MASTER NOVEMBER

NO TANGGAL RM NAMA KODE LAB JENIS PEMERIKSAAN DOKTER

dr. Dwi
603 2022/11/01/
000350 190304 SUSI
NY
SUSANTI 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK

dr. Dwi
876 2022/11/01/ 180208 URIP 3213 HBsAg 12017509 Utomo N, Sp. 32020948
000334 TRIASIH ,NY PK

2022/11/01/ NUR dr. Dwi

1007 177927 3213 HBsAg 12017509 Utomo N, Sp. 32020948
000308 ISMIYANTI NY PK

SALLY dr. Dwi

1744 2022/11/02/
000379 186477 SIMANJUNTA 3213 HBsAg 12017509 Utomo N, Sp. 21999081
K NY PK

ATIKA
2022/11/03/ SURYANI dr. Dwi
2064 000456 190766 SIMARMATA, 3639 HBsAg (Rapid) 12017509 Utomo N, Sp. 22016085
NY PK

dr. Dwi
2710 2022/11/03/ 180052 NURUL 3213 HBsAg 12017509 Utomo N, Sp. 22016085
000524 YULIANTI NY PK

2022/11/03/ DEVI dr. Dwi

2896 000048 185010 NURMAWATI 3213 HBsAg 12017509 Utomo N, Sp. 22016085
NY PK

AZIZAH dr. Dwi

3012 2022/11/04/
000612 182947 MARLINDA 3213 HBsAg 12017509 Utomo N, Sp. 220211267
NY PK

dr. Dwi
3020 2022/11/04/ 191178 IKE IRAWATI, 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000681 NY
PK

dr. Dwi
3559 2022/11/04/ 152844 LESTARI 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000219 NURFATIA NY PK

dr. Dwi
3564 2022/11/03/ 185799 PURWANTI 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000614 NY
PK

2022/11/05/ TRIA SRI dr. Dwi

3907 189879 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000203 WAHYUNI NY
PK

2022/11/05/ HANIFAH dr. Dwi

4118 000248 191710 RASAD NY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
PK

dr. Dwi
5185 2022/11/07/
000437 190726 ANISA
APRILIANI NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK

dr. Dwi
2022/11/07/ TRI ROYANI
5266 000574 191771 NY 3213 HBsAg 12017509 Utomo N, Sp. 32020948
PK

MARTA dr. Dwi

5387 2022/11/07/ 191663 LUMBAN 3213 HBsAg 12017509 Utomo N, Sp. 32020948
000466 BATU NY PK

2022/11/04/ dr. Dwi

5412 000748 191667 TINA NY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
PK
 dr. Dwi
2022/11/07/ SITI MUSLIHA
5703 000326 189471 NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK

HAZRINA dr. Dwi

5855 2022/11/07/ 146112 MARATUSSH 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000625 OLIHA NY PK

DHENIS dr. Dwi

2022/11/07/
5969 000447 178054 RHAKHASIWI 3213 HBsAg 12017509 Utomo N, Sp. 32020948
NY PK

dr. Dwi
6204 2022/11/08/ 137409 SITI NURLELA 3213 HBsAg 12017509 Utomo N, Sp. 21999081
001923 NY PK

SEPTIANA dr. Dwi

6281 2022/11/08/ 191601 DWININGSIH 3213 HBsAg 12017509 Utomo N, Sp. 22015083
002030
NY PK

dr. Dwi
6752 2022/11/08/
002008 134763 ROHIMAH
RAHAYU NY 3213 HBsAg 12017509 Utomo N, Sp. 21999081
PK

2022/11/09/ INDRI dr. Dwi

7866 002357 191925 PUSVITA, NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK

2022/11/11/ RENOVA dr. Dwi

9736 192057 HUTAGAOL, 3213 HBsAg 12017509 Utomo N, Sp. 21999081
002381 NY PK

ANNI dr. Dwi

9874 2022/11/11/
002326 182835 YULYANINGSI 3213 HBsAg 12017509 Utomo N, Sp. 21999081
H NY PK

dr. Dwi
10440 2022/11/13/ 178309 AKRIMATUN 3213 HBsAg 12017509 Utomo N, Sp. 22015083
000017 KAMALA NY PK

