RS ASRI MEDIKA DOCUMENT CONTROL NO :

JL Citanduy Raya Blok L11 NO 1 Simpangan Cikarang Utara, 17530

(021) 89142 968 - (021) 89142 969 No. Revisi : 00

NPWP :- LAPORAN PASIEN PULANG

Hal : 1
Dari Tgl 01-09-2019 S/D 30-09-2019
No Noreg Rek. MediNama PasiRuang Tgl Masuktgl PulanKeterangaKeadaan Keluar
1 RI2018C13671 00050208 AULIA PUTRI204 29-08-2019 01-09-2019 BPJS KESEHA0 3
2 RI2018C13696 00050213 RIZKI MAULA204 29-08-2019 01-09-2019 BPJS KESEHA0 3
3 RI2018C13747 00050225 REZA PRATAM210 31-08-2019 02-09-2019 BPJS KESEHA0 2
4 RI2018C13811 00050243 MADI BIN UM205 01-09-2019 02-09-2019 BPJS KESEHA0 1
5 RI2018C13766 00050231 ENDAN BIN M205 31-08-2019 03-09-2019 BPJS KESEHA0 3
6 RI2018C13793 00050235 KINA,Ny 201 31-08-2019 03-09-2019 BPJS KESEHA0 3
7 RI2018C13817 00050217 AAN ANSORI,207 02-09-2019 03-09-2019 BPJS KESEHA0 1
8 RI2018C13818 00045274 EVI SAPUTRI,206 02-09-2019 03-09-2019 BPJS KESEHA0 1
9 RI2018C13847 00050251 RIBUT RIYAN205 02-09-2019 03-09-2019 0 1
10 RI2018C13872 00050253 201
DEWI PURWAT 02-09-2019 03-09-2019 0 1
11 RI2018C13893 00050258 RIDWAN,Tn 205 02-09-2019 03-09-2019 0 1
12 RI2018C13824 00050245 SAKILAH MEI209 02-09-2019 04-09-2019 0 1
13 RI2018C13829 00050246 SANA,Tn 205 02-09-2019 04-09-2019 BPJS KESEHA0 2
14 RI2018C13846 00032129 DEVI ANJANI,203 02-09-2019 04-09-2019 BPJS KESEHA0 2
15 RI2018C13892 00050257 MUHAMAD RI204 02-09-2019 04-09-2019 0 2
16 RI2018C13898 00050262 NARTI,Ny 201 03-09-2019 04-09-2019 BPJS KESEHA0 1
17 RI2018C13909 00047498 NAIM SUGIAN207 03-09-2019 04-09-2019 BPJS KESEHA0 1
18 RI2018C13911 00050263 TYAH RATIAH201 03-09-2019 04-09-2019 BPJS KESEHA0 1
19 RI2018C13873 00050254 ASNE,Ny 201 02-09-2019 05-09-2019 BPJS KESEHA0 3
20 RI2018C13891 00050256 MIKHAYLA D203 02-09-2019 05-09-2019 BPJS KESEHA0 3
21 RI2018C13895 00050261 201
INTAN LESTAR 02-09-2019 05-09-2019 0 3
22 RI2018C13912 00050249 INTAN LESTA201 03-09-2019 05-09-2019 0 2
23 RI2018C13916 00050266 UJANG,Tn 205 03-09-2019 05-09-2019 BPJS KESEHA0 2
24 RI2018C13936 00050269 BAMBANG BA207 03-09-2019 05-09-2019 BPJS KESEHA0 2
25 RI2018C13946 00050270 NENENG LATI201 03-09-2019 05-09-2019 0 2
26 RI2018C13917 00042871 209
HAYDAR HAFI 03-09-2019 06-09-2019 AD MEDIKA- 0 3
27 RI2018C13935 00050267 JUHARI,Tn 206 03-09-2019 06-09-2019 BPJS KESEHA0 3
28 RI2018C13949 00050274 SYIFA AULIA 204 03-09-2019 06-09-2019 0 3

