Asal Jenis Jenis

JAM pelayana Kelamin Kunjungan

No Tanggal No MR KEDATAN Nama Umur n
GAN RJ IGD P L Baru

1 4/1/2017 041414 2.02 tika ananda 27 thn 1

2 4/1/2017 066788 3.43 ulil albab 1 THN 1 1
M IQBAL KUSUMA
4/1/2017 063942 07,20 29 TH 1
3 PUTRA
NIMA AHMAD
4/1/2017 066789 08,15 61 TH 1 1
4 IBRAHIM
5 4/1/2017 066790 08,36 H THABRANI SAHILI 85 TH 1 1
6 4/1/2017 011491 08,46 H SAUKANI FAUZI 77 TH 1
7 4/1/2017 066791 09,39 WAHYUDI 42 TH 1 1

4/1/2017 022864 09,43 LULU URAFIAH WIBA 5 TH 1

8 WATI
9 4/1/2017 045693 09,45 SOELASTRI 43 TH 1
10 4/1/2017 066792 10,17 NASIROH 16 TH 1 1
11 4/1/2017 041910 10,20 MARDIAH 46 TH 1
12 4/1/2017 066793 10,40 GITO TRIPUJO 54 TH 1 1
13 4/1/2017 066794 10,52 HJ AMAS 83 TH 1 1
14 4/1/2017 011643 10,59 E. M. SUCIATI 68 TH 1
15 4/1/2017 034459 11,26 MARYANI 49 th 1
16 4/1/2017 062967 12,01 DJIU KHIUN NYET 70 th 1
17 4/1/2017 066795 12,03 SRI WAHYUNI 25 th 1 1

4/1/2017 031462 12,42 RIZKA AYU RAHMAYANI 9 TH 1

18
4/1/2017 008804 12,58 NURHAYATI 32 TH 1
19
20 4/1/2017 066796 13,00 WINSON 26 TH 1 1
RIZIK IMAN
4/1/2017 021723 13,32 2 TH 1
21 RAMADHAN
22 4/1/2017 022611 16.01 JAHRO 54 TH 1
23 4/1/2017 066798 16,37 NURMI 39 TH 1 1
24 4/1/2017 066799 16,43 NUR IDRUS 46 TH 1 1
25 4/1/2017 032259 16,55 M ADE FIRQI 11 TH 1

4/1/2017 047825 17,15 MARTINI 27 thn 1

26
27 4/1/2017 014858 17,36 PUTRI MAHARANI 13 TH 1
28 4/1/2017 022011 18,13 HADRAN USMAN 67TH 1
29 4/1/2017 034261 18,22 ASNAWATI 51 TH 1
30 4/1/2017 066801 19,19 DENA 5 BLN 1 1
31 4/1/2017 019452 20,45 AMIN RUMSITA 73TH

4/1/2017 066802 21,10 BY NY NURBANI 0HARI 1 1

32
33 4/1/2017 060397 22,25 DEVIOLA ANJELI 19TH 1
34 4/1/2017 066803 23,53 RUDI JANUARDI 16TH 1 1
35 4/2/2017 064296 01,03 FITRIA MARIZKA 30TH 1
36 4/2/2017 066804 02,11 CINDI NOPI ANTI 4BL 1 1
37 4/2/2017 066805 05,28 RALINA 37TH 1 1
38 4/2/2017 066806 06,03 HAIRUL UMAM 22TH 1 1
39 4/2/2017 037785 06,14 SAMSURI 44TH 1
ANGGA SUMARKAS
4/2/2017 050486 07,16 36 TH 1
40 KUSNATA
41 4/2/2017 066807 07,40 SITI NUR INDAH SARI 25 TH 1 1
42 4/2/2017 051532 07,55 TUGIJEM 68 TH 1
43 4/2/2017 063086 08,57 JULIA AZZAHRA 8 BLN 1
44 4/2/2017 044437 09,10 IMAM ARIF HAMIZAN 1 TH 1
45 4/2/2017 029007 09,30 SYARIFAH AIDAH 54 th 1
46 4/2/2017 066808 10,04 HASBI OKTAVANDA 7 th 1 1
47 4/2/2017 066759 10,15 SURYANI 34 th 1
48 4/2/2017 066809 11,19 JAMIL 21 th 1 1
49 4/2/2017 001915 11,21 H ISMAIL HUSIN 82 th 1
50 4/2/2017 066810 11,29 DAUD 47 th 1 1

4/2/2017 066811 12,19 AKBAR RAMADHAN P 2 TH 1 1

51
52 4/2/2017 066812 13,08 MARDIANSYAH 29 TH 1 1

4/2/2017 066813 13,22 JONI ISKANDAR 21 TH 1 1

53
4/2/2017 044643 13,27 ALVINO ATHA ZAHRAN 3 THN 1
54
55 4/2/2017 066262 13,28 IWAN 33 TH 1

4/2/2017 063169 14,25 HABIBI AKMAL AL ZIKRI 9 BLN 1

56
57 4/2/2017 066814 14,26 MUHAMMAD ROYEN 6 TH 1 1
58 4/2/2017 054122 14,32 KHAIZURAN HANIF R 2 TH 1
59 4/2/2017 066815 15,26 kam kim cin 85 th 1 1
60 4/2/2017 066816 15,51 MARIANA 29 1 1
61 4/2/2017 025863 16,03 AISYAH 64 TH 1
62 4/2/2017 001824 16,20 MUAZI MS 41 TH 1
63 4/2/2017 006659 16,46 UTIN RAJULAINI 54 TH 1
64 4/2/2017 021364 17,04 KURNIADI 1
65 4/2/2017 066817 17,48 NINGRUM 37 TH 1 1
66 4/2/2017 036005 17,57 M IRFAN HAMIM 36 TH 1
67 4/2/2017 045631 18,52 M JAFRI 62 TH 1
68 4/2/2017 038967 19,06 FERRY ARIFTO 1
69 4/2/2017 066818 19,11 NURAINI 1 1
70 4/2/2017 039389 19,16 ARIF HARNANTO 25 TH 1
 4/2/2017 066819 19,39 DENY ROSDANY 40 TH 1 1
71
4/2/2017 031462 20,21 RIZKA AYU RAHMAYANI 9 TH 1
72
73 4/2/2017 019203 20,55 YULLY YARSI 36 TH 1
Fahriello Ardhyana
4/2/2017 066820 21,11 10TH 1 1
74 Saputra
75 066875 theresia 73th 1
76 4/3/2017 066821 01,24 ARFANI HARISANDI 39TH 1 1
77 4/3/2017 021289 06,18 MARISAH 39TH 1

4/3/2017 004514 07,03 yeni anngereini 30 thn 1

78
4/3/2017 047339 07,08 murad 52 thn 1
79
80 4/3/2017 064023 08,08 burhan bin usman 68 TH 1
19
4/3/2017 066834 08,24 RENI 1 1
81 THN
82 4/3/2017 016124 08,55 JAMIAT 61 TH 1

4/3/2017 030869 10,38 syf juraini 59 thn 1

83
20
4/3/2017 059583 11,05 M FATHUNNUR 1
84 THN

4/3/2017 066287 11,26 tjung kim siu 79 thn 1

85
4/3/2017 066882 11,31 sunarti 24 thn 1 1
86
4/3/2017 042268 11,33 alfa 12 thn 1 1
87
88 4/3/2017 066883 11.39 eci 25 thn 1 1

4/3/2017 055577 11,57 rosita maharaja 54 thn 1

89
4/3/2017 033315 12,07 nurul susan h 20 thn 1
90
91 4/3/2017 066884 12,10 haris 2 bln 1 1
92 4/3/2017 066885 12,16 reyhan a 2 thn 1 1

4/3/2017 006868 12,33 vonny sulasti 20 thn 1

93
4/3/2017 066886 12,55 desi m 25 thn 1 1
94
95 4/3/2017 011493 13,08 maulidya j a 3 thn 1
96 4/3/2017 066856 13,27 m priya abid p 7 bln 1 1

4/3/2017 016396 13,35 syamsuddin 77 thn 1

97
98 4/3/2017 026757 14,18 dira shabrina 20 th 1
 4/3/2017 066888 15,08 MAHANI BINTI BANDU 81 TH 1 1
99
100 4/3/2017 042110 15,21 DAHLIA 36 TH 1
101 4/3/2017 066889 15,29 AZIS RAKHMAN 67 TH 1 1
102 4/3/2017 040259 16,28 MAIMUNAH 56 TH 1
103 4/3/2017 066890 17,42 DJUMILAH 69 TH 1 1
INDAH
4/3/2017 008573 18,23 52 thn 1
104 RATNANINGRUM
105 4/3/2017 066118 18,28 ERIKO 42 TH 1
106 4/3/2017 001586 18,30 SRI ERMIARTI, Spd. 45 TH 1
107 4/3/2017 000795 18,45 RIDUANJSAH 70 TH 1
108 4/3/2017 066796 19,12 WINSON 26 TH 1
109 4/3/2017 062241 19,31 BURHAN 37 TH 1
110 4/3/2017 039601 19,33 AINI 34 TH 1
111 4/3/2017 036005 20,41 M IRFAN HAKIM 36 TH 1

4/3/2017 017171 20,49 ANDI M REXANI 5 TH 1

112
113 4/3/2017 066893 20,53 FEBRIANUS 28 TH 1 1
114 4/3/2017 066894 21,29 SUSAN FRANCIS 60 TH 1 1
115 4/3/2017 013196 22,16 SA'ODAH 64 TH 1
116 4/3/2017 066895 22,26 RADIAH AZAHRA 3 BLN 1 1
117 4/3/2017 066669 23,04 M FATHAN QURTUBI 2 BLN 1
WESLEY MUDA
4/3/2017 000436 23,48 67 TH 1
118 DAMANIK
119 4/3/2017 salmiah
120 4/3/2017 JURAINI
121 4/3/2017 SUHARTI
122 4/4/2017 066896 01,03 WANDI 2 TH 1 1
123 4/4/2017 011580 01,19 YUNINDA FIDRIANTI 31 TH 1
124 4/4/2017 004317 01,59 ANDI HENDRI 42 TH 1
125 4/4/2017 033516 04,09 AHMAD SALMAN 2 TH 1
126 4/4/2017 065703 06,37 AINA S.PD 26 TH 1
ADWIN
4/4/2017 040327 07,22 27 thn 1
127 ALAMSYAHPUTRA
65
4/4/2017 066659 08,05 RUSDI SAID 1
128 THN

4/4/2017 066907 08,06 NAZWA DAMAYANTI 12 thn 1 1

129
72
4/4/2017 019403 08,17 HAWANG 1
130 THN
58
4/4/2017 059575 08,39 uray muslimin 1
131 THN
 38
4/4/2017 020600 08,58 SYAFINAS 1
132 THN
133 4/4/2017 059118 09,00 KAMISAH 40 TH 1
134 4/4/2017 031870 09,10 SYECH ZUBAIDAH 69 TH 1
135 4/4/2017 012153 09,14 HATIFAH THAHA 61 TH 1
136 4/4/2017 052978 09,37 SUPRIADI 49 th 1
137 4/4/2017 011889 09,58 JAHARA 61 TH 1
16
4/4/2017 066949 10,44 SHARUL IKSAN 1 1
138 THN
139 4/4/2017 017224 11,44 SITI KURNIA 51 TH 1
140 4/4/2017 054265 12,30 abid naufal 2 thn 1

4/4/2017 012802 12,37 MURJANI 69 TH 1

141 BURHANUDIN
142 4/4/2017 066955 12,57 LIDYA WULAN DARI 28 TH 1 1

4/4/2017 066956 12,58 NURHASANAH 63 1 1

143 THN
144 4/4/2017 059929 13,11 YANTI 46 TH 1
M RAFA AIDIL
4/4/2017 066957 13,24 8 BLN 1 1
145 SYAHPUTRA
23
4/4/2017 066958 13,38 RIZAL FAHMI 1 1
146 THN
147 4/4/2017 053970 13,48 SITI RAFIAH 51 TH 1

4/4/2017 053700 14,09 DELFIAN NANDA D 1 THN 1

148
149 4/4/2017 033909 14,36 SYARIFAH YANUARTI 43 TH 1
150 4/4/2017 066959 15,41 RAHMA SAFITRI 30 TH 1 1
151 4/4/2017 051925 15,55 DODI KARYANTO 44 TH 1
152 4/4/2017 002872 16,31 SURYA DHARMA 65 TH 1
153 4/4/2017 066960 16,40 ABDI NUGRAHA 5 TH 1 1

4/4/2017 066961 16,55 JUMAIDAH BUDIARTI 27 thn 1 1

154
155 4/4/2017 012797 17,09 ENDANG SUHANA 26 TH 1
156 4/4/2017 057000 17,12 MUHIMIN 28 TH 1
157 4/4/2017 017126 18,25 khalidi 48 TH 1
TOMMY MANDALA
4/4/2017 050723 18,52 18 TH 1
158 PUTRA

4/4/2017 066963 19,03 F EKHWANI 57 TH 1 1

159
160 4/4/2017 066964 20,34 PANDI 19 TH 1 1
161 4/4/2017 029062 21,49 fatmawati 20 th 1
63
4/4/2017 023778 21,56 amat efendi 1
162 THN
163 4/4/2017 066814 21,58 MUHAMMAD ROYEN 6 th 1
DEVIAR FEYSYAHNOOR 20 TH
4/4/2017 008815 22,48 1
164 A
165 4/4/2017 019131 22,53 ZUBAIDAH 58 1
166 4/4/2017 066966 23,37 EMA MARLINA 37 TH 1 1
167 4/4/2017 MEGALIYA 24TH
168 4/4/2017 SYF JAMILAH
169 4/4/2017 NILAWATI
170 4/4/2017 sumiati 61th
171 4/4/2017 suliah aritonang 75th
4/5/2017 056559 02,20 MUSTHAFA SYARKOWI 37 1
172
173 4/5/2017 045935 02,24 SETIYAWATI 49 TH 1
174 4/5/2017 054919 02,42 BANI AMIN 60 TH 1

4/5/2017 066968 04,24 MASFIAH 58 1 1

175 THN
64
4/5/2017 062649 07,01 KARNUDIN 1
176 THN
45
4/5/2017 049281 07,24 HENDRI 1
177 THN
43
4/5/2017 058819 07,30 NURTHAYATI 1
178 THN
RAFIF SYAWAL AT
4/5/2017 066971 07,39 8 BLN 1 1
179 TAUHIT

4/5/2017 066970 08,01 kamil rafli 19 thn 1 1

180
4/5/2017 057332 08,54 nabila 20 thn 1
181
by ny fitri yanti / m
4/5/2017 055871 10,42 8 bln 1
182 alrazy ibrahim
183 4/5/2017 066814 11,07 muhammad royen 6 thn 1

4/5/2017 066994 11,30 maulidi murdi 28 thn 1 1

184
28
4/5/2017 066995 11,41 AMRI 1 1
185 THN
20
4/5/2017 067013 11,51 DANIA AL HDAD 1 1
186 THN
51
4/5/2017 000175 11,57 BASARUSSIN SKM 1
187 THN

4/5/2017 043933 12,26 rukiah 59 thn 1

188
40
4/5/2017 065725 12,42 ASNAWATI 1
189 THN

4/5/2017 056360 13,18 nanag sauherman 56 thn 1

190
 4/5/2017 033609 13,20 aura tp 7 thn 1
191
4/5/2017 063323 13,39 kurniawati 45 thn 1
192
4/5/2017 051509 14,40 FAJIRA 4TH 1
193
4/5/2017 007241 16,22 ULI NAKUMY LARASATI 3TH 1
194
195 4/5/2017 066797 16,48 utin ika kurnia sari 27TH 1
196 4/5/2017 064063 16,53 NURLAELAH 51TH 1

4/5/2017 067014 17,00 ALI MURTINI 33TH 1 1

197
198 4/5/2017 003943 17,10 AGUS HARDY 36TH 1
199 4/5/2017 023931 17,12 WITA NOVA ARLITA 16TH 1
200 4/5/2017 001915 17,15 H ISMAIL HUSIN 82TH 1
201 4/5/2017 067015 17,42 THOMAS DASWANDI 19TH 1 1
202 4/5/2017 043782 17,49 NAFIANNA HANIFA 1TH 1

4/5/2017 066435 18,10 SUSILAWATI SUWARDI 34TH 1

203
204 4/5/2017 002732 19,16 MISKIEH 45TH 1
RAIHAN RIDZI
4/5/2017 063783 19,20 3TH 1
205 PRATAMA
MUHAMMAD ARYO
4/5/2017 067017 19,32 1TH 1 1
206 MAULANA
207 4/5/2017 067018 19,58 MUSLIMAH 22TH 1 1
208 4/5/2017 067019 20,05 RAFI APRIANSYAH 6TH 1 1
209 4/5/2017 067020 20,27 INDRA GUNAWAN 1 1
210 4/5/2017 048632 21,46 FATMAWATI 51 TH 1
211 4/5/2017 054579 22,02 M HAFIZ ABDILLAH 2 TH 1

4/5/2017 043621 22,09 M KASIM DALIMUNTHE 55 TH 1

212
213 4/5/2017 046341 22,19 AGUNG SETIAWAN 37 TH 1
214 4/5/2017 065513 22,25 BAINAROH 22 TH 1

4/5/2017 067022 22,27 BY NY RENIHANDAYANI 4 HARI 1 1

215
216 4/5/2017 067023 22,42 SUCI RAHMADIAH 17 TH 1 1
217 4/5/2017 067024 22,59 ALIEF HIFAYAT 16 TH 1 1
218 4/5/2017 067025 23,02 ERAWILA MIKHA 20 TH 1 1
 4/5/2017 067026 23,31 NASUHA 45 TH 1 1

219
06 April 2017 067028 01,56 IMAM RAHMATULLAH 2 TH 1 1 1
220
06 April 2017 020508 03,53 FAHRI RIWA ANUGRAH 6 TH 1 1
221
222 06 April 2017 066821 04,25 ARFANI HARISANDI 39 TH 1 1

06 April 2017 067029 05,50 ABD RA'I 60 TH 1 1 1

223
56
06 April 2017 065427 09,06 HAPSAH 1 1
224 THN
225 06 April 2017 067045 09,21 M RIFKI RAMADHAN 11 TH 1 1 1
226 06 April 2017 017562 09,34 AHMAD BALOT 70 TH 1 1
20
06 April 2017 067053 09,44 RATNA SARI 1 1 1
227 THN

06 April 2017 067055 09,56 ZEORA RAHMADHANI 7 THN 1 1 1

228
06 April 2017 059989 09,59 MUHAMMAD ASWARI 9 TH 1 1
229
73
06 April 2017 008772 10,03 AS.MARIA 1 1
230 THN
231 06 April 2017 039160 10,26 RIZQA ADISTI 22 TH 1 1
51
06 April 2017 062856 11,11 RASYIDIN 1 1
232 THN
233 06 April 2017 067064 11,17 TAMSIL ARIFIN 37 TH 1 1 1
23
06 April 2017 067065 12,41 M RAZIZ 1 1
234 THN
64
06 April 2017 067067 13,08 JAFAR JONED 1 1 1
235 THN

06 April 2017 034104 13,42 asnawati m tahir 27 thn 1 1

236
06 April 2017 037842 13,48 misnawati 31 thn 1 1
237
06 April 2017 055634 14,59 m sulthan al fatih 3 THN 1 1
238
239 06 April 2017 041444 15,02 HILDA RAHILA 40 TH 1 1
SYF DELIMA WAN
06 April 2017 000076 15,28 61TH 1 1
240 YUSUP
241 06 April 2017 011728 16,42 NURHAYATI 66TH 1 1
 06 April 2017 067068 17,04 BY NY NURHAJIJAH 0HARI 1 1 1
242
243 06 April 2017 046372 17,34 PONIRAH 62TH 1 1
244 06 April 2017 067069 17,37 DEVI 27TH 1 1 1
245 06 April 2017 013372 18,12 SARIAH 59TH 1 1

DIMAS ADITYA
06 April 2017 051456 18,35 26TH 1 1
PRIANDA

246
247 06 April 2017 059673 19,35 RALINA RAMLI 67TH 1 1
248 06 April 2017 034302 19,37 IRMANSYAH 5TH 1 1

06 April 2017 067070 20,01 nizam andyfa desfatih 5TH 1 1 1

249
250 06 April 2017 035100 20,42 AFRIZAL DWI PUTRA 19TH 1 1
251 06 April 2017 067072 20,52 AGUS RIANSYAH 26TH 1 1 1
252 06 April 2017 025663 20,52 ASRIZA AGUS 48TH 1 1

06 April 2017 050086 21,59 PARSEHA 48 th 1 1

253
254 06 April 2017 020211 22,07 DESTA ALFIGO 6 TH 1 1
255 06 April 2017 067073 22,09 DEWI KARTIKA 17 TH 1 1 1
256 06 April 2017 039790 22,46 ELIYANI 54 TH 1 1
257 06 April 2017 022011 22,52 HADRAN USMAN 67 TH 1 1
258 06 April 2017 067074 22,54 MAINI 56 TH 1 1 1

ANGGA DIAN
06 April 2017 067075 23,06 22 TH 1 1 1
PRASANDI
259
260 06 April 2017 FATMAWATI 23TH
261 06 April 2017 M. ZAINI
262 06 April 2017 063540 SY. RIDUAN
263 07 April 2017 008028 00,29 JAMILAH 31 TH 1 1

07 April 2017 066540 00,38 A RAZAK SALEH 77 thn 1 1

264
 07 April 2017 058607 03,20 WINDA SARI 30 TH 1 1
265
07 April 2017 067076 03,26 AZIZAH 30 TH 1 1 1
266

