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Master Ipd 2019
Master Ipd 2019
Master Ipd 2019
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
4 4 4 4 4L 1 1 URETHROPLASTY 56.89
4 4 4 4 4T 1 1 ORIF 79.19
4 4 4 4 4L
6 6 6 6 6L 1 1 DRAINAGE 65.91
3 3 3 3 3L
6 6 6 6 6L 1 1 CORONARY ANGIOGRAPHY36.07+0
S
3 3 3 3 3L
2 2 2 0 2T
1 1 1 1 1T 1 1 ANGIOGRAPY 88.55
9 9 9 9 9L
4 4 4 4 4L
7 7 6 7T 1 1 TONSILECTOMY 28.2
3 3 3 3 3L
2 2 2 2 2L
6 6 6 6 6L
0 0 0 0 0T 1 1 PCI 36.07+0
1 1 1 1 1T 1 1 EKSISI 82.29
3 3 3 3 3L 1 1 URS SD INSERSI STENT 56.31+5
6 6 6 6 6L 1 1 PRIMARY PCI 36.07+0
2 2 2 2 2L
1 1 1 1 1L 1 1 ANGIOGRAPY STAND BY PC36.07+0
2 2 2 2 2L 1 1 REMOVE STENT 57.32
2 2 2 2 2L
3 3 3 3 3L
1 1 1 1 1L 1 1 KUTETER 69.52
5 5 5 5 5L
3 3 3 3 3L
3 3 3 3 3L
0 0 0 0 0 1 1 URS SD REMOVAL STENT 56.31+5
2 2 2 2 2T
2 2 2 2 2L 1 1 ENDOSCOPY 44.13
1 1 4 4 4T 1 1 EXCISISI NEFROTOMY 86.22
3 3 3 3 3L
2 2 2 2 2L
4 4 4 4 4L
1 1 1 1 1L
4 4 4 4 4L
2 2 2 2 2L 1 1 HD 39.95
3 3 3 3 3L
1 1 1 0 1T 1 1 REMOVE IMPLANT 78.69
4 4 4 4 4L
2 2 2 2 2L
2 2 2 2 2L 1 1 URS 56.2
3 3 3 3 3L
3 3 3 3 3L 1 1 KOLESIKTOMY 51.22
1 1 1 1 1L
4 4 4 4 4L
1 1 1 0 1T 1 1 ANGIOGRAPY 88.55
1 1 1 1 1L
2 2 2 2 2L 1 1 ENDOSCOPY 44.13
2 2 2 2 2L
3 3 3 3 3L
2 2 2 2 2L
1 1 1 1 1L
2 2 2 2 2L
5 5 5 5 5L
4 4 4 4 4L
5 5 5 5 5L
2 2 2 2 2L
2 2 2 2 2L
3 3 3 3 3L
1 1 1 1 1L 1 1 ANGIOGRAPY 88.55
2 2 2 2 2L
1 1 1 1 1L 1 1 ODONTECTOMY 23.19
3 3 3 1 1L
3 3 3 3 3L
2 2 2 0 0T
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L 1 1 RADICAL OPERATION 49.39
6 6 6 6 6L
4 4 4 0 0T
4 4 4 4 4L 1 1 CYSTOSCOPY, FULGURASI 52.32+8
3 3 3 3 3L
2 2 2 2 2L 1 1 URS SD INSERSI DJ STENT 56.2+59
2 2 2 2 2L
0 0 0 0 0T 1 1 ODONTECTOMY 23.19
0 0 0 0 0T 1 1 EXSISI 83.39
3 3 3 3 3L
1 1 1 1 1L 1 1 CYSTOSCOPY, REMOVAL ST57.32+9
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2L
5 5 5 5 5L
16 16 16 16 16 L
3 3 3 3 3L
1 1 1 1 1L 1 1 FOSIOTERAPI 99.83
6 6 6 6 6L
2 2 2 2 2L
4 4 4 4 4L
4 4 4 4 4L
3 3 3 3 3L
4 4 4 4 4L 1 1 CAG+PCI 88.55
6 6 6 6 6L
2 2 2 2 2L
12 12 12 12 12 T 1 1 ORIF BILATERAL 79.15
4 4 4 4 4L
3 3 3 3 3T 1 1 SSTP 74.1
0 0 0 0 0 0 1 1 AV SHUNT 39.27
4 4 4 4 4L
5 5 5 5 5L
2 2 2 2 2T
3 3 3 3 3L
5 5 5 5 5L
1 1 1 1 1L
2 2 2 2 2T 1 1 URS BIL, LASER LITOTRIPSI,56.31+5
0 0 0 0 0 1 1 KURETASE 69.59
7 7 7 7 7T
2 2 2 2 2L
2 2 2 2 2T
3 3 3 3 3L
5 5 5 5 5L
0 1 1 1 1T 1 1 REMOVAL STENT 97.65
3 3 3 3 3L
4 4 4 4 L 1 1 SCTP 74.1
2 2 2 2 2L
2 2 2 2 2L
7 7 7 7 7T
3 3 3 3 3L
1 1 1 1 1T
4 4 4 4 4L
7 7 7 7 7L
3 3 3 3 3L
4 4 4 4 4L 1 1 URS, LASER LITOTRIPSI, INS56.31+5
4 4 4 4 4L
4 4 4 4 4L
2 2 2 2 2L
1 1 1 1 1L
4 4 4 4 4L
4 4 4 4 4L
1 1 1 1 1L 1 1 DEBRIDEMENT 86.19
5 5 5 5 5L 1 1 ATE 28.3
2 2 2 2 2L
3 3 3 3 3L
3 3 3 3 3L
2 2 2 2 2L
4 4 4 4 4L
1 1 1 1 1L
1 1 1 1 1L
4 4 4 4 4L
3 3 3 3 3T
4 4 4 4 4L
5 5 5 5 5L
4 4 4 4 4L
4 4 4 4 4L
2 2 2 2 2T
1 1 1 1 1T 1 1 PCI 36.07+0
1 1 1 1 1L
0 0 0 0 0 1 1 ANGIOGRAPHY STAND BY P 88.55
1 1 1 0 0T 1 1 ANGIOGRAPHY STAND BY P36.07+0
4 4 4 4 4L
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L 1 1 ANGIOGRAPHY STAND BY P36.07+00.45+00.40
4 4 4 4 4L
5 5 5 4 5T
4 4 4 4 4L 1 1 URS, LASER LITOSTOFI, DJ 56.31+5
2 2 2 2 2L 1 1 URETHROTOMY 56.2
2 2 2 2 2L 1 1 REPAIR BURIED PENIS 64.44
2 2 2 2 2L
6 6 6 6 6L
1 1 1 1 1T 1 1 ANGIOGRAPHY STAND BY P36.07+0
1 1 1 1 1L 1 1 PCI 36.07+0
4 4 4 4 4L
2 2 2 2 2L
6 6 6 6 6L
2 2 2 2 2L 1 1 ENDOSCOPY 44.13
3 3 3 3 3L
1 1 1 1 1L
3 3 3 3 3L
2 2 2 2 2L
0 0 0 0 0
3 3 3 3 3L
7 7 7 7 7L 1 1 PCI 36.07+0
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2L
1 1 1 1 1L 1 1 COLONOSCOPY 44.13
30 30 30 30 30 L 1 1 DEBRIDEMENT, AMPUTATIO86.22+9
2 2 2 2 2L
2 2 2 2 2L
1 1 1 0 1T 1 1 PCI 36.07+0
3 3 3 3 3T 1 1 ENDOSCOPY 44.13
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
1 1 1 1 1L
3 3 3 3 3L
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L
0 0 0 0 0
3 3 3 3 3L 1 1 ATE 28.2
5 5 5 5 5L
2 2 2 2 2L
3 3 3 3 3L
2 2 2 2 2T 1 1 ANGIOGRAPHY STAND BY P36.07+0
3 3 3 3 3L
3 3 3 3 3L
6 6 6 6 6L 1 1 EXCISI RADICAL, KEMUGK 77.65+8
2 2 2 2 2L
1 1 1 1T 1 1 AV SHUNT 39.27
3 3 3 3 3L
6 6 6 6 6L
3 3 3 3 3T 1 1 ORIF 79.14
1 1 1 1L
1 1 1 1 1T 1 1 ORIF 86.22
4 4 4 4 4L 1 1 ATE 28.2
3 3 3 3 3L 1 1 SCTP+MOW 74.1+66
6 6 6 6 6L 1 1 ATE 28.2
2 2 2 2 2L 1 1 LSCS 74.1
6 6 6 6 6T
3 3 3 3 3L 1 1 KURET+PA 69.52
3 3 3 3 3L
2 2 2 2 2L
3 3 3 3 3L
2 2 2 2 2L 1 1 HYSTERESCOPY, D+C 68.12+6
1 1 1 1 1T 1 1 AV SHUNT 39.27
3 3 3 3 3L
0 0 0 0 0 1 1 AV SHUNT 39.27
1 1 1 1 1T 1 1 AV SHUNT 39.27
1 1 1 1 1T 1 1 AV SHUNT 39.27
1 1 1 1 1L
6 6 6 6 6L
3 3 3 3 3L
1 1 1 1 1L
3 3 3 3 3L
4 4 5 5 5T
2 2 2 2 2T 1 1 ORIF 79.32
3 3 3 3 3L 1 1 URS, LASER LITOTRIPSI 56.31+5
3 3 3 3 3T
4 4 4 4 4L
2 2 2 2 2L
5 5 5 5 5T
2 2 2 2 2L
3 3 3 3 3L
5 5 5 5 5L
2 2 2 2 2L
4 4 4 4 4L
3 3 3 3 3L
2 2 2 2 2L
4 4 4 4 4L
4 4 4 4 4L
5 5 5 5 5L
1 1 1 1 1L
4 4 4 4 4L
2 2 2 2 2L
5 5 5 5 5L 1 1 URETHROSCOPY,URETHRO56.31+5
3 3 3 3 3L
2 2 2 2 2L
3 3 3 3 3L
7 7 7 7 7L 1 1 SEPTOPLASTY 21.88
4 4 4 4 4L 1 1
5 5 5 5 5L
3 3 3 3 3L 1 1 URS, LASER LITOTRIPSI, INS56.31+5
1 1 1 0 0T 1 1 REMOVAL IMPLANT 78.62
2 2 2 2 2L
4 4 4 4 4L
2 2 2 2 2L
3 3 3 3 3L
7 7 7 7 7L 1 1 TONSILECTOMY 28.2
2 2 3 3 3T 1 1 URS BIL, LASER LITHOTRIPSI56.31+5
1 1 1 1 1L 1 1 79.02
2 2 2 2 2L
6 6 6 6 6L
1 1 1 1 1L 1 1 CORONARY ANGIOGRAPHY36.07+0
S
5 5 5 5 5L
7 7 7 7 7L
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
4 4 4 4 4T
6 6 6 6 6T
2 2 2 2 2L
3 3 3 3 3L
3 3 3 3 3L
5 5 5 5 5L
3 3 3 3 3L 1 1 PCI 36.07+0
4 4 4 4 4L
3 3 3 3 3L 1 1 CORONARY ANGIOGRAPHY36.07+0
S
9 9 9 9 9L
1 1 1 1 1L 1 1 CORONARY ANGIOGRAPHY88.55
1 1 1 1 1L 1 1 PCI 36.07+0
1 1 1 1 1L 1 1 OPEN RELEASE 80.42
3 3 3 3 3L
1 1 1 1 1L
0 0 0 0 0
4 4 4 4 4L
2 2 2 2 2L
5 5 5 5 5T 1 1 URS 56.31
4 4 4 4 4L
1 1 1 1 1L
3 2 3 3 3L
3 3 3 3 3L
8 8 8 8 8L
2 2 2 2 2L
2 2 2 2 2L
8 8 8 8 8L
2 2 2 2 2T
1 1 1 0 1T
2 2 2 2 2L
4 4 4 4 4L
2 2 2 0 0T 1 1 CORONARY ANGIOGRAPHY88.55
2 2 2 2 2L
4 4 4 4 4L
1 1 1 1 1L
2 2 2 2 2L 1 1 URS LITOTRIPSI 57.0 + 5
1 1 1 1 1T 1 1 CLOSED REPOSISI + GIPS 79.02
4 4 4 4 4L
1 1 1 1 1L 1 1 COLONOSCOPY 45.23
3 3 3 3 3L
3 3 3 3 3T 1 1 ORIF ZYGOMA-MAXILLA 76.72
4 4 6 6 6T 1 1 ORCHIDOPEXY BILATERAL 62.5
1 1 1 1 1T
4 4 4 4 4L
3 3 3 3 3T
4 4 4 4 4L
3 3 3 3 3L
2 2 2 2 2L
7 7 7 7 7L
2 2 2 2 2L
2 2 2 2 2L
4 44 4 4 4L
2 2 2 2 2L 1 1 LAPARATOMY 54.19
6 6 6 6 6L
1 1 1 1 1L
1 1 1 1 1T 1 1 AV SHUNT 39.27
1 1 2 2 2T
4 4 4 4 4L
0 0 0 0 0 1 1 ODONTECTOMY 23.19
0 0 0 0 0T 1 1 ANGIOGRAPY 88.55
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
1 1 1 1 1L
3 3 3 3 3L
3 3 4 4 4T
3 3 3 3 3L
1 1 1 1 1T 1 1 RELEASE STIFFNESS, REMO80.40+7
2 2 2 2 2L 1 1 URS SD INSERSI STENT 56.31+5
2 2 2 2 2L
2 2 2 2 2L 1 1 EXCISI RADICAL 86.4
2 2 2 2 2L
1 1 1 1 1L
2 2 2 2 2L
1 1 1 1 1L
2 2 2 2 2T
4 4 4 4 4L
12 12 12 12 12 L 1 1 CRANIOTOMY 1.24
1 1 1 1 1L 1 1 KURETASE 69.52
1 1 1 1 1L
3 3 3 3 3T
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
9 9 9 9 9L
5 5 5 5 5L
3 3 3 3 3L
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
3 3 3 3 3L
7 7 7 7 7L 1 1 FISIOTERAPI 93.39
2 2 2 2 2L
6 6 6 6 6L 1 1 KTE CHOLECYSTECTOMY 51.22
5 5 5 5 5L 1 1 LAPARATOMY
2 2 2 2 2L
2 2 2 2 2L
1 1 1 1 1L
2 2 2 2 2L
1 1 1 1 1T
3 3 3 3 3T
5 5 5 5 5L
2 2 2 2 2L 1 1 D+C 69.02
1 1 1 1 1T
3 3 3 3 3L
3 3 3 3 3L
4 4 4 4 4L
1 1 2 2 2T 1 1 COLONOSCOPY 45.23
3 3 3 3 3L
4 4 4 4 4L
4 4 4 4 4L
3 3 3 3 3L 1 1 EXCISI TUMOR DAN KISTA 61.3
1 1 1 1 1L
3 3 3 3 3L
3 3 3 3 3L 1 1 SCTP 74.1
3 3 3 3 3L
4 4 4 4 4L
4 4 4 4 4T
5 5 5 5 5L
6 6 6 6 6T
3 3 3 3 2T
2 2 2 2 2L
5 5 5 5 5L
3 3 3 3 3L
8 8 8 8 8L
3 3 3 3 3T 1 1 ORIF 79.14
3 3 3 3 3L
4 4 4 4 4L
3 3 3 3 3L
2 2 2 2L
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
3 3 3 3 3L
5 5 5 5 5T 1 1 ORIF 79.11
1 1 1 0 0T 1 1 ANGIOGRAPY 88.55
2 2 2 2 2L
2 2 2 2 2T
3 3 3 3 3T
6 6 6 6 6L
2 2 2 2 2T 1 1 COLONOSCOPY 45.23
0 0 0 0 0
3 3 3 3 3L
3 3 3 3 3L
1 1 1 1 1L
1 1 1 1 1L 1 1 URS 56.31
5 5 5 5 5L
3 3 3 3 3L
2 2 2 2 2L
2 2 2 2 2L
11 11 11 11 11 L
3 3 3 3 3L
1 1 1 1 1L
4 4 4 4 4L
2 2 2 2 2L
1 1 1 1 1L 1 1 CURRETAGE 69.02
3 3 3 3 3L
1 1 1 0 0T
2 2 2 0 0T
2 2 2 2 2L
4 4 4 0 0T
0 0 1 1 1T 1 1 CIRCUMSISI 64.0
1 1 1 1 1L 1 1 PCI 36.07+0
1 1 1 1 1L
3 3 3 3 3L 1 1 SCTP 74.1
4 4 4 4 4L
0 0 0 0 0T 1 1 ODONTECTOMY 23.19
2 2 2 2 2L 1 1 AMPUTASI 84.01
3 3 3 3 3L 1 1
3 3 3 3 3L 1 1 SCTP 74.1
2 2 2 2 2L
2 2 2 2 2L
7 7 7 7 7T 1 1 RADICAL OPERASI 49.99
3 3 3 3 3L
2 2 2 2 2L
1 1 2 2 2T
3 3 3 3 3L 1 1 APPENDECTOMY 47.09
2 2 2 2 2L
4 4 4 4 4L
3 3 3 3 3L
5 5 5 5 5L 1 1 CYSTOSCOPY, REMOVE DJ 56.0+96
1 1 1 0 0T
1 1 1 0 0T
3 3 3 3 3T 1 1 D+C 96.02
3 3 3 3 3L 1 1 RADICAL MASTOIDECTOMY 20.42
4 4 4 4 4L
2 2 2 2 2L
1 1 1 1 1L
4 4 4 4 4L
5 5 5 5 5L
3 3 3 3 3L
1 1 1 0 1T 1 1 ODONTECTOMY 23.19
3 3 3 3 3L
1 1 1 0 0T 1 1 AV SHUNT 39.27
2 2 2 2 2T 1 1 SCTP 74.1
4 4 4 4 4L
3 3 3 3 3L 1 1 ORIF 79.19
2 2 2 2 2L
19 19 19 17 19 T 1 1 CHOLECYSTECTOMY 51.22
7 7 7 7 7L
2 2 2 2 2L 1 1 REFISI AVF 39.53
4 4 4 4 4L 1 1 HERNIORAPHY 53.29
1 1 1 1 1L 1 1 CAG 36.06+0
1 1 1 1 1L
4 4 4 4 4L 1 1 ECHO 88.72
3 3 3 3 3L
2 2 2 0 2T 1 1 REMOVE IMPLANT 78.62
8 8 8 8 8L
2 2 2 2 2L 1 1 HERNIORAPHY 53
3 3 3 3 3L
4 4 4 4 4L
4 4 4 4 4L 1 1 CORONARY ANGIOGRAPHY88.55
2 2 2 2 2T 1 1 ENDOSCOPY 44.13
3 3 3 3 3L
4 4 4 4 4L 1 1 HAEMODIALISIS 49.46
4 4 4 4 4L
2 2 2 2 2T 1 1 EXSISI 83.39
2 2 2 2 2L
2 2 2 2 2L 1 1 PCI 36.07+0
3 3 3 3 3L
2 2 2 2 2L 1 1 SCTP 74.99
1 1 1 0 1T 1 1 PCI 36.07+0
2 2 2 2 2L
6 6 6 6 6L
1 1 1 1 1L 1 1 ANGIOGRAPY 88.55
1 1 1 1 1L
4 4 4 4 4L
2 2 2 2 2L
5 5 5 5 5L
1 1 1 1 1L
2 2 2 2 2T
4 4 4 4 4L 1 1 URS 56.31+5
3 3 3 3 3L 1 1 28.92+2
5 5 5 5 5L
3 3 3 3 3T
5 5 5 5 5T 1 1 APPENDECTOMY 49.09
3 3 3 3 3L
1 1 1 1 1L
3 3 3 3 3L
3 3 3 3 3L
2 2 2 2 2L 1 1 DEBRIDEMENT, REPAIR, FL 86.22+0
5 5 5 5 5L 1 1 LAMINECTOMY DECOMPRESI,3.09
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L 1 1 MEATOTOMY, MEATOPLAST58.1+58
1 1 1 1 1T 1 1 ANGIOGRAPY 88.55
3 3 3 3 3L
2 2 2 2 2L
6 6 6 6 6L
9 9 9 9 9L 1 1 CYSTOSCOPY, TURP 57.32+60.29+56.31+56.2
1 1 1 1 1T 1 1 AV SHUNT 39.27
2 2 3 3 3T
1 1 1 1 1L
4 4 4 4 4L
1 1 1 1 1T 1 ANGIOGRAPY 88.55
3 3 3 3 3L 1 1 COLONOSCOPY 45.23
2 2 2 2 2L
4 4 4 4 4L
3 3 3 3 3L
5 5 5 5 5L
2 2 2 2 2L
1 1 1 1 1T 1 1 AV SHUNT 39.27
3 3 3 3 3L
3 3 3 3 3L
1 1 1 1 1T 1 1 REVISI CVC 39.49
1 1 1 1 1T
5 5 5 5 5L
4 4 4 4 4L 1 1 SCTP 74.1
4 4 4 4 4L
3 3 3 0 0T
5 5 5 5 5L
0 0 0 0 0T
3 3 3 3 3L
3 3 3 3 3L
2 2 2 2 2L
1 1 1 1 1L
2 2 2 2 2L
3 3 3 3 3T 1 1 SCTP 74.1
2 2 2 2 2L
2 2 2 2 2L
4 4 4 4 4L
3 3 3 3 3L
4 4 4 4 4L
4 4 4 4 4L
4 4 4 4 4L
4 4 4 4 4L
5 5 5 5 5L
1 1 1 1 1L
2 2 2 2 2T 1 1 DEBRIDEMENT, SINGLE FLAP
26.28+8
1 1 1 1 1L
2 2 2 2 2L
0 2 0 0 0T
8 8 8 8 8L
3 3 3 3 3L
4 4 4 4 4L
4 4 4 4 4L
3 3 3 3 3L 1 1 OOPORECTHOMY 65.39
4 4 4 4 4L 1 1 TONSILLECTOMY 28.3
6 6 6 6 6L 1 1 KISTECTOMY, LAPARACTO 65.29+5
4 4 4 4 4L 1 1 SCTP 74.1
3 3 3 3 3L
4 4 4 4 4L
3 3 3 3 3L 0 0 0
3 3 3 3 3L
4 4 4 4 4T 1 1 ORIF 79.16
2 2 2 2 2L
2 2 2 2 2L
5 5 5 5 5T 1 1 ANGIOGRAPHY STAND BY P36.07+0
3 3 3 3 3L
3 3 3 3 3L
4 4 4 3 2T
4 4 4 4 4L
2 2 2 2 2L
4 4 4 4 4L
3 3 3 3 3T
3 3 3 3 3L
6 6 6 6 6L
0 0 1 1 1T 1 1 EXCISI RADICAL 86.4
3 3 3 3 3L
3 3 3 3 3L
2 2 2 2 2L
3 3 3 3 3L
1 1 1 1 1L 1 1 COLONOSCOPY 45.23
4 4 4 4 4L 1 1 URS, LASER LITOTRIPSI, INS56.31+5
4 4 4 4 4L 1 1 CORONARY ANGIOGRAPHY36.07+0S
1 1 1 0 0T 1 1 ANGIOGRAPY STAND BY PC36.07+0
4 4 4 4 4L
7 7 7 7 7L
5 5 5 5 5L
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2T
1 1 1 1 1L
6 6 6 6 6L
3 3 3 3 3L
4 4 4 4 4L
8 8 8 8 8L
1 1 1 0 0T 1 1 ANGIOGRAPHY STAND BY P36.07+0
1 1 1 0 0T
4 4 4 4 4L
4 4 4 4 4L
1 1 1 1 1L
2 2 2 0 2T 1 1 ANGIOGRAPY STAND BY PC36.07+0
6 6 6 6 6L 1 1 TONSILECTOMY 28.2
1 1 1 1 1T 1 1 REMOVAL IMPLANT 78.69
3 3 3 3 3L
0 0 1 1 1T 1 1 REVIVI CVC 39.49
1 1 1 1 1T 1 1 KURETASE 69.52
5 5 5 5 5L 1 1 LIGASI VENA SPERMA INTE 63.1
2 2 2 2 2L
2 2 2 2 2L
4 4 4 4 4L 1 1 SCTP 74.1
3 3 3 3 3L
3 3 3 3 3L
4 4 4 3 3L
3 3 3 3 3L
1 1 1 1 1T 1 1 AV SHUNT 39.27
1 1 1 1 1T 1 1 REVISI AV SHUNT 39.42
1 1 1 1 1T 1 1 REVISI CVC 39.49
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2T 1 1 FIBRAL LARYNGOSCOPY 31.42
2 2 2 2 2L
3 3 3 3 3L
2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2T 1 1 ENDOSCOPY 44.13
3 3 3 3 3L
3 3 3 3 3L 1 1 URS, LASER LITOTRIPSI, INS56.31+5
5 5 5 5 5L
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L 1 1 KOLESIKTOMY 51.41
8 8 8 8 8L
2 2 2 0 0T 1 1 ANGIOGRAPHY STAND BY P 88.55
6 6 6 6 6L
1 1 1 1 1L
3 3 3 3 3L 1 1 DEBRIDEMENT, NECROTOM 86.22
4 4 4 4 4L
4 4 4 4 4L 1 1 APPENDICTOMY 49.09
2 2 2 2 2T 1 1 ENDOSCOPY 44.13
3 3 3 3 3L
4 4 4 4 4L
1 1 1 1 1L 1 1 ANGIOGRAPY STAND BY PC36.07+0
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L
1 1 1 1 1L
1 1 1 1 1L 1 1 INSERSI WSD 34.04
6 6 6 6 6L
2 2 2 2 2L
6 6 6 6 6L
2 2 2 2 2L
3 3 3 3 3L
4 4 4 4 4L
2 2 2 2 2L
2 2 2 2 2T 1 1 SCTP 74.1
1 1 1 1 1T
5 5 5 5 5L
3 3 3 0 3T
2 2 2 2 2L 1 1 SCTP 74.1
4 4 4 4 4L
3 3 3 3 3L 1 1 SCTP 74.99
3 3 3 3 3L
2 2 2 2 2L
3 3 3 3 3T
1 1 1 0 0T 1 1 CORONARY ANGIOGRAPHY S88.55
2 2 2 2 2L
5 5 5 5 5L
3 3 3 3 3L
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Analisis Informed Consent Nama Na TTD TTD TTD LAPORAN O
Indikas DX
Kom Prog Pem PEne & TTd ma & & &
OPERATOR i Tata Tujua Resik plika beri rima Pemb Pen Na Na Nam L/T Pre
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TINDAKAN) an masi masi Infor a Pasi Sak Saks si
masi Info en si I i II
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1 1 1 1 1 1 1 1 1 si 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Adi Aryanto, Sp 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. OETAMA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Andi Hasnawati 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Shelly Laksmisar 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. HEDY 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 0 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
drg. Daniel T.H. Hu 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
drg. Daniel T.H. Hu 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
DR. ARIE 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Silvia Meiliana, 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
dr. Bisma Brayatya 1 1 1 1 1 1 0 1 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 0 1 1 0 0 0 1 1 1 1T
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
36.07+00.45+00.40 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 0T
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Muhammad Iqbal 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 0 1 0 1 1 1 1 1 1 1T
dr. Achmad Yusri, S 1 1 1 0 1 0 0 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 0 1 1 1 1 1 1 1 1 1T
dr. Muhammad Iqbal 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. IVAN 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Tedy Teguh Sat 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Aphrodite Pandi 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 0 1 1 1 1 0T 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Adi Aryanto, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L
2 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Muhammad Iqbal 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 0T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Alvarez Zefany 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
HARIS OETAMA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. FADHIL 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
DR. HEDY 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. VINCENT 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 0 0 1 1 1 1 1T 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 0 1 1 1 1 0T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Muhammad Iqbal 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Achmad Yusri, S 1 1 1 0 1 1 1 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
drg. Daniel T.H. Hu 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1 1 1 1L 0
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
Dr.dr. Eveline, SpBS 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Heribertus Guna 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
DR. STELLA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 0 1 0 0 1 1 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. HEDY 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 0 1 1 1 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. FADHIL 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. OETAMA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. YHOHAN 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DRG. DANIEL 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Stella Patricia 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DRG. DANIEL 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Manaek P. Siho 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, S 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. HARIS OETAMA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. FAUST 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Christiani Muljo 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. HEDY 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Lukman Hatta S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. H.M.D. Ervintiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Heribertus Guna 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
Dr.dr. Eveline, SpBS 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
57.32+60.29+56.31+56.2 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 0 1 1 1 1 1T
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Heribertus Guna 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Christiani Muljo 0 0 0 0 0 0 0 0 0 0 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, S 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Agnes Imelda I 1 1 1 0 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Arie Wibisono, 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Noviana Indarti 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Noviana Indarti 1 1 0 0 1 1 1 1 1 1 1 1 1T 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr.Fadil, SpU 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
0 0 0 0 0 0 0 0 0 0 0 0 0 0T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Manaek P. Sihot 1 1 1 1 1 1 1 0 1 1 1 1 1T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Christiani Muljo 1 1 1 1 1 1 0 0 1 0 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 0 1 1 1 1 1T
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Christiani Muljo 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Adi Aryanto, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, S 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Andi Hasnawati 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Andi Hasnawati 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 0T 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 0 1 1 1 1 1T
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Faust Mangali, 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
DR. IMAN MANTAFA 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Andi Hasnawati 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1 1 1 1L 1
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1 1 1 1 1L
LAPORAN OPERASI Analisis Persetujuan AnestesiTTD TTD TTD
DX Kese Cata TTD TTD & & &
Nama Nama Nama &
Post suaia tan Opera Ope TGL/J L/T Tinda Dokte ANASTESIOLOGIST Nama Nama Na Na L/T
Oera n DX Ope tor rato AM kan r Pasie ma ma
Dokte n/Wa
si rasi r Saks Saks
r li i I i II
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Agung Purnomo, Sp 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Agung Purnomo, Sp 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Regina Agustantina, 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. EKA 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. EKA 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. EKA 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Eka Seprianti W, Sp 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Eka Seprianti W, Sp 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. AGUNG 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. Agung 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. AGUNG 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. AGUNG 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. AGUNG 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. AGUNG 1 1 1 1L
1 1 1 1 1 1L 1 1 DR. MENARA 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Regina Agustantina, 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Agung Purnomo, Sp 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Agung Purnomo, Sp 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Eka Seprianti W, Sp 1 1 1 1L
1 1 1 1 1 1L 1 1 dr. Eka Seprianti W, Sp 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 0 1T 1 1 dr. Eka Seprianti W, Sp 1 1 1 1L
4 4 4 4 4 4L
6 6 6 6 6 6L
2 2 2 2 2 2L 1 1 URS, REMOVEM STENT 56.31
1 1 1 1 1 1L
3 3 3 3 3 3L
4 4 4 4 4 4L
1 1 1 1 1 1T 1 1 CAG 36.06+0
0 0 2 2 2 2L 1 1 CYSTOSCOPY, REMOVE DJ 57.32+9
4 4 4 4 4 4L 1 1 REPAIR, DEBRIBEMENT 49.79+8
0 0 0 0 0 0
1 1 1 1 1 1L 1 1 REMOVAL DJ STENT, URS 97,65+5
2 2 2 2 2 2L
4 4 4 4 4 4L
2 2 2 2 2 2L
0 0 0 1 1 1T 1 1 URS, LASER LITOTRIPSI, INS56.31+5
2 2 2 2 2 2L
1 1 1 1 1 1L
3 3 3 3 3 3L
1 1 1 1 1 1L
5 5 5 5 5 5L
1 1 1 1 1 1L 1 1 URS, REMOVE DJ SHUNT 56.31+9
3 3 3 3 3 3L
2 2 2 2 3 3T 1 1 LAPARATOMY 54.19
2 2 2 2 2 2L
3 3 3 3 3 3L
16 16 16 16 15 15 T
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
1 1 1 1 1 1L
4 4 4 4 4 4L
2 2 2 2 2 2L
4 4 4 4 4 4L
5 5 5 5 5 5L
4 4 4 4 4 4L
4 4 4 4 4 4L 1 1 SCTP 74.1
3 3 3 3 2 3T 1 1 ORIF RADIUS 7932
4 4 4 4 4 4L
4 4 3 4 4 4T
2 2 2 2 2 2L
3 3 3 3 1 3T
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 EKSISI TUMOR 83.89
4 4 4 4 4 4L
4 4 4 4 4 4L 1 1 SCTP 74.99
1 1 1 1 1 1T
6 6 6 6 6 6L
4 4 4 4 4 4L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
1 1 1 1 1 1L 1 1 CLOSE REDUCTIONJ 79.71
2 2 2 2 2 2L
3 3 3 3 3 3L
4 4 4 4 4 4L
5 5 5 5 5 5L
1 1 1 1 0 1T
4 4 4 4 4 4L 1 1 APPENDECTOMY 47.09
3 3 3 3 3 3L
3 3 3 3 3 3L
6 6 6 6 6 6L
3 3 3 3 3 3L
5 5 5 5 5 5L
4 4 4 4 4 4L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L 1 1 URETHEROTOMY , INSERSI 56.2+59
4 4 4 4 4 4L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
1 1 1 1 1 1L
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
1 1 1 1 1 1T 1 1 LAPARATOMY, APPENDICTO51.19+4
3 3 3 3 3 3L
1 1 1 1 0 1T
4 4 4 4 4 4L
4 4 4 4 4 4L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 SINUSECTOMY, EXCISION O22.60+8
2 2 2 2 2 2L
4 4 4 4 4 4L
4 4 4 4 4 4L
5 5 5 5 5 5L
4 4 4 4 4 4L 1 1 ACL RECONSTRUCTION 81.45
1 1 1 1 1 1L
4 4 4 4 4 4L 1 1 ESTERPATION, DEBRIDEME80.86+8
3 3 3 3 3 3L
6 6 6 6 6 6L
11 11 11 11 11 11 L 1 1 RHYNOPLASTY,SHOULDER A21.87+8
1 1 1 1 1 1L
3 3 3 3 3 3L
7 7 7 7 7 7L
0 0 0 0 0 0 0
1 1 1 1 1 1L 1 1 REVISI AV SHUNT 39.42
1 1 1 1 1 1T 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
4 4 4 4 4 4L
2 2 2 2 2 2L 1 1 CORONARY ANGIOGRAFI PO36.07+0
0 0 3 2 3 3T 1 1 CYSTOSCOPY, REMOVE DJ 57.32+9
3 3 3 3 3 3L
6 6 6 6 6 6L
2 2 2 2 2 2L
6 6 6 6 6 6L
3 3 3 3 3 3L 1 1 CORONARY ANGIOGRAFI PO
36.07+0
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 CORONARY ANGIOGRAFI PO
36.07+0
0 0 0 0 0 0T 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
3 3 3 3 3 3L
4 4 4 4 4 4L
1 1 1 1 1 1L
5 5 5 5 5 5L 1 1 PCI 0.66
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 URS , REMOVE DJ STENT 97.65
3 3 3 3 3 3L
5 5 5 5 5 5L 1 1 VESICOLITOTHOMY 57.19
3 3 3 3 3 3L 1 1 ACL RECONSTRUCTION 81.45
1 1 1 1 1 1L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 IRIGASI DEBRIDEMENT, PI 79.64+7
4 4 4 4 4 4L 1 1 ORIF 79.31
5 5 5 5 5 5L
5 5 5 5 5 5L
2 2 2 2 2 2L 1 1 OPEN BIOPSI GINJAL 55.24
4 4 4 4 4 4L
2 2 2 2 2 2L
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
1 1 1 1 1 1T 1 1 ENDOSCOPY 44.13
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 RELLASE 82.01
1 1 1 1 1 1L
4 4 4 4 4 4L
3 3 3 3 3 3L
2 2 2 2 2 2L
1 1 1 1 0 1T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
1 1 1 1 1 1T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
2 2 2 2 2 2L
3 3 3 3 3 3L
5 5 5 5 5 5L
2 2 2 2 2 2L 1 1 LAPARATOMY 54.19
1 1 1 1 1 1L 1 1 SCTP 74.99
4 4 4 4 4 4L 1 1 URS 56.2+56
2 2 2 2 2 2L 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
2 2 2 2 2 2L
0 0 0 0 0 0T 1 1 AV SHUNT 39.27
3 3 3 3 3 3L
3 3 3 3 3 3L
5 5 5 5 5 5L
1 1 1 1 1 1L
7 7 7 7 7 7L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L 1 1 URETHEROTOMY ,EKSISI U 56.2+54
9 9 9 9 9 9L
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 URETHROSCOPY, URETHROT
56.31+5
2 2 2 2 2 2T 1 1 NECROTOMY SKIN GRAFT 86.22
3 3 3 3 3 3L
2 2 2 2 2 2L
4 4 4 4 4 4L
5 5 5 5 5 5L
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 2 2T
3 3 3 3 3 3L
3 3 3 3 3 3L
3 3 3 3 3 3L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
2 2 2 2 1 1T
4 4 4 4 4 4T
3 3 3 3 3 3L
8 8 8 8 8 8L 1 1 PCNL, REMOVE DJ STENT 55.03+9
3 3 3 3 3 3L
1 1 2 2 2 2T 1 1 EKSISI DEBULLING, INSILAS 40.29
2 2 2 2 2 2L 1 1 URETHEROTOMY , INSERSI 56.2+59
1 1 1 1 1 1L
3 3 3 3 3 3L 1 1 ORIF 79.21
0 0 0 0 0 0T 1 1 ODONTECTOMY 23.19
2 2 2 2 2 2L
6 6 6 6 6 6L
1 1 1 1 1 1T 1 1 NECROTOMY, INSERSI DJ S 56.2+59
2 2 2 2 2 2L 1 1 URS, RENAL STENT 56.2+51
0 0 0 0 0 0T 1 1 DEBRIDEMENT, EKSISI 86.22
0 1 1 1 1 1L 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
2 2 2 2 2 2L 1 1 EKSISI TUMOR, NECROTOM40.29+8
1 1 1 1 1 1L
0 0 0 0 0 0T 1 1 AV SHUNT 39.27
3 3 3 3 2 2T
3 3 3 3 3 3L
2 2 2 2 2 2L
1 1 1 1 1 1L
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L
0 0 0 0 0 0T 1 1 REMOVE IMPLANT 78.69
1 1 1 1 1 1L
4 4 4 4 4 4L
3 3 3 3 3 3L
6 6 6 6 6 6L
3 3 3 3 3 3L
2 2 2 2 2 2L
6 6 6 6 6 6L
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2T 1 1 EKSISI TUMOR 85.21
9 9 9 9 9 9L
3 3 3 3 3 3L
3 3 3 3 3 3L
5 5 5 5 5 5L
6 6 6 6 6 6L
2 2 2 2 2 2L
5 5 5 5 5 5L
2 2 2 2 2 2L 1 1 SCTP, IUD 74.99+6
5 5 5 5 5 5L
5 5 5 5 5 5L
8 8 8 8 8 8L
0 0 0 0 0 0T
1 1 1 1 1 1L
2 2 2 2 2 2L
4 4 4 4 4 4L
5 5 5 5 5 5L
5 5 5 5 5 5L 1 1 SCTP,MOW 74.99+6
3 3 3 3 3 3L
2 2 2 2 2 2L
0 0 0 0 0 0T 1 1 RELIASE 82.01
4 4 4 4 4 4L 1 1 PRO EKSIS, DEBRIDEMENT 86.3+86
5 5 5 5 5 5L 1 1 CHOLECYSTOMY 51.22
2 2 2 2 2 2L
2 3 3 3 3 3L
5 5 5 5 5 5L
0 0 0 0 0 0T 1 1 URS, LITOSTRIPSI, RENAL S 56
2 2 2 2 2 2L 1 1 URS, LITOSTRIPSI, RENAL S 56
4 4 4 4 4 4L
4 4 4 4 4 4L
2 2 2 2 2 2L 1 1 ENDOSCOPY 44.13
3 3 3 3 0 3T 1 1 LOW CERVICAL SC, M0W 74.1+66
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 ORIF 79.31
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 LAPARATOMY, SALPINGO 84.18+6
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3L
4 4 4 4 4 4L
7 7 7 7 7 7L 1 1 ORIF BICONDLES, DEBRID 79.25+
4 4 4 4 4 4L
4 4 4 4 4 4L 1 1 CORONARY ANGIOGRAFI PO
36.07+0
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 PCI 36.07+0
3 3 3 3 3 3L 1 1 LSCS, MOW 74.1+66
5 5 5 5 5 5L 1 1 APPENDECTOMY 47.09
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 RELASE KONTRAKTUR, REM83.84+7
3 3 3 3 3 3L 1 1 CYSTOSCOPY, REMOVE DJ 57.32+9
0 0 0 0 0 0T 1 1 DYALISIS, TRANSFUSI 39.22+9
2 2 2 2 2 2T
1 1 1 1 1 1L
1 1 1 1 0 1T 1 1 DEBRIBEMENT, HECTING 86.28+8
2 2 2 2 2 2L
13 13 13 13 13 13 L
2 2 2 2 2 2L 1 1 EKSISI 83.39
2 2 2 2 2 2T
3 3 3 3 3 3L 1 1 URS 56.2+56
1 1 1 1 0 0T 1 1 ANGIOGRAPHY STANDBY PC 88.4
6 6 6 6 6 6L
1 1 1 1 1 1L
5 5 5 5 5 5L
1 1 1 1 1 1T 1 1 URETHROSCOPY, 56.31+5
6 6 6 6 6 6L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 URS, URETEROTOMY, INS D56.2+59
5 5 5 5 5 5L
1 1 1 1 1 1L
4 4 4 4 4 4L
5 5 5 5 5 5L
2 2 2 2 2 2L
0 0 2 2 2 2L 1 1 REMOVAL DJ STENT, URS 56.2+97
3 3 3 3 3 3L
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 0 2T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
1 1 1 1 0 1L
2 2 2 2 0 2T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 ANGIOGRAPHY 88.55
3 3 3 3 3 3L
4 4 4 4 4 4L
1 1 1 1 1 1L
6 6 6 6 6 6L
3 3 3 3 3 3L
2 2 2 2 2 2L
0 0 0 0 0 0T
2 2 2 2 2 2L
7 7 7 7 7 7L
2 2 2 2 2 2L
5 5 5 5 5 5L
2 2 2 2 2 2L
0 0 0 0 0 0T 1 1 COLONOSCOPY 45.23
5 5 5 5 5 5L
2 2 2 2 2 2L
5 5 5 5 5 5L
3 3 3 3 3 3L 1 1 HEMORRHOIDECTOMY 49.46
2 2 2 2 2 2T 1 1 REHECTING 54.61
3 3 3 3 3 3L 1 1 SCTP, IUD 74.99+6
4 4 4 4 4 4L
4 4 4 4 4 4L
1 1 1 1 1 1L 1 1 URS, LITOSTRIPSI, RENAL S 56.0+51
3 33 3 3 3 3L
8 8 8 8 8 8L
4 4 4 4 4 4L
5 5 5 5 5 5L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 HEMORRHOIDECTOMY 49.345
3 3 3 3 3 3L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 APPENDECTOMY,ADDESIOLY47.09
3 3 3 3 3 3L
3 3 3 3 3 3L 1 1 TONSILECTOMY 28.2
2 2 2 2 2 2L 1 1 COLONOSCOPY 45.23
2 2 2 2 2 2L
2 2 2 2 2 2L
4 4 4 4 4 4L
1 1 1 1 0 1T
3 3 3 3 3 3L 1 1 EXSISI TUMOR 83.49
4 4 4 4 4 4L 1 1 PCI 0.66
2 2 2 2 2 2L
0 0 0 0 0 0T 1 1 DEBRIDEMENT, EXTIRPASI 86.22
2 2 2 2 2 2L 1 1 LSCS 74.1
1 1 1 1 1 1L 1 1 ECHO 88.72
1 1 1 1 1 1L
2 2 2 2 2 2L
4 4 4 4 4 4L
0 0 0 0 0 0T 1 1 REVISI AV SHUNT 39.27
3 3 3 3 3 3L
6 6 6 6 6L 1 1 COLONOSCOPY 45.23
2 2 2 2 2 2L
2 2 2 2 2 2L
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 LAPARATOMY 54.19
7 7 7 7 7 7L
2 2 2 2 2 2L
2 2 2 2 2 2L
1 1 1 1 1 1T
2 2 2 2 2 2L
1 1 1 1 1 1T
2 2 2 2 2 2L
1 1 1 1 1 1T
2 2 2 2 2 2L
4 4 4 4 4 4L
1 1 1 1 1 1L 1 1 ANGIOGRAPHY 88.4
3 3 3 3 3 3L
1 1 1 1 1 1L
1 1 1 1 1 1L
3 3 3 3 3 3L 1 1 URS LITOTRIPSI BATU URAT56.0+51
1 1 1 1 1 1L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 PALATE PRIMARY 27.62
1 1 1 1 1 1L 1 1 RELASE CONTRACTURE, R 16.63+0
8 8 8 8 8 8T
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 COLONOSCOPY 45.23
1 1 1 1 1 1L
6 6 6 6 6 6L 1 1 HERNIOGRAPHY 53.9
2 2 2 2 2 2L 1 1 URETHEROTOMY , INSERSI 56.0+59
1 1 1 1 1 1L
4 4 4 4 4 4L
4 4 4 4 4 4L
1 1 1 1 1 1L
2 2 2 2 2 2L
3 3 3 3 3 3T
4 4 4 4 4 4L
3 3 3 3 3 3L
4 4 4 4 4 4L
2 2 2 2 2 2L
2 2 2 2 2 2L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
4 4 4 4 4 4L
4 4 4 4 4 4L
1 1 1 1 1 1L
4 4 4 4 4 4L
4 4 4 4 4 4L 1 1 APPENDECTOMY 74.9
4 4 4 4 4 4L
5 5 5 5 5 5L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 URETHROPLASTY 58.49
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 URS LASER LITOTRIPSI, INS 56.0+59
4 4 4 4 4 4L
3 3 3 3 3 3L
1 1 1 1 0 1T 1 1 SALPINGOOOPHORECTOM 65.49
1 1 1 1 1 1L
0 0 0 0 0 0T
1 1 1 1 1 1L 1 1 HD,PRC 39.95+9
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 ORIF 79.36
3 3 3 3 3 3L
3 3 3 3 3 3L
4 4 4 4 4 4L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
7 7 7 7 7 7L
3 3 3 3 3 3L
1 1 1 1 1 1L
3 3 3 3 3 3L
3 3 3 3 3 3L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
5 5 5 5 5 5L
1 1 1 1 1 1L 1 1 URS LASER LITOTRIPSI, INS 56.0+59
3 3 3 3 3 3L
3 3 3 3 3 3L
5 5 5 5 5 5L
6 6 6 6 6 6L
3 3 3 3 3 3L
4 4 4 4 4 4L
5 5 5 5 5 5L
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 APPENDECTOMY 87.09
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
6 6 6 6 6 6L
2 2 2 2 2 2L
3 3 3 3 2 3T
9 9 9 9 9 9L 1 1 LAPARATOMY EKPLORASI 54.12
6 6 6 6 6 6L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 REMOVE IMPLANT 78.63
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 URS LITOTRIPSI, REMOVE D56.0+97
2 2 2 2 2 2L
7 7 7 7 7 7L 1 1 PCNL, DJ STENT, INSERSI D 5.03+56
1 1 1 1 1 1L 1 1 ORIF 79.22
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
5 5 5 5 5 5L
2 2 2 2 2 2L
3 3 3 3 3 3L
5 5 5 5 5 5L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L
14 14 14 14 14 14 L 1 1 CHOLECYSTOMY 51.22
2 2 2 2 2 2L
2 2 2 2 2 2L
3 3 3 3 3 3L
4 4 4 4 4 4L
3 3 3 3 3 3L 1 1 ECHO 88.72
3 3 3 3 3 3L
3 3 3 3 3 3L
4 4 4 4 4 4L
2 2 2 2 2 2L
2 2 2 2 2 2L
2 2 2 2 2 2L
4 4 4 4 4 4L
6 6 6 6 6 6L
4 4 4 4 4 4L
1 1 1 1 1 1L 1 1 REMOVE IMPLANT DOUBLE02.07+8
2 2 2 2 2 2L
8 8 8 8 8 8L 1 1 TONSILECTOMY 28.2
3 3 3 3 2 2T
4 4 4 4 4 4L 1 1 INDUKSI PERSALINAN 73.1
3 3 3 3 3 3L
5 5 5 5 5 5L
4 4 4 4 4 4L 1 1 PCI 36.07+0
7 7 7 7 7 7L
3 3 3 3 3 3L
4 4 4 4 4 4L
1 1 1 1 1 1L
4 4 4 4 4 4L
5 5 5 5 5 5L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 ENDOSCOPY 44.13
3 3 3 3 3 3T
5 5 5 5 5 5L 1 1 D+C 69.02
3 3 3 3 3 3L 1 1 ACL RECONSTRUCTION 81.45
4 4 4 4 4 4L
2 2 2 2 2 2L
1 1 1 1 1 1L 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
2 2 2 2 2 2L
3 3 3 3 3 3L 1 1 KOLESITEKTOMI 51.22
5 5 5 5 5 5L
1 1 1 1 1 1L
2 2 2 2 2 2L
2 2 2 2 2 2T 1 1 APPENDECTOMY 47.09
7 7 7 7 7 7L
4 4 4 4 4 4L
4 4 4 4 4 4L
2 2 2 2 2 2T
2 2 2 2 2 2L
3 3 3 3 3 3T
3 3 3 3 3 3L
2 2 2 2 2 2T
5 5 5 5 5 5L 1 1 SCTP 74.1
2 2 2 2 2 2L
9 9 9 9 9 9L 1 1 CYSTOSCOPY, REMOVE DJ 57.32+9
4 4 4 4 4 4L
1 1 1 1 1 1L 1 1 ORIF, DEBRIDEMENT 79.39+8
6 6 6 6 6 6L 1 1 CRANIOPLASTY 02.06
0 0 0 0 0 0T
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
0 0 0 0 0 0 0 1 1 AV SHUNT 39.27
4 4 4 4 4 4L
8 8 8 8 8 8L 1 1 CYSTOSCOPY, TURBT, TURP57.32+5
6 6 6 6 6 6L 1 1 MASTOIDECTOMY, TYMPAN20.49+1
2 2 2 2 2 2L
2 2 2 2 2 2L
5 5 5 5 5 5L
0 0 1 1 1 1T
1 1 1 1 1 1L 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
8 8 8 8 8 8L
3 3 3 3 3 3L
1 1 1 1 0 1T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
3 3 3 3 3 3L
1 1 1 1 0 1T 1 1 ANGIOGRAPHY STANDBY PC
36.07+0
2 2 2 2 2 2T 1 1 ORIF 79.32
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
5 5 5 5 5 5L
1 1 1 1 1 1L
2 2 2 2 2 2L
4 4 5 5 5 5L 1 1 URS LASER LITOTRIPSI, IN 56.059.
