FORMULIR SURVEILANS HAR

RUMAH SAKIT H
BULAN/TAHUN : JULI 2020
RUANGAN : IGD

NO TGL MASUK NAMA PASIEN NO RM U JK

1 7/1/2020 An. Adeva Shakila 121146 4 bln P

2 7/1/2020 Tn. Wawan Suhurwan 121143 48 th L
3 7/1/2020 Tn. Iggit Pahira 121148 25 th L
4 7/1/2020 Tn. Asep Supriatna 111334 29 th L
5 7/1/2020 Ny. Siti Aminah 121150 26 th P
6 7/1/2020 Ny. Irmawati 121153 26 th P
7 7/1/2020 Ny. Eka Melia Wati 121154 25 th P
8 7/1/2020 An. Risna 121151 2 th P
9 7/2/2020 Ny. Laesa 120945 P
10 7/2/2020 An Almahyra 121152 2 th P
11 7/2/2020 Nn Amelia 104778 19 th P
12 7/2/2020 Ny. Cucu Andriana 121175 21 th P
13 7/2/2020 Tn Ibon 121168 50 th L
14 7/2/2020 Tn Sutinah 121171 24 th L
15 7/2/2020 Tn Madan 121167 57 th L
16 7/2/2020 An Maria 104844 3 th P
17 7/2/2020 An Nadita 121180 13 th P
18 7/3/2020 Ny Sukentin 70954 40 th P
19 7/3/2020 Ny Rohati 121185 51 th P
20 7/3/2020 Ny Marsih 105882 50 th P
21 7/3/2020 An Mirza 102875 1 th L
22 7/3/2020 Ny Mesih 121182 32 th P
23 7/3/2020 Ny Nuryanah 121155 23 th P
24 7/3/2020 Ny Debi Safitri 121191 23 th P
25 7/3/2020 Ny Lina Herlina 121188 26 th P
26 7/3/2020 An M Fariz 81275 13 th L
27 7/3/2020 Ny Endah 106980 58 th P
28 7/3/2020 An Salamita 94355 2 th P
29 7/3/2020 Ny Lela 121198 28 th P
30 7/3/2020 NY Ijah 121196 51 th P
31 7/3/2020 Ny. Yuyun Yunengsih 116602 30 th P
32 7/4/2020 An Nafisha 121206 10 th P
33 7/4/2020 Tn Ponidi 121208 39 th L
34 7/4/2020 Tn Udin 110745 61 th L
35 7/4/2020 Ny Neli 121211 34 th P
36 7/4/2020 Ny Imas 121219 30 th P
37 7/4/2020 Tn Pinayungan 121186 38 th L
38 7/4/2020 Ny Asmawati 121222 28 th P
39 7/4/2020 Tn Cecep 977445 45 th L
40 7/4/2020 Ny Nuni Nurjanah 119860 23 th P
41 7/4/2020 Tn Yani 121223 50 th L
41 7/4/2020 Ny Nenden 121229 22 th P
43 7/4/2020 Tn Engkos 121227 64 th L
44 7/4/2020 Tn Agus Kohar 118455 39 th L
45 7/4/2020 Tn Supena Bin Ardi 100340 59 th L
46 7/4/2020 Ny iis 45092 30 th P
47 7/4/2020 Ny Necah 104858 31 th P
48 7/4/2020 Ny Dewi Soraya 93936 40 th P
49 7/4/2020 Ny Junaiha 121226 th P
50 7/5/2020 Ny Maryati 121232 38 th P
51 7/5/2020 Ny Siti robiatul 121237 23 th P
52 7/5/2020 Ny Ii Karwati 121249 P
53 7/5/2020 Ny Feby 121246 P
54 7/5/2020 Ny Siti Masripah 121243 P
55 7/5/2020 Ny Eka S 121253 P
56 7/5/2020 Tn Bahrudin 68378 L
57 7/5/2020 Ny Romsah 121262 P
58 7/5/2020 Ny Siti L 121259 29 th P
59 7/5/2020 ny Wati 121257 43 th P
60 7/6/2020 Ny Erly 74846 43 th P
61 7/6/2020 Tn Ade 121252 30 th L
62 7/6/2020 Ny Aas Yulianti 121276 29 th P
63 7/6/2020 Ny Omin 121292 39 th P
64 7/6/2020 ny Idah 121291 28 th P
65 7/6/2020 Ny Tati 121263 46 th P
66 7/6/2020 Tn Apep 121281 31 th L
67 7/6/2020 Ny Anah 121286 66 Th P
68 7/6/2020 Ny Enur Sanah 121296 22 th P
69 7/6/2020 Ny Enday 121283 28 th P
70 7/6/2020 Tn Andri Ferdiansyah 120831 30 th L
71 7/6/2020 An Jihan 121307 5 th P
72 7/6/2020 An Mustofa 121304 1 bln L
72 7/7/2020 Ny Yani 121321 24 th P
74 7/7/2020 An Alisa 121319 10 th P
75 7/7/2020 Ny Odah 117754 42 th P
76 7/7/2020 Tn Ijan Suhendi 121320 32 th L
77 7/7/2020 Ny Rani Nuraeni 121324 27 th P
78 7/7/2020 Ny Nuning Nuraini 111854 18 th P
79 7/7/2020 Ny Yanyan 107791 35 th P
80 7/8/2020 Ny Pungki 121343 19 th P
81 7/8/2020 Tn Rizal Maulana 120537 20 th P
82 7/8/2020 Ny Siti S 121356 th P
83 7/8/2020 Ny Amih 121394 35 th P
84 7/8/2020 An Arfan 121358 2 th L
85 7/8/2020 Ny Dartini 120373 19 th P
86 7/8/2020 Ny Minten 121357 41 th P
87 7/8/2020 Ny Idah 121363 36 th P
 88 7/9/2020 Ny Nurul 120724 49 th P
89 7/9/2020 Ny Novi 121371 38 th P
90 7/9/2020 Ny Kurniawati 121375 20 th P
91 7/9/2020 Ny Ika 121373 35 th P
92 7/9/2020 Ny Epi Kurniasih 89083 25 th P
93 7/9/2020 Ny Euis 121396 34 th P
94 7/9/2020 Ny Maemunah 121394 23 th P
95 7/9/2020 An Albani 113791 17 bln L
96 7/9/2020 Tn Anis 107672 58 th L
97 7/9/2020 Ny Neng 121204 th P
98 7/9/2020 Ny AI Ikah 121399 48 th P
99 7/10/2020 Ny Iis 121414 34 th P
100 7/10/2020 Tn Suharja 43319 54 th L
101 7/10/2020 Ny Della 121424 16 th P
102 7/10/2020 Tn Bondan 75853 53 th L
103 7/10/2020 Ny Onah 121415 th P
104 7/10/2020 Ny Hamidah 121434 29 th P
105 7/10/2020 Ny Cicih 121435 36 th P
106 7/10/2020 Ny Dewi Puspita 121438 39 th P
107 7/10/2020 An Mustofa 121304 1 bln L
108 7/10/2020 Tn Embar 121413 36 th L
109 7/10/2020 Ny Omah 121428 73 th P
110 7/10/2020 Tn Abdul Wahab 121440 31 th L
111 7/11/2020 NY Irma Hartini 113599 23 th P
112 7/11/2020 Ny Belly Agusna 104939 31 th P
113 7/11/2020 Ny Dini Amelia 121457 30 th P
114 7/12/2020 Ny Zaenab 121460 44 th P
115 7/12/2020 Ny N rohmat 83344 80 th P
116 7/12/2020 Ny Sri Mawarti 109332 48 th P
117 7/12/2020 Tn Ace Majid 101555 69 th L
118 7/12/2020 Ny Nurjanah 121285 20 th P
119 7/12/2020 An Raihana 188051 2 th P
120 7/12/2020 Ny Nining 44545 65 th P
121 7/12/2020 Ny Destri 121462 25 th P
122 7/12/2020 Ny Evi Susanti 53643 th P
123 7/12/2020 Ny Nurhikmah 121465 29 th p
124 7/12/2020 Ny Miroh Suryani 121466 23 th P
125 7/12/2020 Ny Partini 121470 42 th P
126 7/13/2020 Ny Fitri Wijaya 121480 22 th P
127 7/13/2020 Ny Sarmina 121069 31 th P
128 7/13/2020 ny Rosih 121483 64 th P
129 7/13/2020 Ny Dewi Soraya 93936 40 th P
130 7/13/2020 Ny Ema Mulyana 74576 48 th P
131 7/13/2020 Ny Asti Kurnniasih 16729 29 th P
132 7/13/2020 Ny Sumiati 121803 24 th P
133 7/13/2020 Ny Aisah 113039 47 th P
134 7/13/2020 Ny Siti Rohmah 121504 22 th P
135 7/13/2020 Ny Facrida Safitri 121505 25 th P
136 7/13/2020 Ny Siti Mudrikah 121509 37 th P
137 7/13/2020 Ny yuyun 121513 41 th P
138 7/13/2020 An Abdul yusuf 104468 10 th L
139 7/13/2020 nn Irna Cahyani 121484 18 th P
140 7/14/2020 Ny Humaeroh 119849 28 th p
141 7/14/2020 Ny Enur 90186 50 th P
142 7/14/2020 Ny Reni 121523 36 th P
143 7/14/2020 Tn Regi 92488 23 th L
144 7/14/2020 Ny Mahani 121524 68 th P
145 7/14/2020 Tn Alang 121527 61 th L
146 7/14/2020 Ny Lilis 121531 41 th P
147 7/14/2020 Tn Jamin 121533 36 th L
148 7/14/2020 An M Fawaz 77583 4 th L
149 7/14/2020 Ny Neni 064 446 39 th P
150 7/14/2020 Ny Nurkholifah 117497 25 th P
151 7/15/2020 Ny Isah Handayani 70334 th P
152 7/15/2020 Ny Suci Ambar 121277 th P
153 7/15/2020 An M Yasin 82413 th L
154 7/15/2020 Tn Dwi Rina W 121251 39 th P
155 7/15/2020 Ny Latifah 98896 48 th P
156 7/15/2020 An Anaya 117866 9 th P
157 7/15/2020 Nn Camelia Nuna 121555 16 th P
158 7/15/2020 Ny Siti Rohma 115325 47 th P
159 7/16/2020 Ny Susilawati 121563 27 th P
160 7/16/2020 Ny Siti Kurniasih 121544 35 th P
161 7/16/2020 Ny Anita 121570 16 th p
162 7/16/2020 Tn Darus 121558 L
163 7/16/2020 Tn Kosim 121573 L
164 7/16/2020 Ny Rena 121565 P
165 7/16/2020 An Indra 117992 L
166 7/16/2020 Tn Engki 121576 L
167 7/16/2020 Ny Rika Rahmawati 121580 32 th P
168 7/16/2020 Ny Ulan Sari 121579 30 th P
169 7/16/2020 Nn Sephia Pratiwi 121582 18 th P
170 7/16/2020 Ny Saniih 121577 55 th P
171 7/16/2020 Ny Desi verawati 84936 28 th P
172 7/16/2020 Ny Susilawati 30146 54 th P
173 7/16/2020 Tn Lili Hambali 121578 62 th L
174 7/16/2020 Ny Desi P 65571 28 th P
175 7/16/2020 ny kokom 121589 35 th P
176 7/17/2020 Ny Nuraeni 121594 30 th P
177 7/17/2020 tn Acep Anwar 121597 35 th L
