH, AN 30 NO 41 API API
1,405 0-08-37-56 SURYANI NY JL. WR SUPRATMAN P Baru; X 36 Th 09-Jul-2019 Acute pharyngitis; J02;
RT 27 TJ LAUT
1,406 0-08-50-49 AGNETA SABRINA JL. S BONE RT 18/34 P Baru; X 14 Th 09-Jul-2019 Deposits [accretions; K03.6;
AN TJ LAUT
1,407 0-08-69-43 NAHIRA BIN JL P ANTASARI RT P Baru; X 45 Th 09-Jul-2019 Viral infection, uns; B34.9;
SARADDA NY 11 B PANTAI

20/Sep/2019 78
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,408 0-08-76-09 ALTAF SATRIA JL OTISTA RT 24/04 L X 5 Th 09-Jul-2019


AKHDAN AN BTG BARU
1,409 0-08-87-43 MESSAN BIN IYIK, TN JL A YANI RT 1 NO 24 L X 70 Th 09-Jul-2019
API API
1,410 0-08-97-15 RASYIDAH, AN JL. SULTAN P X 11 Th 09-Jul-2019
HASANUDDIN RT 02
BERBAS PANTAI
1,411 0-09-17-38 DEWI MUSTIKA, NY JL. RE P X 24 Th 09-Jul-2019
MARTADINATA RT
06 LOKTUAN
1,412 0-09-17-72 JUMADI BIN MUIS TN JL GG AMALIA RT / L X 33 Th 09-Jul-2019
BTG BARU
1,413 0-09-43-01 HERNI BINTI NY JL MAWAR 3 RT 36/ P Baru; Baru; X 38 Th 09-Jul-2019 Other disorders of u; Abdominal N39;R10 Dirawat
TJ LAUT and pelvic;
1,414 0-09-50-31 ABDUL ZAHIR, AN JL. SENAM RT 25 L Baru; X 2 Th 09-Jul-2019 Conjunctivitis; H10; Dirawat
BTG BARU
1,415 0-09-59-31 SUPRIYANTO, TN JL. CUT NYAK DIEN L Baru; X 47 Th 09-Jul-2019 Cholelithiasis; K80;
RT 13 NO 87
BONTANG BARU
1,416 0-09-85-30 SONNI ROMEO JL HOP III RT/41 L Lama; X 53 Th 09-Jul-2019 Anaemia due to enzym; D55;
SUMANTI TN SATIMPO
1,417 0-09-90-74 AMIR TAHANG, TN JL. DESA L Lama; X 50 Th 09-Jul-2019 Gonarthrosis [arthro; M17;
SEMANGKO RT. 03
MARANGKAYU
1,418 0-09-94-10 BENEDIKTUS R D TN JL. FLORES RT 01 L Baru; X 47 Th 09-Jul-2019 Essential (primary) ; I10;
KANAAN
1,419 0-09-96-20 YULITA K, NY JL. DEWI SARTIKA P Baru; X 45 Th 09-Jul-2019 Foreign body in ear; T16;
RT 08 BONTANG
BARU
1,420 0-09-98-23 YOHANES NGGALI TN JL. BUKIT PASIR RT L X 41 Th 09-Jul-2019
26/79 GN TELIHAN
1,421 0-10-03-38 BESSE HARDIANTI JL. KS TUBUN GG P X 18 Th 09-Jul-2019
AN KOI 2 RT 29 TJ LAUT
INDAH
1,422 0-10-19-42 RAHMAD SYAFRI JL SULTAN L X 29 Th 09-Jul-2019
ALAM TN HASANUDDIN RT
4/118 B PANTAI
1,423 0-10-21-59 MARDINA BINTI JL SELAT SELAYAR P X 60 Th 09-Jul-2019
SUBUH NY RT 12/37 TJ LAUT
1,424 0-10-21-59 MARDINA BINTI JL SELAT SELAYAR P X 60 Th 09-Jul-2019
SUBUH NY RT 12/37 TJ LAUT
1,425 0-10-31-70 PUJI SUHARDI , TN MESS PAMA L X 29 Th 09-Jul-2019

20/Sep/2019 79
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,426 0-10-34-72 ADITYA ATHAFARIZ JL. ASRUD BLOK J L Lama; X 2 Th 09-Jul-2019 Acute suppurative ot; H66.0;
W , AN NO 6 GN ELAI
1,427 0-10-36-87 YUS ELMIN NY JL SELAT P X 45 Th 09-Jul-2019
MAKASSAR TJ LAUT
1,428 0-10-40-90 M DIMYATI TN JL KS TUBUN GG L X 52 Th 09-Jul-2019
KERAPU 2 RT 16 TJ
LAUT INDAH
1,429 0-10-47-70 MUTMAINNA JL. MT HARYONO RT P X 27 Th 09-Jul-2019
BUSTAN, NY 30/- API-API
1,430 0-10-47-95 INDO ESA NY JL PELABUHAN 3 RT P Lama; X 65 Th 09-Jul-2019 Benign neoplasm of b; D24;
12 TJ LAUT INDAH
1,431 0-10-56-03 ASNAN BIN TAJUDIN JL MH THAMRIN GG L Baru; X 55 Th 09-Jul-2019 Prolonged second sta; O63.1; Dirawat
TN SE TEROMPET 1 RT 25
NO 16 BTG BARU
1,432 0-10-56-28 FATLIA ARIS NN JL PANGANDARAN P Baru; X 24 Th 09-Jul-2019 Acute upper respirat; J06.9;
RT 13 NO 166 B
PANTAI
1,433 0-10-65-89 PANDANG , HJ , NY JL. MELAWAI RT 22 P Lama; X 62 Th 09-Jul-2019 Tuberculosis of lung; A15.0;
B PANTAI
1,434 0-10-68-86 AKIFA NAILA PUTRI, GENDANG RT 22 P X 12 b 09-Jul-2019
AN BTG BARU
1,435 0-10-71-09 ISKANDAR , TN JL. DSN HANDIL L X 64 Th 09-Jul-2019
TIGA SANTAN
TENGAH
1,436 0-10-75-69 ATIK SUMARSIH , NY JL. P TANDEAN RT P Baru; X 37 Th 09-Jul-2019 Cholelithiasis; K80;
20 GG BATU
SAHASA B KUALA
1,437 0-10-91-62 PANTAS JL. IR SOEKARNO L Lama; X 56 Th 09-Jul-2019 Chronic renal failur; N18;
SIBAGARIAN, TN HATTA RT 25/- GN
TELIHAN
1,438 0-10-91-79 ABDUL CHALIM TN JL NANAS 03/33 TJ L X 69 Th 09-Jul-2019
LAUT
1,439 0-10-96-30 NURLINA BIN DG JL TANJUNG BATU P Baru; X 45 Th 09-Jul-2019 Otitis media, unspec; H66.9;
MALANRE NY RT 6 SEMANGKO
MARANG KAYU
1,440 0-10-96-32 MARLINA, NY JL. AP P X 25 Th 09-Jul-2019
MANGKUNEGARA
RT 03 BERBAS
TENGAH
1,441 0-10-98-06 MULIARNI BINTI KAEL JL SELAT SELAYAR P X 44 Th 09-Jul-2019
NY RT 13 TJ LAUT
1,442 0-11-00-70 EDY BIN JL. TOMAT RT 43/27 L X 55 Th 09-Jul-2019
LABOMBANG, TN GN ELAI

20/Sep/2019 80
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,443 0-11-01-19 SITI RAMLAH NY JL ZAMRUD 16 RT 50 P X 49 Th 09-Jul-2019
B TENGAH
1,444 0-11-03-41 ZAYYAN ARKANA A, JL PELABUHAN RT L X 8b 09-Jul-2019
AN 13/ GG BARONANG
TJ LAUT INDAH
1,445 0-11-03-41 ZAYYAN ARKANA A, JL PELABUHAN RT L X 8b 09-Jul-2019
AN 13/ GG BARONANG
TJ LAUT INDAH
1,446 0-11-06-75 SAIDUL BIN BADULU JL. MANUNGGAL RT L Lama; X 54 Th 09-Jul-2019 Otitis media, unspec; H66.9;
TN 11 BERBAS PANTAI
1,447 0-11-08-75 M RAFA RAMADHAN JL KEPUYUH 1 RT 8 L X 2 Th 09-Jul-2019
B AN NO 31 TJ LAUT
INDAH
1,448 0-11-09-73 LENI SRI WAHYUNI , JL. R SUPRAPTO RT P Lama; X 21 Th 09-Jul-2019 Asthma; J45; Dirawat
NN 21/65 API-API
1,449 0-11-09-87 TENRI HJ NY JL UNTUNG P Lama; X 59 Th 09-Jul-2019 Tuberculosis of lung; A15.0;
SUROPATI RT 16/26
TJ LAUT
1,450 0-11-20-54 RUSLI BIN, TN JL. KENANGAN RT, L X 41 Th 09-Jul-2019
29 TJ LAUT
1,451 0-11-23-48 YANI BINTI KOI R, NY JL. HM ARDANS RT P Baru; X 34 Th 09-Jul-2019 Necrosis of pulp; K04.1;
22/05 SATIMPO
1,452 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 09-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
1,453 0-11-27-17 MARIYEH, NY JL. BRIG KATAMSO P Baru; X 29 Th 09-Jul-2019 Thyrotoxicosis [hype; E05;
RT, 44 BELIMBING
1,454 0-11-41-50 RUSTINAH , NY JL. J A YANI RT 02 TJ P Lama; X 44 Th 09-Jul-2019 Essential (primary) ; I10;
LAUT
1,455 0-11-43-96 M DWI PRASETYO, JL. DESA HANDIL RT, L X 24 Th 09-Jul-2019
TN 09 SANTAN TENGAH
1,456 0-11-46-82 SISKAWATI BINTI NY JL. S HASANUDDIN P Baru; X 34 Th 09-Jul-2019 Thyrotoxicosis [hype; E05;
GG LOSARI 15 RT
05/23 B PANTAI
1,457 0-11-47-52 ASMIA BIN ASDAR NY JL KENANGAN RT 28 P Lama; X 37 Th 09-Jul-2019 Otitis externa; H60;
NO 60 TJ LAUT
1,458 0-11-50-14 ELMINA RODIANA NN JL. TAEKWONDO P Baru; X 22 Th 09-Jul-2019 Streptococcal pharyn; J02.0;
RT.10 NO 35 API API
1,459 0-11-52-39 YASMIN ZAKIA, AN JL A YANI GG P X 10 Th 09-Jul-2019
TAEKWONDO 1 RT
9/82 API API
1,460 0-11-64-10 HAMIDA HJ NY JL DI PONEGORO RT P X 51 Th 09-Jul-2019
15/115 BERBAS
PANTAI

20/Sep/2019 81
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,461 0-11-66-21 NOVI BIN MARSIA NY JL WR SUPRATMAN P Lama; X 25 Th 09-Jul-2019 Hypokalaemia; E87.6;
RT 27
1,462 0-11-77-31 MEIVO MEYLINDA R JL SULTAN P Baru; X 37 Th 09-Jul-2019 Acute pharyngitis, u; J02.9;
NY HASANUDDIN RT 56
BERBAS TENGAH
1,463 0-11-81-06 ANDI NAURA YUKI JL DIPONEGORO RT P Lama; X 1 Th 09-Jul-2019 Dyspnoea; R06.0; Dirawat
ZAHIRA AN 15 BERBAS PATAI
1,464 0-11-82-01 MUHAMMAD, TN JL. CATUR RT 07 NO L Baru; X 58 Th 09-Jul-2019 Unspecified malaria; B54; Dirawat
B09 API API
1,465 0-11-82-04 DAENG MANGAWING JL KAMPUNG L X 74 Th 09-Jul-2019
TN BAGANG RT 6
SEMANGKO
1,466 0-11-82-87 LUSIANA LISU NY JL. BERINGIN HOP I/ P Lama; X 67 Th 09-Jul-2019 Tuberculosis of lung; A15.0;
22
1,467 0-11-82-88 SAENAL, TN JL. CARITA RT 11 L X 45 Th 09-Jul-2019
BERBAS PANTAI
1,468 0-11-85-17 WINDA AZIZAH, AN JL. DI PANJAITAN RT P X 4 Th 09-Jul-2019
02 BONTANG BARU
1,469 0-11-85-51 LISTIANY BINTI JL SELAT BONE RT P X 60 Th 09-Jul-2019
JUMARI NY 17 / 6 TJ LAUT
1,470 0-11-92-52 MARYAM KACO, NY JL. SOEKARNO P X 55 Th 09-Jul-2019
HATTA RT 03/- B
LESTARI
1,471 0-11-92-56 YULIUS RURU TN JL PONTIANAK 4 RT L X 64 Th 09-Jul-2019
19 / 69 GUNUNG
TELIHAN
1,472 0-11-92-72 SAHRIAN BIN RAHIM, JL. POROS BTG-SGT P X 42 Th 09-Jul-2019
NY RT 07/- TELUK
PANDAN
1,473 0-11-95-65 HASMAWATI BINTI JL. GITAR GG GITAR P Lama; X 35 Th 09-Jul-2019 Connective and other; D21.9;
LABABA NY 2 RT 07/- B BARU
1,474 0-11-95-82 ROSMIATI BIN JL CARITA RT 11 P X 35 Th 09-Jul-2019
HADISE NY BERBAS PANTAI
1,475 0-11-96-89 PARIDA NY JL. SELAT SELAYAR P Lama; X 50 Th 09-Jul-2019 Skin of eyelid, incl; D23.1;
NO 30 RT 13/-
1,476 0-11-97-03 YUDI WAGIANTO, TN JL. GN KAMBU RT L X 38 Th 09-Jul-2019
/06 GN ELAI
1,477 0-11-97-64 FATMAWATI BINTI JL DUSUN P X 25 Th 09-Jul-2019
BAEN NY MANUNGGAL JAYA 1
RT 16 SAMBERA
BARU
1,478 0-11-97-80 NURHAYATI BINTI JL KS TUBUN GG P Lama; X 59 Th 09-Jul-2019 Non-insulin-dependen; E11;
AZIZ NY KERAPU 2 RT 16
TANJUNG LAUT

20/Sep/2019 82
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,479 0-11-97-80 NURHAYATI BINTI JL KS TUBUN GG P X 59 Th 09-Jul-2019


AZIZ NY KERAPU 2 RT 16
TANJUNG LAUT
1,480 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 09-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
1,481 0-11-98-72 MUHAMMAD NUR TN JL TENNIS BLOK C L Lama; X 57 Th 09-Jul-2019 Connective and other; D21.9;
RT 39 API API
1,482 0-11-98-93 DINI HARIANTO JL WR SUPRAPTO P Baru; X 17 Th 09-Jul-2019 Caries limited to en; K02.0;
PUTRI NN RT 28 BONTANG
BARU
1,483 0-11-99-43 KAMARUDDIN TN JL DUSUN HANDIL L Lama; X 64 Th 09-Jul-2019 Cutaneous abscess, f; L02.9;
DUA RT 7 SANTAN
TENGAH
1,484 0-12-00-13 M RIDWAN JL JENDRAL L X 18 Th 09-Jul-2019
MUSTAJAB SDR SUDIRMAN RT 26/-
TJ LAUT
1,485 0-12-00-29 HAFIDZAH ZAHWA F JL. KAPAL SELAM 3 P X 9 Hr 09-Jul-2019
AN RT. 13 LOKTUAN
BONTANG UTARA
1,486 0-12-00-49 AINUN EWA NN JL BRIGJEN P Lama; X 20 Th 09-Jul-2019 Chronic pansinusitis; J32.4;
KATAMSO RT 16/28
GUNUNG ELAI
1,487 0-12-00-64 SITTI BINTI LAHABE JL SULTAN SYAHRIR P Baru; X 47 Th 09-Jul-2019 Anaemia due to enzym; D55;
NY GGBAWIS 1 RT 07/-
KEL. TJ LAUT
1,488 0-12-00-82 DZAKI ZAHFRAN AL JL PANTTIMURA RT L X 5 Th 09-Jul-2019
ZIKRI AN 41BTG UTARA
1,489 0-12-01-52 SERGIO RAMOS JL SELAT BONE RT L Baru; X 2 Th 09-Jul-2019 Attention to surgica; Z48.0; Dirawat
MUTAQQI AN 18/29 TJ LAUT INDAH
1,490 0-12-02-30 FARIDA ARIYANI NY JL MALUKU RT 16/10 P X 49 Th 09-Jul-2019
BTN KCY API API
1,491 0-12-02-36 RIFKY HANANI TN JL. KS TUBUN GG L Baru; X 23 Th 09-Jul-2019 Injury of unspecifie; T14; Dirawat
PLN NO 13
1,492 0-12-02-41 MAKSUM BIN TN JL SULTAN L X 57 Th 09-Jul-2019
HASANUDDIN RT
01/07 B PANTAI
1,493 0-12-02-60 NANANG RESTU JL. AHMAD YANI RT L X 26 Th 09-Jul-2019
PALUPI TN 05
1,494 0-12-02-65 SIGIT DIBYO P SDR JL MANGGA 1 RT 25 L X 20 Th 09-Jul-2019
SATIMPO BTG
SELATAN
1,495 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L X 50 Th 09-Jul-2019
YUSUP TN 09 TJ LAUT INDAH

20/Sep/2019 83
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,496 0-12-03-33 NUR JANNAH NY JL. RE P X 38 Th 09-Jul-2019
MARTADINATA RT
29 NO 30 LOKTUAN
1,497 0-12-03-34 SURIANSYAH TN JL. RE L X 45 Th 09-Jul-2019
MARTADINATA RT
29 LOKTUAN
1,498 0-12-03-38 HERLIANA RYAN JL EMRALD RT 19/30 P X 11 Th 09-Jul-2019
AGUSTIN AN BERBAS TENGAH
1,499 0-12-03-43 RAYYAN ARKANA JL PELABUHAN 3 GG L X 8b 09-Jul-2019
ALFARIZKQI AN BARONANG RT 13 TJ
LAUT INDAH
1,500 0-12-03-46 M AZKA RAFFASYA JL GATOT SUBROTO L X 1 Th 09-Jul-2019
AN RT 23 BERBAS
PANTAI
1,501 0-12-03-47 SANDI NURANTO TN JL DELIMA BLOK A 2 L X 26 Th 09-Jul-2019
RT 24 SATIMPO
1,502 0-12-03-48 NALSIANA RAKAN L JL. SION RT 05 P X 29 Th 09-Jul-2019
NY KANAAN
1,503 0-12-03-49 INTAN NURCAHYANI JL. DI PANJAITAN P X 15 Th 09-Jul-2019
AN GG ATLETIK 11
1,504 0-12-03-50 FEBRIANA RATNA S, JL. KS TUBUN GG P X 25 Th 09-Jul-2019
NY BREKSI RT 08/- B
KUALA
1,505 0-12-03-51 MUHAMMAD HUSEIN JL SELAT BONE RT L X 14 Th 09-Jul-2019
S H AN 18 TJ LAUT
1,506 0-12-03-52 KADIONO BIN JL KH ABDUL MARISI L X 56 Th 09-Jul-2019
KATIRIN TN RT 11/22 MARANG
KAYU
1,507 0-12-03-53 RUSMINI BINTI NY JL. TIPALAYO RT 36/- P X 41 Th 09-Jul-2019
B TENGAH
1,508 0-12-03-54 SOYO ADI WOBOWO JL. BATU BARA RT L X 48 Th 09-Jul-2019
TN 19/02 BONTANG
LESTARI
1,509 0-12-03-55 HARIYADI, TN JL. MAWAR 4, RT 36 L X 64 Th 09-Jul-2019
NO 86 BUKIT INDAH
1,510 0-12-03-56 IBRAHIM NUR JL. KOL RT 08 GN L Baru; X 9 Th 09-Jul-2019 Disturbances in toot; K00.6;
ALHUSEIN AN ELAI
1,511 0-12-03-57 LILIK KHOIRIYAH NY JL SLAMET RIYADI P X 27 Th 09-Jul-2019
GG KAPAL PESIAR
RT 50 LOKTUAN
1,512 0-12-03-58 SHAKIEL DHAFIN A JL SLAMET RIYADI L X 0 Hr 09-Jul-2019
AN GG KAPAL PESIAR
RT 50 LOKTUAN

20/Sep/2019 84
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,513 0-12-03-59 ECHA NURSAHARA, JL. CATUR RT 07/01 P X 21 Th 09-Jul-2019
NN API-API
1,514 0-12-03-60 SYAHRATUL ASY JL. PANTAI INDAH P Baru; X 7 Th 09-Jul-2019 Disturbances in toot; K00.6;
SYIFA, AN RT 24/- DESA
SEBUNTAL
1,515 0-12-03-61 GALANG RAMADHAN, JL. TARI ENGGANG L X 18 Th 09-Jul-2019
SDR NO 67 RT 11 KEL.
GUNTUNG
1,516 0-12-03-62 YULIA SITI AISYAH NY JL. MT HARYONO RT P X 44 Th 09-Jul-2019
30/47
1,517 0-12-03-63 FARRAS ROIHANA, JL. MT HARYONO RT P X 11 Th 09-Jul-2019
AN 30 API-API
1,518 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Baru; X 34 Th 09-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
1,519 0-12-03-65 FENDRIC ZAKKA JL. S HASANUDDIN L Baru; X 7 Th 09-Jul-2019 Disturbances in toot; K00.6;
ORNATHA, AN GG LOSARI 14 RT
09/- B PANTAI
1,520 0-12-03-66 RATNA SARI NN JL DUSUN WIRA RT P X 22 Th 09-Jul-2019
04 MARANG KAYU
1,521 0-12-03-67 WILMA A , NY JL. BANJARMASIN P Baru; X 35 Th 09-Jul-2019 Impacted teeth; K01.1;
RT 21 GUNUNG
TELIHAN
1,522 0-12-03-68 SRI MULIANY NUR AN JL DI PANJAITAN GG P X 13 Th 09-Jul-2019
JABORA RT 26 API
API
1,523 0-12-03-69 HAFIDZOH BIN JL IR H JUANDA RT P X 28 Hr 09-Jul-2019
ABDUL AN 3/34 TJ LAUT
1,524 0-12-03-70 M ZIZAU FATHIR F AN JL. S PARMAN NO 7 L X 13 Th 09-Jul-2019
RT 48
1,525 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Baru; X 29 Th 09-Jul-2019 Inguinal hernia; K40;
RT 39 BERBAS
TENGAH
1,526 0-12-03-72 FITRIANA NY JL SAMBOJA CC 15 P Baru; X 55 Th 09-Jul-2019 Dyspepsia; K30;
BTN PKT BELIMBING
1,527 0-12-03-73 ASNIDAR BINTI JL KS TUBUN RT 16 P Baru; X 16 Th 09-Jul-2019 Gastroenteritis and ; K52.0;
RUKSAL NN GG KERAPU 2
1,528 0-12-03-74 NOVITA SARI NY JL SULTAN P X 26 Th 09-Jul-2019
HASANUDDIN RT 3
BERBAS PANTAI
1,529 0-12-03-74 NOVITA SARI NY JL SULTAN P X 26 Th 09-Jul-2019
HASANUDDIN RT 3
BERBAS PANTAI

20/Sep/2019 85
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,530 0-12-03-74 NOVITA SARI NY JL SULTAN P X 26 Th 09-Jul-2019
HASANUDDIN RT 3
BERBAS PANTAI
1,531 0-12-03-76 HASNAH BINTI JL RE P Baru; X 48 Th 09-Jul-2019 Non-insulin-dependen; E11;
TAMPE NY MARTADINATA RT 4
LOKTUAN
1,532 0-12-03-77 SUCIATI NY JL S HASANUDDIN P Baru; X 33 Th 09-Jul-2019 Pain in throat and c; R07; Dirawat
RT 4 BERBAS
PANTAI
1,533 0-12-03-78 AHMAD ARIF TN JL S HASANUDDIN L X 30 Th 09-Jul-2019
RT 25 BERBAS
TENGAH
1,534 0-12-03-79 MAISARAH BINTI JL KAPT PIERE P X 27 Th 09-Jul-2019
HAMDANI NY TENDEAN RT 20
BONTANG KUALA
1,535 0-12-03-80 CAEZZY ZABINA R AN JL TARI GONG 2 P X 9 Th 09-Jul-2019
GUNTUNG
1,536 0-12-03-81 EKO PRASETYO TN JL GUNUNG KABULA L X 25 Th 09-Jul-2019
NO 4 PERUM BSD
1,537 0-12-03-82 M YUSUF GUNAWAN JL KS TUBUN GG L X 22 Th 09-Jul-2019
TN ARWANA 2 RT 17
1,538 0-12-03-84 RISKA BINTI TENGGU JL KENANGA RT 30 P X 15 Th 09-Jul-2019
AN
1,539 0-12-03-85 KIRANA NURTIARA JL. SULTAN P X 1 Th 09-Jul-2019
AN HASANUDDIN RT 2
1,540 0-01-28-35 ABDUL HAMID, AN JL KH AGUS SALIM L X 12 Th 10-Jul-2019
RT 07 BERBAS
PANTAI
1,541 0-02-23-16 ARRACHMAN JL. TIM-TIM RT 17/12 L X 50 Th 10-Jul-2019
YUNARLAN , TN. API-API
1,542 0-02-28-33 DEWI PURWANTI NY JL. KS TUBUN RT 32 P Lama; X 31 Th 10-Jul-2019 Gynaecological exami; Z01.4;
NO 32
1,543 0-02-57-93 JAMALUDDIN BIN JL SAMRATULANG L X 65 Th 10-Jul-2019
TOHA TN H GG LOHAN RT 15/64
TJ LAUT INDAH
1,544 0-02-66-09 SITI MUNAWAROH , P Lama; X 61 Th 10-Jul-2019 Non-insulin-dependen; E11;
NY
1,545 0-02-66-09 SITI MUNAWAROH , P X 61 Th 10-Jul-2019
NY
1,546 0-03-15-40 ABDUL RAHIM, TN. JL. TOMAT RT. 13/32 L Baru; X 62 Th 10-Jul-2019 Thyrotoxicosis [hype; E05;
GN. ELAI
1,547 0-03-30-82 SITI MANAWIYAH, NY JL. KH A DAHLAN RT P X 52 Th 10-Jul-2019
4/11 BTG BARU

20/Sep/2019 86
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,548 0-03-73-63 M FARHAN AN JL KENANGAN RT 28 L X 10 Th 10-Jul-2019
NO 32 TJ LAUT
1,549 0-04-07-22 NOVITA DIA JL. CUT NYAK DIEN P Lama; X 30 Th 10-Jul-2019 Gynaecological exami; Z01.4;
KUSUMAWATI, NY GG SARONO RT
09/99 A B BARU
1,550 0-04-17-00 RUSTI YANTI, NY JL SUTAN SYAHRIR P Baru; X 39 Th 10-Jul-2019 Gastro-oesophageal r; K21.9; Dirawat
RT 31/12 TJ LAUT
1,551 0-04-85-10 SYAKIRAH AMALIA AN JL. BARONANG P Lama; X 7 Th 10-Jul-2019 Asthma; J45; Dirawat
RT.13/26 TJ. LAUT
1,552 0-05-11-65 MUSDALIVA LESTARI JL MELAWAI RT 20 B P X 29 Th 10-Jul-2019
NY TENGAH
1,553 0-05-19-93 INA KUSUMAWATI NY JL OTISTA RT 24 / 36 P Baru; X 26 Th 10-Jul-2019 Female infertility; N97;
BTG BARU
1,554 0-05-22-46 MUH RHENO JL. A YANI RT. 10/ L Lama; X 7 Th 10-Jul-2019 Fracture of femur; S72;
PRATAMA AN API API
1,555 0-05-44-21 JAMADE.TN JL. PELABUAN RT L Baru; X 82 Th 10-Jul-2019 Hyperplasia of prost; N40;
14/85 TJ. LAUT
1,556 0-05-77-45 SULIS SETIAWATI NY JL. SELAT SELAYAR P Lama; X 38 Th 10-Jul-2019 Haemorrhoids; I84;
RT. 11/06 TJ. LAUT
1,557 0-06-24-64 SUHARTONO TN HOP V RT 25/368 GN L Baru; X 52 Th 10-Jul-2019 Traumatic amputation; S88;
ELAI
1,558 0-06-25-64 NAGITA NAZWA JL. R SOEPRAPTO P Baru; X 7 Th 10-Jul-2019 Injury of unspecifie; T14; Dirawat
QIRANI, AN RT 35 NO 36 API API
1,559 0-06-26-19 HERIYANTI, NY JL. KS TUBUN RT 28 P Lama; X 28 Th 10-Jul-2019 Supervision of norma; Z34;
TANJUNG LAUT
INDAH
1,560 0-06-35-57 NELLY NURAIZA, AN JL. SULTAN P Baru; X 13 Th 10-Jul-2019 Gynaecological exami; Z01.4;
HASANUDDIN RT 01
NO 78 BERBAS
PANTAI
1,561 0-06-46-94 SUSANTI BINTI JL PELABUHAN RT P Lama; X 32 Th 10-Jul-2019 Supervision of norma; Z34;
SULAIMAN NY 12/15 TJ LAUT INDAH
1,562 0-06-50-95 ATANASIUS P INDRA JL. GG ATLETIK RT. L X 30 Th 10-Jul-2019
TN 33/ API API
1,563 0-06-82-90 HASMIATI NY JL. JUNADA RT 05 TJ P X 41 Th 10-Jul-2019
LAUT
1,564 0-06-83-07 YUDHI KUSUMA JL DURIAN BTN PKT L X 38 Th 10-Jul-2019
BAKTI TN
1,565 0-07-05-49 THRY MEILANA TN JL. WORTEL RT. L Lama; X 42 Th 10-Jul-2019 Human immunodeficien; B20;
09/94 GN ELAI
1,566 0-07-19-87 M ZUL IKRAM AN JL. S SHARIR RT 31 L X 6 Th 10-Jul-2019
NO 02 TJ LAUT
1,567 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Baru; X 18 Th 10-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT

20/Sep/2019 87
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,568 0-07-31-24 JULINAR TIO JL. SEMARANG RT P Baru; X 39 Th 10-Jul-2019 Cutaneous abscess, f; L02;
MARLINANG NY 29 NO 66 BLOK A GN
TELIHAN
1,569 0-07-31-24 JULINAR TIO JL. SEMARANG RT P X 39 Th 10-Jul-2019
MARLINANG NY 29 NO 66 BLOK A GN
TELIHAN
1,570 0-07-33-19 MARCE PAKONDO NY JL. BANDUNG 4 RT P X 47 Th 10-Jul-2019
23 GN TELIHAN
1,571 0-07-68-66 DITA SETYAWATI NY JL DI PANJAITAN GG P X 45 Th 10-Jul-2019
PIANO 1 RT 4 NO 5
BTG BARU
1,572 0-07-68-66 DITA SETYAWATI NY JL DI PANJAITAN GG P X 45 Th 10-Jul-2019
PIANO 1 RT 4 NO 5
BTG BARU
1,573 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 10-Jul-2019 Necrosis of pulp; K04.1;
NY API API
1,574 0-07-74-63 MUNIRWANA NY JL. S SELAYAR RT. P Lama; X 37 Th 10-Jul-2019 Non-insulin-dependen; E11;
38 NO. 23 TANJUNG
LAUT
1,575 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 10-Jul-2019 Cutaneous abscess, f; L02;
B PANTAI
1,576 0-07-82-26 WANDA ANISA F AN JL S SYAHRIR RT 05 P X 17 Th 10-Jul-2019
TJ LAUT INDAH
1,577 0-07-82-95 SRI JUMIATI NY JL KP TENDEAN RT P X 48 Th 10-Jul-2019
09 NO 01 BONTANG
KUALA
1,578 0-07-92-81 MARYANA ULFA, NY JL MANGKU P Baru; X 31 Th 10-Jul-2019 Insertion of (intrau; Z30.1;
NEGORO RT 7 NO.
15 B TENGAH
1,579 0-07-95-04 NURBIA, NY JL GAMA RT 37 B P Lama; X 46 Th 10-Jul-2019 Essential (primary) ; I10;
TENGAH
1,580 0-08-03-82 NURAIDAH, NY JL SELAT P Lama; X 40 Th 10-Jul-2019 Gynaecological exami; Z01.4;
MAKASSAR RT 25
NO. 31 TJ LAUT
1,581 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 10-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
1,582 0-08-12-88 SAID JL BIOLA 5 RT 5 NO L X 25 Th 10-Jul-2019
FATHURRAHCMAN 63 BTG BARU
TN
1,583 0-08-19-09 GRACIO DAVILLA JL GAJAH MADA RT L X 3 Th 10-Jul-2019
SAMPE, AN 37 NO 26 B TENGAH
1,584 0-08-21-05 JABIR BIN HADIDA TN JL. S SELAYAR RT 12 L X 60 Th 10-Jul-2019
TJ LAUT

20/Sep/2019 88
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,585 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L Baru; X 16 Th 10-Jul-2019 Necrosis of pulp; K04.1;
BLOK O NO 9 KCY
API API
1,586 0-08-33-19 AMELIA ASMA JL MT HARYONO RT P X 14 Th 10-Jul-2019
ZAKIYAH, AN 30 NO 41 API API
1,587 0-08-55-87 BANNANG BIN TN JL BUNAKEN RT 19/ L Baru; X 49 Th 10-Jul-2019 Contact with marine ; W56; Dirawat
B PANTAI
1,588 0-08-60-97 HARDIAH NY JL. ZAMRUD RT. 53 P X 35 Th 10-Jul-2019
BER TENGAH
1,589 0-08-64-70 MILLATI HANIFAH NY JL CUMI CUMI RT P X 19 Th 10-Jul-2019
01/13 TJ LAUT INDAH
1,590 0-08-69-01 NAURA SALSABILA A, JL SELAT KARIMATA P Lama; X 5 Th 10-Jul-2019 Asthma; J45; Dirawat
AN RT 9 TJ LAUT
1,591 0-08-89-36 RUSMIATI HJ BINTI JL WR SUPRATMAN P X 67 Th 10-Jul-2019
NY RT 09/61 B PANTAI
1,592 0-09-04-62 YULIA CINDY JL SELAT BONE GG P X 7 Th 10-Jul-2019
SABRINA AN SATELIT RT 18 NO
34 TJ LAUT
1,593 0-09-08-06 RANI MUSTAMIN NY JL DESA SUKA P Lama; X 23 Th 10-Jul-2019 Contraceptive manage; Z30;
RAHMAT RT 16
TELUK PANDAN
1,594 0-09-14-69 MASNAH NY JL. KENANGAN RT P X 49 Th 10-Jul-2019
28 TJ LAUT
1,595 0-09-40-70 MARZUKI BIN LAHAJJI JL SELAT LOMBOK L X 56 Th 10-Jul-2019
TN RT 04
1,596 0-09-43-50 M HUSAIN, TN JL. WR SUPRATMAN L Baru; X 76 Th 10-Jul-2019 Gonarthrosis [arthro; M17;
RT. 27 TJ LAUT
1,597 0-09-64-23 MOH YASIM TN JL SULTAN L X 34 Th 10-Jul-2019
HASANUDDIN GG
LOSARI 15 RT 5 B
PANTAI
1,598 0-09-68-38 SUKARTI BINTI KAPI JL KS TUBUN GG P Lama; X 45 Th 10-Jul-2019 Thyrotoxicosis [hype; E05;
NY NILA 2 RT 28 TJ
LAUT ONDAH
1,599 0-09-70-75 NUR LAILA NY JL KS TUBUN RT 16 P X 29 Th 10-Jul-2019
BTG KUALA
1,600 0-09-77-17 BILAL ARI WIRANATA JL RE L X 2 Th 10-Jul-2019
AN MARTADINATA GG
KAKAK TUA NO 11
LOKTUAN
1,601 0-09-93-14 NILA ANGREYANI, NY JL. DESA SEBUNTAL P X 18 Th 10-Jul-2019
RT, 02
MARANGKAYU

20/Sep/2019 89
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,602 0-09-98-23 YOHANES NGGALI TN JL. BUKIT PASIR RT L Lama; X 41 Th 10-Jul-2019 Chronic hepatitis, u; K73.9;
26/79 GN TELIHAN
1,603 0-10-05-22 M SYAKIR , AN JL. MH TAMRIN RT L Baru; X 2 Th 10-Jul-2019 Acute pharyngitis, u; J02.9;
02/72 BTG BARU
1,604 0-10-05-45 BASRI AMIR TN JL DESA SUKA L Lama; X 37 Th 10-Jul-2019 Other hyperlipidaemi; E78.4;
RAHMAT RT 14
TELUK PANDAN
1,605 0-10-10-67 RESTI BAGITA PUTRI JL. KALIMANTAN P Baru; X 29 Th 10-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
, NY BLOK A3 BTN KCY
API-API
1,606 0-10-16-97 MELFAWATI BR S , JL. DIOPONEGORO P X 32 Th 10-Jul-2019
NY RT 17/26 B PANTAI
1,607 0-10-28-42 INDRA BUDIYONO, JL. UNTUNG L Baru; X 21 Th 10-Jul-2019 Thyrotoxicosis [hype; E05;
SDR SUROPATI RT 15 NO
20 TANJUNG LAUT
1,608 0-10-29-23 RAESHA ARSYILA N, JL. NANAS RT 32 NO P Lama; X 1 Th 10-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN 20 BELIMBING
1,609 0-10-32-45 M RAFY ALFAJRI AN JL S HASANUDDIN L X 13 Th 10-Jul-2019
RT 04 B PANTAI
1,610 0-10-36-87 YUS ELMIN NY JL SELAT P X 45 Th 10-Jul-2019
MAKASSAR TJ LAUT
1,611 0-10-38-06 ERNIK SUNARMI , NY JL. J SUDIRMAN RT P Lama; X 42 Th 10-Jul-2019 Non-insulin-dependen; E11;
26 TJ LAUT
1,612 0-10-51-00 ROSMANIAH BIN JL. MH THAMRIN GG P Lama; X 36 Th 10-Jul-2019 Supervision of norma; Z34;
BIRUHIM NY TROMPET RT 25/48
BTG BARU
1,613 0-10-65-57 NUR RAHMANA, AN JL. MELAWAI RT 20 P X 9 Th 10-Jul-2019
BERBAS PANTAI
1,614 0-10-67-17 RAHMANSYAH SDR JL ABDI NEGERA RT L Lama; X 19 Th 10-Jul-2019 Asthma; J45; Dirawat
13/ TELUK KADERE
BTG LESTARI
1,615 0-10-73-54 ODE BATARA A, TN JL. KP TENDEAN RT L Baru; X 69 Th 10-Jul-2019 Pneumonia, organism ; J18;
11 BONTANG KUALA
1,616 0-10-75-69 ATIK SUMARSIH , NY JL. P TANDEAN RT P Lama; Lama; X 37 Th 10-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
20 GG BATU
SAHASA B KUALA
1,617 0-10-75-69 ATIK SUMARSIH , NY JL. P TANDEAN RT P X 37 Th 10-Jul-2019
20 GG BATU
SAHASA B KUALA
1,618 0-10-77-08 JOKO MULYO JL. TANDUNG L Baru; X 23 Th 10-Jul-2019 Special screening ex; Z11;
SEMBODO , TN MAYANG KM 200
BTG SGT

20/Sep/2019 90
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,619 0-10-77-82 MUSLIMAH BINTI JL. PATTIMURA GG P Baru; X 40 Th 10-Jul-2019 Dyspepsia; K30;
PADIN, NY ATLETIK 8 RT 42 NO
24 API-API
1,620 0-10-92-85 SITI ROFIAH NY JL GN SIBOYOK RT P X 29 Th 10-Jul-2019
41/22 GN ELAI
1,621 0-10-94-07 WULANDARI JL RE P Baru; X 23 Th 10-Jul-2019 Dyspepsia; K30; Dirawat
SRIANINGSIH NY MARTADINATA GG
PUYUH RT 36 NO 29
LOKTUAN
1,622 0-10-94-41 PATRA NY JL KAPT PIERE P Baru; X 29 Th 10-Jul-2019 Gynaecological exami; Z01.4;
TENDEAN RT 18/
BTG KUALA
1,623 0-10-95-54 PODO BIN KARTO, TN JL. BALIKPAPAN RT L Lama; X 55 Th 10-Jul-2019 Polycythaemia vera; D45;
15/39 GN TELIHAN
1,624 0-10-97-14 WINARNI BINTI JL. A YANI GG RAWA P Baru; X 37 Th 10-Jul-2019 Anaemia due to enzym; D55;
ISNEN, NY INDAH RT 09/13
API-API
1,625 0-10-98-06 MULIARNI BINTI KAEL JL SELAT SELAYAR P Lama; X 44 Th 10-Jul-2019 Malignant neoplasm o; C24;
NY RT 13 TJ LAUT
1,626 0-11-00-70 EDY BIN JL. TOMAT RT 43/27 L Lama; X 55 Th 10-Jul-2019 Chronic hepatitis, u; K73.9;
LABOMBANG, TN GN ELAI
1,627 0-11-01-38 HARLINA NY JL. LAMPA TIMUR RT P X 37 Th 10-Jul-2019
002/002 KEL.LAMPA
DUAMPANUA
1,628 0-11-01-58 DETTY SETYOWATI JL MT HARYONO RT P Lama; X 26 Th 10-Jul-2019 Supervision of norma; Z34;
NY 09/24B GN ELAI
1,629 0-11-03-08 ETI NURAINI NY JL. SOEKARNO P Lama; X 43 Th 10-Jul-2019 Non-insulin-dependen; E11;
HATTA RT 25/- GN
TELIHAN
1,630 0-11-04-27 NORMA BINTI SAID JL MULAWARMAN P Lama; X 58 Th 10-Jul-2019 Non-insulin-dependen; E11;
NY RT 22 BTG BARU
1,631 0-11-04-27 NORMA BINTI SAID JL MULAWARMAN P X 58 Th 10-Jul-2019
NY RT 22 BTG BARU
1,632 0-11-08-60 ABD SAMAD, TN JL. KELADI RT 03/06 L X 47 Th 10-Jul-2019
GN ELAI
1,633 0-11-19-06 DAMAYANTI, NY JL. SULTAN AGUNG P Baru; X 33 Th 10-Jul-2019 Thyrotoxicosis [hype; E05;
RT 07 BERBAS
PANTAI
1,634 0-11-20-54 RUSLI BIN, TN JL. KENANGAN RT, L Lama; X 41 Th 10-Jul-2019 Thyrotoxicosis [hype; E05;
29 TJ LAUT
1,635 0-11-22-30 HARNIA BINTI NY JL. RE P Lama; X 26 Th 10-Jul-2019 Supervision of norma; Z34;
MARTADINATA RT
05/- LOKTUAN

20/Sep/2019 91
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,636 0-11-24-03 LULUK ARFIANI NY JL KEBAHAGIAN RT P X 39 Th 10-Jul-2019
23 SEBUNTAL
MARANGKAYU
1,637 0-11-24-22 IMANIARTIKA KURNIA JL GUNUNG P Lama; X 28 Th 10-Jul-2019 Supervision of norma; Z34;
P, NY MALABAR RT 35/16
BSD GN ELAI
1,638 0-11-24-76 DIANA STEVANI, NY JL. LOPUBATANG P X 32 Th 10-Jul-2019
NO, 12 GN ELAI
1,639 0-11-24-76 DIANA STEVANI, NY JL. LOPUBATANG P X 32 Th 10-Jul-2019
NO, 12 GN ELAI
1,640 0-11-25-85 KARDI BIN SUPARNI, JL. ZAMRUD 12 RT. L Baru; X 26 Th 10-Jul-2019 Urticaria; L50;
NY 49 BERBAS TENGAH
1,641 0-11-33-17 DARMAWATI, NY JL. S HASANUDDIN P Baru; X 34 Th 10-Jul-2019 Postpartum care and ; Z39;
RT, 34 B TENGAH
1,642 0-11-33-63 NURHAEDAH BINTI, JL. HARUAN RT P X 44 Th 10-Jul-2019
NY 20/50 TJ LAUT INDAH
1,643 0-11-40-03 MARDYAH ZULHANI JL KENANGAN RT 29 P Lama; X 17 Th 10-Jul-2019 Other chronic suppur; H66.3;
AN TJ LAUT
1,644 0-11-43-96 M DWI PRASETYO, JL. DESA HANDIL RT, L Baru; X 24 Th 10-Jul-2019 Chronic hepatitis, u; K73.9;
TN 09 SANTAN TENGAH
1,645 0-11-46-96 KARLINA NY JL PUPUK RAYA P X 56 Th 10-Jul-2019
PERUM PBS
CEMARA III 3/1A
BELIMBANG
1,646 0-11-56-04 SUDARNANIK BIN JL KS TUBUN GG P Lama; X 32 Th 10-Jul-2019 Supervision of norma; Z34;
MUSTAGE NY KERAPU 5 RT 16 TJ
LAUT INDAH
1,647 0-11-58-02 MICHAEL CHRISYUAN JL BRIGJEN P X 10 Th 10-Jul-2019
H AN KATAMSO RT 17/21
GUNUNG ELAI
1,648 0-11-59-66 RAFIF HARYA JL ZAMRUD 12 RT 49 L Baru; X 4b 10-Jul-2019 Acute pharyngitis, u; J02.9;
ALFALAH AN B TENGAH
1,649 0-11-70-84 NURYANA BINTI JL RADEN PATAH RT P Lama; X 32 Th 10-Jul-2019 Supervision of norma; Z34;
RAHMUDIN NY 53/94 KEL. BERBAS
TENGAH
1,650 0-11-70-85 NURDIN MACHMUD, JL. SULTAN L Lama; X 46 Th 10-Jul-2019 Non-insulin-dependen; E11;
TN HASANUDDIN RT 34
BERBAS TENGAH
1,651 0-11-70-88 NGESTI JL KS TUBUN GG P X 26 Th 10-Jul-2019
RAHAYUNINGSIH NY VULKANIK RT 08/63
BTG KUALA
1,652 0-11-72-89 MEGAWATI, NY JL. SANTAN TENGAH P Baru; X 48 Th 10-Jul-2019 Essential (primary) ; I10;
RT 04 MARANGKAYU

20/Sep/2019 92
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,653 0-11-81-44 HALNA BINTI JL KAPT PIERE P Lama; X 36 Th 10-Jul-2019 Supervision of norma; Z34;
SAMSUDDIN NY TENDEAN RT 1
1,654 0-11-92-10 FAHTUR ROHIM, TN JL. R SOEPRAPTO L X 19 Th 10-Jul-2019
GG AMALIA RT 23/62
API-API
1,655 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 10-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
1,656 0-11-93-90 SURYADI BIN JL BATU BARA RT L Baru; X 28 Th 10-Jul-2019 Connective and other; D21.9;
SUNARKO TN 19/03 BONTANG
LESTARI
1,657 0-11-95-34 SITI FAJRI LUKITO JL KAPAL LAYAR 2 P Lama; X 23 Th 10-Jul-2019 Supervision of norma; Z34;
NY RT. 22/- KEL.
LOKTUAN
1,658 0-11-97-66 HASMIA BIN JL KS TUBUN P Lama; X 28 Th 10-Jul-2019 Postpartum care and ; Z39;
MANDAWI NY ARWANA 2 RT 17 /
58
1,659 0-11-97-97 HARTATI BINTI JL KUARSA RT 59/10 P Lama; X 45 Th 10-Jul-2019 Gynaecological exami; Z01.4;
YOHANIES NY BERBAS TENGAH
1,660 0-11-98-08 FAHRI ABDILLAH D M JL KERIKIL 2 GG L Baru; X 8 Th 10-Jul-2019 Attention to surgica; Z48.0; Dirawat
AN KERIKIL 3 RT 17 BK
1,661 0-11-98-21 KESYA TULEN, NN JL. PENDIDIKAN RT P X 19 Th 10-Jul-2019
04
1,662 0-11-98-38 RASNAWATI NY JL MELATI RT 16 P Baru; X 21 Th 10-Jul-2019 Supervision of norma; Z34;
1,663 0-11-98-40 BASRIAH DALLE HJ JL. KAPAL SELAM 1 P X 56 Th 10-Jul-2019
NY RT 16/61 LOKTUAN
1,664 0-11-98-42 SADELI TN JL. GENDANG 1 NO L X 67 Th 10-Jul-2019
19
1,665 0-11-98-42 SADELI TN JL. GENDANG 1 NO L X 67 Th 10-Jul-2019
19
1,666 0-11-99-21 MASNIAH BINTI JL SULTAN P X 52 Th 10-Jul-2019
LAMRI NY HASANUDDIN RT
02/- KEL BERBAS
PANTAI
1,667 0-11-99-44 ANJAS KUMALA YUS JL SELAT BONE 3 RT L X 23 Th 10-Jul-2019
PRADA TN 20 TJ LAUT BTG
SELATAN
1,668 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P Lama; X 17 Th 10-Jul-2019 Chronic pansinusitis; J32.4;
RT 15/- TJ LAUT
INDAH
1,669 0-12-01-23 HENDRI AGUS JL GN SIBAYA NO 22 L X 32 Th 10-Jul-2019
WAWAN TN BSD GN ELAI
1,670 0-12-01-36 AHMAD RINALDI, TN JL. PELABUHAN RT L Baru; X 23 Th 10-Jul-2019 Necrosis of pulp; K04.1;
14/- TJ LAUT

20/Sep/2019 93
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,671 0-12-01-60 M NOOR JL PANGANDARAN L Baru; Lama; X 69 Th 10-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
SUMAKKARA TN RT 13/148 BERBAS
PANTAI
1,672 0-12-01-87 ETI OKTAPIYANTI, NY JL. PELABUHAN III P X 19 Th 10-Jul-2019
GG UDANG RT 14/-
TJ LAUT INDAH
1,673 0-12-02-25 HADARIAH NY JL. KENANGAN RT P Lama; X 53 Th 10-Jul-2019 Unspecified renal co; N23;
29 TJ LAUT
1,674 0-12-02-34 RISKA INDRIANI AN JL. SANTAN ILIT RT P X 14 Th 10-Jul-2019
09/- M KAYU
1,675 0-12-02-57 PUTU YOGA ANANTA JL SELAT GASPOR 4 L X 12 Th 10-Jul-2019
P AN RT 34 TJ LAUT
1,676 0-12-02-99 FAUZI BIN M NUR JL ANGGREK 2 RT L X 17 Th 10-Jul-2019
SAPPE AN 37/62 TJ LAUT
1,677 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P X 31 Th 10-Jul-2019
HUSAIN NY RT 2 SANTAN ILIR
1,678 0-12-03-48 NALSIANA RAKAN L JL. SION RT 05 P Baru; X 29 Th 10-Jul-2019 Non-insulin-dependen; E11;
NY KANAAN
1,679 0-12-03-54 SOYO ADI WOBOWO JL. BATU BARA RT L X 48 Th 10-Jul-2019
TN 19/02 BONTANG
LESTARI
1,680 0-12-03-54 SOYO ADI WOBOWO JL. BATU BARA RT L X 48 Th 10-Jul-2019
TN 19/02 BONTANG
LESTARI
1,681 0-12-03-55 HARIYADI, TN JL. MAWAR 4, RT 36 L X 64 Th 10-Jul-2019
NO 86 BUKIT INDAH
1,682 0-12-03-68 SRI MULIANY NUR AN JL DI PANJAITAN GG P Lama; X 13 Th 10-Jul-2019 Otitis externa; H60;
JABORA RT 26 API
API
1,683 0-12-03-75 M ADITYA JL MT HARYONO NO L X 6 Th 10-Jul-2019
PRADINATA AN RT 07 RUDAL BTG
UTRA
1,684 0-12-03-83 LULU ADILLAH NY JL JEND SUDIRMAN P X 18 Th 10-Jul-2019
RT 26 TANJUNG
LAUT
1,685 0-12-03-86 JURIANSYAH TN JL. AHMAD KURANG L X 47 Th 10-Jul-2019
RT 23 TJ LAUT
1,686 0-12-03-87 FARIS AIDAN AMANI, JL. DIPONEGORO RT L X 0 Hr 10-Jul-2019
AN 17/26 N PANTAI
1,687 0-12-03-88 ADHE ARIYANTO AN JL. SULTAN L Baru; Baru; X 16 Th 10-Jul-2019 Acute upper respirat; Fever, J06.9;R5 Dirawat
SYAHRIR RT 02 TJ unspecified;
LAUT INDAH
1,688 0-12-03-89 ERNAWATI BINTI JL MH THAMRIN RT P X 31 Th 10-Jul-2019
KADIR NY 01/- GN ELAI

20/Sep/2019 94
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,689 0-12-03-90 ERNAWATI BIN JL MH THAMRIN RT 1 P X 0 Hr 10-Jul-2019


KADIR NY BY GN ELAI
1,690 0-12-03-91 WINDA PURWATI NY JL GAJAH MADA RT P Baru; X 25 Th 10-Jul-2019 Supervision of norma; Z34;
39/- B TENGAH
1,691 0-12-03-92 JAMAL BIN KURDI, TN JL. MESS PAMA L X 30 Th 10-Jul-2019
1,692 0-12-03-93 M ZIAN ALTHA F AN JL MELAWAI RT 20 B L X 0 Hr 10-Jul-2019
TENGAH
1,693 0-12-03-94 IRMAWATI TAIPE NY JL DG PARANI RT P X 44 Th 10-Jul-2019
03/- SEMANGKO M
KAYU
1,694 0-12-03-95 ANGELITA IRENE REY KL AP P X 16 Th 10-Jul-2019
NY MANGKUNEGARA
GG MUTIARA 04 RT
05/23 B TENGAH
1,695 0-12-03-96 IFAN HARIYANTO TN JL MH THAMRIN RT L Baru; X 30 Th 10-Jul-2019 Connective and other; D21.9;
02/12 GN ELAI
1,696 0-12-03-97 NOVA SAMPOW, NY JL. S KARIMATA I RT P Baru; X 52 Th 10-Jul-2019 Chronic hepatitis, u; K73.9;
23/30 TJ LAUT
1,697 0-12-03-98 YUNIATIN BINTI JL KS TUBUN RT P Baru; X 38 Th 10-Jul-2019 Necrosis of pulp; K04.1;
KANAPI NY 19/71 TJ LAUT INDAH
1,698 0-12-03-99 ANDI IRAWAN JL. KS TUBUN GG L Baru; X 23 Th 10-Jul-2019 Gastroenteritis and ; K52.0;
SAPUTRA , TN ARWANA II RT 17/-
TJ LAUT
1,699 0-12-03-99 ANDI IRAWAN JL. KS TUBUN GG L X 23 Th 10-Jul-2019
SAPUTRA , TN ARWANA II RT 17/-
TJ LAUT
1,700 0-12-04-00 ELFOUZ DESTA E, JL DI PANJAITAN GG L X 10 Th 10-Jul-2019
AN PIANO 5 RT 03/- BTG
BARU
1,701 0-12-04-01 RINA AHMAD NY JL MULAWARMAN P X 27 Th 10-Jul-2019
GG GENDANG 2 RT
23/114 BTG BARU
1,702 0-12-04-02 SHAVA ANJANI PUTRI JL ULIN HOP I RT P X 12 Th 10-Jul-2019
S, AN 20/40 SATIMPO
1,703 0-12-04-03 AYU MARINDA, NY JL. S HASANUDDIN P Baru; X 25 Th 10-Jul-2019 Abdominal and pelvic; R10;
RT 32/24 B TENGAH
1,704 0-12-04-04 ETI OKTAPIYANTI NY JL PELABUHAN 3 GG L X 0 Hr 10-Jul-2019
BY UDANG RT 14 TJ
LAUT INDAH
1,705 0-12-04-05 SUMIATI SIDDA NY JL PANGANDARAN 2 P X 41 Th 10-Jul-2019
RT 13/203 B PANTAI
1,706 0-12-04-06 PUTRI ZAFIRA IRSAN JL SULTAN P X 13 Th 10-Jul-2019
NN HASANUDDIN RT 25
B TENGAH
20/Sep/2019 95
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,707 0-12-04-07 ERLINA APRILIA NY JL HM ARDAN RT P Baru; X 21 Th 10-Jul-2019 Supervision of norma; Z34;
04/- TJ LAUT INDAH
1,708 0-12-04-08 DIAH NOVITA JL. MELATI RT 05/14 P Baru; X 26 Th 10-Jul-2019 Supervision of norma; Z34;
WAHYUNINGSIH, NY PC PKT BELIMBING
1,709 0-12-04-09 ARIQOH FATHIYAH JL ANGSANA 2B 04 P Baru; X 1 Th 10-Jul-2019 Acute pharyngitis, u; J02.9;
ZHINI AN RT 12 BTN PKT
1,710 0-12-04-10 ERWIN GUTAWAN , JL. PATIMURA RT L Baru; X 25 Th 10-Jul-2019 Fracture at wrist an; S62; Dirawat
TN 14/59 API-API
1,711 0-12-04-11 ASKAR ARSYAD TN JL OTISTA RT 24/- L Baru; Baru; X 31 Th 10-Jul-2019 Unspecified renal co; Urinary tract N23;N39 Dirawat
KEL. BONTANG Baru; infect; Abdominal and pelvic;
BARU
1,712 0-12-04-12 EVI MELINDA NN JL REFORMASI GG P Baru; X 18 Th 10-Jul-2019 Melaena; K92.1;
MILIK BERSAMA RT
37 API API
1,713 0-12-04-13 DARWIS BIN PAMING JL RE L Baru; X 31 Th 10-Jul-2019 Conjunctivitis, unsp; H10.9;
TN MARTADINATA RT 2
LOKTUAN
1,714 0-12-04-14 LENNYTA LUTHER NY JL TARAKAN RT L Baru; X 28 Th 10-Jul-2019 Supervision of norma; Z34;
18/54 GN TELIHAN
1,715 0-12-04-15 NIRSA NN JL KENANGAN RT 29 P X 19 Th 10-Jul-2019
TANJUNG LAUT
1,716 0-12-04-16 ISMADHATUL M , NN JLN KENANGAN RT P X 18 Th 10-Jul-2019
29 TJ. LAUT
1,717 0-12-04-17 ERDINAWATI OLIVIA JL BROKOLI 2 KEL. P X 19 Th 10-Jul-2019
NY GN ELAI
1,718 0-12-04-18 FANTI NN JL MH TAMRIN RT 02 P X 26 Th 10-Jul-2019
NO 34 TJ LIMAU
BTG UTARA
1,719 0-12-04-19 RAYHAN JL.DEWI SARTIKA L X 13 Th 10-Jul-2019
ABHICHANDRA, AN PERUM SERATTON
1,720 0-12-04-20 LEVY NOR CAHAYA JL LETTU AKIRANG P X 22 Th 10-Jul-2019
NN RT 23 TANJUNG
LAUT
1,721 0-12-04-21 MUTMAINNA NN JL PELABUHAN GG P X 19 Th 10-Jul-2019
BAWAL RT 12
TANJUNG LAUT
INDAH
1,722 0-12-04-22 INDAH IKA S NN JL KS TUBUN GG P X 18 Th 10-Jul-2019
KERAPU RT 16 / 42
TANUJUNG LAUT
1,723 0-12-04-23 SUIN DRANAMI, NN JL, SAMRATULANGI P X 18 Th 10-Jul-2019
RT 18 TJ LAUT

20/Sep/2019 96
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,724 0-12-04-24 FADHILLA JL JEND SUDIRMAN P X 19 Th 10-Jul-2019
KHAIRUNNISA NN RT 26 TANJUNG
LAUT
1,725 0-12-04-25 AYU PRATIWI, NN JL. PELABUHAN TJ. P X 20 Th 10-Jul-2019
LAUT INDAH RT 13
1,726 0-12-04-26 LUQMANUL HAKIM, JL. KAPT PIERE P X 20 Th 10-Jul-2019
NN TENDEAN RT. 09
1,727 0-12-04-27 AMIRUDDIN TN JL KS TUBUN GG L X 45 Th 10-Jul-2019
KERAPU 2 / 14
TANJUNG LAUT
INDAH
1,728 0-12-04-28 ASRIANI BINTI BASRI JL OTISTA RT 24/- P X 18 Th 10-Jul-2019
NN KEL. BONTANG
BARU
1,729 0-12-04-29 IKKE AYU MEI, NN JL. KS TUBUN GG P X 12 Th 10-Jul-2019
BASAIT RT 15 B.
KUALA
1,730 0-12-04-30 SUCI MUTHIA A NN JL SENAM RT 25 / 27 P X 18 Th 10-Jul-2019
API API
1,731 0-12-04-31 ARTIKA JAINAB NN JL REFORMASI GG P X 18 Th 10-Jul-2019
BAROKAH RT 39 /
141 API API
1,732 0-12-04-32 YUNUS SETIAWAN , JL. PERUM BANGUN L X 51 Th 10-Jul-2019
TN REKSA ASRI BLOK 7
N0.50 RT. 52
1,733 0-12-04-33 ABRAR FAWWAS Z JL BIOLA NO 43 RT L Baru; X 12 Th 10-Jul-2019 Urinary tract infect; N39.0; Dirawat
AN 05 BONTANG BARU
1,734 0-12-04-34 UMMI FATHAYANI,AN JL. KENANGA DS P X 15 Th 10-Jul-2019
BUNGA PUTIH
MARANGKAYU
1,735 0-00-25-68 RIFKA ANNISA EL JL. KH DEWANTARA P X 17 Th 11-Jul-2019
HAAS AN. RT. 18 NO. 17 B
TENGAH
1,736 0-00-31-57 SUNARTI, NY JL. GG SEPAKAT RT P X 53 Th 11-Jul-2019
12 NO 14 API API
1,737 0-00-32-21 MURNITIATI, NY. JL KELADI RT 4/80 P X 64 Th 11-Jul-2019
GN ELAI
1,738 0-00-74-45 ELIS PAMASI, NY. JL A YANI RT 05 NO P Baru; X 39 Th 11-Jul-2019 Myalgia; M79.1; Dirawat
02 API API
1,739 0-01-09-42 MARIANA, NY. JL MT HARYONO RT P Baru; X 33 Th 11-Jul-2019 Necrosis of pulp; K04.1;
30820 API API
1,740 0-01-28-35 ABDUL HAMID, AN JL KH AGUS SALIM L X 12 Th 11-Jul-2019
RT 07 BERBAS
PANTAI

20/Sep/2019 97
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,741 0-01-87-91 ABDUL SAMAD, TN. JL. KAPAL SELAM RT L Lama; X 61 Th 11-Jul-2019 Diarrhoea and gastro; A09;
18 LOKTUAN
1,742 0-02-59-50 AGUSTINA MARINA JL DI PANJAITAN GG P X 19 Th 11-Jul-2019
MAGAS AN PIANO 2 RT 5 NO 77
BTG BARU
1,743 0-02-69-72 SYARIFAH TIAH. HJ. JL. DI PONEGORO P X 78 Th 11-Jul-2019
NY RT 31/71 API-API
1,744 0-02-70-61 M NAUFAL EL JL. S HASANUDDIN L Baru; X 15 Th 11-Jul-2019 Tuberculosis of geni; A18.1+;
FARROS AN RT 01 B PANTAI
1,745 0-03-19-03 MEGAYATI, NY JL. PARIKESIT RT 07 P X 30 Th 11-Jul-2019
BONTANG BARU
1,746 0-03-74-05 RIKA FITRIYANI NY JL MT HARYONO GG P Lama; X 36 Th 11-Jul-2019 Supervision of norma; Z34;
WORTEL RT 9 NO 70
GN ELAI
1,747 0-04-14-66 ABIGAIL DELISA P, JL. PENDIDIKAN RT 6 P X 29 Th 11-Jul-2019
NY. API2
1,748 0-04-48-27 VICTOR , TN. JL. S. MALUKU P Lama; X 46 Th 11-Jul-2019 Non-insulin-dependen; E11;
RT.6/2 TJ. LAUT
1,749 0-04-48-27 VICTOR , TN. JL. S. MALUKU P X 46 Th 11-Jul-2019
RT.6/2 TJ. LAUT
1,750 0-04-79-25 FARIDAH , NY. JL. PATIMURA GG P Baru; X 39 Th 11-Jul-2019 Supervision of norma; Z34;
ATLETIK 16 RT.
41/188 API API
1,751 0-04-81-86 ARIFUDDIN ,H TN JL. SELAT SELAYAR L X 54 Th 11-Jul-2019
RT 19 TJG LAUT
1,752 0-05-02-93 SITI NURHASANAH B JL SELAT BONE GG P Lama; X 36 Th 11-Jul-2019 Non-insulin-dependen; E11;
NY RUSIMURA RT 18 NO
22 TJ LAUT
1,753 0-05-27-37 IHLIS JL. MT HARYONO RT P Lama; X 9 Th 11-Jul-2019 Chronic tonsillitis; J35.0;
TAQIYYAHARIBAH S 28 NO 47 API API
AN
1,754 0-05-49-18 RABSEN MULSU, TN JL. JEND. SUDIRMAN L Lama; X 46 Th 11-Jul-2019 Non-insulin-dependen; E11;
RT.26 TJ. LAUT
1,755 0-05-52-85 SILVIANA IKA JL PATTIMURA GG P X 32 Th 11-Jul-2019
HARSANTI NY ATLETIK 20 RT 41/58
API API
1,756 0-05-78-18 NURUL HIDAYAH NY JL KERSIK RT 3 P Lama; X 27 Th 11-Jul-2019 Supervision of norma; Z34;
MARANG KAYU
1,757 0-05-83-66 ENI INDRIANI SDR JL. PELABUHAN RT P X 21 Th 11-Jul-2019
10/32 TJ LAUT
1,758 0-05-98-15 NUR AKHLIKA DEA S. JL NIAS RT 20/02 API P Baru; X 12 Th 11-Jul-2019 Tuberculosis of othe; A18;
AN API
1,759 0-06-04-99 DONI SUGIARTO SDR JL. A YANI RT.12/38 L X 21 Th 11-Jul-2019
BTG BARU

20/Sep/2019 98
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,760 0-06-07-95 YAYUK ENDROYONO, JL. GN LOKON NO 5 P Baru; X 39 Th 11-Jul-2019 Pain and other condi; N94;
NY BSD GN ELAI
1,761 0-06-16-17 ABDI RAHMAT JL. PANO 4 RT 3/16 L Lama; X 10 Th 11-Jul-2019 Other surgical follo; Z48; Dirawat
HIDAYAT, AN BONTANG BARU
1,762 0-06-34-24 YOHANA SIWU, NY JL. DI PANJAITAN RT P Lama; X 63 Th 11-Jul-2019 Non-insulin-dependen; E11;
01 BONTANG BARU
1,763 0-06-37-38 KUSMIATI BIN JL SELAT BONE 1 RT P Baru; X 55 Th 11-Jul-2019 Non-insulin-dependen; E11;
SUKARTO NY 21/31 TJ LAUT
1,764 0-06-39-99 KHAIRUNISA NUR JL. KAPAL PINISI RT. P X 6 Th 11-Jul-2019
AQILA AN 48/70 LOKTUAN
1,765 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 11-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
1,766 0-06-58-78 AHMAD DEFAN P AN JL. P SURYANATA L Baru; X 6 Th 11-Jul-2019 Cough; R05;
RT. 12/ BTG BARU
1,767 0-06-59-36 MICHAEL AGUNG T JL. AKUSTIK 2 RT 9/1 L Baru; X 8 Th 11-Jul-2019 Urticaria; L50; Dirawat
AN BTG BARU
1,768 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 11-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
1,769 0-06-74-32 MURNI, NY JL. KAPTEN PIERE P Lama; X 31 Th 11-Jul-2019 Supervision of norma; Z34;
TENDEAN RT 01
BONTANG KUALA
1,770 0-06-82-90 HASMIATI NY JL. JUNADA RT 05 TJ P Baru; X 41 Th 11-Jul-2019 Gynaecological exami; Z01.4;
LAUT
1,771 0-06-82-98 WATIE ERIKAYANTI JL. S KARIMATA RT P Baru; X 39 Th 11-Jul-2019 Tension-type headach; G44.2; Dirawat
ST NY 23 TJ LAUT
1,772 0-06-93-99 M AFRIZAL AN JL PATTIMURA GG L X 14 Th 11-Jul-2019
ATLETIK 22 RT 41
NO 16 API API
1,773 0-06-99-72 ADZANNA FATIHA F JL. RE P X 7 Th 11-Jul-2019
AN MARETHADINATA
RT. 27/06 LOKTUAN
1,774 0-07-02-99 DIANA TANU JL. S KARIMATA 9 RT P X 36 Th 11-Jul-2019
SAPUTRI NY 9 TJ LAUT
1,775 0-07-33-06 M AFIF, AN JL PELABUHAN 3 NO L X 9 Th 11-Jul-2019
10 RT 14 TANJ LAUT
INDAH
1,776 0-07-34-16 KASIAMI BIN MISMAN JL RUBY RT 16 B P Lama; X 59 Th 11-Jul-2019 Connective and other; D21.9;
NY PANTAI
1,777 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Baru; X 53 Th 11-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
1,778 0-07-48-28 IRMA BINTI ISMAIL NY JL SULTAN P Baru; X 32 Th 11-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
HASANUDDIN RT 25
B TENGAH

20/Sep/2019 99
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,779 0-07-49-95 FAJRI YANTI, NY JL MATARAM HOP 6 P Lama; X 38 Th 11-Jul-2019 Supervision of norma; Z34;
RT 23/130 GN ELAI
1,780 0-07-51-41 MARCELINA JL. SELAT GASPOR P X 38 Th 11-Jul-2019
BIANTONG NY RT. 34/40 TJ LAUT
1,781 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P X 30 Th 11-Jul-2019
NY RT 12 MARANGKAYU
1,782 0-07-55-15 SYAMSIR YOSIBA TN JL. BALANAK RT. L X 29 Th 11-Jul-2019
32/43 TJ LAUT INDAH
1,783 0-07-56-23 BASRI TN JL. MANUNGGAL RT. L Lama; X 48 Th 11-Jul-2019 Connective and other; D21.9;
10/66 B PANTAI
1,784 0-07-77-97 GRECIA PUTRI Y AN JL KERIKIL 4 RT 13 P Baru; X 4 Th 11-Jul-2019 Connective and other; D21.9;
BTG KUALA
1,785 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L X 66 Th 11-Jul-2019
AMIN TN API API
1,786 0-07-98-11 EKA CAHAYA JL. A YANI RT 11 API P X 16 Th 11-Jul-2019
JANUARY, AN API
1,787 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Baru; X 27 Th 11-Jul-2019 Otitis externa; H60;
INTAP, NY RT 2 TJ LAUT INDAH
1,788 0-08-03-37 KUSMAWATI, NY JL RAPAK LAMA RT 2 P Baru; X 31 Th 11-Jul-2019 Supervision of norma; Z34;
MARANG KAYU
1,789 0-08-15-20 SALSYA ALMA JL. PENCAK SILAT P X 8 Th 11-Jul-2019
NABILLA AN RT 12 API-API
1,790 0-08-17-62 LIA OKTORA JL DEWI SARTIKA P Lama; X 34 Th 11-Jul-2019 Supervision of norma; Z34;
ANDRIANY, NY RT 8 NO 59 BTG
BARU
1,791 0-08-19-60 SYARIFAH, NN JL. MH THAMRIN RT P Baru; X 19 Th 11-Jul-2019 Secondary amenorrhoe; N91.1;
1 no 29 GN ELAI
1,792 0-08-21-05 JABIR BIN HADIDA TN JL. S SELAYAR RT 12 L X 60 Th 11-Jul-2019
TJ LAUT
1,793 0-08-27-13 ANGGIETHA AULIA S JL MULAWARMAN P Lama; X 8 Th 11-Jul-2019 Chronic pansinusitis; J32.4;
AN RT 10/55 B GN ELAI
1,794 0-08-30-77 DORMAULI JL IR H JUANDA RT P Lama; X 59 Th 11-Jul-2019 Non-insulin-dependen; E11;
SITANGGANG, NY 32 NO 11 TJ LAUT
1,795 0-08-42-89 AFINA LESTARI NY JL S HASANUDDIN P X 26 Th 11-Jul-2019
RT /40 B PANTAI
1,796 0-08-42-89 AFINA LESTARI NY JL S HASANUDDIN P X 26 Th 11-Jul-2019
RT /40 B PANTAI
1,797 0-08-51-50 DEZQA PRADIPTA R, JL. SELAT KARIMATA L X 4 Th 11-Jul-2019
AN RT 09 TANJUNG
LAUT
1,798 0-08-58-34 NUR HIDAYAH, NY JL IR H JUANDA RT 3 P X 31 Th 11-Jul-2019
NO 4 TJ LAUT

20/Sep/2019 100
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,799 0-08-59-46 RAHMA ARIANTI, NY JL SELAT MADURA P X 26 Th 11-Jul-2019
RT 8 NO 9 TJ LAUT
1,800 0-08-69-37 HASLINDA BINTI JL P SURYANATA RT P X 21 Th 11-Jul-2019
ARIS, NN 12 NO 40 BTG BARU
1,801 0-08-84-28 NURHAQI BIN, TN JL. MANGGA RT 25 L X 29 Th 11-Jul-2019
SATIMPO
1,802 0-08-84-28 NURHAQI BIN, TN JL. MANGGA RT 25 L X 29 Th 11-Jul-2019
SATIMPO
1,803 0-08-91-21 EFRAIM BIANTONG R JL, ZAMRUD 3 RT L X 12 Th 11-Jul-2019
AN 42/28 B TGH
1,804 0-08-93-78 RASYA M ATHAYA AN JL MULAWARMAN L X 7 Th 11-Jul-2019
RT. 23 NO, 56 BTG
BARU
1,805 0-08-96-56 JONATHAN A JL KERIKIL 7 RT 13 L X 2 Th 11-Jul-2019
MANURUNG AN BTG KUALA
1,806 0-09-19-67 EXTRADA JL S HASANUDDIN L Lama; X 12 Th 11-Jul-2019 Acute suppurative ot; H66.0;
MAHARDIKA Y AN RT 5 NO 60 B PANTAI
1,807 0-09-34-45 NURUL FITRI NY JL PARIKESIT RT 5 P Lama; X 43 Th 11-Jul-2019 Dyspepsia; K30;
NO 5 BTG BARU
1,808 0-09-40-69 NUR RESKY RAZAK JL MELAWAI RT 20 P Baru; X 17 Th 11-Jul-2019 Acute appendicitis w; K35.1;
AN NO 37 B PANTAI
1,809 0-09-44-69 FARIDA NURAINI NY JL SELAT BADUNG P X 26 Th 11-Jul-2019
RT 15/22 TJ LAUT
1,810 0-09-47-92 AGNES MARINI JL DI PANJAITAN GG P X 19 Th 11-Jul-2019
MAGAS NN PIANO 2 RT 5 NO 77
BTG BARU
1,811 0-09-51-24 M APRILIANSYAH AN JL FLORES RT 16 NO L X 14 Th 11-Jul-2019
10 BTN KCY API API
1,812 0-09-52-31 SYAIMA ADHA AN JL MH THAMRIN RT P X 7 Th 11-Jul-2019
23 NO 14 BTG BARU
1,813 0-09-62-00 YUZAEED RACHMAT JL. SANGKULIRANG L X 2 Th 11-Jul-2019
AL AN RT 03 KUTAI TIMUR
1,814 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P Lama; X 24 Th 11-Jul-2019 Chronic pansinusitis; J32.4;
GG ARUMBIA 1 RT
27 BTG BARU
1,815 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L X 33 Th 11-Jul-2019
NANANG TN 10 BTG KUALA
1,816 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L X 33 Th 11-Jul-2019
NANANG TN 10 BTG KUALA
1,817 0-09-74-93 HADRAH BINTI DOLA JL DEWI SARTIKA P Lama; X 42 Th 11-Jul-2019 Supervision of norma; Z34;
NY RT 08/82 BTG BARU
1,818 0-09-83-04 IROSTIKA, NY JL. PELABUHAN RT, P X 27 Th 11-Jul-2019
12 NO. 59 TANJUNG
LAUT

20/Sep/2019 101
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,819 0-09-85-16 MARKUS BURA, TN JL. SAWO I RT 34 NO L Lama; X 60 Th 11-Jul-2019 Otitis media, unspec; H66.9;
15 TANJUNG LAUT
1,820 0-09-88-98 KALEWANG K , H TN JL AP L Baru; X 68 Th 11-Jul-2019 Cholesteatoma of mid; H71;
MANGKUNEGORO
RT 7 NO 15 B
TENGAH
1,821 0-10-04-72 AYU NABILA PUTRI JL. R SOEPRAPTO P X 22 Th 11-Jul-2019
NY RT 24 API API
1,822 0-10-07-00 SURIANI BINTI NY JL. SAWO II RT 34 P X 55 Th 11-Jul-2019
TJG LAUT
1,823 0-10-09-74 AFIFAH MAULIDYA F JL SELAT SELAYAR P X 1 Th 11-Jul-2019
AN RT 19 TJ LAUT
1,824 0-10-16-87 M BILFAQIH W , AN JL. SELAT SELAYAR L X 1 Th 11-Jul-2019
RT 19 NO 02
TANJUNG LAUT
1,825 0-10-19-44 DEVAN KENIO JL. TARAKAN RT 18 L Baru; X 11 Th 11-Jul-2019 Hypoplasia of testis; Q55.1;
PRATAMA, AN NO 27 TELIHAN
1,826 0-10-20-21 BIMO MAHARDIKA P JL. B KATAMSO RT L X 1 Th 11-Jul-2019
AN 46 BELIMBING NO
90
1,827 0-10-27-48 FACHRUROZI JL CUMI CUMI 1 RT 1 L X 15 Th 11-Jul-2019
EFFENDI AN NO 13 TJ LAUT
INDAH
1,828 0-10-31-11 YUSUF RAFAH JL. BATU SAHASA L X 1 Th 11-Jul-2019
SETIAWAN , AN RT 02/17 BTG KUALA
1,829 0-10-34-05 WAHYUNI NY JL JEND SUDIRMAN P Baru; X 30 Th 11-Jul-2019 Periodontal disease,; K05.6;
RT 23/52 TJ LAUT
1,830 0-10-39-16 INDRIANI AZIS , NY JL. DEWI SARTIKA P Baru; X 30 Th 11-Jul-2019 Dental caries; K02;
RT 17 BTG KUALA
1,831 0-10-46-13 YOCHANAN DAVID Y JL PARIKESIT RT L X 3 Th 11-Jul-2019
E AN 11/59 BTG BARU
1,832 0-10-47-40 SHERYL ALINCIA JL PAKIS RT 17 NO P Baru; X 6 Th 11-Jul-2019 Acute tonsillitis, u; J03.9; Dirawat
PUTRI AN 69 GN ELAI
1,833 0-10-52-93 ADARIASSIN SDR JL S HASANUDDIN L X 23 Th 11-Jul-2019
GG BINA BERSAMA
RT 34 NO 11 B TENG
1,834 0-10-73-44 M KHALID AL ARKHAN JL. PRAMUKA RT 1 L Baru; X 11 b 11-Jul-2019 Other symptoms and s; R39;
AN NO 16 BONTANG
LESTARI
1,835 0-10-75-39 M HAYKAL AL FATIH JL SELAT ALOR RT L X 11 b 11-Jul-2019
AN 32 NO 44 TJ LAUT
1,836 0-10-76-82 SUTRA NY JL SELAT ALOR 2 RT P X 45 Th 11-Jul-2019
32/70 TJ LAUT

20/Sep/2019 102
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,837 0-10-84-92 XAVERIUS INTAP, TN JL. SULTAN L Lama; X 59 Th 11-Jul-2019 Chronic pansinusitis; J32.4;
SYAHRIR RT 02
TANJUNG LAUT
1,838 0-10-88-00 MUH FAHMI KHOLIQ , J IR H JUANDA RT 06 L X 10 b 11-Jul-2019
AN TJ LAUT
1,839 0-10-89-49 ZAINAL PULUNG TN JL MASJID NURUL L X 72 Th 11-Jul-2019
MUTTAQIN RT 37/01
LOKTUAN
1,840 0-10-94-04 GINA AZ ZAHRA, AN JL. SUTOYO RT 53 B P X 9b 11-Jul-2019
TGH
1,841 0-10-94-92 SITI SAMSIAR HJ, NY JL. KENANGAN RT P X 65 Th 11-Jul-2019
28/063 TJ LAUT
1,842 0-10-98-27 ARI PRABOWO TN JL JEND SUDIRMAN L Lama; X 50 Th 11-Jul-2019 Non-insulin-dependen; E11;
RT 26/100 TJ LAUT
1,843 0-10-98-33 MUHAMMAD AL FATIH JL. PELABUHAN I GG L X 9b 11-Jul-2019
AN BUYUNG I RT 31 T
LAUT INDAH
1,844 0-11-14-22 HIDAYAH SUDIRMAN, JL. DIPONEGORO RT P X 36 Th 11-Jul-2019
NY 15 /- B PANTAI
1,845 0-11-16-28 NGATMIKAH BIN JL IKAN MAS RT 6 TJ P Baru; X 65 Th 11-Jul-2019 Dyspepsia; K30; Dirawat
KARTIMAN NY LAUT INDAH
1,846 0-11-18-84 AYUB BIN JL. TIHI TIHI RT. 17 L X 6b 11-Jul-2019
BUDIMANTO, AN BONLES
1,847 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 11-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
1,848 0-11-34-30 TJANDRA PERMADI, JL. KAPAL SELAM L Baru; X 34 Th 11-Jul-2019 Chronic hepatitis, u; K73.9;
TN RT, 18 LOKTUAN
1,849 0-11-46-15 VITTRA AL HEZAR AN JL SELAT MALAKA L X 17 Th 11-Jul-2019
RT 21 NO 19 TJ LAUT
1,850 0-11-47-12 SITI SANAH, NY JL. S HASANUDDIN P Lama; X 61 Th 11-Jul-2019 Non-insulin-dependen; E11;
RT 56/- B TENGAH
1,851 0-11-47-12 SITI SANAH, NY JL. S HASANUDDIN P X 61 Th 11-Jul-2019
RT 56/- B TENGAH
1,852 0-11-47-65 HERI PADLI , SDR JL. S HASANUDDIN L X 21 Th 11-Jul-2019
RT 24/- B PANTAI
1,853 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 11-Jul-2019 Benign neoplasm of b; D24;
RT 28 BONTANG
BARU
1,854 0-11-56-52 AZKA RIZKY JL. SELAT SELAYAR L X 4 Th 11-Jul-2019
RAMADHAN, AN 13 TJ LAUT
1,855 0-11-57-77 RAJA LIE SINAGA AN JL MARANG KAYU IV L X 6 Th 11-Jul-2019
RT 10 NO 29
SEBUNTAL

20/Sep/2019 103
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,856 0-11-60-22 M. JUMA TN JL TIPALOYO RT L Baru; X 64 Th 11-Jul-2019 Non-insulin-dependen; E11;


36/42 BERBAS
TENGAH
1,857 0-11-66-34 MARIATI BIN JL WR SUPRAPTO P X 61 Th 11-Jul-2019
PARTOWIRYO NY GG POLO AIR 1 RT
22/21 API API
1,858 0-11-71-68 SAMSIAH BINTI ABU JL DIPONEGORO RT P X 43 Th 11-Jul-2019
NY 15/01
1,859 0-11-77-67 ANDI DAHRI TN JL TEUKU UMAR RT L Baru; X 69 Th 11-Jul-2019 Gastro-oesophageal r; K21.9; Dirawat
22/- BERBAS PANTAI
1,860 0-11-77-73 SALWA NUR NY JL. AWANG LONG P X 27 Th 11-Jul-2019
RT 007/ 76
1,861 0-11-78-73 YULI HERNI NY JL PERUM BPS BLOK P Baru; X 41 Th 11-Jul-2019 Cyst of Bartholin's ; N75.0;
67 / 6 RT 50
1,862 0-11-86-69 M RIAN FIRMANSYAH JL IR H JUANDA RT L X 19 Th 11-Jul-2019
TN 06/66 TANJUNG
LAUT
1,863 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L X 61 Th 11-Jul-2019
NO 11 BERBAS
TENGAH
1,864 0-11-88-40 ARAFAH HUMAIRAH JL. MAWAR RT 36 TJ P X 1b 11-Jul-2019
AN LAUT
1,865 0-11-91-22 ZOEY UNNA WAHID, JL. B KATAMSO RT P X 1b 11-Jul-2019
AN 18 GN ELAI
1,866 0-11-91-91 SHAQUILLE ACHMAD JL. BALI RT 02/145 L X 31 Hr 11-Jul-2019
A, AN HOP VI
1,867 0-11-91-94 ABI SAFWAN JL. KS TUBUN RT 29 L Baru; X 31 Hr 11-Jul-2019 Acute suppurative ot; H66.0;
ARIFUDDIN AN NO 14 TANJUNG
LAUT
1,868 0-11-92-59 LAYLATUL JL A YANI RT 25/334 P Baru; X 29 Th 11-Jul-2019 Supervision of norma; Z34;
MUFARIKAH NY APIAPI
1,869 0-11-93-90 SURYADI BIN JL BATU BARA RT L X 28 Th 11-Jul-2019
SUNARKO TN 19/03 BONTANG
LESTARI
1,870 0-11-95-10 SYAWALIAH FITRI NN JL SANTAN ULU RT P X 13 Th 11-Jul-2019
020/- M KAYU
1,871 0-11-95-19 JULMIDA BINTI JL ZAMBRUT 24 RT P Baru; X 34 Th 11-Jul-2019 Streptococcal pharyn; J02.0;
HAMZAH NY 53/11 B TENGAH
1,872 0-11-97-06 ADEPUTRI BIN SADIK JL KENANGAN RT 29 P X 19 Th 11-Jul-2019
NN / 23 TJ LAUT
1,873 0-11-97-67 RAFIF AL-FARIZI AN JL KS TUBUN L Baru; X 18 Hr 11-Jul-2019 Omphalitis of newbor; P38;
ARWANA 2 RT 17 TJ
LAUT INDAH

20/Sep/2019 104
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,874 0-11-98-75 GHAISAN FAAZ A AN JL MAKASSAR 2 RT L X 31 Hr 11-Jul-2019


24 TANJUNG LAUT
1,875 0-11-98-93 DINI HARIANTO JL WR SUPRAPTO P Lama; X 17 Th 11-Jul-2019 Dental caries; K02;
PUTRI NN RT 28 BONTANG
BARU
1,876 0-11-98-94 M SENJA KALLA F AN JL KP TENDEAN RT L Baru; X 15 Hr 11-Jul-2019 Pneumonia, unspecifi; J18.9;
18 BTG KUALA
1,877 0-11-99-14 ENDANG JL CUT NYAK DIEN P X 35 Th 11-Jul-2019
AGUSTYAWATI NY GG AKUSTIK 2 RT
9/80 KEL. BTG BAR
1,878 0-11-99-35 SUGIANTO BIN TN JL. A YANI RT 05/- L X 55 Th 11-Jul-2019
API-API
1,879 0-11-99-39 SOMMENG TN JL. DESA TELUK L Lama; X 70 Th 11-Jul-2019 Connective and other; D21.9;
PANDAN RT 07/-
TELUK PANDAN
1,880 0-12-00-73 NADYA RISDAYANTI, JL PELABUHAN 1 RT P Lama; X 22 Th 11-Jul-2019 Benign neoplasm of b; D24;
NN 10/11 TJ LAUT INDAH
1,881 0-12-01-01 FARIDAH HANISAH JL MH THAMRIN RT P X 7 Th 11-Jul-2019
AN 01/117 GN ELAI
1,882 0-12-01-12 ULFAH MARLAH JL RAPAK LAMA RT P Lama; X 10 Th 11-Jul-2019 Connective and other; D21.9;
PUTRI NN 11/- DESA
SEMANGKO
1,883 0-12-01-12 ULFAH MARLAH JL RAPAK LAMA RT P X 10 Th 11-Jul-2019
PUTRI NN 11/- DESA
SEMANGKO
1,884 0-12-01-31 NIKMAN SIRAD TN JL. BATU SAHASA 3 L X 74 Th 11-Jul-2019
BTG KUALA
1,885 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Lama; X 48 Th 11-Jul-2019 Inguinal hernia; K40;
TN NO 2 B TENGAH
1,886 0-12-01-79 FAEYZA FAFQI D AN JL SELAT MADURA L X 7 Th 11-Jul-2019
21 GN SARI TJ LAUT
1,887 0-12-01-97 ROSMIATI, NY JL. POROS P Baru; X 38 Th 11-Jul-2019 Chronic pansinusitis; J32.4;
BONTANG -
SANGATA
1,888 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P Baru; X 20 Th 11-Jul-2019 Benign neoplasm of b; D24;
SARI NN ARWANA I RT 17/64
TJ LAUT I
1,889 0-12-02-53 AINAYYA MALIKA A L JL SELAT BANDA 1 P Baru; X 2 Th 11-Jul-2019 Dyspepsia; K30;
AN RT 35 /71 TANJUNG
LAUT
1,890 0-12-03-09 TEGUH PRASASTI B JL KERIKIL 4 RT L Baru; X 29 Th 11-Jul-2019 Cutaneous abscess, f; L02;
S TN 13/113 B BARU
1,891 0-12-03-96 IFAN HARIYANTO TN JL MH THAMRIN RT L X 30 Th 11-Jul-2019
02/12 GN ELAI

20/Sep/2019 105
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,892 0-12-04-27 AMIRUDDIN TN JL KS TUBUN GG L Baru; X 45 Th 11-Jul-2019 Foreign body in ear; T16;
KERAPU 2 / 14
TANJUNG LAUT
INDAH
1,893 0-12-04-35 EZRA SHELYN R AN JL. A P P Lama; X 13 Th 11-Jul-2019 Dental caries; K02;
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
1,894 0-12-04-35 EZRA SHELYN R AN JL. A P P X 13 Th 11-Jul-2019
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
1,895 0-12-04-36 BILQIS FAIHA AZMI JL. WR SUPRATMAN P Baru; X 8 Th 11-Jul-2019 Dyspepsia; K30; Dirawat
AN NO 41 RT 21
1,896 0-12-04-37 SYAMSIAH NY JL. ZAMRUD RT 51 P Baru; X 27 Th 11-Jul-2019 Dyspepsia; K30; Dirawat
1,897 0-12-04-38 RAHMAWATI NY JL. PELABUHAN GG P X 38 Th 11-Jul-2019
KATAMBAK RT 10 TJ
LAUT
1,898 0-12-04-39 CHESSY PUTRI JL. PELABUHAN 1 P X 0 Hr 11-Jul-2019
ARRAH AN GAG KETAMBAK 2
TJ LAUT
1,899 0-12-04-40 MARIATI BINTI NY JL ZAMBRUD RT 61/- P X 70 Th 11-Jul-2019
B TENGAH
1,900 0-12-04-41 HABIBAH NAFISA JL KP KUTAI RT 27/- P Lama; X 13 Th 11-Jul-2019 Dental caries; K02;
PUTRI AN SABUNTAL M KAYU
1,901 0-12-04-42 HASNAH , NY JL. DIPONEGORO RT P X 58 Th 11-Jul-2019
17/24 B PANTAI
1,902 0-12-04-43 DEVITASARI , SDR JL. PELABUHAN 3 RT P Baru; X 16 Th 11-Jul-2019 Dental caries; K02;
14/- TJ LAUT INDAH
1,903 0-12-04-44 NAZLA FAUZIA NY JL BRIGJEN P X 37 Th 11-Jul-2019
KATAMSO GG
SWAKARYA RT 46/24
KM 06
1,904 0-12-04-45 NURLINDA BINTI JL. PELABUHAN I GG P Baru; X 19 Th 11-Jul-2019 Diarrhoea and gastro; A09; Dirawat
NURDIN, AN DUYUNG II RT 31/- TJ
LAUT INDAH
1,905 0-12-04-46 MURA BINTI JALANG JL SIMPANG P Baru; X 63 Th 11-Jul-2019 Foreign body in alim; T18; Dirawat
NY SANGATTA
1,906 0-12-04-47 M KHALIFAH FI H , AN JL. PENCAK SILAT 4 L X 9b 11-Jul-2019
RT 12 API-API
1,907 0-12-04-48 SIRAJUDDIN BIN JL. LUMBA LUMBA L X 45 Th 11-Jul-2019
WAHAB, TN RT 27/- TJ LAUT
INDAH

20/Sep/2019 106
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,908 0-12-04-49 AZIZAH RAMADHANI, JL. GG PERMATA RT P X 11 Th 11-Jul-2019
AN /- TJ LAUT
1,909 0-12-04-49 AZIZAH RAMADHANI, JL. GG PERMATA RT P X 11 Th 11-Jul-2019
AN /- TJ LAUT
1,910 0-12-04-50 AYU INDAH APRILIA JL DURIAN 1 RT P Baru; X 34 Th 11-Jul-2019 Female infertility; N97;
NY 20/22 GN ELAI
1,911 0-12-04-51 KARTINI BIN JL BATU SAHASA 2 P Baru; X 39 Th 11-Jul-2019 Supervision of norma; Z34;
MOHAMMADIN NY RT 10/08 BTG KUALA
1,912 0-12-04-52 YUSRAN BIN JL DIPENOGORO RT L X 19 Th 11-Jul-2019
SUDIRMAN SDR 16/115 BERBAS
PANTAI
1,913 0-12-04-53 DANIA DEWI, AN JL. ZAMRUD RT P X 1 Th 11-Jul-2019
52/68 B TENGAH
1,914 0-12-04-54 SUMARNO BIN JL. ASPOL RT 11 L X 54 Th 11-Jul-2019
KASIMUN, TN BLOK B/46 GN ELAI
1,915 0-12-04-55 MASTURA BINTI JL KAPAL FERI RT P Baru; X 34 Th 11-Jul-2019 Supervision of norma; Z34;
MADE NY 27/116 LOKTUAN
1,916 0-12-04-56 NUR HIKAMAH NN JL GG DUYUNG 1 RT P X 12 Th 11-Jul-2019
31/43 TJ LAUT INDAH
1,917 0-12-04-57 SARTIKA AMANDARI JL POROS BTG SMD P X 16 Th 11-Jul-2019
NY KM 10 RT 1 TELUK
PANDAN
1,918 0-12-04-59 LEONARD KALALO TN JL GUNUNG MERAPI L Baru; X 66 Th 11-Jul-2019 Non-insulin-dependen; E11;
HOP 2 NO 32 KOMP
PT BADAK
1,919 0-12-04-60 SUMADI BIN JL SELAT BONE 1 RT L Baru; X 59 Th 11-Jul-2019 Non-insulin-dependen; E11;
WONGSO TN 21/31 TJ LAUT
1,920 0-12-04-61 NUR FADILAH AN JL SELAT SELAYAR P X 15 Th 11-Jul-2019
RT 38 TJ LAUT
1,921 0-12-04-62 AMINUDDIN, TN JL. PATIMURA GANG L X 39 Th 11-Jul-2019
ATLETIK 20 A
1,922 0-00-03-52 SYARIFAH MASNAH, JL. KP TENDEAN RT P Lama; X 69 Th 12-Jul-2019 Asthma, unspecified; J45.9;
NY HJ 1 NO 40 BTG KUALA
1,923 0-00-18-85 DELFIE CRISTIANI, JL. PISANGAN II RT. P Lama; X 15 Th 12-Jul-2019 Impacted cerumen; H61.2;
AN 20/24 GN ELAI
1,924 0-00-25-68 RIFKA ANNISA EL JL. KH DEWANTARA P Baru; X 17 Th 12-Jul-2019 Dengue fever [classi; A90;
HAAS AN. RT. 18 NO. 17 B
TENGAH
1,925 0-01-82-07 ICHA, NY JL REPORMASI RT P X 40 Th 12-Jul-2019
31 API API
1,926 0-02-00-31 HAWI, NY. JL. PELABUHAN P Baru; X 61 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
RT.12 NO.11

20/Sep/2019 107
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
1,927 0-03-32-59 UMI SALAMAH NN JL R SUPRAPTO GG P X 25 Th 12-Jul-2019
ASTEK RT 14/65 BTG
BARU
1,928 0-03-50-40 BAGAS TOHPATI. AN JL. SULTAN L Baru; X 9 Th 12-Jul-2019 Follow-up examinatio; Z09.8; Dirawat
HASANUDDIN RT
33/15 B. TENGAH
1,929 0-04-01-35 ROHANI NY HJ JL. S BANDA I RT 35 P X 50 Th 12-Jul-2019
TJ LAUT
1,930 0-04-01-35 ROHANI NY HJ JL. S BANDA I RT 35 P Lama; X 50 Th 12-Jul-2019 Dyspepsia; K30; Dirawat
TJ LAUT
1,931 0-04-20-94 ROHANI BINTI JL. RE P X 55 Th 12-Jul-2019
ABDULLAH NY MARTADINATA RT
08/- LOKTUAN
1,932 0-04-35-51 WANDI DARMAWAN, JL. MH. THAMRIN RT L X 9 Th 12-Jul-2019
AN 2/- GN. ELAI
1,933 0-04-48-56 ANDI SUWARDI , TN. JL. PANGANDARAN L Lama; X 39 Th 12-Jul-2019 Non-insulin-dependen; E11;
RT 13 B PANTAI
1,934 0-04-81-86 ARIFUDDIN ,H TN JL. SELAT SELAYAR L X 54 Th 12-Jul-2019
RT 19 TJG LAUT
1,935 0-05-81-43 SAEFUL CAHYO JL. CAMP 2000 PAMA L Lama; X 26 Th 12-Jul-2019 Arthrosis, unspecifi; M19.9;
WINARKO, TN
1,936 0-05-81-53 YETTI SUSANTI, NY JL. MT HARYONO RT P Baru; X 35 Th 12-Jul-2019 Other and unspecifie; R10.4; Dirawat
9 GN ELAI
1,937 0-06-15-51 TIARA JULIA KIRANA, JL. SELAT SELAYAR P X 7 Th 12-Jul-2019
AN RT 13 TANJUNG
LAUT
1,938 0-06-19-87 ADRIEL GRACIO M M, JL. CENDANA HOP 1 L Lama; X 5 Th 12-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN. SATIMPO
1,939 0-06-28-48 SYARIFUDDIN TN JL MT HARYONO RT L X 64 Th 12-Jul-2019
30 APIAPI
1,940 0-06-42-71 SURYANI JL. A LONG RT.11 P Lama; X 53 Th 12-Jul-2019 Acute suppurative ot; H66.0;
SIMANJUNTAK NY BTG BARU
1,941 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 12-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
1,942 0-06-82-30 ABA YAZID TN JL. SULAWESI RT 17 L X 38 Th 12-Jul-2019
NO 4 API API
1,943 0-06-87-94 M ALVARO S AN JL A YANI GG L Lama; X 7 Th 12-Jul-2019 Chronic tonsillitis; J35.0;
ANGGAR 1 RT.03 API
API
1,944 0-06-90-84 RISKA NAJWA AN JL. REFORMASI RT. P X 7 Th 12-Jul-2019
31/125 API API
1,945 0-06-91-32 BUAH HATI HJ NY JL BONTANG KUALA P Lama; X 72 Th 12-Jul-2019 Non-insulin-dependen; E11;
RT 03 BONTANG
KUALA

