Lasiape Mei-Agustus 20

Laporan Detail Radiologi
Me
N
dic Jns.
o Reg. No Transaction No. Nama Pasien Umur Service Unit Item
al Kelamin
.
REG/OP/20 No.
1 JO200619-00051 ANZALA LESTARI SETIANI 19 F POLI MCU Thorax AP/PA
0619-0101
REG/OP/20
2 SU200623-0537 IMAM SASONO 40 M POLI MCU Thorax AP/PA VENDOR
0623-0273
REG/OP/20
3 SU200623-0548 MOCHAMAD YUNUS 37 M POLI MCU Thorax AP/PA VENDOR
0623-0275
REG/OP/20
4 SU200623-0557 ARI GUSTAMAN 33 M POLI MCU Thorax AP/PA VENDOR
0623-0277
REG/OP/20
5 SU200623-0561 M JAMAL LUTFI 30 M POLI MCU Thorax AP/PA VENDOR
0623-0279
REG/OP/20
6 SU200623-0565 NALI 41 M POLI MCU Thorax AP/PA VENDOR
0623-0282
REG/OP/20
7 SU200623-0569 RUSTAIN 37 M POLI MCU Thorax AP/PA VENDOR
0623-0283
REG/OP/20
8 SU200623-0575 SUGINO 32 M POLI MCU Thorax AP/PA VENDOR
0623-0284
REG/OP/20
9 SU200623-0587 WALUYO 37 M POLI MCU Thorax AP/PA VENDOR
0623-0286
REG/OP/20
### SU200623-0612 ERIK AGUS SETIAWAN 34 M POLI MCU Thorax AP/PA VENDOR
0623-0287
REG/OP/20
### SU200623-0592 TUGIYANTO 35 M POLI MCU Thorax AP/PA VENDOR
0623-0288
REG/OP/20
### SU200623-0598 W PRIHADI AS 42 M POLI MCU Thorax AP/PA VENDOR
0623-0289
REG/OP/20
### SU200623-0697 DEDE IRWAN 31 M POLI MCU Thorax AP/PA VENDOR
0623-0290
REG/OP/20
### SU200623-0601 JONIH 38 M POLI MCU Thorax AP/PA VENDOR
0623-0291
REG/OP/20
### SU200623-0700 NANDANG SUPRIATNA 40 M POLI MCU Thorax AP/PA VENDOR
0623-0292
REG/OP/20
### SU200623-0701 NARJO 40 M POLI MCU Thorax AP/PA VENDOR
0623-0293
REG/OP/20
### SU200623-0619 RISKI WAHYUNI 24 F POLI MCU Thorax AP/PA VENDOR
0623-0298
REG/OP/20
### SU200623-0626 TITIN APRIANI LESTARI 24 F POLI MCU Thorax AP/PA VENDOR
0623-0300
REG/OP/20
### SU200623-0632 HABIBIE UBAIDILLAH 29 M POLI MCU Thorax AP/PA VENDOR
0623-0303
REG/OP/20
### SU200623-0637 ROBBI ZIDNI HUDA 30 M POLI MCU Thorax AP/PA VENDOR
0623-0306
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### SU200623-0645 M. IMAM PRABOWO 23 M POLI MCU Thorax AP/PA VENDOR
0623-0307
REG/OP/20 RAKHMAT ANDRI
### SU200623-0704 31 M POLI MCU Thorax AP/PA VENDOR
0623-0309 SISWONO
REG/OP/20
### SU200623-0651 SISKA FEBRI SAYEKTI 26 F POLI MCU Thorax AP/PA VENDOR
0623-0310
REG/OP/20
### SU200623-0659 BAYU NOPIYANTO 27 M POLI MCU Thorax AP/PA VENDOR
0623-0313
REG/OP/20
### SU200623-0703 NOVA PUSPITA R 25 F POLI MCU Thorax AP/PA VENDOR
0623-0316
REG/OP/20
### SU200623-0706 MULYO HENDIKO 41 M POLI MCU Thorax AP/PA VENDOR
0623-0318
REG/OP/20
### SU200623-0707 SIDIK 52 M POLI MCU Thorax AP/PA VENDOR
0623-0321
REG/OP/20
### SU200623-0709 MARSUDI PRASETYA 30 M POLI MCU Thorax AP/PA VENDOR
0623-0325
REG/OP/20
### SU200623-0691 BUDI MULYONO 40 M POLI MCU Thorax AP/PA VENDOR
0623-0326
REG/OP/20 FIRMANSYAH SAEFUL
### SU200623-0713 30 M POLI MCU Thorax AP/PA VENDOR
0623-0328 BAHRI
REG/OP/20
### SU200623-0715 NURYAMAN 38 M POLI MCU Thorax AP/PA VENDOR
0623-0329
REG/OP/20
### SU200623-0692 M. RIZAL SIREGAR 32 M POLI MCU Thorax AP/PA VENDOR
0623-0330
REG/OP/20
### SU200623-0718 AGUS SETIAWAN 35 M POLI MCU Thorax AP/PA VENDOR
0623-0331
REG/OP/20
### SU200623-0696 DUDUY WAHYUDI 32 M POLI MCU Thorax AP/PA VENDOR
0623-0332
REG/OP/20
### SU200623-0720 KOMARUDIN 28 M POLI MCU Thorax AP/PA VENDOR
0623-0333
REG/OP/20
### SU200623-0711 IKA PUTRI AYUNINGTYAS 22 F POLI MCU Thorax AP/PA VENDOR
0623-0337
REG/OP/20
### SU200624-0558 SOPRI MERLIN 42 M POLI MCU Thorax AP/PA VENDOR
0624-0184
REG/OP/20 DR. ARIEF WAHONO,
### JO200704-00017 48 M POLI MCU Thorax AP/PA
0704-0141 SP.RAD
REG/OP/20 2383 DR. DODY ABDULLAH
0714-0319 97 SALEH, SP. JP. FIHA
REG/OP/20
### JO200714-00041 DR. H. M ZAINI AZWAN 39 M POLI MCU Thorax AP/PA
0714-0323
REG/OP/20 1654
### JO200714-00043 M.ARIEF FADLI. DR.TN 38 M POLI MCU Thorax AP/PA
0714-0326 50
REG/OP/20 0856
### JO200721-00004 SUMARNI, NY. 40 F POLI MCU Thorax AP/PA
0721-0090 10
REG/OP/20
### JO200825-00023 RIYANTO GUNAWAN, DR 47 M POLI MCU Thorax AP/PA
0825-0229
REG/OP/20 2497
### SU200622-0276 ABDUL ROHMAN 36 M POLI BEDAH UROLOGI USG Abdomen / Kepala (Biasa)
0622-0115 55
REG/EM/20 2485
### DS200501-0017 VICKY FIRMANSYAH 10 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0501-0001 97
REG/EM/20 2485
### DS200501-0019 DARTA BIN NAPIH 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0002 98
REG/EM/20 1827
### DS200501-0025 MARWIN BIN DARHIM 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0004 40
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2486
### DS200501-0029 M. YUSUF KHOIRY 12 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0007 00
REG/EM/20 1741
### DS200501-0030 RIFQIE OKTORA PUTRA 5 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0005 79
REG/EM/20 1939
### DS200501-0038 SUTIRAH BINTI KODIR 55 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0501-0013 70
REG/EM/20 1939
### DS200501-0039 SUTIRAH BINTI KODIR 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0013 70
REG/OP/20
### DS200501-0041 TITIN 58 F RADIOLOGI Thorax AP/PA
0501-0002
REG/EM/20 2485
### DS200501-0048 MUHAMAD 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0015 85
REG/EM/20 2486
### DS200501-0050 SULAEMAN BIN SAMSURI 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0010 02
REG/EM/20 0902
### DS200501-0052 ANITA BINTI MAHIM 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0017 86
REG/IP/200 2451
### DS200501-0062 TUTI HARTATI 44 F CARNATION Thorax AP/PA
430-0017 97
REG/EM/20 2486
### DS200501-0066 MUHAMAD YAMIN 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0029 11
REG/EM/20 0153
### DS200501-0075 YAN FERDIANSYAH. TN 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0031 83
REG/EM/20 2486
### DS200501-0076 SRI HARYANI 41 F INSTALASI GAWAT DARURAT (IGD) Ankle joint Dex/Sin
0501-0032 13
REG/EM/20 2486
### DS200501-0080 SRI HARYANI 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0032 13
REG/EM/20 2485
### DS200501-0082 DWI CAHYATI 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0033 69
REG/EM/20 2486
### DS200501-0084 MAYANG SARI 19 F INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0501-0034 14
REG/EM/20 2486
### DS200501-0085 MAYANG SARI 19 F INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0501-0034 14
REG/EM/20 2486
### DS200501-0086 MAYANG SARI 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0501-0034 14
REG/EM/20 2486 CT Scan Kepala Non kontras,bone
### DS200502-0020 SRI HARYANI 41 F INSTALASI GAWAT DARURAT (IGD)
0501-0032 13 window
REG/IP/200 2483
### DS200502-0025 NUR KASMAN 36 M AMARYLLIS Thorax AP/PA
501-0016 88
REG/IP/200 2485
### DS200502-0026 LIA ROSDIANA 0 F PERINA INFEKSI BABY GRAM
430-0010 95
REG/EM/20 1911
### DS200502-0027 YANTI BINTI KAYAN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0003 63
REG/IP/200 1507
### DS200502-0032 HJ.ODAH BINTI TONGKOD 69 F CARNATION USG Abdomen
430-0016 86
REG/IP/200 2485
### DS200502-0033 SURAHMAN BIN SOLEH 51 M CARNATION USG Abdomen
430-0015 92
REG/IP/200 2485
### DS200502-0035 DARTA BIN NAPIH 42 M CARNATION USG Abdomen
501-0005 98
REG/IP/200 2486
### DS200502-0037 SULAEMAN BIN SAMSURI 50 M AMARYLLIS USG Abdomen
501-0013 02
REG/EM/20 1911
### DS200502-0043 YANTI BINTI KAYAN 47 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0502-0003 63
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2210
### DS200502-0054 NACEP BIN SAMIN.TN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0004 26
REG/EM/20 2486
### DS200502-0065 AMINAH BINTI MIRAN 78 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0007 19
REG/EM/20 2486
### DS200502-0079 OCIH ROSITA 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0008 20
REG/OP/20 2338
### DS200502-0084 ALIFIOLIEN AZIKRY 19 F POLI BEDAH ORTHOPEDI Antebrachii Dex/Sin
0502-0059 85
REG/EM/20 2486
### DS200502-0085 ABDURROCHMAN ALAWI 32 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0010 21
REG/EM/20 2486
### DS200502-0086 ABDURROCHMAN ALAWI 32 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0502-0010 21
REG/IP/200 2484
### DS200502-0090 IKAH BINTI KARSIN. HJ 63 F CARNATION CAG - Kamar Tindakan
430-0001 97
REG/IP/200 2484
### DS200502-0090 IKAH BINTI KARSIN. HJ 63 F CARNATION CAG - Dokter Operator Kls 2
430-0001 97
REG/IP/200 2484
### DS200502-0090 IKAH BINTI KARSIN. HJ 63 F CARNATION CAG - Asisten Operator
430-0001 97
REG/EM/20 2486
### DS200502-0091 M. YAMAN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0011 22
REG/EM/20 2486
### DS200502-0097 HENDRIK BIN IMIN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0013 24
REG/IP/200 1735
### DS200502-0099 NANAN BIN EMIS (*) 60 M JASMINE CT Scan Kepala Non kontras
423-0024 64
REG/EM/20 1028
### DS200502-0101 ABDUL GANI 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0015 45
REG/EM/20 2154
### DS200502-0104 RATIH BINTI IMAN 63 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0014 35
REG/EM/20 1911
0502-0003 63
REG/EM/20 2486 (BATAL)DIANA ROSA
### DS200502-0110 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0016 27 SIPAHELUT
REG/EM/20 2486
### DS200502-0112 DIANA ROSA SIPAHELUT 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0016 27
REG/EM/20 2486
### DS200502-0114 SARDI WIHARJA 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0017 29
### DS200502-0115 SARDI WIHARJA 27 M INSTALASI GAWAT DARURAT (IGD)
0502-0017 29 window
REG/IP/200 2486
### DS200502-0142 SRI HARYANI 41 F AMARYLLIS Ankle joint Dex/Sin
501-0020 13
REG/EM/20 2486
### DS200502-0145 FIFIN NUR'AINI 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0020 33
REG/EM/20 2486
0502-0011 22
REG/EM/20 1468 NURHAYATI BINTI
0502-0019 49 NURDIN (*)
REG/EM/20 1468 NURHAYATI BINTI CT Scan Kepala Non kontras,bone
### DS200502-0153 28 F INSTALASI GAWAT DARURAT (IGD)
0502-0019 49 NURDIN (*) window
REG/EM/20 2327
### DS200502-0155 SADI BIN MADI, TN 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0021 04
REG/IP/200 2486
### DS200502-0157 ABDURROCHMAN ALAWI 32 M CARNATION Manus Dex/Sin
502-0007 21
REG/EM/20 2485
### DS200502-0159 RISKI 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0022 96
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2430
### DS200502-0160 SUBKHAN BIN SURYA 26 M POLI PENYAKIT DALAM Thorax AP/PA
0502-0092 94
REG/IP/200 2176
### DS200502-0187 ERMAWATI BINTI SUIT.NY 76 F CARNATION CV. Lumbosacral 2 posisi
429-0011 59
REG/EM/20 2486 (BATAL)REGINA AUDYA
0502-0023 34 SYARIF
REG/EM/20 1995 MUHAMMAD ARSAKHA
### DS200502-0193 5 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0024 90 REZKY SUHENDRA
REG/EM/20 2486
### DS200503-0021 MENTARI HANDAYANI 27 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0502-0025 36
REG/EM/20 2486
### DS200503-0027 YUYUN BIN SUMANTRI 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0003 37
### DS200503-0028 YUYUN BIN SUMANTRI 41 M INSTALASI GAWAT DARURAT (IGD)
0503-0003 37 window
### DS200503-0030 INAYATUL FADILAH 6 F INSTALASI GAWAT DARURAT (IGD)
0503-0006 50 window
REG/EM/20 2463
### DS200503-0036 AMINAH BINTI EMAY 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0005 44
REG/EM/20 1698
### DS200503-0037 ABDUL KINANG (*) 7 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0008 05
REG/EM/20 2486
### DS200503-0038 AMANUDIN BIN JAENAL 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0007 38
REG/EM/20 2486
### DS200503-0048 SOFWATUN NIDA 7 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0010 39
REG/EM/20 0647
### DS200503-0050 TUTIK LESTARI,NY. 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0012 56
REG/EM/20 2336
### DS200503-0053 (BATAL)WARMAN 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0011 28
REG/EM/20 2486
### DS200503-0055 EMAN BIN ENGKOK 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0013 40
REG/EM/20 2486
### DS200503-0056 EMAN BIN ENGKOK 62 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0503-0013 40
REG/EM/20 2486
### DS200503-0058 ACEP BARON 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0014 41
REG/EM/20 2486
### DS200503-0059 (BATAL)ACEP BARON 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0014 41
REG/EM/20 2486
### DS200503-0060 ASEP UBAIDILLAH 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0015 42
REG/EM/20 2486
### DS200503-0067 SLAMET APRIYANTO 24 M INSTALASI GAWAT DARURAT (IGD) Orbita
0503-0017 43
REG/EM/20 1876
### DS200503-0070 ADETYA UMMAYA 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0018 99
REG/EM/20 2340
### DS200503-0075 HENI KURAESIN 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0020 09
REG/EM/20 2486
### DS200503-0078 SANTOSO BIN CIP KUKUH 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0503-0021 44
REG/EM/20 2486
### DS200503-0079 SANTOSO BIN CIP KUKUH 65 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0503-0021 44
REG/EM/20 0625
### DS200504-0011 KOMIN.H 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0004 96
REG/EM/20 2486
### DS200504-0013 UDIN BIN ABAS 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0005 48
REG/EM/20 2486
### DS200504-0017 NAUROH ZANNAH 9 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0007 51
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2421
### DS200504-0026 NASIP MURWITO 39 M AMARYLLIS Thorax AP/PA
504-0006 08
REG/EM/20 2486
### DS200504-0036 KAMUL BINTI SAAMIN 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0010 53
REG/EM/20 0623 ANTIN BINTI MANAT
### DS200504-0048 63 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0504-0012 16 IMANAT
REG/IP/200 2485
### DS200504-0058 SITI MASITOH 27 F CARNATION Thorax AP/PA
428-0004 21
REG/OP/20 2486
### DS200504-0076 IWAN SETIAWAN 36 M POLI PENYAKIT DALAM Thorax AP/PA
0504-0044 54
REG/OP/20 1658
### DS200504-0083 BILAL RAMADHAN. TN 25 M RADIOLOGI Thorax AP/PA
0504-0094 23
REG/OP/20 1527
### DS200504-0085 FATIR RAHMANUL HAKIM 10 M POLI BEDAH MULUT Panoramik
0504-0041 42
REG/OP/20 2037 CT Scan Abdomen Superior / Inferior /
### DS200504-0087 MANDIR BIN SAMAN 51 M POLI BEDAH UROLOGI
0504-0086 86 Pelvis / Coxae non kontras
REG/OP/20 2485
### DS200504-0088 FATIR RIFANSYAH 13 M POLI BEDAH MULUT Panoramik
0504-0080 08
0504-0012 16 IMANAT
REG/OP/20 2036
### DS200504-0093 ARI KUSWANTO.TN 39 M POLI BEDAH UROLOGI USG Testis/Scrotum HP
0504-0093 09
REG/OP/20 2465
### DS200504-0096 RIZKI BIN MAMAN 10 M POLI PARU Thorax AP/PA
0504-0126 65
REG/OP/20 2465
### DS200504-0097 (BATAL)RIZKI BIN MAMAN 10 M POLI PARU Thorax AP/PA
0504-0126 65
REG/OP/20 2330
### DS200504-0098 SAMSURI BIN ROHALI 38 M POLI PARU Thorax AP/PA
0504-0077 00
REG/IP/200 2486 (BATAL)AMINAH BINTI
### DS200504-0102 78 F CHRYSANT USG Abdomen
502-0012 19 MIRAN
REG/EM/20 2123
### DS200504-0104 FAJAR RIYANTO 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0014 71
### DS200504-0106 63 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0504-0012 16 IMANAT
REG/IP/200 2486
### DS200504-0107 DIANA ROSA SIPAHELUT 24 F AMARYLLIS USG Abdomen
502-0015 27
REG/IP/200 2340
### DS200504-0108 HENI KURAESIN 41 F AMARYLLIS USG Abdomen
503-0011 09
REG/IP/200 2486
### DS200504-0109 MUHAMAD YAMIN 33 M ICU USG Abdomen
501-0018 11
REG/OP/20 1178
### DS200504-0110 ARIFKA TRI ARDIANSYAH 19 M POLI PARU Thorax AP/PA
0504-0146 29
REG/OP/20 1480
### DS200504-0114 KANI BINTI H.PAIN, HJ, 78 F POLI JANTUNG Thorax AP/PA
0504-0118 15
REG/OP/20 2478
### DS200504-0126 HENRA MELYANI MANALU 29 F POLI PENYAKIT DALAM Thorax AP/PA
0504-0190 06
REG/IP/200 0528
### DS200504-0142 BOYA BINTI BOYONG, NY 60 F CARNATION Thorax AP/PA
504-0016 75
REG/OP/20 2486
### DS200504-0143 KAMUL BINTI SAAMIN 59 F POLI BEDAH UMUM USG Thyroid Doppler
0504-0162 53
REG/OP/20 2467
### DS200504-0145 MUHAMAD RAFI NUGRAHA 13 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0504-0208 46
REG/IP/200 2486
### DS200504-0147 AMINAH BINTI MIRAN 78 F CHRYSANT USG Thorax / Paru
502-0012 19
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2231
### DS200504-0148 ZAIN KHOIRUDIN 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0016 07
REG/IP/200 2486
### DS200504-0171 MUHAMAD YAMIN 33 M ICU Thorax AP/PA
501-0018 11
REG/OP/20 2320
### DS200504-0173 MUHAMMAD THORIQ. AN 13 M POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0504-0209 52
REG/OP/20 2320
### DS200504-0174 MUHAMMAD THORIQ. AN 13 M POLI BEDAH ORTHOPEDI Pelvis/Coxae
0504-0209 52
REG/OP/20 2320
### DS200504-0175 MUHAMMAD THORIQ. AN 13 M POLI BEDAH ORTHOPEDI Art Genu Dex/Sin
0504-0209 52
REG/EM/20 0833
### DS200504-0179 SUWOLO BIN SUPARMAN 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0020 18
REG/EM/20 0833
### DS200504-0180 SUWOLO BIN SUPARMAN 52 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0504-0020 18
REG/EM/20 2486
### DS200504-0186 TEPLENG BIN NISIH 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0504-0024 69
REG/EM/20 2486
### DS200505-0001 DONI ANWAR SANUSI 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0001 47
REG/EM/20 2486
### DS200505-0024 ISAH BINTI MISLAN 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0002 70
REG/EM/20 2069
### DS200505-0027 YATI BINTI SARNIN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0004 25
REG/EM/20 2439
### DS200505-0036 TIRMAN BIN LASAN 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0009 76
REG/EM/20 0470
### DS200505-0041 RAFI SHAFIRA IKHYAN 15 M INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0505-0010 05
REG/IP/200 2486
### DS200505-0042 DONI ANWAR SANUSI 31 M AMARYLLIS USG Abdomen
505-0004 47
REG/EM/20 2485
### DS200505-0063 SANIAH BINTI SAKRANI 61 F INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0505-0014 28
REG/EM/20 2485
### DS200505-0064 SANIAH BINTI SAKRANI 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0014 28
REG/OP/20 2463
### DS200505-0067 NUR AKBAR TAUFIQ 26 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0505-0188 78
REG/IP/200 2463
### DS200505-0068 AMINAH BINTI EMAY 54 F CARNATION USG Abdomen
503-0005 44
REG/OP/20
### DS200505-0069 NUNUNG NURIYANTI 40 F RADIOLOGI USG Abdomen
0505-0195
REG/EM/20 2486
### DS200505-0071 YETI YULIANTI ANNISA 31 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0505-0016 84
REG/IP/200 2398
### DS200505-0084 MIA AFRILIYANI 21 F CARNATION USG Thorax / Paru
424-0021 47
REG/EM/20 2486
### DS200505-0087 ERSIN BIN BONAR 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0022 88
REG/EM/20 0967 ROHAYANAH BINTI
0505-0024 40 RAHMAN
REG/EM/20 2486
### DS200505-0096 BAYU SUSENO 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0027 94
REG/EM/20 2486
### DS200505-0098 (BATAL)BAGUS WIJAYA 17 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0505-0026 93
REG/EM/20 2486
### DS200505-0099 BAGUS WIJAYA 17 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0026 93
REG/EM/20 1705
### DS200505-0104 NEMAN BIN SADIH 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0029 29
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REG/EM/20 2486
### DS200505-0107 SAPRUDIN BIN NALIM 32 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0031 95
REG/EM/20 2486
### DS200505-0109 PUTUT PANCASILAIS 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0033 97
REG/EM/20 2486
### DS200505-0110 MUHIDIN BIN OTONG 30 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0505-0034 98
REG/EM/20 1678
### DS200505-0112 YANIH WIJAYA 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0035 35
REG/EM/20 2486
### DS200505-0113 RIKI APRIATNA 19 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0505-0032 96
REG/EM/20 2486
### DS200505-0114 ROMLI HADI 65 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0505-0036 99
REG/EM/20 2486
### DS200505-0115 ROMLI HADI 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0036 99
REG/EM/20 2486
### DS200505-0118 MUHIDIN BIN OTONG 30 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0505-0034 98
REG/EM/20 2487
### DS200506-0024 ATIM WIJAYA 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0003 03
### DS200506-0025 ABIEM ADI JULYANSYAH 22 M INSTALASI GAWAT DARURAT (IGD)
0506-0002 64 window
REG/EM/20 2487
### DS200506-0027 ICEM BINTI BEOM 69 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0004 04
REG/IP/200 2486 CT Scan Kepala Non kontras,bone
### DS200506-0034 BAGUS WIJAYA 17 M CHRYSANT
505-0017 93 window
REG/IP/200 2463
### DS200506-0037 SUPARDI BIN SOEKARNO 67 M AMARYLLIS Thorax AP/PA
506-0009 28
REG/EM/20 2487
### DS200506-0039 SUKADMA BIN RASKIM 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0009 06
REG/EM/20 2138 MUHAMAD IDRUS
0506-0010 22 NAWAWI. TN
REG/IP/200 2486
### DS200506-0057 SAPRUDIN BIN NALIM 32 M CHRYSANT USG Abdomen
505-0018 95
REG/OP/20 1198
### DS200506-0066 ROHADI SUDARMADI.TN 28 M POLI BEDAH MULUT Panoramik
0506-0095 03
REG/OP/20 2358
### DS200506-0068 MASIN BIN TONI 51 M POLI PENYAKIT DALAM USG Abdomen
0506-0054 20
REG/EM/20 2437
### DS200506-0069 DARMAGA NASUTION 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0012 94
REG/EM/20 2437
### DS200506-0072 DARMAGA NASUTION 67 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0506-0012 94
REG/IP/200 2486
### DS200506-0076 AMINAH BINTI MIRAN 78 F CHRYSANT Thorax AP/PA
502-0012 19
REG/OP/20 1362
### DS200506-0078 AMAN BIN PIRUN 70 M POLI PENYAKIT DALAM Thorax AP/PA
0506-0052 36
REG/OP/20 2468
### DS200506-0082 ADE 37 M POLI PARU Thorax AP/PA
0506-0147 52
REG/OP/20 2466
### DS200506-0084 JASIM BIN MAAT 46 M POLI PARU Thorax AP/PA
0506-0157 34
REG/OP/20 2487
### DS200506-0085 EDAH BINTI H. SA'ADIH 56 F POLI JANTUNG Thorax AP/PA
0506-0048 07
REG/IP/200 2486
### DS200506-0101 (BATAL)WIDI ARMONO 41 M AMARYLLIS CAG - Kamar Tindakan
505-0014 92
REG/IP/200 2486
### DS200506-0101 (BATAL)WIDI ARMONO 41 M AMARYLLIS CAG - Dokter Operator Kls 2
505-0014 92
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REG/IP/200 2486
### DS200506-0101 (BATAL)WIDI ARMONO 41 M AMARYLLIS CAG - Asisten Operator
505-0014 92
### DS200506-0103 ASROLI BIN SAPRI.TN 55 M POLI BEDAH UROLOGI
### DS200506-0104 RASUL BIN SANTA 51 M POLI BEDAH UROLOGI
### DS200506-0105 RANIH BINTI MIRAN 58 F POLI BEDAH UROLOGI
REG/EM/20 2448
### DS200506-0106 (BATAL)IIS AFRIANTI 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0014 85
REG/OP/20 1850 UNASAH BINTI CASKADI. CT Scan Abdomen Superior / Inferior /
### DS200506-0108 35 F POLI BEDAH UROLOGI
0506-0187 32 NY Pelvis / Coxae non kontras
REG/EM/20 2448
### DS200506-0109 IIS AFRIANTI 28 F INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0506-0014 85
REG/OP/20 2487
### DS200506-0114 SAAMAH BINTI SIDIK 42 F POLI PENYAKIT DALAM Thorax AP/PA
0506-0167 15
REG/OP/20 2475
### DS200506-0115 ROSAN BIN EMIN 28 M POLI PARU Thorax AP/PA
0506-0181 83
REG/EM/20 2337
### DS200506-0118 ILEUNG BINTI CEONG 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0016 84
REG/EM/20 2487
### DS200506-0120 UCIN BIN H. SANIN 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0506-0015 18
REG/OP/20 2320
### DS200506-0122 MUHAMMAD THORIQ. AN 13 M POLI BEDAH ORTHOPEDI Art Genu Dex/Sin
0506-0179 52
REG/IP/200 2486
### DS200506-0123 WIDI ARMONO 41 M AMARYLLIS PTCA - Dokter Operator
505-0014 92
REG/IP/200 2486
### DS200506-0123 WIDI ARMONO 41 M AMARYLLIS PTCA - Asisten Operator
505-0014 92
REG/IP/200 2486
### DS200506-0123 WIDI ARMONO 41 M AMARYLLIS PTCA - Kamar Tindakan
505-0014 92
REG/OP/20
### DS200506-0124 (BATAL)THEOVANI POHAN 6 F RADIOLOGI CT Scan Kepala dengan kontras
0506-0208
REG/OP/20
### DS200506-0125 THEOVANI POHAN 6 F RADIOLOGI CT Scan Kepala dengan kontras
0506-0208
REG/OP/20 2489
### DS200506-0126 TRI SUPARTININGSIH 29 F RADIOLOGI USG Abdomen
0506-0209 80
REG/EM/20 2487
### DS200507-0029 SITI APSOH 15 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0507-0003 25
REG/EM/20 2414
### DS200507-0034 TEGAR EKA PERDANA 12 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0507-0005 73
REG/EM/20 1283
### DS200507-0035 HERNA BUDIARTI 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0507-0006 77
REG/IP/200 2123
### DS200507-0045 FAJAR RIYANTO 55 M AMARYLLIS Thorax AP/PA
504-0014 71
REG/IP/200 2231
### DS200507-0046 ZAIN KHOIRUDIN 19 M JASMINE Thorax AP/PA
504-0019 07
REG/IP/200 2486
### DS200507-0050 MUHIDIN BIN OTONG 30 M CHRYSANT Manus Dex/Sin
505-0022 98
REG/EM/20 2486
### DS200507-0052 UNEH BINTI BOAN 27 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0507-0011 12
REG/IP/200 2486
501-0018 11
REG/IP/200 2487
### DS200507-0066 KOMIN SANJAYA 47 M CHRYSANT Thorax AP/PA
507-0001 23
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REG/EM/20 2487
### DS200507-0070 DIRRA THALITA NUARI 3 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0507-0013 30
REG/IP/200 2487
### DS200507-0071 SRI LESTARI 0 F PERINA INFEKSI BABY GRAM
507-0006 26
REG/EM/20 2487 SUMIARSIH BINTI YOSO
0507-0014 31 SUSASTRO
REG/EM/20 2487 (BATAL)MUHAMMAD
0508-0001 32 KEIZIE ARRAYA
REG/EM/20 2105
### DS200508-0019 H. TADJA BIN SAAN. TN 80 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0002 09
REG/EM/20 2487 MUHAMMAD KEIZIE
0508-0001 32 ARRAYA
### DS200508-0024 ANDIKA RAMADHAN 22 M INSTALASI GAWAT DARURAT (IGD)
0508-0003 11 window
REG/EM/20 2487
### DS200508-0026 SOLEH BIN MANOL 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0004 33
REG/EM/20 2487
### DS200508-0027 SOLEH BIN MANOL 43 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0508-0004 33
REG/IP/200 1715
### DS200508-0042 ARTI BINTI JAMSIR(*) 62 F GLADIOL Thorax AP/PA
423-0017 36
REG/EM/20 1927
### DS200508-0047 NELLI. H. BR. MANURUNG 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0007 30
REG/OP/20 0852
### DS200508-0055 ODAH BINTI ADENG,NY 80 F HEMODIALISA Thorax AP/PA
0508-0060 03
REG/OP/20 2168
### DS200508-0057 YANTI NOPITASARI. NY 25 F POLI BEDAH MULUT Panoramik
0508-0086 19
### DS200508-0062 NUR KASMAN 36 M POLI BEDAH UROLOGI
REG/EM/20 2487
### DS200508-0070 JAJA BIN YADI 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0008 38
REG/OP/20 2487 CT Scan Kepala Non kontras,bone
### DS200508-0071 IRA RAHAYU 17 F POLI SYARAF
0508-0097 34 window
### DS200508-0072 UNENG SUNENGSIH 58 F POLI BEDAH UROLOGI
REG/OP/20 2485
### DS200508-0073 ASENG ISKANDAR 39 M POLI SYARAF CV. Cervical 2 posisi
0508-0031 06
REG/OP/20 1217
### DS200508-0076 KHALISHA SILMI KAFFAH 8 F POLI ANAK USG Abdomen
0508-0141 23
REG/OP/20 2480
### DS200508-0085 MOHAMAD BIN SIDIK 59 M HEMODIALISA Thorax AP/PA
0508-0183 25
REG/IP/200 2486
### DS200508-0087 M. YAMAN 39 M CARNATION Thorax AP/PA
502-0010 22
REG/IP/200 2463
### DS200508-0088 AMINAH BINTI EMAY 54 F CARNATION Thorax AP/PA
503-0005 44
REG/IP/200 2486
### DS200508-0091 UDIN BIN ABAS 60 M CHRYSANT Thorax AP/PA
504-0012 48
REG/OP/20 2487
### DS200508-0092 BILQIS AZZAHRA 5 F POLI THT Cranium/Nasal AP & LAT
0508-0188 41
REG/OP/20 2482
### DS200508-0094 RONI BIN MUDAI 26 M POLI THT Sinus Para Nasal 3 posisi
0508-0193 20
REG/OP/20 2487 MANGAMPU TUA LUMBAN
### DS200508-0110 50 M POLI BEDAH UMUM Thorax AP/PA
0508-0201 43 GAOL
REG/EM/20 1217
### DS200508-0112 KHALISHA SILMI KAFFAH 8 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0011 23
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 0734
### DS200508-0116 ANDRA SAHRANI 17 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0013 56
REG/EM/20 2487
### DS200508-0123 AWANG PRASETYA 49 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0508-0014 47
REG/EM/20 2487
### DS200508-0124 AWANG PRASETYA 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0014 47
REG/EM/20 2487
### DS200508-0127 NESUN BIN MISA 76 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0017 50
REG/EM/20 2487
### DS200508-0135 ENDRA BIN UMAR 12 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0020 51
REG/EM/20 2064
### DS200508-0137 SANAH BINTI LOMIN 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0508-0021 77
REG/EM/20 2487
### DS200509-0003 ENTIS SUTISNA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0001 52
REG/EM/20 2090
### DS200509-0019 EROS BINTI MANIN 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0002 32
REG/EM/20 2487
### DS200509-0029 SABAR HUTABARAT 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0005 56
REG/IP/200 2487
### DS200509-0033 META PUSPITAWATI 33 F EDELWEISS Thorax AP/PA
509-0007 54
REG/EM/20 2487
### DS200509-0036 KRISHNA 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0006 59
REG/OP/20 2487
### DS200509-0044 NITA BIN MADUN 39 M POLI BEDAH MULUT Panoramik
0509-0077 62
REG/OP/20 2487
### DS200509-0046 RIZA NASIR FAHLEFI 26 M POLI BEDAH MULUT Panoramik
0509-0079 64
REG/EM/20 2487
### DS200509-0047 MISAN SUSANTO 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0007 63
### DS200509-0052 AGUS SURATO 29 M POLI BEDAH UROLOGI
REG/OP/20 2487 YULIATI BINTI OCENG CT Scan Abdomen Superior / Inferior /
0509-0106 67 SUHANDA Pelvis / Coxae non kontras
### DS200509-0055 DICKY ISHAK.TN 58 M POLI BEDAH UROLOGI
REG/EM/20 1226
### DS200509-0056 MIA MELINDA . NY 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0009 53
REG/EM/20 2394
### DS200509-0059 BELLA 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0008 20
REG/EM/20 1281
### DS200509-0060 JULIANTI SIANTURI 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0011 48
REG/EM/20 2487
### DS200509-0062 IRA RAHAYU 17 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0010 34
REG/EM/20 2487 HJ. BONONG BINTI H.
0509-0013 70 RIDEN
REG/IP/200 2487
### DS200509-0066 ENDRA BIN UMAR 12 M AMARYLLIS Pedis Dex/Sin
509-0002 51
REG/EM/20 2487 SA'ANIH BINTI
0509-0015 74 HASANUDIN
REG/IP/200 2487
### DS200509-0081 UCIN BIN H. SANIN 64 M CHRYSANT USG Thorax / Paru
506-0017 18
REG/EM/20 0844
### DS200509-0084 DINA OKTAVIANTI 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0017 79
REG/EM/20 2487
### DS200509-0089 ARNIH ARYANI, S.PD.I 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0016 75
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2486 (BATAL)KAMUL BINTI
### DS200509-0094 59 F POLI BEDAH UMUM Thorax AP/PA
0509-0145 53 SAAMIN
REG/EM/20 2487
### DS200509-0096 ERMITA SAGALA 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0020 77
REG/IP/200 2487
### DS200509-0106 (BATAL)MIA MELINDA 0 M NICU Thorax AP/PA
509-0020 76
REG/EM/20 2487
### DS200509-0107 MIA MELINDA 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0509-0018 76
REG/IP/200 2487
### DS200509-0109 FERDY ANSYAH PRATAMA 11 M AMARYLLIS Thorax AP-Lat anak
508-0009 42
REG/OP/20
### DS200509-0110 YENNI SAPUTRI 25 F RADIOLOGI Panoramik
0509-0148
REG/EM/20 2487
### DS200509-0111 SUPRIYADI BIN PONIO 32 M INSTALASI GAWAT DARURAT (IGD) Sinus Para Nasal 3 posisi
0509-0023 81
REG/EM/20 2487
### DS200509-0112 SUPRIYADI BIN PONIO 32 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0023 81
REG/EM/20 2487
### DS200509-0115 TETEN 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0022 80
REG/EM/20 2487
### DS200509-0116 TETEN 45 M INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0509-0022 80
REG/IP/200 2069
### DS200509-0119 YATI BINTI SARNIN 50 F CARNATION Thorax AP/PA
505-0007 25
REG/EM/20 2487
### DS200509-0120 HERTI BINTI JAILUN 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0014 72
REG/EM/20 2487
### DS200509-0126 EKI KARINA 21 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0025 83
REG/IP/200 2463
### DS200509-0129 AMINAH BINTI EMAY 54 F CARNATION BNO/Abdomen
503-0005 44
REG/IP/200 2487
### DS200509-0130 AWANG PRASETYA 49 M CHRYSANT Pedis Dex/Sin
508-0016 47
REG/EM/20 2487
### DS200509-0132 NANA SURYANA 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0026 85
REG/EM/20 1594
### DS200509-0134 NUANDHITA PRASASTI 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0509-0027 16
REG/EM/20 2487
### DS200510-0022 ALPIN BIN WADI 0 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0002 86
REG/EM/20 2261 FATHAAN SHAWQI
0510-0003 78 GUNAWAN
REG/EM/20 2487
### DS200510-0027 MURSIN BIN USUP 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0005 87
### DS200510-0029 IRWAN ILHAMUDIN 33 M INSTALASI GAWAT DARURAT (IGD)
0510-0006 88 window
REG/EM/20 2487
### DS200510-0030 IRWAN ILHAMUDIN 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0006 88
REG/EM/20 2487 (BATAL)IBNU MAJID AL CT Scan Kepala Non kontras,bone
### DS200510-0038 20 M INSTALASI GAWAT DARURAT (IGD)
0510-0009 90 FARSI window
REG/EM/20 2487 (BATAL)IBNU MAJID AL
### DS200510-0039 20 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0510-0009 90 FARSI
REG/EM/20 2487 (BATAL)IBNU MAJID AL
0510-0009 90 FARSI
### DS200510-0041 IBNU MAJID AL FARSI 20 M INSTALASI GAWAT DARURAT (IGD)
0510-0009 90 window
REG/EM/20 2487
### DS200510-0042 IBNU MAJID AL FARSI 20 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0510-0009 90
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2487
### DS200510-0043 IBNU MAJID AL FARSI 20 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0009 90
REG/EM/20 2487
### DS200510-0046 IBNU MAJID AL FARSI 20 M INSTALASI GAWAT DARURAT (IGD) Cranium/Nasal AP/LAT
0510-0009 90
REG/EM/20 2479
### DS200510-0049 MANSUR BIN MAMID 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0011 94
REG/EM/20 1648
### DS200510-0059 INDRA ARI WIBOWO 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0010 06
REG/EM/20 2487
### DS200510-0069 SUTRISNA BIN BAIRAN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0014 93
REG/EM/20 2487
### DS200510-0070 AHMADI BIN JAILANI 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0013 92
REG/EM/20 2103
### DS200510-0074 MESA HARISA.TN 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0016 88
REG/EM/20 2487
### DS200510-0081 MUHAMMAD ZAKY 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0017 94
REG/EM/20 2487
### DS200510-0091 (BATAL)MUHAMMAD ZAKY 21 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0510-0017 94
REG/EM/20 2487
### DS200510-0095 DESTI WULANDARI 16 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0019 95
REG/EM/20 2164
### DS200510-0104 KARTIKA PUSPASARI. NY 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0510-0024 53
REG/IP/200 2487
### DS200511-0036 MUHAMMAD ZAKY 21 M JASMINE USG Abdomen
510-0010 94
REG/IP/200 2487
### DS200511-0037 HERTI BINTI JAILUN 65 F CHRYSANT USG Abdomen
509-0025 72
REG/IP/200 2487
### DS200511-0038 AHMADI BIN JAILANI 33 M AMARYLLIS USG Abdomen
510-0009 92
REG/IP/200 2464
### DS200511-0053 JAUHARI BIN YUSUF ARIF 51 M CHRYSANT Thorax AP/PA
511-0003 44
REG/OP/20 2488
### DS200511-0064 LILIK SUBAGIO 56 M POLI SYARAF CV. Lumbosacral 2 posisi
0511-0121 10
### DS200511-0065 DEDE FATURROHMAN 30 M POLI BEDAH UROLOGI
REG/OP/20
### DS200511-0066 SITI JUHAIRIAH 9 F RADIOLOGI USG Abdomen
0511-0131
REG/OP/20 2483
### DS200511-0067 MULYADI BIN OTING 36 M POLI SYARAF CT Scan Kepala Non kontras
0511-0102 93
REG/IP/200 2487
### DS200511-0068 KRISHNA 57 M AMARYLLIS PTCA - Kamar Tindakan
509-0008 59
REG/IP/200 2487
### DS200511-0068 KRISHNA 57 M AMARYLLIS PTCA - Asisten Operator
509-0008 59
REG/IP/200 2487
### DS200511-0068 KRISHNA 57 M AMARYLLIS PTCA - Dokter Operator
509-0008 59
REG/OP/20 2037
### DS200511-0070 MANDIR BIN SAMAN 51 M POLI BEDAH UROLOGI Thorax AP/PA
0511-0051 86
REG/IP/200 2487
### DS200511-0071 SABAR HUTABARAT 68 M AMARYLLIS PTCA - Kamar Tindakan
509-0009 56
REG/IP/200 2487
### DS200511-0071 SABAR HUTABARAT 68 M AMARYLLIS PTCA - Dokter Operator
509-0009 56
REG/IP/200 2487
### DS200511-0071 SABAR HUTABARAT 68 M AMARYLLIS PTCA - Asisten Operator
509-0009 56
REG/IP/200 1705
### DS200511-0072 NEMAN BIN SADIH 54 M JASMINE Thorax AP/PA
505-0021 29
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2488
### DS200511-0076 MURNI MAGDALENA 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0006 20
REG/IP/200 1569 FISQIYATURROHMAH
### DS200511-0078 13 F AMARYLLIS Thorax AP/PA
511-0006 35 AZZAHRA
REG/OP/20 2488
### DS200511-0080 GINAH SUPRIYATIN 20 F POLI THT USG Thyroid Doppler
0511-0151 17
REG/EM/20 2398
### DS200511-0084 PUTRI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0005 79
REG/IP/200 2486
### DS200511-0093 UNEH BINTI BOAN 27 F EDELWEISS Thorax AP/PA
507-0009 12
REG/EM/20 2488
### DS200511-0101 KOMARUDIN BIN SARBINI 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0008 28
REG/EM/20 2488
### DS200511-0102 KOMARUDIN BIN SARBINI 38 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0511-0008 28
### DS200511-0108 MUHAMAD LUTPI ANWAR 28 M POLI BEDAH UROLOGI
### DS200511-0109 AHMAD KISWANTORO 22 M POLI BEDAH UROLOGI
### DS200511-0110 ERIK PRIATNA 31 M POLI BEDAH UROLOGI
REG/OP/20 2004
### DS200511-0114 YAYAH ROKAYAH 36 F POLI BEDAH VASKULER Thorax AP/PA
0511-0189 23
REG/EM/20 2444
### DS200511-0115 DEASY AZIZ 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0011 77
REG/IP/200 2362
### DS200511-0117 SUKOYO DANU PRASETYO 45 M CHRYSANT PTCA - Asisten Operator
510-0012 31
REG/IP/200 2362
### DS200511-0117 SUKOYO DANU PRASETYO 45 M CHRYSANT PTCA - Dokter Operator
510-0012 31
REG/IP/200 2362
### DS200511-0117 SUKOYO DANU PRASETYO 45 M CHRYSANT PTCA - Kamar Tindakan
510-0012 31
REG/EM/20 2384
### DS200511-0119 FAUZAN 1 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0012 07
REG/EM/20 2488
### DS200511-0120 MUHAMAD PIKRI YULLOH 7 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0511-0014 32
REG/EM/20 2486
0512-0001 22
REG/EM/20 2488 (BATAL)NEIL EDWIN
0512-0002 33 COLLIS HONDRO
REG/EM/20 2488 RAHMAWATI BINTI PUJI
0512-0004 34 SANTOSO
REG/EM/20 2488
### DS200512-0034 YUDA BIN ENCEP 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0006 35
REG/EM/20 2488 NEIL EDWIN COLLIS
0512-0002 33 HONDRO
REG/EM/20 2488
### DS200512-0037 SIANE MARYATI SODIK 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0007 36
REG/IP/200 2488
### DS200512-0043 WINDI HARDIANTI 0 F PERINA INFEKSI BABY GRAM
511-0012 31
REG/EM/20 2488
### DS200512-0045 (BATAL)FAJAR SIDIK 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0010 39
REG/EM/20 2488
### DS200512-0047 (BATAL)FAJAR SIDIK 21 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0512-0010 39
REG/IP/200 2488
### DS200512-0050 NANANG SURYADI 57 M CHRYSANT Thorax AP/PA
512-0006 07
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REG/EM/20 2329 AFITA FITRIANI
0512-0011 43 RACHMAWATI
REG/OP/20 2478
### DS200512-0073 DEDI SUBANDI 34 M POLI BEDAH ORTHOPEDI Art Genu Dex/Sin
0512-0115 30
REG/OP/20 2487 KHOERUDDIN BIN CT Scan Abdomen Superior / Inferior /
### DS200512-0075 32 M POLI BEDAH UROLOGI
0512-0020 99 PRATIKNO Pelvis / Coxae non kontras
### DS200512-0079 NURFADILAH 38 F POLI BEDAH UROLOGI
REG/OP/20 2455
### DS200512-0085 NURINI AISAH 34 F HEMODIALISA Thorax AP/PA
0512-0130 98
REG/IP/200 2444
### DS200512-0093 DEASY AZIZ 48 F AMARYLLIS USG Abdomen
511-0013 77
REG/IP/200 0967 ROHAYANAH BINTI
### DS200512-0095 42 F CHRYSANT CT Scan Kepala Non kontras
505-0019 40 RAHMAN
REG/OP/20
### DS200512-0096 NISRINA 14 F RADIOLOGI USG Abdomen
0512-0199
REG/IP/200 2486
### DS200512-0098 SRI SYAHRI WARDANI 57 F CARNATION CT Scan Kepala Non kontras
502-0003 16
REG/IP/200 2486
501-0018 11
REG/IP/200 2487
507-0001 23
REG/EM/20 2488
### DS200512-0105 TINAH BINTI MAIN 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0018 48
REG/OP/20 2484 BACHTIAR BIN RIFAT
### DS200512-0107 66 M POLI BEDAH VASKULER Thorax AP/PA
0512-0212 72 MUHARAM
REG/EM/20 2426
### DS200512-0111 INA BINTI SIIN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0020 24
REG/EM/20 2488
### DS200512-0115 AGUS RIDWAN 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0022 49
REG/EM/20 2118
### DS200512-0128 AZZAM KAFI RIJAL 2 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0026 72
REG/EM/20 1843
### DS200512-0129 NURAINI BINTI DIDI 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0512-0025 55
REG/OP/20 2351
### DS200513-0031 WILDAN 12 M POLI ANAK Thorax AP/PA
0513-0046 75
REG/EM/20 2488
### DS200513-0040 ARMAH BINTI SALI 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0004 53
REG/EM/20 2488
### DS200513-0041 ARMAH BINTI SALI 46 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0513-0004 53
REG/IP/200 2458 TOYIBIN BIN TOIP
### DS200513-0042 69 M CHRYSANT Thorax AP/PA
513-0003 12 SUMANTRI
### DS200513-0058 FERRY A SOFYAN 29 M POLI BEDAH UROLOGI
REG/OP/20 2488 MEGHAN MILENE
### DS200513-0059 14 F POLI BEDAH MULUT Panoramik
0513-0079 58 ANGELINE MASSIE
REG/EM/20 2415
### DS200513-0063 ANI ALIA SUSANTI 28 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0513-0007 56
REG/IP/200 2488
### DS200513-0065 NANANG SURYADI 57 M CHRYSANT CAG - Kamar Tindakan
512-0006 07
REG/IP/200 2488
### DS200513-0065 NANANG SURYADI 57 M CHRYSANT CAG - Dokter Operator Kls 3
512-0006 07
REG/IP/200 2488
### DS200513-0065 NANANG SURYADI 57 M CHRYSANT CAG - Asisten Operator
512-0006 07
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 1480 (BATAL)KANI BINTI
512-0017 15 H.PAIN, HJ,
REG/IP/200 1480
### DS200513-0067 KANI BINTI H.PAIN, HJ, 78 F AMARYLLIS USG Abdomen
512-0017 15
### DS200513-0070 FANIE PRIBADI ALAMSYAH 36 M POLI BEDAH UROLOGI
REG/EM/20 1038
### DS200513-0071 DEWI MEILASARI,NY 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0003 00
REG/IP/200 1480
### DS200513-0077 KANI BINTI H.PAIN, HJ, 78 F AMARYLLIS Thorax AP/PA
512-0017 15
REG/EM/20 2488 MUHAMMAD KADAFI
0513-0008 65 PUTRA
REG/EM/20 2488 MUHAMMAD KADAFI
### DS200513-0079 11 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0513-0008 65 PUTRA
REG/EM/20 2415
### DS200513-0082 ANI ALIA SUSANTI 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0007 56
REG/OP/20 1969
### DS200513-0085 YADI MULYADI. TN 32 M POLI GIGI DAN MULUT Panoramik
0513-0085 77
REG/IP/200 2488
### DS200513-0087 SIANE MARYATI SODIK 59 F CHRYSANT PTCA - Kamar Tindakan
512-0004 36
REG/IP/200 2488
### DS200513-0087 SIANE MARYATI SODIK 59 F CHRYSANT PTCA - Dokter Operator Kls 2
512-0004 36
REG/IP/200 2488
### DS200513-0087 SIANE MARYATI SODIK 59 F CHRYSANT PTCA - Asisten Operator
512-0004 36
REG/IP/200 2488
### DS200513-0091 DENI PURWANTO 37 M AMARYLLIS PTCA - Kamar Tindakan
512-0008 42
REG/IP/200 2488
### DS200513-0091 DENI PURWANTO 37 M AMARYLLIS PTCA - Dokter Operator Kls 2
512-0008 42
REG/IP/200 2488
### DS200513-0091 DENI PURWANTO 37 M AMARYLLIS PTCA - Asisten Operator
512-0008 42
### DS200513-0094 ACENG KURNIAWAN 41 M POLI BEDAH UROLOGI
REG/EM/20 2276
### DS200513-0098 MAD SALIM 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0010 19
REG/OP/20 2488
### DS200513-0100 DANIL SETIAWAN 20 M POLI PARU Thorax AP/PA
0513-0062 52
REG/EM/20 2488
### DS200513-0102 ARMAH BINTI SALI 46 F INSTALASI GAWAT DARURAT (IGD) CT Scan Whole Abdomen dengan kontras
0513-0004 53
REG/OP/20 1167
### DS200513-0105 TIURMIDA PASARIBU. NY 70 F POLI BEDAH ORTHOPEDI Femur Dex/Sin
0513-0134 71
REG/EM/20 2488
### DS200513-0112 MINAH BINTI NAMAN 67 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0014 76
REG/OP/20 1167
### DS200513-0114 TIURMIDA PASARIBU. NY 70 F POLI BEDAH ORTHOPEDI Thorax AP/PA
0513-0134 71
REG/EM/20 2488
### DS200513-0117 FANIE PRIBADI ALAMSYAH 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0513-0015 62
REG/EM/20 2488 CT Scan Abdomen Superior / Inferior /
### DS200513-0119 NENENG BINTI ANA 51 F INSTALASI GAWAT DARURAT (IGD)
REG/IP/200 2488 MUHAMMAD KADAFI
### DS200513-0120 11 M AMARYLLIS Pedis Dex/Sin
513-0010 65 PUTRA
REG/EM/20 2436
### DS200514-0025 ANDRI RINALDI HASAN 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0001 57
REG/EM/20 2488
### DS200514-0026 PUTRI SULISTIAWATI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0003 77
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2488
### DS200514-0030 LENNY A.MARPAUNG 0 M PERINA INFEKSI Thorax AP/PA
513-0019 75
REG/EM/20 2488
### DS200514-0036 PUTRI SULISTIAWATI 24 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0514-0003 77
REG/EM/20 1709
### DS200514-0047 ASNA BIN MIAN 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0005 53
REG/IP/200 2480
### DS200514-0050 YAYAH ROKAYAH 52 F AMARYLLIS Thorax AP/PA
514-0005 09
REG/IP/200 2488
### DS200514-0075 TINAH BINTI MAIN 46 F JASMINE USG Abdomen
512-0016 48
REG/OP/20
### DS200514-0077 SENIN 69 M RADIOLOGI USG Abdomen
0514-0100
REG/OP/20 2412
### DS200514-0080 HASAN BASRI 38 M POLI PARU Thorax AP/PA
0514-0038 46
REG/EM/20 2488 (BATAL)MUHAMAD AGUS
0514-0007 81 HOLIDIN
REG/OP/20 2469
### DS200514-0083 NAKIM HERMAWAN 25 M POLI PARU Thorax AP/PA
0514-0109 98
### DS200514-0085 TOTO BIN TOHA 48 M POLI BEDAH UROLOGI
REG/OP/20
### DS200514-0086 NYAMAN 46 M RADIOLOGI Thorax AP/PA
0514-0121
REG/OP/20 2427
### DS200514-0089 (BATAL)ASEP WAHYUDIN 32 M POLI PARU Thorax AP/PA
0514-0092 80
REG/EM/20 1879
### DS200514-0091 ANI INTAN JAYA. NN 17 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0010 39
REG/EM/20 2488
### DS200514-0102 AGIL NITA UTARI 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0011 83
REG/EM/20 1687
### DS200514-0106 RIO RUDIANA. TN 26 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0514-0016 40
REG/IP/200 2487
### DS200514-0108 MISBAHUL MUNIR 10 M AMARYLLIS BNO/Abdomen
506-0003 00
REG/IP/200 2487 SUMIARSIH BINTI YOSO
### DS200514-0111 63 F JASMINE Thorax AP/PA
508-0001 31 SUSASTRO
REG/EM/20 0413 WALUYO BIN SUNOTO
### DS200514-0112 50 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0514-0018 86 ATMOJO
REG/EM/20 2488
### DS200514-0116 SITI ZAHRA FADILAH 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0017 84
REG/EM/20 0122 YUDHIANTO BIN
### DS200514-0126 39 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0514-0020 77 SUWARNO
REG/EM/20 0122 (BATAL)YUDHIANTO BIN
0514-0020 77 SUWARNO
REG/EM/20 2488
### DS200514-0129 FARHATUN NUR APRIANI 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0019 90
REG/EM/20 1887
### DS200514-0130 JUROH BINTI MARJUK 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0514-0021 36
REG/IP/200 2487
### DS200514-0138 HERTI BINTI JAILUN 65 F CHRYSANT Thorax AP/PA
509-0025 72
### DS200514-0139 TAMIN BIN NYIIN 68 M POLI BEDAH UROLOGI
REG/OP/20 2488
### DS200514-0140 TAMIN BIN NYIIN 68 M POLI BEDAH UROLOGI Thorax AP/PA
0514-0177 88
REG/EM/20 1716 AMELIYA PUSPITASARI.
0514-0024 38 NN
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1716 AMELIYA PUSPITASARI. CT Scan Kepala Non kontras,bone
0514-0024 38 NN window
REG/EM/20 2470
### DS200515-0036 SUAMAH BINTI WARYAN 73 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0002 67
REG/IP/200 2480
### DS200515-0037 SUTINAH BINTI JEMANI 44 F AMARYLLIS Thorax AP/PA
514-0018 60
REG/IP/200 2488
### DS200515-0040 AHMAD KISWANTORO 22 M AMARYLLIS Thorax AP/PA
515-0005 05
REG/EM/20 2488
### DS200515-0054 SAMAH BINTI AMEN 45 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0515-0004 96
REG/EM/20 2488
### DS200515-0055 SAMAH BINTI AMEN 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0004 96
REG/OP/20 2488 INDAH FEBRY
### DS200515-0067 20 F POLI PENYAKIT DALAM USG Mammae Doppler
0515-0045 95 PURNAMASARI
REG/OP/20 0826 DHIMAS GALIH
### DS200515-0074 11 M POLI ANAK Thorax AP/PA
0515-0111 46 SAPUTRA,AN
REG/IP/200 2480
### DS200515-0080 YAYAH ROKAYAH 52 F AMARYLLIS CAG - Kamar Tindakan
514-0005 09
REG/IP/200 2480
### DS200515-0080 YAYAH ROKAYAH 52 F AMARYLLIS CAG - Dokter Operator Kls 1
514-0005 09
REG/IP/200 2480
### DS200515-0080 YAYAH ROKAYAH 52 F AMARYLLIS CAG - Asisten Operator
514-0005 09
REG/EM/20 2488
### DS200515-0081 URIP SASONGKO 37 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0515-0005 99
REG/EM/20 2489
### DS200515-0083 DEDI HENDRIANA 37 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0515-0007 02
REG/OP/20 0994
### DS200515-0084 JEJEN JAENAL ABIDIN 42 M HEMODIALISA Thorax AP/PA
0515-0139 61
REG/OP/20 2405
### DS200515-0092 NOVIA SAFITRI DEWI 23 F POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0515-0044 31
REG/OP/20
### DS200515-0102 KAMINEM 60 F RADIOLOGI CT Scan Kepala Non kontras
0515-0172
REG/IP/200 2171
### DS200515-0108 AMINAH BINTI AMIN 39 F JASMINE Thorax AP/PA
514-0008 96
REG/EM/20 2489
### DS200515-0110 DEDI HENDRIANA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0007 02
REG/EM/20 0866
### DS200515-0113 SHABRINA NAVA DIANTY 10 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0010 73
REG/EM/20 2489
### DS200515-0114 USMAN GUMANTI 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0011 05
REG/EM/20 2482
### DS200515-0116 NURAENI BINTI AMIN 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0009 93
REG/EM/20 2489
### DS200515-0118 (BATAL)DEDI HENDRIANA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0007 02
REG/EM/20 2489
### DS200515-0124 PIPIH AGUSTIN 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0014 09
REG/EM/20 2489
### DS200515-0131 SUTINI BINTI RONJE 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0013 07
REG/OP/20
### DS200515-0132 SRI YANTO 57 M RADIOLOGI CT Scan Kepala Non kontras
0515-0185
REG/EM/20 2372
### DS200515-0136 DJONIH BINTI SELIH 73 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0016 64
REG/EM/20 2466
### DS200515-0137 SRI RATNA NINGRUM 35 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0018 20
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2482
### DS200515-0140 NURAENI BINTI AMIN 40 F CHRYSANT Mastoid
515-0013 93
REG/EM/20 2489
### DS200516-0028 BONAH BINTI MAD SALEH 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0001 11
REG/EM/20 2489
### DS200516-0031 ALI JOHAN 48 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0516-0003 13
REG/EM/20 2489
### DS200516-0032 ALI JOHAN 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0003 13
REG/EM/20 2482
### DS200516-0034 NOPIANTI BINTI AWANG 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0515-0020 77
REG/EM/20 2489
### DS200516-0036 ASIM BIN AMID 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0006 14
REG/IP/200 2401
### DS200516-0040 RAYA 53 F CHRYSANT Thorax AP/PA
516-0003 72
REG/IP/200 2329 AFITA FITRIANI
REG/EM/20 2489
### DS200516-0056 (BATAL)ASIM BIN AMID 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0006 14
REG/EM/20 2489
### DS200516-0057 ASIM BIN AMID 60 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0516-0006 14
REG/EM/20 2204 (BATAL)KANIA SALSABILA
0516-0008 75 PUTRI
REG/EM/20 2204
### DS200516-0065 KANIA SALSABILA PUTRI 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0008 75
REG/EM/20 2034
### DS200516-0069 MA'MUN HUDRI 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0009 79
REG/IP/200 2489
### DS200516-0089 SUTINI BINTI RONJE 56 F CHRYSANT USG Abdomen
515-0017 07
### DS200516-0090 SITI KARSIFAH 25 F POLI BEDAH UROLOGI
### DS200516-0092 OYAN SOFYAN 33 M POLI BEDAH UROLOGI
REG/IP/200 2329 (BATAL)AFITA FITRIANI
### DS200516-0094 23 F CHRYSANT Thorax AP/PA
REG/IP/200 2372 (BATAL)DJONIH BINTI
515-0020 64 SELIH
REG/IP/200 2487
### DS200516-0097 DEVI NAVSIYAH 21 F EDELWEISS Thorax AP/PA
515-0009 01
REG/IP/200 2372 CT Scan Abdomen Superior / Inferior /
### DS200516-0098 DJONIH BINTI SELIH 73 F CHRYSANT
REG/IP/200 2276
### DS200516-0099 MAD SALIM 65 M AMARYLLIS USG Abdomen
513-0020 19
REG/EM/20 2489
### DS200516-0105 SAFITRI WULANDARI 19 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0516-0016 30
REG/EM/20 2489
### DS200516-0109 SAFITRI WULANDARI 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0016 30
REG/EM/20 2489
### DS200516-0113 ZAKARYA BIN FALALI 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0018 31
REG/EM/20 2419
### DS200516-0115 EKA NURWINDAYANI 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0015 56
REG/EM/20 1183
### DS200516-0121 SARNAH BINTI ISAR.HJ 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0021 92
REG/EM/20 2489
### DS200516-0127 BENY RIFALDI 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0025 36
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2489
### DS200516-0133 YANDI BIN RIIN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0516-0028 38
REG/EM/20 1612
### DS200517-0013 NYAMAN FIRMAN 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0001 65
REG/EM/20 2154
### DS200517-0021 ANANG BIN SANTA 58 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0517-0002 77
REG/EM/20 2154
### DS200517-0022 ANANG BIN SANTA 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0002 77
REG/EM/20 2238
### DS200517-0028 SUGIANTO BIN NANGSIH 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0003 14
REG/EM/20 2489
### DS200517-0030 ASTRI RIFQI AFIFAH 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0004 39
REG/EM/20 2288
### DS200517-0034 NANDO DEDDY NUGROHO 20 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0005 16
REG/IP/200 2329 AFITA FITRIANI
REG/EM/20 2190
### DS200517-0039 SANTA BIN AKING 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0007 84
REG/EM/20 1472
### DS200517-0041 RASMI PURBA 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0008 98
REG/EM/20 2489
### DS200517-0043 SELSUS PAPE 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0009 41
REG/EM/20 1945
### DS200517-0052 ANDI BIN RAIH. H 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0010 29
REG/EM/20 2489 ROCHMAT BIN
0517-0011 42 MUHAMMAD TAHRIRUDIN
REG/EM/20 2489 ROCHMAT BIN
0517-0011 42 MUHAMMAD TAHRIRUDIN
REG/EM/20 2402 MULYANTO BIN
0517-0012 94 S.DARYANTO
REG/EM/20 1922
### DS200517-0068 M.NURKHOLIS BIN JAHARI 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0016 95
REG/EM/20 1922 (BATAL)M.NURKHOLIS BIN CT Scan Abdomen Superior / Inferior /
0517-0016 95 JAHARI Pelvis / Coxae non kontras
### DS200517-0071 M.NURKHOLIS BIN JAHARI 35 M INSTALASI GAWAT DARURAT (IGD)
REG/EM/20 2489
### DS200517-0075 ROKOYAH BINTI ASNAWI 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0018 45
REG/EM/20 2489
### DS200517-0077 MARYA ULFAH 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0020 46
REG/EM/20 2468
### DS200517-0079 MUHAMAD ABILAH 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0017 71
REG/EM/20 2468
### DS200518-0001 CITRA NUR LATIFAH 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0517-0022 73
REG/OP/20 2413
### DS200518-0039 ANITA 38 F POLI PARU Thorax AP/PA
0518-0043 87
REG/OP/20 2487
### DS200518-0047 AHMADI BIN JAILANI 33 M POLI PENYAKIT DALAM CT Scan Whole Abdomen dengan kontras
0518-0081 92
REG/OP/20 2416
### DS200518-0065 SIDIN BIN ININ 36 M POLI PARU Thorax AP/PA
0518-0118 80
REG/OP/20 2429
### DS200518-0069 RENSUS 34 M POLI PARU Thorax AP/PA
0518-0127 73
REG/OP/20 2489
### DS200518-0075 AHMAD SHOLIHIN 33 M POLI BEDAH MULUT Panoramik
0518-0103 18
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2489 MARTIN THOMAS
### DS200518-0076 28 M POLI BEDAH MULUT Panoramik
0518-0106 55 SADMOKO ADI PRIBADI
REG/OP/20 2410
### DS200518-0080 SUBUR 27 M POLI PARU Thorax AP/PA
0518-0158 21
REG/EM/20 2489
### DS200518-0081 SANIH BINTI SADI 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0518-0012 62
REG/EM/20 2489
### DS200518-0082 SANIH BINTI SADI 54 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0518-0012 62
REG/EM/20 2489
### DS200518-0083 AMAH BINTI TATANG 31 F INSTALASI GAWAT DARURAT (IGD) Panoramik
0518-0011 61
REG/OP/20 2489
### DS200518-0085 EBIL BIN SARIM 36 M POLI BEDAH UROLOGI Thorax AP/PA
0518-0104 54
REG/OP/20 0818
### DS200518-0091 SUGIARTONO, TN 49 M POLI PENYAKIT DALAM Thorax AP/PA
0518-0117 97
REG/OP/20
### DS200518-0092 ROSIDAH BINTI ROSIK 45 F RADIOLOGI CT Scan Whole Abdomen dengan kontras
0518-0167
REG/OP/20 2488
### DS200518-0093 NARUN MOLANA 59 M POLI JANTUNG Thorax AP/PA
0518-0184 14
REG/OP/20 2134
### DS200518-0096 TATA KARSITA. TN 44 M POLI PENYAKIT DALAM USG Abdomen
0518-0177 37
REG/OP/20 2488
### DS200518-0097 FERRY A SOFYAN 29 M POLI BEDAH UROLOGI Thorax AP/PA
0518-0161 55
### DS200518-0100 HINDAYATI 53 F RADIOLOGI
0518-0189 71 window
REG/OP/20 2420
### DS200518-0103 ABDUL WADA 56 M HEMODIALISA Thorax AP/PA
0518-0191 06
REG/OP/20 2424
### DS200518-0107 NATASHA ARUMI SUGARA 1 F POLI ANAK Thorax AP-Lat anak
0518-0162 77
REG/OP/20 0153
### DS200518-0109 SITI HAMIDAH .NY 39 F POLI THT Sinus Para Nasal 3 posisi
0518-0187 45
REG/OP/20 2487
### DS200518-0110 (BATAL)NESUN BIN MISA 76 M POLI PARU CT Scan Thorax dengan kontras
0518-0160 50
REG/IP/200 2486
501-0018 11
REG/IP/200 2489
### DS200518-0114 IDU BIN BOIH 47 M ICU Thorax AP/PA
516-0015 35
REG/IP/200 2489
### DS200518-0115 (BATAL)ANI KOMALASARI 0 F NICU Thorax AP/PA
518-0006 48
REG/IP/200 2489
### DS200518-0116 ANI KOMALASARI 0 F NICU BABY GRAM
518-0006 48
REG/IP/200 2488
### DS200518-0117 SITI ZAHRA FADILAH 23 F JASMINE Thorax AP/PA
514-0011 84
REG/EM/20 2489
### DS200518-0119 MINTAR BIN MAJA 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0518-0016 67
REG/EM/20 0608
### DS200518-0120 ADE ROKHMATULOH 34 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0518-0017 36
### DS200518-0124 MALIH SUMARLIH 53 M POLI BEDAH UROLOGI
REG/EM/20 2489
### DS200518-0129 MIIH BINTI LIAN 77 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0518-0020 69
REG/EM/20 2489
### DS200518-0131 HINDAYATI 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0518-0022 71
REG/EM/20 2489
### DS200518-0132 HINDAYATI 53 F INSTALASI GAWAT DARURAT (IGD) Clavicula Dex/Sin
0518-0022 71
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2197
### DS200518-0143 INA YATURROHMANIYAH 18 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0518-0023 88
REG/EM/20 0187 RATU ROIDA
0519-0002 35 INDRIYANI.NY
REG/EM/20 2489
### DS200519-0018 HAMDANI BIN CARMAD 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0001 74
REG/EM/20 2095
### DS200519-0021 KININ BIN LASIM 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0003 15
REG/EM/20 2095
### DS200519-0028 KININ BIN LASIM 65 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0519-0003 15
REG/EM/20 2336
### DS200519-0029 WARMAN 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0007 28
REG/IP/200 2197
### DS200519-0041 INA YATURROHMANIYAH 18 F CHRYSANT USG Abdomen
518-0021 88
REG/IP/200 2489
### DS200519-0042 ASTRI RIFQI AFIFAH 22 F AMARYLLIS USG Abdomen
517-0004 39
REG/IP/200 2489 JANSEN PARULIAN
519-0009 63 SIHOMBING
REG/IP/200 2487
### DS200519-0054 AGUS SURATO 29 M AMARYLLIS Thorax AP/PA
519-0010 61
REG/OP/20 2412
### DS200519-0055 SAFITRI BINTI ARDI 23 F POLI PARU Thorax AP/PA
0519-0078 70
REG/IP/200 2489
### DS200519-0056 MULYONO BIN NURTAM 43 M AMARYLLIS Jasa Baca Foto Konvensional
518-0017 68
REG/IP/200 2489
### DS200519-0063 ADE ETI 60 F CHRYSANT Thorax AP/PA
519-0012 51
REG/IP/200 2489
### DS200519-0068 RASLAN BIN CARDAM 53 M CHRYSANT Thorax AP/PA
519-0011 52
REG/EM/20 2489
### DS200519-0078 SUPARTA BIN H ANTA.H 50 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0519-0008 79
REG/IP/200 2489
### DS200519-0079 DANURI MARDIYONO 50 M JASMINE USG Abdomen
517-0011 43
REG/OP/20 2394 (BATAL)ADETYA NINGRUM
### DS200519-0080 19 F POLI PENYAKIT DALAM USG Abdomen
0519-0066 34 ARFANI
REG/IP/200 2489
### DS200519-0085 IDA MULYANI 29 F EDELWEISS Thorax AP/PA
519-0003 75
REG/OP/20 1732
### DS200519-0089 HENDRI BIN UWAR 34 M POLI PENYAKIT DALAM USG Abdomen
0519-0057 90
REG/EM/20 2403
### DS200519-0091 ORLI S. 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0009 12
REG/OP/20 2153 KHOERUNNISHA BINTI CT Scan Abdomen Superior / Inferior /
0519-0101 83 PRATIKNO. NN Pelvis / Coxae non kontras
REG/OP/20 2475
### DS200519-0096 ADY NUGROHOJATI 38 M POLI BEDAH ORTHOPEDI Manus Dex/Sin
0519-0166 43
### DS200519-0097 HENDRIAWAN LILINE 46 M POLI BEDAH UROLOGI
REG/OP/20
### DS200519-0101 M. JAYADI 23 M RADIOLOGI CT Scan Kepala Non kontras
0519-0182
REG/IP/200 2401
### DS200519-0102 RAYA 53 F CHRYSANT PTCA - Kamar Tindakan
516-0003 72
REG/IP/200 2401
### DS200519-0102 RAYA 53 F CHRYSANT PTCA - Dokter Operator Kls 3
516-0003 72
REG/IP/200 2401
### DS200519-0102 RAYA 53 F CHRYSANT PTCA - Asisten Operator
516-0003 72
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REG/OP/20 2407
### DS200519-0107 NASA 36 M POLI BEDAH ORTHOPEDI Wrist Joint Dex/Sin
0519-0160 64
REG/OP/20 2394
### DS200519-0111 ADETYA NINGRUM ARFANI 19 F POLI PENYAKIT DALAM USG Abdomen
0519-0066 34
REG/EM/20 2136
### DS200519-0113 ANAH GUSTIANAH 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0014 01
REG/EM/20 2489 (BATAL)SYAKILLA
0519-0017 94 ASYABYA RAFIFA
REG/EM/20 2489
### DS200519-0123 BUDIANSAH BIN MAHMUD 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0013 91
REG/IP/200 1131
### DS200519-0129 YANTI BINTI JAKARIA 43 F EDELWEISS Thorax AP/PA
519-0014 89
REG/EM/20 1283
### DS200519-0130 HERNA BUDIARTI 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0021 77
REG/EM/20 2180
### DS200519-0135 NURYANI BINTI NEMAN 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0022 97
REG/EM/20 2489
### DS200519-0136 IROH BINTI KASIM 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0023 97
REG/EM/20 1351
### DS200519-0142 DAPIAH I SARI 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0025 61
REG/EM/20 2489 (BATAL)IROH BINTI
0519-0026 99 ILONG
REG/EM/20 2489
### DS200519-0151 TRI SUPARTININGSIH 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0519-0028 80
REG/EM/20 2490 MORANI TIODORA
0520-0001 00 SITOHANG
REG/EM/20 2490 MORANI TIODORA CT Scan Kepala Non kontras,bone
0520-0001 00 SITOHANG window
REG/EM/20 2460
### DS200520-0024 OPANG BIN SAYUN 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0003 99
REG/IP/200 2489
### DS200520-0040 BUDIANSAH BIN MAHMUD 33 M CHRYSANT USG Abdomen
519-0015 91
REG/OP/20 2488
### DS200520-0068 SUPRIATNA BIN SUKARDI 46 M POLI JANTUNG Thorax AP/PA
0520-0094 08
REG/OP/20 2472 WAGIRAH BINTI
### DS200520-0069 50 F POLI PARU Thorax AP/PA
0520-0095 62 PARTOWIJOYO
REG/OP/20 2475
### DS200520-0070 ANGGY OKTAVIANI 24 F POLI PARU Thorax AP/PA
0520-0098 60
REG/EM/20 2490
### DS200520-0081 HERU HERYUDA 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0008 06
REG/EM/20 0960
### DS200520-0082 ISAR BINTI USMAN 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0007 21
REG/OP/20 2490
### DS200520-0089 TITIN BINTI SATA 59 F POLI PENYAKIT DALAM USG Abdomen
0520-0070 05
REG/OP/20 2200 SUGIARTI BINTI CT Scan Abdomen Superior / Inferior /
0520-0119 12 ROHIDI.NY Pelvis / Coxae non kontras
REG/IP/200 2489 (BATAL)DANURI
### DS200520-0095 50 M JASMINE Thorax AP/PA
517-0011 43 MARDIYONO
REG/EM/20 2490
### DS200520-0097 RASIM HIDAYAT 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0009 08
REG/EM/20 2490
### DS200520-0098 RASIM HIDAYAT 35 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0520-0009 08
REG/IP/200 2489
### DS200520-0099 DANURI MARDIYONO 50 M JASMINE Jasa Baca Foto Konvensional
517-0011 43
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2489
### DS200520-0100 DANURI MARDIYONO 50 M JASMINE Jasa Baca Foto Konvensional
517-0011 43
REG/OP/20 0699
### DS200520-0107 SITI NENGSIH 35 F POLI PENYAKIT DALAM USG Abdomen
0520-0117 42
REG/IP/200 2489
### DS200520-0108 RASLAN BIN CARDAM 53 M CHRYSANT PTCA - Dokter Operator Kls 3
519-0011 52
REG/IP/200 2489
### DS200520-0108 RASLAN BIN CARDAM 53 M CHRYSANT PTCA - Kamar Tindakan
519-0011 52
REG/IP/200 2489
### DS200520-0108 RASLAN BIN CARDAM 53 M CHRYSANT PTCA - Asisten Operator
519-0011 52
### DS200520-0110 54 M CHRYSANT PTCA - Dokter Operator Kls 2
### DS200520-0110 54 M CHRYSANT PTCA - Kamar Tindakan
### DS200520-0110 54 M CHRYSANT PTCA - Asisten Operator
REG/IP/200 2489
### DS200520-0111 ADE ETI 60 F CHRYSANT PTCA - Dokter Operator Kls 3
519-0012 51
REG/IP/200 2489
### DS200520-0111 ADE ETI 60 F CHRYSANT PTCA - Kamar Tindakan
519-0012 51
REG/IP/200 2489
### DS200520-0111 ADE ETI 60 F CHRYSANT PTCA - Asisten Operator
519-0012 51
REG/OP/20 1556
### DS200520-0114 KUAT SABAR RIANTO.TN 40 M POLI JANTUNG Thorax AP/PA
0520-0101 88
REG/EM/20 1653
### DS200520-0124 TINI BINTI ENDIT 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0010 03
REG/OP/20 1375 RADEN TANTI CT Scan Abdomen Superior / Inferior /
0520-0170 39 MURNIWATI. NY Pelvis / Coxae non kontras
REG/EM/20 1982
### DS200520-0134 ROKIM BIN H. RASAM 41 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0520-0012 76
REG/EM/20 2490
### DS200520-0137 KIKI NURANI 21 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0520-0013 12
REG/EM/20 2343
### DS200520-0140 SRI YUNI. NY 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0014 73
### DS200520-0141 SRI YUNI. NY 58 F INSTALASI GAWAT DARURAT (IGD)
0520-0014 73 window
REG/EM/20 0768
### DS200520-0144 DARSIAH BINTI H.DAFI 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0011 57
REG/EM/20 1982
### DS200520-0146 ROKIM BIN H. RASAM 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0012 76
REG/IP/200 2460
### DS200520-0148 OPANG BIN SAYUN 64 M JASMINE CT Scan Thorax dengan kontras
520-0004 99
REG/OP/20 MUHAMMAD YUDI
### DS200520-0150 38 M RADIOLOGI Panoramik
0520-0224 DARMAWAN
REG/IP/200 2489
### DS200520-0154 ROKOYAH BINTI ASNAWI 57 F CHRYSANT Thorax AP/PA
518-0013 45
REG/IP/200 2487
507-0001 23
REG/OP/20 2490
### DS200520-0156 ARDI BIN PENGGI 48 M POLI JANTUNG Thorax AP/PA
0520-0214 13
REG/EM/20 2490
### DS200520-0158 (BATAL)NATA KUSUMA 45 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0520-0015 14
REG/EM/20 2490
### DS200520-0159 (BATAL)NATA KUSUMA 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0015 14
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REG/EM/20 1721
### DS200520-0161 (BATAL)ENCEP BIN UDIN 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0016 22
REG/EM/20 2490 (BATAL)ROHANAH BINTI
0520-0018 15 RUSLAN
REG/EM/20 2490 (BATAL)ROHANAH BINTI CT Scan Kepala Non kontras,bone
0520-0018 15 RUSLAN window
REG/EM/20 2490 (BATAL)IYUM BINTI
0521-0002 16 DARIYA
REG/EM/20 1746 (BATAL)ELAWATI BINTI
0521-0003 39 MINGGU
REG/EM/20 1522
### DS200521-0030 ENENG HARYATI 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0004 66
REG/EM/20 2490
### DS200521-0033 ROHANAH BINTI RUSLAN 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0018 15
### DS200521-0034 ROHANAH BINTI RUSLAN 39 F INSTALASI GAWAT DARURAT (IGD)
0520-0018 15 window
REG/EM/20 1746
### DS200521-0036 ELAWATI BINTI MINGGU 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0003 39
REG/EM/20 2490
### DS200521-0037 IYUM BINTI DARIYA 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0002 16
REG/EM/20 1721
### DS200521-0038 ENCEP BIN UDIN 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0520-0016 22
REG/IP/200 2490
### DS200521-0039 NATA KUSUMA 45 M CHRYSANT CT Scan Kepala Non kontras
520-0011 14
REG/IP/200 2490
### DS200521-0040 NATA KUSUMA 45 M CHRYSANT Thorax AP/PA
520-0011 14
REG/EM/20 2331
### DS200521-0046 MATHEUS SOEBAGJO, IR. 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0008 07
REG/EM/20 2490
### DS200521-0049 H. UDI BIN H. OCIM 70 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0009 18
REG/EM/20 2490 (BATAL)H. UDI BIN H.
0521-0009 18 OCIM
REG/EM/20 2490
### DS200521-0051 H. UDI BIN H. OCIM 70 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0521-0009 18
REG/EM/20 2485
### DS200521-0057 TATI MARYATI 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0011 47
REG/EM/20 2490
### DS200521-0061 APRIYAN SUSANTO 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0013 20
REG/EM/20 2490
### DS200521-0064 MUSTAKIM BIN KUSRIN 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0012 19
REG/EM/20 1994
### DS200521-0065 TITI SUNARTI 66 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0014 71
REG/EM/20 1994
### DS200521-0067 TITI SUNARTI 66 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0521-0014 71
### DS200521-0070 ROKIM BIN H. RASAM 41 M CHRYSANT
REG/EM/20 2329 AFITA FITRIANI
REG/EM/20 2146
### DS200521-0087 AAM NURHAYATI 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0022 68
REG/EM/20 2321
### DS200521-0089 SHELFI ROSITA 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0521-0023 84
REG/EM/20 2465
### DS200522-0019 EMI BINTI EMAN 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0002 07
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2189
### DS200522-0025 MAULANA YUSUP 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0004 18
REG/IP/200 2034
### DS200522-0043 MA'MUN HUDRI 54 M JASMINE Thorax AP/PA
516-0006 79
REG/IP/200 2489
### DS200522-0044 DANURI MARDIYONO 50 M JASMINE Thorax AP/PA
517-0011 43
REG/IP/200 1522
### DS200522-0045 ENENG HARYATI 43 F CHRYSANT USG Abdomen
521-0003 66
REG/IP/200 2489
### DS200522-0047 USMAN GUMANTI 64 M JASMINE Thorax AP/PA
515-0018 05
REG/IP/200 2095
### DS200522-0048 KININ BIN LASIM 65 M JASMINE Thorax AP/PA
519-0007 15
REG/IP/200 2489
### DS200522-0052 MULYONO BIN NURTAM 43 M AMARYLLIS PTCA - Kamar Tindakan
518-0017 68
REG/IP/200 2489
### DS200522-0052 MULYONO BIN NURTAM 43 M AMARYLLIS PTCA - Dokter Operator
518-0017 68
REG/IP/200 2489
### DS200522-0052 MULYONO BIN NURTAM 43 M AMARYLLIS PTCA - Asisten Operator
518-0017 68
### DS200522-0053 NURAENI BINTI INAN 27 F POLI BEDAH UROLOGI
REG/IP/200 2146
### DS200522-0068 AAM NURHAYATI 46 F CHRYSANT USG Abdomen
521-0015 68
REG/EM/20 1880
### DS200522-0069 JULEHA BINTI PAK KECIL 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0009 74
REG/EM/20 2357
### DS200522-0074 BASUKI RAHMADI 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0011 66
REG/EM/20 1299
### DS200522-0077 NOVI MARINI 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0012 62
REG/EM/20 2490
### DS200522-0080 MARSIN IBNU SAHRONI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0013 34
REG/EM/20 2490
### DS200522-0081 MARSIN IBNU SAHRONI 55 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0522-0013 34
REG/OP/20 1402
### DS200522-0082 SANIM BIN ADIH 52 M POLI PENYAKIT DALAM Thorax AP/PA
0522-0113 62
REG/EM/20 1373
### DS200522-0083 MALKI FAUZI.TN 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0014 91
REG/EM/20 2490
### DS200522-0089 RATMINAH BINTI JURANI 17 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0522-0015 36
REG/EM/20 1986
### DS200523-0019 HANAFI SAPUTRA . H 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0523-0003 46
REG/EM/20 2490 MUHAMAD GIBRAN
0523-0004 40 RAFFARDANI
REG/EM/20 2064
### DS200523-0027 KOMARIAH BINTI MAIH.NY 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0523-0005 81
REG/EM/20 2064
### DS200523-0028 KOMARIAH BINTI MAIH.NY 55 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0523-0005 81
REG/EM/20 2490
### DS200523-0032 JANIH BINTI KONIN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0523-0006 43
REG/EM/20 2490
### DS200523-0034 SITI FATHONAH 41 F INSTALASI GAWAT DARURAT (IGD) CV. Thoracolumbal 2 posisi
0523-0007 44
REG/OP/20 2442
### DS200523-0042 JILAH HABIDAROH 79 F POLI BEDAH VASKULER Thorax AP/PA
0523-0027 71
REG/IP/200 2490
### DS200523-0045 HERU HERYUDA 31 M JASMINE Thorax AP/PA
520-0006 06
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2015
### DS200523-0050 NESAN BIN ROHILI. TN 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0523-0012 85
REG/IP/200 2490 RUSPOLARINI BINTI ADI
### DS200523-0053 50 F AMARYLLIS PTCA - Dokter Operator
521-0012 21 SUGONDO
### DS200523-0053 50 F AMARYLLIS PTCA - Asisten Operator
521-0012 21 SUGONDO
### DS200523-0053 50 F AMARYLLIS PTCA - Kamar Tindakan
521-0012 21 SUGONDO
REG/EM/20 2490 MUHAMMAD IKBAL
0523-0013 49 A'RAFFAT
REG/EM/20 2490 SUWARSIH BINTI NUR
0523-0017 52 SEBA
REG/EM/20 2490
### DS200524-0014 (BATAL)PHIONG CHUN KIE 77 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0524-0001 55
### DS200524-0015 PHIONG CHUN KIE 77 F INSTALASI GAWAT DARURAT (IGD)
0524-0001 55 window
REG/EM/20 0807
### DS200524-0017 IIS SUTARSIH 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0002 70
REG/EM/20 2490 (BATAL)HERMAN BIN CT Scan Kepala Non kontras,bone
0524-0005 57 ASTRA window
REG/EM/20 2490 RUSWANTO BIN MAD
0524-0006 58 SUKARJO
### DS200524-0028 ONAH BINTI NEIN 51 F INSTALASI GAWAT DARURAT (IGD)
0524-0008 65 window
REG/EM/20 2490 RISMAILA PUTRI
0524-0007 59 MARDANIKA
REG/EM/20 1695
### DS200524-0030 ONAH BINTI NEIN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0008 65
REG/EM/20 1695
### DS200524-0031 ONAH BINTI NEIN 51 F INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0524-0008 65
REG/IP/200 2489
### DS200520-0096 DANURI MARDIYONO 50 M JASMINE Thorax AP/PA
517-0011 43
REG/EM/20 2490
### DS200524-0034 SATIH BINTI SAMIT, HJ 90 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0009 60
REG/OP/20 CT Scan Kepala Non kontras,bone
### DS200524-0044 SUKINAH 60 F RADIOLOGI
0524-0002 window
REG/EM/20 2490
### DS200524-0047 KARTINI BINTI NISIN 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0011 61
REG/EM/20 2364
### DS200524-0049 AMIN PUTRA 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0012 54
REG/EM/20 2490
### DS200524-0052 ENIN BIN AMBIH 50 M INSTALASI GAWAT DARURAT (IGD) Sinus Para Nasal 3 posisi
0524-0013 62
REG/EM/20 2490
### DS200524-0058 ENIN BIN AMBIH 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0013 62
REG/EM/20 2490
### DS200524-0059 RAFKA ZAYDAN HIDAYAT 1 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0524-0018 64
REG/EM/20 1549 MUHAMMAD RAZIQ
0524-0019 94 ZAIDAN
REG/EM/20 2490
### DS200525-0015 DAYAT BIN SARTA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0001 65
REG/IP/200 2488
### DS200525-0018 SAMAH BINTI AMEN 45 F CHRYSANT CT Scan Kepala Non kontras
515-0008 96
REG/EM/20 2483
### DS200525-0021 RAMIN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0002 69
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2490
### DS200525-0023 EVI YUSMIARTI 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0006 66
REG/EM/20 2490
### DS200525-0025 ANGGA MAULIDI IRWANTI 20 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0525-0008 67
REG/IP/200 1746
### DS200525-0028 ELAWATI BINTI MINGGU 34 F AMARYLLIS Thorax AP/PA
521-0004 39
REG/IP/200 2331
### DS200525-0031 MATHEUS SOEBAGJO, IR. 72 M AMARYLLIS Thorax AP/PA
521-0005 07
REG/EM/20 2023
### DS200525-0036 UYUM BINTI H.MUSA 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0013 73
REG/EM/20 2023
### DS200525-0037 UYUM BINTI H.MUSA 64 F INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0525-0013 73
REG/IP/200 2489
### DS200525-0043 HINDAYATI 53 F CHRYSANT CT Scan Kepala Non kontras
518-0020 71
REG/EM/20 2490
### DS200525-0046 TIHARAH BINTI MISAN 81 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0525-0021 72
REG/EM/20 2490
### DS200525-0047 TIHARAH BINTI MISAN 81 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0021 72
REG/EM/20 2490
### DS200525-0060 IKMAL MAULANA 9 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0025 74
REG/EM/20 2490
### DS200525-0062 EDE MULYANA 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0026 75
REG/EM/20 1993
### DS200525-0066 RANTA BIN SANUN 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0525-0027 20
REG/EM/20 1782
### DS200526-0015 RAMIS BINTI MOKOL 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0526-0001 72
REG/EM/20 1782
### DS200526-0016 RAMIS BINTI MOKOL 54 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0526-0001 72
REG/IP/200 2490 SUWARSIH BINTI NUR
524-0001 52 SEBA
REG/IP/200 2490
### DS200526-0021 LANA JAINAL MUTAKIN 52 M CHRYSANT Jasa Baca Foto Konvensional
525-0009 73
REG/IP/200 2095
### DS200526-0030 KININ BIN LASIM 65 M JASMINE CT Scan Kepala Non kontras
519-0007 15
REG/EM/20 2490
### DS200526-0045 NADRUS SINURAT 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0526-0007 82
REG/EM/20 2490
### DS200526-0046 NADRUS SINURAT 36 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0526-0007 82
REG/OP/20 2496 CHRISTOPHORUS
### DS200526-0054 51 M RADIOLOGI CT Scan Kepala Non kontras
0526-0104 83 WARSINO
REG/OP/20 2056 TABRONI BIN SOLIHIN.
### DS200526-0056 56 M POLI BEDAH UROLOGI USG Abdomen
0526-0053 95 TN
REG/OP/20 2056 TABRONI BIN SOLIHIN.
### DS200526-0057 56 M POLI BEDAH UROLOGI Thorax AP/PA
0526-0053 95 TN
REG/EM/20 0396
### DS200526-0059 EMI BINTI ISIN 72 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0526-0009 55
REG/EM/20 2490
### DS200526-0068 MAMAN SURATMAN 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0526-0013 87
REG/OP/20 1825
### DS200526-0071 E BUDI SETYO GUNAWAN 45 M POLI PENYAKIT DALAM USG Abdomen
0526-0073 43
REG/IP/200 2486
### DS200526-0075 M. YAMAN 39 M CHRYSANT Thorax AP/PA
512-0003 22
REG/IP/200 2405
### DS200526-0080 SITI KARSIFAH 25 F AMARYLLIS Thorax AP/PA
526-0008 17
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1420 NGATMINAH BINTI
0526-0020 81 SURYADI.NY
REG/EM/20 2490 WIDIASTUTI BINTI
0526-0024 96 SUDIRIN
REG/EM/20 2490
### DS200526-0093 SRI KANTI 46 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0526-0025 97
REG/EM/20 2490
### DS200526-0094 SRI KANTI 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0526-0025 97
REG/EM/20 2490
### DS200527-0021 JAPEN BIN ERAN 68 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0527-0001 98
REG/EM/20 2490
### DS200527-0022 JAPEN BIN ERAN 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0001 98
REG/EM/20 1949
### DS200527-0036 AKHMAD RIFAI 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0006 67
REG/EM/20 2491
### DS200527-0038 MAMAN SURAHMAN 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0005 01
REG/OP/20 2033
### DS200527-0045 NUGRAHA ATMADJAYA.TN 49 M POLI PENYAKIT DALAM USG Abdomen
0527-0067 81
REG/IP/200 2391 RUBIYANTO BIN PUDJO
### DS200527-0057 54 M AMARYLLIS USG Abdomen
526-0011 79 SUMARTO
REG/OP/20 2491
### DS200527-0059 REZA HADIANTI 25 F POLI BEDAH MULUT Panoramik
0527-0084 05
REG/OP/20 1756
### DS200527-0060 YUSIANA ASLAN. NY 42 F POLI PENYAKIT DALAM USG Abdomen
0527-0027 24
REG/EM/20 2491
### DS200527-0062 MAMAN SURAHMAN 57 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0527-0005 01
REG/OP/20
### DS200527-0066 SAJA BIN ITEM 34 M RADIOLOGI USG Abdomen
0527-0103
REG/OP/20 1578
### DS200527-0068 HJ. WAWAN SURYANI 51 F POLI JANTUNG Thorax AP/PA
0527-0078 95
REG/OP/20 2491
### DS200527-0070 SUHADI BIN KARTOREJO 52 M POLI PENYAKIT DALAM USG Abdomen
0527-0051 00
REG/EM/20 2491
### DS200527-0072 NURUL BINTI SUWINTA 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0007 06
REG/OP/20 2491
### DS200527-0074 NUR LATIFAH 19 F POLI THT Oesophagogram
0527-0081 04
REG/OP/20 2488
### DS200527-0076 (BATAL)AGUS RIDWAN 25 M RADIOLOGI Jasa Baca Foto Konvensional
0527-0122 49
REG/OP/20 2442 (BATAL)WURYANTO BIN
### DS200527-0079 48 M POLI BEDAH ORTHOPEDI Thorax AP/PA
0527-0087 28 WALIBI
REG/OP/20 2491
### DS200527-0082 UCI BIN NAIRIN 68 M POLI BEDAH UROLOGI USG Abdomen
0527-0119 12
REG/OP/20 2370
### DS200527-0083 AGUS SUPRIYANTO 41 M POLI BEDAH ORTHOPEDI Humerus Dex/Sin
0527-0124 36
REG/OP/20 2299
### DS200527-0085 TATANG BIN RUKMAN 47 M POLI BEDAH UROLOGI Thorax AP/PA
0527-0097 87
REG/EM/20 2491 NURJANAH BINTI H.
0527-0011 15 HAYAT
### DS200527-0092 FELISHA AYUDIA INARA 4 F INSTALASI GAWAT DARURAT (IGD)
0527-0010 13 window
REG/EM/20 2491
### DS200527-0093 FELISHA AYUDIA INARA 4 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0010 13
REG/OP/20 2441
### DS200527-0094 DEDEN DENI FAYSAL 40 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0527-0127 36
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2476
### DS200527-0096 KASTI BINTI KALIM 28 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0527-0043 54
REG/OP/20 2491
### DS200527-0098 YENI HANDAYANI 19 F POLI BEDAH UMUM USG Mammae Doppler
0527-0131 14
REG/EM/20 2491
### DS200527-0100 YUSUP HASAN 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0013 16
REG/EM/20 2436 NURI CITRA KIRANA
0527-0014 43 RAMADHANI
REG/OP/20 2483 SARMI BINTI
### DS200527-0103 54 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0527-0134 70 SASTROMULYO
REG/EM/20 2491
### DS200527-0109 IMAM UJIANTO 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0015 17
REG/IP/200 2015
### DS200527-0114 NESAN BIN ROHILI. TN 56 M CHRYSANT Thorax AP/PA
523-0007 85
REG/EM/20 2491
### DS200527-0117 SALIM BIN ANDIT 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0016 18
REG/EM/20 2491
### DS200527-0118 SALIM BIN ANDIT 41 M INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0527-0016 18
REG/EM/20 2491
### DS200527-0121 SEPTIANI ANGGRAENI 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0017 19
REG/EM/20 2491
### DS200527-0122 SALIM BIN ANDIT 41 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0527-0016 18
REG/EM/20 2491 MUHAMAD SYAMSUL
0527-0020 20 HUDA
REG/IP/200 1986
### DS200527-0124 HANAFI SAPUTRA . H 51 M JASMINE Thorax AP/PA
523-0002 46
REG/OP/20 2254
### DS200527-0126 ANIK WAHYUNI .NN 25 F POLI BEDAH ORTHOPEDI Thorax AP/PA
0527-0143 08
REG/OP/20 2254
### DS200527-0128 ANIK WAHYUNI .NN 25 F POLI BEDAH ORTHOPEDI Manus Dex/Sin
0527-0143 08
REG/EM/20 0907
### DS200527-0129 SAMSARI BIN BOSIN 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0023 52
REG/EM/20 2491
### DS200527-0134 SUDRAJAT BIN SANTANU 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0025 21
REG/EM/20 0975 (BATAL)MUNIH BINTI
0527-0026 77 MUTI
REG/EM/20 0868
### DS200527-0142 NUNUNG ZULEHA 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0027 20
REG/EM/20 1726
### DS200527-0144 SALIM BIN SAIKAM 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0527-0029 06
REG/EM/20 1726
### DS200528-0013 SALIM BIN SAIKAM 64 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0527-0029 06
### DS200528-0018 IIN BINTI TAMAN 41 F INSTALASI GAWAT DARURAT (IGD)
0528-0001 22 window
REG/EM/20 2491
### DS200528-0019 IIN BINTI TAMAN 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0001 22
REG/IP/200 2487
507-0001 23
REG/IP/200 2491
### DS200528-0030 WATI BINTI KANDI 39 F EDELWEISS Thorax AP/PA
527-0009 07
### DS200528-0043 SAMSARI BIN BOSIN 31 M AMARYLLIS
### DS200528-0054 NAZWAN FAIRUZ RIYADI 4 M RADIOLOGI
0528-0122 window
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2491
### DS200528-0060 ENDAH MUSTIKA 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0004 30
REG/EM/20 2491
### DS200528-0062 NENAH BINTI SANAN 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0005 31
REG/OP/20
### DS200528-0066 KATEM BINTI SAIMAR 67 F RADIOLOGI Thorax AP/PA
0528-0145
REG/EM/20 2491
### DS200528-0069 (BATAL)SANIN BIN ACANG 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0007 34
REG/IP/200 2490
### DS200528-0073 DARSIH BINTI ACING 50 F CHRYSANT PTCA - Kamar Tindakan
527-0003 99
REG/IP/200 2490
### DS200528-0073 DARSIH BINTI ACING 50 F CHRYSANT PTCA - Dokter Operator Kls 2
527-0003 99
REG/IP/200 2490
### DS200528-0073 DARSIH BINTI ACING 50 F CHRYSANT PTCA - Asisten Operator
527-0003 99
REG/EM/20 2491
### DS200528-0078 JEPRI EFFENDY 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0008 35
REG/IP/200 0960
### DS200528-0079 ISAR BINTI USMAN 57 F JASMINE Thorax AP/PA
520-0005 21
REG/EM/20 2402
### DS200528-0080 AAN BINTI ANING 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0009 59
REG/EM/20 2402
### DS200528-0081 AAN BINTI ANING 43 F INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0528-0009 59
REG/EM/20 1910
### DS200528-0082 ENCIM BIN OYIM 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0010 49
REG/OP/20 2491
### DS200528-0087 MURNINGSIH BINTI IMIN 75 F POLI BEDAH UMUM USG Soft Tissue Doppler
0528-0071 23
REG/IP/200 1726
### DS200528-0090 SALIM BIN SAIKAM 64 M CHRYSANT USG Abdomen
528-0001 06
REG/IP/200 2490 RISMAILA PUTRI
### DS200528-0093 10 F AMARYLLIS USG Abdomen
524-0004 59 MARDANIKA
REG/IP/200 2489
### DS200528-0097 OYAN SOFYAN 33 M AMARYLLIS Thorax AP/PA
528-0010 24
### DS200528-0117 MARSALIH BIN NAIT 51 M INSTALASI GAWAT DARURAT (IGD)
0528-0018 42 window
REG/IP/200 2490
### DS200528-0118 WALMAN GULTOM 39 M CHRYSANT CAG - Kamar Tindakan
525-0008 70
REG/IP/200 2490
### DS200528-0118 WALMAN GULTOM 39 M CHRYSANT CAG - Dokter Operator Kls 2
525-0008 70
REG/IP/200 2490
### DS200528-0118 WALMAN GULTOM 39 M CHRYSANT CAG - Asisten Operator
525-0008 70
REG/EM/20 2491
### DS200528-0123 MARSALIH BIN NAIT 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0018 42
REG/IP/200 2490
### DS200528-0122 MAMAN SURATMAN 54 M CHRYSANT PTCA - Kamar Tindakan
526-0003 87
REG/IP/200 2490
### DS200528-0122 MAMAN SURATMAN 54 M CHRYSANT PTCA - Dokter Operator Kls 2
526-0003 87
REG/IP/200 2490
### DS200528-0122 MAMAN SURATMAN 54 M CHRYSANT PTCA - Asisten Operator
526-0003 87
REG/EM/20 2491
### DS200528-0126 HIKMATUN NISA 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0016 41
REG/IP/200 2490
### DS200528-0128 NINIK SUPARYATI 62 F AMARYLLIS PTCA - Kamar Tindakan
526-0009 94
REG/IP/200 2490
### DS200528-0128 NINIK SUPARYATI 62 F AMARYLLIS PTCA - Dokter Operator Kls 2
526-0009 94
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2490
### DS200528-0128 NINIK SUPARYATI 62 F AMARYLLIS PTCA - Asisten Operator
526-0009 94
### DS200528-0129 YUYUN THALIB 46 M POLI BEDAH UROLOGI
### DS200528-0130 AKBAR BADURI 21 M POLI BEDAH UROLOGI
REG/IP/200 2490
### DS200528-0131 LANA JAINAL MUTAKIN 52 M CHRYSANT PTCA - Kamar Tindakan
525-0009 73
REG/IP/200 2490
### DS200528-0131 LANA JAINAL MUTAKIN 52 M CHRYSANT PTCA - Dokter Operator Kls 2
525-0009 73
REG/IP/200 2490
### DS200528-0131 LANA JAINAL MUTAKIN 52 M CHRYSANT PTCA - Asisten Operator
525-0009 73
REG/EM/20 2416
### DS200528-0133 SITI MUDRIKA 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0019 10
REG/IP/200 2491
### DS200528-0134 IMAM UJIANTO 61 M CHRYSANT PTCA - Kamar Tindakan
527-0011 17
REG/IP/200 2491
### DS200528-0134 IMAM UJIANTO 61 M CHRYSANT PTCA - Dokter Operator Kls 2
527-0011 17
REG/IP/200 2491
### DS200528-0134 IMAM UJIANTO 61 M CHRYSANT PTCA - Asisten Operator
527-0011 17
REG/EM/20 2491
0528-0005 31
REG/EM/20 2491
### DS200528-0139 NENTI BINTI SALIM 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0528-0023 46
REG/EM/20 2491
### DS200529-0017 JASAN BIN SENIN 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0001 49
REG/IP/200 2489
### DS200529-0019 MIIH BINTI LIAN 77 F ICCU Thorax AP/PA
518-0019 69
REG/EM/20 2491
### DS200529-0021 HENI BINTI MINAR . HJ 87 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0529-0003 50
REG/EM/20 2491
### DS200529-0022 HENI BINTI MINAR . HJ 87 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0003 50
REG/OP/20 0815
### DS200529-0045 DINI SYARDIANI,NY 30 F POLI BEDAH MULUT Panoramik
0529-0035 75
### DS200529-0046 E BUDI SETYO GUNAWAN 45 M RADIOLOGI
0529-0081 43 Pelvis / Coxae dgn kontras
REG/OP/20 1564
### DS200529-0059 WILMAR SIBURIAN 64 M POLI PENYAKIT DALAM USG Abdomen
0529-0097 97
REG/OP/20 2191
### DS200529-0060 YORINDA NOVLIFIANI .NY 28 F POLI BEDAH MULUT Panoramik
0529-0082 14
REG/OP/20 0213
### DS200529-0061 SANDRA ERIANI 49 F POLI BEDAH MULUT Panoramik
0529-0047 69
### DS200529-0064 AGUS SURATO 29 M POLI BEDAH UROLOGI
### DS200529-0065 EMAN SULAEMAN 24 M POLI BEDAH UROLOGI
### DS200529-0068 RISMA PERMATASARI 26 F POLI BEDAH UROLOGI
REG/OP/20 2490
### DS200529-0069 NURAENI BINTI INAN 27 F POLI BEDAH UROLOGI Thorax AP/PA
0529-0038 25
REG/EM/20 2487
### DS200529-0071 SAAMAH BINTI SIDIK 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0010 15
REG/OP/20 2455
### DS200529-0073 NURINI AISAH 34 F HEMODIALISA Thorax AP/PA
0529-0111 98
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### DS200529-0086 SURNIYATI 42 F RADIOLOGI CT Scan Kepala Non kontras
0529-0153
REG/EM/20 2491
### DS200529-0092 SURYATI BINTI ABIN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0011 57
REG/IP/200 2391 RUBIYANTO BIN PUDJO
### DS200529-0098 54 M AMARYLLIS Jasa Baca Foto Konvensional
526-0011 79 SUMARTO
REG/EM/20 2491
### DS200529-0100 LAKSANA WATI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0007 52
REG/OP/20 2491 SURADI BIN PRAPTO
### DS200529-0102 57 M POLI JANTUNG Thorax AP/PA
0529-0032 51 SUGIYANTO
REG/OP/20 1687 NURJANAH BINTI MISAM.
### DS200529-0105 45 F POLI JANTUNG Thorax AP/PA
0529-0079 13 NY
REG/EM/20 2491
### DS200529-0112 RUDI HARYANTO 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0014 62
REG/EM/20 2491
### DS200529-0114 LAKSANA WATI 45 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0529-0007 52
REG/IP/200 2491
### DS200529-0118 MUAMMAR AQEEL WIJAYA 0 M PERINA INFEKSI BABY GRAM
528-0021 48
REG/EM/20 2097
### DS200529-0123 EMBUN BINTI MASTIA 63 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0017 21
REG/EM/20 2097
### DS200529-0124 EMBUN BINTI MASTIA 63 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0529-0017 21
REG/EM/20 2491
### DS200529-0127 ESTHER L. 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0018 66
REG/IP/200 2015
### DS200529-0128 NESAN BIN ROHILI. TN 56 M CHRYSANT Thorax AP/PA
523-0007 85
REG/EM/20 2491
### DS200529-0129 SUGIRI BIN H. ADING 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0021 68
REG/EM/20 2491
### DS200529-0132 IDA FARIDA 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0022 69
REG/EM/20 0308
### DS200529-0136 FERRY KARNADI 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0529-0024 06
REG/EM/20 2425
### DS200530-0015 NESIH BINTI NEMON 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0001 82
REG/EM/20 2168
### DS200530-0022 FITRIAH HANDAYANI 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0002 28
REG/EM/20 2168
### DS200530-0023 FITRIAH HANDAYANI 32 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0530-0002 28
REG/IP/200 2460
### DS200530-0029 OPANG BIN SAYUN 64 M JASMINE Thorax AP/PA
520-0004 99
REG/EM/20 2491
### DS200530-0034 SUHADI BIN KARTOREJO 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0005 00
REG/OP/20 2489
### DS200530-0041 TRI SUPARTININGSIH 29 F HEMODIALISA Thorax AP/PA
0530-0054 80
REG/EM/20 2491
### DS200530-0043 JUMIATI BINTI SAAM 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0007 73
REG/EM/20 2491
### DS200530-0050 EEN BINTI ITOY 52 F INSTALASI GAWAT DARURAT (IGD) CV. Thoracolumbal 2 posisi
0530-0008 78
REG/EM/20 2491
### DS200530-0051 EEN BINTI ITOY 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0008 78
REG/EM/20 2491
### DS200530-0069 YANIH BINTI MANAN 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0011 80
REG/OP/20 2491
### DS200530-0072 SLAMET RIYADI 35 M POLI PENYAKIT DALAM USG Abdomen
0530-0079 79
8/25/2020 12:07:35 PM Page : 1/1

