Register Pasien 123

<table class='tabel' width='90%'>
<tr class="form">
<td align="center" colspan="9">
<big><big>
DATA REGISTER PASIEN 
2023-05-01 s/d 31-05-2023 RAWAT INAP
</big></big>
</td>
</tr>
</table>
201<table align="center" width="98%" border="1">
<tr class="row1">
<td>No</td>
<td>Ruangan</td>
<td width='6%'>Tanggal</td>
<td>Khusus</td>
<td>Nama</td>
<td>No RM</td>
<td>RM Lama</td>
<td>No BPJS</td>
<td>No KTP</td>
<td>No KK</td>
<td>Suami/ Istri/ Penanggungjawab</td>
<td>No HP</td>
<td>L/P</td>
<td >Tanggal_Lahir</td>
<td width='6%'>Umur</td>
<td>Alamat</td>
<td>Desa</td>
<td>Kecamatan</td>
<td>Kabupaten</td>
<td>Provinsi</td>
<td>Pekerjaan</td>
<td>Kunjungan</td>
<td>Kode Kunjungan</td>
<td>Keluhan</td>
<td>Terapi</td>
<td>Tensi</td>
<td>Nadi</td>
<td>Suhu</td>
<td>Pernapasan</td>
<td>Tinggi</td>
<td>Berat</td>
<td>Lingkar Perut</td>
<td>Faskes</td>
<td>Kasus</td>
<td colspan='6'>Diagnosa</td>
<td>Petugas</td>
<td width='20%'>Tindakan</td>
</tr>
<tr align='left' valign="top">
<td>1</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>NURHIDAYAH</td>
<td>`025831</td>
<td></td>
<td>`0001051872917</td>
<td>`3603035112960001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>23-09-1995</td>
<td>27 Th</td>
<td>RT 029 RW 009 DS. JOMBOK KEC. PULE KAB.TRENGGALEK, RT : 29,RW :9 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING GLIYENG BATUK</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>156</td>
<td>60</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
Acute upper respiratory infection, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. RIZKY SABRINA </td>
<td>
Rawat Inap pasien BPJS Rawat Inap pasien BPJS Rawat Inap pasien
BPJS </td>
</tr>
<td>2</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>SUYATI</td>
<td>`025832</td>
<td></td>
<td>`0000106773625</td>
<td>`3503034606530004</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>06-06-1955</td>
<td>68 Th</td>
<td>RT 38 RW 11 DESA JOHO KECAMATAN PULE KABUPATEN TRENGGALEK, RT : 38,RW :11
</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil (PNS)</td>
<td>Lama</td>
<td></td>
<td>PANAS NYERI TELAN</td>
<td>-</td>
<td>130/90</td>
<td>82</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>64</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS Rawat Inap pasien BPJS Rawat Inap pasien BPJS </td>
</tr>
<td>3</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>ROMI</td>
<td>`025833</td>
<td></td>
<td>`0002681621166</td>
<td>`3503037008430001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>30-08-1943</td>
<td>79 Th</td>
<td>WERU DESA JOHO</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani / Pekebun</td>
<td>Lama</td>
<td></td>
<td>BATUK SESAK</td>
<td>-</td>
<td>110/70</td>
<td>97</td>
<td>36</td>
<td>28</td>
<td>145</td>
<td>50</td>
<td>74</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>N39.0</td>
<td>
Urinary tract infection, site not specified </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>4</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>DAMI</td>
<td>`025827</td>
<td></td>
<td>`0000664598237</td>
<td>`3503035203690004</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-03-1969</td>
<td>54 Th</td>
<td>8/3 SIDOMULYO</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,MUAL,MUNTAH</td>
<td>-</td>
<td>150/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
Essential (primary) hypertension </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
Biaya rawat inap pasien umum per hari Biaya rawat inap pasien umum per
hari Biaya rawat inap pasien umum per hari </td>
</tr>
<td>5</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>RENI WIJAYANTI</td>
<td>`008015</td>
<td>14579</td>
<td>`0000665242514</td>
<td>`3503044206950001</td>
<td>`</td>
<td>REBO</td>
<td>082228159836</td>
<td>P</td>
<td>02-06-1995</td>
<td>28 Th</td>
<td>RT 17 RW 05 DSN WERU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Mengurus Rumah Tangga</td>
<td>Lama</td>
<td></td>
<td>PUSING,MUAL,MUNTAH</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS Rawat Inap pasien BPJS </td>
</tr>
<td>6</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>MITUN</td>
<td>`025828</td>
<td></td>
<td>`</td>
<td>`3503034904630003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>09-04-1963</td>
<td>60 Th</td>
<td>DS JOHO DSN KRAJAN, RT : 13,RW :4 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Petani/Pekebun</td>
<td>Lama</td>
<td></td>
<td>MUAL,MUNTAH,NYERI ULU HATI</td>
<td>-</td>
<td>160/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>7</td>
<td>RAWAT INAP</td>
<td>01-05-2023</td>
<td></td>
<td>KHAISAR JOHAN RAMADHAN</td>
<td>`025829</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-05-2020</td>
<td>3 Th</td>
<td>GAJAH 6/2</td>
<td>GAJAH</td>
<td>SAMBIT</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,BATUK,PILEK</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>37</td>
<td>22</td>
<td>90</td>
<td>12</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>8</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>MAIDI</td>
<td>`026026</td>
<td></td>
<td>`0003186308529</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>06-01-1936</td>
<td>87 Th</td>
<td>PUYUNG PULE TRENGGALEK</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMAS, NYERIPINGGANG,BATUK, MULAI TIGA HARI</td>
<td>-</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>165</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
dr. INTAN WAHYU PRABANDARI </td>
<td>
BPJS </td>
</tr>
<td>9</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>KABIN</td>
<td>`005489</td>
<td>14837</td>
<td>`0003266651632</td>
<td>`3503031001430001</td>
<td>`
</td>
<td>kabin</td>
<td></td>
<td>L</td>
<td>10-01-1943</td>
<td>80 Th</td>
<td>RT 001,RW 001,DESA KEMBANGAN KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
1,RW :1 </td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum / Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI,PUSING,BADAN KEJU LINU</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
hari Biaya rawat inap pasien umum per hari Biaya rawat inap pasien umum per
</tr>
<td>10</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>MARDJITA</td>
<td>`025838</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1968</td>
<td>54 Th</td>
<td>RT 04 RW 01 DESA PULE</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Karyawan Swasta</td>
<td>Lama</td>
<td></td>
<td>panas 3 hari, pusing, mual, myeri persendian, batuk, yeri perut kiri</td>
<td>-</td>
<td>150/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>60</td>
<td>85</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>11</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>SISKA AMELIA</td>
<td>`025875</td>
<td></td>
<td>`0001036924514</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-06-2001</td>
<td>21 Th</td>
<td>RT 16 RW 02</td>
<td>NGLEBO</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, BATUK, MUAL, MUNTAH</td>
<td>-</td>
<td>100/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
Acute nasopharyngitis [common cold] </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>12</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>SURTI YULIANA</td>
<td>`020700</td>
<td></td>
<td>`0000664773941</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-10-1983</td>
<td>39 Th</td>
<td>KARANGANYAR</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td></td>
<td>BATUK,PUSING, MUAL, NYERI ULU HATI</td>
<td>-</td>
<td>100/69</td>
<td>88</td>
<td>37</td>
<td>22</td>
<td>150</td>
<td>50</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>13</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>LILIK ISTIKOMAH</td>
<td>`025876</td>
<td>2698</td>
<td>`0003515540804</td>
<td>`3503035905030001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-2003</td>
<td>20 Th</td>
<td>RT.018 RW.010, DESA PULE, KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
18,RW :10 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL, NYERI ULU HATI, PUSING, PANAS</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>51</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>14</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>KAMSRI</td>
<td>`013153</td>
<td>3097</td>
<td>`0003093905913</td>
<td>`3503037112600077</td>
<td>`
</td>
<td>AMIN</td>
<td></td>
<td>P</td>
<td>31-12-1960</td>
<td>62 Th</td>
<td>RT 13 RW 5 DSN KRAJAN</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, MUAL, PUSING</td>
<td>-</td>
<td>80/60</td>
<td>69</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>68</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>15</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>YENI</td>
<td>`025877</td>
<td></td>
<td>`0000665429253</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>21-06-1965</td>
<td>57 Th</td>
<td>KRAJAN, PULE, RT : 6,RW :3 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUNTAH, NYERI PERUT</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>152</td>
<td>52</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>16</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>LADI</td>
<td>`012952</td>
<td>244</td>
<td>`0000665454587</td>
<td>`3503030809510001</td>
<td>`
</td>
<td>LADI</td>
<td></td>
<td>L</td>
<td>08-09-1951</td>
<td>71 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>SESAK, MUAL</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>28</td>
<td>150</td>
<td>50</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
Rawat Inap pasien BPJS Rawat Inap pasien BPJS </td>
</tr>
<td>17</td>
<td>RAWAT INAP</td>
<td>02-05-2023</td>
<td></td>
<td>SALMA NURAINI</td>
<td>`012399</td>
<td></td>
<td>`0000665034862</td>
<td>`35030348008010003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>08-08-2001</td>
<td>21 Th</td>
<td>RT : 64,RW :18 DSN SIDEM</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar/Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, MUAL, PUSING</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>18</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>SUKATMI</td>
<td>`025731</td>
<td></td>
<td>`0003503181194</td>
<td>`3503035205630003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>12-05-1963</td>
<td>60 Th</td>
<td>RT 23 RW 08, DS.PAKEL, KEC.PULE, KAB.TRENGGALEK., RT : 23,RW :8 </td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>SesaAk,pusing, panas, batuk kering</td>
<td>-</td>
<td>130/80</td>
<td>112</td>
<td>37</td>
<td>28</td>
<td>150</td>
<td>47</td>
<td>57</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
Biaya rawat inap pasien umum per hari </td>
</tr>
<td>19</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>PANIRAH</td>
<td>`000619</td>
<td></td>
<td>`0000664901471</td>
<td>`3503036103580001</td>
<td>`158757</td>
<td></td>
<td></td>
<td>P</td>
<td>21-03-1958</td>
<td>65 Th</td>
<td>RT 14 RW 05 DS SUKOKIDUL KEC PULE KAB TRENGGALEK, RT : 014,RW :005 </td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>PETANI/PEKEBUN</td>
<td>Lama</td>
<td></td>
<td>pusing,perut terasa panas, ektermitas kanan terasa lemas</td>
<td>-</td>
<td>170/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>20</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>ADIKA BAGASKARA</td>
<td>`026016</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>28-10-2018</td>
<td>4 Th</td>
<td>RT23RW12 DESA PUYUNG</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pelajar / Mahasiswa</td>
<td>Lama</td>
<td></td>
<td>demam , muntah sering,</td>
<td>-</td>
<td>90/60</td>
<td>115</td>
<td>36</td>
<td>20</td>
<td>87</td>
<td>18</td>
<td>28</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>21</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>WARIJO</td>
<td>`011458</td>
<td></td>
<td>`0000665146798</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>29-12-1958</td>
<td>64 Th</td>
<td>DS PULE DSN DEPOK, RT : 28,RW :15 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Pusing panas 5 hari</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
Biaya rawat inap pasien umum per hari Rawat Inap pasien BPJS Rawat Inap
pasien BPJS Rawat Inap pasien BPJS </td>
</tr>
<td>22</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>TIMIN</td>
<td>`025897</td>
<td></td>
<td>`0000798993033</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-06-1969</td>
<td>54 Th</td>
<td>16/4 TANGGARAN</td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mual,muntah, bab cair, pusing berputar</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
Diarrhoea and gastroenteritis of presumed infectious origin</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>23</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>SUDARNO</td>
<td>`019333</td>
<td></td>
<td>`0003006870592</td>
<td>`3503030105760005</td>
<td>`3503032506050095</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1976</td>
<td>47 Th</td>
<td>DUSUN KRAJAN</td>
<td>PAKEL</td>
<td>PULE</td>
<td>KAB. TRENGGALEK</td>
<td>JAWA TIMUR </td>
<td></td>
<td>Lama</td>
<td></td>
<td>mual, badan linu.</td>
<td>-</td>
<td>90/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
Dr. Ika Veristiana Santi </td>
<td>
</tr>
<td>24</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>MARNI</td>
<td>`012395</td>
<td>1887/10/19</td>