20/Sep/2019 108
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,946 0-07-00-38 RAMADHANI WIDYA JL. ASRUD RT. 06/ L X 27 Th 12-Jul-2019


KURNIA TN GN ELAI
1,947 0-07-16-19 TUTY SUNARTI ASRAMA KODIM P Baru; X 36 Th 12-Jul-2019 Supervision of norma; Z34;
SURYANI NY 0908 JL AWANG
LONG RT 20
BONTANG BARU
1,948 0-07-16-75 JONATHAN MARULI S JL. BALIKPAPAN RT L Lama; X 4 Th 12-Jul-2019 Fever, unspecified; R50.9;
AN 13 NO 11 TELIHAN
1,949 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Lama; X 18 Th 12-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT
1,950 0-07-25-18 YASSE BINTI SAKE JL. MARANGKAYU P X 67 Th 12-Jul-2019
NY RT 21
1,951 0-07-31-25 AHMAD ZAQI JL. PIER TENDEAN L Baru; X 7 Th 12-Jul-2019 Diarrhoea and gastro; A09; Dirawat
SUPRIYO AN RT.01 NO.23 BTG
KUALA
1,952 0-07-33-09 DINA GALIH WIBOWO JL MULAWARMAN P X 35 Th 12-Jul-2019
NY GG AQUSTIK RT 9
BTG BARU
1,953 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Baru; X 30 Th 12-Jul-2019 Urinary tract infect; N39.0;
NY RT 12 MARANGKAYU
1,954 0-07-57-18 FERY TAUFAN, TN JL. DI PANJAITAN RT L Baru; X 32 Th 12-Jul-2019 Diarrhoea and gastro; A09;
02 BONTANG BARU
1,955 0-07-57-18 FERY TAUFAN, TN JL. DI PANJAITAN RT L X 32 Th 12-Jul-2019
02 BONTANG BARU
1,956 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Baru; X 50 Th 12-Jul-2019 Respiratory tubercul; A15.9;
AHMADA NY 20/35 B PANTAI
1,957 0-07-72-67 FATMAWATI, NY JL. PERUM P Baru; X 57 Th 12-Jul-2019 Asthma, unspecified; J45.9;
DISNAKER RT 30 NO
11 TELIHAN
1,958 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L X 49 Th 12-Jul-2019
B PANTAI
1,959 0-07-77-47 UDIN M, TN JL MELAWAI RT 20 / L X 61 Th 12-Jul-2019
55 B PANTAI
1,960 0-07-92-23 SUNU H BIN BACO TN JL. PADA IDI TELUK L X 80 Th 12-Jul-2019
PANDAN
1,961 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L Lama; X 66 Th 12-Jul-2019 Gastro-oesophageal r; K21.0;
AMIN TN API API
1,962 0-07-98-22 MALIKUSWARI BIN, JL. TARAKAN RT 20 L Baru; X 59 Th 12-Jul-2019 Chest pain, unspecif; R07.4;
TN API API
1,963 0-08-02-72 ZADA AHSAN JL. SULAWESI RT. L X 8 Th 12-Jul-2019
MUWAFI AN 17/04 BTN KCY
1,964 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 12-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH

20/Sep/2019 109
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,965 0-08-22-86 SAMUEL F MANIK, AN JL TIM TIM RT 17 L Lama; X 16 Th 12-Jul-2019 Necrosis of pulp; K04.1;
BLOK O NO 9 KCY
API API
1,966 0-08-34-15 AURELIA RAFA R, AN JL. HALAL SQUER P X 10 Th 12-Jul-2019
API API
1,967 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 12-Jul-2019 Traumatic amputation; S88;
RT 027
1,968 0-08-47-17 RISNAWATI BINTI JL JENDRAL P X 23 Th 12-Jul-2019
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
1,969 0-08-59-46 RAHMA ARIANTI, NY JL SELAT MADURA P Baru; X 26 Th 12-Jul-2019 Benign neoplasm of b; D24;
RT 8 NO 9 TJ LAUT
1,970 0-08-67-79 ABDUL AZIZ, AN JL MANUINGGAL RT L Baru; X 3 Th 12-Jul-2019 Fever, unspecified; R50.9;
09/ B PANTAI
1,971 0-08-71-89 DAMIATI BIN KARDI JL. A YANI GG P Baru; X 37 Th 12-Jul-2019 Essential (primary) ; I10; Dirawat
NY RAWIN RT 09
API-API
1,972 0-08-80-16 RAYYAN TITIAN JL. MULAWARMAN L X 3 Th 12-Jul-2019
QOLBU AN RT 10 BLOK D4
BONTANG BARU
1,973 0-08-95-14 QISTHINA FIRNANDA, JL PC 3 NO 136 RT 3 P Lama; X 11 Th 12-Jul-2019 Tuberculous peripher; A18.2;
AN PT BADAK SATIMPO
1,974 0-09-10-66 ABDUL SAMAD JN TN JL PATTIMURA GG L X 61 Th 12-Jul-2019
ATLETIK RT 42 API
API
1,975 0-09-20-18 NUR MAHDINA AN JL ZAMRUD RT 47 B P Baru; X 10 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
TENGAH
1,976 0-09-34-10 ZULFAN AL THAMIS JL. ZAMRUD RT 53 B L Baru; X 2 Th 12-Jul-2019 Asthma; J45; Dirawat
AN TGH
1,977 0-09-36-95 M JUNA NOOR JL. BARTU SAHASA 5 L Baru; X 7 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
ALFIANSYAH AN RT 20 BTG KUALA
1,978 0-09-42-95 M SYAIFULLAH AN JL YOS SUDARSO 1 L Baru; X 14 Th 12-Jul-2019 Cutaneous abscess, f; L02;
GG MAKMUR RT 8
NO 104 SANGATTA
1,979 0-09-52-31 SYAIMA ADHA AN JL MH THAMRIN RT P X 7 Th 12-Jul-2019
23 NO 14 BTG BARU
1,980 0-09-58-44 ADE, TN JL. AP L X 38 Th 12-Jul-2019
MANGKUNEGARA
RT 5 NO 08 BERBAS
TENGAH
1,981 0-09-80-60 NANANG BASRI , TN JL KP TENDEAN RT L X 39 Th 12-Jul-2019
2 NO 26 BTG KUALA
1,982 0-10-09-52 GALIH ADI P S , TN JL. NANAS RT 30/26 L Lama; X 34 Th 12-Jul-2019 Non-insulin-dependen; E11;
BLOK Y-4 BELIMBING

20/Sep/2019 110
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

1,983 0-10-09-92 PANJI EKO JL. MANUNGGAL RT L Baru; X 30 Th 12-Jul-2019 Foreign body in alim; T18;
PRASETYONO TN 14 BERBAS PANTAI
1,984 0-10-18-31 M KHAIRUL JL. SANTAN TENGAH L X 1 Th 12-Jul-2019
AMIRULLAH AN RT 03 M KAYU
1,985 0-10-21-59 MARDINA BINTI JL SELAT SELAYAR P Lama; X 60 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
SUBUH NY RT 12/37 TJ LAUT
1,986 0-10-29-23 RAESHA ARSYILA N, JL. NANAS RT 32 NO P X 1 Th 12-Jul-2019
AN 20 BELIMBING
1,987 0-10-37-53 M SADAR, TN JL. POROS BTG SM L Lama; X 39 Th 12-Jul-2019 Fracture of upper en; S52.0;
KM 21 DANAU
REDANG RT, 01
SANTAN
1,988 0-10-47-85 TAHIR BIN AZIS R TN JL S HASANUDDIN L Baru; X 36 Th 12-Jul-2019 Periodontal disease,; K05.6;
RT 24 B PANTAI
1,989 0-10-47-95 INDO ESA NY JL PELABUHAN 3 RT P X 65 Th 12-Jul-2019
12 TJ LAUT INDAH
1,990 0-10-55-55 AL ACHYAR , TN JL. DAMAI RT 09/31 L Baru; X 25 Th 12-Jul-2019 Acute nasopharyngiti; J00;
GG ARRAUDHOH
KANAAN
1,991 0-10-65-89 PANDANG , HJ , NY JL. MELAWAI RT 22 P Lama; X 62 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
B PANTAI
1,992 0-10-70-28 SUMANGE ALAM TN JL DIPONEGORO RT L Lama; X 38 Th 12-Jul-2019 Non-insulin-dependen; E11;
9 NO 78 B PANTAI
1,993 0-10-70-75 SITI MARYAM, NY JL. GITAR RT. 07 P X 53 Th 12-Jul-2019
BTG BARU
1,994 0-10-71-09 ISKANDAR , TN JL. DSN HANDIL L X 64 Th 12-Jul-2019
TIGA SANTAN
TENGAH
1,995 0-10-72-35 FATHIYYAH ADIBA JL SULTAN P X 2 Th 12-Jul-2019
ELIF P AN HASANUDDIN RT 27
B TENGAH
1,996 0-10-72-74 M HAFIDZUL A AN JL SELAT MALAKA L Baru; X 11 b 12-Jul-2019 Fever, unspecified; R50.9; Dirawat
RT 25 TJ LAUT
1,997 0-10-76-29 M JIMI ASSIDDIKI , AN JL SIDOMULYO RT L X 11 b 12-Jul-2019
01 MARANG KAYU
1,998 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P Lama; X 49 Th 12-Jul-2019 Chronic pansinusitis; J32.4;
DUSSA NY TANJUNG LAUT
1,999 0-10-85-19 MANDA SUKMA , SDR JL. SUKARNO HATTA P X 13 Th 12-Jul-2019
RT 24 B TGH
2,000 0-10-92-59 IRSANDI SETIAWAN, JL. DI PANJAITAN RT L Baru; X 36 Th 12-Jul-2019 Other hyperlipidaemi; E78.4;
TN 12/47 BTG BARU
2,001 0-10-95-01 SULASTRI NY JL SYAMSUDDIN RT P Baru; X 58 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
08/ SAMANGKO M
KAYU

20/Sep/2019 111
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,002 0-10-96-80 HARDIANTI NY JL POROS BTG SGT P Baru; X 24 Th 12-Jul-2019 Other chronic suppur; H66.3;
RT 14/ T PANDAN
2,003 0-10-97-81 DARMAWATI NY P Lama; X 54 Th 12-Jul-2019 Non-insulin-dependen; E11;
2,004 0-11-09-01 M TAWIL BIN AHMAD JL SAMRATULANGI L Lama; X 57 Th 12-Jul-2019 Non-insulin-dependen; E11;
TN RT 15 TJ LAUT
INDAH
2,005 0-11-09-30 ABRAHAM AN JL. KP BAGANG RT L Baru; X 8b 12-Jul-2019 Fever, unspecified; R50.9; Dirawat
06/- DESA
SEMANGKO M KAYU
2,006 0-11-09-87 TENRI HJ NY JL UNTUNG P Lama; X 59 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
SUROPATI RT 16/26
TJ LAUT
2,007 0-11-12-32 RATNA NY JL BAWAL RT 12/56 P X 51 Th 12-Jul-2019
TJ LAUT INDAH
2,008 0-11-17-47 RAFIDAH NY JL.A YANI GG P Lama; X 26 Th 12-Jul-2019 Salpingitis and ooph; N70;
ANGGAR I NO 26 RT
3 API-PI
2,009 0-11-26-42 NURHAYATI BINTI JL. IR H JUANDA GG P Lama; X 60 Th 12-Jul-2019 Non-insulin-dependen; E11;
PAGGA, NY MAWAR RT 36/13 TJ
LAUT
2,010 0-11-30-03 VONISTARIA JL. BERINGIN RT 21/- P Baru; X 34 Th 12-Jul-2019 Benign neoplasm of o; D27;
GINTING, NY TJ LAUT
2,011 0-11-30-03 VONISTARIA JL. BERINGIN RT 21/- P X 34 Th 12-Jul-2019
GINTING, NY TJ LAUT
2,012 0-11-30-03 VONISTARIA JL. BERINGIN RT 21/- P X 34 Th 12-Jul-2019
GINTING, NY TJ LAUT
2,013 0-11-30-03 VONISTARIA JL. BERINGIN RT 21/- P X 34 Th 12-Jul-2019
GINTING, NY TJ LAUT
2,014 0-11-34-38 ADAM DWI CAHYONO JL SULTAN L X 6 Th 12-Jul-2019
AN HASANUDDIN GG
WIRA RT 4 B PANTAI
2,015 0-11-40-03 MARDYAH ZULHANI JL KENANGAN RT 29 P Baru; X 17 Th 12-Jul-2019 Hirschsprung's disea; Q43.1;
AN TJ LAUT
2,016 0-11-49-28 MAIMUNAH, HJ NY JL. MH TAMRIN RT P X 56 Th 12-Jul-2019
02 GN ELAI
2,017 0-11-56-14 M SALDIN, TN JL. S YANI RT, 10 API L Lama; X 43 Th 12-Jul-2019 Dyspepsia; K30; Dirawat
API
2,018 0-11-57-09 SUMAI BINTI BADRIH JL MANUNGGAL RT P Baru; X 50 Th 12-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
NY 14 BERBAS PANTAI
2,019 0-11-59-68 ENY RISTAULY T NY JL SURABAYA 1 RT P Lama; X 47 Th 12-Jul-2019 Non-insulin-dependen; E11;
19 NO 22 GUNUNG
TELIHAN

20/Sep/2019 112
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,020 0-11-61-04 RUSMIATI NY JL PONTIANAK 2 RT P X 45 Th 12-Jul-2019
23/37 GN TELIHAN
2,021 0-11-68-54 LUDIAH SAMBO JL. KAPAL PINISI 2 P Baru; X 41 Th 12-Jul-2019 Thyrotoxicosis [hype; E05;
LINGGI NY RT 46/18
2,022 0-11-74-65 M HAFIZ SHAKEIL AN JL. LUMBA LUMBA L Lama; X 2b 12-Jul-2019 Neonatal jaundice, u; P59.9;
RT 27/07 RAWAH
INDAH
2,023 0-11-77-62 NASRUDDIN ZAID TN JL PELABUHAN RT L X 44 Th 12-Jul-2019
03/8 SELAMBAI
LOKTUAN
2,024 0-11-77-73 SALWA NUR NY JL. AWANG LONG P Baru; X 27 Th 12-Jul-2019 Chronic hepatitis, u; K73.9;
RT 007/ 76
2,025 0-11-78-15 RUSMAWATI BINTI JL. BINA KARYA II P Baru; X 23 Th 12-Jul-2019 Dental caries; K02;
NY KEC MUARA BADAK
2,026 0-11-80-05 RAHMAD SALEH , TN JL. DI PANJAITAN L Lama; X 32 Th 12-Jul-2019 Malignant neoplasm o; C07;
GG PIANO 2 RT 04/42
B BARU
2,027 0-11-82-88 SAENAL, TN JL. CARITA RT 11 L Lama; X 45 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
BERBAS PANTAI
2,028 0-11-83-43 MUHAMMAD CAPE TN JL KS TUBUN GG L Baru; X 68 Th 12-Jul-2019 Connective and other; D21.9;
WAKAF 4 RT 16/78
BTG KUALA
2,029 0-11-86-58 UTOMO TN JL KH AGUS SALIM L Lama; X 55 Th 12-Jul-2019 Malignant neoplasm o; C18;
RT 05 BERBAS BTG
SELATAN
2,030 0-11-86-69 M RIAN FIRMANSYAH JL IR H JUANDA RT L Baru; X 19 Th 12-Jul-2019 Fever, unspecified; R50.9;
TN 06/66 TANJUNG
LAUT
2,031 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L Lama; X 61 Th 12-Jul-2019 Hyperplasia of prost; N40;
NO 11 BERBAS
TENGAH
2,032 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Baru; X 53 Th 12-Jul-2019 Connective and other; D21.9;
MARANGKAYU
2,033 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 12-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
2,034 0-11-92-52 MARYAM KACO, NY JL. SOEKARNO P X 55 Th 12-Jul-2019
HATTA RT 03/- B
LESTARI
2,035 0-11-92-56 YULIUS RURU TN JL PONTIANAK 4 RT L Baru; X 64 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
19 / 69 GUNUNG
TELIHAN

20/Sep/2019 113
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,036 0-11-93-46 SUMIATI BINTI JL. SUDIRMAN RT P X 41 Th 12-Jul-2019
SAMAR NY 24/- KEL. TANJUNG
LAUT
2,037 0-11-94-23 RUKIYAH BINTI NY JL KAPT PIERE P Baru; X 65 Th 12-Jul-2019 Gastro-oesophageal r; K21.0;
TANDEAN RT 01/38
BTG KUALA
2,038 0-11-95-18 DJUMADI TN JL. MT HARYONO 1 L X 50 Th 12-Jul-2019
RT 28/-
2,039 0-11-96-99 THALIA BLEZINKY NY JL. CUT NYAK DIEN P X 23 Th 12-Jul-2019
NO 07 RT 9/- BTG
BARU
2,040 0-11-98-09 MUTIA FARIDHA NN JL SELAT MALAKA P Lama; X 14 Th 12-Jul-2019 Necrosis of pulp; K04.1;
RT 23/12 B TENGAH
2,041 0-11-98-46 SALMIATI BINTI NY JL ZAMBRUD RT P X 51 Th 12-Jul-2019
51/48 B TENGAH
2,042 0-11-98-74 ERNAWATI BINTI M JL KS TUBUN GG P Baru; X 43 Th 12-Jul-2019 Essential (primary) ; I10; Dirawat
RAFI NY KERAPU 2 RT 16
TANJUNG LAUT
INDAH
2,043 0-11-98-93 DINI HARIANTO JL WR SUPRAPTO P Baru; X 17 Th 12-Jul-2019 Dental caries; K02;
PUTRI NN RT 28 BONTANG
BARU
2,044 0-12-00-04 ULTRIMAWATI NY JL. MENTE RT 24 P Lama; X 27 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
SATIMPO
2,045 0-12-00-29 HAFIDZAH ZAHWA F JL. KAPAL SELAM 3 P X 12 Hr 12-Jul-2019
AN RT. 13 LOKTUAN
BONTANG UTARA
2,046 0-12-00-63 MASTIYAH BINTI JL. IMAM BONJOL P Lama; X 48 Th 12-Jul-2019 Unspecified renal co; N23;
JUMADI, NY GG SEMAYANG RT
43/6 GN ELAI
2,047 0-12-01-52 SERGIO RAMOS JL SELAT BONE RT L Lama; X 2 Th 12-Jul-2019 Attention to surgica; Z48.0; Dirawat
MUTAQQI AN 18/29 TJ LAUT INDAH
2,048 0-12-01-68 HAMDANI BIN HANAFI JL. DI PANJAITAN L Lama; X 16 Th 12-Jul-2019 Tuberculosis of lung; A15.0;
AN GG ATLETIK 3 RT 27
2,049 0-12-02-30 FARIDA ARIYANI NY JL MALUKU RT 16/10 P Baru; X 49 Th 12-Jul-2019 Bronchitis, not spec; J40;
BTN KCY API API
2,050 0-12-03-53 RUSMINI BINTI NY JL. TIPALAYO RT 36/- P Baru; X 41 Th 12-Jul-2019 Bronchitis, not spec; J40;
B TENGAH
2,051 0-12-03-72 FITRIANA NY JL SAMBOJA CC 15 P Baru; X 55 Th 12-Jul-2019 Fatty (change of) li; K76.0;
BTN PKT BELIMBING
2,052 0-12-03-88 ADHE ARIYANTO AN JL. SULTAN L X 16 Th 12-Jul-2019
SYAHRIR RT 02 TJ
LAUT INDAH

20/Sep/2019 114
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,053 0-12-03-99 ANDI IRAWAN JL. KS TUBUN GG L X 23 Th 12-Jul-2019
SAPUTRA , TN ARWANA II RT 17/-
TJ LAUT
2,054 0-12-04-35 EZRA SHELYN R AN JL. A P P Lama; X 13 Th 12-Jul-2019 Dental caries; K02;
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
2,055 0-12-04-35 EZRA SHELYN R AN JL. A P P X 13 Th 12-Jul-2019
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
2,056 0-12-04-54 SUMARNO BIN JL. ASPOL RT 11 L Baru; X 54 Th 12-Jul-2019 Non-insulin-dependen; E11;
KASIMUN, TN BLOK B/46 GN ELAI
2,057 0-12-04-58 MAHESA ADITYA P, JL KERSIK RT 4 L X 9 Th 12-Jul-2019
AN MARANGKAYU
2,058 0-12-04-63 M GHOZY AL JL. MULAWARMAN L X 1 Hr 12-Jul-2019
GHIFFARI AN RT 6
2,059 0-12-04-64 MUSTAJI TN JL. KOL NO 65 RT 08 L Baru; X 46 Th 12-Jul-2019 Asthma; J45; Dirawat
GN ELAI
2,060 0-12-04-65 RIFQI RAMADANI AN JL. KAP PIERE L Baru; X 12 Th 12-Jul-2019 Diarrhoea and gastro; A09; Dirawat
TENDEAN NO 36 RT
09 BONTANG KUALA
2,061 0-12-04-66 MERSI NABILA JL. BATU SAHASA 5 P Baru; X 14 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
DAMAYANTI AN RT 07
2,062 0-12-04-67 CINDERAKASIN PURN JL. INTAN 2 NO 54 P X 15 Th 12-Jul-2019
AN RT 22 BB TENGAH
2,063 0-12-04-68 CAHYA MAULIDHA L JL. R SUPRAPTO RT P Baru; X 5 Th 12-Jul-2019 Nausea and vomiting; R11; Dirawat
AN 23
2,064 0-12-04-69 SARIANSA TN JL. MAKASSAR RT 27 L Baru; X 33 Th 12-Jul-2019 Connective and other; D21.9;
2,065 0-12-04-70 ALYA AKIFA AZ JL. SERULING BLOK P Baru; X 6 Th 12-Jul-2019 Fever, unspecified; R50.9; Dirawat
ZAHRA AN B NO 4 RT 21
2,066 0-12-04-71 NADA SALSABILA AN JL. P SURYANATA P Baru; X 6 Th 12-Jul-2019 Other and unspecifie; R10.4; Dirawat
NO 47
2,067 0-12-04-72 DEWI SANDRA NY JL. KELURAHAN API P Baru; X 39 Th 12-Jul-2019 Burn and corrosion, ; T30; Dirawat
API RUSUNAWA
2,068 0-12-04-73 WIDA DWI SAFITRI JL HABIBON RT 26 / P Baru; X 20 Th 12-Jul-2019 Dyspepsia; K30; Dirawat
NN 94 TJ LAUT INDAH
2,069 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L X 42 Th 12-Jul-2019
API API
2,070 0-12-04-75 SURTINI, NY JL. SUKA RAHMAT P X 64 Th 12-Jul-2019
RT 03 KUTIM
2,071 0-12-04-76 DAYANG AISYAH NUR JL. CUT NYAK DIEN P X 5b 12-Jul-2019
H, AN RT 09 BONTANG
BARU
20/Sep/2019 115
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,072 0-12-04-78 ENDANG WIGIARTI, JL. ULIN PC 6C NO P X 50 Th 12-Jul-2019


NY 14A RT 09/- SATIMPO
2,073 0-12-04-79 WATINI BINTI JL. A YANI GG RAWA P X 47 Th 12-Jul-2019
MARIJAN, NY INDAH RT 09/123
API-API
2,074 0-12-04-80 IKHLASUL AMAL , AN JL. PELABUHAN III L Baru; X 19 Th 12-Jul-2019 Connective and other; D21.9;
GG BAWAL RT 12/-
TJ LAUT INDAH
2,075 0-12-04-81 M JABIR TN JL KS TUBUN TJ L X 62 Th 12-Jul-2019
LAUT INDAH
2,076 0-12-04-82 RIANI BY NY JL. GN MENANGIS P X 0 Hr 12-Jul-2019
RT 12/- DESA
SEMANGKO M KAYU
2,077 0-12-04-83 DARMIN BINTI JL SUTAN SYAHRIR P Baru; X 58 Th 12-Jul-2019 Other and unspecifie; S29;
MUSTAKIM NY RT 17 TJ LAUT
INDAH
2,078 0-12-04-84 DENNY AFRIANDY H, JL. HM ARDANS 2 L X 6 Th 12-Jul-2019
AN RT/C10 SATIMPO
2,079 0-12-04-85 MARUBA SIRAIT TN JL ZAMRUD L X 23 Th 12-Jul-2019
KAMPUNG BARU RT
7/17 TANJUNG LAUT
2,080 0-12-04-86 RIZKY DWI SAPUTRA, JL. TENIS GG L Baru; X 18 Th 12-Jul-2019 Acute suppurative ot; H66.0;
SDR AMANAH RT 31/160
API-API
2,081 0-12-04-87 SARAH AL MUBDI NY JL MANGGA Q3 RT P X 22 Th 12-Jul-2019
28/09 BELIMBING
2,082 0-12-04-88 AQILA BINTI EDI, AN JL. BRIGJEN P Baru; X 2 Th 12-Jul-2019 Open wound of wrist ; S61.9; Dirawat
KATAMSO 44
BELIMBING
2,083 0-12-04-89 IRFAN BORNEO AN JL MH THAMRIN RT L X 2 Th 12-Jul-2019
01/- GN ELAI
2,084 0-12-04-90 RAODAH, NN JL. RE P Baru; X 24 Th 12-Jul-2019 Dyspepsia; K30;
NARTADINATA RT 03
B. UTARA
2,085 0-12-04-91 ARIFUDDIN BIN BACO JL PELABUHAN 2 RT L X 62 Th 12-Jul-2019
TN 10 TJ LAUT INDAH
2,086 0-12-04-92 SYAIFUL BIN JL MELAWAI RT L X 23 Th 12-Jul-2019
ZAINUDDIN SDR 22/50 B PANTAI
2,087 0-12-04-93 MAULANA, SDR BLOK LEGASARI 023 L Baru; X 19 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
ARGASARI
2,088 0-12-04-94 HABIBAH KASIM, NY JL. JEMBATAN RT. P Baru; X 43 Th 12-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
13 GUNTUNG

20/Sep/2019 116
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,089 0-12-04-95 ZAHRO TULIANA, NY JL. R SOEPRAPTO P Baru; X 44 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
GG POLO AIR 1 RT
21
2,090 0-12-04-96 SITI APRIYANTI NN JL JEMBATAN RT 13 P Baru; X 21 Th 12-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
GUNTUNG
2,091 0-12-04-97 BUDI SETIAWAN TN JL RUBY RT 17/27 B L X 60 Th 12-Jul-2019
TENGAH
2,092 0-12-04-98 WIWIK ASTUTI, NY JL. DESA SEBUNTAL P X 18 Th 12-Jul-2019
RT 20 KEC.
MARANGKAYU
2,093 0-12-04-99 AGUS BIN ABIDIN JL KS TUBUN RT L Baru; X 19 Th 12-Jul-2019 Migraine, unspecifie; G43.9;
SDR 17/88 GG ARWANA 1
TJ LAUT INDAH
2,094 0-12-05-00 HERTI MIRAWAN Z, DEMPASAR 017 P Baru; X 32 Th 12-Jul-2019 Benign paroxysmal ve; H81.1;
NY GUNUNG TELIHAN
BONTANG BARAT
2,095 0-12-05-02 SARTONO, TN JL. MELATI 2 RT 35 L Baru; X 59 Th 12-Jul-2019 Injury of unspecifie; T14; Dirawat
TJ. LAUT
2,096 0-12-05-03 DINA GALIH WIBOWO JL MULAWARMAN L X 0 Hr 12-Jul-2019
NY BY GG AQUSTIK 3 RT 9
BTG BARU
2,097 0-12-05-04 M RIZAL DARMAWAN JL DI PANJAITAN GG L Baru; X 19 Th 12-Jul-2019 Conjunctivitis, unsp; H10.9;
SDR PIANO 4 RT 03/16B
BTG BARU
2,098 0-12-05-05 NURYANA BINTI JL RE P X 29 Th 12-Jul-2019
LANGKU NY MARTADINATA RT
12/47 LOKTUAN
2,099 0-12-05-06 ILYAS AL KHAIRY AN JL CUT NYAK DIEN L X 0 Hr 12-Jul-2019
RT 9/7 BTG BARU
2,100 0-12-05-07 JASON REINNART L JL CUMI CUMI L Baru; X 2 Th 12-Jul-2019 Conjunctival haemorr; H11.3; Dirawat
AN PERUM ROYAL
TANJUNG LAUT
2,101 0-12-05-08 RINI MANSYAH, NY JL BUKIT INDAH GG P Baru; X 33 Th 12-Jul-2019 Dyspepsia; K30; Dirawat
ANGGREK 1 RT 37
TANJUNG LAUT
2,102 0-00-90-37 SARWONO HIDAYAT , JL. TOMAT RT 13 / 29 L Lama; X 57 Th 13-Jul-2019 Tuberculosis of lung; A15.0;
TN. GN ELAI
2,103 0-02-15-78 RUSDIYAH BIN ABD JL. KP TENDEAN GG P Lama; Baru; X 39 Th 13-Jul-2019 Dyspepsia; Chest pain, unspecif; K30;R07 Dirawat
RAUF NY BATU SAHASA 5 RT
12/08 BTG KUALA
2,104 0-02-52-59 SITI AMINAH, NY HJ JL. POROS BTG - P Baru; Baru; X 55 Th 13-Jul-2019 Diarrhoea and gastro; A09;K21 Dirawat
SANGATTA RT 02 Gastro-oesophageal r;
TELUK PANDAN

20/Sep/2019 117
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,105 0-03-58-49 BAIQ SOFIA M, AN. JL. SENDAWAR RT P Baru; X 9 Th 13-Jul-2019 Disturbances in toot; K00.6;
19 BTG BARU
2,106 0-04-45-37 ISYA BINTI M SAIL NY JL. SELAT LOMBOK P Lama; X 62 Th 13-Jul-2019 Dyspepsia; K30;
RT 05 TANJUNG
LAUT
2,107 0-04-61-36 MUSYRIFAH, NY. JL. PAREKESIT GG. P X 33 Th 13-Jul-2019
GITAR RT. 07/10 API2
2,108 0-04-89-88 JARIANTI , NY JL. KAPAL SELAM 2 P X 26 Th 13-Jul-2019
RT.16 LOKTUAN
2,109 0-04-97-08 MILAWATY SH, NY JL JAWA BLOK PP 8 P Baru; X 42 Th 13-Jul-2019 Cerebral infarction,; I63.9;
B BTN KCY RT 36
2,110 0-05-80-80 HARNI NY JL. DEWANTARA RT. P Baru; X 45 Th 13-Jul-2019 Other specified diso; M62.8;
35/ TJ. LAUT
2,111 0-05-87-29 INNA NY JL. JUNADA RT 37/28 P X 59 Th 13-Jul-2019
TJ LAUT
2,112 0-06-04-99 DONI SUGIARTO SDR JL. A YANI RT.12/38 L Lama; X 21 Th 13-Jul-2019 Necrosis of pulp; K04.1;
BTG BARU
2,113 0-06-22-85 MARDIANA BINTI JL BARONANG RT P Lama; X 30 Th 13-Jul-2019 Supervision of norma; Z34;
SAMSUL NY 13/05 TJ LAUT INDAH
2,114 0-06-29-18 SURYA DEWI JL PATTIMURA GG P Baru; X 31 Th 13-Jul-2019 Postpartum care and ; Z39;
WULANDARI NY ATLETIK 5 RT 33/77
A API API
2,115 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 13-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
2,116 0-06-53-00 KAMILAH NY JL. A LONG RT.18 P X 51 Th 13-Jul-2019
BTG BARU
2,117 0-06-59-36 MICHAEL AGUNG T JL. AKUSTIK 2 RT 9/1 L Lama; X 8 Th 13-Jul-2019 Urticaria; L50; Dirawat
AN BTG BARU
2,118 0-06-65-50 AMALIAH NY JL. AGUS SALIM RT P X 32 Th 13-Jul-2019
05/42 B PANTAI
2,119 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 13-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
2,120 0-06-86-96 DIAN HERAWATI NY JL. S SELAYAR RT P Baru; X 37 Th 13-Jul-2019 Toxic effect of cont; T63.9; Dirawat
13/41 TJ LAUT
2,121 0-07-16-63 ANA BINTI SUDARTO JL. GN MENANGIS P Lama; X 36 Th 13-Jul-2019 Supervision of norma; Z34;
NY RT 12 MARANGKAYU
2,122 0-07-25-36 SURATMAN DAMIN JL GENDANG 2 RT L Baru; X 60 Th 13-Jul-2019 Intracerebral haemor; I61.9;
TN 23/111 BTG BARU
2,123 0-07-30-21 IPATIMA BINTI KORO JL KS TUBUN GG P X 54 Th 13-Jul-2019
HJ NY PERJUANGAN RT 29
TJ LAUT INDAH
2,124 0-07-30-97 SAFRI ZAKARIA S AN JL. SAMRATULANGI L Baru; X 17 Th 13-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
RT. 16/04 GG KRAPU
TJ LAUT INDAH

20/Sep/2019 118
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,125 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 13-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
2,126 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Baru; X 50 Th 13-Jul-2019 Acute appendicitis; K35;
AHMADA NY 20/35 B PANTAI
2,127 0-07-60-19 SRI MULYATI NY JL. MELAWAI RT. P Baru; X 41 Th 13-Jul-2019 Neuralgia and neurit; M79.2;
20/46 B PANTAI
2,128 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 13-Jul-2019 Necrosis of pulp; K04.1;
NY API API
2,129 0-07-74-61 INRITA WATI NY JL. BATU SAHASA 5 P Lama; X 58 Th 13-Jul-2019 Cerebral infarction,; I63.9;
RT 06 BTG KUALA
2,130 0-07-78-03 MUSTOFA RAMADAN JL PONTIANAK RT 24 L X 4 Th 13-Jul-2019
S, AN / 10 GN TELIHAN
2,131 0-07-92-89 JIARNO BIN HARTO JL KS TUBUN RT 8 L X 47 Th 13-Jul-2019
TN BTG KUALA
2,132 0-08-24-86 MAISARO BINTI JL SUTAN SYAHRIR P Lama; X 29 Th 13-Jul-2019 Vertigo of central o; H81.4; Dirawat
ABDUL NY GG PESUT 2 RT 5 TJ
LAUT INDAH
2,133 0-08-29-77 HARMONI NY JL. HARUAN RT 20 P Baru; X 47 Th 13-Jul-2019 Sciatica; M54.3;
TJ LAUT I
2,134 0-08-42-32 SYAFAATUL JL. R SUPRAPTO GG P Baru; X 10 Th 13-Jul-2019 Acute upper respirat; J06.9;
KHOIRIYAH AN ALPUKAT RT. 16
BTG BARU
2,135 0-08-47-17 RISNAWATI BINTI JL JENDRAL P X 23 Th 13-Jul-2019
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
2,136 0-08-48-67 BABA ARIYANTI NY JL. AWANG LONG P Lama; X 35 Th 13-Jul-2019 Supervision of norma; Z34;
RT 06 BTG BARU
2,137 0-08-55-48 SITI WAHIDAH, NY JL RE P X 46 Th 13-Jul-2019
MARTADINATA RT
27 LOKTUAN
2,138 0-08-55-81 MISTI BIN PAIJO NY JL ZAMRUD RT 41 06 P Baru; X 64 Th 13-Jul-2019 Cerebral infarction,; I63.9;
B TENGAH
2,139 0-08-62-02 RUGAIYAH BINTI, NY JL MELAWAI RT 20 B P X 64 Th 13-Jul-2019
PANTAI
2,140 0-08-84-50 ISMIATI BINTI PARTO, JL A YANI RT 8 TJ P Baru; X 44 Th 13-Jul-2019 Other specified diso; M62.8;
NY LAUT
2,141 0-08-89-36 RUSMIATI HJ BINTI JL WR SUPRATMAN P X 67 Th 13-Jul-2019
NY RT 09/61 B PANTAI
2,142 0-09-16-19 DESI DEWI SRIYANTI JL. STN SYAHRIER P Baru; X 38 Th 13-Jul-2019 Leiomyoma of uterus; D25;
NY RT, 18 NO. 24 TJ
LAUT INDAH
2,143 0-09-17-02 YUSDA, NY JL. SAFIR RT 17 NO P Baru; X 22 Th 13-Jul-2019 Acute upper respirat; J06.9;
09 BERBAS TENGAH

20/Sep/2019 119
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,144 0-09-54-57 PAINI, NY JL. BHAYANGKARA P Lama; X 58 Th 13-Jul-2019 Non-insulin-dependen; E11; Dirawat
RT 14/6 GN ELAI
2,145 0-09-57-71 SAMSUDIN, TN JL. KOL RT 09 NO 42 L Baru; X 55 Th 13-Jul-2019 Connective and other; D21.0;
GN ELAI
2,146 0-09-71-19 SYARIFAH JL BIOLA 2 RT 5 NO P Lama; X 40 Th 13-Jul-2019 Neuralgia and neurit; M79.2;
HAIRUNNISA NY 50 BTG BARU
2,147 0-09-89-94 JUNIOR DAVEEN S JL. PIERE TENDEAN L X 9 Th 13-Jul-2019
AN RT 19 B. KUALA
2,148 0-09-95-28 HAMKA TN JL. MELAWAI RT, 23 L X 45 Th 13-Jul-2019
BERBAS PANTAI
2,149 0-10-00-04 KIKI ALGITA NY JL BATU SAHASA 4 P X 21 Th 13-Jul-2019
RT 11/17 BTG KUALA
2,150 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Lama; X 44 Th 13-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
2,151 0-10-09-55 RUDDING BIN PAKI JL POROS SGT SMD L Baru; X 49 Th 13-Jul-2019 Myalgia; M79.1;
TN RT 3 TELUK PANDAN
2,152 0-10-18-31 M KHAIRUL JL. SANTAN TENGAH L X 1 Th 13-Jul-2019
AMIRULLAH AN RT 03 M KAYU
2,153 0-10-18-31 M KHAIRUL JL. SANTAN TENGAH L X 1 Th 13-Jul-2019
AMIRULLAH AN RT 03 M KAYU
2,154 0-10-23-28 FITRIA NURJAYANTI, JL. PAPRIKA RT, 44 P Baru; X 26 Th 13-Jul-2019 Supervision of norma; Z34;
NY NO. 31 GN ELAI
2,155 0-10-36-28 AZ ZURA NUR AULIYA JL. KENANGAN RT P X 1 Th 13-Jul-2019
, AN 29/74 TJ LAUT
2,156 0-10-36-87 YUS ELMIN NY JL SELAT P X 45 Th 13-Jul-2019
MAKASSAR TJ LAUT
2,157 0-10-40-90 M DIMYATI TN JL KS TUBUN GG L X 52 Th 13-Jul-2019
KERAPU 2 RT 16 TJ
LAUT INDAH
2,158 0-10-58-59 ANWAR BIN JL KENANGAN RT 30 L Baru; X 66 Th 13-Jul-2019 Pain in throat and c; R07;
BAKKARING TN TJ LAUT
2,159 0-10-69-49 FIFIE ALWI, NY JL. PIRUS RAYA RT P Baru; X 21 Th 13-Jul-2019 Dengue fever [classi; A90;
13 /- BERBAS
TENGAH
2,160 0-10-69-52 M FARID PRATAMA JL DI PANJAITAN RT L X 13 Th 13-Jul-2019
AN 2 BTG BARU
2,161 0-10-69-89 RATNAWATY BINTI JL AWANG LONG RT P Baru; X 46 Th 13-Jul-2019 Epilepsy; G40;
NANANG NY 07/88 BTG BARU
2,162 0-10-70-75 SITI MARYAM, NY JL. GITAR RT. 07 P Baru; X 53 Th 13-Jul-2019 Non-insulin-dependen; E11;
BTG BARU
2,163 0-10-76-82 SUTRA NY JL SELAT ALOR 2 RT P X 45 Th 13-Jul-2019
32/70 TJ LAUT

20/Sep/2019 120
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,164 0-10-85-19 MANDA SUKMA , SDR JL. SUKARNO HATTA P X 13 Th 13-Jul-2019
RT 24 B TGH
2,165 0-10-87-45 ARDIANTI BIN JL IKAN TUNA RT 11 P Baru; X 26 Th 13-Jul-2019 Supervision of norma; Z34;
ABDILLAH NY NO 21 TJ LAUT
INDAH
2,166 0-10-93-66 M BIMA AKBAR AN JL MH THAMRIN RT L X 4 Th 13-Jul-2019
03/41 GN ELAI
2,167 0-10-93-71 MARLINA SIRANDE, JL. PONTIANAK RT P Baru; X 52 Th 13-Jul-2019 Foreign body in ear; T16; Dirawat
NY 23/40 GN TELIHAN
2,168 0-10-94-44 ALFAREZEL MC JL MENTE RT 24/ L X 1 Th 13-Jul-2019
SARDELLA AN SATIMPO
2,169 0-10-98-93 SUHERMAN TN JL. SELAT BONE RT L Lama; X 51 Th 13-Jul-2019 Thyrotoxicosis [hype; E05;
18
GG.SATELITTANJUN
G LAUT
2,170 0-11-01-19 SITI RAMLAH NY JL ZAMRUD 16 RT 50 P X 49 Th 13-Jul-2019
B TENGAH
2,171 0-11-20-17 ADIFA KEYLA ALIFIYA, JL. SELAT ALOR 1 P X 1 Th 13-Jul-2019
AN RT,32 NO. 36 TJ
LAUT
2,172 0-11-28-44 HASRAWATI, NY JL. TARI DEWA P Baru; X 34 Th 13-Jul-2019 Insertion of (intrau; Z30.1;
DEWA RT, 14
GUNTUNG
2,173 0-11-32-44 MUSDALIFA NY JL MH THAMRIN RT P Baru; X 22 Th 13-Jul-2019 Supervision of norma; Z34;
01/15 GN ELAI
2,174 0-11-37-85 IMA BELA UTAMI, NY JL. KOL RT 08/97 GN P X 30 Th 13-Jul-2019
ELAI
2,175 0-11-45-16 MUSTARI BIN JL WR SUPRATMAN L Baru; X 49 Th 13-Jul-2019 Cluster headache syn; G44.0;
HAMINLOLO TN RT 25 B TENGAH
2,176 0-11-46-38 M AZRAN FAUZAN, JL. ZLAMET RIYADI L X 6 Th 13-Jul-2019
AN GG KPL PINISI 1 RT,
48 LOKTUAN
2,177 0-11-47-59 HUDAYA NY JL PIPA SUNGAI BTG P Lama; X 76 Th 13-Jul-2019 Cerebral infarction,; I63.9;
RT 8 TELUK PANDAN
2,178 0-11-54-70 ARIANSYAH TN JL. KENANGAN RT L Lama; X 20 Th 13-Jul-2019 Chest pain, unspecif; R07.4;
29
2,179 0-11-56-42 SYAMSUDDIN BIN TN JL. ZAMRUD RT L Baru; X 58 Th 13-Jul-2019 Cerebral infarction,; I63.9;
52/10 B TENGAH
2,180 0-11-57-09 SUMAI BINTI BADRIH JL MANUNGGAL RT P Lama; X 50 Th 13-Jul-2019 Non-insulin-dependen; E11;
NY 14 BERBAS PANTAI
2,181 0-11-58-30 ABDULLAH BIN ABD JL. GENDANG 1 RT L Baru; X 64 Th 13-Jul-2019 Tuberculosis of lung; A15.0;
KARIM TN 22 BTG BARU
2,182 0-11-58-54 RUSWIDIAWATI, NY JL. DI PANJAITAN RT P Baru; X 35 Th 13-Jul-2019 Supervision of norma; Z34;
01 BONTANG BARU

20/Sep/2019 121
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,183 0-11-60-86 SAMSUL HUDA TN JL PATTIMURA NO L X 57 Th 13-Jul-2019


11 RT 32 API API
2,184 0-11-62-39 HASBIA BIN JL DUSUN DAMAI RT P Lama; X 22 Th 13-Jul-2019 Supervision of norma; Z34;
MUHAMMATANG NY 3 SANTAN ULU
2,185 0-11-65-61 INTIFAAH BIN JL WR SUPRATMAN P Lama; X 37 Th 13-Jul-2019 Supervision of norma; Z34;
MASFUAD NY RT 27 TANJUNG
LAUT
2,186 0-11-66-90 FITRIAH AMANDA JL KS TUBUN GG P X 14 Th 13-Jul-2019
SALMA AN KERAPU 2 RT 16/-
KEL. TANJUNG LAUT
2,187 0-11-70-40 PASE H , TN JL. S PARMAN RT L Lama; X 69 Th 13-Jul-2019 Tuberculosis of lung; A15.0;
49/- BELIMBING
2,188 0-11-71-95 DANDU BIN JL. MH THAMRIN RT L Baru; X 90 Th 13-Jul-2019 Essential (primary) ; I10; Dirawat
MANNAJONG TN 26 BONTANG BARU
2,189 0-11-74-96 ARIENDRA JL. TAEKWONDO RT P Baru; X 3 Th 13-Jul-2019 Acute upper respirat; J06.9;
INDONESIA RDW AN 10/- API-API
2,190 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L Baru; X 63 Th 13-Jul-2019 Cellulitis of finger; L03.0;
1/15 GN ELAI
2,191 0-11-85-51 LISTIANY BINTI JL SELAT BONE RT P Baru; Baru; X 60 Th 13-Jul-2019 Acute myocardial inf; Pain localized I21;R10. Dirawat
JUMARI NY 17 / 6 TJ LAUT to up;
2,192 0-11-93-21 M FIZI QAYYUM JL LANGASLENG RT L X 31 Hr 13-Jul-2019
GHANI AN 3 KERSIK MARANG
KAYU
2,193 0-11-94-25 RADITYA PRABA JL MUSANG BLOK JJ L Lama; X 7 Th 13-Jul-2019 Disturbances in toot; K00.6;
BUANA AN NO IV BTN PK T
2,194 0-11-94-33 NUR YULIATI, NY JL. MENJANGAN P Lama; X 53 Th 13-Jul-2019 Tuberculosis of lung; A15.0;
BLOK LL RT 20/21
BTN PKT BELIMBING
2,195 0-11-97-41 SITI MARYAM, NY JL. MANUNGGAL RT P Lama; X 54 Th 13-Jul-2019 Gonarthrosis, unspec; M17.9;
14/- B PANTAI
2,196 0-11-98-24 HJ NURLIA, NY JL. GAJA MADA RT P Lama; X 52 Th 13-Jul-2019 Other bursitis, not ; M71.5;
37 BERBAS TENGAH
2,197 0-11-98-70 MUHTAR MAULANA JL PANGANDARAN L Baru; X 43 Th 13-Jul-2019 Injury of unspecifie; T14; Dirawat
TN 07 RT 12 BERBAS
PANTAI
2,198 0-11-99-78 AKHMAD BIN IKHRAM, JL. PIERE TENDEAN L Lama; X 45 Th 13-Jul-2019 Tuberculosis of lung; A15.0;
TN BATU SAHASA 2 RT
10/3 B KUALA
2,199 0-12-00-13 M RIDWAN JL JENDRAL L Lama; X 18 Th 13-Jul-2019 Connective and other; D21.9;
MUSTAJAB SDR SUDIRMAN RT 26/-
TJ LAUT
2,200 0-12-02-08 CYNTIA DWI N NY JL BRIGJEN P Baru; X 22 Th 13-Jul-2019 Blighted ovum and no; O02.0;
KATAMSO RT 45
BELIMBING

20/Sep/2019 122
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,201 0-12-02-33 KASIATI NY JL. LETTU AKIRANG P X 48 Th 13-Jul-2019


RT 23 TJ LAUT
2,202 0-12-02-37 KASRIATI NY JL KENANGAN RT 29 P X 34 Th 13-Jul-2019
TANJUNG LAUT
2,203 0-12-02-57 PUTU YOGA ANANTA JL SELAT GASPOR 4 L X 12 Th 13-Jul-2019
P AN RT 34 TJ LAUT
2,204 0-12-02-99 FAUZI BIN M NUR JL ANGGREK 2 RT L Lama; X 17 Th 13-Jul-2019 Fracture of clavicle; S42.0;
SAPPE AN 37/62 TJ LAUT
2,205 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L Lama; X 50 Th 13-Jul-2019 Connective and other; D21.9;
YUSUP TN 09 TJ LAUT INDAH
2,206 0-12-03-04 SURYA DEWI W BY JL PATIMURA RT L X 5 Hr 13-Jul-2019
NY 22/77A API API
2,207 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P Baru; X 31 Th 13-Jul-2019 Connective and other; D21.9;
HUSAIN NY RT 2 SANTAN ILIR
2,208 0-12-03-18 SUMIRAH NY JL JALUR 6 RT 11 P X 60 Th 13-Jul-2019
DESA KEBUN
AGUNG RANTAU
PULUNG
2,209 0-12-03-25 FATIMA AZZAHRAH, JL. WR SUPRATMAN P X 1 Th 13-Jul-2019
AN RT 27/- B TENGAH
2,210 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Lama; X 34 Th 13-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
2,211 0-12-04-35 EZRA SHELYN R AN JL. A P P Baru; Baru; X 13 Th 13-Jul-2019 Dental caries; Necrosis of pulp; K02;K04
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
2,212 0-12-04-47 M KHALIFAH FI H , AN JL. PENCAK SILAT 4 L X 9b 13-Jul-2019
RT 12 API-API
2,213 0-12-04-92 SYAIFUL BIN JL MELAWAI RT L X 23 Th 13-Jul-2019
ZAINUDDIN SDR 22/50 B PANTAI
2,214 0-12-04-98 WIWIK ASTUTI, NY JL. DESA SEBUNTAL P X 18 Th 13-Jul-2019
RT 20 KEC.
MARANGKAYU
2,215 0-12-05-01 LULUK ARFIANI BY NY JL KEBAHAGIAAN RT L X 1 Hr 13-Jul-2019
23 SABUNTAL
2,216 0-12-05-07 JASON REINNART L JL CUMI CUMI L X 2 Th 13-Jul-2019
AN PERUM ROYAL
TANJUNG LAUT
2,217 0-12-05-08 RINI MANSYAH, NY JL BUKIT INDAH GG P X 33 Th 13-Jul-2019
ANGGREK 1 RT 37
TANJUNG LAUT

20/Sep/2019 123
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,218 0-12-05-09 DIWIANTI NN JL B KATAMSO RT P Baru; X 27 Th 13-Jul-2019 Acute upper respirat; J06; Dirawat
07 GUNUNG
TELIHAN
2,219 0-12-05-10 AMIRUDDIN TN JL MH THAMRIN RT 1 L X 49 Th 13-Jul-2019
GUNUNG ELAI
2,220 0-12-05-11 MISIYEM NY JL TARAKAN BL 02 P Baru; X 55 Th 13-Jul-2019 Synovitis and tenosy; M65;
BTN KCY API API
2,221 0-12-05-12 M RIZAL DARMAWAN JL DI PANJAITAN GG L X 19 Th 13-Jul-2019
SDR PIANO 4 RT 03/ 16
BONTANG BARU
2,222 0-12-05-13 UMMUL WAQIFAH NY JL KAPITAL TOKO 5 P X 27 Th 13-Jul-2019
RT 6 MUARA BADAK
ILIR
2,223 0-12-05-14 MASETURA BINTI NY JL IR H JUANDA RT P X 56 Th 13-Jul-2019
32/16 KEL. TANJUNG
LAUT
2,224 0-12-05-15 SALIATI SAHRAN , NY JL. AP P Baru; X 60 Th 13-Jul-2019 Cerebral infarction; I63;
MANGKUNEGORO
GG MUTIARA 3 RT
06/04 B TENGAH
2,225 0-12-05-16 MUZAKKIR BIN TN JL. POROS BTG-SMD L Baru; X 51 Th 13-Jul-2019 Bronchitis, not spec; J40;
KM 33 RT 28/- DESA
SEBUNTAL
2,226 0-12-05-17 ANIKEN PUTRI H NY JL SAMBOJA BLOK P Baru; X 28 Th 13-Jul-2019 Insertion of (intrau; Z30.1;
BB / 11 BTN PKT
2,227 0-12-05-18 PURNAMASARI BINTI JL. MANGGA RT 25/- P Baru; X 20 Th 13-Jul-2019 Gynaecological exami; Z01.4;
SUKRI, NY SATIMPO
2,228 0-12-05-19 SYAMSUL ANWAR, JL. PARIKESIT RT 05 L Baru; Baru; X 41 Th 13-Jul-2019 Other disorders of u; Fever, N39;R50 Dirawat
TN NO 07 BONTANG unspecified;
BARU
2,229 0-12-05-20 CATUR RESKIANINDA JL WAHAU JL CUMI P Baru; X 23 Th 13-Jul-2019 Supervision of norma; Z34;
NY CUMI SP 1
2,230 0-12-05-21 KASMA YANTI NY JL DESA SEMANGKO P Baru; X 16 Th 13-Jul-2019 Supervision of norma; Z34;
MARANGKAYU RT 6
2,231 0-12-05-22 ONDENG BINTI JL. S AGUNG RT 07/- P Baru; X 72 Th 13-Jul-2019 Anaemia due to enzym; D55;
RONDA, NY B PANTAI
2,232 0-12-05-23 HAURA SYAFIQAH AN JL MT HARYONO GG P X 0 Hr 13-Jul-2019
SELANCAR 7 RT 28
NO 105 API API
2,233 0-12-05-24 DWIANA WAHYU R JL SELAT BADUNG P Baru; X 20 Th 13-Jul-2019 Supervision of norma; Z34;
NY RT 14
2,234 0-12-05-25 WIN NURIATI, NY JL. JENDRAL P Baru; X 38 Th 13-Jul-2019 Asthma; J45;
SUDIRMAN RT 08 NO
05 TANJUNG LAUT

20/Sep/2019 124
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,235 0-12-05-26 BUDI SETIAWAN, TN JL. SEDAP MALAM L X 42 Th 13-Jul-2019


PC VI PKT RT 03/23
BELIMBING
2,236 0-12-05-27 LENNY BINTI JL. SEDAP MALAM P X 39 Th 13-Jul-2019
MASLAN, NY PC VII PKT RT 03/23
BELIMBING
2,237 0-12-05-28 TRISNA RATULINA, JL. ANGSANA RT 04 P X 36 Th 13-Jul-2019
NY NO 169 SANGATTA
2,238 0-12-05-29 GEFIN AMRIL, TN JL. ANGSANA RT 04 L X 35 Th 13-Jul-2019
NO 169 SANGATTA
2,239 0-12-05-30 CARRISA GALUH JL. ANGSANA RT 04 P X 10 Th 13-Jul-2019
GEFIANA, AN NO 169 SANGATTA
2,240 0-12-05-31 NAFEEZA XAVIERA JL ANGANA NO 169 P X 7 Th 13-Jul-2019
GEFIANA AN RT 04 PANORAMA
SANGATTA
2,241 0-12-05-32 SAINAB, TN JL. SAMRATULANGI P Baru; X 65 Th 13-Jul-2019 Pure hypercholestero; E78.0;
RT 18 NO 63
TANJUNG LAUT
2,242 0-12-05-32 SAINAB, TN JL. SAMRATULANGI P X 65 Th 13-Jul-2019
RT 18 NO 63
TANJUNG LAUT
2,243 0-12-05-33 ELIMSON JL. A YANI RT 01 NO L Baru; X 38 Th 13-Jul-2019 Cerebral infarction,; I63.9;
SIMARMATA, TN 45 TANJUNG LAUT
2,244 0-12-05-34 DEFIKA FAUZIAH JL ZAMRUD 52 P Baru; X 19 Th 13-Jul-2019 Varicella without co; B01.9;
SYAH NY BERBAS TENGAH
2,245 0-12-05-35 PARSINI BINTI JJ A YANI RT 24 P Baru; X 60 Th 13-Jul-2019 Essential (primary) ; I10;
AKUPJUMI NY APIAPI
2,246 0-12-05-35 PARSINI BINTI JJ A YANI RT 24 P X 60 Th 13-Jul-2019
AKUPJUMI NY APIAPI
2,247 0-12-05-36 ANNA ASYIFA JL. SELAT BADUNG P X 0 Hr 13-Jul-2019
MIQAYLA AN RT 14 TANJUNG
LAUT
2,248 0-12-05-37 AHMAD FADIL R AN JL MH THAMRIN GG L Baru; X 14 Th 13-Jul-2019 Dengue fever [classi; A90;
KELABI 2 RT 3
BONTANG BARU
2,249 0-12-05-38 SYARIFAH NAYLA JL PARAKESIT RT 5 P Baru; X 4 Th 13-Jul-2019 Fever, unspecified; R50.9; Dirawat
ADIBAH AN BONTANG BARU
2,250 0-12-05-39 YENNY LIYAWATI NY JL A YANI P X 27 Th 13-Jul-2019
PERUMAHAN HALAL
SQUARE BLOK 4 RT
5
2,251 0-12-05-40 M AGAM ARSYA, AN JL. RA KARTINI RT L Baru; X 1 Th 13-Jul-2019 Fever, unspecified; R50.9; Dirawat
23 BONTANG BARU

20/Sep/2019 125
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,252 0-12-05-42 MASTUR BIN TN JL DI PANJAITAN RT L Baru; X 86 Th 13-Jul-2019 Dyspepsia; K30; Dirawat
12/48 BTG BARU
2,253 0-12-05-43 M RAFIF AQMAR AN JL BELANAK RT L X 8b 13-Jul-2019
21/13 TJ LAUT INDAH
2,254 0-12-05-44 M FARJA TULLA AN JL IKAN TUNA RT L X 1 Th 13-Jul-2019
11/- TJ LAUT INDAH
2,255 0-12-05-45 M ZAYN KUSUMA AN JL SERULING RT 21/- L Baru; X 3 Th 13-Jul-2019 Nausea and vomiting; R11; Dirawat
BTG BARU
2,256 0-12-05-46 PUSPA NIRMALA JL PENCAK SILAT 4 P X 22 Th 13-Jul-2019
PUTRI, NY RT 12 KEL. API-API
2,257 0-12-05-47 MELDAYANTI,NN JL. ZAMRUD 13 NO P Baru; X 20 Th 13-Jul-2019 Urticaria; L50; Dirawat
54 KEL. BERBAS
TENGAH
2,258 0-12-05-48 MAHMUDIN BIN ABD JL BATU SAHASA 1 L Baru; X 30 Th 13-Jul-2019 Diarrhoea and gastro; A09; Dirawat
MUIS TN RT 20/50 BTG KUALA
2,259 0-12-05-49 TERNOVIANNA NGAU JL RANTAU P Baru; Baru; X 21 Th 13-Jul-2019 Dyspepsia; Chest pain, unspecif; K30;R07 Dirawat
NN PANJANG RT2
RANTAU PANJANG
2,260 0-12-05-50 SUMARNI NY JL BUNAKEN RT 19 P X 41 Th 13-Jul-2019
BERBAS PANTAI
2,261 0-01-01-30 AYUB MATIUS TUNI K JL. IR H JUANDA RT L X 23 Th 14-Jul-2019
SDR 06 NO 41 TANJUNG
LAUT
2,262 0-01-84-94 ANDREAS MASKA AN. JL DI PANJAITAN L X 17 Th 14-Jul-2019
RT.26/08 B BARU
2,263 0-03-91-83 DARLINAWATI , NY. JL. MT. HARYONO P X 38 Th 14-Jul-2019
RT.9/102 GN. ELAI
2,264 0-05-16-90 RUBIDA JL. PARIKESIT RT 5 P X 33 Th 14-Jul-2019
SURAHMAWATI, NY BONTANG BARU
2,265 0-06-52-79 HADI TRI F TN JL. MT HARYONO L X 25 Th 14-Jul-2019
RT. 07/01 GN ELAI
2,266 0-06-79-12 MEGAWATI, NY HJ JL. R SUPRAPTO P X 49 Th 14-Jul-2019
RT23 API API
2,267 0-06-85-95 SUMIRAN, TN JL. PIRUS RAYA RT L X 59 Th 14-Jul-2019
54 NO 12 BERBAS
TENGAH
2,268 0-06-95-02 HAJRAWATI NY JL. PATTIMURA RT. P X 43 Th 14-Jul-2019
14/91 API API
2,269 0-06-96-80 JUMADI BIN LAUDDIN JL. DI PANJAITAN RT L Baru; X 40 Th 14-Jul-2019 Asthma; J45; Dirawat
TN 04 BONTANG BARU
2,270 0-07-22-21 HUSAIEN ALDARI AN JL PATIMURA RT .32/ L Baru; Baru; X 4 Th 14-Jul-2019 Acute upper respirat; Asthma, J06.9;J4 Dirawat
API API Baru; unspecified; Dyspnoea;

20/Sep/2019 126
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,271 0-07-55-95 WIWIT HARIYADI TN JL. JEND SUDIRMAN L Baru; X 40 Th 14-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
RT. 10/22 TJ LAUT
GG S MALAKA
2,272 0-07-77-81 DIAH PERMATA SARI JL MH THAMRIN RT P Baru; X 21 Th 14-Jul-2019 Allergic rhinitis, u; J30.4;
NY 16 NO 5 BTG BARU
2,273 0-07-92-89 JIARNO BIN HARTO JL KS TUBUN RT 8 L X 47 Th 14-Jul-2019
TN BTG KUALA
2,274 0-08-00-50 M IKRAM AIDIL, AN JL. CUT NYAK DIEN L X 8 Th 14-Jul-2019
RT 09 BONTANG
BARU
2,275 0-08-44-31 MIDAH BINTI TUWO, JL KS TUBUN GG P X 49 Th 14-Jul-2019
HJ NY ARWANA 1 RT 17 NO
67 TJ LAUT INDAH
2,276 0-08-50-47 ADAM ALFARIZQI AN JL IMAM BONJOL RT L Baru; X 3 Th 14-Jul-2019 Cutaneous abscess, f; L02;
40/49 API API
2,277 0-08-70-83 ADEEVA CHAYRA JL PATIMURA RT 27 P X 3 Th 14-Jul-2019
VERLIANI AN API API
2,278 0-08-84-32 M REFAN AFANDI AN JL. MH TAMRIN RT L Baru; X 3 Th 14-Jul-2019 Diarrhoea and gastro; A09;
02 GN ELAI
2,279 0-09-01-24 SUBARKAH SANGARI JL ASRAMA KODIM L Baru; X 44 Th 14-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
TN RT /
2,280 0-09-14-18 KHANIA AUDY JL MARANGKAYU 3 P X 15 Th 14-Jul-2019
FHYRDILIA AN RT 12 MARANGKAYU
2,281 0-09-15-86 SAMIUN, TN JL. TONGKOL RT 26 L X 59 Th 14-Jul-2019
TANJUNG LAUT
2,282 0-09-17-89 AHMAD AZZAM JL IR H JUANDA RT L X 3 Th 14-Jul-2019
HAFIDZ A F AN 34/13 TJ LAUT
2,283 0-09-29-08 ANIBAR NY JL BROKOLI 6 RT 14 P Baru; X 68 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
GN ELAI
2,284 0-09-66-72 ALFIANSYAH NOOR A JL KS TUBUN GG L Baru; X 2 Th 14-Jul-2019 Diarrhoea and gastro; A09;
AN BASALT RT 15 BTG
KUALA
2,285 0-09-74-93 HADRAH BINTI DOLA JL DEWI SARTIKA P X 42 Th 14-Jul-2019
NY RT 08/82 BTG BARU
2,286 0-09-97-91 M DZAKY SATYA F, JL. KALIMANTAN RT L Baru; X 11 Th 14-Jul-2019 Acute upper respirat; J06.9; Dirawat
AN 19 NO 39 API API
2,287 0-10-00-68 NUR AIDA NY JL SELAT KARIMATA P X 28 Th 14-Jul-2019
RT 9 NO 58 TJ LAUT
2,288 0-10-00-69 NUR ZAHWA AQILA JL SELAT KARIMATA P X 1 Th 14-Jul-2019
AN RT 9 NO 58 TJ LAUT
2,289 0-10-06-16 FIRMANSYAH TN JL SELAT KARIMATA L Baru; X 32 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
1 RT 26 NO 33 TJ
LAUT

20/Sep/2019 127
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,290 0-10-36-87 YUS ELMIN NY JL SELAT P X 45 Th 14-Jul-2019


MAKASSAR TJ LAUT
2,291 0-10-38-16 REXANNE KAFFAHIA JL. BHAYANGKARA P Baru; X 2 Th 14-Jul-2019 Diarrhoea and gastro; A09;
S, AN RT 14 GN ELAI
2,292 0-10-48-54 SUBUR ARIANTO, TN JL AWANG LONG RT L Lama; X 47 Th 14-Jul-2019 Asthma; J45; Dirawat
9 BTG BARU
2,293 0-10-60-34 AISHAA KAHLA JL PANGANDARAN P X 2 Th 14-Jul-2019
KHAYYIRA AN RT 12/54 B PANTAI
2,294 0-10-68-74 KAMILA ALIFA JL. SANGATTA GPL P Baru; X 16 Th 14-Jul-2019 Dyspepsia; K30;
ARDANA , SDR MUNTHE H 373
2,295 0-10-78-90 HAIKAL HADI A AN JL. KS TUBUN RT P X 11 b 14-Jul-2019
032 NO 566 API API
2,296 0-10-93-92 M AKMAL BIN M JL. JUNADA RT 34/13 L Baru; X 1 Th 14-Jul-2019 Fever, unspecified; R50.9; Dirawat
CHAKIM , AN TJ LAUT
2,297 0-10-99-16 ELIS SOLIHAH, NY JL. R SUPRAPTO RT. P X 57 Th 14-Jul-2019
16 BTG BARU
2,298 0-11-01-40 AIZA NUR JL. DI PANJAITAN RT P Baru; X 9b 14-Jul-2019 Constipation; K59.0; Dirawat
HUMAIRAH,AN 01/67 B BARU
2,299 0-11-02-88 AYRA AZZAHRA AN JL BUNAKEN RT 19 P Baru; X 1 Th 14-Jul-2019 Fever, unspecified; R50.9; Dirawat
BERBAS PANTAI
2,300 0-11-54-70 ARIANSYAH TN JL. KENANGAN RT L Baru; X 20 Th 14-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
29
2,301 0-11-78-45 ASMAR BIN M RAMLI JL KAPT PIERE L X 36 Th 14-Jul-2019
TN TANDEAN RT 19/03
BTG KUALA
2,302 0-11-89-44 FELIX RICARDO JL. PATTIMURA RT L Baru; X 7 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
MARBUN, TN 42 API API
2,303 0-11-91-39 MARNAH BINTI JL PULAU GUSUNG P Baru; X 27 Th 14-Jul-2019 Inflammatory disorde; N61; Dirawat
MANTANG NY RT 03/ GUNTUNG
2,304 0-11-94-38 EKA APRILIANI YOLA JL MOCH ROEM RT P X 22 Th 14-Jul-2019
D NY 003 BONLES
2,305 0-12-05-19 SYAMSUL ANWAR, JL. PARIKESIT RT 05 L Baru; X 41 Th 14-Jul-2019 Other specified diso; D72.8;
TN NO 07 BONTANG
BARU
2,306 0-12-05-37 AHMAD FADIL R AN JL MH THAMRIN GG L X 14 Th 14-Jul-2019
KELABI 2 RT 3
BONTANG BARU
2,307 0-12-05-37 AHMAD FADIL R AN JL MH THAMRIN GG L X 14 Th 14-Jul-2019
KELABI 2 RT 3
BONTANG BARU
2,308 0-12-05-41 ANNISA NURDILA JL SELAT LOMBOK P X 25 Th 14-Jul-2019
BUGIS NY RT 05/04 TJ LAUT
INDAH

20/Sep/2019 128
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,309 0-12-05-48 MAHMUDIN BIN ABD JL BATU SAHASA 1 L X 30 Th 14-Jul-2019


MUIS TN RT 20/50 BTG KUALA
2,310 0-12-05-51 HAMKA WIJAYA SDR JL M H THAMRIN RT L X 17 Th 14-Jul-2019
26 BONTANG BRU
2,311 0-12-05-52 EVY NURYANTI BY NY JL PKT RAYA RT 18 P X 0 Hr 14-Jul-2019
GUNTUNG
2,312 0-12-05-53 HADRAH NY BY JL. DEWI SARTIKA P X 0 Hr 14-Jul-2019
RT 08/82 BTG BARU
2,313 0-12-05-54 USMAN TAHER TN JL BRIGJEN L Baru; X 55 Th 14-Jul-2019 Other hyperlipidaemi; E78.4;
KATAMSO RT 16
GUNUNG ELAI BTG
UTARA
2,314 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P X 50 Th 14-Jul-2019
10 MARANGKAYU
2,315 0-12-05-56 ANDREAS AAN JL. CAMP PAMA 2000 L Baru; X 26 Th 14-Jul-2019 Diarrhoea and gastro; A09;
ARIANTO TN
2,316 0-12-05-57 PRAWOTO TN JL. PATTIMURA RT L Baru; X 36 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
42
2,317 0-12-05-59 SERDHAN ADIKA,AN JL.PELABUHAN L Baru; X 6 Th 14-Jul-2019 Fever, unspecified; R50.9;
GG.IKAN TUBA
RT.11/- T.LAUT
INDAH
2,318 0-12-05-61 ABDUL RAHMAT JL. ZAMRUD RT L Baru; X 24 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
HIDAYAT TN 52/69 KEL. BERBAS
TENGAH
2,319 0-12-05-62 M DZAKI AN JL KENANGAN GG L Baru; X 5 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
SUKUJ 28 KEL. TJ
LAUT
2,320 0-12-05-63 SOPI SALSABILA, AN JL MOCH ROEM RT 3 P X 0 Hr 14-Jul-2019
BONTANG LESTARI
2,321 0-12-05-65 NADILA SARI NN JL. CUT NYAK DIEN P X 20 Th 14-Jul-2019
GG KERIKIL RT 13/-
KEL. BTG KUAL
2,322 0-12-05-66 ROSMANI SOFYAN JL SELAT SELAYAR P X 75 Th 14-Jul-2019
NY RT 14/09 KEL. TJ
LAUT
2,323 0-12-05-67 M LUKI FEBRIAN AN JL KERIKIL 4 L Baru; X 7 Th 14-Jul-2019 Injury of unspecifie; T14; Dirawat
2,324 0-12-05-68 ARIO PAMUNGKAS JL KS TUBUN GG L X 28 Th 14-Jul-2019
BAYU TN VULKANIK II RT 8/4
KEL. API-API
2,325 0-12-05-69 SRI ASRIANA NN JL GERILYA GG P X 22 Th 14-Jul-2019
MESJID BLOK D RT
105 KEL. SUPIDA

20/Sep/2019 129
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,326 0-12-05-70 MUHLIS BIN BENNU JL IR H JUANDA RT L X 25 Th 14-Jul-2019


TN 15/- KLE. TJ LAUT
INDAH
2,327 0-12-05-71 AICEAYA ACALAPATI JL CATUR BLOK C/14 L Baru; X 15 Th 14-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
SDR
2,328 0-12-05-72 YASSIR MUBARAK TN JL WR SUPRATMAN L X 31 Th 14-Jul-2019
RT 28 TJ LAUT
INDAH
2,329 0-12-05-73 DWI PUTRA R SDR JL TENGGIRI RT L Baru; X 17 Th 14-Jul-2019 Vertigo of central o; H81.4; Dirawat
25/52 TJ LAUT INDAH
2,330 0-12-05-74 NASIR BIN SAYUTI TN JL AHMAD YANI GG L Baru; Baru; X 34 Th 14-Jul-2019 Dyspepsia; Chest pain, unspecif; K30;R07 Dirawat
RAWA INDAH RT
09/39 API API
2,331 0-12-05-75 ROSALIZKA CHINDY Y JL BELIBIS RT 08/- P X 19 Th 14-Jul-2019
NY KANAAN
2,332 0-12-05-76 FAKHRUR RAVI A, AN JL OTISTA RT 26/- L X 0 Hr 14-Jul-2019
BTG BARU
2,333 0-00-23-32 PAULINA TIMBAYO, JL. ASRAMA KODIM P Lama; X 60 Th 15-Jul-2019 Disturbances in toot; K00.6;
NY 20/41 GN. ELAI\
2,334 0-00-53-20 KASPIK NY JL. KH A DAHLAN RT. P Lama; X 54 Th 15-Jul-2019 Non-insulin-dependen; E11;
25/ BTG BARU
2,335 0-01-43-10 RINI SUDARMI, NY JL IR H JUANDA RT. P Lama; X 63 Th 15-Jul-2019 Non-insulin-dependen; E11;
/02 TJ, LAUT
2,336 0-02-28-89 AUFA FELADIA M AN JL. PERUM L X 11 Th 15-Jul-2019
DANARTHA RT 29
API-API
2,337 0-02-32-52 M ARSYAD TN JL. MANUNGGAL RT. L Lama; X 52 Th 15-Jul-2019 Non-insulin-dependen; E11;
12/ B. PANTAI
2,338 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P Lama; X 10 Th 15-Jul-2019 Otitis media, unspec; H66.9;
47/5 B TENGAH
2,339 0-02-98-41 MISTINAH ISKANDAR JL. BATU SAHASA 4 P X 46 Th 15-Jul-2019
NY. RT 11/- B KUALA
2,340 0-03-34-46 ARIANTO JL. CATUR RT 007 L Lama; X 39 Th 15-Jul-2019 Chronic pansinusitis; J32.4;
HASANUDDIN, TN. NO. 10 API - API
2,341 0-03-68-77 M SYAHID TN JL. BHAYANGKARA L Lama; X 50 Th 15-Jul-2019 Non-insulin-dependen; E11;
RT. 14/20 GN . ELAI
2,342 0-03-91-83 DARLINAWATI , NY. JL. MT. HARYONO P X 38 Th 15-Jul-2019
RT.9/102 GN. ELAI
2,343 0-04-73-46 MUID AJIB, TN. JL. ZAMRUD 18 RT L Lama; X 63 Th 15-Jul-2019 Epilepsy, unspecifie; G40.9;
62 B TGH
2,344 0-04-96-37 NAURAH FAUZIYYAH, JL. MT HARYONO RT P X 8 Th 15-Jul-2019
AN 9 NO 102 GN ELAI

20/Sep/2019 130
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,345 0-05-15-26 M RIDWAN DALI TN JL PERUM GRIYA L X 32 Th 15-Jul-2019
WISATA RT 14 BLOK
H/5 BTG KUALA
2,346 0-05-15-26 M RIDWAN DALI TN JL PERUM GRIYA L X 32 Th 15-Jul-2019
WISATA RT 14 BLOK
H/5 BTG KUALA
2,347 0-05-35-11 PUTRI AZIZAH JL. S. HASANUDDIN P Lama; X 7 Th 15-Jul-2019 Fever, unspecified; R50.9;
AURELIA AN RT. 4/85 B. PANTAI
2,348 0-05-37-62 SUKAENA NY JL. MANUNGGAL P X 31 Th 15-Jul-2019
RT.11/16 B PANTAI
2,349 0-05-47-16 REWANDA DZIHNI F JL. KP TENDEAN RT P X 12 Th 15-Jul-2019
AN 09 NO 24 BONTANG
KUALA
2,350 0-05-49-18 RABSEN MULSU, TN JL. JEND. SUDIRMAN L Baru; X 46 Th 15-Jul-2019 Necrosis of pulp; K04.1;
RT.26 TJ. LAUT
2,351 0-05-54-93 EFRI DWI SURYA JL. MULAWARMAN L X 16 Th 15-Jul-2019
TONDON AN RT. 06/ BTG BARU
2,352 0-05-61-60 NUR INDRIYANI. NY JL. RE P Baru; X 35 Th 15-Jul-2019 Supervision of norma; Z34;
MARTADINATA RT
28 NO 79 LOKTUAN
2,353 0-05-67-07 FATIMAH BINTI Jl. SANTAN ILIR RT 3 P Lama; X 31 Th 15-Jul-2019 Supervision of norma; Z34;
MISRAN, NY MARANGKAYU
2,354 0-06-05-65 ABDUL SALAM, TN JL. MH THAMRIN RT L Lama; X 46 Th 15-Jul-2019 Chronic hepatitis, u; K73.9;
01 GN ELAI
2,355 0-06-05-71 DINA MARDIANA. NY JL. A YANI RT 09 NO P Lama; X 57 Th 15-Jul-2019 Non-insulin-dependen; E11;
34 API API
2,356 0-06-10-95 NUR HUSNA AN JL. KS TUBUN RT32 P Baru; Baru; X 14 Th 15-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
API API
2,357 0-06-19-87 ADRIEL GRACIO M M, JL. CENDANA HOP 1 L X 5 Th 15-Jul-2019
AN. SATIMPO
2,358 0-06-26-81 KASPAN TN JL. PENCAKSILAT 4 L X 67 Th 15-Jul-2019
RT 12 API-API
2,359 0-06-27-99 M KAKA AL BUKHORI JL. JEND SUDIRMAN L Baru; X 13 Th 15-Jul-2019 Cutaneous abscess, f; L02.9; Dirawat
AN RT. 26/37 TJ. LAUT
2,360 0-06-31-67 HALIJA, NY JL. MH THAMRIN RT P Baru; X 36 Th 15-Jul-2019 Low back pain; M54.5;
01 GN ELAI
2,361 0-06-37-01 BISMAN PANJAITAN JL. GG SATELIT RT. L Lama; X 58 Th 15-Jul-2019 Cerebral infarction,; I63.9;
TN 18/51 B TENGAH
2,362 0-06-44-96 ANDI SRI JL. NH THAMRIN RT. P Baru; X 29 Th 15-Jul-2019 Periodontal disease,; K05.6;
SUKMAWATI NY 25/ BTG BARU
2,363 0-06-44-96 ANDI SRI JL. NH THAMRIN RT. P X 29 Th 15-Jul-2019
SUKMAWATI NY 25/ BTG BARU
2,364 0-06-50-94 ENI WAHYUNI NY JL KOL 10 RT 8/138 P X 27 Th 15-Jul-2019
GN ELAI

20/Sep/2019 131
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,365 0-06-56-11 ACHMAD TADDAGA JL BANDENG L Lama; X 63 Th 15-Jul-2019 Cutaneous abscess, f; L02;
TN RT.23/32 TJ LAUT
2,366 0-06-58-78 AHMAD DEFAN P AN JL. P SURYANATA L X 6 Th 15-Jul-2019
RT. 12/ BTG BARU
2,367 0-06-71-97 FARID KOMUL TN H JL. HABIBON RT 32 L Lama; X 64 Th 15-Jul-2019 Essential (primary) ; I10;
TANJUNG LAUT
2,368 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L X 33 Th 15-Jul-2019
14/ B PANTAI
2,369 0-06-85-05 AMIR RAHMAN TN JL. S SAHRIR RT 05 L Lama; X 52 Th 15-Jul-2019 Non-insulin-dependen; E11;
TJ LAUT I
2,370 0-06-85-95 SUMIRAN, TN JL. PIRUS RAYA RT L X 59 Th 15-Jul-2019
54 NO 12 BERBAS
TENGAH
2,371 0-06-91-41 M GAZALI PALA TN JL AWANG LONG L Lama; X 59 Th 15-Jul-2019 Non-insulin-dependen; E11;
ASDIM RT 20 NO 42
BTG BARU
2,372 0-07-02-21 SRI WAHYUNI JL. SERULING RT 21 P Baru; X 38 Th 15-Jul-2019 Urinary tract infect; N39.0;
MUHLIS NY BTG BARU
2,373 0-07-08-17 HANIF BIN MUSTAFA, JL. MH TAMRIN RT L Baru; X 7 Th 15-Jul-2019 Acute pharyngitis; J02;
AN 03/40 BTG BARU
2,374 0-07-10-58 IRABI NY JL. KS TUBUN RT. / P X 46 Th 15-Jul-2019
TJ LAUT INDAH
2,375 0-07-13-30 YULI MARIYANI NY JL HOP II RT 17 NO P Lama; X 38 Th 15-Jul-2019 Asthma; J45; Dirawat
11 SATIMPO
2,376 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Lama; X 18 Th 15-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT
2,377 0-07-22-08 M FADHEL HIBRIZI AN JL. J SUDIRMAN RT L X 14 Th 15-Jul-2019
10 NO 29 TJ LAUT
2,378 0-07-31-24 JULINAR TIO JL. SEMARANG RT P Baru; X 39 Th 15-Jul-2019 Connective and other; D21.9;
MARLINANG NY 29 NO 66 BLOK A GN
TELIHAN
2,379 0-07-34-16 KASIAMI BIN MISMAN JL RUBY RT 16 B P Lama; X 59 Th 15-Jul-2019 Connective and other; D21.9;
NY PANTAI
2,380 0-07-42-94 SARBOWO BIN JL. HABIBON GG L Lama; X 53 Th 15-Jul-2019 Non-insulin-dependen; E11;
SARLAN TN IKAN EMAS IV RT
06/87 TJ LAUT I
2,381 0-07-44-03 ARDAMSYAH BIN JL. MALUKU RT 16 L X 27 Th 15-Jul-2019
ASIRA, TN NO 15 API API
2,382 0-07-45-50 RERY DWIANTI L, AN JL. MT HARYONO RT P X 9 Th 15-Jul-2019
29 API API
2,383 0-07-46-51 SUWARTI SUJIANTO JL. B KATAMSO RT P Lama; X 49 Th 15-Jul-2019 Essential (primary) ; I10;
NY 16 GN ELAI

20/Sep/2019 132
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,384 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 15-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
2,385 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Lama; X 30 Th 15-Jul-2019 Calculus of kidney a; N20;
NY RT 12 MARANGKAYU
2,386 0-07-66-17 NUR ENDANG NY JL. BUNAKEN RT 19 P Lama; X 39 Th 15-Jul-2019 Connective and other; D21.9;
B PANTAI
2,387 0-07-77-97 GRECIA PUTRI Y AN JL KERIKIL 4 RT 13 P Lama; X 4 Th 15-Jul-2019 Connective and other; D21.9;
BTG KUALA
2,388 0-07-81-20 NURLINDA NY JL. CUMI-CUMI RT. P X 33 Th 15-Jul-2019
01/- KEL. TJ LAUT
INDAH
2,389 0-07-86-43 KIANO JOSE JL HM ARDAN GG L Lama; X 6 Th 15-Jul-2019 Asthma; J45; Dirawat
ALEXANDER AN ARDAN 6 RT 22
SATIMPO
2,390 0-07-86-84 ILHAM YAHYA TN JL S SYAHRIR GG L Lama; X 39 Th 15-Jul-2019 Otitis media, unspec; H66.9;
IKAN MAS RT 18/30
TJ LAUT INDAH
2,391 0-07-89-23 HAGAI ZWINGLY JL. PATIMURA RT. L Baru; X 4 Th 15-Jul-2019 Gastroenteritis and ; K52.0;
RAJA S, AN 42/ B TENGAH
2,392 0-07-89-23 HAGAI ZWINGLY JL. PATIMURA RT. L X 4 Th 15-Jul-2019
RAJA S, AN 42/ B TENGAH
2,393 0-07-92-89 JIARNO BIN HARTO JL KS TUBUN RT 8 L Baru; X 47 Th 15-Jul-2019 Cellulitis of finger; L03.0;
TN BTG KUALA
2,394 0-07-99-42 CAHYO KURNIAWAN JL. POLO AIR 2 RT L X 30 Th 15-Jul-2019
TN 35/50 API-API
2,395 0-08-08-53 AJENG SELVIRA NN JL. KAPAL SELAM 1 P Baru; Lama; X 19 Th 15-Jul-2019 Viral infection, uns; Fever, B34.9;R
RT 19 LOKTUAN unspecified;
2,396 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 15-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
2,397 0-08-15-08 SUKRYA NY JL. M ROOM RT 03 B P Lama; X 36 Th 15-Jul-2019 Non-insulin-dependen; E11;
LESTARI
2,398 0-08-16-64 NURDIANA HJ NY JL. S BANGKA 3 RT P Lama; X 54 Th 15-Jul-2019 Non-insulin-dependen; E11;
37/58 TJ LAUT
2,399 0-08-18-68 ANGGUN KIRANA K, JL KALIMANTAN RT P X 7 Th 15-Jul-2019
AN 18 BLOK H NO 4 API
API
2,400 0-08-23-67 SULIKA SAPRANI, NY JL. SELAT BALI RT P Baru; Baru; X 59 Th 15-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
07 NO 21 TANJUNG unspecified;
LAUT
2,401 0-08-47-17 RISNAWATI BINTI JL JENDRAL P X 23 Th 15-Jul-2019
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
2,402 0-08-47-93 ERIS NOVIA AN JL. GG INTAN 2 RT L Lama; X 4 Th 15-Jul-2019 Fever, unspecified; R50.9;
22

20/Sep/2019 133
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,403 0-08-52-37 M FIRDAUS AL IDRUS, JL SELAT BONE RT L X 3 Th 15-Jul-2019


AN 17 NO 13 TJ LAUT
2,404 0-08-57-15 M GHAFIR AN JL. VETERAN RT 60 L Baru; X 3 Th 15-Jul-2019 Epilepsy; G40;
BERBAS TENGAH
2,405 0-08-69-24 DWI NOVITA NY JL. AWANG LONG P Baru; X 37 Th 15-Jul-2019 Supervision of norma; Z34;
RT 06/3 BTG BARU
2,406 0-08-75-68 FAIQAH ABIDAH JL. WR SUPRATMAN P X 4 Th 15-Jul-2019
AZZAHRA AN RT 27 TJ LAUT
2,407 0-08-84-32 M REFAN AFANDI AN JL. MH TAMRIN RT L X 3 Th 15-Jul-2019
02 GN ELAI
2,408 0-08-91-27 ANI BINTI NY JL PATIMURA RT 27/ P X 31 Th 15-Jul-2019
GG ATLETIK 3 API
API
2,409 0-09-03-59 AQILA AZZAHRA, AN JL. ZAMRUD 23 RT P X 2 Th 15-Jul-2019
52 NO 28 B TENGAH
2,410 0-09-08-47 MASKUDIN BIN JL PELABUHAN RT L Lama; X 31 Th 15-Jul-2019 Chronic hepatitis, u; K73.9;
HASAN TN 12 TJ LAUT INDAH
2,411 0-09-15-21 M ARFATHAN JL. GENDANG RT 23 P X 2 Th 15-Jul-2019
KHALFANI, AN NO 75 BONTANG
BARU
2,412 0-09-37-37 UMI KALSUM NY JL. PERUM GRIYA P Baru; X 48 Th 15-Jul-2019 Diarrhoea and gastro; A09; Dirawat
WISATA BLOK J NO
27 BTG KUALA
2,413 0-09-42-33 RUDI SUHARTONO, JL. PC VI NO. 131C L X 46 Th 15-Jul-2019
TN SATIMPO
2,414 0-09-42-66 IRWAN SANTUS JL AP L X 22 Th 15-Jul-2019
PANJAITAN TN MANGKUNEGORO
RT 3 B TENGAH
2,415 0-09-44-25 SAI BIN TN JL TENIS RT 39/ GG L X 81 Th 15-Jul-2019
AL WIDY BTG BARU
2,416 0-09-63-05 RAIS BIN TN JL WR SUPRATMAN L X 47 Th 15-Jul-2019
RT 16/43 B PANTAI
2,417 0-09-74-00 YUMNA FARIHA , AN JL SULTAN P X 1 Th 15-Jul-2019
SYAHRIER RT, 06 TJ
LAUT INDAH
2,418 0-09-87-22 TAUFIK H. LATIEF TN JL. UNTUNG L X 61 Th 15-Jul-2019
SUROPATI NO 50 RT
20 TJ. LAUT
2,419 0-09-93-50 M ILHAM , AN JL. PATIMURA GG L Baru; X 17 Th 15-Jul-2019 Diarrhoea and gastro; A09; Dirawat
ATLETIK 26 RT 14/96
API-API
2,420 0-09-94-42 ANDI RIWAYANTO, JL. ZAMRUD RT 45 L Baru; X 31 Th 15-Jul-2019 Fracture of lower le; S82;
TN NO 15 BERBAS
TENGAH

20/Sep/2019 134
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,421 0-09-97-37 HAFIDZ ALGHAZALI JL KS TUBUN RT 15 L X 3 Th 15-Jul-2019


AN BTG KUALA
2,422 0-10-07-00 SURIANI BINTI NY JL. SAWO II RT 34 P X 55 Th 15-Jul-2019
TJG LAUT
2,423 0-10-11-45 NABILAH KHAIRIYAH , JL PELABUHAN 2 RT P Baru; Baru; X 1 Th 15-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
AN 35/ TJ LAUT INDAH unspecified;
2,424 0-10-15-09 M GIBRAN ALFAIZ AN JL PELABUHAN I GG L Baru; Baru; X 2 Th 15-Jul-2019 Diarrhoea and gastro; Acute A09;J02. Dirawat
DUYUNG RT 31/07 TJ Lama; pharyngitis, u; Fever, unspecified;
LAUT INDAH
2,425 0-10-15-61 HARYANTI , NY jl. pencak silat rt 12 P Baru; X 30 Th 15-Jul-2019 Other surgical follo; Z48;
api-api
2,426 0-10-27-38 SULASTRI NY JL KS TUBUN RT P Lama; X 47 Th 15-Jul-2019 Pulpitis; K04.0;
32/20 GG BERSAMA
API API
2,427 0-10-34-05 WAHYUNI NY JL JEND SUDIRMAN P X 30 Th 15-Jul-2019
RT 23/52 TJ LAUT
2,428 0-10-34-72 ADITYA ATHAFARIZ JL. ASRUD BLOK J L Lama; X 2 Th 15-Jul-2019 Acute suppurative ot; H66.0;
W , AN NO 6 GN ELAI
2,429 0-10-36-91 SRI SUDARNITI , NY JL. MULAWARMAN P X 45 Th 15-Jul-2019
GG ARUMBIA 1 RT
10 BTG BARU
2,430 0-10-37-53 M SADAR, TN JL. POROS BTG SM L Lama; X 39 Th 15-Jul-2019 Chronic hepatitis, u; K73.9;
KM 21 DANAU
REDANG RT, 01
SANTAN
2,431 0-10-62-85 FISKA NOR ABTIYA JL LUMBA LUMBA 2 P X 12 Th 15-Jul-2019
PUTRI AN RT 27 NO 109 TJ
LAUT INDAH
2,432 0-10-63-32 SYAHRINA HIMA , AN JL. DIPONEGORO RT P Baru; X 2 Th 15-Jul-2019 Diarrhoea and gastro; A09; Dirawat
16 B PANTAI
2,433 0-10-63-64 ANDI ATI NAFSIAH, JL. BARONANG RT P Lama; X 63 Th 15-Jul-2019 Anaemia due to enzym; D55;
NY 13TANJUNG LAUT
2,434 0-10-68-48 DHINAH BINTI JL. MARANGKAYU P Baru; X 28 Th 15-Jul-2019 Supervision of norma; Z34;
SAHRUDI , NY ILIR RT 27/- DESA
SEBUNTAL
2,435 0-10-68-74 KAMILA ALIFA JL. SANGATTA GPL P X 16 Th 15-Jul-2019
ARDANA , SDR MUNTHE H 373
2,436 0-10-69-89 RATNAWATY BINTI JL AWANG LONG RT P Lama; X 46 Th 15-Jul-2019 Non-insulin-dependen; E11;
NANANG NY 07/88 BTG BARU
2,437 0-10-77-55 LEA WIDOWATI S NN. JL. DANAU TOBA P Baru; Baru; X 28 Th 15-Jul-2019 Dyspepsia; Disorder of urinary ; K30;N39 Dirawat
HOP 3 NO 1
KOMP.PT. BADAK

20/Sep/2019 135
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,438 0-10-79-97 M IQBAL AN JL SAMRATULANGI L X 1 Th 15-Jul-2019
RT 19/ TJ LAUT
INDAH
2,439 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P Baru; X 49 Th 15-Jul-2019 Chronic pansinusitis; J32.4;
DUSSA NY TANJUNG LAUT
2,440 0-10-91-30 KIRANA SYAHBANI P JL. PARIKESIT RT 07 P Baru; X 8 Th 15-Jul-2019 Asthma; J45; Dirawat
W AN NO 38 BONTANG
BARU
2,441 0-10-94-47 NUR AZMI MAULIDYA JL. TARI GENTAR RT P X 4 Th 15-Jul-2019
AN. 09 KEL. GUNTUNG
2,442 0-10-95-55 KOMIARTI BINTI , NY JL. R SUPRAPTO GG P Lama; X 54 Th 15-Jul-2019 Non-insulin-dependen; E11;
ALPUKAT RT 16/- B
BARU
2,443 0-10-95-84 RUSMAN SEMMAILA JL SELAT BONE RT L Lama; X 55 Th 15-Jul-2019 Unilateral or unspec; K40.3;
TN 09
2,444 0-10-96-30 NURLINA BIN DG JL TANJUNG BATU P Lama; X 45 Th 15-Jul-2019 Chronic pansinusitis; J32.4;
MALANRE NY RT 6 SEMANGKO
MARANG KAYU
2,445 0-10-96-93 NUR PADILLAH NY JL PELABUHAN 3 RT P Baru; X 26 Th 15-Jul-2019 Supervision of norma; Z34;
14 TJ LAUT INDAH
2,446 0-10-97-97 HARMA K , NY JL. SUTOYO GG P Baru; X 45 Th 15-Jul-2019 Other specified head; G44.8;
TUNAS KARYA RT
49/- B TENGAH
2,447 0-11-02-94 JUMRIANA NY JL.WR SUPRATMAN P Lama; X 45 Th 15-Jul-2019 Non-insulin-dependen; E11;
RT 027 TJ.LAUT
2,448 0-11-04-63 ABDUL RASYID, TN JL. SULTAN AGUNG L Baru; X 71 Th 15-Jul-2019 Anaemia due to enzym; D55;
RT, 07 BERBAS
PANTAI
2,449 0-11-04-63 ABDUL RASYID, TN JL. SULTAN AGUNG L X 71 Th 15-Jul-2019
RT, 07 BERBAS
PANTAI
2,450 0-11-05-94 KRISTINA LEBANG , JL. ZAMRUD RT. 47 P Baru; X 56 Th 15-Jul-2019 Fever, unspecified; R50.9;
NY BERBAS TENGAH
2,451 0-11-06-65 ABDUL MUIS TN JL. SANTAN ILIR RT L X 44 Th 15-Jul-2019
02 M.KAYU
2,452 0-11-10-59 M FAQIH AL GASSAN JL. MH TAMRIN RT L X 8b 15-Jul-2019
AN 03 GN ELAI
2,453 0-11-11-37 MURNIATI BINTI JL. HARUAN RT 20/- P Lama; X 42 Th 15-Jul-2019 Epilepsy; G40;
SYAMSUL NY TJ LAUT
2,454 0-11-13-87 FITRIANI BINTI MAHI JL LETJEN URIP P X 25 Th 15-Jul-2019
NY SUMOHARJO RT 12
BTG LESTARI
2,455 0-11-19-16 AINUN JARIAH NY JL DI PANJAITAN RT P X 59 Th 15-Jul-2019
12/47 BTG BARU