### DS200530-0077 NAARAN BIN DAMANG 61 M POLI BEDAH UROLOGI
REG/EM/20 1549 MUHAMMAD RAZIQ
0530-0014 94 ZAIDAN
REG/EM/20 2205
### DS200530-0090 SUPENDI BIN BARI 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0012 10
REG/OP/20 2463 SUMARTINI BINTI HADI
### DS200530-0095 44 F POLI BEDAH VASKULER Thorax AP/PA
0530-0068 81 WIYONO
REG/EM/20 0435
### DS200530-0100 SAYADIH BIN H. NURDIN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0020 85
REG/EM/20 2491
### DS200530-0102 DAHLAN BIN SOMA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0016 84
REG/EM/20 2491
### DS200530-0103 DAHLAN BIN SOMA 37 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0530-0016 84
REG/OP/20 2398
### DS200530-0110 DEWI FRANSISKA 37 F POLI KANDUNGAN Thorax AP/PA
0530-0130 61
REG/EM/20 2491
### DS200530-0113 KARSA BIN NISAN 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0022 86
REG/EM/20 2003
### DS200530-0117 ANYIN BIN OCIT. H. TN 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0023 09
REG/EM/20 2003
### DS200530-0118 ANYIN BIN OCIT. H. TN 62 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0530-0023 09
REG/EM/20 2491
### DS200530-0121 RAHMAT BIN BASIR 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0025 87
### DS200530-0123 RAHMAT BIN BASIR 49 M INSTALASI GAWAT DARURAT (IGD)
0530-0025 87 window
REG/EM/20 2491
### DS200530-0130 SALEH SAPUTRA 40 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0530-0028 88
REG/EM/20 1881
### DS200530-0132 SANYA BIN NANDI 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0029 36
REG/EM/20 1881
### DS200530-0133 SANYA BIN NANDI 56 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0530-0029 36
REG/EM/20 2460
### DS200530-0136 ELDA AGUSTIN 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0530-0030 23
REG/IP/200 2491
### DS200530-0140 ESTHER L. 41 F JASMINE CT Scan Thorax non kontras
530-0001 66
REG/EM/20 1741
### DS200531-0024 TARYADI BIN DULLOH 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0002 87
REG/EM/20 2491
### DS200531-0025 NURUDIN BIN H. MADROI 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0001 90
REG/EM/20 2320
### DS200531-0027 MELLA SELVIANTI 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0005 50
REG/EM/20 2491
### DS200531-0030 RASAH BINTI RANAN 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0007 94
REG/EM/20 2491
### DS200531-0031 RASAH BINTI RANAN 57 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0531-0007 94
REG/OP/20
### DS200531-0034 INANG 54 F RADIOLOGI CT Scan Kepala Non kontras
0531-0002
REG/EM/20 2203
### DS200531-0036 ENTIN ROSTINI 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0009 18
REG/EM/20 2203
### DS200531-0037 ENTIN ROSTINI 54 F INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0531-0009 18
### DS200531-0038 HAMID ABDUL AZIEZ 1 M INSTALASI GAWAT DARURAT (IGD)
0531-0010 50 window
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2067
### DS200531-0042 JONWEN BIN HEJO 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0011 91
REG/EM/20 2491
### DS200531-0053 SITI NURHIKMAH 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0012 95
### DS200531-0054 ERNA AMELIA 28 F INSTALASI GAWAT DARURAT (IGD)
0531-0013 96 window
REG/EM/20 2491
### DS200531-0055 ERNA AMELIA 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0013 96
REG/EM/20 2405
### DS200531-0057 MARIA GORETI BALIYEM 71 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0014 22
### DS200531-0059 DAHLAN BIN SOMA 37 M CHRYSANT
REG/EM/20 2492
### DS200531-0063 ABDAN BIN ASIM 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0531-0018 00
REG/EM/20 0341
### DS200601-0015 DASIH BINTI SANARIN 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0002 39
REG/EM/20 0551
### DS200601-0019 LOUIS 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0004 33
REG/EM/20 2458
### DS200601-0022 ANDI BIN TOMO 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0003 25
REG/EM/20 2492
### DS200601-0024 AI HAYATI 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0005 04
REG/EM/20 1525
### DS200601-0026 ENI BINTI TABIH 79 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0006 04
REG/EM/20 2492
### DS200601-0029 AI HAYATI 61 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0601-0005 04
REG/EM/20 2492
### DS200601-0034 MEGA MAULIDA 4 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0012 05
### DS200601-0035 (BATAL)MEGA MAULIDA 4 F INSTALASI GAWAT DARURAT (IGD)
### DS200601-0036 MEGA MAULIDA 4 F INSTALASI GAWAT DARURAT (IGD)
0601-0012 05 window
REG/EM/20 1770
### DS200601-0038 ERNIH BINTI MAMAT 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0008 30
REG/EM/20 2187 SUWONDO BIN COKRO
0601-0011 81 SUDARMO
REG/EM/20 1792
### DS200601-0041 IRSA SUHAEMI. H. TN 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0015 37
REG/EM/20 1792 (BATAL)IRSA SUHAEMI. H.
### DS200601-0043 67 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0601-0015 37 TN
REG/EM/20 2492
### DS200601-0072 NGATIKOH NURULJANNAH 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0017 07
REG/EM/20 1086 (BATAL)ANENG BIN
0601-0019 33 ENTONG
REG/EM/20 1086
### DS200601-0104 ANENG BIN ENTONG 57 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0601-0019 33
### DS200601-0106 IRSA SUHAEMI. H. TN 67 M INSTALASI GAWAT DARURAT (IGD)
0601-0015 37 window
REG/EM/20 1086
### DS200601-0107 ANENG BIN ENTONG 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0019 33
REG/EM/20 2492
### DS200601-0111 THERESIA MASNUN 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0021 08
REG/EM/20 2168 (BATAL)FITRIAH
0601-0022 28 HANDAYANI
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1690
### DS200601-0116 SABIRIN BIN SAHIRUN 53 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0020 77
REG/EM/20 2292
### DS200601-0117 SYAIFUL HIDAYAT 61 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0601-0023 94
REG/EM/20 2028
### DS200601-0135 RIKIN BIN SUAD 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0025 90
REG/EM/20 2492
### DS200601-0136 SAEPUL ANWAR 36 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0601-0026 09
REG/EM/20 2486
0601-0027 22
REG/EM/20 2437
### DS200601-0142 NOVITA SENJA DEWI 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0029 59
REG/EM/20 0956
### DS200601-0145 ENTIN KARTINI 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0030 80
REG/EM/20 1693
### DS200601-0148 KARYA BIN ELI 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0032 79
REG/EM/20 2492
### DS200601-0151 DEDE BUDIANA 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0034 12
REG/EM/20 2487
### DS200602-0001 NESUN BIN MISA 76 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0028 50
REG/EM/20 2487
### DS200602-0002 NESUN BIN MISA 76 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0601-0028 50
REG/EM/20 2492
### DS200602-0003 YUDIANA BINTI MUHONO 27 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0601-0033 11
REG/EM/20 2492
### DS200602-0018 RUSDI BIN NANGAGUS 84 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0001 13
REG/EM/20 0837
### DS200602-0026 RAYHAN ALMER 16 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0003 44
REG/EM/20 1996
### DS200602-0028 ETIN SUPRIATIN 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0004 25
REG/EM/20 2312
### DS200602-0029 RASIM BIN JULING 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0005 29
REG/EM/20 2492
### DS200602-0031 MUBASIR SETIA PUTRA 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0002 14
REG/IP/200 2491
### DS200602-0035 YENI HANDAYANI 19 F CHRYSANT Thorax AP/PA
602-0005 14
REG/IP/200 2003
### DS200602-0043 ANYIN BIN OCIT. H. TN 62 M CHRYSANT USG Abdomen
530-0026 09
REG/IP/200 2458
### DS200602-0044 ANDI BIN TOMO 39 M CHRYSANT USG Abdomen
601-0004 25
REG/IP/200 2492
### DS200602-0045 NGATIKOH NURULJANNAH 19 F AMARYLLIS USG Abdomen
601-0012 07
REG/IP/200 2491
### DS200602-0046 NURUDIN BIN H. MADROI 39 M AMARYLLIS USG Abdomen
531-0004 90
REG/IP/200 2067
### DS200602-0047 JONWEN BIN HEJO 54 M AMARYLLIS USG Abdomen
531-0009 91
REG/IP/200 1770
### DS200602-0053 ERNIH BINTI MAMAT 42 F CHRYSANT USG Abdomen
601-0008 30
REG/EM/20 1816
### DS200602-0069 RIYANIH BINTI RIBAN 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0006 92
REG/OP/20 2326
### DS200602-0081 ADELAH BINTI ARSALI, NY 55 F POLI PARU Thorax AP/PA
0602-0111 14
REG/EM/20 2492
### DS200602-0092 MUBASIR SETIA PUTRA 23 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0602-0002 14
8/25/2020 12:07:35 PM Page : 1/1

### DS200602-0104 DARSIM BIN GANO. TN 31 M POLI BEDAH UROLOGI
REG/OP/20
### DS200602-0105 ABDUL JAIH 56 M RADIOLOGI CT Scan Kepala Non kontras
0602-0145
REG/OP/20 0727
### DS200602-0110 YANTIH,NY. 39 F POLI PENYAKIT DALAM Thorax AP/PA
0602-0085 40
REG/IP/200 0837
### DS200602-0111 RAYHAN ALMER 16 M CHRYSANT USG Abdomen
602-0004 44
REG/IP/200 1690
### DS200602-0113 SABIRIN BIN SAHIRUN 53 M AMARYLLIS USG Abdomen
601-0018 77
REG/OP/20 1989
### DS200602-0114 T. NEMIN JAKASWARA. TN 67 M POLI PENYAKIT DALAM Thorax AP/PA
0602-0108 24
REG/OP/20 2492
### DS200602-0116 AYU DAMARIS SUMANTRI 21 F POLI PENYAKIT DALAM USG Abdomen
0602-0083 20
### DS200602-0117 AGUS SALIM 36 M POLI BEDAH UROLOGI
REG/OP/20 0354
### DS200602-0125 EBOT BINTI SIMIN. HJ 50 F POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0602-0197 74
REG/OP/20 2475
0602-0182 43
REG/OP/20 2492
### DS200602-0131 RIESTA AMANDA DEVY 31 F POLI PENYAKIT DALAM USG Abdomen
0602-0032 15
REG/EM/20 2492
### DS200602-0132 OKOM BINTI ADUNG 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0011 28
REG/OP/20
### DS200602-0143 ANAH 68 F RADIOLOGI CT Scan Kepala Non kontras
0602-0261
REG/OP/20
### DS200602-0144 ANGELICA QUEEN F 6 F RADIOLOGI USG Abdomen
0602-0267
REG/OP/20 (BATAL)ANGELICA QUEEN
### DS200602-0145 6 F RADIOLOGI USG Abdomen
0602-0267 F
REG/EM/20 1959
### DS200602-0170 MUNAH BINTI H. ONCI 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0012 90
REG/IP/200 2491
### DS200602-0173 ERNA AMELIA 28 F CHRYSANT CV. Cervical 2 posisi
531-0011 96
REG/IP/200 2491
### DS200602-0174 EEN BINTI ITOY 52 F CHRYSANT CV. Lumbosacral 2 posisi
530-0013 78
REG/EM/20 2492
### DS200602-0177 TARJUKI BIN WARJAN 69 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0013 30
REG/EM/20 2092
### DS200602-0182 LETIK BINTI DULLOH 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0014 00
REG/IP/200 1420 NGATMINAH BINTI
530-0011 81 SURYADI.NY
REG/EM/20 1931
### DS200602-0187 ROSITA WATI 60 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0015 48
REG/EM/20 1931
### DS200602-0188 ROSITA WATI 60 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0602-0015 48
REG/EM/20 1863
### DS200602-0189 SIPIT BINTI KAISAN 64 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0602-0016 53
REG/IP/200 2491
### DS200602-0191 SUHADI BIN KARTOREJO 52 M CHRYSANT CT Scan Whole Abdomen non kontras
530-0009 00
REG/OP/20 2064
### DS200602-0192 SADAM HUSEN 29 M POLI PENYAKIT DALAM USG Abdomen
0602-0282 07
REG/EM/20 2492
### DS200602-0195 MUKSIN BIN RIMUN 66 M INSTALASI GAWAT DARURAT (IGD) CV. Thoracolumbal 2 posisi
0602-0018 34
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2492
### DS200602-0196 MUKSIN BIN RIMUN 66 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0602-0018 34
REG/EM/20 2492
### DS200602-0197 MUKSIN BIN RIMUN 66 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0602-0018 34
REG/EM/20 2492
### DS200602-0198 MUKSIN BIN RIMUN 66 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0018 34
### DS200602-0199 MUKSIN BIN RIMUN 66 M INSTALASI GAWAT DARURAT (IGD)
0602-0018 34 window
REG/EM/20 2492
### DS200602-0201 HASAN BASRI 70 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0019 35
REG/EM/20 1863
### DS200602-0203 SIPIT BINTI KAISAN 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0602-0016 53
REG/OP/20
### DS200602-0206 NOVRYWALDI 62 M RADIOLOGI CT Scan Kepala Non kontras
0602-0283
REG/EM/20 2470
0602-0020 67
REG/IP/200 1996
### DS200602-0209 ETIN SUPRIATIN 58 F CHRYSANT CV. Lumbosacral 2 posisi
602-0007 25
REG/EM/20 2435
### DS200603-0024 RATNA KOMALA SAKTI 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0003 94
REG/EM/20 2435
### DS200603-0025 RATNA KOMALA SAKTI 59 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0603-0003 94
REG/EM/20 1417
### DS200603-0028 SUHENGDI 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0004 71
REG/EM/20 1705
0603-0005 29
REG/EM/20 2492
### DS200603-0036 HJ. WATI BINTI IYAN 85 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0007 39
REG/OP/20 2442
### DS200603-0044 WURYANTO BIN WALIBI 48 M POLI JANTUNG Thorax AP/PA
0603-0026 28
REG/IP/200 0435
### DS200603-0048 SAYADIH BIN H. NURDIN 55 M CHRYSANT USG Abdomen
530-0024 85
REG/IP/200 1693
### DS200603-0049 KARYA BIN ELI 54 M CHRYSANT USG Abdomen
602-0003 79
REG/IP/200 1420 NGATMINAH BINTI
530-0011 81 SURYADI.NY
REG/EM/20 1281
### DS200603-0085 ALWI SUHARJO 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0008 03
REG/EM/20 2492
### DS200603-0089 ARIS 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0010 43
### DS200603-0096 RUSDI BIN RASIMAN 49 M INSTALASI GAWAT DARURAT (IGD)
0603-0013 49 window
REG/EM/20 2492
### DS200603-0098 RUSDI BIN RASIMAN 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0013 49
REG/EM/20 2492
### DS200603-0101 ANGGIE BIN SAIPUL 24 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0603-0012 47
REG/EM/20 2492
### DS200603-0102 ANGGIE BIN SAIPUL 24 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0012 47
REG/EM/20 2491
### DS200603-0110 (BATAL)UCI BIN NAIRIN 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0011 12
REG/EM/20 1281
### DS200603-0112 ALWI SUHARJO 31 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0603-0008 03
REG/OP/20 0932
### DS200603-0113 ARI SAVITRI.NY 43 F POLI BEDAH MULUT Panoramik
0603-0127 12
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REG/OP/20 MILKHA ADZKADINA
### DS200603-0122 2 F RADIOLOGI Thorax AP/PA
0603-0175 PRIMA
### DS200603-0123 SAMSARI BIN BOSIN 31 M POLI BEDAH UROLOGI
REG/OP/20 2492
### DS200603-0124 RENAN BIN MANYUN 84 M POLI BEDAH UROLOGI USG Abdomen
0603-0162 52
REG/OP/20 1635 HAMIDAH BINTI KUSNI. CT Scan Abdomen Superior / Inferior /
REG/OP/20 2492 SUPRIYANTO BIN CT Scan Abdomen Superior / Inferior /
0603-0165 54 SUWARDI Pelvis / Coxae non kontras
REG/OP/20 0319
### DS200603-0127 AUDI FITRIANI,NY. 39 F POLI PENYAKIT DALAM Thorax AP/PA
0603-0028 15
REG/EM/20 0541
### DS200603-0128 DIAN MULYAWATI 35 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0014 12
REG/EM/20 2492
### DS200603-0129 PAHLUDIN BIN MARULLOH 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0015 53
REG/EM/20 2492
### DS200603-0134 PAHLUDIN BIN MARULLOH 44 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0603-0015 53
REG/OP/20
### JO200603-00010 WIDYASTUTI 23 F POLI MCU Thorax AP/PA
0603-0130
REG/OP/20
### JO200603-00008 WIWIK ASTRIANI 22 F POLI MCU Thorax AP/PA
0603-0124
REG/OP/20
### JO200603-00006 SINAH 27 F POLI MCU Thorax AP/PA
0603-0101
REG/OP/20
### JO200603-00004 FERRA OKTAVIANI 21 F POLI MCU Thorax AP/PA
0603-0097
REG/OP/20
### JO200603-00002 ARADEA ANZALNA 24 F POLI MCU Thorax AP/PA
0603-0092
### DS200603-0137 SABAR SIMANGUNSONG 39 M POLI BEDAH UROLOGI
REG/OP/20 2200 SUGIARTI BINTI
### DS200603-0141 50 F POLI BEDAH UROLOGI Thorax AP/PA
0603-0187 12 ROHIDI.NY
REG/IP/200 1996
### DS200603-0144 ETIN SUPRIATIN 58 F CHRYSANT USG Abdomen
602-0007 25
### DS200603-0147 RANIH BINTI MIRAN 58 F POLI BEDAH UROLOGI
REG/OP/20
### JO200603-00028 WARIKA NUR ASSYFA 17 F POLI MCU Thorax AP/PA
0603-0228
REG/OP/20
### JO200603-00024 DESTRI FEBRIANTI 17 F POLI MCU Thorax AP/PA
0603-0222
REG/OP/20
### JO200603-00026 NISRINA ATIKAH 18 F POLI MCU Thorax AP/PA
0603-0227
REG/OP/20 2492
### DS200603-0154 KARYA SONJAYA 31 M POLI BEDAH UMUM USG Thyroid Doppler
0603-0224 62
REG/OP/20
### DS200603-0169 WINDRIATI 40 F RADIOLOGI USG Abdomen
0603-0238
REG/IP/200 1863 (BATAL)SIPIT BINTI
602-0015 53 KAISAN
REG/EM/20 2492
### DS200603-0177 INDRA PERMANA 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0019 64
REG/IP/200 1863
### DS200603-0178 SIPIT BINTI KAISAN 64 F CHRYSANT USG Abdomen
602-0015 53
### DS200603-0179 INDRA PERMANA 34 M INSTALASI GAWAT DARURAT (IGD)
0603-0019 64 window
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1373
### DS200603-0180 IDA FARIDA HIDAYAT 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0022 70
REG/OP/20 2488 MUHAMMAD KADAFI
### DS200603-0182 11 M POLI BEDAH ORTHOPEDI Pedis Dex/Sin
0603-0248 65 PUTRA
REG/EM/20 2492
### DS200603-0188 HENDAR BIN ONIN 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0025 68
REG/EM/20 2492
### DS200603-0189 HENDAR BIN ONIN 42 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0603-0025 68
REG/OP/20 2487
### DS200603-0195 AWANG PRASETYA 50 M POLI BEDAH ORTHOPEDI Pedis Dex/Sin
0603-0251 47
REG/OP/20 2492
### DS200603-0198 LANI JAELANI 46 M POLI JANTUNG Thorax AP/PA
0603-0225 63
REG/EM/20 1578 MUHAMMAD DAFFA
### DS200603-0199 6 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0603-0031 55 ARROFI
0603-0031 55 ARROFI
REG/EM/20 2492
### DS200603-0205 H. MISAN BIN H. BONAR 69 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0034 74
REG/EM/20 2414
### DS200603-0207 JAMURI BIN ABD ROHMAN 69 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0603-0035 78
REG/EM/20 2492 JAMALUDIN BIN ATA
0603-0036 75 PERMANA
0603-0036 75 PERMANA
REG/OP/20 2490
### DS200604-0035 AGUS RIVAI 50 M POLI PARU CT Scan Thorax dengan kontras
0604-0043 03
REG/IP/200 2492
### DS200604-0041 ATI BINTI MADRAIS 68 F CHRYSANT Thorax AP/PA
604-0005 46
REG/EM/20 2487 (BATAL)MAYA BINTI
0509-0003 53 RUSTONI
REG/EM/20 2487
### DS200604-0047 MAYA BINTI RUSTONI 30 F INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0509-0003 53
REG/IP/200 2492
### DS200604-0056 HAULIAH BINTI ANAS 38 F CHRYSANT Thorax AP/PA
604-0006 56
REG/EM/20 2492
### DS200604-0063 EROH BINTI ONYIN 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0001 78
REG/IP/200 2492
### DS200604-0064 BUDI SARI SUPRIYATI 44 F AMARYLLIS Thorax AP/PA
604-0008 50
REG/EM/20 2069
### DS200604-0066 YATI BINTI SARNIN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0002 25
REG/OP/20 2383
### DS200604-0068 POLTAK SIREGAR 48 M POLI PARU Thorax AP/PA
0604-0079 78
REG/OP/20 2479
### DS200604-0078 LUTVIATUN KHASANAH 20 F POLI PARU Thorax AP/PA
0604-0101 00
REG/OP/20 2132
### DS200604-0080 SAHRI BIN SAEM 52 M POLI PARU Thorax AP/PA
0604-0107 67
REG/IP/200 2492
### DS200604-0084 VINA YUNIAR 0 F PERINA INFEKSI BABY GRAM
603-0018 73
REG/IP/200 2105 KOMARRUDIN BIN
### DS200604-0090 56 M CHRYSANT Jasa Baca Foto Konvensional
603-0009 40 KARTAWI. TN
REG/EM/20 2492
### DS200604-0095 SUSI ADELA 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0007 89
REG/OP/20 2492 HAMIDAH BINTI ACIM
0604-0145 67 SETIADI
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 1617 DERIS TAOFIK
### DS200604-0099 9 M POLI ANAK CT Scan Kepala Non kontras
0604-0120 66 QUROHMAN
REG/OP/20
### DS200604-0100 HARYANA SUTRESNA 33 M RADIOLOGI Panoramik
0604-0155
REG/OP/20 1719
### DS200604-0105 (BATAL)INDAH SUARI 48 F POLI PENYAKIT DALAM USG Abdomen
0604-0103 18
REG/EM/20 2492
### DS200604-0106 YUNITA BINTI ACIM 21 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0006 87
REG/OP/20 2492 (BATAL)MARYAMAH BINTI
### DS200604-0113 62 F POLI SYARAF CT Scan Kepala Non kontras
0604-0156 91 ENJIN
REG/EM/20 2087
### DS200604-0122 YANI BINTI UDIN 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0008 44
REG/OP/20 2489
### DS200604-0124 HINDAYATI 53 F POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0604-0152 71
REG/OP/20 2489
### DS200604-0125 HINDAYATI 53 F POLI BEDAH ORTHOPEDI Pelvis/Coxae
0604-0152 71
REG/OP/20 1828
### DS200604-0129 TRI ASIH 25 F POLI PENYAKIT DALAM Thorax AP/PA
0604-0172 14
REG/OP/20
### DS200604-0130 DELVIAS 42 M RADIOLOGI CT Scan Kepala Non kontras
0604-0216
REG/OP/20 2192 (BATAL)SULAIHA BINTI
### DS200604-0132 43 F POLI PARU USG Abdomen
0604-0099 04 MUNAJI
REG/OP/20 2192 (BATAL)SULAIHA BINTI
### DS200604-0135 43 F POLI PARU USG Thorax / Paru
0604-0099 04 MUNAJI
REG/IP/200 2492
### DS200604-0136 TARJUKI BIN WARJAN 69 M AMARYLLIS PTCA - Kamar Tindakan
602-0010 30
REG/IP/200 2492
### DS200604-0136 TARJUKI BIN WARJAN 69 M AMARYLLIS PTCA - Dokter Operator Kls 2
602-0010 30
REG/IP/200 2492
### DS200604-0136 TARJUKI BIN WARJAN 69 M AMARYLLIS PTCA - Asisten Operator
602-0010 30
REG/EM/20 2492
### DS200604-0140 VERY SINAGA 29 M INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0604-0016 97
### DS200604-0143 UMIYATI SASMIAH 61 F INSTALASI GAWAT DARURAT (IGD)
0604-0017 81 window
REG/IP/200 2492 JAMALUDIN BIN ATA
### DS200604-0148 26 M AMARYLLIS Manus Dex/Sin
604-0003 75 PERMANA
REG/EM/20 2493
### DS200604-0151 HALIMAH BINTI JANA 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0019 02
REG/EM/20 2493
### DS200604-0152 HALIMAH BINTI JANA 65 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0604-0019 02
REG/IP/200 2491
### DS200604-0154 JASAN BIN SENIN 58 M CHRYSANT USG Abdomen
529-0001 49
REG/OP/20 2257 BONI YUNINDA USG Deep Vein Trombus Dex / Sin
### DS200604-0160 31 M POLI BEDAH VASKULER
0604-0119 93 PRAVENCIKA. TN Doppler
REG/OP/20 ARFA'ATIN LUTFIAH
### DS200604-0161 28 F RADIOLOGI Panoramik
0604-0273 NURHAYATI
### DS200604-0162 GALUH ASPURI SETYO AJI 28 M POLI BEDAH UROLOGI
REG/IP/200 2492
### DS200604-0168 EROH BINTI ONYIN 57 F CHRYSANT Thorax AP/PA
604-0011 78
REG/EM/20 2493
### DS200604-0170 SANIH BINTI KENCONG 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0023 04
REG/EM/20 2493
### DS200604-0173 ISMARI EKO WALUYO 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0025 05
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2493 YUNI EKO
0604-0026 06 RAHAYUNINGSIH
REG/EM/20 2493
### DS200604-0178 SARINI BINTI TASRIP 67 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0027 07
REG/EM/20 2493
### DS200604-0179 KUS WAHYUGI 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0604-0030 10
REG/EM/20 2493
### DS200605-0031 YAYAT HIDAYAT 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0004 12
REG/EM/20 2493
### DS200605-0033 (BATAL)YAYAT HIDAYAT 40 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0605-0004 12
REG/EM/20 1105
### DS200605-0034 RENALDY SULAEMAN 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0003 51
REG/EM/20 2493
### DS200605-0036 NARYO SUMARNA 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0005 13
### DS200605-0037 NARYO SUMARNA 29 M INSTALASI GAWAT DARURAT (IGD)
0605-0005 13 window
### DS200605-0040 IPAN SOPANDI 29 M INSTALASI GAWAT DARURAT (IGD)
0605-0006 14 window
REG/EM/20 2493
### DS200605-0041 IPAN SOPANDI 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0006 14
REG/EM/20 0834
### DS200605-0045 SASHA DELIANA SUSANTO 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0007 52
REG/OP/20 2491
### DS200605-0070 ARIF SARIPUDIN 32 M RADIOLOGI USG Abdomen
0605-0073 77
REG/EM/20 2493 YULIANTO BIN KARTO
0605-0011 18 SUWIGNYO
REG/EM/20 2437
### DS200605-0091 ERUS B NURAM 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0009 78
REG/OP/20
### DS200605-0092 YAHYA 41 M RADIOLOGI USG Abdomen
0605-0117
REG/OP/20 2492
### DS200605-0094 RIESTA AMANDA DEVY 31 F POLI PENYAKIT DALAM Thorax AP/PA
0605-0031 15
REG/OP/20
### JO200605-00010 LYRA MITASA AULIA 17 F POLI MCU Thorax AP/PA
0605-0088
REG/OP/20
### JO200605-00018 CICIH SHOLIHAT 18 F POLI MCU Thorax AP/PA
0605-0115
### DS200605-0101 AHMAD KISWANTORO 23 M POLI BEDAH UROLOGI
REG/IP/200 2491
### DS200605-0106 JASAN BIN SENIN 58 M CHRYSANT PTCA - Kamar Tindakan
529-0001 49
REG/IP/200 2491
### DS200605-0106 JASAN BIN SENIN 58 M CHRYSANT PTCA - Dokter Operator
529-0001 49
REG/IP/200 2491
### DS200605-0106 JASAN BIN SENIN 58 M CHRYSANT PTCA - Asisten Operator
529-0001 49
REG/OP/20 INTAN RAHAYU NUR
### JO200605-00014 18 F POLI MCU Thorax AP/PA
0605-0092 FADILLAH
REG/OP/20
### JO200605-00006 DINDA HANNA KHUMAIRO 17 F POLI MCU Thorax AP/PA
0605-0084
REG/OP/20
### JO200605-00004 IFTAH MAHFUROH 18 F POLI MCU Thorax AP/PA
0605-0076
REG/OP/20
### JO200605-00008 RIKA NUR FAZRIAH 17 F POLI MCU Thorax AP/PA
0605-0085
REG/OP/20 PINGKAN ADE
0605-0089 RAMADHANI
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 1959
### DS200605-0112 MUNAH BINTI H. ONCI 52 F CHRYSANT Thorax AP/PA
602-0012 90
REG/IP/200 2493
### DS200605-0113 YANA SETIANA 31 M AMARYLLIS Thorax AP/PA
605-0010 17
REG/IP/200 2491
### DS200605-0114 RUDI HARYANTO 52 M JASMINE Thorax AP/PA
529-0008 62
REG/IP/200 1741
### DS200605-0115 TARYADI BIN DULLOH 60 M JASMINE Thorax AP/PA
531-0005 87
REG/IP/200 0551
### DS200605-0116 LOUIS 55 M AMARYLLIS PTCA - Kamar Tindakan
601-0006 33
REG/IP/200 0551
### DS200605-0116 LOUIS 55 M AMARYLLIS PTCA - Dokter Operator Kls 2
601-0006 33
REG/IP/200 0551
### DS200605-0116 LOUIS 55 M AMARYLLIS PTCA - Asisten Operator
601-0006 33
REG/EM/20 2493
### DS200605-0117 LIDYA ASTRID 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0012 21
REG/IP/200 2492
### DS200605-0118 DEDE BUDIANA 51 M AMARYLLIS PTCA - Kamar Tindakan
602-0001 12
REG/IP/200 2492
### DS200605-0118 DEDE BUDIANA 51 M AMARYLLIS PTCA - Dokter Operator Kls 2
602-0001 12
REG/IP/200 2492
### DS200605-0118 DEDE BUDIANA 51 M AMARYLLIS PTCA - Asisten Operator
602-0001 12
REG/EM/20 0641
### DS200605-0125 ANIFAH,NY. 47 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0605-0014 51
REG/OP/20 1221
### DS200605-0127 AI HANDAYANI 38 F POLI JANTUNG Thorax AP/PA
0605-0159 91
### DS200605-0132 KAWIT DAYATI .NY 56 F POLI BEDAH UROLOGI
### DS200605-0140 ALIANIS BIN BAHARUDIN 51 M POLI BEDAH UROLOGI
REG/OP/20 2493
### DS200605-0141 ALIANIS BIN BAHARUDIN 51 M POLI BEDAH UROLOGI Thorax AP/PA
0605-0175 25
REG/EM/20 1714
### DS200605-0149 ONIH BINTI RUYAN 75 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0016 13
REG/OP/20
### DS200605-0151 INTAN NURAENI 12 F RADIOLOGI CT Scan Kepala Non kontras
0605-0241
REG/IP/200 1525
### DS200605-0153 ENI BINTI TABIH 79 F CHRYSANT Thorax AP/PA
601-0014 04
REG/IP/200 2492
### DS200605-0154 BUDI SARI SUPRIYATI 44 F AMARYLLIS CAG - Kamar Tindakan
604-0008 50
REG/IP/200 2492
### DS200605-0154 BUDI SARI SUPRIYATI 44 F AMARYLLIS CAG - Dokter Operator Kls 1
604-0008 50
REG/IP/200 2492
### DS200605-0154 BUDI SARI SUPRIYATI 44 F AMARYLLIS CAG - Asisten Operator
604-0008 50
REG/EM/20 2436
### DS200605-0155 UANG BINTI SAIT 73 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0017 94
REG/IP/200 2215
### DS200605-0157 RISQI OKTAVIANI 24 F AMARYLLIS Thorax AP/PA
605-0008 64
REG/IP/200 2069
### DS200605-0160 YATI BINTI SARNIN 50 F CHRYSANT CAG - Kamar Tindakan
604-0009 25
REG/IP/200 2069
### DS200605-0160 YATI BINTI SARNIN 50 F CHRYSANT CAG - Dokter Operator Kls 2
604-0009 25
REG/IP/200 2069
### DS200605-0160 YATI BINTI SARNIN 50 F CHRYSANT CAG - Asisten Operator
604-0009 25
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 0943
### DS200605-0162 ALIUDIN BIN H.SAKAM 54 M POLI SYARAF Thorax AP/PA
0605-0138 28
REG/OP/20 0943
### DS200605-0163 ALIUDIN BIN H.SAKAM 54 M POLI SYARAF CT Scan Kepala Non kontras
0605-0138 28
REG/EM/20 2493
### DS200605-0164 TOPAN NUARI 32 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0020 30
REG/IP/200 2492
### DS200605-0174 HAULIAH BINTI ANAS 38 F CHRYSANT CAG - Kamar Tindakan
604-0006 56
REG/IP/200 2492
### DS200605-0174 HAULIAH BINTI ANAS 38 F CHRYSANT CAG - Dokter Operator Kls 2
604-0006 56
REG/IP/200 2492
### DS200605-0174 HAULIAH BINTI ANAS 38 F CHRYSANT CAG - Asisten Operator
604-0006 56
REG/IP/200 2492
### DS200605-0175 IJA BIN DOOT 52 M CHRYSANT CAG - Kamar Tindakan
604-0004 51
REG/IP/200 2492
### DS200605-0175 IJA BIN DOOT 52 M CHRYSANT CAG - Dokter Operator Kls 2
604-0004 51
REG/IP/200 2492
### DS200605-0175 IJA BIN DOOT 52 M CHRYSANT CAG - Asisten Operator
604-0004 51
REG/IP/200 2492
### DS200605-0176 ATI BINTI MADRAIS 68 F CHRYSANT CAG - Kamar Tindakan
604-0005 46
REG/IP/200 2492
### DS200605-0176 ATI BINTI MADRAIS 68 F CHRYSANT CAG - Dokter Operator Kls 3
604-0005 46
REG/IP/200 2492
### DS200605-0176 ATI BINTI MADRAIS 68 F CHRYSANT CAG - Asisten Operator
604-0005 46
REG/EM/20 2461
### DS200605-0180 BIMA ATHAYA 0 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0021 46
REG/EM/20 2493
### DS200605-0182 ATENG BIN IJO 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0605-0025 33
### DS200605-0184 ATENG BIN IJO 37 M INSTALASI GAWAT DARURAT (IGD)
0605-0025 33 window
REG/EM/20 2493
### DS200605-0188 (BATAL)ATENG BIN IJO 37 M INSTALASI GAWAT DARURAT (IGD) TMJ
0605-0025 33
REG/EM/20 2493
### DS200605-0192 ATENG BIN IJO 37 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0605-0025 33
REG/EM/20 2493
### DS200606-0031 FREYA KIRANI 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0001 36
REG/EM/20 2493
### DS200606-0034 GALIH TRISNA PRILIYAN 19 M INSTALASI GAWAT DARURAT (IGD) Ankle joint Dex/Sin
0606-0002 37
REG/IP/200 0892
### DS200606-0035 ADE ISMANTO 31 M CHRYSANT Thorax AP/PA
606-0003 89
REG/IP/200 2492
### DS200606-0038 ENCIH BINTI USMAN 54 F CHRYSANT Jasa Baca Foto Konvensional
603-0008 61
REG/IP/200 2492
### DS200606-0053 EROH BINTI ONYIN 57 F CHRYSANT USG Abdomen
604-0011 78
REG/IP/200 2493
### DS200606-0054 IMAN BIN RIIH 57 M AMARYLLIS USG Abdomen
605-0018 31
REG/IP/200 2493
### DS200606-0055 ASEP SOPIYAN 38 M AMARYLLIS Jasa Baca Foto Konvensional
605-0015 29
REG/IP/200 0435
### DS200606-0056 SAYADIH BIN H. NURDIN 55 M CHRYSANT Thorax AP/PA
530-0024 85
REG/EM/20 2457
### DS200606-0057 WINDA WIDIYA SARI 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0003 49
REG/OP/20 1151
### DS200606-0069 FAJAR MINATI.NN 30 F RADIOLOGI Panoramik
0606-0100 62
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REG/OP/20 2384 FITRIA KHUSNUL
0606-0084 29 KHOTIMAH
REG/EM/20 2493
### DS200606-0081 RIDAH FARIDA 46 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0606-0006 43
REG/EM/20 2493
### DS200606-0082 RIDAH FARIDA 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0006 43
REG/EM/20 2493
### DS200606-0086 GALIH TRISNA PRILIYAN 19 M INSTALASI GAWAT DARURAT (IGD) Ankle joint Dex/Sin
0606-0002 37
REG/EM/20 2493
### DS200606-0088 SAIM BIN ENTING 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0008 48
REG/EM/20 2493
### DS200606-0089 SAIM BIN ENTING 55 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0606-0008 48
REG/EM/20 2493
### DS200606-0091 (BATAL)SAIM BIN ENTING 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0008 48
0606-0005 55 ARROFI
REG/OP/20 2490
### DS200606-0098 ENJEN BIN OLI 62 M POLI BEDAH UROLOGI USG Abdomen
0606-0062 77
REG/OP/20 2491
### DS200606-0100 MINAR BIN SATIM 58 M POLI BEDAH UROLOGI USG Abdomen
0606-0077 99
REG/EM/20 2493
### DS200606-0101 JUNAEDI BIN CIMAN 33 M INSTALASI GAWAT DARURAT (IGD) USG Testis/Scrotum HP
0606-0011 51
REG/EM/20 1222 SALWATI BINTI
0606-0012 61 H.SUTE.NY
REG/OP/20 2454
### DS200606-0104 ALBERTUS ALDI AFRIAN 17 M POLI BEDAH MULUT Panoramik
0606-0098 54
REG/OP/20 2491
### DS200606-0106 SITI NURHIKMAH 20 F POLI PENYAKIT DALAM Thorax AP/PA
0606-0070 95
### DS200606-0109 56 M CHRYSANT PTCA - Dokter Operator
603-0009 40 KARTAWI. TN
603-0009 40 KARTAWI. TN
603-0009 40 KARTAWI. TN
REG/IP/200 2492
### DS200606-0111 ENCIH BINTI USMAN 54 F CHRYSANT PTCA - Kamar Tindakan
603-0008 61
REG/IP/200 2492
### DS200606-0111 ENCIH BINTI USMAN 54 F CHRYSANT PTCA - Asisten Operator
603-0008 61
REG/IP/200 2492
### DS200606-0111 ENCIH BINTI USMAN 54 F CHRYSANT PTCA - Dokter Operator
603-0008 61
REG/IP/200 2493 (BATAL)ISMARI EKO
### DS200606-0115 48 M AMARYLLIS PTCA - Asisten Operator
604-0023 05 WALUYO
### DS200606-0115 48 M AMARYLLIS PTCA - Dokter Operator
604-0023 05 WALUYO
### DS200606-0115 48 M AMARYLLIS PTCA - Kamar Tindakan
604-0023 05 WALUYO
REG/IP/200 2493
### DS200606-0125 NURLIA SHERLY ZANUAR 0 M PERINA INFEKSI Thorax AP/PA
606-0009 56
REG/EM/20 2417
### DS200606-0130 ENA SUGIARTO 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0016 42
REG/EM/20 2493
### DS200606-0132 RENDY HIDAYATULLAH 11 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0017 60
REG/EM/20 2493
### DS200606-0134 SAIM BIN ENTING 55 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0606-0008 48
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REG/IP/200 2493
### DS200606-0138 ISMARI EKO WALUYO 48 M AMARYLLIS PTCA - Kamar Tindakan
604-0023 05
REG/IP/200 2493
### DS200606-0138 ISMARI EKO WALUYO 48 M AMARYLLIS PTCA - Dokter Operator Kls 2
604-0023 05
REG/IP/200 2493
### DS200606-0138 ISMARI EKO WALUYO 48 M AMARYLLIS PTCA - Asisten Operator
604-0023 05
REG/EM/20 1830
### DS200606-0141 HENDRA SUHENDRA 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0606-0018 18
REG/EM/20 1375 RADEN TANTI
0606-0023 39 MURNIWATI. NY
REG/EM/20 2493 (BATAL)IRWANTO BIN
0606-0024 65 RAWAS
### DS200606-0153 ACEP . H 75 M RADIOLOGI
0606-0198 window
REG/EM/20 2493 HADIJAH BINTI
0606-0025 66 H.NAIMIN . HJ
REG/EM/20 2391 MARDIANAH BINTI
0606-0026 99 MAHMUDIN
REG/EM/20 2493
### DS200607-0013 ALIKA PUTRI AHZAHRA 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0001 67
REG/EM/20 2152
### DS200607-0029 ANWAR BIN AZRA. TN 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0004 91
### DS200607-0032 RIZAL BIN SAMSUDIN 30 M INSTALASI GAWAT DARURAT (IGD)
0607-0006 70 window
REG/EM/20 2493
### DS200607-0033 RIZAL BIN SAMSUDIN 30 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0006 70
REG/EM/20 2493
### DS200607-0034 RIZAL BIN SAMSUDIN 30 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0607-0006 70
REG/EM/20 2493
### DS200607-0036 SOFIA BR TAMBUNAN 43 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0607-0005 69
REG/EM/20 2493
### DS200607-0037 SOFIA BR TAMBUNAN 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0005 69
REG/EM/20 2493
### DS200607-0042 (BATAL)TUIN BIN ANDUN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0007 73
REG/OP/20
### DS200607-0045 NENENG RATNA SARI 24 F RADIOLOGI Thorax AP/PA
0607-0002
REG/EM/20 2493 (BATAL)AISYAH BINTI
0607-0010 74 ABDULAH
REG/IP/200 1705
### DS200607-0053 NEMAN BIN SADIH 54 M CHRYSANT Thorax AP/PA
603-0003 29
REG/IP/200 2492
### DS200607-0054 OKOM BINTI ADUNG 62 F CHRYSANT Thorax AP/PA
602-0009 28
REG/EM/20 2493
### DS200607-0069 (BATAL)SUTI BINTI KARYU 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0012 75
REG/EM/20 2493 (BATAL)JELITAWAN
### DS200607-0072 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0607-0013 76 SIMATUPANG
REG/EM/20 1958
### DS200607-0073 (BATAL)DALIH BIN NEMIN 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0014 65
REG/IP/200 2492
### DS200607-0076 EROH BINTI ONYIN 57 F CHRYSANT Thorax AP/PA
604-0011 78
REG/EM/20 2493 (BATAL)BONAH BINTI
0607-0016 78 RISAM
REG/EM/20 2493 (BATAL)ROSE METTA
0607-0015 77 AGUSLINA
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REG/EM/20 2493
### DS200607-0082 NAPENDI BIN AMIR 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0018 79
REG/EM/20 2493
### DS200607-0083 NAPENDI BIN AMIR 60 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0607-0018 79
REG/EM/20 2493 ARIRIA CHANTIKA
0607-0019 80 ARVIANIE
REG/EM/20 2493
### DS200607-0087 ROSE METTA AGUSLINA 12 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0015 77
REG/EM/20 2493
### DS200607-0088 TUIN BIN ANDUN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0007 73
REG/EM/20 2493
### DS200607-0089 BONAH BINTI RISAM 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0016 78
REG/EM/20 2493
### DS200607-0090 AISYAH BINTI ABDULAH 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0010 74
REG/EM/20 2493
### DS200607-0093 SUTI BINTI KARYU 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0012 75
REG/EM/20 2493
### DS200607-0094 JELITAWAN SIMATUPANG 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0607-0013 76
REG/EM/20 1958
### DS200607-0095 DALIH BIN NEMIN 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0607-0014 65
REG/EM/20 2469
### DS200608-0026 SITI HAWA 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0002 58
REG/EM/20 2493
### DS200608-0031 EKO ADI SISWANTO 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0001 81
REG/EM/20 2493
### DS200608-0033 JUNA ALFATIH RAMADAN 3 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0003 82
REG/IP/200 2493
### DS200608-0037 BONAH BINTI RISAM 52 F CHRYSANT USG Abdomen
607-0019 78
REG/IP/200 2493 HADIJAH BINTI
607-0001 66 H.NAIMIN . HJ
REG/EM/20 2493
### DS200608-0047 IKA TURSIATY ARDITA 33 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0005 86
REG/EM/20 2471 HJ. TUTIHARYATI BINTI
0608-0004 17 RHO ABU HASAN
REG/OP/20 2493
### DS200608-0070 ROHYANTO BIN KUSEN 57 M POLI PENYAKIT DALAM Thorax AP/PA
0608-0074 85
REG/IP/200 2493
### DS200608-0074 SURDIH BIN MARSAN 49 M ICCU PTCA - Kamar Tindakan
607-0004 68
REG/IP/200 2493
### DS200608-0074 SURDIH BIN MARSAN 49 M ICCU PTCA - Dokter Operator
607-0004 68
REG/IP/200 2493
### DS200608-0074 SURDIH BIN MARSAN 49 M ICCU PTCA - Asisten Operator
607-0004 68
REG/OP/20
### JO200608-00029 RAIHAN JAMALUDIN 17 M POLI MCU Thorax AP/PA
0608-0112
REG/OP/20
### JO200608-00002 DICKY INDRIAWAN 21 M POLI MCU Thorax AP/PA
0608-0055
REG/OP/20
### JO200608-00006 LUKI ALAMSYAH 19 M POLI MCU Thorax AP/PA
0608-0058
REG/OP/20
### JO200608-00004 MAULANA FIRMANSYAH 25 M POLI MCU Thorax AP/PA
0608-0070
REG/OP/20
### JO200608-00008 NANO 18 M POLI MCU Thorax AP/PA
0608-0060
REG/OP/20
### JO200608-00011 MEYLIANA PUTRI 18 F POLI MCU Thorax AP/PA
0608-0062
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REG/OP/20
### JO200608-00013 WULAN FAJAR 17 F POLI MCU Thorax AP/PA
0608-0069
REG/OP/20
### JO200608-00015 LARAS NOVA PITALOKA 17 F POLI MCU Thorax AP/PA
0608-0066
REG/OP/20
### JO200608-00020 PUSPA NOVIYANTI 16 F POLI MCU Thorax AP/PA
0608-0087
REG/OP/20
### JO200608-00024 CINDY YUNITARIA 17 F POLI MCU Thorax AP/PA
0608-0093
REG/OP/20 1461
### DS200608-0075 MOHAMMAD ISMAIL 28 M POLI PARU Thorax AP/PA
0608-0147 92
REG/OP/20 2418
### DS200608-0078 SAMI BINTI SALAN 47 F HEMODIALISA Thorax AP/PA
0608-0131 42
REG/OP/20 2414
### DS200608-0083 NURJANAH BINTI NASIR 64 F POLI PENYAKIT DALAM USG Abdomen
0608-0149 99
REG/EM/20 2493
### DS200608-0086 IKA TURSIATY ARDITA 33 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0608-0005 86
### DS200608-0092 EKO RIYANTO 27 M POLI BEDAH UROLOGI
REG/OP/20
### JO200608-00033 LUTHFI 24 M POLI MCU Thorax AP/PA
0608-0193
REG/OP/20 2344
### JO200608-00031 YASAN 45 M POLI MCU Thorax AP/PA
0606-0155 71
REG/OP/20 2493
### DS200608-0093 SRI HARYATI 36 F POLI SYARAF CV. Lumbosacral 2 posisi
0608-0165 96
### DS200608-0095 DALIH BIN NEMIN 54 M CHRYSANT
REG/IP/200 2492
### DS200608-0096 HASAN BASRI 70 M JASMINE Thorax AP/PA
602-0019 35
REG/IP/200 2491
### DS200608-0097 RUDI HARYANTO 52 M JASMINE Thorax AP/PA
529-0008 62
REG/IP/200 1816
### DS200608-0099 RIYANIH BINTI RIBAN 28 F JASMINE Thorax AP/PA
602-0016 92
REG/EM/20 2485
### DS200608-0100 AINUL YAKIN 26 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0608-0006 37
REG/OP/20 2493 ROHANI BONTOR
### DS200608-0101 47 F POLI PARU CT Scan Thorax dengan kontras
0608-0177 97 SIANIPAR
REG/OP/20
### JO200606-00017 CHAIRUL FAHMY 27 M POLI MCU Thorax AP/PA
0606-0148
REG/OP/20
### JO200606-00015 RUBIANTO 48 M POLI MCU Thorax AP/PA
0606-0146
REG/OP/20
### JO200606-00013 ASEP SUHARDI 30 M POLI MCU Thorax AP/PA
0606-0145
REG/OP/20 2344
### JO200606-00011 LEO HERMAWAN 45 M POLI MCU Thorax AP/PA
0606-0142 58
REG/OP/20 DIMPU KARDINUS
0606-0135 SIHOMBING
REG/OP/20 2344
### JO200606-00005 THIA HADIYANTI UTAMI 23 F POLI MCU Thorax AP/PA
0606-0134 52
REG/OP/20 2344
### JO200606-00003 DANANG FIRMANSYAH 30 M POLI MCU Thorax AP/PA
0606-0132 67
REG/OP/20 0303
### JO200605-00056 ABAS MU'MIN,TN 57 M POLI MCU Thorax AP/PA
0605-0234 35
REG/OP/20
### JO200605-00052 FITRI NIAT HATI HIA 21 F POLI MCU Thorax AP/PA
0605-0231
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REG/OP/20
### JO200605-00046 FIRMANSYAH 24 M POLI MCU Thorax AP/PA
0605-0230
REG/OP/20
### JO200605-00041 SILUSIN MANTORO 27 M POLI MCU Thorax AP/PA
0605-0229
REG/OP/20
### JO200605-00039 DEDE MURDANI 26 M POLI MCU Thorax AP/PA
0605-0227
REG/OP/20
### JO200605-00037 ACHMAD FADILA 22 M POLI MCU Thorax AP/PA
0605-0225
REG/OP/20
### JO200605-00035 NOPI FERDIANTO 25 M POLI MCU Thorax AP/PA
0605-0219
REG/OP/20 0939
### JO200605-00033 ELLY BIN SANTARA.TN 40 M POLI MCU Thorax AP/PA
0605-0217 10
REG/OP/20
### JO200605-00031 SAHRIEL SIDIK 45 M POLI MCU Thorax AP/PA
0605-0216
REG/OP/20
### JO200605-00029 NURDIANA 19 F POLI MCU Thorax AP/PA
0605-0215
REG/OP/20
### JO200605-00027 TATANG SUGRIANTO 53 M POLI MCU Thorax AP/PA
0605-0213
REG/OP/20
### JO200605-00025 RAKHMAT SETIYADI 44 M POLI MCU Thorax AP/PA
0605-0211
REG/OP/20 1081 PARYONO BIN
0605-0209 15 MISWAN.TN
REG/OP/20
### JO200605-00021 MARTINUS SETIADINATA 28 M POLI MCU Thorax AP/PA
0605-0210
REG/OP/20 2494
### DS200608-0107 ANDIKA WIJAYA 14 M POLI THT Oesophagogram
0608-0214 05
REG/EM/20 2494
### DS200608-0109 AWI BIN PENONG 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0007 06
REG/EM/20 2271 IRWAN BIN KURNAEN
0608-0008 43 B.MASURI
REG/OP/20 2192
### DS200608-0112 SULAIHA BINTI MUNAJI 43 F RADIOLOGI USG Thorax / Paru
0608-0219 04
REG/OP/20
### JO200608-00035 EKA SADEWA 24 M POLI MCU Thorax AP/PA
0608-0218
REG/OP/20 1974 ROSTIYANA BINTI
0608-0220 79 NASRUDIN
REG/EM/20 2485
### DS200608-0117 AINUL YAKIN 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0006 37
REG/EM/20 2494
### DS200608-0120 ROHAYATI BINTI TOSIM 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0608-0009 07
REG/EM/20 2494
### DS200608-0126 ISAH BINTI ISNAN 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0011 09
REG/EM/20 2494
### DS200608-0127 ISAH BINTI ISNAN 62 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0608-0011 09
REG/EM/20 2480
### DS200608-0129 NAARAN BIN DAMANG 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0010 75
REG/EM/20 2480
### DS200608-0130 NAARAN BIN DAMANG 61 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0608-0010 75
REG/EM/20 2494
### DS200608-0134 AWI BIN PENONG 72 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0608-0007 06
REG/OP/20 2494
### DS200608-0135 CHRISTIAN ELIZAR 33 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0608-0202 01
REG/EM/20 2494
### DS200608-0140 TUTI ALAWIYAH 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0017 12
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REG/EM/20 1585
### DS200608-0141 WATINI BIDANINGSIH.NY 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0019 18
REG/IP/200 2493
### DS200608-0143 EKO ADI SISWANTO 45 M CHRYSANT Thorax AP/PA
608-0005 81
REG/EM/20 1579
### DS200608-0149 FRISKA 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0015 29
### DS200608-0150 FRISKA 24 F INSTALASI GAWAT DARURAT (IGD)
0608-0015 29 window
REG/EM/20 2494
### DS200608-0159 ERSIH BINTI ENAN 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0608-0023 17
REG/EM/20 1066
### DS200609-0002 SUCI MULYOWATI 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0001 26
REG/EM/20 1980
### DS200609-0004 YUDIANA MARLIZA 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0002 79
REG/EM/20 2494
### DS200609-0037 SEDI BIN USEN 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0004 21
REG/OP/20 2149
### DS200609-0044 NEMIH BINTI LEEK. NY 59 F POLI BEDAH UROLOGI USG Abdomen
0609-0044 33
REG/IP/200 2493
### DS200609-0056 DARWETI BINTI WARDI 49 F CHRYSANT Thorax AP/PA
609-0006 84
REG/EM/20 1899
### DS200609-0075 PUJI RAHAYU. NY 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0005 61
REG/OP/20 2463
0609-0115 78
REG/OP/20 2494
### DS200609-0080 TETEN MAULANA YUSUP 29 M POLI BEDAH MULUT Panoramik
0609-0077 25
### DS200609-0089 SUYATNO BIN SUPARLAN 51 M POLI BEDAH UROLOGI
REG/EM/20 2494
### DS200609-0090 NEAN BIN BEDUD 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0008 29
REG/EM/20 2494
### DS200609-0091 NEAN BIN BEDUD 61 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0609-0008 29
REG/OP/20 2447
### DS200609-0099 TARISAH BINTI CASIM 49 F POLI SYARAF CT Scan Kepala dengan kontras
0609-0159 56
REG/EM/20 2494
### DS200609-0106 DEWI WULANDARI 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0010 34
REG/EM/20 1690 (BATAL)SABIRIN BIN
0609-0011 77 SAHIRUN
REG/EM/20 2494
### DS200609-0111 DASMITA BINTI SAKAM 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0013 35
REG/EM/20 2494
### DS200609-0120 MUTASIM BIN TURUT 44 M INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0609-0017 39
REG/EM/20 2494
### DS200609-0121 MUTASIM BIN TURUT 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0017 39
REG/EM/20 2494
### DS200609-0123 UNNA MIKAYLA 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0018 40
REG/OP/20
### DS200609-0125 DIKY YULIANA RAHMAN 33 M RADIOLOGI CT Scan Kepala Non kontras
0609-0297
### DS200609-0127 IDUP BINTI PULAN 63 F RADIOLOGI
0609-0300 window
REG/EM/20 2435
### DS200609-0131 STEVEN TUMBELAKA 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0020 90
REG/OP/20 2494
### DS200609-0132 (BATAL)HETTI 54 F POLI BEDAH VASKULER CT Scan Thorax non kontras
0609-0303 42
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REG/EM/20 2494
### DS200609-0133 FAJAR SETYOWATI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0019 43
REG/EM/20 2494
### DS200609-0134 FAJAR SETYOWATI 24 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0609-0019 43
REG/EM/20 2362
### DS200609-0136 SUKOYO DANU PRASETYO 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0023 31
REG/EM/20 2494
### DS200609-0138 SOPIAH BINTI BOYONG 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0022 45
REG/EM/20 2494
### DS200609-0154 JOMIN BIN KAJAN 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0609-0028 49
REG/IP/200 1691
### DS200610-0034 AGUS SUNARNO.TN 51 M CHRYSANT Thorax AP/PA
610-0003 31
REG/OP/20
### JO200609-00045 SITI FATIMATUR RAHMAH 22 F POLI MCU Thorax AP/PA
0609-0291
REG/OP/20 2269
### JO200609-00043 SINTA MULYANI. NN 20 F POLI MCU Thorax AP/PA
0609-0289 24
REG/OP/20 2106
### JO200609-00041 DAHLIA BINTI DIDI.NY 36 F POLI MCU Thorax AP/PA
0609-0287 78
REG/OP/20 2225
### JO200609-00039 SUKENDAR HADI.TN 26 M POLI MCU Thorax AP/PA
0609-0286 72
REG/OP/20
### JO200609-00037 MANIH 24 F POLI MCU Thorax AP/PA
0609-0285
REG/OP/20
### JO200609-00035 KIKI AMELIA PUTRI 21 F POLI MCU Thorax AP/PA
0609-0284
REG/OP/20
### JO200609-00033 EMELIA SITOHANG 37 F POLI MCU Thorax AP/PA
0609-0281
REG/OP/20
### JO200609-00031 SISKA FALENTINA 42 F POLI MCU Thorax AP/PA
0609-0279
REG/OP/20
### JO200609-00029 IIS DAHLIA 26 F POLI MCU Thorax AP/PA
0609-0278
REG/OP/20
### JO200609-00027 SRI SULASTINI 37 F POLI MCU Thorax AP/PA
0609-0277
REG/OP/20
### JO200609-00025 BAGAS ARDIANSYAH 23 M POLI MCU Thorax AP/PA
0609-0275
REG/OP/20
### JO200609-00023 MUH SIROTUL 35 M POLI MCU Thorax AP/PA
0609-0274
REG/OP/20
### JO200609-00021 ROHIM 42 M POLI MCU Thorax AP/PA
0609-0272
REG/OP/20
### JO200609-00019 INDRA MAULANA 31 M POLI MCU Thorax AP/PA
0609-0271
REG/OP/20
### JO200609-00017 YULIANTO 30 M POLI MCU Thorax AP/PA
0609-0269
REG/OP/20
### JO200609-00015 SYUAIB 48 M POLI MCU Thorax AP/PA
0609-0267
REG/OP/20 2493
### DS200610-0040 SANAH BINTI SARBINI 50 F POLI PENYAKIT DALAM Thorax AP/PA
0610-0096 20
REG/OP/20 2478
### DS200610-0041 DEDI SUBANDI 34 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0610-0094 30
REG/OP/20 0523
### DS200610-0046 PRIYONO BIN DIKUN 36 M POLI BEDAH UROLOGI BNO/Abdomen
0610-0115 66
REG/OP/20 0523
### DS200610-0047 PRIYONO BIN DIKUN 36 M POLI BEDAH UROLOGI USG Abdomen
0610-0115 66
REG/OP/20
### JO200610-00023 EKA YULI PRASETYA 17 F POLI MCU Thorax AP/PA
0610-0100
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REG/OP/20
### JO200610-00019 KARNADI 17 M POLI MCU Thorax AP/PA
0610-0097
REG/OP/20
### JO200610-00021 NANA MAULANA 36 M POLI MCU Thorax AP/PA
0605-0233
REG/OP/20
### JO200610-00017 LUTFI NURBAETY 19 F POLI MCU Thorax AP/PA
0610-0090
REG/OP/20 1175
### JO200610-00013 HILWA KHAIRUNNISA.AN 17 F POLI MCU Thorax AP/PA
0610-0088 54
REG/OP/20
### JO200610-00015 SORI BASORI 56 M POLI MCU Thorax AP/PA
0610-0109
REG/OP/20 SACHARISSA NABILA
0610-0087 SALLSABILLA
REG/OP/20
### JO200610-00007 HELMI SETIYADI 18 M POLI MCU Thorax AP/PA
0610-0082
REG/OP/20
### JO200610-00009 HARDI 32 M POLI MCU Thorax AP/PA
0610-0106
REG/OP/20
### JO200610-00005 MIRANTI OKTAVIA 19 F POLI MCU Thorax AP/PA
0610-0080
REG/OP/20
### JO200610-00003 NANDA KUNIAH 17 F POLI MCU Thorax AP/PA
0610-0078
REG/OP/20 1921
### DS200610-0051 HASAN. S H. TN 64 M POLI BEDAH UROLOGI BNO/Abdomen
0610-0065 49
REG/IP/200 2494
### DS200610-0055 CHRISTIAN ELIZAR 33 M AMARYLLIS Thorax AP/PA
610-0006 01
REG/EM/20 2079
### DS200610-0057 TIMIN SUTEJO 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0003 92
REG/OP/20
### JO200610-00025 SUCI WULANDARI 17 F POLI MCU Thorax AP/PA
0610-0103
### DS200610-0061 MUNAH BINTI H. SALEH 54 F POLI BEDAH UROLOGI
REG/OP/20 2494
### DS200610-0065 AULIA NUR HIDAYAH 24 F POLI BEDAH MULUT Panoramik
0610-0101 53
REG/OP/20 2494
### DS200610-0066 JAZA AL AUFA 23 M POLI BEDAH MULUT Panoramik
0610-0093 51
REG/IP/200 2493
### DS200610-0071 NAPENDI BIN AMIR 60 M ICU Thorax AP/PA
607-0017 79
REG/OP/20 2177
### DS200610-0073 SABAR SIMANGUNSONG 39 M POLI BEDAH UROLOGI Thorax AP/PA
0610-0073 15
### DS200610-0076 FAJAR SETYOWATI 24 F AMARYLLIS
### DS200610-0088 M.NURKHOLIS BIN JAHARI 35 M POLI BEDAH UROLOGI
REG/OP/20 2326
### DS200610-0091 SHARLA ARSYILA. AN 2 F POLI BEDAH SYARAF CT Scan Kepala Non kontras
0610-0154 40
REG/EM/20 0282
### DS200610-0094 ENDEH BINTI JIIH 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0010 41
REG/EM/20 2079
### DS200610-0096 TIMIN SUTEJO 52 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0610-0003 92
REG/OP/20
### JO200610-00028 NAILA AZIZATUS SHIFA 18 F POLI MCU Thorax AP/PA
0610-0147
REG/IP/200 2494
### DS200610-0098 MARISI SITUMEANG 22 F CHRYSANT USG Thorax / Paru
608-0016 13
REG/EM/20 2494
### DS200610-0101 RAMAN BIN RANEM 69 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0011 61
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REG/EM/20 2494
### DS200610-0102 RAMAN BIN RANEM 69 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0610-0011 61
REG/OP/20 2494
### DS200610-0104 TETIH SUMIATI 57 F POLI JANTUNG Thorax AP/PA
0610-0165 59
REG/EM/20 1105 WAWAN GUNAWAN
0610-0004 94 SAPUTRA
REG/EM/20 2494
### DS200610-0109 SRINI BINTI WIRYOREJO 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0012 67
REG/EM/20 2494
### DS200610-0110 SRINI BINTI WIRYOREJO 59 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0610-0012 67
REG/OP/20
### DS200610-0111 (BATAL)EMIL HARLEY 51 M RADIOLOGI CT Scan Kepala Non kontras
0610-0214
### DS200610-0112 EMIL HARLEY 51 M RADIOLOGI
0610-0214 window
REG/OP/20 1668
### DS200610-0113 YANIH BINTI MOYO.NY 59 F POLI JANTUNG Thorax AP/PA
0610-0174 66
### DS200610-0114 NASIN BIN NAANG 66 M POLI BEDAH UROLOGI
### DS200610-0115 MAHPUDIN BIN ENDANG 41 M POLI BEDAH UROLOGI
REG/OP/20
### DS200610-0118 KEINO 6 M RADIOLOGI Thorax AP/PA
0610-0235
REG/OP/20 2187 SUWONDO BIN COKRO
### DS200610-0119 39 M POLI BEDAH UMUM USG Abdomen
0610-0219 81 SUDARMO
REG/EM/20 2422
### DS200610-0120 ARIFIN BIN GOLAM 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0015 81
REG/EM/20 2464
### DS200610-0131 ANDI KRIS 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0005 25
REG/EM/20 1890
### DS200610-0136 MARULLOH BIN NIMAN.TN 55 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0610-0020 61
REG/EM/20 1890
### DS200610-0137 MARULLOH BIN NIMAN.TN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0020 61
REG/EM/20 2348
### DS200610-0138 AMAK BIN KINAN 73 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0016 50
REG/EM/20 2493
### DS200610-0139 SRI HARYATI 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0021 96
REG/IP/200 2493
### DS200610-0140 DARWETI BINTI WARDI 49 F CHRYSANT PTCA - Kamar Tindakan
609-0006 84
REG/IP/200 2493
### DS200610-0140 DARWETI BINTI WARDI 49 F CHRYSANT PTCA - Dokter Operator
609-0006 84
REG/IP/200 2493
### DS200610-0140 DARWETI BINTI WARDI 49 F CHRYSANT PTCA - Asisten Operator
609-0006 84
REG/EM/20 2494
### DS200610-0141 INAH.HJ BINTI SAIDIH.H 66 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0013 69
REG/OP/20 2327
### DS200610-0144 NIDA UL IZZATI.NN 19 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0610-0113 87
REG/IP/200 2494
### DS200610-0150 JOMIN BIN KAJAN 68 M CHRYSANT CT Scan Kepala Non kontras
610-0004 49
REG/EM/20 2414
### DS200610-0151 NURJANAH BINTI NASIR 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0023 99
### DS200610-0155 NAFISHA AQILAH 6 F INSTALASI GAWAT DARURAT (IGD)
0610-0022 51 window
REG/EM/20 1620
### DS200610-0156 NAFISHA AQILAH 6 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0022 51
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REG/EM/20 1444
### DS200610-0157 (BATAL)ATIK ZUNAIDAH 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0610-0025 41
0610-0024 72 FARHAN ROSIADI
0610-0024 72 FARHAN ROSIADI
REG/EM/20 2494
### DS200611-0022 PATMAWATI BINTI YUNUS 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0001 73
REG/IP/200 2491
### DS200611-0027 RASAH BINTI RANAN 57 F CHRYSANT CT Scan Kepala Non kontras
531-0008 94
REG/IP/200 2492
### DS200611-0036 HASAN BASRI 70 M JASMINE Thorax AP/PA
602-0019 35
REG/IP/200 2475
### DS200611-0039 ADY NUGROHOJATI 39 M AMARYLLIS Thorax AP/PA
611-0003 43
REG/EM/20 2494
### DS200611-0041 JHON PRISCO HUTABARAT 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0004 76
REG/IP/200 2493
### DS200611-0042 H DILI BIN OMO 61 M CHRYSANT Thorax AP/PA
611-0006 87
REG/IP/200 2445
### DS200611-0047 SARTA BIN H.AKING 56 M CHRYSANT Thorax AP/PA
611-0008 04
### DS200611-0052 MUHAMMAD RIZKI 28 M POLI BEDAH UROLOGI
REG/OP/20 0959
### DS200611-0054 SRI NURHAYATI 33 F POLI PENYAKIT DALAM USG Abdomen
0611-0069 26
REG/OP/20 2491
### DS200611-0055 MINAR BIN SATIM 58 M POLI PENYAKIT DALAM Thorax AP/PA
0611-0052 99
REG/OP/20 2494
### DS200611-0063 TARNYA BIN JUMAR 54 M POLI BEDAH UROLOGI USG Abdomen
0611-0098 80
REG/EM/20 2494
### DS200611-0065 FAISAL ARIPIN 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0006 84
REG/EM/20 2494
### DS200611-0066 FAISAL ARIPIN 27 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0611-0006 84
REG/IP/200 2480
### DS200611-0070 B.BAHRUDIN 51 M AMARYLLIS Thorax AP/PA
611-0004 53
### DS200611-0071 SALI BIN IKIN 53 M POLI BEDAH UROLOGI
REG/IP/200 2348
### DS200611-0076 AMAK BIN KINAN 73 M CHRYSANT USG Abdomen
610-0016 50
REG/OP/20
### DS200611-0079 SHEREN ZALINDRA RIZAL 5 F RADIOLOGI USG Abdomen
0611-0132
REG/EM/20 2492 HAMIDAH BINTI ACIM
0611-0007 67 SETIADI
REG/IP/200 2494
### DS200611-0084 MUTASIM BIN TURUT 44 M JASMINE Antebrachii Dex/Sin
609-0015 39
### DS200611-0085 SOPIYAN BIN ENANG 37 M POLI BEDAH UROLOGI
REG/OP/20
### DS200611-0087 MARIA AMBAR FEBRIANTI 21 F RADIOLOGI Panoramik
0611-0190
REG/OP/20 2492 JUMARIYAH BINTI
### DS200611-0091 41 F POLI EYE CENTER Thorax AP/PA
0611-0066 21 SANMARJA
REG/EM/20 2494
### DS200611-0098 NENIH BINTI MISIN 50 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0611-0010 91
REG/OP/20 2493
### DS200611-0100 JALA. H. SIRUMAHOBAR 39 M POLI BEDAH UROLOGI BNO/Abdomen
0611-0219 47
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REG/EM/20 0964
### DS200611-0102 DIDI MARYADI 45 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0611-0011 66
REG/EM/20 2494
### DS200611-0103 RANGGA PURNAMA 20 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0611-0012 92
REG/EM/20 2494
### DS200611-0104 RANGGA PURNAMA 20 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0012 92
REG/OP/20
### DS200611-0106 ERUS BINTI JUMIN 64 F RADIOLOGI CV. Lumbosacral 2 posisi
0611-0235
REG/IP/200 2494
### DS200611-0111 PATMAWATI BINTI YUNUS 44 F AMARYLLIS USG Abdomen
611-0002 73
REG/EM/20 0964
### DS200611-0114 DIDI MARYADI 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0011 66
### DS200611-0117 JOKO SUPARDI 55 M POLI BEDAH UROLOGI
### DS200611-0119 JALA. H. SIRUMAHOBAR 39 M POLI BEDAH UROLOGI
### DS200611-0122 OLIVA M WONGKAR 52 F POLI BEDAH UROLOGI
REG/EM/20 2494
### DS200611-0123 SAKRI BIN SALIM 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0014 93
REG/IP/200 2414
### DS200611-0129 NURJANAH BINTI NASIR 64 F CHRYSANT Thorax AP/PA
611-0001 99
REG/EM/20 2494
### DS200611-0131 EKO SAPUTRO 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0019 95
REG/EM/20 2490
### DS200611-0134 TITIN BINTI SATA 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0021 05
REG/EM/20 1579 ALIF MUHAMMAD AL
0611-0023 73 PASHA
REG/EM/20 2021
### DS200611-0139 ESTER PRANAWATI 81 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0026 85
REG/EM/20 2490
### DS200612-0005 TITIN BINTI SATA 59 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0611-0021 05
REG/EM/20 1863
### DS200612-0011 SIPIT BINTI KAISAN 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0024 53
REG/EM/20 2494
### DS200612-0014 ROHMAT BIN MIRTA 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0001 97
REG/EM/20 2136
### DS200612-0016 SUAMIH BINTI MAAT 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0611-0027 82
REG/EM/20 2312
### DS200612-0021 IKAH BINTI IKIN 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0003 25
REG/EM/20 2290
### DS200612-0022 OMER SUHENDRA 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0002 76
REG/EM/20 1952
### DS200612-0024 AKHLISH AULIA RAHMAN 14 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0004 78
REG/EM/20 1827
### DS200612-0027 MARWIN BIN DARHIM 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0005 40
REG/IP/200 2492
### DS200612-0032 KARYA SONJAYA 32 M CHRYSANT Thorax AP/PA
612-0008 62
REG/IP/200 2494
### DS200612-0043 VINA LIESTIANA 37 F EDELWEISS Thorax AP/PA
609-0016 47
REG/OP/20 2488
### DS200612-0049 FERRY A SOFYAN 29 M POLI BEDAH UROLOGI BNO/Abdomen
0612-0060 55
REG/IP/200 2152
### DS200612-0054 ANWAR BIN AZRA. TN 60 M JASMINE Thorax AP/PA
607-0005 91
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REG/IP/200 2034
### DS200612-0057 MA'MUN HUDRI 54 M AMARYLLIS Thorax AP/PA
612-0010 79
REG/OP/20
### JO200612-00008 BELLA ANGGRAINI 18 F POLI MCU Thorax AP/PA
0612-0069
REG/OP/20
### JO200612-00010 SITI NURAINI 18 F POLI MCU Thorax AP/PA
0612-0073
REG/OP/20
### JO200612-00006 RINI 18 F POLI MCU Thorax AP/PA
0612-0067
REG/OP/20
### JO200612-00002 NUNIAH ASHARI 18 F POLI MCU Thorax AP/PA
0612-0061
REG/OP/20
### JO200612-00004 USWATUN HASANAH 17 F POLI MCU Thorax AP/PA
0612-0063
REG/IP/200 1691
### DS200612-0062 AGUS SUNARNO.TN 51 M CHRYSANT PTCA - Kamar Tindakan
610-0003 31
REG/IP/200 1691
### DS200612-0062 AGUS SUNARNO.TN 51 M CHRYSANT PTCA - Dokter Operator Kls 2
610-0003 31
REG/IP/200 1691
### DS200612-0062 AGUS SUNARNO.TN 51 M CHRYSANT PTCA - Asisten Operator
610-0003 31
REG/OP/20
### DS200612-0076 ACIP 62 M RADIOLOGI CT Scan Kepala Non kontras
0612-0126
REG/IP/200 2021
### DS200612-0079 ESTER PRANAWATI 81 F AMARYLLIS USG Abdomen
611-0026 85
REG/EM/20 2495
### DS200612-0081 TABRONI BIN TAJUDIN 39 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0612-0008 03
REG/EM/20 2495
### DS200612-0082 TABRONI BIN TAJUDIN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0008 03
REG/OP/20 0892
### DS200612-0084 ADE ISMANTO 31 M POLI BEDAH UROLOGI BNO/Abdomen
0612-0112 89
REG/OP/20 0230
### DS200612-0087 NYANEH SURYAMAH. NY 39 F POLI UMUM USG Abdomen
0612-0132 64
REG/OP/20 2494 MARHAMAH BINTI ABDUL
0612-0077 99 MAJID
REG/OP/20 2495
### DS200612-0090 (BATAL)TAMIN BIN TIMAN 42 M POLI SYARAF CT Scan Kepala Non kontras
0612-0114 01
REG/OP/20 0451
### DS200612-0091 SHOOFIYAH KHOYYIROH 25 F POLI JANTUNG Thorax AP/PA
0612-0098 55
REG/OP/20 2495
### DS200612-0094 RAJAINGAN SINULINGGA 81 M POLI JANTUNG Thorax AP/PA
0612-0136 05
REG/EM/20 2495
### DS200612-0098 ISAH BINTI ITING 35 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0612-0009 09
### DS200612-0102 RUDY WIDODO, ST 44 M POLI BEDAH UROLOGI
REG/IP/200 2290
### DS200612-0103 OMER SUHENDRA 51 M CHRYSANT USG Abdomen
612-0006 76
REG/IP/200 2136
### DS200612-0104 SUAMIH BINTI MAAT 54 F CHRYSANT USG Abdomen
612-0004 82
REG/OP/20 2442
### JO200612-00019 DALIMIN BIN SANURDI 59 M POLI MCU Thorax AP/PA
0612-0118 87
REG/OP/20 1410
### JO200612-00017 HARI SUSANTI 39 F POLI MCU Thorax AP/PA
0612-0100 25
REG/OP/20 ANNISA NUR ASY SYAM
0612-0097 PUTRI H
REG/OP/20
### JO200612-00013 TIRAY NURTOBA 17 F POLI MCU Thorax AP/PA
0612-0094
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REG/OP/20 0713
### JO200611-00010 VERI YANDRI HENDRA 39 M POLI MCU Thorax AP/PA
0611-0225 58
REG/OP/20
### JO200611-00026 WAHYUDIN 40 M POLI MCU Thorax AP/PA
0611-0240
REG/OP/20
### JO200611-00016 IMAM 44 M POLI MCU Thorax AP/PA
0611-0233
REG/OP/20 0633
### JO200611-00006 AGUS 53 M POLI MCU Thorax AP/PA
0611-0222 98
REG/OP/20
### JO200611-00014 AGUS SETIYANTO 37 M POLI MCU Thorax AP/PA
0611-0231
REG/EM/20 1839
### DS200612-0108 SUHANIH BINTI SAMAT 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0010 36
REG/OP/20 2494
### DS200612-0109 OOM BIN MOKIR 58 M POLI BEDAH UROLOGI USG Abdomen
0612-0185 36
REG/OP/20 2494
### DS200612-0111 R KARTOBI 74 M POLI BEDAH UROLOGI USG Abdomen
0612-0184 71
REG/EM/20 2495
### DS200612-0119 MISBAK BIN NASA 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0012 11
REG/OP/20
### DS200612-0122 ARNAH 52 F RADIOLOGI CT Scan Kepala Non kontras
0612-0195
REG/EM/20 2455
### DS200612-0125 NURINI AISAH 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0013 98
REG/IP/200 2494
### DS200612-0127 JHON PRISCO HUTABARAT 39 M CHRYSANT PTCA - Kamar Tindakan
611-0009 76
REG/IP/200 2494
### DS200612-0127 JHON PRISCO HUTABARAT 39 M CHRYSANT PTCA - Dokter Operator Kls 2
611-0009 76
REG/IP/200 2494
### DS200612-0127 JHON PRISCO HUTABARAT 39 M CHRYSANT PTCA - Asisten Operator
611-0009 76
REG/IP/200 2494
### DS200612-0133 DUDUS FIRDAUS 49 M AMARYLLIS PTCA - Kamar Tindakan
611-0024 96
REG/IP/200 2494
### DS200612-0133 DUDUS FIRDAUS 49 M AMARYLLIS PTCA - Dokter Operator Kls 2
611-0024 96
REG/IP/200 2494
### DS200612-0133 DUDUS FIRDAUS 49 M AMARYLLIS PTCA - Asisten Operator
611-0024 96
REG/IP/200 2491
### DS200612-0137 IWAN HERMAWAN 47 M CHRYSANT PTCA - Kamar Tindakan
611-0005 97
REG/IP/200 2491
### DS200612-0137 IWAN HERMAWAN 47 M CHRYSANT PTCA - Dokter Operator Kls 2
611-0005 97
REG/IP/200 2491
### DS200612-0137 IWAN HERMAWAN 47 M CHRYSANT PTCA - Asisten Operator
611-0005 97
REG/EM/20 2495
### DS200612-0139 DEDI SAPUTRA 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0612-0011 10
REG/EM/20 2495
### DS200612-0140 DEDI SAPUTRA 31 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0612-0011 10
REG/IP/200 2445
### DS200612-0141 SARTA BIN H.AKING 56 M CHRYSANT CAG - Kamar Tindakan
611-0008 04
REG/IP/200 2445
### DS200612-0141 SARTA BIN H.AKING 56 M CHRYSANT CAG - Dokter Operator Kls 2
611-0008 04
REG/IP/200 2445
### DS200612-0141 SARTA BIN H.AKING 56 M CHRYSANT CAG - Asisten Operator
611-0008 04
REG/IP/200 2495
### DS200612-0144 ASSYIFA NADINE FAIHA 2 F AMARYLLIS Thorax AP/PA
612-0013 08
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REG/IP/200 2493
### DS200612-0145 H DILI BIN OMO 61 M CHRYSANT CAG - Kamar Tindakan
611-0006 87
REG/IP/200 2493
### DS200612-0145 H DILI BIN OMO 61 M CHRYSANT CAG - Dokter Operator Kls 3
611-0006 87
REG/IP/200 2493
### DS200612-0145 H DILI BIN OMO 61 M CHRYSANT CAG - Asisten Operator
611-0006 87
REG/IP/200 2494
### DS200612-0148 INAH.HJ BINTI SAIDIH.H 66 F AMARYLLIS BNO/Abdomen
610-0018 69
REG/IP/200 2494
### DS200612-0158 EGA SAFITRI 20 F CHRYSANT Thorax AP/PA
611-0022 94
REG/EM/20 2495
### DS200613-0020 NENGKON BIN SACA 53 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0001 16
REG/EM/20 2495
### DS200613-0034 PHOA WEN MING 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0004 20
REG/EM/20 2495
### DS200613-0036 ROHMANUDIN BIN JAKA 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0005 21
REG/EM/20 2495
### DS200613-0045 ROHMANUDIN BIN JAKA 50 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0613-0005 21
REG/OP/20
### JO200611-00020 DEDE MAHYUDIN 53 M POLI MCU Thorax AP/PA
0611-0237
REG/OP/20
### JO200611-00012 SUCAHYO TAJUDDIN 39 M POLI MCU Thorax AP/PA
0611-0227
REG/OP/20 1814
### DS200613-0050 IRMA BINTI NAPIH.NY 40 F POLI PENYAKIT DALAM Thorax AP/PA
0613-0042 59
REG/OP/20 RANTO HASAHATAN
0611-0236 SINAGA
REG/OP/20
### JO200611-00028 ROMLIH BIN JAANIH 52 M POLI MCU Thorax AP/PA
0611-0241
REG/OP/20
### JO200611-00030 ASBI 41 M POLI MCU Thorax AP/PA
0611-0242
REG/OP/20
### JO200611-00022 YAYANG MEDIA 41 M POLI MCU Thorax AP/PA
0611-0238
REG/OP/20 0547
### JO200611-00034 MUHAMMAD, TN 52 M POLI MCU Thorax AP/PA
0611-0244 80
REG/OP/20 0840
### DS200613-0068 TANSIZAL EFENDI,TN 38 M HEMODIALISA Thorax AP/PA
0613-0006 66
REG/IP/200 2494
### DS200613-0070 (BATAL)SAKRI BIN SALIM 51 M CHRYSANT Thorax AP/PA
611-0021 93
REG/IP/200 2494
### DS200613-0072 SAKRI BIN SALIM 51 M CHRYSANT USG Abdomen
611-0021 93
### DS200613-0075 INA YULIANA.NY 37 F POLI BEDAH UROLOGI
REG/OP/20
### DS200613-0078 KARSIH 55 F RADIOLOGI Thorax AP/PA
0613-0140
REG/OP/20
### DS200613-0079 KARSIH 55 F RADIOLOGI USG Abdomen
0613-0140
### DS200613-0082 ASIH BINTI SAMIT 56 F POLI BEDAH UROLOGI
### DS200613-0083 WARDAH BINTI HASAN 56 F POLI BEDAH UROLOGI
REG/OP/20 2487 YULIATI BINTI OCENG CT Scan Abdomen Superior / Inferior /
0613-0112 67 SUHANDA Pelvis / Coxae non kontras
REG/EM/20 0788 EKO FAJAR HIDAYAT
### DS200613-0085 36 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0613-0012 94 INDRAYANA
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2494
### DS200613-0090 OLIVA M WONGKAR 52 F POLI BEDAH UROLOGI Thorax AP/PA
0613-0059 77
REG/IP/200 2290
### DS200613-0091 (BATAL)OMER SUHENDRA 51 M CHRYSANT Thorax AP/PA
612-0006 76
REG/IP/200 2290
### DS200613-0092 OMER SUHENDRA 51 M CHRYSANT USG Thorax / Paru
612-0006 76
### DS200613-0093 ROHMANUDIN BIN JAKA 50 M INSTALASI GAWAT DARURAT (IGD)
REG/EM/20 0817 RAKHA ADY PUTRA
0613-0013 22 SULAEMAN.AN
REG/OP/20 2495
### DS200613-0096 UMMI HANIK 34 F POLI BEDAH UMUM Thorax AP/PA
0613-0130 34
REG/IP/200 2495
### DS200613-0101 ARSYAD S 56 M LILY Thorax AP/PA
613-0009 27
REG/EM/20 2495
### DS200613-0103 ENDANG KOMALASARI 41 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0613-0014 35
REG/EM/20 2495
### DS200613-0104 ENDANG KOMALASARI 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0014 35
REG/EM/20 2495
### DS200613-0106 YANIH BINTI ASIM 51 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0613-0016 40
REG/EM/20 2495
### DS200613-0107 YANIH BINTI ASIM 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0016 40
REG/EM/20 0788 EKO FAJAR HIDAYAT
0613-0012 94 INDRAYANA
REG/EM/20 2495
### DS200613-0118 ABDUL MUIS SEMANG 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0017 44
### DS200613-0119 ABDUL MUIS SEMANG 63 M INSTALASI GAWAT DARURAT (IGD)
0613-0017 44 window
REG/EM/20 2495
### DS200613-0123 USWATUN KHASANAH 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0018 45
REG/EM/20 2495
### DS200613-0125 EEM BINTI SATIM 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0019 46
REG/EM/20 2495
### DS200613-0126 EEM BINTI SATIM 45 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0613-0019 46
REG/EM/20 2289
### DS200613-0130 ROKAYAH BINTI OROK 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0021 40
REG/OP/20 1528
### DS200613-0134 IDAS SUMIRAT. NY 55 F RADIOLOGI CT Scan Kepala Non kontras
0613-0163 98
REG/EM/20 2495
### DS200613-0136 MUSRIPAH BINTI SALEH 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0020 47
REG/EM/20 2495
### DS200613-0137 NAUSAN BIN MEIN 56 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0613-0022 48
REG/EM/20 2495
### DS200613-0138 NAUSAN BIN MEIN 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0022 48
REG/EM/20 2495
### DS200613-0141 ROKMAH BINTI SANTAWI 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0023 49
REG/EM/20 2495
### DS200613-0142 ROKMAH BINTI SANTAWI 54 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0613-0023 49
REG/EM/20 1152
### DS200613-0146 MELANO SURYA SANJAYA 10 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0025 43
REG/EM/20 2495
### DS200613-0148 SATORI BIN H.SALWI 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0613-0026 51
REG/EM/20 2495
### DS200614-0027 RAMLI TANJUNG 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0002 54
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REG/EM/20 2495
### DS200614-0032 NANA MAULANA 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0003 31
REG/EM/20 2495
### DS200614-0033 NANA MAULANA 22 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0614-0003 31
REG/EM/20 2495
### DS200614-0034 ALDI 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0004 55
REG/EM/20 2410
### DS200614-0037 YUAN NURHASYIM 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0005 30
REG/EM/20 2384
### DS200614-0041 FAUZAN 1 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0006 07
REG/EM/20 1656
### DS200614-0047 AYANIH BINTI H. ACANG 44 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0614-0008 57
REG/EM/20 1656
### DS200614-0048 AYANIH BINTI H. ACANG 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0008 57
REG/EM/20 1449
### DS200614-0055 ACIH BINTI KICIT 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0010 23
REG/OP/20
### DS200614-0064 RUSTANTO YANUAR 48 M RADIOLOGI Panoramik
0614-0001
REG/EM/20 0604
### DS200614-0065 CHAIRUL JULAGA O,DR 53 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0014 24
REG/EM/20 0604
### DS200614-0066 CHAIRUL JULAGA O,DR 53 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0614-0014 24
REG/EM/20 2495
### DS200614-0068 RIKI MARDIANA 24 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0013 58
REG/EM/20 2495
### DS200614-0069 RIKI MARDIANA 24 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0614-0013 58
REG/EM/20 0000
### DS200614-0079 IKHROM MUTHOYIB 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0018 96
### DS200614-0080 IKHROM MUTHOYIB 21 M INSTALASI GAWAT DARURAT (IGD)
0614-0018 96 window
REG/EM/20 2495
### DS200614-0081 ANTON BIN MENIN 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0016 59
REG/EM/20 2495
### DS200614-0083 MARISAH BINTI DERIS 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0017 60
REG/EM/20 2493
### DS200614-0092 ENAY BINTI SARAN 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0019 99
REG/EM/20 2495
### DS200614-0101 SASIKA RANIH 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0024 63
REG/IP/200 0788 EKO FAJAR HIDAYAT CT Scan Abdomen Superior / Inferior /
### DS200614-0102 36 M CHRYSANT
613-0023 94 INDRAYANA Pelvis / Coxae non kontras
REG/EM/20 2495
### DS200614-0107 SUDIN SAEPUDIN 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0025 64
REG/EM/20 2495
### DS200614-0108 SUDIN SAEPUDIN 51 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala dengan kontras
0614-0025 64
REG/EM/20 1739
### DS200614-0113 ERLANGGA HIDAYAT 10 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0026 84
### DS200614-0114 ERLANGGA HIDAYAT 10 M INSTALASI GAWAT DARURAT (IGD)
0614-0026 84 window
REG/EM/20 2495
### DS200614-0116 NUR LAELA 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0021 26
REG/IP/200 2384
### DS200614-0122 FAUZAN 1 M PICU Thorax AP/PA
614-0007 07
REG/EM/20 0000
### DS200614-0123 IKHROM MUTHOYIB 21 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0614-0018 96
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REG/EM/20 0000
### DS200614-0124 IKHROM MUTHOYIB 21 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0614-0018 96
REG/EM/20 2495
### DS200614-0127 SASIKA RANIH 24 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0614-0024 63
REG/EM/20 0818
### DS200615-0020 KARSAN BIN JADIN 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0001 41
REG/EM/20 0899
### DS200615-0021 AGUS BIN ATU 53 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0029 19
REG/EM/20 2495
### DS200615-0027 SANAM BIN MASAN 24 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0614-0030 68
REG/EM/20 2495
### DS200615-0028 WARSITO BIN SAN WARDI 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0003 70
REG/EM/20 2495
### DS200615-0034 SUYADI BIN PARTO 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0004 71
REG/IP/200 0943
### DS200615-0035 ALIUDIN BIN H.SAKAM 54 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
605-0014 28
REG/IP/200 2495
### DS200615-0043 ALDI 21 M CHRYSANT USG Abdomen
614-0006 55
REG/EM/20 2495
### DS200615-0056 ZAINI BIN DENI 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0007 75
REG/EM/20 2495
### DS200615-0057 DAHATI BINTI M. SADELI 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0009 78
REG/OP/20 2427
### DS200615-0069 ASEP WAHYUDIN 33 M POLI PARU Thorax AP/PA
0615-0113 80
REG/IP/200 2495
### DS200615-0075 PHOA WEN MING 52 M CHRYSANT PTCA - Kamar Tindakan
613-0005 20
REG/IP/200 2495
### DS200615-0075 PHOA WEN MING 52 M CHRYSANT PTCA - Dokter Operator
613-0005 20
REG/IP/200 2495
### DS200615-0075 PHOA WEN MING 52 M CHRYSANT PTCA - Asisten Operator
613-0005 20
REG/OP/20 1293
### DS200615-0078 ENAH BINTI SAMAD 48 F POLI PENYAKIT DALAM USG Abdomen
0615-0067 69
REG/OP/20 2200 SUGIARTI BINTI
### DS200615-0079 50 F POLI BEDAH UROLOGI BNO/Abdomen
0615-0039 12 ROHIDI.NY
### DS200615-0080 NANA MAULANA 22 M CHRYSANT
### DS200615-0081 NAUSAN BIN MEIN 56 M CHRYSANT
### DS200615-0084 IRPAN BIN SAMID 49 M POLI BEDAH UROLOGI
REG/OP/20 1006
### DS200615-0086 NARKUP SUNARJA 50 M POLI PARU Thorax AP/PA
0615-0165 88
REG/OP/20 0899
### DS200615-0088 RIRI RIZKIAH 34 F POLI SYARAF Shoulder Joint Dex/Sin
0615-0051 69
REG/OP/20
### JO200615-00026 LATIFATURROKHMAN 36 M POLI MCU Thorax AP/PA
0615-0116
REG/OP/20
### JO200615-00028 AZIZATUL HIDAYAH 24 F POLI MCU Thorax AP/PA
0615-0124
REG/OP/20 1224
### JO200615-00037 SALVY HARIS 17 F POLI MCU Thorax AP/PA
0615-0159 86
REG/OP/20
### JO200615-00032 OLIVIA NICOLI DELFERO 21 F POLI MCU Thorax AP/PA
0615-0138
REG/OP/20 AI SAITUL DINI
0615-0127 ISTIQOMAH
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200615-00010 SARIFUDIN 19 M POLI MCU Thorax AP/PA
0615-0092
REG/OP/20
### JO200615-00024 HEFRI EKO INDRIYANTO 28 M POLI MCU Thorax AP/PA
0615-0110
REG/OP/20 AMELIA PUTRI
0615-0103 CAHYANINGTYAS
REG/OP/20
### JO200615-00018 SAFIRA HAFSARI ASROR 18 F POLI MCU Thorax AP/PA
0615-0101
REG/OP/20
### JO200615-00016 SITI AMINAH 18 F POLI MCU Thorax AP/PA
0615-0099
REG/OP/20
### JO200615-00014 DESWITA SAFITRI 18 F POLI MCU Thorax AP/PA
0615-0096
REG/OP/20
### JO200615-00012 SYADIAH PUJI LESTARI 18 F POLI MCU Thorax AP/PA
0615-0093
REG/OP/20
### JO200615-00008 KHOIBIRUL HALIM 21 M POLI MCU Thorax AP/PA
0615-0091
REG/OP/20
### JO200615-00006 SALWA INAYATULLAILA 17 F POLI MCU Thorax AP/PA
0615-0090
REG/OP/20 AULIA FATWA AJI
0615-0088 PURNAMA PUTRI
REG/OP/20
### JO200615-00002 RATNA SARI 18 F POLI MCU Thorax AP/PA
0615-0087
REG/EM/20 2495
### DS200615-0089 MANTA BIN EMUT 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0011 89
### DS200615-0090 MUGIONO BIN SAMIARJO 49 M POLI BEDAH UROLOGI
REG/IP/200 2494
### DS200615-0091 ROHMAT BIN MIRTA 47 M CHRYSANT PTCA - Kamar Tindakan
612-0002 97
REG/IP/200 2494
### DS200615-0091 ROHMAT BIN MIRTA 47 M CHRYSANT PTCA - Dokter Operator
612-0002 97
REG/IP/200 2494
### DS200615-0091 ROHMAT BIN MIRTA 47 M CHRYSANT PTCA - Asisten Operator
612-0002 97
### DS200615-0095 UDIN BIN APIN 39 M POLI BEDAH UROLOGI
REG/IP/200 2021
### DS200615-0096 ESTER PRANAWATI 81 F AMARYLLIS USG Mammae Doppler
611-0026 85
REG/OP/20 2495
### DS200615-0097 SUPRIYATNA BIN DAMA 24 M POLI BEDAH UROLOGI USG Abdomen
0615-0206 90
REG/IP/200 2495
### DS200615-0103 ROKMAH BINTI SANTAWI 54 F CHRYSANT USG Abdomen
614-0002 49
REG/OP/20 2148
### DS200615-0106 KARMIN BIN NESIR. TN 45 M POLI JANTUNG Thorax AP/PA
0615-0175 57
REG/OP/20 2495
### DS200615-0108 HERAYANI BINTI HAMDAN 53 F POLI JANTUNG Thorax AP/PA
0615-0197 87
REG/IP/200 2495
### DS200615-0111 MIMIN MINTARSIH 55 F CHRYSANT Thorax AP/PA
615-0013 77
REG/IP/200 2495
### DS200615-0114 YUSUP HIDAYAH. H 56 M CHRYSANT Thorax AP/PA
615-0012 85
REG/OP/20 2495
### DS200615-0116 MASTUR BIN MASIM 60 M POLI PENYAKIT DALAM USG Abdomen
0615-0236 94
REG/OP/20 2401
### JO200615-00045 SITI ZUHRAHMAH 18 F POLI MCU Thorax AP/PA
0615-0253 11
REG/EM/20 2495
### DS200615-0117 FARHAN RAHMA HALIM 21 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0615-0014 98
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REG/IP/200 2495
### DS200615-0118 MUSRIPAH BINTI SALEH 54 F CHRYSANT USG Abdomen
613-0026 47
REG/EM/20 2495 (BATAL)KASIH BINTI
0615-0013 95 KADIR
REG/EM/20 2496
### DS200615-0124 KASIH BINTI RASIN 68 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0017 01
REG/EM/20 2496
### DS200615-0125 KASIH BINTI RASIN 68 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0615-0017 01
REG/EM/20 2496
### DS200615-0129 (BATAL)WINDY HARDA 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0018 02
REG/IP/200 1827
### DS200615-0133 MARWIN BIN DARHIM 55 M JASMINE Thorax AP/PA
612-0011 40
REG/IP/200 2495
### DS200615-0134 SAMIH SURYATI 0 M PERINA INFEKSI BABY GRAM
614-0023 66
REG/EM/20 2496
### DS200615-0138 KHALISA NUR RAMADHANI 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0021 04
REG/IP/200 2495
### DS200615-0140 SASIKA RANIH 24 F JASMINE CT Scan Kepala Non kontras
614-0026 63
REG/IP/200 2495
### DS200615-0141 SASIKA RANIH 24 F JASMINE CT Scan Thorax non kontras
614-0026 63
REG/IP/200 0000
### DS200615-0143 IKHROM MUTHOYIB 21 M BANGSAL NEUROLOGI Thorax AP/PA
614-0016 96
REG/IP/200 2495
### DS200615-0145 ROSIDA BINTI NASIB 40 F EDELWEISS Thorax AP/PA
614-0008 56
REG/EM/20 1472
### DS200615-0146 (BATAL)RASMI PURBA 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0615-0025 98
REG/EM/20 1472
0615-0025 98
REG/EM/20 2496
### DS200616-0025 LIA RAHMAWATI 21 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0002 07
REG/IP/200 2493 NANANG MOHAMAD
### DS200616-0036 58 M AMARYLLIS Thorax AP/PA
616-0003 91 RAMDHAN
REG/IP/200 2493 SAMIH BINTI H.ABDUL
616-0004 89 GANI
REG/EM/20 2496
### DS200616-0044 BAINAN BIN BAINUN 47 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0616-0004 08
REG/EM/20 2496
### DS200616-0045 BAINAN BIN BAINUN 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0004 08
REG/IP/200 2496
### DS200616-0047 MARFUAH BINTI SARIM 40 F JASMINE Jasa Baca Foto Konvensional
615-0020 06
REG/IP/200 2494
### DS200616-0053 INAH.HJ BINTI SAIDIH.H 66 F AMARYLLIS USG Abdomen
610-0018 69
REG/IP/200 2495
### DS200616-0054 SANAM BIN MASAN 24 M CHRYSANT USG Abdomen
615-0003 68
REG/IP/200 2496
### DS200616-0055 LIA RAHMAWATI 21 F AMARYLLIS USG Abdomen
616-0002 07
REG/OP/20 2496
### DS200616-0059 SANYIH BINTI LACUR 68 F POLI BEDAH MULUT Panoramik
0616-0057 09
REG/OP/20 1257
### DS200616-0060 SUSILOWATI HASANAH.NY 44 F POLI BEDAH MULUT Panoramik
0616-0071 68
REG/OP/20 2169
### DS200616-0064 AHMAD MINAN.TN 64 M POLI BEDAH UROLOGI USG Abdomen
0616-0110 82
REG/OP/20 2459
### DS200616-0065 ANTONIUS SUGIYO 71 M POLI BEDAH UROLOGI USG Abdomen
0616-0111 53
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REG/OP/20 2496
### DS200616-0066 ACHMAD YUSUF HASBY 44 M POLI BEDAH MULUT Panoramik
0616-0098 13
REG/IP/200 2494
### DS200616-0067 AMAN BIN ASMAN 65 M CHRYSANT Thorax AP/PA
616-0006 55
REG/EM/20 2456 RAZENDRA MAULANA
0616-0007 01 PRASETYO
REG/OP/20 2496
### DS200616-0072 HOSIMAH BINTI ARIFIN 43 F POLI BEDAH UROLOGI BNO/Abdomen
0616-0107 14
REG/EM/20 1959 WASIAH BINTI MAULAN.
0616-0006 10 NY
REG/EM/20 1962 ERNAWATI BINTI HASAN . CT Scan Abdomen Superior / Inferior /
### DS200616-0077 BONAH BINTI RISAM 52 F POLI BEDAH UROLOGI
REG/EM/20 1403
### DS200616-0078 NANANG ZAENAL ARIFIN 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0008 11
### DS200616-0080 ENDONG BIN JIBUN 63 M POLI BEDAH UROLOGI
REG/OP/20 2496
### DS200616-0083 LULU LUTFIAH 24 F POLI BEDAH MULUT Panoramik
0616-0144 17
REG/EM/20 1959 WASIAH BINTI MAULAN.
0616-0006 10 NY
REG/OP/20 2248
### DS200616-0087 SANTI BINTI SADIM.NY 34 F HEMODIALISA Thorax AP/PA
0616-0029 71
REG/EM/20 2384
### DS200616-0091 HANIPAH BINTI MUSANIP 70 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0616-0009 09
REG/EM/20 2384
### DS200616-0092 HANIPAH BINTI MUSANIP 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0009 09
REG/EM/20 1962 (BATAL)ERNAWATI BINTI
0616-0005 65 HASAN . NY
REG/EM/20 1962 ERNAWATI BINTI HASAN .
### DS200616-0096 49 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0616-0005 65 NY
REG/OP/20 0976 DIKA JOHAN
0616-0168 72 SURYANTO.TN
REG/OP/20 1861
### DS200616-0103 DIYAH ROCHMAWATI. NY 48 F POLI JANTUNG Thorax AP/PA
0616-0148 31
REG/EM/20 1006
### DS200616-0108 NARKUP SUNARJA 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0015 88
REG/OP/20
### DS200616-0110 ESTIYULIANI 24 F RADIOLOGI H.S.G
0616-0242
REG/EM/20 2331
### DS200616-0112 AFIFAH 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0016 26
REG/OP/20
### DS200616-0115 IMAS 56 F RADIOLOGI CT Scan Kepala Non kontras
0616-0245
REG/EM/20 2496
### DS200616-0117 (BATAL)HADI SUHADI 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0014 23
### DS200616-0118 HADI SUHADI 60 M INSTALASI GAWAT DARURAT (IGD)
0616-0014 23 window
REG/OP/20 1579 ALIF MUHAMMAD AL
### DS200616-0119 10 M POLI ANAK USG Abdomen
0616-0217 73 PASHA
REG/EM/20 2489
### DS200616-0121 IROH BINTI KASIM 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0018 97
REG/OP/20 2165 USG Deep Vein Trombus Dex / Sin
### DS200616-0126 ONIH BINTI ONIM. NY 59 F POLI BEDAH VASKULER
0616-0233 98 Doppler
8/25/2020 12:07:35 PM Page : 1/1