<td>`0000663531401</td>
<td>`3503030404630003 </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>04-04-1963</td>
<td>60 Th</td>
<td>RT 051,RW 025, DSN TIRISAN</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BATUK,LEMAS, PUSING BERPUTAR</td>
<td>-</td>
<td>170/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>68</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>25</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>TUKIDJAN</td>
<td>`025903</td>
<td></td>
<td>`</td>
<td>`3503030805450003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-1945</td>
<td>78 Th</td>
<td>RT.014,RW 001, DESA TANGGARAN, KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
14,RW :1 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL,PUSING,NYERI ULU HATI</td>
<td>-</td>
<td>170/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>26</td>
<td>RAWAT INAP</td>
<td>03-05-2023</td>
<td></td>
<td>JAINEM</td>
<td>`025904</td>
<td></td>
<td>`0001864886747</td>
<td>`3502025501650003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-01-1965</td>
<td>58 Th</td>
<td>RT 6 RW 3</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL</td>
<td>-</td>
<td>190/100</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>74</td>
<td>84</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>27</td>
<td>RAWAT INAP</td>
<td>04-05-2023</td>
<td></td>
<td>PANIYEM</td>
<td>`025921</td>
<td></td>
<td>`0003177394931</td>
<td>`3503034407550001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>04-07-1955</td>
<td>67 Th</td>
<td>DS PULE, RT : 53,RW :26 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BICARA CEDAL, EKSTREMITAS KIRI LEMAH</td>
<td>-</td>
<td>160/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>G46.4</td>
<td>
Cerebellar stroke syndrome </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>28</td>
<td>RAWAT INAP</td>
<td>04-05-2023</td>
<td></td>
<td>NARKAM</td>
<td>`025922</td>
<td>4701</td>
<td>`0000664658109</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1977</td>
<td>45 Th</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUNTAH, PUSING</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>29</td>
<td>RAWAT INAP</td>
<td>04-05-2023</td>
<td></td>
<td>LINA DWI R</td>
<td>`019571</td>
<td>10812</td>
<td>`0002583581174</td>
<td>`3503035011930002</td>
<td>`
</td>
<td>MUNTOHIR</td>
<td></td>
<td>P</td>
<td>10-11-1993</td>
<td>29 Th</td>
<td>RT. 017, RW. 005 DSN WERU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT KANAN BAWAH, BAK PANAS</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>68</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>N39.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>30</td>
<td>RAWAT INAP</td>
<td>04-05-2023</td>
<td></td>
<td>ANNISA DIAH AZKADINA</td>
<td>`021237</td>
<td>21105</td>
<td>`</td>
<td>ÀNNISA DIAH</td>
<td>`</td>
<td>RINGGO</td>
<td></td>
<td>P</td>
<td>01-03-3021</td>
<td>-998 Th</td>
<td>DSN SIDEM RT 53 RW 15</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas batuk kering mulai kemarin, muntah kalau batuk</td>
<td>-</td>
<td>80/60</td>
<td>98</td>
<td>37</td>
<td>30</td>
<td>79</td>
<td>11.2</td>
<td>43</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.8</td>
<td>
Other acute upper respiratory infections of multiple sites </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>31</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>OLIVIANA BEAUTIFUL</td>
<td>`003688</td>
<td>6198</td>
<td>`0000664793559</td>
<td>`3503037107060001</td>
<td>`
</td>
<td>CHOLIL MUBIN</td>
<td></td>
<td>P</td>
<td>31-07-2006</td>
<td>16 Th</td>
<td>DSN NGRANDU, RT : 35,RW :10 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, batuk , filek, lemas</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>63</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>32</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>SAMAN</td>
<td>`025923</td>
<td>9400</td>
<td>`0000665435924</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>11-02-1973</td>
<td>50 Th</td>
<td>RT 52 RW 25 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, NYERI ULU HATI</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>78</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>33</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>MUTIYAH</td>
<td>`003352</td>
<td>13939</td>
<td>`0000664982987</td>
<td>`3503036304960001</td>
<td>`
</td>
<td>SUYANTO</td>
<td>082232090765</td>
<td>P</td>
<td>23-04-1996</td>
<td>27 Th</td>
<td>RT 48 RW 24 DS.PULE, KEC.PULE, KAB.TRENGGALEK, RT : 48,RW :24 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>lemes mual2,nafsu makan menurun 1Mminggu</td>
<td>MRS</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>42</td>
<td>53</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>34</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>ANDIK SETIAWAN</td>
<td>`025914</td>
<td>9986</td>
<td>`0002214065709</td>
<td>`3503051407870002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>14-07-1987</td>
<td>35 Th</td>
<td>RT. 017 RW.009,</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing berputar mual mual muntah 4hari. panas 2hari</td>
<td>MRS</td>
<td>120/80</td>
<td>90</td>
<td>37</td>
<td>20</td>
<td>170</td>
<td>67</td>
<td>73</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>35</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>RANTI</td>
<td>`025935</td>
<td>1874</td>
<td>`</td>
<td>`3503035106500002</td>
<td>`
</td>
<td>PAIMIN</td>
<td></td>
<td>P</td>
<td>11-06-1950</td>
<td>72 Th</td>
<td>DSN KRAJAN DS PUYUNG, RT : 2,RW :1 </td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT,PUSING BERPUTAR, MUAL</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>68</td>
<td></td>
<td>KASUS BARU</td>
<td>H81.4</td>
<td>
Vertigo of central origin </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>36</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>YUNITA PUSPITASARI</td>
<td>`008738</td>
<td></td>
<td>`0000664624809</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>11-06-2002</td>
<td>20 Th</td>
<td>DUSUN TURI RT 005 RW 003</td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>37</td>
<td>RAWAT INAP</td>
<td>05-05-2023</td>
<td></td>
<td>NONA SEPTI KHARISMA</td>
<td>`025936</td>
<td></td>
<td>`0002014081391</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-09-2003</td>
<td>19 Th</td>
<td>DESA PULE</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas lima hari, pusing, mual, nyeri ulu hati</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>56</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>38</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>MUKADI</td>
<td>`007198</td>
<td>20107</td>
<td>`0003055457733</td>
<td>`3503031203660005</td>
<td>`
</td>
<td>MUKADI</td>
<td></td>
<td>L</td>
<td>12-03-1966</td>
<td>57 Th</td>
<td>RT 013 RW 007 DSN GUGUR</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Perangkat Desa</td>
<td>Lama</td>
<td></td>
<td>badan sebelah kanan terasa mar mar</td>
<td>-</td>
<td>170/100</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>167</td>
<td>55</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</td>
</tr>
<td>39</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>NASIKIN</td>
<td>`025944</td>
<td>6769</td>
<td>`0000665444193</td>
<td>`3503031605960001</td>
<td>`
</td>
<td>MUSIN</td>
<td></td>
<td>L</td>
<td>16-05-1996</td>
<td>27 Th</td>
<td>DSN KRAJAN RT 10 RW 03 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing sebelah kiri</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>75</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>40</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>YOGA SAPUTRA</td>
<td>`025961</td>
<td></td>
<td>`0001707089995</td>
<td>`3503031209010001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-2001</td>
<td>21 Th</td>
<td>RT 08 RW 04, DS.KEMBANGAN, KEC.PULE, KAB.TRENGGALEK, RT : 8,RW :4 </td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,MUAL, PUSING, NYERI ULU HATI</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>163</td>
<td>56</td>
<td>0</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>41</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>PONIJAN</td>
<td>`024551</td>
<td>18593</td>
<td>`0003517516653</td>
<td>`3503030404550001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>04-04-1955</td>
<td>68 Th</td>
<td>RT 22,RW 03,DESA KARANGANYAR KECAMATAN PULE KABUPATEN TRENGGALEK, RT :
22,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BATUK BERDAHAT SESAK PUSING</td>
<td>-</td>
<td>100/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>42</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>DEVITA VELLANI</td>
<td>`014379</td>
<td></td>
<td>`0000663678066</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-12-2008</td>
<td>14 Th</td>
<td>RT 37 RW 11 DESA JOMBOK</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,MENGGIGIL,BATUK,PILEK</td>
<td>-</td>
<td>100/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>43</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>SITI NUR ASIYAH</td>
<td>`025977</td>
<td></td>
<td>`0000664965426</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-06-1989</td>
<td>34 Th</td>
<td>34/4 KARANGANYAR</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,PUSING,NYERI SAAT BAK, BATU,MUAL</td>
<td>-</td>
<td>110/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>J06.9</td>
<td>
<td>N39.0</td>
<td>
<td>
<td>
</tr>
<td>44</td>
<td>RAWAT INAP</td>
<td>06-05-2023</td>
<td></td>
<td>DEVI WANDA CANTIKA</td>
<td>`003766</td>
<td>5871</td>
<td>`0002842484229</td>
<td>`3503034705050002</td>
<td>`
</td>
<td>AGUS SUWITO</td>
<td></td>
<td>P</td>
<td>07-05-2005</td>
<td>18 Th</td>
<td>RT 37 RW 11 D.S JOMBOK, KEC. PULE, KAB. TRENGGALEK, RT : 37,RW :11 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>DATANG DENGAN KELUHAN,PUSING,MENGGIGIL,BATUK,PILEK</td>
<td>-</td>
<td>100/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>J00</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>45</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>ALFARIO</td>
<td>`025981</td>
<td></td>
<td>`0000665657212</td>
<td>`3503031907060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-2008</td>
<td>15 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, pusing, lemes, nyei perut</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>54</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
Fever with chills </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>46</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>ALFARIO</td>
<td>`025981</td>
<td></td>
<td>`0000665657212</td>
<td>`3503031907060002</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>08-05-2008</td>
<td>15 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS 1HARI,NYERI PERUT TEMBUS PUNGGUNG</td>
<td>-</td>
<td>128/80</td>
<td>80</td>
<td>39</td>
<td>20</td>
<td>161</td>
<td>55</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</td>
</tr>
<td>47</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>SATIYEM</td>
<td>`001757</td>
<td>4008</td>
<td>`0000665109145</td>
<td>`3503037011580003</td>
<td>`</td>
<td>ABDUL GOFUR</td>
<td></td>
<td>P</td>
<td>01-11-1958</td>
<td>64 Th</td>
<td>KARANG ANYAR</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, nyeri ulu hati, mual, keju linu, perut terasa panas</td>
<td>-</td>
<td>130/80</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>45</td>
<td>64</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R05</td>
<td>
Cough </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>J00</td>
<td>
<td>
<td>
</tr>
<td>48</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>YAINEM</td>
<td>`025960</td>
<td>5606</td>
<td>`</td>
<td>`3503035503750001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>15-03-1975</td>
<td>48 Th</td>
<td>RT 021 RW 006</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>lemes ndredeg</td>
<td>pengobatan</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>49</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>KARINEM</td>
<td>`007128</td>
<td>2120/11/19</td>
<td>`</td>
<td>`3503035201700004</td>
<td>`
</td>
<td>SARLAN</td>
<td>082232500639</td>
<td>P</td>
<td>12-01-1970</td>
<td>53 Th</td>
<td>DSN PONGGOK RT : 31,RW :4 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING BERPUTAR, NYERI PERUT BAWAH, KAKI TERASA SAKIT</td>
<td>-</td>
<td>110/70</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>36</td>
<td>45</td>
<td>0</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>50</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>MISRI</td>
<td>`011661</td>
<td></td>
<td>`0000665111744</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>12-02-1980</td>
<td>43 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI TEMBUS BELAKANG,MUAL, PUSING, BADAN SAKIT SEMUA</td>
<td>-</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>49</td>
<td>0</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>51</td>
<td>RAWAT INAP</td>
<td>07-05-2023</td>
<td></td>
<td>LAMIJEM</td>
<td>`014800</td>
<td>757/04/18</td>
<td>`</td>
<td>`3503035905560001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>19-05-1956</td>
<td>67 Th</td>