EVI dr. Dwi

11263 2022/11/14/ 190992 SETIAWATI 3213 HBsAg 12017509 Utomo N, Sp. 220201035
000432 NY PK

2022/11/15/ SYIFA ALFIA dr. Dwi

11851 000096 191856 NY 3213 HBsAg 12017509 Utomo N, Sp. 21999081
PK

2022/11/15/ dr. Dwi

12081 000019 190503 NY NURLAELA 3213 HBsAg 12017509 Utomo N, Sp. 320201006
PK

NAI dr. Dwi

14378 2022/11/16/ 190714 RAHMANIA 3213 HBsAg 12017509 Utomo N, Sp. 22016085
000375 NY PK

dr. Dwi
14932 2022/11/16/
000431 137365 MAGDALENA,
NY 3213 HBsAg 12017509 Utomo N, Sp. 22016085
PK

dr. Dwi
16099 2022/11/17/
000324 192377 MULYANA NY 3213 HBsAg 12017509 Utomo N, Sp. 22016085
PK

dr. Dwi
16293 2022/11/18/ 146129 RODIAH NY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
000366 PK

dr. Dwi
16485 2022/11/18/ 190839 DESI NOVITA 3213 HBsAg 12017509 Utomo N, Sp. 220201035
000398 NY PK

2022/11/19/ RESTU PRIMA dr. Dwi

17787 000003 186677 RAHAYU NY 3213 HBsAg 12017509 Utomo N, Sp. 320201006
PK

dr. Dwi
2022/11/20/ ANA KURNIA
17980 000013 135944 NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK
 dr. Dwi
18469 2022/11/21/ 141259 LIDIA ARDINA 3213 HBsAg 12017509 Utomo N, Sp. 320201006
000741 PUTRI NY
PK

IDAH dr. Dwi

18714 2022/11/21/
000596 184288 PURWANTI 3213 HBsAg 12017509 Utomo N, Sp. 220201035
NY PK

dr. Dwi
20124 2022/11/23/
000798 192321 AYU DWI
LESTARI NY 3213 HBsAg 12017509 Utomo N, Sp. 32020948
PK

dr. Dwi
20321 2022/11/23/ 192671 SURYANI NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
000760 PK

2022/11/24/ MUTIARA dr. Dwi

21172 188376 3213 HBsAg 12017509 Utomo N, Sp. 220211267
001034 SARI NY PK

DESY dr. Dwi

21316 2022/11/24/
000901 144655 RUSMIDAH 3213 HBsAg 12017509 Utomo N, Sp. 220201035
NY PK

dr. Dwi
2022/11/24/ RICES
21460 000867 188521 WARISTA NY 3213 HBsAg 12017509 Utomo N, Sp. 220211267
PK

dr. Dwi
2022/11/25/ SRI SUGIARTI
22081 000932 174853 NY 3213 HBsAg 12017509 Utomo N, Sp. 320201006
PK

dr. Dwi
23104 2022/11/26/ 172665 HIKMAHTUS 3213 HBsAg 12017509 Utomo N, Sp. 320201006
000091 SA"ADAH NY PK

dr. Dwi
24107 2022/11/28/ 192924 HERNAWATY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
001226 NY PK

dr. Dwi
24163 2022/11/28/ 145294 IRAWATY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
001119 HUTAPEA NY PK

2022/11/28/ ANITA dr. Dwi

24557 001175 192908 AMAELIA, NY 3213 HBsAg 12017509 Utomo N, Sp. 22016085
PK

NUR BAETI dr. Dwi

24683 2022/11/28/ 192831 RAKHMAWAT 3213 HBsAg 12017509 Utomo N, Sp. 22016085
001070 I NY PK

ECHA dr. Dwi

24742 2022/11/25/
001000 192808 AGUSTIN
RAHMAWATI 3213 HBsAg 12017509 Utomo N, Sp. 220201035
NY PK

