No No Ipd No RM Nama Pasien Umur Sex

1 0001623302 17160986 STANLEY PERMANA, TN 60 L

2 0001595122 17160791 AMAT 63 L

3 0001038135 17160989 SACHLAN SALEHAN 67 L

4 0001598165 17160358 ABDUL KARIM, TN 59 L

5 0001088176 17160974 MAMAN ABDURACHMAN 75 L

6 0001266176 17160267 ADI KARNO, TN 64 L

7 0001595280 17161084 ATJA KARSA 74 L

8 0001611980 17160830 ADNAN 62 L

0001601421 BENJAMIN VICTOR PRANATA, 84

9 L

0001461272 SALEH HERMAWAN 72

10 L

0001483540 MUSIRAN 70
11 L

0001514333 ATING 73
12 L

0001312764 SUTARYO, DRS 87

13 L

0000852772 IANTANTO, TN 64

14 L

0001503346 KUSWANA 76
15 L
 0001539617 PANDISEN PAPUTUNGAN,TN 78

16 L

0001614860 M SYACHRONI HIDAYAT 71

17 L

0001580248 HUSEN BAWAFI, TN 68

18 L

0000224334 OTTO SIHOMBING,SM.KH. 86

19 L

0000008248 ATENG MUSTOPA 79

20 L

0000361948 SUTISNA SANUSI SH 83

21 L

0000581741 MOCHAMAD ISMAIL, TN 77

22 L

0001547466 RUKMANA, TN 73
23 L

0001429501 EMAN SUTISNA 66

24 L

0001344970 SUBUR T, TN 59
25 L

0001580252 DUDUNG ABDULAH 70

26 L

0001497747 ENCENG SUDIRMAN, SH 62

27 L

0001428239 AHMAD TUE BEU 75

28 L
 0001715501 18160984 EDI MAHPUDIN 58 L
29

0001690104 18160515 SURYANI 48 L

30

0001709420 18160815 SURYANA 63 L

31

32 0001585724 18161039 RONALD JAMES LONTOH 70 L

33 0001728735 18161083 YUSUP SURYANA, TN 65 L

34 0001021341 18160841 ANJUR SIMANJUNTAK 63 L

35 0000010942 18161095 K. RUSTAMAN U.BA. 81 L

36 0001602447 18161045 EDWAR ALAMSYAH, TN 64 L

0001724149 18161012 RASWAD ,TN 83 L
37

0000309451 18160596 SUKARDI 79 L

38

39 0001688852 18160528 ENDANG SOBANDI, TN 67 L

40 0001432263 18160922 ENCE SUWANTA 72 L

41 0001709166 18160781 IR. HERMAWAN SAEDI 66 L

42 0001672769 18160248 WARYA HARTAYA 77 L

43 0000353581 18160128 UKIB SUTRISNO BSC DRS H 64 L

0001716683 18161018 SANARYO 65 L
44

45 0001354589 18160941 DADANG KADARUSMAN, TN 67 L

 Ruang Kelas Tgl Masuk Tgl Keluar LOS ICD Nm Diagnosa
PV.PARA Malignant
HYANGAN RKUTM-B 23-10-2017 30-10-2017 7 C61 neoplasm of
3 prostate
Malignant
KEMUNIN G
II 28-08-2017 06-09-2017 9 C61 neoplasm of
V(B)
prostate
PV.PARA Malignant
HYANGAN RKUTM-B 24-10-2017 27-10-2017 3 C61 neoplasm of
2 prostate
Malignant
FRESIA 2 III A 11-04-2017 15-04-2017 4 C61 neoplasm of
prostate
Malignant
KEMUNIN G
I 17-10-2017 21-10-2017 4 C61 neoplasm of
IV(A)
prostate
Malignant
KEMUNIN G
II 14-03-2017 23-03-2017 9 C61 neoplasm of
V(B)
prostate
Malignant
KEMUNIN G
I 23-11-2017 30-11-2017 7 C61 neoplasm of
IV(A)
prostate
Malignant
KANA (A) III A 12-09-2017 13-09-2017 1 C61 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate
Malignant
R.J 2017 neoplasm of
prostate
Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate
 Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate
Malignant
R.J 2017 neoplasm of
prostate
Malignant
R.J 2017 neoplasm of
prostate
Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate

Malignant
R.J 2017 neoplasm of
prostate
 KANA (A) III A 07-11-2018 10-11-2018 3 C61 Malignant
neoplasm of
prostate
KEMUNIN G IV I 05-06-2018 12-06-2018 7 C61 Malignant
neoplasm of
prostate
KANA (A) III A 19-09-2018 21-09-2018 2 C61 Malignant
neoplasm of
prostate
KEMUNIN G IV I 28-11-2018 30-11-2018 2 C61 Malignant
neoplasm of
KEMUNIN G V II 13-12-2018 15-12-2018 2 C61 Malignant
prostate
neoplasm of
PV.PARA I 30-09-2018 02-10-2018 2 C61 Malignant
prostate
HYANGAN neoplasm of
KEMUNIN4 G IV I 18-12-2018 23-12-2018 5 C61 Malignant
prostate
neoplasm of
FRESIA 3 I 01-12-2018 31-12-2018 30 C61 Malignant
prostate
neoplasm of
KEMUNIN G IV I 19-11-2018 21-11-2018 2 C61 Malignant
prostate
neoplasm of
prostate
KEMUNIN G V II 09-07-2018 13-07-2018 4 C61 Malignant
neoplasm of
prostate
KANA (A) III A 20-06-2018 23-06-2018 3 C61 Malignant
neoplasm of
PV.PARA I 21-10-2018 23-10-2018 2 C61 Malignant
prostate
HYANGAN neoplasm of
PV.PARA
4 I 11-09-2018 12-09-2018 1 C61 Malignant
prostate
HYANGAN 4 neoplasm of
KEMUNIN G II 19-03-2018 22-03-2018 3 C61 Malignant
prostate
V(B) neoplasm of
KEMUNIN G I 05-02-2018 08-02-2018 3 C61 Malignant
prostate
IV(B) neoplasm of
KANA (B) III A 21-11-2018 23-11-2018 2 C61 Malignant
prostate
neoplasm of
prostate
PV.PARA I 25-10-2018 27-10-2018 2 C61 Malignant
HYANGAN neoplasm of
4 prostate
Disposisi C_Bay Jamin psa psa psa psa

Perbaikan KONTR AKTOR BPJS UMUM 0,01 0,01 0,03 0,03

Perbaikan KONTR AKTOR BPJS TNI 1,95 11,12 177.31

Perbaikan KONTR AKTOR BPJS ASKES 11,96

Perbaikan KONTR AKTOR BPJS PBI 13,16

Perbaikan KONTR AKTOR BPJS ASKES 0,27 2,43 14,95 4,74

Perbaikan KONTR AKTOR BPJS UMUM 40,58

Perbaikan KONTR AKTOR BPJS ASKES 6,37

Perbaikan KONTR AKTOR BPJS PBI 2,37 12,72

21.96 1.63 0.67

2.24 6.9

0.39

0.03 0.03 91

0,78 137.51

0.78

65,52
 20.4 41.4

2.39

4.121

4.02

0.02

16.79 10.42 10.11

2,34 3,47 3.15 2.34

0.08 0.13 0.38

10.91 40.36

104,10 92,31 70,13

1.38 2.01

2.34

9,28
Perbaikan KONTR AKTOR BPJS UMUM 261.63

Perbaikan KONTR AKTOR BPJS ASKES 112.55 317.47

Perbaikan KONTR AKTOR BPJS UMUM 96.45

Perbaikan KONTR AKTOR BPJS UMUM 361.5

Perbaikan KONTR AKTOR BPJS UMUM 53.85 54.95 16.41
Perbaikan KONTR AKTOR BPJS ASKES 18.98
Perbaikan KONTR AKTOR BPJS ASKES 1.96 2.38
Perbaikan KONTR AKTOR BPJS UMUM 837.92
Perbaikan KONTR AKTOR BPJS UMUM 12.75

Perbaikan KONTR AKTOR BPJS TNI 2.43 1.04 0.83 0.52

Perbaikan KONTR AKTOR BPJS PBI 335.21 0,10

Perbaikan KONTR AKTOR BPJS ASKES 84.37
Perbaikan KONTR AKTOR BPJS UMUM 0.49
Perbaikan KONTR AKTOR BPJS ASKES 437.02
Perbaikan KONTR AKTOR BPJS ASKES 26.43
Perbaikan KONTR AKTOR BPJS PBI 85.02

Perbaikan KONTR AKTOR BPJS ASKES 79.98

bmi dm