07 April 2017 066540 04,26 A RAZAK SALEH 77 thn 1 1

267
268 07 April 2017 047636 04,28 ICA USMAN 57 TH 1 1
DEVIAR FEYSYAHNOOR 20 TH
07 April 2017 008815 04,55 1 1
269 A
270 07 April 2017 067078 05,17 RIFA NASRILAH 7 TH 1 1 1
271 07 April 2017 055777 06,52 fadhil melandri 5 thn 1 1

07 April 2017 005006 07,13 lilik pradiastuti 39 thn 1 1

272
07 April 2017 045644 07,41 syaparuddin s.sos 35 thn 1 1
273
07 April 2017 029274 07,45 holis 41 thn 1 1
274
07 April 2017 067090 08,19 margareta lupawati 64 thn 1 1 1
275
07 April 2017 002215 08,41 asnah 53 thn 1 1
276
07 April 2017 064540 09,23 haliph bujang zakaria 65 thn 1 1
277
07 April 2017 065672 10,16 djum'i 61 thn 1 1
278
50
07 April 2017 003936 10,32 a raup af 1 1
279 THN
51
07 April 2017 064884 10,42 TENG APIT 1 1
280 THN
281 07 April 2017 067107 10,49 RAJAMAH 48 th 1 1 1

07 April 2017 066409 10,55 AHMAD AFANDI 25 thn 1 1

282
31
07 April 2017 067108 12,29 NIRWANA 1 1 1
283 THN

07 April 2017 067109 13,32 KASIRAN 52 thn 1 1 1

284
285 07 April 2017 018818 13,37 HANIFAH 62 TH 1 1
72
07 April 2017 065190 13,57 LAHMUK 1 1
286 THN
287 07 April 2017 046372 14,01 PONIRAH 62 TH 1 1
288 07 April 2017 067111 14,09 RAMLAH 56 TH 1 1 1

07 April 2017 051251 14,25 rayhan andyfa gursmila 14 TH 1 1

289
 07 April 2017 031467 16,16 PHILEO RABANI MUKA 2,5 TH 1 1
290
07 April 2017 012715 16,37 SYF IDA FARIDAH 27 thn 1 1
291
292 07 April 2017 067112 17,03 FIL ARDHI 9 TH 1 1 1
NAJHMI LUTHFIYYAH 11 TH
07 April 2017 047983 17,26 1 1
293 PUTRI
KJALIDAH AL GHAISANI 2 TH
07 April 2017 045585 17,35 1 1
294 B
295 07 April 2017 067113 18,14 IWAN 51 TH 1 1 1

07 April 2017 047968 18,16 PANGERAN NAAZHIR K 1 THN 1 1

296
297 07 April 2017 041976 19,27 patimah 71 th 1 1

07 April 2017 000548 20,34 samsul 25 thn 1 1

298
299 07 April 2017 026097 21,20 HARJONO 31TH 1 1
300 07 April 2017 0400797 leng yiaw
301 07 April 2017 044457 tahim 70th 1
302 07 April 2017 035279 maila bin ali 61th

08 April 2017 053569 03,13 SRI WAHYUNA 43TH 1 1

303
304 08 April 2017 067115 04,12 RODIAH 54TH 1 1 1

08 April 2017 025603 04,22 NAZWA PUTRI R 3TH 1 1

305
306 08 April 2017 006459 05,06 RAMADI 56TH 1 1
307 08 April 2017 053987 05,06 RACHMAT SEMAN 78TH 1 1

08 April 2017 056272 05,12 ADZKIA KHAIRA ULFA 2TH 1 1

308
41
08 April 2017 008176 07,56 HENNY YUSWANI 1 1
309 THN
45
08 April 2017 064693 08,23 MILAH JAINOI 1 1
310 THN
77
08 April 2017 011491 08,38 H SAUKANI FAUZI 1 1
311 THN
53
08 April 2017 067116 09,07 YAM'US 1 1 1
312 THN
BINTANG CAHAYA
08 April 2017 043213 09,11 1 THN 1 1
313 ISLAMI
 64
08 April 2017 067117 09,18 DOLLAH BIN DULLATIF THN 1 1 1

314
19
08 April 2017 067118 09,28 SITI SEHRO 1 1 1
315 THN
31
08 April 2017 000151 09,35 OKY ADRIYAN OSKAR 1 1
316 THN
42
08 April 2017 067119 09,51 PAWADI 1 1 1
317 THN

08 April 2017 011481 10,05 ULFANIA 8 THN 1 1

318
08 April 2017 067120 10,07 siti khodijah 39 thn 1 1 1
319
08 April 2017 042805 10,28 sulaiman 52 thn 1 1
320
08 April 2017 067121 10,34 abdul syukur 34 thn 1 1 1
321
08 April 2017 050602 10,56 liana triana 30 thn 1 1
322
56
08 April 2017 067122 12,43 HABIBAH 1 1 1
323 THN
61
08 April 2017 008974 13,05 AGUS MARIYONO 1 1
324 THN
29
08 April 2017 067123 13,28 JIMIANUS JAPAR 1 1 1
325 THN
326 08 April 2017 067124 13,54 kirana adelia k 1 thn 1 1 1
327 08 April 2017 067125 14,13 SITI ULFA 1 1 1
29
08 April 2017 067126 14,55 RAHMAWATI 1 1 1
328 THN
329 08 April 2017 067127 14,59 RAIHAN HAFIZ Z 6 TH 1 1 1
330 08 April 2017 006659 15,45 UTIN RAJULAINI 54 TH 1 1
50
08 April 2017 067128 16,02 JUNAIDI PATTAH 1 1 1
331 THN
AWANG INDRA
08 April 2017 060134 16,45 21 thn 1 1
332 MAULANA
333 08 April 2017 047954 17,00 AHMURDI SAAD 1 1

08 April 2017 067129 17,10 NURUL MUHTIKA 25 thn 1 1 1

334
335 08 April 2017 035392 17,20 SELLA ERIKA 21 TH 1 1
336 08 April 2017 067130 17,37 RONY JULIYONO 14 TH 1 1 1
337 08 April 2017 013664 17,42 HALIMAH 71 TH 1 1
338 08 April 2017 067131 17,48 PUTRI AMISAH 22 TH 1 1 1
339 08 April 2017 010124 18,35 RUSIADI 54 1 1
340 08 April 2017 067132 18,56 RAFIQUL AZMI 8 TH 1 1 1
341 08 April 2017 067133 18,58 SIDIQ 1 1 1
NYEMAS BISMIKA
08 April 2017 030976 19,03 8 TH 1 1
342 FITRIANA A
343 08 April 2017 016658 19,07 SAFE'I 45 1 1
344 08 April 2017 023689 19,08 FARMANSYAH 51 1 1

08 April 2017 003132 19,10 ABDURRAHMAN MUSA 53 1 1

345

08 April 2017 021952 19,41 KUSMANSYAH 1 1

346
347 08 April 2017 067134 20,25 FADILA OKTAVIANA 1.5 1 1 1
348 08 April 2017 067135 20,31 NASIBEH 57TH 1 1 1
349 08 April 2017 067136 21,07 JUITA 18TH 1 1 1
350 08 April 2017 007640 21,33 ANDI IRMAYANTI 27TH 1 1
351 08 April 2017 056498 21,40 MAIMUNAH 52TH 1 1
352 08 April 2017 013792 21,46 HAJA SITI FATIMAH 20TH 1 1
353 08 April 2017 067137 21,52 SUMIRAH 37TH 1 1 1
354 08 April 2017 015143 23,08 ZIKRI ANNAFI 5TH 1 1
355 08 April 2017 053086 23,19 ZAINAL AHMAD 70TH 1 1
356 09 April 2017 024237 00,38 WAHYUNI ISNAINI 18TH 1 1
357 09 April 2017 064853 03,20 SUMIATI 28TH 1 1
358 09 April 2017 021952 05,45 KUSMANSYAH 60TH 1 1
359 09 April 2017 000616 05,47 YULIA HASANAH 65TH 1 1
360 09 April 2017 067138 06,31 WAFIZAH 30TH 1 1 1
361 09 April 2017 061161 06,34 NGATMI 52TH 1 1
362 09 April 2017 067139 06,58 MARYANI 42TH 1 1 1
363 09 April 2017 067140 07,23 MIA PURNAMAWATI 30 TH 1 1 1

09 April 2017 058119 07,23 ADEERA AZZAHRA 1 THN 1 1

364
365 09 April 2017 067141 07,28 PRILLY PRICILLYA 1 TH 1 1 1
366 09 April 2017 030784 08,02 OKTAVIANI SABRINA 4 TH 1 1
367 09 April 2017 067142 08,18 M IZEHAR 5 BLN 1 1 1
368 09 April 2017 067144 09,55 ZANETHA 4 TH 1 1 1
369 09 April 2017 054215 10,07 AGUS PRANANDA 41 TH 1 1
370 09 April 2017 067145 10,57 QEYSA MAHADEWI 4 TH 1 1 1
371 09 April 2017 049313 11,08 DAYANG JENAH 69 TH 1 1
CLAUDIA PRILI
09 April 2017 067146 11,31 10 TH 1 1 1
372 DWISENO
373 09 April 2017 067147 11,52 DIMAS DWI FARREL 3 BLN 1 1 1
374 09 April 2017 067148 12,17 WINDA 5 BLN 1 1 1
50
09 April 2017 067149 12,30 M ALI 1 1 1
375 THN
38
09 April 2017 067150 12,33 MARSIHAT 1 1 1
376 THN
 50
09 April 2017 067151 12,42 MUHAMMAD 1 1 1
377 THN
50
09 April 2017 067152 12,53 SUPIYAH 1 1 1
378 THN
379 09 April 2017 067153 12,55 MAKAS 42 TH 1 1 1
58
09 April 2017 067154 13,00 TOSI 1 1 1
380 THN
381 09 April 2017 067155 13,00 RAHMAH 14 TH 1 1 1

09 April 2017 067156 13,17 M AMIN 12 thn 1 1 1

382
383 09 April 2017 067157 13,18 NURUL INAYA 7 TH 1 1 1

09 April 2017 067158 13,23 MISKADIN 35 thn 1 1 1

384

09 April 2017 064853 13,28 SUMIATI 28 TH 1 1

385
386 09 April 2017 067159 13,30 PADLI 66 TH 1 1 1
387 09 April 2017 067160 14,25 VELLY 22 TH 1 1 1
388 09 April 2017 067161 14,55 CLEOPHILIA DITA 5 TH 1 1 1
389 09 April 2017 067162 14,59 RABIAH 59 1 1 1
390 09 April 2017 064839 15,01 SITI KOTIMAH 39 TH 1 1
391 09 April 2017 '023931 15,07 WITA NOVA ARLITA 16 TH 1 1

09 April 2017 067163 15,11 SRI SUGIARTI SUWARDI 20 TH 1 1 1

392
393 09 April 2017 067165 16,24 HJ PATIMAH 55 1 1 1
ALFIYYAH ZALFA
09 April 2017 065753 16,32 11 TH 1 1
394 SALSABILA
395 09 April 2017 020010 16,34 ALFATHIR RIZKY R 8 TH 1 1
396 09 April 2017 066363 16,54 KOSNIATI 52 1 1
397 09 April 2017 067166 17,17 TRAN VAN QUAN 19 TH 1 1 1
398 09 April 2017 067167 18,14 FITRI 19 TH 1 1 1
HERU SUBAGYO
09 April 2017 067168 18,21 HADIPRAMONO 52 thn 1 1 1
399
09 April 2017 067169 18,36 ITA LACO 35 thn 1 1 1
400
401 09 April 2017 067170 18,44 EMA SAFITRI 18 TH 1 1 1

09 April 2017 067171 18,45 BAKRI JAFAR 51 TH 1 1 1

402
403 09 April 2017 067172 19,17 SUKARTI 33 TH 1 1 1

09 April 2017 067173 19,59 JAUNAH 76 TH 1 1 1

404
 09 April 2017 022682 21,26 NUR LESTARI APRILIYA 18TH 1 1
405
406 09 April 2017 063594 22,34 UNAY SUNARJA 55TH 1 1

09 April 2017 067174 22,40 H ISSURDIANTO MS 57TH 1 1 1

407
408 09 April 2017 000548 23,10 SAMSUL 25TH 1 1

10 April 2017 067175 00,54 LISA 26TH 1 1 1

409
410 10 April 2017 007640 01,01 ANDI IRMAYANTI 27TH 1 1
411 10 April 2017 067173 03,46 JAUNAH 76 TH 1 1 1
412 10 April 2017 064680 03,50 NINO LINGKONG 39TH 1 1
413 10 April 2017 054824 06,29 ARJUNA MALIK JULIO 8BL 1 1
64
10 April 2017 042945 07,25 SALIM 1 1
414 THN
65
10 April 2017 006630 07,50 RUDOLF D TANGADE 1 1
415 THN
416 10 April 2017 067180 07,59 banu miberas noval 2 thn 1 1 1
417 10 April 2017 063395 08,36 iva meliyani 37 TH 1 1
19
10 April 2017 067118 09,09 SITI SEHRO 1 1
418 THN
419 10 April 2017 061516 09,42 YUDA DIA SUARA 16 TH 1 1

10 April 2017 067211 09,57 SAWIYAH 35 thn 1 1 1

420
421 10 April 2017 065180 09,59 M SAID 1 1

10 April 2017 067214 10,11 PENTI 25 thn 1 1 1

422
SYARIF MAHMUD 74
10 April 2017 067218 10,20 1 1 1
423 ALKADRI THN
424 10 April 2017 067219 11,29 azka aqila 5 bln 1 1 1

10 April 2017 040319 11,53 fitria sari 24 thn 1 1

425
10 April 2017 067249 12,01 hamida 79 thn 1 1 1
426
427 10 April 2017 067251 12,04 aditya a 3 thn 1 1 1

10 April 2017 067253 12,19 widhi k r 22 thn 1 1 1

428
10 April 2017 067238 12,41 lisa gusmania 22 thn 1 1 1
429
10 April 2017 009532 12,50 fadella ivana 19 thn 1 1
430
10 April 2017 067254 14,03 ROSITA BASRAN 5 TH 1 1 1
431
432 10 April 2017 062967 14,11 DJU KHIUN NYET 70 TH 1 1
433 10 April 2017 067255 15,12 NURMANIAR HJ 76 TH 1 1 1
434 10 April 2017 067256 15,17 NIA KRISNAWATI 19 TH 1 1 1

10 April 2017 030652 15,26 SURYADI 34 thn 1 1

435
436 10 April 2017 067257 15,30 ATIK 30 TH 1 1 1
437 10 April 2017 067258 15,35 RUSLI 51 TH 1 1 1
438 10 April 2017 067148 16,20 WINDA 5 BLN 1 1
439 10 April 2017 066963 16,36 F EKHWANI 57 TH 1 1
440 10 April 2017 024357 17,23 M. SALEH 66 TH 1 1
441 10 April 2017 067259 17,46 TRI PULITA 45 TH 1 1 1
442 10 April 2017 066803 17,55 RUDI JANUARDI 16 TH 1 1
23
10 April 2017 065796 17,57 INTAN 1 1
443 THN
444 10 April 2017 067260 18,13 YUDIANTI ZURAINI 42 TH 1 1 1

10 April 2017 008677 18,34 ASMAH BINTI NACANG 70 TH 1 1

445
446 10 April 2017 037026 18,38 LUSI PATONA 39 TH 1 1
447 10 April 2017 065056 18,41 SYAFIATUN 43 TH 1 1
448 10 April 2017 067261 19,16 LINA 30 TH 1 1 1
449 10 April 2017 034566 19,21 RAHMAWATI 20 TH 1 1
450 10 April 2017 016561 19,26 SITI RAFIAH 58 TH 1 1
451 10 April 2017 067263 19,42 FERDIANSYAH 11 TH 1 1 1
452 10 April 2017 067264 20,15 SYECH ALWI A.G. 64 TH 1 1 1
453 10 April 2017 038898 20,20 PUTRI SANDRA 18 TH 1 1
454 10 April 2017 067265 21,15 BESIMAN 50TH 1 1 1

10 April 2017 067266 21,25 JOHAN 12TH 1 1 1

455
456 10 April 2017 054824 21,29 ARJUNA MALIK JULIO 8BL 1 1

10 April 2017 067267 22,33 HALIMAH 63TH 1 1 1

457
10 April 2017 067269 23,13 FAQKI KHAIRI RAHMAN 2TH 1 1 1
458
MUHAMMAD NAUFAL
10 April 2017 067270 23,22 4BL 1 1
459 ZAKIR

10 April 2017 067271 23,39 ARI YUNIAR WIGATI 39TH 1 1 1

460
 FAREL STIAWAN
10 April 2017 067272 23,49 6TH 1 1 1
461 NUGROHO
462 10 April 2017 067273 23,51 DELLA PUSPITASARI 14TH 1 1 1
463 10 April 2017 067240 DARMI 68TH 1
464 10 April 2017 066984 WATIK
465 11 April 2017 040504 01,48 AULIANI ZULAIKHA 1TH 1 1
466 11 April 2017 029289 02,32 ISKANDAR 50TH 1 1
467 11 April 2017 057472 03,02 YUSUF ARKA SYAH 7BL 1 1
41
11 April 2017 067279 07,27 MUKHLIS 1 1 1
468 THN
86
11 April 2017 067281 07,40 SARIYEM 1 1 1
469 THN
470 11 April 2017 067293 08,26 SUKUR BAYENG 62 TH 1 1 1
36
11 April 2017 067316 09,48 EVI ERNI 1 1
471 THN
BRANDON ROLLAN
11 April 2017 067275 09,57 5 THN 1 1 1
472 SAJOW
73
11 April 2017 067225 10,24 SUPARDJO 1 1
473 THN
474 11 April 2017 064395 10,36 edy kamsul rahman 1 1
30
11 April 2017 067330 10,58 DICKY SATRIA W 1 1 1
475 THN
59
11 April 2017 063842 11,03 SA'NONG 1 1
476 THN
38
11 April 2017 067331 11,13 KHADIJAH 1 1 1
477 THN
18
11 April 2017 067332 11,15 SEPTIADI REZA 1 1 1
478 THN
61
11 April 2017 043991 11,44 SITTI MASRIANI 1 1
479 THN
72
11 April 2017 066634 11,57 HALIYAH 1 1
480 THN

11 April 2017 065264 12,52 khariana m 10 bln 1 1

481
11 April 2017 057793 12,57 eti sri mulyani 36 thn 1 1
482
483 11 April 2017 067136 13,37 JUITA 18 TH 1 1
484 11 April 2017 067336 14,12 ARNILDA AULIA 14 TH 1 1 1
485 11 April 2017 067337 15,34 MESYA SAFA AURA 1 TH 1 1 1
486 11 April 2017 067338 16,13 ACONG KASIM 60 TH 1 1 1
487 11 April 2017 062559 16,24 MINARNI 52 TH 1 1
488 11 April 2017 016361 16,32 AMBO LUBBA 62 TH 1 1
489 11 April 2017 067339 16,37 IKA WIDIA SARI 26 TH 1 1 1
38
11 April 2017 065715 16,50 MUHAMMAD NASIR 1 1
490 THN
 11 April 2017 062686 16,55 HENDRI, S.Sos 34 thn 1 1
491
492 11 April 2017 067340 17,24 JOHARI KANDUNG 51 TH 1 1 1
493 11 April 2017 067341 17,30 HIDAYAH 32 TH 1 1 1
494 11 April 2017 066402 17,36 M ALI 76 TH 1 1
495 11 April 2017 067342 17,59 SUHARYO 10 TH 1 1 1
496 11 April 2017 066540 18,16 A RAZAK SALEH 78 TH 1 1
497 11 April 2017 067343 18,45 DEWI ANGGERIANI 60 TH 1 1 1
498 11 April 2017 067344 19,43 muhammad deli 26 TH 1 1 1
499 11 April 2017 067345 20,10 WANDI JASAH 22 TH 1 1 1
500 11 April 2017 067346 20,35 SITI MASQUROH 10 TH 1 1 1
501 11 April 2017 025663 21,42 ASRIZA AGUS 48 TH 1 1
502 11 April 2017 067347 21,46 SUHENDRO 26 TH 1 1 1
503 11 April 2017 067348 21,50 IKE CANDRAWATI 18 TH 1 1 1

11 April 2017 067349 21,54 HENDRIAN OKTA 18 TH 1 1 1

504 VIANDI
505 11 April 2017 067350 22,57 SELVIA NATHANIA 19 TH 1 1 1
506 11 April 2017 030791 23,06 URAY HAIDA 82 TH 1 1
507 11 April 2017 067320 MAS RAJIAWATI 1 1
508 11 April 2017 007991 TARPAH 1 1
509 11 April 2017 067274 TITAYI 1 1
510 11 April 2017 RUGAYAH 1 1
511 12 April 2017 067351 00,10 MIRI 19 TH 1 1 1
512 12 April 2017 027680 00,15 EKO KURNIAWAN 31 TH 1 1
NADA FAJRIA
12 April 2017 036640 01,03 3 thn 1
513 SALSABILA
514 12 April 2017 044989 04,47 SITI AISYAH 39 TH 1 1
515 12 April 2017 067352 05,10 SYURIA NOVENDA 30 TH 1 1 1
36
12 April 2017 050460 05,45 SURAHMAN 1 1
516 THN

