Form Pat Baru

DATA PASIEN BARU
RSI IBNU SINA PAYAKUMBUH

FORMULIR B
BULAN : JAN 2018
RUANG : ARRAUDAH
TINDAKAN
NO TGL NAMA PASIEN JK U NO MR DOKTER
INFUS URINE KATETER
10
11
12
13
14
15
DATA PASIEN BARU
FORMULIR B
BULAN : JULI 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : JULI 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1 1 JULI 2018 JIMMI YOBA L 25 TH 180468 DR. YET 1 0
2 DARINAS P 87 TH 180580 DR.ERZA 1 0
3 EVAWATI P 51 TH 180574 DR. ERZA 1 0
4 RINTO HARIANTO L 17 TH 179367 DR. ERZA 1 0
5 2 JULI 2018 ROSNIALIS P 44 TH 180609 DR. WID 1 0
6 ERVAYONA P 59 TH 180627 DR. WID 1 0
7 MISO L 81 TH 144601 DR. YAN SPKK 1 0
8 SANIWAR P 78 TH 184663 DR. MARSHAL 1 0
9 3 JULI 2018 ELWITA P 59 TH 180141 DR. TUTI 1 0
10 NOFRIARDI L 29 TH 180653 DR. WID 1 0
11 JALIUS L 77 TH 180685 DR. WID 1 0
12 SYAHRIAL ABBAS L 71 TH 151788 DR. WID 1 0
13 4 JULI 2018 ISMANIAR P 61 TH 69116 DR. YET 1 0
14 YUSRIZAL L 24 TH 180723 DR. YET 1 0
15 TRI WISNU L 21 TH 145882 DR. YET 1 0
16 DEWI P 37 TH 108442 DR. MASHAL 1 0
17 ROSWITA P 57 TH 160377 DR. MASHAL 1 0
18 BASRUL L 58 TH 129399 DR. OYONG 1 0
19 WISRI P 28 TH 180726 DR. MASHAL 1 0
20 ERMAYULIS P 43 TH 180728 DR. YET 1 0
21 JONI DESRIANTO L 46 TH 176737 DR. YET 1 0
22 5 JULI 2018 ALI AKBAR L 64 TH 180750 DR. YET 1 0
23 AYUNIS L 82 TH 179138 DR. YET 1 0
24 NAFWANDI L 53 TH 180774 DR. YET 1 0
25 6 JULI 2018 MAWARDI L 66 TH 85367 DR. WID 1 0
26 7 JULI 2018 MUYAR L 66 TH 161308 DR. MELA 1 0
27 DAMUHAR L 70 TH 148031 DR. MELA 1 0
28 ZUKIR L 75 TH 180828 DR. ERZA 1 0
29 DAHLIA P 50 TH 135247 DR. ERZA 1 0
30 NURTINA P 76 TH 180835 DR. ERZA 1 0
31 LINDAWATI P 48 TH 175315 DR. ERZA 1 0
32 ASMADINAR P 54 TH 174188 DR. MELA 1 0
33 YUSFIA P 57 TH 67537 DR. ERZA 1 0

34 8 JULI 2018 NURTINA P 67 TH 164734 DR. ERZA 1 0
35 NOVA SUWESTI P 34 TH 60773 DR. MARSHAL 1 0
36 MUCTAR SIAN L 65 TH 132240 DR. DAHRIZAL 1 0
37 9 JULI 2018 NAALI L 77 TH 52498 DR. WID 1 0
38 YETRI P 53 TH 180905 DR. TUTI 1 0
39 WISNA ERNELI P 58 TH 180738 DR. DAHRIZAL 1 0
40 11 JULI 2018 NURHALIMAH P 29 TH 148609 DR. WID 1 0
41 YARNI P 63 TH DR. WID 1 0
42 RAHMADANI P 44 TH 180988 DR. WID 1 0
43 SUSI YANTI P 45 TH 91105 DR. OYONG 1 0
44 NIKMATUL HASANAH P 36 TH 9133 DR. WID 1 0
45 SYAMSU ADINAR L 78 TH 115748 DR. WID 1 0
46 ASNA P 65 TH 180954 DR. WID 1 0
47 M. RIDWAN L 23 TH 106585 DR. WID 1 0
48 SYAHRUL L 53 TH 180990 DR. MARSHAL 1 0
49 USMAN L 62 TH 151045 DR. OYONG 1 0
50 12 JULI 2018 RINI FETRINA P 46 TH 160552 DR. WID 1 0
51 RISMAN L 180995 DR. WID 1 0
52 NUR AZIZAH P 45325 DR. WID 1 0
53 DAHYUNIS L 78 TH 181030 DR. WID 1 0
54 MAWARNIS P 51 TH 181025 DR. OYONG 1 0
55 13 JULI 2018 DICCO L 22 TH 168825 DR. WID 1 0
56 ZURAIDA P 75 TH DR. WID 1 0
57 ALIMIN L 71 TH 41250 DR. OYONG 1 0
58 GUSTAFIANIS P 41 TH 181068 DR. YAN SPKK 1 0
59 14 JULI 2018 M. IQBQL L 21 TH 181091 DR. ERZA 1 0
60 ZULSAFRI L 24 TH 181105 DR. ERZA 1 0
61 15 JULI 2018 INAR P 80 TH 109541 DR YET 1 0
62 SYAMSIAR P 80 TH 181113 DR. MARSHAL 1 0
63 ALIZAR L 73 TH 128305 DR. ERZA 1 0
64 NADIA L 17 TH 151957 DR. ERZA 1 0
65 HARRY SATRIA L 30 TH 146985 DR. ERZA 1 0
66 16 JULI 2018 ROSNIAL P 60 TH 175175 DR. MARSHAL 1 0
67 IRSAN L 38 TH 167181 DR. WID 1 0
68 REFNI YENTI P 47 TH 181143 DR. MARSHAL 1 0
69 17 JULI 2018 ASFUL L 78 TH 181191 DR. WID 1 0
70 SUCI MURNI P 23 TH 167981 DR. WID 1 0
71 SAMIYAM P 66 TH 105146 DR. WID 1 0
72 SAMSINAR P 73TH 181204 DR. WID 1 0
73 18 JULI 2018 LAILI NUR P 69 TH 181229 DR. YET 1 0
74 TIARA P 14 TH 175658 DR. WID 1 0

