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N0

RUANG

TANGGAL

NAMA

JENIS
UMUR
KELAMIN

MS

1/8/2015

I KOMANG SUWITA

45 TH

MS

1/8/2015

IB. ADI WIRAWAN

20 TH

RTI

1/8/2015

I WAYAN SUKARTA

38 TH

MS 203.B 7/29/2015

PT SRI WAHYU W

16 TH

A 101.2

7/31/2015

Ni Putu Juliantari

15 TH

A 106.6

7/31/2015

Fransiskus kystonus

38 TH

A 302.4

7/31/2015

Gravilanka Agno Huki

1 TH

A 302.5

7/31/2015

Gusti Ayu Sasmita

2 TH

A103.1

7/31/2015

I Gede eka Kertadana

6 TH

10

A107.1

7/31/2015

Wayan Wendi

39 TH

11

A305.6

7/31/2015

AGNES FERGIYATI

39 TH

12

BT 212.4

7/31/2015

Budi Utami Adi Putri

24 TH

13

WK 2.2

7/31/2015

Cyprianus Tuwlu

87 TH

14

RTI 2

24/7/16

AMINAH

63 TH

15

A 306.5

29/07/2015

NI WAYAN SERINTEG

68 TH

16

MS 206.C 29/07/2015

NI KT SUDIARTINI

45 TH

17

A102.2

NI KMG WATI

35 TH

18

GDST I.1 30/7/2015

NI KETUT SUKERTI

75 TH

30/7/2015

19

MS 204.C 30/7/2015

WULAN AINI

8 TH

20

MS 206.
B

PANDE PUTU
APRIYANA

13 TH

21

WK 12.2 30/7/2015

NYM KONDRI

57 TH

22

RR IGD

8/2/2015

YUBLINA BANNI H

31 TH

23

RTI

8/2/2015

GEDE PRISKAYANA

24 TH

24

RR IGD

8/2/2015

I KADEK AGUS DWIJA


PUTRA

21 TH

25

RTI

8/1/2015

WAYAN SUMERTA

34 TH

26

RTI

8/1/2015

MUAFIAH AL AFIDAH

54 TH

27

HCU 7

8/3/2015

NI MADE WATI ASTUTI P

58 TH

28

A3

8/3/2015

AMININ

38 TH

29

PICU

8/3/2015

BY. NI WAYAN SUNARTI P

3 BLN

30

A 101.2

8/3/2015

43 TH

31

A1

8/3/2015

I MADE DANGIN
SUANTARA
AMIR KUSUMAWAN

44 TH

32

WK 1.2

8/3/2015

NI NYOMAN SUARTRI

67 TH

33

HCU

8/3/2015

NYOMAN SUDANA

71 TH

34

WK 10.1 8/3/2015

SITI KHODIJAH

64 TH

35

MS

AGUS PUTU WIGUNA

22 TH

30/7/2015

8/3/2015

36

A 101.3

8/3/2015

DEWA NGAKAN MADE L


SURYANATA

45 TH

37

A3

8/3/2015

NI MADE TAMBUN

43 TH

38

A 103.1

8/3/2015

I NENGAH TAMPI

43 TH

39

RR IGD

8/3/2015

AYU DEWI SRI ASTITI

16 TH

40

RR IGD

8/3/2015

10 TH

41

NICU

8/3/2015

I WAYAN DARMA
L
JUNIARTA
BY NI MADE SURSAENI L

42

RTI

8/3/2015

29 TH

43

RR IGD

8/3/2015

SANG MADE ARTA


WIRATA
NI KOMANG RANI

31 TH

44

RR IGD

8/3/2015

I KADEK SUDIBYA

40 TH

45

BT

8/3/2015

NI NENGAH TINA

4 TH

46

MS

8/3/2015

IWADIN

66 TH

24

PICU

04.08.2015

KADEK DIAN JULIANTARI P

1 TH

25

A3

04.08.2015

SAFWAM HAKIM

21 TH

26

PICU

04.08.2015

NIKSON BOT BESI

14 TH

27

A3

04.08.2015

NI KETUT AYU RATIH

12 TH

28

A3

04.08.2015

I PT DEDY SURYA
DINATA

16 TH

29

RTI

04.08.2015

JRO PADMA

89 TH

30

CT

04.08.2015

DARMAWAN

37 TH

31

LELY

04.08.2015

NI NENGAH DAGING
SERENITY

62 TH

32

A3

04.08.2015

NI NYOMAN SARIASIH

49 TH

0 HARI

33

KAMBOJA

04.08.2015

NI PT SRIANI

34 TH

34

A1

04.08.2015

I WAYAN KERTAYASA

57 TH

35

BU

04.08.2015

NI KADEK DENDIASIH

5 TH

36

A1

04.08.2015

I MADE SANJAYA PUTRA

18 TH

37

RTI

04.08.2015

I KETUT GEDE ARTAWAN L

44 TH

38

RR

04.08.2015

I KETUT BUKEL

49 TH

39

RTI

04.08.2015

MUHAMAD TAIF

65 TH

40
41

MS
RTI

04.08.2015
04.08.2015

I MADE ARTA
RUFIDAH

L
P

45 TH
46 TH

42

A101.4

05.08.2015

KETUT SUNARTI

37 TH

43

A3

05.08.2015

I GUSTI AYU PT SASMITA P

2 TH

44

CT1.2

05.08.2015

NI PT EKA WATI

42 TH

45

JEMPIRING 05.08.2015

LUKESIUS GALLILEO

3 BLN

46

CT205.1

06.08.2015

NI KT ANGGRENI

47 TH

47

A3

05.08.2015

I WY SUPARTA

45 TH

48

KAMBOJA

05.08.2015

LODI ARYA PUTRA

16 TH

49

A103.6

05.08.2015

ARIFIN M. ALI

52 TH

50

CB

05.08.2015

KADEK GRACE NATALLIE P

2 MGG

51

KAMBOJA
13

05.08.2015

NI NENGAH JANGKEP

71 TH

52

WK

05.08.2015

IDA BAGUS ARCANA

53 TH

53

A1

05.08.2015

DW PT SUMERTAYASA

27 TH

54

BU

05.08.2015

ESTER SULIATI

55 TH

55

RR

04.08.2015

SUAEDI

51 TH

56

HCU

04.08.2015

I KD WIRA S

18 TH

57

RR

04.08.2015

NYOMAN SUPARIATA

22 TH

58

RR

04.08.2015

I GD AGUS JUNI
ARTAWAN

14 TH

59

ICU 4

8/6/2015

Ni Ketut Merci

70 TH

60

WK

8/6/2015

IGN Wahyu Candra

9 TH

61

BT

8/6/2015

Ni Wayan Bauti

38 TH

62

A 305.2

8/6/2015

Lulu

35 TH

63

WK 8.2

8/6/2015

Ni Wayan Ari Mentari

21 TH

64

ICU 3

8/6/2015

Ni Wayan Riangsik

41TH

65

WK 1.1

8/6/2015

Siti Khatijah

39 TH

66

H301-3

8/6/2015

I Made Sena

1TH9BL

67

H301-5

8/6/2015

Muititul Islam

2TH9BLN

68

RR

8/6/2015

IB Rai Garja

66TH

69

RR8/6/2015
MS/RATNA

Pt Rama Andre

17TH

70

RR

I Made Tinggal

76 TH

8/6/2015

71

RR

8/6/2015

Rozi Handyansyah

23 TH

72

ICU BARAT 8/6/2015

Yodo Arya Subroto

25TH

73

RR

8/6/2015

28TH

74

RR

8/6/2015

Budiyoulo

38TH

75

RR

8/6/2015

Saman