1 1 1 1 1 1T 1 1 ESWL 98.59
3 3 3 3 3 3L
4 4 4 4 4 4L 1 1 CHOLELYTIASISTECTOMY, A51.22+5
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
1 1 1 1 1 1L
2 2 2 2 2 2L 1 1 GASTROSCOPY+COLONOSC44.13+4
1 1 1 1 1 1L
3 3 3 3 3 3L
7 7 7 7 7 7L
1 1 1 1 1 1T
1 1 1 1 0 1T 1 1 ANGIOGRAPHY 88.55
3 3 3 3 3 3L
2 2 2 2 2 2L
5 5 5 5 5 5L
3 3 3 3 3 3L
2 2 2 2 2 2L
0 2 2 2 2 2T
3 3 3 3 3 3L 1 1 URS , REMOVE DJ STENT 56.0+97
4 4 4 4 4 4L
5 5 5 5 5 5L
2 2 2 2 2 2T 1 1 URS LITOTRIPSI SD INSERSI56.0+59
4 4 4 4 4 4L
7 7 7 7 7 7L 1 1 NECROTOMY, DEBRIDEMEN86.22
5 5 5 5 5 5L 1 1 SINUS VARIUM LESSION, N22.42
8 8 8 8 8 8T
5 5 5 5 5 5L
1 1 1 1 1 1T 1 1 AV SHUNT 39.27
2 2 2 2 2 2L
4 4 4 4 4 4L
3 3 3 3 3 3L
6 6 6 6 6 6L 1 1 LAMINECTOMY, DISCECTO 03.09+8
2 2 2 2 2 2L
4 4 4 4 4 4L 1 1 IRRIGASI OF EAR, ADENO 28.92+9
9 9 9 9 9 L
2 2 2 2 2 2L 1 1 COLONOSCOPY 45.23
5 5 5 5 5 5T 1 1 TONSILECTOMY 28.2
1 0 0 1 1 1T 1 1 CIRCUMCISION 41.7
4 4 4 4 4 4L
0 0 0 0 0 0T 1 1 ESWL 98.59
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 APPENDECTOMY 87.09
4 4 4 4 4 4L
1 1 1 1 1 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
3 3 3 3 3 3L
3 3 3 3 3 3L
1 1 1 1 1 1L 1 1 REVISI AV SHUNT 39.47
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
1 1 1 1 1 1L 1 1 AV SHUNT 39.27
1 1 1 1 1 1L 1 1 REVISI AV SHUNT 39.47
2 2 2 2 2 2L 1 1 REPAIR, DEBRIBEMENT 86.59+8
4 4 4 4 4 4L 1 1 D+C 74.99
3 3 3 3 3 3L
7 7 7 7 7 7L
3 3 3 3 3 3L
4 4 4 4 4 4L
3 3 3 3 3 3L 1 1 LAPARATOMY,APPENDECT 47.09+8
2 2 2 2 2 2L
4 4 4 4 4 4L
3 3 3 3 3 3L
6 6 6 6 6 6L
4 4 4 4 4 4L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
2 2 2 2 2 2T
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 LAPARATOMY, LYSIS ADHESI54.19+5
4 4 4 4 4 4L 1 1 ATE 28.3
0 0 0 0 0 0T 1 1 COLONOSCOPY 45.23
5 5 5 5 5 5L
3 3 3 3 3 3L
6 6 6 6 6 6L
7 7 7 7 7 7L
4 4 4 4 4 4L 1 1 ACL RECONSTRUCTION 81.45
4 4 4 4 4 4L
3 3 3 3 3 3L 1 1 ARTHROSCOPY, EXTIRPASI 80.26+8
2 2 2 2 2 2L 1 1 REPAIR MENISKUS 81.47
4 4 4 4 4 4L
5 5 5 5 5L
2 2 2 2 2 2L
1 1 1 1 1 1L
3 3 3 3 3 3L
3 3 3 3 3 3L
2 2 2 2 2 2L
4 3 5 5 5 5T 1 1 URS LASER LITOTRIPSI, IN 56.0+59
1 1 1 1 1 1T
0 0 0 0 0 0T 1 1 REMOVE IMPLANT 78.60
3 4 6 6 6 6T 1 1 URS LASER LITOTRIPSI, INS 56.0+59
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 ESWL 98.59
1 1 1 1 1 1L
6 6 6 6 6 6L
3 3 3 3 3 3L 1 1 SCTP,MOW 74.99+6
3 3 3 3 3 3L 1 1 SCTP 74.99
5 5 5 5 5 5L
3 3 3 3 3 3T 1 1 SCTP,MOW 74.1+66
2 2 2 2 2 2L
2 2 2 2 2 2L
2 2 2 2 2 2L 1 1 APPENDECTOMY 47.09
10 10 10 10 10 10 L 1 1 FISTULECTOMY, DEBRIDEM48.72+8
3 3 3 3 3 3L
4 4 5 5 5 5L 1 1 APPENDECTOMY 47.09
3 3 3 3 3 3L
2 2 2 2 2 2T
2 2 2 2 2 2L
5 5 5 5 5 5L
3 3 3 3 3 3L
4 4 4 4 4 4L
2 2 2 2 2 2L
3 3 3 3 3 3L
2 2 2 2 2 2L
3 3 3 3 3 3L
3 3 3 3 3 3L
0 0 0 0 0 0T 1 1 KEMOTERAPI 99.26
4 4 4 4 4 4L
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 ANGIOGRAPHY STANDBY PC
88.57+0
2 2 2 2 2 2L
4 4 4 4 4 4L
4 4 4 4 3 3T 1 1 ANGIOGRAPHY STANDBY PC
88.57+0
4 4 4 4 4 4L
7 7 7 7 7 7L 7 7 BRONCHOSCOPY 33.23
5 5 5 5 5 5L
6 6 6 6 6 6L
5 5 5 5 5 5L
2 2 2 2 2 2L
2 2 2 2 2L
2 2 2 2 2 2L
5 5 5 5 5 4T
2 2 2 2 2 2T 1 1 GASTROSCOPY 44.13
1 1 1 1 1 1T 1 1 ORIF, DEBRIDEMENT 86.28+7
3 3 3 3 3 3L
1 1 1 1 1 1T 1 1 RELASE SOFT TISSUE STIF 82.09+7
3 3 3 3 3 3L 1 1 SCTP,MOW 74.99+6
1 1 1 1 1 1L
3 3 3 3 3 3L
8 8 8 8 8 8L
3 3 3 3 3 3L
5 5 5 5 5 5L 1 1 KATETERISASI JANTUNG 37.21
4 4 4 4 4 4L
1 1 1 1 1 1L
5 5 5 5 5 5L
3 3 3 3 3 3L
3 3 3 3 3 3L
4 4 4 4 4 4L
2 2 2 2 2 2L
1 1 1 1 1 1L 1 1 TRANFUSI, HEMODYALISIS 99.04+3
2 2 2 2 2 2L 1 1 ORIF 76.06
1 1 1 1 1 1L
1 1 1 1 1 0T 1 1 ANGIOGRAPHY STANDBY PC
88.57
3 3 3 3 3 3L 1 1 SCTP 74.99
4 4 4 4 4 4L
3 3 3 3 3 3L 1 1 ANGIOGRAPHY STANDBY PC
88.57+0
6 6 6 6 6 6L
2 2 2 2 2 2L
2 2 2 2 2 2L
4 4 4 4 4 4L
3 3 3 3 3 3L
3 3 3 3 3 3 LS
2 2 2 2 2 2L 1 1 ORIF 79.15
5 5 5 5 5 5L
3 3 3 3 3 3L
3 3 3 3 3 3L
1 1 1 1 1 1L
3 3 3 3 3 3L
7 7 7 7 7 7L
1 1 1 1 1 1L 1 1 URS LASER LITOTRIPSI, INS 56.31+5
3 3 3 3 3 3L
2 2 2 2 2 2L 1 1 SCTP 74.99
2 2 2 2 2 2L
2 2 2 2 2 2L
4 4 4 4 4 4L
2 2 2 2 2 2L
1 1 1 1 1 1L
Analisis Informed Consent
Indikas Kom Prog Pem PEne
OPERATOR Nama & TTd TTD & Nama
i Tata Tujua Resik plika beri rima
(PELAKSANA Pemberi Penerima
Tindak Cara n o si nosis Infro Infor
TINDAKAN) Informasi Informasi
an masi masi
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Muhammad Iqbal 1 1 1 1 1 1 0 0 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
97.65 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Christiani Muljo 1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Stella Patricia 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1
SpOT 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, 1 1 1 1 1 1 1 1 1 1
SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Teddy 1 1 1 0 1 1 1 1 1 1
Kristiyan, SpM 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, 1 1 1 1 1 1 1 1 1 1
SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha 1 1 1 1 1 1 1 1 1 1
Lumban Batu, 1 1 1 1 1 1 1 1 1 1
SpTHT-KL
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumba 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 0 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu 1 1 1 1 1 1 1 1 1 1
Paramita, SpJP 1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Manaek P. Sihot 1 1 1 1 1 1 1 1 1 1
dr. Manaek P. Sihot 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono 1 1 1 1 1 1 1 1 1 1
Mattarungan, 1 1 1 1 1 1 1 1 1 1
SpPD
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, 1 1 1 1 1 1 1 1 1 1
SpJP
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yhohan 1 1 1 1 1 1 1 1 1 1
Ziantprayogi 1 1 1 1 1 1 1 1 1 1
Thaihutu, SpBA
1 1 1 1 1 1 1 1 1 1
dr. Adi Aryanto, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Manaek P. Sihot 1 1 1 1 1 1 1 1 1 1
drg. Daniel T.H. Hu 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
dr. H.M.D. Ervintiy 1 1 1 1 1 1 1 1 1 1
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. Shelly Laksmisar 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
0.66 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
dr. Bisma Brayatyan 1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Muhammad Iqbal 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Shelly Laksmisar 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yhohan Ziantpra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Yuliana Rianto, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Stella Patricia Y 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Dewi Ayu Parami 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. William 1 1 1 1 1 1 1 1 1 1
Sugandhi, Msi. 1 1 1 1 1 1 1 1 1 1
Med, SpB
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ketut Rama Wij 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Hedy Wahyu Ra 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
dr. Manaek P. Sihot 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Rudy Mokodompi 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Rizqa Kharisma, 1 0 1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Arie Wibisono, 1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Achmad Yusri, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Nono Mattarung 1 1 1 1 1 1 1 1 1 1
dr. Agustinus Sony 1 1 1 1 1 1 1 1 1 1
dr. Iman Martafani,
Yudianto, SpTHT- 1 1 1 1 1 1 1 1 1 1
KL 1 1 1 1 1 1 1 1 1 1
dr. M. Fadhil Ardiy 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Ivan Joalsen, Sp 1 1 1 1 1 1 1 1 1 1
dr. Haris Hayat, SpB 1 1 1 1 1 1 1 1 1 1
dr. Noviana Indarti 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Faust Mangali, S 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Aphrodite Pandi 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Maranatha Lumb 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Vincentius Dani 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
dr. Alvarez Zefanya 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
dr. Harris Oetama, 1 1 1 1 1 1 1 1 1 1
1 1 1L
1 1 0L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 0 0 0 0 0 0 0 TA 1 1
1 1 1L 1 0 0 1 1 1 1L 1 1
1 0 1T 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 0 1 1 1 1T 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
0 1 1T 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 0 1 1 1 1T 1 1
1 1 1L
1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
1 1 1L 1 1 1 1 1 1 1L 1 1
Analisis Persetujuan Anestesi TTD TTD TTD
TTD & & &
& Nama Na Na L/T
ANASTESIOLOGIST Nama Pasie ma ma
Dokte n/Wa Saks Saks
r li i I i II
dr.Menara, SpAn 1 1 1 1L
dr. Agung Purnomo, Sp 1 1 1 1L
dr.Menara, SpAn 1 1 1 1L
dr.Menara, SpAn 1 1 1 1L
RHYNOBRONCHITIS, GASTROENTERITIS
HEG
NEWBORN ATERM SPONTANEOUS
HYDRONEPHROSIS EC BATU URETER, GINJAL, HT, HHD CAD
HYDRONEPHROSIS EC STENOSIS URETER, ISK, HAEMATURIA
DYSPEPSIA, VOMITING
RHYNOPHARINGITIS, EPISTAXIS
KISTA OVARIUM
RHINOFARINGITIS
ABDOMINAL PAIN
G2P1A1, PEB
UTI, DYSPEPSIA SYNDROME
DIARE AKUT, BRONHITIS
NEWBORN ATERM SPONTANEOUS
UTI, DYSPEPSIA, FATTY LIVER
G4P2A1 INPARTUS
ANGINA PECTORIS
DENGUE FEVER
ANGINA PECTORIS, HHD
EFUSI PLEURA, CARDIOMEGALY
RHINOFARINGITIS, UTI
ESOFARINGITIS, GASTRITIS
CKD ON HD, ANEMIA RENA , EDEMA PARU AKUT, BRONCHOPNEUMONIA BILATERAL, HT ST II
SHOCK DELAY, CESAREAN SECSIO, FETAL DISTRESS
TRAUMA TUMPUL ABDOMEN
COLIK ABDOMEN, DYSPEPSIA
CAD
ANGINA PECTORIS, CHF
ANGINA PECTORIS, CHF
ANGINA PERCTORIS SUSP UAP, HT, HHD WITH CHF, GERD, SINUS BRADICARDI
ANGINA PECTORIS
SHOCK DELAY, CESAREAN SECSIO
CAD POST PCT CAD HHF
CAD, CHF, HHD
BRONCHOPNEUMONIA
NEWBORN SC, NEONATAL JAUNDICE
STROKE
UTI, DYSPEPSIA
ANEMIA, CYSTITIS, RHINOBRONHITIS
G4P3A0 INPARUS
HEG, AB IMMINENS
KONTRAKTUR GENU, HYPERTENSI
APPENDICITIS KRONIK
CKD, ALERGI RENAL, HT II
DENGUE FEVER
DIARE DISENTRI
PARTUS PRETERM, POST SC 3X, MYOMA UTERI
RHINOFARINGITIS
DIARE CAIR AKUT, UPPER RESPIRATORY TRACK INFEKTION, DENGUE FEVER
RDN EC HMD PREMATURE, VLBW PREMATURE, NEONATAL JOUNDICE, ELECTROLYTE IMBALANCE
NSTEMI, HHF
DYSPEPSIA
CONSTIPASI, ATOPIC DERMATITIS, UTI
UTI, DM, ULKUS PEDIS, SELULITIS PEDIS
HEMATOSCEZIA, DM
RHINOFARINGITIS, ISK
DIARE CAIR AKUT
NEWBORN ATERM SPONTANEOUS
RHINOFARINGITIS
KPD, PTM, PP SPONTAN, AKSEPTOR IUD
TYPHOID FEVER
STATUS MIGRAIN
DYSPEPSIA
RHYNOPHARINGITIS
CA BULI METASTASE PROSTAT, HYDRONEPHROSIS, BILATERAL AKUT ON CKD, HT ST 1
BRONCHOPNEUMONIA
RHYNOPHARINGITIS, DENGUE FEVER, TROMBOSITOPENIA
INTRACRANIAL HEMORRAGIC FRONTAL BILATERAL, SUBARACNOID HEMORRAGIC
G3P2A0 SC,BSC 2 X
SINGLE SPONTANEUS DELIVERY, SECOND DEGRE PERINEAL LACERATION, INETIA UTERI
DYSPEPSIA
UTI, CYSTITIS, DYSPEPSIA SYNDROME
KOLELITIASIS MULTIPLE
H ZOOSTER OPTHALMICUS, DM, HEPATOPATHY
RHINOFARINGITIS
TENSION TYPE HEADACHE, ASTHMA TYPE BRONCHIAL
N ATERM, INFEKSI BAKTERIAL
ASTHMA SEDANG, 2 ND INF
FARINGITIS AKUT, DYDPEPSIA, LOW INTAKE
DIARE CAIR AKUT, DYSPEPSIA
ISK
RHINOFARINGITIS
RHYNOPHARINGITIS
DEMAM DENGUE, RHINOFARINGITIS, CONSTIPATION
TONSILOPHARINGITIS, DEMAM TYPHOID
UTI, STROKE ISCHEMIC AKUT, GASTROPATHY, HEMOKONSENTRASI
URTI, HYPERSECRETION BRONCUS,GEA
BENIGN PROXIMAL VERTIGO
FEBRIS, DYSPEPSIA
COLITIS ULCERATIVE
NSTEMI,HHD, ANEMIA POST TRANSFUSI
CAD, CHF, DM, HYPONATREMIA
DENGUE FEVER
DIARE AKUT, RHYNOBRONCHITIS
CHRONIC TONSILITIS
CAD, HHD, VEST MULTIPLE
VARICELLA, LOW INTAKE
BATU URETER, DJ STENT, DM TYPE II, HNP L1
G3P2A2 BEKAS SC, LETAK SUNGSANG, ANEMIA
CHRONIC TONSILITIS
HEG
ISK, VIRAL EXAMTHEMA, GEA
VERTIGO PERIPERAL, RHYNOPHARINGITIS
DEMAM DENGUE, EPISTAXIS
ANOXIA, ASMA
RHYNOBRONCHITIS, MILIARIA
TUMOR KEPALA BAGIAN BELAKANG
DEMAM DENGUE, RHINOFARINGITIS
KOLECYSTITIS MULTIPLE
ACL TEAR GENU
G1P0A0,ASTHMA BRONCHILE, GLAUKOMA
OPEN DISLOKASI FRAKTUR ANKLE
STROKE ISCHEMIC AKUT, DIDLIPIDEMIA, HT
REFLUX GASTROPATHY GERD, CHEST DISCOMFORT, FATTY LIVER
PARTUS ATERM, POST SC 2X
BATU URETER, STIKTUR URETER, ISK
CARBUNCLE
RHYNOPHARINGITIS, MYALGIA
ABDOMINAL PAIN, ERITROCIMIA
HYDRONEPHROSIS EC STENOSIS URETER, SUSP TB
DIARE AKUT
HEPATOMA, MODS, SEPSIS, HEPATORENAL SYNDROME, HYPOALBUMIN
DENGUE FEVER, GEA, RHYNOFARINGITIS AKUT
G3P1A1 38-39 INPARTU
BRONCHOPNEUMONIA, DEHIDRASI EC LOW INTAKE
STROKE ISCHEMIC AKUT, DM, SECONDARY GENERALIZED TONIC CLONIC SEIZURE
IKTERUS, HEPATITIS B, DM
N ATERM, INFEKSI BAKTERIAL
KDS, DENGUE FEVER
ANEMIA GRAVIS, NEFROLITIASIS, POLYP SERVIX
HNP LI-L5, CANAL STENOSIS
GASTROENTERITIS DEHIDRASI, MALNUTRISI
FULLSTICKNESS AVULSI NASAL
PPOK EKSERBASI AKUT, HYPOKALEMIA
DIARE AKUT, RHYNOPHARINGITIS
HT, CHEST PAIN SUSP GERD, DISLIPIDEMIA
BENIGN PROXIMAL VERTIGO
CHOLECYTITIS, PID
BP
VERTIGO PERIPHERAL, HNP L5-S1, S1 JOINT PAINT, DISLIPIDEMIA
RHINOFARINGITIS, STOMATITIS MULTIPLE
PP SPONTAN, RUPTUR PERINEUM GR II
CF CLAVICLE, RUPTUR TENDON PEDIS
VOMITING, DYSPEPSIA
N ATERM
URTI, GASTRITIS KRONIK SUPERFICIAL, GASTER ULKUS
RHINOFARINGITIS AKUT
DYSPEPSIA, KISTA OVARIUM
SINGLE SPONTAN DELIVERY, SECOND DEGREE PERINEAL LACERATUM, INERTIA UTERI
APPENDIX INFILTRAT
VERTIGO PERIPERAL, COMMOND COLD
NCB BBLC
ISK, VAGINITIS
ACUTE BRONCHITIS
DISENTRI
KEJANG DEMAM SEDERHANA
CHOLECYCTITIS
FEBRIS, TYPHOID FEVER, UTI, ANEMIA DEFICIENCY FE
FOCAL TO BILATERAL TONIC CLONIC SEIZURE, KONSTIPASI KRONIK
DRUG HYPERSENSITIFITI, DISMENORHEA, DYSPEPSIA SYNDROME
UAP, CHOLELITIASIS
UTI, EDMA PALPEBRA
APPENDICITIS AKUT ON KRONIK
G2P0A1 HAMIL 8-9 MINGGU, HEG, ISK
SECONDARY HEADACHE, HT, DM
GERD
FATTY LIVER, NEFROCALCINOSIS
FARINGITIS AKUT
N ATERM
UA, PVC, DM
VESICOLITHIASIS, ISK
FARINGITIS ACUTE, MULTIPLE STOMATITIS, LOW INTAKE
RHYNOPHARINGITIS, GERD
DHF GR 1
SUSP ISK, RHYNOFARINGITIS
SINGLE DELIVERY BY EMERGENCY CESAREAN SECSIO
RHYNOPHARINGITIS, EPISTAXIS
APPENDICITIS
FISTULA PERIANAL
UNION FRAKTUR CLAVICULA
NA, BBLR, INFEKSI BACTERIAL, HYPERBILIRUBINEMIA, HYPOGLICEMIA
CAD 3 VD, HT, HHD, DM, HYPOKALEMIA, SINUS BRADICARDIA
ANGINA PECTORIS, CHF
CAD POST PCI, HHD
ANGINA PECTORIS,PVC
GEA DEHIDRASI, VOMITING PORFOSE
GASTRITIS KRONIK SUPERFECIAL, UTI
ISPA, G2P0A1 28-29 MINGGU, DYSPEPSIA
GASTROPATHY, COLITIS CHRONIC, UTI, HT
DYSPEPSIA, SPASMOFILIA
VERTIGO PERIPERAL, RHYNOPHARINGITIS
GASTROENTERITIS ACUTE DEHIDRASI, VOMITING PEPOUS
DYSPEPSIA
ANGINA PECTORIS, CHF
ANGINA PECTORIS, CHF
TYPHOID FEVER
HYDRONEPHROSIS EC STENOSIS URETER, BATU URETER, HT, HHD
VERTIGO PHERIPERAL, SINCOPE
MECHANICAL COMPLICATION OF VASCULAR, CKD ST V
TRIGGER FINGER D/S, MENISCUS TEAR, RUPTUR ACL, HT, HHD
BRONCHOPNEUMONIA, ANEMIA, DEHIDRASI DIARE AKUT
NEWBORN ATERM, SC
APPENDICITIS PERFORATION
HEMATOSCEZIA, HEPATOPATHY
CLEFT LIP PALATE UNILATERAL COMPLETE
CAD POST PCI, HT, JUNCTIONAL RHYTM
DDH DEXTRA
INFEKSI SALURAN KEMIH
KEJANG DEMAM SEDERHANA, RHYNOFARINGITIS, TROMBOSITOPENIA, KONSTIPASI
AB IMMINENS
UTI, DYSPEPSIA
ANEMIA
G5P2A2 38-39 MINGGU
ADENOTONSILITIS
CANAL STENOSIS L4-L5
HYDRONEPHROSIS EC BATU URETER, BATU GINJAL
GEA, URTI, DEHIDRASI
AF, HEPATOPATHY
CKD ST V, MECHANICAL COMPLICATION OF VASCULAR GRAFT, ANEMIA
HN EC BATU URETER, CHOLELYTIASIS, HT
ISCHEMICAL HEMORRHAGE, HT, DM
ACUTE RHYNOFARINGITIS, DENGUE FEVER
RHINOFARINGITIS, ISK
BATU URETER
HN EC BATU URETER, BPH, HT, HHD WITH HF, MILD AR, SUSP CAD
ONION TIBIA DEXTRA
VERTIGO PERIPERAL
PP SPONTAN, RUPTUR PERINEUM GR II
HYDRONEPHROSIS EC BATU URETER, BATU GINJAL BILATERAL, ISK, HAEMATURIA
ASTHMA PERSISTENT DALAM SERANGAN RINGAN TIDAK TERKONTROL
GASTRITIS KRONIK SUPERFECIAL
HYDRONEPHROSIS EC BATU URETER, AKI, INSUFF RENAL
APPENDICITIS AKUT
HN EC BATU URETER, BATU GINJAL, HEP B, CKD, ISK, HAEMATURIA
CKD EC UROPATHY EC STENOSISI URETER BILATERAL EC PENEKANAN INTRA ABDOMEN, CA MAMMAE, POST MASTECTOMY, KO
RHINOFARINGITIS, H BRONCUS, DEHYDRASI
PERITONSILER INFILTRAT
DIARE AKUT, DM
NEONATUS ATERM
RHYNOPHARINGITIS
CKD ST V
RHYNOPHARINGITIS, TROMBOSITIPENIA
BENIGN PROXIMAL VERTIGO
BLIGHTED OVUM
MECHANICAL COMPLICATION OF VASCULAR GRAFT, CKD ST V
KDS, RHYNOFARINGITIS
GEA, VOMITING
CKD ST V
RUPTUR AV FISTULA, CKD ST V, SEPSIS
CKD ST V, ANEMIA
CKD ST V, ANEMIA
CKD ST V
RHYNOPHARINGITIS
G1P0A0 40 WEEK, BODERLINE, SINCOPE, RETENSI URIN
VIRAL EXAMTHEMA, RHYNOFARINGITIS
CKD ST V
VERTIGO PERIPHERAL
CKD ST V
GEA EC INF BACTERI AKUT
KISTA FUNGSIONAL, LEUKOREA
DENGUE FEVER, HEPATOPATHY
RHYNOBRONCHITIS
PPOK EKSERBASI AKUT, PNEUMONIA STABIL
ACUTE BRONCHITIS
NEONATAL JAUNDICE
HYPERLEUKOCYTOSIS, BRONCOPNEUMONIA, ACUTE LEUKIMIA, ISK
SIROSIS HEPATIC, HEPATITIS B, ANEMIA, HYPERTENSI, HYPOALBUMIN
NCB BBLC
DIARE CAIR AKUT, HYPOKALEMIA
COMBUTIO GR II 6%
RHINOFARINGITIS, DYSPEPSIA
RHYNOBRONCHITIS
VERTIGO,DYSPEPSIA, COUGH
NEFROLITHIASIS BILATERAL, VESICOLITHIASIS, STRIKTUR URETRA, ISK KOMPLIKASI, DIVERTICULA BULI
DIARE CAIR AKUT, CEPHALGIA
CYSTITIS
ASMA PERSISTENT, FARINGITIS
FEBRIS EC BRONCHITIS, DM II, SECONDARY HEADACHE
ANAL PROLAPSE
NCB
LBP EC HNP LUMBALIS
RHYNOPHARINGITIS AKUT, LOW INTAKE
RHINOFARINGITIS
ASMA BRONCHILE
NCB SMK
DHF, HEPATOPATHY, SUSP MYOMA UTERI
ALERGI RHINITIS, SINUSITIS MAXILARI, ACUTE PHARINGITIS, VOMITING
KDS, DIARE AKUT, DERMATITIS KONTAK IRITASI
BRONCHOPNEUMONIA, DIARE AKUT, CERMATITIS
ANAL PROLAPSE
FEBRIS VIRAL INF, TROMBOSITOPENIA
RHYNOBRONCHITIS, KEJANG DEMAM
FEBRIS EC FARINGITIS AKUT, DYSPEPSIA SYNDROME
0 0 0 0 0 0 0 0 0T 1 1
3 3 3 2 2 3 3 3 3T 1 1
11 11 9 11 11 11 11 11 11 T
2 1 1 2 2 2 2 2 2T
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L 1 1
2 2 2 2 2 2 2 2 2L 1 1
3 3 3 3 3 3 3 3 3L
0 0 0 0 0 0 0 0 0T 1 1
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L 1 1
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L
8 8 8 8 8 8 8 8 8L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
12 12 12 12 12 12 12 12 12 L 1 1
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L 1 1
1 1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L 1 1
3 3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L 1 1
3 3 3 3 3 3 3 3 3L 1 1
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L 1 1
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 2T
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 1T
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1 1L
5 5 5 5 5 5 5 5 5L
6 6 6 6 6 6 6 6 6L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 2 2T
0 0 0 0 0 0 0 0 0T
1 0 0 1 1 1 1 1 1T 1 1
1 1 1 1 1 1 1 1 1L 1 1
3 3 3 3 3 3 3 3 3L
3 3 0 3 3 3 3 3 3T 1 1
5 5 5 5 5 5 5 5 5L
0 0 0 2 2 2 2 2 2L 1 1
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
6 6 6 6 6 6 6 6 6L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L 1 1
1 1 1 4 4 4 4 4 4T 1 1
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1 1L 1 1
0 0 0 2 2 2 2 2 2T 1 1
1 1 0 1 1 1 1 1 1T
1 1 1 1 1 1 1 1 1L 1 1
0 0 0 1 1 1 1 1 1T 1 1
3 3 3 3 3 3 3 3 3L 1 1
1 1 1 1 1 1 1 1 1L 1 1
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
9 9 9 9 9 9 9 9 9L
5 5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1 1L
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 3L 1 1
4 4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2 2L
0 0 0 1 1 1 1 1 1L 1 1
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
0 1 0 1 1 1 1 1 1T 1 1
3 3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1 1L 1 1
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
12 12 12 12 12 12 12 12 12 L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
0 0 0 1 1 1 1 1 1T 1 1
3 3 3 0 0 3 3 3 3T 1 1
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L 1 1
4 4 4 4 4 4 4 4 4L
1 0 0 1 1 1 1 1 1T 1 1
3 3 3 3 3 3 3 3 3L
6 6 6 6 6 6 6 6 6L 1 1
1 0 0 1 1 1 1 1 1T 1 1
4 4 4 4 4 4 4 4 4L 1 1
1 0 0 1 1 1 1 1 1T
0 0 0 1 1 1 1 0 1T
2 2 2 2 2 2 2 2 2L 1 1
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3 3L 1 1
5 5 5 5 5 5 5 5 5L 1 1
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
0 0 0 0 0 0 0 0 0T 1 1
1 1 1 1 1 1 1 1 1L 1 1
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
1 0 0 1 1 1 1 1 1T 1 1
2 2 2 2 2 2 2 2 2L
0 0 0 1 1 1 1 0 1T 1 1
2 2 2 2 2 2 2 2 2L
3 0 0 3 3 3 3 3 3T 1 1
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5 5L
16 16 16 16 16 16 16 16 16 L
6 6 6 6 6 6 6 6 6L 1 1
2 2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
7 7 7 7 7 7 7 7 7L
1 1 1 1 1 1 1 1 1L 1 1
2 0 2 2 2 2 2 2 1T 1 1
3 3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
6 6 6 6 6 6 6 6 6L 1 1
5 5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5 5L
5 5 5 5 5 5 5 5 5L
6 6 6 6 6 6 6 6 6L
3 3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6 6L
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
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2 2 2 0 0 2 2 2 2T 1 1
2 2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2 2L
1 0 0 1 1 1 1 1 1T 1 1
2 2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3 3L
Analisis Informed Consent
Indikasi Tata Tujua Resik Kompli Progn
OPERATOR (PELAKSANA
Tindakan Kode Tindak Cara
TINDAKAN) n o kasi osis
an
EXPLORASI, RECONSTRUK
08.09+08.7dr. Teddy Kristiyan, SpM 1 1 1 1 1 1
URS LITOTRIPSI REMOVE56.0+97.65dr. M. Fadhil Ardiyansyah, SpU 1 1 1 1 1 1
REKONSTRUKSI OSTEOTO
77.30+79.3dr. Hedy Wahyu Ramadhani, S 1 1 1 1 1 1
EAR VANOUS LESION 18.7 dr. Maranatha Lumban Batu, S 1 1 1 1 1 1
PERCUTANEUS NEFROSTO
55.03 dr. Harris Oetama, SpU 1 1 1 1 1 1
CHORDECTOMY 30.22 dr. Harris Oetama, SpU 1 1 1 1 1 1
URETEROTOMY, REMOVE
56.2+97.65dr. M. Fadhil Ardiyansyah, SpU 1 1 1 1 1 1
HECTING VULNUS 86.59 dr. Arie Wibisono, SpBP-RE 1 1 1 1 1 1
FISTULA PERIANAL 49.12 dr. Haris Hayat, SpB 1 1 1 1 1 1
RETROGRADE URETROGR
87.76+56.3dr. Harris Oetama, SpU 1 1 1 1 1 1
ODONTECTOMY 23.19 drg. Daniel T.H. Hutabarat, Sp 1 1 1 1 1 1
CORONARY ANGIOGRAPH
88.57 dr. Dewi Ayu Paramita, SpJP 1 1 1 1 1 1
ODONTECTOMY 23.19 drg. Daniel T.H. Hutabarat, Sp 1 1 1 1 1 1
URETROSCOPY, URETHRO
87.76+56.2dr. Harris Oetama, SpU 1 1 1 1 1 1
NECROTOMY, DEBRIDEME
86.22+15.7dr. Arie Wibisono, SpBP-RE 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 0 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 0 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 0 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 0 1 1T
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 0 0 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
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1 1 1 1 1 1 1L 1 1 1 1 1 1
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1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 0 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1 1 1 1 1
1 1 1 1 1 1 1L 1 1 1 1 1 1
ASI Analisis Persetujuan Anestesi
TTD & TTD & TTD & TTD &
TGL/J L/T Nama Nama Nama L/T
Tinda Dokter ANASTESIOLOGIST Nama Pasien Nama Nama JAM KEMA
AM kan Dokter /Wali Saksi I Saksi II
1L
1T 1 1 dr. Agung Purnomo, S 1 1 1 1L
1L
1L 1 1 dr. Regina Agustina, S 1 1 1 1L
1L
1L
1T 1 1 dr. Agung Purnomo, S 1 1 1 1L
1L
1L
1L
1L
1L
1L 1 1 dr. Eka Seprianti W. Sp 1 1 1 1L
1L
1L 1 1 dr. Eka Seprianti W. Sp 1 1 1 1L
1L
1L
1L
1L
1T 1 1 dr. Eka Seprianti W. Sp 1 1 1 1L
ATYPIKAL CHEST PAIN, REFLUX GASTROPATHY, FATTYN LIVER R07.4 K31.8 K76.0
RHYNOFARINGITIS, DYSPEPSIA J00 K30
BATU URETER, BATU GINJAL, ISK N21 N20.0 N39.0
DJ STENT INSITU Z96.0
ANGINA PECTORIS, HHD WITH CHF PVC I20.9 I11.0 I49.3
PREMATURE LABOUR BEFORE 37 WEEK GESTATION O60.1 Z34.8
DJ STENT INSITU Z96.0
DEMAM DENGUE A90
CAD 3 VD, POST PCI DI OM1, HT HHD WITH HF I25.1 I10 I11.0
GERD, CHEPALGIA K21.9 R51
COLIC ULCERASI, HAEMORRHOIDS INT GR II K51.9 I84.2
AKUT CYSTITIS N30.0
HYPEREMESIS GRAVIDARUM O21.0 Z34.8
NEPHROLITHIASIS MULTIPLE N20.0
RHYNOFARINGITIS, LOW INTAKE J00 E63.1
BENIGN PROXIMAL VERTIGO H81.1
DM E14.9
BENIGN PROXIMAL VERTIGO, DM II H81.1 E1I.9
HEADACHE, FARINGITIS AKUT R51 J02.9
RHYNOFARINGITIS, DERMATITIS J00 L30.9
G1P0A0 27-28 MINGGU, GEA Z34.0 A09.9
MECHANICAL COMPLICATION OF VASCULAR GRAFT, CKD ST V T82.3 N18.8
CKD ST V N18.8
ASMA BRONCHILE J45.9
RHYNOFARINGITIS, OMA J00 H66.9
FARINGITIS J02.9
BREACH DELIVERY, SECOND DEGRE, LACERATUM PERINEUM O80.1 Z37.0 O70.1
CKD ST V ON HD, HYPERTENSI, ANEMIA N18.8 D63.8 I10
CKD ST V ON HD, HYPERTENSI, ANEMIA N18.8 D63.8 I10
DIARE CAIR AKUT, URINARY TYRACK INFECTION, ATOPIC DERMATA09.0 L20.9 N39.0
ACUTE NASOPHARYNGITIS, LOW INTAKE, VIRAL INFECTION J00 E63.1 B34.9
HYPOSPADIA TYPE PENILE, CHORDEE, ISK Q54.1 Q54.4 N39.0
APPENDICITIS CHRONIC K36
ANGINA PECTORIS SUSP RECENT STEMI , OMI ANTEROSEPTAL, HTI20.9 I50.9 I10
SECONDARY HEADACHE, RHYNOFARINGITIS AKUT R51 J00
NEWBORN ATERM SPONTAN Z38.0
RUPTURED OF UPPER ARTETY, CKD ST V I77.2 N18.8
COR, FBC, FRACTUR ZYGOMAXILLA S06.9 S02.4 S02.1
RHYNOFARINGITIS J00
CHOLELITIASIS, TENTION TYPE HEADACHE K80.2 G44.2
HYDRONEPHROSIS EC STENOSIS URETER, DM, ISK, HEMATURIA,AN35.9 E14.7 N20.1
GERD K21.9
DIARE AKUT A09.9
BRONCHITIS, GEA TANPA DEHIDRASI, LOW INTAKE, KANDIDIASIS J20.9 A09.9 E63.1
ANGINA PECTORIS, PVC, HHD WITH CHF I20.9 I49.3 I11.0
BENIGN PROXIMAL VERTIGO, DM, CHF EC HHD, HT H81.1 E14.7 I11.0
FEBRIS H IV, TROMBOSITOPENIA, RHYNOFARINGITIS, EPISTAXIS R50.9 D69.6 J00
FR TIBIA DEXTRA S82.2
RHYNOFARINGITIS J00
N ATERM, INFEKSI BACTERIAL Z38.0 A49.9
DIARE AKUT A09.9
CHOLELITIASIS, HEPATOPATHY K80.2 K76.9
RHINITIS, VIRAL INF J31.0 B34.9
UA, PVC I20.0 I49.3
CKD ST V, ANGINA PECTORIS, CHF, HT ST I, ANEMIA RENAL N18.8 I20.9 I11.0
GBM FRONTAL C71.9
CKD ST V ON HD, HYPERTENSI, ANEMIA RENAL, ASCITES, HT N18.8 R18 I10
GEA, URTI, VOMITING A09.9 J06.9 R11
ULCER KAKI DM II, HHD, DYSPEPSIA E11.5 I11.9 K30
GASTRITIS CRONIC SUPERFICIAL, KONSTIPASI K29.3 K59.0
NEWBORN ATERM SC, BAYI BESAR Z38.0 P03.4 P08.0
DENGUE FEVER, RHYNOFARINGITIS AKUT, SUSP ISK A90 J00 N39.0
DENGUE FEVER A90
FARINGITIS, SECONDARY HEADACHE, HEPATOPATHY J02.9 R51 K76.9
VERTIGO R42
SINUSITIS ETHMOIDAL BILATERAL, FARINGITIS, FEBRIS J32.2 J02.9 R50.9
RHYNOFARINGITIS J00
BRONCOPNEUMONIA J18.0
GASTRITIS K29.7
RHYNOFARINGITIS J00
HEMOTOCEZIA, SUSP HEMORROID INTERNA, COLITIS KRONIK, GAS
K92.1 I84.2 K52.9
NCB SMK Z38.0
COMBUTIO GRADE I-II, OMI, CHF, HT, DM T30.2 X14 I25.2
GERD K21.9
NCB SMK Z38.0
GERD K21.9
STT POPLITEA D48.7
NASOPHARYNGITIS J00
DIARE AKUT A09.9
DIARE AKUT A09.9
DYSPEPSIA K30
HNP L5-S5 M51.1
CHOLELITIASIS K80.2
DHF GR I A91
HYDRONEPHROSIS EC BATU GINJAL, URETER, HEMATURIA N13.6 R31
CAD, HHD, MYOCARDIAL BRIDGING, PAF I25.1 I11.0 Q24.5
RHYNOFARINGITIS, DIARE AKUT J00 A09.9
EPILEPSI POST STROKE, HT, GASTROPATHY, DISLIPIDEMIA G40.9 I10 E78.9
MIGRAIN G43.9
DYSPEPSIA K30
FEBRIS, FARINGOBRONCHITIS, UTI, DYSPEPSIA, VOMITING R50.9 J40 N39.0
SINGLE DELIVERY BY CESAREAN SECTIO, PREMATURE RUPTUR M Z37.0 O82.1 O42.9
MIGRAIN, VERTIGO G43.9 R42
ACUTE NASOPHARYNGITIS, RHINITIS VASOMOTOR, MIGRAIN J00 J30.0 G43.9
ULCER GASTER, GASTROPATHY K25.9 K31.9
G1P0A0 INPARTU O80.9 O70.1 Z37.0
BRONCOPNEUMONIA J18.0
GERD K21.9
UTI, DYSPEPSIA SYNDROME N39.0 K30
HN EC BATU URETER DISTAL N13.6
NEWBORN ATERM SPONTAN Z38.0
ANGINA PECTORIS, CHF, ACUTE KYDNEY INJURY, DM I20.9 I11.0 N17.9
ENCHEPALITIS VIRAL, SCHISOFRENIA PARANOID, GASTROPATHY RA86 F20.0 K31.8
RHYNOFARINGITIS J00
RHYNOFARINGITIS J00
SINGLE SPONTAN DELIVERY, INERTIA UTERI, SECOND DEGREE PE Z37.0 O80.0 O62.2
BENIGN PROXIMAL VERTIGO H81.1
STROKE ISCHEMIC AKUT, HT, DM 2, TB PARU I63.9 I10 E11.7
ACUTE NASOPHARYNGITIS J00
ACUTE RINOFARYNGITIS, URINARY TRACK INFECTION J00 N39.0
DENGUE FEVER HEMORRHAGIC, ACUTE NASOPHARINGITIS A91 J00
RHYNOFARINGITIS, GINGIVITIS J00 K05.0
N ATERM Z38.0
UTI, DYSPEPSIA SYNDROME N39.0 K30
HYPERBILIRUBINEMIA P59.9
FEBRIS EC BRONCHITIS ACUTE, GASTROPATHY J40 K31.9
EPISTAXIS, ATIPICAL CHEST PAIN, SOASM MUSCLE R04.0 R07.4 R25.2
N ATERM Z38.0
ACUTE WATERY DIARE A09.0
ISK, WEBB PENIS, DF, URI N39.0 Q55.6 A90
URTI, DYSPEPSIA J06.9 K30
RHYNOBRONCHITIS J20.9
PARTUS ATERM, FETAL DISTRESS Z37.0 O68.9 O82.9
TONSILOFARINGITIS J06.8
RHYNOFARINGITIS J00
VOMITING, VIRAL INFECTION, STOMATITIS R11 B34.9 K12.1
URTI EC VIRAL INF, TROMBOSITOPENIA, LOW INTAKE B34.9 D69.6 E63.1
FEBRIS EC VIRAL INFECTION, DYSPEPSIA B34.9 K30
DENGUE HEMORHAGIC FEVER, RHYNOSINUSITIS CHRONIC, UTI, A91 J32.9 J39.0
BENIGN PROXIMAL VERTIGO, HT H81.1 I10
BRONCHITIS J20.9
ANGINA PECTORIS, PVC, DM I20.9 I49.3 E14.7
BP, DIARE AKUT J18.0 A09.9
ANGINA PECTORIS, HHD WITH CHF I20.9 I11.0
RHYNOFARINGITIS J00
N ATERM SC, INFEKSI BACTERIAL P03.4 P39.9 Z38.0
BATU GINJAL N20.0
ACL TEAR, MENISCUS GENU, REF URINE EC NEUROGENIC BLADD S83.5 S83.2 N31.9
G5P1A3 39-40 MINGGU, HYPERTENSI DALAM KEHAMILAN, KETUBZ37.0 O80.9 O10.0
FEBRIS EC FARINGITIS, DYSPEPSIA, GASTROENTERITIS AKUT J02.9 K30 A09.9
KEJANG DEMAM SEDERHANA R56.0
RHYNOFARINGITIS J00
ILEUS, CAD K56.7 I25.1
DENGUE FEVER, HETOPATHY REACTIVE, DYSPEPSIA SYNDROME A90 K76.9 K30
DYSPEPSIA K30
SVT, VES, HYPOKALEMIA, HYPOKALCEMIA I47.1 I49.3 E87.6
BATU GINJAL BILATERAL, POLIKISTA KYDNEY N20.0 N28.1
CAD ANTEROSEPTAL, EF VUR, VES PREGNENT, ISK, HHD WITH CHF,I25.1 I48 I49.3
ACUTE WATERY DIARE, URINARY TRACT INFECTION, ACUTE PHARIA09.0 J02.9 N39.0
BPH, HT, HHD WITH CHF, ISCHEMIC CARDIOMIOPATHY,, CAD, MILD
N40 I11.0 I25.5
UTI, RHYNOFARINGITIS, DYSPEPSIA N39.0 J00 K30
HYPERTENSI MODERETE SEVERE, GNAPS, ISK EC CHOLECYCTITIS I10 N00.9 K81.9
RHYNOFARINGITIS, DEHYDRASI EC LOW INTAKE J00 E63.1
RHYNOFARINGITIS, DEHYDRASI EC LOW INTAKE J00 E63.1
COLIC ABDOMEN R10.4
DIARE AKUT, DM, DISLIPIDEMIA A09.9 E14.9 E78.9
OA ANKLE M19.1
PPOK EKSERBASI AKUT, FEBRIS J44.9 R50.9
RHYNOFARINGITIS AKUT, DEHYDRASI EC LOW INTAKE J00 E63.1
RHYNOFARINGITIS, EPILEPSI GENERALIZED TONIC CLONIC SEIZURJ00 G40.3
IMPAKSI GIGI K01.1
HAEMORRHOIDS GR IV,HT HHD, ATRIAL RYTHM, HYPOKALEMIA, I84.8 I10 I49.8
RHYNOFARINGITIS J00
TENSION TYPE HEADACHE, GERD, HYPERTENTION G44.2 K21.9 I10
MALARIA B54
PHIMOSIS N47
DYSPEPSIA, HYPOKALEMIA K30 E87.6
COR, CEPHAL HEMATOMA S06.9 T14.0
RHYNOFARINGITIS J00
BENIGN PROXIMAL VERTIGO H81.1
STRAIN LUMBAL M54.5
FEBRIS EC MAATITIS AKUT, DYSPEPSIA SYNDROME N61 K30
G2P1A0 38-39 MINGGU INPARTU RUPTUR PERIUNEUM GR II Z37.0 O80.9 O70.1
DM II, CHOLELITIASIS, UTI E11.7 K80.2 N39.0
BPH, UTI, ANEMIA, CANDIDIASIS ORAL, HYPONATREMIA, GANG FN40 N39.0 D64.9
FARINGITIS J02.9
RUJU
ICD Code ICD Code ICD Code ASAL
MASUK TIDAK Discharge Date
KAN/ Tgl Master LOS H/M
IV V VI Alasa
n
Masu
k
UGD T 4/2/2019 4/5/2019 1H 1
LANGSUNGT 4/1/2019 4/4/2019 1H 1
UGD T 4/3/2019 4/4/2019 2H 1
UGD T 4/3/2019 4/4/2019 2H 1
UGD T 4/5/2019 4/6/2019 4H 1
UGD T 4/6/2019 4/8/2019 5H 1
UGD T 4/5/2019 4/8/2019 4H 1
UGD T 4/2/2019 4/4/2019 1H 1
OPD T 4/2/2019 4/4/2019 1H 1
OPD T 4/3/2019 4/4/2019 2H 1
UGD T 4/6/2019 4/8/2019 5H 1
UGD T 4/3/2019 4/8/2019 2H 1
UGD T 4/5/2019 4/6/2019 4H 1
OPD T 4/2/2019 4/5/2019 1H 1
UGD T 4/3/2019 4/4/2019 2H 1
LANGSUNGT 4/2/2019 4/4/2019 1H 1
1
UGD T 4/2/2019 4/4/2019 1H 1
UGD T 4/3/2019 4/4/2019 2H 1
OPD T 4/2/2019 4/4/2019 1H 1
OPD T 4/2/2019 4/5/2019 1H 1
UGD T 4/3/2019 4/4/2019 2H 1
UGD T 4/4/2019 5/3/2019 3H 1
OPD T 4/2/2019 4/5/2019 1H 1
OPD T 4/5/2019 4/6/2019 4H 1
UGD T 4/2/2019 4/4/2019 1H 1
UGD T 4/4/2019 4/6/2019 3H 1
OPD T 4/3/2019 4/4/2019 2H 1
UGD T 4/2/2019 4/4/2019 1H 1
UGD T 4/2/2019 4/4/2019 1H 1
OPD T 4/3/2019 4/4/2019 2H 1
UGD T 4/4/2019 4/6/2019 3H 1
UGD T 4/2/2019 4/4/2019 1H 1
1
UGD T 4/3/2019 4/5/2019 1H 1
UGD T 4/2/2019 4/5/2019 1H 1
UGD T 4/2/2019 4/5/2019 1H 1
UGD T 4/2/2019 4/4/2019 1H 1
UGD T 4/3/2019 4/5/2019 1H 1
UGD T 4/3/2019 4/5/2019 1H 1
UGD T 4/2/2019 4/4/2019 1 1
UGD T 4/4/2019 4/8/2019 2H 1
UGD T 4/4/2019 4/6/2019 2H 1
1
UGD T 4/7/2019 4/8/2019 5H 1
1
E78.9 UGD T 4/6/2019 1/3/1900 4H 1
I50.9 I21.4 I49.3+I35. UGD T 4/8/2019 4/11/2019 6H 1
1
UGD T 3/5/2019 4/10/2019 3H 1
E87.6 E83.5 I10+I11.0 UGD T 4/5/2019 5/9/2019 3H 1
UGD T 4/5/2019 4/6/2019 3H 1
UGD R 4/7/2019 4/9/2019 5H 1
K76.0 UGD T 4/4/2019 4/6/2019 2H 1
N39.0 UGD T 4/5/2019 4/6/2019 3H 1
E87.6 UGD T 4/9/2019 4/10/2019 7H 1
UGD T 4/4/2019 4/8/2019 2H 1
UGD T 4/4/2019 4/8/2019 2H 1
UGD T 4/4/2019 4/12/2019 1H 1
R04.0 J18.9 UGD T 4/8/2019 4/11/2019 5H 1
1
UGD T 4/9/2019 4/10/2019 6H 1
UGD T 4/5/2019 4/6/2019 2H 1
1
UGD T 4/5/2019 4/6/2019 2H 1
OPD T 4/10/2019 4/11/2019 7H 1
UGD T 4/5/2019 4/8/2019 2H 1
UGD T 4/10/2019 4/13/2019 7H 1
UGD T 4/5/2019 4/8/2019 2H 1
UGD T 4/5/2019 4/9/2019 2H 1
I10 UGD T 4/4/2019 4/9/2019 1H 1
OPD T 4/4/2019 4/8/2019 1H 1
I70.1 A09.9 N83.2 UGD T 4/5/2019 4/8/2019 2H 1
I10 UGD T 4/5/2019 4/9/2019 2H 1
UGD T 4/5/2019 4/8/2019 2H 1
UGD T 4/8/2019 4/11/2019 5H 1
UGD T 4/5/2019 4/6/2019 2H 1
UGD T 4/4/2019 4/8/2019 1H 1
UGD T 4/5/2019 4/6/2019 2H 1
UGD T 4/7/2019 4/8/2019 4H 1
UGD T 4/11/2019 4/12/2019 8H 1
UGD T 4/6/2019 4/9/2019 3H 1
UGD T 4/7/2019 4/8/2019 3H 1
1
UGD T 4/6/2019 4/9/2019 2H 1
UGD T 4/5/2019 4/9/2019 1H 1
1
1
UGD R 4/4/2019 4/8/2019 1H 1
UGD T 4/9/2019 4/13/2019 5H 1
UGD T 4/6/2019 4/8/2019 2H 1
1
UGD T 4/11/2019 4/13/2019 2H 1
UGD T 4/10/2019 4/12/2019 1H 1
E14.9 UGD T 4/11/2019 4/13/2019 2H 1
K57.3 R42 UGD T 4/14/2019 4/16/2019 5H 1
LANGSUNGT 4/12/2019 4/16/2019 3H 1
OPD T 4/12/2019 4/13/2019 3H 1
UGD T 4/12/2019 4/24/2019 3H 1
N28.1 OPD T 4/11/2019 4/29/2019 2H 1
UGD T 4/13/2019 4/18/2019 4H 1
UGD T 4/11/2019 4/12/2019 2H 1
UGD T 4/11/2019 4/12/2019 2H 1
UGD T 4/11/2019 4/13/2019 2H 1
UGD T 4/9/2019 4/11/2019 1H 1
UGD T 4/12/2019 4/23/2019 3H 1
UGD T 4/12/2019 4/13/2019 3H 1
UGD T 4/13/2019 4/24/2019 3H 1
UGD T 4/12/2019 4/13/2019 2H 1
UGD T 4/12/2019 4/13/2019 2H 1
UGD T 4/12/2019 9/16/2019 2H 1
OPD T 4/10/2019 4/12/2019 1H 1
1
UGD T 4/13/2019 4/22/2019 3H 1
UGD T 4/11/2019 4/13/2019 1H 1
O61.0 UGD R 4/13/2019 4/15/2019 3H 1
1
UGD T 4/13/2019 4/16/2019 3H 1
1
E87.1 OPD T 4/15/2019 4/16/2019 5H 1
UGD T 4/18/2019 4/20/2019 8H 1
G63.2 UGD T 4/13/2019 4/18/2019 3H 1
OPD T 4/12/2019 4/13/2019 2H 1
1
R31 OPD T 4/11/2019 4/13/2019 1H 1
J81 J90 OPD T 4/12/2019 4/13/2019 2H 1
OPD T 4/11/2019 4/15/2019 1H 1
1
OPD T 4/12/2019 4/13/2019 2H 1
1
J06.9 UGD T 4/14/2019 4/16/2019 4H 1
O34.2 UGD T 4/13/2019 4/15/2019 3H 1
UGD T 4/12/2019 4/24/2019 2H 1
1
UGD R 4/11/2019 4/13/2019 1H 1
I11.0 E14.7 E78.5+I69.4UGD T 4/13/2019 4/15/2019 3H 1
UGD T 4/12/2019 4/13/2019 2H 1
UGD R 4/15/2019 4/16/2019 5H 1
UGD T 4/12/2019 4/15/2019 2H 1
1
1
1
1
OPD T 4/14/2019 4/23/2019 4H 1
UGD T 4/13/2019 4/15/2019 3H 1
UGD T 4/16/2019 4/20/2019 6H 1
UGD T 4/13/2019 4/15/2019 3H 1
UGD T 4/12/2019 4/16/2019 2H 1
UGD T 4/12/2019 4/13/2019 2H 1
1
1
UGD T 4/11/2019 4/12/2019 1H 1
UGD T 4/13/2019 4/22/2019 2H 1
UGD T 4/13/2019 4/18/2019 2H 1
UGD T 4/17/2019 4/18/2019 6H 1
UGD R 4/11/2019 4/13/2019 1H 1
UGD R 4/11/2019 4/13/2019 1H 1
1
1
OPD T 4/14/2019 4/23/2019 3H 1
OPD T 4/15/2019 5/6/2019 4H 1
LANGSUNGT 4/13/2019 4/15/2019 2H 1
1
OPD T 4/13/2019 4/24/2019 2H 1
OPD T 4/15/2019 4/24/2019 4H 1
J34.2 UGD T 4/13/2019 4/15/2019 2H 1
Z38.0 LANGSUNGT 4/16/2019 4/18/2019 5H 1
UGD T 4/14/2019 4/15/2019 3H 1
OPD LANGS 4/13/2019 4/15/2019 2h 1
1
1
OPD T 4/14/2019 4/15/2019 3H 1
OPD T 4/13/2019 4/18/2019 2H 1
OPD T 4/13/2019 4/15/2019 2H 1
J40 UGD T 4/13/2019 4/18/2019 2H 1
UGD T 4/14/2019 4/15/2019 3H 1
1
UGD T 4/23/2019 4/25/2019 3H 1
UGD T 4/23/2019 4/25/2019 3H 1
J81 L98.4 UGD T 4/28/2019 4/30/2019 8H 1
I34.0 I10 I11.9+N18. UGD R 4/22/2019 4/23/2019 2H 1
UGD T 4/22/2019 4/25/2019 2H 1
UGD T 4/21/2019 4/24/2019 1H 1
UGD T 4/23/2019 4/29/2019 2H 1
UGD T 4/23/2019 4/25/2019 2H 1
UGD T 4/24/2019 4/26/2019 3H 1
1
R51 UGD T 4/22/2019 4/25/2019 1H 1
OPD T 4/24/2019 4/29/2019 3H 1
UGD T 4/24/2019 4/26/2019 3H 1
UGD T 4/24/2019 4/27/2019 3H 1
UGD T 4/25/2019 4/27/2019 4H 1
OPD T 4/24/2019 4/26/2019 3H 1
UGD T 4/24/2019 4/27/2019 3H 1
E87.1 E87.6 UGD T 4/22/2019 4/23/2019 1H 1
OPD T 4/22/2019 4/24/2019 1H 1
UGD T 4/24/2019 4/25/2019 3H 1
OPD T 4/25/2019 4/29/2019 4H 1
1
UGD T 4/24/2019 4/25/2019 3H 1
UGD T 4/26/2019 5/2/2019 5H 1
I11.0 E14.7 UGD T 4/25/2019 4/27/2019 4H 1
UGD T 4/24/2019 4/25/2019 3H 1
UGD T 4/25/2019 4/27/2019 4H 1
1
UGD T 4/23/2019 4/25/2019 2H 1
UGD T 4/25/2019 4/29/2019 4H 1
UGD T 4/25/2019 4/29/2019 3H 1
UGD T 4/25/2019 4/27/2019 3H 1
UGD T 4/26/2019 4/29/2019 4H 1
UGD T 4/24/2019 4/26/2019 2H 1
UGD T 4/23/2019 4/26/2019 1H 1
J81 E63.1 I10 UGD T 4/23/2019 4/25/2019 1H 1
UGD T 4/23/2019 4/25/2019 1H 1
UGD T 4/24/2019 4/25/2019 2H 1
O80.9 UGD T 4/24/2019 4/29/2019 2H 1
UGD T 4/24/2019 4/26/2019 2H 1
1
UGD T 4/24/2019 4/26/2019 2H 1
UGD T 4/25/2019 4/29/2019 3H 1
UGD T 4/25/2019 5/4/2019 3H 1
OPD T 4/27/2019 4/29/2019 5H 1
UGD T 4/25/2019 4/27/2019 3H 1
UGD R 4/24/2019 4/25/2019 2H 1
OPD T 4/25/2019 5/3/2019 3H 1
1
UGD T 4/25/2019 6/15/2019 3H 1
OPD T 4/25/2019 4/27/2019 3H 1
OPD T 4/23/2019 4/25/2019 1H 1
UGD T 4/23/2019 4/27/2019 1H 1
N39.0 N18.9 E79.0 OPD T 4/24/2019 4/26/2019 2H 1
UGD T 4/23/2019 4/29/2019 1H 1
UGD T 4/25/2019 5/22/2019 3H 1
UGD T 4/25/2019 4/29/2019 3H 1
UGD T 4/25/2019 4/29/2019 3H 1
1
UGD T 4/25/2019 4/27/2019 3H 1
UGD T 4/23/2019 4/24/2019 1H 1
UGD T 4/25/2019 4/27/2019 3H 1
UGD T 4/23/2019 4/25/2019 2H 1
OPD T 4/23/2019 4/27/2019 1H 1
OPD T 4/25/2019 4/27/2019 3H 1
LANGSUNGT 4/24/2019 4/27/2019 2H 1
OPD T 4/23/2019 4/25/2019 1H 1
O36.3 O99.0 OPD T 4/24/2019 4/27/2019 2H 1
OPD T 4/27/2019 4/30/2019 5H 1
UGD T 4/26/2019 5/2/2019 4H 1
OPD T 4/24/2019 4/27/2019 2H 1
UGD T 4/24/2019 4/25/2019 2H 1
1
1
UGD T 4/27/2019 5/2/2019 5H 1
1
UGD T 4/24/2019 4/27/2019 2H 1
1
UGD T 4/24/2019 4/25/2019 2H 1
R10.4 UGD T 4/26/2019 4/30/2019 4H 1
LANGSUNGT 4/24/2019 4/29/2019 2H 1
UGD T 4/24/2019 4/26/2019 1H 1
UGD T 4/24/2019 4/27/2019 1H 1
UGD R 4/24/2019 4/25/2019 1H 1
UGD R 4/23/2019 4/25/2019 1H 1
UGD T 4/30/2019 5/3/2019 7H 1
UGD T 4/25/2019 5/3/2019 2H 1
UGD T 4/24/2019 4/26/2019 1H 1
UGD T 4/29/2019 5/2/2019 6H 1
UGD T 4/27/2019 4/30/2019 4H 1
OPD T 4/28/2019 5/2/2019 5H 1
1
UGD R 4/24/2019 4/29/2019 1H 1
1
1
1
UGD T 4/24/2019 4/27/2019 1H 1
UGD T 4/25/2019 5/3/2019 2H 1
UGD T 4/24/2019 4/27/2019 1H 1
OPD R 4/26/2019 4/30/2019 3H 1
UGD T 4/24/2019 4/27/2019 1H 1
OPD LANGS 4/24/2019 4/27/2019 1H 1
1
UGD T 4/28/2019 4/30/2019 5H 1
OPD T 4/26/2019 4/30/2019 3H 1
UGD T 4/25/2019 4/29/2019 2H 1
UGD T 4/30/2019 5/4/2019 7H 1
UGD T 4/23/2019 4/29/2019 1H 1
UGD T 4/25/2019 5/9/2019 1H 1
UGD T 4/26/2019 5/3/2019 2H 1
UGD T 4/25/2019 4/27/2019 1H 1
UGD R 4/25/2019 4/29/2019 1H 1
UGD T 4/27/2019 5/2/2019 3H 1
1
OPD T 4/26/2019 5/2/2019 2H 1
UGD T 4/26/2019 4/29/2019 2H 1
1
1
1
1
UGD T 4/30/2019 5/2/2019 6H 1
OPD T 4/26/2019 4/30/2019 2H 1
OPD T 4/28/2019 5/2/2019 4H 1
1
OPD T 4/27/2019 5/3/2019 3H 1
1
UGD R 4/25/2019 5/3/2019 1H 1
UGD T 4/25/2019 4/29/2019 1H 1
I11.9 N39.0 UGD R 4/27/2019 5/3/2019 3H 1
OPD T 4/30/2019 5/3/2019 6H 1
UGD T 4/28/2019 4/30/2019 4H 1
I11.0 I08.1 E87.6 UGD T 4/27/2019 5/2/2019 3H 1
OPD T 4/27/2019 4/30/2019 3H 1
I11.0 UGD T 4/22/2019 4/29/2019 2H 1
OPD T 4/29/2019 5/8/2019 5H 1
UGD T 4/30/2019 5/2/2019 6H 1
1
UGD T 4/27/2019 4/29/2019 3H 1
UGD R 4/26/2019 4/30/2019 2H 1
UGD T 4/28/2019 5/2/2019 3H 1
UGD T 4/26/2019 5/9/2019 1H 1
UGD T 4/26/2019 4/30/2019 1H 1
R51 UGD T 5/1/2019 5/4/2019 6H 1
UGD T 4/25/2019 4/27/2019 1H 1
UGD T 4/27/2019 11/12/2019 2H 1
UGD T 4/25/2019 5/3/2019 1H 1
UGD T 4/28/2019 4/30/2019 3H 1
UGD R 4/25/2019 5/3/2019 1H 1
1
UGD T 4/28/2019 4/30/2019 3H 1
1
1
OPD T 4/26/2019 4/29/2019 1H 1
O42.9 UGD T 4/28/2019 5/3/2019 3H 1
UGD T 4/26/2019 5/2/2019 1H 1
1
1
UGD T 4/27/2019 4/29/2019 2H 1
LANGSUNGT 4/28/2019 7/25/2019 3H 1
UGD R 4/25/2019 5/3/2019 1H 1
OPD T 4/30/2019 5/4/2019 5H 1
O42.9 OPD T 4/27/2019 5/3/2019 2H 1
E87.6 UGD T 4/28/2019 4/30/2019 3H 1
UGD T 4/26/2019 5/2/2019 1H 1
UGD T 4/27/2019 7/25/2019 2H 1
UGD T 4/27/2019 4/29/2019 2H 1
OPD T 4/27/2019 4/30/2019 2H 1
UGD T 4/27/2019 4/29/2019 2H 1
E83.5 UGD T 4/26/2019 5/3/2019 1H 1
OPD T 4/26/2019 5/3/2019 1H 1
N39.0 I11.0 I50.0+I50.1UGD T 4/30/2019 5/2/2019 5H 1
1
UGD T 4/30/2019 5/2/2019 5H 1
I25.1 I34.0 N18.8 UGD T 4/27/2019 5/8/2019 2H 1
UGD T 4/28/2019 4/30/2019 3H 1
UGD T 5/1/2019 5/4/2019 6H 1
UGD T 4/28/2019 5/2/2019 3H 1
UGD T 4/28/2019 5/2/2019 2H 1
UGD T 4/27/2019 5/3/2019 1H 1
UGD T 4/28/2019 4/30/2019 2H 1
1
UGD T 4/28/2019 4/30/2019 2H 1
UGD T 4/28/2019 5/2/2019 2H 1
I10 UGD T 4/29/2019 5/8/2019 3H 1
UGD R 4/26/2019 5/3/2019 1H 1
UGD T 4/28/2019 5/2/2019 2H 1
1
UGD T 4/29/2019 5/3/2019 3H 1
1
1
L20.9 UGD T 5/2/2019 5/7/2019 6H 1
UGD T 4/27/2019 5/3/2019 1H 1
1
UGD R 4/30/2019 5/2/2019 4H 1
OPD T 4/29/2019 4/30/2019 3H 1
OPD T 4/29/2019 5/8/2019 3H 1
UGD T 4/29/2019 5/3/2019 3H 1
OPD T 4/27/2019 4/30/2019 1H 1
E87.6 UGD T 4/30/2019 5/3/2019 4H 1
UGD T 5/1/2019 5/3/2019 5H 1
UGD T 4/28/2019 8/9/2019 2H 1
1
1
UGD T 4/30/2019 5/4/2019 4H 1
UGD T 4/27/2019 5/3/2019 1H 1
1
UGD T 4/29/2019 5/2/2019 3H 1
1
1
1
UGD T 4/27/2019 5/17/2019 1H 1
UGD T 4/28/2019 5/2/2019 2H 1
UGD T 4/27/2019 4/30/2019 1H 1
UGD T 4/28/2019 5/2/2019 2H 1
UGD T 4/28/2019 4/30/2019 1H 1
UGD T 4/29/2019 5/3/2019 2H 1
UGD T 4/28/2019 5/2/2019 1H 1
UGD T 4/27/2019 5/3/2019 1H 1
UGD T 4/30/2019 5/4/2019 3H 1
1
UGD T 4/30/2019 6/27/2019 3H 1
UGD T 4/27/2019 4/29/2019 1H 1
1
1
1
UGD R 4/30/2019 5/3/2019 3H 1
K30 UGD T 5/2/2019 5/8/2019 5H 1
OPD T 4/30/2019 5/2/2019 3H 1
UGD T 4/29/2019 4/30/2019 2H 1
UGD T 5/2/2019 5/6/2019 5H 1
D63.8 UGD T 4/30/2019 5/2/2019 3H 1
OPD T 4/30/2019 5/4/2019 3H 1
UGD T 4/29/2019 5/3/2019 2H 1
R51 UGD T 5/1/2019 5/4/2019 4H 1
1
UGD T 4/29/2019 4/30/2019 2H 1
UGD T 4/30/2019 5/2/2019 3H 1
UGD T 5/2/2019 5/7/2019 5H 1
1
UGD T 4/30/2019 5/2/2019 2H 1
UGD T 4/29/2019 5/8/2019 1H 1
1
1
UGD T 4/30/2019 5/4/2019 2H 1
1
1
UGD T 4/29/2019 4/30/2019 1H 1
UGD T 5/3/2019 5/8/2019 5H 1
1
1
OPD T 5/1/2019 9/23/2019 3H 1
L74.3 UGD T 5/2/2019 5/7/2019 4H 1
UGD T 4/29/2019 5/14/2019 1H 1
UGD T 5/1/2019 5/4/2019 3H 1
1
1
UGD T 4/30/2019 5/2/2019 2H 1
UGD T 4/29/2019 5/3/2019 1H 1
UGD T 4/30/2019 5/2/2019 2H 1
OPD T 4/30/2019 5/2/2019 2H 1
UGD T 5/1/2019 5/4/2019 3 H 1
UGD T 5/1/2019 5/4/2019 3H 1
UGD T 4/30/2019 5/3/2019 2H 1
E87.1 N28.1 UGD T 5/1/2019 5/4/2019 3H 1
1
UGD T 5/2/2019 5/7/2019 4H 1
UGD T 4/30/2019 5/2/2019 2H 1
UGD T 5/1/2019 5/2/2019 3H 1
I10 E87.6 UGD T 5/1/2019 5/4/2019 3H 1
UGD T 5/1/2019 5/3/2019 2H 1
UGD T 5/1/2019 5/4/2019 2H 1
UGD T 4/30/2019 5/2/2019 1H 1
UGD T 4/30/2019 5/4/2019 1H 1
UGD T 5/1/2019 5/4/2019 2H 1
LANGSUNGT 4/30/2019 5/2/2019 1H 1
OPD T 5/1/2019 5/6/2019 2H 1
1
1
OPD T 5/1/2019 5/4/2019 2H 1
1
UGD R 4/30/2019 5/4/2019 1H 1
1
1
UGD T 5/1/2019 5/4/2019 2H 1
UGD T 5/3/2019 5/8/2019 4H 1
1
UGD T 5/1/2019 5/2/2019 2H 1
1
OPD T 5/1/2019 5/4/2019 2H 1
OPD T 5/3/2019 5/8/2019 4H 1
UGD T 5/1/2019 5/7/2019 2H 1
OPD T 5/2/2019 5/6/2019 3H 1
UGD T 4/30/2019 5/4/2019 1H 1
UGD T 5/2/2019 5/7/2019 3H 1
UGD T 5/3/2019 5/8/2019 4H 1
UGD T 5/1/2019 5/4/2019 2H 1
1
UGD T 5/2/2019 9/30/2019 3H 1
UGD T 4/30/2019 5/4/2019 1H 1
UGD T 5/1/2019 5/4/2019 2H 1
UGD T 5/1/2019 5/4/2019 2H 1
UGD T 5/1/2019 5/3/2019 2H 1
1
K30 UGD T 5/2/2019 5/8/2019 3H 1
UGD T 5/1/2019 5/4/2019 2H 1
1
UGD T 5/4/2019 5/8/2019 4H 1
1
1
UGD T 5/2/2019 5/10/2019 2M 1
UGD T 5/4/2019 5/6/2019 4H 1
1
UGD T 5/3/2019 5/8/2019 3H 1
1
K31.9 I10 UGD T 5/3/2019 5/8/2019 3H 1
UGD T 5/1/2019 5/4/2019 1H 1