12 April 2017 067353 06,14 NOVI SEPTIANI 27 thn 1 1 1

517
12 April 2017 036005 07,55 m krfan hakim 36 thn 1 1
518
12 April 2017 053987 09,00 rachmat seman 78 thn 1 1
519
12 April 2017 067378 09,17 sariyem 58 thn 1 1 1
520
12 April 2017 004827 09,50 yadohor simarmata 66 thn 1 1
521
12 April 2017 063756 10,19 sri wahyuni 31 thn 1 1 1
522
12 April 2017 009135 10,27 nurlina 42 thn 1 1
523
 khojin supriadi
12 April 2017 067395 10,30 50 thn 1 1 1
524 dr.,ir.,m.p
525 12 April 2017 067398 10,53 REVALDI R S 3 thn 1 1 1
TURMAIDA 61
12 April 2017 067400 11,41 1 1 1
526 SIMANUNGKALIT THN

12 April 2017 033987 12,08 junaidah s 51 thn 1 1

527
528 12 April 2017 039272 12.34 edy gunawan 35 thn 1 1
529 12 April 2017 067401 12.34 m basri 52 thn 1 1 1
530 12 April 2017 004863 12.46 dyta a p 20 thn 1 1
abdulah al rasyid
12 April 2017 057408 13.15 8 bln 1 1
531 rafasyah

12 April 2017 067402 13,19 AGATO DEO 2 thn 1 1 1

532
533 12 April 2017 067403 13,46 DEWANTI RIZKY P 22 THN 1 1 1
534 12 April 2017 067404 14.41 DONI 14 TH 1 1 1

12 April 2017 003132 16.18 ABDURRAHMAN MUSA 53 TH 1 1

535
536 12 April 2017 051775 17.05 M THALIB ACHMAD 71 TH 1 1
537 12 April 2017 052143 19.05 NENGSIH JAPAR 57 TH 1 1
538 12 April 2017 047168 19.09 ARIQA MUFIDA 2 TH 1 1

12 April 2017 067405 20.45 AMALIATUN HASANAH 16 TH 1 1 1

539
540 12 April 2017 066402 21.03 M ALI 76 TH 1 1
541 12 April 2017 067406 21.34 M LATIF SUGIARTO 49 TH 1 1 1
542 12 April 2017 MIAD ABDULLAH 1 1
543 12 April 2017 ZATIAH 1 1
544 12 April 2017 UMAR KABUL 1 1
545 13 April 2017 053987 00,01 rachmat seman 78 TH 1 1
546 13 April 2017 032147 00,31 FATMAWATI 45 TH 1 1

13 April 2017 066468 01,30 RINI HARYATI 28 TH 1 1

547
548 13 April 2017 067407 03,10 M HILMI ALHUDA 4 TH 1 1 1
549 13 April 2017 067408 04,26 NYEAMAS AIRA 1 TH 1 1 1
550 13 April 2017 064782 06,27 BESSE HUMRAH 43 TH 1 1
551 13 April 2017 067412 07,48 IMAN SARJONO 94TH 1 1 1
552 13 April 2017 067419 08,24 BUJANG 57TH 1 1
553 13 April 2017 063562 08,55 RABIAH 54TH 1 1
SONANG CHRISTINE
13 April 2017 067369 09,26 20TH 1 1
554 MANURUNG
555 13 April 2017 009989 09,50 SYAIBI LUKMAN 64TH 1 1
556 13 April 2017 067441 09,51 SUPANDI 33TH 1 1 1
557 13 April 2017 067457 11.28 SYAMSUDDIN 50TH 1 1 1
558 13 April 2017 022810 11.32 GUSNAWATI 44TH 1 1
 13 April 2017 067458 11.45 MUHAMMAD ZAIDUN 57TH 1 1 1
559
NAKHLA RAISQY
13 April 2017 067418 11.48 4TH 1 1
560 ALKHALIFI
SHINTIA FEBRIANTI
13 April 2017 017350 12.33 13TH 1 1
561 PERMATA FIMA

13 April 2017 008452 12,50 ALYA KHAIRUN NISSA 16TH 1 1

562
563 13 April 2017 067459 12.55 SINTA FEBRIANI 17TH 1 1 1
564 13 April 2017 064451 13.11 RABIAH 62TH 1 1
565 13 April 2017 054215 13.28 AGUS PRANANDA 41TH 1 1
566 13 April 2017 007866 13.51 MUHAMMAD ADAM 52TH 1 1
567 13 April 2017 019234 14,14 UMAIRA PUSPITA 8 TH 1 1
568 13 April 2017 067460 14,50 ABDURRAHIM 14 TH 1 1 1
569 13 April 2017 067461 14,57 MIARTI 37 TH 1 1 1
570 13 April 2017 050717 15,03 MEITIKA ARIANI 2 thn 1 1
571 13 April 2017 011543 16,26 sumiyati 41 THN 1 1
572 13 April 2017 067462 16,33 AGUS 28 TH 1 1 1

13 April 2017 066591 16,53 M JAMAL OM SULTAN 61 THN 1 1

573
574 13 April 2017 047088 17,33 FERDI NURIL IHSAN 5 THN 1 1
575 13 April 2017 067210 18,01 SUMIATI 36 THN 1 1
576 13 April 2017 001456 18,39 WIDIA 18 THN 1 1
577 13 April 2017 048353 18,52 YULIANA 65 THN 1 1
578 13 April 2017 067464 19,36 SURYA 18 THN 1 1 1
FADILLAH AZHARI
13 April 2017 067465 20,04 17 THN 1 1 1
579 RAHMAN

13 April 2017 059991 20,12 ADAI 52 THN 1 1

580
581 13 April 2017 067466 20,20 RINI 30 THN 1 1 1
582 13 April 2017 025889 20.57 EPONG HUSIN 1 1
583 13 April 2017 046237 21.38 M IBNU HAFIZ 1 TH 1 1
584 13 April 2017 011292 22.18 AGUS SAMAWI 78 TH 1 1
585 13 April 2017 067467 22.41 PUTRA HERYANTO 28 TH 1 1 1
586 13 April 2017 067468 22.47 VIKRI OKTAVIANUS 19 TH 1 1 1
587 13 April 2017 067469 23.28 SAHRIJAL 19 TH 1 1 1
588 13 April 2017 NURSIMA 1 1
589 13 April 2017 HARTUTI 1 1
590 13 April 2017 TUMINI 1 1
591 14 April 2017 062967 02,17 DHU KHIUN NET 70 TH 1 1
592 14 April 2017 067470 02,43 MUSMULYADI 38 THN 1 1 1
593 14 April 2017 067471 04,35 H ISMAI 62 TH 1 1 1
594 14 April 2017 054919 04,40 BANI AMIN 60 TH 1 1
595 14 April 2017 067472 07,07 S BASUKI 75TH 1 1 1
 MUHAMMAD AL
14 April 2017 067473 07,31 1BL 1 1 1
596 HAFIDZ
597 14 April 2017 066653 08,03 ASEP SANJAYA 59TH 1 1
ANGGA DIAN
14 April 2017 067075 09,02 22TH 1 1
598 PRASANDI
599 14 April 2017 018738 09,04 AISYAH 54TH 1 1
ANNISA MELIOANA
14 April 2017 067474 09,56 9TH 1 1 1
600 SARI
601 14 April 2017 067475 10,00 DION IRAWAN 18TH 1 1 1
602 14 April 2017 009615 10,14 SALBIAH 60TH 1 1
603 14 April 2017 067476 10,31 BUCHARI AR 73TH 1 1 1
604 14 April 2017 067477 10,36 SITI FAKHRAINI 22TH 1 1 1
605 14 April 2017 040342 11.21 ELISA 38TH 1 1
606 14 April 2017 066483 11.22 JANIAR 53TH 1 1
607 14 April 2017 067478 12.43 SAYAN TEN 65TH 1 1 1
608 14 April 2017 030568 13,10 EMI WAHYUNI 48TH 1 1
609 14 April 2017 067479 13.22 DWI ERY PRABOWO 26TH 1 1 1

14 April 2017 030611 14,01 M KHAIRUL AZZAM 6 THN 1 1

610
611 14 April 2017 047388 14,15 NURBANI 41 THN 1 1
612 14 April 2017 067480 14,25 JUNAIDI 27 thn 1 1 1
613 14 April 2017 033540 14,35 NANDA 19 THN 1 1
SELKIA ZAFIRAH
14 April 2017 067481 14,47 3 thn 1 1 1
614 NURBEAK
615 14 April 2017 047168 14.54 ARIQA MUFIDA 2 thn 1 1
616 14 April 2017 047088 14,54 FERDINURIL IHSAN 5 THN 1 1
617 14 April 2017 067482 15,08 HARIL 19 THN 1 1 1
618 14 April 2017 052402 16,24 PADJERI AMAT 65 THN 1 1
619 14 April 2017 067483 16,27 DONI 13 THN 1 1 1
620 14 April 2017 061609 17,48 EFENDI 56 THN 1 1
621 14 April 2017 061925 17,52 ARSYILA FARZANA 8 BLN 1 1
622 14 April 2017 067484 17,55 RABITHA DEWI 24 thn 1 1 1
623 14 April 2017 067485 18,01 HERI PRIONO 27 thn 1 1
SHAQIELLA ADZRA
14 April 2017 033138 18,33 4 TH 1
624 PUTRI R
625 14 April 2017 067486 18,34 MINGGU 59 THN 1 1
626 14 April 2017 022151 18,38 DAPA RIYANTI 22 THN 1
627 14 April 2017 001869 18,42 HALIMAH 67 THN 1
628 14 April 2017 067416 18,51 SITI SYABRIYANTINI 22 THN 1
629 14 April 2017 067433 19.09 BY NY RENI SUSANTI 5 BLN 1 1 1

14 April 2017 006562 19.23 AURA AL FAKHIRAH B 8 THN 1 1

630
631 14 April 2017 067487 19.25 FADELAH 12 THN 1 1 1
632 14 April 2017 067488 19.33 HIU DJIN PHIN 60 THN 1 1 1
633 14 April 2017 067489 19.39 SURYA 5 THN 1 1 1
634 14 April 2017 066740 19.48 JAMILAH 58 THN 1 1
635 14 April 2017 065503 19.53 LIP HA 59 THN 1 1
636 14 April 2017 042395 19.54 LINDA ARLINDA 22 THN 1 1
637 14 April 2017 067490 19.57 EMA WIDYANINGSIH 23 THN 1 1 1
638 14 April 2017 039365 20.18 HALIJAH 62 THN 1 1
639 14 April 2017 067492 20.49 EKA ELILYATI BM 49 THN 1 1 1
640 14 April 2017 067493 21.32 ALBERTR J G S 2 BLN 1 1 1
641 14 April 2017 067494 21.4 ZAHRA ANGGRAINI 4 THN 1 1 1
642 14 April 2017 047542 2149 lis julianti 30 thn 1 1
643 14 April 2017 000759 22.28 surya r 39 thn 1 1
644 14 April 2017 000455 22.49 ismail a.ma 57 thn 1 1
645 14 April 2017 019392 23.53 rosdiana 52 thn 1 1
646 14 April 2017 039903 23.28 cantika novitasari 6 thn 1 1
647 4/15/2017 057868 0.03 musirah 41 thn 1 1
648 4/15/2017 067495 0.43 BENNY ISKANDAR 41 THN 1 1 1
SELLY
4/15/2017 067496 1.36 MAULIDYANINGSIH 17 THN 1 1 1
649
650 4/15/2017 067497 2.05 DODI 17 THN 1 1 1
651 4/15/2017 034456 2.25 GHANIS INAYAH 1 THN 1 1
652 4/15/2017 013925 2.36 FARIDA 60 THN 1 1
653 4/15/2017 067498 5.55 HJ MASULITA NASAI 66 THN 1 1 1
654 4/15/2017 031125 06,58 REBO 50 thn 1 1
655 4/15/2017 067499 07,20 MIRIN 85 TH 1 1 1
656 4/15/2017 008974 07,50 AGUS MARIYONO 61 THN 1 1
657 4/15/2017 054624 09,22 SATIYAWATI 39 TH 1 1
658 4/15/2017 005675 09,46 HALIMAH 68 TH 1 1
659 4/15/2017 042395 10.12 LINDA ARLINA 22 TH 1 1
660 4/15/2017 067500 10,20 uyun kausyar 4 TH 1 1 1

4/15/2017 067501 10.49 SLAMET ADI SUKIRNO 74 THN 1 1 1

661
662 4/15/2017 067502 11,17 NADIVA ARASYA 2 thn 1 1 1
663 4/15/2017 018334 11.21 POLTAK SILALAHI 64 TH 1 1
664 4/15/2017 013015 11.39 JERAH 67 TH 1 1
665 4/15/2017 067503 12,03 M SUKUR 46 TH 1 1 1
666 4/15/2017 011491 12.13 H SAUKANI FAUZI 77 TH 1 1
667 4/15/2017 063679 12.49 EVA HALIFAH 31 TH 1 1
668 4/15/2017 050045 14.36 CLEMIRA RIZKIANA 1 1
669 4/15/2017 065064 14.43 DINA FADHILA 11TH 1 1
670 4/15/2017 067505 15,03 SARNI 60TH 1 1 1
671 4/15/2017 067013 15,40 DANIYA 20TH 1 1
672 4/15/2017 014703 16.15 LISNAWATI 57TH 1 1
673 4/15/2017 004868 16.44 ASRI ASTUTI 53TH 1 1
674 4/15/2017 054763 17.13 ITA MUSDALIFA 39TH 1 1
675 4/15/2017 050893 17.29 UTIN DIAN AFRIANI 31TH 1 1
676 4/15/2017 067807 18,07 ACHYARI 48TH 1 1 1
677 4/15/2017 062111 18.22 USMAN SUDIN 46TH 1 1
678 4/15/2017 053086 18.46 ZAINAL AHMAD 70TH 1 1
679 4/15/2017 025039 19,00 NUR YATI 51TH 1 1
680 4/15/2017 067508 19,07 BURHAN 65TH 1 1 1
681 4/15/2017 067509 19.51 NAFISAH MUMTAZ 5BL 1 1 1
DANIEL CRISTOFER
4/15/2017 016889 20,03 8TH 1 1
682 PARANGGAN SUKA
683 4/15/2017 067510 21.01 RIDWANSYAH 33 THN 1 1 1
684 4/15/2017 067511 21.49 nina n amk,se 48 thn 1 1 1
685 4/15/2017 014624 22.03 hadiah tena 55 thn 1 1
686 4/15/2017 039903 22.26 cantika novitasari 6 thn 1 1
687 4/15/2017 067512 23.26 wira 17 thn 1 1 1
688 4/15/2017 063679 23.55 EVA HALIFAH 31 thn 1 1
689 4/16/2017 067513 0.53 murni 44 thn 1 1 1
690 4/16/2017 033022 2.48 anisa sabila 16 thn 1 1
691 4/16/2017 034454 3.13 jupandi 60 thn 1 1
692 4/16/2017 061245 3.53 by ny nelly suryani 4 bln 1 1

4/16/2017 067514 5.59 BY NY ERNAWATI 1 HARI 1 1 1

693
694 4/16/2017 028725 6.3 DJASNOLDY 64 THN 1 1
695 4/16/2017 067515 07,25 NOVI BRASILA 23 TH 1 1 1
696 4/16/2017 067516 07,58 JAMAL 3 TH 1 1 1
697 4/16/2017 064810 08,02 FERDINAND FAMILI 10 TH 1 1
698 4/16/2017 022442 08,11 RAHMANIYAH 25 TH 1 1
699 4/16/2017 067517 08,40 KARTINI 58 TH 1 1 1

4/16/2017 067518 08,53 JEFRI TRI PUTRA LENA 20 TH 1 1 1

700
701 4/16/2017 067519 09,01 RIZAL EFENDI 16 TH 1 1 1
702 4/16/2017 067520 09,15 BUDIMAN 41 THN 1 1 1
703 4/16/2017 013770 09,30 SABARIAH AHMAD 44 thn 1 1
704 4/16/2017 067521 10.06 NURDIANSYAH 50 thn 1 1 1
705 4/16/2017 067522 10.15 TEGUH PUTRA 24 thn 1 1 1

4/16/2017 067523 10.25 ANNISA ADILA ZHAFIRA 2 TH 1 1 1

706
AHMAD RAYYAN
4/16/2017 067524 10.27 9 BLN 1 1 1
707 ALFARIZI

4/16/2017 067525 12.21 LIA LESTARI 31 TH 1 1 1

708
 AULIA FAHMI
4/16/2017 067526 12.37 25 TH 1 1 1
709 MUHAMMAD
710 4/16/2017 063411 14.25 SALSABILA 2TH 1 1
711 4/16/2017 067528 14.28 TUTI SUMARNI 53TH 1 1 1
712 4/16/2017 067529 14.54 AISYAH 45TH 1 1 1
713 4/16/2017 042409 15,02 ALDY JULYANSYAH 4TH 1 1
714 4/16/2017 061674 15,25 HJ SYAFINAH 68TH 1 1
715 4/16/2017 032652 15.26 RUSNAH HASYIM 61TH 1 1
716 4/16/2017 026756 16.11 RAHMAWATI SH 54TH 1 1
717 4/16/2017 067530 16.39 BY NY MAYA 0HARI 1 1 1
718 4/16/2017 061925 18,00 ARSYILA FARZANA 8BL 1 1

4/16/2017 062902 18.23 Aditya Rajendra 1TH 1 1

719 Bimantara

4/16/2017 067531 18,30 SUUD BALADRAF 52TH 1 1 1

720
721 4/16/2017 067532 19,29 PARIDAWATY 51 TH 1 1 1
722 4/16/2017 001142 19.43 EDLAK HARYANTO 46 TH 1 1
723 4/16/2017 067533 20.37 NURHAYATI 39 TH 1 1 1
AL IMANUDIN DG
4/16/2017 067534 20.54 22 TH 1 1 1
724 LAMA
725 4/16/2017 067535 21.08 GILANG RAMADHAN 9 BLN 1 1 1
726 4/16/2017 033022 21.13 anisa sabila 16 TH 1 1
727 4/16/2017 067536 21.33 SUNARTI 32 TH 1 1 1

4/16/2017 067537 21,40 RIDHO AHMAD ABYAN 5 BLN 1 1 1

728
729 4/16/2017 067461 23.07 MIRIATI 37 TH 1 1
730 4/17/2017 067538 00,53 HAMDI S 68 TH 1 1 1
731 4/17/2017 067409 07,37 dian aprianti 22 thn 1 1
732 4/17/2017 053058 10.24 SANIAN 67 TH 1 1
733 4/17/2017 011888 10.31 NURJANAH 57 TH 1 1
734 4/17/2017 067573 10.44 NURMONIS 32 th 1 1 1
SATRIA NANDA
4/17/2017 067575 10.49 RAMADHAN 14 th 1 1 1
735
736 4/17/2017 065190 11.15 LAHMUK 72 THN 1 1
WESLEY MUDA
4/17/2017 000436 11.19 68 TH 1 1
737 DAMANIK
738 4/17/2017 067590 12.29 FATIMAH 60 TH 1 1 1
739 4/17/2017 067572 12.49 AMILIN 22 TH 1 1
740 4/17/2017 038010 12,50 VIRENDRA PRADIPTA 3 TH 1 1
741 4/17/2017 067591 12.51 AINA 50 TH 1 1 1
742 4/17/2017 067592 13,11 AFAN 55 thn 1 1 1
743 4/17/2017 067593 13,11 EDY MULYONO 67 THN 1 1 1
TIWI ARDIANA
4/17/2017 054380 13,16 10 TH 1 1
744 PANGESTI
745 4/17/2017 047626 13,50 SRIYANIKA NATUNA 17 thn 1 1
746 4/17/2017 067594 14.53 WARTINI 48 thn 1 1 1
747 4/17/2017 067595 15.17 MURAINI 53 TH 1 1 1
748 4/17/2017 033734 16.21 DARLISMAN 33 THN 1 1
749 4/17/2017 067556 16,30 EKA SUSANTI 34 TH 1 1
750 4/17/2017 042131 16.42 FARIDA LUBIS 24 thn 1 1
751 4/17/2017 025379 16.55 NIAH 39 1 1
752 4/17/2017 067596 17.08 MAR'A 48 1 1 1
753 4/17/2017 054971 17.36 CUT JUL KAIDAH 38 THN 1 1
754 4/17/2017 008529 17.38 DESMARIATI 58 TH 1 1
755 4/17/2017 029062 17.54 FATMAWATI 20 TH 1 1
756 4/17/2017 067597 18,20 YA SUDAYAT 58 TH 1 1 1
757 4/17/2017 051633 18.37 M HASAN MG 60 TH 1 1
NADHIRA NUR
4/17/2017 067598 19.42 2 TH 1 1 1
758 THAFANA
759 4/17/2017 067599 20.05 HAFIZAH 1 1 1
760 4/17/2017 004867 20,10 KAMALIAH 60 TH 1 1
761 4/17/2017 06760 20.27 HAMDANI 32 TH 1 1 1
762 4/17/2017 067601 20.55 M SAID 58TH 1 1 1
763 4/17/2017 053136 20,59 RIZKY MAULANA 10TH 1 1
764 4/17/2017 045989 21.11 KAMSIANI 51TH 1 1
765 4/17/2017 063204 21,55 DEA ARYANI 22TH 1 1
766 4/17/2017 067602 23,03 YUSUF 48TH 1 1 1

