RSUD BESUKI

JLN.OLAHRAGA NO.55 KOTA TIMUR , BESUKI, JAWA TIMUR

(0338) 8955620
E-mail : rsudbesuki55@gmail.com

DATA DIAGNOSA PASIEN

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
01/04/2023 2023/04/01/000005 20045450 HASANAH R06.0 Dyspnoea Ralan Baru
01/04/2023 2023/04/01/000018 23063632 agus pardita saputra R50.9 Fever, unspecified Ralan Baru
01/04/2023 2023/04/01/000003 22060900 FIRDAUSIAH O14.9 Pre-eclampsia, unspecified Ralan Baru
01/04/2023 2023/04/01/000015 19041460 rudi puji handoyo F99 Mental disorder, not otherwise specified Ralan Baru
01/04/2023 2023/04/01/000026 23063635 SAKRIMA J18.9 Pneumonia, unspecified Ralan Baru
01/04/2023 2023/04/01/000001 23062235 TITANIA SEPTIANI DINDA PRATIWI R10.0 Acute abdomen Ralan Baru
01/04/2023 2023/04/01/000014 23063630 muhammad mirza hanif R11 Nausea and vomiting Ralan Baru
01/04/2023 2023/04/01/000024 23063634 HOSNOL HOTIMAH R06.0 Dyspnoea Ralan Baru
01/04/2023 2023/04/01/000013 23063629 fathor T63.0 Toxic effect of snake venom Ralan Baru
01/04/2023 2023/04/01/000019 23062608 KANZA NUR HUMAIRA MAHARANI R56.0 Febrile convulsions Ralan Lama
01/04/2023 2023/04/01/000024 23063634 HOSNOL HOTIMAH R07.4 Chest pain, unspecified Ralan Baru
01/04/2023 2023/04/01/000014 23063630 muhammad mirza hanif A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
02/04/2023 2023/04/02/000002 23063442 DINI ANGGRAINI RAMADHANI HIDAYATI O42.9 Premature rupture of membranes, unspecified Ralan Baru
02/04/2023 2023/04/02/000024 21051356 ATITI R10 Abdominal and pelvic pain Ralan Baru
02/04/2023 2023/04/02/000009 044738 ADIBA PUTRI ARISTA R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000001 23063636 WINDAWATI O47.0 False labour before 37 completed weeks of gestation Ralan Baru
02/04/2023 2023/04/02/000023 063649 SUTIRJO R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000008 23063344 METHA ANGGRAENI O32.1 Maternal care for breech presentation Ralan Lama
02/04/2023 2023/04/02/000027 23063651 NANDA WIAH LESTARI R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000015 23063643 AFITA KHOIRUN NISA L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified Ralan Baru
02/04/2023 2023/04/02/000022 016156 DJAMIATI R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000007 23063638 BENG / B. BENG MISNATUN I63.9 Cerebral infarction, unspecified Ralan Baru
02/04/2023 2023/04/02/000012 23063640 YASMIN TALITA MECCA R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000021 23063648 JENAL R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000006 16020338 SITI FAMILIA JAYANTI K30 Dyspepsia Ralan Lama
02/04/2023 2023/04/02/000026 17022696 JAHRIA A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
02/04/2023 2023/04/02/000011 23063639 NAFISA ILMIYAH A91 Dengue haemorrhagic fever Ralan Baru
02/04/2023 2023/04/02/000020 063647 AGUS SUGIANTO I63.9 Cerebral infarction, unspecified Ralan Baru
02/04/2023 2023/04/02/000003 23063558 IKE TRI MAULIDIYAN O42.9 Premature rupture of membranes, unspecified Ralan Baru
02/04/2023 2023/04/02/000025 23063650 ARMIN K92.1 Melaena Ralan Baru
02/04/2023 2023/04/02/000010 16019475 TOYANI R07.4 Chest pain, unspecified Ralan Baru
02/04/2023 2023/04/02/000028 17022180 vika novita putri R50.9 Fever, unspecified Ralan Baru
02/04/2023 2023/04/02/000018 063646 SUKARMI R55 Syncope and collapse Ralan Baru
02/04/2023 2023/04/02/000028 17022180 vika novita putri R11 Nausea and vomiting Ralan Baru
02/04/2023 2023/04/02/000018 063646 SUKARMI H81.4 Vertigo of central origin Ralan Baru
02/04/2023 2023/04/02/000027 23063651 NANDA WIAH LESTARI R11 Nausea and vomiting Ralan Baru
03/04/2023 2023/04/03/000010 23063654 sakdiyah L04.9 Acute lymphadenitis, unspecified Ralan Baru
03/04/2023 2023/04/03/000029 23063655 febi lusiana O32.1 Maternal care for breech presentation Ralan Baru

7/20/23, 7:37 AM Page 1 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
03/04/2023 2023/04/03/000055 22059314 RUKMIATI E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000075 15009546 YUNI SRI HERLINDA K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000094 20044358 ACHMAD RAZKA RISYAFIL ZAMZAMI G400 Localization-related(focal)(partial)idiopathic epilepsy / epileptic syndromes Ralan Baru
seizures localized ons
03/04/2023 2023/04/03/000015 21054220 SAODA E11 Non-insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000034 17027220 SUMINDAR J45 Asthma Ralan Lama
03/04/2023 2023/04/03/000061 23063329 lucky megawati gunawan O20.0 Threatened abortion Ralan Lama
03/04/2023 2023/04/03/000080 23062472 ratnawati Z35.8 Supervision of other high-risk pregnancies Ralan Baru
03/04/2023 2023/04/03/000005 21051963 ABDUL AZIS I10 Essential (primary) hypertension Ralan Lama
03/04/2023 2023/04/03/000021 16011487 DIANA E05 Thyrotoxicosis [hyperthyroidism] Ralan Lama
03/04/2023 2023/04/03/000045 17025538 SOEGIRI SAHIJOES I10 Essential (primary) hypertension Ralan Lama
03/04/2023 2023/04/03/000068 16012670 ANNISA HIDAYATI PANGESTU Z351 Supervision of pregnancy with history of abortive outcome Ralan Baru
03/04/2023 2023/04/03/000087 21049731 NURUL HOLILULLAH O20.0 Threatened abortion Ralan Lama
03/04/2023 2023/04/03/000110 004474 YULI MUNAWAROH A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
03/04/2023 2023/04/03/000009 18037024 SABURA K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000028 19038275 TIARA BUNGA ROMADHON K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000054 23063451 suradi L03.0 Cellulitis of finger and toe Ralan Baru
03/04/2023 2023/04/03/000074 21050316 PUTRI ALYA SYAFIQHA G919 Hydrocephalus, unspecified Ralan Baru
03/04/2023 2023/04/03/000092 026443 ASIH AMILIA I10 Essential (primary) hypertension Ralan Baru
03/04/2023 2023/04/03/000014 22058918 MINARTI E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000033 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
03/04/2023 2023/04/03/000059 23063660 HAMDIYATI O14.9 Pre-eclampsia, unspecified Ralan Baru
03/04/2023 2023/04/03/000079 23062766 HOSZAIMAH I10 Essential (primary) hypertension Ralan Baru
03/04/2023 2023/04/03/000003 23063652 M.DAHLAN R17 Unspecified jaundice Ralan Baru
03/04/2023 2023/04/03/000020 23062502 SUROKSO K30 Dyspepsia Ralan Lama
03/04/2023 2023/04/03/000044 22060024 SITI MAULIDATUS SOFIA O48 Prolonged pregnancy Ralan Baru
03/04/2023 2023/04/03/000067 22055295 MUHAMMAD ZAFRAN DAVIANDRA G400 Localization-related(focal)(partial)idiopathic epilepsy / epileptic syndromes Ralan Baru
seizures localized ons
03/04/2023 2023/04/03/000085 21049601 WAHYUNI Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
03/04/2023 2023/04/03/000109 19038727 JIHAN JAMILAH R50.9 Fever, unspecified Ralan Baru
03/04/2023 2023/04/03/000008 23063497 sri utami N814 Uterovaginal prolapse, unspecified Ralan Baru
03/04/2023 2023/04/03/000027 21051227 LAELATUS ZEHRO Z34.0 Supervision of normal first pregnancy Ralan Lama
03/04/2023 2023/04/03/000053 23061873 YUNI Z35 Supervision of high-risk pregnancy Ralan Lama
03/04/2023 2023/04/03/000072 001169 SUAMI R06.0 Dyspnoea Ralan Baru
03/04/2023 2023/04/03/000116 23063681 EKO BUDI HARTONO R50.9 Fever, unspecified Ralan Baru
03/04/2023 2023/04/03/000013 17024263 JUMAADIN K30 Dyspepsia Ralan Lama
03/04/2023 2023/04/03/000031 19041677 SANIMA B90.0 Sequelae of central nervous system tuberculosis Ralan Baru
03/04/2023 2023/04/03/000058 17025921 NIKE INDAH BUDIARTY RICWAN E10 Insulin-dependent diabetes mellitus Ralan Baru
03/04/2023 2023/04/03/000078 23063662 SINTA NOVA RIAH J40 Bronchitis, not specified as acute or chronic Ralan Baru
03/04/2023 2023/04/03/000102 19040570 AINUR HALIMATUS S. O30.0 Twin pregnancy Ralan Lama
03/04/2023 2023/04/03/000019 18035207 MOCH.MUCHTAR E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000066 23063343 sri wahyuni O03.9 Spontaneous abortion, complete or unspecified, without complication Ralan Baru
03/04/2023 2023/04/03/000084 23063664 ULFATUL HASANAH Z35 Supervision of high-risk pregnancy Ralan Baru
03/04/2023 2023/04/03/000106 063675 AHMAD FAHRUR ROSI S06.0 Concussion Ralan Baru
03/04/2023 2023/04/03/000007 22059866 ALIFA KARIMATUL ULA O48 Prolonged pregnancy Ralan Baru
03/04/2023 2023/04/03/000026 23062528 SUHARTATIK I10 Essential (primary) hypertension Ralan Baru

7/20/23, 7:37 AM Page 2 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
03/04/2023 2023/04/03/000071 22054650 ARDIAZ HAFIZHAN FIRDAUS K11.1 Hypertrophy of salivary gland Ralan Baru
03/04/2023 2023/04/03/000091 23063665 MUHAMMAD DODY IRAWAN K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000112 22056485 MOJER R06.0 Dyspnoea Ralan Lama
03/04/2023 2023/04/03/000012 22060953 MUHAMMAD BAHTIAR ABDAU I10 Essential (primary) hypertension Ralan Lama
03/04/2023 2023/04/03/000030 23063484 hamdan basori M54.5 Low back pain Ralan Baru
03/04/2023 2023/04/03/000057 17021927 KAMILAH AYU ATMAJA K30 Dyspepsia Ralan Lama
03/04/2023 2023/04/03/000077 23063661 AISYAH NUHA ZAHIRA Z00.1 Routine child health examination Ralan Baru
03/04/2023 2023/04/03/000099 23063671 DUMIYATI S72.90 Fracture of femur, part unspecified, closed Ralan Baru
03/04/2023 2023/04/03/000001 036243 SULIATI I10 Essential (primary) hypertension Ralan Lama
03/04/2023 2023/04/03/000018 21052312 ADI PRANOTO E11 Non-insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000040 23063486 suud K40.0 Bilateral inguinal hernia, with obstruction, without gangrene Ralan Baru
03/04/2023 2023/04/03/000064 18035612 HERMAWAN SUGIANTO S099 Unspecified injury of head Ralan Lama
03/04/2023 2023/04/03/000083 23063282 NITO I10 Essential (primary) hypertension Ralan Baru
03/04/2023 2023/04/03/000104 23063673 NOVI SETIAWATI O32.1 Maternal care for breech presentation Ralan Baru
03/04/2023 2023/04/03/000025 21049970 MUHAMMAD RAMZI R56.0 Febrile convulsions Ralan Baru
03/04/2023 2023/04/03/000051 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
03/04/2023 2023/04/03/000070 15003826 ENEK K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000089 23063666 NINGSIH HASANAH O20.0 Threatened abortion Ralan Baru
03/04/2023 2023/04/03/000111 22059687 GAHATMA PUAN MAULANA R06.0 Dyspnoea Ralan Lama
03/04/2023 2023/04/03/000011 18036114 TATIK K80.8 Other cholelithiasis Ralan Baru
03/04/2023 2023/04/03/000056 23063659 ZUHROTUL MUSARROFA Z34.0 Supervision of normal first pregnancy Ralan Baru
03/04/2023 2023/04/03/000076 18032012 SITI FATIMAH L020 Cutaneous abscess, furuncle and carbuncle of face Ralan Baru
03/04/2023 2023/04/03/000097 23063669 sawiya R10 Abdominal and pelvic pain Ralan Baru
03/04/2023 2023/04/03/000017 19042479 SUNAMI E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000063 23063495 ayana ningsih Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
03/04/2023 2023/04/03/000082 23063504 abd.adim R18 Ascites Ralan Baru
03/04/2023 2023/04/03/000103 18034463 AHMAD RAMADHANI HARIYANTO R50.9 Fever, unspecified Ralan Baru
03/04/2023 2023/04/03/000006 22057500 TUMI E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000022 16018402 SATIMA E10 Insulin-dependent diabetes mellitus Ralan Lama
03/04/2023 2023/04/03/000046 23061844 FIONA SYAFIQA GAZALA B20 Human immunodeficiency virus [HIV] disease resulting in infectious and Ralan Lama
parasitic diseases
03/04/2023 2023/04/03/000069 23063453 winda Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
03/04/2023 2023/04/03/000088 23062185 WIRDATUL HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
03/04/2023 2023/04/03/000103 18034463 AHMAD RAMADHANI HARIYANTO R10.4 Other and unspecified abdominal pain Ralan Baru
03/04/2023 2023/04/03/000092 026443 ASIH AMILIA E05 Thyrotoxicosis [hyperthyroidism] Ralan Baru
03/04/2023 2023/04/03/000003 23063652 M.DAHLAN K30 Dyspepsia Ralan Baru
03/04/2023 2023/04/03/000044 22060024 SITI MAULIDATUS SOFIA O41.0 Oligohydramnios Ralan Baru
03/04/2023 2023/04/03/000053 23061873 YUNI O32.1 Maternal care for breech presentation Ralan Baru
03/04/2023 2023/04/03/000007 22059866 ALIFA KARIMATUL ULA O41.0 Oligohydramnios Ralan Baru
03/04/2023 2023/04/03/000029 23063655 febi lusiana O44 Placenta praevia Ralan Baru
03/04/2023 2023/04/03/000038 16014669 HINDUN MARDIANA T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
03/04/2023 2023/04/03/000110 004474 YULI MUNAWAROH G44.0 Cluster headache syndrome Ralan Baru
03/04/2023 2023/04/03/000103 18034463 AHMAD RAMADHANI HARIYANTO K65.9 Peritonitis, unspecified Ralan Baru
04/04/2023 2023/04/04/000118 23063683 KHANZA LAUZAH R509 Fever, unspecified Ralan Baru
04/04/2023 2023/04/04/000135 17021441 HARTATIK E10 Insulin-dependent diabetes mellitus Ralan Lama
04/04/2023 2023/04/04/000155 15008717 NURIL SARIYANA O99.0 Anaemia complicating pregnancy, childbirth and the puerperium Ralan Baru

7/20/23, 7:37 AM Page 3 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
04/04/2023 2023/04/04/000178 17026247 SUHARPIYATIN K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000124 053744 SRI ASTUTIK K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000139 22060566 eko purwanto K21 Gastro-oesophageal reflux disease Ralan Lama
04/04/2023 2023/04/04/000163 19039408 JUWITA PERMATA SARI GINTING Z35 Supervision of high-risk pregnancy Ralan Lama
04/04/2023 2023/04/04/000129 23063369 sumarmo K74.6 Other and unspecified cirrhosis of liver Ralan Baru
04/04/2023 2023/04/04/000145 22055000 ANNISA SYUKRIA DZIKRILLAH R50.0 Fever with chills Ralan Baru
04/04/2023 2023/04/04/000167 22057013 RANIATUN C53.9 Malignant neoplasm of cervix uteri, unspecified Ralan Baru
04/04/2023 2023/04/03/000117 23063682 muhammad fahmi al farisi R50.9 Fever, unspecified Ralan Baru
04/04/2023 2023/04/04/000134 17023272 NINGSIH WATI K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000154 23063690 sami Z35 Supervision of high-risk pregnancy Ralan Baru
04/04/2023 2023/04/04/000177 23063698 SATINA I11 Hypertensive heart disease Ralan Baru
04/04/2023 2023/04/04/000189 22058432 ahmad R33 Retention of urine Ralan Baru
04/04/2023 2023/04/04/000123 23063400 abdus shirath E11 Non-insulin-dependent diabetes mellitus Ralan Lama
04/04/2023 2023/04/04/000138 18030220 IKRISTIA MARIANA PAHLAWATI K21.0 Gastro-oesophageal reflux disease with oesophagitis Ralan Lama
04/04/2023 2023/04/04/000128 23063685 indra handoko N83.2 Other and unspecified ovarian cysts Ralan Baru
04/04/2023 2023/04/04/000143 19042700 FARIDATUL HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
04/04/2023 2023/04/04/000166 23062494 RISMANITA IKA INDRIYANI Z35.1 Supervision of pregnancy with history of abortive outcome Ralan Baru
04/04/2023 2023/04/04/000133 23063687 MUHDER K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000152 23063529 innani L929 Granulomatous disorder of skin and subcutaneous tissue, unspecified Ralan Baru
04/04/2023 2023/04/04/000174 23063630 muhammad mirza hanif R11 Nausea and vomiting Ralan Lama
04/04/2023 2023/04/04/000122 23063517 SAMSUN YADI H81.1 Benign paroxysmal vertigo Ralan Baru
04/04/2023 2023/04/04/000137 23063011 junaida Z358 Supervision of other high-risk pregnancies Ralan Lama
04/04/2023 2023/04/04/000162 23063692 sukri A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
04/04/2023 2023/04/04/000188 23063088 HALIMATUS ZAKDIYAH O44.0 Placenta praevia specified as without haemorrhage Ralan Baru
04/04/2023 2023/04/04/000191 23063705 YULISWATI R50.9 Fever, unspecified Ralan Baru
04/04/2023 2023/04/04/000127 22056561 HERLIN K30 Dyspepsia Ralan Lama
04/04/2023 2023/04/04/000142 23062436 HARIDJO I50.0 Congestive heart failure Ralan Baru
04/04/2023 2023/04/04/000197 22055370 mohammad ardiyansyah R50.9 Fever, unspecified Ralan Baru
04/04/2023 2023/04/04/000151 23063496 SITI LUTHFIYAH A. Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
04/04/2023 2023/04/04/000171 23061660 hosnol khotimah Z35 Supervision of high-risk pregnancy Ralan Lama
04/04/2023 2023/04/04/000121 23062650 BINTI NGUYASAROH E10 Insulin-dependent diabetes mellitus Ralan Lama
04/04/2023 2023/04/04/000159 23063481 IMAM WAHYUDI S91 Open wound of ankle and foot Ralan Baru
04/04/2023 2023/04/04/000184 23063688 tari E10 Insulin-dependent diabetes mellitus Ralan Baru
04/04/2023 2023/04/04/000126 15007404 IMAM HAMBALI B90.0 Sequelae of central nervous system tuberculosis Ralan Lama
04/04/2023 2023/04/04/000141 18030612 ASNAWI E11 Non-insulin-dependent diabetes mellitus Ralan Lama
04/04/2023 2023/04/04/000165 23063694 alfia putri agustian Z34.0 Supervision of normal first pregnancy Ralan Baru
04/04/2023 2023/04/04/000195 002863 DINI ZAKIYATUL HASANAH R50.9 Fever, unspecified Ralan Baru
04/04/2023 2023/04/04/000132 15003649 SATUKI I10 Essential (primary) hypertension Ralan Lama
04/04/2023 2023/04/04/000147 15004622 ABDUL AZIS E11 Non-insulin-dependent diabetes mellitus Ralan Lama
04/04/2023 2023/04/04/000170 23063697 BUNI R06.0 Dyspnoea Ralan Baru
04/04/2023 2023/04/04/000120 22061373 JAMILA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
04/04/2023 2023/04/04/000136 21053742 SAIMAN J45 Asthma Ralan Baru
04/04/2023 2023/04/04/000157 16017030 NINA SEPTIA PRASELINA K64 Haemorrhoids and perianal venous thrombosis Ralan Baru
04/04/2023 2023/04/04/000182 22059468 MASADIN M15.0 Primary generalized (osteo)arthrosis Ralan Lama
04/04/2023 2023/04/04/000190 23063704 MOCH. SHOLEH B19.9 Unspecified viral hepatitis without hepatic coma Ralan Baru
04/04/2023 2023/04/04/000125 15004159 SUARNI B90.0 Sequelae of central nervous system tuberculosis Ralan Lama