### DS200616-0128 MIMI BINTI TASUM.HJ. NY 56 F POLI BEDAH VASKULER
0616-0251 31 Doppler
REG/EM/20 1189 SOPIAH BINTI
0616-0019 17 H.RINDON.HJ.NY
REG/EM/20 2496
### DS200616-0131 HADI SUHADI 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0014 23
REG/EM/20 1650 AAM GOMARIAH
0616-0022 68 BT.H.ABAS.NY
REG/IP/200 2495
### DS200616-0137 MIMIN MINTARSIH 55 F CHRYSANT PTCA - Kamar Tindakan
615-0013 77
REG/IP/200 2495
### DS200616-0137 MIMIN MINTARSIH 55 F CHRYSANT PTCA - Dokter Operator
615-0013 77
REG/IP/200 2495
### DS200616-0137 MIMIN MINTARSIH 55 F CHRYSANT PTCA - Asisten Operator
615-0013 77
REG/EM/20 2496
### DS200616-0140 UDIN BIN H. ADANG 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0021 25
REG/IP/200 2495
### DS200616-0143 YUSUP HIDAYAH. H 56 M CHRYSANT PTCA - Kamar Tindakan
615-0012 85
REG/IP/200 2495
### DS200616-0143 YUSUP HIDAYAH. H 56 M CHRYSANT PTCA - Asisten Operator
615-0012 85
REG/IP/200 2495
### DS200616-0143 YUSUP HIDAYAH. H 56 M CHRYSANT PTCA - Dokter Operator
615-0012 85
REG/EM/20 2398
### DS200616-0150 MIA AFRILIYANI 21 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0025 47
REG/EM/20 2483
### DS200616-0156 NEMIH NURAINIH 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0026 39
REG/EM/20 2483
### DS200616-0157 NEMIH NURAINIH 38 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0616-0026 39
REG/EM/20 2496
### DS200616-0160 SAIPUL ANWAR 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0024 27
REG/EM/20 2496
### DS200616-0161 SAIPUL ANWAR 40 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0616-0024 27
REG/EM/20 2038
### DS200616-0163 BAHRUN BIN SENTIRIA 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0616-0027 40
REG/IP/200 2495
### DS200617-0035 ADITIA WARMAN 57 M CHRYSANT Thorax AP/PA
617-0007 97
REG/OP/20
### JO200616-00018 ATIK TRESNAWATI 22 F POLI MCU Thorax AP/PA
0616-0232
REG/OP/20
### JO200616-00016 AHMAD FAUZAN 26 M POLI MCU Thorax AP/PA
0616-0231
REG/OP/20
### JO200616-00014 FARAH MONITA 22 F POLI MCU Thorax AP/PA
0616-0229
REG/OP/20
### JO200616-00012 TRI YOGI 27 M POLI MCU Thorax AP/PA
0616-0228
REG/OP/20
### JO200616-00010 FARIDA SRI PAUJI 24 F POLI MCU Thorax AP/PA
0616-0226
REG/IP/200 2454 SUPRIATIN BINTI ABDUL
617-0008 74 RAHMAN
REG/OP/20
### JO200617-00010 SITI NURMALASARI 18 F POLI MCU Thorax AP/PA
0617-0089
REG/OP/20
### JO200617-00008 SALSABILA AZHAR 18 F POLI MCU Thorax AP/PA
0617-0085
REG/OP/20
### JO200617-00006 ANDINI 18 F POLI MCU Thorax AP/PA
0617-0084
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200617-00004 FAHRIAN RAMADHAN 19 M POLI MCU Thorax AP/PA
0617-0080
REG/OP/20
### JO200617-00002 ZAHRAH AZHARI 19 F POLI MCU Thorax AP/PA
0617-0078
REG/OP/20 2496
### DS200617-0059 SUPINAH BINTI WIARJO 52 F POLI BEDAH MULUT Panoramik
0617-0082 33
REG/IP/200 2038
### DS200617-0061 BAHRUN BIN SENTIRIA 61 M AMARYLLIS USG Abdomen
617-0001 40
REG/OP/20
### JO200617-00012 RADITTE INDRA MUSTAFA 27 M POLI MCU Thorax AP/PA
0617-0134
REG/OP/20
### JO200617-00014 ENDOY BIN USUP 58 M POLI MCU Thorax AP/PA
0617-0138
REG/OP/20
### JO200617-00016 MASAN 49 M POLI MCU Thorax AP/PA
0617-0140
REG/OP/20 2460
### DS200617-0062 FIRLY AJI MULYANA 20 M POLI BEDAH MULUT Panoramik
0617-0116 77
REG/OP/20
### JO200617-00020 RINO PUTRA IRAWAN 28 M POLI MCU Thorax AP/PA
0617-0147
REG/OP/20
### JO200617-00018 RUDI HERMANTO 26 M POLI MCU Thorax AP/PA
0617-0143
REG/OP/20
### JO200617-00022 ZAINAL ABIDIN 37 M POLI MCU Thorax AP/PA
0617-0150
### DS200617-0068 58 M AMARYLLIS CAG - Kamar Tindakan
616-0003 91 RAMDHAN
### DS200617-0068 58 M AMARYLLIS CAG - Dokter Operator
616-0003 91 RAMDHAN
### DS200617-0068 58 M AMARYLLIS CAG - Asisten Operator
616-0003 91 RAMDHAN
REG/OP/20
### JO200617-00028 MULYADI 49 M POLI MCU Thorax AP/PA
0617-0157
REG/OP/20 2502
### JO200617-00030 CECEP MAULANA 23 M POLI MCU Thorax AP/PA
0617-0160 71
REG/OP/20
### JO200617-00026 JUNAEDI 33 M POLI MCU Thorax AP/PA
0617-0154
REG/OP/20
### JO200617-00024 SUMANI 51 M POLI MCU Thorax AP/PA
0617-0152
REG/OP/20 LISDAM ANGGUN
0617-0164 RAGABUDI
REG/OP/20
### JO200617-00034 YUSUF MULIA 22 M POLI MCU Thorax AP/PA
0617-0165
REG/OP/20 2496 SULUNG ARGI
### DS200617-0078 30 F POLI PENYAKIT DALAM Thorax AP/PA
0617-0050 30 WULANDARI
REG/OP/20 2496
### DS200617-0080 NAZMAL QIROAH 17 F POLI PENYAKIT DALAM Thorax AP/PA
0617-0095 34
REG/OP/20
### JO200617-00037 ATIN ARISAPTONO 40 M POLI MCU Thorax AP/PA
0617-0186
REG/OP/20 2496
### DS200617-0082 SARI BINTI MISAN.HJ 80 F POLI UMUM Thorax AP/PA
0617-0126 38
REG/OP/20 2496
### DS200617-0083 HELMI AMIN 39 M POLI BEDAH MULUT Panoramik
0617-0155 39
REG/OP/20 2422
### DS200617-0084 RIMSON SIHOMBING 39 M POLI BEDAH UMUM CT Scan Whole Abdomen non kontras
0617-0063 16
REG/OP/20 1921
### DS200617-0089 HASAN. S H. TN 64 M POLI BEDAH UROLOGI Thorax AP/PA
0617-0011 49
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REG/OP/20 0476
### DS200617-0092 SUDARNO 41 M POLI UMUM Manus Dex/Sin
0617-0175 14
REG/OP/20 1295
### DS200617-0093 KAWIT DAYATI .NY 56 F POLI BEDAH UROLOGI Thorax AP/PA
0617-0153 39
REG/OP/20 2447
### DS200617-0095 NANDANG BIN UUNG 49 M POLI BEDAH ORTHOPEDI Thorax AP/PA
0617-0193 81
REG/OP/20 2419 AMALIA ENDAH NUR CT Scan Abdomen Superior / Inferior /
0617-0172 73 FAZLIN Pelvis / Coxae non kontras
REG/OP/20 2482
### DS200617-0097 RONI BIN MUDAI 27 M POLI THT Sinus Para Nasal 3 posisi
0617-0009 20
REG/OP/20 2496 ALVIN BAGAS
### DS200617-0099 18 M POLI UMUM USG Abdomen
0617-0198 44 OCTAVIANDI
REG/IP/200 2487
### DS200617-0100 ENDRA BIN UMAR 12 M AMARYLLIS Pedis Dex/Sin
617-0011 51
REG/OP/20 1980
### DS200617-0103 MUHAMAD ANWAR 14 M POLI PENYAKIT DALAM Thorax AP/PA
0610-0193 30
REG/OP/20 2496
### DS200617-0105 KINAH YUNINGSIH 45 F POLI JANTUNG Thorax AP/PA
0617-0118 37
REG/OP/20 2190
### DS200617-0106 SANTA BIN AKING 60 M POLI JANTUNG Thorax AP/PA
0617-0166 84
REG/OP/20 2334
### DS200617-0107 DARTI BINTI DULADI.NY 43 F POLI JANTUNG Thorax AP/PA
0617-0181 87
REG/OP/20 1850 UNASAH BINTI CASKADI. CT Scan Abdomen Superior / Inferior /
REG/EM/20 0602
### DS200617-0116 MIUN SUNARYA 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0010 58
### DS200617-0117 WARSIH BINTI LIAN 50 F INSTALASI GAWAT DARURAT (IGD)
0617-0013 49 window
REG/EM/20 2496
### DS200617-0118 WARSIH BINTI LIAN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0013 49
REG/IP/200 1827
### DS200617-0119 MARWIN BIN DARHIM 55 M JASMINE Thorax AP/PA
612-0011 40
REG/EM/20 2496 MARYONO BIN MUHAMAD
0617-0011 46 BANI MARTOYO
(BATAL)MARYONO BIN
REG/EM/20 2496
### DS200617-0125 MUHAMAD BANI 50 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex & Sin
0617-0011 46
MARTOYO
### DS200617-0126 50 M INSTALASI GAWAT DARURAT (IGD) Manus Dex & Sin
REG/EM/20 2496 MARYONO BIN MUHAMAD CT Scan Kepala Non kontras,bone
0617-0011 46 BANI MARTOYO window
REG/OP/20 2496
### DS200617-0128 ONIHTA BINTI YOHAN 50 F POLI PENYAKIT DALAM USG Abdomen
0617-0220 47
REG/EM/20 2496 MAULANA YUSUF
0617-0012 48 RAMADHAN
REG/EM/20 2496 MAULANA YUSUF CT Scan Kepala Non kontras,bone
0617-0012 48 RAMADHAN window
REG/EM/20 2420
### DS200617-0134 ABDUL WADA 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0014 06
REG/IP/200 2289
### DS200617-0140 ROKAYAH BINTI OROK 51 F CHRYSANT Thorax AP/PA
613-0028 40
REG/IP/200 2455
### DS200617-0142 NURINI AISAH 34 F CHRYSANT Thorax AP/PA
612-0015 98
8/25/2020 12:07:35 PM Page : 1/1

### DS200617-0144 NEMIH NURAINIH 38 F CHRYSANT
### DS200617-0146 SAIPUL ANWAR 40 M CHRYSANT
### DS200617-0147 ERJA SANDY ALFARIES 3 M INSTALASI GAWAT DARURAT (IGD)
0617-0017 57 window
REG/IP/200 2494
### DS200617-0148 AMAN BIN ASMAN 65 M CHRYSANT CAG - Asisten Operator
616-0006 55
REG/IP/200 2494
### DS200617-0148 AMAN BIN ASMAN 65 M CHRYSANT CAG - Dokter Operator
616-0006 55
REG/IP/200 2494
### DS200617-0148 AMAN BIN ASMAN 65 M CHRYSANT CAG - Kamar Tindakan
616-0006 55
REG/EM/20 0602
### DS200617-0151 MIUN SUNARYA 41 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0617-0010 58
REG/EM/20 1911
0617-0009 63
REG/OP/20 2214
### DS200617-0154 AGUS SUPRATMAN. TN 28 M POLI BEDAH ORTHOPEDI Art Genu Dex/Sin
0617-0225 47
REG/EM/20 2496 SHOFIAH BINTI BOYKE
0617-0019 54 THAMRIN
REG/EM/20 2496 SHOFIAH BINTI BOYKE CT Scan Kepala Non kontras,bone
0617-0019 54 THAMRIN window
### DS200617-0163 MICHELLE VIVIAN 4 F INSTALASI GAWAT DARURAT (IGD)
0617-0020 55 window
REG/EM/20 2496
### DS200617-0164 MICHELLE VIVIAN 4 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0020 55
REG/EM/20 2496
### DS200617-0167 SUMARNO BIN SATIMIN 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0021 56
REG/EM/20 2496
### DS200617-0168 SUMARNO BIN SATIMIN 37 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0617-0021 56
REG/EM/20 2496
### DS200617-0169 SUMARNO BIN SATIMIN 37 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0617-0021 56
REG/EM/20 2496
### DS200617-0170 BENIH SAPUTRA 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0617-0022 57
REG/EM/20 2496
### DS200617-0171 BENIH SAPUTRA 39 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0617-0022 57
REG/IP/200 2398
### DS200617-0178 MIA AFRILIYANI 21 F CHRYSANT Thorax AP/PA
617-0005 47
REG/EM/20 2451
### DS200618-0023 RUS SUWARTI 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0002 56
REG/IP/200 2298
### DS200618-0043 YAHYA BIN SALAM, H, 65 M CHRYSANT Thorax AP/PA
618-0003 24
REG/IP/200 2410
### DS200618-0046 YUAN NURHASYIM 65 M JASMINE Thorax AP/PA
614-0012 30
REG/IP/200 2495
### DS200618-0047 RAMLI TANJUNG 60 M JASMINE Thorax AP/PA
614-0004 54
REG/OP/20 1870 MARLINA BINTI MASIR,
0618-0046 43 NN
### DS200618-0054 47 F CHRYSANT CAG - Kamar Tindakan
617-0008 74 RAHMAN
### DS200618-0054 47 F CHRYSANT CAG - Dokter Operator
617-0008 74 RAHMAN
### DS200618-0054 47 F CHRYSANT CAG - Asisten Operator
617-0008 74 RAHMAN
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2426
### DS200618-0060 ICA BINTI SAMUN 76 F POLI PARU Thorax AP/PA
0618-0117 99
REG/EM/20 2496
### DS200618-0067 LIMI BINTI LEMAN, HJ 63 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0005 65
REG/EM/20 2496
### DS200618-0068 LIMI BINTI LEMAN, HJ 63 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0618-0005 65
REG/EM/20 2496
### DS200618-0074 ETY HERAWATI 53 F INSTALASI GAWAT DARURAT (IGD) Sinus Para Nasal 3 posisi
0618-0006 68
REG/OP/20 2496
### DS200618-0075 NANANG KOSIM 22 M POLI BEDAH UMUM CT Scan Thorax dengan kontras
0618-0101 62
REG/OP/20 2496
### DS200618-0077 AJIS SUSANTO 26 M POLI BEDAH UROLOGI USG Testis/Scrotum HP
0618-0145 66
REG/IP/200 2496
### DS200618-0078 SARI BINTI MISAN.HJ 80 F AMARYLLIS USG Abdomen
617-0010 38
REG/OP/20 0774
### DS200618-0080 PRAYOGO 43 M POLI PENYAKIT DALAM USG Abdomen
0618-0096 51
REG/OP/20 2496 MARLINDA RUTH
0618-0162 67 LALAMENTIK
REG/EM/20 2496
### DS200618-0084 JOKO SUPRIADI 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0007 41
REG/EM/20 2496
### DS200618-0086 SUTRISNO BIN MU'IN 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0009 70
### DS200618-0091 JOKO SUPRIADI 50 M INSTALASI GAWAT DARURAT (IGD)
REG/IP/200 1650 AAM GOMARIAH
616-0020 68 BT.H.ABAS.NY
REG/EM/20 2449
### DS200618-0101 (BATAL)HADI RUSNANTO 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0010 50
REG/EM/20 2449
### DS200618-0107 HADI RUSNANTO 40 M INSTALASI GAWAT DARURAT (IGD) Clavicula Dex/Sin
0618-0010 50
REG/EM/20 2449
### DS200618-0108 HADI RUSNANTO 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0010 50
REG/OP/20
### DS200618-0109 UMIYATI SASMIAH 60 F RADIOLOGI CT Scan Kepala Non kontras
0618-0266
REG/IP/200 2398
617-0005 47
REG/IP/200 2496
### DS200618-0113 TEGAR FAIQ PRATAMA 6 M AMARYLLIS Thorax AP/PA
618-0006 42
REG/IP/200 1034
### DS200618-0114 SAIRIN SUSANTO 46 M CHRYSANT PTCA - Kamar Tindakan
616-0010 89
REG/IP/200 1034
### DS200618-0114 SAIRIN SUSANTO 46 M CHRYSANT PTCA - Dokter Operator Kls 2
616-0010 89
REG/IP/200 1034
### DS200618-0114 SAIRIN SUSANTO 46 M CHRYSANT PTCA - Asisten Operator
616-0010 89
REG/OP/20 2428
### DS200618-0116 NURHASIM BIN ASMARA 35 M POLI PARU Thorax AP/PA
0618-0295 52
REG/EM/20 2496 RAKA RAMADHAN
0618-0012 74 KURNIAWAN
REG/EM/20 2486
### DS200618-0123 SLAMET APRIYANTO 24 M INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0618-0013 43
REG/EM/20 2496
### DS200618-0129 MUHAMMAD AZMI 12 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0014 75
REG/EM/20 2496
### DS200618-0131 WATI SUSANTI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0016 76
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2496
### DS200618-0133 ASWIN BIN SUPARJI 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0017 77
REG/EM/20 2496
### DS200618-0134 RUDI HERMAWAN 27 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0618-0018 78
REG/EM/20 2496
### DS200618-0135 RUDI HERMAWAN 27 M INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0618-0018 78
REG/EM/20 2496
### DS200618-0136 RUDI HERMAWAN 27 M INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0618-0018 78
REG/EM/20 2496
### DS200618-0137 RUDI HERMAWAN 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0018 78
REG/EM/20 2496
### DS200618-0139 ANI ILYAS 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0020 80
### DS200618-0142 KARTIAH BINTI KARTA 20 F INSTALASI GAWAT DARURAT (IGD)
0618-0021 81 window
REG/EM/20 2496
### DS200618-0143 KARTIAH BINTI KARTA 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0618-0021 81
REG/EM/20 2446
### DS200619-0020 H. SYAFEI BIN H. JAMI 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0001 98
REG/EM/20 2494
### DS200619-0022 SATA BIN MIAN 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0002 15
REG/EM/20 2275
### DS200619-0024 UDIN BIN SENUH 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0003 09
REG/IP/200 2490
### DS200619-0036 ENJEN BIN OLI 62 M CHRYSANT Thorax AP/PA
619-0005 77
REG/OP/20
### JO200618-00005 ALDI FACRIZAL 23 M POLI MCU Thorax AP/PA
0618-0114
REG/OP/20
### DS200619-0046 AJI EVIT AWALUDIN 56 M RADIOLOGI Thorax AP/PA
0619-0072
REG/OP/20 2496
### DS200619-0060 UTARI NUR MADANI 22 F POLI BEDAH MULUT Panoramik
0619-0094 85
REG/OP/20 2496
### DS200619-0061 AEP SAEPUDIN 41 M POLI BEDAH MULUT Panoramik
0619-0087 84
REG/OP/20
### JO200619-00041 MU'MIN SURYADI 36 M POLI MCU Thorax AP/PA
0619-0116
REG/OP/20
### JO200619-00039 ABDUL FATHAH 34 M POLI MCU Thorax AP/PA
0619-0113
REG/OP/20
### JO200619-00037 RIDWAN ZAELANI 27 M POLI MCU Thorax AP/PA
0619-0112
REG/OP/20
### JO200619-00035 MAHPUDIN 33 M POLI MCU Thorax AP/PA
0619-0107
REG/OP/20
### JO200619-00033 ANGGA DWI SAPUTRA 25 M POLI MCU Thorax AP/PA
0619-0104
REG/OP/20 1877
### JO200619-00027 MELLA WATI. NN 22 F POLI MCU Thorax AP/PA
0619-0099 07
REG/OP/20
### JO200619-00023 HUSEN SAPUTRA 51 M POLI MCU Thorax AP/PA
0619-0096
REG/OP/20 ANGELITA AGLENIA
0619-0097 TABITA S
REG/OP/20
### JO200619-00021 RIRIN NOVITA DEWI 17 F POLI MCU Thorax AP/PA
0619-0086
REG/OP/20
### JO200619-00019 SINTIA PARAWITA 23 F POLI MCU Thorax AP/PA
0619-0085
REG/OP/20 LANJAR AULIA
0619-0083 SISWOMIHARJO
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200619-00015 YURIS AJIANSYAH 21 M POLI MCU Thorax AP/PA
0619-0078
REG/OP/20
### JO200619-00013 FRISKA RIZKITAWATI 18 F POLI MCU Thorax AP/PA
0619-0067
REG/OP/20
### JO200619-00011 INDRI HALIMATU SADIAH 18 F POLI MCU Thorax AP/PA
0619-0075
REG/OP/20
### JO200619-00009 SITI NURJANAH 17 F POLI MCU Thorax AP/PA
0619-0073
REG/OP/20
### JO200619-00007 JUNIAR ZENDRATO 19 F POLI MCU Thorax AP/PA
0619-0069
REG/OP/20
### JO200619-00029 SOFI ANGGRAENI AZAHRA 17 F POLI MCU Thorax AP/PA
0619-0063
REG/OP/20
### JO200619-00004 DELIA SAFITRI 18 F POLI MCU Thorax AP/PA
0619-0062
REG/OP/20
### JO200619-00002 HILDA CLARA 18 F POLI MCU Thorax AP/PA
0619-0061
### DS200619-0063 (BATAL)SYAKIR DAULAY 2 M INSTALASI GAWAT DARURAT (IGD)
0619-0004 94 window
### DS200619-0065 SITI ZAINAB 34 F INSTALASI GAWAT DARURAT (IGD)
0619-0007 89 window
REG/EM/20 2496
### DS200619-0066 SITI ZAINAB 34 F INSTALASI GAWAT DARURAT (IGD) Panoramik
0619-0007 89
REG/EM/20 2496
### DS200619-0067 SITI ZAINAB 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0007 89
REG/EM/20 2496
### DS200619-0068 MARDIANAH BINTI SALIH 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0006 88
REG/EM/20 0226
### DS200619-0070 DEWI KRISNAWATI 34 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0619-0008 78
REG/OP/20 0941
### DS200619-0073 INDRIA SANTY 46 F POLI BEDAH UROLOGI BNO/Abdomen
0619-0103 71
### DS200619-0075 EFENDI BIN YUSUF 26 M INSTALASI GAWAT DARURAT (IGD)
0619-0009 91 window
REG/OP/20 2484
### DS200619-0077 EUIS NUNUNG IRIANTI 27 F POLI PARU Thorax AP/PA
0619-0148 17
REG/OP/20 2496
### DS200619-0078 KARTINI HUTASOIT 62 F POLI BEDAH UROLOGI USG Abdomen
0619-0143 90
REG/OP/20 2287
### DS200619-0079 ADE GUSTIAWAN.TN 34 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0619-0109 97
REG/IP/200 2298
### DS200619-0080 YAHYA BIN SALAM, H, 65 M CHRYSANT PTCA - Kamar Tindakan
618-0003 24
REG/IP/200 2298
### DS200619-0080 YAHYA BIN SALAM, H, 65 M CHRYSANT PTCA - Dokter Operator Kls 2
618-0003 24
REG/IP/200 2298
### DS200619-0080 YAHYA BIN SALAM, H, 65 M CHRYSANT PTCA - Asisten Operator
618-0003 24
REG/OP/20 2494
### DS200619-0083 MAHPUDIN BIN ENDANG 41 M POLI BEDAH UROLOGI Thorax AP/PA
0619-0119 62
### DS200619-0085 39 M POLI BEDAH UMUM CT Scan Whole Abdomen dengan kontras
0619-0129 81 SUDARMO
REG/EM/20 2496
### DS200619-0087 PHOEBBE CRISTOVA 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0012 95
REG/EM/20 2496
### DS200619-0088 PHOEBBE CRISTOVA 28 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0619-0012 95
REG/IP/200 1449
### DS200619-0091 ACIH BINTI KICIT 52 F AMARYLLIS Thorax AP/PA
614-0011 23
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REG/OP/20 2496 SARJONO BIN CT Scan Abdomen Superior / Inferior /
0619-0161 93 KARTOLEKSONO Pelvis / Coxae non kontras
REG/OP/20
### JO200619-00055 RINI ANDINI 25 F POLI MCU Thorax AP/PA
0619-0186
REG/OP/20
### JO200619-00053 SITI NURAISYAH BASMA 23 F POLI MCU Thorax AP/PA
0619-0184
REG/OP/20
### JO200619-00058 RISNA OKTAVIANI 27 F POLI MCU Thorax AP/PA
0619-0193
REG/OP/20 2494
### DS200619-0096 OOM BIN MOKIR 58 M POLI BEDAH UROLOGI Thorax AP/PA
0619-0180 36
REG/IP/200 2496
### DS200619-0101 ANI ILYAS 45 F CHRYSANT USG Abdomen
619-0002 80
REG/IP/200 2496 MARYONO BIN MUHAMAD
### DS200619-0106 50 M AMARYLLIS Manus Dex/Sin
REG/IP/200 2496 MARYONO BIN MUHAMAD
### DS200619-0107 50 M AMARYLLIS Wrist Joint Dex/Sin
REG/OP/20
### DS200619-0108 ROMIH 74 F RADIOLOGI CT Scan Kepala Non kontras
0619-0206
REG/EM/20 2496 KHOIRUDIN BIN
0619-0015 98 BAHRUDIN
REG/EM/20 2497
### DS200619-0117 SOFYAN EXWANTORO.H 64 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0619-0017 01
REG/EM/20 2497
### DS200619-0118 SOFYAN EXWANTORO.H 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0017 01
REG/EM/20 2010
### DS200619-0120 DIWA ANGGARA . 2 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0018 64
REG/OP/20 0148
### DS200619-0123 (BATAL)RENI PRATIWI 26 F POLI GIGI DAN MULUT Panoramik
0619-0209 24
REG/EM/20 1943 MATRUSDI BIN MUHAMAD
0619-0021 30 ALI. TN
REG/EM/20 1943 MATRUSDI BIN MUHAMAD
0619-0021 30 ALI. TN
REG/IP/200 2496
### DS200619-0135 MARFUAH BINTI SARIM 40 F JASMINE Thorax AP/PA
615-0020 06
REG/EM/20 2497 (BATAL)MURMINAH BINTI
0619-0023 05 MANDU
REG/EM/20 2497
### DS200619-0139 RUWAIDA NURRAHMAH 15 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0022 04
REG/EM/20 1864
### DS200619-0140 SUKATMAH BINTI SAPIN 78 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0025 57
REG/EM/20 2497
### DS200619-0143 ROMIH BINTI ENGKUK 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0024 06
REG/EM/20 2149
### DS200619-0144 HJ. WAWAT SETIAWATI 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0619-0026 43
REG/EM/20 2149
### DS200619-0145 HJ. WAWAT SETIAWATI 58 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0619-0026 43
REG/EM/20 2497
### DS200620-0016 KARMI BINTI IDEUNG 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0002 07
REG/EM/20 2489
### DS200620-0034 ROKOYAH BINTI ASNAWI 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0006 45
REG/EM/20 2009
### DS200620-0036 ROHATI BINTI SAEMAN 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0004 19
REG/EM/20 2497
### DS200620-0042 ALTHUR PAKPAHAN SE 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0007 09
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REG/IP/200 2495
### DS200620-0050 MARISAH BINTI DERIS 56 F CHRYSANT Thorax AP/PA
614-0018 60
REG/OP/20 2497
### DS200620-0054 MARNI BINTI MANIN 25 F POLI BEDAH MULUT Panoramik
0620-0031 10
REG/OP/20 2129
### DS200620-0055 ANGGA BIN OLANG 29 M POLI BEDAH MULUT Panoramik
0620-0042 35
REG/EM/20 2497
### DS200620-0061 IDA BIN MIHAD 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0010 14
REG/OP/20 2497
### DS200620-0062 REZA TRI JUMANTO 22 M POLI BEDAH MULUT Panoramik
0620-0074 13
REG/OP/20 2497
### DS200620-0064 NASRULLAH BIN AHMADIN 21 M POLI BEDAH MULUT Panoramik
0620-0081 16
REG/OP/20 2497
### DS200620-0072 RESTU PUJI PEBRINA 27 F POLI BEDAH MULUT Panoramik
0620-0107 20
REG/IP/200 1403
### DS200620-0079 NANANG ZAENAL ARIFIN 47 M JASMINE Thorax AP/PA
616-0016 11
REG/EM/20 2497 ADE DINAR NUGROHO
0620-0012 23 PAMUNGKAS
### DS200620-0082 SULISTIYO BIN MARSONO 49 M POLI BEDAH UROLOGI
### DS200620-0083 RUMIN BIN MARUN 57 M POLI BEDAH UROLOGI
REG/OP/20 2495
### DS200620-0084 WARDAH BINTI HASAN 56 F POLI BEDAH UROLOGI Thorax AP/PA
0620-0102 32
REG/OP/20 2497
### DS200620-0092 PUTRI SULISTYANTI 20 F POLI GIGI DAN MULUT Panoramik
0620-0173 25
REG/EM/20 2497
### DS200620-0098 EMAN SUHERMAN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0014 26
REG/EM/20 1888
### DS200620-0104 SELAMET RIYADI.TN 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0015 06
REG/EM/20 2496
### DS200620-0106 ARIO APRIANSYAH 13 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0620-0017 52
REG/EM/20 2496
### DS200620-0107 ARIO APRIANSYAH 13 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0017 52
REG/EM/20 2496
### DS200620-0108 (BATAL)ARIO APRIANSYAH 13 M INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0620-0017 52
REG/OP/20 2268
### DS200620-0109 DAMHURI BIN KASMIN .TN 53 M POLI JANTUNG Thorax AP/PA
0620-0151 42
REG/EM/20 2496
### DS200620-0111 ARIO APRIANSYAH 13 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0620-0017 52
REG/EM/20 2172
### DS200620-0119 LULU LUDIYA 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0620-0019 04
REG/OP/20 0844
### DS200620-0120 HENI NURYANI 33 F RADIOLOGI Thorax AP/PA
0620-0191 37
REG/EM/20 1501
### DS200621-0014 SACEM BINTI ASAN.HJ 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0002 49
REG/EM/20 2497
### DS200621-0022 WILDAN GOJALI 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0005 31
REG/EM/20 2497 MARISA WAHYU
0621-0006 32 SETYARINI
REG/EM/20 1931
### DS200621-0027 RASIH BINTI RAIN. NY 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0008 76
REG/EM/20 0435
### DS200621-0031 SAYADIH BIN H. NURDIN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0009 85
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REG/EM/20 0911
### DS200621-0032 DYAN ESIKHA, DR 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0011 70
REG/EM/20 2091
### DS200621-0050 DEWI BINTI BAUNG. NY 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0012 67
REG/IP/200 2496
### DS200621-0053 WATI SUSANTI 45 F JASMINE Pedis Dex/Sin
619-0004 76
REG/EM/20 0893
### DS200621-0055 SITI NAPSIAH 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0016 02
REG/IP/200 2398
617-0005 47
REG/IP/200 0725
### DS200621-0060 SITI HALIZA SIREGAR 34 F EDELWEISS Thorax AP/PA
620-0019 57
REG/EM/20 2497
### DS200621-0062 TAMIN BIN ASAN 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0621-0019 37
REG/EM/20 2497
### DS200621-0063 TAMIN BIN ASAN 57 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0621-0019 37
REG/EM/20 2497
### DS200622-0009 JULAEHA BINTI H.HALIMI 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0001 38
REG/EM/20 2497
### DS200622-0011 JULAEHA BINTI H.HALIMI 65 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0622-0001 38
REG/EM/20 2497
### DS200622-0023 NESAH BINTI TAMIN 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0004 40
REG/OP/20 2497
### DS200622-0036 NADYA CHOIRUNNISA 22 F POLI PENYAKIT DALAM Thorax AP/PA
0622-0046 45
REG/IP/200 2497
### DS200622-0038 SUHAEDAH BINTI MIMING 59 F CHRYSANT Jasa Baca Foto Konvensional
620-0021 28
REG/OP/20
### JO200622-00010 HABIB ISAGI Y 12 M POLI MCU Thorax AP/PA
0622-0057
REG/OP/20 ANSI GILANG
0622-0055 PURWAKAMA
REG/OP/20
### JO200622-00006 IQRAR SUPRIADI 20 M POLI MCU Thorax AP/PA
0622-0052
REG/OP/20
### JO200622-00004 UMIATUL KHASANAH 17 F POLI MCU Thorax AP/PA
0622-0038
REG/OP/20
### JO200622-00002 CITRA AMALIA SYIFA 18 F POLI MCU Thorax AP/PA
0622-0035
REG/EM/20 2159 BADRINAH BINTI
0622-0011 12 MUHAMMAD
REG/EM/20 2144
### DS200622-0043 SYARIF HIDAYAT 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0009 10
REG/OP/20 2447
### DS200622-0052 DADANG HARIYADI 42 M POLI JANTUNG Thorax AP/PA
0622-0078 87
REG/IP/200 2494
### DS200622-0059 NENIH BINTI MISIN 50 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
611-0013 91
REG/OP/20 2497
### DS200622-0060 KUSTITI BINTI SUTOMO 41 F POLI BEDAH MULUT Panoramik
0622-0058 47
REG/OP/20 2001
### DS200622-0062 DWI SURYANINGSIH.NN 24 F POLI BEDAH MULUT Panoramik
0622-0080 41
REG/OP/20 2495 SAEPULLOH BIN
0622-0081 02 MIFTAHUDIN
REG/IP/200 1911
### DS200622-0071 YANTI BINTI KAYAN 47 F JASMINE Thorax AP/PA
617-0017 63
REG/IP/200 2172
### DS200622-0072 LULU LUDIYA 20 F CHRYSANT USG Abdomen
620-0022 04
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REG/EM/20 1705
### DS200622-0074 SULISTIYO BIN MARSONO 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0014 41
### DS200622-0077 IRHAS MIROS 33 M POLI BEDAH UROLOGI
### DS200622-0084 SYARIF HIDAYAT 44 M CHRYSANT
REG/OP/20 2431
### DS200622-0085 BAMBANG TRIYONO 31 M POLI PARU Thorax AP/PA
0622-0151 61
REG/OP/20
### DS200622-0086 TARMI BINTI ABUNG 72 F RADIOLOGI USG Abdomen
0622-0140
REG/OP/20
### DS200622-0088 (BATAL)ENTAH 46 F RADIOLOGI CT Scan Kepala Non kontras
0622-0153
### DS200622-0089 ENTAH 46 F RADIOLOGI
0622-0153 window
REG/OP/20 1903 (BATAL)CICIH BINTI CT Scan Abdomen Superior / Inferior /
0622-0117 86 MAHROM Pelvis / Coxae non kontras
REG/OP/20 1108
### DS200622-0094 YUNITA NUR AENI 36 F POLI PARU Thorax AP/PA
0622-0157 85
REG/OP/20 2398
### DS200622-0096 PASYA ADITYA RIZQI 9 M POLI ANAK USG Abdomen
0622-0112 45
REG/OP/20 2497
### DS200622-0098 RANIE SIREGAR 45 F POLI PENYAKIT DALAM USG Abdomen
0622-0113 54
### DS200622-0101 TITIN BINTI BOING 40 F POLI BEDAH UROLOGI
### DS200622-0103 IYAN YULIANSYAH. TN 45 M POLI BEDAH UROLOGI
REG/IP/200 2420
### DS200622-0105 ABDUL WADA 56 M AMARYLLIS Thorax AP/PA
617-0013 06
REG/EM/20 2497
### DS200622-0107 RENI ERSANI 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0010 46
REG/EM/20 2497
### DS200622-0108 RISDA KRISDIANI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0015 50
REG/OP/20 2486
### DS200622-0110 ABDURROCHMAN ALAWI 32 M POLI BEDAH ORTHOPEDI Manus Dex/Sin
0622-0079 21
REG/OP/20 1726
### DS200622-0111 ASMAN BIN KANEN H.TN 61 M POLI JANTUNG Thorax AP/PA
0622-0044 60
REG/EM/20 2000
### DS200622-0115 NURUL JAMILAH 10 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0017 69
REG/OP/20 2480
### DS200622-0116 NADYA EKA PUTRI 16 F POLI BEDAH ORTHOPEDI Cranium/Nasal AP/LAT
0622-0175 47
REG/EM/20 2376
### DS200622-0117 H. N.NURHIDAYAT 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0018 24
REG/IP/200 2166
### DS200622-0122 NARI BINTI SANA 49 F CHRYSANT Thorax AP/PA
622-0012 47
REG/OP/20 2497 AHMARIYONO HALIMAH
### DS200622-0123 5 M POLI BEDAH UMUM CT Scan Kepala Non kontras
0622-0215 67 SUPARSI
REG/EM/20 2497 DRS. SUTARNO BIN H.
0622-0023 70 NURITA, MM
REG/OP/20
### JO200622-00018 ARYA ADHIE UTAMA 24 M POLI MCU Thorax AP/PA
0622-0220
REG/OP/20 1167
0622-0228 71
REG/IP/200 2497
### DS200622-0128 SLAMET RIYANTO 50 M AMARYLLIS Thorax AP/PA
622-0014 51
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REG/EM/20 2497
### DS200622-0131 H. MIRO BIN SAILAN 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0025 73
REG/EM/20 2497
### DS200622-0132 H. MIRO BIN SAILAN 72 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0622-0025 73
REG/EM/20 2497
### DS200622-0137 KANI BINTI IJO 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0020 69
REG/IP/200 2495
### DS200622-0138 PANDU WILANTARA 74 M CHRYSANT PTCA - Kamar Tindakan
620-0011 38
REG/IP/200 2495
### DS200622-0138 PANDU WILANTARA 74 M CHRYSANT PTCA - Dokter Operator
620-0011 38
REG/IP/200 2495
### DS200622-0138 PANDU WILANTARA 74 M CHRYSANT PTCA - Asisten Operator
620-0011 38
REG/IP/200 2497
### DS200622-0140 ALTHUR PAKPAHAN SE 62 M CHRYSANT PTCA - Kamar Tindakan
620-0010 09
REG/IP/200 2497
### DS200622-0140 ALTHUR PAKPAHAN SE 62 M CHRYSANT PTCA - Asisten Operator
620-0010 09
REG/IP/200 2497
### DS200622-0140 ALTHUR PAKPAHAN SE 62 M CHRYSANT PTCA - Dokter Operator
620-0010 09
REG/IP/200 2430
### DS200622-0141 HALIM BIN SOERWIN 69 M AMARYLLIS Thorax AP/PA
622-0016 00
REG/OP/20 1018 NURSINAH BINTI
### DS200622-0147 57 F POLI BEDAH ORTHOPEDI Pedis Dex/Sin
0622-0212 56 NURSIN,NY
REG/EM/20 1885
### DS200622-0151 EMAH BINTI NIRAN 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0030 98
REG/EM/20 2497
### DS200622-0155 DANIEL SIMANJUNTAK 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0033 77
REG/EM/20 2497
### DS200622-0156 DANIEL SIMANJUNTAK 23 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0622-0033 77
REG/IP/200 2166
### DS200622-0157 NARI BINTI SANA 49 F CHRYSANT CT Scan Kepala Non kontras
622-0012 47
REG/EM/20 2497 MUKLIS BIN AHMAD
0622-0034 79 PRAWITO
REG/EM/20 2497 MUKLIS BIN AHMAD
0622-0034 79 PRAWITO
REG/EM/20 2497
### DS200622-0160 AZRIL ANDRES PRATAMA 5 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0032 76
REG/EM/20 2497
### DS200622-0162 MARWAN HERMAWAN 30 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0035 80
REG/IP/200 1932
### DS200622-0164 ERNA ARIYANI 39 F EDELWEISS CT Scan Kepala Non kontras
622-0019 66
REG/EM/20 2497
### DS200622-0167 CECEP BIN ASKA 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0037 81
REG/EM/20 1604 MUH SATRIA AZZURA
0622-0029 76 NABIKA
REG/EM/20 2156
### DS200622-0171 IRVAN HANAFI 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0038 60
REG/EM/20 2497
### DS200622-0179 PANJI BIN KUMAN 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0622-0041 82
REG/EM/20 2156
### DS200623-0021 IRVAN HANAFI 46 M INSTALASI GAWAT DARURAT (IGD) CT Scan Whole Abdomen non kontras
0622-0038 60
REG/EM/20 2497
### DS200623-0022 PANJI BIN KUMAN 64 M INSTALASI GAWAT DARURAT (IGD) CT Scan Whole Abdomen non kontras
0622-0041 82
REG/EM/20 2113
### DS200623-0027 KARSIH BINTI ADIH.NY 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0002 70
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REG/EM/20 2394
### DS200623-0029 AFIA 1 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0004 00
REG/IP/200 1604 MUH SATRIA AZZURA
### DS200623-0036 5 M AMARYLLIS Abdomen 3 posisi
622-0028 76 NABIKA
REG/EM/20 2491
### DS200623-0038 SITI NURHIKMAH 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0006 95
REG/EM/20 1309
### DS200623-0040 AGUS WIDODO 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0005 30
REG/OP/20 2495
### DS200623-0043 IRPAN BIN SAMID 49 M POLI PENYAKIT DALAM Thorax AP/PA
0623-0087 83
REG/OP/20 2408
### DS200623-0044 YATI BINTI ABUN 41 F RADIOLOGI USG Abdomen
0623-0094 59
REG/OP/20
### DS200623-0046 ANIH ALFIAH 37 F RADIOLOGI Thorax AP/PA
0623-0105
REG/OP/20 1747
### DS200623-0053 SENTOT LISTIONO .TN 47 M POLI BEDAH MULUT Panoramik
0623-0119 31
REG/OP/20 2484
### DS200623-0055 SUHERMAN BIN H. ENJA 36 M POLI PARU Thorax AP/PA
0623-0139 22
REG/OP/20 2497
### DS200623-0058 UDIN BIN SASMITA 39 M POLI BEDAH MULUT Panoramik
0623-0128 89
REG/OP/20 2458
### DS200623-0059 TEGUH 32 M POLI BEDAH MULUT Panoramik
0623-0133 97
REG/OP/20 2497
### DS200623-0061 SELENA WIDYA PRASTIWI 25 F POLI BEDAH MULUT Panoramik
0623-0168 92
### DS200623-0062 AI HAYATI 61 F POLI PENYAKIT DALAM
### DS200623-0065 ZANARIA BINTI BASRI 46 F POLI BEDAH UROLOGI
REG/OP/20 2494
### DS200623-0071 REZA FAHLEVI 22 M POLI BEDAH MULUT Panoramik
0623-0163 83
REG/IP/200 2430
### DS200623-0072 HALIM BIN SOERWIN 69 M AMARYLLIS CAG - Kamar Tindakan
622-0016 00
REG/IP/200 2430
### DS200623-0072 HALIM BIN SOERWIN 69 M AMARYLLIS CAG - Dokter Operator Kls 1
622-0016 00
REG/IP/200 2430
### DS200623-0072 HALIM BIN SOERWIN 69 M AMARYLLIS CAG - Asisten Operator
622-0016 00
REG/OP/20 1994 MINTARSIH BINTI
0623-0155 28 A.LIMIN.NY
REG/IP/200 2497
### DS200623-0074 SLAMET RIYANTO 50 M AMARYLLIS CAG - Kamar Tindakan
622-0014 51
REG/IP/200 2497
### DS200623-0074 SLAMET RIYANTO 50 M AMARYLLIS CAG - Dokter Operator Kls 1
622-0014 51
REG/IP/200 2497
### DS200623-0074 SLAMET RIYANTO 50 M AMARYLLIS CAG - Asisten Operator
622-0014 51
REG/OP/20 ANDREW PUTRA M.
0623-0231 MARBUN
REG/EM/20 2336
### DS200623-0077 HIDAYATULOH BIN ACEP 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0010 61
REG/OP/20 2497
### DS200623-0088 SUMARNI KS 59 F POLI JANTUNG Thorax AP/PA
0623-0073 87
REG/EM/20 2498 (BATAL)KARYATI BINTI
0623-0011 00 SAPARI
REG/EM/20 0388
### DS200623-0095 ZAENAL MUTAQIN. 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0015 53
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REG/OP/20
### DS200623-0101 IDA ROHANI 55 F RADIOLOGI USG Abdomen
0623-0302
REG/OP/20 2498
### DS200623-0104 ADIBA VARISHA 4 F POLI ANAK Thorax AP/PA
0623-0297 04
REG/OP/20 2463 SUMARTINI BINTI HADI
### DS200623-0108 44 F POLI BEDAH VASKULER Thorax AP/PA
0623-0060 81 WIYONO
REG/EM/20 2498
### DS200623-0113 BADRU SALAM 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0016 05
REG/OP/20 0016
### DS200623-0115 ZUNIARTI BINTI NURDI 46 F POLI BEDAH VASKULER Thorax AP/PA
0623-0285 36
REG/OP/20
### DS200623-0116 LISBETH 47 F RADIOLOGI CT Scan Kepala Non kontras
0623-0344
REG/EM/20 2498
### DS200623-0118 ENU BINTI NYINAN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0020 06
REG/IP/200 2497
### DS200623-0119 DEDI DARMAJI 30 M AMARYLLIS PTCA - Kamar Tindakan
622-0009 64
REG/IP/200 2497
### DS200623-0119 DEDI DARMAJI 30 M AMARYLLIS PTCA - Dokter Operator Kls 2
622-0009 64
REG/IP/200 2497
### DS200623-0119 DEDI DARMAJI 30 M AMARYLLIS PTCA - Asisten Operator
622-0009 64
REG/OP/20 2220 ASMARAH BINTI H. AMAT. USG Deep Vein Trombus Dex / Sin
### DS200623-0122 60 F POLI BEDAH VASKULER
0623-0342 24 NY Doppler
REG/EM/20 2498
### DS200623-0125 IMAS ISLAMIATI 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0623-0021 07
REG/IP/200 2197 EPONG BINTI GAMUNG
623-0008 95 .NY
REG/EM/20 2494
### DS200623-0133 R KARTOBI 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0023 71
REG/EM/20 2498 ADRIANA ILAYENAN AFUT
0623-0022 08 MELSASAIL
REG/EM/20 2498
### DS200623-0136 M.YUSUF NOVANSYAH 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0024 09
REG/EM/20 2494
### DS200623-0143 OLIVA M WONGKAR 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0027 77
REG/EM/20 2498
### DS200623-0145 EKA DEWI PUSPITA 11 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0623-0028 11
REG/OP/20 2496
### DS200624-0029 ENJUH BIN RAINAN 67 M POLI PENYAKIT DALAM USG Abdomen
0624-0045 36
REG/IP/200 2090
### DS200624-0037 EROS BINTI MANIN 57 F CHRYSANT Thorax AP/PA
624-0005 32
REG/EM/20 2498
### DS200624-0039 MUHAMAD AFIFI FAUZI 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0003 16
REG/IP/200 1604 MUH SATRIA AZZURA
622-0028 76 NABIKA
REG/OP/20 2087 DANTE ERLAND
### DS200624-0055 12 M RADIOLOGI Panoramik
0624-0088 24 WIBOWO.AN
REG/IP/200 2496
### DS200624-0057 WATI SUSANTI 45 F JASMINE CT Scan Kepala Non kontras
619-0004 76
REG/IP/200 2275
### DS200624-0058 UDIN BIN SENUH 56 M JASMINE Thorax AP/PA
619-0003 09
REG/EM/20 0093
### DS200624-0061 ACIN SURYANA 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0006 44
REG/EM/20 1872
### DS200624-0063 ASLI BIN ISMAI, H, 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0005 01
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200624-00018 RESYA ASHFIANI 19 F POLI MCU Thorax AP/PA
0624-0107
REG/OP/20
### JO200624-00005 RITA SUKARDI 24 F POLI MCU Thorax AP/PA
0624-0075
REG/EM/20 2498
### DS200624-0068 PUTHUT BAYU SAKTI 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0007 23
REG/EM/20 2290
### DS200624-0069 NYAI RAMNIH 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0008 13
REG/EM/20 2290
### DS200624-0070 NYAI RAMNIH 62 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0624-0008 13
REG/EM/20 1962
### DS200624-0071 UDI GUNAWAN 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0009 46
REG/EM/20 1962
### DS200624-0072 UDI GUNAWAN 62 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0624-0009 46
REG/IP/200 2494
### DS200624-0073 SATA BIN MIAN 60 M CHRYSANT USG Abdomen
620-0001 15
REG/OP/20
### JO200624-00024 HELGI ADIKA PRATAMA 20 M POLI MCU Thorax AP/PA
0624-0116
REG/OP/20
### JO200624-00022 NASIRUDIN 26 M POLI MCU Thorax AP/PA
0624-0112
REG/OP/20
### JO200624-00020 SUSILAWATI 25 F POLI MCU Thorax AP/PA
0624-0110
### DS200624-0077 UDI GUNAWAN 62 M INSTALASI GAWAT DARURAT (IGD)
0624-0009 46 window
REG/OP/20 2484 SUPRIHATININGSIH BINTI
### DS200624-0079 58 F POLI BEDAH UROLOGI USG Abdomen
0624-0141 47 SALIMIN
REG/IP/200 2398
617-0005 47
REG/IP/200 2327
### DS200624-0083 NIDA UL IZZATI.NN 19 F CHRYSANT Thorax AP/PA
624-0008 87
REG/OP/20
### JO200623-00018 RENGGA ELOK INDRIANI 22 F POLI MCU Thorax AP/PA
0623-0266
REG/OP/20 2485
### DS200624-0089 IDA FARIDA 37 F POLI JANTUNG Thorax AP/PA
0624-0135 12
REG/EM/20 2498
### DS200624-0094 UJANG ANDRI 32 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0624-0011 35
REG/OP/20 0876 SANWANI BIN
### DS200624-0100 55 M RADIOLOGI USG Abdomen
0624-0179 08 ASNAWI,H.TN.
### DS200624-0101 SUMARTONO BIN DARMIN 70 M POLI BEDAH UROLOGI
REG/IP/200 2497
### DS200624-0104 KARMI BINTI IDEUNG 62 F CHRYSANT USG Abdomen
620-0004 07
REG/OP/20 0931
### DS200624-0105 JUWITA DEWI 33 F POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0624-0030 16
REG/IP/200 2498
### DS200624-0106 DARIAH BINTI KARSO 53 F AMARYLLIS Thorax AP/PA
624-0012 14
REG/OP/20 1233
### DS200624-0109 INTAN DWI CAHYANI 29 F POLI BEDAH UMUM Thorax AP/PA
0624-0144 24
REG/EM/20 2498
### DS200624-0116 JAPEN BIN KIANG 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0014 39
REG/IP/200 2496
### DS200624-0118 HADI SUHADI 60 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
616-0023 23
REG/EM/20 1187
### DS200624-0123 AKHMAD SARIFUDIN.SPD 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0015 29
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REG/OP/20 2504
### DS200624-0125 TATA BIN SADI 55 M RADIOLOGI CT Scan Kepala Non kontras
0624-0200 64
### DS200624-0128 54 F POLI BEDAH ORTHOPEDI Ankle joint Dex/Sin
REG/OP/20 2441
### DS200624-0129 DEDEN DENI FAYSAL 40 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0624-0191 36
REG/OP/20 2421
### DS200624-0130 ILHAMMUDIN AKHMAD 22 M POLI BEDAH ORTHOPEDI Manus Dex/Sin
0624-0195 34
REG/EM/20 2498
### DS200624-0132 CUCU JULAEHA 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0016 40
REG/IP/200 2497
### DS200624-0134 SUHAEDAH BINTI MIMING 59 F CHRYSANT PTCA - Kamar Tindakan
620-0021 28
REG/IP/200 2497
### DS200624-0134 SUHAEDAH BINTI MIMING 59 F CHRYSANT PTCA - Dokter Operator Kls 2
620-0021 28
REG/IP/200 2497
### DS200624-0134 SUHAEDAH BINTI MIMING 59 F CHRYSANT PTCA - Asisten Operator
620-0021 28
REG/EM/20 2498 (BATAL)DWI YANTI
0624-0019 43 PARDJUMI
REG/EM/20 2498 (BATAL)DWI YANTI
### DS200624-0142 47 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0624-0019 43 PARDJUMI
REG/EM/20 2498
### DS200624-0143 YAYAH YASMILA 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0018 42
REG/EM/20 2498
### DS200624-0145 DWI YANTI PARDJUMI 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0019 43
REG/EM/20 2498
### DS200624-0146 DWI YANTI PARDJUMI 47 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0624-0019 43
REG/EM/20 2498
### DS200624-0148 SALMAH ARDILA 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0624-0021 44
REG/EM/20 1770 LILIH HALIMATUL
0625-0002 72 SYADIYAH
REG/IP/200 2496
### DS200625-0024 WARSIH BINTI LIAN 50 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
617-0014 49
REG/IP/200 2498 SUDARMANTO BIN
625-0003 18 DJASWADI
REG/OP/20 0859
### DS200625-0040 ANITA JAYA,NY 58 F POLI BEDAH UROLOGI USG Abdomen
0625-0063 42
REG/IP/200 2498
### DS200625-0044 (BATAL)JAPEN BIN KIANG 67 M AMARYLLIS USG Abdomen
624-0014 39
REG/IP/200 2498
### DS200625-0045 JAPEN BIN KIANG 67 M AMARYLLIS USG Thorax / Paru
624-0014 39
REG/OP/20
### DS200625-0055 LAURA SUSILO SISWOYO 11 F RADIOLOGI Thorax AP/PA
0625-0119
REG/OP/20 0992 (BATAL)YUSUP CT Scan Abdomen Superior / Inferior /
0625-0086 16 SUPRATMAN Pelvis / Coxae non kontras
REG/OP/20 2177
### DS200625-0060 SABAR SIMANGUNSONG 39 M POLI BEDAH UROLOGI BNO/Abdomen
0625-0107 15
REG/OP/20
### DS200625-0065 RAWAN TRIYANTO 54 M RADIOLOGI CT Scan Kepala Non kontras
0625-0177
REG/EM/20 1251
### DS200625-0066 YOGA DWI CANDRA 7 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0625-0005 32
REG/IP/200 2496
### DS200625-0067 WATI SUSANTI 45 F JASMINE Thorax AP/PA
619-0004 76
REG/OP/20
### DS200625-0068 KOMARIYAH 64 F RADIOLOGI USG Mammae Doppler
0625-0176
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2498
### DS200625-0070 CUCU JULAEHA 48 F JASMINE CT Scan Thorax non kontras
624-0016 40
REG/OP/20 2494
### DS200625-0071 ELA NURLAILA FAUZIYAH 24 F POLI SYARAF CT Scan Kepala Non kontras
0625-0046 28
REG/IP/200 2090
### DS200625-0077 EROS BINTI MANIN 57 F CHRYSANT PTCA - Kamar Tindakan
624-0005 32
REG/IP/200 2090
### DS200625-0077 EROS BINTI MANIN 57 F CHRYSANT PTCA - Dokter Operator
624-0005 32
REG/IP/200 2090
### DS200625-0077 EROS BINTI MANIN 57 F CHRYSANT PTCA - Asisten Operator
624-0005 32
REG/OP/20
### DS200625-0083 SYAFRUDDIN 64 M RADIOLOGI CT Scan Kepala Non kontras
0625-0222
REG/OP/20 1504
### DS200625-0084 RITA YUNIARTI 61 F POLI BEDAH ORTHOPEDI Pelvis/Coxae
0625-0138 41
REG/EM/20 2463
### DS200625-0087 NONENG KOMARIAH 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0625-0013 55
REG/EM/20 2498 SUKAT BINTI SETRO
0625-0014 58 DIKROMO
REG/EM/20 2498 (BATAL)IMAS SITI
0625-0010 54 ROHMAH
REG/OP/20
### JO200625-00022 HAMIM 38 M POLI MCU Thorax AP/PA
0625-0241
REG/OP/20
### JO200625-00020 LASINO 27 M POLI MCU Thorax AP/PA
0625-0239
REG/OP/20
### JO200625-00018 TAMRIN 29 M POLI MCU Thorax AP/PA
0625-0238
REG/OP/20
### JO200625-00024 DAVID LEONARDO EDO 25 M POLI MCU Thorax AP/PA
0625-0250
REG/IP/200 1657
### DS200625-0099 AISYAH AMELIA 9 F CARNATION CT Scan Kepala Non kontras
625-0001 20
REG/IP/200 2497
### DS200625-0101 SUHAEDAH BINTI MIMING 59 F CHRYSANT Thorax AP/PA
620-0021 28
### DS200625-0104 WALUYO BIN KARTONO 46 M CHRYSANT
REG/OP/20 2497 AHMARIYONO HALIMAH
### DS200625-0106 5 M POLI BEDAH UMUM Thorax AP/PA
0625-0167 67 SUPARSI
REG/EM/20 2498
### DS200625-0108 SITI NUR PAJRIYAH 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0625-0016 60
REG/IP/200 2498 (BATAL)WALUYO BIN CT Scan Abdomen Superior / Inferior /
### DS200625-0112 46 M CHRYSANT
625-0002 45 KARTONO Pelvis / Coxae non kontras
### DS200625-0113 NURAENI BINTI INAN 27 F POLI BEDAH UROLOGI
REG/OP/20 0389
### DS200625-0115 EKO RUDI HARTONO, TN 37 M RADIOLOGI Thorax AP/PA
0625-0291 28
REG/EM/20 2498 (BATAL)HADRIANSYAH CT Scan Kepala Non kontras,bone
0625-0017 61 SAPUTRA window
REG/EM/20 2498 (BATAL)HADRIANSYAH
### DS200625-0117 18 M INSTALASI GAWAT DARURAT (IGD) CV. Cervical 2 posisi
0625-0017 61 SAPUTRA
### DS200625-0119 NITA DWI AMBARWATI 26 F INSTALASI GAWAT DARURAT (IGD)
0625-0019 92 window
REG/IP/200 2113
### DS200625-0121 KARSIH BINTI ADIH.NY 55 F BANGSAL NEUROLOGI Thorax AP/PA
623-0006 70
REG/EM/20 2498
### DS200625-0123 PREDO 26 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0625-0022 66
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REG/EM/20 1993
### DS200625-0126 FALAH RIDWANULOH 23 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0625-0021 11
REG/EM/20 1993
### DS200625-0127 FALAH RIDWANULOH 23 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0625-0021 11
### DS200625-0129 PREDO 26 M INSTALASI GAWAT DARURAT (IGD)
0625-0022 66 window
REG/EM/20 2268
### DS200625-0134 LELA MARLINA 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0625-0027 64
REG/EM/20 2268
### DS200625-0135 LELA MARLINA 47 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0625-0027 64
REG/EM/20 2498
### DS200626-0016 NUR KHOLIFAH 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0626-0001 69
REG/IP/200 2488 MUHAMMAD KADAFI
626-0002 65 PUTRA
REG/OP/20 2498
### DS200626-0053 DODI EFFENDI 45 M POLI BEDAH MULUT Panoramik
0626-0056 71
REG/EM/20 2498 (BATAL)NABILA PUTRI CT Scan Kepala Non kontras,bone
0626-0004 73 SYARIF window
REG/OP/20
### DS200626-0066 AYRA KHAIRISA 1 F RADIOLOGI CT Scan Kepala dengan kontras
0626-0112
REG/OP/20 0593
### JO200626-00012 NUGROHO SULISTIYO 35 M POLI MCU Thorax AP/PA
0626-0095 16
REG/OP/20
### JO200626-00022 AHMAD BINTANG FIRDAUS 23 M POLI MCU Thorax AP/PA
0626-0104
REG/OP/20
### JO200626-00020 SAMSUL ANAM 23 M POLI MCU Thorax AP/PA
0626-0103
REG/OP/20 2263 SHOFI SHOBBATUL
0626-0101 81 WADLIH.NN
REG/OP/20
### JO200626-00016 ZIA NADIRA 26 F POLI MCU Thorax AP/PA
0626-0098
REG/OP/20 0913
### JO200626-00014 FARADILA NABILA.NY 32 F POLI MCU Thorax AP/PA
0626-0094 11
REG/OP/20
### JO200626-00008 FITRA RAMADHAN 19 M POLI MCU Thorax AP/PA
0626-0092
REG/OP/20
### JO200626-00006 RATNA NINGSIH 24 M POLI MCU Thorax AP/PA
0626-0089
REG/OP/20
### JO200626-00004 ANANDA ALFIAN WIDJAJA 17 M POLI MCU Thorax AP/PA
0626-0085
REG/OP/20
### JO200626-00002 WIRDIYAN N.R 17 M POLI MCU Thorax AP/PA
0626-0084
REG/EM/20 2498
### DS200626-0068 INA FEBRINA BR TARIGAN 25 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0626-0006 74
REG/OP/20 1560
### DS200626-0069 MASNA BIN H. JAELANI 47 M POLI PENYAKIT DALAM USG Abdomen
0626-0086 65
REG/EM/20 2165
### DS200626-0070 UJANG BIN DAMAH 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0005 10
REG/IP/200 2498
### DS200626-0075 DARIAH BINTI KARSO 53 F AMARYLLIS CAG - Kamar Tindakan
624-0012 14
REG/IP/200 2498
### DS200626-0075 DARIAH BINTI KARSO 53 F AMARYLLIS CAG - Dokter Operator
624-0012 14
REG/IP/200 2498
### DS200626-0075 DARIAH BINTI KARSO 53 F AMARYLLIS CAG - Asisten Operator
624-0012 14
REG/IP/200 1187
### DS200626-0081 AKHMAD SARIFUDIN.SPD 49 M JASMINE Thorax AP/PA
624-0015 29
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2498
### DS200626-0082 AHMAD FAUZI 21 M POLI BEDAH MULUT Panoramik
0626-0122 26
REG/IP/200 2498
### DS200626-0083 M.YUSUF NOVANSYAH 40 M JASMINE Thorax AP/PA
624-0001 09
REG/IP/200 2496
### DS200626-0084 (BATAL)WATI SUSANTI 45 F JASMINE Thorax AP/PA
619-0004 76
REG/OP/20 2489
### DS200626-0086 TRI SUPARTININGSIH 29 F HEMODIALISA Thorax AP/PA
0626-0120 80
REG/OP/20 2498
### DS200626-0087 ANDY RIANTO 22 M POLI BEDAH MULUT Panoramik
0626-0099 72
REG/OP/20 0490
### DS200626-0088 ALFIAN KURNIAWAN 14 M POLI BEDAH UROLOGI USG Abdomen
0626-0135 38
### DS200626-0089 NEMIH NURAINIH 38 F POLI BEDAH UROLOGI
REG/OP/20
### JO200626-00030 DIAN HARDIANTY 20 F POLI MCU Thorax AP/PA
0626-0144
REG/OP/20 2295
### JO200626-00027 GIRI SUKMANA 24 M POLI MCU Thorax AP/PA
0626-0132 45
REG/OP/20
### JO200626-00025 CAHYA RIZKY WIJAYA 18 M POLI MCU Thorax AP/PA
0626-0128
REG/EM/20 2498 RAFLY RENALDY
0626-0008 78 SUGIANTO
REG/OP/20 2498
### DS200626-0097 NABILA PUTRI WIJAYA 5 F POLI EYE CENTER Thorax AP/PA
0626-0111 75
REG/OP/20 2482
### DS200626-0103 RONI BIN MUDAI 27 M POLI THT Thorax AP/PA
0626-0026 20
### DS200626-0109 39 M POLI BEDAH UROLOGI Thorax AP/PA
0626-0141 81 SUDARMO
REG/IP/200 2498
### DS200626-0110 M.YUSUF NOVANSYAH 40 M JASMINE Jasa Baca Foto Konvensional
624-0001 09
REG/IP/200 2498 (BATAL)SUDARMANTO BIN
### DS200626-0119 45 M AMARYLLIS CAG - Dokter Operator
REG/EM/20 2498
### DS200626-0125 YOSEF SUPRIADI 25 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0626-0012 83
REG/EM/20 1114
### DS200626-0126 ROMLAH.HJ BINTI SAIT.H 85 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0011 08
REG/OP/20 1578
### DS200626-0134 HJ. WAWAN SURYANI 51 F POLI PARU Thorax AP/PA
0626-0078 95
REG/EM/20 2498
### DS200626-0136 RIYAN BIN JISAN 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0016 85
REG/EM/20 1922
### DS200626-0137 OMAH SUHENI 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0017 29
REG/EM/20 1922
### DS200626-0138 OMAH SUHENI 20 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0626-0017 29
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2498
### DS200626-0140 BAGUS MAULANA 10 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0014 84
REG/EM/20 1899
### DS200626-0144 IMAM MAHDI 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0019 49
REG/EM/20 2498
### DS200626-0147 ROMIN BIN BUKARI 55 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0626-0021 87
REG/EM/20 1236 ABDUL RAJIB NURHAYYI
0626-0020 08 SOFYAN
REG/EM/20 1639
### DS200626-0150 SAPNAH BINTI KENENG 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0018 85
REG/EM/20 2336
### DS200626-0153 SITI ROCHMAH 33 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0626-0024 76
REG/EM/20 2498
### DS200627-0013 ADELIYA MUTIARA SAID 8 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0001 89
REG/EM/20 2470
0627-0003 67
REG/EM/20 2498
### DS200627-0020 HJ. OCIH BINTI H. OMAD 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0004 91
REG/EM/20 1955 EARLYTA ARSYFA
0627-0005 50 SALSABILA
REG/IP/200 2495
### DS200627-0025 SUDIN SAEPUDIN 51 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
614-0025 64
REG/EM/20 1955 EARLYTA ARSYFA
### DS200627-0026 7 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0627-0005 50 SALSABILA
REG/EM/20 2336 (BATAL)HIDAYATULOH
0627-0006 61 BIN ACEP
REG/EM/20 2498
### DS200627-0038 ARYA DWI PANGGA 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0008 97
REG/EM/20 2498
### DS200627-0040 MARJUKI BIN SAMIN 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0007 96
REG/EM/20 2499 SYUKRI BIN HINDI
### DS200627-0045 47 M INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0627-0010 00 MAKKARAENG
REG/OP/20 2498
### DS200627-0050 IIS YULYANTIE 40 F POLI BEDAH MULUT Panoramik
0627-0037 93
REG/EM/20 1737 RAHYUDI BIN ABDUL
0627-0011 37 HARIS
REG/OP/20
### JO200627-00012 PRIYO SATRIO WIBOWO 18 M POLI MCU Thorax AP/PA
0627-0095
REG/OP/20 1654
### JO200627-00010 IDHAM CHOLID 25 M POLI MCU Thorax AP/PA
0627-0092 45
REG/OP/20 0996
### JO200627-00008 AGUS PARYADI.TN 30 M POLI MCU Thorax AP/PA
0627-0091 50
REG/OP/20 2496
### DS200627-0061 ENJUH BIN RAINAN 67 M POLI PENYAKIT DALAM Thorax AP/PA
0627-0044 36
REG/IP/200 1922
### DS200627-0062 OMAH SUHENI 20 F CHRYSANT USG Abdomen
626-0013 29
REG/OP/20 0462
### DS200627-0064 DHONA FITRIANA 14 F POLI UMUM USG Abdomen
0627-0130 56
REG/EM/20 1257
### DS200627-0065 VELI YANTI NURMALA.AN 9 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0009 31
REG/OP/20 2497
### DS200627-0066 INTAN EKKI SHAFIRRA 25 F POLI BEDAH ORTHOPEDI Ankle joint Dex/Sin
0627-0105 22
REG/OP/20 2499 SITI KUNAINAH KHUSNUL
### DS200627-0069 22 F POLI UMUM Thorax AP/PA
0627-0132 06 KHOTIMAH
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REG/OP/20 2499
### DS200627-0074 ENZUN RIVA'I 18 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0627-0122 05
REG/EM/20 1737 RAHYUDI BIN ABDUL
0627-0011 37 HARIS
REG/IP/200 2336
### DS200627-0077 HIDAYATULOH BIN ACEP 46 M ICU Thorax AP/PA
627-0008 61
REG/OP/20 1463
### DS200627-0079 ASIH BINTI SAMIT 56 F POLI BEDAH UROLOGI Thorax AP/PA
0627-0125 74
REG/IP/200 0462
### DS200627-0084 DHONA FITRIANA 14 F AMARYLLIS Thorax AP/PA
627-0015 56
REG/EM/20 2498
### DS200627-0092 (BATAL)FERRY YANTO 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0012 99
REG/EM/20 1855
### DS200627-0093 SYAHRUL MUID 29 M INSTALASI GAWAT DARURAT (IGD) Cruris Dex/Sin
0627-0013 65
REG/EM/20 2499
### DS200627-0094 LISBETH SITORUS 47 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0627-0015 11
REG/EM/20 2234
### DS200627-0101 INI BINTI TIMIN 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0016 34
REG/EM/20 2499
### DS200627-0107 NASYWA FANELLA DANIAR 6 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0627-0020 14
REG/EM/20 0574
### DS200627-0109 BONDI YUDI 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0021 07
REG/IP/200 1114
### DS200627-0112 ROMLAH.HJ BINTI SAIT.H 85 F CHRYSANT CT Scan Kepala Non kontras
626-0008 08
REG/EM/20 1278
### DS200627-0115 FADHIL SYAFIQ RIYADI 9 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0019 87
REG/EM/20 2499
### DS200627-0117 NASYWA FANELLA DANIAR 6 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0627-0020 14
REG/EM/20 0101
### DS200628-0015 PURWATI BINTI SUKIRAN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0628-0001 22
REG/EM/20 1493 ERNAWATI BINTI
0628-0002 95 KOSWARA
REG/EM/20 2499 TRIADI BIN APAT
### DS200628-0018 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0628-0003 17 SUPRAPAT
REG/EM/20 1874
### DS200628-0020 ISEM BINTI SANIN. NY 80 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0628-0004 48
REG/EM/20 2499 MASNI BINTI ABDUL
0628-0010 20 SALAM
REG/EM/20 2394
### DS200628-0035 NYAI BINTI SIKAM 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0628-0011 12
REG/EM/20 1227 SAMI'AN BIN
0628-0013 83 MANDIKRAMA
REG/EM/20 1995 MUHAMMAD ARSAKHA
0628-0016 90 REZKY SUHENDRA
REG/EM/20 2499 MUHAMMAD AFNAN AL-
0628-0017 21 WAHYI
REG/EM/20 2499
### DS200629-0017 ERMI WIDAHYUNI 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0001 24
REG/EM/20 1736
### DS200629-0020 SITI MARYAM 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0002 57
REG/EM/20 2491
0629-0003 31
REG/OP/20
### DS200629-0048 FIRDHA RIZKI SABRINA 24 F RADIOLOGI Panoramik
0629-0107
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REG/OP/20 2504 TIARA PRILIYANDA
### DS200629-0049 28 F RADIOLOGI Panoramik
0629-0105 40 FITRIANI
### DS200629-0057 LINCE VARIYAN. NY 50 F POLI BEDAH UROLOGI
REG/EM/20 2499
### DS200629-0060 SAHRIL BAHARI 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0007 28
REG/OP/20 2499
### DS200629-0062 IMAM PRAYOGA 25 M POLI BEDAH MULUT Panoramik
0629-0097 27
REG/EM/20 1550
### DS200629-0067 ETI RUKMAWATI 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0005 35
### DS200629-0073 NAUSAN BIN MEIN 56 M POLI BEDAH UROLOGI
### DS200629-0075 SITI SAODAH 24 F INSTALASI GAWAT DARURAT (IGD)
0629-0008 30 window
REG/IP/200 1639
### DS200629-0078 SAPNAH BINTI KENENG 59 F CHRYSANT USG Abdomen
626-0017 85
REG/EM/20 0093
### DS200629-0080 ACIN SURYANA 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0006 44
REG/OP/20 1187
### DS200629-0081 EHA MUFARIHA.NY 34 F RADIOLOGI Panoramik
0629-0193 87
REG/EM/20 2499
### DS200629-0084 SAHRIL BAHARI 33 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0629-0007 28
REG/OP/20 2497 (BATAL)TITIN BINTI
### DS200629-0086 40 F ANESTESI Thorax AP/PA
0629-0213 58 BOING
REG/OP/20 2497
### DS200629-0089 TITIN BINTI BOING 40 F POLI BEDAH UROLOGI Thorax AP/PA
0629-0054 58
### DS200629-0090 KAMIS BIN MAHIR 45 M POLI BEDAH UROLOGI
REG/EM/20 2499
### DS200629-0091 RINTO PARDIANSYAH 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0013 42
REG/IP/200 0968
### DS200629-0096 SITI NAWITA 52 F CHRYSANT USG Abdomen
629-0009 64
REG/IP/200 0968
### DS200629-0097 SITI NAWITA 52 F CHRYSANT Thorax AP/PA
629-0009 64
REG/EM/20 2499
### DS200629-0098 MASIH BINTI MASAN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0014 44
REG/OP/20 1299 NURKAPI BIN
0629-0029 99 H.MUSTA'AL.H
REG/EM/20 2499
### DS200629-0101 RINTO PARDIANSYAH 28 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0629-0013 42
REG/IP/200 2498
### DS200629-0102 HJ. OCIH BINTI H. OMAD 50 F CHRYSANT USG Abdomen
627-0005 91
REG/EM/20 2499
### DS200629-0104 ISUN BIN MAYAR 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0015 45
### DS200629-0106 TARIM BIN JARIS 32 M POLI BEDAH UROLOGI
REG/IP/200 1974 ROSTIYANA BINTI
629-0011 79 NASRUDIN
REG/OP/20 1709
### DS200629-0111 MALA SARI. NY 32 F POLI JANTUNG Thorax AP/PA
0629-0225 08
REG/OP/20 2482
### DS200629-0117 TARMAH BINTI RAHIM 30 F POLI THT Mastoid
0629-0185 70
REG/OP/20
### JO200629-00020 RINA TRIYANA 17 F POLI MCU Thorax AP/PA
0629-0254
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REG/OP/20 2480
### DS200629-0118 NADYA EKA PUTRI 16 F POLI THT CT Scan Sinus Paranasal dengan kontras
0629-0122 47
REG/OP/20 2498
### DS200629-0122 NABHANI BIN DULMUKTI 44 M POLI JANTUNG Thorax AP/PA
0629-0186 64
REG/IP/200 2444
### DS200629-0127 TOTO MUHARI B RASDI 40 M CHRYSANT Thorax AP/PA
629-0014 13
REG/IP/200 1187
### DS200629-0132 AKHMAD SARIFUDIN.SPD 49 M JASMINE Thorax AP/PA
624-0015 29
REG/IP/200 2499
### DS200629-0134 NASYWA FANELLA DANIAR 6 F AMARYLLIS USG Abdomen
627-0026 14
REG/OP/20
### DS200629-0135 ERNIWATI 35 F RADIOLOGI CT Scan Kepala Non kontras
0629-0260
REG/EM/20 2499
### DS200629-0137 MONICA KIKI MAWARTI 20 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0629-0017 48
REG/EM/20 2499
### DS200629-0139 JININ S. BIN JARIM 49 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0018 49
REG/IP/200 2165
### DS200629-0140 UJANG BIN DAMAH 61 M JASMINE USG Abdomen
626-0007 10
### DS200629-0144 IRVAN HANAFI 46 M POLI BEDAH UROLOGI
REG/EM/20 2499
### DS200629-0148 SUPRIJANTO BIN SAPAR 25 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0629-0025 51
### DS200629-0149 SUPRIJANTO BIN SAPAR 25 M INSTALASI GAWAT DARURAT (IGD)
0629-0025 51 window
### DS200629-0151 MUHAMMAD BUSTOMI 6 M INSTALASI GAWAT DARURAT (IGD)
0629-0026 52 window
REG/EM/20 2499
### DS200629-0152 MUHAMMAD BUSTOMI 6 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0629-0026 52
REG/EM/20 2499
### DS200629-0153 MUHAMMAD BUSTOMI 6 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0026 52
REG/EM/20 2499
### DS200629-0158 RAHMAN JAHRIAT ASSAF 3 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0029 55
REG/IP/200 2268
### DS200629-0159 LELA MARLINA 47 F ICU Thorax AP/PA
625-0020 64
REG/EM/20 2450
### DS200629-0164 NATIH NAWIYAH 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0030 88
REG/EM/20 2160
### DS200629-0166 ATIKAH BINTI JAMHUR 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0629-0031 13
REG/IP/200 2498 SUKAT BINTI SETRO
### DS200629-0167 78 F CHRYSANT CT Scan Kepala Non kontras
625-0011 58 DIKROMO
REG/OP/20 2486
### DS200630-0027 HENDRI 44 M POLI PARU Thorax AP/PA
0630-0060 77
REG/IP/200 2499
### DS200630-0031 H.WARTA BIN TAIM 71 M AMARYLLIS Thorax AP/PA
630-0001 25
REG/EM/20 2284
### DS200630-0035 MASAN BIN DAIN 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0004 70
REG/EM/20 2284
### DS200630-0036 (BATAL)MASAN BIN DAIN 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0004 70
REG/EM/20 2284
### DS200630-0037 MASAN BIN DAIN 65 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0630-0004 70
REG/OP/20 2023
### JO200630-00004 KHAERUL ANBIYA 26 M POLI MCU Thorax AP/PA
0630-0118 28
REG/OP/20 2499 KUSMANA BIN ENTIS
0630-0096 63 SUTISNA
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REG/OP/20 0958
### JO200630-00006 RINI MARGARETA,NN 32 F POLI MCU Thorax AP/PA
0630-0120 53
REG/OP/20 2499
### DS200630-0048 NANA SUHENDAR 31 M POLI BEDAH MULUT Panoramik
0630-0103 65
REG/OP/20 1375 RADEN TANTI CT Scan Abdomen Superior / Inferior /
0630-0071 39 MURNIWATI. NY Pelvis / Coxae non kontras
### DS200630-0052 RAJIB KHABIBI 32 M POLI BEDAH UROLOGI
### DS200630-0053 LENIH BINTI KENENG. NY 59 F POLI BEDAH UROLOGI
REG/OP/20 1830 IBNU SOLEH AL FARISI.
0630-0177 38 TN
REG/OP/20 1982
### JO200630-00026 ADIT PUJI PEBRIYANTO 25 M POLI MCU Thorax AP/PA
0630-0172 20
REG/OP/20 1228
### JO200630-00024 KAMALUDIN BIN NAIN. TN 25 M POLI MCU Thorax AP/PA
0630-0171 64
REG/OP/20
### JO200630-00020 IWAN 27 M POLI MCU Thorax AP/PA
0630-0164
REG/OP/20
### JO200630-00022 ASEP RUDIANSAH 28 M POLI MCU Thorax AP/PA
0630-0165
REG/OP/20
### JO200630-00018 NASIR AWALUDIN 26 M POLI MCU Thorax AP/PA
0630-0161
REG/OP/20
### JO200630-00016 ADE SOLIHIN 45 M POLI MCU Thorax AP/PA
0630-0158
REG/OP/20
### JO200630-00014 YUDI BAGUS ANDIKA 22 M POLI MCU Thorax AP/PA
0630-0156
REG/OP/20
### JO200630-00012 MUAMAR PAHRUROJI 28 M POLI MCU Thorax AP/PA
0630-0155
REG/OP/20 2499 NGALIMUN BIN WONGSO CT Scan Abdomen Superior / Inferior /
0630-0168 68 REJO Pelvis / Coxae non kontras
REG/IP/200 2499
### DS200630-0055 TITIN FATIMAH 0 M PERINA INFEKSI BABY GRAM
629-0021 58
REG/EM/20 2284
### DS200630-0057 (BATAL)MASAN BIN DAIN 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0004 70
REG/OP/20 2318
### DS200630-0058 SITI ROKAYAH. NY 39 F POLI PENYAKIT DALAM USG Abdomen
0630-0132 51
REG/OP/20 2497
### DS200630-0061 ZANARIA BINTI BASRI 46 F POLI BEDAH UROLOGI Thorax AP/PA
0630-0074 86
REG/EM/20 1815 ASMAT BIN H.
0630-0006 58 HASBULLOH. TN
REG/EM/20 1815 ASMAT BIN H.
0630-0006 58 HASBULLOH. TN
REG/OP/20 2499
### DS200630-0065 WINIH BINTI ASMAD 61 F POLI PENYAKIT DALAM CT Scan Whole Abdomen dengan kontras
0630-0090 62
### DS200630-0066 ITA SINTA LESTARI 30 F POLI BEDAH UROLOGI
REG/EM/20 2022
### DS200630-0073 AMIN BIN SATA . TN 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0008 54
REG/OP/20 2499
### DS200630-0075 SAIH BIN NAMIN 62 M POLI THT Sinus Para Nasal 3 posisi
0630-0262 76
REG/OP/20 2499 INDRAWATI BINTI
### DS200630-0076 49 F POLI THT Sinus Para Nasal 3 posisi
0630-0274 79 BUYUNG KENE
REG/OP/20 2499
### DS200630-0085 YOHANA RUMINDAN 41 F POLI BEDAH ORTHOPEDI Antebrachii Dex/Sin
0630-0284 81
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REG/EM/20 2499
### DS200630-0087 HARIYANTO BIN UJO 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0010 80
REG/IP/200 2499
### DS200630-0089 MASIH BINTI MASAN 51 F CHRYSANT USG Abdomen
629-0013 44
REG/OP/20 2498
### DS200630-0091 KASMIRAH BINTI KASNA 40 F POLI BEDAH VASKULER Thorax AP/PA
0630-0288 03
REG/OP/20
### DS200630-0092 EDI SUNARYA 44 M RADIOLOGI Panoramik
0630-0303
REG/EM/20 2232
### DS200630-0093 RISAH BINTI RISN 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0013 11
REG/EM/20 2499
### DS200630-0098 (BATAL)ROMLI BIN ATIM 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0012 83
REG/EM/20 2177
### DS200630-0100 SABAR SIMANGUNSONG 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0015 15
REG/EM/20 0213
### DS200630-0102 SANDRA ERIANI 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0016 69
REG/EM/20 2499
### DS200630-0104 ENJON BIN GUNI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0017 85
REG/EM/20 2030
### DS200630-0105 QIO ATALLA RAYYAN 4 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0018 27
REG/EM/20 2499
### DS200630-0110 JUNAIDI SETIAWAN 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0019 87
REG/IP/200 2499 SYUKRI BIN HINDI
### DS200630-0112 47 M AMARYLLIS PTCA - Dokter Operator Kls 1
REG/EM/20 2499
### DS200630-0115 DADID SUWARHADI 74 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0630-0020 88
REG/EM/20 2499
### DS200630-0116 DADID SUWARHADI 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0020 88
REG/EM/20 1985 (BATAL)NENENG
0630-0023 71 ANDRIANI. NY
REG/EM/20 2499 (BATAL)HENDRA
### DS200630-0123 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0630-0025 90 SETIAWAN
REG/EM/20 2499
### DS200630-0124 HENDRA SETIAWAN 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0630-0025 90
REG/EM/20 0815
### DS200701-0016 DENI TRISNAYANTO,TN 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0630-0024 22
REG/EM/20 2499
### DS200701-0021 WARTONO BIN NAWAWI 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0003 92
REG/EM/20 2456 SUYANA BIN KARJO
0701-0005 29 SUMARTO
REG/OP/20 1622 SULAIMAN BIN MUHAMAD
0701-0096 29 ALI. TN
REG/EM/20 2496
### DS200701-0079 ETY HERAWATI 53 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0701-0006 68
REG/OP/20
### JO200701-00020 AMELIA 18 F POLI MCU Thorax AP/PA
0701-0112
REG/OP/20
### JO200701-00018 HARTUTI 43 F POLI MCU Thorax AP/PA
0701-0079
REG/OP/20
### JO200701-00016 DENI SOPIAN 23 M POLI MCU Thorax AP/PA
0701-0102
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REG/OP/20 2097
### JO200701-00014 RISKA SASMITA.NN 23 F POLI MCU Thorax AP/PA
0701-0101 74
REG/OP/20
### JO200701-00012 GERI PURWANTO 24 M POLI MCU Thorax AP/PA
0701-0095
REG/OP/20
### JO200701-00010 SUCI WINDASARI 25 F POLI MCU Thorax AP/PA
0701-0082
REG/OP/20
### JO200701-00006 ALDI PERMANA 19 M POLI MCU Thorax AP/PA
0701-0088
REG/OP/20
### JO200701-00008 JULIANA 20 F POLI MCU Thorax AP/PA
0701-0086
REG/IP/200 2499
### DS200701-0080 ROMLI BIN ATIM 62 M CHRYSANT Thorax AP/PA
630-0011 83
### DS200701-0081 DANAH BINTI ITAM 67 F POLI BEDAH UROLOGI
REG/OP/20 2484 SUPRIHATININGSIH BINTI CT Scan Abdomen Superior / Inferior /
0701-0135 47 SALIMIN Pelvis / Coxae non kontras
REG/OP/20
### JO200701-00026 MAULANA HALIMUDIN 17 M POLI MCU Thorax AP/PA
0701-0151
### DS200701-0089 DEDI ISKANDAR 41 M POLI BEDAH UROLOGI
REG/OP/20 2500 (BATAL)NARENKA
0701-0153 05 ARSENIO BURHANI
REG/OP/20 2500 NARENKA ARSENIO
### DS200701-0092 1 M POLI ANAK USG Soft Tissue Doppler
0701-0153 05 BURHANI
REG/OP/20 2500
### DS200701-0093 ABID AQILA RAJENDRA 2 M POLI BEDAH UMUM Thorax AP/PA
0701-0127 00
REG/OP/20 2500
### DS200701-0096 SIFA SITI FATONAH 23 F POLI THT Sinus Para Nasal 3 posisi
0701-0159 06
REG/EM/20 2500
### DS200701-0099 IWAN SETIAWAN 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0007 03
### DS200701-0100 ENTIN BINTI ABUNG 53 F POLI BEDAH UROLOGI
REG/OP/20 2500
### DS200701-0110 AMIH BINTI REIN 62 F POLI PENYAKIT DALAM Thorax AP/PA
0701-0186 10
REG/IP/200 2426
### DS200701-0118 ECIH BINTI RUSNITA 47 F CHRYSANT Thorax AP/PA
701-0008 94
REG/IP/200 2499
### DS200701-0124 H.WARTA BIN TAIM 71 M AMARYLLIS PTCA - Kamar Tindakan
630-0001 25
REG/IP/200 2499
### DS200701-0124 H.WARTA BIN TAIM 71 M AMARYLLIS PTCA - Dokter Operator Kls 1
630-0001 25
REG/IP/200 2499
### DS200701-0124 H.WARTA BIN TAIM 71 M AMARYLLIS PTCA - Asisten Operator
630-0001 25
REG/IP/200 2499
### DS200701-0126 MOHAMAD SOFYAN YUSUP 59 M CHRYSANT PTCA - Kamar Tindakan
629-0015 50
REG/IP/200 2499
### DS200701-0126 MOHAMAD SOFYAN YUSUP 59 M CHRYSANT PTCA - Dokter Operator Kls 3
629-0015 50
REG/IP/200 2499
### DS200701-0126 MOHAMAD SOFYAN YUSUP 59 M CHRYSANT PTCA - Asisten Operator
629-0015 50
REG/IP/200 1737 RAHYUDI BIN ABDUL
627-0014 37 HARIS
REG/IP/200 2444
### DS200701-0132 TOTO MUHARI B RASDI 40 M CHRYSANT PTCA - Kamar Tindakan
629-0014 13
REG/IP/200 2444
### DS200701-0132 TOTO MUHARI B RASDI 40 M CHRYSANT PTCA - Dokter Operator Kls 3
629-0014 13
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REG/IP/200 2444
### DS200701-0132 TOTO MUHARI B RASDI 40 M CHRYSANT PTCA - Asisten Operator
629-0014 13
REG/EM/20 2500
### DS200701-0135 YANI BINTI JIIN 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0010 13
REG/EM/20 1519 RODIAH BINTI H. ANIN.
0701-0011 70 HJ
REG/EM/20 1705
0701-0009 29
REG/OP/20
### DS200701-0145 SINDI DWI 23 F RADIOLOGI Panoramik
0701-0222
REG/IP/200 2499
### DS200701-0148 JUNAIDI SETIAWAN 35 M JASMINE CT Scan Thorax dengan kontras
630-0016 87
REG/EM/20 2500
### DS200701-0151 SHAZFA HURIYAH 4 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0017 15
REG/EM/20 2500
### DS200701-0154 ENDAN BIN HENGKI 24 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0018 16
REG/EM/20 2500
### DS200701-0156 ABIZAR RAFIF RAFFASYA 3 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0701-0020 17
REG/IP/200 2497
### DS200702-0023 SITI NURJANAH 59 F AMARYLLIS Thorax AP/PA
702-0001 65
REG/IP/200 2499
### DS200702-0024 SITI FATONAH 42 F AMARYLLIS Thorax AP/PA
702-0002 29
REG/IP/200 1468
### DS200702-0031 TINAH BINTI ATIM 60 F CHRYSANT Thorax AP/PA
702-0003 90
REG/OP/20 1592
### DS200702-0032 SAPNAH BINTI SAPIN 29 F POLI PARU Thorax AP/PA
0702-0061 50
REG/IP/200 2499
### DS200702-0034 ROMLI BIN ATIM 62 M CHRYSANT USG Abdomen
630-0011 83
REG/OP/20 2401
### DS200702-0039 ASEP IRAWAN 45 M POLI PARU Thorax AP/PA
0702-0026 34
### DS200702-0040 YUSUP SUPRATMAN 77 M POLI BEDAH UROLOGI
REG/IP/200 2484
### DS200702-0045 NADI BIN PUDJOWIJONO 58 M AMARYLLIS Thorax AP/PA
702-0005 35
REG/OP/20 1870 (BATAL)SAMSUDIN BIN
### DS200702-0048 50 M POLI PENYAKIT DALAM USG Abdomen
0702-0071 74 SIHABUDIN. TN
REG/OP/20 2509
### DS200702-0087 IIM IBRAHIM HOLIL 53 M RADIOLOGI CT Scan Kepala Non kontras
0702-0163 44
REG/EM/20 2500 CARLEN QOTRUNNADA
0702-0005 28 PRASETYO
REG/EM/20 2500 CARLEN QOTRUNNADA
0702-0005 28 PRASETYO
REG/OP/20 2088 IGNATIUS WITONO
### DS200702-0094 74 M POLI SYARAF CT Scan Kepala Non kontras
0702-0100 73 MUDJARIE. TN
REG/IP/200 2268
### DS200702-0095 DAMHURI BIN KASMIN .TN 53 M CHRYSANT PTCA - Kamar Tindakan
701-0006 42
REG/IP/200 2268
### DS200702-0095 DAMHURI BIN KASMIN .TN 53 M CHRYSANT PTCA - Dokter Operator Kls 2
701-0006 42
REG/IP/200 2268
### DS200702-0095 DAMHURI BIN KASMIN .TN 53 M CHRYSANT PTCA - Asisten Operator
701-0006 42
REG/OP/20
### DS200702-0096 ERI PUJI LESTARI 23 F RADIOLOGI H.S.G
0702-0191
### DS200702-0097 SUMI RAHMAWATI 49 F POLI BEDAH UROLOGI
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2500
### DS200702-0099 NURYATI BINTI EMDIH 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0006 30
REG/OP/20 USG Deep Vein Trombus Dex / Sin
### DS200702-0101 (BATAL)FITRIA 29 F RADIOLOGI
0702-0209 Doppler
REG/OP/20 2499
### DS200702-0104 PONIMIN BIN MADARSO 67 M POLI BEDAH UROLOGI USG Abdomen
0702-0137 36
REG/OP/20
### DS200702-0107 FITRIA 29 F RADIOLOGI USG Soft Tissue Doppler
0702-0209
### DS200702-0108 AMANAH BINTI KARPIN 61 F POLI BEDAH UROLOGI
REG/EM/20 0844
### DS200702-0111 NURJANAH 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0002 20
REG/EM/20 1533
### DS200702-0114 ABAS RF 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0007 16
REG/OP/20 2500
### DS200702-0116 MUHAMMAD IRWANSYAH 6 M POLI ANAK Thorax AP/PA
0702-0208 32
REG/OP/20 2500
### DS200702-0124 NASIH BINTI NAIM 71 F POLI PARU CT Scan Thorax dengan kontras
0702-0097 20
REG/OP/20 1881
### DS200702-0125 SANYA BIN NANDI 57 M POLI BEDAH ORTHOPEDI Pedis Dex & Sin
0702-0072 36
REG/OP/20 2500
### DS200702-0126 LILY PADLI 62 M POLI SYARAF CT Scan Kepala Non kontras
0702-0146 25
REG/OP/20 1198 FATCHOEROCHMAN, DR,
0702-0207 98 SP.RAD.TN
REG/OP/20 1994
### JO200702-00005 BINTANG MUTIA CHANZA 24 F POLI MCU Thorax AP/PA
0702-0068 89
REG/OP/20 1276
### JO200702-00003 HERMAWAN SETIA P 29 M POLI MCU Thorax AP/PA
0702-0065 06
REG/EM/20 2268 SUGANDA BIN RACHMAD.
0702-0008 69 TN
REG/IP/200 2177
### DS200702-0131 SABAR SIMANGUNSONG 39 M AMARYLLIS BNO/Abdomen
630-0009 15
REG/EM/20 2500
### DS200702-0132 IIS KUSMIATI 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0009 34
REG/OP/20 0962
### DS200702-0157 YULI INDAH SOLEHA.NY 37 F POLI PENYAKIT DALAM Thorax AP/PA
0702-0271 78
REG/IP/200 2500
### DS200702-0162 WIWAN UJI HARYADI 45 M AMARYLLIS Thorax AP/PA
702-0010 23
REG/EM/20 2180
### DS200702-0165 YAYAT BINTI JEDING 60 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0012 60
REG/IP/200 2500
### DS200702-0173 ENDAN BIN HENGKI 24 M CHRYSANT USG Abdomen
701-0014 16
REG/IP/200 2500
### DS200702-0174 YANI BINTI JIIN 36 F CHRYSANT USG Abdomen
701-0010 13
REG/IP/200 2500
### DS200702-0176 IIS KUSMIATI 39 F CHRYSANT USG Abdomen
702-0011 34
REG/OP/20 2496
### DS200702-0178 WATI BINTI NGADENAN 47 F POLI BEDAH VASKULER Thorax AP/PA
0702-0073 60
REG/OP/20
### DS200702-0179 Y. SUPARMAN 80 M RADIOLOGI CT Scan Kepala Non kontras
0702-0329
REG/EM/20 2500 NURWAHYUNI BINTI
0702-0014 38 MA'MUR
REG/EM/20 1216
### DS200702-0184 IDA BINTI MISNA.NY 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0015 32
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REG/IP/200 1533
### DS200702-0185 ABAS RF 74 M CHRYSANT CT Scan Kepala Non kontras
702-0009 16
REG/IP/200 2257
### DS200702-0187 EMIN RASIMIN. TN 57 M CHRYSANT Thorax AP/PA
702-0018 96
REG/EM/20 2500
### DS200702-0191 SHIREEN AZKADINA 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0017 39
REG/EM/20 2500
### DS200702-0193 KARSAH BINTI ANIN 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0702-0018 40
REG/EM/20 0835 MARLINTON
0703-0002 43 LUMBANTORUAN
REG/EM/20 2500 (BATAL)HASANUDIN BIN
0703-0003 42 MAS'UD
REG/EM/20 2406
### DS200703-0029 NASIH 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0006 24
REG/EM/20 0312 GEVIN GUMBOK SAHALA
0703-0004 80 SINURAT
REG/EM/20 2500
### DS200703-0031 MUHAMAD AKHDAN 8 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0005 43
REG/IP/200 2440
### DS200703-0041 ZANA SAMOSIR 23 M AMARYLLIS Thorax AP/PA
703-0007 59
REG/EM/20 2500
### DS200703-0071 ADAM FIRDAUS 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0008 48
REG/OP/20 1293
### DS200703-0072 ENAH BINTI SAMAD 48 F POLI PENYAKIT DALAM Art Genu Dex/Sin
0703-0067 69
REG/OP/20
### JO200701-00029 NANA SURYANA 54 M POLI MCU Thorax AP/PA
0701-0201
REG/IP/200 2500
### DS200703-0074 SHAZFA HURIYAH 4 F CARNATION JASA BACA CT SCAN
701-0012 15
REG/OP/20 2167 JHON HADEARON
0703-0072 86 SARAGIH
REG/OP/20 0834
### JO200703-00002 SLAMET RIYADI,TN 70 M POLI MCU Thorax AP/PA
0703-0068 20
REG/OP/20
### JO200703-00008 YULIANTO 34 M POLI MCU Thorax AP/PA
0703-0075
REG/OP/20 GALLANG RESTU PATIH
0703-0085 JUHRO
REG/OP/20
### JO200703-00006 RINA KEMALA 44 F POLI MCU Thorax AP/PA
0703-0073
REG/OP/20 2500
### DS200703-0078 MONA MONICA 24 F POLI BEDAH MULUT Panoramik
0703-0062 45
REG/OP/20 2500
### DS200703-0081 SALMIE BINTI ABAS 46 F POLI BEDAH MULUT Panoramik
0703-0082 47
REG/EM/20 2454 (BATAL)SUPRIATIN BINTI
0703-0009 74 ABDUL RAHMAN
REG/IP/200 1216
### DS200703-0093 IDA BINTI MISNA.NY 50 F CHRYSANT USG Abdomen
702-0020 32
REG/OP/20 2499 KUSMANA BIN ENTIS
### DS200703-0094 34 M POLI BEDAH MULUT Thorax AP/PA
0703-0056 63 SUTISNA
REG/OP/20 2500
### DS200703-0096 MOZA NURPRATIWI 6 F POLI BEDAH MULUT Panoramik
0703-0120 50
REG/OP/20 2500
### DS200703-0097 RIFQI SYAILENDRA TAMA 17 M POLI BEDAH MULUT Panoramik
0703-0141 52
REG/OP/20 2463 (BATAL)RISMA CT Scan Abdomen Superior / Inferior /
0703-0131 25 PERMATASARI Pelvis / Coxae non kontras
8/25/2020 12:07:35 PM Page : 1/1