4/17/2017 055426 23.19 YAHYA ISMAIL 47TH 1 1

767
768 4/17/2017 067603 23.36 EMA FEBRIANA 28TH 1 1 1
769 4/17/2017 067604 23,50 EKO HADI WIBOWO 27TH 1 1 1
770 4/17/2017 BINTANG ANUGRAH
771 4/18/2017 067605 00,03 MUHAMMAD HAIKAL 8TH 1 1 1
772 4/18/2017 033417 00,07 EDY CANDRA MEDY 39TH 1 1
773 4/18/2017 043274 01,13 TAUFIK 53TH 1 1
774 4/18/2017 067606 06,50 HJ HERMI MANIKAM 34TH 1 1 1
775 4/18/2017 067433 07,31 BY NY RENI SUSANTI 5 BLN 1 1
776 4/18/2017 039375 08,58 HAMDANI IBRAHIM 50 THN 1 1
777 4/18/2017 035392 09,00 SELLA ERIKA 21 THN 1 1
FADILAH YUMNA
4/18/2017 067623 09,03 7 BLN 1 1 1
778 RASKIA
779 4/18/2017 022011 09,39 HADRAN USMAN 67 THN 1 1
780 4/18/2017 067635 09,45 AMINUSKUR S 49 THN 1 1 1
781 4/18/2017 067638 09,51 SELLY SEPTIANA 20 TH 1 1 1
782 4/18/2017 067013 10,41 DANIA 20 THN 1 1

4/18/2017 067656 10,43 M AZKA RIZQI IANDRA 5 THN 1 1 1

783
 M AMMAR
4/18/2017 067663 11,02 2 BLN 1 1 1
784 RAMADHAN

4/18/2017 067671 11.45 RABUDIN 53 THN 1 1 1

785
786 4/18/2017 033987 11.55 JUNAIDAH S 51 THN 1 1
787 4/18/2017 022428 13.15 FIRDAUS EFENDI 70 THN 1 1
788 4/18/2017 043262 14.19 DWI NURHAYATI 26 TH 1 1
789 4/18/2017 032137 14.39 FADIL 7 TH 1 1
790 4/18/2017 067673 14,50 SUSANA 35 TH 1 1 1

4/18/2017 067674 14.55 SAK DIAH 58 TH 1 1 1

791

4/18/2017 007529 15.12 NURHAYATI 50 TH 1 1

792
793 4/18/2017 067675 15.28 SITI AISYAH 65 THN 1 1 1
794 4/18/2017 047954 15.31 AHMURDI SAAD 80 TH 1 1
795 4/18/2017 003200 16.24 HALIMAH 56 THN 1 1

4/18/2017 067676 17.46 SITI NAZWA AQILAH 12 THN 1 1 1

796

4/18/2017 067677 17.53 ILYAS 43 TH 1 1 1

797

4/18/2017 021417 18.42 NURPAH 58 TH 1 1

798

4/18/2017 067433 18.45 BY NY RENI SUSANTI 5 BLN 1 1

799
800 4/18/2017 065480 18.51 FENI JUITASARI 26 TH 1 1
801 4/18/2017 067678 19.48 AGUNG FAJARAY 22 TH 1 1 1

4/18/2017 067679 19.56 TUWOK BIN M ARSYAD 62 TH 1 1 1

802
803 4/18/2017 021447 20.03 HAMDI 61 THN 1 1
804 4/18/2017 062649 20,10 KARNUDIN 64 TH 1 1
805 4/18/2017 007147 21.01 MUIN ARDIANSYAH 51 TH 1 1
806 4/18/2017 067680 21,10 SUPRIYADI 21 THN 1 1 1

4/18/2017 067681 22.53 MAIMUNAH 58 TH 1 1 1

807
808 4/18/2017 067682 23.12 EVARISTUS ERYVANS 36 TH 1 1 1
809 4/18/2017 067683 23.14 M ZAKI 5 THN 1 1 1
810 4/18/2017 067576 SYAMSUDIN
811 4/18/2017 DAHLIA RITONGGA 70TH
812 4/18/2017 MUKTI SIREGAR 76TH
 Jenis Kasus
Cara Bayar Cara Datang Jenis Pelaya
Kunjungan TIDAK
Diagnosa
Lama Umu Sendi Puske RS Fas Bar Lam Beda
m BPJS No. SEP ri s kes u a h
1 1 4170000005 1 cephalgia 1
1 1 pnemonia 1
1 1 4170000004
1 dispepsia sindrome , gerd 1
1
1 mcu 1
1 1 penurunan kesadaran ec snh dd sh , c 1
1 1 4170000003 1 retensio urine ec bph , batu ginjal 1
1 R INAP 11 1 lbp 1
1 1 4170000002
1 dca dehid r/s 1
1 1 4170000001 1 ishialgia ec hnp, dispepsia sindrom 1
1 4170000011 1 insect bite 1 1
1 1 R INAP 46 1 HT EMERGENCY, stroke infark 1
1 R INAP 13 1 ichialgia ec osteoporosis ec gout atrhi 1
1 4170000012 1 obs dispneu ec susp tb tb, omsk, mass 1
1 1 R INAP 59 1 asma bronkial , chf fc 3 1
1 1 4170000016 1 vertigo, sindrome dispepsia ec ulkus 1
1 1 R INAP 44 1 obs dispneu ec chf 1
1 4170000009 1 crush injury 1
1 1 4170000013
1 obs febris h+3 ec susp df 1
UMUM, TIDAK
1 1 GAWAT 1 p4a0m0 pp spt dg gemeli dg hemoroi 1
1 1 obs dispneu ec faringitis 1
1 1 4170000010
1 obs febris ec viral dd bacterial 1
1 1 1 neuropati ec susp cervical root sindr 1
1 4170000017 1 konjungtivitis 1
1 KLL 1 ve 1 1
1 1 1 dca tnp dehidrasi 1
1 1
1 ABDOMINAL PAIN disconfort ec isk , d 1
1 1 umum 1 vl digiti 3 manus sinistra dg hctg 1 1
1 1 R INAP 1 uap, chf fc 3-4, omi 1
1 1 R INAP 1 vertigo , chepalgia 1
1 1 febris h+1 susp sirs dll 1
1 1 4170000021 1 obs dispneu ec sopt dd tb berulang, 1
1
1 asfiksia berat 1
1 1 4170000022 asma attack 1
1 1 vl et regio antebradikal 1 1
1 1 4170000023 1 obs dispneu ec ckd st 5 1
1 1 obs febris h=1 EC VIRAL Infection 1
1 4170000026 1 sindrome dispepsia 1
1 (+meninggal) 1 doa 1
1 1 ranap 1 obs dispnea ec chf, af, dm tp 2 1
1 1 4170000025
1 corpus alenium 1
1 4170000031 1 obs chephalgia ec tth, dispepsia sinr 1
1 1 4170000027 1 gea 1
1 1 4170000034 1 dehid r/s ec vomitus, susp bronkitis 1
1 1 R INAP 65 1 hiperpireksia, bacterial infection 1
1 1 R INAP 45 1 uap, chf 1
1 4170000033 1 tonsilitis akut, hiperpireksia 1
1 1 R INAP 1 molahidatidusa 1
1 1 vl lacerarum ad 1 1
1 1 4170000029 1 retensio urine ec bph 1
1 KLL 1 ckr dg vomitus post dispepsia 1
1
1 obs vomitus 1
1 1 febris h+1, dispepsia, tfa 1
R INAP
/SEMENTARA
UMUM, BPJS
TIDAK AKTIF
1 ketosis dm tnp asidosis metabolik, c 1
1 1 4170000035
1 hiperpireksia 1
1 1 r inap 13 1 susp bsk 1
1 1
1 proderma 1
1 4170000036 1 obs febris h+3 dd melena dd df/dhf, 1
1 1 4170000037 1 vomitus profuse, febris h+4 1
1 R INAP 46 1 ge, dehidrasi 1
1 1 dispepsia , isk, hipoglikemia 1
1 1 4170000041 1 uap, ht gr 2 1
1 1 4170000042 1 chepalgia , lbp 1
1 1 1 post hctg h22 1 1
1 1 R INAP 14 1 obs chest pain ec uap, dm type 2, ht 1
1 4170000045 1 presentasi kaki 1
1 1 4170000052 1 abdominal pain ec dispepsia, vertigo 1
1 1 R INAP 22 1 chf nyha 3, omi anterior 1
1 1 4170000044 1 fraktur radius 1/3 distal 1 1
1 R INAP 43 1 lbp 1
1 1 4170000047 1 dispepsia, kostipasi 1
 R INAP / SEM
UMUM DATA
TIDAK SAMA 1 dgea dehid r/s 1
1 1 4170000049
1 febris h4 susp dhf 1
1 1 4170000051 1 vertigo , dispepsia sindrome, obs febr 1
1 4170000050
1 vl laceratum at achiles (pergelangan k 1 1
1 poli 1 poli
1 4170000053 1 syndrom dyspepsia 1
1 1 1 vl supra orbita sinistra 1 1

1 1 4170000166 1 menoragia+abdominal pain 1

1 1 r inap (29) 1 ckd st v,angina pectoris,anemia ec pen1

1 1 4170000170 1 retensio urine ec bph 1 1

1 4170000299 dyspepsia dehidrasi r/s ec low intake 1

1
1 1 4170000278 1 tension type headache+angina pector 1

1 1 4170000294 1
lbp,dyspepsia 1
1 1 4170000295 1
dyspepsia syndrom dd gerd 1
1 1 4170000291 1 tension headache,dyspepsia 1

1 r inap 1 hamil 40-41 mggu d/kala 2 macet 1

1 ok 1 obs seizure, ec epilepsi 1

1 1 lbp 1

1 1 4170000292 1 vl digiti 1 1 1

1 1 R INAP 35 1 demam tifoid fever, gea dg dehid r/s, 1

1 1 dca tanpa dehidrasi 1

1 4170000296 1 susp pneumonia dd bronchitis 1
1 1 r inap (58)
1 tf 1
1 4170000298
1 gea+dyspepsia 1
1 1 4170000297 1 vl et regio suprovkit 1
1 1 dca et vomiting dehidrasi tak berat 1
1 1 4170000304
1 gea dg dehid, architis gout 1
1 1 4170000302 1 obs abdominal pain ec dispepsia sin 1
 1 R INAP 46
1 atrhitis 1
1 1 4170000306 1 G3P2A0H40-41 MGGU DG SC 13TH 1
1 4170000308 1 tb paru, ckd 1
1 1 R INAP 39 1 abdominal pain appendis akut 1
1 R INAP 55 1 vertigo 1
1 1 4170000310
1 abdominal pain ec dispepsia sindrom 1
1 1 1 mcu 1
1 1 R INAP 32 1 obs dispneu ec susp edem laring, dis 1
1 1 R INAP 16 1 dm tipe 2, komplikasi neuropaty, ht, p 1
1 1 1 susp tb 1
1 1 4170000316 1 corpul pada orbit 1
1 1 R INAP 51 1 paralitis periodik 1
1 1 R INAP 04 1 sindrome dispepsia 1
R INAP 68 /
SEMENTARA
1 UMUM, BPJS
TINGGAL
1 kdk 1
1 4170000318 1 corpus mata, 1
1 4170000321 1 obs febris h+3 susp dhf dd df, chepah 1
1 1 R INAP 56 1 obs dispneu ec chf 2-3, hipertensi 1
1 1 dca vomitus dgn dehid r./s 1
1 1 1 dca tnp dehidrasi 1
1 1 4170000322
1 obs chest pain ec stemi, urtikharia, 1
1 poli 1 PNYKIT DALAM
1
1
1 gea
1 1 R INAP KEB 1 g2p1a0m0 h37+3mg dg riw sc +3,3 th 1
1 1 R INAP 1 sirosis hepatis,hepatitis b kronis,var 1
1 1 ok 1 kdk 1
1 1 R INAP 1 pansitopenia 1

1 1 4170000451 1 lbp,ischialgia,synd dyspepsia 1

1 1 4170000460 vp ec paku 1 1
1
1 4170000506 1 dca tanpa dehidrasi,dyspepsia syndr 1

1 1 R INAP 59 1
ANOREXIA ec dispepsia 1
1 1 R INAP 1
bronchopneumonia 1
1 1 UMUM 1 asma broncheale ex akut 1

1 1 4170000573 1 melena,anemia berat,cholestasio lated1

1 1 4170000576 1 bppv, dispepsia sindrome, hipertensi 1
1 1 R INAP 1 CHEPALGIA,NEURALGIA,DYSPEPSIA S 1
1 1 4170000548 1 CARDIAC ARREST 1
1 1 4170000598 1 post gea dg dehidrasi r/s,dyspepsia, 1

1
1 obs f.4 susp mump 1
1 1 R INAP 1 dyspepsia intake kurang 1
1 1 R INAP 1 tf,ileus paralitik,underlis desease 1
1 1 R INAP
1 melena, choetiasis, hipertensi gr2, dm 1
1 4170000607 1 adominal dyscomfort susp dyspepsia 1
1 R INAP ICU
1 obs dyspneu ec gerd,ihd 1
1 1 R INAP 31 1 vertigo, chf 1
1 UMUM
1 dca dg dehid r/s 1
1 UMUM
1 tf 1
1 1 4170000612 1 shn, cephalgia, ht gr 2 1
1 1
1 dehid r/s , vomitus profuse, ispa 1
1 1 4170000608 1 hperpireksia, dispepsia 1
1 1 epistaksis post terior 1
1 1 4170000620 1 ht urgency, vertigo, dispepsia sindro 1
1 1 4170000618 1 DYSTAGIA, DM TP 2, HIPOGLIKEMIA 1
1 4170000617 1 vl laceratum didagu 1 1
1 4170000623
1 dismnorea , vomitus 1
1 1 4170000621 1 dca dehid r/s 1
1 1 1 STATUS asmatikus eksaserbasi akut 1
1 1 R INAP 14 1 edemaparu akut, ckd st5 on hd regula 1
1 1 R INAP 1
1 gerd, dispepsia sindrome 1

KLL / SEMENTARA
UMUM,
1 RENCANA URUS
SURAT POLISI
1 vl eyebrow vl upperlip, ve zygomatias 1 1
1 1 mialgia, gerd, febris 1
1 1 4170000627 1 cluster headache 1
1 1 4170000625
1 abdominal pain susp isk dd bsk 1
1 1 ok 1 dehid dg vomitus, obs febris h+5 1
1 1 4170000626
1 abdominal pain suspisk dd pib 1
1 1 R INAP 31 1 anemia ec hematokezia, abdomnal pai 1
1 4170000629 1 dispepsia, gea 1
1 VISUM 1
1 1 POLI 1
1 1 POLI 1
1 poli dalam 1 POLI 1
1 poli dalam 1 POLI 1
1 1 1 obs abdominal pain ec dyspepsia 1

1 1 4170000854 1 hepatomegali ec hepatoma 1

1 1 4170000632 1 migrain,dyspepsia syndrom 1

1 4170000631 1 gea tanpa dehidrasi 1

1 1 r inap (24) 1 anemia aplastik 1

1 1 4170000734 1 trauma mata tumpul (semen) 1 1

1 1 417000085 ensefalopati uranikum+ckd stage 5 1

1
1 r inap (62) 1 intoksikasi lem fiber 1

1 r inap (21) 1
tf dd dengue fever 1
4170000840, R
1 1 1
INAP 50 dyspepsia 1
1 1 r inap (67) 1 diare disentri fusi,obs febris 1

1 1 r inap (66) 1 f ec measless dg inf sekunder,nasofar 1

1 r inap (06) 1 demam tifoid 1

1 R INAP (08) 1 colik abdomen ddperitonitis 1

1 ok 1 H PRETERN 23-24 MGGU DLM STIMUL1

1 1 417000848 1 vertigo,trauma kaki dislokasi pedis de 1 1

1 1 RANAP
1 vomitus profuse,dyspepsia syndrom e 1
1 1 4170000857
1 tb paru,diare kronis 1
1 1
1 obs dispneu ec chf, ppok, ves 1
 sementara
1 1 umum, bpjs
belum aktif 1 asma broncheale ex akut episodik se 1
1 1 4170000853
1 vertigo+ht grade 1+dyspepsia syndr 1
R.INAP 63,
1 1 DENDA 45HARI 1 vomitus et dca dehid 1
1 1 umum
1 multiple ve 1 1
1 1 4170000863 1 cluster headeach 1
1 1 4170000865 1 susp tb paru dd spot, gastritis kronis 1
1 PAKAI
JAMPERSAL 1 g2p1a0m0 h39+3mggu dg inpartu kala 1
1 1 4170000860 1 vl pada genus 1 1
1 1 4170000864 1 obs febris, sndrome dispepsia 1
1 1 4170000859 1 RETENSIO URIN EC BPH 1
1 1 hematoma temporoparietal 1
1 1 4170000870 1 dca dehid r/s 1
1 1 R INAP KEB
1 g3p2a0m0 h38-39 mggu dg riw sc 2x p 1
1 1 4170000866 1 dispepsia 1
1 1 4170000867
1 asma bronkiale serangan sedang 1
1
1 dca dehid r/s 1
1 R INAP 41 1 obs abdominal ec tifoid fever 1
1 1 obs febris , phymosis 1
1 4170000868 1 dermatitis 1
1 1 4170000872 1 obs vomitus profuse, ht krisis 1
1 1 1 Status epipeptikus 1
SEMENTARA
UMUM, STATUS
1 1 PENANGGUHAN
PESERTA
1 obs seizure, penurunan kesadaran 1
1 1 4170000874 1 gea dg dehid r/s 1
1 1 1 dispepsia 1
R INAP
1 PERINATOLOGI 1 neorafus 4 hari bblr ckup bulan dg feb 1
1 4170000873 1 sindrome dispepsia 1
1 VISUM 1 ver 1
1 1 obs sinkop 1
 1 SEMENTARA
UMUM, KATANYA
ADA BPJS TAPI
PLINPLAN MAU
PAKAI ATAU NDAK
/ R INAP 49 1 chest pain 1
1 1 OBS FEBRIS H1 EC VIRAL INFECTION 1

1 1 4170001221 1 OBS VOMITUS, DG DEHID TDK BERAT, 1

1 1 4170000907 1 DISPEPSIA TIPE ULKUS 1

1 R INAPHARI
DENDA 45 1 GASTROENTRITIS 1

1 1 4170001087 1 ISK, SINDROME DISPEPSIA, DERMATIT 1

1 4170001032 1 OBS HIPERPIREKSIA, , VOMITUS, DIS 1

1 1 R INAP 1 DIABETIC FONT GR 1 , HT 1

1 4170001089 1
OBS ABDOMINAL PAIN EC DISPEPSIA 1
1 UMUM 1
FEBRIS H4-5 EC DHF GR 1 1
1 1 4170001078 1 URTIKARIA 1

1 1 4170001086 1 POST KOMA HIPOGLIKEMI, SYOK HIPO 1

1 1 R INAP 1 EPILEPTIKUS ABSES, HIPERTIROID 1

1 1 R INAP 1 CKD, ANEMIA GRAVIS, DM 1

r.inap (30) 1 ULKUS DM, SEPSIS 1 1

1 1 VL AMPUTATUM DISTAL DIGITI 1 PEDI 1 1

1 UMUM
1 GLOBAL WEAKNESS EC LOW INTAL, D 1
1 1 4170001092
1 GERD 1
1 1 4170001096
1 G5P3A0M1 HAMIL 13+3 MGGU DGN 1
1 1
1 OBS VOMITUS PROFUSE DG DEHID R/ 1
1 1 R INAP 1 HEMIPARESE SUSP SNH DD SH, OBS 1
1 1 4170001101
1 CKD, VERTIGO 1
1 1 R INAP 1 HT,DM 1
 1
1 RESPIRATORY FALURE PD BAYI 1
1 1 4170001100 1 CEPHALGIA, HIPERTENSI, DISPEPSIA 1
1 4170001099 1 GEA DG DEHID R/S, DYSPEPSIA SIND 1
1 1 R INAP 35 1 SINDROME DISPEPSIA DD GERD, CEPH 1

SEMENTARA
UMUM, KARNA
DIAGNOSA
BELUM BISA
1 1 DIPASTIKAN
PENCOBAAN
BUNUH DIRI
ATAU TIDAK / r
inap
1 INTOKSIKASI CAIRAN PEMBERSIH LAN 1
1 1 r inap 40 1 HERNIA INJUINAL LATERALIS 1
1 1 4170001103 1 DISPEPSIA SINDROME, BPPV 1
1 r inap (65)
1 OBS FEBRIS H3 SUSP DHF DD TF 1
1 1 R INAP 7 1 APP 1
1 4170001104 1 OBS COLIC ABDOMEN SUSP BSK DD I 1
1 1 4170001106 1 ARTHRALGIA SUSP BOUT DD OA 1

SEMENTARA
UMUM,
KELUARGA
NGAKU UDAH
1 1 BAYAR, TAPI
PESERTA MASIH
TIDAK AKTIF / R
INAP
1 ANEMIA GRAVIS, DISPEPSIA 1
1 1 4170001105 1 OTITIS EXTERNA AURICULA EC TRA 1
1 R INAP KEB 1 g1p0a0 h38+4MGGU inpartu kala1 fas 1
1 1 4170001109 1 DISPEPSIA TIPE DISMOTILITIS 1
1 1 4170001114 1 TB PARU , CHF FC 2-3 1
1 R INAP 32 1 DISPEPSIA TIPE DISMOTILITAS, OBS 1
SEMENTARA
UMUM, DATA
1 BEDA, KURANG
KK
1 SUSP ORCHITIS DD HIL INHARSERATA 1
1 1 INTOKSIKASI ALKOHOL 1
1 POLI 1 POLI 1
1 POLI 1 POLI 1
1 1 4170001112 1 dyspepsia 1

1 1 4170001113 1 retensio urine ec bph 1 1

 R INAP
1 1 1 p4a0mo post manual aid presbo +3jam1
KEBIDANAN
JAMPERSAL / R
1 1 g5p4a0m2 h36+5mgu, inpartu kala 1 fa1
INAP

DUA KALI
1 1 1 retensio urine ec bph 1
DATANG, UMUM

1 1 4170001182 1 diare cair dg dehidrasi 1

1 1 4170001203 dyspepsia 1
1
1 4170001116 1 dca dg dehidrasi r/s 1
1 1 4170001196 1 obs f.4 susp dhf dd df 1
1 1 4170001183 1
obs chestpain,dyspepsia,mialgia 1
1 1 4170001282 1 dyspepsia syndrom,dyslipedemi 1