1
1
K75.2 E87.1 UGD T 5/5/2019 5/6/2019 5H 1
1
O82.9 UGD T 5/8/2019 5/13/2019 8H 1
1
UGD T 5/3/2019 5/8/2019 3H 1
E11.7 UGD T 5/3/2019 5/6/2019 3H 1
1
1
OPD T 5/2/2019 5/7/2019 2H 1
1
B37.0 E87.1 K76.9 UGD T 5/5/2019 5/6/2019 5H 1
1
1
UGD T 5/2/2019 5/8/2019 2H 1
1
UGD T 5/3/2019 5/7/2019 3H 1
1
Analisis Resume Medis Analis
Visit
Rencana SINGKATA DPJP
Kontrol
Hasil Tanda TGL N S/T (kali)
Tinda Obat2 Kondi Renca tanga
Pemer Diagn saat si na Pulan L/T PROF
iksaan osis kan pulan Pulan Tind. n g ESI
g g Lanjut
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/7/2019 1 1
1 1 1 1 1 1 1 1L 4/6/2019 3 3
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/8/2019 4 4
1 1 1 1 1 1 1 1L 4/9/2019 3 3
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/9/2019 1 1
1 1 1 1 1 1 1 1L 4/6/2019 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/13/2019 5 2
1 1 1 1 1 1 1 1L 4/8/2019 3 3
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 4/6/2019 3 3
1 1 1 1 1 1 1 1L 4/9/2019 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/9/2019 1 1
1 1 1 1 1 1 1 0T 1 0
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/8/2019 4 4
1 1 1 1 1 1 1 1L 4/10/2019 1 1
1 1 1 1 1 1 1 1L 4/8/2019 3 3
1 1 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L 4/9/2019 3 3
1 1 1 1 1 1 1 1L 4/9/2019 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/7/2019 3 3
1 1 1 1 1 1 1 1L 4/8/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/8/2019 3 3
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/13/2019 5 5
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 4/11/2019 5 5
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 4/12/2019 3 3
1 1 1 1 1 1 1 1L 4/8/2019 3 3
1 1 1 1 1 1 1 1L 4/11/2019 4 4
1 1 1 1 1 1 1 1L 4/11/2019 2 2
1 1 1 1 1 1 1 1L 4/12/2019 3 3
1 1 1 1 1 1 1 1L 4/12/2019 8 8
1 1 1 1 1 1 1 1L 4/23/2019 2 2
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 4/8/2019 1 1
1 1 1 1 1 1 1 1L 7 7
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/10/2019 7 7
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/8/2019 3 3
1 1 1 1 1 1 1 1L 6 6
1 1 1 1 1 1 1 1L 4/9/2019 2 2
1 1 1 1 1 1 1 1L 6 6
1 1 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/11/2019 1 0
1 1 1 1 1 1 1 1L 4/12/2019 3 3
1 1 1 1 1 1 1 0T 2 1
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/11/2019 5 4
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/6/2019 1 1
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 4/10/2019 5 5
1 1 1 1 1 1 1 1L 8 8
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 4/10/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/9/2019 3 3
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 4/9/2019 2 2
1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/12/2019 1 1
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 4/9/2019 1 1
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/10/2019 3 3
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 0T 3 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 0T 3 2
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 4/11/2019 5 5
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/10/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 5 5
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 4/11/2019 4 4
1 1 1 1 1 1 1 1L 4/12/2019 2 2
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/10/2019 1 1
1 1 1 1 1 1 1 1L 4/8/2019 2 2
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/10/2019 3 3
1 1 1 1 1 1 1 0T 3 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/9/2019 4 4
1 1 1 1 1 1 1 1L 4/8/2019 2 2
1 1 1 1 1 1 1 0T 7 7
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/10/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 4 4
1 1 1 1 1 1 1 1L 4/11/2019 3 3
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 1L 4/11/2019 3 3
1 1 1 1 1 1 1 1L 4/11/2019 3 3
1 1 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L 4/11/2019 4 4
1 1 1 1 1 1 1 1L 4/15/2019 6 6
1 1 1 1 1 1 1 1L 4/10/2019 4 4
1 1 1 1 1 1 1 1L 4/11/2019 4 4
1 1 1 1 1 1 1 1L 4/10/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 0T 1 0
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/16/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 2 0
1 1 1 1 1 1 1 1L 4/11/2019 3 3
1 1 1 1 1 1 1 1L 4/13/2019 5 5
1 1 1 1 1 1 1 1L 4/10/2019 0 0
1 1 1 1 1 1 1 1L 4/12/2019 5 5
1 1 1 1 1 1 1 1L 10/04/2019 2 2
1 1 1 1 1 1 1 1L 4/11/2019 3 3
1 1 1 1 1 1 1 1L 3 1
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 4/12/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/10/2019 2 2
1 1 1 1 1 1 1 1L 4/10/2019 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/11/2019 2 2
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 5 5
1 1 1 1 1 1 1 1L 4/10/2019 8 8
1 1 1 1 1 1 1 1L 2 2
1 0 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/11/2019 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 1 0
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 0T 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/12/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/18/2019 6 6
1 1 1 1 1 1 1 1L 4/16/2019 1 1
1 1 1 1 1 1 1 1L 4/15/2019 5 5
1 1 4/12/2019 2 2
1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/15/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/12/2019 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/15/2019 2 2
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/17/2019 3 3
1 1 1 1 1 1 1 1L 4/12/2019 2 2
1 1 1 1 1 1 1 1L 4/16/2019 2 2
1 1 1 1 1 1 1 1L 4/17/2019 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 0T 2 0
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/15/2019 2 2
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/17/2019 3 3
1 1 1 1 1 1 1 0T 3 1
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 7 7
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/12/2019 4 4
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/15/2019 6 6
1 1 1 1 1 1 1 1L 4/20/2019 3 3
1 1 1 1 1 1 1 1L 4/13/2019 2 2
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/20/2019 6 6
1 1 1 1 1 1 1 0T 0 0
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 1L 4/13/2019 2 2
1 1 1 1 1 1 1 0T 4/17/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/13/2019 2 2
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/21/2019 1 1
1 1 1 1 1 1 1 1L 4/16/2019 4 4
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 0T 4/18/2019 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 0T 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/13/2019 5 5
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/13/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 1 0
1 1 1 1 1 1 1 1L 4/15/2019 1 0
1 1 1 1 1 1 1 1L 4/29/2019 1 1
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/15/2019 2 2
1 1 1 1 1 1 1 1L 4/23/2019 4 0
1 1 1 1 1 1 1 1L 2 1
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/20/2019 2 2
1 1
1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/14/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 2 2
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 4/18/2019 6 6
1 1 1 1 1 1 1 1L 4/15/2019 4 4
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 0T 4 4
1 1 1 1 1 1 1 1L 4/17/2019 1 1
1 1 1 1 1 1 1 1L 4/15/2019 5 5
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 4/23/2019 2 2
1 1 1 1 1 1 1 1L 4/16/2019 1 1
1 1 1 1 1 1 1 0T 2 0
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 3 3
1 1 1 1 1 1 1 1L 4/12/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/18/2019 4 4
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 1 1 1 1 1 0T 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/16/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 4/22/2019 5 5
1 1 1 1 1 1 1 1L 10 10
1 1 1 1 1 1 1 1L 4/20/2019 3 3
1 1 4/14/2019 2 2
1 1 1 1 1 1L
1 1 4/14/2019 2 2
1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 0T 5/2/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/16/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 7 7
1 1 1 1 1 1 1 0T 2 1
1 1 1 1 1 1 1 1L 4/15/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/20/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 0T 4/16/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/16/2019 4 4
1 1 1 1 1 1 1 0T 4/16/2019 3 3
1 1 1 1 1 1 1 1L 4/22/2019 7 7
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 0T 2 0
1 1 1 1 1 1 1 1L 4/16/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/15/2019 1 1
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 4/20/2019 7 7
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L 4/16/2019 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 5/10/2019 0 0
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/21/2019 2 2
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/20/2019 3 3
1 1 1 1 1 1 1 1L 4/22/2019 6 6
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/23/2019 4 4
1 1 1 1 1 1 1 1L 4 4
1 1 1 1 1 1 1 1L 4/16/2019 2 2
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 4/18/2019 4 4
1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 2 1
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 0T 4/30/2019 1 1
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 1L 7 7
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/22/2019 6 6
1 1 1 1 1 1 1 1L 4/18/2019 4 4
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L
1 1 4/18/2019 4 4
1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 3/18/2019 4 4
1 1 1 1 1 1 1 1L 4/23/2019 5 5
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1
1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 0T 4/20/2019 5 5
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 0 0
1 1 1 1 1 1 1 1L 4/16/2019 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/16/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/18/2019 0 0
1 1 1 1 1 1 1 0T 0 0
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 5/11/2019 0 0
1 1 1 1 1 1 1 1L 4/18/2019 4 4
1 1 1 1 1 1 1 1L 4/18/2019 1 1
1 1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 4/20/2019 2 2
1 1 1 1 1 1 1 1L 4/18/2019 5 5
1 1 1 1 1 1 1 0T 4/20/2019 1 0
1 1 1 1 1 1 1 1L 4/28/2019 4 4
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 0T 4/18/2019 1 1
1 1 1 1 1 1 1 1L 4/17/2019 4 4
1 1 1 1 1 1 1 1L 4/18/2019 4 4
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 1 1 1 1 1 1L 4/18/2019 4 4
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 1L 4/22/2019 3 3
1 1 1 1 1 1 1 0T 1 0
1 1 1 1 1 1 1 1L 4/23/2019 4 4
1 1 1 1 1 1 1 0T 3 3
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 0T 5 5
1 1 1 1 1 1 1 1L 4/18/2019 1 1
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 1L 4/16/2019 1 0
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 1L 4/18/2019 3 3
1 1 1 1 1 1 1 1L 5/10/2019 1 1
1 1 1 1 1 1 1 0T 3 0
1 1 1 1 1 1 1 1L 0 0
1 1 1 1 1 1 1 0T 4/22/2019 5 5
1 1 1 1 1 1 1 1L 18/4/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/24/2019 4 4
1 1 1 1 1 1 1 1L 10 10
1 1 1 1 1 1 1 1L 5/10/2019 0 0
1 1 1 1 1 1 1 1L 5/10/2019 0 0
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L 4/20/2019 2 1
1 1 1 1 1 1 1 0T 1 0
1 1 1 1 1 1 1 1L 4/23/2019 3 3
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 0T 4/20/2019 4 4
1 1 1 1 1 1 1 1L 18/4/2019 3 3
1 1 1 1 1 1 1 1L 2 0
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L 4/23/2019 4 4
1 1 1 1 1 1 1 1L 4/20/2019 2 2
1 1 1 1 1 1 1 1L 4/23/2019 6 6
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 4/22/2019 3 3
1 1 1 1 1 1 1 1L 4/24/2019 3 3
1 1 1 1 1 1 1 0T 2 2
1 1 1 1 1 1 1 0T 1 1
1 1 1 1 1 1 1 1L 4/22/2019 3 3
1 1 1 1 1 1 1 0T 4/23/2019 5 5
1 1 1 1 1 1 1 1L 4/22/2019 4 4
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/20/2019 1 1
1 1 1 1 1 1 1 1L 4/27/2019 2 2
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 4/24/2019 4 4
1 1 1 1 1 1 1 1L 4/22/2019 3 2
1 1 1 1 1 1 1 1L 4/23/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 0T 4/23/2019 2 2
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 3 3
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 4/22/2019 3 3
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 4/20/2019 0 0
1 1 1 1 1 1 1 1L 4/22/2019 2 2
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 4/18/2019 2 2
1 1 1 1 1 1 1 1L 5/22/2019 2 2
1 1 1 1 1 1 1 1L 4/24/2019 4 4
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L 4/20/2019 3 3
1 1 1 1 1 1 1 1L 4/15/2019 2 1
1 1 1 1 1 1 1 1L 4/24/2019 5 5
1 1 1 1 1 1 1 1L 2 2
1 1 1 1 1 1 1 1L 4/21/2019 4 4
1 1 1 1 1 1 1 1L 4/22/2019 3 3
1 1 1 1 1 1 1 0T 4/23/2019 3 3
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1 1 1 1 1 1 1 1L 4/25/2019 1 1
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1 1 1 1 1 1 1 1L 5 5
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1 1 1 1 1 1 1 1L
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Analisis Kelengkapan Catatan Dokter
BLOOD TRANSFUS
TYPE ION
Docto TTD L/T
Date Time S O A P PROCEDURE
r
Name
3 3 2 2 3 3 3 3T URS, LASER LITOTRIP
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L
2 2 0 0 1 1 2 2T RE EKSISI, INSHLESI
2 2 2 2 2 2 2 2L
2 4 5 5 5 5 5 5T
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 0 0 2 2 2 2T URS, LITOLAPAXY B
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L URS, LASER LITOTRIP
1 1 0 0 1 1 1 1T CYSTOSCOPY, REMOV
1 1 1 1 1 1 1 1L PCI
0 0 1 1 1 1 1 1T
2 2 0 0 2 2 2 2T CYSTOSCOPY, REMOV
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L ANGIOGRAPHY, PCI
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T COLONOSCOPY
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
0 2 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L ANGIOGRAPHY STAN
1 1 1 1 1 1 1 1L ANGIOGRAPHY STAN
0 0 1 1 1 1 1 1T ANGIOGRAPHY
1 1 1 1 1 1 1 1L ANGIOGRAPHY
2 0 2 2 2 2 2 2T
0 0 1 1 1 1 1 1T ANGIOGRAPHY
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L ANGIOGRAPHY, PCI
5 5 5 5 5 5 5 5L
5 5 5 5 5 5 5 5L
4 4 4 4 4 4 4 4L
1 2 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L KOLESISTECTIMY, AD
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
8 8 8 8 8 8 8 8L
2 2 2 2 2 2 2 2L
0 2 2 2 2 2 2 2T
1 1 1 1 1 1 1 1L
7 7 7 7 7 7 7 7L
7 7 7 7 7 7 7 7L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
6 6 5 5 5 6 6 6T BIOPSI RECTUM SIR
2 2 2 2 2 2 2 2L
6 3 2 2 6 6 6 6T ORIF
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L HD, PRC
0 0 1 1 1 0 1 1T ODONTECTOMY
3 3 3 3 3 3 3 3L
2 1 2 2 2 2 2 2T GASTROSCOPY
3 3 3 3 3 3 3 3L
4 4 5 5 5 5 5 5T
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L
8 8 8 8 8 8 8 8L LAPARATOMY
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L ANGIOGRAPHY STAN
1 1 1 1 1 1 1 1L ANGIOGRAPHY
4 4 4 4 4 4 4 4L LAPARATOMY, APPEN
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
0 0 1 1 1 1 1 1T ANGIOGRAPHY, PCI
2 2 3 3 3 3 3 3T
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L CORONARY ANGIOGR
3 3 3 3 3 3 3 3L
1 1 3 3 3 3 3 3T COLONOSCOPY, PRC
1 1 1 1 1 1 1 1L HD, PRC
1 1 1 1 1 1 1 1L HD, PRC
2 2 3 3 3 3 3 3T URETRETOMY, URS, I
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L INDUKSI PERSALINAN
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 0 0 1 1 1 1T REVISI AV SHUNT
1 1 0 0 1 1 1 1T AV SHUNT
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
1 2 3 3 3 3 3 3T INDUKSI PERSALINA
1 1 1 1 1 1 1 1L HD, TRANFUSI PRC
1 1 1 1 1 1 1 1L HEMODIALISA, PRC
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
7 4 7 7 7 7 7 7T URETHROPLASTY, R
4 4 4 4 4 4 4 4L APPENDECTOMY
4 4 3 3 4 4 4 4T ADENOTONSILECTOM
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L ADENOTONSILECTOM
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L ORIF OLECRANUM
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L GASTROSCOPY
4 4 4 4 4 4 4 4L
6 6 6 6 6 6 6 6L
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
3 1 3 3 3 3 3 3T
0 0 1 1 1 1 1 1T
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L INDUKSI PERSALINA
0 0 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
0 0 0 0 0 0 0 0T AV SHUNT
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 1 3 3 3 3 3 3T CORONARY ANGIOGR
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
3 0 3 3 3 3 3 3T
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 0 0 1 1 1 1T REPAIR OF ARTERI
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L URS, URETEROTOMY,
0 5 5 5 5 5 5 5T
8 8 8 8 8 8 8 8L VP SHUNT
2 2 2 2 2 2 2 2L
1 0 1 1 1 1 1 1T
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L LAPARATOMY
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
1 1 1 1 1 1 1 1L CA,PCI
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L ORIF TIBIA DEXTRA
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L KOLESISTECTOMY
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
0 0 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L ANGIOGRAPHY STAN
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 3 3 3 3 3 3 3T LSCS
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
7 7 7 7 7 7 7 7L
3 3 3 3 3 3 3 3L
3 3 3 4 4 3 3 4T CYSTOSCOPY, REMOV
1 1 0 0 1 1 1 1T REMOVE DJ STENT
6 6 4 4 6 6 6 6T EKSISI FIBROMA PE
3 3 3 3 3 3 3 3L SCTP
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L HD, PRC
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
0 0 0 0 0 0 0 0T ORIF
2 2 2 2 2 2 2 2L URETRETOMY, INSER
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L EKSISI
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L GASTROSCOPY
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L ANGIOGRAPHY
1 1 1 1 1 1 1 1L
4 4 4 4 4 4 4 4L HD
3 3 3 3 3 3 3 3L OPEN RELASE
3 3 3 3 3 3 3 3L SCTP
2 2 0 0 1 1 1 1T REMOVE DJ STENT
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
5 5 4 4 5 5 5 5T
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T ANGIOGRAPHY STAN
0 0 1 1 1 1 1 1T
1 1 1 1 1 1 1 1L KEMOTERAPI
3 3 3 3 3 3 3 3L HD, TRANFUSI PRC
2 2 2 2 2 2 2 2L
0 0 4 4 4 4 4 4T
1 2 2 2 2 2 2 2T GASTROSCOPY
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L TONSILECTOMY
2 2 1 1 2 2 2 2T CYSTOSCOPY, REMOV
2 2 2 2 2 2 2 2L EKSISI TUMOR
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
6 6 6 6 6 6 6 6L GASTROSCOPY BIOP
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L URS BIL, LARES LITO
5 5 5 5 5 5 5 5L
1 1 1 1 2 2 2 2T GASTROSCOPY
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
2 0 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 1 0 0 1 1 1 1T REVISI AV SHUNT
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L CORONARY ANGIOGR
4 4 4 4 4 4 4 4L LSCS, MOW
4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5L
10 10 10 10 9 9 10 10 T ANGIOGRAPHY STAN
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L LITOTRIPSI BATU U
2 2 2 2 2 2 2 2L HEMODIALISA
1 1 1 1 1 1 1 1L SCTP,MOW
1 1 1 1 1 1 1 1L ANGIOGRAPHY, PCI
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L TURP
1 4 4 4 4 4 4 4T GASTROSCOPY
3 4 4 4 4 4 4 4T SIRKUMSISI
2 3 3 3 3 3 3 3T
7 7 7 7 7 7 7 7L
3 3 3 3 3 3 3 3L
0 0 2 2 2 2 2 2T
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
7 7 7 7 7 7 7 7L
1 1 1 1 1 1 1 1L ANGIOGRAPHY & ST
1 1 1 1 1 1 1 1L ANGIOGRAPHY & ST
2 2 2 2 2 2 2 2L EKSISI STT
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
6 6 6 6 6 6 6 6L PHOTOTERAPHY
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L SCTP
4 4 1 1 4 4 4 4T URS, LASER LITOTRIP
2 2 2 2 2 2 2 2L SINUSECTOMY, OTH
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
1 1 0 0 1 1 2 2T LITOTRIPSI BATU UR
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L TRANSFUSI PRC, AV
7 7 7 7 7 7 7 7L
6 6 6 6 6 6 6 6L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
2 0 3 3 3 3 3 3T DEBRIDEMENT, ES
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L DEBRIDEMENT, REM
1 0 0 0 1 1 1 1T REVISI AV SHUNT
3 3 3 3 3 3 3 3L
0 0 0 0 0 0 0 0T
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
0 0 0 0 0 0 0 0T REMOVED- RE CAST
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L LAPARATOMI, SALP
1 0 1 1 1 1 1 1T
2 2 1 1 2 2 2 2T EKSISI
5 5 5 5 5 5 5 5L
0 0 1 1 1 1 1 1T CLOSE REDUCTION
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L EXPLORASI TESTIS,
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
1 1 0 0 1 1 1 1T REVISI AV SHUNT
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
0 5 5 5 5 5 5 5T
1 1 1 1 1 1 1 1L
1 0 1 1 1 1 1 1T AV SHUNT
1 1 0 0 1 1 1 1T AV SHUNT
1 1 0 0 1 1 1 1T AV SHUNT
3 3 3 3 3 3 3 3L
1 1 0 0 1 1 1 1T AV SHUNT
2 1 2 2 3 3 3 3T COLONOSCOPY
0 0 0 0 0 0 0 0T
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
10 10 10 10 10 10 10 10 L
0 0 0 0 0 0 0 0T REVISI AV SHUNT
0 0 0 0 0 0 0 0T AV SHUNT
4 4 4 4 4 4 4 4L
1 1 2 2 2 2 2 2T
0 0 1 1 1 1 1 1T
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
4 4 3 3 3 4 4 4T APPENDECTOMY
3 3 3 3 3 3 3 3L
0 0 2 2 2 2 2 2T D & C/ CURRETAGE
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L LSCS
2 2 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L BONE GRAFT OS FR
2 2 2 2 2 2 2 2L EKSISI STT
2 2 2 2 2 2 2 2L
4 4 2 2 4 4 4 4T URS, LASER LITOTRIP
3 2 1 1 3 3 3 3T HAEMORRHOIDS
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
0 0 0 0 0 0 0 0T EKSISI STT
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
1 1 0 0 2 2 2 2T
5 5 5 5 5 5 5 5L CORONARY ANGIOGR
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
2 3 3 3 3 3 3 3T
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L TRANSFUSI OCTANE
3 3 3 3 3 3 3 3L SINUSECTOMY
5 5 2 2 3 3 3 3T CYSTOSCOPY, EVAKU
3 3 3 3 3 3 3 3L CHOLECYCTECTOMY,
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L CORONARY ANGIOG
1 1 0 0 0 1 1 1T RELASE CONTRACTU
3 3 3 3 3 3 3 3L ADENOTONSILECTO
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L URS LITOTRIPSI, R
4 4 3 3 4 4 4 4T ANGIOGRAPHY
2 2 2 2 2 2 2 2L
8 8 8 8 8 8 8 8L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
0 0 3 3 3 3 3 3T SCTP
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
2 1 1 1 2 2 2 2T GASTROSCOPY
2 2 2 2 2 2 2 2L
7 7 7 7 7 7 7 7L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L ANGIOGRAPHY & ST
12 12 12 12 12 12 12 12 L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 0 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L D & C, MOW
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 0 0 1 1 1 1T CLOSE RECTION, GIP
7 7 7 7 7 7 7 7L
5 5 5 5 5 5 5 5L COLONOSCOPY
2 2 1 1 2 2 2 2T URS BIL, LARES LITO
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L TURP
1 0 1 1 1 1 1 1T COLONOSCOPY
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 3 3 3 3 3 3L TURP
3 3 3 3 2 2 3 3L UTRETEROTOMY, INS
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
0 3 3 3 3 3 3 3T
1 2 1 1 1 2 2 2T GASTROSCOPY
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L EKSISI STAGE LOCAL
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
7 7 7 7 7 7 7 7L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L ORIF
0 3 3 3 3 3 3 3T
3 3 3 3 3 3 3 3L
0 2 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L SCTP
6 6 6 6 6 6 6 6L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
8 8 8 8 8 8 8 8L
2 2 2 2 2 2 2 2L HEMOROIDECTOMY
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5L
0 0 0 0 0 0 0 0T DEBRIDEMENT, FRE
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L SCTP,MOW
1 1 1 1 1 1 1 1L DEBRIDEMENT, DIRE
1 1 1 1 1 1 1 1L ORIF CLAVICULA
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T
5 5 5 5 5 5 5 5L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
7 7 7 7 7 7 7 7L
1 1 1 1 1 1 1 1L DEBRIDEMENT, REPA
3 3 3 3 3 3 3 3L
0 1 2 2 2 2 2 2T
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L
0 5 5 5 5 5 5 5T
3 4 2 2 4 4 4 4T APPENDECTOMY
6 6 6 6 6 6 6 6L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L CAG STANDBY PCI
3 3 3 3 3 3 3 3L SCTP, INSERSI IUD
1 3 2 2 3 3 3 3T GASTROSCOPY
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
0 1 1 1 1 1 1 1T
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
7 7 7 7 7 7 7 7L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L SCTP, INSERSI IUD
4 4 1 1 3 4 4 4T HEMOROIDECTOMY
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
4 4 1 1 2 2 4 4T RADICAL OPERASI
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
0 0 0 0 0 0 0 0T OPEN RELASE
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L CHOLECYCTECTOMY,
3 3 0 0 3 3 3 3T ORIF
5 5 5 5 5 5 5 5L
3 2 3 3 3 3 3 3T
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
4 4 4 4 4 4 4 4L
4 4 2 2 3 4 4 4T APPENDECTOMY
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L HEMODIALISA
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
0 0 1 1 1 1 1 1T
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5L
4 4 4 4 4 4 4 4L CORONARY ANGIOG
1 1 1 1 1 1 1 1L CORONARY ANGIOGR
4 4 4 4 4 4 4 4L
3 3 2 2 2 3 3 3T ORIF HUMERUS
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L HD, PRC
0 0 1 1 1 1 1 1T ANGIOGRAPHY STAN
3 3 1 1 3 3 3 3T URS, REMOVE DJ STEN
4 4 3 4 3 4 4 4T ANGIOGRAPHY STAN
1 1 1 2 2 3 3 3T LITOTRIPSI BATU UR
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L ANGIOGRAPHY STAN
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
0 0 1 1 1 1 1 1T
1 1 0 0 1 1 1 1T ESWL
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
4 4 4 4 4 4 4 4L FESS
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L TONSILECTOMY
4 4 4 4 4 4 4 4L CORONARY ANGIOGR
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1T ANGIOGRAPHY STAN
1 1 1 1 1 1 1 1L ANGIOGRAPHY
0 0 1 1 1 1 1 1T ANGIOGRAPHY
7 7 7 7 7 7 7 7L
0 0 2 2 2 2 2 2T
0 0 0 0 0 0 0 0T PERCUTANEOUS PINN
5 5 5 5 5 5 5 5L
5 5 5 5 5 5 5 5L
5 5 5 5 5 5 5 5L
0 0 1 1 1 1 1 1T CORONARY ANGIOG
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L DILATASI ANAL
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L ANGIOGRAPHY
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 2 2 2 2 2 2T SCTP
7 7 7 7 7 7 7 7L
0 0 1 1 1 1 1 1T ESWL
4 4 4 4 4 4 4 4L ADENOTONSILECTO
4 4 2 2 4 4 4 4T REMOVAL, REPAIR
1 1 1 1 1 1 1 1L ANGIOGRAPHY
1 1 1 1 1 1 1 1L ESWL
0 0 1 1 1 1 1 1T URS, LASER LITOTRIP
3 3 3 3 3 3 3 3L MENISCUS REPAIR
1 1 1 1 1 1 1 1L URETRETOMY, INSER
3 3 3 3 3 3 3 3L CAG PCI
2 2 2 2 2 2 2 2L ARRHROSCOPY SHO
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
7 7 7 7 7 7 7 7L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L ANGIOGRAPHY
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L ANGIOGRAPHY STAN
4 4 4 4 4 4 4 4L
0 0 0 0 0 0 0 0T REMOVE IMPLANT
2 2 2 2 2 2 2 2L SCTP
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
0 0 1 1 1 1 1 1T ESWL
3 3 3 3 3 3 3 3L ACL RECONSTRUCTI
3 3 3 3 3 3 3 3L INDUKSI PERSALINA
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
1 1 1 1 1 1 1 1L
1 0 1 1 1 1 1 1T ESWL
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
3 3 1 1 3 3 3 3T
3 3 3 3 3 3 3 3L
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
0 0 0 0 0 0 0 0T CORONARY ANGIOGR
2 2 2 2 2 2 2 2L
4 4 4 4 4 4 4 4L
2 2 4 4 4 4 4 4T
0 0 1 1 1 1 1 1T CLOSE REDUCTION,
1 1 1 1 1 1 1 1L ARTROSCOPY ANKLE
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
0 0 0 0 0 0 0 0T ODONTECTOMY
4 4 4 4 4 4 4 4L
5 5 5 5 5 5 5 5L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L
4 4 4 4 4 4 4 4L
0 0 0 0 1 1 1 1T SIRKUMSISI
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L INSERSI IUD
4 4 4 4 4 4 4 4L
4 4 4 4 4 4 4 4L
1 1 1 1 1 1 1 1L
4 4 4 4 4 4 4 4L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L TONSILECTOMY
2 0 2 2 2 2 2 2T DEBRIDEMENT
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
0 0 3 3 3 3 3 3T
6 6 6 6 6 6 6 6L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
6 6 6 6 6 6 6 6L
1 1 1 1 1 1 1 1L
5 5 5 5 5 5 5 5L
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
2 2 1 1 2 2 2 2T EXISI
1 1 1 1 1 1 1 1L
2 2 2 2 2 2 2 2L
0 0 0 0 0 0 0 0T REMOVE IMPLANT
5 5 3 3 5 5 5 5T URS, URETEROTOMY,
2 2 2 2 2 2 2 2L URS, LASER LITOTRIP
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
0 0 1 1 1 1 1 1T REMOVE IMPLANT
1 1 2 2 2 2 2 2T
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
7 7 7 7 7 6 7 7T
3 3 3 3 3 3 3 3L
3 3 1 1 3 3 3 3T URS, URETEROTOMY,
2 2 2 2 2 2 2 2L KNEE ARTHROSCOPY
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
0 2 2 2 2 2 2 2T
3 3 3 3 3 3 3 3L
4 0 3 3 3 4 4 4T
3 3 3 3 3 3 3 3L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
2 2 2 2 2 2 2 2L
3 3 3 3 3 3 3 3L
2 2 2 2 2 2 2 2L
5 5 5 5 5 5 5 5L
3 0 3 3 3 3 3 3T
5 5 5 5 5 5 5 5L ADENOTONSILECTO
3 3 3 3 3 3 3 3L
4 4 4 4 4 4 4 4L
2 2 1 1 2 2 2 2T
6 6 6 6 6 6 6 6L
10 10 10 10 10 10 10 10 L SCTP,MOW
3 3 2 2 2 3 3 3T CLOSE REDUCTION H
5 0 5 5 5 5 5 5T
0 0 1 1 1 1 1 1T
5 0 4 4 5 5 5 5T
1 1 1 1 1 1 1 1L
3 3 3 3 3 3 3 3L
Analisis Informed Consent
40.29 4/2/2019 1 1 1 1 1
57.0+97.65 4/1/2019 1 1 1 1 1
56.0 4/1/2019 1 1 1 1 1
57.32+97.65 4/1/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/1/2019 1 1 1 1 1
57.32+97.65 4/1/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/2/2019 1 1 1 1 1
45.23 4/1/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/2/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/2/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/2/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/2/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/2/2019 1 1 1 1 1
00.66 4/2/2019 1 1 1 1 1
51.22+54.59 4/3/2019 1 1 1 1 1
48.24+64.0 4/8/2019 1 1 1 1 1
79.39 4/3/2019 1 1 1 1 1
39.95+99.04 4/4/2019 1 1 1 1 1
23.19 4/4/2019 1 1 1 1 1
44.13 4/4/2019 1 1 1 1 1
54.19 4/8/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/4/2019 1 1 1 1 1
88.57 4/4/2019 1 1 1 1 1
47.09+54.19 4/5/2019 1 1 1 1 1
00.66+00.41+36.07+8 4/4/2019 1 0 1 1 0
00.66+00.40+36.07+8 4/4/2019 1 1 1 1 1
45.23+99.04 4/5/2019 1 1 1 1 1
39.95+99.04 4/4/2019 1 0 0 0 0
39.95+99.04 4/4/2019 1 0 0 0 0
56.2+59.8 4/4/2019 1 1 1 1 1
73.1+69.7 4/4/2019 1 1 1 1 1
39.42 3/23/2019 1 1 1 1 1
39.27 3/23/2019 1 1 1 1 1
73.1 4/5/2019 1 1 1 0 0
39.95+99.04 4/6/2019 1 0 1 0 0
39.95+99.04 4/5/2019 1 1 1 0 0
58.49+64.42 4/5/2019 1 1 1 1 1
47.09 4/5/2019 1 1 1 1 1
28.92+62.5 6/4/2019+5/4 1 1 1 1 1
28.92+64.0 1/4/2019+5/4 1 1 1 1 1
79.82 4/5/2019 1 1 1 1 1
44.13 4/6/2019 1 1 1 1 1
73.1+75.69 4/6/2019 1 1 1 1 1
39.27 4/5/2019 1 1 1 1 1
00.66+00.42+36.07+88.57+00.47 1 1 1 1 1
39.59 4/5/2019 1 1 1 1 1
56.2+59.8 4/8/2019 1 1 1 1 1
39.27 4/8/2019 1 1 1 1 0
54.19 4/10/2019 1 1 1 1 0
00.66+00.40+36.07+8 4/8/2019 1 1 1 1 1
79.36 4/8/2019 1 1 1 1 1
51.22 4/8/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/8/2019 1 1 1 1 1
74.1 4/8/2019 1 1 1 1 1
57.32+97.65 4/8/2019 1 1 1 1 1
97.65 4/8/2019 1 1 1 1 1
64.2+64.44 4/8/2019 1 1 1 1 1
74.99 4/8/2019 1 1 1 1 1
39.95+99.04 4/9/2019 1 1 1 0 0
79.34 4/8/2019 1 1 1 1 1
56.2+59.8 4/9/2019 1 1 1 1 1
83.39 4/8/2019 1 1 1 1 1
44.13 4/8/2019 1 1 1 1 1
88.57 4/8/2019 1 1 1 1 1
39.95 4/9/2019 1 1 1 1 1
80.48 4/8/2019 1 1 1 1 1
74.99 4/8/2019 1 1 1 1 1
97.65 4/8/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/9/2019 1 1 1 1 1
99.25 4/8/2019 1 1 1 1 1
39.95+99.04 4/10/2019 1 1 0 1 1
44.13 4/9/2019 1 1 1 1 1
28.2 4/8/2019 1 1 1 1 1
57.32+97.65 4/9/2019 1 1 1 1 1
83.39 4/5/2019 1 1 1 1 1
45.25+44.13 4/12/2019 1 1 1 1 1
56.0+59.8 4/9/2019 1 1 1 1 1
44.13 4/9/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
00.66+00.40+36.07 4/10/2019 1 1 1 1 1
74.1+66.39 4/11/2019 1 1 1 0 0
00.66+00.41+36.07+8 4/11/2019 1 1 1 1 1
56.0+97.65 4/8/2019 1 1 1 1 1
39.95 4/12/2019 1 1 1 1 1
74.99+66.39 4/10/2019 1 1 1 1 1
83.39+78.00+76.74 4/9/2019 1 1 1 1 1
56.0 4/11/2019 1 1 1 1 1
74.1+66.39 4/11/2019 1 1 1 0 0
00.66+00.40+36.07 4/10/2019 1 1 1 1 1
60.29 4/10/2019 1 1 1 1 1
44.13 4/12/2019 1 1 1 1 1
64.0 4/12/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/11/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/11/2019 1 1 1 1 1
83.39 4/9/2019 1 1 1 1 1
99.83 0 1 1 0 0
74.99 4/8/2019 1 1 1 1 1
56.0 4/11/2019 1 1 1 1 1
22.60+21.69 4/10/2019 1 1 1 1 1
56.0+59.8 4/11/2019 1 1 1 1 1
99.04+39.27 4/10/2019 1 1 1 1 1
86.22 4/12/2019 1 1 1 1 1
86.28+78.69 4/13/2019 1 1 1 1 1
39.42 4/12/2019 1 1 1 1 1
82.01 4/10/2019 1 1 1 1 1
86.28+98.28 4/12/2019 1 1 1 1 1
93.53 4/10/2019 1 1 1 1 1
54.19+56.61 4/12/2019 1 1 1 1 1
83.39 0 1 1 1 1
76.75 4/12/2019 1 1 1 1 1
62.0+62.5 4/12/2019 1 1 1 1 1
39.42 4/12/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
45.23 4/14/2019 1 1 1 1 1
39.42 4/10/2019 1 1 1 1 1
39.27 4/10/2019 1 1 1 1 1
47.09 4/15/2019 1 1 1 1 1
69.02 4/14/2019 1 1 1 1 1
74.1 4/14/2019 1 1 1 1 1
02.04 4/9/2019 1 1 1 1 1
83.39 4/14/2019 1 1 1 1 1
56.0+59.8 4/16/2019 1 1 1 1 1
49.46 4/13/2019 1 1 1 1 1
74.99+69.7 4/14/2019 1 1 1 1 1
83.39 4/13/2019 1 1 1 1 1
00.66+00.43+36.07+8 4/16/2019 1 1 1 1 1
99.29 0 1 1 0 0
22.60 4/13/2019 1 1 1 1 1
57.32+54.19+60.29 4/16/2019 1 1 1 1 1
51.22 4/15/2019 1 1 1 1 1
00.66+00.41+36.07+8 4/15/2019 1 1 1 1 1
82.19+78.63 4/12/2019 1 1 1 1 1
28.92 4/15/2019 1 1 1 1 1
56.0+97.65 4/15/2019 1 1 1 1 1
88.57 4/15/2019 1 1 1 1 1
74.99 4/16/2019 1 1 1 1 1
44.13 12/31/1899 1 1 1 1 1
00.66+00.42+36.07+8 4/16/2019 1 1 1 1 1
69.02+66.39 4/17/2019 1 1 1 1 1
79.02+93.53 4/17/2019 1 1 1 1 1
45.23 4/20/2019 1 1 1 1 1
56.0+59.8 4/16/2019 1 1 1 1 1
60.29 4/17/2019 1 1 1 1 1
45.23 4/18/2019 1 1 1 1 1
60.29 4/18/2019 1 1 1 1 1
56.2+59.8 0 1 1 1 1
44.13 4/18/2019 1 1 1 1 1
64.2 4/18/2019 1 0 0 0 0
56.0+59.8 4/20/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/21/2019 1 1 1 0 0
47.09 4/18/2019 1 1 1 1 1
79.39 4/18/2019 1 1 1 1 1
74.99 4/19/2019 1 1 1 1 1
49.46 20/4/2019 1 0 1 1 1
86.28+86.60 4/16/2019 1 1 1 1 1
74.99+66.39 4/14/2019 1 1 1 1 1
8628+86.71 4/20/2019 1 1 1 1 1
79.39 9/18/2019 1 1 1 1 1
86.28+82.89 4/19/2019 1 1 1 1 1
47.09 4/20/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/21/2019 1 1 1 1 1
74.99+69.7 4/18/2019 1 1 1 1 1
44.13 4/22/2019 1 1 1 1 1
74.99+69.7 4/16/2019 1 1 1 1 1
49.46 4/21/2019 1 1 1 1 1
48.31 4/20/2019 1 1 1 1 1
82.01 4/18/2019 1 1 1 1 1
51.22+54.59 4/18/2019 1 1 1 1 1
79.35 4/21/2019 1 1 1 1 1
47.09 4/24/2019 1 1 1 1 1
39.95 4/22/2019 1 1 1 0 0
88.57 4/22/2019 1 1 1 1 1
00.66+00.41+36.07+8 4/24/2019 1 1 1 1 1
79.31 4/20/2019 1 1 1 1 1
39.95+99.04 4/23/2019 1 1 1 0 0
00.66+00.40+36.07+8 4/22/2019 1 1 1 1 1
97.65+59.8+56.0 0 1 1 1 1
00.66+00.40+36.07+8 4/20/2019 1 1 1 1 1
56.0+59.8 4/23/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/22/2019 1 1 1 1 1
98.51 4/18/2019 1 1 1 1 1
22.42 4/18/2019 1 1 1 1 1
28.2 4/24/2019 1 1 1 1 1
00.66+00.41+36.07+8 4/15/2019 1 1 1 1 1
00.66+00.40+36.07+8 4/23/2019 1 1 1 0 0
88.57 0 1 1 1 1
88.57 4/23/2019 1 1 1 1 1
78.59+86.23+86.28 4/23/2019 1 1 1 1 1
88.57 4/23/2019 1 1 1 1 1
96.22 4/22/2019 1 1 1 1 1
88.57 4/24/2019 1 1 1 1 1
74.99 4/24/2019 1 1 1 1 1
98.51 4/22/2019 1 1 1 1 1
28.92 4/24/2019 1 1 1 1 1
98.26+82.89 4/24/2019 1 1 1 1 1
88.57 4/24/2019 1 1 1 1 1
98.51 4/24/2019 1 1 1 1 1
56.0+59.8 4/25/2019 1 1 1 1 1
81.47 4/22/2019 1 1 1 1 1
56.2+59.8 4/25/2019 1 1 1 1 1
00.66+00.42+36.07+8 4/24/2019 1 1 1 1 1
80.21+86.28 4/23/2019 1 1 1 1 1
88.57 4/25/2019 1 1 1 1 1
00.66+00.41+36.07+8 4/25/2019 1 1 1 0 0
78.67 4/22/2019 1 1 1 1 1
74.99 4/25/2019 1 1 1 1 1
98.51 4/26/2019 1 1 1 1 1
81.45+81.47 4/25/2019 1 1 1 1 1
73.1+73.59 4/25/2019 1 1 1 1 1
98.51 4/25/2019 1 1 1 1 1
88.57 4/26/2019 1 1 1 1 1
79.0+93.53 4/26/2019 1 1 1 1 1
80.27 4/23/2019 1 1 1 1 1
23.19 4/23/2019 1 1 1 1 1
64.0 4/26/2019 1 1 1 1 1
69.7 4/27/2019 1 1 1 1 1
28.2 4/27/2019 1 1 1 1 1
86.22 4/29/2019 1 1 1 1 1
83.39 4/25/2019 1 1 1 1 1
78.69 4/27/2019 1 1 1 1 1
56.2+59.8+56.0 4/29/2019 1 1 1 1 1
56.0+59.8 4/20/2019 1 1 1 1 1
78.67 4/29/2019 1 1 1 1 1
56.2+56.0 4/29/2019 1 1 1 1 1
80.26+81.47+81.96 4/18/2019 1 1 1 1 1
28.92 31/4/2019 1 1 1 1 1
74.99+66.39 5/2/2019 1 1 1 1 1
79.75+93.46 4/30/2019 1 1 1 1 1
onsent LAPORAN OPERASI
L/T
TTD & TTD & TTD & DX DX Keses Catat
TTD & Nama Nama Nama Pre Post uaian an
OPERATOR Nama Pasien/ Saksi I Saksi II Oeras Oeras DX Opera
Dokter Wali i i si
dr. Harris Oetama, SpU 1 1 1 1L 1 1 1 1
L/T
TTD & TTD &
Nama TTD
Operat Opera TGL/JA Nama Nama Nama
ANASTESIOLOGIST Nama
M Tindakan Dokter
or tor Dokter Pasien/
Wali
1 1 1L 1 1 dr. Agung Purnomo, Sp.An 1 1
1 1 1T
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 dr. Regina Agustina, Sp.An 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 dr. Agung Purnomo, Sp.An 1 1
1 1 1L
1 1 1L 1 1 dr.Menara, SpAn 1 1
L/T
TTD & TTD &
Nama Nama JAM KEMATI NIK
Saksi I Saksi II
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 0T
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 0T
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1T
1 1L
1 1L S
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L S
1 1L S
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L S
1 1L
1 1L S
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L S
1 1L
1 1L
1 1L
1 1L T
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L S
1 1L
1 1T
1 1L
1 1L
1 1L
1 1L
S
1 1L
1 1L
1 1L S
1 1L S
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L S
1 1L
1 1T
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1T
1 1L
1 1L
1 1L
1 1T
1 1L
1 1L
1 1L
1 1L
20.55 647101050680001
1 1L
1 1L
1 1L
Admision MR Patient Name
RHYNOFARINGITIS J00
ASTHMA BRONCHILLE J45.9
CAD, VES, DM I25.1 I49.3 E14.7
BPH, RETENSI URINE, HYPERURICEMIA, AKI, H N40 R33 E79.0 N17.9 R31
PROLONGED FEVER, VIRAL INFECTION, DEHYDRA R50.9 B34.9 E63.1
UNION FR CLAVICLE S42.0
RHYNOFARINGITIS J00
ANGINA PECTORIS, CAD 2 VD, AF NVR, VES, HT I20.9 I25.1 I48 I49.3 I10
URTI, UTI, DM, HYPERTENSI J06.9 N39.0 E14.7 I10
NEFROLITHIASIS BILATERAL N20.0
CAD IVD, HT, DM I25.1 I10 E14.7
BRONCHITIS J40
RHYNOFARINGITIS AKUT, KDS J00 R56.0
RHYNOFARINGITIS AKUT, EPISTAXIS J00 R06.0
APPENDICITIS CHRONIC K29.5
VOMITING PORFUSE, DEHIDRASI R11 E86
FEBRIS, HEPATOPATHY, VOMITING R50.9 K76.9 R11
CAD 3 VD, ANGINA PECTORIS, HT, HHD WITH HF,I25.1 I11.0 I10 I49.3 I20.9
VULNUS AVULSI LABIAL S01.5 W11
RHYNOFARINGITIS, DM, CAD J00 E14.7 I25.1
GASTROENTERITIS AKUT, DEHIDRASI A09.0
VARICOCLE I86.1
DYSPEPSIA K30
N ATERM BAYI LAHIR SC, INFEKSI BACTERIAL, Z38.0 P03.4 P39.9 P59.9
G4P3A1 NORMAL ATERM, BSC Z37.0 O82.9 O34.2
ACUTE NASOPHARINGITIS, URINARY TRACK INFJ00 N39.0
MENISCUS TEAR GENU BILATERAL, OA GENU BI S83.2 M17.9
STEMI, HT HHD WITH CHF, MILD AR, VES, CAD I21.9 I10 I11.0 I35.1 I49.3
PARTUS ATERM, BEKAS SC 2X, LETAK LINTANG, Z37.0 O82.9 O32.2 O34.2 O99.5
SYOK SEPTIK, URINARY TRACK INFECTION, ACU R57.8 N39.0 N17.9 K76.9 I89.0
HYPOKALEMIA, SPASMOFILIA, RHINITIS, OVER E87.6 R29.0 J00.9 N32.8
PANKREATITIS AKUT, CHOLELITHIASIS, DYSPEPS K85.9 K80.2 K30 I10 E87.6
ASMA SEDANG, RHYNOFARINGITIS AKUT J45.9 J00
VERTIGO PERIFER, CEDERA OTAK RINGAN H81.3 S06.9
URTICARIA, FARINGITIS AKUT L50.9 J02.9
RHYNOFARINGITIS AKUT, STOMATITIS J00 K12.1
CHF EC HD, DM II, GASTROPATHY DIABETIC, ULKI11.0 E11.7
DHF GR II A91
HYPEREMESIS GRAVIDARUM Z34.8 O21.0
RHYNOFARINGITIS J00
FEBRIS EC VIRAL INFECTION, FARINGITIS AKUT B34.9 J02.9 K30
CKD ST V N18.8
BENIGN PROXIMAL VERTIGO H81.1
RHYNOFARINGITIS, STOMATITIS J00 K12.1
DIARE CAIR AKUT A09.0
VERTIGO PERIFER, RHINITIS H81.3 J00.9
GASTROENTERITIS AKUT, EDEMA VF, ABD PAIN A09.9 R60.9 R10.4
GERD K21.9
HAEMOROID EX GR II- III I84.5
DIARE CAIR AKUT, HYPOKALEMIA A09.0 E87.6
BRONCHITIS, CHF, HHD, DM II J40 I11.0 E11.7
DIARE AKUT A09.9
RHYNOFARINGITIS AKUT J00
NCB BBLC Z38.0
ANGINA PECTORIS, HHF, TROMBOSITOPENIA, AI20.9 I11.0 D69.6 D61.9
ANGINA PECTORIS, CAD I20.9 I25.1
RHYNOFARINGITIS AKUT, LOW INTAKE J00 E63.1
DYSPEPSIA, ISK K30 N39.0
COLIC ABDOMEN, CHOLELITHIASIS, KISTA RENAR10.4 K80.2 N28.1
N ATERM , SC, HYPERBILIURBINEMIA Z38.0 P03.4 P59.9
NONFUNGSIONAL GINJAL, ABSES GINJAL, MULTIN28.9 N15.1 N20.0 E11.7 R05
CYSTITIS N30.9
DEMAM DENGUE A90
DEMAM DENGUE A90
RHYNOFARINGITIS J00
CHRONIC SINUSITIS, SHPENOID J32.9 J32.3
GASTROENTERITIS AKUT, UTI, DYSPEPSIA SYN A09.9 N39.0 K30
PROLAPSE UTERI GR IV, DM II, HT EMERGENCY N81.4 E11.7 I10
FARINGITIS AKUT, GENERAL WEAKNES ECHEMOJ02.9 R53 E16.2 H27.0
RHYNOFARINGITIS J00
CAD 3 VD, HHD WITH CHF, ANGINA PECTORIS I25.1 I11.0 I20.9
ANGINA PECTORIS, CHF I20.9 I11.0
GERD K21.9
FEBRIS EC BRONCOPHARINGITIS AKUT, DYSPEP J40 K30 K21.9
HN, STENOSIS URETER, BATU BULI, HAEMATURIA
N35.9 N13.6 R31 E11.7
NCB SMK Z38.0
NCB SMK Z38.0 P03.4
CF RADIUS 1/3 DISTAL S52.6
RHYNOBRONCHITIS J20.9
RHYNOFARINGITIS AKUT, GINGIVITIS, DEHYDRASJ00 K05.1 E63.1
FETAL DISTRESS 8-9 MINGGU Z34.8 O36.3
ACUTE BRONCHITIS, URINARY TRACK INFECTIO J20.9 N39.0
BENIGN PROXIMAL VERTIGO H81.1
MULTI NEFROLITHIASIS, ISK N20.0 N39.0
PUA N93.9
GROSS HEMATURIA EC BLOOD CLOT, DJ STENT INI74.1 Z96.0 N39.0
IMPANGIMENT SYNDROME, REPAIR SUPRAPINAM75.4 S83.2
ACQUIRED AVF, CKD ST V, HT, DM, GASTROPATHI77.0 N18.8 I10 E14.7 K31.9
DYSPEPSIA, HYPERTENSI, ANEMIA, CA CERVIX, K30 I10 D63.0 C53.9 E14.7
ANEMIA, CKD, COLITIS D63.8 N18.9 A09.9
OD APHAKIA H27.0
FARINGITIS J02.9
URTI, HYPERPIREXIA, DYSPEPSIA J06.9 R50.9 K30
DENGUE FEVER, HEPATOPATHY A90 K76.9
GERD, PID K21.9 N73.9
MIGRAIN G43.9
GASTRITIS CHRONIC SUPERFICIAL, UTI K29.3 N39.0
G3P2A2 41-42 MINGGU, INPARTU KALA II, HEPAZ37.0 O48.9 O98.4 O70.1
N ATERM Z38.0
HAEMOROID GR IV I84.8
ABDOMINAL PAIN, DYSPEPSIA SYNDROME, VOMR10.4 K30 R11
RHYNOFARINGITIS J00
CHOLELITHIASIS, CHOLECYCTITIS K80.1
RHYNOFARINGITIS J00
RHYNOFARINGITIS J00
4 4 4 4L
6 6 6 6T
5 5 5 5L
4 4 4 4L
5 5 5 5L
2 2 2 2L ARTHROSCOPY GENU, DEBRIDEMENT 80.26+86.28
2 2 2 2L
2 2 2 2L DEBRIDEMENT, MENISCUS REPAIR 86.28+81.47
3 3 3 3L
3 3 3 3L INDUKSI PERSALINAN 73.1
3 3 3 3L
5 5 5 5L CAG, PCI 00.66+00.41+36
5 5 5 5L CORANARY ANGIOGRAPHY STANBY PCI00.66+00.40+36
3 3 3 3L
1 1 1 1L ANGIOGRAPHY STANDBY PCI 00.66+00.42+36
1 1 1 1L CAG 88.57
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3L
2 2 2 2L
4 4 4 4L CORANARY ANGIOGRAPHY 88.57
2 2 2 2L
4 4 4 4L
4 4 4 4T
6 6 6 6L
3 3 3 3L
1 1 1 1L D&C 69.02
5 5 5 5L
1 1 1 1L
5 5 5 5L FISTULECTOMY 49.12
5 5 5 5L
2 2 2 2T DEBRIDEMENT, REPAIR FULL STICKHNES86.28+08.85
2 2 2 2L TURBT 57.49
4 4 4 4L ADENOTONSILECTOMY 28.92
3 3 3 3L
1 1 1 1L
0 0 0 0T WIDE EXCISION 83.39
1 1 1 1L
5 5 5 5L
2 2 2 2L REPAIR TENDON, ATFL RECONSTRUCTI 83.88+83.83
2 2 2 2T INDUKSI PERSALINAN 73.1
6 6 6 6L FESS 22.42
3 3 3 3L
4 4 4 4L
5 5 5 5L
3 3 3 3L
2 2 2 2L MOW 66.39
3 3 3 3L
3 3 3 3L
4 4 4 4L
4 4 4 4L
7 7 7 7L
3 3 3 3L
2 2 2 2L
3 3 3 3L
1 1 1 1L
2 2 2 2L
10 10 10 10 L
3 3 3 3L
3 3 3 3T
4 4 4 4T TURP 60.29
1 1 1 1L
2 2 2 2L
1 1 1 1L ANGIOGRAPHI PCI 00.66+00.42+36
3 3 3 3T
1 1 1 1L ODONTECTOMY 23.19
4 4 4 4L
3 3 3 3L
3 3 3 3L TONSILECTOMY 28.2
3 3 3 3T COLONOSCOPY, BIAOPSI 45.25
3 3 3 3L
1 1 1 1T CYSTOSCOPY, REMOVE DJ STENT 57.32+97.65
1 1 1 1L REMOVE IMPLANT 78.61
1 1 1 1L REPAIR BANKART LESSION 81.82
4 4 4 4T TURBT 57.49
2 2 2 2L
7 7 7 7L
3 3 3 3L
7 7 7 7L
1 1 1 1L DECOMPRESSION RELASE 80.41
6 6 6 6L
2 2 2 2L INSERSI IUD 69.7
1 1 1 1L
4 4 4 4T
1 1 1 1T
4 4 4 4L URS BIL, REMOVE DJ STENT, LITOLAPAX 97.65+57.0+57.