50TH

76

RR

8/6/2015

Ika Febriyanti

17TH

77

A3

8/6/2015

NI NENGAH TINI

30

78

BURN
GEN 2

8/7/2015

AA ALIT ARINI

69 TH

79

HCU

8/7/2015

KOMANG SUDARTINI
ERAWATI

48 TH

80

MAWAR
10

8/7/2015

I NYOMAN NARJA

67 TH

81

WK 2A

8/7/2015

NI LUH MONGKROK

71 TH

82

A 106.3

8/7/2015

UDIN

56 TH

83

A3

7-Aug

NI PUTU ARNLIA SAF

3 BULAN

84

A3

8/7/2015

I NYOMAN DARSAMA

7 TH

85

CEMPAKA 8/7/2015
TIMUR

NI LUH SUSANDEWI

27 TH

86

A3

8/7/2015

BINTANG YUDISTIRA

9 TH

87

RR IGD

8/7/2015

SUTRISNA

60 TH

88

A 103

8/7/2015

I MADE DANGIN
SUANTARA

43 TH

Dewa Ayu Purnawi

89

MS 3D

AGUNG OKTA
SURANINGRAT

30 TH

90

RATNA H 8/7/2015
1

I KETUT MANYANG

60 TH

91

BT

8/7/2015

PANDE MADE AYU CIDI P


CANDRADEWI

27 TH

92

RR IGD

8/7/2015

IB BRAHMA PUTRA

11 TH

93

RR IGD

8/7/2015

NI KETUT SUCIATI

90 TH

94

RATNA

8/7/2015

SITI FATIMAH

58 TH

95

WK 15
BED 1

8/7/2015

NI KETUT SURYANI

62 TH

96

RTI

8/8/2015

I KETUT MINTEN

67 TH

97

A 306.2

8/8/2015

NI WAYAN RASTITI

43 TH

98

A3

08.08.2015

I NENGAH KARTA

66 TH

99

JEMPIRING 08.08.2015

LOIS GALILEO

3 BLN

100

A 102

08.08.2015

I PUTU AGUS ASTAWA

34 TH

101

RR

07.08.2015

YOANES WUDU

63 TH

102

RR

07.08.2015

SUTIKNO

44 TH

103

KAMBOJA
14

08.08.2015

MAIMANAH

33 TH

104

BT 9-8

08.08.2015

NI KOMANG KARTIKA

40 TH

8/7/2015

105

A3

08.08.2015

NI WAYAN SANTI ARIANI P

11 TH

106

RTI

8/7/2015

PETRUS BAYU
TANGGELA

12 TH

107

RTI

08.08.2015

NI WAYAN SURIATIS

26 TH

108

RTI

8/9/2015

I Wayann Sudiarsa

45 TH

109

RTI

8/9/2015

Issayev

32 TH

110

8/9/2015

20 TH

111

Angsoka 3 8/9/2015

Ni Kadek Indra
wahyuni
Ida Ayu Partini

45TH

112

BT

8/9/2015

Ni Kd Mirah Lestari

18TH

113

MS

8/9/2015

I Nengah Reding

60TH

114

BT

8/9/2015

NI KOMANG SRI ANI

30 TH

115

RTI

10/8/2015

DAMRAH

67 TH

116

PICU

10/8/2015

NI LUH WIWIK PURNAMA P


SARI

47 TH

117

B. UNIT

10/8/2015

I WYN BAGUS WIDYA


KUSUMA

8 TH

118

A 305

10/8/2015

NI NENGAH SARGI

45 TH

119

WK

10/8/2015

ERNA DWI ASTUTI

68 TH

120

A1

10/8/2015

I KETUT NARDIA

57 TH

121

A 301.1

10/8/2015

BY. KADE ARTIYANI

1 BLN

122

A 101

10/8/2015

I KD. AYU MAHARDIKA

22 THN

123

MS 208

10/8/2015

KHOE SONG SIP

64 TH

124

KAMBOJA
6

10/8/2015

KT. COMADI

52 TH

125

WK 3.1

10/8/2015

TINTIN JUNARSIH

48 TH

126

A 102.5

10/8/2015

MARSITI

56 TH

127

A 304.1

10/8/2015

SITI NURHAYATI

47 TH

128

RTI 3

12/8/2015

GUSTI AYU RASMINI

54 TH

129

RTI 8

12/8/2015

NENGAH SUMARNI

61 TH

130

RTI 4

12/8/2015

KETUT LABA

80 TH

131

WK 6.2

12/8/2015

AA GEDE ANOM RADITA L

13 TH

132

CT 103.1

12/8/2015

SUMAH

60 TH

133

RR

11/8/2015

AGUS SANTOSO

42 TH

134

WK 11.2

11/8/2015

KADEK GODIK GIOVINDA L

24 TH

135

CT

12/8/2015

MUSENING

39 TH

136

BU GEN 1 12/8/2015

ANTHOLIN YUDA DINATA L

12 TH

137

RTI

WAYAN PENNY

49 TH

12/8/2015

138

PICU

12/8/2015

BY NYOMAN SUPARTINI

2 BLN

139

MS

12/8/2015

PANDE PUTU APRIYANTA L

13 TH

140

BT 209

12/8/2015

NI KADEK YUSMINA
DEWI

26 T5H

141

A1

13/08/15

Andre Alexander

45 TH

142

A1

13/08/15

Ketut Suparti

48 TH

143
144

A107.2
A207.6

13/08/15
13/08/15

Ahyar Rasidi
Ni Wayan Kisi

L
P

20 TH
49 TH

145

A301.5

13/08/15

KD Nadine Diandra

6 TH

146

kamboja

13/08/15

Yunita

21 TH

147

Mawar 12 13/08/15

Nengah Darma

59 TH

148
149
150

RR
RR
RR

13/08/15
13/08/15
13/08/15

I Nengah Tarka
Ni Made Yudiantini
By Ni Luh Suartini

L
P
L

70 TH
35 TH
1 Hari

151

RR

13/08/15

Oktavia Revalina Putri

7 TH

152

WK

13/08/15

Nyoman Kerena

51 TH

153

MS

12/8/2015

GEDE SUDARMA

26 TH

154

A307

14/8/2015

LUH SUASTRI

39 THN

14/8/2015

ICA BUNGARLA

27 THN

155

156

MS

14/8/2015

NI NENGAH KESIR

65 THN

157

PICU

14/8/2015

BY. NI LUH PT NITA SARI

7 BLN

158

A 304.4

14/8/2015

GST KT RAI SULASMINI

42 THN

160

BURN
UNIT

14/8/2015

AHMAD SALFANDI

21 THN

161

WK

14/8/2015

I DEWA GEDE OKA


PRADYANA

49 THN

162

A 304.5

14/8/2015

SAHMIN

55 THN

163

14/8/2015

NI KETUT RUMUS

49 THN

164

RATNA

14/8/2015

KETUT ADI SASTRAWAN L

6 THN

165

BAKUNG
TIMUR

14/8/2015

WAYAN TISNA

18 THN

166

BAKUNG
TIMUR

14/8/2015

NI LUH SASSUASIH

38 THN

167

RATNA

14/8/2015

MANSYUR

23 THN

168

A3

14/8/2015

NANDA SUARI

11 THN

169

14/8/2015

NI KOMANG
SUARNINGSIH

25 THN

170

BT 212.5

14/8/2015

NANIK SRI MINARNI

36 TH

171

RR

14/8/2015

I MADE PASEK
PURNAWAN

17 TH

172

A 304

15/8/2015

NI MADE REBA

56 TH

173

BURN
UNIT

15/8/2015