<td>RT. 029, RW. 008 DSN NGRANDU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUNTAH SERING, PUSING, BATUK KERING</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>54</td>
<td>0</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>52</td>
<td>RAWAT INAP</td>
<td>08-05-2023</td>
<td></td>
<td>SUMIRAN</td>
<td>`025098</td>
<td>5382</td>
<td>`0000665406922</td>
<td>`3503031209580001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1958</td>
<td>64 Th</td>
<td>RT 003,RW 001,DSN KRAJAN</td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Nyeri Punggung Kumat2 an mulai tadi malam,Riwayat Opname 3 bulan Yang
Lalu</td>
<td>-</td>
<td>160/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>55</td>
<td>75</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>M54.0</td>
<td>
Panniculitis affecting regions of neck and back </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>53</td>
<td>RAWAT INAP</td>
<td>08-05-2023</td>
<td></td>
<td>MISNI</td>
<td>`009074</td>
<td>7652</td>
<td>`0000104685671</td>
<td>`3502020506700006</td>
<td>`
</td>
<td>MISNI</td>
<td></td>
<td>L</td>
<td>05-06-1970</td>
<td>53 Th</td>
<td>RT 14 RW 05 DSN DONOSARI</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri perut kiri bawah</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>60</td>
<td>90</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>54</td>
<td>RAWAT INAP</td>
<td>08-05-2023</td>
<td></td>
<td>WONEM</td>
<td>`015262</td>
<td>4799</td>
<td>`0000663574656</td>
<td>`3503030703610001</td>
<td>`</td>
<td>PONIYEM</td>
<td></td>
<td>P</td>
<td>07-03-1961</td>
<td>62 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>SESAK, PUSING, PERUT SEBAH</td>
<td>-</td>
<td>120/80</td>
<td>96</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>45</td>
<td>57</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>J45.8</td>
<td>
Mixed asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>55</td>
<td>RAWAT INAP</td>
<td>08-05-2023</td>
<td></td>
<td>TRIA SUCI RAHMADANI</td>
<td>`025999</td>
<td></td>
<td>`0001916719953</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-08-2011</td>
<td>11 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT, PANAS, TANGAN KAKU</td>
<td>-</td>
<td>80/60</td>
<td>104</td>
<td>38</td>
<td>20</td>
<td>130</td>
<td>28</td>
<td>52</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>56</td>
<td>RAWAT INAP</td>
<td>08-05-2023</td>
<td></td>
<td>KATENI</td>
<td>`026000</td>
<td></td>
<td>`</td>
<td>`3503032112550081</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1955</td>
<td>67 Th</td>
<td>DESA KARANGANYAR, RT : 37,RW :4 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL, NYERI PERUT, PUSING</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>57</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>CHARISMA OKTA</td>
<td>`020525</td>
<td>7145</td>
<td>`</td>
<td>`3503034410120001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>04-10-2012</td>
<td>10 Th</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Belum/Tidak Bekerja</td>
<td>Lama</td>
<td></td>
<td>BATUK, SESAK</td>
<td>-</td>
<td>80/60</td>
<td>98</td>
<td>36</td>
<td>24</td>
<td>130</td>
<td>25</td>
<td>50</td>
<td></td>
<td>KASUS BARU</td>
<td>J45.8</td>
<td>
Mixed asthma </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>58</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>KATMI</td>
<td>`015292</td>
<td>3058</td>
<td>`0003100924664</td>
<td>`3503035908580003</td>
<td>`
</td>
<td>PARJI</td>
<td></td>
<td>P</td>
<td>19-08-1958</td>
<td>64 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI,PUSING,MUAL,BADAN SAKIT SEMUA</td>
<td>-</td>
<td>170/100</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>51</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>59</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>YATINI</td>
<td>`026004</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>09-05-1984</td>
<td>39 Th</td>
<td>SIKI RT 38 RW 08</td>
<td>SIKI</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,MUAL,MUNTAH, NYERI ULU HATI</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>70</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J00</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>60</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>SUWARNI</td>
<td>`016292</td>
<td>20870</td>
<td>`</td>
<td>`3503031506630002</td>
<td>`
</td>
<td>SUWARNI</td>
<td></td>
<td>L</td>
<td>15-06-1963</td>
<td>59 Th</td>
<td>RT.027,RW 003</td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>SESAK,NYERI DADA KIRI MENJALAR KE BAHU KIRI,JIKA JALAN NGOS2AN</td>
<td>MRS</td>
<td>180/100</td>
<td>56</td>
<td>36</td>
<td>22</td>
<td>160</td>
<td>54</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</td>
</tr>
<td>61</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>WOIJEM</td>
<td>`010559</td>
<td>17395</td>
<td>`0000665733194</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-11-1959</td>
<td>63 Th</td>
<td>DUSUN NGEPRING RT27 RW11</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>sesak,bengkak di seluruh tubuh</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>50</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</td>
</tr>
<td>62</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>AURELYSTA BERLYANZA PUTRI YONTA</td>
<td>`026022</td>
<td></td>
<td>`0001302686831</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>26-12-2007</td>
<td>15 Th</td>
<td>28/15 PULE</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,NYERI ULU HATI</td>
<td>-</td>
<td>100/60</td>
<td>82</td>
<td>39</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>63</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>PARTIYAH</td>
<td>`002634</td>
<td>10827</td>
<td>`</td>
<td>`3503034907650001</td>
<td>`
</td>
<td>TARMIJAN</td>
<td></td>
<td>P</td>
<td>09-07-1965</td>
<td>57 Th</td>
<td>RT 021 RW 006 DSN GADING</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,MUAL,BADAN MAR MAR</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R51</td>
<td>
Headache </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>64</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>DWI RETMADANI</td>
<td>`014563</td>
<td>10904</td>
<td>`0000665316808</td>
<td>`3503036203930001</td>
<td>`
</td>
<td>Nyoto wiyono</td>
<td></td>
<td>P</td>
<td>22-03-1993</td>
<td>30 Th</td>
<td>DSN DEPOK, RT : 028,RW :015 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING BERPUTAR</td>
<td>-</td>
<td>120/80</td>
<td>92</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>65</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>IKA SARIANA</td>
<td>`014463</td>
<td>16110</td>
<td>`0000664617137</td>
<td>`3503035508950003</td>
<td>`
</td>
<td>SALI</td>
<td></td>
<td>P</td>
<td>15-08-1995</td>
<td>27 Th</td>
<td>DSN WERU, RT : 018,RW :005 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MUAL, MUNTAH</td>
<td>-</td>
<td>120/80</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>66</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>SARLI</td>
<td>`004327</td>
<td>761</td>
<td>`0000106670823</td>
<td>`3503031607410001</td>
<td>`3503030202110001
</td>
<td>SARLI</td>
<td>082142126755/082245220863</td>
<td>L</td>
<td>16-07-1941</td>
<td>81 Th</td>
<td>RT 66 RW 25 DSN TIRISAN</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pensiunan</td>
<td>Lama</td>
<td></td>
<td>MUAL, MUNTAH</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>J45.0</td>
<td>
Predominantly allergic asthma </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R51</td>
<td>
Headache </td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>67</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>RATNO</td>
<td>`026024</td>
<td></td>
<td>`0000665553093</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1957</td>
<td>65 Th</td>
<td>RT 9 RW 5</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL, NYERI ULU HATI,PUSING</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>H81.0</td>
<td>
Meniere`s disease </td>
<td>R50.0</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>68</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>ISNAN NUR AINI</td>
<td>`019086</td>
<td>3870</td>
<td>`0000664615618</td>
<td>`3503030609980004</td>
<td>`
</td>
<td>ISNAN NUR AINI</td>
<td></td>
<td>L</td>
<td>06-09-1998</td>
<td>24 Th</td>
<td>RT 15 RW 03 DSN PONGGOK </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, MUNTAH, BATUK</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>155</td>
<td>54</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>69</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>LAMIJEM</td>
<td>`026025</td>
<td></td>
<td>`</td>
<td>`3503034602480003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>06-02-1948</td>
<td>75 Th</td>
<td>RT 26 RW 11 DESA SIDOMULYO KECAMATAN PULE KABUPATEN TRENGGALEK, RT :
26,RW :11 </td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, NYERI ULU HATI</td>
<td>-</td>
<td>180/100</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>150</td>
<td>54</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>R10.0</td>
<td>
Acute abdomen </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>70</td>
<td>RAWAT INAP</td>
<td>09-05-2023</td>
<td></td>
<td>NURUL ANGGRAINI</td>
<td>`023096</td>
<td>20640</td>
<td>`</td>
<td>`3503035507980001</td>
<td>`
</td>
<td>NAHRUDIN TOHIR</td>
<td>082302017892</td>
<td>P</td>
<td>15-07-1998</td>
<td>24 Th</td>
<td>RT 11 RW 06 DESA PUYUNG KECAMATAN PULE KABUPATEN TRENGGALEK, RT :
11,RW :6 </td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,PUSING, BATUK</td>
<td>-</td>
<td>100/70</td>
<td>88</td>
<td>40</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>A90</td>
<td>
Dengue fever [classical dengue] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>71</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>LAMIDI</td>
<td>`017401</td>
<td>250/02/22</td>
<td>`0000664383418</td>
<td>`3503030806730002</td>
<td>`lamidi</td>
<td></td>
<td></td>
<td>L</td>
<td>08-06-1973</td>
<td>49 Th</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>MUAL MUNTAH SERING SEJAK KEMARIN</td>
<td>-</td>
<td>110/70</td>
<td>85</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>60</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>R11</td>
<td>
Nausea and vomiting </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>72</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>MAIMUNAH</td>
<td>`009528</td>
<td>7932</td>
<td>`0002014114151</td>
<td>`3503034306840003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1984</td>
<td>39 Th</td>
<td>RT 06 RW 03 DESA PUYUNG KECAMATAN PULE KABUPATEN TRENGGALEK, RT : 6,RW :3
</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>ADA BENJOLAN DI KELAMIN</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td>Karanganyar</td>
<td>KASUS BARU</td>
<td>L02.9</td>
<td>
Cutaneous abscess, furuncle and carbuncle, unspecified </td>
<td>N75.9</td>
<td>
Disease of Bartholin`s gland, unspecified </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>73</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>DUWI LUSIANA</td>
<td>`026042</td>
<td>17423</td>
<td>`</td>
<td>`3503044406880007</td>
<td>`</td>
<td>MUGI</td>
<td></td>
<td>P</td>
<td>04-07-1988</td>
<td>34 Th</td>
<td>54/12 DONGKO</td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL,MUNTAH,NYERI ULU HATI</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>58</td>
<td>90</td>
<td>Dongko</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>74</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>LADI</td>
<td>`026043</td>
<td></td>
<td>`0000656601579</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1962</td>
<td>60 Th</td>
<td>DESA JOMBOK, RT : 51,RW :14 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>DEMAM,BADAN NYERI</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A91</td>
<td>
Dengue haemorrhagic fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>75</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>SUNDARI</td>
<td>`010578</td>
<td>11933</td>
<td>`0003064723817</td>
<td>`3503036208880001</td>
<td>`
</td>
<td>suyanto</td>
<td>085230112500</td>
<td>P</td>
<td>22-08-1988</td>
<td>34 Th</td>
<td>RT 040,RW 020 DSN BANGUNSARI</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, BATUK, PILEK, PANAS GREGES 4HR</td>
<td>-</td>
<td>906/60</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>152</td>
<td>45</td>
<td>75</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>76</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>POJEM</td>
<td>`026044</td>
<td></td>
<td>`0000666044943</td>
<td>` 3503035101620001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>11-01-1962</td>
<td>61 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mual, muntah sering, nyeri ulu hati</td>
<td>-</td>
<td>150/90</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>68</td>
<td>85</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>77</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>SUMADI</td>
<td>`026045</td>
<td>17439</td>
<td>`0000663619048</td>
<td>`3503030909540003</td>
<td>`
</td>
<td>SUMADI</td>
<td></td>
<td>L</td>
<td>09-09-1954</td>
<td>68 Th</td>
