LAPORAN BULANAN RAWAT INAP DR.

DIDY
NO NAMA PASIEN
1 SAMSIR HARAHAP
2 ASNAWI NASUTION
3 HARIADI
4 LINDA HASIBUAN
5 KOSIM HASIBUAN
6 ZAINABUN PULUNGAN
7 MASLINI HASIBUAN
8 SARTONO
9 ALI NURDIN LUBIS
10 MUHAMMAD TAYAMIN
11 NUR MINA
12 SITI AMBAT
13 ROSLAN PULUNGAN
14 ROHANA HASIBUAN
15 RAHMAT SANI
16 MUKMIN HASIBUAN
17 SARTONO
18 NURHABIBAH

CM

DIAGNOSA
2306 DM TYPE 2
2716 GASTRITIS
2714 CEPALGIA
2563 GASTRO AKUT
337 BRONCOPENOMIA
2731 GEA
2518 TBC
2091 GASTRITIS
2641 GASTRO AKUT
2643 SEPSIS
401 PPOK
2509 GASTRO AKUT
2629 HIPERTENSI
1197 SEPSIS
2717 DYSPEPSIA
2759 STROKE
2091 CHF
3121 HIPERTENSI
JUMLAH

TINDAKAN TANGIHAN RS
EKG
6,252.60
866.59
1,171.97
USG
1,571.26
3,187.41
1,257.26
3,239.03
1,275.06
962.40
1,480.80
3,711.58
1,276.11
EKG
1,683.92
EKG
1,786.89
726.02
1,838.49
EKG
4,397.82
USG
4,916.91
41,602.11

TANGIHAN BPJS
3,428,600.00
1,569,600.00
1,888,000.00
2,860,800.00
3,516,500.00
2,748,100.00
3,610,900.00
1,883,600.00
2,860,800.00
3,368,700.00
3,118,100.00
2,812,700.00
3,865,900.00
3,930,600.00
3,375,000.00
2,858,700.00
4,630,400.00
5,240,300.00
57,567,300.00

LAPORAN BULANAN RAWAT INAP DR. ARIF ISMAIL

NO

NAMA PASIEN
1 MUHAMMAD QIBRAN ALVARO
2 AHMAD DIAFARI
3 FADLI HASIBUAN
4 AL-FATIH KENZIE FAIRI
5 RIZKY AMNA
6 HAMDAN HALIM DAULAY
7 NOR ZAIFAR B.ROZI
8 IQBAL NASUTION
9 SABRINA LIVIA DWI
10 RAHMI PEBRIANI

CM

JUMLAH

DISGNOSA
3017 DIARE AKUT
3067 TBC
2972 DYSPEPSIA
3037 DEHIDRASI
2273 DYSPEPSIA
2875 DIARE AKUT
2510 TYROID FEVER
2651 DIARE AKUT
2828 TYROID FEVER
2535 DYSPEPSIA

TINDAKAN

RONGSEN

TANGIHAN RS
1,174.65
1,337.13
1,988.57
1,299.88
2,538.20
1,492.70
1,811.09
717.00
1,637.88
1,461.37
15,458.48

TANGIHAN BPJS
3,461,500.00
4,220,400.00
2,812,700.00
2,006,900.00
3,375,000.00
3,461,500.00
2,807,300.00
1,968,700.00
3,368,700.00
2,812,700.00
30,295,400.00

LAPORAN BULANAN RAWAT INAP DR.M.RISNANDAR

NO

NAMA PASIEN
1 KOMARIA
2 MARASAL HASIBUAN
3 SYAFRIZAL PANE
4 ROSMINA
5 ROMUNDUM PULUNGAN
6 TAMRIN
7 M.ILIYAS
8 BANGINDA SIREGAR
9 M.HATTA HASIBUAN
10 SUMIATI
11 ABDULLAH LUBIS
12 SUTAN RAJA
13 FIRMANSYAH
14 NGOLUTAN
15 WARSO
16 UBASARI
17 SITI ROUN
18 ASRITA
19 TK. ALISYAHBANA
20 SUDARWIN
21 TOIB LUBIS