29 RI2018C13953 00050276 210

WULAN HIDAY 04-09-2019 06-09-2019 BPJS KESEHA0 2
30 RI2018C13959 00049848 WULAN HIDA210 04-09-2019 06-09-2019 BPJS KESEHA0 2
31 RI2018C14033 00050290 204
ANGGELO DIA 06-09-2019 06-09-2019 0 1
32 RI2018C13976 00036952 NAJMA FAJRI209 04-09-2019 07-09-2019 BPJS KESEHA0 3
33 RI2018C14019 00050286 M KHOERUN 204 05-09-2019 07-09-2019 BPJS KESEHA0 2
34 RI2018C14056 00050294 DEBLENG,Tn 205 06-09-2019 08-09-2019 BPJS KESEHA0 2
35 RI2018C14020 00050284 206
ATO SUSANTO 05-09-2019 09-09-2019 BPJS KESEHA0 4
36 RI2018C14104 00047502 DANDY,Sdr 207 07-09-2019 09-09-2019 BPJS KESEHA0 2
37 RI2018C14125 00050311 MUAH,Ny 201 08-09-2019 09-09-2019 BPJS KESEHA0 1
38 RI2018C14018 00049200 MUTIARA MA201 05-09-2019 10-09-2019 BPJS KESEHA0 5
39 RI2018C14080 00047003 MAHIRA ELZ 204 07-09-2019 10-09-2019 0 3
40 RI2018C14081 00047191 SARAH AJENG203 07-09-2019 10-09-2019 BPJS KESEHA0 3
41 RI2018C14106 00050303 ROHYANI,Ny 201 08-09-2019 10-09-2019 BPJS KESEHA0 2
42 RI2018C14124 00001655 VIVI TSAMRO209 08-09-2019 10-09-2019 BPJS KESEHA0 2
43 RI2018C14128 00050313 HAFIZHAH AZ207 09-09-2019 10-09-2019 BPJS KESEHA0 1
44 RI2018C14147 00050315 HERMAN END205 09-09-2019 10-09-2019 BPJS KESEHA0 1
45 RI2018C14197 00038002 LINDA KOMA207 09-09-2019 10-09-2019 BPJS KESEHA0 1
46 RI2018C14105 00040986 CARDI TN, 205 07-09-2019 12-09-2019 BPJS KESEHA0 5
47 RI2018C14123 00050302 FATIA MENTA204 08-09-2019 12-09-2019 BPJS KESEHA0 4
48 RI2018C14148 00050316 REDY SETIYA205 09-09-2019 12-09-2019 BPJS KESEHA0 3
49 RI2018C14184 00004219 M.NAJIB GHA204 09-09-2019 12-09-2019 BPJS KESEHA0 3
50 RI2018C14186 00044540 OKTAVIANI W206 10-09-2019 12-09-2019 0 2
51 RI2018C14181 00050323 ANISA TRI B 204 09-09-2019 13-09-2019 BPJS KESEHA0 4
52 RI2018C14232 00050331 INI BT ECI,Ny201 10-09-2019 13-09-2019 BPJS KESEHA0 3
53 RI2018C14234 00047335 ENDAN,Tn 207 11-09-2019 13-09-2019 BPJS KESEHA0 2
54 RI2018C14235 00042090 ENAH, NY, 201 11-09-2019 13-09-2019 BPJS KESEHA0 2
55 RI2018C14266 00050340 SITI KHODIJA201 11-09-2019 13-09-2019 JAMKESDA 0 2
56 RI2018C14267 00050339 ACE NAKA,Tn205 11-09-2019 13-09-2019 BPJS KESEHA0 2