<td>DS TANGGARAN DSN NGREMANG, RT : 29,RW :3 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING,KEJU LINU</td>
<td>-</td>
<td>170/90</td>
<td>86</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>M76.0</td>
<td>
Gluteal tendinitis </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>R51</td>
<td>
Headache </td>
<td>
<td>
</tr>
<td>78</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>WILLY KURNIA AREFYO</td>
<td>`000424</td>
<td>10733</td>
<td>`0003270646405</td>
<td>`3503032101040002</td>
<td>`90827</td>
<td>HAKIM</td>
<td></td>
<td>L</td>
<td>21-01-2004</td>
<td>19 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,PUSING, MUAL</td>
<td>-</td>
<td>100/70</td>
<td>88</td>
<td>39</td>
<td>20</td>
<td>154</td>
<td>500</td>
<td>68</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A91</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>79</td>
<td>RAWAT INAP</td>
<td>10-05-2023</td>
<td></td>
<td>SOYEM</td>
<td>`026046</td>
<td></td>
<td>`0001914817443</td>
<td>`3503035510550001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>15-10-1955</td>
<td>67 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, MUNTAH</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>68</td>
<td></td>
<td>KASUS BARU</td>
<td>H81.0</td>
<td>
Meniere`s disease </td>
<td>R53</td>
<td>
Malaise and fatigue </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>80</td>
<td>RAWAT INAP</td>
<td>11-05-2023</td>
<td></td>
<td>GIMUN</td>
<td>`018320</td>
<td></td>
<td>`</td>
<td>`3503030203560004</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>02-03-1956</td>
<td>67 Th</td>
<td>DS TANGGARAN DSN KRAJAN, RT : 8,RW :1 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas</td>
<td>-</td>
<td>130/80</td>
<td>84</td>
<td>39</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>81</td>
<td>RAWAT INAP</td>
<td>11-05-2023</td>
<td></td>
<td>SUGIANTO</td>
<td>`026049</td>
<td>14160</td>
<td>`0002013986226</td>
<td>`3503031508810005</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>15-08-1981</td>
<td>41 Th</td>
<td>DSN NGEPRING RT : 28,RW :11 </td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri uluh hati</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>65</td>
<td>Pogalan </td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>82</td>
<td>RAWAT INAP</td>
<td>11-05-2023</td>
<td></td>
<td>SUMIATUN</td>
<td>`017095</td>
<td></td>
<td>`</td>
<td>`3503037112640041</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1964</td>
<td>58 Th</td>
22,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>POST kll </td>
<td>-</td>
<td>80/60</td>
<td>108</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>S09</td>
<td>
Other and unspecified injuries of head </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>83</td>
<td>RAWAT INAP</td>
<td>11-05-2023</td>
<td></td>
<td>MENIK</td>
<td>`026060</td>
<td></td>
<td>`0000665676977</td>
<td>`3503034107650015</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1965</td>
<td>57 Th</td>
<td>68/16 JOMBOK </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>POST PINGSAN</td>
<td>-</td>
<td>110/60</td>
<td>68</td>
<td>24</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>90</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>84</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>MURYATI</td>
<td>`019733</td>
<td>17378</td>
<td>`</td>
<td>`3503034505680003</td>
<td>`
</td>
<td>PARNO</td>
<td></td>
<td>P</td>
<td>05-05-1968</td>
<td>55 Th</td>
<td>RT 028,RW 008,DSN NGRANDU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS PSING</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>39</td>
<td>22</td>
<td>155</td>
<td>55</td>
<td>45</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>85</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>GIMUN</td>
<td>`011430</td>
<td>5730</td>
<td>`0000665898096</td>
<td>`3503033112660027</td>
<td>`
</td>
<td>GIMUUN</td>
<td></td>
<td>L</td>
<td>31-12-1966</td>
<td>56 Th</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, mual</td>
<td>-</td>
<td>120/90</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>65</td>
<td>76</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R16.1</td>
<td>
Splenomegaly, not elsewhere classified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
Rawat Inap pasien BPJS Rawat Inap pasien BPJS Biaya rawat inap pasien
umum per hari Biaya rawat inap pasien umum per hari Biaya rawat inap pasien
umum per hari </td>
</tr>
<td>86</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>PAIKAT</td>
<td>`024724</td>
<td></td>
<td>`0000664527633</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1948</td>
<td>74 Th</td>
<td>DS KEMBANGAN DSN KRAJAN, RT : 9,RW :5 </td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>batuk 1 mgg, sesak, kaki kanan bengkak ada luka</td>
<td>-</td>
<td>150/80</td>
<td>100</td>
<td>37</td>
<td>28</td>
<td>162</td>
<td>54</td>
<td>82</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R06.0</td>
<td>
Dyspnoea </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>87</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>SUNARTO</td>
<td>`014154</td>
<td>1970</td>
<td>`0000665528556</td>
<td>`3503032208780001</td>
<td>`
</td>
<td>SUNARTO</td>
<td></td>
<td>L</td>
<td>22-05-1978</td>
<td>45 Th</td>
<td>DSN DEPOK DS PULE, RT : 24,RW :13 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri pada tangan dan kaki,lemes,pusing, sejak kemarin pagi</td>
<td>-</td>
<td>190/100</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>70</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</td>
</tr>
<td>88</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>SITI SARFIAH </td>
<td>`001966</td>
<td>8802</td>
<td>`0000106801716</td>
<td>`3503034910640003</td>
<td>`</td>
<td>SANTOSO</td>
<td></td>
<td>P</td>
<td>09-10-1964</td>
<td>58 Th</td>
<td>RT 21 RW 02 DSN NGLEDOK</td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>lemes, nyeri ulu hati, pusing cekot", dredeg, mual, batuk sejak
kemarin</td>
<td>-</td>
<td>100/80</td>
<td>97</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>46</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>89</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>PARTINI</td>
<td>`026075</td>
<td></td>
<td>`0002634602163</td>
<td>`3503036502850002</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>25-02-1985</td>
<td>38 Th</td>
<td>RT. 036, RW. 015, DESA SIDOMULYO, KECAMATAN PULE, KABUPATEN TRENGGALEK,
RT : 36,RW :15 </td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMES, NAFSU MAKAN TURUN, BATUK, SESAK, PANAS DINGIN 5HR, SUARA
SERAK</td>
<td>-</td>
<td>130/80</td>
<td>68</td>
<td>37</td>
<td>20</td>
<td>147</td>
<td>54</td>
<td>73</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>90</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>SLAMET RIADI</td>
<td>`026076</td>
<td></td>
<td>`0000664511545</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1987</td>
<td>36 Th</td>
<td>RT 004,RW 002,DESA PAKEL KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
4,RW :2 </td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>LEMES, MUAL, MUNTAH, BATUK</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>200</td>
<td>165</td>
<td>54</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>J00</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>91</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>KHOIRON YUSUF</td>
<td>`026077</td>
<td></td>
<td>`0000665151592</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>12-09-1992</td>
<td>30 Th</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pedagang</td>
<td>Lama</td>
<td></td>
<td>PANAS DINGIN SEJAK 3HR, PUSING CEKOT", BADAN SAKIT SEMUA</td>
<td>-</td>
<td>100/60</td>
<td>80</td>
<td>40</td>
<td>20</td>
<td>163</td>
<td>53</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>A90</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>
<td>
</tr>
<td>92</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>MANGUN</td>
<td>`026078</td>
<td></td>
<td>`0000664797971</td>
<td>` 3503031403840002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>14-03-1984</td>
<td>39 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS DINGIN SEJAK KEMARIN, PUSING CEKOT", TANGAN KRAM</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>40</td>
<td>20</td>
<td>164</td>
<td>54</td>
<td>71</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>93</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>MARCHEL RAZKA ZEVATAMA</td>
<td>`026079</td>
<td>20420</td>
<td>`</td>
<td>`3503032105200002</td>
<td>`3503030806200010</td>
<td>DIMAS IKBAL PRASETYO</td>
<td></td>
<td>L</td>
<td>21-05-2020</td>
<td>3 Th</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, batuk berdahak, pilek, kadang muntah jika batuk, mak min
sulit</td>
<td>-</td>
<td>80/50</td>
<td>108</td>
<td>38</td>
<td>20</td>
<td>87</td>
<td>10.6</td>
<td>45</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
<td>R50.0</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>94</td>
<td>RAWAT INAP</td>
<td>12-05-2023</td>
<td></td>
<td>SUMARTINI</td>
<td>`026072</td>
<td></td>
<td>`</td>
<td>`3503044705830003</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-05-1983</td>
<td>40 Th</td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, ndredeg, lemes, mual, perut terasa penuh, nggliyeng, nyeri ulu
hati tembus belakang.</td>
<td>-</td>
<td>110/70</td>
<td>115</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>65</td>
<td>78</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>95</td>
<td>RAWAT INAP</td>
<td>13-05-2023</td>
<td></td>
<td>IRWAN RIFAÌ</td>
<td>`026093</td>
<td></td>
<td>`0001036888997</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>30-06-1992</td>
<td>30 Th</td>
<td>RT 36 5W11 DESA SALAMWATES DONGKO</td>
<td>SALAMWATES</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing mbliyeng, mual nyeri ulu hati</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>R51</td>
<td>
Headache </td>
<td>R50.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>
<td>
BPJS </td>
</tr>
<td>96</td>
<td>RAWAT INAP</td>
<td>13-05-2023</td>
<td></td>
<td>PARDJI</td>
<td>`026094</td>
<td></td>
<td>`</td>
<td>`3503030206620002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>02-06-1962</td>
<td>61 Th</td>
<td>RT 19 RW 08 DESA SIDOMULYO KECAMATAN PULE KABUPATEN TRENGGALEK, RT :
19,RW :8 </td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>suara serak, batuk berdarah 1 bulan, nyeri dada tembus punggung</td>
<td>-</td>
<td>150/90</td>
<td>80</td>
<td>38</td>
<td>24</td>
<td>164</td>
<td>54</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>97</td>
<td>RAWAT INAP</td>
<td>13-05-2023</td>
<td></td>
<td>MARIYEM</td>
<td>`015906</td>
<td>637</td>
<td>`0000665316538</td>
<td>`3503034812640001</td>
<td>`
</td>
<td>kabul</td>
<td></td>
<td>P</td>
<td>08-12-1964</td>
<td>58 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas 1hari,nyeri ulu hati tembus punggung,mual,pusing,batuk</td>
<td>-</td>
<td>120/70</td>
<td>92</td>
<td>393</td>
<td>20</td>
<td>152</td>
<td>46</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>98</td>
<td>RAWAT INAP</td>
<td>13-05-2023</td>
<td></td>
<td>MUJIRAH</td>
<td>`026090</td>
<td></td>
<td>`</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>01-12-1970</td>
<td>52 Th</td>
22,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, NYERI PERUT, PANAS</td>
<td>-</td>
<td>130/80</td>
<td>96</td>
<td>40</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>H81.4</td>
<td>
Vertigo of central origin </td>
<td>
<td>
hari </td>
</tr>
<td>99</td>
<td>RAWAT INAP</td>
<td>13-05-2023</td>
<td></td>
<td>IMAM SAFII</td>
<td>`014289</td>
<td>15837</td>
<td>`0002857428077</td>
<td>`3503030506900003</td>
<td>`</td>
<td>IMAM SAFIÌ</td>
<td></td>
<td>L</td>
<td>05-06-1990</td>
<td>33 Th</td>
<td>RT 012 RW 006 DSN PONGGOK</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>pusing cekot cekot, panas</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>39</td>
<td>167</td>
<td>56</td>
<td>66</td>
<td>76</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>B20.0</td>
<td>
HIV disease resulting in mycobacterial infection </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>100</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>MANGIN</td>
<td>`026095</td>
<td>17455</td>
<td>`0000664895439</td>
<td>`3503031401590001</td>
<td>`
</td>
<td>MANGIN</td>
<td></td>
<td>L</td>
<td>14-01-1959</td>
<td>64 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Bab campur darah sejak 2 minggu yg lalu,</td>
<td>-</td>
<td>140/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>101</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>RAMAN</td>
<td>`017595</td>
<td>9835</td>
<td>`0002970305076</td>
<td>`3503032606390001</td>
<td>`
</td>
<td>RAMAN</td>
<td></td>
<td>L</td>
<td>26-06-1939</td>
<td>83 Th</td>
<td>RT 024, RW 012, DSN </td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>batuk berdahak,pusing berputar, mual</td>
<td>-</td>
<td>130/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>56</td>
<td>66</td>
<td>Suruh</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>102</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>BUDI KARYANI</td>
<td>`026098</td>
<td></td>