178 7/17/2020 Tn Usman 121595 60 th P
179 7/17/2020 An Abdul Rohim 121602 2 th L
180 7/17/2020 Ny Saeni 121605 29 th P
181 7/17/2020 An Muhamad Imran 120036 1 th L
182 7/17/2020 Nn Liska 111452 20 th P
184 7/17/2020 An Nahdifa 109137 1 th P
185 7/17/2020 Ny Omi 121603 67 th P
186 7/17/2020 Ny Nengsih 121607 35 th P
187 7/17/2020 Ny Sri Mulyani 114876 P
188 7/17/2020 Ny Siti Khodijah 121612 18 th P
189 7/17/2020 Ny Eka Sari 121613 24 th P
190 7/17/2020 Ny Siti Maesaroh 103911 25 th P
191 7/17/2020 An Erna 121608 3 bln P
192 7/18/2020 Ny Siti Rokaya 121626 24 th P
193 7/18/2020 Tn Yudi Hartono 121517 49 th L
194 7/18/2020 Ny Ernawati 111391 33 th P
195 7/18/2020 Ny Irma 121633 27 th P
196 7/18/2020 Ny Onah 121630 31 th P
197 7/18/2020 Ny Ayu Lestari 121634 23 th P
198 7/18/2020 Ny Ninglisnawati 121636 39 th P
199 7/18/2020 An M Patih 117280 1 th L
200 7/19/2020 An Nagita 121631 6 bln P
201 7/19/2020 Tn Saman 121638 40 th L
202 7/19/2020 Nn Murni 121640 22 th P
203 7/19/2020 Ny Tamas 69686 59 th P
204 7/19/2020 ny Ika 121641 42 Th P
205 7/19/2020 Ny Iis 120420 32 th P
206 7/19/2020 Ny Lena 40209 27 th P
207 7/19/2020 An Kamaludin 121646 51 th L
208 7/19/2020 Ny Aminah 121644 69 th P
209 7/19/2020 ny Ani 121645 41 th P
210 7/20/2020 Ny Iis Herawati 100604 34 th P
211 7/20/2020 Ny Tati 103562 41 th P
212 7/20/2020 By Ny Siti Maesaroh 121619 2 hari L
213 7/20/2020 An Fatan 93836 6 th L
214 7/20/2020 ny Siti Aisyah 121667 64 th P
215 7/20/2020 An Nabila Rahma 80891 8 th P
216 7/20/2020 Tn Iskandar 40655 57 th L
217 7/20/2020 ny Anggi Septiani 121681 18 th P
218 7/21/2020 Tn Yusuf Marga 121615 52 th L
219 7/21/2020 An M Fahri 121688 5 th L
220 7/21/2020 Ny Nurhasanah 121692 22 th P
221 7/21/2020 Ny Nawiyah 120817 64 th P
222 7/21/2020 Tn Andi Supardi 47337 53 th L
223 7/21/2020 Ny Dartini 93161 49 th P
224 7/21/2020 Nn Siti Aisah 121693 11 th P
225 7/21/2020 Tn Ridwan 121687 24 th L
226 7/21/2020 Tn Anin 121691 55 th L
227 7/21/2020 Ny Deli Yulianti 92043 17 th P
228 7/21/2020 Ny Siti Komariah 121699 24 th P
229 7/21/2020 An M eji 121329 14 th L
230 7/21/2020 NY Ratna 121705 19 th P
231 7/21/2020 Ny Tika sartika 121706 27 th P
232 7/21/2020 Tn Boma 121697 35 th L
233 7/21/2020 Ny Sani Herawati 121711 33 th P
234 7/21/2020 Ny Iis Nurhalimah 121710 25 th P
235 7/21/2020 ny Nyai Marlina 121708 33 th P
236 7/21/2020 Ny Siti Mariyam 121713 17 th P
237 7/21/2020 ny Nurfarida 121712 26 th P
238 7/22/2020 Ny Risti 121720 20 th P
239 7/22/2020 An Miranda Tiara 121726 13 th P
240 7/22/2020 Ny Maryati 118400 38 th P
241 7/22/2020 Ny Dwi Puji Lestari 121724 32 th P
242 7/22/2020 Ny Sami 121733 36 th P
243 7/22/2020 Ny Imas 107697 38 th P
245 7/22/2020 An M Riki 121732 12 th L
246 7/22/2020 Ny neneng Sukaesih 121734 21 th P
247 7/22/2020 Ny Siti Maryani 121739 30 th P
248 7/22/2020 Ny Empat 121740 41 th P
249 7/22/2020 by Ny Nung 120878 1 bln
230 7/22/2020 Tn Ade Sopian 121736 L
231 7/22/2020 Ny Tiorasi Simare 113592 P
232 7/23/2020 Ny Nurhayati 94048 35 th P
233 7/23/2020 Ny Woro 121746 28 th P
234 7/23/2020 Ny Sri 121717 43 th P
235 7/23/2020 Ny Erni Ernawati 54305 31 th P
236 7/23/2020 Ny Rilda 94468 23 th P
237 7/23/2020 Ny Wilasih 121751 38 th P
238 7/23/2020 Tn Iim Ibrohim 120633 50 th L
239 7/23/2020 Ny Rosi Ramadhani 105055 22 th P
240 7/23/2020 An Siti Sila Aulia 96740 4 th P
241 7/23/2020 Ny Risa Sri Musllihat 121762 26 th P
242 7/23/2020 Ny Siti Khodijah 121761 43 th P
243 7/23/2020 Ny Siti Maesaroh 121757 44 th P
245 7/23/2020 Ny Kokom 121774 40 th P
246 7/23/2020 Ny Eni 85222 61 th P
247 7/23/2020 An Siti Aminah 121775 13 th P
248 7/23/2020 Ny Siti Mulyati 121776 26 th P
249 7/23/2020 Ny Enur 121778 30 th P
250 7/23/2020 Tn Heru 121771 51 th L
251 7/23/2020 Ny Saroh 117761 50 th P
252 7/24/2020 Ny Rosida 121789 33 th P
253 7/24/2020 Ny Siti Mariam 80218 31 th P
254 7/24/2020 Ny Martinah 121745 24 th P
255 7/24/2020 Ny Iroh 121791 40 th P
256 7/24/2020 An Satria 121792 9 th L
257 7/24/2020 Ny Gita Ade 105765 26 th P
257 7/24/2020 Ny Yoyoh 81815 35 th P
258 7/24/2020 Ny Warsih 121802 33 th P
259 7/24/2020 Tn Iman 113535 55 th P
259 7/24/2020 Ny Aam 121298 44 th P
260 7/24/2020 Tn Tayim 121794 31 th L
261 7/24/2020 an Reva 105191 16 th P
262 7/24/2020 Tn Edong 99435 27 th L
263 7/24/2020 Ny Minah 90492 43 th P
264 4/25/2020 Ny Wulan Suci 121804 26 th P
265 7/25/2020 Ny Acoh 121805 53 th P
266 7/25/2020 Ny Uum 121808 23 th P
267 7/25/2020 Ny Ati 121821 30 th P
268 7/25/2020 Ny Mira Wati 121825 31 th P
269 7/26/2020 Ny Eda Bt Ade 121650 34 th P
270 7/26/2020 Ny Sri Yati 121824 47 th P
271 7/26/2020 ny Nopiawati 121836 24 th P
272 7/26/2020 NY Kamila 121837 32 th P
273 7/26/2020 An Titin 94663 18 th P
274 7/26/2020 An Gendis 109223 5 th P
275 7/26/2020 Tn Acim 121841 68 th L
276 7/26/2020 Ny Teti Anita 121843 33 th P
277 7/26/2020 Ny Acah 121844 35 th P
278 7/26/2020 An Nurhasanah 99553 2 th P
279 7/26/2020 Ny Indrawati 121849 34 th P
280 7/27/2020 ny Fitri 121855 26 th P
281 7/27/2020 NY Eneng 93719 31 th P
282 7/27/2020 Ny Mila 100226 22 th P
283 7/27/2020 Ny Nersah 121866 34 th P
284 7/27/2020 Ny Putri amelia 121874 27 th P
285 7/27/2020 Tn Yusup 121879 24 th L
286 7/27/2020 Ny Wana 103963 58 th P
287 7/27/2020 Ny Yuni Mulyani 121880 20 th P
288 7/27/2020 Ny riski Pratiwi 121059 29 th P
289 7/27/2020 Ny Nurzanah 121885 35 th P
290 7/28/2020 Ny Neng Imas 121894 32 th P
291 7/28/2020 Tn Endang 119958 34 th L
292 7/28/2020 An Fatimah 109190 1 th P
293 7/28/2020 Ny Asiyah 121904 21 th P
294 7/28/2020 Ny Uum 121910 37 th P
295 7/28/2020 Tn Atim 121905 35 th L
296 7/28/2020 Ny Asti 69865 30 th P
297 7/28/2020 An Wiesnu 116786 2 th L
298 7/28/2020 Ny Rakem 117756 33 th P
300 7/28/2020 Ny Eva Puji Lestari 121919 29 th P
301 7/28/2020 Ny Evi 121915 37 th P
302 7/28/2020 Ny Sri Wahyuni 121917 34 th P
303 7/28/2020 Tn Husen 121913 57 th L
304 7/29/2020 Ny Ciah Asiah 61611 49 th P
305 7/29/2020 Ny Ina Marlyna 119628 32 th P
306 7/29/2020 Tn Nasman 121928 36 th L
307 7/29/2020 Tn Ibon 155558 37 th L
308 7/29/2020 Ny Euis dahlia 74259 30 th L
309 7/29/2020 An Albani 121945 3 th L
310 7/29/2020 Tn Ade 47557 50 th L
311 7/29/2020 Ny Iis 45092 30 th P
312 7/30/2020 Ny Siti Nidia 121947 23 th P
313 7/30/2020 Ny Vira Apriyani 324848 31 th P
314 7/30/2020 Ny Anah 121950 35 th P
315 7/30/2020 Ny Resti Faoriyan 108554 29 th P
316 7/30/2020 Ny Popy Noviani 121956 28 th P
317 7/30/2020 Ny Yulianti 121957 21 th P
318 7/30/2020 Ny Entin 121119 42 th P
319 7/31/2020 Ny Mudrika 121965 23 th P
320 7/31/2020 Ny Nyai Warsitoh 121970 40 th P
321 7/31/2020 Ny Patimatu Jahra 121971 30 th P
322 7/31/2020 An Asep Hidayat 121966 7 th L
323 7/31/2020 Tn Rahmat 121967 37 th L
324 7/31/2020 Tn Indra 840554 32 th L
325 7/31/2020 Tn Khamim 121968 47 th L
326 7/31/2020 Ny Anita 121976 29 th P
327 7/31/2020 Ny Sanah 121975 22 th P
328 7/31/2020 by Ny Kani 121978 3 hari P
329 7/31/2020 Ny Eka 121648 21 th P
330 7/31/2020 Tn Aldi 121988 17 th L
331 7/31/2020 Tn Junaedi 121985 L
FORMULIR SURVEILANS HARIAN INFEKSI RUMAH SAKIT
RUMAH SAKIT HARAPAN MULIA