5 5 5 5L
2 2 2 2L
3 3 3 3L
2 2 2 2L
4 4 4 4L
3 3 3 3L
4 4 4 4L
7 7 7 7L
2 2 2 2L
1 2 2 2T ORIF 79.31
3 3 3 3L
1 2 2 2T
3 3 3 3L ANGIOGRAPHY STANDBY PCI 00.66+00.43+00
2 2 2 2L
3 3 3 3L
2 2 2 2T
2 2 2 2T ANGIOGRAPHI PCI 00.66+00.41+36
3 3 3 3L
9 9 9 9L
1 1 1 1L
4 4 4 4L SCTP, MOW 74.99+66.39
3 3 3 3L
3 3 3 3T
3 3 3 3L
2 2 2 2L
3 3 3 3L
7 7 7 7L
7 7 7 7L
3 3 3 3L
3 3 3 3L
6 6 6 6L
1 1 1 1L
2 2 2 2L
3 3 3 3L
3 3 3 3L
3 3 3 3L
1 1 1 1L HD, PRC 39.95+99.04
7 7 7 7L
6 6 6 6L
3 3 3 3T ORIF 79.32
1 2 2 2T URS BIL, REMOVE DJ STENT, LITOLAPAX 97.65+57.0
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
4 4 4 4T GASTROSCOPY 44.13
4 4 4 4L
3 3 3 3L
4 4 4 4T
3 3 3 3L
2 2 2 2L
2 2 2 2T ENDOSCOPY 45.11
5 5 5 5L
3 3 3 3L
2 2 2 2L CAG STANDBY PCI 00.66+00.40+36
4 4 4 4L
4 4 4 4L ANGIOGRAPHY STANDBY PCI 00.66+00.42+36
2 2 2 2L
1 1 1 1L CORANARY ANGIOGRAPHY 88.57
5 5 5 5T URS, URETEROTOMY, LASER LITOTRIPSI 56.2+56.0
1 1 1 1L
5 5 5 5L
1 1 1 1L
3 3 3 3L
4 4 4 4T RADICAL OPERASI 48.31
3 3 3 3L CAG 88.57
1 1 1 1L
2 2 2 2L
1 1 1 1L
1 1 1 1L HD 39.95
1 1 1 1T ANGIOGRAPHY STANDBY PCI 88.57
2 2 2 2T DEBRIDEMENT, ESCHAROTOMY 86.22
6 6 6 6L
4 4 4 4L
4 4 4 4L
3 3 3 3L
3 3 3 3L ANGIOGRAPHY STANDBY PCI 88.57
3 3 3 3T TURP 60.29
4 4 4 4L
0 0 0 0T REMOVE IMPLANT 78.61
4 4 4 4L
3 3 3 3L CAG, PCI 00.66+00.41+36
4 4 4 4L
1 1 1 1L ESWL 98.51
2 2 2 2L CAG 88.57
4 4 4 4L
4 4 4 4L
4 4 4 4L
4 4 4 4T APPENDECTOMY 47.09
1 1 1 1L
2 2 2 2L
5 5 5 5T
4 4 4 4L
1 1 1 1L
4 4 4 4L
3 3 3 3L
2 2 2 2L
3 3 3 3L
1 1 1 1T
4 4 4 4L
3 3 3 3L CHEMOTERAPHY 99.25
9 9 9 9L
6 6 6 6L
1 1 1 1L ANGIOGRAPHY 88.57
3 3 3 3L
3 3 3 3L
3 3 3 3L
3 3 3 3T FIBEROPTIK LARINGOSCOPY 31.42
8 10 10 10 T URETROGRAFI RETROGRADE, CYSTOSCOP
87.76+57.33+59
5 5 5 5L
5 5 5 5L
6 6 6 6L HEMOROIDECTOMY 49.46
1 1 1 1T ANGIOGRAPHY 88.57
1 1 1 1L KURRETAGE 69.52
6 6 6 6L
4 4 4 4L
2 2 2 2L
1 1 1 1T
1 1 1 1L HD, PRC 39.95+99.04
1 1 1 1L
4 4 4 4L
11 11 11 11 L HEMIKOLEKTOMI 45.73
2 2 2 2L HD, PRC 39.95+99.04
4 4 4 4L
4 4 4 4L
2 2 2 2L
3 3 3 3L DEBRIDEMENT, REPAIR 86.28+86.59
3 3 3 3L
1 1 1 1T
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
4 4 4 4L
1 1 1 1L ANGIOGRAPHY STANDBY PCI 00.66+00.42+36
3 3 3 3L
3 3 3 3L
1 1 1 1L
3 3 3 3L SCTP 74.99
2 2 2 2L KURRETAGE 69.02
2 2 2 2T ORIF, RECONSTRUKSI TENDON 79.31+83.83
2 2 2 2L
4 4 4 4L
5 5 5 5L
5 5 5 5L
5 5 5 5L
4 4 4 4L
3 3 3 3L
1 1 1 1T
4 4 4 4L
5 5 5 5L
4 4 4 4L GASTROSCOPY 44.13
1 1 1 1L ANGIOGRAPHY 88.57
4 4 4 4L
1 1 1 1T ANGIOGRAPHY 88.57
3 3 3 3T
9 9 9 9L
1 1 1 1L
3 3 3 3T URS, LASER LITOTRIPSI 56.0
3 3 3 3L
5 5 5 5L
4 4 4 4L ACL RECONSTRUKSI, MENUSCUS REPAI 81.45+81.47
5 5 5 5L
4 4 4 4L
7 7 7 7L
2 2 2 2L
3 3 3 3L
1 1 1 1T URETHROTMY, LITOTRIPSI BATU URATER56.2+56.0+57.9
10 10 10 10 L
2 2 2 2T ENDOSCOPY 45.11
3 3 3 3T SC 74.99
3 3 3 3L
3 3 3 3L
4 4 4 4T
4 4 4 4L
4 4 4 4L SCTP 74.99
4 4 4 4L
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
1 1 1 1L
4 4 4 4L PEMASANGAN INFUS 99.18
3 3 3 3L
3 3 3 3L
4 4 4 4L
3 3 3 3T
3 3 3 3T
4 4 4 4L
4 4 4 4T UTEREROTOMY, INSERSI DJ STENT, LASE56.0+59.8
6 6 6 6L
5 5 5 5T TURBT 57.49
3 3 3 3L
4 4 4 4L
2 2 2 2L
4 4 4 4L MICRODISECTOMY, FORAMINOTOMY 80.51+03.09
4 4 4 4L
4 4 4 4L LSCS 74.1
2 2 2 2T CYSTOSCOPY, REMOVE DJ STENT 57.32+97.65
5 5 5 5L
4 4 4 4L
5 5 5 5L
3 3 3 3L
4 4 4 4L
2 2 2 2L
2 2 2 2L
0 0 0 0T INSERTION OF TOTALLY IMPLANT VASC 86.07
0 0 0 0T REPAIR ANEURYSM, HD 39.52+39.95
2 2 2 2T TURBT 57.49
1 1 1 1L EXTIRPASI SINUS NASAL, DEBRIDEMENT22.60+86.28
9 9 9 9L
4 4 4 4L
8 8 8 8L
3 3 3 3L
3 3 3 3L
4 4 4 4L
5 5 5 5L
4 4 4 4L
3 3 3 3L
2 2 2 2L
3 3 3 3L
4 4 4 4L
0 0 0 0T AV SHUNT 39.27
2 2 2 2L
5 5 5 5L
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L FOTO TERAPY 99.83
3 3 3 3L
2 2 2 2L PUNKSI 34.91
4 4 4 4L APPENDECTOMY 47.09
4 4 4 4L
5 5 5 5L APPENDECTOMY 47.09
1 1 1 1L
2 2 2 2L
3 3 3 3L
6 6 6 6T
2 2 2 2L
3 3 3 3L ORIF 79.39
7 7 7 7L URS, LASER LITOTRIPSI 56.0
3 3 3 3L
2 2 2 2L
8 8 8 8L
3 3 3 3L
4 4 4 4L LSCS, INSERSI IUD 74.1+69.7
5 5 5T APPENDECTOMY 47.09
6 6 6 6T LAPARATOMY 54.19
2 2 2 2L CHOLESISTECTOMY, ADHESILYSIS 51.22+54.59
5 5 5 5L
0 0 0 0T HD 39.95
1 1 1 1T RECONSTRUCTION LIGAMENT 82.69
2 2 2 2L
4 4 4 4T
2 2 2 2T DEBRIDEMENT, ORIF, REPAIR NAIL BED 86.28+79.24+86
1 1 1 1T SIRKUMSISI 64.0
3 3 3 3L
6 6 6 6L
4 4 4 4T ASPIRASI EFUSI ANKLE 81.91
2 2 2 2T
4 4 4 4L
2 2 2 2L
2 2 2 2L
5 5 5 5L
4 4 4 4L
3 3 3 3T
3 3 3 3T
3 3 3 3T
1 1 1 1L LASER LITOPTRIPSI, INS DJ STENT 56.0+59.8
2 2 2 2T
1 1 1 1L ANGIOGRAPHY 88.57
3 3 3 3L
3 3 3 3L
3 3 3 3T
4 4 4 4L APPENDECTOMY LAPARATOMY 47.01
2 2 2 2L EXSISI TUMOR, BIOPSI 10.31+10.21
3 3 3 3T CYSTOGHRAM, CYSTOSCOPY, LASER FI 87.77+57.32+57
7 7 7 7L
2 2 2 2L
5 5 5 5L LAPARATOMY APPENDECTOMI, ADHESIO
54.19+47.09
3 3 3 3L INDUKSI PERSALINAN 73.1
3 3 3 3L
4 4 4 4L
4 4 4 4T LOW SERVICAL SECTIO CESAREAN, ADESI
74.1+54.59+69.
3 3 3 3L
1 1 1 1T RECONSTRUKSI CORNEA, GRAFT MUCO08.62
2 2 22 2T CYSTOSCOPY, REMOVE DJ STENT 57.32+97.65
3 3 3 3L
3 3 3 3L
4 4 4 4L
8 8 8 8L
3 3 3 3L CORANARY ANGIOGRAPHY STANBY PCI00.66+00.41+36
4 4 4 4T
3 3 3 3L
4 4 4 4L CHOLESISTECTOMY 51.22
5 5 5 5L
3 3 3 3L
3 3 3 3L
1 1 1 1T CAG PCI 00.66+00.41+36
6 6 6 6L
5 5 5 5L
1 1 1 1T CA 88.57
4 4 4 4L
3 3 3 3L
5 5 5 5L
3 3 3 3L
3 3 3 3T COLONOSCOPY 45.23
3 3 3 3L
2 2 2 2T
3 3 3 3L
3 3 3 3L
2 2 2 2L
1 2 2 2T ANGIOGRAPHI PCI 88.57
1 1 1 1T ANGIOGRAPHY STANDBY PCI 00.66+00.41+36
2 2 2 2L
4 4 4 4L
3 3 3 3L
4 4 4 4L
7 7 7 7T NEFREKTOMY 55.51
3 3 3 3L
6 6 6 6L
5 5 5 5L
3 3 3 3L
6 6 6 6L FESS 22.42
3 3 3 3L
2 2 2 2T
1 1 1 1L
3 3 3 3L
1 1 1 1L ANGIOGRAPHY 88.57
1 1 1 1L CA 88.57
2 2 2 2L TONSILECTOMY 28.2
3 3 3 3L
3 3 3 3L
5 5 5 5L
5 5 5 5L
2 2 2 2L
4 4 4 4L
6 6 6 6L
3 3 3 3L
2 2 2 2L
2 2 2 2L
4 4 4 4L
3 3 3 3L
6 6 6 6L
3 3 3 3L
4 4 4 4L
2 2 2 2L
3 3 3 3L
0 0 0 0T REVISI AV SHUNT 39.42
0 0 0 0T
1 1 1 1L PCI 00.66+00.40+00
4 4 4 4L
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3T DEBRIDEMENT, EXCISION 86.22
2 1 3 3T COLONOSCOPY 45.23
4 4 4 4L
2 2 2 2L
4 4 4 4L
4 4 4 4L SCTP, MOW 74.99+66.39
4 4 4 4L RECONSTURKSI ACL, MENISECTOMY 81.45+80.6
3 3 3 3L ORIF ZYGOMA MAXILLA 76.74
3 3 3 3L
3 3 3 3L
3 3 3 3L
0 0 0 0T URETHROTOMY, RENAL STENT 56.2+51.9
3 3 3 3L
3 3 3 3L
2 2 2 2T CLOSE REDUCTION, LONG ARM CAST 79.04
2 2 2 2T
3 3 3 3T TURP 60.29
1 2 2 2T
2 2 2 2L
6 6 6 6T
3 3 3 3L
2 2 2 2L
6 6 6 6L KURRETAGE 69.02
2 2 2 2L
3 3 3 3L
4 4 4 4L
1 1 1 1L DILATASI CURRETAGE 69.02
2 2 2 2L
2 2 2 2L
5 5 5 5T PCNL, INS DJ STENT 55.03+59.8
2 2 2 2L D&C 69.09
4 5 5 5T CYSTOSCOPY, REMOVE DJ STENT 57.32+97.65
0 0 0 0T ACROMYOPLASTY, REPAIR ROTATOR 81.83+83.63
0 0 0 0T RECONSTRUKSI VENOUS GRAFT 39.58
2 2 2 2L
2 2 2 2L
3 3 3 3L SECONDARY IMPLANT 16.69
7 7 7 7L
4 4 4 4L
3 3 3 3L
2 2 2 2L
3 3 3 3L
3 3 3 3L
1 1 1 1T
3 3 3 3L
3 3 3 3T COLONOSCOPY 45.23
21 21 21 21 2T ANGIOGRAPHY 88.55
4 4 4 4L
4 4 4 4L
4 4 4 4L
4 4 4 4L
2 2 2 2L
1 1 1 1T
4 4 4 4L
3 3 3 3L
2 2 2 2L
4 4 4 4L
2 2 2 2L
5 5 5 5L
2 2 2 2L
1 1 1 1L
3 3 3 3L CITO SC 74.99
0 0 0 0T REMOVE IMPLANT 78.63
2 2 2 2L
0 0 0 0T RESEKSI ANERYSM, RPAIR ARTERY 38.60+39.59
6 6 6 6L
4 4 4 4L
4 4 4 4L
3 3 3 3L
2 2 2 2T LITOTRIPSIM BATU URETER 56.0
2 2 2 2L
3 3 3 3L
2 2 2 2T GASTROSCOPY 44.13
2 2 2 2T LITOTRIPSIM BAU URETER, INSERSI DJ 56.0+59.8
2 2 2 2L REPAIR TENDON 83.88
6 6 6 6L
5 6 6 6T APPENDECTOMY 47.09
0 1 1 1T ODONTECTOMY 23.19
0 0 0 0T REPOSISI CAST 93.53
3 3 3 3L INDUKSI PERSALINAN 73.1
4 4 4 4L
3 3 3 3L LSCS 74.1
2 2 2 2L
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
6 6 6 6L
3 3 3 3L
4 4 4 4L
9 9 9 9L
3 3 3 3T
2 2 2 2T
0 0 0 0T
6 6 6 6T
2 2 2 2L
4 4 4 4L ORIF MANDIBULA, APPROACH SUBMAN76.76
4 4 4 4L
1 1 1 1L AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
3 3 3 3L
3 3 3 3L
4 4 4 4L
1 1 1 1T AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
4 4 4 4L
4 4 4 4L
3 3 3 3L
6 6 6 6L APPENDECTOMY 47.09
4 4 4 4L
1 1 1 1T AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
1 1 1 1L
4 4 4 4L APPENDECTOMY 47.09
4 4 4 4L
2 2 2 2L
4 4 4 4L
2 2 2 2L
2 2 2 2L
3 3 3 3L
4 4 4 4L
1 1 1 1L
3 3 3 3L
2 2 2 2L
4 4 4 4L
1 1 1 1L
3 3 3 3L
2 2 2 2L
3 3 3 3L
3 3 3 3L
3 3 3 3L
6 6 6 6T TURP 60.29
6 6 6 6L
3 3 3 3L APPENDECTOMY 47.09
6 6 6 6L KEMOTERAPI 99.25
4 4 4 4T HERNIOTOMY, LIGASI TINGGI, SIRKUMSI53.9+64.0
3 3 3 3L
4 4 4 4L
1 1 1 1T SKIN GRAFT 86.69
2 2 2 2L
2 2 2 2L
6 6 6 6L
2 2 2 2L
3 3 3 3L
6 6 6 6L
2 2 2 2L
4 4 4 4L
3 3 3 3L
2 2 2 2T URS, LASER LITOTRIPSI 56.0
3 3 3 3L
2 2 2 2L
5 5 5 5T ORCHYDECTOMY RADICAL 62.41
0 0 0 0T
3 3 3 3L SCTP 74.99
3 3 3 3L
2 2 2 2L
2 2 2 2L
4 4 4 4L
6 6 6 6L
5 5 5 5L ANGIOGRAPHY STANDBY PCI 00.66+00.42+36
2 2 2 2L
5 5 5 5L URS, LASER LITOTRIPSI, INS DJ STENT, H56.0+59.8+39.9
3 3 3 3T
1 1 1 1L
2 2 2 2L
3 3 3 3T INDUKSI PERSALINAN 73.1
5 5 5 5L
3 3 3 3L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L
4 4 4 4L
7 7 7 7L GASTROSCOPY 44.13
3 3 3 3T
4 4 4 4L
3 3 3 3L
4 4 4 4T APPENDECTOMY 47.09
6 6 6 6L
2 2 2 2L
11 11 11 11 T PCNL, INS DJ STENT 55.03+59.8
3 3 3 3L
2 2 2 2L CROSS FINGER FLAP 86.74
2 2 2 2T ORIF RADIUS ULNA 79.22
3 3 3 3L ANGIOGRAPHY STANDBY PCI 00.66+00.42+36
3 3 3 3L
2 2 2 2L
8 8 8 8L
2 2 2 2L
6 6 6 6L
3 4 4 4L URS, LASER LITOTRIPSI, INS DJ STENT 56.0+59.8
2 2 2 2L
2 4 4 4T ORCHYDECTOMY 62.3
4 4 4 4L
3 3 3 3L
1 1 1 1L
3 3 3 3L
2 2 2 2T ASPIRASI ANKLE 81.91
1 1 1 1L
4 4 4 4L
3 3 3 3L
3 4 4 4T LSCS 74.1
1 1 1 1L ANGIOGRAPHY 88.57
4 4 4 4L
3 3 3 3L
4 4 4 4T
4 4 4 4L
4 4 4 4L
1 1 1 1T COLONOSCOPY 45.23
3 3 3 3L
3 3 3 3L
4 4 4 4T RADICAL OPERASI 48.31
4 4 4 4L
5 5 5 5L PUNKSI PLEURA 34.91
3 3 3 3L
5 5 5 5L
4 4 4 4L
2 2 2 2L ODONTECTOMY 23.19
4 4 4 4L
1 1 1 1L ARTHROSCOPY GENU, DEBRIDEMENT 80.27+86.28
3 3 3 3L
1 1 1 1T CYSTOSCOPY, REMOVE DJ STENT 57.32+97.65
4 4 4 4L
1 1 1 1T ESWL 98.51
3 3 3 3L
2 2 2 2L
3 3 3 3L
5 5 5 5L
5 5 5 5L
1 1 1 1L
2 2 2 2L
4 4 4 4L
4 4 4 4L
0 0 0 0T REVISI AV SHUNT 39.42
3 3 3 3L
6 6 6 6L
4 4 4 4L
2 2 2 2L
2 2 2 2L GASTROSCOPY 44.13
4 4 4 4L
2 2 2 2L
3 3 3 3L
1 1 1 1L CA 88.57
3 3 3 3L
4 4 4 4L
1 1 1 1L DEBRIDEMENT, EXCISION 86.22
2 2 2 2L
2 2 2 2L
3 3 3 3T GASTROSCOPY 44.13
1 1 1 1T ANGIOGRAPHY 88.57
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3L CAG PCI 00.66+00.42+36
1 1 1 1L
5 5 5 5T APPENDECTOMY 47.09
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
1 1 1 1L ANGIOGRAPHY 88.57
1 1 1 1L ANGIOGRAPHY 88.57
2 2 2 2L
4 4 4 4L APPENDECTOMY 47.09
5 5 5 5L
5 5 5 5L
5 5 5 5L
4 4 4 4L
3 3 3 3L
4 4 4 4L HEMOROIDECTOMY 49.46
6 6 6 6L SCTP, INSERSI IUD 74.99+69.7
3 3 3 3L
3 3 3 3T
0 0 0 0T REMOVE IMPLANT 78.69
5 5 5 5L
4 4 4 4L
5 5 5 5L LAPARATOMY, CYSTECTOMY 54.19+65.29
3 3 3 3L
3 3 3 3L
3 3 3 3L
3 3 3 3L
1 1 1 1L
4 4 4 4L TONSILECTOMY, ADENOTONSILEKTOMY28.92
2 2 2 2L
4 4 4 4L
5 5 5 5L
5 5 5 5L
3 3 3 3L
2 2 2 2L
4 4 4 4L
2 2 2 2L
2 2 2 2L
2 2 2 2L
0 0 0 0T REVISI AV SHUNT 39.47
3 3 3 3L
4 4 4 4L
3 3 3 3L
2 2 2 2L
0 1 1 1T COLONOSCOPY 45.23
3 3 3 3L
4 4 4 4L
1 1 1 1L
1 1 1 1L GASTROSCOPY 44.13
3 3 3 3L
1 1 1 1L
1 2 2 2T EXSISI 83.39
4 4 4 4L CYSTECTOMY 65.29
3 3 3 3L
2 2 2 2L
3 3 3 3L
1 1 1 1T AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
7 7 7 7L EXPLORASI PENIS, INSISI DRAINAGE, 64.9+56.31+56.
3 3 3 3L
3 3 3 3L
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3T
2 2 2 2L
3 3 3 3L
2 2 2 2L
1 1 1 1L
2 2 2 2L
5 5 5 5L
2 2 2 2L
3 3 3 3L
2 2 2 2L
3 3 3 3L
2 2 2 2T
2 2 2 2L
3 3 3 3L
5 5 5 5L
1 1 1 1L
3 3 3 3L
3 3 3 3L
4 4 4 4L
3 3 3 3L
1 1 1 1L
3 3 3 3T
0 0 0 0T
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2T
1 1 1 1L
3 3 3 3L
2 2 2 2T
0 0 0 0T
1 1 1 1L
2 3 3 3T
3 3 3 3L
2 2 2 2T HEMOROIDECTOMY 49.46
3 3 3 3L
4 4 4 4L
3 3 3 3L
4 4 4 4L
1 1 1 1T
5 5 5 5L
2 2 2 2L
6 6 6 6L
2 3 3 3T ENDOSCOPY 45.11
2 2 2 2L
4 4 4 4L
4 4 4 4L
3 3 3 3L
7 7 7 7L
4 4 4 4L
2 2 2 2L
4 4 4 4L
3 3 3 3L
3 3 3 3L
3 3 3 3L
1 1 1 1L
0 1 1 1T AV SHUNT 39.27
5 5 5 5L
3 3 3 3L
3 3 3 3L
4 4 4 4L
4 4 4 4T
2 2 2 2L
3 3 3 3T SC LOW CERVICAL 74.1
2 2 2 2L
3 3 3 3T
3 3 3 3T
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
4 4 4 4L
6 6 6 6L
4 4 4 4L
3 3 3 3L
1 1 1 1L
1 1 1 1L
1 1 1 1L ANGIOGRAPHY 88.57
2 2 2 2L
2 2 2 2L
2 2 2 2L ATE 28.2
3 3 3 3L
2 2 2 2L
2 2 2 2L
4 4 4 4T URETHROTMY, LASER LITOTRIPSI, INS D56.2+56.0+59.8
3 3 3 3L
3 3 3 3L
1 1 1 1L
9 9 9 9L
2 2 2 2T
6 6 6 6L
3 3 3 3L
2 2 2 2L
3 3 3 3T
3 3 3 3L
3 3 3 3L
Analisis Informed Consent
0 0 0 0 0 1 0
5/6/2019 1 1 1 1 1 dr. Achmad Yusri, SpJP 1 1 1
5/6/2019 1 1 1 1 1 dr. Arie Wibisono, SpBP-RE 1 1 1
4/29/2019 1 1 1 1 1 dr. Achmad Yusri, SpJP/ dr. Dewi Ay 1 1 1
L/T L/T
DX DX Keses Catat Nama TTD
TTD &
Operat Opera TGL/JA
Pre Post uaian an Nama Nama
Nama
Oeras Oeras DX Opera or M Tindakan Dokter
Saksi II tor
i i si
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L
1L
1L
1L
1T
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L 1 1 1 1 1 1 1L 1 1
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L 1 1 0 1 1 1 1T 1 1
1T
1T
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L
1L
1L
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1T
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 0 1 1 1T 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L 1 1 1 1 1 1 1L 1 1
0T 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L
1L 1 0 0 1 1 1 1T 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L 1 1 0 1 1 1 1T 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1+1 L+T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1T
1T
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L
1T
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L
1L
1L 1 1 0 1 1 1 1T 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1T
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L 1 1 1 1 1 1 1L 1 1
1T
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L
1L
1L 1 1 1 1 1 1 1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 0 1 1 1 1T 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
1L 1 1 1 1 1 1 1L 1 1
Analisis Persetujuan Anestesi S/T
L/T
TTD & TTD & TTD & TTD &
Nama
ANASTESIOLOGIST Nama Nama Nama JAM KEMAT
Dokter Pasien/ Saksi I Saksi II
Wali
05.03
S
dr. Eka Seprianti W. Sp.An 1 1 1 1L S
dr. Agung Purnomo, Sp.An 1 1 1 1L
dr.Menara, SpAn 1 1 1 1L
dr. Eka Seprianti W. Sp.An 1 1 1 1L
dr. Eka Seprianti W. Sp.An 1 1 1 1L
dr. Agung Purnomo, Sp.An 1 1 1 1L
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
dr. Agung Purnomo, Sp.An 1 1 1 1L
dr.Menara, SpAn 1 1 1 1L
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
T
T
dr. Agung Purnomo, Sp.An 1 1 1 1L
T
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
NIK
TA
Admision MR Patient Name Sex
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
Visit
me Medis Rencana Kontrol SINGKATA DPJP Analisis Kelengkapan Catatan Dokter
N S/T (kali)
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
1 1L
BLOOD TRANSFUS
an Catatan Dokter Analisis Inf
TYPE ION
Analisis Informed Consent L/T
LAPORAN OPERASI L/T An
Analisis Persetujuan Anestesi L/T S/T
Admision MR Patient Name Sex Age
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
1 1 1 1 1 1 1 1 1L
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Visit BLOOD
SINGKATA DPJP Analisis Kelengkapan Catatan Dokter TYPE
N S/T (kali)
Analisis Informed Consent
TRANSFUS
ION
formed Consent
L/T LAPORAN OPERASI
LAPORAN OPERASI L/T Analisis Persetujuan Anestesi
L/T S/T JAM KEMATIAN NIK
Admision MR Patient Name Sex Age
LOS H/M
Hasil Obat2 Rencana
Alasan Kondisi Tanda
Pemeriksa Diagnosis Tindakan saat Tind.
Masuk Pulang tangan
an pulang Lanjut
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1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
1 H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
5H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
5H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
11 H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 0 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
7H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
9H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 0 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
7H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
8H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
8H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
13 H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
24 H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
5H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
11 H 1 1 1 1 1 1 0 1
4H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
6H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
6H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 0 0 1 1 1 0 0 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
8H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
9H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 0 1
4H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
5H 1 1 1 1 1 1 0 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 0 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
5H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
4H 1 1 1 1 1 1 1 1
1H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
3H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
2H 1 1 1 1 1 1 1 1
Analisis Kelengkapan Catatan Dokter
Rencana SINGKATA Visit DPJP
Kontrol (kali) Doct
TGL N S/T
L/T PROF Date Time S O A P or
Pulang ESI Nam
e
1T 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L 6/8/2019 2 2 2 2 2 2 2 2 2
1T 2 2 2 2 2 2 2 2 2
1L 8/6/2019 4 4 4 4 4 4 4 4 4
1L 7/8/2019 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L 2/9/2019 2 2 2 2 2 2 2 2 2
1L 8/6/2019 3 3 3 3 3 3 3 3 3
1L 6/8/2019 3 3 3 3 3 3 3 3 3
1L 5/8/2019 1 0 0 0 1 1 1 1 1
1L 3 3 3 3 3 3 3 3 3
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 9/8/2019 4 4 4 4 4 4 4 4 4
0T 2 2 2 2 2 2 2 2 2
1L 1 1 1 1 1 1 1 1 1
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 8/6/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 4 4 4 4 4 4 4 4 4
1L 8/12/2019 2 2 2 2 2 2 2 2 2
0T 4 1 4 1 3 3 3 3 3
0T 1 1 1 1 1 0 0 1 1
1L 9/8/2019 1 1 1 1 1 1 1 1 1
1L 8/13/2019 5 5 5 5 5 5 5 5 5
1L 13/8/2019 7 7 7 7 7 7 7 7 7
1L 8/6/2019 3 3 3 3 3 3 3 3 3
1L 8/8/2019 1 1 1 1 1 1 1 1 1
1L 8/12/2019 3 3 3 1 3 3 3 3 3
1L 12/8/2019 7 7 7 7 7 7 7 7 7
1L 6/8/2019 2 2 2 2 2 2 2 2 2
1L 8/8/2019 3 3 3 3 3 3 3 3 3
1L 8/7/2019 2 2 2 2 2 2 2 2 2
1L 6/8/2019 1 1 1 1 1 1 1 1 1
0T 3 3 3 3 3 3 3 3 3
1L 8/13/2019 7 7 7 7 7 7 7 7 7
1L 5/8/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 4 4 4 4 4 4 4 4 4
1L 6/8/2019 3 3 3 3 3 3 3 3 3
1L 3 2 3 2 3 3 3 3 3
1L 8/9/2019 1 1 1 1 1 1 1 1 1
1L 8/20/2019 2 2 2 0 2 2 2 2 2
1L 6/8/2019 1 1 1 1 1 1 1 1 1
1L 8/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1L 9/8/2019 4 4 4 4 4 4 4 4 4
1L 8/12/2019 4 4 4 4 4 4 4 4 4
1L 8/8/2019 4 4 4 4 4 4 4 4 4
1T 17 17 17 17 17 17 17 17 17
0T 1 1 1 0 0 1 1 0 1
0T 9/8/2019 2 0 0 2 2 2 2 2 2
1L 8/9/2019 4 4 4 4 4 4 4 4 4
1L 0 0 0 0 0 0 0 0 0
1L 8/21/2019 1 1 1 1 1 1 1 1 1
1L 16/8/2019 6 6 6 6 6 6 6 6 6
1L 7/9/2019 2 2 2 2 2 2 2 2 2
1L 10/8/2019 2 2 2 2 2 2 2 2 2
1L 8/12/2019 3 0 2 1 2 2 2 3 3
1L 2 2 0 1 2 2 2 2 2
1L 8/9/2019 1 1 0 0 1 1 1 1 1
1L 8/5/2019 1 1 1 1 1 1 1 1 1
1L 8/10/2019 2 2 2 1 2 2 2 2 2
1L 15/8/2019 3 3 3 3 3 3 3 3 3
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 6 6 6 6 6 6 6 6 6
0T 0 0 0 0 0 0 0 0 0
1L 8/12/2019 2 2 2 0 2 1 1 2 2
1L 12/8/2019 4 4 4 4 4 4 4 4 4
1L 8/8/2019 1 1 1 1 1 1 1 1 1
1L 14/8/2019 3 3 3 3 3 3 3 3 3
1L 8/7/2019 2 2 2 2 2 2 2 2 2
1L 4 4 4 4 4 4 4 4 4
0T 3 3 3 3 3 3 3 3 3
1L 8/7/2019 3 3 3 3 3 3 3 3 3
1L 9/8/2019 4 4 4 4 4 4 4 4 4
1L 2 2 2 2 2 2 2 2 2
1L 8/8/2019 3 3 3 3 3 3 3 3 3
0T 5 5 1 3 5 5 5 5 5
1L 12/8/2019 5 5 5 5 5 5 5 5 5
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
0T 1 1 1 0 1 1 1 1 1
1L 14/8/2019 4 4 4 4 4 4 4 4 4
1L 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
0T 3 0 3 0 2 2 2 3 3
1L 13/8/2019 6 6 6 6 6 6 6 6 6
1L 8/8/2019 3 3 3 3 3 3 3 3 3
1L 10/8/2019 6 6 6 6 6 6 6 6 6
1L 1 1 1 1 1 1 1 1 1
1L 1 1 1 1 1 1 1 1 1
0T 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
1L 8/7/2019 2 2 2 2 2 2 2 2 2
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1L 8/9/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 3 3 3 3 2 1 2 2 3
0T 3 3 3 3 3 3 3 3 3
1L 12/8/2019 1 1 1 1 1 1 1 1 1
1L 8/7/2019 2 2 2 2 2 2 2 2 2
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 14/8/2019 9 9 9 9 9 9 9 9 9
1L 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
1L 3 3 3 3 3 3 3 3 3
1L 8/9/2019 4 4 4 4 4 4 4 4 4
0T 1 1 1 1 1 1 1 1 1
1L 8/12/2019 2 2 2 2 2 2 2 2 2
1L 1 1 1 1 0 0 0 1 1
1L 8/10/2019 1 1 1 0 1 0 0 1 1
1L 8/13/2019 1 1 1 0 1 1 1 1 1
1L 13/8/2019 5 5 5 5 5 5 5 5 5
1L 8/16/2019 4 4 4 4 4 4 4 4 4
1L 8/9/2019 1 1 1 0 1 0 0 1 1
1L 8/8/2019 3 3 3 3 3 3 3 3 3
1L 3 3 3 3 3 3 3 3 3
1L 15/8/2019 5 5 5 5 5 5 5 5 5
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 8/12/2019 2 2 2 2 2 2 2 2 2
0T 2 0 0 1 2 2 2 2 1
0T 2 2 0 0 2 2 2 2 2
1L 9/8/2019 2 2 2 2 2 2 2 2 2
1L 2 2 2 2 2 2 2 2 2
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 2 2 2 2 2 2 2 2 2
1L 8/9/2019 2 2 2 2 2 2 2 2 2
1L 4 4 4 4 3 3 4 4 4
1L 14/8/2019 2 2 2 2 2 2 2 2 2
1L 9/8/2019 3 3 3 3 3 3 3 3 3
1L 7/13/2019 6 6 6 6 6 6 6 6 6
0T 2 2 2 2 2 2 2 2 2
0T 2 0 2 0 2 2 2 2 2
1L 8/13/2019 2 2 2 2 2 2 2 2 2
1L 8/9/2019 2 2 2 2 2 2 2 2 2
1L 14/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1L 12/8/2019 5 5 5 5 5 5 5 5 5
1L 8/14/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 4 4 4 4 4 4 4 4 4
1L 8/19/2019 1 0 1 0 1 0 0 1 1
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1L 14/8/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 2 2 2 2 2 2 2 2 2
1L 9/8/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
0T 4 4 4 4 4 3 2 4 4
1L 16/8/2019 4 4 4 4 4 4 4 4 4
1L 13/8/2019 5 5 5 5 5 5 5 5 5
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1T 7 7 7 7 7 7 7 7 7
0T 4 4 2 4 2 3 3 4 4
1L 9/8/2019 2 2 2 2 2 2 2 2 2
1T 3 3 3 3 3 3 3 3 3
1T 2 2 2 2 2 2 2 2 2
1L 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 0 0 0 2
1L 13/8/2019 2 2 2 2 2 2 2 2 2
1L 8/10/2019 2 2 2 0 2 1 1 2 2
1L 8/12/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 1 1 1 2 1
1L 8/10/2019 4 4 4 4 4 4 4 4 4
1L 8/8/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 2 2 2 2 2 2 2 2 2
1L 10/8/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 10 10 10 10 10 10 10 10 10
1L 9/8/2019 1 1 1 1 1 1 1 1 1
1L 8/12/2019 2 2 2 2 2 1 1 2 2
0T 8/8/2019 1 1 1 1 1 1 1 1 1
1L 8/14/2019 2 2 2 2 2 2 2 2 2
1L 9/8/2019 3 3 3 3 3 3 3 3 3
0T 3 1 3 1 2 2 2 3 3
0T 4 2 2 2 4 4 4 4 4
1L 8/12/2019 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
0T 2 0 0 0 2 2 2 2 2
1L 8/14/2019 2 2 2 2 2 2 2 2 2
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1L 8/13/2019 1 0 1 0 1 1 1 1 1
1L 2 2 2 2 2 2 2 2 2
1L 12/8/2019 3 3 3 3 3 3 3 3 3
1L 17/8/2019 5 5 5 5 5 5 5 5 5
1L 14/8/2019 2 2 2 2 2 2 2 2 2
1L 15/8/2019 8 8 8 8 8 8 8 8 8
1L 8/14/2019 2 2 2 2 2 2 2 2 2
1L 8/12/2019 3 3 3 3 3 3 3 3 3
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 22/8/2019 3 3 3 3 3 3 3 3 3
0T 8/15/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
1L 8/20/2019 4 4 4 3 4 4 4 4 4
1L 8/15/2019 1 0 0 1 1 1 1 1 1
1L 8/9/2019 2 2 2 2 2 2 2 2 2
1L 10/8/2019 3 3 3 3 3 3 3 3 3
1L 15/8/2019 5 5 5 5 5 5 5 5 5
1L 8/10/2019 3 3 3 3 3 3 3 3 3
1T 11 11 11 11 11 11 11 11 11
1L 12/8/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 5 5 5 5 5 5 5 5 5
1L 20/8/2019 1 1 1 1 1 1 1 1 1
1T 3 3 3 3 3 3 3 3 3
1L 13/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 0 0 2 2 2 2 2
1L 15/8/2019 3 3 3 3 3 3 3 3 3
1L 8/20/2019 1 0 1 0 1 0 0 0 1
1L 2 2 2 2 1 1 2 2 2
1L 1 1 1 1 1 1 1 1 1
1T 4 4 4 4 4 4 4 4 4
1L 5 5 5 5 3 2 3 5 5
1L 9/8/2019 1 1 1 1 1 1 1 1 1
1L 15/8/2019 4 4 4 4 4 4 4 4 4
1L 20/8/2019 1 1 1 1 1 1 1 1 1
1L 19/8/2019 5 5 5 5 5 5 5 5 5
1L 13/8/2019 5 5 5 5 5 5 5 5 5
1L 15/8/2019 3 3 3 3 3 3 3 3 3
1L 8/16/2019 7 7 7 7 7 7 7 7 7
1L 12/8/2019 2 2 2 2 2 2 2 2 2
1T 6 6 6 6 6 6 6 6 6
1L 12/8/2019 4 4 4 4 4 4 4 4 4
0T 27/8/2019 5 5 5 5 5 5 5 5 5
1L 13/8/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 1 0 1 0 1 0 0 1 1
1T 13 13 13 13 13 13 13 13 13
1L 8/19/2019 3 3 3 3 3 3 3 3 3
1L 8/15/2019 2 2 2 2 2 2 2 2 2
1L 15/8/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1T 2 2 2 2 2 2 2 2 2
1L 8/17/2019 2 2 2 2 2 2 2 2 2
1L 16/8/2019 3 3 3 3 3 3 3 3 3
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 4 4 4 4 4 4 4 4 4
1L 8/14/2019 4 4 4 4 4 4 4 4 4
1L 8/13/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 0 2 2 2 2 2
0T 4 0 4 0 4 4 4 4 4
1L 17/8/2019 2 2 2 2 2 2 2 2 2
0T 8/23/2019 4 4 4 4 4 4 4 4 4
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 8/21/2019 2 0 2 0 2 1 1 2 2
1L 15/8/2019 4 4 4 4 4 4 4 4 4
1L 2 2 2 2 2 2 2 2 2
1L 13/8/2019 4 4 4 4 4 4 4 4 4
1L 8/15/2019 1 0 1 0 1 1 1 1 1
1L 1 0 0 0 1 1 1 1 0
1L 14/8/2019 1 1 1 1 1 1 1 1 1
1L 2 2 2 2 1 1 2 2 2
1L 13/8/2019 1 1 1 1 1 1 1 1 1
1L 10/8/2019 1 1 1 1 1 1 1 1 1
1L 14/8/2019 3 3 3 3 3 3 3 3 3
0T 1 1 1 1 1 1 1 1 1
1L 12/8/2019 3 3 3 3 3 3 3 3 3
0T 8/16/2019 3 3 3 3 3 3 3 3 3
1L 16/8/2019 2 2 2 2 2 2 2 2 2
1L 16/8/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 4 4 4 4 4 4 4 4 4
1L 13/8/2019 3 3 3 3 3 3 3 3 3
1L 8/13/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 2 2 1 1 2 2 2 2 2
1T 5 5 5 5 5 5 5 5 5
1T 2 2 2 2 2 2 2 2 2
1L 8/20/2019 1 1 1 1 1 1 1 1 1
1L 8/20/2019 2 2 2 2 2 2 2 2 2
1L 8/12/2019 2 2 2 2 2 2 2 2 2
1L 12/8/2019 2 2 2 2 2 2 2 2 2
1L 4 4 4 4 2 2 3 3 4
1L 15/8/2019 3 3 3 3 3 3 3 3 3
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 1 0 0 0 1 1 1 1 0
1L 1 1 1 1 1 1 1 1 1
1L 13/8/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 15/8/2019 3 3 3 3 3 3 3 3 3
0T 15/10/2019 6 6 6 6 6 6 6 6 6
1L 8/12/2019 3 3 3 3 3 3 3 3 3
1L 8/20/2019 1 0 1 0 1 0 0 1 1
1L 14/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1L 8/14/2019 1 1 1 1 1 1 1 1 1
1L 13/8/2019 1 1 1 1 1 1 1 1 1
1L 13/8/2019 2 2 2 2 2 2 2 2 2
0T 2 2 0 0 2 2 2 2 2
1L 8/14/2019 3 3 3 2 3 3 3 3 3
1L 8/14/2019 3 3 3 3 3 3 3 3 3
0T 8/19/2019 3 3 3 2 3 3 3 3 3
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
1L 8/15/2019 4 4 4 4 4 4 4 4 4
1L 9/2/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
1L 8/14/2019 1 1 1 1 1 1 1 1 1
1L 16/8/2019 1 1 1 1 1 1 1 1 1
0T 8/14/2019 3 3 3 3 3 3 3 3 3
0T 3 3 3 3 3 3 3 3 3
1L 13/8/2019 2 2 2 2 2 2 2 2 2
0T 1 1 0 2 1 1 2 2 1
1L 8/16/2019 6 6 6 6 6 6 6 6 6
1L 15/8/2019 5 5 5 5 5 5 5 5 5
1L 8/15/2019 2 2 2 2 2 2 2 2 2
1L 14/8/2019 3 3 3 3 3 3 3 3 3
1L 8/15/2019 4 4 4 4 4 4 4 4 4
1L 16/8/2019 2 2 2 2 2 2 2 2 2
1L 14/8/2019 3 3 3 3 3 3 3 3 3
0T 4 0 4 0 3 3 3 4 4
1L 8/23/2019 6 6 6 6 6 6 6 6 6
1L 8/12/2019 3 3 3 3 3 3 3 3 3
1L 13/8/2019 1 1 1 1 1 1 1 1 1
1L 2 2 2 2 2 2 2 2 2
1L 8/13/2019 3 3 3 3 3 3 3 3 3
0T 2 0 0 0 2 2 2 2 2
1T 8/19/2019 2 1 2 0 2 1 1 2 2
0T 8/20/2019 3 1 3 0 3 3 3 3 3
1L 19/8/2019 5 5 5 5 5 5 5 5 5
1L 8/20/2019 1 1 1 0 1 1 1 1 1
0T 8/14/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 3 3 3 3 3 3 3 3 3
1L 8/12/2019 2 2 2 2 2 2 2 2 2
0T 19/8/2019 3 3 3 3 3 3 3 3 3
1L 1 1 1 1 1 1 1 1 1
1L 15/8/2019 4 4 4 4 4 4 4 4 4
1L 8/14/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 5 5 5 5 5 5 5 5 5