<td>`0000665369245</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1974</td>
<td>48 Th</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>perut terasa panas.mual, batuk kering,flu mulai tiga hari</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>165</td>
<td>61</td>
<td>71</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>103</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>DJEMINI</td>
<td>`026096</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>05-11-1960</td>
<td>62 Th</td>
<td>RT 3 RW 2</td>
<td>GAJAH</td>
<td>SAMBIT</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, panas, lemas kaki kadang bengkak</td>
<td>-</td>
<td>140/80</td>
<td>80</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>61</td>
<td>74</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>104</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>PANEM</td>
<td>`002049</td>
<td>16569</td>
<td>`0002904416133</td>
<td>`3503034507650007</td>
<td>`</td>
<td>YAHMINTO</td>
<td></td>
<td>P</td>
<td>05-07-1965</td>
<td>57 Th</td>
<td>RT 29 RW 08 DSN NGRANDU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, ngreges, mual ,muntah</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>63</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>I10</td>
<td>
<td>J06.9</td>
<td>
<td>
<td>
</tr>
<td>105</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>RAFA MAULANA PUTRA</td>
<td>`026097</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>26-11-2019</td>
<td>3 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas,batuk kering,</td>
<td>-</td>
<td>90/60</td>
<td>112</td>
<td>40</td>
<td>24</td>
<td>98</td>
<td>12</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>106</td>
<td>RAWAT INAP</td>
<td>14-05-2023</td>
<td></td>
<td>FRISCA AYU NUROHMAH</td>
<td>`017088</td>
<td>2579</td>
<td>`0002256600227</td>
<td>`3503035007080002</td>
<td>`
</td>
<td>paeran/suparmi</td>
<td></td>
<td>P</td>
<td>10-07-2008</td>
<td>14 Th</td>
<td>RT. 037, RW. 019, DN BANGUNSARI</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>tiba tiba pingsan</td>
<td>-</td>
<td>120/80</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>40</td>
<td>60</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>107</td>
<td>RAWAT INAP</td>
<td>15-05-2023</td>
<td></td>
<td>LONO</td>
<td>`026124</td>
<td>17714</td>
<td>`</td>
<td>`350303101650008</td>
<td>`
</td>
<td>LONO</td>
<td></td>
<td>L</td>
<td>01-01-1965</td>
<td>58 Th</td>
</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>sesak,batuk,pusing</td>
<td>-</td>
<td>140/80</td>
<td>90</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>J44.0</td>
<td>
Chronic obstructive pulmonary disease with acute lower respiratory
infection </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>108</td>
<td>RAWAT INAP</td>
<td>15-05-2023</td>
<td></td>
<td>GAMUN</td>
<td>`026102</td>
<td></td>
<td>`0000660907506</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-02-1952</td>
<td>71 Th</td>
<td>2/2 CEPOKO</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri perut,mual,kembung</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>160</td>
<td>50</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</td>
</tr>
<td>109</td>
<td>RAWAT INAP</td>
<td>15-05-2023</td>
<td></td>
<td>MARSITO</td>
<td>`026115</td>
<td></td>
<td>`</td>
<td>`3503032311770001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>23-11-1977</td>
<td>45 Th</td>
<td>RT 032 RW 009 DS. JOMBOK KEC. PULE KAB. TRENGGALEK, RT : 32,RW :9 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, mual, ngerok, panas sjak kemarin</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>39</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>110</td>
<td>RAWAT INAP</td>
<td>15-05-2023</td>
<td></td>
<td>GIZKHA GIBRAN AL VARO</td>
<td>`020291</td>
<td>21959</td>
<td>`</td>
<td>`3503030707170002</td>
<td>`
</td>
<td>PUJIANTO</td>
<td></td>
<td>L</td>
<td>07-07-2017</td>
<td>5 Th</td>
<td>RT 36 RW 10 DSN NGRANDU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS MUAL MUNTAH PILEK 3HARI</td>
<td>MRS</td>
<td>90/60</td>
<td>90</td>
<td>37</td>
<td>24</td>
<td>110</td>
<td>18</td>
<td>23</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>111</td>
<td>RAWAT INAP</td>
<td>15-05-2023</td>
<td></td>
<td>YAHMIN</td>
<td>`026117</td>
<td>3872</td>
<td>`0002802723107</td>
<td>`3503031704550002</td>
<td>`
</td>
<td>YAHMIN</td>
<td></td>
<td>L</td>
<td>17-04-1955</td>
<td>68 Th</td>
<td>RT 48 RW 24 DSN BANGUNSARI</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, muntah, lemas</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>K11.0</td>
<td>
Atrophy of salivary gland </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>112</td>
<td>RAWAT INAP</td>
<td>16-05-2023</td>
<td></td>
<td>SAIMUN</td>
<td>`026126</td>
<td>15448</td>
<td>`</td>
<td>`3503030406670003</td>
<td>`
</td>
<td>SAIMUN</td>
<td></td>
<td>L</td>
<td>04-06-1967</td>
<td>56 Th</td>
<td>RT. 016, RW. 005, DESA JOHO, KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
16,RW :5 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusng cekot", mual, nyeri ulu hati 10hr</td>
<td>--</td>
<td>90/60</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>113</td>
<td>RAWAT INAP</td>
<td>16-05-2023</td>
<td></td>
<td>TUMINEM</td>
<td>`023394</td>
<td>4186</td>
<td>`0000665256161</td>
<td>`3503036409580001</td>
<td>`</td>
<td>YATIMAN</td>
<td>085204879402</td>
<td>P</td>
<td>24-09-1958</td>
<td>64 Th</td>
<td>DSN SIDEM RT 53 RW 15</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing berputar, muntah sering, nyeri ulu hati</td>
<td>-</td>
<td>140/90</td>
<td>68</td>
<td>36</td>
<td>200</td>
<td>145</td>
<td>42</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>114</td>
<td>RAWAT INAP</td>
<td>16-05-2023</td>
<td></td>
<td>ANDRI SUSANTO</td>
<td>`017262</td>
<td>503/03/19</td>
<td>`</td>
<td>`3503032109880001</td>
<td>`
</td>
<td>ANDRI SUSANTO</td>
<td></td>
<td>L</td>
<td>21-09-1988</td>
<td>34 Th</td>
<td>RT. 006, RW. 002, DSN KRAJAN</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>mual, muntah,pusing, panas</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>115</td>
<td>RAWAT INAP</td>
<td>16-05-2023</td>
<td></td>
<td>SADIMIN</td>
<td>`025920</td>
<td>18677</td>
<td>`0002759566386</td>
<td>`3503031305720001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>13-05-1972</td>
<td>51 Th</td>
<td>RT 020,RW 007</td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, mual, muntah, bak panas</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>52</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>116</td>
<td>RAWAT INAP</td>
<td>16-05-2023</td>
<td></td>
<td>TUKIJO</td>
<td>`026138</td>
<td></td>
<td>`0000664322422</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>28-02-1960</td>
<td>63 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mual, muntah, perut panas</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>53</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>R11</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>117</td>
<td>RAWAT INAP</td>
<td>17-05-2023</td>
<td></td>
<td>SAIFUDIN</td>
<td>`026144</td>
<td></td>
<td>`</td>
<td>`3503030701740001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>07-01-1974</td>
<td>49 Th</td>
<td>RT. 47, RW. 23, DESA PULE, KECAMATAN PULE, KABUPATEN TRENGGALEK, RT :
47,RW :23 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, pusing, badan sakit semua</td>
<td>-</td>
<td>100/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>47</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>118</td>
<td>RAWAT INAP</td>
<td>17-05-2023</td>
<td></td>
<td>SUMARMONO</td>
<td>`026145</td>
<td>18385</td>
<td>`0000660461218</td>
<td>`</td>
<td>`</td>
<td>SUMARMONO</td>
<td></td>
<td>L</td>
<td>11-07-1983</td>
<td>39 Th</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS 4HR, NYERI ULU HATI, BADAN SAKIT SEMUA, PUSING</td>
<td>-</td>
<td>120/80</td>
<td>96</td>
<td>38</td>
<td>20</td>
<td>162</td>
<td>54</td>
<td>73</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>119</td>
<td>RAWAT INAP</td>
<td>17-05-2023</td>
<td></td>
<td>KATIRAH</td>
<td>`026183</td>
<td></td>
<td>`</td>
<td>`3503045107660004</td>
<td>`3503041802052882</td>
<td></td>
<td></td>
<td>P</td>
<td>11-07-1966</td>
<td>56 Th</td>
<td>RT 38 RW 08 DUSUN JAGUL</td>
<td>SIKI</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS 2 HARI, MUAL, SERING, MUNTAH</td>
<td>-</td>
<td>120/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>54</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
<td>R11</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>120</td>
<td>RAWAT INAP</td>
<td>17-05-2023</td>
<td></td>
<td>KARMINI</td>
<td>`026159</td>
<td></td>
<td>`0000665440323</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-09-1984</td>
<td>38 Th</td>
<td>RT 18 RW 7 DESA SIDOMULYO PULE</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT, BAK SEPERTI TEH, MINUM SEDIKIT</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>M54.5</td>
<td>
Low back pain </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>121</td>
<td>RAWAT INAP</td>
<td>17-05-2023</td>
<td></td>
<td>RUMINI</td>
<td>`026162</td>
<td></td>
<td>`0000665392184</td>
<td>`3503034607690005</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>06-07-1969</td>
<td>53 Th</td>
<td>RT 20 RW 4 DS.TANGGARAN KEC.PULE KAB.TRENGGALEK, RT : 20,RW :4 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING CEKOT-CEKOT, MUAL, NYERI ULU HATI, BATUK KERING</td>
<td>-</td>
<td>150/90</td>
<td>82</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>75</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>122</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>DWI SISWATI</td>
<td>`019953</td>
<td>16369</td>
<td>`</td>
<td>`3503035402930001</td>
<td>`
</td>
<td>SUPRIYADI</td>
<td></td>
<td>P</td>
<td>14-02-1993</td>
<td>30 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri perut bawah, mual, panas, bapil, nyeri telan, nyeri badan</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>123</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>DILLA INTAN SAPUTRI</td>
<td>`017342</td>
<td>5544</td>
<td>`0002802727833</td>
<td>`3503035806020005</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-2002</td>
<td>20 Th</td>
<td>RT : 075,RW :020 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL, MUNTAH SERING, PUSING</td>
<td>-</td>
<td>100/60</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>124</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>POPI PURNAMASARI</td>
<td>`019380</td>
<td>2966</td>
<td>`</td>
<td>`3503035305020002</td>
<td>`
</td>
<td>ABDUL</td>
<td></td>
<td>P</td>
<td>23-05-2002</td>
<td>21 Th</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, PUSING, NYERI ULU HATI, BATUK KERING</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>39</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>125</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>SUPENO</td>
<td>`026160</td>
<td>18542</td>
<td>`0000665364407</td>
<td>` </td>
<td>`
</td>
<td>SUNARMI</td>
<td></td>
<td>L</td>
<td>07-02-1978</td>
<td>45 Th</td>
<td>DS TANGGARAN DSN NGLEDOK, RT : 35,RW :2 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, PANAS, MUAL, KEJU LINU, PERUT TERASA PERIH</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>126</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>MUHAMMAD DZIKRI SURYA A</td>
<td>`026161</td>
<td>11049</td>
<td>`0002481772691</td>
<td>`3503030908180003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>09-08-2018</td>
<td>4 Th</td>
<td>RT 005,RW 002,</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, TIDAK MAU MAKAN</td>
<td>-</td>
<td>90/60</td>
<td>98</td>
<td>36</td>
<td>22</td>
<td>110</td>
<td>14</td>
<td>25</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>127</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>SARTI</td>
<td>`008620</td>
<td>8856</td>
<td>`0002641286597</td>
<td>`3502025508700002</td>
<td>`</td>
<td>turni</td>
<td></td>
<td>P</td>
<td>15-08-1970</td>
<td>52 Th</td>
<td>RT 003 RW 002 DSN NGANDEL</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>SESAK, BATUK KERING, PERUT PANAS, PUSING</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>37</td>
<td>24</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>J45.9</td>
<td>
Asthma, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>128</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>SARIYEM</td>
<td>`018354</td>
<td>520/05/2022</td>
<td>`0000660936363</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-05-1963</td>
<td>60 Th</td>
<td>3/2 NGRAYUN</td>
<td>NGRAYUN</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>ANEMIS, MUAL, MUNTAH 1X, BAB HITAM, PUSING, BATUK KERING</td>
<td>-</td>
<td>150/90</td>
<td>88</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>55</td>
<td>75</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>D50.0</td>
<td>
Iron deficiency anaemia secondary to blood loss (chronic) </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>129</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>MISKUN</td>
<td>`026163</td>
<td></td>
<td>`0000661073512</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1955</td>