7/20/23, 7:37 AM Page 4 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
04/04/2023 2023/04/04/000140 22056571 HARTONO J20 Acute bronchitis Ralan Lama
04/04/2023 2023/04/04/000164 23063693 IKBAL RIZALDI A91 Dengue haemorrhagic fever Ralan Baru
04/04/2023 2023/04/04/000193 23063707 TARUKI R10 Abdominal and pelvic pain Ralan Baru
04/04/2023 2023/04/04/000130 22057500 TUMI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
04/04/2023 2023/04/04/000146 23063140 ruaika E66 Obesity Ralan Lama
04/04/2023 2023/04/04/000168 23063695 NIYA R11 Nausea and vomiting Ralan Baru
04/04/2023 2023/04/04/000190 23063704 MOCH. SHOLEH B17 Other acute viral hepatitis Ralan Baru
04/04/2023 2023/04/04/000193 23063707 TARUKI K59.0 Constipation Ralan Baru
04/04/2023 2023/04/04/000163 19039408 JUWITA PERMATA SARI GINTING O14.0 Moderate pre-eclampsia Ralan Baru
04/04/2023 2023/04/04/000166 23062494 RISMANITA IKA INDRIYANI O32.1 Maternal care for breech presentation Ralan Baru
04/04/2023 2023/04/04/000132 15003649 SATUKI K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000137 23063011 junaida O48 Prolonged pregnancy Ralan Baru
04/04/2023 2023/04/04/000191 23063705 YULISWATI K30 Dyspepsia Ralan Baru
04/04/2023 2023/04/04/000193 23063707 TARUKI I51.7 Cardiomegaly Ralan Baru
05/04/2023 2023/04/05/000027 23063334 NUR KHOLIFAH D24 Benign neoplasm of breast Ralan Lama
05/04/2023 2023/04/05/000007 17024646 HILYAH MASUNAH Z34.0 Supervision of normal first pregnancy Ralan Baru
05/04/2023 2023/04/05/000034 23063114 LUSIYANA N61 Inflammatory disorders of breast Ralan Lama
05/04/2023 2023/04/05/000058 23063734 AUREFIA NADIN RAMADHANI R50.0 Fever with chills Ralan Baru
05/04/2023 2023/04/05/000012 23063425 HASYIM K40 Inguinal hernia Ralan Lama
05/04/2023 2023/04/05/000064 22061391 SUFYAN D55.0 Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency Ralan Baru
05/04/2023 2023/04/05/000002 059832 SAYUTI/ B.SUPI K30 Dyspepsia Ralan Baru
05/04/2023 2023/04/05/000024 15007049 ahmad FAHREZA radhitya pratama R50.0 Fever with chills Ralan Baru
05/04/2023 2023/04/05/000047 23063725 moch.bahrul alim R59.1 Generalized enlarged lymph nodes Ralan Baru
05/04/2023 2023/04/05/000068 23063740 MUHAIMIN AL GOFAR R50.9 Fever, unspecified Ralan Baru
05/04/2023 2023/04/05/000006 23063330 ahmad habibi salam R59.1 Generalized enlarged lymph nodes Ralan Baru
05/04/2023 2023/04/05/000033 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
05/04/2023 2023/04/05/000037 21052897 BUSANI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
05/04/2023 2023/04/05/000063 23063738 HARANIK R50.9 Fever, unspecified Ralan Baru
05/04/2023 2023/04/05/000001 063709 AHMAD IKLILUL ASYROF H66 Suppurative and unspecified otitis media Ralan Baru
05/04/2023 2023/04/05/000021 23062861 MAISYAROH Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history Ralan Lama
05/04/2023 2023/04/05/000046 23063572 siti aminah T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
05/04/2023 2023/04/05/000066 23062746 MUHAMMAD REZA J69.0 Pneumonitis due to food and vomit Ralan Baru
05/04/2023 2023/04/05/000005 23063685 indra handoko N83.2 Other and unspecified ovarian cysts Ralan Lama
05/04/2023 2023/04/05/000030 19042597 WASILATUL FADILAH Z340 Supervision of normal first pregnancy Ralan Baru
05/04/2023 2023/04/05/000054 23063730 JUMAAH A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
05/04/2023 2023/04/05/000010 18031030 DIWAR K351 Acute appendicitis with peritoneal abscess Ralan Lama
05/04/2023 2023/04/05/000036 22058283 nor shoviatun Z340 Supervision of normal first pregnancy Ralan Baru
05/04/2023 2023/04/05/000020 23063451 suradi L03.9 Cellulitis, unspecified Ralan Baru
05/04/2023 2023/04/05/000044 16010501 RISKIYANI HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
05/04/2023 2023/04/05/000004 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
05/04/2023 2023/04/05/000028 15005876 SUMIANA O200 Threatened abortion Ralan Baru
05/04/2023 2023/04/05/000052 23063729 aisyah nur utami Z34.0 Supervision of normal first pregnancy Ralan Baru
05/04/2023 2023/04/05/000009 23061975 RIPA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
05/04/2023 2023/04/05/000035 21050695 MISNATI Z358 Supervision of other high-risk pregnancies Ralan Baru
05/04/2023 2023/04/05/000059 23063735 JUHARI / DJOEHARI K40 Inguinal hernia Ralan Baru
05/04/2023 2023/04/05/000019 16013997 RADITIA KANZA WICAKSANA R50.0 Fever with chills Ralan Baru

7/20/23, 7:37 AM Page 5 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
05/04/2023 2023/04/05/000041 23063431 MUKRI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
05/04/2023 2023/04/05/000065 23063739 AVAN DIMAS H81.4 Vertigo of central origin Ralan Baru
05/04/2023 2023/04/05/000003 063710 MISRU R50.9 Fever, unspecified Ralan Baru
05/04/2023 2023/04/05/000048 23061756 JUHAIRIYAH K35 Acute appendicitis Ralan Lama
05/04/2023 2023/04/05/000008 23063518 WIWIT HANDAYANI T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
05/04/2023 2023/04/05/000018 23063576 supeno T14.0 Superficial injury of unspecified body region Ralan Baru
05/04/2023 2023/04/05/000038 23063035 dewi amelia O14.9 Pre-eclampsia, unspecified Ralan Lama
05/04/2023 2023/04/05/000003 063710 MISRU D64.0 Hereditary sideroblastic anaemia Ralan Baru
05/04/2023 2023/04/05/000048 23061756 JUHAIRIYAH C719 Malignant neoplasm, brain, unspecified Ralan Lama
05/04/2023 2023/04/05/000038 23063035 dewi amelia E66 Obesity Ralan Lama
05/04/2023 2023/04/05/000054 23063730 JUMAAH R73.9 Hyperglycaemia, unspecified Ralan Baru
05/04/2023 2023/04/05/000011 23063711 petra surianti O42.9 Premature rupture of membranes, unspecified Ralan Baru
05/04/2023 2023/04/05/000063 23063738 HARANIK K30 Dyspepsia Ralan Baru
05/04/2023 2023/04/05/000065 23063739 AVAN DIMAS N39 Other disorders of urinary system Ralan Baru
05/04/2023 2023/04/05/000028 15005876 SUMIANA N96 Habitual aborter Ralan Lama
05/04/2023 2023/04/05/000059 23063735 JUHARI / DJOEHARI I10 Essential (primary) hypertension Ralan Baru
05/04/2023 2023/04/05/000064 22061391 SUFYAN R53 Malaise and fatigue Ralan Baru
05/04/2023 2023/04/05/000035 21050695 MISNATI O42.0 Premature rupture of membranes, onset of labour within 24 hours Ralan Baru
06/04/2023 2023/04/06/000016 15001390 RAHMA K30 Dyspepsia Ralan Lama
06/04/2023 2023/04/06/000036 22059916 ZAINAP E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000051 22054356 HERYADI G90 Disorders of autonomic nervous system Ralan Lama
06/04/2023 2023/04/06/000076 23063752 supriyatin E66 Obesity Ralan Baru
06/04/2023 2023/04/06/000098 23063011 junaida O42.1 Premature rupture of membranes, onset of labour after 24 hours Ralan Baru
06/04/2023 2023/04/06/000005 23062081 NANANG BASORI I10 Essential (primary) hypertension Ralan Lama
06/04/2023 2023/04/06/000025 23063533 khairun nisak A91 Dengue haemorrhagic fever Ralan Baru
06/04/2023 2023/04/06/000058 23063585 HATIJA L02.2 Cutaneous abscess, furuncle and carbuncle of trunk Ralan Baru
06/04/2023 2023/04/06/000086 23063757 EFA SUGIHANATUN R10.0 Acute abdomen Ralan Baru
06/04/2023 2023/04/06/000010 23063614 raodah I10 Essential (primary) hypertension Ralan Baru
06/04/2023 2023/04/06/000029 18030759 MARSUKI / P. SUTRISNI R06.0 Dyspnoea Ralan Baru
06/04/2023 2023/04/06/000045 22060476 ANUGRAH KEENAN ARSHAKA J30.3 Other allergic rhinitis Ralan Baru
06/04/2023 2023/04/06/000064 22056394 NAYLATUL ILMIYAH A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
06/04/2023 2023/04/06/000092 17020978 SUSILOWATI K30 Dyspepsia Ralan Baru
06/04/2023 2023/04/06/000015 23063439 yatimatul risqiyah E11 Non-insulin-dependent diabetes mellitus Ralan Baru
06/04/2023 2023/04/06/000034 18029925 SUYITNO I10 Essential (primary) hypertension Ralan Baru
06/04/2023 2023/04/06/000050 23063595 gafi ghiffari arifki J20 Acute bronchitis Ralan Baru
06/04/2023 2023/04/06/000074 16010501 RISKIYANI HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
06/04/2023 2023/04/06/000096 23063762 ANAK NY LISA FITRIYA SARI A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
06/04/2023 2023/04/06/000004 22060777 RAHMAWATI I10 Essential (primary) hypertension Ralan Baru
06/04/2023 2023/04/06/000024 22056773 HASIA AMILIA E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000040 19038851 UMI HAYRUN NISA O32.1 Maternal care for breech presentation Ralan Baru
06/04/2023 2023/04/06/000056 21052874 RUHAM M71.2 Synovial cyst of popliteal space [Baker] Ralan Baru
06/04/2023 2023/04/06/000085 23063756 wasil sarbini S06 Intracranial injury Ralan Baru
06/04/2023 2023/04/06/000009 18033706 JUHANA I50.0 Congestive heart failure Ralan Baru
06/04/2023 2023/04/06/000028 23061704 SITI AISYiAH E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000044 23063518 WIWIT HANDAYANI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
06/04/2023 2023/04/06/000062 19042637 AMINATUS ZUHRIYA A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru

7/20/23, 7:37 AM Page 6 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
06/04/2023 2023/04/06/000014 18032887 misnawi I10 Essential (primary) hypertension Ralan Baru
06/04/2023 2023/04/06/000033 21052112 TITIK UTAMI E11 Non-insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000049 19038401 SAUMI GULSUM E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000071 23063750 UMI KULSUM Z35 Supervision of high-risk pregnancy Ralan Baru
06/04/2023 2023/04/06/000095 23063761 AHMADI I95.9 Hypotension, unspecified Ralan Baru
06/04/2023 2023/04/06/000003 20046230 MOH.MAULANA MIFTAHUL ARIFIN R50.9 Fever, unspecified Ralan Baru
06/04/2023 2023/04/06/000021 23063382 misya R80 Isolated proteinuria Ralan Baru
06/04/2023 2023/04/06/000039 23063744 afifatur rodiyah N61 Inflammatory disorders of breast Ralan Baru
06/04/2023 2023/04/06/000008 22055098 SARITO E10 Insulin-dependent diabetes mellitus Ralan Baru
06/04/2023 2023/04/06/000027 19042700 FARIDATUL HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
06/04/2023 2023/04/06/000043 23063745 SUNHARI I10 Essential (primary) hypertension Ralan Baru
06/04/2023 2023/04/06/000061 23063748 pawi K40 Inguinal hernia Ralan Baru
06/04/2023 2023/04/06/000090 23063759 SADIMIN K30 Dyspepsia Ralan Baru
06/04/2023 2023/04/06/000032 23063742 mustamin J40 Bronchitis, not specified as acute or chronic Ralan Baru
06/04/2023 2023/04/06/000048 21052410 ADIRA ABIZAR RAHMAN R50.0 Fever with chills Ralan Baru
06/04/2023 2023/04/06/000067 16018416 FATIMATUS SADIYAH K42 Umbilical hernia Ralan Baru
06/04/2023 2023/04/06/000020 17021846 MISTINA K80 Cholelithiasis Ralan Lama
06/04/2023 2023/04/06/000038 23063404 lisa amalia D24 Benign neoplasm of breast Ralan Lama
06/04/2023 2023/04/06/000054 20047459 HOSNAWIYAH C53.9 Malignant neoplasm of cervix uteri, unspecified Ralan Baru
06/04/2023 2023/04/06/000099 17024263 JUMAADIN K30 Dyspepsia Ralan Lama
06/04/2023 2023/04/06/000007 22054875 HOTIB E11 Non-insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000042 22057276 HATINA E11 Non-insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000060 15008265 NUR ISLIYAH T83.3 Mechanical complication of intrauterine contraceptive device Ralan Baru
06/04/2023 2023/04/06/000089 23063758 MUHAMMAD REYHAN RAMA ALFATIH A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
06/04/2023 2023/04/06/000031 21053610 SARIYATUN I10 Essential (primary) hypertension Ralan Lama
06/04/2023 2023/04/06/000047 20045450 HASANAH K30 Dyspepsia Ralan Baru
06/04/2023 2023/04/06/000066 21053649 AHMAD JAILANI FIRMANSYAH G40 Epilepsy Ralan Lama
06/04/2023 2023/04/06/000094 23063760 SITI SULAEHA O32.1 Maternal care for breech presentation Ralan Baru
06/04/2023 2023/04/06/000002 22055883 HUZAINI R50.9 Fever, unspecified Ralan Baru
06/04/2023 2023/04/06/000018 15001777 AZWIN SIAHAAN E11 Non-insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000037 23063639 NAFISA ILMIYAH A91 Dengue haemorrhagic fever Ralan Lama
06/04/2023 2023/04/06/000053 18031041 DINATUL KHOLIDIAH K04.7 Periapical abscess without sinus Ralan Baru
06/04/2023 2023/04/06/000081 23063697 BUNI A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
06/04/2023 2023/04/06/000006 20044504 ADAU I10 Essential (primary) hypertension Ralan Lama
06/04/2023 2023/04/06/000026 18033503 SITI ROSA FIRDAUS O32.1 Maternal care for breech presentation Ralan Baru
06/04/2023 2023/04/06/000041 17022831 SUMIYATI E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000059 23062552 PUJI CANDRA ASIH O42 Premature rupture of membranes Ralan Baru
06/04/2023 2023/04/06/000087 17027769 HAMAMAH FIRDAUSIYAH R10 Abdominal and pelvic pain Ralan Baru
06/04/2023 2023/04/06/000013 15003652 BABUN NIKMAH K40 Inguinal hernia Ralan Baru
06/04/2023 2023/04/06/000030 22060341 JELIYA K30 Dyspepsia Ralan Lama
06/04/2023 2023/04/06/000046 15003384 SAWATI E10 Insulin-dependent diabetes mellitus Ralan Lama
06/04/2023 2023/04/06/000065 22056393 MAYLATUL KHOYRIYAH A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
06/04/2023 2023/04/06/000093 15010303 SITI MARYAMAH K30 Dyspepsia Ralan Baru
06/04/2023 2023/04/06/000002 22055883 HUZAINI A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
06/04/2023 2023/04/06/000040 19038851 UMI HAYRUN NISA Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history Ralan Lama
06/04/2023 2023/04/06/000090 23063759 SADIMIN R10 Abdominal and pelvic pain Ralan Baru