20/Sep/2019 136
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,456 0-11-21-88 SUMIATI BINTI JL SELAT BALI RT 07 P Lama; X 65 Th 15-Jul-2019 Non-insulin-dependen; E11;
SUJIMAN NY TJ LAUT
2,457 0-11-21-89 IVA KHALIFAH HAKIM JL SUNGAI KAPUR P X 43 Th 15-Jul-2019
NY NO 91 HOP IV GN
ELAI
2,458 0-11-23-04 M DENIS JL. KAPAL PINISI RT L Baru; X 7 Th 15-Jul-2019 Acute suppurative ot; H66.0;
HERYANSYAH, AN 48 NO 65 LOKTUAN
2,459 0-11-23-43 NIRWAN BIN YAHYA , JL. S SAHRIR GG L Lama; X 46 Th 15-Jul-2019 Injury of nerves and; S34;
TN BETE-BETE RT02 TJ
LAUT I
2,460 0-11-25-78 HASNI, NY JL. DS P Baru; X 51 Th 15-Jul-2019 Non-insulin-dependen; E11;
SUKARAHMAT RT,
03 TLK PANDAN
2,461 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 15-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
2,462 0-11-28-81 ENI KUSRINI NY JL R SUPRAPTO GG P Lama; X 29 Th 15-Jul-2019 Cholesteatoma of mid; H71;
AMALIYAH RT 23 API
API
2,463 0-11-33-90 SYAMSAM BIN JL A YANI RT 08/34 P X 45 Th 15-Jul-2019
SANUSI, HJ NY API API
2,464 0-11-34-00 TUBIYANTO JL. S HASANUDDIN L Lama; X 61 Th 15-Jul-2019 Non-insulin-dependen; E11;
TUGIMAN, TN RT 30/- B TENGAH
2,465 0-11-34-51 IQBAL BIN B , TN JL. PATIMURA GG L Baru; X 38 Th 15-Jul-2019 Chronic hepatitis, u; K73.9;
ATLETIK 16 NO 175
API-API
2,466 0-11-38-21 SUNARMI, NY JL. SULTAN P Lama; X 54 Th 15-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT 04
BERBAS PANTAI
2,467 0-11-40-11 KASMIA BIN ARIS NY JL DG PARANI RT 3 P Baru; X 20 Th 15-Jul-2019 Supervision of norma; Z34;
SEMANGKO
MARANG KAYU
2,468 0-11-42-75 MASNA BINTI JL KENANGAN RT 29 P Baru; X 59 Th 15-Jul-2019 Non-insulin-dependen; E11;
TOHAMIT NY TJ LAUT
2,469 0-11-43-26 CHICI AISYA JL MASJID NURUL P X 5b 15-Jul-2019
HAFIZAHRA, AN MUTTAQIN GG
SEROJA RT 37/32
LOKTUA
2,470 0-11-44-06 NURISYA BINTI RAMLI JL SELAT P X 15 Th 15-Jul-2019
AN MAKASSAR 2 RT
24/20 TJ LAUT
2,471 0-11-46-70 UMI YULIANA NY JL RE P Lama; X 30 Th 15-Jul-2019 Female infertility; N97;
MARTADINATA
LOKTUAN

20/Sep/2019 137
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,472 0-11-46-96 KARLINA NY JL PUPUK RAYA P Lama; X 56 Th 15-Jul-2019 Essential (primary) ; I10;
PERUM PBS
CEMARA III 3/1A
BELIMBANG
2,473 0-11-48-11 M GUBRAN P, AN JL. PULAU GUSUNG L X 4 Th 15-Jul-2019
RT, 03 GUNTUNG
2,474 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 15-Jul-2019 Benign neoplasm of b; D24;
RT 28 BONTANG
BARU
2,475 0-11-50-03 YULI ASTUTI NY JL. PC 6 NO 131 C PT P X 41 Th 15-Jul-2019
BADAK SATIMPO
2,476 0-11-51-25 RASMA BINTI EDO NY JL. SATYA LENCANA P Lama; X 37 Th 15-Jul-2019 Other chronic suppur; H66.3;
RT. 14 BONTANG
LESTARI
2,477 0-11-51-77 MUSRIFAH NY JL SULTAN P Lama; X 59 Th 15-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT 13
2,478 0-11-52-39 YASMIN ZAKIA, AN JL A YANI GG P Lama; X 10 Th 15-Jul-2019 Chronic tonsillitis; J35.0;
TAEKWONDO 1 RT
9/82 API API
2,479 0-11-52-83 GUSDIANA NY JL KS TUBUN GG P Baru; X 22 Th 15-Jul-2019 Supervision of norma; Z34;
ARWANA 1
2,480 0-11-58-61 KHARISMA PUTRI, AN JL.KAPAL LAYAR P Baru; X 18 Th 15-Jul-2019 Epilepsy, unspecifie; G40.9;
RT.22 KELURAHAN
LOKTUAN
2,481 0-11-63-22 BAHARIA BINTI JL. SUTAN SYAHRIR P Lama; X 48 Th 15-Jul-2019 Other disorders of u; N39;
LAMAPA NY GG DAMAI TJ LAUT
2,482 0-11-76-93 ARKAN BIN SENIMAN JL SELAT BONE RT L Baru; X 51 Th 15-Jul-2019 Dyspepsia; K30;
TN 16 TJ LAUT
2,483 0-11-77-88 MIKAYLA ASYIFATU A JL.R SUPRAPTO P X 3 Th 15-Jul-2019
AN
2,484 0-11-78-15 RUSMAWATI BINTI JL. BINA KARYA II P Baru; X 23 Th 15-Jul-2019 Pulpitis; K04.0;
NY KEC MUARA BADAK
2,485 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L Lama; X 63 Th 15-Jul-2019 Cellulitis of finger; L03.0;
1/15 GN ELAI
2,486 0-11-84-64 KARMILA SARI AN JL DUSUN HANDIL 2 P X 10 Th 15-Jul-2019
RT 07 SANTAN
TENGAH
2,487 0-11-87-09 INDRA DAMAYANTI JL HANDIL 3 SANTAN P Baru; X 22 Th 15-Jul-2019 Female infertility; N97;
NY TENGAH
2,488 0-11-88-17 ARDIYANSYAH TN JL CUT NYAK DIEN L Baru; X 44 Th 15-Jul-2019 Dyspepsia; K30; Dirawat
GG AKUSTIK 1 API
API
2,489 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Baru; X 53 Th 15-Jul-2019 Cutaneous abscess, f; L02;
MARANGKAYU

20/Sep/2019 138
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,490 0-11-93-90 SURYADI BIN JL BATU BARA RT L Lama; X 28 Th 15-Jul-2019 Connective and other; D21.9;
SUNARKO TN 19/03 BONTANG
LESTARI
2,491 0-11-94-34 M NURI , TN JL. WR SUPRATMAN L Lama; X 56 Th 15-Jul-2019 Cerebral infarction,; I63.9;
RT 26/27 B TENGAH
2,492 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P Lama; X 53 Th 15-Jul-2019 Other intervertebral; M51;
14/33 B TENGAH
2,493 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P X 53 Th 15-Jul-2019
14/33 B TENGAH
2,494 0-11-95-71 ANGKASA ARSYA JL. R SUPRAPTO RT L X 27 Hr 15-Jul-2019
NEGARA AN 14/37 BTG BARU
2,495 0-11-96-01 NUR HAJIJAH BY NY JL. SLAMET RIYADI P X 26 Hr 15-Jul-2019
RT 48/7 KEL. LOK
TUAN
2,496 0-11-98-54 ABDUL RASYID, TN JL. KS TUGUN TJ. L Lama; X 44 Th 15-Jul-2019 Connective and other; D21.9;
LAUT
2,497 0-11-99-39 SOMMENG TN JL. DESA TELUK L Lama; X 70 Th 15-Jul-2019 Connective and other; D21.9;
PANDAN RT 07/-
TELUK PANDAN
2,498 0-12-00-73 NADYA RISDAYANTI, JL PELABUHAN 1 RT P Lama; X 22 Th 15-Jul-2019 Benign neoplasm of b; D24;
NN 10/11 TJ LAUT INDAH
2,499 0-12-01-09 M SULAIMAN, TN JL. B KATAMSO RT L X 34 Th 15-Jul-2019
15/- GN ELAI
2,500 0-12-01-33 IMAM ROKHIM TN JL. RA KARYINI RT L X 52 Th 15-Jul-2019
23 TJ LIMAU
2,501 0-12-01-60 M NOOR JL PANGANDARAN L X 70 Th 15-Jul-2019
SUMAKKARA TN RT 13/148 BERBAS
PANTAI
2,502 0-12-01-73 HAJIRAH BINTI JL SANTAN TENGAH P Lama; X 50 Th 15-Jul-2019 Dyspepsia; K30;
DAENG M NY HANDIL DUA RT 008
MARANGKAYU
2,503 0-12-01-78 ANDI PUTRA AN JL RE L X 3 Th 15-Jul-2019
MARTADINATA RT 4
LOKTUAN
2,504 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P Lama; X 20 Th 15-Jul-2019 Benign neoplasm of b; D24;
SARI NN ARWANA I RT 17/64
TJ LAUT I
2,505 0-12-02-41 MAKSUM BIN TN JL SULTAN L Baru; X 57 Th 15-Jul-2019 Essential (primary) ; I10; Dirawat
HASANUDDIN RT
01/07 B PANTAI
2,506 0-12-02-58 RAFARDANA GIBRAN JL SERULING RT 21 L X 1 Th 15-Jul-2019
AL F AN BONTANG BARU
2,507 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P Lama; X 31 Th 15-Jul-2019 Connective and other; D21.9;
HUSAIN NY RT 2 SANTAN ILIR

20/Sep/2019 139
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,508 0-12-03-32 SASKA IBNU AL JL PARIKESIT RT 7 / L X 7 Th 15-Jul-2019


KHAFI AN 22 BONTANG BARU
2,509 0-12-03-51 MUHAMMAD HUSEIN JL SELAT BONE RT L Baru; X 14 Th 15-Jul-2019 Other chronic suppur; H66.3;
S H AN 18 TJ LAUT
2,510 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Lama; X 34 Th 15-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
2,511 0-12-03-96 IFAN HARIYANTO TN JL MH THAMRIN RT L Lama; X 30 Th 15-Jul-2019 Connective and other; D21.9;
02/12 GN ELAI
2,512 0-12-04-35 EZRA SHELYN R AN JL. A P P X 13 Th 15-Jul-2019
MANGKUNEGORO
GG MUTIARA 4 NO
23 RT 05
2,513 0-12-04-43 DEVITASARI , SDR JL. PELABUHAN 3 RT P Lama; X 16 Th 15-Jul-2019 Dental caries; K02;
14/- TJ LAUT INDAH
2,514 0-12-04-83 DARMIN BINTI JL SUTAN SYAHRIR P Lama; X 58 Th 15-Jul-2019 Other and unspecifie; S29;
MUSTAKIM NY RT 17 TJ LAUT
INDAH
2,515 0-12-05-43 M RAFIF AQMAR AN JL BELANAK RT L X 8b 15-Jul-2019
21/13 TJ LAUT INDAH
2,516 0-12-05-44 M FARJA TULLA AN JL IKAN TUNA RT L X 1 Th 15-Jul-2019
11/- TJ LAUT INDAH
2,517 0-12-05-58 HIDAYATULLAH TN JL. BRIGJEN H L X 29 Th 15-Jul-2019
HASAN NO 33
2,518 0-12-05-59 SERDHAN ADIKA,AN JL.PELABUHAN L Lama; X 6 Th 15-Jul-2019 Fever, unspecified; R50.9; Dirawat
GG.IKAN TUBA
RT.11/- T.LAUT
INDAH
2,519 0-12-05-60 DIAN MAYASARI, NY JL. SELAT BONE RT P X 32 Th 15-Jul-2019
17 TANJUNG LAUT
2,520 0-12-05-77 IMRO ATUL JL DI PANJAITAN RT P X 22 Th 15-Jul-2019
MASUDAH NY 12/49
2,521 0-12-05-78 HASMAWATI BY NY JL MH THAMRIN RT P X 0 Hr 15-Jul-2019
26 BTG BARU
2,522 0-12-05-79 SRI WAHYUNI NY JL OTISTA RT 25/123 P Baru; X 25 Th 15-Jul-2019 Diarrhoea and gastro; A09; Dirawat
TJ LIMAU
2,523 0-12-05-80 HAMNAH SAFITRI NY JL SENDAWAR RT P X 41 Th 15-Jul-2019
19 BONTANG BARU
2,524 0-12-05-81 LIKA DEWI PUJI NY JL. MENTE RT 42/ 24 P Baru; X 43 Th 15-Jul-2019 Necrosis of pulp; K04.1;
2,525 0-12-05-82 MANSUR TN JL LUMBA LUMBA RT L Baru; Baru; X 34 Th 15-Jul-2019 Acute upper respirat; Dyspepsia; J06.9;K3 Dirawat
27 TANJUNG LAUT
INDAH

20/Sep/2019 140
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,526 0-12-05-83 AFIQA ARDINA Z, AN JL. A YANI NO 11 P Baru; X 2 Th 15-Jul-2019 Nausea and vomiting; R11; Dirawat
API-API B. UTARA
2,527 0-12-05-84 YUNI FITRIAH NY JL. A YANI NO 70 RT P Baru; X 33 Th 15-Jul-2019 Postpartum care and ; Z39;
11
2,528 0-12-05-85 LISA BINTI JL. SELAT MAKASAR P Baru; X 20 Th 15-Jul-2019 Supervision of norma; Z34;
RIDWANSYAH NY RT 25
2,529 0-12-05-86 TITIK DWI LESTARI JL MULAWARMAN P Baru; X 47 Th 15-Jul-2019 Dyspepsia; K30;
NY RT 27 BONTANG
BARU
2,530 0-12-05-87 FEBRIANTI NY JL H M ARDANS GG P Baru; X 21 Th 15-Jul-2019 Supervision of norma; Z34;
MENTE 1 RT 4
TANJUNG LAUT
2,531 0-12-05-88 ABRISAM WAHID AN JL IR H JUANDA GG L Baru; X 1b 15-Jul-2019 Neonatal jaundice fr; P59.8;
NILA RT 28
TANJUNG LAUT
INDAH
2,532 0-12-05-89 SULIYAH NY JL. PC 6/131 C PT P X 64 Th 15-Jul-2019
BADAK
2,533 0-12-05-90 NURSINAH NY JL KS TUBUN RT 16 P Baru; X 75 Th 15-Jul-2019 Chest pain, unspecif; R07.4;
BENUA ILIR
2,534 0-12-05-91 HARMINI, NY JL. LINMAS RT 07 P Baru; X 29 Th 15-Jul-2019 Supervision of norma; Z34;
BONTANG LESTARI
2,535 0-12-05-92 ALIFA INARA A AN JL. DI PANJAITAN RT P X 14 Hr 15-Jul-2019
12 BTG BARU
2,536 0-12-05-93 SUGIANUR TN JL DEWI SARTIKA L Baru; X 40 Th 15-Jul-2019 Acute gingivitis; K05.0;
PERUM SERATON
RT 8/ 72 BTG BARU
2,537 0-12-05-94 IMRON LAMARU TN JL. ZAMRUDT 19 RT L Baru; X 53 Th 15-Jul-2019 Connective and other; D21.9;
62/16 BERBAS
TENGAH
2,538 0-12-05-95 NURHASANA, NY JL. IR H. JUANDA 66 P Baru; X 26 Th 15-Jul-2019 Impacted teeth; K01.1;
ANGGREK 1 RT 57
2,539 0-12-05-96 M. ZAKI JAMAL, AN JL. DS MAKARTI L X 12 Th 15-Jul-2019
KEC. MARANGKAYU
2,540 0-12-05-97 AGUS ARIANTO, SDR JL. SELAT SELAYAR L X 22 Th 15-Jul-2019
RT. 12 NO 31, B.
SELATAN
2,541 0-12-05-98 MANAKING, TN JL. MARINA 3 RT 20 L Lama; X 63 Th 15-Jul-2019 Cerebral infarction,; I63.9;
B. PANTAI
2,542 0-12-05-99 SUDARMIN, TN JL. ZAMRUD RT 053 L X 45 Th 15-Jul-2019
BONTANG SELATAN
2,543 0-12-05-99 SUDARMIN, TN JL. ZAMRUD RT 053 L Baru; X 45 Th 15-Jul-2019 Otitis media, unspec; H66.9;
BONTANG SELATAN

20/Sep/2019 141
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,544 0-12-06-00 SURIANTI NY JL SULTAN P Baru; X 35 Th 15-Jul-2019 Gynaecological exami; Z01.4;
HASANUDDIN RT 4
BERBAS PANTAI
2,545 0-12-06-01 SARI APRILIA, AN] JL. INTANG RT 30 P Baru; X 9 Th 15-Jul-2019 Fever, unspecified; R50.9;
BERBAS PAMTAI
2,546 0-12-06-02 TEUKU AFTAR JL. PARAKESIT NO L X 13 Hr 15-Jul-2019
SABENA RIZKI, AN 12 BONTANG UTARA
2,547 0-12-06-03 RAFFASYA AYYAS A JL HANURA 3 RT 35 L X 5b 15-Jul-2019
AN TANJUNG LAUT
2,548 0-12-06-04 SALMIATI BINTI JL INTAN 2 RT 29 P X 29 Th 15-Jul-2019
SANDI NY BERBAS TENGAH
2,549 0-12-06-05 HUTAMI WIJAYANTI, JL. SULTAN P X 22 Th 15-Jul-2019
NN SYAHRIR GANG
BETE-BETE 3 A, TJ.
LAUT
2,550 0-12-06-06 KATENO RAHARJO JL. MT HARYONO RT L X 49 Th 15-Jul-2019
TN 30 NO 17
2,551 0-12-06-07 MUHAMMAD TN JL BUNAKEN RT 19 L Baru; X 31 Th 15-Jul-2019 Calculus of kidney a; N20;
BERBAS PANTAI
2,552 0-12-06-08 AIRA RAMADHANI AN JL SEBUNTAL LAMA P X 9 Th 15-Jul-2019
RT 5 SEMANGKO
MARANGKAYU
2,553 0-12-06-09 NISE DG MAWELLE, JL. DG PARANI RT 03 L Baru; X 66 Th 15-Jul-2019 Cerebral infarction,; I63.9;
TN SEMANGKO
MARANGKAYU
2,554 0-12-06-10 WAWAN SETIAWAN JL DESA SEBUNTAL L Baru; X 31 Th 15-Jul-2019 Dyspepsia; K30;
TN MARANGKAYU
2,555 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L X 57 Th 15-Jul-2019
TN 07 BERBAS PANTAI
2,556 0-12-06-12 ADE SAHPITRI AN JL IKAN TUNA TJ L Baru; X 8 Th 15-Jul-2019 Acute upper respirat; J06.9; Dirawat
LAUT INDAH
2,557 0-12-06-13 HATONIN BIN SAAL JL BERINGIN RT 10 L Baru; X 30 Th 15-Jul-2019 Diarrhoea and gastro; A09; Dirawat
TN
2,558 0-12-06-15 DESTIKA ATHIRA NY JL SELAT MALAKA P X 21 Th 15-Jul-2019
RT 21 TJ LAUT
2,559 0-12-06-17 BINTANG FAUZI JL MH THAMRIN RT 2 L X 6 Th 15-Jul-2019
ADITYA AN BTG BARU
2,560 0-12-06-18 REISHA NADA AL JL P SURYANATA P X 1 Th 15-Jul-2019
NAIRA AN GG PEMULA RT 19
BTG BARU
2,561 0-12-06-19 M SOFYAN RIFAI AN JL MH THAMRIN RT 2 L X 2 Th 15-Jul-2019
GUNUNG ELAI
2,562 0-12-06-20 ZAHRATUL AURA AN JL BATU SAHASA 1 P X 10 Th 15-Jul-2019
RT 20/50 BTG KUALA

20/Sep/2019 142
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,563 0-12-06-20 ZAHRATUL AURA AN JL BATU SAHASA 1 P Baru; X 10 Th 15-Jul-2019 Nausea and vomiting; R11; Dirawat
RT 20/50 BTG KUALA
2,564 0-12-06-21 HASNA T NY JL DSN HANDIL 3 RT P X 58 Th 15-Jul-2019
1 SANTAN TENGAH
2,565 0-12-06-23 DAHLAN MARSUKI TN JL SULTAN SYAHRIR L X 47 Th 15-Jul-2019
GG MAS 1 / 62 RT 6
TJ LAUT INDAH
2,566 0-12-06-24 HAFIDZ RASTI A AN JL CUMI CUMI 3 RT L X 5 Th 15-Jul-2019
01/87 TJ LAUT
INDAH]
2,567 0-12-06-25 LAFATU BIN TANGKA JL DEWATIRRA 2 RT L X 54 Th 15-Jul-2019
TN 35/67 TJ LAUT INDAH
2,568 0-12-06-26 LOMITO BIN TOLU TN JL SELAT ROTE 1 L X 48 Th 15-Jul-2019
GG MANGGA RT
33/BLOK B 1 BUKIT
IND
2,569 0-12-06-27 SAMIWA NOOR AN JL AHMAD YANI RT P X 4b 15-Jul-2019
11/17 API API
2,570 0-00-53-20 KASPIK NY JL. KH A DAHLAN RT. P X 54 Th 16-Jul-2019
25/ BTG BARU
2,571 0-00-89-46 SUTARTO, TN. JL IMAM BONJOL RT L Lama; X 61 Th 16-Jul-2019 Essential (primary) ; I10;
12 GN ELAI
2,572 0-01-14-61 RIDUANSYAH H TN JL. A YANI RT. 06/29 L X 65 Th 16-Jul-2019
API API
2,573 0-01-31-52 KAMSINAH BINTI ILA, JL. AWANG LONG P Baru; X 37 Th 16-Jul-2019 Gynaecological exami; Z01.4;
NY RT 06 BONTANG
BARU
2,574 0-01-52-67 SUMARLI, TN JL. SELAT BONE L Lama; X 48 Th 16-Jul-2019 Essential (primary) ; I10;
RT.19 TJ. LAUT
2,575 0-01-89-17 SENAJI BIN JAYADI JL. KS TUBUN RT 28 L Lama; X 59 Th 16-Jul-2019 Non-insulin-dependen; E11;
TN TANJUNG LAUT
INDAH
2,576 0-01-93-80 ARNA ARAFAH, NY. JL. DIPONEGORO RT P Baru; X 39 Th 16-Jul-2019 Seropositive rheumat; M05;
17 NO 52 BERBAS
PANTAI
2,577 0-02-33-64 SYAFNI HELMI NY JL. WR SUPRATMAN P X 61 Th 16-Jul-2019
RT.39/74 B PANTAI
2,578 0-02-57-93 JAMALUDDIN BIN JL SAMRATULANG L Lama; X 65 Th 16-Jul-2019 Heart failure, unspe; I50.9;
TOHA TN H GG LOHAN RT 15/64
TJ LAUT INDAH
2,579 0-03-20-52 DEA NANDA PUTRI JL MH THAMRIN RT 1 P X 15 Th 16-Jul-2019
AN GN ELAI
2,580 0-03-27-66 ARNOLDUS NOLDI P, JL. MT.HARYONO L X 31 Th 16-Jul-2019
TN RT. 37/ API"

20/Sep/2019 143
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,581 0-03-53-88 SILA BIN SABBARA JL. MH THAMRIN RT L Baru; X 41 Th 16-Jul-2019 Dengue haemorrhagic ; A91;
TN 1 GN ELAI
2,582 0-03-69-05 MELLY PALUMEAN, JL. CENDANA HOP I P Baru; X 37 Th 16-Jul-2019 Intra-abdominal and ; R19.0;
NY. NO 51 SATIMPO
2,583 0-04-01-40 YENY OCTAVIANA, JL. PELABUHAN III P X 28 Th 16-Jul-2019
NY RT 33 TANJUNG
LAUT INDAH
2,584 0-04-12-52 MISBA, NY. JL. PEMATANG RT P Baru; X 45 Th 16-Jul-2019 Gonarthrosis [arthro; M17;
25/16 B. TENGAH
2,585 0-04-65-69 SUNARMI BINTI JL KS TUBUN GG P Baru; X 40 Th 16-Jul-2019 Acute suppurative ot; H66.0;
SUBAKRI NY BASALT RT 15/46
BTG KUALA
2,586 0-05-02-22 RAENAH, HJ NY JL MH THAMRIN RT 2 P X 48 Th 16-Jul-2019
NO 104 GN ELAI
2,587 0-05-47-16 REWANDA DZIHNI F JL. KP TENDEAN RT P X 12 Th 16-Jul-2019
AN 09 NO 24 BONTANG
KUALA
2,588 0-05-69-33 MURGAN TN JL. S HASANUDDIN L X 31 Th 16-Jul-2019
RT, 30 BERBAS
TENGAH
2,589 0-05-89-94 GALANG TORA JL. SELAT KARIMATA L X 9 Th 16-Jul-2019
SUTENO AN RT.23 TJ. LAUT
2,590 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L Baru; X 6 Th 16-Jul-2019 Chronic tonsillitis; J35.0;
A P AN RT 10 NO 24 TJ LAUT
2,591 0-06-04-99 DONI SUGIARTO SDR JL. A YANI RT.12/38 L Baru; X 21 Th 16-Jul-2019 Necrosis of pulp; K04.1;
BTG BARU
2,592 0-06-08-24 NUR INTAN NY JL SELAT ALOR RT P Lama; X 49 Th 16-Jul-2019 Typhoid fever; A01.0;
32/45 TJ LAUT
2,593 0-06-08-36 ISNAWATI NY JL. S SYAHRIR RT.08 P Lama; X 28 Th 16-Jul-2019 Diarrhoea and gastro; A09;
TJ. LAUT INDAH
2,594 0-06-08-40 ISNAIN, TN JL. SELAT SELAYAR L Baru; X 51 Th 16-Jul-2019 Other orthopaedic fo; Z47;
RT 24 TANJUNG
LAUT
2,595 0-06-10-95 NUR HUSNA AN JL. KS TUBUN RT32 P X 14 Th 16-Jul-2019
API API
2,596 0-06-25-79 M RAFI AL BAIHAQI JL. MELAWAI RT 02 L Lama; X 5 Th 16-Jul-2019 Disturbances in toot; K00.6;
AN B PANTAI
2,597 0-06-26-81 KASPAN TN JL. PENCAKSILAT 4 L Baru; X 67 Th 16-Jul-2019 Fracture of upper en; S52.1;
RT 12 API-API
2,598 0-06-27-60 SANTI ROHANI NY JL. MT HARYONO P Baru; X 24 Th 16-Jul-2019 Supervision of norma; Z34;
RT... GN. ELAI
2,599 0-06-28-02 GISMAN NY JL. RE P Lama; X 47 Th 16-Jul-2019 Chronic pansinusitis; J32.4;
MARTHADINATA RT.
28/60 LOKTUAN

20/Sep/2019 144
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,600 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L X 47 Th 16-Jul-2019


HASANUDDIN RT 01
BERBAS PANTAI
2,601 0-06-46-82 YUNI WIDAYANTI, NY JL. MT HARYONO P X 28 Th 16-Jul-2019
RT. 09/ GN ELAI
2,602 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 16-Jul-2019 Connective and other; D21.9;
TJ LAUT INDAH
2,603 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 16-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
2,604 0-06-52-41 RATIKA BINTI NY JL. S KARIMATA P Lama; X 30 Th 16-Jul-2019 Acute suppurative ot; H66.0;
RT.09/40 TJ LAUT
2,605 0-06-58-78 AHMAD DEFAN P AN JL. P SURYANATA L Baru; X 6 Th 16-Jul-2019 Tuberculous peripher; A18.2;
RT. 12/ BTG BARU
2,606 0-07-16-75 JONATHAN MARULI S JL. BALIKPAPAN RT L X 4 Th 16-Jul-2019
AN 13 NO 11 TELIHAN
2,607 0-07-16-75 JONATHAN MARULI S JL. BALIKPAPAN RT L X 4 Th 16-Jul-2019
AN 13 NO 11 TELIHAN
2,608 0-07-23-23 KARMILA NY JL. BATU SAHASA 4 P X 37 Th 16-Jul-2019
RT. 06/03 BTG
KUAL;A
2,609 0-07-27-42 RAFA ALFATIH, AN JL. A YANI 02 API API L X 5 Th 16-Jul-2019
2,610 0-07-59-92 SITI AMINAH, NY JL. IMAM BONJOL RT P X 34 Th 16-Jul-2019
04 API-API
2,611 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Lama; X 50 Th 16-Jul-2019 Acute appendicitis; K35;
AHMADA NY 20/35 B PANTAI
2,612 0-07-68-03 HABIR BIN M AMIN TN JL TENGIRI RT 25 / L Lama; X 49 Th 16-Jul-2019 Non-insulin-dependen; E11;
48 TJ LAUT INDAH
2,613 0-07-79-98 DARMAWATI BIN JL MH THAMRIN RT P Lama; X 34 Th 16-Jul-2019 Acute suppurative ot; H66.0;
LADALI NY 26 BTG BARU
2,614 0-07-85-67 HASMIATI BIN TOLA JL S SYAHRIR RT P Baru; X 32 Th 16-Jul-2019 Calculus of kidney a; N20;
NY 06/17 TJ LAUT INDAH
2,615 0-07-95-11 PUJIANTI TOKENDE, JL SELAT KARIMATA L Baru; X 45 Th 16-Jul-2019 Dyspepsia; K30;
TN RT 9 NO. 30 TJ LAUT
2,616 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Lama; X 27 Th 16-Jul-2019 Acute suppurative ot; H66.0;
INTAP, NY RT 2 TJ LAUT INDAH
2,617 0-08-05-91 KUSDYANTARI BINTI, JL. KS TUBUN RT 29 P X 49 Th 16-Jul-2019
NY TANJUNG LAUT
INDAH
2,618 0-08-14-02 YAYUK SUMIATIN, NY JL. SANTAN ULU RT P X 54 Th 16-Jul-2019
08 MARANGKAYU
2,619 0-08-14-02 YAYUK SUMIATIN, NY JL. SANTAN ULU RT P X 54 Th 16-Jul-2019
08 MARANGKAYU

20/Sep/2019 145
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,620 0-08-23-67 SULIKA SAPRANI, NY JL. SELAT BALI RT P X 59 Th 16-Jul-2019
07 NO 21 TANJUNG
LAUT
2,621 0-08-27-61 SAPPEAMI BIN JL LUMBA LUMBA 2 P X 46 Th 16-Jul-2019
CAREMA, NY RT 27/94 TJ LAUT
INDAH
2,622 0-08-29-26 SARTINI, NY JL. MT HARYONO RT P X 41 Th 16-Jul-2019
29 NO 77 API API
2,623 0-08-41-90 YULIUS BUNG PALIT JL. SAFIR RT. 14 L Baru; X 69 Th 16-Jul-2019 Chronic hepatitis, u; K73.9;
TN BER TGH
2,624 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 16-Jul-2019 Traumatic amputation; S88;
RT 027
2,625 0-08-47-88 USMAN BIN NAHIRA JL PELABUHAN RT L Lama; X 61 Th 16-Jul-2019 Unspecified renal co; N23;
TN 09 NO 15 TJ LAUT
INDAH
2,626 0-08-47-93 ERIS NOVIA AN JL. GG INTAN 2 RT L X 4 Th 16-Jul-2019
22
2,627 0-08-50-49 AGNETA SABRINA JL. S BONE RT 18/34 P Baru; X 14 Th 16-Jul-2019 Necrosis of pulp; K04.1;
AN TJ LAUT
2,628 0-08-66-05 WENI LINGGAR JL. RE. P Baru; X 36 Th 16-Jul-2019 Gynaecological exami; Z01.4;
NINGSIH NY MARTADINATA RT.
03 LOKTUAN
2,629 0-08-87-43 MESSAN BIN IYIK, TN JL A YANI RT 1 NO 24 L Baru; X 70 Th 16-Jul-2019 Asthma, unspecified; J45.9;
API API
2,630 0-08-95-93 MIFTAHUL JANNAH JL. A YANI RT 2/38 P Lama; X 14 Th 16-Jul-2019 Nephrotic syndrome; N04;
AN API-API
2,631 0-08-98-56 KHADIJAH VIOLETZA JL SULTAN P Baru; X 4 Th 16-Jul-2019 Fever, unspecified; R50.9;
U, AN HASANUDDIN RT 56
B TENGAH
2,632 0-09-08-56 RATNA SARI BINTI JL ANYELIR RT 14 P Baru; X 28 Th 16-Jul-2019 Supervision of norma; Z34;
ASHAR NY BLOK C NO 20 BTG
KUALA
2,633 0-09-15-86 SAMIUN, TN JL. TONGKOL RT 26 L Baru; X 59 Th 16-Jul-2019 Cutaneous abscess, f; L02;
TANJUNG LAUT
2,634 0-09-26-87 SULASTRI RIYADI NY JL BELANAK RT 21 P Baru; X 60 Th 16-Jul-2019 Abdominal and pelvic; R10;
TJ LAUT INDAH
2,635 0-09-30-92 NOFIA APRIANI NN JL GN SARI RT / TJ P X 20 Th 16-Jul-2019
LAUT
2,636 0-09-32-84 SARINAH BINTI JL OTISTA RT 2632 P Baru; X 36 Th 16-Jul-2019 Postpartum care and ; Z39;
SYAHRIR NY BTG BARU
2,637 0-09-33-96 RAHMATUL PADILAH JL A YANI GG L X 10 Th 16-Jul-2019
AN ANGGAR 1 RT 2 NO
3 API API

20/Sep/2019 146
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,638 0-09-49-51 ABDUL HAFIZH JL. AP L Baru; X 5 Th 16-Jul-2019 Nausea and vomiting; R11;
ALFARIZI AN MANGKUNEGORO
GG. MUTIARA 4 NO 9
B TENGAH
2,639 0-09-49-51 ABDUL HAFIZH JL. AP L X 5 Th 16-Jul-2019
ALFARIZI AN MANGKUNEGORO
GG. MUTIARA 4 NO 9
B TENGAH
2,640 0-09-58-87 AGATHO RUMENGAN JL. ZAMRUD 4 RT L X 38 Th 16-Jul-2019
, TN 23/3 B TGH
2,641 0-09-68-44 OSI YOSANIA AUSAR JL WR SUPRATMAN P X 23 Th 16-Jul-2019
NY RT 59 B TENGAH
2,642 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L Lama; X 33 Th 16-Jul-2019 Cutaneous abscess, f; L02;
NANANG TN 10 BTG KUALA
2,643 0-09-78-76 IDA SUSILOWATI NY JL SELAT SELAYAR P Baru; X 38 Th 16-Jul-2019 Supervision of norma; Z34;
RT 13/06 TJ LAUT
2,644 0-09-79-14 SULTHAN AHYAN W, JL ZAMRUD 3 RT 45 L Baru; X 1 Th 16-Jul-2019 Tuberculous peripher; A18.2;
AN NO 21 B TENGAH
2,645 0-09-82-16 DINDA MEI SARAH AN JL MENTE RT 24 NO P X 18 Th 16-Jul-2019
6 SATIMPO
2,646 0-09-88-42 RIA SASY KIRANA JL PANAHAN RT23 P X 30 Th 16-Jul-2019
DEWI NY NO 96 API API
2,647 0-09-90-03 KASMAWATI BINTI JL PELABUHAN GG P X 43 Th 16-Jul-2019
TEIPE NY DUYUNG 2 TJ LAUT
INDAH
2,648 0-09-91-97 PUTRI AISYAH , AN JL. ZAMRUT 7 RT P Baru; X 1 Th 16-Jul-2019 Chronic nasopharyngi; J31.1;
46/7 KEL. BERBAS
TENGAH
2,649 0-09-96-30 SHAKIRA OKTAVIA JL IR H JUANDA EXT P X 1 Th 16-Jul-2019
HANIEF AN S ALOR RT 32 TJ
LAUT
2,650 0-10-03-63 HALMIATI BINTI JL. PRAMUKA 2 P Baru; X 27 Th 16-Jul-2019 Impacted teeth; K01.1;
SUDDING NY BALTIM RT 02/ BTG
LESTARI
2,651 0-10-13-93 SITI JUBAIDAH, NY JL. GENDANG RT 22 P X 30 Th 16-Jul-2019
BONTANG BARU
2,652 0-10-21-59 MARDINA BINTI JL SELAT SELAYAR P Lama; X 60 Th 16-Jul-2019 Tuberculosis of lung; A15.0;
SUBUH NY RT 12/37 TJ LAUT
2,653 0-10-21-92 ALIFUDDIN BIN SIALI JL. ZAMRUT 19 RT 62 L X 55 Th 16-Jul-2019
TN BERBAS TENGAH
2,654 0-10-28-23 JAENUDDIN TN JL S HASANUDDIN L Lama; X 40 Th 16-Jul-2019 Otitis media, unspec; H66.9;
GG OBSIADIAN RT
27 NO 25 B TENGAH

20/Sep/2019 147
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,655 0-10-28-23 JAENUDDIN TN JL S HASANUDDIN L X 40 Th 16-Jul-2019
GG OBSIADIAN RT
27 NO 25 B TENGAH
2,656 0-10-28-90 ASHILAH DZATIL JL TONGKOL RT 26 P Baru; X 4 Th 16-Jul-2019 Fever, unspecified; R50.9;
IZZAH AN NO 36 TJ LAUT
INDAH
2,657 0-10-29-84 BINTI PUTIKAH NY JL PALEMBANG RT P Lama; X 38 Th 16-Jul-2019 Gynaecological exami; Z01.4;
16/ GN TELIHAN
2,658 0-10-31-11 YUSUF RAFAH JL. BATU SAHASA L Baru; X 1 Th 16-Jul-2019 Noninfective gastroe; K52.9;
SETIAWAN , AN RT 02/17 BTG KUALA
2,659 0-10-35-66 M RENDRA ALFATIH , JL. PATIMURA RT L Baru; X 1 Th 16-Jul-2019 Fever, unspecified; R50.9;
AN 14/49 API-API
2,660 0-10-37-53 M SADAR, TN JL. POROS BTG SM L Lama; X 39 Th 16-Jul-2019 Fracture of upper en; S52.0;
KM 21 DANAU
REDANG RT, 01
SANTAN
2,661 0-10-39-60 ARIANI WIDYA UTAMI JL. P TANDEAN RT P X 27 Th 16-Jul-2019
, NY 19 GG GRANIT 3
BTG BARU
2,662 0-10-42-58 DEVIE SAGITA PUTRI JL TARI GONG RT 16 P X 21 Th 16-Jul-2019
A NY NO 77 GUNTUNG
2,663 0-10-47-95 INDO ESA NY JL PELABUHAN 3 RT P X 65 Th 16-Jul-2019
12 TJ LAUT INDAH
2,664 0-10-52-09 ANUGRAWATI NY JL KAPAL PINISI 2 RT P Baru; X 36 Th 16-Jul-2019 Supervision of norma; Z34;
045 LOKTUAN
2,665 0-10-61-26 REHANDIKA ADE JL ZAMRUD 10 RT 48 L X 1 Th 16-Jul-2019
SPUTRA AN B TENGAH
2,666 0-10-71-61 AHMAD IZZAN ANAQI, JL. KP TENDEAN RT L Baru; X 7b 16-Jul-2019 Chronic nasopharyngi; J31.1;
AN 07 NO 20 BONTANG
KUALA
2,667 0-10-82-00 SURIYANTO, TN JL. P SURYANATA L X 48 Th 16-Jul-2019
RT, 19 BTG BARU
2,668 0-10-96-47 SITI AISYAH, NY JL. S HASANUDDIN P X 35 Th 16-Jul-2019
RT 30/24 B TENGAH
2,669 0-10-96-80 HARDIANTI NY JL POROS BTG SGT P Lama; X 24 Th 16-Jul-2019 Cholesteatoma of mid; H71;
RT 14/ T PANDAN
2,670 0-11-02-21 ABD RAHMAN TN JL BELANAK RT 32/ L Lama; X 78 Th 16-Jul-2019 Dyspepsia; K30;
TJ LAUT INDAH
2,671 0-11-03-42 ABD HAMID TN JL SOEKARNO L Lama; X 51 Th 16-Jul-2019 Dyspepsia; K30;
HATTA RT 26/30 TJ
LAUT
2,672 0-11-05-23 LINA NY JL. MELAWAI RT 015 P Baru; X 50 Th 16-Jul-2019 Non-insulin-dependen; E11;
B.PANTAI

20/Sep/2019 148
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,673 0-11-06-65 ABDUL MUIS TN JL. SANTAN ILIR RT L Baru; X 44 Th 16-Jul-2019 Chronic hepatitis, u; K73.9;
02 M.KAYU
2,674 0-11-07-66 NURI YUSMAR K, NY JL. GOTONG P Baru; X 37 Th 16-Jul-2019 Systemic lupus eryth; M32;
ROYONG RT, 49
BELIMBING
2,675 0-11-08-34 USMAN , TN JL. S ALOR I NO 22 L Baru; X 61 Th 16-Jul-2019 Thyrotoxicosis [hype; E05;
TJ LAUT
2,676 0-11-12-95 AYU DWI CAHYA S, JL. ATAKA PC 5/81 P Lama; X 23 Th 16-Jul-2019 Dental caries; K02;
NN RT 08 SATIMPO
KOMP PTB
2,677 0-11-19-16 AINUN JARIAH NY JL DI PANJAITAN RT P X 59 Th 16-Jul-2019
12/47 BTG BARU
2,678 0-11-34-04 JUWITA BIN HARJO, JL. ZAMRUD RT 43/- L Lama; X 55 Th 16-Jul-2019 Non-insulin-dependen; E11;
TN B TENGAH
2,679 0-11-36-28 ALWI BIN ABD MAJID JL NELAYAN RT 6 L Lama; X 30 Th 16-Jul-2019 Tuberculosis of lung; A15.0;
TN SEMANGKO
MARANG KAYU
2,680 0-11-36-28 ALWI BIN ABD MAJID JL NELAYAN RT 6 L X 30 Th 16-Jul-2019
TN SEMANGKO
MARANG KAYU
2,681 0-11-40-03 MARDYAH ZULHANI JL KENANGAN RT 29 P Lama; X 17 Th 16-Jul-2019 Hirschsprung's disea; Q43.1;
AN TJ LAUT
2,682 0-11-41-26 SYAHRUL BIN SYAIR , JL. ZAMRUD RT 49 B L Baru; X 33 Th 16-Jul-2019 Connective and other; D21.9;
TN TGH
2,683 0-11-41-86 HARISA NUR, NY JL. WR SUPRATMAN P Baru; X 59 Th 16-Jul-2019 Ascites; R18;
RT 27/- TJ LAUT
2,684 0-11-45-97 NURLINA MUSTAFA JL MT HARYONO RT P X 41 Th 16-Jul-2019
NY 28 NO 2 API API
2,685 0-11-47-52 ASMIA BIN ASDAR NY JL KENANGAN RT 28 P Lama; X 37 Th 16-Jul-2019 Otitis externa; H60;
NO 60 TJ LAUT
2,686 0-11-49-90 PUSPITA SARI NY JL RE P X 25 Th 16-Jul-2019
MARTADINATA RT
28 / 1 LOKTUAN
2,687 0-11-50-14 ELMINA RODIANA NN JL. TAEKWONDO P Lama; X 22 Th 16-Jul-2019 Chronic pansinusitis; J32.4;
RT.10 NO 35 API API
2,688 0-11-50-75 AFITRIANI NY JL. MH TAMRIN RT. P Baru; X 18 Th 16-Jul-2019 Postpartum care and ; Z39;
26 BONTANG UTARA
2,689 0-11-54-05 SELVIANA EKASARI S JL MULAWARMAN P Baru; X 27 Th 16-Jul-2019 Benign lipomatous ne; D17.9;
NN NO 12 RT 27
BONTANG BARU
2,690 0-11-57-30 CINTA ISYANATIA AN JL MH THAMRIN RT P X 9 Th 16-Jul-2019
22
2,691 0-11-58-38 M RAFA AZKA A, AN JL. SANTAN ILIR RT L X 1 Th 16-Jul-2019
02 MARANGKAYU

20/Sep/2019 149
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,692 0-11-65-61 INTIFAAH BIN JL WR SUPRATMAN P X 37 Th 16-Jul-2019


MASFUAD NY RT 27 TANJUNG
LAUT
2,693 0-11-67-21 M YUSUF, TN JL. AWANG LONG L Baru; X 41 Th 16-Jul-2019 Tuberculosis of lung; A15.0;
RT 06 BONTANG
BARU
2,694 0-11-67-91 ALIFURRAHMAN JL MT HARYONO NO L X 1 Th 16-Jul-2019
AFRIORI AN 1 RT 07 KEL.
GUNUNG ELAI
2,695 0-11-69-71 NAUFAL MIRZA A AN JL MAWAR RT 36/107 L Baru; X 8 Th 16-Jul-2019 Personal history of ; Z91.1;
BUKIT INDAH
2,696 0-11-86-15 DEWI ULANDARI NY JL SELAT ALOR 1 RT P Lama; X 30 Th 16-Jul-2019 Dyspepsia; K30;
32 TANJUNG LAUT
2,697 0-11-87-25 BAHRUN, TN JL. ZAMRUT RT 50 L Lama; X 61 Th 16-Jul-2019 Hyperplasia of prost; N40;
NO 11 BERBAS
TENGAH
2,698 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 16-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
2,699 0-11-93-87 ZUHDI HARIANTO TN JL HARUAN GG L Lama; X 45 Th 16-Jul-2019 Non-insulin-dependen; E11;
PIRANHA RT20 TJ
LAUT INDAH
2,700 0-11-95-82 ROSMIATI BIN JL CARITA RT 11 P Lama; X 35 Th 16-Jul-2019 Non-insulin-dependen; E11;
HADISE NY BERBAS PANTAI
2,701 0-11-98-06 SAMAUDDIN BIN TN JL MH THAMRIN RT L Lama; X 59 Th 16-Jul-2019 Non-insulin-dependen; E11;
04/- GN ELAI
2,702 0-11-99-85 ARFAN HAQIQI TN JL MESS PAMA 2000 L Baru; X 23 Th 16-Jul-2019 Necrosis of pulp; K04.1;
2,703 0-12-00-49 AINUN EWA NN JL BRIGJEN P Lama; X 20 Th 16-Jul-2019 Chronic pansinusitis; J32.4;
KATAMSO RT 16/28
GUNUNG ELAI
2,704 0-12-00-64 SITTI BINTI LAHABE JL SULTAN SYAHRIR P Lama; X 47 Th 16-Jul-2019 Anaemia due to enzym; D55;
NY GGBAWIS 1 RT 07/-
KEL. TJ LAUT
2,705 0-12-00-96 NUR ISALAH BY NY JL. ZAMRUD RT 45 P Baru; X 14 Hr 16-Jul-2019 Unspecified jaundice; R17;
NO 35 BERBAS
TENGAH
2,706 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Lama; X 48 Th 16-Jul-2019 Inguinal hernia; K40;
TN NO 2 B TENGAH
2,707 0-12-01-36 AHMAD RINALDI, TN JL. PELABUHAN RT L Lama; X 23 Th 16-Jul-2019 Necrosis of pulp; K04.1;
14/- TJ LAUT
2,708 0-12-01-52 SERGIO RAMOS JL SELAT BONE RT L X 2 Th 16-Jul-2019
MUTAQQI AN 18/29 TJ LAUT INDAH
2,709 0-12-02-32 JUNEDE BIN MADE JL HJ SRAILAH RT 4 L Baru; X 38 Th 16-Jul-2019 Fever of unknown ori; R50;
AMIN TN
20/Sep/2019 150
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,710 0-12-02-99 FAUZI BIN M NUR JL ANGGREK 2 RT L Lama; X 17 Th 16-Jul-2019 Fracture of clavicle; S42.0;
SAPPE AN 37/62 TJ LAUT
2,711 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L Lama; X 50 Th 16-Jul-2019 Connective and other; D21.9;
YUSUP TN 09 TJ LAUT INDAH
2,712 0-12-03-21 M RESSA TN JL MARANGKATU 1 L Baru; X 64 Th 16-Jul-2019 Acute pharyngitis; J02;
DESA SEBUNTAL
2,713 0-12-03-57 LILIK KHOIRIYAH NY JL SLAMET RIYADI P X 27 Th 16-Jul-2019
GG KAPAL PESIAR
RT 50 LOKTUAN
2,714 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Lama; X 29 Th 16-Jul-2019 Inguinal hernia; K40;
RT 39 BERBAS
TENGAH
2,715 0-12-04-46 MURA BINTI JALANG JL SIMPANG P Baru; X 63 Th 16-Jul-2019 Dyspepsia; K30;
NY SANGATTA
2,716 0-12-04-49 AZIZAH RAMADHANI, JL. GG PERMATA RT P Baru; X 11 Th 16-Jul-2019 Paralytic ileus; K56.0;
AN /- TJ LAUT
2,717 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L Baru; X 42 Th 16-Jul-2019 Cutaneous abscess, f; L02;
API API
2,718 0-12-05-16 MUZAKKIR BIN TN JL. POROS BTG-SMD L Baru; X 51 Th 16-Jul-2019 Tuberculosis of lung; A15.0;
KM 33 RT 28/- DESA
SEBUNTAL
2,719 0-12-05-19 SYAMSUL ANWAR, JL. PARIKESIT RT 05 L X 41 Th 16-Jul-2019
TN NO 07 BONTANG
BARU
2,720 0-12-05-68 ARIO PAMUNGKAS JL KS TUBUN GG L X 28 Th 16-Jul-2019
BAYU TN VULKANIK II RT 8/4
KEL. API-API
2,721 0-12-05-74 NASIR BIN SAYUTI TN JL AHMAD YANI GG L X 34 Th 16-Jul-2019
RAWA INDAH RT
09/39 API API
2,722 0-12-05-80 HAMNAH SAFITRI NY JL SENDAWAR RT P X 41 Th 16-Jul-2019
19 BONTANG BARU
2,723 0-12-06-01 SARI APRILIA, AN] JL. INTANG RT 30 P X 9 Th 16-Jul-2019
BERBAS PAMTAI
2,724 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L X 57 Th 16-Jul-2019
TN 07 BERBAS PANTAI
2,725 0-12-06-14 NINA RISMAYANTI, JL. MH THAMIN RT 3 P X 32 Th 16-Jul-2019
NY NO 03 GN ELAI
2,726 0-12-06-16 NINIK ATIKA DEWI,NN JL. SULTAN P X 20 Th 16-Jul-2019
HASANUDDIN RT 30
NO 20 BERBAS
TENGAH

20/Sep/2019 151
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,727 0-12-06-22 AKBAR SATRIA JL. KARIMATA RT 36 L X 3 Th 16-Jul-2019
KHATULISTIWA, AN NO 08 BTN KCY API
API
2,728 0-12-06-28 AGUS TRI JL SELAT MALAKA P X 29 Th 16-Jul-2019
SYURYANTI NY GG GOTONG
ROYONG RT 54/6 B
TENGAH
2,729 0-12-06-29 HISYAM AT TAQQY J; R SUPRATMAN L X 1 Th 16-Jul-2019
AN GG AMALIA RT 23/86
API API
2,730 0-12-06-30 NABILA AZZAHRA P JL SELANCAR 07 RT P X 3 Th 16-Jul-2019
AN 29/- API API
2,731 0-12-06-31 PURNAMA WATI NY JL GUNUNG RINJANI P Baru; X 44 Th 16-Jul-2019 Chronic pansinusitis; J32.4;
NO 8 BSD GUNUNG
ELAI
2,732 0-12-06-32 ANGGORO AGUNG MESS CAMP 2000 L Baru; X 31 Th 16-Jul-2019 Pulpitis; K04.0;
NUGROHO, SDR PAMA
2,733 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L Baru; X 7 Th 16-Jul-2019 Polyp of middle ear; H74.4;
AN RT 09 BONTANG
LESTARI
2,734 0-12-06-34 RIDO ALFAJRI, TN JL. DR. WAHIDIN L Baru; X 30 Th 16-Jul-2019 Necrosis of pulp; K04.1;
SUDIRO H GG 3 NO
12 SAMARINDA
2,735 0-12-06-35 AISYAH SILMI AFIFAH JL. P TANDEAN 4 RT P X 3b 16-Jul-2019
, AN 05/29 BTG KUALA
2,736 0-12-06-36 RIZAL SAPUTRA SDR JL SUTAN SYAHRIR L Baru; X 24 Th 16-Jul-2019 Connective and other; D21.9;
GG BAWIS 1 RT 7/70
TJ LAUT INDAH
2,737 0-12-06-37 ARIE AKBAR SDR JL ULIN PC 6C NO L X 23 Th 16-Jul-2019
01A RT 009 KOMP
BADAK BTG
SELATAN
2,738 0-12-06-38 AISYAH SAFITRI R, JL. SULTAN P X 10 Th 16-Jul-2019
AN SYAHRIER RT, 007
TJ LAUT INDAH
2,739 0-12-06-39 ANDI FARIDA NY JL P DIPONEGORO P Baru; X 47 Th 16-Jul-2019 Necrosis of pulp; K04.1;
RT 17 LOKTUAN
2,740 0-12-06-40 KURNIADI SDR JL ZAMRUD GG L Baru; X 21 Th 16-Jul-2019 Human immunodeficien; B20;
ZAMRUD 10 RT 48
BEREBAS TENGAH
2,741 0-12-06-40 KURNIADI SDR JL ZAMRUD GG L X 21 Th 16-Jul-2019
ZAMRUD 10 RT 48
BEREBAS TENGAH
2,742 0-12-06-41 LUSE, TN SANTAN ILIR L Baru; X 73 Th 16-Jul-2019 Chronic obstructive ; J44.1;
MARANGKAYU
20/Sep/2019 152
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,743 0-12-06-42 NUR ASIAH NY JL SUTAN SYAHRIR P Baru; X 35 Th 16-Jul-2019 Other disorders of b; N64;
RT 3 TANJUNG LAUT
INDAH
2,744 0-12-06-43 RIDWAN BIN M ALI JL PANGANDARAN 2 L Baru; X 24 Th 16-Jul-2019 Connective and other; D21.9;
SDR RT 13/203 B PANTAI
2,745 0-12-06-45 YOLAN YULIANA, NN JL. KARTINI NO 23 P X 21 Th 16-Jul-2019
RT 19
TENGGARONG
2,746 0-12-06-46 FITRI ANDIRYANI NY JL. IR H JUANDA RT P Baru; X 20 Th 16-Jul-2019 General examination ; Z00;
06
2,747 0-12-06-47 ANTON MOA TN JL S HATTA GG L Baru; X 59 Th 16-Jul-2019 Unspecified renal co; N23;
BAJAWA RT 26
2,748 0-12-06-48 HASLINDA BIN JL A YANI GG P X 22 Th 16-Jul-2019
AHMAD NY TAEKWONDO RT
11/- API API
2,749 0-12-06-49 SOYANTO DANGGUR K; KAPT L X 19 Th 16-Jul-2019
SDR PIERETENDEAN RT
18
2,750 0-12-06-50 HERY BIN MULYADI JL PIANO 8 RT 2/54 L Baru; X 37 Th 16-Jul-2019 Acute upper respirat; J06.9;
TN BTG BARU
2,751 0-12-06-51 M ZIDAN YUDHISTIRA JL. KAPAL SELAM 3 L Baru; X 1 Th 16-Jul-2019 Tuberculous peripher; A18.2;
AN NO 85 RT 16
2,752 0-12-06-52 NUAFAL MEIRAY TN JL GAJAH MADA RT L X 20 Th 16-Jul-2019
10 / 14
2,753 0-12-06-53 NAFISYA ZAHRA A AN JL MELAWAI GG P Baru; X 5b 16-Jul-2019 Chronic nasopharyngi; J31.1;
MARINA 3 RT 20 B
PANTAI
2,754 0-12-06-54 FAJAR SETIAWAN JL KP TENDEAN RT L X 18 Th 16-Jul-2019
SDR 14/C-22 BTG KUALA
2,755 0-12-06-55 AKRAM ZAYDAN JL RE L X 0 Hr 16-Jul-2019
ALFARIZQY AN MARTADINATA RT
28/1 LOKTUAN
2,756 0-12-06-56 SURYANTO BIN SDR JL KAPT PIERE L X 19 Th 16-Jul-2019
TENDEAN RT 1
BONTANG KUALA
2,757 0-12-06-57 WIDAYANTI BIN SADE JL IKAN TUNA RT P X 18 Th 16-Jul-2019
NY 11/5 TJ LAUT INDAH
2,758 0-12-06-58 INTIFAAH NY BY JL WR SUPRATMAN P X 0 Hr 16-Jul-2019
RT 27 TJ LAUT
2,759 0-00-00-00 HAISAH,NN JL. ANTASARI NO P X 28 Th 17-Jul-2019
103 B PANTAI
2,760 0-00-18-85 DELFIE CRISTIANI, JL. PISANGAN II RT. P Baru; X 15 Th 17-Jul-2019 Impacted cerumen; H61.2;
AN 20/24 GN ELAI

20/Sep/2019 153
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,761 0-00-21-77 DEWI ASTRIA A , NY. JL. SUNGAI P X 39 Th 17-Jul-2019


MAHAKAM HOP 4 NO
117 RT 10 GN ELAI
2,762 0-00-31-57 SUNARTI, NY JL. GG SEPAKAT RT P Baru; X 53 Th 17-Jul-2019 Non-insulin-dependen; E11;
12 NO 14 API API
2,763 0-00-32-21 MURNITIATI, NY. JL KELADI RT 4/80 P Baru; X 64 Th 17-Jul-2019 Dental caries; K02;
GN ELAI
2,764 0-00-57-86 EKO PURWITO JL. LET JEND L X 53 Th 17-Jul-2019
SANTOSO TN SUPRAPTO RT 24
NO 27 API API
2,765 0-01-16-80 ROSTATI BIN MIDI NY JL. CUT NYAK DIEN P Baru; X 39 Th 17-Jul-2019 Supervision of norma; Z34;
RT 08 NO 23
BONTANG BARU
2,766 0-01-56-56 JURIANA SIHOTANG JL SAFIR RT 48/17 P X 49 Th 17-Jul-2019
NY BERBAS TENGAH
2,767 0-02-23-37 MULYANA BIN HAMID JL ULIN HOP 1 NO 35 L Baru; X 39 Th 17-Jul-2019 Fever, unspecified; R50.9;
TN PT BADAK SATIMPO
2,768 0-03-39-41 NOVITA SIANTURI, JL. ALEXANDER RT P Baru; X 26 Th 17-Jul-2019 Urinary tract infect; N39.0;
NN. 11/31 B TENGAH
2,769 0-03-64-20 SURYASADI H, TN JL. KS. TUBUN RT. L Lama; X 62 Th 17-Jul-2019 Non-insulin-dependen; E11;
32/56 GG.BERSAMA
API API
2,770 0-03-73-63 M FARHAN AN JL KENANGAN RT 28 L Lama; X 10 Th 17-Jul-2019 Chronic tonsillitis; J35.0;
NO 32 TJ LAUT
2,771 0-03-89-58 KAMARIAH, NY JL.KP TENDEAN RT P X 34 Th 17-Jul-2019
11 NO 6 BTG KUALA
2,772 0-05-27-37 IHLIS JL. MT HARYONO RT P Baru; X 9 Th 17-Jul-2019 Chronic tonsillitis; J35.0;
TAQIYYAHARIBAH S 28 NO 47 API API
AN
2,773 0-05-72-69 SUJONO BIN KROMO JL. KOL RT.08/67 GN. L Baru; X 61 Th 17-Jul-2019 Essential (primary) ; I10;
TN ELAI
2,774 0-05-87-41 PRADITYA JL. KARIMATA RT.34 L X 8 Th 17-Jul-2019
KURNIAWAN AN TJ. LAUT
2,775 0-05-90-39 FIQHI THABITHA JL KOL 9 RT 9 GN P Baru; X 19 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
ANWAR NN ELAI
2,776 0-05-96-71 SAKKA BIN LANGAWI, JL. SULTAN L Baru; X 64 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
TN HASANUDDIN RT 31
BERBAS TENGAH
2,777 0-05-99-69 HASTITIN NY JL. MULAWARMAN P Baru; X 43 Th 17-Jul-2019 Gynaecological exami; Z01.4;
RT9/29 BTG BARU
2,778 0-06-13-89 YUSRA BINTI BORA JL MH THAMRIN RT P X 35 Th 17-Jul-2019
NY 26 BONTANG BARU

20/Sep/2019 154
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,779 0-06-16-22 KASWIJI, TN JL TENGGIRI RT 24 L Lama; X 68 Th 17-Jul-2019 Non-insulin-dependen; E11;
NO 25 TANJUNG
LAUT INDAH
2,780 0-06-18-36 NURWINDA JL SELAT ALAS RT 8 P X 28 Th 17-Jul-2019
HAYATININGRUM NY TJ LAUT
2,781 0-06-27-99 M KAKA AL BUKHORI JL. JEND SUDIRMAN L Baru; X 13 Th 17-Jul-2019 Cutaneous abscess, f; L02;
AN RT. 26/37 TJ. LAUT
2,782 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L X 47 Th 17-Jul-2019
HASANUDDIN RT 01
BERBAS PANTAI
2,783 0-06-40-52 ZAHRA ANNISA JL PELABUHAN RT 9 P Baru; X 5 Th 17-Jul-2019 Acute upper respirat; J06.9;
ZULKIFLI AN TJ LAUT INDAH
2,784 0-06-42-71 SURYANI JL. A LONG RT.11 P Baru; X 53 Th 17-Jul-2019 Acute suppurative ot; H66.0;
SIMANJUNTAK NY BTG BARU
2,785 0-06-43-59 DESIANA AGUSTIN, JL. MT HARYONO RT P Baru; X 28 Th 17-Jul-2019 Acute upper respirat; J06.9;
NY 29 API API
2,786 0-06-49-26 RAULINA HUTAGAUL, JL. ZAMRUT I RT 42 P Lama; X 57 Th 17-Jul-2019 Non-insulin-dependen; E11;
NY NO 03 BERBAS
TENGAH
2,787 0-06-60-21 FITRIYANI BIN JL KAPAL LAYAR 5 P Lama; X 30 Th 17-Jul-2019 Supervision of norma; Z34;
MAHMUDIN NY RT 21 NO 22
LOKTUAN
2,788 0-06-63-95 YUNA HAIRINISA AN JL KS TUBUN RT.32 P Baru; X 6 Th 17-Jul-2019 Dengue haemorrhagic ; A91;
API API
2,789 0-06-74-74 KASMAWATI BIN AB JL S BONE RT.18 TJ P Lama; X 29 Th 17-Jul-2019 Supervision of norma; Z34;
TALIB NY LAUT
2,790 0-06-82-18 HERLINDA JL NIAS RT.19 BLOK P X 49 Th 17-Jul-2019
AGUSTIAWATI NY HH NO API API
2,791 0-06-90-58 DIAN PERMATA SARI JL MH TAMRIN RT 16 P Lama; X 31 Th 17-Jul-2019 Supervision of norma; Z34;
NY NO 60 BTG BARU
2,792 0-07-04-10 MARGUNADI D TN JL. DEWI SARTIKA L Lama; X 67 Th 17-Jul-2019 Non-insulin-dependen; E11;
NO 21 RT 08 BTG
BARU
2,793 0-07-04-10 MARGUNADI D TN JL. DEWI SARTIKA L X 67 Th 17-Jul-2019
NO 21 RT 08 BTG
BARU
2,794 0-07-14-50 EDY UTORO TN JL. PATIMURA L X 48 Th 17-Jul-2019
ATLETIK 17 RT 33/34
API-API
2,795 0-07-22-08 M FADHEL HIBRIZI AN JL. J SUDIRMAN RT L Baru; X 14 Th 17-Jul-2019 Acute upper respirat; J06.9;
10 NO 29 TJ LAUT
2,796 0-07-23-99 HUSNA BINTI SALEBA JL KAMPUNG P Baru; X 39 Th 17-Jul-2019 Gynaecological exami; Z01.4;
NY MANDAR RT 21
LOKTUAN

20/Sep/2019 155
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,797 0-07-31-92 M FHIERZA BIN JL. A YANI RT 11 API L X 4 Th 17-Jul-2019


JELALI. AN API
2,798 0-07-41-83 SUMETY ADINDA JL MENTE RT 24 NO P X 39 Th 17-Jul-2019
SARI, NY 28 SATIMPO
2,799 0-07-55-28 KIRNO JAENAL, TN JL. SELAT BALI RT 7 L Baru; X 35 Th 17-Jul-2019 Unspecified renal co; N23;
NO 10 TANJUNG
LAUT
2,800 0-07-59-92 SITI AMINAH, NY JL. IMAM BONJOL RT P Baru; X 34 Th 17-Jul-2019 Pulpitis; K04.0;
04 API-API
2,801 0-07-59-92 SITI AMINAH, NY JL. IMAM BONJOL RT P X 34 Th 17-Jul-2019
04 API-API
2,802 0-07-71-95 DINASTIWI KURNIATI JL. NURUL MUTAQIM P Lama; X 48 Th 17-Jul-2019 Non-insulin-dependen; E11;
NY RT. 37/37 LOKTUAN
2,803 0-07-92-89 JIARNO BIN HARTO JL KS TUBUN RT 8 L Baru; X 47 Th 17-Jul-2019 Cellulitis, unspecif; L03.9;
TN BTG KUALA
2,804 0-07-97-35 NAUFAL M ALDARI JL SUNGAI SERAYU L X 5 Th 17-Jul-2019
WADIA, AN RT 24 NO. 58 GN
ELAI
2,805 0-08-04-37 SINIA, NY JL TIPALAYO RT 36 B P Lama; X 62 Th 17-Jul-2019 Non-insulin-dependen; E11;
TENGAH
2,806 0-08-06-21 SISWO AKWAN TN JL. KAPAL PINISI RT. L Lama; X 56 Th 17-Jul-2019 Non-insulin-dependen; E11;
37 LOKTUAN
2,807 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 17-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
2,808 0-08-12-19 RAKA AJI PUTRA AN JL. S BONE RT. 18 L Baru; X 4 Th 17-Jul-2019 Pulpitis; K04.0;
NO. 38 TJ LAUT
2,809 0-08-12-70 AGUS BIN TN JL MH TAMRIN RT 21 L X 47 Th 17-Jul-2019
BTG BARU
2,810 0-08-17-01 M RAFARDHAN JL. A YANI RT 01 API L X 3 Th 17-Jul-2019
ATHALLAH AN API
2,811 0-08-18-08 ANTO TN JL. S BALI RT 07 TJ L X 49 Th 17-Jul-2019
LAUT
2,812 0-08-18-68 ANGGUN KIRANA K, JL KALIMANTAN RT P X 7 Th 17-Jul-2019
AN 18 BLOK H NO 4 API
API
2,813 0-08-26-42 I GUSTI NGURAH P K JL DEWI SARTIKA L X 56 Th 17-Jul-2019
TN RT 09 / 12 A BTG
BARU
2,814 0-08-46-59 ADE KHAERUMAN TN JL CUT NYAK DIEN L X 34 Th 17-Jul-2019
RT 13/ SALEBA BTG
KUALA
2,815 0-08-60-07 STEVEN PALIT, TN JL SAFIR RT 20 NO L Baru; X 32 Th 17-Jul-2019 Urinary calculus, un; N20.9;
14 B TENGAH

20/Sep/2019 156
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,816 0-08-72-69 DINI ISLAMI NY JL ZAMRUD RT 47/ B P Baru; X 25 Th 17-Jul-2019 Blighted ovum and no; O02.0;
TENGAH
2,817 0-08-75-68 FAIQAH ABIDAH JL. WR SUPRATMAN P Baru; X 4 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
AZZAHRA AN RT 27 TJ LAUT
2,818 0-08-75-76 DIDI BIN LADADA, JL. PATIMURA RT 33 L Baru; X 20 Th 17-Jul-2019 Periodontal disease,; K05.6;
SDR API-API
2,819 0-08-88-07 HERLINA BINTI JL KENANGAN RT 30 P X 22 Th 17-Jul-2019
HERMAN, NY TJ LAUT
2,820 0-08-96-56 JONATHAN A JL KERIKIL 7 RT 13 L X 2 Th 17-Jul-2019
MANURUNG AN BTG KUALA
2,821 0-09-08-71 DEFHANDRA KEENAN JL KAPAL SELAM RT L X 2 Th 17-Jul-2019
A AN 17 NO 02 LOKTUAN
2,822 0-09-12-15 FAKDAL SUSANDI TN JL SELAT GASPOR 1 L Baru; X 30 Th 17-Jul-2019 Varicose veins of ot; I86;
RT 34 TJ LAUT
2,823 0-09-12-51 RUSTAM BIN NASIR JL KENANGAN RT 28 L X 32 Th 17-Jul-2019
TN TJ LAUT
2,824 0-09-18-69 KHAIRIYAH, NY JL. PANGANDARAN P X 30 Th 17-Jul-2019
RT 12 BERBAS
PANTAI
2,825 0-09-26-27 ALFI SYAHRIN, AN JL.PALEMBANG RT L X 10 Th 17-Jul-2019
16 TELIHAN
2,826 0-09-32-25 ADHIMATUL JL. PATIMURA RT 27/ P Baru; X 14 Th 17-Jul-2019 Dyspepsia; K30;
KHOIRIYAH AN API-API
2,827 0-09-39-19 SUGIRAH BINTI JL. ANGKLUNG RT. P Lama; X 57 Th 17-Jul-2019 Non-insulin-dependen; E11;
WIRYO, NY 06 BTG BARU
2,828 0-09-40-70 MARZUKI BIN LAHAJJI JL SELAT LOMBOK L X 56 Th 17-Jul-2019
TN RT 04
2,829 0-09-46-28 SITI AMINAH NY JL BANDENG RT 22 P Lama; X 56 Th 17-Jul-2019 Non-insulin-dependen; E11;
NO 23 TJ LAUT
INDAH
2,830 0-09-60-84 JIHAN MIFTAHUL JL. MT HARYONO RT L X 2 Th 17-Jul-2019
JANNAH AN 29 NO 58 API API
2,831 0-09-67-37 PUTRI REZKY AZHARI JL JEND SUDIRMAN P Baru; X 17 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
,SDR RT 26/ TJ LAUT
2,832 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P Baru; X 24 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
GG ARUMBIA 1 RT
27 BTG BARU
2,833 0-09-79-66 SUTARMI BINTI JL BRIGJEN P Lama; X 49 Th 17-Jul-2019 Non-insulin-dependen; E11;
SUTAR NY KATAMSO RT 43 NO
6 BELIMBING
2,834 0-09-82-16 DINDA MEI SARAH AN JL MENTE RT 24 NO P X 18 Th 17-Jul-2019
6 SATIMPO

20/Sep/2019 157
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,835 0-09-84-35 ANWAR B, TN JL. KOL RT, 09 L X 44 Th 17-Jul-2019
GUNUNG ELAI
2,836 0-09-85-16 MARKUS BURA, TN JL. SAWO I RT 34 NO L Baru; X 60 Th 17-Jul-2019 Acute suppurative ot; H66.0;
15 TANJUNG LAUT
2,837 0-09-85-94 AHMAD LUKMAN, TN JL. SAWI RT 44 NO L X 61 Th 17-Jul-2019
13 GN ELAI
2,838 0-09-89-94 JUNIOR DAVEEN S JL. PIERE TENDEAN L Baru; X 9 Th 17-Jul-2019 Chronic tonsillitis; J35.0;
AN RT 19 B. KUALA
2,839 0-09-93-14 NILA ANGREYANI, NY JL. DESA SEBUNTAL P Baru; X 18 Th 17-Jul-2019 Dengue fever [classi; A90;
RT, 02
MARANGKAYU
2,840 0-10-04-52 HENRIK S. TN JL. ZAMRUD GG. L X 42 Th 17-Jul-2019
ZAMRUD 11 RT.49 B.
TENGAH
2,841 0-10-04-72 AYU NABILA PUTRI JL. R SOEPRAPTO P Lama; X 22 Th 17-Jul-2019 Otitis media, unspec; H66.9;
NY RT 24 API API
2,842 0-10-10-41 RINI BINTI SUPRIADI JL. KH AGUS SALIM P X 38 Th 17-Jul-2019
NY RT 24 B PANTAI
2,843 0-10-11-33 FAWZIA ALMAHYRA JL. PANGANDARAN 3 P X 1 Th 17-Jul-2019
P, AN RT 13 B PANTAI
2,844 0-10-13-93 SITI JUBAIDAH, NY JL. GENDANG RT 22 P Baru; X 30 Th 17-Jul-2019 Dengue fever [classi; A90;
BONTANG BARU
2,845 0-10-15-61 HARYANTI , NY jl. pencak silat rt 12 P X 30 Th 17-Jul-2019
api-api
2,846 0-10-15-71 USMAN HM, TN JL. P ANTASARI RT L X 52 Th 17-Jul-2019
03 NO 62 BERBAS
PANTAI
2,847 0-10-15-71 USMAN HM, TN JL. P ANTASARI RT L X 52 Th 17-Jul-2019
03 NO 62 BERBAS
PANTAI
2,848 0-10-16-97 MELFAWATI BR S , JL. DIOPONEGORO P Baru; X 32 Th 17-Jul-2019 Postpartum care and ; Z39;
NY RT 17/26 B PANTAI
2,849 0-10-28-90 ASHILAH DZATIL JL TONGKOL RT 26 P Baru; X 4 Th 17-Jul-2019 Viral infection, uns; B34.9;
IZZAH AN NO 36 TJ LAUT
INDAH
2,850 0-10-29-00 HANAPING , NY JL. MELAWAI RT 21 P X 53 Th 17-Jul-2019
B PANTAI
2,851 0-10-32-45 M RAFY ALFAJRI AN JL S HASANUDDIN L Baru; X 13 Th 17-Jul-2019 Dengue haemorrhagic ; A91;
RT 04 B PANTAI
2,852 0-10-47-75 YANTI BINTI NURDIN JL TIHI TIHI RT 17 P Baru; X 38 Th 17-Jul-2019 Chronic hepatitis, u; K73.9;
NY BTG LESTARI
2,853 0-10-48-54 SUBUR ARIANTO, TN JL AWANG LONG RT L X 47 Th 17-Jul-2019
9 BTG BARU

20/Sep/2019 158
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,854 0-10-53-83 DEWI RAHMANIAR, JL. ZAMRUT RT 49 P X 41 Th 17-Jul-2019


NY BERBAS TENGAH
2,855 0-10-54-12 MULIANA BIN JL. TEROMPET 2 RT P Baru; X 22 Th 17-Jul-2019 Gynaecological exami; Z01.4;
MUKHTAR NY 24 NO 02 BONTANG
BARU
2,856 0-10-56-02 PARISHA AZZAHRA JL BATU SAHASA 3 P Baru; X 1 Th 17-Jul-2019 Nausea and vomiting; R11;
AN RT 3 NO 8 BTG
KUALA
2,857 0-10-60-48 DIAH ISWANTI NN JL BRIG KATAMSO P X 37 Th 17-Jul-2019
RT 15/ GN ELAI
2,858 0-10-60-74 FAHAD ADE JL DIPONEGORO RT L X 1 Th 17-Jul-2019
MUBAROK AN / GG ALPUKAT BTG
BARU
2,859 0-10-65-25 M SYAWAL ALI AN JL. S HASANUDDIN L X 1 Th 17-Jul-2019
RT 6/74 B PANTAI
2,860 0-10-66-30 JEFRY HARIS JL. MULAWARMAN L Baru; Baru; X 36 Th 17-Jul-2019 Viral infection, uns; Fever, B34.9;R
MANAGOR, TN RT 10 BONTANG unspecified;
BARU
2,861 0-10-76-37 M IMAM JL. BROKOLI RT L X 11 b 17-Jul-2019
DARUQUTHNI, AN 14/20 GN ELAI
2,862 0-10-79-33 KUSNAN HADI TN. JL.KH DEWANTARA L X 47 Th 17-Jul-2019
RT.35 TNJAUNG
LAUT
2,863 0-10-91-08 RABASIAH BIN KACO JL. MH TAMRIN RT P X 46 Th 17-Jul-2019
, NY 02 GN ELAI
2,864 0-10-92-68 SYAKIRA FEODORA K JL. MENTE 2 RT 04/- P X 5 Th 17-Jul-2019
, AN TJ LAUT
2,865 0-10-99-96 TUMIYEM BINTI NY JL. SELAT BANGKA P Lama; X 63 Th 17-Jul-2019 Non-insulin-dependen; E11;
III RT 37/- TJ LAUT
2,866 0-11-00-72 NURDIANAWATY NY JL MULAWARMAN P Baru; X 56 Th 17-Jul-2019 Disturbances in toot; K00.6;
RT 10/12 BTG BARU
2,867 0-11-05-94 KRISTINA LEBANG , JL. ZAMRUD RT. 47 P X 56 Th 17-Jul-2019
NY BERBAS TENGAH
2,868 0-11-14-31 HASAN BASRI, TN JL. SANTAN ILIR RT L Lama; X 53 Th 17-Jul-2019 Impacted cerumen; H61.2;
02 MARANGKAYU
2,869 0-11-15-16 AHMAD BIN SIDE TN. TANJUNG LAUT JL. L X 44 Th 17-Jul-2019
BARONANG RT 13
2,870 0-11-19-16 AINUN JARIAH NY JL DI PANJAITAN RT P Lama; X 59 Th 17-Jul-2019 Non-insulin-dependen; E11;
12/47 BTG BARU
2,871 0-11-22-60 M TAQWA AN JL WR SUPRATMAN L X 7 Th 17-Jul-2019
RT 59/ B TENGAH
2,872 0-11-23-04 M DENIS JL. KAPAL PINISI RT L Baru; X 7 Th 17-Jul-2019 Otitis media, unspec; H66.9;
HERYANSYAH, AN 48 NO 65 LOKTUAN

20/Sep/2019 159
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,873 0-11-24-55 LUKAS SAMPE , TN JL. MARANGKAYU 3 L Lama; X 41 Th 17-Jul-2019 Dental caries; K02;
DESA SEBUNTAL NO
07
2,874 0-11-26-40 SYAFIUR ROHMAN, JL. KRAKATAU HOP L Baru; X 42 Th 17-Jul-2019 Chronic persistent h; K73.0;
TN 2 RT 17/24 SATIMPO
2,875 0-11-28-81 ENI KUSRINI NY JL R SUPRAPTO GG P Baru; X 29 Th 17-Jul-2019 Cholesteatoma of mid; H71;
AMALIYAH RT 23 API
API
2,876 0-11-31-86 DONNY HOGA JL ZAMRUD 9 RT 47 L Lama; X 52 Th 17-Jul-2019 Non-insulin-dependen; E11;
SIBARANI TN NO 56 B TENGAH
2,877 0-11-33-31 TUTISNAWATI, NY JL. BANDENG RT 23 P Baru; X 30 Th 17-Jul-2019 Gynaecological exami; Z01.4;
TANJUNG LAUT
INDAH
2,878 0-11-42-26 TANG RIANTI, NY JL. IR H JUANDA RT P X 30 Th 17-Jul-2019
15 TANJUNG LAUT
2,879 0-11-55-33 MASNAH BINTI NY JL. WR SUPRATMAN P Lama; X 38 Th 17-Jul-2019 Supervision of norma; Z34;
RT 27 TJ LAUT
2,880 0-11-59-19 SUPARI BIN KADERI JL PATIMURA GG L Lama; X 59 Th 17-Jul-2019 Non-insulin-dependen; E11;
TN ATLETIK 16 RT 42/-
KEL API API
2,881 0-11-64-14 ANDIKA PUTRA ARDI JL. L Lama; X 20 Th 17-Jul-2019 Fracture of upper en; S82.1;
P SDR MANGKUNEGORO
RT 07/- B TENGAH
2,882 0-11-67-72 KHANZA NADIA JL IR JUANDA RT 6 P X 7b 17-Jul-2019
PUTRI AN
2,883 0-11-71-17 ALYSHA ALYA S AN JL SULTAN P X 4 Th 17-Jul-2019
HASANUDDIN RT
30/19 BERBAS
TENGAH
2,884 0-11-75-32 FATIMAH BIN JL SULTAN AGUNG P Lama; X 14 Th 17-Jul-2019 Connective and other; D21.9;
SABARUDDIN AN RT 7 B PANTAI
2,885 0-11-77-73 SALWA NUR NY JL. AWANG LONG P X 27 Th 17-Jul-2019
RT 007/ 76
2,886 0-11-77-81 HANDY ALFIANSYAH JL DI PANJAITAN GG L X 19 Th 17-Jul-2019
TN PIANO 3 RT 4
BONTANG BARU
2,887 0-11-80-49 BECCE TANG, NY JL. BANDENG RT 22/- P Lama; X 64 Th 17-Jul-2019 Non-insulin-dependen; E11;
TJ LAUT INDAH
2,888 0-11-82-38 JUNAIDI KERTASIH JL. TEUKU UMAR RT L X 70 Th 17-Jul-2019
TN 13 BONTANG BARU
2,889 0-11-85-17 WINDA AZIZAH, AN JL. DI PANJAITAN RT P Baru; X 4 Th 17-Jul-2019 Dengue haemorrhagic ; A91;
02 BONTANG BARU

20/Sep/2019 160
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,890 0-11-86-70 M SOMAD AL FAJRUL JL JEND SUDIRMAN L X 4b 17-Jul-2019
H AN RT 22 TANJUNG
LAUT
2,891 0-11-87-20 MEYSA RAMADHANI JL. MANUNGGAL RT L Baru; X 1b 17-Jul-2019 Acute upper respirat; J06.9;
AN 11/- KEL. BERBAS
PANTAI
2,892 0-11-96-14 RINI ISNAWATI, NY JL. RAJAWALI RT P Lama; X 42 Th 17-Jul-2019 Supervision of norma; Z34;
25/- DESA
SEBUNTAL M KAYU
2,893 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P X 17 Th 17-Jul-2019
RT 15/- TJ LAUT
INDAH
2,894 0-12-01-53 ANIES FITRIAYANTI, JL. PERUM P X 19 Th 17-Jul-2019
NN BEACUKAI RT/- TJ
LAUT
2,895 0-12-02-34 RISKA INDRIANI AN JL. SANTAN ILIT RT P Baru; X 14 Th 17-Jul-2019 Chronic pansinusitis; J32.4;
09/- M KAYU
2,896 0-12-03-57 LILIK KHOIRIYAH NY JL SLAMET RIYADI P Baru; X 27 Th 17-Jul-2019 Postpartum care and ; Z39;
GG KAPAL PESIAR
RT 50 LOKTUAN
2,897 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Lama; X 34 Th 17-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
2,898 0-12-03-66 RATNA SARI NN JL DUSUN WIRA RT P Lama; X 22 Th 17-Jul-2019 Diarrhoea and gastro; A09;
04 MARANG KAYU
2,899 0-12-03-87 FARIS AIDAN AMANI, JL. DIPONEGORO RT L X 7 Hr 17-Jul-2019
AN 17/26 N PANTAI
2,900 0-12-04-04 ETI OKTAPIYANTI NY JL PELABUHAN 3 GG L X 7 Hr 17-Jul-2019
BY UDANG RT 14 TJ
LAUT INDAH
2,901 0-12-04-46 MURA BINTI JALANG JL SIMPANG P X 63 Th 17-Jul-2019
NY SANGATTA
2,902 0-12-04-61 NUR FADILAH AN JL SELAT SELAYAR P Baru; X 15 Th 17-Jul-2019 Acute appendicitis; K35;
RT 38 TJ LAUT
2,903 0-12-04-89 IRFAN BORNEO AN JL MH THAMRIN RT L X 2 Th 17-Jul-2019
01/- GN ELAI
2,904 0-12-05-40 M AGAM ARSYA, AN JL. RA KARTINI RT L X 1 Th 17-Jul-2019
23 BONTANG BARU
2,905 0-12-05-57 PRAWOTO TN JL. PATTIMURA RT L X 36 Th 17-Jul-2019
42
2,906 0-12-06-25 LAFATU BIN TANGKA JL DEWATIRRA 2 RT L Baru; X 54 Th 17-Jul-2019 Hyperplasia of prost; N40;
TN 35/67 TJ LAUT INDAH

20/Sep/2019 161
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,907 0-12-06-38 AISYAH SAFITRI R, JL. SULTAN P X 10 Th 17-Jul-2019
AN SYAHRIER RT, 007
TJ LAUT INDAH
2,908 0-12-06-39 ANDI FARIDA NY JL P DIPONEGORO P X 47 Th 17-Jul-2019
RT 17 LOKTUAN
2,909 0-12-06-40 KURNIADI SDR JL ZAMRUD GG L X 21 Th 17-Jul-2019
ZAMRUD 10 RT 48
BEREBAS TENGAH
2,910 0-12-06-41 LUSE, TN SANTAN ILIR L X 73 Th 17-Jul-2019
MARANGKAYU
2,911 0-12-06-42 NUR ASIAH NY JL SUTAN SYAHRIR P X 35 Th 17-Jul-2019
RT 3 TANJUNG LAUT
INDAH
2,912 0-12-06-43 RIDWAN BIN M ALI JL PANGANDARAN 2 L X 24 Th 17-Jul-2019
SDR RT 13/203 B PANTAI
2,913 0-12-06-44 MUJI ARIANTO TN PULAU GUSUNG RT L X 24 Th 17-Jul-2019
03 GUNTUNG BTG
UTARA
2,914 0-12-06-45 YOLAN YULIANA, NN JL. KARTINI NO 23 P X 21 Th 17-Jul-2019
RT 19
TENGGARONG
2,915 0-12-06-46 FITRI ANDIRYANI NY JL. IR H JUANDA RT P X 20 Th 17-Jul-2019
06
2,916 0-12-06-59 EVA SURYANINGSIH, JL. KS TUBUN API P X 30 Th 17-Jul-2019
NN API
2,917 0-12-06-60 CRISTOPER JL. KP TENDEAN RT L X 26 Th 17-Jul-2019
SITUMORANG, TN 08 BONTANG KUALA
2,918 0-12-06-61 SYAMSUDIN TN JL SELAT LOMBOK L X 52 Th 17-Jul-2019
RT 4 / 38 TANJUNG
LAUT
2,919 0-12-06-61 SYAMSUDIN TN JL SELAT LOMBOK L X 52 Th 17-Jul-2019
RT 4 / 38 TANJUNG
LAUT
2,920 0-12-06-62 YULIANTI, NY JL. TIPALAYO RT 36, P Baru; X 24 Th 17-Jul-2019 Supervision of norma; Z34;
BERBAS PANTAI
2,921 0-12-06-63 MASLINA,NY JL SULTAN P Baru; X 50 Th 17-Jul-2019 Connective and other; D21.9;
HASANUDDIN RT 56,
BERBAS TENGAH
2,922 0-12-06-64 SURYANNA JL HAYAM WURUK P Baru; X 29 Th 17-Jul-2019 Supervision of norma; Z34;
NIRWANTO NY RT 14 BEREBAS
TENGAH
2,923 0-12-06-65 FEBRIANA SYAFITRI JL PERUM PURIMAS P X 20 Th 17-Jul-2019
NN ASRI BLOK D31 NO 1
SAMARINDA

20/Sep/2019 162
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,924 0-12-06-66 HENI ESTRIANY NY JL POLO AIR 2 RT 21 P Baru; X 29 Th 17-Jul-2019 Female infertility; N97;
/84 API API
2,925 0-12-06-67 HADIANSYAH, TN JL MH. THAMRIN RT L Lama; X 50 Th 17-Jul-2019 Necrosis of pulp; K04.1;
17 BONTANG BARU
2,926 0-12-06-68 ROVY ACHMAD A K , JL. TENGGIRI RT L X 11 Th 17-Jul-2019
AN 25/52 TJ LAUT INDAH
2,927 0-12-06-69 RAHMA MULIATI NY JL ,KM 12 DESA P Baru; X 26 Th 17-Jul-2019 Gynaecological exami; Z01.4;
SUKA DAMAI TELUK
PANDAN
2,928 0-12-06-70 SUSI PUTRI JL. TOMAT GG P X 10 Th 17-Jul-2019
AMELIYANTI, AN TOMAT RT 13/03 GN
ELAI
2,929 0-12-06-71 MUH. ARSYAD, TN JL. DUSUN HANDIL 3 L Baru; X 89 Th 17-Jul-2019 Hyperplasia of prost; N40;
RT 11 SANTANG
TENGAH
2,930 0-12-06-72 NURDIN TN JL IMAM BONJOL RT L Baru; X 49 Th 17-Jul-2019 Atrophy of edentulou; K08.2;
12 GUNUNG ELAI
2,931 0-12-06-73 EKO DIDIT N TN JL KENANGAN RT 29 L X 39 Th 17-Jul-2019
TANJUNG LAUT
2,932 0-12-06-74 DARAULANG BINTI , JL. GUSUNG RT 03/- P Baru; X 37 Th 17-Jul-2019 Gynaecological exami; Z01.4;
NY GUNTUNG
2,933 0-12-06-75 IQFACOOL KEYSHA JL. PANGANDARAN P X 11 Th 17-Jul-2019
C, AN RT 13/170 B PANTAI
2,934 0-12-06-76 ALVIANUS TRI PUTRA JL DAMAI GG L Baru; X 20 Th 17-Jul-2019 Connective and other; D21.9;
P SDR SWADAYA RT 12/39
2,935 0-12-06-77 AGUS SETIAWAN H JL KS TUBUN GG L X 34 Th 17-Jul-2019
TN BREKIS BONTANG
KUALA
2,936 0-12-06-78 SANGA MARUPA S, JL. ZAMRUD NO4 RT P Baru; X 39 Th 17-Jul-2019 Supervision of norma; Z34;
NY 47 BERBAS TENGAH
2,937 0-12-06-79 ELISA T NY JL. MH THAMRIN RT P X 33 Th 17-Jul-2019
23/- KEL. BONTANG
BARU
2,938 0-12-06-80 SHERINA,NN JL MA THAMRIN RT P X 16 Th 17-Jul-2019
02 NO 42
2,939 0-12-06-81 IKHWANURIZA TN JL SOEKARNA L X 35 Th 17-Jul-2019
HATTA GG STC NO 2
SMD
2,940 0-12-06-82 M KHAIZAN A AN JL GAJAH MADA RT L X 7 Th 17-Jul-2019
38 / 08 BERBAS
TENGAH
2,941 0-12-06-83 ADITYA GHEYSAR S, JL TANJUNG PURA L X 10 Th 17-Jul-2019
SDR RT 19 LENGKOL

20/Sep/2019 163
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,942 0-12-06-84 TEO BIN CANDRA, AN JL KOMODO B 3 BTN L X 1 Th 17-Jul-2019


PKT
2,943 0-12-06-85 USWATUN HASANA, JL KAPITAL TOKO P Baru; X 21 Th 17-Jul-2019 Urticaria; L50;
NN LIMA RT 06 MUARA
BADAK
2,944 0-12-06-86 HADI MAHMUD TN JL PERUM SWARGA L X 45 Th 17-Jul-2019
BARA EXTENTION
BLOK I/15
SANGATTA
2,945 0-12-06-87 ROSMITA IKA, NN JL. RAPAK LAMA RT P X 17 Th 17-Jul-2019
11 KEC.
MARANGKAYU
2,946 0-12-06-88 NURHAYATI BIN JL KP TENDEAN GG P X 52 Th 17-Jul-2019
MADANI NY GRANIT 4 RT 18/71
BTG KUALA
2,947 0-12-06-89 FADHIL NUR ADHANY JL. TEROMPET 2 RT L Baru; Baru; X 11 Th 17-Jul-2019 Dengue haemorrhagic ; Fever, A91;R50
AN 24/5 BTG BARU unspecified;
2,948 0-12-06-90 ALI ROHMAN TN JL LETJEN L X 34 Th 17-Jul-2019
SUPRAPTO RT 21
APIAPI
2,949 0-12-06-92 WAHYUDI BIN TN JL MT HARYONO RT L X 30 Th 17-Jul-2019
29 APIAPI
2,950 0-12-06-93 SUKOCO BIN TN JL R SOEPRAPTO L X 49 Th 17-Jul-2019
GG POLO AIR 1 RT
21 APIAPI
2,951 0-12-06-95 AQILLA QIRANI W AN JL MAKASSAR RT 27 P X 1 Th 17-Jul-2019
/ 13 GUNUNG
TELIHAN
2,952 0-12-06-96 MEGA ROSITA NY JL KAPT PIERE P X 29 Th 17-Jul-2019
TENDEAN BONTANG
KUALA
2,953 0-12-06-97 CENCENG AFRILIA JL TOMAT 4 RT 43 P X 18 Th 17-Jul-2019
NY GUNUNG ELAI
2,954 0-12-06-98 SRIHASTUTI NY JL KS TUBUN GG P X 24 Th 17-Jul-2019
BEREKSI RT 8
2,955 0-12-07-00 RINI NY BY JL KH AGUS SALIM L X 0 Hr 17-Jul-2019
RT 24 B PANTAI
2,956 0-00-02-91 BAHARUDDIN TN. JL. S. HASANUDDIN L Lama; X 53 Th 18-Jul-2019 Dyspepsia; K30;
RT. 31/ B. PANTAI
2,957 0-00-40-33 LAMUSA IBRAHIM, TN JL. KAPAL SELAM I L Baru; X 63 Th 18-Jul-2019 Essential (primary) ; I10;
RT 17/02 LOKTUAN
2,958 0-00-63-45 DARWATI, NY. JL. MANUGGAL RT P Lama; X 50 Th 18-Jul-2019 Non-insulin-dependen; E11;
11 B PANTAI

20/Sep/2019 164
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,959 0-00-90-57 EDISON JL. SENDAWAR RT L Lama; X 66 Th 18-Jul-2019 Non-insulin-dependen; E11;
NAPITUPULU, TN 19 BONTANG BARU
2,960 0-01-07-70 ANDI SUPARDI, TN. JL. SULTAN L Lama; X 53 Th 18-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT 31
NO 02 BERBAS
TENGAH
2,961 0-01-14-61 RIDUANSYAH H TN JL. A YANI RT. 06/29 L X 65 Th 18-Jul-2019
API API
2,962 0-02-03-51 SUMIATI RAMLAN NY JL A YANI RT 02 TJ P Lama; X 74 Th 18-Jul-2019 Non-insulin-dependen; E11;
LAUT
2,963 0-02-52-55 MASRI NY.,HJ JL. ZAMRUD RT. P Lama; X 57 Th 18-Jul-2019 Non-insulin-dependen; E11;
45/01 B. TENGAH
2,964 0-02-57-93 JAMALUDDIN BIN JL SAMRATULANG L Lama; X 65 Th 18-Jul-2019 Non-insulin-dependen; E11;
TOHA TN H GG LOHAN RT 15/64
TJ LAUT INDAH
2,965 0-03-04-76 DAWA L, TN H JL. SELAT SELAYAR P Lama; X 63 Th 18-Jul-2019 Non-insulin-dependen; E11;
RT 13/8 TJG LAUT
2,966 0-03-28-98 SUMARNI, NY. JL DI PANJAITAN GG P X 44 Th 18-Jul-2019
PIANO 6 NO 84 API
API
2,967 0-04-36-13 RAMLA DEWI, NY. JL. PELABUHAN RT P Baru; X 34 Th 18-Jul-2019 Chronic persistent h; K73.0;
14/166 TL. LAUT
INDAH
2,968 0-04-36-13 RAMLA DEWI, NY. JL. PELABUHAN RT P X 34 Th 18-Jul-2019
14/166 TL. LAUT
INDAH
2,969 0-04-55-54 DEWI HAPSARI, NY JL. SELAT ROTE I P Lama; X 29 Th 18-Jul-2019 Insertion of (intrau; Z30.1;
RT. 33/60 TJ. LAUT
2,970 0-04-80-74 FADILLAH BINTI JL SELAR ALOR 2 RT P X 7 Th 18-Jul-2019
DONAL AN 32 TJ LAUT INDAH
2,971 0-04-80-74 FADILLAH BINTI JL SELAR ALOR 2 RT P X 7 Th 18-Jul-2019
DONAL AN 32 TJ LAUT INDAH
2,972 0-04-80-74 FADILLAH BINTI JL SELAR ALOR 2 RT P X 7 Th 18-Jul-2019
DONAL AN 32 TJ LAUT INDAH
2,973 0-05-02-22 RAENAH, HJ NY JL MH THAMRIN RT 2 P X 48 Th 18-Jul-2019
NO 104 GN ELAI
2,974 0-05-15-70 SUPRIYADI TN JL. MANGGA RT L X 44 Th 18-Jul-2019
33/20 TJ LAUT
2,975 0-05-61-71 EMMA BINTI JL RUBI 1 RT 17 NO P X 46 Th 18-Jul-2019
SANGKALA NY 36 BTENGAH
2,976 0-05-78-18 NURUL HIDAYAH NY JL KERSIK RT 3 P Lama; X 27 Th 18-Jul-2019 Supervision of norma; Z34;
MARANG KAYU
2,977 0-05-87-87 SITI HADIJAH HJ NY JL. MH. TAMRIN RT P Lama; X 53 Th 18-Jul-2019 Non-insulin-dependen; E11;
01/29 GN ELAI

20/Sep/2019 165
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

2,978 0-06-07-60 SUHARTATIK JL. TARI GANTAR RT P Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
RAMPUNG NY 08 NO 12 GUNTUNG
2,979 0-06-13-99 NANIK JL. PATIMURA P Lama; X 61 Th 18-Jul-2019 Essential (primary) ; I10;
SUWARDININGSIH NY ATLETIK 19 RT 14
API-API
2,980 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L Lama; X 47 Th 18-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT 01
BERBAS PANTAI
2,981 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L X 47 Th 18-Jul-2019
HASANUDDIN RT 01
BERBAS PANTAI
2,982 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 18-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
2,983 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 18-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
2,984 0-06-86-49 ANILAWATI NY ASRAM RUDAL P Lama; X 28 Th 18-Jul-2019 Cholelithiasis; K80;
RT.07 GN ELAI
2,985 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Lama; X 18 Th 18-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT
2,986 0-07-25-19 FATIMANG BIN JL. IKAN TUNA RT 11 P Lama; X 56 Th 18-Jul-2019 Non-insulin-dependen; E11;
MUHAMMAD NY TJ LAUT INDAH
2,987 0-07-43-28 ANDRI TRIATMO TN JL. BALIKPAPAN 2 L X 34 Th 18-Jul-2019
RT 14 GN TELIHAN
2,988 0-07-48-65 NURHAYATI BINTI JL ADIPURA 1 RT 4 / P Lama; X 40 Th 18-Jul-2019 Non-insulin-dependen; E11;
HAMMA NY BONTANG LESTARI
2,989 0-07-51-46 WANCIK BIN DAMIN JL A YANI RT 05 TJ L Lama; X 52 Th 18-Jul-2019 Thyrotoxicosis [hype; E05;
TN LAUT
2,990 0-07-56-73 NAIDA WILIYATI NY JL. PATIMURA RT P X 38 Th 18-Jul-2019
41/9 API-API
2,991 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Lama; X 50 Th 18-Jul-2019 Acute appendicitis; K35;
AHMADA NY 20/35 B PANTAI
2,992 0-07-62-77 NUR HAEDA BIN JL. S HASANUDDIN P Lama; X 41 Th 18-Jul-2019 Non-insulin-dependen; E11;
ANGGA NY GG LOSARI 7 RT 04
B PANTAI
2,993 0-07-66-17 NUR ENDANG NY JL. BUNAKEN RT 19 P Lama; X 39 Th 18-Jul-2019 Connective and other; D21.9;
B PANTAI
2,994 0-07-68-72 YULIANA BIN DG JL. MELAWAI RT 21 P Lama; X 45 Th 18-Jul-2019 Essential (primary) ; I10;
KASENG NY BERBAS PANTAI
2,995 0-07-68-72 YULIANA BIN DG JL. MELAWAI RT 21 P X 45 Th 18-Jul-2019
KASENG NY BERBAS PANTAI
2,996 0-07-69-65 AHMAD NIZAR D AN JL. PELAMBANG RT. L X 4 Th 18-Jul-2019
10/ GN TELIHAN