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 8/20/2019 3 3 3 3 3 3 3 3 3
1L 13/8/2019 1 1 1 1 1 1 1 1 1
1L 2 2 2 2 2 2 2 2 2
1L 8/12/2019 1 1 1 1 1 1 1 1 1
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 13/8/2019 1 1 1 1 1 1 1 1 1
1L 8/19/2019 3 3 3 3 3 3 3 3 3
1L 8/15/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 19/8/2019 7 7 7 7 7 7 7 7 7
1L 15/8/2019 4 4 4 4 4 4 4 4 4
0T 2 0 0 0 2 2 2 2 2
1L 15/8/2019 2 2 2 2 2 2 2 2 2
1L 14/8/2019 3 3 3 3 3 3 3 3 3
1L 8/19/2019 2 2 2 2 2 2 2 2 2
0T 20/8/2019 2 0 0 0 2 2 2 2 2
1L 8/14/2019 1 1 1 1 1 1 1 1 1
1L 8/15/2019 3 3 3 3 3 3 3 3 3
1L 8/14/2019 2 2 2 2 2 2 2 2 2
1L 16/8/2019 1 1 1 1 1 1 1 1 1
1L 8/16/2019 3 3 3 3 3 3 3 3 3
1L 9/10/2019 2 2 2 1 2 2 2 2 2
1L 8/16/2019 3 3 3 3 3 3 3 3 3
1L 15/8/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
1L 8/19/2019 2 2 2 2 2 2 2 2 2
0T 16/8/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 4 4 4 4 4 4 4 4 4
1L 20/8/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 6 6 6 6 6 6 6 6 6
1L 15/8/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 2 2 2 2 2
1L 8/16/2019 3 3 3 3 3 3 3 3 3
1L 14/8/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 8/27/2019 12 12 12 12 12 12 12 12 12
1L 8/15/2019 2 2 2 2 2 2 2 2 2
1L 4 4 4 4 3 2 3 4 4
1L 15/8/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 1 1 1 1 1 1 1 1 1
0T 19/8/2019 2 2 2 2 2 2 2 2 2
1L 8/19/2019 1 1 1 1 1 1 1 1 1
1L 8/15/2019 3 3 3 3 3 3 3 3 3
1L 8/19/2019 4 4 4 0 4 4 4 4 4
1L 8/15/2019 3 3 3 3 4 3 3 3 3
1L 8/15/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 8/16/2019 4 4 4 4 4 4 4 4 4
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 18/8/2019 4 4 4 4 4 4 4 4 4
0T 0 0 0 0 0 0 0 0 0
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 2 2 2 2 2 2 2 2 2
0T 1 0 1 0 1 0 0 1 1
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 8/19/2019 3 3 3 3 3 3 3 3 3
1L 21/8/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 16/8/2019 2 2 2 2 2 2 2 2 2
1L 21/8/2019 3 3 3 3 3 3 3 3 3
1L 16/8/2019 1 0 0 0 1 1 1 1 1
1L 1 1 1 1 1 0 0 0 1
1L 4 4 4 4 4 4 4 4 4
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 3 3 3 2 3 3 3 3 3
1L 2 2 2 2 2 1 1 1 1
1L 8/26/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 5 5 5 5 5 5 5 5 5
0T 1 1 1 0 1 0 0 0 1
1L 8/20/2019 1 1 1 1 1 1 1 1 1
0T 2 0 0 0 2 2 2 2 2
1L 8/16/2019 3 2 2 2 3 3 3 3 3
0T 18/8/2019 2 2 2 2 2 2 2 2 2
1T 3 3 3 3 3 3 3 3 3
0T 3 2 3 0 3 2 2 3 3
1L 14/8/2019 1 1 1 1 1 1 1 1 1
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 16/8/2019 3 3 3 3 3 3 3 3 3
1L 20/8/2019 3 3 3 3 3 3 3 3 3
1L 22/8/2019 5 5 5 5 5 5 5 5 5
0T 1 1 1 1 1 1 1 1 1
1L 1 1 1 1 1 1 1 1 1
1L 8/21/2019 2 2 2 2 2 2 2 2 2
1L 2 2 2 2 2 2 2 2 2
1L 21/8/2019 1 1 1 1 1 1 1 1 1
1L 16/8/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 3 3 3 3 3 3 3 3 3
0T 8/20/2019 2 2 0 0 2 2 2 2 2
1L 8/21/2019 7 7 7 7 7 7 7 7 7
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 20/8/2019 4 4 4 4 4 4 4 4 4
1L 8/16/2019 1 1 1 1 1 1 1 1 1
0T 2 2 2 2 2 1 1 2 2
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 1 1 1 1 1 1 1 1 1
0T 6/18/2019 4 4 4 0 2 0 2 4 4
1L 1 0 0 1 1 1 1 1 1
1L 8/19/2019 3 3 3 3 3 3 3 3 3
1L 8/23/2019 6 6 6 6 6 6 6 6 6
1L 21/8/2019 3 3 3 3 3 3 3 3 3
1L 8/21/2019 2 2 2 1 2 1 1 2 2
1L 1 0 0 0 1 1 1 1 1
1L 8/22/2019 4 4 4 4 4 4 4 4 4
0T 8/27/2019 5 5 1 0 5 5 5 5 5
1L 21/8/2019 1 1 1 1 1 1 1 1 1
1L 1 1 1 1 1 0 0 0 1
1L 27/8/2019 8 8 8 8 8 8 8 8 8
1L 8/20/2019 3 3 3 3 3 3 3 3 3
1L 26/8/2019 5 5 5 5 5 5 5 5 5
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 21/8/2019 1 1 1 1 1 1 1 1 1
1L 8/23/2019 1 1 1 1 1 1 1 1 1
1L 8/20/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 8/23/2019 0 0 0 0 0 0 0 0 0
0T 2 0 2 0 2 1 1 1 2
1L 28/8/2019 3 3 3 3 3 3 3 3 3
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 20/8/2019 5 5 5 5 5 5 5 5 5
1L 8/19/2019 4 4 4 4 4 4 4 4 4
1L 19/8/2019 4 4 4 4 4 4 4 4 4
1L 8/19/2019 1 1 1 1 1 0 0 1 1
1L 8/20/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 8/19/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 1 1 1 1 1 1 1 1 1
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 8/21/2019 0 0 0 0 0 0 0 0 0
1L 0 0 0 0 0 0 0 0 0
1L 2 2 2 2 1 0 0 2 2
0T 5 5 5 5 5 3 3 3 5
1L 24/8/2019 1 0 1 0 1 1 1 1 1
1L 3 3 3 3 4 2 2 2 4
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 20/8/2019 4 4 4 4 4 4 4 4 4
1L 8/22/2019 1 1 1 0 1 1 1 1 1
1L 22/8/2019 2 2 2 2 2 2 2 2 2
1L 16/8/2019 1 1 1 1 1 1 1 1 1
0T 4 4 4 4 4 4 4 4 4
1L 21/8/2019 2 2 2 2 2 2 2 2 2
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 8/23/2019 4 4 1 0 3 3 3 4 4
1L 26/8/2019 10 10 10 10 10 10 10 10 10
1L 18/9/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 2 2 2 2 2
1L 8/19/2019 1 1 1 1 1 0 0 1 1
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L
1L 19/8/2019 3 3 3 3 3 3 3 3 3
1L 1 1 1 1 1 1 1 1 1
1L 21/8/2019 3 3 3 3 3 3 3 3 3
0T 4 4 4 4 4 4 4 4 4
1L 19/8/2019 2 2 2 2 2 2 2 2 2
0T 4 4 4 4 4 4 4 4 4
1L 23/8/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 2 2 2 2 2
1L 8/28/2019 2 2 2 2 1 1 2 2 2
1L 19/8/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 2 0 0 0 0
1L 19/8/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 2 2 2 2 2 2 2 2 2
0T 8/27/2019 6 6 6 6 6 6 6 6 6
1T 2 2 2 2 2 2 2 2 2
1L 8/22/2019 5 5 5 5 5 5 5 5 5
1L 8/21/2019 2 2 2 2 2 2 2 2 2
1L 21/8/2019 3 3 3 0 3 3 3 3 3
1L 4 4 4 4 4 4 4 4 4
0T 1 1 1 1 1 1 0 0 1
1L 20/8/2019 3 3 3 3 3 3 3 3 3
1T 3 3 3 3 3 3 3 3 3
1L 8/21/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 1 1 0 1 1 1 1 1 1
1L 2 2 1 1 2 2 2 2 2
0T 2 2 2 2 2 2 2 2 2
1L 20/8/2019 2 2 2 2 2 2 2 2 2
0T 26/8/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 1 1 1 1 1 1 1 1 1
1L 20/8/2019 2 2 2 2 2 2 2 2 2
1T 1 1 1 1 1 1 1 1 1
0T 8/21/2019 2 2 2 2 2 2 2 2 2
1L 20/8/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 7 7 7 7 7 7 7 7 7
0T 27/8/2019 3 3 0 0 3 3 3 3 3
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 8/19/2019 4 4 3 4 4 4 4 4 4
1L 8/21/2019 4 4 4 4 4 4 4 4 4
1L 21/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1T 7 7 7 7 7 7 7 7 7
1L
1L 24/8/2019 3 3 3 3 3 3 3 3 3
1L 9/5/2019 14 13 13 13 14 14 14 14 14
1L 8/21/2019 3 3 3 3 3 3 3 3 3
1L 27/8/2019 4 4 4 4 4 4 4 4 4
1L 21/8/2019 3 3 3 3 3 3 3 3 3
1L 8/21/2019 3 3 3 3 3 3 3 3 3
1L 8/22/2019 3 3 3 3 3 3 3 3 3
1T 2 2 0 0 2 2 2 2 2
0T 5 5 5 5 5 5 5 5 5
1L 19/8/2019 1 1 1 1 1 1 1 1 1
1L 22/8/2019 3 3 3 3 3 3 3 3 3
0T 1 1 1 1 1 1 1 1 1
1L 8/26/2019 4 4 4 4 4 4 4 4 4
1T 3 3 3 3 3 3 3 3 3
1L 8/26/2019 2 2 2 2 2 2 2 2 2
1L 8/28/2019 4 4 4 4 4 4 4 4 4
1L 21/8/2019 2 2 2 2 2 2 2 2 2
1L 8/21/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1L 26/8/2019 4 4 4 4 4 4 4 4 4
1L 8/27/2019 2 2 2 2 2 2 2 2 2
1L 8/20/2019 1 1 1 1 1 0 0 1 1
0T 8/28/2019 4 4 4 4 4 4 4 4 4
1L 2 2 2 2 2 2 2 2 2
1L 8/29/2019 3 3 3 3 3 3 3 3 3
0T 8/29/2019 4 4 4 4 4 4 4 4 4
1L 26/8/2019 2 2 2 2 2 2 2 2 2
1L 8/22/2019 1 1 1 1 1 0 0 1 2
1L 28/8/2019 3 3 3 3 3 3 3 3 3
0T 27/8/2019 3 3 3 3 3 3 3 3 3
1L 10/9/2019 21 21 21 21 21 21 21 21 21
1L 28/8/2019 3 3 3 3 3 3 3 3 3
1L 23/8/2019 1 1 1 1 1 1 1 1 1
0T 8/28/2019 3 3 3 3 3 3 3 3 3
1L 5 5 5 5 5 5 5 5 5
1L 8/22/2019 3 3 3 3 3 3 3 3 3
1L 3/9/2019 7 7 7 7 7 7 7 7 7
1L 8/28/2019 7 7 7 7 7 7 7 7 7
1L 26/8/2019 2 2 2 2 2 2 2 2 2
1L 22/8/2019 2 2 2 2 2 2 2 2 2
1T 16 16 16 16 16 16 16 16 16
1L 8/22/2019 2 2 2 2 2 2 2 2 2
1L 8/27/2019 5 5 5 5 5 5 5 5 5
1L 2/9/2019 6 6 6 6 6 6 6 6 6
1L 8/16/2019 2 2 2 2 2 2 2 2 2
1L 8/26/2019 1 1 1 0 1 0 0 1 1
1L 23/8/2019 2 2 2 2 2 2 2 2 2
1L 8/26/2019 4 4 4 4 4 4 4 4 4
1L 29/8/2019 5 5 5 5 5 5 5 5 5
1L 8/28/2019 2 2 2 2 2 2 2 2 2
1L 8/28/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 4 4 4 4 4 4 4 4 4
1L 2 2 2 2 2 2 2 2 2
1L 8/26/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 2 2 2 0 2 2 2 2 2
0T 2 2 0 0 2 2 2 2 2
1L 8/23/2019 3 3 3 3 3 3 3 3 3
1L
1L 27/8/2019 4 4 4 4 4 4 4 4 4
1L 29/8/2019 2 2 2 0 2 2 2 2 2
1L 23/8/2019 3 3 3 0 3 3 3 3 3
1L 8/27/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 3 3 3 3 3 3 3 3 3
0T 8/28/2019 3 3 3 3 3 3 3 3 3
1L 8/24/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 4 3 3 3 4 4 4 4 4
1L 8/24/2019 4 4 4 4 4 4 4 4 4
0T 1 1 1 1 1 1 1 1 1
1L 8/24/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 4 4 4 4 4 4 4 4 4
1L 24/8/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 4 4 4 4 4 4 4 4 4
1L 3 3 3 3 3 3 3 3 3
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1T 1 1 1 1 1 1 1 1 1
0T 28/8/2019 1 1 1 1 1 1 1 1 1
1L 26/8/2019 4 4 4 4 4 4 4 4 4
1L 27/8/2019 1 1 1 1 1 1 1 1 1
1L 2 2 2 2 2 2 2 2 2
1L 8/23/2019 2 2 2 2 2 2 2 2 2
1L 27/8/2019 3 3 3 3 3 3 3 3 3
1L 26/8/2019 4 4 4 4 4 3 3 3 4
0T 8/27/2019 1 0 0 1 1 1 1 1 0
1L 8/29/2019 3 3 3 3 3 3 3 3 3
1L 8/27/2019 4 4 4 4 4 4 4 4 4
1T 3 3 3 3 3 3 3 3 3
1L 4 4 4 4 4 4 4 4 4
1L 8/26/2019 2 2 2 2 2 2 2 2 2
1L 8/23/2019 2 2 2 2 2 2 2 2 2
1L 8/23/2019 2 2 2 2 2 2 2 2 2
0T 2 0 0 1 2 2 2 2 2
1L 28/8/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 4 4 4 4 4 4 4 4 4
1L 10/9/2019 2 2 2 2 2 2 2 2 2
0T 27/8/2019 2 2 2 2 2 2 2 2 2
0T 29/8/2019 3 3 3 3 3 3 3 3 3
0T 1 0 0 0 1 1 1 1 0
0T 3 3 3 3 3 3 3 3 3
1L 4 4 4 4 4 4 4 4 4
0T 8/30/2019 2 2 2 2 2 2 2 2 2
1L 8/27/2019 1 1 1 0 1 1 1 1 1
1L 27/8/2019 2 2 2 2 2 2 2 2 2
1L 8/24/2019 3 3 3 3 3 3 3 3 3
1L 23/8/2019 3 3 3 3 3 3 3 3 3
0T 1 1 1 1 1 1 1 1 1
1L 24/8/2019 3 3 3 3 3 3 3 3 3
0T 8/27/2019 1 1 1 0 1 1 1 1 1
1L 8/29/2019 5 5 5 5 5 5 5 5 5
1L 8/29/2019 5 5 5 5 5 5 5 5 5
1L 25/9/2019 4 4 4 4 4 4 4 4 4
1L 4/9/2019 7 7 7 7 7 7 7 7 7
1L 8/30/2019 4 4 4 4 4 4 4 4 4
1L 22/9/2019 1 1 1 1 1 1 1 1 1
1L 3 3 3 3 2 1 2 2 3
1L 2/9/2019 1 1 1 1 1 1 1 1 1
1L 27/8/2019 2 2 2 2 2 2 2 2 2
1L 8/26/2019 1 1 1 1 1 1 1 1 1
1L 27/8/2019 3 3 3 3 3 3 3 3 3
0T 2 1 1 2 2 2 2 2 2
1L 26/8/2019 4 4 4 4 4 4 4 4 4
1L 28/8/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1L 8/29/2019 3 3 3 3 3 3 3 3 3
1L 8/27/2019 2 2 2 2 2 2 2 2 2
1L 8/27/2019 4 4 4 4 4 4 4 4 4
1L 1 1 1 1 1 1 1 1 1
0T 2 1 1 1 2 2 2 2 2
1L 27/8/2019 3 3 3 3 3 3 3 3 3
0T 8/28/2019 1 1 1 0 1 1 1 1 1
1L 27/8/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 1 1 1 1 1 1 1 1 1
1L 8/30/2019 3 2 3 0 3 3 3 3 3
1L 8/27/2019 4 3 4 3 4 1 1 2 4
0T 3 3 3 3 3 3 3 3 3
1L 29/9/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L 8 8 8 8 7 5 5 6 8
1T 3 3 3 3 3 3 3 3 3
1L 8/24/2019 2 2 2 2 2 2 2 2 2
1L 24/8/2019 2 2 2 2 2 2 2 2 2
0T 28/8/2019 2 1 1 1 2 2 2 2 2
1T 1 1 1 1 1 1 1 1 1
1L 8/27/2019 4 4 4 4 4 4 4 4 4
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1L 8/29/2019 2 2 2 2 2 2 2 2 2
1L 8/28/2019 0 0 0 0 0 0 0 0 0
1L 26/8/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 2 2 2 2 2 2 2 2 2
1L 28/8/2019 1 1 1 0 1 1 1 1 1
0T 2 2 2 2 2 2 2 2 2
1L 8/29/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 2 2 2 2 2 2 2 2 2
1L 29/8/2019 2 2 2 2 2 2 2 2 2
1L 27/8/2019 5 5 5 5 5 5 5 5 5
1L 8/30/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 2 2 2 2 2 2 2 2 2
1L 8/28/2019 3 3 3 3 3 3 3 3 3
1L 8/28/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
1T 1 1 1 1 1 1 1 1 1
1L 8/29/2019 5 5 5 5 5 5 5 5 5
1L 27/8/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 3 3 3 3 3 3 3 3 3
1L 8/28/2019 6 6 6 6 6 6 6 6 6
1L 12/9/2019 12 12 12 12 12 12 12 12 12
1L 4 4 4 4 4 4 4 4 4
1L 22/9/2019 3 3 3 3 3 3 3 3 3
1L 27/8/2019 2 2 2 2 2 2 2 2 2
1T 5 5 5 5 5 5 5 5 5
1L 8/27/2019 4 4 4 4 4 4 4 4 4
1L 8/28/2019 2 2 2 2 2 2 2 2 2
1L 8/26/2019 2 2 0 0 2 2 2 2 2
1L 30/8/2019 1 0 0 0 1 1 1 1 1
0T 2 2 2 2 2 2 2 2 2
1L 26/8/2019 1 0 0 0 1 1 1 1 1
1L 8/29/2019 3 3 3 3 3 3 3 3 3
1L 29/8/2019 2 2 2 2 2 2 2 2 2
1L 2/9/2019 6 6 6 6 6 6 6 6 6
1L 8/27/2019 2 2 2 2 2 2 2 2 2
1L 28/8/2019 3 3 3 3 3 3 3 3 3
0T 8/28/2019 2 2 0 0 2 2 2 2 2
1L 27/8/2019 3 3 3 3 3 3 3 3 3
0T 1 1 1 1 1 1 1 1 1
1L 29/8/2019 3 3 3 3 3 3 3 3 3
1L 8 8 8 8 8 8 8 8 8
1L 30/8/2019 3 3 3 3 3 3 3 3 3
1L 9/3/2019 3 3 3 3 3 3 3 3 3
1L 31/9/2019 3 3 3 3 3 3 3 3 3
0T 1 1 0 0 1 1 1 1 1
0T 3 3 0 0 3 3 3 3 3
0T 3 3 0 0 3 3 3 3 3
1L 8/27/2019 3 3 3 3 3 3 3 3 3
1L 8/29/2019 4 4 4 4 4 4 4 4 4
1T 8/28/2019 4 4 4 4 4 4 4 4 4
1L 26/8/2019 2 2 2 2 2 2 2 2 2
1L 26/8/2019 2 2 2 2 2 2 2 2 2
1L 8/27/2019 2 2 2 2 2 2 2 2 2
1T 1 1 1 1 1 1 1 1 1
1T 3 3 3 3 0 0 0 0 3
1L 5 5 5 5 4 4 5 5 5
1L 28/8/2019 1 1 1 1 1 1 1 1 1
1L 8/28/2019 2 2 2 2 2 2 2 2 2
1L 30/8/2019 1 1 1 1 1 1 1 1 1
1L 29/8/2019 1 0 1 0 1 1 1 1 1
0T 2 2 2 2 2 2 2 2 2
1L 8/28/2019 3 3 3 3 3 3 3 3 3
1L 27/8/2019 2 2 2 2 2 2 2 2 2
1L 8/30/2019 3 3 3 3 3 3 3 3 3
1L 28/9/2019 3 3 3 3 3 3 3 3 3
1L 8/30/2019 6 6 6 6 6 4 5 5 6
0T 3 3 0 0 3 3 3 3 3
1L 3 3 3 2 3 3 3 3 3
1L 9/3/2019 4 4 4 4 4 4 4 4 4
1L 8/31/2019 3 3 3 3 3 3 3 3 3
1T 1 1 1 1 1 1 1 1 1
1L 8/30/2019 3 3 3 3 2 1 2 2 3
1L 2 2 2 2 2 1 1 0 2
1L 8/28/2019 4 4 3 4 4 1 1 1 4
0T 28/8/2019 1 1 1 1 1 1 1 1 1
0T 12/30/1899 2 1 2 1 2 2 2 2 2
1L 2/9/2019 2 0 2 0 2 2 2 2 2
0T 8/30/2019 4 4 4 4 4 4 4 4 4
1L 3 3 3 3 3 3 3 3 3
1L 8/30/2019 2 2 0 2 2 2 2 2 2
1L 31/8/2019 10 10 10 10 10 10 10 10 10
1L 8/31/2019 4 4 4 4 4 4 4 4 4
1L 8/28/2019 3 3 3 3 3 3 3 3 3
1L 28/8/2019 3 3 3 3 3 3 3 3 3
0T 2 1 2 1 2 2 2 2 2
1L 8/29/2019 4 4 4 4 4 4 4 4 4
1L 3/9/2019 12 12 12 12 12 12 12 12 12
1L 4 4 4 4 4 4 4 4 4
1L 29/8/2019 4 4 4 4 4 4 4 4 4
1L 8/30/2019 4 4 4 4 4 4 4 4 4
1L 9/6/2019 4 4 4 4 4 3 3 3 4
1L 2/9/2019 5 5 5 5 5 5 5 5 5
1L 5/9/2019 9 9 9 9 9 9 9 9 9
1L 2 0 2 0 2 2 2 2 2
0T 3 0 2 1 3 2 2 3 3
1L 8/28/2019 3 2 2 2 3 3 3 3 3
1L 30/8/2019 3 3 3 3 3 3 3 3 3
1L 8/31/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
1L 31/8/2019 3 3 3 3 3 3 3 3 3
1T 14 14 14 14 14 14 14 14 14
1L 28/8/2019 2 2 2 2 2 2 2 2 2
1L 8/30/2019 3 3 3 3 3 3 3 3 3
1L 8/28/2019 2 2 2 2 2 2 2 2 2
1L 8/29/2019 3 3 3 3 3 3 3 3 3
1L 8/29/2019 3 3 3 3 3 3 3 3 3
1L 8/31/2019 2 2 2 1 1 1 2 1 2
0T 8/27/2019 2 2 2 2 2 1 1 1 2
1L 8/28/2019 2 2 1 2 1 0 0 1 1
1L 31/8/2019 3 3 3 3 3 3 3 3 3
1L 8/31/2019 3 3 3 3 3 3 3 3 3
1L 9/3/2019 4 4 0 0 4 4 4 4 4
1L 3 3 3 3 3 3 3 3 3
1L 9/3/2019 3 3 3 3 3 3 3 3 3
1T 2 2 2 2 2 2 2 2 2
1L 9/2/2019 2 2 2 2 2 2 2 2 2
1L 8/30/2019 3 3 3 3 3 3 3 3 3
1L 18 18 18 18 18 18 18 18 18
0T 3 3 3 3 3 3 3 3 3
0T 4/9/2019 5 5 5 5 5 5 5 5 5
0T 4/9/2019 3 3 3 3 3 3 3 3 3
0T 9/3/2019 2 2 2 2 2 2 2 2 2
1L 9/4/2019 4 4 4 4 4 4 4 4 4
1L 9/13/2019 2 2 2 2 2 2 2 2 2
1L 30/8/2019 3 3 3 3 3 3 3 3 3
1L 8/29/2019 4 4 4 4 4 4 4 4 4
1L 8/28/2019 2 2 2 2 2 2 2 2 2
1L 8/29/2019 2 2 2 2 2 2 2 2 2
1L 8/29/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 4 4 4 4 4 4 4 4 4
1L 8/30/2019 3 3 3 3 3 3 3 3 3
1L 31/8/2019 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
0T 2 1 1 1 2 1 1 2 2
1L 8/27/2019 2 2 2 2 1 1 1 2 2
0T 27/8/2019 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
1L 9/2/2019 2 2 2 0 2 2 2 2 2
0T 3/9/2019 1 1 1 1 1 1 1 1 1
1L 10/9/2019 1 1 1 1 1 1 1 1 1
1T 2 2 2 2 2 2 2 2 2
1T 12 12 12 12 12 12 12 12 12
1L 6/9/2019 3 3 3 3 3 3 3 3 3
1L
1L 9/3/2019 2 2 2 2 2 2 2 2 2
1L 8/30/2019 3 3 3 3 3 3 3 3 3
1L 2 2 2 2 2 2 2 2 2
1L 9/5/2019 3 3 3 3 3 3 3 3 3
1T 1 1 1 1 1 1 1 1 1
1L 2/9/2019 5 5 5 5 5 5 5 5 5
1L 30/8/2019 2 0 2 0 2 2 2 2 2
0T 1 0 0 0 1 0 0 1 1
1L 2/9/2019 2 1 2 1 2 2 2 2 2
1L 1 1 1 1 1 1 1 1 1
0T 1 1 0 1 0 0 0 0 0
1L 29/8/2019 2 2 2 2 2 2 2 2 2
1L 2/9/2019 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L 2/9/2019 2 2 2 2 2 2 2 2 2
1L 9/5/2019 4 4 4 4 4 4 4 4 4
1T 2 2 1 1 2 2 2 2 2
1L 1 1 1 1 1 1 1 1 1
1L 8/31/2019 2 2 2 2 2 2 2 2 2
1L 6/9/2019 9 9 9 9 9 9 9 9 9
1L 9/3/2019 4 4 4 4 4 4 4 4 4
1L 8/30/2019 2 2 2 2 2 2 2 2 2
1L 2/9/2019 1 1 1 1 1 1 1 1 1
1L 30/8/2019 2 2 2 2 2 2 2 2 2
1T 4 4 4 4 4 4 4 4 4
1L 30/8/2019 2 2 2 2 2 2 2 2 2
1L 1 1 1 1 1 1 1 1 1
1L 30/8/2019 3 3 3 3 3 3 3 3 3
1L 3/9/2019 2 2 2 2 2 2 2 2 2
1L 5 5 3 5 5 5 5 5 5
0T 2 1 1 1 2 1 1 2 2
1L 11/9/2019 1 1 1 1 1 1 1 1 1
1L 3/9/2019 1 1 1 1 1 1 1 1 1
1L 3/9/2019 1 1 1 1 1 1 1 1 1
1L 9/9/2019 3 3 1 0 3 3 3 3 3
1L 3/9/2019 4 4 4 4 4 4 4 4 4
1L 3 3 3 3 3 3 3 3 3
1L 7/9/2019 4 4 4 4 4 4 4 4 4
1L 9/6/2019 2 2 2 2 2 2 2 2 2
1L 7/9/2019 5 5 5 5 5 5 5 5 5
1L
1L 9/6/2019 3 3 3 3 3 2 2 3 3
1L 4/9/2019 1 1 1 0 1 1 1 1 1
1L 5/9/2019 2 2 2 2 2 2 2 2 2
0T 9/3/2019 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L
0T 8/31/2019 2 2 2 2 2 2 2 2 2
0T 2 2 0 0 2 2 2 2 2
1T 2 2 2 2 2 2 2 2 2
1L 8/31/2019 2 2 2 2 2 2 2 2 2
1L 6/9/2019 6 6 6 6 6 6 6 6 6
0T 6/9/2019 3 3 3 3 3 3 3 3 3
1L
1T 1 1 1 1 1 1 1 1 1
1L 9/9/2019 2 2 0 0 2 2 2 2 2
1L 4/9/2019 2 2 2 2 2 2 2 2 2
1L 9/2/2019 3 3 3 3 3 3 3 3 3
1L 9/2/2019 3 3 3 3 3 2 2 2 3
1T 1 1 1 1 1 1 1 1 1
1L 2 2 2 2 2 2 2 2 2
1L 2 2 2 2 2 2 2 2 2
1L 9/4/2019 1 1 1 1 1 1 1 1 1
0T 6/9/2019 2 2 2 2 2 2 2 2 2
1L 9/3/2019 2 2 2 2 2 2 2 2 2
1L
1L 8/31/2019 2 2 2 2 2 2 2 2 2
1L
1T 1 1 1 1 1 1 1 1 1
1L 3/9/2019 4 4 4 4 4 4 4 4 4
1L
0T 2/10/2019 3 3 3 3 3 3 3 3 3
1T 4 4 4 4 4 4 4 4 4
1L 9/5/2019 2 2 2 0 2 2 2 2 2
1L 6/9/2019 4 4 4 4 4 4 4 4 4
0T 3 1 1 1 3 3 3 3 3
1T 2 2 2 2 2 2 2 2 2
1L 2 2 2 2 2 2 2 2 2
1L 1 1 0 0 1 1 1 1 1
1L
1L 4/9/2019 6 6 6 6 6 6 6 6 6
1L 2/9/2019 3 3 3 3 3 3 3 3 3
1L 9/2/2019 2 2 2 2 2 2 2 2 2
1L 9/9/2019 4 4 4 4 4 4 4 4 4
1L 7/9/2019 3 3 3 3 3 3 3 3 3
1L 3/9/2019 3 3 3 3 3 3 3 3 3
1L
1L 12/9/2019 2 2 2 2 2 2 2 2 2
0T 1 1 1 1 1 1 1 1 1
1L 14/9/2019 4 4 4 4 4 4 4 4 4
1L 29/8/2019 2 2 2 2 2 2 2 2 2
1L 9/9/2019 10 10 10 10 10 10 10 10 10
1L
1L 2 2 2 2 2 2 2 2 2
1L
1L 3/9/2019 2 2 2 2 2 2 2 2 2
1L 3/9/2019 2 2 2 2 2 2 2 2 2
1L 7/9/2019 3 3 3 3 3 3 3 3 3
1L 2/9/2019 3 3 3 3 3 3 3 3 3
1L 5/9/2019 3 3 3 3 3 3 3 3 3
1L 5/9/2019 2 2 2 2 2 2 2 2 2
0T 2 2 2 2 2 2 2 2 2
1T 2 2 2 2 2 2 2 2 2
1L 3/9/2019 3 3 3 3 3 3 3 3 3
1L 1/9/2019 3 3 3 3 3 3 3 3 3
1T 1 1 1 1 1 1 1 1 1
1L 10/9/2019 2 2 2 2 2 2 2 2 2
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1T 4 4 4 4 4 4 4 4 4
1L 10/9/2019 3 3 3 0 3 3 3 3 3
1L 2/9/2019 2 2 2 2 2 2 2 2 2
1L 3/9/2019 3 3 3 3 3 3 3 3 3
1L
1L 5/9/2019 5 5 5 5 5 5 5 5 5
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1L 3/9/2019 3 3 3 3 3 3 3 3 3
1L 2/10/2019 4 4 4 4 4 4 4 4 4
1L 5/9/2019 3 3 3 3 3 3 3 3 3
1L
1T 16 16 16 16 16 16 16 16 16
1L 5/9/2019 2 2 2 2 2 2 2 2 2
0T 6/9/2019 2 2 2 2 2 2 2 2 2
1T 4 4 4 4 4 4 4 4 4
0T 5/9/2019 2 2 2 0 2 2 2 2 2
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1L 9/9/2019 2 1 2 1 2 2 2 2 2
1L 5/9/2019 2 2 2 2 2 2 2 2 2
1L 4/9/2019 4 4 4 4 4 4 4 4 4
0T 6/9/2019 3 3 3 3 3 3 3 3 3
1L 4/9/2019 4 4 4 4 4 4 4 4 4
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1L 14/9/2019 1 1 1 1 1 1 1 1 1
0T 6/9/2019 3 3 3 3 3 3 3 3 3
0T 2 2 2 2 2 2 2 2 2
1L 6/9/2019 2 2 2 2 2 2 2 2 2
1L 10/9/2019 5 5 5 5 5 5 5 5 5
0T 1 1 1 1 1 1 1 1 1
0T 1 1 1 1 1 1 1 1 1
0T 2 2 2 2 2 2 2 2 2
1L 5/9/2019 3 3 3 3 3 3 3 3 3
1L 10/9/2019 1 1 1 1 1 1 1 1 1
1L 4/9/2019 1 1 1 1 1 1 1 1 1
1T 1 1 1 1 1 1 1 1 1
1L 8/9/2019 4 4 4 4 4 4 4 4 4
1L 11/9/2019 4 4 4 4 4 4 4 4 4
1L 9/9/2019 3 3 3 3 3 3 3 3 3
1L 5/9/2019 4 4 4 4 4 4 4 4 4
1L 3/9/2019 2 2 2 2 2 2 2 2 2
1L 6/9/2019 2 2 2 2 2 2 2 2 2
1L 10/9/2019 3 3 3 3 3 3 3 3 3
1T 3 3 3 3 3 3 3 3 3
1L
0T 1 1 1 1 1 1 1 1 1
1T 6 6 6 6 6 6 6 6 6
1L 7/9/2019 3 3 3 3 3 3 3 3 3
1L 5/9/2019 4 4 4 4 4 4 4 4 4
1L 5/9/2019 3 3 3 3 3 3 3 3 3
1T 2 2 2 2 2 2 2 2 2
1L 9/9/2019 2 2 2 2 2 2 2 2 2
1L 4/9/2019 3 3 3 3 3 3 3 3 3
1L 18/9/2019 2 2 2 2 2 2 2 2 2
1L 10/9/2019 6 6 6 6 6 6 6 6 6
1L 5/9/2019 4 4 4 4 4 4 4 4 4
1L 10/9/2019 2 2 2 2 2 2 2 2 2
1L 9/9/2019 2 2 2 2 2 2 2 2 2
1L 4/9/2019 2 2 2 2 2 2 2 2 2
1L 6/9/2019 1 1 1 1 1 1 1 1 1
1L 10/9/2019 4 4 4 4 4 4 4 4 4
1L 6/9/2019 4 4 4 4 4 4 4 4 4
1L 9/9/2019 1 1 1 1 1 1 1 1 1
1L 5/9/2019 2 2 2 2 2 2 2 2 2
1L 5/9/2019 4 4 4 4 4 4 4 4 4
1L 6/9/2019 3 3 3 3 3 3 3 3 3
1L 6/9/2019 3 3 3 3 3 3 3 3 3
Analisis Informed Con
tatan Dokter
BLOOD TRANSFUS
TYPE ION TAN Nama Nama
TANGGAL GGA
TTD L/T PROCEDURE ICD- 9 Tindak Dokter
TINDAKAN L an
1L
1L
2L
2L ANGIOGRAPHY STAND 0B0.66+00.42+ 1/8/2019 1 1 1
4L
2L
1L ANGIOGRAPHY PCI 88.55 1/8/2019 1 1 1
1L
2L INSERSI CDL 38.95 2/8/2019 1 1 1
3L
3L
1T CYSTOSCOPY 57.32 2/8/2019 1 1 1
3L
2L FESS 22.42 8/1/2019 1 1 1
4L
2L
1L
2L
3L
4L ADENOTONSILECTOMY28.92 7/27/2019 1 1 1
2L SCTP 74.99 8/1/2019 1 1 1
3T GASTROSCOPY, BIOPSY42.24 8/2/2019 1 1 1
1T URS SD REMOVE STENT56.0+97.65 8/1/2019 1 1 1
1L DEBRIDEMENT FINGER 79.63 1/8/2019 1 1 1
5L
7L URS, DILATASI URETER 56.0+59.8 5/8/2019 1 1 1
3L
1L
3T
7L APPENDECTOMY 47.09 5/8/2019 1 1 1
2L
3L
2L
1L
3L
7L DEBRIDEMENT, DRAINA49.01+49.12 8/3/2019 1 1 1
2L
4L ATE, FESS 28.92+22.42 3/8/2019 1 1 1
3L
3T
1L
2L INSERSI CDL 38.95 8/3/2019 1 1 1
1L
3L
2L
4L
4L
4L
17 L
1T
2T PLDD 80.51 3/8/2019 1 1 1
4L
0T
1L INSERSI CDL 38,95+39,95 8/3/2019 1 1 1
6L TOTAL THYROIDECTOM 6.4 3/8/2019 1 1 1
2L ANGIOGRAPHY STANDB00.66+00.46+ 3/8/2008 1 1 1
2L SCTP, IUD 74.99+69.7 2/8/2019 1 1 1
3T
2T ANGIOGRAPHY STAND 0B0.66+00.40+ 8/2/2019 1 1 1
1T EKSISI 24.31 8/2/2019 1 1 1
1L RELEASE CONTRACTUR 82.84 8/2/2019 1 1 1
2T
3L
2L
6L
0T REMOVE IMPLANT 78.64 8/2/2019 1 1 1
2T ANGIOGRAPHY, ANGIO88.57+39.59 7/29/2019 1 1 1
4L
1L
3L
2L
4L
3L
3L
4L
2L
3L
5T LSCS 74.1 8/5/2019 1 1 1
5L APPENDECTOMY 47.09 5/8/2019 1 1 1
3L
3L
2L
1T FOL 31.42 8/3/2019 1 1 1
4L
2L
3L
3T
6L
3L
6L
1L FULL STICHNESS FLAP 83.82 8/5/2019 1 1 1
1L ANGIOGRAPHY STAND 8B8.55 8/3/2019 1 1 1
2L
1L
2L
3L
3L
3T CYSTOSCOPY, LASER LIT57.32+56.0+5 8/4/2019 1 1 1
3L
1L
2L
2L
9L
2L HD 39.95 1 1 1
3L
3L
4L
1L REMOVE IMPLANT 78.63 5/8/2019 1 1 1
2L
1T CYSTOSCOPY, REMOVE 57.32+97.65 7/27/2019 1 1 1
1T REPAIR PALATE SECON 27.63 8/2/2019 1 1 1
1T INSERSI CDL 38.95 8/5/2019 1 1 1
5L REPAIR PROLAPS REC 48.76+49.46 5/8/2019 1 1 1
4L
1T RECONSTRUKSI ORBITA08.69 7/29/2019 1 1 1
3L
3L
5L TONSILECTOMY 28.2 5/8/2019 1 1 1
2L
2L
2L INSERSI CDL 38.95 8/5/2019 1 1 1
2T
2T ACROMIOPLASTY, REPA81.83+83.88 8/4/2019 1 1 1
2L
2L
2L
2L CYSTOSCOPY, URETER 57.32+56.2 8/6/2019 1 1 1
2L
4T URETHROTOMY, INS DJ56.2+59.8 8/6/2019 1 1 1
2L
3L
6L
2L
2T PRC 99.04 5/8/2019 1 1 1
2L INDUKSI PERSALINAN, 73.1+69.7 8/5/2019 1 1 1
2L
3L
2L COLONOSCOPY 45.23 6/8/2019 1 1 1
5L APPENDECTOMY 47.09 6/8/2019 1 1 1
3L
4L
1T AV SHUNT 39.27 8/5/2019 1 1 1
3L
3L
2L
2L
3L
4T TURP 60.29 8/5/2019 1 1 1
4L ATE 28.92 6/8/2019 1 1 1
5L
3L
7L ANGIOGRAPHY STANBY00.66+00.41+ 7/8/2019 1 1 1
4T INDUKSI PERSALINAN 73.1 8/5/2019 1 1 1
2L
3L ANGIOGRAPHY PCI, E 88.55+88.72 5/8/2019 1 1 1
2L
3L HD 39.95 8/6/2019 1 1 1
2T CYSTOSCOPY, REMOVE 57.32+97.65 8/5/2019 1 1 1
2L
2T SINGLE STAGE LOCAL 86.70 8/2/2019 1 1 1
2L CHOLECYSTECTOMY 51.22 8/3/2019 1 1 1
2T
4L
2L
2L URS, DILATASI URETER 56.2+59.8 6/8/2019 1 1 1
3L
10 L LAMINECTOMY 3.09 7/8/2019 1 1 1
1L
2T COLONOSCOPY 45.23 8/3/2019 1 1 1
1L
2L
3L
3T GASTROSCOPY 44.13 8/6/2019 1 1 1
4T
2L
1L EKSISI, DEBRIDEMENT 83.39+86.22 6/8/2019 1 1 1
2T
2L
3L
1T AV SHUNT 39.27 8/2/2019 1 1 1
2L
3L
5L
2L
8L
2L
3L
2L
3L INSERSI CDL 38.95 7/8/2019 1 1 1
3L COLPORRAPHY ANT, PO70.51+70.52 8/6/2019 1 1 1
2L
4T
1T
2L
3L
5L COLONOSCOPY 45.23 9/8/2019 1 1 1
3L
11 L
2L
5L SCTP, INSERSI IUD 74.99+69.7 8/8/2019 1 1 1
1L INSERSI CDL 38.95 7/8/2019 1 1 1
3L
3L
2T ATHRODHESIS, DEBRI 79.67+81.17 8/5/2019 1 1 1
3L URS, LASER LITOPTRISI 56 7/8/2019 1 1 1
1T INSERSI CDL 38.95 8/6/2019 1 1 1
2T ENDOPYELOTOMY, INS 55.11+59.8 8/5/2019 1 1 1
1L
4L
5T CYSTOSCOPY, TURBT, T 57.32+57.49+ 8/5/2019 1 1 1
1L
4L
1L INSERSI CDL 38.95 7/8/2019 1 1 1
5L
5L
3L
7L
2L
6L
4L
5L ANGIOGRAPHY PCI 88.55 6/8/2019 1 1 1
2L GASTROSCOPY 44.13 7/8/2019 1 1 1
1T INSERSI CDL 38.95 7/31/2019 1 1 1
13 L BIOPSI TUMOR, PEMA 85.11+34.04+9/8/2019,16/8 1 1 1
3L SCTP, INDUKSI PERSAL 74.99+73.1 8/7/2019 1 1 1
2L
2L
2L
2L
2L
3L
2L
4L
4L
3L
2T
4T LSCS, INSERSI IUD NOV74.1+69.7 8/7/2019 1 1 1
2L ORIF 79.18 8/8/2019 1 1 1
4L SCTP, IUD 74.99+69.7 8/7/2019 1 1 1
2L
2T AV SHUNT 39.27 8/7/2019 1 1 1
4L
2L HD 38.95 8/8/2019 1 1 1
4L
1T
1T ANGIOGRAPHY STANBY88.55 8/7/2019 1 1 1
1L GASTROSCOPY 44.13 7/8/2019 1 1 1
2T LASER LITOTRIPSI, REIN56.0+59.8 8/5/2019 1 1 1
1L ANGIOGRAPHY PCI 88.55 8/8/2019 1 1 1
1L EXPLORASI TESTIS, O 62.0+62.3 7/8/2019 1 1 1
3L
1L ORIF 79.33 8/8/2019 1 1 1
3L
3L
2L ARTHROSCOPY, DEBRI 80.26+81.47 8/8/2019 1 1 1
2L ARTHROSCOPY, DEBRI 80.26+81.47 8/8/2019 1 1 1
4L
3L LAPAROSCOPY 54.19 9/8/2019 1 1 1
3L
2T SINGLE STAGE DEEP M83.82 8/9/2019 1 1 1
5L HD 39.95 10/8/2019 1 1 1
2L
1L
2L
2L
2L
4T URETHROTOMY, LASER56.2+56.0+59.
L 8/8/2019 1 1 1
3L
2L
1T ANGIOGRAPHY STANBY88.55 8/8/2019 1 1 1
1L ANGIOGRAPHY STANBY88.55 8/8/2019 1 1 1
2L
3L
3L
6L
3L
1T AV SHUNT 39.27 8/6/2019 1 1 1
3L APPENDECTOMY 47.09 9/8/2019 1 1 1
2L DEBRIDEMENT, ORIF FI79.84+81.79 9/8/2019 1 1 1
1L DRAINAGE ASCITES 54.91 8/8/2019 1 1 1
1L APPENDECTOMY 47.09 8/8/2019 1 1 1
2L
2T ORIF 79.31 8/8/2019 1 1 1
3T
3L
3T
2L
3L
4T
2L ACL RECONSTRUKSI 81.45 8/8/2019 1 1 1
3L
1L REMOVE IMPLANT 78.63 8/8/2019 1 1 1
1L RELEASE CONTRACTURE
82.84+82.01 9/8/2019 1 1 1
3L
3L
2L
1T
6L APPENDECTOMY, ADHES
47.09 8/9/2019 1 1 1
5L
2L
3L
4L
2L
3L
4T
6L
3L
1L
2L
3L
0T
2T AV SHUNT 39.27 8/9/2019 1 1 1
3T AV SHUNT 39.27 8/9/2019 1 1 1
5L
1T AV SHUNT 39.27 8/6/2019 1 1 1
2L
3L
2L
3L SCTP, INSERSI IUD 74.99+69.7 10/8/2019 1 1 1
1L HD 39.95 8/9/2019 1 1 1
4L
2L
5L
1L
2L
1L REMOVE IMPLANT 78.62 10/8/2019 1 1 1
3L TONSILECTOMY 28.2 8/9/2019 1 1 1
1L
2L
1L
2L
1L
3L
2L
1L
7L
4L
2T
2L
3L
2L
2T ORIF 79.34 12/8/2019 1 1 1
1L
3L
2L
1L
3L
2T
3L
3L
2L
2L
3L
4L GASTROSCOPY 44.13 12/8/2019 1 1 1
3L
6L LAPAROTOMY, APPEN 47.09 11/8/2019 1 1 1
2L
2L
2L
3L
3L
2L
12 T ENDOSCOPY TRANSPEN07.69 8/10/2019 1 1 1
2L
4T URETHROTOMY, INS DJ56.2+59.8 8/12/2019 1 1 1
2L
1L
2L
1L
3L
4T TONSILECTOMY 28.2 8/5/2019 1 1 1
3T
2L
2L
4L
1L
4L
0T REPAIR TENDON, PERC 83.88+78.54 8/10/2019 1 1 1
2L
2L
2L
1T RELASE 82.11 8/10/2019 1 1 1
2L
3L
3L
3L
2L
3L
1L
1T REMOVE DJ STENT 97.65 8/5/2019 1 1 1
4L
2L
3T
1T CYSTOSCOPY, LASER LI 57.32+97.65+ 8/12/2019 1 1 1
3L HYSTERECTOMY, CYST 68.9+65.29 8/12/2019 1 1 1
5L
1T TOTAL KNEE REPLACEM81.45 8/12/2019 1 1 1
1L INSERSI CDL, HD 38.95+39.95 12/08/2019+1 1 1 1
2T
3T
2L LAPAROTOMY, PRC 54.19+99.04 12/8/2019 1 1 1
3L
3T AV SHUNT 39.27 8/12/2019 1 1 1
1L URS, URETHROTOMY, IN56.2+59.8 13/8/2019 1 1 1
1L PENIS REPAIRATION 64.44 13/8/2019 1 1 1
3L
3L ANGIOGRAPHY STANBY00.66+00.40+13/8/2019 1 1 1
5L
1L GASTROSCOPY 44.13 12/8/2019 1 1 1
1L
2L MASTOIDECTOMY 20.49 8/12/2019 1 1 1
2L
1L ORIF, DEBRIDEMENT 79.34+83.88 13/8/2019 1 1 1
2L
3L
2T
7L
2L
3L
3L
4L
1L
2T
2L
1L ANGIOGRAPHY PCI 00.66+00.41+13/8/2019 1 1 1
4T
0T ANGIOGRAPHY 88.55 8/13/2019 1 1 1
3L
6L
3L HEMOROIDECTOMY 49.46 14/8/2019 1 1 1
2T KURATEGE 69.52 8/12/2019 1 1 1
0T ANGIOGRAPHY CORONA 88.55 8/13/2019 1 1 1
4L CRANOPLASTY 02.06 8/13/2019 1 1 1
5T RECONSTRUKSI ACL, M81.43+77.15 8/1/2019 1 1 1
1L EKSISI 71.62 14/8/2019 1 1 1
1T URS, LASER LITOPTRISI 56.0+97.65 8/7/2019 1 1 1
8L
3L
5L
2L
1L
1L
3L
2L EKSISI 86.09 13/8/2019 1 1 1
0T ORIF 79.38 8/14/2019 1 1 1
2T GASTROSCOPY 44.13 8/14/2019 1 1 1
3L SCTP 74.99 14/8/2019 1 1 1
1L SINGLE STAGE LOCAL 86.7 14/8/2019 1 1 1
5L EKSISI, DEBRIDEMENT 86.09 14/8/2019 1 1 1
4L
4L
1T REPAIR 82.89 8/14/2019 1 1 1
2L
2L
2L
1L
3L
0T REMOVAL OF TOTALLY 97.89 8/14/2019 1 1 1
0T
2T PERCUTANEOUS CORON 00.66+00.40+ 8/14/2019 1 1 1
5T URETHROSCOPY, DILATA56.31+58.6+5 8/13/2019 1 1 1
1T INSERSI CDL 38.95 14/8/2019 1 1 1
4T URETHROTOMY, LASER56.2+56.0+59.