7/20/23, 7:37 AM Page 7 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
06/04/2023 2023/04/06/000056 21052874 RUHAM L984 Chronic ulcer of skin, not elsewhere classified Ralan Baru
06/04/2023 2023/04/06/000081 23063697 BUNI R06.0 Dyspnoea Ralan Lama
06/04/2023 2023/04/06/000013 15003652 BABUN NIKMAH N45 Orchitis and epididymitis Ralan Baru
06/04/2023 2023/04/06/000095 23063761 AHMADI B23.0 Acute HIV infection syndrome Ralan Baru
06/04/2023 2023/04/06/000003 20046230 MOH.MAULANA MIFTAHUL ARIFIN R11 Nausea and vomiting Ralan Baru
06/04/2023 2023/04/06/000026 18033503 SITI ROSA FIRDAUS O99.0 Anaemia complicating pregnancy, childbirth and the puerperium Ralan Baru
06/04/2023 2023/04/06/000099 17024263 JUMAADIN J18.9 Pneumonia, unspecified Ralan Baru
06/04/2023 2023/04/06/000081 23063697 BUNI A40.3 Sepsis due to Streptococcus pneumoniae Ralan Baru
06/04/2023 2023/04/06/000013 15003652 BABUN NIKMAH N43.3 Hydrocele, unspecified Ralan Baru
07/04/2023 2023/04/07/000024 18032104 LEWATI S06.0 Concussion Ralan Baru
07/04/2023 2023/04/07/000038 059677 SHANUM MAULIDA KINARA A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
07/04/2023 2023/04/07/000004 23063767 SAYYI R06.0 Dyspnoea Ralan Baru
07/04/2023 2023/04/07/000028 23063779 FAIKATUL UMAROH T00.9 Multiple superficial injuries, unspecified Ralan Baru
07/04/2023 2023/04/07/000017 23063773 ESSU R73.9 Hyperglycaemia, unspecified Ralan Baru
07/04/2023 2023/04/07/000033 16015092 PRISKA DWI ARYANTI H81.1 Benign paroxysmal vertigo Ralan Baru
07/04/2023 2023/04/07/000023 23063776 UDAYA DAMARJATI S98.4 Traumatic amputation of foot, level unspecified Ralan Baru
07/04/2023 2023/04/07/000037 18033824 MUHAMMAD AKBAR RAMADHAN R50.0 Fever with chills Ralan Baru
07/04/2023 2023/04/07/000003 19038601 DEWI RATIKA J45.9 Asthma, unspecified Ralan Baru
07/04/2023 2023/04/07/000027 23063778 NABILA AQILATUL IZZAH T009 Multiple superficial injuries, unspecified Ralan Baru
07/04/2023 2023/04/07/000015 002863 DINI ZAKIYATUL HASANAH R11 Nausea and vomiting Ralan Baru
07/04/2023 2023/04/07/000032 17026247 SUHARPIYATIN K30 Dyspepsia Ralan Lama
07/04/2023 2023/04/07/000036 20046497 TORIJO R06.0 Dyspnoea Ralan Baru
07/04/2023 2023/04/07/000002 23063766 A. DJUNAEDI I21.3 Acute transmural myocardial infarction of unspecified site Ralan Baru
07/04/2023 2023/04/07/000026 23063777 AISYAH HUMAIROH T00.9 Multiple superficial injuries, unspecified Ralan Baru
07/04/2023 2023/04/07/000040 025742 HALIMATUS SAKDIYAH O44.1 Placenta praevia with haemorrhage Ralan Baru
07/04/2023 2023/04/07/000014 23063771 talitha azizah salsabila R50.9 Fever, unspecified Ralan Baru
07/04/2023 2023/04/07/000031 16017476 MAHFUD BUMI K30 Dyspepsia Ralan Baru
07/04/2023 2023/04/07/000022 16015220 indang hidayatillah K30 Dyspepsia Ralan Baru
07/04/2023 2023/04/07/000025 21052128 SUKARNO R06.0 Dyspnoea Ralan Baru
07/04/2023 2023/04/07/000010 23063770 mahella K30 Dyspepsia Ralan Baru
07/04/2023 2023/04/07/000030 23063781 RAFII ALWI K30 Dyspepsia Ralan Baru
07/04/2023 2023/04/07/000035 23063782 SIYAMI SUGIANA H81.1 Benign paroxysmal vertigo Ralan Baru
07/04/2023 2023/04/07/000007 22056372 MUHAMMAD ZHAFRAN PUTRA HIDAYAT R11 Nausea and vomiting Ralan Baru
07/04/2023 2023/04/07/000029 23063780 ZEA REINDA EIDMA ODELINA A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
07/04/2023 2023/04/07/000018 23063774 samina b R50.9 Fever, unspecified Ralan Baru
07/04/2023 2023/04/07/000035 23063782 SIYAMI SUGIANA H81.4 Vertigo of central origin Ralan Baru
07/04/2023 2023/04/07/000038 059677 SHANUM MAULIDA KINARA R50.9 Fever, unspecified Ralan Baru
07/04/2023 2023/04/07/000022 16015220 indang hidayatillah A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
07/04/2023 2023/04/07/000025 21052128 SUKARNO J44 Other chronic obstructive pulmonary disease Ralan Baru
07/04/2023 2023/04/07/000022 16015220 indang hidayatillah R50.9 Fever, unspecified Ralan Baru
07/04/2023 2023/04/07/000038 059677 SHANUM MAULIDA KINARA R11 Nausea and vomiting Ralan Baru
07/04/2023 2023/04/07/000035 23063782 SIYAMI SUGIANA E11.9 Non-insulin-dependent diabetes mellitus without complications Ralan Baru
08/04/2023 2023/04/08/000059 17021712 FINA PANDU WINATA R11 Nausea and vomiting Ralan Baru
08/04/2023 2023/04/08/000048 23063787 ilfa nor inayah K04.7 Periapical abscess without sinus Ralan Baru
08/04/2023 2023/04/08/000058 18031858 SAIFUL HIDAYAT I10 Essential (primary) hypertension Ralan Baru
08/04/2023 2023/04/07/000041 23063783 jamila nur humairoh R56.0 Febrile convulsions Ralan Baru

7/20/23, 7:37 AM Page 8 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
08/04/2023 2023/04/08/000046 23063785 SITI NURJANNAH K08.3 Retained dental root Ralan Baru
08/04/2023 2023/04/08/000057 23063794 MUHAMMAD AINUR FAKHI R50.9 Fever, unspecified Ralan Baru
08/04/2023 2023/04/08/000064 23063798 AHMAD FAUZI T14.1 Open wound of unspecified body region Ralan Baru
08/04/2023 2023/04/08/000044 23063784 dimas putra praditya T14.1 Open wound of unspecified body region Ralan Baru
08/04/2023 2023/04/08/000055 23063792 hilmi nuril firdaus A91 Dengue haemorrhagic fever Ralan Baru
08/04/2023 2023/04/08/000063 23063728 asmad R06.0 Dyspnoea Ralan Baru
08/04/2023 2023/04/08/000051 18034675 INDAH DEWI HARISSAH J45 Asthma Ralan Lama
08/04/2023 2023/04/08/000043 16019855 SARIYA R11 Nausea and vomiting Ralan Baru
08/04/2023 2023/04/08/000050 23063789 misran R06.0 Dyspnoea Ralan Baru
08/04/2023 2023/04/08/000043 16019855 SARIYA R509 Fever, unspecified Ralan Baru
08/04/2023 2023/04/08/000063 23063728 asmad J90 Pleural effusion, not elsewhere classified Ralan Baru
08/04/2023 2023/04/08/000043 16019855 SARIYA K30 Dyspepsia Ralan Baru
09/04/2023 2023/04/09/000012 23063804 qoyyimah khanza azzahra R56.0 Febrile convulsions Ralan Baru
09/04/2023 2023/04/09/000011 23061581 ELLOK HASAN R33 Retention of urine Ralan Baru
09/04/2023 2023/04/09/000004 22055140 MUH. AZRIL RAFIQ SAPUTRA R56 Convulsions, not elsewhere classified Ralan Baru
09/04/2023 2023/04/09/000020 23063809 NAFISA CITRA TRIANINGSIH R50.9 Fever, unspecified Ralan Baru
09/04/2023 2023/04/09/000007 23063802 MUHAMMAD ISMAIL MARZUKI R10 Abdominal and pelvic pain Ralan Baru
09/04/2023 2023/04/09/000019 23063808 SUBAIRI R50.9 Fever, unspecified Ralan Baru
09/04/2023 2023/04/09/000015 16020185 hALI MATUS SADIYA J18.9 Pneumonia, unspecified Ralan Baru
09/04/2023 2023/04/09/000006 23063801 DJOYO KUSUMA R50.9 Fever, unspecified Ralan Baru
09/04/2023 2023/04/09/000010 22060018 NADIFATUL FAHIRA O42.0 Premature rupture of membranes, onset of labour within 24 hours Ralan Baru
09/04/2023 2023/04/09/000014 23063806 HOSNUL KHOTIMAH A01.0 Typhoid fever Ralan Baru
09/04/2023 2023/04/09/000008 23063803 ALVINO SHAQUILLE ZHAFRAN R50.9 Fever, unspecified Ralan Baru
09/04/2023 2023/04/09/000008 23063803 ALVINO SHAQUILLE ZHAFRAN A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
09/04/2023 2023/04/09/000011 23061581 ELLOK HASAN K30 Dyspepsia Ralan Baru
09/04/2023 2023/04/09/000007 23063802 MUHAMMAD ISMAIL MARZUKI K30 Dyspepsia Ralan Baru
09/04/2023 2023/04/09/000006 23063801 DJOYO KUSUMA K30 Dyspepsia Ralan Baru
09/04/2023 2023/04/09/000006 23063801 DJOYO KUSUMA H81.4 Vertigo of central origin Ralan Baru
09/04/2023 2023/04/09/000011 23061581 ELLOK HASAN A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or without culture Ralan Baru
10/04/2023 2023/04/10/000011 22054444 SUTIYANTIK I10 Essential (primary) hypertension Ralan Lama
10/04/2023 2023/04/10/000030 018060 SUTIJO B90.0 Sequelae of central nervous system tuberculosis Ralan Baru
10/04/2023 2023/04/10/000052 23063371 midin I10 Essential (primary) hypertension Ralan Baru
10/04/2023 2023/04/10/000091 23063828 KARYA D24 Benign neoplasm of breast Ralan Baru
10/04/2023 2023/04/10/000001 23063810 AMIN NUR FAJRI K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000016 21052318 IKA PURNANINGSIH K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000037 22055370 mohammad ardiyansyah R50.9 Fever, unspecified Ralan Lama
10/04/2023 2023/04/10/000058 23063035 dewi amelia Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
10/04/2023 2023/04/10/000078 23063697 BUNI I10 Essential (primary) hypertension Ralan Baru
10/04/2023 2023/04/10/000095 23063344 METHA ANGGRAENI T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
10/04/2023 2023/04/10/000117 21050212 AKHDAN MAULANA RAYYAN S913 Open wound of other parts of foot Ralan Baru
10/04/2023 2023/04/10/000022 18033444 RUMYATI Z09.8 Follow-up examination after other treatment for other conditions Ralan Lama
10/04/2023 2023/04/10/000042 23063692 sukri K64.0 First degree haemorrhoids Ralan Baru
10/04/2023 2023/04/10/000066 22058226 SUDARMILA Z098 Follow-up exam after other treatment for other conditions Ralan Baru
10/04/2023 2023/04/10/000083 23063824 risky adi saputra S099 Unspecified injury of head Ralan Baru
10/04/2023 2023/04/10/000107 22056988 HALIMATUS SAHRO K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000010 22059866 ALIFA KARIMATUL ULA Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru

7/20/23, 7:37 AM Page 9 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
10/04/2023 2023/04/10/000029 23063448 HALIFAH I10 Essential (primary) hypertension Ralan Baru
10/04/2023 2023/04/10/000051 17021927 KAMILAH AYU ATMAJA Z00.1 Routine child health examination Ralan Baru
10/04/2023 2023/04/10/000071 23063820 NIKMATUL UMMAH Z352 Supervision of pregnancy with other poor reproductive or obstetric history Ralan Baru
10/04/2023 2023/04/10/000090 23063827 MONITA ARBAI GUSTIN O210 Mild hyperemesis gravidarum Ralan Baru
10/04/2023 2023/04/10/000111 23063837 ASMA K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000015 15005259 JONI PASARIBU G90 Disorders of autonomic nervous system Ralan Lama
10/04/2023 2023/04/10/000035 23063330 ahmad habibi salam R591 Generalized enlarged lymph nodes Ralan Baru
10/04/2023 2023/04/10/000056 18032012 SITI FATIMAH L020 Cutaneous abscess, furuncle and carbuncle of face Ralan Lama
10/04/2023 2023/04/10/000075 23063450 isyarotul mufidah Z098 Follow-up exam after other treatment for other conditions Ralan Baru
10/04/2023 2023/04/10/000094 23063749 HALIMAH Z34.0 Supervision of normal first pregnancy Ralan Baru
10/04/2023 2023/04/10/000115 23063840 SUTIMA A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
10/04/2023 2023/04/10/000005 16019021 ASDI R57.1 Hypovolaemic shock Ralan Baru
10/04/2023 2023/04/10/000021 23063486 suud K40 Inguinal hernia Ralan Lama
10/04/2023 2023/04/10/000040 050242 KHOIRUN NISA Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history Ralan Baru
10/04/2023 2023/04/10/000063 18031030 DIWAR K351 Acute appendicitis with peritoneal abscess Ralan Lama
10/04/2023 2023/04/10/000082 23063823 MARYATUN NAFIAH O48 Prolonged pregnancy Ralan Baru
10/04/2023 2023/04/10/000100 23063831 MIATI D64 Other anaemias Ralan Baru
10/04/2023 2023/04/10/000009 23063707 TARUKI K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000028 16019855 SARIYA K30 Dyspepsia Ralan Lama
10/04/2023 2023/04/10/000050 23063620 sri hartini K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000070 062138 ASIA I11 Hypertensive heart disease Ralan Lama
10/04/2023 2023/04/10/000089 23063518 WIWIT HANDAYANI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
10/04/2023 2023/04/10/000014 016156 DJAMIATI B17.9 Acute viral hepatitis, unspecified Ralan Baru
10/04/2023 2023/04/10/000055 23063568 badrussyamsi A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
10/04/2023 2023/04/10/000074 23063592 sri muniangsih E10 Insulin-dependent diabetes mellitus Ralan Baru
10/04/2023 2023/04/10/000093 22055000 ANNISA SYUKRIA DZIKRILLAH A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
10/04/2023 2023/04/10/000114 23063839 WINA NAFSI R50.9 Fever, unspecified Ralan Baru
10/04/2023 2023/04/10/000004 23063812 BY NY WIDYA RETNO WATI R09.0 Asphyxia Ralan Baru
10/04/2023 2023/04/10/000020 23062159 NUR JATIM E10 Insulin-dependent diabetes mellitus Ralan Lama
10/04/2023 2023/04/10/000039 22060024 SITI MAULIDATUS SOFIA Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
10/04/2023 2023/04/10/000061 23063744 afifatur rodiyah N61 Inflammatory disorders of breast Ralan Lama
10/04/2023 2023/04/10/000081 23063431 MUKRI E10 Insulin-dependent diabetes mellitus Ralan Baru
10/04/2023 2023/04/10/000099 23063830 NEVAN PUTRA ARSAFIN B86 Scabies Ralan Baru
10/04/2023 2023/04/10/000008 16018943 HELU RAHMAH B90.0 Sequelae of central nervous system tuberculosis Ralan Lama
10/04/2023 2023/04/10/000026 23063458 TOWARJAN E11 Non-insulin-dependent diabetes mellitus Ralan Lama
10/04/2023 2023/04/10/000048 18036114 TATIK K80 Cholelithiasis Ralan Lama
10/04/2023 2023/04/10/000069 23063738 HARANIK A01.0 Typhoid fever Ralan Baru
10/04/2023 2023/04/10/000109 23063835 aski I10 Essential (primary) hypertension Ralan Baru
10/04/2023 2023/04/10/000013 15000961 SUPARDI E11 Non-insulin-dependent diabetes mellitus Ralan Lama
10/04/2023 2023/04/10/000033 19042700 FARIDATUL HASANAH T814 Infection following a procedure, not elsewhere classified Ralan Lama
10/04/2023 2023/04/10/000054 23063648 JENAL N39 Other disorders of urinary system Ralan Baru
10/04/2023 2023/04/10/000073 23063705 YULISWATI M54.5 Low back pain Ralan Baru
10/04/2023 2023/04/10/000092 23063572 siti aminah T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
10/04/2023 2023/04/10/000003 17023473 NAWAWI N17.9 Acute renal failure, unspecified Ralan Baru
10/04/2023 2023/04/10/000019 23062687 salma D210 Benign neoplasm, connective and other soft tissue of head, face and neck Ralan Baru
10/04/2023 2023/04/10/000038 22061018 NUR AINI Z35 Supervision of high-risk pregnancy Ralan Lama

7/20/23, 7:37 AM Page 10 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
10/04/2023 2023/04/10/000060 23063819 nurida yanto L030 Cellulitis of finger and toe Ralan Baru
10/04/2023 2023/04/10/000080 19038727 JIHAN JAMILAH A90 Dengue fever [classical dengue] Ralan Baru
10/04/2023 2023/04/10/000097 23062185 WIRDATUL HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
10/04/2023 2023/04/10/000120 23063842 MEGAWATI NINGSIH O42.9 Premature rupture of membranes, unspecified Ralan Baru
10/04/2023 2023/04/10/000007 062202 TOJO PURNOMO E10 Insulin-dependent diabetes mellitus Ralan Lama
10/04/2023 2023/04/10/000024 21051356 ATITI K92.1 Melaena Ralan Baru
10/04/2023 2023/04/10/000046 23063730 JUMAAH E10 Insulin-dependent diabetes mellitus Ralan Baru
10/04/2023 2023/04/10/000068 23063343 sri wahyuni O03.3 Spontaenous abortion, incomplete, with other and unspecified complications Ralan Baru
10/04/2023 2023/04/10/000085 23063825 MARIYA D210 Benign neoplasm, connective and other soft tissue of head, face and neck Ralan Baru
10/04/2023 2023/04/10/000012 23063140 ruaika Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
10/04/2023 2023/04/10/000031 15010303 SITI MARYAMAH K30 Dyspepsia Ralan Lama
10/04/2023 2023/04/10/000053 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
10/04/2023 2023/04/10/000072 23063821 SILVIA AZMIL UMUR Z35 Supervision of high-risk pregnancy Ralan Baru
10/04/2023 2023/04/10/000112 23063838 RANIA NUR LATIFAH A09.9 Gastroenteritis and colitis of unspecified origin Ralan Baru
10/04/2023 2023/04/10/000002 23063811 widya retno wati O47.0 False labour before 37 completed weeks of gestation Ralan Baru
10/04/2023 2023/04/10/000018 23063815 RAMLI B90.0 Sequelae of central nervous system tuberculosis Ralan Baru
10/04/2023 2023/04/10/000059 23063818 siti nur aisyah Z340 Supervision of normal first pregnancy Ralan Baru
10/04/2023 2023/04/10/000079 16014176 FITROTIN Z35.8 Supervision of other high-risk pregnancies Ralan Baru
10/04/2023 2023/04/10/000118 23063841 RIRIN WAHYUNI R50.9 Fever, unspecified Ralan Baru
10/04/2023 2023/04/10/000006 23063813 RUSYATI R10 Abdominal and pelvic pain Ralan Baru
10/04/2023 2023/04/10/000045 23063817 DINI YUNIARTI AMANDA O20.0 Threatened abortion Ralan Baru
10/04/2023 2023/04/10/000067 23063662 SINTA NOVA RIAH J40 Bronchitis, not specified as acute or chronic Ralan Lama
10/04/2023 2023/04/10/000084 16016574 ASTI O32.1 Maternal care for breech presentation Ralan Lama
10/04/2023 2023/04/10/000108 23063834 SARIJA K30 Dyspepsia Ralan Baru
10/04/2023 2023/04/10/000072 23063821 SILVIA AZMIL UMUR D649 Anaemia, unspecified Ralan Baru
10/04/2023 2023/04/10/000005 16019021 ASDI T78.2 Anaphylactic shock, unspecified Ralan Baru
10/04/2023 2023/04/10/000111 23063837 ASMA J18.9 Pneumonia, unspecified Ralan Baru
10/04/2023 2023/04/10/000034 18034318 SINDY BADRIYATUL JANNAH T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
10/04/2023 2023/04/10/000088 23063826 NURIK QOMARIAH Z35.6 Supervision of very young primigravida Ralan Baru
10/04/2023 2023/04/10/000112 23063838 RANIA NUR LATIFAH R509 Fever, unspecified Ralan Baru
10/04/2023 2023/04/10/000109 23063835 aski H811 Benign paroxysmal vertigo Ralan Baru
10/04/2023 2023/04/10/000091 23063828 KARYA R591 Generalized enlarged lymph nodes Ralan Baru
10/04/2023 2023/04/10/000038 22061018 NUR AINI E66 Obesity Ralan Baru
10/04/2023 2023/04/10/000096 23063725 moch.bahrul alim A18.2 Tuberculous peripheral lymphadenopathy Ralan Baru
10/04/2023 2023/04/10/000023 21050695 MISNATI T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
10/04/2023 2023/04/10/000111 23063837 ASMA L11.0 Acquired keratosis follicularis Ralan Baru
11/04/2023 2023/04/11/000012 21054001 ALIMIN J20 Acute bronchitis Ralan Baru
11/04/2023 2023/04/11/000052 16019885 SANIWA E10 Insulin-dependent diabetes mellitus Ralan Baru
11/04/2023 2023/04/11/000094 027369 MOH. NURYADI G81 Hemiplegia Ralan Baru
11/04/2023 2023/04/11/000028 23063846 ANAS SHOHABY L042 Acute lymphadenitis of upper limb Ralan Baru
11/04/2023 2023/04/11/000072 050384 DIAN SAFITRI Z34.0 Supervision of normal first pregnancy Ralan Baru
11/04/2023 2023/04/11/000104 18035100 HADIYA E11 Non-insulin-dependent diabetes mellitus Ralan Baru
11/04/2023 2023/04/11/000038 22056571 HARTONO J20 Acute bronchitis Ralan Lama
11/04/2023 2023/04/11/000083 23063745 SUNHARI R161 Splenomegaly, not elsewhere classified Ralan Baru
11/04/2023 2023/04/11/000006 20043903 SYAIFUDDIN/IPUT SAPUTRA E11 Non-insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000011 22059468 MASADIN M15.0 Primary generalized (osteo)arthrosis Ralan Lama