TINDAKAN INFEKSI RUMAH SAKIT

DX MEDIS
UC IVL ETT/VENTI VAP
Observasi Febris, GEA ü
GEA, GERD ü
Thyfoid Fever ü
UlkusScrotal ü
G2P1A0 Hamil Aterm dengan Presbo ü ü
G3P2A0 Hamil Aterm dengan Presbo ü
G1P0A0 Hamil Aterm dengan Susp Bayi Bersar ü
Observasi Febris ü
Abortus Inkomplit ü
Susp BP ü
Obs Febris ec Demam Thyfoid ü
G1P0A0 Hamil 38 mg dengan KPD ü ü
Colic Abdomen ü
Vertigo, GEA , GERD ü
ISK ü
KDS ü
Susp APP ü
G2P1A0 Hamil Aterm ü
Retensio Urin ü
DM tipe 2 ü
KDS ü
G2P1A0 Hamil 6-7 mg Dengan Abortus Inkomplit ü
G2P1A0 Hamil Aterm dengan Inpartu ü ü
G1P0A0 Hamil Aterm dengan PTM ü
G1P0A0 Hamil Aterm dengan PER ü ü
Disipepsia ü
Anemia, HT ü
Disentri ü
G3P2A0 Hamil 39 mg dengan PEB ü ü
Hepatema ü
G2P1A0 Hamil Aterm PK 1 Aktif ü
Demam Thyfoid ü
Hernia Scrotalis sinistra ü
colic Abdomen ü
KET ü ü
G2P1A0 Hamil 39 mg dengan KPD ü
Gastropati Dm t2 ü
G2P1A0 Hamil Aterm Inpartu dengan Kpd ü ü
Abdominal Pain ü
Ilo, Anemia ü
Vl Skin Loss ü
G1P0A0 Hamil 39 mg dengan KPD ü
Vertigo Gastritis akut ü
Hipertensi Urgensi ü
Anemia ec Melena ü ü
G2P1A0 hamil Aterm BSC ü ü
G3P1A1 hamil Aterm Pk 1 Laten ü ü
G4P2A1 hamil 25 mg dengan PEB ü ü
G3P2A0 Hamil Aterm Dengan Inpartu ü
G5P4A0 Hamil Aterm Dengan HDk ü ü
G2P1A0 hamil 34 mg IUFD ü
G2P1A0 Hamil Aterm dengan Pk 1 Aktif ü
Ab Inkomplit ü
Tb Paru ü
Efusi Pleura ü
GEA ü
Vertigo Gerd ü
Dengue Fever Dispepsia ü
Tb Paru Dm T 2 ü
Dispepsia ü
Spondiasi ü
G3P2A0 Hamil 41 mg Dengan Oligohidramnion ü
G3P2A0 Hamil 42 mg ü
G2P1A0 Susp KET ü
Coloc Abdomen Sup Peritonitis ü
Susp Tb paru ü
Poraplegia Ec spondilitis ü ü
G2P1A0 Hamil Aterm Bsc ü
G2P1A0 Hamil Aterm Dengan HAP ü
Ulkis Prontalis Pedis Dextra ü
Observasi Febris ü
Anemia, Ddehidrasi ü
G1P0A0 Hamil 40 Kala 2 ü
Febris ü
Sinussitis Hipertropi ü
Susp Tb Paru ü
Febris H5+ Dispepsia, Vomitus ü
G2P1A0 hamil 38 mg degan KPD ü
G5P4A0 hamil 35 mg inpartu ü ü
G2p0A1 Hamil Aterm dengan Giant Baby + PEB ü ü
Multiple limpoma ü
Hpp ü ü
Vertigo ü
Obs Febris ec Demam Thyfoid ü
G1P0A0 Hamil Aterm PK 1 Aktif ü
Dm Tipe 2 dispepsia ü
G5P4A0 hamil Post Term ü
Tumor Mamae ü
G2P2A0 Hamil Aterm Inpartu ü
G1P0A0 Hamil Aterm KPD ü
G4P3A0 Hamil Atrm HDK ü ü
G2P1A0 Hamil 22 minggu Dengan Isk ü
G3P2A0 Hamil Aterm ü ü
Abortus Inkomplit ü
GEA ü
Abses Pedis ü
Inpartu ü
inpartu ü
G2P1A0 Hamil Aterm Dengan BSC ü
Dm Tipe 2 Vertigo ü
G1P0A0 Hamil Aterm dengan KPD ü
Fraktur Cotre vemur sisitra ü
Ht Grad 2 Epitaksis ü ü
G3P2A0 Hamil 40 mg dengan KPD ü
Hemaptoe ec Tb Paru ü
Bacterial Infection ü
Bacterial Infectioan DSR Meningitis ü
Corpus Alineu, Femur Sinistra ü
Pneomonia Ht DM T2 ü
Dhf Chefalgia ü
G1P0A0 Hamil 38 mg dengan oligohidramnion ü
G2P1A0 Hamil Aterm BSC ü ü
G2P1A0 Hamil 40 mg dengan HAP ü
G6P3A2 Hamil Aterm HDK ü ü
Epitaksis Ht ü
Dm Tipe 2 Dispepsia ü
Paraparase spinal ü ü
Tumor Mamae ü
Febris ü
Bacterial Infection ü
Dispepsia ü
Hemamptoe Tb ü
G1P0A0 hamil 38 mg dengan KPD ü
G1P0A0 Hamil Aterm Dengan KPD ü
Preeklamsia Berat ü ü
G1P0A0 Hamil Aterm dengan Oligohidramnion ü
Hernia Femoralis ü
Chf ü
G4P3A0 hamil 25 mg dengan PEB ü ü
Stt Punggug , HT ü
G1P0A0 hamil Atrm Inpartu ü
Abortus Inkomplit ü
PUA ü
Ab Iminens dd Inkomplit ü
G1P0A0 Hamil 13 mg dengan Heg ü
G4P2A1 Hamil Aterm HDk ü ü
G4P3A0 Hamil 39 mg dengan Hdk ü ü
Thyfoid Fever ü
Hemoroid ü
Tumor Kulit Humerus Sinistra ü
Thyfoid Fever ü
G3P2A0 Hamil Aterm dengan HDK ü ü
Diare Akut Dehidrasi Sedang ü
CKD ü
Susp App ü
G3P2A0 hamil 28 mg dengan Hap ü
Hernia Scrotalis sinistra ü
Diare Akut Dehidrasi Sedang ü
Dyspepsia Sindrom Amenore ü
G2P1A0 Hamil 28 mg dengan Dyspepsia ü
G3P2A0 Hamil 30 mg dengan BSC ü
Susp Kista ü
Febris H3 Susp Thyfoid ü
G7P6A0 hamil Aterm Presbo ü
Anemia DM Tipe 2 ü
demam Thyfoid, kollik abdomen ü
Observasi Febris ü
Hernia Vrentalis ü
G2p1A0 hamil 40 mg dengan BSC ü
G3P2A0 hamil 12 mg dengan BO ü
G1P0A0 hamil Atrm Inpartu ü
Tb Paru Anemia ü
Efusi Pleura ü
Hipertensi GEA DT ü
Kejang Demam ü
DBD ü
G2P1A0 Hamil Aterm Presbo HDk ü ü
Susp Abortus Inkomplit ü
Susp APP ü
Hiperglikemia DM tipe 2 ü
G3P2A0 hamil Atrm Presbo ü
DHF HT ü
Pneomonia Tb Paru ü
Limpadenopati Coli ü
G4P3A0 hamil Aterm BSC HDK ü ü
G4P3A0 Hamil Aterm BSc 3 x ü ü
GEA dengan Dehidrasi RiNgan Sedang ü
