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PEMERINTAH KABUPATEN SIMALUNGUN

RUMAH SAKIT UMUM DAERAH PARAPAT


Jalan Kolonel T.P.R.SinagaTelp. ( 0625-41332 )
PARAPAT
KODE POS 21174
RM 22a
No. RM :
Nama Pasien : Tanggal Masuk :
Tanggal Lahir : Jenis Kelamin : L/P Alamat :

No Uraian Biaya Rp. Paraf


1 dr.Velrones Tampubolon, Sp.B
2 dr.Esfayanti Sianturi,Sp.A
3 dr.Olga Yanti Hutapea, Sp.PD
4 dr.Sudung Reinhard M Siahaan,Sp.OB
5 dr.Herbet Pardamean Hutagaol Sp.P
6 dr.Syahrial Sp.PK
7 dr.Budi Harto Batubara Sp.An
8 drg. Lusiana Simangunsong
9
10 dr. Anastesi Nama Paraf
11 UGD (Unit Gawat darurat)
12 dr. Dame H. Saragih
13 dr. Agnes Dameuli
14 dr. Nursia Siallagan
15 dr. Sthepanie
16 dr. Icha Stepanie
17 dr. Nency M. Sagala
18 dr. Menti Siburian
19 Obat-Obatan
20 USG
21 EKG
22 Laboratorium Klinik
23 Foto thorax
24 CT- Scan
25 Administrasi
26 dr. .....................................................
27 dr. .....................................................
28 Keterangan Lain
29
30
31
32
33
34
Grandtotal. .................................................... Rp.
Petugas Kasir Ka. Keuangan Auditor Tgl. Lunas
No Diagnosa Kode Diagnosa No Diagnosa Kode Diagnosa
1 Febris R50.9 48 STROKE HEMORAGIK I61.9
2 ISPA J39.9 49 PERITONITIS K65.0
3 VE T14.0 50 MELENA K92.1
4 VL T14.1 51 EPILEPSI G40.9
5 Gastritis K29.7 52 SEPSIS A41.9
6 Dyspepsia K30 53 FIMOSIS N47
7 Hipertensi I10 54 VIRAL INFEKSI B34.9
8 Haemorrhoid I84 55 NEBULIZER 93.94
9 Dyslipidemia E78.5 56 RO THORAX 87.44
10 Thypoid Fever A01.0 57 EKG 89.52
11 DBD/DHF A91 58 ASITES R18
12 Pulpitis K04.0 59 CELULITIS L03,1
13 Bronchopneumonia J18.9 60 HIPERBILIRUBIN P59,9
14 DM Type II E11. 61 SYOK HIPOVOLEMI E86
15 Hypokalaemia E87.6 62 SOFT TISSUE TUMOR (STT) D10.3
16 Hyponatremia E87.1 63 PI AO PRO SC O82.1
17 DOA R96.1 64 CPD O65.4
18 Kejang Demam R56.0 65 PARAPARESE G82.2
19 Tonsilitis J03.9 66 MIOMA UTERI D25.9
20 Pharyngitis J02.9 67 NEPHROLITHIASIS N20.0
21 Tonsilopharyngitis J06.8 68 SNH I63.9
22 Commond Cold J00 69 MENIGITIS KP G00.9
23 Hyperplasia Prostat N40 70 Dypsnoe R06.0
24 Gout M10 71 Lipoma I50.0
25 Gout Arthritis M10.9 72 Polyneurophaty G62.9
26 Insomnia G47.0 73 TINEA CORPORIS B35.4
27 Susp. TB B90.9 74 TINEA CRURIS B33.6
28 TBC A16.2 75 LBP M54.5
29 TB Of Lung (Paru Lama) A15.0 76 STOMATITIS K12.1
30 Gravida Z34.9 77 DERMATITIS L30.9
31 Vomiting R11. 78
32 Neonatal jaundice P59.9 79
33 PPOK Exacerbation Acute J44.1 80
34 PPOK J44 81
35 PPOK Infeksi Saluran Nafas J44.0 82
36 Ashtma Bronchial J45.9 83
37 ISK N39.0 84
38 ANEMIA D64.9 85
39 CHF I50.0 86
40 HHD( Hypestensi Heart Diseases) I11.9 87
41 BRONCHITIS J40 88
42 PERITONITIS K65.0 89
43 NCB SMK P03.4 90
44 NKB P07.3 91
45 VERTIGO H81.1 92
46 DM TIPE II E11.9 93
47 CHOLELITHIASIS K80.2 94

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