7/20/23, 7:37 AM Page 11 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
11/04/2023 2023/04/11/000048 23062322 ZAITUR RAHMAH Z34 Supervision of normal pregnancy Ralan Baru
11/04/2023 2023/04/11/000090 23063864 ahmad zainur rizal K35.9 Acute appendicitis, unspecified Ralan Baru
11/04/2023 2023/04/11/000071 23063529 innani L929 Granulomatous disorder of skin and subcutaneous tissue, unspecified Ralan Lama
11/04/2023 2023/04/11/000037 20024693 TUKIYO RIYANTO I10 Essential (primary) hypertension Ralan Lama
11/04/2023 2023/04/11/000082 23063690 sami Z35 Supervision of high-risk pregnancy Ralan Lama
11/04/2023 2023/04/11/000109 19040295 MISNATI N18.5 Chronic kidney disease, stage 5 Ranap Lama
11/04/2023 2023/04/11/000005 002942 NUR SAJIDAH DHAHABIYYAH R50.0 Fever with chills Ralan Baru
11/04/2023 2023/04/11/000045 23063524 MISIYA I50.0 Congestive heart failure Ralan Lama
11/04/2023 2023/04/11/000089 16014985 SUTILAH Z35.4 Supervision of pregnancy with grand multiparity Ralan Baru
11/04/2023 2023/04/11/000010 23063467 murniwati I50.0 Congestive heart failure Ralan Lama
11/04/2023 2023/04/11/000016 23063374 siti nurjanah I10 Essential (primary) hypertension Ralan Lama
11/04/2023 2023/04/11/000062 23063701 adrai K40 Inguinal hernia Ralan Baru
11/04/2023 2023/04/11/000103 23063871 TAUFIK QURRAHMAN N39.0 Urinary tract infection, site not specified Ralan Baru
11/04/2023 2023/04/11/000036 20044569 SUPARMI E11 Non-insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000081 23063730 JUMAAH L984 Chronic ulcer of skin, not elsewhere classified Ralan Baru
11/04/2023 2023/04/11/000108 23063874 ANGRAENI CITRA LESTARI R50.9 Fever, unspecified Ralan Baru
11/04/2023 2023/04/11/000003 16020338 SITI FAMILIA JAYANTI K30 Dyspepsia Ralan Lama
11/04/2023 2023/04/11/000044 23061675 nur laeny paramita E10 Insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000086 23063863 muhammad gibran firmansyah R50.0 Fever with chills Ralan Baru
11/04/2023 2023/04/11/000009 23063688 tari E10 Insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000014 22061373 JAMILA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
11/04/2023 2023/04/11/000055 16019202 NIKMAH K80 Cholelithiasis Ralan Lama
11/04/2023 2023/04/11/000098 23063867 ARENA/RENA K92.0 Haematemesis Ralan Baru
11/04/2023 2023/04/11/000032 18030678 IKA SUPYANI Z34.8 Supervision of other normal pregnancy Ralan Baru
11/04/2023 2023/04/11/000106 23063872 ROFII T630 Toxic effect, snake venom Ralan Baru
11/04/2023 2023/04/11/000042 18036372 LELY SUKMAYANI E10 Insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000085 038802 CITRASIL MUBAROH Z30.5 Surveillance of (intrauterine) contraceptive device Ralan Baru
11/04/2023 2023/04/11/000008 21050233 JUHARIYA E10 Insulin-dependent diabetes mellitus Ralan Lama
11/04/2023 2023/04/11/000054 23063669 sawiya K30 Dyspepsia Ralan Baru
11/04/2023 2023/04/11/000095 16014858 SAMSI R06.0 Dyspnoea Ralan Baru
11/04/2023 2023/04/11/000029 22060566 eko purwanto K21 Gastro-oesophageal reflux disease Ralan Lama
11/04/2023 2023/04/11/000078 23061813 TAHE L910 Keloid scar Ralan Lama
11/04/2023 2023/04/11/000105 002700 MOH.ZAKI S01 Open wound of head Ralan Baru
11/04/2023 2023/04/11/000040 17023272 NINGSIH WATI K30 Dyspepsia Ralan Lama
11/04/2023 2023/04/11/000084 21051679 YULIATIN C53 Malignant neoplasm of cervix uteri Ralan Baru
11/04/2023 2023/04/11/000007 18032371 ASMINIWATI O03.3 Spontaenous abortion, incomplete, with other and unspecified complications Ralan Baru
11/04/2023 2023/04/11/000028 23063846 ANAS SHOHABY K12.1 Other forms of stomatitis Ralan Baru
11/04/2023 2023/04/11/000104 18035100 HADIYA D649 Anaemia, unspecified Ralan Baru
11/04/2023 2023/04/11/000080 20048817 DESI RATNASARI Z35.7 Supervision of high-risk pregnancy due to social problems Ralan Baru
11/04/2023 2023/04/11/000013 15002019 RAMLI E10 Insulin-dependent diabetes mellitus Ralan Lama
12/04/2023 2023/04/12/000028 22057088 NATASYA ALIYA PUTRI K00.6 Disturbances in tooth eruption Ralan Baru
12/04/2023 2023/04/12/000010 23063344 METHA ANGGRAENI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000036 23063891 ENDJO R06.0 Dyspnoea Ralan Baru
12/04/2023 2023/04/12/000001 23063876 suhartini K30 Dyspepsia Ralan Baru
12/04/2023 2023/04/12/000017 23063881 HALIMATUS SUHRO Z34 Supervision of normal pregnancy Ralan Baru
12/04/2023 2023/04/12/000047 035641 IKA MARDIYANA K30 Dyspepsia Ralan Baru

7/20/23, 7:37 AM Page 12 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
12/04/2023 2023/04/12/000006 18033444 RUMYATI T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
12/04/2023 2023/04/12/000026 23063885 amzali K083 Retained dental root Ralan Baru
12/04/2023 2023/04/12/000009 23063878 sunawar L02 Cutaneous abscess, furuncle and carbuncle Ralan Baru
12/04/2023 2023/04/12/000033 23063888 PUNYA A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
12/04/2023 2023/04/12/000016 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000046 23063898 SUPIYANTO B34.9 Viral infection, unspecified Ralan Baru
12/04/2023 2023/04/12/000005 23062177 RASMA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000025 23063884 emi musrifah D24 Benign neoplasm of breast Ralan Baru
12/04/2023 2023/04/12/000032 060170 imfitahul mawadah R11 Nausea and vomiting Ralan Baru
12/04/2023 2023/04/12/000014 17025793 LINA YULIANTI Z35 Supervision of high-risk pregnancy Ralan Baru
12/04/2023 2023/04/12/000043 22059750 HERIYANTO A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or without culture Ralan Lama
12/04/2023 2023/04/12/000004 19039408 JUWITA PERMATA SARI GINTING Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
12/04/2023 2023/04/12/000024 23063572 siti aminah T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000007 19038401 SAUMI GULSUM Z35 Supervision of high-risk pregnancy Ralan Baru
12/04/2023 2023/04/12/000031 23063598 UWI R06.0 Dyspnoea Ralan Lama
12/04/2023 2023/04/12/000012 23063431 MUKRI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000040 23063893 FAHIRA TRIFIKASARI N92.1 Excessive and frequent menstruation with irregular cycle Ralan Baru
12/04/2023 2023/04/12/000003 23063451 suradi L039 Cellulitis, unspecified Ralan Baru
12/04/2023 2023/04/12/000023 21050695 MISNATI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
12/04/2023 2023/04/12/000030 23063887 WULAN DARI H00.0 Hordeolum and other deep inflammation of eyelid Ralan Baru
12/04/2023 2023/04/12/000011 18031041 DINATUL KHOLIDIAH K01 Embedded and impacted teeth Ralan Baru
12/04/2023 2023/04/12/000002 22056377 AHMAD REYZANI R11 Nausea and vomiting Ralan Baru
12/04/2023 2023/04/12/000018 23063735 JUHARI / DJOEHARI K40 Inguinal hernia Ralan Lama
12/04/2023 2023/04/12/000007 19038401 SAUMI GULSUM O14 Gestational [pregnancy-induced] hypertension with significant proteinuria Ralan Baru
12/04/2023 2023/04/12/000040 23063893 FAHIRA TRIFIKASARI D619 Aplastic anaemia, unspecified Ralan Baru
12/04/2023 2023/04/12/000007 19038401 SAUMI GULSUM Z355 Supervision of elderly primigravida Ralan Baru
12/04/2023 2023/04/12/000007 19038401 SAUMI GULSUM O24.0 Pre-existing diabetes mellitus, insulin-dependent Ralan Lama
13/04/2023 2023/04/13/000005 22059434 SUPANDI I11 Hypertensive heart disease Ralan Lama
13/04/2023 2023/04/13/000023 18031185 SANINTEN B90.0 Sequelae of central nervous system tuberculosis Ralan Lama
13/04/2023 2023/04/13/000045 17023180 MAHFUD r E11 Non-insulin-dependent diabetes mellitus Ralan Baru
13/04/2023 2023/04/13/000060 21052874 RUHAM L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
13/04/2023 2023/04/13/000084 008345 FERDI SETIAWAN H81.1 Benign paroxysmal vertigo Ralan Baru
13/04/2023 2023/04/13/000010 23063801 DJOYO KUSUMA M54.5 Low back pain Ralan Baru
13/04/2023 2023/04/13/000028 22060963 FAIDATUL HASANAH Z35 Supervision of high-risk pregnancy Ralan Lama
13/04/2023 2023/04/13/000050 23063673 NOVI SETIAWATI Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
13/04/2023 2023/04/13/000067 15008709 KHOLIFATUR ROSIDAH Z35 Supervision of high-risk pregnancy Ralan Baru
13/04/2023 2023/04/13/000090 035641 IKA MARDIYANA K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000016 17026247 SUHARPIYATIN K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000037 23063668 HARSUDIANI O98.7 Human immunodeficiency [HIV] disease complicating pregnancy, childbirth Ralan Baru
and the puerperium
13/04/2023 2023/04/13/000076 19042109 ALVARO ARGI NATAGAM R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000095 23063927 SARIYA A91 Dengue haemorrhagic fever Ranap Baru
13/04/2023 2023/04/13/000004 18031854 HATIMA K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000022 23063015 tuma E10 Insulin-dependent diabetes mellitus Ralan Baru
13/04/2023 2023/04/13/000044 23063725 moch.bahrul alim B65.3 Cercarial dermatitis Ralan Baru
13/04/2023 2023/04/13/000059 23063913 nur wahyu antika suci Z34.0 Supervision of normal first pregnancy Ralan Baru

7/20/23, 7:37 AM Page 13 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
13/04/2023 2023/04/13/000009 15008877 AGUSTIN B90.0 Sequelae of central nervous system tuberculosis Ralan Lama
13/04/2023 2023/04/13/000027 23063906 muhdar B90.0 Sequelae of central nervous system tuberculosis Ralan Baru
13/04/2023 2023/04/13/000049 23063781 RAFII ALWI I50.0 Congestive heart failure Ralan Baru
13/04/2023 2023/04/13/000064 22056372 MUHAMMAD ZHAFRAN PUTRA HIDAYAT R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000089 20044358 ACHMAD RAZKA RISYAFIL ZAMZAMI R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000015 17027533 SALEHUDDIN B90.0 Sequelae of central nervous system tuberculosis Ralan Lama
13/04/2023 2023/04/13/000034 23063910 riandra elvina I25 Chronic ischaemic heart disease Ralan Baru
13/04/2023 2023/04/13/000054 23062413 suaiba O14.9 Pre-eclampsia, unspecified Ralan Baru
13/04/2023 2023/04/13/000075 17028684 MUHAMMAD ALVIN G40 Epilepsy Ralan Lama
13/04/2023 2023/04/13/000094 23063926 LAILATUL QOMARIAH R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000003 22061373 JAMILA E11 Non-insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000021 22056333 SITTI I11 Hypertensive heart disease Ralan Baru
13/04/2023 2023/04/13/000058 23063794 MUHAMMAD AINUR FAKHI B34.9 Viral infection, unspecified Ralan Baru
13/04/2023 2023/04/13/000083 21051106 FARADIBA SHANUM A91 Dengue haemorrhagic fever Ralan Baru
13/04/2023 2023/04/13/000008 15004039 PUJI HARTATIK E10 Insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000026 17021441 HARTATIK E10 Insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000048 23063404 lisa amalia D24 Benign neoplasm of breast Ralan Lama
13/04/2023 2023/04/13/000063 17029058 NUR INDAH HARI SUSANTI Z35 Supervision of high-risk pregnancy Ralan Lama
13/04/2023 2023/04/13/000088 23063922 nur khotimah K30 Dyspepsia Ralan Baru
13/04/2023 2023/04/13/000014 22058693 BURATI E11 Non-insulin-dependent diabetes mellitus Ralan Baru
13/04/2023 2023/04/13/000033 23063698 SATINA R06.0 Dyspnoea Ralan Baru
13/04/2023 2023/04/13/000074 16010501 RISKIYANI HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
13/04/2023 2023/04/13/000002 19041534 SUJONO I63.9 Cerebral infarction, unspecified Ralan Baru
13/04/2023 2023/04/13/000019 23063903 saria E10 Insulin-dependent diabetes mellitus Ralan Baru
13/04/2023 2023/04/13/000042 23063911 SUAMAR E11 Non-insulin-dependent diabetes mellitus Ranap Baru
13/04/2023 2023/04/13/000057 18031560 DZAKIA AURA KASIH A90 Dengue fever [classical dengue] Ralan Baru
13/04/2023 2023/04/13/000007 19043292 MORSIDA E10 Insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000025 15009705 UMI KULSUM K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000047 23061581 ELLOK HASAN B20.0 HIV disease resulting in mycobacterial infection Ralan Baru
13/04/2023 2023/04/13/000062 23063914 SUWARTIK K30 Dyspepsia Ralan Baru
13/04/2023 2023/04/13/000013 22061088 SUNOTO E10 Insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000030 21051201 RUDI HARTONO J45 Asthma Ralan Lama
13/04/2023 2023/04/13/000071 23063740 MUHAIMIN AL GOFAR A90 Dengue fever [classical dengue] Ralan Baru
13/04/2023 2023/04/13/000091 23063923 MUHAMMAD LEO SAPUTRA K40 Inguinal hernia Ralan Baru
13/04/2023 2023/04/13/000018 23063748 pawi K40 Inguinal hernia Ralan Lama
13/04/2023 2023/04/13/000041 21050859 FAIZAL ADI PRADANA K64.9 Haemorrhoids, unspecified Ralan Baru
13/04/2023 2023/04/13/000056 23063912 SAYATI K30 Dyspepsia Ralan Baru
13/04/2023 2023/04/13/000082 23063920 RUKYATI A06.0 Acute amoebic dysentery Ralan Baru
13/04/2023 2023/04/13/000096 23063928 INEZ ZAKIYAH AROFA R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000006 23063901 WIDYA PUTRI SAKDULLAH R50.0 Fever with chills Ralan Baru
13/04/2023 2023/04/13/000024 20045450 HASANAH K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000046 17022548 MISTINA I10 Essential (primary) hypertension Ralan Baru
13/04/2023 2023/04/13/000061 20045466 ACHMAD ZAINI L984 Chronic ulcer of skin, not elsewhere classified Ralan Baru
13/04/2023 2023/04/13/000087 16020177 m. nurfachrizal habibi K35 Acute appendicitis Ralan Baru
13/04/2023 2023/04/13/000012 21053979 SITTI AISA I10 Essential (primary) hypertension Ralan Lama
13/04/2023 2023/04/13/000029 22060575 vita afriyanti E10 Insulin-dependent diabetes mellitus Ralan Lama

