LAPORAN PASIEN RENCANA KEMOTERAPI YAN

NO NAMA PASIEN NO. RM DPJP DIAGNOSA RUJUK KE . TGL RUJUK

1 Fatimah 181416 DR. YARSA BREAST CANCER RSKI 4/14/2023
2 HATANTI 8412 DR. YARSA BREAST CANCER RSDM 8/4/2023
3 SRI JUMIATI 194423 DR. YARSA BREAST CANCER RSKI 8/4/2023
4 MAFI MARWANTI 134585 DR. YARSA BREAST CANCER RSKI 8/4/2023
5 GIYATI 192382 DR. YARSA BREAST CANCER RSKI 8/4/2023
6 SUPARSIH 44987 DR. YARSA BREAST CANCER RSKI 8/15/2023
7 SUPARTI 189820 DR. YARSA BREAST CANCER RSDM 8/15/2023
8 MARTINI 189813 DR. YARSA BREAST CANCER RSKI 8/15/2023
9 SADIKEM 194424 DR. YARSA BREAST CANCER RSKI 8/18/2023
10 SAIKEM 195929 DR. YARSA CA SQUAMOSA RSDM 8/18/2023
11 SUPARTI 179798 DR. YARSA BREAST CANCER RSKI 8/18/2023
12 SRI HARTATIK 92015 DR. YARSA BREAST CANCER RS PKU 8/18/2023
13 SRI SUMIYATI 186690 DR. YARSA CA LIDAH RSDM 8/18/2023
14 PURWARINI 191048 DR. YARSA BREAST CANCER RSKI 8/18/2023
15 VICA WIDHIARTI 195226 DR. YARSA BREAST CANCER RSKI 8/29/2023
16 DARMININGSIH 161574 DR. YARSA BREAST CANCER RSKI 8/29/2023
17 Ny. SRI ISMIYATI 190017 DR. YARSA BREAST CANCER 8/29/2023
18 Ny. WATINI 194937 DR. YARSA BREAST CANCER RSKI 9/1/2023
19 Ny. SARIYEM 190835 DR. YARSA BREAST CANCER RSKI 9/1/2023
20 Ny. JUMINAH 191363 DR. YARSA BREAST CANCER RSDM 9/1/2023
21 Eni Sukaningsih 194415 DR. YARSA BREAST CANCER RSKI 9/8/2023
22 Marinem 195935 DR. YARSA BREAST CANCER RSKI 9/8/2023
23 Ny. LILIS KRISNAWATI 191372 dr. yarsa breast cancer rski 9/5/2023
24 Ny. SITI RUMIYANAH 136243 dr. yarsa breast cancer rski 9/12/2023
25 Ny. Sri Rahayu 38922 dr. yarsa breast cancer 9/26/2023
26 Ny. Rini Tri Hastuti 197350 dr. yarsa breast cancer 9/26/2023
27 Sri Hartati 168988 Dr. Yarsa NHL RSKI 10/3/2023
28 Tukinem 197018 Dr. Yarsa Ca Mamae D RSKI 10/10/2023
29 Sri Maini 199196 Dr. Yarsa Ca Mamae D 10/17/2023
30 Setya murdiningsih 75406 Dr. Yarsa breast cancer RSDM 11/17/2023
31 triningsih 172441 Dr. Yarsa breast cancer RSDM 11/17/2023
32 Marlina 20064 Dr. Yarsa breast cancer RSKI 11/24/2023
33 Lestari 201406 Dr. Yarsa breast cancer RSDM 11/24/2023
34 Sri Wiji 56147 Dr. Yarsa breast cancer RSDM 11/24/2023
35 Natalia Kristiyanti 200876 Dr. Yarsa breast cancer RSDM 11/28/2023
36 Sri Warsiti 201707 Dr. Yarsa breast cancer RSDM 12/1/2023
NCANA KEMOTERAPI YANG DIRUJUK

NO HP KETERANGAN
81328518499 pro kemo, lanjut IH 3/11/2023
85601244418 TELP DIALIHKAN
85647412590 RUJUKAN HABIS. kemo oral. Lebres
85729964923 TELP DIALIHKAN
87700530822 TELP DIALIHKAN, lanjut kemo 13/11/23 di IH
85799578066 post kemo 4x di rski,echo dulu, lanjut di ih tgl 23/9/23
87826725461 SCREENING IHC, post kemo 2x di rsdm, lanjut di ih tgl 16/9/23
88232543615/87804909595TIDAK DIANGKAT, kemo di IH 21/10/23
85642433958 TELP DIALIHKAN
81225590592 SUDAH KEMO DI RSDM
81229426256 KEMO ORAL : NAPTERA
8122643062 TERAPI HORMON
88289711236 KEMO 4X, RUJUKAN HABIS
85229818838 kemo 2x di RSKI, kemo ke 3 tgl 30/11/23 di IH
81278833560 pro kemoterapi, lamjut IH tgl 29/11/23
8122616305 kemo oral : letraz
8226062022/8121505799 sudah kemo 1x di indriati,rencana kemo tgl 2/9/23
8122616305 pro kemoterapi
82316572212 kemo 3x di rski
81316119410 pro kemoterapi, lanjut di IH tgl 27/10/23 kemo ke 2
87836669111 kemo ke 2 di IH 14/10/23
87888415081 kemo ke 3 di IH 22/11/23
81329314462 ihc - pro kemo
85828466790 pro kemo 2x di rski, op, ihc
8973063900 IHC pro kemo
85701218973 IHC pro kemo
89512694584 residif, sudah kemo 1x di IH dgn umum, rujuk RSKI utk bs BPJS
85700644492 pro kemoterapi
85648875085 IHC pro kemo
81329041831 kemo 2x lanjut Op di RSDM
89619344567 2x kemo operasi
85240923461 pro kemo
87733880114 pro kemo
85293207124 pro kemo
85895561186 pro kemo
85647354220 pro kemo
: sudah kembali kemo di IH
 LAPORAN PASIEN IHC
NO NAMA PASRM NO Telp Tgl IHC hasil jadi rujuk
1 Setya M 75406 30/10/2023 11/6/2023 RSDM
2 Triningsih 172441 89619344567 11/1/2023 RSDM
3 Suyatmi 200280 89643891569 11/1/2023
4 Sriwiji 56147 85293207124 11/12/2023 RSDM
5 Marlina 200064 85240923461 11/12/2023 RSKI
6 Lestari 201406 87733880114 11/12/2023 RSDM
7 Natalia 200876 14/11/2023
8 Sri Warsiti 201707 85647354220 17/11/2023 RSDM
9 Suratmi 190706 17/11/2023
10 Yayuk Mula 202540 17/11/2023