20/Sep/2019 166
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
2,997 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 18-Jul-2019 Necrosis of pulp; K04.1;
NY API API
2,998 0-07-89-67 ZUBAIR BIN AHMAD JL. SANTAN RT. 05/ L X 52 Th 18-Jul-2019
TN MARANG KAYU
2,999 0-07-95-23 NURAMIA, NY JL WR SUPRATMAN P X 49 Th 18-Jul-2019
RT 57 B TENGAH
3,000 0-08-05-20 LILYANA AZ ZAHRA JL. S SAHRIR RT 3 P X 5 Th 18-Jul-2019
AN TJ LAUT
3,001 0-08-23-60 MARHALI SEMMANG, JL. SULTAN L Lama; X 50 Th 18-Jul-2019 Non-insulin-dependen; E11;
TN SYAHRIR RT 31
TANJUNG LAUT
INDAH
3,002 0-08-27-26 RAHMAWATI NY JL. SELAT ROTE 1A P Lama; X 32 Th 18-Jul-2019 Chronic hepatitis, u; K73.9;
RT 34/- TJ LAUT
INDAH
3,003 0-08-39-64 ROFIKAH BIN TAMIN JL. BHAYANGKARA P Lama; X 50 Th 18-Jul-2019 Non-insulin-dependen; E11;
NY RT 16 GN ELAI
3,004 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 18-Jul-2019 Traumatic amputation; S88;
RT 027
3,005 0-08-59-32 WIWIK, NY JL. K P TENDEAN RT P X 61 Th 18-Jul-2019
01 BONTANG KUALA
3,006 0-08-60-00 ARDAENI BINTI NY JL PALEMBANG RT P X 39 Th 18-Jul-2019
16/ GN TELIHAN
3,007 0-08-62-02 RUGAIYAH BINTI, NY JL MELAWAI RT 20 B P Baru; X 64 Th 18-Jul-2019 Non-insulin-dependen; E11;
PANTAI
3,008 0-08-62-02 RUGAIYAH BINTI, NY JL MELAWAI RT 20 B P X 64 Th 18-Jul-2019
PANTAI
3,009 0-08-65-92 NURUL HUDA TN JL TERNATE 2 HOP 6 L Lama; X 48 Th 18-Jul-2019 Non-insulin-dependen; E11;
RT 21 NO 58 GN ELAI
3,010 0-08-72-87 ESRA JOICE PANDIN JL. AP P X 24 Th 18-Jul-2019
NY MANGKUNEGORO
RT 02 BERBAS
TENGAH
3,011 0-08-75-68 FAIQAH ABIDAH JL. WR SUPRATMAN P X 4 Th 18-Jul-2019
AZZAHRA AN RT 27 TJ LAUT
3,012 0-08-79-89 HATISAH BINTI, NY JL. PANGANDARAN P Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
RT 12 BERBAS
PANTAI
3,013 0-08-82-13 SYARIF BIN JL. GAJAH MADA RT L Baru; X 29 Th 18-Jul-2019 Connective and other; D21.9;
SAHABUDDIN TN 13/- GG PIRUS 3 KEL.
B TENGAH
3,014 0-09-00-89 GUSTINA BINTI JL GUSUNG RT 3 P X 21 Th 18-Jul-2019
GAFRI, NY GUNTUNG

20/Sep/2019 167
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,015 0-09-03-98 ENDANG CITRA JL. IR H JUANDA RT P X 36 Th 18-Jul-2019
FURQONI, NY 35 TANJUNG LAUT
3,016 0-09-08-71 DEFHANDRA KEENAN JL KAPAL SELAM RT L X 2 Th 18-Jul-2019
A AN 17 NO 02 LOKTUAN
3,017 0-09-15-86 SAMIUN, TN JL. TONGKOL RT 26 L Lama; X 59 Th 18-Jul-2019 Cutaneous abscess, f; L02;
TANJUNG LAUT
3,018 0-09-23-46 ACHMAD MARDJUKI JL PATIMURA RT 14/ L Lama; X 58 Th 18-Jul-2019 Non-insulin-dependen; E11;
TN GG SEPAKAT API
API
3,019 0-09-24-76 FITRIANI BINTI JL TIPALAYO RT 47 P X 31 Th 18-Jul-2019
RAHMAN NY NO 36 B TENGAH
3,020 0-09-26-87 SULASTRI RIYADI NY JL BELANAK RT 21 P Lama; X 60 Th 18-Jul-2019 Abdominal and pelvic; R10;
TJ LAUT INDAH
3,021 0-09-29-46 M FAHREZA GYVAR, JL. A YANI RT 11 NO L Baru; X 13 Th 18-Jul-2019 Tension-type headach; G44.2;
AN 29 API API
3,022 0-09-34-45 NURUL FITRI NY JL PARIKESIT RT 5 P Baru; X 43 Th 18-Jul-2019 Urinary tract infect; N39.0;
NO 5 BTG BARU
3,023 0-09-61-63 MILA SUCI JL. CARITA RT, 11 P Baru; X 8 Th 18-Jul-2019 Disturbances in toot; K00.6;
RAMADHANI, AN BERBAS PANTAI
3,024 0-09-67-30 NURISYAH BINTI NY JL PIPA RT 23/ P Baru; X 44 Th 18-Jul-2019 Calculus of kidney a; N20;
GUNTUNG
3,025 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L Lama; X 33 Th 18-Jul-2019 Cutaneous abscess, f; L02;
NANANG TN 10 BTG KUALA
3,026 0-09-72-80 MALIKA AULIA Q, AN JL. S BONE 1 RT 21 P X 2 Th 18-Jul-2019
TJ LAUT
3,027 0-09-80-21 SUPINI , NY JL. R SUPRAPTO GG P Lama; X 62 Th 18-Jul-2019 Non-insulin-dependen; E11;
POLO AIR 1 RT 21 RT
35 API-API
3,028 0-09-86-83 IMAM AKHIMSYA SDR JL SELAT MALAKA L X 25 Th 18-Jul-2019
RT 23 NO 7 B
TENGAH
3,029 0-09-94-23 MURI BIN TN JL. PATIMURA RT 27/ L X 60 Th 18-Jul-2019
API API
3,030 0-09-95-24 DENI YUSLINDA NN JL HM ARDANS 3 NO P X 31 Th 18-Jul-2019
10 SATIMPO
3,031 0-10-00-63 SONY RIFAI , TN JL BEKANTAN N3 NO L Lama; X 56 Th 18-Jul-2019 Cutaneous abscess, f; L02;
3 BTN PKT
BELIMBING
3,032 0-10-04-81 ARSYILA FARZANA A , JL. LELE RT 32 TJ P X 1 Th 18-Jul-2019
AN LAUT I
3,033 0-10-06-16 FIRMANSYAH TN JL SELAT KARIMATA L Baru; X 32 Th 18-Jul-2019 Other surgical follo; Z48; Dirawat
1 RT 26 NO 33 TJ
LAUT

20/Sep/2019 168
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,034 0-10-12-52 RUSMAN YAMIN TN JL A YANI GG RAWA L X 47 Th 18-Jul-2019


INDAH RT 9/81 API
API
3,035 0-10-14-18 ANDI KADIR, TN JL. PANGANDARAN L Lama; X 43 Th 18-Jul-2019 Essential (primary) ; I10;
RT 12 BERBAS
PANTAI
3,036 0-10-15-61 HARYANTI , NY jl. pencak silat rt 12 P Baru; X 30 Th 18-Jul-2019 Fracture of shaft of; S52.2;
api-api
3,037 0-10-15-71 USMAN HM, TN JL. P ANTASARI RT L Lama; X 52 Th 18-Jul-2019 Non-insulin-dependen; E11;
03 NO 62 BERBAS
PANTAI
3,038 0-10-18-01 M HAFIZH AL FARIZI , JL. H HABIBON RT 32 L X 1 Th 18-Jul-2019
AN TANJUNG LAUT
3,039 0-10-18-06 RIZA ACHMAD JL. PATTIMURA GG L Baru; X 24 Th 18-Jul-2019 Connective and other; D21.9;
JUNAEDI, SDR ATLETIK RT 32/07
API-API
3,040 0-10-20-53 ARGIUS SINAGA , TN JL. SOEKARNO L Lama; X 54 Th 18-Jul-2019 Cholelithiasis; K80;
HATTA RT 25/ GN
TELIHAN
3,041 0-10-22-41 BADARIAH RAMLI , NY JL. DI PANJAITAN P Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
GG PIANO 1 RT 04/02
BTG BARU
3,042 0-10-25-99 AKHMAD SHAFWAN , JL. BATU SAHASA I L X 42 Th 18-Jul-2019
TN RT. 12/36 BTG
KUALA
3,043 0-10-28-90 ASHILAH DZATIL JL TONGKOL RT 26 P Baru; X 4 Th 18-Jul-2019 Dengue fever [classi; A90;
IZZAH AN NO 36 TJ LAUT
INDAH
3,044 0-10-34-72 ADITYA ATHAFARIZ JL. ASRUD BLOK J L Baru; X 2 Th 18-Jul-2019 Acute suppurative ot; H66.0;
W , AN NO 6 GN ELAI
3,045 0-10-36-87 YUS ELMIN NY JL SELAT P Baru; X 45 Th 18-Jul-2019 Fracture at wrist an; S62;
MAKASSAR TJ LAUT
3,046 0-10-49-65 TATI SUPRIYATI, NY JL. MULAWARMAN L X 47 Th 18-Jul-2019
RT 10 NO 42
BONTANG BARU
3,047 0-10-65-40 RACHMATIA BIN JL DI PANJAITAN GG P Baru; Baru; X 57 Th 18-Jul-2019 Respiratory tubercul; Acute upper A15;J06. Dirawat
MUSTAFA NY PIANO RT 5 NO 73 Baru; respirat; Pain in throat;
BTG BARU
3,048 0-10-86-12 NURLINDA BIN ISMAIL JL KS TUBUN GG P Lama; X 52 Th 18-Jul-2019 Non-insulin-dependen; E11;
NY KOI 1 RT 29 TJ LAUT
INDAH
3,049 0-10-91-05 NAURA KALILA JL. KOL RT 08 GN P X 9b 18-Jul-2019
MYSHA AN ELAI

20/Sep/2019 169
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,050 0-10-91-60 ITA BINTI ABD RAZAK JL SAMRATULANGI P X 59 Th 18-Jul-2019
NY RT 15/35 TJ LAUT
INDAH
3,051 0-10-93-06 DAMAI HERMAWAN, JL. S PARMAN RT L Lama; X 62 Th 18-Jul-2019 Non-insulin-dependen; E11;
TN 49/11B BELIMBING
3,052 0-10-94-43 WAHYUNI BINTI, AN JL RE P Lama; X 14 Th 18-Jul-2019 Calculus of kidney a; N20;
MARTADINATA RT
26/19 LOKTUAN
3,053 0-10-95-84 RUSMAN SEMMAILA JL SELAT BONE RT L X 55 Th 18-Jul-2019
TN 09
3,054 0-10-96-39 ARNIWATI, NY JL. SULTAN P Lama; X 62 Th 18-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT 24
NO 95 BERBAS
PANTAI
3,055 0-10-96-39 ARNIWATI, NY JL. SULTAN P X 62 Th 18-Jul-2019
HASANUDDIN RT 24
NO 95 BERBAS
PANTAI
3,056 0-10-96-80 HARDIANTI NY JL POROS BTG SGT P Baru; X 24 Th 18-Jul-2019 Cholesteatoma of mid; H71;
RT 14/ T PANDAN
3,057 0-10-97-12 HAMISAH BINTI BIOLA JL SULTAN P X 64 Th 18-Jul-2019
NY HASANUDDIN RT 5
NO 47 B PANTAI
3,058 0-10-98-13 NURBAYAH, NY JL. CATUR RT 07 NO P Lama; X 61 Th 18-Jul-2019 Non-insulin-dependen; E11;
B*9 API API
3,059 0-10-99-31 ILHAM AIDHIL JL A YANI RT 02/05 L X 7 Th 18-Jul-2019
ARDHIKA P AN API API
3,060 0-11-02-88 AYRA AZZAHRA AN JL BUNAKEN RT 19 P Baru; X 1 Th 18-Jul-2019 Acute suppurative ot; H66.0;
BERBAS PANTAI
3,061 0-11-03-94 AMINAH BINTI NY JL. GATOT P Lama; X 59 Th 18-Jul-2019 Non-insulin-dependen; E11;
SUBROTO RT 24/- B
PANTAI
3,062 0-11-09-87 TENRI HJ NY JL UNTUNG P X 59 Th 18-Jul-2019
SUROPATI RT 16/26
TJ LAUT
3,063 0-11-10-34 RAFATHAR AZKA M JL. BATU SAHASA L X 8b 18-Jul-2019
AN RT 06 BTG KUALA
3,064 0-11-10-69 SUMIATI RAJAB NY JL S HASANUDDIN P X 42 Th 18-Jul-2019
GG PIONER RT 27/25
B TENGAH
3,065 0-11-12-81 NURJANNAH BINTI JL. BAWAL RT 12/- P Lama; X 46 Th 18-Jul-2019 Seropositive rheumat; M05;
USMAN, NY TJ LAUT INDAH
3,066 0-11-15-44 ABDUL MUIN, TN JL. MELAWAI RT, 15 L X 75 Th 18-Jul-2019
BERBA PANTAI

20/Sep/2019 170
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,067 0-11-16-18 FITRAYANTI BINTI JL GENDANG 1 RT P X 30 Th 18-Jul-2019


RUSLI NY 22 NO 7 BTG BARU
3,068 0-11-18-75 BUSTANG , TN JL. PELABUHAN RT L Lama; X 42 Th 18-Jul-2019 Non-insulin-dependen; E11;
10 TJ LAUT I
3,069 0-11-18-75 BUSTANG , TN JL. PELABUHAN RT L X 42 Th 18-Jul-2019
10 TJ LAUT I
3,070 0-11-22-30 HARNIA BINTI NY JL. RE P Lama; X 26 Th 18-Jul-2019 Supervision of norma; Z34;
MARTADINATA RT
05/- LOKTUAN
3,071 0-11-22-76 ANIFATUL HIDAYAH JL PATTIMURA GG P X 37 Th 18-Jul-2019
NY ATLETIK 20 A RT 41
API API
3,072 0-11-24-55 LUKAS SAMPE , TN JL. MARANGKAYU 3 L Baru; X 41 Th 18-Jul-2019 Dental caries; K02;
DESA SEBUNTAL NO
07
3,073 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 18-Jul-2019 Non-insulin-dependen; E11;
TN MAS RT 06/11 TJ
LAUT INDAH
3,074 0-11-28-81 ENI KUSRINI NY JL R SUPRAPTO GG P X 29 Th 18-Jul-2019
AMALIYAH RT 23 API
API
3,075 0-11-40-52 UMI KUROTIN, NY JL. TONGKOL RT, 26 P Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
TL INDAH
3,076 0-11-40-52 UMI KUROTIN, NY JL. TONGKOL RT, 26 P X 55 Th 18-Jul-2019
TL INDAH
3,077 0-11-47-80 KHOIRUL ANAM AN JL S HASANUDDIN L X 4 Th 18-Jul-2019
GG TIPALAYO RT 11
B TENGAH
3,078 0-11-57-01 HANAN ANAQI JL GAJAH MADA RT L X 4b 18-Jul-2019
SYAMIL, AN 38 NO 22 B TENGAH
3,079 0-11-59-24 SAIMUN GULTOM, TN JL. BANJARMASIN L Lama; X 65 Th 18-Jul-2019 Non-insulin-dependen; E11;
RT 21/34 GN
TELIHAN
3,080 0-11-61-31 MANSUR BIN JL KH DEWANTARA L Lama; X 50 Th 18-Jul-2019 Non-insulin-dependen; E11;
ACHMAD TN RT 35 TANJUNG
LAUT
3,081 0-11-61-39 MUDRIKA BINTI MUH JL. MULAWARMAN P X 38 Th 18-Jul-2019
AMIN RT 6 BTG BARU
3,082 0-11-62-13 MUSNAINI BINTI JL. AMBON RT P Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
MUSLIM NY 17/N-10 API API
3,083 0-11-67-97 M ABIL ABQARY, AN JL JEND SUDIRMAN L X 3b 18-Jul-2019
RT 24/3 KEL TJ LAUT

20/Sep/2019 171
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,084 0-11-69-83 SAIFUL ANWAR, TN JL. ZAMRUD RT 51 L X 55 Th 18-Jul-2019
NO 57 BERBAS
TENGAH
3,085 0-11-70-27 FAZIL ARFAN A, AN JL. SELAT MAKASAR L X 3b 18-Jul-2019
NO 36 TJ LAUT
3,086 0-11-71-17 ALYSHA ALYA S AN JL SULTAN P X 4 Th 18-Jul-2019
HASANUDDIN RT
30/19 BERBAS
TENGAH
3,087 0-11-72-75 ANDI RINA NY JL. KAPT PIERE P X 29 Th 18-Jul-2019
TENDEAN RT 19
3,088 0-11-76-38 SITTI HAFSAH NY P Lama; X 22 Th 18-Jul-2019 Supervision of norma; Z34;
3,089 0-11-78-15 RUSMAWATI BINTI JL. BINA KARYA II P Lama; X 23 Th 18-Jul-2019 Necrosis of pulp; K04.1;
NY KEC MUARA BADAK
3,090 0-11-78-69 PAIMIN KADIR TN JL AMBON BLOK O/2 L Lama; X 55 Th 18-Jul-2019 Non-insulin-dependen; E11;
BTN KCY API API
3,091 0-11-86-06 RALINE CHARMELITA JL. S MAKASSAR RT P X 10 b 18-Jul-2019
I, AN 27/49 GN TELIHAN
3,092 0-11-87-54 HAMIDAH, NY JL. SELAT SELAYAR L Lama; X 32 Th 18-Jul-2019 Low back pain; M54.5;
RT 19/- TJ LAUT
3,093 0-11-90-42 FAJAR KHARISMA TN J SIDOREJO GG JATI L X 32 Th 18-Jul-2019
3 RT 21 SATIMPO
3,094 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 18-Jul-2019 Non-insulin-dependen; E11;
BERSAMA RT 37 API
API
3,095 0-11-93-63 ADIRA AZZAHRA AN JL. A YANI RT 05/- P X 4b 18-Jul-2019
NO 4
3,096 0-11-93-90 SURYADI BIN JL BATU BARA RT L Lama; X 28 Th 18-Jul-2019 Connective and other; D21.9;
SUNARKO TN 19/03 BONTANG
LESTARI
3,097 0-11-95-19 JULMIDA BINTI JL ZAMBRUT 24 RT P Baru; X 34 Th 18-Jul-2019 Acute suppurative ot; H66.0;
HAMZAH NY 53/11 B TENGAH
3,098 0-11-96-61 HARTATI BINTI SAING JL DUSUN SUKA P Baru; X 36 Th 18-Jul-2019 Supervision of norma; Z34;
NY MAKMUR RT 8
SANTAN ULU
MARANGKAYU
3,099 0-12-00-65 NURUL HIDAYATI NY JL ZAMRUD 13 RT 51 P Lama; X 30 Th 18-Jul-2019 Supervision of norma; Z34;
KEL. BERBAS
TENGAH
3,100 0-12-01-16 CAHYO PUSOKO TN JL DUSUN L Baru; X 32 Th 18-Jul-2019 Chronic tonsillitis; J35.0;
PENEWON RT 5
MOJOKERTO
3,101 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Baru; X 49 Th 18-Jul-2019 Umbilical hernia; K42;
TN NO 2 B TENGAH

20/Sep/2019 172
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,102 0-12-02-14 SRI WAHYUNI BINTI JL SELAT BONE RT P Lama; X 29 Th 18-Jul-2019 Necrosis of pulp; K04.1;
NY 20 / 22 TJ LAUT
3,103 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L Lama; X 50 Th 18-Jul-2019 Connective and other; D21.9;
YUSUP TN 09 TJ LAUT INDAH
3,104 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P Lama; X 31 Th 18-Jul-2019 Connective and other; D21.9;
HUSAIN NY RT 2 SANTAN ILIR
3,105 0-12-03-87 FARIS AIDAN AMANI, JL. DIPONEGORO RT L X 8 Hr 18-Jul-2019
AN 17/26 N PANTAI
3,106 0-12-03-88 ADHE ARIYANTO AN JL. SULTAN L X 16 Th 18-Jul-2019
SYAHRIR RT 02 TJ
LAUT INDAH
3,107 0-12-04-41 HABIBAH NAFISA JL KP KUTAI RT 27/- P Baru; X 13 Th 18-Jul-2019 Dental caries; K02;
PUTRI AN SABUNTAL M KAYU
3,108 0-12-04-42 HASNAH , NY JL. DIPONEGORO RT P Baru; X 58 Th 18-Jul-2019 Chest pain, unspecif; R07.4;
17/24 B PANTAI
3,109 0-12-04-63 M GHOZY AL JL. MULAWARMAN L X 7 Hr 18-Jul-2019
GHIFFARI AN RT 6
3,110 0-12-06-27 SAMIWA NOOR AN JL AHMAD YANI RT P X 4b 18-Jul-2019
11/17 API API
3,111 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L X 7 Th 18-Jul-2019
AN RT 09 BONTANG
LESTARI
3,112 0-12-06-36 RIZAL SAPUTRA SDR JL SUTAN SYAHRIR L X 24 Th 18-Jul-2019
GG BAWIS 1 RT 7/70
TJ LAUT INDAH
3,113 0-12-06-37 ARIE AKBAR SDR JL ULIN PC 6C NO L X 23 Th 18-Jul-2019
01A RT 009 KOMP
BADAK BTG
SELATAN
3,114 0-12-06-38 AISYAH SAFITRI R, JL. SULTAN P Lama; X 10 Th 18-Jul-2019 Dengue haemorrhagic ; A91;
AN SYAHRIER RT, 007
TJ LAUT INDAH
3,115 0-12-06-43 RIDWAN BIN M ALI JL PANGANDARAN 2 L X 24 Th 18-Jul-2019
SDR RT 13/203 B PANTAI
3,116 0-12-06-74 DARAULANG BINTI , JL. GUSUNG RT 03/- P X 37 Th 18-Jul-2019
NY GUNTUNG
3,117 0-12-06-76 ALVIANUS TRI PUTRA JL DAMAI GG L X 20 Th 18-Jul-2019
P SDR SWADAYA RT 12/39
3,118 0-12-06-83 ADITYA GHEYSAR S, JL TANJUNG PURA L X 10 Th 18-Jul-2019
SDR RT 19 LENGKOL
3,119 0-12-06-84 TEO BIN CANDRA, AN JL KOMODO B 3 BTN L X 1 Th 18-Jul-2019
PKT

20/Sep/2019 173
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,120 0-12-06-85 USWATUN HASANA, JL KAPITAL TOKO P X 21 Th 18-Jul-2019
NN LIMA RT 06 MUARA
BADAK
3,121 0-12-06-87 ROSMITA IKA, NN JL. RAPAK LAMA RT P X 17 Th 18-Jul-2019
11 KEC.
MARANGKAYU
3,122 0-12-06-91 MULIAMAN TN JL. CATUR L X 49 Th 18-Jul-2019
BONTANG PERMAI
RT 07
3,123 0-12-06-94 AMINANTO TN JL. GILING RT 07/03 L X 55 Th 18-Jul-2019
3,124 0-12-06-99 M SUHAIMY TN JL. GAMELAN RT 13 L X 44 Th 18-Jul-2019
3,125 0-12-07-01 DARWIS, TN JL. POROS L X 18 Th 18-Jul-2019
BONTANG
SAMARINDA KM 24
RT 13 SANTAN ULU
3,126 0-12-07-02 ABDUL RAUF HALIM JL. WR SUPRATMAN L X 11 Th 18-Jul-2019
MUSA, AN RT 21 NO 41 API API
3,127 0-12-07-03 HASLINDA, BY NY JL. A YANI RT 11 API L X 0 Hr 18-Jul-2019
API
3,128 0-12-07-04 HANA ZAHRA JL. SELAT P X 2 Th 18-Jul-2019
HUMAIRAH, AN MAKASSAR RT 25
TANJUNG LAUT
3,129 0-12-07-05 SUMIATI RAJAB NY JL S HASANUDDIN L X 0 Hr 18-Jul-2019
BY GG PIONER RT 27/25
B TENGAH
3,130 0-12-07-06 ANITA MARTADINA, JL. PARIKESIT GG P Baru; X 38 Th 18-Jul-2019 Supervision of norma; Z34;
NY KAKATUA RT 07/- B
BARU
3,131 0-12-07-07 FITRAYANTI NY BY JL GENDANG 1 RT P X 0 Hr 18-Jul-2019
22/7 BTG BARU
3,132 0-12-07-08 M ARSYAL, AN JL. MH THAMRIN RT L X 11 b 18-Jul-2019
02/- GN ELAI
3,133 0-12-07-09 PRIMANANDA JL. MT HARYONO NO L X 29 Th 18-Jul-2019
AGIYANSYA, TN 3 KEL. API-API
3,134 0-12-07-10 AMILIYA FAIDAH S, JL. SELAT MADURA P Baru; X 33 Th 18-Jul-2019 Necrosis of pulp; K04.1;
NY RT 08/26 TJ LAUT
3,135 0-12-07-11 DARFIN BIN ALI TN JL WR SUPRATMAN L Baru; X 38 Th 18-Jul-2019 Dyspepsia; K30;
RT 24 B TENGAH
3,136 0-12-07-12 RAMLAH, NY JL. P Baru; X 29 Th 18-Jul-2019 Supervision of norma; Z34;
REMARTADINATA
PERM SALONA
BARU RT 01
3,137 0-12-07-13 M AL FATIH, AN JL. WR SUPRATMAN L Baru; X 2b 18-Jul-2019 Impacted cerumen; H61.2;
RT 24/- B TENGAH
20/Sep/2019 174
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,138 0-12-07-14 MURNIATI JL MH THAMRIN RT P Baru; X 21 Th 18-Jul-2019 Connective and other; D21.9;
MAPPEABANG NN 22/58 BTG BARU
3,139 0-12-07-15 NUR HALIMA , NY JL. POROS BTG SGT P Baru; X 17 Th 18-Jul-2019 Supervision of norma; Z34;
KM 13 TELUK
PANDAN
3,140 0-12-07-16 SUGIONO BIN SARMO JL R SUPRAPTO L Baru; X 47 Th 18-Jul-2019 Fever, unspecified; R50.9;
TN BOMBAY TEXTILLE
BTG BARU
3,141 0-12-07-17 UMI NINA FIATUL JL TOMAT RT 13 GN P Baru; X 24 Th 18-Jul-2019 Supervision of norma; Z34;
ULFA NY ELAI
3,142 0-12-07-18 M AQILA AL GIFARI, JL. GURINDA 5 RT L Baru; X 10 Th 18-Jul-2019 Other specified surg; Z48.8;
AN 42/- GN SAMARINDA
3,143 0-12-07-19 JOKO PURNOMO, TN JL. KALIMANTAN L Baru; X 57 Th 18-Jul-2019 Cutaneous abscess, f; L02;
BLOK H-2 RT 18
API-API
3,144 0-12-07-21 DEVIANA BINTI IHAD, JL. PELABUHAN RT P X 16 Th 18-Jul-2019
NY 07/- TJ LAUT
3,145 0-12-07-22 M. HARITS PARLIN JL TONGKOL RT 26 L X 24 Th 18-Jul-2019
,SDR RAWA INDAH
3,146 0-12-07-23 RIRIN MEGAWATI, NY JL. A YANI GG SELAT P X 32 Th 18-Jul-2019
DR ALOR RT 02/- TJ
LAUT
3,147 0-12-07-24 MARDIA , NY JL. KARYA P X 59 Th 18-Jul-2019
POLEWALI KM 48 RT
17 SAMBOJA KUKAR
3,148 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L Baru; X 38 Th 18-Jul-2019 Connective and other; D21.9;
PALUMEAN TN SATIMPO
3,149 0-12-07-26 LUSI NY JL IR H JUANDA RT P X 28 Th 18-Jul-2019
06 TANJUNG LAUT
3,150 0-12-07-27 WIDYA NUR AISYAH JL SELAT MALAKA 2 P Baru; X 19 Th 18-Jul-2019 Other ill-defined an; R99; Dirawat
AN RT 10/009 TJ LAUT
INDAH
3,151 0-12-07-28 RUDDING SUPU TN JL MT HARYONO RT L X 62 Th 18-Jul-2019
29/- API API
3,152 0-12-07-29 BANGKIT MAULAN A JL SEMARANG 2 RT L X 24 Th 18-Jul-2019
SDR 29 GUNUNG
TELIHAN
3,153 0-12-07-30 BIBIT ARRIYANTI AN JL SIDOREJO GG P X 25 Th 18-Jul-2019
JATI 3 RT 21/ 16
SATATIMPO
3,154 0-12-07-31 IMROTUL KURNIA NY JL SUARI 23 BTN P X 50 Th 18-Jul-2019
BELIMBING
3,155 0-12-07-32 ALI MUNAS TN JL AWANG LONG RT L X 59 Th 18-Jul-2019
06/- BTG BARU

20/Sep/2019 175
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,156 0-12-07-33 DENI BAGUS I W AN JL MH THAMRIN RT L X 6 Th 18-Jul-2019


04 GUNUNG ELAI
3,157 0-12-07-34 MARDIANA NN JL MH THAMRIN 1 P Baru; Baru; X 21 Th 18-Jul-2019 Acute upper respirat; Nausea and J06.9;R1 Dirawat
RT12 GN ELAI BTG vomiting;
UTARA
3,158 0-12-07-35 FEBRIANA RINDA S JL P SURYANATA P X 20 Th 18-Jul-2019
NN PRUM BUKIT
PINANG BONTANG
KUALA
3,159 0-12-07-36 APRIANI MAY FRIDA JL SELAT BONE RT P Baru; X 26 Th 18-Jul-2019 Varicella [chickenpo; B01; Dirawat
NN 20/05 TJ LAUT INDAH
3,160 0-12-07-37 PUTRI HARDYANTI T JL PELABUHAN 1 RT P X 14 Th 18-Jul-2019
AN 10/27 TJ LAUT INDAH
3,161 0-12-07-38 ERLINDA NUR RIYANI JL TARAKAN 2 RT 22 P X 26 Th 18-Jul-2019
NY GUNUNG TELIHAN
3,162 0-12-07-39 AZURAH MASHEL N JL POLO AIR RT 29 P X 1 Th 18-Jul-2019
AN API API
3,163 0-00-07-64 NURJITO BIN ABD JL. SULTAN L X 62 Th 19-Jul-2019
MAJID TN HASANUDDIN RT
03/02 BERBAS
PANTAI
3,164 0-00-23-32 PAULINA TIMBAYO, JL. ASRAMA KODIM P Baru; X 60 Th 19-Jul-2019 Pulpitis; K04.0;
NY 20/41 GN. ELAI\
3,165 0-00-25-68 RIFKA ANNISA EL JL. KH DEWANTARA P X 17 Th 19-Jul-2019
HAAS AN. RT. 18 NO. 17 B
TENGAH
3,166 0-00-53-20 KASPIK NY JL. KH A DAHLAN RT. P X 54 Th 19-Jul-2019
25/ BTG BARU
3,167 0-01-31-57 DEKI SYAUFYAN, TN JL. R SOEPRAPTO L Baru; X 40 Th 19-Jul-2019 Other surgical follo; Z48; Dirawat
RT 14 NO 35
BONTANG BARU
3,168 0-01-31-84 MAHMUDAH HJ NY JL PATTIMURA RT 42 P Lama; X 62 Th 19-Jul-2019 Asthma, unspecified; J45.9;
/17 API-API
3,169 0-01-85-28 PUDI DIANA, NY.,HJ JL. KS TUBUN RT 17 P X 56 Th 19-Jul-2019
TJG LAUT
3,170 0-01-87-91 ABDUL SAMAD, TN. JL. KAPAL SELAM RT L Baru; X 61 Th 19-Jul-2019 Other headache syndr; G44;
18 LOKTUAN
3,171 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P X 58 Th 19-Jul-2019
RT 23/66 B. PANTAI
3,172 0-01-98-46 SITI KHADIJAH NN JL. OTO ISKANDAR P X 29 Th 19-Jul-2019
RT 24/ BTG BARU
3,173 0-02-19-59 AGUS SUSIONO, TN JL. PATIMURA RT 14 L Lama; X 46 Th 19-Jul-2019 Chronic hepatitis, u; K73.9;
NO 94 API API

20/Sep/2019 176
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,174 0-02-31-71 RAHMAN SAHABA TN JL KENANGAN RT 29 L Lama; X 51 Th 19-Jul-2019 Non-insulin-dependen; E11;


TANJUNG LAUT
3,175 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P Baru; X 10 Th 19-Jul-2019 Otitis media, unspec; H66.9;
47/5 B TENGAH
3,176 0-03-73-63 M FARHAN AN JL KENANGAN RT 28 L Lama; X 10 Th 19-Jul-2019 Chronic tonsillitis; J35.0;
NO 32 TJ LAUT
3,177 0-04-01-83 M RUSLI, TN. JL. RAMBUTAN RT L X 37 Th 19-Jul-2019
32/89 TJG LAUT
INDAH
3,178 0-04-45-81 AGUS SUWANDI, TN. JL. R SOEPRAPTO L X 31 Th 19-Jul-2019
RT 23 NO 86 API API
3,179 0-04-53-14 ZASKIA AULIA RUSLI , JL KS TUBUN GG P X 9 Th 19-Jul-2019
AN. BREKSI RT 8 BTG
KUALA
3,180 0-04-71-34 MATIUS SAMPE, TN. JL. ZAMRUD L X 44 Th 19-Jul-2019
RT.47/16 B. TGH
3,181 0-04-71-62 MURNI , NY. JL. Tongkol RT.26/39 P X 6 Th 19-Jul-2019
Tj. Laut I
3,182 0-04-80-74 FADILLAH BINTI JL SELAR ALOR 2 RT P X 7 Th 19-Jul-2019
DONAL AN 32 TJ LAUT INDAH
3,183 0-04-89-75 EZRA CLAUDIA M S KAMP BARU P Baru; Baru; X 7 Th 19-Jul-2019 Acute tonsillitis, u; Fever, J03.9;R5 Dirawat
AN unspecified;
3,184 0-05-36-88 SALMIAH, NY JL. KP TENDEAN RT P Lama; X 51 Th 19-Jul-2019 Non-insulin-dependen; E11;
03 NO 18 BONTANG
KUALA
3,185 0-05-69-30 M ROYAN ATHARI AN JL OTISTA RT.24/64 L Lama; X 6 Th 19-Jul-2019 Fever, unspecified; R50.9; Dirawat
BTG BARU
3,186 0-05-72-79 NURBAYA HAFID NY JL JENDRAL P X 30 Th 19-Jul-2019
SUDIRMAN RT 26/80
TJ LAUT
3,187 0-05-72-79 NURBAYA HAFID NY JL JENDRAL P X 30 Th 19-Jul-2019
SUDIRMAN RT 26/80
TJ LAUT
3,188 0-05-90-39 FIQHI THABITHA JL KOL 9 RT 9 GN P Lama; X 19 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
ANWAR NN ELAI
3,189 0-06-07-95 YAYUK ENDROYONO, JL. GN LOKON NO 5 P Baru; X 39 Th 19-Jul-2019 Secondary amenorrhoe; N91.1;
NY BSD GN ELAI
3,190 0-06-15-10 ZAINUDDIN DRS M.SI JL. OTISTA RT. 26/ L Lama; X 53 Th 19-Jul-2019 Abdominal and pelvic; R10; Dirawat
TN GG TENGGIRI 2 BTG
BARU
3,191 0-06-27-99 M KAKA AL BUKHORI JL. JEND SUDIRMAN L X 13 Th 19-Jul-2019
AN RT. 26/37 TJ. LAUT

20/Sep/2019 177
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,192 0-06-28-02 GISMAN NY JL. RE P Lama; X 47 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
MARTHADINATA RT.
28/60 LOKTUAN
3,193 0-06-45-44 NILAWATI BINTI JL. PARANG TRITIS P X 30 Th 19-Jul-2019
ANSAR NY RT 11 NO 02
BERBAS PANTAI
3,194 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 19-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
3,195 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 19-Jul-2019 Non-insulin-dependen; E11;
SUHARTINI NY API-API
3,196 0-06-67-26 NUR UTAMI NY JL. KALIMANTAN P X 33 Th 19-Jul-2019
BLOOK B NO 6 RT 19
KCY API-API
3,197 0-06-74-24 SABRINA BIN UDIN , JL. KS TUBUN RT 16 P Lama; X 31 Th 19-Jul-2019 Supervision of norma; Z34;
NY TANJUNG LAUT
INDAH
3,198 0-06-79-40 THAMRIN TN JL CUMI CUMI 4 RT 1 L Baru; X 42 Th 19-Jul-2019 Vertigo of central o; H81.4; Dirawat
TJ LAUT INDAH
3,199 0-06-87-23 SARRY OCHTAVIANTI JL. PC VI MILENIUM P X 31 Th 19-Jul-2019
S NY SATIMPO
3,200 0-06-88-31 ARIYANI HARUNA NN JL. GENDANG 5 RT P Baru; X 27 Th 19-Jul-2019 Dyspnoea; R06.0; Dirawat
21/60 BTG BARU
3,201 0-07-14-50 EDY UTORO TN JL. PATIMURA L Lama; X 48 Th 19-Jul-2019 Chronic hepatitis, u; K73.9;
ATLETIK 17 RT 33/34
API-API
3,202 0-07-20-76 EIS RAHAYU P, NN JL. MT HARYONO RT P Baru; Baru; X 22 Th 19-Jul-2019 Other disorders of u; Abdominal N39;R10 Dirawat
28 NO 52 API API and pelvic;
3,203 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 19-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
3,204 0-07-68-68 DWI DEVRY DIMAS S, JL. MERAUKE RT 016 P Baru; X 18 Th 19-Jul-2019 Impacted cerumen; H61.2;
AN NO 03 API API
3,205 0-07-71-86 SAHABUDDIN BIN M JL. A YANI GG L X 43 Th 19-Jul-2019
YUSUF TN RAWIN RT 09 NO 61
API-API
3,206 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Baru; X 49 Th 19-Jul-2019 Traumatic amputation; S88;
B PANTAI
3,207 0-07-77-42 NUR ASTRIA, AN JL CUT NYAK DIEN P X 6 Th 19-Jul-2019
RT 9 BTG BARU
3,208 0-07-77-97 GRECIA PUTRI Y AN JL KERIKIL 4 RT 13 P Lama; X 4 Th 19-Jul-2019 Connective and other; D21.9;
BTG KUALA
3,209 0-07-79-30 GRACE SHIRLY JL. WORTEL RT 09 P Lama; X 41 Th 19-Jul-2019 Fatty (change of) li; K76.0;
TAROREH NY GG WORTEL GN
ELAI

20/Sep/2019 178
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,210 0-07-83-62 SUPRIYANTO BIN JL WORTEL RT 9 / 92 L Lama; X 45 Th 19-Jul-2019 Non-insulin-dependen; E11;
HADI S TN GN ELAI
3,211 0-07-86-04 KAMILAN, TN JL SELAT L Lama; X 54 Th 19-Jul-2019 Non-insulin-dependen; E11;
MAKASSAR RT 25 TJ
LAUT
3,212 0-07-89-24 RITA RIYANI, NY JL MELAWAI RT 20 B P X 31 Th 19-Jul-2019
PANTAI
3,213 0-07-92-89 JIARNO BIN HARTO JL KS TUBUN RT 8 L Lama; X 47 Th 19-Jul-2019 Cellulitis; L03;
TN BTG KUALA
3,214 0-08-02-29 SAHARULLAH, TN JL ZAMRUD 19 RT 62 L Baru; X 51 Th 19-Jul-2019 Fever, unspecified; R50.9;
B TENGAH
3,215 0-08-05-20 LILYANA AZ ZAHRA JL. S SAHRIR RT 3 P Baru; X 5 Th 19-Jul-2019 Otitis media, unspec; H66.9;
AN TJ LAUT
3,216 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P Lama; X 45 Th 19-Jul-2019 Cutaneous abscess, f; L02;
38/13 B TENGAH
3,217 0-08-13-33 MARTINA STEVANI JL. ZAMRUD RT. 50 B P Lama; X 26 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
NY TENGAH
3,218 0-08-19-09 GRACIO DAVILLA JL GAJAH MADA RT L Lama; X 3 Th 19-Jul-2019 Dengue haemorrhagic ; A91;
SAMPE, AN 37 NO 26 B TENGAH
3,219 0-08-24-75 FITRI HIDAYATI NY JL. SIDRAP RT P Lama; X 40 Th 19-Jul-2019 Non-insulin-dependen; E11;
GUNTUNG
3,220 0-08-25-54 RAHMATIA, NY JL. PELABUHAN III P X 39 Th 19-Jul-2019
RT 14 NO 10
TANJUNG LAUT
INDAH
3,221 0-08-41-74 NATASYA ELSA JL. A YANI RT 09 P X 11 Th 19-Jul-2019
KIRANA AN API-API
3,222 0-08-42-97 PURWANTO BIN TN JL SOEKARNO L X 44 Th 19-Jul-2019
HATTA RT 25/ GN
TELIHAN
3,223 0-08-44-10 KUMALA HJ NY JL RE P Baru; X 65 Th 19-Jul-2019 Essential (primary) ; I10;
MARTADINATA RT
31/12 LOKTUAN
3,224 0-08-47-17 RISNAWATI BINTI JL JENDRAL P Lama; X 23 Th 19-Jul-2019 Connective and other; D21.9;
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
3,225 0-08-72-93 HERMAN DAN TN JL. ASMAWARMAN L Baru; X 39 Th 19-Jul-2019 Acute abdomen; R10.0;
RT. 22 NO. 08 GN
TELIHAN
3,226 0-08-94-28 ABDUR ROHIM, TN JL. DI PANJAITAN RT L X 32 Th 19-Jul-2019
26 API API
3,227 0-09-00-89 GUSTINA BINTI JL GUSUNG RT 3 P X 21 Th 19-Jul-2019
GAFRI, NY GUNTUNG

20/Sep/2019 179
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,228 0-09-22-12 JARKASI BIN TN JL MULAWARMAN L Lama; X 58 Th 19-Jul-2019 Non-insulin-dependen; E11;
RT 10 BTG BARU
3,229 0-09-24-76 FITRIANI BINTI JL TIPALAYO RT 47 P Baru; X 31 Th 19-Jul-2019 Connective and other; D21.9;
RAHMAN NY NO 36 B TENGAH
3,230 0-09-44-01 ADE WAHYUDIN TN JL R SOEPRAPTO L X 36 Th 19-Jul-2019
GG POLO AIR 1 RT
21 API API
3,231 0-09-44-89 MARIA NELTIANA JL KS TUBUN RT 08/ P X 29 Th 19-Jul-2019
SETIA NY GG BREKSI BTG
KUALA
3,232 0-09-51-67 MITA SULISTYOWATI JL JAWA PP 07 RT 36 P Baru; X 40 Th 19-Jul-2019 Burns involving 10-1; T31.1; Dirawat
NY KCY API API
3,233 0-09-64-01 AHMAD HAFIZH, AN JL. KS TUBUN RT 16 L X 4 Th 19-Jul-2019
BONTANG KULALA
3,234 0-09-74-93 HADRAH BINTI DOLA JL DEWI SARTIKA P Lama; X 42 Th 19-Jul-2019 Supervision of norma; Z34;
NY RT 08/82 BTG BARU
3,235 0-09-76-11 CLEVERLEY JL ZAMRUD 4 RT 44 L Baru; X 1 Th 19-Jul-2019 Acute tonsillitis; J03; Dirawat
RIATMOJO R , AN NO 31 B TENGAH
3,236 0-09-76-25 TOHARI, TN JL. PATIMURA RT, 41 L X 40 Th 19-Jul-2019
API API
3,237 0-09-78-50 AYUN PUJI LESTARI, JL. A. YANI RT 09 NO P Baru; X 30 Th 19-Jul-2019 Radial styloid tenos; M65.4;
DR NY 112 API-API
3,238 0-09-85-52 YUDHA ADY JL ASRUD RT 7 GN L Baru; X 21 Th 19-Jul-2019 Sciatica; M54.3;
FIRMANSYAH SDR ELAI
3,239 0-09-90-41 MARIATI BINTI, NY JL. PANGANDARAN P X 29 Th 19-Jul-2019
RT 12 BERBAS
PANTAI
3,240 0-10-07-56 HALMAH BINTI JL. PELABUHAN III P X 52 Th 19-Jul-2019
MAROP NY RT 14/06 TJ LAUT
INDAH
3,241 0-10-07-76 ABDUL MUIS, TN JL. PELABUHAN II L Lama; X 58 Th 19-Jul-2019 Non-insulin-dependen; E11;
RT. 12 TL INDAH
3,242 0-10-11-55 MIRANTI ANDINI, NN JL. WORTEL RT 09 P Lama; X 24 Th 19-Jul-2019 Impacted cerumen; H61.2;
NO 121 GN ELAI
3,243 0-10-12-33 AINA THALITA AN JL SELAT KARIMATA P Baru; X 2 Th 19-Jul-2019 Dyspnoea; R06.0; Dirawat
RT 09/29 TJ LAUT
3,244 0-10-28-77 ARDIN AM TN JL KERSIK RT 04 L Lama; X 55 Th 19-Jul-2019 Non-insulin-dependen; E11;
MARANGKAYU
3,245 0-10-38-38 NURIANA SITORUS, JL. PANGLIMA P Lama; X 63 Th 19-Jul-2019 Non-insulin-dependen; E11;
NY SURYANATA RT
19/50 BTG BARU
3,246 0-10-47-14 GIN GIN SUHENDAR , JL. DI PANJAITAN L Baru; X 31 Th 19-Jul-2019 Fever, unspecified; R50.9;
TN GG PIANO 2 NO 78
BTG BARU

20/Sep/2019 180
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,247 0-10-47-91 YASMIN KHAIRUNISA, JL. KS TUBUN RT 08 P Baru; X 3 Th 19-Jul-2019 Foreign body in ear; T16; Dirawat
AN BONTANG KUALA
3,248 0-10-49-07 BAHRIATI NY. JL.MH.THAMRIN P Lama; X 35 Th 19-Jul-2019 Supervision of norma; Z34;
RT.04 NNO.15
GN.ELAI
3,249 0-10-56-02 PARISHA AZZAHRA JL BATU SAHASA 3 P X 1 Th 19-Jul-2019
AN RT 3 NO 8 BTG
KUALA
3,250 0-10-57-87 RAYYAN SYAUQI R JL. PANGANDARAN L X 1 Th 19-Jul-2019
AN RT, 13 NO. 179
BERBAS PANTAI
3,251 0-10-63-68 MASIRAH BINTI JL SABANG RT 20/05 P Lama; X 52 Th 19-Jul-2019 Non-insulin-dependen; E11;
JANTRA NY KCY API API
3,252 0-10-69-58 IQSAN AUDI JL MT HARYONO RT L Baru; Baru; X 17 Th 19-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
PRATAMA AN 28 NO 88 A API API
3,253 0-10-69-68 ARSYA MIKHAILA R, JL. KENANGAN RT L Baru; X 6 Th 19-Jul-2019 Hirschsprung's disea; Q43.1;
AN 28 ATNJUNG LAUT
3,254 0-10-74-83 ANNISYA PUTRI ,NN JL. A YANI GG P Baru; X 21 Th 19-Jul-2019 Bipolar affective di; F31;
RAWIN RT 9/46
API-API
3,255 0-10-75-69 ATIK SUMARSIH , NY JL. P TANDEAN RT P Lama; X 37 Th 19-Jul-2019 Abdominal and pelvic; R10; Dirawat
20 GG BATU
SAHASA B KUALA
3,256 0-10-79-97 M IQBAL AN JL SAMRATULANGI L Baru; X 1 Th 19-Jul-2019 Otitis media, unspec; H66.9;
RT 19/ TJ LAUT
INDAH
3,257 0-10-94-91 SIDEM NY JL DENPASAR 2 RT P Lama; X 54 Th 19-Jul-2019 Non-insulin-dependen; E11;
10/65 GN TELIHAN
3,258 0-10-97-24 TASYA KIRANI C AN JLN. SELAT P X 13 Th 19-Jul-2019
KALIMATA RT 23
NO/- TJ.LAUT
3,259 0-10-99-06 ZAHIYA ZAKARIA AN JL P DIPONEGORO P X 2 Th 19-Jul-2019
RT 16 B PANTAI
3,260 0-11-00-70 EDY BIN JL. TOMAT RT 43/27 L X 55 Th 19-Jul-2019
LABOMBANG, TN GN ELAI
3,261 0-11-06-66 MURSALIM TN JL. SELAT SELAYAR L Baru; X 57 Th 19-Jul-2019 Asthma, unspecified; J45.9;
RT 19 NO 23
3,262 0-11-08-55 M ASLIHANSYAH , AN JL. S HASANUDDIN L Baru; X 5 Th 19-Jul-2019 Dyspnoea; R06.0; Dirawat
RT 07 B PANTAI
3,263 0-11-10-34 RAFATHAR AZKA M JL. BATU SAHASA L X 8b 19-Jul-2019
AN RT 06 BTG KUALA
3,264 0-11-15-44 ABDUL MUIN, TN JL. MELAWAI RT, 15 L Lama; X 75 Th 19-Jul-2019 Hyperplasia of prost; N40;
BERBA PANTAI

20/Sep/2019 181
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,265 0-11-16-84 IRNA SURYANI JL ZAMRUT RT 43/23 P Lama; X 59 Th 19-Jul-2019 Non-insulin-dependen; E11;
SINAGA NY B TENGAH
3,266 0-11-16-84 IRNA SURYANI JL ZAMRUT RT 43/23 P X 59 Th 19-Jul-2019
SINAGA NY B TENGAH
3,267 0-11-17-47 RAFIDAH NY JL.A YANI GG P Lama; X 26 Th 19-Jul-2019 Salpingitis and ooph; N70;
ANGGAR I NO 26 RT
3 API-PI
3,268 0-11-20-38 HADRAH BIN LA JL TOMAT RT 13 NO P Baru; X 53 Th 19-Jul-2019 Asthma, unspecified; J45.9;
GONCING NY 22 GN ELAI
3,269 0-11-23-11 TITI SUMANTI NY JL LUMBA LUMBA RT P Baru; X 45 Th 19-Jul-2019 Urticaria; L50; Dirawat
27/109 TJ LAUT
INDAH
3,270 0-11-24-55 LUKAS SAMPE , TN JL. MARANGKAYU 3 L X 41 Th 19-Jul-2019
DESA SEBUNTAL NO
07
3,271 0-11-26-39 WAHYUNI BAHARA, JL. HANDAL MICO RT P Baru; X 19 Th 19-Jul-2019 Acute tonsillitis, u; J03.9; Dirawat
NN 10 SANTAN TENGAH
3,272 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 19-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
3,273 0-11-28-95 HAPISA BINTI JL. PELABUHAN III P Baru; X 64 Th 19-Jul-2019 Bronchitis, not spec; J40;
MANGGONG, NY RT 02/-62 TJ LAUT
3,274 0-11-29-34 RITA BAHARUDDIN JL TARI JEPEN RT 2 P Baru; X 47 Th 19-Jul-2019 Gynaecological exami; Z01.4;
NY NO 7 GUNTUNG
3,275 0-11-31-60 SHERLY UMROH, NY JL. KP TENDEAN RT, P Lama; X 31 Th 19-Jul-2019 Other rheumatoid art; M06;
11 NO. 15 BTG
KUALA
3,276 0-11-32-20 FLORENSIA JL SUKARNO HATTA P Lama; X 47 Th 19-Jul-2019 Non-insulin-dependen; E11;
SUNTANIK NY RT 25 GN TELIHAN
3,277 0-11-32-27 KHOTIJAH NY JL DESA BUNGA P Baru; X 63 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
PUTIH RT 2
MARANGKAYU
3,278 0-11-32-27 KHOTIJAH NY JL DESA BUNGA P X 63 Th 19-Jul-2019
PUTIH RT 2
MARANGKAYU
3,279 0-11-36-28 ALWI BIN ABD MAJID JL NELAYAN RT 6 L Baru; X 30 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
TN SEMANGKO
MARANG KAYU
3,280 0-11-41-37 HALIJAH B, NY JL. KERSIK RT 03 P Baru; X 43 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
MARANGKAYU
3,281 0-11-48-45 AMINAH, NY JL. SEL BANGKA RT, P Lama; X 61 Th 19-Jul-2019 Anaemia due to enzym; D55;
37 NO. 4 TJ LAUT

20/Sep/2019 182
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,282 0-11-53-68 KARTINI R AISA L NN JL R SOEPRAPTO P Baru; X 24 Th 19-Jul-2019 Varicella [chickenpo; B01;
GG ALPUKAT RT 16
NO 31 BTG BARU
3,283 0-11-62-18 DINA BUA MANGAPE JL. BANDUNG 4 RT P Lama; X 47 Th 19-Jul-2019 Non-insulin-dependen; E11;
NY 23 TELIHAN
3,284 0-11-63-22 BAHARIA BINTI JL. SUTAN SYAHRIR P Lama; X 48 Th 19-Jul-2019 Other disorders of u; N39;
LAMAPA NY GG DAMAI TJ LAUT
3,285 0-11-68-47 YATI NINGSIH NY JL. DI PANJAITAN P Lama; X 57 Th 19-Jul-2019 Non-insulin-dependen; E11;
GG SENAM 3/67
APIAPI
3,286 0-11-70-55 SYAMSUDDIN SADAT JL JEND SUDIRMAN L Lama; X 57 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
TN RT 23 TJ LAUT BTG
SELATAN
3,287 0-11-71-50 NURAENI BINTI JL. PANGANDARAN P Lama; X 36 Th 19-Jul-2019 Supervision of norma; Z34;
TAKING, NY RT 12/- B PANTAI
3,288 0-11-75-32 FATIMAH BIN JL SULTAN AGUNG P Lama; X 14 Th 19-Jul-2019 Connective and other; D21.9;
SABARUDDIN AN RT 7 B PANTAI
3,289 0-11-82-87 LUSIANA LISU NY JL. BERINGIN HOP I/ P Lama; X 67 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
22
3,290 0-11-83-43 MUHAMMAD CAPE TN JL KS TUBUN GG L Lama; X 69 Th 19-Jul-2019 Connective and other; D21.9;
WAKAF 4 RT 16/78
BTG KUALA
3,291 0-11-88-81 M REYHAN ASTIN AN JL. KS TUBUN GG L Baru; X 2 Th 19-Jul-2019 Pneumonia due to oth; J15.4; Dirawat
KERAPU 2 RT 16 TJ
KAUT INDAH
3,292 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Lama; X 53 Th 19-Jul-2019 Cutaneous abscess, f; L02;
MARANGKAYU
3,293 0-11-89-06 IDA ROSIDA NY JL WR SUPRATMAN P Baru; X 22 Th 19-Jul-2019 Supervision of norma; Z34;
RT 59/- TJ LAUT
INDAH
3,294 0-11-92-10 FAHTUR ROHIM, TN JL. R SOEPRAPTO L Lama; X 19 Th 19-Jul-2019 Dengue fever [classi; A90;
GG AMALIA RT 23/62
API-API
3,295 0-11-92-23 IRFAN ASHARI EDI T KL POROS BTG SMD L X 24 Th 19-Jul-2019
TN RT 08/- DESA
SUKARMA
3,296 0-11-93-56 M SAIL TN JL MH THAMRIN RT L Lama; X 47 Th 19-Jul-2019 Otitis media, unspec; H66.9;
26 BTG BARU
3,297 0-11-93-94 ULFAH BINTI M JL. IMAM BONJOL P Baru; X 27 Th 19-Jul-2019 Supervision of norma; Z34;
ARSYAD, NY GG SEMAYANG III
RT 43/05 GN ELAI
3,298 0-11-95-00 ARSYILA KHIRANI A JL MUSLIMIN RT 12 P X 2 Th 19-Jul-2019
AN LOKTUAN

20/Sep/2019 183
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,299 0-11-95-97 ADRIANUS SAKKE TN JL DENPASAR RT L Lama; X 40 Th 19-Jul-2019 Non-insulin-dependen; E11;
17/08 GUNUNG
TELIHAN
3,300 0-11-95-97 ADRIANUS SAKKE TN JL DENPASAR RT L X 40 Th 19-Jul-2019
17/08 GUNUNG
TELIHAN
3,301 0-11-96-44 BURHAN S , TN JL. ADIPURA 2 RT L Baru; X 43 Th 19-Jul-2019 Foreign body in ear; T16; Dirawat
05/- B LESTARI
3,302 0-11-97-41 SITI MARYAM, NY JL. MANUNGGAL RT P Lama; X 54 Th 19-Jul-2019 Gonarthrosis, unspec; M17.9;
14/- B PANTAI
3,303 0-11-99-39 SOMMENG TN JL. DESA TELUK L X 70 Th 19-Jul-2019
PANDAN RT 07/-
TELUK PANDAN
3,304 0-12-00-49 AINUN EWA NN JL BRIGJEN P Lama; X 20 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
KATAMSO RT 16/28
GUNUNG ELAI
3,305 0-12-00-85 NUSAIBAH AFIQAH JL. SELAT MALAKA P X 9b 19-Jul-2019
AN RT 10/- NO 47
3,306 0-12-02-18 INDAH PERMATA JL. KS TUBUN GG P Lama; X 20 Th 19-Jul-2019 Connective and other; D21.9;
SARI NN ARWANA I RT 17/64
TJ LAUT I
3,307 0-12-03-53 RUSMINI BINTI NY JL. TIPALAYO RT 36/- P Baru; X 41 Th 19-Jul-2019 Tuberculosis of lung; A15.0;
B TENGAH
3,308 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Lama; X 34 Th 19-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
3,309 0-12-03-68 SRI MULIANY NUR AN JL DI PANJAITAN GG P Baru; X 13 Th 19-Jul-2019 Otitis externa; H60;
JABORA RT 26 API
API
3,310 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Baru; X 29 Th 19-Jul-2019 Other surgical follo; Z48; Dirawat
RT 39 BERBAS
TENGAH
3,311 0-12-04-42 HASNAH , NY JL. DIPONEGORO RT P Baru; X 58 Th 19-Jul-2019 Connective and other; D21.9;
17/24 B PANTAI
3,312 0-12-04-43 DEVITASARI , SDR JL. PELABUHAN 3 RT P Baru; X 16 Th 19-Jul-2019 Dental caries; K02;
14/- TJ LAUT INDAH
3,313 0-12-04-48 SIRAJUDDIN BIN JL. LUMBA LUMBA L Baru; X 45 Th 19-Jul-2019 Non-insulin-dependen; E11;
WAHAB, TN RT 27/- TJ LAUT
INDAH
3,314 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L Lama; X 42 Th 19-Jul-2019 Cutaneous abscess, f; L02;
API API
3,315 0-12-04-83 DARMIN BINTI JL SUTAN SYAHRIR P Lama; X 58 Th 19-Jul-2019 Other and unspecifie; S29;
MUSTAKIM NY RT 17 TJ LAUT
INDAH

20/Sep/2019 184
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,316 0-12-05-06 ILYAS AL KHAIRY AN JL CUT NYAK DIEN L X 7 Hr 19-Jul-2019


RT 9/7 BTG BARU
3,317 0-12-05-53 HADRAH NY BY JL. DEWI SARTIKA P X 5 Hr 19-Jul-2019
RT 08/82 BTG BARU
3,318 0-12-05-94 IMRON LAMARU TN JL. ZAMRUDT 19 RT L Lama; X 53 Th 19-Jul-2019 Connective and other; D21.9;
62/16 BERBAS
TENGAH
3,319 0-12-06-25 LAFATU BIN TANGKA JL DEWATIRRA 2 RT L Lama; X 54 Th 19-Jul-2019 Hyperplasia of prost; N40;
TN 35/67 TJ LAUT INDAH
3,320 0-12-06-38 AISYAH SAFITRI R, JL. SULTAN P X 10 Th 19-Jul-2019
AN SYAHRIER RT, 007
TJ LAUT INDAH
3,321 0-12-06-47 ANTON MOA TN JL S HATTA GG L Lama; X 59 Th 19-Jul-2019 Unspecified renal co; N23;
BAJAWA RT 26
3,322 0-12-07-11 DARFIN BIN ALI TN JL WR SUPRATMAN L X 38 Th 19-Jul-2019
RT 24 B TENGAH
3,323 0-12-07-12 RAMLAH, NY JL. P X 29 Th 19-Jul-2019
REMARTADINATA
PERM SALONA
BARU RT 01
3,324 0-12-07-14 MURNIATI JL MH THAMRIN RT P X 21 Th 19-Jul-2019
MAPPEABANG NN 22/58 BTG BARU
3,325 0-12-07-18 M AQILA AL GIFARI, JL. GURINDA 5 RT L X 10 Th 19-Jul-2019
AN 42/- GN SAMARINDA
3,326 0-12-07-20 H. KAMARUDDIN, TN JL. ASPOL RES L X 57 Th 19-Jul-2019
BONTANG
3,327 0-12-07-21 DEVIANA BINTI IHAD, JL. PELABUHAN RT P X 16 Th 19-Jul-2019
NY 07/- TJ LAUT
3,328 0-12-07-22 M. HARITS PARLIN JL TONGKOL RT 26 L X 24 Th 19-Jul-2019
,SDR RAWA INDAH
3,329 0-12-07-23 RIRIN MEGAWATI, NY JL. A YANI GG SELAT P X 32 Th 19-Jul-2019
DR ALOR RT 02/- TJ
LAUT
3,330 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L X 38 Th 19-Jul-2019
PALUMEAN TN SATIMPO
3,331 0-12-07-29 BANGKIT MAULAN A JL SEMARANG 2 RT L X 24 Th 19-Jul-2019
SDR 29 GUNUNG
TELIHAN
3,332 0-12-07-37 PUTRI HARDYANTI T JL PELABUHAN 1 RT P Baru; X 14 Th 19-Jul-2019 Acute appendicitis; K35;
AN 10/27 TJ LAUT INDAH
3,333 0-12-07-40 M ALFIN KURNIAWAN JL. IMAM BONJOL RT L Baru; X 16 Th 19-Jul-2019 Pulpitis; K04.0; Dirawat
AN 01 GG DAMAI
3,334 0-12-07-41 AZIZAH RODIAH SDR JL. WR SUPRATMAN P Baru; X 18 Th 19-Jul-2019 Abdominal and pelvic; R10; Dirawat
RT 28

20/Sep/2019 185
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,335 0-12-07-42 SYELDA PRATIWI NY JL. NURI BLOK U NO P X 25 Th 19-Jul-2019


11 BTN PKT RT 17
3,336 0-12-07-43 M RISKY ABDILLAH N JL. PERANGAT RT 14 L Baru; X 8 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
AN
3,337 0-12-07-44 ELBIE TWO NAYAND JL. BANGKA HOP 5 L Baru; X 29 Th 19-Jul-2019 Chronic pansinusitis; J32.4;
TN RT 02
3,338 0-12-07-45 DARMANSYAH BIN TN JL BATU SAHASA 5 L Baru; X 55 Th 19-Jul-2019 Superficial injury o; S30; Dirawat
RT 12/24 BTG KUALA
3,339 0-12-07-46 IRMA BINTI JL. DG PARANI RT P Baru; X 21 Th 19-Jul-2019 Supervision of norma; Z34;
MANSYUR, NY 03/- DESA
SEMANGKO M KAYU
3,340 0-12-07-47 SAJID AL SAKHI, AN JL. BATU SAHASA L Lama; Baru; X 8b 19-Jul-2019 Anaemia, unspecified; Fever, D64.9;R
RT 02/09 B KUALA unspecified;
3,341 0-12-07-48 EDMUNDUS EMBU, JL. BANDUNG 2 RT L Baru; X 51 Th 19-Jul-2019 Otitis media, unspec; H66.9;
TN 25/28 GN TELIHAN
3,342 0-12-07-49 ARKO ADITYA , TN JL. GAJAH MADA RT L X 36 Th 19-Jul-2019
10/5 B TGH
3,343 0-12-07-51 FUAD SYAFAAT AM , JL. JEND. SUDIRMAN L X 21 Th 19-Jul-2019
SDR RT 09/- KLANDASAN
BALIKPAPAN
3,344 0-12-07-53 ANGGA SAPUTRA TN JL BANDENG RT L Baru; X 22 Th 19-Jul-2019 Muscle strain; M62.6;
22/03 TJ LAUT INDAH
3,345 0-12-07-54 NASRUDDIN BIN JL MT HARYONO RT L Baru; X 34 Th 19-Jul-2019 Inguinal hernia; K40;
NASIR TN 07/01 ASRAMA DEN
ARHANUD RUDAL
3,346 0-12-07-55 DICKY EFENDI TN JL PERINTIS RT L X 24 Th 19-Jul-2019
11/01 DESA BADAK
BARU
3,347 0-12-07-56 SYAHARUDDIN BIN, JL. GN SELAMET L X 41 Th 19-Jul-2019
TN BSD RT 36/07 GN
ELAI
3,348 0-12-07-57 HAFIZHAN GAISHAN JL. S SYAHRIR GG L X 19 Hr 19-Jul-2019
A, AN PESUT I RT 04/09 TJ
LAUT
3,349 0-12-07-58 CITRA WIDHI AYU A JL AWANG LONG RT P X 27 Th 19-Jul-2019
NY 7 BTG BARU
3,350 0-12-07-59 JAPARUDDIN BIN JL ZAMBRUD 5 RT L X 47 Th 19-Jul-2019
JAMAL TN 45/21 B TENGAH
3,351 0-12-07-60 ALMERA ZAHRA A AN JL MT HARYONO RT P Baru; X 1 Th 19-Jul-2019 Fever, unspecified; R50.9;
07/1 ASRAMA RUDAL
3,352 0-12-07-61 HASMIYAH REWA NY JL MT HARYONO RT P Baru; X 25 Th 19-Jul-2019 Abdominal and pelvic; R10;
07/1 ASRAMA RUDAL
3,353 0-12-07-62 ISMUL YANUAR TN JL MELATI RT 01/02 L Baru; X 24 Th 19-Jul-2019 Asthma, unspecified; J45.9;
TJ LAUT INDAH

20/Sep/2019 186
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,354 0-12-07-63 ALAN BAHAR JL. PELABUHAN RT L Baru; Baru; X 23 Th 19-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
BAHRONI, SDR 01/39 PERUM BEA
CUKAI TJ LAUT
3,355 0-12-07-64 CONNY MELIANA S JL. KAPAL SELAM 3 P Baru; X 19 Th 19-Jul-2019 Allergic rhinitis, u; J30.4;
NN NO 4 RT 14
3,356 0-12-07-65 NUR SYAMSURI W JL S PARMAN RT 28 L Baru; X 19 Th 19-Jul-2019 Hypertrophy of breas; N62;
SDR TELIHAN
3,357 0-12-07-68 AFIQ RAHMAT JL S HASANUDDIN L Baru; X 1 Th 19-Jul-2019 Diarrhoea and gastro; A09; Dirawat
ZAYYAN AN RT 01 BERBAS
PANTAI
3,358 0-12-07-69 HASNI BINTI LIPU NY JL SELAT LOMBOK P X 44 Th 19-Jul-2019
RT 4 TANJUNG LAUT
3,359 0-00-00-00 HAISAH,NN JL. ANTASARI NO P X 28 Th 20-Jul-2019
103 B PANTAI
3,360 0-00-19-29 TYNA NATALIA NY JL S HASANUDDIN P X 33 Th 20-Jul-2019
GG TIPALAYO RT 35
NO 5 B TENGAH
3,361 0-00-51-79 PINGKI NURALIM, JL GENDANG 1 RT L Baru; X 22 Th 20-Jul-2019 Acute tonsillitis, u; J03.9; Dirawat
SDR 23 BTG BARU
3,362 0-01-06-25 RITA SUSANA K NY JL. TARAKAN RT 20 P Baru; X 36 Th 20-Jul-2019 Other disorders of u; N39;
NO 01 API API
3,363 0-01-85-28 PUDI DIANA, NY.,HJ JL. KS TUBUN RT 17 P Lama; X 56 Th 20-Jul-2019 Non-insulin-dependen; E11;
TJG LAUT
3,364 0-01-98-46 SITI KHADIJAH NN JL. OTO ISKANDAR P Baru; X 29 Th 20-Jul-2019 Bronchitis, not spec; J40;
RT 24/ BTG BARU
3,365 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P X 10 Th 20-Jul-2019
47/5 B TENGAH
3,366 0-02-86-01 LAUMPA TN JL. IR H JUANDA RT. L Baru; X 66 Th 20-Jul-2019 Dyspnoea; R06.0; Dirawat
33/ TJ. LAUT
3,367 0-03-55-47 MUSRIFA, NY JL. MANUNGGAL NO. P X 58 Th 20-Jul-2019
11 RT 14 B PANTAI
3,368 0-03-79-62 M FADHIL AN JL AWANG LONG RT L X 9 Th 20-Jul-2019
06/24 BTG BARU
3,369 0-04-33-99 YUSRIANA, NY JL. S SYAHRIR RT P Lama; X 24 Th 20-Jul-2019 Supervision of norma; Z34;
02/- TJ LAUT INDAH
3,370 0-04-82-92 HAMRUDIN , TN. JL. R SUPRAPTO RT L Baru; X 30 Th 20-Jul-2019 Other disorders of m; M62; Dirawat
24/22 API API
3,371 0-04-89-97 DYAH PUJI ASTUTI JL BROKOLI RAYA P Lama; X 34 Th 20-Jul-2019 Supervision of norma; Z34;
NY GG BROKOLI 4 RT 14
GN ELAI
3,372 0-04-97-33 M KHAIRUL AZZAM JL. DIPONEGORO RT L Lama; X 7 Th 20-Jul-2019 Asthma; J45; Dirawat
AN 14/44

20/Sep/2019 187
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,373 0-05-59-92 DARREN SAVERIO M JL. ZAMRUD 4 L Baru; X 6 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT.43/16 B TENGAH
3,374 0-05-90-39 FIQHI THABITHA JL KOL 9 RT 9 GN P X 19 Th 20-Jul-2019
ANWAR NN ELAI
3,375 0-06-04-99 DONI SUGIARTO SDR JL. A YANI RT.12/38 L Lama; X 21 Th 20-Jul-2019 Dental caries; K02;
BTG BARU
3,376 0-06-08-70 SUPRIANTO TN JL. CATUR RT. 07/12 L Baru; X 42 Th 20-Jul-2019 Urticaria; L50; Dirawat
BTG PERMAI API API
3,377 0-06-16-46 A DARMAN TN JL PANGANDARAN L X 49 Th 20-Jul-2019
RT 13/173 B PANTAI
3,378 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 20-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
3,379 0-06-57-26 WAHYU SUGIARTI NY JL TENIS RT 37 P Baru; X 33 Th 20-Jul-2019 Other and unspecifie; R10.4; Dirawat
API-API
3,380 0-06-66-61 RUKSAL. TN JL. KS TUBUN RT 16 L X 50 Th 20-Jul-2019
TANJUNG LAUT
INDAH
3,381 0-06-78-11 TIRA BIN YARIS ALI JL GAJAH MADA RT P Baru; X 30 Th 20-Jul-2019 Tension-type headach; G44.2; Dirawat
NY 38 NO 03 TJ LAUT
3,382 0-06-79-40 THAMRIN TN JL CUMI CUMI 4 RT 1 L X 42 Th 20-Jul-2019
TJ LAUT INDAH
3,383 0-06-88-31 ARIYANI HARUNA NN JL. GENDANG 5 RT P Baru; X 27 Th 20-Jul-2019 Urticaria; L50; Dirawat
21/60 BTG BARU
3,384 0-07-30-47 BUDIATUN BIN JL PERUM LEMBAH P Lama; X 40 Th 20-Jul-2019 Supervision of norma; Z34;
SLAMET NY ASRI BLOK D35/73
BELIMBING
3,385 0-07-31-67 RENDY SARI NY JL. A YANI RT.11 API P X 30 Th 20-Jul-2019
API
3,386 0-07-39-25 HADIRAH BIN ABD JL. PELABUHAN III P Baru; X 43 Th 20-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
HAKIM, NY RT 12 TANJUNG
LAUT INDAH
3,387 0-07-40-93 SUHARTI NY JL. MENJANGAN RT P Lama; X 62 Th 20-Jul-2019 Polycythaemia vera; D45;
28/Q3 NO 23 BTN
PKT BELIMBING
3,388 0-07-53-17 NAYLA AZKA MAZAYA JL. DURIAN NO BTN P Baru; X 8 Th 20-Jul-2019 Dental caries; K02;
B AN PKT BELIMBING
3,389 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P X 30 Th 20-Jul-2019
NY RT 12 MARANGKAYU
3,390 0-07-64-41 IIS KARTIKA SARI, NY JL. S HASANUDDIN P Baru; X 44 Th 20-Jul-2019 Asthma, unspecified; J45.9;
RT. 30 B TENGAH
3,391 0-07-64-90 M DANI BIN JL S SYAHRIR RT 03 L X 8 Th 20-Jul-2019
SUDIRMAN, AN TJ LAUT INDAH
3,392 0-07-69-18 NIRWANA HS NY JL BANDENG RT 22 P Baru; X 62 Th 20-Jul-2019 Other disorders of u; N39; Dirawat
TJ LAUT INDAH

20/Sep/2019 188
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,393 0-07-74-13 JALEHA BINTI JL. MERAUKE RT P Lama; X 48 Th 20-Jul-2019 Tuberculosis of lung; A15.0;
AMANDEKA NY 16/3 API-API
3,394 0-07-89-24 RITA RIYANI, NY JL MELAWAI RT 20 B P X 31 Th 20-Jul-2019
PANTAI
3,395 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L Lama; X 66 Th 20-Jul-2019 Gastro-oesophageal r; K21.0;
AMIN TN API API
3,396 0-07-98-52 M ARSYAD, TN JL HARUAN RT 32 TJ L X 50 Th 20-Jul-2019
LAUT INDAH
3,397 0-08-09-32 DAFFA SEPTIAN S, JL. EMERALD RT 19 L X 4 Th 20-Jul-2019
AN B TGH
3,398 0-08-24-21 SAID MUHAMMAD JL. BATU SAHASA 3 L Baru; X 8 Th 20-Jul-2019 Otitis media, unspec; H66.9; Dirawat
IRFAN AN RT 4/27 BTG KUALA
3,399 0-08-65-87 FITRIYANTI ROSNI, JL MAWAR RT 36 NO P Lama; X 33 Th 20-Jul-2019 Supervision of norma; Z34;
NY 19 TJ LAUT
3,400 0-09-00-89 GUSTINA BINTI JL GUSUNG RT 3 P Lama; X 21 Th 20-Jul-2019 Urinary tract infect; N39.0;
GAFRI, NY GUNTUNG
3,401 0-09-04-87 RENEESMEE S JL ZAMRUD 11 RT 49 P Baru; X 6 Th 20-Jul-2019 Acute pharyngitis, u; J02.9; Dirawat
SIHOMBING AN NO 52 B TENGAH
3,402 0-09-21-84 MALUVI HERMAWAN JL PATTIMURA RT 13 L X 40 Th 20-Jul-2019
TN NO 51 API API
3,403 0-09-27-74 HASMIRA AFIFAH, AN JL. SELAT BONE RT P X 5 Th 20-Jul-2019
20 BERTBAS
TENGAH
3,404 0-09-33-72 WACHID RAHMANTO, JL. MESS 2000 PAMA L X 27 Th 20-Jul-2019
TN
3,405 0-09-44-25 SAI BIN TN JL TENIS RT 39/ GG L Lama; X 81 Th 20-Jul-2019 Haematemesis; K92.0;
AL WIDY BTG BARU
3,406 0-09-59-63 DANNY IRHANDIE , JL. PIRUS BLOK G 07 L Baru; X 42 Th 20-Jul-2019 Necrosis of pulp; K04.1;
TN RT 18 B LESTARI
3,407 0-09-60-80 FATMAWATI NY JL DG PARANI RT 3 P Lama; X 35 Th 20-Jul-2019 Supervision of norma; Z34;
SEMANGKO
MARANGKAYU
3,408 0-09-68-38 SUKARTI BINTI KAPI JL KS TUBUN GG P Lama; X 45 Th 20-Jul-2019 Thyrotoxicosis [hype; E05;
NY NILA 2 RT 28 TJ
LAUT ONDAH
3,409 0-09-73-37 EDI SUBIANTORO TN JL B KATAMSO RT L Baru; X 57 Th 20-Jul-2019 Scabies; B86; Dirawat
15 GN ELAI
3,410 0-09-75-08 BILQIS FAYRUZ JL. KOL NO 97 RT 08 P X 5 Th 20-Jul-2019
PUTRI S, AN
3,411 0-09-82-94 TALANG SARI, TN JL. SULTAN L X 59 Th 20-Jul-2019
HASANUDDIN RT 24
NO 136 BERBAS
PANTAI

20/Sep/2019 189
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,412 0-09-85-94 AHMAD LUKMAN, TN JL. SAWI RT 44 NO L Lama; X 61 Th 20-Jul-2019 Dyspnoea; R06.0; Dirawat
13 GN ELAI
3,413 0-10-00-63 SONY RIFAI , TN JL BEKANTAN N3 NO L X 56 Th 20-Jul-2019
3 BTN PKT
BELIMBING
3,414 0-10-06-24 ARDISAN, TN JL. KS TUBUN RT 29 L Lama; X 37 Th 20-Jul-2019 Asthma; J45; Dirawat
TANJUNG LAUT
INDAH
3,415 0-10-07-56 HALMAH BINTI JL. PELABUHAN III P Lama; X 52 Th 20-Jul-2019 Non-insulin-dependen; E11;
MAROP NY RT 14/06 TJ LAUT
INDAH
3,416 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Lama; X 44 Th 20-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
3,417 0-10-29-23 RAESHA ARSYILA N, JL. NANAS RT 32 NO P X 1 Th 20-Jul-2019
AN 20 BELIMBING
3,418 0-10-37-40 BURHANUDDIN, TN JL, KS TUBUN RT 16 L Baru; X 46 Th 20-Jul-2019 Chest pain, unspecif; R07.4; Dirawat
BONTANG KUALA
3,419 0-10-43-95 ADIFA NARA AN JL TIPALAYO RT 13 P Baru; X 1 Th 20-Jul-2019 Diarrhoea and gastro; A09; Dirawat
NO 26 B TENGAH
3,420 0-10-51-96 ETI BINTI ABANG NY JL. R SUPRAPTO RT P Baru; X 51 Th 20-Jul-2019 Gastro-oesophageal r; K21.9; Dirawat
21 NO 9 A API API
3,421 0-10-71-09 ISKANDAR , TN JL. DSN HANDIL L Baru; X 64 Th 20-Jul-2019 Tuberculosis of lung; A15.0;
TIGA SANTAN
TENGAH
3,422 0-10-76-10 MURDIANTO BIN JL KOL RT 42 NO 121 L Lama; X 49 Th 20-Jul-2019 Dyspepsia; K30; Dirawat
JOIKROMO TN GN ELAI
3,423 0-10-86-63 ALIZAH INZHIRAH, AN JL. KS TUBUN RT 17 P Baru; X 1 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
TANJUNG LAUT
3,424 0-10-88-33 FIKA HERLINA AN JL. SANTAN TENGAH P X 10 b 20-Jul-2019
RT 08/- M KAYU
3,425 0-10-91-60 ITA BINTI ABD RAZAK JL SAMRATULANGI P Baru; X 59 Th 20-Jul-2019 Connective and other; D21.9;
NY RT 15/35 TJ LAUT
INDAH
3,426 0-10-98-50 DIA NATALIA NY JL CUMI CUMI L X 35 Th 20-Jul-2019
PERUMAHAN ROYAL
REGENCY KAFLING
B TAN
3,427 0-11-28-85 NAIMAH BINTI BABA JL MH THAMRIN RT 4 P Lama; X 74 Th 20-Jul-2019 Non-insulin-dependen; E11;
NY HJ NO 62 GN ELAI
3,428 0-11-37-14 ANTASENA JL. PARIKESIT RT,05 L Baru; X 6b 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
DERENDRA P AN NO. 07 BTG BARU
3,429 0-11-45-89 MIRZA UKAIL, AN JL. SULTAN L X 5 Th 20-Jul-2019
SYAHRIR RT 06 NO
11 TANJUNG LAUT

20/Sep/2019 190
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,430 0-11-50-36 ANNASYA SAILA M AN JL. SULTAN P X 1 Th 20-Jul-2019


HASANUDDIN
3,431 0-11-52-15 AQIANSYAH NAZRIEL JL. SELAT BALI RT L Baru; X 7b 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN 07
3,432 0-11-52-56 M RIFQI, AN JL. ATLETIK RT 41 L Baru; X 3 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
API API
3,433 0-11-57-40 REGINA RAFANI JL. SULTAN P Lama; X 1 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
KHAYLA AN HASANUDDIN BB
PANTAI
3,434 0-11-62-80 SYARIEF AL FAHRI JL. TIHI TIHI RT 15 L X 7b 20-Jul-2019
AN
3,435 0-11-63-27 MARIANI BINTI JL POROS SGT BTG P Lama; X 22 Th 20-Jul-2019 Supervision of norma; Z34;
ANWAR, NY RT 08/18 KANDOLO
TELUK PANDAN
3,436 0-11-65-61 INTIFAAH BIN JL WR SUPRATMAN P Baru; X 37 Th 20-Jul-2019 Postpartum care and ; Z39;
MASFUAD NY RT 27 TANJUNG
LAUT
3,437 0-11-69-83 SAIFUL ANWAR, TN JL. ZAMRUD RT 51 L Lama; X 55 Th 20-Jul-2019 Non-insulin-dependen; E11;
NO 57 BERBAS
TENGAH
3,438 0-11-71-68 SAMSIAH BINTI ABU JL DIPONEGORO RT P Lama; X 43 Th 20-Jul-2019 Vertigo of central o; H81.4; Dirawat
NY 15/01
3,439 0-11-78-20 RUSDAH BINTI NY JL BATU SAHASA RT P Lama; X 47 Th 20-Jul-2019 Non-insulin-dependen; E11;
1 BONTANG KUALA
3,440 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L Lama; X 63 Th 20-Jul-2019 Cellulitis of finger; L03.0;
1/15 GN ELAI
3,441 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L X 63 Th 20-Jul-2019
1/15 GN ELAI
3,442 0-11-85-11 NIKA JUMIYANTI NY JL. KAPAL LAYAR RT P Lama; X 22 Th 20-Jul-2019 Supervision of norma; Z34;
33 LOKTUAN
3,443 0-11-87-54 HAMIDAH, NY JL. SELAT SELAYAR L Lama; X 32 Th 20-Jul-2019 Other disorders of u; N39;
RT 19/- TJ LAUT
3,444 0-11-91-77 MUHAMMAD REYHAN JL BRIGJEN L X 9b 20-Jul-2019
TAMRIN AN KATAMSO RT 16 GN
ELAI
3,445 0-11-94-32 LILLA MAULATUL JL. PANCAK SILAT 4 P X 23 Th 20-Jul-2019
HASANA NY RT 12/- KEL. API-API
3,446 0-11-95-00 ARSYILA KHIRANI A JL MUSLIMIN RT 12 P X 2 Th 20-Jul-2019
AN LOKTUAN
3,447 0-11-98-24 HJ NURLIA, NY JL. GAJA MADA RT P Lama; X 52 Th 20-Jul-2019 Other bursitis, not ; M71.5;
37 BERBAS TENGAH
3,448 0-12-02-39 HERI HERMANTO TN JL MENTE RT 24/02 L X 32 Th 20-Jul-2019
SATIMPO

20/Sep/2019 191
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,449 0-12-02-56 FEMINA WELEM NY JL SAWI NO 27 RT 44 P Lama; X 33 Th 20-Jul-2019 Necrosis of pulp; K04.1;
KEL. GN ELAI
3,450 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P X 29 Th 20-Jul-2019
RT 39 BERBAS
TENGAH
3,451 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P X 29 Th 20-Jul-2019
RT 39 BERBAS
TENGAH
3,452 0-12-04-80 IKHLASUL AMAL , AN JL. PELABUHAN III L Lama; X 19 Th 20-Jul-2019 Connective and other; D21.9;
GG BAWAL RT 12/-
TJ LAUT INDAH
3,453 0-12-05-22 ONDENG BINTI JL. S AGUNG RT 07/- P Baru; X 72 Th 20-Jul-2019 Essential (primary) ; I10;
RONDA, NY B PANTAI
3,454 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P Lama; X 50 Th 20-Jul-2019 Cutaneous abscess, f; L02;
10 MARANGKAYU
3,455 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L Baru; X 57 Th 20-Jul-2019 Traumatic amputation; S88.9;
TN 07 BERBAS PANTAI
3,456 0-12-06-41 LUSE, TN SANTAN ILIR L Baru; X 73 Th 20-Jul-2019 Tuberculosis of lung; A15.0;
MARANGKAYU
3,457 0-12-06-42 NUR ASIAH NY JL SUTAN SYAHRIR P Lama; X 36 Th 20-Jul-2019 Other disorders of b; N64;
RT 3 TANJUNG LAUT
INDAH
3,458 0-12-06-68 ROVY ACHMAD A K , JL. TENGGIRI RT L X 11 Th 20-Jul-2019
AN 25/52 TJ LAUT INDAH
3,459 0-12-06-77 AGUS SETIAWAN H JL KS TUBUN GG L Baru; X 34 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
TN BREKIS BONTANG
KUALA
3,460 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L X 38 Th 20-Jul-2019
PALUMEAN TN SATIMPO
3,461 0-12-07-50 BUDI SANTOSO , DRS JL. ANGKASA RT L X 65 Th 20-Jul-2019
, TN 41/56 SANGATTA
3,462 0-12-07-52 HIDAYANTI SALEH , JL. ANGKASA RT P X 54 Th 20-Jul-2019
SE , NY 41/56 SANGATTA
3,463 0-12-07-54 NASRUDDIN BIN JL MT HARYONO RT L X 34 Th 20-Jul-2019
NASIR TN 07/01 ASRAMA DEN
ARHANUD RUDAL
3,464 0-12-07-64 CONNY MELIANA S JL. KAPAL SELAM 3 P X 19 Th 20-Jul-2019
NN NO 4 RT 14
3,465 0-12-07-66 EDY MARJAKA TN JL KAPT PIERE L X 56 Th 20-Jul-2019
TENDEAN RT 9 BTG
KUALA
3,466 0-12-07-67 NURHIDAYAH NY JL. MASJID NURL P X 25 Th 20-Jul-2019
MUTTAQIN RT 40
LOKTUAN

20/Sep/2019 192
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,467 0-12-07-69 HASNI BINTI LIPU NY JL SELAT LOMBOK P X 44 Th 20-Jul-2019


RT 4 TANJUNG LAUT
3,468 0-12-07-70 HAFSHOH AN JL PERUM BATU P X 10 Th 20-Jul-2019
PUTIH N0 55
TANJUNG BARA
3,469 0-12-07-71 SHAFIYAH HANAN JL PERUM BATU P X 19 Th 20-Jul-2019
SALSABIL NN PUTIH N0 55
TANJUNG BARA
3,470 0-12-07-72 RAFI RIDO AN JL. TAEKWONDO 1 R L Baru; X 10 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
10 API API
3,471 0-12-07-73 M MIRAJ TN JL. POLO AIR RT 28 L Baru; X 21 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
3,472 0-12-07-74 NAUFAL AN JL.IMAM BONJOL L Baru; X 8 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
KEL API API
3,473 0-12-07-75 FADILLAH OKTAVINA JL. AWANG LONG P Baru; X 13 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
R AN RT 06/06
3,474 0-12-07-76 SHAFIYAH HANAN S, JL. PERUM BATU P X 19 Th 20-Jul-2019
SDR PUTIH RT 32 NO 55
SANGATTA
3,475 0-12-07-77 SUKAMTO BIN TN JL. BETE BETE L Baru; X 51 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
RT02/32 TJ LAUT
INDAH
3,476 0-12-07-78 SUMIATI BINTI NY JL BATU SAHASA 3 P X 49 Th 20-Jul-2019
RT 4 / 18
3,477 0-12-07-79 ASHAR BIN HAMZAH, JL. WR SUPRATMAN L X 17 Th 20-Jul-2019
AN RT 27/45 TJ LAUT
3,478 0-12-07-80 ANWAR HUSAIN, TN JL. RE L Baru; X 64 Th 20-Jul-2019 Nephrotic syndrome; N04;
MARTADOINATA RT
06 NO 12 LOKTUAN
3,479 0-12-07-81 KARRAMA, NY JL. SANTAN ILIR RT P Baru; X 62 Th 20-Jul-2019 Dengue haemorrhagic ; A91;
03 MARANGKAYU
3,480 0-12-07-82 ALY KRISTANTI NY JL P SUYANATA P Baru; X 35 Th 20-Jul-2019 Urinary tract infect; N39.0;
SENDAWAR
3,481 0-12-07-83 MUJIATI BIN SAKUR JL KS TUBUN GG P Baru; X 45 Th 20-Jul-2019 Connective and other; D21.9;
NY NILA 2 RT 28
TANJUNG LAUT
INDAH
3,482 0-12-07-84 M. RAIHAN JL. GITAR 2 RT 07/- B L Lama; X 14 Th 20-Jul-2019 Mucocele of salivary; K11.6;
FAKHRUDDIN, AN BARU
3,483 0-12-07-85 MAURISAH ISYATIN, JL. MH THAMRIN RT P X 1 Th 20-Jul-2019
AN 01/117 GN ELAI
3,484 0-12-07-86 TITIK WIDIASTUTIK JL YOS SUDARSO 2 P X 45 Th 20-Jul-2019
NY GG SANTAI NO 172
SANGATTA

20/Sep/2019 193
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,485 0-12-07-87 JARI BIN RANGUN JL YOS SUDARSO 2 / L X 47 Th 20-Jul-2019


RAMIN TN 172 SANGATTA
3,486 0-12-07-88 M ADNA RISLAN, AN JL. SIDOREJO RT 36 L Baru; X 10 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
SATIMPO
3,487 0-12-07-89 EMO KEMITTA KEMIT, JL. PATTIMURA RT L Baru; Baru; X 21 Th 20-Jul-2019 Other and unspecifie; Fever, R10.4;R Dirawat
TN 14 API API unspecified;
3,488 0-12-07-90 NURHASANAH BINTI JL CERITA RT 11 P X 28 Th 20-Jul-2019
SAMIN NY BERBAS PANTAI
3,489 0-12-07-91 MIRAYANTI AN JL TEUKU UMAR RT P X 14 Th 20-Jul-2019
22 BERBAS PANTAI
3,490 0-12-07-92 ABDILAH ROHMAN JL KENANGAN RT L Baru; X 11 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
AN 23/- TJ LAUT INDAH
3,491 0-12-07-93 HASRI BIN HANNASI JL DIPENOGORO L Baru; X 28 Th 20-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
TN PASAR KUD RT 18 B
PANTAI
3,492 0-12-07-94 KANAYA MAHIRA S JL BEKAPAI PC P X 1 Th 20-Jul-2019
AN 5/102A LOMP PT
BADAK
3,493 0-12-07-95 M FERY AN JL MANUNGGAL L X 7 Th 20-Jul-2019
KUTA 3 RT 11/-
BERBAS PANTAI
3,494 0-12-07-96 GHIBRAN SHAKA R JL HALAL SQUARE L X 2 Th 20-Jul-2019
AN BLOK A2 API API
3,495 0-12-07-97 NUR BAETI NY JL SELAT MALAKA P Baru; X 46 Th 20-Jul-2019 Other and unspecifie; R10.4; Dirawat
RT 21/47 TANJUNG
LAUT
3,496 0-12-07-98 ATHIFAH JL KENANGAN RT 29 P Baru; X 7 Th 20-Jul-2019 Fever, unspecified; R50.9; Dirawat
RUSLIDAYANTI AN TANJUNG LAUT
3,497 0-12-07-99 ORLIN RAJA SATRIA JL AWANG L;ONG L X 9 Th 20-Jul-2019
AN GG GGA 3 RT 07/1
BTG BARU
3,498 0-12-08-00 FIRA BINTI UNDING JL PANGANDARAN P Baru; X 2 Th 20-Jul-2019 Injury of unspecifie; T14; Dirawat
AN 07 RT 12 BERBAS
PANTAI
3,499 0-12-08-01 SAINAL ABIDIN TN JL SELAT GASPOR L X 39 Th 20-Jul-2019
RT 34 TANJUNG
LAUT
3,500 0-12-08-02 MASTI NY JL PANGANDARAN P Baru; X 47 Th 20-Jul-2019 Haematemesis; K92.0; Dirawat
RT 12 BERBAS
PANTAI
3,501 0-12-08-03 RENTA SARIATI NY JL SUTAN SYAHRIR P X 54 Th 20-Jul-2019
GG PESUT RT 05 / 18
TANJUNG LAUT

20/Sep/2019 194
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,502 0-12-08-04 NURDIANA BIN JL CENDANA GG 15 P X 23 Th 20-Jul-2019
ZULKIFLI NN SAMARINDA
3,503 0-12-08-05 SETYO UTOMO TN JL ZAMRUD GG L X 60 Th 20-Jul-2019
ZAMRUD 7/11 RT 46
KEL. BERBAS
TENGAH
3,504 0-12-08-06 IBRAHIM AN JL ZAMRUD 12 RT 49 L Baru; X 1 Th 20-Jul-2019 Other and unspecifie; R56.8; Dirawat
NO 17 BERBAS
TENGAH
3,505 0-00-12-43 SUMIYATI , NY JL. ANTASAR RT 26I P X 41 Th 21-Jul-2019
NO 15 TJG LAUT
3,506 0-01-98-46 SITI KHADIJAH NN JL. OTO ISKANDAR P X 29 Th 21-Jul-2019
RT 24/ BTG BARU
3,507 0-03-12-75 SUEDI WARDANA, JL. JEND SUDIRMAN L X 25 Th 21-Jul-2019
SDR RT. 01/- T LAUT
3,508 0-04-00-70 AHMAD KURNIAWAN , JL. DIPONEGORO L X 9 Th 21-Jul-2019
AN. RT.35/43 BTG BARU
3,509 0-04-47-78 ANDI HASANUDDIN JL. MULAWARMAN L X 47 Th 21-Jul-2019
SE TN. RT. 27/17 B. TGH
3,510 0-05-30-48 JOHANSYAH, TN JL BATU SAHASA 4 L Baru; X 38 Th 21-Jul-2019 Injury of unspecifie; T14; Dirawat
RT 6 BTG KUALA
3,511 0-06-04-97 PATIMAH NY JL. DI PANJAITAN RT P Baru; X 54 Th 21-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
25/3 API-API
3,512 0-06-15-40 ZULFIKRI TN JL. S. HASANUDDIN L Baru; X 38 Th 21-Jul-2019 Other disorders of u; N39; Dirawat
RT 02 B PANTAI
3,513 0-06-55-16 SRI UTAMI NY JL MT HARYONO RT L X 34 Th 21-Jul-2019
28 NI 47 API API
3,514 0-06-56-55 ANAS ABBAS TN JL BERBAS TENGAH L X 66 Th 21-Jul-2019
RT 22 NO 120
3,515 0-06-60-02 FITRIANI TEUKU J NY JL. S MAKASSAR RT P Lama; Baru; X 40 Th 21-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
25/ TJ LAUT
3,516 0-06-72-61 ZULFAHMY TEGAR A JL DI PANJAITAN L X 6 Th 21-Jul-2019
AN PIANO 10 RT.36
3,517 0-06-74-18 DEDY IRWANDA TN JL. MELAWAI RT 20 L X 30 Th 21-Jul-2019
NO 26 BERBAS
PANTAI
3,518 0-07-19-30 NAIMA AZKIA WUDDY JL. MULAWARMAN P Lama; X 4 Th 21-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT. 23/ BTG BARU
3,519 0-07-19-75 ANDI MUHAMMAD JL IR H JUANDA RT / L X 6 Th 21-Jul-2019
FATHAN AN TJ LAUT
3,520 0-07-49-98 FIRST AKE LINDA B, JL CUMI-CUMI 4 RT P Lama; X 39 Th 21-Jul-2019 Dyspepsia; K30; Dirawat
NY 01/- KEL. TJ LAUT
INDAH