57 RI2018C14268 00047248 ARI MUTAQIN207 12-09-2019 13-09-2019 BPJS KESEHA0 1

58 RI2018C14312 00050352 BAYU SAGAR205 12-09-2019 13-09-2019 BPJS KESEHA0 1
59 RI2018C14346 00050338 SITI KHODIJA210 11-09-2019 13-09-2019 JAMKESDA 0 2
60 RI2018C12546 00049885 UCIN,Tn 205 05-08-2019 14-09-2019 BPJS KESEHA0 3
61 RI2018C14248 00002594 SYAIFULLOH,203 11-09-2019 14-09-2019 BPJS KESEHA0 3
62 RI2018C14257 00039709 WARDI BIN M206 11-09-2019 14-09-2019 BPJS KESEHA0 3
63 RI2018C14307 00050344 SURYA SURA 205 12-09-2019 14-09-2019 BPJS KESEHA0 2
64 RI2018C14308 00042122 ASEP SAEPUL201 12-09-2019 14-09-2019 0 2
65 RI2018C14309 00050346 NURHAYATI B201 12-09-2019 14-09-2019 BPJS KESEHA0 2
66 RI2018C14315 00050354 AKEM BT ROS201 12-09-2019 14-09-2019 BPJS KESEHA0 2
67 RI2018C14333 00050343 205
MOCHAMMAD 13-09-2019 14-09-2019 BPJS KESEHA0 1
68 RI2018C14369 00050369 SITI AISYAH 201 13-09-2019 14-09-2019 0 1
69 RI2018C14373 00050371 SITI RAHMAW209 14-09-2019 14-09-2019 BPJS KESEHA0 1
70 RI2018C14383 00050378 LUSSY FARID201 14-09-2019 14-09-2019 0 1
71 RI2018C14509 00050416 DENI WIRAHA205 16-09-2019 14-09-2019 BPJS KESEHA0 2
72 RI2018C14779 00050483 201
ERIKA LISYAN 23-09-2019 14-09-2019 1. SEMBUH 9
73 RI2018C14182 00050318 RASMAN,Tn 210 09-09-2019 15-09-2019 JAMKESDA 0 6
74 RI2018C14332 00050356 ENDANG TIRT209 13-09-2019 15-09-2019 BPJS KESEHA0 2
75 RI2018C14363 00050366 SAMIH, 201 13-09-2019 15-09-2019 BPJS KESEHA0 2
76 RI2018C14316 00050355 CECEP,Tn 205 13-09-2019 16-09-2019 BPJS KESEHA0 3
77 RI2018C14334 00050358 NABILLA ZAI204 13-09-2019 16-09-2019 BPJS KESEHA0 3
78 RI2018C14335 00050362 KHALISA NAU204 13-09-2019 16-09-2019 JAMKESDA 0 3
79 RI2018C14374 00050376 201
ANGGUN MELA 14-09-2019 16-09-2019 0 2
80 RI2018C14379 00050374 204
M NAUVAL HA 14-09-2019 16-09-2019 BPJS KESEHA0 2
81 RI2018C14385 00050380 LUCCY FARID201 14-09-2019 16-09-2019 0 2
82 RI2018C14398 00050379 LUCY FARIDA201 14-09-2019 16-09-2019 0 2
83 RI2018C14408 00050387 YAYAH,By Ny210 15-09-2019 17-09-2019 BPJS KESEHA0 2
84 RI2018C14414 00050386 YAYAH,Ny 210 15-09-2019 17-09-2019 BPJS KESEHA0 2