L 8/14/2019 1 1 1
1L CA- PCI 88.55 14/8/2019 1 1 1
4L
1T ANGIOGRAPHY STANDB
88.55 8/15/2019 1 1 1
2L
1L
4L
2L
2L HD 39.95 15/8/2019 1 1 1
4T PULLTROUGHT TRANSA48.49 8/12/2019 1 1 1
10 L EKSISI BIOPSI LYMP ( 2 40.11+40.23+23/8/2019 1 1 1
2L URS, LASER LITOPTRISI,56.0+59.8 15/8/2019 1 1 1
2L GASTROSCOPY 44.13 8/13/2019 1 1 1
1T RELASE CONTRACTURE,83.19+83.82 8/14/2019 1 1 1
2L
2L
2L
3L
1L
3L
4L APPENDECTOMY 47.09 15/8/2019 1 1 1
2L
4L APPENDECTOMY 47.09 15/8/2019 1 1 1
2L
2L
2L
2T THORACOTOMY EXPLOR
34.02+34.3 8/15/2019 1 1 1
2L
0T
2L
3L INDUKSI PERSALINAN 73.1 15/8/2019 1 1 1
2L REPAIR AV FISTULA 39.59 16/8/2019 1 1 1
2L
6L SCTP, INSERSI IUD 74.99+69.7 8/13/2019 1 1 1
2L ANGIOGRAPHY PCI 88.55 16/8/2019 1 1 1
5L
2L FRONTAL NASAL ETMO22.63+21.87 8/12/2019 1 1 1
3T ADENOTONSILECTOMY 28.92 16/8/2019 1 1 1
4L ORCHIDECTOMY 62.3 16/8/2019 1 1 1
1T REMOVE IMPLANT 78.63 8/15/2019 1 1 1
3L
3L
2L
1T
2T MRM 85.43 8/10/2019 1 1 1
2L
2L
2L
1L
2L
1L D+C, PRC 69.02+99.04 16/8/2019 1 1 1
2L
1L
7L
3T ORIF 79.34 19/8/2019 1 1 1
2L
4T SCTP 74.99 8/16/2019 1 1 1
4L
3L
2L
7L
3L
14 T
3L
4L URS, LASER LITOPTRISI,56.0+59.8 19/8/2019 1 1 1
3L
3L
3L
2T
5L COLONOSCOPY+BI 42.25 18/8/2019 1 1 1
1L
3L
1L
4L
3L
2L
4L
2L
1L
3L
4L
2L
1T EXCISION TUMOR PALP08.20 8/14/2019 1 1 1
4L SCTP 74.99 8/18/2019 1 1 1
2L
3L
4L HYSTERECTOMY 68.9 8/18/2019 1 1 1
2L ANGIOGRAPHY, ANGIO88.57+39.59 19/8/2019 0 1 1
2T
3L
3L LYMP NODE DECISION 40.29 19/8/2019 1 1 1
21 L INCISI DRAINAGE DEEP 54 24/8/2019 1 1 1
3L
1L ORCHYDOPEXY 62.5 16/8/2019 1 1 1
3L SCTP 74.99 8/15/2019 1 1 1
5L SCROTOPLASTY 61.49 8/15/2019 1 1 1
3L
7L PULLTROUGHT TRANSA 48.49 20/8/2019 1 1 1
7L
2L CYSTOSCOPY, REMOVE 57.32+97.65 19/8/2019 1 1 1
2L
16 L
2L
5L
6L
2L
1T WIDE EXCISION, FLAP 83.39+83.82 8/15/2019 1 1 1
2L
4L
5L
2L INDUKSI PERSALINAN 73.1 8/19/2019 1 1 1
3L
4L OOPHOROCYSTECTOM 65.29 19/8/2019 1 1 1
2L
3L
2L INSERSI CDL 38.95 20/8/2019 1 1 1
2T OSTEOTOMY ACROMIOM,
77.39+82.86+ 8/19/2019 1 1 1
3L
2L
3L
2L
3L
1L
5L
2L INSERSI CDL 38.95 26/8/2019 1 1 1
1T LITOLAPAXY BATU BUL 57.0+56.2 8/21/2019 1 1 1
2T INSERSI CDL, HD 38.95+39.95 27/8/2019 1 1 1
1L GASTROSCOPY 44.13 8/27/2019 1 1 1
0T ORIF 79.34 8/26/2019 1 1 1
2L
1L ANGIOGRAPHY STANDB
00.66+00.42+26/8/2019 1 1 1
1L
2L
4L
2T GASTROSCOPY, COLON44.13+42.25 28/8/2019 1 1 1
1L
2L
9L
4L
2L
1L ANGIOGRAPHY STANDB 88.55 26/8/2019 1 1 1
2L
4L
2L URS, LASER LITOPTRISI,56.0+59.8 27/8/2019 1 1 1
1L REMOVE IMPLANT 78.68 8/26/2019 1 1 1
3L
2L
5T TONSILECTOMY 28.2 8/26/2019 1 1 1
2T URETHROTOMY 56.2 8/27/2019 1 1 1
1L HD 39.95 28/8/2019 1 1 1
1L SINGLE STAGE LOCAL 86.28+83.82 29/8/2019 1 1 1
1L INSERSI CDL 38.95 28/8/2019 1 1 1
3T ORIF, REPAIR LIGAMEN79.32+81.75 8/27/2019 1 1 1
4L
3L
4L
2L
5L PEMASANGAN WSD 34.04 30/8/2019 1 1 1
2L
2T GASTROSCOPY 44.13 8/27/2019 1 1 1
2L
2L
6L INDUKSI PERSALINAN, 73.1+74.99+628/8/2019 1 1 1
3L SCTP 74.99 28/8/2019 1 1 1
1L
2T REMOVE IMPLANT HUM
78.62+78.63 8/28/2019 1 1 1
2L
3L
3T APPENDECTOMY 47.09 8/27/2019 1 1 1
1L
2L
2L
1L D&C 69.02 8/27/2019 1 1 1
2L URETHROSCOPY, CYSTO57.32+56.2+528/8/2019 1 1 1
2L
2L
3L
4L
2T RECONSTRUKSI AV SH 39.42 8/28/2019 1 1 1
4L
3T PRC 99.04 28/8/2019 1 1 1
2L
2L
1T RECONSTRUKSI 83.83 8/28/2019 1 1 1
6L
3L
2L
4L
3L
3L
2L
2L
2L
3L
3L
3L
2L
2L EKSISI 34.4 30/8/2019 1 1 1
2L SKIN GRAFT, PRC 86.69+99.04 30/8/2019 1 1 1
3L
3L
1L DEBRIDEMENT, REPAIR77.66+83.88 29/8/2019 1 1 1
2L
3L
4L
3T ANGIOPLASTY 39.59 28/8/2019 1 1 1
2L
3L
5L
3L
3L
4L
3L SINUSECTOMY 22.6 30/8/2019 1 1 1
16 L
2L
2L PRC 99.04 29/8/2019 1 1 1
4L
2T INSERSI CDL, PRC 38.95+99.04 29/8/2019 1 1 1
3L
2T INSERSI CDL 38.95 30/8/2019 1 1 1
2L
4L
3L SCTP, MOW 74.99+66.39 29/8/2019 1 1 1
4L
3L
3L
1L
3L
2L
2L
5L
1L CLOSE REDUCTION, GIP79.07+93.53 8/31/2019 1 1 1
1L REMOVE IMPLANT, RE 97.89+82.84 31/8/2019 1 1 1
2L CLOSE REDUCTION 79.71 30/8/2019 1 1 1
3L APPENDECTOMY 47.09 30/8/2019 1 1 1
1L INSERSI CDL 38.95 30/8/2019 1 1 1
1L AV SHUNT 39.27 30/8/2019 1 1 1
1L
4L
4L ORIF TIBIA, FIBULA 79.16 31/8/2019 1 1 1
3L PLDD 80.51 28/8/2019 1 1 1
4L
2L
2L
3L LAPAROTOMY EKSPLOR 54.11 31/8/2019 1 1 1
3L
1 1 1 1 1 1L
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 0 1 1 1 1T 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 0 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 0 1 1 1 1T
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
0 0 0 0 0 0T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 0 1 0T
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
Analisis Persetujuan Anestesi
8:25
dr. Agung Purnomo, Sp.An 1 1 1 1L
T
T
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
T
dr. Agung Purnomo, Sp.An 1 1 1 1L
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
-
Admision MR Patient Name Sex Age
L
L URETHROTOMY, REMOV
56.2+97.65 9/9/2019 1 1 1
L
L AV SHUNT 39.27 10/9/2019 1 1 1
L
L ANGIOGRAPHY STANDB00.66+00.4 10/9/2019 1 1 1
T LASER LITOTRIPSI, URE 56.0+56.2+ 9/9/2019 1 1 1
L
L
L
L ORIF 79.35+79.710/09/2019+ 17/9/2 1 1 1
T URETHROSCOPY, URETH
56.31+56.2 9/9/2019 1 1 1
L
L
L CHOLESISTECTOMY 51.22 9/6/2019 1 1 1
L
L
L
L
L ANGIOGRAPHY STANDB00.66+00.4 11/9/2019 1 1 1
L ANGIOGRAPHY PCI 00.66+00.4 9/5/2019 1 1 1
L
L
L REMOVE IMPLANT 80.40+78.6 10/9/2019 1 1 1
L
L
L
L
L TONSILECTOMY 28.2 10/9/2019 1 1 1
L ANGIOGRAPHY PCI 88.57 10/9/2019 1 1 1
L APPENDECTOMY 47.09 12/9/2019 1 1 1
T
L
T LASER LITOTRIPSI, RE 56.0+59.8 9/9/2019 1 1 1
L
L CORONARY ANGIOGRAP
88.57+00.6 10/9/2019 1 1 1
L
T CORONARY ANGIOGRA88.55 9/9/2019 1 1 1
L INSERSI IUD 69.7 9/9/2019 1 1 1
L REMOVE IMPLANT 78.63 9/9/2019 1 1 1
L
L
L
T DEBRIDEMENT 86.28 9/11/2019 1 1 1
L ANGIOGRAPHY STANDB00.66+00.4 9/9/2019 1 1 1
L
L
T CORONARY ANGIOGRA88.55 9/10/2019 1 1 1
L EXCISION OR DESTRUC21.30 9/7/2019 1 1 1
T ANGIOGRAPHY STANDB88.55 9/10/2019 1 1
L
T GASTROSCOPY 44.13 9/11/2019 1 1 1
L
L
L
L
L
L
T
L
L CA STANDBY PCI 00.66+00.4 11/9/2019 1 1 1
L
L
L
L
L
T
L REMOVE CAST, REPOSIS97.13 9/10/2019 1 1 1
L ANGIOGRAPHY STANDB 88.57 11/9/2019 1 1 1
L
L GASTROSCOPY 44.13 9/12/2019 1 1 1
L
T
L
L
T AV SHUNT 39.27 11/9/2019 1 1 1
L AV SHUNT 39.27+99.0 11/9/2019 1 1 1
L ORIF REPOSIS HIP, ORIF79.85+79.310/09/2019+ 17/9/2 1 1 1
T ORIF 79.39 9/10/2019 1 1 1
L
L PRC 99.04+99.017/9/2019 1 1 1
L
L
L
L
L
L
L
L AV SHUNT 39.27 11/9/2019 1 1 1
L
L
L
L URS, LITOTRIPSI, INS D 56.0+59.8 12/9/2019 1 1 1
L
L ORIF 79.31+81.9 12/9/2019 1 1 1
L
L
L ANGIOGRAPHY STANDB00.66+00.4 11/9/2019 1 1 1
L CHOLECYCTECTOMY 51.22 12/9/2019 1 1 1
L REVISI AV SHUNT 39.42 12/9/2019 1 1 1
L URS, LITOTRIPSI, REMO56.0+97.64 12/9/2019 1 1 1
L URS, LASER LITOTRIPSI 56.0 9/11/2019 1 1 1
L ODONTECTOMY 23.19 14/9/2019 1 1 1
L
L EKSISI 18.29 12/9/2019 1 1 1
L
L
T CORONARY ANGIOGRA88.55 9/11/2019 1 1 1
L
L CORONARY ANGIOGRAP 00.66+00.4 9/11/2019 1 1 1
L REPAIR MENISCUS , EX 81.47+80.1 12/9/2019 1 1 1
T CORONARY ANGIOGRA88.55 9/11/2019 1 1 1
L
T LASER LITOTRIPSI, INSE56.0+59.8 9/11/2019 1 1 1
T ORIF 79.32 9/11/2019 1 1 1
T
L
L
L
T
L
T LASER LITOTRIPSI, INSE56.0+59.8 9/11/2019 1 1 1
L
T CORONARY ANGIOGRA88.55 9/11/2019 1 1 1
L
L
L
T
L REPAIR MENISCUS 81.47 13/9/2019 1 1 1
L ORIF, PRC 79.35+99.013/9/2019 1 1 1
L
L ANGIOGRAPHY STANDB00.66+00.413/9/2019 1 1 1
T AV SHUNT 39.27 9/5/2019 1 1 1
L
L
L
L
T
L
L
L EKSTERPASI, COUTER, 68.29+99.014/9/2019 1 1 1
L ODONTECTOMY 23.19 13/9/2019 1 1 1
L
L
L
L SC 74.99 9/13/2019 1 1 1
L
L
L
L CHOLECYCTECTOMY 51.22 9/11/2019 1 1 1
L ANGIOGRAPHY,ANGIOPL
88.55+39.513/9/2019 1 1 1
T
L OTHER MASTOIDECTO 20.49 13/9/2019 1 1 1
L
L HD 39.95 0 1 0
L HD 39.95 13/9/2019 1 1 1
L
L
L
T
T
L
T CORONARY ANGIOGRA88.55 9/12/2019 1 1 1
T CORONARY ANGIOGRA88.55 9/12/2019 1 1 1
T
T CORONARY ANGIOGRA88.55 9/12/2019 1 1 1
L
L
L DEBRIDEMENT 54.3 14/9/2019 1 1 1
L
L
L RECONTRUKSI ACL 81.45 14/9/2019 1 1 1
T ANGIOGRAPHY STANDB88.55 9/13/2019 1 1 1
L
L
L
L AV SHUNT, PRC 39.27+99.014/9/2019 1 1 1
L
L EXCISION TUMOR 83.39 9/12/2019 1 1 1
L PCI 00.66+00.414/9/2019 1 1 1
L
L
T DEBRIDEMENT , ORIF, 79.66+79.313/9/2019 1 1 1
L
T
L
L ANGIOGRAPHY STANDB 88.55 14/9/2019 1 1 1
L
L
L
T
T INSERSI CDL 38.95 13/9/2019 1 1 1
L INSISI BIOPSI 40.11+40.014/9/2019 1 1 1
L
T CIRCUMSISI 64.0 9/10/2019 1 1 1
T EXCISION, EKSTRAKSI 86.3+86.23 9/13/2019 1 1 1
L HYSTERECTOMY, PRC, A54.59+68.916/9/2019 1 1 1
T
L
L EKSISI 40.29 14/9/2019 1 1 1
L
T CIRCUMSISI 64.0 9/9/2019 1 1 1
L
L
L
L
L
L LAPAROTOMY EXPLORA45.90+54.116/9/2019 1 1 1
L
L
L
T
T
T
L
L
L
T EXSISI ABSES 86.3 9/14/2019 1 1 1
L
L
L
L
L
L
L
L
L EXPLORASI TESTIS, O 62.0+62.3 14/9/2019 1 1 1
T RECONTRUKSI SOCKET 16.64 9/16/2019 1 1 1
L ATE 28.92 16/9/2019 1 1 1
L CIRCUMSISI 64 16/9/2019 1 1 1
L
L
L
L
L
L
L
L URS, INS DJ STENT, C 56.2+59.8+16/9/2019 1 1 1
L
T AV SHUNT 39.27 9/11/2019 1 1 1
L
L
L
T ANGIOGRAPHY STANDB88.55 9/15/2019 1 1 1
L PRC 99.04 15/9/2019 1 1 1
L ANGIOGRAPHY PCI 00.66+00.414/9/2019 1 1 1
L
L
L CORONARY ANGIOGRAP
00.66+00.4 9/16/2019 1 1 1
L
L
L ANGIOGRAPHY PCI 88.55 16/9/2019 1 1 1
T ANGIOGRAPHY STANDB00.66+00.4 9/16/2019 1 1 1
L FESS 22.42 17/9/2019 1 1 1
T DISEKSI TUMOR AXILLA40.23 9/16/2019 1 1 1
L MULTIPLE EKSISI 34.4+54.3 17/9/2019 1 1 1
T EXCISION 76.2 9/16/2019 1 1 1
L
L
L
L
T
L
L
L
L
L
L
L GASTROSCOPY 44.13 17/9/2019 1 1 1
L GASTROSCOPY 44.13 9/16/2019 1 1 1
L
L
L
L
L TRACHEOSTOMY, URET31.29+56.323/09/2019+19/9/20 1 1 1
L
L
L REPAIR MENISCUS 81.47 17/9/2019 1 1 1
L AMPUTASI 84.01 16/9/2019 1 1 1
L
L
T
L URS BILATERA, CYSTOSC56.0+59.8+17/9/2019 1 1 1
L CHOLECYCTECTOMY, AD51.22 9/13/2019 1 1 1
L
T ANGIOGRAPHY STANDB00.66+00.4 9/17/2019 1 1 1
L
L
L FESS 22.42 9/17/2019 1 1 1
L FESS 22.42 18/9/2019 1 1 1
L DRAINAGE ABSES, FIS 49.01+49.1 9/19/2019 1 1 1
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
T SCTP 74.99 9/18/2019 1 1 1
L RECONTRUKSI ACL, ME81.45+81.418/9/2019 1 1 1
T
L
L
L
L
L
L
L
L URS, LITOTRIPSI, INS D 56.0+59.8 18/9/2019 1 1 1
T URETHROTOMY, LITOTRIP 56.2+56.0+ 9/16/2019 1 1 1
T
L
L URS, LITOTRIPSI, INS D 56.0+59.8 19/9/2019 1 1 1
L
L
L
T SCTP 74.99 9/18/2019 1 1 1
L
L
T
T KURET 69.09 9/18/2019 1 1 1
T REMOVE IMPLANT 76.97 9/17/2019 1 1 1
T ANGIOGRAPHY STANDB00.66+00.4 9/18/2019 1 1 1
T INSERSI CDL 38.95 9/17/2019 1 1 1
L
L SCTP 74.99 9/13/2019 1 1 1
L
L
L
L
T ANGIOGRAPHY STANDB00.66+00.4 9/18/2019 1 1 1
L ANGIOGRAPHY PCI 00.66+00.419/9/2019 1 1 1
L
T SC, MOW 74.99+66.3 9/18/2019 1 1 1
L
L D&C 69.02 18/9/2019 1 1 1
L
L
L
L SCTP 74.99 19/9/2019 1 1 1
L
T AV SHUNT 39.27 9/16/2019 1 1 1
L GASTROSCOPY 44.13 9/19/2019 1 1 1
T INSERSI CDL 38.95 9/18/2019 1 1 1
L ANGIOGRAPHY STANDB00.66+00.420/9/2019 1 1 1
L ANGIOGRAPHY 88.55 19/9/2019 1 1 1
L CORONARY ANGIOGRA88.55 9/19/2019 1 1 1
L
L
L EKSISI 83.39 19/9/2019 1 1 1
T
L
L
T
L
T GASTROSCOPY 44.13 9/19/2019 1 1 1
L
L
L
T SCTP, INDUKSI PERSAL 74.99+73.1 9/19/2019 1 1 1
T OPEN REPOSISI DISLOK79.81+79.320/9/2019 1 1 1
L
L
L
L
L
L
L
L
L CYSTOSCOPY, REMOVE 57.32+97.620/9/2019 1 1 1
L LIGASI VENA SPERMAT 63.1 20/9/2019 1 1 1
L
L ANGIOPLASTY 39.59 24/9/2019 1 1 1
L CORONARY ANGIOGRA88.55 9/21/2019 1 1 1
L
L
T CORONARY ANGIOGRA88.55 9/20/2019 1 1 1
L
T ADENOTONSILECTOMY28.3 9/20/2019 1 1 1
L EKSISI 83.39 21/9/2019 1 1 1
L GASTROSCOPY 44.13 21/9/2019 1 1 1
L
L
L GASTROSCOPY 44.13 22/9/2019 1 1 1
L
L
L
L
L
L
L
L
L
L
L
T INDUKSI PERSALINAN 73.1 9/20/2019 1 1 1
L
T REMOVE IMPLANT 78.67 21/9/2019 1 1 1
L
L
L
L MSCT CARDIAC DENGA 88.38 20/9/2019 1 1 1
L
L URS, URETEROTOMY, LA56.2+59.8 21/9/2019 1 1 1
L
L REMOVE T-TUBE 97.55 21/9/2019 1 1 1
T RELASE FLAP 83.82 9/20/2019 1 1 1
T MODIFIED RADICAL M 85.43 9/20/2019 1 1 1
L
L
L
T
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
T GASTROSCOPY 44.13 9/25/2019 1 1 1
L
L
L HD 39.95 0 1 0
L
L
L
T GASTROSCOPY 44.13 9/22/2019 1 1 1
L
T GASTROSCOPY 44.13 9/24/2019 1 1 1
L
L
L
L
L
L ORIF 79.39 9/26/2019 1 1 1
L
L SCTP 74.99 23/9/2019 1 1 1
T
L CTEV BILATERAL 83.84 29/9/2019 1 1 1
T REMOVE IMPLANT 78.61 9/23/2019 1 1 1
T ORIF RADIUS ULNA 79.32 9/23/2019 1 1 1
T REMOVE IMPLANT 78.66 9/21/2019 1 1 1
L
L
L GASTROSCOPY 44.13 23/9/2019 1 1 1
L
L
L
L
T URETHROTOMY 56.2 9/21/2019 1 1 1
L CYSTOSCOPY, BIOPSY 57.33 23/9/2019 1 1 1
L LAPARATOMY, APPEND54.19+47.0 9/22/2019 1 1 1
L ORIF 76.79 9/25/2019 1 1 1
L
L
L
L
L
L
L CORONARY ANGIOGRA88.55 9/23/2019 1 1 1
L CHOLECYSTECTOMY 51.22 24/9/2019 1 1 1
L
T CORONARY ANGIOGRA88.55 9/24/2019 1 1 1
L
L
L
T TONSILECTOMY 28.2 9/23/2019 1 1 1
L
L
L
L
T RECONTRUKSI ACL, ME81.45+81.424/9/2019 1 1 1
T LASER LITOTRIPSI, RE 56.0+97.65 9/23/2019 1 1 1
L EKSISI 18.39 24/9/2019 1 1 1
L
T LIGASI TINGGI INGUINA63.1+64.0 9/23/2019 1 1 1
L
T
T HEMORRHOIDECTOMY49.46 9/23/2019 1 1 1
L APPENDECTOMY 47.09 25/9/2019 1 1 1
L ENDOSCOPY 45.11 23/9/2019 1 1 1
L
L
L
L
L
L
T
T RELASE TENNIS ELBOW82.84+82.8 9/24/2019 1 1 1
L HEMORRHOIDECTOMY49.46 9/23/2019 1 1 1
L
T
L
L
L HEMORRHOIDECTOMY49.46 9/25/2019 1 1 1
T URETHROTOMY, INS DJ56.2+59.8 9/24/2019 1 1 1
L
L
T
L
L
L APPENDECTOMY 47.09 26/9/2019 1 1 1
T RFA 92.29 9/23/2019 1 1 1
T SCTP, INDUKSI PERSAL 73.1+74.9925/9/2019 1 1 1
L
T ANGIOGRAPHY STANDB00.66+00.4 9/24/2019 1 1 1
L ORCHIDOPEXY 62.5 25/9/2019 1 1 1
L HERNIOTOMY 53.9 25/9/2019 1 1 1
L
T ANGIOPLASTY 39.59 9/20/2019 1 1 1
L
L
T
L
L LASER LITOTRIPSI, T 56.0+60.2925/9/2019 1 1 1
T CORONARY ANGIOGRA88.55 9/25/2019 1 1 1
L
L AV SHUNT 39.27 25/9/2019 1 1 1
L
T INSERSI CDL 38.95 9/24/2019 1 1 1
L SCTP, INSERSI IUD 74.99+69.7 9/25/2019 1 1 1
L
L
L
L CORONARY ANGIOGRAP
88.55 9/25/2019 1 1 1
L
T AV SHUNT 39.27 9/26/2019 1 1 1
L CURRETAGE 69.02 9/25/2019 1 1 1
T ANGIOGRAPHY STANDB00.66+00.4 9/25/2019 1 1 1
T CA 88.55 9/25/2019 1 1 1
T AV SHUNT 39.27 9/23/2019 1 1 1
T LASER LITOTRIPSI, INSE56.0+59.8 9/26/2019 1 1 1
T REMOVE IMPLANT 78.64 9/24/2019 1 1 1
L
L
L
T INSERSI CDL 38.95 26/9/2019 1 1 1
L
T
L
T URETHROTOMY, INS DJ56.2+59.8 9/25/2019 1 1 1
L
L
L
L SCTP 74.99 27/9/2019 1 1 1
L
T AV SHUNT 39.27 9/25/2019 1 1 1
L INSERSI CDL 38.95 26/9/2019 1 1 1
T LASER LITOTRIPSI, INSE56.0+59.8 9/26/2019 1 1 1
L
L APPENDECTOMY 47.09 27/9/2019 1 1 1
L ANGIOGRAPHY STANDB00.66+00.424/9/2019 1 1 1
L
L
L CHOLECYCTECTOMY 51.22 27/9/2019 1 1 1
T
L
T ANGIOPLASTY 39.59 9/25/2019 1 1 1
L GASTROSCOPY, BIOPSY 42.24 26/9/2019 1 1 1
T AV SHUNT 39.27 26/9/2019 1 1 1
L
L
L
T
L
T SCTP 74.99 9/26/2019 1 1 1
L
T
L
L
L
L
L
L
L
L
T AV SHUNT 39.27+99.027/9/2019 1 1 1
L CORONARY ANGIOGRAP 00.66+00.4 9/27/2019 1 1 1
L DEBRIDEMENT , REPAIR 86.59 27/9/2019 1 1 1
L
L FESS 22.42 9/20/2019 1 1 1
L CAG PCI 88.55 27/9/2019 1 1 1
L
L
T INSERSI CDL 38.95 27/9/2019 1 1 1
L
L
L
L
L
T
L ANGIOGRAPHY STANDB00.66+00.426/9/2019 1 1 1
T
L
L PRC 99.04 26/9/2019 1 1 1
L ANGIOGRAPHY STANDBY
88.55+99.026/9/2019 1 1 1
L
T URETHROTOMY, LITOTRIP
56.2+56.0+ 9/26/2019 1 1 1
T CURRETAGE 69.02 9/26/2019 1 1 1
L
L
L ANGIOGRAPHY STANDB 88.55 27/9/2019 1 1 1
L
L
L
L
L
T GASTROSCOPY 44.13 9/30/2019 1 1 1
L
L
L
L
T CURRETAGE 69.02 9/27/2019 1 1 1
L 69.02 9/27/2019 1 1 1
T D&C 69.02 9/25/2019 1 1 1
L LAPAROSCOPY, APPEN 54.21,47.0 28/9/2019 1 1 1
T LAPAROSCOPY 54.21 28/9/2019 1 1 1
L SCTP, INSERSI IUD 74.99+69.728/9/2019 1 1 1
T REMOVE IMPLANT 78.63 9/27/2019 1 1 1
L REPAIR TENDON 83.88 28/9/2019 1 1 1
L REMOVE IMPLANT 78.61 28/9/2019 1 1 1
L
T
L
L
L
L APPENDECTOMY 47.09 30/9/2019 1 1 1
T COLONOSCOPY 45.23 9/25/2019 1 1 1
T COLONOSCOPY 45.23 9/25/2019 1 1 1
L
L
L
L
T
L
L PRC 99.04 28/9/2019 1 1 1
L
L
T
L
L TONSILECTOMY 28.2 28/9/2019 1 1 1
T
L ORIF 79.31 9/28/2019 1 1 1
L
L
L
L
L
L
L
L
L
L
L
T
L
L AV SHUNT 39.27 30/9/2019 1 1 1
L
L
L
T CURRETAGE 69.02 9/30/2019 1 1 1
L
T
L COLONOSCOPY 45.23 9/26/2019 1 1 1
L
L
L ORIF 79.33 9/28/2019 1 1 1
L URS, LASER LITOTRIPSI,56.0+59.8 1/10/2019 1 1 1
L
L
L
L
L PRC 99.04 1/10/2019 1 1 1
T
L
T
L
L
L
T SCTP, MOW 74.99+66.3 9/30/2019 1 1 1
L
L ANGIOGRAPHY STANDB00.66+00.4 1/10/2019 1 1 1
L
L PRC 99.04 30/9/2019 1 1 1
L
L SCTP, MOW 74.99+66.3 9/30/2019 1 1 1
L
L
L TONSILECTOMY 28.2 9/30/2019 1 1 1
L CORONARY ANGIOGRAP
00.66+00.4 1/10/2019 1 1 1
L
L
L
L SCTP 74.99 9/23/2019 1 1 1
L
L
T
L HYSTERECTOMY 68.39 9/30/2019 1 1 1
L
L
T LITOTRIPSI BATU URET 56.0+97.65 9/30/2019 1 1 1
L URS, LASER LITOTRIPSI,56.0+59.8+ 1/10/2019 1 1 1
L
T CYSTOSCOPY 57.32 9/25/2019 1 1 1
L
L URS, LITOTRIPSI, REM 56.0+97.65 1/10/2019 1 1 1
L ECHOCARDIOGRAPHY 37.28 2/10/2019 1 1 1
T ANGIOGRAPHY STANDB00.66+00.4 9/30/2019 1 1 1
L
L CYSTOSCOPY, REMOVE 57.32+97.6 1/10/2019 1 1 1
L ANGIOGRAPHY STANDB 88.55 1/10/2019 1 1 1
L
L
L ORIF 79.35 8/10/2019 1 1 1
L
T
L ANGIOGRAPHY STANDB 88.55 30/9/2019 1 1 1
T APPENDECTOMY 47.09 9/30/2019 1 1 1
Analisis Informed Consent
TTD & TTD & L/T
TTD & TTD &
Resiko Altern Nama DX Pre
OPERATOR Nama Pasien/ Nama Nama
atif Operasi
Dokter Saksi I Saksi II
Wali
0 0 0 1 1 1T
1 1 dr. Nono Mattarungan, SpPD 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L
1 0 1 1 1 1T 1 1
1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 0 1 1 1 1T 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
1 1 1 1 1 1L 1 1
Analisis Persetujuan Anestesi
L/T S/T
TTD & TTD & TTD & TTD &
Nama
ANASTESIOLOGIST Nama Nama Nama
Dokter Pasien/ Saksi I Saksi II
Wali
T
dr. Eka Seprianti W. Sp.An 1 1 1 1L
dr. Eka Seprianti W. Sp.An 1 1 1 1L
5 5 5 5L
1 1 1 1T AV SHUNT 39.27
4 4 4 4L
3 3 3 3L
7 7 7 7L
2 2 2 2L
3 3 1 3T CORONARY ANGIOGRAPH88.55
2 2 2 2L
1 1 1 1L ANGIOGRAPHY 88.55
3 3 3 3L
3 3 3 3L FISTULECTOMY 49.12
3 3 3 3L APPENDECTOMY 47.09
1 1 1 1L
3 3 3 3L
1 1 1 1L
3 3 3 3L
1 1 1 1L
3 3 3 3L
1 1 1 1L
3 3 3 3L
5 5 5 5L LAPARATOMY, MYOMECTOM
54.19+68.29+57
3 3 3 3L
4 4 4 4L
4 4 4 4L
6 6 6 6L
1 1 1 1L
3 3 3 3T LIGASI VARICOCELE, FUN 63.1+63.2
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
1 1 3 3T ORCHODOPEXY 62.5
2 2 2 2L HEMODIALYSIS 39.95
4 4 4 4L APPENDECTOMY 47.09
1 1 2 2T EXPLORASI S/D ORCHIDE 62.0+62.3
1 1 1 1T SECONDARY KIP CORRECT27.54
3 3 3 3L COLONOSCOPY 45.23
3 3 3 3L
1 1 1 1L
8 8 8 8L DEBRIDEMENT, FISTULEC 86.28+49.12
2 2 2 2T
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2L
5 5 5 5L
3 3 3 3L
2 2 2 2L
4 4 4 4L
5 5 5 5L CORONARY ANGIOGRAPH88.55
1 1 1 1L
3 3 3 3L
4 4 4 4T
2 2 0 1T
3 3 3 3L
3 3 3 3L
2 2 2 2L
1 1 1 1T
1 1 1 1L
3 3 3 3L INDUKSI PERSALINAN 73.1
1 1 1 1L
3 3 3 3L
2 2 2 2L
4 4 4 4L
2 2 2 22 T COLONOSCOPY 45.23
1 1 1 1L
7 7 7 7L
1 1 1 1T ODONTECTOMY, EKSISI GU23.19+24.31
2 2 2 2L
2 2 2 2L
4 4 4 4L
1 1 0 0T
1 0 1 1T
1 1 1 1L
2 2 2 2L
1 1 1 1L
0 0 0 1 EXCISION STT 83.39
2 2 2 2L
2 2 2 2L ORIF 79.31
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
2 2 2 2L HERNIORAPHY 53.9
4 4 4 4L PRC 99.04
1 1 2 2T
0 0 0 0T
2 2 2 2L
3 3 3 3L
4 4 4 4T
1 1 1 1T URETHROTOMY, LITOTRIPSI
56.2+56.0+59.8
1 1 1 1L
1 1 1 1T ANGIOGRAPHY, ANGIOPL 88.55+39.59
3 3 3 3L
2 2 2 2L
1 1 0 0T
2 2 2 2L
1 1 1 1L
3 3 3 3T ANGIOGRAPHY STANDBY P00.66+00.41+00
2 2 2 2L
4 4 0 4T
3 3 3 3L
4 4 4 4L FESS, ATE 22.42+28.3
2 2 2 2L
2 2 2 2L
1 1 1 1L
2 2 2 2L ANGIOGRAPHY STANDBY P 88.55
1 1 1 1L
1 1 1 1L REPOSISI CAST 79.02+93.53
1 1 1 1L
101 10 10 10 L LAPARATOMY, APPENDECT54.19+47.09+54
2 1 2 2T
3 3 3 3T
0 0 0 0T
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 4 4T ANGIOGRAPHY STANDBY P00.66+00.42+00
3 3 3 3L FESS 22.42
9 9 9 9L CHOLECYSTECTOMY 51.22
2 2 2 2T URS BILATERAL, REMOVE 56.0+97.65+57.
7 7 7 7L
1 1 1 1L RECONTRUKSI CAVUM OR 16.89
3 3 3 3L CORONARY ANGIOGRAPHY 88.55
1 1 1 1L
4 4 4 4L
3 3 3 3L
6 6 6 6T
1 1 1 1L
1 1 1 1L ANGIOGRAPHY STANDBY P 88.55
1 1 1 1L AV SHUNT 39.27
10 10 10 10 L
5 5 5 5L
2 2 2 2L
3 2 3 3T
3 3 4 4T TURP, URETROSCOPY, CY 60.29+56.2+57.
4 4 4 4T CYSTOSCOPY, REMOVE DJ57.32+97.65
1 1 1 1L
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
1 1 1 1L
1 1 1 1T
1 1 1 1L
3 3 3 3T
2 2 2 2L
1 1 1 1L
2 2 0 2T
2 2 2 2L
1 1 1 1L ANGIOGRAPHY STANDBY P00.66+00.40+00
5 5 5 5L
4 4 4 4L
9 9 9 9L
3 3 3 3L INDUKSI PERSALINAN 73.1
2 2 2 2L
2 2 2 2L
2 2 2 2L
3 3 3 3L
1 1 1 1L GASTROSCOPY 44.13
1 1 1 1T AV SHUNT, PRC 39.27+99.04
4 4 4 4L
1 1 1 1T INSERSI CDL 38.95
1 1 1 1L WIDE EXCISION 83.39
3 3 3 3L NOSE VARIOUS LESSION 21.30
1 1 1 1L ANGIOPLASTY 39.59
4 4 4 4L EXCISION, DEBRIDEMENT83.39+86.28
1 1 1 1L
4 4 4 4L ATE 28.3
4 4 4 4L
4 4 4 4L
6 6 6 6T PRC 99.04
2 2 2 2L URS LITOTROPSI, INS DJ S 56.0+59.8
0 0 0 0T REPOSISI CAST 93.53
1 1 1 1L
7 7 7 7L
2 2 2 2L WIDE EXCISION 83.39
2 2 2 2T DEBRIDEMENT, EXPLORASI86.22+38.00+83
8 8 8 8L ORIF 79.35
1 1 1 1T
3 3 4 4T COLONOSCOPY 45.23
2 2 2 2L ORIF 79.32
2 2 2 2T GASTROSCOPY 44.13
3 3 3 3T
4 4 4 4L
4 4 4 4L
4 4 4 4L
1 1 1 1L CORONARY ANGIOGRAPHY
00.66+00.40+00
1 1 1 1L
1 1 1 1L ANGIOGRAPHY STANDBY P 88.55
1 1 1 1L ANGIOGRAPHY STANDBY P 88.55
2 2 2 2L OTHER OPERATION OF NO 21.99
1 1 1 1L
3 3 3 3L APPENDECTOMY 47.09
2 2 2 2L
4 4 4 4T
3 3 3 3L
5 5 5 5L
2 2 2 2L
3 3 3 3L
4 4 4 4L HD, INSERSI CDL 39.95+38.95
3 3 3 3L
4 4 4 4L
2 2 2 2T
3 3 3 3L
3 3 3 3L
3 3 3 3L
3 3 3 3L
4 4 4 4L SCTP, INSERSI IUD, PRC 74.99+69.7+99.
2 2 2 2L CURETTAGE 69.02
3 3 3 3L INDUKSI PERSALINAN 73.1
5 5 5 5L ORIF DEBRIDEMENT JARI I 79.39
7 7 7 7L
9 9 9 9L PHOTO THERAPHY 99.83
3 3 3 3L
3 3 3 3L
3 3 3 3L
4 4 4 4L
2 2 2 2L
2 2 2 2T
2 2 2 2L
3 3 3 3L PENANGANAN LUKA BAKA 86.22
1 1 1 1T AV SHUNT 39.27
1 1 1 1T AV SHUNT 39.27
1 1 1 1L AV SHUNT 39.27
1 1 1 1L AV SHUNT 39.27
1 1 1 1T INSERSI CDL 38.95
1 1 1 1L INSERSI CDL 38.95
4 4 4 4L HYSTERECTOMY 68.49
4 4 4 4L
1 1 0 1T ANGIOGRAPHY STANDBY P88.55
2 2 2 2L PRC 99.04
3 3 3 3L
3 3 3 3L
4 4 4 4L
2 2 2 2L
4 4 4 4L FESS 22.42
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
1 1 0 1T
3 3 3 3L
3 3 3 3L
1 1 1 1L
3 3 3 3L MARSUPRALISASI 71.23
2 2 2 2L EXCISION TUMOR, DEBRI 83.39+86.22
3 3 3 3L
5 5 5 5L APPENDECTOMY 47.09
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
1 1 1 1L
2 2 2 2L
6 6 7 7T EXCISION, RECONSTRUKSI64.2+64.44
3 3 3 3L
3 3 3 3L
2 2 2 2L CHEMOTHERAPY 99.25
1 1 1 1L HD, PRC 39.95+99.04
1 1 1 1L
1 1 0 1T ANGIOGRAPHY STANDBY P00.66+00.40+00
2 2 2 2L
3 3 3 3L
4 4 4 4L
3 3 3 3L
1 1 1 1L
3 3 3 3L
5 5 5 5L
3 3 3 3L
2 2 2 2T EXCISION 85.21
4 4 4 4T CAG 88.55
3 3 3 3L
3 3 3 3L
2 2 2 2L
5 5 5 5L
3 3 3 3L TONSILECTOMY 28.2
1 2 2 2T URETHROTOMY, LITOTRIPSI
56.2+56.0+59.8
2 2 2 2L KURETASE, IUD 69.02+69.7
3 3 3 3L
2 2 2 2L
3 3 3 3L
3 3 3 3L
3 3 3 3L COLONOSCOPY 45.23
3 3 3 3L
2 2 2 2L
1 1 2 2T CYSTOSCOPY, REMOVE DJ 57.32+97.65+58
2 2 2 2L
3 3 3 3L SCTP, MOW 74.99+66.39
5 5 5 5L
0 1 0 0T URETHROTOMY, LITOTRIPSI
56.0+56.2+59.8
3 3 3 3T COLONOSCOPY 45.23
1 1 1 1L
2 2 2 2L
4 4 4 4L
5 5 5 5L ANGIOGRAPHY STANDBY P00.66+00.40+00
2 2 2 2L
0 0 0 0T
3 3 3 3T GASTROSCOPY 44.13
4 4 4 5T
2 2 2 2L
3 3 3 3T
11 11 11 11 L LAPAROTOMI APPANDEC 54.11
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
1 1 1 1L CURRETAGE, INSERSI IUD 69.09+69.7
2 2 2 2L
1 1 1 1L
1 1 1 1L
2 2 2 2L
2 2 2 2L
1 1 1 1L
3 3 3 3L
3 3 3 3L
3 3 3 3L
2 2 2 2L
6 6 6 6L
3 3 3 3L
2 2 2 2L
3 3 3 3L EXCISION, DEBRIDEMENT86.22
2 2 2 2L HERNIORAPHY CITO 53.9
4 4 4 4L
4 4 4 4L
1 1 0 1T
3 3 3 3L
3 3 3 3T
4 4 4 4L
7 7 7 7L
2 3 3 3T
5 5 5 5L
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L SCTP 74.99
2 2 0 2T
1 1 1 1L ORIF 79.39
0 0 1 1T RELASE SHOULDER 80.41
5 5 5 5L
2 2 2 2L
4 4 4 4L
4 4 4 4L
4 4 4 4L
1 1 1 1L
2 2 2 2L
3 3 3 3L
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
4 4 4 4L EXTENDED PYELOLITHOMY, 55.11+59.8
4 4 5 5T LITOTRIPSI, REMOMOVE D56.0+97.65
3 3 3 3T URETHROTOMY 56.2
3 3 4 4T
3 3 3 3L
0 1 1 1T COLONOSCOPY 45.23
2 2 2 2T ORIF 76.74
4 4 4 4L TRACHEOSTOMY, EXCISION
31.1+30.09+31.
1 1 1 1L CORONARY ANGIOGRAPH88.55
3 3 3 3L PCI 00.66+00.40+00
6 6 6 6L APPENDECTOMY 47.09
1 1 1 1L HD 39.95
3 3 3 3L
4 4 4 4L
4 4 4 4L APPENDECTOMY 47.09
4 4 4 4L
4 4 4 4T
3 3 3 3L
3 3 3 3L
3 3 3 3L
2 2 2 2L
3 3 3 3L
5 5 5 5L
3 3 3 3L
1 1 1 1L AKSEPTOR IUD 69.7
4 4 4 4L OOPHORECTOMY SINISTR65.39
2 2 2 2L CURRETAGE 69.02
2 2 2 2L
3 3 3 3L SCTP, LYSIS ADHESI 74.99+54.59
5 5 0 5T
1 1 0 1T RELASE STIFFNESS, REMO80.43+78.63
2 2 0 2T RECONSTRUKSI, REMOVE 81.96+78.63
3 3 3 3T ORIF 79.39
6 6 6 6L
3 3 3 3L
5 5 5 5L
6 6 6 6L
2 2 2 2L
3 3 3 3T LASER LITOTRIPSI, INS DJ 56.0+59.8
2 2 2 2L CYSTOSCOPY, TURP, BIOP 57.32+60.29+57
0 0 0 0T
5 5 5 5L
0 0 0 1T
3 3 3 3L HD, INSERSI CDL 39.95+38.95
2 2 2 2L AV SHUNT 39.27
1 1 0 1T
4 4 4 4L
4 4 4 4T
4 4 4 4L ANGIOGRAPHY STANDBY P 88.55
3 3 3 3L
3 3 3 3L
1 1 0 1T CORONARY ANGIOGRAPHY 88.55
1 1 1 1L AV SHUNT 39.27
1 1 1 1L ANGIOGRAPHY STANDBY P 88.55
1 1 1 1L ANGIOGRAPHY STANDBY P88.55
1 1 1 1L ANGIOGRAPHY STANDBY P 88.55
3 3 3 3L
1 1 0 1T RELEASE STIFFNES ELBOW80.24
5 5 5 5L FESS 22.42
2 2 2 2T INSERSI CDL, HD 38.95+39.95
2 2 2 2L EAR VARIOUS LESION 18.79
1 1 1 1L
3 3 3 3L
3 3 3 3L
3 3 3 3L
4 4 4 4T SCTP, INSERSI IUD 74.99+69.7
3 3 3 3L SCTP, INSERSI IUD 74.99+69.7
7 7 7 7L
4 4 4 4L
1 1 1 1L
2 2 2 2L URETEROTOMY,URS,LASER56.2+56.0+59.8
4 4 4 4L
0 0 0 0T
0 0 0 0T
0 0 0 0T
4 4 4 4T
0 0 0 0T
3 3 3 3L
4 4 4 4L URETROSCOPY,URETHROTO
56.31+56.2+58.
2 2 2 2T INSERSI CDL 38.95
3 3 3 3L
3 3 3 3L
3 3 3 3L
4 4 4 4T
3 3 3 3T
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
2 2 2 2L HEMODIALYSIS 39.95
3 3 3 3L
4 4 4 4L
2 2 2 2L
6 6 6 6L
2 2 2 2L DILATASI, CURETTAGE 69.02
1 1 1 1T
3 3 3 3L
1 1 1 1L HD 39.95
4 4 4 4L
1 2 2 2T LITOTRIPSI BATU URETER,56.0+59.8
4 4 4 4L
2 2 2 2T DEBRIDEMENT 86.28
4 4 4 4L CORONARY ANGIOGRAPHY 88.55
5 5 5 5L LYMPH NODE DISECTION,40.50+28.2
1 1 1 1L
3 3 3 3L
5 5 5 5L CORONARY ANGIOGRAPH00.66+00.41+00
4 4 4 4L
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
4 4 4 4L
4 4 4 4L D+C, PRC 69.02+99.04
5 5 5 5L
3 3 3 3L
3 3 3 3L
1 1 1 1L ANGIOPLASTY 39.59
2 2 2 2L
2 2 2 2L
2 2 2 2T RADIOFREQUANCY ABLAT92.29
3 3 3 3L
5 5 5 5L
1 1 1 1L
1 1 1 1L
3 3 3 3L
3 3 3 3L
2 2 2 2L
7 7 7 7L SCTP 74.99
3 3 3 3L
4 4 4 4L
1 1 1 1L
2 2 2 2L
2 2 2 2L
2 2 2 2L
1 1 1 1L CORONARY ANGIOGRAPHY 00.66+00.40+00
2 2 2 2L INSERSI IUD 69.7
1 1 1 1L ANGIOGRAPHY STANDBY P88.55
3 3 3 3L
4 4 4 4L
2 2 2 2L
2 2 2 2L
1 1 0 1T ANGIOGRAPHY STANDBY P00.66+00.42+00
2 2 2 2L
3 3 3 3L
5 5 5 5L
1 1 1 1L RELEASE STIFFNES ELBOW 80.42
2 2 2 2T DEBRIDEMENT, BACK SLA 86.28+93.54
3 3 3 3L
2 2 2 2L
4 4 4 4L
1 1 1 1L ANGIOGRAPHY PRO PCI 88.55
1 1 1 1L CAG STANDBY PCI 88.55
4 4 4 4L
3 3 3 3L
3 3 3 3L
1 1 1 1L ANGIOGRAPHY 00.66+00.42+00
1 1 1 1L ANGIOGRAPHY PCI 00.66+00.42+00
3 3 3 3L
2 2 2 2L
4 4 4 4L
0 0 1 1T URETHROTOMY, LITHOLAPA
56.2+57.0+56.3
2 2 2 2L
2 3 3 3T URETHROTOMY, INS DJ ST56.2+59.8
3 3 3 3L
1 1 1 1T
1 1 1 1L CA PCI 00.66+00.46+36
2 2 2 2L
2 2 2 2L ANGIOGRAPHY STANDBY P88.55+39.95
5 5 5 5L APPENDECTOMY 47.09
4 4 4 4L
4 4 4 4L
3 3 3 3L
6 6 5 5
7 7 7 7L
3 3 3 3L
5 5 5 5L
2 2 2 2L
4 4 4 4T
2 2 2 2T
3 3 3 3T
3 3 3 3L
6 6 6 6L
4 4 4 4L
2 2 1 1T
3 3 3 3L INDUKSI PERSALINAN 73.1
3 3 3 3L SCTP 74.99
1 1 0 1T SCTP 74.99
0 0 0 0T REMOVE IMPLANT 78.63
3 3 3 3L REPAIR MENISCUS GENU,81.45+81.47
3 3 3 3L
2 2 2 2L
2 2 2 2L
2 2 2 2L
5 5 5 5L
3 3 3 3L
3 3 3 3L
1 1 1 1L
2 3 3 3T LITOTRIPSI, INS DJ STENT 56.0+59.8
0 0 0 0T CANGKOK KULIT DI DADA 86.63
1 1 1 1T INSERSI CDL 38.95
3 3 3 3L
3 3 3 3L PCI 00.66+00.41+36
3 3 3 3L
2 2 2 2L
0 0 4 4T
3 3 3 3L
1 1 3 3T
4 4 4 4T
2 2 2 2T
1 1 1 1T
3 3 3 3L
2 2 2 2L
4 4 4 4L
3 3 3 3L
2 2 2 2L
5 5 5 5L ORIF 79.36
3 3 3 3L
10 10 10 10 L
10 10 10 10 L
5 5 5 5T
2 2 2 2T
1 1 1 1L
2 2 2 2L
1 1 1 1L
3 3 3 3L
4 4 4 4L
0 0 0 0T
1 1 1 1L ODONTECTOMY 23.19
1 1 1 1T INSERSI CDL 38.95
1 1 0 0T AV SHUNT 39.27
1 1 1 1T INSERSI CDL 38.95
2 2 2 2L
1 1 0 1T
8 8 8 8T
2 2 2 2L CORONARY ANGIOGRAPH88.55
1 1 2 2T
4 4 4 4L REPAIR, DEBRIDEMENT 86.89
3 3 3 3L
1 1 1 1T
4 4 4 4L
3 3 3 3L
4 4 4 4L
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
2 2 2 2L
2 2 2 2L
7 7 7 7L REIMLANTASI, FIKSASI GIG23.5+76.75
2 2 2 2T OSTEOTOMY, REPAIR TEN 81.83+83.63
3 3 3 3L ORIF 73.32+79.36+79
3 3 3 3L
3 3 3 3L
2 2 2 2L
1 2 2 2T URETHROTOMY, LITOTRIPSI 56.2+56.0+59.8
8 8 8 8L URS,LASER LITOTROPSI, I 56.0+59.8
2 2 2 2L CHOLECYSTECTOMY 51.22
3 3 3 3L WIDE EXCISION 85.21
3 3 3 3L
1 1 2 2T EXCISION, DEBRIDEMENT383.39+86.28
3 3 3 3L
1 1 0 1T CORONARY ANGIOGRAPH88.55
2 2 2 2L
1 1 1 1L
3 3 3 3L
4 4 4 4L CORONARY ANGIOGRAPH00.66+00.40+00
6 6 6 6L
2 2 0 2T
2 2 2 2L
2 2 2 2L
4 4 4 4L
1 1 1 1L CA PCI 00.66+00.41+00
3 3 3 3L
1 1 1 1L CORONARY ANGIOGRAPH88.55
3 3 3 3L PHOTO THERAPHY 99.83
1 1 1 1T LIGASI VARICOCELE, EKSIS63.1+86.3
3 3 4 4T
4 4 0 4T
2 2 2 2L
2 2 2 2L CORONARY ANGIOGRAPH88.55
2 2 2 2L
9 9 9 9T
4 4 4 4L
4 4 3 3T
3 3 3 3L
2 2 2 2L CORONARY ANGIOGRAPH88.55
2 2 2 2L
4 4 4 4T
2 2 2 2L RELEASE STIFFNES SHOU 80.41+78.69
6 6 6 6L
3 3 3 3L
10 10 9 9T
5 5 5 5T
5 5 5 5L MULTIPLE EKSISI 86.3
5 5 5 5L
3 3 3 3L
6 6 6 6L EXTENDED PYELOLITHOMY,
55.11+59.8
7 7 7 7T
1 2 2 2T DEBRIDEMENT, DIRECT FL86.28+86.74
1 1 1 1L
3 3 3 3L EXCISION, DEBRIDEMENT 86.09
6 6 6 6L DEBRIDEMENT, NECROTO 86.22
1 1 1 1T
6 6 6 6L INDUKSI PERSALINAN, SC 73.1+74.99
1 1 1 1L
3 3 3 3T
2 2 2 2L
2 2 2 2L
2 2 2 2L CA PCI 00.66+00.41+00
2 2 2 2L ANGIOGRAPHY 00.66+00.40+00
1 1 0 1T ANGIOGRAPHY STANDBY P00.66+00.41+00
0 0 3 3T EXCISION 86.3
2 2 0 2T
2 2 2 2L
2 2 2 2L
2 2 2 2L
1 1 1 1L
2 2 2 2T
1 1 1 1L ORIF 79.32
5 5 5 5L HEMODIALYSIS 39.95
2 2 2 2L
4 4 4 4L
3 3 3 3L
4 4 4 4L
10 10 10 10 L
3 3 3 3L
6 6 6 6T
0 0 0 0L ORCHODOPEXY, EXCISI H 61.2+62.5
6 6 6 6L
2 2 2 2L
6 6 6 6L
0 1 1 1T EKSISI 83.39
2 2 2 2L
0 0 0 0T OPERASI IBU JARI KAKI 86.22+86.59
5 5 5 5L
2 2 2 2L
4 4 4 1L
1 1 1 1L PCI 00.66+00.40+00
6 6 5 5T
3 3 3 3L CORONARY ANGIOGRAPH88.55
1 1 1 1L CA PCI 88.55
1 1 1 1L CA PCI 00.66+00.41+00
1 1 1 1L CA PCI 88.55
2 2 2 2L CA PCI 88.55
3 3 3 3L
0 0 0 0T
4 4 4 4L
4 4 4 4T
1 1 1 1L
3 3 3 3L
3 3 2 2T
3 3 3 3L
5 5 5 5T
2 2 2 2L
7 7 7 7T TONSILECTOMY 28.2
2 2 2 2L
3 3 1 2T
3 3 3 3T
1 1 1 1L
1 1 1 1L
3 3 1 3T MENISCUS REPAIR, DEBR 81.47+80.86
2 2 2 2T ARHTROSCOPY 80.27
2 2 2 2T DEBRIDEMENT 86.27
3 3 3 3T RECONSTRUKSI, ORIF, REL78.42+79.31+80
3 3 3 3L
5 5 5 5L
2 2 2 2L
5 5 5 5L
1 1 1 1L
4 4 4 4L
3 3 3 3L
2 2 2 2L
2 2 2 2L CHOLECYSTECTOMY 51.22
3 3 3 3L
1 1 1 1L
2 2 2 2L
3 3 2 3T
2 2 2 2L
2 2 2 2L REMOVE DJ STENT 57.32+97.65
1 1 1 1T REMOVE IMPLANT 78.61
2 2 2 2L
2 2 2 2L
3 3 3 3L
4 4 4 4T
2 2 2 2T ARTHROTOMY, DEBRIDEM80.16+80.86
2 2 2 2L
3 3 3 3L
5 5 5 5T LASER LITOTRIPSI, INS DJ 56.0+59.8
2 2 2 2L
4 4 4 4L SCTP 74.99
6 6 6 6L
7 7 7 7L
3 3 3 3L
2 2 2 2L
2 2 2 2L
4 4 4 4T
2 2 2 2T
3 3 3 3L
1 1 1 1L CORONARY ANGIOGRAPH88.55
2 2 2 2L INSERSI IUD 69.7
1 1 1 1L URS, REMOVAL STENT 56.0+97.65
3 3 3 3L
1 2 2 2T URETHROTOMY, LITOTRIPSI
56.2+56.0+59.8
3 3 3 3T
1 1 1 1T URETHROTOMY, LITOTRIPSI
56.2+56.0+59.8
14 14 14 14 L
4 4 5 5L
3 3 2 2T SC 74.99
6 6 6 6T
4 4 4 4L
1 1 0 0T RELASE CONTRACTURE 80.44
6 6 6 6L ORIF TIBIA FIBULA 79.36
3 3 3 3L
1 1 1 1L PENANGANAN LUKA BAKA 86.22
3 3 3 3L
1 1 0 0T
3 3 3 3T
2 2 2 2L
3 3 4 4T CIRCUMCISION 64.0
0 0 0 0T PSLD 80.59
2 2 2 2L
2 2 4 4T APPENDECTOMY 47.09
4 4 4 4L
1 1 1 1L
3 3 3 3T
3 3 3 3L
4 4 4 4L
2 2 2 2T
2 2 2 2L
3 3 3 3T
3 3 3 3T
4 4 4 4L
2 2 2 2L URETHROTOMY, INS DJ ST56.2+59.8
1 1 1 1L INDUKSI PERSALINAN 73.1
1 1 1 1L
2 2 3 3T
4 4 4 4L FISTULECTOMY, DEBRIBD 44.63+49.11
2 2 2 2T CLOSE REDUCTION, GIPS 79.03+93.53
4 4 4 4T
3 3 3 3T
3 3 3 3T
2 2 2 2T
7 7 7 7L
2 2 2 2L EXCISION 83.39
3 3 3 3T ORIF TIBIA FIBULA 79.36
2 2 2 2L
3 3 3 3T
2 2 2 2L
3 3 3 3T
2 2 2 2L
2 2 2 2T LSCS 74.1
3 3 3 3T
3 3 3 3L
2 2 2 2L URS,LASER LITOTROPSI, I 56.0+59.8
3 3 3 3L INDUKSI PERSALINAN, INS73.1+69.7
5 5 5 5T LAPAROTOMI EXP 54.11
1 1 1 1T
5 5 5 5L
1 1 1 1L PCI 88.55
2 2 2 2L
2 2 2 2L
6 6 6 6L
4 4 4 4T
3 3 3 3T
2 2 2 2L RECONSTRUKSI ACL 81.45
0 0 1 1T CYSTOSCOPY, REMOVE DJ57.32+97.65
0 0 1 1T CYSTOSCOPY, REMOVE DJ57.32+97.65
2 2 3 3T CORONARY ANGIOGRAPHY 00.66+00.40+00
0 0 0 0T
2 2 2 2T
1 1 1 1L AV SHUNT 39.27
3 3 3 3L
2 2 2 2L
5 5 5 5L LAPAROTOMI EXPLORASI 54.11
3 3 3 3L
1 1 1 1L ORIF 79.34
2 2 2 2T
3 3 3 3L
2 2 5 5T LAPAROTOMI 54.19
2 2 2 2T
2 2 2 2L
3 3 3 3T ANGIOGRAPHY STANDBY P88.55
1 1 0 0T CORONARY ANGIOGRAPH88.55
1 1 1 1L CORONARY ANGIOGRAPH88.55
3 3 3 3L CORONARY ANGIOGRAPH88.55
1 1 0 0T ANGIOGRAPHY STANDBY P00.66+00.41+00
1 1 0 0T CORONARY ANGIOGRAPH88.55
1 1 0 0T CORONARY ANGIOGRAPH88.55
4 4 4 4L FESS 22.42
3 3 3 3T
3 3 3 3L
2 2 2 2T
8 8 8 8L
2 2 2 2L
1 1 1 1T AV SHUNT 39.27
2 2 2 2L LAPAROTOMI EXPLORASI 54.11
2 2 1 0T
3 3 3 3L ORIF 79.35
6 6 6 6L DEBRIDEMENT, SKIN GRAF 86.22
2 2 2 2L
3 3 3 3T
4 4 4 4T
3 3 3 3L
4 4 4 4L
4 4 4 4L
2 2 2 2L
3 3 3 3L
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 3 3L
4 4 4 4L
4 4 4 4L
4 4 4 4T HYDROCELECTOMY 63.1
0 0 1 1T CYSTOSCOPY, REMOVE DJ57.32+97.65
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
3 3 3 3L
1 1 1 1L BIOPSI INSISI 40.11+40.0
0 0 0 0T INSERSI CDL 38.95
1 1 1 1L ANGIOPLASTY 39.59
1 1 0 0T AV SHUNT 39.27
0 0 0 0T AV SHUNT 39.27
0 0 0 0T CDL TUNELLY 38.95
2 2 2 2L
2 2 2 2L
1 1 1 1L
2 2 3 3T LASER LITOTRIPSI, INS DJ 56.0+59.8
1 1 0 0T CA-PCI 00.66+00.40+00
4 4 4 4L
4 4 4 4L
8 8 10 10 T
4 4 4 4L
4 4 4 4L
3 3 3 3T ORIF, REPOSISI 79.31
1 1 1 1L
1 1 1 1T AV SHUNT 39.27
11 11 11 11 T
1 1 1 1T DEBRIDEMENT 86.28
3 3 3 3L
0 0 0 0T REPOSISI/ CAST 79.76
2 2 2 2L
3 3 3 3L
3 3 3 3L URS,LASER LITOTROPSI, I 56.0+59.8
3 3 3 3L
3 3 0 3T
2 2 0 0T CA PCI 88.55
1 1 1 1T AV SHUNT 39.27
3 3 3 3L
3 3 3 3L
3 3 3 3L CAG 88.55
1 1 2 2L URETHROTOMY, LITOTRIPSI
56.2+56.0+59.8
1 1 1 1T BONE RECONSTRUKSI, OS78.42+77.32+79
1 1 1 1L INSERSI CDL 38.95
2 2 2 2L
2 2 2 2L
1 1 1 1L AV SHUNT 39.27
1 1 1 1L AFF CDL TUNELLY 97.89
2 2 2 2L
2 2 2 2L
3 3 3 3L
3 3 6 6T LAPAROTOMI EXP 54.11
5 5 5 5L CORONARY ANGIOGRAPHY
00.66+00.40+00
4 4 4 4T
4 4 4 4T
3 3 3 3L
3 3 3 3L
1 1 1 1T
2 2 2 2T
3 3 3 3T
1 1 1 1T ORIF 79.39
2 2 3 3T LIGASI VARICOCELE 63.1
4 4 4 4T
4 4 4 4L SCTP 74.99
3 3 3 3T
5 5 5 5
2 2 2 2L
6 6 6 6L
1 1 1 1T CLOSE REPOSISI, GIPS 79.02+93.53
3 3 3 3L
2 2 2 2L INSERSI CDL 38.95
1 1 1 1L ANGIOPLASTY 39.59
2 2 2 2L
3 3 3 3L MEATOTOMY, MEATOPLAS58.1+58.47
3 3 3 3L
1 1 1 1L AV SHUNT 39.27
3 3 3 3L
5 5 5 5L HEMOROIDECTOMY 49.46
1 1 1 1T ANGIOGRAPHY PCI 00.66+00.41+00
1 1 1 1L CA PCI 00.66+00.42+00
5 5 5 5T
1 1 1 1L ANGIOGRAPHY 88.55
1 1 0 0T
1 1 1 1T
3 3 0 3T SCTP, INDUKSI PERSALINA74.99
4 4 4 4L
3 3 3 3T
1 1 1 1T GIPS 93.53
1 1 1 1T INSERSI CDL, PRC 38.95+99.04
2 2 2 2T
Analisis Informed Consent
LEMBAR CONSENT 0 0 0 0 0 0 0
10/24/2019 1 1 1 1 1 dr. Stella Patricia Yapari, SpOG 1
25/10/2019 1 1 1 1 1 dr. M. Fadhil Ardiyansyah, SpU 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 0 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 0 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 0 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
0 0 0T
0 1 1T
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1T
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 0 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 0 0 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 0 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
1 1 1L 1 1 1 1 1 1 1
Analisis Persetujuan Anestesi
L/T L/T
TTD & TTD &
Nama Nama TTD & TTD &
Nama
Tindak Dokter ANASTESIOLOGIST Nama Nama Nama
an Dokter Pasien/Wa Saksi I Saksi II
li
L 1 1
L 1 1 dr. Agung Purnomo, Sp.An 1 1 1 1L
L
L 1 1 dr. Agung Purnomo, Sp.An 1 1 1 1L
L 1 1 dr. Agung Purnomo, Sp.An 1 1 1 1L
L
L 1 1 dr. Eka Seprianti W. Sp.An 1 1 1 1L
L
T 1 1 dr. Eka Seprianti W. Sp.An 1 1 1 1L
L
L
L
L
L
JAM KEMATIAN NIK KET
S/T
T
06.05 6471054501540002
T
09.50 3172021101590003
04.00 6471056906660001
23.24 6471054905730002
T
T
T
T
T
L
L
dr. Andi Hasnawati, SpOG masih cuti
T
T
T
T
Admision MR Patient Name Sex Age
dr. Agustinus Sony Yudianto, TONSILITIS CHRONIC, OSA, HEPATOPATHY J35.0 G47.3
SpTHT-KL
dr. Shelly Laksmisari, SpPD GEA, GASTRITIS KRONIS, CHOLELITHIASIS, FATTY LIVA09.9 K29.5
dr. Shelly Laksmisari, SpPD GASTRITIS CHRONIC, DM II, HYPOCLACEMIA K29.5 E11.9
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS, UTI J00 N39.0
dr. Heribertus Gunadi, SpPD, MSc APPENDICITIS ACUTE, GEA K35.8 A09.9
dr. Rudy Mokodompit, SpPD, SpKL LUTS R39.8
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, ANEMIA R50.9 D64.9
dr. Shelly Laksmisari, SpPD CKD ST V ON HD RUTIN, EDEMA PARU, DM II, HT STN18.9 J81
dr. Heribertus Gunadi, SpPD, MSc GERD K21.9
dr. Yulius Mandua, SpS INTRACEREBRAL HEMORRHAGE, ANEURYSM I61.9 I72.9
dr. Wid Patria Wijaya, SpS BPPV, DYSPEPSIA H81.1 K30
dr. Yulius Mandua, SpS VERTIGO POST TRAUMA, DM II, HYPERGLIKEMIA R42 E11.9
dr. Ketut Rama Wijaya, SpOG SINGLE DELIVERY CESAREAN SECTIO Z37.0 O82.9
dr. Stella Patricia Yapari, SpOG G2P1A1 37-38 MINGGU INPARTU Z37.0 O80.9
dr. Stella Patricia Yapari, SpOG G1P0A0 39-40 MINGGU INPARTU Z37.0 O82.9
dr. Adi Aryanto, SpOT OA GENU, GOUT ARTHRIITIS M17.9 M10.0
dr. Alvarez Zefanya Moningka, FLOATING SHOULDER, FR CLAVICLE, FR GLENOID SCM24.0 S42.0
SpOT
dr. Hedy Wahyu Ramadhani, SpOT UNION PATELLA S82.0
dr. Hedy Wahyu Ramadhani, SpOT DISCOID MENISCUS Q68.6
dr. Lita Siulan Tanang, SpA INFEKSI SALURAN KEMIH N39.0
dr. Anggun Kusumasari, SpA, MSc ISK, DIARE AKUT N39.0 A09.9
dr. Lita Siulan Tanang, SpA DEMAM DENGUE A90
dr. Silvia Meiliana, MSc., SpA NCB BBLC SPT Z38.0
dr. Ivan Joalsen, SpBTKV CKD STAGE V N18.8
dr. Christiani Muljono, SpJP HT EMERGENCY, HHD, CAD ISCHEMIC, CAD IVD I10 I11.9
dr. Christiani Muljono, SpJP ANGINA PECTORIS, CAD POST PCI, DM, HT, HHD WITI20.9 I25.1
dr. Dewi Ayu Paramita, SpJP CAD, HHD, HYPOKALEMIA I25.1 I11.9
dr. Dewi Ayu Paramita, SpJP UAP I20.0
dr. Christiani Muljono, SpJP
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS, PH, CHF K29.7 I27.0
dr. Nono Mattarungan, SpPD ABSES TEMPORAL, DM II, HYPERTENSI L02.8 E11.9
dr. Heribertus Gunadi, SpPD, MSc TYPHOID FEVER A01.0
dr. Heribertus Gunadi, SpPD, MSc UTI, DYSPEPSIA N39.0 K30
dr. Shelly Laksmisari, SpPD FEBRIS EC VIRAL INFECTION, PHARYNGITIS ACUTE B34.9 J02.9
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO H81.1
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HT I63.9 I10
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HT, DISLIPIDEMIA, FOCAL I63.9 I10
dr. Yulius Mandua, SpS ENCEPHALOPATY, HYPONATREMIA G93.4 E87.1
dr. Stella Patricia Yapari, SpOG ABORTUS INCOMPLETE O03.4