2022/11/28/ TRI WAHYUNI dr. Dwi

24754 000683 92795 NY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
PK

dr. Dwi
25170 2022/11/29/ 134153 LINDA SEPTI 3213 HBsAg 12017509 Utomo N, Sp. 22016085
000385 MARIA NY
PK

dr. Dwi
25629 2022/11/29/
000482 180466 CHIE-CHIE
JULIANTI NY 3639 HBsAg (Rapid) 12017509 Utomo N, Sp. 21999081
PK

2022/11/29/ MEGA SUCI dr. Dwi

25759 000606 159924 RAHMAWATI 3213 HBsAg 12017509 Utomo N, Sp. 21999081
NY PK

dr. Dwi
26379 2022/11/30/ 179433 DESI ANWAR 3213 HBsAg 12017509 Utomo N, Sp. 21999081
000121 NY PK

2022/11/30/ dr. Dwi

26528 193014 YUSNITA, NY 3213 HBsAg 12017509 Utomo N, Sp. 21999081
001235 PK
 dr. Dwi
2022/11/30/ RIRIN
26686 001363 193056 MIASARI NY 3213 HBsAg 12017509 Utomo N, Sp. 220201035
PK

dr. Dwi
26695 2022/11/30/ 183790 NY. 3213 HBsAg 12017509 Utomo N, Sp. 220201035
001378 NOVIYANTI PK

DIAH dr. Dwi

2022/11/30/ PERMATA
27030 000027 192307 OKTAVIANI, 3213 HBsAg 12017509 Utomo N, Sp. 21999081
PK
NY
TER NOVEMBER
PETUGAS DOKTER TANGGAL JAM JENIS PEB POLI / RANHARGA

Liana Hidayati D0000004 dr. Noviady, 11/1/2022 17:16:47 BPJS Poliklinik 0 0

Sp. OG Obgyn

Riessa BPJS PBI

Anggaredyani 120171175 dr. Riry 11/1/2022 10:39:41 JAMKESMAS Poliklinik 0 0
ngtyas Meria, Sp. OG III Obgyn

Riessa dr. Riry Poliklinik

Anggaredyani 120171175 11/1/2022 12:27:29 BPJS 0 0
ngtyas Meria, Sp. OG Obgyn

Sukesi, Amd. 120171175 dr. Riry 11/2/2022 11:54:17 BPJS Poliklinik 0 0

AK Meria, Sp. OG Obgyn

dr. Riry
Eky Cahyoga 120171175 Meria, Sp. OG 11/3/2022 12:00:59 UMUM HALO BUMIL 0 0

Dr. Narendra BPJS PBI

Eky Cahyoga 120201086 Yoshua 11/3/2022 15:16:24 JAMKESMAS Poli IGD 0 0
Makmur III

dr. Noviady, BPJS Pekerja Poliklinik

Eky Cahyoga D0000004 Sp. OG 11/3/2022 11:44:23 Penerima Obgyn 0 0
Upah I

BPJS Pekerja Poliklinik

120171175 dr.
Riry
Liana Hidayati Meria, Sp. OG 11/4/2022 10:53:34 Penerima Obgyn 0 0
Upah I

Liana Hidayati 120171175 dr. Riry 11/4/2022 10:55:28 BPJS Poliklinik 0 0

Meria, Sp. OG Obgyn

BPJS PBI
Liana Hidayati 120171175 dr. Riry 11/4/2022 10:51:49 JAMKESMAS Poliklinik 0 0
Meria, Sp. OG III Obgyn

BPJS Pekerja
Liana Hidayati 12019362 dr. Fia Afifah 11/4/2022 6:51:07 Penerima Poli IGD 0 0
Muktisa
Upah I

Dr. Rizky BPJS Pekerja

Liana Hidayati 120201089 Alamsyah 11/5/2022 7:17:22 Penerima Poli IGD 0 0
Martani Upah I

dr. Muhamad BPJS PBI

Wulandari 120211291 Ikhsan 11/5/2022 12:22:57 JAMKESMAS Poli IGD 0 0
Nurmansyah III

