-

STATUS
TANGGAL TANGGAL HARI KODE
NO NAMA PASIEN NO MEDREK KELAS (UMUM/ASKES/J OK IGD POLI
MASUK KELUAR RAWAT STATUS
AMKESMAS/ dll)

JUMLAH
 - - - -
1 1 1 1

RUANGAN
SPPD Sp B
BDRS VK IGM HEMODIALISA AKOMODASI
dr. Cekli dr. Eka dr. Aep dr.Dian
1 2
1 2 3 4
 - - - - - - - - - - - - - - -
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

VISITE/ KONSUL

Sp B Sp.A Sp. OG Sp KG SpBM Sp. M Sp.THT

dr. Roni dr. Ferry dr, Syarif dr. Tety dr. irwinny dr.Acep dr.Devi dr.Yudith dr. harya bayu drg sani drg.m zain dr barii dr darmawan dr oji dr. dody

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
 - - - - - - - - - - - - - -
1 1 1

JUMLAH V
VISITE/ KONSUL DR. SPESIALIS

Sp. P Sp. S Sp.BS Sp. BKD Sp. Kj Sp KK Sp.RM Sp. OT Sp. Jp

dr ahmad
dr fitri dr. eko dr fathiyah dr ahmadirwan dr.mira dr. asep c dr juli dr rahmat adi dr wisuda dr sunarti dr windi dr jerry dr bayushi
chubaesi

20 21 22 23 24 25 26 27 28 29 30 31 32 33

Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
 - - - - - - - - - -
21 1 1 1 1

JUMLAH VISITE

Jumlah Visite dr.

Sp. F

Spesialis
dr baety
dr Yeni dr. Subihat dr. Herdian dr. H. Agus dr. Nana dr. Bio dr. Nita dr. Indah

34 35 36 37 38 39 40 41 1 2 3 4 5 6 7 8

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
 - - - - - - - - - - - - - - - - -
1 1 1 1 1 1 1 1 1 1 1 1 1 1

VISITE/ PIKET DR. UMUM

dr. Sari dr. Hafidiani dr. Nuriel dr. Pricilia dr. Desi dr. M. taufik drg. Berliana drg. Arisa drg. Dhita drg. Rahmia dr. Ummu dr. Aga dr. Ardha dr. Isna dr. M. Hanindiodr. Rimadona dr. Billy dr. Eragradityadr. Chiquita

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
 - - - -
1 1 1

Jumlah Visit dr
Jumlah Visit
Spesialis dan
dr. Umum
dr Umum
dr. Sukma dr. Agin dr. Hudan dr. Ibrahim dr. R. Iksan dr. Carolin dr. Cekli dr. Eka dr. Aep dr.Dian dr. Roni dr. Ferry

28 29 30 31 32 33 34 35 1 2 3 4 5 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Rp - Rp - Rp - Rp - -
 TINDAKAN DR. SPESIALIS

dr, Syarif dr. Tety dr. irwinny dr.Acep dr.Devi dr.Yudith dr. harya bayu drg sani drg.m zain dr barii dr darmawan dr oji dr. dody dr fitri

7 8 9 10 11 12 13 14 15 16 17 18 19 20
TINDAKAN DR. SPESIALIS

dr ahmad
dr. eko dr fathiyah dr ahmadirwan dr.mira dr. asep c dr juli dr rahmat adi dr wisuda dr sunarti chubaesi dr windi dr jerry dr bayushi

21 22 23 24 25 26 27 28 29 30 31 32 33
 TINDAKAN MEDIS

Jumlah Tindakan
dr. Spesialis
dr baety dr Yeni dr. Subihat dr. Herdian dr. H. Agus dr. Nana dr. Bio dr. Nita

34 35 36 37 38 39 40 1 2 3 4 5 6 7

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 TINDAKAN DR. UMUM

dr. Indah dr. Sari dr. Hafidiani dr. Nuriel dr. Pricilia dr. Desi dr. M. taufik drg. Berliana drg. Arisa drg. Dhita drg. Rahmia dr. Ummu dr. Aga dr. Ardha

8 9 10 11 12 13 14 15 16 17 18 19 20 21
 Jumlah
Jumlah Tindakan dr
Tindakan Spesialis
dr. Umum dan dr
dr. Isna dr. M. Hanindio dr. Rimadona dr. Billy dr. Eragraditya dr. Chiquita dr. Sukma dr. Agin dr. Hudan dr. Ibrahim dr. R. Iksan dr. Carolin
Umum
22 23 24 25 26 27 28 29 30 31 32 33 34 35