20/Sep/2019 195
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,521 0-07-91-09 BASTIAN JL. MENTE RT 06 TJ L X 8 Th 21-Jul-2019


TINAMBUNAN AN LAUT
3,522 0-08-42-40 NUR HAEDA BIN JL MELAWAI RT 20 P X 55 Th 21-Jul-2019
MASSIKKI NY NO 55 B PANTAI
3,523 0-08-45-02 T MUHKLIS S BIN TN JL IMAM BONJOL RT L Baru; X 62 Th 21-Jul-2019 Injury of unspecifie; T14; Dirawat
04/ API API
3,524 0-08-46-77 MUTIA BIN JL. SULTAN P Lama; X 10 Th 21-Jul-2019 Asthma; J45; Dirawat
ABRANSYAH AN HASANUDDIN RT 02
BERBAS PANTAI
3,525 0-08-50-23 DIONISIUS PADU, TN JL. PATIMURA RT 41 L X 59 Th 21-Jul-2019
API API
3,526 0-08-57-18 ACHMAD AZZAM AR JL. KS TUBUN RT 8/7 L X 3 Th 21-Jul-2019
RAFIF AN B KUALA
3,527 0-08-61-20 MARISHA UMAR NY JL MH THAMRIN RT 6 P Baru; Baru; X 35 Th 21-Jul-2019 Acute tonsillitis, u; Acute upper J03.9;J0 Dirawat
BTG BARU respirat;
3,528 0-08-79-94 ZUBAEDAH BINTI, NY JL. SULTAN AGUNG P Lama; X 54 Th 21-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
RT 07 BERBAS
PANTAI
3,529 0-08-84-79 AZZAHRA ASYLA JL. SELAT MALAKA P X 5 Th 21-Jul-2019
RAHMA, AN RT 55 NO 19
TANJUNG LAUT
3,530 0-09-17-92 UMAR BIN RUSTAM JL S HASANUDDIN L X 28 Th 21-Jul-2019
TN RT 11 B PANTAI
3,531 0-09-30-19 MIRZA UKAIL H AN JL PELABUHAN 3 GG L X 4 Th 21-Jul-2019
UDANG RT 33/20 TJ
LAUT INDAH
3,532 0-09-44-28 MARKUS TANDILO TN JL PERINTIS RT 6 L X 42 Th 21-Jul-2019
NO 40 KANAAN
3,533 0-09-74-91 ARIFUDDIN BIN SUFU JL LELE RT 32 TJ L X 46 Th 21-Jul-2019
TN LAUT INDAH
3,534 0-10-33-61 NINDONG, NY JL. SULTAN L Baru; X 79 Th 21-Jul-2019 Injury of unspecifie; T14; Dirawat
SYAHRIER RT, 08 TJ
LAUT
3,535 0-10-50-54 AIDIL FITRI TN JL DI PANJAITAN 2 L X 40 Th 21-Jul-2019
RT 02/28 API API
3,536 0-10-54-57 ARSHAKA JL. PELABUHAN I RT L X 1 Th 21-Jul-2019
NARENDRA Y, AN 10 NO 38 TANJUNG
LAUT
3,537 0-10-54-95 SRI WULAN JL IMAM BONJOL RT P X 13 Th 21-Jul-2019
SETYAWATI AN 4 NO 21 API API
3,538 0-10-62-81 EKA NURAENY JL POROS BTG SMD P Baru; X 22 Th 21-Jul-2019 Vertigo of central o; H81.4; Dirawat
LANGITAN NY RT / KM 07 M KAYU

20/Sep/2019 196
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,539 0-10-79-38 AFIZAH KHAIRINA S JL KS TUBUN GG P Baru; X 1 Th 21-Jul-2019 Acute pharyngitis; J02; Dirawat
AN KOI 1 RT 29 TJ LAUT
INDAH
3,540 0-10-86-14 ELA KIKI ANDRIANI, JL. IR JUANDA RT 06 P X 24 Th 21-Jul-2019
NY NO 18 TANJUNG
LAUT
3,541 0-10-88-33 FIKA HERLINA AN JL. SANTAN TENGAH P X 10 b 21-Jul-2019
RT 08/- M KAYU
3,542 0-10-88-33 FIKA HERLINA AN JL. SANTAN TENGAH P X 10 b 21-Jul-2019
RT 08/- M KAYU
3,543 0-11-10-70 M FADHLUL HADI JL. LELE RT 20 L X 14 Th 21-Jul-2019
HARUNA SDR TJ.LAUT INDAH
3,544 0-11-17-06 EVI LUKISWARI NY JL MT HARYONO RT P X 26 Th 21-Jul-2019
29 BLOK A NO 22 API
API
3,545 0-11-22-30 HARNIA BINTI NY JL. RE P X 26 Th 21-Jul-2019
MARTADINATA RT
05/- LOKTUAN
3,546 0-11-23-92 RAISA PUTRI R , AN JL. TARI JEPEN RT P X 7b 21-Jul-2019
04 GUNTUNG
3,547 0-11-31-29 MARWALI BIN JL. SELAT MALAKA P X 45 Th 21-Jul-2019
BERJUANG NY RT 55 TANJUNG
LAUT
3,548 0-11-34-23 SINNIK BINTI SAMI, JL. BATU SAHASA 4 P Baru; X 71 Th 21-Jul-2019 Headache; R51; Dirawat
NY RT 06/- BTG KUALA
3,549 0-11-39-34 REZA FATMAWATI NY JL GAMELAN 2 RT 18 P X 25 Th 21-Jul-2019
NO 17 BTG BARU
3,550 0-11-57-40 REGINA RAFANI JL. SULTAN P X 1 Th 21-Jul-2019
KHAYLA AN HASANUDDIN BB
PANTAI
3,551 0-11-60-06 TITIN NY JL. PISANGAN P X 27 Th 21-Jul-2019
3,552 0-11-62-15 SUPIYAH BINTI JL VETERAN P Baru; Baru; X 54 Th 21-Jul-2019 Other disorders of u; Abdominal N39;R10 Dirawat
SUKARTI NY BERBAS TENGAH and pelvic;
3,553 0-11-84-77 WILDA FLORENTINA JL. GAMELAN NO 17 P Baru; X 27 Th 21-Jul-2019 Acute tonsillitis, u; J03.9; Dirawat
DR. NY RT 15
3,554 0-11-90-99 MULKI BIN SUYUTI TN JL. PANGANDARAN L X 36 Th 21-Jul-2019
RT 12/55 KEL.
BERBAS PANTAI
3,555 0-11-94-92 ROY ANTAMA JL PATIMURA GG L X 21 Th 21-Jul-2019
GINTING TN PENCAK SILAT 1 RT
14 API API
3,556 0-11-97-20 ABYANDRA JL GENDANG 5 RT L X 7 Th 21-Jul-2019
CHRISTIAN AAN 21/73 BTG BARU

20/Sep/2019 197
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,557 0-12-05-57 PRAWOTO TN JL. PATTIMURA RT L Baru; X 36 Th 21-Jul-2019 Surgical follow-up c; Z48.9; Dirawat
42
3,558 0-12-07-78 SUMIATI BINTI NY JL BATU SAHASA 3 P X 49 Th 21-Jul-2019
RT 4 / 18
3,559 0-12-07-81 KARRAMA, NY JL. SANTAN ILIR RT P X 62 Th 21-Jul-2019
03 MARANGKAYU
3,560 0-12-07-89 EMO KEMITTA KEMIT, JL. PATTIMURA RT L X 21 Th 21-Jul-2019
TN 14 API API
3,561 0-12-07-95 M FERY AN JL MANUNGGAL L X 7 Th 21-Jul-2019
KUTA 3 RT 11/-
BERBAS PANTAI
3,562 0-12-07-99 ORLIN RAJA SATRIA JL AWANG L;ONG L X 9 Th 21-Jul-2019
AN GG GGA 3 RT 07/1
BTG BARU
3,563 0-12-08-03 RENTA SARIATI NY JL SUTAN SYAHRIR P X 54 Th 21-Jul-2019
GG PESUT RT 05 / 18
TANJUNG LAUT
3,564 0-12-08-06 IBRAHIM AN JL ZAMRUD 12 RT 49 L X 1 Th 21-Jul-2019
NO 17 BERBAS
TENGAH
3,565 0-12-08-07 MARTINA BINTI JL KARYA BAKTI RT P X 27 Th 21-Jul-2019
MANGGE NY 1 BONTANG
LESTARI
3,566 0-12-08-08 ANUM CONITA JL KARYA BAKTI RT P X 0 Hr 21-Jul-2019
FATINAH, AN 1 BONTANG
LESTARI
3,567 0-12-08-09 AHMAD VARHAN AN JL PARIKESIT GG L X 2 Th 21-Jul-2019
BIOLA BONTANG
BARU RT 5
3,568 0-12-08-10 EDISON JL. BALIKPAPAN RT L X 45 Th 21-Jul-2019
SIMANJUNTAK, TN 13 TELIHAN
3,569 0-12-08-11 IRA HAMDANI NY JL BAWAL TJ LAUT P X 35 Th 21-Jul-2019
INDAH RT 12
3,570 0-12-08-12 SELVIANNA NY JL SELAT GASPOR P X 15 Th 21-Jul-2019
RT 33 / 87
3,571 0-12-08-13 SELVIANNA NY BY JL SELAT GASPOR L X 0 Hr 21-Jul-2019
RT 33 / 87
3,572 0-12-08-15 SURYADI, TN JL. IMAM BONJOL RT L Baru; X 26 Th 21-Jul-2019 Injury of unspecifie; T14; Dirawat
04 API API
3,573 0-12-08-16 HUMAIRA AZZAHRA, JL RE P X 0 Hr 21-Jul-2019
AN MARTADINATA RT 5
LOKTUAN

20/Sep/2019 198
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,574 0-12-08-17 AMMAR FATIH R, AN JL. KERIKIL RT 13 L X 10 b 21-Jul-2019
NO 01 BONTANG
KUALA
3,575 0-12-08-18 UHAR SUHARTI NY JL PERUM GRIYA P X 55 Th 21-Jul-2019
WISATA RT 14 BTG
KUALA BTG UTARA
3,576 0-12-08-19 APRIANA ABADI NY JL MH THAMRIN TJ P X 22 Th 21-Jul-2019
LIMAU
3,577 0-12-08-20 IIN KARISMA YANTI, JL.KAPAL LAYAR 5 P Baru; X 16 Th 21-Jul-2019 Other specified effe; T75.8; Dirawat
AN RT.20/- LOKTUAN
3,578 0-12-08-21 DWI KURNIAWATI, NY JL. DSN MUKTI RAYA P X 26 Th 21-Jul-2019
RT 10 PRANGAT
3,579 0-12-08-22 DWI KURNIAWATI, BY JL. DSN MUKTI RT 10 L X 0 Hr 21-Jul-2019
NY PRANGAT
MARANGKAYU
3,580 0-12-08-24 ROBY BERI TN JL ASRAMA RUDAL L X 33 Th 21-Jul-2019
0002 RT 06/- GN ELAI
3,581 0-12-08-25 DESI SUNDARI BY NY JL MT HARYONO RT L X 0 Hr 21-Jul-2019
-/- ORLET FUTSAL
3,582 0-12-08-27 NORMA BINTI LAJA JL SELAT SELAYAR P X 63 Th 21-Jul-2019
NY RT 13/40 TJ LAUT
INDAH
3,583 0-12-08-28 SUDI BIN REMA TN JL MESJID NURUL L X 30 Th 21-Jul-2019
MUTAQIN RT 38 KEL.
LOK TUAN
3,584 0-12-08-29 M AIDIL FITRI SDR JL IMAM BONJOL L Baru; X 14 Th 21-Jul-2019 Dyspepsia; K30; Dirawat
PANPES
HIDAYATULLAH BTG
3,585 0-12-08-30 NADIRA JL KS TUBUN GG P X 1 Th 21-Jul-2019
ALFATUNNISA AN GRANIT 2 RT 15/111
BTG KUALA
3,586 0-12-08-32 IRVAN DWI HABIONO JL IMAM BONJOL RT L X 20 Th 21-Jul-2019
SDR 12/- KEL. GN ELAI
3,587 0-12-08-33 SIGIT PRAMONO TN JL POROS BTG SMD L X 34 Th 21-Jul-2019
KM 5 TELUK
PANDAN
3,588 0-12-08-34 KHADIJAH JL AHMAD YANI RT P Baru; X 1 Th 21-Jul-2019 Fever, unspecified; R50.9; Dirawat
NURRAHMAN AN 11/19 KEL. GN. ELAI
3,589 0-12-08-36 HENRY KELVIANTO T JL MENTE RT 24/- TJ L Baru; X 13 Th 21-Jul-2019 Acute pharyngitis, u; J02.9; Dirawat
AN LAUT INDAH
3,590 0-12-08-40 JUHERI RO SON TN JL SURABAYA RT L X 34 Th 21-Jul-2019
19/19 GN TELIHAN
3,591 0-00-28-33 NURUL HANA JL SELAT MALAKA 2 P X 19 Th 22-Jul-2019
SINTYA, AN RT 24/50A TJ LAUT

20/Sep/2019 199
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,592 0-00-64-45 BACHRUL KIDENG, JL. PIERE TENDEAN L Baru; X 71 Th 22-Jul-2019 Cerebral infarction,; I63.9;
TN RT 1 NO 22
BONTANG KUALA
3,593 0-01-14-61 RIDUANSYAH H TN JL. A YANI RT. 06/29 L Lama; X 65 Th 22-Jul-2019 Non-insulin-dependen; E11;
API API
3,594 0-01-28-35 ABDUL HAMID, AN JL KH AGUS SALIM L Baru; X 12 Th 22-Jul-2019 Acute abdomen; R10.0;
RT 07 BERBAS
PANTAI
3,595 0-01-32-80 NIEDZA ATSILLA A, JL. YOS SUDARSO P X 12 Th 22-Jul-2019
AN RT 01 NO 58
BONTANG KUALA
3,596 0-01-48-48 ROSLAENI BIN JL. MULAWARMAN P X 37 Th 22-Jul-2019
LATUWO NY. RT. 3 GN. ELAI
3,597 0-01-84-94 ANDREAS MASKA AN. JL DI PANJAITAN L X 17 Th 22-Jul-2019
RT.26/08 B BARU
3,598 0-02-27-02 JELYSAH PUTRI JL. GAMELAN RT 16 P Baru; X 12 Th 22-Jul-2019 Asthma, unspecified; J45.9;
FADYA, AN. NO 11 BTG BARU
3,599 0-02-69-72 SYARIFAH TIAH. HJ. JL. DI PONEGORO P X 78 Th 22-Jul-2019
NY RT 31/71 API-API
3,600 0-02-98-06 DEDEN JL. KH DEWANTORO L X 35 Th 22-Jul-2019
YUDAWIYANTO TN RT 19 B. TENGAH
3,601 0-03-20-52 DEA NANDA PUTRI JL MH THAMRIN RT 1 P X 15 Th 22-Jul-2019
AN GN ELAI
3,602 0-03-26-67 SALMIAH BIN ABD JL SUTAN SYAHRIR P X 35 Th 22-Jul-2019
KARIM NY RT 2 TJ LAUT INDAH
3,603 0-03-34-46 ARIANTO JL. CATUR RT 007 L X 39 Th 22-Jul-2019
HASANUDDIN, TN. NO. 10 API - API
3,604 0-03-48-57 NURI AZKA TADZLILA JL. DI. PAJAITAN P X 11 Th 22-Jul-2019
, AN. RT.26/44 BTG KUALA
3,605 0-03-93-00 MAJID BIN JL. RADEN PATAH L Lama; X 30 Th 22-Jul-2019 Diarrhoea and gastro; A09; Dirawat
ZAINUDDIN TN RT 2 NO 168 B
PANTAI
3,606 0-04-20-54 RIAS MARINDA, NY JL. MANGGA RT 25 P X 30 Th 22-Jul-2019
SATIMPO
3,607 0-04-45-31 ABD GANING, TN. JL. KS. TUBUN RT. L X 57 Th 22-Jul-2019
17/40 TJ. LAUT
INDAH
3,608 0-04-47-85 ALDA RENANDA , AN. Jl. S. sahrir Rt. 2/65 Tj. P X 6 Th 22-Jul-2019
Alut
3,609 0-04-81-71 ERNAWATI IRIANTO , JL. BATU SAHASA P Lama; Lama; X 15 Th 22-Jul-2019 Unspecified renal co; N23;N94 Dirawat
AN. RT.1/13 BTG KUALA Lama; Dysmenorrhoea, unspe; Abdominal
and pelvic;
3,610 0-04-96-29 BUNGATANG, NY JL. MT HARYONO P Lama; X 68 Th 22-Jul-2019 Cluster headache syn; G44.0;
RT, 37 BTG BARU

20/Sep/2019 200
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,611 0-04-97-08 MILAWATY SH, NY JL JAWA BLOK PP 8 P Lama; X 42 Th 22-Jul-2019 Cerebral infarction,; I63.9;
B BTN KCY RT 36
3,612 0-05-61-63 HAERUDIN, TN JL. PELABUHAN RT L Baru; X 37 Th 22-Jul-2019 Pulpitis; K04.0;
31 TANJUNG LAUT
INDAH
3,613 0-05-67-35 AGUS SALIM, TN JL.DIPONEGORO RT L Lama; X 56 Th 22-Jul-2019 Chronic renal failur; N18;
09 NO 10 BERBAS
PANTAI
3,614 0-05-80-80 HARNI NY JL. DEWANTARA RT. P Baru; X 45 Th 22-Jul-2019 Radiculopathy; M54.1;
35/ TJ. LAUT
3,615 0-05-83-32 HASMI NY JL. PESUT I RT 04 P X 57 Th 22-Jul-2019
TJ. LAUT I
3,616 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L X 6 Th 22-Jul-2019
A P AN RT 10 NO 24 TJ LAUT
3,617 0-06-10-95 NUR HUSNA AN JL. KS TUBUN RT32 P X 14 Th 22-Jul-2019
API API
3,618 0-06-20-38 JUMAIYAH, NY JL. BONTANG KUALA P Lama; X 38 Th 22-Jul-2019 Thyrotoxicosis [hype; E05;
RT 06 NO 34
BONTANG KUALA
3,619 0-06-24-30 JOHNY FERDINAN JL. SUTOYO GG. L X 56 Th 22-Jul-2019
SENDOW TN ZAMRUD 9 RT.47 B
TENGAH
3,620 0-06-26-81 KASPAN TN JL. PENCAKSILAT 4 L Baru; X 67 Th 22-Jul-2019 Hyperplasia of prost; N40;
RT 12 API-API
3,621 0-06-27-99 M KAKA AL BUKHORI JL. JEND SUDIRMAN L Lama; X 13 Th 22-Jul-2019 Cutaneous abscess, f; L02;
AN RT. 26/37 TJ. LAUT
3,622 0-06-38-99 JULSIKTIN TN JL. BATU SAHASA 3 L Baru; Baru; X 24 Th 22-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
RT 04 BTG KUALA
3,623 0-06-52-41 RATIKA BINTI NY JL. S KARIMATA P X 30 Th 22-Jul-2019
RT.09/40 TJ LAUT
3,624 0-06-57-12 FAUSIYAH AQILA JL. MH TAMRIN P X 6 Th 22-Jul-2019
QAIREN AN RT.01 GN ELAI
3,625 0-06-58-78 AHMAD DEFAN P AN JL. P SURYANATA L X 6 Th 22-Jul-2019
RT. 12/ BTG BARU
3,626 0-06-68-17 SUTAMI BINTI SURAT JL. HM ARDANS RT P X 28 Th 22-Jul-2019
NY 22 SATIMPO
3,627 0-06-70-53 DARMAWATI NY JL PELABUHAN P Lama; X 47 Th 22-Jul-2019 Low back pain; M54.5;
RT.13 TJ LAUT
INDAH
3,628 0-06-72-57 AHMAD BUSRO TN JL P ANTASARI RT L Lama; X 33 Th 22-Jul-2019 Cutaneous abscess, f; L02;
14/ B PANTAI
3,629 0-06-78-33 WILDA FRANSISKA JL. A YANI RT. 05/74 P X 27 Th 22-Jul-2019
NY TJ. LAUT

20/Sep/2019 201
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,630 0-06-80-43 UMAIYAH NY JL. IR SUKARNO P X 55 Th 22-Jul-2019


HATTA RT. 27/42 TJ.
LAUT
3,631 0-06-87-23 SARRY OCHTAVIANTI JL. PC VI MILENIUM P X 31 Th 22-Jul-2019
S NY SATIMPO
3,632 0-06-87-23 SARRY OCHTAVIANTI JL. PC VI MILENIUM P X 31 Th 22-Jul-2019
S NY SATIMPO
3,633 0-07-02-94 AINUL KHUSNA, NY JL. JAWA BTN KCY P Lama; X 23 Th 22-Jul-2019 Necrosis of pulp; K04.1;
RT 36/08 API-API
3,634 0-07-08-17 HANIF BIN MUSTAFA, JL. MH TAMRIN RT L X 7 Th 22-Jul-2019
AN 03/40 BTG BARU
3,635 0-07-10-58 IRABI NY JL. KS TUBUN RT. / P Baru; X 46 Th 22-Jul-2019 Benign paroxysmal ve; H81.1;
TJ LAUT INDAH
3,636 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Lama; X 18 Th 22-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT
3,637 0-07-24-12 MUJARI BIN SARNI TN JL KH DEWANTARA L Baru; X 50 Th 22-Jul-2019 Connective and other; D21.9;
RT 18 NO 13
BERBAS TENGAH
3,638 0-07-29-19 YULIANA JL. TARAKAN RT 18 P X 30 Th 22-Jul-2019
PATADUNGAN NN NO 53 KANAAN
3,639 0-07-32-14 ELISA BINTI YUDIN JL. JEND SUDIRMAN P Lama; X 19 Th 22-Jul-2019 Hypokalaemia; E87.6;
NN RT. 22/ TJ LAUT
3,640 0-07-32-14 ELISA BINTI YUDIN JL. JEND SUDIRMAN P X 19 Th 22-Jul-2019
NN RT. 22/ TJ LAUT
3,641 0-07-38-95 HAFSAH BIN JL. SANTAN TENGAH L Baru; X 62 Th 22-Jul-2019 Dyspepsia; K30;
TOLLENG NY RT 01 MARANGKAYU
3,642 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 22-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
3,643 0-07-54-53 HIKMAH NY JL. SENDAWAR RT P X 56 Th 22-Jul-2019
BTG BARU
3,644 0-07-55-28 KIRNO JAENAL, TN JL. SELAT BALI RT 7 L Lama; X 35 Th 22-Jul-2019 Unspecified renal co; N23;
NO 10 TANJUNG
LAUT
3,645 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Baru; X 50 Th 22-Jul-2019 Acute appendicitis w; K35.0;
AHMADA NY 20/35 B PANTAI
3,646 0-07-66-17 NUR ENDANG NY JL. BUNAKEN RT 19 P Lama; X 39 Th 22-Jul-2019 Connective and other; D21.9;
B PANTAI
3,647 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 22-Jul-2019 Necrosis of pulp; K04.1;
NY API API
3,648 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 22-Jul-2019 Traumatic amputation; S88;
B PANTAI
3,649 0-07-89-48 RUMINI BIN WITO, NY JL TEUKU UMAR RT P Lama; X 43 Th 22-Jul-2019 Non-insulin-dependen; E11;
17 BTG BARU

20/Sep/2019 202
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,650 0-07-89-52 SLAMET, TN JL SIDEREJO GG L X 64 Th 22-Jul-2019


JATI 4 RT 21
SATIMPO
3,651 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L Baru; X 66 Th 22-Jul-2019 Connective and other; D21.9;
AMIN TN API API
3,652 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P X 27 Th 22-Jul-2019
INTAP, NY RT 2 TJ LAUT INDAH
3,653 0-08-10-46 IIN SUPRIYATIN NY JL GAJAH MADA RT P X 45 Th 22-Jul-2019
38/13 B TENGAH
3,654 0-08-12-70 AGUS BIN TN JL MH TAMRIN RT 21 L Lama; X 47 Th 22-Jul-2019 Dyspepsia; K30;
BTG BARU
3,655 0-08-12-91 AGUNG SETYAWAN, JL. MUTIARA RT 03 L X 18 Th 22-Jul-2019
AN NO 16 BERBAS
TENGAH
3,656 0-08-13-33 MARTINA STEVANI JL. ZAMRUD RT. 50 B P X 26 Th 22-Jul-2019
NY TENGAH
3,657 0-08-13-78 SURIANI BINTI, NY JL. SELAT KARIMATA P X 43 Th 22-Jul-2019
RT 09 TANJUNG
LAUT
3,658 0-08-15-63 AMAT BIN DG JL. KS TUBUN RT 16 L Lama; X 52 Th 22-Jul-2019 Cerebral infarction,; I63.9;
SITONDRA TN TJ LAUT I
3,659 0-08-23-67 SULIKA SAPRANI, NY JL. SELAT BALI RT P Lama; X 59 Th 22-Jul-2019 Dyspepsia; K30;
07 NO 21 TANJUNG
LAUT
3,660 0-08-31-23 SARNI BINTI JL PELABUHAN RT P X 34 Th 22-Jul-2019
SAHABUDDIN NY 14 NO 25 TJ LAUT
3,661 0-08-40-02 INDRA SAPUTRA JL SELAT SELAYAR L Baru; X 15 Th 22-Jul-2019 Fever, unspecified; R50.9;
OKTAV AN RT 09/58 TJ LAUT
3,662 0-08-41-74 NATASYA ELSA JL. A YANI RT 09 P Baru; Baru; X 11 Th 22-Jul-2019 Diarrhoea and gastro; Dyspepsia; A09;K30 Dirawat
KIRANA AN API-API
3,663 0-08-42-97 PURWANTO BIN TN JL SOEKARNO L Lama; X 44 Th 22-Jul-2019 Chronic hepatitis, u; K73.9;
HATTA RT 25/ GN
TELIHAN
3,664 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 22-Jul-2019 Traumatic amputation; S88;
RT 027
3,665 0-08-47-86 ZEMMY HASZ, TN JL SAWO 2 RT 34 NO L X 57 Th 22-Jul-2019
58 TJ LAUT
3,666 0-08-50-46 DEWI AGUSTINA NN JL SAMRATULANGI P X 27 Th 22-Jul-2019
RT 19/43 GG PAUS
TJ LAUT INDAH
3,667 0-08-57-18 ACHMAD AZZAM AR JL. KS TUBUN RT 8/7 L X 3 Th 22-Jul-2019
RAFIF AN B KUALA
3,668 0-08-57-18 ACHMAD AZZAM AR JL. KS TUBUN RT 8/7 L X 3 Th 22-Jul-2019
RAFIF AN B KUALA

20/Sep/2019 203
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,669 0-08-66-05 WENI LINGGAR JL. RE. P X 36 Th 22-Jul-2019


NINGSIH NY MARTADINATA RT.
03 LOKTUAN
3,670 0-08-66-17 HATIJAH NY JL. PELABUHAN RT P Baru; X 55 Th 22-Jul-2019 Gonarthrosis [arthro; M17;
14 NO TJ LAUT I
3,671 0-08-68-59 GIBRAN ALDZAKI JL. GAMELAN RT 16 L Baru; X 3 Th 22-Jul-2019 Acute upper respirat; J06.9;
PUTRA F AN NO 11 BONTANG
BARU
3,672 0-08-70-83 ADEEVA CHAYRA JL PATIMURA RT 27 P X 3 Th 22-Jul-2019
VERLIANI AN API API
3,673 0-08-84-50 ISMIATI BINTI PARTO, JL A YANI RT 8 TJ P Baru; X 44 Th 22-Jul-2019 Other disorders of m; M62;
NY LAUT
3,674 0-08-89-36 RUSMIATI HJ BINTI JL WR SUPRATMAN P X 67 Th 22-Jul-2019
NY RT 09/61 B PANTAI
3,675 0-08-98-56 KHADIJAH VIOLETZA JL SULTAN P X 4 Th 22-Jul-2019
U, AN HASANUDDIN RT 56
B TENGAH
3,676 0-09-15-86 SAMIUN, TN JL. TONGKOL RT 26 L Lama; X 59 Th 22-Jul-2019 Cutaneous abscess, f; L02;
TANJUNG LAUT
3,677 0-09-23-64 M SYAHFRIZZAL IBNU JL BERINGIN GG L Baru; X 5 Th 22-Jul-2019 Asthma; J45; Dirawat
D AN GOTONG ROYONG
RT 54 NO 4 B
TENGAH
3,678 0-09-26-87 SULASTRI RIYADI NY JL BELANAK RT 21 P Baru; X 60 Th 22-Jul-2019 Unspecified renal co; N23;
TJ LAUT INDAH
3,679 0-09-28-02 HERMIN BINTI JL GAMELAN RT 18 P Lama; X 50 Th 22-Jul-2019 Thyroiditis; E06;
JEMARI NY BTG BARU
3,680 0-09-42-48 NURALAM BINTI JL SUTAN SYAHRIR P Lama; X 52 Th 22-Jul-2019 Benign paroxysmal ve; H81.1;
LABAGE NY GG BETE BETE 3 RT
2 TJ LAUT INDAH
3,681 0-09-46-46 AINUN NURUL JL PANGANDARAN P X 2 Th 22-Jul-2019
SYAFIRAH AN RT 12/ B PANTAI
3,682 0-09-65-29 ANANG BUDI JL WORTEL GANG L Baru; X 56 Th 22-Jul-2019 Chronic renal failur; N18;
PRASTIYO, TN KOL RT 09 GN ELAI
3,683 0-09-66-64 M INDRA SEPTIAWAN JL BRIG KATAMSO L Baru; X 16 Th 22-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
AN RT 17/ GN ELAI GG
PAKIS
3,684 0-09-69-39 JUBAEDAH BINTI JL KP TENDEAN RT P Lama; X 38 Th 22-Jul-2019 Pulpitis; K04.0;
DARMAWI NY 12 NO 61 BTG KUALA
3,685 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P X 24 Th 22-Jul-2019
GG ARUMBIA 1 RT
27 BTG BARU
3,686 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L Lama; X 33 Th 22-Jul-2019 Cutaneous abscess, f; L02;
NANANG TN 10 BTG KUALA

20/Sep/2019 204
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,687 0-09-74-39 SUSI JULIANI NY JL MH THAMRIN RT P X 36 Th 22-Jul-2019


16/65 BONTANG
BARU
3,688 0-09-78-50 AYUN PUJI LESTARI, JL. A. YANI RT 09 NO P Lama; X 30 Th 22-Jul-2019 Radial styloid tenos; M65.4;
DR NY 112 API-API
3,689 0-09-82-91 INONG BINTI KATTU JL S HASANUDDIN P Baru; X 40 Th 22-Jul-2019 Acute pharyngitis, u; J02.9;
NY RT 6 NO 74 B PANTAI
3,690 0-09-88-98 KALEWANG K , H TN JL AP L X 68 Th 22-Jul-2019
MANGKUNEGORO
RT 7 NO 15 B
TENGAH
3,691 0-09-89-56 DELIMA DIEN JL DI PANJAITAN GG P Baru; X 10 Th 22-Jul-2019 Connective and other; D21.6; Dirawat
MUFIDAH AN ATLETIK 3 RT 27 API
API
3,692 0-10-03-10 RATU RASYILA JL. IR H JUANDA RT. P Baru; X 1 Th 22-Jul-2019 Convulsions, not els; R56; Dirawat
ZAHRA , AN 06 NO. 42 TJ LAUT
3,693 0-10-04-18 MARSIAH BINTI M JL. S. HASANUDDIN P Lama; X 40 Th 22-Jul-2019 Non-insulin-dependen; E11;
SAID NY GG OBSIDIAN RT
27/25 B TENGAH
3,694 0-10-07-32 SAMUEL DOMING , JL. ZAMRUD RT 50 B L X 69 Th 22-Jul-2019
TN TGH
3,695 0-10-20-57 SURIANI BINTI AMBRI JL. PELABUHAN GG P X 38 Th 22-Jul-2019
, NY DAMAI RT 14/ TJ
LAUT
3,696 0-10-27-38 SULASTRI NY JL KS TUBUN RT P Baru; X 47 Th 22-Jul-2019 Gingival and edentul; K06.2;
32/20 GG BERSAMA
API API
3,697 0-10-32-72 JAMALUDDIN TN JL S HASANUDDIN L Lama; X 57 Th 22-Jul-2019 Chronic renal failur; N18;
RT 25/05 B TENGAH
3,698 0-10-40-13 ARIYANA, NY JL. AHMAD YANI RT P X 56 Th 22-Jul-2019
09 NO 41 API API
3,699 0-10-40-91 AISYAH BINTI IQBAL JL SELANCAR 7 RT P X 4 Th 22-Jul-2019
AN 29 NO 39 API API
3,700 0-10-50-00 ASRIL , TN JL. SAMRATULANGI L Baru; X 26 Th 22-Jul-2019 Injury, unspecified; T14.9; Dirawat
RT. 16 TJ LAUT
3,701 0-10-62-85 FISKA NOR ABTIYA JL LUMBA LUMBA 2 P X 12 Th 22-Jul-2019
PUTRI AN RT 27 NO 109 TJ
LAUT INDAH
3,702 0-10-64-11 MESLA BIN NAJIB TN JL. DENPASAR RT 10 L X 58 Th 22-Jul-2019
NO 15 GN TELIHAN
3,703 0-10-65-25 M SYAWAL ALI AN JL. S HASANUDDIN L X 1 Th 22-Jul-2019
RT 6/74 B PANTAI

20/Sep/2019 205
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,704 0-10-67-48 CONI FEBRI JL MT HARYONO GG P X 28 Th 22-Jul-2019
TRIASTUTI NY SELANCAR 7 RT 28
NO 105 API API
3,705 0-10-67-71 AMIR BIN TONGGO JL GUNUNG L X 57 Th 22-Jul-2019
TN MENANGIS RT 12
SEMANGKO
MARANG KAYU
3,706 0-10-69-75 SHELVY PUTRI K , AN JL KS TUBUN GG P X 1 Th 22-Jul-2019
KOI 1 RT 28 TJ LAUT
INDAH
3,707 0-10-69-75 SHELVY PUTRI K , AN JL KS TUBUN GG P X 1 Th 22-Jul-2019
KOI 1 RT 28 TJ LAUT
INDAH
3,708 0-10-70-88 SITI BULKIS, NY JL. KS TUBUN RT 8 P Lama; X 54 Th 22-Jul-2019 Non-insulin-dependen; E11;
BONTANG KUALA
3,709 0-10-80-59 AHMAD RAUFA JL. CUT NYAK DIEN L X 1 Th 22-Jul-2019
SHALIH A , AN RT 9/48 BTG BARU
3,710 0-10-80-59 AHMAD RAUFA JL. CUT NYAK DIEN L X 1 Th 22-Jul-2019
SHALIH A , AN RT 9/48 BTG BARU
3,711 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P X 49 Th 22-Jul-2019
DUSSA NY TANJUNG LAUT
3,712 0-10-94-95 MARTA, NY JL. TIPALAYO RT. 36 P X 53 Th 22-Jul-2019
BERBAS TENGAH
3,713 0-10-95-33 DARAWANI HJ NY JL CUMI CUMI RT 1 P X 69 Th 22-Jul-2019
NO 2 TJ LAUT INDAH
3,714 0-10-96-30 NURLINA BIN DG JL TANJUNG BATU P X 45 Th 22-Jul-2019
MALANRE NY RT 6 SEMANGKO
MARANG KAYU
3,715 0-10-97-25 GUNUNG SIAGIAN TN JL A YANI GG KARYA L Baru; X 66 Th 22-Jul-2019 Malignant neoplasm o; C11;
RT 2 NO 7 API API
3,716 0-10-98-31 ABZANI DARKA E, AN JL AR HAKIM RT 41 L X 9b 22-Jul-2019
NO 64 BELIMBING
3,717 0-11-00-35 NILA FAJRIANTI, AN JL. HARUAN RT P X 16 Th 22-Jul-2019
32/22 TJ LAUT INDAH
3,718 0-11-02-45 RUDIANSYAH TN JL. 21 KENANGAN L Lama; X 37 Th 22-Jul-2019 Schizophrenia; F20;
RT 29
3,719 0-11-03-90 ABDUL RAHMAN ALI , JL. A YANI RT 25/35 L X 65 Th 22-Jul-2019
TN API-API
3,720 0-11-04-72 NURHAYATI BIN JL. MH THAMRIN RT P Lama; X 47 Th 22-Jul-2019 Non-insulin-dependen; E11;
UMAR NY 05/30 GN ELAI
3,721 0-11-06-75 SAIDUL BIN BADULU JL. MANUNGGAL RT L X 54 Th 22-Jul-2019
TN 11 BERBAS PANTAI

20/Sep/2019 206
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,722 0-11-10-67 DEBBY NUR K NN KINAMENG 30 RT 1/4 P X 23 Th 22-Jul-2019
SIDOKUMPUL
LAMONGAN
3,723 0-11-16-10 ADELIA PUTRI JL BRIGJEN P Baru; X 6 Th 22-Jul-2019 Epilepsy; G40;
RAHMAWATI AN KATAMSO RT 16/ GN
ELAI
3,724 0-11-16-70 ASMADI BIN JUNI , TN JL. MH TAMRIN RT L Lama; X 39 Th 22-Jul-2019 Cerebral infarction,; I63.9;
02 GN ELAI
3,725 0-11-19-30 EL RASYA M JL. KP TENDEAN RT L X 7b 22-Jul-2019
ABDULLAH AN 19 BONTANG BARU
3,726 0-11-22-65 NAWIA EPE NY JL KELADI RT 3 NO 5 P X 56 Th 22-Jul-2019
GN ELAI
3,727 0-11-23-04 M DENIS JL. KAPAL PINISI RT L X 7 Th 22-Jul-2019
HERYANSYAH, AN 48 NO 65 LOKTUAN
3,728 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 22-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
3,729 0-11-28-81 ENI KUSRINI NY JL R SUPRAPTO GG P X 29 Th 22-Jul-2019
AMALIYAH RT 23 API
API
3,730 0-11-28-88 JEMIKAN , TN JL. FLORES RT 25 L Lama; X 59 Th 22-Jul-2019 Human immunodeficien; B20;
GN TELIHAN
3,731 0-11-28-93 ARKA KYANDRA JL. KENANGAN NO P X 6 Th 22-Jul-2019
WAHID , AN 12 TJ LAUT
3,732 0-11-30-60 TITUS DEDI JL. TARAKAN RT, 18 L X 31 Th 22-Jul-2019
PALIANUS, TN NO. 53 KANAAN
3,733 0-11-41-06 HAIRUN BIN ALLUN B JL R SOEPRAPTO L Lama; X 41 Th 22-Jul-2019 Intracerebral haemor; I61.9;
TN RT 23 GG AMALIA
API API
3,734 0-11-41-26 SYAHRUL BIN SYAIR , JL. ZAMRUD RT 49 B L Lama; X 33 Th 22-Jul-2019 Connective and other; D21.9;
TN TGH
3,735 0-11-45-36 MASSE BIN JL. SELAT BANDA RT L Lama; X 56 Th 22-Jul-2019 Tic disorder, unspec; F95.9;
MAKKARENNU, TN 35/- TJ LAUT
3,736 0-11-51-25 RASMA BINTI EDO NY JL. SATYA LENCANA P X 37 Th 22-Jul-2019
RT. 14 BONTANG
LESTARI
3,737 0-11-52-70 SARAH BINTI NY JL. RADEN FATAH P Lama; X 72 Th 22-Jul-2019 Non-insulin-dependen; E11;
RT 53 BERBAS
TENGAH
3,738 0-11-54-72 RAHMAD HEGA, SDR JL. GAMELAN RT 13 L Lama; X 17 Th 22-Jul-2019 Epilepsy; G40;
BONTANG BARU
3,739 0-11-57-30 CINTA ISYANATIA AN JL MH THAMRIN RT P X 9 Th 22-Jul-2019
22

20/Sep/2019 207
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,740 0-11-61-68 MUHAMMAD BAIM JL MAIJEN L X 3 Th 22-Jul-2019
BORNEO AN PANJAITAN RT 26/03
BTG BARU
3,741 0-11-71-70 SITI CHASBIATI HJ JL. KERIKIL RT 13 P Lama; X 61 Th 22-Jul-2019 Non-insulin-dependen; E11;
NY
3,742 0-11-71-70 SITI CHASBIATI HJ JL. KERIKIL RT 13 P X 61 Th 22-Jul-2019
NY
3,743 0-11-73-22 DZAKIRA DESI A AN JL. KARIMATA TJ P X 3b 22-Jul-2019
LAUT
3,744 0-11-75-32 FATIMAH BIN JL SULTAN AGUNG P Lama; X 14 Th 22-Jul-2019 Connective and other; D21.9;
SABARUDDIN AN RT 7 B PANTAI
3,745 0-11-77-85 FAIZAL MAHYUDIN TN JL SELAT BALI RT L X 20 Th 22-Jul-2019
07/49 TANJUNG
LAUT
3,746 0-11-78-49 YUNUS A TN JL TENIS GG MILIK L X 41 Th 22-Jul-2019
BERSAMA RT -/03 A
API API
3,747 0-11-79-70 CINDY, AN JL. PISANGAN RT 22 P Lama; X 15 Th 22-Jul-2019 Asthma; J45; Dirawat
SATIMPO
3,748 0-11-79-92 ADE SYARTIKA F SDR JL A YANI GG SELAT P Baru; X 17 Th 22-Jul-2019 Disorder of muscle, ; M62.9; Dirawat
TIMOR 2 GUNUNG
SARI RT 3
3,749 0-11-80-94 SATRIA CANDRA A JL. BULUTANGKIS 3 L X 4b 22-Jul-2019
AN RT 40 APIAPI
3,750 0-11-82-38 JUNAIDI KERTASIH JL. TEUKU UMAR RT L Baru; X 70 Th 22-Jul-2019 Cutaneous abscess, f; L02;
TN 13 BONTANG BARU
3,751 0-11-83-54 MASRIANI BINTI JL ZAMBRUD 11 RT P Lama; X 15 Th 22-Jul-2019 Migraine with aura [; G43.1;
BAHAR NN 49/49 BERBAS
TENGAH
3,752 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Lama; X 53 Th 22-Jul-2019 Cutaneous abscess, f; L02;
MARANGKAYU
3,753 0-11-89-62 SUDADI, TN JL. PC 6 RT 13 NO L Lama; X 57 Th 22-Jul-2019 Lateral epicondyliti; M77.1;
104 SATIMPO
3,754 0-11-92-43 WIWIK NURUL I NY JL TENNIS GG MILIK P Lama; X 44 Th 22-Jul-2019 Cutaneous abscess, f; L02;
BERSAMA RT 37 API
API
3,755 0-11-93-22 FHARID RIDHAN JL. SELAT KARIMATA L X 7 Th 22-Jul-2019
RAMADAN, AN RT 26/- TJ LAUT
3,756 0-11-93-90 SURYADI BIN JL BATU BARA RT L Lama; X 28 Th 22-Jul-2019 Connective and other; D21.9;
SUNARKO TN 19/03 BONTANG
LESTARI
3,757 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P Lama; X 53 Th 22-Jul-2019 Intervertebral disc ; M51.9;
14/33 B TENGAH

20/Sep/2019 208
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,758 0-11-96-52 MUNA DAENG M, NY JL. S SYAHRIR RT L X 57 Th 22-Jul-2019
08/- TJ LAUT INDAH
3,759 0-11-96-52 MUNA DAENG M, NY JL. S SYAHRIR RT L X 57 Th 22-Jul-2019
08/- TJ LAUT INDAH
3,760 0-11-96-87 ULIA ASMIN, NY JL. SELAT ROTE 1.A P Lama; X 43 Th 22-Jul-2019 Essential (primary) ; I10;
TANJUNG LAUT
3,761 0-11-97-42 SUMARTINAH, NY JL. PATTIMURA NO P Lama; X 50 Th 22-Jul-2019 Cerebral infarction,; I63.9;
11, RT 32 KEL.
API-API
3,762 0-11-98-04 PESTINA JL PARIKESIT GG P X 54 Th 22-Jul-2019
SIMANJUNTAK NY KAKAK TUA RT 07/27
BTG BARU
3,763 0-11-98-24 HJ NURLIA, NY JL. GAJA MADA RT P Lama; X 52 Th 22-Jul-2019 Other bursitis, not ; M71.5;
37 BERBAS TENGAH
3,764 0-11-99-37 MARDIANA BINTI NY JL. BATU SAHASA 1 P Baru; Baru; X 40 Th 22-Jul-2019 Essential (primary) ; Dyspepsia; I10;K30; Dirawat
RT 01/- B KUALA
3,765 0-11-99-61 UMAR AN JL. SELANCAR 7 NO L X 1 Th 22-Jul-2019
34
3,766 0-12-00-49 AINUN EWA NN JL BRIGJEN P X 20 Th 22-Jul-2019
KATAMSO RT 16/28
GUNUNG ELAI
3,767 0-12-00-54 SUPIATUN NY JL SELAT P X 62 Th 22-Jul-2019
MAKASSAR 2 RT
24/48 TANJUNG
LAUT
3,768 0-12-01-73 HAJIRAH BINTI JL SANTAN TENGAH P Lama; X 50 Th 22-Jul-2019 Dyspepsia; K30;
DAENG M NY HANDIL DUA RT 008
MARANGKAYU
3,769 0-12-01-73 HAJIRAH BINTI JL SANTAN TENGAH P X 50 Th 22-Jul-2019
DAENG M NY HANDIL DUA RT 008
MARANGKAYU
3,770 0-12-02-34 RISKA INDRIANI AN JL. SANTAN ILIT RT P X 14 Th 22-Jul-2019
09/- M KAYU
3,771 0-12-03-02 M DARWIS BIN M JL PELABUHAN 2 RT L Lama; X 50 Th 22-Jul-2019 Connective and other; D21.9;
YUSUP TN 09 TJ LAUT INDAH
3,772 0-12-03-08 RUSNIDAH BINTI JL HANDIL PANGULU P Lama; X 31 Th 22-Jul-2019 Connective and other; D21.9;
HUSAIN NY RT 2 SANTAN ILIR
3,773 0-12-03-51 MUHAMMAD HUSEIN JL SELAT BONE RT L X 14 Th 22-Jul-2019
S H AN 18 TJ LAUT
3,774 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Baru; X 29 Th 22-Jul-2019 Umbilical hernia; K42;
RT 39 BERBAS
TENGAH

20/Sep/2019 209
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,775 0-12-04-38 RAHMAWATI NY JL. PELABUHAN GG P X 38 Th 22-Jul-2019
KATAMBAK RT 10 TJ
LAUT
3,776 0-12-04-56 NUR HIKAMAH NN JL GG DUYUNG 1 RT P X 12 Th 22-Jul-2019
31/43 TJ LAUT INDAH
3,777 0-12-04-61 NUR FADILAH AN JL SELAT SELAYAR P Lama; X 15 Th 22-Jul-2019 Acute appendicitis; K35;
RT 38 TJ LAUT
3,778 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L Lama; X 42 Th 22-Jul-2019 Cutaneous abscess, f; L02;
API API
3,779 0-12-04-91 ARIFUDDIN BIN BACO JL PELABUHAN 2 RT L X 62 Th 22-Jul-2019
TN 10 TJ LAUT INDAH
3,780 0-12-05-23 HAURA SYAFIQAH AN JL MT HARYONO GG P X 9 Hr 22-Jul-2019
SELANCAR 7 RT 28
NO 105 API API
3,781 0-12-05-36 ANNA ASYIFA JL. SELAT BADUNG P X 9 Hr 22-Jul-2019
MIQAYLA AN RT 14 TANJUNG
LAUT
3,782 0-12-05-37 AHMAD FADIL R AN JL MH THAMRIN GG L X 14 Th 22-Jul-2019
KELABI 2 RT 3
BONTANG BARU
3,783 0-12-05-51 HAMKA WIJAYA SDR JL M H THAMRIN RT L Baru; X 17 Th 22-Jul-2019 Fracture of femur; S72;
26 BONTANG BRU
3,784 0-12-05-54 USMAN TAHER TN JL BRIGJEN L Baru; X 55 Th 22-Jul-2019 Pure hypercholestero; E78.0;
KATAMSO RT 16
GUNUNG ELAI BTG
UTARA
3,785 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P Lama; X 50 Th 22-Jul-2019 Cutaneous abscess, f; L02;
10 MARANGKAYU
3,786 0-12-06-08 AIRA RAMADHANI AN JL SEBUNTAL LAMA P X 9 Th 22-Jul-2019
RT 5 SEMANGKO
MARANGKAYU
3,787 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L Lama; X 57 Th 22-Jul-2019 Traumatic amputation; S88.9;
TN 07 BERBAS PANTAI
3,788 0-12-06-28 AGUS TRI JL SELAT MALAKA P Baru; X 29 Th 22-Jul-2019 Acute appendicitis w; K35.0;
SYURYANTI NY GG GOTONG
ROYONG RT 54/6 B
TENGAH
3,789 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L X 7 Th 22-Jul-2019
AN RT 09 BONTANG
LESTARI
3,790 0-12-06-67 HADIANSYAH, TN JL MH. THAMRIN RT L Baru; X 50 Th 22-Jul-2019 Necrosis of pulp; K04.1;
17 BONTANG BARU
3,791 0-12-06-83 ADITYA GHEYSAR S, JL TANJUNG PURA L X 10 Th 22-Jul-2019
SDR RT 19 LENGKOL

20/Sep/2019 210
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,792 0-12-07-20 H. KAMARUDDIN, TN JL. ASPOL RES L Baru; X 57 Th 22-Jul-2019 Necrosis of pulp; K04.1;
BONTANG
3,793 0-12-07-37 PUTRI HARDYANTI T JL PELABUHAN 1 RT P Lama; X 14 Th 22-Jul-2019 Acute appendicitis; K35;
AN 10/27 TJ LAUT INDAH
3,794 0-12-07-81 KARRAMA, NY JL. SANTAN ILIR RT P X 62 Th 22-Jul-2019
03 MARANGKAYU
3,795 0-12-07-96 GHIBRAN SHAKA R JL HALAL SQUARE L X 2 Th 22-Jul-2019
AN BLOK A2 API API
3,796 0-12-07-99 ORLIN RAJA SATRIA JL AWANG L;ONG L X 9 Th 22-Jul-2019
AN GG GGA 3 RT 07/1
BTG BARU
3,797 0-12-08-02 MASTI NY JL PANGANDARAN P Lama; X 47 Th 22-Jul-2019 Haematemesis; K92.0;
RT 12 BERBAS
PANTAI
3,798 0-12-08-14 ADIFA HALIKA ZEA AN JL KAPT PIERRE P X 1 Th 22-Jul-2019
TENDEAN RT 20 BTG
KUALA BTG UTARA
3,799 0-12-08-18 UHAR SUHARTI NY JL PERUM GRIYA P X 55 Th 22-Jul-2019
WISATA RT 14 BTG
KUALA BTG UTARA
3,800 0-12-08-20 IIN KARISMA YANTI, JL.KAPAL LAYAR 5 P X 16 Th 22-Jul-2019
AN RT.20/- LOKTUAN
3,801 0-12-08-23 PUTRI ERLIYANA NN JL SULTAN SYAHRIR P X 17 Th 22-Jul-2019
RT 7 KEL. TANJUNG
LAUT INDAH
3,802 0-12-08-24 ROBY BERI TN JL ASRAMA RUDAL L Baru; X 33 Th 22-Jul-2019 Disorder of vestibul; H81.9;
0002 RT 06/- GN ELAI
3,803 0-12-08-26 DEWI KOMARA H NY JL AWANG LONG GG P X 54 Th 22-Jul-2019
GGA 3 RT 07/1 KEL.
BONTANG BARU
3,804 0-12-08-28 SUDI BIN REMA TN JL MESJID NURUL L X 30 Th 22-Jul-2019
MUTAQIN RT 38 KEL.
LOK TUAN
3,805 0-12-08-31 IRVAN DWI HABIONO JL IMAM BONJOL RT L X 20 Th 22-Jul-2019
SDR 12/- KEL. GN ELAI
3,806 0-12-08-32 IRVAN DWI HABIONO JL IMAM BONJOL RT L X 20 Th 22-Jul-2019
SDR 12/- KEL. GN ELAI
3,807 0-12-08-35 SUTOMO BUDIMAN JL LABU KUNING L X 27 Th 22-Jul-2019
SZ TN PERUM GTS NO. 47
KEL. SATIMPO
3,808 0-12-08-37 CINDY BINTI LIU TN JL ABDUL RAHMAN P X 25 Th 22-Jul-2019
WAHID PERUM GTS
NO. 47 KEL. SATIMP

20/Sep/2019 211
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,809 0-12-08-38 MISHELLA SUCI JL LABU KUNING P X 7 Th 22-Jul-2019
UTOMO AN PERUMAHAN GTS
NO. 47 KEL.
SATIMPO
3,810 0-12-08-39 GICELLYNE SUTOMO JL LABU KUNING P X 3 Th 22-Jul-2019
AN PERUMAHAN GTS
NO 47 KEL. SATIMPO
3,811 0-12-08-41 TARNING NY JL S PARMAN GG 4 P Baru; Baru; X 53 Th 22-Jul-2019 Acute upper respirat; Abdominal J06.9;R1 Dirawat
RT 29 TEMINDUNG and pelvic;
PERMAI
3,812 0-12-08-42 MILA WATI NY LL HASANUDDIN GG P Baru; X 26 Th 22-Jul-2019 Dyspnoea; R06.0; Dirawat
WIRA 04 BERBAS
PANTAI
3,813 0-12-08-43 ARINAL TN JL S HASANUDDIN L Baru; X 52 Th 22-Jul-2019 Dyspnoea; R06.0; Dirawat
BERBAS PANTAI
3,814 0-12-08-44 MUHARRAM JAYA AN JL TARI GONG GG L X 8 Th 22-Jul-2019
GONG A RT 16
GUNTUNG
3,815 0-12-08-45 SINTIA AN JL AP P X 14 Th 22-Jul-2019
MANGKUNEGORO
GG AMPERA 4
BEREBAS TENGAH
3,816 0-12-08-46 JALIYA TOLA NY JL SAFIR RT 20 P X 53 Th 22-Jul-2019
BEREBAS TENGAH
3,817 0-12-08-47 DION SAPUTRA, AN JL. POROS BTG-SGT L X 14 Th 22-Jul-2019
RT 08/- TELUK
PANDAN
3,818 0-12-08-48 MARTINA NY JL. SELAT MALAKA P X 42 Th 22-Jul-2019
RT 55 NO 18
3,819 0-12-08-49 ANNNISA ZAFIRA JL MULAWARMAN P X 1 Th 22-Jul-2019
AZAHRA AN RT 12
3,820 0-12-08-50 PROANI , NY JL. SLAMET RIYADI P X 53 Th 22-Jul-2019
RT 43 LOKTUAN
3,821 0-12-08-51 FATIMAH , NY JL. PONTIANAK 3 RT P X 48 Th 22-Jul-2019
24 GN TELIHAN
3,822 0-12-08-52 HAMMA NUR , TN JL. PONTIANAK 2 NO L X 51 Th 22-Jul-2019
RT 24 GN TELIHAN
3,823 0-12-08-53 ANDRA RAMADHAN JL ZAMRUT RT 53 L X 49 Th 22-Jul-2019
TN BERBAS TENGAH
3,824 0-12-08-54 SORANG BIN AJANG JL. MANYAR BLOK L Baru; X 57 Th 22-Jul-2019 Unspecified renal co; N23;
LIDEM TN GG RT 39/12 BTN
PKT BELIMBING

20/Sep/2019 212
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,825 0-12-08-55 JUMIATI NY JL. P X 54 Th 22-Jul-2019
MANGKUNEGORO
RT 04 NO 14 BB
TENGAH
3,826 0-12-08-56 RACHMAD TAUFIQ JL BROKOLI 6 RT 14 / L X 29 Th 22-Jul-2019
TN 18
3,827 0-12-08-57 NUR AISYAH NY JL BROKOLI 6 RT 14 / P X 27 Th 22-Jul-2019
18
3,828 0-12-08-58 ANDI ISHAK, TN JL. KAMPUNG L Baru; X 50 Th 22-Jul-2019 Haemorrhoids; I84;
PALACARI RT 25/-
MUARA BADAK
3,829 0-12-08-58 ANDI ISHAK, TN JL. KAMPUNG L X 50 Th 22-Jul-2019
PALACARI RT 25/-
MUARA BADAK
3,830 0-12-08-59 NUPI BINTI DG JL. MARANG KAYU I P Baru; X 59 Th 22-Jul-2019 Low back pain; M54.5;
MANGATTA NY RT 01/- DESA
SEBUNTAL M KAYU
3,831 0-12-08-60 FITA IMA AYU SAFITRI JL GUNUNG P X 25 Th 22-Jul-2019
NY MENANGIS RT 12
SEMANGKO
MARANG KAYU
3,832 0-12-08-61 FITA IMA AYU S NY JL GUNUNG L X 0 Hr 22-Jul-2019
BY MENANGIS RT 12
SEMANGKO
MARANG KAYU
3,833 0-12-08-62 ARTAULI JL SELAT BONE RT P X 56 Th 22-Jul-2019
SIMATUPANG NY 20 TJ LAUT
3,834 0-12-08-63 MUKAMMAL HANANI, JL. PATIMURA GG L Baru; X 22 Th 22-Jul-2019 Periodontosis; K05.4;
TN ATLETIK 08 RT 42/-
API-API
3,835 0-12-08-65 NANA MAULIDYA NN JL GAJAH MADA RT P Baru; X 19 Th 22-Jul-2019 Fracture of lower en; S42.4;
12 / 21 BERBAS
TENGAH
3,836 0-12-08-66 POLIMA DUMA, NY JL. KILOMETER 05 P Baru; X 65 Th 22-Jul-2019 Essential (primary) ; I10;
RT 20/- DESA
SEBUNTAL M KAYU
3,837 0-12-08-67 M RISKI MUBARAK AN JL KS TUBUN RT 8 L X 5b 22-Jul-2019
3,838 0-12-08-68 ANINDIRA MYSHA JL MT HARYONO P Baru; X 2b 22-Jul-2019 Acute amoebic dysent; A06.0; Dirawat
FAUZIAH AN PERUM GPP RT
29/BLOK C23 API API
3,839 0-12-08-69 AHNAF GIBRAN JL R SOEPRAPTO L X 7b 22-Jul-2019
ALFATIH AN GG ALPUKAT RT
16/17

20/Sep/2019 213
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,840 0-12-08-70 DESI JUWITA K NY JL. SELAT MALAKA P Baru; X 30 Th 22-Jul-2019 Necrosis of pulp; K04.1;
RT 54 BB TENGAH
3,841 0-12-08-71 NANANG KUSWORO JL DANAU L Baru; X 38 Th 22-Jul-2019 Pulpitis; K04.0;
TN TONDANO HOP 3/35
PERUM PT BADAK
3,842 0-12-08-72 UMMIYATUL JL MANGGA RT P Baru; X 20 Th 22-Jul-2019 Enlarged lymph nodes; R59;
KHAIRUNNISA NY SATIMPO
3,843 0-12-08-73 M KAKA ZIBRILIA AN JL. CUT NYAK DIEN L X 14 Th 22-Jul-2019
RT 9 NO 49
3,844 0-12-08-74 MUSTARI , TN JL. MARANGKAYU L X 36 Th 22-Jul-2019
RT 17 NO
3,845 0-12-08-75 MISNAINI NY JL. MT HARYONO RT P X 36 Th 22-Jul-2019
29 API-API
3,846 0-12-08-76 ADAM FAIZ AN JL MH THAMRIN RT 2 L Baru; X 3 Th 22-Jul-2019 Oedema, unspecified; R60.9;
GUNUNG ELAI
3,847 0-12-08-77 NADILA AULIA AN JL SULTAN L X 13 Th 22-Jul-2019
HASANUDDIN RT 33 /
47 BERBAS TENGAH
3,848 0-12-08-78 ITA PURNAMA ARIEF, JL. SAMSUDDIN RT P X 14 Th 22-Jul-2019
AN 07 MARANGKAYU
3,849 0-12-08-78 ITA PURNAMA ARIEF, JL. SAMSUDDIN RT P Baru; X 14 Th 22-Jul-2019 Disorder of urinary ; N39.9; Dirawat
AN 07 MARANGKAYU
3,850 0-12-08-79 SARNAWIYAH, NY JL. KM 24 RT 08 P X 36 Th 22-Jul-2019
MARANGKAYU
3,851 0-12-08-80 FATHIN ADZIKIYA JL. KP TENDEAN RT P X 15 Hr 22-Jul-2019
NAHDA, AN 15 NO 139 BONTANG
KUALA
3,852 0-12-08-81 ADEEVA AFSHEEN M JL KP TENDEAN RT P X 3 Th 22-Jul-2019
I AN 19/8 BTG KUALA
3,853 0-12-08-82 NABILA NAJWA ALWI JL SELAT BANDA 1 P X 8 Th 22-Jul-2019
AN RT 35 BLOK A/7 TJ
LAUT
3,854 0-12-08-83 AHMAD ADITIYA JL. KS TUBUN RT 29 L X 19 Th 22-Jul-2019
AMAMI, TN NO 14 TANJUNG
LAUT
3,855 0-12-08-84 YOKE LIMBONG BUA, JL. DS SEBUNTAL P X 26 Th 22-Jul-2019
NY RT 29 MARANGKAYU
3,856 0-12-08-85 SITI RAMLAH BY NY JL IR H JUANDA RT L X 0 Hr 22-Jul-2019
37/85 TJ LAUT INDAH
3,857 0-12-08-86 FITRIYANA BINTI JL PENGANDARAN P X 21 Th 22-Jul-2019
CECEP NY RT 13/- B PANTAI
3,858 0-00-03-52 SYARIFAH MASNAH, JL. KP TENDEAN RT P X 69 Th 23-Jul-2019
NY HJ 1 NO 40 BTG KUALA

20/Sep/2019 214
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,859 0-00-11-65 MASRIAH, NY. JL. BATU SAHASA P X 55 Th 23-Jul-2019


RT 7/4 BTG KUALA
3,860 0-01-08-45 DELFIANI WIJAYA JL. GENDANG II RT P X 15 Th 23-Jul-2019
KUSUMA AN 23 NO 108 BONTANG
BARU
3,861 0-01-68-66 SARNAWIYAH HJ NY JL PELABUHAN RT P X 52 Th 23-Jul-2019
12/04 TJ LAUT INDAH
3,862 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Baru; X 58 Th 23-Jul-2019 Acute appendicitis w; K35.0;
RT 23/66 B. PANTAI
3,863 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P Lama; X 10 Th 23-Jul-2019 Otitis media, unspec; H66.9;
47/5 B TENGAH
3,864 0-02-56-78 SUWARTI BIN JL A YANI GG SARI P X 47 Th 23-Jul-2019
KASIDIN NY BUAH 4 RT 1/12 API
API
3,865 0-02-94-35 YUNI SUHARINAH, NY JL SAMOSIR RT 17/3 P Baru; X 48 Th 23-Jul-2019 Gynaecological exami; Z01.4;
BTN KCY API API
3,866 0-03-41-43 ALIYAH NOORROSYA, JL PIANO 2 2 NO 78 P Baru; X 13 Th 23-Jul-2019 Viral infection, uns; B34.9;
AN. BTG BARU
3,867 0-03-77-41 DEVI UTARI , NN. JL. TROMPET 3 P X 25 Th 23-Jul-2019
RT.24/31 BTG BARU
3,868 0-05-12-48 SARIKUN BIN LILI TN JL. DIPONOGORO L X 45 Th 23-Jul-2019
BTG BARU
3,869 0-05-24-96 SYARIFAH FARIDA HJ JL PATIMURRA RT P X 55 Th 23-Jul-2019
NY 27 API API
3,870 0-05-47-86 DITTA IGUSTIN JL AR HAKIM RT P X 28 Th 23-Jul-2019
FARINDRA NY 41/30 BELIMBING
3,871 0-05-54-93 EFRI DWI SURYA JL. MULAWARMAN L Baru; X 16 Th 23-Jul-2019 Dengue haemorrhagic ; A91;
TONDON AN RT. 06/ BTG BARU
3,872 0-05-73-19 AHMAT NUR JL. SUTAN SYAHRIR L X 24 Th 23-Jul-2019
FEBRIANTO, SDR GRT 6/40 TANJUNG
LAUT INDAH
3,873 0-05-78-18 NURUL HIDAYAH NY JL KERSIK RT 3 P X 27 Th 23-Jul-2019
MARANG KAYU
3,874 0-05-89-96 PUTRI CAHYA IZAH F JL. KS TUBUN RT.08 P X 9 Th 23-Jul-2019
AN BTG KUALA
3,875 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L X 6 Th 23-Jul-2019
A P AN RT 10 NO 24 TJ LAUT
3,876 0-06-20-38 JUMAIYAH, NY JL. BONTANG KUALA P X 38 Th 23-Jul-2019
RT 06 NO 34
BONTANG KUALA
3,877 0-06-25-89 HERIYAH NY JL. SELAT BONE 2 P Baru; X 44 Th 23-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
RT. 20/09 TJ. LAUT

20/Sep/2019 215
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,878 0-06-38-99 JULSIKTIN TN JL. BATU SAHASA 3 L X 24 Th 23-Jul-2019
RT 04 BTG KUALA
3,879 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 23-Jul-2019 Connective and other; D21.9;
TJ LAUT INDAH
3,880 0-06-57-68 AULIA ARTIKA AN JL PELABUHAN 1 P Baru; X 6 Th 23-Jul-2019 Viral infection, uns; B34.9;
RT.15 TJ LAUT
INDAH
3,881 0-06-66-99 M NAUFAL JL. BALANAK RT L X 5 Th 23-Jul-2019
DANENDRA AN 32/43 TJ LAUT I
3,882 0-06-66-99 M NAUFAL JL. BALANAK RT L X 5 Th 23-Jul-2019
DANENDRA AN 32/43 TJ LAUT I
3,883 0-06-69-02 RAHMAH BINTI JL JEND SUDIRMAN P Baru; X 47 Th 23-Jul-2019 Unspecified renal co; N23;
MANNANG NY RT 22 NO 29 TJ LAUT
3,884 0-06-69-02 RAHMAH BINTI JL JEND SUDIRMAN P X 47 Th 23-Jul-2019
MANNANG NY RT 22 NO 29 TJ LAUT
3,885 0-06-75-02 M RISKI IRWANSYAH JL. REFORMASI RT L Baru; X 5 Th 23-Jul-2019 Tuberculous peripher; A18.2;
B, AN 31 API API
3,886 0-06-86-49 ANILAWATI NY ASRAM RUDAL P Lama; X 28 Th 23-Jul-2019 Cholelithiasis; K80;
RT.07 GN ELAI
3,887 0-06-87-23 SARRY OCHTAVIANTI JL. PC VI MILENIUM P X 31 Th 23-Jul-2019
S NY SATIMPO
3,888 0-06-90-30 SULASTRI JL LOMBOK RT 20 P Baru; X 37 Th 23-Jul-2019 Gingivitis and perio; K05; Dirawat
NO B 10 API API
3,889 0-06-90-54 RAHMAT BIN RUSTAN JL. BELANAK RT 21 L Baru; X 9 Th 23-Jul-2019 Connective and other; D21.9;
AN NO 38 TANJUNG
LAUT INDAH
3,890 0-07-12-35 YUSRIANTO TN JL KALIMANTAN RT L Lama; Baru; X 41 Th 23-Jul-2019 Dyspepsia; Chest pain, unspecif; K30;R07 Dirawat
19 BLOK E NO 22 API
API
3,891 0-07-37-59 ALISHA DAVINA JL. KS TUBUN RT 08 L Baru; X 4 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
PUTRI, AN NO 07 BONTANG
KUALA
3,892 0-07-43-28 ANDRI TRIATMO TN JL. BALIKPAPAN 2 L Baru; X 34 Th 23-Jul-2019 Non-insulin-dependen; E11;
RT 14 GN TELIHAN
3,893 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P X 30 Th 23-Jul-2019
NY RT 12 MARANGKAYU
3,894 0-07-64-97 HERNI MARLINA, NY JL. PATIMURA RT 14 P X 41 Th 23-Jul-2019
NO 48 API API
3,895 0-07-73-41 CANDRA MAULANA, JL HARUAN RT 32/11 L Baru; X 15 Th 23-Jul-2019 Viral infection, uns; B34.9;
AN TJ LAUT INDAH
3,896 0-07-79-98 DARMAWATI BIN JL MH THAMRIN RT P Baru; X 34 Th 23-Jul-2019 Otitis externa; H60;
LADALI NY 26 BTG BARU
3,897 0-07-86-35 ANDI FARADIBAH JL GITAR RT 7/32 P X 24 Th 23-Jul-2019
ALFI NY BTG BARU

20/Sep/2019 216
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,898 0-07-86-84 ILHAM YAHYA TN JL S SYAHRIR GG L Lama; X 39 Th 23-Jul-2019 Otitis media, unspec; H66.9;
IKAN MAS RT 18/30
TJ LAUT INDAH
3,899 0-07-93-29 DIFGAN MURSYID, AN JL. KELADI RT 04 GN L Lama; X 4 Th 23-Jul-2019 Fever, unspecified; R50.9;
ELAI
3,900 0-07-95-65 KINETA AL FALLAH L, JL H HABIBON RT 32 P Lama; Baru; X 15 Th 23-Jul-2019 Dyspepsia; Abdominal and pelvic; K30;R10 Dirawat
AN NO. 3 TJ LAUT
3,901 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L X 66 Th 23-Jul-2019
AMIN TN API API
3,902 0-08-02-29 SAHARULLAH, TN JL ZAMRUD 19 RT 62 L X 51 Th 23-Jul-2019
B TENGAH
3,903 0-08-14-97 SADDU BIN, TN JL. KS TUBUN RT 17 L X 64 Th 23-Jul-2019
TANJUNG LAUT
3,904 0-08-16-37 SUPARNO, TN JL IR H JUANDA RT 6 L Lama; X 60 Th 23-Jul-2019 Non-insulin-dependen; E11;
NO 39 TJ LAUT
3,905 0-08-16-37 SUPARNO, TN JL IR H JUANDA RT 6 L X 60 Th 23-Jul-2019
NO 39 TJ LAUT
3,906 0-08-16-64 NURDIANA HJ NY JL. S BANGKA 3 RT P Lama; X 54 Th 23-Jul-2019 Non-insulin-dependen; E11;
37/58 TJ LAUT
3,907 0-08-45-35 MISBAHUDDIN BIN JL. SEL BONE RT. 20 L X 56 Th 23-Jul-2019
JAHA TN TJ LAUT
3,908 0-08-46-07 RIO JUMARDI, SDR JL TARAKAN NO 7 L X 28 Th 23-Jul-2019
BTN KCY API API
3,909 0-08-47-16 HAMIDAH, NY JL. MENTE RT 24 P Lama; X 45 Th 23-Jul-2019 Non-insulin-dependen; E11;
SATIMPO
3,910 0-08-47-17 RISNAWATI BINTI JL JENDRAL P Lama; X 23 Th 23-Jul-2019 Connective and other; D21.9;
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
3,911 0-08-50-49 AGNETA SABRINA JL. S BONE RT 18/34 P Baru; X 14 Th 23-Jul-2019 Pulpitis; K04.0;
AN TJ LAUT
3,912 0-08-64-56 GALUH CANDRA JL. DI PANJAITAN L Baru; X 3 Th 23-Jul-2019 Acute upper respirat; J06.9; Dirawat
KIRANA AN PIANO 8 RT 02 BTG
BARU
3,913 0-08-69-27 EDYSAR BIN MIDAH, JL SELAT SELAYAR L Lama; X 56 Th 23-Jul-2019 Non-insulin-dependen; E11;
TN RT 19 NO 35 TJ LAUT
3,914 0-08-69-27 EDYSAR BIN MIDAH, JL SELAT SELAYAR L X 56 Th 23-Jul-2019
TN RT 19 NO 35 TJ LAUT
3,915 0-08-75-68 FAIQAH ABIDAH JL. WR SUPRATMAN P X 4 Th 23-Jul-2019
AZZAHRA AN RT 27 TJ LAUT
3,916 0-08-81-45 FARADILLA YANTI NY JL. PATIMURA GG P X 44 Th 23-Jul-2019
ATLETIK 22 RT 41/65
API-API

20/Sep/2019 217
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,917 0-08-82-13 SYARIF BIN JL. GAJAH MADA RT L X 29 Th 23-Jul-2019
SAHABUDDIN TN 13/- GG PIRUS 3 KEL.
B TENGAH
3,918 0-08-82-70 ROSDINA SIAGIAN, JL SELAT KARIMATA P Baru; X 50 Th 23-Jul-2019 Epistaxis; R04.0;
NY 2 RT 26 NO 31 TJ
LAUT
3,919 0-08-91-07 ELISA SUSANTI, NY P Baru; X 40 Th 23-Jul-2019 Asthma; J45; Dirawat
3,920 0-09-18-19 M SYAHRIYAL TN JL PC 4 NO 100 PT L X 42 Th 23-Jul-2019
BADAK SATIMPO
3,921 0-09-24-05 ABDULLAH B, TN JL. PANGANDARAN L Baru; X 68 Th 23-Jul-2019 Connective and other; D21.9;
RT 13 NO 153
BERBAS PANTAI
3,922 0-09-29-57 AGUSTINA AYU JL HARUAN RT 32 TJ P Baru; X 21 Th 23-Jul-2019 Viral infection, uns; B34.9;
BUDIASIH NN LAUT INDAH
3,923 0-09-37-39 JULIATI NY JL. CILACAP PC 4 NO P X 42 Th 23-Jul-2019
100 PTB SATIMPO
3,924 0-09-45-07 NIA JUWITA NY JL S HASANUDDIN P X 28 Th 23-Jul-2019
GG LOSARI 2
RT4/129 B PANTAI
3,925 0-09-51-67 MITA SULISTYOWATI JL JAWA PP 07 RT 36 P Baru; X 40 Th 23-Jul-2019 Burn of unspecified ; T30.0;
NY KCY API API
3,926 0-09-54-55 DINA FADHILA AN JL S HASANUDDIN P X 18 Th 23-Jul-2019
RT 04/93 B PANTAI
3,927 0-09-64-27 ANIAR BINTI BAHAR, JL. MENJANGAN RT, P Baru; X 52 Th 23-Jul-2019 Pregnancy examinatio; Z32;
NY 28 NO, 19 BTN PKT
BELIMBING
3,928 0-09-65-25 HERLAMBANG RIDHO JL. GRIYA WISATA L X 12 Th 23-Jul-2019
S , AN BLOK H NO 39 RT 14
BTG KUALA
3,929 0-09-66-76 HANUM ARIDA PUTRI JL SELAT KARIMATA P X 18 Th 23-Jul-2019
AN RT 23 NO 35 TJ LAUT
3,930 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P X 24 Th 23-Jul-2019
GG ARUMBIA 1 RT
27 BTG BARU
3,931 0-09-76-87 M SHOLEH AMIN TN JL MH THAMRIN RT L X 53 Th 23-Jul-2019
02/ GN ELAI
3,932 0-09-78-82 KRISNANDA LUCKY JL MT HARYONO GG P X 27 Th 23-Jul-2019
ANTIKA NY SELANCAR 7 RT 28
NO 46 API API
3,933 0-09-82-46 IRA FITRIA SARLI NY JL MELAWAI RT 22 B P X 28 Th 23-Jul-2019
PANTAI
3,934 0-09-83-52 MISTIANAH, NY JL. GITAR RT 07 P X 42 Th 23-Jul-2019
BONTANG BARU

20/Sep/2019 218
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,935 0-09-89-56 DELIMA DIEN JL DI PANJAITAN GG P X 10 Th 23-Jul-2019


MUFIDAH AN ATLETIK 3 RT 27 API
API
3,936 0-09-92-91 MURNI BINTI JL DIPONEGORO RT P Lama; X 45 Th 23-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
HAMURUDDIN NY 15 BERBAS PANTAI
3,937 0-10-03-78 RISCI USMAN AN JL ZAMRUD 12 RT L X 17 Th 23-Jul-2019
49/19 B TENGAH
3,938 0-10-03-78 RISCI USMAN AN JL ZAMRUD 12 RT L X 17 Th 23-Jul-2019
49/19 B TENGAH
3,939 0-10-08-33 TUTI MARYATI NY JL PERUM GRIYA P X 44 Th 23-Jul-2019
WISATA RT 14 BLOK
H NO 4 BTG KUALA
3,940 0-10-10-54 ANNISA MAULIDA JL SULTAN P Baru; X 8 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
PUTRI AN HASANUDDIN RT 1
NO 6 B PANTAI
3,941 0-10-15-61 HARYANTI , NY jl. pencak silat rt 12 P Lama; X 30 Th 23-Jul-2019 Fracture of lower en; S52.5;
api-api
3,942 0-10-22-07 HAMSI BIN BURHAM JL RE L Baru; X 45 Th 23-Jul-2019 Tuberculosis of lung; A15.0;
TN MARTADINATA RT
31 NO 34 LOKTUAN
3,943 0-10-31-86 AKHMAD BIN LACABI JL RE L Lama; X 47 Th 23-Jul-2019 Chronic hepatitis, u; K73.9;
TN MARTADINATA GG
MAWAR RT 31 NO 3
LOKTUAN
3,944 0-10-32-68 ABDUL KADIR TN JL A YANI RT 03/25 L Baru; X 46 Th 23-Jul-2019 Pityriasis versicolo; B36.0;
GG ANGGAR I API
API
3,945 0-10-32-70 IFTA RAMADHAN JL A YANI RT 03/25 P Baru; X 14 Th 23-Jul-2019 Acute upper respirat; J06.9;
ARDHIKA AN GG ANGGAR I API
API
3,946 0-10-36-87 YUS ELMIN NY JL SELAT P X 45 Th 23-Jul-2019
MAKASSAR TJ LAUT
3,947 0-10-43-85 DARREL FAIZ JL. H HABIBON RT L Baru; X 12 Th 23-Jul-2019 Diarrhoea and gastro; A09; Dirawat
SINATRIA, AN 32/03 TJ LAUT
3,948 0-10-47-75 YANTI BINTI NURDIN JL TIHI TIHI RT 17 P Lama; X 38 Th 23-Jul-2019 Chronic hepatitis, u; K73.9;
NY BTG LESTARI
3,949 0-10-49-12 M ARVAN PUTRA R JL. PARIKESIT GG L X 6 Th 23-Jul-2019
AN GTAR RT 4/43 BTG
BARU
3,950 0-10-51-57 MADA ALI RUSAENI JL SELAT LOMBOK L Baru; X 55 Th 23-Jul-2019 Fever, unspecified; R50.9;
TN RT 05 TJ LAUT
3,951 0-10-75-75 NURUL RAHMAWATI , JL. KAPAL PINISI 7 P Lama; X 23 Th 23-Jul-2019 Supervision of norma; Z34;
NY RT 43/16A LOKTUAN

20/Sep/2019 219
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
3,952 0-10-80-59 AHMAD RAUFA JL. CUT NYAK DIEN L X 1 Th 23-Jul-2019
SHALIH A , AN RT 9/48 BTG BARU
3,953 0-10-91-08 RABASIAH BIN KACO JL. MH TAMRIN RT P X 46 Th 23-Jul-2019
, NY 02 GN ELAI
3,954 0-10-91-60 ITA BINTI ABD RAZAK JL SAMRATULANGI P Lama; X 59 Th 23-Jul-2019 Connective and other; D21.9;
NY RT 15/35 TJ LAUT
INDAH
3,955 0-10-97-74 BERNADI BA, TN JL. KUBURAN LAMA L Lama; X 60 Th 23-Jul-2019 Chronic renal failur; N18;
RT 13/- LOKTUAN
3,956 0-10-98-09 JISNA AWALIAH NY JL KAPAL LAYAR 4 P X 30 Th 23-Jul-2019
RT 18 LOKTUAN
3,957 0-10-98-94 KASTUR BIN KARMIN JL. A YANI RT 11/- L Lama; X 46 Th 23-Jul-2019 Non-insulin-dependen; E11;
TN API-API
3,958 0-10-99-16 ELIS SOLIHAH, NY JL. R SUPRAPTO RT. P Lama; X 57 Th 23-Jul-2019 Non-insulin-dependen; E11;
16 BTG BARU
3,959 0-11-00-03 FATCUHR ROCHMAN JL PIRUS RAYA RT L Lama; X 50 Th 23-Jul-2019 Thyrotoxicosis [hype; E05;
TN 13 B TENGAH
3,960 0-11-00-35 NILA FAJRIANTI, AN JL. HARUAN RT P X 16 Th 23-Jul-2019
32/22 TJ LAUT INDAH
3,961 0-11-06-65 ABDUL MUIS TN JL. SANTAN ILIR RT L X 44 Th 23-Jul-2019
02 M.KAYU
3,962 0-11-08-15 ALVARO ADE RIYADI, JL. IR H JUANDA RT L Baru; X 8b 23-Jul-2019 Chronic nasopharyngi; J31.1;
AN 35 TANJUNG LAUT
3,963 0-11-09-09 MARIA ISMIATI, NY JL. MERANTI PC 6 L X 41 Th 23-Jul-2019
RT 10 NO 53
SATIMPO
3,964 0-11-13-77 NABILA ALMIRA JL DI PANJAITAN RT P X 6 Th 23-Jul-2019
KEYSHA AN 04/35 BTG BARU
3,965 0-11-17-83 RAYEM NY JL S HASANUDDIN P Lama; X 66 Th 23-Jul-2019 Non-insulin-dependen; E11;
GG LOSARI 4 RT 3
NO 8 B PANTAI
3,966 0-11-21-21 BAHLAR BIN TN JL. KS TUBUN GG L Lama; X 58 Th 23-Jul-2019 Thyrotoxicosis [hype; E05;
KOI 1 RT 29/- TJ
LAUT INDAH
3,967 0-11-25-40 DIAR DARMAWANTI, JL. SELAT ROTE RT P Lama; X 29 Th 23-Jul-2019 Supervision of norma; Z34;
NY 33/28 TJ LAUT
3,968 0-11-25-98 AINUN HASIM NY JL KAPAL LAYAR 5 P Lama; X 54 Th 23-Jul-2019 Human immunodeficien; B20;
RT 21 LOKTUAN
3,969 0-11-26-03 MALANIA AHMAD, NY JL. SELAT MALAKA P Baru; X 66 Th 23-Jul-2019 Non-insulin-dependen; E11;
RT 55/26 B TENGAH
3,970 0-11-32-15 ALBOIN SINAGA TN JL HM ARDANS 3 L Baru; X 53 Th 23-Jul-2019 Other superficial in; S30.8; Dirawat
RT24 SATIMPO
BONTANG SELATAN

20/Sep/2019 220
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,971 0-11-32-44 MUSDALIFA NY JL MH THAMRIN RT P X 22 Th 23-Jul-2019


01/15 GN ELAI
3,972 0-11-33-87 WAHYUDI BIN JL WR SUPRATMAN L Baru; X 45 Th 23-Jul-2019 Non-insulin-dependen; E11;
MARCUKI TN RT59 NO 58 B
TENGAH
3,973 0-11-34-25 HASMAWATI , NY JL. MH TAMRIN RT P Baru; X 37 Th 23-Jul-2019 Postpartum care and ; Z39;
26 BTG BARU
3,974 0-11-39-34 REZA FATMAWATI NY JL GAMELAN 2 RT 18 P X 25 Th 23-Jul-2019
NO 17 BTG BARU
3,975 0-11-40-45 DELMAY MANULANG, JL. RE L Baru; X 62 Th 23-Jul-2019 Non-insulin-dependen; E11;
TN MARTADINATA RT,
40 NO. 28 LOKTUAN
3,976 0-11-41-50 RUSTINAH , NY JL. J A YANI RT 02 TJ P X 44 Th 23-Jul-2019
LAUT
3,977 0-11-41-50 RUSTINAH , NY JL. J A YANI RT 02 TJ P X 44 Th 23-Jul-2019
LAUT
3,978 0-11-45-61 RIZKY ALIYAH PUTRI, JL. BELANAK RT 21 P X 17 Th 23-Jul-2019
AN NO 01 TANJUNG
LAUT
3,979 0-11-48-01 IBRAHIM ARSYA JL MULAWARMAN L X 3 Th 23-Jul-2019
HANAFI AN RT 06 BTG BARU
3,980 0-11-51-06 JAMRAM BINTI JL DI PONEGORO RT P X 56 Th 23-Jul-2019
SUKARTA NY 36 B PANTAI
3,981 0-11-51-67 USMAN BIN, TN JL. JEMD SUDIRMAN L Baru; X 50 Th 23-Jul-2019 Other ill-defined an; R99; Dirawat
RT. 26 TANJUNG
LAUT
3,982 0-11-52-67 HIJRAH BINTI JL. GATOT P Lama; X 26 Th 23-Jul-2019 Chronic hepatitis, u; K73.9;
NAHRAWI, NY SUBROTO RT20 NO
43 BERBAS PANTAI
3,983 0-11-56-04 SUDARNANIK BIN JL KS TUBUN GG P Baru; X 32 Th 23-Jul-2019 Dental caries; K02;
MUSTAGE NY KERAPU 5 RT 16 TJ
LAUT INDAH
3,984 0-11-58-21 GEVLYN SEPTHREE JL ZAMRUD 16 RT 51 P X 3 Th 23-Jul-2019
G AN NO 27 B TGH
3,985 0-11-58-37 M ALFIAN SHARANI , JL. TIPALAYO RT 35 L X 13 Th 23-Jul-2019
AN B TGH
3,986 0-11-64-03 YANI APRIYANTI NY JL HM ARDANS 5 RT P X 27 Th 23-Jul-2019
23/3 KRL SATIMPO
3,987 0-11-67-43 SANAWIAH BINTI JL TOMAT 2 RT 13 / 1 P Baru; X 21 Th 23-Jul-2019 Thyrotoxicosis [hype; E05;
ITARI NY
3,988 0-11-68-65 SWASTIKA N S A, AN JL. GN BELAYAN RT L Baru; X 11 b 23-Jul-2019 Gestational [pregnan; O13;
39/04 GN ELAI
3,989 0-11-74-55 NAILA SAENAL AN JL MAWAR 36 NO 77 P Baru; X 9 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
BTG SELATAN

20/Sep/2019 221
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

3,990 0-11-77-43 HANUM APRILIA JL. BUKIT INDAH RT P Baru; X 2b 23-Jul-2019 Chronic nasopharyngi; J31.1;
PUTRI , AN 37 NO 103
3,991 0-11-78-49 YUNUS A TN JL TENIS GG MILIK L X 41 Th 23-Jul-2019
BERSAMA RT -/03 A
API API
3,992 0-11-79-22 DEWI SANTI NY JL MARANGKAYU 1 P Lama; X 35 Th 23-Jul-2019 Supervision of norma; Z34;
DESA SEBUNTAL RT
2
3,993 0-11-80-89 NISRAH NY JL. HARUAN RT 32 P Lama; X 20 Th 23-Jul-2019 Supervision of norma; Z34;
RAWAH INDAH TJ
LAUT INDAH
3,994 0-11-80-94 SATRIA CANDRA A JL. BULUTANGKIS 3 L X 4b 23-Jul-2019
AN RT 40 APIAPI
3,995 0-11-81-45 AKIFAH NAILAH, AN JL. MARKISA RT 33 P Lama; X 11 b 23-Jul-2019 Microcephaly; Q02;
NO 13 BELIMBING
3,996 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L Lama; X 63 Th 23-Jul-2019 Cellulitis of finger; L03.0;
1/15 GN ELAI
3,997 0-11-84-96 SITI HADAYATI NY JL. SULTAN AGUNG P X 20 Th 23-Jul-2019
RT 07 BERBAS
PANTAI
3,998 0-11-86-15 DEWI ULANDARI NY JL SELAT ALOR 1 RT P Lama; X 31 Th 23-Jul-2019 Dyspepsia; K30; Dirawat
32 TANJUNG LAUT
3,999 0-11-87-51 MANTASIAH BINTI NY JL. SELAT MALAKA P X 47 Th 23-Jul-2019
RT 55/- KEL. BERBAS
TENGAH
4,000 0-11-93-54 CITRA PUSPITASARI JL MAKASSSAR RT P Baru; X 27 Th 23-Jul-2019 Female infertility; N97;
NY 27 / 49 GUNUNG
TELIHAN
4,001 0-11-94-38 EKA APRILIANI YOLA JL MOCH ROEM RT P Baru; X 22 Th 23-Jul-2019 Postpartum care and ; Z39;
D NY 003 BONLES
4,002 0-11-94-92 ROY ANTAMA JL PATIMURA GG L X 21 Th 23-Jul-2019
GINTING TN PENCAK SILAT 1 RT
14 API API
4,003 0-11-95-19 JULMIDA BINTI JL ZAMBRUT 24 RT P Baru; X 34 Th 23-Jul-2019 Otitis media, unspec; H66.9;
HAMZAH NY 53/11 B TENGAH
4,004 0-11-95-82 ROSMIATI BIN JL CARITA RT 11 P Lama; X 35 Th 23-Jul-2019 Non-insulin-dependen; E11;
HADISE NY BERBAS PANTAI
4,005 0-11-96-38 SRI WAHYUNI JL. CUT NYAK DIEN P X 25 Th 23-Jul-2019
NINGSIH, NY GG KERIKIL 7 RT/-
API-API
4,006 0-11-97-34 MARWIAH HJ NY JL. PROPINSI P Baru; X 70 Th 23-Jul-2019 Essential (primary) ; I10; Dirawat
SANGATA
SAMARINDA

20/Sep/2019 222
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,007 0-11-98-96 RARA, NY JL. SAMBERA BARU P X 74 Th 23-Jul-2019
KEC. MARANGKAYU
4,008 0-11-99-01 RAJJA, TN JL. SAMBERA BARU L X 77 Th 23-Jul-2019
KEC. MARANGKAYU
4,009 0-12-00-60 NANING DWI JL. DSN WONOREJO P Lama; X 28 Th 23-Jul-2019 Supervision of norma; Z34;
JAYANTI, NY RT 06/- SANTAN ULU
M KAYU
4,010 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Lama; X 49 Th 23-Jul-2019 Umbilical hernia; K42;
TN NO 2 B TENGAH
4,011 0-12-01-36 AHMAD RINALDI, TN JL. PELABUHAN RT L Lama; X 23 Th 23-Jul-2019 Necrosis of pulp; K04.1;
14/- TJ LAUT
4,012 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L Lama; X 34 Th 23-Jul-2019 Cutaneous abscess, f; L02;
T TN 25/77 GUNUNG
TELIHAN
4,013 0-12-03-68 SRI MULIANY NUR AN JL DI PANJAITAN GG P X 13 Th 23-Jul-2019
JABORA RT 26 API
API
4,014 0-12-04-39 CHESSY PUTRI JL. PELABUHAN 1 P Baru; X 12 Hr 23-Jul-2019 Chronic nasopharyngi; J31.1;
ARRAH AN GAG KETAMBAK 2
TJ LAUT
4,015 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P Baru; X 50 Th 23-Jul-2019 Non-insulin-dependen; E11;
10 MARANGKAYU
4,016 0-12-05-63 SOPI SALSABILA, AN JL MOCH ROEM RT 3 P Baru; X 9 Hr 23-Jul-2019 Unspecified jaundice; R17;
BONTANG LESTARI
4,017 0-12-05-84 YUNI FITRIAH NY JL. A YANI NO 70 RT P Baru; X 33 Th 23-Jul-2019 Gynaecological exami; Z01.4;
11
4,018 0-12-06-36 RIZAL SAPUTRA SDR JL SUTAN SYAHRIR L Lama; X 24 Th 23-Jul-2019 Connective and other; D21.9;
GG BAWIS 1 RT 7/70
TJ LAUT INDAH
4,019 0-12-06-63 MASLINA,NY JL SULTAN P X 50 Th 23-Jul-2019
HASANUDDIN RT 56,
BERBAS TENGAH
4,020 0-12-06-70 SUSI PUTRI JL. TOMAT GG P Baru; X 10 Th 23-Jul-2019 Dengue haemorrhagic ; A91;
AMELIYANTI, AN TOMAT RT 13/03 GN
ELAI
4,021 0-12-06-88 NURHAYATI BIN JL KP TENDEAN GG P X 52 Th 23-Jul-2019
MADANI NY GRANIT 4 RT 18/71
BTG KUALA
4,022 0-12-07-13 M AL FATIH, AN JL. WR SUPRATMAN L Baru; X 2b 23-Jul-2019 Otitis externa; H60;
RT 24/- B TENGAH
4,023 0-12-07-43 M RISKY ABDILLAH N JL. PERANGAT RT 14 L X 8 Th 23-Jul-2019
AN
4,024 0-12-07-48 EDMUNDUS EMBU, JL. BANDUNG 2 RT L Baru; X 51 Th 23-Jul-2019 Acute suppurative ot; H66.0;
TN 25/28 GN TELIHAN

20/Sep/2019 223
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,025 0-12-07-66 EDY MARJAKA TN JL KAPT PIERE L X 56 Th 23-Jul-2019


TENDEAN RT 9 BTG
KUALA
4,026 0-12-07-82 ALY KRISTANTI NY JL P SUYANATA P Baru; X 35 Th 23-Jul-2019 Other disorders of u; N39;
SENDAWAR
4,027 0-12-07-82 ALY KRISTANTI NY JL P SUYANATA P X 35 Th 23-Jul-2019
SENDAWAR
4,028 0-12-07-84 M. RAIHAN JL. GITAR 2 RT 07/- B L Baru; X 14 Th 23-Jul-2019 Mucocele of salivary; K11.6;
FAKHRUDDIN, AN BARU
4,029 0-12-08-19 APRIANA ABADI NY JL MH THAMRIN TJ P X 22 Th 23-Jul-2019
LIMAU
4,030 0-12-08-49 ANNNISA ZAFIRA JL MULAWARMAN P X 1 Th 23-Jul-2019
AZAHRA AN RT 12
4,031 0-12-08-69 AHNAF GIBRAN JL R SOEPRAPTO L X 7b 23-Jul-2019
ALFATIH AN GG ALPUKAT RT
16/17
4,032 0-12-08-71 NANANG KUSWORO JL DANAU L X 38 Th 23-Jul-2019
TN TONDANO HOP 3/35
PERUM PT BADAK
4,033 0-12-08-72 UMMIYATUL JL MANGGA RT P X 20 Th 23-Jul-2019
KHAIRUNNISA NY SATIMPO
4,034 0-12-08-79 SARNAWIYAH, NY JL. KM 24 RT 08 P X 36 Th 23-Jul-2019
MARANGKAYU
4,035 0-12-08-87 RODRIGUES DON JL SENAM RT 25/22 L Baru; X 7 Th 23-Jul-2019 Fever, unspecified; R50.9;
WAWIN AN API API
4,036 0-12-08-87 RODRIGUES DON JL SENAM RT 25/22 L X 7 Th 23-Jul-2019
WAWIN AN API API
4,037 0-12-08-88 HARAJIAH BINTI JL KENANGAN RT P Baru; X 59 Th 23-Jul-2019 Essential (primary) ; I10; Dirawat
BUHARI NY 28/68 TJ LAUT INDAH
4,038 0-12-08-89 ANANDA AULIA JL AWANG LONG RT P X 12 Th 23-Jul-2019
SALSABILA AN 01/12A BTG BARU
4,039 0-12-08-90 SAIDA BINTI AHMAD JL MARANGKAYU RT P X 44 Th 23-Jul-2019
NY 022 DESA
SAMBUTAN
4,040 0-12-08-91 CYNTHIA DEWI JL PC 4 RT 06/62 P X 24 Th 23-Jul-2019
LESTARI NY SATIMPO
4,041 0-12-08-92 YENNI MARTIANA JL SELAT MADURA P X 31 Th 23-Jul-2019
PUTRI NY RT 08/51 TJ LAUT
INDAH
4,042 0-12-08-93 MUNAWAROH BIN NY JL PECAK SILAT 1 P X 75 Th 23-Jul-2019
RT 12 API API
4,043 0-12-08-94 SUPINI BIN NY JL BRIGJEN P Baru; X 35 Th 23-Jul-2019 Dyspepsia; K30; Dirawat
KATAMSO RT 44/-
HOP 6 BELIMBING

20/Sep/2019 224
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,044 0-12-08-95 NABILA FITRIANI BY JL KP TANDEAN GG L X 0 Hr 23-Jul-2019