FATMAWATI GILI LODO

50 TH

174

A 305.5

14/8/2015

MAEMUNAH

64 TH

175

A1

15/8/2015

KOMANG WISMO

30 TH

176

BT 209.8

15/8/2015

NI KETUT NASTRI

46 TH

177

WK 10.2

15/8/2015

KETUT YULIASTINI

42 TH

178

A 306
GANG

15/8/2015

NI NYOMAN SRIASIH

33 TH

179

KAMBOJA
6

15/8/2015

DESAK K SUARTI

43 TH

180

RATNA 8B 15/8/2015

I MADE ROBI CAHYADI

24 TH

181

RTI

I KETUT SUMERTHA

44 TH

15/8/2015

182

MS 212C

15/8/2015

NI KETUT RANTIN

71 TH

183

RTI

14/8/2015

NI WAYAN WINARTI

43 TH

184

BURN
UNIT

15/8/2015

I NYOMAN SUKRA

72 TH

185

MS

16/8/2015

MBOK SON

59 th

186

A1

16/08/2015

DEVA JOKO PRAYITNO

31 TH

187

RR

16/8/2015

I MD AGUS BUDIANTO

24 TH

188

RR

15/8/2015

I NYM SEPAR

59 TH

189

BT

15/08/2015

DEWI ARYANI

36 TH

190

RR

17/8/15

I KETUT RENA

59 TH

191

BT

17/8/15

NESTORIA ULUK

22 TH

192

BT 212.1

17/8/15

NI KT ANOM PARWATI

40 TH

193

MS 207.C 17/8/15

I MADE DIASNA

20 TH

194

RTI

17/8/15

NI NYOMAN REDES

69 TH

195

HCU

18/8/2015

I KETUT SOMA

79 TH

196

A 307.2

18/8/2015

NYOMAN WIRKA WIJAYA

61 TH

197

RR

18/8/2015

I NYOMAN KAMI

53 TH

198

A3

18/8/2015

NI WAYAN LISTYANA
AGUSTINI

7 TH

199

A 106.1

18/8/2015

DOMINIKUS DAPA
GODHA

19 TH

200

A 101

18/8/2015

I WAYAN WAHYU
SEDANA

201

A 104.4

18/8/2015

I WAYAN KERTA

36 TH

202

A 301.2

18/8/2015

I GEDE GILANG SWIRYA

11 BLN

203

RATNA 4C 18/8/2015

SOFIA DILMEN

49 TH

204

A3

18/8/2015

KADEK WISNU ARIAWAN L

13 TH

205

A 103.6

18/8/2015

NYOMAN ANTONIUS
SUANTARA

62 TH

206

KAMBOJA

18/8/2015

I NYOMAN ASTAWA

61 TH

207

A 105.5

18/8/2015

SAMSUDIN

65 TH

208

WK 8.1

18/8/2015

BURHANUDIN MUSTOFA L

50 TH

209

A 105.6

8/19/2015

Made Rundu

45 TH

210

RTI 6

8/19/2015

Ni Ketut Singin

69 TH

211

RTI

8/19/2015

Yontana Homba

24 TH

212

101.2

8/19/2015

Ni Nyoman Sarini

33 TH

213

kamboja

8/19/2015

Ida ketut Sigra Adnyana L

59 TH

214

A 101.5

8/19/2015

Dewa Made Satriani

20 TH

215

A3

8/19/2015

I KD Hendrik
Kusumajaya

3 TH

216

Burn Unit 8/19/2015

Thimotius

54 TH

217

kamboja
14

Estiningrum

35 TH

218
219

A 105.3
8/19/2015
Cempaka 8/19/2015
timur

I Putu Ngurah
Aminah

L
P

57 TH
44 TH

220

A 107.3

I GST KT Dejbeg

75 TH

8/19/2015

8/19/2015

17 TH

221

RR

222
223
224

8/19/2015

Ni Putu Nita Darmayanti P

19 TH

RR
8/19/2015
RR
8/19/2015
Angsoka III 8/19/2015

Luh Ciri
I Ketut Gede Arthana
Lita

P
L
P

79 TH
44 TH
22 TH

225
226
227
228

RTI
RR
BT 207.3
BT 212.4

8/19/2015
8/19/2015
8/19/2015
8/19/2015

Wayan Soupioh
I Wayan Sujana
YESI PURWATI
IDA AYU OT TIKA
SUANTARI

L
L
P
P

70
35
24
18

229

BT 209.6

8/19/2015

ANISA RAHMAWATI

25 THN

230

RR

8/19/2015

I KETUT LANUS

45 TH

231

RR

8/20/2015

ANDRIE PRAMA
WICAKSON

20 TH

232

RATNA 8A 8/20/2015

I PUTU SUGIARTA

33 TH

233

RR

I NYOMAN SIDIWITA

44 TH

234

MS 203 D 8/20/2015

BOO EMAN TEIK

51 TH

235

MS 205.A 8/20/2015

DWI ANDIANA PUTRA

19 TH

236

BT 210.1

8/20/2015

NI WYN PERDANA YANTI P

29 TH

237

RTI

8/20/2015

I KETUT TETUT

51 TH

238

RR

8/20/2015

NI PUTU EKA VERA


AMBARWATI

9 TH

239

A 305.6

8/21/2015

AGNES FERGIYATI

34 TH

240

WK

8/21/2015

I GEDE MERTAJAYA

44 TH

241

A 103

8/21/2015

PATRIK A ULLEY

15 TH

8/20/2015

TH
TH
TH
TH

242

A 304.2

8/21/2015

NI LUH KADEK ASTRINI

37 TH

243

BT

8/21/2014

KOMANG SARI

31 TH

244

PICU

8/21/2015

BAYI NI NENGAH KARTINI P

5 BLN

245

CT 204.1

8/21/2015

NI LUH RATNA SARI

44 TH

246

WK 4.1

8/21/2015

AA MAYUN MAHAYUNI

26 TH

247

MS 210 B 8/21/2015

I NYOMAN GOMBOH

37 TH

248

RR

43 TH

249

RR

8/21/2015

ADIMAD FAWAID

21 TH

250

BT 211.3

8/21/2015

MADE AYU LAKSMI

22 TH

251

BT 212.5

MARIA MAYDALENA

28 TH

A.A. NGR KARNAWAN

53 TH

NI KADEK ASTITI

15 TH

ANGSOKA
8/22/2015
1

L.A SASTRADI

44 TH

ANGSOKA
8/22/2015
3

ADI PUTRA KADEK

4 TH

ANGSOKA 8/22/2015
3

I MD ADI WIGUNA SATYA L

4 TH

RR

NI NENGAH MEMES

63 TH

MARSALINA

19 TH

NI NGH MENES

63 TH

8/21/2015 PUTU ADI KUMARA

8/21/2015
8/22/2015
252

MS 206.B
RTI

8/22/2015

253

254

255
256
257

8/22/2015

RR
258

8/22/2015
MS/RATNA 22/08/2015

259

A1

22/08/2015

I KOMANG AGUS WIJAYA L

34 TH

RR

23/08/2015

KOMANG ELSA APRIANA P

11 TH

BT

23/08/2015

NI NGH SANDAT

17 TH

MS

23/08/2015

PUTU SUARJAYA

17 TH

BT

23/08/3025

CHEYZIA

27 TH

BT

23/08/2015

NI LUH NITA AYU

28 TH

RR

23/08/2015

NI PUTU YUDANI

44 TH

RTI

23/08/2015

HERLAN ARIYANTO

30 TH

ANA LAWA JATI

39 TH

FIQI ANDRIANTO

29 TH

DEWA NYOMAN WIDIANA L