7/20/23, 7:37 AM Page 14 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
13/04/2023 2023/04/13/000051 23061535 SUPIYATI N39 Other disorders of urinary system Ralan Baru
13/04/2023 2023/04/13/000070 19040570 AINUR HALIMATUS S. Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
13/04/2023 2023/04/13/000001 23063900 JANIL BUDI HARTONO A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
13/04/2023 2023/04/13/000017 22057661 NURHANASI K30 Dyspepsia Ralan Lama
13/04/2023 2023/04/13/000039 16020174 MOH.AZKA ANANTA G40 Epilepsy Ralan Lama
13/04/2023 2023/04/13/000055 23062177 RASMA E10 Insulin-dependent diabetes mellitus Ralan Lama
13/04/2023 2023/04/13/000081 23063919 SULISTIOWATI O42.1 Premature rupture of membranes, onset of labour after 24 hours Ralan Baru
13/04/2023 2023/04/13/000095 23063927 SARIYA I95.9 Hypotension, unspecified Ralan Baru
13/04/2023 2023/04/13/000054 23062413 suaiba Z358 Supervision of other high-risk pregnancies Ralan Baru
13/04/2023 2023/04/13/000083 21051106 FARADIBA SHANUM R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000042 23063911 SUAMAR R74.0 Elevation of levels of transaminase and lactic acid dehydrogenase [LDH] Ranap Baru
13/04/2023 2023/04/13/000094 23063926 LAILATUL QOMARIAH K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
13/04/2023 2023/04/13/000088 23063922 nur khotimah I10 Essential (primary) hypertension Ralan Baru
13/04/2023 2023/04/13/000001 23063900 JANIL BUDI HARTONO K30 Dyspepsia Ralan Baru
13/04/2023 2023/04/13/000090 035641 IKA MARDIYANA R50.9 Fever, unspecified Ralan Baru
13/04/2023 2023/04/13/000083 21051106 FARADIBA SHANUM A90 Dengue fever [classical dengue] Ralan Baru
13/04/2023 2023/04/13/000054 23062413 suaiba E66 Obesity Ralan Lama
13/04/2023 2023/04/13/000054 23062413 suaiba N832 Other and unspecified ovarian cysts Ralan Baru
14/04/2023 2023/04/14/000026 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
14/04/2023 2023/04/14/000010 23063445 wira puspita Z35 Supervision of high-risk pregnancy Ralan Baru
14/04/2023 2023/04/14/000032 21050695 MISNATI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000049 15000156 regalia K30 Dyspepsia Ralan Lama
14/04/2023 2023/04/14/000037 23063934 qurrotul aini A90 Dengue fever [classical dengue] Ralan Baru
14/04/2023 2023/04/14/000054 061312 MUHAMMAD ARRAYYAN NARENDRA W R11 Nausea and vomiting Ralan Baru
14/04/2023 2023/04/14/000003 15008709 KHOLIFATUR ROSIDAH O32.2 Maternal care for transverse and oblique lie Ralan Baru
14/04/2023 2023/04/14/000025 17022440 SITI NUR HARISYAH O42 Premature rupture of membranes Ralan Baru
14/04/2023 2023/04/14/000044 23063940 MUNARIYEH R10.4 Other and unspecified abdominal pain Ralan Baru
14/04/2023 2023/04/14/000030 23063572 siti aminah T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000048 23063942 ZAIBATUL ISLAMIYAH O42.9 Premature rupture of membranes, unspecified Ralan Baru
14/04/2023 2023/04/14/000036 22060018 NADIFATUL FAHIRA Z098 Follow-up exam after other treatment for other conditions Ralan Baru
14/04/2023 2023/04/14/000053 23063945 SITI MAISARO F45.9 Somatoform disorder, unspecified Ralan Baru
14/04/2023 2023/04/14/000002 23063929 NUR FADILAH K30 Dyspepsia Ralan Baru
14/04/2023 2023/04/14/000024 23062575 dwi suryaningsih O44 Placenta praevia Ralan Baru
14/04/2023 2023/04/14/000009 23061975 RIPA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000029 23063344 METHA ANGGRAENI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000047 18036704 SUDAWI A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
14/04/2023 2023/04/14/000018 23062552 PUJI CANDRA ASIH Z098 Follow-up exam after other treatment for other conditions Ralan Baru
14/04/2023 2023/04/14/000034 20046735 ALVIN WARDATIL HASANAH Z34 Supervision of normal pregnancy Ralan Baru
14/04/2023 2023/04/14/000052 23063944 SUMIWA G81.9 Hemiplegia, unspecified Ralan Baru
14/04/2023 2023/04/14/000001 19039421 MAJID R10.0 Acute abdomen Ralan Baru
14/04/2023 2023/04/14/000022 23063932 ibnu toriqin naja J40 Bronchitis, not specified as acute or chronic Ralan Baru
14/04/2023 2023/04/14/000008 23063819 nurida yanto L030 Cellulitis of finger and toe Ralan Lama
14/04/2023 2023/04/14/000028 15000156 regalia K30 Dyspepsia Ralan Baru
14/04/2023 2023/04/14/000045 23063941 WAHYUNI R10.4 Other and unspecified abdominal pain Ralan Baru
14/04/2023 2023/04/14/000017 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000051 23063943 MARYANI R04.0 Epistaxis Ralan Baru

7/20/23, 7:37 AM Page 15 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
14/04/2023 2023/04/14/000021 23063114 LUSIYANA N61 Inflammatory disorders of breast Ralan Lama
14/04/2023 2023/04/14/000043 23063939 HENNY RUSMIYATI O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium Ralan Baru
14/04/2023 2023/04/14/000007 23063744 afifatur rodiyah N61 Inflammatory disorders of breast Ralan Lama
14/04/2023 2023/04/14/000027 16010501 RISKIYANI HASANAH T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
14/04/2023 2023/04/14/000012 23063884 emi musrifah D24 Benign neoplasm of breast Ralan Lama
14/04/2023 2023/04/14/000050 22059927 ABDUL ZAKI MAULANA R06.0 Dyspnoea Ralan Baru
14/04/2023 2023/04/14/000041 23063937 JANNATUL FIRDAUSIAH K30 Dyspepsia Ralan Baru
14/04/2023 2023/04/14/000005 23063931 irmawati O32.1 Maternal care for breech presentation Ralan Baru
14/04/2023 2023/04/14/000045 23063941 WAHYUNI A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
14/04/2023 2023/04/14/000010 23063445 wira puspita E66 Obesity Ralan Lama
14/04/2023 2023/04/14/000044 23063940 MUNARIYEH K30 Dyspepsia Ralan Baru
14/04/2023 2023/04/14/000033 063057 sithi uswatun khasanah E66 Obesity Ralan Lama
14/04/2023 2023/04/14/000019 18036892 SOFIYATI YULIANINGSIH Z35.4 Supervision of pregnancy with grand multiparity Ralan Baru
14/04/2023 2023/04/14/000019 18036892 SOFIYATI YULIANINGSIH J45.9 Asthma, unspecified Ralan Baru
14/04/2023 2023/04/14/000044 23063940 MUNARIYEH I50.9 Heart failure, unspecified Ralan Baru
14/04/2023 2023/04/14/000033 063057 sithi uswatun khasanah O149 Pre-eclampsia, unspecified Ralan Baru
14/04/2023 2023/04/14/000045 23063941 WAHYUNI K30 Dyspepsia Ralan Baru
14/04/2023 2023/04/14/000019 18036892 SOFIYATI YULIANINGSIH N83.2 Other and unspecified ovarian cysts Ralan Baru
15/04/2023 2023/04/15/000006 23063949 FINA AMILIA OKTAFIAN A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
15/04/2023 2023/04/15/000015 23063795 SAGIYA J40 Bronchitis, not specified as acute or chronic Ralan Baru
15/04/2023 2023/04/15/000027 23063957 ABU HASIN K30 Dyspepsia Ralan Baru
15/04/2023 2023/04/15/000005 15003343 NARTO R33 Retention of urine Ralan Baru
15/04/2023 2023/04/15/000012 031365 YULIANTI H61.2 Impacted cerumen Ralan Baru
15/04/2023 2023/04/15/000026 19037853 SITTI HALIMATUS SAKDIYA O20.0 Threatened abortion Ralan Baru
15/04/2023 2023/04/15/000004 23063948 SALEHA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
15/04/2023 2023/04/15/000010 23063840 SUTIMA K30 Dyspepsia Ralan Baru
15/04/2023 2023/04/15/000021 15009079 LUTFI AMINULLAH A91 Dengue haemorrhagic fever Ralan Baru
15/04/2023 2023/04/15/000009 21052128 SUKARNO I10 Essential (primary) hypertension Ralan Baru
15/04/2023 2023/04/15/000020 23063955 PUTRI KARINDA R50.0 Fever with chills Ralan Baru
15/04/2023 2023/04/15/000002 23063946 HOLASIA F45.9 Somatoform disorder, unspecified Ralan Baru
15/04/2023 2023/04/15/000029 23063959 sayadi K52.0 Gastroenteritis and colitis due to radiation Ralan Baru
15/04/2023 2023/04/15/000008 22059750 HERIYANTO E10 Insulin-dependent diabetes mellitus Ralan Baru
15/04/2023 2023/04/15/000019 23063802 MUHAMMAD ISMAIL MARZUKI K30 Dyspepsia Ralan Lama
15/04/2023 2023/04/15/000001 17028135 MUSFIRATUL MUZAYYINAH O63.1 Prolonged second stage (of labour) Ralan Baru
15/04/2023 2023/04/15/000028 23063958 SAMI/B. TOMINA R50.9 Fever, unspecified Ralan Baru
15/04/2023 2023/04/15/000002 23063946 HOLASIA O21.0 Mild hyperemesis gravidarum Ralan Baru
15/04/2023 2023/04/15/000029 23063959 sayadi R50.9 Fever, unspecified Ralan Baru
16/04/2023 2023/04/16/000002 18037022 SLAMET S06 Intracranial injury Ralan Baru
16/04/2023 2023/04/16/000021 16016994 abdus A90 Dengue fever [classical dengue] Ralan Baru
16/04/2023 2023/04/16/000004 21060140 mohammad zainal abidin K30 Dyspepsia Ralan Baru
16/04/2023 2023/04/16/000026 23063971 RAFIA K30 Dyspepsia Ralan Baru
16/04/2023 2023/04/16/000011 23063964 SUNYOTO T30.0 Burn of unspecified body region, unspecified degree Ralan Baru
16/04/2023 2023/04/16/000029 23063974 SAYUTO R04.0 Epistaxis Ralan Baru
16/04/2023 2023/04/16/000001 23063960 AHMAD ABIAN SYAHREZA R50.9 Fever, unspecified Ralan Baru
16/04/2023 2023/04/16/000020 23063970 iya S82.11 Fracture of upper end of tibia , open Ralan Baru
16/04/2023 2023/04/16/000003 21050111 TJAKRA R06.0 Dyspnoea Ralan Baru

7/20/23, 7:37 AM Page 16 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
16/04/2023 2023/04/16/000018 23063969 misbakul karim S82.11 Fracture of upper end of tibia , open Ralan Baru
16/04/2023 2023/04/16/000025 16011189 DITA AMELIA B01 Varicella [chickenpox] Ralan Baru
16/04/2023 2023/04/16/000009 17023894 SITI SRI WAHYUNI O06.9 Unspecified abortion, complete or unspecified, without complication Ralan Baru
16/04/2023 2023/04/16/000028 23063973 MUHAMMAD AQIL ROBBANI R509 Fever, unspecified Ralan Baru
16/04/2023 2023/04/16/000016 20044408 P NUR MISRAL R06.0 Dyspnoea Ralan Lama
16/04/2023 2023/04/16/000023 19037350 noto R06.0 Dyspnoea Ralan Baru
16/04/2023 2023/04/16/000006 23063961 ABDUL HOLEK T60.0 Toxic effect of organophosphate and carbamate insecticides Ralan Baru
16/04/2023 2023/04/16/000015 23063967 HERNAWATI O42.9 Premature rupture of membranes, unspecified Ralan Baru
16/04/2023 2023/04/16/000005 019195 IMAMAY IHANDIKA A35 Other tetanus Ralan Baru
16/04/2023 2023/04/16/000027 23063972 ENDA I10 Essential (primary) hypertension Ralan Baru
16/04/2023 2023/04/16/000012 23063965 HATIJA N39.0 Urinary tract infection, site not specified Ralan Baru
16/04/2023 2023/04/16/000025 16011189 DITA AMELIA K30 Dyspepsia Ralan Baru
16/04/2023 2023/04/16/000011 23063964 SUNYOTO M1301 Polyarthritis, unspecified, shoulder region Ralan Baru
16/04/2023 2023/04/16/000029 23063974 SAYUTO I10 Essential (primary) hypertension Ralan Baru
16/04/2023 2023/04/16/000001 23063960 AHMAD ABIAN SYAHREZA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
16/04/2023 2023/04/16/000003 21050111 TJAKRA C34.9 Malignant neoplasm of bronchus or lung, unspecified Ralan Baru
16/04/2023 2023/04/16/000027 23063972 ENDA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
16/04/2023 2023/04/16/000002 18037022 SLAMET S42.00 Fracture of clavicle, closed Ralan Baru
16/04/2023 2023/04/16/000023 19037350 noto A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
16/04/2023 2023/04/16/000003 21050111 TJAKRA J18.9 Pneumonia, unspecified Ralan Baru
17/04/2023 2023/04/17/000098 22054873 BAITURROHMAH Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000004 23063977 SAMIK R10 Abdominal and pelvic pain Ralan Baru
17/04/2023 2023/04/17/000026 23063897 BY NY PUTRI DIANA ISLAMI P59.9 Neonatal jaundice, unspecified Ralan Baru
17/04/2023 2023/04/17/000046 23063987 MUHAMMAD ZAIN HUKAMA A91 Dengue haemorrhagic fever Ralan Baru
17/04/2023 2023/04/17/000061 23063920 RUKYATI A08.1 Acute gastroenteropathy due to Norwalk agent Ralan Baru
17/04/2023 2023/04/17/000083 23063500 megawati Z35 Supervision of high-risk pregnancy Ralan Lama
17/04/2023 2023/04/17/000115 23063998 SYARIFAH NAILAH K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000011 23063979 RAMLA L049 Acute lymphadenitis, unspecified Ralan Baru
17/04/2023 2023/04/17/000051 23063988 muhammad wedi K35.8 Acute appendicitis, other and unspecified Ralan Baru
17/04/2023 2023/04/17/000072 23063823 MARYATUN NAFIAH Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000090 22060111 helyatul ainiyah Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000017 23063828 KARYA C509 Malignant neoplasm, breast, unspecified Ralan Baru
17/04/2023 2023/04/17/000038 23063984 SARIF IHSAN RADITIA R50.0 Fever with chills Ralan Baru
17/04/2023 2023/04/17/000055 23063923 MUHAMMAD LEO SAPUTRA K40 Inguinal hernia Ralan Lama
17/04/2023 2023/04/17/000076 22054923 SRI MULYANI O14.9 Pre-eclampsia, unspecified Ralan Baru
17/04/2023 2023/04/17/000097 21052858 NUR KHOLIFA K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000045 18034938 SUHARYATI Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000060 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000082 23063199 TRIANA MELIA AGUSTIN Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000105 22056988 HALIMATUS SAHRO A90 Dengue fever [classical dengue] Ralan Baru
17/04/2023 2023/04/17/000009 23063598 UWI J44 Other chronic obstructive pulmonary disease Ralan Baru
17/04/2023 2023/04/17/000030 16014856 SOFIYAH L04 Acute lymphadenitis Ralan Baru
17/04/2023 2023/04/17/000050 23063914 SUWARTIK N39 Other disorders of urinary system Ralan Baru
17/04/2023 2023/04/17/000066 23063866 by ny sitti mariyatul kibtiyah P59.9 Neonatal jaundice, unspecified Ralan Baru
17/04/2023 2023/04/17/000089 22059480 JULIANA NINGSIH Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000122 23063761 AHMADI I95.8 Other hypotension Ralan Baru

7/20/23, 7:37 AM Page 17 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
17/04/2023 2023/04/17/000016 18036114 TATIK K80 Cholelithiasis Ralan Lama
17/04/2023 2023/04/17/000037 23062177 RASMA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000054 23062552 PUJI CANDRA ASIH Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000071 23063867 ARENA/RENA K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000096 23063344 METHA ANGGRAENI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000024 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
17/04/2023 2023/04/17/000043 23063912 SAYATI I10 Essential (primary) hypertension Ralan Baru
17/04/2023 2023/04/17/000059 15009584 LAMHATUL AINIYAH Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000081 23063825 MARIYA D210 Benign neoplasm, connective and other soft tissue of head, face and neck Ralan Lama
17/04/2023 2023/04/17/000103 18033824 MUHAMMAD AKBAR RAMADHAN J06.9 Acute upper respiratory infection, unspecified Ralan Baru
17/04/2023 2023/04/17/000008 23063835 aski I10 Essential (primary) hypertension Ralan Lama
17/04/2023 2023/04/17/000029 15000156 regalia K30 Dyspepsia Ralan Lama
17/04/2023 2023/04/17/000049 23062947 PRAYITNO ARIFIN I10 Essential (primary) hypertension Ralan Baru
17/04/2023 2023/04/17/000065 23063548 sitti mariyatul kibtiyah Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000087 22057837 ELMI LIDYA L04 Acute lymphadenitis Ralan Baru
17/04/2023 2023/04/17/000120 21050577 EFI NOFIANTARI K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000015 22061391 SUFYAN D62 Acute posthaemorrhagic anaemia Ralan Baru
17/04/2023 2023/04/17/000036 23063803 ALVINO SHAQUILLE ZHAFRAN A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
17/04/2023 2023/04/17/000070 23060683 ALVIAN FAIRUS HUSNI R06.0 Dyspnoea Ralan Baru
17/04/2023 2023/04/17/000094 23063690 sami Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000003 23063976 LASJO D649 Anaemia, unspecified Ralan Baru
17/04/2023 2023/04/17/000023 22061018 NUR AINI Z35 Supervision of high-risk pregnancy Ralan Lama
17/04/2023 2023/04/17/000042 008345 FERDI SETIAWAN I10 Essential (primary) hypertension Ralan Baru
17/04/2023 2023/04/17/000058 15004847 AMSIYA M54.5 Low back pain Ralan Lama
17/04/2023 2023/04/17/000080 23061618 diana nur aini O32.2 Maternal care for transverse and oblique lie Ralan Baru
17/04/2023 2023/04/17/000102 21053912 MOH.NAZRIL ILHAM RAMADHAN G40 Epilepsy Ralan Lama
17/04/2023 2023/04/17/000006 23063774 samina b E10 Insulin-dependent diabetes mellitus Ralan Baru
17/04/2023 2023/04/17/000028 23063773 ESSU E10 Insulin-dependent diabetes mellitus Ralan Baru
17/04/2023 2023/04/17/000048 23063985 afriza alfiani firjani P59.9 Neonatal jaundice, unspecified Ralan Baru
17/04/2023 2023/04/17/000064 22057635 BUYATI D61 Other aplastic anaemias Ralan Baru
17/04/2023 2023/04/17/000086 23063992 taha R06.0 Dyspnoea Ralan Baru
17/04/2023 2023/04/17/000118 23063956 ASA HAYANTI L27.1 Localized skin eruption due to drugs and medicaments Ralan Baru
17/04/2023 2023/04/17/000013 23063451 suradi L039 Cellulitis, unspecified Ralan Lama
17/04/2023 2023/04/17/000033 23063819 nurida yanto L030 Cellulitis of finger and toe Ralan Lama
17/04/2023 2023/04/17/000053 23063989 marruha N83.2 Other and unspecified ovarian cysts Ralan Baru
17/04/2023 2023/04/17/000069 23063832 SUCI AMALIAH Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
17/04/2023 2023/04/17/000093 21050695 MISNATI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000124 17022299 MURYANA I50.9 Heart failure, unspecified Ralan Baru
17/04/2023 2023/04/17/000040 17023154 TUTIK SUHARTINI E10 Insulin-dependent diabetes mellitus Ralan Baru
17/04/2023 2023/04/17/000057 23063518 WIWIT HANDAYANI T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000079 15009412 NURIN WARDANIYAH Z34 Supervision of normal pregnancy Ralan Lama
17/04/2023 2023/04/17/000100 23063863 muhammad gibran firmansyah A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
17/04/2023 2023/04/17/000005 18035100 HADIYA E10 Insulin-dependent diabetes mellitus Ralan Lama
17/04/2023 2023/04/17/000027 16013515 ADI PURNOMO R074 Chest pain, unspecified Ralan Baru
17/04/2023 2023/04/17/000047 23063809 NAFISA CITRA TRIANINGSIH A90 Dengue fever [classical dengue] Ralan Baru
17/04/2023 2023/04/17/000063 22059182 NURUL FUADIYATUS SHOLEHAH Z34.0 Supervision of normal first pregnancy Ralan Baru