dr. Stella Patricia Yapari, SpOG G2P1A0 N ATERM, BSC Z37.0 O82.9
dr. Stella Patricia Yapari, SpOG G2P1A0 39-40 MINGGU INPARTU O80.9 Z37.0
dr. Daniel Susatyo Wirawan, SpA DENGUE FEVER, ACUTE BRONCHITIS A90 J20.9
dr. Nina Natalia, SpA NCB SMK SC Z38.3 P03.4
dr. Nina Natalia, SpA NCB SMK Z38.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DIARE AKUT J00 A09.9
dr. Anggun Kusumasari, SpA, MSc NEONATAL JOUNDICE, MILIARI CRYSTALINA P59.9 L74.1
dr. Nina Natalia, SpA BP J18.0
dr. Lita Siulan Tanang, SpA VOMITING R11
dr. Silvia Meiliana, MSc., SpA NCB BBLC SC, INFECTION NEONATAL, PHIMOSIS Z38.0 P03.4
dr. Anggun Kusumasari, SpA, MSc DIARE AKUT, DEHYDRASI, LOW INTAKE A09.9 E86
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Harris Oetama, SpU RETENSIO URINE, HYDRONEPROSIS EC BATU URETERR33 N13.2
dr. Richard Yehuda Limen, SpB (K) CKD STAGE V, STENOSIS VENA JUGULER INTERNA, N18.8 I87.1
V
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Heribertus Gunadi, SpPD, MSc FEBRIS EC VIRAL INFECTION, DYSPEPSIA SYNDROMEB34.9 K30
dr. Anggun Kusumasari, SpA, MSc ASTHMA SERANGAN SEDANG, RHYNOBRONCHITIS J45.9 J20.9
dr. Alvarez Zefanya Moningka, FR DISTAL FIBULA S82.4 W19
SpOT
dr. Vincentius Daniel, SpB-KBD CHIRROSIS HEPATIS, CHOLELITHIASIS, ENCEPHALOP K74.6 K80.2
dr. Rudy Mokodompit, SpPD, SpKL DYSPEPSIA, CEPHALGIA K30 R51
dr. Elvis Deddy Kurniawan P, CA MAMMAE C50.9
SpB(K)
dr. SilviaOnk
Meiliana, MSc., SpA ACUTE PHARYNGITIS J02.9
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, HYPONATERAEMIA, NAUJ00 E87.1
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA SYNDROME, TROMBOSITOPENIA K30 D69.6
dr. Elvis Deddy Kurniawan P, TUMOR GINGIVA D37.0
SpB(K) Onk
dr. Shelly Laksmisari, SpPD UTI, DYSPEPSIA, PHARINGITIS AKUT N39.0 J02.9
dr. Heribertus Gunadi, SpPD, MSc FATTY LIVER, SUSP CYST RENAL K76.0 N28.1
dr. Vincentius Daniel, SpB-KBD STT REGIO EPIGASTRIUM D21.9
dr. Richard Yehuda Limen, SpB (K) CKD ST V, ANEMIA N18.8 D63.8
V
dr. Heribertus Gunadi, SpPD, MSc ASMA PERSISITENT, GERD, DM II J45.9 K21.9
dr. Rudy Mokodompit, SpPD, SpKL CYSTITIS CHRONIC, DM II N30.2 E11.9
dr. Rudy Mokodompit, SpPD, SpKL GASTRITIS CHRONIC, GERD K36 K21.9
dr. Rudy Mokodompit, SpPD, SpKL GASTRITIS EROSIVA K29.0
dr. Nina Natalia, SpA PHARYNGITIS ACUTE, LOW INTAKE J02.9 E63.1
dr. Dewi Ayu Paramita, SpJP CAD POST PCI, HHD, DM I25.1 I11.9
dr. Anggun Kusumasari, SpA, MSc KEJANG DEMAM, FEBRIS, HYNATERAEMIA R56.8 R50.9
dr. Silvia Meiliana, MSc., SpA NCB BBLC SC Z38.0 P03.4
dr. Anggun Kusumasari, SpA, MSc PROLONG FEVER DENGAN ISK, THROMBOCYTOPENIR50.9 N39.0
dr. Lita Siulan Tanang, SpA DEMAM BERDARAH DENGUE GRADE I A91
dr. Richard Yehuda Limen, SpB (K) CHRONIC VEIN INSUFFIOCIENCY DEXTRA I87.2
V
dr. Alvarez Zefanya Moningka, ACL TEAR, MENISCUR TEAR S83.5 S83.2
SpOT
dr. Hedy Wahyu Ramadhani, SpOT RUPTUR ACL GENU, MENISCUS TEAR S83.5 S83.2
dr. Shelly Laksmisari, SpPD ABDOMINAL PAIN, DYSPEPSIA SYNDROME, SECON R10.4 K30
dr. Dewi Ayu Paramita, SpJP HHF, ASMA AKUT BRONCHIAL, AKI I11.0 J45.9
dr. Yulius Mandua, SpS
dr. Silvia Meiliana, MSc., SpA CONSTIPATION K59.0
dr. Silvia Meiliana, MSc., SpA DENGUE HEMORRHAGIC FEVER, GEA, ELECTROLITE A91 A09.9
dr. Christiani Muljono, SpJP CAD , HHD WITH CHF, OMI I25.1 I11.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, AF, CHF, PVC I20.9 I48
dr. Shelly Laksmisari, SpPD FEBRIS EC VIRAL INFECTION, ABDOMINAL PAIN, M B34.9 R10.4
dr. M. Fadhil Ardiyansyah, SpU BATU GINJAL BILATERAL, BATU BULI N20.0 N20.1
dr. Alvarez Zefanya Moningka, DISLOCATION PATELLA S83.0
SpOT
dr. Shelly Laksmisari, SpPD HEPATITIS A AKUT B15.9
dr. Shelly Laksmisari, SpPD CKD ST V ON HD RUTIN, ANEMIA, HT ST I N18.8 D63.8
dr. Dewi Ayu Paramita, SpJP CAD, HF I25.1 I50.9
dr. Shelly Laksmisari, SpPD ANEMIA, SECONDARY HEADACHE, MYOMA UTERI D63.0 R51
dr. Harris Oetama, SpU DJ STENT INSITU, HYPERURICEMIA Z96.0 E79.0
dr. Shelly Laksmisari, SpPD DENGUE FEVER, HEPATOPATY REACTIVE A90 K76.9
dr. Shelly Laksmisari, SpPD CKD ON HD, ANEMIA RENAL, DM, HT N18.9 D63.8
dr. Harris Oetama, SpU DJ STENT INSITU Z96.0
dr. Dewi Ayu Paramita, SpJP CAD 2 VD, DM TIPE 2 DENGAN NEUROPATI, HHD I25.1 E11.4
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS, ISCHEMIC HEART DISEASE I20.9 I25.9
dr. Shelly Laksmisari, SpPD HYDRONEPROSIS EC BATU URETER, STENOSIS URETEN13.6 K30
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Shelly Laksmisari, SpPD MELENA EC SUSP GASTRITIS EROSIFA, KISTA GINJAL K29.7 N28.1
dr. Yulius Mandua, SpS MIGRAIN, SPRAIN KNEE SINISTRA G43.9 S83.6
dr. Silvia Meiliana, MSc., SpA DENGUE HEMORRHAGIC FEVER, ALLERGI RHINNITIS,A91 J30.4
dr. Achmad Yusri, SpJP ANGINA PECTORIS, ANEMIA RENAL, CHF, INSUFF REN
I20.9 D63.8
dr. Nina Natalia, SpA GEA, DEHYDRASI A09.9 E86
dr. Achmad Yusri, SpJP UA, PVC I20.0 I49.3
dr. Shelly Laksmisari, SpPD HT, HHD WITH CHF, MILD MR, MILD AR, CAD POST PI10 I11.0
dr. Shelly Laksmisari, SpPD DM II, PNEUMONIA DEXTRA, GASTROPATHY, INSUF E11.9 J18.9
dr. Rizqa Kharisma, SpP TB PARU FASE INTENSIF, DM, HYPOKALEMIA, HYP A16.2 E14.9
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILITIS CHRONIC EXSERBASI AKUT, U J35.0 N39.0
dr. Lita Siulan Tanang, SpA RYNOFARINGITIS, KEJANG DEMAM SEDERHANA J00 R56.0
dr. Rizqa Kharisma, SpP TB PARU FASE INTENSIF, DYSPEPSIA, GEA, HEPATOP A16.2 K30
dr. Rudy Mokodompit, SpPD, SpKL CEPHALGIA R51
dr. Nono Mattarungan, SpPD BRONCHOPNEUMONIA, HYPONATERAEMIA, DM TYPE
J18.0 E87.1
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Shelly Laksmisari, SpPD DM II, ULKUS PEDIS, HT ST I E10.5 E14.5
dr. Christiani Muljono, SpJP VIRAL INFECTION, CAD POST PCI, DM, OMI B34.9 I25.1
dr. Shelly Laksmisari, SpPD GASTRITIS CHRONIC SUPERFICIAL, MENORRHAGIA K29.3 N92.0
dr. Richard Yehuda Limen, SpB (K) CHRONIC INSUFFISIENCY, DM II PRURITIS DIABETIC I87.2 E11.6
V
dr. Heribertus Gunadi, SpPD, MSc UTI, DYSPEPSIA, URTI N39.0 K30
dr. Rizqa Kharisma, SpP ASTHMA BRONCHIAL J45.9
dr. Nina Natalia, SpA EPILEPSY G40.9
dr. Silvia Meiliana, MSc., SpA ACUTE PHARYNGITIS, CONSTIPASI, ORAL CANDIDIASJ02.9 K59.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Haris Hayat, SpB TRAUMA ELECTRIC MANUS T75.4 W87
dr. Haris Hayat, SpB MULTIPLE TUMOR TELINGA KANAN KIRI D48.5
dr. Shelly Laksmisari, SpPD FEBRIS EC PHARYNGITIS ACUTE, FATTY LIVER, SEC J02.9 K76.0
dr. Shelly Laksmisari, SpPD FEBRIS EC UTI, FARINGOBRONCHITIS, GASTROPATHYN39.0 J02.9
dr. Heribertus Gunadi, SpPD, MSc FEBRIS 3 HR, ABSES SUBLINGUAL, SECONDARY HEA R50.9 K12.2
dr. Shelly Laksmisari, SpPD FEBRIS EC TB PARU, HT ST I, MYALGIA, GASTROPATHA16.2 I10
dr. Yulius Mandua, SpS VERTIGO PERIFER H81.3
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO, HYPERURICEMIA H81.1 E79.0
dr. Yulius Mandua, SpS FAILED BACK SURGERY SYNDROME M96.8
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO H81.1
dr. Wid Patria Wijaya, SpS IMPACTED TEETH K01.1
dr. Yulius Mandua, SpS APPENDICITIS ACUTE SUSP PERFORASI, SINGULTUS/K35.3 R06.6
dr. Stella Patricia Yapari, SpOG G3P2A2 37-38 MINGGU, BSC 2X INPARTU O34.2 Z37.0
dr. Noviana Indarti, SpOG PEB, G1P0A0 H ATERM , AKSEPTOR IUD O14.1 O82.9
dr. Nina Natalia, SpA NCB SMK SC Z38.0 P03.4
dr. Lita Siulan Tanang, SpA NEONATUS ATERM P03.4 Z38.0
dr. Lita Siulan Tanang, SpA KEJANG DEMAM SEDERHANA, INFEKSI SALURAN C R56.0 N39.0
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS, OMA, DIARE AKUT, ADEN OTON
J00 H66.9
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION N39.0
dr. Lita Siulan Tanang, SpA KEJANG DEMAM SEDERHANA, RHYNOPHARINGITIS R56.0 J00
dr. Ivan Joalsen, SpBTKV CKD ST V N18.8
dr. Ivan Joalsen, SpBTKV PSEUDOANEURYSM ARTERY OF UPPER EXTREMITY, I72.1 N18.9
dr. Yhohan Ziantprayogi Thaihutu, HIRSCHSPRUNG DISEASE Q43.1
SpBA
dr. Arie Wibisono, SpBP-RE MULTIPLE CONTRACTUR POST SURGICAL PROCEDU M62.4
drg. Eviwati Sitanggang, SpBM TUMOR LIDA SUSP MUCOCELE K11.6
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Richard Yehuda Limen, SpB (K) CRITICAL LIMP ISCHEMIA, DM, HYPONATERAEMIA I99 E14.9
V
dr. Yulius Mandua, SpS TENTION VASCULAR HEADACHE, VERTIGO PERIVER G44.1 H81.3
dr. Anggun Kusumasari, SpA, MSc CELLULITIS CRURIS L03.1
dr. Achmad Yusri, SpJP ANGINA PECTORIS, TB I20.9 A16.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Anggun Kusumasari, SpA, MSc RHINOBRONCHITIS, DEHIDRASI EC LOW INTAKE, P J20.9 E86
dr. Stella Patricia Yapari, SpOG ISK, G2P1A1 6-7 MINGGU O99.8
dr. Nono Mattarungan, SpPD ULCER GASTER, HYPOKOLESTEROLAEMIA K25.9 E78.0
dr. Shelly Laksmisari, SpPD CKD ON HD, ANEMIA RENAL, HT ST I, HYPERTHYRO N18.9 D63.8
dr. Lita Siulan Tanang, SpA DIARE AKUT, CONJUNCTIVITIS A09.9 H10.9
dr. Muhammad Iqbal, SpJP NSTEMI, HHD, NIDDM I21.9 I11.9
dr. Maranatha Lumban Batu, CHRONIC ADENOTONSILITIS J35.0
SpTHT-KL
dr. Arie Wibisono, SpBP-RE BILATERAL CLEFT LIP & PALATE Q37.8 M95.0
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HEMIPARESIS DEXTRA, DMI63.9 I69.3
dr. Christiani Muljono, SpJP GENERAL WEAKNESS, GERD DD STABIL ANGINA, H R53 K21.9
dr. Dewi Ayu Paramita, SpJP HHD, ANGINA PECTORIS I11.9 I20.9
dr. Aphrodite Pandin, SpOG/ dr. G2P1A1 38 MINGGU, BEKAS SC Z37.0 O82.9
H.M.D. Ervintiyanto,
dr. Shelly Laksmisari,SpOG
SpPD CKD ON HD, ANEMIA RENAL, HT ST I N18.9 D63.8
dr. Richard Yehuda Limen, SpB (K) CHRONIC VEIN INSUFFIOCIENCY, MILD AR I87.2 I35.1
V
dr. Nina Natalia, SpA URTI, LOW INTAKE, ISK J06.9 E63.1
dr. Stella Patricia Yapari, SpOG G3P2A0 38-39 MNGGU , FASE LATEN Z34.8 O63.0
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ELECTROLITE IMBALANN39.0 E87.8
dr. Shelly Laksmisari, SpPD GASTROPATHY, FATTY LIVER, PNEUMONIA, RHINITISK31.9 K76.0
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME K30
dr. H.M.D. Ervintiyanto, SpOG ABORTUS IMINENS O20.0
dr. Nina Natalia, SpA VOMITING PROFUS, DEHIDRASI, HYPOGLICEMIA R11 E86
dr. Muhammad Iqbal, SpJP CAD, VES, HHD I25.1 I49.3
dr. Harris Oetama, SpU LUTS SUSP BPH R39.8 N40
dr. Shelly Laksmisari, SpPD FEBRIS, UTI, DYSPEPSIA R50.9 N39.0
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO H81.1
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO, HYPOKALEMIA H81.1 E87.6
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC, DM I20.9 I49.3
dr. Nono Mattarungan, SpPD CHORCOT DISESE, DM II, HT, DISLIPIDEMIA M14.6 E11.6
dr. Imanuel Taba Parinding, Sp.B GANGLION WRIST D48.7
dr. Nono Mattarungan, SpPD GASTRITIS SUPERFICIAL K29.3
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, HEMATEMESIS, ANEMIA, TROMBOCITOPK30 K92.0
dr. Harris Oetama, SpU BPH, DJ STENT N40 Z96.0
dr. Andi Hasnawati, SpOG G3P2A0 20-21 MINGGU, ABORTUS IMMINENS, ISK O20.0 O99.8
dr. Haris Hayat, SpB ABSES REGIO OCCIPITALIS , DM TYPE II L02.8 E11.9
dr. Hedy Wahyu Ramadhani, SpOT RUPTUR PLANTAR TENDON, RUPTUR PARONEUS T S86.3
dr. Yulius Mandua, SpS TIA, CAD G45.9 I25.1
dr. Anggun Kusumasari, SpA, MSc NEONATAL JOUNDICE,BACTERIAL SKIN INFECTION P59.9 A49.9
dr. Maranatha Lumban Batu, CHRONIC TONSILITIS J35.0
SpTHT-KL
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, CHOREA, DM, DYSLIPIDEMI63.9 G25.5
dr. Alvarez Zefanya Moningka, ADHESIVE CABSULITIS SHOULDER M75.0
SpOT
dr. Nina Natalia, SpA NCB SMK SC Z38.0 P03.4
dr. Yhohan Ziantprayogi Thaihutu, STT REGIO GENU, RHINOPHARINGYTIS ACUTE D21.9 J00
SpBA
dr. Maranatha Lumban Batu, CHRONIC TONSILITIS J35.0
SpTHT-KL
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, HEPATOPATHY K30 K76.9
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Richard Yehuda Limen, SpB (K)
V
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, HHD WITH CHF I20.9 I11.0
dr. Anggun Kusumasari, SpA, MSc DIARE AKUT, DEHYDRASI TDK BERAT, DERMATITIS K A09.9 E86
dr. Christiani Muljono, SpJP SYNCOPE, ANGINA PECTORIS, CAD POST PCI, HHD R55 I20.9
dr. Wid Patria Wijaya, SpS LUMBAGO WITH SCHIATICA M54.4
dr. Nono Mattarungan, SpPD SN N04.0
dr. Heribertus Gunadi, SpPD, MSc DENGUE FEVER, HEPATOPATY A90 K76.9
dr. Anggun Kusumasari, SpA, MSc GASTROENTERITIS AKUT DENGAN DEHIDRASI TIDAKA09.9 E86
dr. Yulius Mandua, SpS MYOFACIAL PAIN SYNDROME, B20 G51.9 Z21
dr. Christiani Muljono, SpJP PALPITASI SUSP DRUG INDUCED, GERD, HYPOKALEMR00.2 K21.9
dr. Stella Patricia Yapari, SpOG HEG O21.0
dr. Heribertus Gunadi, SpPD, MSc CHOLECYCTITITS CALCULUS K80.1
dr. Christiani Muljono, SpJP ANGINA PECTORIS, CAD ISC , HT HHD WITH CHF, H I20.9 I25.1
dr. Faust Mangali, SpB CKR, TRAUMA TUMPUL THORAX, MULTIPLE V EXCOR
S09.9 S29.9
dr. Anggun Kusumasari, SpA, MSc RHYNOBRONCHITIS, STOMATITIS J20.9 K12.1
dr. Silvia Meiliana, MSc., SpA TYPHOID FEVER, DENGUE FEVER A01.0 A90
dr. Nina Natalia, SpA BP J18.0
dr. Richard Yehuda Limen, SpB (K) CKD STAGE V N18.8
V
dr. Faust Mangali, SpB ABSES CELLULITIS SHOULDER L02.4
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS, HHD I20.9 I11.9
dr. Christiani Muljono, SpJP
dr. Christiani Muljono, SpJP ANGINA, CAD POST PCI, DM, GOUT ATHRITIS I20.9 I25.1
dr. Haris Hayat, SpB HEMORROID GR III I84.9
dr. Satya Wardhana Sofyan, SpB TUMOR PAROTID DEXTRA D37.0
dr. Shelly Laksmisari, SpPD CHRONIC MIGRAIN, ANEMIA DEF FE, MOLAR DISLOKG43.9 D50.9
dr. Shelly Laksmisari, SpPD OBS PROLONG FEVER, UTI, GASTROPATY, HEPATOPAR50.9 N39.0
dr. Heribertus Gunadi, SpPD, MSc UTI, PHARINGYTIS N39.0 J02.9
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, TENSION VASCULAR HEADACHE K30 G44.1
dr. Heribertus Gunadi, SpPD, MSc GASTROENTERITIS A09.9
dr. Heribertus Gunadi, SpPD, MSc ULCUS GASTER, DM, HYPERTENSI, CAD, ANEMIA K25.9 E14.9
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, CEPHALGIA K30 R51
dr. Heribertus Gunadi, SpPD, MSc URTI, DYSPEPSIA J06.9 K30
dr. Heribertus Gunadi, SpPD, MSc UTI, DYSPEPSIA N39.0 K30
dr. Heribertus Gunadi, SpPD, MSc KETOASIDASI DIABETIKA, DM, UTI E14.9 N39.0
dr. Shelly Laksmisari, SpPD ANEMIA EC BLOOD LOSS, COLITIS KRONIS D50.0 K52.9
dr. Shelly Laksmisari, SpPD GEA, DYSPEPSIA SYNDROME A09.9 K30
dr. Yulius Mandua, SpS VERTIGO PERIFER, DYSPEPSIA H81.3 K30
dr. Yulius Mandua, SpS VERTIGO PERIFER, RHINOPHARINGYTIS H81.3 J00
Dr.dr. Eveline, SpBS
dr. Noviana Indarti, SpOG HEG O21.0
dr. Ketut Rama Wijaya, SpOG SINGLE SPONTAN DELIVERY, THIRD DEGREE PERINEAO80.9 O42.9
dr. Noviana Indarti, SpOG PREMATURE KONTRAKSI O47.0
dr. Hedy Wahyu Ramadhani, SpOT SPRAIN ANKLE S93.4
dr. Lita Siulan Tanang, SpA SUSP EOS, NEONATAL JAUNDICE P36 P59.9
dr. Nina Natalia, SpA RHYNOPHARINGITIS ACUTE, KDS, KONSTIPASI, LOWJ00 R56.0
dr. Anggun Kusumasari, SpA, MSc DHF GR I, EPISTAXIS A91 R04.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DEHYDRASI LOW INTAKJ00 E86
dr. Lita Siulan Tanang, SpA INFEKSI SALURAN KENCING N39.0
dr. Nina Natalia, SpA GEA, DEHYDRASI, URTI A09.9 E86
dr. Wisman Herminto, SpA DIARE CAIR AKUT NON DEHYDRASI, OXYURIASIS A09.9 B80
dr. Lita Siulan Tanang, SpA PROLONG FEVER, ODS CONJUNCTIVITIS R50.9 H10.9
dr. Lita Siulan Tanang, SpA N ATERM Z38.0
dr. Silvia Meiliana, MSc., SpA GASTROENTERITIS DENGAN LOW INTAKE A09.9 E63.1
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, NAUSEA VOMITING, GASTROENTERA90 R11
dr. Rizqa Kharisma, SpP PNEUMONIA BACTERIAL, SEPSIS, TB PARU J15.9 A41.9
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER N13.6
dr. Christiani Muljono, SpJP HT, HHD, DM, SELILITIS CRURIS, DVT ST INF DEX I10 I11.9
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Shelly Laksmisari, SpPD STENOSIS HEPATIS EC HEP C, AKI B18.2 N17.9
dr. Heribertus Gunadi, SpPD, MSc FEBRIS EC PNEUMONIA DEXTRA, EFFUSI PLEURA D J18.9 J90
dr. Shelly Laksmisari, SpPD FEBRIS EC FARINGITIS AKUT, RHINITIS CHRONIC, D J02.9 J31.0
dr. Nono Mattarungan, SpPD UTI, SIROSIS HATI N39.0 K74.6
dr. Shelly Laksmisari, SpPD PROLONG FEVER, PNEUMONIA TB, UTI, HEPATOPAT R50.9 A16.2
dr. Shelly Laksmisari, SpPD FEBRIS EC PHARYNGITIS ACUTE, HEPATITIS B ON TE J02.9 B16.9
dr. Shelly Laksmisari, SpPD FEBRIS EC PHARYNGITIS ACUTE, GASTROPATY, SEC J02.9 K31.9
dr. Shelly Laksmisari, SpPD PROLONGED FEVER, ABSES HEPAR, TYPHOID FEVERR50.9 K75.0
dr. Yulius Mandua, SpS
dr. Yulius Mandua, SpS TENSION TYPE HEADACHE G44.2
dr. Stella Patricia Yapari, SpOG ELECTROLITE IMBALANCE, HEG E87.8 O21.0
dr. Noviana Indarti, SpOG PLACENTA PREVIA, G4P3A0 H ATERM, KPD O82.9 O44.0
dr. Silvia Meiliana, MSc., SpA NCB BBLC SC Z38.0 P03.4
dr. Nina Natalia, SpA FARINGITIS AKUT, LOW INTAKE, DERMATITIS J02.9 E63.1
dr. Lita Siulan Tanang, SpA DIARE AKUT, RHINOBRONCHITIS, SINUSITIS A09.9 J20.9
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, STOMATITIS J00 K12.1
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, HYPONATERAEMIA, NAN39.0 E87.1
dr. Rizqa Kharisma, SpP SEQUELE TB, PPOK EKSERBASI B90.9 J44.1
dr. Yhohan Ziantprayogi Thaihutu, OBS ABDOMINAL PAIN, ISPA R10.4 J06.9
SpBA
dr. Yhohan Ziantprayogi Thaihutu, OBS VOMITING, ANEMIA R11 P61.4
SpBA
dr. Christiani Muljono, SpJP
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS I20.9
dr. Agustinus Sony Yudianto, CHRONIC ADENOTONSILITIS, OSA J35.9 G47.3
SpTHT-KL
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Shelly Laksmisari, SpPD ABDOMINAL PAIN, GASTRITIS EROSINVA, ANDOMETR10.4 K29.0
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Heribertus Gunadi, SpPD, MSc UTI N39.0
dr. Heribertus Gunadi, SpPD, MSc FEBRIS EC FARINGITIS AKUT, MIGRAIN, GASTROPAT J02.9 G43.9
dr. Rudy Mokodompit, SpPD, SpKL TONSILOFARINGITIS, DYSPEPSIA, HEPATOPATY J06.8 K30
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT, FATTY LIVER, DYSPEPSIA A09.9 K76.0
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO H81.1
dr. Yulius Mandua, SpS BENIGN PROXIMAL VERTIGO, ANEMIA H81.1 D64.9
dr. Yulius Mandua, SpS STRAIN LUMBAL S33.5
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HT, DISLIPIDEMIA I63.9 I10
Dr.dr. Eveline, SpBS COR, VOMITIOMG, FRACTUR OCCIPITAL, PNEUMAT S06.9 R11
dr. Ketut Rama Wijaya, SpOG SINGLE DELIVERY BY CESAREAN SECTIO, FAILED M Z37.0 O82.1
dr. Ketut Rama Wijaya, SpOG REPETED CESAREAN SECTIO BY ELECTIVE C S Z37.0 O82.0
dr. Ketut Rama Wijaya, SpOG REPETED CESAREAN SECTIO BY ELECTIVE C S Z37.0 O82.0
dr. Ketut Rama Wijaya, SpOG REPETED CESAREAN SECTIO BY ELECTIVE C S Z37.0 O82.0
dr. Lita Siulan Tanang, SpA ASMA BRONCHIALE J45.9
dr. Anggun Kusumasari, SpA, MSc ENTERITIS, KONSTIPASI A09.9 K59.0
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, NAUSE & VOMITING, N39.0 R11
dr. Anggun Kusumasari, SpA, MSc ENTEROVIRUS DENGAN DEHIDRASI EC LOW INTAKE B34.1 E86
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DIARE AKUT J00 A09.9
dr. Hittoh Fattory, SpA HAND FOOT AND MOUTH DISEASEA, ACUTE NASOPH
B08.4 J00
dr. Harris Oetama, SpU BATU URETER, DJ STENT DX N20.1 Z96.0
dr. Harris Oetama, SpU APPENDICITIS ACUTE K35.8
dr. Harris Oetama, SpU HYDRONEPROSIS DX EC STENOSIS URETER, DJ STENN13.6 Z96.0
dr. M. Fadhil Ardiyansyah, SpU OBSTRUKSI URETER, AKI, DM, HYPOKALEMIA, ANEMI
N13.5 N17.9
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Dewi Ayu Paramita, SpJP AS SEVERE, CHF, AKI, SYOK CARDIOGENIC, ACUTE ON
I35.0 I50.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Christiani Muljono, SpJP CAD 3 VD POST PCI, HT, CHF, VES, MILD MOD AR, MI25.1 I10
dr. Christiani Muljono, SpJP CAD OMI INFERIOR, HHD WITH CHF, MILD MR MILDI25.1 I25.2
dr. Maranatha Lumban Batu, BENIGN NEOPLASM LYMPH NODE D36.0
SpTHT-KL
dr. Maranatha Lumban Batu, CHRONIC TONSILITIS J35.0
SpTHT-KL
dr. Agustinus Sony Yudianto, TONSILOFARINGITIS KRONIK J06.8
SpTHT-KL
dr. Haris Hayat, SpB HEMORROID GR IV I84.9
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Heribertus Gunadi, SpPD, MSc GERD K21.9
dr. Heribertus Gunadi, SpPD, MSc GERD K21.9
dr. Rudy Mokodompit, SpPD, SpKL HEPATOMA, HEPATITIS B, HYPONATREMIA,AKI, HHF C22.0 B16.9
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, SECONDARY HEADACHE, HEPATOPATHY R50.9 R51
dr. Heribertus Gunadi, SpPD, MSc GERD, DM, CAD, HYPERTENSI, DYSLIPIDEMIA K21.9 E14.9
dr. Shelly Laksmisari, SpPD SUSP COLITIS CHRONIC, MYOFACIAL SYNDROME K52.9 G51.9
dr. Heribertus Gunadi, SpPD, MSc FEBRIS EC ABSES TONSIL, STOMATITIS, GASTROPAT J36 K12.1
dr. Rudy Mokodompit, SpPD, SpKL DYSPEPSIA DD GERD K30
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS, URTI, ESOPHAGITIS K29.7 J06.9
dr. Shelly Laksmisari, SpPD HYPERTENSI ST II, TENDINITIS , TRIGER FINGER, H I10 M77.9
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS K29.7
dr. Heribertus Gunadi, SpPD, MSc GERD, BRADIKARDIA SYMPTOMATIK K21.9 R00.1
dr. Heribertus Gunadi, SpPD, MSc CHOLELITHIASIS K80.2
dr. Shelly Laksmisari, SpPD FEBRIS EC UTI, TENSION VASCULAR HEADACHE, DY N39.0 G44.1
dr. Nono Mattarungan, SpPD GASTRITIS CHRONIC SUPERFICIAL K29.3
dr. Rudy Mokodompit, SpPD, SpKL CHOLECYSTITIS, HT K81.9 I10
dr. Nono Mattarungan, SpPD GASTRITIS SUPERFISIAL, UTI K29.3 N39.0
dr. Heribertus Gunadi, SpPD, MSc VARICELLA, DYSPEPSIA B01.9 K30
dr. Yulius Mandua, SpS MIGRAIN G43.9
dr. Yulius Mandua, SpS STRAIN THORACAL S23.5
dr. Aphrodite Pandin, SpOG PENDARAHAN UTERUS ABNORMAL N93.9
dr. Stella Patricia Yapari, SpOG G2P1A1 39-40 MINGGU INPARTU Z37.0 O80.9
dr. Hedy Wahyu Ramadhani, SpOT CRUSH INJURY DIGIT II MANUS, RUPTUR TENDON PULL
S67.0 S56.1
dr. Hedy Wahyu Ramadhani, SpOT CF RADIUS, CF ULNA S52.70
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGYTIS ACUTE, DEHIDRASI EC LOW INTJ00 E86
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Anggun Kusumasari, SpA, MSc BRONCHOPNEUMONIA, URTICARIA J18.0 L50.9
dr. Nina Natalia, SpA URTI, LOW INTAKE, VIRAL INFECTION J06.9 E63.1
dr. Lita Siulan Tanang, SpA BBL SMK SC Z38.0 P03.4
dr. Nina Natalia, SpA NCB SMK SC Z38.0 P03.4
dr. Lita Siulan Tanang, SpA N ATERM SC Z38.0 P03.4
dr. Lita Siulan Tanang, SpA NCB SMK SC Z38.0 P03.4
dr. Lita Siulan Tanang, SpA DIARE AKUT, RHYNOBRONCHITIS A09.9 J20.9
dr. Wisman Herminto, SpA ANDIODEMA BEE STING T78.3 W57
dr. Nina Natalia, SpA ACUTE PHARYNGITIS EC VIRAL INFECTION, RIW KDSJ02.9 B34.9
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERNM SPONTAN, BLEPHARITIS Z38.0 H01.0
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Lita Siulan Tanang, SpA RHINITIS, GASTROENTERITIS AKUT, S ANEMIA DEFISIJ00 A09.9
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETROPELVIC, NEFROLITN13.6
dr. M. Fadhil Ardiyansyah, SpU HYDRONEPROSIS EC BATU URETER, HT N13.2 I10
dr. Harris Oetama, SpU BPH, NEFROLITHIASIS, DJ STENT, CHOLELITHIASIS N40 N20.0
dr. Elvis Deddy Kurniawan P, SQUAMOS CELL CARCINOMA C02.9
SpB(K) Onk
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC, DM I20.0 I49.3
dr. Achmad Yusri, SpJP ANGINA PECTORIS I20.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Dewi Ayu Paramita, SpJP STEMI ANTERIOR, ACUTE HF, DM I21.9 I50.9
dr. Maranatha Lumban Batu, VASOMOTOR RHINITIS J30.0
SpTHT-KL
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Nono Mattarungan, SpPD ULCUS GASTER K25.9
dr. Heribertus Gunadi, SpPD, MSc DM DENGAN HYPOGLICEMIA, DYSLIPIDEMIA, HYPE E11.6 E78.5
dr. Nono Mattarungan, SpPD GASTRITIS ACUTE HEMORRHAGE, ASMA BR K29.0 J45.9
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILOFARINGITIS AKUT, HEPATOPATHYJ06.8 K76.9
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, KOLELITHIASIS R50.9 K80.2
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Rudy Mokodompit, SpPD, SpKL CHOLELITHIASIS, PANCREASITIS AKUT K80.2 K85
dr. Stephanie Theodora Yulinda, SPONDYLOSIS L5-L1, HNP L5-L1 M51.1 M43.0
Sp.KFR
dr. Stella Patricia Yapari, SpOG G1P0A0 39 MINGGU INPARTU Z37.0 O80.9
dr. Ketut Rama Wijaya, SpOG HEMORRHAGE FOLLOWING ABORTION, DM, HYPERO06.6 E14.9
dr. Anggun Kusumasari, SpA, MSc GNAPS, HYPERTENSI URGENCY, ADHF, HYPOAlb, HY N00.8 I10
dr. Lita Siulan Tanang, SpA GASTROENTERITIS AKUT A09.9
dr. Wisman Herminto, SpA BBLC SPT Z38.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, CONJUNCTIVITIS, SUSPJ00 H10.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS AKUT, ANEMIA J00 D64.9
dr. Nina Natalia, SpA URTI, HYPERSECRESI BRONKUS, KDS J06.9 J20.9
dr. Nina Natalia, SpA HFMD, ABSES GINGGIVA, LOW INTAKE B08.4 K05.2
dr. M. Fadhil Ardiyansyah, SpU HYDRONEPROSIS EC BATU URETER, STENOSIS URETEN13.2 N35.9
dr. Harris Oetama, SpU RETENSIO URINE EC STRIKTUR URETHRA R33 N35.9
dr. Ivan Joalsen, SpBTKV WOUND DEHICENCE R TERNUM POST CABG T81.3
dr. Yhohan Ziantprayogi Thaihutu, KONSTIPASI KRONIS K59.0
SpBA
dr. Yhohan Ziantprayogi Thaihutu, APPENDICITIS ACUTE K35.8
SpBA
dr. Elvis Deddy Kurniawan P, TUMOR GINGIVA, CKDN ST V, HT ST II, ANEMIA R D37.0 N18.8
SpB(K)
dr. ElvisOnk
Deddy Kurniawan P, FAM D24
SpB(K) Onk
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8 E87.6
V
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Richard Yehuda Limen, SpB (K) STENOSIS AV SHUNT, ANEMIA, CKD ST V N35.9 D64.9
V
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS I20.9
dr. Maranatha Lumban Batu, CHRONIC TONSILITIS, NASOPHARYNGITIS J35.0 J00
SpTHT-KL
dr. Haris Hayat, SpB FISTEL PERIANAL K60.3
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME ULCER TYPE K30
dr. Heribertus Gunadi, SpPD, MSc PHARYNGITIS, POST MVR , HHD J02.9 I34.0
dr. Shelly Laksmisari, SpPD DM II, UTI, HYPONATERAEMIA, GASTROPATHY E11.9 N39.0
dr. Shelly Laksmisari, SpPD FEBRIS EC UTI, DYSPEPSIA SYNDROME N39.0 K30
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Heribertus Gunadi, SpPD, MSc/ CHRONIC TONSILITIS J35.0 K21.9
dr.
dr. Agustinus
HeribertusSony Yudianto,
Gunadi, SpPD, MSc FEBRIS, TROMBOSITOPENIA R50.9 D69.6
SpTHT-KL
dr. Yulius Mandua, SpS SECONDARY HEADACHE, HT G44.2 I10
dr. Aphrodite Pandin, SpOG DYSMENORRHOEA N94.6
dr. Aphrodite Pandin, SpOG PARTUS SPONTAN, RUPTUR VAGINA & VULVA O80.9 O70.1
dr. Andi Hasnawati, SpOG DEHISENSI LUKA OPERASI, ABSES LUKA OPERASI T81.4 Z48.0
dr. Hedy Wahyu Ramadhani, SpOT CLOSED FRACTURE CLAVICLE S42.00
dr. Alvarez Zefanya Moningka, TB ANKLE S A18.0 M01.1
SpOT
dr. Hedy Wahyu Ramadhani, SpOT CF HUMERUS, DISLOKASI ELBOW S42.30 S53.1
dr. Alvarez Zefanya Moningka, OA GENU DEXTRA, HHD M17.9 I11.9
SpOT
dr. Alvarez Zefanya Moningka, ADHESIVE CAPSULITIS SHOULDER M75.0
SpOT
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DEHYDRASI LOW INTAKJ00 E86
dr. Anggun Kusumasari, SpA, MSc IRRITABLE HIP JOINT, DIARE AKUT, ISK M67.3 A09.9
dr. Silvia Meiliana, MSc., SpA HFMD, GEA, LOW INTAKE B08.4 A09.9
dr. Lita Siulan Tanang, SpA RHINITIS, CANDIDIASIS ORAL J31.0 B37.0
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, ORAL CANDIDIASIS, LOWJ00 B37.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DEHYDRASI LOW INTAKJ00 E86
dr. Nina Natalia, SpA PHARYNGITIS ACUTE, STOMATITIS J02.9 K12.1
dr. Nina Natalia, SpA FEBRIS, LOW INTAKE R50.9 E63.1
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION N39.0
dr. Elvis Deddy Kurniawan P, LYMPHADENOPATHY EC SUSP METASTASE CA R59.1 C77.9
SpB(K) Onk
dr. Richard Yehuda Limen, SpB (K) CKD STAGE V N18.8
V
dr. Richard Yehuda Limen, SpB (K)CKD ST V N18.8
V
dr. Dewi Ayu Paramita, SpJP RECURRENT MI INFERIOR, HF I21.9 I50.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Dewi Ayu Paramita, SpJP CASD I VD I25.1
dr. Dewi Ayu Paramita, SpJP
dr. Alvarez Zefanya Moningka, CONTRACTURE DG III, RUPTURN TENDON FLEXOR M66.3 M24.5
SpOT
dr. Anggun Kusumasari, SpA, MSc LOW BIRTH WEIGHT ATERM, SMALL GESTATIONAL OP07.1 Z38.1
dr. Dewi Ayu Paramita, SpJP ATYPICAL CEST PAIN R07.4
dr. Heribertus Gunadi, SpPD, MSc TYPHOID FEVER A01.0
dr. Heribertus Gunadi, SpPD, MSc GEA A09.9
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Nono Mattarungan, SpPD GASTRITIS CHRONIC SUPERFICIAL K29.3
dr. Rizqa Kharisma, SpP ASTHMA PERSISTENT TERKONTROL DALAM SERANGA
J45.9 I11.9
dr. Shelly Laksmisari, SpPD ANEMIA ON CHRONICM DISEASES, CA CERVIX, METAD63.8 C53.9
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ACUTE PHARYNGITIS N39.0 J02.9
dr. Dewi Ayu Paramita, SpJP UAP, DM TYPE 2 I20.0 E11.9
dr. Haris Hayat, SpB MULTIPLE TUMOR REGIO MANUS, REGIO ABDOME D48.7
dr. Hedy Wahyu Ramadhani, SpOT PLANTAR FASCITIS PEDIS M72.2
dr. Yulius Mandua, SpS TENSION VASCULAR HEADACHE G44.1
dr. Hedy Wahyu Ramadhani, SpOT KOMPARTMENT SYNDROME MANUS T79.6
dr. H.M.D. Ervintiyanto, SpOG BLIGHTED OVUM O02.0
drg. Daniel T.H. Hutabarat, SpBM FRACTURE MANDIBULA S02.6
dr. Yulius Mandua, SpS VERTIGO PERIFER H81.3
dr. Vincentius Daniel, SpB-KBD COLIC ABDOMEN EC COLITIS, HAEMORROID INT G I-R10.4 A09.9
dr. Vincentius Daniel, SpB-KBD HAEMORROID INT GI-II I84.2
dr. Rizqa Kharisma, SpP SEQUELE TB, ASTHMA PERSISTEN TIDAK TERKONT B90.9 J45.9
dr. Arie Wibisono, SpBP-RE GIANT STT FACIALIS D21.9
dr. Hittoh Fattory, SpA GEA DENGAN DEHIDRASI, LOW INTAKE, RHINOPHARA09.9 E86
dr. Heribertus Gunadi, SpPD, MSc SUSP DENGUE FEVER A90
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERM SPONTAN, EARLY ONSET SEPSIS Z38.0 P36
dr. Nina Natalia, SpA BRONCHOPNEUMONIA DD TB, DIARE AKUT J18.0 A09.9
dr. Lita Siulan Tanang, SpA RHINITIS, ADENOTONSILITIS J00 J35.9
dr. Haris Hayat, SpB MULTIPLE V EXCORASI POST KLL, MABUK T07 F10.1
dr. Heribertus Gunadi, SpPD, MSc GERD, CAD K21.9 I25.1
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT, ULCUS DIABETIC CRURIS, DM A09.9 E11.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Ketut Rama Wijaya, SpOG SINGLE DELIVERY SPONTAN, PROM, INERTIA KALA IIZ37.0 O80.9
dr. Christiani Muljono, SpJP UAP, DYSPEPSIA I20.0 K30
dr. Wisman Herminto, SpA ACUTE PHARYNGITIS, ALLERGI RHINITIS J20.9 J30.4
dr. Stella Patricia Yapari, SpOG G1A0P0 40-41 MINGGU IN PARTU FETAL DISSTRES O82.9 O68.9
dr. Shelly Laksmisari, SpPD CKD ON HD, ANEMIA RENAL ON CHRONIC, DM, HT N18.9 D63.8
dr. Nina Natalia, SpA NCB SMK P03.4 Z38.0
dr. Richard Yehuda Limen, SpB (K)
V
dr. Dewi Ayu Paramita, SpJP CAD, HEPEF, ASTMA PERSISTEN TERKONTROL SEB I25.1 J45.9
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS I20.9
dr. Dewi Ayu Paramita, SpJP RECURRENT MI INFERIOR, HF, H. THYROID I34.0 I50.9
dr. Dewi Ayu Paramita, SpJP ASD SEKUNDER I23.1
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS, IHD I20.9 I25.9
dr. Haris Hayat, SpB TRAUMA TUMPUL ABDOMEN S39.9 T07
dr. Rudy Mokodompit, SpPD, SpKL CHOLELITHIASIS MULTIPLE, CHOLECYSTITIS K80.2 K81.9
dr. Heribertus Gunadi, SpPD, MSc DM, HYPONATERAEMIA, HHF, NEUROPATHY, DIARE E14.9 E87.1
dr. Heribertus Gunadi, SpPD, MSc
dr. Heribertus Gunadi, SpPD, MSc ANEURYSM , HYPERTENSI, ANEMIA I72.9 I10
dr. Heribertus Gunadi, SpPD, MSc VOMITING PROFUSE, HYNATERAEMIA R11 E87.1
dr. Heribertus Gunadi, SpPD, MSc GASTROENTERITIS AKUT A09.9
dr. Nono Mattarungan, SpPD GERD GR II K21.9
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS K29.7
dr. Shelly Laksmisari, SpPD PNEUMONIA, HYPONATERAEMIA, ANEMIA DEF FE, J18.9 E88.0
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME K30
dr. Yulius Mandua, SpS LBP-HNP L4-L5 DAN L5-L1 M51.1
Dr.dr. Eveline, SpBS COR, SDH TENTORIUM S06.9 I62.0
Dr.dr. Eveline, SpBS COR, VULNUS APERTUM S06.9 S01.9
dr. Noviana Indarti, SpOG PP SPONTAN, AKSEPTOR IUD Z37.0 O80.9
dr. Stella Patricia Yapari, SpOG G1P0A0 40-41 MINGGU OLYGOHYDRAMNIONS, GAGZ37.0 O82.9
dr. Stella Patricia Yapari, SpOG G3P2A2 39-40 MINGGU INPARTU Z37.0 O80.9
dr. Stella Patricia Yapari, SpOG G3P2A0 HML 19-20 MINGGU, VAGINAL BLEEDING N93.9
dr. Hedy Wahyu Ramadhani, SpOT RUPTUR PCL, DEFECT CARTILAGE GENU S83.5 M24.1
dr. Hedy Wahyu Ramadhani, SpOT CF DIGITI III MANUS S62.6 V24.0
dr. Silvia Meiliana, MSc., SpA NCB SPT Z38.0
dr. Nina Natalia, SpA RHINOPHARINGYTIS ACUTE, TROMBOCITOPENIA, ECJ00 D69.6
dr. Nina Natalia, SpA GEA, ELECTROLYTE IMBALANCE A09.9 E87.8
dr. Anggun Kusumasari, SpA, MSc
dr. Nina Natalia, SpA NCB SMK Z38.0
dr. Nina Natalia, SpA HFMD, LOW INTAKE B08.4 E63.1
dr. Silvia Meiliana, MSc., SpA DENGUE HEMORRHAGIC FEVER, GEA, NAUSE & VO A91 A09.9
dr. Anggun Kusumasari, SpA, MSc GASTROENTERITIS AKUT DENGAN DEHIDRASI TIDAKA09.9 E86
dr. M. Fadhil Ardiyansyah, SpU
dr. M. Fadhil Ardiyansyah, SpU HYDRONEPROSIS EC BATU URETER, BATU GINJAL BI N13.2 I51.7
dr. M. Fadhil Ardiyansyah, SpU BPH, RETENSI URINE, HHD, HT PEF N40 R33
dr. Iman Martafani, SpBA PHYMOSIS N47
dr. Yhohan Ziantprayogi Thaihutu, APPENDICITIS ACUTE K35.8
SpBA
drg. Eviwati Sitanggang, SpBM NECROSIS PULPA, PULPA POLI K04.1 K04.0
dr. Richard Yehuda Limen, SpB (K) CKD ST V, HYPOKALEMIA, HYPONATERAEMIA N18.8 E87.6
V
dr. Haris Hayat, SpB APPENDICITIS ACUTE SUSP PERFORASI K35.3
dr. Heribertus Gunadi, SpPD, MSc UTI, GERD N39.0 K21.9
dr. Heribertus Gunadi, SpPD, MSc ULKUS GASTER, UTI K25.9 N39.0
dr. Nono Mattarungan, SpPD GASTRITIS CHRONIC SUPERFICIAL, UTI K29.3 N39.0
dr. Nono Mattarungan, SpPD GASTRITIS ACUTE K29.1
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME, GRAVIDA 28 WEEK, UTI O99.6 Z34.8
dr. Shelly Laksmisari, SpPD ANEMIA ON CHRONIC DISEASE, SEQUELE STROKE ISD63.8 I69.3
dr. Heribertus Gunadi, SpPD, MSc PNEUMONIA J18.9
dr. Nono Mattarungan, SpPD DYSPEPSIA, HYPO K , HYPERTHYROID K30 E87.6
dr. Heribertus Gunadi, SpPD, MSc GEA, HYPERTENSI, TENSION TYPE HEADACHE A09.9 I10
dr. Heribertus Gunadi, SpPD, MSc DENGUE FEVER A90
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, TROMBOSITOPENIA, DM, HEMORROID R50.9 D69.6
dr. Yulius Mandua, SpS HNP L4-L5 DAN L5-L1, SPONDYLOSIS LUMBAL M51.1 M43.0
Dr.dr. Eveline, SpBS CERVICAL, FRACTURE PROCESSUS SPINOSUS, HEM M54.2 S12.8
dr. Stella Patricia Yapari, SpOG G1P0A0 38-39 MINGGU, KPD O82.9 O42.9
dr. Tedy Teguh Satriadi, SpOG- G2P1A0 ATERM MINGGU ATERM INPARTU Z37.0 O80.9
KFM
dr. Stella Patricia Yapari, SpOG G2P1A0 39-40 MINGGU INPARTU GEMELI, ANEMIA O80.9 O70.1
dr. Tedy Teguh Satriadi, SpOG- HEG O21.0
KFM
dr. Hedy Wahyu Ramadhani, SpOT FINGERTIP INJURY DIGIT III, CF PHALANG DISTAL DIGI
S69.9 S62.6
dr. Hedy Wahyu Ramadhani, SpOT CF RADIUS S52.80 V28.2
dr. Alvarez Zefanya Moningka, POST OP ORIF CLAVICULA BILATERAL S42.00 Z47.0
SpOT
dr. Lita Siulan Tanang, SpA N ATERM , GEMELI II Z38.3 P01.5
dr. Lita Siulan Tanang, SpA N ATERM, GEMELI I Z38.3 P01.5
dr. Silvia Meiliana, MSc., SpA THYPOID FEVER, ACUTE NASOPHARINGITIS A01.0 J00
dr. Silvia Meiliana, MSc., SpA ACUTE PHARYNGITIS, NAUSEA & VOMITING, HYPOKA
J02.9 R11
dr. Nina Natalia, SpA NCB SMK SC P03.4 Z38.0
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, DEHIDRASI EC LOW INTAKJ00 E86
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, GASTROENTERITIS J00 A09.9
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, GEA, LOW INTAKE J00 A09.9
dr. Nina Natalia, SpA URTI, VOMITING, DEHIDRASI J06.9 R11
dr. Lita Siulan Tanang, SpA NEWBORN ATERM SC Z38.0 P03.4
dr. Nina Natalia, SpA URTI, VOMITING, THROMBOSITOPENIA J06.9 R11
dr. Vincentius Daniel, SpB-KBD KOLELITHIASIS, KOLESYSTITIS, DM K80.1 E14.9
dr. Dewi Ayu Paramita, SpJP PERICARDITIS AKUT I30.9
dr. Dewi Ayu Paramita, SpJP PH, HHF, VES, PAF I27.0 I11.0
dr. Haris Hayat, SpB APP KHRONIC SUSP PERFORASI K36
dr. Haris Hayat, SpB FEBRIS, FARINGITIS AKUT, SUSP SPPENDICITIS R50.9 J02.9
dr. Heribertus Gunadi, SpPD, MSc RHINITIS, TROMBOCYTOPENIA J31.0 D69.6
dr. Shelly Laksmisari, SpPD FEBRIS EC RHINOPHARYNGITIS AKUT, UTI, DYSPEP J00 N39.0
dr. Shelly Laksmisari, SpPD FEBRIS EC FARINGITIS AKUT, DYSPEPSIA SYNDROMEJ02.9 K30
dr. Shelly Laksmisari, SpPD ERUPTION DRUG, DYSPEPSIA SYNDROME L27.0 K30
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILOFARINGITIS AKUT, DYSPEPSIA S J06.8 K30
dr. Shelly Laksmisari, SpPD UTI, DYSPEPSIA SYNDROME N39.0 K30
dr. Shelly Laksmisari, SpPD GASTRITIS CHRONIC SUPERFICIAL K29.3
dr. Yulius Mandua, SpS/ dr. SECONDARY HEADACHE, NASOPHARINGITIS, STOMAR51 J00
Agustinus Sony Yudianto, SpTHT-
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO, HT H81.1 I10
KL
dr. Andi Hasnawati, SpOG
dr. Stella Patricia Yapari, SpOG G2P1A0 37 MINGGU INPARTU FS AKTIF Z37.0 O80.9
dr. Christiana, SpM HIFEMA TRAUMATIKA S05.1
dr. Alvarez Zefanya Moningka, FR METACARPAL DIG V MANUS S62.3 W18
SpOT
dr. Nina Natalia, SpA URTI, THROMBOSITOPENIA EC VIRAL INFECTION J06.9 D69.6
dr. Anggun Kusumasari, SpA, MSc ABDOMINAL PAIN, DYSPEPSIA SYNDROME, GASTROE
R10.4 K30
dr. Silvia Meiliana, MSc., SpA ACUTE TONSILOFARINGITIS, DENGUE FEVER, GEA, SJ06.8 A90
dr. Lita Siulan Tanang, SpA ASMA BRONCHIALE SERANGAN BERAT J46
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ACUTE NASOPHARINGIN39.0 J00
dr. Lita Siulan Tanang, SpA NEONATUS ATERM Z38.0
dr. Lita Siulan Tanang, SpA NEONATUS ATERM Z38.0
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER, MULTIPLE NEFRO
N13.2
dr. Yhohan Ziantprayogi Thaihutu, COLIC ABDOMEN, CONSTIPASI R10.4 K59.0
SpBA
dr. Arie Wibisono, SpBP-RE UNION FRACTURE MAXILLA MANDIBULA S02.4 S02.6
dr. Yulius Mandua, SpS STATUS MIGRAINOUS G43.2
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME, VOMITING PROFUSE, HYPE K30 R11
dr. Lita Siulan Tanang, SpA RHINITIS, KONSTIPASI J00 K59.0
dr. Haris Hayat, SpB DIABETIC FOOT PEDIS, DM TYPE II E11.5
dr. Shelly Laksmisari, SpPD
dr. Dewi Ayu Paramita, SpJP MYOCARDIAL BRIDGING, AF, VES Q24.5 I48
dr. Faust Mangali, SpB HERNIA INGUINALIS K40.9
dr. Stella Patricia Yapari, SpOG FETAL DEMISE, ABORTUS INSIPIENS O36.4 O02.1
dr. M. Fadhil Ardiyansyah, SpU HYDRONEPROSIS EC BATU URETER, BATU BULI, ISK N13.2 N39.0
dr. Silvia Meiliana, MSc., SpA ACUTE BRONCHITIS, NAUSE & VOMITING J20.9 R11
dr. Achmad Yusri, SpJP HHD WITH CHF I11.0
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, TENSION TYPE HEADACHE, HYPERTENSIK30 G44.2
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ACUTE TONSILOPHARYN39.0 J06.9
dr. Heribertus Gunadi, SpPD, MSc TYPHOID FEVER A01.0
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HT I63.9 I10
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER EC STENOSIS URN13.6
dr. Shelly Laksmisari, SpPD GEA, UTI O98.8 O99.8
dr. Lita Siulan Tanang, SpA PRES, CEPHALGIA G93.4 R51
dr. Harris Oetama, SpU HN EC BATU URETER N13.6
dr. Lita Siulan Tanang, SpA VIRAL EXANTHEMA B09
dr. Elvis Deddy Kurniawan P, CA PARU C34.9
SpB(K)
dr. DewiOnk
Ayu Paramita, SpJP CAD, HHF, DM TYPE II, AKI I25.1 I11.0