### DS200703-0103 SARNAH BINTI SARKIM 52 F POLI BEDAH UROLOGI
REG/OP/20 2495 (BATAL)WARDAH BINTI CT Scan Abdomen Superior / Inferior /
0703-0154 32 HASAN Pelvis / Coxae dgn kontras
REG/OP/20 0702
### DS200703-0107 DEDEH BINTI H. ASNAWI 51 F POLI SYARAF Art Genu Dex & Sin
0703-0123 13
REG/EM/20 1876
### DS200703-0109 SUMIATI BINTI JUMADI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0014 81
REG/IP/200 1468
### DS200703-0112 (BATAL)TINAH BINTI ATIM 60 F CHRYSANT PTCA - Kamar Tindakan
702-0003 90
REG/IP/200 1468
### DS200703-0112 (BATAL)TINAH BINTI ATIM 60 F CHRYSANT PTCA - Dokter Operator Kls 3
702-0003 90
REG/IP/200 1468
### DS200703-0112 (BATAL)TINAH BINTI ATIM 60 F CHRYSANT PTCA - Asisten Operator
702-0003 90
REG/OP/20
### DS200703-0113 (BATAL)ANI ARIYAWATI 31 F RADIOLOGI CT Scan Whole Abdomen non kontras
0703-0192
REG/OP/20 CT Scan Abdomen Superior / Inferior /
### DS200703-0114 (BATAL)ANI ARIYAWATI 31 F RADIOLOGI
0703-0192 Pelvis / Coxae non kontras
REG/OP/20
### DS200703-0115 ANI ARIYAWATI 31 F RADIOLOGI USG Abdomen
0703-0192
REG/EM/20 2454 SUPRIATIN BINTI ABDUL
0703-0009 74 RAHMAN
REG/OP/20 1415
### DS200703-0117 YUSUF HIDAYAH 27 M POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0703-0091 78
REG/OP/20 1281
### DS200703-0118 HARUN MUSTABA.TN 56 M POLI JANTUNG Thorax AP/PA
0703-0142 06
REG/OP/20 2181 MOH. ROYENANDA
0703-0110 18 MULLOH. M. P. TN
REG/IP/200 1468
### DS200703-0120 TINAH BINTI ATIM 60 F CHRYSANT CAG - Kamar Tindakan
702-0003 90
REG/IP/200 1468
### DS200703-0120 TINAH BINTI ATIM 60 F CHRYSANT CAG - Dokter Operator
702-0003 90
REG/IP/200 1468
### DS200703-0120 TINAH BINTI ATIM 60 F CHRYSANT CAG - Asisten Operator
702-0003 90
REG/IP/200 2499
### DS200703-0135 SITI FATONAH 42 F AMARYLLIS PTCA - Dokter Operator Kls 2
702-0002 29
REG/IP/200 2499
### DS200703-0135 SITI FATONAH 42 F AMARYLLIS PTCA - Kamar Tindakan
702-0002 29
REG/IP/200 2499
### DS200703-0135 SITI FATONAH 42 F AMARYLLIS PTCA - Asisten Operator
702-0002 29
REG/EM/20 2500
### DS200703-0144 SUYAN BIN KENCANG 75 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0016 65
REG/EM/20 2500
### DS200703-0145 SUYAN BIN KENCANG 75 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0703-0016 65
REG/IP/200 2426
### DS200703-0148 ECIH BINTI RUSNITA 47 F CHRYSANT PTCA - Kamar Tindakan
701-0008 94
REG/IP/200 2426
### DS200703-0148 ECIH BINTI RUSNITA 47 F CHRYSANT PTCA - Dokter Operator Kls 3
701-0008 94
REG/IP/200 2426
### DS200703-0148 ECIH BINTI RUSNITA 47 F CHRYSANT PTCA - Asisten Operator
701-0008 94
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2494
### DS200703-0157 R KARTOBI 74 M POLI BEDAH UROLOGI Thorax AP/PA
0703-0205 71
REG/OP/20 2500
### DS200703-0158 NAMAH BINTI BAHRUM 49 F POLI BEDAH UMUM USG Thyroid Doppler
0703-0219 66
REG/IP/200 2497
### DS200703-0159 SITI NURJANAH 59 F AMARYLLIS PTCA - Kamar Tindakan
702-0001 65
REG/IP/200 2497
### DS200703-0159 SITI NURJANAH 59 F AMARYLLIS PTCA - Dokter Operator Kls 2
702-0001 65
REG/IP/200 2497
### DS200703-0159 SITI NURJANAH 59 F AMARYLLIS PTCA - Asisten Operator
702-0001 65
REG/IP/200 0835 MARLINTON
### DS200703-0162 46 M CHRYSANT USG Abdomen
703-0003 43 LUMBANTORUAN
REG/EM/20 2500
### DS200703-0165 TUMINAH BINTI DASUKI 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0017 71
REG/EM/20 2500
### DS200703-0173 NUR ASIAH 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0021 74
REG/IP/200 2022
### DS200703-0178 AMIN BIN SATA . TN 50 M JASMINE Thorax AP/PA
630-0004 54
REG/EM/20 2500
### DS200703-0181 FITRIA N 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0018 72
### DS200703-0184 AYU ALPI LESTARI 27 F INSTALASI GAWAT DARURAT (IGD)
0703-0026 77 window
REG/EM/20 2500
### DS200703-0186 SADEM BINTI DARYA 61 F INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0703-0025 75
REG/EM/20 2500
### DS200703-0187 SADEM BINTI DARYA 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0025 75
REG/EM/20 2500
### DS200703-0188 SITI ROMLAH 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0019 73
REG/IP/200 2160
### DS200703-0192 ATIKAH BINTI JAMHUR 44 F CHRYSANT Thorax AP/PA
629-0022 13
REG/EM/20 2500
### DS200703-0193 MAHRUP BIN BASRI 54 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0703-0028 78
REG/IP/200 2191
### DS200703-0195 ERSIH BINTI SUKRI.NY 42 F CHRYSANT Thorax AP/PA
703-0018 67
REG/EM/20 2500
### DS200703-0196 MAHRUP BIN BASRI 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0028 78
REG/EM/20 2430
### DS200703-0201 AYU 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0032 77
REG/EM/20 2183
### DS200703-0203 TARSIH BINTI ASPURA 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0035 43
REG/EM/20 2500 FEBRI DUANA
### DS200703-0205 20 F INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0703-0036 83 SIMANULLANG
### DS200703-0206 20 F INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
### DS200703-0207 20 F INSTALASI GAWAT DARURAT (IGD) Cruris Dex/Sin
### DS200703-0208 20 F INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
REG/EM/20 2500 FEBRI DUANA CT Scan Kepala Non kontras,bone
0703-0036 83 SIMANULLANG window
REG/EM/20 2500
### DS200703-0212 IRAH SUKIRAH 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0703-0039 85
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### DS200704-0018 20 F INSTALASI GAWAT DARURAT (IGD) Humerus Dex/Sin
### DS200704-0025 20 F INSTALASI GAWAT DARURAT (IGD) CV. Cervical 2 posisi
REG/IP/200 2131
### DS200704-0035 SOPANDI BIN DAMIN. TN 50 M AMARYLLIS Thorax AP/PA
704-0004 98
REG/EM/20 2500
### DS200704-0039 SURYADI TANJUNG 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0704-0004 89
REG/EM/20 2500
### DS200704-0042 EFRAIM FEBRIAN ADOLF 7 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0704-0005 91
REG/OP/20 1743 ABUN NAJIB
0704-0075 86 SAHRUROJI.TN
REG/OP/20
### DS200704-0046 MUHAMMAD YUSUF 27 M RADIOLOGI USG Abdomen
0704-0086
REG/OP/20
### DS200704-0048 (BATAL)DEPI APRIYANI 33 F RADIOLOGI CT Scan Kepala Non kontras
0704-0100
REG/OP/20 1731 AGUS DATU SUNANDAR.
0704-0035 85 TN
REG/OP/20 1660
### DS200704-0050 RISKA SHILVIA 29 F POLI BEDAH MULUT Panoramik
0704-0057 70
REG/OP/20 2500
### DS200704-0051 TIARA IMMA SARI 26 F POLI BEDAH MULUT Panoramik
0704-0065 90
### DS200704-0058 DEPI APRIYANI 33 F RADIOLOGI
0704-0100 window
REG/OP/20 2500 (BATAL)ROPIAH BINTI
### DS200704-0065 51 F LABORATORIUM USG Thyroid Doppler
0704-0126 76 TASWAD
REG/OP/20 2500
### DS200704-0066 (BATAL)SITI AYU LESTARI 17 F POLI BEDAH MULUT USG Abdomen
0704-0062 88
REG/IP/200 2430
### DS200704-0069 AYU 23 F CHRYSANT USG Abdomen
703-0025 77
REG/OP/20 2500
### DS200704-0070 SHINDIANA WIJAYA 20 F POLI GIGI DAN MULUT Panoramik
0704-0129 97
REG/EM/20 2501 TITIN FATIMAH BINTI
0704-0008 03 OTA
REG/IP/200 2500
### DS200704-0074 R ADI RAMAPRAWIRA, SE 54 M CHRYSANT PTCA - Kamar Tindakan
703-0021 79
REG/IP/200 2500
### DS200704-0074 R ADI RAMAPRAWIRA, SE 54 M CHRYSANT PTCA - Dokter Operator Kls 2
703-0021 79
REG/IP/200 2500
### DS200704-0074 R ADI RAMAPRAWIRA, SE 54 M CHRYSANT PTCA - Asisten Operator
703-0021 79
REG/OP/20 2503 PAULUS ERWIN
### DS200704-0075 52 M RADIOLOGI USG Thyroid Doppler
0704-0156 54 RUDIANTO
REG/OP/20
### DS200704-0076 HASANAH 60 F RADIOLOGI USG Mammae Doppler
0704-0155
REG/OP/20
### DS200704-0078 (BATAL)HASANAH 60 F RADIOLOGI USG Mammae Doppler
0704-0155
REG/OP/20
### DS200704-0079 KARLINA BINTI UDIN 29 F RADIOLOGI USG Mammae Doppler
0704-0154
703-0014 74 RAHMAN
REG/IP/200 2500
### DS200704-0084 NUR ASIAH 45 F CHRYSANT USG Abdomen
703-0022 74
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2500
### DS200704-0085 (BATAL)FITRIA N 44 F CHRYSANT BNO/Abdomen
703-0017 72
REG/OP/20 2501
### DS200704-0086 ARIF ROCHMAN 34 M POLI UMUM CV. Lumbosacral 2 posisi
0704-0163 06
REG/IP/200 2500
### DS200704-0089 KARSAH BINTI ANIN 42 F CHRYSANT USG Abdomen
703-0002 40
REG/OP/20 2369
### DS200704-0090 TOYIB KANAWIJAYA 42 M POLI BEDAH UROLOGI Thorax AP/PA
0704-0045 43
REG/OP/20 2369
### DS200704-0091 TOYIB KANAWIJAYA 42 M POLI BEDAH UROLOGI USG Abdomen
0704-0045 43
REG/OP/20 2197 EPONG BINTI GAMUNG USG Deep Vein Trombus Dex / Sin
### DS200704-0099 70 F POLI BEDAH VASKULER
0704-0159 95 .NY Doppler
REG/EM/20 2501 TITIN FATIMAH BINTI
0704-0008 03 OTA
REG/EM/20 2501
### DS200704-0105 (BATAL)VIRA JULIYANTI 9 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0704-0013 15
REG/OP/20 2229
### DS200704-0107 SAYUTI BIN ANTA 54 M LABORATORIUM Thorax AP/PA
0704-0188 06
REG/IP/200 2500
### DS200704-0108 FITRIA N 44 F CHRYSANT Abdomen 3 posisi
703-0017 72
REG/EM/20 2485
### DS200704-0119 IDA FARIDA 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0704-0015 12
REG/IP/200 2500
### DS200704-0121 TUMINAH BINTI DASUKI 55 F CHRYSANT Thorax AP/PA
703-0020 71
REG/EM/20 1910
0704-0012 49
REG/EM/20 2336
### DS200704-0124 SUMIATI BINTI M. SATA 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0704-0016 72
REG/IP/200 2501 TITIN FATIMAH BINTI
704-0011 03 OTA
REG/EM/20 1337
### DS200704-0128 (BATAL)ASRAL BIN DAMSI 33 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0704-0017 88
REG/OP/20 2501
### DS200704-0131 ARI JUANTINI 0 F POLI JANTUNG Thorax AP/PA
0704-0152 02
REG/EM/20 2336
### DS200704-0134 SUMIATI BINTI M. SATA 47 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0704-0016 72
REG/EM/20 0597
### DS200704-0144 HJ. MASWATI 68 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0704-0023 74
REG/EM/20 2501
### DS200705-0011 MUHIDIN BIN LIHAN 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0001 23
REG/EM/20 2501
### DS200705-0013 HARYATI BINTI JAKIM 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0004 25
REG/EM/20 2501
### DS200705-0014 RISCA MOESTIKA SEPTI 13 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0003 24
REG/EM/20 2501
### DS200705-0017 SELVIANI BINTI SARMAN 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0005 26
REG/EM/20 2501
### DS200705-0018 SELVIANI BINTI SARMAN 19 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0705-0005 26
REG/IP/200 2441
### DS200705-0022 MARTINI BINTI SUROSO 39 F BANGSAL NEUROLOGI Thorax AP/PA
704-0009 37
REG/EM/20 2501
### DS200705-0025 LUTHFI QURAIS 10 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0705-0007 27
REG/EM/20 2501
### DS200705-0026 LUTHFI QURAIS 10 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0007 27
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REG/EM/20 2501
### DS200705-0030 OPAN SOPANDI 73 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0009 29
REG/EM/20 2501
### DS200705-0031 OPAN SOPANDI 73 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0705-0009 29
REG/EM/20 2501
### DS200705-0032 SIPIN BIN SAPIN 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0010 30
REG/EM/20 2489
### DS200705-0034 TRI SUPARTININGSIH 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0011 80
REG/EM/20 2501
### DS200705-0049 SITI NIMAH 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0024 38
REG/EM/20 2501
### DS200705-0051 (BATAL)SITI NIMAH 40 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0705-0024 38
REG/EM/20 1463
### DS200705-0053 MUHAMAD MARGA 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0023 14
REG/EM/20 2463
### DS200705-0057 NALIM BIN RENAN 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0020 42
REG/EM/20 2501
### DS200705-0058 NAPSIAH BINTI MAANG 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0025 39
REG/EM/20 2501
### DS200705-0059 NAPSIAH BINTI MAANG 59 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0705-0025 39
REG/EM/20 2501
### DS200705-0064 (BATAL)ESIN BIN NU'AM 48 M INSTALASI GAWAT DARURAT (IGD) CV. Thoracolumbal 2 posisi
0705-0026 40
REG/EM/20 2501
### DS200705-0065 ESIN BIN NU'AM 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0026 40
REG/EM/20 2501
### DS200705-0066 ESIN BIN NU'AM 48 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0705-0026 40
REG/EM/20 2501
### DS200705-0068 LUKMAN SABARA 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0027 41
REG/EM/20 2501
### DS200705-0070 HATTA W. KUSUMA 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0028 42
REG/EM/20 2501
### DS200705-0072 JUMADI BIN RUKIMIN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0030 43
REG/EM/20 2061
### DS200705-0075 NAMAN BIN NURDIN 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0029 31
REG/EM/20 1088 DJANIH BINTI H.JANONG .
0705-0033 62 HJ
REG/EM/20 2071
### DS200705-0081 IYAT BINTI MURSIPIN 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0705-0031 70
REG/EM/20 2398
0706-0001 47
REG/EM/20 2275
### DS200706-0040 UDIN BIN SENUH 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0003 09
REG/IP/200 1463
### DS200706-0046 MUHAMAD MARGA 50 M AMARYLLIS USG Abdomen
705-0007 14
REG/IP/200 2427
### DS200706-0057 UMAR SAID 20 M AMARYLLIS Thorax AP/PA
706-0011 52
REG/IP/200 2427
### DS200706-0059 UMAR SAID 20 M AMARYLLIS Manus Dex/Sin
706-0011 52
REG/IP/200 2214
### DS200706-0064 AGUS SUPRATMAN. TN 28 M CHRYSANT Thorax AP/PA
706-0012 47
REG/OP/20
### DS200706-0069 SHERLY KUSNADI 45 F RADIOLOGI Panoramik
0706-0087
REG/OP/20 2501
### DS200706-0072 HERI HERYANTO 41 M POLI PENYAKIT DALAM USG Abdomen
0706-0071 49
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REG/OP/20 1104
### DS200706-0077 RAHMAT BIN MUHASIM 45 M POLI PARU Thorax AP/PA
0706-0116 77
REG/OP/20 2501
### DS200706-0079 DINA YOSEPHIN ENA 28 F POLI UMUM USG Abdomen
0706-0068 48
REG/OP/20 1870 SAMSUDIN BIN
0706-0137 74 SIHABUDIN. TN
REG/OP/20 LAUDEO DHANABA
0706-0147 SIREGAR
### DS200706-0103 YUWONO BIN SUWARDI 51 M POLI BEDAH UROLOGI
REG/OP/20 2501
### DS200706-0106 ASEP SOMANTRI 48 M POLI PENYAKIT DALAM USG Abdomen
0706-0121 54
REG/IP/200 2268 SUGANDA BIN RACHMAD.
702-0012 69 TN
### DS200706-0110 IMRON BIN MUHARAM 43 M POLI BEDAH UROLOGI
REG/OP/20 2501
### DS200706-0111 PATORI BIN SUMADI 55 M POLI PENYAKIT DALAM USG Abdomen
0706-0145 55
REG/IP/200 2268 (BATAL)SUGANDA BIN
702-0012 69 RACHMAD. TN
REG/EM/20 2501
### DS200706-0115 KARSIH BINTI KARNEN.HJ 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0009 61
REG/OP/20 2501
### DS200706-0116 SITI MAY MUNAH 67 F POLI JANTUNG Thorax AP/PA
0706-0033 44
REG/OP/20 2501 JAYA HALOMOAN
### DS200706-0119 20 M POLI GIGI DAN MULUT Panoramik
0706-0180 59 PANGARIBUAN
REG/OP/20
### JO200706-00048 LUTFI AHMAD PRASETYO 24 M POLI MCU Thorax AP/PA
0706-0242
REG/OP/20
### JO200706-00046 SYAHBANA NURUL IMAN 19 M POLI MCU Thorax AP/PA
0706-0236
REG/OP/20 MUCHLIS HERU
0706-0238 DERMAWAN
REG/OP/20
### JO200706-00042 SITI NURAISYAH 22 F POLI MCU Thorax AP/PA
0706-0234
REG/OP/20
### JO200706-00040 ASEP PRIYADI 20 M POLI MCU Thorax AP/PA
0706-0233
REG/OP/20
### JO200706-00036 EKA RIZKY MARDHIYATI 21 F POLI MCU Thorax AP/PA
0706-0230
REG/OP/20
### JO200706-00038 MUHAMAD ABDULLAH 23 M POLI MCU Thorax AP/PA
0706-0232
REG/OP/20
### JO200706-00034 LINDA FAUZZIAH 23 F POLI MCU Thorax AP/PA
0706-0219
REG/OP/20
### JO200706-00030 RIKI ASGAR MARDIANA 21 M POLI MCU Thorax AP/PA
0706-0211
REG/OP/20
### JO200706-00032 NOPRY SARI VIVIANTI 25 F POLI MCU Thorax AP/PA
0706-0213
REG/OP/20
### JO200706-00026 FIRMAN SAPUTRA 20 M POLI MCU Thorax AP/PA
0706-0200
REG/OP/20
### JO200706-00028 SUSILAWATI 24 F POLI MCU Thorax AP/PA
0706-0206
REG/OP/20
### JO200706-00024 YUDHA BAGUS SANTOSO 26 M POLI MCU Thorax AP/PA
0706-0195
REG/OP/20
### JO200706-00022 FIA RAHMANI 20 F POLI MCU Thorax AP/PA
0706-0192
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200706-00018 IHFA DHINI 25 F POLI MCU Thorax AP/PA
0706-0183
REG/OP/20
### JO200706-00020 IMAM 24 M POLI MCU Thorax AP/PA
0706-0188
REG/OP/20
### JO200706-00016 KHOERUDIN 20 M POLI MCU Thorax AP/PA
0706-0179
REG/OP/20
### JO200706-00014 DIKI PAMUNGKAS 23 M POLI MCU Thorax AP/PA
0706-0178
REG/OP/20
### JO200706-00054 ELDA FEBRI IRIANDI 19 M POLI MCU Thorax AP/PA
0706-0254
REG/OP/20
### JO200706-00058 M. IMRON 19 M POLI MCU Thorax AP/PA
0706-0255
REG/IP/200 2499
### DS200706-0128 JUNAIDI SETIAWAN 35 M JASMINE Thorax AP/PA
630-0016 87
REG/IP/200 2500
### DS200706-0129 NURYATI BINTI EMDIH 34 F CHRYSANT Thorax AP/PA
702-0008 30
REG/OP/20
### JO200706-00076 BAYU GONDO SUPRAYOGA 32 M POLI MCU Thorax AP/PA
0706-0277
REG/OP/20
### JO200706-00074 ERWIN HERDIANSYAH 31 M POLI MCU Thorax AP/PA
0706-0276
REG/OP/20
### JO200706-00072 REFALDI 19 M POLI MCU Thorax AP/PA
0706-0252
REG/OP/20
### JO200706-00070 HOLIDIN 20 M POLI MCU Thorax AP/PA
0706-0273
REG/OP/20
### JO200706-00066 ADRIANDARESTA 19 M POLI MCU Thorax AP/PA
0706-0268
REG/OP/20
### JO200706-00064 MUHAMMAD TAUFIK 23 M POLI MCU Thorax AP/PA
0706-0265
REG/OP/20
### JO200706-00062 M.SAHRONI 25 M POLI MCU Thorax AP/PA
0706-0264
REG/OP/20
### JO200706-00060 LELLY ASTRILIA 43 F POLI MCU Thorax AP/PA
0706-0261
REG/OP/20
### JO200706-00056 FATHUL MAULANA 25 M POLI MCU Thorax AP/PA
0706-0256
REG/OP/20
### JO200706-00050 DAVID RULIYANTO 22 M POLI MCU Thorax AP/PA
0706-0245
REG/IP/200 2499 (BATAL)JININ S. BIN
704-0007 49 JARIM
704-0007 49 JARIM
704-0007 49 JARIM
REG/IP/200 2499
### DS200706-0133 JININ S. BIN JARIM 49 M AMARYLLIS PTCA - Kamar Tindakan
704-0007 49
REG/IP/200 2499
### DS200706-0133 JININ S. BIN JARIM 49 M AMARYLLIS PTCA - Dokter Operator Kls 1
704-0007 49
REG/IP/200 2499
### DS200706-0133 JININ S. BIN JARIM 49 M AMARYLLIS PTCA - Asisten Operator
704-0007 49
REG/OP/20 2501
### DS200706-0136 NURHAYATI BINTI H. ISAK 30 F POLI BEDAH UMUM USG Abdomen
0706-0176 58
REG/IP/200 2131
### DS200706-0137 SOPANDI BIN DAMIN. TN 50 M AMARYLLIS PTCA - Kamar Tindakan
704-0004 98
REG/IP/200 2131
### DS200706-0137 SOPANDI BIN DAMIN. TN 50 M AMARYLLIS PTCA - Dokter Operator Kls 1
704-0004 98
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2131
### DS200706-0137 SOPANDI BIN DAMIN. TN 50 M AMARYLLIS PTCA - Asisten Operator
704-0004 98
REG/OP/20 0174
### DS200706-0138 DENOK FEMITRI 42 F POLI THT Sinus Para Nasal 3 posisi
0706-0153 97
REG/OP/20
### JO200706-00082 DESY FATMILLATIN PUTRI 19 F POLI MCU Thorax AP/PA
0706-0290
REG/OP/20 1710
### DS200706-0139 CAHRIA SUGIANA 36 M POLI THT Sinus Para Nasal 3 posisi
0706-0125 44
### DS200706-0144 ANDIK IRAWAN 23 M RADIOLOGI
0706-0280 window
REG/IP/200 2500 (BATAL)SURYADI
704-0005 89 TANJUNG
704-0005 89 TANJUNG
704-0005 89 TANJUNG
REG/IP/200 2463
### DS200706-0148 NALIM BIN RENAN 57 M CHRYSANT USG Abdomen
705-0008 42
REG/OP/20
### JO200706-00080 MUHAMMAD HISYAM 18 M POLI MCU Thorax AP/PA
0706-0288
REG/IP/200 2501
### DS200706-0149 HATTA W. KUSUMA 65 M CHRYSANT USG Abdomen
706-0001 42
REG/OP/20
### DS200706-0150 SRI SULASTRI 27 F RADIOLOGI Sinus Para Nasal 3 posisi
0706-0299
REG/IP/200 2500
### DS200706-0160 SURYADI TANJUNG 46 M AMARYLLIS PTCA - Kamar Tindakan
704-0005 89
REG/IP/200 2500
### DS200706-0160 SURYADI TANJUNG 46 M AMARYLLIS PTCA - Dokter Operator Kls 2
704-0005 89
REG/IP/200 2500
### DS200706-0160 SURYADI TANJUNG 46 M AMARYLLIS PTCA - Asisten Operator
704-0005 89
REG/IP/200 2501
### DS200706-0162 DINA YOSEPHIN ENA 28 F CHRYSANT Thorax AP/PA
706-0020 48
REG/IP/200 0166
### DS200706-0166 EKO HARYANTO 36 M CHRYSANT Thorax AP/PA
706-0021 48
REG/IP/200 2273
### DS200706-0168 ASMIYETI BINTI BURMAN 50 F CHRYSANT USG Abdomen
706-0010 69
REG/IP/200 2273
### DS200706-0170 ASMIYETI BINTI BURMAN 50 F CHRYSANT Thorax AP/PA
706-0010 69
REG/IP/200 2500 FEBRI DUANA
### DS200706-0173 20 F CHRYSANT Manus Dex/Sin
### DS200706-0174 JUANA GUMANTI 50 M POLI BEDAH UROLOGI
### DS200706-0175 20 F CHRYSANT Femur Dex/Sin
### DS200706-0176 20 F CHRYSANT Art Humerus Dex/Sin
### DS200706-0178 AAN NURLITA 25 F POLI BEDAH UROLOGI
REG/IP/200 2501
### DS200706-0180 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Kamar Tindakan
704-0010 12
REG/IP/200 2501
### DS200706-0180 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Dokter Operator Kls 2
704-0010 12
REG/IP/200 2501
### DS200706-0180 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Asisten Operator
704-0010 12
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2275
### DS200706-0182 (BATAL)UDIN BIN SENUH 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0015 09
REG/OP/20 2501
### DS200706-0183 NABIL ALHIDAYAT 12 M POLI PARU Thorax AP/PA
0706-0314 76
REG/EM/20 2501
### DS200706-0186 SATEM BINTI SAKIR 63 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0017 77
REG/IP/200 2501
### DS200706-0187 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Kamar Tindakan
704-0010 12
REG/IP/200 2501
### DS200706-0187 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Dokter Operator Kls 2
704-0010 12
REG/IP/200 2501
### DS200706-0187 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS PTCA - Asisten Operator
704-0010 12
REG/EM/20 2501
### DS200706-0191 NENENG LATIFAH 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0019 79
REG/EM/20 2501
### DS200706-0192 NENENG LATIFAH 47 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0706-0019 79
REG/EM/20 2501
### DS200706-0196 ARMIH BINTI ARMAN 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0022 81
REG/EM/20 2501
### DS200706-0198 MIRAN BIN ONYAN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0021 80
REG/EM/20 1715
### DS200706-0200 ACHMAD SYAH 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0706-0020 30
### DS200707-0018 (BATAL)INGGA OKTAVIANI 19 F INSTALASI GAWAT DARURAT (IGD)
0707-0001 10 window
REG/EM/20 2385
### DS200707-0019 (BATAL)INGGA OKTAVIANI 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0001 10
REG/OP/20 2499 (BATAL)SUDARNO BIN
### DS200707-0030 44 M POLI PARU CT Scan Thorax dengan kontras
0707-0044 61 SUMBER
REG/IP/200 2501
### DS200707-0032 DODO MULYADI 38 M AMARYLLIS Thorax AP/PA
707-0003 51
REG/IP/200 2499
### DS200707-0036 NURHAMAH BINTI RAYUT 56 F CHRYSANT Thorax AP/PA
707-0004 39
REG/EM/20 2501
### DS200707-0038 DYA PITRIATIN 25 F INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0707-0004 82
REG/EM/20 2501
### DS200707-0039 DYA PITRIATIN 25 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0004 82
REG/IP/200 2499
### DS200707-0041 SRI REJEKI ANDRIANI 53 F AMARYLLIS Thorax AP/PA
707-0005 95
REG/IP/200 2336
### DS200707-0048 SUMIATI BINTI M. SATA 47 F AMARYLLIS USG Abdomen
704-0015 72
REG/IP/200 2500
### DS200707-0050 (BATAL)IRAH SUKIRAH 46 F CHRYSANT USG Abdomen
704-0001 85
REG/IP/200 2501
### DS200707-0051 LUKMAN SABARA 45 M CHRYSANT USG Abdomen
705-0011 41
REG/IP/200 2500
### DS200707-0053 IRAH SUKIRAH 46 F CHRYSANT USG Thorax / Paru
704-0001 85
REG/OP/20 1981 MURHAYATI BINTI
0707-0102 35 EMANG. NY
REG/OP/20 2501
### DS200707-0068 ANITA DEWI SINTA 25 F POLI BEDAH MULUT Panoramik
0707-0052 83
REG/OP/20 2501
### DS200707-0070 MUHAMMAD RIYANTO 22 M POLI BEDAH MULUT Panoramik
0707-0094 89
REG/OP/20 2500
### DS200707-0071 DEDI ISKANDAR 42 M POLI PENYAKIT DALAM Thorax AP/PA
0707-0088 04
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200707-00013 YUDI 34 M POLI MCU Thorax AP/PA
0707-0160
REG/OP/20
### JO200707-00011 LOISARIAMA 29 F POLI MCU Thorax AP/PA
0707-0157
REG/OP/20 2501
### DS200707-0079 VIRA JULIYANTI 10 F POLI ANAK USG Abdomen
0707-0150 15
### DS200707-0080 ENDIN BIN MIAN 57 M POLI BEDAH UROLOGI
### DS200707-0081 EKA PUTRI SULISTIA 27 F POLI BEDAH UROLOGI
REG/OP/20 2260
### DS200707-0082 ASSILIA DANTI PRATIWI 26 F POLI SYARAF CV. Lumbosacral 2 posisi
0707-0050 64
REG/OP/20 2497
### DS200707-0083 PANJI BIN KUMAN 65 M POLI BEDAH UROLOGI USG Abdomen
0707-0105 82
### DS200707-0084 LANYIH BINTI LAMAN 62 F INSTALASI GAWAT DARURAT (IGD)
0707-0012 99 window
REG/EM/20 2501
### DS200707-0086 LANYIH BINTI LAMAN 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0012 99
REG/OP/20 2379
### DS200707-0087 ANI BINTI SAIH 30 F POLI BEDAH MULUT Panoramik
0707-0182 69
REG/EM/20 2502
### DS200707-0090 SALBIAH BINTI NAMIN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0013 00
REG/OP/20 2500
### DS200707-0092 SARNAH BINTI SARKIM 52 F POLI BEDAH UROLOGI Thorax AP/PA
0707-0184 57
REG/OP/20 1719
### DS200707-0094 LENIH BINTI KENENG. NY 59 F POLI BEDAH UROLOGI Thorax AP/PA
0707-0101 54
REG/IP/200 2183
### DS200707-0104 TARSIH BINTI ASPURA 53 F CHRYSANT Sinus Para Nasal 3 posisi
703-0027 43
REG/OP/20 2501
### DS200707-0105 ASIKIN BIN MISKAR 65 M POLI JANTUNG Thorax AP/PA
0707-0144 91
REG/EM/20 2502
### DS200707-0115 TAMIH BINTI INTA 65 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0707-0016 04
REG/EM/20 2502
### DS200707-0116 TAMIH BINTI INTA 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0016 04
REG/EM/20 2502
### DS200707-0129 VICKY ALVARO 1 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0017 05
REG/OP/20 2501
### DS200707-0137 PUNGUT BINTI KIMIN 47 F POLI PARU Thorax AP/PA
0707-0194 96
REG/EM/20 2502 (BATAL)SANIH BINTI
0707-0019 09 SARMIN
REG/OP/20 2412
### DS200707-0139 LIANA EKA SARI 47 F POLI PARU Thorax AP/PA
0707-0279 90
REG/EM/20 2485
### DS200707-0140 ASENG ISKANDAR 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0020 06
REG/OP/20 1188
### DS200707-0143 ASTUTI SULISTIAWATI 31 F POLI BEDAH UMUM USG Mammae Doppler
0707-0172 93
REG/IP/200 2501
### DS200707-0146 MIFTAKHUL JANNAH 25 F ICU Thorax AP/PA
706-0017 69
REG/EM/20 2453
### DS200707-0150 SOPIAH BINTI SALEH 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0707-0022 03
REG/EM/20 2129
### DS200707-0152 RIKA SAHARA.NY 38 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0707-0023 89
REG/EM/20 2129
### DS200707-0153 RIKA SAHARA.NY 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0023 89
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 0712
### DS200707-0155 EVA WASILAH 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0024 09
REG/EM/20 2502
### DS200707-0158 MOH SOLEH 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0025 12
REG/EM/20 2502
### DS200707-0161 AMIR ALVARIZY 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0707-0026 13
REG/EM/20 0360
### DS200708-0022 ELVIN FILLANUVA 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0002 31
REG/IP/200 2499
### DS200708-0031 TARIM BIN JARIS 32 M CHRYSANT Thorax AP/PA
708-0002 43
REG/EM/20 1849
### DS200708-0037 ARNIH BINTI ABAS 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0003 55
REG/EM/20 2472
### DS200708-0043 POPON NURAISAH 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0006 85
REG/OP/20 1523
### JO200708-00006 REGI WAFA ALIFAH. AN 17 F POLI MCU Thorax AP/PA
0708-0081 18
REG/OP/20
### JO200708-00004 ZASKIA RAMDAYANI 17 F POLI MCU Thorax AP/PA
0708-0078
REG/EM/20 2502 LISWAIDA BINTI
0708-0007 20 TARMIZHI
REG/EM/20 2502 LISWAIDA BINTI
0708-0007 20 TARMIZHI
REG/OP/20 2502
### DS200708-0056 AHMAD SURYADI 64 M POLI BEDAH UROLOGI USG Abdomen
0708-0038 17
REG/IP/200 2501
### DS200708-0058 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS CAG - Kamar Tindakan
704-0010 12
REG/IP/200 2501
### DS200708-0058 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS CAG - Dokter Operator
704-0010 12
REG/IP/200 2501
### DS200708-0058 (BATAL)MOCH GUNAWAN 44 M AMARYLLIS CAG - Asisten Operator
704-0010 12
REG/OP/20 2495
### DS200708-0059 IRPAN BIN SAMID 49 M POLI BEDAH UROLOGI BNO/Abdomen
0708-0063 83
### DS200708-0060 SUWANDI BIN LEGIMAN 50 M POLI BEDAH UROLOGI
REG/OP/20
### JO200708-00026 PUDJO CAHYO RAMADHAN 20 M POLI MCU Thorax AP/PA
0708-0147
REG/OP/20
### JO200708-00024 IRFAN NURMANSYAH 22 M POLI MCU Thorax AP/PA
0708-0144
REG/OP/20
### JO200708-00022 ANDI MURTONO 29 M POLI MCU Thorax AP/PA
0708-0141
REG/OP/20
### JO200708-00020 ERIKA SUNDARI 19 F POLI MCU Thorax AP/PA
0708-0139
REG/OP/20
### JO200708-00018 PURNA IRAWAN 26 M POLI MCU Thorax AP/PA
0708-0136
REG/OP/20
### JO200708-00016 INDAH FITRIANI 22 F POLI MCU Thorax AP/PA
0708-0134
REG/OP/20
### JO200708-00014 DWI SUTANTO 23 M POLI MCU Thorax AP/PA
0708-0132
REG/OP/20
### JO200708-00012 PUTRI NOVA NURAISAH 18 F POLI MCU Thorax AP/PA
0708-0130
REG/OP/20
### JO200708-00010 SEPTIAN EKO CAHYO 20 M POLI MCU Thorax AP/PA
0708-0127
REG/OP/20 2433
### DS200708-0063 KEVIN RYAN PRATAMA 8 M POLI ANAK USG Abdomen
0708-0153 92
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REG/OP/20 2338
0708-0166 85
REG/OP/20
### JO200708-00034 MIRKAS SAEPUL HUDA 24 M POLI MCU Thorax AP/PA
0708-0149
REG/OP/20
### JO200708-00036 RENI WULAN DARI 26 F POLI MCU Thorax AP/PA
0708-0152
REG/OP/20
### JO200708-00032 ADE ILYAS 19 M POLI MCU Thorax AP/PA
0708-0138
REG/OP/20
### JO200708-00030 KAMILATUN NAZWA 19 F POLI MCU Thorax AP/PA
0708-0135
REG/OP/20
### JO200708-00028 REZA FAUZI AKBAR 19 M POLI MCU Thorax AP/PA
0708-0143
REG/EM/20 2502 LISWAIDA BINTI CT Scan Abdomen Superior / Inferior /
0708-0007 20 TARMIZHI Pelvis / Coxae non kontras
REG/OP/20 2486
### DS200708-0072 YANAH MARYANAH 38 F POLI SYARAF CT Scan Kepala Non kontras
0708-0029 74
REG/IP/200 2501
### DS200708-0074 MOCH GUNAWAN 44 M AMARYLLIS CAG - Kamar Tindakan
704-0010 12
REG/IP/200 2501
### DS200708-0074 MOCH GUNAWAN 44 M AMARYLLIS CAG - Dokter Operator Kls 1
704-0010 12
REG/IP/200 2501
### DS200708-0074 MOCH GUNAWAN 44 M AMARYLLIS CAG - Asisten Operator
704-0010 12
### DS200708-0075 LINAN BIN MANAP 60 M POLI BEDAH UROLOGI
REG/IP/200 2501
### DS200708-0077 MIFTAKHUL JANNAH 25 F ICU Thorax AP/PA
706-0017 69
REG/IP/200 2502
### DS200708-0081 MIFTAKHUL JANNAH 0 F NICU BABY GRAM
708-0006 25
REG/IP/200 2501
### DS200708-0083 DODO MULYADI 38 M AMARYLLIS CAG - Kamar Tindakan
707-0003 51
REG/IP/200 2501
### DS200708-0083 DODO MULYADI 38 M AMARYLLIS CAG - Dokter Operator Kls 1
707-0003 51
REG/IP/200 2501
### DS200708-0083 DODO MULYADI 38 M AMARYLLIS CAG - Asisten Operator
707-0003 51
REG/EM/20 2502
### DS200708-0084 ALDAN RAJENDRA 0 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0004 18
REG/OP/20 2502
### DS200708-0090 CATUR DINDA ASTUTI 14 F POLI PENYAKIT DALAM USG Abdomen
0708-0207 27
REG/IP/200 2499
### DS200708-0091 NURHAMAH BINTI RAYUT 56 F CHRYSANT CAG - Kamar Tindakan
707-0004 39
REG/IP/200 2499
### DS200708-0091 NURHAMAH BINTI RAYUT 56 F CHRYSANT CAG - Dokter Operator
707-0004 39
REG/IP/200 2499
### DS200708-0091 NURHAMAH BINTI RAYUT 56 F CHRYSANT CAG - Asisten Operator
707-0004 39
REG/IP/200 2502
### DS200708-0093 IDRIS ISHAK 69 M CHRYSANT Thorax AP/PA
708-0011 23
REG/OP/20
### DS200708-0098 NUR IFANSYAH 34 M RADIOLOGI CT Scan Kepala Non kontras
0708-0238
REG/EM/20 2502 ERDIYANSAH BIN RAHMAT
0708-0009 34 HAKIM
REG/OP/20
### DS200708-0100 USMIATI 23 F RADIOLOGI USG Mammae Doppler
0708-0241
REG/IP/200 2499
### DS200708-0109 SRI REJEKI ANDRIANI 53 F AMARYLLIS PTCA - Kamar Tindakan
707-0005 95
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REG/IP/200 2499
### DS200708-0109 SRI REJEKI ANDRIANI 53 F AMARYLLIS PTCA - Dokter Operator Kls 1
707-0005 95
REG/IP/200 2499
### DS200708-0109 SRI REJEKI ANDRIANI 53 F AMARYLLIS PTCA - Asisten Operator
707-0005 95
REG/EM/20 2502
### DS200708-0119 AHMAD ZUHDI 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0015 41
REG/OP/20 2502
### DS200708-0120 ERLANGGA KASANI 12 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0708-0249 38
REG/OP/20 2502
### DS200708-0121 YUSUF TRI PAMUNGKAS 31 M POLI BEDAH ORTHOPEDI Wrist Joint Dex/Sin
0708-0257 40
REG/OP/20 2465
### DS200708-0122 WILDA MASYENTI 32 F POLI BEDAH ORTHOPEDI Manus Dex/Sin
0708-0106 97
REG/EM/20 1051
### DS200708-0127 ENCIH BINTI ENDANG 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0708-0018 15
REG/EM/20 1611
### DS200709-0019 KAMSATI BIN SARA.H 66 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0001 47
REG/EM/20 0863
### DS200709-0021 RD.SAHAL TUSURI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0002 84
REG/IP/200 2499
### DS200709-0025 TITI SUSANTI 42 F AMARYLLIS Thorax AP/PA
709-0004 96
REG/EM/20 2406
### DS200709-0033 MARYATI BINTI NEMAN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0006 44
REG/OP/20 DENNI PAMBUDI
### DS200709-0047 21 M RADIOLOGI Thorax AP/PA
0709-0101 WICAKSONO
### DS200709-0052 MODING 22 M RADIOLOGI
0709-0136 window
REG/OP/20 2322
### DS200709-0053 JUMINAH BINTI SANAN 35 F HEMODIALISA Thorax AP/PA
0709-0087 00
REG/EM/20 2406
### DS200709-0057 MARYATI BINTI NEMAN 47 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala dengan kontras
0709-0006 44
REG/EM/20 1917 MUHAMMAD ARKHAN
0709-0004 69 FATHURRAHMAN
REG/OP/20 2502
### DS200709-0070 IRAH BINTI SAAL 73 F POLI BEDAH UMUM Thorax AP/PA
0709-0126 48
REG/IP/200 2501
### DS200709-0072 KARSIH BINTI KARNEN.HJ 58 F CHRYSANT PTCA - Kamar Tindakan
706-0014 61
REG/IP/200 2501
### DS200709-0072 KARSIH BINTI KARNEN.HJ 58 F CHRYSANT PTCA - Dokter Operator Kls 2
706-0014 61
REG/IP/200 2501
### DS200709-0072 KARSIH BINTI KARNEN.HJ 58 F CHRYSANT PTCA - Asisten Operator
706-0014 61
REG/EM/20 2502
### DS200709-0075 M. APRILIYANTO WIDODO 24 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0709-0011 54
REG/OP/20 2500
### DS200709-0077 LILY PADLI 62 M POLI SYARAF Thorax AP/PA
0709-0117 25
REG/EM/20 2215 YUNI PRAPTIKA INDRI
### DS200709-0093 26 F INSTALASI GAWAT DARURAT (IGD) Ankle joint Dex/Sin
0709-0016 65 ASTUTI
REG/EM/20 2502
### DS200709-0100 ROHMAN BIN RUSDI 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0017 65
### DS200709-0105 ACHMAD BUHORI 10 M INSTALASI GAWAT DARURAT (IGD)
0709-0018 66 window
REG/EM/20 2502
### DS200709-0106 ACHMAD BUHORI 10 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0018 66
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REG/IP/200 0938 GHULAMAN ZAKY AL
708-0013 81 FATIH
REG/EM/20 2502
### DS200709-0108 ACHMAD BUHORI 10 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0709-0018 66
REG/EM/20 2502
### DS200709-0109 PARMAN BIN ENCEP 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0019 67
REG/EM/20 2146
### DS200709-0112 AAM NURHAYATI 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0020 68
REG/EM/20 2502
### DS200709-0115 ITA MULYANA 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0022 68
REG/EM/20 1334
### DS200709-0118 ECIN BIN H. UMAN 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0024 03
REG/EM/20 1549
### DS200709-0123 ASSARI BIN SARNI 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0709-0025 56
REG/IP/200 2494
### DS200710-0002 MUTASIM BIN TURUT 44 M AMARYLLIS Thorax AP/PA
709-0011 39
REG/EM/20 2502
### DS200710-0017 LIANA HENDRIA 16 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0001 69
REG/IP/200 1881
### DS200710-0028 SANYA BIN NANDI 57 M CHRYSANT Thorax AP/PA
710-0004 36
REG/IP/200 2467
### DS200710-0035 AGUS MUKARNO 47 M CHRYSANT Thorax AP/PA
710-0005 96
REG/IP/200 1611
### DS200710-0039 KAMSATI BIN SARA.H 66 M CHRYSANT USG Abdomen
709-0002 47
REG/OP/20 1908 HERIYANSYAH BIN H.
0710-0070 45 SALEH
REG/IP/200 1991
### DS200710-0046 MAMAN BIN CUNIN.TN 70 M AMARYLLIS Thorax AP/PA
710-0006 73
REG/OP/20 2245
### DS200710-0047 HALIMAH BINTI H.KURDI 41 F POLI JANTUNG Thorax AP/PA
0710-0086 00
REG/OP/20
### JO200710-00014 DIANA SINTAWATI 19 F POLI MCU Thorax AP/PA
0710-0091
REG/OP/20
### JO200710-00012 DELA FITRIANA 19 F POLI MCU Thorax AP/PA
0710-0088
REG/OP/20
### JO200710-00016 HERMISA WILAN PUTRI 19 F POLI MCU Thorax AP/PA
0710-0099
REG/OP/20 SYARA YULINA DOLOK

0710-0087 SARIBU
REG/OP/20
### JO200710-00008 FRISCHA AULIA PRADINI 18 F POLI MCU Thorax AP/PA
0710-0085
REG/OP/20
### JO200710-00004 NINING KOMALASARI 19 F POLI MCU Thorax AP/PA
0710-0080
REG/OP/20
### JO200710-00006 JESIKA DEVARISTA 19 F POLI MCU Thorax AP/PA
0710-0081
REG/OP/20
### JO200710-00018 LIDYA FITRI YUNIOR 17 F POLI MCU Thorax AP/PA
0710-0101
REG/IP/200 1611 (BATAL)KAMSATI BIN
709-0002 47 SARA.H
REG/OP/20 2502
### DS200710-0076 IR. KRIDHO TAMTOMO 61 M POLI BEDAH MULUT Panoramik
0710-0124 73
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REG/OP/20 1680
### DS200710-0077 SRI LESTARI. NY 35 F POLI BEDAH MULUT Panoramik
0710-0137 31
### DS200710-0078 MAAH BINTI MASRIAN. NY 46 F POLI BEDAH UROLOGI
REG/IP/200 2273
### DS200710-0079 ASMIYETI BINTI BURMAN 50 F CHRYSANT Thorax AP/PA
706-0010 69
### DS200710-0080 MICIH BIN JAIRAN 66 M POLI BEDAH UROLOGI
REG/OP/20 HASTOMY ARIVAL
0710-0142 MAHARDIKA
REG/IP/200 2499
### DS200710-0082 TITI SUSANTI 42 F AMARYLLIS CAG - Asisten Operator
709-0004 96
REG/IP/200 2499
### DS200710-0082 TITI SUSANTI 42 F AMARYLLIS CAG - Dokter Operator
709-0004 96
REG/IP/200 2499
### DS200710-0082 TITI SUSANTI 42 F AMARYLLIS CAG - Kamar Tindakan
709-0004 96
REG/OP/20 2474
### DS200710-0086 JANA JUHANA 58 M POLI JANTUNG Thorax AP/PA
0710-0060 42
REG/EM/20 2502
### DS200710-0088 SUWARNI BINTI DAHLIO 46 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0710-0008 76
REG/EM/20 2502
### DS200710-0090 SUWARNI BINTI DAHLIO 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0008 76
REG/IP/200 2502
### DS200710-0093 IDRIS ISHAK 69 M CHRYSANT PTCA - Kamar Tindakan
708-0011 23
REG/IP/200 2502
### DS200710-0093 IDRIS ISHAK 69 M CHRYSANT PTCA - Dokter Operator Kls 3
708-0011 23
REG/IP/200 2502
### DS200710-0093 IDRIS ISHAK 69 M CHRYSANT PTCA - Asisten Operator
708-0011 23
REG/OP/20 2500
### DS200710-0096 SAIPUL YAMANI 25 M POLI PENYAKIT DALAM USG Thyroid Doppler
0710-0178 62
REG/OP/20 0036
### DS200710-0098 LENNI MARLINA 46 F POLI JANTUNG Thorax AP/PA
0710-0171 80
REG/OP/20 2234
### DS200710-0104 INI BINTI TIMIN 59 F POLI BEDAH UMUM Thorax AP/PA
0710-0196 34
REG/EM/20 2098
### DS200710-0109 DEDE INDRIYANI 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0011 46
REG/IP/200 2494
### DS200710-0113 MUTASIM BIN TURUT 44 M AMARYLLIS Antebrachii Dex/Sin
709-0011 39
REG/EM/20 2501
### DS200710-0118 YUWONO BIN SUWARDI 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0014 52
REG/EM/20 0592
### DS200710-0125 DODHY SUMARDI 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0019 22
REG/EM/20 2462
### DS200710-0126 SADIAH BINTI SAID 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0710-0020 62
REG/IP/200 2502
### DS200711-0027 PARMAN BIN ENCEP 57 M CHRYSANT USG Thorax / Paru
709-0015 67
REG/EM/20 1981 SUHARTINI BINTI DANU
0711-0003 61 AKBAR
REG/EM/20 2502
### DS200711-0040 AMAD BIN ATMA 73 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0711-0004 97
REG/OP/20 2502
### DS200711-0043 JUNAIDI BIN NGADIRON 29 M POLI BEDAH MULUT Panoramik
0711-0061 92
REG/OP/20
### JO200711-00008 KIN KIN ASIKIN 36 M POLI MCU Thorax AP/PA
0711-0078
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REG/EM/20 0814 MOHAMMAD ABDUL
0711-0006 40 KOHAR
REG/OP/20 2501
### DS200711-0048 OLGA NOVIANDA 27 F POLI PENYAKIT DALAM Thorax AP/PA
0711-0070 78
REG/EM/20 2502
### DS200711-0049 AMAD BIN ATMA 73 M INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0711-0004 97
REG/OP/20 1583
### DS200711-0055 NURDIN ARIFIANTO 45 M POLI BEDAH ORTHOPEDI Elbow Joint Dex/Sin
0711-0088 38
REG/OP/20 2502
### DS200711-0056 BAGUS RAMADHAN 9 M POLI ANAK USG Abdomen
0711-0085 98
REG/OP/20 1428
### DS200711-0057 IRHAMSYA BIN ANWAR 39 M POLI BEDAH MULUT Panoramik
0711-0047 26
REG/EM/20 2466
### DS200711-0058 SRIANAH BINTI DOLAH 65 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0711-0007 04
REG/EM/20 2466
### DS200711-0059 SRIANAH BINTI DOLAH 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0007 04
REG/IP/200 2098
### DS200711-0064 DEDE INDRIYANI 22 F CHRYSANT USG Abdomen
710-0010 46
REG/EM/20 0814 MOHAMMAD ABDUL
0711-0006 40 KOHAR
### DS200711-0068 KARSONO BIN SARIJAN 37 M POLI BEDAH UROLOGI
REG/EM/20 0987
### DS200711-0069 ANISAH BINTI H.SAMAIH 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0009 46
REG/IP/200 1991
### DS200711-0071 MAMAN BIN CUNIN.TN 70 M AMARYLLIS PTCA - Kamar Tindakan
710-0006 73
REG/IP/200 1991
### DS200711-0071 MAMAN BIN CUNIN.TN 70 M AMARYLLIS PTCA - Dokter Operator Kls 1
710-0006 73
REG/IP/200 1991
### DS200711-0071 MAMAN BIN CUNIN.TN 70 M AMARYLLIS PTCA - Asisten Operator
710-0006 73
REG/EM/20 2503
### DS200711-0077 FITRI ARDANI 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0010 06
REG/IP/200 2268
### DS200711-0080 LELA MARLINA 47 F ICU Thorax AP/PA
625-0020 64
REG/IP/200 2467
### DS200711-0081 AGUS MUKARNO 47 M CHRYSANT PTCA - Kamar Tindakan
710-0005 96
REG/IP/200 2467
### DS200711-0081 AGUS MUKARNO 47 M CHRYSANT PTCA - Dokter Operator
710-0005 96
REG/IP/200 2467
### DS200711-0081 AGUS MUKARNO 47 M CHRYSANT PTCA - Asisten Operator
710-0005 96
REG/OP/20 1996
### DS200711-0089 (BATAL)ETIN SUPRIATIN 58 F POLI PENYAKIT DALAM Thorax AP/PA
0711-0037 25
REG/EM/20 1996
### DS200711-0091 ETIN SUPRIATIN 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0012 25
REG/OP/20 0898
### DS200711-0099 INDAH SUSANTO .TN 39 M POLI PENYAKIT DALAM Thorax AP/PA
0711-0158 11
REG/EM/20 2503
### DS200711-0103 KARNI YUNIARANI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0015 08
REG/EM/20 2491
### DS200711-0104 JASAN BIN SENIN 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0018 49
REG/EM/20 0953
### DS200711-0107 SATIAH BINTI REAN 85 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0021 38
REG/EM/20 2499
### DS200711-0111 SUDARNO BIN SUMBER 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0023 61
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2195 ARSYFA FARZANA
0711-0022 73 AYUNINDYA
REG/EM/20 2050
### DS200712-0012 MARIYAH AMELIA 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0711-0026 57
REG/EM/20 2503
### DS200712-0019 MARSIN SUTISNA 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0001 13
REG/EM/20 2503
### DS200712-0028 ADE FERDIAN 41 M INSTALASI GAWAT DARURAT (IGD) Art Humerus Dex/Sin
0712-0005 14
REG/EM/20 2503
### DS200712-0029 ADE FERDIAN 41 M INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0712-0005 14
REG/EM/20 2503
### DS200712-0036 ADE FERDIAN 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0005 14
REG/IP/200 2146
### DS200712-0041 AAM NURHAYATI 46 F CHRYSANT Thorax AP/PA
710-0002 68
REG/EM/20 1028
### DS200712-0042 WENDI SAPUTRA 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0008 18
REG/EM/20 2503
### DS200712-0046 RUDIANA BIN MUKIJO 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0009 17
REG/OP/20
### DS200712-0048 PAINEM 65 F RADIOLOGI CT Scan Kepala Non kontras
0712-0002
REG/EM/20 0202 BUTET CHRISTINE
0712-0014 49 SITOHANG
REG/EM/20 2503
### DS200712-0053 EEM BINTI IRIN 54 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0712-0015 20
REG/EM/20 2503
### DS200712-0054 EEM BINTI IRIN 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0015 20
REG/EM/20 2503 (BATAL)KEENAN ALBARA
0712-0012 19 SENJA
REG/EM/20 2503 (BATAL)KEENAN ALBARA
0712-0012 19 SENJA
REG/EM/20 2503
### DS200712-0059 KEENAN ALBARA SENJA 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0712-0012 19
REG/EM/20 2462
### DS200712-0060 LUTFI FAIRUZ KARIM 7 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0017 26
### DS200712-0062 SABAR SIMANGUNSONG 39 M CHRYSANT
REG/EM/20 2503
### DS200712-0064 ASEP SUNANDAR 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0018 22
REG/EM/20 2503
### DS200712-0068 (BATAL)JAPAR SIDIK 40 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0712-0021 24
REG/EM/20 2503
### DS200712-0069 (BATAL)JAPAR SIDIK 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0021 24
REG/EM/20 2503 GOTBEN PARDAMEAN
0712-0023 25 NAPITU
REG/EM/20 2493
### DS200712-0075 AISYAH BINTI ABDULAH 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0022 74
REG/EM/20 2503
### DS200712-0076 DEDEN SUKMANTARA 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0712-0016 21
REG/IP/200 2050
### DS200713-0031 MARIYAH AMELIA 45 F ICU USG Abdomen
712-0004 57
REG/IP/200 2411 PEBRIANTO BIN RUDI
713-0006 52 HARTONO
REG/EM/20 2023
### DS200713-0048 YANTO BIN IYAN 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0007 45
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REG/IP/200 2494
### DS200713-0052 R KARTOBI 74 M CHRYSANT Thorax AP/PA
713-0003 71
REG/OP/20 1635 HAMIDAH BINTI KUSNI. CT Scan Abdomen Superior / Inferior /
REG/IP/200 0987 (BATAL)ANISAH BINTI
### DS200713-0060 51 F CHRYSANT PTCA - Kamar Tindakan
711-0010 46 H.SAMAIH
### DS200713-0060 51 F CHRYSANT PTCA - Dokter Operator Kls 3
711-0010 46 H.SAMAIH
### DS200713-0060 51 F CHRYSANT PTCA - Asisten Operator
711-0010 46 H.SAMAIH
REG/IP/200 0987
### DS200713-0063 ANISAH BINTI H.SAMAIH 51 F CHRYSANT CAG - Kamar Tindakan
711-0010 46
REG/IP/200 0987
### DS200713-0063 ANISAH BINTI H.SAMAIH 51 F CHRYSANT CAG - Dokter Operator Kls 3
711-0010 46
REG/IP/200 0987
### DS200713-0063 ANISAH BINTI H.SAMAIH 51 F CHRYSANT CAG - Asisten Operator
711-0010 46
REG/OP/20 1248
### DS200713-0064 DWI ARYANI.NN 27 F POLI PARU Thorax AP/PA
0713-0103 53
REG/IP/200 2503
### DS200713-0065 ENJUN JUNAEDI 46 M CHRYSANT CAG - Kamar Tindakan
711-0006 04
REG/IP/200 2503
### DS200713-0065 ENJUN JUNAEDI 46 M CHRYSANT CAG - Dokter Operator Kls 1
711-0006 04
REG/IP/200 2503
### DS200713-0065 ENJUN JUNAEDI 46 M CHRYSANT CAG - Asisten Operator
711-0006 04
REG/OP/20 0559
### DS200713-0071 RIBUT HARNANI 37 F POLI PENYAKIT DALAM Thorax AP/PA
0713-0072 70
REG/OP/20 2503
### DS200713-0073 RANAH BINTI AMIR 49 F POLI PENYAKIT DALAM USG Abdomen
0713-0164 42
REG/OP/20
### DS200713-0081 AURESCHA 1 M RADIOLOGI BNO/Abdomen
0713-0208
REG/EM/20 2494
### DS200713-0082 MARISI SITUMEANG 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0011 13
REG/OP/20 2013
### DS200713-0083 NANA SUMARNA 53 M POLI JANTUNG Thorax AP/PA
0713-0198 67
REG/OP/20 2503
### DS200713-0089 SUTIRAH BINTI KARSUDI 51 F POLI UMUM USG Abdomen
0713-0201 49
REG/OP/20
### JO200713-00007 MUHAMAD IQBAL 18 M POLI MCU Thorax AP/PA
0713-0220
REG/OP/20 2502
### DS200713-0090 OYIB BIN TARI 70 M POLI PENYAKIT DALAM USG Abdomen
0713-0224 63
REG/IP/200 2503
### DS200713-0091 SADI BIN SANGKA 49 M CHRYSANT Thorax AP/PA
713-0010 44
REG/IP/200 2503
### DS200713-0093 SADI BIN SANGKA 49 M CHRYSANT USG Abdomen
713-0010 44
REG/OP/20 2503
### DS200713-0094 IRAWAN IHSANUL HAKIM 43 M POLI JANTUNG Thorax AP/PA
0713-0221 50
REG/IP/200 2503
### DS200713-0098 DIAH YOGASWATI 27 F EDELWEISS Thorax AP/PA
713-0007 12
REG/IP/200 2503 SUMIATI BINTI
713-0013 43 MARTOWIYONO
REG/IP/200 2503
### DS200713-0112 SANTOSO BIN MARIDIN 66 M CHRYSANT Thorax AP/PA
713-0015 32
REG/IP/200 2502
### DS200713-0113 VICKY ALVARO 1 M CARNATION Colon In Loop
707-0011 05
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REG/IP/200 2503
### DS200713-0114 ELLY PURWANI 54 F CHRYSANT Thorax AP/PA
713-0014 35
REG/IP/200 0938 (BATAL)GHULAMAN ZAKY
### DS200713-0119 11 M AMARYLLIS Thorax AP-Lat anak
708-0013 81 AL FATIH
### DS200713-0123 MUHAMAD KARSIM 19 M POLI BEDAH UROLOGI
REG/IP/200 2447 MAWARDI BIN WARNO
713-0019 44 SUMARTO
### DS200713-0125 ASIH BT JASMIN 48 F POLI BEDAH UROLOGI
REG/OP/20 2334
### DS200713-0129 SAMBAS BIN RAIS 51 M POLI BEDAH UROLOGI Thorax AP/PA
0713-0082 65
708-0013 81 FATIH
REG/EM/20 2503
### DS200713-0135 RUDI BIN MUNIR 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0019 59
REG/EM/20 2503
### DS200713-0138 UJU BIN KAHEM 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0020 60
REG/EM/20 2503
### DS200713-0139 DEDE NURAIPAH 23 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0021 61
REG/EM/20 0575
### DS200713-0142 SUNARYO 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0022 88
REG/EM/20 2453
### DS200713-0144 AGUS SLAMET 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0014 95
REG/EM/20 2453
### DS200713-0145 (BATAL)AGUS SLAMET 28 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0713-0014 95
### DS200713-0146 AGUS SLAMET 28 M INSTALASI GAWAT DARURAT (IGD)
0713-0014 95 window
REG/EM/20 0754
### DS200713-0148 DELLA ARSITA 17 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0713-0018 99
REG/EM/20 2453
### DS200713-0151 AGUS SLAMET 28 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0713-0014 95
REG/EM/20 1360
### DS200714-0016 EMI SURYATIN 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0002 98
REG/EM/20 0264
### DS200714-0017 IDAH BINTI IYAS 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0003 07
REG/EM/20 2173
### DS200714-0024 SRI WIARTI 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0004 03
REG/IP/200 2502
### DS200714-0030 RAKHMAT HIDAYAT 49 M CHRYSANT Thorax AP/PA
714-0006 24
REG/IP/200 2502
### DS200714-0039 SAMSUL BAHRI 34 M CHRYSANT Thorax AP/PA
714-0008 81
REG/IP/200 2502 HJ. NURHAYATI BINTI H.
714-0009 15 SOBUR
REG/EM/20 2503
### DS200714-0044 RAHMATULLAH WIJAYA 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0005 63
REG/IP/200 2503
### DS200714-0046 RUDIANA BIN MUKIJO 41 M CHRYSANT USG Thorax / Paru
712-0010 17
REG/EM/20 2501
### DS200714-0055 ENDIN BIN MIAN 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0007 85
REG/EM/20 1783
### DS200714-0057 MARASIL SIMBOLON.TN 73 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0009 05
REG/OP/20
### JO200714-00019 CAHYA KURNIA 37 M POLI MCU Thorax AP/PA
0714-0141
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200714-00017 EMANG SUHERMAN 42 M POLI MCU Thorax AP/PA
0714-0140
REG/OP/20
### JO200714-00015 ABDALAH 30 M POLI MCU Thorax AP/PA
0714-0139
REG/OP/20
### JO200714-00013 AGUS ZAENAL ARIFIN 29 M POLI MCU Thorax AP/PA
0714-0137
REG/OP/20
### JO200714-00011 IMAM SAYUTI 28 M POLI MCU Thorax AP/PA
0714-0135
REG/OP/20
### JO200714-00008 ACHMAD FAZRI 42 M POLI MCU Thorax AP/PA
0714-0102
REG/OP/20 2022 HARIYADI BIN
0714-0100 44 SADIMIN.TN
REG/OP/20
### JO200714-00004 FADLI FAJAR 30 M POLI MCU Thorax AP/PA
0714-0097
REG/OP/20 2503
### DS200714-0063 FATHIR YAZID 15 M POLI BEDAH MULUT Panoramik
0714-0106 69
REG/OP/20 1131
### DS200714-0064 YANTI BINTI JAKARIA 43 F POLI BEDAH MULUT Panoramik
0714-0113 89
### DS200714-0073 51 F AMARYLLIS CAG - Asisten Operator
### DS200714-0073 51 F AMARYLLIS CAG - Dokter Operator
### DS200714-0073 51 F AMARYLLIS CAG - Kamar Tindakan
REG/OP/20
### DS200714-0076 AMBRAWAN 53 M RADIOLOGI CT Scan Kepala Non kontras
0714-0185
REG/IP/200 0754
### DS200714-0078 DELLA ARSITA 17 F AMARYLLIS USG Abdomen
714-0001 99
REG/EM/20 1231
### DS200714-0079 EDAH BINTI MA'AN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0010 31
### DS200714-0083 HAMDAN BIN ILON 36 M POLI BEDAH UROLOGI
REG/OP/20 2501
### DS200714-0084 EKA PUTRI SULISTIA 27 F POLI BEDAH UROLOGI USG Abdomen
0714-0122 92
REG/IP/200 0202 BUTET CHRISTINE
### DS200714-0085 50 F CHRYSANT CV. Cervical 2 posisi
712-0008 49 SITOHANG
### DS200714-0086 RISTI AULIA 16 F POLI BEDAH UROLOGI
REG/OP/20 2503
### DS200714-0087 ASWATI BINTI CAYAD 53 F POLI BEDAH UROLOGI USG Abdomen
0714-0201 78
REG/EM/20 1183
### DS200714-0089 YANTI AINASARI 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0011 16
REG/IP/200 2462
### DS200714-0091 SADIAH BINTI SAID 53 F CHRYSANT Sinus Para Nasal 3 posisi
710-0014 62
REG/OP/20 M. ARSHIL ABDILAH
0714-0161 ATALA
REG/IP/200 2503
### DS200714-0092 DEDEN SUKMANTARA 51 M CHRYSANT CAG - Kamar Tindakan
712-0014 21
REG/IP/200 2503
### DS200714-0092 DEDEN SUKMANTARA 51 M CHRYSANT CAG - Dokter Operator Kls 3
712-0014 21
REG/IP/200 2503
### DS200714-0092 DEDEN SUKMANTARA 51 M CHRYSANT CAG - Asisten Operator
712-0014 21
REG/OP/20 2503
### DS200714-0095 ENDANG SULISTYOWATI 48 F POLI BEDAH UMUM Thorax AP/PA
0714-0051 64
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REG/OP/20 2503
### DS200714-0096 ARMANIH BINTI ACIM 49 F POLI BEDAH MULUT Panoramik
0714-0159 76
REG/OP/20 2503
### DS200714-0098 GIRI ANJAS WIJAYA 24 M POLI BEDAH MULUT Panoramik
0714-0222 80
REG/IP/200 2453
### DS200714-0100 AGUS SLAMET 28 M CHRYSANT Antebrachii Dex/Sin
713-0021 95
REG/IP/200 2453
### DS200714-0101 AGUS SLAMET 28 M CHRYSANT CT Scan Whole Abdomen dengan kontras
713-0021 95
REG/EM/20 2503
### DS200714-0102 TJAKRA WIDJAJA MS 54 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0714-0013 85
REG/EM/20 2503
### DS200714-0107 TJAKRA WIDJAJA MS 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0013 85
REG/OP/20 1885
### DS200714-0110 EMAH BINTI NIRAN 62 F POLI PARU Thorax AP/PA
0714-0186 98
REG/OP/20 1549
### DS200714-0117 (BATAL)AHMAD SANIH 39 M POLI THT Thorax AP/PA
0714-0258 38
REG/OP/20 2500
### DS200714-0119 NAMAH BINTI BAHRUM 49 F POLI BEDAH UMUM Thorax AP/PA
0714-0073 66
REG/EM/20 2234
0714-0014 34
REG/OP/20 2499
### DS200714-0133 SAIH BIN NAMIN 62 M POLI THT Thorax AP/PA
0714-0254 76
REG/EM/20 2503
### DS200714-0135 MOHAMAD MUKHLISIN 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0020 92
REG/EM/20 2503 (BATAL)CAHYADI BIN
0714-0022 94 AGUS
REG/EM/20 2503
### DS200714-0137 CAHYADI BIN AGUS 18 M INSTALASI GAWAT DARURAT (IGD) Humerus Dex/Sin
0714-0022 94
REG/OP/20 2263
### DS200714-0143 ANDRI TRISWANTO 28 M RADIOLOGI Thorax AP/PA
0714-0335 15
REG/EM/20 2503
### DS200714-0147 SURATI BINTI SUGIYONO 17 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0019 90
REG/EM/20 2501
0714-0007 85
REG/EM/20 2493
### DS200714-0149 SARINI BINTI TASRIP 67 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0025 07
### DS200714-0153 18 M INSTALASI GAWAT DARURAT (IGD) Mandibula
0714-0022 94 AGUS
0714-0022 94 AGUS
REG/EM/20 2503
### DS200714-0161 CAHYADI BIN AGUS 18 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0714-0022 94
REG/EM/20 2216
### DS200714-0162 IDAH MUJIDALIFAH 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0017 16
REG/EM/20 2503
### DS200714-0163 IDA WIDARSIH 44 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0021 93
REG/EM/20 2366
### DS200714-0164 ACAH BINTI KARNADI 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0027 29
### DS200714-0168 CAHYADI BIN AGUS 18 M INSTALASI GAWAT DARURAT (IGD)
0714-0022 94 window
REG/IP/200 2503
### DS200714-0169 SANTOSO BIN MARIDIN 66 M CHRYSANT PTCA - Kamar Tindakan
713-0015 32
REG/IP/200 2503
### DS200714-0169 SANTOSO BIN MARIDIN 66 M CHRYSANT PTCA - Dokter Operator Kls 2
713-0015 32
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2503
### DS200714-0169 SANTOSO BIN MARIDIN 66 M CHRYSANT PTCA - Asisten Operator
713-0015 32
REG/EM/20 1360
### DS200714-0172 SAINIH BINTI MIIH 71 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0023 02
REG/IP/200 2503
### DS200714-0178 MARSIN SUTISNA 51 M CHRYSANT PTCA - Dokter Operator Kls 2
712-0002 13
REG/IP/200 2503
### DS200714-0178 MARSIN SUTISNA 51 M CHRYSANT PTCA - Kamar Tindakan
712-0002 13
REG/IP/200 2503
### DS200714-0178 MARSIN SUTISNA 51 M CHRYSANT PTCA - Asisten Operator
712-0002 13
REG/IP/200 2453
### DS200714-0181 AGUS SLAMET 28 M CHRYSANT Pelvis/Coxae
713-0021 95
REG/EM/20 2504
### DS200714-0183 ESTY YULLYANA 26 F INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0714-0033 01
REG/EM/20 2504
### DS200714-0184 JENAL ABIDIN 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0034 02
REG/EM/20 2504
### DS200714-0185 JENAL ABIDIN 48 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0714-0034 02
REG/EM/20 2504
### DS200714-0190 MARICHA MECHA 11 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0714-0036 03
REG/EM/20 2504 KARNATA BIN AHMAD
0715-0001 04 NIRMAN
REG/EM/20 2504
### DS200715-0033 HADI SETIA MULYONO 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0002 05
REG/IP/200 2216
### DS200715-0045 IDAH MUJIDALIFAH 24 F CHRYSANT USG Abdomen
714-0020 16
REG/IP/200 2470 KARTINI BINTI DARMO
715-0005 83 TAYIB
REG/EM/20 2504
### DS200715-0048 NAIMAH BINTI URIN 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0004 10
REG/EM/20 2504
### DS200715-0049 NAIMAH BINTI URIN 54 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0715-0004 10
REG/IP/200 2503
### DS200715-0054 SURATI BINTI SUGIYONO 17 F CHRYSANT USG Abdomen
714-0017 90
REG/IP/200 0796
### DS200715-0055 AMI BINTI HAMID.NY 55 F AMARYLLIS Thorax AP/PA
715-0006 01
REG/OP/20 2126
### DS200715-0073 NELAH BINTI ISAM.NY 64 F POLI JANTUNG Thorax AP/PA
0715-0125 22
REG/OP/20
### JO200715-00005 SUCI MARTINA PUTRI 19 F POLI MCU Thorax AP/PA
0715-0098
REG/OP/20
### JO200715-00002 SALIM 39 M POLI MCU Thorax AP/PA
0715-0072
REG/OP/20 0604
### JO200714-00045 CHAIRUL JULAGA O,DR 53 M POLI MCU Thorax AP/PA
0714-0325 24
REG/EM/20 2503 NOVA FEBRUANTI BR
0715-0005 81 SINAGA
REG/OP/20 0603 NENENG ZAKIYATIL
0715-0047 57 FAKHIROTI
REG/OP/20 2504
### DS200715-0082 RIDHWAN SYAMSUDIN 18 M POLI BEDAH MULUT Panoramik
0715-0116 15
REG/OP/20 2504
### DS200715-0084 AINIL ADHA 27 F POLI BEDAH MULUT Panoramik
0715-0096 11
REG/OP/20 2504
### DS200715-0092 KURNIASIH BINTI KETONG 34 F POLI BEDAH SYARAF CT Scan Kepala Non kontras
0715-0155 18
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REG/OP/20 2497
### DS200715-0093 TITIN BINTI BOING 40 F POLI BEDAH UROLOGI BNO/Abdomen
0715-0070 58
REG/EM/20 2504
### DS200715-0094 SARI FATENA 35 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0008 19
REG/OP/20 2504
### DS200715-0095 DEDE FIKI NURBAYANI 26 F POLI PENYAKIT DALAM Thorax AP/PA
0715-0106 13
REG/OP/20 2502
### DS200715-0098 SUWANDI BIN LEGIMAN 50 M POLI BEDAH UROLOGI Thorax AP/PA
0715-0150 19
REG/OP/20 1217
### DS200715-0099 KARTIKA AYU UTAMI 29 F POLI PENYAKIT DALAM USG Abdomen
0715-0134 63
REG/OP/20 1778
### DS200715-0101 TATI HARYATI. NY 43 F POLI PENYAKIT DALAM USG Abdomen
0715-0175 70
REG/OP/20 2248 MARSIAH BINTI
0715-0214 04 SUDIRMAN.NY
REG/EM/20 1479
### DS200715-0111 NUR FAIZIN BIN SAMIN 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0012 92
### DS200715-0112 NUR FAIZIN BIN SAMIN 27 M INSTALASI GAWAT DARURAT (IGD)
0715-0012 92 window
### DS200715-0117 UANG BIN OBAN. TN 51 M POLI BEDAH UROLOGI
### DS200715-0118 11 M AMARYLLIS BNO/Abdomen
708-0013 81 FATIH
REG/OP/20 2504
### DS200715-0119 NYINIH BINTI ICIN 67 F POLI JANTUNG Thorax AP/PA
0715-0204 21
REG/OP/20 2236
### JO200715-00051 CHARLES JOHANES.DR.TN 33 M POLI MCU Thorax AP/PA
0715-0275 06
REG/OP/20 2490
### JO200715-00034 YULIANTO BIN RITO 38 M POLI MCU Thorax AP/PA
0715-0248 09
REG/OP/20 0885
### JO200715-00032 AZIZAH NUR FAJRIA. NN 19 F POLI MCU Thorax AP/PA
0715-0246 26
REG/OP/20 2245 SUHAEMI BINTI TAMAMI.
0715-0174 78 NY
REG/EM/20 2504
### DS200715-0122 HASIHOLAN SIREGAR 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0013 28
REG/OP/20 2370
### DS200715-0125 AGUS SUPRIYANTO 41 M POLI BEDAH ORTHOPEDI Humerus Dex/Sin
0715-0288 36
REG/EM/20 2504 NOVITASARI BINTI M.
0715-0014 29 RIBUT
REG/EM/20 2504 NOVITASARI BINTI M.
0715-0014 29 RIBUT
REG/OP/20 2504
### DS200715-0132 SITI HAIRUNNISA 40 F POLI SYARAF CV. Lumbal 2 posisi
0715-0255 26
REG/IP/200 2503
### DS200715-0134 ELLY PURWANI 54 F CHRYSANT CAG - Kamar Tindakan
713-0014 35
REG/IP/200 2503
### DS200715-0134 ELLY PURWANI 54 F CHRYSANT CAG - Dokter Operator Kls 3
713-0014 35
REG/IP/200 2503
### DS200715-0134 ELLY PURWANI 54 F CHRYSANT CAG - Asisten Operator
713-0014 35
### DS200715-0135 JENAL ABIDIN 48 M CHRYSANT
REG/EM/20 2310
### DS200715-0141 SUMI RAHMAWATI 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0011 19
REG/IP/200 2502
### DS200715-0142 RAKHMAT HIDAYAT 49 M CHRYSANT PTCA - Kamar Tindakan
714-0006 24
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2502
### DS200715-0142 RAKHMAT HIDAYAT 49 M CHRYSANT PTCA - Dokter Operator Kls 2
714-0006 24
REG/IP/200 2502
### DS200715-0142 RAKHMAT HIDAYAT 49 M CHRYSANT PTCA - Asisten Operator
714-0006 24
REG/EM/20 2504
### DS200715-0144 KAMUD BIN ONYAN 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0018 32
713-0019 44 SUMARTO
713-0019 44 SUMARTO
713-0019 44 SUMARTO
REG/EM/20 2388
### DS200715-0150 KARDI BIN ENJIN 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0020 16
REG/OP/20 2378
### DS200715-0151 AAT ATIKAH BINTI SIAM 40 F POLI BEDAH ORTHOPEDI Wrist Joint Dex/Sin
0715-0040 15
REG/OP/20 2476
### DS200715-0152 KASTI BINTI KALIM 28 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0715-0280 54
REG/EM/20 2504
### DS200715-0154 (BATAL)AHMAD RINALDI 36 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0715-0016 30
REG/EM/20 2504
### DS200715-0155 AHMAD RINALDI 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0016 30
REG/EM/20 2504
### DS200715-0160 AZIZ SHOLEH 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0022 34
REG/EM/20 2504
### DS200715-0163 RATNA KOMALA SARI 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0715-0023 35
REG/EM/20 2056 MUHAMMAD ARKA
0715-0025 25 ALZIKRI
REG/EM/20 2504
### DS200716-0004 TASAN SAAN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0001 37
REG/EM/20 2313
### DS200716-0017 (BATAL)SOLEH BIN TOBRI 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0002 03
REG/IP/200 2504
### DS200716-0034 MARTOGI TAMPUBOLON 50 M CHRYSANT PTCA - Kamar Tindakan
715-0003 06
REG/IP/200 2504
### DS200716-0034 MARTOGI TAMPUBOLON 50 M CHRYSANT PTCA - Dokter Operator
715-0003 06
REG/IP/200 2504
### DS200716-0034 MARTOGI TAMPUBOLON 50 M CHRYSANT PTCA - Asisten Operator
715-0003 06
REG/OP/20 2325
### DS200716-0035 MIRSAD BIN ENIN 55 M HEMODIALISA Thorax AP/PA
0716-0076 00
REG/IP/200 2503
### DS200716-0038 RODI BIN ADIM 49 M CHRYSANT Thorax AP/PA
716-0002 70
REG/OP/20
### DS200716-0039 DWI RETNO NINGSIH 29 F RADIOLOGI H.S.G
0716-0089
REG/EM/20 2504 DALIMAN BIN POWI
0716-0005 43 RASENONO
REG/EM/20 2504
### DS200716-0054 IFIT FITRIA 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0006 45
REG/OP/20
### JO200716-00006 GORDON SIMANJUNTAK 37 M POLI MCU Thorax AP/PA
0716-0084
REG/IP/200 2503
### DS200716-0064 ANARINA BINTI SURYAJI 53 F CHRYSANT PTCA - Kamar Tindakan
714-0025 98
REG/IP/200 2503
### DS200716-0064 ANARINA BINTI SURYAJI 53 F CHRYSANT PTCA - Dokter Operator Kls 2
714-0025 98
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REG/IP/200 2503
### DS200716-0064 ANARINA BINTI SURYAJI 53 F CHRYSANT PTCA - Asisten Operator
714-0025 98
REG/OP/20 2504
### DS200716-0069 TONAH BINTI TOOL 75 F POLI PARU Thorax AP/PA
0716-0134 46
REG/IP/200 2503
### DS200716-0070 OLIH BINTI LADOG 66 F CHRYSANT PTCA - Kamar Tindakan
714-0015 88
REG/IP/200 2503
### DS200716-0070 OLIH BINTI LADOG 66 F CHRYSANT PTCA - Dokter Operator Kls 2
714-0015 88
REG/IP/200 2503
### DS200716-0070 OLIH BINTI LADOG 66 F CHRYSANT PTCA - Asisten Operator
714-0015 88
REG/OP/20 1682
### DS200716-0071 SAYU BINTI MAER 71 F POLI SYARAF CV. Lumbosacral 2 posisi
0716-0062 05
REG/OP/20 2504
### DS200716-0076 TATI HARTATI 46 F POLI PENYAKIT DALAM USG Abdomen
0716-0106 42
REG/OP/20 1526 MUHAEMAH BINTI
### DS200716-0077 37 F POLI UMUM USG Abdomen
0716-0122 26 KOSIM.NY
REG/OP/20
### JO200716-00004 JUANDA SALEH 36 M POLI MCU Thorax AP/PA
0716-0083
REG/OP/20
### JO200716-00002 TARMA BIN KASAN 42 M POLI MCU Thorax AP/PA
0716-0081
REG/OP/20 0331
### JO200716-00012 INTAN PERMATASARI P 18 F POLI MCU Thorax AP/PA
0716-0195 85
REG/OP/20
### DS200716-0083 TIARA AULIA 19 F RADIOLOGI Thorax AP/PA
0716-0207
REG/OP/20 2501
### DS200716-0086 IMRON BIN MUHARAM 43 M POLI BEDAH UROLOGI Thorax AP/PA
0716-0151 56
REG/EM/20 2479
### DS200716-0093 MISIYATI BINTI KASIDI 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0008 35
REG/IP/200 2504
### DS200716-0095 AHMAD RINALDI 36 M CHRYSANT Manus Dex/Sin
715-0012 30
REG/OP/20 2374
### DS200716-0096 MUHIBI BIN JUNED 51 M HEMODIALISA Thorax AP/PA
0716-0222 74
REG/EM/20 2504
### DS200716-0098 IFIT FITRIA 43 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0716-0006 45
### DS200716-0099 42 F AMARYLLIS CAG - Kamar Tindakan
715-0005 83 TAYIB
### DS200716-0099 42 F AMARYLLIS CAG - Dokter Operator Kls 1
715-0005 83 TAYIB
### DS200716-0099 42 F AMARYLLIS CAG - Asisten Operator
715-0005 83 TAYIB
REG/OP/20
### JO200716-00038 MUHAMAD ABDUL RIYAN 18 M POLI MCU Thorax AP/PA
0716-0284
REG/OP/20 2499 (BATAL)INDRAWATI BINTI
### DS200716-0108 49 F POLI THT CT Scan Sinus Paranasal non kontras
REG/OP/20 2499 INDRAWATI BINTI
### DS200716-0109 49 F POLI THT CT Scan Sinus Paranasal non kontras
REG/OP/20 2504 SA'DIYAH BINTI SALAMIN.
### DS200716-0111 49 F POLI UMUM USG Abdomen
0716-0300 53 HJ
REG/EM/20 2504
### DS200716-0116 ACIH KOMALA SARI 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0012 55
### DS200716-0129 DEVI AMELIA PUTRI 25 F POLI BEDAH UROLOGI
REG/EM/20 2398
### DS200716-0141 DADAN ABDUL RAHMAN 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0017 10
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REG/EM/20 2504
### DS200716-0143 ABDUL RAHMAT SOPIAN 33 M INSTALASI GAWAT DARURAT (IGD) CV. Cervical 2 posisi
0716-0016 59
REG/EM/20 2504
### DS200716-0144 ABDUL RAHMAT SOPIAN 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0016 59
### DS200716-0145 ABDUL RAHMAT SOPIAN 33 M INSTALASI GAWAT DARURAT (IGD)
0716-0016 59 window
### DS200716-0146 EZZA APRIYANSYAH 6 M INSTALASI GAWAT DARURAT (IGD)
0716-0019 60 window
REG/EM/20 2501
### DS200716-0148 KINYAH BINTI TUMIK 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0716-0018 53
REG/EM/20 2504
0716-0012 55
REG/EM/20 1869
### DS200717-0013 NASTA DINATA 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0001 38
REG/EM/20 2504
### DS200717-0020 ARI KRISTIANA 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0004 61
0717-0002 29 SUMARTO
REG/IP/200 2501
### DS200717-0030 NENENG LATIFAH 47 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
706-0026 79
REG/EM/20 2504
### DS200717-0033 ARI KRISTIANA 31 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0717-0004 61
REG/EM/20 1251 SUPRIANTO BIN
0717-0006 83 KARNOMO
REG/OP/20 2229
### DS200717-0038 SAYUTI BIN ANTA 54 M POLI PARU USG Thorax / Paru
0717-0087 06
REG/IP/200 1869
### DS200717-0046 NASTA DINATA 25 M AMARYLLIS USG Abdomen
717-0001 38
REG/EM/20 2504
### DS200717-0048 YUSUP BIN RUSLAN 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0008 68
REG/OP/20 1670
### DS200717-0051 LUKAS SUDRAJAT 63 M POLI BEDAH MULUT Panoramik
0717-0085 51
REG/OP/20 2504 (BATAL)RAHMAT
0717-0137 69 HIDAYATULLAH
REG/EM/20 2504
### DS200717-0055 NANI BINTI NAMIN 43 F INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0717-0010 72
REG/OP/20 2149
### DS200717-0057 NEMIH BINTI LEEK. NY 59 F POLI BEDAH UROLOGI USG Abdomen
0717-0042 33
REG/OP/20 2504
### DS200717-0058 MUHAMAD BIN BAON 26 M POLI BEDAH MULUT Panoramik
0717-0181 71
REG/OP/20 2504
### DS200717-0060 AJIS SAIFULLOH 20 M POLI BEDAH UROLOGI USG Testis/Scrotum HP
0717-0114 66
REG/EM/20 2421 NURRAHMAN BIN
0717-0012 41 DJUHAIFAH
REG/OP/20 2503
### DS200717-0064 HAMDAN BIN ILON 36 M POLI BEDAH UROLOGI Thorax AP/PA
0717-0092 66
REG/OP/20 2503
### DS200717-0066 RANAH BINTI AMIR 49 F POLI BEDAH UROLOGI Thorax AP/PA
0717-0129 42
### DS200717-0073 KAWIT DAYATI .NY 56 F POLI BEDAH UROLOGI
### DS200717-0074 MAIMONI,NY. 48 F POLI BEDAH UROLOGI
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REG/OP/20 2496 MARYONO BIN MUHAMAD
### DS200717-0075 50 M POLI BEDAH ORTHOPEDI Manus Dex & Sin
### DS200717-0076 50 M POLI BEDAH ORTHOPEDI Wrist Joint Dex/Sin
REG/OP/20 2504
### DS200717-0078 (BATAL)FITRI APRIYANTI 31 F POLI PENYAKIT DALAM USG Abdomen
0717-0226 75
REG/OP/20 2504
### DS200717-0079 FITRI APRIYANTI 31 F POLI PENYAKIT DALAM USG Abdomen
0717-0226 75
REG/OP/20 2504
### DS200717-0080 YULIATI ZAI 49 F POLI PENYAKIT DALAM USG Abdomen
0717-0227 76
REG/EM/20 2504
### DS200717-0083 ENDUNG BIN KAMIN 52 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0717-0013 79
REG/EM/20 2504
### DS200717-0088 ICIN BIN ADA 67 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0717-0014 81
REG/EM/20 2504
### DS200717-0089 ICIN BIN ADA 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0014 81
REG/EM/20 2504
### DS200717-0090 MUHIN FATUROHMAN 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0015 82
REG/IP/200 0202 BUTET CHRISTINE
### DS200717-0094 50 F CHRYSANT CV. Cervical 2 posisi
712-0008 49 SITOHANG
REG/EM/20 2261
### DS200717-0095 ASMEDI BIN ABIK 70 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0016 05
REG/EM/20 2504 MARITZA ASHALINA
0717-0017 83 YUSRINA
REG/EM/20 2504 MARITZA ASHALINA CT Scan Kepala Non kontras,bone
0717-0017 83 YUSRINA window
REG/OP/20 2492 HAMIDAH BINTI ACIM
### DS200717-0111 62 F POLI KANDUNGAN Thorax AP/PA
0717-0237 67 SETIADI
REG/EM/20 2504 (BATAL)MARITZA
0717-0017 83 ASHALINA YUSRINA
REG/EM/20 2504
### DS200717-0113 ENDUNG BIN KAMIN 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0013 79
REG/EM/20 2247
### DS200717-0116 NENENG BINTI ATUNG. HJ 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0022 01
REG/EM/20 2244
### DS200717-0118 ROHILI BIN ANJUN 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0023 26
REG/EM/20 2244
### DS200717-0119 ROHILI BIN ANJUN 61 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0717-0023 26
REG/EM/20 2504
### DS200717-0122 YENI LESTARI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0025 90
REG/EM/20 1718
### DS200717-0126 KARJAYA BIN SAUDI 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0027 52
REG/EM/20 0201 WANDA GINANJAR
0717-0029 90 KARTASASMITA
REG/EM/20 1111
### DS200718-0018 JUJU DJUINAH 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0001 12
REG/EM/20 2504
### DS200718-0022 RAHMAT HIDAYAT 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0002 92
REG/EM/20 2504
### DS200718-0023 RAHMAT HIDAYAT 29 M INSTALASI GAWAT DARURAT (IGD) Wrist Joint Dex/Sin
0718-0002 92
REG/EM/20 2504
### DS200718-0024 RAHMAT HIDAYAT 29 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0718-0002 92
REG/EM/20 0643
### DS200718-0027 NOJA BIN IMPUNG 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0717-0028 03
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REG/IP/200 2364
### DS200718-0034 TJENG BUN 70 M AMARYLLIS Thorax AP/PA
718-0008 70
REG/OP/20 2108 SUDJARWAN BIN DJAMIN.
### DS200718-0036 74 M POLI PENYAKIT DALAM Thorax AP/PA
0718-0047 94 TN
REG/IP/200 2324
### DS200718-0037 TIAN SETIANI. NY 30 F CHRYSANT Thorax AP/PA
718-0009 48
REG/OP/20
### DS200718-0043 WAHYUNINGSIH 37 F RADIOLOGI Appendicogram
0718-0066
REG/OP/20 2504
### DS200718-0049 NURHALIMIH BINTI TALIM 21 F POLI BEDAH MULUT Panoramik
0718-0039 96
REG/OP/20 2505
### DS200718-0050 SULAEMAN BIN DARSA 32 M POLI BEDAH MULUT Panoramik
0718-0058 01
REG/OP/20 2035
### DS200718-0051 YAMAN BIN NEMIT 40 M POLI BEDAH MULUT Panoramik
0718-0060 24
REG/OP/20 2505
### DS200718-0054 LIVIA ALFIRANITA 22 F POLI BEDAH MULUT Panoramik
0718-0077 02
REG/IP/200 1231
### DS200718-0060 EDAH BINTI MA'AN 51 F AMARYLLIS Thorax AP/PA
714-0014 31
REG/OP/20 1660
### DS200718-0062 RISKA SHILVIA 29 F POLI BEDAH MULUT Thorax AP/PA
0718-0036 70
REG/EM/20 2505
### DS200718-0063 ORI FAHRUDIN 19 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0718-0010 08
REG/OP/20 2504 AGUS HIDAYAT
0718-0030 94 RACHMANTONO
REG/IP/200 0643
### DS200718-0071 NOJA BIN IMPUNG 72 M CHRYSANT USG Abdomen
718-0004 03
REG/OP/20
### JO200714-00037 DR. LIDO SIANIPAR 50 M POLI MCU Thorax AP/PA
0714-0320
REG/OP/20 DR. R.M BARNARD
0714-0315 SITUMORANG, SPB
REG/IP/200 1111
### DS200718-0073 JUJU DJUINAH 48 F AMARYLLIS USG Abdomen
718-0003 12
REG/EM/20 2505
### DS200718-0074 NUNUNG BINTI SARAN 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0008 06
REG/IP/200 0201 WANDA GINANJAR
718-0002 90 KARTASASMITA
REG/EM/20 2505
### DS200718-0077 EVA NUR APRILIANI 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0011 09
REG/IP/200 2504
### DS200718-0078 ARI KRISTIANA 31 F CHRYSANT Appendicogram
717-0006 61
REG/OP/20
### JO200718-00027 LA SIAPE 57 M POLI MCU Thorax AP/PA
0718-0100
REG/EM/20 2505
### DS200718-0079 ONO SUPRIATNO 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0007 03
REG/IP/200 1941 (BATAL)PETRUS
### DS200718-0080 69 M CARNATION PTCA - Dokter Operator Kls 2
717-0008 25 SULAKSNO. TN
REG/IP/200 1941
### DS200718-0080 PETRUS SULAKSNO. TN 69 M CARNATION PTCA - Kamar Tindakan
717-0008 25
REG/IP/200 1941
### DS200718-0080 PETRUS SULAKSNO. TN 69 M CARNATION PTCA - Asisten Operator
717-0008 25
REG/IP/200 2504
### DS200718-0082 ENDUNG BIN KAMIN 52 M CHRYSANT Manus Dex/Sin
717-0019 79
REG/EM/20 2505
### DS200718-0084 ORI FAHRUDIN 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0010 08
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REG/IP/200 2504
### DS200718-0087 ICIN BIN ADA 67 M JASMINE Thorax AP/PA
717-0017 81
REG/EM/20 1707
### DS200718-0099 NAMIH BINTI NAJUN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0017 65
REG/EM/20 2505
### DS200718-0115 INI BINTI IMONG 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0718-0018 19
REG/EM/20 2505
### DS200718-0116 INI BINTI IMONG 56 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0718-0018 19
### DS200719-0015 NASIKHIN BIN TESWO 47 M INSTALASI GAWAT DARURAT (IGD)
0719-0003 20 window
REG/EM/20 2505
### DS200719-0016 NASIKHIN BIN TESWO 47 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0719-0003 20
REG/EM/20 2505
### DS200719-0017 NASIKHIN BIN TESWO 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0003 20
REG/EM/20 2505
### DS200719-0021 ITA BIN TAIRAN 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0004 21
REG/EM/20 2264
### DS200719-0026 SENAN BIN NIING 79 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0005 58
REG/EM/20 2505
### DS200719-0032 NURAINI AZZAHRA 0 F INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0719-0006 22
REG/EM/20 2504
### DS200719-0038 RAHMAT HIDAYATULLAH 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0007 69
REG/IP/200 2244
### DS200719-0039 ROHILI BIN ANJUN 61 M CHRYSANT CT Scan Whole Abdomen non kontras
718-0001 26
REG/EM/20 2504
### DS200719-0042 RAHMAT HIDAYATULLAH 23 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0719-0007 69
REG/EM/20 2505
### DS200719-0049 HENI APRIANTI 27 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0011 25
REG/EM/20 2427
### DS200719-0050 NANI BINTI KENAN 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0010 57
REG/EM/20 2192
### DS200719-0054 ETI BINTI BAJURI 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0015 53
REG/EM/20 2192
### DS200719-0055 ETI BINTI BAJURI 51 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0719-0015 53
REG/EM/20 2505
### DS200719-0057 IDAH PARIDAH 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0013 27
REG/EM/20 2424
### DS200719-0060 SULAIMAN BIN H.YUSUF 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0014 89
### DS200719-0061 SULAIMAN BIN H.YUSUF 46 M INSTALASI GAWAT DARURAT (IGD)
0719-0014 89 window
REG/EM/20 2505
### DS200719-0067 EDI BIN GALING 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0017 29
REG/EM/20 2505
### DS200719-0069 IQBAL AZKA AULIA 14 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0019 30
REG/EM/20 2501
### DS200720-0009 NENENG LATIFAH 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0719-0020 79
REG/IP/200 2505
### DS200720-0016 NASIKHIN BIN TESWO 47 M CHRYSANT Manus Dex/Sin
719-0005 20
REG/OP/20 1495 HJ. HANIPAH BINTI H.
0720-0012 44 TAMBAL
REG/OP/20 2384 (BATAL)WANTO BIN
0720-0030 51 SABAN
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REG/OP/20 2384
### DS200720-0023 WANTO BIN SABAN 50 M POLI PENYAKIT DALAM USG Abdomen
0720-0030 51
REG/OP/20 2488
### DS200720-0029 (BATAL)DANIL SETIAWAN 20 M POLI PARU Thorax AP/PA
0519-0093 52
REG/OP/20 2488
### DS200720-0030 DANIL SETIAWAN 20 M POLI PARU Thorax AP/PA
0720-0082 52
REG/IP/200 2261
### DS200720-0033 (BATAL)ASMEDI BIN ABIK 70 M CHRYSANT USG Abdomen
717-0018 05
REG/IP/200 2505
### DS200720-0034 HENI APRIANTI 27 F AMARYLLIS USG Abdomen
719-0006 25
REG/IP/200 2505
### DS200720-0035 ONO SUPRIATNO 38 M CHRYSANT USG Abdomen
718-0012 03
REG/OP/20
### DS200720-0037 MANAN BIN ACIM 55 M RADIOLOGI Thorax AP/PA
0720-0102
REG/OP/20 2349 MUHAMMAD REZA
### DS200720-0040 1 M RADIOLOGI USG Abdomen
0720-0105 65 NURRAHMAN
REG/OP/20 2440
### DS200720-0061 FREDY SUSILO M 24 M POLI PARU Thorax AP/PA
0720-0154 86
REG/OP/20 2195
### DS200720-0063 SANTA S BIN H ODO.H 54 M POLI PENYAKIT DALAM Thorax AP/PA
0720-0129 90
REG/IP/200 2503
### DS200720-0071 EEM BINTI IRIN 54 F ICU Thorax AP/PA
712-0009 20
REG/OP/20
### JO200720-00012 CHASAN CHARIRI 26 M POLI MCU Thorax AP/PA
0720-0161
REG/OP/20 1558
### DS200720-0073 ABDUL RAUF IBRAHIM 68 M POLI PENYAKIT DALAM USG Abdomen
0720-0057 64
REG/OP/20 2500
### DS200720-0076 DEDI ISKANDAR 42 M POLI BEDAH UROLOGI BNO/Abdomen
0720-0077 04
REG/EM/20 2505
### DS200720-0078 ROBIANTO BIN TOHID 43 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0720-0005 44
REG/OP/20 0019 SANAAH BINTI MAD
### DS200720-0080 76 F POLI PENYAKIT DALAM CV. Lumbosacral 2 posisi
0720-0150 88 HASAN, HJ
REG/IP/200 1111
### DS200720-0082 JUJU DJUINAH 48 F AMARYLLIS CV. Lumbosacral 2 posisi
718-0003 12
REG/OP/20 2333
### DS200720-0083 ELIYAH BINTI NARAM 38 F HEMODIALISA Thorax AP/PA
0720-0152 25
REG/OP/20 2505
### DS200720-0087 SEMAN BIN PAIN 67 M POLI BEDAH UMUM Thorax AP/PA
0720-0058 33
REG/OP/20
### DS200720-0088 CAHAYA NAGITA SLAVINA 8 F RADIOLOGI USG Abdomen
0720-0206
REG/OP/20 1206 KRISNA AGUNG
0720-0087 26 SUPARMANTO. TN
REG/OP/20 2128
### DS200720-0091 (BATAL)AZKA FADILAH 2 M RADIOLOGI USG Abdomen
0720-0230 88
REG/OP/20
### DS200720-0093 PONIYATI 53 F RADIOLOGI USG Abdomen
0720-0239
REG/OP/20
### DS200720-0094 MADIH 37 M RADIOLOGI USG Abdomen
0720-0240
REG/OP/20 2329
### DS200720-0096 SUMANTRI BIN GANIH.TN 65 M POLI JANTUNG Thorax AP/PA
0720-0181 41
REG/OP/20 2505
### DS200720-0098 ENCING BIN DAMA 68 M POLI BEDAH ORTHOPEDI Manus Dex/Sin
0720-0122 36
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2128
### DS200720-0099 AZKA FADILAH 2 M RADIOLOGI USG Testis/Scrotum HP
0720-0230 88
### DS200720-0100 20 F CHRYSANT Manus Dex/Sin
REG/OP/20 2505
### DS200720-0101 ASAN AGUS 57 M POLI JANTUNG Thorax AP/PA
0720-0107 34
REG/OP/20 2505 MULYATI BINTI KROMO
0720-0162 40 PAWIRO
REG/OP/20 2502 (BATAL)LAMIH BINTI
### DS200720-0103 70 F POLI SYARAF CV. Thoracolumbal 2 posisi
0720-0141 49 LAMIN
REG/OP/20 2155
### DS200720-0104 MISIH BINTI YUHA. NY 55 F POLI JANTUNG Thorax AP/PA
0720-0172 14
REG/OP/20 2502
### DS200720-0105 LAMIH BINTI LAMIN 70 F POLI SYARAF CV. Lumbosacral 2 posisi
0720-0141 49
REG/OP/20 2374 SAEPUDIN BIN ABDUL
0720-0234 32 GANI
REG/OP/20
### JO200720-00024 KHUSNUL KHOTIMAH 24 F POLI MCU Thorax AP/PA
0720-0270
REG/IP/200 2447
### DS200720-0110 SUKAYA RUDIANTO.H 54 M AMARYLLIS Thorax AP/PA
720-0009 82
REG/IP/200 2427
### DS200720-0113 NANI BINTI KENAN 52 F CHRYSANT USG Abdomen
719-0008 57
REG/IP/200 2505
### DS200720-0114 IDAH PARIDAH 42 F CHRYSANT USG Abdomen
719-0009 27
REG/OP/20 1167
0720-0275 71
### DS200720-0119 MARIAM BINTI NAWIN 59 F POLI BEDAH UROLOGI
### DS200720-0120 AYI SOBARI 59 M POLI BEDAH UROLOGI
### DS200720-0121 ERIK PRIATNA 31 M POLI BEDAH UROLOGI
REG/OP/20 2505
### DS200720-0122 (BATAL)SRI CAHYATI 23 F POLI BEDAH UROLOGI USG Abdomen
0720-0296 52
### DS200720-0124 FAVIAN ADINATA 8 M INSTALASI GAWAT DARURAT (IGD)
0720-0014 56 window
REG/EM/20 2505
### DS200720-0125 FAVIAN ADINATA 8 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0014 56
REG/IP/200 2261
### DS200720-0129 (BATAL)ASMEDI BIN ABIK 70 M CHRYSANT USG Abdomen
717-0018 05
REG/IP/200 2261
### DS200720-0130 ASMEDI BIN ABIK 70 M CHRYSANT CV. Lumbosacral 2 posisi
717-0018 05
REG/EM/20 2009
### DS200720-0134 SUMARNI BINTI RIDWAN 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0015 31
REG/EM/20 1796
### DS200720-0137 BONDAN BIN SARIH 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0016 80
REG/EM/20 2444
### DS200720-0138 EVI TADEWI 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0017 08
REG/EM/20 0394
### DS200720-0145 DONI ALVERO 16 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0018 56
REG/EM/20 0394
### DS200720-0146 DONI ALVERO 16 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0720-0018 56
REG/EM/20 2504
### DS200721-0019 ESTY YULLYANA 27 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0002 01
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1996
### DS200721-0021 EMA NURYANAH 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0001 16
REG/EM/20 2505
### DS200721-0024 SUWANIH BINTI SAAMAN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0720-0022 59
REG/EM/20 2168
### DS200721-0025 H.ACH. BAIDHOWI 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0003 36
REG/OP/20 2414
### DS200721-0028 IPIT MAEMUNAH 51 F POLI PARU Thorax AP/PA
0721-0046 86
REG/IP/200 2504
### DS200721-0031 ITA RASITA 42 F CHRYSANT Thorax AP/PA
721-0005 08
REG/IP/200 2504
### DS200721-0036 AGUS SOLIHIN 46 M AMARYLLIS Thorax AP/PA
721-0006 07
REG/OP/20 1283
### DS200721-0037 HERNA BUDIARTI 57 F POLI PARU Thorax AP/PA
0721-0058 77
REG/OP/20 2448
### DS200721-0044 USMAN SAPUTRA 35 M POLI PARU Thorax AP/PA
0721-0065 15
REG/IP/200 1997
### DS200721-0048 IDA MELAWATI. NY 60 F AMARYLLIS Thorax AP/PA
721-0009 17
REG/OP/20 2487
### JO200721-00002 SAHRIJAL DAHLAN 25 M POLI MCU Thorax AP/PA
0721-0066 17
REG/IP/200 1796
### DS200721-0054 BONDAN BIN SARIH 65 M CHRYSANT USG Abdomen
720-0015 80
REG/IP/200 2444
### DS200721-0055 EVI TADEWI 37 F CHRYSANT USG Abdomen
720-0014 08
REG/EM/20 1705
0721-0004 29
REG/OP/20 2505
### DS200721-0064 SRI CAHYATI 23 F RADIOLOGI USG Abdomen
0721-0151 52
REG/OP/20 1463
### DS200721-0065 ASIH BINTI SAMIT 57 F POLI BEDAH UROLOGI BNO/Abdomen
0721-0053 74
REG/IP/200 2504
717-0017 81
### DS200721-0069 SAPRUDIN BIN MAUN 45 M POLI BEDAH UROLOGI
### DS200721-0070 RACIH BINTI ROMI 39 F POLI BEDAH UROLOGI
REG/OP/20 2511
### DS200721-0071 EDI JUNAEDI 36 M RADIOLOGI USG Abdomen
0721-0172 61
### DS200721-0072 YULIATI ZAI 49 F POLI BEDAH UROLOGI
REG/EM/20 2505
### DS200721-0079 APRYAN HIDAYATULLAH 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0008 71
REG/OP/20 2386
### DS200721-0081 GITA SURI ANGGRAENI 25 F POLI PARU Thorax AP/PA
0721-0171 96
REG/IP/200 2505
### DS200721-0085 SUWANIH BINTI SAAMAN 51 F CHRYSANT USG Abdomen
721-0002 59
REG/IP/200 2505
### DS200721-0086 EDI BIN GALING 43 M CHRYSANT Thorax AP/PA
719-0014 29
REG/OP/20 1890 (BATAL)MIRNA WATI
0721-0230 41 DEWI. NY
### DS200721-0091 50 M POLI BEDAH ORTHOPEDI Thorax AP/PA
REG/OP/20 1890
### DS200721-0092 MIRNA WATI DEWI. NY 29 F RADIOLOGI CV. Cervical 2 posisi
0721-0230 41
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 1890
### DS200721-0093 MIRNA WATI DEWI. NY 29 F RADIOLOGI CV. Thoracal 2 posisi
0721-0230 41
REG/EM/20 1914
### DS200721-0094 NOVIA KURNIAWATI. NY 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0010 95
REG/EM/20 1914
### DS200721-0095 NOVIA KURNIAWATI. NY 52 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0721-0010 95
REG/OP/20 2505
### DS200721-0096 MUGIYATI BINTI SOEKIR 56 F POLI JANTUNG Thorax AP/PA
0721-0118 62
REG/EM/20 0238
### DS200721-0105 TONI 39 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0721-0011 90
REG/EM/20 0238
### DS200721-0106 TONI 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0011 90
REG/OP/20 2505
### DS200721-0108 MAWANG BINTI H. MARTA 60 F POLI JANTUNG Thorax AP/PA
0721-0243 73
REG/OP/20 2505
### DS200721-0109 MARSAH BINTI MAHAR 54 F POLI BEDAH UMUM USG Abdomen
0721-0193 69
REG/OP/20 2505 MUHAMMAD ZABDAN AL
### DS200721-0119 3 M POLI SYARAF Cranium/Nasal AP & LAT
0721-0257 74 GAZALI S
REG/EM/20 2505
### DS200721-0120 AGUS MAULANA YASIN 23 M INSTALASI GAWAT DARURAT (IGD) Ankle joint Dex/Sin
0721-0015 78
REG/IP/200 2505
### DS200721-0123 NUNUNG BINTI SARAN 45 F CHRYSANT Thorax AP/PA
718-0013 06
REG/EM/20 2197
### DS200721-0124 (BATAL)ASEP PRASETYO 31 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0721-0017 31
REG/EM/20 2197
### DS200721-0125 (BATAL)ASEP PRASETYO 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0017 31
REG/OP/20 2440
### DS200721-0126 KANDI BIN TOYIB 58 M POLI PARU Thorax AP/PA
0721-0302 55
REG/EM/20 1841
### DS200721-0127 BOY RUDIANA 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0019 00
REG/EM/20 2505
### DS200721-0128 ASEP MULYADI 44 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0721-0018 80
REG/EM/20 2505
### DS200721-0131 ASEP MULYADI 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0018 80
REG/IP/200 2505
### DS200721-0132 WIWIN BINTI JATMIKA 47 F EDELWEISS Thorax AP/PA
721-0021 60
REG/OP/20 2457 (BATAL)WINDA WIDIYA
### DS200721-0134 29 F POLI PARU Thorax AP/PA
0721-0301 49 SARI
REG/EM/20 2141 RAMOT
0721-0020 15 NAPITUPULU.PDT.S.TH.TN
REG/EM/20 2128
### DS200721-0139 AZKA FADILAH 2 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0021 88
REG/EM/20 2505
### DS200721-0140 CECEP ARIYADI, H 56 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0721-0023 81
REG/EM/20 1998
### DS200721-0143 AINUN FATHIYYAH 2 F INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0721-0025 28
REG/EM/20 2505
### DS200721-0145 RUDI SURATMAN 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0026 82
REG/EM/20 2505
### DS200721-0146 ROHANI BINTI MIUN 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0721-0027 83
REG/EM/20 2505
### DS200721-0147 ROHANI BINTI MIUN 47 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0721-0027 83
REG/IP/200 2505
### DS200722-0016 MEGA MUSTIKA 0 M NICU BABY GRAM
721-0026 84
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 1580
### DS200722-0024 LINDA LESTARI 30 F POLI BEDAH UROLOGI USG Abdomen
0722-0069 37
REG/EM/20 2505
### DS200722-0031 SAMIN BIN SARPAN 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0004 87
REG/EM/20 2505 (BATAL)SAMIN BIN
0722-0004 87 SARPAN
### DS200722-0034 BONDAN BIN SARIH 65 M CHRYSANT
REG/IP/200 2394
### DS200722-0037 NANANG MAKSUDI 48 M AMARYLLIS Thorax AP/PA
722-0004 02
REG/OP/20 0925
### DS200722-0054 CHRIST ALVIARI SURYADI 28 M POLI BEDAH MULUT Panoramik
0722-0057 35
REG/OP/20 1964
### DS200722-0055 FITRI LESTIANA. 26 F POLI BEDAH MULUT Panoramik
0722-0067 79
REG/OP/20 2505
### DS200722-0056 INGGIT WAHYU SETIADI 32 M POLI BEDAH MULUT Panoramik
0722-0096 89
REG/OP/20 0916
### DS200722-0057 CITRA SARI 41 F POLI BEDAH MULUT Panoramik
0722-0106 83
REG/OP/20
### JO200722-00002 MUSYAKIRIN 25 M POLI MCU Thorax AP/PA
0722-0083
REG/EM/20 2505
### DS200722-0064 SAMIN BIN SARPAN 27 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0722-0004 87
REG/EM/20 0061
### DS200722-0066 HASANAH BINTI ASMI 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0007 83
REG/OP/20 2187 SUWONDO BIN COKRO CT Scan Abdomen Superior / Inferior /
0722-0060 81 SUDARMO Pelvis / Coxae non kontras
REG/OP/20 2505
### DS200722-0072 ACAH CAHYATI 36 F POLI BEDAH MULUT Panoramik
0722-0125 91
### DS200722-0073 MANGKIM BIN KAMUD 65 M POLI BEDAH UROLOGI
REG/OP/20 2505 (BATAL)REMINTAN
0722-0163 96 MEISIANA
REG/OP/20
### JO200722-00011 ALISA SALSABILA 19 F POLI MCU Thorax AP/PA
0722-0124
REG/OP/20
### JO200722-00008 ANNISA ADILLAH 17 F POLI MCU Thorax AP/PA
0722-0117
REG/OP/20 1631 HARDIYATNO BIN
0722-0159 95 MUSTANI. TN
REG/OP/20 2505
### DS200722-0077 REMINTAN MEISIANA 19 F POLI BEDAH MULUT Panoramik
0722-0163 96
REG/OP/20 0836 TUKINEM BINTI
0722-0145 84 GITOWIYONO
REG/OP/20
### DS200722-0081 JEMARIN BIN NISAN 45 M RADIOLOGI USG Testis/Scrotum HP
0722-0193
REG/EM/20 1496
### DS200722-0085 AANG BIN OLIB 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0008 48
REG/EM/20 1496
### DS200722-0086 AANG BIN OLIB 46 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0722-0008 48
REG/EM/20 2498
### DS200722-0087 ADELIYA MUTIARA SAID 8 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0722-0009 89
REG/OP/20 2504
### DS200722-0090 KURNIASIH BINTI KETONG 34 F POLI BEDAH SYARAF Thorax AP/PA
0722-0105 18
REG/IP/200 1841
### DS200722-0094 BOY RUDIANA 60 M CHRYSANT USG Abdomen
721-0024 00
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2503
### DS200722-0096 DR. A. SUHARJO 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0010 39
REG/EM/20 2503
### DS200722-0098 (BATAL)DR. A. SUHARJO 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0010 39
REG/OP/20 1886
### DS200722-0101 GUNTUR BIN H. JAHAYA H 64 M POLI JANTUNG Thorax AP/PA
0722-0199 55
REG/IP/200 2505
### DS200722-0102 ZUNA WIRASENA WIJAYA 0 M CARNATION CT Scan Kepala Non kontras
721-0012 68
REG/OP/20 2282
### DS200722-0104 JUMADI BIN DARJA .TN 55 M POLI JANTUNG Thorax AP/PA
0722-0210 70
REG/OP/20 2506
### DS200722-0105 BADRIAH BINTI HASAN 60 F POLI JANTUNG Thorax AP/PA
0722-0216 00
REG/IP/200 2505
### DS200722-0107 MARSAH BINTI MAHAR 54 F EDELWEISS Thorax AP/PA
722-0009 69
REG/IP/200 2504
### DS200722-0110 ITA RASITA 42 F CHRYSANT CAG - Kamar Tindakan
721-0005 08
REG/IP/200 2504
### DS200722-0110 ITA RASITA 42 F CHRYSANT CAG - Dokter Operator
721-0005 08
REG/IP/200 2504
### DS200722-0110 ITA RASITA 42 F CHRYSANT CAG - Asisten Operator
721-0005 08
REG/IP/200 2505
### DS200722-0112 DARTI BINTI TAWAN 53 F CHRYSANT Thorax AP/PA
722-0011 88
REG/EM/20 1496
### DS200722-0119 (BATAL)AANG BIN OLIB 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0008 48
REG/IP/200 2505
### DS200722-0120 GANDA SUMEKARJAYA 49 M CHRYSANT PTCA - Kamar Tindakan
721-0015 77
REG/IP/200 2505 (BATAL)GANDA
721-0015 77 SUMEKARJAYA
REG/IP/200 2505
### DS200722-0120 GANDA SUMEKARJAYA 49 M CHRYSANT PTCA - Asisten Operator
721-0015 77
REG/OP/20 0721
### DS200722-0125 HASAN BIN SIKIM 50 M POLI PENYAKIT DALAM CV. Lumbosacral 2 posisi
0722-0256 81
REG/OP/20 0721
### DS200722-0126 (BATAL)HASAN BIN SIKIM 50 M POLI PENYAKIT DALAM Art Genu Dex/Sin
0722-0256 81
REG/IP/200 2505 NURHAYATI BINTI KROMO
### DS200722-0128 65 F CHRYSANT PTCA - Kamar Tindakan
721-0017 76 PRAWIRO
### DS200722-0128 65 F CHRYSANT PTCA - Dokter Operator Kls 2
721-0017 76 PRAWIRO
### DS200722-0128 65 F CHRYSANT PTCA - Asisten Operator
721-0017 76 PRAWIRO
REG/IP/200 2447
### DS200722-0137 SUKAYA RUDIANTO.H 54 M AMARYLLIS PTCA - Kamar Tindakan
720-0009 82
REG/IP/200 2447
### DS200722-0137 SUKAYA RUDIANTO.H 54 M AMARYLLIS PTCA - Dokter Operator
720-0009 82
REG/IP/200 2447
### DS200722-0137 SUKAYA RUDIANTO.H 54 M AMARYLLIS PTCA - Asisten Operator
720-0009 82
REG/OP/20 0721
### DS200722-0141 HASAN BIN SIKIM 50 M POLI PENYAKIT DALAM Art Genu Dex & Sin
0722-0256 81
REG/IP/200 1997
### DS200722-0143 IDA MELAWATI. NY 60 F AMARYLLIS PTCA - Kamar Tindakan
721-0009 17
REG/IP/200 1997 (BATAL)IDA MELAWATI.
### DS200722-0143 60 F AMARYLLIS PTCA - Dokter Operator Kls 2
721-0009 17 NY
REG/IP/200 1997
### DS200722-0143 IDA MELAWATI. NY 60 F AMARYLLIS PTCA - Asisten Operator
721-0009 17
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1050
### DS200722-0153 DINI ADHANI 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0016 63
REG/EM/20 1050
### DS200722-0154 DINI ADHANI 31 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0722-0016 63
REG/EM/20 2289
### DS200722-0156 ROKAYAH BINTI OROK 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0020 40
REG/EM/20 2498
### DS200722-0157 FERRY YANTO 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0021 99
REG/EM/20 2506
### DS200722-0159 MUSTAYA BIN TAIP 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0015 04
REG/EM/20 2506
### DS200722-0162 MURTA BIN ARMAD 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0722-0025 07
REG/IP/200 2506
### DS200722-0164 FAELA SOFKRISNA PUTRI 27 F EDELWEISS Thorax AP/PA
722-0015 06
REG/EM/20 1459
### DS200723-0017 ADE BIN UDIN ,S.PD,MM 52 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0723-0002 59
REG/EM/20 1459
### DS200723-0018 ADE BIN UDIN ,S.PD,MM 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0002 59
REG/OP/20 2496
### DS200723-0029 SARI BINTI MISAN.HJ 80 F POLI PENYAKIT DALAM Art Genu Dex & Sin
0723-0055 38
REG/IP/200 2505
### DS200723-0030 LASTA BIN TAWAN 44 M CHRYSANT Thorax AP/PA
723-0003 31
REG/IP/200 2505
### DS200723-0033 TIRTA PRAWIRA 56 M AMARYLLIS Thorax AP/PA
723-0004 39
REG/EM/20 0863
### DS200723-0041 (BATAL)RD.SAHAL TUSURI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0003 84
REG/OP/20 2454
### DS200723-0043 ALBERTUS ALDI AFRIAN 17 M POLI BEDAH UMUM USG Testis/Scrotum HP
0723-0099 54
REG/EM/20 2465
### DS200723-0051 DZAKIYYAH PUTRI KRINZA 10 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0007 24
REG/IP/200 2420
### DS200723-0053 AMSATUN BINTI DAIM 62 F CHRYSANT Thorax AP/PA
723-0005 10
REG/EM/20 2506
### DS200723-0062 SIGIT PRASETIA 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0009 16
REG/OP/20 2496 SARJONO BIN CT Scan Abdomen Superior / Inferior /
0723-0124 93 KARTOLEKSONO Pelvis / Coxae non kontras
### DS200723-0071 KARMIN BIN SAAN 65 M POLI BEDAH UROLOGI
REG/IP/200 2506
### DS200723-0072 FAELA SOFKRISNA PUTRI 27 F EDELWEISS Thorax AP/PA
722-0015 06
REG/OP/20 2204
### DS200723-0073 KEVEN RIYAN NATA.TN 24 M POLI ORTODONTI Panoramik
0723-0133 19
REG/OP/20 0836 TUKINEM BINTI
0723-0138 84 GITOWIYONO
REG/IP/200 2244
### DS200723-0076 ROHILI BIN ANJUN 61 M CHRYSANT Thorax AP/PA
718-0001 26
REG/EM/20 2506
### DS200723-0078 (BATAL)AGUS SUDRAJAT 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0011 25
REG/IP/200 2504
717-0017 81
REG/IP/200 2289
### DS200723-0080 ROKAYAH BINTI OROK 51 F CHRYSANT USG Abdomen
722-0018 40
REG/IP/200 2506
### DS200723-0081 MURTA BIN ARMAD 47 M CHRYSANT USG Abdomen
723-0001 07
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2506
### DS200723-0082 BOSIH BIN KANJANG 59 M POLI PENYAKIT DALAM USG Abdomen
0723-0171 22
REG/OP/20 2506 MUHAMAD FAQIH
### DS200723-0084 0 M POLI ANAK USG Testis/Scrotum HP
0723-0170 21 AMRILLAH
REG/OP/20
### JO200723-00007 YULIANA DEWI 18 F POLI MCU Thorax AP/PA
0723-0187
REG/OP/20
### JO200723-00002 LAELA TRI LESTARI 21 F POLI MCU Thorax AP/PA
0723-0116
REG/IP/200 1997
### DS200723-0090 IDA MELAWATI. NY 60 F AMARYLLIS PTCA - Dokter Operator
721-0009 17
REG/IP/200 2394
### DS200723-0097 NANANG MAKSUDI 48 M AMARYLLIS PTCA - Kamar Tindakan
722-0004 02
REG/IP/200 2394
### DS200723-0097 NANANG MAKSUDI 48 M AMARYLLIS PTCA - Dokter Operator
722-0004 02
REG/IP/200 2394
### DS200723-0097 NANANG MAKSUDI 48 M AMARYLLIS PTCA - Asisten Operator
722-0004 02
REG/OP/20 1155 TURISIH BINTI NOTO
0723-0195 26 REJO
REG/OP/20 2506
### DS200723-0100 ABU SAERI 47 M POLI JANTUNG Thorax AP/PA
0723-0196 27
REG/EM/20 1676
### DS200723-0106 NENG DARIAH 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0016 00
REG/IP/200 2506
### DS200723-0108 AJI CANGAK 33 M CHRYSANT Thorax AP/PA
723-0012 28
REG/EM/20 2506
### DS200723-0111 HENI BINTI RAIN 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0019 31
REG/EM/20 2506 (BATAL)KENSU UTSMAN CT Scan Kepala Non kontras,bone
0723-0021 32 KINCAI window
REG/IP/200 2506
### DS200723-0117 SIGIT PRASETIA 36 M CHRYSANT USG Thorax / Paru
723-0008 16
REG/EM/20 0137
### DS200723-0121 ADE KURNIAWAN 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0012 83
REG/OP/20
### DS200723-0128 SUMANTRI BIN SAMUN 36 M RADIOLOGI USG Abdomen
0723-0313
REG/IP/200 2505
### DS200723-0130 (BATAL)SEMAN BIN PAIN 67 M CHRYSANT Thorax AP/PA
723-0016 33
REG/IP/200 2503
### DS200723-0133 MUHAMAD KARSIM 19 M CHRYSANT Thorax AP/PA
723-0017 47
REG/EM/20 2506
### DS200723-0138 SITI AISYAH 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0024 34
REG/EM/20 1219 MUHAMMAD FAREL AL
0723-0025 43 FAHREZI
REG/EM/20 1219 MUHAMMAD FAREL AL
### DS200723-0141 11 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0723-0025 43 FAHREZI
REG/EM/20 2506
### DS200723-0144 JULIANA BR TAMBUNAN 23 F INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0723-0027 35
REG/EM/20 2506
### DS200723-0145 JULIANA BR TAMBUNAN 23 F INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0723-0027 35
### DS200723-0146 JULIANA BR TAMBUNAN 23 F INSTALASI GAWAT DARURAT (IGD)
0723-0027 35 window
REG/EM/20 2506 ASWANDI BIN AGUS
0723-0028 36 TINUS
REG/EM/20 2506 ASWANDI BIN AGUS CT Scan Kepala Non kontras,bone
0723-0028 36 TINUS window
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2506
### DS200723-0150 ARTINI DAMAYANTI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0723-0029 37
REG/EM/20 1849
0723-0026 55
### DS200723-0156 AANG BIN OLIB 46 M CHRYSANT
REG/IP/200 2504
### DS200723-0157 AGUS SOLIHIN 46 M AMARYLLIS PTCA - Kamar Tindakan
721-0006 07
REG/IP/200 2504
### DS200723-0157 AGUS SOLIHIN 46 M AMARYLLIS PTCA - Dokter Operator
721-0006 07
REG/IP/200 2504
### DS200723-0157 AGUS SOLIHIN 46 M AMARYLLIS PTCA - Asisten Operator
721-0006 07
REG/EM/20 2506 AHMAD DAMAN HURI
0723-0032 38 RANGKUTI
REG/EM/20 2195
### DS200724-0015 TUMINIH BINTI OTEN 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0002 33
REG/EM/20 2506
### DS200724-0023 AMAT DJUMAERI 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0003 40
REG/EM/20 2027
### DS200724-0031 NANI YUNINGSIH. NY 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0004 10
REG/OP/20 2497
### DS200724-0035 IDAN 21 F POLI PENYAKIT DALAM USG Abdomen
0724-0076 52
REG/IP/200 2506
### DS200724-0039 ARTINI DAMAYANTI 26 F CHRYSANT USG Abdomen
724-0001 37
REG/OP/20 1842
### DS200724-0040 NYAI RINDON TAMBAL.HJ 74 F HEMODIALISA USG Abdomen
0724-0083 69
REG/OP/20
### DS200724-0043 TONI 48 M RADIOLOGI Thorax AP/PA
0724-0096
REG/OP/20 1295
### DS200724-0045 SELLY YULIANA 32 F POLI BEDAH UROLOGI USG Abdomen
0724-0101 90
REG/IP/200 2445
### DS200724-0055 KARNAEN BIN MAMU 58 M CHRYSANT Thorax AP/PA
724-0005 80
REG/OP/20 MUHAMMAD RIZKY
0724-0063 MAULANA
REG/OP/20 2506
### DS200724-0060 RIO SHEBA 13 M POLI BEDAH MULUT Panoramik
0724-0054 41
REG/OP/20
### JO200724-00011 DEVIKA AKHUALIA 26 F POLI MCU Thorax AP/PA
0724-0107
REG/OP/20
### JO200724-00009 LISNA NURYANTI 39 F POLI MCU Thorax AP/PA
0724-0109
REG/OP/20
### JO200724-00006 MARIASIH SANUSI 31 F POLI MCU Thorax AP/PA
0724-0090
REG/OP/20 2506
### DS200724-0061 ANNISA SAKINA 26 F POLI BEDAH MULUT Panoramik
0724-0085 44
REG/OP/20 2407
### DS200724-0062 SANTI 20 F POLI BEDAH MULUT Panoramik
0724-0079 91
REG/EM/20 1935 KOMARIAH T.R BINTI
0724-0006 12 ATIN. HJ. NY
REG/OP/20 2506 PARNITA KRISTINA
0724-0106 45 SIJABAT
REG/OP/20 2506
### DS200724-0068 MOHAMAD FAHRI HAIKAL 18 M POLI BEDAH MULUT Panoramik
0724-0121 48
### DS200724-0069 JENAL ABIDIN 48 M POLI BEDAH UROLOGI
8/25/2020 12:07:35 PM Page : 1/1