7/20/23, 7:37 AM Page 18 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
17/04/2023 2023/04/17/000084 18032012 SITI FATIMAH L020 Cutaneous abscess, furuncle and carbuncle of face Ralan Lama
17/04/2023 2023/04/17/000116 23063999 kurniawati S09 Other and unspecified injuries of head Ralan Baru
17/04/2023 2023/04/17/000012 15006529 AFIFAH INDAH NUR WAHYUNI G44 Other headache syndromes Ralan Baru
17/04/2023 2023/04/17/000032 23063790 qutrun nadia ibni hatsima A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
17/04/2023 2023/04/17/000052 23063035 dewi amelia T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
17/04/2023 2023/04/17/000068 23062472 ratnawati Z35 Supervision of high-risk pregnancy Ralan Lama
17/04/2023 2023/04/17/000075 22057232 suhaeni O14.9 Pre-eclampsia, unspecified Ralan Baru
17/04/2023 2023/04/17/000092 23063994 KHOFIFAH ILA WAHYUNI Z34 Supervision of normal pregnancy Ralan Baru
17/04/2023 2023/04/17/000123 22059130 AMIRA NUR AUNI R50.9 Fever, unspecified Ralan Baru
17/04/2023 2023/04/17/000002 23063975 ENJU H81.1 Benign paroxysmal vertigo Ralan Baru
17/04/2023 2023/04/17/000020 23063837 ASMA E10 Insulin-dependent diabetes mellitus Ralan Baru
17/04/2023 2023/04/17/000039 23063431 MUKRI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
17/04/2023 2023/04/17/000056 23063744 afifatur rodiyah N61 Inflammatory disorders of breast Ralan Lama
17/04/2023 2023/04/17/000076 22054923 SRI MULYANI O42.1 Premature rupture of membranes, onset of labour after 24 hours Ralan Baru
17/04/2023 2023/04/17/000031 23063982 mutiatun nafisah O20.0 Threatened abortion Ralan Baru
17/04/2023 2023/04/17/000068 23062472 ratnawati O41.0 Oligohydramnios Ralan Baru
17/04/2023 2023/04/17/000122 23063761 AHMADI Z21 Asymptomatic human immunodeficiency virus [HIV] infection status Ralan Baru
17/04/2023 2023/04/17/000025 23063854 MULYADI R04 Haemorrhage from respiratory passages Ralan Baru
17/04/2023 2023/04/17/000003 23063976 LASJO I959 Hypotension, unspecified Ralan Baru
17/04/2023 2023/04/17/000053 23063989 marruha N91.1 Secondary amenorrhoea Ralan Baru
17/04/2023 2023/04/17/000075 22057232 suhaeni O32.1 Maternal care for breech presentation Ralan Lama
17/04/2023 2023/04/17/000002 23063975 ENJU K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000023 22061018 NUR AINI E66 Obesity Ralan Lama
17/04/2023 2023/04/17/000003 23063976 LASJO K30 Dyspepsia Ralan Baru
17/04/2023 2023/04/17/000075 22057232 suhaeni Z35 Supervision of high-risk pregnancy Ralan Lama
17/04/2023 2023/04/17/000075 22057232 suhaeni Z35.5 Supervision of elderly primigravida Ralan Lama
18/04/2023 2023/04/18/000006 22056561 HERLIN K30 Dyspepsia Ralan Lama
18/04/2023 2023/04/18/000025 21049569 TORIYA E10 Insulin-dependent diabetes mellitus Ralan Lama
18/04/2023 2023/04/18/000056 23064009 mismo K083 Retained dental root Ralan Baru
18/04/2023 2023/04/18/000081 16018520 HALIMATUS SYAKDIYAH R06.0 Dyspnoea Ralan Baru
18/04/2023 2023/04/18/000011 23063988 muhammad wedi C18.9 Malignant neoplasm of colon, unspecified Ralan Baru
18/04/2023 2023/04/18/000032 21052874 RUHAM E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory Ralan Baru
complications
18/04/2023 2023/04/18/000063 20046397 SANIMA D24 Benign neoplasm of breast Ralan Baru
18/04/2023 2023/04/18/000085 23064019 CINTA BELA FATIMATUZZAHRO E8127 Other motor vehicle traffic accident involving collision with motor vehicle Ralan Baru
injuring pedestrian
18/04/2023 2023/04/18/000018 22054338 ARFAL HASANAH N18.5 Chronic kidney disease, stage 5 Ralan Baru
18/04/2023 2023/04/18/000039 23063748 pawi K40 Inguinal hernia Ralan Lama
18/04/2023 2023/04/18/000069 23063529 innani L929 Granulomatous disorder of skin and subcutaneous tissue, unspecified Ralan Lama
18/04/2023 2023/04/18/000002 17028503 NAILA NUR FADILAH R50.9 Fever, unspecified Ralan Baru
18/04/2023 2023/04/18/000024 17021441 HARTATIK E10 Insulin-dependent diabetes mellitus Ralan Lama
18/04/2023 2023/04/18/000080 23064015 risqah ibrahimy auliya wahdah R50.9 Fever, unspecified Ralan Baru
18/04/2023 2023/04/18/000010 20045689 MUJI PRIHATIN I50.0 Congestive heart failure Ralan Lama
18/04/2023 2023/04/18/000031 20048018 HALIMATUS SADIYAH M32 Systemic lupus erythematosus Ralan Lama
18/04/2023 2023/04/18/000061 16017784 USWATUN NAHDIYAH Z34.0 Supervision of normal first pregnancy Ralan Lama
18/04/2023 2023/04/18/000084 23064018 AMIRAH HAURA NADZHIFA SOLEHAH R509 Fever, unspecified Ralan Baru

7/20/23, 7:37 AM Page 19 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
18/04/2023 2023/04/18/000017 23063374 siti nurjanah I10 Essential (primary) hypertension Ralan Lama
18/04/2023 2023/04/18/000038 22057500 TUMI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
18/04/2023 2023/04/18/000066 23063673 NOVI SETIAWATI Z09.8 Follow-up examination after other treatment for other conditions Ralan Lama
18/04/2023 2023/04/18/000001 23064002 SUP K30 Dyspepsia Ralan Baru
18/04/2023 2023/04/18/000023 22056571 HARTONO J20 Acute bronchitis Ralan Lama
18/04/2023 2023/04/18/000052 18032371 ASMINIWATI Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000078 061602 SAMSUL ARIFIN D64.0 Hereditary sideroblastic anaemia Ralan Baru
18/04/2023 2023/04/18/000009 15004380 ENDANG SUHARTATIK I10 Essential (primary) hypertension Ralan Lama
18/04/2023 2023/04/18/000060 21050209 RISKIYAH Z34.8 Supervision of other normal pregnancy Ralan Baru
18/04/2023 2023/04/18/000083 23064017 ROBIYATUN O60.1 Preterm labour with preterm delivery Ralan Baru
18/04/2023 2023/04/18/000015 22059468 MASADIN M15.0 Primary generalized (osteo)arthrosis Ralan Lama
18/04/2023 2023/04/18/000037 19037853 SITTI HALIMATUS SAKDIYA Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000065 23062077 zumratul ula Z35 Supervision of high-risk pregnancy Ralan Baru
18/04/2023 2023/04/18/000021 23064004 muhammad rifan K30 Dyspepsia Ralan Baru
18/04/2023 2023/04/18/000047 19037774 ASWANI E10.0 Insulin-dependent diabetes mellitus with coma Ralan Baru
18/04/2023 2023/04/18/000077 23064014 syahira fahma hoiri R50.0 Fever with chills Ralan Baru
18/04/2023 2023/04/18/000008 17023272 NINGSIH WATI K30 Dyspepsia Ralan Lama
18/04/2023 2023/04/18/000027 23063877 SITI QOMARIA ULFA Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history Ralan Baru
18/04/2023 2023/04/18/000059 23063875 NURUL JANNAH Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000082 23064016 BUSADI R50.9 Fever, unspecified Ralan Baru
18/04/2023 2023/04/18/000013 22061373 JAMILA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
18/04/2023 2023/04/18/000036 15001531 PUTRI DIANA ISLAMI Z098 Follow-up exam after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000064 22054985 MARTINA Z35 Supervision of high-risk pregnancy Ralan Baru
18/04/2023 2023/04/18/000087 20046215 HILYA AIZAQILA RAHMADHIZA R50.9 Fever, unspecified Ralan Baru
18/04/2023 2023/04/18/000020 17023894 SITI SRI WAHYUNI Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000041 22054852 RAFLI N39.9 Disorder of urinary system, unspecified Ralan Baru
18/04/2023 2023/04/18/000074 23063404 lisa amalia D24 Benign neoplasm of breast Ralan Lama
18/04/2023 2023/04/18/000007 22057528 NANIYAH E11 Non-insulin-dependent diabetes mellitus Ralan Lama
18/04/2023 2023/04/18/000026 22060566 eko purwanto K21.0 Gastro-oesophageal reflux disease with oesophagitis Ralan Lama
18/04/2023 2023/04/18/000058 23062493 FITRIYAH B16 Acute hepatitis B Ralan Lama
18/04/2023 2023/04/18/000012 20045466 ACHMAD ZAINI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
18/04/2023 2023/04/18/000033 18031493 MARYUDI I50.0 Congestive heart failure Ralan Lama
18/04/2023 2023/04/18/000086 22061359 HELVIANA NINGSIH O63.1 Prolonged second stage (of labour) Ralan Baru
18/04/2023 2023/04/18/000019 18036841 SHOLEHUDIN E05 Thyrotoxicosis [hyperthyroidism] Ralan Lama
18/04/2023 2023/04/18/000040 23063343 sri wahyuni Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
18/04/2023 2023/04/18/000071 22060018 NADIFATUL FAHIRA T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
18/04/2023 2023/04/18/000054 23063946 HOLASIA O21.0 Mild hyperemesis gravidarum Ralan Lama
18/04/2023 2023/04/18/000027 23063877 SITI QOMARIA ULFA Z358 Supervision of other high-risk pregnancies Ralan Baru
18/04/2023 2023/04/18/000001 23064002 SUP I10 Essential (primary) hypertension Ralan Baru
18/04/2023 2023/04/18/000082 23064016 BUSADI K529 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
18/04/2023 2023/04/18/000064 22054985 MARTINA O14.9 Pre-eclampsia, unspecified Ralan Baru
19/04/2023 2023/04/19/000015 23064028 MAIMONA I27.8 Other specified pulmonary heart diseases Ralan Baru
19/04/2023 2023/04/19/000033 19038097 AHMAD FADHIL MUZAYYIN R509 Fever, unspecified Ralan Baru
19/04/2023 2023/04/19/000020 23064030 SITTI MUTIAH O20.0 Threatened abortion Ralan Baru
19/04/2023 2023/04/19/000008 22057984 ABD WAPI H81.1 Benign paroxysmal vertigo Ralan Baru
19/04/2023 2023/04/19/000014 23064027 NINDI FENESTIYAN RAHMAN K35.8 Acute appendicitis, other and unspecified Ralan Baru

7/20/23, 7:37 AM Page 20 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
19/04/2023 2023/04/19/000031 18031498 NUGROHO TRI PRASODJO R07.3 Other chest pain Ralan Baru
19/04/2023 2023/04/19/000018 23064029 FATHI BAITI R60.9 Oedema, unspecified Ralan Baru
19/04/2023 2023/04/19/000004 23064023 RIZKIYAH K35.9 Acute appendicitis, unspecified Ralan Baru
19/04/2023 2023/04/19/000024 23063533 khairun nisak K30 Dyspepsia Ralan Baru
19/04/2023 2023/04/19/000013 053478 AISYAH NABILATUL KHOIRIYAH R50.9 Fever, unspecified Ralan Lama
19/04/2023 2023/04/19/000030 23064035 SUPRIYATIN E16.2 Hypoglycaemia, unspecified Ralan Baru
19/04/2023 2023/04/19/000003 23064022 SOWARIS R06.0 Dyspnoea Ralan Baru
19/04/2023 2023/04/19/000022 23064031 FAIQOTUL HIMMAH O63.2 Delayed delivery of second twin, triplet, etc. Ralan Baru
19/04/2023 2023/04/19/000012 23063741 BY NY JUWITA PERMATA SARI P59.8 Neonatal jaundice from other specified causes Ralan Baru
19/04/2023 2023/04/19/000029 16011638 JUMAATI K30 Dyspepsia Ralan Baru
19/04/2023 2023/04/19/000021 23062142 OSNAN R31 Unspecified haematuria Ralan Baru
19/04/2023 2023/04/19/000011 23064026 AHMAD RASIDI R50.9 Fever, unspecified Ralan Baru
19/04/2023 2023/04/19/000028 22060018 NADIFATUL FAHIRA T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
19/04/2023 2023/04/19/000016 15009745 HALIS ABDULLAH A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
19/04/2023 2023/04/19/000009 23064024 HAINUR RAHMA K30 Dyspepsia Ralan Baru
19/04/2023 2023/04/19/000026 23064033 SYAHRANI NADIA R50.9 Fever, unspecified Ralan Baru
19/04/2023 2023/04/19/000026 23064033 SYAHRANI NADIA A91 Dengue haemorrhagic fever Ralan Baru
19/04/2023 2023/04/19/000016 15009745 HALIS ABDULLAH K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
19/04/2023 2023/04/19/000020 23064030 SITTI MUTIAH O20.9 Haemorrhage in early pregnancy, unspecified Ralan Baru
19/04/2023 2023/04/19/000016 15009745 HALIS ABDULLAH R73.9 Hyperglycaemia, unspecified Ralan Baru
20/04/2023 2023/04/20/000019 016236 MOH.SULTON ALFATIH R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000004 22054243 MELLINDa SHANDi YANI K30 Dyspepsia Ralan Baru
20/04/2023 2023/04/20/000022 23064046 HARTATIK K30 Dyspepsia Ralan Baru
20/04/2023 2023/04/20/000012 23064041 SISILIA MILA MISAFA R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000029 045458 ROFIATUL HASANAH T60.0 Toxic effect of organophosphate and carbamate insecticides Ralan Baru
20/04/2023 2023/04/20/000021 23064045 VELINDA SAKBANI PUTRI R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000011 19038093 AHMAD WILDAN A91 Dengue haemorrhagic fever Ralan Baru
20/04/2023 2023/04/20/000018 23064044 AZHARI J45.9 Asthma, unspecified Ralan Baru
20/04/2023 2023/04/20/000003 16013989 SAFITRI E87.6 Hypokalaemia Ralan Baru
20/04/2023 2023/04/20/000026 22061391 SUFYAN D63 Anaemia in chronic diseases classified elsewhere Ralan Baru
20/04/2023 2023/04/20/000002 23064038 ANINDITA SALSABILA PUTRI R50 Fever of other and unknown origin Ralan Baru
20/04/2023 2023/04/20/000020 16012274 MUHAMMAD WILDAN R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000007 15003985 KURROTUL AYUNI K30 Dyspepsia Ralan Baru
20/04/2023 2023/04/20/000024 057552 USWATUN HASANAH J45.9 Asthma, unspecified Ralan Baru
20/04/2023 2023/04/20/000017 21050566 RUDI IRAWAN G44.0 Cluster headache syndrome Ralan Baru
20/04/2023 2023/04/20/000001 23064037 AHMAD SAHLAN FAEDANI R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000005 19039639 ARTINI A00.9 Cholera, unspecified Ralan Baru
20/04/2023 2023/04/20/000023 23064047 FAHMI RAMDANI HODORI PUTRA T14.1 Open wound of unspecified body region Ralan Baru
20/04/2023 2023/04/20/000016 22054923 SRI MULYANI O42.0 Premature rupture of membranes, onset of labour within 24 hours Ralan Baru
20/04/2023 2023/04/20/000019 016236 MOH.SULTON ALFATIH A91 Dengue haemorrhagic fever Ralan Baru
20/04/2023 2023/04/20/000003 16013989 SAFITRI K30 Dyspepsia Ralan Baru
20/04/2023 2023/04/20/000029 045458 ROFIATUL HASANAH R40 Somnolence, stupor and coma Ralan Baru
20/04/2023 2023/04/20/000021 23064045 VELINDA SAKBANI PUTRI A91 Dengue haemorrhagic fever Ralan Baru
20/04/2023 2023/04/20/000007 15003985 KURROTUL AYUNI R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000017 21050566 RUDI IRAWAN R50.9 Fever, unspecified Ralan Baru
20/04/2023 2023/04/20/000020 16012274 MUHAMMAD WILDAN K30 Dyspepsia Ralan Baru

7/20/23, 7:37 AM Page 21 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
21/04/2023 2023/04/21/000036 23064055 NURHADI PRASITYO L27.8 Dermatitis due to other substances taken internally Ralan Baru
21/04/2023 2023/04/21/000066 23064074 FLORA JULIKA SETIAWAN R50.9 Fever, unspecified Ralan Baru
21/04/2023 2023/04/21/000035 23064054 I MADE MARIANTA S09 Other and unspecified injuries of head Ralan Baru
21/04/2023 2023/04/21/000061 23064071 NUR HIDAYATI I95 Hypotension Ralan Baru
21/04/2023 2023/04/21/000043 15007522 PUJIATI O46 Antepartum haemorrhage, not elsewhere classified Ralan Baru
21/04/2023 2023/04/21/000051 22059061 SUKARNA E11.9 Non-insulin-dependent diabetes mellitus without complications Ralan Baru
21/04/2023 2023/04/21/000034 23064053 VITA TRISNANING KWINTA S09 Other and unspecified injuries of head Ralan Baru
21/04/2023 2023/04/21/000055 18032448 FAISOL RAHMAN S06.9 Intracranial injury, unspecified Ralan Baru
21/04/2023 2023/04/21/000041 23064059 MUHAMMAD MAULANA ZAFRAN R56 Convulsions, not elsewhere classified Ralan Baru
21/04/2023 2023/04/21/000065 19043293 FATHAN K56.7 Ileus, unspecified Ralan Baru
21/04/2023 2023/04/21/000050 23064062 HERU PURWANTO K30 Dyspepsia Ralan Baru
21/04/2023 2023/04/21/000033 23064052 AGUS SUPRIYANTO S09 Other and unspecified injuries of head Ralan Baru
21/04/2023 2023/04/21/000053 23064064 SULISTINA K30 Dyspepsia Ralan Baru
21/04/2023 2023/04/21/000038 23064057 NI PUTU SARI DEWI A S09 Other and unspecified injuries of head Ralan Baru
21/04/2023 2023/04/21/000062 18029951 UMMI FATIMATUZ ZAHRO R50.0 Fever with chills Ralan Baru
21/04/2023 2023/04/21/000032 23064051 RAUDATUL JANNAH O62.3 Precipitate labour Ralan Baru
21/04/2023 2023/04/21/000037 23064056 I MADE ADITYA S09 Other and unspecified injuries of head Ralan Baru
21/04/2023 2023/04/21/000045 16010936 CUCUK WIRAH R06.0 Dyspnoea Ralan Baru
21/04/2023 2023/04/21/000068 15002268 JUWANING K30 Dyspepsia Ralan Baru
21/04/2023 2023/04/20/000030 23064050 SODIQI AZIROS SIROJI R50.9 Fever, unspecified Ralan Baru
21/04/2023 2023/04/21/000052 23064063 B. HERI N18.5 Chronic kidney disease, stage 5 Ralan Baru
21/04/2023 2023/04/21/000061 23064071 NUR HIDAYATI K30 Dyspepsia Ralan Baru
21/04/2023 2023/04/21/000066 23064074 FLORA JULIKA SETIAWAN K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
21/04/2023 2023/04/21/000045 16010936 CUCUK WIRAH R73.9 Hyperglycaemia, unspecified Ralan Baru
21/04/2023 2023/04/21/000068 15002268 JUWANING R50.9 Fever, unspecified Ralan Baru
21/04/2023 2023/04/21/000052 23064063 B. HERI R06.0 Dyspnoea Ralan Baru
21/04/2023 2023/04/21/000062 18029951 UMMI FATIMATUZ ZAHRO A91 Dengue haemorrhagic fever Ralan Baru
21/04/2023 2023/04/21/000045 16010936 CUCUK WIRAH I10 Essential (primary) hypertension Ralan Baru
21/04/2023 2023/04/21/000052 23064063 B. HERI A18.2 Tuberculous peripheral lymphadenopathy Ralan Baru
22/04/2023 2023/04/22/000014 23062528 SUHARTATIK K30 Dyspepsia Ralan Baru
22/04/2023 2023/04/22/000035 20049074 KURROTUL AINI R50.0 Fever with chills Ralan Baru
22/04/2023 2023/04/22/000019 23064088 SAHRAWI R07.3 Other chest pain Ralan Baru
22/04/2023 2023/04/22/000004 23064079 MAHMUD FUDAILI S06.0 Concussion Ralan Baru
22/04/2023 2023/04/22/000027 23064092 BU AN I95 Hypotension Ralan Baru
22/04/2023 2023/04/22/000012 23061469 HERIYA B16 Acute hepatitis B Ralan Baru
22/04/2023 2023/04/22/000046 23064103 ABD AZIS R50.9 Fever, unspecified Ralan Baru
22/04/2023 2023/04/22/000003 23064078 BU DIYEH R50.9 Fever, unspecified Ralan Baru
22/04/2023 2023/04/22/000011 23064084 indah zahrotul auliya A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
22/04/2023 2023/04/22/000034 23061581 ELLOK HASAN B20 Human immunodeficiency virus [HIV] disease resulting in infectious and Ralan Baru
parasitic diseases
22/04/2023 2023/04/22/000026 17022360 SUMAI K30 Dyspepsia Ralan Baru
22/04/2023 2023/04/22/000060 23063912 SAYATI K30 Dyspepsia Ralan Lama
22/04/2023 2023/04/22/000010 19040163 SUPRIANTO N39.0 Urinary tract infection, site not specified Ralan Baru
22/04/2023 2023/04/22/000017 17025743 TITIK PUSPA MEIARSIH D50.8 Other iron deficiency anaemias Ralan Baru
22/04/2023 2023/04/22/000042 23064100 MUHAMMAD SHIDQI ALI A91 Dengue haemorrhagic fever Ralan Baru
22/04/2023 2023/04/22/000025 22058403 IKA NOVIYANA RAHMAN O21.1 Hyperemesis gravidarum with metabolic disturbance Ralan Baru