1 1 4170001180 1 dehidrasi r/s,dca 1

1 r inap (31) 1 dca ,obs f.h++ihd 1

1 1 R INAP 32 1 obs dyspneu ec ppok,chf grade 2,dys 1

1 1 4170001281 1 DEHIDRASI , DISPEPSIA, OSTEOPHOR 1

1 1 4170001287
1 susp isk,retensio urine ec susp bph,ri 1
1 1 4170001280
1 luka bakar derajt 2 regio antrebachi d 1 1
1 1 UMUM
1 abdominal dyscomfort ec dyspepsia 1
1 UMUM 1 snake bite regio phalank distal 1 pedis 1 1
1 1 R INAP 08
1 dyspepsia syndrom 1
1 R INAP 46
1 dispepsia sindrome 1
1 4170001301
1 OBS DISPNEU EC TB PARU 1
1 1 ranap 1 vomitus profuse, anoreksia geriatri, c 1
1 1 R INAP 14
1 ischiamik heart desease , dispepsia 1
1 1 R INAP 48 1 hiperglikemi, candiomegali, isk 1
1 4170001291 1 VERTIGO , DISPEPSIA SINDROME, HI 1
1 1 R INAP 15
1 febris h3-4 ec dhf gr 1, dispepsia 1
1 1 4170001293
1 VL PUNCTUM ET REGIO PLANTANUS 1
1 1 4170001299
1 ABDOMINAL PAIN, G6P3A2M0 H+33 1
1 4170001294 1 FRAKTUR DD DISLOKASI , ELBOW JOIN 1
1 1 4170001300
1 FEBRIS EC DENGUE FEVER 1
1 1 4170001297
1 FEBRIS H3 , HIPERPIREKSIA EC BACTE 1
1 R INAP 11 1 GOUT ATRITIS EKSASERBASI AKUT, D 1
1 1 4170001304
1 KDS(KEJANG DEMAM SEDERHANA 1
1 1 r inap 39 1 nstemi, uap+chf grade 4, edem pulmo, 1
1 1
1 lbp ec susp hernia, dispepsia 1
1 1 4170001305 1 GASTROENTERITIS AKUT 1
1 poli 1 poli 1
1 poli 1 poli 1
1 poli 1 poli 1

KATANYA ADA
BPJS, TAPI YG
1 1 DAFTARKAN
BILANG UMUM
JAK
1 sindrome dipepsia 1
1 1 gea tnp dehid 1
1 BPJS TIDAK AKTIF
1 hiperpireksia, ispa 1
1 1 4170001306 1 sindrome dispepsia 1
1 1 4170001308 1 retensio urine ec bph 1
1 1 r inap (61)
1 kds, obs febris, asma 1
1 1 SEP BELUM
1 asma bronkiale eksaserbasi akut, te 1
1 1
1 neuralgia trigeminal 1
1 1 4170001309
1 retensio urine ec bph 1
1 KLL
1 close fraktur sepertiga medical clavic 1 1
1 1 4170001311
1 hiperpireksia 1
 r inap 28/
SEMETARA
UMUM, MAU
NGURUS
DINSOSO
1 paraparese imperior + lbp 1
1 4170001313
1 tension headeach 1
1 1 4170001310
1 vl pedis 1 1
1 4170001316
1 obs dispneu ec efusi pleura ec susp b 1
1 1
1 asma eksaserbasi akut 1
1 4170001312
1 selulitis inf sekunder 1
1 1 4170001315
1 vl phalang proximal digiti 2 or manus 1 1
R INAP 03/ SEM
1 UMUM 1 dispepsia, anemia, hipokromik, post i 1
1 1 r inap (43)
1 paralisis periodik 1
1 4170001320
1 vertigo, dyspepsia, dislipidemia 1
1 1 4170001318
1 vulnus morsum ec cat bite 1
1
1 MULTIPLE VE , MYALGIA 1
1 4170001319 1 hiperpirexia 1
JAMPERSAL 1 g2p1a0m0h42mggu kala 1 fase aktif 1
1 R INAP 49
1 DYSPEPSIA SINDROME, BPPV 1
1 4170001321 1 hiperpireksia ec bacterial infection 1
1 1 1 heacting wound with granulation et 1 1
1 KLL
1 cks, susp fbc, susp ich dd sdh , multip 1 1
1 1
1 mialgia 1
1 1 4170001322 1 retensio urin ec bph, hipertensi gr 2 1
R INAP KEB
JAMPERSAL 1 G3P2A0M0 H 41MGGUDG OGLIGOH 1
1 1 4170001326 1 heg 1
1 R INAP 1 dhf 1
1 1 R INAP 45 1 uap dd nstemi, hhd chf, efusi pleura b 1
1 4170001331 1 hiperpirexia, gerd, kronik tension ty 1
1 1 4170001325 1 retensio urine ec vesikolithiasis , riw 1
 1 KLL 1 multiple ve 1 1
1 KLL 1 multiple ve 1 1
1 1 4170001327
1 februis 1
1 1 4170001328 1 ketosis dm, hiperglikemia, piriformis 1
1 1 4170001329 1 susp tb paru 1
1 1
1 osrtearthritis 1
4170001330/Stat
1 1 us dijadikan satu
sama tgl 9 1 chf, hhd, ihd 1
1 1 obs febris h7 ec susp bronkitis dd bp 1
1 R INAP 41 1 gea dehid r/s 1
1 4170001337 1 obs febrish4 ec sindrome dispepsia, c 1
1 1 4170001345 1 thypoid fever 1
1 1 R INAP ICU 1 sh dd snh 1
1 1 R INAP 46 1 abdominal pain ec dispepsia 1
1 1 visum 1
1 1 4170001334 1 dispepsia 1
1 1 R INAP 4 1 ppok eksaserbasi akut 1
1 1 tonsilitis kronis 1
1 1 4170001340 1 obs dyspneu ec anemia ringan ec ckd 1
1 1 R INAP 2 1 chf nyha 4hhs,uap 1
1 1 R INAP 36 1 obs dyspneu ec chf nyha 3-4 1
1 4170001343 1 g3p2a0m1 h37mgu 1
1 1 4170001346 1 tth,ht grade 2 1
1 1 gea 1
1 4170001342 1 gea,dyspepsia 1

1 1 4170001344 1 dca,obs f
1
1 4170001348 1 dca dehidrasi r/s 1
1 1 4170001341 1 gea,obs f 1
1 R INAP 62 1 vomitus dehidrasi r/s 1
1 1 obs f.2+obs vomitus 1
1 1 4170001349 1 asma 1
1 1 tf 1
1 1 R INAP 54 1 chf 2-3,dyspepsia 1
1 4170001350 1 obs f.2,syndrom dyspepsia
1
1 1 obs f ec bachterial inf dd isk,dca tanp 1
1 1 dca dg dehidrasi r/s 1
1 KLL/ BLM BAYAR 1 CKB, TRAUMALAKSILOFACIAL
1 1
1 KLL/ BLM BAYAR 1 CKB , ABDOMINAL BREACHING EC FA
1 1
 1 KLL 1 ve multiple trauma+fraktur clavicula
1 1
1 KLL 1 vl post fraktur 1/3os radius dextra
1 1
1 KLL 1 ckr,trauma thorax 1 1
1 KLL 1 dislokasi gleno humeral sinistra
1 1
1 KLL 1 susp fraktur wrist joint sinistra,ve mul 1 1
1 KLL 1 multiple ve
1 1
1 KLL 1 vl 1 1
1 KLL 1 multiple ve
1 1
4170001340 SEP
1 1 GABUNG 1 obs dyspneu ec ckd grade 4-5 on hd9p
DENGAN YG
SUBUH
1
1 KLL 1 multiple ve+vl digiti manus sinistra 1 1
1 R INAP KEB 1 g1p0a0m0 h38+6mggu inpartu kala2 1
1 4170001351 1 dhf grade 1-2 (minta rujuk sendiri ke r 1
1 R INAP 35 1 febris 10hr, abdominal pain, colestitis, 1
1 1 R INAP KEB 1 mioma utari 1
1 1 R INAP 50 1 vomitus dd anemia 1
1 R INAP KEB 1 h39+2mggu inpartu kala1 fase latern
1
1 R INAP 51 1 vertigo,dyspepsia ,ht 1
1 1 4170001355 1 mumpis
1
1 1 4170001354 1 asma broncheale ex r/s 1
1 1 4170001356 1 mialgia,dyspepsia 1
1 1 vl regio frontalis 1 1
1 1 syndrom dyspepsia 1
1 R INAP 3 1 susp snh
1
1 R INAP KEB 1 g5p4a0m1 h38+6mggu dg peb
1
1 1 diare akut,dyspepsia 1
SEM UMUM TGL
LAHIR TIDAK 1 obs dyspneu ec susp ppok dd/pneum
SAMA 1
1 1 obs headache+dyspepsia 1

SEM UMUM BPJS

KETINGGALAN DI 1 obs hemoptoe+susp tb putus obat
KAMPUNG
1
1 1 4170001361 1 hematozkezia,hemoroid interna
1 1
1 1 ICU 1 stemi anterior 1

KELUARGA
BILANG ADA BPJS
TAPI SUDAH 1 chf fc 2-3+ihd+ht+dm type 2
LAMA TIDAK DI
BAYAR
1
1 1 r inap 6 1 lbp 1
PENCOBAAN
1 1 intokdikasi cairan baygon 1
BUNUH DIRI
1 1 4170001422 1 susp tf,dyspepsia 1
ok 1 obs dyspneu+hemoptoe ec tb drop o 1
1 1 1 lbp ec susp hnp 1
1 1 4170001414 1 hiperpireksia,ispa 1

1 1 R INAP 1 lbp ec susp hnp lumbal,ht grade 2,dy 1

1 1 r inap (16) 1 chepalgia,ht 1

1 R INAP 1 varicella,kds 1
1 1 4170001620 1 obs dyspneu ec ckd grade 5,ht exensi 1
1 1 R INAP 1 chepalgia berat 1

1 1 R INAP 1 ckd stage 5,hipoalbumin,leukositosis 1

1 R INAP 1 obs dyspneu ec anemia berat 1

1 1 4170001599 1 syndrom dyspepsia 1

1 R INAP 1
g2p1a0m1 h30+3mgu dg ek lamsi 1
1 R INAP 1
penurunan kesadaran ec susp sh dd 1
1 1 kdk 1
1 1 1
chepalgia+dyspepsia syndrom 1
1 4170001649 1
dyspepsia syndrom 1
1 4170001646 1 torraghie ec trauma cotton bud as 1 1
1 1
post hecting h.14+nekuni 1 1
1 r inap (31) 1
chest pain 1
1 1 1
dyspepsia syndrom+isk 1
R INAP 33 / SEM hemiparese sinistra susp snh, cephalg
UMUM 1 1
1 1 1 dispnea ec susp pjk omi 1
1 r inap 48 1 KEKESIA PADA GERIATRI 1
1 1 vl laceratum at pedis sinistra 1 1
1 1 4170001650 asma bronkiale akut
1 1
1 4170001651 1 mastitis eksasergbasi akut 1
1 4170001655 1 colik renal ec isk dd bsk 1
1 1 R INAP 65 1 kdk 1
1 1 1 vl laceratum 1 1
1 1 4170001827 1 dm tp 2 dg neuropati dm, diabetik fo 1
1 4170001656 1 tia, cepalgia , vertigo, dispepsia sind 1
1 1 1 vl laceratum at antrebachil dextra 1 1
1 1 R INAP KEB g2p1a0m0 h37+5mggu dg letak boko
1 1
1 1 obs febris, dispepsia sindrome 1
1 1 R INAP 53 osteoporosif eksaserbaasi akut, disp
1 1
1 1 4170001660 1 myalgia dd tth 1
1 1 4170001659 1 abdominal pain ec dispepsia sindrom 1
1 4170001662 1 colik abdomen, dispepsia sindrome, 1
1 1 4170001661 1 vomitus profuse 1
1 1 4170001664 1 obs dispneu ec chf grade 3 dispepsia 1
ranap gna , ht gr 2 1
1 4170001663 1 ishialgia 1
1 1 4170001666 1 dispepsia sindrome, gerd 1
1 R INAP 2 1 obs dispneu ec susp cap, anemia bera 1

SEMENTARA
UMUM, KARTU dhf. Tipoid fever
JAMKESMAS
BELUM DI CETAK
1 1
1 1 4170001668 1 hiperpireksia, tfa 1
SEMENTARA
UMUM, DATA DI
JAMKESMAS
BERBEDA DI KK
DAN KTP
1
1 obs febris h1 susp bronkhitis akut
1 1
1 RINAP (66) DCA VOMITUS DG DEHID TDK BERQA
1 1
SEMENTARA
UMUM, KARTU gea
ASKES LAMA 1 1
 1 obs febris h3 , dhf dd dengue fever
1 1
1 4170001669 1 dispepsia, chepalgia 1
1 POLI 1 POLI DALAM 1
1 POLI 1 POLI BEDAH 1
1 1 4170001670 1 vomitus profuse,dca dehidrasi r/s 1
1 1 INAP 19 1 fibrilation susp gastritis erosif 1
1 1 4170001907 1 dca dg dehidrasi tak berat,dysentri 1

1 KLL 1 ve post kll 1 1

1 r.inap (52) 1 SNH DD SH,DYSPEPSIA SYNDROM 1

1 R INAP 1 obs dyspneu ec chf nyha 2-3,ppok ex a1

1 1 R INAP 1 hamil 40+3 mgudg fase aktif letak bo 1

1 R INAP (69) 1
hipertropi tonsil 1
1 1 R INAP 1
obs dyspneu ec chf fase 2-3 1
1 1 4170001913 1 obs dyspneu ,tumor intra abdomen, 1 1

1 r inap (26) 1 dengue fever+dyspepsia syndrom 1

1 1 R INAP (43) 1 ischialgia ec lbp dd hnp 1

1 R INAP (46) 1 f ec tf dd df,dyspepsia syndrom 1

1 R INAP 8 1
dhf gr.1,obs f.3-4,dyspepsia non like u 1
1 1 R INAP (36) 1
asites dg anoreksia,syndrom geriatri, 1
1 1 R INAP (54) 1
hipoalbumin,anemia grafis,aki 1
1 1 r inap (67) 1
obs f.3 ec susp df 1
1 1 4170001911 hamil 35+6 mgudg kontraksi prenatur 1

1 1 4170001914 1 vomitus profus dg dehidrasi tak berat 1

1 1 vl elbow joint dextra 1 1
1 1 kdk 1
1 R INAP 13 1 hiponatremi, disfagia, hemoroid inte 1
1 1 ok 1 bronkitis akut, dm type 2, dispepsia 1
1 1 R INAP 17 1 ppok 1
1 OK 1 G4P3A0M0 H33+3MGGUDG SUSP SUL 1
1 1 R INAP, DENDA GEA
1 1
1 1 4170001918 asma attack
1 1
1 4170001922 1 vl puctum ec paku 1 1
1 1 asma bronkiale susp tb 1
1 1 4170001924 1 dca dehid r/s 1
1 KESETRUM 1 electrial injury 1 1
1 1 4170001923 1 retensio urine 1
1 4170001949 1 chf 1
1 4170001950 1 obs abdominal pain, oliguria 1
1 ranap 1 obs febris 1
1 1 obs febris h+5 ec demam tifoid fever 1
1 1 R INAP 19 1 dispepsia sindrome 1
1 1 vl morsum duri ikan 1 1
1 KLL 1 ckr , headache, vl laceratum et regio 1
1 KLL ckr
1 1 1
1 4170001955 1 vomitus profuse 1
1 1 4170001953 1 chf, dispepsia 1
1 POLI 1 POLI DALAM 1
1 POLI 1 POLI DALAM 1
1 POLI 1 POLI BEDAH 1
1 POLI 1 POLI 1
1 1 vl 1 1
1 1 4170001976 1 asma broncheale 1

1 1 r inap (63) 1 asma broncheale seranan berat 1

1 1 4170001961 1 lbp,dm type,dyspepsia 1

1 R INAP KEB 1 h pp spt d/retensio plasenta 1

1 1 4170001960 1 kolik renal ec susp bsk 1 1

1 1 retensio urine+susp isk 1 1

1 1 r inap (13) 1
tf dd df,dyspepsia syndrom 1
1 1 4170002086 1
retensio urine ec bph 1 1
1 4170002157 1 dysspepsia,dyspneu,chf,dm type 2,ne 1

1 1 R INAP 24 1 dispepsia, pnemoni 1

1 4170002158 1 h.39 mgu d/ bjdp 1

1 1 R INAP 1 vomitus+dehidrasi r/s+syncope 1

 1 4170002172 1
vertigo , chephlagia, ht grade 2, dis 1
1 R INAP (25) 1 combutio facialis derajat 2 ,9-10 %+t 1 1
1 1
fraktur ruis join 1 1
1 1 4170002161 1
cholestitis,cholik abdomen,dyspesia 1
1 1 R INAP 27 1 syncope ec hipotensi ddd aneia 1
1 4170002159 1 dyspepsia 1
1 1 4170002160 1 syncope ,menoraghia+dyspepsia 1
1 1 1
bronchitis 1
SEM UMUM
1 KARNA BPJS TDK 1
AKTIF vomitus ec gerd 1
1 4170002167 1 colik abdomen,obs dyspneu ec gerd,v 1
1 R INAP 12 1 obs febris h4 ec df dd dhf 1
1 1 R INAP 26
1 obs febris ec susp dhf, dehid tdk bera 1
1 1 R INAP 14 1 obs dispneu ec dhf, dm tipe 2 1
1 1 SEP BELUM 1 obs dispneu ec tb psru, susp dm tipe 1
1 1 4170002173 1 hiperpireksia, febris h2 susp tfa 1
1 R INAP 57
1 gea dg dehid r/s 1
1 1 4170002174 1 GEA 1
1 DOA 1 hipoglikemia 1
1 POLI 1 POLI 1
1 POLI 1 POLI 1
1 POLI 1 POLI 1
1 1 4170002175 1 retensio urine 1
1 1 4170002176 1 obs dispnea ec asma attack 1
R INAP
1 1 4170002177 1 1
1 4170002178 1 hiperpirexia obs vomitus 1
1 1 obs vomitus tnp dehid ec ispa 1
1 1 1 obs dispnea ec asma attack 1
1 R INAP 18 1 obs melena ec ibs 1
1 1 1 hemoptoe ec susp tb paru dd tumor 1
1 1 ranap 1 penurunan kesadaran susp sh 1
1 1 4170002399 G3P1A1M0 H24+3MGGUDG MOLA HI
1 1
1 1 R INAP 1 dm tipe2, diabetic food, ckd stage 4 1
1 4170002401 1 anemia berat, obs dispneu ec gerd, d 1
1 4170002412 1 dm tipe2, hiperglikemia 1
1 1 4170002400 1 colik abdomen , dispepsia sindrome 1
 1 R INAP

1 1 R INAP 67 obs nyeri perut ec demam tipoid

1 1
1 1 R INAP 65 asma serangan sedang episode sering,
1 1
1 1 ok obs febris ec isk dd uterolithiasis dd
1 1
1 4170002405 1 epitaksis susp fraktur nassal 1
1 1 R INAP 1 obs chephalgia, dispepsia sindrome 1
1 1 4170002404 1 status asma eksaserbasi akut 1
1 1 4170002408 1 chf, bp, ihd 1
1 1 4170002410 1 obs febris ec hiperpirexia, tonsilofarin 1
1 4170002411 1 obs febris h+4 susp norbili dd rubella 1
1 UMUM 1 tensiun type headeach 1
1 1 ranap 1 bronkopnemonia, dehidrasi, gizi kura 1
1 1 4170002415 1 colic abdomen susp bsk isk 1
1 R INAP 1 colik abdomen ec hidroforosis, bsk 1
1 1 4170002418 obs hematemesis, melena, ec susp t
1 1
1 1 4170002414 1 obs febris h3 ec hiperpirexia 1
1 1 4170002417 1 P3A1M0 PP SPONTAN 1
1 1 4170002419 1 angina pictoris, obs dispnea ec gerd 1
1 1 4170002420 1 ulkus peptikum 1
1 UMUM 1 multiple vl ekcoriatum, ckr 1 1
1 4170002422 gerd
1 1
KLNGKAPAN
1 1 epilepsi , hipertensi gr 2, , obs febris
KURANG KK 1 1
1 4170002423 1 G3P2A0M0 H9MGGU DG HEG 1
1 OK 1 ht emergency, dispepsia sindrome 1
1 1 4170002424 1 asma bronkiale eksaserbasi akut 1
1 1 R INAP 01 1 vertigo feriver, hipertensi stage 2 1
1 KLL 1 ve multiple 1 1
1 KLL 1 ve multiple 1 1
4170002426 1 colik renal , isk 1
1 POLI DALAM 1 MCU 1
1 POLI DALAM 1 MCU 1
1 POLI DALAM 1 MCU 1
1 1 1 asma ex akut,omi,chf,dyspepsia,dm t 1
1 1 asma broncheale 1
1 OK 1 asma cardiac,susp stemi anteroseptal 1
1 1 4170002427 1 retensio urine,urolithiasis 1 1
1 4170002428 1 retensio urine ec bph 1 1
 1 1 dca tak berat 1

1 1 SEP MANUAL 1 abdominal discomfort ec gastritis kron1

1 1 4170002429 1
orchitis dg komplikasi 1
1 1 4170002430 1 NYERI BERAT ,LBP EC SUSP HNP 1 1
1 1 peningkatan tekanan intra kranal,ckr 1 1