75 VIVI WULANDARI P 24 TH 177878 DR. YET 1 0
76 SUKARDI L 51 TH 181238 DR. YET 1 0
77 RAMADANIS P 48 TH 181230 DR. YET 1 0
78 19 JULI 2018 ERNIATI P 42 TH 165282 DR. MELA 1 0
79 KARDINAL L 50 TH 128348 DR. OYONG 1 0
80 SHABIR L 59 TH 180245 DR. YET 1 0
81 20 JULI 2018 ZULFEBRI L 28 TH 181205 DR. YET 1 0
82 BUSRA P 55 TH 180205 DR. YET 1 0
83 EMIDAR P 45 TH 128139 DR. YET 1 0
84 ANISA PUTRI P 21 TH 181304 DR. YET 1 0
85 21 JULI 2018 ROSLINA P 56 TH 181319 DR. ERZA 1 0
86 GUSRIZAL L 41 TH 172641 DR. ERZA 1 0
87 JARUNIN L 86 TH 173824 DR. OYONG 1 0
88 AZIZAH P 21 TH 88888 DR. ERZA 1 0
89 SURYA JON L 64 TH 158315 DR. ERZA 1 0
90 YASNIATI P 65 TH 103115 DR. ERZA 1 0
91 ERMAN L 65 TH 99255 DR. ERZA 1 0
92 YULISMAR L 51 TH 63336 DR. ERZA 1 0
93 GAFNI / P 64 TH 82767 DR. ERZA 1 0
94 22 JULI 2018 HASMI / P 78 TH 169631 DR. ERZA 1 0
95 SHANDI WILLIAM L 35 TH 181349 DR. ERZA 1 0
96 DINA HELMI P 30 TH 158557 DR. ERZA 1 0
97 YARNI TATI P 54 TH 179430 DR. DAHRIZAL 1 0
98 RENI SYLVIA P 37 TH 98694 DR. MARSHAL 1 0
99 ROSMALINI P 50 TH 180669 DR. ERZA 1 0

ADI AFRIANTO L 39 TH 181311 DR. ERZA 1 0
23 JULI 2018 RISMA AYETI P 33 TH 181382 DR. WID 1 0
YULMAWATI P 35 TH 160657 DR. WID 1 0
AKMAL FIRDAUS L 35 TH 181382 DR. WID 1 0
EPIN LARASATI P 17 TH 181392 DR. WID 1 0
NILMAWATI P 47 TH 181399 DR. WID 1 0
24 JULI 2018 DJALALUDIN L 81 TH 100341 DR. WID 1 0
ELIANTIS P 54 TH 152239 DR. MARSHAL 1 0
DIRAN P 56 TH 181408 DR. CHAIRUL 1 0
M. ANIS L 74 TH 181435 DR. ERZA 1 0
TEDDY L 34 TH 180692 DR. WID 1 0
25 JULI 2018 NURIMAS P 74 TH 181473 DR. YET 1 0
MIFTAHUL P 13 TH 115965 DR. YET 1 0
WIYA SYPRA P 15 TH 162726 DR. YET 1 0
ASNI P 62 TH 181476 DR. YET 1 0
26 JULI 2018 ANYSRU P 76 TH 181474 DR. MAHYUZAR 1 0
SUNU L 108 TH 181493 DR. OYONG 1 0
SALVANTINA P 15 TH 139254 DR. YET 1 0
WIRDA L 69 TH 181497 DR. YET 1 0

27 JULI 2018 YUSUF L 71 TH 119661 DR. OYONG 1 0
SUWENI P 53 TH 178565 DR. YET 1 0
PUTRI EKA P 22 TH 181531 DR. YET 1 0
ERIL L 21 TH 181935 DR. ERZA 1 0

28 JULI 2018 SUPIRMAN L 51 TH 181584 DR. ERZA 1 0
SYAMSIR L 65 TH DR. OYONG 1 0
SYAFDI L 65 TH 153497 DR. DAHRIZAL 1 0
MAIDAR L 78 TH 181564 DR. ERZA 1 0
EMIDAR P 73 TH 165501 DR. ERZA 1 0
YUSNIAR L 73 TH 181582 DR. ERZA 1 0
ZAINAL L 181575 DR. ERZA 1 0
DALHUSNA P 57 TH 181574 DR. ERZA 1 0

29 JULI 2018 PUTRA L 24 TH 180407 DR. ERZA 1 0
ASRI L 45 TH DR. ERZA 1 0
ASMARITA P 53 TH 166892 DR. MARSHAL 1 0
DARLIANA P 47 TH 113104 DR. ERZA 1 0
MARIJON L 43 TH 138911 DR. ERZA 1 0

30 JULI 2018 DAMIRUL L 68 TH 147530 DR. WID 1 0
ANDRA L 35 TH 181626 DR. WID 1 0
AMRU MUNIR L 59 TH 181640 DR. MARSHAL 1 0
KHARDINAL L 50 TH 126348 DR. DAHRIZAL 1 0
HIRDA L 70 TH 178543 DR. WID 1 0
JATI P 20 TH 181599 DR. WID 1 0
SALMI P 63 TH 181636 DR. MARSHAL 1 0
JUSMANIDAR P 70 TH 181644 DR. WID 1 0

31 JULI 2018 ERNAWATI P 54 TH 181669 DR. WID 1 0
IPCN
DATA PASIEN BARU

FORMULIR B
BULAN : JULI 2018

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1 1 JULI 2018 WAWAN L 37 TH 180581 DR. OYONG 1 0
2 LISMAWATI P 25 TH 175943 DR. WID 1 0
3 2 JULI 2018 NURTI P 60 TH 22836 DR. ERZA 1 0
4 NURSAL L 77 TH 180539 DR. MARSHAL 1 0
5 3 JULI 2018 ABIHI SEVA L 2 TH 157437 DR. MARHAMAH 1 0
6 ERVA YORA P 58 TH 180627 DR. WID 1 0
7 4 JULI 2018 DARNIS P 68 TH 166255 DR. MARSHAL 1 0
8 M. FARHAN L 18 TH 180101 DR. MARSHAL 1 0
9 RISTA P 54 TH 67095 DR. MAHYUZAR 1 0
10 PAINAS P 55 TH DR. YET 1 0
11 5 JULI 2018 NURIMA P 58 TH 104104 DR. TUTI 1 0
12 RINI P 46 TH 160552 DR. YET 1 0
13 SYARMAN L 44 TH 178406 DR. YET 1 0
14 FERNANDO L 18 TH 180782 DR. YET 1 0
15 6 JULI 2018 MELFA L 57 TH 180785 DR, YET 1 0
16 DESNI P 54 TH 180816 DR. ERZA 1 0
17 7 JULI 2018 MAWARDI L 66 TH 85367 DR. WID 1 0
18 HARMAINI P 62 TH 168488 DR. ERZA 1 0
19 KHARDINAL L 50 TH 128348 DR. DAHRIZAL 1 0
20 9 JULI 2018 EMILIA P 63 TH 107300 DR. WID 1 0
21 10 JULI 2018 YASNIATI P 65 TH 103115 DR. WID 1 0
22 NAZAR L 67 TH 148381 DR. WID 1 0
23 ELVIUS L 43 TH 111444 DR. WID 1 0
24 11 JULI 2018 ERIATI P 58 TH 180942 DR. WID 1 0
25 NURHISNA P 25 TH 180951 DR. MAHYUZAR 1 0
26 ZAMMIRATI P 60 TH 173752 DR. YET 1 0
27 12 JULI 2018 ZAMRANI P 69 TH 171268 DR.YET 1 0
28 M. FAJAR L 19 TH 168532 DR. TUTI 1 0
29 AMHAR P 79 TH 69872 DR. YET 1 0
30 FITRISIA P 47 TH 86806 DR. YET 1 0
31 DOYA P 28 TH 20911 DR. YET 1 0
32 13 JULI 2018 DAHYUNUS L 81 TH 181030 DR. WID 1 0
33 SYAFRIADA P 63 TH 181029 DR. WID 1 0
34 14 JULI 2018 HELISMAYETI P 52 TH 181096 DR. WID 1 0
35 AHMAD L 71 TH 181894 DR. WID 1 0
36 SYAWALIS P 77 TH 130259 DR. WID 1 0
37 15 JULI 2018 ROSMAINAR P 78 TH 134598 DR. ERZA 1 0
38 NURIMA P 62 TH 104104 DR. TUTI 1 0
39 NARWISYAH P 78 TH 130787 DR. ERZA 1 0
40 17 JULI 2018 AFNI P 51 TH 181200 DR. WID 1 0
41 M. SABIR L 49 TH 179573 DR. WID 1 0
42 19 JULI 2018 TAUFIK L 68 TH 169738 DR. MELA 1 0