### DS200724-0070 RUMAN BIN BERUM 65 M POLI BEDAH UROLOGI
REG/OP/20 2506
### DS200724-0071 ENJUH BIN ATA 62 M POLI BEDAH MULUT Panoramik
0724-0144 51
### DS200724-0072 BOY RUDIANA 60 M CHRYSANT
REG/OP/20 1830
### DS200724-0079 MARNIH BINTI SARIM 50 F POLI BEDAH UMUM USG Thyroid HP
0724-0128 57
REG/OP/20
### JO200724-00013 NADILA RIANA PUTRI 17 F POLI MCU Thorax AP/PA
0724-0163
REG/OP/20
### DS200724-0081 AGUS SETIAWAN 37 M RADIOLOGI USG Abdomen
0724-0176
REG/OP/20 2505
### DS200724-0082 RACIH BINTI ROMI 39 F POLI BEDAH UROLOGI Thorax AP/PA
0724-0103 61
REG/EM/20 2025
### DS200724-0090 AGUS AL KHOLIK 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0009 83
REG/OP/20 2506
### DS200724-0092 ERNITA BINTI SAUDIN 56 F POLI JANTUNG Thorax AP/PA
0724-0143 50
REG/EM/20 2506
### DS200724-0093 PENIH BINTI EMPE 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0005 46
REG/OP/20 1165 ADELIA NURUL
0724-0193 24 FITRIANA.NN
REG/EM/20 2506
### DS200724-0097 YAYAH BINTI H. BAKAR 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0010 55
REG/OP/20 1710
### DS200724-0102 CAHRIA SUGIANA 36 M POLI THT Thorax AP/PA
0724-0036 44
REG/OP/20
### JO200724-00016 RIYAN MUHARAM 29 M POLI MCU Thorax AP/PA
0724-0195
REG/OP/20
### JO200721-00011 MUHAMMAD HABIL ISMAIL 19 M POLI MCU Thorax AP/PA
0721-0237
REG/EM/20 1784
### DS200724-0110 SUPRIYATI BINTI BAUS 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0013 52
REG/EM/20 2506
### DS200724-0113 SUPANDI BIN SAMIN 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0015 58
REG/EM/20 2506 SARINA BIN HASAN
0724-0018 60 MARTO
REG/EM/20 2506 SARINA BIN HASAN
0724-0018 60 MARTO
REG/EM/20 0682 RUSMADI RUMIADI JAYA,
0724-0020 68 S.PD
REG/EM/20 2506
### DS200724-0121 NABILA PUTRI GUNAWAN 3 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0019 61
### DS200724-0122 NABILA PUTRI GUNAWAN 3 F INSTALASI GAWAT DARURAT (IGD)
0724-0019 61 window
REG/IP/200 2505
### DS200724-0126 DARTI BINTI TAWAN 53 F CHRYSANT CAG - Kamar Tindakan
722-0011 88
REG/IP/200 2505
### DS200724-0126 DARTI BINTI TAWAN 53 F CHRYSANT CAG - Dokter Operator Kls 3
722-0011 88
REG/IP/200 2505
### DS200724-0126 DARTI BINTI TAWAN 53 F CHRYSANT CAG - Asisten Operator
722-0011 88
REG/IP/200 2505
### DS200724-0127 LASTA BIN TAWAN 44 M CHRYSANT PTCA - Kamar Tindakan
723-0003 31
REG/IP/200 2505
### DS200724-0127 (BATAL)LASTA BIN TAWAN 44 M CHRYSANT PTCA - Dokter Operator Kls 1
723-0003 31
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2505
### DS200724-0127 LASTA BIN TAWAN 44 M CHRYSANT PTCA - Asisten Operator
723-0003 31
REG/IP/200 2420
### DS200724-0130 AMSATUN BINTI DAIM 62 F CHRYSANT PTCA - Kamar Tindakan
723-0005 10
REG/IP/200 2420
### DS200724-0130 AMSATUN BINTI DAIM 62 F CHRYSANT PTCA - Dokter Operator Kls 3
723-0005 10
REG/IP/200 2420
### DS200724-0130 AMSATUN BINTI DAIM 62 F CHRYSANT PTCA - Asisten Operator
723-0005 10
REG/EM/20 2506 INES AGUSTINA
0724-0022 62 BATUBARA
REG/OP/20 2427
### DS200724-0138 ANDHI BUDI SUSILO 38 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0724-0208 89
REG/IP/200 2506
### DS200724-0140 MISRONI BIN RUSDAN 47 M JASMINE Thorax AP/PA
722-0012 01
REG/IP/200 2503
### DS200724-0141 DR. A. SUHARJO 54 M AMARYLLIS PTCA - Kamar Tindakan
722-0007 39
REG/IP/200 2503
### DS200724-0141 DR. A. SUHARJO 54 M AMARYLLIS PTCA - Dokter Operator Kls 1
722-0007 39
REG/IP/200 2503
### DS200724-0141 DR. A. SUHARJO 54 M AMARYLLIS PTCA - Asisten Operator
722-0007 39
REG/IP/200 0061
### DS200724-0145 HASANAH BINTI ASMI 50 F CHRYSANT CAG - Kamar Tindakan
722-0005 83
REG/IP/200 0061
### DS200724-0145 HASANAH BINTI ASMI 50 F CHRYSANT CAG - Dokter Operator Kls 2
722-0005 83
REG/IP/200 0061
### DS200724-0145 HASANAH BINTI ASMI 50 F CHRYSANT CAG - Asisten Operator
722-0005 83
REG/EM/20 2506 INES AGUSTINA CT Scan Abdomen Superior / Inferior /
0724-0022 62 BATUBARA Pelvis / Coxae non kontras
REG/OP/20
### DS200724-0149 SARTA 58 M RADIOLOGI CT Scan Thorax non kontras
0724-0234
REG/OP/20
### DS200724-0150 SARTA 58 M RADIOLOGI CT Scan Whole Abdomen non kontras
0724-0234
REG/EM/20 2506 HERLIANTO BIN
0724-0024 64 HARTONO
REG/EM/20 2506
### DS200724-0156 SANIH BINTI SALEH 41 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0724-0026 65
REG/EM/20 2506
### DS200724-0157 SANIH BINTI SALEH 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0724-0026 65
REG/EM/20 2506
### DS200725-0016 IWAN BUDIONO 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0003 67
REG/EM/20 2506
### DS200725-0018 SAMUEL SILALAHI 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0005 69
REG/EM/20 2506
### DS200725-0019 CHOU GUANG ZHANG 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0009 70
REG/IP/200 2506
### DS200725-0021 SANIH BINTI SALEH 41 F CHRYSANT USG Abdomen
725-0001 65
REG/OP/20
### DS200725-0024 MISAR 68 M RADIOLOGI USG Abdomen
0725-0041
REG/OP/20 1026
### DS200725-0035 JUMINAH BINTI ASMUDI 51 F POLI BEDAH MULUT Panoramik
0725-0034 14
REG/OP/20 0435
### DS200725-0036 ROBBY MEGANTARA 41 M POLI BEDAH MULUT Panoramik
0725-0046 90
REG/OP/20 2506
### DS200725-0037 WAFA SAPUTRA NUARI 7 M POLI BEDAH MULUT Panoramik
0725-0053 73
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2502
### DS200725-0043 WIDI ASTUTI 20 F CHRYSANT USG Abdomen
724-0021 86
REG/OP/20 2499
### DS200725-0045 ENJON BIN GUNI 55 M POLI PENYAKIT DALAM USG Abdomen
0725-0127 85
REG/OP/20 2506
### DS200725-0046 ERIC GUNARTO 24 M POLI BEDAH MULUT Panoramik
0725-0088 76
REG/EM/20 0865
### DS200725-0047 ROSA ANGGIETA DEWI 21 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0725-0011 97
REG/OP/20
### JO200725-00030 MUHSANAH 26 F POLI MCU Thorax AP/PA
0725-0103
REG/OP/20
### JO200725-00026 BELLA RIZKY KHARISMA 19 F POLI MCU Thorax AP/PA
0725-0090
REG/OP/20
### JO200725-00028 YULIA MAHARANI 18 F POLI MCU Thorax AP/PA
0725-0095
REG/OP/20
### JO200725-00024 SELLY PITRIAWATI 19 F POLI MCU Thorax AP/PA
0725-0087
REG/OP/20
### JO200725-00019 IRA NUR AFRIAN 20 F POLI MCU Thorax AP/PA
0725-0091
REG/OP/20
### JO200725-00021 NADIA NUR RAHMAWATI 18 F POLI MCU Thorax AP/PA
0725-0086
REG/OP/20
### JO200725-00017 SHEILA MAYOFA 19 F POLI MCU Thorax AP/PA
0725-0093
REG/OP/20
### JO200725-00009 TUNGGUL HARYANTO 33 M POLI MCU Thorax AP/PA
0725-0079
REG/EM/20 2506
### DS200725-0050 JONY NATAL SIANTURI 34 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0725-0013 81
REG/OP/20
### DS200725-0052 NURAISHA FAIDA 2 F RADIOLOGI CT Scan Kepala Non kontras
0725-0149
REG/OP/20 1929 HERLINA BINTI ISHAK
0725-0115 51 SUWARYO. NY
REG/OP/20 2506
### DS200725-0056 DADANG SUNARYA 31 M POLI BEDAH MULUT Panoramik
0725-0133 79
REG/OP/20 2506 BILQIS HUMAIRAH ADI
### DS200725-0058 2 F POLI ANAK CT Scan Kepala Non kontras
0725-0077 42 WIJAYA
REG/EM/20 2506 PARIYATUN BINTI
0725-0016 83 SURAWAN
REG/OP/20 1000
### DS200725-0060 ENDANG SUNANDANG.NY 34 F POLI BEDAH MULUT Panoramik
0725-0141 31
REG/OP/20 2506
### DS200725-0061 SUBAGYO BIN H. KINAH 31 M POLI BEDAH MULUT Panoramik
0725-0151 82
REG/EM/20 2388
### DS200725-0062 EMON BIN NAIAN, H 66 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0014 27
REG/OP/20 2162 MUHAMMAD HARIADI
0725-0160 90 PUTRA .TN
REG/IP/200 2506
### DS200725-0066 HENI BINTI RAIN 37 F CHRYSANT Thorax AP/PA
723-0018 31
REG/OP/20 2506
### DS200725-0069 IKA PUJI SUSANTI 27 F POLI BEDAH MULUT Panoramik
0725-0155 84
REG/EM/20 2506
### DS200725-0073 ROFFIK PRASETIO 32 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0725-0019 86
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1910
0725-0017 49
### DS200725-0077 (BATAL)NOVA MARDIANI 33 F POLI BEDAH UROLOGI
REG/OP/20 2506
### DS200725-0079 H. AGUS MAULANA 58 M POLI BEDAH ORTHOPEDI Ankle joint Dex/Sin
0725-0118 78
REG/EM/20 2506
### DS200725-0081 JONY NATAL SIANTURI 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0013 81
### DS200725-0082 YULI YULIA LASMANA, NY 41 F POLI BEDAH UROLOGI
REG/OP/20 2269 SUMARNO BIN CT Scan Abdomen Superior / Inferior /
0725-0092 68 PAWIROHARJO.TN Pelvis / Coxae non kontras
REG/EM/20 2443
### DS200725-0090 TIGOR IBRAHIM 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0020 84
REG/OP/20 0994
### DS200725-0092 DINA FEBRIANTI 29 F POLI UMUM USG Abdomen
0725-0179 95
REG/EM/20 2506
### DS200725-0093 ROFFIK PRASETIO 32 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0019 86
### DS200725-0095 ROFFIK PRASETIO 32 M INSTALASI GAWAT DARURAT (IGD)
REG/EM/20 2506
### DS200725-0100 NELDA INDRIYANI 22 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0023 88
REG/EM/20 2506 SUDARYONO BIN
0725-0024 89 WAGIMAN KARSO
REG/IP/200 2445
### DS200725-0108 KARNAEN BIN MAMU 58 M CHRYSANT PTCA - Kamar Tindakan
724-0005 80
REG/IP/200 2445
### DS200725-0108 KARNAEN BIN MAMU 58 M CHRYSANT PTCA - Dokter Operator Kls 2
724-0005 80
REG/IP/200 2445
### DS200725-0108 KARNAEN BIN MAMU 58 M CHRYSANT PTCA - Asisten Operator
724-0005 80
REG/IP/200 1941
### DS200725-0110 PETRUS SULAKSNO. TN 69 M CARNATION PTCA - Dokter Operator Kls 1
717-0008 25
REG/IP/200 2505
### DS200725-0111 TIRTA PRAWIRA 56 M AMARYLLIS PTCA - Kamar Tindakan
723-0004 39
REG/IP/200 2505
### DS200725-0111 (BATAL)TIRTA PRAWIRA 56 M AMARYLLIS PTCA - Dokter Operator Kls 2
723-0004 39
REG/IP/200 2505
### DS200725-0111 TIRTA PRAWIRA 56 M AMARYLLIS PTCA - Asisten Operator
723-0004 39
REG/IP/200 2505
### DS200725-0114 LASTA BIN TAWAN 44 M CHRYSANT PTCA - Dokter Operator Kls 3
723-0003 31
REG/IP/200 2506
### DS200725-0120 AMAT DJUMAERI 65 M CARNATION PTCA - Kamar Tindakan
724-0006 40
REG/IP/200 2506
### DS200725-0120 (BATAL)AMAT DJUMAERI 65 M CARNATION PTCA - Dokter Operator Kls 2
724-0006 40
REG/IP/200 2506
### DS200725-0120 AMAT DJUMAERI 65 M CARNATION PTCA - Asisten Operator
724-0006 40
REG/EM/20 2506
### DS200725-0122 JAENAL BIN MESIR 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0026 90
REG/EM/20 2506
### DS200725-0123 JAENAL BIN MESIR 39 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0725-0026 90
### DS200725-0125 MUHAMMAD ZAKARIA 17 M INSTALASI GAWAT DARURAT (IGD)
0725-0028 38 window
REG/EM/20 2037
### DS200725-0126 MUHAMMAD ZAKARIA 17 M INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0725-0028 38
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 0641
### DS200725-0129 PUTRA BIMO WICAKSONO 16 M INSTALASI GAWAT DARURAT (IGD) Cruris Dex/Sin
0725-0027 27
REG/EM/20 0641
### DS200725-0130 PUTRA BIMO WICAKSONO 16 M INSTALASI GAWAT DARURAT (IGD) Thorax AP-Lat dewasa
0725-0027 27
REG/EM/20 2093 SYARIFIYAH BINTI
0725-0031 10 YUSA.NY
REG/EM/20 2382
### DS200725-0135 YAYAH ROKAYAH 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0030 39
### DS200725-0136 PUTRA BIMO WICAKSONO 16 M INSTALASI GAWAT DARURAT (IGD)
0725-0027 27 window
REG/IP/200 2506
### DS200725-0140 YAYAH BINTI H. BAKAR 53 F CHRYSANT Thorax AP/PA
724-0012 55
REG/IP/200 1784
### DS200725-0141 SUPRIYATI BINTI BAUS 50 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
724-0013 52
REG/EM/20 2506
### DS200725-0150 ROHMAT HIDAYAT 11 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0725-0034 95
REG/EM/20 2506
### DS200725-0151 ROHMAT HIDAYAT 11 M INSTALASI GAWAT DARURAT (IGD) Cranium/Nasal AP & LAT
0725-0034 95
REG/EM/20 2499
### DS200725-0153 ENJON BIN GUNI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0035 85
REG/EM/20 2506
### DS200725-0155 ROHMAT HIDAYAT 11 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0034 95
REG/EM/20 2506
### DS200725-0160 MAHFUD SYA'RONI 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0725-0036 96
REG/EM/20 2506
### DS200725-0161 MAHFUD SYA'RONI 23 M INSTALASI GAWAT DARURAT (IGD) Shoulder Joint Dex/Sin
0725-0036 96
### DS200725-0162 MAHFUD SYA'RONI 23 M INSTALASI GAWAT DARURAT (IGD)
0725-0036 96 window
REG/EM/20 2463
### DS200726-0017 RISMA PERMATASARI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0001 25
REG/EM/20 2506
### DS200726-0018 SEVIKA KAUNI 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0002 98
REG/EM/20 1769
### DS200726-0025 RODI ROSYIDI 42 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0726-0006 52
REG/EM/20 1769
### DS200726-0026 RODI ROSYIDI 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0006 52
REG/EM/20 2507
### DS200726-0029 NASIYEM BIN ARAMAHUM 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0007 02
### DS200726-0032 SUTARMA BIN USUP 66 M INSTALASI GAWAT DARURAT (IGD)
0726-0009 03 window
REG/EM/20 2434
### DS200726-0035 JURI NOTO 65 M INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0726-0010 15
REG/EM/20 2434
### DS200726-0036 JURI NOTO 65 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0726-0010 15
REG/EM/20 2507
### DS200726-0037 JUMAEDI BIN KASAN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0011 04
REG/EM/20 2507
### DS200726-0038 JUMAEDI BIN KASAN 39 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0726-0011 04
REG/EM/20 2507
### DS200726-0044 SUTARMA BIN USUP 66 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0009 03
REG/EM/20 2504
### DS200726-0047 SAODAH BINTI ARSAD 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0015 27
REG/EM/20 2507 (BATAL)NYARLAN BIN
### DS200726-0050 48 M INSTALASI GAWAT DARURAT (IGD) Mastoid
0726-0018 06 PAWIRO
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2507
### DS200726-0052 NYARLAN BIN PAWIRO 48 M INSTALASI GAWAT DARURAT (IGD) Cranium/Nasal AP & LAT
0726-0018 06
REG/EM/20 2507
### DS200726-0058 NYARLAN BIN PAWIRO 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0018 06
REG/EM/20 2507
### DS200726-0060 IPAH HAFIFAH AMIR 84 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0020 07
REG/EM/20 1823
### DS200726-0066 MENIH BINTI BENIN 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0022 83
REG/EM/20 2318
### DS200726-0068 ASWATI BINTI SARDA 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0016 41
REG/EM/20 2507
### DS200726-0071 ETI BINTI SUDARMA 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0726-0024 09
REG/EM/20 2507
### DS200726-0072 ETI BINTI SUDARMA 64 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0726-0024 09
REG/OP/20 2110
### DS200727-0022 MAULANA BIN ISHAK. TN 52 M POLI JANTUNG Thorax AP/PA
0727-0041 59
REG/IP/200 2506
### DS200727-0030 IWAN BUDIONO 34 M CHRYSANT USG Abdomen
725-0002 67
REG/IP/200 2505
### DS200727-0036 TARMAN BIN ICAN 35 M AMARYLLIS Thorax AP/PA
727-0003 53
REG/IP/200 2505
### DS200727-0037 TARMAN BIN ICAN 35 M AMARYLLIS Elbow Joint Dex/Sin
727-0003 53
REG/EM/20 1854
### DS200727-0044 ENTIN BINTI ATMA 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0004 86
REG/OP/20 2507
### DS200727-0047 EDAH BINTI GENCIK 32 F POLI UMUM USG Abdomen
0727-0087 16
### DS200727-0053 RISMA PERMATASARI 26 F AMARYLLIS
REG/OP/20 2328
### DS200727-0069 DIAN NURMALA SARI 48 F POLI GIGI DAN MULUT Panoramik
0727-0040 87
REG/OP/20 2507 ENGGAL RAKHMATULLAH
0727-0172 23 RIZKY
REG/OP/20 0379
### DS200727-0072 FERDINAND TARIGAN 46 M POLI GIGI DAN MULUT Panoramik
0727-0145 80
REG/OP/20
### JO200727-00009 BURHANUDIN 21 M POLI MCU Thorax AP/PA
0727-0166
REG/OP/20
### JO200727-00013 DIANA PUTRI 17 F POLI MCU Thorax AP/PA
0727-0162
REG/OP/20
### JO200727-00011 VIRDA ANGGRAENI 21 F POLI MCU Thorax AP/PA
0727-0170
REG/OP/20 2507
### DS200727-0073 HENGKY ANDREAS 25 M POLI BEDAH MULUT Panoramik
0727-0176 24
REG/OP/20 2506
### DS200727-0074 SUBAGYO BIN H. KINAH 31 M POLI BEDAH MULUT Thorax AP/PA
0727-0031 82
### DS200727-0075 KURNAEDI BIN WARNA 27 M POLI BEDAH UROLOGI
REG/OP/20 1289 RASYID ADITYO
0727-0203 65 WIBISONO.AN
REG/OP/20 2507
### DS200727-0082 INAH BINTI UTA 48 F POLI KANDUNGAN Thorax AP/PA
0727-0076 13
REG/OP/20 2505
### DS200727-0083 RACIH BINTI ROMI 39 F POLI PARU Thorax AP/PA
0727-0110 61
REG/OP/20 1688
### DS200727-0085 ENI BINTI ENDRIH.NY 57 F POLI JANTUNG Thorax AP/PA
0727-0024 03
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REG/OP/20 0092 MARINI BINTI EDI
0727-0179 90 SUKARDI
REG/IP/200 2507
### DS200727-0099 JUMAEDI BIN KASAN 39 M CHRYSANT USG Abdomen
726-0007 04
REG/IP/200 2507
### DS200727-0101 WINARTI BINTI WARMIN 51 F CHRYSANT Thorax AP/PA
727-0008 14
REG/IP/200 2505
### DS200727-0102 TIRTA PRAWIRA 56 M AMARYLLIS PTCA - Dokter Operator
723-0004 39
REG/IP/200 2506
### DS200727-0103 AMAT DJUMAERI 65 M CARNATION PTCA - Dokter Operator
724-0006 40
REG/IP/200 2507
### DS200727-0108 WARTA BIN RANTA 49 M CHRYSANT Thorax AP/PA
727-0009 15
REG/IP/200 2506 SUDARYONO BIN
REG/IP/200 2506 (BATAL)SUDARYONO BIN
REG/OP/20
### JO200727-00015 DR. SADDAM ARRAZI 26 M POLI MCU Thorax AP/PA
0727-0181
REG/IP/200 2506 HERLIANTO BIN
### DS200727-0111 56 M CHRYSANT CT Scan Whole Abdomen non kontras
724-0020 64 HARTONO
REG/EM/20 2507
### DS200727-0114 DIDI BIN SAEMIN 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0008 32
REG/EM/20 2507
### DS200727-0116 ISMI YULIANTI 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0727-0010 33
REG/IP/200 2093 SYARIFIYAH BINTI
725-0024 10 YUSA.NY
REG/IP/200 2507
### DS200727-0122 ISAM BIN EJO 50 M CHRYSANT USG Abdomen
726-0003 00
REG/EM/20 2507
### DS200727-0124 MOHAMMAD NASHIR,DRS. 73 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0011 35
REG/IP/200 2506
### DS200727-0126 JAENAL BIN MESIR 39 M CHRYSANT USG Abdomen
725-0023 90
REG/IP/200 2507
### DS200727-0130 ISAM BIN EJO 50 M CHRYSANT Jasa Baca Foto Konvensional
726-0003 00
REG/EM/20 2507
### DS200727-0132 FIKRI ARDIANSYAH 15 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0013 37
REG/EM/20 2507
### DS200727-0133 FIKRI ARDIANSYAH 15 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0727-0013 37
REG/EM/20 2340
### DS200727-0140 AZHARUL MUSTOPA MAKY 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0015 25
REG/EM/20 2340
### DS200727-0143 YOHANES ARIS GUNAWAN 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0019 04
REG/EM/20 0084
### DS200727-0145 SAPTO HANDOYO 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0016 85
REG/EM/20 2383
### DS200727-0147 AANG ARMANAH 60 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0020 31
REG/EM/20 2507
### DS200727-0150 AZRIL RAFIF ALFAREZA 2 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0022 39
REG/EM/20 2507
### DS200727-0156 SEVI INDRIA SARI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0023 41
REG/EM/20 2507 TARYATI BINTI ARJO
0727-0025 43 SUWARDI
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2507
### DS200727-0165 NAMI 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0727-0026 44
REG/IP/200 2505
### DS200728-0017 TARMAN BIN ICAN 35 M AMARYLLIS Elbow Joint Dex/Sin
727-0003 53
REG/IP/200 2507
### DS200728-0018 FIKRI ARDIANSYAH 15 M CHRYSANT Pedis Dex/Sin
727-0014 37
REG/EM/20 2507
### DS200728-0020 IMAS KARTINI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0002 45
REG/IP/200 2507
### DS200728-0024 DESI ARISANDI 0 M PERINA INFEKSI BABY GRAM
727-0015 40
REG/IP/200 2504
### DS200728-0029 APIT SUWANDA 59 M CHRYSANT Thorax AP/PA
728-0004 09
REG/IP/200 2426
### DS200728-0034 BABAY SUBARMAN 52 M CARNATION Thorax AP/PA
728-0005 95
REG/OP/20 2505
### DS200728-0033 RENO RAKATA NYASAM 2 M POLI ANAK CT Scan Kepala Non kontras
0728-0073 63
REG/IP/200 2505
### DS200728-0037 ALI RUSPONO 41 M AMARYLLIS Thorax AP/PA
728-0006 42
REG/OP/20 2507
### DS200728-0044 RENDI BIN MURI 22 M RADIOLOGI Thorax AP/PA
0728-0127 99
REG/OP/20 2505
### DS200728-0048 IDAH PARIDAH 42 F POLI PENYAKIT DALAM Thorax AP/PA
0728-0134 27
REG/OP/20 2195
### DS200728-0057 SANTA S BIN H ODO.H 54 M POLI PENYAKIT DALAM Thorax AP/PA
0728-0071 90
REG/OP/20 0731
### DS200728-0059 NEDIH BIN H.MARUM, TN 50 M POLI PENYAKIT DALAM Art Genu Dex/Sin
0728-0159 51
### DS200728-0060 INDRA GUNAWAN 36 M POLI BEDAH UROLOGI
REG/OP/20 2005 UDI WAHYUDI BIN IRAM. CT Scan Abdomen Superior / Inferior /
0728-0113 00 TN Pelvis / Coxae non kontras
### DS200728-0063 ASIH BINTI SAMIT 57 F POLI BEDAH UROLOGI
REG/EM/20 1618
### DS200728-0064 ITA BIN DAIS 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0006 84
REG/OP/20 2504
### DS200728-0067 YULIATI ZAI 49 F POLI BEDAH UROLOGI Thorax AP/PA
0728-0107 76
REG/EM/20 2486
### DS200728-0070 WIDI ARMONO 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0008 92
REG/IP/200 2507
### DS200728-0071 IMAS KARTINI 26 F CHRYSANT USG Abdomen
728-0002 45
REG/IP/200 2383
### DS200728-0072 AANG ARMANAH 60 F CHRYSANT USG Abdomen
727-0020 31
REG/OP/20 WILLY ATER CAROMOI
0728-0203 GULTOM
REG/OP/20
### DS200728-0074 TRI HANDAYANI 23 F RADIOLOGI USG Abdomen
0728-0229
REG/OP/20
### DS200728-0075 DIKI SUPRIADI 19 M RADIOLOGI USG Abdomen
0728-0228
REG/OP/20 2459
### DS200728-0076 DAMIN 26 M POLI BEDAH MULUT Panoramik
0728-0208 90
REG/OP/20 2507
### DS200728-0078 UNING ROHAYATI 54 F POLI PARU Thorax AP/PA
0728-0210 58
REG/IP/200 2507
### DS200728-0080 WARTA BIN RANTA 49 M CHRYSANT PTCA - Kamar Tindakan
727-0009 15
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2507
### DS200728-0080 WARTA BIN RANTA 49 M CHRYSANT PTCA - Dokter Operator
727-0009 15
REG/IP/200 2507
### DS200728-0080 WARTA BIN RANTA 49 M CHRYSANT PTCA - Asisten Operator
727-0009 15
REG/IP/200 2507
### DS200728-0083 WINARTI BINTI WARMIN 51 F CHRYSANT PTCA - Kamar Tindakan
727-0008 14
REG/IP/200 2507
### DS200728-0083 WINARTI BINTI WARMIN 51 F CHRYSANT PTCA - Dokter Operator
727-0008 14
REG/IP/200 2507
### DS200728-0083 WINARTI BINTI WARMIN 51 F CHRYSANT PTCA - Asisten Operator
727-0008 14
REG/EM/20 2507
### DS200728-0087 LAILA NURUL SARAH 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0010 60
REG/OP/20 0915
### DS200728-0089 LUTHFI DZILAL ARROFI 10 M POLI THT CT Scan Nasofaring dengan kontras
0728-0251 77
REG/EM/20 2507
### DS200728-0094 WIWIT 47 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0728-0009 59
REG/EM/20 2507
### DS200728-0097 WIWIT 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0009 59
REG/EM/20 1381
### DS200728-0101 ANISAH BINTI H.MINTRA 18 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0012 49
REG/EM/20 2507
### DS200728-0103 ARDITYA WANANDI 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0014 63
REG/EM/20 2507
### DS200728-0105 ARDITYA WANANDI 21 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0728-0014 63
REG/IP/200 2486
### DS200728-0108 ABDURROCHMAN ALAWI 32 M AMARYLLIS Thorax AP/PA
728-0012 21
REG/IP/200 2486
### DS200728-0110 ABDURROCHMAN ALAWI 32 M AMARYLLIS Manus Dex/Sin
728-0012 21
REG/EM/20 2234
0728-0013 34
REG/EM/20 1713
### DS200728-0118 OOY NUR SETIA DEWI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0016 12
REG/EM/20 1713
### DS200728-0119 OOY NUR SETIA DEWI 45 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0728-0016 12
REG/EM/20 2507
### DS200728-0124 (BATAL)ALI RAHMAN 18 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0728-0015 64
### DS200728-0125 ALI RAHMAN 18 M INSTALASI GAWAT DARURAT (IGD)
0728-0015 64 window
REG/EM/20 2507 KRISNIWATI BINTI
0728-0019 67 WARIMIN
REG/EM/20 2507 NANI SA'ADAH BINTI CT Scan Kepala Non kontras,bone
0728-0020 68 KUNAN window
REG/EM/20 2507 NANI SA'ADAH BINTI
0728-0020 68 KUNAN
REG/EM/20 2507
### DS200728-0139 IKRAM ASIR 46 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0728-0022 69
REG/EM/20 2507
### DS200728-0140 IKRAM ASIR 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0022 69
REG/EM/20 2507
### DS200728-0145 TRI RETNOWATI 34 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0023 70
REG/EM/20 2507
### DS200728-0149 IDA ROSIDA 35 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0024 71
REG/EM/20 2507 MUHAMMAD AUFAR CT Scan Kepala Non kontras,bone
0728-0025 72 RAFIZKY window
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2507
### DS200729-0008 BACHRO ARIFIN 79 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0728-0027 73
REG/EM/20 2507
### DS200729-0017 AYU PUTRI SEPTIYANTI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0001 74
REG/OP/20 2474
### DS200729-0031 UDIN SURYADINATA 54 M POLI JANTUNG Thorax AP/PA
0729-0053 07
REG/IP/200 2472
### DS200729-0039 POPON NURAISAH 51 F AMARYLLIS Thorax AP/PA
729-0004 85
REG/OP/20 2159 SURYANIH BINTI
0729-0092 10 MUYAN.NY
REG/IP/200 2421
### DS200729-0045 ILHAMMUDIN AKHMAD 23 M AMARYLLIS Thorax AP/PA
729-0005 34
REG/OP/20
### JO200729-00002 KHOIRUN NISA 18 F POLI MCU Thorax AP/PA
0729-0109
REG/OP/20 1870 RETTA MARSAULINA
0729-0129 91 PASARIBU.NN
REG/OP/20 1242
### DS200729-0076 DHANANG WAHYU ABADHI 42 M POLI PENYAKIT DALAM Thorax AP/PA
0729-0123 25
REG/OP/20 2501
### DS200729-0080 AHMAD SUNARDI 46 M POLI GIGI DAN MULUT Panoramik
0729-0128 67
REG/IP/200 2507
### DS200729-0082 AYU PUTRI SEPTIYANTI 24 F CHRYSANT USG Abdomen
729-0003 74
REG/OP/20 2507
### DS200729-0084 MARKIM BIN SAMAN 55 M POLI BEDAH UROLOGI USG Abdomen
0729-0177 61
REG/OP/20 2489
### DS200729-0088 HINDAYATI 53 F POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0729-0226 71
REG/OP/20 2507
### DS200729-0090 ATEP KURYANTO 26 M POLI BEDAH MULUT Panoramik
0729-0210 85
REG/IP/200 2507
### DS200729-0092 ACHMADI DACHLAN 58 M CHRYSANT Thorax AP/PA
729-0007 82
REG/EM/20 2507
### DS200729-0093 WIDYA YUDHA PUTRI 21 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0729-0011 89
REG/OP/20 2507
### DS200729-0096 NASEM BINTI ADAY 41 F POLI JANTUNG Thorax AP/PA
0729-0106 80
REG/OP/20 2505
### DS200729-0099 ENCING BIN DAMA 68 M POLI BEDAH ORTHOPEDI Thorax AP/PA
0729-0104 36
REG/OP/20 2412
### DS200729-0100 AJA SUDRAJAT 33 M POLI JANTUNG Thorax AP/PA
0729-0154 85
REG/OP/20 2507 (BATAL)SAMARUDIN BIN CT Scan V. Cervical / Thoracal / Lumbal
### DS200729-0103 56 M POLI THT
0729-0228 86 TIROK dengan kontras
REG/OP/20 2507
### DS200729-0105 SAMARUDIN BIN TIROK 56 M POLI THT CT Scan Nasofaring dengan kontras
0729-0228 86
REG/IP/200 2507
### DS200729-0106 LAILA NURUL SARAH 34 F CHRYSANT CAG - Kamar Tindakan
728-0011 60
REG/IP/200 2507
### DS200729-0106 LAILA NURUL SARAH 34 F CHRYSANT CAG - Dokter Operator
728-0011 60
REG/IP/200 2507
### DS200729-0106 LAILA NURUL SARAH 34 F CHRYSANT CAG - Asisten Operator
728-0011 60
REG/EM/20 1833 MUHAMMAD AINUR
0729-0013 07 ROFIEQ
REG/OP/20 2507
### DS200729-0109 KHAALISHA ZAHARA 10 F POLI BEDAH UMUM CT Scan Kepala Non kontras
0729-0249 90
REG/OP/20 2209 VINCENCIUS TRI
### DS200729-0112 41 M POLI BEDAH UROLOGI BNO/Abdomen
0729-0088 99 YUNUWARSO
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2209 VINCENCIUS TRI
### DS200729-0113 41 M POLI BEDAH UROLOGI USG Abdomen
0729-0088 99 YUNUWARSO
### DS200729-0114 SAMIN BIN MINTRA 62 M POLI BEDAH UROLOGI
### DS200729-0115 SARNAH BINTI SARKIM 52 F POLI BEDAH UROLOGI
REG/OP/20 0474
### DS200729-0116 YULI YULIA LASMANA, NY 41 F POLI BEDAH UROLOGI Thorax AP/PA
0729-0230 81
REG/OP/20 2507
### DS200729-0124 SITI NURHIDAYAH 39 F POLI SYARAF CV. Lumbosacral 2 posisi
0729-0046 76
REG/IP/200 2504
### DS200729-0127 APIT SUWANDA 59 M CHRYSANT PTCA - Kamar Tindakan
728-0004 09
REG/IP/200 2504
### DS200729-0127 APIT SUWANDA 59 M CHRYSANT PTCA - Dokter Operator
728-0004 09
REG/IP/200 2504
### DS200729-0127 APIT SUWANDA 59 M CHRYSANT PTCA - Asisten Operator
728-0004 09
REG/IP/200 2507 (BATAL)NANI SA'ADAH
### DS200729-0131 37 F BANGSAL NEUROLOGI JASA BACA CT SCAN
728-0020 68 BINTI KUNAN
REG/IP/200 2426
### DS200729-0132 BABAY SUBARMAN 52 M CARNATION PTCA - Kamar Tindakan
728-0005 95
REG/IP/200 2426
### DS200729-0132 BABAY SUBARMAN 52 M CARNATION PTCA - Dokter Operator
728-0005 95
REG/IP/200 2426
### DS200729-0132 BABAY SUBARMAN 52 M CARNATION PTCA - Asisten Operator
728-0005 95
REG/IP/200 1769
### DS200729-0133 (BATAL)RODI ROSYIDI 42 M BANGSAL NEUROLOGI JASA BACA CT SCAN
726-0004 52
REG/OP/20
### JO200729-00013 DR. SYARIFUDDIN 54 M POLI MCU Thorax AP/PA
0729-0284
REG/IP/200 2505
### DS200729-0134 ALI RUSPONO 41 M AMARYLLIS CAG - Kamar Tindakan
728-0006 42
REG/IP/200 2505
### DS200729-0134 ALI RUSPONO 41 M AMARYLLIS CAG - Dokter Operator
728-0006 42
REG/IP/200 2505
### DS200729-0134 ALI RUSPONO 41 M AMARYLLIS CAG - Asisten Operator
728-0006 42
REG/IP/200 2486
### DS200729-0135 WIDI ARMONO 41 M CHRYSANT PTCA - Kamar Tindakan
728-0008 92
REG/IP/200 2486
### DS200729-0135 WIDI ARMONO 41 M CHRYSANT PTCA - Dokter Operator
728-0008 92
REG/IP/200 2486
### DS200729-0135 WIDI ARMONO 41 M CHRYSANT PTCA - Asisten Operator
728-0008 92
REG/EM/20 0756
### DS200729-0142 ARLINA BINTI MARSAIN 36 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0018 83
REG/EM/20 0756
### DS200729-0143 ARLINA BINTI MARSAIN 36 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0729-0018 83
REG/EM/20 2420
### DS200729-0147 ABDUL WADA 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0021 06
### DS200729-0149 MUNINGAH BINTI MUSLIM 40 F INSTALASI GAWAT DARURAT (IGD)
0729-0022 97 window
REG/EM/20 2507
### DS200729-0150 MUNINGAH BINTI MUSLIM 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0022 97
REG/EM/20 0575
### DS200729-0155 BIJANTO BIN SAIJAN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0023 71
REG/EM/20 2507
### DS200729-0159 (BATAL)RENDI BIN MURI 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0026 99
8/25/2020 12:07:35 PM Page : 1/1