26 TH

DILIA MARLINA TJUNG


MIADY

17 TH

KETUT SENA

45 TH

260

261

262

263

264

265

266

267
23/08/2015
268

BT
23/08/2015

269

MS 203C

270

RR

23/08/2015
23/08/2015
271

RR
23/08/2015

272

RR
A 106.5

8/24/2015

I NYOMAN ASA

63 TH

A 303.5

8/24/2015

NI NYM MERTA ASIH

43 TH

A 305.2

8/24/2015

NI LUH KALERINA

37 TH

INTAN PARAMITA DEWI

18 th

273
274
275

276

BURN
UNIT

8/24/2015

BURN
UNIT

8/24/2015

FEBRIAWAN

21 TH

8/24/2015

MARIA RERO

45 TH

278

KAMBOJA
20

8/24/2015

IRLES RIWU

12 TH

279

KAMBOJA
8

HANIN PARA NILA

9 BLN

NYOMAN SUYANI

33 TH

NI LUH MIARTI

24 TH

MAHRU I FAUZI

34 TH

NI WAYAN MUKRI

59 TH

I PUTU SUSILA

41 TH

ARI WIKANANDA

17 TH

277

8/24/2015
PICU
280
281

RR

8/24/2015
8/24/2015

RR
282
8/24/2015
RTI
283
284

RTI 2

8/24/2015
8/24/2015

WK
285
286

WK

8/24/2015

RR

8/25/2015

SUGIATI

35 TH

RR

8/25/2015

NI LUH PUTU FERA


WARDANI

32 TH

RTI 1

25/6/2015

I KETUT ARKA

51 TH

KOMANG SANDI

62 TH

MANGKU DAMA

62 TH

YATUN

56 TH

NI WAYAN SURIANI

42 TH

NI NYOMAN RETI

77 TH

ADI DARMA SAPUTRA

3 TH

287

288
289
GDST 2.4 25/6/2015
290
291

RTI 10

25/6/2015
25/6/2015

292
293
294
295

A305.2
RTI
WK
PICU

25/6/2015
25/6/2015
25/6/2015

296

A104.4

25/6/2015

I KETUT BADRA

45 TH

A3

25/6/2015

NI NYOMAN KOJI

63 TH

WK 61

25/6/2015

ROSA FEBRIANI

35 TH

A1

25/6/2015

I NYOMAN ASA

63

25/6/2015

LOVIA GALILIE
WENSEDAUS WISAR
FANDY DIAS N

3BLN

24 TH

MADE TRISNA

7 TH

I WAYAN SUDIARTA

7 TH

NI MADE SUJENI

40 TH

DEWI AYU FITRIA

28 TH

I WAYAN SURAJA

62 TH

NENGAH SUDARTA

27 TH

297
298
299
300

PICU
A1

25/6/2015

301
302
303

A3
KAMBOJA
2

25/6/2015
25/6/2015
25/6/2015

RR
304
25/6/2015
BT 210.1
305
306
307
308
309
310
311
312
313
314
315
316

RATNA 2B
MS 204.B

25/6/2015
24/6/2015

BU

8/26/2015 I Ketut Parta

65 TH

HCU

8/26/2015 I Ketut Satia

65 TH

WK 12.1

8/26/2015 Ni Made Rancis

64 TH

RTI 6

8/26/2015 Ni Putu Merta

88 TH

A 102.6

8/26/2015 Lukman Satuman

43 TH

A3

8/26/2015 rabiah Lawang

40 TH

A3

8/26/2015 IB Gd Aswin Pradipta

I TH

CT

8/26/2015 Ni Luh Novi

19 TH

RR

8/26/2015 Tjok Mastini

35 TH

317
318

MS 207D

8/27/2015 I KETUT REUTAN

52 TH

A102.3

27/08/2015

MATIUS BORA

46 TH

ICU

27/08/2015

ABDUL HAMID

70 TH

RTI 10

27/08/2015

I GUSTI NGURAH RAI

59 TH

KAMBOJA
12

27/08/2015

I GUSTINYOM.
MAHARDIKA

21 TH

A307.6

27/08/2015

NI LUH MULYANI

19 TH

A304.3

27/08/2015

NI NYOMAN SUDIASIH

47 TH

A3

27/08/2015

VICKY JULIANTASRI JAYAP L

11 TH

A1

27/08/2015

I PUTU SURYADIVA ABDI


L
DHARMA

13 TH

KAMBOJA
A11

27/08/2015

MOIHAMAD THAMRIN

21 TH

CEMPAKA
27/08/2015
II

IA KADE MANIK

38TH

A1

27/08/2015

I KT. JODIG

41 TH

A303.3

27/08/2015

I MADE ARING

53 TH

C II

27/08/2015

NI KETUT SURIATI

35 TH

NI NYOMAN RASMINI

55 THN

NI KETUT SUARTINI

39 TH

HELENA AMBUURAKA

23 THN

I KT. JODIG

41 TH

319
320

321

322

323
324
325

326
327
328
329

330
RTI 4
331

8/27/2015
MS

332

8/27/2015
BT

333
334

8/27/2015
A1

27/08/2015

335

A 101.1

8/28/2015 I GEDE SAMUDRA

21 TH

A3

8/28/2015 NI MADE NURASIH

58 TH

MAWAR

8/28/2015 KETUT SARMA

59 TH

BT 212.3

8/28/2015 NI KETUT SIRI

39 TH

PUDAK

8/28/2015 LALU ADIK PATI YUSUF

6 TH

A1

8/28/2015 KETUT PAING GRUDUG

52 TH

WK 1.1

8/28/2015 I GEDE PUNIA

62 TH

A1

8/28/2015 NYOMAN WIDADA

40 TH

BT 209.2

8/28/2015 DEWI LIANA NARDLITA

34 TH

CT

8/28/2015 NI NYOMAN RAMAI

57 TH

A 302.2

8/28/2015 YASIT AKBAR

1 TH

CT

8/28/2015 SITI NUR

41 TH

WK

8/28/2015 NORVINCE VRIDA REO

42 TH

NI NYOMAN MUNEK

63 TH

ENI MUALIPAH

38 TH

336

337
338
339

340

341

342
343
344
345
346

347
A 306.5
8/28/2015
348
BT
8/28/2015
349
350
351
352

RR

8/28/2015 MADE KIM

70 TH

RTI

8/29/2015 RAODAH

49 TH

RTI

8/28/2015 H. WAGIANO

62 TH

353
354
355

RR

8/28/2015 I WAYAN KATI

79 TH

A3

8/29/2015 BAGUS ARIMBAWA

9 TH

HCU

8/29/2015 ISLAMIA

40 TH

A3

30/8/2015

NI KADEK REVANI
PRINGGAYUNI

5 TH

RR

30/08/2015

I MADE EVA SUAEDANA

20 TH

RTI

30/08/2015

MR.X

29 TH

RR

30/08/2015

HENDRA NUR HIODAYAT L

24 TH

BT 208.3

30/08/2015

NI WAYAN SUKA
SARININGSIH

26 TH

RR

30/08/2015

I WAYAN KERTHU

68 TH

RTI

31/08/2015

GEDE PUTU SUPARSA

51 TH

WK

31/08/2015

LIE PIT HIN

71 TH

CT

31/08/2015

FLORIBERTA FLORIDA

37 TH

A 307
GANG

31/08/2015

NI KETUT NURIASIH

53 TH

A 105.3

31/08/2015

MUHAMAD YUDHISTIRA

15 TH

MAWAR

31/08/2015

UDEN

56 TH

HCU

31/08/2015

WAYAN RADITA

54 TH

A 105.1

31/08/2015

KHOTIBUL UMAMI

22 TH

KAMBOJA
6

31/08/2015