1 4170002432 1 obs dyspneuec gerd,dyspepsia syndr 1

1 1 4170002431 1 dm type,neuropati dm,,cholik abdom 1
1 KLL 1 ve multiple 1 1
1 1 colik abdomen,dyspepsia syndrom 1
1 1 4170002434 1 dehidrasi tak berat,dca,dyspepsia 1
1 1 R INAP 4 1 obs dyspneu ec chf fc 3-4,aki dd ckd 1
1 1 syndrom dyspepsia 1
1 1 4170002452 1 dehidrasi tak beratec dca,vomitus,dy 1
1 4170002435 1 colik renal dd isk dd bachterial inf dd 1
BPJS TIDAK
1 1
AKTIF/R INAP nodiagnosa 1
1 1 UMUM 1 dhf 1
1 4170002442 1 abses perineum,orchitis sinistra 1 1
1 1 UMUM 1 obs f ec tfa 1
1 4170002440 1
hiperpireksia,tfa 1
1 1 4170002438 1 hiperpireksia,tfa 1
1 1 4170002439 1 hiperpireksia,tfa 1
1 4170002437 1 cardiac arrest 1
1 1 4170002441 1 asma broncheale 1
1 UMUM 1 VL DKEPALA+HEMATOM+CKR 1 1
1 1 RANAP 1 anoreksia geriatri,syndrom dyspepsia, 1
1 1 41700002455 1 hiprpireksia,obs f.1 1
1 1 gea dehidrasi r/s 1
1 4170002447 1 gea dehidrasi r/s 1
1 1 4170002444 1
asma ex akut 1
1 UMUM 1 hemoptoe ds tb+ht 1
1 1 4170002448 1 asma broncheale ex akut 1
1 1 4170002443 1 bppv,omi,dyspepsia syndrom 1
1 1 UMUM 1 syndrom dyspepsia+susp isk 1 1
1 4170002451 1 susp pneumonia 1
1 1 4170002450 1
hiperpireksia 1
1 4170002453 1 hipepireksia,tonsilitis 1
1 1 asma broncheale 1
1 1 ckr,ve multiple 1 1
1 1 4170002449 1 obs colik abdomen susp isk+dyspepsi 1
1 1 R INAP (49) 1 obs ischialgia,anemia 1
1 1 4170002457 1 asma broncheale ex akut,obs f.9,tf 1
1 1 syndrom dyspepsia,gea tanpa dehidra 1
1 1 1 obs dyspnEU 1
1 4170002458 1 vertigo 1
1 R INAP (68) 1 obs hematuria+vimosis 1
1 1 hemoroid externa 1 1
1 1 4170002459 1 f.3 ec viral inf,dyspepsia,migrain 1
1 1 4170002460 1 asma broncheale 1
1 1 r inap icu 1 hemiparese dextra susp snh dd sh,s 1
1 1 4170002464 1 dca,dm type 2,anemia sdg ec penyaki 1
1 1 r inap (66) 1 obs f.4 ec viral inf+dyspepsia syndro 1
1 1 4170002463 1 OBS KOLIC ABDOMEN EC BATU GINJA 1
1 4170002477 1 GEA DG DEHID RINGAN SEDANG 1
1 SINDROME DISPEPSIA, OBS FEBRIS
1 1
1 1 VL ET REGIO EKSOPITAL 1 1
1 1 1 dca tnp dehid` 1
1 1 4170002466 1 VERTIGO, HT GR2 1
1 R INAP (40) 1 VERTIGO DISTIBULAR, DISPEPSIA SI 1
1 1 4170002467 1 OTALGIA (AD) SUSP OED 1
1 4170002476 1 VOMITUS PROFUSE, DCA , DEHID R/S 1
1 1 4170002468 1 CEPHALGIA, OBS FEBRIS H4 EC INFEC 1
1 1 4170002470 1 CEFALGIA, DISPEPSIA EC GASTRITIS 1
1 1 4170002475 1 VERTIGO, DISPEPSIA SINDROME, OM 1
1 1 R INAP 57 1 1
1 4170002474 1 ONS FEBRIS EC VIRAL INFECTION 1
1 4170002484 PPOK
1 1
1 R INAP 1 OBS FEBRIS H3 EC PNEMONIA 1
1 1 4170002478 1 RETENSIO URIN EC BPH, UTEROLITHIA 1
1 1 R INAP 43 1 SNDROME DISPEPSIA 1
1 R INAP 3 1 1
1 1 4170002481 1 RETENSIO URIN EC BPH 1
1 1 4170002483 1 SINDROME DISPEPSIA 1
1 1 4170002485 1 FEBRIS H3 EC VIRAL DD BACTERIAL 1
1 1 1 DEMAM TIFOID 1
1 1 DERMATITIS KONTAK INDRA 1
1 1 4170002486 1 SUSP INFEKSI LUKA OPERASI CKD, FEB 1
1 1 4170002488 1 VERTIGO, DM TYPE 2, HT, HIPERKOLE 1
1 1 R INAP 1 UAP 1
1 1 R INAP 1 ANEMIA EC MELENA, TIFOID FEVER 1
1 1 4170002487 1 CEPHALGIA, BLEFAritis od 1
OK 1 VL PUNCTUM ET PLANTAR PEDIS 1 1
1 1 4170002491 1 HIPERPIREKSIA, DEHID TIDAK BERAT, 1
1 1 SEP MANUAL 1 TB LINIER, PPOK, CHF FC 3-4 1
1 1 4170002494 1 VERTIGO BERAT, VOMITUS, GASTRITI 1
1 r inap (06)
1 R INAP 61 1 DCA DEHID R/S , GIZI KURANG 1
1 1 4170002495 DEHID TDK BERAT EC VOMITUS, INFE
1 1
1 1 VL PUNCTUM ET PLANTIS PEDIS 1 1
1 4170002496 1 VERTIGO , SINDROME DISPEPSIA 1
1 1 r inap (42)
1 1 r inap (69) 1 OBS FEBRIS H+5 EC DF DD DHF 1
1 kll 1 MULTIPLE VE , VL DIGITI 3 1
1 1 UMUM 1
1 r.inap (41) 1 ABDOMINAL PAIN EC ULKUS PEPTIK 1
1 1 4170002499 1 HIPERPIREKSIA, G1P0A0 HAMIL 22 1
1 1 4170002497 1 RETENSIO URINE BPH 1
1 1 4170002498 1 SUSP PNEMONIA RINGAN 1

R INAP
1 HIPERPIREKSIA
PERINATOLOGHI
1 1
1 1 4170002500 1 KOLIK ABDOMEN 1
1 1 OBS DISPNEU, DISPEPSIA SINDROME 1
1 1 OBS VOMITUS, DCA TNP DEHID 1
1 1 4170002502 1 asma bronkiale dg serangan episode j 1
1 1 4170002501 1 MENOMETRORAGHIA, COLIC ABDOM 1
1 R INAP 31 1 GEA DEHID R/S, SINROME DISPEPSIA 1

1 VL PEDIS
1 1 1
1 1 VL LACERATUM DIGITI 3 PEDIS 1 1
1 4170002503 1 DISPEPSIA, HEPATITIS 1
1 1 4170002509 1 H25+5MGGU DG KRISIS HT DG PEB SU 1
1 1 IRIGASI MATA 1 1
1 4170002507 1 PERITONITIS EC APPENDICHITIS PERT 1

1 4170002505 BRONKOPNEMONI
1 1
1 4170002506 BRONKOPNEMONI
1 1

SEMENTARA
UMUM, DATA
BERMASALAH,
1 KAK RESTU RAGU
ITU PUNYA SI
PASIEN.
1 1
 1 4170002508 DISPEPSIA, APENDISITIS
1 1
1 1 1 OBS VOMITUS PROFUSE 1
1 4170002512 1 COLIK ABDOMEN, TONSILITIS AKUT, 1
1 1 PENURUNAN KESADARAN 1
1 1 4170002517 1 DCA DGN DEHID R/S 1
1 1 4170002513 1 VERTIGO, DISPEPSIA. HIPERGLIKEMIA 1
1 1 R INAP 52 1 IHD, ABDOMINAL PAIN, ISK, DISPEPS 1
1 1 4170002515 1 VERTIGO, SINDROME DISPEPSIA, HIP 1
1 1 BBLR, KMK 1
1 1 4170002516 1 HIPERPIREKSIA, OBS FEBRIS HR4 EC 1
1 1 4170002518 FEBRIS H4 EC TIFOID FEVER
1 1
R INAP 47/ BPJS
KETINGGALAN
1 4170002520 1 HT URGENCY, CHEPHALGIA , VOMITU 1
1 1 R INAP 3 1 CEFALGIA BERAT 1
1 R INAP 50 1 ERUPSI OBAT ALERGI 1
1 R INAP 8 PROLONGED FEBRIS, DIARE PERSIST
1 1
1 1 TFA, LABIOPALAFOKRISISI 1
1 1 RANAP 1 1
1 1 DISPEPSIA 1
R INAP 65 /SEM
UMUM BPJS OBS FEBRIS H3-4 EC PNEMONIA
TIDAK AKTIF 1 1
1 1 R INAP 48 1 VERTIGO, OBS FEBRIS 1
1 R INAP ICU 1 STEMI INFERIOR KILLIP 1
1 1 umum 1 syncop+vl et regio mentis 1
1 1 41700002798 1 dyspneu ec asma ,bronchitis 1
1 1 R INAP ICU 1 nstemi anteroseptal+dyspepsia 1
1 4170002796 1 kolik abdomen,susp isk 1 1

1 1 hidro pneumothorax sinistra 1

1 1 4170002795 1 obs dyspneu ec chf+rbb 1

1 1 4170002801 1
dyspneu,stemi 1
1 1 parastesia dextra post stroke 1
1 1 R INAP 11 1 anemia,melena,ulkus pepetikum 1
1 1 R INAP 68 1 susp cteu,post???,ispa 1
1 1 luka bakar derajat 2 3% 1 1
1 R INAP 9 1 dyspneu ec ckd stage 4,chf+anemia g 1
1 R INAP 5 1 HEMIPARESE SNH DD SH 1
1 1 4170002807 1
obs vomitus,susp isk 1
1 1 1 spasmofiltra gr 3-4 1
1 4170002805 1 transient ischaemik attack dd bell's p 1
1 4170002808 1 chest pain, contusio musculorum 1
1 1 4170002810 1 abdominal pain 1
1 1 R INAP KEB 1 1
1 1 1 disenti, dispepsia sindrome 1
1 1 4170002812 1 gea dg dehid, dispepsia sindrome 1
1 R INAP 35 1 APPENDICH AKUT 1
1 1 4170002819 1 dehid r/s, obs febris, dispepsia 1
1 1 R INAP 50 1 CEPHALGIA EC TTH, DCA DEHID R/S, 1
1 1 R INAP 46 1 DEHID R/S C DISPEPSIA 1
1 R INAP 19 1 ANOREKSIA, DISPEPSIA, DM TIPE 2 1
1 1 ok 1 asma eksaserbasi akut 1
1 R INAP 68 DCA ET VOMITUS DEHID R/S
1 1
1 ranap 1 1
1 1 4170002821 1 dehid r/s, dispepsia sindrome 1
1 R INAP 20 1 APENDISITIS AKUT 1
BPJS TDK AKTIF 1 1
1 1 4170002823 1 obs febris hr3seusp tifoid fever dd tfa 1
1 1 4170002824 1 ht urgency, chephalgia 1
1 1 r inap 36 1 OBS DISPNEU EC GERD, DISPEPSIA S 1
1 1 hemoroid externa, retensio urine 1

PERSYARATAN
1 BELUM LENGKAP/ GEA
R INAP 1
1 1
1 4170002828 1 dca dehid r/s, vomitus profuse, disp 1
1 R INAP 13 1 HEMORHOID ETERNA GR 4 1
POLI 1 POLI DALAM/MCU 1
1 4170002826 1 hiperpireksia ec viral inf ec bachterial 1
1 1 4170002829 1 status asma tikus ex akut episodik se 1
1 1 4170003017 1 CHODEO CHLITIASIS,TB PARU,EFUSI P 1
1 4170002873 1 asma ex sedang,persiten sedang 1
1 1 4170002884 1 rhinitis alergika spina bufida 1
1 1 4170003002 1 obs chestpain ec gerd 1
1 1 4170003083 1 obs vomitus,dyspepsia syndrom 1
1 4170003078 1
syock sepsis 1
1 1 4170003071 1 obs dyspneu ,obs chestpain c uap,tb 1
1 UMUM 1 gea tanpa dehidrasi 1
1 4170003075 1 obs f.6 susp tf,dyspepsia syndrom 1
1 1 umum 1 post sc cito a/i kala 2 maju h.13 1

1 4170003070 1
asma broncheale ex akut 1
 1 R INAP (67) 1
dspnea ec bronchopnemonia 1

SEMENTARA
UMUM, MAU
NGURUS BPJS DRI
DINSOS DAN
1 1
SUDAH DI
EDUKASI BATAS
WAKTU 3X24
JAM
obs dyspneu ec susp bronchopneumon 1
1 1 R INAP (31) 1 abses hepar (LIVER) 1
1 1 R INAP /05 1 chf, gerd, bronkopnemoni susp spesif 1
1 1 4170003088 1 cimb pain post syncope 1
1 1 4170003080 1 asma bronkiale serangan sedang epis 1
1 1 anxretas 1
R INAP SEM
1 UMUM BPJS PBI febris h+2, obs dispneu
TIDAK AKTIF 1 1
SEM UMUM
1 1 MAU URUS KE vl eksoriatum
POLISI 1 1 1
1 R INAP 38 / 1 gea dg dehid r/s 1
1 1 4170003081 1 retensio urine ec bph , susp isk 1
1 1 4170003085 1 obs febris hr1, vertigo , ht 1

R INAP 61 /
1 sementara umum obs febris hr5 ec df dd dhf
ada denda
1 1

R INAP 3 /
1 sementara umum sindrome nefrotik
ada denda
1 1

R INAP 59 /
1 1 sementara umum VERTIGO
ada denda
1 1

LANJUT SEP TADI

1 1 PAGI rhinitis alergika spina bufida
4170002884
1
1 1 4170003092 1 g2p1a0m0 hamil 40mggu dg riw sc 5,4t 1
1 1 vl pedis terkena seng 1 1
r inap 22/ SEM
1 UMUM ada vertigosusp cva
denda 1 1
1 1 4170003087 1 kolik abdomen 1
1 1 R INAP 16 1 obs fatique ec anemia berat ec anemia 1
1 1 R INAP 29 1 asma attack 1
1 1 kontusio jaringan et facial , susp frak 1
SEMENTARA
1 UMUM, BPJS dca dehid r/s
LAGI DICARI 1 1
1 4170003094 1 vertigo , dispepsia, psikosomatis 1
1 DOA (+) 1 doa 1
1 POLI POLI 1
1 POLI DALAM MCU 1
1 POLI DALAM MCU 1
 Jenis Pelayanan Tindak Lanjut Keadaan
Non Kebi Psikia Ana Terapy Tindakan Perawat
Pulang Dirawa Drjk Mati DOA dr.
Beda dana trik Dirujuk Kmbli
k t di IGD Adwin
h n
1 inf, inj, odc 1 wita
1 nebu 1 wita

1 inf, inj, odc 1 wita

1 - 1 oktryan
1 odc, ekg, monitor, o2, ngt, ctr, inf, 1 oktrysn
1 ctr 1 farhat
1 inf, inj, odc 1 farhat

1 inf, odc
1 -
wts, inj, o2, odc, st
1 inf, inj, ekg, accu checkm
1 odc, inf, inj, ekg
1 o2, ekg, odc
1 nebu, inf, inj, ekg, odc
1 inf, inj, ekg, odc
1 inf, inj, ekg, odc, nebu, o2
1 wts hctg
1
1 farhat
1 wita
1 seli
1 farhat
1 wita
1 selvi
1
1 wita
1

1 - 1 -

1 odc 1 bd
1 inj, ekg 1 farhat

1 -
1 -
1 -
wts
1 inf, inj, odc
1
1 roland
1 rezza
1
1 melly

1 inf, inj 1 rezza

gv, wt 1 roland
1 inf, inj, ekg, odc, o2 1
1 inf, inj, ekg, odc, o2 1 mellyq
1 inf, inj, o2, nebu, st, infpum 1 septi
1 nebu, o2, inf, inj,ekg, amblnce 1 iqbal

1 inf, inj, ngt, odc, o2, amblnce 1 liqa

1 o2, nebu, odc 1 riyan
anl, hctg, extra simple 1 liqa
1 inf, inj, ekg, odc, o2, monitor, ctr 1 rosi
1 - 1 riyan
1 inf, inj, ekg, odc, o2 1 liqa
1 ekg, inj, amblnce, o2, rjp 1 liqa
1 inf, inj, ekg, odc, o2 1 aida

1 irigasi telinga, odc 1 liqa

1 inf, inj, odc 1 nova
1 - 1 faisal
1 inf, inj, infpump, odc 1 harry
1 inf, idc, sringepump 1 harry
1 inf, inj, ekg, odc 1 irma
1 - 1
1 inspekulo, askeb 1 bd
hctg, anl, wts 1 hary
1 ctr, odc 1 faisal
1 inf, inj, o2, odc 1

1 inf, inj, odc 1 harry

1 - 1 faisal

1 inf, odc, gds, ctr, sringepum 1

1 - 1 harry
1 inf, inj, odc 1 irma

1 - 1
1 - 1 selvi
1 - 1
1 odc, ekg, inf, inj, st, o2 1 farhat
1 inf, inj, o2, accu chek 1 selvi
1 1
1 inf, inj, ekg, odc 1 jul
wtb 1 farhat
1 inf, inj, o2, ekg, odc 1 selvi
1 vt, odc, ctr, inf 1 bd
1 ekg, inf, inj, o2, odc 1 jul
1 inf, inj, ekg, o2, odc 1 lizna
spalk, odc 1 fery
1 odc, inf, inj, ekg 1 farhat
1 - 1 farhat
 1 inf, inj, ekg 1 selvi

1 - 1
1 inf, inj, odc` 1 oktryan

wts, anl, nctg 1 riyan

ekg 1
1 inf,inj 1 roland
wtb,hctg,anl 1 oktryan

1 palpasi,inspekulo 1 -

1 inf,inj,ekg 1 OKTRYAN

ctr 1 septi

1 inf,inj 1 hary

1 vp,inj,ekg 1 wita

wita
1 vp.inj,ekg 1

1 vp,inj 1 septi
1 - 1 wita

1 vt,st 1 -

1 inf, inj, odc 1 nova

1 - 1 wita

gv sedang 1 hary

1 inf, inj, odc, st 1 selvi

1 - 1 irma
1 nebu 1 septi

1 inf,inj,st 1 nova

1 - 1 irma
1 gv sdg, 1 harry
1 inf,inj,inf pump,amblc 1 fery

1 ekg, inf, inj, odc 1 farhat

1 inf, inj, odc 1 liqa`
 1 ekg, inf, inj, odc, st 1
1 vt 1 bd
1 inf, inj, st, ctr, o2, ekg, odc, ambln 1 jul
1 inf, inj, ekg, odc, ngt, st 1 selvi
1 inf, inj, odc, ekg 1 farhat

1 - 1 selvi
1 ekg 1 aida
1 inf, inj, ekg, o2, odc 1 rezza
1 inf, inj, odc, ekg 1 farhat
1 nebu 1 aida
1 irigasi mata 1 farhat
1 inf, inj, odc, ctr, ekg 1 selvi
1 inf, inj, ekg, odc 1 oktryan

1 inf, inj, odc, st 1 melly

1 irigasi mata 1 roland
1 inf, inj, odc 1
1 inf, inj, ekg, odc 1 oktryan 1
1 inj, inf, amblnce 1 lizna
1 - 1 melly 1

1 ekg, odc 1 1
EKG 1 NOVA
EKG 1 HARRY
EKG 1
1 - 1 FAISAL
1 vt, askeb 1 bd
1 inf,inj,ekg 1 no name
1 inf,o2 1 oktryan 1
1 inf,innj 1 liqa 1

1 - 1 liqa

wtb,gvb,gds 1 nova

1 inj,inf 1 wita

1
1 inf, inj, ekg, odc, o2
1
1 inf,inj,ekg,o2 no name
1 vp,inj,o2,nebu 1 liqa

1 inf,inj,ekg,amblc 1 fery
1 inf, inj, odc 1 nova
1 INF,INJ,EKG 1 noname
1 inf,inj,ekg,rjp,o2 1 liqa
1 inf,inj,ekg,amblc 1 winda

1 - 1 liqa
1 inf,inj,ekg 1 winda
1 inf,inj,st 1 nova

1 inf, inj, odc, ekg 1

1 vp,inj 1 nova

1 inf,inj,ekg,o2 1 liqa
1 inf, inj, ekg, odc,o2 1 winda

1 inf, inj, o2, amblnce 1 irma

1 - 1 liqa
1 inf, inj, odc, ekg, amblnc 1 aida

1 inf, inj, infpump, neb 1 iqbal

1 - 1 rezza
1 - 1 iqbal
1 inf, inj, ekg, o2, odc 1 aida
1 inf, inj, odc 1 harry
anl, wts, hctg 1 rezza

1 inf, inj, o2, odc 1 iqbal

1 inf, inj,odc 1 rezza
1 nebu 1 harry
1 inf, inj, ekg, odc, o2 1 lisna

1 inf, inj, odc, st 1 aida

anl, wts, hctg 1 irma

1 ekg 1
1 inf, inj, odc 1 faisal

1 inf, inj, ekg, odc 1

 1 INF, INJ, SPALK , ODC 1 farhat

1 - 1 faisal
1 inf, inj, ekg, o2, odc 1 selvi
1 inf, inj, odc 1 lisna
1 VISUM 1 SEPTI
EKG 1 LIQA
EKG 1 WITA
EKG 1
EKG 1
1 vp,inj 1 npname