BPJS Pekerja
Liana Hidayati D0000087 Dr. Wael 11/7/2022 19:01:27 Penerima Poliklinik 0 0
Sp.OG Obgyn
Upah I

Riessa BPJS PBI

dr. Riry Poliklinik
Anggaredyani 120171175 Meria, Sp. OG 11/7/2022 13:30:42 JAMKESMAS Obgyn 0 0
ngtyas III

Riessa
Anggaredyani 120171175 dr. Riry 11/7/2022 14:02:24 BPJS Poliklinik 0 0
ngtyas Meria, Sp. OG MANDIRI III Obgyn

dr. Lucas
Welfried BPJS PBI
Wulandari 12017512 Pandjaitan, 11/7/2022 6:32:39 JAMKESMAS Poli IGD 0 0
Sp. PD III
 BPJS PBI
Dr. Wael Poliklinik
Liana Hidayati D0000087 Sp.OG 11/7/2022 17:42:00 JAMKESMAS Obgyn 0 0
III

Dr. Wael BPJS Pekerja Poliklinik

Liana Hidayati D0000087 11/7/2022 20:00:35 Penerima 0 0
Sp.OG Upah I Obgyn

Riessa
Dr. Wael Poliklinik
Anggaredyani D0000087 Sp.OG 11/7/2022 13:38:55 BPJS Obgyn 0 0
ngtyas

Sukesi, Amd. D0000004 dr. Noviady, 11/8/2022 17:50:16 BPJS Poliklinik 0 0

AK Sp. OG Obgyn

Haidir Paqih D0000085 dr. Danu 11/8/2022 8:03:16 BPJS Poli IGD 0 0
Ajimantara

BPJS PBI
Sukesi, Amd. D0000004 dr. Noviady, 11/8/2022 19:03:00 JAMKESMAS Poliklinik 0 0
AK Sp. OG III Obgyn

dr. Noviady, Poliklinik

Liana Hidayati D0000004 Sp. OG 11/9/2022 21:42:37 BPJS Obgyn 0 0

Sukesi, Amd. dr. Riry Poliklinik

120171175 11/11/2022 12:27:03 BPJS 0 0
AK Meria, Sp. OG Obgyn

BPJS Pekerja
Sukesi, Amd. D0000118
AK Dr. Sausan 11/11/2022 8:33:10 Penerima Poli IGD 0 0
Upah I

dr. Alfiani
Haidir Paqih 120222597 Mar`atussale 11/13/2022 15:47:54 BPJS Poli IGD 0 0
hah

dr. Harsha
Wulandari 120211363 Denanda 11/14/2022 1:21:56 BPJS Poli IGD 0 0
Putra

Sukesi, Amd. Dr. Wael Poliklinik

AK D0000087 Sp.OG 11/15/2022 18:31:18 BPJS Obgyn 0 0

dr. Noviady, BPJS Pekerja Poliklinik

Rafis Madisa D0000004 11/15/2022 11:30:54 Penerima 0 0
Sp. OG Obgyn
Upah I

Eky Cahyoga D0000085 dr. Danu 11/16/2022 7:55:22 BPJS Poli IGD 0 0
Ajimantara

Eky Cahyoga D0000004 dr. Noviady, 11/16/2022 15:27:32 BPJS Poliklinik 0 0

Sp. OG Obgyn

Eky Cahyoga 120171175 dr. Riry

Meria, Sp. OG 11/17/2022 14:07:59 BPJS Poliklinik
Obgyn 0 0

BPJS PBI
Wulandari 120171175 dr. Riry 11/18/2022 7:40:24 JAMKESMAS Poliklinik 0 0
Meria, Sp. OG III Obgyn

Wulandari D0000004 dr. Noviady, 11/18/2022 14:32:28 BPJS PBI Poliklinik 0 0

Sp. OG JAMKESDA III Obgyn

Dr. Wael Poliklinik

Rafis Madisa D0000087 Sp.OG 11/19/2022 7:35:19 BPJS Obgyn 0 0

Dr. Narendra
Liana Hidayati 120201086 Yoshua 11/20/2022 15:05:44 BPJS Poli IGD 0 0
Makmur
 dr.
Rafis Madisa D0000120 Muhammad 11/21/2022 14:10:27 BPJS Poli IGD 0 0
Arga Putra
Mangitung