43 SUPIK P 68 TH 181246 DR. YET 1 0
44 FITRI LINDA P 49 TH 181242 DR. OYONG 1 0
45 SIMAS L 61 TH 181275 DR. YET 1 0
46 YOSEANDA P 31 TH 114784 DR. YET 1 0
47 21 JULI 2018 M. IKHSAN L 14 TH 124327 DR. ERZA 1 0
48 22 JULI 2018 ISIONA P 35 TH 181315 DR. ERZA 1 0
49 MISWARNI P 77 TH 181359 DR. ERZA 1 0
50 23 JULI 2018 POPY P 38 TH 181374 DR. WID 1 0
51 ZARIATI P 62 TH 136716 DR. MARSHAL 1 0
52 HASNI P 77 TH 169331 DR. ERZA 1 0
53 RAUNAS P 44 TH 180144 DR. ERZA 1 0
54 25 JULI 2018 AJIS L 32 TH 181453 DR. YET 1 0
55 MASNIFAR P 75 TH 181466 DR. YET 1 0
56 26 JULI 2018 NAFISA P 15 TH 055295 DR. YET 1 0
57 FATYA P 18 TH 055232 DR. YET 1 0
58 AZIZ L 61 TH 181495 DR. YET 1 0
59 27 JULI 2018 ELVIUS L 43 TH 111444 DR. WIT 1 0
60 TETIA P 52 TH 168080 DR.YET 1 0
61 28 JULI 2018 RAIHAN L 16 TH 181541 DR. MAHYUZAR 1 0
62 30 JULI 2018 DAFRIDA P 49 TH 008718 DR. MARSHAL 1 0
63 ENI PARIANTI P 54 TH 150357 DR. WIT 1 0
64 DASNI P 64 TH 181637 DR. WIT 1 0
65 AZIZAH P 18 TH 181348 DR. WIT 1 0
66 31 JULI 2018 NURSAM P 85 TH 126067 DR. WIT 1 0
67 YENI P 36 TH 130366 DR. WIT 1 0
IPCN
DATA PASIEN BARU

FORMULIR B
BULAN : JULI 2018

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1 1 JULI 2018 QAIDUL AKIL L 13 BLN 180518 DR. MARHAMAH 1 0
2 HAFSAH P 2 TH 180571 DR. MARHAMAH 1 0
3 M. SYAUQI L 13 BLN 180555 DR. MARHAMAH 1 0
4 FAYZA P 2,5 TH 158295 DR. MARHAMAH 1 0
5 KHANZA P 2,9 TH 180572 DR. MARHAMAH 1 0

6 2 JULI 2081 JAVIER L 2 TH 155649 DR. MARHAMAH 1 0
7 MUZAFFAR L 16 BLN 180626 DR. MARHAMAH 1 0
8 SYAFI L 6 TH 180644 DR. MARHAMAH 1 0
9 3 JULI 2018 RAFA L 4 TH 121015 DR. MARHAMAH 1 0
10 AHMAD ZAFIER L 7 BLN 176611 DR. MARHAMAH 1 0
11 4 JULI 2018 JELITA P 7 TH 180703 DR. MARHAMAH 1 0
12 WAHYU ANANDA L 10 TH 180696 DR. MARHAMAH 1 0
13 ZAHRUL UBAID L 3 TH 130982 DR. MARHAMAH 1 0
14 INAYA ALIFA P 14 BLN 180689 DR. MARHAMAH 1 0
15 NAUFAL AKMAL L 3 TH 180732 DR. MARHAMAH 1 0
16 M. AKBAR L 12 TH 180736 DR. MARHAMAH 1 0
17 5 JULI 2018 AYYATUL P 6 TH 180745 DR. MARHAMAH 1 0
18 RAYYAN L 11 TH 180759 DR. MARHAMAH 1 0
19 M. HASBY L 23 BLN 164538 DR. MARHAMAH 1 0
20 LUTFI DINAN L 13 BLN 13 BLN DR. MARHAMAH 1 0
21 FARZAN L 15 BLN 170691 DR. MARHAMAH 1 0
22 THUFAILA P 1 TH 165993 DR. MARHAMAH 1 0
23 6 JULI 2018 RAYYASHIDIQ P 2 TH DR. MARHAMAH 1 0
24 KEYZAN L 6 TH DR. MARHAMAH 1 0
25 7 JULI 2018 GHAZI L 20 BLN 177448 DR. MARHAMAH 1 0
26 FAYYADH L 5 TH 141832 DR. MARHAMAH 1 0
27 8 JULI 2018 AKBAR ZAVI L 3 TH 180851 DR. MARHAMAH 1 0
28 KIRANA P 16 BLN 161066 DR. MARHAMAH 1 0
29 AHMAD ZAHDAN L 4 TH 180855 DR. MARHAMAH 1 0
30 9 JULI 2018 AKBAR KHAKFA L 4,5 TH 120334 DR. MARHAMAH 1 0
31 AZKA MAULANA L 1 TH 180906 DR. MARHAMAH 1 0
32 DAULUS ZYAN L 1 TH 161565 DR. MARHAMAH 1 0
33 10 JULI 2018 M. ARSYAD L 1 TH 180932 DR. MARHAMAH 1 0
34 NAIMA MAHARANI P 11 TH 127284 DR. MARHAMAH 1 0
35 SAHLANL FIRDAUS P 5,5 TH 180943 DR. MARHAMAH 1 0
36 MIKO FERNANDO L 11 TH 71858 DR. MARHAMAH 1 0
37 11 JULI 2018 YETTI P 56 TH 154323 DR. MARSHAL 1 0
38 FATIH L 3,3 TH 128000 DR. MARHAMAH 1 0
39 SYARIFAH P 5 TH 180996 DR. MARHAMAH 1 0
40 12 JULI 2018 NAZIA WAFA P 3 TH 166693 DR. MARHAMAH 1 0
41 13 JULI 2018 KASMIATI P 57 TH 121782 DR. OYONG 1 0
42 14 JULI 2018 DIAN / 181081 P 38 TH 181081 DR. WID 1 0
43 15 JULI 2018 M. RAVANDA L 75 TH 167245 DR. MARHAMAH 1 0
44 WAHIDATUL P 45 TH 119644 DR. MARHAMAH 1 0
45 NABILA P 4 TH 118577 DR. MARHAMAH 1 0
46 AGNIYA P 2 TH 168976 DR. MARHAMAH 1 0