1 inf,inj,ekg,amblc 1 farhat
1 inf,inj,ekg,o2 1 farhat

1 - 1 indah w

1 inf,inj,ekg 1 selvi

irigasi mata 1 liqa

1 oktryan

1 onf,inj,ngt,kumbah lambung 1 wita

1 liqa
1 tf dd dengue fever

1 vp,inj 1 winda
1 inf,st,inj 1 oktryan

1 inf 1 oktryan

1 inf, inj, st, odc 1 liqa

1 inf,inj,st 1 liqa

1 VT, INF 1 BD

- 1 -

1 inf,inj,o2,ekg 1 liqa

1 inf,inj,ekg 1 reza

1 o2, ekg, nebu, inf, inj, ctr, o 1 liqa

 1 nebu 1 liqa

inf,inj,ekg 1 winda

1 inf, inj 1 harry

wts 1
1 inf, inj, o2, odc 1 nova
1 inf, inj, ekg, odc, amblnce 1 irma

1 askeb, vt, persalinan, inf, inj 1 bd

wts, hctg, st, inj 1
1 inf, inj, odc 1 irma
1 ctr 1 harry
1 visum 1 iqbal
1 ing, inj, odc 1 nova

1 askeb 1 bd
1 inf, inj, ekg, odc, o2, 1 iqbal

1 nebu 1 irma

1 inf 1 nova
1 inf, inj, st, odc 1 jul
1 - 1
1 inf, inj, odc 1 ferry
1 inf, inj, ekg, odc 1 selvi
1 o2. inf, inj, st, sringepump 1 septi 1

1 odc, ekg, o2, monitor, inf, i 1 farhat

1 inf, inj, ekg, odc 1 selvi
1 inf, inj, odc 1 jul

1 odc 1 fery 1
1 inf, inj, odc 1
1 visum 1 farhat
1 inf, inj, odc, o2 1 ferry
 1 inf ,inj, ekg, o2, odc 1 FERRY
1 - 1 SELVI 1

1 - 1 FARHAT 1

1 ODC,INF, INJK 1 FARHAT 1

1 INF, INJ, ODC, EKG, ST 1 FARHAT

1 INF, INJ, EKG, ODC 1

1 INJ 1
1 EKG, INF, INJ, ODC, ST 1 OKTRYAN

MELLY
1 INF, INJ, O2, ODC 1

1 INF, INJ, ODC, INFPUMP, AMBLNC 1 LIQA

1 - 1 RIYAN

1 INF, INJ, EKG, CTR, EKG, O2, ODC 1 FERY

1 INF, INJ, ODC, SRINGEPUMP 1 MELLY

1 INF, INJ, ODC, EKG 1 RIYAN

EKG, ODC, WTB, ST, INJ 1 LIQA

WTS, INJ, ST 1

1 O2, EKG, INF, INJ, OD 1 MELLY

1 INF, INJ, ODC, EKG, O 1 LIQA

1 ODC 1 BD 1

1 INF, INJ, ODC, SRIN 1 ROSI

1 INF, INJ, EKG, O2, ODC 1 IQBAL 1

1 INJ, ODC 1
1 INF, INJ, EKG, ODC 1
 1 INF, INJ, O2, RJP, INF UMBILIKAL 1 AIDA
1 INF, INJ, EKG, ODC 1 ROSI 1
1 INF, INJ, ODC 1 WINDA 1
1 INF, INJ, ODC, ST 1 IRMA 1

1 INF, INJ, NGT, O2, ODC, 1 HARRY 1

1 INF, INJ, CTR, ODC, EKG, NGT 1 WINDA 1
1 INF, INJ, ODC 1

1 INF, INJ, ODC, INFPUMP 1 FERY 1

1 INF, INJ, ODC,ST 1 FERY
1 INF, INJ, ODC 1 1
1 INF, INJ, ODC 1 1

1 INF, INJ, O2, EKG 1 NOVA

1 IRIGASI TELINGA 1
1 askeb, vt, inf 1 bd 1
1 - 1 1
1 INF, INJ, ODC 1
1 INF, INJ, EKG, ODC 1 JUL 1

1 INF, INJ, ODC 1 FERY 1

1 INF, INJ, O2, ODC 1 FERY
EKG 1 LIQA
EKG 1
1 inj 1 nova

- 1 noname
 1 askeb, vt, persalinan, inf, inj 1 bd

1 askeb, vt, persalinan, inf, inj 1 bd

1 ctr 1 rezza

1 inf,ekg 1 noname

1 inf,inj 1 nova

1 - 1 noname
1 - 1 faisal
ekg
1 1 oktryan
1 - 1 liqa

1 inf,inj, odc, ekg, st 1 liqa

1 inf,inj,ekg,st 1 oktryan

1 inf,inj,ekg,o2,nebu,ctr 1 liqa

1 INF, INJ, ODC, EKG 1 FAISAL

1 inf,inj,ekg,ODC 1 LIQA

wtb 1 faisal

1 inf,inj,ekg 1 roland
inf,inj,at 1 roland

1 inf,inj 1 roland

1 inf, inj, odc 1 melly

1 O2, ODC, EKG, AMBLNCE,INF, INJ 1 OKTRYAN

1 inf, inj, ekg, odc, o2, monito 1 iqbal

1 inf, inj, ekg, odc 1 irma

1 inf, inj, ekg, odc, st 1 LISNA`
1 INF, INJ, EKG,ODC 1 LISNA`

1 inf, inj, odc 1

1 - 1 ROSI

1 INSPEKULO, ASKEB, 1 BD
1 - 1 ROSI

1 INF, INJ, ODC 1 ROSI

1 - 1 ROSI
1 inf, inj, ekg, odc 1 ryan

1 INF, INJ, ODC, ST, AMBLNCE 1 AIDA

1 INF, INJ, EKG, ODC, O2, FC 1 LISNA

1 inf, inj, odc 1 nova

1 INF, INJ, ODC 1
ekg 1
ekg 1 roland
ekg 1 liqa

1 inf, inj, ekg, odc 1 harry

1 inf, inj, odc, ekg 1 hary

1 - 1 harry
1 inj, odc 1 harry
1 ctr, ekg, odc, o2 1 harry

1 odc, inf, spalk, inj, sringep 1 farhat

1 nebu 1 selvi

1 - 1 selvi

1 ctr 1 selvi

hctg, spalk, anl, wts, amblnce, inj 1 ryan

1 - 1 selvi
1 inj 1 liqa

1 inf, inj, odc 1 selvi

wts 1 farhat

1 o2, odc 1 fery

1 nebu 1 faisal

1 - 1 fery

wts, anl, hctg 1 farhat

1 inf, inj, odc 1 faisal

1 inf, inj, ekg, odc 1 selvi

1 inf, inj, odc, ekg 1 faisal

1 inf, inj, odc 1 selvi

1 - 1 FARHAT
1 - 1 ryan
1 vt 1 bd ruri

1 ekg, inj, inf, odc, o2 1 liqa

1 odc 1 melly
aff hctg 1 rosi

wtb, o2, inf, inj, amblnce 1 oktryan

1 inf, inj, odc 1 rosi

1 odc, dc 1 liqa

1 ASKEB, VT 1 BD
1 inf, inj, odc 1 septi
1 odc 1
1 ekg, inf, inj, odc, o2 1 liqa
1 inf, inj, o2, odc 1 melly
1 ctr, accu chek 1 oktryan
 wts 1
hctg, wts, anl, 1

1 - 1 rosi
1 inf, inj, odc 1 rosi
1 odc, ekg, inf, inj, o2, amblnce 1 oktyan

1 - 1 oktyan

1 1
1 - 1 winda
1 inf, inj, ekg, odc 1 iqbal
1 inf, inj, odc 1 aida
1 inf, inj, odc 1 irma
1 inf, inj, ekg, o2, ngt, ctr, gd 1 aida
1 inf, inj, odc, st, o2 1 irma
1 visum 1 iqbal
1 - 1 winda
1 inf, inj, ekg, o2, monitor 1 harry
1 vp,inj,o2 1 irma
1 inf,inj,ekg,amblnc 1 iqbal
1 inf,inj,ekg,st,o2 1 hary
1 inf,inj,ekg,o2 1 hary
1 vt, odc 1 bd
1 inf,inj,ekg 1 irma
1 inf,inj 1 hary
1 inf,inj 1 farhat

1 -
1 inf,spalk
1 -
1 inf,inj,inf pump
1 -
1 nebu,o2
1 -
1 inf,inj,o2,ekg
septi
1
1 farhat
1 selfi
1 fery
1 septi
1 selfi
1 farhat
1 roland

1 - 1 farhat
1 inf 1 fery
1 inf,inj 1 noname

INF, INJ, SUCTION, ODC, CTR, O2 1 FERY

INF, INJ, HCTG, ANL, AMBLNCE, ST 1

 wts 1 oktryan

anl,hctg,wtsivfd,amblc 1 noname
inf,inj,o2,st,amblce 1 oktryan

inf,o2,amblc 1 faisal
inf,inj,wts 1 wita

wts 1 noname
wts 1 noname

wts 1 farhat

1 o2 1 noname
anl,hctg,wts 1 noname
1 askeb, partus, hctg, vt 1 bd
1 - 1 noname
1 inf, inj, ekg, odc 1 faisal
1 askeb, inf 1 bd
1 inf,inj 1 melly

1 askeb, vt, inf 1 bd

1 inf,inj,ekg 1 rosi

1 - 1 noname
1 1 roland
1 wt 1 noname
hctg,anl,wts 1 melly
1 vp,inj 1 faisal

1 inf,inu 1 faisal

1 askeb, vt, inf 1 bd

1 - 1 oktryan

1 inf,inj,o2,ekg,nebu st 1 iqbal
1 inf,inj 1 oktryan

1 - 1 oktryan
 inj,ekg 1 liqa
1 inf,inj,monitor,ekg,o2,ctr 1 aidha

1 inbf,inj,.ekg,gds,o2, 1 riyan
1 inf,inj 1 liqa
1 inf,kumbah lambung 1 liqa

1 vp,inj 1 irma
1 inf,inj,ekg,o2,amblc,dc 1 riyan
1 inf,inj 1 aidha
1 - 1 liqa

1 inf,inj,ekg 1 winda

1 inf,inj,ekg 1 nova

1 inf,inj,imp pump 1 winda

1 o2 1 noname
1 inf,inj 1 hary

1 vp,inj,st 1 wita

1 inf,inj 1 wita

1 inj 1 noname

1 askeb, inf, inj 1 bd

1 inf,inj,ekg,ctr,ngt,sp 1 hary
1 inf, inj, o2, infpump, sringe 1 nova

1 - 1 wita

1 inf,inj,ekg 1 wita
- 1 wita

wts 1

1 inf, inj, st 1 jul

1 vp,inj,o2 1 wita

1 inf, inj, ekg, odc 1 fery

1 o2, ekg, odc 1 winda
1 INF, INJ, EKG, ODC 1 SELVI
wts 1

1 nebu 1
1 - 1
1 inf, inj, odc 1 rezza
1 inf, inj, o2, infpump 1 winda
wts, hctg 1 farhat
1 inf, inj, odc, ekg, acc 1 selvi
1 inf, inj, ekg, odc 1 winda
hctg, wt 1 septi

1 askeb, partus, hctg 1 bd

1 inf, inj, odc, o2, ekg 1 fery

1 inf, inj, ekg, odc 1 winda

1 inf, inj, odc 1 rezza
1 oinf, inj, ekg, odc 1 farhat
1 inf, inj, odc 1
1 inf, inj, odc 1 oktyan
1 o2, inf, inj, ekg, odc 1 farhat
1 st, inj, odc 1 ryan
1 inf, inj, odc 1 selvi
1 inf, inj, odc 1 ryan
1 inf, inj, odc, o2, ekg, st 1 liqa

1 infpump, odc 1 melly

1 inf, inj, odc, amblnce 1 oktyan

1 INF, INJ, EKG, ODC 1 RYAN

1 - 1 liqa

1 inf, inj, odc, nebu, st 1 melly

1 - 1 roland
 - 1 -
1 odc 1 melly
EKG 1
EKG 1 NOVA
1 - 1 noname
1 inf,nj,ekg,o2 1 noname
1 - 1 riyan

o2 1 winda

1 inf,inj,ekg 1 noname

1 inf,inj,ekg,o2 1 wita

1 partus,inj 1 eva

1 septi
1 inf,inj,st
1
1 inf,inj,o2,ctr,ekg faiosal
inf,inj,o2,ekg 1 winda

1 vp,inj 1 nova

1 inf,inj,ekg 1 nova

1 inf,inj,st 1 winda

1 inf,inj 1 wita

1 inf,inj,ekg 1 noname

1 inf,ekg 1 noname

1 inf,inj,inf pump 1 wita

1 vt 1 eva

1 inf,inj 1 noname
wts 1 noname
1 inf, inj, o2, accu chek, amblnce 1 selvi
1 inf, iekg, inj, odc 1 aida
1 inf, inj, ekg, o2, odc,gds 1 fery
1 odc, o2, ekg, inf, inj, st, neb 1 farhat
1 CTG, INSPEKULO, INF, INJ, O2,OD 1 BD

1 INF, INJ, ODC, O2, st 1 selvi

 1 nebu, o2, odc 1 aida
odc, anl, wts, eksporas 1 farhat
1 nebu, inf, inj, odc 1 jul
1 inf, inj, odc, ekg 1 selvi
perawatan luka bakar, 1 jul
dc 1 rfarhat
1 inf, inj, ekg, o2. odc, amblnce 1 roland
1 inf, fc, odc 1 melly
1 ekg, inf, inj, odc 1 rezza
1 inf, inj 1
1 inf, inj, ekg, odc 1 melly
eksplorasi luka kecil, 1 lisna
1 anl, hctg, wtb, inf, inj, st, amblnce 1 oktryan

wtb 1 oktyan
1 inf, inj, odc 1 rezza
1 inf, inj, o2, ekg 1 roland
EKG 1
EKG 1
EKG 1
EKG 1
anl, wts, hctg 1 rezza
1 nebu,o2 1 roland

1 inf,inj,o2,sp,st 1 lizna

1 vp,inj,ekg 1 oktryan
1 vt,inf 1 noname

- 1 oktryan

ctr 1 oktryan

1 wita
1 inf,inj,st,ekg

ctr 1 faisal
1 o2 1 faisal

1 o2, nebu, inf, odc 1 harry

1 vt,ctg,usg 1 ruri,sulis

1 inf,inj,o2 1 wita
 inf, inj, ekg, odc, o2 1 iqbal
inf,inj,wt 1 faisal

- 1 faisal

1 inf,inj,ekg 1 iqbal
1 inf,inj,o2ekg 1 faisal
1 o2,ekg 1 wita
1 inf,inj 1 wita

1 - 1 faisal

1 inf, inj, ctr, ngt, syringrpump, amb 1 rosi

1 inf,inj,o2 1 iqbal
1 inf, inj, odc 1 fery

1 inf, inj, ekg 1 harry

1 inf, inj, ekg, nebu, o2, odc 1 harry
1 ekg, o2, gds, inf, inj, 1 ryan
1 - 1 ryan

1 inf, inj 1 melly

1 INF, inj, ekg, odc 1 selvi
1 o2, inj, rjp, monitor, ekg, ngt 1 farhat
EKG 1
EKG
EKG WITA
1 ctr 1 farhat
1 o2, odc, nebu, ekg 1 farhat

1 1 bd
1 - 1 rezza
1 - 1 farhat
1 nebu, odc, o2 1 nova
1 inf, inj, ekg, odcst 1 ryan
1 ekg 1 wita
1 inf, inj, odc, ngt, dc, rjp, ekg 1 liqa

1 INSPEKULO, ODC
1 inf, ekg, gds
1 inf, inj, odc, o2
1 inf, inj, odc, ekg, acc
1 inf, inj, odc
1 BD
1 ryan
1 winda
1 winda
1 ryan
 1 inf, inj, odc 1

1 inf, inj, o2, nebu, infpump, 1 harry

1 inf, inj, odc 1 liqa

1 - 1 liqa
1 inf,inj, ekg, odc 1 winda
1 odc, nebu, o2 1 liqa
1 o2, nebu, ekg, odc 1 iqbal
1 - 1 aida
1 - 1 rosi
1 inf, inj 1 faisal
1 inf, inj, inf pump, odc, nebu 1 septi
1 inf, inj, odc 1 rosi
1 inf, inj, odc 1 rosi

1 inf, inj, amblnce, odc 1 harry

1 - 1 aida
1 ODC 1 BD
1 inf, inj, odc, o2 1 septi
1 inf, inj, odc 1 rosi
o2, wts, odc 1 aida

1 inf, inj, o2, odc 1 selvi

1 inf, inj, ekg, odc 1 selvi

1 ODC 1 BD
1 inf, inj, ekg, odc 1 jul
1 nebu , odc 1 nova
1 inf, inj, ekg, odc 1 selvi
wts 1 ferry
wts 1 ferry
1 - 1 nova
EKG 1
EKG 1
EKG 1
1 inf,inj,ekg,nebu,o2,st 1 noname
1 nebulasi 1 noname
1 vp,inj,ekg,o2,monitor,ambulance,nebu,ctr 1 fery
ctr 1 juliansyah
ekg,ctr 1 reza
 1 - 1 ;iqa

1 ekg 1 melly

reza
1 inf,inj 1
INF,INJ 1 noname
o2,gds 1 winda

1 inf,inj,o2,ekg 1
1 vp,inj,ekg 1 noname
wts 1 reza
1 vp,inj,ekg 1 roland
1 inf,inj 1 melly
1 inf,inj,ekg,o2,ctr,nebu 1 melly
1 vp.inj,ekg 1 winda
1 inf,inj,ekg 1 liqa
1 inf,inj 1 reza

1 inf,inj 1 riyan
1 inf,inj 1 iqbal
inf,inj,st 1 rosi
1 - 1 hary

1 - 1 riyan
1 - 1 rosi
1 - 1 roai
1 inj,o2,ekg,rjp 1 hari
1 o2,ekg 1 riyan
hctg,wts,anl 1 faisal
1 inf,inj,ekg,o2 1 juliansyah
1 - 1 faisal
1 inf,inj 1 rosi
1 inf,inj 1 iqbal

1 nebu 1 noname
1 - 1 rosi
1 nebu,o2 1 riyan
1 ekg,gds stick 1 m.iqbal
inf,inj 1 riyan
1 nebu 1 riyan

1 - 1 noname
1 - 1 rosi
1 wts 1 iqbal
wts 1 faisal
1 vp.inj
1 inf,inj,ekg
1 nebu,o2
1 vp,inj
1 INF,INJ,O2,EKG,CTR
1 vp,inj,ekg
1 inf,inj,spalk,st
- 1
1 -
1 nebu
1 inf,o2,inj,ngt,ctr,st
1 inf,inj,ekg
1 inf,inj
1 INF, INJ, ODC
1 INF, INJ, ODC
1 noname
1 septi
1 noname
1 faisal
1 ferry
1 fery
1 noname 1
fery
1 noname
1 juliansyah
1 faisal 1
1 wita
1 noname
1 JUL
1 SEPTI 1

1 - 1 SEPTI
WT, HCTG, ANL 1 FERRY 1
1 - 1
1 INF, INJ, EKG, ODC 1
1 INF, INJ, EKG, ODC 1 FAISAL 1
1 - 1 1
1 EKG, INF, ODC 1 OKTRYAN
1 - 1 SELVI
1 - 1 REZZA
1 INF, INJ, EKG, ODC 1 SELVI
1 inf, nebu, inj, o2 1
1 - 1 SELVI

1 ODC, EKG, INF, INJ, ST, AMBLNCE, 1 FARHAT

1 NEBU, INF, INJ, ST, ODC 1
1 CTR 1 SELVI
1 INF, INJ, EKG, ODC 1
1 inj, ekg, odc FARHAT
1 CTR 1 FARHAT
1 EKG 1 SELVI
1 INF, INJ, ODC 1 LIQA
1 INF, INJ, ST, SRINGEPUMP, 1 WITA
1 - 1 RYAN
1 GV, ODC 1 BD
1 INF, INJ, EKG, ODC 1 LIQA
1 INF, INJ, ODC, EKG, O2 1 LIQA
1 INF, INJ, EKG, ODC, ST 1 RYAN
1 INF, INJ, ODC 1 LIQA
ST, INJ 1 ROLAND
1 INF, INJ, EKG, ODC 1 IQBAL
1 INF, INJ, NEBU, ODC, EKG, O2, A 1 LIQA
1 INF, INJ, ODC 1 ROLAND

1 INF, INJ 1 SEPTI

1 INF, INJ, ODC 1 WITA

WT, INJ 1 HARRY
1 INF, INJ, EKG, O2, OD 1 ROSI

1 INF, INJ, INFPUMP 1 HARRY

1 WTS 1
1 ekg 1 oktryan
1 INF, INJ, EKG, ODC 1 FAISAL
1 ODC 1 BD
1 CTR, ODC 1 FAISAL
1 NEBU 1

1 O2 1 WITA
1 EKG, GDS, ODC 1 HARRY
1 INF, INJ, O2, EKG, OD 1 SELVI
1 - 1 FARHAT
1 nebu, o2, odc 1
1 ODC 1 NOVA
1 INF, INJ, EKG, ODC, ST 1 SELVI

WTB 1 NOVA
WTS, HCTG, ANL 1
1 - 1 FARHAT
1 INF, CTR, ODC, EKG 1 BD
IRIGASI MATA, WTS 1 FARHAT
1 INF, INJ, ST, AMBLNCE 1 REZZA