7/20/23, 7:37 AM Page 22 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
22/04/2023 2023/04/22/000059 23064114 MUHAMMAD GAVIN KARNA R50.9 Fever, unspecified Ralan Baru
22/04/2023 2023/04/22/000006 23064081 AMALIA HUSNA SAJIDAH R50.9 Fever, unspecified Ralan Baru
22/04/2023 2023/04/22/000016 23064087 MUHAMMAD ARIFANDI N39.0 Urinary tract infection, site not specified Ralan Baru
22/04/2023 2023/04/22/000041 23064101 AHMAD HASBULLAH R50.0 Fever with chills Ralan Baru
22/04/2023 2023/04/22/000022 23064089 AHMAD FARROS NUR HASYIM S92.0 Fracture of calcaneus Ralan Baru
22/04/2023 2023/04/22/000058 23063574 NAILA DWI RAHMANIA R10.4 Other and unspecified abdominal pain Ralan Baru
22/04/2023 2023/04/22/000005 23064080 CONG AFANDI K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
22/04/2023 2023/04/22/000033 22056674 SITI HOTIJAH O32.1 Maternal care for breech presentation Ralan Baru
22/04/2023 2023/04/22/000058 23063574 NAILA DWI RAHMANIA K30 Dyspepsia Ralan Lama
22/04/2023 2023/04/22/000019 23064088 SAHRAWI I21.3 Acute transmural myocardial infarction of unspecified site Ralan Baru
22/04/2023 2023/04/22/000027 23064092 BU AN D61.8 Other specified aplastic anaemias Ralan Baru
22/04/2023 2023/04/22/000017 17025743 TITIK PUSPA MEIARSIH R55 Syncope and collapse Ralan Baru
22/04/2023 2023/04/22/000046 23064103 ABD AZIS A91 Dengue haemorrhagic fever Ralan Baru
22/04/2023 2023/04/22/000003 23064078 BU DIYEH K30 Dyspepsia Ralan Baru
22/04/2023 2023/04/22/000034 23061581 ELLOK HASAN A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru
22/04/2023 2023/04/22/000033 22056674 SITI HOTIJAH O60 Preterm labour and delivery Ralan Baru
22/04/2023 2023/04/22/000034 23061581 ELLOK HASAN R06.0 Dyspnoea Ralan Baru
23/04/2023 2023/04/23/000018 16018059 MISYATI R19 Other symptoms and signs involving the digestive system and abdomen Ralan Baru
23/04/2023 2023/04/23/000002 23064097 MUHAMMAD FARISI E79.0 Hyperuricaemia without signs of inflammatory arthritis and tophaceous disease Ralan Baru
23/04/2023 2023/04/23/000027 23064129 MIRDJO R73.9 Hyperglycaemia, unspecified Ralan Baru
23/04/2023 2023/04/23/000009 23064119 dia qurota ayun H60 Otitis externa Ralan Baru
23/04/2023 2023/04/23/000001 027581 TOYATI H81.4 Vertigo of central origin Ralan Baru
23/04/2023 2023/04/23/000027 23064129 MIRDJO K30 Dyspepsia Ranap Baru
23/04/2023 2023/04/23/000007 17024403 TAUFIK R33 Retention of urine Ralan Baru
23/04/2023 2023/04/23/000012 23064121 MAIMUNAH S06.9 Intracranial injury, unspecified Ralan Baru
23/04/2023 2023/04/23/000005 23064117 azka aqila qirani K30 Dyspepsia Ralan Baru
23/04/2023 2023/04/23/000032 23064131 NOR INAYAH R50.9 Fever, unspecified Ralan Baru
23/04/2023 2023/04/23/000011 18033665 FATIMAH R06.0 Dyspnoea Ralan Baru
23/04/2023 2023/04/23/000019 23062080 AINI K30 Dyspepsia Ralan Lama
23/04/2023 2023/04/23/000004 23064116 SUJI R10.0 Acute abdomen Ralan Baru
23/04/2023 2023/04/23/000031 23064130 ALFARISI R11 Nausea and vomiting Ralan Baru
23/04/2023 2023/04/23/000010 23064120 kenzy al ikhsan R11 Nausea and vomiting Ralan Baru
23/04/2023 2023/04/23/000003 21051227 LAELATUS ZEHRO B01 Varicella [chickenpox] Ralan Baru
23/04/2023 2023/04/23/000028 20044767 ANTONI YUSRON R10.0 Acute abdomen Ralan Baru
23/04/2023 2023/04/23/000010 23064120 kenzy al ikhsan A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
23/04/2023 2023/04/23/000018 16018059 MISYATI E86 Volume depletion Ralan Baru
23/04/2023 2023/04/23/000019 23062080 AINI A91 Dengue haemorrhagic fever Ralan Baru
23/04/2023 2023/04/23/000027 23064129 MIRDJO E11.9 Non-insulin-dependent diabetes mellitus without complications Ralan Baru
24/04/2023 2023/04/24/000005 22058394 MUHAMMAD ASRAF R50.9 Fever, unspecified Ralan Baru
24/04/2023 2023/04/24/000050 23064158 HAFIDOH K30 Dyspepsia Ralan Baru
24/04/2023 2023/04/24/000025 23064147 UDATUS SYADIYAH T63 Toxic effect of contact with venomous animals Ralan Baru
24/04/2023 2023/04/24/000039 23064153 UMMU NURIYAH O60.1 Preterm labour with preterm delivery Ralan Baru
24/04/2023 2023/04/24/000049 20045269 DYELA NUR FIANDITA R50.9 Fever, unspecified Ralan Baru
24/04/2023 2023/04/24/000021 23064145 MARISKA UZZLIFA ZURAIDA R50.9 Fever, unspecified Ralan Baru
24/04/2023 2023/04/24/000038 002926 SUGITO M15 Polyarthrosis Ralan Baru
24/04/2023 2023/04/24/000004 23064138 BAHARUDIN K30 Dyspepsia Ralan Baru

7/20/23, 7:37 AM Page 23 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
24/04/2023 2023/04/24/000047 17025921 NIKE INDAH BUDIARTY RICWAN K30 Dyspepsia Ralan Baru
24/04/2023 2023/04/24/000020 23064144 PUSPITA SARI O60.0 Preterm labour without delivery Ralan Baru
24/04/2023 2023/04/24/000030 23064150 MOCHAMMAD SAUDI R53 Malaise and fatigue Ralan Baru
24/04/2023 2023/04/24/000042 23064154 TUM A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
24/04/2023 2023/04/24/000007 23064137 muhammad maulana yudha K30 Dyspepsia Ralan Baru
24/04/2023 2023/04/24/000029 22054920 SANEZ NABILA REZANIA RAHMAN K30 Dyspepsia Ralan Baru
24/04/2023 2023/04/24/000041 037571 SUBAHRI L03 Cellulitis Ralan Baru
24/04/2023 2023/04/24/000006 23064139 HATIJA K92.0 Haematemesis Ralan Baru
24/04/2023 2023/04/24/000051 23064159 JUMILA SEPTI RIZKIYAH O14.9 Pre-eclampsia, unspecified Ralan Baru
24/04/2023 2023/04/24/000026 23064148 MOH. FIKI A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Baru
24/04/2023 2023/04/24/000040 18034463 AHMAD RAMADHANI HARIYANTO R10.0 Acute abdomen Ralan Baru
24/04/2023 2023/04/24/000005 22058394 MUHAMMAD ASRAF R11 Nausea and vomiting Ralan Baru
25/04/2023 2023/04/25/000010 23064167 SALIM R40.1 Stupor Ralan Baru
25/04/2023 2023/04/25/000033 23063574 NAILA DWI RAHMANIA K30 Dyspepsia Ralan Lama
25/04/2023 2023/04/25/000018 16010376 M.NASIR ABUL FIKRI A88.1 Epidemic vertigo Ralan Baru
25/04/2023 2023/04/25/000025 000047 ILZAM LUTHFI L60.1 Onycholysis Ralan Baru
25/04/2023 2023/04/25/000032 18031323 HIDAYATUL MUNAWAROH H81.0 Meniere-s disease Ralan Baru
25/04/2023 2023/04/25/000016 23062504 ANINDYA ZAHRA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
25/04/2023 2023/04/25/000023 23064172 KAMILATUS SOLEHAH R06.0 Dyspnoea Ralan Baru
25/04/2023 2023/04/25/000009 23064166 MARA QONITA TILLAH R11 Nausea and vomiting Ralan Baru
25/04/2023 2023/04/25/000031 23064177 TASIP R06.0 Dyspnoea Ralan Baru
25/04/2023 2023/04/25/000003 17021539 SAFIUDIN H82 Vertiginous syndromes in diseases classified elsewhere Ralan Baru
25/04/2023 2023/04/25/000012 19039419 DIAN PUSPITA SARI R50.9 Fever, unspecified Ralan Baru
25/04/2023 2023/04/25/000006 23064164 MUINA K30 Dyspepsia Ralan Baru
25/04/2023 2023/04/25/000022 23064171 HATTA HIHUBBIL J40 Bronchitis, not specified as acute or chronic Ralan Baru
25/04/2023 2023/04/25/000030 22054873 BAITURROHMAH O48 Prolonged pregnancy Ralan Baru
25/04/2023 2023/04/25/000002 23064163 NETO H82 Vertiginous syndromes in diseases classified elsewhere Ralan Baru
25/04/2023 2023/04/25/000004 15006540 ARNA R10.4 Other and unspecified abdominal pain Ralan Baru
25/04/2023 2023/04/25/000021 23063524 MISIYA R06.0 Dyspnoea Ralan Baru
25/04/2023 2023/04/25/000008 23063800 EMA K30 Dyspepsia Ralan Baru
25/04/2023 2023/04/25/000029 22055706 SUHERNI R07.3 Other chest pain Ralan Baru
25/04/2023 2023/04/25/000011 23064168 ADZKIA KHAIRA SALSABILA R50.9 Fever, unspecified Ralan Baru
25/04/2023 2023/04/25/000020 20047127 ASNAWI K30 Dyspepsia Ralan Baru
25/04/2023 2023/04/25/000007 23064165 BUSTAMI R50.9 Fever, unspecified Ralan Baru
25/04/2023 2023/04/25/000028 23064176 MIHROB SATOTO T14 Injury of unspecified body region Ralan Baru
25/04/2023 2023/04/25/000003 17021539 SAFIUDIN I21.4 Acute subendocardial myocardial infarction Ralan Baru
25/04/2023 2023/04/25/000007 23064165 BUSTAMI M62.81 Other specified disorders of muscle, shoulder Ralan Baru
25/04/2023 2023/04/25/000010 23064167 SALIM I63.9 Cerebral infarction, unspecified Ralan Baru
25/04/2023 2023/04/25/000006 23064164 MUINA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
25/04/2023 2023/04/25/000008 23063800 EMA R06.0 Dyspnoea Ralan Baru
25/04/2023 2023/04/25/000012 19039419 DIAN PUSPITA SARI G448 Other specified headache syndromes Ralan Baru
25/04/2023 2023/04/25/000004 15006540 ARNA K30 Dyspepsia Ralan Baru
25/04/2023 2023/04/25/000003 17021539 SAFIUDIN I10 Essential (primary) hypertension Ralan Baru
26/04/2023 2023/04/26/000038 16014641 ENDANG KAMIASIH K30 Dyspepsia Ralan Baru
26/04/2023 2023/04/26/000008 23063988 muhammad wedi C18.9 Malignant neoplasm of colon, unspecified Ralan Lama
26/04/2023 2023/04/26/000022 23063787 ilfa nor inayah K04.1 Necrosis of pulp Ralan Baru

7/20/23, 7:37 AM Page 24 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
26/04/2023 2023/04/26/000017 19038401 SAUMI GULSUM O13 Gestational [pregnancy-induced] hypertension without significant proteinuria Ralan Lama
26/04/2023 2023/04/26/000037 23063982 mutiatun nafisah O035 Spontaneous abortion, complete or unspecified, complicated by genital tract Ralan Baru
and pelvic infection
26/04/2023 2023/04/26/000007 23063451 suradi L039 Cellulitis, unspecified Ralan Lama
26/04/2023 2023/04/26/000021 23062827 abdur rasid L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
26/04/2023 2023/04/26/000052 23064191 muhammad ADIJA1 R560 Febrile convulsions Ralan Baru
26/04/2023 2023/04/26/000062 23064199 NURUL QOMARIYAH O80.9 Single spontaneous delivery, unspecified Ralan Baru
26/04/2023 2023/04/26/000027 23063744 afifatur rodiyah N61 Inflammatory disorders of breast Ralan Lama
26/04/2023 2023/04/26/000016 16020177 m. nurfachrizal habibi K35 Acute appendicitis Ralan Lama
26/04/2023 2023/04/26/000006 20046230 MOH.MAULANA MIFTAHUL ARIFIN K35 Acute appendicitis Ralan Baru
26/04/2023 2023/04/26/000020 23063884 emi musrifah D24 Benign neoplasm of breast Ralan Lama
26/04/2023 2023/04/26/000050 16016686 CINTYA RISQI PERDANA K30 Dyspepsia Ralan Baru
26/04/2023 2023/04/26/000058 21053016 DANISH OKTA RAHARDIAN R56 Convulsions, not elsewhere classified Ralan Baru
26/04/2023 2023/04/26/000026 15008607 SISKA SETIANINGDIYAH.W O034 Spontaneous abortion, incomplete, without complication Ralan Baru
26/04/2023 2023/04/26/000015 18034550 FAIQOTUL IMAROH R02 Gangrene, not elsewhere classified Ralan Baru
26/04/2023 2023/04/26/000003 23064180 TRIYANTO HARI NUGROHO R50 Fever of other and unknown origin Ralan Baru
26/04/2023 2023/04/26/000019 22054613 WARDA Z34 Supervision of normal pregnancy Ralan Baru
26/04/2023 2023/04/26/000040 23062472 ratnawati Z098 Follow-up exam after other treatment for other conditions Ralan Baru
26/04/2023 2023/04/26/000056 22059687 GAHATMA PUAN MAULANA R06.0 Dyspnoea Ralan Lama
26/04/2023 2023/04/26/000011 22061018 NUR AINI Z09.8 Follow-up examination after other treatment for other conditions Ralan Baru
26/04/2023 2023/04/26/000025 22056655 IDA O03.4 Spontaneous abortion, incomplete, without complication Ralan Baru
26/04/2023 2023/04/26/000014 23063330 ahmad habibi salam R591 Generalized enlarged lymph nodes Ralan Lama
26/04/2023 2023/04/26/000032 22060018 NADIFATUL FAHIRA T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
26/04/2023 2023/04/26/000002 23064179 ARYA BAKTI UTAMA R50 Fever of other and unknown origin Ralan Baru
26/04/2023 2023/04/26/000018 18032012 SITI FATIMAH L020 Cutaneous abscess, furuncle and carbuncle of face Ralan Lama
26/04/2023 2023/04/26/000039 18035991 DIANA FARIDA T81.4 Infection following a procedure, not elsewhere classified Ralan Baru
26/04/2023 2023/04/26/000055 23064193 SUNATI R06.0 Dyspnoea Ralan Baru
26/04/2023 2023/04/26/000010 23062177 RASMA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
26/04/2023 2023/04/26/000023 23063035 dewi amelia T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
26/04/2023 2023/04/26/000013 23064023 RIZKIYAH K35 Acute appendicitis Ralan Baru
26/04/2023 2023/04/26/000017 19038401 SAUMI GULSUM Z35 Supervision of high-risk pregnancy Ralan Lama
26/04/2023 2023/04/26/000055 23064193 SUNATI K30 Dyspepsia Ralan Baru
26/04/2023 2023/04/26/000012 23062298 ulfa umamah O48 Prolonged pregnancy Ralan Baru
26/04/2023 2023/04/26/000030 23064185 khosniatul hasanah N93.9 Abnormal uterine and vaginal bleeding, unspecified Ralan Baru
26/04/2023 2023/04/26/000035 21051227 LAELATUS ZEHRO Z358 Supervision of other high-risk pregnancies Ralan Baru
26/04/2023 2023/04/26/000031 16014985 SUTILAH Z35.4 Supervision of pregnancy with grand multiparity Ralan Lama
26/04/2023 2023/04/26/000012 23062298 ulfa umamah O41.0 Oligohydramnios Ralan Baru
26/04/2023 2023/04/26/000035 21051227 LAELATUS ZEHRO B01 Varicella [chickenpox] Ralan Lama
26/04/2023 2023/04/26/000012 23062298 ulfa umamah G40.9 Epilepsy, unspecified Ralan Baru
27/04/2023 2023/04/27/000010 23063962 AFNAN AINIYAH A90 Dengue fever [classical dengue] Ralan Baru
27/04/2023 2023/04/27/000084 23064231 AHMAD FAJAR MAULIDI K30 Dyspepsia Ralan Baru
27/04/2023 2023/04/27/000040 23064037 AHMAD SAHLAN FAEDANI S099 Unspecified injury of head Ralan Baru
27/04/2023 2023/04/27/000003 22060111 helyatul ainiyah O42.9 Premature rupture of membranes, unspecified Ralan Baru
27/04/2023 2023/04/27/000020 21050175 MUHAMMAD KAFABy AL HAKIM G40 Epilepsy Ralan Lama
27/04/2023 2023/04/27/000050 23064212 juhandik D210 Benign neoplasm, connective and other soft tissue of head, face and neck Ralan Baru
27/04/2023 2023/04/27/000079 23064228 DJENAL R06.0 Dyspnoea Ralan Baru