47 16 JULI 2018 NABIL FAYADH L 4 TH 149542 DR. MARHAMAH 1 0
48 PRICILLIA P 2 TH 179459 DR. MARHAMAH 1 0
49 ALIYAH P 40 HR 181163 DR. MARHAMAH 1 0
50 17 JULI 2018 FATHIR L 6,8 TH 92142 DR. MARHAMAH 1 0
51 ARKAN L 4,4 TH 181208 DR. MARHAMAH 1 0
52 18 JULI 2018 LATISA ALMAIRA P 1 TH 166644 DR. MARHAMAH 1 0
53 HANIFAH ZAHRA P 7 TH 181233 DR. MARHAMAH 1 0
54 M. NABIL RASYID L 10 TH 133587 DR. MARHAMAH 1 0
55 RAINA P 11 TH 57247 DR. MARHAMAH 1 0
56 M. QORY L 4 TH 161608 DR. MARHAMAH 1 0
57 M. MIQDAD L 1 TH 181212 DR. MARHAMAH 1 0
58 19 JULI 2018 M. RAGA L 13 BLN 181243 DR. MARHAMAH 1 0

ARYA DZAKY L 3 TH 181254 DR. MARHAMAH 1 0
24 JULI 2018 APRILIO L 4 TH 117748 DR. MARHAMAH 1 0
M. ALGIFARI L 1 TH 170503 DR. MARHAMAH 1 0
DJALALUDIN L 81 TH 100341 DR. WID 1 0
NABILA PUTRI P 6 TH 99874 DR. MARHAMAH 1 0

25 JULI 2018 ASYFARAHMAN P 7 TH 181446 DR. MARHAMAH 1 0
M. ANIS L 74 TH 181435 DR. ERZA 1 0
M. AZKA L 4,5 TH 181465 DR. MARHAMAH 1 0

26 JULI 2018 IMAM SHAUQI L 11 BLN 177025 DR. MARHAMAH 1 0
FARIS ALFATAH L 4 TH 129051 DR. MARHAMAH 1
HAIFA P 7 TH 181491 DR. MARHAMAH 1 0
M. RAFIF L 2 TH 175449 DR. MARHAMAH 1 0

27 JULI 2018 ALMAHYRA P 1 TH 167039 DR. MARHAMAH 1 0
AZKAN GHAZI L 4 TH 181540 DR. MARHAMAH 1 0
ARSYLA P 3 BLN 178252 DR. MARHAMAH 1 0
FAIHA P 1 TH 167976 DR. MARHAMAH 1 0
M. SYUHUD L 2,5 TH 181551 DR. MARHAMAH 1 0

28 JULI 2018 RAFERO L 2,5 TH 160210 DR. MARHAMAH 1 0
ABDULLA L 3 TH 129841 DR. MARHAMAH 1 0
SHAKILA P 3 TH 181554 DR. MARHAMAH 1 0
BALQIS P 10 BLN 181538 DR. MARHAMAH 1 0
AFLAH L 2 TH 161300 DR. MARHAMAH 1 0
ADELIA P 4 TH 145740 DR. MARHAMAH 1 0

30 JULI 2018 ANNAF L 1 TH 167678 DR. MARHAMAH 1 0
DEA NABILA P 14 TH 161519 DR. MAHYUZAR 1 0
ADAM NUGRAHA L 9 TH 174679 DR. MARHAMAH 1 0
ENZO L 1 TH 173494 DR. MARHAMAH 1 0
LUSI MARIA P 33 TH 082193 DR. MARHAMAH 1 0

IPCN
DATA PASIEN BARU

FORMULIR B
BULAN : JULI 2018

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1 JULI 2018 RAHIMA ZAKIA
1 P 26 TH 180587 dr. efriza naldi spog 1 0
2 JULI 2018 RIZA MUSTIKA
2 P 23 TH 180610 dr. efriza naldi spog 1 0
GURNI DESWITA
3 P 53 TH 180430 dr, mahyuzar 1 0
ELWITA RISNEL
4 P 59 TH 180141 dr. tuti 1 0
3 JULI 2018 ALIAN SYAHIRA
5 P 18 TH 178890 dr, mahyuzar 0 0
FITRIANI
6 P 22 H 180670 dr. efriza naldi 1 0
4 JULI 2018 NOFA ANDINI
7 P 29 TH 180611 dr. efriza naldi 1 1
ZELMIATI
8 P 36 TH 180045 dr. nike 1 1
RIFI FEBRIANA
9 P 34 TH 97649 dr. nike 1 1
DEWI MAYANG
10 P 28 TH 180735 dr. nike 1 0
5 JULI 2018 DEBBY ARISANDI
11 P 26 TH 177617 dr. efriza naldi 1 0
6 JULI 2018 MARETA DASNI
P 24 TH 180803 DR. SUHADI 1 1
RIKA YULIANI
P 19 TH 180805 DR. SUHADI 1 0
9 JULI 2018 DESRIYANTI
P 38 TH 174163 DR. SUHADI 1 0
10 JULI 2018 DELFITRI
P 50 TH 133183 DR. MAHYUZAR 1 0
CINTA PUTRI
11 JULI 2018 TETI ERAWATI
P 32 TH 180972 DR. SUHADI 1 0
MELATI GILANG
P 30 TH 119892 DR. EFRIZA NALDI 1 1
RIRI SETRA
P 43 TH 133903 DR. SUHADI 1 0
MERI
P 36 TH 178093 DR. SUHADI 1 0
12 JULI 2018 NURHISNA
FANNY
METRI
13 JULI 2018 ERMA
14 JULI 2081 LAURA
P 31 TH 181072 DR. SUHADI 1 0
FITRI DARUSMAN
P 32 TH 108756 DR. SUHADI 1 0
15 JULI 2018 ANISMAR
P 33 TH 1811121 DR. SUHADI 1 0
AYKESYAMA
P 35 TH 123904 DR. SUHADI 1 1
ASRIA FRANSISKA
P 40 TH 129493 DR. SUHADI 1 1
16 JULI 2018
ROSNIATI P 50 TH 172175 DR, MARSHAL 1 0
ZURIYATI P 42 TH 172448 DR. MAHYUZAR 1 0
19 JULI 2018
DINA ANNISA P 23 TH 167590 DR. MAHYUZAR 1 0
20 JULI 2018
RINA SOFIA P 29 TH 164962 DR. MAHYUZAR 1 0
22 JULI 2018
RAUNAS P 90 TH 180144 DR. ERZA 1 0
23 JULI 2018
YALNAWATI P 38 TH 160657 DR. ERZA 1 0
ZAINAB P 82 TH DR. MAHYUZAR 1 0

24 JULI 2018
ENDRA P 48 TH 68498 DR. MAHYUZAR 1 0
AMELIA P 82 TH 091252 DR. WID 1 0

25 JULI 2018
VITASYA P 19 TH 036954 DR. MAHYUZAR 1 0
26 JULI 2018
FERAWATI / 147056 P 38 TH 147056 DR. NIKE 1 1
SUCI NOFELIZA / 128222 P 26 TH 128222 DR. NIKE 1 0
RITA SUSANTI / 052116 P 42 TH 052116 DR. MAHYUZAR 1 0
NANA SOFIA / 113433 P 42 TH 113433 DR. MAHYUZAR 1 0

