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Tanggal Rujukan Dibuat Nama Faskes Tujuan
21-08-2023 RS HASTIEN
21-08-2023 rs bayukarta
21-08-2023 rs dewi sri
21-08-2023 RS bayukarta
21-08-2023 rsia djoko pramono
21-08-2023 klinik dota medika
21-08-2023 klinik dota medika
22-08-2023 rs hermina
22-08-2023 rs islam
22-08-2023 rsia djoko pramono
22-08-2023 RSIA djoko pramono
23-08-2023 rs citra sari husada
23-08-2023 RSIA djoko promono
23-08-2023 RS DEWI SRI
23-08-2023 rs islam
24-08-2023 Rs Citra sari husada
24-08-2023 rs citra sari husada
25-08-2023 RS LIRA MEDIKA
26-08-2023 RS dewi sri
26-08-2023 RS islam karawang
27-08-2023 rs intan barokah
28-08-2023 rs primaya
28-08-2023 rs bayu karta
29-08-2023 RISA DJOKO PRAMONO
29-08-2023 rs
29-08-2023 rs joko
29-08-2023 bayu karta
30-08-2023 rs intan barokah
31-08-2023 rs mitra family
31-08-2023 rs islam karawang
Poli Tujuan Dokter Tujuan
POLI DALAM DR SPPD
poli kulit kelamin Dr. Sp.KK
poli saraf dr Sp.s
poli mata dr Sp.M
poli saraf dr spS
poli kandungan dr spOG
IGD dr IGD
poli saraf Sp.S
THT -
poli saraf Sp.S
poli dalam dr Sp.PD
rehabilitasi medis dr sp.RM
poli paru dr Sp.P
poli anak dr Sp.A
obygen atau kandungan dokter Spo.g
poli anak dr SpA
kandungan/ obygen dokter Spog
tht sp.tht
poli anak dr Sp.A
kandungan /obygen dokter Spog
POLI JANTUNG DR SP JP
igd sp.a
poli gigi drg
kandungan/obygen dokter Djoko pramono
poli kulit kelamin dr. Sp.KK
poli dalam dr spPD
POLI DALAM DR. sP.pd
jantung Sp.JP
gigi DRG
poli bedah Ssp.B
urologi Sp.U
poli anak Sp.A
poli RM dr Sp.RM
poli anak dr spA
poli kulit dr spKK
KANDUNGAN /OBYGEN SPOG
poli anak dr spA
poli saraf dr SpS
pole bedah dr spB
sp.og sp.og
tht dr. tht
poli gigi dr.gigi
poli penyakit dalam SP.PD
poli dalam SP.PD
poli saraf sp.s
poli bedah sp.b
poli anak SP.A
poli anak dr Sp.A
poli gigi drg
poli anak dr SpA
oili bedah dr Sp.B
poli anak dr Sp.A
poli jantung dr SpJP
poli saraf dr Sp.S
poli dalam dr Sp.PD
poli tht dr spTHT
Nama Pasien Diagnosa
MUSTIKA FAMERA BINTI HAYAT YUHA R10.0: Acute abdomen
MUSYAROFAH BINTI MUKUMEDI L23.0: Allergic contact dermatitis due
EUIS RATNA KOMALA M54.5: Low back pain
Mualimin Bin Kasri H11.0: Pterygium
rosanah binti haji tarji M06.9: Rheumatoid arthritis, unspecifi
HERIKA IRIANTI PTRI BINTI AYAT Z48.9: Surgical follow-up care, unspeci
RAHMAYANTI BINTI ABDUL HAMID R10.0: Acute abdomen
Pajar Supriatna bin Anda H81.0: Menieres disease
Dibiana Kusyulianti binti Dibjo J06.0: Acute laryngopharyngitis
BUDI UTOMO BIN imbran dojowijoyo I69.3: Sequelae of cerebral infarction
Riska Dewi binti aling R50.9: Fever, unspecified
yati sri binti amang durahmang M06.9: Rheumatoid arthritis, unspecifi
Nurhayati binti Suhiyat J45.9: Asthma, unspecified
MUHAMMAD NAPIS ALKHARI BIN YAT D50.0: Iron deficiency anaemia seconda
MELYGA ARIYANTI BINTI MULYADI O14.0: Moderate pre-eclampsia
Revalina Putri Kurniawan R10.0: Acute abdomen
Elin Herlina binti Dadang O82.0: Delivery by elective caesarean
Romlah binti Talam H66.1: Chronic tubotympanic suppurati