I MADE SUJAYA

36 TH

356

357

358
359

360
361
362

363

364
365
366
367

368

369
370

NICU

31/08/2015

BY EKA SETIAWATI

44 HR

WK

31/08/2015

I NENGAH WARTA

69 TH

ICU BARAT 31/08/2015

JERO MADE SAREN

79 TH

A 102.3

31/08/2015

DESAK PUTU RAKAWATI

64 TH

RTI

31/08/2015

I MADE TANTRA

59 TH

371
372
373

374

375

NO CM

ALAMAT

CARA
BAYAR

15037896

DENPASAR

JKBM

15038624

GIANYAR

JKBM

15038777

JIMBARAN

UMUM

15034282

BULELENG

bpjs

15033666

Kintamani

BPJS

15026005

NTT

BPJS

15035831

DPS

BPJS

15034026

DPS

BPJS

15034344

Jembrana

JKBM

15014122

Badung

BPJS

15038490

DPS

BPJS

1629769

DPS

JKBM

15038349

DPS

BPJS

15037501

KA

JKBM

15038257

KARANGASEM BPJS

1380724

BPJS

15033012

BANGLI

BPJS

1292591

KLUNGKUNG BPJS

15038485

JAMKESM
AS
BPJS

15038447

15031853

BADUNG

BPJS

15038960

SUMBA
TIMUR

UMUM

15038762

DENPASAR

JAMKESM
AS

15038912

KARANGASEM BPJS

15038910

SINGARAJA

UMUM

15038757

DENPASAR

BPJS

15022383

KARANGASEM BPJS

15033459

KARANGASEM BPJS

15019164

BADUNG

JKBM

15032980

DENPASAR

JKBM

15038497

DENPASAR

BPJS

15001422

TABANAN

BPJS

15035641

BULELENG

BPJS

15030848

MATARAM

BPJS

15038423

GIANYAR

JKBM

15037704

BANGLI

15003356

GIANYAR

BPJS

15036025

BPJS
UMUM
KARANGASEM JKBM

1514803

DENPASAR

JKBM

15039088

KUTA

JKBM

15038934

KARANGASEM JKBM

15038313

BANGLI

15039001

KARANGASEM JKBM

15038951

DENPASAR

UMUM

15038997

BANGLI

JKBM

15038890

BANGLI

JKBM

15037668

BADUNG

JKBM

15038461

DENPASAR

BPJS

15030824

NTT

BPJS

15035572

BADUNG

BPJS

15035971

DENPASAR

BPJS

15033293

GIANYAR

BPJS

15031331

DENPASAR

BPJS

15037872

DENPASAR

BPJS

15035341

KARANGASEM BPJS

UMUM

15037511

BULELENG

BPJS

15038432

BULELENG

BPJS

15034474

DENPASAR

BPJS

15035078

KUTA

BPJS

15024281

BADUNG

JKBM

15039198

BADUNG

BPJS

15038990

BADUNG

BPJS

15038592
1006882

GIANYAR
DENPASAR

JKBM
UMUM

15033245

KARANGASEM BPJS

15034026

BULELENG

BPJS

15002142

DENPASAR

JAMKESMA
S

15037032

NTB

BPJS

14027693

DENPASAR

BPJS

1509606

BULELENG

BPJS

15028484

DENPASAR

BPJS

1547211

DENPASAR

BPJS

15038999

BADUNG

UMUM

14070433

BANGLI

BPJS

15027411

DENPASAR

BPJS

15036713

JEMBRANA

UMUM

15014401

DENPASAR

BPJS

1539206

BADUNG

UMUM

15039297

KARANGASEM UMUM

15039194

GIANYAR

15039339

KARANGASEM JKBM

15037384

DPS

JKBM

1024506

DPS

BPJS

15033481

KA

JKBM

1478670

DPS

BPJS

1478670

Gianyar

BPJS

15037667

UMUM

BPJS

15015212

Kuta

BPJS

15030824

DPS

BPJS

15001454

BPJS

15039483

Gianyar

Askes

15039583

Bulelelng

JKBM

15039390

Dps

JKBM

15039415

NTB

BPJS

15039345

Jawa Timur

UMUM

15039376

Gianyar

UMUM

15039189

Gianyar

UMUM

15039605

JANKESMA
S

15039590

DPS

JANKESMA
S

15032126

BULELENG

BPJS

15033053

DENPASAR

BPJS

15000610

SINGARAJA

BPJS

15036267

GIANYAR

JKBM

15037569

KARANGASEM BPJS

15039632

DOMPU

BPJS

15032325

DENPASAR

JKBM

15038869

DENPASAR

BPJS

1522157

BADUNG

BPJSJAMSOST
EK

15036249

DENPASAR

BPJS

15039618

SINGARAJA

UMUM

15032980

DENPASAR

JKBM

15036710

GIANYAR

JKBM

15039612

UNGASAN

JKBM
DENPASA
R

1369460

SELEMADEG

BPJSASABRI

15039731

DENPASAR

UMUM

15036830

DENPASAR

BPJS
UMUM

1575108

DENPASAR

JKBM
DENPASA
R

15028857

DENPASAR

BPJS
UMUM

15035676

TABANAN

JKBM

15024692

KARANGASEM BPJS

15033518

KARANGASEM BPJS

15037093

BPJS

15038585

NEGARA

BPJS

15039837

DENPASAR

UMUM

15039777

DENPASAR

UMUM

15033486

DENPASAR

BPJS

01091361

DENPASAR

BPJS

15004986

BANGLI

BPJS

15028994

SUMBA

BPJS

14047413

KARANGASEM BPJS

15039815

DENPASAR

Umum

15030623

Canggu

Umum

15010153

GIANYAR

15036570

Lkg
Brahmana
Bukit
Cempaga B

JANKESM
AS

15040272

Jl PL Bungin

BPJS

150399975

Tabanan

JKBM

15040301

GIANYAR

JKBM

15040375

LOMBOK
BARAT NTB

BPJS
JAMKESMA
S

15040382

DENPASAR

JKBM

1609732

DENPASAR

BPJS

15032095

KARANGASEM JKBM

15020577

DENPASAR

15035319

KARANGASEM JKBM

BPJS

15035338

BULELENG

JKBM

15018074

KARANAGSEM BPJS

1615944

SINGARAJA

BPJS

15030349

SINGARAJA

BPJS

1131694

DENPASAR

BPJS

15035884

DENPASAR

BPJS

15009250

NTB

BPJS

BULELENG

BPJS

14064234

BADUNG

BPJS

13002148

BULELENG

BPJS

1193687

KLUNGKUNG

BPJS

14060523

BANYUWANGI

BPJS

15040551

NEGARA

JKBM

15040404

DENPASAR

UMUM

13038406

TABANAN

BPJS

15034634

KUPANG

BPJS

15039381

BULELENG

JKBM

15037511

JKBM

15038447

GIANYAR

UMUM

14064234

GIANYAR

BPJS

15040433

DPS

BPJS

15036730

Bule

JKBM