ALISYA
P 20 BLN 169746 DR. MAHYUZAR 1 0
27 JULI 2018
VIONA / 181527 P 13 TH 181539 DR. MAHYUZAR 1 0
YELMI / 181539 P 57 TH 181539 DR. MAHYUZAR 1 0
ABDULLAH / 129841 P 3,3 TH 129841 DR. MARHAMAH 1 0

28 JULI 2018
WINNI SARTIKA / 161677 P 28 TH 161677 DR, SUHADI 1 1
30 JULI 2018
DONA / 181635 P 37 TH 181635 DR. UMUM 1 0
DHEA AZIZI / 181610 P 18 TH 181610 DR. MAHYUZAR 1 0

31 JULI 2018 FEBRIA
IPCN
DATA PASIEN BARU

FORMULIR B
BULAN : JULI 2018

RUANG : PERINATOLOGI
TINDAKAN
INFUS URINE KATETER
1 2 JULI 2018 BY RAHIMA L 0 HR 180625 DR. MARHAMAH 1 0
2 4 JULI 2018 BY. NOVA ANDINI P 0 HR DR. MARHAMAH 1 0
3 BY FITRIANI P 1 HR DR. MARHAMAH 1 0
4 BY ZELMIATI P 2 HR 180741 DR. MARHAMAH 1 0
5 BY RIFI FEBRINA P 3 HR 180740 DR. MARHAMAH 1 0
6 5 JULI 2018 BY DEWI MAYANG L 0 HR 170840 DR. MARHAMAH 1 0
7 BY DEBI P 1 HR 180417 DR. MARHAMAH 0 0
8 BY WINDA P 2 HR DR. MARHAMAH 0 0

9 6 JULI 2018 BY RENI P 16 HR 100808 DR. MARHAMAH 1 0
10 PUTRI EKA P 8 HR 160818 DR. MARHAMAH 1 0
11 11 JULI 2018 AN. MARYAM P 6 HR 180985 DR. MARHAMAH 1 0
12 16 JULI 2018 BY PUTRI EKA P 9 HR 181166 DR. MARHAMAH 1
IPCN
DATA PASIEN BARU

FORMULIR B
BULAN : JULI 2018

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1 JULI 2018 NADIL FITRA
1 L 14 TH 180532 MAHYUZAR 1 0
2 JULI 2018 NOFRIADI
2 L 29 TH 180653 DR. WIT 1 0
NASRUL
3 L 51 TH 180658 DR. MAHYUZAR 1 0
5 JULI 2018 FAHMI
4 L 61 TH 168828 DR. NOVIANDRI 1 0
AFGAN
5 L 9 TH 154359 DR. MAHYUZAR 1 0
6 JULI 2018 AHMAD BINTANG
6 L 13 TH 51412 DR. MAHYUZAR 1 0
7 JULI 2018 AKMAL
7 L 70 TH 140437 DR. MAHYUZAR 1 0
9 JULI 2018 AMNI KARANI
8 L 68 TH 173158 DR. MAHYUZAR 1 0
KURNIAWAN
9 L 23 TH 180886 DR. MAHYUZAR 1 0
10 ULI 2018 ALTHAF FITRAH
10 L 18 TH 180922 DR. MAHYUZAR 1 0
ELFIZON JAYA
11 L 48 TH 180937 DR. MAHYUZAR 1 0
11 JULI 2018 LILFA TISMAN
12 L 37 TH 180957 DR. MAHYUZAR 1 0
MISE
13 L 53 TH 151794 DR. MAHYUZAR 1 0
RISMAN
14 L 53 TH 180995 DR. MAHYUZAR 1 0
12 JULI 2018 DEFRIANTO
15 L 27 TH 181008 DR. MAHYUZAR 1 0
BUSTAMI
L 73 TH 45473 DR. MAHYUZAR 1 0
13 JUNI 2018 GISTAV
HAMDANI
FIKI HENDRAWAN
15 JULI 2018 JONDRI WARMAN
RIVAL SAPUTRA
PRIANGGA
17 JULI 2018 WERI SEPTRIADI
18 MULI 2018 TOMMY
19 JULI 2018 NOVENDRI
20 JULI 2018 BADRI
21 JULI 2018 SYAFRI
YURISAM
23 JULI 2018 HENGKI IJAN
24 JULI 2018 YULISMAR
25 JULI 2018
NURDIN AKMAL /181380 L 60 TH 181380 DR. MAHYUZAR 1 0
26 JULI 2018
AUFA ALVINO / 104276 L 5 TH 104276 DR. CHAIRUL 1 0
27 JULI 2018
M. LUTFI NANDI / 181547 L 13 TH 181547 DR. MAHYUZAR 1 0
28 JULI 2018
NICO / 181542 L 15 TH 181542 DR. MAHYUZAR 1 0
30 ULI 2018
M. RAIS / 181507 L 74 TH 181507 DR. MAHYUZAR 1 0
DAMIRUS / 147530 L 74 TH 147530 DR. MAHYUZAR 1 0
M. ATHAFAN / 181609 L 9 TH 181609 DR. MAHYUZAR 1 0
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : AGUSTUS 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1 1 AGUST 2018 YULIDA HUSNI P 41 TH
120643 DR. WID 1 0
2 HENITA P 33 TH
181687 DR. YET 1 0
3 EFRI P 53 TH
155578 DR. OYONG 1 0
4 2 AGUST 2018 ARMEN L 66 TH
24496 DR. OYONG 1 0
5 DAIYAH P
181731 DR. YET 1 0
6 YURLIS P 67 TH
127082 DR. YET 1 0
7 RAMIS L 63 TH
180056 DR. YET 1 0
8 SUNARTI P
115986 DR. YET 1 0
9 NASRIL L 51 TH
181739 DR. YET 1 0
10 NURSAM L 60 TH
173963 DR. YET 1 0
11 SYAFLIDAR P 61 TH
181744 DR. MELA 1 0
12 3 AGUST 2018 RESNAWATI / 181770 P 43 TH
181770 DR. YET 1 0
13 IRNAWATI / 181762 P 44 TH
181762 DR. YET 1 0
14 NESA NOVITA / 181775 P 21 TH
181775 DR. YET 1 0
15 4 AGUST 2018 SEPTI EKA / 181791 P 24 TH
181791 DR. ERZA 1 0
DAHNIAR / 181786 P 71 TH
181786 DR. ERZA 1 0
SITI ROHANI / 181774 P 74 TH
181774 DR. ERZA 1 0
5 AGUST 2018 RIVI SILVIA / 162424 P 30 TH
162424 DR. ERZA 1 0
ADI ERNI / '059626 P 79 TH
'059626 DR. DAHRIZAL 1 0
DAHLIATUL FITRI / 181813 P 37 TH
181813 DR. ERZA 1 0
RUGYAH / '076214 P 51 TH
'076214 DR. ERZA 1 0
EDRINUR / 181830 L 46 TH
181830 DR. ERZA 1 0
6 AGUST 2018 ZULFINA / 181847 P 74 TH
181847 DR. MARSHAL 1 0
DONAL / 1818343 L 51 TH
1818343 DR. YET 1 0
JUMELIS / 181855 P 44 TH
181855 DR. YET 1 0
ERMAWATI / 128072 P 52 TH
128072 DR. YET 1 0
SUSNIATI / 181866 P 60 TH
181866 DR. YET 1 0
7 AGUST 2018 RENI MARLINA / 1818130 P 43 TH
1818130 DR. YET 1 0
HALIMAH / 078008 P 76 TH
78008 DR. YET 1 0
AZWARDI / 181901 L 59 TH
181901 DR. YET 1 0
YUSNIATI / '007585 P 54 TH
'007585 DR. YET 1 0
UNIN / 161794 L 63 TH
161794 DR. YET 1 0
SYAMSUARDI / 142890 L 61 TH
142890 DR.OYONG 1 0
8 AGUST 2018 ERNI DARLIS / 181057 P 65 TH
181057 DR. YET 1 0
MAIDAR / 181564 L 71 TH
181564 DR. OYONG 1 0
ARINA / 162128 P 20 TH
162128 DR. YET 1 0
RAHMAYETI / 172319 P 59 TH
172319 DR. OYONG 1 0
9 AGUST 2018 YULIANE / 181540 P 81 TH
181540 DR. YET 1 0
WIDURI / 169891 P 42 TH
169891 DR. YET 1 0
SYARIAL / 181973 L 63 TH
181973 DR. YET 1 0
WIRDA / 130211 P 40 TH
130211 DR. YET 1 0
RIKO EFENDI / 181486 L 37 TH
181486 DR. YET 1 0
RECHONDRA / 104163 L 35 TH
104163 DR. YET 1 0
BUSTAMI / 175418 L 65 TH
175418 DR. OYONG 1 0
10 AGUST 2018 AMALIA / 181985 P 46 TH
181985 DR. YET 1 0
ROSNIATI / 124026 P 72 TH
124026 DR. YET 1 0
SAMINGUN / 178973 L
178973 DR. YET 1 0
YENTI / 181309 P 44 TH
181309 DR. MELA 1 0
FADLIL / 176264 L 41 TH
176264 DR. YET 1 0
11 AGUST 2018 FITRI / 182011 P
182011 DR. MELA 1 0
MARGARETA / 172287 P 58 TH
172287 DR. ERZA 1 0
DARISMA / 163059 P 73 TH
163059 DR. ERZA 1 0
MISO / 144601 L 81 TH
144601 DR. ERZA 1 0
FATIMAH / 182036 P 53 TH
182036 DR. MELA 1 0
RISMAN / 182030 L 52 TH
182030 DR. MELA 1 0
12 AGUST 2018 BUYUNG RUSTAM / 114231 L 85 TH
114231 DR. ERZA 1 0
RATNA / 173855 P 58 TH 173855
DR. ERZA 1 0
13 AGUST 2018 NASWIR / 145711 L
145711 DR. MARSHAL 1 0
VEBRIANA / 152572 P
152572 DR. WID 1 0
14 AGUST 2018 DARUSAN / '026919 L 88 TH
'026919 DR. YET 1 0
DAHNIAR / 117037 P 80 TH
117037 DR. ERZA 1 0
ALFIFI SUMARTI / '052351 P 31 TH
'052351 DR. YET 1 0
WIRNADI / 147708 L 55 TH
147708 DR. YET 1 0
15 AGUST 2018 ZULIANTI / 182137 P
182137 DR. YET 1 0
HAMDANIS / 046279 P 40 TH
046279 DR. ERZA 1 0
ELIDAR / 151592 P 53 TH
151592 DR. YET 1 0
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1 1 AGUST 2018 NURSYAM L 60 TH 173963 DR. YET 1 0
2 AISYAH P 12 TH 181686 DR. CHAIRUL 1 0
3 SATRIA L 46 TH 170426 DR. MAHYUZAR 1 0
4 KEYZIA P 181713 DR. YET 1 0