dr. Lita Siulan Tanang, SpA GASTROENTERITIS AKUT A09.9
dr. Shelly Laksmisari, SpPD
dr. Dewi Ayu Paramita, SpJP HHF, ANGINA PECTORIS I11.9 I20.9
dr. Elvis Deddy Kurniawan P, CA MAMMAE C50.9 I48
SpB(K) Onk
dr. Yulius Mandua, SpS EPILEPSY G40.9
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO, DYSLIPIDH81.1 E78.5
dr. Maranatha Lumban Batu, PERFORASI OF TYMPANI MEMBRANE H72.9
SpTHT-KL
dr. Heribertus Gunadi, SpPD, MSc TB PARU , FEBRIS A16.2 R50.9
Dr.dr. Eveline, SpBS COR, VULNUS APERTUM SUPRALABIALIS, CONTUS S06.9 S01.5
dr. Lita Siulan Tanang, SpA DIARE AKUT A09.9
dr. Christiani Muljono, SpJP
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J02.9
dr. Heribertus Gunadi, SpPD, MSc DENGUE FEVER A90
dr. Lita Siulan Tanang, SpA ASTHMA BRONCHIAL J45.9
dr. Hedy Wahyu Ramadhani, SpOT TENOSYNOVITIS MANUS, KONTRAKTUR IP JOINT M M65.8 M24.5
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DEHYDRASI LOW INTAKJ00 E86
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO, HYPERTIGH81.1 E78.1
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS, ISK J00 N39.0
dr. Shelly Laksmisari, SpPD GEA, UTI, CAD ON TERAPHY, DYSPEPSIA SYNDROMEA09.9 N39.0
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILOFARINGITIS AKUT, UTI, DYSPEP J06.8 N39.0
dr. Shelly Laksmisari, SpPD DM II, MYOMA UTERI, KISTA OVARIUM, GASTROPATE11.9 D25.9
dr. Nina Natalia, SpA GEA, DEHYDRASI, URTI A09.9 E86
dr. Heribertus Gunadi, SpPD, MSc DENGUE FEVER A90
dr. Daniel Susatyo Wirawan, SpA UTI, DENGUE FEVER, COMMOND COLD N39.0 A90
dr. Harris Oetama, SpU COLIC RENAL SUSP BATU URETER N23 N20.1
dr. Rizqa Kharisma, SpP SUSP TUMOR MEDISTANIUM ANTERIOR DD CA PARU
Z03.1 Z03.0
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, SIROSIS HEPATIC, ASCITES, DM, HHF, K30 K76.4
dr. Haris Hayat, SpB APPENDICITIS ACUTE K35.8
dr. Tedy Teguh Satriadi, SpOG- G3P1A1 38-39 MINGGU BSC 2X O82.9 O34.2
KFM
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, KEJANG DEMAM SEDERHANA, ACUA90 R56.0
dr. Richard Yehuda Limen, SpB (K) GANGREN DIGITY PEDIS DM, CRITICAL LIMB ISCH E14.5 I73.9
V
dr. Nono Mattarungan, SpPD GASTRITIS EROSIVA, UTI, LBP K29.7 N39.0
dr. Iman Martafani, SpBA COLITIS ULCERATIVA K51.9
dr. Heribertus Gunadi, SpPD, MSc ABDOMINAL PAIN, FEBRIS R10.4 R50.9
dr. Shelly Laksmisari, SpPD UTI, DYSPEPSIA SYNDROME, HYPERURICEMIA N39.0 K30
dr. Heribertus Gunadi, SpPD, MSc OESOPHAGITIS GR II, GASTRITIS SUPERFICIAL K21.0 K29.3
dr. Nina Natalia, SpA FARINGITIS AKUT, LOW INTAKE, GINGGIVA J02.9 E63.1
dr. Richard Yehuda Limen, SpB (K) CKD ST V NON FUNCTIONAL AV SHUNT, ANEMIA, H N18.8 D63.8
V
Dr.dr. Eveline, SpBS GENERAL SEIZURE EC PARASAGITAL MENINGIOMA G40.3 D32.9
dr. Yulius Mandua, SpS STRAIN LUMBAL, HNP L5S1 S33.5 M51.1
dr. Faust Mangali, SpB SOFT TISSUE TUMOR, ABSES PUNGGUNG, DM, HHF,D21.9 L02.4
dr. Harris Oetama, SpU FOURNIER GANGRENE, NECROTIC TESTIS BILATERALN45.0 N50.8
dr. M. Fadhil Ardiyansyah, SpU HYDRONEPROSIS EC BATU URETER, BATU GINJAL, ISK
N13.2 N39.0
dr. Maranatha Lumban Batu, PANSINUSITIS, POLYP NASAL CAVITY J32.4 J33.0
SpTHT-KL
dr. Elvis Deddy Kurniawan P, SOFT TISSUE TUMOR D21.9
SpB(K) Onk Gunadi, SpPD, MSc
dr. Heribertus GERD K21.9
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Heribertus Gunadi, SpPD, MSc FEBRIS DD TYPHOID FEVER, SECONDARY HEADACHEA01.0 R51
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS, CAD, DISLIPIDEMIA, HHD I20.9 I25.1
dr. Nina Natalia, SpA URTI, HYPERSECRESI BRONKUS, KDS J06.9 J20.9
dr. Yulius Mandua, SpS MYOFACIAL PAIN SYNDROME, CERVICAL ROOT SY G51.9 G54.2
dr. Elvis Deddy Kurniawan P, CA MAMMAE, SEPSIS C50.9 A41.9
SpB(K) Onk
dr. Shelly Laksmisari, SpPD DM II HYPERGLICEMIA, UTI, BRONCHITIS ACUTE, DYE11.6 N39.0
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS K29.7
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, ADENOTONSILITIS KRON J00 J35.9
dr. Nono Mattarungan, SpPD OESOPHAGITIS GR II, GASTRITIS EROSIVA, VERTIGO K21.0 K29.0
dr. Heribertus Gunadi, SpPD, MSc RHINOBRONCHITIS, DYSPEPSIA J40 K30
dr. Dewi Ayu Paramita, SpJP UAP, HHF I20.0 I11.0
drg. Eviwati Sitanggang, SpBM MULTIPLE EMBEDDED K01.0
dr. Lita Siulan Tanang, SpA GASTROENTERITIS AKUT, FARINGITIS A09.9 J02.9
dr. Nina Natalia, SpA GEA, VOMITING, URTI A09.9 R11
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, KEJANG DEMAM J00 R56.8
dr. Hedy Wahyu Ramadhani, SpOT CF RAMUS PUBIS, STABLE PUBIS S32.50
dr. Dewi Ayu Paramita, SpJP CAD, HHF, DM, HEPATITIS B I25.1 I11.0
dr. Yulius Mandua, SpS TENSION VASCULAR HEADACHE, TONSILOPHARYNGIT
G44.1 J35.0
dr. Nina Natalia, SpA NCB SMK SC P03.4 Z38.0
dr. Dewi Ayu Paramita, SpJP STEMI POSTERIOR POST PCI, ACUTE HF, VES, SHOCKI21.1 I50.9
dr. Ketut Rama Wijaya, SpOG HYPEREMASIS GRAVIDARUM O21.0
dr. Noviana Indarti, SpOG MASSA CERVIX DD POLIP CERVIX, CA CERVIX C53.9
dr. Anggun Kusumasari, SpA, MSc BRONCHOPNEUMONIA, DIARE AKUT J18.0 A09.9
dr. Heribertus Gunadi, SpPD, MSc BRONCHOPNEUMONIA, DM J18.0 E14.9
dr. Shelly Laksmisari, SpPD GEA, GASTRITIS EROSIVA, FATTY LIVER, CAD ON TE A09.9 K29.0
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, THROMBOCYTOPENIA, DJ00 D69.6
dr. Heribertus Gunadi, SpPD, MSc FEBRIS R50.9
dr. Yulius Mandua, SpS TENTION VASCULAR HEADACHE, RHYNOSINUSITIS MG44.1 J32.0
dr. Ketut Rama Wijaya, SpOG SINGLE SPONTAN DELIVERY, SECOND DEGREE PERI O80.9 O41.0
dr. Heribertus Gunadi, SpPD, MSc HEMATURIA, ABDOMINAL PAIN, FEBRI R31 R10.4
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT A09.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, HHD WITH CHF I20,9 I11.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Dewi Ayu Paramita, SpJP CAD, DM TYPE 2 DENGAN NEUROPATHY I25.1 E11.4
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Haris Hayat, SpB OBS ABDOMINAL PAIN R10.4
dr. Heribertus Gunadi, SpPD, MSc GERD K21.9
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, VERTIGO K30 R42
dr. Shelly Laksmisari, SpPD BRONCHITIS AKUT, GRAVIDA 27 WEEK, GASTROPATYO99.5 O99.6
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT A09.9
dr. Heribertus Gunadi, SpPD, MSc BRONCHOPNEUMONIA, HEPATOPATHY, UTI J18.0 K76.9
dr. Shelly Laksmisari, SpPD GEA A09.9
dr. Shelly Laksmisari, SpPD DM II, HYPERGLICEMIA, FARINGOBONCHITIS AKUT, H
E11.9 R73.9
dr. Heribertus Gunadi, SpPD, MSc DENGUE FEVER, HEPATOPATY A90 K76.9
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Yulius Mandua, SpS CHRONIC MIGRAIN, DISLIPIDEMIA G43.9 E78.9
dr. Yulius Mandua, SpS INTERCOSTAL NEURALGIA G58.0
Dr.dr. Eveline, SpBS COR, FRACTURE ZYGOMAHCOMAXILLA S06.9 S02.4
dr. Andi Hasnawati, SpOG HEG O21.0
dr. Manaek P. Sihotang, SpOT UNION FRACTURE RADIUS ULNA S52.4
dr. Alvarez Zefanya Moningka, FR AVULSI NAVICULAR PEDIS D S92.9 W11
SpOT
dr. Anggun Kusumasari, SpA, MSc TONSILOFARINGITIS AKUT, SUSP OMA, DERMATITIS J06.8 L30.9
dr. Nina Natalia, SpA TONSILITIS ACUTE, VOMITING, LOW INTAKE J03.9 R11
dr. Lita Siulan Tanang, SpA GASTROENTERITIS AKUT A09.9
dr. Wisman Herminto, SpA CHRONIC CHOLECYSTITIS, ATOPIK DERMATITIS, ALLEK81.1 L20.9
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERM SPONTAN Z38.0
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, MILIARIA J00 L74.3
dr. Anggun Kusumasari, SpA, MSc EPILEPSI TRIGER, SELULITIS CRURIS, IMPETIGO G40.9 L03.1
dr. Silvia Meiliana, MSc., SpA NAUSE & VOMITING, ELECTROLITE IMBALANCE, UR R11 E87.8
dr. Nina Natalia, SpA URTI, HYPERSECRESI BRONKUS, DEHIDRASI J06.9 J20.9
dr. Anggun Kusumasari, SpA, MSc PNEUMONIA, PROLONGRD FEVER, ANEMIA J18.9 R50.9
dr. Anggun Kusumasari, SpA, MSc ISK, DIARE AKUT N39.0 A09.9
dr. Rizqa Kharisma, SpP PPOK EKSERBASI AKUT J44.9
dr. Harris Oetama, SpU COLIC RENAL SUSP BATU URETER N23 N20.1
dr. Harris Oetama, SpU STRIKTUR URETHRA N35.9
dr. Vincentius Daniel, SpB-KBD HEMORRHOID PROLAP, POLIP RECTI I84.9 K62.1
dr. Arie Wibisono, SpBP-RE DIABETIC GANGRENE PEDIS, DM E11.5
dr. Elvis Deddy Kurniawan P, TUMOR PAYUDARA SUSP BENIGN D48.6
SpB(K) Onk
dr. Elvis Deddy Kurniawan P, KISTA EPIDERMOID L72.0
SpB(K) Onk
dr. Richard Yehuda Limen, SpB (K) CKD ST V, ANEMIA N18.8 D63.8
V
dr. Richard Yehuda Limen, SpB (K)STENOSIS AV SHUNT, CKD ST V, HYPONATREMIA I77.0 N18.8
V
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Achmad Yusri, SpJP ANGINA PECTORIS, HHD WITH CHF I20.9 I11.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Agustinus Sony Yudianto,
SpTHT-KL
dr. Erica Lukman, SpTHT-KL TONSILITIS CHRONIC J35.0
dr. Haris Hayat, SpB ABSES PERIANAL, FISSURE ANAL K61.0 K60.2
dr. Heribertus Gunadi, SpPD, MSc CHOLELITHIASIS, DYSPEPSIA K80.2 K30
dr. Heribertus Gunadi, SpPD, MSc TYPHOID FEVER A01.0
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Shelly Laksmisari, SpPD PNEUMONIA, SECONDARY HEADACHE, GASTROPAT J18.9 R51
dr. Heribertus Gunadi, SpPD, MSc HEPATITIS B B16.9
dr. Heribertus Gunadi, SpPD, MSc CHOLELITHIASIS, DYSPEPSIA K80.2 K30
dr. Rudy Mokodompit, SpPD, SpKL BPPV, DYSPEPSIA H81.1 K30
dr. Heribertus Gunadi, SpPD, MSc ANEMIA, DYSPEPSIA, VERTIGO, HYPERTENSI DD HHDD64.9 K30
dr. Rudy Mokodompit, SpPD, SpKL URTI J06.9
dr. Shelly Laksmisari, SpPD FEBRIS EC VIRAL INFECTION B34.9
dr. Nono Mattarungan, SpPD
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO, HYPERTIGH81.1 E78.1
dr. Yulius Mandua, SpS VERTIGO PERIFER, HT H81.3 I10
dr. Yulius Mandua, SpS HT, SECONDARY HEADACHE, DISLIPIDEMIA I10 R51
dr. Tedy Teguh Satriadi, SpOG- HAMIL ATERM, PEB, OLIGOHYDRAMNIONS, BEKAS SZ37.0 O14.1
KFM
dr. Ketut Rama Wijaya, SpOG SINGLE SPONTAN DELIVERY, SECOND DEGREE PERI O80.9 O42.9
dr. Stella Patricia Yapari, SpOG G2P1A0 39-40 MINGGU INPARTU O80.9 O70.1
dr. Andi Hasnawati, SpOG AB IMINENS, ISK O20.0 N39.0
dr. Alvarez Zefanya Moningka, OA GENU, DM II, POLYNEUROPATHY DIABETIC, HT STM17.9 E11.9
SpOT
dr. Alvarez Zefanya Moningka, FR CLAVICLE S42.0
SpOT
dr. Alvarez Zefanya Moningka, SUPRASPINATUS TEAR SHOULDER S46.0
SpOT
dr. Anggun Kusumasari, SpA, MSc DENGUE FEVER, RHINOPHARINGITIS ACUTE A90 J00
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Silvia Meiliana, MSc., SpA NCB BBLC SPT Z38.0
dr. Lita Siulan Tanang, SpA NEONATAL JOUNDICE P59.9
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, GEA, ACUTE NASOPHARINGITIS, KDA90 J00
dr. Anggun Kusumasari, SpA, MSc DENGUE FEVER, STOMATITIS, FARINGITIS AKUT A90 K12.1
dr. Anggun Kusumasari, SpA, MSc DENGUE FEVER, DIARE AKUT, RHINOPHARYNGITIS A90 A09.9
dr. Lita Siulan Tanang, SpA VIRAL INFECTION, KONSTIPASI B34.9 K59.0
dr. Nina Natalia, SpA DIARE AKUT, VOMITING A09.9 R11
dr. Nina Natalia, SpA URTI EC VIRAL INFECTION, LOW INTAKE J06.9 B34.9
dr. M. Fadhil Ardiyansyah, SpU HN, STENOSIS URETER, BATU URETER, DYSURIA N13.6 R30.0
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER, KINKING URETEN13.1
dr. M. Fadhil Ardiyansyah, SpU BPH DENGAN RETENSI URINE, STRICTURE URETER, SN40 R33
dr. Yhohan Ziantprayogi Thaihutu, INTUSUSSEPSI ILEOCAECOCOLICE K56.1
SpBA
dr. Yhohan Ziantprayogi Thaihutu, KOLIK ABDOMEN, ISK, KONSTIPASI, HEMORRHOID R10.4 N39.0
SpBA
dr. Agustinus Sony Yudianto, ACL TEAR GENU, MUCOCELE SINUS MAXILLA S83.5 J34.1
SpTHT-KL
dr. Haris Hayat, SpB CORPUS ALINEUM DIGITI V MANUS S61.0
dr. Yulius Mandua, SpS SPARAIN HAMSTRING T13.2
dr. Wisman Herminto, SpA ACUTE PHARYNGITIS J02.9
dr. Silvia Meiliana, MSc., SpA ALLERGI RHINITIS, MIGRAIN J30.4 G43.9
dr. Dewi Ayu Paramita, SpJP ANGINA PECTORIS, PPOK I20.9 J44.9
drg. Eviwati Sitanggang, SpBM KISTA RADIKULAR, MULTIPLE NECROSIS PULPA K04.8 K04.1
dr. Richard Yehuda Limen, SpB (K) CKD ST V , ANEMIA N18.8 D63.8
V
dr. Sekar Djatiningrum, SpKK ANGIODEMA URTICARIA AKUT, INSECT BITE L50.9 T63.4
dr. Silvia Meiliana, MSc., SpA HFMD, FIMOSIS B08.4 N47
dr. Silvia Meiliana, MSc., SpA NCB BBLC LETAK LINTANG Z38.0 P03.4
dr. Harris Oetama, SpU EPIDIDIMIS AKUT, DIVERTIKEL COLON ASCENDENS N45.9 K57.3
dr. Harris Oetama, SpU BPH, RETENSI URINE, HT ST I N40 R33
dr. M. Fadhil Ardiyansyah, SpU HN, BATU URETER, BATU BULI N13.2
dr. Harris Oetama, SpU BPH, ANEMIA N40 D64.9
dr. Lita Siulan Tanang, SpA RHINOPHARINGITIS AKUT, DIARE AKUT J00 A09.9
dr. Anggun Kusumasari, SpA, MSc BRONCHOPNEUMONIA J18.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Dewi Ayu Paramita, SpJP UAP, HHF I20.0 I11.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Achmad Yusri, SpJP ANGINA PECTORIS I20.9 I49.3
dr. Dewi Ayu Paramita, SpJP CAD, HHF I25.1 I11.9
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO H81.1
dr. Noviana Indarti, SpOG ABORTUS INCOMPLETE O03.4
dr. Noviana Indarti, SpOG
dr. Stella Patricia Yapari, SpOG G2P1A0 40-41 MINGGU INPARTU O80.9 O70.1
dr. Noviana Indarti, SpOG LETAK LINTANG, G1P0A0 N ATERM, AKSEPTOR IUD Z37.0 O82.9
dr. Nina Natalia, SpA URTI, HYPERSECRESI BRONKUS J06.9 J20.9
dr. Anggun Kusumasari, SpA, MSc
dr. Lita Siulan Tanang, SpA N ATERM P03.4 Z38.0
dr. Lita Siulan Tanang, SpA N ATERM Z38.0
dr. Lita Siulan Tanang, SpA NCB, SMK Z38.0
dr. Anggun Kusumasari, SpA, MSc ABDOMINAL PAIN, KONSTIPASI R10.4 K59.0
dr. Anggun Kusumasari, SpA, MSc ILEUS OBSTRUKSI, KEJANG DEMAM, RECURRENT DIA
K56.6 R56.8
dr. Lita Siulan Tanang, SpA RHINITIS, DIARE J00 A09.9
dr. Nina Natalia, SpA FARINGITIS AKUT, LOW INTAKE J02.9 E63.1
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ACUTE NASOPHARINGIN39.0 J00
dr. Nina Natalia, SpA VOMITING PROFUSE, DIARE AKUT, URTI R11 A09.9
dr. Heribertus Gunadi, SpPD, MSc HEMATOCHEZIA K92.1
dr. Shelly Laksmisari, SpPD CKD ST V ON HD RUTIN, DM II, M YELOPATHY, POLI N18.8 E11.9
dr. Heribertus Gunadi, SpPD, MSc TYPHOID FEVER A01.0
dr. Shelly Laksmisari, SpPD FEBRIS EC FARINGOBRONCHITIS, UTI, DYSPEPSIA J02.9 J40
dr. Heribertus Gunadi, SpPD, MSc UTI N39.0
dr. Shelly Laksmisari, SpPD GEA, UTI, DYSPEPSIA SYNDROME A09.9 N39.0
dr. Rudy Mokodompit, SpPD, SpKL COLIC ABDOMEN R10.4
dr. Nono Mattarungan, SpPD GASTRITIS CHRONIC SUPERFICIAL, LBP K29.3 M54.5
dr. Shelly Laksmisari, SpPD DYSPEPSIA, VOMITING PROFUSE, HEPATOPATY REACK30 R11
dr. Heribertus Gunadi, SpPD, MSc ICTERUS, PID R17 N73.9
dr. Heribertus Gunadi, SpPD, MSc TB PARU, DM, HEPATOPATHY, DYSPEPSIA A16.2 E14.9
dr. Heribertus Gunadi, SpPD, MSc RHINOPHARINGITIS AKUT J00
dr. Yulius Mandua, SpS TENSION TYPE HEADACHE, ASTHMA RINGAN, TRIGGG44.2 J45.9
dr. Yulius Mandua, SpS PERIODIC PARALYSIS, HYPOKALEMIA G72.3 E87.6
dr. Yulius Mandua, SpS STROKE ISCHEMIC AKUT, HT I63.9 I10
dr. Dewi Ayu Paramita, SpJP CAD I25.1
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, HYPERSECRESI BRONK J00 J20.9
dr. Silvia Meiliana, MSc., SpA ACUTE PHARYNGITIS, NAUSEA VOMITING J02.9 R11
dr. Silvia Meiliana, MSc., SpA ACUTE PHARYNGITIS, NAUSEA & VOMITING, ANEMIJ02.9 R11
dr. Ketut Rama Wijaya, SpOG GRAVIDA 32-33 MINGGU DYSPEPSIA O99.6
dr. Dewi Ayu Paramita, SpJP NSTEMI, HHF I21.4 I11.9
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, DIARE AKUT J00 A09.9
dr. Faust Mangali, SpB SYNCOPE, ATONIC SEIZURE, TUMOR PAYUDARA KA R55 G40.3
dr. Agustinus Sony Yudianto, TONSILOFARINGITIS KRONIK J06.8
SpTHT-KL
dr. Hedy Wahyu Ramadhani, SpOT
dr. Ketut Rama Wijaya, SpOG SINGLE SPONTAN DELIVERY, THIRD DEGREE PERINE O80.9 O70.2
dr. M. Furqon, SpJP CAD I25.1
dr. Silvia Meiliana, MSc., SpA ACUTE TONSILOFARINGITIS, GEA, ORAL CANDIDISIS J06.8 A09.9
dr. Nina Natalia, SpA TONSILOFARINGITIS AKUT, HYPERSECRESI BRONKUSJ06.8 J20.9
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, STOMATITIS, DEHIDRASI J00 K12.1
dr. Shelly Laksmisari, SpPD FEBRIS EC UTI, DYSPEPSIA, VOMITING PROFUSE N39.0 K30
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DENGUE HEMORRHAGIJ00 A91
dr. Heribertus Gunadi, SpPD, MSc SUSP CA COLON SIGMOID METASTASE HEPAR, GERDZ03.1 K21.9
dr. Harris Oetama, SpU RETENSIO URINE EC STRIKTUR URETHRA, INTERSTITIR33 N35.9
dr. Shelly Laksmisari, SpPD/ dr. STROKE ISCHEMIC AKUT, DM, NSTEMI, PAF I63.9 E14.9
Yulius Mandua, SpS/ dr. Dewi Ayu
dr. Silvia Meiliana, MSc., SpA ACUTE TONSILOPHARYNGITIS, URINARY TRACT INF J06.8 N39.0
Paramita, SpJP
dr. Haris Hayat, SpB TRAUMA TUMPUL PERUT, MULTIPLE EXORIASI S36.3 T07
dr. Yulius Mandua, SpS/ dr. Faust HEMORROID EXTERNA & INTERNA, SECONDARY HEI84.5 I84.2
Mangali, SpB Gunadi, SpPD, MSc
dr. Heribertus CYSTITIS, HYDRONEPHROSIS SINISTRA N30.9 N13.3
dr. Heribertus Gunadi, SpPD, MSc
dr. Muhammad Iqbal, SpJP CAD, DYSPEPSIA I25.1 K30
dr. Heribertus Gunadi, SpPD, MSc BRONCHOPNEUMONIA J18.0
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILOFARINGITIS AKUT, GASTROPATHYJ06.8 K31.9
dr. Haris Hayat, SpB APP CHRONIC K29.5
dr. Nina Natalia, SpA FARINGITIS AKUT, VOMITING PORFUSE, DEHYDRASIJ02.9 R11
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, ACUTE PHARYNGITIS A90 J02.9
dr. Yulius Mandua, SpS SACROILITIS BILATERAL M46.1
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, HEADACHE, HYPOGLICEMIA R50.9 R51
dr. Iman Martafani, SpBA APPENDICITIS ACUTE K35.8
dr. Yulius Mandua, SpS VERTIGO PERIFER, TENSION TYPE HEADACHE, HT, DH81.3 G44.2
dr. Alvarez Zefanya Moningka, LABIUM TEAR SHOULDER, TENDINOPATHY S43.4 M77.9
SpOT
dr. Arie Wibisono, SpBP-RE MALIGNANT NEOPLASM NASAL C76.0
dr. Hedy Wahyu Ramadhani, SpOT RUPTUR ACL S, MENISCUS TEAR S S83.5 S83.2
dr. Haris Hayat, SpB FISTULA PERIANAL, DM K60.3 E14.9
dr. Hedy Wahyu Ramadhani, SpOT RUPTUR ACL S, MENISCUS TEAR S S83.5 S83.2
dr. Hedy Wahyu Ramadhani, SpOT CF METACARPAL MANUS S62.30
dr. Stella Patricia Yapari, SpOG G2P1A1 38-39 MINGGU BSC 1X Z37.0 O82.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, HYPERSECRESI BRONK J00 J20.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, HYPERSECRESI BRONKUJ00 J20.9
dr. Dewi Ayu Paramita, SpJP HYPERTENSI, UAP, OMI INFERIOR I10 I20.0
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Anggun Kusumasari, SpA, MSc ISK, GASTROENTERITIS AKUT, APPENDISITIS KRONISN39.0 A09.9
dr. Ketut Rama Wijaya, SpOG HEG O21.0
dr. Christiana, SpM HIFEMA TRAUMATIKA S05.1
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, HYPERSECRESI BRONKUJ00 J20.9
dr. Lita Siulan Tanang, SpA DEMAM DENGUE, DEMAM KEJANG INSTAN A90 R56.8
dr. Shelly Laksmisari, SpPD DM II, GASTROPATHY DIABETIC, HT ST I E11.9 K31.8
dr. Tedy Teguh Satriadi, SpOG-
KFM
dr. Lita Siulan Tanang, SpA
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS K29.7
dr. Hittoh Fattory, SpA NCB BBLC SPT Z38.0
dr. Shelly Laksmisari, SpPD FEBRIS EC TONSILOFARINGITIS AKUT, GASTROPATHYR50.9 J06.8
dr. Noviana Indarti, SpOG PP SPONTAN, RUPTUR PERINEUM GR II , AKSEPTOR O80.9 Z37.0
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS, ADENOTONSILITIS CHRONIC J00 J35.9
dr. Shelly Laksmisari, SpPD HYPERTHYROID ON THERAPY, MYOFACIAL PAIN SYND
E05.9 G51.9
dr. Rizqa Kharisma, SpP ASTHMA PERSISTENT TERKONTROL DALAM SERAN J45.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT A09.9
dr. Nono Mattarungan, SpPD ULCER GASTER K25.9
dr. Yulius Mandua, SpS UTI, VERTIGO PERIFER N39.0 H81.3
dr. Elvis Deddy Kurniawan P, CA MAMMAE C50.9
SpB(K) Onk
dr. Agnes Imelda Imanuel, SpOG G1P1A0 HAMIL 37 MINGGU, CPD, BEKAS SC, LETAK Z37.0 O82.9
dr. Dewi Ayu Paramita, SpJP CAD, HHF, DM TYPE II I25.1 I11.9
dr. Christiani Muljono, SpJP CHEST PAIN SUSP GERD DD CAD R07.4 K21.9
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER, CKD N13.6 N18.8
dr. Shelly Laksmisari, SpPD
dr. Heribertus Gunadi, SpPD, MSc RHINOPHARINGITIS J00
dr. Heribertus Gunadi, SpPD, MSc URINARY TRACT INFECTION N39.0
dr. Andi Hasnawati, SpOG PARTUS POST TERM, KALA II LAMA, GAGAL INDUKSIZ37.0 O82.9
dr. Heribertus Gunadi, SpPD, MSc BRONCHITIS J40
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS, DYSPEPSIA J40
dr. Shelly Laksmisari, SpPD CA MAMMAE, MUCOSA CAVUM ORIS, HEMATOCHEZI
C50.9 K12.3
dr. Shelly Laksmisari, SpPD HYPONATERAEMIA, MILD UTI, GASTROPATHY E87.1 N39.0
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERM SC Z38.0 P03.4
dr. Heribertus Gunadi, SpPD, MSc BRONCHITIS, CKD, CAD, HYPERTENSI J40 N18.9
dr. Christiani Muljono, SpJP CHEST PAIN SUSP GERD DD CAD R07.4 K21.9
dr. Hittoh Fattory, SpA STOMATITIS, LOW INTAKE K12.1 E63.1
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, LBP K30 M54.5
dr. M. Fadhil Ardiyansyah, SpU PHYMOSIS BALANITIS N47
dr. Harris Oetama, SpU
dr. Heribertus Gunadi, SpPD, MSc
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Harris Oetama, SpU DJ STENT, CKD, DM, HHF Z96.0 N18.9
dr. Heribertus Gunadi, SpPD, MSc FARINGITIS J02.9
dr. Shelly Laksmisari, SpPD
dr. Shelly Laksmisari, SpPD FEBRIS, TONSILOFARINGITIS CHRONIC, MILD UTI, D R50.9 J06.8
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Harris Oetama, SpU OBS FEBRIS EC ISK, LUTS EC BPH N39.0 R39.8
dr. Shelly Laksmisari, SpPD DYSPEPSIA SYNDROME, MILD HYPERURICEMIA K30 E79.0
dr. Lukman Hatta Sunaryo, SpPD APPENDICITIS ACUTE K35.8
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER, STENOSIS URETN13.6 N35.9
dr. Shelly Laksmisari, SpPD
dr. Muhammad Iqbal, SpJP CAD, HHF, HYPERKALEMIA, FAILED PCI I25.1 I11.9
dr. Yulius Mandua, SpS SECONDARY HEADACHE, GASTROPATHY, FARINGITISR51 K31.9
dr. Shelly Laksmisari, SpPD MILD UTI, DYSPEPSIA SYNDROME N39.0 K30
dr. Nina Natalia, SpA FARINGITIS AKUT, VOMITING PORFUSE, DEHYDRASIJ02.9 R11
dr. Vincentius Daniel, SpB-KBD APPENDICITIS KATARALIS K37
dr. Nina Natalia, SpA URTI,H BRONCUS DD TB PARU J06.9 J20.9
dr. Lita Siulan Tanang, SpA RHINOPHARINGITIS J00
dr. Nono Mattarungan, SpPD DYSPEPSIA K30
dr. Noviana Indarti, SpOG PROLONGED LATEN PHASE, PP SPONTAN Z37.0 O80.9
dr. Nina Natalia, SpA DYSPEPSIA, URTI EC VIRAL INF K30 J06.9
dr. Harris Oetama, SpU TUMOR BULI, CAD D41.4 I25.1
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, LOW INTAKE, STOMATIJ00 E63.1
dr. Christiani Muljono, SpJP FEBRIS, TROMBOSITOPENIA, HEPATOPATHY R50.9 D69.6
dr. Stella Patricia Yapari, SpOG HEG O21.0
dr. Silvia Meiliana, MSc., SpA ACUTE BRONCHITIS, ORAL CANDIDIASIS, GEA J20.9 B37.0
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS J40
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, URTICARIA, IMPETIGO J00 L50.9
dr. Anggun Kusumasari, SpA, MSc EARLY ONSET SEPSIS, NEONATAL JOUNDICE P36.1 P59.9
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, DERMATITIS J00 L30.9
dr. Yulius Mandua, SpS TENSION TYPE HEADACHE G44.2
dr. Heribertus Gunadi, SpPD, MSc NASOPHARINGITIS J00
dr. Yulius Mandua, SpS TENTSION TYPE HEADACHE, VERTIGO NON VERTIB G44.2 R42
dr. Nono Mattarungan, SpPD ULCUS GASTER, UTI, HT K25.9 N39.0
dr. M. Fadhil Ardiyansyah, SpU HN, BATU URETER, ISK, HEMATURIAM, AKI N13.6 R31
dr. Heribertus Gunadi, SpPD, MSc PHARINGITIS J02.9
dr. Heribertus Gunadi, SpPD, MSc GERD K21.9
dr. Elvis Deddy Kurniawan P, SUSP CA PARU C34.9
SpB(K) Onk
dr. Harris Oetama, SpU CYSTITIS AKUT N30.0 N83.2
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS J40
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Lita Siulan Tanang, SpA RHINITIS, LOW INTAKE J00 E63.1
dr. Elvis Deddy Kurniawan P,
SpB(K) Onk SpBS
Dr.dr. Eveline,
dr. Shelly Laksmisari, SpPD GASTROENTERITIS AKUT, HYPOKALEMIA A09.9 E87.6
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, ACUTE NASOPHARYNGITIS, ORAL CA90 J00
dr. Daniel Susatyo Wirawan, SpA DHF, ISK A91 N39.0
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS, DM J40 E14.9
dr. Arie Wibisono, SpBP-RE MULTIPLE CONTRACTUR POST SURGICAL PROCEDU M62.4
dr. Nina Natalia, SpA
dr. Nono Mattarungan, SpPD ANEMIA SUSP DEFISIENSI BESI D50.9
dr. Stella Patricia Yapari, SpOG HEG O21.0
Dr.dr. Eveline, SpBS FAILED BACK SYNDROME POST LAMINECTOMY M96.1 R53
dr. Dewi Ayu Paramita, SpJP RECENT MI INFERIOR I34.0
dr. Shelly Laksmisari, SpPD FEVER DUE TO FARINGOBRONCHITIS AKUT, GASTROR50.9 J02.9
dr. Anggun Kusumasari, SpA, MSc
dr. Haris Hayat, SpB
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERM SC Z38.0 P03.4
dr. Dewi Ayu Paramita, SpJP CAD POST PCI, HHF I25.1 I11.9
dr. Heribertus Gunadi, SpPD, MSc
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS, HICCOUGH J40 R06.6
dr. Muhammad Iqbal, SpJP CHEST PAIN R07.4
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO H81.1
dr. Lita Siulan Tanang, SpA RHINITIS J00
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS, NAUSE VOMITING, GEA, J00 R11
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Harris Oetama, SpU
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT, HEPATOPATHY A09.9 K76.9
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT A09.9
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS, THROMBOSITOPENIA J00 J40
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS, DYSPEPSIA J00 K30
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Stella Patricia Yapari, SpOG G1P0A0 37-38 MINGGU, OLIGOHYDRAMNIONS O41.0
dr. Nina Natalia, SpA NCB SMK Z38.0
dr. Nina Natalia, SpA GASTRITIS K29.7
dr. Nina Natalia, SpA NCB SMK Z38.0
dr. Hedy Wahyu Ramadhani, SpOT UNION FIBULA POST ORIF S82.4 Z47.0
dr. Richard Yehuda Limen, SpB (K)
V
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Lita Siulan Tanang, SpA VIRAL INFECTION, LOW INTAKE B34.9 E63.1
dr. Lita Siulan Tanang, SpA N ATERM Z38.0
dr. Shelly Laksmisari, SpPD ANEMIA EC BLOOD CHRONIS, MENORRHAGIA, GAS D50.0 N92.0
dr. Heribertus Gunadi, SpPD, MSc FARINGITIS J02.9
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Stella Patricia Yapari, SpOG G2P2A0 POST PARTUS H-2 Z37.0 O80.9
dr. Anggun Kusumasari, SpA, MSc GASTROENTERITIS AKUT, RHYNOPHARINGITIS A09.9 J00
dr. Vincentius Daniel, SpB-KBD HEMORRHOID EXTERNA, PID I84.5 N73.9
dr. Silvia Meiliana, MSc., SpA
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Christiani Muljono, SpJP
dr. Christiani Muljono, SpJP RECENT STEMI ANTRIOR, CAD, SHOCK CARDIOGENII21.9 I25.1
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Shelly Laksmisari, SpPD DM II, POLINEUROPATHY DIABETIC, HYPONATREMI E11.4 E87.1
dr. Heribertus Gunadi, SpPD, MSc
dr. Silvia Meiliana, MSc., SpA ACUTE NASOPHARINGITIS J00
dr. Ketut Rama Wijaya, SpOG KET, TUBO OVARIAL ABSES O00.9 N70.9
dr. Nono Mattarungan, SpPD GASTRITIS EROSICVA, JAMUR PARU K29.0 B49
dr. Achmad Yusri, SpJP CKD, CAD, HYPERTENSI, DM, NEUROPATHY, ANEMIAN18.9 I25.1
dr. Stella Patricia Yapari, SpOG G1P0A0 38-39 MINGGU INPARTU Z37.0 O80.9
dr. Silvia Meiliana, MSc., SpA
dr. Silvia Meiliana, MSc., SpA DENGUE FEVER, ACUTE PHARYNGITIS A90 J02.9
dr. Rudy Mokodompit, SpPD, SpKL DIARE AKUT, VOMITING A09.9 R11
dr. Heribertus Gunadi, SpPD, MSc DIARE CAIR AKUT A09.9
dr. Lita Siulan Tanang, SpA
dr. Shelly Laksmisari, SpPD CKD ST V, DM II, HT ST I, ANEMIA RENAL N18.8 E11.9
dr. Elvis Deddy Kurniawan P,
SpB(K) Onk
dr. Bisma Brayatyana, SpOG INPARTU Z37.0 O80.9
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO H81.1
dr. Anggun Kusumasari, SpA, MSc NEWBORN ATERM SPONTAN Z38.0
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, STOMATITIS, DEHYDRAS
J00 K12.1
dr. Nina Natalia, SpA URTI, VOMITING J06.9 R11
dr. Heribertus Gunadi, SpPD, MSc CKD ST V, SEPSIS, EDEMA PARU, PNEUMONIA, ENC N18.8 A41.9
dr. Vincentius Daniel, SpB-KBD ANEMIA, PAROTITIS, HEMOROID INTERNA D64.9 K11.2
dr. Shelly Laksmisari, SpPD DM II, CELLULITIS CRURIS, HEPATOPATHY E11.9 L03.1
dr. Heribertus Gunadi, SpPD, MSc
dr. Yulius Mandua, SpS CERVICAL RADICULOPATHY EC SPONDILITIS CERVICAM54.1 M47.8
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Yulius Mandua, SpS VERTIGO PERIFER, TONSILOPHARINGYTIS H81.3 J06.8
dr. Achmad Yusri, SpJP ANGINA PECTORIS, CHF I20.9 I50.0
dr. Christiani Muljono, SpJP AF NVR, RHD, MS SEVERE, MILD TR, CHF, PH, HYPO I48 I09.9
dr. Richard Yehuda Limen, SpB (K) CKD ST V N18.8
V
dr. Shelly Laksmisari, SpPD ABDOMINAL PAIN EC DYSPEPSIA, HYPERGLICEMIA, K30 R73.9
dr. Heribertus Gunadi, SpPD, MSc TONSILOFARINGITIS J06.8
dr. Yhohan Ziantprayogi Thaihutu, BURIED PENIS N48.8
SpBA
dr. Yulius Mandua, SpS TETANY R29.0
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Heribertus Gunadi, SpPD, MSc FEBRIS, RHYNOPHARINGITIS R50.9 J00
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Shelly Laksmisari, SpPD DYSPEPSIA, VOMITING PROFUSE, HYPOKALEMIA, K30 R11
dr. Anggun Kusumasari, SpA, MSc BRONCHOPNEUMONIA, DEHYDRASI, LOW INTAKE J18.0 E86
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, KONSTIPASI J00 K59.0
dr. Anggun Kusumasari, SpA, MSc
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA, VERTIGO, SYNCOPE K30 R42
dr. Hedy Wahyu Ramadhani, SpOT CF ULNA S52.20 W17
dr. Anggun Kusumasari, SpA, MSc
dr. Stella Patricia Yapari, SpOG
dr. Shelly Laksmisari, SpPD GASTROENTERITIS AKUT, DM II, CAD ON THERAPY, HT
A09.9 E11.9
dr. Nono Mattarungan, SpPD GERD, POLIP GASTER K21.9 K31.7
dr. Wisman Herminto, SpA
dr. Haris Hayat, SpB HILD K40.9
dr. Yhohan Ziantprayogi Thaihutu, ABD PAIN, ISK R10.4 N39.0
SpBA
dr. Shelly Laksmisari, SpPD FEBRIS EC VIRAL INFECTION, POST HYOPOKALEMI B34.9 E87.6
dr. Alvarez Zefanya Moningka, FR DISTAL RADIOUS S52.6
SpOT
dr. Heribertus Gunadi, SpPD, MSc RHYNOBRONCHITIS J40
dr. Anggun Kusumasari, SpA, MSc GASTROENTERITIS AKUT, RHYNOPHARINGITIS A09.9 J00
dr. Nina Natalia, SpA
dr. Harris Oetama, SpU HYDRONEPROSIS EC BATU URETER N13.2
Dr.dr. Eveline, SpBS COR, CF CLAVICLE S06.9 S42.00
dr. Anggun Kusumasari, SpA, MSc NEONATAL JOUNDICE, FEEDING PROBLEM P59.9 P92.9
dr. Anggun Kusumasari, SpA, MSc BRONCHOPNEUMONIA, ANEMIA J18.0 D64.9
dr. Heribertus Gunadi, SpPD, MSc FARINGITIS J02.9
dr. Vincentius Daniel, SpB-KBD FISSURE ANAL K60.2
dr. Achmad Yusri, SpJP ANGINA PECTORIS, HHD WITH CHF, MR I20.9 I34.0
dr. Yulius Mandua, SpS
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS J00
dr. Yulius Mandua, SpS TETANY, HYPOKALEMIA R29.0 E87.6
dr. Nina Natalia, SpA
dr. Achmad Yusri, SpJP ANGINA PECTORIS, PVC I20.9 I49.3
dr. Nina Natalia, SpA
dr. Haris Hayat, SpB
dr. Yulius Mandua, SpS TETRAPARESIS, TB ON TERAPI, DM 2 G82.5 A16.9
dr. Shelly Laksmisari, SpPD DM II, ANEMIA ON CHRONIC DISEASES, HYPOKALE E11.9 D63.8
dr. Silvia Meiliana, MSc., SpA URINARY TRACT INFECTION, ALLERI RHINITIS, ACUTN39.0 J30.4
dr. Yulius Mandua, SpS HNP L1-L5 M51.1
dr. Nina Natalia, SpA FARINGITIS AKUT, MULTIPLE STOMATITIS J02.9 K12.1
dr. Heribertus Gunadi, SpPD, MSc RHYNOPHARINGITIS J00
dr. Yulius Mandua, SpS BENIGN PROXIMAL POSITIONAL VERTIGO H81.1
dr. Yulius Mandua, SpS HT, PSIKOSOMATIS I10 F45.9
dr. Shelly Laksmisari, SpPD
dr. Nono Mattarungan, SpPD ESOPHAGITIS (GERD) GR II K21.0
dr. Heribertus Gunadi, SpPD, MSc
dr. Nina Natalia, SpA DEMAM DENGUE A90
dr. Nono Mattarungan, SpPD GASTRITIS CHRONIC SUPERFICIAL, LBP K29.3 M54.5
dr. Alvarez Zefanya Moningka, ADHESIVE CAPSULITIS SHOULDER, DM M75.0 E14.9
SpOT
dr. Christiani Muljono, SpJP ANGINA PECTORIS, CAD POST CABG, CHF, MR TR, V I20.9 I25.1
dr. Anggun Kusumasari, SpA, MSc TONSILOFARINGITIS AKUT J06.8
dr. Alvarez Zefanya Moningka,
SpOT
dr. Heribertus Gunadi, SpPD, MSc
dr. Arie Wibisono, SpBP-RE CONTRACTURE CAVUM ORBITA POST ENUKLEASI, PZ92.4 B90.9
dr. Yulius Mandua, SpS TENSION TYPE HEADACHE, MYOFACIAL SYNDROME,G44.2 G51.9
dr. Alvarez Zefanya Moningka,
SpOT
dr. Vincentius Daniel, SpB-KBD HEMATOCHEZIA K92.1
dr. Nina Natalia, SpA NCB SMK Z38.0
dr. Hedy Wahyu Ramadhani, SpOT
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Adi Aryanto, SpOT
dr. Heribertus Gunadi, SpPD, MSc
dr. Christiani Muljono, SpJP ANGINA PECTORIS, HT, HYPOKALEMIA, ASTHMA PE I20.9 I10
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE J00
dr. Heribertus Gunadi, SpPD, MSc DYSPEPSIA K30
dr. Heribertus Gunadi, SpPD, MSc GASTRITIS EROSIVA K29.0
dr. Rizqa Kharisma, SpP EFFUSI PLEURA J90
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, HYPERSECRESI BRONCUJ00 J20.9
dr. Lita Siulan Tanang, SpA
dr. Shelly Laksmisari, SpPD FEBRIS EC RHINOPHARYNGITIS AKUT, DYSLIPIDEMI J00 E87.8
dr. Lita Siulan Tanang, SpA
dr. Shelly Laksmisari, SpPD FEBRIS EC FARINGITIS AKUT J02.9
dr. Ketut Rama Wijaya, SpOG SINGLE SPONTAN VERTEX DELIVERY, PROM, SECONDO80.0 O42.9
dr. Nina Natalia, SpA RHYNOPHARINGITIS ACUTE, THROMBOSITOPENIA J00 D69.6
dr. Christiani Muljono, SpJP
dr. Shelly Laksmisari, SpPD GEA, DYSPEPSIA SYNDROME, HYPOKALEMIA A09.9 K30
dr. Nina Natalia, SpA URTI, DIARE AKUT, TROMBOCITOPENIA J06.9 A09.9
dr. Haris Hayat, SpB
dr. Lita Siulan Tanang, SpA STOMATITIS K12.1
dr. Lita Siulan Tanang, SpA RHYNOPHARINGITIS, DIARE AKUT J00 A09.9
dr. Nina Natalia, SpA
dr. Anggun Kusumasari, SpA, MSc RHYNOPHARINGITIS ACUTE, THROMBOSITOPENIA J00 D69.6
dr. Heribertus Gunadi, SpPD, MSc
dr. Rizqa Kharisma, SpP
dr. Anggun Kusumasari, SpA, MSc
dr. Heribertus Gunadi, SpPD, MSc
dr. Iman Martafani, SpBA
dr. Heribertus Gunadi, SpPD, MSc
dr. Yulius Mandua, SpS VERTIGO PERIFER, HYPERURICEMIA, HYPERTIGLICE H81.3 E79.0
Dr.dr. Eveline, SpBS
dr. Shelly Laksmisari, SpPD
dr. Heribertus Gunadi, SpPD, MSc
dr. Lita Siulan Tanang, SpA
dr. H.M.D. Ervintiyanto, SpOG
dr. Silvia Meiliana, MSc., SpA
dr. Yulius Mandua, SpS
dr. Harris Oetama, SpU BATU URETER, NEPHROLITHIASIS, TENOSIS JURETERN20.1 N20.0
dr. Hedy Wahyu Ramadhani, SpOT
dr. Anggun Kusumasari, SpA, MSc ENTERITIS, DEHYDRASI, LOW INATAKE A09.9 E63.1
dr. Lita Siulan Tanang, SpA PHARINGITIS J02.9
dr. Christiani Muljono, SpJP
dr. Heribertus Gunadi, SpPD, MSc
dr. Shelly Laksmisari, SpPD
dr. Haris Hayat, SpB ABD PAIN R10.4
dr. Christiani Muljono, SpJP
dr. Rizqa Kharisma, SpP
dr. Haris Hayat, SpB OBS ABDOMINAL PAIN R10.4
dr. Anggun Kusumasari, SpA, MSc RHINOPHARINGITIS AKUT, EPILEPSY J00 G40.9
dr. Shelly Laksmisari, SpPD
dr. Daniel Susatyo Wirawan, SpA
dr. Lita Siulan Tanang, SpA
dr. Heribertus Gunadi, SpPD, MSc
dr. Anggun Kusumasari, SpA, MSc
dr. Nina Natalia, SpA
dr. Christiani Muljono, SpJP CHEST PAIN EC GERD DD CAD K21.9
dr. Harris Oetama, SpU
dr. Arie Wibisono, SpBP-RE COMBUTIO GR II 10 % T92.9 X12
dr. Daniel Susatyo Wirawan, SpA RHYNOPHARINGITIS J00
dr. Yulius Mandua, SpS TENSION TYPE HEADACHE G44.2
dr. Shelly Laksmisari, SpPD
RUJU
ICD Code ICD Code ICD Code ICD Code ASAL KAN/ Discharge Tgl Master LOS
III IV V VI MASUK TIDA Date
K
HD 39.95 11/5/2019 1 1 1
CORONARY ANGIOGRAPHY88.55 11/4/2019 1 1 1
HD 39.95 1/5/2019 1 1 1
CYSTOSCOPY, REMOVE DJ 57.32+97.65 5/11/2019 1 1 1
CORONARY ANGIOGRAPHY00.66+00.41+ 5/11/2019 1 1 1
ANGIOGRAPHY 88.55 1 1 1 1
ANGIOGRAPHY 88.55 11/6/2019 1 1 1
PENANGANA TUMOR DI WA
83.39+86.69 11/15/2019 1 1 1
CA 88.55 11/14/2019 1 1 1
CA PCI 00.66+00.41+ 11/14/2019 1 1 1
INDUKSI PERSALINAN 73.1 11/14/2019 1 1 1
URETEROSCOPY,URETHROT56.31+56.2+5 11/21/2019 1 1 1
HEMOROIDECTOMY 49.46 11/21/2019 1 1 1
DEBRIDEMENT, AMPUTASI,86.22+84.11+ 11/21/2019 1 1 1
EXCISION 85.21 11/18/2019 1 1 1
EXCISION 86.3 11/20/2019 1 1 1
INSERSI CDL, PRC 38.95+99.04 11/20/2019 1 1 1
ANGIOPLASTY 39.59 11/20/2019 1 1 1
AV SHUNT 39.27 11/20/2019 1 1 1
ANGIOGRAPHY 88.55 11/21/2019 1 1 1
ANGIOGRAPHY PCI 00.66+00.40+ 11/22/2019 1 1 1
ANGIOGRAPHY PCI 00.66+00.42+ 11/21/2019 1 1 1
CA PCI 11/27/2019 1 1 1 1
CORONARY ANGIOGRAPHY88.55 1 1 1 1
GASTROSCOPY 44.13 11/29/2019 1 1 1
1 1 1 1 1 1 1L
1 1 dr. Achmad Yusri, SpJP 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 0 0 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 0 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 0 0 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1
1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 0 1 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1T 1 1
1 1 1 1 1 0 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1T 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 0 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L 1 1
1 1 1 1 1 1 1L
Analisis Persetujuan Anestesi S/T
TTD & L/T
TTD & TTD & TTD &
Nama
ANASTESIOLOGIST Nama Nama Nama JAM KEMAT
Pasien/W
Dokter Saksi I Saksi II
ali
dr. Eka Seprianti W. Sp.An 1 1 1 1L
dr.Menara, SpAn 1 1 1 1L
T
T
T
dr. Iskandar Muchlis, Sp.An 1 1 1 1L
NIK
6471041707680005
-
Admision MR Patient Name Sex Age
UGD T 12/3/2019
UGD T 12/3/2019
S06.8 S01.9 T07 V03.1 UGD T 12/3/2019
UGD T 12/3/2019
Analisis Resume Medis
Tgl Master LOS H/M
Hasil Obat2
Alasan Kondisi
Pemeriksa Diagnosis Tindakan saat
Masuk Pulang
an pulang
12/4/2019 2H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 1H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 2H 1 1 1 1 1 1
12/4/2019 2H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 2H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 1H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 1H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
12/4/2019 1H 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
esume Medis Analisis Ke
Visit
Rencana Kontrol SINGKATAN S/T DPJP
Rencana (kali)
Tanda TGL
Tind. L/T PROFE Date
tangan Pulang
Lanjut SI
1 1 1L 12/9/2019 2 2 2
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 0
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 12/5/2019 2 2 2
1 1 1L 12/10/2019 2 2 2
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 12/10/2019 2 2 2
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 0T 2 0 2
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 12/11/2019 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L 1 1 1
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
1 1 1L
Analisis Kelengkapan Catatan Dokter
BLOOD TRANSFUS
TYPE ION
Doctor
Time S O A P Name TTD L/T
1 2 2 2 2 2 2T
1 1 1 1 1 1 1T
2 2 2 2 2 2 2L
2 2 2 2 2 2 2L
0 2 2 2 2 2 2T
0 2 1 1 2 2 2T
0 1 1 1 1 1 1T
0 1 1 1 1 1 1T
Analisis Informed Consent
HD 39.95 12/2/2019 1 1 1
INSERSI CDL 38.95 12/2/2019 1 1 1
nalisis Informed Consent
TTD &
TTD & TTD & TTD &
Nama
Resiko Alternatif OPERATOR Nama Pasien/W Nama Nama
Dokter Saksi I Saksi II
ali
L
L 1 1 1 1 1 1 1L
Analisis Persetujuan Anestesi S/T
TTD & L/T
TTD & TTD & TTD &
Nama ANASTESI Nama
Nama Nama Nama JAM KEMAT
Dokter OLOGIST Pasien/W
Dokter Saksi I Saksi II
ali
NIK
TTD &
NAMA NAMA TTD & TTD & TTD &
TGL TINDAKAN TANGG TINDA DOKTE RESIKO ALTERN Nama
NO. RM PROCEDURE OPERATOR Nama Pasien/W Nama Nama
AL ATIF
KAN R Dokter Saksi I Saksi II
al
T
T
T
T
T
T
T
T
T
T
T
T
T
Admision MR Patient Name Sex Age