retansio Urin dd Bph ü
Vl Fraktur Phalang Dextra ü
G3P2A0 kala 1 memanjang ü
Febris ü
Thyfoid Fever ü
Bacterial Infection ü
Gerd ü
G3P2A0 Hamil 13 mg Selulitis ü
Tb Paru ü
G1P0A0 Hamil Aterm KPD ü
G1P0A0 hamil 39 mg PTM ü
G2P1A0 hamil Aterm Pk2 ü
Bp Hernia Umbilikalis ,Anemia ü
G1P0A0 Hamil Aterm ü
Dhf ISK ü
g3P2A0 hamil Aterm ü ü
HEG ü
HPP ec Respla ü ü
Abses Axila Dextra ü
Pre Syok ec HPP ü ü
Obs Vomitus ü
Febris ü
Coloic Renal ü
Dhf ec Thyfoid Fever ü
Selulitis ü
ISK ü
G2P1A0 Hamil Aterm KPD ü
Inpartu BSC ü
Thypoid ü
Absespedis Dextra ü
Inpartu Presbo ü ü
G3P2A0 hamil aterm BSC ü
G6P4A1 Hamil 38 Mg KPD ü
Kejang ü
Thyfoid Fever ü
Abses Pedis Dextra, Hematemesis ü
Obs Febris ec DHF+Thyfoid ü
Susp App ü
Susp Ab Iminens + HEG ü
Hernia Scrotalis Dextra ü
Balanitis ec Fimosis ü
G1P0A0 Hamil Aterm Pk 1 Lama ü
Ulkus Pedis ü
HT gGrade 2 dispepsia ü
Observasi Febris Trombositopenia ü
DHF ü
Tb Paru ü
Gangren DM Pedis Cruris ü
G1P0A0 Hamil 9 mg Inpartu ü
G1P0A0 Hamil Aterm Inpartu dengan KPD ü ü
Tonsilitis cronis ü
G1P0A0 Hamil Aterm Inpatrtu ü
Acute Abdomen ecAPP acute ü
Tb Paru ü
G2P1A0 Hamil Aterm Kali 1 Memanjang ü ü
G1P0A0 Hamil 38 mg Dengan KPd ü
G3P1A1 hamil Aterm Pk 1 PEB ü ü
G1p0A0 Hamil 6 Mg Abortus ü
G2P1A0 Hamil 33 Mg ü
G1P0A0 Hamil Aterm KPD ü
Susp APP Akut ü
Menorargia ü
G3P2A0 Hamil !1 mg Denagn HEG ü
G2P1A0 Hamil Aterm ü
Gangren Digiti 1 Pedis sinistra ü
Hernia Vrenttralis dd Abses Sub Cula ü
G1P0A0 hamil Aterm dengan PTM ü
G2P1A0 Hamil 37-38 Mg Susp Bayi Besar ü
g4P2A1 Hamil 12-13 mg Abortus Inkomplit ü
Hiperglikemia GEA ü
Hernia ü
Dispepsia ü
G2P1A0 Hamil 35 mg dengan Plasenta previa ü
G2P1A0 Hamil 38 mg dengan BSC+ LTP ü
G3P2A0 Hamil 13 mg Bo ü
G3P2A0 Hamil Aterm BSC 3x ü
G1P0A0 Hamil 41 mg dengan Fetal Distres ü ü
G2P1A0 hamil 39 mg dengan Letsu ü ü
Combosio Grade 2 ü
G1P0A0 dengan Bo ü
Obs Febris ec DHF ü
G1P0A0 Hamil Aterm Dengan Fetal Distres ü
G3P1A1 Hamil 10 mg Dengan Abortus Iminens ü
G5P3A1 Hamil Post Term Deangan Pre Eklamsi ü ü
g5P4A0 Hamil 16 mg dengan Abortus Iminens ü
Abses Croris Dextra ü
Hipokalemi ü
G2P1A0 Hamil Aterm HDK ü ü
G2P1A0 Hamil Aterm dengan Inpartu ü ü
Chf Susp Tb paru ü ü
Gea DM Tipe 2 ü
G5P4A0 Hamil Aterm dengan PTM ü
Mastitis Mamae Dextra DD Abses kronik ü
G1P0A0 Hamil 10 mg dengan KET ü ü
G3P1A0 38 mg dengan HDK ü ü
Ulticaria Dehidrasi Sedang ü
G2P1A0 Hamil dengan BO ü
vertigo ü
G2P1A0 dengan PEB ü ü
Abdominal Pain ü
Tb Paru Dispepsia ü
Gerd ü
DHf Para Thyfoid ü
Urolitiasis ü
Akut Abdomen ü
G3P2A0 Hamil Aterm HDK ü
Anemia Gravis ec Perdarahan Uterus Abnormal ü
G1P0A0 Hamil 38 mg dengan Presbo ü
G3P1A1 Hamil Aterm Pk 1 lama ü
G4P3A0 Hamil Aterm KPD ü
Vertigo ü
DHF ü
G1P0A0 Hamil Aterm Kala 1 Memanjang ü
G4p3A0 BSC HDK ü ü
Para thyfoid fever ü
Dispepsia , GEA ü
GeA Tb Paru ü
G1P0A0 Hamil 29 mg HAP ü
G4P3A0 hamil Aterm Kala 2 Memanjang ü
Trombositopenia ü
G2P1A0 Hamil Aterm PTM ü
G2P1A0 Ahmil 40-41 mg dengan KPD ü
G3P2A0 hamil Aterm Letak Susang ü
Tumor Mamae ü
G2P1A0 Hamil 38 mg kala 1 ü
P2A0 Post Partum Spontan SisaPlasenta ü
Susp Hep A ü
Tb Paru Acites Anemia ü
G1P0A0 Hamil 39 mg KPD ü
G4P3A0 Hamil Aterm dengan Inpartu ü
G3P2A0 Hamil PEB ü
p2A0 Retensio Plasenta ü ü
APP kronis ü
Obs Febris Anemia ü
P1A0 Susp Sisa plasenta ü ü
G3P2A0 Hamil Aterm Dengan Kala 1 ü
Kolic Abdomen ü
G3P2A0 Hamil 26 mg dengan PEB ü ü
ISPA Vomitus ü
G2P1A0 Hami; Aterm Dengan PEB ü ü
G3P2A0 Hamil 42 mg dengan Post Term ü
G4P3A0 Hamil 38 mg HDk ü ü
GEA dengan Dehidrasi RiNgan Sedang ü
Retensio Urin ü
Tumor Mamae Dextra ü
G2P1A0 Hamil Aterm Bsc 1x ü ü
Melena ü
Tb Paru ü
G3P1A0 hamil 39 th dengan PEB ü ü
Anemia Kejang Demam GEA ü
Hernia hipertensi Grade 2 ü
Perdarahan Pervaginam ü
G1P0A0 hamil Aterm Oligohidramnion ü
G2P1A0 Hamil Abortus Iminens ü
G3P2a0 Abortus Iminens ü
G1P0A0 Hamil 22 mg KPD ü
G1P0A0 Hamil 40-41 mg PTM ü ü
P1A0 sisa Jaringan ü
g3p2A0 hamil 36 mg dengan HDK ü
G2P1A0 Hamil Aterm Inpartu ü
G2P1A0 Hamil Aterm Dengan PER ü ü
G1P0A0 hamil Atrem KPD ü
DHF Thyfoid Fever intake sulit ü
Hipokalemia ü
Kolic Renal ü
Hemoroid Interna ü
G2P1A0 Hamil Aterm KPD BSC ü
G1P0A0 Hamil Aterm PEB ü ü
Febris ü
G1P0A0 Hamil Aterm ü
Thyfoid Chepalgia ü
GEA ISK ü
ü
KIT

