Professional Documents
Culture Documents
Jadwal Pelayanan Medik 17
Jadwal Pelayanan Medik 17
Arvel Rafi 0001721249 7/11/18 L 081220455957 impaksi Odontektomi BPJS ASA 1 drg. Asri,
18,28,38,48 18,28,38,48 1 31/10/18 SpBM
Yati Salamah 0001718216 15/4/81 L 085295990134 Impaksi Odontektomi BPJS Asa 2 Drg Melita
18,28,38,48 18,28,38,48 3 (26/10/18) SpBM
40 Euis 0001697409 8/7/18 P 085710910642 LGPSUC DX Labioplasty BPJS ASA 2 Drg Seto
5 Fergawati, 3 SpBM
BY NY. 23-10-18
Istiqharima 0001718482 28/04/99 P 089521627031 Impaksi Odontektomi BPJS ASA 1 tgl Drg Seto
Dwina A 25,28,38,48 25,28,38,48 3 16/10/18 SpBM
Khansa 0001269989 7/10/11 P 081313244193 PDA VSD +PDA + Mouth BPJS ASA 3 Drg Eka
Faiza Post BT shunt + Preparation 2 (tgl M SpBM
089608819132 global delayed 5/10/18)
development
40 Megalita 0001718952 22/3/95 P 085722172621 Impaksi 18 28 38 48 Odontektomi BPJS ASA 1 Drg Asri
5 dwika 18,28,38,48 2 SpBM
24-10-18
Bela Yunita 0001719205 2/6/95 P 082316224044 Impaksi 18,28,38,48 Odontektomi BPJS ASA 1 Drg Asri
18,28,38,48 3 SpBM
22-10-18
Dudung 0001716577 14/9/56 L 081394522348 Fistula a/r palatum, Biopsi BPJS ASA 2 Drg Asri
Nurdin osteomyelitis + DM + 2 tgl SpBM
HT terkontrol 12/10/18
Nursaeni 000171552 8/1/63 P 08522140549 Granulomatous Biopsi insisi BPJS 3 ASA 2 Drg. Eka
6 7 inflammation ar nasal dx + + multiple TGL M Sp.BM
GR ekstraksi 19/10/18
16,14,13,11,22,23,24,26,47,4
8 FNAB (+)
Oan 000172023 29/3/5 P 08231783542 Soft Tissue Tumor a/r Biopsi Insisi BPJS 3 ASA 2 Drg. Eka
7 5 0 glosus sinistra DD/ Susp (29/10/18 M Sp.BM
SCC )
K. seti 000096913 25/2/75 P 08132453545 Impaksi 18,28,38 + Odontektomi BPJS 3 ASA 2 tgl Drg
Rochyati 6 2 HT dalam terapi 18,28,38 17/10/18 Winarno
SpBM
40 Syahnala 0001696768 25/7/12 P 082120102282 susp. ASD + mucocele Biopsi BPJS ASA 2 tgl drg Drg Melita
5 Zivara a/r labii inferior sinister ekstirpasi 3 17/10/18 melita SpBM
Putri
a
Nazwa 0001699571 20-7-18 P 083825238333 Labiognatoschizis labioplasty BPJS ASA 2 Drg Melita
Nur bilateral complete + 3 19/10/18 SpBM
azizah MAR letak rendah post
anoplasty +
hyperkalemia +
malnutrisi sedang
Indry 0001718871 16/12/96 P 081214838876 Impaksi Odontektomi BPJS ASA 1 drg. Melita
Dewianty 18,28,38,48 + 18,28,38,48 + 2 S, SPBM(K)
Supernumerary ar Ekstraksi 24-10-18
28 supernumerary
tooth
40 Asep 0001674752 16/11/05 L 089501760322 Neurofibroma extirpasi BPJS ASA 1 Drg Seto
5 Ramdan plexiform ar bukal 3 (1/10/18) SpBM