16 TH
5 NENA P 179312 DR. YET 1 0
58 TH
6 3 AGUST 2018 DAIYAH P 85 TH 181731 DR. YET, DR. YAN 1 1
7 FITH DEDI L 52 TH 70787 DR. YET 1 0
8 4 AGUST 2018 ERMAINAR L 82 TH 178246 DR. ERZA 1 0
9 5 AGUST 2018 ERNA P 42 TH 181826 DR. ERZA 1 0
10 6 AGUST 2018 NINING / 095569 P 39 TH 1 0

95569 DR. YET
11 DELFIANTI / 888806 P 44 TH 1 0
888806 DR. YET
12 7 AGUST 2018 ZULFINA / 181847 P 52 TH 1 0
181847 DR. MARSHAL
13 8 AGUST 2018 IWAN / 181873 L 33 TH 1 0
181873 DR. YET
14 9 AGUST 2018 AZWARDI / 181901 L 59 TH 1 0
181901 DR. YET
15 NURMI / '012633 P 78 TH 1 0
12633 DR. YET
16 DAFRIZAL / 181752 L 59 TH 181752 1 0
DR. YET
17 10 AGUST 2018 JUSNIAR / 124637 P 67 TH 124637 1 1
DR. YET
18 EBINATA / 148128 L 55 TH 148128 1 0
DR. MELA
DAFRIZAL / 181752 L 59 TH 181752 DR. YET 1 0
11 AGUST 2018 EBINATA / 148128 L 55 TH 148128 DR. MELA 1 0
12 AGUST 2018 DALPERAILIS / 182043 L 69 TH DR. ERZA 1 0