15039031
15022559

NTB
DPS

BPJS
BPJS

15039911

Bule

BPJS

15037984

Kupang

BPJS

15037177

KA

JKBM

15040917
15040958
15040926

bangli
DPS
Buleleng

JKBM
JKBM
BPJS

15040940

DPS

Umum

15037645

DPS

BPJS

15040394

BULELENG

JKBM

15039949

BULELENG

BPJS

15030473

NTB

15038609

GIANYAR

JKBM

15004335

TABANAN

BPJS

15035672

KLUNGKUNG

JKBM

15038506

SUMBAWA

BPJS

15038014

DENPASAR

15039626

MATARAM

15040767

KARANGASEM JKBM

15040598

BULELENG

UMUM

15041113

PANJER

UMUM

14043024

JEMBRANA

JKBM

15041129

NTB

BPJS

15040776

DENPASAR

UMUM

15041123

KARANGASEM JKBM

15041140

DENPASAR

UMUM

15041194

BANGLI

JKBM

15030550

DENPASAR

JKBM

15033232

NTT

BPJS

14060674

MATARAM

BPJS

15034043

DENPASAR

BPJS

13038664
14062282

BPJS

BPJS
DENPASAR

1590133

BPJS
BPJS

15039232

KLUNGKUNG

JKBM

15036945

BADUNG

UMUM

15015820

DENPASAR

BPJS

104904

JKBM

15026618
15038218

DENPASAR

JKBM

15041128

JIMBARAN

UMUM

15041425

SESETAN

JKBM

15041290

MATARAM

UMUM

15041241

KARANGASEM JKBM

15036343

TABANAN

BPJS

15041545

DENPASAR

JKBM

15041538

NTT

BPJS

011878981`

DENPASAR

JKBM

15041560

TABANAN

BPJS

15041588

GIANYAR

15040815

KARANGASEM JKBM

15019437

DENPASAR

15041646

GIANYAR

15041313

DENPASAR

14045838

BPJS

BPJS

BPJS

1182808

GIANYAR

15030170

KARANGASEM BPJS

14070542

DENPASAR

15032988
15038186

JKBM
BPJS

TABANAN

14050332
15037336

JKBM

JKBM
BPJS

BADUNG

15028369

BPJS

BPJS

15038499

NTB

BPJS

15035591

DPS

BPJS

15040457

KA

JKBM

15025458

sumba

BPJS

15039890

Bangli

BPJS

15031522

KA

BPJS

15036759

Jembrana

BPJS

15038721

mengwi

BPJS

15040669

NTT

BPJS

15028989

DPS

BPJS

15035503
15030814

Badung
Lombok

BPJS
BPJS

15002833

DPS

BPJS

15041818

DPS

UMUM

15041620
15024281
14004523

Bule
DPS
DPS

JKBM
BPJS
Umum

15041641
15041550
15041842
15040270

badung
KA
DENPASAR
DENPASAR

BPJS
JKBM
BPJS
UMUM

15041785

DENPASAR

UMUM

15041823

DENPASAR

BPJS

15041999

badung

BPJS

15041824

KLUNGKUNG

BPJS

13007561

DENPASAR

UMUM

14070497

KEROBOKAN

UMUM

15042027

BADUNG

BPJS

13018373

GIANYAR

BPJS

1328107

BPJS

15042086

JIMBARAN

UMUM

15038490

DENPASAR

BPJS

1414009

KINTAMANI

BPJS

15038143

KUPANG

BPJS

15039494

TABANAN

BPJS

15042021

DENPASAR

BPJS

15012794

DENPASAR

BPJS

15032512

DENPASAR

JKBM

15038141

BANGLI

BPJS

15039422

TABANAN

BPJS

15041869

BULELENG

JKBM

15042220

15041237

UMUM

DENPASAR

Umum

15042283 DENPASAR

Umum

1127452 DENPASAR

BPJS

15040231

BANGLI

JKBM

15028770

NTB

BPJS

1478009

KUTA SELATAN JKBM

14004293

DENPASAR
SELATAN

BPJS
UMUM

15042181

DENPASAR

BPJS

15042551

FLORES

UMUM

15042181

KARANGASEM JKBM

15042396

DENPASAR

JKBM

15042562

BULELENG

JKBM

15042496

DENPASAR

JKBM

15042504

BULELENG

BPJS

15042602

DENPASAR

UMUM

150426225

BADUNG

UMUM

1572198

BADUNG

BPJS

15042618

DENPASAR

UMUM

15042380

BADUNG

BPJS

15042632

LUMAJANG

UMUM

15042621

KARANGASEM JKBM

15042648

DENPASAR

UMUM

15042668

DENPASAR

UMUM

1637330

GIANYAR

BPJS

15040371

DENPASAR

14005372

BADUNG

BPJS

15039296

DENPASAR

BPJS

15042389

BPJS

15032540

NTT

BPJS

15029814

NTT

BPJS

15031593

NEGARA

BPJS

15042707

DENPASAR

BPJS

1175011

DENPASAR

BPJS

15038616

LOMBOK

BPJS

15042571

TABANAN

BPJS

14069965

KUTA SELATAN BPJS

15035543

DENPASAR

BPJS

14051441

DENPASAR

BPJS

1437604

BADUNG

BPJS

15041520

DENPASAR

JKBM

15040825

NTB

BPJS

15029130

KARANGASEM BPJS

15023358

BLITAR

15028198

KARANGASEM BPJS

BPJS

15040506
15039356

BANGLI

JKBM

13003394

KARANMGASE
BPJS
M
BADUNG
JKBM

1608622

DENPASAR

BPJS

1637330

DENPASAR

BPJS

15037039

NTT

BPJS

14016496

SEMARANG

BPJS

15042876

KARANGASEM BPJS

15042849

DENPASAR

BPJS

15043066

DENPASAR

JKBM

1418980

LUMAJANG

UMUM

15032611

DENPASAR

BPJS

15041837

KARANGASEM BPJS

15041466

15006802 DPS

BPJS

15034658 Gianyar

BPJS

14032842 DPS

BPJS

1382216 DPS

BPJS

1089486 DPS

JKBM

15042143 DPS

BPJS

13026513 DPS

BPJS

15042486 Bule

JKBM

15040954 Negara

JKBM

15043206

DENPASAR

JKBM

15031752

NTT

BPJS

15025216

NTB

BPJS

15025431

DPS

BPJS

150

SIDAKARYA

JKBM

150

KEROBOKAN

BPJS

15012878

TABANAN

BPJS

15042397 PADANG SAMBI JKBM


15033066

KLUNGKUNG

BPJS

15041349

NTT

BPJS

15034645

BULELENG

BPJS

1504147

SINGARAJA

BPJS

15036703

JIMBARAN

JKBM

15043002

KLUNGKUNG

JKBM

15030628

TABANAN

BPJS

15042554

BADUNG

JKBM

15043298

DENSEL

UMUM

1504147

SINGARAJA

BPJS

14045996