CM

DIANGNOSA
2767 DYSPEPSIA
2671 SEPSIS
2805 PNEUNOMIA
1267 HIPERTENSI
519 PPOK
2444 AO ATRITIS
2957 DYSPEPSIA
2900 VERTIGO
2918 STROKE
9746 DEMAM TYROID
2930 CEPALGIA
232 TB PARU
3072 DYSPEPSIA
3012 DYSPEPSIA
2953 PNEUNOMIA
426 DYSPEBSIA
2929 TB PARU
2725 MALARIA
3170 HIPOGLIKEMIA
261 DYSPEPSIA
1415 CHF

TINDAKAN
EKG
EKG,BTA
RO THORAX
EKG
RO THORAX
RO THORAX
USG

TANGIHAN RS
1,548.33
3,433.18
1,690.54
349.79
1,632.99
5,013.66
1,108.42
2,339.84
1,621.82
1,781.05
1,678.72
3,460.34
1,226.77
916.98
1,760.67
3,945.19
2,785.26
2,893.06
1,361.29
435.37
1,958.38

22 MARTUA
23 ASLAIMIAH
24 ROSLINA HARAHAP
25 AGGARA
26 FITRIYANI
27 MANIYEM
28 MUHAMMAD SYUKUR
29 SITI MARIA
30 LISANUDDIN
31 NUR DIANA
32 MADNESA

2899 UROSEPSIS
3015 UROSEPSIS
3133 CEFALGIA
2943 STROKE
3098 ISK
1083 ISK
3076 CHF
2506 DM TYPE 2
3157 TBC
594 ASMAH
3132 HIPERTENSI
JUMLAH

2,424.82
2,806.30
1,182.17
1,688.52
1,034.16
2,648.40
1,504.97
10,294.83
3,420.22
2,436.06
2,605.13
74,987.23

TANGIHAN BPJS
3,375,000.00
2,110,000.00
8,800,200.00
3,221,300.00
2,426,800.00
5,042,300.00
3,375,000.00
5,402,400.00
2,843,500.00
3,368,700.00
1,573,500.00
6,050,100.00
3,375,000.00
3,375,000.00
8,178,200.00
3,937,800.00
4,220,400.00
3,610,900.00
4,941,600.00
2,812,700.00
6,023,100.00

3,610,900.00
2,821,600.00
1,573,500.00
2,382,200.00
1,568,900.00
2,826,800.00
4,501,900.00
5,906,700.00
5,908,600.00
2,199,000.00
9,194,300.00
130,557,900.00

LAPORAN BULANAN RAWAT INAP DR. AMIR FAJAR

NO NAMA PASIEN
1 FAHRI TANJUNG
2 NUR LELA SARI
3 HERMAN SIMAMORA
4 AHMADI HARAHAP
5 WARYADI
6 GIRSANG
7 AHMAD AFANDI
8 M YUSUF
9 IJUK SIMAMORA
10 MUFIDAH HAFNI
11 SAMSIR HARAHAP
12 SRI SUJIATI
13 CHELSEA
14 FITRI ANA
15 FUTRI WARDANI
16 MEYLANI
17 PAILAH
18 IRDAN SALEH
19 M.SADENAN
20 TONGKU ALI
21 RAHMAD TAHIR

CM

DIAGNOSA
3030 N21,0
2452 C50,9
2484 N21,0
2710 D23,7
2685 K35,1
2454 M31,9
2559 D23,4
2574 K40,4
2442 D23,5
2652 L02,4
2386 L02,4
3090 D24
2669 K35,1
3078 D21,9
2888 D21,9
2800 D21,9
2702 K35,1
3147 M46,9
2810 K40,4
2686 K40,4
2523 K35,1