7/20/23, 7:37 AM Page 25 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
27/04/2023 2023/04/27/000009 22061373 JAMILA L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
27/04/2023 2023/04/27/000025 23064204 SITI ALFIATUR RISKIYAH O14.9 Pre-eclampsia, unspecified Ralan Baru
27/04/2023 2023/04/27/000014 15008709 KHOLIFATUR ROSIDAH Z098 Follow-up exam after other treatment for other conditions Ralan Baru
27/04/2023 2023/04/27/000037 23064207 ulfatul hasanah K006 Disturbances in tooth eruption Ralan Baru
27/04/2023 2023/04/27/000073 23064226 AGUS PUJIONO K92.1 Melaena Ralan Baru
27/04/2023 2023/04/27/000019 23063741 BY NY JUWITA PERMATA SARI P59.9 Neonatal jaundice, unspecified Ralan Baru
27/04/2023 2023/04/27/000048 23061856 SUHARTATIK I95 Hypotension Ranap Baru
27/04/2023 2023/04/27/000078 17024896 TOTOK SISWOYO K30 Dyspepsia Ralan Baru
27/04/2023 2023/04/27/000008 20045466 ACHMAD ZAINI L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
27/04/2023 2023/04/27/000024 23064114 MUHAMMAD GAVIN KARNA R56.0 Febrile convulsions Ralan Baru
27/04/2023 2023/04/27/000062 23064219 JUHARIYAH K30 Dyspepsia Ralan Baru
27/04/2023 2023/04/27/000013 23064030 SITTI MUTIAH O03.5 Spontaneous abortion, complete or unspecified, complicated by genital tract Ralan Baru
and pelvic infection
27/04/2023 2023/04/27/000034 22056635 MUHAMMAD BAYU PRASTIYO G40 Epilepsy Ralan Lama
27/04/2023 2023/04/27/000068 23064222 SALHA L984 Chronic ulcer of skin, not elsewhere classified Ralan Baru
27/04/2023 2023/04/27/000017 23064026 AHMAD RASIDI B34.9 Viral infection, unspecified Ralan Baru
27/04/2023 2023/04/27/000076 23063875 NURUL JANNAH J06.9 Acute upper respiratory infection, unspecified Ralan Baru
27/04/2023 2023/04/27/000007 23060683 ALVIAN FAIRUS HUSNI J18.9 Pneumonia, unspecified Ralan Baru
27/04/2023 2023/04/27/000023 23063198 suningsih C90.0 Multiple myeloma Ralan Baru
27/04/2023 2023/04/27/000055 17024104 DEWI WULANDARI Z34.0 Supervision of normal first pregnancy Ralan Baru
27/04/2023 2023/04/27/000083 22055000 ANNISA SYUKRIA DZIKRILLAH A09 Other gastroenteritis and colitis of infectious and unspecified origin Ralan Lama
27/04/2023 2023/04/27/000012 23064081 AMALIA HUSNA SAJIDAH K59.0 Constipation Ralan Baru
27/04/2023 2023/04/27/000027 23062793 sitti wardatul hasanah G40 Epilepsy Ralan Lama
27/04/2023 2023/04/27/000067 23064221 MUHAMMAD FAUZAN ELFANDI R11 Nausea and vomiting Ralan Baru
27/04/2023 2023/04/27/000016 18032448 FAISOL RAHMAN S099 Unspecified injury of head Ralan Baru
27/04/2023 2023/04/27/000043 22056963 AL MUGHNI ERINSYAH J45.9 Asthma, unspecified Ralan Baru
27/04/2023 2023/04/27/000075 23064227 HARTATIK K30 Dyspepsia Ralan Baru
27/04/2023 2023/04/27/000006 23063846 ANAS SHOHABY L049 Acute lymphadenitis, unspecified Ralan Baru
27/04/2023 2023/04/27/000022 18030630 RENI KUSPITASARI N93 Other abnormal uterine and vaginal bleeding Ralan Baru
27/04/2023 2023/04/27/000054 16017909 DIAH NURMALASARI YENI FARIYAH Z34 Supervision of normal pregnancy Ralan Baru
27/04/2023 2023/04/27/000082 16013988 MUHAMMAD FATIR HOLILULLAH R50.9 Fever, unspecified Ralan Baru
27/04/2023 2023/04/27/000011 17029058 NUR INDAH HARI SUSANTI Z35 Supervision of high-risk pregnancy Ralan Lama
27/04/2023 2023/04/27/000026 21052874 RUHAM L984 Chronic ulcer of skin, not elsewhere classified Ralan Lama
27/04/2023 2023/04/27/000065 22058223 surinten R50.9 Fever, unspecified Ralan Baru
27/04/2023 2023/04/27/000015 17028783 NUR ALFI SYARIFAH N93.9 Abnormal uterine and vaginal bleeding, unspecified Ralan Baru
27/04/2023 2023/04/27/000041 23064208 nurus samsiyah Z34 Supervision of normal pregnancy Ralan Baru
27/04/2023 2023/04/27/000005 042504 KHOIRUN NISA N91.1 Secondary amenorrhoea Ralan Baru
27/04/2023 2023/04/27/000021 17028503 NAILA NUR FADILAH A49.9 Bacterial infection, unspecified Ralan Baru
27/04/2023 2023/04/27/000052 23064214 AZKIA SAFIRA NUR ROHMAH R50.0 Fever with chills Ralan Baru
27/04/2023 2023/04/27/000080 23064229 AISAH D55 Anaemia due to enzyme disorders Ralan Baru
27/04/2023 2023/04/27/000025 23064204 SITI ALFIATUR RISKIYAH O32.1 Maternal care for breech presentation Ralan Baru
27/04/2023 2023/04/27/000065 22058223 surinten R10.4 Other and unspecified abdominal pain Ralan Baru
27/04/2023 2023/04/27/000015 17028783 NUR ALFI SYARIFAH N83.2 Other and unspecified ovarian cysts Ralan Baru
27/04/2023 2023/04/27/000073 23064226 AGUS PUJIONO R50.9 Fever, unspecified Ralan Baru
27/04/2023 2023/04/27/000084 23064231 AHMAD FAJAR MAULIDI J06.9 Acute upper respiratory infection, unspecified Ralan Baru
27/04/2023 2023/04/27/000048 23061856 SUHARTATIK D64 Other anaemias Ranap Lama

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Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
27/04/2023 2023/04/27/000075 23064227 HARTATIK G44.8 Other specified headache syndromes Ralan Baru
27/04/2023 2023/04/27/000065 22058223 surinten I10 Essential (primary) hypertension Ralan Baru
27/04/2023 2023/04/27/000084 23064231 AHMAD FAJAR MAULIDI F45.9 Somatoform disorder, unspecified Ralan Baru
28/04/2023 2023/04/28/000044 23063939 HENNY RUSMIYATI O42.1 Premature rupture of membranes, onset of labour after 24 hours Ralan Lama
28/04/2023 2023/04/28/000003 15004131 NENES SURAYYAH R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000022 23064023 RIZKIYAH K35 Acute appendicitis Ralan Lama
28/04/2023 2023/04/28/000007 16020177 m. nurfachrizal habibi K35 Acute appendicitis Ralan Lama
28/04/2023 2023/04/28/000027 23064238 m.aril kurniawan K40 Inguinal hernia Ralan Baru
28/04/2023 2023/04/28/000057 23064258 MASRUROH K64.2 Third degree haemorrhoids Ralan Baru
28/04/2023 2023/04/28/000015 18037022 SLAMET J94.2 Haemothorax Ralan Baru
28/04/2023 2023/04/28/000043 23064247 HIDAYATI Z33 Pregnant state, incidental Ralan Baru
28/04/2023 2023/04/28/000021 18035991 DIANA FARIDA T81.4 Infection following a procedure, not elsewhere classified Ralan Lama
28/04/2023 2023/04/28/000049 23064251 MUHAMMAD ZAINURRAHMAN ALFARISI R10.4 Other and unspecified abdominal pain Ralan Baru
28/04/2023 2023/04/28/000006 19041187 JAMAL R06.0 Dyspnoea Ralan Baru
28/04/2023 2023/04/28/000026 23063939 HENNY RUSMIYATI O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium Ralan Lama
28/04/2023 2023/04/28/000055 23064256 TOYAMA R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000012 23064096 SAPIYA S099 Unspecified injury of head Ralan Baru
28/04/2023 2023/04/28/000038 23064244 AHMAD FAUZAN R50.0 Fever with chills Ralan Baru
28/04/2023 2023/04/28/000002 20048718 MUHAMMAD MAULIDI NATIJA SABIL R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000020 23064236 nurhajirin J40 Bronchitis, not specified as acute or chronic Ralan Baru
28/04/2023 2023/04/28/000005 23064233 MOHAMMAD FRENDIYATO R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000054 23064255 RAMADHAN MAULANA R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000011 19043293 FATHAN Z932 Ileostomy status Ralan Baru
28/04/2023 2023/04/28/000037 23064243 DIFATUL QOMARIYAH R50.0 Fever with chills Ralan Baru
28/04/2023 2023/04/28/000019 23064027 NINDI FENESTIYAN RAHMAN K35 Acute appendicitis Ralan Baru
28/04/2023 2023/04/28/000048 23064250 ASMAD S06.0 Concussion Ralan Baru
28/04/2023 2023/04/28/000025 23064237 sri lusmiati Z35 Supervision of high-risk pregnancy Ralan Baru
28/04/2023 2023/04/28/000053 23064254 mahmuda R50.9 Fever, unspecified Ralan Baru
28/04/2023 2023/04/28/000010 18031185 SANINTEN R06.0 Dyspnoea Ralan Lama
28/04/2023 2023/04/28/000035 23064241 zekkiuddin K40 Inguinal hernia Ralan Baru
28/04/2023 2023/04/28/000001 23064232 MUHAMMAD RAIHAN R11 Nausea and vomiting Ralan Baru
28/04/2023 2023/04/28/000046 23064248 IRYATUN O14.1 Severe pre-eclampsia Ralan Baru
28/04/2023 2023/04/28/000004 16015601 DEARYOTO N39.0 Urinary tract infection, site not specified Ralan Baru
28/04/2023 2023/04/28/000024 20047087 SAIFUL BAHRI M726 Necrotizing fasciitis Ralan Lama
28/04/2023 2023/04/28/000050 23064250 ASMAD I64 Stroke, not specified as haemorrhage or infarction Ralan Baru
28/04/2023 2023/04/28/000009 23064017 ROBIYATUN Z35 Supervision of high-risk pregnancy Ralan Baru
28/04/2023 2023/04/28/000032 19039954 REGAN SHAFY RAMADHAN K30 Dyspepsia Ralan Baru
28/04/2023 2023/04/28/000050 23064250 ASMAD E11.9 Non-insulin-dependent diabetes mellitus without complications Ralan Baru
28/04/2023 2023/04/28/000003 15004131 NENES SURAYYAH R11 Nausea and vomiting Ralan Baru
28/04/2023 2023/04/28/000048 23064250 ASMAD S06.2 Diffuse brain injury Ralan Baru
28/04/2023 2023/04/28/000026 23063939 HENNY RUSMIYATI O42.1 Premature rupture of membranes, onset of labour after 24 hours Ralan Baru
28/04/2023 2023/04/28/000002 20048718 MUHAMMAD MAULIDI NATIJA SABIL R11 Nausea and vomiting Ralan Baru
28/04/2023 2023/04/28/000005 23064233 MOHAMMAD FRENDIYATO K30 Dyspepsia Ralan Baru
28/04/2023 2023/04/28/000018 23063817 DINI YUNIARTI AMANDA O03.9 Spontaneous abortion, complete or unspecified, without complication Ralan Baru
28/04/2023 2023/04/28/000018 23063817 DINI YUNIARTI AMANDA N83.2 Other and unspecified ovarian cysts Ralan Baru
29/04/2023 2023/04/29/000008 23064265 ari andini H61.2 Impacted cerumen Ralan Baru

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Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
29/04/2023 2023/04/29/000018 23064272 SUMARIYA I11 Hypertensive heart disease Ralan Baru
29/04/2023 2023/04/29/000005 23064263 abdul jalil A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
29/04/2023 2023/04/29/000025 23064277 suyana R10.4 Other and unspecified abdominal pain Ralan Baru
29/04/2023 2023/04/29/000017 23064271 MAHUR P NUR T81 Complications of procedures, not elsewhere classified Ralan Baru
29/04/2023 2023/04/29/000004 23064262 SATIJO A91 Dengue haemorrhagic fever Ranap Baru
29/04/2023 2023/04/29/000016 23064270 MOH. FAHIM RASYID T63.0 Toxic effect of snake venom Ralan Baru
29/04/2023 2023/04/29/000003 23064261 SURI R10 Abdominal and pelvic pain Ralan Baru
29/04/2023 2023/04/29/000013 23064267 ABD WAHED A09.0 Other unspecified gastroenteritis and colitis of infectious origin Ralan Baru
29/04/2023 2023/04/29/000021 23064274 SUTIMA I50.9 Heart failure, unspecified Ralan Baru
29/04/2023 2023/04/29/000012 17028306 ADILA NISA ARDANI A91 Dengue haemorrhagic fever Ralan Baru
29/04/2023 2023/04/29/000002 22056198 SITI FATIMAH O14.1 Severe pre-eclampsia Ralan Baru
29/04/2023 2023/04/29/000019 23064155 ERNAWATI R73.9 Hyperglycaemia, unspecified Ralan Baru
29/04/2023 2023/04/29/000019 23064155 ERNAWATI R53 Malaise and fatigue Ralan Baru
29/04/2023 2023/04/29/000025 23064277 suyana K30 Dyspepsia Ralan Baru
29/04/2023 2023/04/29/000021 23064274 SUTIMA K30 Dyspepsia Ralan Baru
29/04/2023 2023/04/29/000018 23064272 SUMARIYA N18.8 Other chronic renal failure Ralan Baru
29/04/2023 2023/04/29/000003 23064261 SURI K30 Dyspepsia Ralan Baru
29/04/2023 2023/04/29/000019 23064155 ERNAWATI K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
29/04/2023 2023/04/29/000018 23064272 SUMARIYA N19 Unspecified renal failure Ralan Baru
29/04/2023 2023/04/29/000018 23064272 SUMARIYA J18.9 Pneumonia, unspecified Ralan Baru
30/04/2023 2023/04/30/000002 23064278 HAFIZH ZULFAHMI K529 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
30/04/2023 2023/04/30/000007 15003087 SUWIDA G81 Hemiplegia Ralan Baru
30/04/2023 2023/04/30/000011 23064282 MUTAMMIMA S06.0 Concussion Ralan Baru
30/04/2023 2023/04/30/000023 20046230 MOH.MAULANA MIFTAHUL ARIFIN R50.9 Fever, unspecified Ralan Lama
30/04/2023 2023/04/30/000015 23064285 SUNARSO K30 Dyspepsia Ralan Baru
30/04/2023 2023/04/30/000010 23064281 LAILIYAH O20.0 Threatened abortion Ralan Baru
30/04/2023 2023/04/30/000005 23064279 KAYLA NADHIFA ALMAHIRA K52.9 Noninfective gastroenteritis and colitis, unspecified Ralan Baru
30/04/2023 2023/04/30/000009 23064280 DIDIT PURNAWAN AFANDI R07.4 Chest pain, unspecified Ralan Baru
30/04/2023 2023/04/30/000013 23064284 MOHAMMAD ADIBURROHMAN R50.9 Fever, unspecified Ralan Baru
30/04/2023 2023/04/30/000025 19043017 MUHAMMAD SUMU R06.0 Dyspnoea Ralan Baru
30/04/2023 2023/04/30/000004 22055536 GIONATAN ADHYATAMA R50.9 Fever, unspecified Ralan Baru
30/04/2023 2023/04/30/000018 23064287 SATUKI I95 Hypotension Ralan Baru
30/04/2023 2023/04/30/000021 23064290 WILDATUL FIRDAUSIYAH A91 Dengue haemorrhagic fever Ralan Baru
30/04/2023 2023/04/30/000003 21050483 BUHARI R50.9 Fever, unspecified Ralan Baru
30/04/2023 2023/04/30/000016 15008553 FITRIA HANDAYANI R50.9 Fever, unspecified Ralan Baru
30/04/2023 2023/04/30/000008 22060394 LUSI VERAWATI O14.9 Pre-eclampsia, unspecified Ralan Baru
30/04/2023 2023/04/30/000020 23064289 ARTATIK K30 Dyspepsia Ralan Baru
30/04/2023 2023/04/30/000016 15008553 FITRIA HANDAYANI R11 Nausea and vomiting Ralan Baru
30/04/2023 2023/04/30/000020 23064289 ARTATIK G44 Other headache syndromes Ralan Baru
30/04/2023 2023/04/30/000007 15003087 SUWIDA E161 Other hypoglycaemia Ralan Baru
30/04/2023 2023/04/30/000018 23064287 SATUKI R10.4 Other and unspecified abdominal pain Ralan Baru
30/04/2023 2023/04/30/000023 20046230 MOH.MAULANA MIFTAHUL ARIFIN R11 Nausea and vomiting Ralan Lama
30/04/2023 2023/04/30/000015 23064285 SUNARSO I10 Essential (primary) hypertension Ralan Baru
30/04/2023 2023/04/30/000009 23064280 DIDIT PURNAWAN AFANDI E79.0 Hyperuricaemia without signs of inflammatory arthritis and tophaceous disease Ralan Baru
30/04/2023 2023/04/30/000013 23064284 MOHAMMAD ADIBURROHMAN A90 Dengue fever [classical dengue] Ralan Baru
30/04/2023 2023/04/30/000025 19043017 MUHAMMAD SUMU K30 Dyspepsia Ralan Baru

7/20/23, 7:37 AM Page 28 of 29

Tgl.Rawat NO.RAWAT NO.R.M NAMA PASIEN KODE NAMA PENYAKIT STATUS BARU/LAMA
30/04/2023 2023/04/30/000011 23064282 MUTAMMIMA S42.00 Fracture of clavicle, closed Ralan Baru
30/04/2023 2023/04/30/000018 23064287 SATUKI K659 Peritonitis, unspecified Ralan Baru
30/04/2023 2023/04/30/000023 20046230 MOH.MAULANA MIFTAHUL ARIFIN B20 Human immunodeficiency virus [HIV] disease resulting in infectious and Ralan Baru
parasitic diseases
30/04/2023 2023/04/30/000025 19043017 MUHAMMAD SUMU A15 Respiratory tuberculosis, bacteriologically and histologically confirmed Ralan Baru

7/20/23, 7:37 AM Page 29 of 29