INFEKSI RUMAH SAKIT

AB
HAP ISK IAD

Ceftriaxon 1x3 inj gr

Ceftriaxon inj 1 gr
Ceftriaxon inj 2 gr

Ceftriaxon Inj 2 gr

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2x1 gr
Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2x1

Ceftriaxon Inj2 gr

Ceftriaxon Inj 2x1gr

Ceftriaxon 2 gr

Ceftriaxon Inj 2 gr

Ceftriaxo 2x1 gr

Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Ceftriaxon 2g
Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Cefttriaxone Inj 2x1 gr

Ceftriaxon Inj 2x1

Ceftriaxon Inj 1x2 gr

Ceftriaxon Inj 2 gr
Ceftriaxon inj 2 gr
Ceftriaxon Inj 2x1
Ceftriaxon Inj 2x1 gr
Ceftriaxon 2x1 Gr
Ceftriaxon 2 gr

Ceftriaxon Inj 2x1gr

Ceftriaxon 2x1 gr

Ceftriaxon ! Gr

Ceftriaxon 2x1 gr
Ceftriaxon 1 gr
Cefttriaxon Inj 2x1 gr
Ceftriaxon In 2 gr

Cecftriaxon Inj 2x1 gr

Cecftriaxon Inj 2x1 gr
Cecftriaxon Inj 2x1 gr

Ceftriaxon Inj 1 gr
Ceftriaxon Inj 1 gr

Ceftriaxon Inj 2 gr

Ceftriaxon 1 gr
Ceftriaxon 1 gr
Ceftriaxon 1 gr
Ceftriaxon Inj 2 gr

Ccefttriaxon Inj 2x1 gr

Ceftriaxon 1 gr

Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1
Ceftriaxon Inj 2x1

Ceftriaxon 2 gr
Ceftriaxon 2 gr
Ceftriaxon 2x1 gr

Ceftriaxon 2 gr

Ceftriaxon 2 gr

Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2gr
Ceftriaxon inj 2 gr

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1
Ceftriaxon Inj 2x1

Ceftriaxon Inj 1 gr

Ceftriaxon Inj 2 gr

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2x1 gr

Ceftriaxon Inj 2 gr

Ceftriaxon 2x1 gr
Ceftriaxon 2x1 gr

Ceftriaxon 2x1 gr
Ceftriaxon Inj 2gr

Ceftriaxon Inj 2 gr
Ceftriaxon inj 2x1

Ceftriaxon inj 2 gr

Ceftriaxon Inj 2 gr

Ceftriaxon 1 gr

Ceftriaxon 2x1

Ceftriaxon 2x1
Ceftriaxon 2x1
Ceftriaxon 2x1

Ceftriaxon 2 gr

Ceftriaxon 2 gr
Ceftriaxon Inj 2x1
Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1