85 RI2018C14418 00050390 ARISKA,Ny 201 15-09-2019 17-09-2019 BPJS KESEHA0 2
86 RI2018C14452 00050361 ISAN BIN SAL205 16-09-2019 17-09-2019 BPJS KESEHA0 1
87 RI2018C14460 00050405 LIA KARTIKA,201 16-09-2019 17-09-2019 BPJS KESEHA0 1
88 RI2018C14500 00050403 LIA KARTIKA201 16-09-2019 17-09-2019 BPJS KESEHA0 1
89 RI2018C14503 00050415 LIA KARTIKA,201 16-09-2019 17-09-2019 BPJS KESEHA0 1
90 RI2018C14400 00043424 KAILA ARDIY209 14-09-2019 18-09-2019 BPJS KESEHA0 4
91 RI2018C14447 00050395 IKMAH,Ny 201 16-09-2019 18-09-2019 0 2
92 RI2018C14403 00050080 ERNA,By Ny 204 15-09-2019 19-09-2019 0 4
93 RI2018C14427 00042178 MEINE SUZAN203 16-09-2019 19-09-2019 BPJS KESEHA0 3
94 RI2018C14495 00050407 NURYANTI,Ny209 16-09-2019 19-09-2019 JAMKESDA 0 3
95 RI2018C14496 00050412 UPI SOPIAH,B201 16-09-2019 19-09-2019 BPJS KESEHA0 3
96 RI2018C14508 00050413 ASIH,Ny 210 16-09-2019 19-09-2019 JAMKESDA 0 3
97 RI2018C14513 00050404 UPI SOPIAH,N201 16-09-2019 19-09-2019 BPJS KESEHA0 3
98 RI2018C14532 00002268 203
IMAM SAHUDI 17-09-2019 19-09-2019 BPJS KESEHA0 2
99 RI2018C14596 00050419 MAHMUD,Tn 205 18-09-2019 19-09-2019 BPJS KESEHA0 1
100 RI2018C14421 00050392 IRWAN SYAHR205 15-09-2019 20-09-2019 BPJS KESEHA0 5
101 RI2018C14549 00050423 KARMIN,Tn 205 17-09-2019 20-09-2019 BPJS KESEHA0 3
102 RI2018C14603 00050434 201
LIA NURLIAWA 19-09-2019 20-09-2019 BPJS KESEHA0 1
103 RI2018C14606 00050432 LIA NURLIAW201 19-09-2019 20-09-2019 BPJS KESEHA0 1
104 RI2018C14656 00040996 IDRIS,TN, 205 20-09-2019 20-09-2019 BPJS KESEHA0 1
105 RI2018C14486 00050410 NURYANTI,By214 16-09-2019 21-09-2019 JAMKESDA 0 5
106 RI2018C14627 00030679 203
ENUNG NURAE 19-09-2019 21-09-2019 BPJS KESEHA0 2
107 RI2018C14630 00050439 205
OBING BIN NA 19-09-2019 21-09-2019 BPJS KESEHA0 2
108 RI2018C14652 00050447 MANDRA,Tn 205 19-09-2019 21-09-2019 BPJS KESEHA0 2
109 RI2018C14679 00050458 LILIS SURYAN202 20-09-2019 21-09-2019 BPJS KESEHA0 1
110 RI2018C14694 00050457 LILIS SURYAN201 20-09-2019 21-09-2019 BPJS KESEHA0 1
111 RI2018C14758 00050476 BAKRI,Tn 205 22-09-2019 21-09-2019 BPJS KESEHA0 1
112 RI2018C15212 00050588 SITI ASIAH,N 201 03-10-2019 21-09-2019 BPJS KESEHA0 3