DINDA KIRANA BINTI TOMI R10.0: Acute abdomen
Eti Rohaeti binti muhdi P07.3: Other preterm infants/nZ34.0:
Susi Nuryanti binti Karwan R07.4: Chest pain, unspecified
JENAIRA BINTI DENI HAMDANI
martiningsih binti taya K02.0: Caries limited to enamel
CARTI BINTI NENDI O82.0: Delivery by elective caesarean s
ICAN PERMADI BIN NIMIN L23.0: Allergic contact dermatitis due
yeyet ella hayati binti alih E10.8: Insulin-dependent diabetes mell
KOMSIH BINTI TAYI E10.7: Insulin-dependent diabetes mell
supandi bin ahum I50.0: Congestive heart failure
kartini binti karta K02.1: Caries of dentine
Nurlaela binti Eman I84.4: External haemorrhoids with othe
Enceng bin Kasip D29.1: Benign neoplasm of prostate
alan septian dika bin rosidi kusna R50.9: Fever, unspecified/nJ06.0: Acut
Yulianti Sundari binti suparlan N31.9: Neuromuscular dysfunction of b
AKHTAR AZZAMIR YUSRI ASRORI BIN RIR50.9: Fever, unspecified
abdul manap bin odoy wirayat L23.0: Allergic contact dermatitis due
karsem binti karwin O20.0: Threatened abortion/nZ34.0: S
DWI KARTIKA PUTRI BINTI ALI R50.9: Fever, unspecified
Yeti Nurbaeti Binti Sarnap I64: Stroke, not specified as haemorrha
ENDRA DIKA PERMANA BIN KARSID MUI84.0: Internal thrombosed haemorrho
FATIMAH BAITUL JANNAH BINTI SARKI N91.0: Primary amenorrhoea
avika rikzatun nisa binti rohman H61.2: Impacted cerumen
NUROTUL JANNAH BINTI KUSMA K05.0: Acute gingivitis
Namih binti Cayo R10.4 Abdominal pain/kolik abdomen
wacem binti samen R10.4 Abdominal pain/kolik abdomen
karwati binti eman M54.5: Low back pain
yeyet ella hayati binti alih E11.7: Non-insulin-dependent diabetes
VIONA AZALEA AZZAHRA G40.0: Localization-related (focal) (par
AIKO GIBRAN FAHLEVI BIN AGUS ROSDR05: Cough
WILDAN ALHUSAYN NASIR BIN ABDUL D10.2: Benign neoplasm of floor of mo
SALSA AMBARWATI BINTI ENCIM R50.9: Fever, unspecified
Raswati Sukma Dewi binti sakam E10.7: Insulin-dependent diabetes mell
DEVI NADIA BINTI DEDE IRAWAN E05.0: Thyrotoxicosis with diffuse goitr
CAMIH BINTI MAAN I25.0: Atherosclerotic cardiovascular d
AGUNG SUDIBYO BIN H.CEPDUDUS M54.5: Low back pain
Nurqomariyah binti H.Ali B16.1: Acute hepatitis B with delta-ag
ANITA SYAMSIYAH BINTI H.SUHANDI H90.1: Conductive hearing loss, unilate
Tindakan Yang Diberikan Tanggal Janji Rujukan
MEDIKA MENTOSA 21-08-2023
medikamentosa 21-08-2023
medika mentosa 21-08-2023
sudah 21-08-2023
ya 21-08-2023
kontrol rawat jalan 22-08-2023
konseling 22-08-2023
konsul 22-08-2023
pemeriksaan lanjutan 22-08-2023
konsul 23-08-2023
KONSELING 23-08-2023
observasi 23-08-2023
konsultasi 24-08-2023
TERAPI LANJUT dari dokter spesialis d 25-08-2023
KONSULTASI 29-08-2023
pemeriksaan lebih lanjut 29-08-2023
PEMERIKSAAN LEBIH LANJUT 30-08-2023
PEMERIKSAAN LEBIH LANJUT 30-08-2023
terapi lenbih lanjut 30-08-2023
pengobatan rutin 30-08-2023
terapi lanjut dari dr jantung 31-08-2023
terapi lanjutan dari spesialis 31-08-2023

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Tanggal Rujukan Dibuat Nama Faskes Tujuan

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