NY BATU SAHASA 5 RT
12 BTG KUALA
4,045 0-12-08-96 MISWAR BIN AHMAD JL SELAT LOMBOK L X 22 Th 23-Jul-2019
MUIS TN RT 05/15 TJ LAUT
INDAH
4,046 0-12-08-97 WA ODE SALBIA NY JL AWANG LONG P Baru; X 64 Th 23-Jul-2019 Injury of unspecifie; T14; Dirawat
VRT 28/- BTG BARU
4,047 0-12-08-98 SRITUMNI BINTI NY JL SULTAN P Baru; X 58 Th 23-Jul-2019 Non-insulin-dependen; E11;
HASANUDDIN RT
30/16 B TENGAH
4,048 0-12-08-99 WIDHI ADITAMA P AN JL BRIGJEN P Baru; X 9 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
KATAMSO RT 6
BELIMBING
4,049 0-12-09-00 NURUL HIDAYAH NY JL KERSIK RT 3 P X 0 Hr 23-Jul-2019
BY MARANG KAYU
4,050 0-12-09-01 SUKIMAN LAMPAO TN JL SELAT BONE RT L Baru; X 50 Th 23-Jul-2019 Tuberculosis of lung; A15.0;
16 TJ LAUT
4,051 0-12-09-02 ROSMIATI BINTI JL SANJAN TENGAH P X 32 Th 23-Jul-2019
NANRANG NY RT 8 MARNAGKAYU
4,052 0-12-09-02 ROSMIATI BINTI JL SANJAN TENGAH P X 32 Th 23-Jul-2019
NANRANG NY RT 8 MARNAGKAYU
4,053 0-12-09-03 ADIBA QANITA JL. KERSIK RT 01/- M P Baru; X 5 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
IBRAHIM, AN KAYU
4,054 0-12-09-04 AMRAN BIN AHEN, TN JL. JEND SUDIRMAN L X 35 Th 23-Jul-2019
RT 22/- TJ LAUT
4,055 0-12-09-05 HARIYANTO BIN TN JL. PIERE TENDEAN L X 51 Th 23-Jul-2019
GG AMPERA RT 04/-
B TENGAH
4,056 0-12-09-06 IHWAN BIN SUPARDI, JL. ZAMRUD GG L X 27 Th 23-Jul-2019
TN ZAMRUD 15 RT 51/17
B TENGAH
4,057 0-12-09-07 DHANI RACHMAD R, JL. ALEXANDER I RT L X 18 Th 23-Jul-2019
TN 09/- B TENGAH
4,058 0-12-09-08 MUSLIADIL BIN TN JL. HM ARDAN 5 RT L X 33 Th 23-Jul-2019
23/- SATIMPO
4,059 0-12-09-09 ROSDIANA BINTI JL MONTE GG P X 53 Th 23-Jul-2019
GENDA NY KASWARI 3 RT 17/71
4,060 0-12-09-10 SUGIATI BINTI JL MONTE RT 17/77 P X 62 Th 23-Jul-2019
SAEKAN NY SANGATTA
4,061 0-12-09-11 NURMA BINTI JL SULTAN P Baru; Baru; X 49 Th 23-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
HAERUDDIN NY HASANUDDIN GG unspecified;
INDAT 2 / 3 RT 30

20/Sep/2019 225
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,062 0-12-09-12 ANDRIANI, NY JL. YOS SUDARSO P X 38 Th 23-Jul-2019


RT, 54 NO. 91
SANGATTA
4,063 0-12-09-13 NOVA HARRY MAKARTI 6 L X 10 Th 23-Jul-2019
PRASTYO AN MARNAGKAYU
4,064 0-12-09-14 JUMRI BIN LAODE, TN JL. YOS SUDARSO 2 P X 44 Th 23-Jul-2019
GG MESJID 3A NO 91
SANGATTA
4,065 0-12-09-15 JAMES ABDULLAH T, JL. S PARMAN RT L X 45 Th 23-Jul-2019
TN 49/- BELIMBING
4,066 0-12-09-16 KASNANI BINTI ASRI, JL. S SYAHRIR RT /- P Baru; X 31 Th 23-Jul-2019 Supervision of norma; Z34;
NY TJ LAUT
4,067 0-12-09-17 RIDHA NAS PUTRI NN JL AWANG LONG RT P X 20 Th 23-Jul-2019
6
4,068 0-12-09-18 RAFI LONGSE JL. MARANGKAYU 4 L Baru; X 7 Th 23-Jul-2019 Chronic nasopharyngi; J31.1;
PARURA, AN RT 12/- M KAYU
4,069 0-12-09-19 UMRAH BINTI JL HARUAN TJ LAUT P X 18 Th 23-Jul-2019
HAERUDDIN NY INDAH / 27
4,070 0-12-09-20 MIFTAKHUR JL. HM ARDAN 2 L X 29 Th 23-Jul-2019
ROHMAN, TN PERUM PISANGAN
RT 25/F12 SATIMPO
4,071 0-12-09-21 HARTATI ANAS , NY JL. RE L X 39 Th 23-Jul-2019
MARTADINATA RT
34 LOKTUAN
4,072 0-12-09-22 WEDDI SYAHPUTRA , JL. AHMAD YANI RT L X 9b 23-Jul-2019
AN 9/78 API-API
4,073 0-12-09-23 BAYU AKBAR TN JL PAPRIKA RT 44 L X 27 Th 23-Jul-2019
NO 6 GUNUNG ELAI
4,074 0-12-09-24 M SHAFWAN AN JL KAPT TENDEAN / L Baru; X 11 Th 23-Jul-2019 Injury of unspecifie; T14; Dirawat
28 BONTANG KUALA
4,075 0-12-09-25 PUTRA SENJAYA T JL SALEBA RT 6/3 L Baru; X 21 Th 23-Jul-2019 Viral infection, uns; B34.9;
TN APIAPI
4,076 0-12-09-26 NASIR TN JL DUSUN HANDIL L Baru; X 76 Th 23-Jul-2019 Chronic obstructive ; J44.1;
MICO RT 10 SANTAN
TENGAH
4,077 0-12-09-27 KAMELIA RIFAL D, JL. PASAR RAWA L Baru; X 23 Th 23-Jul-2019 Viral infection, uns; B34.9;
STN INDAH
4,078 0-12-09-28 DILA PUSPITA, AN JL. KENANGAN RT P X 16 Th 23-Jul-2019
30 TANJUNG LAUT
4,079 0-12-09-29 DARWIS, TN JL. PRAMUKA RT 02 L Baru; X 67 Th 23-Jul-2019 Fracture of lower en; S52.5;
BONTANG LESTARI
4,080 0-12-09-33 CAHYO DWI UTOMO, JL. PERUM L X 34 Th 23-Jul-2019
TN BONTANG PERMAI
RT 07 NO 04 API API

20/Sep/2019 226
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,081 0-12-09-34 SUMADI TN JL. CUT NYAK DIEN L Baru; X 59 Th 23-Jul-2019 Herpesviral infectio; B00.9;
RT 09 BTG BARU
4,082 0-12-09-35 SARINA, NY JL. PAGUNG RT 04 P X 36 Th 23-Jul-2019
BONTANG LESTARI
4,083 0-12-09-36 MIRA, NY JL. LELE RT 20 P X 39 Th 23-Jul-2019
TANJUNG LAUT
INDAH
4,084 0-12-09-37 SYIFAH AMIRAH B AN JL. DEWI SARTIKA P Baru; X 9 Th 23-Jul-2019 Acute tonsillitis, u; J03.9;
NO 51 RT 08
4,085 0-12-09-40 SYALOM RANDE L AN JL MARANGKAYU IV L X 1 Th 23-Jul-2019
RT 10/- SEBUNTAL
4,086 0-12-09-41 ALIF HAFIZH JL BUNAKEN RT 19 B L X 0 Hr 23-Jul-2019
PRATAMA, AN TENGAH
4,087 0-00-03-52 SYARIFAH MASNAH, JL. KP TENDEAN RT P X 69 Th 24-Jul-2019
NY HJ 1 NO 40 BTG KUALA
4,088 0-00-11-65 MASRIAH, NY. JL. BATU SAHASA P X 55 Th 24-Jul-2019
RT 7/4 BTG KUALA
4,089 0-00-63-87 CARLA POTALANGI JL. SUTOYO GG P X 56 Th 24-Jul-2019
NY ZAMRUD 2 RT 42 NO
15 B TENGAH
4,090 0-00-64-41 FIRATIM K R, NY. JL. MH THAMRIN NO P X 40 Th 24-Jul-2019
27 RT 5 KEL. GG
ELAI
4,091 0-00-64-64 BANI JUITO NY. JL. POLO AIR RT 35 P X 36 Th 24-Jul-2019
NO 4 KEL API API
4,092 0-01-31-26 M BAKRI TN. JL. IR H JUANDA RT L X 41 Th 24-Jul-2019
36 NO 15 TANJUNG
LAUT
4,093 0-01-39-07 YENI FARIDA, NY. JL. BHAYANGKARA P X 31 Th 24-Jul-2019
RT. 16/23 GN. ELAI
4,094 0-01-83-18 HAMIDAH BIN JL. DI PANJAITAN RT P Lama; X 56 Th 24-Jul-2019 Non-insulin-dependen; E11;
MUSTAFA NY. 34 API API
4,095 0-01-85-25 GHUFRAAN ISRAFIL A JL. TJ PURA RT 13/10 L X 13 Th 24-Jul-2019
AN TJ LAUT
4,096 0-03-19-79 ZAYAZ SIDIN, AN. JL. S. SYAHRIR RT. L X 10 Th 24-Jul-2019
03/07 T. LAUT
4,097 0-03-19-79 ZAYAZ SIDIN, AN. JL. S. SYAHRIR RT. L X 10 Th 24-Jul-2019
03/07 T. LAUT
4,098 0-04-07-59 YULI SETIAWATI, NY. JL. KEJORA GG P Baru; X 53 Th 24-Jul-2019 Necrosis of pulp; K04.1;
WAKAF 2 RT 16/-
BTG KUALA
4,099 0-04-19-32 DERI RUSLITA, NY JL. MULAWARMAN P X 36 Th 24-Jul-2019
RT 06 BTG BARU

20/Sep/2019 227
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,100 0-04-46-36 ZAINUDDIN BIN JL. PAGANDARAAN L X 43 Th 24-Jul-2019


SUDIRMAN TN RT. 13/167 B. PANTAI
4,101 0-04-71-50 SULAIMAN, TN. JL. A YANI RT 01/05 L Baru; X 49 Th 24-Jul-2019 Viral infection, uns; B34.9;
API API
4,102 0-04-76-36 ACEYZA SAFIAN , AN. JL. Kakap merah I P X 6 Th 24-Jul-2019
RT.22/35 Tj. Laut
4,103 0-04-86-38 DAVIN KEYNAN M , JL. ZAMRUD 3 L Baru; X 8 Th 24-Jul-2019 Viral infection, uns; B34.9;
AN. RT.43/22 B. TGH
4,104 0-05-27-37 IHLIS JL. MT HARYONO RT P Lama; X 9 Th 24-Jul-2019 Chronic tonsillitis; J35.0;
TAQIYYAHARIBAH S 28 NO 47 API API
AN
4,105 0-05-47-86 DITTA IGUSTIN JL AR HAKIM RT P X 28 Th 24-Jul-2019
FARINDRA NY 41/30 BELIMBING
4,106 0-05-73-19 AHMAT NUR JL. SUTAN SYAHRIR L X 24 Th 24-Jul-2019
FEBRIANTO, SDR GRT 6/40 TANJUNG
LAUT INDAH
4,107 0-05-81-07 LUSI ANGGRIANI NY JL. LUMBA -LUMBA P Baru; X 29 Th 24-Jul-2019 Contraceptive manage; Z30;
RT 27/91 TJ LAUT
4,108 0-05-81-43 SAEFUL CAHYO JL. CAMP 2000 PAMA L Baru; X 26 Th 24-Jul-2019 Other headache syndr; G44;
WINARKO, TN
4,109 0-05-93-32 M ASRAF DZAKI AN JL.TANJUNG RT, 21 L X 8 Th 24-Jul-2019
NO. 19 SATIMPO
4,110 0-05-96-71 SAKKA BIN LANGAWI, JL. SULTAN L X 64 Th 24-Jul-2019
TN HASANUDDIN RT 31
BERBAS TENGAH
4,111 0-06-01-70 FITRIANI BINTI GAHRI JL.WR SUPRATMAN P X 18 Th 24-Jul-2019
NY RT 25/7 BERBAS
TENGAH
4,112 0-06-04-99 DONI SUGIARTO SDR JL. A YANI RT.12/38 L Baru; X 21 Th 24-Jul-2019 Dental caries; K02;
BTG BARU
4,113 0-06-11-89 NORMA NY JL. S. HASANUDDIN P Lama; X 39 Th 24-Jul-2019 Supervision of norma; Z34;
RT 25/12 B TGH
4,114 0-06-13-89 YUSRA BINTI BORA JL MH THAMRIN RT P Baru; X 35 Th 24-Jul-2019 Chronic hepatitis, u; K73.9;
NY 26 BONTANG BARU
4,115 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L Baru; X 47 Th 24-Jul-2019 Sequelae of central ; B90.0;
HASANUDDIN RT 01
BERBAS PANTAI
4,116 0-06-42-71 SURYANI JL. A LONG RT.11 P Lama; X 53 Th 24-Jul-2019 Acute suppurative ot; H66.0;
SIMANJUNTAK NY BTG BARU
4,117 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 24-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
4,118 0-06-51-04 MUALLIMA NY JL. DEWI SARTIKA P Lama; X 46 Th 24-Jul-2019 Non-insulin-dependen; E11;
RT. 25/35 TJ. LAUT

20/Sep/2019 228
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,119 0-06-59-18 MARZUKI, TN JL S SYAHRIR RT 28 L X 72 Th 24-Jul-2019


TJ LAUT
4,120 0-06-60-02 FITRIANI TEUKU J NY JL. S MAKASSAR RT P Lama; X 40 Th 24-Jul-2019 Asthma; J45; Dirawat
25/ TJ LAUT
4,121 0-06-69-57 DETRI CNI , NN JL. A YANI RT.05 TJ P X 19 Th 24-Jul-2019
LAUT
4,122 0-06-69-57 DETRI CNI , NN JL. A YANI RT.05 TJ P X 19 Th 24-Jul-2019
LAUT
4,123 0-06-72-66 ARIFAI TN JL BELANAK RT.32 L X 47 Th 24-Jul-2019
TJ LAUT INDAH
4,124 0-06-72-66 ARIFAI TN JL BELANAK RT.32 L Lama; X 47 Th 24-Jul-2019 Essential (primary) ; I10; Dirawat
TJ LAUT INDAH
4,125 0-06-90-54 RAHMAT BIN RUSTAN JL. BELANAK RT 21 L X 9 Th 24-Jul-2019
AN NO 38 TANJUNG
LAUT INDAH
4,126 0-06-90-84 RISKA NAJWA AN JL. REFORMASI RT. P X 7 Th 24-Jul-2019
31/125 API API
4,127 0-06-99-78 YAMU BIN TAMSUN JL S HASANUDDIN P X 56 Th 24-Jul-2019
NY RT.03/06 B PANTAI
4,128 0-07-13-62 RUDI HERMAWAN JL KELADI RT 3 GN L X 27 Th 24-Jul-2019
SDR ELAI
4,129 0-07-24-01 BAMBANG AGUS M JL GENDANG RT 23 L X 37 Th 24-Jul-2019
TN NO 30 BONTANG
BARU
4,130 0-07-38-15 RIMAYATI BIN RUSDI JL P SURYANATA RT P X 52 Th 24-Jul-2019
NY 13/07 B BARU
4,131 0-07-41-15 MANAEK PANJAITAN JL IR JUANDA RT 6 / L Baru; X 16 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
TN 69 TANJ LAUT
4,132 0-07-41-83 SUMETY ADINDA JL MENTE RT 24 NO P X 39 Th 24-Jul-2019
SARI, NY 28 SATIMPO
4,133 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 24-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
4,134 0-07-52-77 NURSIAH HJ NY JL. KERAPU 2 RT ? P X 51 Th 24-Jul-2019
TJ LAUT
4,135 0-07-57-18 FERY TAUFAN, TN JL. DI PANJAITAN RT L X 32 Th 24-Jul-2019
02 BONTANG BARU
4,136 0-07-59-62 KRISTINA SONI NY JL HM ARDANS RT P Lama; X 41 Th 24-Jul-2019 Non-insulin-dependen; E11;
24 SATIMPO
4,137 0-07-72-67 FATMAWATI, NY JL. PERUM P Lama; X 57 Th 24-Jul-2019 Non-insulin-dependen; E11;
DISNAKER RT 30 NO
11 TELIHAN
4,138 0-07-73-49 YANTI BIN M AMIN, NY JL WR SUPRAPMAN P X 33 Th 24-Jul-2019
RT 57 / 4 B TENGAH

20/Sep/2019 229
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,139 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 24-Jul-2019 Traumatic amputation; S88;
B PANTAI
4,140 0-07-75-41 NI KOMANG JL RA KARTINI RT 23 P Baru; X 14 Th 24-Jul-2019 Gastroenteritis and ; K52.0;
WIJAYANTI, AN GN ELAI
4,141 0-07-81-81 M BURHANUDDIN D, JL BARONANG RT 13 L X 59 Th 24-Jul-2019
TN / 7 TJ LAUT INDAH
4,142 0-07-93-29 DIFGAN MURSYID, AN JL. KELADI RT 04 GN L X 4 Th 24-Jul-2019
ELAI
4,143 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L X 66 Th 24-Jul-2019
AMIN TN API API
4,144 0-08-05-20 LILYANA AZ ZAHRA JL. S SAHRIR RT 3 P Lama; X 5 Th 24-Jul-2019 Otitis media, unspec; H66.9;
AN TJ LAUT
4,145 0-08-11-12 RAISHA DIAH AYU JL. MAWAR I RT P X 7 Th 24-Jul-2019
SAFIRA AN 36/38 TJ LAUT
4,146 0-08-12-91 AGUNG SETYAWAN, JL. MUTIARA RT 03 L X 18 Th 24-Jul-2019
AN NO 16 BERBAS
TENGAH
4,147 0-08-14-97 SADDU BIN, TN JL. KS TUBUN RT 17 L X 64 Th 24-Jul-2019
TANJUNG LAUT
4,148 0-08-21-05 JABIR BIN HADIDA TN JL. S SELAYAR RT 12 L Lama; X 60 Th 24-Jul-2019 Gastro-oesophageal r; K21.0;
TJ LAUT
4,149 0-08-25-54 RAHMATIA, NY JL. PELABUHAN III P X 39 Th 24-Jul-2019
RT 14 NO 10
TANJUNG LAUT
INDAH
4,150 0-08-26-18 JAUKANI BIN BUSRA, JL S HASANUDDIN L X 48 Th 24-Jul-2019
TN RT 30 B TENGAH
4,151 0-08-27-01 JUMAATI, NY JL. MULAWARMAN P Baru; X 42 Th 24-Jul-2019 Diarrhoea and gastro; A09; Dirawat
RT 24 BONTAN
BARU
4,152 0-08-37-56 SURYANI NY JL. WR SUPRATMAN P Lama; X 36 Th 24-Jul-2019 Chronic pansinusitis; J32.4;
RT 27 TJ LAUT
4,153 0-08-45-35 MISBAHUDDIN BIN JL. SEL BONE RT. 20 L X 56 Th 24-Jul-2019
JAHA TN TJ LAUT
4,154 0-08-74-24 AYU ANGGRAENI NY JL. BATU SAHASA P X 28 Th 24-Jul-2019
RT 02/44 BTG KUALA
4,155 0-08-85-06 MEGAWATI ANAS NY JL MH THAMRIN RT P X 19 Th 24-Jul-2019
02/ GN ELAI
4,156 0-08-93-51 NURAINI BIN JL AWANG LONG RT P Baru; X 35 Th 24-Jul-2019 Dyspepsia; K30; Dirawat
SUKARLIN NY 20 NO 22 BTG BARU
4,157 0-09-04-17 RHATU RIHANA AN JL. S SAHRIR RT 02 P Baru; X 4 Th 24-Jul-2019 Abdominal and pelvic; R10; Dirawat
TJ LAUT I

20/Sep/2019 230
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,158 0-09-04-62 YULIA CINDY JL SELAT BONE GG P X 7 Th 24-Jul-2019
SABRINA AN SATELIT RT 18 NO
34 TJ LAUT
4,159 0-09-11-94 BUSRAWATI BIN JL SULTAN P X 30 Th 24-Jul-2019
MARZUKI NY HASANUDDIN RT 4
TANJUNG LAUT
INDAH
4,160 0-09-12-55 MURNI BINTI LOJONG JL. PATIMURA RT. 33 P X 58 Th 24-Jul-2019
NY / 70 API API
4,161 0-09-15-17 ZULBAITI BINTI NY JL R SUPRAPTO RT P Baru; X 44 Th 24-Jul-2019 Asthma; J45; Dirawat
14/05 BTG BARU
4,162 0-09-17-02 YUSDA, NY JL. SAFIR RT 17 NO P Baru; X 22 Th 24-Jul-2019 Abdominal and pelvic; R10; Dirawat
09 BERBAS TENGAH
4,163 0-09-23-21 DIAH PUSPITA R P AN JL. MT HARYONO P X 11 Th 24-Jul-2019
RT. 30 API API
4,164 0-09-24-76 FITRIANI BINTI JL TIPALAYO RT 47 P X 31 Th 24-Jul-2019
RAHMAN NY NO 36 B TENGAH
4,165 0-09-29-08 ANIBAR NY JL BROKOLI 6 RT 14 P X 68 Th 24-Jul-2019
GN ELAI
4,166 0-09-43-04 MAITA JAYA NY JL GG CUMI CUMI RT P Baru; X 44 Th 24-Jul-2019 Vertigo of central o; H81.4;
01 NO 13 TJ LAUT
INDAH
4,167 0-09-44-28 MARKUS TANDILO TN JL PERINTIS RT 6 L X 42 Th 24-Jul-2019
NO 40 KANAAN
4,168 0-09-57-22 ABDUL ELIK EFENDI JL DI PANJIATAN RT L X 45 Th 24-Jul-2019
TN 25/ API API
4,169 0-09-57-22 ABDUL ELIK EFENDI JL DI PANJIATAN RT L X 45 Th 24-Jul-2019
TN 25/ API API
4,170 0-09-57-71 SAMSUDIN, TN JL. KOL RT 09 NO 42 L X 55 Th 24-Jul-2019
GN ELAI
4,171 0-09-62-87 DWI WIJAYANTI, NY JL. PATTIMURA RT P X 30 Th 24-Jul-2019
12 API API
4,172 0-09-65-88 NURDIN TOMADAI , JL. ZAMRUD RT 61 B L Baru; X 52 Th 24-Jul-2019 Dyspepsia; K30; Dirawat
TN TGH
4,173 0-09-67-13 RASYA ATHALLAH R JL JET SKY 1 RT 29 L Baru; X 3 Th 24-Jul-2019 Disorder of muscle, ; M62.9; Dirawat
AN BLOK A 22 API API
4,174 0-09-67-37 PUTRI REZKY AZHARI JL JEND SUDIRMAN P Lama; X 17 Th 24-Jul-2019 Chronic pansinusitis; J32.4;
,SDR RT 26/ TJ LAUT
4,175 0-09-76-60 NABILA SYADIYA K, JL. ZAMRUD 15 RT P X 2 Th 24-Jul-2019
AN 51 BERBAS TENGAH
4,176 0-09-79-27 SYAUKI AULIYA JL KS TUBUN RT P Baru; X 1 Th 24-Jul-2019 Nausea and vomiting; R11;
AZZAHRO AN 15/02 BTG KUALA
4,177 0-09-83-52 MISTIANAH, NY JL. GITAR RT 07 P Baru; X 42 Th 24-Jul-2019 Mumps; B26;
BONTANG BARU

20/Sep/2019 231
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,178 0-09-88-87 DINA SEPTENI , NN JL. PATIMURA GG P X 18 Th 24-Jul-2019


ATLETIK 15 RT 33/70
4,179 0-09-92-91 MURNI BINTI JL DIPONEGORO RT P Baru; X 45 Th 24-Jul-2019 Chronic pansinusitis; J32.4;
HAMURUDDIN NY 15 BERBAS PANTAI
4,180 0-09-97-89 IWAN FAISAL, TN JL. KALIMANTAN RT L Baru; X 46 Th 24-Jul-2019 Headache; R51; Dirawat
19 NO 39 API API
4,181 0-10-00-63 SONY RIFAI , TN JL BEKANTAN N3 NO L Lama; X 56 Th 24-Jul-2019 Cutaneous abscess, f; L02;
3 BTN PKT
BELIMBING
4,182 0-10-06-16 FIRMANSYAH TN JL SELAT KARIMATA L Lama; X 32 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
1 RT 26 NO 33 TJ
LAUT
4,183 0-10-09-65 RIZKY ALIF JL. WR L Baru; Baru; X 6 Th 24-Jul-2019 Viral infection, uns; Fever, B34.9;R
PRATAMA, AN SOEPRATMAN RT 27 unspecified;
39 TANJUNG LAUT
4,184 0-10-13-32 M IRWAN JAYA, AN JL S SYAHRIR RT L Baru; X 1 Th 24-Jul-2019 Fever, unspecified; R50.9; Dirawat
07/46 GG BAWIS TJ
LAUT INDAH
4,185 0-10-29-21 CAMINA NY JL. ZAMRUD RT 51 P Lama; X 60 Th 24-Jul-2019 Non-insulin-dependen; E11;
BERBAS TENGAH
4,186 0-10-31-63 ERMI OCTAVIA NY JL SELAT BONE RT P Lama; X 29 Th 24-Jul-2019 Dyspepsia; K30; Dirawat
16 TJ LAUT
4,187 0-10-36-31 NURNANINGSIH NY JL CATUR 6 RT /A10 P X 40 Th 24-Jul-2019
API API
4,188 0-10-39-25 CHUFAIRAH JL BERLIAN RT P X 2 Th 24-Jul-2019
ABIDATUN N AN 16/05 B TENGAH
4,189 0-10-41-88 SUMINO TN JL PALEMBANG RT L X 46 Th 24-Jul-2019
16 GN TELIHAN
4,190 0-10-47-15 MAULANA IBRAHIM JL MULAWARMAN L Baru; X 1 Th 24-Jul-2019 Fever, unspecified; R50.9; Dirawat
ZAIN AN RT 06 NO 24 BTG
BARU
4,191 0-10-51-00 ROSMANIAH BIN JL. MH THAMRIN GG P Lama; X 36 Th 24-Jul-2019 Supervision of norma; Z34;
BIRUHIM NY TROMPET RT 25/48
BTG BARU
4,192 0-10-53-56 DZAKIRA TALITA JL HABIBON RT L X 6 Th 24-Jul-2019
ZAHRA, AN 05/79 GG PESUT 2 TJ
LAUT INDAH
4,193 0-10-54-07 SALMAN BIN KANDA JL MH THAMRIN RT L X 20 Th 24-Jul-2019
SDR 01/25
4,194 0-10-54-07 SALMAN BIN KANDA JL MH THAMRIN RT L X 20 Th 24-Jul-2019
SDR 01/25
4,195 0-10-56-03 ASNAN BIN TAJUDIN JL MH THAMRIN GG L Lama; X 55 Th 24-Jul-2019 Non-insulin-dependen; E11;
TN SE TEROMPET 1 RT 25
NO 16 BTG BARU

20/Sep/2019 232
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,196 0-10-56-03 ASNAN BIN TAJUDIN JL MH THAMRIN GG L X 55 Th 24-Jul-2019


TN SE TEROMPET 1 RT 25
NO 16 BTG BARU
4,197 0-10-59-21 DAMARIS DUMA, NY JL. SANTAN ULU RT P Baru; X 39 Th 24-Jul-2019 Urinary tract infect; N39.0;
11 MARANGKAYU
4,198 0-10-64-11 MESLA BIN NAJIB TN JL. DENPASAR RT 10 L X 58 Th 24-Jul-2019
NO 15 GN TELIHAN
4,199 0-10-67-11 ANDI MUSLIANI NY JL REFORMASI P X 32 Th 24-Jul-2019
PERUM TMI BLOK
A/10 API API
4,200 0-10-68-07 KIKI WIJAYANTI, NY JL. PATTIMURA GG P X 28 Th 24-Jul-2019
ATLETIK 11 RT 27/-
API-API
4,201 0-10-85-42 SITI SIANTURI NY JL IMAM BONJOL GG P X 27 Th 24-Jul-2019
SEMAYANG 2 RT 43
NO 10 GN ELAI
4,202 0-11-06-16 SITI AISYAH NY JL. MULAWARMAN P Baru; X 43 Th 24-Jul-2019 Contraceptive manage; Z30;
GG ANGKLUNG 1 RT
6 BONTANG BARU
4,203 0-11-07-23 OKSARIA SABATINA, JL. MULAWARMAN P X 25 Th 24-Jul-2019
NN BONTANG BARU
4,204 0-11-08-66 PALLAO TN JL. SATIMPO RT 12 L Baru; X 65 Th 24-Jul-2019 Asthma; J45; Dirawat
NO 60 BERBAS
TENGAH
4,205 0-11-14-85 GRESYE TRESYE JL. S LOMBOK RT P Lama; X 31 Th 24-Jul-2019 Supervision of norma; Z34;
SUMLANG, NY 05/- TJ LAUT
4,206 0-11-17-00 NAFSIAH BINTI A JL. IR H JUANDA RT P X 32 Th 24-Jul-2019
MANAK, NY 06/- TJ LAUT
4,207 0-11-23-59 BAU MINTONG NY HJ JL SELAT KARIMATA P Baru; X 67 Th 24-Jul-2019 Disorders of autonom; G90;
RT 34 NO 77 TJ LAUT
4,208 0-11-32-95 ADI SUPRIANTO SDR JL POROS BTG SMD L Baru; X 21 Th 24-Jul-2019 Fever, unspecified; R50.9; Dirawat
KM 11 TELUK
PANDAN
4,209 0-11-33-21 M FAEYZA AN JL IR H JUANDA RT L Baru; X 10 Th 24-Jul-2019 Fever, unspecified; R50.9;
35 TJ LAUT
4,210 0-11-35-46 HUMAIRAH, AN JL. DI PANJAITAN RT P Baru; X 1 Th 24-Jul-2019 Fever, unspecified; R50.9;
12 NO 07 BONTANG
BARU
4,211 0-11-40-68 IRAWAN PUTRA JAYA JL S HASANUDDIN L X 41 Th 24-Jul-2019
TN GG LOSARI 7 RT 4 B
PANTAI
4,212 0-11-40-68 IRAWAN PUTRA JAYA JL S HASANUDDIN L X 41 Th 24-Jul-2019
TN GG LOSARI 7 RT 4 B
PANTAI

20/Sep/2019 233
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,213 0-11-41-50 RUSTINAH , NY JL. J A YANI RT 02 TJ P Lama; X 44 Th 24-Jul-2019 Essential (primary) ; I10;
LAUT
4,214 0-11-46-92 DAUD BANNE TN JL MARANG KAYU 3 L X 64 Th 24-Jul-2019
RT 29 SEBUNTAL
4,215 0-11-47-76 AMRI BIN ILYAS TN JL GENDANG 5 RT L X 42 Th 24-Jul-2019
21 NO 74B BTG
BARU
4,216 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Baru; X 33 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
RT 28 BONTANG
BARU
4,217 0-11-55-33 MASNAH BINTI NY JL. WR SUPRATMAN P Lama; X 38 Th 24-Jul-2019 Supervision of norma; Z34;
RT 27 TJ LAUT
4,218 0-11-55-58 FIRMAN JL. MT HARYONO RT L Baru; X 34 Th 24-Jul-2019 Fever, unspecified; R50.9;
HERLAMBANG ALAM 29 API API
TN
4,219 0-11-57-22 MASRIANI BINTI JAMI JL SULTAN P X 25 Th 24-Jul-2019
NY HASANUDDIN RT
31/37 B TENGAH
4,220 0-11-61-04 RUSMIATI NY JL PONTIANAK 2 RT P Lama; X 45 Th 24-Jul-2019 Gynaecological exami; Z01.4;
23/37 GN TELIHAN
4,221 0-11-62-88 ROSALINA ARTHA F JL. VETERAN N0 22 P Baru; X 32 Th 24-Jul-2019 Asthma; J45; Dirawat
NY GG INTAN 3 BERBAS
TENGAH
4,222 0-11-64-30 DAFINA KARUNIA JL. SAFIR RT 20/08 B P X 6b 24-Jul-2019
AIDIL, AN TENGAH
4,223 0-11-70-33 SUTI BINTI MANGUN JL PIANO 6 RT 03/81 P X 55 Th 24-Jul-2019
NY B BARU
4,224 0-11-70-88 NGESTI JL KS TUBUN GG P Lama; X 26 Th 24-Jul-2019 Supervision of norma; Z34;
RAHAYUNINGSIH NY VULKANIK RT 08/63
BTG KUALA
4,225 0-11-74-69 YUSRIANI BINTI JL IR SOEKARNO GG P Lama; X 40 Th 24-Jul-2019 Non-insulin-dependen; E11;
PAULUS NY BANDUNG 4 RT
25/80 GN TELIHAN
4,226 0-11-79-95 M JAFAR B TN JL. MARANGKAYU L X 67 Th 24-Jul-2019
NO 30
4,227 0-11-82-01 MUHAMMAD, TN JL. CATUR RT 07 NO L Lama; X 58 Th 24-Jul-2019 Unspecified malaria; B54;
B09 API API
4,228 0-11-82-38 JUNAIDI KERTASIH JL. TEUKU UMAR RT L Lama; X 70 Th 24-Jul-2019 Cutaneous abscess, f; L02;
TN 13 BONTANG BARU
4,229 0-11-84-01 NADINE AZZAHRA K, JL. P SURYANATA P X 10 b 24-Jul-2019
AN RT 13/29 B BARU
4,230 0-11-91-17 ISNAWATI, NY JL. KAPAL PINISI RT P Baru; X 30 Th 24-Jul-2019 Dyspnoea; R06.0; Dirawat
46 LOKTUAN

20/Sep/2019 234
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,231 0-11-92-54 SULASTRI BINTI JL. MARANG KAYU I P X 65 Th 24-Jul-2019


KASDI , NY RT 01/- DESA
SEBUNTAL
4,232 0-11-94-04 AGNES SILAS P, NN JL. PONTIANAK VI P Lama; X 21 Th 24-Jul-2019 Otitis media, unspec; H66.9;
RT 20/44 GN
TELIHAN
4,233 0-11-94-92 ROY ANTAMA JL PATIMURA GG L Baru; X 21 Th 24-Jul-2019 Dengue fever [classi; A90;
GINTING TN PENCAK SILAT 1 RT
14 API API
4,234 0-11-97-18 ULYA NAILAH JL PATTIMURA GG P X 7 Th 24-Jul-2019
RAMADHINI AN ATLETIK 20 RT 41
API API
4,235 0-11-98-10 NURHIDAYAH, NY JL PERUM PESONA P X 27 Th 24-Jul-2019
BUKIT SINTUK RT 42
BLOK C3
4,236 0-12-00-61 LINDA APRILIA, AN JL. SAMRATULANGI P Lama; X 17 Th 24-Jul-2019 Chronic pansinusitis; J32.4;
RT 15/- TJ LAUT
INDAH
4,237 0-12-01-31 NIKMAN SIRAD TN JL. BATU SAHASA 3 L X 74 Th 24-Jul-2019
BTG KUALA
4,238 0-12-02-12 SILVIA HARLALENI NY JL. OTISTA RT 26/- P Baru; X 29 Th 24-Jul-2019 Postpartum care and ; Z39;
BTG BARU
4,239 0-12-03-59 ECHA NURSAHARA, JL. CATUR RT 07/01 P X 21 Th 24-Jul-2019
NN API-API
4,240 0-12-03-65 FENDRIC ZAKKA JL. S HASANUDDIN L Lama; X 7 Th 24-Jul-2019 Disturbances in toot; K00.6;
ORNATHA, AN GG LOSARI 14 RT
09/- B PANTAI
4,241 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Lama; X 29 Th 24-Jul-2019 Umbilical hernia; K42;
RT 39 BERBAS
TENGAH
4,242 0-12-03-93 M ZIAN ALTHA F AN JL MELAWAI RT 20 B L X 14 Hr 24-Jul-2019
TENGAH
4,243 0-12-04-01 RINA AHMAD NY JL MULAWARMAN P X 27 Th 24-Jul-2019
GG GENDANG 2 RT
23/114 BTG BARU
4,244 0-12-04-80 IKHLASUL AMAL , AN JL. PELABUHAN III L X 19 Th 24-Jul-2019
GG BAWAL RT 12/-
TJ LAUT INDAH
4,245 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P Lama; X 50 Th 24-Jul-2019 Cutaneous abscess, f; L02;
10 MARANGKAYU
4,246 0-12-05-64 SUDAH DIGABUNG L X 0 Hr 24-Jul-2019
KE 100616
4,247 0-12-05-76 FAKHRUR RAVI A, AN JL OTISTA RT 26/- L X 10 Hr 24-Jul-2019
BTG BARU

20/Sep/2019 235
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,248 0-12-06-21 HASNA T NY JL DSN HANDIL 3 RT P X 58 Th 24-Jul-2019


1 SANTAN TENGAH
4,249 0-12-06-23 DAHLAN MARSUKI TN JL SULTAN SYAHRIR L Baru; X 47 Th 24-Jul-2019 Unspecified renal co; N23;
GG MAS 1 / 62 RT 6
TJ LAUT INDAH
4,250 0-12-06-31 PURNAMA WATI NY JL GUNUNG RINJANI P Baru; X 44 Th 24-Jul-2019 Otitis media, unspec; H66.9;
NO 8 BSD GUNUNG
ELAI
4,251 0-12-06-31 PURNAMA WATI NY JL GUNUNG RINJANI P X 44 Th 24-Jul-2019
NO 8 BSD GUNUNG
ELAI
4,252 0-12-06-42 NUR ASIAH NY JL SUTAN SYAHRIR P X 36 Th 24-Jul-2019
RT 3 TANJUNG LAUT
INDAH
4,253 0-12-06-49 SOYANTO DANGGUR K; KAPT L X 19 Th 24-Jul-2019
SDR PIERETENDEAN RT
18
4,254 0-12-07-02 ABDUL RAUF HALIM JL. WR SUPRATMAN L X 11 Th 24-Jul-2019
MUSA, AN RT 21 NO 41 API API
4,255 0-12-07-14 MURNIATI JL MH THAMRIN RT P X 21 Th 24-Jul-2019
MAPPEABANG NN 22/58 BTG BARU
4,256 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L Lama; X 38 Th 24-Jul-2019 Connective and other; D21.9;
PALUMEAN TN SATIMPO
4,257 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L Baru; X 38 Th 24-Jul-2019 Other hyperlipidaemi; E78.4;
PALUMEAN TN SATIMPO
4,258 0-12-07-43 M RISKY ABDILLAH N JL. PERANGAT RT 14 L Lama; X 8 Th 24-Jul-2019 Chronic pansinusitis; J32.4;
AN
4,259 0-12-07-83 MUJIATI BIN SAKUR JL KS TUBUN GG P X 45 Th 24-Jul-2019
NY NILA 2 RT 28
TANJUNG LAUT
INDAH
4,260 0-12-07-92 ABDILAH ROHMAN JL KENANGAN RT L Lama; X 11 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
AN 23/- TJ LAUT INDAH
4,261 0-12-08-34 KHADIJAH JL AHMAD YANI RT P X 1 Th 24-Jul-2019
NURRAHMAN AN 11/19 KEL. GN. ELAI
4,262 0-12-08-75 MISNAINI NY JL. MT HARYONO RT P X 36 Th 24-Jul-2019
29 API-API
4,263 0-12-08-77 NADILA AULIA AN JL SULTAN L Baru; X 13 Th 24-Jul-2019 Otitis media, unspec; H66.9;
HASANUDDIN RT 33 /
47 BERBAS TENGAH
4,264 0-12-09-02 ROSMIATI BINTI JL SANJAN TENGAH P X 32 Th 24-Jul-2019
NANRANG NY RT 8 MARNAGKAYU
4,265 0-12-09-04 AMRAN BIN AHEN, TN JL. JEND SUDIRMAN L X 35 Th 24-Jul-2019
RT 22/- TJ LAUT

20/Sep/2019 236
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,266 0-12-09-05 HARIYANTO BIN TN JL. PIERE TENDEAN L X 51 Th 24-Jul-2019


GG AMPERA RT 04/-
B TENGAH
4,267 0-12-09-06 IHWAN BIN SUPARDI, JL. ZAMRUD GG L X 27 Th 24-Jul-2019
TN ZAMRUD 15 RT 51/17
B TENGAH
4,268 0-12-09-07 DHANI RACHMAD R, JL. ALEXANDER I RT L X 18 Th 24-Jul-2019
TN 09/- B TENGAH
4,269 0-12-09-29 DARWIS, TN JL. PRAMUKA RT 02 L X 67 Th 24-Jul-2019
BONTANG LESTARI
4,270 0-12-09-30 YOGI WISNU NOVA JL. MT HARYONO L X 17 Th 24-Jul-2019
AN RT 29 API API
4,271 0-12-09-31 ASYIFAH ZHUHAYRA JL. AWANG LONG P Baru; X 8b 24-Jul-2019 Fever, unspecified; R50.9; Dirawat
S AN RT 06
4,272 0-12-09-32 HIKMAL REZA JL. SELAT SELAYAR L X 12 Th 24-Jul-2019
SAPUTRA AN RT 12 NO 54
4,273 0-12-09-34 SUMADI TN JL. CUT NYAK DIEN L X 59 Th 24-Jul-2019
RT 09 BTG BARU
4,274 0-12-09-35 SARINA, NY JL. PAGUNG RT 04 P X 36 Th 24-Jul-2019
BONTANG LESTARI
4,275 0-12-09-36 MIRA, NY JL. LELE RT 20 P X 39 Th 24-Jul-2019
TANJUNG LAUT
INDAH
4,276 0-12-09-37 SYIFAH AMIRAH B AN JL. DEWI SARTIKA P X 9 Th 24-Jul-2019
NO 51 RT 08
4,277 0-12-09-38 MARAEDAH H P NY JL IR H JUANDA RT P X 66 Th 24-Jul-2019
06/- TJ LAUT INDAH
4,278 0-12-09-39 M DAFFA ARVAN AN JL DEWI SARTIKA L X 9 Th 24-Jul-2019
RT 08/72 BTG BARU
4,279 0-12-09-42 HARDIYANI BINTI JL MH THAMRIN RT L X 0 Hr 24-Jul-2019
HAR BY NY 2/- GN ELAI
4,280 0-12-09-43 NAHARUDDIN BIN TN JL PELABUHAN GG L Baru; X 55 Th 24-Jul-2019 Essential (primary) ; I10; Dirawat
DUYUNG 1 RT 31/- TJ
LAUT INDAH
4,281 0-12-09-44 HARUN HANAFI AN JL MULAWARMAN L X 0 Hr 24-Jul-2019
GG GENDANG 2 RT
23/44 BTG BARU
4,282 0-12-09-45 YENI FITRI R, NY JL. SELAT BONE RT P X 42 Th 24-Jul-2019
16/- TJ LAUT
4,283 0-12-09-46 SOFIEA PUTRI S ,AN JL AR HAKIM RT P X 0 Hr 24-Jul-2019
41/30 BELIMBING
4,284 0-12-09-47 KAMIYATI BIN DUL JL. KELINCI RT P X 52 Th 24-Jul-2019
BASIR NY 18/JJ-12 BTN PKT
BELIMBING

20/Sep/2019 237
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,285 0-12-09-48 NGADIYO TN JL MT HARYONO RT L Baru; X 51 Th 24-Jul-2019 Non-insulin-dependen; E11;


30 BONTANG BARU
4,286 0-12-09-49 YUDI CAHYONO, TN JL. ARIF RAHMAN L X 56 Th 24-Jul-2019
HAKIM RM 3 B.
BARAT
4,287 0-12-09-50 LUSIANA NY JL PELABUHAN 1 RT P Baru; X 36 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
15 TANJUNG LAUT
INDAH
4,288 0-12-09-51 ARE BIN SALINRING JL MH THAMRIN RT P Baru; X 44 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
TN 02 GUNUNG ELAI
4,289 0-12-09-52 ILHAM ARIF, TN JL. BIGJEND L Baru; Baru; X 24 Th 24-Jul-2019 Viral infection, uns; Fever, B34.9;R
KATAMISO RT 14 GG unspecified;
ELAI B. UTARA
4,290 0-12-09-53 RAHMAN BIN RAJING, JL. SELAT MALAK 2 L Baru; X 37 Th 24-Jul-2019 Connective and other; D21.9;
TN RT 24/- TJ LAUT
4,291 0-12-09-54 MASRIANI NY BY JL SULTAN L X 0 Hr 24-Jul-2019
HASANUDDIN RT
31/37 B TENGAH
4,292 0-12-09-55 TOYEB TN JL ZAMRUD GG L Baru; X 66 Th 24-Jul-2019 Connective and other; D21.9;
ZAMRUD 18 RT 62
BEREBAS TENGAH
4,293 0-12-09-56 EDY BIN M JUFRI TN JL LUMBA LUMBA 2 L Baru; X 36 Th 24-Jul-2019 Necrosis of pulp; K04.1;
RT 27/88 TJ LAUT
INDAH
4,294 0-12-09-57 ANANDA NIRMALA, JL. ER SUPRATMAN P X 3 Th 24-Jul-2019
AN 19 B. PANTAI B.
SELATAN
4,295 0-12-09-58 JALIL BIN DOLO TN JL PELABUHAN RT L X 61 Th 24-Jul-2019
13 TJ LAUT INDAH
4,296 0-12-09-59 M IQBAL RASYID SDR JL PATTIMURA GG L Baru; X 19 Th 24-Jul-2019 Acute suppurative ot; H66.0;
ATLETIK 22 / 06 RT41
API API
4,297 0-12-09-60 M RIZALDI, SDR JL. ANGGREK 3 RT L X 18 Th 24-Jul-2019
37/- TJ LAUT
4,298 0-12-09-60 M RIZALDI, SDR JL. ANGGREK 3 RT L X 18 Th 24-Jul-2019
37/- TJ LAUT
4,299 0-12-09-61 WAHYU BINTI JL ZAMRUD 12 RT P X 30 Th 24-Jul-2019
SAINONG NY 49/15 B TENGAH
4,300 0-12-09-63 AISYAH ARRIDHO, AN JL. PRESTASI NO 03 P X 15 Th 24-Jul-2019
BONTANG LESTARI
4,301 0-12-09-64 MARSIH, NY JL. IR H JUANDA RT P X 72 Th 24-Jul-2019
09 TANJUNG LAUT
4,302 0-12-09-65 ABDUL KADIR RAHIM, JL. KAPAL FERI RT L Baru; X 62 Th 24-Jul-2019 Superficial injury o; S30.9; Dirawat
TN 07 LOKTUAN

20/Sep/2019 238
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,303 0-12-09-66 HERI WARNOTO TN JL. TENIS GG L X 53 Th 24-Jul-2019


REFORMASI RT 39
4,304 0-12-09-69 ZHANG YUAN HAI, TN JL. TELUK KADERE L X 30 Th 24-Jul-2019
4,305 0-12-09-70 SALMA SURYANA, NY JL. DSN DANAU P X 21 Th 24-Jul-2019
REDAN RT 03 KM 19
SMD - BTG
4,306 0-12-09-71 JUMRIANA, AN JL. OTISTA RT 26 L X 4 Th 24-Jul-2019
BONTANG BARU
4,307 0-12-09-73 HARIS SETYO JL. KS TUBUN RT 08 L X 22 Th 24-Jul-2019
WAHYU, TN BONTANG KUALA
4,308 0-12-09-75 MUHAMMAD ALDO, JL. KS TUBUN RT 17 L Baru; X 12 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
AN TANJUNG LAUT
4,309 0-12-09-76 SULISTIA AYU JL. KEBUN SALAK RT P X 21 Th 24-Jul-2019
SINGSI, NY 25 GUNTUNG
4,310 0-12-09-77 PUTRI MAWAR SARI, JL. KAPAL SELAM RT P X 22 Th 24-Jul-2019
NN 17 NO 13 LOKTUAN
4,311 0-12-09-78 RAMAN DANU JL. ZAMRUD RT 48 L X 2 Th 24-Jul-2019
PRATAMA, AN NO 38 BERBAS
TENGAH
4,312 0-12-09-79 FADHIL NOR JL. SULTAN L Baru; X 15 Th 24-Jul-2019 Injury of unspecifie; T14; Dirawat
ROCHMAD, AN SUAHRIR RT 02
TANJUNG LAUT
4,313 0-12-09-80 PUTRA JAYA, AN JL. MH THAMRIN RT L X 18 Th 24-Jul-2019
26 BONTANG BARU
4,314 0-12-09-81 ANNASYA SYAFA J JL S HASANUDDIN P X 1 Th 24-Jul-2019
AN RT 3 BERBAS
PANTAI
4,315 0-12-09-82 NUR AIDA FITRIANI JL S HASANUDDIN P X 27 Th 24-Jul-2019
NY RT 3 BERBAS
PANTAI
4,316 0-12-09-83 ACHMAD SUPPU TN JL KENNGA RT 30 L X 60 Th 24-Jul-2019
TANJUNG LAUT
4,317 0-12-09-84 JUFRIADI TN JL PATIMURA GG L X 27 Th 24-Jul-2019
ATELETIK 16 RT 42
APIAPI
4,318 0-00-61-19 ASMURAN BIN HANIF JL BATU SAHASA RT L Lama; X 47 Th 25-Jul-2019 Gout; M10;
TN 7 NO 9 BTG KUALA
4,319 0-00-61-19 ASMURAN BIN HANIF JL BATU SAHASA RT L X 47 Th 25-Jul-2019
TN 7 NO 9 BTG KUALA
4,320 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Lama; X 58 Th 25-Jul-2019 Acute appendicitis w; K35.0;
RT 23/66 B. PANTAI

20/Sep/2019 239
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,321 0-01-99-29 HASNAH, NY JL. KS TUBUN GG, P X 54 Th 25-Jul-2019
REFORMASI
RT.17/40
4,322 0-03-23-00 YETTY PULUNG S, JL. GN SINGGALANG P Lama; X 47 Th 25-Jul-2019 Non-insulin-dependen; E11;
NY. RT 30/25 GN ELAI
4,323 0-03-74-05 RIKA FITRIYANI NY JL MT HARYONO GG P X 36 Th 25-Jul-2019
WORTEL RT 9 NO 70
GN ELAI
4,324 0-03-95-19 IMARWATI, NY. JL. IKAN TUNA RT 11 P X 34 Th 25-Jul-2019
TJG LAUT INDAH
4,325 0-04-14-66 ABIGAIL DELISA P, JL. PENDIDIKAN RT 6 P X 29 Th 25-Jul-2019
NY. API2
4,326 0-04-49-12 WAHYU BINTANG P, JL. BRIGJEN L X 19 Th 25-Jul-2019
AN. KATAMSO RT. 45/37
GN. ELAI
4,327 0-04-83-43 RISKA SAPTRIASTI JL KP TENDEAN RT P Baru; X 30 Th 25-Jul-2019 Insertion of (intrau; Z30.1;
NY 19 BTG KUALA
4,328 0-05-07-48 ENID MANNADASI NY JL. BARONANG RT P X 35 Th 25-Jul-2019
13/4 TJ LAUT INDAH
4,329 0-05-15-26 M RIDWAN DALI TN JL PERUM GRIYA L Baru; X 32 Th 25-Jul-2019 Dengue haemorrhagic ; A91;
WISATA RT 14 BLOK
H/5 BTG KUALA
4,330 0-05-48-02 RATNA BIN JL PELABUHAN 3 RT P X 31 Th 25-Jul-2019
MUSTAMIN NY 14 TANJUNG LAUT
INDAH
4,331 0-05-80-21 RINI WAHYUNI NY JL. DENPASAR RT.07 P X 29 Th 25-Jul-2019
GN. TELIHAN
4,332 0-05-83-32 HASMI NY JL. PESUT I RT 04 P X 57 Th 25-Jul-2019
TJ. LAUT I
4,333 0-05-84-77 M YUDHA FIKRY JL. TONGKOL RT 26 L Baru; X 6 Th 25-Jul-2019 Injury of unspecifie; T14; Dirawat
SAPUTRA, AN NO 35 TANJUNG
LAUT
4,334 0-05-87-21 RIFKA BINTI POLIS. JL. KS TUBUN RT 16 P X 36 Th 25-Jul-2019
NY TJ LAUT INDAH
4,335 0-05-90-39 FIQHI THABITHA JL KOL 9 RT 9 GN P Lama; X 19 Th 25-Jul-2019 Chronic pansinusitis; J32.4;
ANWAR NN ELAI
4,336 0-06-01-70 FITRIANI BINTI GAHRI JL.WR SUPRATMAN P X 18 Th 25-Jul-2019
NY RT 25/7 BERBAS
TENGAH
4,337 0-06-18-36 NURWINDA JL SELAT ALAS RT 8 P X 28 Th 25-Jul-2019
HAYATININGRUM NY TJ LAUT
4,338 0-06-19-26 HAMSANI DARLAN TN JL. S HASANUDDIN L Lama; X 55 Th 25-Jul-2019 Non-insulin-dependen; E11;
RT.02 B PANTAI

20/Sep/2019 240
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,339 0-06-26-86 RAKIB ANABIL AN JL. MAWAR I RT L Baru; X 8 Th 25-Jul-2019 Acute suppurative ot; H66.0;
36/34 TJ LAUT
4,340 0-06-27-99 M KAKA AL BUKHORI JL. JEND SUDIRMAN L Lama; X 13 Th 25-Jul-2019 Cutaneous abscess, f; L02;
AN RT. 26/37 TJ. LAUT
4,341 0-06-31-39 SARIFAH SEHA, NY JL DI PANJAITAN RT P X 69 Th 25-Jul-2019
HJ 01 NO 62 BONTANG
BARU
4,342 0-06-56-11 ACHMAD TADDAGA JL BANDENG L Lama; X 63 Th 25-Jul-2019 Non-insulin-dependen; E11;
TN RT.23/32 TJ LAUT
4,343 0-06-67-87 YENI FRANSINA NY JL. IR H JUANDA RT. P Baru; X 46 Th 25-Jul-2019 Non-insulin-dependen; E11;
03/14 TJ. LAUT
4,344 0-06-74-21 BUGATTY DWINDIRA JL HOP 2 GN P Baru; X 30 Th 25-Jul-2019 Acute pharyngitis, u; J02.9;
F NY KERINCI RT 18 NO
98 SATIMPO
4,345 0-06-85-52 YULI YANA NY JL IR H JUANDA GG P X 27 Th 25-Jul-2019
SELAT ALOR 2 RT
32/32 TJ LAUT
4,346 0-06-88-31 ARIYANI HARUNA NN JL. GENDANG 5 RT P Baru; X 27 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
21/60 BTG BARU
4,347 0-07-02-94 AINUL KHUSNA, NY JL. JAWA BTN KCY P Lama; X 23 Th 25-Jul-2019 Necrosis of pulp; K04.1;
RT 36/08 API-API
4,348 0-07-07-83 MIKHAYLA JL. KAPAL LAYAR 5 P X 5 Th 25-Jul-2019
RAMADHANI AN RT. 23/ LOKTUAN
4,349 0-07-18-15 FRISDA YANI JL SRI WIJAYA HOP P X 29 Th 25-Jul-2019
HUTAGAOL NY VI 13 KOMP PT
BADAK NGL RT 21
4,350 0-07-20-42 M ABDAN ARINAL JL SELAT BONE RT L Lama; X 18 Th 25-Jul-2019 Connective and other; D21.9;
HAQ SDR 20 TJ LAUT
4,351 0-07-30-21 IPATIMA BINTI KORO JL KS TUBUN GG P Lama; X 54 Th 25-Jul-2019 Non-insulin-dependen; E11;
HJ NY PERJUANGAN RT 29
TJ LAUT INDAH
4,352 0-07-33-06 M AFIF, AN JL PELABUHAN 3 NO L Baru; X 9 Th 25-Jul-2019 Urticaria; L50;
10 RT 14 TANJ LAUT
INDAH
4,353 0-07-44-98 JUMZIA ALKUMAIRAH JL. TOMAT RT. 13 P X 7 Th 25-Jul-2019
AN NO 10 B GN ELAI
4,354 0-07-57-18 FERY TAUFAN, TN JL. DI PANJAITAN RT L X 32 Th 25-Jul-2019
02 BONTANG BARU
4,355 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Lama; X 50 Th 25-Jul-2019 Acute appendicitis; K35;
AHMADA NY 20/35 B PANTAI
4,356 0-07-62-74 SURATNO, TN JL. SULTAN L X 36 Th 25-Jul-2019
HASANUDDIN RT 02
NO 185 BERBAS
PANTAI

20/Sep/2019 241
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,357 0-07-66-17 NUR ENDANG NY JL. BUNAKEN RT 19 P Lama; X 39 Th 25-Jul-2019 Connective and other; D21.9;
B PANTAI
4,358 0-07-70-26 RIZKI ZHAFIRA A AN JL PELABUHAN 2 RT P Baru; X 5 Th 25-Jul-2019 Fever, unspecified; R50.9;
10 TJ LAUT INDAH
4,359 0-07-76-82 ALIANDO YUNANI JL. MH TAMRIN RT L Lama; X 4 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
PUTRA, AN 26 BTG BARU
4,360 0-07-77-47 UDIN M, TN JL MELAWAI RT 20 / L X 61 Th 25-Jul-2019
55 B PANTAI
4,361 0-07-93-83 RAHMI ABDULLAH NY JL. BINTAN BLOK S P X 30 Th 25-Jul-2019
RT 16/3 KCY API-API
4,362 0-07-94-55 MIRDAWATI NY JL. P TANDEAN RT P X 25 Th 25-Jul-2019
01/34 B KUALA
4,363 0-07-95-11 PUJIANTI TOKENDE, JL SELAT KARIMATA L Baru; X 45 Th 25-Jul-2019 Essential (primary) ; I10;
TN RT 9 NO. 30 TJ LAUT
4,364 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Lama; X 27 Th 25-Jul-2019 Acute suppurative ot; H66.0;
INTAP, NY RT 2 TJ LAUT INDAH
4,365 0-07-99-00 FATIMAH BINTI SUSA JL PANGANDARAN P X 64 Th 25-Jul-2019
HJ NY RT 12 NO 80 B
PANTAI
4,366 0-08-09-33 ARUM NAURA JL. HOP II NO 98 P Lama; X 3 Th 25-Jul-2019 Fever, unspecified; R50.9;
MUSLIMAH R, AN SATIMPO
4,367 0-08-21-81 AZKA YUZRA AN JL GAJAH MADA RT L Baru; X 3 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
38/03 B TENGAH
4,368 0-08-25-54 RAHMATIA, NY JL. PELABUHAN III P Baru; X 39 Th 25-Jul-2019 Acute suppurative ot; H66.0;
RT 14 NO 10
TANJUNG LAUT
INDAH
4,369 0-08-26-18 JAUKANI BIN BUSRA, JL S HASANUDDIN L X 48 Th 25-Jul-2019
TN RT 30 B TENGAH
4,370 0-08-27-13 ANGGIETHA AULIA S JL MULAWARMAN P Baru; X 8 Th 25-Jul-2019 Otitis media, unspec; H66.9;
AN RT 10/55 B GN ELAI
4,371 0-08-27-61 SAPPEAMI BIN JL LUMBA LUMBA 2 P Baru; X 46 Th 25-Jul-2019 Cholelithiasis; K80;
CAREMA, NY RT 27/94 TJ LAUT
INDAH
4,372 0-08-43-06 TONY NUGROHO, TN JL ASRUD RT 7 GN L Baru; X 25 Th 25-Jul-2019 Cutaneous abscess, f; L02.9; Dirawat
ELAI
4,373 0-08-46-00 M ADAM KALEPPE, JL SELAT L X 55 Th 25-Jul-2019
TN MAKASSAR 2 RT 24
NO 48 TJ LAUT
4,374 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 25-Jul-2019 Traumatic amputation; S88;
RT 027
4,375 0-08-60-29 CEMPAKA NURMA JL. KALIMANTAN RT P X 3 Th 25-Jul-2019
SARI AN 19 API API

20/Sep/2019 242
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,376 0-08-63-72 ANDIKA ADAM JL GAMELAN RT 18 L X 4 Th 25-Jul-2019


ALFARIZKY, AN NO 33 BTG BARU
4,377 0-08-69-24 DWI NOVITA NY JL. AWANG LONG P X 37 Th 25-Jul-2019
RT 06/3 BTG BARU
4,378 0-08-72-87 ESRA JOICE PANDIN JL. AP P Lama; X 24 Th 25-Jul-2019 Dengue haemorrhagic ; A91;
NY MANGKUNEGORO
RT 02 BERBAS
TENGAH
4,379 0-08-72-94 DIAN OCTAVIANI NN JL. ASPOL RT. GN P X 22 Th 25-Jul-2019
ELAI
4,380 0-08-80-16 RAYYAN TITIAN JL. MULAWARMAN L Baru; X 3 Th 25-Jul-2019 Other disorders of t; K08;
QOLBU AN RT 10 BLOK D4
BONTANG BARU
4,381 0-08-88-07 HERLINA BINTI JL KENANGAN RT 30 P Lama; X 22 Th 25-Jul-2019 Chronic hepatitis, u; K73.9;
HERMAN, NY TJ LAUT
4,382 0-08-89-36 RUSMIATI HJ BINTI JL WR SUPRATMAN P X 67 Th 25-Jul-2019
NY RT 09/61 B PANTAI
4,383 0-08-95-48 SITI SALHA, NY JL. A YANI RT 05 API P Baru; X 50 Th 25-Jul-2019 Acute suppurative ot; H66.0;
API
4,384 0-09-15-86 SAMIUN, TN JL. TONGKOL RT 26 L Lama; X 59 Th 25-Jul-2019 Cutaneous abscess, f; L02;
TANJUNG LAUT
4,385 0-09-17-70 DIANITA AYOMI NY JL IR H JUANDA TJ P X 29 Th 25-Jul-2019
LAUT
4,386 0-09-25-62 ACHMAD YANI TN JL. AWANG LONG L Baru; X 53 Th 25-Jul-2019 Pulpitis; K04.0;
RT. 20 BTG BARU
4,387 0-09-28-84 MARDIANA, NY JL. KWBAHAGIAAN P X 31 Th 25-Jul-2019
RT 23 MARANGKAYU
4,388 0-09-29-08 ANIBAR NY JL BROKOLI 6 RT 14 P X 68 Th 25-Jul-2019
GN ELAI
4,389 0-09-31-05 HENDRA JL CAMP 2000 PAMA L X 27 Th 25-Jul-2019
YULIANSYAH TN
4,390 0-09-31-33 AQIL ARHAM AN JL DIPONEGORO RT L Baru; X 12 Th 25-Jul-2019 Conjunctivitis; H10; Dirawat
18 B PANTAI
4,391 0-09-31-48 SUWANDI BIN EDY JL BULU TANGKIS L Baru; X 41 Th 25-Jul-2019 Abnormal level of un; R74.9;
TN RT 40 NO 10 API API
4,392 0-09-32-96 NURUL ANNISA, NY JL. IMAM BONJOL RT P X 25 Th 25-Jul-2019
04 API API
4,393 0-09-38-97 ERI FIRZANI, TN JL. AWANG LONG L Baru; X 33 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
RT 07 NO 78
BONTANG BARU
4,394 0-09-61-50 AHMAD FAUZAN JL. MH THAMRIN RT L X 2 Th 25-Jul-2019
AMINULLAH AN 02 NO 34 GN ELAI

20/Sep/2019 243
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,395 0-09-72-39 SUTIONO BIN KAMICI JL SEBUNTAL LAMA L Baru; X 55 Th 25-Jul-2019 Chest pain, unspecif; R07.4;
TN RT 5 MARANG KAYU
4,396 0-09-76-60 NABILA SYADIYA K, JL. ZAMRUD 15 RT P X 2 Th 25-Jul-2019
AN 51 BERBAS TENGAH
4,397 0-09-82-46 IRA FITRIA SARLI NY JL MELAWAI RT 22 B P Lama; X 28 Th 25-Jul-2019 Chronic pansinusitis; J32.4;
PANTAI
4,398 0-09-84-26 NASRIA BINTI JL S. HASANUDDIN P X 39 Th 25-Jul-2019
LETKOL S, NY RT 35 B. TENGAH
4,399 0-10-10-41 RINI BINTI SUPRIADI JL. KH AGUS SALIM P Baru; X 38 Th 25-Jul-2019 Insertion of (intrau; Z30.1;
NY RT 24 B PANTAI
4,400 0-10-13-36 ABDURRAHMAN JL GAMBAS RT 20 L Baru; X 1 Th 25-Jul-2019 Dyspnoea; R06.0; Dirawat
ALFARIZQI, AN GN ELAI
4,401 0-10-13-93 SITI JUBAIDAH, NY JL. GENDANG RT 22 P Baru; X 30 Th 25-Jul-2019 Non-insulin-dependen; E11;
BONTANG BARU
4,402 0-10-16-91 AYASHA SHASIVA E JL. SERULING RT P X 1 Th 25-Jul-2019
NS , AN 21/30 BTG BARU
4,403 0-10-22-95 ARDISTHIA JL. S MALAKA RT 55 P X 21 Th 25-Jul-2019
MAHARANI A , N B TGH
4,404 0-10-29-00 HANAPING , NY JL. MELAWAI RT 21 P Lama; X 53 Th 25-Jul-2019 Non-insulin-dependen; E11;
B PANTAI
4,405 0-10-37-26 ZAYYAN KARIMUL H , JL SELAT BADUNG L Lama; X 1 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN RT 14/5 TJ LAUT
4,406 0-10-41-27 MASRIKAH BIN JL IR H JUANDA RT P X 75 Th 25-Jul-2019
SURAPI NY 36/18 TJ LAUT
4,407 0-10-43-39 LUTHFI SYAFIQ SDR JL DANAU L X 26 Th 25-Jul-2019
TONDANO HOP 3 NO
37 SATIMPO
4,408 0-10-47-15 MAULANA IBRAHIM JL MULAWARMAN L Lama; X 1 Th 25-Jul-2019 Asthma; J45; Dirawat
ZAIN AN RT 06 NO 24 BTG
BARU
4,409 0-10-49-92 HALIMAH BIN JANA JL. KP TENDEAN RT P Baru; X 49 Th 25-Jul-2019 Dyspnoea; R06.0; Dirawat
NY 11 NO 7 BONTANG
KUALA
4,410 0-10-50-98 JANAISYAH BINTI JL OTISTA GG P X 36 Th 25-Jul-2019
MUDING NY PRIMA RT 24/12 BTG
BARU
4,411 0-10-57-88 ARISA POLOSTINA, JL. KAPAL PINISI RT, P Baru; X 34 Th 25-Jul-2019 Fever, unspecified; R50.9; Dirawat
NY 48 LOKTUAN
4,412 0-10-73-54 ODE BATARA A, TN JL. KP TENDEAN RT L Lama; X 69 Th 25-Jul-2019 Haemoptysis; R04.2;
11 BONTANG KUALA
4,413 0-10-74-76 M DEDDY JL. DENPASAR RT 10 L Baru; X 12 Th 25-Jul-2019 Acute upper respirat; J06.9; Dirawat
ROMADHON, AN NO 14 TELIHAN

20/Sep/2019 244
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,414 0-10-75-69 ATIK SUMARSIH , NY JL. P TANDEAN RT P X 37 Th 25-Jul-2019
20 GG BATU
SAHASA B KUALA
4,415 0-10-77-31 HARTIVA LATTANG JL PERINTIS RT P Lama; X 28 Th 25-Jul-2019 Supervision of norma; Z34;
NY 06/14 KANAAN
4,416 0-10-77-42 IRWANA BIN JL. UNTUNG P Lama; X 47 Th 25-Jul-2019 Non-insulin-dependen; E11;
NURUNG , NY SUROPATI RT 20 TJ
LAUT
4,417 0-10-77-42 IRWANA BIN JL. UNTUNG P X 47 Th 25-Jul-2019
NURUNG , NY SUROPATI RT 20 TJ
LAUT
4,418 0-10-78-37 MARDIANA BIN ABD JL. NELAYAN II RT P X 33 Th 25-Jul-2019
KADIR NY 13/- TJ LAUT INDAH
4,419 0-10-79-97 M IQBAL AN JL SAMRATULANGI L Lama; X 1 Th 25-Jul-2019 Otitis media, unspec; H66.9;
RT 19/ TJ LAUT
INDAH
4,420 0-10-80-59 AHMAD RAUFA JL. CUT NYAK DIEN L X 1 Th 25-Jul-2019
SHALIH A , AN RT 9/48 BTG BARU
4,421 0-10-82-51 ROHANI, NY JL. SAMBERA BARU P Lama; X 42 Th 25-Jul-2019 Thyrotoxicosis [hype; E05;
RT 05 MARANGKAYU
4,422 0-10-83-22 DAMARIS YANTI NY JL TARAKAN RT 22 P Lama; X 36 Th 25-Jul-2019 Thyrotoxicosis [hype; E05;
GN TELIHAN
4,423 0-10-86-12 NURLINDA BIN ISMAIL JL KS TUBUN GG P X 52 Th 25-Jul-2019
NY KOI 1 RT 29 TJ LAUT
INDAH
4,424 0-10-93-03 MULIATI BINTI JL. INTAN 2 RT 29/- B P Lama; X 44 Th 25-Jul-2019 Pulpitis; K04.0;
AHMAD, NY TENGAH
4,425 0-10-96-80 HARDIANTI NY JL POROS BTG SGT P Baru; X 24 Th 25-Jul-2019 Acute suppurative ot; H66.0;
RT 14/ T PANDAN
4,426 0-10-97-54 SUPARNI NY. JL DI PANJAITAN GG P Lama; X 53 Th 25-Jul-2019 Non-insulin-dependen; E11;
PIANO II RT 02 84
4,427 0-11-00-73 ASMIAWATI NY JL. VETERAN NO 24 P Lama; X 47 Th 25-Jul-2019 Thyrotoxicosis [hype; E05;
RT.060/000
B.TENGAH
4,428 0-11-02-88 AYRA AZZAHRA AN JL BUNAKEN RT 19 P Lama; X 1 Th 25-Jul-2019 Acute suppurative ot; H66.0;
BERBAS PANTAI
4,429 0-11-06-75 SAIDUL BIN BADULU JL. MANUNGGAL RT L X 54 Th 25-Jul-2019
TN 11 BERBAS PANTAI
4,430 0-11-10-34 RAFATHAR AZKA M JL. BATU SAHASA L Baru; X 8b 25-Jul-2019 Noninfective gastroe; K52.9;
AN RT 06 BTG KUALA
4,431 0-11-10-61 M AZKA ASSABARI, JL. SANTAN ILIR RT L Lama; X 3 Th 25-Jul-2019 Connective and other; D21.9;
AN 03/- M KAYU
4,432 0-11-11-49 SUKARNI BIN , TN JL. MANUNGGAL RT L Lama; X 60 Th 25-Jul-2019 Paraplegia, unspecif; G82.2;
11/- B PANTAI

20/Sep/2019 245
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,433 0-11-12-95 AYU DWI CAHYA S, JL. ATAKA PC 5/81 P Baru; X 23 Th 25-Jul-2019 Dental caries; K02;
NN RT 08 SATIMPO
KOMP PTB
4,434 0-11-20-57 BAHTIAR , TN JL. S SAHRIR RT 28 L Lama; X 56 Th 25-Jul-2019 Non-insulin-dependen; E11;
TJ LAUT
4,435 0-11-24-22 IMANIARTIKA KURNIA JL GUNUNG P X 28 Th 25-Jul-2019
P, NY MALABAR RT 35/16
BSD GN ELAI
4,436 0-11-26-21 ASMAH NY JL MULAWARMAN P Lama; X 58 Th 25-Jul-2019 Non-insulin-dependen; E11;
RT 27/ GG ARUMBIA
I BTG BARU
4,437 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 25-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
4,438 0-11-27-20 HASTUTI, NY JL. LOSARI 7 RT. 04 P Lama; X 54 Th 25-Jul-2019 Non-insulin-dependen; E11;
BERBAS PANTAI
4,439 0-11-33-38 DG MIDO, TN JL. DSN DAMAI L Lama; X 66 Th 25-Jul-2019 Non-insulin-dependen; E11;
MAKMU RT, 01 TLK
PANDAN
4,440 0-11-33-49 M DUNG, TN JL. R SUPRAPTO RT, L X 40 Th 25-Jul-2019
21 NO. 46 API API
4,441 0-11-34-60 HADRAH BIN JUTARI JL. PANGANDARAN P Lama; X 54 Th 25-Jul-2019 Non-insulin-dependen; E11;
NY RT 12 BERBAS
PANTAI
4,442 0-11-34-60 HADRAH BIN JUTARI JL. PANGANDARAN P X 54 Th 25-Jul-2019
NY RT 12 BERBAS
PANTAI
4,443 0-11-38-63 JAMSIAH, NY JL. SUNGAI API API P X 57 Th 25-Jul-2019
RT 07 TELUK
PANDAN
4,444 0-11-41-88 RINI FITRI YANI NN JL R SOEPRAPTO P Baru; X 25 Th 25-Jul-2019 Respiratory tubercul; A15; Dirawat
NO 47 BTG BARU
4,445 0-11-43-99 SITI AISYAH, AN JL. MANUNGGAL RT, P X 1 Th 25-Jul-2019
08 NO. 23 BERBAS
PANTAI
4,446 0-11-46-92 DAUD BANNE TN JL MARANG KAYU 3 L Baru; X 64 Th 25-Jul-2019 Non-insulin-dependen; E11;
RT 29 SEBUNTAL
4,447 0-11-47-76 AMRI BIN ILYAS TN JL GENDANG 5 RT L X 42 Th 25-Jul-2019
21 NO 74B BTG
BARU
4,448 0-11-49-90 PUSPITA SARI NY JL RE P Baru; X 25 Th 25-Jul-2019 Postpartum care and ; Z39;
MARTADINATA RT
28 / 1 LOKTUAN

20/Sep/2019 246
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,449 0-11-59-98 IRMA SURYANI NY JL. PALEMBANG RT P Lama; X 32 Th 25-Jul-2019 Non-insulin-dependen; E11;
16 GN TELIHAN
4,450 0-11-63-19 AMRAN BIN AMIN TN JL. TARI GANTAR RT L X 44 Th 25-Jul-2019
98 GUNTUNG
4,451 0-11-63-22 BAHARIA BINTI JL. SUTAN SYAHRIR P Baru; X 48 Th 25-Jul-2019 Unspecified renal co; N23;
LAMAPA NY GG DAMAI TJ LAUT
4,452 0-11-63-33 RASENG BIN JANGU JL. SAMBERA BARU L Lama; X 68 Th 25-Jul-2019 Chronic hepatitis, u; K73.9;
TN
4,453 0-11-66-23 DHABIT MUSBHI A, JL BATU SAHASA 1 L X 4b 25-Jul-2019
AN RT 20
4,454 0-11-69-11 MAULANA AFGAN S JL PARANGTRITIS L X 10 Th 25-Jul-2019
AN RT 11/15 B PANTAI
4,455 0-11-70-88 NGESTI JL KS TUBUN GG P X 26 Th 25-Jul-2019
RAHAYUNINGSIH NY VULKANIK RT 08/63
BTG KUALA
4,456 0-11-71-86 DIMAS ZAIN JL SIMPANG L X 3b 25-Jul-2019
ALFARIZKI, AN SANGATTA
4,457 0-11-75-29 RICA ENGELINA JL. KAPAL SELAM 3 P Baru; X 22 Th 25-Jul-2019 Acute pharyngitis; J02;
BORU NY RT 14 NO 40
4,458 0-11-75-49 YULIANTI BINTI JL. S BONE RT 06/- B P Lama; X 25 Th 25-Jul-2019 Gynaecological exami; Z01.4;
BASRAN, NY TENGAH
4,459 0-11-77-54 KAMARIAH S HJ NY JL MELAWAI RT 21 P X 71 Th 25-Jul-2019
BERBAS PANTAI
4,460 0-11-79-62 TANRA, NY JL. MH THAMRIN RT P Lama; X 76 Th 25-Jul-2019 Non-insulin-dependen; E11;
02 NO 32 GN ELAI
4,461 0-11-81-10 ZAKIA EILIYAH R AN JL TENIS RT 37/104 P X 3b 25-Jul-2019
APIAPI
4,462 0-11-81-68 HASNUDDIN TN JL MT HARYONO RT L X 63 Th 25-Jul-2019
1/15 GN ELAI
4,463 0-11-84-33 HAFIDZH KUSUMA AN JL R SUPRAPTO RT L X 2b 25-Jul-2019
15 API API
4,464 0-11-87-05 ADZKIYA ALNAIRA AN JL. P ANTASARI RT P X 1b 25-Jul-2019
06 BERBAS PANTAI
4,465 0-11-88-21 M SURIANSYAH AN JL. ZAMRUD 12 RT L Baru; X 1b 25-Jul-2019 Acute upper respirat; J06.9;
61 B. TENGAH
4,466 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Lama; X 53 Th 25-Jul-2019 Cutaneous abscess, f; L02;
MARANGKAYU
4,467 0-11-95-63 IRA BINTI SAID NY JL WR SUPRATMAN P X 52 Th 25-Jul-2019
RT 9 / 23 BERBAS
PANTAI
4,468 0-11-97-67 RAFIF AL-FARIZI AN JL KS TUBUN L X 1b 25-Jul-2019
ARWANA 2 RT 17 TJ
LAUT INDAH

20/Sep/2019 247
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,469 0-11-97-95 IMANANDA LAWUNG JL HOP 4 112 KOMP L X 1 Th 25-Jul-2019


S AN PT BADAK RT 10
KANAAN
4,470 0-11-99-52 NANA RIZKY M NY JL A YANI GG P X 22 Th 25-Jul-2019
ANGGAR RT 03 API
API
4,471 0-12-00-54 SUPIATUN NY JL SELAT P X 62 Th 25-Jul-2019
MAKASSAR 2 RT
24/48 TANJUNG
LAUT
4,472 0-12-01-74 AKSARA BIRU JL. KS TUBUN GG L Baru; X 10 b 25-Jul-2019 Other benign neoplas; D23;
WIDIYANTO, AN BREKSI RT 15/- B
KUALA
4,473 0-12-02-14 SRI WAHYUNI BINTI JL SELAT BONE RT P Baru; X 29 Th 25-Jul-2019 Necrosis of pulp; K04.1;
NY 20 / 22 TJ LAUT
4,474 0-12-05-74 NASIR BIN SAYUTI TN JL AHMAD YANI GG L Baru; X 34 Th 25-Jul-2019 Acute upper respirat; J06.9;
RAWA INDAH RT
09/39 API API
4,475 0-12-06-55 AKRAM ZAYDAN JL RE L Baru; X 9 Hr 25-Jul-2019 Unspecified jaundice; R17;
ALFARIZQY AN MARTADINATA RT
28/1 LOKTUAN
4,476 0-12-07-19 JOKO PURNOMO, TN JL. KALIMANTAN L X 57 Th 25-Jul-2019
BLOK H-2 RT 18
API-API
4,477 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L X 38 Th 25-Jul-2019
PALUMEAN TN SATIMPO
4,478 0-12-07-64 CONNY MELIANA S JL. KAPAL SELAM 3 P Baru; X 19 Th 25-Jul-2019 Polyp of middle ear; H74.4;
NN NO 4 RT 14
4,479 0-12-07-69 HASNI BINTI LIPU NY JL SELAT LOMBOK P Baru; X 44 Th 25-Jul-2019 Dyspepsia; K30;
RT 4 TANJUNG LAUT
4,480 0-12-08-33 SIGIT PRAMONO TN JL POROS BTG SMD L Baru; X 34 Th 25-Jul-2019 Otitis media, unspec; H66.9;
KM 5 TELUK
PANDAN
4,481 0-12-08-34 KHADIJAH JL AHMAD YANI RT P Baru; X 1 Th 25-Jul-2019 Other specified derm; L30.8;
NURRAHMAN AN 11/19 KEL. GN. ELAI
4,482 0-12-09-47 KAMIYATI BIN DUL JL. KELINCI RT P Baru; X 52 Th 25-Jul-2019 Non-insulin-dependen; E11;
BASIR NY 18/JJ-12 BTN PKT
BELIMBING
4,483 0-12-09-48 NGADIYO TN JL MT HARYONO RT L X 51 Th 25-Jul-2019
30 BONTANG BARU
4,484 0-12-09-55 TOYEB TN JL ZAMRUD GG L X 66 Th 25-Jul-2019
ZAMRUD 18 RT 62
BEREBAS TENGAH

20/Sep/2019 248
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,485 0-12-09-59 M IQBAL RASYID SDR JL PATTIMURA GG L X 19 Th 25-Jul-2019
ATLETIK 22 / 06 RT41
API API
4,486 0-12-09-62 SITTI SULHAN AZIKIN JL YOS SUDARSO P X 43 Th 25-Jul-2019
NY GG DAMAI RT 7/14
TELUK LINGGA
4,487 0-12-09-64 MARSIH, NY JL. IR H JUANDA RT P X 72 Th 25-Jul-2019
09 TANJUNG LAUT
4,488 0-12-09-67 IKHE LIDIYAWATI NY JL. KAPAL PINISI 2 P X 25 Th 25-Jul-2019
RT 48 NO 36
LOKTUAN
4,489 0-12-09-68 IKHE LIDIYAWATI NY JL. KAPAL PINISI 2 P X 1 Hr 25-Jul-2019
BY RT 48 NO 36
4,490 0-12-09-70 SALMA SURYANA, NY JL. DSN DANAU P X 21 Th 25-Jul-2019
REDAN RT 03 KM 19
SMD - BTG
4,491 0-12-09-71 JUMRIANA, AN JL. OTISTA RT 26 L X 4 Th 25-Jul-2019
BONTANG BARU
4,492 0-12-09-72 ACMAD SURYADI TN JL. A YANI RT 02 L X 19 Th 25-Jul-2019
4,493 0-12-09-73 HARIS SETYO JL. KS TUBUN RT 08 L X 22 Th 25-Jul-2019
WAHYU, TN BONTANG KUALA
4,494 0-12-09-74 SITI AISYAH NY JL. SULTAN P X 19 Th 25-Jul-2019
HASUNUDDIN RT 06
BB PANTAI
4,495 0-12-09-75 MUHAMMAD ALDO, JL. KS TUBUN RT 17 L X 12 Th 25-Jul-2019
AN TANJUNG LAUT
4,496 0-12-09-78 RAMAN DANU JL. ZAMRUD RT 48 L X 2 Th 25-Jul-2019
PRATAMA, AN NO 38 BERBAS
TENGAH
4,497 0-12-09-85 DIANITA JL AWANGLONG RT P Baru; X 29 Th 25-Jul-2019 Cholelithiasis; K80;
PURNAMASARI NY 18 / 34
4,498 0-12-09-86 NURUL ARUM SARI JL PALEMBANG RT P X 23 Th 25-Jul-2019
NY 16 / 45 GUNUNG
TELIHAN
4,499 0-12-09-87 M ATHAR RIZKY, AN JL. BANDENG RT23 L X 6 Th 25-Jul-2019
KEL. TJ LAUT INDAH
B. SELATAN
4,500 0-12-09-88 HAIRIL BIN ABD JL. DI PANJAITAN L X 40 Th 25-Jul-2019
WAHAB, TN GG PERMADI RT 26/-
API-API
4,501 0-12-09-89 HASNI BINTI HARIS JL PULAU GUSUNG P X 32 Th 25-Jul-2019
NY GUNTUNG
4,502 0-12-09-90 ASMIATI BINTI NY JL. MH THAMRIN RT L Baru; X 33 Th 25-Jul-2019 Impacted teeth; K01.1;
01/- GN ELAI

20/Sep/2019 249
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,503 0-12-09-91 AFDAL JULIANSAH JL KS TUBUN RT 16 L X 0 Hr 25-Jul-2019


AN BTG KUALA
4,504 0-12-09-92 PUTRI BINTI DARWIS, JL. IR H JUANDA RT P X 16 Th 25-Jul-2019
AN 06/88 TJ LAUT
4,505 0-12-09-93 ARY FATURRAHMAN JL TIM TIM BLOK F L Baru; X 29 Th 25-Jul-2019 Acute pharyngitis; J02;
R TN RT 17/ 02 API API
4,506 0-12-09-94 NAIDA BINTI GALA NY JL IR H JUANDA RT P Baru; X 60 Th 25-Jul-2019 Diarrhoea and gastro; A09; Dirawat
22 TANJUNG LAUT
INDAH
4,507 0-12-09-95 CAHYA KENCANA JLN SULTAN P Baru; X 31 Th 25-Jul-2019 Sprain and strain of; S93.6; Dirawat
RINI, NY HASANUDDIN GG,
BAKTI NO 133 B.
PANTAI
4,508 0-12-09-96 ASEP DADANG, TN BTN PKT JLN JAMBU L X 55 Th 25-Jul-2019
2 NO 30
4,509 0-12-09-97 MUHAMMAD JL. JAMBU 2 NO 30 L X 24 Th 25-Jul-2019
DIMASYQI SDR BTN PKT
4,510 0-12-09-97 MUHAMMAD JL. JAMBU 2 NO 30 L X 24 Th 25-Jul-2019
DIMASYQI SDR BTN PKT
4,511 0-12-09-98 TRI HARIYANTI NY JL S PARMAN RT 22 P Baru; X 29 Th 25-Jul-2019 Malignant neoplasm o; C53;
BELIMBING
4,512 0-12-09-99 AHMAD RAIHAN JL. JAMBU 2 NO 30 L X 20 Th 25-Jul-2019
DARMAN, SDR BTN PKT
4,513 0-12-10-00 SARI YULISTIAWATI, JL. JAMBU 2 NO 30 P X 48 Th 25-Jul-2019
NY BLOK W3
4,514 0-12-10-01 IMAM SANTOSO TN JL PAPRIKA 2 RT L Baru; X 48 Th 25-Jul-2019 Thyrotoxicosis [hype; E05;
44/20 GUNUNG ELAI
4,515 0-12-10-02 RUSTAM DJIKIRO, TN JL. MH THAMRIN RT L X 46 Th 25-Jul-2019
26/- B BARU
4,516 0-12-10-03 FITRIYA NINGSIH, NY JL. B KATAMSO GG P Baru; X 32 Th 25-Jul-2019 Connective and other; D21.9;
KARYA BERSAMA RT
17/41 GN ELAI
4,517 0-12-10-04 WIDADA TN JL. GAMELAN RT 17 L Baru; X 54 Th 25-Jul-2019 Connective and other; D21.9;
KEL. B. BARU,
4,518 0-12-10-05 ANNISA KARIMATUS JL. GENDANG RT P Baru; X 1 Th 25-Jul-2019 Chronic nasopharyngi; J31.1;
S, AN 22/23 B BARU
4,519 0-12-10-06 MISNAWATI NY JL MARANGKAYU RT P X 21 Th 25-Jul-2019
4 DESA SEBUNTAL
4,520 0-12-10-07 RATNA NINGSI, NY JL DUSUN RAWA P Baru; X 42 Th 25-Jul-2019 Supervision of norma; Z34;
INDAH RT 07 KEC.
MARANGKAYU
4,521 0-12-10-08 M FADHIL, AN JL GAJA MADA RT 38 L Baru; X 8 Th 25-Jul-2019 Injury of unspecifie; T14; Dirawat
NO 22 B. PANTAI

20/Sep/2019 250
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,522 0-12-10-09 M FIQRI ANGGARA, JL AHMAD YANI L X 6 Th 25-Jul-2019


AN RT.01 TJ LAUT
4,523 0-12-10-10 ALMAN OLGAN Y, AN JL. GEMELAN RT 18 L X 15 Th 25-Jul-2019
N0 19 B. BARU
4,524 0-12-10-11 ARIE ARDIANSYAH JL AWANG LONG RT L X 32 Th 25-Jul-2019
TN 9 /43 BONTANG
KUALA
4,525 0-12-10-12 YANTI TRIANA S NY JL ANGSANA NO 163 P Baru; X 42 Th 25-Jul-2019 Chest pain, unspecif; R07.4;
SANGATTA
4,526 0-12-10-13 FARIDA AHMAD O, NN JL. HAYAM WURUK P Baru; X 18 Th 25-Jul-2019 Benign neoplasm of b; D24;
RT 15/- B TENGAH
4,527 0-12-10-14 ERNA WATI NN JL HAYAM WURUK P Baru; X 18 Th 25-Jul-2019 Fever, unspecified; R50.9;
RT 15 BEREBAS
TENGAH
4,528 0-12-10-15 ALWAN JAYA, AN JL. MULAWARMAN L X 15 Th 25-Jul-2019
RT 14 BENGALON
4,529 0-12-10-20 NURUL IHJRAH AN JL. MELAWAI RT 21 P Baru; X 9 Th 25-Jul-2019 Fever, unspecified; R50.9;
BB PANTAI
4,530 0-12-10-22 JOSE HINDIANTO, AN JL. TARAKAN RT 22 L Baru; X 18 Th 25-Jul-2019 Abdominal and pelvic; R10;
KANAAN
4,531 0-12-10-24 PARISYA ANDINIKA L JL. ASRAMA RUDAL P X 3 Th 25-Jul-2019
AN RT 07 BLOK B 10
4,532 0-12-10-26 RAMLAH BINTI LA JL MARANGKAYU 4 P Baru; X 39 Th 25-Jul-2019 Conjunctivitis; H10; Dirawat
SALEH NY RT 10 SEBUNTAL
4,533 0-12-10-30 SARINA BINTI BOCO JL KAPA SELAM 1 RT P X 28 Th 25-Jul-2019
28 LOKTUAN
4,534 0-00-18-85 DELFIE CRISTIANI, JL. PISANGAN II RT. P Baru; X 15 Th 26-Jul-2019 Cholesteatoma of mid; H71;
AN 20/24 GN ELAI
4,535 0-01-00-89 WIWIK YENI, NY. JL. VETERAN RT 29 P X 46 Th 26-Jul-2019
NO 18 BERBAS
TENGAH
4,536 0-01-68-66 SARNAWIYAH HJ NY JL PELABUHAN RT P X 52 Th 26-Jul-2019
12/04 TJ LAUT INDAH
4,537 0-01-68-66 SARNAWIYAH HJ NY JL PELABUHAN RT P X 52 Th 26-Jul-2019
12/04 TJ LAUT INDAH
4,538 0-01-93-80 ARNA ARAFAH, NY. JL. DIPONEGORO RT P Lama; X 39 Th 26-Jul-2019 Seropositive rheumat; M05;
17 NO 52 BERBAS
PANTAI
4,539 0-02-40-95 M DIDIATMA JL. HALMAERA RT. L Baru; X 11 Th 26-Jul-2019 Acute upper respirat; J06.9;
PAMUNGKAS AN 18/45 API API
4,540 0-02-86-24 SORAYA GINA R AN JL MAWAR 4 RT 36 P Baru; X 11 Th 26-Jul-2019 Epistaxis; R04.0;
TJ LAUT

20/Sep/2019 251
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,541 0-03-03-15 PESTING BIN JL SELAT L Baru; X 38 Th 26-Jul-2019 Gastroenteritis and ; K52.0;
HARUNA TN MAKASSAR RT 25 TJ
LAUT
4,542 0-03-39-41 NOVITA SIANTURI, JL. ALEXANDER RT P Lama; X 26 Th 26-Jul-2019 Urinary tract infect; N39.0;
NN. 11/31 B TENGAH
4,543 0-03-40-35 ROY S HERLAMBANG JL. MULAWARMAN L Baru; Lama; X 64 Th 26-Jul-2019 Tension-type headach; Dyspepsia; G44.2;K Dirawat
TN RT 27/15 BTG BARU
4,544 0-03-73-63 M FARHAN AN JL KENANGAN RT 28 L X 10 Th 26-Jul-2019
NO 32 TJ LAUT
4,545 0-04-26-17 SOPAN SOPIAN, TN JL. P. SURYANATA L Baru; X 35 Th 26-Jul-2019 Atopic dermatitis, u; L20.9;
RT 19/39 BTG. BARU
4,546 0-04-65-69 SUNARMI BINTI JL KS TUBUN GG P Lama; X 40 Th 26-Jul-2019 Otitis media, unspec; H66.9;
SUBAKRI NY BASALT RT 15/46
BTG KUALA
4,547 0-04-71-50 SULAIMAN, TN. JL. A YANI RT 01/05 L X 49 Th 26-Jul-2019
API API
4,548 0-04-80-74 FADILLAH BINTI JL SELAR ALOR 2 RT P X 7 Th 26-Jul-2019
DONAL AN 32 TJ LAUT INDAH
4,549 0-04-87-82 ARNAYANTI BINTI JL. SENAM RT.20/25 P Lama; X 43 Th 26-Jul-2019 Non-insulin-dependen; E11;
NAHAR, NY API API
4,550 0-05-34-72 RAYA ZALFA PUTRI JL. P SURYANATA P Baru; X 7 Th 26-Jul-2019 Conjunctivitis, unsp; H10.9;
AN RT. 19/39 BTG BARU
4,551 0-05-37-84 M FARID AL AZAM AN JL. MT HARYONO RT L X 6 Th 26-Jul-2019
29 API-API
4,552 0-05-61-63 HAERUDIN, TN JL. PELABUHAN RT L X 37 Th 26-Jul-2019
31 TANJUNG LAUT
INDAH
4,553 0-06-24-34 SAMTO WIYONO TN JL. MT HARYONO L Lama; X 65 Th 26-Jul-2019 Non-insulin-dependen; E11;
RT. 28/49 GG
SELANCAR 7 API API
4,554 0-06-29-28 KASIAH, NY JL TARI JEPEN RT P Lama; X 58 Th 26-Jul-2019 Non-insulin-dependen; E11;
02/16 GUNTUNG
4,555 0-06-29-28 KASIAH, NY JL TARI JEPEN RT P X 58 Th 26-Jul-2019
02/16 GUNTUNG
4,556 0-06-37-38 KUSMIATI BIN JL SELAT BONE 1 RT P Lama; X 55 Th 26-Jul-2019 Non-insulin-dependen; E11;
SUKARTO NY 21/31 TJ LAUT
4,557 0-06-38-58 FATKOL ROJI TN JL. R SOEPRAPTO L Baru; X 53 Th 26-Jul-2019 Other and unspecifie; R10.4; Dirawat
RT. 16/42 BTG BARU
4,558 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 26-Jul-2019 Other surgical follo; Z48;
TJ LAUT INDAH
4,559 0-06-66-99 M NAUFAL JL. BALANAK RT L Lama; X 5 Th 26-Jul-2019 Asthma; J45; Dirawat
DANENDRA AN 32/43 TJ LAUT I
4,560 0-06-69-02 RAHMAH BINTI JL JEND SUDIRMAN P Lama; X 47 Th 26-Jul-2019 Unspecified renal co; N23;
MANNANG NY RT 22 NO 29 TJ LAUT

20/Sep/2019 252
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,561 0-06-79-79 FITRIANI BIN JL. S MAKASSAR RT P Baru; X 40 Th 26-Jul-2019 Dyspnoea; R06.0; Dirawat
SAMSUDDIN NY 25 TJ LAUT
4,562 0-06-91-32 BUAH HATI HJ NY JL BONTANG KUALA P X 72 Th 26-Jul-2019
RT 03 BONTANG
KUALA
4,563 0-06-91-32 BUAH HATI HJ NY JL BONTANG KUALA P X 72 Th 26-Jul-2019
RT 03 BONTANG
KUALA
4,564 0-07-02-21 SRI WAHYUNI JL. SERULING RT 21 P Lama; X 38 Th 26-Jul-2019 Urinary tract infect; N39.0;
MUHLIS NY BTG BARU
4,565 0-07-02-94 AINUL KHUSNA, NY JL. JAWA BTN KCY P Baru; X 23 Th 26-Jul-2019 Necrosis of pulp; K04.1;
RT 36/08 API-API
4,566 0-07-09-65 ALFIAN RIZKY FAJAR JL PATTIMURA GG L X 8 Th 26-Jul-2019
A AN ATLETIK 17 RT 33
NO 20 B API API
4,567 0-07-16-19 TUTY SUNARTI ASRAMA KODIM P Lama; X 36 Th 26-Jul-2019 Supervision of norma; Z34;
SURYANI NY 0908 JL AWANG
LONG RT 20
BONTANG BARU
4,568 0-07-42-75 NOVITA NINGRUM NY JL KPAL LAYAR 5 RT P X 30 Th 26-Jul-2019
LOKTUAN
4,569 0-07-48-27 DARWIS BIN KADERE JL GAJAH MADA RT L Lama; X 53 Th 26-Jul-2019 Connective and other; D21.9;
TN 39 BERBAS TENGAH
4,570 0-07-57-18 FERY TAUFAN, TN JL. DI PANJAITAN RT L X 32 Th 26-Jul-2019
02 BONTANG BARU
4,571 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 26-Jul-2019 Traumatic amputation; S88;
B PANTAI
4,572 0-07-97-92 THIO TJHAI LAN NY JL A YANI RT 8 NO 6 P X 61 Th 26-Jul-2019
TJ LAUT
4,573 0-07-99-30 AARON ZAKI, AN JL SELAT BADUNG L X 5 Th 26-Jul-2019
RT 14 NO. 17 TJ
LAUT
4,574 0-07-99-87 SABARIAH BINTI, NY JL. MH THAMRIN RT P Lama; X 51 Th 26-Jul-2019 Non-insulin-dependen; E11;
17 BONTANG BARU
4,575 0-08-00-10 DIANA NOVITASARI, JL. AR HAKIM RT P X 19 Th 26-Jul-2019
NY 40/38 BELIMBING
4,576 0-08-14-55 SRI WAHYUNI NY JL S HASANUDDIN P Baru; X 32 Th 26-Jul-2019 Acute suppurative ot; H66.0;
RT 04/ GG WIRA B
PANTAI
4,577 0-08-14-82 DISQILA QIROMATUL JL DI PANJAITAN RT P Baru; X 5 Th 26-Jul-2019 Viral infection, uns; B34.9;
A AN 27/19 API API
4,578 0-08-26-01 SANTI HENDRIYANI, JL SELAT MALAKA 2 P Baru; Lama; X 38 Th 26-Jul-2019 Cluster headache syn; Tension-type G44.0;G Dirawat
NY RT 10 NO 2 TJ LAUT headach;