<td>68 Th</td>
<td>RT 6 RW 2 DESA GAJAH KEC SAMBIT</td>
<td>GAJAH</td>
<td>SAMBIT</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING MBKIYENG, MUNTAH, MUAL, NYERI ULU HATI, LEMES</td>
<td>-</td>
<td>130/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>130</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>SUPARDI</td>
<td>`026164</td>
<td></td>
<td>`</td>
<td>`3503030907790001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>09-07-1979</td>
<td>43 Th</td>
<td>RT 013 RW 001 DS.TANGGARAN, KEC.PULE, KAB.TRENGGALEK, RT : 13,RW :1 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Sopir</td>
<td>Lama</td>
<td></td>
<td>PUSING CEKOT, LINU SELURUH BADAN, MUAL, NYERI ULU HATI, </td>
<td>-</td>
<td>120/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>131</td>
<td>RAWAT INAP</td>
<td>18-05-2023</td>
<td></td>
<td>IMAM MAHMUDI</td>
<td>`014052</td>
<td>14903</td>
<td>`0003515589189</td>
<td>`3503030509910004</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>05-09-1991</td>
<td>31 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING CEKOT-CEKOT, PANAS, BADAN TERASA DINGIN, NYERI SELURUH BADAN,
BATUK JARANG</td>
<td>-</td>
<td>130/80</td>
<td>82</td>
<td>38</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>132</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>GALIH ELFAN SYAHREZA</td>
<td>`026191</td>
<td>2367</td>
<td>`0003012947976</td>
<td>`3503031008190001</td>
<td>`</td>
<td>SUPARNI</td>
<td></td>
<td>L</td>
<td>10-08-2019</td>
<td>3 Th</td>
<td>RT 18 RW 10 DESA PULE</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Panas</td>
<td>-</td>
<td>80/50</td>
<td>120</td>
<td>40</td>
<td>24</td>
<td>105</td>
<td>15</td>
<td>50</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>133</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>SUHARDI</td>
<td>`007696</td>
<td>10766</td>
<td>`0002159502333</td>
<td>`3503030102870007</td>
<td>`
</td>
<td>SUHARDI</td>
<td></td>
<td>L</td>
<td>01-02-1987</td>
<td>36 Th</td>
<td>DSN KRAJAN, RT : 13,RW :4 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>Pusing, mual, nyeri ulu hati</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>86</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>134</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>TITIK HARNANIK</td>
<td>`026165</td>
<td></td>
<td>`0000664910561</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>17-10-1978</td>
<td>44 Th</td>
<td>RT 01 RW 01 DESA SUKOKIDUL KEC PULE</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING MBLIYENG, MUAL, NYERI UL HATI, MUNTAH</td>
<td>-</td>
<td>140/80</td>
<td>82</td>
<td>38</td>
<td>20</td>
<td>84</td>
<td>60</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>135</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>KATINEM</td>
<td>`026166</td>
<td></td>
<td>`0000665959419</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1954</td>
<td>69 Th</td>
<td>RT 14 RW 19 DESA JOMBOK KEC PULE</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMES, MUAL, MUNTAH SERING, PUSING</td>
<td>-</td>
<td>120/80</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>136</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>KATIYEM</td>
<td>`026170</td>
<td></td>
<td>`0000660467867</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>03-06-1957</td>
<td>66 Th</td>
<td>4/3 CEPOKO</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Sesak batuk mual muntah pusing</td>
<td>-</td>
<td>170/100</td>
<td>116</td>
<td>38</td>
<td>28</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>I15</td>
<td>
Secondary hypertension </td>
<td>J44.8</td>
<td>
Other specified chronic obstructive pulmonary disease </td>
<td>E11</td>
<td>
Non-insulin-dependent diabetes mellitus </td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>137</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>PUTHUT WAHYU RIYADI</td>
<td>`026193</td>
<td>17603</td>
<td>`</td>
<td>`3503042204630005</td>
<td>`
</td>
<td>RISNAWATI</td>
<td></td>
<td>L</td>
<td>22-04-1983</td>
<td>40 Th</td>
<td>DUSUN JAJAR, RT : 51,RW :12 </td>
<td>DONGKO</td>
<td>DONGKO</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, ngerok kumat kumatan ahr, panas</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>55</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>B50.9</td>
<td>
Plasmodium falciparum malaria, unspecified </td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>138</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>SISWANTO</td>
<td>`026195</td>
<td>19393</td>
<td>`</td>
<td>`3502021402850003</td>
<td>`</td>
<td>SISWANTO</td>
<td></td>
<td>L</td>
<td>14-02-1985</td>
<td>38 Th</td>
<td>RT 04 RW 01 DUKUH NGANDEL</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS 2 HARI, MUAL, MUNTAH, LEMES</td>
<td>-</td>
<td>120/80</td>
<td>98</td>
<td>38</td>
<td>22</td>
<td>165</td>
<td>54</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>139</td>
<td>RAWAT INAP</td>
<td>19-05-2023</td>
<td></td>
<td>KATINEM</td>
<td>`026166</td>
<td></td>
<td>`0000665959419</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>07-02-1954</td>
<td>69 Th</td>
<td>RT 14 RW 19 DESA JOMBOK KEC PULE</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMAS, MUAL, MUNTAH SERING, PUSING</td>
<td>MRS</td>
<td>130/80</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>45</td>
<td>55</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>E11</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>140</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>DIANA NONIK GUSMIANTI</td>
<td>`007765</td>
<td>878/10/21</td>
<td>`0003071784216</td>
<td>`3503034904050001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>09-04-2005</td>
<td>18 Th</td>
<td> RT : 42,RW :12 DSN BAKALAN</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI TEMBUS BELAKANG, MUAL, PUSING</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>68</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>141</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>NYAINAH</td>
<td>`014820</td>
<td>17017</td>
<td>`0000665440918</td>
<td>`3503035606590002</td>
<td>`
</td>
<td>lamidjan</td>
<td></td>
<td>P</td>
<td>16-06-1959</td>
<td>63 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>batuk berdahak 1 mgg, diare sering 3hr, mual, muntah bila makan</td>
<td>-</td>
<td>130/80</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>139</td>
<td>42</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>142</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>KATIYEM</td>
<td>`026202</td>
<td>17434</td>
<td>`0000664376365</td>
<td>`3503035010570002</td>
<td>`
</td>
<td>SUPRAPTO</td>
<td></td>
<td>P</td>
<td>10-10-1957</td>
<td>65 Th</td>
<td>DSN SIDEMRT : 57,RW :16 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mimisan, pusing</td>
<td>-</td>
<td>190/100</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>46</td>
<td>73</td>
<td></td>
<td>KASUS BARU</td>
<td>J06.9</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>143</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>NADIF MAFATIKUL IHSAN</td>
<td>`026208</td>
<td></td>
<td>`0001831497063</td>
<td>`3503031708050001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>17-08-2005</td>
<td>17 Th</td>
<td>DS JOHO DSN NGRANDU, RT : 34,RW :10 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>badan sakit semua,panas sejak seminggu nyg lalu</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>38</td>
<td>20</td>
<td>160</td>
<td>70</td>
<td>90</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>144</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>BINTI FATIMATUZ ZAHRO`</td>
<td>`021390</td>
<td>19808</td>
<td>`0000665680206</td>
<td>`3503035505990004</td>
<td>`
</td>
<td>SAMSUDIN</td>
<td></td>
<td>P</td>
<td>15-05-1999</td>
<td>24 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>mual,muntah,nyeri ulu hati,panas</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>43</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>145</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>AZKIYA ISMA KHAIRANI</td>
<td>`019591</td>
<td>19771</td>
<td>`0003142877523</td>
<td>`3503035211200001</td>
<td>`
</td>
<td>APRI</td>
<td></td>
<td>P</td>
<td>12-11-2020</td>
<td>2 Th</td>
<td>RT 34 RW 04 DSN PONGGOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Panas,nyeri tenggorokan</td>
<td>-</td>
<td>90/60</td>
<td>122</td>
<td>42</td>
<td>22</td>
<td>90</td>
<td>14</td>
<td>40</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>R56.0</td>
<td>
Febrile convulsions </td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>146</td>
<td>RAWAT INAP</td>
<td>20-05-2023</td>
<td></td>
<td>MARNI</td>
<td>`026209</td>
<td></td>
<td>`</td>
<td>`3503030104620003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>01-04-1962</td>
<td>61 Th</td>
19,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Panas,nyeri ulu hati,mual,bak panas</td>
<td>-</td>
<td>150/90</td>
<td>82</td>
<td>40</td>
<td>20</td>
<td>155</td>
<td>45</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>N39.0</td>
<td>
<td>J06.9</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>147</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>SUMARNO</td>
<td>`026210</td>
<td>13557</td>
<td>`0002159496843</td>
<td>`3503032311780001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>23-11-1978</td>
<td>44 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI PERUT TEMBUS PNGGANG</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>58</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>148</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>SITI RAHAYU</td>
<td>`026211</td>
<td></td>
<td>`</td>
<td>`3503036711910004</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>27-11-1991</td>
<td>31 Th</td>
</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>DIARE, NYERI PERUT</td>
<td>-</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>55</td>
<td>74</td>
<td></td>
<td>KASUS BARU</td>
<td>K31.0</td>
<td>
Acute dilatation of stomach </td>
<td>A09</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>149</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>DILLA INTAN SAPUTRI</td>
<td>`017342</td>
<td>5544</td>
<td>`0002802727833</td>
<td>`3503035806020005</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>18-06-2002</td>
<td>20 Th</td>
<td>RT : 075,RW :020 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>GRAVID,MUAL,MUNTAH</td>
<td>-</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>42</td>
<td>72</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>150</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>OLIVIANA BEAUTIFUL</td>
<td>`003688</td>
<td>6198</td>
<td>`0000664793559</td>
<td>`3503037107060001</td>
<td>`
</td>
<td>CHOLIL MUBIN</td>
<td></td>
<td>P</td>
<td>31-07-2006</td>
<td>16 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, BATUK, PUSING, MUAL</td>
<td>-</td>
<td>90/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>J00</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>151</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>TITIEK YULI SETIANI</td>
<td>`026213</td>
<td>13714</td>
<td>`</td>
<td>`3503035712920001</td>
<td>`
</td>
<td>HARI SUSANTO</td>
<td></td>
<td>P</td>
<td>17-12-1992</td>
<td>30 Th</td>
<td>DS KEMBANGAN DSN KRAJAN, RT : 9,RW :5 </td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, MUAL, MUNBTAH, NYERI ULU HATI</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>37</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>152</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>MISINI</td>
<td>`026214</td>
<td>12828</td>
<td>`</td>
<td>`3503034109700003</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>01-09-1970</td>
<td>52 Th</td>
<td>RT 20 RW 4 DS.TANGGARAN KEC.PULE KAB.TRENGGALEK, RT : 20,RW :4 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, PUSING, MUAL</td>
<td>-</td>
<td>90/70</td>
<td>88</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>153</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>GALANG AFRIAN RAMADHANI</td>
<td>`021098</td>
<td>8278</td>
<td>`0003062963441</td>
<td>`3503031109080002</td>
<td>`
</td>
<td>SUPRIYANTO</td>
<td></td>
<td>L</td>
<td>11-09-2008</td>
<td>14 Th</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,MUAL, MUNTAH, PUSING, NYERI ULU HATI</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>39</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>J00</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>
<td>
</tr>
<td>154</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>TITIN MAEMUNAH</td>
<td>`026227</td>
<td>18063</td>
<td>`0002607942418</td>
<td>`5203046308790001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>23-08-1979</td>
<td>43 Th</td>
<td>RT 44 RW 22 DUSUN BANGUNSARI</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BADAN TERASA LEMAS, PUSING,</td>
<td>MRS</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>53</td>
<td>63</td>
<td>KOTARAJA</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>155</td>
<td>RAWAT INAP</td>
<td>21-05-2023</td>
<td></td>
<td>SAIKEM</td>
<td>`026266</td>
<td>18105</td>
<td>`0000665635678</td>