### DS200730-0011 MUNHAF FAHRUDIN 40 M INSTALASI GAWAT DARURAT (IGD)
0729-0024 73 window
REG/EM/20 1509
### DS200730-0012 MUNHAF FAHRUDIN 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0729-0024 73
REG/EM/20 2508
### DS200730-0014 ANDRI MANALU 25 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0001 00
REG/OP/20 0863
### DS200730-0021 RD.SAHAL TUSURI 55 M POLI PENYAKIT DALAM Thorax AP/PA
0730-0039 84
REG/OP/20 2487
### DS200730-0027 JAJA BIN YADI 59 M POLI PARU Thorax AP/PA
0730-0063 38
REG/OP/20 2412
### DS200730-0028 SAFITRI BINTI ARDI 23 F POLI PARU Thorax AP/PA
0730-0065 70
REG/OP/20 1741
### DS200730-0031 TARYADI BIN DULLOH 60 M POLI PARU Thorax AP/PA
0730-0047 87
REG/OP/20 1911
### DS200730-0032 YANTI BINTI KAYAN 47 F HEMODIALISA Thorax AP/PA
0730-0041 63
REG/IP/200 2494 (BATAL)MARISI
729-0011 13 SITUMEANG
REG/OP/20 2508
### DS200730-0037 M. SUDARI 54 M POLI PENYAKIT DALAM Thorax AP/PA
0730-0086 02
REG/EM/20 1997
### DS200730-0040 KEYLA AVISHA ARIAWAN 6 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0002 54
REG/OP/20
### JO200730-00004 NURMALA ALFIAH 23 F POLI MCU Thorax AP/PA
0730-0083
REG/IP/200 2507
### DS200730-0047 BACHRO ARIFIN 79 M CHRYSANT Abdomen 3 posisi
729-0002 73
REG/OP/20 1573
### DS200730-0049 SURJI PURWANTO.TN 48 M RADIOLOGI CT Scan Kepala Non kontras
0730-0128 44
### DS200730-0056 SUKAESIH BINTI AMEH 39 F POLI BEDAH UROLOGI
REG/EM/20 2508
### DS200730-0058 WINNY OKTAVIANI 28 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0003 06
REG/EM/20 2508
### DS200730-0061 JUWITA BINTI NAJAR 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0004 09
REG/EM/20 2508
### DS200730-0062 JUWITA BINTI NAJAR 32 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0730-0004 09
REG/OP/20 0893
### DS200730-0063 NAUFA NAZLA NABILA 10 F RADIOLOGI Thorax AP/PA
0730-0166 60
REG/OP/20 2506
### DS200730-0066 KARMIN BIN SAAN 65 M POLI BEDAH UROLOGI Thorax AP/PA
0730-0118 18
REG/OP/20 2446 (BATAL)TUTIK YUNI
### DS200730-0071 38 F POLI UMUM MSCT Thorax
0730-0196 67 WARDANI
REG/OP/20 2446
### DS200730-0072 TUTIK YUNI WARDANI 38 F POLI UMUM Thorax AP/PA
0730-0196 67
REG/OP/20 2480
### DS200730-0075 DANY SUHADA 34 M POLI PARU CT Scan Thorax dengan kontras
0730-0036 13
REG/OP/20 2507
### DS200730-0077 YAHYA SUHENDAR 54 M POLI PARU CT Scan Thorax dengan kontras
0730-0035 17
REG/OP/20 2255
### DS200730-0078 SINAH BINTI CIONG.NY 65 F POLI JANTUNG Thorax AP/PA
0730-0126 32
REG/IP/200 2494
### DS200730-0080 MARISI SITUMEANG 22 F JASMINE Thorax AP/PA
729-0011 13
REG/EM/20 2508
### DS200730-0081 YUNITA BINTI IKAM 15 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0005 10
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REG/EM/20 2508
### DS200730-0082 YUNITA BINTI IKAM 15 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0730-0005 10
REG/OP/20
### DS200730-0087 NUFI AVNISCHA 19 F RADIOLOGI USG Abdomen
0730-0212
REG/OP/20
### DS200730-0088 (BATAL)NUFI AVNISCHA 19 F RADIOLOGI USG Abdomen
0730-0212
REG/OP/20
### JO200730-00008 LUTFIA DINAR ARIQ 18 F POLI MCU Thorax AP/PA
0730-0208
REG/IP/200 2507
### DS200730-0105 ACHMADI DACHLAN 58 M CHRYSANT CAG - Kamar Tindakan
729-0007 82
REG/IP/200 2507
### DS200730-0105 ACHMADI DACHLAN 58 M CHRYSANT CAG - Dokter Operator Kls 2
729-0007 82
REG/IP/200 2507
### DS200730-0105 ACHMADI DACHLAN 58 M CHRYSANT CAG - Asisten Operator
729-0007 82
REG/EM/20 2208
### DS200730-0112 MOH SUKARDI 75 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0009 43
REG/IP/200 2472
### DS200730-0114 POPON NURAISAH 51 F AMARYLLIS PTCA - Kamar Tindakan
729-0004 85
REG/IP/200 2472
### DS200730-0114 (BATAL)POPON NURAISAH 51 F AMARYLLIS PTCA - Dokter Operator Kls 2
729-0004 85
REG/IP/200 2472
### DS200730-0114 POPON NURAISAH 51 F AMARYLLIS PTCA - Asisten Operator
729-0004 85
REG/EM/20 2508
### DS200730-0116 ABIDZAR AL GHIFARY 2 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0010 17
REG/EM/20 2508
### DS200730-0118 JAWIAH SARIP 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0011 18
### DS200730-0123 UDIN 52 M RADIOLOGI
0730-0285 Pelvis / Coxae non kontras
REG/EM/20 2508
### DS200730-0125 ENTIN. R 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0012 19
REG/EM/20 2508
### DS200730-0126 ENTIN. R 49 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0730-0012 19
REG/IP/200 2507
### DS200730-0127 ZYVA ALMAHIRA NAUREEN 0 F CARNATION CT Scan Kepala Non kontras
729-0010 87
REG/IP/200 2507
### DS200730-0128 IMAS KARTINI 26 F CHRYSANT Thorax AP/PA
728-0002 45
REG/EM/20 2208
### DS200730-0129 MOH SUKARDI 75 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0730-0009 43
REG/EM/20 2508
### DS200730-0136 SAPNI BINTI WARDI 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0730-0015 21
REG/EM/20 2508
### DS200731-0013 AGUN HERMAWAN 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0002 23
REG/EM/20 2508
### DS200731-0015 SALI BIN KAIMIN 46 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0731-0003 24
REG/EM/20 2073
### DS200731-0018 TARMANIH BINTI ALI 68 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0004 58
REG/EM/20 2508
### DS200731-0022 SALI BIN KAIMIN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0003 24
REG/EM/20 2508
### DS200731-0026 WASDA BIN SAPAN 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0006 26
REG/EM/20 2508
### DS200731-0029 NEPI ROSLIANTI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0005 25
REG/EM/20 2508
### DS200731-0030 WASDA BIN SAPAN 51 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0731-0006 26
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REG/EM/20 2508
### DS200731-0034 ENGKOS BIN KIMAN 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0007 27
### DS200731-0035 REZKY RAMA ADRYANTO 14 M INSTALASI GAWAT DARURAT (IGD)
0731-0009 29 window
REG/EM/20 2508
### DS200731-0040 ENGKOS BIN KIMAN 56 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0731-0007 27
REG/EM/20 2508
### DS200731-0042 HERY SUBYO 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0010 30
REG/EM/20 0853
### DS200731-0052 AWAT BINTI H.SAHRONI 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0013 97
REG/IP/200 2508
### DS200731-0057 SAPNI BINTI WARDI 54 F CHRYSANT USG Abdomen
731-0002 21
REG/EM/20 2508
### DS200731-0061 MOHAMMAD SOLEH 29 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0731-0015 33
REG/IP/200 1910
### DS200731-0062 ENCIM BIN OYIM 49 M CHRYSANT Thorax AP/PA
725-0008 49
REG/EM/20 0237
### DS200731-0065 (BATAL)JOKO RIYANTO 41 M INSTALASI GAWAT DARURAT (IGD) Shoulder Joint Dex/Sin
0731-0016 46
REG/EM/20 0994
### DS200801-0009 NAYSILA BADRIAH KAMIL 14 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0801-0001 50
REG/IP/200 2507
### DS200801-0014 SUTARMA BIN USUP 66 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
726-0011 03
REG/OP/20 2507 (BATAL)KHAALISHA
### DS200801-0015 10 F POLI ANAK Thorax AP/PA
0801-0034 90 ZAHARA
REG/OP/20 2507
### DS200801-0016 KHAALISHA ZAHARA 10 F POLI ANAK Thorax AP/PA
0801-0034 90
REG/EM/20 2300
### DS200801-0024 LATIFAH HANUM 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0801-0006 70
REG/OP/20 2508
### DS200801-0036 HERLINA.R 54 F POLI PENYAKIT DALAM USG Abdomen
0801-0170 16
REG/OP/20
### JO200801-00014 YADI HUSNI MUBAROK 24 M POLI MCU Thorax AP/PA
0801-0181
REG/OP/20
### JO200801-00009 NURONI ARIF 22 M POLI MCU Thorax AP/PA
0801-0176
REG/OP/20
### JO200801-00007 ANITA LISTIYANI 19 F POLI MCU Thorax AP/PA
0801-0149
REG/OP/20
### JO200801-00005 WAHYU DWI SAPUTRA 20 M POLI MCU Thorax AP/PA
0801-0148
### DS200801-0041 ENUNG BINTI ECIN 33 F POLI BEDAH UROLOGI
REG/IP/200 2508
### DS200801-0044 MOHAMMAD SOLEH 29 M CHRYSANT USG Abdomen
731-0013 33
REG/OP/20 2216
### DS200801-0049 SISCA PANGGABEAN 25 F RADIOLOGI USG Mammae Doppler
0801-0201 72
REG/OP/20 DIENA JUVENTINE
### DS200801-0050 23 F RADIOLOGI USG Mammae Doppler
0801-0202 BATISTUTA
REG/OP/20
### DS200801-0052 CICIH 41 F RADIOLOGI USG Abdomen
0801-0204
REG/IP/200 2472
### DS200801-0053 POPON NURAISAH 51 F AMARYLLIS PTCA - Dokter Operator
729-0004 85
REG/IP/200 2505
### DS200801-0054 GANDA SUMEKARJAYA 49 M CHRYSANT PTCA - Dokter Operator
721-0015 77
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REG/EM/20 2508
### DS200801-0061 JUNAEDI BIN SUHANDI 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0801-0013 51
REG/EM/20 2508
### DS200801-0064 MAYA BINTI MA'UN 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0801-0014 52
REG/EM/20 2508
### DS200801-0066 MAYA BINTI MA'UN 38 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0801-0014 52
### DS200801-0069 JUNAEDI BIN SUHANDI 41 M INSTALASI GAWAT DARURAT (IGD)
REG/IP/200 2508
### DS200801-0070 JAWIAH SARIP 59 F CHRYSANT Thorax AP/PA
730-0010 18
REG/IP/200 1911
### DS200801-0071 YANTI BINTI KAYAN 47 F CHRYSANT Thorax AP/PA
730-0007 63
REG/IP/200 2508
### DS200801-0074 WINNY OKTAVIANI 28 F CHRYSANT Thorax AP/PA
730-0004 06
REG/EM/20 2497
### DS200802-0021 ROMIH BINTI ENGKUK 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0003 06
REG/EM/20 2508 N. HAYATI,HJ BINTI
### DS200802-0022 65 F INSTALASI GAWAT DARURAT (IGD) CV. Lumbal 2 posisi
0802-0004 54 MADIAS
REG/OP/20
### DS200802-0023 NOYAN. H 57 M RADIOLOGI Shoulder Joint Dex/Sin
0802-0001
REG/EM/20 2494
### DS200802-0026 R KARTOBI 74 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0006 71
REG/EM/20 2508 KUNCORO BIN BROTO
0802-0005 55 SUPADMO
REG/EM/20 1216
### DS200802-0033 IDA BINTI MISNA.NY 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0009 32
REG/EM/20 2508
### DS200802-0036 TATI SUSILAWATI 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0010 57
REG/EM/20 2508
### DS200802-0044 UCUP YUSUP 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0012 59
### DS200802-0046 MAYA BINTI MA'UN 38 F CHRYSANT
REG/IP/200 1216
### DS200802-0047 IDA BINTI MISNA.NY 50 F CHRYSANT Thorax AP/PA
802-0004 32
REG/EM/20 2023
### DS200802-0049 YAYAN SUGIANTO SH 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0802-0016 52
REG/IP/200 2507
### DS200803-0004 IMAS KARTINI 26 F CHRYSANT Thorax AP/PA
728-0002 45
REG/OP/20
### DS200803-0025 RIRIN RIANI H 13 F RADIOLOGI USG Abdomen
0803-0095
REG/EM/20 1910
0803-0002 49
REG/OP/20
### JO200803-00030 INSAN ASNAWI 20 M POLI MCU Thorax AP/PA
0803-0136
REG/OP/20
### JO200803-00032 AGUS SOFYAN 22 M POLI MCU Thorax AP/PA
0803-0138
REG/OP/20
### JO200803-00026 CATUR EFRIYANTO 21 M POLI MCU Thorax AP/PA
0803-0134
REG/OP/20
### JO200803-00024 ARI SETIYADI 23 M POLI MCU Thorax AP/PA
0803-0129
REG/OP/20
### JO200803-00022 RIAN PRASTOWO 23 M POLI MCU Thorax AP/PA
0803-0125
REG/OP/20
### JO200803-00034 FAKHRUS NUR AZIZ 20 M POLI MCU Thorax AP/PA
0803-0143
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200803-00020 SHINTA BELLA 22 F POLI MCU Thorax AP/PA
0803-0124
REG/OP/20 MARKUS BAMBANG
0803-0120 KRISTIANTORO
REG/OP/20
### JO200803-00009 DWI PRASETYO 20 M POLI MCU Thorax AP/PA
0803-0083
REG/OP/20
### JO200803-00003 BUDI SETYO EFFENDI 22 M POLI MCU Thorax AP/PA
0803-0064
REG/OP/20
### JO200803-00040 ANGGIT BENI PRAMONO 22 M POLI MCU Thorax AP/PA
0803-0147
REG/OP/20
### JO200803-00036 GUNTUR PAMUNGKAS 20 M POLI MCU Thorax AP/PA
0803-0145
REG/OP/20
### JO200803-00038 FAUZI NUR HIDAYAT 22 M POLI MCU Thorax AP/PA
0803-0135
REG/EM/20 1368
### DS200803-0047 RAHMATULLAH SIDIQ 39 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0803-0004 07
REG/OP/20
### JO200803-00044 FENDI ANTORO 22 M POLI MCU Thorax AP/PA
0803-0153
REG/OP/20
### JO200803-00042 MUHAMAD SALEH 21 M POLI MCU Thorax AP/PA
0803-0148
REG/OP/20 GILANG WAHYU AJI
0803-0156 NURFAID
REG/OP/20 2386
### DS200803-0049 MAESAROH BINTI MAMAT 30 F POLI BEDAH MULUT Panoramik
0803-0053 68
REG/OP/20
### JO200803-00048 AGUS ANANDI 19 M POLI MCU Thorax AP/PA
0803-0158
REG/OP/20 2218 DODO VERNANDA YULIAN
0803-0157 25 PUTRA.TN
REG/OP/20 1376 SUGIYONO BIN FATHURI.
0803-0118 18 TN
REG/OP/20
### JO200803-00052 ROHMAN HARI WIBOWO 23 M POLI MCU Thorax AP/PA
0803-0160
REG/OP/20
### JO200803-00059 MUHAMMAD PAOZAN 26 M POLI MCU Thorax AP/PA
0803-0172
REG/OP/20
### JO200803-00064 WISNU AFANDY 25 M POLI MCU Thorax AP/PA
0803-0179
REG/OP/20 2508
### DS200803-0057 WAHYUDIN BIN ANIM 28 M POLI BEDAH MULUT Panoramik
0803-0127 66
### DS200803-0058 YANAH BINTI MULYADI 39 F POLI BEDAH UROLOGI
REG/OP/20
### JO200803-00069 BAGUS HIMMAM ALI 21 M POLI MCU Thorax AP/PA
0803-0196
REG/OP/20
### JO200803-00067 YULIAN PRASETYA 20 M POLI MCU Thorax AP/PA
0803-0195
REG/OP/20
### JO200803-00075 FIYAN PRASTIYO 23 M POLI MCU Thorax AP/PA
0803-0200
REG/OP/20
### JO200803-00073 EKO PENDI PIATMOKO 20 M POLI MCU Thorax AP/PA
0803-0199
REG/OP/20 2393 PRADITYA JALU
0803-0210 54 RAMADHAN
REG/OP/20 2303
### JO200803-00071 WAHYU WIDODO,TN 22 M POLI MCU Thorax AP/PA
0803-0197 10
REG/OP/20 2211 GUNTUR PURNOMO
0803-0216 33 AJI.TN
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200803-00081 ADAM RIZQI 22 M POLI MCU Thorax AP/PA
0803-0221
REG/OP/20 2504
### DS200803-0069 YANI SURYANI 34 F POLI SYARAF CT Scan Sinus Paranasal dengan kontras
0803-0230 47
REG/OP/20 2508
### DS200803-0070 SATAM BIN LEAN 79 M POLI BEDAH UROLOGI USG Abdomen
0803-0038 36
REG/OP/20 2429
### DS200803-0073 AKAM BIN ANING 57 M POLI SYARAF CT Scan Kepala Non kontras
0803-0186 57
REG/OP/20
### JO200803-00083 DR. AGUS WIRYANA 59 M POLI MCU Thorax AP/PA
0803-0224
REG/OP/20 2457
### JO200803-00114 AZMI NURFAUZI 22 M POLI MCU Thorax AP/PA
0803-0277 17
REG/OP/20
### JO200803-00112 DANANG RIZKI SAPUTRO 20 M POLI MCU Thorax AP/PA
0803-0276
REG/OP/20
### JO200803-00108 SAVIRA PUTRI SUHERMAN 19 F POLI MCU Thorax AP/PA
0803-0273
REG/OP/20 IRWAN DWI ADI
0803-0275 PRASETYO
REG/OP/20
### JO200803-00106 SOFYAN ABDUL GANI 22 M POLI MCU Thorax AP/PA
0803-0271
REG/OP/20
### JO200803-00104 MOHAMAD IMRON 22 M POLI MCU Thorax AP/PA
0803-0268
REG/OP/20 MUHAMMAD KHASANUL
0803-0265 ADIB
REG/OP/20
### JO200803-00099 UJE 21 M POLI MCU Thorax AP/PA
0803-0263
REG/OP/20 MUHAMMAD FATHUL
0803-0260 MUBIN
REG/OP/20 2231 ANDRE FAHRIZAL
0803-0258 58 RAMADHAN.TN
REG/OP/20 2469
### JO200803-00093 ILHAM SAFARAZ 20 M POLI MCU Thorax AP/PA
0803-0256 90
REG/OP/20
### JO200803-00091 RIFKI MUNANJAR 21 M POLI MCU Thorax AP/PA
0803-0251
REG/OP/20 2231
### JO200803-00089 ZAIN KHOIRUDIN 20 M POLI MCU Thorax AP/PA
0803-0244 07
REG/OP/20
### JO200803-00087 MAHER MUHAMMAD RIVAI 22 M POLI MCU Thorax AP/PA
0803-0234
REG/OP/20
### JO200803-00085 CRISDIYANTO 20 M POLI MCU Thorax AP/PA
0803-0225
REG/OP/20 2397
### JO200803-00118 MISBAHUL ANAM 21 M POLI MCU Thorax AP/PA
0803-0281 81
REG/OP/20
### JO200803-00116 BAYU PRATAMA 22 M POLI MCU Thorax AP/PA
0803-0278
REG/OP/20
### JO200803-00122 DANI WAHYUDI 22 M POLI MCU Thorax AP/PA
0803-0287
REG/OP/20
### JO200803-00120 BAGUS REZEKI MAULANA 21 M POLI MCU Thorax AP/PA
0803-0284
REG/OP/20 2512
### JO200803-00126 DWI HARYANTO 20 M POLI MCU Thorax AP/PA
0803-0291 97
REG/OP/20
### JO200803-00124 IRSYAM KHARIRI 22 M POLI MCU Thorax AP/PA
0803-0289
REG/OP/20 2508 MARDIANSYAH BIN
0803-0252 75 JARUDIN
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2508 ALVARO SYAFIQ
### DS200803-0079 6 M POLI BEDAH ORTHOPEDI Elbow Joint Dex & Sin
0803-0086 62 DARMAWAN
REG/IP/200 2494
### DS200803-0081 R KARTOBI 74 M CHRYSANT USG Abdomen
802-0003 71
REG/OP/20 2508
### DS200803-0082 SIMAH BINTI KISAN 48 F POLI PENYAKIT DALAM Thorax AP/PA
0803-0211 70
REG/OP/20 1889 ROCHMAT BIN DONGOS.
0803-0151 02 TN
REG/OP/20 2179
### JO200803-00128 LUKINDRA DION PRADICA 22 M POLI MCU Thorax AP/PA
0803-0238 24
REG/EM/20 2508
### DS200803-0087 IJAH BINTI AHMAD 59 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0803-0007 79
REG/IP/200 0347
### DS200803-0090 SRI NINGSIH,NY. 57 F BANGSAL NEUROLOGI Thorax AP/PA
803-0003 40
REG/IP/200 0347
### DS200803-0091 SRI NINGSIH,NY. 57 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
803-0003 40
REG/EM/20 1542
### DS200803-0092 AHYAD BIN MALI 46 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0803-0009 21
REG/IP/200 2508
### DS200803-0109 TATI SUSILAWATI 37 F EDELWEISS Thorax AP/PA
802-0005 57
REG/EM/20 2508
### DS200803-0124 IJAH BINTI AHMAD 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0007 79
REG/OP/20
### DS200803-0128 SHERLY KUSNADI 45 F RADIOLOGI Panoramik
0803-0336
REG/EM/20 1943
### DS200803-0132 SARLINA BINTI NA'ALI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0011 12
REG/OP/20 2508
### DS200803-0135 SULISTYO BIN SONO 26 M POLI BEDAH UROLOGI BNO/Abdomen
0803-0315 83
### DS200803-0136 SITI ROKIAH 46 F POLI BEDAH UROLOGI
### DS200803-0137 OSIPAH BINTI MATAP 54 F POLI BEDAH UROLOGI
REG/EM/20 1715
### DS200803-0148 HADI ROHMANTO 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0012 76
REG/EM/20 1715
### DS200803-0150 HADI ROHMANTO 60 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0803-0012 76
REG/EM/20 0221
### DS200803-0153 TUMIYEM BINTI WARNO 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0015 34
REG/EM/20 2504
0803-0016 55
REG/EM/20 2461
### DS200803-0158 BIMA ATHAYA 0 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0017 46
REG/EM/20 2488
### DS200803-0159 FANIE PRIBADI ALAMSYAH 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0018 62
REG/EM/20 2508
### DS200803-0163 WASDJUD BIN EWONG 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0020 89
REG/EM/20 2508
### DS200803-0164 WASDJUD BIN EWONG 68 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0803-0020 89
### DS200803-0166 (BATAL)EKA ROSMAWATI 33 F INSTALASI GAWAT DARURAT (IGD)
0803-0021 90 window
REG/EM/20 2508 HANDOKO BIN DARTO
0803-0022 91 SUNAN
REG/EM/20 2508
### DS200803-0169 EKA ROSMAWATI 33 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0803-0021 90
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1194
### DS200804-0013 SOLEH BIN SAMIN 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0002 31
REG/EM/20 1511
### DS200804-0018 NURJANIH BINTI SAMAT 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0003 59
REG/IP/200 2505
### DS200804-0031 SJAFRIL AB 70 M CHRYSANT Thorax AP/PA
804-0003 93
REG/IP/200 1236
### DS200804-0038 WAHYU BUDIMAN 56 M AMARYLLIS Thorax AP/PA
804-0006 91
REG/EM/20 2508
### DS200804-0041 KASIDI BIN KARYO SADI 56 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0804-0012 97
REG/IP/200 2446
### DS200804-0043 ACHMAD KOMARI 49 M AMARYLLIS Thorax AP/PA
804-0005 83
REG/OP/20 0994 DIANA YULIAWATI
0804-0031 63 ARITONANG
REG/OP/20 2508
### DS200804-0077 ERICK LEON AGUSTA 30 M POLI BEDAH MULUT Panoramik
0804-0064 98
REG/OP/20 2457
### DS200804-0079 WINDA WIDIYA SARI 29 F POLI PENYAKIT DALAM Thorax AP/PA
0804-0114 49
REG/EM/20 0451
### DS200804-0082 ARIF WIDYANTORO 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0013 26
REG/IP/200 2508
### DS200804-0084 EKA ROSMAWATI 33 F EDELWEISS Thorax AP/PA
804-0001 90
REG/OP/20 2509
### DS200804-0086 MUHAMMAD FADLAN 23 M POLI BEDAH MULUT Panoramik
0804-0110 03
REG/OP/20
### JO200804-00007 METI MARTIANI LESTARI 18 F POLI MCU Thorax AP/PA
0804-0071
REG/OP/20 MICHELLE CINDY
0804-0072 AURELLIA
### DS200804-0088 YETI MARYATI 36 F POLI BEDAH UROLOGI
REG/OP/20
### JO200804-00014 SITI MARYAM 52 F POLI MCU Thorax AP/PA
0804-0129
REG/OP/20 1237 (BATAL)SUBADI BIN CT Scan Abdomen Superior / Inferior /
0804-0100 20 SULAIMAN Pelvis / Coxae non kontras
REG/EM/20 2509
### DS200804-0093 DANNY UMAR WIJAYA 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0017 06
REG/OP/20
### JO200804-00010 RIFQI FAHRIZA 21 M POLI MCU Thorax AP/PA
0804-0099
REG/EM/20 1498
### DS200804-0098 NENENG SHOLIHA 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0019 03
### DS200804-0099 NENENG SHOLIHA 54 F INSTALASI GAWAT DARURAT (IGD)
0804-0019 03 window
REG/IP/200 2488
### DS200804-0100 FANIE PRIBADI ALAMSYAH 36 M AMARYLLIS Thorax AP/PA
803-0011 62
REG/OP/20 0834
### DS200804-0101 FEBI FATHUR ROHMAN 21 M POLI BEDAH MULUT Panoramik
0804-0174 73
REG/EM/20 1891
### DS200804-0104 RISAM BIN SAPEI 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0015 99
REG/EM/20 2509 ADITIYA BIN NEMAN
0804-0018 07 GUNAWAN
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2406
### DS200804-0106 NASIH 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0020 24
REG/IP/200 2508 N. HAYATI,HJ BINTI
### DS200804-0109 65 F BANGSAL NEUROLOGI Thorax AP/PA
804-0016 54 MADIAS
REG/OP/20 2508
### DS200804-0112 SRI SUPANDI 55 M POLI JANTUNG Thorax AP/PA
0804-0032 93
REG/OP/20 0174
### DS200804-0117 DENOK FEMITRI 42 F POLI THT Sinus Para Nasal 3 posisi
0804-0212 97
REG/EM/20 2509 ADITIYA BIN NEMAN
0804-0018 07 GUNAWAN
REG/OP/20
### JO200804-00021 JEMI PRASETIO 28 M POLI MCU Thorax AP/PA
0804-0220
REG/OP/20
### JO200804-00019 ADI S. 19 M POLI MCU Thorax AP/PA
0804-0217
REG/OP/20
### JO200804-00023 RIJALUDIN 25 M POLI MCU Thorax AP/PA
0804-0221
REG/OP/20
### JO200804-00017 FIFI ANDRAYANI 29 F POLI MCU Thorax AP/PA
0804-0211
REG/IP/200 2507 NANI SA'ADAH BINTI
### DS200804-0149 37 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
728-0020 68 KUNAN
REG/OP/20 2023
### DS200804-0150 NOVI ARYANI. NN 23 F RADIOLOGI USG Abdomen
0804-0274 14
REG/EM/20 2509
### DS200804-0158 MELAWATI BINTI DARWIS 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0025 14
REG/EM/20 0656
### DS200804-0160 NURYANTI BINTI PRIYO 37 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0026 30
REG/OP/20 0446
### DS200804-0162 SAFIKULATIF 36 M RADIOLOGI USG Abdomen
0804-0276 30
REG/EM/20 2509
### DS200804-0168 ARIEF 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0028 18
REG/EM/20 0656 (BATAL)NURYANTI BINTI
0804-0026 30 PRIYO
REG/EM/20 1959
### DS200804-0172 BUDIARTI BINTI LASIMIN 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0030 33
REG/EM/20 2509
### DS200804-0173 NYAI BINTI JALAN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0032 19
REG/IP/200 2508
### DS200804-0180 IJAH BINTI AHMAD 59 F CHRYSANT CV. Lumbosacral 2 posisi
803-0005 79
REG/EM/20 1717
### DS200804-0183 RACHMAT NASUHA 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0034 38
REG/EM/20 2509
### DS200804-0185 YUSUP SUPRIYADI 26 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0035 20
REG/EM/20 1449
### DS200804-0187 ACIH BINTI KICIT 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0804-0036 23
REG/EM/20 2455
### DS200805-0014 CUCU SUSILOWATI 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0001 59
REG/IP/200 0042
### DS200805-0019 VADIA WEGA SEPTYIA 18 F CHRYSANT Pedis Dex/Sin
805-0002 95
REG/IP/200 0130 SUNARYO BIN MARTO
805-0004 74 SUJONO
REG/EM/20 2463
### DS200805-0067 NONENG KOMARIAH 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0004 55
REG/EM/20 2192
### DS200805-0069 ETI BINTI BAJURI 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0003 53
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### DS200805-0071 MANAH BINTI SANYIN 64 F POLI BEDAH UROLOGI
### DS200805-0076 CUCU SUMIARSIH 40 F POLI BEDAH UROLOGI
REG/OP/20 2509
### DS200805-0079 MANSUR BIN DIYOT 51 M POLI BEDAH UROLOGI USG Abdomen
0805-0098 22
REG/OP/20
### JO200805-00026 USWATUN HASANAH 18 F POLI MCU Thorax AP/PA
0805-0132
REG/OP/20 1112
### JO200805-00024 DESI RIHFA FAUZIAH,AN 18 F POLI MCU Thorax AP/PA
0805-0130 83
REG/OP/20
### JO200805-00017 ADITYA CANDRA 28 M POLI MCU Thorax AP/PA
0805-0108
REG/OP/20
### JO200805-00010 TAUFIK AKBAR 17 M POLI MCU Thorax AP/PA
0805-0076
REG/OP/20
### JO200805-00008 SENDI SASENA 22 M POLI MCU Thorax AP/PA
0805-0072
REG/OP/20
### JO200805-00006 RUMIH RAHAYU 44 F POLI MCU Thorax AP/PA
0805-0071
REG/OP/20
### JO200805-00004 DODI 28 M POLI MCU Thorax AP/PA
0805-0069
REG/OP/20
### JO200805-00002 ELSAH DWIYANTI 18 F POLI MCU Thorax AP/PA
0805-0063
REG/OP/20 2509 MUHAMAD RIZQI
0805-0154 28 RAMADHAN
REG/OP/20 2505
### DS200805-0086 MANGKIM BIN KAMUD 65 M POLI BEDAH UROLOGI Thorax AP/PA
0805-0117 97
REG/EM/20 2509
### DS200805-0089 ANDI BIN H. IDIH. H. TN 73 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0006 29
REG/IP/200 1236
### DS200805-0090 WAHYU BUDIMAN 56 M AMARYLLIS CAG - Kamar Tindakan
804-0006 91
REG/IP/200 1236
### DS200805-0090 WAHYU BUDIMAN 56 M AMARYLLIS CAG - Dokter Operator Kls 1
804-0006 91
REG/IP/200 1236
### DS200805-0090 WAHYU BUDIMAN 56 M AMARYLLIS CAG - Asisten Operator
804-0006 91
REG/IP/200 2505
### DS200805-0091 SJAFRIL AB 70 M CHRYSANT CAG - Kamar Tindakan
804-0003 93
REG/IP/200 2505
### DS200805-0091 SJAFRIL AB 70 M CHRYSANT CAG - Dokter Operator Kls 2
804-0003 93
REG/IP/200 2505
### DS200805-0091 SJAFRIL AB 70 M CHRYSANT CAG - Asisten Operator
804-0003 93
REG/OP/20 1057 (BATAL)WILDAN
0805-0197 73 KHOLIFATUL ROSYAD
REG/OP/20 2509
### DS200805-0099 DJUNAEDI BIN JURI 61 M POLI BEDAH UMUM Thorax AP/PA
0805-0043 21
REG/OP/20
### DS200805-0101 AAM AMJANI 22 F RADIOLOGI Thorax AP/PA
0805-0225
REG/OP/20 2501
### DS200805-0102 (BATAL)ANIH BINTI ALI 70 F POLI JANTUNG Thorax AP/PA
0805-0070 50
REG/OP/20 2507
### DS200805-0103 MARKIM BIN SAMAN 55 M POLI BEDAH UROLOGI Thorax AP/PA
0805-0137 61
REG/IP/200 2446
### DS200805-0104 (BATAL)ACHMAD KOMARI 49 M AMARYLLIS CAG - Kamar Tindakan
804-0005 83
REG/IP/200 2446
### DS200805-0104 (BATAL)ACHMAD KOMARI 49 M AMARYLLIS CAG - Dokter Operator Kls 1
804-0005 83
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2446
### DS200805-0104 (BATAL)ACHMAD KOMARI 49 M AMARYLLIS CAG - Asisten Operator
804-0005 83
REG/OP/20
### DS200805-0107 PURNAIRAWAN 31 M RADIOLOGI USG Abdomen
0805-0238
REG/OP/20 2501
### DS200805-0108 ANIH BINTI ALI 70 F POLI JANTUNG Thorax AP/PA
0805-0070 50
REG/OP/20 1871
### DS200805-0109 LINAN BIN MANAP 60 M POLI JANTUNG Thorax AP/PA
0805-0141 45
REG/OP/20 0787
### DS200805-0110 MAEMUNAH,NY 54 F POLI JANTUNG Thorax AP/PA
0805-0096 57
REG/OP/20 1057 WILDAN KHOLIFATUL
0805-0197 73 ROSYAD
REG/OP/20 2509
### DS200805-0128 SARTI BINTI KALIM 45 F POLI JANTUNG Thorax AP/PA
0805-0127 26
REG/OP/20 2506
### DS200805-0131 HENI BINTI RAIN 37 F POLI JANTUNG Thorax AP/PA
0805-0139 31
### DS200805-0134 NELMAWATI BINTI MUNIR 62 F POLI BEDAH UROLOGI
REG/OP/20 1135
### DS200805-0138 NINA SABRINA 43 F POLI JANTUNG Thorax AP/PA
0805-0265 33
REG/OP/20 2508
### DS200805-0139 OSIPAH BINTI MATAP 54 F POLI BEDAH UROLOGI Thorax AP/PA
0805-0095 85
REG/EM/20 1035
### DS200805-0146 (BATAL)UNTUNG RAHARJO 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0012 68
REG/EM/20 1035
### DS200805-0147 (BATAL)UNTUNG RAHARJO 51 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0805-0012 68
REG/EM/20 1035
### DS200805-0150 UNTUNG RAHARJO 51 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0805-0012 68
REG/EM/20 1035
### DS200805-0151 UNTUNG RAHARJO 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0012 68
REG/EM/20 2374
### DS200805-0163 MUHIBI BIN JUNED 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0013 74
REG/OP/20 2502
### DS200805-0165 ERLANGGA KASANI 12 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0805-0316 38
### DS200805-0167 55 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
REG/OP/20 2447
### DS200805-0168 NANDANG BIN UUNG 49 M POLI BEDAH ORTHOPEDI Clavicula Dex/Sin
0805-0323 81
REG/EM/20 2312
### DS200805-0169 RASIM BIN JULING 52 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0805-0015 29
REG/EM/20 2312
### DS200805-0170 RASIM BIN JULING 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0015 29
REG/IP/200 2508
### DS200805-0172 IJAH BINTI AHMAD 59 F CHRYSANT Thorax AP/PA
803-0005 79
REG/IP/200 2494
### DS200805-0173 R KARTOBI 74 M CHRYSANT Thorax AP/PA
802-0003 71
REG/EM/20 2509
### DS200805-0176 ABIYYU EZRA TSAQIB 0 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0017 36
REG/EM/20 2245
### DS200805-0178 IDA BINTI RONZE 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0018 22
REG/EM/20 2493
### DS200805-0181 IMAN BIN RIIH 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0805-0020 31
REG/EM/20 2493
### DS200805-0182 IMAN BIN RIIH 57 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0805-0020 31
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2509
### DS200806-0010 ANGGI PRIADITA BALIANA 27 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0806-0001 38
REG/EM/20 2509
### DS200806-0011 ANGGI PRIADITA BALIANA 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0001 38
REG/EM/20 2509
### DS200806-0012 ANGGI PRIADITA BALIANA 27 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0806-0001 38
REG/EM/20 2509
### DS200806-0014 ANGGI PRIADITA BALIANA 27 M INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0806-0001 38
### DS200806-0050 WASDA BIN SAPAN 51 M POLI PENYAKIT DALAM
REG/IP/200 2509
### DS200806-0058 AMAMAH BINTI CAMING 51 F CHRYSANT Jasa Baca Foto Konvensional
805-0008 31
REG/IP/200 2508
### DS200806-0063 TATI SUSILAWATI 37 F EDELWEISS Thorax AP/PA
802-0005 57
### DS200806-0067 RUKANAH BINTI SAIR 50 F POLI BEDAH UROLOGI
REG/OP/20 1653
### DS200806-0069 ASEP KURNIA. H. 47 M RADIOLOGI USG Abdomen
0806-0151 42
REG/EM/20 2509
### DS200806-0070 ROSNI BINTI ISAN 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0004 46
REG/OP/20 2508
### DS200806-0071 YANAH BINTI MULYADI 39 F POLI BEDAH UROLOGI Thorax AP/PA
0806-0061 61
REG/OP/20 2099
### DS200806-0074 RIRIN RIANTI.NN 26 F POLI UMUM USG Abdomen
0806-0096 39
REG/EM/20 1923
### DS200806-0076 MOMOH HALIMAH 77 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0006 77
### DS200806-0077 SUMI RAHMAWATI 49 F POLI BEDAH UROLOGI
### DS200806-0078 MAIMUN ADAM 46 F POLI BEDAH UROLOGI
REG/EM/20 2509
### DS200806-0081 IPIN ARIPIN 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0007 50
REG/EM/20 2509
### DS200806-0082 IPIN ARIPIN 28 M INSTALASI GAWAT DARURAT (IGD) Clavicula Dex/Sin
0806-0007 50
REG/EM/20 2509
### DS200806-0083 (BATAL)IPIN ARIPIN 28 M INSTALASI GAWAT DARURAT (IGD) Shoulder Joint Dex/Sin
0806-0007 50
REG/EM/20 2509
### DS200806-0084 IPIN ARIPIN 28 M INSTALASI GAWAT DARURAT (IGD) Humerus Dex/Sin
0806-0007 50
805-0004 74 SUJONO
805-0004 74 SUJONO
805-0004 74 SUJONO
REG/EM/20 2348
### DS200806-0090 SUPARMAN BIN SADI 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0008 41
REG/OP/20
### DS200806-0092 DESIH 41 F RADIOLOGI USG Mammae Doppler
0806-0233
REG/EM/20 2509
### DS200806-0103 HALID BIN MANSUR 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0009 56
REG/EM/20 2420
### DS200806-0109 DARIEL REY ATHEZA M. 8 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0010 13
REG/IP/200 2507
### DS200806-0117 KAYAH BINTI H. JAMIAN 51 F EDELWEISS Thorax AP/PA
806-0012 91
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2505
### DS200806-0119 MARSAH BINTI MAHAR 54 F EDELWEISS Thorax AP/PA
806-0008 69
### DS200806-0121 MUMUN SARTIKA 49 F POLI BEDAH VASKULER
0806-0265 59 Doppler
REG/OP/20
### DS200806-0122 MARYANTO 56 M RADIOLOGI CT Scan Kepala Non kontras
0806-0308
REG/EM/20 2509
### DS200806-0123 LEMAH BINTI NAKIM 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0016 65
0806-0017 66 SYAHBANA
0806-0017 66 SYAHBANA
REG/OP/20
### JO200806-00013 KEVIN DELSIA 22 M POLI MCU Thorax AP/PA
0806-0232
REG/IP/200 1891
### DS200806-0130 RISAM BIN SAPEI 60 M CHRYSANT Thorax AP/PA
804-0014 99
REG/EM/20 0207
### DS200806-0134 ASPAROKA BIN DUDUNG 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0020 91
REG/EM/20 2509
### DS200806-0137 AYU WULANDARI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0806-0021 67
REG/IP/200 2509
### DS200807-0023 DANNY UMAR WIJAYA 22 M AMARYLLIS Thorax AP/PA
804-0015 06
REG/EM/20 2488
### DS200807-0036 WIRATNA KANTI RAHAYU 20 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0006 78
REG/EM/20 2509
### DS200807-0049 SANTHY CARLIA 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0008 73
REG/OP/20 2318
### DS200807-0051 SITI ROKAYAH. NY 39 F POLI PENYAKIT DALAM Sinus Para Nasal 3 posisi
0807-0049 51
REG/OP/20 PUTRI NUR INTAN
0807-0102 PERTIWI
REG/OP/20
### JO200807-00017 LUVITA SARI 19 F POLI MCU Thorax AP/PA
0807-0100
REG/OP/20
### JO200807-00015 RITA KHAFIFAH 20 F POLI MCU Thorax AP/PA
0807-0098
REG/OP/20
### JO200807-00013 SALSA BILA 18 F POLI MCU Thorax AP/PA
0807-0097
REG/OP/20
### JO200807-00011 ENENG RISNA MULYA 18 F POLI MCU Thorax AP/PA
0807-0096
REG/OP/20
### JO200807-00009 PUJI ASTUTI 18 F POLI MCU Thorax AP/PA
0807-0094
REG/OP/20
### JO200807-00007 SALSABILA ZAHRA 17 F POLI MCU Thorax AP/PA
0807-0091
REG/OP/20
### JO200807-00004 DEWI ROSALIA 19 F POLI MCU Thorax AP/PA
0807-0085
REG/IP/200 2508
### DS200807-0065 OSIPAH BINTI MATAP 54 F AMARYLLIS CV. Lumbosacral 2 posisi
807-0004 85
REG/OP/20 2508
### DS200807-0069 ERICK LEON AGUSTA 30 M POLI BEDAH MULUT Thorax AP/PA
0807-0087 98
REG/OP/20 1719
### DS200807-0070 LENIH BINTI KENENG. NY 59 F RADIOLOGI CT Scan Kepala Non kontras
0807-0156 54
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REG/OP/20 1711
### DS200807-0073 HENI BINTI NISAN. NY 34 F POLI BEDAH MULUT Panoramik
0807-0113 26
REG/IP/200 2509
### DS200807-0075 BOKA WANTO 50 M CHRYSANT Jasa Baca Foto Konvensional
807-0001 68
REG/OP/20
### DS200807-0077 SUMIYATI 43 F RADIOLOGI USG Abdomen
0807-0186
### DS200807-0078 AYU PUTRI SEPTIYANTI 24 F POLI BEDAH UROLOGI
### DS200807-0079 MAWI BASUKI,TN 53 M POLI BEDAH UROLOGI
REG/OP/20
### DS200807-0080 HENDI KUMARA 17 M LABORATORIUM Thorax AP/PA
0807-0190
REG/OP/20 1855
### DS200807-0081 NUR ANISAH. NY 50 F POLI BEDAH UMUM USG Abdomen
0807-0107 03
REG/OP/20 2509
### DS200807-0083 IKA NURHAYATI 31 F POLI BEDAH UMUM USG Abdomen
0807-0108 13
REG/OP/20 2475
### DS200807-0084 RONI ARFIN 42 M POLI PENYAKIT DALAM USG Abdomen
0807-0163 76
REG/IP/200 1960
### DS200807-0094 GUMIN BIN SARAN.H.TN 52 M AMARYLLIS Thorax AP/PA
807-0009 15
REG/EM/20 2509
### DS200807-0097 HUSEN BIN SANDIR 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0010 85
REG/EM/20 2509
### DS200807-0098 HUSEN BIN SANDIR 51 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0807-0010 85
REG/OP/20 2509
### DS200807-0099 UCOK WIGUNA 35 M POLI BEDAH UROLOGI USG Abdomen
0807-0229 87
REG/OP/20 1005
### JO200807-00042 YOYO SUWARYO,TN 32 M POLI MCU Thorax AP/PA
0807-0227 73
REG/OP/20 2411
### DS200807-0101 (BATAL)KIWA BIN BONAN 56 M POLI JANTUNG Thorax AP/PA
0807-0115 27
REG/OP/20 2509 NURHAYATI BINTI
### DS200807-0103 43 F POLI BEDAH UMUM USG Mammae Doppler
0807-0231 88 KARWAT
REG/OP/20 2509
### DS200807-0104 RUMSAH BINTI JASIR 56 F POLI JANTUNG Thorax AP/PA
0807-0128 77
REG/OP/20 2509
### DS200807-0105 FATHANAH BINTI ROMLI 0 M POLI BEDAH ORTHOPEDI Pedis Dex/Sin
0807-0136 80
REG/OP/20 1906
### DS200807-0114 MUHAMAD AGIL ADHA.AN 8 M RADIOLOGI USG Abdomen
0807-0244 15
REG/EM/20 2509
### DS200807-0116 AGUS MAULANA 28 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0011 89
REG/EM/20 1463
### DS200807-0124 ASIH BINTI SAMIT 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0014 74
REG/IP/200 2509
### DS200807-0125 ANAH BINTI LORIN 62 F JASMINE Jasa Baca Foto Konvensional
806-0014 63
REG/EM/20 1040
### DS200807-0126 SANIAH BINTI H. SAYAN 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0016 60
REG/EM/20 2494
### DS200807-0129 WANAH BINTI TOHA 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0019 82
REG/EM/20 2509
### DS200807-0130 SITI RUKOYAH 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0018 95
REG/EM/20 2509
### DS200807-0132 ENDRO TRI SUWARSONO 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0013 92
REG/IP/200 2508 N. HAYATI,HJ BINTI
### DS200807-0135 65 F BANGSAL NEUROLOGI Thorax AP/PA
804-0016 54 MADIAS
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 1855
### DS200807-0138 (BATAL)NUR ANISAH. NY 50 F POLI BEDAH UMUM Thorax AP/PA
0807-0107 03
REG/OP/20 1855
### DS200807-0140 NUR ANISAH. NY 50 F POLI BEDAH UMUM Thorax AP/PA
0807-0107 03
REG/OP/20 2509
### DS200807-0141 ABDUL JAMAL 50 M POLI JANTUNG Thorax AP/PA
0807-0281 93
REG/EM/20 2509
### DS200807-0144 THENG BENG SIANG 62 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0023 97
REG/EM/20 2509
### DS200807-0145 ADIM BIN KAIH 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0025 99
REG/EM/20 2040
### DS200807-0148 KITING BINTI CONTOK 72 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0807-0026 88
REG/EM/20 2510 MUHAMAD IRFAN AL
0807-0027 00 KHAFI
REG/IP/200 2509
### DS200808-0019 DANNY UMAR WIJAYA 22 M AMARYLLIS Thorax AP/PA
804-0015 06
REG/OP/20 2509
### DS200808-0043 INDRA BIN EMI 32 M RADIOLOGI USG Abdomen
0808-0088 45
REG/OP/20 2510
### DS200808-0045 EKA SETIAWATI 28 F POLI BEDAH MULUT Panoramik
0808-0062 08
REG/OP/20 2510 RADEN BAGUS HANAFIA
0808-0041 06 ALI
REG/EM/20 2510
### DS200808-0049 DEDI SUPRIATNA 36 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0808-0011 10
REG/OP/20
### JO200808-00003 SRI SULARJO 28 M POLI MCU Thorax AP/PA
0808-0083
REG/EM/20 2486
### DS200808-0054 BAYU SUSENO 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0013 94
REG/OP/20 2510
### DS200808-0058 FUAD BIN SAPEI 57 M POLI BEDAH MULUT Panoramik
0808-0092 11
REG/EM/20 2504
### DS200808-0062 SAODAH BINTI ARSAD 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0012 27
### DS200808-0064 AANG BIN OLIB 46 M POLI BEDAH UROLOGI
### DS200808-0065 YULIATI ZAI 49 F POLI BEDAH UROLOGI
### DS200808-0066 SULISTIYO BIN MARSONO 49 M POLI BEDAH UROLOGI
REG/OP/20 1580
### DS200808-0067 LINDA LESTARI 30 F RADIOLOGI USG Abdomen
0808-0138 37
REG/EM/20 2505
### DS200808-0068 MUGIYATI BINTI SOEKIR 56 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0006 62
REG/OP/20 2510 DARYATI BINTI DARMO
### DS200808-0069 52 F POLI UMUM Thorax AP/PA
0808-0129 16 ATMOJO
REG/EM/20 2510
### DS200808-0070 (BATAL)IDAH ROSYIDAH 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0008 09
REG/EM/20 2510
### DS200808-0071 IDAH ROSYIDAH 51 F INSTALASI GAWAT DARURAT (IGD) Jasa Baca Foto Konvensional
0808-0008 09
REG/EM/20 2504
### DS200808-0075 SAODAH BINTI ARSAD 70 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0808-0012 27
REG/OP/20
### DS200808-0077 SITI WAISAH 35 F RADIOLOGI H.S.G
0808-0169
REG/OP/20
### DS200808-0084 ANNASYA RADELLA FELIXA 3 F RADIOLOGI Cruris Dex/Sin
0808-0174
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REG/OP/20 (BATAL)ANNASYA
### DS200808-0085 3 F RADIOLOGI Cruris Dex/Sin
0808-0174 RADELLA FELIXA
REG/OP/20
### DS200808-0086 ANNASYA RADELLA FELIXA 3 F RADIOLOGI Art Genu Dex/Sin
0808-0174
REG/OP/20
### DS200808-0089 ANNASYA RADELLA FELIXA 3 F RADIOLOGI Femur Dex/Sin
0808-0174
REG/OP/20 2510 (BATAL)NURUL RUFAIDAH
### DS200808-0090 27 F POLI BEDAH UMUM USG Mammae Doppler
0808-0153 17 KURTUBI
REG/OP/20
### DS200808-0091 AHMAD HIDAYAT 28 M RADIOLOGI USG Abdomen
0808-0186
REG/EM/20 2510
### DS200808-0092 MARLINA BINTI ARIA 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0018 22
REG/IP/200 1040
### DS200808-0097 SANIAH BINTI H. SAYAN 54 F CHRYSANT USG Abdomen
807-0015 60
REG/IP/200 1463
### DS200808-0098 ASIH BINTI SAMIT 57 F CHRYSANT USG Abdomen
807-0014 74
REG/IP/200 2509
### DS200808-0101 HALID BIN MANSUR 50 M CHRYSANT PTCA - Kamar Tindakan
806-0009 56
REG/IP/200 2509
### DS200808-0101 HALID BIN MANSUR 50 M CHRYSANT PTCA - Dokter Operator Kls 2
806-0009 56
REG/IP/200 2509
### DS200808-0101 HALID BIN MANSUR 50 M CHRYSANT PTCA - Asisten Operator
806-0009 56
REG/EM/20 1171
### DS200808-0110 MAHRUS BIN MATNARI 42 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0019 81
REG/EM/20 1446
### DS200808-0114 RATNA APRIYANTI 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0020 54
REG/EM/20 1446
### DS200808-0115 RATNA APRIYANTI 40 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0808-0020 54
REG/IP/200 2509
### DS200808-0102 SANTHY CARLIA 53 F CHRYSANT PTCA - Kamar Tindakan
807-0007 73
REG/IP/200 2509
### DS200808-0102 SANTHY CARLIA 53 F CHRYSANT PTCA - Dokter Operator Kls 2
807-0007 73
REG/IP/200 2509
### DS200808-0102 SANTHY CARLIA 53 F CHRYSANT PTCA - Asisten Operator
807-0007 73
REG/OP/20
### DS200808-0128 DARMAN DARMANTO 74 M RADIOLOGI CT Scan Kepala Non kontras
0808-0213
REG/IP/200 2509 CARTIWAN BIN H. KARYA,
807-0011 91 H
807-0011 91 H
807-0011 91 H
REG/EM/20 2510
### DS200808-0130 RASINTA DEVI 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0021 26
REG/IP/200 2508
### DS200808-0137 OSIPAH BINTI MATAP 54 F AMARYLLIS Thorax AP/PA
807-0004 85
REG/EM/20 1171
### DS200808-0138 MAHRUS BIN MATNARI 42 M INSTALASI GAWAT DARURAT (IGD) Pedis Dex/Sin
0808-0019 81
REG/EM/20 2510
### DS200808-0139 HERIYAWAN BIN MARKIM 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0022 27
REG/IP/200 2509
### DS200808-0146 ENDRO TRI SUWARSONO 56 M JASMINE CT Scan Kepala Non kontras
807-0013 92
REG/EM/20 2510
### DS200808-0147 ERNI BINTI EDI 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0023 30
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2509
### DS200808-0149 ENDRO TRI SUWARSONO 56 M JASMINE Thorax AP/PA
807-0013 92
REG/EM/20 2510
### DS200809-0001 TETI ROSIATI . HJ 63 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0808-0028 32
REG/EM/20 2510
### DS200808-0158 TETI ROSIATI . HJ 63 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0808-0028 32
REG/EM/20 1066
### DS200809-0014 ONIH BINTI ENTONG 60 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0003 28
REG/EM/20 2486
### DS200809-0015 (BATAL)YUSTIANTO 22 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0809-0004 67
REG/EM/20 2486
### DS200809-0016 (BATAL)YUSTIANTO 22 M INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0809-0004 67
REG/EM/20 2486
### DS200809-0017 (BATAL)YUSTIANTO 22 M INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0809-0004 67
REG/EM/20 2243 (BATAL)MINTARSIH BINTI
0809-0009 36 BA'IH
REG/IP/200 1923
### DS200809-0025 MOMOH HALIMAH 77 F JASMINE Thorax AP/PA
806-0007 77
REG/IP/200 1923
### DS200809-0026 MOMOH HALIMAH 77 F JASMINE CV. Cervical 2 posisi
806-0007 77
REG/EM/20 0813
### DS200809-0028 ASMUNI BIN RAHMAN 48 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0011 55
REG/EM/20 0260
### DS200809-0038 NURSAID 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0012 53
REG/EM/20 2314
### DS200809-0040 LINA HERLINA 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0014 99
REG/EM/20 2314
### DS200809-0042 LINA HERLINA 39 F INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0809-0014 99
REG/EM/20 2082 HARWATI BINTI
0809-0020 32 ARJOKIMUN
REG/IP/200 2510 SARMAH YEYEN
### DS200809-0049 40 F EDELWEISS Thorax AP/PA
REG/EM/20 2510
### DS200809-0055 SARIYAH BINTI AWA 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0026 46
REG/EM/20 1039
### DS200809-0059 RUSIN BIN MISTA 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0028 18
REG/EM/20 1772
### DS200809-0060 ELIS KOMALA 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0027 97
REG/EM/20 2510
### DS200809-0065 GIBRANSYAH KHAMID 5 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0031 47
### DS200809-0066 GIBRANSYAH KHAMID 5 M INSTALASI GAWAT DARURAT (IGD)
0809-0031 47 window
REG/IP/200 2243
### DS200809-0068 MINTARSIH BINTI BA'IH 39 F EDELWEISS Thorax AP/PA
809-0008 36
REG/EM/20 1374 SYAKIRA RIZKYA
0809-0034 82 RAMADHANI
REG/EM/20 2510
### DS200809-0073 SRI DARYATI 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0033 49
REG/EM/20 1690 ZULKADRI BIN AMIR
0809-0036 48 HOSEN
REG/EM/20 2510
### DS200809-0081 DADANG KAMALUDIN 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0809-0037 51
REG/EM/20 2510 MUHAMAD RICKO
0810-0001 53 ARDIANSYAH
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 1688
### DS200810-0014 NEMON BIN ATON 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0810-0002 84
REG/EM/20 2510
### DS200810-0026 IDI BIN MININ 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0810-0003 56
REG/IP/200 2510
### DS200810-0030 SITI SYARIFAH 44 F CHRYSANT USG Abdomen
809-0010 41
REG/IP/200 2314
### DS200810-0031 LINA HERLINA 39 F EDELWEISS USG Abdomen
809-0009 99
REG/IP/200 1688
### DS200810-0037 NEMON BIN ATON 54 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
810-0004 84
REG/OP/20 1791
### DS200810-0038 YAMIN MUSYADI.TN 51 M POLI PENYAKIT DALAM Thorax AP/PA
0810-0054 64
REG/EM/20 2510
### DS200810-0039 IDI BIN MININ 55 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0810-0003 56
REG/IP/200 2510
### DS200810-0043 ARSHASI FAWNIA ANJALI 5 F AMARYLLIS USG Abdomen
808-0011 13
REG/OP/20
### DS200810-0044 SARNATI 51 F RADIOLOGI USG Abdomen
0810-0127
REG/OP/20 0060 (BATAL)TUBAGUS
### DS200810-0049 18 M POLI BEDAH MULUT Thorax AP/PA
0810-0115 73 ICHLASUL HAFIDZ
REG/OP/20 0060 TUBAGUS ICHLASUL
0810-0115 73 HAFIDZ
REG/OP/20 2510
### DS200810-0053 MOH. DJAKI 52 M POLI UMUM USG Abdomen
0810-0143 64
REG/OP/20
### JO200810-00012 SITI UMAROH 18 F POLI MCU Thorax AP/PA
0810-0137
REG/OP/20 1578
### DS200810-0068 HJ. WAWAN SURYANI 51 F POLI PARU Thorax AP/PA
0810-0057 95
REG/OP/20 2506
### DS200810-0069 NABILA ADYA SAFIYA 2 F POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0810-0204 77
### DS200810-0070 JOKO SUPRIADI 51 M POLI BEDAH UROLOGI
REG/OP/20 2510
### DS200810-0071 DEWI MARWATI 25 F POLI UMUM USG Abdomen
0810-0201 68
### DS200810-0072 SATAM BIN LEAN 79 M POLI BEDAH UROLOGI
REG/OP/20 2508
### DS200810-0073 SATAM BIN LEAN 79 M POLI BEDAH UROLOGI Thorax AP/PA
0810-0084 36
REG/OP/20 2510
### DS200810-0074 ATIH BINTI ADEN 71 F POLI BEDAH MULUT Panoramik
0810-0194 57
REG/OP/20 2181
### DS200810-0076 YESI ARVIANI .NY 26 F RADIOLOGI USG Abdomen
0810-0234 92
REG/EM/20 2510
### DS200810-0079 HENDRA BIN ARSAN 40 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0810-0006 70
REG/OP/20 0834
### DS200810-0080 FEBI FATHUR ROHMAN 21 M POLI BEDAH MULUT Thorax AP/PA
0810-0155 73
REG/OP/20 2509
### DS200810-0084 MANSUR BIN DIYOT 51 M POLI BEDAH UROLOGI Thorax AP/PA
0810-0149 22
REG/OP/20 0127
### JO200810-00037 YANA TRISNIATI.NN 18 F POLI MCU Thorax AP/PA
0810-0262 43
REG/OP/20
### JO200810-00029 DEVI ALFIAH 25 F POLI MCU Thorax AP/PA
0810-0217
REG/OP/20
### JO200810-00026 ACHMAD AFFAN FEBRIAN 21 M POLI MCU Thorax AP/PA
0810-0212
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200810-00022 JENI AZIZAH 19 F POLI MCU Thorax AP/PA
0810-0209
REG/OP/20 2207
### JO200810-00024 RITA BINTI SUMITRA.NN 25 F POLI MCU Thorax AP/PA
0810-0210 26
REG/OP/20 2370
### DS200810-0086 INA SUTISNA 64 M POLI BEDAH UROLOGI USG Abdomen
0810-0261 69
REG/OP/20
### DS200810-0088 MIA MEILAWATI 24 F RADIOLOGI Art Genu Dex/Sin
0810-0280
REG/IP/200 2510
### DS200810-0089 PARYONO BIN SUPENO 44 M BANGSAL NEUROLOGI Thorax AP/PA
810-0009 63
REG/IP/200 2510
### DS200810-0090 PARYONO BIN SUPENO 44 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
810-0009 63
0810-0007 75 PERMANA
REG/IP/200 2510
### DS200810-0093 CICIH SUTARSIH 65 F CHRYSANT Thorax AP/PA
810-0011 58
REG/OP/20 2259 LANJAR BIN HARSO
0810-0291 89 SUYATMAN
REG/IP/200 2450
### DS200810-0098 HENY HERYANTI 49 F CHRYSANT Thorax AP/PA
810-0012 13
REG/EM/20 2076
### DS200810-0103 VIVI TASIA NIKITASARI 25 F INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0810-0008 62
REG/IP/200 1690 ZULKADRI BIN AMIR
810-0002 48 HOSEN
REG/IP/200 2510
### DS200810-0108 MARLINA BINTI ARIA 48 F CHRYSANT USG Abdomen
808-0017 22
REG/IP/200 2464
### DS200810-0109 AHMAD ZAENI 53 M AMARYLLIS Thorax AP/PA
810-0016 31
REG/IP/200 2510
### DS200810-0112 ARSHASI FAWNIA ANJALI 5 F AMARYLLIS Thorax AP/PA
808-0011 13
REG/EM/20 2490
### DS200810-0116 SURYANAH BINTI JASAN 67 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0810-0005 51
REG/IP/200 2510
### DS200810-0118 DEDE HIDAYATULOH 38 M JASMINE Jasa Baca Foto Konvensional
809-0001 33
REG/IP/200 2510
### DS200810-0121 IDAH ROSYIDAH 51 F CHRYSANT Thorax AP/PA
808-0013 09
REG/EM/20 2510
### DS200810-0122 KARNASIH BT. MARSIM 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0810-0009 73
REG/EM/20 2337
### DS200810-0129 MUHYIDIEN BIN H. SARIP 63 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0810-0010 79
REG/EM/20 2117
### DS200811-0019 FIAT SUPRIATNA 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0002 02
REG/EM/20 2315 (BATAL)HJ. JUBAEDAH
0811-0004 67 BINTI NONENG
REG/IP/200 2509
### DS200811-0030 ADIM BIN KAIH 50 M CHRYSANT Thorax AP/PA
807-0020 99
REG/IP/200 2508
### DS200811-0032 UDUNG BIN ANCE 70 M CHRYSANT Thorax AP/PA
811-0003 64
REG/IP/200 1690 (BATAL)ZULKADRI BIN CT Scan Abdomen Superior / Inferior /
### DS200811-0037 37 M CHRYSANT
810-0002 48 AMIR HOSEN Pelvis / Coxae dgn kontras
REG/IP/200 2505
### DS200811-0038 MUNIFAH BINTI M. ZEN 58 F CHRYSANT Thorax AP/PA
811-0004 94
REG/OP/20 2510
### DS200811-0043 SEFROZA ELFIRA 39 F POLI PENYAKIT DALAM USG Abdomen
0811-0035 83
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2507
### DS200811-0047 MIMIN RUSMINI 61 F CHRYSANT Thorax AP/PA
811-0005 22
### DS200811-0051 IDI BIN MININ 55 M CHRYSANT
REG/IP/200 1690 ZULKADRI BIN AMIR CT Scan Abdomen Superior / Inferior /
### DS200811-0054 37 M CHRYSANT
810-0002 48 HOSEN Pelvis / Coxae non kontras
REG/EM/20 2327
### DS200811-0056 AEPUDIN BIN H. AHMAD 34 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0008 91
REG/OP/20 2510
### DS200811-0058 FITRA APRILIA 27 F POLI BEDAH MULUT Panoramik
0811-0044 84
REG/OP/20 2510
### DS200811-0059 CECEP ISKANDAR 24 M POLI BEDAH MULUT Panoramik
0811-0054 85
REG/OP/20 0951
### DS200811-0068 RUDI BIN ABDUL NASIR 43 M POLI BEDAH MULUT Panoramik
0811-0101 07
### DS200811-0075 JUNAEDI BIN SUHANDI 41 M POLI BEDAH UROLOGI
REG/OP/20 2510
### DS200811-0082 ZAIN AL FARUQ 25 M POLI BEDAH MULUT Panoramik
0811-0127 91
REG/OP/20 2508
### DS200811-0083 MAYA BINTI MA'UN 38 F POLI BEDAH UROLOGI USG Abdomen
0811-0041 52
### DS200811-0084 YULI ASTUTI 50 F POLI BEDAH UROLOGI
REG/EM/20 0533
### DS200811-0088 SAHLA NABILA 15 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0011 60
REG/OP/20 1494
### DS200811-0095 DEWI SUGIARTI 28 F POLI UMUM USG Abdomen
0811-0181 61
REG/IP/200 2464
### DS200811-0096 AHMAD ZAENI 53 M AMARYLLIS PTCA - Kamar Tindakan
810-0016 31
REG/IP/200 2464
### DS200811-0096 AHMAD ZAENI 53 M AMARYLLIS PTCA - Dokter Operator Kls 2
810-0016 31
REG/IP/200 2464
### DS200811-0096 AHMAD ZAENI 53 M AMARYLLIS PTCA - Asisten Operator
810-0016 31
REG/OP/20
### JO200811-00003 HADITRI KHAIRINNISA 18 F POLI MCU Thorax AP/PA
0811-0071
REG/OP/20 2510
### DS200811-0097 RISKI EKO ARDIANTO 29 M POLI PENYAKIT DALAM CT Scan Thorax non kontras
0811-0160 94
REG/OP/20 2510
### DS200811-0098 NANA SUTISNA 52 M POLI PENYAKIT DALAM USG Abdomen
0811-0173 97
REG/OP/20 2506
### DS200811-0099 ANNISA SAKINA 26 F POLI BEDAH MULUT Thorax AP/PA
0811-0142 44
REG/EM/20 2511
### DS200811-0107 (BATAL)M.NUR CHOLIK 43 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0013 02
REG/EM/20 2511
### DS200811-0108 (BATAL)M.NUR CHOLIK 43 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0811-0013 02
REG/OP/20 2511
### DS200811-0110 NINIH BINTI LOTOD 59 F POLI SYARAF CV. Lumbosacral 2 posisi
0811-0214 00
REG/OP/20 2475
0811-0166 43
REG/IP/200 2510
### DS200811-0112 (BATAL)CICIH SUTARSIH 65 F CHRYSANT PTCA - Kamar Tindakan
810-0011 58
REG/IP/200 2510
### DS200811-0112 (BATAL)CICIH SUTARSIH 65 F CHRYSANT PTCA - Dokter Operator Kls 2
810-0011 58
REG/IP/200 2510
### DS200811-0112 (BATAL)CICIH SUTARSIH 65 F CHRYSANT PTCA - Asisten Operator
810-0011 58
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2463
0811-0187 78
REG/EM/20 2510
### DS200811-0118 ONDE BINTI KASIM 80 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0012 99
REG/IP/200 2509
### DS200811-0128 IKA NURHAYATI 31 F EDELWEISS Thorax AP/PA
811-0013 13
REG/EM/20 2492
### DS200811-0133 SRI NURHAYATI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0016 32
REG/OP/20
### DS200811-0134 SARMIH 29 F RADIOLOGI USG Abdomen
0811-0294
REG/OP/20 2437
### DS200811-0135 ERUS B NURAM 57 M POLI BEDAH VASKULER Thorax AP/PA
0811-0252 78
REG/EM/20 2511 (BATAL)HJ. DEDEH
### DS200811-0138 54 F INSTALASI GAWAT DARURAT (IGD) CV. Thoracolumbal 2 posisi
0811-0018 11 ROSIDAH
REG/EM/20 2511
### DS200811-0139 HJ. DEDEH ROSIDAH 54 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0018 11
REG/EM/20 2511
### DS200811-0143 MANAN BIN TUIN 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0022 14
REG/EM/20 2511
### DS200811-0144 KEDI BIN ASAK 54 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0023 15
### DS200811-0145 KEDI BIN ASAK 54 M INSTALASI GAWAT DARURAT (IGD)
0811-0023 15 window
REG/EM/20 2511
### DS200811-0146 HERMAN SUHERMAN 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0024 16
REG/EM/20 2511
### DS200811-0149 ANA BINTI RANIN 57 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0811-0025 18
REG/IP/200 1498
### DS200812-0027 NENENG SHOLIHA 54 F BANGSAL NEUROLOGI CT Scan Kepala Non kontras
804-0020 03
REG/IP/200 2392 MARUP FAUZI BIN
812-0001 59 H.HOPIP . H
REG/IP/200 2509
### DS200812-0043 YAHYA SUTARYA 22 M CHRYSANT Thorax AP/PA
812-0002 84
REG/IP/200 2507
### DS200812-0048 RASYID FIRMANSYAH 59 M CHRYSANT Thorax AP/PA
812-0004 77
REG/EM/20 2511
### DS200812-0056 NIRKA BIN NIJA 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0812-0006 30
REG/OP/20 0515
### DS200812-0069 WIWIK LESTARI,NY 40 F POLI BEDAH MULUT Panoramik
0812-0099 67
### DS200812-0070 ACEP SUPARTA 40 M POLI BEDAH UROLOGI
### DS200812-0072 MANIH BINTI SANYIN 56 F POLI BEDAH UROLOGI
REG/OP/20 2397
### DS200812-0075 SULASTRI BINTI SUDARYO 30 F POLI JANTUNG Thorax AP/PA
0812-0062 58
REG/OP/20 2511 MEGAWATI BINTI ASWAN CT Scan Abdomen Superior / Inferior /
0812-0098 27 SETIAWAN Pelvis / Coxae non kontras
REG/IP/200 2510
### DS200812-0078 (BATAL)ANWAR BUKIT 37 M CHRYSANT Thorax AP/PA
811-0007 89
REG/IP/200 2510
### DS200812-0079 TEGUH PAMUJI 43 M CHRYSANT Jasa Baca Foto Konvensional
811-0002 81
REG/IP/200 2510
### DS200812-0080 ANWAR BUKIT 37 M CHRYSANT Jasa Baca Foto Konvensional
811-0007 89
REG/IP/200 2511
### DS200812-0081 NACIM BIN MAJI 74 M CHRYSANT Jasa Baca Foto Konvensional
811-0010 03
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REG/OP/20 0988
### DS200812-0083 SYARIF TANJUNG.TN 50 M RADIOLOGI CT Scan Kepala Non kontras
0812-0179 51
REG/OP/20 2511
### DS200812-0085 SRI HERNI 41 F POLI BEDAH MULUT Panoramik
0812-0156 36
REG/OP/20
### JO200812-00006 RIKI GUNAWAN 20 M POLI MCU Thorax AP/PA
0812-0103
REG/OP/20
### JO200812-00004 HASAN 41 M POLI MCU Thorax AP/PA
0812-0101
REG/OP/20
### JO200812-00008 ETE ROSIDIN 33 M POLI MCU Thorax AP/PA
0812-0108
REG/OP/20 2510
### DS200812-0086 IMUN BIN ASIM 66 M POLI BEDAH UROLOGI USG Abdomen
0812-0155 79
REG/OP/20
### DS200812-0087 AYU ROFIKOH 0 F RADIOLOGI BNO/Abdomen
0812-0188
REG/OP/20 0337
### DS200812-0089 ATI SUMIYATI, NY 37 F POLI UMUM Art Genu Dex/Sin
0812-0181 70
REG/OP/20
### JO200812-00015 RATNA SARI 19 F POLI MCU Thorax AP/PA
0812-0170
REG/IP/200 2082 HARWATI BINTI
809-0013 32 ARJOKIMUN
REG/IP/200 2510
### DS200812-0094 DEDE HIDAYATULOH 38 M JASMINE Thorax AP/PA
809-0001 33
REG/EM/20 2511
### DS200812-0096 NANIH MARYANIH 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0812-0009 41
REG/OP/20 2511
### DS200812-0097 ACE ZAENAL ARIFIN 35 M POLI PENYAKIT DALAM USG Abdomen
0812-0215 08
REG/IP/200 2509
### DS200812-0099 ANAH BINTI LORIN 62 F JASMINE Thorax AP/PA
806-0014 63
REG/IP/200 2507
### DS200812-0100 NAMI 43 F JASMINE Thorax AP/PA
727-0022 44
REG/IP/200 2507 TARYATI BINTI ARJO
727-0019 43 SUWARDI
REG/IP/200 2507
### DS200812-0102 SEVI INDRIA SARI 24 F JASMINE Thorax AP/PA
727-0018 41
REG/OP/20 2511
### DS200812-0103 JIMIH BINTI SIIN 63 F POLI JANTUNG Thorax AP/PA
0812-0092 25
REG/OP/20 2511
### DS200812-0105 TIMOTIUS TATANG 46 M POLI JANTUNG Thorax AP/PA
0812-0165 37
REG/IP/200 2507
### DS200812-0107 MIMIN RUSMINI 61 F CHRYSANT CAG - Asisten Operator
811-0005 22
REG/IP/200 2507
### DS200812-0107 MIMIN RUSMINI 61 F CHRYSANT CAG - Kamar Tindakan
811-0005 22
REG/IP/200 2507
### DS200812-0107 MIMIN RUSMINI 61 F CHRYSANT CAG - Dokter Operator
811-0005 22
REG/OP/20 2059 SARIMAN BIN SUMO
0812-0206 54 DIHARJO. TN
REG/OP/20 2412
### DS200812-0110 TULUS 22 M POLI THT Sinus Para Nasal 3 posisi
0812-0112 31
REG/OP/20 2511
### DS200812-0112 MAAH BINTI OMA 47 F POLI JANTUNG Thorax AP/PA
0812-0214 42
REG/IP/200 2511 SYAHNAYA ATHIFAH
### DS200812-0116 8 F BANGSAL NEUROLOGI Jasa Baca Foto Konvensional
811-0017 12 AZALEA
### DS200812-0117 8 F BANGSAL NEUROLOGI JASA BACA CT SCAN
811-0017 12 AZALEA
8/25/2020 12:07:35 PM Page : 1/1

811-0017 12 AZALEA
811-0017 12 AZALEA
REG/IP/200 1923
806-0007 77
### DS200812-0121 NASIN BIN NAANG 66 M POLI BEDAH UROLOGI
REG/OP/20 2494
### DS200812-0123 MAHPUDIN BIN ENDANG 41 M POLI BEDAH UROLOGI Thorax AP/PA
0812-0221 62
REG/IP/200 2508
### DS200812-0126 UDUNG BIN ANCE 70 M CHRYSANT PTCA - Kamar Tindakan
811-0003 64
REG/IP/200 2508
### DS200812-0126 UDUNG BIN ANCE 70 M CHRYSANT PTCA - Dokter Operator
811-0003 64
REG/IP/200 2508
### DS200812-0126 UDUNG BIN ANCE 70 M CHRYSANT PTCA - Asisten Operator
811-0003 64
REG/IP/200 2505
### DS200812-0136 MUNIFAH BINTI M. ZEN 58 F CHRYSANT PTCA - Kamar Tindakan
811-0004 94
REG/IP/200 2505
### DS200812-0136 MUNIFAH BINTI M. ZEN 58 F CHRYSANT PTCA - Dokter Operator Kls 2
811-0004 94
REG/IP/200 2505
### DS200812-0136 MUNIFAH BINTI M. ZEN 58 F CHRYSANT PTCA - Asisten Operator
811-0004 94
REG/IP/200 2446
### DS200812-0137 ACHMAD KOMARI 49 M AMARYLLIS PTCA - Kamar Tindakan
804-0005 83
REG/IP/200 2446
### DS200812-0137 ACHMAD KOMARI 49 M AMARYLLIS PTCA - Dokter Operator Kls 1
804-0005 83
REG/IP/200 2446
### DS200812-0137 ACHMAD KOMARI 49 M AMARYLLIS PTCA - Asisten Operator
804-0005 83
REG/IP/200 2511
### DS200812-0141 (BATAL)NACIM BIN MAJI 74 M CHRYSANT CAG - Kamar Tindakan
811-0010 03
REG/IP/200 2511
### DS200812-0141 (BATAL)NACIM BIN MAJI 74 M CHRYSANT CAG - Dokter Operator Kls 3
811-0010 03
REG/IP/200 2511
### DS200812-0141 (BATAL)NACIM BIN MAJI 74 M CHRYSANT CAG - Asisten Operator
811-0010 03
REG/IP/200 2511 SYAHNAYA ATHIFAH CT Scan Kepala Non kontras,bone
### DS200812-0145 8 F BANGSAL NEUROLOGI
811-0017 12 AZALEA window
REG/EM/20 2511 AWDELIA ESAPUTRI
0812-0012 47 SEPTRALI
REG/EM/20 2511 AWDELIA ESAPUTRI
0812-0012 47 SEPTRALI
REG/IP/200 2511
### DS200812-0149 NACIM BIN MAJI 74 M CHRYSANT PTCA - Kamar Tindakan
811-0010 03
REG/IP/200 2511
### DS200812-0149 NACIM BIN MAJI 74 M CHRYSANT PTCA - Dokter Operator Kls 3
811-0010 03
REG/IP/200 2511
### DS200812-0149 NACIM BIN MAJI 74 M CHRYSANT PTCA - Asisten Operator
811-0010 03
REG/EM/20 2511
### DS200812-0153 RICKY ISMAIL 39 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0812-0014 49
REG/OP/20 2511
### DS200812-0156 SALMA ARUNDYTA 21 F POLI UMUM USG Abdomen
0812-0254 50
REG/EM/20 2511
### DS200812-0157 (BATAL)NUR FATIMAH 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0812-0013 48
REG/EM/20 0242
### DS200812-0164 EDI WAHYONO 37 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0812-0015 39
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REG/OP/20 2159
### DS200812-0166 FAJAR ANHARI AHADI.TN 29 M RADIOLOGI Thorax AP/PA
0812-0264 09
REG/EM/20 1845
### DS200812-0168 SUDARTO BIN SUDARNO 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0812-0016 99
REG/IP/200 2510
### DS200813-0015 BAMBANG KARYONO 49 M CHRYSANT Thorax AP/PA
813-0001 54
REG/IP/200 2511 MAESAROH BINTI
813-0002 28 SAMSUROMLI
REG/OP/20 2412
### DS200813-0026 HASAN BASRI 38 M POLI PARU Thorax AP/PA
0813-0055 46
REG/EM/20 2398
0813-0003 47
REG/OP/20 2454
### DS200813-0037 KIYAH BINTI PAMILI 57 F POLI PARU Thorax AP/PA
0813-0123 40
REG/OP/20
### JO200813-00016 DIANA INTAN YUSTIKA 18 F POLI MCU Thorax AP/PA
0813-0129
### DS200813-0043 HERMAS SUSANTI 67 F POLI BEDAH UROLOGI
### DS200813-0045 BOSIH BIN KANJANG 59 M POLI PENYAKIT DALAM
REG/EM/20 1190 (BATAL)ERWIN ENDRO
0813-0004 50 NURCAHYO
REG/EM/20 1190 (BATAL)ERWIN ENDRO
0813-0004 50 NURCAHYO
REG/EM/20 2436
### DS200813-0059 UANG BINTI SAIT 73 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0007 94
REG/OP/20 0860
### JO200813-00021 LUTHFIA OKTAVIANI 27 F POLI MCU Thorax AP/PA
0813-0168 78
REG/OP/20 2507 SAUMIRDA BINTI
0813-0179 54 AMIRSAH
REG/EM/20 2511
### DS200813-0066 ENDI SUHAEDI 27 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0813-0008 59
REG/OP/20
### DS200813-0068 WAWAN HERMAWAN 32 M RADIOLOGI Thorax AP/PA
0813-0213
REG/IP/200 2510 SARMAH YEYEN
### DS200813-0070 40 F EDELWEISS USG Abdomen
REG/OP/20 2152
### DS200813-0071 MANIN PERMANA 74 M POLI SYARAF CT Scan Kepala Non kontras
0813-0178 69
REG/OP/20 2405
### DS200813-0072 AMI BINTI SAKUM 49 F POLI PENYAKIT DALAM USG Abdomen
0813-0143 84
REG/OP/20 2333
### DS200813-0077 ELIYAH BINTI NARAM 38 F HEMODIALISA Thorax AP/PA
0813-0172 25
REG/EM/20 2288
### DS200813-0078 SUTRISNO BIN MARJONO 50 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0009 43
REG/IP/200 2510
### DS200813-0083 CICIH SUTARSIH 65 F CHRYSANT PTCA - Kamar Tindakan
810-0011 58
REG/IP/200 2510
### DS200813-0083 CICIH SUTARSIH 65 F CHRYSANT PTCA - Dokter Operator Kls 2
810-0011 58
REG/IP/200 2510
### DS200813-0083 CICIH SUTARSIH 65 F CHRYSANT PTCA - Asisten Operator
810-0011 58
REG/EM/20 2511
### DS200813-0095 EDI JUNAEDI 36 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0813-0011 61
REG/EM/20 0290
### DS200813-0099 SUPARNO 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0012 05
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REG/OP/20 1929
### DS200813-0102 NIAH KARYANAH.NY 49 F POLI JANTUNG Thorax AP/PA
0813-0109 77
REG/IP/200 2510
### DS200813-0105 ANWAR BUKIT 37 M CHRYSANT PTCA - Kamar Tindakan
811-0007 89
REG/IP/200 2510
### DS200813-0105 ANWAR BUKIT 37 M CHRYSANT PTCA - Dokter Operator Kls 2
811-0007 89
REG/IP/200 2510
### DS200813-0105 ANWAR BUKIT 37 M CHRYSANT PTCA - Asisten Operator
811-0007 89
REG/EM/20 1190
### DS200813-0114 ERWIN ENDRO NURCAHYO 40 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0004 50
REG/EM/20 1190
### DS200813-0115 ERWIN ENDRO NURCAHYO 40 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0813-0004 50
REG/IP/200 2507
### DS200813-0116 RASYID FIRMANSYAH 59 M CHRYSANT PTCA - Kamar Tindakan
812-0004 77
REG/IP/200 2507
### DS200813-0116 RASYID FIRMANSYAH 59 M CHRYSANT PTCA - Dokter Operator Kls 3
812-0004 77
REG/IP/200 2507
### DS200813-0116 RASYID FIRMANSYAH 59 M CHRYSANT PTCA - Asisten Operator
812-0004 77
REG/EM/20 2511
### DS200813-0120 EDI JUNAEDI 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0011 61
REG/IP/200 2510
### DS200813-0122 TEGUH PAMUJI 43 M CHRYSANT PTCA - Kamar Tindakan
811-0002 81
REG/IP/200 2510
### DS200813-0122 TEGUH PAMUJI 43 M CHRYSANT PTCA - Dokter Operator
811-0002 81
REG/IP/200 2510
### DS200813-0122 TEGUH PAMUJI 43 M CHRYSANT PTCA - Asisten Operator
811-0002 81
REG/EM/20 2436
### DS200813-0123 UANG BINTI SAIT 73 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0813-0007 94
REG/IP/200 2504
### DS200813-0129 SAODAH BINTI ARSAD 70 F EDELWEISS Thorax AP/PA
813-0012 27
812-0001 59 H.HOPIP . H
### DS200813-0132 55 M CHRYSANT PTCA - Dokter Operator
812-0001 59 H.HOPIP . H
812-0001 59 H.HOPIP . H
REG/OP/20 2245 SANDRO ALFONTINUS
0813-0337 63 SITUMORANG.TN
### DS200813-0141 M. MUSLIH. DRS.H.TN 61 M POLI BEDAH VASKULER
0813-0285 65 Doppler
REG/IP/200 2510 SARMAH YEYEN CT Scan Abdomen Superior / Inferior /
### DS200813-0144 40 F EDELWEISS
809-0014 23 HANDAYANI Pelvis / Coxae non kontras
REG/OP/20 2511
### DS200813-0149 SRI MULYANI 21 F POLI PENYAKIT DALAM USG Abdomen
0813-0344 67
REG/EM/20 1642
### DS200813-0151 DARWATI BINTI SANAIN 55 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0015 35
REG/EM/20 2511
### DS200813-0152 MANAH SUMIRAH 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0016 68
REG/EM/20 2511
### DS200813-0156 SITI JUHAENI 80 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0813-0017 69
REG/EM/20 2511
### DS200813-0157 SITI JUHAENI 80 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0017 69
### DS200813-0158 ERWIN ENDRO NURCAHYO 40 M CHRYSANT
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2405
### DS200813-0159 ITOT BIN JIDI 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0019 14
REG/EM/20 2511
### DS200813-0162 OMAR DANI 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0020 70
REG/EM/20 2511
### DS200813-0167 JAMILUDIN BIN ASMAT 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0813-0023 72
REG/EM/20 2209
### DS200814-0017 JAIJONI BIN H. OO 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0002 14
REG/IP/200 2508
### DS200814-0022 ENTIN FATIMAH, HJ 71 F AMARYLLIS Thorax AP/PA
814-0004 11
REG/IP/200 1642 (BATAL)DARWATI BINTI
813-0020 35 SANAIN
REG/IP/200 2398
### DS200814-0032 MIA AFRILIYANI 21 F CHRYSANT USG Thorax / Paru
813-0004 47
REG/IP/200 2510
### DS200814-0033 GANDA MIARSA 59 M CHRYSANT Thorax AP/PA
814-0007 55
REG/IP/200 0342
### DS200814-0035 SIHARDANNY PARULIAN. P 51 M JASMINE Thorax AP/PA
812-0005 69
REG/IP/200 0354
### DS200814-0037 HENNY DUMARYA. P 46 F JASMINE Thorax AP/PA
812-0006 40
REG/IP/200 2510
### DS200814-0039 MAMAN BIN JUARDA 55 M CHRYSANT Thorax AP/PA
814-0008 60
REG/IP/200 2511
### DS200814-0040 JAMILUDIN BIN ASMAT 56 M AMARYLLIS USG Abdomen
814-0003 72
REG/EM/20 1849
0814-0003 55
REG/IP/200 0308
### DS200814-0050 FERRY KARNADI 49 M CHRYSANT Thorax AP/PA
814-0010 06
### DS200814-0057 (BATAL)EDEH BINTI AMUR 45 F RADIOLOGI
### DS200814-0058 (BATAL)EDEH BINTI AMUR 45 F RADIOLOGI
REG/IP/200 2405
### DS200814-0059 ITOT BIN JIDI 56 M AMARYLLIS USG Abdomen
813-0022 14
REG/IP/200 2405
### DS200814-0062 (BATAL)ITOT BIN JIDI 56 M AMARYLLIS USG Abdomen
813-0022 14
REG/OP/20 1855
### DS200814-0064 AGUS SUCIPTO. TN 31 M POLI BEDAH MULUT Panoramik
0814-0039 45
REG/OP/20 2256
### DS200814-0065 PANJI KUSYADI .TN 46 M POLI BEDAH MULUT Panoramik
0814-0082 98
REG/EM/20 1622
### DS200814-0066 IWAN SULAEMAN 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0005 26
REG/EM/20 1622
### DS200814-0068 IWAN SULAEMAN 65 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0814-0005 26
REG/OP/20 2511
### DS200814-0074 EDEH BINTI AMUR 45 F RADIOLOGI CT Scan Whole Abdomen dengan kontras
0814-0114 81
REG/OP/20
### JO200814-00009 SUPRIYONO 50 M POLI MCU Thorax AP/PA
0814-0113
REG/OP/20 0117
### DS200814-0087 YUDI SETIAWAN 48 M POLI UMUM Thorax AP/PA
0814-0137 83
REG/IP/200 2510
### DS200814-0088 BAMBANG KARYONO 49 M CHRYSANT CAG - Kamar Tindakan
813-0001 54
REG/IP/200 2510
### DS200814-0088 BAMBANG KARYONO 49 M CHRYSANT CAG - Dokter Operator Kls 2
813-0001 54
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REG/IP/200 2510
### DS200814-0088 BAMBANG KARYONO 49 M CHRYSANT CAG - Asisten Operator
813-0001 54
REG/OP/20 2511
### DS200814-0090 INDRI YUNIARTI 24 F POLI BEDAH MULUT Panoramik
0814-0154 79
### DS200814-0095 52 F CHRYSANT CAG - Kamar Tindakan
### DS200814-0095 52 F CHRYSANT CAG - Dokter Operator Kls 2
### DS200814-0095 52 F CHRYSANT CAG - Asisten Operator
REG/OP/20 2511 NURHAYATI BINTI ABDUL
### DS200814-0097 52 F POLI SYARAF CT Scan Kepala Non kontras
0814-0065 74 MUIS
REG/EM/20 2500
### DS200814-0101 ASTI LARAS AYU 16 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0004 18
REG/OP/20
### JO200814-00018 ALI WINAHYU 25 M POLI MCU Thorax AP/PA
0814-0170
REG/OP/20 MUHAMMAD ASYIQUL
0814-0167 FUADI
REG/IP/200 1923
### DS200814-0105 MOMOH HALIMAH 77 F JASMINE CT Scan Kepala Non kontras
806-0007 77
REG/OP/20
### JO200814-00007 DIANA AGUSTIN 18 F POLI MCU Thorax AP/PA
0814-0090
REG/OP/20
### JO200814-00024 SAEPUL MUSLIHAT 20 M POLI MCU Thorax AP/PA
0814-0177
REG/OP/20
### JO200814-00022 AGUS TRIANTO 22 M POLI MCU Thorax AP/PA
0814-0175
REG/OP/20
### JO200814-00020 CATUR CAHYONO 21 M POLI MCU Thorax AP/PA
0814-0173
REG/OP/20
### JO200814-00014 WINDA HAMIDAH 19 F POLI MCU Thorax AP/PA
0814-0161
REG/OP/20 MUHAMMAD WIRA
0814-0158 ZUCHORI
REG/IP/200 0533
### DS200814-0113 SAHLA NABILA 15 F JASMINE Thorax AP/PA
811-0011 60
REG/EM/20 2246
### DS200814-0118 INAN BIN IJO 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0008 77
REG/IP/200 2288 (BATAL)SUTRISNO BIN USG Deep Vein Trombus Dex / Sin
### DS200814-0119 50 M CHRYSANT
813-0013 43 MARJONO Doppler
REG/IP/200 2288 (BATAL)SUTRISNO BIN USG Deep Vein Trombus Dex / Sin
### DS200814-0120 50 M CHRYSANT
813-0013 43 MARJONO Doppler
REG/OP/20 2408
### DS200814-0121 (BATAL)BUGI SUGARA 28 M POLI UMUM Thorax AP/PA
0814-0226 09
### DS200814-0126 DARWATI BINTI SANAIN 55 F AMARYLLIS
REG/OP/20 2511
### DS200814-0129 SANTI BINTI ZAKIR 27 F POLI PENYAKIT DALAM USG Abdomen
0814-0245 88
REG/OP/20 2327
### DS200814-0130 ARMEN TANJUNG, TN 62 M RADIOLOGI USG Thyroid Doppler
0814-0273 07
REG/EM/20 2091
### DS200814-0139 DEWI BINTI BAUNG. NY 40 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0010 67
REG/EM/20 1542
### DS200814-0140 AHYAD BIN MALI 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0012 21
REG/OP/20
### DS200814-0141 NURI WIDURI 39 F RADIOLOGI CT Scan Kepala Non kontras
0814-0282
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2509
### DS200814-0142 ZAENAL ABIDIN 50 M POLI JANTUNG Thorax AP/PA
0814-0272 94
REG/OP/20 2511
### DS200814-0148 SRI MULYANI 21 F POLI PENYAKIT DALAM USG Abdomen
0813-0344 67
REG/IP/200 2509
### DS200814-0155 ENDRO TRI SUWARSONO 56 M JASMINE Thorax AP/PA
807-0013 92
REG/EM/20 2506
### DS200814-0156 SIGIT PRASETIA 36 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0018 16
REG/EM/20 2511
### DS200814-0159 NUR ZAHIRA SAFA 0 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0019 92
REG/EM/20 2511
### DS200814-0161 MUHAMMAD HAIDAR 15 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0020 93
REG/EM/20 2511
### DS200814-0162 MUHAMMAD HAIDAR 15 M INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0814-0020 93
### DS200814-0163 MUHAMMAD HAIDAR 15 M INSTALASI GAWAT DARURAT (IGD)
0814-0020 93 window
REG/EM/20 2511
### DS200814-0165 DIKA PARHAN 14 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0022 95
REG/EM/20 2511
### DS200814-0170 MUHAMMAD HAIDAR 15 M INSTALASI GAWAT DARURAT (IGD) Panoramik
0814-0020 93
REG/EM/20 2026
### DS200814-0172 SABRINA BINTI JUNAEDI 4 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0814-0023 42
REG/EM/20 2511
### DS200815-0001 FARHANUL HAKIM 18 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0815-0001 96
REG/EM/20 2511
### DS200815-0015 (BATAL)INDRA RIVALDI 21 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0815-0002 97
REG/EM/20 2511
### DS200815-0016 FARHANUL HAKIM 18 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0001 96
REG/EM/20 2511
### DS200815-0019 (BATAL)INDRA RIVALDI 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0002 97
REG/EM/20 1771
### DS200815-0020 ORYIEZA SATI PADEWI 15 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0003 52
REG/EM/20 2319
### DS200815-0022 NABIN BIN SITAM 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0004 46
### DS200815-0025 NAMIN SOBILAH 19 M INSTALASI GAWAT DARURAT (IGD)
0815-0006 99 window
REG/EM/20 2511
### DS200815-0026 NAMIN SOBILAH 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0006 99
REG/IP/200 2288 USG Deep Vein Trombus Dex / Sin
### DS200815-0043 SUTRISNO BIN MARJONO 50 M CHRYSANT
813-0013 43 Doppler
REG/IP/200 2288
### DS200815-0043 SUTRISNO BIN MARJONO 50 M CHRYSANT USG Arteri Kanan / Kiri
813-0013 43
REG/EM/20 2414
### DS200815-0044 NURJANAH BINTI NASIR 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0008 99
REG/OP/20 1296
### DS200815-0053 JAJULI MUSTOFA. TN 33 M POLI BEDAH MULUT Panoramik
0815-0035 28
REG/OP/20 2492 WARNITI BINTI DUL
### DS200815-0054 48 F POLI BEDAH ORTHOPEDI CV. Lumbosacral 2 posisi
0815-0051 86 SOMAD
REG/IP/200 2253
### DS200815-0057 SITI AISYAH. NY 46 F CHRYSANT Thorax AP/PA
815-0005 02
REG/IP/200 2253 USG Deep Vein Trombus Dex / Sin
### DS200815-0058 (BATAL)SITI AISYAH. NY 46 F CHRYSANT
815-0005 02 Doppler
REG/IP/200 2253
### DS200815-0063 SITI AISYAH. NY 46 F CHRYSANT USG Arteri Kanan / Kiri
815-0005 02
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REG/EM/20 0724
### DS200815-0064 EKA PERMANA SAKTI 20 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0010 07
REG/OP/20
### JO200815-00015 SUPIANA SAKTI PARAGGI 19 M POLI MCU Thorax AP/PA
0815-0085
REG/OP/20
### JO200815-00005 HAGGIS RAMADHAN 18 M POLI MCU Thorax AP/PA
0815-0061
REG/OP/20
### JO200815-00007 CECEP IRYANTO 22 M POLI MCU Thorax AP/PA
0815-0063
REG/OP/20
### JO200815-00011 PRIATNA ANZASWARI 23 M POLI MCU Thorax AP/PA
0815-0068
REG/OP/20 NABIL MUHAMMAD
0815-0064 ANUGERAH
REG/OP/20 SALMAN AL FARIZI AL
0815-0054 BAKASI
REG/OP/20
### JO200815-00019 SALZA MAULIDA H 19 F POLI MCU Thorax AP/PA
0815-0120
REG/IP/200 2091
### DS200815-0065 DEWI BINTI BAUNG. NY 40 F CHRYSANT USG Abdomen
814-0016 67
REG/EM/20 2414 (BATAL)NURJANAH BINTI
0815-0008 99 NASIR
REG/EM/20 0724
### DS200815-0070 EKA PERMANA SAKTI 20 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0815-0010 07
REG/EM/20 2512
### DS200815-0073 TINAH BINTI IRO MITO 73 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0012 10
REG/EM/20 2512
### DS200815-0074 TINAH BINTI IRO MITO 73 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0815-0012 10
REG/IP/200 2288
### DS200815-0075 SUTRISNO BIN MARJONO 50 M CHRYSANT Art Genu Dex & Sin
813-0013 43
### DS200815-0077 SYAMSUL ARIF 39 M POLI BEDAH UROLOGI
REG/IP/200 0308
### DS200815-0080 FERRY KARNADI 49 M CHRYSANT CAG - Asisten Operator
814-0010 06
REG/IP/200 0308
### DS200815-0080 FERRY KARNADI 49 M CHRYSANT CAG - Dokter Operator
814-0010 06
REG/IP/200 0308
### DS200815-0080 FERRY KARNADI 49 M CHRYSANT CAG - Kamar Tindakan
814-0010 06
REG/IP/200 2475
### DS200815-0086 RONI ARFIN 42 M CHRYSANT Thorax AP/PA
815-0009 76
REG/IP/200 2000 H.U. SAEPUDIN
814-0018 11 MUHAMMAD
### DS200815-0093 65 M AMARYLLIS CAG - Dokter Operator Kls 1
REG/EM/20 2273
### DS200815-0102 ASMIYETI BINTI BURMAN 50 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0014 69
REG/EM/20 2405
### DS200815-0103 ROMLAH 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0015 47
REG/IP/200 2508
### DS200815-0106 ENTIN FATIMAH, HJ 71 F AMARYLLIS CAG - Kamar Tindakan
814-0004 11
REG/IP/200 2508
### DS200815-0106 ENTIN FATIMAH, HJ 71 F AMARYLLIS CAG - Dokter Operator
814-0004 11
REG/IP/200 2508
### DS200815-0106 ENTIN FATIMAH, HJ 71 F AMARYLLIS CAG - Asisten Operator
814-0004 11
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2510 (BATAL)MAMAN BIN
814-0008 60 JUARDA
814-0008 60 JUARDA
814-0008 60 JUARDA
REG/IP/200 2510
### DS200815-0113 GANDA MIARSA 59 M CHRYSANT PTCA - Kamar Tindakan
814-0007 55
REG/IP/200 2510
### DS200815-0113 GANDA MIARSA 59 M CHRYSANT PTCA - Dokter Operator Kls 2
814-0007 55
REG/IP/200 2510
### DS200815-0113 GANDA MIARSA 59 M CHRYSANT PTCA - Asisten Operator
814-0007 55
REG/IP/200 2511
### DS200815-0122 SARIP HIDAYAT 36 M CHRYSANT PTCA - Kamar Tindakan
814-0015 86
REG/IP/200 2511
### DS200815-0122 SARIP HIDAYAT 36 M CHRYSANT PTCA - Dokter Operator Kls 2
814-0015 86
REG/IP/200 2511
### DS200815-0122 SARIP HIDAYAT 36 M CHRYSANT PTCA - Asisten Operator
814-0015 86
REG/EM/20 2273 (BATAL)ASMIYETI BINTI
0815-0014 69 BURMAN
REG/IP/200 1449
### DS200815-0131 ACIH BINTI KICIT 52 F CHRYSANT Thorax AP/PA
814-0020 23
REG/EM/20 2279
### DS200815-0134 NINA NELIAWATI 26 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0018 77
REG/EM/20 2411
### DS200815-0140 FIJRIANI OKTAVIA 18 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0021 08
REG/EM/20 2512
### DS200815-0141 YANA SURYANA 35 M INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0815-0022 21
REG/EM/20 2512
### DS200815-0143 YANA SURYANA 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0022 21
REG/EM/20 1728
### DS200816-0017 LISA IFTAKHUL JANAH 24 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0815-0023 98
REG/EM/20 2512
### DS200816-0019 SYAIDI HASIM 66 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0002 23
REG/EM/20 1836
### DS200816-0022 YETTI SUMILAT 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0003 93
REG/EM/20 2512
### DS200816-0031 NARI BINTI JADUN 46 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0006 24
REG/EM/20 2512 (BATAL)NARI BINTI
0816-0006 24 JADUN
REG/EM/20 1745 AINUTTOYIBAH BINTI
0816-0007 41 HAMDANI
REG/EM/20 1564
### DS200816-0037 WILMAR SIBURIAN 64 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0008 97
REG/IP/200 2510
### DS200816-0039 MAMAN BIN JUARDA 55 M CHRYSANT PTCA - Kamar Tindakan
814-0008 60
REG/IP/200 2510
### DS200816-0039 MAMAN BIN JUARDA 55 M CHRYSANT PTCA - Dokter Operator
814-0008 60
REG/IP/200 2510
### DS200816-0039 MAMAN BIN JUARDA 55 M CHRYSANT PTCA - Asisten Operator
814-0008 60
REG/EM/20 2512
### DS200816-0040 NARI BINTI JADUN 46 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0816-0006 24
REG/EM/20 2512
### DS200816-0041 RIEZKY PERMANA 14 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0009 25
8/25/2020 12:07:35 PM Page : 1/1

### DS200816-0042 RIEZKY PERMANA 14 M INSTALASI GAWAT DARURAT (IGD)
0816-0009 25 window
REG/EM/20 2512
### DS200816-0047 SRI HARTATI 38 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0010 27
REG/EM/20 2512
### DS200816-0055 IGA SAGALA 18 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0011 29
REG/EM/20 1842
### DS200816-0059 NYAI RINDON TAMBAL.HJ 74 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0012 69
REG/EM/20 0919
### DS200816-0064 RASIH BINTI MILIS 67 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0816-0013 42
REG/EM/20 2234 (BATAL)BASORI BIN
0817-0001 78 SUBAKIR
REG/EM/20 2501
0817-0002 85
REG/EM/20 2234
### DS200817-0015 BASORI BIN SUBAKIR 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0817-0001 78
REG/EM/20 2512
### DS200817-0017 NINA BINTI ARIN 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0817-0004 32
REG/EM/20 2512
### DS200817-0024 ENDANG SUPRIATNA 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0817-0007 33
REG/EM/20 2512
### DS200817-0025 ENDANG SUPRIATNA 60 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0817-0007 33
REG/EM/20 2432 BGD. SUDIRMAN BIN
0817-0009 15 KASMIN
REG/EM/20 2432 BGD. SUDIRMAN BIN
0817-0009 15 KASMIN
REG/EM/20 2512 (BATAL)ODULFUS
0817-0011 35 SAHAGUNAWAN ODI
REG/IP/200 2512
### DS200817-0039 SUPRIADI BIN PONIDI 39 M AMARYLLIS Jasa Baca Foto Konvensional
817-0002 31
REG/EM/20 1910
0817-0013 49
REG/EM/20 2512 YULIANTO BIN
0817-0018 39 MOKHAMAD SOBIKHIN
### DS200817-0058 28 M INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
### DS200817-0059 28 M INSTALASI GAWAT DARURAT (IGD) Cruris Dex/Sin
REG/EM/20 2512 YULIANTO BIN CT Scan Kepala Non kontras,bone
0817-0018 39 MOKHAMAD SOBIKHIN window
REG/EM/20 2321
### DS200817-0063 HARDIEM EZAMOS. NY 69 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0817-0020 58
REG/EM/20 2321
### DS200817-0064 HARDIEM EZAMOS. NY 69 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0817-0020 58
REG/EM/20 2512 USPI BINTI KARNADI
0817-0021 40 SASTRA
REG/EM/20 2512 USPI BINTI KARNADI
0817-0021 40 SASTRA
REG/EM/20 2512
### DS200817-0070 RISIN BIN PINAN 67 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0817-0022 41
REG/EM/20 2438
### DS200817-0072 ISYATI BINTI SIDIK 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0817-0023 95
REG/EM/20 1472
0818-0001 98
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2511
### DS200818-0025 CARITA BIN ISAM 64 M AMARYLLIS Thorax AP/PA
818-0007 24
REG/IP/200 2511 SIROJZUDIN BIN YAYA
818-0009 35 SUTISNA
REG/IP/200 2507
### DS200818-0037 ASEP TATA KARTAMAN 62 M AMARYLLIS Thorax AP/PA
818-0010 79
REG/IP/200 1542
### DS200818-0046 (BATAL)AHYAD BIN MALI 47 M CHRYSANT USG Abdomen
814-0017 21
REG/OP/20
### DS200818-0053 LONI SUSANTO 10 M RADIOLOGI USG Abdomen
0818-0114
REG/OP/20 2422
### DS200818-0057 ARIFIN BIN GOLAM 66 M POLI PARU Thorax AP/PA
0818-0119 81
REG/EM/20 2512
### DS200818-0063 GUNADI BIN SABARUDIN 30 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0005 52
REG/OP/20 2114
### DS200818-0064 ETI RAHAYU 33 F POLI BEDAH MULUT Panoramik
0818-0061 08
REG/OP/20 2508 (BATAL)ENGKOS BIN
0818-0148 27 KIMAN
REG/OP/20 2510 NESYA FARZANA
0818-0080 82 ALMAHYRA
REG/IP/200 2512
### DS200818-0071 NASRIN SINAGA 48 M CHRYSANT Jasa Baca Foto Konvensional
817-0008 36
REG/OP/20 2508
### DS200818-0073 MAYA BINTI MA'UN 38 F POLI BEDAH UROLOGI BNO/Abdomen
0818-0158 52
REG/OP/20 2512
### DS200818-0075 WAITUN BINTI KARYA 41 F POLI BEDAH MULUT Panoramik
0818-0122 50
REG/OP/20 2508
### DS200818-0076 ENGKOS BIN KIMAN 56 M POLI PENYAKIT DALAM USG Abdomen
0818-0148 27
REG/OP/20 2480
### DS200818-0077 NURJANAH BINTI PALAK 37 F POLI BEDAH MULUT Panoramik
0818-0068 74
### DS200818-0087 UCU NUNGRANI 44 F POLI BEDAH UROLOGI
### DS200818-0093 RATNA NOERGUSTINA .NY 34 F POLI BEDAH UROLOGI
REG/IP/200 2510
### DS200818-0094 DEDE HIDAYATULOH 38 M JASMINE Thorax AP/PA
809-0001 33
REG/IP/200 2511
### DS200818-0095 NANIH MARYANIH 49 F JASMINE Thorax AP/PA
812-0009 41
REG/IP/200 2509
### DS200818-0096 ANAH BINTI LORIN 62 F JASMINE Thorax AP/PA
806-0014 63
REG/IP/200 2510
### DS200818-0097 SRI DARYATI 51 F JASMINE Thorax AP/PA
809-0021 49
### DS200818-0098 DARSIM BIN GANO. TN 31 M POLI BEDAH UROLOGI
REG/OP/20 2512
### DS200818-0099 NISA MAHMUDAH 23 F POLI BEDAH UROLOGI USG Abdomen
0818-0134 51
REG/OP/20 2512
### DS200818-0100 IHVANA DEVI NUR LAELA 22 F POLI BEDAH UROLOGI USG Abdomen
0818-0185 57
### DS200818-0101 FIQRI AL BUKORI 6 M INSTALASI GAWAT DARURAT (IGD)
0818-0007 55 window
REG/EM/20 2512
### DS200818-0103 FIQRI AL BUKORI 6 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0007 55
REG/OP/20 2485
### DS200818-0106 ESTI YULIANTI 53 F POLI SYARAF CT Scan Kepala Non kontras
0818-0176 78
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2380
### DS200818-0107 ABDUL AZIZ 15 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0009 26
REG/EM/20 2380
### DS200818-0108 ABDUL AZIZ 15 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0818-0009 26
REG/IP/200 2511
### DS200818-0110 NIRKA BIN NIJA 44 M JASMINE Thorax AP/PA
812-0008 30
REG/IP/200 0242
### DS200818-0112 EDI WAHYONO 37 M JASMINE Thorax AP/PA
812-0014 39
REG/IP/200 2510
### DS200818-0113 DADANG KAMALUDIN 39 M JASMINE Thorax AP/PA
809-0025 51
REG/OP/20 2319 AFRIANDI MUHARRAM
0818-0205 18 PRATAMA.TN
REG/OP/20
### JO200818-00009 NISA OKTAVIONA 17 F POLI MCU Thorax AP/PA
0818-0101
REG/OP/20
### JO200818-00007 ANISA ARBALIA PUTRI 17 F POLI MCU Thorax AP/PA
0818-0097
REG/OP/20
### JO200818-00004 DEZA AZIZAH 18 F POLI MCU Thorax AP/PA
0818-0087
REG/IP/200 1923
806-0007 77
REG/OP/20 2031
### DS200818-0123 ENIN BIN SADAN.TN 70 M POLI PENYAKIT DALAM Thorax AP/PA
0818-0191 69
REG/IP/200 2512
### DS200818-0125 SYARIFUDIN BIN SUNAH 49 M CARNATION PTCA - Kamar Tindakan
815-0012 18
REG/IP/200 2512
### DS200818-0125 SYARIFUDIN BIN SUNAH 49 M CARNATION PTCA - Dokter Operator
815-0012 18
REG/IP/200 2512
### DS200818-0125 SYARIFUDIN BIN SUNAH 49 M CARNATION PTCA - Asisten Operator
815-0012 18
REG/OP/20 2512 (BATAL)RIYANI BINTI
### DS200818-0128 44 F POLI GIGI DAN MULUT Panoramik
0818-0226 58 WARTO UTOMO
REG/IP/200 1330
### DS200818-0129 SUTIKNO BIN SAMAN 49 M CHRYSANT Thorax AP/PA
818-0013 28
REG/EM/20 2512
### DS200818-0134 YUSUP SUPANDI 27 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0012 68
REG/EM/20 1217
### DS200818-0136 KARTIKA AYU UTAMI 29 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0011 63
REG/OP/20 2512
### DS200818-0137 ROKAYAH BINTI DAHLAN 77 F POLI JANTUNG Thorax AP/PA
0818-0111 48
REG/OP/20 2512
### DS200818-0139 SARAH SARASWATI 26 F POLI UMUM USG Abdomen
0818-0343 67
REG/OP/20 1703
### DS200818-0143 NUR AENI BINTI HENDRO 11 F POLI THT Thorax AP/PA
0818-0044 31
REG/IP/200 1564
### DS200818-0145 WILMAR SIBURIAN 64 M CHRYSANT USG Abdomen
816-0007 97
REG/OP/20 2512
### DS200818-0148 AINAH HIJRAHWATI 37 F POLI PENYAKIT DALAM Thorax AP/PA
0818-0336 65
REG/OP/20 2512 RIYANI BINTI WARTO
### DS200818-0150 44 F POLI GIGI DAN MULUT Panoramik
0818-0226 58 UTOMO
REG/EM/20 2198
### DS200818-0151 SURNI BINTI UNIN 65 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0014 54
REG/EM/20 2512
### DS200818-0152 ALE BINTI SUNARYO 16 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0818-0013 70
REG/EM/20 1217
### DS200818-0159 KARTIKA AYU UTAMI 29 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0818-0011 63
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2435 FAHRULLAH BIN MASYO
0818-0017 20 ARIPIN
REG/EM/20 2377
### DS200818-0174 MANSUR ILAHUDE 60 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0818-0016 27
REG/IP/200 2512
### DS200818-0175 ALI MAHMUD 66 M CHRYSANT PTCA - Kamar Tindakan
815-0018 20
REG/IP/200 2512
### DS200818-0175 ALI MAHMUD 66 M CHRYSANT PTCA - Asisten Operator
815-0018 20
REG/IP/200 2512
### DS200818-0175 ALI MAHMUD 66 M CHRYSANT PTCA - Dokter Operator
815-0018 20
REG/EM/20 2512
### DS200818-0180 KENAH BINTI SARMANI 45 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0018 73
REG/IP/200 1849
### DS200818-0184 ARNIH BINTI ABAS 57 F ICU Thorax AP/PA
814-0012 55
REG/IP/200 2512 YULIANTO BIN
### DS200818-0188 28 M ICU Cruris Dex/Sin
### DS200818-0189 28 M ICU Pelvis/Coxae
### DS200818-0190 28 M ICU Femur Dex/Sin
REG/EM/20 2512
### DS200818-0195 ADITYA FATUR ROCHIM 21 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0021 75
### DS200818-0196 ADITYA FATUR ROCHIM 21 M INSTALASI GAWAT DARURAT (IGD)
0818-0021 75 window
REG/EM/20 2377
### DS200818-0199 MANSUR ILAHUDE 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0016 27
REG/EM/20 2512
### DS200818-0202 KANTA BIN SALIH 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0022 76
REG/IP/200 2510
### DS200818-0203 PARYONO BIN SUPENO 44 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
810-0009 63
REG/EM/20 2512
### DS200818-0208 FAROJAN 'IZZ 'AJILAN 1 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0818-0026 79
REG/EM/20 2512
### DS200818-0212 KENAH BINTI SARMANI 45 F INSTALASI GAWAT DARURAT (IGD) CV. Lumbosacral 2 posisi
0818-0018 73
REG/EM/20 2512
### DS200819-0019 NASEM BINTI AMIN 53 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0819-0002 80
REG/EM/20 2512
### DS200819-0020 NASEM BINTI AMIN 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0002 80
REG/EM/20 0863
### DS200819-0038 RD.SAHAL TUSURI 55 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0003 84
REG/IP/200 0813
### DS200819-0039 ASMUNI BIN RAHMAN 48 M AMARYLLIS Thorax AP/PA
809-0004 55
REG/EM/20 1977 MUNAWAROH BINTI
0819-0006 35 MASAN
REG/OP/20 2512
### DS200819-0056 YOGI SUJANA 34 M RADIOLOGI USG Abdomen
0819-0152 78
REG/OP/20 2512
### DS200819-0061 ABRORIL HUDA 27 M POLI BEDAH MULUT Panoramik
0819-0041 82
### DS200819-0062 ALI NURDIN 50 M RADIOLOGI
0819-0160 window
REG/OP/20
### JO200819-00003 USEP MULYANA 30 M POLI MCU Thorax AP/PA
0819-0120
REG/OP/20 2505
### DS200819-0071 MANGKIM BIN KAMUD 65 M POLI BEDAH UROLOGI BNO/Abdomen
0819-0114 97
8/25/2020 12:07:35 PM Page : 1/1