Ceftriaxon Inj 2x1
Ceftriaxon Inj 2x1

Ceftriaxon Inj 2 gr

Ceftriaxon Inj 2 gr
 FORMULIR SURVE
RUMA
BULAN/TAHUN : JULI 2020
RUANGAN : IGD

NO TGL MASUK NAMA PASIEN NO RM U JK

1 8/1/2020 Ny Ernawati 121995 24 th P

2 8/1/2020 Ny Uning 121990 20 th P
3 8/1/2020 Ny Rizky Ilahi 66559 27 th L
4 8/1/2020 Ny Rani 121953 31 th P
5 8/1/2020 Ny Feronika 122002 33 th P
6 8/1/2020 An Jerry J 109913 11 bln L
7 8/2/2020 Ny Rosita 120728 29 th P
8 8/2/2020 Tn Rusli Hidayat 122894 23 th L
9 8/2/2020 Ny Iip Aminah 122025 34 th P
10 8/2/2020 Ny Yayan 122028 24 th P
11 8/2/2020 Tn Asep Hidayat 122017 32 th L
12 8/2/2020 Ny Mamah 122016 49 th P
13 8/2/2020 Tn Arif Maulana 122020 19 th L
14 8/2/2020 Ny Dea 120023 17 th P
15 8/2/2020 Ny Siti Habibah 122024 25 th P
16 8/2/2020 Ny Citra 122019 30 th P
17 8/2/2020 Ny Sopiah 7 70563 34 th P
18 8/2/2020 Ny Eka Fitriani 122037 25 th P
19 8/2/2020 Ny Aminah 35909 38 th P
20 8/2/2020 Ny Arfi 122036 22 th P
21 8/2/2020 Ny Fitriyani 122037 39 th P
22 8/2/2020 Ny Gurmalah 105001 26 th P
23 8/2/2020 Tn Encep 122038 44 th L
24 8/2/2020 Tn Jaya 96017 44 th L
25 8/3/2020 Ny Ernawati 104658 22 th P
26 8/3/2020 Ny Ismatul 122062 36 th P
27 8/3/2020 Ny Ipah Triana 84033 19 th P
28 8/3/2020 Ny Aam Aminah 121798 44 th P
29 8/3/2020 Ny Virna Yunita 122068 20 th P
30 8/3/2020 An Lingga 122008 15 th L
31 8/3/2020 An Maesaroh 122070 3 th P
32 8/3/2020 Tn Bayu Setiawan 122079 19 th L
33 8/3/2020 An Nurlaela 122082 14 th P
34 8/3/2020 Ny Rasih 122084 36 th P
35 8/3/2020 Ny Siti Nuraida 122085 22 th P
36 8/3/2020 Ny Lili 122091 31 th P
37 8/3/2020 Ny Intan 122087 th P
38 8/3/2020 An Niken 122011 6 bln P
39 8/3/2020 An Alfathunisa 100114 3 th P
40 8/4/2020 Ny Siti Hindun 121346 32 th P
41 8/4/2020 Tn Bobi 122096 21 th P
42 8/4/2020 Ny Dinah 122110 22 th P
43 8/4/2020 Ny Ema 122104 22 th P
44 8/4/2020 An Destiana 121854 15 th P
45 8/4/2020 Ny Siti nurjanah 107284 33 th P
46 8/4/2020 Tn Muhtarudin 49820 45 th L
47 8/4/2020 Ny Karnidah 122113 27 th P
48 8/4/2020 An Giwang Nawang Sari 122102 15 th P
49 8/5/2020 Ny Solihat 60753 35 th P
50 8/5/2020 Ny Sarnia 86609 22 th P
51 8/5/2020 Ny Ratih 122123 17 th P
52 8/5/2020 Ny Rasih 122129 34 th P
53 8/5/2020 Ny siti Aminah 122147 36 th P
54 8/5/2020 Tn Maulana Yusuf 44915 53 th L
55 8/5/2020 Tn Subarja 122133 69 th L
56 8/5/2020 Tn M Idrus 115408 19 th L
57 8/5/2020 Ny Ijah 122141 34 th P
58 8/5/2020 Tn Nopiyanto 122106 29 th L
59 8/5/2020 Ny Sri Endang 80066 42 th P
60 8/5/2020 Ny Karsih 121997 31th P
61 8/5/2020 An Zahira 122152 8 bln P
62 8/5/2020 Ny Tiara Puspa 122158 28 th P
63 8/5/2020 Tn Sahril 122155 46 th L
64 8/5/2020 Ny Melia Sulastri 106126 24 th P
65 8/5/2020 Ny Rohayati 122157 45 th P
66 8/5/2020 Ny Masadah 122159 47 th P
67 8/5/2020 An Muhamad Rafli 122160 8 th L
68 8/5/2020 Ny Mamah 122166 th P
69 8/6/2020 Ny Neneng Ika 122168 31 th P
70 8/6/2020 An M Bintang 114114 2 th L
71 8/6/2020 Ny Idah Faridah 122176 37 th P
72 8/6/2020 Ny Yuliana 122184 24 th P
73 8/6/2020 Ny Heni N 122183 24 th P
74 8/6/2020 Tn Saefulloh 122177 46 th L
75 8/6/2020 An Rio 122179 1 th L
76 8/6/2020 Ny Aan 111642 23 th P
77 8/6/2020 Ny Amih 94278 46 th P
78 8/6/2020 Ny Kun S 122195 34 th P
79 8/6/2020 Ny Nenenng 122199 30 th P
80 8/6/2020 Ny Sri Mulyati 87116 33 th P
81 8/6/2020 Ny Siti Habsoh 116911 41 th P
82 8/6/2020 Ny Kokom BT rinan 122202 77 th P
83 8/6/2020 Ny Siti Saodah 53870 77 th P
84 8/6/2020 Ny Yuli Nur S 122201 28 th P
85 8/7/2020 Ny Masriyah 122210 74 th P
86 8/7/2020 Tn Enin 24324 54 th L
87 8/7/2020 Tn Ijang Subhan 122215 25 th L
 88 8/7/2020 Ny Darmauli 121564 42 th P
89 8/7/2020 Ny Riana 119256 20 th P
90 8/7/2020 NY Maesaroh 122226 26 th P
91 8/7/2020 Ny Dewi 119038 18 th P
91 8/7/2020 Ny Neri 122229 39 th P
92 8/8/2020 Tn Heki 122241 19 th L
93 8/8/2020 Ny Nurul Latifah 115741 22 th P
94 8/8/2020 Ny Elvita 122260 26 th P
95 8/8/2020 Tn Sihabudin 122259 48 th L
96 8/8/2020 Tn Parmin 101802 57 th L
97 8/8/2020 Ny Okta 122266 19 th P
98 8/8/2020 Ny Ida 82497 44 th P
99 8/8/2020 An Dafa 115554 15 th L
100 8/9/2020 Tn Jaya Haryadi 122270 59 th L
101 8/9/2020 Ny Fufu 122272 25 th P
102 8/9/2020 Ny Yuyum 122271 33 th P
103 8/9/2020 Ny Anastasya 122274 19 th P
104 8/9/2020 Ny Hj Aminah 121644 69 th P
105 8/9/2020 Ny Siti N 122275 17 th P
106 8/9/2020 Tn Parta 122278 25 th L
107 8/9/2020 Ny Yanti 122281 27 th P
108 8/9/2020 Ny Tuti 122282 43 th P
109 8/10/2020 Ny Cindy 122281 21 th P
110 8/10/2020 Ny Hoeriyah 31184 64 th P
111 8/10/2020 Ny Nurhayati 122301 21 th P
112 8/10/2020 Ny Diah 122284 49 th P
113 8/10/2020 Ny Enih 122288 55 th P
114 8/10/2020 Ny Siti Ropiah 67922 26 th P
115 8/10/2020 Ny Sugih Lestari 122305 25 th P
116 8/10/2020 Tn Encep 121996 61 th L
117 8/10/2020 Ny Cindy 118662 19 th P
118 8/10/2020 Ny titin 122313 35 th P
119 8/10/2020 tn Deni Abdilah 122312 37 th L
120 8/10/2020 Ny emi Ratnasari 122317 15 th P
121 8/10/2020 Ny Euis 122319 31 th P
122 8/10/2020 An Keyja 87010 3 th P
123 8/10/2020 Ny uun Unasih 121796 th P
124 8/11/2020 ny Narmah 122323 67 th P
125 8/11/2020 An Belvania 82020 4 th P
126 8/11/2020 Tn Supian 121501 23 th L
127 8/11/2020 Ny Fitriyani 122322 19 th P
128 8/11/2020 Ny Dede Nurhayati 122046 30th P
129 8/11/2020 Nn Nina 112329 19 th P
130 8/11/2020 Ny Uning 122334 25 th P
131 8/11/2020 An Abimanyu 112397 9 bln L
132 8/11/2020 Tn Dadang 120910 6 bln L
134 8/11/2020 Ny Yanti 122336 39 th P
134 8/12/2020 ny Sri 122351 48 th P
135 8/12/2020 Ny Anah 90645 46 th P
136 8/12/2020 Ny Empu 122355 46 th P
137 8/12/2020 Ny Komariah 122356 52 th P
138 8/12/2020 Ny Iip Karlina 122358 27 th P
139 8/12/2020 Ny Amih 122363 19 th P
140 8/12/2020 Ny Pujiani 122360 40 th P
141 8/12/2020 Tn Endang 121695 th L
142 8/13/2020 Ny Hani Bt Adi 102271 70 th P
143 8/13/2020 Tn Purwanto 122346 48 th L
144 8/13/2020 ny dede Kurniasih 122376 26 th p
145 8/13/2020 Ny Puji Mirnati 122379 32 th P
146 8/13/2020 An Nopi 122380 13 th P
147 8/13/2020 Ny Awat Binti Sait 119941 62 th P
148 8/13/2020 An Athaila Kenan 118195 1 th L