BPJS Pekerja
Wulandari 120222584 dr. Eriska
Muharani 11/21/2022 5:36:04 Penerima Poli IGD 0 0
Upah I

Riessa
Anggaredyani D0000004 dr. Noviady, 11/23/2022 14:26:02 BPJS Poliklinik 0 0
ngtyas Sp. OG Obgyn

Liana Hidayati D0000004 dr. Noviady, 11/23/2022 15:19:26 BPJS Poliklinik 0 0

Sp. OG Obgyn

dr. Nadira BPJS PBI

Liana Hidayati 320211364 11/24/2022 22:13:25 JAMKESMAS Poli IGD 0 0
Rachmianti III

BPJS PBI
Wulandari 12019952 dr. Rina Diana
Nurfitri 11/24/2022 9:16:14 JAMKESMAS Poli IGD 0 0
III

dr. Noviady, Poliklinik

Liana Hidayati D0000004 Sp. OG 11/24/2022 17:19:00 BPJS Obgyn 0 0

BPJS PBI
dr. Noviady, Poliklinik
Rafis Madisa D0000004 11/25/2022 11:09:17 JAMKESMAS Obgyn 0 0
Sp. OG
III

BPJS PBI
Rafis Madisa 12018232 dr. Reza 11/26/2022 8:35:58 JAMKESMAS Poli IGD 0 0
Mardany III

Wulandari D0000087 Dr. Wael 11/28/2022 19:02:58 BPJS Poliklinik 0 0

Sp.OG Obgyn

Dr. Wael
17:57:03 BPJS
Poliklinik
Wulandari D0000087 11/28/2022 0 0
Sp.OG MANDIRI II Obgyn

dr. Riry Poliklinik

Eky Cahyoga 120171175 Meria, Sp. OG 11/28/2022 13:44:50 BPJS Obgyn 0 0

BPJS PBI
Eky Cahyoga 120171175 dr. Riry 11/28/2022 13:27:30 JAMKESMAS Poliklinik 0 0
Meria, Sp. OG III Obgyn

BPJS PBI
Wulandari D0000087 Dr. Wael 11/28/2022 17:17:45 JAMKESMAS Poliklinik 0 0
Sp.OG Obgyn
III

Dr. Wael BPJS Pekerja Poliklinik

Wulandari D0000087 Sp.OG 11/28/2022 17:19:56 Penerima Obgyn 0 0
Upah I

Eky Cahyoga D0000004 dr. Noviady, 11/29/2022 12:27:14 BPJS Poliklinik 0 0

Sp. OG Obgyn

Sukesi, Amd. 120171175 dr. Riry 11/29/2022 13:42:22 UMUM HALO BUMIL 0 0
AK Meria, Sp. OG

dr. BPJS PBI

Sukesi, Amd. Muhammad
AK D0000120 Arga Putra 11/29/2022 21:03:28 JAMKESMAS Poli IGD 0 0
Mangitung III

Sukesi, Amd. 120171175 dr. Riry 11/30/2022 13:51:17 BPJS Poliklinik 0 0

AK Meria, Sp. OG MANDIRI III Obgyn

Sukesi, Amd. dr. Noviady, Poliklinik

D0000004 11/30/2022 13:43:11 BPJS 0 0
AK Sp. OG Obgyn
Wulandari D0000118 Dr. Sausan 11/30/2022 15:40:09 BPJS Poli IGD 0 0

Wulandari D0000004 dr. Noviady, 11/30/2022 17:25:03 BPJS Poliklinik 0 0

Sp. OG MANDIRI I Obgyn

Sukesi, Amd. dr. Noviady, Poliklinik

AK D0000004 Sp. OG 11/30/2022 12:24:30 BPJS Obgyn 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0