20/Sep/2019 253
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,579 0-08-28-06 ABDUL RAHMAN TN JL BALANAK RT L Baru; X 43 Th 26-Jul-2019 Chronic hepatitis, u; K73.9;
21/38 TJ LAUT INDAH
4,580 0-08-30-14 IMAH BINTI SALI NY JL POROS BTG SMD P Lama; X 44 Th 26-Jul-2019 Gonarthrosis [arthro; M17;
RT 10/11 TELUK
PANDAN
4,581 0-08-31-32 SITI NUR WIJAYA, NY JL. KOL RT 08 NO 13 P Baru; X 50 Th 26-Jul-2019 Necrosis of pulp; K04.1;
GN ELAI
4,582 0-08-37-89 NARAYA ADZANA P JL DURIAN BTN PKT P X 5 Th 26-Jul-2019
AN RT BELIMBING
4,583 0-08-41-17 KASMIRAH BINTI JL A YANI RT 9/61 P Lama; Lama; X 36 Th 26-Jul-2019 Asthma; Dyspnoea; J45;R06. Dirawat
HAMID NY API API
4,584 0-08-44-71 NAFIATIN, HJ NY JL RADEN PATAH RT P Lama; X 50 Th 26-Jul-2019 Essential (primary) ; I10;
1 NO 100 B PANTAI
4,585 0-08-46-00 M ADAM KALEPPE, JL SELAT L X 55 Th 26-Jul-2019
TN MAKASSAR 2 RT 24
NO 48 TJ LAUT
4,586 0-08-47-17 RISNAWATI BINTI JL JENDRAL P Lama; X 23 Th 26-Jul-2019 Connective and other; D21.9;
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
4,587 0-08-47-76 AZRIEL ADITYA L X 3 Th 26-Jul-2019
RAZAK, AN
4,588 0-08-50-23 DIONISIUS PADU, TN JL. PATIMURA RT 41 L Baru; X 59 Th 26-Jul-2019 Acute upper respirat; J06.9; Dirawat
API API
4,589 0-08-60-29 CEMPAKA NURMA JL. KALIMANTAN RT P Lama; X 3 Th 26-Jul-2019 Acute nasopharyngiti; J00; Dirawat
SARI AN 19 API API
4,590 0-08-60-91 AMINAH BIN JL A YANI RT 05 NO P X 62 Th 26-Jul-2019
DURRAHMAN NY 03 API API
4,591 0-08-62-02 RUGAIYAH BINTI, NY JL MELAWAI RT 20 B P X 64 Th 26-Jul-2019
PANTAI
4,592 0-08-62-34 M DAUD BIN MALLU JL SENDAWAR RT L Baru; X 25 Th 26-Jul-2019 Tension-type headach; G44.2; Dirawat
TN BTG BARU
4,593 0-08-63-22 FAUZIA RAMADHANI JL. KS TUBUN RT. 16 P Baru; X 4 Th 26-Jul-2019 Dyspnoea; R06.0; Dirawat
AN BTG KUALA
4,594 0-08-94-48 ALNUR M ARSYAD, JL PARIKESIT RT L X 2 Th 26-Jul-2019
AN 05/39 BTG BARU
4,595 0-08-99-22 SUJIATI BIN NY JL POROS SMD BTG P Lama; X 53 Th 26-Jul-2019 Non-insulin-dependen; E11;
SUKA DAMAI RT 03 T
PANDAN
4,596 0-09-03-82 NURHAYATI BIN JL. KS TUBUN RT 16 P Lama; X 35 Th 26-Jul-2019 Cutaneous abscess, f; L02;
ANAS NY TJ LAUT I
4,597 0-09-08-71 DEFHANDRA KEENAN JL KAPAL SELAM RT L X 2 Th 26-Jul-2019
A AN 17 NO 02 LOKTUAN

20/Sep/2019 254
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,598 0-09-14-84 RUSTATI BINTI NY JL GENDANG RT P X 65 Th 26-Jul-2019
23/95 BTG BARU
4,599 0-09-19-52 ELSA KARINA, AN JL. TIPALAYO RT 36 P X 2 Th 26-Jul-2019
NO 20
BERBASTENGAH
4,600 0-09-30-19 MIRZA UKAIL H AN JL PELABUHAN 3 GG L X 4 Th 26-Jul-2019
UDANG RT 33/20 TJ
LAUT INDAH
4,601 0-09-40-00 TITIK SUWARNI NY JL SELAT SELAYAR P Lama; X 59 Th 26-Jul-2019 Non-insulin-dependen; E11;
RT 38 23 TJ LAUT
4,602 0-09-40-00 TITIK SUWARNI NY JL SELAT SELAYAR P X 59 Th 26-Jul-2019
RT 38 23 TJ LAUT
4,603 0-09-44-95 SUKMAWATI NY JL AP P Lama; X 42 Th 26-Jul-2019 Non-insulin-dependen; E11;
MANGKUNEGORO
GG MUTIARA 3 RT 6
NO 4 B TENGAH
4,604 0-09-58-93 ASEP SUHERMAN .TN JL KS TUBUN RT 32 L Lama; X 58 Th 26-Jul-2019 Non-insulin-dependen; E11;
NO 100 API API
4,605 0-09-61-74 NOVIYANTI SABRINA JL MT HARYONO GG P X 19 Th 26-Jul-2019
NN WORTEL RT 9 NO 40
GN ELAI
4,606 0-09-61-96 AZKADINA QAILA JL. ZAMRUD RT 45 L Baru; X 2 Th 26-Jul-2019 Diarrhoea and gastro; A09; Dirawat
MAHREEN AN NO 3 BERBAS
TENGAH
4,607 0-09-64-82 AZKHA BAMA AN JL S HASANUDDIN L Baru; X 2 Th 26-Jul-2019 Acute upper respirat; J06.9;
RT 33/ B TENGAH
4,608 0-09-65-14 SISO BIN DALONG TN JL KP TENDEAN RT L X 59 Th 26-Jul-2019
1 BTG KUALA
4,609 0-09-65-61 IRA RAMADANI , NY JL. MH TAMRIN P Baru; X 32 Th 26-Jul-2019 Supervision of norma; Z34;
PERUM TNK NO 61
BTG BARU
4,610 0-09-69-39 JUBAEDAH BINTI JL KP TENDEAN RT P Baru; X 38 Th 26-Jul-2019 Pulpitis; K04.0;
DARMAWI NY 12 NO 61 BTG KUALA
4,611 0-09-77-94 SUDARNO, TN JL. VETERAN RT 28 L Baru; X 54 Th 26-Jul-2019 Chronic sinusitis, u; J32.9;
NO 55 BERBAS
TENGAH
4,612 0-09-77-94 SUDARNO, TN JL. VETERAN RT 28 L X 54 Th 26-Jul-2019
NO 55 BERBAS
TENGAH
4,613 0-09-80-18 SYAMSUDDIN KUCCI, JL MELAWAI RT 22 L X 54 Th 26-Jul-2019
TN NO 2 B PANTAI
4,614 0-09-81-73 JUWARIAH BINTI JL KAPAL LAYAR RT P Baru; X 32 Th 26-Jul-2019 Supervision of norma; Z34;
SUHADI NY 022 LOKTUAN

20/Sep/2019 255
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,615 0-09-92-91 MURNI BINTI JL DIPONEGORO RT P Lama; X 45 Th 26-Jul-2019 Chronic pansinusitis; J32.4;
HAMURUDDIN NY 15 BERBAS PANTAI
4,616 0-10-00-63 SONY RIFAI , TN JL BEKANTAN N3 NO L Lama; X 56 Th 26-Jul-2019 Cutaneous abscess, f; L02;
3 BTN PKT
BELIMBING
4,617 0-10-03-78 RISCI USMAN AN JL ZAMRUD 12 RT L X 17 Th 26-Jul-2019
49/19 B TENGAH
4,618 0-10-07-32 SAMUEL DOMING , JL. ZAMRUD RT 50 B L X 70 Th 26-Jul-2019
TN TGH
4,619 0-10-38-11 RAYHAN SAPUTRA JL CUMI CUMI 3 RT 1 L X 5 Th 26-Jul-2019
AN NO 105 TJ LAUT
INDAH
4,620 0-10-45-36 MARHANI BINTI MUSA JL. MT HARYONO RT P X 46 Th 26-Jul-2019
, NY 28/58 API-API
4,621 0-10-47-14 GIN GIN SUHENDAR , JL. DI PANJAITAN L Lama; X 31 Th 26-Jul-2019 Fever, unspecified; R50.9;
TN GG PIANO 2 NO 78
BTG BARU
4,622 0-10-47-14 GIN GIN SUHENDAR , JL. DI PANJAITAN L X 31 Th 26-Jul-2019
TN GG PIANO 2 NO 78
BTG BARU
4,623 0-10-65-89 PANDANG , HJ , NY JL. MELAWAI RT 22 P Lama; X 62 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
B PANTAI
4,624 0-10-76-32 DANIEL BIN RAIMON , JL. S BONE RT 18 TJ L X 1 Th 26-Jul-2019
AN LAUT
4,625 0-10-80-65 DEFITTA PUTRI , AN JL. KS TUBUN RT 08 P Baru; X 4 Th 26-Jul-2019 Fever, unspecified; R50.9; Dirawat
BTG KUALA
4,626 0-10-81-36 NIKI LUMENTA, TN JL. BUNGA PUTIH RT L Lama; X 46 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
02/- MARANGKAYU
4,627 0-10-82-46 HAERATI BINTI JL. TENGGIRI RT 25 P Lama; X 49 Th 26-Jul-2019 Chronic pansinusitis; J32.4;
DUSSA NY TANJUNG LAUT
4,628 0-10-87-65 NGASPAN, TN JL. PATTIMURA RT L X 73 Th 26-Jul-2019
33 NO 55 API API
4,629 0-10-89-49 ZAINAL PULUNG TN JL MASJID NURUL L X 72 Th 26-Jul-2019
MUTTAQIN RT 37/01
LOKTUAN
4,630 0-10-90-31 ROSMIATI BIN M JL RE P Lama; X 52 Th 26-Jul-2019 Thyrotoxicosis [hype; E05;
ARSYAD NY MARTADINATA RT
28/14 LOKTUAN
4,631 0-10-90-75 WISNU SEPTIAN I, AN JL. ZAMRUD RT 53/- L Baru; X 16 Th 26-Jul-2019 Injury of unspecifie; T14; Dirawat
B TENGAH
4,632 0-10-90-75 WISNU SEPTIAN I, AN JL. ZAMRUD RT 53/- L X 16 Th 26-Jul-2019
B TENGAH

20/Sep/2019 256
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,633 0-10-91-60 ITA BINTI ABD RAZAK JL SAMRATULANGI P Lama; X 59 Th 26-Jul-2019 Connective and other; D21.9;
NY RT 15/35 TJ LAUT
INDAH
4,634 0-10-91-76 ULWIYAH BINTI JL S HASANUDDIN P Lama; X 52 Th 26-Jul-2019 Non-insulin-dependen; E11;
KARJONO NY GG LOSARI 4 RT 3
NO 9 B PANTAI
4,635 0-10-96-30 NURLINA BIN DG JL TANJUNG BATU P Lama; X 45 Th 26-Jul-2019 Chronic pansinusitis; J32.4;
MALANRE NY RT 6 SEMANGKO
MARANG KAYU
4,636 0-10-97-14 WINARNI BINTI JL. A YANI GG RAWA P Baru; X 37 Th 26-Jul-2019 Non-insulin-dependen; E11;
ISNEN, NY INDAH RT 09/13
API-API
4,637 0-11-06-75 SAIDUL BIN BADULU JL. MANUNGGAL RT L Lama; X 54 Th 26-Jul-2019 Otitis media, unspec; H66.9;
TN 11 BERBAS PANTAI
4,638 0-11-15-89 ELVINA DVITA , NN JL PERUM BTG P X 26 Th 26-Jul-2019
PERMAI BLOK NA 24
4,639 0-11-24-22 IMANIARTIKA KURNIA JL GUNUNG P X 28 Th 26-Jul-2019
P, NY MALABAR RT 35/16
BSD GN ELAI
4,640 0-11-24-89 AISYAH SYIFA QOLBI JL. KS TUBUN RT 32 P Baru; X 7b 26-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN API-API
4,641 0-11-29-49 HARTONO DRS TN JL. SOEKARNO L Lama; X 53 Th 26-Jul-2019 Non-insulin-dependen; E11;
HATTA GG BEJAWA
RT 25 /- GN TELIHAN
4,642 0-11-31-53 DAHLIA, NY JL. KENANGAN RT P Baru; X 42 Th 26-Jul-2019 Injury of unspecifie; T14; Dirawat
30 TANJUNG LAUT
4,643 0-11-35-49 M AFDAL, AN JL. KAMPUNG L X 20 Th 26-Jul-2019
TENGAH KUTIM
SANGATTA
4,644 0-11-36-14 WAHIDA BINTI A JL. H HABIBON RT P X 41 Th 26-Jul-2019
RUSLI, NY 32/03TJ LAUT
4,645 0-11-41-26 SYAHRUL BIN SYAIR , JL. ZAMRUD RT 49 B L X 33 Th 26-Jul-2019
TN TGH
4,646 0-11-41-37 HALIJAH B, NY JL. KERSIK RT 03 P Baru; X 43 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
MARANGKAYU
4,647 0-11-41-88 RINI FITRI YANI NN JL R SOEPRAPTO P Baru; X 25 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
NO 47 BTG BARU
4,648 0-11-42-76 AISHA ZAHRA, AN JL. IMAM BONJOL RT P X 5b 26-Jul-2019
40 API API
4,649 0-11-48-49 MARIANI, NY JL. S SYAHRIER RT, P Baru; X 57 Th 26-Jul-2019 Non-insulin-dependen; E11;
07 NO. 13 TL INDAH
4,650 0-11-51-25 RASMA BINTI EDO NY JL. SATYA LENCANA P Lama; X 37 Th 26-Jul-2019 Other chronic suppur; H66.3;
RT. 14 BONTANG
LESTARI

20/Sep/2019 257
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,651 0-11-54-46 MADIYO TN JL PERANGKAT L Baru; X 65 Th 26-Jul-2019 Tuberculosis of lung; A15.0;


SELATAN RT 04 M.
KAYU
4,652 0-11-56-65 ALIMUDDIN M TN JL BATU MENETES L X 44 Th 26-Jul-2019
RT 17 SABUTAL M
KAYU
4,653 0-11-57-76 KASIRA BINTI NY JL DI PANJAITAN GG P Lama; X 67 Th 26-Jul-2019 Non-insulin-dependen; E11;
PIANO 8 BONTANG
BARU
4,654 0-11-63-19 AMRAN BIN AMIN TN JL. TARI GANTAR RT L Baru; X 44 Th 26-Jul-2019 Chronic hepatitis, u; K73.9;
98 GUNTUNG
4,655 0-11-72-28 THITO PIB RASTRIA JL. KS TUBUN GG L X 16 Th 26-Jul-2019
SDR BERSAMA 7/2 APIAPI
4,656 0-11-74-64 ARDAM TN JL KAPAL PINISI 3 RT L Baru; X 32 Th 26-Jul-2019 Acute upper respirat; J06.9;
44 LOKTUAN BTG
UTARA
4,657 0-11-75-15 ALESHA NABILA L AN JL. DI PANJAITAN RT P X 3 Th 26-Jul-2019
32
4,658 0-11-77-54 KAMARIAH S HJ NY JL MELAWAI RT 21 P X 71 Th 26-Jul-2019
BERBAS PANTAI
4,659 0-11-78-15 RUSMAWATI BINTI JL. BINA KARYA II P Baru; X 23 Th 26-Jul-2019 Necrosis of pulp; K04.1;
NY KEC MUARA BADAK
4,660 0-11-82-38 JUNAIDI KERTASIH JL. TEUKU UMAR RT L X 70 Th 26-Jul-2019
TN 13 BONTANG BARU
4,661 0-11-82-88 SAENAL, TN JL. CARITA RT 11 L Lama; X 45 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
BERBAS PANTAI
4,662 0-11-84-66 MURNI BINTI OSEN JL SANTAN ULU P Lama; X 62 Th 26-Jul-2019 Essential (primary) ; I10;
NY
4,663 0-11-85-13 SUKIMIN BIN JL POLO AIR 1 RT 35/ L Lama; X 54 Th 26-Jul-2019 Non-insulin-dependen; E11;
SARKANI TN 18 API API
4,664 0-11-86-15 DEWI ULANDARI NY JL SELAT ALOR 1 RT P Baru; X 31 Th 26-Jul-2019 Chronic persistent h; K73.0;
32 TANJUNG LAUT
4,665 0-11-86-87 IFTIH KHUSUSIYAH JL TOMAT RT 13/12A P X 52 Th 26-Jul-2019
NY GN ELAI
4,666 0-11-86-87 IFTIH KHUSUSIYAH JL TOMAT RT 13/12A P X 52 Th 26-Jul-2019
NY GN ELAI
4,667 0-11-93-56 M SAIL TN JL MH THAMRIN RT L Baru; X 47 Th 26-Jul-2019 Cholesteatoma of mid; H71;
26 BTG BARU
4,668 0-11-94-23 RUKIYAH BINTI NY JL KAPT PIERE P Lama; X 65 Th 26-Jul-2019 Dyspepsia; K30;
TANDEAN RT 01/38
BTG KUALA
4,669 0-11-98-29 GUNTUR BIN BASRI JL S HASANUDDIN L X 28 Th 26-Jul-2019
TN RT 23 B PANTAI

20/Sep/2019 258
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,670 0-11-99-46 SANAWIAH BINTI NY JL AHMAD YANI RT P Lama; X 46 Th 26-Jul-2019 Non-insulin-dependen; E11;
05/- API API
4,671 0-12-00-04 ULTRIMAWATI NY JL. MENTE RT 24 P Baru; X 27 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
SATIMPO
4,672 0-12-01-68 HAMDANI BIN HANAFI JL. DI PANJAITAN L Baru; X 16 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
AN GG ATLETIK 3 RT 27
4,673 0-12-02-03 NURLAELIN NAJAH JL IMAM BONJOL RT P Baru; X 18 Th 26-Jul-2019 Acute pharyngitis; J02;
NY 12 GN ELAI
4,674 0-12-02-30 FARIDA ARIYANI NY JL MALUKU RT 16/10 P Baru; X 49 Th 26-Jul-2019 Bronchitis, not spec; J40;
BTN KCY API API
4,675 0-12-02-39 HERI HERMANTO TN JL MENTE RT 24/02 L Baru; X 32 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
SATIMPO
4,676 0-12-03-64 WALUYO BIN AHMAD JL BANDUNG 1 RT L X 34 Th 26-Jul-2019
T TN 25/77 GUNUNG
TELIHAN
4,677 0-12-04-17 ERDINAWATI OLIVIA JL BROKOLI 2 KEL. P Baru; X 19 Th 26-Jul-2019 Supervision of norma; Z34;
NY GN ELAI
4,678 0-12-04-60 SUMADI BIN JL SELAT BONE 1 RT L Lama; X 59 Th 26-Jul-2019 Non-insulin-dependen; E11;
WONGSO TN 21/31 TJ LAUT
4,679 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L Lama; X 42 Th 26-Jul-2019 Cutaneous abscess, f; L02;
API API
4,680 0-12-05-09 DIWIANTI NN JL B KATAMSO RT P Baru; X 27 Th 26-Jul-2019 Otitis media, unspec; H66.9; Dirawat
07 GUNUNG
TELIHAN
4,681 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P X 50 Th 26-Jul-2019
10 MARANGKAYU
4,682 0-12-05-57 PRAWOTO TN JL. PATTIMURA RT L X 36 Th 26-Jul-2019
42
4,683 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L X 57 Th 26-Jul-2019
TN 07 BERBAS PANTAI
4,684 0-12-07-09 PRIMANANDA JL. MT HARYONO NO L X 29 Th 26-Jul-2019
AGIYANSYA, TN 3 KEL. API-API
4,685 0-12-07-13 M AL FATIH, AN JL. WR SUPRATMAN L X 2b 26-Jul-2019
RT 24/- B TENGAH
4,686 0-12-07-14 MURNIATI JL MH THAMRIN RT P Lama; X 21 Th 26-Jul-2019 Connective and other; D21.9;
MAPPEABANG NN 22/58 BTG BARU
4,687 0-12-07-19 JOKO PURNOMO, TN JL. KALIMANTAN L Lama; X 57 Th 26-Jul-2019 Cutaneous abscess, f; L02;
BLOK H-2 RT 18
API-API
4,688 0-12-07-47 SAJID AL SAKHI, AN JL. BATU SAHASA L X 9b 26-Jul-2019
RT 02/09 B KUALA
4,689 0-12-08-72 UMMIYATUL JL MANGGA RT P Lama; X 20 Th 26-Jul-2019 Enlarged lymph nodes; R59;
KHAIRUNNISA NY SATIMPO

20/Sep/2019 259
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,690 0-12-09-72 ACMAD SURYADI TN JL. A YANI RT 02 L Baru; Baru; X 19 Th 26-Jul-2019 Acute upper respirat; Fever, J06.9;R5 Dirawat
unspecified;
4,691 0-12-09-86 NURUL ARUM SARI JL PALEMBANG RT P X 23 Th 26-Jul-2019
NY 16 / 45 GUNUNG
TELIHAN
4,692 0-12-09-87 M ATHAR RIZKY, AN JL. BANDENG RT23 L X 6 Th 26-Jul-2019
KEL. TJ LAUT INDAH
B. SELATAN
4,693 0-12-09-89 HASNI BINTI HARIS JL PULAU GUSUNG P X 32 Th 26-Jul-2019
NY GUNTUNG
4,694 0-12-09-92 PUTRI BINTI DARWIS, JL. IR H JUANDA RT P X 16 Th 26-Jul-2019
AN 06/88 TJ LAUT
4,695 0-12-09-95 CAHYA KENCANA JLN SULTAN P X 31 Th 26-Jul-2019
RINI, NY HASANUDDIN GG,
BAKTI NO 133 B.
PANTAI
4,696 0-12-09-96 ASEP DADANG, TN BTN PKT JLN JAMBU L X 55 Th 26-Jul-2019
2 NO 30
4,697 0-12-10-07 RATNA NINGSI, NY JL DUSUN RAWA P X 42 Th 26-Jul-2019
INDAH RT 07 KEC.
MARANGKAYU
4,698 0-12-10-12 YANTI TRIANA S NY JL ANGSANA NO 163 P X 42 Th 26-Jul-2019
SANGATTA
4,699 0-12-10-15 ALWAN JAYA, AN JL. MULAWARMAN L X 15 Th 26-Jul-2019
RT 14 BENGALON
4,700 0-12-10-16 AJID BIN POI, TN JL. GAMELAN RT 17 L X 67 Th 26-Jul-2019
BONTANG BARU
4,701 0-12-10-17 YUNITA SARI, AN JL. MULAWARMAN P X 17 Th 26-Jul-2019
RT 14 BENGALON
4,702 0-12-10-18 ARVAN JAYA, SDR JL. MULAWARMAN L X 19 Th 26-Jul-2019
RT 14 BENGALON
4,703 0-12-10-19 ELVIANA AMIRUDDIN, JL. SUMBER JAYA P X 22 Th 26-Jul-2019
NY RT 11 BENGALON
4,704 0-12-10-21 ALFIAN FATHUR JL. WR SUPRATMAN L X 15 Th 26-Jul-2019
RIZQI, AN RT 58 BERBAS
TENGAH
4,705 0-12-10-22 JOSE HINDIANTO, AN JL. TARAKAN RT 22 L X 18 Th 26-Jul-2019
KANAAN
4,706 0-12-10-23 YASAR, TN JL. PAKIS KM 6 GN L X 25 Th 26-Jul-2019
ELAI
4,707 0-12-10-25 SITI FATIMAH, NY JL. BALIKPAPAN RT P X 36 Th 26-Jul-2019
12 TELIHAN
4,708 0-12-10-27 PUTRI KAILA NAJWA, JL. DSN HANDIL RT L X 4 Th 26-Jul-2019
AN 03 MARANGKAYU

20/Sep/2019 260
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,709 0-12-10-28 REGITA MAYHALANI, JL. TENIS RT 39 NO P X 21 Th 26-Jul-2019


NN 137 API API
4,710 0-12-10-29 NURJAMIATUL JL. KAPAL FERI RT P Baru; X 22 Th 26-Jul-2019 Diarrhoea and gastro; A09; Dirawat
MOHFIROH, NY 08 LOKTUAN
4,711 0-12-10-31 NASARUDDIN TN JL SELAT MALAKA 2 L Baru; X 50 Th 26-Jul-2019 Asthma, unspecified; J45.9;
RT 24 / 52 TJ LAUT
4,712 0-12-10-32 EKO YULIANTO TN JL CUT NYAK DIEN L X 43 Th 26-Jul-2019
NO 29
4,713 0-12-10-33 FAIZ MARDELINO AN JL BATU SAHASA 4 L Baru; X 3 Th 26-Jul-2019 Fever, unspecified; R50.9; Dirawat
RT 6 / 32 BONTANG
KUALA
4,714 0-12-10-34 PIATIN BINTI KUSNAN JL BRIGJEN L Baru; X 44 Th 26-Jul-2019 Fever, unspecified; R50.9; Dirawat
NY KATAMSO RT 16/23
GUNUNG ELAI
4,715 0-12-10-35 HASNIATI BIN JL. WR SUPRATMAN P Baru; X 47 Th 26-Jul-2019 Low back pain; M54.5; Dirawat
SEMMAUNA NY RT 19/- B PANTAI
4,716 0-12-10-36 NOOR KHANIFAH NY JL MELAWAI GG P Baru; X 23 Th 26-Jul-2019 Gastroenteritis and ; K52.0;
MARINA 3 RT 20/- B
PANTAI
4,717 0-12-10-37 NABILA SULISTIANI , JL. SP PANTUN 1 P Baru; X 5 Th 26-Jul-2019 Acute upper respirat; J06.9;
AN MUARA WAHAU
KUTIM
4,718 0-12-10-38 MARDA BINTI JL. PULAU GUSUNG P Baru; X 32 Th 26-Jul-2019 Supervision of norma; Z34;
AMMANG, NY RT 03/- GUNTUNG
4,719 0-12-10-39 ZAKIYAH TRIMAYA JL HABIBON RT 06 P X 39 Th 26-Jul-2019
SARI NY TJ LAUT INDAH
4,720 0-12-10-40 JULEHA BINTI NY JL A YANI GN SARI P Baru; X 69 Th 26-Jul-2019 Essential (primary) ; I10;
RT 2/- TJ LAUT
INDAH
4,721 0-12-10-41 PADLI BIN MASHURI JL SULTAN SYAHRIR L X 36 Th 26-Jul-2019
TN GG BETE BETE RT
07/- TJ LAUT IND
4,722 0-12-10-42 M ATHA REZARDIAN JL BHAYANGKARA L Baru; X 11 b 26-Jul-2019 Fever, unspecified; R50.9; Dirawat
A AN ASPOLRES RT
10/BLOK D38 GN
ELAI
4,723 0-12-10-43 VEEKY PITOY TN JL ZAMRUD GG L Baru; X 54 Th 26-Jul-2019 Cutaneous abscess, f; L02;
ZAMRUD 4 RT 44/7 B
TENGAH
4,724 0-12-10-44 BASO GUSRI H A, TN JL. BUNG TOMO GG L Baru; X 30 Th 26-Jul-2019 Bronchitis, not spec; J40;
01 RT 01/- BAQA
SMD SEBERANG
4,725 0-12-10-45 ANI SYARIFAH NY JL WR SUPRATMAN P X 40 Th 26-Jul-2019
RT 24/03 B TENGAH

20/Sep/2019 261
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,726 0-12-10-46 AMBIA , NY JL. ZAMRUD 3 RT P X 43 Th 26-Jul-2019


51/59 B TGH
4,727 0-12-10-47 JUSTANG BIN JL OTISTA RT 26/- L X 25 Th 26-Jul-2019
HAMMATANG TN BTG BARU
4,728 0-12-10-48 NUR AWALYA JL. KS TUBUN GG P Baru; X 10 Th 26-Jul-2019 Acute pharyngitis, u; J02.9; Dirawat
RASYID, AN ARWANA 2 RT 17/-
TJ LAUT INDAH
4,729 0-12-10-49 SOFIANI BINTI JL ABDI NEGARA RT P Baru; X 18 Th 26-Jul-2019 Supervision of norma; Z34;
USMAN TN 13/- BONLES
4,730 0-12-10-50 IKE NURJANAH NY JL SLAMET RIYADI P Baru; X 20 Th 26-Jul-2019 Supervision of norma; Z34;
RT 50/60 LOKTUAN
4,731 0-12-10-51 BRIANT YOSEP PAAT, JL. AW SYAHRANI IV L X 32 Th 26-Jul-2019
TN BLOK RT02/BLOK B
20 SAMARINDA
4,732 0-12-10-52 LUTFIAH BINTI JL VETERAN GG P X 12 Th 26-Jul-2019
SULTAN S AN ANGLING DARMA RT
28/05 B TENGAH
4,733 0-12-10-53 M FIQRI ANGGARA JL A YANI RT 2/8 TJ L X 6 Th 26-Jul-2019
AN LAUT INDAH
4,734 0-12-10-54 SUNARTO BIN TN JL ZAMBRUD RT L X 59 Th 26-Jul-2019
53/27 B TENGAH
4,735 0-12-10-55 NAJI WIBOWO , TN JL. GN RABANA NO L Baru; X 61 Th 26-Jul-2019 Tuberculosis of lung; A15.0;
18 THP VI BSD RT 41
GN ELAI
4,736 0-12-10-58 BRAIN TANIA, NN JL/ MAWAR IV RT 36 P Baru; X 19 Th 26-Jul-2019 Hereditary persisten; D56.4;
TJ. LAUT
4,737 0-12-10-60 ARDIANSYA, TN JL. LUMBA-LUMBA L X 21 Th 26-Jul-2019
GG 7 NO 32
4,738 0-12-10-61 QORROTUL AINI AN JL. PENCAK SILAT 1 P X 6 Th 26-Jul-2019
RT 12/17
4,739 0-12-10-87 CRISTIAN DAUD AN JL. ZAMRUD NO 24 L X 8 Th 26-Jul-2019
ER 42
4,740 0-00-07-64 NURJITO BIN ABD JL. SULTAN L Lama; X 62 Th 27-Jul-2019 Low back pain; M54.5; Dirawat
MAJID TN HASANUDDIN RT
03/02 BERBAS
PANTAI
4,741 0-00-62-04 JUMIATI, NY. JL. B KATAMSO RT. P Baru; X 47 Th 27-Jul-2019 Hypertensive heart d; I11;
18/07 GN. ELAI
4,742 0-00-64-64 BANI JUITO NY. JL. POLO AIR RT 35 P X 36 Th 27-Jul-2019
NO 4 KEL API API
4,743 0-01-94-62 M ABDI PRASETYO, JL. PERUM GRIYA L Baru; X 13 Th 27-Jul-2019 Tinea unguium; B35.1;
AN. WISATA RT 14 NO 20
BONTANG KUALA

20/Sep/2019 262
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,744 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Baru; X 58 Th 27-Jul-2019 Acquired absence of ; Z90;
RT 23/66 B. PANTAI
4,745 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P X 58 Th 27-Jul-2019
RT 23/66 B. PANTAI
4,746 0-02-28-33 DEWI PURWANTI NY JL. KS TUBUN RT 32 P Lama; X 32 Th 27-Jul-2019 Gynaecological exami; Z01.4;
NO 32
4,747 0-02-69-72 SYARIFAH TIAH. HJ. JL. DI PONEGORO P X 78 Th 27-Jul-2019
NY RT 31/71 API-API
4,748 0-03-18-10 KACCO TATAMU TN JL.S HASANUDDIN L X 71 Th 27-Jul-2019
GG INTAN 2 RT 30/02
B TENGAH
4,749 0-03-64-13 MUJIANTI, NY. JL. CUT NYAK DIEN P Baru; X 40 Th 27-Jul-2019 Trigger finger; M65.3;
RT. 09/ BTG.BARU
4,750 0-04-07-59 YULI SETIAWATI, NY. JL. KEJORA GG P Lama; X 53 Th 27-Jul-2019 Necrosis of pulp; K04.1;
WAKAF 2 RT 16/-
BTG KUALA
4,751 0-05-50-02 RUSNA BINTI MASSE, JL. IKAN TUNA RT 11 P X 44 Th 27-Jul-2019
NY TANJUNG LAUT
INDAH
4,752 0-05-72-79 NURBAYA HAFID NY JL JENDRAL P Baru; X 30 Th 27-Jul-2019 Chronic hepatitis, u; K73.9;
SUDIRMAN RT 26/80
TJ LAUT
4,753 0-06-18-67 NURWANA, NY JL. KELADI RT 04 NO P Baru; X 44 Th 27-Jul-2019 Pain in throat and c; R07; Dirawat
58 GN ELAI
4,754 0-06-27-80 UMRI SU TN JL. ZAMRUD GG L Lama; X 56 Th 27-Jul-2019 Cerebral infarction,; I63.9;
ZAMRUT 12 RT.49/16
B TENGAH
4,755 0-06-41-49 LAODE SARIFUDDIN JL ASRUD RT 02/07 L Baru; X 31 Th 27-Jul-2019 Injury of unspecifie; T14; Dirawat
TN GN ELAI
4,756 0-06-41-94 MARYOTO TN JL KOL RT 08/13 GN L X 60 Th 27-Jul-2019
ELAI
4,757 0-06-49-86 NI WAYAN JL. CATUR RT 07/07 P Lama; X 59 Th 27-Jul-2019 Cutaneous abscess, f; L02;
SUHARTINI NY API-API
4,758 0-06-60-57 ISNO BIN TRIMO TN JL PENCAK SILAT 1 L Baru; X 63 Th 27-Jul-2019 Acute upper respirat; J06.9;
RT 12 API API
4,759 0-06-78-54 ZAKIRA KHUMAIRA JL BARONANG L Baru; X 5 Th 27-Jul-2019 Fever, unspecified; R50.9;
AHMAD AN RT.13/28 TJ LAUT
4,760 0-06-79-40 THAMRIN TN JL CUMI CUMI 4 RT 1 L Lama; X 42 Th 27-Jul-2019 Vertigo of central o; H81.4;
TJ LAUT INDAH
4,761 0-06-81-73 ACHMAD PATARAI, JL. UTUNG L Lama; X 62 Th 27-Jul-2019 Haemorrhoids; I84;
TN SUROPATI RT 20
TANJUNG LAUT
4,762 0-07-53-17 NAYLA AZKA MAZAYA JL. DURIAN NO BTN P Lama; X 8 Th 27-Jul-2019 Dental caries; K02;
B AN PKT BELIMBING

20/Sep/2019 263
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,763 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Baru; X 50 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
AHMADA NY 20/35 B PANTAI
4,764 0-07-74-13 JALEHA BINTI JL. MERAUKE RT P X 48 Th 27-Jul-2019
AMANDEKA NY 16/3 API-API
4,765 0-07-77-76 SYAMSIDAR BINTI JL. MH THAMRIN RT P Baru; X 49 Th 27-Jul-2019 Vertigo of central o; H81.4;
RUGA NY 01 GN ELAI
4,766 0-07-78-50 KEVIN AMINUR JL. S HASANUDDIN L Baru; X 12 Th 27-Jul-2019 Acute pharyngitis, u; J02.9;
RACHMAN AN RT. 04/116 B PANTAI
4,767 0-07-88-94 SUHARTI BINTI JL GUNTUNG RT 23 P Lama; X 52 Th 27-Jul-2019 Non-insulin-dependen; E11;
SUYADI NY GUNTUNG
4,768 0-07-89-96 ANDI DESI EFENDI, JL. MELAWAI RT 21 P Baru; X 14 Th 27-Jul-2019 Otitis externa, unsp; H60.9;
AN NO 134 BERBAS
PANTAI
4,769 0-07-95-65 KINETA AL FALLAH L, JL H HABIBON RT 32 P Lama; X 16 Th 27-Jul-2019 Epilepsy; G40;
AN NO. 3 TJ LAUT
4,770 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L X 66 Th 27-Jul-2019
AMIN TN API API
4,771 0-07-97-92 THIO TJHAI LAN NY JL A YANI RT 8 NO 6 P Lama; X 61 Th 27-Jul-2019 Non-insulin-dependen; E11;
TJ LAUT
4,772 0-08-06-68 AINUN CITRA KIRANA JL BERLIAN RT 18 P Lama; Lama; X 6 Th 27-Jul-2019 Acute upper respirat; Dyspnoea; J06.9;R0 Dirawat
AN NO 22 B TENGAH
4,773 0-08-11-64 RAODAH, NY JL. KS TUBUN RT 17 P Lama; X 44 Th 27-Jul-2019 Cerebral infarction,; I63.9;
TANJUNG LAUT
4,774 0-08-30-14 IMAH BINTI SALI NY JL POROS BTG SMD P X 44 Th 27-Jul-2019
RT 10/11 TELUK
PANDAN
4,775 0-08-37-89 NARAYA ADZANA P JL DURIAN BTN PKT P X 5 Th 27-Jul-2019
AN RT BELIMBING
4,776 0-08-40-20 ENY SISLAWATI NY JL PATTIMURA GG P X 38 Th 27-Jul-2019
ATLETIK 16 RT 14
NO 157 API API
4,777 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Baru; X 50 Th 27-Jul-2019 Traumatic amputation; S68;
RT 027
4,778 0-08-46-30 WULAN BINTI KACO, JL SIDRAP RT 21 P Lama; X 40 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
NY GUNTUNG
4,779 0-08-51-31 JANWAR YAKOBUS P JL. KEMP 23 L Baru; X 32 Th 27-Jul-2019 Acute upper respirat; J06.9;
TN INDOMINCO
4,780 0-08-66-95 M NAUVAL AL FAQIH JL KS TUBUN RT L X 3 Th 27-Jul-2019
AN 16/01 BTG KUALA
4,781 0-08-77-18 WIYANTI BINTI NY JL DI PANJAITAN RT P X 39 Th 27-Jul-2019
01/52 GG PIANO BTG
BARU

20/Sep/2019 264
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,782 0-08-81-94 ABDUL RAFLI JL ZAMRUD 11 RT 49 L X 3 Th 27-Jul-2019
RAMADHAN AN B TENGAH
4,783 0-09-19-52 ELSA KARINA, AN JL. TIPALAYO RT 36 P X 2 Th 27-Jul-2019
NO 20
BERBASTENGAH
4,784 0-09-24-76 FITRIANI BINTI JL TIPALAYO RT 47 P Lama; X 31 Th 27-Jul-2019 Connective and other; D21.9;
RAHMAN NY NO 36 B TENGAH
4,785 0-09-27-17 VASI ARYANI NY JL R SOEPRAPTO P Lama; X 27 Th 27-Jul-2019 Female infertility; N97;
RT 16 GG ALPUKAT
NO 29 BTG BARU
4,786 0-09-33-64 AULIA PRAMUDYA N JL. STN P Baru; X 13 Th 27-Jul-2019 Dengue fever [classi; A90;
AN HASANUDDIN RT. 09
NO. 47 BER PANTAI
4,787 0-09-62-23 IRSYANI BAKRIA , NY JL. PANGANDARAN P X 32 Th 27-Jul-2019
NO 50 B PANTAI
4,788 0-09-85-52 YUDHA ADY JL ASRUD RT 7 GN L Baru; X 21 Th 27-Jul-2019 Arthrosis, unspecifi; M19.9;
FIRMANSYAH SDR ELAI
4,789 0-09-92-91 MURNI BINTI JL DIPONEGORO RT P X 45 Th 27-Jul-2019
HAMURUDDIN NY 15 BERBAS PANTAI
4,790 0-10-08-78 PARYATI BINTI JL. DENPASAR RT P Lama; X 44 Th 27-Jul-2019 Necrosis of pulp; K04.1;
MARTO W NY 10/ GN TELIHAN
4,791 0-10-10-54 ANNISA MAULIDA JL SULTAN P X 8 Th 27-Jul-2019
PUTRI AN HASANUDDIN RT 1
NO 6 B PANTAI
4,792 0-10-34-05 WAHYUNI NY JL JEND SUDIRMAN P Baru; X 30 Th 27-Jul-2019 Hypotension, unspeci; I95.9;
RT 23/52 TJ LAUT
4,793 0-10-41-60 AQILA AZZAHRA AN JL P ANTASARI RT P Baru; X 4 Th 27-Jul-2019 Nausea and vomiting; R11; Dirawat
11 B TENGAH
4,794 0-10-43-25 HJ NURFAIDAH NY JL KAPAL FERI RT P Baru; X 48 Th 27-Jul-2019 Gynaecological exami; Z01.4;
10/55 LOKTUAN
4,795 0-10-58-07 M SYAMSUL HADI, JL. MT HARYONO RT L Lama; X 27 Th 27-Jul-2019 Epilepsy; G40; Dirawat
SDR 28/- API-API
4,796 0-10-69-07 RUSDIANA, NN JL. KAMPUNG P Baru; X 27 Th 27-Jul-2019 Encephalopathy, unsp; G93.4;
BAGANG RT 06
SEMANGKO
MARANGKAYU
4,797 0-10-74-29 PUTRI SYARIPAH A , JL.A YANI GG P Baru; X 8 Th 27-Jul-2019 Acute tonsillitis, u; J03.9;
AN TEKWONDO RT 9
API-API
4,798 0-10-74-29 PUTRI SYARIPAH A , JL.A YANI GG P X 8 Th 27-Jul-2019
AN TEKWONDO RT 9
API-API
4,799 0-10-77-47 AGUS HARYANTO , JL. DSN WONOSARI L Baru; X 35 Th 27-Jul-2019 Injury of unspecifie; T14; Dirawat
TN RT 06 MARANGKAYU

20/Sep/2019 265
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,800 0-10-83-85 MIRWAN TN JL MH THAMRIN RT L X 37 Th 27-Jul-2019


16/43 BTG BARU
KANTOR KPKNL
4,801 0-10-94-39 ASMAWATI BINTI JL. S HASANUDDIN P Baru; X 44 Th 27-Jul-2019 Essential (primary) ; I10;
LAWANNE NY RT 04/116 B PANTAI
4,802 0-10-95-33 DARAWANI HJ NY JL CUMI CUMI RT 1 P Baru; X 69 Th 27-Jul-2019 Low back pain; M54.5;
NO 2 TJ LAUT INDAH
4,803 0-10-99-53 DINAH HJ BINTI JL. IR H JUANDA RT P Lama; X 66 Th 27-Jul-2019 Cerebral infarction,; I63.9;
DUSSA, NY 36/12 TJ LAUT
4,804 0-10-99-53 DINAH HJ BINTI JL. IR H JUANDA RT P X 66 Th 27-Jul-2019
DUSSA, NY 36/12 TJ LAUT
4,805 0-11-11-08 FAIZAL BIN SARKANI JL KS TUBUN RT L Baru; X 14 Th 27-Jul-2019 Dyspnoea; R06.0; Dirawat
AN 28/17 GG NILA I TJ
LAUT INDAH
4,806 0-11-17-00 NAFSIAH BINTI A JL. IR H JUANDA RT P Baru; X 32 Th 27-Jul-2019 Viral infection, uns; B34.9;
MANAK, NY 06/- TJ LAUT
4,807 0-11-19-63 SISWANTO , TN JL. WR SUPRATMAN L Lama; X 72 Th 27-Jul-2019 Cerebral infarction,; I63.9;
RT 58 B TGH
4,808 0-11-22-87 MASNAH , NY JL. BATU SAHASA 5 P X 46 Th 27-Jul-2019
RT 07 BTG KUALA
4,809 0-11-30-55 ATIFA FITRATUNNISA JL S HASANUDDIN P X 1 Th 27-Jul-2019
AN RT 01/48 GG LOSARI
I B PANTAI
4,810 0-11-33-63 NURHAEDAH BINTI, JL. HARUAN RT P Baru; X 44 Th 27-Jul-2019 Migraine with aura [; G43.1;
NY 20/50 TJ LAUT INDAH
4,811 0-11-38-92 TOLEMAN BIN ABD JL BUNGA PUTIH RT L Lama; X 39 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
HATIB TN 3 MARANG KAYU
4,812 0-11-45-31 ERWIN BIN JL. TARI JEPEN RT L Lama; X 39 Th 27-Jul-2019 Epilepsy; G40;
HASANUDDIN, TN 02/- GUNTUNG
4,813 0-11-48-23 M NUR, TN JL. ANGGREK 02 RT L X 57 Th 27-Jul-2019
37/61 TJ LAUT
4,814 0-11-50-56 SUNARTIN BINTI JL. MT HARYONO P X 58 Th 27-Jul-2019
SUKAMTO NY 113/37 API-API
4,815 0-11-51-54 AGUS SAPUTRA AN JL TAEKWONDO 1 L X 17 Th 27-Jul-2019
RT 10/4 API-API
4,816 0-11-52-96 M AKIF AL ARAAF, AN JL. SAMRATULANGI L X 1 Th 27-Jul-2019
RT 16 TANJUNG
LAUT
4,817 0-11-53-85 RIFAN SYABAN AL W JL. SULTAN L X 1 Th 27-Jul-2019
AN HASANUDDIN BB
TENGAH
4,818 0-11-54-10 SONI HADI WIBOWO JL. IMAM BONJOL L X 24 Th 27-Jul-2019
SDR GG DAMAI RT 01 TJ.
LAUT

20/Sep/2019 266
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,819 0-11-54-33 RAHMAWATI HIDAYA SANTAN ULU RT 15 P Baru; X 16 Th 27-Jul-2019 Abdominal and pelvic; R10;
NN SANTAN ULU
MARANGKAYU
4,820 0-11-56-48 LENCIN PANJAITAN, JL. ZAMRUD 11 RT P Lama; X 55 Th 27-Jul-2019 Cerebral infarction,; I63.9;
NY 49 BERBAS TENGAH
4,821 0-11-56-57 DESNITA BINTI, NY JL. DENPASAR RT P Baru; X 23 Th 27-Jul-2019 Myalgia; M79.1;
12/06 GN TELIHAN
4,822 0-11-58-43 AYRAA ADREENA AR, JL RE P Baru; X 4b 27-Jul-2019 Fever, unspecified; R50.9;
AN MARTADINATA RT 7
LOKTUAN BTG
UTARA
4,823 0-11-58-45 JAARIAH SENNANG, JL.SULTAN SYAHRIR P Lama; X 59 Th 27-Jul-2019 Cerebral infarction,; I63.9;
NY RT 31 NO 51
TANJUNG LAUT
4,824 0-11-63-22 BAHARIA BINTI JL. SUTAN SYAHRIR P Baru; X 48 Th 27-Jul-2019 Urinary calculus, un; N20.9;
LAMAPA NY GG DAMAI TJ LAUT
4,825 0-11-67-39 ANDI RAHMAN MALIK, JL. SAMRATULANGI L Lama; X 7 Th 27-Jul-2019 Epilepsy; G40;
AN RT 15/43 TJ LAUT
INDAH
4,826 0-11-68-22 JUNIARNI A NY JL BROKOLI 6 RT 14 P Lama; X 54 Th 27-Jul-2019 Cerebral infarction,; I63.9;
GUNUNG ELAI
4,827 0-11-68-30 DHAVA AKHTAR AN JL. AWANG LONG L Baru; X 7 Th 27-Jul-2019 Acute tonsillitis, u; J03.9;
RT 20 BONTANG
BARU
4,828 0-11-71-76 MELINDAH FEBRIANI JL.KAPAL PINISI 2 RT P X 19 Th 27-Jul-2019
SDR 48 NO 36
4,829 0-11-74-12 NARTY ELLONG, NY JL. SERULING RT P X 29 Th 27-Jul-2019
21/- B BARU
4,830 0-11-74-46 AHMAD RIFAI TN JL. SAMRATULANGI L Baru; X 37 Th 27-Jul-2019 Gastroenteritis and ; K52.0;
RT 15 NO 9 TJ. LAUT
4,831 0-11-87-74 PINA, NY JL. PALEMBANG RT P Baru; X 55 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
16 GN TELIHAN
4,832 0-11-88-92 FIRMAN TRI S, SDR JL. MT HARYONO RT L Baru; X 19 Th 27-Jul-2019 Impacted teeth; K01.1;
29 NO 65 API API
4,833 0-11-92-54 SULASTRI BINTI JL. MARANG KAYU I P X 65 Th 27-Jul-2019
KASDI , NY RT 01/- DESA
SEBUNTAL
4,834 0-11-94-23 RUKIYAH BINTI NY JL KAPT PIERE P Baru; X 65 Th 27-Jul-2019 Bronchitis, not spec; J40;
TANDEAN RT 01/38
BTG KUALA
4,835 0-11-94-25 RADITYA PRABA JL MUSANG BLOK JJ L X 7 Th 27-Jul-2019
BUANA AN NO IV BTN PK T

20/Sep/2019 267
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,836 0-11-94-33 NUR YULIATI, NY JL. MENJANGAN P Baru; X 53 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
BLOK LL RT 20/21
BTN PKT BELIMBING
4,837 0-11-97-68 JAMAL TALIB TN JL SULTAN L X 73 Th 27-Jul-2019
HASANUDDIN RT 36
BEREBAS TENGAH
4,838 0-11-99-78 AKHMAD BIN IKHRAM, JL. PIERE TENDEAN L Lama; X 45 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
TN BATU SAHASA 2 RT
10/3 B KUALA
4,839 0-12-00-11 SUPRI BIN TN JL. IKAN TUNA RT L Lama; X 47 Th 27-Jul-2019 Cerebral infarction,; I63.9;
11/- TJ LAUT INDAH
4,840 0-12-01-98 I WAYAN DAUH TN JL BHAYANGKARA L Baru; X 71 Th 27-Jul-2019 Gonarthrosis, unspec; M17.9;
GG TIARA RT 09/22
GUNUNG ELAI
4,841 0-12-02-56 FEMINA WELEM NY JL SAWI NO 27 RT 44 P Lama; X 33 Th 27-Jul-2019 Necrosis of pulp; K04.1;
KEL. GN ELAI
4,842 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Baru; X 29 Th 27-Jul-2019 Ventral hernia witho; K43.9;
RT 39 BERBAS
TENGAH
4,843 0-12-04-80 IKHLASUL AMAL , AN JL. PELABUHAN III L Lama; X 19 Th 27-Jul-2019 Connective and other; D21.9;
GG BAWAL RT 12/-
TJ LAUT INDAH
4,844 0-12-05-55 SITI MARIA, NY JL. SANTAN ULU RT P Lama; X 50 Th 27-Jul-2019 Cutaneous abscess, f; L02;
10 MARANGKAYU
4,845 0-12-05-94 IMRON LAMARU TN JL. ZAMRUDT 19 RT L Lama; X 54 Th 27-Jul-2019 Connective and other; D21.9;
62/16 BERBAS
TENGAH
4,846 0-12-06-63 MASLINA,NY JL SULTAN P X 50 Th 27-Jul-2019
HASANUDDIN RT 56,
BERBAS TENGAH
4,847 0-12-07-59 JAPARUDDIN BIN JL ZAMBRUD 5 RT L Baru; X 47 Th 27-Jul-2019 Dengue haemorrhagic ; A91;
JAMAL TN 45/21 B TENGAH
4,848 0-12-07-83 MUJIATI BIN SAKUR JL KS TUBUN GG P Baru; X 45 Th 27-Jul-2019 Unspecified renal co; N23;
NY NILA 2 RT 28
TANJUNG LAUT
INDAH
4,849 0-12-08-02 MASTI NY JL PANGANDARAN P Baru; X 47 Th 27-Jul-2019 Tuberculosis of lung; A15.0;
RT 12 BERBAS
PANTAI
4,850 0-12-08-93 MUNAWAROH BIN NY JL PECAK SILAT 1 P X 75 Th 27-Jul-2019
RT 12 API API
4,851 0-12-09-50 LUSIANA NY JL PELABUHAN 1 RT P Baru; X 36 Th 27-Jul-2019 Other surgical follo; Z48; Dirawat
15 TANJUNG LAUT
INDAH

20/Sep/2019 268
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,852 0-12-09-76 SULISTIA AYU JL. KEBUN SALAK RT P Baru; X 21 Th 27-Jul-2019 Supervision of norma; Z34;
SINGSI, NY 25 GUNTUNG
4,853 0-12-10-39 ZAKIYAH TRIMAYA JL HABIBON RT 06 P X 39 Th 27-Jul-2019
SARI NY TJ LAUT INDAH
4,854 0-12-10-40 JULEHA BINTI NY JL A YANI GN SARI P X 69 Th 27-Jul-2019
RT 2/- TJ LAUT
INDAH
4,855 0-12-10-43 VEEKY PITOY TN JL ZAMRUD GG L X 54 Th 27-Jul-2019
ZAMRUD 4 RT 44/7 B
TENGAH
4,856 0-12-10-45 ANI SYARIFAH NY JL WR SUPRATMAN P X 40 Th 27-Jul-2019
RT 24/03 B TENGAH
4,857 0-12-10-47 JUSTANG BIN JL OTISTA RT 26/- L X 25 Th 27-Jul-2019
HAMMATANG TN BTG BARU
4,858 0-12-10-48 NUR AWALYA JL. KS TUBUN GG P X 10 Th 27-Jul-2019
RASYID, AN ARWANA 2 RT 17/-
TJ LAUT INDAH
4,859 0-12-10-51 BRIANT YOSEP PAAT, JL. AW SYAHRANI IV L X 32 Th 27-Jul-2019
TN BLOK RT02/BLOK B
20 SAMARINDA
4,860 0-12-10-51 BRIANT YOSEP PAAT, JL. AW SYAHRANI IV L X 32 Th 27-Jul-2019
TN BLOK RT02/BLOK B
20 SAMARINDA
4,861 0-12-10-56 MARWIYAH NY JL. MAWAR NO 13 P X 75 Th 27-Jul-2019
BUKIT INDAH
4,862 0-12-10-57 NORMA NY JL. DENPASAR 3 RT P X 31 Th 27-Jul-2019
09
4,863 0-12-10-59 ASIAH VALIQA JL IR H JUANDA RT P X 9b 27-Jul-2019
KHANSA AN 37 NO28 BONTANG
SELATAN
4,864 0-12-10-61 QORROTUL AINI AN JL. PENCAK SILAT 1 P X 6 Th 27-Jul-2019
RT 12/17
4,865 0-12-10-62 MUTIARA BANYU AN JL. SEBUNTAL IV RT P X 12 Th 27-Jul-2019
13 M KAYU
4,866 0-12-10-63 HJ SAMI NY JL SAWO 1 BUKIT P X 62 Th 27-Jul-2019
INDAH
4,867 0-12-10-63 HJ SAMI NY JL SAWO 1 BUKIT P X 62 Th 27-Jul-2019
INDAH
4,868 0-12-10-64 ADI LUHUNG TN JL BHAYANGKARA L X 25 Th 27-Jul-2019
ASPOLRES GUNUNG
ELAI
4,869 0-12-10-65 NUR YURI F AN JL KELADI 2 RT 3 P X 15 Th 27-Jul-2019

20/Sep/2019 269
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,870 0-12-10-66 PARYATI NY JL KAPAL SELAM 3 P Baru; X 59 Th 27-Jul-2019 Synovitis and tenosy; M65;
14/12 LOKTUAN
4,871 0-12-10-67 ASWAR BIN JUDDA, JL. MH TAMRIN TJ. L X 24 Th 27-Jul-2019
TN LIMAU B UTARA
4,872 0-12-10-67 ASWAR BIN JUDDA, JL. MH TAMRIN TJ. L X 24 Th 27-Jul-2019
TN LIMAU B UTARA
4,873 0-12-10-68 DINA DAMAYANTI NY JL GAMELAN RT P X 37 Th 27-Jul-2019
17/57 BONTANG
BARU
4,874 0-12-10-69 EVI RATNA SARI NY JL KENANGAN RT 18 P Baru; X 25 Th 27-Jul-2019 Supervision of norma; Z34;
TJ LAUT
4,875 0-12-10-70 RAMADHANI NUR W JL CATUR BLOK B / L X 17 Th 27-Jul-2019
TN 16 RT 7
4,876 0-12-10-71 SABRI BIN NISE, TN JL.KILO 6 GANG L X 35 Th 27-Jul-2019
SUKUN 2 B.
4,877 0-12-10-72 DANI YULIANA SDR JL CUT NYAK DIEN L X 17 Th 27-Jul-2019
RT 09/- BTG BARU
4,878 0-12-10-73 SULISTIA AYU BY NY JL KEBUN SALAK RT L X 0 Hr 27-Jul-2019
25 GUNTUNG
4,879 0-12-10-74 ANANDA NUR JL MELAWAI RT 21/- P X 20 Th 27-Jul-2019
FADILLAH NY BERBAS PANTAI
4,880 0-12-10-75 MUSDALIFAH AULIA JL BAKTI JAYA 1 P Baru; X 15 Th 27-Jul-2019 Chronic sinusitis, u; J32.9;
M AN BLOK A RT 36/ 05
SANGATTA
4,881 0-12-10-76 AHMAD FAUZAN AN JL. SULTAN AGUNG L Baru; X 12 Th 27-Jul-2019 Acute tonsillitis, u; J03.9;
RT 07 B. PANTAI
4,882 0-12-10-77 M ALI TN JL BUKIT PASIR RT L X 28 Th 27-Jul-2019
26 GUNUNG
TELIHAN
4,883 0-12-10-78 YUNIA RAHMA D NN JL PARIKESIT RT 07 P Baru; X 17 Th 27-Jul-2019 Disorder of urinary ; N39.9;
BONTANG BARU
4,884 0-12-10-79 ANASTASIA ARTHA G JL SPAKAT GG P Baru; X 22 Th 27-Jul-2019 Dyspepsia; K30; Dirawat
NN GEMBIRA RT 17
SANGATTA
4,885 0-12-10-80 SINGGIH JL POROS L Baru; X 20 Th 27-Jul-2019 Dengue fever [classi; A90;
WICAKSONO SDR SAMARINDA
BONTANG RT 6
DESA SANTAN ULU
4,886 0-12-10-81 PITRIYANI BIN ODDO, JL PELABUHAN 3 RT P Baru; X 9 Th 27-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN 13 TJ. LAUT
4,887 0-12-10-82 MARWAH MUJAHID, JL KERSIK RT 4 P Baru; X 5b 27-Jul-2019 Fever, unspecified; R50.9; Dirawat
AN MARANGKAYU

20/Sep/2019 270
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,888 0-12-10-83 M AKRAM BIN JL KS TUBUN GG L Baru; X 13 Th 27-Jul-2019 Conjunctivitis, unsp; H10.9;
ALIMUDDIN ARWANA RT 17 B.
SELATAN
4,889 0-00-23-70 WAHYUDI, TN. JL. KH A DAHLAN RT P X 37 Th 28-Jul-2019
26 NO. 61 B BARU
4,890 0-02-02-59 FACHRI LUCKY FS AN JL KP TENDEAN RT L X 12 Th 28-Jul-2019
06 NO 27 B KUALA
4,891 0-02-52-59 SITI AMINAH, NY HJ JL. POROS BTG - P X 55 Th 28-Jul-2019
SANGATTA RT 02
TELUK PANDAN
4,892 0-02-65-29 WATI BINTI JL KS TUBUN GG P X 30 Th 28-Jul-2019
MANNANG NY NILA 4 RT 28 TJ
LAUT INDAH
4,893 0-03-49-12 GILBERT SEPTIAN D, Jl. GAMA Rt 38/6 B. P X 9 Th 28-Jul-2019
AN Tengah
4,894 0-06-17-30 LUKMAN WARAS, TN JL. KENANGAN RT L X 57 Th 28-Jul-2019
29 TANJUNG LAUT
4,895 0-06-55-94 WATIK, NY JL. AP P X 68 Th 28-Jul-2019
MANGKUNEGARA
RT 06 NO 10
BERBAS TENGAH
4,896 0-06-66-61 RUKSAL. TN JL. KS TUBUN RT 16 L X 50 Th 28-Jul-2019
TANJUNG LAUT
INDAH
4,897 0-06-67-87 YENI FRANSINA NY JL. IR H JUANDA RT. P X 46 Th 28-Jul-2019
03/14 TJ. LAUT
4,898 0-06-69-57 DETRI CNI , NN JL. A YANI RT.05 TJ P X 19 Th 28-Jul-2019
LAUT
4,899 0-06-82-74 DZIKRIE ATHARIZ JL. PANGANDARAN L X 5 Th 28-Jul-2019
BASYIR AN RT. 12/61 B PANTAI
4,900 0-06-86-78 RAIHANAH JL. HAYAM WURUK P X 6 Th 28-Jul-2019
SHABIYYAH AN RT, 15/13 B TENGAH
4,901 0-07-00-76 ABD HALIM YATIM TN JL DI PANJAITAN GG L X 49 Th 28-Jul-2019
PIANO 12 RT 1 BTG
BARU
4,902 0-07-29-19 YULIANA JL. TARAKAN RT 18 P Baru; X 30 Th 28-Jul-2019 Conjunctivitis; H10;
PATADUNGAN NN NO 53 KANAAN
4,903 0-07-34-24 M SELO ALFARIZI, AN JL. MULAWARMAN L X 5 Th 28-Jul-2019
RT 27 NO 15
BONTANG BARU
4,904 0-07-72-54 RAHMAT BIN AZIS TN JL. ZAMRUD RT 52 L X 30 Th 28-Jul-2019
NO 25 B TGH
4,905 0-07-79-59 KEN AYU LESTARI, JL SUDIRMAN RT 22 P X 18 Th 28-Jul-2019
NN / 34 TJ LAUT

20/Sep/2019 271
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,906 0-08-03-66 TAHFIS ILMAN K, AN JL. GATSU RT 20 L X 5 Th 28-Jul-2019


BERBAS PANTAI
4,907 0-08-20-95 FADLIYANSYAH JL KAPTEN PIERE L X 5 Th 28-Jul-2019
AIRUL A, AN TENDEAN RT 9 NO
309 BTG KUALA
4,908 0-08-38-19 M SUBRI BIN TN JL S HASANUDDIN L X 51 Th 28-Jul-2019
RT 02/151 B PANTAI
4,909 0-08-45-98 M RAMLAN SDR JL ZAMRUD RT 62/09 L X 24 Th 28-Jul-2019
B TENGAH
4,910 0-08-96-23 SEPTRIANI SYAFIRA JL.KS TUBUN RT 15 P X 4 Th 28-Jul-2019
W, AN BONTANG KUALA
4,911 0-08-98-48 SHEILA APRILIA JL MH THAMRIN RT P X 5 Th 28-Jul-2019
TASYA AN 01/ TJ LIMAU GN
ELAI
4,912 0-09-03-11 SAKKA ROTANG TN JL JEND SUDIRMAN L X 59 Th 28-Jul-2019
RT 08/31 TJ LAUT
4,913 0-09-15-52 ACHMAD FAIRUZ AN JL SULTAN L Baru; X 3 Th 28-Jul-2019 Diarrhoea and gastro; A09;
HASANUDDIN RT 4
NO 126 B PANTAI
4,914 0-09-17-72 JUMADI BIN MUIS TN JL GG AMALIA RT / L X 33 Th 28-Jul-2019
BTG BARU
4,915 0-09-33-06 M RADIT SAPUTRA JL. PARANGKRITIS L Baru; X 6 Th 28-Jul-2019 Nausea and vomiting; R11;
AN RT 11 B PANTAI
4,916 0-09-53-86 M HAERUL BIN JL. MENTE RT 24 L X 26 Th 28-Jul-2019
MUSTAFA, TN SATIMPO
4,917 0-09-54-55 DINA FADHILA AN JL S HASANUDDIN P Baru; X 18 Th 28-Jul-2019 Acute upper respirat; J06.9;
RT 04/93 B PANTAI
4,918 0-09-58-73 M FAZIAN , AN JL. R SUPRAPTO NO L X 5 Th 28-Jul-2019
19 BTG BARU
4,919 0-09-63-09 NURLINA BINTI NN JL KS TUBUN RT / P X 23 Th 28-Jul-2019
4,920 0-09-68-61 HAISYAH BINTI NY JL ZAMRUT RT 52/ B P X 54 Th 28-Jul-2019
TENGAH
4,921 0-09-72-54 RUFAIDAH AZKAYRA JL VETERAN RT P X 3 Th 28-Jul-2019
IZZAH AN 21/06 B TENGAH
4,922 0-09-83-88 RENI ASARI, AN JL. A. YANI RT 11 NO P Baru; X 13 Th 28-Jul-2019 Fever, unspecified; R50.9;
17 API-API
4,923 0-09-89-13 M DAVID BIN JL. IMAM BONJOL RT L X 11 Th 28-Jul-2019
SUKARNO , AN API-API RT 04
4,924 0-09-90-70 DWI WIDAYANTI NY JL. ZAMRUD 19 RT P Baru; X 28 Th 28-Jul-2019 Bronchitis, not spec; J40;
62/17 B. TENGAH
4,925 0-09-97-89 IWAN FAISAL, TN JL. KALIMANTAN RT L X 46 Th 28-Jul-2019
19 NO 39 API API

20/Sep/2019 272
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,926 0-10-11-34 KEVIN YUDHISTIRA L JL. ZAMRUD 19 RT L X 7 Th 28-Jul-2019
, AN 62/17 B TGH
4,927 0-10-11-44 ANITA NY. JL. KS TUBUN GG. P X 53 Th 28-Jul-2019
BARU RT 16 NTG
KUALA
4,928 0-10-23-28 FITRIA NURJAYANTI, JL. PAPRIKA RT, 44 P X 26 Th 28-Jul-2019
NY NO. 31 GN ELAI
4,929 0-10-29-30 MASNIATI , NY JL. BERLIAN RT 21 B P X 31 Th 28-Jul-2019
TGH
4,930 0-10-37-26 ZAYYAN KARIMUL H , JL SELAT BADUNG L X 1 Th 28-Jul-2019
AN RT 14/5 TJ LAUT
4,931 0-10-41-60 AQILA AZZAHRA AN JL P ANTASARI RT P Lama; X 4 Th 28-Jul-2019 Nausea and vomiting; R11;
11 B TENGAH
4,932 0-10-62-53 ALFARIZKI NUR JL JEND SUDIRMAN L X 1 Th 28-Jul-2019
IHSAN AN RT 23/12 TJ LAUT
4,933 0-10-64-17 ASHRAF LALLANA JL. PANGANDARAN L X 1 Th 28-Jul-2019
BASYIR AN RT 12 NO 61
BERBAS PANTAI
4,934 0-10-68-74 KAMILA ALIFA JL. SANGATTA GPL P Baru; X 16 Th 28-Jul-2019 Acute laryngitis; J04.0;
ARDANA , SDR MUNTHE H 373
4,935 0-10-99-35 FAKHRIZA RIFDAN F, JL. A YANI GG L X 10 Th 28-Jul-2019
AN ANGGAR I RT / 50
API-API
4,936 0-10-99-85 MILKIYATUL JL. KS TUBUN RT 29 P X 14 Th 28-Jul-2019
HASANAH, AN NO 37 TANJUNG
LAUT INDAH
4,937 0-11-06-22 AURA DHIYA CALISA JL DANAU L X 1 Th 28-Jul-2019
AN TONDANO HOP 3 RT
16 /42 SATIMPO
4,938 0-11-44-67 NIAR, NY JL. PELABUHAN RT P X 45 Th 28-Jul-2019
33 TANJUNG LAUT
4,939 0-11-48-72 RYAN AKBAR JL. MH THAMRIN L X 5b 28-Jul-2019
SUSANTO AN RT01/88 GN ELAI
4,940 0-11-54-33 RAHMAWATI HIDAYA SANTAN ULU RT 15 P X 16 Th 28-Jul-2019
NN SANTAN ULU
MARANGKAYU
4,941 0-11-55-43 KRISTIN YULIANA NY JL PATIMURA RT P X 41 Th 28-Jul-2019
47/8 GG ATLETIK 3
KEL API API
4,942 0-11-80-88 DEWI SITI FATIMAH JL PELABUHAN 1 GG P X 28 Th 28-Jul-2019
NY DUYUNG TJ LAUT
INDAH
4,943 0-11-99-37 MARDIANA BINTI NY JL. BATU SAHASA 1 P X 40 Th 28-Jul-2019
RT 01/- B KUALA

20/Sep/2019 273
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

4,944 0-12-00-48 SITI MAISAROH NY JL MT HARYONO 29 P X 27 Hr 28-Jul-2019


BY APIAPI
4,945 0-12-00-59 MUHAMMAD JL. MANUNTUNG L Baru; X 1 Th 28-Jul-2019 Fever, unspecified; R50.9;
SALAHUDDIN, AN RT.7 B. TENGAH
4,946 0-12-04-50 AYU INDAH APRILIA JL DURIAN 1 RT P X 34 Th 28-Jul-2019
NY 20/22 GN ELAI
4,947 0-12-04-50 AYU INDAH APRILIA JL DURIAN 1 RT P X 34 Th 28-Jul-2019
NY 20/22 GN ELAI
4,948 0-12-09-39 M DAFFA ARVAN AN JL DEWI SARTIKA L X 9 Th 28-Jul-2019
RT 08/72 BTG BARU
4,949 0-12-10-23 YASAR, TN JL. PAKIS KM 6 GN L X 25 Th 28-Jul-2019
ELAI
4,950 0-12-10-84 RAYFAL BIN RONY, JL. SOERAPTO RT L X 11 b 28-Jul-2019
AN 23 API-API
4,951 0-12-10-85 ERYANA SUSANTI NY JL. KAPT PIERE P X 39 Th 28-Jul-2019
TENDEAN GG BATU
SAHASA 5
4,952 0-12-10-86 RANIA SHANUM A, AN JL. KAPT PIERE P X 0 Hr 28-Jul-2019
TENDEAN GG BATU
SAHASA 5
4,953 0-12-10-87 CRISTIAN DAUD AN JL. ZAMRUD NO 24 L X 8 Th 28-Jul-2019
ER 42
4,954 0-12-10-88 MARTY SITUMORANG JL GURAMI RT 3 / 26 P X 0 Hr 28-Jul-2019
NY BY TJ LAUT
4,955 0-12-10-89 ZAINAL ABIDIN, TN JL. A YANI RT 06 NO L X 49 Th 28-Jul-2019
32 API API
4,956 0-12-10-90 HESEKIEL SIAHAAN, JL. CUT NYAK DIEN L X 19 Th 28-Jul-2019
SDR RT 13 BONTANG
BARU
4,957 0-12-10-90 HESEKIEL SIAHAAN, JL. CUT NYAK DIEN L X 19 Th 28-Jul-2019
SDR RT 13 BONTANG
BARU
4,958 0-12-10-91 BRYAN GONZALES F JL. PARIKESIT RT 11 L X 16 Th 28-Jul-2019
S, SDR BONTANG BARU
4,959 0-12-10-91 BRYAN GONZALES F JL. PARIKESIT RT 11 L X 16 Th 28-Jul-2019
S, SDR BONTANG BARU
4,960 0-12-10-92 SYELENA, AN JL. TONGKOL RT 26 P Baru; X 14 Th 28-Jul-2019 Nausea and vomiting; R11;
TANJUNG LAUT
4,961 0-12-10-93 NADHIRA ARSYLA JL ZAMBRUD 19 RT P Baru; X 1 Th 28-Jul-2019 Typhoid fever; A01.0;
PUTRI AN 62
4,962 0-12-10-94 RATU NABILA AN JL KS TUBUN RT 15 / P X 11 Th 28-Jul-2019
32

20/Sep/2019 274
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,963 0-12-10-94 RATU NABILA AN JL KS TUBUN RT 15 / P X 11 Th 28-Jul-2019
32
4,964 0-12-10-95 MISFA NUR AZILA AN JL PATTIMURA GG P X 8 Th 28-Jul-2019
ATLETIK 24 RT 41/51
API API
4,965 0-12-10-96 SITTI NURHALIZA NN JL RAWA INDAH GG P X 15 Th 28-Jul-2019
ARWANA 1 RT 17/-
TJ LIMAU
4,966 0-12-10-97 PRADYTHA JL ZAMRUD GG P X 8 Th 28-Jul-2019
CHANTIKA P AN ZAMRUD 19 RT 62/17
BEREBAS TENGAH
4,967 0-12-10-98 M RAIHAN AL FAROH JL SOETOYO GG L X 7 Th 28-Jul-2019
AN ZAMBRUD 5 RT 45/19
B TENGAH
4,968 0-12-10-99 ANTO TN JL ZAMRUD RT 52 L X 28 Th 28-Jul-2019
BEREBAS TENGAH
4,969 0-12-11-00 ARUN AGUINO AN JL KAPT PIERE L X 17 Th 28-Jul-2019
TANDEAN RT 18/-
BTG KUALA
4,970 0-12-11-01 ANANDITA KAIRA A JL MELAWAI RT P X 5 Th 28-Jul-2019
AN 21/114 B PANTAI
4,971 0-12-11-02 RUSMINI BINTI NY JL ZAMBRUD RT P X 50 Th 28-Jul-2019
41/18 B TENGAH
4,972 0-12-11-03 WELEM PAMASI TN JL A YANI RT 05/- GN L X 73 Th 28-Jul-2019
SARI
4,973 0-12-11-04 ALIMUDDIN BIN TN JL A YANI RT 05/75 L X 56 Th 28-Jul-2019
TJ LAUT INDAH
4,974 0-12-11-05 PONIMAH NY JL POROS BTG P X 42 Th 28-Jul-2019
SANGATTA RT 18
4,975 0-12-11-06 RUDIANSYAH BIN JL DUSUN HANDIL 3 L X 22 Th 28-Jul-2019
SDR RT 1/- SANTAN
TENGAH
4,976 0-12-11-08 HAISAH,NN JL. ANTASARI NO P X 28 Th 28-Jul-2019
103
4,977 0-12-11-09 ANDRIYAS PERDANA, JL. MAWAR 2 RT 36, L X 32 Th 28-Jul-2019
SDR TJ. LAUT
4,978 0-12-11-10 YESSI PRATIWI, NY JL. PANGERAN P X 23 Th 28-Jul-2019
ANTASARI 2
4,979 0-12-11-10 YESSI PRATIWI, NY JL. PANGERAN P X 23 Th 28-Jul-2019
ANTASARI 2
4,980 0-00-08-18 SHINTA KUSDIARTY JL. KS TUBUN GG P Lama; X 47 Th 29-Jul-2019 Non-insulin-dependen; E11;
NY BERSAMA RT 32/40
API API

20/Sep/2019 275
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
4,981 0-00-32-21 MURNITIATI, NY. JL KELADI RT 4/80 P X 65 Th 29-Jul-2019
GN ELAI
4,982 0-00-92-42 NURHIDAYAH BINTI JL. YOS SUDARSO P X 50 Th 29-Jul-2019
NY RT 7/5 BTG KUALA
4,983 0-01-32-80 NIEDZA ATSILLA A, JL. YOS SUDARSO P Lama; X 12 Th 29-Jul-2019 Juvenile arthritis; M08;
AN RT 01 NO 58
BONTANG KUALA
4,984 0-01-41-61 ISNAWATI BIN M JL. SABANG RT 20 P Baru; X 40 Th 29-Jul-2019 Necrosis of pulp; K04.1;
THALIP NY NO 7 BTN KCY API
API
4,985 0-01-43-10 RINI SUDARMI, NY JL IR H JUANDA RT. P Lama; X 63 Th 29-Jul-2019 Non-insulin-dependen; E11;
/02 TJ, LAUT
4,986 0-01-68-66 SARNAWIYAH HJ NY JL PELABUHAN RT P Lama; X 52 Th 29-Jul-2019 Non-insulin-dependen; E11;
12/04 TJ LAUT INDAH
4,987 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Lama; X 58 Th 29-Jul-2019 Acute appendicitis w; K35.0;
RT 23/66 B. PANTAI
4,988 0-02-46-10 KOMAH H ABD JL SELAT BALI RT 7 P X 79 Th 29-Jul-2019
HASAN NY TJ LAUT
4,989 0-02-80-80 ABDUL SAFI, TN JL. IR H JUANDA RT L Lama; X 82 Th 29-Jul-2019 Gout, unspecified; M10.9;
24 TJG LAUT
4,990 0-03-39-41 NOVITA SIANTURI, JL. ALEXANDER RT P X 26 Th 29-Jul-2019
NN. 11/31 B TENGAH
4,991 0-03-40-03 ERNAWATI, NY JL. AWANG LONG P Baru; X 52 Th 29-Jul-2019 Acute upper respirat; J06.9;
RT 006 NO. 5 B BARU
4,992 0-03-64-13 MUJIANTI, NY. JL. CUT NYAK DIEN P Lama; X 40 Th 29-Jul-2019 Trigger finger; M65.3;
RT. 09/ BTG.BARU
4,993 0-04-12-52 MISBA, NY. JL. PEMATANG RT P X 45 Th 29-Jul-2019
25/16 B. TENGAH
4,994 0-04-78-29 ANISA PADILA NN JL. KS TUBUN RT P X 20 Th 29-Jul-2019
17/61 TJ LAUT
4,995 0-05-47-16 REWANDA DZIHNI F JL. KP TENDEAN RT P Lama; X 12 Th 29-Jul-2019 Dengue fever [classi; A90;
AN 09 NO 24 BONTANG
KUALA
4,996 0-05-76-71 SITI SALAMAH NY JL. AWANG LONG P Lama; X 51 Th 29-Jul-2019 Non-insulin-dependen; E11;
RT. 17/ BTG BARU
4,997 0-05-90-53 SURIAH BINTI AMBO JL. ANGGREK I RT P Lama; X 56 Th 29-Jul-2019 Cerebral infarction,; I63.9;
NY 37/ 29 TJ LAUT
4,998 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L Lama; X 6 Th 29-Jul-2019 Chronic tonsillitis; J35.0;
A P AN RT 10 NO 24 TJ LAUT
4,999 0-05-95-82 RANGGA AKHDAN A JL SELAT MALAKA 1 L X 6 Th 29-Jul-2019
A P AN RT 10 NO 24 TJ LAUT
5,000 0-06-05-71 DINA MARDIANA. NY JL. A YANI RT 09 NO P X 57 Th 29-Jul-2019
34 API API

20/Sep/2019 276
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,001 0-06-19-87 ADRIEL GRACIO M M, JL. CENDANA HOP 1 L X 5 Th 29-Jul-2019


AN. SATIMPO
5,002 0-06-26-81 KASPAN TN JL. PENCAKSILAT 4 L Lama; X 67 Th 29-Jul-2019 Hyperplasia of prost; N40;
RT 12 API-API
5,003 0-06-27-80 UMRI SU TN JL. ZAMRUD GG L X 56 Th 29-Jul-2019
ZAMRUT 12 RT.49/16
B TENGAH
5,004 0-06-28-02 GISMAN NY JL. RE P X 47 Th 29-Jul-2019
MARTHADINATA RT.
28/60 LOKTUAN
5,005 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L X 47 Th 29-Jul-2019
HASANUDDIN RT 01
BERBAS PANTAI
5,006 0-06-39-52 RISWANDI AN JL S HASANUDDIN L X 14 Th 29-Jul-2019
RT25/07 B TENGAH
5,007 0-06-41-94 MARYOTO TN JL KOL RT 08/13 GN L Baru; X 60 Th 29-Jul-2019 Transient cerebral i; G45.9;
ELAI
5,008 0-06-48-43 MARTHEN SAMBO TN JL PESUT 1 RT 4/7 L Lama; X 40 Th 29-Jul-2019 Connective and other; D21.9;
TJ LAUT INDAH
5,009 0-06-52-49 BEBBY NUR NY JL DEWI SARTIKA P X 39 Th 29-Jul-2019
RT 8/11 BTG BARU
5,010 0-06-53-10 AJNIMAH NY JL. SELAT P Baru; X 42 Th 29-Jul-2019 Benign neoplasm of b; D24;
MAKASSAR RT. 25/48
TJ. LAUT
5,011 0-06-57-04 SYAMSUL M TN JL. GN MANANGGIS L Lama; X 65 Th 29-Jul-2019 Hypertensive heart d; I11;
RT. 12/ SEMANGKO
5,012 0-06-57-23 LISNA ASTUTI NY JL. PELABUHAN III P Baru; X 32 Th 29-Jul-2019 Gynaecological exami; Z01.4;
GG UDANG RT 33 TJ
LAUT INDAH
5,013 0-06-70-53 DARMAWATI NY JL PELABUHAN P Lama; X 47 Th 29-Jul-2019 Low back pain; M54.5;
RT.13 TJ LAUT
INDAH
5,014 0-06-77-72 ARNIYATI, NY JL TOMAT RT.13/27 P Baru; X 28 Th 29-Jul-2019 Gynaecological exami; Z01.4;
GN ELAI
5,015 0-06-90-54 RAHMAT BIN RUSTAN JL. BELANAK RT 21 L Lama; X 9 Th 29-Jul-2019 Connective and other; D21.9;
AN NO 38 TANJUNG
LAUT INDAH
5,016 0-07-03-66 DEDE REZA AN JL BUNAKEN RT.19 B L X 10 Th 29-Jul-2019
PANTAI
5,017 0-07-13-43 NAUFAL DZAKI JL. OTISTA RT 24 NO L Baru; Lama; X 14 Th 29-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
RAZZAQ, AN 40 BONTANG BARU unspecified;
5,018 0-07-13-62 RUDI HERMAWAN JL KELADI RT 3 GN L Baru; X 27 Th 29-Jul-2019 Vertigo of central o; H81.4;
SDR ELAI

20/Sep/2019 277
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,019 0-07-19-42 RIFFA AILANI JL. GENDANG RT 23 P X 7 Th 29-Jul-2019


AZKAYRA AN NO 75 BTG BARU
5,020 0-07-19-84 FENTI PERMATA SARI JL. PELABUHAN III P X 33 Th 29-Jul-2019
NY RT 33 TJ LAUT
5,021 0-07-29-19 YULIANA JL. TARAKAN RT 18 P X 30 Th 29-Jul-2019
PATADUNGAN NN NO 53 KANAAN
5,022 0-07-55-28 KIRNO JAENAL, TN JL. SELAT BALI RT 7 L Lama; X 35 Th 29-Jul-2019 Unspecified renal co; N23;
NO 10 TANJUNG
LAUT
5,023 0-07-59-95 RATNAWATI BIN JL MELAWAI RT P Lama; X 50 Th 29-Jul-2019 Acute appendicitis; K35;
AHMADA NY 20/35 B PANTAI
5,024 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P X 23 Th 29-Jul-2019
NY API API
5,025 0-07-72-32 SYAMSUL HUDA, TN JL ZAMRUD RT 62 / L X 48 Th 29-Jul-2019
18 B TENGAH
5,026 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 29-Jul-2019 Traumatic amputation; S88;
B PANTAI
5,027 0-07-86-35 ANDI FARADIBAH JL GITAR RT 7/32 P Baru; X 24 Th 29-Jul-2019 Gynaecological exami; Z01.4;
ALFI NY BTG BARU
5,028 0-07-89-24 RITA RIYANI, NY JL MELAWAI RT 20 B P Baru; X 31 Th 29-Jul-2019 Unspecified viral he; B19;
PANTAI
5,029 0-07-94-55 MIRDAWATI NY JL. P TANDEAN RT P Lama; X 25 Th 29-Jul-2019 Supervision of norma; Z34;
01/34 B KUALA
5,030 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L Lama; X 66 Th 29-Jul-2019 Connective and other; D21.9;
AMIN TN API API
5,031 0-07-98-84 HERMIATI BINTI, NY JL. PATTIMURA GG P Baru; X 41 Th 29-Jul-2019 Pulpitis; K04.0;
ATLETIK 20A NO 93
RT 41 API-API
5,032 0-07-99-30 AARON ZAKI, AN JL SELAT BADUNG L Baru; X 5 Th 29-Jul-2019 Otitis media, unspec; H66.9;
RT 14 NO. 17 TJ
LAUT
5,033 0-08-03-66 TAHFIS ILMAN K, AN JL. GATSU RT 20 L X 5 Th 29-Jul-2019
BERBAS PANTAI
5,034 0-08-11-12 RAISHA DIAH AYU JL. MAWAR I RT P X 7 Th 29-Jul-2019
SAFIRA AN 36/38 TJ LAUT
5,035 0-08-24-75 FITRI HIDAYATI NY JL. SIDRAP RT P Lama; X 41 Th 29-Jul-2019 Non-insulin-dependen; E11;
GUNTUNG
5,036 0-08-26-42 I GUSTI NGURAH P K JL DEWI SARTIKA L Baru; X 56 Th 29-Jul-2019 Vertigo of central o; H81.4;
TN RT 09 / 12 A BTG
BARU
5,037 0-08-30-64 SAMSIAH BINTI SAIN JL. AP L X 51 Th 29-Jul-2019
NY MANGKUNEGORO
GG AMPERA RT 07 B
TGH

20/Sep/2019 278
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,038 0-08-31-75 AGUNG FAHRIADI, JL BHAYANGKARA L Baru; X 23 Th 29-Jul-2019 Pulpitis; K04.0;


SDR RT 10 GN ELAI
5,039 0-08-32-74 YANTI SUMIATUN NY JL PARIKESIT RT 11/ P X 48 Th 29-Jul-2019
BTG BARU
5,040 0-08-40-02 INDRA SAPUTRA JL SELAT SELAYAR L Baru; X 15 Th 29-Jul-2019 Headache; R51;
OKTAV AN RT 09/58 TJ LAUT
5,041 0-08-40-20 ENY SISLAWATI NY JL PATTIMURA GG P X 38 Th 29-Jul-2019
ATLETIK 16 RT 14
NO 157 API API
5,042 0-08-41-51 SAMSUL MUAWANAH JL. ZAMRUD RT. 52 P Lama; X 49 Th 29-Jul-2019 Non-insulin-dependen; E11;
NY BERBAS TENGAH
5,043 0-08-47-17 RISNAWATI BINTI JL JENDRAL P Lama; X 23 Th 29-Jul-2019 Connective and other; D21.9;
BACO NY SUDIRMAN RT 26
TANJUNG LAUT
5,044 0-08-49-85 CHOLILLUL JL. SABANG RT 20/7 L Baru; X 18 Th 29-Jul-2019 Pulpitis; K04.0;
FADLILLAH A SDR API-API
5,045 0-08-65-39 AQILA BINTI AN JL. SEL MALAKA RT. P Baru; Lama; X 5 Th 29-Jul-2019 Acute upper respirat; Fever, J06.9;R5 Dirawat
TJ LAUT unspecified;
5,046 0-08-66-17 HATIJAH NY JL. PELABUHAN RT P Baru; X 55 Th 29-Jul-2019 Gonarthrosis, unspec; M17.9;
14 NO TJ LAUT I
5,047 0-08-70-12 NISRINA HAMIDAH AN JL KENANGAN RT P X 13 Th 29-Jul-2019
30/ TJ LAUT
5,048 0-08-72-87 ESRA JOICE PANDIN JL. AP P Lama; X 24 Th 29-Jul-2019 Dengue haemorrhagic ; A91;
NY MANGKUNEGORO
RT 02 BERBAS
TENGAH
5,049 0-08-72-87 ESRA JOICE PANDIN JL. AP P X 24 Th 29-Jul-2019
NY MANGKUNEGORO
RT 02 BERBAS
TENGAH
5,050 0-08-73-81 INDRI WAHYUNING JL SELAT BADUNG P Lama; X 35 Th 29-Jul-2019 Supervision of norma; Z34;
NY RT 14/17 TJ LAUT
5,051 0-08-85-66 MARSONO BIN TN JL AP L Baru; X 47 Th 29-Jul-2019 Connective and other; D21.9;
MANGKUNEGORO
RT 03/ B TENGAH
5,052 0-08-88-35 USMAN KUBA TN JL P SURYANATA RT L Lama; X 66 Th 29-Jul-2019 Cerebral infarction,; I63.9;
13/ BTG BARU
5,053 0-08-95-59 DARAMATASIAH NY JL. SENAM RT 25 P Lama; X 65 Th 29-Jul-2019 Non-insulin-dependen; E11;
API-API
5,054 0-09-02-22 AGUS WIJAYA TN JL. MULAWARMAN L Lama; X 57 Th 29-Jul-2019 Necrosis of pulp; K04.1;
RT. 27 NO. 28 BTG
BARU
5,055 0-09-12-15 FAKDAL SUSANDI TN JL SELAT GASPOR 1 L Baru; X 30 Th 29-Jul-2019 Unspecified renal co; N23;
RT 34 TJ LAUT

20/Sep/2019 279
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,056 0-09-18-62 HARIANA BINTI JL DI PANJAITAN GG P Lama; X 38 Th 29-Jul-2019 Supervision of norma; Z34;
ARBAIN NY BIOLA 4 RT 3 NO 108
BTG BARU
5,057 0-09-23-88 RAMADHAN AHNAF JL PARANGTRITIS L X 3 Th 29-Jul-2019
AN RT 11/ B PANTAI
5,058 0-09-28-96 MELAWATI NY JL POLO AIR RT 21/ P X 38 Th 29-Jul-2019
API API
5,059 0-09-32-81 M EHSAN BIN ANWAR JL JEND SUDIRMAN L Baru; X 32 Th 29-Jul-2019 Low back pain; M54.5;
TN RT 23 NO 12 TJ LAUT
5,060 0-09-37-68 JALI BIN SUBAD TN JL. MT HARYONO RT L X 61 Th 29-Jul-2019
29 API API
5,061 0-09-37-68 JALI BIN SUBAD TN JL. MT HARYONO RT L X 61 Th 29-Jul-2019
29 API API
5,062 0-09-41-18 INDAH WULANDARI JL MH THAMRIN RT P X 27 Th 29-Jul-2019
NY 02/48 GN ELAI
5,063 0-09-51-03 HARYONO BIN JL. DI. PANJAITAN L X 60 Th 29-Jul-2019
SALAMIN TN GG. PERMADI RT 26
NO.2
5,064 0-09-52-59 MINAHTUN BINTI NY JL DI PANJAITAN RT P Lama; X 68 Th 29-Jul-2019 Non-insulin-dependen; E11;
02/ BTG BARU
5,065 0-09-56-64 TOTOK , TN JL. DI PANJAITAN L X 41 Th 29-Jul-2019
GG PIANO 6 RT 03
BTG BARU
5,066 0-09-60-11 SAPRI TONE , TN JL SUTAN SYAHRIR L Lama; X 51 Th 29-Jul-2019 Non-insulin-dependen; E11;
RT 05 TJ LAUT
5,067 0-09-61-97 ADE REHAN APRILLA, JL. TONGKOL RT 26 L Baru; X 17 Th 29-Jul-2019 Motor- or nonmotor-v; V89; Dirawat
AN NO 13 TANJUNG
LAUT
5,068 0-09-69-23 AZZAHRA FIZRIA JL A YANI RT 24 NO P Baru; Baru; X 16 Th 29-Jul-2019 Other disorders of u; Abdominal N39;R10 Dirawat
SAPUTRI AN 23 API API and pelvic;
5,069 0-09-69-56 M NICO ALFIANSYAH JL BERINGIN RT L Baru; X 7 Th 29-Jul-2019 Tic disorder, unspec; F95.9;
AN 01/10 B TENGAH
5,070 0-09-86-37 DEAN FIDEL JL. KERIKIL 4 NO. 5A L X 2 Th 29-Jul-2019
TIMOTHY K AN RT 15 KEL.
BONTANG KUALA
5,071 0-09-86-37 DEAN FIDEL JL. KERIKIL 4 NO. 5A L X 2 Th 29-Jul-2019
TIMOTHY K AN RT 15 KEL.
BONTANG KUALA
5,072 0-09-87-55 HAMASGUS HUTRI JL SELAT TIMOR RT P X 24 Th 29-Jul-2019
NY 2 NO 41 TJ LAUT
5,073 0-09-93-94 FAUZAN FAHREZA , JL SUTAN SYAHRIR L X 9 Th 29-Jul-2019
AN RT 3 TJ LAUT INDAH
5,074 0-09-95-68 IRVANI AFRIKANNOR JL. HOP 2 SATIMPO L X 42 Th 29-Jul-2019
, TN

20/Sep/2019 280
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,075 0-09-96-83 ARMIATI, NY JL. AWANG LONG P Lama; X 59 Th 29-Jul-2019 Non-insulin-dependen; E11;
RT 07 BONTANG
BARU
5,076 0-10-00-63 SONY RIFAI , TN JL BEKANTAN N3 NO L Lama; X 56 Th 29-Jul-2019 Cutaneous abscess, f; L02;
3 BTN PKT
BELIMBING
5,077 0-10-10-54 ANNISA MAULIDA JL SULTAN P X 8 Th 29-Jul-2019
PUTRI AN HASANUDDIN RT 1
NO 6 B PANTAI
5,078 0-10-11-34 KEVIN YUDHISTIRA L JL. ZAMRUD 19 RT L Baru; X 7 Th 29-Jul-2019 Dengue haemorrhagic ; A91;
, AN 62/17 B TGH
5,079 0-10-39-16 INDRIANI AZIS , NY JL. DEWI SARTIKA P Lama; X 30 Th 29-Jul-2019 Necrosis of pulp; K04.1;
RT 17 BTG KUALA
5,080 0-10-43-49 HAERI SUKAMTO , TN JL. J SUDIRMAN RT L Lama; X 38 Th 29-Jul-2019 Chronic hepatitis, u; K73.9;
22 TJ LAUT
5,081 0-10-47-65 SYAHTRIANI RETY NY JL KP TENDEAN GG P Baru; X 35 Th 29-Jul-2019 Chronic hepatitis, u; K73.9;
GRANIT 1 RT 15 BTG
KUALA
5,082 0-10-57-36 AGIB JULIAN S , AN JL. S HASANUDDIN L Baru; X 9 Th 29-Jul-2019 Fever, unspecified; R50.9;
RT 09 B PANTAI
5,083 0-10-63-29 IRUSDIANA , NY JL. JUANDA RT 06 TJ P X 39 Th 29-Jul-2019
LAUT
5,084 0-10-67-31 FATHURROHMAN, AN JL. ADIPURA RT, 04 L Lama; X 6 Th 29-Jul-2019 Nephrotic syndrome; N04;
BONLES
5,085 0-10-69-07 RUSDIANA, NN JL. KAMPUNG P X 27 Th 29-Jul-2019
BAGANG RT 06
SEMANGKO
MARANGKAYU
5,086 0-10-79-80 FITRIANI BINTI JL. A YANI RT 01/21 P X 25 Th 29-Jul-2019
ARIFIN, NN API-API
5,087 0-10-79-80 FITRIANI BINTI JL. A YANI RT 01/21 P X 25 Th 29-Jul-2019
ARIFIN, NN API-API
5,088 0-10-79-97 M IQBAL AN JL SAMRATULANGI L Lama; X 1 Th 29-Jul-2019 Otitis media, unspec; H66.9;
RT 19/ TJ LAUT
INDAH
5,089 0-10-86-85 GUFRANA BIN JL. MAWAR RT 36/31 L Baru; X 26 Th 29-Jul-2019 Connective and other; D21.9;
GUSTAM TN TJ LAUT
5,090 0-10-86-85 GUFRANA BIN JL. MAWAR RT 36/31 L Baru; X 26 Th 29-Jul-2019 Benign neoplasm of u; D36.9;
GUSTAM TN TJ LAUT
5,091 0-10-91-43 KANE BINTI DULLAH, JL. SAMRATULANGI P Lama; X 69 Th 29-Jul-2019 Essential (primary) ; I10;
NY GG KERAPU I RT 16/-
TJ LAUT INDAH
5,092 0-10-97-64 M KHAIRAN JL. ASRUD RT 06 GN L Baru; X 1 Th 29-Jul-2019 Hydrocephalus, unspe; G91.9;
ALBIANSYAH, AN ELAI

20/Sep/2019 281
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,093 0-11-01-63 ANI BINTI YUNUS NY JL. VETERAN RT 21 P X 36 Th 29-Jul-2019


BERBAS TENGAH
5,094 0-11-03-42 ABD HAMID TN JL SOEKARNO L Lama; X 51 Th 29-Jul-2019 Gastro-oesophageal r; K21.0;
HATTA RT 26/30 TJ
LAUT
5,095 0-11-06-55 ABDUL MALIK, TN JL. KERSIK RT 01 L Baru; X 51 Th 29-Jul-2019 Cerebral infarction,; I63.9;
MARANGKAYU
5,096 0-11-11-52 SYARIFAH ARPIAH , JL. P TANDEAN GG P Lama; X 55 Th 29-Jul-2019 Cerebral infarction,; I63.9;
NY BATU SAHASA 4 RT
11/15 BTG KUALA
5,097 0-11-11-56 NURJANNAH BINTI, JL. SUNGAI TABUAN P Lama; X 61 Th 29-Jul-2019 Thyrotoxicosis [hype; E05;
NY RT 19/- SANGKIMA
5,098 0-11-16-68 SURIAN BIN ASRAN M JL. SAMRATULANGI L Baru; X 25 Th 29-Jul-2019 Dyspepsia; K30;
TN RT 15/32 TJ LAUT
5,099 0-11-17-82 UMAR SAID TN JL S HASANUDDIN L Lama; X 72 Th 29-Jul-2019 Non-insulin-dependen; E11;
GG LOSARI 4 RT 3
NO 8 B PANTAI
5,100 0-11-17-83 RAYEM NY JL S HASANUDDIN P Lama; X 66 Th 29-Jul-2019 Non-insulin-dependen; E11;
GG LOSARI 4 RT 3
NO 8 B PANTAI
5,101 0-11-22-30 HARNIA BINTI NY JL. RE P Baru; X 26 Th 29-Jul-2019 Postpartum care and ; Z39;
MARTADINATA RT
05/- LOKTUAN
5,102 0-11-22-65 NAWIA EPE NY JL KELADI RT 3 NO 5 P X 56 Th 29-Jul-2019
GN ELAI
5,103 0-11-22-87 MASNAH , NY JL. BATU SAHASA 5 P Lama; X 46 Th 29-Jul-2019 Non-insulin-dependen; E11;
RT 07 BTG KUALA
5,104 0-11-26-96 MULLARE JELLING, JL S SYAHRIR GG L Lama; X 52 Th 29-Jul-2019 Traumatic amputation; S88;
TN MAS RT 06/11 TJ
LAUT INDAH
5,105 0-11-28-23 ARIFIN BEDUU , TN JL. S AGUNG RT L X 68 Th 29-Jul-2019
24/146 B PANTAI
5,106 0-11-29-18 CURIDAH BINTI JL KOL 1 RT 08/42 P X 25 Th 29-Jul-2019
NIRTO NY GN ELAI
5,107 0-11-30-72 AGUSTINA JAMA NY JL S SYAHRIR GG P X 50 Th 29-Jul-2019
CENDANA RT 31 NO
22 TJ LAUT
5,108 0-11-33-90 SYAMSAM BIN JL A YANI RT 08/34 P Lama; X 45 Th 29-Jul-2019 Diarrhoea and gastro; A09;
SANUSI, HJ NY API API
5,109 0-11-38-31 M FAUZAN JL. BATU SAHASA 01 L X 3 Th 29-Jul-2019
ALMUBAROK, AN RT 01/- B KUALA
5,110 0-11-38-88 NURUL ABRIA JL R SUPRPATO GG P X 26 Th 29-Jul-2019
INDRIAMI NY PANAHAN 2 RT 24
NO 27 API API