182043
NURASNI / 012892 P 66 TH DR. ERZA 1 1
12892
YUSNIAR /135335 P 62 TH DR. ERZA 1 0
135335
DAHNIAR / 117037 P 81 TH DR. ERZA 1 0
117037
13 AGUST 2018 ISMARNI / 124538 P 55 TH DR. YET 1 0
124538
RATNA / 173855 P 59 TH DR. ERZA 1 0
173855
HAMDANIS / 046270 P 40 TH DR. ERZA 1 1
46270
ROSLAINI / 136709 P 78 TH DR. YET 1 0
136709
ADOLFO / 137776 L 4 TH DR. MARHAMAH 1 0
137776
ASLIMAH / 182099 P 67 TH DR. YET 1 0
182099
14 AGUST 2018 OMO BIN EME / 118830 L 83 TH DR. YET 1 0
118830
15 AGUST 2018 WITRIANI / 180975 P 37 TH DR. YET 1 0
180975
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1 1 AGUST 2018 ZAKI / '087480 L 7 TH DR. MARHAMAH
'087480 1 0
2 2 AGUST 2018 AFLAH / 161300 L 3 TH DR. MARHAMAH
161300 1 0
3 TALITA / 181734 P 10 TH DR. YAN HENDRI
181734 1 0
4 M. MIGDAD / 181212 L 1 TH DR. MARHAMAH
181212 1 0
5 HASBY / 175165 L 6 BLN DR. MARHAMAH
175165 1 0
6 SYAMIL / 181742 L 11 BLN DR. MARHAMAH
181742 1 0
7 ADAM / 169262 L 14 BLN DR. MARHAMAH
169262 1 0
8 3 AGUST 2018 ALTAF / 178848 L 18 BLN DR. MARHAMAH
178848 1 0
9 SAKTI ADI / 181760 L 8 BLN DR. MARHAMAH
181760 1 0
10 MARISSA / 159711 L 2,5 TH DR. MARHAMAH
15971 1 0
11 5 AGUST 2018 FATTEEN NAYYARA / P 1 TH DR. MARHAMAH
1 0
12 6 AGUST 2018 BEBY / 164135 L 14 BLN DR. MARHAMAH
164135 1 0
13 7 AGUST 2018 M. HASBY / 181896 L 5 TH DR. MARHAMAH
181896 1 0
14 GADIS / 181833 P 2 BLN DR. MARHAMAH
181833 1 0
15 HABIBAH WIDIE / 167973 P 19 BLN DR. MARHAMAH
167973 1 0
16 YUSUF / 172350 L 1 TH DR. MARHAMAH
172350 1 0
17 8 AGUST 2018 QIANA / 166155 P 2 TH DR. MARHAMAH
166155 1 0
18 M. ALTHAF / 180156 L 5 TH DR. MARHAMAH
180156 1 0
19 9 AGUST 2018 QIOVAN / 181913 L 9 TH DR. MARHAMAH
181913 1 0
20 M. MIQDAD / 181974 L 6 TH DR. MARHAMAH
181974 1 0
21 YULETA AQILA / 111717 P 5 TH DR. MARHAMAH
111717 1 0
22 10 AGUST 2018 GADIS / 181833 P 2 BLN DR. MARHAMAH
181833 1 0
23 HANESTO / 181993 L 8 TH DR. MARHAMAH
181993 1 0
24 11 AGUST 2018 HANA / P 4 TH DR. MARHAMAH
1 0
25 ENDI JOSMAN / L 52 TH DR. MARHAMAH
1 0
26 12 AGUST 2018 ALESA / P 4 TH DR. MARHAMAH
1 0
27 M. AKBAR / L 4 TH DR. MARHAMAH
1 0
28 AHMAD LUTHFY / L 1 TH DR. MARHAMAH
1 0
29 SERGIO / L 1 TH DR. MARHAMAH
1 0
13 AGUST 2018 M. MALIK / 182063 L 6 TH DR. MARHAMAH
182063 1 0
30 AZKIYA / 182075 P 2 TH DR. MARHAMAH
182075 1 0
M. GHAZI / '051409 L DR. MARHAMAH
13 TH '051409 1 0
14 AGUST 2018 ASNIMAR / 182056 P 75 TH DR. YET
182056 1 0
NUR ANNISA / 181751 P 9 TH DR. MARHAMAH
181751 1 0
M. NABIL / 182123 L DR. MARHAMAH
13 BLN 182123 1 0
15 AGUST 2018 RAHMAD / 182103 L 6 TH DR. MARHAMAH
182103 1 0
YUMMA / 182153 L 4 TH DR. MARHAMAH
182153 1 0
ROBER / 115307 L 33 TH DR. MARHAMAH
115307 1 0
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1 ESI LUSIANA / 181701 P 35 TH 181701 DR. NIKE 1 0
1 AGUST 2018
2 RIA / 115754 P 30 TH 115754 DR. NIKE 1 0
3 RIAN / 181454 P 32 TH 181454 DR. NIKE 1 1
4 SUSYANA / 147234 P 30 TH 147234 DR. MAHYUZAR 1 0

2 AGUST 2018
5 SILFIA / 112487 P 28 TH 112487 DR. MAHYUZAR 1 0
6 EVI YARSI / '040323 P 45 TH '040323 DR. MAHYUZAR 1 0

3 AGUST 2018
7 FITRA YANTI / 156240 P 48 TH 156240 DR. MAHYUZAR 1 0
8 BAIDAR / 181721 P 74 TH 181721 DR. MAHYUZAR 1 0
9 ASMA / 181785 P 60 TH 181785 DR. MAHYUZAR 1 0
10 BETRIS / 174827 P 58 TH 174827 DR. MAHYUZAR 1 0

4 AGUST 2018
11 VICY PERISA / 181814 P 18 TH 181814 DR. MAHYUZAR 1 0
5 AGUST 2018
12 MERI SOFIANTI / 143343 P 36 TH 143343 DR. EFRIZA NALDI 1 1
6 AGUST 2018
13 DARNIS / 181880 P 58 TH 181880 DR. MAHYUZAR 1 0
7 AGUST 2018
14 RISMAINI / 181899 P 36 TH 181899 DR. MAHYUZAR 1 0
15 RENI SURITA / 175807 P 37 TH 175807 DR. NIKE 1 0

8 AGUST 2018
CHINTIA / 181917 P 18 TH 181917 DR. MAHYUZAR 1 0
9 AGUST 2018
DESI ARITA / 181991 P 30 TH 181991 DR. SUHADI 1 0
10 AGUST 2018
DIANA / 181915 P 27 TH 181915 DR. NIKE 1 1
RUSMI YANTI / 181928 P 48 TH 181928 DR. NIKE 1 0
MIRA / 181870 P 52TH 181870 DR. MAHYUZAR 1 0

ERA NOVA / 181962 P 17 TH 181962 DR. MAHYUZAR 1 0
M. GHANI / 051409 P 12 TH 51409 DR. MARHAL 1 0

11 AGUST 2018
DEVI / 110843 P 32 TH 110843 DR. MARHAL 1 0
RINA SUSANTI / 182048 P 34 TH 182048 DR. EFRIZA NALDI 1 0

12 AGUST 2018
APRILIA / 106483 P 31 TH 106483 DR. EFRIZA NALDI 1 0
NELNASMI / 182025 P 65 TH 182025 DR. MAHYUZAR 1 0

13 AGUST 2018
YOFI / 140915 P 22 TH 140915 DR. EFRIZA NALDI 1 0
14 AGUST 2018
NELVITHA / 182147 P 30 TH 182147 DR. NIKE 1 0
15 AGUST 2018
SRI REZEKI / 117989 P 32 TH 117989 DR. YET 1 0
YULIA ASTER / 182155 P 29 TH 182155 DR. NIKE 1 0
ROSNIKA / 181191 P 43 TH 181191 DR. MAHYUZAR 1 0
IPCN
DATA PASIEN BARU

FORMULIR B

TINDAKAN
INFUS URINE KATETER
1 2 AGUST 2018 BY RIZA / 181728 P 1 HR 181728 DR. MARHAMAH 1 0
2 BY DESI ANITA / 182003 L 1 HR 182003 DR. MARHAMAH 1 0