REG/IP/200 2512
### DS200819-0073 RISIN BIN PINAN 67 M CHRYSANT USG Thorax / Paru
817-0015 41
REG/EM/20 0610
### DS200819-0075 SIKADIR ZILIWU 39 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0819-0011 88
REG/EM/20 0610
### DS200819-0077 SIKADIR ZILIWU 39 M INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0819-0011 88
REG/OP/20 0552
### DS200819-0081 HERMAS SUSANTI 67 F POLI BEDAH UROLOGI Thorax AP/PA
0819-0086 54
REG/EM/20 1977 MUNAWAROH BINTI
0819-0006 35 MASAN
REG/OP/20
### JO200819-00013 LAVINNA MAGDALENA 18 F POLI MCU Thorax AP/PA
0819-0195
REG/OP/20 1236
### JO200819-00009 NAZWA ALAIDA RAHMAN 17 F POLI MCU Thorax AP/PA
0819-0145 43
REG/OP/20 1990
### JO200819-00007 ALIFA KUSUMA MULIA.NN 18 F POLI MCU Thorax AP/PA
0819-0141 44
REG/OP/20
### JO200819-00005 ANANDA ISNA FITRIYA 18 M POLI MCU Thorax AP/PA
0819-0133
REG/OP/20 2512
### DS200819-0086 ARNOLD HASUDUNGAN 28 M POLI BEDAH UROLOGI USG Abdomen
0819-0200 96
REG/IP/200 2512
### DS200819-0088 NASRIN SINAGA 48 M CHRYSANT CAG - Kamar Tindakan
817-0008 36
REG/IP/200 2512
### DS200819-0088 NASRIN SINAGA 48 M CHRYSANT CAG - Dokter Operator
817-0008 36
REG/IP/200 2512
### DS200819-0088 NASRIN SINAGA 48 M CHRYSANT CAG - Asisten Operator
817-0008 36
REG/EM/20 2511
### DS200819-0097 SITI JUHAERIYAH 31 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0012 56
REG/OP/20 2511
### DS200819-0100 ACEP SUPARTA 40 M POLI BEDAH UROLOGI Thorax AP/PA
0819-0107 10
REG/OP/20 2495
### DS200819-0105 IRPAN BIN SAMID 49 M POLI BEDAH UROLOGI Thorax AP/PA
0819-0176 83
REG/OP/20 2333
### DS200819-0106 EKA MEGAWATI.NY 27 F POLI UMUM USG Abdomen
0819-0237 35
REG/OP/20 2512
### DS200819-0108 KARTI BINTI NAIH 44 F POLI BEDAH UMUM Thorax AP/PA
0819-0204 99
REG/IP/200 2507
### DS200819-0109 ASEP TATA KARTAMAN 62 M AMARYLLIS CAG - Kamar Tindakan
818-0010 79
REG/IP/200 2507
### DS200819-0109 ASEP TATA KARTAMAN 62 M AMARYLLIS CAG - Dokter Operator
818-0010 79
REG/IP/200 2507
### DS200819-0109 ASEP TATA KARTAMAN 62 M AMARYLLIS CAG - Asisten Operator
818-0010 79
REG/IP/200 2512
### DS200819-0110 SUPRIADI BIN PONIDI 39 M AMARYLLIS PTCA - Kamar Tindakan
817-0002 31
REG/IP/200 2512
### DS200819-0110 SUPRIADI BIN PONIDI 39 M AMARYLLIS PTCA - Dokter Operator
817-0002 31
REG/IP/200 2512
### DS200819-0110 SUPRIADI BIN PONIDI 39 M AMARYLLIS PTCA - Asisten Operator
817-0002 31
REG/IP/200 2512
### DS200819-0113 TUMIN BIN SAPIN 61 M JASMINE Thorax AP/PA
818-0017 66
REG/OP/20 2512
### DS200819-0114 ASNIAH BINTI MADRAN 77 F POLI JANTUNG Thorax AP/PA
0819-0102 85
REG/OP/20
### JO200819-00015 AMALIA FEBRIANTY 20 F POLI MCU Thorax AP/PA
0819-0245
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2408
### DS200819-0121 NABRIH BIN MIRKO 69 M POLI BEDAH UROLOGI USG Abdomen
0819-0244 53
REG/OP/20 2513
### DS200819-0123 SANIM BIN ENIN 64 M POLI BEDAH UROLOGI USG Abdomen
0819-0279 09
### DS200819-0124 SUPARMIN BIN NGASMIN 70 M POLI BEDAH UROLOGI
REG/OP/20 2504
### DS200819-0125 NAIMAH BINTI URIN 54 F POLI BEDAH SYARAF Thorax AP/PA
0819-0084 10
REG/OP/20 2513
### DS200819-0128 ZAENAL SODIKIN 57 M POLI JANTUNG Thorax AP/PA
0819-0227 03
818-0009 35 SUTISNA
818-0009 35 SUTISNA
818-0009 35 SUTISNA
REG/IP/200 2512
### DS200819-0134 NARJA SUNARJAT, S.PD 72 M AMARYLLIS Thorax AP/PA
819-0009 87
REG/IP/200 2511
### DS200819-0139 OMAR DANI 56 M CHRYSANT Thorax AP/PA
814-0002 70
### DS200819-0140 28 M ICU USG Abdomen
REG/IP/200 2512
### DS200819-0141 SYAIDI HASIM 66 M CHRYSANT USG Abdomen
816-0003 23
REG/IP/200 2198
### DS200819-0142 SURNI BINTI UNIN 65 F CHRYSANT USG Abdomen
818-0022 54
REG/OP/20 2416
### DS200819-0144 SIDIN BIN ININ 37 M POLI PARU Thorax AP/PA
0819-0322 80
### DS200819-0145 28 M ICU Ankle joint Dex/Sin
REG/EM/20 2513
### DS200819-0146 (BATAL)DIRUN BIN CAEK 59 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0819-0016 13
REG/EM/20 2513
### DS200819-0146 (BATAL)DIRUN BIN CAEK 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0016 13
REG/EM/20 2513
### DS200819-0149 DIRUN BIN CAEK 59 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0819-0016 13
REG/EM/20 2513
### DS200819-0150 (BATAL)DIRUN BIN CAEK 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0016 13
REG/EM/20 2513
### DS200819-0166 TIAH BINTI ADAM 69 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0020 16
REG/EM/20 2287
### DS200819-0168 NURHASANAH BINTI IRAM 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0019 33
REG/EM/20 2513
### DS200819-0169 TIAH BINTI ADAM 69 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0819-0020 16
REG/EM/20 2476
### DS200819-0170 ENIN BIN NGUNANG 70 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0819-0021 75
REG/EM/20 2513
### DS200820-0001 MARLUWI BIN MARSUDIN 72 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0001 17
REG/EM/20 2379 DWI PRADIPTA ARSHADI
0820-0003 50 MUHAMMAD
REG/EM/20 0191
### DS200820-0045 JOKO WIYONO 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0005 61
REG/EM/20 2513
### DS200820-0075 SUWIRMAN CHANIAGO 60 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0010 19
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REG/EM/20 2499 (BATAL)GILANG
0820-0012 40 RISMANTO
### DS200820-0085 ENIN BIN NGUNANG 70 M CHRYSANT
REG/EM/20 2499
### DS200820-0090 GILANG RISMANTO 23 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0015 40
REG/EM/20 2466
### DS200820-0092 WARDI BIN NEMON 33 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0014 94
REG/EM/20 2513
### DS200820-0097 NURJANA BIN ADAM 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0016 21
REG/EM/20 2513
### DS200820-0099 RUDI IBRAHIM 56 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0017 22
REG/EM/20 2212
### DS200820-0101 ENDAY BINTI SANYIN 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0018 56
REG/EM/20 2513
### DS200820-0104 NURJANA BIN ADAM 31 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0820-0016 21
REG/IP/200 2512
### DS200820-0107 NARI BINTI JADUN 46 F STROKE UNIT Thorax AP/PA
816-0005 24
REG/EM/20 2281 AL MIRA AYU SUKMA
0820-0020 71 LESTARI
REG/EM/20 2281 AL MIRA AYU SUKMA CT Scan Kepala Non kontras,bone
0820-0020 71 LESTARI window
REG/EM/20 2513
### DS200820-0114 LINAH BINTI ANAN 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0820-0021 24
REG/EM/20 2513 FEBRIAN MAULANA AL
0820-0022 25 KARIM
REG/EM/20 2513 FEBRIAN MAULANA AL CT Scan Kepala Non kontras,bone
0820-0022 25 KARIM window
REG/EM/20 2107 (BATAL)KRISNA
0821-0003 62 DAMAYANTI
REG/EM/20 2508
### DS200821-0019 WASDJUD BIN EWONG 69 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0001 89
REG/EM/20 2508
### DS200821-0020 WASDJUD BIN EWONG 69 M INSTALASI GAWAT DARURAT (IGD) Abdomen 3 posisi
0821-0001 89
REG/EM/20 2513
### DS200821-0027 KHOSYATILLAH 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0821-0006 28
REG/EM/20 2513
### DS200821-0031 NURJANAH BINTI KAMBUN 49 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0005 27
REG/IP/200 2512
### DS200821-0032 HANAFIE TJANDRA 75 M AMARYLLIS Thorax AP/PA
821-0008 92
REG/EM/20 1636
### DS200821-0056 NELIM BIN PACA 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0011 38
REG/OP/20 2503
### DS200821-0058 REFIKA HUTAGALUNG 36 F POLI BEDAH MULUT Panoramik
0821-0035 29
REG/OP/20
### JO200821-00002 AJENG DEWAYANI 19 F POLI MCU Thorax AP/PA
0821-0060
REG/OP/20 2480
### DS200821-0064 NURJANAH BINTI PALAK 37 F POLI BEDAH MULUT Thorax AP/PA
0821-0063 74
REG/OP/20
### JO200821-00021 NUR FADILAH 18 F POLI MCU Thorax AP/PA
0821-0118
REG/OP/20
### JO200821-00023 SRI INDAH SOFYANI 17 F POLI MCU Thorax AP/PA
0821-0119
REG/OP/20 ANDI MUHAMMAD
0821-0090 ABBRORR
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20
### JO200821-00014 ADAM RAMADHAN 19 M POLI MCU Thorax AP/PA
0821-0085
REG/OP/20
### JO200821-00012 ARUNG WACANA TANDA 19 M POLI MCU Thorax AP/PA
0821-0086
REG/OP/20
### JO200821-00010 ALFATH JIBRAN 20 M POLI MCU Thorax AP/PA
0821-0083
REG/EM/20 2287
### DS200821-0071 NURHASANAH BINTI IRAM 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0010 33
### DS200821-0073 MARIAM BINTI NAWIN 59 F POLI BEDAH UROLOGI
### DS200821-0082 ASEP ALWANI 38 M POLI BEDAH UROLOGI
REG/IP/200 2466
### DS200821-0083 WARDI BIN NEMON 33 M CHRYSANT USG Abdomen
820-0009 94
REG/IP/200 2511
### DS200821-0084 SITI JUHAERIYAH 31 F CHRYSANT USG Thorax / Paru
819-0010 56
REG/OP/20 2507
### DS200821-0085 AYU PUTRI SEPTIYANTI 24 F POLI BEDAH UROLOGI USG Abdomen
0821-0139 74
REG/IP/200 2513
### DS200821-0088 SUWIRMAN CHANIAGO 60 M AMARYLLIS PTCA - Kamar Tindakan
820-0007 19
REG/IP/200 2513
### DS200821-0088 SUWIRMAN CHANIAGO 60 M AMARYLLIS PTCA - Dokter Operator
820-0007 19
REG/IP/200 2513
### DS200821-0088 SUWIRMAN CHANIAGO 60 M AMARYLLIS PTCA - Asisten Operator
820-0007 19
REG/IP/200 2512
### DS200821-0091 NARJA SUNARJAT, S.PD 72 M AMARYLLIS PTCA - Kamar Tindakan
819-0009 87
REG/IP/200 2512
### DS200821-0091 NARJA SUNARJAT, S.PD 72 M AMARYLLIS PTCA - Dokter Operator
819-0009 87
REG/IP/200 2512
### DS200821-0091 NARJA SUNARJAT, S.PD 72 M AMARYLLIS PTCA - Asisten Operator
819-0009 87
REG/OP/20 2513
### DS200821-0095 HENDRA SETIAWAN 46 M POLI JANTUNG Thorax AP/PA
0821-0175 39
### DS200821-0096 SURNI BINTI UNIN 65 F CHRYSANT
REG/OP/20 2512
### DS200821-0099 AINAH HIJRAHWATI 37 F POLI PENYAKIT DALAM USG Abdomen
0821-0246 65
### DS200821-0100 MAIMONI,NY. 48 F POLI BEDAH UROLOGI
REG/IP/200 1974
### DS200821-0101 ABIDAH SYEKH ALBAHRI 3 F CARNATION Thorax AP/PA
819-0006 75
REG/EM/20 0282
### DS200821-0108 MULYADI BIN MUGIHARJO 35 M INSTALASI GAWAT DARURAT (IGD) Manus Dex/Sin
0821-0015 47
REG/EM/20 0282
### DS200821-0110 MULYADI BIN MUGIHARJO 35 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0015 47
REG/IP/200 2511
### DS200821-0122 CARITA BIN ISAM 64 M AMARYLLIS PTCA - Kamar Tindakan
818-0007 24
REG/IP/200 2511
### DS200821-0122 CARITA BIN ISAM 64 M AMARYLLIS PTCA - Dokter Operator Kls 1
818-0007 24
REG/IP/200 2511
### DS200821-0122 CARITA BIN ISAM 64 M AMARYLLIS PTCA - Asisten Operator
818-0007 24
REG/IP/200 2513 (BATAL)FEBRIAN
### DS200821-0130 6 M BANGSAL NEUROLOGI USG Abdomen
821-0002 25 MAULANA AL KARIM
REG/EM/20 2513
### DS200821-0131 YAKUB A RASID 47 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0017 47
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REG/EM/20 2513
### DS200821-0132 YAKUB A RASID 47 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0821-0017 47
REG/EM/20 0988
### DS200821-0133 ABIE ABDILLAH AMZAH 13 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0821-0016 63
REG/IP/200 2512
### DS200821-0138 NARI BINTI JADUN 46 F STROKE UNIT CT Scan Kepala Non kontras
816-0005 24
REG/OP/20 2513
### DS200821-0142 NANZAR ALFIAN 28 M POLI PARU Thorax AP/PA
0821-0242 46
REG/OP/20 2427
### DS200821-0143 ANDHI BUDI SUSILO 38 M POLI BEDAH ORTHOPEDI Cruris Dex/Sin
0821-0291 89
REG/OP/20 1841
### DS200821-0145 APRILIA FITRI 24 F POLI BEDAH ORTHOPEDI Humerus Dex/Sin
0821-0264 14
REG/EM/20 2512
### DS200821-0147 NYULAEHA BINTI SHOLEH 72 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0019 34
REG/EM/20 2513 MOHAMAD ZAKARIA
0821-0020 50 YAHYA
REG/IP/200 2511
### DS200821-0152 RICKY ISMAIL 39 M BANGSAL NEUROLOGI CT Scan Kepala Non kontras
812-0010 49
REG/EM/20 2513
### DS200821-0153 (BATAL)ADAN MAULANA 45 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0021 51
REG/EM/20 2513
### DS200821-0154 (BATAL)ADAN MAULANA 45 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0821-0021 51
REG/EM/20 2513
### DS200821-0160 ARSINIH BINTI ABRIT 58 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0821-0025 54
REG/IP/200 2508
### DS200822-0020 WASDJUD BIN EWONG 69 M CHRYSANT USG Abdomen
821-0005 89
REG/EM/20 1115
### DS200822-0022 SRI WAHYUNINGSIH 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0001 91
REG/EM/20 2513
### DS200822-0024 AHYA BIN KENAN 68 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0002 55
REG/EM/20 2513
### DS200822-0028 AHYA BIN KENAN 68 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0822-0002 55
REG/EM/20 2513 FRIEDERIK ONNY HERMAN
0822-0003 56 TAMBING
REG/OP/20 2348
### DS200822-0035 MARLIMYATI 53 F RADIOLOGI USG Abdomen
0822-0037 02
REG/OP/20 2500
### DS200822-0036 ASTI LARAS AYU 16 F POLI SYARAF CT Scan Kepala dengan kontras
0822-0069 18
### DS200822-0038 (BATAL)RANGGA GILANG 8 M RADIOLOGI
0822-0067 Pelvis / Coxae dgn kontras
REG/OP/20
### DS200822-0039 RANGGA GILANG 8 M RADIOLOGI CT Scan Whole Abdomen non kontras
0822-0067
REG/OP/20 ADZIKA MUNIFA
0822-0066 ROHILAWATI
REG/OP/20
### JO200822-00002 ELLA FIFIYANA 23 F POLI MCU Thorax AP/PA
0822-0040
REG/EM/20 2513
### DS200822-0048 ALI PUTRA 39 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0822-0005 63
REG/OP/20 2513
### DS200822-0051 TIARA RIZKA FITRIANTY 25 F POLI BEDAH MULUT Panoramik
0822-0048 57
REG/OP/20 2182 MURNIANINGSIH BINTI
0822-0055 94 MISKA. NY
REG/OP/20 2256
### DS200822-0057 PANJI KUSYADI .TN 46 M POLI BEDAH MULUT Thorax AP/PA
0822-0039 98
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REG/OP/20 2353 (BATAL)AGUS HARI
0822-0094 12 WIDODO
REG/OP/20 2513
### DS200822-0060 EROM BINTI SAURIN 72 F POLI BEDAH UMUM CT Scan Whole Abdomen dengan kontras
0822-0078 60
REG/OP/20 2213 AKRAM DAYARA PUTRA.
0822-0082 01 AN
REG/OP/20
### JO200822-00011 WAWAN GUSTIAN 20 M POLI MCU Thorax AP/PA
0822-0079
REG/OP/20
### JO200822-00009 WARSUDIN 19 M POLI MCU Thorax AP/PA
0822-0076
REG/OP/20
### JO200822-00013 DAVIT AL BAASITH 19 M POLI MCU Thorax AP/PA
0822-0083
REG/EM/20 2432 MAHIRA RIZKIA
0822-0006 85 SUHERMAN
REG/OP/20 2512
### DS200822-0066 ABRORIL HUDA 27 M POLI BEDAH MULUT Thorax AP/PA
0822-0054 82
REG/EM/20 2177
### DS200822-0068 SABAR SIMANGUNSONG 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0004 15
REG/OP/20
### DS200822-0069 SANDI 38 M RADIOLOGI USG Thyroid Doppler
0822-0121
REG/IP/200 1115
### DS200822-0070 SRI WAHYUNINGSIH 52 F AMARYLLIS USG Abdomen
822-0002 91
REG/EM/20 2134
### DS200822-0073 DAHLAN BIN MIHAD 57 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0822-0008 87
REG/EM/20 2134
### DS200822-0074 DAHLAN BIN MIHAD 57 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0008 87
REG/OP/20 2513
### DS200822-0075 (BATAL)SARI NINGSIH 21 F POLI UMUM USG Abdomen
0822-0099 64
REG/IP/200 2512
### DS200822-0078 NYULAEHA BINTI SHOLEH 72 F CHRYSANT USG Abdomen
821-0020 34
REG/EM/20 1932
### DS200822-0080 RATNA SARI 32 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0007 52
REG/IP/200 2512
### DS200822-0081 HANAFIE TJANDRA 75 M AMARYLLIS PTCA - Kamar Tindakan
821-0008 92
REG/IP/200 2512
### DS200822-0081 HANAFIE TJANDRA 75 M AMARYLLIS PTCA - Dokter Operator
821-0008 92
REG/IP/200 2512
### DS200822-0081 HANAFIE TJANDRA 75 M AMARYLLIS PTCA - Asisten Operator
821-0008 92
### DS200822-0083 SOPYAN BIN DARIP 45 M POLI BEDAH UROLOGI
REG/IP/200 2513
### DS200822-0084 ENI SUHAENI 50 F CHRYSANT PTCA - Kamar Tindakan
820-0012 23
REG/IP/200 2513
### DS200822-0084 ENI SUHAENI 50 F CHRYSANT PTCA - Dokter Operator
820-0012 23
REG/IP/200 2513
### DS200822-0084 ENI SUHAENI 50 F CHRYSANT PTCA - Asisten Operator
820-0012 23
### DS200822-0085 NUR HASANAH LUBIS 46 F POLI BEDAH UROLOGI
REG/OP/20 2408
### DS200822-0086 NABRIH BIN MIRKO 69 M POLI BEDAH UROLOGI Thorax AP/PA
0822-0089 53
REG/OP/20 2513
### DS200822-0089 SARI NINGSIH 21 F POLI UMUM USG Abdomen
0822-0099 64
REG/EM/20 2177
### DS200822-0090 SABAR SIMANGUNSONG 39 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0822-0004 15
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2513
### DS200822-0095 ALI PUTRA 39 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0005 63
REG/OP/20 2513
### DS200822-0109 RENDRA GENTA R 25 M POLI GIGI DAN MULUT Panoramik
0822-0205 71
REG/OP/20 0654
### DS200822-0111 DEWI CAHYANTI 49 F POLI SYARAF CV. Lumbosacral 2 posisi
0822-0204 25
REG/EM/20 2513
### DS200822-0114 ENCU RATNASIH 39 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0822-0010 72
REG/OP/20 0521
### DS200822-0115 YASSA MARDIANSYAH 16 M RADIOLOGI CT Scan Kepala Non kontras
0822-0214 13
REG/EM/20 2513
### DS200822-0116 ENCU RATNASIH 39 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0010 72
REG/IP/200 2513
### DS200822-0124 NATALIE CALYSTA 24 F EDELWEISS Thorax AP/PA
822-0015 67
REG/EM/20 2513
### DS200822-0129 SAMSU BIN ASDA 58 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0012 75
REG/EM/20 2513
### DS200822-0130 SAMSU BIN ASDA 58 M INSTALASI GAWAT DARURAT (IGD) Elbow Joint Dex/Sin
0822-0012 75
REG/EM/20 2513
### DS200822-0131 SAMSU BIN ASDA 58 M INSTALASI GAWAT DARURAT (IGD) Antebrachii Dex/Sin
0822-0012 75
REG/EM/20 2415
### DS200822-0137 WAHYU TRI KHURNIAWAN 28 M INSTALASI GAWAT DARURAT (IGD) Sinus Para Nasal 3 posisi
0822-0014 51
REG/EM/20 2513
### DS200822-0139 YANI BINTI SIIN 43 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0822-0016 76
REG/EM/20 2513
### DS200823-0013 RIDWAN DWI SUSILO 22 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0001 77
REG/EM/20 0891 TIRTA HARY WIJAYA
0823-0002 90 PRAHARJA
REG/EM/20 0891 TIRTA HARY WIJAYA
0823-0002 90 PRAHARJA
REG/EM/20 2234
### DS200823-0024 DASIH BINTI KARTA 47 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0005 63
REG/EM/20 2513
### DS200823-0036 ROMIN BIN SIMUN 65 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0007 80
REG/EM/20 2513 MUHAMMAD RIFKI CT Scan Kepala Non kontras,bone
0823-0014 85 HIDAYAT window
REG/EM/20 2513 MUHAMMAD RIFKI
0823-0014 85 HIDAYAT
### DS200823-0054 ALI PUTRA 39 M CHRYSANT
REG/IP/200 2513
### DS200823-0057 RENITA OCTAVIANI 22 F EDELWEISS Thorax AP/PA
823-0005 82
REG/EM/20 2513
### DS200823-0064 SUDARJAT BIN MARJUKI 46 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0013 84
REG/OP/20 2497 MUKLIS BIN AHMAD
### DS200823-0065 33 M RADIOLOGI Wrist Joint Dex/Sin
0823-0015 79 PRAWITO
### DS200823-0067 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD)
0823-0016 86 window
REG/EM/20 2513
### DS200823-0068 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD) Pelvis/Coxae
0823-0016 86
REG/EM/20 2513
### DS200823-0069 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0016 86
REG/EM/20 2513
### DS200823-0071 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD) BNO/Abdomen
0823-0016 86
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 2513
### DS200823-0072 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD) Femur Dex/Sin
0823-0016 86
REG/EM/20 2513
### DS200823-0074 HINDUN BINTI ROHIM 64 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0019 87
REG/EM/20 1152 KHOIRIYAH BINTI
0823-0018 97 NURJAYA
0823-0017 29 SUMARTO
REG/EM/20 2513
### DS200823-0080 AGITSNI AZANI SETIAWAN 13 F INSTALASI GAWAT DARURAT (IGD) Art Genu Dex/Sin
0823-0016 86
REG/EM/20 2447
### DS200823-0086 NOVI FITRIANI 30 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0021 03
REG/EM/20 2513
### DS200823-0092 ATIKAH BINTI ATANG 42 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0022 88
REG/EM/20 2513
### DS200823-0094 BUDI SAROMAN 38 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0023 91
REG/EM/20 2513
### DS200823-0099 ATIM BIN MAHIR 44 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0024 92
REG/EM/20 2513
### DS200823-0101 OMID HAMIDI 59 M INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0823-0027 94
REG/EM/20 2513
### DS200823-0102 OMID HAMIDI 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0027 94
REG/EM/20 2513
### DS200823-0105 CECE SAPUTRA BIN ECIN 41 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0028 95
REG/EM/20 2038
### DS200824-0002 BAHRUN BIN SENTIRIA 61 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0029 40
REG/EM/20 2513
### DS200824-0003 AULIA NANDA ROSALITA 19 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0823-0025 93
REG/EM/20 2032
### DS200824-0019 KEISHA ADREENA CERELIA 3 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0001 18
REG/EM/20 2513
### DS200824-0021 WARSIH BINTI SUTIN 53 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0002 96
REG/EM/20 1143
### DS200824-0023 AGUS SUDRAJAT 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0003 72
REG/IP/200 2497
### DS200824-0031 ADIM MULOH 41 M CHRYSANT Thorax AP/PA
824-0009 71
REG/EM/20 2513
### DS200824-0045 ROKAYAH BINTI SARIP 51 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0006 97
REG/OP/20
### JO200824-00013 YESIKA DAME TIORINA R. 18 F POLI MCU Thorax AP/PA
0824-0104
REG/OP/20
### JO200824-00009 KARIN OCTAVIA 18 F POLI MCU Thorax AP/PA
0824-0099
REG/OP/20
### JO200824-00011 NUR WULANDARI 18 F POLI MCU Thorax AP/PA
0824-0101
REG/OP/20 2513
### DS200824-0060 KHOTIMAH NURUL NINDA 20 F POLI BEDAH MULUT Panoramik
0824-0076 98
REG/OP/20 1818
### DS200824-0061 MUNIH BINTI SAKI 53 F RADIOLOGI Thorax AP/PA
0824-0126 21
REG/EM/20 1761
### DS200824-0065 MAMAN BIN AHMAD 59 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0008 14
REG/EM/20 2514
### DS200824-0068 MARSI BINTI MADUN 70 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0009 02
REG/OP/20
### JO200714-00033 DR. REYGAIS RAZMAN 41 M POLI MCU Thorax AP/PA
0714-0318
8/25/2020 12:07:35 PM Page : 1/1

REG/OP/20 2514
### DS200824-0084 EVI TRIANI 21 F POLI SYARAF CT Scan Kepala Non kontras
0824-0105 01
REG/EM/20 1761
### DS200824-0086 MAMAN BIN AHMAD 59 M INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0824-0008 14
REG/IP/200 2513
### DS200824-0090 AGITSNI AZANI SETIAWAN 13 F ICU USG Abdomen
823-0011 86
REG/OP/20 NOORJAYA GUSTIRAHMAN
0824-0140 SAMPURNO
REG/OP/20
### JO200824-00021 MAHARANI SONIA DEWI 18 F POLI MCU Thorax AP/PA
0824-0144
REG/OP/20 2514
### DS200824-0093 SAEMAN BIN MUAN 68 M POLI JANTUNG Thorax AP/PA
0824-0145 04
REG/OP/20 0372
### DS200824-0094 ZULKIFLI 57 M POLI JANTUNG Thorax AP/PA
0824-0054 00
REG/EM/20 2318
### DS200824-0095 LAZUARDI RAMADHAN. TN 31 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0010 18
REG/OP/20 2338
0824-0152 85
REG/EM/20 2514
### DS200824-0099 MARYATI BINTI ITAR 52 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0012 13
REG/IP/200 0533
### DS200824-0103 (BATAL)SAHLA NABILA 15 F JASMINE USG Abdomen
811-0011 60
REG/IP/200 2414
### DS200824-0104 NURJANAH BINTI NASIR 64 F JASMINE Thorax AP/PA
815-0007 99
REG/IP/200 2513
### DS200824-0106 CECE SAPUTRA BIN ECIN 41 M AMARYLLIS USG Abdomen
824-0006 95
REG/OP/20 2514
### DS200824-0107 FIRMAN ZEBUA 40 M POLI JANTUNG Thorax AP/PA
0824-0198 12
REG/EM/20 2514
### DS200824-0109 MARSI BINTI MADUN 70 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0824-0009 02
REG/IP/200 0533
### DS200824-0110 SAHLA NABILA 15 F JASMINE Thorax AP/PA
811-0011 60
REG/IP/200 0354
### DS200824-0111 HENNY DUMARYA. P 46 F JASMINE Thorax AP/PA
812-0006 40
REG/IP/200 2287
### DS200824-0112 NURHASANAH BINTI IRAM 42 F JASMINE Thorax AP/PA
821-0015 33
REG/IP/200 0290
### DS200824-0113 SUPARNO 45 M JASMINE Thorax AP/PA
813-0007 05
REG/IP/200 1534
### DS200824-0114 SAHRUDIN BIN MISAR 49 M JASMINE Thorax AP/PA
817-0012 06
### DS200824-0115 IRNASARI BINTI SUKANDI 19 F POLI UMUM
0824-0221 14 window
REG/OP/20 0628
### DS200824-0121 INDRATAMA DWI H 19 M POLI UMUM USG Testis/Scrotum HP
0824-0186 96
REG/EM/20 2514
### DS200824-0122 NENENG ULYAH 41 F INSTALASI GAWAT DARURAT (IGD) USG Abdomen
0824-0014 19
REG/EM/20 2514
### DS200824-0123 NENENG ULYAH 41 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0014 19
REG/EM/20 2514
### DS200824-0129 MUHAMAD AKMAL 19 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0015 21
### DS200824-0130 MAHPUD ALAMSYAH. TN 49 M POLI BEDAH UROLOGI
REG/EM/20 2238
### DS200824-0141 BAEN BINTI NOSAN 59 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0017 26
8/25/2020 12:07:35 PM Page : 1/1

REG/EM/20 0684
### DS200824-0146 FLORA ANEKE REMBET 48 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0016 98
REG/EM/20 2514
### DS200824-0155 INA NURJANAH 0 M INSTALASI GAWAT DARURAT (IGD) BABY GRAM
0824-0019 23
REG/EM/20 2514
### DS200824-0158 MASRO PURBA 51 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0021 25
REG/EM/20 2514
### DS200824-0170 SITI BINTI INGGU 62 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0824-0025 30
REG/EM/20 1580
### DS200825-0010 SATI BINTI ANENG 77 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0825-0001 16
REG/EM/20 1190
### DS200825-0026 TARMIN BIN RASIWAN 52 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0825-0002 44
REG/EM/20 1726
### DS200825-0028 NAPSIAH BINTI H. SADELI 61 F INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0825-0003 94
REG/IP/200 2513 (BATAL)RISNANDAR BIN
822-0016 73 ADE DARMAN ISKANDAR
REG/IP/200 2435 FAHRULLAH BIN MASYO
818-0021 20 ARIPIN
REG/IP/200 2512
### DS200825-0036 SAINAM BIN SAKIM 69 M CHRYSANT Thorax AP/PA
825-0002 98
REG/IP/200 2512
### DS200825-0040 RADEN MIRSAM 72 M CHRYSANT Thorax AP/PA
825-0003 89
REG/IP/200 2512
### DS200825-0047 SUHANA WIDJAJA 62 M CHRYSANT Thorax AP/PA
825-0004 94
REG/EM/20 1726
### DS200825-0051 NAPSIAH BINTI H. SADELI 61 F INSTALASI GAWAT DARURAT (IGD) CT Scan Kepala Non kontras
0825-0003 94
REG/IP/200 2510 VINCENTIUS EDDY
825-0006 65 RENGAN
REG/OP/20 2509 ASY SHYFA JANNAH
### DS200825-0060 5 F POLI ANAK CT Scan Whole Abdomen non kontras
0825-0095 39 PURWA PUTRI
REG/OP/20
### JO200825-00003 ALIF DIAN PRATAMA 18 M POLI MCU Thorax AP/PA
0825-0071
REG/IP/200 2510
### DS200825-0070 SIDI WIJAYADI 50 M CHRYSANT Thorax AP/PA
825-0008 66
REG/IP/200 2514
### DS200825-0080 MASRO PURBA 51 M AMARYLLIS USG Abdomen
824-0026 25
REG/OP/20 KHAIRUL KUSUMA
0825-0122 ABDILLAH
REG/OP/20 1489
### DS200825-0086 NAFISAH ADELIA PUTRI 6 F POLI BEDAH MULUT Panoramik
0825-0105 08
REG/OP/20 2514
### DS200825-0087 KARNIA BINTI TANDEG 25 F POLI BEDAH MULUT Panoramik
0825-0123 32
REG/OP/20 0055
### DS200825-0089 ARIF SUKENDAR 42 M POLI BEDAH MULUT Panoramik
0825-0161 17
REG/OP/20 2514
### DS200825-0093 YANA SURYANA 28 M POLI BEDAH MULUT Panoramik
0825-0188 39
### DS200825-0094 ABDUL KODIR 61 M POLI BEDAH UROLOGI
### DS200825-0095 YANA SURYANA 35 M POLI BEDAH UROLOGI
REG/OP/20
### JO200825-00017 DESRI AJENG OCVI H. 17 F POLI MCU Thorax AP/PA
0825-0191
REG/OP/20
### JO200825-00015 ALFIAH NUR RIFQI 21 F POLI MCU Thorax AP/PA
0825-0173
8/25/2020 12:07:35 PM Page : 1/1

### DS200825-0100 ULAN DARI 24 F POLI BEDAH UROLOGI
REG/EM/20 2514
### DS200825-0101 UDI BIN UJI 80 M INSTALASI GAWAT DARURAT (IGD) Thorax AP/PA
0825-0005 43
REG/OP/20 2512
### DS200825-0103 UCU NUNGRANI 44 F POLI BEDAH UROLOGI Thorax AP/PA
0825-0032 46
REG/IP/200 1190
### DS200825-0107 TARMIN BIN RASIWAN 52 M ICU USG Abdomen
825-0005 44
8/25/2020 12:07:35 PM Page : 1/1

Physician Realization Date Time Result Date Time Total Menit Physician Sender Harga Jaminan
IK PRECISION
dr. Fatchoerochman, Sp.Rad dr. Hendrawati Utomo, MS, SpOk 35,000
INDONESIA, PT
MULIA AGUNG
dr. Hendrawati Utomo, MS, SpOk 65,789
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
8/25/2020 12:07:35 PM Page : 1/1

MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
MULIA AGUNG
CEMINDO, PT
RS Sentra Medika
dr. Arief Wahono, SpRad dr. Hendrawati Utomo, MS, SpOk 34,719
Cikarang
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
dr. Hendrawati Utomo, MS, SpOk 40,946 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad dr. Hendrawati Utomo, MS, SpOk 40,946 PRIBADI ( CASH )
dr. Laudeo Dhanaba Siregar, SpU dr. Laudeo Dhanaba Siregar, SpU 277,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 01/05/2020 02:33 02/05/2020 12:13 2020 dr. Setiawan Widyantoro 272,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 01/05/2020 05:48 02/05/2020 13:26 1898 dr. Setiawan Widyantoro 138,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 01/05/2020 07:24 02/05/2020 13:31 1807 dr. Setiawan Widyantoro 166,000 Lippo General Insurance
dr. Arief Wahono, SpRad 01/05/2020 08:43 02/05/2020 13:49 1746 dr. Kartika Agustina 930,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 01/05/2020 09:04 02/05/2020 12:23 1639 dr. Arief Wahono, SpRad 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 01/05/2020 10:17 02/05/2020 13:36 1639 dr. Kartika Agustina 166,000 Kementrian Kesehatan
BPJS Kesehatan
dr. Arief Wahono, SpRad 01/05/2020 10:47 01/05/2020 11:23 36 dr. Kartika Agustina 138,000
( Mandiri )
dr. Arief Wahono, SpRad 01/05/2020 11:28 02/05/2020 13:02 1534 dr. Kartika Agustina 138,000 BPJS Kesehatan
BPJS Kesehatan
dr. Arief Wahono, SpRad 01/05/2020 15:52 02/05/2020 13:42 1310 dr. Indah Trijoto, SpPD 138,000
( Mandiri )
dr. Arief Wahono, SpRad 01/05/2020 17:04 02/05/2020 13:46 1242 dr. Sumandi Suhindra 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 01/05/2020 19:33 02/05/2020 13:56 1103 dr. Permadi Wisnu Kuncoro 199,200 PRIBADI ( CASH )
KOMATSU
dr. Arief Wahono, SpRad 01/05/2020 19:38 02/05/2020 13:20 1062 dr. Permadi Wisnu Kuncoro 227,000 UNDERCARRIAGE
INDONESIA PT
KOMATSU
dr. Arief Wahono, SpRad 01/05/2020 20:50 02/05/2020 13:19 989 dr. Permadi Wisnu Kuncoro 166,000 UNDERCARRIAGE
INDONESIA PT
KOMATSU
dr. Arief Wahono, SpRad 02/05/2020 00:57 02/05/2020 13:23 746 dr. Permadi Wisnu Kuncoro 1,221,000 UNDERCARRIAGE
INDONESIA PT
dr. Arief Wahono, SpRad 02/05/2020 07:12 02/05/2020 12:22 310 dr. Charles Johanes, SpU 152,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 07:15 02/05/2020 12:28 313 dr. Nelly Rosari, M.Ked(Ped), SpA 308,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 07:27 02/05/2020 11:02 215 dr. Permadi Wisnu Kuncoro 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/05/2020 08:03 02/05/2020 14:33 390 dr. Indah Trijoto, SpPD 364,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 02/05/2020 08:51 04/05/2020 11:51 3060 dr. Permadi Wisnu Kuncoro 401,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 02/05/2020 09:17 02/05/2020 11:14 117 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 02/05/2020 09:49 02/05/2020 12:56 187 dr. Reygais Razman, SpOT 172,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 09:56 02/05/2020 11:10 74 dr. Entien Julinda Fathimah 199,200 PRIBADI ( CASH )
dr. Hervin Ramadhani BPJS Kesehatan

02/05/2020 10:07 2,700,000
Wibawa,SpJP, FIHA ( Mandiri )
dr. Hervin Ramadhani Wibawa,SpJP, FIHA 02/05/2020 10:07 3,750,000
02/05/2020 10:07 1,100,000
dr. Arief Wahono, SpRad 02/05/2020 11:27 02/05/2020 12:40 73 dr. Ahmad Widiatmoko, SpP 1,014,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 12:04 02/05/2020 12:46 42 dr. M. Farhan Naufal S. 138,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 12:36 02/05/2020 13:00 24 dr. Entien Julinda Fathimah 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/05/2020 13:05 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 13:07 02/05/2020 15:28 141 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 13:38 02/05/2020 15:25 107 dr. M. Farhan Naufal S. 199,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 02/05/2020 13:39 02/05/2020 15:30 111 dr. M. Farhan Naufal S. 1,465,200 PRIBADI ( CASH )
KOMATSU
dr. Othdeh Samuel Halomoan
dr. Arief Wahono, SpRad 02/05/2020 15:14 02/05/2020 15:21 7 227,000 UNDERCARRIAGE
Siahaan, SpOT
INDONESIA PT
dr. Arief Wahono, SpRad 02/05/2020 15:26 02/05/2020 17:24 118 dr. Hasri Larasati Utami 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 17:07 02/05/2020 19:52 165 dr. Entien Julinda Fathimah 166,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 17:08 02/05/2020 19:54 166 dr. Entien Julinda Fathimah 1,221,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 17:17 02/05/2020 21:18 241 dr. M. Farhan Naufal S. 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 02/05/2020 17:34 04/05/2020 10:43 2469 dr. Reygais Razman, SpOT 248,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 02/05/2020 19:29 04/05/2020 09:25 2276 dr. Subagio, SpPD 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/05/2020 20:25 dr. Hasri Larasati Utami 199,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 03/05/2020 04:02 04/05/2020 09:39 1777 dr. Hasri Larasati Utami 166,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 03/05/2020 04:03 04/05/2020 10:12 1809 dr. Hasri Larasati Utami 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 03/05/2020 06:16 04/05/2020 10:18 1682 dr. Hasri Larasati Utami 1,017,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 03/05/2020 07:15 04/05/2020 09:51 1596 dr. Hasri Larasati Utami 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 03/05/2020 07:50 04/05/2020 09:41 1551 dr. Hasri Larasati Utami 138,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 03/05/2020 07:52 04/05/2020 09:28 1536 dr. Hasri Larasati Utami 199,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 03/05/2020 11:23 04/05/2020 09:51 1348 dr. Sumandi Suhindra 199,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 03/05/2020 11:33 04/05/2020 09:52 1339 dr. Sumandi Suhindra 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 03/05/2020 11:42 dr. Sumandi Suhindra 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 03/05/2020 13:47 dr. Sumandi Suhindra 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 03/05/2020 18:28 04/05/2020 09:55 927 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 03/05/2020 19:41 04/05/2020 09:57 856 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 04/05/2020 07:54 04/05/2020 08:34 40 dr. Laudeo Dhanaba Siregar, SpU 152,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 04/05/2020 08:41 04/05/2020 09:59 78 dr. Kartika Agustina 199,200 PRIBADI ( CASH )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 04/05/2020 09:14 04/05/2020 09:59 45 dr. Kartika Agustina 171,000
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 04/05/2020 09:26 04/05/2020 09:58 32 dr. Gabriel Federikus Goleng, SpS 125,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 04/05/2020 09:39 04/05/2020 10:44 65 dr. Indah Trijoto, SpPD 125,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 04/05/2020 09:56 04/05/2020 10:45 49 dr. Fatchoerochman, Sp.Rad 180,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:07 04/05/2020 12:59 172 drg. Rina Simamora, SpBM 143,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:08 04/05/2020 13:33 205 dr. Laudeo Dhanaba Siregar, SpU 1,301,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:10 04/05/2020 12:59 169 drg. Rina Simamora, SpBM 143,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:32 04/05/2020 11:28 56 dr. Laudeo Dhanaba Siregar, SpU 336,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:40 04/05/2020 12:48 128 dr. Ahmad Widiatmoko, SpP 180,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/05/2020 10:46 dr. Ahmad Widiatmoko, SpP 180,000 PRIBADI ( CASH )
dr. Mailani Karina Akhmad,

dr. Fatchoerochman, Sp.Rad 04/05/2020 11:14 04/05/2020 12:23 69 401,000 BPJS Kesehatan ( PBI )
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 04/05/2020 11:25 04/05/2020 12:47 82 dr. Kartika Agustina 138,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 04/05/2020 12:09 04/05/2020 13:33 84 dr. Subagio, SpPD 364,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 04/05/2020 12:10 04/05/2020 12:47 37 dr. Ahmad Widiatmoko, SpP 125,000 BPJS Kesehatan ( PBI )

dr. Fatchoerochman, Sp.Rad 04/05/2020 12:13 04/05/2020 12:48 35 180,000 PRIBADI ( CASH )
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 04/05/2020 13:29 04/05/2020 13:59 30 Dr. Ismayadi, SpPD 125,000 BPJS Kesehatan
BPJS Kesehatan
dr. Arief Wahono, SpRad 04/05/2020 15:21 04/05/2020 15:57 36 Dr. Ismayadi, SpPD 138,000
( Mandiri )
dr. Chairul Julaga Ompusunggu,
dr. Arief Wahono, SpRad 04/05/2020 15:58 04/05/2020 17:05 67 622,800 PRIBADI ( CASH )
SpB
Siahaan, SpOT
dr. Arief Wahono, SpRad 04/05/2020 16:12 04/05/2020 16:43 31 193,000 BPJS Kesehatan ( PBI )
SpJP,FIHA
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 04/05/2020 16:42 04/05/2020 16:47 5 dr. Subagio, SpPD 125,000 BPJS Kesehatan ( PBI )

Siahaan, SpOT
Siahaan, SpOT
Siahaan, SpOT
dr. Fatchoerochman, Sp.Rad 04/05/2020 21:23 05/05/2020 08:22 659 dr. Setiawan Widyantoro 199,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/05/2020 21:24 05/05/2020 08:25 661 dr. Setiawan Widyantoro 1,339,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/05/2020 23:31 05/05/2020 08:14 523 dr. Setiawan Widyantoro 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 05/05/2020 00:53 05/05/2020 08:22 449 dr. Setiawan Widyantoro 138,000 BPJS Kesehatan
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 05/05/2020 01:54 05/05/2020 08:23 389 dr. Setiawan Widyantoro 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 05/05/2020 02:37 05/05/2020 08:14 337 dr. Setiawan Widyantoro 138,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 05/05/2020 07:41 05/05/2020 08:38 57 dr. Kartika Agustina 138,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 05/05/2020 11:15 05/05/2020 12:11 56 dr. Reygais Razman, SpOT 190,000 BPJS Ketenagakerjaan
dr. Fatchoerochman, Sp.Rad 05/05/2020 11:16 05/05/2020 11:16 0 dr. Indah Trijoto, SpPD 364,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 05/05/2020 11:32 05/05/2020 11:43 11 dr. Fatchoerochman, Sp.Rad 437,000 RS Bhakti Husada
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 05/05/2020 18:29 06/05/2020 08:51 862 dr. M. Farhan Naufal S. 138,000
( Mandiri )
dr. Arief Wahono, SpRad 05/05/2020 18:33 dr. M. Farhan Naufal S. 930,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 05/05/2020 20:25 06/05/2020 08:49 744 dr. M. Farhan Naufal S. 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 05/05/2020 21:29 06/05/2020 10:26 777 dr. M. Farhan Naufal S. 138,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 05/05/2020 21:30 06/05/2020 10:32 782 dr. M. Farhan Naufal S. 227,000 Jasa Raharja (Persero)
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 05/05/2020 21:34 06/05/2020 10:27 773 dr. M. Farhan Naufal S. 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 05/05/2020 21:36 06/05/2020 11:53 857 dr. M. Farhan Naufal S. 930,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 05/05/2020 22:41 06/05/2020 10:31 710 dr. M. Farhan Naufal S. 166,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 06/05/2020 04:46 06/05/2020 10:50 364 dr. M. Farhan Naufal S. 1,465,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 06/05/2020 08:08 06/05/2020 09:12 64 dr. Gabriel Federikus Goleng, SpS 1,017,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 06/05/2020 08:25 06/05/2020 10:25 120 dr. Marolop Pardede, SpBTKV 152,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 06/05/2020 08:48 06/05/2020 11:51 183 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan ( PBI )

SpB
dr. Fatchoerochman, Sp.Rad 06/05/2020 10:37 06/05/2020 13:21 164 drg. Rina Simamora, SpBM 206,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 06/05/2020 10:43 06/05/2020 15:43 300 dr. Indah Trijoto, SpPD 524,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 06/05/2020 10:44 06/05/2020 13:18 154 dr. Entien Julinda Fathimah 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 06/05/2020 10:55 06/05/2020 13:22 147 dr. Entien Julinda Fathimah 1,116,000 Kementrian Kesehatan

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 06/05/2020 11:29 06/05/2020 13:20 111 dr. Ahmad Widiatmoko, SpP 125,000 BPJS Kesehatan

SpJP,FIHA
dr. Hervin Ramadhani
06/05/2020 13:40 2,700,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Hervin Ramadhani Wibawa,SpJP, FIHA 06/05/2020 13:40 3,750,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

06/05/2020 13:40 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 06/05/2020 14:06 06/05/2020 16:15 129 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 06/05/2020 14:15 06/05/2020 16:02 107 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 06/05/2020 14:42 06/05/2020 15:03 21 Dr. Ismayadi, SpPD 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 06/05/2020 14:46 06/05/2020 15:30 44 dr. Ahmad Widiatmoko, SpP 125,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
Wibawa,SpJP, FIHA
06/05/2020 16:31 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
06/05/2020 16:31 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 06/05/2020 16:38 dr. Arief Wahono, SpRad 2,158,800 RS Bhakti Husada
dr. Arief Wahono, SpRad 06/05/2020 16:56 06/05/2020 17:05 9 dr. Arief Wahono, SpRad 1,799,000 RS Bhakti Husada
dr. Arief Wahono, SpRad 06/05/2020 16:58 06/05/2020 17:24 26 dr. Arief Wahono, SpRad 437,000 RS AMANDA CIKARANG
dr. Fatchoerochman, Sp.Rad 07/05/2020 05:12 07/05/2020 12:17 425 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 07/05/2020 10:46 08/05/2020 09:25 1359 dr. Indah Trijoto, SpPD 167,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 07/05/2020 10:49 08/05/2020 09:49 1380 dr. Indah Trijoto, SpPD 166,000 Kementrian Kesehatan

dr. Arief Wahono, SpRad 07/05/2020 13:02 08/05/2020 09:33 1231 207,000 Jasa Raharja (Persero)
Siahaan, SpOT
dr. Arief Wahono, SpRad 07/05/2020 19:39 08/05/2020 09:30 831 dr. Ahmad Widiatmoko, SpP 138,000 DINAS KESEHATAN
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 07/05/2020 22:04 08/05/2020 09:23 679 dr. Setiawan Widyantoro 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 07/05/2020 22:08 08/05/2020 09:35 687 dr. Nelly Rosari, M.Ked(Ped), SpA 308,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 07/05/2020 22:27 08/05/2020 09:35 668 dr. Setiawan Widyantoro 138,000 Kementrian Kesehatan
ADMEDIKA - ASTRA
dr. Arief Wahono, SpRad 08/05/2020 01:34 dr. Setiawan Widyantoro 166,000
AVIVA LIFE
ADMEDIKA - ASTRA
dr. Arief Wahono, SpRad 08/05/2020 02:21 08/05/2020 09:31 430 dr. Setiawan Widyantoro 166,000
AVIVA LIFE
dr. Arief Wahono, SpRad 08/05/2020 04:55 08/05/2020 09:43 288 dr. Setiawan Widyantoro 1,465,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 08/05/2020 08:39 08/05/2020 14:21 342 dr. Indah Trijoto, SpPD 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 08/05/2020 09:19 08/05/2020 14:17 298 dr. Kartika Agustina 166,000 Kementrian Kesehatan
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 08/05/2020 10:17 08/05/2020 14:23 246 dr. Indah Trijoto, SpPD 125,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 08/05/2020 10:48 08/05/2020 14:28 220 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 08/05/2020 11:04 08/05/2020 14:30 206 dr. Gabriel Federikus Goleng, SpS 1,330,800 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 08/05/2020 11:26 08/05/2020 12:28 62 dr. Hery Budhiarso, SpA 524,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 08/05/2020 12:41 08/05/2020 14:14 93 dr. Abdullah Saleh, SpJP, FIHA 152,000 BPJS Kesehatan ( PBI )
dr. Fitri Sholihati, SpTHT-KL, M.

Kes
dr. Fatchoerochman, Sp.Rad 08/05/2020 12:52 08/05/2020 14:16 84 196,000 BPJS Kesehatan
Kes
dr. Arief Wahono, SpRad 08/05/2020 16:06 08/05/2020 17:21 75 125,000 BPJS Kesehatan
SpB
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 08/05/2020 18:29 09/05/2020 12:23 1074 dr. Permadi Wisnu Kuncoro 227,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 09/05/2020 08:44 09/05/2020 11:58 194 dr. Pudji Windarini, SpOG 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 09/05/2020 10:03 09/05/2020 12:36 153 drg. Rina Simamora, SpBM 143,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 10:11 09/05/2020 12:32 141 drg. Rina Simamora, SpBM 206,400 PRIBADI ( CASH )
BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 10:58 09/05/2020 12:58 120 dr. Charles Johanes, SpU 1,301,000
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpB
BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 12:56 09/05/2020 14:16 80 dr. Ahmad Widiatmoko, SpP 193,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 09/05/2020 14:31 180,000 PRIBADI ( CASH )
SpB
dr. Arief Wahono, SpRad 09/05/2020 15:41 dr. Hery Budhiarso, SpA 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 16:35 11/05/2020 09:56 2481 dr. Hery Budhiarso, SpA 208,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 17:52 11/05/2020 10:02 2410 dr. Dyan Esikha 216,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 18:15 11/05/2020 10:17 2402 dr. Dyan Esikha 199,200 PRIBADI ( CASH )
BPJS Kesehatan
dr. Arief Wahono, SpRad 09/05/2020 18:54 11/05/2020 09:28 2314 dr. Dyan Esikha 138,000
( Mandiri )

Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 10/05/2020 04:34 11/05/2020 09:25 1731 dr. Dyan Esikha 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 10/05/2020 05:47 11/05/2020 09:23 1656 dr. Dyan Esikha 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 10/05/2020 05:47 11/05/2020 16:22 2075 dr. Dyan Esikha 166,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 10/05/2020 07:41 dr. Dyan Esikha 1,465,200 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 10/05/2020 07:43 dr. Dyan Esikha 226,800 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 10/05/2020 07:44 dr. Dyan Esikha 199,200 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 10/05/2020 08:08 11/05/2020 09:08 1500 dr. Dyan Esikha 1,221,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 10/05/2020 08:09 11/05/2020 08:39 1470 dr. Dyan Esikha 189,000 Jasa Raharja (Persero)
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 10/05/2020 09:27 11/05/2020 08:32 1385 dr. Dyan Esikha 138,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 10/05/2020 09:47 11/05/2020 08:31 1364 dr. Dyan Esikha 199,200 PRIBADI ( CASH )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 10/05/2020 11:32 11/05/2020 08:37 1265 dr. Dyan Esikha 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/05/2020 14:48 11/05/2020 08:31 1063 dr. Dyan Esikha 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 10/05/2020 15:21 dr. Dyan Esikha 1,116,000 Kementrian Kesehatan
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 10/05/2020 19:11 11/05/2020 08:29 798 dr. Hasri Larasati Utami 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/05/2020 22:49 11/05/2020 08:29 580 dr. Hasri Larasati Utami 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 11/05/2020 09:43 11/05/2020 10:19 36 dr. Marolop Pardede, SpBTKV 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 11/05/2020 10:43 11/05/2020 11:59 76 dr. Gabriel Federikus Goleng, SpS 284,400 PRIBADI ( CASH )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 11/05/2020 10:51 11/05/2020 12:50 119 dr. Laudeo Dhanaba Siregar, SpU 1,301,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
11/05/2020 11:28 dr. Abdullah Saleh, SpJP, FIHA 11,109,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Abdullah Saleh, SpJP, FIHA 11/05/2020 11:28 dr. Abdullah Saleh, SpJP, FIHA 18,000,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 11/05/2020 11:35 11/05/2020 11:58 23 dr. Laudeo Dhanaba Siregar, SpU 125,000 BPJS Kesehatan ( PBI )
11/05/2020 11:53 dr. Abdullah Saleh, SpJP, FIHA 11,109,000 BPJS Kesehatan
dr. Abdullah Saleh, SpJP, FIHA 11/05/2020 11:53 dr. Abdullah Saleh, SpJP, FIHA 18,000,000 BPJS Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 11/05/2020 12:35 11/05/2020 12:47 12 dr. RM. Barnard Situmorang, SpB 138,000
( Mandiri )
Kes
dr. Arief Wahono, SpRad 11/05/2020 13:59 11/05/2020 15:29 90 dr. Abdullah Saleh, SpJP, FIHA 125,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 11/05/2020 15:37 11/05/2020 16:21 44 dr. Kartika Agustina 166,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 11/05/2020 19:24 12/05/2020 08:47 803 dr. Marolop Pardede, SpBTKV 125,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
11/05/2020 20:35 3,000,000
11/05/2020 20:35 9,660,000
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 12/05/2020 01:08 dr. Setiawan Widyantoro 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 12/05/2020 08:47 12/05/2020 10:27 100 dr. Hery Budhiarso, SpA 308,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 12/05/2020 09:03 dr. Kartika Agustina 199,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 12/05/2020 09:04 dr. Kartika Agustina 1,339,200 PRIBADI ( CASH )

dr. Fatchoerochman, Sp.Rad 12/05/2020 09:11 12/05/2020 10:31 80 125,000
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 12/05/2020 10:53 12/05/2020 12:14 81 dr. Charles Johanes, SpU 1,301,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 12/05/2020 15:27 12/05/2020 16:05 38 dr. Gabriel Federikus Goleng, SpS 1,023,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 12/05/2020 15:35 12/05/2020 16:02 27 dr. Arief Wahono, SpRad 437,000 RS Bhakti Husada
BPJS Kesehatan
dr. Arief Wahono, SpRad 12/05/2020 15:51 12/05/2020 16:37 46 dr. Gabriel Federikus Goleng, SpS 1,023,000
( Mandiri )
dr. Arief Wahono, SpRad 12/05/2020 17:11 12/05/2020 20:39 208 dr. Permadi Wisnu Kuncoro 138,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 12/05/2020 18:39 12/05/2020 20:40 121 dr. Muhamad Zaini Azwan, SpBTKV 125,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 12/05/2020 23:39 13/05/2020 09:14 575 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 13/05/2020 07:59 13/05/2020 09:13 74 dr. Hery Budhiarso, SpA 125,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 13/05/2020 10:46 13/05/2020 11:35 49 dr. Entien Julinda Fathimah 401,000 BPJS Kesehatan

13/05/2020 10:51 2,200,000
13/05/2020 10:51 1,100,000
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 13/05/2020 10:56 dr. Indah Trijoto, SpPD 219,600 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 13/05/2020 11:01 13/05/2020 11:38 37 dr. Indah Trijoto, SpPD 636,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 13/05/2020 11:07 13/05/2020 12:27 80 dr. Laudeo Dhanaba Siregar, SpU 1,874,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 13/05/2020 12:15 13/05/2020 12:45 30 dr. Entien Julinda Fathimah 166,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 13/05/2020 12:16 13/05/2020 12:43 27 dr. Entien Julinda Fathimah 227,000 Jasa Raharja (Persero)
MEDLINX-CAR
dr. Fatchoerochman, Sp.Rad 13/05/2020 13:50 13/05/2020 14:01 11 drg. Titin Kristina Setiawati 172,000
PREVENSIA, PT
13/05/2020 14:00 9,660,000
13/05/2020 14:00 3,000,000
13/05/2020 14:22 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
13/05/2020 14:22 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 13/05/2020 15:35 13/05/2020 17:39 124 dr. Ahmad Widiatmoko, SpP 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 13/05/2020 16:14 dr. Entien Julinda Fathimah 3,715,000 BPJS Kesehatan ( PBI )

Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 13/05/2020 21:25 14/05/2020 09:38 733 dr. Permadi Wisnu Kuncoro 1,431,000 BPJS Kesehatan ( PBI )

dr. Fatchoerochman, Sp.Rad 13/05/2020 22:14 14/05/2020 09:18 664 250,000 Jasa Raharja (Persero)
Siahaan, SpOT
dr. Fatchoerochman, Sp.Rad 14/05/2020 01:57 14/05/2020 09:44 467 dr. Permadi Wisnu Kuncoro 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 14/05/2020 06:06 14/05/2020 09:05 179 dr. Hery Budhiarso, SpA 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 14/05/2020 10:13 14/05/2020 11:46 93 Dr. Ismayadi, SpPD 482,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 14/05/2020 11:44 dr. Ahmad Widiatmoko, SpP 125,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Admedika - INTL
PASIFIC CROSS
dr. Fatchoerochman, Sp.Rad 14/05/2020 13:39 14/05/2020 14:54 75 dr. RM. Barnard Situmorang, SpB 155,000 BPJS Kesehatan ( PBI )
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 14/05/2020 20:03 15/05/2020 09:45 822 dr. Charles Johanes, SpU 125,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 15/05/2020 00:09 15/05/2020 09:45 576 dr. Setiawan Widyantoro 1,017,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 15/05/2020 06:21 15/05/2020 10:01 220 dr. Muhamad Zaini Azwan, SpBTKV 219,600 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 15/05/2020 07:33 15/05/2020 08:18 45 dr. Charles Johanes, SpU 152,000 BPJS Kesehatan

15/05/2020 11:08 3,100,000
15/05/2020 11:08 1,100,000
BPJS Kesehatan
( Mandiri )
ADMEDIKA-AVRIST
dr. Arief Wahono, SpRad 15/05/2020 13:19 15/05/2020 15:52 153 dr. Reygais Razman, SpOT 237,000
ASSURANCE
dr. Arief Wahono, SpRad 15/05/2020 13:40 15/05/2020 14:57 77 dr. Arief Wahono, SpRad 1,216,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 15/05/2020 15:33 15/05/2020 15:47 14 dr. Kartika Agustina 199,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 15/05/2020 15:43 15/05/2020 16:48 65 dr. Kartika Agustina 138,000 DINAS KESEHATAN
dr. Arief Wahono, SpRad 15/05/2020 16:39 dr. Kartika Agustina 166,000 BPJS Ketenagakerjaan
dr. Arief Wahono, SpRad 15/05/2020 21:33 16/05/2020 11:24 831 dr. Arief Wahono, SpRad 1,014,000 RS AMANDA CIKARANG
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 15/05/2020 22:33 16/05/2020 11:08 755 dr. Gabriel Federikus Goleng, SpS 172,000 DINAS KESEHATAN
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
dr. Arief Wahono, SpRad 16/05/2020 08:35 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 16/05/2020 08:57 dr. Entien Julinda Fathimah 199,200 PRIBADI ( CASH )

dr. Arief Wahono, SpRad 16/05/2020 12:23 138,000 BPJS Kesehatan
SpJP,FIHA
dr. Arief Wahono, SpRad 16/05/2020 12:37 dr. Charles Johanes, SpU 125,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
dr. Arief Wahono, SpRad 16/05/2020 12:45 16/05/2020 13:14 29 dr. Charles Johanes, SpU 441,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 17/05/2020 13:34 18/05/2020 09:02 1168 dr. Dyan Esikha 138,000 Kementrian Kesehatan
Harrosa Dharma
Nusantara, PT
* (Tidak Dilakukan) 17/05/2020 20:06 dr. Permadi Wisnu Kuncoro 1,431,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 17/05/2020 20:07 18/05/2020 08:39 752 dr. Permadi Wisnu Kuncoro 1,431,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 18/05/2020 08:44 18/05/2020 16:59 495 dr. Indah Trijoto, SpPD 3,377,000 BPJS Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 18/05/2020 11:13 18/05/2020 12:18 65 dr. Laudeo Dhanaba Siregar, SpU 125,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 18/05/2020 11:42 19/05/2020 09:46 1324 - 4,863,600 PRIBADI ( CASH )

SpJP,FIHA
SIMAS CARD - AD
MEDIKA
BPJS Kesehatan
dr. Arief Wahono, SpRad 18/05/2020 12:01 18/05/2020 13:12 71 dr. Laudeo Dhanaba Siregar, SpU 125,000
( Mandiri )
ADMEDIKA- MULTI
dr. Arief Wahono, SpRad 18/05/2020 13:07 18/05/2020 13:43 36 dr. Hery Budhiarso, SpA 207,000 ARTHA GUNA KAWAN
LAMA GROUP
dr. Fitri Sholihati, SpTHT-KL, M. ADMEDIKA - Sompo
dr. Arief Wahono, SpRad 18/05/2020 14:05 18/05/2020 16:10 125 236,000
Kes Japan (PAYOR)
BPJS Kesehatan
dr. Arief Wahono, SpRad 18/05/2020 14:21 dr. Ahmad Widiatmoko, SpP 2,267,000
( Mandiri )
dr. Arief Wahono, SpRad 18/05/2020 14:41 18/05/2020 16:41 120 dr. Gabriel Federikus Goleng, SpS 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 18/05/2020 14:42 dr. Nelly Rosari, M.Ked(Ped), SpA 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 18/05/2020 14:48 18/05/2020 17:01 133 dr. Nelly Rosari, M.Ked(Ped), SpA 308,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 18/05/2020 19:09 19/05/2020 09:10 841 dr. Setiawan Widyantoro 166,000 Jasa Raharja (Persero)
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

dr. Arief Wahono, SpRad 19/05/2020 09:07 19/05/2020 09:35 28 dr. Abdullah Saleh, SpJP, FIHA 70,000 BPJS Kesehatan

Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 19/05/2020 10:11 19/05/2020 10:21 10 dr. Pudji Windarini, SpOG 152,000 BPJS Kesehatan
ADMEDIKA- LIPPO
GENERAL INSURANCE
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 19/05/2020 11:15 19/05/2020 12:52 97 dr. Reygais Razman, SpOT 207,000 BPJS Ketenagakerjaan
19/05/2020 11:45 dr. Abdullah Saleh, SpJP, FIHA 8,400,000 BPJS Kesehatan ( PBI )
dr. Abdullah Saleh, SpJP, FIHA 19/05/2020 11:45 dr. Abdullah Saleh, SpJP, FIHA 14,000,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 19/05/2020 16:41 dr. Kartika Agustina 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 19/05/2020 17:48 19/05/2020 19:07 79 dr. Pudji Windarini, SpOG 125,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 19/05/2020 20:41 dr. Dyan Esikha 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 20/05/2020 00:39 20/05/2020 08:47 488 dr. Dyan Esikha 1,465,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 20/05/2020 07:53 20/05/2020 10:31 158 dr. Indah Trijoto, SpPD 401,000 DINAS KESEHATAN

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 20/05/2020 10:13 20/05/2020 11:08 55 dr. Entien Julinda Fathimah 166,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 20/05/2020 10:37 20/05/2020 15:50 313 dr. Laudeo Dhanaba Siregar, SpU 1,301,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 20/05/2020 10:46 dr. Indah Trijoto, SpPD 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1


dr. Hervin Ramadhani Wibawa,SpJP, FIHA 20/05/2020 11:32 14,000,000 BPJS Kesehatan ( PBI )
Wibawa,SpJP, FIHA
20/05/2020 11:32 8,400,000 BPJS Kesehatan ( PBI )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
20/05/2020 11:47 9,660,000
20/05/2020 11:47 3,000,000
20/05/2020 11:58 8,400,000
20/05/2020 11:58 3,000,000
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 20/05/2020 15:35 20/05/2020 16:26 51 dr. Permadi Wisnu Kuncoro 1,017,000
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 20/05/2020 21:43 dr. Permadi Wisnu Kuncoro 930,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 20/05/2020 22:34 dr. Permadi Wisnu Kuncoro 138,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 21/05/2020 00:07 dr. Permadi Wisnu Kuncoro 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 21/05/2020 00:09 dr. Permadi Wisnu Kuncoro 1,221,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 21/05/2020 04:52 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 21/05/2020 08:42 22/05/2020 09:35 1493 dr. Permadi Wisnu Kuncoro 1,221,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 21/05/2020 10:35 dr. Kartika Agustina 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 21/05/2020 16:31 22/05/2020 09:50 1039 dr. Laudeo Dhanaba Siregar, SpU 1,431,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 22/05/2020 19:10 23/05/2020 12:36 1046 dr. Subagio, SpPD 125,000
( Mandiri )
dr. Arief Wahono, SpRad 23/05/2020 08:57 23/05/2020 12:13 196 dr. Entien Julinda Fathimah 1,339,200 PRIBADI ( CASH )
BPJS Kesehatan
dr. Arief Wahono, SpRad 23/05/2020 12:10 23/05/2020 12:43 33 dr. Muhamad Zaini Azwan, SpBTKV 125,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
23/05/2020 15:50 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
23/05/2020 15:50 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 23/05/2020 17:25 26/05/2020 10:19 3894 dr. M. Farhan Naufal S. 166,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 24/05/2020 01:08 dr. M. Farhan Naufal S. 1,339,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 24/05/2020 01:33 26/05/2020 10:45 3432 dr. M. Farhan Naufal S. 1,465,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 24/05/2020 05:35 dr. M. Farhan Naufal S. 1,465,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 24/05/2020 11:20 26/05/2020 10:39 2839 dr. Sumandi Suhindra 1,465,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 24/05/2020 12:41 dr. Indah Trijoto, SpPD 166,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 24/05/2020 17:40 26/05/2020 11:06 2486 dr. Sumandi Suhindra 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 25/05/2020 09:22 26/05/2020 11:25 1563 dr. Permadi Wisnu Kuncoro 227,000 BPJS Ketenagakerjaan

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 25/05/2020 15:03 26/05/2020 10:33 1170 dr. Gabriel Federikus Goleng, SpS 1,014,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 26/05/2020 06:26 26/05/2020 10:08 222 dr. Setiawan Widyantoro 1,116,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 26/05/2020 09:17 26/05/2020 12:08 171 Dr. Ismayadi, SpPD 364,000 BPJS Kesehatan ( PBI )

dr. Arief Wahono, SpRad 26/05/2020 10:13 26/05/2020 11:19 66 dr. Indah Trijoto, SpPD 1,116,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 26/05/2020 11:24 26/05/2020 11:58 34 dr. Arief Wahono, SpRad 1,014,000 RS. Metro Hospitals
dr. Fatchoerochman, Sp.Rad 26/05/2020 12:19 26/05/2020 12:57 38 dr. Charles Johanes, SpU 364,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Medlinx-Fullerton Health
Indonesia
SpJP,FIHA
BPJS Kesehatan
( Mandiri )

SpJP,FIHA

Kes
dr. Arief Wahono, SpRad 27/05/2020 13:11 dr. Arief Wahono, SpRad 100,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 27/05/2020 13:18 dr. Reygais Razman, SpOT 150,000 BPJS Ketenagakerjaan
dr. Arief Wahono, SpRad 27/05/2020 13:25 27/05/2020 15:39 134 dr. Charles Johanes, SpU 524,400 PRIBADI ( CASH )

dr. Arief Wahono, SpRad 27/05/2020 13:57 27/05/2020 15:11 74 207,000 BPJS Ketenagakerjaan
Siahaan, SpOT
dr. Arief Wahono, SpRad 27/05/2020 14:55 27/05/2020 15:48 53 dr. Entien Julinda Fathimah 1,017,000 BPJS Kesehatan

Siahaan, SpOT
8/25/2020 12:07:35 PM Page : 1/1

Siahaan, SpOT
dr. Chairul Julaga Ompusunggu, BPJS Kesehatan
SpB ( Mandiri )
dr. Othdeh Samuel Halomoan BPJS Kesehatan

Siahaan, SpOT ( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 27/05/2020 20:05 28/05/2020 10:10 845 dr. Abdullah Saleh, SpJP, FIHA 125,000 Kementrian Kesehatan

Siahaan, SpOT
Siahaan, SpOT
dr. Arief Wahono, SpRad 27/05/2020 22:18 dr. Permadi Wisnu Kuncoro 199,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 28/05/2020 00:47 28/05/2020 15:18 871 dr. Permadi Wisnu Kuncoro 1,465,200 PRIBADI ( CASH )
AA INTERNASIONAL
dr. Arief Wahono, SpRad 28/05/2020 08:07 28/05/2020 10:07 120 dr. Pudji Windarini, SpOG 166,000 INDONESIA-MEDLINX
ASIA TEKNOLOGI
dr. Arief Wahono, SpRad 28/05/2020 09:41 28/05/2020 15:26 345 dr. Laudeo Dhanaba Siregar, SpU 1,574,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 28/05/2020 10:54 28/05/2020 12:00 66 dr. Arief Wahono, SpRad 1,109,000 RS ANNISA CIKARANG
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
SpB
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 28/05/2020 17:09 29/05/2020 10:24 1035 dr. Setiawan Widyantoro 1,221,000 Jasa Raharja (Persero)

28/05/2020 17:10 2,700,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
28/05/2020 17:10 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

28/05/2020 17:25 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
28/05/2020 17:25 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
28/05/2020 17:54 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

28/05/2020 17:54 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
28/05/2020 18:16 9,660,000
28/05/2020 18:16 3,000,000

28/05/2020 19:20 9,660,000
28/05/2020 19:20 3,000,000
dr. Arief Wahono, SpRad 29/05/2020 06:32 29/05/2020 10:25 233 dr. Kartika Agustina 1,339,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
dr. Mailani Karina Akhmad, BPJS Kesehatan

SpJP,FIHA ( Mandiri )
SpJP,FIHA
dr. Arief Wahono, SpRad 29/05/2020 15:55 dr. Kartika Agustina 578,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 29/05/2020 16:24 29/05/2020 16:55 31 dr. Nelly Rosari, M.Ked(Ped), SpA 444,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 30/05/2020 07:55 30/05/2020 11:40 225 dr. Ahmad Widiatmoko, SpP 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 30/05/2020 20:22 01/06/2020 19:46 2844 dr. Dyan Esikha 1,221,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 31/05/2020 12:15 01/06/2020 19:47 1892 dr. Sumandi Suhindra 1,465,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 31/05/2020 17:39 01/06/2020 17:49 1450 dr. Sumandi Suhindra 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 31/05/2020 17:40 01/06/2020 12:50 1150 dr. Sumandi Suhindra 166,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 31/05/2020 19:53 01/06/2020 20:17 1464 dr. Laudeo Dhanaba Siregar, SpU 1,301,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 01/06/2020 10:03 01/06/2020 13:40 217 dr. Kartika Agustina 1,465,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 01/06/2020 10:27 dr. Kartika Agustina 930,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 01/06/2020 14:24 01/06/2020 16:19 115 dr. Kartika Agustina 1,017,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 01/06/2020 16:49 dr. Kartika Agustina 138,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 01/06/2020 22:21 02/06/2020 09:13 652 dr. Setiawan Widyantoro 166,000 MANDIRI INHEALTH
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpB ( Mandiri )
dr. Fatchoerochman, Sp.Rad 02/06/2020 10:27 02/06/2020 12:59 152 dr. Dyan Esikha 1,339,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 02/06/2020 10:47 02/06/2020 14:17 210 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 02/06/2020 10:53 02/06/2020 14:15 202 dr. Fatchoerochman, Sp.Rad 1,014,000 RS. Metro Hospitals
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/06/2020 15:49 dr. Arief Wahono, SpRad 437,000 RS Bhakti Husada
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/06/2020 16:42 02/06/2020 19:25 163 dr. Gabriel Federikus Goleng, SpS 207,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 02/06/2020 19:15 03/06/2020 08:18 783 dr. Indah Trijoto, SpPD 2,918,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 02/06/2020 20:24 03/06/2020 09:15 771 dr. Dyan Esikha 1,017,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 02/06/2020 21:23 03/06/2020 09:13 710 dr. Dyan Esikha 138,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 02/06/2020 22:14 03/06/2020 11:58 824 dr. Fatchoerochman, Sp.Rad 1,014,000 RS AMANDA CIKARANG
dr. Fatchoerochman, Sp.Rad 02/06/2020 23:48 03/06/2020 12:01 733 dr. Gabriel Federikus Goleng, SpS 239,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 03/06/2020 07:39 03/06/2020 09:09 90 150,000 BPJS Ketenagakerjaan
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 03/06/2020 11:14 03/06/2020 12:09 55 dr. Laudeo Dhanaba Siregar, SpU 1,301,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 03/06/2020 11:44 03/06/2020 12:39 55 dr. Hendrawati Utomo, MS, SpOk 100,000 PRIBADI ( CASH )
Institut Medika Drg

dr. Arief Wahono, SpRad 03/06/2020 14:08 03/06/2020 14:30 22 dr. Hendrawati Utomo, MS, SpOk 40,946
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
SpB
dr. Arief Wahono, SpRad 03/06/2020 15:31 dr. Indah Trijoto, SpPD 125,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 03/06/2020 15:43 03/06/2020 16:55 72 dr. Kartika Agustina 166,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 03/06/2020 15:46 03/06/2020 16:55 69 dr. Kartika Agustina 1,221,000 Jasa Raharja (Persero)
8/25/2020 12:07:35 PM Page : 1/1


Siahaan, SpOT
dr. Arief Wahono, SpRad 03/06/2020 17:55 04/06/2020 09:16 921 dr. Permadi Wisnu Kuncoro 1,339,200 PRIBADI ( CASH )

Siahaan, SpOT
Admedika - Hanwha Life
dr. Arief Wahono, SpRad 03/06/2020 20:03 04/06/2020 09:33 810 dr. Abdullah Saleh, SpJP, FIHA 150,000
Insurance Indonesia
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 03/06/2020 23:49 04/06/2020 13:01 792 dr. Permadi Wisnu Kuncoro 227,000 BPJS Ketenagakerjaan
dr. Fatchoerochman, Sp.Rad 04/06/2020 07:48 04/06/2020 13:12 324 dr. Ahmad Widiatmoko, SpP 2,267,000 BPJS Kesehatan ( PBI )

Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

AJ GENERALI
dr. Fatchoerochman, Sp.Rad 04/06/2020 11:23 04/06/2020 13:06 103 dr. Fatchoerochman, Sp.Rad 172,000
INDONESIA-AD MEDIKA
ADMEDIKA - Sompo
dr. Fatchoerochman, Sp.Rad 04/06/2020 11:35 dr. Indah Trijoto, SpPD 437,000
Japan (PAYOR)
dr. Fatchoerochman, Sp.Rad 04/06/2020 12:09 dr. Gabriel Federikus Goleng, SpS 1,216,800 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/06/2020 12:46 04/06/2020 13:49 63 dr. Reygais Razman, SpOT 284,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/06/2020 13:05 04/06/2020 14:04 59 dr. Fatchoerochman, Sp.Rad 1,216,800 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 04/06/2020 13:24 dr. Ahmad Widiatmoko, SpP 437,000 RELIANCE IND , ASS
dr. Arief Wahono, SpRad 04/06/2020 13:34 dr. Ahmad Widiatmoko, SpP 212,000 RELIANCE IND , ASS

04/06/2020 13:41 9,660,000
04/06/2020 13:41 3,000,000

dr. Arief Wahono, SpRad 04/06/2020 16:43 04/06/2020 17:06 23 401,000 DINAS KESEHATAN
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 04/06/2020 17:42 05/06/2020 09:39 957 dr. Charles Johanes, SpU 1,562,000 ADMEDIKA - RELIANCE
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 05/06/2020 03:34 dr. Setiawan Widyantoro 930,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

dr. Fatchoerochman, Sp.Rad 05/06/2020 10:53 05/06/2020 10:53 0 dr. Hendrawati Utomo, MS, SpOk 40,946
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)

05/06/2020 11:21 9,660,000 DINAS KESEHATAN
Wibawa,SpJP, FIHA
dr. Hervin Ramadhani Wibawa,SpJP, FIHA 05/06/2020 11:21 16,000,000 DINAS KESEHATAN
Wibawa,SpJP, FIHA
05/06/2020 11:21 3,000,000 DINAS KESEHATAN
Wibawa,SpJP, FIHA
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 05/06/2020 12:26 05/06/2020 14:03 97 dr. RM. Barnard Situmorang, SpB 152,000 BPJS Kesehatan

05/06/2020 12:46 9,660,000 BPJS Kesehatan
SpJP,FIHA
SpJP,FIHA
05/06/2020 12:46 3,000,000 BPJS Kesehatan
SpJP,FIHA
AIA Financial-Ad
Medika,Ass
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

05/06/2020 16:57 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
05/06/2020 16:57 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 05/06/2020 17:57 06/06/2020 09:47 950 dr. Gabriel Federikus Goleng, SpS 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 05/06/2020 17:58 06/06/2020 09:52 954 dr. Gabriel Federikus Goleng, SpS 1,216,800 PRIBADI ( CASH )

05/06/2020 19:19 2,700,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
05/06/2020 19:19 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
05/06/2020 19:27 2,700,000
05/06/2020 19:27 1,100,000
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 05/06/2020 21:32 06/06/2020 11:28 836 dr. Permadi Wisnu Kuncoro 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 05/06/2020 22:47 dr. Permadi Wisnu Kuncoro 292,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
Multistrada Arah
Sarana, PT
Wibawa,SpJP, FIHA

SpB
dr. Arief Wahono, SpRad 06/06/2020 08:37 06/06/2020 10:32 115 dr. Marolop Pardede, SpBTKV 70,000 BPJS Ketenagakerjaan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 06/06/2020 11:06 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 06/06/2020 11:52 06/06/2020 12:39 47 drg. Rina Simamora, SpBM 143,000 BPJS Kesehatan ( PBI )

Wibawa,SpJP, FIHA
06/06/2020 12:14 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
06/06/2020 12:14 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
06/06/2020 13:27 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
06/06/2020 13:27 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 06/06/2020 15:57 08/06/2020 12:01 2644 dr. Hery Budhiarso, SpA 199,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

06/06/2020 19:03 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
06/06/2020 19:03 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 06/06/2020 19:15 08/06/2020 09:57 2322 dr. Dyan Esikha 166,000 RELIANCE IND , ASS
dr. Arief Wahono, SpRad 06/06/2020 22:05 dr. Dyan Esikha 138,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 07/06/2020 09:43 08/06/2020 09:20 1417 dr. Arief Wahono, SpRad 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 07/06/2020 16:43 dr. Sumandi Suhindra 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 07/06/2020 18:45 dr. Sumandi Suhindra 308,000 BPJS Kesehatan
BPJS Kesehatan
dr. Arief Wahono, SpRad 07/06/2020 20:23 dr. Permadi Wisnu Kuncoro 138,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 07/06/2020 22:21 08/06/2020 09:18 657 dr. Sumandi Suhindra 138,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 07/06/2020 22:29 08/06/2020 11:49 800 dr. Sumandi Suhindra 308,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 08/06/2020 08:13 08/06/2020 13:47 334 dr. Halim Wijaya, SpB 364,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
dr. Fatchoerochman, Sp.Rad 08/06/2020 10:50 08/06/2020 11:55 65 dr. Hendrawati Utomo, MS, SpOk 40,946 MASTER LABEL, PT
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
TIMURRAYA KARYA
MANDIRI, PT
Master Engineering
Service, PT
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 08/06/2020 13:05 08/06/2020 14:05 60 dr. Ahmad Widiatmoko, SpP 2,267,000
( Mandiri )
Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
8/25/2020 12:07:35 PM Page : 1/1

TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
Kes
dr. Arief Wahono, SpRad 08/06/2020 14:09 08/06/2020 15:20 71 dr. Kartika Agustina 166,000 ADMEDIKA - BNI LIFE
dr. Fatchoerochman, Sp.Rad 08/06/2020 14:59 08/06/2020 15:04 5 dr. Fatchoerochman, Sp.Rad 212,000 ADMEDIKA - RELIANCE
dr. Arief Wahono, SpRad 08/06/2020 15:02 08/06/2020 15:49 47 dr. Hendrawati Utomo, MS, SpOk 40,946 PRIBADI ( CASH )
ADMEDIKA-AVRIST
ASSURANCE

8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 08/06/2020 19:17 08/06/2020 21:01 104 Dr. Ismayadi, SpPD 138,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 08/06/2020 20:11 09/06/2020 10:17 846 dr. Setiawan Widyantoro 1,017,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
MEDLINX-CAR
PREVENSIA, PT
Admedika - FWD
dr. Fatchoerochman, Sp.Rad 09/06/2020 09:40 09/06/2020 10:24 44 drg. Rina Simamora, SpBM 172,000
Assurance
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 09/06/2020 13:01 dr. Kartika Agustina 138,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 09/06/2020 17:03 10/06/2020 09:51 1008 dr. Arief Wahono, SpRad 1,109,000 RS Bhakti Husada
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 09/06/2020 18:47 dr. Muhamad Zaini Azwan, SpBTKV 1,874,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 10/06/2020 08:25 10/06/2020 09:04 39 dr. Abdullah Saleh, SpJP, FIHA 125,000
( Mandiri )
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
dr. Fatchoerochman, Sp.Rad 10/06/2020 09:32 10/06/2020 12:22 170 dr. Charles Johanes, SpU 223,200 PRIBADI ( CASH )
Institut Medika Drg

Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

Institut Medika Drg
Suherman (IMDS)
TIMURRAYA KARYA
MANDIRI, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
TIMURRAYA KARYA
MANDIRI, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
TIMURRAYA KARYA
MANDIRI, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)

Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/06/2020 10:45 10/06/2020 11:45 60 dr. Gabriel Federikus Goleng, SpS 125,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 10/06/2020 11:36 10/06/2020 12:27 51 dr. Nurhasan, SpBS 845,000 BPJS Kesehatan ( PBI )
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/06/2020 13:48 dr. Fatchoerochman, Sp.Rad 1,014,000 RS. Metro Hospitals

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 10/06/2020 14:59 10/06/2020 15:42 43 dr. Fatchoerochman, Sp.Rad 180,000 PRIBADI ( CASH )

SpB
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/06/2020 23:11 11/06/2020 09:27 616 dr. Permadi Wisnu Kuncoro 1,465,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 10/06/2020 23:12 11/06/2020 09:15 603 dr. Permadi Wisnu Kuncoro 199,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

Showa Indonesia
Manufacturing, PT
dr. Fatchoerochman, Sp.Rad 10/06/2020 23:52 dr. Permadi Wisnu Kuncoro 199,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 11/06/2020 10:25 11/06/2020 13:23 178 dr. Indah Trijoto, SpPD 437,000 AISIN INDONESIA, PT
dr. Fatchoerochman, Sp.Rad 11/06/2020 11:02 11/06/2020 13:33 151 dr. Laudeo Dhanaba Siregar, SpU 524,400 PRIBADI ( CASH )

SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 11/06/2020 14:08 11/06/2020 16:23 135 dr. Trino Indramartha, SpM 125,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 11/06/2020 15:20 11/06/2020 16:33 73 dr. Kartika Agustina 482,000 KIRIU INDONESIA, PT
dr. Arief Wahono, SpRad 11/06/2020 16:45 11/06/2020 17:02 17 Dr. Ismayadi, SpPD 441,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 11/06/2020 17:13 11/06/2020 17:52 39 dr. Kartika Agustina 166,000 KIRIU INDONESIA, PT
ADMEDIKA - Sompo
Japan (PAYOR)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpB
dr. Fatchoerochman, Sp.Rad 12/06/2020 08:28 12/06/2020 09:24 56 dr. Pudji Windarini, SpOG 152,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 12/06/2020 09:08 12/06/2020 13:55 287 Dr. Ismayadi, SpPD 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Admedika Cikarang
dr. Fatchoerochman, Sp.Rad 12/06/2020 11:41 12/06/2020 14:05 144 dr. Sumandi Suhindra 437,000
Listrindo

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
BPJS Kesehatan
( Mandiri )
12/06/2020 16:21 9,660,000
12/06/2020 16:21 3,000,000
12/06/2020 16:49 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
12/06/2020 16:49 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
12/06/2020 17:12 8,400,000
12/06/2020 17:12 3,000,000

12/06/2020 17:31 2,700,000
12/06/2020 17:31 1,100,000
BPJS Kesehatan
dr. Arief Wahono, SpRad 12/06/2020 17:55 12/06/2020 19:03 68 dr. Nelly Rosari, M.Ked(Ped), SpA 125,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

12/06/2020 17:56 2,200,000
12/06/2020 17:56 1,100,000
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
TIMURRAYA KARYA
MANDIRI, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

ADMEDIKA - Sompo
Japan (PAYOR)
BPJS Kesehatan
dr. Arief Wahono, SpRad 13/06/2020 13:42 dr. Indah Trijoto, SpPD 125,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 13/06/2020 13:56 13/06/2020 15:14 78 dr. Entien Julinda Fathimah 1,431,000 BPJS Kesehatan ( PBI )

SpB ( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 13/06/2020 23:18 15/06/2020 11:34 2176 dr. Dyan Esikha 166,000 KAO Indonesia, PT
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 14/06/2020 23:26 15/06/2020 12:02 756 dr. Hery Budhiarso, SpA 138,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 14/06/2020 23:44 15/06/2020 14:03 859 dr. Permadi Wisnu Kuncoro 482,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 15/06/2020 06:50 15/06/2020 11:31 281 dr. Gabriel Federikus Goleng, SpS 1,339,200 PRIBADI ( CASH )

SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg
Suherman (IMDS)
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
dr. Abdullah Saleh, SpJP, FIHA 15/06/2020 12:05 16,000,000 BPJS Kesehatan ( PBI )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

SpJP,FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

SpB
BPJS Kesehatan
dr. Arief Wahono, SpRad 15/06/2020 17:45 16/06/2020 10:19 994 dr. Nelly Rosari, M.Ked(Ped), SpA 308,000
( Mandiri )
dr. Arief Wahono, SpRad 15/06/2020 20:19 16/06/2020 10:59 880 Dr. Ismayadi, SpPD 1,116,000 Kementrian Kesehatan
dr. Arief Wahono, SpRad 15/06/2020 20:20 16/06/2020 10:59 879 Dr. Ismayadi, SpPD 1,718,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 15/06/2020 21:15 16/06/2020 09:41 746 dr. Gabriel Federikus Goleng, SpS 166,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 16/06/2020 08:52 16/06/2020 11:09 137 Dr. Ismayadi, SpPD 441,000
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 16/06/2020 09:44 16/06/2020 11:49 125 dr. Charles Johanes, SpU 364,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1


Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 16/06/2020 10:25 16/06/2020 11:18 53 dr. Hasri Larasati Utami 138,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 16/06/2020 10:44 16/06/2020 11:24 40 dr. Hasri Larasati Utami 138,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 16/06/2020 10:56 16/06/2020 11:54 58 dr. Hasri Larasati Utami 1,431,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 16/06/2020 12:35 dr. Hasri Larasati Utami 171,000 BPJS Kesehatan

SpJP,FIHA
SpJP,FIHA
ADMEDIKA - Sompo
Japan (PAYOR)
dr. Arief Wahono, SpRad 16/06/2020 16:45 dr. Dyan Esikha 166,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 16/06/2020 16:48 16/06/2020 17:15 27 dr. Nelly Rosari, M.Ked(Ped), SpA 364,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 16/06/2020 18:30 20/06/2020 12:31 5401 dr. Muhamad Zaini Azwan, SpBTKV 473,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
16/06/2020 19:33 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
16/06/2020 19:33 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
16/06/2020 20:01 8,400,000
16/06/2020 20:01 3,000,000
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
Showa Indonesia
Manufacturing, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
17/06/2020 10:17 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
17/06/2020 10:17 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
RAJAWALI NUSINDO,
PT
CITRA KARSA
DINAMIKA, PT
dr. Fatchoerochman, Sp.Rad 17/06/2020 11:13 17/06/2020 12:38 85 dr. Entien Julinda Fathimah 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 17/06/2020 11:23 17/06/2020 12:21 58 dr. RM. Barnard Situmorang, SpB 2,026,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

Showa Indonesia
dr. Fatchoerochman, Sp.Rad 17/06/2020 11:40 17/06/2020 12:41 61 dr. Entien Julinda Fathimah 207,000
Manufacturing, PT

Siahaan, SpOT
ADMEDIKA - SINARMAS
LIFE
Kes
Showa Indonesia
Manufacturing, PT
Siahaan, SpOT

SpJP,FIHA
SpJP,FIHA
SpJP,FIHA
dr. Arief Wahono, SpRad 17/06/2020 15:47 dr. Kartika Agustina 292,000 BPJS Ketenagakerjaan
dr. Arief Wahono, SpRad 17/06/2020 15:49 17/06/2020 17:02 73 dr. Kartika Agustina 1,221,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 17/06/2020 17:28 17/06/2020 17:38 10 dr. Charles Johanes, SpU 1,874,400 PRIBADI ( CASH )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

Siahaan, SpOT
dr. Arief Wahono, SpRad 17/06/2020 20:07 18/06/2020 10:19 852 dr. Permadi Wisnu Kuncoro 1,017,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 17/06/2020 21:32 18/06/2020 09:28 716 dr. Permadi Wisnu Kuncoro 1,017,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )

dr. Fatchoerochman, Sp.Rad 18/06/2020 08:49 18/06/2020 12:57 248 166,000 Kementrian Kesehatan
SpJP,FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 18/06/2020 11:13 18/06/2020 14:50 217 dr. RM. Barnard Situmorang, SpB 2,267,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 18/06/2020 11:48 18/06/2020 13:39 111 dr. Indah Trijoto, SpPD 437,000 MANDIRI INHEALTH
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 18/06/2020 12:26 18/06/2020 15:06 160 dr. Kartika Agustina 1,431,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 18/06/2020 14:18 18/06/2020 14:43 25 dr. Kartika Agustina 166,000 MANDIRI INHEALTH
dr. Arief Wahono, SpRad 18/06/2020 15:28 18/06/2020 16:32 64 dr. Kartika Agustina 208,000 MANDIRI INHEALTH
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 18/06/2020 17:01 18/06/2020 17:04 3 dr. RM. Barnard Situmorang, SpB 152,000 BPJS Kesehatan

18/06/2020 17:13 9,660,000
18/06/2020 17:13 3,000,000
dr. Arief Wahono, SpRad 18/06/2020 20:12 19/06/2020 06:27 615 dr. Setiawan Widyantoro 227,000 BPJS Ketenagakerjaan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
RAJAWALI NUSINDO,
PT
IK PRECISION
INDONESIA, PT
TIMURRAYA KARYA
MANDIRI, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
IK PRECISION
INDONESIA, PT
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
dr. Fatchoerochman, Sp.Rad 19/06/2020 10:23 dr. Setiawan Widyantoro 1,465,200 PRIBADI ( CASH )

19/06/2020 12:00 9,660,000
19/06/2020 12:00 3,000,000
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 19/06/2020 12:34 19/06/2020 14:46 132 dr. RM. Barnard Situmorang, SpB 3,377,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 19/06/2020 18:31 Drg. Callivia 206,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )

dr. Arief Wahono, SpRad 20/06/2020 12:23 20/06/2020 14:06 103 166,000 Kementrian Kesehatan
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 20/06/2020 14:55 22/06/2020 09:50 2575 Drg. Callivia 206,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 22/06/2020 09:23 22/06/2020 10:56 93 dr. Hendrawati Utomo, MS, SpOk 34,719 MITS DUTA UTAMA, PT
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Mailani Karina Akhmad, Multistrada Arah
SpJP,FIHA Sarana, PT
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
MANDIRI AXA GENERAL
dr. Fatchoerochman, Sp.Rad 22/06/2020 11:20 22/06/2020 13:19 119 dr. Ahmad Widiatmoko, SpP 150,000 INSURANCE - AD
MEDIKA
dr. Fatchoerochman, Sp.Rad 22/06/2020 11:24 dr. Fatchoerochman, Sp.Rad 1,216,800 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
Showa Indonesia
dr. Fatchoerochman, Sp.Rad 22/06/2020 11:48 22/06/2020 13:11 83 dr. Ahmad Widiatmoko, SpP 150,000
Manufacturing, PT

SpJP,FIHA
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 22/06/2020 13:45 22/06/2020 14:16 31 dr. Reygais Razman, SpOT 125,000
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpB
dr. Arief Wahono, SpRad 22/06/2020 14:54 22/06/2020 14:54 0 dr. Hendrawati Utomo, MS, SpOk 40,946 MASTER LABEL, PT

Siahaan, SpOT
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
dr. Hamonangan Simatupang, BPJS Kesehatan

SpOG ( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 23/06/2020 00:28 23/06/2020 13:37 789 dr. Setiawan Widyantoro 2,229,000
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 23/06/2020 00:30 23/06/2020 13:19 769 dr. Setiawan Widyantoro 2,229,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 23/06/2020 08:40 23/06/2020 14:15 335 dr. Nurhasan, SpBS 361,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 23/06/2020 10:56 23/06/2020 14:00 184 dr. Indah Trijoto, SpPD 2,267,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )

23/06/2020 11:41 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
23/06/2020 11:41 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
23/06/2020 11:47 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
23/06/2020 11:47 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 23/06/2020 16:02 23/06/2020 16:35 33 dr. Arief Wahono, SpRad 437,000 RS AMANDA CIKARANG
dr. Arief Wahono, SpRad 23/06/2020 16:59 23/06/2020 17:11 12 dr. Nelly Rosari, M.Ked(Ped), SpA 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
23/06/2020 19:13 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
23/06/2020 19:13 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
ADMEDIKA - Sompo
Japan (PAYOR)
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 24/06/2020 08:23 24/06/2020 11:23 180 dr. Dyan Esikha 166,000 BPJS Ketenagakerjaan
dr. Fatchoerochman, Sp.Rad 24/06/2020 09:00 24/06/2020 11:22 142 dr. Nurhasan, SpBS 152,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 24/06/2020 09:26 24/06/2020 13:33 247 dr. Indah Trijoto, SpPD 1,116,000 Kementrian Kesehatan

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
IK PRECISION
INDONESIA, PT

Wibawa,SpJP, FIHA
SpB
8/25/2020 12:07:35 PM Page : 1/1


Siahaan, SpOT
Siahaan, SpOT

24/06/2020 20:08 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
24/06/2020 20:08 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 25/06/2020 11:33 25/06/2020 13:23 110 dr. Fatchoerochman, Sp.Rad 519,000 RS. Metro Hospitals
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 25/06/2020 11:44 25/06/2020 14:05 141 Dr. Ismayadi, SpPD 1,718,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
MS HIRE INDONESIA,
PT
MS HIRE INDONESIA,
PT
MS HIRE INDONESIA,
PT
MS HIRE INDONESIA,
PT
BPJS Kesehatan
dr. Arief Wahono, SpRad 25/06/2020 15:13 25/06/2020 17:15 122 dr. Hery Budhiarso, SpA 930,000
( Mandiri )
Wibawa,SpJP, FIHA

SpB
dr. Arief Wahono, SpRad 25/06/2020 16:43 dr. Charles Johanes, SpU 1,574,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
Showa Indonesia
dr. Arief Wahono, SpRad 25/06/2020 17:53 26/06/2020 11:34 1061 dr. Arief Wahono, SpRad 150,000
Manufacturing, PT
dr. Arief Wahono, SpRad 25/06/2020 17:54 dr. Kartika Agustina 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 25/06/2020 17:55 dr. Kartika Agustina 227,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 25/06/2020 18:21 26/06/2020 11:34 1033 dr. Setiawan Widyantoro 1,221,000 BPJS Ketenagakerjaan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Siahaan, SpOT
RS Sentra Medika
Cikarang
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
RS Sentra Medika
Cikarang
IK PRECISION
INDONESIA, PT
RS Sentra Medika
Cikarang
dr. Fatchoerochman, Sp.Rad 26/06/2020 10:06 26/06/2020 11:28 82 dr. Hendrawati Utomo, MS, SpOk 75,000 Luas Birus Utama, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)

26/06/2020 10:28 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
26/06/2020 10:28 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 26/06/2020 10:42 26/06/2020 14:12 210 dr. Ahmad Widiatmoko, SpP 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 26/06/2020 10:52 dr. Indah Trijoto, SpPD 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
ADMEDIKA - SINARMAS
LIFE
IK PRECISION
INDONESIA, PT
RS Sentra Medika
Cikarang
IK PRECISION
INDONESIA, PT
dr. Fatchoerochman, Sp.Rad 26/06/2020 12:10 26/06/2020 13:25 75 dr. Trino Indramartha, SpM 125,000 BPJS Kesehatan

Kes
dr. Arief Wahono, SpRad 26/06/2020 14:48 26/06/2020 15:43 55 dr. Laudeo Dhanaba Siregar, SpU 125,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 26/06/2020 14:57 26/06/2020 15:33 36 dr. Ahmad Widiatmoko, SpP 70,000 Kementrian Kesehatan

26/06/2020 15:49 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
26/06/2020 15:49 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
26/06/2020 15:50 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
26/06/2020 15:50 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 27/06/2020 07:59 dr. Entien Julinda Fathimah 138,000 DINAS KESEHATAN
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
ADMEDIKA-AVRIST
dr. Arief Wahono, SpRad 27/06/2020 11:20 27/06/2020 12:25 65 dr. Sumandi Suhindra 437,000
ASSURANCE
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 27/06/2020 12:54 27/06/2020 13:03 9 dr. Indah Trijoto, SpPD 138,000 DINAS KESEHATAN
BPJS Kesehatan
( Mandiri )
dr. Chairul Julaga Ompusunggu, ADMEDIKA-AVRIST
SpB ASSURANCE
BPJS Kesehatan
dr. Arief Wahono, SpRad 27/06/2020 16:16 dr. Entien Julinda Fathimah 138,000
( Mandiri )
dr. Arief Wahono, SpRad 27/06/2020 16:32 29/06/2020 11:28 2576 dr. Entien Julinda Fathimah 261,000 BPJS Ketenagakerjaan
dr. Arief Wahono, SpRad 27/06/2020 16:55 29/06/2020 11:13 2538 dr. Entien Julinda Fathimah 1,339,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 29/06/2020 09:27 29/06/2020 12:49 202 dr. Charles Johanes, SpU 1,874,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 29/06/2020 10:27 29/06/2020 14:00 213 dr. Kartika Agustina 1,221,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 29/06/2020 11:08 dr. Lido Sianipar, SpAn 125,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 29/06/2020 12:13 29/06/2020 13:42 89 dr. Subagio, SpPD 401,000
( Mandiri )
ADMEDIKA-AVRIST
ASSURANCE
dr. Fatchoerochman, Sp.Rad 29/06/2020 13:09 29/06/2020 13:26 17 150,000 MANDIRI INHEALTH
SpJP,FIHA
Kes
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

dr. Fitri Sholihati, SpTHT-KL, M. BPJS Kesehatan
dr. Arief Wahono, SpRad 29/06/2020 14:24 29/06/2020 17:17 173 1,734,000
Kes ( Mandiri )
Wibawa,SpJP, FIHA

SpB ( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 29/06/2020 20:33 30/06/2020 10:42 849 dr. Gabriel Federikus Goleng, SpS 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 30/06/2020 09:06 dr. Kartika Agustina 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 30/06/2020 09:08 30/06/2020 10:18 70 dr. Kartika Agustina 1,116,000 Kementrian Kesehatan
RS Sentra Medika
Cikarang
8/25/2020 12:07:35 PM Page : 1/1

RS Sentra Medika
Cikarang
BPJS Kesehatan
( Mandiri )
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
dr. Fatchoerochman, Sp.Rad 30/06/2020 11:02 30/06/2020 12:55 113 dr. Nelly Rosari, M.Ked(Ped), SpA 308,000 BPJS Kesehatan ( PBI )
dr. Fatchoerochman, Sp.Rad 30/06/2020 11:12 dr. Kartika Agustina 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 30/06/2020 11:22 30/06/2020 13:37 135 dr. Indah Trijoto, SpPD 3,377,000 BPJS Kesehatan ( PBI )

Kes
Kes
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )

30/06/2020 20:51 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
30/06/2020 20:51 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 30/06/2020 23:26 dr. Dyan Esikha 138,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 30/06/2020 23:51 dr. Dyan Esikha 300,000 PRIBADI ( CASH )
Institut Medika Drg

Suherman (IMDS)
IK PRECISION
INDONESIA, PT
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 01/07/2020 11:54 dr. Hery Budhiarso, SpA 364,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Kes

Wibawa,SpJP, FIHA
01/07/2020 16:34 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
01/07/2020 16:34 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
01/07/2020 17:01 8,400,000
01/07/2020 17:01 3,000,000

01/07/2020 18:32 8,400,000
8/25/2020 12:07:35 PM Page : 1/1

01/07/2020 18:32 3,000,000
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
ADMEDIKA-AVRIST
ASSURANCE
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 02/07/2020 08:57 02/07/2020 09:27 30 dr. Muhamad Zaini Azwan, SpBTKV 152,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 02/07/2020 11:59 dr. Arief Wahono, SpRad 568,000 Admedika - ISPC eTiQa
dr. Arief Wahono, SpRad 02/07/2020 12:13 02/07/2020 18:14 361 dr. Arief Wahono, SpRad 519,000 Admedika - ISPC eTiQa
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 02/07/2020 13:20 02/07/2020 14:03 43 dr. Reygais Razman, SpOT 221,000 BPJS Kesehatan ( PBI )
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
ADMEDIKA - Sompo
Japan (PAYOR)
Indofood CBP Sukses

Makmur, PT
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Arief Wahono, SpRad 02/07/2020 20:43 03/07/2020 11:01 858 dr. Ahmad Widiatmoko, SpP 930,000
( Mandiri )
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 03/07/2020 11:31 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 03/07/2020 11:54 dr. Charles Johanes, SpU 2,267,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Admedika - FWD
Assurance
SpJP,FIHA

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
03/07/2020 14:53 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
03/07/2020 14:53 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1


SpB ( Mandiri )
03/07/2020 15:37 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
03/07/2020 15:37 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 03/07/2020 19:07 04/07/2020 13:59 1132 dr. Permadi Wisnu Kuncoro 1,221,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
AA INTERNASIONAL
dr. Arief Wahono, SpRad 03/07/2020 21:56 04/07/2020 11:17 801 dr. Permadi Wisnu Kuncoro 166,000 INDONESIA-MEDLINX
ASIA TEKNOLOGI
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