20/Sep/2019 282
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,111 0-11-38-89 M ZIYAD ELGAZA, AN JL R SUPRAPTO GG L Baru; Baru; X 6b 29-Jul-2019 Acute upper respirat; Nausea and J06.9;R1 Dirawat
PANAHAN 2 RT 24 vomiting;
NO 27 API API
5,112 0-11-41-20 YUMNA ALMIRA M AN JL PELABUHAN 3 GG P X 6b 29-Jul-2019
DAMAI RT 14 TJ
LAUT INDAH
5,113 0-11-41-96 ALIF HAFIZH JL EMERALD RT L X 3 Th 29-Jul-2019
SHARKAN AN 28/21 B TENGAH
5,114 0-11-46-05 JUSMAWATI BINTI NY JL. S SYAHRIR RT P X 48 Th 29-Jul-2019
07/- TJ LAUT INDAH
5,115 0-11-46-67 ANIK NURMALA D NY JL DENPASAR 6 RT 7 P Lama; X 46 Th 29-Jul-2019 Idiopathic thrombocy; D69.3;
GN TELIHAN
5,116 0-11-46-67 ANIK NURMALA D NY JL DENPASAR 6 RT 7 P X 46 Th 29-Jul-2019
GN TELIHAN
5,117 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 29-Jul-2019 Injury of unspecifie; T14;
RT 28 BONTANG
BARU
5,118 0-11-49-85 HAFIZH SHIDIQ E P JL MARANGKAYU IV L Lama; X 2 Th 29-Jul-2019 Tuberculous peripher; A18.2;
AN RT 11 DESA
SEBUNTAL
5,119 0-11-50-56 SUNARTIN BINTI JL. MT HARYONO P Lama; X 58 Th 29-Jul-2019 Neuralgia and neurit; M79.2;
SUKAMTO NY 113/37 API-API
5,120 0-11-55-00 IRMAWATI NY JL DI PANJAITAN GG P Lama; X 24 Th 29-Jul-2019 Supervision of norma; Z34;
PIANO 12 RT 1
BONTANG BARU
5,121 0-11-55-44 ENGGAR ADY N TN JL MANGGA BLOK Q L X 27 Th 29-Jul-2019
3 / 6 BTN PKT RT 28
BELIMBING
5,122 0-11-57-40 REGINA RAFANI JL. SULTAN P Lama; X 1 Th 29-Jul-2019 Dengue fever [classi; A90;
KHAYLA AN HASANUDDIN BB
PANTAI
5,123 0-11-58-12 SUTRI NY JL OTTO ISKANDAR P Lama; X 53 Th 29-Jul-2019 Non-insulin-dependen; E11;
DINATA BONTANG
BARU
5,124 0-11-58-71 SAIFULLAH BIN JL. PALEMBANG RT L Lama; X 11 Th 29-Jul-2019 Tuberculous peripher; A18.2;
KOSIM, AN 16/- GN TELIHAN
5,125 0-11-62-39 HASBIA BIN JL DUSUN DAMAI RT P Lama; X 22 Th 29-Jul-2019 Supervision of norma; Z34;
MUHAMMATANG NY 3 SANTAN ULU
5,126 0-11-62-39 HASBIA BIN JL DUSUN DAMAI RT P X 22 Th 29-Jul-2019
MUHAMMATANG NY 3 SANTAN ULU
5,127 0-11-63-38 ARI SUSIANI NY JL POROS BTG P Baru; X 26 Th 29-Jul-2019 Supervision of norma; Z34;
SAMARINDA RT 09/-
M KAYU

20/Sep/2019 283
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,128 0-11-64-30 DAFINA KARUNIA JL. SAFIR RT 20/08 B P Baru; X 6b 29-Jul-2019 Acute upper respirat; J06.9;
AIDIL, AN TENGAH
5,129 0-11-64-48 KARMINI BINTI JL SIDEREJO GG P Lama; X 67 Th 29-Jul-2019 Non-insulin-dependen; E11;
HARTO NY JATI 2 RT 21/01
SATIMPO
5,130 0-11-64-48 KARMINI BINTI JL SIDEREJO GG P X 67 Th 29-Jul-2019
HARTO NY JATI 2 RT 21/01
SATIMPO
5,131 0-11-66-51 IDA NURSANTI NY JL. PONTIANAK III P Lama; X 51 Th 29-Jul-2019 Non-insulin-dependen; E11;
RT24 TELIHAN
5,132 0-11-70-75 ARSYILA HUMAIRAH JL SELAT BONE 2 RT P Lama; X 3 Th 29-Jul-2019 Nausea and vomiting; R11; Dirawat
K AN 20/10 LENGKOL
5,133 0-11-76-38 SITTI HAFSAH NY P Lama; X 22 Th 29-Jul-2019 Supervision of norma; Z34;
5,134 0-11-82-38 JUNAIDI KERTASIH JL. TEUKU UMAR RT L Lama; X 70 Th 29-Jul-2019 Cutaneous abscess, f; L02;
TN 13 BONTANG BARU
5,135 0-11-82-51 MELIYANA NN JL DESA KERSIK RT P Lama; X 26 Th 29-Jul-2019 Thyrotoxicosis [hype; E05;
2 MARANGKAYU
5,136 0-11-83-43 MUHAMMAD CAPE TN JL KS TUBUN GG L Lama; X 69 Th 29-Jul-2019 Connective and other; D21.9;
WAKAF 4 RT 16/78
BTG KUALA
5,137 0-11-83-92 ELPI MADAUN NY JL. PENDIDIKAN 4 P X 32 Th 29-Jul-2019
NO 20 KANAAN
5,138 0-11-84-24 SRI MURTI NY JL. MUTIARA RT 08 P Baru; X 50 Th 29-Jul-2019 Dislocation, sprain ; S83;
BERBAS TENGAH
5,139 0-11-88-82 ABDUL RAHMAN TN JL. KERSIK RT 2 L Lama; X 53 Th 29-Jul-2019 Cutaneous abscess, f; L02;
MARANGKAYU
5,140 0-11-93-96 M RASYID JL PALEMBANG RT L Baru; X 2b 29-Jul-2019 Down's syndrome; Q90;
RAMADHAN AN 16/16 GUNUNG
TELIHAN
5,141 0-11-94-38 EKA APRILIANI YOLA JL MOCH ROEM RT P X 22 Th 29-Jul-2019
D NY 003 BONLES
5,142 0-11-94-62 PURWATI BINTI NY JL ANGKASA RT P Lama; X 53 Th 29-Jul-2019 Sciatica; M54.3;
14/33 B TENGAH
5,143 0-11-99-35 SUGIANTO BIN TN JL. A YANI RT 05/- L X 55 Th 29-Jul-2019
API-API
5,144 0-12-00-49 AINUN EWA NN JL BRIGJEN P Lama; X 20 Th 29-Jul-2019 Chronic pansinusitis; J32.4;
KATAMSO RT 16/28
GUNUNG ELAI
5,145 0-12-01-32 SAMINTO BIN TIMAN JL MUTIARA 3 RT 3 L Lama; X 49 Th 29-Jul-2019 Umbilical hernia; K42;
TN NO 2 B TENGAH
5,146 0-12-02-14 SRI WAHYUNI BINTI JL SELAT BONE RT P Lama; X 29 Th 29-Jul-2019 Necrosis of pulp; K04.1;
NY 20 / 22 TJ LAUT

20/Sep/2019 284
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,147 0-12-02-34 RISKA INDRIANI AN JL. SANTAN ILIT RT P Lama; X 14 Th 29-Jul-2019 Chronic pansinusitis; J32.4;
09/- M KAYU
5,148 0-12-03-71 MARIYAM NY JL GAJAH MADA / 18 P Lama; X 29 Th 29-Jul-2019 Umbilical hernia; K42;
RT 39 BERBAS
TENGAH
5,149 0-12-04-50 AYU INDAH APRILIA JL DURIAN 1 RT P X 34 Th 29-Jul-2019
NY 20/22 GN ELAI
5,150 0-12-04-74 TAMRIN, TN JL. KS TUBUN RT 32 L Lama; X 42 Th 29-Jul-2019 Cutaneous abscess, f; L02;
API API
5,151 0-12-04-80 IKHLASUL AMAL , AN JL. PELABUHAN III L Lama; X 19 Th 29-Jul-2019 Connective and other; D21.9;
GG BAWAL RT 12/-
TJ LAUT INDAH
5,152 0-12-05-44 M FARJA TULLA AN JL IKAN TUNA RT L X 1 Th 29-Jul-2019
11/- TJ LAUT INDAH
5,153 0-12-05-51 HAMKA WIJAYA SDR JL M H THAMRIN RT L Lama; X 17 Th 29-Jul-2019 Fracture of femur; S72;
26 BONTANG BRU
5,154 0-12-05-63 SOPI SALSABILA, AN JL MOCH ROEM RT 3 P Baru; X 15 Hr 29-Jul-2019 Noninfective gastroe; K52.9;
BONTANG LESTARI
5,155 0-12-06-04 SALMIATI BINTI JL INTAN 2 RT 29 P Baru; X 29 Th 29-Jul-2019 Gynaecological exami; Z01.4;
SANDI NY BERBAS TENGAH
5,156 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L X 7 Th 29-Jul-2019
AN RT 09 BONTANG
LESTARI
5,157 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L X 7 Th 29-Jul-2019
AN RT 09 BONTANG
LESTARI
5,158 0-12-06-57 WIDAYANTI BIN SADE JL IKAN TUNA RT P Baru; X 18 Th 29-Jul-2019 Supervision of norma; Z34;
NY 11/5 TJ LAUT INDAH
5,159 0-12-06-68 ROVY ACHMAD A K , JL. TENGGIRI RT L Baru; X 11 Th 29-Jul-2019 Dengue haemorrhagic ; A91;
AN 25/52 TJ LAUT INDAH
5,160 0-12-06-89 FADHIL NUR ADHANY JL. TEROMPET 2 RT L Baru; X 11 Th 29-Jul-2019 Dengue fever [classi; A90;
AN 24/5 BTG BARU
5,161 0-12-07-25 CHRISTIAN JL CENDANA HOP 1 L Lama; X 38 Th 29-Jul-2019 Connective and other; D21.9;
PALUMEAN TN SATIMPO
5,162 0-12-07-36 APRIANI MAY FRIDA JL SELAT BONE RT P X 26 Th 29-Jul-2019
NN 20/05 TJ LAUT INDAH
5,163 0-12-07-54 NASRUDDIN BIN JL MT HARYONO RT L Lama; X 34 Th 29-Jul-2019 Inguinal hernia; K40;
NASIR TN 07/01 ASRAMA DEN
ARHANUD RUDAL
5,164 0-12-07-59 JAPARUDDIN BIN JL ZAMBRUD 5 RT L Baru; X 47 Th 29-Jul-2019 Cluster headache syn; G44.0;
JAMAL TN 45/21 B TENGAH

20/Sep/2019 285
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,165 0-12-07-83 MUJIATI BIN SAKUR JL KS TUBUN GG P Lama; X 45 Th 29-Jul-2019 Connective and other; D21.9;
NY NILA 2 RT 28
TANJUNG LAUT
INDAH
5,166 0-12-08-07 MARTINA BINTI JL KARYA BAKTI RT P Baru; X 27 Th 29-Jul-2019 Postpartum care and ; Z39;
MANGGE NY 1 BONTANG
LESTARI
5,167 0-12-08-08 ANUM CONITA JL KARYA BAKTI RT P Baru; X 8 Hr 29-Jul-2019 Conjunctivitis, unsp; H10.9;
FATINAH, AN 1 BONTANG
LESTARI
5,168 0-12-08-16 HUMAIRA AZZAHRA, JL RE P X 8 Hr 29-Jul-2019
AN MARTADINATA RT 5
LOKTUAN
5,169 0-12-08-62 ARTAULI JL SELAT BONE RT P Baru; X 56 Th 29-Jul-2019 Diarrhoea and gastro; A09;
SIMATUPANG NY 20 TJ LAUT
5,170 0-12-08-69 AHNAF GIBRAN JL R SOEPRAPTO L X 7b 29-Jul-2019
ALFATIH AN GG ALPUKAT RT
16/17
5,171 0-12-08-72 UMMIYATUL JL MANGGA RT P Lama; X 20 Th 29-Jul-2019 Enlarged lymph nodes; R59;
KHAIRUNNISA NY SATIMPO
5,172 0-12-08-78 ITA PURNAMA ARIEF, JL. SAMSUDDIN RT P Baru; X 14 Th 29-Jul-2019 Enlarged lymph nodes; R59;
AN 07 MARANGKAYU
5,173 0-12-08-87 RODRIGUES DON JL SENAM RT 25/22 L Baru; X 7 Th 29-Jul-2019 Dengue haemorrhagic ; A91;
WAWIN AN API API
5,174 0-12-08-91 CYNTHIA DEWI JL PC 4 RT 06/62 P X 24 Th 29-Jul-2019
LESTARI NY SATIMPO
5,175 0-12-09-13 NOVA HARRY MAKARTI 6 L Baru; X 10 Th 29-Jul-2019 Dengue fever [classi; A90;
PRASTYO AN MARNAGKAYU
5,176 0-12-09-32 HIKMAL REZA JL. SELAT SELAYAR L Baru; X 12 Th 29-Jul-2019 Fracture of lower en; S52.5;
SAPUTRA AN RT 12 NO 54
5,177 0-12-09-55 TOYEB TN JL ZAMRUD GG L Lama; X 66 Th 29-Jul-2019 Connective and other; D21.9;
ZAMRUD 18 RT 62
BEREBAS TENGAH
5,178 0-12-09-66 HERI WARNOTO TN JL. TENIS GG L Baru; X 53 Th 29-Jul-2019 Dyspepsia; K30;
REFORMASI RT 39
5,179 0-12-09-86 NURUL ARUM SARI JL PALEMBANG RT P X 23 Th 29-Jul-2019
NY 16 / 45 GUNUNG
TELIHAN
5,180 0-12-10-40 JULEHA BINTI NY JL A YANI GN SARI P X 69 Th 29-Jul-2019
RT 2/- TJ LAUT
INDAH
5,181 0-12-10-71 SABRI BIN NISE, TN JL.KILO 6 GANG L X 35 Th 29-Jul-2019
SUKUN 2 B.

20/Sep/2019 286
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,182 0-12-10-74 ANANDA NUR JL MELAWAI RT 21/- P Baru; X 20 Th 29-Jul-2019 Gynaecological exami; Z01.4;
FADILLAH NY BERBAS PANTAI
5,183 0-12-10-74 ANANDA NUR JL MELAWAI RT 21/- P X 20 Th 29-Jul-2019
FADILLAH NY BERBAS PANTAI
5,184 0-12-10-84 RAYFAL BIN RONY, JL. SOERAPTO RT L X 11 b 29-Jul-2019
AN 23 API-API
5,185 0-12-11-00 ARUN AGUINO AN JL KAPT PIERE L X 17 Th 29-Jul-2019
TANDEAN RT 18/-
BTG KUALA
5,186 0-12-11-06 RUDIANSYAH BIN JL DUSUN HANDIL 3 L X 22 Th 29-Jul-2019
SDR RT 1/- SANTAN
TENGAH
5,187 0-12-11-08 HAISAH,NN JL. ANTASARI NO P X 28 Th 29-Jul-2019
103
5,188 0-12-11-09 ANDRIYAS PERDANA, JL. MAWAR 2 RT 36, L X 32 Th 29-Jul-2019
SDR TJ. LAUT
5,189 0-12-11-10 YESSI PRATIWI, NY JL. PANGERAN P X 23 Th 29-Jul-2019
ANTASARI 2
5,190 0-12-11-11 MURNI, NY JL. JEND SUDIRMAN P Lama; X 56 Th 29-Jul-2019 Gonarthrosis, unspec; M17.9;
RT 23 TJ. LAUT
5,191 0-12-11-12 SURATMI, NY JL. DUSUN WIRA 1 P Baru; X 61 Th 29-Jul-2019 Cerebral infarction,; I63.9;
RT 09 SANTAN ULU
5,192 0-12-11-13 WARSITO ,TN JL. KS TUBUN RT 32 L X 61 Th 29-Jul-2019
B. BARU
5,193 0-12-11-14 NASTAIN KHOIRUL A, JL. MENJANGAN 28 L X 13 Th 29-Jul-2019
SDR PERUM BTN - PKT
5,194 0-12-11-15 ALIKAH NUR ZAHRA, JL. A YANI GG RAWA P X 7 Th 29-Jul-2019
AN INDAH RT 09/40
API-API
5,195 0-12-11-16 AZALEA AIYRA JL. LUMBA LUMBA P Baru; X 3 Th 29-Jul-2019 Chronic nasopharyngi; J31.1;
SHEZA VALAN, AN RT 27 NO 29
TANJUNG LAUT
5,196 0-12-11-17 KEANU ATARVA B R, JL. GN ANJASMORO L Baru; X 6b 29-Jul-2019 Urticaria; L50;
AN RT 40/22 GN ELAI
5,197 0-12-11-18 FARID DWI CAHYO, JL. PERINTIS RT 06 L Baru; X 13 Th 29-Jul-2019 Other tuberculosis o; A17.8+;
AN NO 30 KANAAN
5,198 0-12-11-19 ARKAS RAMLER JL. RUMAH DINAS L Baru; X 26 Th 29-Jul-2019 Dengue haemorrhagic ; A91;
ORYZA, TN BEA CUKAI RT14/47
TJ LAUT INDAH
5,199 0-12-11-20 M TAMSIR, AN JL. KS TUBUN RT 17 L Baru; X 15 Th 29-Jul-2019 Dyspepsia; K30;
TANJUNG LAUT
5,200 0-12-11-21 ANDI ANWAR AB, TN JL. SELAT KARIMATA L X 27 Th 29-Jul-2019
RT 23/- TJ LAUT

20/Sep/2019 287
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,201 0-12-11-22 SAMSINAR BINTI JL. CUT NYAK DIEN P X 48 Th 29-Jul-2019


BACO N , NY GG SALEBA RT/B2 B
BARU
5,202 0-12-11-23 KAMILA PUTRI JL. TELAGA ASRI 1 P X 2 Th 29-Jul-2019
ANDISA, AN BALIKPAPAN
5,203 0-12-11-24 DODIK SETYOBUDI, JL. GN TIDOR RT L X 39 Th 29-Jul-2019
TN 28/06 BSD GN ELAI
5,204 0-12-11-25 LAILA MARTINA JL. GN TIDOR RT P X 36 Th 29-Jul-2019
SAVITRI, NY 28/6 BSD GN ELAI
5,205 0-12-11-26 ANDI SULPIANA, NY JL. POROS BTG SGT P Baru; X 22 Th 29-Jul-2019 Supervision of norma; Z34;
RT 05/03 TELUK
PANDAN
5,206 0-12-11-27 RENDY ADITYA JL. P ANTASARI RT L X 15 Th 29-Jul-2019
MUSLYADI, AN 11 BERBAS PANTAI
5,207 0-12-11-28 HALWA BINTI JL. S SYAHRIL GG P Baru; X 2 Th 29-Jul-2019 Diarrhoea and gastro; A09;
PAHRUDDIN, AN CUMI CUMI 3 RT 01/-
TJ LAUT INDAH
5,208 0-12-11-29 BUSNAWANSYAH, TN JL. SELAT GASPOR L X 54 Th 29-Jul-2019
RT 34 NO 25
TANJUNG LAUT
5,209 0-12-11-30 SAKURA NY JL DUSUN P Baru; X 26 Th 29-Jul-2019 Supervision of norma; Z34;
SELANGAN RT 16
BONTANG LESTARI
5,210 0-12-11-31 ALULA FARZANA A, JL. SELAT BANDA 1 P X 3 Th 29-Jul-2019
AN RT 35/- PERUM
TARISA TJ LT INDAH
5,211 0-12-11-32 MAGDALENA DATU, JL. SOEKARNO P Baru; X 45 Th 29-Jul-2019 Acute nasopharyngiti; J00;
NY HATTA RT 25 NO 111
TELIHAN
5,212 0-12-11-33 AKBAR BIN SOMENG JL POROS L X 27 Th 29-Jul-2019
TN BONTANG
SANGATTA TELUK
PANDAN
5,213 0-12-11-34 SUMILAH BINTI JL GAJAH MADA RT P X 54 Th 29-Jul-2019
SAKDIN NY 38 BERBAS TENGAH
5,214 0-12-11-35 M ADNAN HARIS AN JL SAMRATULANGI L X 4 Th 29-Jul-2019
GG PAUS RT 19 TJ
LAUT INDAH
5,215 0-12-11-36 IDA AYU DITA P, NN JL. BHAYANGKARA P Baru; X 24 Th 29-Jul-2019 Acute abdomen; R10.0;
BLOK C-19 GN ELAI
5,216 0-12-11-38 NOURA ADZKIYA JL P ANTASARI RT P X 6b 29-Jul-2019
HASDAR AN 19 BERBAS PANTAI
5,217 0-12-11-39 LIMBA, TN JL. SANTAN ILIR RT L X 75 Th 29-Jul-2019
03 MARANGKAYU

20/Sep/2019 288
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,218 0-12-11-40 AMELIA BESARI NY JL R SOEPRAPTO P X 26 Th 29-Jul-2019


GG WAHYU / 22
5,219 0-12-11-41 AVANDI PUTRA S AN JL TARAKAN 3 RT 18 L X 8b 29-Jul-2019
/ 74 GN TELIHAN
5,220 0-12-11-42 INDAH KURNIA,NY PC 4-161 LOMPLEKS P X 38 Th 29-Jul-2019
PT BADAK
BONTANG
5,221 0-12-11-43 KATRINE ELISABETH JL HOP 6 RT -/62 GN P X 4 Th 29-Jul-2019
H H AN ELAI
5,222 0-12-11-44 HOTBEN JL KAPAL SELAM 3 L Baru; X 50 Th 29-Jul-2019 Synovitis and tenosy; M65.9;
SIMORANGKIR TN RT 14/40 LOKTUAN
5,223 0-12-11-45 RAHIM BIN EDY JL KRIKIL RT 13/- L X 23 Th 29-Jul-2019
SAPUTRA SDR BTG KUALA
5,224 0-12-11-46 DIAN FARWATY NY JL GG ATLETIK 8 NO P X 39 Th 29-Jul-2019
119 API API
5,225 0-12-11-47 ROSADI BIN DAENG JL KAPAL FERI GG L Baru; X 31 Th 29-Jul-2019 Sciatica; M54.3;
G TN KEDODONDONG RT
11/111 LOKTUAN
5,226 0-12-11-47 ROSADI BIN DAENG JL KAPAL FERI GG L X 31 Th 29-Jul-2019
G TN KEDODONDONG RT
11/111 LOKTUAN
5,227 0-12-11-48 AMNEKE RUNTU NY JL ZAMRUD RT 41/22 P Baru; X 75 Th 29-Jul-2019 Essential (primary) ; I10;
BEREBAS TENGAH
5,228 0-12-11-49 YULIANTI BINTI NY JL TARI JEPEN 1 RT P X 18 Th 29-Jul-2019
04/- GUNTUNG
5,229 0-12-11-50 NAFISA FAJRIA S AN JL SELAT KARIMATA P X 9b 29-Jul-2019
RT 09/90 TJ LAUT
INDAH
5,230 0-12-11-51 FARIMA AZZAHRA AN JL LENGKOL RT 19 P X 15 Th 29-Jul-2019
TANJUNG LAUT
5,231 0-12-11-51 FARIMA AZZAHRA AN JL LENGKOL RT 19 P X 15 Th 29-Jul-2019
TANJUNG LAUT
5,232 0-12-11-52 M EFENDY TN JL MANUNGGAL RT L X 33 Th 29-Jul-2019
19 BERBAS PANTAI
5,233 0-12-11-52 M EFENDY TN JL MANUNGGAL RT L X 33 Th 29-Jul-2019
19 BERBAS PANTAI
5,234 0-12-11-53 M ROHMAN TN JL POLO AIR 1 RT 35 L X 30 Th 29-Jul-2019
API API
5,235 0-12-11-54 RAHLI RAHIMA AN JL BELAWAI RT 22/- P X 12 Th 29-Jul-2019
B PANTAI
5,236 0-12-11-55 DWI MELIYANTI B A L JL M EFENDI BLOK P X 21 Th 29-Jul-2019
NN 12 NO 2 BTN PKT

20/Sep/2019 289
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,237 0-12-11-56 NURDIANA BIN JL S HASANUDDIN P X 20 Th 29-Jul-2019
KASENG NY RT 36 B TENGAH
5,238 0-12-11-57 ZAKARIA BIN SOFYAN JL MH THAMRIN RT L X 26 Th 29-Jul-2019
TN 03/- GN ELAI
5,239 0-12-11-57 ZAKARIA BIN SOFYAN JL MH THAMRIN RT L X 26 Th 29-Jul-2019
TN 03/- GN ELAI
5,240 0-12-11-58 MURNIA RAHMA NN JL MULAWARMAN P Baru; X 23 Th 29-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
SALEBBA
5,241 0-12-11-59 MANSYAH BIN TN JL KAPT PIERE L X 42 Th 29-Jul-2019
TANDEAN RT 12/08
BTG KUALA
5,242 0-12-11-60 AMELIA BESTARI, NY JL. R SUPRAPTO GG P X 26 Th 29-Jul-2019
WAHYU NO 22
5,243 0-00-58-36 BILAL ABDUL FAQIH JL. MH. THAMRIN L Baru; Lama; X 3 Th 30-Jul-2019 Asthma, unspecified; Dyspnoea; J45.9;R0 Dirawat
AN NO. 14. 23.
BONTANG UTARA
5,244 0-00-82-23 RAHMANI SAPUTRI JL. GAMELAN RT 19 P X 30 Th 30-Jul-2019
NY NO 4 BTG BARU
5,245 0-02-52-36 ZAHRA TAZKIA A AN JL ZAMRUD 8 RT P Lama; X 11 Th 30-Jul-2019 Otitis media, unspec; H66.9;
47/5 B TENGAH
5,246 0-02-65-29 WATI BINTI JL KS TUBUN GG P X 30 Th 30-Jul-2019
MANNANG NY NILA 4 RT 28 TJ
LAUT INDAH
5,247 0-02-86-01 LAUMPA TN JL. IR H JUANDA RT. L Baru; X 66 Th 30-Jul-2019 Dyspepsia; K30; Dirawat
33/ TJ. LAUT
5,248 0-02-91-18 ARIFIN SAHRUNA TN. JL. BINTAN RT 16 L X 54 Th 30-Jul-2019
NO. 17 API - API
5,249 0-03-34-46 ARIANTO JL. CATUR RT 007 L Lama; X 39 Th 30-Jul-2019 Chronic pansinusitis; J32.4;
HASANUDDIN, TN. NO. 10 API - API
5,250 0-03-45-02 AMELIA NY JL. D. PANJAITAN P X 35 Th 30-Jul-2019
RT. 26/44 B. BARU
5,251 0-03-52-11 ABDURRAHIM BIN JL. S BONE RT 18 TJ L Baru; X 11 Th 30-Jul-2019 Disorder of thyroid,; E07.9;
LELE D AN. LAUT
5,252 0-03-84-28 ASMAWATI BINTI JL. SUTOYO RT 52 P Baru; X 41 Th 30-Jul-2019 Other chronic suppur; H66.3;
PANJUL NY NO. - DSN LEMBAH B
TENGAH
5,253 0-03-94-72 SUMARTI BINTI JL. A. YANI RT 5 NO P Lama; X 67 Th 30-Jul-2019 Asthma, unspecified; J45.9;
DASYIM, NY 26 API-API
5,254 0-03-99-63 REGINA OKTAVIANI, JL PIANO 8 RT 02 NO P Baru; X 22 Th 30-Jul-2019 Acute laryngitis; J04.0; Dirawat
NN 14 BTG BARU
5,255 0-04-01-83 M RUSLI, TN. JL. RAMBUTAN RT L Baru; X 37 Th 30-Jul-2019 Chronic pharyngitis; J31.2;
32/89 TJG LAUT
INDAH

20/Sep/2019 290
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,256 0-05-89-85 MAERATI BIN A JL. A. YANI RT 5/14 P Lama; Lama; X 64 Th 30-Jul-2019 Essential (primary) ; I10;K21. Dirawat
RASYID NY TJ LAUT Baru; Gastro-oesophageal r; Dyspnoea;
5,257 0-05-90-53 SURIAH BINTI AMBO JL. ANGGREK I RT P X 56 Th 30-Jul-2019
NY 37/ 29 TJ LAUT
5,258 0-05-95-71 AMIR PETOR, TN JL. PANGERAN L Baru; X 60 Th 30-Jul-2019 Carpal tunnel syndro; G56.0;
ANTASARI RT 09/99
TANJUNG LAUT
5,259 0-06-13-89 YUSRA BINTI BORA JL MH THAMRIN RT P X 35 Th 30-Jul-2019
NY 26 BONTANG BARU
5,260 0-06-26-86 RAKIB ANABIL AN JL. MAWAR I RT L Baru; X 8 Th 30-Jul-2019 Chronic pansinusitis; J32.4;
36/34 TJ LAUT
5,261 0-06-37-70 ABDUL SALAM. TN JL. SULTAN L Baru; X 47 Th 30-Jul-2019 Tuberculosis of lung; A15.0;
HASANUDDIN RT 01
BERBAS PANTAI
5,262 0-06-46-66 NAJWA KIREI JL. CUMI CUMI RT 01 P Baru; X 6 Th 30-Jul-2019 Nausea and vomiting; R11; Dirawat
SAKURA, AN TANJUNG LAUT
INDAH
5,263 0-06-69-02 RAHMAH BINTI JL JEND SUDIRMAN P Lama; X 47 Th 30-Jul-2019 Unspecified renal co; N23;
MANNANG NY RT 22 NO 29 TJ LAUT
5,264 0-06-81-73 ACHMAD PATARAI, JL. UTUNG L Lama; X 62 Th 30-Jul-2019 Haemorrhoids; I84;
TN SUROPATI RT 20
TANJUNG LAUT
5,265 0-06-82-30 ABA YAZID TN JL. SULAWESI RT 17 L Lama; X 39 Th 30-Jul-2019 Non-insulin-dependen; E11;
NO 4 API API
5,266 0-07-34-14 ANGGAS SETYO TN JL ASRUD RT 3 GN L Baru; X 30 Th 30-Jul-2019 Urinary tract infect; N39.0; Dirawat
ELAI
5,267 0-07-49-47 CAHAYA BINTI JL. P ANTASARI RT P X 49 Th 30-Jul-2019
DADING, NY 11 BERBAS PANTAI
5,268 0-07-49-95 FAJRI YANTI, NY JL MATARAM HOP 6 P Lama; X 38 Th 30-Jul-2019 Supervision of norma; Z34;
RT 23/130 GN ELAI
5,269 0-07-54-34 HALIMA TUSYA DIAH, JL. GN MENANGIS P Baru; X 30 Th 30-Jul-2019 Low back pain; M54.5;
NY RT 12 MARANGKAYU
5,270 0-07-70-99 DEWI FAIRA ANDINI, JL. PAIMURA RT 32 P Lama; X 23 Th 30-Jul-2019 Necrosis of pulp; K04.1;
NY API API
5,271 0-07-88-40 NANDA DYAH F N NN JL PATIMURA RT. 33 P Baru; Lama; X 23 Th 30-Jul-2019 Cluster headache syn; Dyspepsia; G44.0;K Dirawat
API API Baru; Fever, unspecified;
5,272 0-07-88-47 BUNGA EJA S HJ NY JL. DIPONEGORO P Baru; Lama; X 54 Th 30-Jul-2019 Benign paroxysmal ve; Essential H81.1;I1 Dirawat
RT. 10/20 B PANTAI (primary) ;
5,273 0-07-89-96 ANDI DESI EFENDI, JL. MELAWAI RT 21 P Baru; X 14 Th 30-Jul-2019 Cholesteatoma of mid; H71;
AN NO 134 BERBAS
PANTAI
5,274 0-07-98-47 SALVIATI RISTA JL SULTAN SYAHRIR P Lama; X 27 Th 30-Jul-2019 Supervision of norma; Z34;
INTAP, NY RT 2 TJ LAUT INDAH

20/Sep/2019 291
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,275 0-08-04-28 ANITA RIZKY W NY JL SERULING RT P Baru; X 22 Th 30-Jul-2019 Deposits [accretions; K03.6;
21/30BTG BARU
5,276 0-08-13-33 MARTINA STEVANI JL. ZAMRUD RT. 50 B P Baru; X 26 Th 30-Jul-2019 Otitis media, unspec; H66.9;
NY TENGAH
5,277 0-08-13-37 AULIAH RAMADANI JL. S PARMAN NO 52 P Baru; X 6 Th 30-Jul-2019 Acute nasopharyngiti; J00;
AN GN TELIHAN
5,278 0-08-13-93 ZHETA RIZKYYA JL JEND SUDIRMAN P Lama; X 3 Th 30-Jul-2019 Acute nasopharyngiti; J00;
MUPIT, AN RT 10/ TJ LAUT
5,279 0-08-21-81 AZKA YUZRA AN JL GAJAH MADA RT L Lama; X 3 Th 30-Jul-2019 Fever, unspecified; R50.9; Dirawat
38/03 B TENGAH
5,280 0-08-25-79 AYSHA ZAFIRA PUTRI JL. S HASANUDDIN P X 3 Th 30-Jul-2019
AN RT 36 B TGH
5,281 0-08-26-18 JAUKANI BIN BUSRA, JL S HASANUDDIN L X 48 Th 30-Jul-2019
TN RT 30 B TENGAH
5,282 0-08-34-01 RETHMAN SIAHAAN JL. TENNIS API-API L X 42 Th 30-Jul-2019
TN
5,283 0-08-40-02 INDRA SAPUTRA JL SELAT SELAYAR L X 15 Th 30-Jul-2019
OKTAV AN RT 09/58 TJ LAUT
5,284 0-08-42-99 ARIDA NUR ICMI, NY JL IKAN DUYUNG RT P Baru; X 21 Th 30-Jul-2019 Cutaneous abscess, f; L02;
31 TJ LAUT INDAH
5,285 0-08-46-03 ABDUL RASYID, TN JL WR SUPRATMAN L Lama; X 50 Th 30-Jul-2019 Traumatic amputation; S88;
RT 027
5,286 0-08-52-92 SUDIRMAN BIN SAIL, JL SUTAN SYAHRIR L Lama; X 64 Th 30-Jul-2019 Calculus of lower ur; N21;
TN RT 3 NO 13 TJ LAUT
INDAH
5,287 0-08-61-01 RASYA DEVARA T AN JL. VETERAN RT. 29 P Baru; Baru; X 6 Th 30-Jul-2019 Asthma, unspecified; Dyspnoea; J45.9;R0 Dirawat
NO. 08 BER TGH
5,288 0-08-68-18 ANDI GISMAN, TN JL MT HARYONO RT L Baru; X 38 Th 30-Jul-2019 Low back pain; M54.5; Dirawat
30 API API
5,289 0-08-72-61 KHALIZDA PRADINA JL. MULAWARMAN P Baru; X 24 Th 30-Jul-2019 Supervision of norma; Z34;
A, NY RT 27 NO 22
BONTANG BARU
5,290 0-08-78-22 M FAITH AL FARRAZ I JL. CUT NYAK DIEN L Baru; Baru; X 5 Th 30-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
AN RT 09 BONTANG unspecified;
BARU
5,291 0-08-82-13 SYARIF BIN JL. GAJAH MADA RT L Lama; X 29 Th 30-Jul-2019 Connective and other; D21.9;
SAHABUDDIN TN 13/- GG PIRUS 3 KEL.
B TENGAH
5,292 0-08-82-70 ROSDINA SIAGIAN, JL SELAT KARIMATA P Lama; X 50 Th 30-Jul-2019 Otitis media, unspec; H66.9;
NY 2 RT 26 NO 31 TJ
LAUT
5,293 0-08-86-91 SULASTRI NY JL. STN SYAHRIR P X 51 Th 30-Jul-2019
RT, 03 TL INDAH

20/Sep/2019 292
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,294 0-08-87-43 MESSAN BIN IYIK, TN JL A YANI RT 1 NO 24 L Baru; X 70 Th 30-Jul-2019 Asthma, unspecified; J45.9;
API API
5,295 0-08-95-53 DWI LEGINAWATI NY JL. TAEKWONDO 1 P Baru; X 68 Th 30-Jul-2019 Secondary amenorrhoe; N91.1;
RT 10/- API-API
5,296 0-08-96-29 NURHAYATI P, NY JL. P ANTASARI RT P X 66 Th 30-Jul-2019
06 BERBAS PANTAI
5,297 0-09-00-89 GUSTINA BINTI JL GUSUNG RT 3 P Baru; X 21 Th 30-Jul-2019 Disorder of urinary ; N39.9;
GAFRI, NY GUNTUNG
5,298 0-09-00-89 GUSTINA BINTI JL GUSUNG RT 3 P X 21 Th 30-Jul-2019
GAFRI, NY GUNTUNG
5,299 0-09-01-62 SAFITRI SATIKA AN JL. BATU SAHASA 5 P Baru; X 18 Th 30-Jul-2019 Loss of teeth due to; K08.1;
RT 7 BTG KUALA
5,300 0-09-03-25 FITRI BINTI TAHARI JL. KENANGAN RT P X 17 Th 30-Jul-2019
AN 30 TANJUNG LAUT
5,301 0-09-14-05 H DG MABBATE TN JL POROS BTG SGT L Baru; X 66 Th 30-Jul-2019 Conductive hearing l; H90.0;
RT 02/ T PANDAN
5,302 0-09-23-88 RAMADHAN AHNAF JL PARANGTRITIS L X 3 Th 30-Jul-2019
AN RT 11/ B PANTAI
5,303 0-09-57-03 QUDDUS RAMADHAN JL BERINGIN 1 RT 14 L X 6 Th 30-Jul-2019
AN NO 11 B TENGAH
5,304 0-09-57-03 QUDDUS RAMADHAN JL BERINGIN 1 RT 14 L X 6 Th 30-Jul-2019
AN NO 11 B TENGAH
5,305 0-09-69-54 RITA NORJANNA NY JL MULAWARMAN P Lama; X 24 Th 30-Jul-2019 Chronic pansinusitis; J32.4;
GG ARUMBIA 1 RT
27 BTG BARU
5,306 0-09-71-19 SYARIFAH JL BIOLA 2 RT 5 NO P Baru; X 40 Th 30-Jul-2019 Benign paroxysmal ve; H81.1; Dirawat
HAIRUNNISA NY 50 BTG BARU
5,307 0-09-79-41 ENDANG DEBORA I P JL LOMBOK BTN P X 28 Th 30-Jul-2019
NN KCY API API
5,308 0-09-86-37 DEAN FIDEL JL. KERIKIL 4 NO. 5A L X 2 Th 30-Jul-2019
TIMOTHY K AN RT 15 KEL.
BONTANG KUALA
5,309 0-09-88-98 KALEWANG K , H TN JL AP L Lama; X 68 Th 30-Jul-2019 Otitis media, unspec; H66.9;
MANGKUNEGORO
RT 7 NO 15 B
TENGAH
5,310 0-09-92-40 ANDIKA HAFRILIAN JL MULAWARMAN L Baru; X 8 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
AN RT 10/ BTG BARU
5,311 0-10-01-06 ALEXA ALMARATUN N JL MULAWARMAN P Baru; X 8 Th 30-Jul-2019 Chronic tonsillitis; J35.0;
AN RT 22 NO 71 BTG
BARU
5,312 0-10-09-96 TINA HAJJAH, NY JL. A YANI RT 02 NO P X 43 Th 30-Jul-2019
27 API API

20/Sep/2019 293
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,313 0-10-12-52 RUSMAN YAMIN TN JL A YANI GG RAWA L Baru; X 47 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
INDAH RT 9/81 API
API
5,314 0-10-15-61 HARYANTI , NY jl. pencak silat rt 12 P Lama; X 30 Th 30-Jul-2019 Fracture of lower en; S52.5;
api-api
5,315 0-10-20-57 SURIANI BINTI AMBRI JL. PELABUHAN GG P Baru; X 38 Th 30-Jul-2019 Benign neoplasm of b; D24;
, NY DAMAI RT 14/ TJ
LAUT
5,316 0-10-21-90 YASIRA BINTI NY JL SELAT BONE RT P X 74 Th 30-Jul-2019
15/16 TJ LAUT
5,317 0-10-47-75 YANTI BINTI NURDIN JL TIHI TIHI RT 17 P Baru; X 38 Th 30-Jul-2019 Abdominal and pelvic; R10; Dirawat
NY BTG LESTARI
5,318 0-10-58-59 ANWAR BIN JL KENANGAN RT 30 L Baru; Baru; X 66 Th 30-Jul-2019 Asthma, unspecified; Dyspnoea; J45.9;R0 Dirawat
BAKKARING TN TJ LAUT
5,319 0-10-59-88 CHINTA EDLYN JL. MT HARYONO RT P Baru; Lama; X 8 Th 30-Jul-2019 Acute upper respirat; Dyspnoea; J06.9;R0 Dirawat
ZAAFRAN, AN 37 NO 87B API-API Baru; Fever, unspecified;
5,320 0-10-63-77 ADRESIA NAHDA Q, JL PERUM GRIYA P Baru; Lama; X 1 Th 30-Jul-2019 Nausea and vomiting; Fever, R11;R50 Dirawat
AN KOL 16 RT 8 NO unspecified;
BLOK A-2 API API
5,321 0-10-67-04 PAUJI BIN SUPRIADI JL IMAM BONJOL RT L Baru; X 58 Th 30-Jul-2019 Cutaneous abscess, f; L02;
TN 12 GG BUNCIS GN
ELAI
5,322 0-10-67-71 AMIR BIN TONGGO JL GUNUNG L Lama; X 57 Th 30-Jul-2019 Anaemia due to enzym; D55;
TN MENANGIS RT 12
SEMANGKO
MARANG KAYU
5,323 0-10-71-30 M SYARIF ABDULLAH JL SULTAN L Baru; X 1 Th 30-Jul-2019 Acute nasopharyngiti; J00;
AN HASANUDDIN RT 3
NO 57 B PANTAI
5,324 0-10-78-21 PASCA FEBRIANO H JL GAJAH MADA GG L X 9 Th 30-Jul-2019
S AN ALEXANDER RT 11
NO 31 B TENGAH
5,325 0-10-80-91 MAINAKA ZILVANIA JL. KS TUBUN GG RT P Baru; X 3 Th 30-Jul-2019 Acute nasopharyngiti; J00;
ZHEIN AN 08 B KUALA
5,326 0-10-81-59 M FATHUR RAHMAN, JL. OTISTA RT, 26 L X 5 Th 30-Jul-2019
AN BTG BARU
5,327 0-10-86-85 GUFRANA BIN JL. MAWAR RT 36/31 L Lama; X 26 Th 30-Jul-2019 Connective and other; D21.9;
GUSTAM TN TJ LAUT
5,328 0-10-94-41 PATRA NY JL KAPT PIERE P Baru; X 29 Th 30-Jul-2019 Contraceptive manage; Z30;
TENDEAN RT 18/
BTG KUALA
5,329 0-10-96-52 BUSADIN BIN TN JL. S RIYADI RT 41/- L Lama; X 69 Th 30-Jul-2019 Non-insulin-dependen; E11;
LOKTUAN

20/Sep/2019 294
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,330 0-11-07-89 NAFEEZAH LAYLA A JL. RUBI RT 17 NO 29 P Lama; X 2 Th 30-Jul-2019 Specific development; F80;
AN BERBAS TENGAH
5,331 0-11-12-83 YUHENI SUMARSIH, JL. RE MARTADINTA P X 40 Th 30-Jul-2019
NY GG MUSHOLA YAQIN
RT11/62 LOKTUAN
5,332 0-11-13-87 FITRIANI BINTI MAHI JL LETJEN URIP P X 25 Th 30-Jul-2019
NY SUMOHARJO RT 12
BTG LESTARI
5,333 0-11-15-44 ABDUL MUIN, TN JL. MELAWAI RT, 15 L Lama; X 75 Th 30-Jul-2019 Hyperplasia of prost; N40;
BERBA PANTAI
5,334 0-11-16-18 FITRAYANTI BINTI JL GENDANG 1 RT P X 30 Th 30-Jul-2019
RUSLI NY 22 NO 7 BTG BARU
5,335 0-11-17-86 TIKA NY JL RE P Baru; X 23 Th 30-Jul-2019 Gynaecological exami; Z01.4;
MARTADINATA RT
01/30 LOKTUAN
5,336 0-11-23-15 AL FATIH DHAFIR E JL. AQUSTIK RT 09 L X 7b 30-Jul-2019
AN API API
5,337 0-11-23-15 AL FATIH DHAFIR E JL. AQUSTIK RT 09 L X 7b 30-Jul-2019
AN API API
5,338 0-11-25-55 KHAIRUN NISA, NN JL. AMBON BLOK N P X 24 Th 30-Jul-2019
RT 17/10 BTN PKT
BELIMBING
5,339 0-11-25-64 WINARTI BIN JL. SULAWESI RT 10 P Lama; X 38 Th 30-Jul-2019 Supervision of norma; Z34;
MARSAM , NY API-API
5,340 0-11-26-72 ASRI DALLELE TN JL WR SUPRATMAN L Lama; Baru; X 52 Th 30-Jul-2019 Dyspepsia; Chest pain, unspecif; K30;R07 Dirawat
RT 27/ TJ LAUT
5,341 0-11-28-81 ENI KUSRINI NY JL R SUPRAPTO GG P Lama; X 29 Th 30-Jul-2019 Cholesteatoma of mid; H71;
AMALIYAH RT 23 API
API
5,342 0-11-34-01 NAFINGAN SAEBANI, JL. DI PANJAITAN L X 26 Th 30-Jul-2019
TN RT, 05 NO. 66 B BTG
BARU
5,343 0-11-37-16 ASPUL, TN JL. BATU SAHASA 1 L Baru; X 51 Th 30-Jul-2019 Acute sinusitis, uns; J01.9;
RT. 10 N O. 11 BTG
KUALA
5,344 0-11-37-27 INDRI YANI AN JL IR H JUANDA RT 6 P Baru; X 18 Th 30-Jul-2019 Hyperemesis gravidar; O21.1;
TJ LAUT
5,345 0-11-38-92 TOLEMAN BIN ABD JL BUNGA PUTIH RT L Lama; X 39 Th 30-Jul-2019 Tuberculosis of lung; A15.0;
HATIB TN 3 MARANG KAYU
5,346 0-11-40-14 SUNGATMI BIN JL PATIMURA GG P Baru; Lama; X 33 Th 30-Jul-2019 Essential (primary) ; Dyspepsia; I10;K30; Dirawat
NGADIMAN NY ATLETIK 13 RT 33 Baru; Fever, unspecified;
API API

20/Sep/2019 295
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,347 0-11-41-20 YUMNA ALMIRA M AN JL PELABUHAN 3 GG P X 6b 30-Jul-2019
DAMAI RT 14 TJ
LAUT INDAH
5,348 0-11-41-20 YUMNA ALMIRA M AN JL PELABUHAN 3 GG P X 6b 30-Jul-2019
DAMAI RT 14 TJ
LAUT INDAH
5,349 0-11-41-93 MUHAMMAD JL ZAMRUD RT 50/12 L X 6b 30-Jul-2019
DEVANDRA AN B TENGAH
5,350 0-11-50-14 ELMINA RODIANA NN JL. TAEKWONDO P Baru; X 22 Th 30-Jul-2019 Acute pharyngitis; J02;
RT.10 NO 35 API API
5,351 0-11-50-52 M AZKA RAFFASYA JL. KS TUBUN RT 29 L X 5b 30-Jul-2019
AN TANJUNG LAUT
5,352 0-11-56-04 SUDARNANIK BIN JL KS TUBUN GG P Lama; X 32 Th 30-Jul-2019 Dental caries; K02;
MUSTAGE NY KERAPU 5 RT 16 TJ
LAUT INDAH
5,353 0-11-63-22 BAHARIA BINTI JL. SUTAN SYAHRIR P Baru; X 48 Th 30-Jul-2019 Abdominal and pelvic; R10;
LAMAPA NY GG DAMAI TJ LAUT
5,354 0-11-68-72 UFAIRAH MALILAH JL PELABUHAN 3 RT P X 5 Th 30-Jul-2019
ANAS AN 14 TJ LAUT INDAH
5,355 0-11-68-73 FAKHIRA HALILAH R JL PELABUHAN 3 RT P X 2 Th 30-Jul-2019
AN 14 TJ LAUT INDAH
5,356 0-11-74-55 NAILA SAENAL AN JL MAWAR 36 NO 77 P Baru; X 9 Th 30-Jul-2019 Nonspecific lymphade; I88.9;
BTG SELATAN
5,357 0-11-82-58 RALINE CRISTINE, AN JL. PONGTIKU RT 06 P Baru; X 5b 30-Jul-2019 Neonatal jaundice, u; P59.9;
KANAAN
5,358 0-11-87-01 IS RAMADHANI NY JL DUSUN GUNUNG P Lama; X 21 Th 30-Jul-2019 Supervision of norma; Z34;
PASIR RT 7 TELUK
PANDAN
5,359 0-11-97-02 FARZAN ABIL SHIDIQ, JL. CUMI CUMI RT L Baru; X 8b 30-Jul-2019 Other chronic suppur; H66.3;
AN 01/12 TJ LAUT INDAH
5,360 0-12-00-90 RAFSAN JANI TN JL BALANAK RT L X 28 Th 30-Jul-2019
21/38 TJ LAUT INDAH
5,361 0-12-02-30 FARIDA ARIYANI NY JL MALUKU RT 16/10 P X 49 Th 30-Jul-2019
BTN KCY API API
5,362 0-12-05-35 PARSINI BINTI JJ A YANI RT 24 P Baru; X 60 Th 30-Jul-2019 Fever, unspecified; R50.9; Dirawat
AKUPJUMI NY APIAPI
5,363 0-12-06-11 PAHOL BIN SAWAKRI JL. MANUNGGAL RT L Lama; X 57 Th 30-Jul-2019 Traumatic amputation; S88.9;
TN 07 BERBAS PANTAI
5,364 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L Baru; X 7 Th 30-Jul-2019 Otitis media, unspec; H66.9;
AN RT 09 BONTANG
LESTARI
5,365 0-12-06-33 M RIFFAT FAHRUL I JL SATYA LENCANA L X 7 Th 30-Jul-2019
AN RT 09 BONTANG
LESTARI

20/Sep/2019 296
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,366 0-12-06-69 RAHMA MULIATI NY JL ,KM 12 DESA P Baru; X 26 Th 30-Jul-2019 Secondary amenorrhoe; N91.1;
SUKA DAMAI TELUK
PANDAN
5,367 0-12-07-07 FITRAYANTI NY BY JL GENDANG 1 RT P X 12 Hr 30-Jul-2019
22/7 BTG BARU
5,368 0-12-07-19 JOKO PURNOMO, TN JL. KALIMANTAN L Lama; X 57 Th 30-Jul-2019 Cutaneous abscess, f; L02;
BLOK H-2 RT 18
API-API
5,369 0-12-07-48 EDMUNDUS EMBU, JL. BANDUNG 2 RT L Lama; X 51 Th 30-Jul-2019 Otitis media, unspec; H66.9;
TN 25/28 GN TELIHAN
5,370 0-12-07-82 ALY KRISTANTI NY JL P SUYANATA P Lama; X 35 Th 30-Jul-2019 Urinary tract infect; N39.0;
SENDAWAR
5,371 0-12-08-12 SELVIANNA NY JL SELAT GASPOR P Baru; X 15 Th 30-Jul-2019 Postpartum care and ; Z39;
RT 33 / 87
5,372 0-12-09-18 RAFI LONGSE JL. MARANGKAYU 4 L Baru; X 7 Th 30-Jul-2019 Tuberculosis of othe; A18;
PARURA, AN RT 12/- M KAYU
5,373 0-12-09-32 HIKMAL REZA JL. SELAT SELAYAR L Lama; X 12 Th 30-Jul-2019 Fracture of lower en; S52.5;
SAPUTRA AN RT 12 NO 54
5,374 0-12-09-68 IKHE LIDIYAWATI NY JL. KAPAL PINISI 2 P Baru; X 6 Hr 30-Jul-2019 Other preterm infant; P07.3;
BY RT 48 NO 36
5,375 0-12-09-86 NURUL ARUM SARI JL PALEMBANG RT P Baru; X 23 Th 30-Jul-2019 Chronic persistent h; K73.0;
NY 16 / 45 GUNUNG
TELIHAN
5,376 0-12-10-41 PADLI BIN MASHURI JL SULTAN SYAHRIR L X 36 Th 30-Jul-2019
TN GG BETE BETE RT
07/- TJ LAUT IND
5,377 0-12-10-56 MARWIYAH NY JL. MAWAR NO 13 P X 75 Th 30-Jul-2019
BUKIT INDAH
5,378 0-12-10-64 ADI LUHUNG TN JL BHAYANGKARA L Baru; X 25 Th 30-Jul-2019 Urinary tract infect; N39.0;
ASPOLRES GUNUNG
ELAI
5,379 0-12-10-90 HESEKIEL SIAHAAN, JL. CUT NYAK DIEN L X 19 Th 30-Jul-2019
SDR RT 13 BONTANG
BARU
5,380 0-12-10-91 BRYAN GONZALES F JL. PARIKESIT RT 11 L X 16 Th 30-Jul-2019
S, SDR BONTANG BARU
5,381 0-12-11-05 PONIMAH NY JL POROS BTG P X 42 Th 30-Jul-2019
SANGATTA RT 18
5,382 0-12-11-19 ARKAS RAMLER JL. RUMAH DINAS L Baru; X 26 Th 30-Jul-2019 Dengue fever [classi; A90;
ORYZA, TN BEA CUKAI RT14/47
TJ LAUT INDAH
5,383 0-12-11-19 ARKAS RAMLER JL. RUMAH DINAS L X 26 Th 30-Jul-2019
ORYZA, TN BEA CUKAI RT14/47
TJ LAUT INDAH

20/Sep/2019 297
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,384 0-12-11-29 BUSNAWANSYAH, TN JL. SELAT GASPOR L Baru; X 54 Th 30-Jul-2019 Acute renal failure,; N17.9;
RT 34 NO 25
TANJUNG LAUT
5,385 0-12-11-37 ARBANI , TN JL. DEWI SARTIKA L X 36 Th 30-Jul-2019
RT 17 BTG KUALA
5,386 0-12-11-42 INDAH KURNIA,NY PC 4-161 LOMPLEKS P Baru; X 38 Th 30-Jul-2019 Otitis media, unspec; H66.9;
PT BADAK
BONTANG
5,387 0-12-11-43 KATRINE ELISABETH JL HOP 6 RT -/62 GN P X 4 Th 30-Jul-2019
H H AN ELAI
5,388 0-12-11-54 RAHLI RAHIMA AN JL BELAWAI RT 22/- P X 12 Th 30-Jul-2019
B PANTAI
5,389 0-12-11-55 DWI MELIYANTI B A L JL M EFENDI BLOK P X 21 Th 30-Jul-2019
NN 12 NO 2 BTN PKT
5,390 0-12-11-61 M FAKHRUROZI Y, JL. PC 4 NO 73 KOMP L Baru; X 17 Th 30-Jul-2019 Otitis media, unspec; H66.9;
SDR PT BADAK NGL
5,391 0-12-11-62 NICA TRI JL. ASRUD RT 07/F1 P Lama; X 38 Th 30-Jul-2019 Necrosis of pulp; K04.1;
WAHYUNDA, NY GN ELAI
5,392 0-12-11-63 VIGA SEPTA R SDR JL PATIMURA RT 42 L Baru; X 16 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
KEL. B. BARU
5,393 0-12-11-64 MUSTAMIN ,TN JL. PATTIMURA GG L X 42 Th 30-Jul-2019
ATLETIK 20 A
5,394 0-12-11-65 SANIMA, NY JL IMAM BONJOL RT P X 37 Th 30-Jul-2019
12 GUNUNG ELAI B.
UTARA
5,395 0-12-11-66 SANIMA NY BY JL. IMAM BONJOL L X 0 Hr 30-Jul-2019
RT. 12 GUNUNG ELAI
5,396 0-12-11-67 SRI HERINI, NY JL. KS TUBUN GG P X 40 Th 30-Jul-2019
WAKAF 2
5,397 0-12-11-68 BAHARUDDING JL. WARAKAS 66 RT L X 76 Th 30-Jul-2019
ATENG, TN 05 B. UTARA
5,398 0-12-11-69 ADE HESTIANI JL. MH TAMRIN GG P Baru; X 25 Th 30-Jul-2019 Supervision of norma; Z34;
ASNAN , NY TROMPET 1 RT 25/16
BTG BARU
5,399 0-12-11-70 HASNAH BINTI MADA JL. BATU SAHASA 5 P X 48 Th 30-Jul-2019
HS, NY RT 07/- B KUALA
5,400 0-12-11-71 HASNAWATI NY JL. SAMRATULANGI P Baru; X 25 Th 30-Jul-2019 Otitis media, unspec; H66.9;
GG PAUS 2 NO 14 TJ
LAUT INDAH
5,401 0-12-11-72 NURFADILAH JL. PELABUHAN 3 P X 23 Th 30-Jul-2019
MASHUD NN GG BAWAL 2 RT 12
5,402 0-12-11-73 WULANDARI NN JL. DIPONEGORO P Baru; X 16 Th 30-Jul-2019 Connective and other; D21.9;
RT 18

20/Sep/2019 298
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,403 0-12-11-74 NUR RAISYAH PUTRI JL. LINMAS II RT 08/- L Baru; X 5b 30-Jul-2019 Other chronic suppur; H66.3;
A, AN B LESTARI
5,404 0-12-11-74 NUR RAISYAH PUTRI JL. LINMAS II RT 08/- L X 5b 30-Jul-2019
A, AN B LESTARI
5,405 0-12-11-75 TALISYA AMINUDIN S, JL. ASRUD RT 07/F1 P Baru; X 6 Th 30-Jul-2019 Disturbances in toot; K00.6;
AN GN ELAI
5,406 0-12-11-76 ROMI TN JL. KAPAL FERI RT L X 21 Th 30-Jul-2019
07 NO 17
5,407 0-12-11-77 ANDI IRA YANI, NN JL. SEMANGKO RT P X 20 Th 30-Jul-2019
02/- M KAYU
5,408 0-12-11-78 NUR ALIM TN JL. POROS BTG - L X 46 Th 30-Jul-2019
SMD KM 12
SUKADAMAI
5,409 0-12-11-79 QONITA ANGGUN JL. TENNIS RT 37/- P Baru; X 4 Th 30-Jul-2019 Specific development; F80;
SALSABILA, AN API-API
5,410 0-12-11-80 M RIZAL PALLAO, JL. KERAPU II RT 16/- L X 20 Th 30-Jul-2019
SDR TJ LAUT INDAH
5,411 0-12-11-81 LENA ROZA, NY JL. JEND SUDIRMAN P Baru; X 52 Th 30-Jul-2019 Asthma, unspecified; J45.9;
RT 26/- TJ LAUT
5,412 0-12-11-82 PINKAN ERNANDA JL SELAT MALAKA 2 P X 28 Th 30-Jul-2019
RESMITA SNY RT 10 BTG SELATAN
5,413 0-12-11-83 MUHAMMAD AFKHAR JL PANTIMURA 50M L Baru; X 8 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
AN RT 32 KEL API API
BTG UTARA
5,414 0-12-11-84 NORODIN BIN JL. S PARMAN RT/- L Baru; X 24 Th 30-Jul-2019 Bronchitis, not spec; J40;
SUHADI, TN GG SUKA MAKMUR
5,415 0-12-11-85 JUMAIDIL AZRI AN JL HANDEL 3 L Baru; X 9b 30-Jul-2019 Otitis media, unspec; H66.9;
SANTAN TENGAH
RT 02 MARANGKAYU
5,416 0-12-11-86 IIS ARISKA S NY JL. MAWAR 2 RT P Baru; X 22 Th 30-Jul-2019 Disorder of urinary ; N39.9;
36NO 33
5,417 0-12-11-87 M HILMAN TN JL. BABAKAN L Baru; X 58 Th 30-Jul-2019 Acute pharyngitis, u; J02.9;
GUNUNG GEDE NO
27
5,418 0-12-11-88 SUMARDI BIN JL. DSN HANDIL 2 RT L Baru; X 15 Th 30-Jul-2019 Urinary tract infect; N39.0; Dirawat
SULTANG, AN 8 M KAYU
5,419 0-12-11-89 M KEVIN NUGROHO JL SULTAN SYAHRIR L Baru; X 6 Th 30-Jul-2019 Dental caries, unspe; K02.9;
AN NO 40 RT 05 TJ LAUT
BTG SELATAN
5,420 0-12-11-90 SAMSIAH NY JL BANDENG RAWA P Baru; X 39 Th 30-Jul-2019 Dyspepsia; K30; Dirawat
INDAH RT 22 BTG
UTARA

20/Sep/2019 299
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,421 0-12-11-91 ADI NUGROHO TN JL WOLOGITO RT 8 L X 34 Th 30-Jul-2019
RW7 KANBANG
ARUM JAWA TEGAH
5,422 0-12-11-93 MEYRA HASIHOLAN S JL. BIOLA GG 4 RT P X 2b 30-Jul-2019
AN 07 NO 66
5,423 0-12-11-94 YUMNA MALIKAH, AN JL. SULTAN P Baru; X 10 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
HASANUDDIN NO
130 BERBAS PANTAI
5,424 0-12-11-95 AGUS WINDU K, SDR JL. CUT NYAK DIEN L Baru; X 21 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
RT 09 NO 03
BONTANG BARU
5,425 0-12-11-96 NUR HIFZA HUMAIRA JL SELAT SELAYAR P X 10 b 30-Jul-2019
AN RT 13/38 TJ LAUT
5,426 0-12-11-97 SAMSUL ARIFIN SDR JL BAYANGKARA RT L Baru; X 19 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
17 GUNUNG ELAI
5,427 0-12-11-98 M ASWIN SDR JL SULAN SYAHRIR L Baru; X 19 Th 30-Jul-2019 Injury of unspecifie; T14; Dirawat
RT 13 TJ LAUT
5,428 0-12-11-99 TIARA SADEWI AN JL GUNUNG P Baru; X 12 Th 30-Jul-2019 Tuberculosis of othe; A18.8+;
MENANGIS RT 12
SEMANGKO
MARANGKAYU
5,429 0-12-12-00 WAHYU ANDRIANTO, JL. PIPA PERTAMINA L Baru; Baru; X 20 Th 30-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
TN RT 23 GUNTUNG unspecified;
5,430 0-12-12-02 WULAN S HUTAJULU JL GAJAH MADA GG P X 26 Th 30-Jul-2019
NY SOLIDARITAS RT
11/8 B TENGAH
5,431 0-12-12-03 GEVARIEL YOEL P AN JL GAJAH MADA GG L X 0 Hr 30-Jul-2019
SOLIDARITAS RT
11/8 BTENGAH
5,432 0-12-12-04 MERSIANI RANTE JL. SELAT LOMBOK P X 24 Th 30-Jul-2019
MALINO, NY RT 05 NO 19
TANJUNG LAUT
5,433 0-12-12-05 FITRI BINTI EDI NY JL KARYA BAKTI RT P X 17 Th 30-Jul-2019
3 BTG LESTARI
5,434 0-12-12-06 ARUMI KHANZA E, AN JL. PELABUHAN RT P X 8b 30-Jul-2019
03 NO 30 LOKTUAN
5,435 0-12-12-07 SUNENGSING, NY JL. PATIMURA RT 32 P Baru; X 39 Th 30-Jul-2019 Acute upper respirat; J06;
API API
5,436 0-12-12-08 MARYAM, AN JL. SULTAN P Baru; X 12 Th 30-Jul-2019 Otitis media, unspec; H66.9;
HASANUDSDIN RT
56 BERBAS TENGAH
5,437 0-12-12-09 NUR ATIROH, NY JL.LUMBA LUMBA RT P X 28 Th 30-Jul-2019
27 TANJUNG LAUT
INDAH

20/Sep/2019 300
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,438 0-12-12-10 WAHYU SATIAWAN HOTEL TIARA L X 22 Th 30-Jul-2019


TN SURYA
5,439 0-00-03-52 SYARIFAH MASNAH, JL. KP TENDEAN RT P X 69 Th 31-Jul-2019
NY HJ 1 NO 40 BTG KUALA
5,440 0-01-15-84 RAMADIANSYAH, AN JL. IKAN TUNA RT 11 L X 12 Th 31-Jul-2019
TANJUNG LAUT
5,441 0-01-74-21 SUBIANI BINTI JL SUTOYO RT.53 P Lama; Lama; X 49 Th 31-Jul-2019 Diarrhoea and gastro; Essential A09;I10; Dirawat
SYAHRIL NY NO.62 B TENGAH Lama; (primary) ; Dyspepsia;
5,442 0-01-76-37 SUKIMIN BIN JL SIDRAP RT 21 NO L Lama; X 46 Th 31-Jul-2019 Non-insulin-dependen; E11;
HUSENG TN 39 GUNTUNG
5,443 0-01-95-12 KARTIA ALI HJ NY. JL.S. HASANUDDIN P Lama; X 58 Th 31-Jul-2019 Acute appendicitis w; K35.0;
RT 23/66 B. PANTAI
5,444 0-02-49-43 PUTRI AMANDA A NY JL. PATIMURA P X 23 Th 31-Jul-2019
RT.3/13 API-API
5,445 0-02-66-61 ALIMIN BIN SADDIKA, JL SULTAN L X 58 Th 31-Jul-2019
TN HASSANUDDIN RT 6
NO 73 B PANTAI
5,446 0-02-74-20 M SOFYAN TN JL MH THAMRIN RT L X 46 Th 31-Jul-2019
01 GN ELAI
5,447 0-02-91-18 ARIFIN SAHRUNA TN. JL. BINTAN RT 16 L Lama; X 54 Th 31-Jul-2019 Non-insulin-dependen; E11;
NO. 17 API - API
5,448 0-02-91-18 ARIFIN SAHRUNA TN. JL. BINTAN RT 16 L X 54 Th 31-Jul-2019
NO. 17 API - API
5,449 0-03-07-72 NURUL ISLAMI, NY. JL. SENDAWAR RT. P Lama; X 34 Th 31-Jul-2019 Supervision of norma; Z34;
19/33 B. BARU
5,450 0-03-94-91 MARLINA , NY. JL KS TUBUN GG P X 31 Th 31-Jul-2019
BASAL RT 15/98 KEL.
BTG KUALA
5,451 0-04-32-69 AGUS BIN MUTALIB JL. PIERE TANDEAN L Baru; X 46 Th 31-Jul-2019 Other headache syndr; G44;
TN RT 1 BTG KUALA
5,452 0-04-78-29 ANISA PADILA NN JL. KS TUBUN RT P Lama; X 20 Th 31-Jul-2019 Dyspepsia; K30; Dirawat
17/61 TJ LAUT
5,453 0-05-35-11 PUTRI AZIZAH JL. S. HASANUDDIN P X 7 Th 31-Jul-2019
AURELIA AN RT. 4/85 B. PANTAI
5,454 0-05-98-81 MARLIA BINTI JL TONGKOL GG P Baru; X 34 Th 31-Jul-2019 Otitis media, unspec; H66.9;
MADANG NY PRIBADI RT 26 NO 16
TJ LAUT INDAH
5,455 0-06-04-18 ALISHA NOVIA AN JL. CUT NYAK DIEN P X 9 Th 31-Jul-2019
RT 13/- B KUALA
5,456 0-06-05-80 BAHARUDDIN TN JL. BALANAK RT L X 32 Th 31-Jul-2019
21/47 TJ LAUT I
5,457 0-06-36-57 RASIMAN H TN JL. A YANI RT 11/02 L X 79 Th 31-Jul-2019
API-API

20/Sep/2019 301
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,458 0-06-46-66 NAJWA KIREI JL. CUMI CUMI RT 01 P X 6 Th 31-Jul-2019


SAKURA, AN TANJUNG LAUT
INDAH
5,459 0-06-53-10 AJNIMAH NY JL. SELAT P X 42 Th 31-Jul-2019
MAKASSAR RT. 25/48
TJ. LAUT
5,460 0-06-60-57 ISNO BIN TRIMO TN JL PENCAK SILAT 1 L Baru; X 63 Th 31-Jul-2019 Dyspepsia; K30;
RT 12 API API
5,461 0-06-62-43 RAYANA YASMINE F JL. MESS PETROSEA P X 6 Th 31-Jul-2019
AN NO 177
5,462 0-06-94-68 M SAIRUL H TN JL. BARU SAHASA L Lama; X 72 Th 31-Jul-2019 Hyperplasia of prost; N40;
RT 6 BTG KUALA
5,463 0-07-51-46 WANCIK BIN DAMIN JL A YANI RT 05 TJ L Baru; X 52 Th 31-Jul-2019 Thyrotoxicosis, unsp; E05.9;
TN LAUT
5,464 0-07-55-02 IBRAHIMOVIC JL. PATIMURA RT 41 L X 7 Th 31-Jul-2019
ANGGARA R, AN API API
5,465 0-07-69-86 HABBAH BIN RAMLI JL. PAPRIKA RT 44/4 L X 46 Th 31-Jul-2019
TN GN ELAI
5,466 0-07-71-69 MUARA SILALAHI, TN JL PONTIANAK 1 RT L Lama; X 55 Th 31-Jul-2019 Non-insulin-dependen; E11;
24 / 23 GN TELIHAN
5,467 0-07-75-00 ADI BIN TOMPO TN JL. BUNAKEN RT 18/- L Lama; X 49 Th 31-Jul-2019 Traumatic amputation; S88;
B PANTAI
5,468 0-07-79-98 DARMAWATI BIN JL MH THAMRIN RT P Baru; X 34 Th 31-Jul-2019 Otitis media, unspec; H66.9;
LADALI NY 26 BTG BARU
5,469 0-07-82-10 VALENTINA MALABI P JL PERINTIS RT 6 / P Baru; X 33 Th 31-Jul-2019 Supervision of norma; Z34;
A, NY 24 KANAAN
5,470 0-07-87-50 NGOLU SANTO JL. ALEXANDER RT. L X 40 Th 31-Jul-2019
SITANGGANG TN 09/10 B TENGAH
5,471 0-07-88-47 BUNGA EJA S HJ NY JL. DIPONEGORO P Lama; X 54 Th 31-Jul-2019 Nausea and vomiting; R11; Dirawat
RT. 10/20 B PANTAI
5,472 0-07-89-26 SITI RAHMATIAH, NY JL KALIMANTAN RT P X 27 Th 31-Jul-2019
18 NO. K-1 BTN KCY
API API
5,473 0-07-96-09 MASRAN BIN MAT JL A YANI RT 11/70 L Lama; X 66 Th 31-Jul-2019 Connective and other; D21.9;
AMIN TN API API
5,474 0-07-99-30 AARON ZAKI, AN JL SELAT BADUNG L Baru; X 5 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
RT 14 NO. 17 TJ
LAUT
5,475 0-08-16-16 AYU TRI TUNGGAL JL. SULTAN P X 24 Th 31-Jul-2019
DEWI, NY HASANUDDIN RT 04
BERBAS PANTAI
5,476 0-08-16-53 A SYAIFULLAH, TN JL. SULTAN L Baru; Baru; X 65 Th 31-Jul-2019 Benign paroxysmal ve; Acute upper H81.1;J0 Dirawat
SYAHRIR RT 03 NO respirat;
02 TANJUNG LAUT

20/Sep/2019 302
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,477 0-08-30-14 IMAH BINTI SALI NY JL POROS BTG SMD P Baru; X 44 Th 31-Jul-2019 Connective and other; D21.9;
RT 10/11 TELUK
PANDAN
5,478 0-08-32-24 ERWIN SUSILOWATI JL. KS TUBUN RT 32 P Baru; X 40 Th 31-Jul-2019 Dyspepsia; K30; Dirawat
NY API-API
5,479 0-08-37-56 SURYANI NY JL. WR SUPRATMAN P X 36 Th 31-Jul-2019
RT 27 TJ LAUT
5,480 0-08-49-85 CHOLILLUL JL. SABANG RT 20/7 L Baru; X 18 Th 31-Jul-2019 Dental caries; K02;
FADLILLAH A SDR API-API
5,481 0-08-57-53 ANDI MASYITA, NY JL.. GRIYA WISATA P X 25 Th 31-Jul-2019
RT 14 BONTANG
KUALA
5,482 0-08-74-15 TITAH AMINI, NY JL. SULTAN P X 29 Th 31-Jul-2019
HASANUDDIN RT 25
BERBAS TENGAH
5,483 0-08-79-47 FAQIH AFFAN NUR JL. PIANO 6 RT 3 L Baru; X 5 Th 31-Jul-2019 Hydrocele and sperma; N43;
IZZAN, AN BTG BARU
5,484 0-08-81-12 ABDUL AZIZ R, TN JL. KS TUBUN RT 17 L Baru; X 54 Th 31-Jul-2019 Foreign body in ear; T16;
NO 38 TANJUNG
LAUT
5,485 0-08-87-09 PUTRI ALYA JL HM ARDANS RT P X 6 Th 31-Jul-2019
AZZAHRA, AN 25 SATIMPO
5,486 0-08-87-37 SATRIADI BIN M JL HM ARDAN RT 24 L Baru; X 38 Th 31-Jul-2019 Dyspepsia; K30;
TAHIR TN SATIMPO
5,487 0-08-98-74 HAFIQ BIN AN JL GATOT SUBROTO L Baru; X 3 Th 31-Jul-2019 Viral infection, uns; B34.9;
RT 20/ B PANTAI
5,488 0-08-99-51 FEBRIANTO BIN JL. R SUPRAPTO RT L X 29 Th 31-Jul-2019
WASIMAN TN 23 API-API
5,489 0-09-18-25 M RIFAN NAFI TN JL PEPAYA RT 25 NO L X 35 Th 31-Jul-2019
27 BTN PKT
BELIMBING
5,490 0-09-18-25 M RIFAN NAFI TN JL PEPAYA RT 25 NO L X 35 Th 31-Jul-2019
27 BTN PKT
BELIMBING
5,491 0-09-27-67 MASNA BINTI JL TIHI TIHI RT 17 P X 42 Th 31-Jul-2019
TOBULENG NY BON LES
5,492 0-09-32-36 SUHRAH NY JL KOL RT 8 NO 13 B P X 56 Th 31-Jul-2019
GN ELAI
5,493 0-09-34-73 FINA MELLISA NY JL DEWI SARTIKA P Baru; X 36 Th 31-Jul-2019 Contraceptive manage; Z30;
RT 28 NO 57 BTG
BARU
5,494 0-09-61-85 RISKA AULIA, NY JL. KS TUBUN RT, 17 P Baru; X 25 Th 31-Jul-2019 Connective and other; D21.9;
TL INDAH

20/Sep/2019 303
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,495 0-09-72-18 ZULKIPLI BIN JL KP TENDEAN RT L Lama; X 33 Th 31-Jul-2019 Cutaneous abscess, f; L02;
NANANG TN 10 BTG KUALA
5,496 0-09-85-16 MARKUS BURA, TN JL. SAWO I RT 34 NO L Baru; X 60 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
15 TANJUNG LAUT
5,497 0-09-86-17 SRI HANDAYANI, NY JL MAHONI HOP 1 P X 36 Th 31-Jul-2019
RT 19 NO 84 PT
BADAK SATIMPO
5,498 0-09-87-21 NUR ALYAH ASRIANI JL. BUNAKEN RT 19 P X 16 Th 31-Jul-2019
NY KEL. BERBAS
PANTAI
5,499 0-09-90-64 NISAARWA ATSUKO JL. DI PANJAITAN RT P Baru; X 1 Th 31-Jul-2019 Viral infection, uns; B34.9;
A AN 27 API API
5,500 0-09-93-09 RAHMAT MAULANA JL. KS TUBUN GG L Lama; X 12 Th 31-Jul-2019 Dental caries; K02;
AN WAKAF 3 RT 16 B.
KUALA
5,501 0-10-10-54 ANNISA MAULIDA JL SULTAN P X 8 Th 31-Jul-2019
PUTRI AN HASANUDDIN RT 1
NO 6 B PANTAI
5,502 0-10-39-39 HUSLIANA, NY JL. CUMI CUMI RT 01 P Baru; X 49 Th 31-Jul-2019 Essential (primary) ; I10;
NO 20 TANJUNG
LAUT
5,503 0-10-43-25 HJ NURFAIDAH NY JL KAPAL FERI RT P X 48 Th 31-Jul-2019
10/55 LOKTUAN
5,504 0-10-43-53 JOHARIAH HJ , NY JL. KAPAL FERI RT P Baru; X 63 Th 31-Jul-2019 Chronic myeloid leuk; C92.1;
09/29 LOKTUAN
5,505 0-10-51-00 ROSMANIAH BIN JL. MH THAMRIN GG P Lama; X 36 Th 31-Jul-2019 Supervision of norma; Z34;
BIRUHIM NY TROMPET RT 25/48
BTG BARU
5,506 0-10-52-54 M AL FATIH B P AN JL A YANI GG L X 1 Th 31-Jul-2019
ANGGAR 5 RT 6 NO
44 API API
5,507 0-10-56-28 FATLIA ARIS NN JL PANGANDARAN P X 24 Th 31-Jul-2019
RT 13 NO 166 B
PANTAI
5,508 0-10-58-59 ANWAR BIN JL KENANGAN RT 30 L X 66 Th 31-Jul-2019
BAKKARING TN TJ LAUT
5,509 0-10-68-07 KIKI WIJAYANTI, NY JL. PATTIMURA GG P Baru; X 28 Th 31-Jul-2019 Other chronic suppur; H66.3;
ATLETIK 11 RT 27/-
API-API
5,510 0-10-69-67 CORNELIA ELEANOR JL. DI PANJAITAN RT P Baru; X 1 Th 31-Jul-2019 Viral infection, uns; B34.9;
J, AN 04 BONTANG BARU
5,511 0-10-72-69 THONY BIN ARMIUN JL S HASANUDDIN L Baru; X 29 Th 31-Jul-2019 Viral infection, uns; B34.9;
TN RT 02 B PANTAI

20/Sep/2019 304
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,512 0-10-74-25 DINNI APRILIANI D , JL. ZAMRUD 7 RT 17 P Baru; X 22 Th 31-Jul-2019 Supervision of norma; Z34;
NY NO 22 B TGH
5,513 0-10-74-83 ANNISYA PUTRI ,NN JL. A YANI GG P X 21 Th 31-Jul-2019
RAWIN RT 9/46
API-API
5,514 0-10-84-53 UWIE ANDRI SDR JL KENANGAN RT L Baru; X 20 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
30/ TJ LAUT
5,515 0-10-92-65 PONCO SUSANTO , JL. S BADUNG RT 14 L X 45 Th 31-Jul-2019
TN TJ LAUT
5,516 0-10-93-03 MULIATI BINTI JL. INTAN 2 RT 29/- B P Lama; X 44 Th 31-Jul-2019 Dental caries; K02;
AHMAD, NY TENGAH
5,517 0-10-93-52 ZANI SYAH FITRI NN JL A YANI GG RAWA P Baru; X 26 Th 31-Jul-2019 Conjunctivitis, unsp; H10.9;
INDAH RT 09/46 API
API
5,518 0-10-94-41 PATRA NY JL KAPT PIERE P Baru; X 29 Th 31-Jul-2019 Unspecified renal co; N23;
TENDEAN RT 18/
BTG KUALA
5,519 0-10-96-82 SAPIRUDDIN , TN JL. WR SUPRATMAN L Lama; X 38 Th 31-Jul-2019 Dyspepsia; K30;
RT 27 TJ LAUT
5,520 0-11-05-11 NAYLA AGHNIA JL KENANGAN RT 30 P X 9b 31-Jul-2019
SHANUM, AN TJ LAUT
5,521 0-11-05-11 NAYLA AGHNIA JL KENANGAN RT 30 P X 9b 31-Jul-2019
SHANUM, AN TJ LAUT
5,522 0-11-11-65 ROSDIANA BINTI JL. DIPONEGORO RT P X 19 Th 31-Jul-2019
ARHAM, NN 17/- B PANTAI
5,523 0-11-19-88 ZUKHRIYADI JL CAMP 2000 PAMA L Lama; X 49 Th 31-Jul-2019 Non-insulin-dependen; E11;
SETYAWAN TN
5,524 0-11-29-18 CURIDAH BINTI JL KOL 1 RT 08/42 P X 25 Th 31-Jul-2019
NIRTO NY GN ELAI
5,525 0-11-36-05 MUHTI ALI, TN JL. MULAWARMAN L X 46 Th 31-Jul-2019
RT 27 NO 06
BONTANG BARU
5,526 0-11-37-16 ASPUL, TN JL. BATU SAHASA 1 L Baru; X 51 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
RT. 10 N O. 11 BTG
KUALA
5,527 0-11-47-21 BAIM FAA IQ DINATA JL PERUM PAMA L X 3 Th 31-Jul-2019
AN BTG LESTARI
5,528 0-11-49-15 INA INDRAWATI, NY JL CUT NYAK DIEN P Lama; X 33 Th 31-Jul-2019 Injury of unspecifie; T14;
RT 28 BONTANG
BARU
5,529 0-11-49-29 AMIR MAHMUD , TN JL. PAKU AJI GG L X 52 Th 31-Jul-2019
MELATI RT 31
LOKTUAN

20/Sep/2019 305
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,530 0-11-55-33 MASNAH BINTI NY JL. WR SUPRATMAN P Lama; X 38 Th 31-Jul-2019 Supervision of norma; Z34;
RT 27 TJ LAUT
5,531 0-11-70-11 KUSMIN, NY JL. KS TUBUN GG P Baru; X 41 Th 31-Jul-2019 Other specified inte; B81.8;
KERAPU 2 RT 16
TANJUNG LAUT
5,532 0-11-70-33 SUTI BINTI MANGUN JL PIANO 6 RT 03/81 P Baru; X 55 Th 31-Jul-2019 Otitis media, unspec; H66.9;
NY B BARU
5,533 0-11-75-89 MITHA DWI PUSPITA JL KS TUBUN GG P Baru; X 19 Th 31-Jul-2019 Fracture of shaft of; S82.2;
S NY BERSAMA RT 32/64
APIAPI
5,534 0-11-77-67 ANDI DAHRI TN JL TEUKU UMAR RT L Baru; X 69 Th 31-Jul-2019 Dyspepsia; K30; Dirawat
22/- BERBAS PANTAI
5,535 0-11-77-90 MARINONG BINTI JL PATIMURA RT P Lama; X 52 Th 31-Jul-2019 Non-insulin-dependen; E11;
ARSYAD NY 14/35 API API
5,536 0-11-81-86 SULTAN, TN JL. MARMER RT 18 L X 40 Th 31-Jul-2019
BONTANG LESTARI
5,537 0-11-83-96 ITA DWI ASTUTI NY JL BALIKPAPAN RT P Baru; X 24 Th 31-Jul-2019 Gynaecological exami; Z01.4;
14 GUNUNG
TELIHAN
5,538 0-11-84-24 SRI MURTI NY JL. MUTIARA RT 08 P X 50 Th 31-Jul-2019
BERBAS TENGAH
5,539 0-11-97-18 ULYA NAILAH JL PATTIMURA GG P X 7 Th 31-Jul-2019
RAMADHINI AN ATLETIK 20 RT 41
API API
5,540 0-12-02-03 NURLAELIN NAJAH JL IMAM BONJOL RT P Baru; X 18 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
NY 12 GN ELAI
5,541 0-12-03-51 MUHAMMAD HUSEIN JL SELAT BONE RT L Baru; X 14 Th 31-Jul-2019 Otitis media, unspec; H66.9;
S H AN 18 TJ LAUT
5,542 0-12-03-85 KIRANA NURTIARA JL. SULTAN P X 1 Th 31-Jul-2019
AN HASANUDDIN RT 2
5,543 0-12-04-39 CHESSY PUTRI JL. PELABUHAN 1 P X 20 Hr 31-Jul-2019
ARRAH AN GAG KETAMBAK 2
TJ LAUT
5,544 0-12-07-07 FITRAYANTI NY BY JL GENDANG 1 RT P X 13 Hr 31-Jul-2019
22/7 BTG BARU
5,545 0-12-07-13 M AL FATIH, AN JL. WR SUPRATMAN L Lama; X 3b 31-Jul-2019 Impacted cerumen; H61.2;
RT 24/- B TENGAH
5,546 0-12-07-43 M RISKY ABDILLAH N JL. PERANGAT RT 14 L Lama; X 8 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
AN
5,547 0-12-07-47 SAJID AL SAKHI, AN JL. BATU SAHASA L X 9b 31-Jul-2019
RT 02/09 B KUALA

20/Sep/2019 306
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut
5,548 0-12-07-83 MUJIATI BIN SAKUR JL KS TUBUN GG P X 45 Th 31-Jul-2019
NY NILA 2 RT 28
TANJUNG LAUT
INDAH
5,549 0-12-08-19 APRIANA ABADI NY JL MH THAMRIN TJ P Baru; X 22 Th 31-Jul-2019 Dengue fever [classi; A90;
LIMAU
5,550 0-12-08-77 NADILA AULIA AN JL SULTAN L Baru; X 13 Th 31-Jul-2019 Other chronic suppur; H66.3;
HASANUDDIN RT 33 /
47 BERBAS TENGAH
5,551 0-12-09-41 ALIF HAFIZH JL BUNAKEN RT 19 B L X 8 Hr 31-Jul-2019
PRATAMA, AN TENGAH
5,552 0-12-09-93 ARY FATURRAHMAN JL TIM TIM BLOK F L Baru; X 29 Th 31-Jul-2019 Chronic pansinusitis; J32.4;
R TN RT 17/ 02 API API
5,553 0-12-10-56 MARWIYAH NY JL. MAWAR NO 13 P X 75 Th 31-Jul-2019
BUKIT INDAH
5,554 0-12-10-57 NORMA NY JL. DENPASAR 3 RT P Baru; X 31 Th 31-Jul-2019 Cholesteatoma of mid; H71;
09
5,555 0-12-10-90 HESEKIEL SIAHAAN, JL. CUT NYAK DIEN L X 19 Th 31-Jul-2019
SDR RT 13 BONTANG
BARU
5,556 0-12-10-90 HESEKIEL SIAHAAN, JL. CUT NYAK DIEN L X 19 Th 31-Jul-2019
SDR RT 13 BONTANG
BARU
5,557 0-12-11-39 LIMBA, TN JL. SANTAN ILIR RT L Baru; X 75 Th 31-Jul-2019 Non-insulin-dependen; E11;
03 MARANGKAYU
5,558 0-12-11-88 SUMARDI BIN JL. DSN HANDIL 2 RT L Lama; X 15 Th 31-Jul-2019 Urinary tract infect; N39.0;
SULTANG, AN 8 M KAYU
5,559 0-12-11-92 AMIR BIN MAJJA, TN JL. KM 10 RT 22/- L X 34 Th 31-Jul-2019
DESA SEBUNTAL M
KAYU
5,560 0-12-11-95 AGUS WINDU K, SDR JL. CUT NYAK DIEN L X 21 Th 31-Jul-2019
RT 09 NO 03
BONTANG BARU
5,561 0-12-12-00 WAHYU ANDRIANTO, JL. PIPA PERTAMINA L X 20 Th 31-Jul-2019
TN RT 23 GUNTUNG
5,562 0-12-12-01 MUHAMMAD RIZQI, JL. KP TENDEAN RT L X 11 b 31-Jul-2019
AN 15 BONTANG KUALA
5,563 0-12-12-04 MERSIANI RANTE JL. SELAT LOMBOK P X 24 Th 31-Jul-2019
MALINO, NY RT 05 NO 19
TANJUNG LAUT
5,564 0-12-12-06 ARUMI KHANZA E, AN JL. PELABUHAN RT P X 8b 31-Jul-2019
03 NO 30 LOKTUAN
5,565 0-12-12-07 SUNENGSING, NY JL. PATIMURA RT 32 P X 39 Th 31-Jul-2019
API API

20/Sep/2019 307
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,566 0-12-12-08 MARYAM, AN JL. SULTAN P X 12 Th 31-Jul-2019


HASANUDSDIN RT
56 BERBAS TENGAH
5,567 0-12-12-09 NUR ATIROH, NY JL.LUMBA LUMBA RT P X 28 Th 31-Jul-2019
27 TANJUNG LAUT
INDAH
5,568 0-12-12-10 WAHYU SATIAWAN HOTEL TIARA L Baru; Baru; X 22 Th 31-Jul-2019 Viral infection, uns; Fever, B34.9;R Dirawat
TN SURYA unspecified;
5,569 0-12-12-11 HANA KHUMAYRAH H JL KUNNU DG P X 0 Hr 31-Jul-2019
, AN MALEPPE RT 02
DESA KERSIK
5,570 0-12-12-11 HANA KHUMAYRAH H JL KUNNU DG P X 0 Hr 31-Jul-2019
, AN MALEPPE RT 02
DESA KERSIK
5,571 0-12-12-12 M JUSUF MADJID TN JL ZAMBRUD 3 RT L X 45 Th 31-Jul-2019
42/31 KP BARU
5,572 0-12-12-12 M JUSUF MADJID TN JL ZAMBRUD 3 RT L X 45 Th 31-Jul-2019
42/31 KP BARU
5,573 0-12-12-13 FATIMAH AZZAHRA JL SELAT MALAKA P X 14 Th 31-Jul-2019
AN RT 14/- TJ LAUT
INDAH
5,574 0-12-12-14 AISYAH NUHA JL KARYA BAKTI RT P X 0 Hr 31-Jul-2019
ZAHIRA AN 13/- BTG LESTARI
5,575 0-12-12-14 AISYAH NUHA JL KARYA BAKTI RT P X 0 Hr 31-Jul-2019
ZAHIRA AN 13/- BTG LESTARI
5,576 0-12-12-15 SARTIKA DEASY A NY JL ASRAMA POLRES P Baru; X 29 Th 31-Jul-2019 Dyspepsia; K30; Dirawat
RT 11/13 GN ELAI
5,577 0-12-12-16 MADINA BINTI NY JL ACAMAT SANTAN P X 38 Th 31-Jul-2019
ILIR RT 03 M KAYU
5,578 0-12-12-16 MADINA BINTI NY JL ACAMAT SANTAN P X 38 Th 31-Jul-2019
ILIR RT 03 M KAYU
5,579 0-12-12-17 RISMA NY JL. KAPAL PINISI 2 P X 45 Th 31-Jul-2019
RT 48
5,580 0-12-12-18 NUR AINI NY JL. PATTIMURA RT P Baru; X 37 Th 31-Jul-2019 Supervision of norma; Z34;
27 NO 06 API API
5,581 0-12-12-19 WINARTI BY NY JL. SULAWESI RT 10 L X 0 Hr 31-Jul-2019
API-API
5,582 0-12-12-20 ASMAWATI BINTI JL. R SOEPRAPTO P Baru; X 53 Th 31-Jul-2019 Connective and other; D21.9;
MASHYOR NY RT 23/14 API-API
5,583 0-12-12-20 ASMAWATI BINTI JL. R SOEPRAPTO P X 53 Th 31-Jul-2019
MASHYOR NY RT 23/14 API-API
5,584 0-12-12-21 DWI ENDAH JL. JAKARTA PERUM P Baru; X 20 Th 31-Jul-2019 Injury of unspecifie; T14; Dirawat
SEPTIANI NN KOPRI BLOK AQ NO
7 LOA BAKUNG

20/Sep/2019 308
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,585 0-12-12-22 FINA ANJANI , AN JL. MH TAMRIN P X 12 Th 31-Jul-2019


KELADI 2 RT 03 NO
46 GN ELAI
5,586 0-12-12-23 AGUS SUPRAPTO , JL. MT HARYONO L Baru; X 43 Th 31-Jul-2019 Oesophageal varices; I85;
TN GG WORTEL RT 4/72
GN ELAI
5,587 0-12-12-24 SITI ROSYIDAH, NY JL. DEWI SARTIKA P X 39 Th 31-Jul-2019
PERUM SERATON
RT 08/72 B BARU
5,588 0-12-12-25 YASMINA FAKHIRA F, JL. DEWI SARTIKA P X 4 Th 31-Jul-2019
AN PERUM SERATON
RT 08/72 B BARU
5,589 0-12-12-26 ABDUL HAMID AN JL. SIDRAP RT 20 L X 17 Th 31-Jul-2019
GUNTUNG
5,590 0-12-12-27 FATIMAH KANTU NY JL. BRING KATAMSO P Baru; X 65 Th 31-Jul-2019 Periapical abscess w; K04.7;
RT 15
5,591 0-12-12-28 SANJAYA BIN ACIM, JL. KOL 17 RT 18/03 L Baru; Baru; X 26 Th 31-Jul-2019 Deposits [accretions; Pulpitis; K03.6;K
TN GN ELAI
5,592 0-12-12-29 FIRAAS DZAKIIR JL. PATTIMURA GG L Baru; X 6 Th 31-Jul-2019 Injury of unspecifie; T14; Dirawat
ARKAAN, AN ATLETIK 20C RT
41/134 API-API
5,593 0-12-12-30 DENNY AYU LESTARI, JL. KENANGAN RT P Baru; X 21 Th 31-Jul-2019 Abdominal and pelvic; R10;
NN 30/- TJ LAUT
5,594 0-12-12-31 ELSEVA VICTORIA JL. A YANI GG P X 14 Hr 31-Jul-2019
SIAGIAN, AN ANGGAR I RT 02/08
API-API
5,595 0-12-12-32 SRI MULYANI NY JL KS TUBUN RT 15 P X 45 Th 31-Jul-2019
NO 8 BTG KUALA
BTG UTARA
5,596 0-12-12-33 M BILAL AN JL MH THAMRIN GG L X 0 Hr 31-Jul-2019
TEROMPET RT 25/48
BTG BARU
5,597 0-12-12-34 ADNAN MAHARDIKA JL. PELABUHAN RT L X 26 Hr 31-Jul-2019
S, AN 09 TANJUNG LAUT
5,598 0-12-12-35 FAIZA SYIFA JL KH DEWANTARA P X 2 Th 31-Jul-2019
MUTHIAH R AN RT 35 TJ LAUT
5,599 0-12-12-36 ZHABIL BIN DALLE TN JL PRAMUKA 3 L X 19 Th 31-Jul-2019
BALTIM RT 1
BONTANG LESTARI
5,600 0-12-12-37 SYAKHSIYYAH SAKHI JL MAHONI HOP 1 / P X 1 Th 31-Jul-2019
N AN 82 SATIMPO
5,601 0-12-12-38 M AIDIL AZKA P AN JL DIPONEGORO L Baru; X 1 Th 31-Jul-2019 Viral infection, uns; B34.9;
BERBAS PANTAI RT
15

20/Sep/2019 309
Sensus Rawat Jalan
01 Jul 2019 s/d 31 Jul 2019
Poliklinik : Rawat Jalan
Semua Kelompok Pasien

No. No. Nama Pasien Alamat Sex Kasus Kunjungan Umur Tgl Masuk Golongan-Sebab Sakit ICD Tindakan Tindak
Medrec L/P Baru Lama lanjut

5,602 0-12-12-39 YULIANA NY JL WR SUPRATMAN P X 50 Th 31-Jul-2019


RT 20 BERBAS
PANTAI
5,603 0-12-12-40 HIJRIANA LAUDIN NY JL GATOT SUBROTO P X 28 Th 31-Jul-2019
RT 20 BERBAS
PANTAI
5,604 0-12-12-41 ROSMINI NY JL WR SUPRATMAN P X 36 Th 31-Jul-2019
RT 27 TJ LAUT
5,605 0-12-12-42 MUHAMMAD ILYAS, JL. BATU SAHASA L X 62 Th 31-Jul-2019
TN RT 03 BONTANG
KUALA
5,606 0-12-12-43 NAKILA NUR JL ZAMBRUD GG 10 P X 4 Th 31-Jul-2019
SALSABILA AN RT 48/27 B TENGAH

20/Sep/2019 310

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