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 TINDAKAN
LABORATORIUM RADIOLOGI APOTEK JUMLAH RINCIAN
KEPERAWATAN

-
 -
AKOMODASI PASEIN
DR. SPESIALIS
STATUS

Tindakan dr.
TANGGAL NO (UMUM/ASKES Sp. Jp TINDAKAN

Spesialis
NO LABORATORIUM
MASUK MEDREK /JAMKESMAS/ KEPERAWATAN
dll) dr jerry dr bayushi
32 33
1 4/2/2024 APRIL LESMANAWATI 500467 BPJS 35,000
2 4/2/2024 JUPRI 557681 BPJS 35,000
3 4/2/2024 RUKOYAH 623215 BPJS 35,000
4 4/2/2024 ACE SUPRIATNA 599054 BPJS 35,000
5 4/2/2024 SUTINAH 390806 BPJS 35,000
6 4/2/2024 SUBALI 615009 BPJS 35,000
7 4/2/2024 ENI 614478 BPJS 35,000
8 4/2/2024 SALIJAH 623285 BPJS 35,000
9 4/2/2024 MOHAMAD SACA 505080 BPJS 35,000
10 4/2/2024 SUNIAH 464532 BPJS 35,000
11 4/2/2024 FATMIH 621619 BPJS 35,000
12 4/2/2024 SUPARTO 625430 BPJS 35,000
13 4/2/2024 NYAI RUKMINI 302885 BPJS 35,000
14 4/2/2024 SUTRIANI 591287 BPJS 35,000
15 4/2/2024 IKAH 617982 BPJS 35,000
16 4/2/2024 ROHAENI 588761 BPJS 35,000
17 4/2/2024 ETI 582853 BPJS 35,000 315,000 60,000
18 4/2/2024 ETI SUHAYATI 606170 BPJS 35,000
19 4/2/2024 TITIN SUKARSIH 623135 BPJS 35,000
20 4/2/2024 SOBRI 488924 BPJS 35,000
21 4/2/2024 PULUNG 598964 BPJS 35,000
22 4/2/2024 NURMAH 598390 BPJS 35,000
23 4/2/2024 ERLINA 593504 BPJS 35,000
24 4/2/2024 YEYET NURHAYATI 593826 BPJS 35,000
25 4/2/2024 RISMANI 603687 BPJS 35,000
26 4/2/2024 DIAN TATI EKA 301493 BPJS 35,000
27 4/2/2024 ENOK SUHERNI 627213 BPJS 35,000
28 4/2/2024 EHA MUSLIHA 509612 BPJS 35,000
29 4/2/2024 UWEN JUWENI 517848 BPJS 35,000
30 4/2/2024 IKOT 623136 BPJS 35,000
31 4/2/2024 JARIAN 616754 BPJS 35,000
32 4/2/2024 SUMIATI 624080 BPJS 35,000
33 4/2/2024 TUTI LASMAWATI 548838 BPJS 35,000
34 4/2/2024 SADIAH 618819 BPJS 35,000
35 4/2/2024 ASNAWI 588444 BPJS 35,000
36 4/2/2024 TINTIN LAELATIN 618772 BPJS 35,000
37 4/2/2024 UCU DINI SAPUTRINAH 321770 BPJS 35,000
38 4/2/2024 ALESHA NAILA PUTRI 627230 BPJS 35,000 315,000 60,000
39 4/2/2024 CECE SUKANA 616514 BPJS 35,000
40 4/2/2024 ARIS WAHYUDI 628209 BPJS 35,000
41 4/2/2024 SARKEM 509883 UMUM 35,000
42 4/2/2024 WINARKO 624755 UMUM 35,000
JUMLAH TOTAL
RADIOLOGI APOTEK JUMLAH RINCIAN

150,298 185,298
51,800 86,800
87,698 122,698
112,000 147,000
162,929 197,929
137,998 172,998
144,998 179,998
137,998 172,998
144,080 179,080
147,400 182,400
215,698 250,698
160,198 195,198
103,600 138,600
222,861 257,861
147,661 182,661
42,000 77,000
114,598 524,598
160,998 195,998
66,380 101,380
123,417 158,417
146,014 181,014
134,200 169,200
106,400 141,400
142,635 177,635
98,163 133,163
156,605 191,605
163,125 198,125
165,698 200,698
203,098 238,098
140,498 175,498
131,412 166,412
109,698 144,698
150,304 185,304
112,600 147,600
114,500 149,500
52,500 87,500
45,900 80,900
410,000
30,731 65,731
35,000
35,000
35,000
7,058,691