RS Sentra Medika
Cikarang
dr. Arief Wahono, SpRad 04/07/2020 09:46 dr. Arief Wahono, SpRad 1,216,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 04/07/2020 11:16 - 622,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 04/07/2020 11:34 drg. Rina Simamora, SpBM 364,000 BPJS Kesehatan
AA INTERNASIONAL
dr. Arief Wahono, SpRad 04/07/2020 11:42 04/07/2020 12:55 73 530,000 INDONESIA-MEDLINX
SpB
ASIA TEKNOLOGI
dr. Arief Wahono, SpRad 04/07/2020 11:57 04/07/2020 12:57 60 drg. Titin Kristina Setiawati 172,000 Kiyokuni Indonesia, PT
dr. Arief Wahono, SpRad 04/07/2020 12:16 04/07/2020 13:26 70 dr. Iskandar Muda 138,000 BPJS Kesehatan ( PBI )

04/07/2020 12:18 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
04/07/2020 12:18 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 04/07/2020 12:21 04/07/2020 14:41 140 dr. Arief Wahono, SpRad 519,000 RS. Metro Hospitals
dr. Arief Wahono, SpRad 04/07/2020 12:24 dr. Arief Wahono, SpRad 519,000 RS. Metro Hospitals
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 04/07/2020 15:08 06/07/2020 13:38 2790 dr. Iskandar Muda 401,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 04/07/2020 15:09 dr. Iskandar Muda 578,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 04/07/2020 15:13 06/07/2020 09:44 2551 - 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 04/07/2020 17:59 06/07/2020 10:09 2410 dr. Iskandar Muda 138,000
( Mandiri )
dr. Arief Wahono, SpRad 04/07/2020 19:06 dr. Dyan Esikha 272,400 PRIBADI ( CASH )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 05/07/2020 11:19 06/07/2020 11:43 1464 dr. Dyan Esikha 1,339,200
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

Siahaan, SpOT
Siahaan, SpOT
Siahaan, SpOT
8/25/2020 12:07:35 PM Page : 1/1

Admedika - Equity Life

Indonesia
RS Sentra Medika
Cikarang
ADMEDIKA - Sompo
Japan (PAYOR)
ADMEDIKA - Sompo
Japan (PAYOR)
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 06/07/2020 12:01 06/07/2020 12:22 21 drg. Rahayu Indarini 206,400 PRIBADI ( CASH )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT

SpB
8/25/2020 12:07:35 PM Page : 1/1


Kes Japan (PAYOR)
Institut Medika Drg
Suherman (IMDS)
Kes ( Mandiri )
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
dr. Chairul Julaga Ompusunggu, Admedika - Equity Life

SpB Indonesia
BPJS Kesehatan
dr. Arief Wahono, SpRad 06/07/2020 17:20 06/07/2020 17:26 6 dr. Marolop Pardede, SpBTKV 364,000
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 06/07/2020 17:25 06/07/2020 17:49 24 dr. Marolop Pardede, SpBTKV 125,000
( Mandiri )
dr. Arief Wahono, SpRad 06/07/2020 17:46 07/07/2020 11:28 1062 dr. Reygais Razman, SpOT 207,000 Jasa Raharja (Persero)

06/07/2020 18:14 11,592,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
dr. Hervin Ramadhani Wibawa,SpJP, FIHA 06/07/2020 18:14 19,200,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
06/07/2020 18:14 3,600,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )

06/07/2020 19:55 11,592,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
06/07/2020 19:55 3,600,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 07/07/2020 01:14 dr. Setiawan Widyantoro 1,465,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 07/07/2020 01:15 dr. Setiawan Widyantoro 199,200 PRIBADI ( CASH )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 07/07/2020 07:27 dr. Ahmad Widiatmoko, SpP 2,267,000
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 07/07/2020 08:35 dr. Abdullah Saleh, SpJP, FIHA 364,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
dr. Fatchoerochman, Sp.Rad 07/07/2020 10:55 07/07/2020 12:58 123 dr. Tripni Prihutomo, S.E., SpA 364,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 07/07/2020 19:23 08/07/2020 11:17 954 dr. Halim Wijaya, SpB 622,800 PRIBADI ( CASH )
dr. Hamonangan Simatupang,

SpOG
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)

08/07/2020 09:57 3,240,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
08/07/2020 09:57 1,320,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
AA INTERNASIONAL
dr. Fatchoerochman, Sp.Rad 08/07/2020 10:13 08/07/2020 10:40 27 dr. Nelly Rosari, M.Ked(Ped), SpA 437,000 INDONESIA-MEDLINX
ASIA TEKNOLOGI
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 08/07/2020 10:32 08/07/2020 10:48 16 dr. Reygais Razman, SpOT 172,000 BPJS Kesehatan
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
dr. Fatchoerochman, Sp.Rad 08/07/2020 10:39 08/07/2020 11:55 76 dr. Dyan Esikha 1,431,000 BPJS Kesehatan ( PBI )

08/07/2020 11:20 3,720,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
08/07/2020 11:20 1,320,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA

SpOG

08/07/2020 12:45 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
08/07/2020 12:45 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

08/07/2020 17:29 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

Wibawa,SpJP, FIHA
08/07/2020 17:29 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

Siahaan, SpOT
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Showa Indonesia
Manufacturing, PT
dr. Fatchoerochman, Sp.Rad 09/07/2020 09:57 09/07/2020 14:07 250 dr. Reygais Razman, SpOT 437,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 09/07/2020 11:03 09/07/2020 13:29 146 dr. Permadi Wisnu Kuncoro 1,979,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 09/07/2020 13:00 09/07/2020 13:34 34 dr. Kartika Agustina 227,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
SpJP,FIHA
PT NIPPON STEEL
dr. Fatchoerochman, Sp.Rad 10/07/2020 09:21 10/07/2020 11:42 141 dr. Hendrawati Utomo, MS, SpOk 75,000 CHEMICAL & MATERIAL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 10/07/2020 10:17 Dr. Ismayadi, SpPD 401,000
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

10/07/2020 11:47 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
10/07/2020 11:47 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
SpJP,FIHA

10/07/2020 12:07 8,400,000
10/07/2020 12:07 3,000,000

SpJP,FIHA
SpB
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

AIA Financial-Ad
Medika,Ass
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 11/07/2020 16:46 dr. Indah Trijoto, SpPD 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 12/07/2020 19:47 13/07/2020 15:29 1182 dr. Indah Trijoto, SpPD 1,574,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 12/07/2020 21:29 dr. Permadi Wisnu Kuncoro 930,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 12/07/2020 21:30 dr. Permadi Wisnu Kuncoro 138,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )

SpB
8/25/2020 12:07:35 PM Page : 1/1


13/07/2020 11:06 9,660,000
13/07/2020 11:06 3,000,000
13/07/2020 11:18 2,200,000
13/07/2020 11:18 1,100,000

13/07/2020 11:30 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
13/07/2020 11:30 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

SpJP,FIHA
Institut Medika Drg

Suherman (IMDS)

SpJP,FIHA

dr. Arief Wahono, SpRad 13/07/2020 16:06 13/07/2020 16:26 20 dr. Hery Budhiarso, SpA 1,452,000 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 13/07/2020 16:50 dr. Hery Budhiarso, SpA 330,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 13/07/2020 21:29 14/07/2020 09:06 697 dr. Setiawan Widyantoro 166,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 13/07/2020 21:29 dr. Setiawan Widyantoro 206,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 13/07/2020 21:30 14/07/2020 13:28 958 dr. Setiawan Widyantoro 1,221,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 13/07/2020 21:46 14/07/2020 09:07 681 dr. Setiawan Widyantoro 166,000 Lippo General Insurance
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
SpB

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 14/07/2020 09:59 14/07/2020 13:05 186 dr. Hendrawati Utomo, MS, SpOk 35,431 CAHAYA INDOTAMA, PT
8/25/2020 12:07:35 PM Page : 1/1

Master Engineering
Service, PT
Master Engineering
Service, PT
Master Engineering
Service, PT

14/07/2020 10:38 1,100,000
14/07/2020 10:38 3,100,000
dr. Fatchoerochman, Sp.Rad 14/07/2020 10:48 14/07/2020 13:23 155 dr. Indah Trijoto, SpPD 530,000 Lippo General Insurance
Institut Medika Drg

Suherman (IMDS)
14/07/2020 11:59 2,200,000
14/07/2020 11:59 1,100,000
dr. Fatchoerochman, Sp.Rad 14/07/2020 12:14 14/07/2020 12:51 37 dr. RM. Barnard Situmorang, SpB 125,000 BPJS Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )

SpB
dr. Fatchoerochman, Sp.Rad 14/07/2020 12:31 14/07/2020 13:55 84 4,458,000 Jasa Raharja (Persero)
SpB
dr. Fitri Sholihati, SpTHT-KL, M. Indokuat Sukses

dr. Arief Wahono, SpRad 14/07/2020 14:11 150,000
Kes Makmur, PT
SpB ( Mandiri )

Kes
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

14/07/2020 19:36 9,660,000
8/25/2020 12:07:35 PM Page : 1/1

14/07/2020 19:36 3,000,000
BPJS Kesehatan
( Mandiri )
SpJP,FIHA
SpJP,FIHA
SpJP,FIHA
SpB

SpJP,FIHA
ALLIANZ - AD MEDIKA
ASS
SpJP,FIHA
Institut Medika Drg
Suherman (IMDS)
Master Engineering
Service, PT
RS Sentra Medika
Cikarang
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

ADMEDIKA-AVRIST
ASSURANCE
AIA Financial-Ad
Medika,Ass
SpJP,FIHA
dr. Arief Wahono, SpRad 15/07/2020 13:47 15/07/2020 15:31 104 dr. Kartika Agustina 1,221,000 BPJS Ketenagakerjaan

SpJP,FIHA
RS Sentra Medika
Cikarang


Siahaan, SpOT
dr. Arief Wahono, SpRad 15/07/2020 15:46 15/07/2020 16:28 42 dr. Maria Christien Agustie, SpN 248,400 PRIBADI ( CASH )

15/07/2020 16:00 2,200,000
15/07/2020 16:00 1,100,000
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

15/07/2020 19:01 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
15/07/2020 19:01 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
16/07/2020 08:04 11,592,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
16/07/2020 08:04 3,600,000 PRIBADI ( CASH )
Wibawa,SpJP, FIHA

SpB
BPJS Kesehatan
( Mandiri )
Master Engineering
Service, PT
16/07/2020 10:10 9,660,000
8/25/2020 12:07:35 PM Page : 1/1

16/07/2020 10:10 3,000,000

16/07/2020 10:23 9,660,000
16/07/2020 10:23 3,000,000
BPJS Kesehatan
( Mandiri )
MANDIRI AXA GENERAL
dr. Fatchoerochman, Sp.Rad 16/07/2020 10:39 16/07/2020 12:38 119 dr. Entien Julinda Fathimah 437,000 INSURANCE - AD
MEDIKA
Master Engineering
Service, PT
Master Engineering
Service, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
16/07/2020 12:19 3,100,000 BPJS Kesehatan
SpJP,FIHA
dr. Abdullah Saleh, SpJP, FIHA 16/07/2020 12:19 4,750,000 BPJS Kesehatan
SpJP,FIHA
16/07/2020 12:19 1,100,000 BPJS Kesehatan
SpJP,FIHA
Institut Medika Drg
Suherman (IMDS)
dr. Arief Wahono, SpRad 16/07/2020 14:01 1,274,000
Kes ( Mandiri )
Kes ( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 17/07/2020 10:47 dr. Indah Trijoto, SpPD 364,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 17/07/2020 14:18 Dr. Ismayadi, SpPD 524,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 17/07/2020 14:27 17/07/2020 14:37 10 Dr. Ismayadi, SpPD 524,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 17/07/2020 15:54 18/07/2020 14:30 1356 dr. Kartika Agustina 1,116,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Chairul Julaga Ompusunggu, Multistrada Arah

SpB Sarana, PT
BPJS Kesehatan
dr. Arief Wahono, SpRad 18/07/2020 10:42 18/07/2020 13:03 141 drg. Rina Simamora, SpBM 143,000
( Mandiri )
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
RS Sentra Medika
Cikarang
RS Sentra Medika
Cikarang
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
RS Sentra Medika
dr. Arief Wahono, SpRad 18/07/2020 12:40 dr. Hendrawati Utomo, MS, SpOk 34,719
Cikarang
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 18/07/2020 12:57 18/07/2020 13:38 41 dr. Reygais Razman, SpOT 172,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 18/07/2020 15:07 18/07/2020 15:20 13 dr. Gabriel Federikus Goleng, SpS 166,000 Kementrian Kesehatan
dr. Fatchoerochman, Sp.Rad 19/07/2020 07:09 20/07/2020 14:46 1897 dr. Dyan Esikha 1,221,000 Jasa Raharja (Persero)

dr. Fatchoerochman, Sp.Rad 19/07/2020 12:12 20/07/2020 14:03 1551 2,026,000 BPJS Kesehatan ( PBI )
SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 19/07/2020 18:07 20/07/2020 14:48 1241 dr. Permadi Wisnu Kuncoro 1,221,000 BPJS Ketenagakerjaan
dr. Fatchoerochman, Sp.Rad 20/07/2020 07:15 dr. Indah Trijoto, SpPD 364,000 BPJS Kesehatan ( PBI )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
ADMEDIKA - Sompo
Japan (PAYOR)

SpJP,FIHA
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 20/07/2020 13:45 dr. Gabriel Federikus Goleng, SpS 197,000 BPJS Kesehatan ( PBI )

SpJP,FIHA

SpJP,FIHA
IK PRECISION
INDONESIA, PT
Wibawa,SpJP, FIHA

Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 20/07/2020 17:24 dr. Charles Johanes, SpU 524,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 20/07/2020 19:38 21/07/2020 10:30 892 dr. Setiawan Widyantoro 1,017,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

dr. Fatchoerochman, Sp.Rad 21/07/2020 09:05 21/07/2020 09:05 0 dr. Hendrawati Utomo, MS, SpOk 52,835 T.RAD INDONESIA, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 21/07/2020 10:52 21/07/2020 12:43 111 dr. Gabriel Federikus Goleng, SpS 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 21/07/2020 13:13 dr. Fatchoerochman, Sp.Rad 180,000 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA

SpB
ADMEDIKA - SINARMAS
dr. Arief Wahono, SpRad 21/07/2020 17:12 22/07/2020 10:58 1066 dr. Maria Christien Agustie, SpN 207,000
LIFE
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 21/07/2020 19:06 22/07/2020 10:59 953 dr. Dyan Esikha 1,116,000 PT. SUJI TECHNO
dr. Arief Wahono, SpRad 21/07/2020 19:08 22/07/2020 10:40 932 dr. Dyan Esikha 166,000 PT. SUJI TECHNO
dr. Arief Wahono, SpRad 21/07/2020 19:14 dr. Ahmad Widiatmoko, SpP 180,000 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 22/07/2020 08:41 22/07/2020 14:17 336 dr. Indah Trijoto, SpPD 1,301,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 22/07/2020 08:43 22/07/2020 09:43 60 dr. Abdullah Saleh, SpJP, FIHA 152,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 22/07/2020 11:27 drg. Rina Simamora, SpBM 143,000 BPJS Kesehatan ( PBI )
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 22/07/2020 13:12 dr. Kartika Agustina 138,000 BPJS Kesehatan

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 22/07/2020 13:31 22/07/2020 14:07 36 dr. Hery Budhiarso, SpA 1,014,000 PT. SUJI TECHNO

SpJP,FIHA
SpOG
22/07/2020 14:53 2,700,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
22/07/2020 14:53 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

22/07/2020 15:52 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
22/07/2020 15:52 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 22/07/2020 16:13 23/07/2020 10:06 1073 Dr. Ismayadi, SpPD 237,000 ADMEDIKA - RELIANCE
dr. Arief Wahono, SpRad 22/07/2020 16:14 Dr. Ismayadi, SpPD 207,000 ADMEDIKA - RELIANCE

22/07/2020 16:18 9,660,000
22/07/2020 16:18 3,000,000
22/07/2020 16:38 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
22/07/2020 16:38 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 22/07/2020 16:56 23/07/2020 10:06 1030 Dr. Ismayadi, SpPD 266,000 ADMEDIKA - RELIANCE

22/07/2020 17:18 11,109,000
22/07/2020 17:18 3,000,000
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 22/07/2020 23:48 23/07/2020 09:09 561 dr. Pudji Windarini, SpOG 199,200 PRIBADI ( CASH )

Wibawa,SpJP, FIHA

SpB

dr. Fatchoerochman, Sp.Rad 23/07/2020 11:03 23/07/2020 11:59 56 dr. Pudji Windarini, SpOG 199,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 23/07/2020 11:05 23/07/2020 13:35 150 drg. Hendry Kodir, SpOrt 206,400 PRIBADI ( CASH )

SpB
dr. Fatchoerochman, Sp.Rad 23/07/2020 11:31 23/07/2020 13:16 105 dr. Gabriel Federikus Goleng, SpS 166,000 Kementrian Kesehatan
8/25/2020 12:07:35 PM Page : 1/1

Institut Medika Drg

Suherman (IMDS)


SpJP,FIHA
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 23/07/2020 14:10 23/07/2020 14:56 46 dr. Trino Indramartha, SpM 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 23/07/2020 15:33 dr. Kartika Agustina 1,465,200 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 23/07/2020 15:35 23/07/2020 16:16 41 dr. Ahmad Widiatmoko, SpP 193,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 23/07/2020 16:20 23/07/2020 16:30 10 dr. Kartika Agustina 166,000 Lippo General Insurance
dr. Arief Wahono, SpRad 23/07/2020 16:35 23/07/2020 16:38 3 dr. Arief Wahono, SpRad 437,000 RS TARUMAJAYA
BPJS Kesehatan
dr. Arief Wahono, SpRad 23/07/2020 16:48 23/07/2020 16:53 5 dr. RM. Barnard Situmorang, SpB 138,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 23/07/2020 18:43 24/07/2020 10:20 937 dr. Setiawan Widyantoro 138,000 DINAS KESEHATAN

23/07/2020 19:42 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
23/07/2020 19:42 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )

dr. Fatchoerochman, Sp.Rad 24/07/2020 08:54 24/07/2020 11:47 173 401,000 DINAS KESEHATAN
SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 24/07/2020 12:03 24/07/2020 13:27 84 dr. RM. Barnard Situmorang, SpB 484,800 PRIBADI ( CASH )
Institut Medika Drg

Suherman (IMDS)

SpJP,FIHA
BPJS Kesehatan
( Mandiri )

Kes ( Mandiri )
Institut Medika Drg

Suherman (IMDS)
dr. Arief Wahono, SpRad 24/07/2020 15:55 27/07/2020 08:24 3869 dr. Kartika Agustina 166,000 Lippo General Insurance
dr. Arief Wahono, SpRad 24/07/2020 17:25 27/07/2020 10:10 3885 dr. Kartika Agustina 1,017,000 BPJS Kesehatan

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
24/07/2020 18:09 8,400,000
8/25/2020 12:07:35 PM Page : 1/1

24/07/2020 18:09 3,000,000
24/07/2020 18:26 8,400,000
24/07/2020 18:26 3,000,000

Siahaan, SpOT
dr. Arief Wahono, SpRad 24/07/2020 19:11 27/07/2020 08:22 3671 dr. Gabriel Federikus Goleng, SpS 166,000 Kementrian Kesehatan

24/07/2020 19:30 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
24/07/2020 19:30 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
24/07/2020 20:02 2,700,000
24/07/2020 20:02 1,100,000
BPJS Kesehatan
( Mandiri )

SpB
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 25/07/2020 10:16 25/07/2020 12:25 129 dr. Subagio, SpPD 441,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 25/07/2020 10:39 28/07/2020 09:45 4266 dr. Hendrawati Utomo, MS, SpOk 40,946 Bernadi Utama, PT
PT NIPPON STEEL
dr. Arief Wahono, SpRad 25/07/2020 10:39 25/07/2020 10:53 14 dr. Hendrawati Utomo, MS, SpOk 75,000 CHEMICAL & MATERIAL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
dr. Arief Wahono, SpRad 25/07/2020 10:41 25/07/2020 11:58 77 dr. Hendrawati Utomo, MS, SpOk 52,835 T.RAD INDONESIA, PT
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 25/07/2020 12:20 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 25/07/2020 13:52 25/07/2020 14:16 24 dr. Entien Julinda Fathimah 437,000 Kiyokuni Indonesia, PT
dr. Arief Wahono, SpRad 25/07/2020 14:00 27/07/2020 09:59 2639 dr. Entien Julinda Fathimah 1,431,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
25/07/2020 16:21 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
25/07/2020 16:21 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

ASURANSI ASTRA
BUANA
BPJS Kesehatan
( Mandiri )
ALLIANZ LIFE
dr. Arief Wahono, SpRad 25/07/2020 22:55 27/07/2020 10:24 2129 dr. Dyan Esikha 166,000 INDONESIA
ALLIANZ LIFE
dr. Arief Wahono, SpRad 25/07/2020 22:56 27/07/2020 10:25 2129 dr. Dyan Esikha 189,000 INDONESIA
ALLIANZ LIFE
dr. Arief Wahono, SpRad 25/07/2020 22:56 27/07/2020 10:26 2130 dr. Dyan Esikha 1,221,000 INDONESIA
dr. Arief Wahono, SpRad 26/07/2020 08:47 27/07/2020 09:14 1467 dr. Dyan Esikha 199,200 PT. SPACE INDONESIA
dr. Fatchoerochman, Sp.Rad 26/07/2020 13:09 27/07/2020 12:42 1413 dr. Dyan Esikha 199,200 PT. Sinohydro
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 27/07/2020 08:07 27/07/2020 12:52 285 dr. Subagio, SpPD 441,000 BPJS Kesehatan

Siahaan, SpOT
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
ADMEDIKA-AVRIST
dr. Fatchoerochman, Sp.Rad 27/07/2020 10:42 27/07/2020 11:22 40 drg. Rahayu Indarini 172,000
ASSURANCE
Showa Indonesia
dr. Fatchoerochman, Sp.Rad 27/07/2020 11:18 27/07/2020 12:43 85 drg. Rahayu Indarini 172,000
Manufacturing, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg
Suherman (IMDS)
IK PRECISION
INDONESIA, PT

SpOG

8/25/2020 12:07:35 PM Page : 1/1

SpJP,FIHA
dr. Arief Wahono, SpRad 27/07/2020 14:29 27/07/2020 17:13 164 dr. RM. Barnard Situmorang, SpB 364,000 BPJS Kesehatan ( PBI )

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA

SpB ( Mandiri )
ASURANSI ASTRA
BUANA
Showa Indonesia
Manufacturing, PT
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 27/07/2020 22:17 28/07/2020 09:50 693 dr. Setiawan Widyantoro 199,200 PT. Sinohydro
8/25/2020 12:07:35 PM Page : 1/1


Siahaan, SpOT
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Admedika - FWD
Assurance
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 28/07/2020 11:55 28/07/2020 11:58 3 dr. Hendrawati Utomo, MS, SpOk 75,000 ENVIRONEER,PT

Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
28/07/2020 13:14 8,400,000
28/07/2020 13:14 3,000,000

dr. Arief Wahono, SpRad 28/07/2020 14:02 28/07/2020 17:11 189 1,734,000 BPJS Kesehatan
Kes
BPJS Kesehatan
dr. Arief Wahono, SpRad 28/07/2020 14:43 28/07/2020 17:00 137 dr. Hasri Larasati Utami 401,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 28/07/2020 18:07 dr. Dyan Esikha 1,339,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 28/07/2020 22:53 29/07/2020 09:30 637 dr. Dyan Esikha 1,465,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
BPJS Kesehatan
( Mandiri )
SpJP,FIHA
Siahaan, SpOT
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 29/07/2020 10:44 29/07/2020 12:17 93 drg. Rahayu Indarini 206,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 29/07/2020 11:00 29/07/2020 13:03 123 dr. Subagio, SpPD 441,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )

SpJP,FIHA

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 29/07/2020 13:12 1,353,000 BPJS Kesehatan ( PBI )
Kes
dr. Fatchoerochman, Sp.Rad 29/07/2020 13:31 29/07/2020 13:32 1 1,734,000 BPJS Kesehatan ( PBI )
Kes
29/07/2020 13:34 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
29/07/2020 13:34 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

dr. Fatchoerochman, Sp.Rad 29/07/2020 13:44 29/07/2020 14:15 31 1,216,800 PRIBADI ( CASH )
SpB
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 29/07/2020 16:13 29/07/2020 16:32 19 dr. Maria Christien Agustie, SpN 197,000 BPJS Kesehatan

29/07/2020 16:34 8,400,000
29/07/2020 16:34 3,000,000
dr. Arief Wahono, SpRad 29/07/2020 16:44 dr. Gabriel Federikus Goleng, SpS 84,000 Jasa Raharja (Persero)

29/07/2020 16:45 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
29/07/2020 16:45 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 29/07/2020 16:46 29/07/2020 16:51 5 dr. Gabriel Federikus Goleng, SpS 70,000 BPJS Kesehatan

29/07/2020 16:54 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
29/07/2020 16:54 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
29/07/2020 17:01 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
29/07/2020 17:01 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 29/07/2020 19:44 30/07/2020 08:37 773 dr. Permadi Wisnu Kuncoro 166,000 Lippo General Insurance
dr. Fatchoerochman, Sp.Rad 29/07/2020 19:45 30/07/2020 13:13 1048 dr. Permadi Wisnu Kuncoro 482,000 Lippo General Insurance
dr. Fatchoerochman, Sp.Rad 29/07/2020 21:11 30/07/2020 14:11 1020 dr. Permadi Wisnu Kuncoro 1,221,000 BPJS Ketenagakerjaan
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 30/07/2020 00:49 30/07/2020 13:47 778 dr. Permadi Wisnu Kuncoro 1,221,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 30/07/2020 00:50 30/07/2020 08:38 468 dr. Permadi Wisnu Kuncoro 166,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 30/07/2020 09:36 dr. Ahmad Widiatmoko, SpP 166,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 30/07/2020 10:07 30/07/2020 10:08 1 dr. Hendrawati Utomo, MS, SpOk 40,946 Bernadi Utama, PT
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 30/07/2020 12:22 dr. Ratna Puri 2,028,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 30/07/2020 12:24 30/07/2020 13:19 55 dr. Ratna Puri 180,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 30/07/2020 12:32 30/07/2020 15:13 161 dr. Ahmad Widiatmoko, SpP 2,267,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 30/07/2020 13:42 dr. Fatchoerochman, Sp.Rad 437,000 RS Bhakti Husada
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 31/07/2020 03:35 31/07/2020 19:17 942 dr. Forsalina Tamara 472,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 31/07/2020 03:59 31/07/2020 20:08 969 dr. Forsalina Tamara 138,000 BPJS Kesehatan ( PBI )
dr. Arief Wahono, SpRad 31/07/2020 07:34 31/07/2020 19:13 699 dr. Forsalina Tamara 199,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 31/07/2020 19:08 31/07/2020 19:56 48 dr. RM. Barnard Situmorang, SpB 524,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 31/07/2020 22:07 dr. Hasri Larasati Utami 273,600 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 01/08/2020 00:54 01/08/2020 08:53 479 dr. Hasri Larasati Utami 199,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 01/08/2020 06:13 01/08/2020 13:56 463 dr. Gabriel Federikus Goleng, SpS 1,014,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 01/08/2020 08:17 dr. Hery Budhiarso, SpA 180,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 01/08/2020 11:37 01/08/2020 15:17 220 dr. Subagio, SpPD 524,400 PRIBADI ( CASH )

SpB
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 02/08/2020 10:05 03/08/2020 09:00 1375 - 284,400 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 02/08/2020 14:43 03/08/2020 08:54 1091 dr. Sumandi Suhindra 138,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
8/25/2020 12:07:35 PM Page : 1/1

Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
8/25/2020 12:07:35 PM Page : 1/1

Showa Indonesia
Manufacturing, PT
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 03/08/2020 11:15 03/08/2020 13:29 134 dr. Maria Christien Agustie, SpN 1,734,000
( Mandiri )
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Institut Medika Drg
Suherman (IMDS)
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
Showa Indonesia
Manufacturing, PT
8/25/2020 12:07:35 PM Page : 1/1


Wibawa,SpJP, FIHA
Showa Indonesia
Manufacturing, PT
ASURANSI ASTRA
BUANA
ASURANSI ASTRA
dr. Fatchoerochman, Sp.Rad 03/08/2020 13:29 03/08/2020 14:16 47 dr. Gabriel Federikus Goleng, SpS 1,116,000
BUANA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 03/08/2020 23:17 dr. Dyan Esikha 1,017,000
( Mandiri )
Multistrada Arah
Sarana, PT
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Hamonangan Simatupang, BPJS Kesehatan

SpOG ( Mandiri )
Institut Medika Drg

Suherman (IMDS)
dr. Fatchoerochman, Sp.Rad 04/08/2020 10:37 04/08/2020 10:38 1 dr. Hendrawati Utomo, MS, SpOk 35,431 Eon Chemical Putra, PT
dr. Fatchoerochman, Sp.Rad 04/08/2020 11:24 dr. Charles Johanes, SpU 1,562,000 Kiyokuni Indonesia, PT
BPJS Kesehatan
( Mandiri )
Showa Indonesia
Manufacturing, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1


Kes Japan (PAYOR)
BPJS Kesehatan
( Mandiri )
ASURANSI ASTRA
BUANA
Showa Indonesia
dr. Arief Wahono, SpRad 04/08/2020 17:52 04/08/2020 18:03 11 dr. Arief Wahono, SpRad 437,000
Manufacturing, PT
ASURANSI ASTRA
dr. Arief Wahono, SpRad 04/08/2020 19:45 dr. Dyan Esikha 166,000
BUANA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

Hirose Electric
Indonesia, PT
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg

Suherman (IMDS)

05/08/2020 11:32 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
05/08/2020 11:32 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
05/08/2020 11:38 2,200,000
05/08/2020 11:38 1,100,000
dr. Fatchoerochman, Sp.Rad 05/08/2020 11:57 180,000 PRIBADI ( CASH )
SpJP,FIHA
BPJS Kesehatan
( Mandiri )

dr. Fatchoerochman, Sp.Rad 05/08/2020 12:07 125,000 BPJS Kesehatan ( PBI )
SpJP,FIHA

05/08/2020 12:12 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

05/08/2020 12:12 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

SpJP,FIHA
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 05/08/2020 12:32 125,000 BPJS Kesehatan
SpJP,FIHA
SpJP,FIHA
SpJP,FIHA
SpJP,FIHA
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 05/08/2020 15:50 dr. Kartika Agustina 138,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )
Siahaan, SpOT
Siahaan, SpOT
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

SpOG
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 06/08/2020 18:57 07/08/2020 09:24 867 - 1,014,000 RS. Metro Hospitals
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
PT NIPPON STEEL
INDONESIA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1


SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 07/08/2020 11:11 07/08/2020 11:52 41 - 180,000 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 07/08/2020 11:12 07/08/2020 13:56 164 dr. Halim Wijaya, SpB 364,000 BPJS Kesehatan
BPJS Kesehatan
( Mandiri )

dr. Arief Wahono, SpRad 07/08/2020 14:05 125,000
SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 07/08/2020 19:44 08/08/2020 11:17 933 dr. Gabriel Federikus Goleng, SpS 199,200 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Halim Wijaya, SpB 07/08/2020 20:28 dr. Halim Wijaya, SpB 125,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 07/08/2020 20:33 08/08/2020 11:29 896 dr. Halim Wijaya, SpB 125,000 BPJS Kesehatan
dr. Arief Wahono, SpRad 08/08/2020 10:14 08/08/2020 11:14 60 dr. Entien Julinda Fathimah 227,000 BPJS Ketenagakerjaan
CITRA KARSA
DINAMIKA, PT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 08/08/2020 11:59 08/08/2020 12:32 33 dr. Iskandar Muda 180,000 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 08/08/2020 12:01 dr. Entien Julinda Fathimah 138,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 08/08/2020 13:53 dr. Arief Wahono, SpRad 284,400 PRIBADI ( CASH )

dr. Arief Wahono, SpRad 08/08/2020 14:06 622,800 PRIBADI ( CASH )
SpB
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 08/08/2020 16:52 10/08/2020 10:19 2487 dr. Arief Wahono, SpRad 1,014,000 RS TARUMAJAYA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 09/08/2020 03:48 dr. Setiawan Widyantoro 272,400 PRIBADI ( CASH )
ASURANSI ASTRA
BUANA
ASURANSI ASTRA
dr. Arief Wahono, SpRad 09/08/2020 15:48 10/08/2020 10:12 1104 dr. Pudji Windarini, SpOG 166,000
BUANA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/08/2020 10:00 drg. Rina Simamora, SpBM 125,000 BPJS Kesehatan
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 10/08/2020 11:19 drg. Rina Simamora, SpBM 206,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
dr. Fatchoerochman, Sp.Rad 10/08/2020 12:23 10/08/2020 13:33 70 dr. Gabriel Federikus Goleng, SpS 1,023,000 BPJS Kesehatan

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 11/08/2020 08:18 dr. Indah Trijoto, SpPD 2,267,000
( Mandiri )
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 11/08/2020 11:35 11/08/2020 13:12 97 dr. Kartika Agustina 437,000 ADMEDIKA - RELIANCE

11/08/2020 11:41 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
11/08/2020 11:41 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Institut Medika Drg
Suherman (IMDS)
dr. Fatchoerochman, Sp.Rad 11/08/2020 11:57 11/08/2020 13:38 101 dr. Indah Trijoto, SpPD 1,874,400 PRIBADI ( CASH )

11/08/2020 12:51 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
11/08/2020 12:51 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 11/08/2020 17:30 12/08/2020 12:50 1160 dr. Arief Wahono, SpRad 524,400 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 11/08/2020 20:36 12/08/2020 08:49 733 dr. Dyan Esikha 1,221,000
( Mandiri )

BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
CITRA KARSA
DINAMIKA, PT
Institut Medika Drg

Suherman (IMDS)
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 12/08/2020 12:26 12/08/2020 14:09 103 dr. Indah Trijoto, SpPD 199,200 PT. Sinohydro

SpJP,FIHA
12/08/2020 13:06 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
12/08/2020 13:06 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Kes
ADMEDIKA-Tugu Kresna
Pratama
Pratama
8/25/2020 12:07:35 PM Page : 1/1

Pratama
Pratama
BPJS Kesehatan
( Mandiri )
12/08/2020 15:25 9,660,000
12/08/2020 15:25 3,000,000
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
12/08/2020 15:49 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
12/08/2020 15:49 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 12/08/2020 16:15 12/08/2020 16:28 13 dr. Gabriel Federikus Goleng, SpS 1,221,000
Pratama
Admedika - FWD
Assurance
Admedika - FWD
Assurance
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Showa Indonesia
Manufacturing, PT
8/25/2020 12:07:35 PM Page : 1/1


Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )

ASURANSI ASTRA
dr. Fatchoerochman, Sp.Rad 13/08/2020 11:51 13/08/2020 13:07 76 dr. Pudji Windarini, SpOG 482,000
BUANA
ASURANSI ASTRA
BUANA
13/08/2020 12:56 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
13/08/2020 12:56 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

SpJP,FIHA
13/08/2020 14:00 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
13/08/2020 14:00 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

13/08/2020 14:26 8,400,000
13/08/2020 14:26 3,000,000
BPJS Kesehatan
( Mandiri )
13/08/2020 15:23 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
13/08/2020 15:23 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
ASURANSI ASTRA
dr. Arief Wahono, SpRad 13/08/2020 19:03 14/08/2020 16:12 1269 dr. Pudji Windarini, SpOG 1,718,000
BUANA
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Wibawa,SpJP, FIHA

dr. Fatchoerochman, Sp.Rad 14/08/2020 08:58 14/08/2020 09:10 12 dr. Abdullah Saleh, SpJP, FIHA 152,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 14/08/2020 09:38 dr. Indah Trijoto, SpPD 441,000 BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 14/08/2020 09:57 14/08/2020 10:34 37 dr. Hasri Larasati Utami 1,116,000 Kementrian Kesehatan
CITRA KARSA
DINAMIKA, PT
Showa Indonesia
dr. Fatchoerochman, Sp.Rad 14/08/2020 10:47 14/08/2020 11:22 35 dr. Anggun Gunari 150,000
Manufacturing, PT
14/08/2020 10:49 2,700,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
8/25/2020 12:07:35 PM Page : 1/1

14/08/2020 10:49 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

14/08/2020 11:04 2,700,000
14/08/2020 11:05 1,100,000
BPJS Kesehatan
( Mandiri )
IK PRECISION
INDONESIA, PT
IK PRECISION
INDONESIA, PT
dr. Fatchoerochman, Sp.Rad 14/08/2020 11:57 14/08/2020 13:04 67 dr. Indah Trijoto, SpPD 1,116,000 Kementrian Kesehatan
Institut Medika Drg

Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
ASURANSI ASTRA
BUANA
ASURANSI ASTRA
BUANA
dr. Arief Wahono, SpRad 14/08/2020 14:37 dr. Anggun Gunari 180,000 PRIBADI ( CASH )
BPJS Kesehatan
dr. Arief Wahono, SpRad 14/08/2020 15:33 15/08/2020 12:01 1228 dr. Indah Trijoto, SpPD 1,574,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
dr. Arief Wahono, SpRad 14/08/2020 17:12 14/08/2020 17:42 30 dr. Abdullah Saleh, SpJP, FIHA 125,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
ULTRA PRIMA
CARRUGATOR, PT
ULTRA PRIMA
CARRUGATOR, PT
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 15/08/2020 05:21 15/08/2020 11:10 349 dr. Entien Julinda Fathimah 1,221,000 Jasa Raharja (Persero)
dr. Arief Wahono, SpRad 15/08/2020 05:22 15/08/2020 11:06 344 dr. Entien Julinda Fathimah 166,000 Jasa Raharja (Persero)
ASURANSI ASTRA
BUANA
ASURANSI ASTRA
BUANA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 15/08/2020 10:22 dr. Muhamad Zaini Azwan, SpBTKV 473,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

Multistrada Arah
Sarana, PT
Multistrada Arah
Sarana, PT
Multistrada Arah
Sarana, PT
Multistrada Arah
Sarana, PT
Multistrada Arah
Sarana, PT
Institut Medika Drg

Suherman (IMDS)
dr. Arief Wahono, SpRad 15/08/2020 11:27 dr. Entien Julinda Fathimah 401,000 Kementrian Kesehatan
ASURANSI ASTRA
BUANA

15/08/2020 15:13 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
15/08/2020 15:13 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

15/08/2020 16:21 3,100,000
15/08/2020 16:21 1,100,000
8/25/2020 12:07:35 PM Page : 1/1

15/08/2020 17:21 8,400,000
15/08/2020 17:21 3,000,000
15/08/2020 17:28 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
15/08/2020 17:28 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 15/08/2020 17:55 dr. Entien Julinda Fathimah 1,116,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 16/08/2020 11:29 dr. Hasri Larasati Utami 1,339,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
16/08/2020 12:23 8,400,000
16/08/2020 12:23 3,000,000
dr. Fatchoerochman, Sp.Rad 16/08/2020 12:55 16/08/2020 16:11 196 dr. Hasri Larasati Utami 1,339,200 PRIBADI ( CASH )
dr. Fatchoerochman, Sp.Rad 16/08/2020 13:26 16/08/2020 16:12 166 dr. Hasri Larasati Utami 166,000 Jasa Raharja (Persero)
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 16/08/2020 13:27 18/08/2020 10:51 2724 dr. Hasri Larasati Utami 1,221,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 17/08/2020 12:18 dr. Dyan Esikha 199,200 PRIBADI ( CASH )

Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 17/08/2020 19:43 18/08/2020 10:47 904 dr. Setiawan Widyantoro 1,221,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 17/08/2020 20:34 18/08/2020 10:37 843 dr. Setiawan Widyantoro 1,116,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 18/08/2020 09:48 dr. Subagio, SpPD 364,000 BPJS Kesehatan ( PBI )

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 18/08/2020 11:15 18/08/2020 13:40 145 dr. Sumandi Suhindra 1,221,000 Jasa Raharja (Persero)
dr. Fatchoerochman, Sp.Rad 18/08/2020 11:16 18/08/2020 12:59 103 dr. Sumandi Suhindra 166,000 Jasa Raharja (Persero)
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)

18/08/2020 12:22 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
18/08/2020 12:22 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Fatchoerochman, Sp.Rad 18/08/2020 12:33 drg. Titin Kristina Setiawati 206,400 PRIBADI ( CASH )


dr. Arief Wahono, SpRad 18/08/2020 15:13 18/08/2020 16:35 82 150,000 AISIN INDONESIA, PT
Kes
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 18/08/2020 15:21 18/08/2020 16:51 90 Dr. Ismayadi, SpPD 150,000 KIRIU INDONESIA, PT
dr. Arief Wahono, SpRad 18/08/2020 15:23 18/08/2020 16:38 75 drg. Titin Kristina Setiawati 206,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 18/08/2020 17:14 18/08/2020 17:53 39 dr. Sumandi Suhindra 138,000 Kementrian Kesehatan
BPJS Kesehatan
( Mandiri )
18/08/2020 17:18 9,660,000
18/08/2020 17:18 3,000,000
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 19/08/2020 10:26 19/08/2020 10:27 1 dr. Hendrawati Utomo, MS, SpOk 40,946 MULIA EMPAT SATU, PT
8/25/2020 12:07:35 PM Page : 1/1

dr. Fatchoerochman, Sp.Rad 19/08/2020 10:44 19/08/2020 13:08 144 dr. Entien Julinda Fathimah 227,000 BPJS Ketenagakerjaan
dr. Fatchoerochman, Sp.Rad 19/08/2020 10:45 19/08/2020 13:10 145 dr. Entien Julinda Fathimah 227,000 BPJS Ketenagakerjaan
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
19/08/2020 11:07 2,700,000
19/08/2020 11:07 1,100,000
Multistrada Arah
Sarana, PT
dr. Fatchoerochman, Sp.Rad 19/08/2020 11:40 19/08/2020 12:55 75 dr. RM. Barnard Situmorang, SpB 125,000 BPJS Kesehatan ( PBI )

19/08/2020 11:42 3,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
19/08/2020 11:42 1,100,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
19/08/2020 11:52 9,660,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
19/08/2020 11:52 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA

SpJP,FIHA
8/25/2020 12:07:35 PM Page : 1/1


19/08/2020 14:02 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
19/08/2020 14:02 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
SpJP,FIHA

SpJP,FIHA
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 19/08/2020 21:26 21/08/2020 08:47 2121 dr. Permadi Wisnu Kuncoro 166,000 ADMEDIKA - RELIANCE
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 20/08/2020 21:20 21/08/2020 08:46 686 dr. Maria Christien Agustie, SpN 199,200 PRIBADI ( CASH )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )

BPJS Kesehatan
( Mandiri )
Institut Medika Drg

Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1


SpB
Multistrada Arah
Sarana, PT

21/08/2020 12:06 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
21/08/2020 12:06 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
21/08/2020 12:13 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
21/08/2020 12:13 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 21/08/2020 13:54 21/08/2020 14:19 25 Dr. Ismayadi, SpPD 437,000 KIRIU INDONESIA, PT
BPJS Kesehatan
( Mandiri )

21/08/2020 16:15 11,109,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
21/08/2020 16:15 3,000,000 BPJS Kesehatan
Wibawa,SpJP, FIHA
dr. Arief Wahono, SpRad 21/08/2020 17:06 dr. Maria Christien Agustie, SpN 437,000 Jasa Raharja (Persero)
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 21/08/2020 17:42 22/08/2020 15:12 1290 dr. Maria Christien Agustie, SpN 1,339,200 PRIBADI ( CASH )

Siahaan, SpOT
Siahaan, SpOT
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
dr. Arief Wahono, SpRad 22/08/2020 07:28 22/08/2020 14:21 413 dr. Halim Wijaya, SpB 401,000
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 22/08/2020 09:13 22/08/2020 15:26 373 dr. Maria Christien Agustie, SpN 2,158,800 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 22/08/2020 09:17 dr. Arief Wahono, SpRad 2,721,000 RS AMANDA CIKARANG
Institut Medika Drg

Suherman (IMDS)
ADMEDIKA - ASTRA
AVIVA LIFE
BPJS Kesehatan
( Mandiri )
Citra Husada Indonesia,

PT
8/25/2020 12:07:35 PM Page : 1/1

dr. Arief Wahono, SpRad 22/08/2020 10:52 dr. Indah Trijoto, SpPD 437,000 KIRIU INDONESIA, PT
dr. Arief Wahono, SpRad 22/08/2020 10:53 24/08/2020 16:06 3193 dr. RM. Barnard Situmorang, SpB 3,377,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
( Mandiri )
dr. Arief Wahono, SpRad 22/08/2020 12:02 22/08/2020 12:55 53 dr. Iskandar Muda 524,400 PRIBADI ( CASH )

22/08/2020 12:28 11,109,000
22/08/2020 12:28 3,000,000

22/08/2020 12:41 9,660,000
22/08/2020 12:41 3,000,000
ADMEDIKA - Sompo
Japan (PAYOR)
- 22/08/2020 13:14 22/08/2020 13:18 4 dr. Iskandar Muda 524,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

ADMEDIKA - ASTRA
AVIVA LIFE
dr. Arief Wahono, SpRad 22/08/2020 15:30 22/08/2020 19:08 218 Drg. Callivia 206,400 PRIBADI ( CASH )
dr. Arief Wahono, SpRad 22/08/2020 15:52 24/08/2020 10:35 2563 dr. Maria Christien Agustie, SpN 197,000 BPJS Kesehatan
AA INTERNASIONAL
dr. Arief Wahono, SpRad 22/08/2020 20:02 24/08/2020 11:04 2342 dr. Dyan Esikha 260,000 INDONESIA-MEDLINX
ASIA TEKNOLOGI
Admedika - FWD
Assurance
dr. Arief Wahono, SpRad 23/08/2020 15:25 24/08/2020 11:19 1194 dr. Dyan Esikha 1,017,000 BPJS Kesehatan ( PBI )
ADMEDIKA - ASTRA
AVIVA LIFE
BPJS Kesehatan
( Mandiri )
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
Institut Medika Drg
Suherman (IMDS)
BPJS Kesehatan
( Mandiri )
RS Sentra Medika
Cikarang
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 24/08/2020 11:05 24/08/2020 14:04 179 dr. Gabriel Federikus Goleng, SpS 482,000 Jasa Raharja (Persero)
CITRA KARSA
DINAMIKA, PT
Institut Medika Drg
Suherman (IMDS)
SpJP,FIHA
SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 24/08/2020 12:10 24/08/2020 13:34 84 dr. Kartika Agustina 166,000 Admedika - ISPC eTiQa
dr. Fatchoerochman, Sp.Rad 24/08/2020 12:19 24/08/2020 13:43 84 dr. Reygais Razman, SpOT 172,000 BPJS Kesehatan

SpJP,FIHA
dr. Fatchoerochman, Sp.Rad 24/08/2020 13:09 24/08/2020 13:46 37 dr. Entien Julinda Fathimah 1,330,800 PRIBADI ( CASH )
Showa Indonesia
Manufacturing, PT
8/25/2020 12:07:35 PM Page : 1/1

ADMEDIKA BCA LIFE
(PAYOR)
BPJS Kesehatan
( Mandiri )

Wibawa,SpJP, FIHA
Wibawa,SpJP, FIHA
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 25/08/2020 08:41 dr. Tripni Prihutomo, S.E., SpA 2,026,000 BPJS Kesehatan

Wibawa,SpJP, FIHA
SpB
Institut Medika Drg
Suherman (IMDS)
ADMEDIKA - ASTRA
dr. Fatchoerochman, Sp.Rad 25/08/2020 10:26 drg. Rina Simamora, SpBM 172,000
AVIVA LIFE
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 25/08/2020 11:17 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan ( PBI )
Institut Medika Drg

Suherman (IMDS)
8/25/2020 12:07:35 PM Page : 1/1

BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
BPJS Kesehatan
( Mandiri )
dr. Fatchoerochman, Sp.Rad 25/08/2020 11:34 dr. Charles Johanes, SpU 1,301,000 BPJS Kesehatan ( PBI )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 25/08/2020 11:39 dr. Kartika Agustina 138,000
( Mandiri )
BPJS Kesehatan
dr. Fatchoerochman, Sp.Rad 25/08/2020 11:51 dr. Charles Johanes, SpU 125,000
( Mandiri )
dr. Fatchoerochman, Sp.Rad 25/08/2020 11:59 dr. Abdullah Saleh, SpJP, FIHA 578,400 PRIBADI ( CASH )
8/25/2020 12:07:35 PM Page : 1/1

User/Kasir
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
devi
fitrimcu
devi
devi
fitrimcu
fitrimcu
fitrimcu
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

fitrimcu
devi
fitrimcu
fitrimcu
fitrimcu
devi
devi
devi
fitrimcu
devi
devi
fitrimcu
devi
fitrimcu
devi
fitrimcu
fitrimcu
pramanita
irwan
irwan
irwan
pramanita
pramanita
dewi
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

eka
eka
eka
eka
eka
eka
eka
eka
bintang_m
fanny
fanny
fanny
fanny
dila
dila
dila
dila
dila
anbi_k
anbi_k
dimas hd
anbi_k
anbi_k
anbi_k
anbi_k
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
dimas hd
dimas hd
fatma
dimas hd
dimas hd
gianbilling
gianbilling
gianbilling
dimas hd
dimas hd
anbi_k
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
anbi_k
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
anbi_k
pebriyanti
8/25/2020 12:07:35 PM Page : 1/1

kiky
anbi_k
pebriyanti
pebriyanti
fanny
fanny
fanny
fanny
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
liakasir
trivera
trivera
trivera
trivera
trivera
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

liakasir
srin
srin
agus_p
eka
liakasir
eka
liakasir
eka
srin
liakasir
eka
eka
eka
agus_p
srin
srin
agus_p
agus_p
agus_p
eka
liakasir
liakasir
agus_p
kiky
dewi
giri_s
8/25/2020 12:07:35 PM Page : 1/1

dila
anbi_k
dewi
dewi
dewi
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
agus_p
trivera
trivera
kiky
agus_p
kiky
trivera
agus_p
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
endar
agus_p
endar
endar
agus_p
kiky
eka
endar
endar
agus_p
kiky
eka
kiky
kiky
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
andriyanto
srin
andriyanto
dewi
srin
dewi
srin
andriyanto
dewi
dewi
andriyanto
windi
windi
windi
andriyanto
andriyanto
andriyanto
fanny
fatma
fatma
rini_m
rini_m
rini_m
trivera
hermawan_s
hermawan_s
8/25/2020 12:07:35 PM Page : 1/1

noer
giri_s
noer
noer
noer
noer
noer
noer
noer
depi_yanto
dila
endar
endar
liakasir
dila
endar
endar
liakasir
endar
liakasir
depi_yanto
depi_yanto
depi_yanto
liakasir
liakasir
eka
pebriyanti
8/25/2020 12:07:35 PM Page : 1/1

pebriyanti
pebriyanti
pebriyanti
pebriyanti
trivera
trivera
trivera
trivera
santhy
santhy
santhy
fatma
fatma
santhy
fatma
andriyanto
fatma
santhy
santhy
santhy
santhy
santhy
depi_yanto
santhy
depi_yanto
santhy
santhy
8/25/2020 12:07:35 PM Page : 1/1

endar
dimas hd
dimas hd
dimas hd
anbi_k
liakasir
dimas hd
dimas hd
dimas hd
dimas hd
shofi_s
dimas hd
dimas hd
shofi_s
shofi_s
dimas hd
dimas hd
dila
dila
dila
dila
dila
srin
srin
srin
srin
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
srin
srin
srin
srin
srin
srin
noer
noer
noer
fanny
depi_yanto
depi_yanto
depi_yanto
depi_yanto
srin
srin
eka
eka
windi
windi
windi
eka
windi
windi
windi
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

liakasir
depi_yanto
srin
liakasir
depi_yanto
andriyanto
andriyanto
fatma
fatma
fatma
dewi
andriyanto
fatni
fatni
fatni
andriyanto
andriyanto
noer
noer
noer
noer
noer
noer
depi_yanto
eka
eka
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

eka
kiky
kiky
dimas hd
dimas hd
rini_m
rini_m
andriyanto
rini_m
rini_m
rini_m
dewi
andriyanto
dewi
dewi
trivera
trivera
srin
santhy
santhy
depi_yanto
srin
srin
santhy
ita
ita
ita
8/25/2020 12:07:35 PM Page : 1/1

depi_yanto
depi_yanto
dewi
santhy
depi_yanto
santhy
santhy
santhy
kiky
vina
vina
vina
vina
vina
vina
kiky
endar
dimas hd
endar
dimas hd
endar
kiky
dila
dila
faradila_n
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

faradila_n
dila
noer
agus_p
idham_c
kiky
kiky
noer
andriyanto
kiky
kiky
andriyanto
noer
noer
noer
idham_c
idham_c
srin
srin
srin
srin
srin
srin
shofi_s
liakasir
liakasir
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
rini_m
rini_m
trivera
trivera
fatma
fatma
ita
ita
ita
trivera
trivera
endar
eka
srin
agus_p
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

bintang_m
noer
noer
noer
noer
noer
agus_p
agus_p
dewi
dewi
dewi
dewi
dewi
agus_p
eka
eka
agus_p
agus_p
kiky
agus_p
agus_p
dewi
srin
srin
srin
srin
srin
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
trivera
santhy
rini_m
santhy
santhy
santhy
santhy
santhy
santhy
fanny
fanny
fanny
fanny
dila
dila
dila
dila
kiky
kiky
kiky
srin
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
srin
andriyanto
andriyanto
andriyanto
srin
srin
kiky
srin
srin
srin
srin
kiky
srin
fatma
fatma
agus_p
agus_p
agus_p
agus_p
agus_p
dewi
dewi
liakasir
dewi
dewi
dewi
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
fanny
fanny
fanny
fanny
agus_p
agus_p
agus_p
agus_p
dimas hd
agus_p
agus_p
agus_p
fatma
agus_p
dimas hd
agus_p
kiky
fatma
kiky
kiky
kiky
dimas hd
gianbilling
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

kiky
liakasir
eka
eka
eka
agus_p
eka
eka
eka
eka
eka
noer
noer
noer
noer
shofi_s
dimas hd
andriyanto
dimas hd
dila
dila
andriyanto
dimas hd
shofi_s
dila
dila
shofi_s
8/25/2020 12:07:35 PM Page : 1/1

shofi_s
dimas hd
endar
endar
endar
endar
endar
endar
santhy
santhy
santhy
dimas hd
dila
kiky
eka
eka
eka
eka
eka
eka
shofi_s
srin
shofi_s
shofi_s
kiky
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
trivera
dewi
dewi
dewi
dewi
dewi
dewi
dewi
dewi
dewi
dewi
dewi
dewi
fanny
fanny
fanny
fanny
faradila_n
fanny
dila
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

dila
depi_yanto
depi_yanto
depi_yanto
depi_yanto
depi_yanto
windi
windi
windi
dewi
bintang_m
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
liakasir
andriyanto
fanny
fanny
fanny
endar
endar
endar
endar
fatma
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

trivera
fatni
fatni
fatni
trivera
noer
noer
noer
noer
noer
eka
eka
eka
eka
eka
shofi_s
eka
srin
srin
srin
srin
noer
noer
noer
noer
giri_s
liakasir
8/25/2020 12:07:35 PM Page : 1/1

liakasir
liakasir
anbi_k
anbi_k
liakasir
liakasir
hermawan_s
andriyanto
andriyanto
fanny
fanny
fanny
fanny
fanny
depi_yanto
depi_yanto
depi_yanto
vina
vina
fatma
dewi
dewi
vina
noer
kiky
rini_m
rini_m
8/25/2020 12:07:35 PM Page : 1/1

noer
trivera
trivera
trivera
trivera
trivera
dewi
dewi
eka
idham_c
eka
srin
dewi
srin
srin
srin
dewi
srin
srin
eka
eka
kiky
kiky
andriyanto
andriyanto
andriyanto
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
kiky
andriyanto
andriyanto
kiky
andriyanto
anbi_k
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
rini_m
fatma
fatma
dila
dila
dila
dila
dila
dila
dila
dila
giri_s
agus_p
agus_p
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

fatma
fatma
andriyanto
fatma
ita
ita
ita
andriyanto
agus_p
fatma
fatma
noer
srin
agus_p
agus_p
agus_p
noer
gianbilling
gianbilling
gianbilling
noer
gianbilling
gianbilling
gianbilling
noer
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
srin
liakasir
gianbilling
gianbilling
gianbilling
noer
gianbilling
gianbilling
gianbilling
noer
fanny
fanny
anbi_k
fanny
fanny
kiky
dimas hd
kiky
dimas hd
dimas hd
dimas hd
kiky
kiky
dimas hd
andriyanto
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
andriyanto
bintang_m
andriyanto
eka
eka
pebriyanti
pebriyanti
bintang_m
pebriyanti
pebriyanti
pebriyanti
bintang_m
noer
noer
noer
noer
noer
dila
hermawan_s
dila
liakasir
dila
dila
dila
dila
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
dila
dila
kiky
eka
eka
eka
dimas hd
eka
eka
eka
eka
eka
trivera
trivera
trivera
trivera
idham_c
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

fatma
fatma
fatma
fatma
fatma
anbi_k
dila
dila
dila
dila
dila
dila
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
pebriyanti
noer
noer
noer
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
srin
srin
srin
srin
rini_m
rini_m
rini_m
rini_m
rini_m
rini_m
rini_m
srin
dimas hd
srin
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
dewi
dimas hd
rini_m
bintang_m
dewi
dimas hd
dewi
liakasir
liakasir
liakasir
srin
liakasir
eka
eka
trivera
agus_p
agus_p
trivera
trivera
agus_p
trivera
trivera
trivera
agus_p
eka
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
noer
noer
noer
agus_p
noer
noer
noer
noer
noer
srin
shofi_s
shofi_s
shofi_s
fatma
fatma
fatma
fatma
fatma
fatma
fatma
fatma
srin
8/25/2020 12:07:35 PM Page : 1/1

kiky
kiky
kiky
kiky
kiky
srin
fatma
fatma
fatma
pramanita
pramanita
pramanita
pramanita
pramanita
srin
kiky
shofi_s
andriyanto
pramanita
pramanita
pramanita
liakasir
andriyanto
idham_c
dewi
idham_c
dewi
8/25/2020 12:07:35 PM Page : 1/1

dewi
andriyanto
dewi
dewi
liakasir
liakasir
dewi
trivera
trivera
trivera
trivera
trivera
andriyanto
agus_p
agus_p
agus_p
agus_p
dewi
agus_p
dewi
andriyanto
andriyanto
andriyanto
agus_p
agus_p
dewi
eka
8/25/2020 12:07:35 PM Page : 1/1

eka
andriyanto
eka
dewi
eka
dewi
andriyanto
andriyanto
eka
kiky
eka
eka
ita
ita
ita
fanny
fanny
agus_p
fanny
fanny
agus_p
kiky
fatma
fatma
agus_p
fanny
dila
8/25/2020 12:07:35 PM Page : 1/1

dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
eka
vina
vina
dewi
eka
wiwien
fitrimcu
dewi
windi
windi
windi
fitrimcu
wiwien
wiwien
wiwien
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

agus_p
agus_p
agus_p
agus_p
gianbilling
gianbilling
gianbilling
vina
gianbilling
gianbilling
gianbilling
vina
kiky
kiky
kiky
kiky
dimas hd
andriyanto
agus_p
ita
ita
ita
dimas hd
agus_p
ita
ita
ita
8/25/2020 12:07:35 PM Page : 1/1

kiky
kiky
dimas hd
ita
ita
ita
ita
ita
ita
ita
ita
ita
dimas hd
fanny
fanny
fanny
fanny
fanny
fanny
idham_c
idham_c
agus_p
agus_p
agus_p
agus_p
andriyanto
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
srin
kiky
andriyanto
andriyanto
kiky
srin
fatni
fatni
fatni
fatni
fatni
fatni
fatni
fatni
fatni
fatma
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
gianbilling
gianbilling
trivera
dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
dila
liakasir
liakasir
liakasir
hermawan_s
hermawan_s
dila
dila
dila
hermawan_s
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
vina
vina
bintang_m
depi_yanto
vina
vina
srin
windi
windi
windi
fitrimcu
wiwien
wiwien
pramanita
wiwien
wiwien
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
wiwien
wiwien
srin
eka
eka
vina
eka
fitrimcu
fitrimcu
eka
depi_yanto
depi_yanto
depi_yanto
depi_yanto
vina
srin
devi
devi
devi
devi
devi
devi
devi
pramanita
pramanita
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
dewi
fanny
fanny
fatma
pramanita
fatma
fanny
fanny
fanny
fanny
fanny
fanny
fanny
dewi
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
faradila_n
fanny
fanny
dila
dila
dila
dila
eka
rini_m
dimas hd
eka
eka
andriyanto
dimas hd
dimas hd
eka
dimas hd
dimas hd
dimas hd
srin
srin
srin
fatma
gianbilling
srin
fatma
8/25/2020 12:07:35 PM Page : 1/1

srin
srin
srin
srin
fanny
depi_yanto
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
eka
eka
srin
srin
wiwien
8/25/2020 12:07:35 PM Page : 1/1

wiwien
fitrimcu
wiwien
wiwien
fitrimcu
wiwien
wiwien
fitrimcu
wiwien
wiwien
eka
depi_yanto
andriyanto
fitrimcu
eka
srin
eka
depi_yanto
srin
depi_yanto
srin
eka
andriyanto
andriyanto
fitrimcu
depi_yanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
eka
andriyanto
andriyanto
andriyanto
dimas hd
dimas hd
liakasir
liakasir
liakasir
liakasir
liakasir
noer
noer
noer
noer
noer
noer
windi
windi
windi
noer
liakasir
depi_yanto
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
idham_c
depi_yanto
depi_yanto
andriyanto
depi_yanto
depi_yanto
dimas hd
dimas hd
fatma
fatma
andriyanto
andriyanto
depi_yanto
dimas hd
depi_yanto
dimas hd
andriyanto
depi_yanto
fatma
fatma
dewi
dila
dewi
8/25/2020 12:07:35 PM Page : 1/1

dila
dila
dila
dewi
depi_yanto
dila
kiky
kiky
dewi
dila
depi_yanto
dila
dila
noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
hermawan_s
depi_yanto
liakasir
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

depi_yanto
devi
devi
devi
devi
devi
ita
ita
ita
liakasir
depi_yanto
fanny
fanny
liakasir
liakasir
liakasir
fatma
liakasir
liakasir
fanny
andriyanto
depi_yanto
depi_yanto
fitrimcu
fitrimcu
fitrimcu
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
pramanita
pramanita
pramanita
pramanita
pramanita
dewi
andriyanto
kiky
dewi
kiky
dewi
santhy
santhy
santhy
vina
vina
vina
vina
vina
vina
dewi
dewi
gianbilling
gianbilling
gianbilling
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
gianbilling
gianbilling
depi_yanto
depi_yanto
dila
gianbilling
gianbilling
gianbilling
pramanita
pramanita
fatma
pramanita
pramanita
pramanita
pramanita
pramanita
fatma
depi_yanto
depi_yanto
fatma
fatma
fatma
kiky
kiky
fatma
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

srin
depi_yanto
depi_yanto
gianbilling
gianbilling
liakasir
depi_yanto
eka
eka
eka
eka
eka
eka
eka
eka
eka
eka
eka
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
fanny
fanny
eka
eka
eka
eka
eka
eka
eka
eka
eka
noer
noer
noer
noer
noer
noer
anbi_k
trivera
trivera
trivera
trivera
trivera
anbi_k
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
trivera
trivera
faradila_n
agus_p
eka
eka
srin
windi
windi
windi
dewi
srin
agus_p
agus_p
dewi
dewi
srin
fitrimcu
fitrimcu
pramanita
fitrimcu
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

fitrimcu
fitrimcu
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
eka
dewi
windi
windi
windi
srin
agus_p
srin
agus_p
andriyanto
liakasir
agus_p
agus_p
andriyanto
pramanita
kiky
8/25/2020 12:07:35 PM Page : 1/1

agus_p
kiky
kiky
kiky
kiky
agus_p
agus_p
kiky
rini_m
rini_m
noer
rini_m
noer
noer
noer
bintang_m
bintang_m
srin
srin
bintang_m
agus_p
agus_p
agus_p
kiky
kiky
dewi
kiky
8/25/2020 12:07:35 PM Page : 1/1

dewi
agus_p
srin
kiky
srin
srin
dewi
srin
dewi
dewi
srin
dewi
srin
srin
srin
srin
kiky
dimas hd
fanny
eka
fanny
dimas hd
fanny
fanny
eka
fanny
eka
8/25/2020 12:07:35 PM Page : 1/1

eka
fanny
fanny
fanny
fatni
fatni
fatni
fanny
fatni
fatni
fatni
dila
dila
dila
dila
dila
dila
rini_m
wiwien
wiwien
wiwien
wiwien
wiwien
agus_p
pramanita
pramanita
pramanita
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
liakasir
agus_p
pramanita
pramanita
pramanita
liakasir
pramanita
pramanita
pramanita
ita
ita
ita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
dimas hd
liakasir
pramanita
dimas hd
liakasir
dimas hd
liakasir
8/25/2020 12:07:35 PM Page : 1/1

liakasir
liakasir
liakasir
dimas hd
liakasir
dimas hd
agus_p
liakasir
srin
dewi
dewi
srin
trivera
trivera
trivera
agus_p
trivera
trivera
trivera
trivera
dewi
trivera
trivera
trivera
trivera
agus_p
agus_p
8/25/2020 12:07:35 PM Page : 1/1

agus_p
agus_p
trivera
fatni
fatni
fatni
trivera
trivera
dewi
trivera
trivera
fanny
fanny
fanny
fanny
fanny
fanny
fanny
shofi_s
fanny
depi_yanto
depi_yanto
depi_yanto
srin
windi
windi
windi
8/25/2020 12:07:35 PM Page : 1/1

srin
pebriyanti
pebriyanti
pebriyanti
fatma
srin
depi_yanto
fatma
srin
pebriyanti
pebriyanti
pebriyanti
depi_yanto
dewi
dewi
dewi
dimas hd
depi_yanto
depi_yanto
gianbilling
gianbilling
gianbilling
dimas hd
dewi
dewi
dewi
dewi
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
depi_yanto
devi
kiky
andriyanto
kiky
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
pramanita
pramanita
fitrimcu
fitrimcu
pramanita
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

pramanita
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fatma
fatma
fatma
fatma
fatma
fatma
kiky
fatma
andriyanto
andriyanto
andriyanto
santhy
santhy
santhy
andriyanto
kiky
fatma
fatma
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

liakasir
pramanita
pramanita
pramanita
liakasir
agus_p
agus_p
agus_p
liakasir
eka
eka
eka
eka
dimas hd
eka
eka
agus_p
eka
eka
noer
noer
noer
noer
noer
andriyanto
andriyanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

depi_yanto
dimas hd
kiky
andriyanto
kiky
kiky
kiky
depi_yanto
andriyanto
dimas hd
kiky
eka
dewi
fatma
fatma
fatma
fatma
fatma
eka
fatma
dila
dila
dila
dila
srin
srin
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
trivera
idham_c
trivera
idham_c
idham_c
fanny
fanny
fanny
fanny
fanny
liakasir
depi_yanto
pramanita
pramanita
pramanita
pramanita
pramanita
trivera
trivera
dewi
depi_yanto
dewi
dewi
dewi
depi_yanto
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

trivera
liakasir
depi_yanto
liakasir
dewi
liakasir
liakasir
liakasir
liakasir
liakasir
dewi
liakasir
liakasir
depi_yanto
trivera
trivera
dewi
dewi
trivera
dimas hd
eka
depi_yanto
kiky
eka
fitrimcu
kiky
depi_yanto
8/25/2020 12:07:35 PM Page : 1/1

eka
eka
eka
windi
windi
windi
windi
windi
windi
depi_yanto
dimas hd
eka
eka
eka
depi_yanto
eka
eka
eka
eka
depi_yanto
noer
noer
noer
noer
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
depi_yanto
srin
srin
fatma
fatma
fatma
fatma
fatma
fatma
liakasir
fatma
fatma
liakasir
liakasir
ita
ita
ita
liakasir
ita
ita
ita
fitrimcu
srin
kiky
dimas hd
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

kiky
kiky
dewi
dimas hd
kiky
kiky
dimas hd
gianbilling
gianbilling
gianbilling
dewi
dimas hd
depi_yanto
noer
noer
noer
noer
noer
dewi
depi_yanto
dewi
depi_yanto
fatma
depi_yanto
depi_yanto
dewi
dewi
8/25/2020 12:07:35 PM Page : 1/1

fitrimcu
devi
dewi
dewi
dewi
dewi
dewi
depi_yanto
fitrimcu
fitrimcu
fitrimcu
dewi
srin
depi_yanto
depi_yanto
fitrimcu
fatma
eka
andriyanto
vina
depi_yanto
vina
depi_yanto
vina
eka
depi_yanto
eka
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
andriyanto
andriyanto
andriyanto
eka
gianbilling
gianbilling
gianbilling
dila
dila
dila
dila
dila
dila
dila
hermawan_s
hermawan_s
eka
agus_p
agus_p
eka
eka
kiky
eka
dimas hd
agus_p
eka
8/25/2020 12:07:35 PM Page : 1/1

agus_p
kiky
windi
windi
windi
kiky
eka
dimas hd
dimas hd
dimas hd
fitrimcu
fitrimcu
fitrimcu
fitrimcu
depi_yanto
depi_yanto
depi_yanto
fatma
trivera
depi_yanto
andriyanto
fatma
trivera
trivera
trivera
depi_yanto
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
fanny
fanny
fanny
giri_s
dimas hd
andriyanto
dimas hd
pramanita
fitrimcu
fitrimcu
fitrimcu
fitrimcu
pramanita
pramanita
pramanita
pramanita
pramanita
andriyanto
eka
andriyanto
windi
windi
windi
giri_s
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
giri_s
giri_s
dimas hd
dimas hd
eka
dimas hd
pramanita
pramanita
pramanita
andriyanto
eka
srin
liakasir
giri_s
fatni
fatni
fatni
fatni
fatni
fatni
noer
noer
srin
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
hermawan_s
noer
srin
srin
srin
srin
fatma
srin
pramanita
pramanita
pramanita
dewi
rini_m
fatma
srin
dewi
dewi
8/25/2020 12:07:35 PM Page : 1/1

fatma
srin
agus_p
fatma
agus_p
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
faradila_n
dimas hd
trivera
trivera
trivera
trivera
liakasir
liakasir
fanny
fanny
fanny
fanny
dila
dila
dila
liakasir
8/25/2020 12:07:35 PM Page : 1/1

liakasir
dewi
eka
dewi
eka
dewi
eka
depi_yanto
eka
dewi
eka
dewi
dewi
liakasir
eka
depi_yanto
depi_yanto
eka
liakasir
eka
depi_yanto
eka
kiky
depi_yanto
liakasir
kiky
devi
8/25/2020 12:07:35 PM Page : 1/1

fatma
kiky
agus_p
agus_p
agus_p
fatma
trivera
trivera
agus_p
srin
trivera
trivera
trivera
trivera
trivera
trivera
agus_p
fanny
fanny
agus_p
dewi
depi_yanto
andriyanto
andriyanto
andriyanto
devi
dewi
8/25/2020 12:07:35 PM Page : 1/1

devi
srin
dewi
dewi
dewi
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
srin
depi_yanto
andriyanto
dewi
srin
andriyanto
andriyanto
dewi
srin
andriyanto
liakasir
liakasir
liakasir
8/25/2020 12:07:35 PM Page : 1/1

fatma
agus_p
kiky
liakasir
fatma
fatma
fatma
fatma
fatma
fatma
fatma
santhy
santhy
santhy
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
kiky
dimas hd
pramanita
pramanita
pramanita
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
pramanita
pramanita
pramanita
idham_c
eka
eka
pramanita
eka
kiky
kiky
kiky
andriyanto
dila
eka
dewi
rini_m
santhy
santhy
santhy
santhy
santhy
santhy
rini_m
vina
vina
8/25/2020 12:07:35 PM Page : 1/1

vina
dila
dila
dila
fatma
rini_m
dila
dila
dila
depi_yanto
depi_yanto
depi_yanto
andriyanto
depi_yanto
andriyanto
eka
depi_yanto
andriyanto
andriyanto
dila
dila
eka
ita
ita
ita
andriyanto
eka
8/25/2020 12:07:35 PM Page : 1/1

dila
andriyanto
eka
andriyanto
eka
dila
dila
srin
srin
eka
eka
pramanita
fitrimcu
fitrimcu
dila
depi_yanto
fanny
dimas hd
depi_yanto
fanny
depi_yanto
depi_yanto
depi_yanto
dewi
dimas hd
fanny
fanny
8/25/2020 12:07:35 PM Page : 1/1

depi_yanto
depi_yanto
noer
noer
noer
noer
noer
noer
fanny
agus_p
fanny
kiky
pramanita
agus_p
pramanita
pramanita
pramanita
pramanita
pramanita
kiky
kiky
fanny
agus_p
kiky
kiky
kiky
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
srin
srin
srin
fanny
srin
santhy
santhy
santhy
dewi
dewi
dewi
fanny
srin
srin
pramanita
windi
windi
windi
gianbilling
gianbilling
gianbilling
trivera
trivera
gianbilling
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

fatma
fatma
gianbilling
gianbilling
gianbilling
agus_p
trivera
trivera
agus_p
trivera
trivera
trivera
trivera
trivera
agus_p
trivera
agus_p
trivera
dila
dila
dila
dila
dila
dila
dila
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

dila
trivera
trivera
idham_c
trivera
trivera
pramanita
eka
eka
eka
eka
eka
eka
eka
agus_p
agus_p
andriyanto
trivera
vina
vina
vina
eka
eka
eka
eka
agus_p
agus_p
8/25/2020 12:07:35 PM Page : 1/1

agus_p
andriyanto
agus_p
fatma
fatma
srin
fanny
fanny
fatma
agus_p
fanny
agus_p
fanny
fanny
agus_p
fanny
liakasir
fanny
dila
dila
fanny
fanny
fanny
fanny
bintang_m
fanny
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
fanny
fanny
noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
noer
trivera
trivera
trivera
trivera
trivera
fanny
agus_p
agus_p
agus_p
agus_p
andriyanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
andriyanto
andriyanto
fitrimcu
liakasir
andriyanto
agus_p
liakasir
andriyanto
agus_p
fanny
liakasir
andriyanto
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
8/25/2020 12:07:35 PM Page : 1/1

fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
fitrimcu
agus_p
agus_p
fitrimcu
fitrimcu
fitrimcu
wiwien
wiwien
wiwien
wiwien
wiwien
wiwien
wiwien
santhy
santhy
santhy
santhy
santhy
santhy
liakasir
santhy
santhy
8/25/2020 12:07:35 PM Page : 1/1

santhy
pebriyanti
fitrimcu
pebriyanti
dimas hd
santhy
santhy
santhy
agus_p
fitrimcu
agus_p
kiky
gianbilling
gianbilling
gianbilling
agus_p
agus_p
agus_p
agus_p
agus_p
dewi
agus_p
agus_p
dewi
santhy
santhy
santhy
8/25/2020 12:07:35 PM Page : 1/1

fatma
dimas hd
fatma
santhy
santhy
santhy
fatma
fatma
trivera
trivera
trivera
trivera
trivera
liakasir
idham_c
idham_c
dila
dila
agus_p
agus_p
agus_p
agus_p
agus_p
fitrimcu
liakasir
liakasir
liakasir
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
santhy
kiky
kiky
kiky
santhy
dila
dila
santhy
dila
kiky
kiky
agus_p
kiky
noer
noer
noer
fatma
noer
andriyanto
noer
dewi
agus_p
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
fanny
fanny
fanny
faradila_n
srin
srin
devi
devi
srin
srin
dewi
ita
ita
ita
dewi
dewi
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
liakasir
8/25/2020 12:07:35 PM Page : 1/1

dewi
devi
devi
devi
devi
devi
srin
dewi
ita
ita
ita
dewi
faradila_n
faradila_n
ita
ita
ita
srin
dimas hd
windi
windi
windi
faradila_n
dimas hd
noer
dimas hd
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
gianbilling
noer
eka
eka
eka
dila
dila
dila
agus_p
andriyanto
dimas hd
agus_p
dimas hd
dimas hd
andriyanto
andriyanto
srin
gianbilling
gianbilling
gianbilling
andriyanto
srin
trivera
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

agus_p
trivera
trivera
trivera
trivera
trivera
noer
giri_s
noer
agus_p
agus_p
agus_p
eka
agus_p
eka
devi
devi
devi
devi
devi
devi
devi
devi
agus_p
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
eka
agus_p
eka
devi
fatni
fatni
fatni
eka
trivera
trivera
gianbilling
gianbilling
gianbilling
dewi
eka
kiky
fanny
idham_c
fanny
noer
noer
giri_s
fanny
fanny
kiky
pramanita
8/25/2020 12:07:35 PM Page : 1/1

fanny
kiky
fanny
srin
kiky
dimas hd
fanny
fanny
giri_s
fanny
srin
fanny
gianbilling
gianbilling
gianbilling
dila
giri_s
windi
windi
windi
dila
dila
andriyanto
dila
dila
dila
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
dila
dila
dila
anbi_k
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
anbi_k
fanny
trivera
trivera
trivera
trivera
trivera
agus_p
agus_p
dila
8/25/2020 12:07:35 PM Page : 1/1

agus_p
fatma
santhy
santhy
santhy
gianbilling
gianbilling
gianbilling
kiky
santhy
santhy
santhy
dimas hd
kiky
kiky
dila
fatma
kiky
pramanita
kiky
andriyanto
andriyanto
eka
andriyanto
andriyanto
andriyanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
andriyanto
eka
andriyanto
eka
eka
andriyanto
noer
noer
noer
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
noer
agus_p
agus_p
agus_p
noer
agus_p
noer
noer
pramanita
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
kiky
kiky
fatni
fatni
fatni
kiky
agus_p
noer
liakasir
liakasir
agus_p
liakasir
liakasir
noer
agus_p
pramanita
vina
vina
vina
liakasir
8/25/2020 12:07:35 PM Page : 1/1

srin
kiky
agus_p
agus_p
noer
noer
srin
dimas hd
eka
santhy
srin
santhy
santhy
santhy
dimas hd
santhy
santhy
santhy
santhy
santhy
santhy
santhy
santhy
santhy
santhy
pebriyanti
pebriyanti
8/25/2020 12:07:35 PM Page : 1/1

pebriyanti
santhy
pebriyanti
pebriyanti
pebriyanti
agus_p
dila
dila
dila
dila
dila
noer
agus_p
agus_p
noer
noer
eka
agus_p
kiky
pramanita
pramanita
fitrimcu
noer
eka
eka
eka
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
noer
eka
kiky
eka
dewi
kiky
noer
noer
kiky
agus_p
kiky
irwan
pramanita
pramanita
kiky
trivera
srin
trivera
trivera
srin
ita
ita
ita
agus_p
trivera
ita
8/25/2020 12:07:35 PM Page : 1/1

ita
ita
trivera
ita
ita
ita
trivera
srin
srin
trivera
trivera
trivera
dila
dila
dila
dila
windi
windi
windi
dimas hd
andriyanto
dimas hd
dewi
dewi
pramanita
vina
vina
8/25/2020 12:07:35 PM Page : 1/1

vina
dimas hd
vina
vina
vina
srin
dimas hd
dimas hd
pramanita
pramanita
pramanita
dimas hd
srin
dewi
andriyanto
dimas hd
dewi
vina
vina
vina
devi
fatma
fatma
kiky
fanny
eka
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
fanny
trivera
trivera
trivera
trivera
kiky
kiky
depi_yanto
kiky
kiky
srin
depi_yanto
kiky
santhy
santhy
kiky
liakasir
santhy
liakasir
liakasir
kiky
liakasir
liakasir
liakasir
liakasir
8/25/2020 12:07:35 PM Page : 1/1

liakasir
liakasir
dimas hd
dimas hd
fatma
noer
noer
noer
noer
depi_yanto
noer
noer
noer
dimas hd
noer
noer
noer
noer
noer
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
fatma
depi_yanto
fatma
fatma
fatma
fatma
fatma
depi_yanto
fatma
eka
fatma
depi_yanto
irwan
irwan
depi_yanto
eka
depi_yanto
eka
depi_yanto
devi
eka
pebriyanti
pebriyanti
pebriyanti
depi_yanto
eka
8/25/2020 12:07:35 PM Page : 1/1

depi_yanto
dila
fanny
fanny
dila
dila
dila
dila
dila
dila
dila
shofi_s
dila
noer
noer
noer
noer
noer
noer
noer
noer
trivera
trivera
faradila_n
faradila_n
trivera
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
srin
srin
agus_p
agus_p
agus_p
srin
srin
srin
srin
andriyanto
pramanita
srin
eka
fanny
srin
andriyanto
srin
eka
eka
srin
dewi
dewi
srin
srin
eka
eka
8/25/2020 12:07:35 PM Page : 1/1

dewi
andriyanto
eka
eka
eka
eka
eka
eka
pramanita
andriyanto
andriyanto
andriyanto
fatma
fatma
fatma
fatma
fatma
noer
noer
andriyanto
andriyanto
trivera
trivera
trivera
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
dimas hd
andriyanto
andriyanto
dimas hd
dimas hd
andriyanto
pramanita
andriyanto
andriyanto
fanny
dimas hd
liakasir
andriyanto
liakasir
liakasir
dimas hd
liakasir
fanny
dimas hd
andriyanto
andriyanto
eka
liakasir
eka
8/25/2020 12:07:35 PM Page : 1/1

eka
fanny
fanny
liakasir
dila
dila
kiky
kiky
kiky
dila
andriyanto
dila
dila
eka
dila
dila
dila
andriyanto
eka
dila
dila
dila
noer
noer
noer
noer
anbi_k
8/25/2020 12:07:35 PM Page : 1/1

srin
dila
dila
andriyanto
andriyanto
dimas hd
dimas hd
dimas hd
dimas hd
irwan
dila
dila
srin
dimas hd
srin
vina
fitrimcu
irwan
dimas hd
dimas hd
dimas hd
dimas hd
dila
dila
dila
srin
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

dila
dila
srin
andriyanto
srin
srin
agus_p
windi
windi
windi
agus_p
trivera
pebriyanti
pebriyanti
pebriyanti
fatma
fatma
pebriyanti
pebriyanti
pebriyanti
windi
windi
windi
fatma
windi
windi
windi
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
fanny
fanny
shofi_s
fanny
fanny
dimas hd
andriyanto
andriyanto
dila
srin
dila
andriyanto
dila
srin
srin
andriyanto
dimas hd
dimas hd
andriyanto
dila
andriyanto
andriyanto
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

dimas hd
dimas hd
devi
devi
windi
windi
windi
windi
srin
srin
dila
andriyanto
noer
noer
andriyanto
noer
fatma
andriyanto
andriyanto
noer
noer
noer
noer
noer
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
andriyanto
windi
windi
windi
trivera
dimas hd
dimas hd
dimas hd
dewi
andriyanto
dewi
dewi
kiky
andriyanto
devi
dewi
devi
devi
devi
dewi
dewi
dimas hd
dewi
dewi
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
dewi
andriyanto
kiky
devi
dewi
kiky
dimas hd
kiky
dimas hd
vina
dimas hd
vina
devi
fitrimcu
noer
noer
noer
noer
noer
noer
noer
ita
ita
ita
ita
ita
8/25/2020 12:07:35 PM Page : 1/1

ita
ita
ita
ita
noer
eka
andriyanto
gianbilling
gianbilling
gianbilling
ita
ita
ita
noer
dila
dila
dila
dila
dila
dila
dila
liakasir
fatma
fatma
fatma
fatma
fatma
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
fatma
fatma
liakasir
irwan
devi
devi
devi
devi
devi
devi
devi
liakasir
fatma
fatma
fatma
fatma
liakasir
fatma
fatma
liakasir
fatma
andriyanto
fatma
liakasir
8/25/2020 12:07:35 PM Page : 1/1

liakasir
eka
eka
liakasir
eka
eka
liakasir
dimas hd
liakasir
liakasir
trivera
trivera
pebriyanti
pebriyanti
pebriyanti
vina
pebriyanti
pebriyanti
pebriyanti
vina
pebriyanti
pebriyanti
pebriyanti
trivera
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
trivera
trivera
andriyanto
andriyanto
fanny
fanny
fanny
fanny
fanny
fanny
fanny
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
noer
noer
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
fanny
fanny
fanny
fanny
srin
agus_p
agus_p
agus_p
kiky
srin
agus_p
srin
srin
srin
devi
devi
devi
srin
srin
eka
srin
srin
srin
eka
8/25/2020 12:07:35 PM Page : 1/1

eka
agus_p
agus_p
windi
windi
agus_p
pebriyanti
pebriyanti
pebriyanti
devi
agus_p
dimas hd
dimas hd
agus_p
agus_p
dimas hd
agus_p
agus_p
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
rini_m
rini_m
noer
rini_m
agus_p
agus_p
srin
faradila_n
srin
srin
srin
srin
liakasir
liakasir
liakasir
dila
liakasir
dila
hermawan_s
hermawan_s
pramanita
dimas hd
dimas hd
dimas hd
srin
windi
8/25/2020 12:07:35 PM Page : 1/1

windi
windi
windi
windi
windi
dila
dimas hd
eka
eka
eka
eka
eka
andriyanto
andriyanto
eka
eka
eka
eka
eka
eka
eka
eka
eka
eka
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
srin
agus_p
srin
agus_p
wiwien
dewi
dewi
dewi
agus_p
srin
srin
dewi
vina
vina
srin
srin
srin
fatma
fatma
windi
windi
windi
vina
srin
eka
8/25/2020 12:07:35 PM Page : 1/1

eka
eka
eka
eka
eka
ita
ita
ita
andriyanto
ita
ita
ita
andriyanto
pramanita
ita
ita
ita
ita
ita
ita
dimas hd
dimas hd
trivera
trivera
trivera
trivera
trivera
8/25/2020 12:07:35 PM Page : 1/1

trivera
trivera
trivera
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
andriyanto
dimas hd
santhy
devi
andriyanto
dimas hd
liakasir
santhy
santhy
santhy
eka
liakasir
eka
eka
dimas hd
dimas hd
liakasir
andriyanto
santhy
8/25/2020 12:07:35 PM Page : 1/1

santhy
eka
eka
devi
pebriyanti
pebriyanti
pebriyanti
fanny
pebriyanti
pebriyanti
pebriyanti
fanny
fanny
fatma
fanny
fanny
andriyanto
andriyanto
trivera
trivera
trivera
trivera
trivera
kiky
kiky
kiky
kiky
8/25/2020 12:07:35 PM Page : 1/1

kiky
kiky
kiky
fanny
fanny
hermawan_s
dila
idham_c
dila
dila
idham_c
eka
eka
vina
eka
devi
devi
devi
devi
kiky
andriyanto
dimas hd
dimas hd
dimas hd
windi
windi
windi
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
andriyanto
andriyanto
andriyanto
trivera
trivera
trivera
trivera
trivera
trivera
noer
noer
anbi_k
anbi_k
noer
andriyanto
dewi
fatma
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
irwan
fatma
pramanita
irwan
irwan
dewi
pramanita
irwan
dewi
irwan
irwan
irwan
dewi
endar
pramanita
pramanita
pramanita
pramanita
irwan
pramanita
irwan
8/25/2020 12:07:35 PM Page : 1/1

irwan
endar
endar
endar
pramanita
irwan
irwan
pramanita
irwan
irwan
irwan
irwan
irwan
irwan
pramanita
irwan
irwan
irwan
irwan
irwan
irwan
irwan
irwan
irwan
irwan
irwan
liakasir
8/25/2020 12:07:35 PM Page : 1/1

endar
andriyanto
liakasir
endar
irwan
fatma
andriyanto
andriyanto
fatma
andriyanto
dimas hd
kiky
dimas hd
srin
srin
srin
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
dimas hd
fanny
fanny
fanny
fanny
fanny
8/25/2020 12:07:35 PM Page : 1/1

fanny
fanny
andriyanto
andriyanto
santhy
andriyanto
dimas hd
dimas hd
dimas hd
santhy
rini_m
dimas hd
devi
devi
endar
devi
endar
endar
endar
santhy
devi
santhy
santhy
andriyanto
dewi
santhy
santhy
8/25/2020 12:07:35 PM Page : 1/1

santhy
andriyanto
endar
liakasir
fatma
devi
devi
devi
devi
andriyanto
liakasir
fatma
fatma
dewi
fatma
fatma
fatma
fatma
andriyanto
noer
noer
noer
noer
andriyanto
andriyanto
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

eka
eka
eka
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
fatma
eka
dila
gianbilling
gianbilling
gianbilling
pebriyanti
pebriyanti
pebriyanti
eka
eka
endar
eka
eka
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

gianbilling
fatma
eka
eka
eka
eka
pebriyanti
pebriyanti
pebriyanti
pebriyanti
eka
trivera
trivera
trivera
trivera
trivera
kiky
kiky
kiky
trivera
trivera
faradila_n
faradila_n
trivera
noer
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
srin
agus_p
agus_p
eka
srin
fanny
eka
srin
fanny
eka
eka
fanny
fanny
fanny
fanny
fatni
fatni
fatni
fanny
dewi
dila
dila
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
kiky
dewi
dila
dila
dila
irwan
andriyanto
trivera
trivera
anbi_k
santhy
santhy
endar
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
pramanita
idham_c
endar
endar
8/25/2020 12:07:35 PM Page : 1/1

endar
idham_c
endar
eka
eka
endar
eka
eka
endar
idham_c
santhy
santhy
eka
pramanita
eka
eka
eka
eka
srin
fatma
fatma
andriyanto
fatma
fatma
fatma
fatma
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

dewi
dewi
dewi
trivera
trivera
trivera
trivera
shofi_s
kiky
kiky
kiky
eka
wiwien
eka
kiky
eka
liakasir
liakasir
liakasir
kiky
eka
kiky
eka
eka
eka
kiky
srin
8/25/2020 12:07:35 PM Page : 1/1

srin
srin
srin
liakasir
srin
fanny
hermawan_s
hermawan_s
gianbilling
gianbilling
gianbilling
fanny
fanny
fanny
gianbilling
gianbilling
gianbilling
srin
gianbilling
gianbilling
gianbilling
fanny
andriyanto
fanny
fanny
andriyanto
fanny
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
dila
dila
dila
dila
dila
dila
fanny
idham_c
idham_c
fanny
fanny
fanny
fanny
trivera
trivera
trivera
trivera
trivera
trivera
trivera
giri_s
dila
dila
dila
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

dila
liakasir
andriyanto
andriyanto
andriyanto
fatma
liakasir
andriyanto
fatma
fatma
fatma
fatma
pramanita
fatma
endar
endar
fatma
endar
endar
fatma
fatma
liakasir
fatma
endar
pramanita
devi
devi
8/25/2020 12:07:35 PM Page : 1/1

pramanita
pramanita
endar
fatma
andriyanto
andriyanto
endar
andriyanto
endar
andriyanto
noer
andriyanto
andriyanto
andriyanto
andriyanto
noer
andriyanto
andriyanto
noer
noer
fanny
fanny
giri_s
andriyanto
andriyanto
andriyanto
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
andriyanto
andriyanto
srin
dimas hd
dimas hd
dimas hd
kiky
dimas hd
kiky
kiky
srin
dimas hd
pebriyanti
pebriyanti
pebriyanti
wiwien
fatma
dimas hd
fatma
srin
srin
kiky
kiky
pebriyanti
pebriyanti
pebriyanti
8/25/2020 12:07:35 PM Page : 1/1

kiky
srin
andriyanto
noer
liakasir
dewi
noer
noer
noer
noer
noer
noer
fanny
idham_c
agus_p
agus_p
agus_p
dila
dewi
liakasir
liakasir
liakasir
liakasir
hermawan_s
hermawan_s
hermawan_s
hermawan_s
8/25/2020 12:07:35 PM Page : 1/1

dewi
dewi
devi
devi
devi
liakasir
dewi
dewi
devi
hermawan_s
hermawan_s
dila
eka
hermawan_s
hermawan_s
hermawan_s
hermawan_s
liakasir
liakasir
fatni
fatni
fatni
liakasir
eka
liakasir
hermawan_s
hermawan_s
8/25/2020 12:07:35 PM Page : 1/1

hermawan_s
hermawan_s
hermawan_s
liakasir
fatma
ita
ita
ita
ita
ita
ita
gianbilling
gianbilling
gianbilling
santhy
santhy
santhy
hermawan_s
dimas hd
dimas hd
santhy
santhy
santhy
dimas hd
kiky
dimas hd
dimas hd
8/25/2020 12:07:35 PM Page : 1/1

kiky
dimas hd
andriyanto
andriyanto
srin
fatma
srin
pramanita
liakasir
srin
fatma
fatma
fatma
pramanita
liakasir
fatma
srin
andriyanto
liakasir
srin
endar
fatma
gianbilling
gianbilling
gianbilling
fatma
fatma
8/25/2020 12:07:35 PM Page : 1/1

liakasir
gianbilling
gianbilling
gianbilling
trivera
trivera
gianbilling
gianbilling
gianbilling
trivera
gianbilling
gianbilling
gianbilling
trivera
andriyanto
gianbilling
gianbilling
gianbilling
dewi
eka
andriyanto
dewi
trivera
trivera
trivera
trivera
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

noer
noer
noer
noer
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
dimas hd
andriyanto
eka
eka
andriyanto
andriyanto
eka
eka
dimas hd
dimas hd
eka
pramanita
eka
ita
ita
8/25/2020 12:07:35 PM Page : 1/1

ita
eka
pebriyanti
pebriyanti
pebriyanti
endar
dimas hd
pramanita
pramanita
shofi_s
irwan
pramanita
pramanita
pramanita
irwan
irwan
shofi_s
dila
shofi_s
shofi_s
srin
shofi_s
kiky
kiky
dila
dila
srin
8/25/2020 12:07:35 PM Page : 1/1

liakasir
srin
shofi_s
dila
dila
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
agus_p
agus_p
dewi
eka
fatma
agus_p
agus_p
agus_p
8/25/2020 12:07:35 PM Page : 1/1

dewi
irwan
irwan
irwan
irwan
irwan
irwan
irwan
agus_p
dewi
dewi
dewi
dewi
agus_p
fatma
fatni
fatni
fatni
andriyanto
gianbilling
gianbilling
gianbilling
dila
dila
gianbilling
gianbilling
gianbilling
8/25/2020 12:07:35 PM Page : 1/1

pebriyanti
pebriyanti
pebriyanti
gianbilling
gianbilling
gianbilling
pebriyanti
pebriyanti
pebriyanti
dila
andriyanto
dila
trivera
trivera
trivera
trivera
trivera
noer
noer
noer
noer
noer
gianbilling
gianbilling
gianbilling
noer
noer
8/25/2020 12:07:35 PM Page : 1/1

noer
fanny
fanny
fanny
dila
dila
dila
dila
dila
noer
noer
noer
noer
noer
faradila_n
noer
fanny
fanny
fanny
fanny
fanny
fanny
fanny
fanny
dila
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
andriyanto
andriyanto
andriyanto
liakasir
liakasir
endar
liakasir
liakasir
liakasir
andriyanto
kiky
liakasir
liakasir
liakasir
kiky
kiky
andriyanto
andriyanto
andriyanto
andriyanto
kiky
kiky
kiky
endar
endar
kiky
8/25/2020 12:07:35 PM Page : 1/1

endar
endar
andriyanto
andriyanto
andriyanto
irwan
pramanita
pramanita
pramanita
andriyanto
srin
windi
windi
windi
srin
andriyanto
santhy
santhy
dewi
srin
eka
andriyanto
srin
srin
santhy
santhy
santhy
8/25/2020 12:07:35 PM Page : 1/1

santhy
santhy
fatni
fatni
fatni
santhy
andriyanto
andriyanto
andriyanto
andriyanto
santhy
santhy
santhy
santhy
andriyanto
fanny
fanny
fanny
fanny
trivera
andriyanto
trivera
liakasir
liakasir
liakasir
irwan
eka
8/25/2020 12:07:35 PM Page : 1/1

andriyanto
trivera
trivera
eka
trivera
pramanita
irwan
irwan
irwan
eka
windi
windi
windi
trivera
eka
eka
liakasir
eka
windi
windi
windi
windi
windi
windi
andriyanto
eka
pramanita
8/25/2020 12:07:35 PM Page : 1/1

eka
eka
eka
eka
eka
windi
windi
windi
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
srin
andriyanto
gianbilling
gianbilling
gianbilling
gianbilling
fanny
fanny
fanny
fanny
fanny
fanny
endar
endar
8/25/2020 12:07:35 PM Page : 1/1

trivera
anbi_k
trivera
trivera
trivera
trivera
trivera
trivera
noer
noer
noer
noer
noer
noer
noer
noer
noer
kiky
kiky
idham_c
kiky
dewi
pramanita
dewi
devi
devi
devi
8/25/2020 12:07:35 PM Page : 1/1

devi
pramanita
pramanita
kiky
srin
srin
bintang_m
bintang_m
srin
windi
windi
windi
windi
windi
windi
srin
andriyanto
dewi
srin
andriyanto
endar
endar
ita
ita
ita
endar
endar
8/25/2020 12:07:35 PM Page : 1/1

endar
endar
dimas hd
eka
liakasir
liakasir
endar
endar
andriyanto
endar
endar
noer
agus_p
fanny
fanny
fanny
fanny
endar
srin
endar
endar
irwan
pramanita
fanny
endar
endar
endar
8/25/2020 12:07:35 PM Page : 1/1

endar
srin
endar
pramanita
pramanita
pramanita
fanny
endar
fanny
endar
agus_p
fanny
fanny
endar
agus_p
fanny
gianbilling
gianbilling
gianbilling
srin
gianbilling
gianbilling
gianbilling
srin
srin
endar
fanny
8/25/2020 12:07:35 PM Page : 1/1

dila
dimas hd
kiky
dila
dimas hd
dila
agus_p
dila
dila
dila
dila
trivera
trivera
trivera
trivera
fanny
fanny
dila
dila
idham_c
idham_c
dila
dila
dila
dila
dila
dila
8/25/2020 12:07:35 PM Page : 1/1

dila
dila
dila
dila
dila
dila
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
trivera
shofi_s
srin
devi
devi
devi
kiky
kiky
srin
srin
irwan
8/25/2020 12:07:35 PM Page : 1/1

eka
srin
agus_p
devi
irwan
eka
eka
srin
eka
srin
agus_p
agus_p
agus_p
eka
srin
agus_p
agus_p
agus_p
agus_p
agus_p
liakasir
dimas hd
dewi
dewi
dewi
fatma
dewi
8/25/2020 12:07:35 PM Page : 1/1

dewi
dewi
dewi
dila
dila
dila
dila
andriyanto
andriyanto
andriyanto
andriyanto
andriyanto
eka
andriyanto
kiky
pramanita
andriyanto
andriyanto
pramanita
kiky
kiky
endar
kiky
liakasir
liakasir
pramanita
devi
8/25/2020 12:07:35 PM Page : 1/1

liakasir
liakasir
liakasir
liakasir
eka
liakasir
andriyanto
8/25/2020 12:07:35 PM Page : 1/1

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