1 NEBU 1 FARHAT

1 NEBU 1 FARHAT

1 1 bd
 1 - 1 OKTRYAN
1 INJ, ODC,INF 1 LIZNA
1 INF, INJ, ODC 1
1 INF, EKG, CTR, INJ, GDS, O2, AMB 1 ROLAND
1 INF, INJ, ODC, INFPUMP, AMBLNC 1 LIQA
1 INF, INJ, ODC, EKG 1 LIQA
1 INF, INJ, EKG, ODC, O2, ST 1 SEPTI
1 INF, INJ, EKG, ODC 1 LIQA
1 - 1
1 - 1 RYAN

1 ODC 1 MELLY

1 INF, INJ, EKG, ODC 1 WITA

1 INF, INJ, ODC, EKG 1 LIZNA
1 INF, INJ, ODC 1 SELVI

1 INF, INJ 1 HARRY

1 - 1 HARRY
1 1 bd
1 INF, INJ, ODC 1 SELVI

1 INF, INJ, ST, PUMP 1 IQBAL

1 inf, inj, odc 1
1 INF, INJ, EKG, O2, SRINGEP 1 SELVI
1 anl,wts,hctg 1 wita
1 nebu,o2,ekg 1 reza
1 inf,inj,o2,ekg,monitot 1 wita
- 1 wita

1 o2,radiologi 1 oktryan

1 inf,inj,o2,ekg 1 faisal

1 ekg,o2 1 reza
1 ekg,o2,inf 1 oktryan
1 inf,inj,st 1 roland
1 - 1 faisal
wts 1 oktryan
1 inf,o2,inj,ekg,ctr 1 oktryan
1 INF, INJ, EKG, O2, ODC, DC 1 REZZA

1 inf,inj 1 melly
 1 - 1 farhat
1 - 1 melly
1 - 1 faisal
1 - 1 liqa
1 1 bd
1 inf, inj, odc 1 faisal
1 inf, inj,odc 1 melly
1 INJ, EKG, ODC, ST 1 LISNA
1 inf, inj, eekg, odc 1 faisal
1 INF, INJ, EKG, ODC, ST 1 ROLAND
1 INF, INJ, ODC, EKG 1
1 INF, INJ, ODC, ST, EKG 1 FAISAL
1 nebu, odc 1 lisna

1 INF,INFPUMP, ODC, INJ, GD 1 MELLY

1 1 bd
1 inf, inj, ekg, odc 1 aida
1 INF, INJ, ST, EKG, ODC 1 WINDA
1 ekg, odc 1 liqa
1 inf, inj, odc 1 irma
1 ekg 1 irma
1 INFL INJ, ODC, O2 1 WINDA
1 ctr, odc 1 liqa

1 INF, INJ, EKG, ODC 1 AIDA

1 inf, inj, odc, o2
1 INF, INJ, ST, ODC
EKG
1 inf,inj
1 inf,inj,o2,nebu
1 INF,INJ,O2,EKG
1 o2,nebu
1 nebu
1 vp,inj,o2,ekg
1 inf,inj,gds
1 liqa
1 WINDA
1 WITA
1 iqbal
1 liqa
1 LIQA
1 liqa
1 noname
1 oktryan
1 lizna

1 inf,inj,o2,sp,inf pump,st,ctr,ngt,a 1 fery

1 inf,inj,ekg,o2 1 okrtyan
1 inf,inj 1 septi
1 inf,inj 1 nova
1 gv 1 noname

1 nebu 1 melly
 1 inf, inj, st, odc, o2 1 mnova

1 inf,inj,o2,ekg.amblc 1 melly
1 INF, EKG, ODC 1 MELLY
1 inf, inj, ekg, o2, odc, st 1 septi
1 odc. Inj. Inf 1 farhat
1 nebu 1 selvi 1
1 ekg 1 selvi 1

1 ekg, inf, inj, o2,odc 1 1

wts 1
1 inf, inj, ekg 1 selvi 1
1 ctr 1 farhat 1
1 inf, inj, ekg, odc 1 selvi

1 inf, inj, odc 1 selvi 1

1 inj, odc, ekg 1

1 inf, inj, ekg, odc, o2 1 faisal

1 nebu 1 farhat 1
1 amblnce, vt, inf, ctr, o2, odc 1 bd
anl, hctg, wtb, st, inj 1 farhat 1

1 inf, inj, ekg, odc 1 faisal 1

1 ekg, inf, inj, odc 1 1
1 inf, ekg, inj, st 1 ryan 1
1 nebu, o2, odc, inj, inf, ekg 1 liqa
1 - 1 liqa

1 inf, inj, ekg, odc 1 ryan

1 - 1 ryan
1 rjp, ekg 1 1 liqa
EKG 1 SEPTI
EKG 1 SEPTI
EKG 1 SEPTI
 dr. dr.
dr. dr. dr. dr. dr. dr. dr. dr. dr.
dr. ika indah Indah
novita aisyah chalid Alfian josepb mizwar ratih kartika romadhon
p W
1
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 dr
rincian umum rincian bpjs
specialis

Rp 138,000
Rp 77,000

Rp 138,000

Rp 67,000
Rp 502,000
Rp 94,500
Rp 159,000

Rp 127,000
Rp 67,000
Rp 320,500
Rp 367,500
Rp 185,000
Rp 236,000
Rp 190,500
Rp 180,500
Rp 311,000
Rp 109,000

Rp 57,000

-
Rp 114,000

Rp 57,000
Rp 57,000
Rp 67,000
Rp 70,000
Rp 143,500

Rp 72,500
Rp 78,500
Rp 247,000
Rp 186,000
15
Rp 342,500

15 Rp 380,000
 Rp 191,000
Rp 260,000
Rp 506,000
Rp 67,000
Rp 316,500
Rp 254,500
Rp 228,500

Rp 182,000
Rp 153,500
Rp 57,000
Rp 178,000
Rp 157,000
Rp 175,000
Rp 67,000
6 -
Rp 203,500
Rp 144,500
Rp 310,000

Rp 142,500
Rp 67,000

Rp 213,500

Rp 57,000
Rp 143,500

Rp 57,000
Rp 57,000
Rp 57,000
Rp 270,000
Rp 190,000
Rp 262,000
Rp 191,500
Rp 89,000
Rp 205,500
-
Rp 240,500
Rp 223,000
Rp 142,500
Rp 196,000
Rp 67,000
 Rp 125,000

Rp 57,000
Rp 143,500

Rp 244,000
Rp 37,000
138000
200500

109500
84500

148000
283000

186000

180500

57000

138000
67000

84500

169000
67000
87000

158000

67000
84000
262500

185000
149000
 210500
-
358500
222500
196000

57000
94000
247000
185000
77000
132000
202500
180500

5 219000
132000
Rp 148,000
Rp 175,000
Rp 172,500
Rp 67,000

Rp 191,000
Rp 37,000
Rp 37,000
Rp 37,000
Rp 67,000
6 -
Rp 180,000
Rp 163,000
Rp 162,500

Rp 57,000

Rp 128,000

Rp 148,000

Rp 367,000

Rp 301,000
Rp 206,500
Rp 265,000
Rp 143,500
Rp 180,500
Rp 245,000
Rp 265,000

Rp 67,000
Rp 169,500
Rp 163,500

Rp 169,500
Rp 180,500

Rp 320,000
Rp 283,000

Rp 202,000

Rp 67,000
Rp 287,000

Rp 183,500
Rp 57,000
Rp 67,000
Rp 216,500
Rp 149,000
Rp 193,000

Rp 257,000
Rp 138,000
Rp 67,000
Rp 223,500

Rp 173,500

Rp 171,000
Rp 104,000
Rp 149,000

Rp 175,000
 Rp 184,000

Rp 57,000
Rp 181,500
Rp 153,500
Rp 112,000
Rp 37,000
Rp 37,000
Rp 37,000
Rp 37,000

Rp 148,000
Rp 335,000
Rp 257,000

Rp 67,000

Rp 236,000

Rp 182,000

Rp 339,000

5 Rp 295,500

Rp 184,500

Rp 138,000

Rp 152,500
Rp 67,000

Rp 168,000

Rp 179,000

6 -

Rp 57,000

Rp 283,000

Rp 259,500

Rp 301,500
 Rp 137,000

Rp 149,000

Rp 72,500

Rp 70,000
Rp 173,000
Rp 270,500

6 -
Rp 171,500
Rp 138,000
Rp 84,500
Rp 112,000
Rp 90,000 Rp 132,500

6 -
Rp 266,000

Rp 77,000

Rp 67,000
Rp 173,000
Rp 67,000
Rp 138,000
Rp 175,000
5 Rp 216,500

2 Rp 448,500
Rp 175,000
Rp 148,000

Rp 127,000
Rp 138,000
Rp 112,000
Rp 166,500
 Rp 215,500

Rp 57,000

Rp 67,000
Rp 159,000

Rp 210,500

Rp 175,000
Rp 62,500
Rp 195,000

Rp 220,000

Rp 268,000

Rp 57,000

1 Rp 369,500
Rp 206,500

Rp 169,500
3 Rp 288,000

Rp 38,500

Rp 233,500

Rp 204,500

6 -

Rp 162,500
13 Rp 281,500

Rp 132,000
Rp 175,000
5 Rp 376,500
Rp 180,500
Rp 138,000
Rp 184,500

Rp 283,000
3 Rp 321,000
Rp 149,000

5 Rp 238,000
3 Rp 218,000
Rp 138,000
Rp 138,000

Rp 127,500
Rp 57,000
-
Rp 57,000
Rp 222,500
Rp 190,000

3 Rp 208,000
Rp 166,500
Rp 37,000
Rp 37,000
Rp 128,000

Rp 67,000
6 -

6 -

Rp 84,500
Rp 164,000

Rp 138,000
Rp 67,000
Rp 57,000

Rp 94,000

Rp 57,000

Rp 200,500

Rp 210,500

Rp 763,500

Rp 180,500

Rp 175,000

Rp 139,000

Rp 175,000
Rp 184,500

Rp 132,500

Rp 153,500

Rp 367,500
Rp 417,000

Rp 180,500
Rp 195,000
Rp 196,000

Rp 148,000
 Rp 57,000

-
Rp 57,000

Rp 138,000

Rp 57,000
Rp 190,500

5 Rp 302,500
Rp 280,000

Rp 138,000
Rp 143,500
Rp 37,000
Rp 37,000
Rp 37,000

Rp 175,000
Rp 185,000

Rp 57,000
Rp 122,500
Rp 196,500

5 Rp 272,000

Rp 67,000

Rp 57,000

Rp 84,500

Rp 405,000

Rp 57,000
 Rp 31,000

Rp 138,000

Rp 80,000

Rp 145,000

Rp 77,000

Rp 67,000

Rp 237,000

Rp 153,500

Rp 186,000

Rp 180,500

Rp 138,000

Rp 67,000
Rp 67,000
-

Rp 250,000
Rp 127,000
Rp 65,000

Rp 283,000

Rp 138,000
Rp 144,500

7 -
Rp 138,000
Rp 127,000
Rp 265,000
Rp 261,500
Rp 163,500
 Rp 80,000
Rp 193,000

Rp 57,000
Rp 149,000
Rp 327,000

Rp 57,000

Rp 67,000
Rp 185,000
Rp 148,000
Rp 143,500
13.16 Rp 914,000
Rp 235,500
Rp 112,000
Rp 57,000
Rp 328,500
Rp 209,000
Rp 284,000
Rp 254,500
Rp 895,000
-
Rp 180,500
Rp 142,500
Rp 148,000

Rp 57,000
Rp 162,000
Rp 57,000
Rp 172,500
Rp 57,000
Rp 227,000
Rp 67,000
Rp 252,500

Rp 67,000
Rp 77,000
Rp 132,500

Rp 558,500

Rp 311,000
 Rp 223,000

Rp 351,000
Rp 341,000

Rp 325,000
Rp 166,500

Rp 80,000
Rp 80,000

Rp 80,000

Rp 75,000
Rp 183,000
6 -
Rp 67,000
Rp 138,000
7 -
Rp 138,000

6 -
Rp 196,000

Rp 57,000
Rp 133,000
Rp 159,000
Rp 361,000
Rp 142,500

2 Rp 213,500

6 -
Rp 67,000

Rp 277,000
Rp 143,500

Rp 365,000
 Rp 159,500
Rp 442,000

Rp 217,500
Rp 149,000

Rp 142,500
Rp 138,000
Rp 298,000
Rp 143,500
Rp 57,000

Rp 180,500

Rp 175,000
Rp 138,000
Rp 225,000

Rp 143,500
Rp 152,500

Rp 142,500
Rp 128,000

6 -

2 Rp 259,000
5 Rp 366,000

Rp 57,000

Rp 185,000
Rp 67,000

Rp 70,000

Rp 113,500

Rp 162,000

Rp 190,500
 Rp 227,000
Rp 214,000
Rp 80,000

Rp 67,000
Rp 67,000
Rp 148,000
Rp 187,000
Rp 97,500
Rp 199,500
Rp 185,000
Rp 86,000

6 -
Rp 220,000

Rp 180,500
Rp 138,000
Rp 185,000
Rp 143,500
Rp 143,500
Rp 293,000
5 Rp 212,500
Rp 138,000
Rp 143,500
Rp 317,000

12 Rp 217,000
Rp 222,500

Rp 161,000

Rp 67,000

Rp 189,000

Rp 67,000
Rp 67,000
Rp 127,000
Rp 37,000
Rp 37,000
Rp 57,000
Rp 283,000
Rp 57,000

Rp 121,000

Rp 196,000
Rp 283,000

Rp 158,000

Rp 305,000
Rp 308,000

Rp 143,500

Rp 114,000

Rp 124,500

Rp 148,000

Rp 169,500

Rp 127,000

Rp 162,500

-
Rp 138,000
Rp 80,000
Rp 107,500
Rp 185,000
Rp 326,000
Rp 250,840
-

Rp 177,020
 Rp 163,000
Rp 281,500
Rp 162,500
Rp 180,500
Rp 210,000
Rp 94,500
Rp 90,000 Rp 257,000
Rp 164,500
Rp 184,000
Rp 148,000
Rp 180,520
Rp 186,000
Rp 316,500

Rp 89,000
Rp 153,500
Rp 319,000
Rp 37,000
Rp 37,000
Rp 37,000
Rp 37,000
Rp 171,000
Rp 131,140

Rp 188,000
Rp 175,000
7 -

Rp 57,000

Rp 154,500

Rp 200,500

Rp 144,500

Rp 192,980

Rp 179,126

6 -

Rp 179,400
 Rp 216,700
Rp 181,000

Rp 67,000

Rp 175,000
Rp 225,300
Rp 178,840
Rp 143,500

Rp 67,000

5 Rp 197,500
Rp 170,040
Rp 148,000

Rp 120,500
Rp 215,340
Rp 206,420
Rp 57,000

Rp 78,000
Rp 180,500
Rp 254,500
Rp 37,000
Rp 37,000
Rp 37,000
Rp 94,500
Rp 207,120

-
Rp 57,000
Rp 67,000
Rp 130,000
Rp 216,000
Rp 104,000
13.16 Rp 427,400

-
Rp 123,000
Rp 193,180
Rp 226,500
Rp 143,500
 Rp 138,000

Rp 189,060

Rp 143,500
4 Rp 127,000
Rp 175,000
Rp 161,800
Rp 180,560
Rp 57,000
Rp 57,000
Rp 93,500
Rp 172,500
Rp 138,000
3 Rp 208,000

Rp 275,000
Rp 57,000
-
Rp 150,420
Rp 138,000
Rp 114,200

Rp 172,840

Rp 180,500
-
Rp 187,420
Rp 127,000
Rp 180,500
Rp 80,000
Rp 80,000
Rp 67,000
Rp 37,000
Rp 37,000
Rp 37,000
Rp 256,340
Rp 67,000
Rp 496,800
Rp 144,500
Rp 181,500
 Rp 67,000
Rp 154,000

Rp 138,000
Rp 138,000

Rp 132,500

Rp 175,000
Rp 70,000
Rp 153,500
Rp 143,500
Rp 245,620
Rp 179,500
Rp 180,500
Rp 148,000

Rp 132,500
Rp 148,000
Rp 228,000
Rp 57,000

Rp 57,000
Rp 57,000
Rp 57,000
Rp 90,000 Rp 150,000
Rp 166,420
Rp 193,000
Rp 188,800
Rp 117,000
Rp 153,500
Rp 148,000

Rp 67,000
Rp 67,000
Rp 149,400
Rp 113,000
Rp 143,500
Rp 67,000

Rp 57,000
Rp 67,000
Rp 80,000
Rp 80,000
 Rp 138,000
13 Rp 251,500
Rp 149,420
Rp 153,500
Rp 266,300
Rp 190,500
Rp 248,500
Rp 67,000
Rp 57,000
Rp 137,000
Rp 262,660
Rp 169,500
Rp 138,000
Rp 138,000
Rp 148,000

Rp 67,000
Rp 207,000
Rp 57,000
Rp 175,000
Rp 240,500
Rp 57,000
Rp 164,000
Rp 57,000
Rp 57,000
Rp 180,500
Rp 158,000
Rp 67,000

Rp 248,120
Rp 184,500
Rp 84,500
Rp 169,500
Rp 225,000
Rp 94,500
Rp 94,000
Rp 143,500
15 Rp 248,000
Rp 67,000
6 -
Rp 180,500
Rp 242,340
Rp 206,000
Rp 138,000
Rp 92,500
 Rp 175,000
Rp 90,000 Rp 330,180
Rp 138,000

15 Rp 148,000

Rp 143,500
Rp 79,000
Rp 240,180

15 Rp 113,500
Rp 170,000
Rp 37,000
Rp 190,500
-
Rp 144,500
Rp 77,000

15 Rp 128,380
Rp 173,000
Rp 221,000
Rp 67,000
Rp 135,280
Rp 117,000
Rp 200,500

Rp 80,000
Rp 193,000
Rp 67,000
7 -
Rp 145,000
Rp 203,500

Rp 77,000

Rp 77,000

-
 Rp 67,000
Rp 84,000
Rp 149,000
Rp 313,580
Rp 258,000
Rp 175,000
Rp 267,840
Rp 175,000
5 Rp 127,000
Rp 57,000

Rp 117,000

Rp 185,000
Rp 180,500
14 Rp 198,000

Rp 88,000
Rp 67,000
-
Rp 153,500

15 Rp 143,500
Rp 143,500
1 Rp 290,580
Rp 200,000
Rp 207,120
2 Rp 283,200
Rp 67,000

Rp 121,000
Rp 191,500

Rp 178,840
Rp 228,000
Rp 113,500
Rp 57,000
Rp 89,000
Rp 234,900
Rp 379,000

Rp 132,500
 Rp 67,000
Rp 67,000
Rp 67,000
Rp 57,000
-
Rp 138,000
Rp 138,000
3 Rp 255,000
Rp 180,500
Rp 206,000
Rp 180,500
Rp 218,780
Rp 147,000

5 Rp 281,500
-
Rp 175,000
3 Rp 210,500
Rp 164,000
Rp 138,000
Rp 94,000
Rp 165,560
Rp 154,500

Rp 180,500
Rp 172,840
3 Rp 223,500
Rp 37,000
Rp 142,500
Rp 182,840
Rp 208,120
Rp 161,840
Rp 67,000
Rp 187,420
Rp 157,000

Rp 445,400
Rp 90,000 Rp 223,060
Rp 148,000
Rp 143,500
-

Rp 137,000
12 Rp 198,000

Rp 290,200
Rp 164,000
Rp 211,540
Rp 159,000
Rp 57,000
Rp 104,000

Rp 203,000

Rp 70,000
Rp 162,000
Rp 94,500
Rp 180,500

12 Rp 213,500

Rp 169,500

Rp 234,060

Rp 57,000
-
Rp 271,500

Rp 196,000
Rp 175,000
11 Rp 206,000
Rp 229,840
Rp 67,000

Rp 185,000
Rp 67,000
Rp 144,000
Rp 37,000
Rp 37,000
Rp 37,000
 JAM Asal pelayanan
No Tanggal No MR KEDATANGA Nama Umur
N RJ IGD

10 April 2017 067267 22,33 HALIMAH 63TH 1

13 April 2017 067458 11.45 MUHAMMAD ZAIDUN 57TH 1

4/15/2017 067508 19,07 BURHAN 65TH 1

4/15/2017 014624 22.03 hadiah tena 55 thn 1

4/16/2017 067531 18,30 SUUD BALADRAF 52TH 1

Jenis Kelamin Jenis Kunjungan Cara Bayar Cara Datang

P L Baru Lama Umum BPJS No. SEP Sendiri Puskes

SEMENTARA UMUM,
DATA DI JAMKESMAS
1 1 BERBEDA DI KK DAN
KTP

1 1 1 R INAP

1 1 1 r inap (06)
1 1 1 r inap (42)
R INAP 47/ BPJS
1 1 KETINGGALAN
Cara Datang Kasus TIDAK Jenis Pelayanan
Diagnosa Non Kebidana Psikiatrik
RS Faskes Baru Lama Bedah Anak
Bedah n

1 1
 Tindak Lanjut Keadaan
Terapy Tindakan Perawat
Pulang Dirawat Dirujuk Drjk Kmbli Mati di IGD DOA dr. Adwin

INF, INJ, EKG, ODC 1 RYAN

 dr. indah dr. Indah dr.
dr. novita dr. aisyah dr. chalid dr. ika dr. Alfian dr. josepb dr. ratih
p W mizwar

1
 dr
dr. dr. rincian umum rincian bpjs
specialis
kartika romadhon

Rp 161,000