KLUNGKUNG

JKBM

15042987

TABANAN

JKBM

15041995

BADUNG

BPJS

14040713

BULELENG

BPJS

14064520

LOMBOK

BPJS

14018234

DENPASAR

JKBM

15012620

BULELENG

BPJS

15041892

KARANGASEM UMUM

15043111

JEMBER

15035525

TABANAN

15032645

JKBM

BPJS

15042420

NTT

15041852

NTT

15023495

BPJS
JKBM

15043425

JEMBER

UMUM

15043423

Gianyar

BPJS

15043467

NTB

BPJS

15043444

NTB

BPJS

15043460

KLUNGKUNG

1089853 DENPASAR

JKBM
BPJS

15043638

NEGARA

BPJS

15042297

GIANYAR

JKBM

15043763 TABANAN

BPJS

15043798

RS KASIH IBU

UMUM

15043718

DENPASAR

BPJS

15043031

DENPASAR

BPJS

15029123

DENPASAR

BPJS

15043262

BULELENG

BPJS

1588467

DENPASAR

BPJS

15033096

WOLOGLARAK,
BPJS
LEMBATA

15041922

TABANAN

1584944

JKBM
BPJS

15034632

NTB

BPJS

15038340

JEMBRANA

BPJS

15042663

LOMBOK

BPJS

15024846

BPJS

15037551

DENPASAR

UMUM

15038539

JIMBARAN

BPJS

15042838

DENPASAR

BPJS

15042831

GIANYAR

BPJS

15042170

GIANYAR

JKBM

DIAGNOSA

CKS MEMBAIKI+SDH TIPIS PARIETAL D


SAH+CKR+CF DEPRESSED P[ARIETAL D+ FR. ANKLE D
CKB+ OF R. FRONTAL, IUCB R. FRONTAL

POST LAPARATOMI RESEKSI JEJENUM COLON ASCENDEN


primary bone tumor
corpus alienum multiple R Pelvis ec V sclorepectum
spina bifida kistik susp meningoencephalocele
syndactili Manus D
Undensensus Testis D
infected OF Right Tibia Plateu SCH VI Post Debridement ORIF
floating Knee + CF humerus S
G4P1021 TH Oligohidramnion ROB

HIL D

SH + ICH
ILEUS OBSTRUKSI TOTALIS

PARTIAL ILEUS OBSTRUKSI

MULTIPLE FRACTURE
DEFORMITAS SKOLIOSIS

EDH + CKS
FR. FEMUR + RUPTUR PALPEBRA

ABSES DINDING ABDOMEN POST LAPARATOMI

G2P0010 42-43 MGG; T/H; LHM; PEB; IMPENDING EKLAMPSIA;


PARTIAL HELLP SYNDROME
CKR + FR. DEPRESSED PARIETAL S + EDH PARIETAL + FR.
ZYGOMATICOMAXILLARIS S + FR ZYGOMA D
OF RADIUS ULNA 1/3 TENGAH D

CKS + SDH FRONTOTEMPOROPARIETAL D + FR. BASIS CRANII

DM DF WAGNER IV PEDIS D
KISTOMA OVARII CURIGA GANAS

SNT S

LIMFANGIOMA COLLI
RECURRENT POSTERIOR ELBOW DISLOCATION + OF RADIUS
ULNA D 1/3 DISTAL POST ORIF PINNING
TUMOR RETRO AURICULA S
LABC MAMMAE D
BATU URETER 1/3 PROKSIMAL S + KISTA GINJAL

LIMPADENOPATI AXILLA S
FR PARASIMFISS MANDIBULA D + ANGULUS MANDIBULA S

CF RIGHT FEMUR SEGMENTAL + CF INTERTROCHANTER FEMUR


D
NEGLECTED DJ STENT D/S + KSTOMA OVARII CURGA GANAS
BATU URETER D 1/3 PROKSIMAL + HN BERAT D + HN SEDANG S

APPENDISITIS AKUT
APPENDISITIS AKUT
ATRESIA ANI + SUSPEK DOWN SYNDROME
CKS + SDH + EDH + ICB TEMPORAL D + SAH TEMPORAL S
TRAUMA TUMPUL ABDOMEN
APPENDISITIS AKUT
RUPTUR PERINEUM GRADE IIIB
ANGINA LUDWIG
EMPHYSEMA BULOSA

HIDROCEPHALUS NONKOMUNICAN EC SOL INTRAVENTRIKULAR


MAR POST COLOSTOMY
MALUNION SUPRACONDYLER HUMERUS S

CF FEMUR S 1/3 TENGAH

SCC BIBIR
MIOMA UTERI + ACKD+ HN SEDANG S

TU MAMMAE S
TU MAMMAE S SUSP. MALIGNANCY

LYMPHADENOPATHI COLLI D LIMFOMA MALIGNA


BATU URETER 1/3 PROXIMAL S + STAGHORN D + HN SEDANG
BILATERAL
KONTRAKTUR REG. AXILLA BRACHIAL D POST RELEASE
FISTEL PARATUM POSTV PALATOPLASTY
ADENO CA RECTI
PERITONITIS GENERALISATA

TUMOR RECTOSIGMOID
SDH KRONIS FROMNTOTEMPOROPARIETAL S
ICH S + SAH
HNP L3-L4, L4-L5

POST RELEASE SYNDACTILI + SKIN GRAFT EC SYNDACTILI MANUS (D)


CA CERVIC STADIUM 2B
HIDROCEPALUS KONGENITAL

CA CERVIC STADIUM 4A

OD RRD TOTAL

MIKROTIA, POST AURICULOPLASTHY (S)


STRIKTUR URETRA + BBB

ATRESIA DUODENUM
TUMOR SIGMOID

FOURNIER GANGRENE R. INGUINAL (S) POST DEBRIDEMENT + MIGH


FLAP
CRUSH INJURY MANUS (D)

BATU STAGHORN S

CRUSH INJURY MANUS (D)

CKB + EDH FRONTOTEMPOROBASAL D + FR DEPRESSED TEMPORAL


(D)
CKR + EDH PARIETAL (D) + OF DEPRESSED R PARIETAL D
DEGLOVING FINGER DIGITI IV-V MANUS D

Ca Caput Pankreas
palatoschizis
G3P2002 TH + Ca mammae S
GCT Phalangs Prox Left Middle Finger
Recurrent GCT Distal Tibia S
Abses Ginjal + Batu pul (D) + Urosepsis
Malignant Phylloides tumor t2 M0 Mo
Perfusi Kolon
MAR PS ARP+ PS COLOSTOMI
Peritonitis Generalisata
EDH Bifrontal + CKR+ Fr Basis Cranii
Vulnus Ictum R Cruris (S)

CKR+SDH Kronik R. Temporoparietal (S) + ICH Temporoparietal (S)


+SAHTemporalis (S)
total Ileus Obstruksi ec. Tumor Rectosigmoid
DxG2P00010 35 minggu T/H ROB DHF GRD I Perdararahan Aktif
CKS+ICH R Frontotemporaal Bilateral +EDH R temporal (S)+ SDH R
Frontotemporal + SDH
Crush Injury OF Right Pedist
Appendiditis Akut +SLE

CANAL STENOSIS

NEGLECTED FRAKTUR COLLUM FEMUR S

MENINGIOMA SPENOID

KOLESISTITIS

CKD ST V
TUMOR THORAX S
OD KATARAK KONGENITAL EC SUSP CONGENITAL RUBELLA SINIL,
OS AFAKRA
OD SKLERAMALASI OS KATARAK KONGENITAL + NYSTAGMUS
ODS
RUPTUR PERINEUM TOTALIS LAMA