TINDAKAN
57.99
85.99
57.99
80.91
84.91
16
53.15
83.49
83.09
83.09
85.99
54.11
83.39
83.39
83.39
54.11
53.55
53.15
54.11

JUMLAH

TANGIHAN RS
TANGIHAN BPJS
9,342,298.00
5,983,400.00
5,890,135.00
5,158,800.00
8,048,632.00
5,983,400.00
598,082.00
6,307,900.00
8,102,762.00
4,335,000.00
6,629,687.00
7,365,600.00
6,581,466.00
12,494,800.00
8,566,076.00
4,335,000.00
1,043,169.00
4,929,400.00
9,888,955.00
9,888,200.00
2,558,724.00
9,888,200.00
7,185,283.00
5,158,800.00
13,828,300.00
5,744,100.00
6,820,909.00
4,929,400.00
6,798,086.00
6,901,200.00
5,347,205.00
4,929,400.00
9,975,940.00
6,893,600.00
1,078,613.00
3,368,700.00
9,869,875.00
5,057,000.00
6,789,871.00
3,451,500.00
9,935,150.00
8,041,700.00

144,879,218.00

131,145,100.00

LAPORAN BULANAN RAWAT INAP DR. RIJAL

NO NAMA PASIEN
1 ARMY NOBRIANA
2 SAFITRI
3 MINTANA NASUTION
4 RAHMA YANA
5 NUR HALIMA NST
6 MASNA WARI
7 SITI OMBUN PULUNGAN
8 ELPI ANNUM
9 NUR HELMI
10 ROSIDAH
11 MERI MINTA
12 SAFRIDA
13 SARI BULAN SONJA
14 EMI FADILAH
15 ELFRIDA JANNA
16 DERLAN
17 ERNA WATI
18 LINDA RISWANA
19 ERMA YULIS
20 NURHANDAYANI
21 HOTMALILA

CM

DIAGNOSA
3158 KPD
2611 HIPEREMESIS
2261 HIPEREMESIS
2817 KPD
2813 POST KURETASE
619 POST SC
2824 POST SC
2397 POST KURETASE
2845 POST SC
2440 KPD
2526 POST SC
2761 PARTUS LUAR
2825 POST SC
675 POST SC
1727 POST SC
3176 HAMIL(35-36 MG)
3151 POST PARTUS NORMAL
2735 POST SC
3095 POST SC
2876 POST SC
2925 POST SC

TINDAKAN
SC
USG
USG
SC
KURETASE
USG,SC
SC
KURETASE
SC
EKG,SC
SC
SC
SC
USG,SC
SC,TRANFUSI
USG
USG
SC
SC
SC,TRANFUSI
SC

22 SANTI EPELINA
23 RISMA WATI
24 NURHALIMA SITUMEANG
25 MEY HAYATI
26 EVI ZULVI
27 ADE LIN ASURYANI
28 NUR HALIMA NASUTION
29 NUR SAIDA DLY

2553 PLASENTA PREVIA

3177 POST PLASENTA
2885 POST SC
2849 POST KURETASE
2964 POST SC
831 POST SC
2813 POST KURETASE
3022 POST SC
JUMLAH

TRANFUSI
MANUPAL PLASENTA
SC
KURETASE
SC.TRANFUSI
USG,SC,TUBEKTOMY
KURETASE
SC,TRANFUSI

TANGIHAN RS TANGIHAN BPJS

8,440,077
4,883,600.00
1,398,969
2,532,200.00
1,316,956
2,110,000.00
8,655,711
4,491,300.00
1,998,171
2,765,200.00
11,233,806
4,883,600.00
8,121,800
4,069,700.00
2,918,128
2,765,200.00
10,858,764
4,883,600.00
8,076,977
4,069,700.00
7,125,683
4,069,700.00
3,149,035
2,156,500.00
7,221,207
4,491,300.00
9,054,377
5,698,100.00
11,349,365
6,287,900.00
1,186,757
1,414,400.00
1,722,743
2,812,700.00
8,207,626
4,069,700.00
8,862,609
5,698,100.00
11,352,047
4,069,700.00
7,335,381
4,069,700.00

2,781,654
3,950,300.00
2,854,408
2,821,600.00
7,742,352
4,069,700.00
1,706,316
2,765,200.00
20,305,420
4,491,300.00
11,233,806
4,069,700.00
1,998,171
2,765,200.00
7,239,029
4,491,300.00
195,447,345 111,716,200.00