149 8/13/2020 Ny Hatimah 122393 49 th P
150 8/13/2020 Ny Imas Julaeha 120668 33 th P
151 8/13/2020 Ny Siti Sumiati 122394 20 th P
152 8/13/2020 Ny Yusnia 122391 24 th P
153 8/13/2020 ny Imas 122397 27 th P
154 8/13/2020 Ny khouwi an nio 122395 86 th P
155 8/14/2020 Ny Nurlilis 122409 40 th P
156 8/14/2020 Ny Siti M 122409 27 th P
157 8/14/2020 Ny Nathalia 122204 41 th P
158 8/14/2020 Ny Lilis 122404 34 th P
159 8/14/2020 Ny Susi 122403 25 th P
160 8/14/2020 An Mulki 54891 6 th L
161 8/14/2020 Ny Atikah 122417 25 th P
162 8/14/2020 Ny Neneng Hamidah 111915 28 th P
163 8/14/2020 Ny Anesih 122411 43 th P
164 8/14/2020 Tn Adis 122415 70 th L
165 8/14/2020 NY Sari Siswanti 122420 45 th P
166 8/14/2020 Tn Iwan Rismawan 111382 36 th L
167 8/14/2020 Ny Yani 101011 29 th P
168 8/14/2020 Tn Enjen 122410 51 th L
169 8/14/2020 Ny Minah 122422 37 th P
170 8/14/2020 Ny Roihatul Janah 122246 27 th P
171 8/14/2020 Ny eros 122425 55 th P
172 8/14/2020 Ny Cicih 93062 36 th P
173 8/15/2020 Ny Usi 122431 45 th P
174 8/15/2020 Ny Ara 122442 39 th P
175 8/15/2020 Ny Aisah 122438 20 th P
176 8/15/2020 An Seli Ramadani 122432 11 th P
177 8/15/2020 Ny Susilawati 122044 32 th P
178 8/15/2020 Ny Puji Hastuti 88339 38 th P
179 8/15/2020 An Anwar Wijaya 118340 16 th L
180 8/15/2020 Ny Dias Ayu 122453 24 th P
181 8/15/2020 Ny Sumiati 122455 31 th P
182 8/15/2020 An Liyana 114037 7 th P
183 8/16/2020 Ny Anah 122461 24 th P
184 8/16/2020 Ny Reza Fahlilani 78107 26 th P
185 8/16/2020 Tn Asep Suratno 122209 30 th L
186 8/16/2020 Ny Diah 119478 70 th P
187 8/16/2020 Ny Dadih 122464 77 th P
188 8/17/2020 Ny Siti Nurlaela 76733 30 th P
189 8/17/2020 Ny Eneng Siti 103504 24 th P
190 8/17/2020 Tn Riyan 122471 27 th L
191 8/17/2020 Ny Ratna 122469 27 th P
192 8/17/2020 ny Neneng 122477 46 th P
193 8/17/2020 Ny Uwen 110070 36 th P
194 8/17/2020 An Linggar Azwa 63775 6 th L
195 8/17/2020 Ny Salmanah 122476 79 th P
196 8/17/2020 Ny Romi 122484 38 th P
197 8/17/2020 Ny Neni Rustini 69528 40 th P
198 8/17/2020 Ny Tifany 66137 25 th P
199 8/18/2020 An Indah sari 122486 5 th P
200 8/18/2020 Ny Minem 122501 40 th P
202 8/18/2020 Ny Yunah 59615 38 th P
203 8/18/2020 Ny Layyilatul Fauadah 67770 27 th P
204 8/18/2020 Ny Syifa Fauziah 122509 32 th P
205 8/18/2020 Ny Kuneng 122495 63 th P
8/18/2020 An M Imran 104998 1 th L
8/18/2020 Ny Kokom 107513 47 th P
8/18/2020 Tn Maman Lukman 122514 58 th L
8/18/2020 Ny Yeni Ismawati 80855 25 th P
8/18/2020 Tn Purwanto 113449 52 th L
8/18/2020 Ny Siti Muslimah 122319 32 th P
8/19/2020 An Gibran 116719 6 bln L
8/19/2020 Tn Anton 122517 37 th L
8/19/2020 Ny Ikah 122521 52 th P
8/19/2020 Ny Atik sartika 112547 30 th P
8/19/2020 Ny Nurbaeti 122555 33 th P
8/19/2020 Ny Kurnia 122554 24 th P
8/19/2020 Ny Ria Hesvia 122445 30 th P
8/19/2020 Ny Dormauli 121564 43 th P
8/19/2020 Ny Uun 122846 59 th P
8/19/2020 Ny Ezrawati 122556 28 th P
8/19/2020 An Abi Apriawan 116947 11 th L
8/19/2020 Ny Nenih Sri Mulyani 122497 39 th P
8/19/2020 Ny Rati Okta Subarja 116982 27 th P
8/19/2020 NY erna M 122558 40 th P
8/19/2020 Tn Rusli 122894 23 th L
8/20/2020 Ny Aam 122563 31 th P
8/20/2020 Ny Anih 122563 21 th P
8/20/2020 Tn Kusdi 122564 43 th L
8/20/2020 Tn Umin 122568 58 th L
8/20/2020 Ny Siti Masitoh 122572 36 th P
8/20/2020 Ny Tutik Rahayu 122576 35 th P
8/20/2020 Ny Neneng 106307 55 th P
8/20/2020 An Alinda 106384 1 th P
8/20/2020 Ny Ulansari 121579 31 th P
8/20/2020 Tn Rusli Firmansyah 122487 43 th L
8/20/2020 Tn Saeful Anwar 121787 20 th L
8/20/2020 Ny Aam 122585 36 th P
8/21/2020 An Andara 74494 4 th P
8/21/2020 Ny Siti Rahayu 100077 25 th P
8/21/2020 Tn edy Sihombing 122593 37 th L
8/21/2020 Ny Lela Sinta 122598 27 th P
8/21/2020 Ny Uci 122595 37 th P
8/21/2020 An Dea Aulia 67211 6 th P
8/21/2020 Ny Arien Susanti 84309 39 th P
8/21/2020 Ny Juwarti 122610 34 th P
8/22/2020 Tn H Mansyur 122604 75 th L
8/22/2020 Ny Leni 122626 24 th P
8/22/2020 An M Fajar 122613 56 bln L
8/22/2020 An Risa 122614 5 bln P
8/22/2020 Tn Amin 122622 34 th L
8/22/2020 Ny Engkom 122623 35 th P
8/22/2020 An Syafa 122624 16 th P
8/22/2020 Tn Endang 102112 58 th L
8/22/2020 NY Siti Solihat 122630 39 th P
8/22/2020 Ny Habsoh 122631 39 th P
8/22/2020 Ny Indah Sucitra 122633 20 th P
8/22/2020 An Akbar 122596 13 th L
8/23/2020 Ny Nelah 122639 54 th P
8/23/2020 Ny Sacih Fitri 122641 24 th P
8/23/2020 An Mesya Azzahra 122517 13 th P
8/23/2020 Ny Tati 122651 40 th P
8/23/2020 Ny Nurlaela 122654 25 th P
8/23/2020 Ny Nasem 122653 50 th P
8/23/2020 An Yuda 122658 9 th L
8/23/2020 NY Ani M 106288 33 th P
8/24/2020 Ny Anah 122669 35 th P
8/24/2020 Ny Septyana 122662 26 th P
8/24/2020 Ny Tri 122681 32 th P
8/24/2020 Ny Yoyoh 122675 47 th P
8/24/2020 Ny Onyi 1226760 63 th P
8/24/2020 Tn Supena 100340 59 th L
8/24/2020 Ny Anih 122674 60 th P
8/24/2020 Tn Egi A Permana 94379 38 th L
8/24/2020 An Ragil Rahmat 60042 14 th L
8/24/2020 Tn Edi 122687 45 th L
8/24/2020 An M Fakih 122693 4 th L
8/24/2020 Tn Iyang 103335 64 th L
8/24/2020 An Amulana 111257 11 bln L
8/24/2020 Ny Uti Binti Enur 122694 th P
8/25/2020 Ny Siti Mardiah 122703 32 th P
8/25/2020 Tn Ojan 119471 34 th L
8/25/2020 Ny Tunah 116000 40 th P
8/25/2020 Ny Hj Lilis 122712 40 th P
8/25/2020 An Rosa 122711 13 th P
8/25/2020 Ny Anah 122708 34 th P
8/25/2020 Ny Anita 122717 20 th P
8/25/2020 An Muhamad Faizal 122710 11 th L
8/25/2020 An Karsa 844014 9 th L
8/25/2020 Tn Ade 122715 36 th L
8/25/2020 Tn Alvin P 122716 20 th L
8/25/2020 Ny Imis 117309 48 th P
8/25/2020 Ny Martini 122726 30 th P
8/26/2020 Ny Khoerunisa 64037 28 th P
8/26/2020 Ny Kusmiati 122731 33 th P
8/26/2020 Ny Dewi irawati 122740 33 th P
8/26/2020 Ny Tuti Maryati 122732 56 th P
8/26/2020 Nn Puri 122734 20 th P
8/26/2020 Ny taim 59938 63 th L
8/26/2020 An Irsyad 99036 1 th L
8/26/2020 Ny Puji M 122379 32 th P
8/26/2020 An Risa 101584 1 th P
8/26/2020 An Rafly 122701 12 th L
8/26/2020
8/26/2020
8/26/2020
8/26/2020
8/26/2020
8/26/2020
8/26/2020
FORMULIR SURVEILANS HARIAN INFEKSI RUMAH SAKIT
RUMAH SAKIT HARAPAN MULIA