sinistra
Arini 0001717230 29/3/95 P 08561475745 Impaksi Odontektomi BPJS ASA 1 drg.winarno Drg Seto
Dyah 18,28,38,48 (FAST 18,28,38,48 1 tgl SpBM
Sarashwati TRACK) 16/10/18
Safra 0001721209 9/10/200 P 087722492317 Impaksi Odontektomi BPJS ASA 1 Drg Seto
Nabila 18,28,38,48 18,28,38,48 1 31/10/18 SpBM
Azhari
(FAST TRACK)
40 Yudi 0001718245 24/10/87 L 082216911659 Impaksi 18,28,38,48 odontektomi BPJS ASA 1 Drg. Asri
5 Darmawam (FAST TRACK) 18,28,38,48 I 19/10/18 A
Sp.BM(K)
Naomi 0001718740 30/4/80 P 081320105045 Impaksi 18,28,48 Odontektomi BPJS ASA 1 Drg. Asri
Anasstianti 18,28,48 I 22-10- A
(FAST TRACK) 18 Sp.BM(K)
Susi 0001260149 20/7/95 P 082127798772 Impaksi 18,28,38,48 odontektomi BPJS ASA 1 Drg. Asri
Yulianti 18,28,38,48 2 A
22-10- Sp.BM(K)
18
Fathimah 000169434 26/11/0 P 081321406175 Post injeksi Injeksi BPJS 2 ASA 1 Drg Eka
Mariacarbel 0 5 bleomicyn a.i Susp bleomycin ke SpBM
a phlebolith ec 2 22-10-18
malformasi venous ar
bukal sinistra
Yulia 000105646 23/06/8 P 089580243469 fraktur le fort II + ORIF join TS BPJS 3 ASA II drg. Melita
5 0 9 Corpus mandibular Mata S, SpBM.
sinistra + fraktur
dentoalveolar ar 12-
23 disertai avulsi gigi
21 + mobility gr 2 11-
21, et grade 3 22-23
Deden 000171992 4/6/74 L 081313868381 Kista radikuler ar 24- Enukleasi BPJS 2 ASA 2 Drg
Mumu 3 26 Winarno
25-10-18 SpBM
Khansa 0001417655 10/12/ P 08531479709 Large ASD + Mouth prep BPJS ASA 3 Drg
Hasna 12 0 marasmus + Pulpitis 2 1/11/18 winarno
Irreversible 64,74,84 SpBM
+ pulpitis reversible
52,51,61,62
40 Iceu 0000588049 03/05/ P 08132062591 Impaksi 18, 38, 48 Odontektomi 18, 38, 48 BPJS H -2 (+) drg. Melita
5 Sumar 81 3 2 SpBM
ni ASA 1
37 th 08131270628
5 01/11/18
Sandi 0001721464 28/5/9 L 08157380084 Impaksi 18,28,38,48 odontektomi BPJS ASA 2 drg. Melita
senjaya 3 0 18,28,38,48 2 1/11/18 SpBM
Soni 0001718416 17/11/1988 L 08132091137 Fraktur Lefort ORIF Umum Drg Seto
Kushendar 9 II+Palatum type SpBM
II+Symphisis
mandibular
Dinda Ayu 0001720029 04/05/05 P 08522244700 STT ar Reseksi BPJS ASA 2 Drg Melita
maulani 7 mandibular susp 3 SpBM
Azzahra benign DD/ 30-10-18
ameloblastoma
40 Rachmayanti 0001719720 15/8/96 P 08961036848 IMPAKSI 18 28 38 ODONTEKTOMI BPJS ASA 1 Drg Seto
5 8 48+GR 36 + GP 37 18 28 38 48+ 3 SpBM
46 EKSTRAKSI 36 24-10-18
37 46
Muh Erik 0001722638 11/8/96 L 08156411231 Impaksi 18 28 38 Odontektomi 18 BPJS ASA 1 Drg Seto
48 28 38 48 1 (7/11/18) SpBM
(Fast Track)