<td>`3503034608400002</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-08-1940</td>
<td>82 Th</td>
<td>RT 29 RW 08 DUSUN NGRANDU</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri ulu hati, nyeri seluruh badan</td>
<td>-</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>74</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>N70.9</td>
<td>
Salpingitis and oophoritis, unspecified </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>E70.0</td>
<td>
Classical phenylketonuria </td>
<td>
<td>
BPJS </td>
</tr>
<td>156</td>
<td>RAWAT INAP</td>
<td>22-05-2023</td>
<td></td>
<td>RINI</td>
<td>`026233</td>
<td>17636</td>
<td>`0002872633026</td>
<td>`3503034202890001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>02-02-1989</td>
<td>34 Th</td>
<td>DSN PONGGOK DS PUYUNG, RT : 14,RW :7 </td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mual, muntah, nyeri ulu hati, pusing</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>155</td>
<td>50</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>157</td>
<td>RAWAT INAP</td>
<td>22-05-2023</td>
<td></td>
<td>RAFIKA DWI RAMADANI</td>
<td>`016202</td>
<td>8410</td>
<td>`0000665096343</td>
<td>`3503034210050001 </td>
<td>`
</td>
<td>SUJARNI</td>
<td></td>
<td>P</td>
<td>02-10-2005</td>
<td>17 Th</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing,mual,</td>
<td>mol,antasida</td>
<td>130/70</td>
<td>120</td>
<td>365</td>
<td>20</td>
<td>165</td>
<td>92</td>
<td>110</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>N81.0</td>
<td>
Female urethrocele </td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>158</td>
<td>RAWAT INAP</td>
<td>22-05-2023</td>
<td></td>
<td>KEMIS</td>
<td>`026216</td>
<td>17458</td>
<td>`</td>
<td>`3503032910680001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>29-10-1968</td>
<td>54 Th</td>
<td>DSN KRAJAN, RT : 9,RW :5 </td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMES BADAN MERIANG,PANAS,PUSING LEMES NAFSU MAKAN BERKURANG 3 HARI</td>
<td>MRS</td>
<td>120/80</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>156</td>
<td>47</td>
<td>54</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>159</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>NINDI SHABILA RITANIA</td>
<td>`007633</td>
<td>7025</td>
<td>`0002159507338</td>
<td>`3503036003060001</td>
<td>` 3503033103100015
</td>
<td>PUJIANTO</td>
<td></td>
<td>P</td>
<td>20-03-2006</td>
<td>17 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>mual, muntah, diare</td>
<td>mrs</td>
<td>120/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>149</td>
<td>45</td>
<td>55</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td>
<td>
Biaya rawat inap pasien umum per hari Rawat Inap pasien BPJS Biaya
rawat inap pasien umum per hari Biaya rawat inap pasien umum per hari </td>
</tr>
<td>160</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>SARMIDI</td>
<td>`026252</td>
<td></td>
<td>`0000664818311</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>10-09-1964</td>
<td>58 Th</td>
<td>RT 33 RW 04 DESA KARANGANYAR PULE TRENGGALEK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing cekot cekot ,cengeng, nyeri ulu hati</td>
<td>mrs</td>
<td>120/80</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>165</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>A91</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
Rawat Inap pasien BPJS Rawat Inap pasien BPJS Biaya rawat inap pasien
umum per hari </td>
</tr>
<td>161</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>PAIRAH</td>
<td>`026239</td>
<td></td>
<td>`0000664655556</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>02-05-1931</td>
<td>92 Th</td>
<td>23/12 PUYUNG</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>sesak,lemas,batuk,mual,nyeri ulu hati</td>
<td>-</td>
<td>100/60</td>
<td>112</td>
<td>36</td>
<td>28</td>
<td>135</td>
<td>30</td>
<td>40</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
</td>
<td>
</td>
</tr>
<td>162</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>SARNI</td>
<td>`026235</td>
<td>17479</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td>SARNI</td>
<td></td>
<td>L</td>
<td>23-05-1965</td>
<td>58 Th</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BATUK BERDAHAK GREGESI PUSING 3HARI</td>
<td>MRS</td>
<td>120/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>52</td>
<td>62</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>163</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>WIWIT SULISTYANA</td>
<td>`015868</td>
<td>9132</td>
<td>`0002159506348</td>
<td>`3503036808880001</td>
<td>`
</td>
<td>SUTRISNO</td>
<td></td>
<td>P</td>
<td>28-08-1988</td>
<td>34 Th</td>
<td>RT 015, RW 008, DSN SENDANG</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BATUK BERDAHAK 2MINGGU, NAFSU MAKAN TURUN ADEM PANAS</td>
<td>MRS</td>
<td>130/80</td>
<td>90</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>54</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>R05</td>
<td>
Cough </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>164</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>SATIRAH</td>
<td>`015995</td>
<td>16605</td>
<td>`0000665695214</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>26-11-1956</td>
<td>66 Th</td>
<td>RT 033 RW 010 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>BATUK SESAK MUAL NYERI ULU HATI</td>
<td>-</td>
<td>120/80</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>61</td>
<td>0</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.1</td>
<td>
Paratyphoid fever A </td>
<td>R11</td>
<td>
<td>J06.9</td>
<td>
<td>
<td>
BPJS </td>
</tr>
<td>165</td>
<td>RAWAT INAP</td>
<td>23-05-2023</td>
<td></td>
<td>EDI SAPUTRA</td>
<td>`026243</td>
<td>17427</td>
<td>`</td>
<td>`3503030108900003</td>
<td>`
</td>
<td>EDI SAPUTRA</td>
<td></td>
<td>L</td>
<td>01-08-1990</td>
<td>32 Th</td>
<td>RT. 26, RW 03, DSN PONGGOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PANAS DINGIN 4HARI BATUK LEMES</td>
<td>MRS</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>58</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>166</td>
<td>RAWAT INAP</td>
<td>24-05-2023</td>
<td></td>
<td>BOIMIN</td>
<td>`026313</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>27-05-1933</td>
<td>90 Th</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI TELAN, PUSING, PANAS, LEMES</td>
<td>-</td>
<td>100/70</td>
<td>76</td>
<td>36</td>
<td>26</td>
<td>156</td>
<td>42</td>
<td>67</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>167</td>
<td>RAWAT INAP</td>
<td>24-05-2023</td>
<td></td>
<td>SITI FATIMAH TUSYAROH</td>
<td>`026273</td>
<td></td>
<td>`0000342691918</td>
<td>`1807206401040001</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>24-01-2004</td>
<td>19 Th</td>
<td>NGESTI KARYA </td>
<td>NGESTI KARYA</td>
<td>WAWAY KARYA</td>
<td>LAMPUNG TIMUR</td>
<td>LAMPUNG</td>
<td>Lama</td>
<td></td>
<td>PERUT TERASA PERIH,MUAL,MUNTAH SERING,PUSING MULAI LIMA HARI</td>
<td>MRS</td>
<td>90/60</td>
<td>82</td>
<td>36</td>
<td>24</td>
<td>155</td>
<td>55</td>
<td>65</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>168</td>
<td>RAWAT INAP</td>
<td>24-05-2023</td>
<td></td>
<td>AFIFAH LUHJINGGAN FATIKAH MAHARANI</td>
<td>`022660</td>
<td>16400</td>
<td>`0001887763746</td>
<td>`3503035806050001</td>
<td>`
</td>
<td>KOMARUDIN</td>
<td></td>
<td>P</td>
<td>18-06-2005</td>
<td>17 Th</td>
<td>RT 004,RW 002,DSN KRAJAN</td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS, MUAL, MUNTAH SEJAK KEMARIN, PUSING</td>
<td>MRS</td>
<td>110/70</td>
<td>78</td>
<td>37</td>
<td>20</td>
<td>153</td>
<td>45</td>
<td>55</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>169</td>
<td>RAWAT INAP</td>
<td>24-05-2023</td>
<td></td>
<td>PAINEM</td>
<td>`026274</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>16-06-1941</td>
<td>81 Th</td>
<td>NGANDEL</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, panas, gatal gatal,NYERI EFGASTRIUM</td>
<td>mrs</td>
<td>150/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>43</td>
<td>54</td>
<td></td>
<td>KASUS BARU</td>
<td>B01</td>
<td>
Varicella [chickenpox] </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>170</td>
<td>RAWAT INAP</td>
<td>24-05-2023</td>
<td></td>
<td>HESTI RAMADHANI</td>
<td>`019773</td>
<td>15625</td>
<td>`0000665092113</td>
<td>`3503035910060002</td>
<td>`
</td>
<td>TASRI</td>
<td>082232512575</td>
<td>P</td>
<td>19-10-2006</td>
<td>16 Th</td>
<td>RT 004,RW 002,DSN KRAJAN </td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri perut</td>
<td>-</td>
<td>100/80</td>
<td>88</td>
<td>36</td>
<td>22</td>
<td>166</td>
<td>55</td>
<td>44</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>N94.6</td>
<td>
Dysmenorrhoea, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>171</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>SUGIYONO</td>
<td>`026286</td>
<td>17578</td>
<td>`0001975819048</td>
<td>`3503032205650001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>22-05-1965</td>
<td>58 Th</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMAS, BAB HITAM</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>58</td>
<td>70</td>
<td>KASUS BARU</td>
<td>K92.2</td>
<td>
Gastrointestinal haemorrhage, unspecified </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>172</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>NADI</td>
<td>`024825</td>
<td></td>
<td>`</td>
<td>`3503030105450002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1945</td>
<td>78 Th</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING, EKSTREMITAS KIRI LEMAS</td>
<td>-</td>
<td>140/90</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>60</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td>A90</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>173</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>KATIMUN</td>
<td>`008923</td>
<td></td>
<td>`0000664538804</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>04-06-1987</td>
<td>36 Th</td>
<td>DUSUN GENTING</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HATI , MUAL, MUNTAH DUA KALI</td>
<td>MRS</td>
<td>120/70</td>
<td>80</td>
<td>37</td>
<td>20</td>
<td>165</td>
<td>54</td>
<td>64</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>N39.0</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
BPJS </td>
</tr>
<td>174</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>SAIRAH</td>
<td>`026289</td>
<td></td>
<td>`0000665304467</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>11-09-1969</td>
<td>53 Th</td>
<td>DSN DEPOK DS PULE, RT : 27,RW :14 </td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing berputar, mual, panas, nyeri ulu hati, keju linu</td>
<td>-</td>
<td>160/90</td>
<td>78</td>
<td>39</td>
<td>20</td>
<td>152</td>
<td>43</td>
<td>76</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>175</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>SATINEM</td>
<td>`026290</td>
<td></td>
<td>`0003011603253</td>
<td>`3503035011510001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>10-11-1951</td>
<td>71 Th</td>
<td>RT. 23, RW 03, DESA KARANGANYAR, KECAMATAN PULE, KABUPATEN TRENGGALEK, RT
: 23,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>batuk, mual, pusing gliyeng, nyeri ulu hati, mak min sedikit, panas</td>
<td>-</td>
<td>150/90</td>
<td>82</td>
<td>37</td>
<td>24</td>
<td>155</td>
<td>54</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>176</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>PAITUN</td>
<td>`016906</td>
<td></td>
<td>`</td>
<td>`3503034011690004</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>01-10-1969</td>
<td>53 Th</td>
<td>RT 15 RW 03 DSN. PONGGOK DS. KARANGANYAR KEC. PULE, RT : 15,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>nyeri ulu hati, pusing, ma min tidak mau 1 mgg</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>146</td>
<td>54</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>177</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>MARJITO</td>
<td>`017633</td>
<td>10856</td>
<td>`</td>
<td>`3503031005650003</td>
<td>`
</td>
<td>MARJITO</td>
<td></td>
<td>L</td>
<td>10-05-1965</td>
<td>58 Th</td>
<td>RT 8 RW 4, DSN KRAJAN</td>
<td>KEMBANGAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS,PUSING LEMES BATUK PILEK</td>
<td>MRS</td>
<td>130/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>153</td>
<td>74</td>
<td>83</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>178</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>NADI</td>
<td>`024825</td>
<td></td>
<td>`</td>
<td>`3503030105450002</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>01-05-1945</td>
<td>78 Th</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMAS, BICARA CEDAL</td>
<td>-</td>
<td>140/90</td>
<td>84</td>
<td>36</td>
<td>20</td>
<td>157</td>
<td>45</td>
<td>73</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>179</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>SUGIYONO</td>
<td>`026286</td>
<td>17578</td>
<td>`0001975819048</td>
<td>`3503032205650001</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>22-05-1965</td>
<td>58 Th</td>
<td>PUYUNG</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>bab cair 2x, hitam, pasien lemas, tidak pucat</td>
<td>-</td>