113 RI2018C14612 00050433 MANI BT MAA201 19-09-2019 22-09-2019 BPJS KESEHA0 3

114 RI2018C14709 00050464 KARNATI,Ny 201 21-09-2019 22-09-2019 BPJS KESEHA0 1
115 RI2018C14739 00049645 SUSANTI,Ny 209 22-09-2019 22-09-2019 BPJS KESEHA0 1
116 RI2018C14674 00050452 OBAY SOBARI205 20-09-2019 23-09-2019 BPJS KESEHA0 3
117 RI2018C14691 00036381 AHMAD DAFF204 20-09-2019 23-09-2019 0 3
118 RI2018C14673 00050451 UNCIH BT MA201 20-09-2019 24-09-2019 BPJS KESEHA0 4
119 RI2018C14693 00026792 ARTA. MEGAR209 21-09-2019 24-09-2019 BPJS KESEHA0 3
120 RI2018C14708 00050461 LINAWATI,Ny201 21-09-2019 24-09-2019 BPJS KESEHA0 3
121 RI2018C14715 00010360 WALIMIN,TN,207 20-09-2019 24-09-2019 AA INTERNA 0 4
122 RI2018C14731 00050468 AGNES BT AG204 21-09-2019 24-09-2019 BPJS KESEHA0 3
123 RI2018C14735 00050470 ICEM BT IMIH201 21-09-2019 24-09-2019 BPJS KESEHA0 3
124 RI2018C14753 00050474 ARUNIH AFIF201 22-09-2019 25-09-2019 BPJS KESEHA1. SEMBUH 3
125 RI2018C14766 00050482 MUKHAYATI,B201 23-09-2019 25-09-2019 0 2
126 RI2018C14771 00042385 UNIN,TN, 205 23-09-2019 25-09-2019 BPJS KESEHA1. SEMBUH 2
127 RI2018C14772 00050481 MUKHAYATI, 201 23-09-2019 25-09-2019 BPJS KESEHA1. SEMBUH 2
128 RI2018C14824 00047182 ADI JUNAEDI,206 23-09-2019 25-09-2019 BPJS KESEHA1. SEMBUH 2
129 RI2018C14825 00050486 ALVHON JHU204 23-09-2019 25-09-2019 BPJS KESEHA1. SEMBUH 2
130 RI2018C14833 00050479 NURDIN,Tn 207 24-09-2019 25-09-2019 BPJS KESEHA0 1
131 RI2018C14831 00050491 MUHAMMAD203
R 23-09-2019 26-09-2019 BPJS KESEHA0 3
132 RI2018C14930 00050507 AJAT NURAJA203 25-09-2019 26-09-2019 BPJS KESEHA0 1
133 RI2018C14933 00050503 LUSI AWATI,N201 25-09-2019 26-09-2019 BPJS KESEHA0 1
134 RI2018C14936 00050461 LINAWATI,Ny201 25-09-2019 26-09-2019 BPJS KESEHA0 1
135 RI2018C03105 00047579 213
M.ZYAN ALHA 20-02-2019 27-09-2019 0 3
136 RI2018C03331 00047624 SYIFA,An 205 23-02-2019 27-09-2019 0 3
137 RI2018C03785 00047731 MUHAMMAD205
R 02-03-2019 27-09-2019 0 3
138 RI2018C14899 00050502 SARIPAH,By N201 25-09-2019 27-09-2019 BPJS KESEHA0 2
139 RI2018C14919 00050505 DEWI SARTIK209 25-09-2019 27-09-2019 BPJS KESEHA0 2
140 RI2018C14931 00050508 AMIH,Ny 210 25-09-2019 27-09-2019 JAMKESDA 0 2

141 RI2018C14932 00050272 SARIPAH AWA201 25-09-2019 27-09-2019 BPJS KESEHA0 2

142 RI2018C14934 046021 DEWI SARTIK209 25-09-2019 27-09-2019 BPJS KESEHA0 2
143 RI2018C14942 00044158 SUMINAR NY,201 26-09-2019 27-09-2019 BPJS KESEHA0 1
144 RI2018C14970 00050520 NOFRIYANTI,207 26-09-2019 27-09-2019 BPJS KESEHA0 1
145 RI2018C14940 00050512 206
SISKA WIDIAW 26-09-2019 28-09-2019 BPJS KESEHA0 2
146 RI2018C14941 00050514 206
SISKA WIDIAW 26-09-2019 28-09-2019 BPJS KESEHA0 2
147 RI2018C14952 00050516 201
EVA ROMAULI 26-09-2019 28-09-2019 BPJS KESEHA0 2
148 RI2018C14969 00050519 RACHMAWATI209 26-09-2019 29-09-2019 BPJS KESEHA0 3
149 RI2018C15006 00015522 HERNIAWATI,210 27-09-2019 29-09-2019 BPJS KESEHA0 2
150 RI2018C14979 00050523 NARMI,Ny 210 27-09-2019 30-09-2019 0 3
151 RI2018C15001 00050527 ALYA REPALI 209 27-09-2019 30-09-2019 JAMKESDA 0 3
152 RI2018C15002 00050530 RIJAL,An 204 27-09-2019 30-09-2019 0 3
153 RI2018C15007 00050534 LULU ROPIAH201 28-09-2019 30-09-2019 0 2
154 RI2018C15010 00050533 LULU ROPIAH201 28-09-2019 30-09-2019 BPJS KESEHA0 2
155 RI2018C15027 00050541 ASIH BT ANIM201 28-09-2019 30-09-2019 BPJS KESEHA0 2
Jumlah 352
Rata-Rata 2.27
Tgl cetak : 15-11-2019
HOSPITAL MANAGEMENT SYSTEM (HMS)
CONTROL NO :