TINDAKAN INFEKSI RUMA

DX MEDIS ETT/VENT
UC IVL VAP
I
G1P0A0 Hamil 40 mg dengan Susp Cpd ü ü
G1P0A0HAmil 42 mg Dengan Serotinus ü ü
Febris 4 Hari DHF ü
Abses Submandibula ü
Ab Inkomplit ü
Hiperpireksia + GEA ü
G3P2A0 Hamil 36 mg HAP ü
Susp Tb Paru ü
Vertigo Dispepsia ü
G1P0A0 Hamil Aterm Kala 1 Memanjang ü
CKR ü
Konstipasi Illeus Obstruktif ü
Dispepsia ü
P1A0 Sisa Plasenta ü
G1P0A0 dengan BO ü
G1P0A0 Hamil Aterm KPD + PEB ü ü
G3P2A0 denangan HEG ü
G2P0A0 hamil Aterm Dengan PEB ü ü
G4P3A0 Hamil Aterm PEB + BSC ü ü
G1P0A0 hamil Aterm KPD ü
G4P3A0 Hamil 35 mg PEB ü ü
DHF ü
Dm Tipe 2 ü
Anemia gastritis Kronis ü
G1P0A0 Hamil 7 mg dengan Ab Iminen ü
G2P1A0 Hamil 38 mg Dengan Inpartu ü
Acute Abdomen ec Susp APP Acute ü
Tb Paru + Vomitus Dengan DRS ü
G1P0A0 Hamil 37 mg dengan Gemeli ü ü
Vomitus Dehidrasi Rinan Sedang ü
Combosio Gr 10% ü
DHF + Thyfoid Fever ü
Thyfoid Fever ü
G3P2A0 Hamil Aterm Letsu ü
G2P1A0 hamil 12 mg Abortus ü
G3P2A0 Hamil 34 mg ü
G1P0A0 hamil Aterm Inpartu ü
DHF ü
Kejang Demam ü
G3P1A1 Hamil Aterm Inpartu dean BSC ü ü
Abses Digiti 2 ü
G1P0A0 Hamil Aterm Dengan Kpd jam ü ü
G1P0A0 Hamil Aterm Inpartu Kpd 12 jam ü ü
Tonsilitis Cronic ü
G4P3A0 Hamil 17-18 mg dengan HEG ü
Abses glutea Sinistra + Acute Abdomen ü
G2P1A0 Hamil 40 mg Dengan Fetal Distres ü ü
App Cronic ü
G5P4A1 Hamil Aterm BSc 2x ü ü
G2P1A0 Hamil Aterm Bsc + KPd ü ü
G1P0A0 Hamil Aterm Cpd ü ü
P2A0 Retensio Plasenta ü ü
P3A0 Retensio Plasenta ü ü
Dm Tipe 2 + Vertigo ü
Combosio ü
Fraktur Acute Brachi dextra ü
Missaid Abortion ü
Tumor Kulit Pedis Bilateral ü
Hemoroid Interna Grade 1 ü
G2P1A0 Hamil 20mg susp Abortus ü
Obs Vomitus Susp GEA ü
G3P1A1 hamil 38 mg + KPD ü ü
Hernia Scrotalis + Efusi Fleura ü
G2P1A0 hamil 39 mg dengan oligohidramnioan ü ü
G7P6A0 Hamil 36-37mg dengan HDK ü ü
Vomitus Demam Paratyhfoid ü
Demam Thyfoid ü
P3A0 Sisa Plasenta ü
G2P1A0 Hamil Aterm KPD ü ü
Parathyfoid fever ü
G4P3A0 Hamil Aterm Dengan IUFD ü ü
G2P1A0 hamil Aterm Dengan Kala 1 ü ü
Susp KET ü
Tb Paru Hemaptoe ü
Abses Axila Dextra ü
G2P1A0 Hamil 6 m gengan Abortus ü
GEA HT ü
G3P2A0 Hamil 8 mg Dengan Ab Iminens ü
G3P2A0 Hamil Aterm ü ü
Heg ü
Abses DM ü
G1P0A0 Hamil Aterm Inpartu ü
Gastritis ü
PUA ü
Febris 2 mg ec Susp Isk ü
GEA ü
Efusi Pleura ü
G4P3A0 HDK BSC ü ü
G2P1A0 Hamil 37 mg Oligohidramnion ü
G3P1A1 Hamil 37 mg Fase Laten ü
G1P0A0 hamil 37 mg dengan inpartu ü
G2P1A0 Hamil 40 mg HDK ü ü
Hep A Parathyfoid ü
G1P0A0 Hamil aterm Kala 2 memenjang ü
BO ü
Kolic Ureter ü
Kolik Renal+ Ht Urgency ü
G1P0A0 hamil Aterm KPD HDK ü
Abses Labia Mayora ü
Obs Vomitus Susp GEA ü
Gangren Scrotum DM T 2 ü ü
G2P1A0 Hamil Aterm KPD BSC ü
G1P0A0 Hamil Aterm Kala 1 Memanjang ü
G1P0A0 Hamil Aterm KPD ü
Febris Post Debridemen ü
APP Acut ü
Trauma Thorak ü
G3P1A0 Hamil dengan AB Inkomplit ü
Heperpireksia Endometrium ü
G2P1A0 Hamil 39 mg CPD ü ü
Tb Paru Electrolit imbalace ü
G1P0A0 Hamil 33 mg Plasenta Previa ü
Syok Hipopolemik ü ü
Dm tipe 2 ü
G2P1A0 Hamil 39 mg Kala 2 BSC ü ü
g2P1A0 Hamil 40 mg kala 1 ü
PPOK Akut ü
g2P1A0 Hamil aterm BSC ü ü
G3P2A0 Hamil 20 mg Dengan HT ü
Vertigo Para thypoid ü
G1P0A0 Hamil Aterm Pk Laten ü
P3A0 Sisa Plasenta ü ü
Observasi Febris ü
DM Tipe 2 Intek sulit ü
Thyfoid Fever ü
KDS ü
Hernia Scrotalis Dextra ü
G1P0A0 Hamil 39 mg Inpartu ü
BO ü
Susp App Akut ü
P2A0 dengan Retensio Plasenta ü ü
Diare Dengan DRS ü
Fistula Ani ü
G5P4A0 Hamil 39 mg dengan HDK ü ü
Retensio urine Vertigo ü
Thyfoid Fever ü
Susp App ü
Anemia Gravis DM Tipe 2 ü
G2P1A0 Hamil Aterm Kala 1 Memanjang ü
G1P0A0 Hamil 39 mg Dengan Gemeli ü
G3P2A0 Hamil Dengan Ab Inkomplit ü
tumor Antebrahi Sinistra ü
Ulkus Dm Pedis Sinistra ü
Tumor punggung ü
G2P1A0 Hamil Aterm KPd Peb ü ü
G3P1A1 Hamil 38 mg HDK ü ü
App Acut ü
Ulkus Pedis Sinistra ü
GEA dengan DRS ü
Rest Plasenta ü ü
G2P1A0 Hamil 39 mg Letsu ü ü
G1P0A0 hamil aterm dengan inpartu ü
G1P0A0 Hamil 36 m g dengan KPD ü
G1P0A0 hamil 39 mg dengan ISPA ü
Hematemesis ec Gastritis ü ü
G6P3A3 hamil 12 mg dengan AB inkomplit ü
G3P2A0 hamil 12 mg dengan AB ü
G1P0A0 hamil aterm HDK ü ü
G2P1A0 hamil aterm PTM KPD ü ü
G3P1A1 Hamil 38 mg dengan Letsu ü ü
DHF+ Susp Tb Paru ü
G1P0A0 Hamil Aterm Kala 1 Memanjang ü
G3P2A0 Hamil Aterm Kala 1 Memanjang ü
G4P2A1 hamil dengan Ab inkomplit ü
Hematuri ü
Akut Abdomen Susp APP ü
Kolik Renal, Ileus Paralitik ü
Vertigo ü
Gluteus Dextra ü
Susp Tb gangguan Elektrolit ü
G2P1A0 hamil 38 mg dengan 38mg susp oligohidramnion ü
vertigo, Dispepsia ü
G4P3A0 hamil 38mg inpartu dengan PEB ü ü
Chepalgia ü
G3P2A0 Hamil 39 th KPD ü
G1P0A0 Hamil #8 mg dengan KPD ü
dispepsia, susp hep A ü
G4P2A1hamil HEG ü
Thypoid Fever ü
DHF ü
HEG ü
g3P2A0 hamil 40 mg dengan kala 1 memanjang ü
Febris ü
G1P0A0 Hamil Aterm KPD ü
g2P1A0 Gravida 9 mg HEG ü
menicus Injury Knee ü
OA Knee ü
Gea DRS Fraktur Femur Sinistra ü
G2P1A0 Hamil Aterm Dengan susp CPD ü ü
G3P0A2 Hamil Aterm Letsu ü ü
Susp Maskolisis ü
G1P0A0 Hamil 40mg dengan obs febris ü
G4P3A0 Hamil Aterm Kala 2 ü
Acites Efusi Pleura ü
Obs Febris ec Parathyfoid ü
Anemia Gravis Hemiparise ü
G4P3A0 Hamil 40 mg HDK ü ü
PUA Hiperplasi Uterus ü ü
G1P0A0 Hamil Atrm Kala 1 fase laten ü
Kwasiorkor Tb Paru ü
G3P2A0 Hamil Aterm Makrosomia ü ü
Thyfoid Fever ü
G2P1A0 Hamil aterm Inpartu Letsu ü ü
G3P2A0 Hamil 40mg Presbo ü ü
Tb Paru Anemia ü
Thyfoid Fever Anemia ü
Skoliosis ü
Susp Limpoma ü
Febris 2 mg ec susp Tb paru ü
CHF Efusi Pleura Dextra ü ü
G3P2A0 Hamil 41 th Pk 1 ü
balanitis ü
Tumor Regio Parinteral ü
Melena Ht Garade 2 ü ü
G3P2A0 Hamil 398 mg dengan HDK ü ü
G3P2A0 Hamil aterm Peb ü ü
G1P0A0 Hamil Aterm LTP Polihidramnion ü ü
G3P1A1 Hamil 8 mg dengan HEG ü
P3A1 Pos Sc Dengan Perdarahan Post Partum ü ü
GEA DM Tipe 2 ü
G4P2A1 hamil 10 mg dengan abortus ü
APP ü
G4P2A0 Hamil 42 mg dengan Presbo ü ü
G2P1A0 Hamil Aterm dengan inpartu ü
Susp kolelitiasis ü
Thyfoid Fever ü
G4P2A0 hamil 37 mg dengan oligohidramnion ü ü
G1P0A0 Hamil 32 mg dengan KPD ü
DHF + Parathyfoid Fever ü
Anemia Gravis Hipokalemia ü
G6P4A1 Hamil 37 mg dengan KPD HDK ü ü
G3P2A0 Hamil 38mg dengan PTM ü ü
Hipertensi Urgensi ü
Observasi Febris Vomitus ü
Abortus Iminens ü
DHF Parathyfoid Fever ü
Tb Paru Efusi Pleura ü
G5P40 Hamil 38 mg dengan BSC ü ü
Febris H4 Susp Parathyfoid ü
Missaid Abortion ü
Vulnus Puctum ü
G3P2A0 hamil 35 mg dengan polihidramnion ü
Kolik Renal Dextra ü
Observasi Febris ü
Tumor Mamae Dm tipe 2 ü
G3P2A0 hamil Aterm KPD 10 jam ü
Perporasi Gaster ü
G1P0A0 Hamil 38 mg ü
Observasi Shaizure ü
Atresia Ani ü
ü
Kolik Renal Sinistra ü
G1P0A0 Hamil aterm PEB ü ü
Tb Paru CKD DHF ü
G3P1A1 hamil Aterm PEB ü ü
G3P2A0 Hamil Aterm Kala 1 Memanjang ü ü
G1P0A0 Hamil Aterm Kala 1 memenjang ü
vomitus ü
Kolic Abdomen ü
G1P0A0 Hamil 36mg dengan inpartu ü
General Waehnes ü
G5P3A1 Hamil Aterm ü
G1P0A0 Hamil Aterm PEB ü ü
Dypsneu Tb Paru ü
Observasi Febris susp tb paru ü
G4P3A0 Hamil 38 mg ü
G2P1A0 Hamil 12 mg Ab Inkomplit ü ü
G1P0A0 Hamil Aterm Popp ü ü
G1P0A0 hamil Aterm Inpartu ü ü
Anemia Tb paru ü
SNN Dextra ü
Kolelitiasis akut Abdomen ü
Spasme Otot leher hivokalemia ü
Kolitis Plit reseksi + Stoma ü
Limpadenopati Colli ü
Anemia Ht Dm tipe 2 ü
BP ü
Kolik Abdomen ü
Obs Febris Anemia ü
GEA Hipokalemia DHF ü
G1P0A0 Hamil Aterm Inpartu PTM ü
Ulkus Skrotalis ü
Hipokalemia ü
G2P1A0 hamil 37mg POPP ü
Post Kll ü
G1P0A0 Hamil 40mg dengan KPD ü
G1P0A0 Hamil 39 mg Kala 1 ü
Fraktur Digiti 3 2 4 dektra ü
Febris h3 ec Demam thyfoid ü
VL ü
GEA DRS Bronkitis ü
PUA ü
P2A0 Post Partu, Dengan Resplas ü ü
G2P1A0 Hamil Aterm Inpartu Dengan BSC ü
G2P1A0 hamil aterm inpartu kala 1 fase laten ü
G4P1A2 hamil 42 mg dengan KPD ü
Fraktur Dislokasi ü
Fraktur Clavikula Dextra ü
Fraktur Clavikula sinistra ü
RDS ü
PUA ü
Obs Vomitus ü
Fimosis ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
ü
INFEKSI RUMAH SAKIT
AB
HAP ISK IAD

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