<td>140/80</td>
<td>84</td>
<td>37</td>
<td>20</td>
<td>154</td>
<td>57</td>
<td>76</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>180</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>NURUL INAYAH</td>
<td>`000289</td>
<td>19331</td>
<td>`0000664809513</td>
<td>`3503036108950001</td>
<td>`</td>
<td>EDI PURWITO</td>
<td>087876777893</td>
<td>P</td>
<td>21-08-1995</td>
<td>27 Th</td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, menggigil, pusing, bapil, nyeri sendi</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>154</td>
<td>54</td>
<td>74</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>181</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>SUMINI</td>
<td>`015659</td>
<td>11601</td>
<td>`0002315399815</td>
<td>`3503035303690001</td>
<td>`</td>
<td>SUKIMIN</td>
<td></td>
<td>P</td>
<td>13-03-1969</td>
<td>54 Th</td>
<td>RT 50 RW 25 DSN TIRISAN</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>MUAL,MUNTAH, NYERI ULU HATI</td>
<td>-</td>
<td>140/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>68</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td>E11</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>
<td>
</tr>
<td>182</td>
<td>RAWAT INAP</td>
<td>25-05-2023</td>
<td></td>
<td>PAITUN</td>
<td>`024986</td>
<td>5146</td>
<td>`0000663642101</td>
<td>`3503034101690004</td>
<td>`</td>
<td>KADENI</td>
<td></td>
<td>P</td>
<td>01-01-1969</td>
<td>54 Th</td>
<td>DSN PONGGOK RT 15 RW 03</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>NYERI ULU HAI,PUSING</td>
<td>-</td>
<td>110/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>55</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>183</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>GIYATNO</td>
<td>`026291</td>
<td></td>
<td>`0002905175946</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>14-08-1971</td>
<td>51 Th</td>
<td>RT 2 RW 2</td>
<td>CEPOKO</td>
<td>NGRAYUN</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Wiraswasta</td>
<td>Lama</td>
<td></td>
<td>PUSING, NYERI SELURUH BADAN</td>
<td>-</td>
<td>110/70</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>59</td>
<td>70</td>
<td>NGRAYUN</td>
<td>KASUS BARU</td>
<td>A91</td>
<td>
<td>E78.0</td>
<td>
Pure hypercholesterolaemia </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>184</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>MISILAH</td>
<td>`026303</td>
<td></td>
<td>`0002190258628</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>06-04-1955</td>
<td>68 Th</td>
<td>DESA NGLEBO RT 12 RW 03</td>
<td>NGLEBO</td>
<td>SURUH</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS 3 HR NYERI PERUT KANAN ATAS BATUK</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>38</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>0</td>
<td>Suruh</td>
<td>KASUS BARU</td>
<td>N37.8</td>
<td>
Other urethral disorders in diseases classified elsewhere </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS </td>
</tr>
<td>185</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>KUTI SRIWULANI</td>
<td>`026304</td>
<td></td>
<td>`0000664892054</td>
<td>` </td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>02-12-1970</td>
<td>52 Th</td>
<td>KRAJAN, KARANGANYAR, RT : 1,RW :1 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>luka kaki kiri, bengkak ada pus, adem panas, greges, pusing</td>
<td>-</td>
<td>160/90</td>
<td>92</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>82</td>
<td>83</td>
<td></td>
<td>KASUS BARU</td>
<td>L03</td>
<td>
Cellulitis </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>186</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>ALIFA NURIL MAHARDITA</td>
<td>`021456</td>
<td>10287</td>
<td>`</td>
<td>`</td>
<td>`
</td>
<td>PURANTO</td>
<td></td>
<td>P</td>
<td>09-01-2010</td>
<td>13 Th</td>
<td>RT 017,RW 006,DESA PAKEL KECAMATAN PULE, KABUPATEN TRENGGALEK, RT : 17,RW
:6 </td>
<td>PAKEL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PUSING LEMES PANAS,TIDAK NAFSU MENURUN</td>
<td>MRS</td>
<td>90/60</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>160</td>
<td>51</td>
<td>65</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>187</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>MAIDI</td>
<td>`015370</td>
<td>10119</td>
<td>`0000665074686</td>
<td>`3503033112510047</td>
<td>`</td>
<td>MAIDI</td>
<td></td>
<td>L</td>
<td>31-12-1951</td>
<td>71 Th</td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, panas,nyeri ulu hati</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>38</td>
<td>24</td>
<td>155</td>
<td>52</td>
<td>70</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>I11.0</td>
<td>
Hypertensive heart disease with (congestive) heart failure </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>188</td>
<td>RAWAT INAP</td>
<td>26-05-2023</td>
<td></td>
<td>WAGIMAN</td>
<td>`026307</td>
<td></td>
<td>`</td>
<td>`3503033112530040</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>31-12-1953</td>
<td>69 Th</td>
19,RW :3 </td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>kaki mar mar</td>
<td>-</td>
<td>140/90</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>154</td>
<td>50</td>
<td>70</td>
<td></td>
<td>KASUS BARU</td>
<td>I78</td>
<td>
Diseases of capillaries </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>189</td>
<td>RAWAT INAP</td>
<td>27-05-2023</td>
<td></td>
<td>SUYONO</td>
<td>`021450</td>
<td>205</td>
<td>`0000106887036</td>
<td>`3503032005660001</td>
<td>`</td>
<td>SUYONO</td>
<td></td>
<td>L</td>
<td>20-05-1966</td>
<td>57 Th</td>
<td>DSN KLRAJAN RT 05 RW 03</td>
<td>PULE</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Pegawai Negeri Sipil</td>
<td>Lama</td>
<td></td>
<td>mual, nyeri perut batuk dan pilek 2 hari</td>
<td>-</td>
<td>130/80</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>165</td>
<td>65</td>
<td>80</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>A09</td>
<td>
<td>R11</td>
<td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>190</td>
<td>RAWAT INAP</td>
<td>27-05-2023</td>
<td></td>
<td>SARIWUH</td>
<td>`001624</td>
<td>375</td>
<td>`0000664693492</td>
<td>`3503034301400001</td>
<td>`</td>
<td>sariwuh</td>
<td></td>
<td>L</td>
<td>03-01-1940</td>
<td>83 Th</td>
<td>RT. 27 RW.04 DSN PONGGOK</td>
<td>KARANG ANYAR</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pasien datang dengan keluhan pusing, nyeri ulu hati, mual, dredeg</td>
<td>-</td>
<td>230/100</td>
<td>102</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>45</td>
<td>75</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>191</td>
<td>RAWAT INAP</td>
<td>27-05-2023</td>
<td></td>
<td>ALVARO REYGA GEVANO</td>
<td>`026324</td>
<td></td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>22-03-2021</td>
<td>2 Th</td>
<td>SIDOMULYO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>panas, batuk, pilek, post kejang 2x jam 13.00 dan 15.00</td>
<td>-</td>
<td>90/60</td>
<td>98</td>
<td>37</td>
<td>20</td>
<td>98</td>
<td>11</td>
<td>55</td>
<td></td>
<td>KASUS BARU</td>
<td>J00</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>192</td>
<td>RAWAT INAP</td>
<td>28-05-2023</td>
<td></td>
<td>PANIYEM</td>
<td>`026327</td>
<td></td>
<td>`0000665234054</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1975</td>
<td>47 Th</td>
<td>RT 8 RW 3 </td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, gregesi, makan minum tidak mau</td>
<td>-</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>50</td>
<td>75</td>
<td></td>
<td>KASUS BARU</td>
<td>R50.0</td>
<td>
<td>R05</td>
<td>
Cough </td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>193</td>
<td>RAWAT INAP</td>
<td>28-05-2023</td>
<td></td>
<td>PAIJEM</td>
<td>`026328</td>
<td>13503</td>
<td>`0001975744989</td>
<td>`3503037112650007</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>31-12-1965</td>
<td>57 Th</td>
<td>JOMBOK, PULE, RT : 60,RW :17 </td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing gliyeng, tangan dan kaki terasa mar-mar, mual, lemes</td>
<td>-</td>
<td>200/100</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>155</td>
<td>65</td>
<td>86</td>
<td>Pandean</td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
</tr>
<td>194</td>
<td>RAWAT INAP</td>
<td>29-05-2023</td>
<td></td>
<td>MISRI</td>
<td>`026371</td>
<td></td>
<td>`0000665905015</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>01-07-1968</td>
<td>54 Th</td>
<td>21/6 JOMBOK</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Mual, muntah, nyeri ulu hati</td>
<td>-</td>
<td>110/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>140</td>
<td>35</td>
<td>50</td>
<td>Pule</td>
<td>KASUS BARU</td>
<td>R11</td>
<td>
<td>K30</td>
<td>
Dyspepsia </td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>195</td>
<td>RAWAT INAP</td>
<td>30-05-2023</td>
<td></td>
<td>DHOMO</td>
<td>`026390</td>
<td>20263</td>
<td>`</td>
<td>`3503031103750001</td>
<td>`
</td>
<td>DHOMO</td>
<td></td>
<td>L</td>
<td>11-03-1975</td>
<td>48 Th</td>
<td>DS JOHO DSN WERU, RT : 15,RW :5 </td>
<td>JOHO</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>PANAS BATUK PILEK NYERI ULUHATI SEJAK TADI MALAM</td>
<td>MRS</td>
<td>110/70</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>158</td>
<td>56</td>
<td>76</td>
<td></td>
<td>KASUS BARU</td>
<td>A91</td>
<td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>196</td>
<td>RAWAT INAP</td>
<td>30-05-2023</td>
<td></td>
<td>GIYAH</td>
<td>`026404</td>
<td></td>
<td>`0002735128822</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>14-08-1952</td>
<td>70 Th</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Pusing, mual, nyeri ulu hati, muntah 2x</td>
<td>-</td>
<td>160/100</td>
<td>88</td>
<td>36</td>
<td>20</td>
<td>150</td>
<td>56</td>
<td>80</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
BPJS Rawat Inap pasien BPJS Rawat Inap pasien BPJS Rawat Inap pasien
</tr>
<td>197</td>
<td>RAWAT INAP</td>
<td>31-05-2023</td>
<td></td>
<td>AHMAD ZAENURI</td>
<td>`026470</td>
<td></td>
<td>`</td>
<td>`3503031210750004</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>12-10-1975</td>
<td>47 Th</td>
<td>JOMBOK</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing gliyeng, mual, nyeri seluruh badan, batuk kering, nyeri ulu hati,
paanas</td>
<td>-</td>
<td>120/80</td>
<td>84</td>
<td>38</td>
<td>20</td>
<td>145</td>
<td>47</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td>J02.9</td>
<td>
Acute pharyngitis, unspecified </td>
<td>R50.0</td>
<td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>198</td>
<td>RAWAT INAP</td>
<td>31-05-2023</td>
<td></td>
<td>SAIKEM</td>
<td>`026415</td>
<td></td>
<td>`0000661084108</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>P</td>
<td>20-04-1965</td>
<td>58 Th</td>
<td>7/1 GAJAH</td>
<td>GAJAH</td>
<td>SAMBIT</td>
<td>PONOROGO</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>Nyeri ulu hati, mual, muntah</td>
<td>-</td>
<td>110/60</td>
<td>78</td>
<td>36</td>
<td>20</td>
<td>145</td>
<td>42</td>
<td>60</td>
<td></td>
<td>KASUS BARU</td>
<td>A01.0</td>
<td>
Typhoid fever </td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
</tr>
<td>199</td>
<td>RAWAT INAP</td>
<td>31-05-2023</td>
<td></td>
<td>NURUL HIDAYAT</td>
<td>`026474</td>
<td></td>
<td>`0001707097151</td>
<td>`3503030802960003</td>
<td>`
</td>
<td></td>
<td></td>
<td>L</td>
<td>08-02-1996</td>
<td>27 Th</td>
<td>DS TANGGARAN DSN KRAJAN, RT : 5,RW :1 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lainnya</td>
<td>Lama</td>
<td></td>
<td>pusing gliyeng, mual, nyeri seluruh badan, lemes, panas</td>
<td>-</td>
<td>120/80</td>
<td>73</td>
<td>38</td>
<td>20</td>
<td>156</td>
<td>50</td>
<td>72</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
dr. DZULHIBA </td>
<td>
hari </td>
</tr>
<td>200</td>
<td>RAWAT INAP</td>
<td>31-05-2023</td>
<td></td>
<td>LAMINEM</td>
<td>`026475</td>
<td></td>
<td>`</td>
<td>`3503034508670001</td>
<td>`
</td>
<td></td>
<td></td>
<td>P</td>
<td>05-08-1967</td>
<td>55 Th</td>
<td>DS TANGGARAN DSN NGLEDOK, RT : 35,RW :2 </td>
<td>TANGGARAN</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>pusing, mual, muntah, badam akit semua</td>
<td>-</td>
<td>100/70</td>
<td>82</td>
<td>36</td>
<td>20</td>
<td>156</td>
<td>45</td>
<td>68</td>
<td></td>
<td>KASUS BARU</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td></td>
<td>
</td>
<td>
<td>
hari </td>
</tr>
<td>201</td>
<td>RAWAT INAP</td>
<td>31-05-2023</td>
<td></td>
<td>SIRAM</td>
<td>`026555</td>
<td>2123</td>
<td>`</td>
<td>`</td>
<td>`</td>
<td></td>
<td></td>
<td>L</td>
<td>13-03-1964</td>
<td>59 Th</td>
<td>SUKOKIDUL</td>
<td>SUKOKIDUL</td>
<td>PULE</td>
<td>TRENGGALEK</td>
<td>JAWA TIMUR</td>
<td>Lama</td>
<td></td>
<td>LEMAS, PANAS, PUSING, NGGLIYENG</td>
<td>MRS</td>
<td>160/90</td>
<td>80</td>
<td>36</td>
<td>20</td>
<td>164</td>
<td>53</td>
<td>64</td>
<td></td>
<td>KASUS BARU</td>
<td>I10</td>
<td>
<td>R51</td>
<td>
Headache </td>
<td>K30</td>
<td>
Dyspepsia </td>
<td>
<td>
</tr>
</table>

Register Pasien 123

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Register Pasien 123

Uploaded by

Copyright:

Available Formats

<table class='tabel' width='90%'>

You might also like