11 AGUST 2018
3
8
9
10
11
12
13
14
15
16
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1 1 AGUST 2018 ANGGI PRATAMA / 181520 L 29 TH 181520
DR. MAHYUZAR 1 0
2 MICHO / 181682 L 5 TH 181682
DR. MAHYUZAR 1 0
3 USMAN / 181689 L 48 TH 181689
DR. MAHYUZAR 1 0
4 M. NUR / 181620 L 68 TH 181620
DR. MAHYUZAR 1 0
5 2 AGUST 2018 ARI YUDA / 181714 L 14 TH 181714
DR. MAHYUZAR 1 0
6 RAMADANIL / 181716 L 23 TH 181716
DR. MAHYUZAR 1 0
7 BASRI / 129297 L 71 TH 129297
DR. MAHYUZAR 1 0
8 3 AGUST 2018 CIKAL RAZALI / 181771 L 2 TH 181771
DR. MAHYUZAR 1 0
9 6 AGUST 2018 BAIHAKKI / 176991 L 5 TH 176991
DR. MAHYUZAR 1 0
10 ZULFIKAR / 181836 L 22 TH 181836
DR. MAHYUZAR 1 0
11 SYAFRIZUL / 181863 L 31 TH 181863
DR. MAHYUZAR 1 0
12 7 AGUST 2018 AZWARDI / 181901 L 59 TH 181901
DR. MAHYUZAR 1 0
13 8 AGUST 2018 WELLA / 181912 L 40 TH 181912
DR. MAHYUZAR 1 0
14 ANANDA / 181917 L 38 TH 181917
DR. MAHYUZAR 1 0
15 ALI AKBAR / 181940 L 14 TH 181940
DR. MAHYUZAR 1 0
16 9 AGUST 2018 FAHRUL HIDAYAT / 181884 L 17 TH 181884
DR. MAHYUZAR 1 0
17 10 AGUST 2018 CHAIRUL / 140556 L 13 TH 140556
DR. MAHYUZAR 1 0
14 AGUST 2018 RAMLI / 182114 L 92 TH 182114
DR. MAHYUZAR 1 1
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : SEPTEMBER 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1
5
6
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

TINDAKAN
INFUS URINE KATETER
1
4
5
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : OCTOBER 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1
6
7
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

TINDAKAN
INFUS URINE KATETER
1
7
8
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : NOVEMBER 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1
6
7
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

TINDAKAN
INFUS URINE KATETER
1
6
7
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B
BULAN : DESEMBER 2018

RUANG : ARRAUDAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAHMA
TINDAKAN
INFUS URINE KATETER
1
6
7
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : AZZAHRA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU
FORMULIR B

RUANG : ASSYFA
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

TINDAKAN
INFUS URINE KATETER
1
6
7
10
11
12
13
14
15
IPCN
DATA PASIEN BARU

FORMULIR B

RUANG : ARRAFAH
TINDAKAN
INFUS URINE KATETER
1
10
11
12
13
14
15
IPCN

Form Pat Baru

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Form Pat Baru

Uploaded by

Copyright:

DATA PASIEN BARU

RSI IBNU SINA PAYAKUMBUH

BULAN : JAN 2018

BULAN : JULI 2018

BULAN : JULI 2018

2 DARINAS P 87 TH 180580 DR.ERZA 1 0

3 EVAWATI P 51 TH 180574 DR. ERZA 1 0

4 RINTO HARIANTO L 17 TH 179367 DR. ERZA 1 0

5 2 JULI 2018 ROSNIALIS P 44 TH 180609 DR. WID 1 0

6 ERVAYONA P 59 TH 180627 DR. WID 1 0

7 MISO L 81 TH 144601 DR. YAN SPKK 1 0

8 SANIWAR P 78 TH 184663 DR. MARSHAL 1 0

9 3 JULI 2018 ELWITA P 59 TH 180141 DR. TUTI 1 0

10 NOFRIARDI L 29 TH 180653 DR. WID 1 0

11 JALIUS L 77 TH 180685 DR. WID 1 0

12 SYAHRIAL ABBAS L 71 TH 151788 DR. WID 1 0

13 4 JULI 2018 ISMANIAR P 61 TH 69116 DR. YET 1 0

14 YUSRIZAL L 24 TH 180723 DR. YET 1 0

15 TRI WISNU L 21 TH 145882 DR. YET 1 0

16 DEWI P 37 TH 108442 DR. MASHAL 1 0

17 ROSWITA P 57 TH 160377 DR. MASHAL 1 0

18 BASRUL L 58 TH 129399 DR. OYONG 1 0

19 WISRI P 28 TH 180726 DR. MASHAL 1 0

20 ERMAYULIS P 43 TH 180728 DR. YET 1 0

21 JONI DESRIANTO L 46 TH 176737 DR. YET 1 0

22 5 JULI 2018 ALI AKBAR L 64 TH 180750 DR. YET 1 0

23 AYUNIS L 82 TH 179138 DR. YET 1 0

24 NAFWANDI L 53 TH 180774 DR. YET 1 0

25 6 JULI 2018 MAWARDI L 66 TH 85367 DR. WID 1 0

26 7 JULI 2018 MUYAR L 66 TH 161308 DR. MELA 1 0

27 DAMUHAR L 70 TH 148031 DR. MELA 1 0

28 ZUKIR L 75 TH 180828 DR. ERZA 1 0

29 DAHLIA P 50 TH 135247 DR. ERZA 1 0

30 NURTINA P 76 TH 180835 DR. ERZA 1 0

31 LINDAWATI P 48 TH 175315 DR. ERZA 1 0

32 ASMADINAR P 54 TH 174188 DR. MELA 1 0

33 YUSFIA P 57 TH 67537 DR. ERZA 1 0

35 NOVA SUWESTI P 34 TH 60773 DR. MARSHAL 1 0

36 MUCTAR SIAN L 65 TH 132240 DR. DAHRIZAL 1 0

37 9 JULI 2018 NAALI L 77 TH 52498 DR. WID 1 0

38 YETRI P 53 TH 180905 DR. TUTI 1 0

39 WISNA ERNELI P 58 TH 180738 DR. DAHRIZAL 1 0

40 11 JULI 2018 NURHALIMAH P 29 TH 148609 DR. WID 1 0

41 YARNI P 63 TH DR. WID 1 0

42 RAHMADANI P 44 TH 180988 DR. WID 1 0

43 SUSI YANTI P 45 TH 91105 DR. OYONG 1 0

44 NIKMATUL HASANAH P 36 TH 9133 DR. WID 1 0

45 SYAMSU ADINAR L 78 TH 115748 DR. WID 1 0

46 ASNA P 65 TH 180954 DR. WID 1 0

47 M. RIDWAN L 23 TH 106585 DR. WID 1 0

48 SYAHRUL L 53 TH 180990 DR. MARSHAL 1 0

49 USMAN L 62 TH 151045 DR. OYONG 1 0

50 12 JULI 2018 RINI FETRINA P 46 TH 160552 DR. WID 1 0

51 RISMAN L 180995 DR. WID 1 0

52 NUR AZIZAH P 45325 DR. WID 1 0

53 DAHYUNIS L 78 TH 181030 DR. WID 1 0

54 MAWARNIS P 51 TH 181025 DR. OYONG 1 0

55 13 JULI 2018 DICCO L 22 TH 168825 DR. WID 1 0

56 ZURAIDA P 75 TH DR. WID 1 0

57 ALIMIN L 71 TH 41250 DR. OYONG 1 0

58 GUSTAFIANIS P 41 TH 181068 DR. YAN SPKK 1 0

59 14 JULI 2018 M. IQBQL L 21 TH 181091 DR. ERZA 1 0

60 ZULSAFRI L 24 TH 181105 DR. ERZA 1 0

61 15 JULI 2018 INAR P 80 TH 109541 DR YET 1 0

62 SYAMSIAR P 80 TH 181113 DR. MARSHAL 1 0