HISPRUNG DS
RUPTUR ARTERI FEMORALIS S
RECURRENT POSTERIOR ELBOW DISLOCATION + OF RADIUS
ULNA D 1/3 DISTAL POST ORIF PINNING

OF COMMUNITIFE OLECRANON S

DM DF WAGNER IV PEDIS D

G2P1001,37 MINGGU, T/H, LMR (BEKAS SC 1X) KPD

APPENDISITIS AKUT

ABSES GLUTEAL + TUMOR RECTI

DM DF WAGNER IV PEDIS S

CHOLESISTITIS + MULTIPLE CHOLELITIASIS

ADENO CA REKTI

BATU STAGHORN S + HIDRONEFROSIS RINGAN S


OS TUMOR KONJUNGTIVA DSSN DD SCC
HIDROCEPHALUS CONGENITAL
OF TIBIA FIBULA D 1/3 DISTAL POST DEBRIDEMENT + EXTERNAL
FIKSASI
OF BASE METACARPAL DIGIT V MANUS SINISTRA + V. APERTUM
APPENDICITIS AKUT

COLLOID NODUL S

MIOMA UTERI + INFERTIL PRIMER

INFECTED NON UNION FR TIBIA-FIBULA D POST


DEBRIDEMENT+EXFIX+STSG

LARGE SABC VSD


MODERATE PERIMEMBRAN VSD + SEVERE INTRA

Ckr+SDH Kronik R. Temporoparietal (D)


OKS+SAH+ Fr.
G1P0000 3mnggu T/H HIV St 1 On HAART+PPI
Post Nefrktomi+ Perforasi Colos Descenden + Fistel Enterokutan
+sepsis

G1P0000 35mnggu gemeli/H-H/letkep-letling=PEB+Impending


Eklampsia +PKI
CKR+FR BASIS CRANII+CF Cruris (D) 1/3 tengah + OF
Metartarsal IV Pedis (D)
G1P0000 38 MGG T/H PER OBESITAS

SDH FRONTOTEMPOROPARIETAL S

TOTAL ILEUS OBSTRUKTIF EC. PROLAPS INTUSUSEPSI

HYPERTROPIC SCAR+ KELOID R. AURICULA D, R.THORAX, R. ABDOMEN


MNT

TUMOR MAMMAE S

BPH GR. II

HIDROCEPHALUS NON COMMUNICANS

IMPLANT FAILURE TIBIA D POST ORIF PS+ FR MALEOLUS MEDIALIS D


POST ORIF SCREWING+FR FIBULA D 1/3 TENGAH
DM DF PEDIS S
INVERTED PAPILLOMA SINONASAL S

ADENO CA. RECTI

HNP L4-L5

LABC S
ADENO CA RECTI DISTAL GRD II-III

CA CERVIX INFILTRASI PROXIMAL RECTUM

NEGLECTED CF NECK FEMUR S

HIPOSPADIA POST REDO URETROPLASTY

CA CERVIX + HN BILATERAL
STRIKTUR URETRA PARS POSTERIOR

FR ALVEOLARIS MAXILLA D + FR ALVEOLARIS MANDIBULLA D + FR


SIMFISIS MANDIBULA D
CA CERVIX STD IIB

HIPOSPADIA
FR. COSTAE 2-8 HEMITHORAC D

HISCHPRUNG DISEASE
EPIFISIOLISIS DISTAL RADIUS D/S; CF OLECRANON D
KISTA OVARIUM
post Orif Acetabulum S
SCC Primer( T3N2M0 )
benign Agresive bone tumor proximal tibia D
MNT
Primary malignant bone tumor femur distal
OMSK Malignant D + Jar Granulasi KAE D + Lesi N VII + Gravida 13
minggu
Batu ureter 1/3 Proximal D
Total ileus obstruktif susp keganasan
G3P2002 TH 38 mg
MAR tanpa fistula + Hipospadia
peritonitis generalisata ec app perforasi
Burst fracture L1 ASIA E
CKR + FR RIMA ORBITA LATERAL S + FR MAXILLA S

TUMOR SUBMANDIBULA D
SPONDYLITIS TB L4-L5

CF CLAVICULA D/S 1/3 TENGAH, CF TIBIA FIBULA S 1/3 DISTAL, CF


COSTAE 2,3,4
HERNIA VENTRALIS
MNT
AMELOBASTOMA S

STRIKTUR URETRA PARTIAL +LUTS


TUMOR MAMAE D
DEGLOVING WOUND CRURIS D
CF ANTERIOR WALL SINUS FRONTALIS
KET
G4P1112 29 MG 6 HARI T/H, LETSU, ROB, SUMPERIMPOSED PE
CKR+FR DEPRESSED
APENDISITIS AKUT
APENDISITIS AKUT
KET
FR SEGMENTAL MANDIBULA
ADENO CA RECTI T2N0M0
BATU URETER 1/3 PROXIMAL D + HN BERAT D

ADENO CA RECTI T3N0Mx


CF TIBIA 1/3 TENGAH POST ORIF PS

MIOMA UTERI + HN RINGAN


LABC S + LOCAL RECURENCE + SUSP. METASTASE KONTRALATERAL
PRIMARY MALIGNAN BONE TUMOR FEMUR S
TU LARING
OF RADIUS-ULNA POST FACIOTOMY + EKSTERNAL FIKSASI

OPLL C3-C6

DM DF PEDIS + CRURIS S
MENINGIOMA CEREBRI
BPH GRD II
CKS+ICH TEMPORO[ARITEAL S+ SAD TEMPOROPARIETAL S+ FR.
CLAVICULA D 1/3 LATERAL
V. APERTUM LUAS REG. FACIAL D

MULTIPLE FRACTURE

PERITONITIS GENERALISATA EC SUSP GASTER PERFORASI


G3P1011 37-38 MGG, T/H+ ROB+LMR+KPD
PERITONITIS GENERALISATA + HIL BIL;ATERAL
G1P0000 39 MGG LETSU KPD
KET
CKR + FR. BASIS CRANII + FR. DEPRESSED OS FRONTAL D + FR.
ZYGOMATICOMAXILLARIS D
CKB + SDH FRONTOTEMPOROPARIETOOCIPITAL S + FR. COSTAE
2,3,4,5,6 HEMITHORAX D
TUMOR RECTI PROXIMAL, PARTIAL ILEUS OBSTRUKSI

BATU STAGHORN D

CKS MEMBAIK + EDH TEMPOROPARIETAL D + SAH


OD TRAUMA TUMPUL KOMPLIKASI GLAUKOMA SEKUNDER SUDUT
TERTUTUP EC. SUBLUKSASI LENSA + KOAGULUM + KATARAK
TRAUMATIKA
FAILURE IMPLANT + POST ORIF PS EC. MALUNION FR. FEMUR

POST FACIOTOMI EC COMPARTEMENT SYNDROME + CF TIBIA FIBULA D

LIMPADENOPATI INGUINAL D
PALATOSCHIZIS
CKD ST V EC NS ON HD REGULER
KELOID AURICULA S
BATU MULTIPLE REN BILATERAL RESIDIF
HEMOROID GRD II

AMELOBLASTOMA

SOFT TISSUE TUMOR FEMUR S

Batu Ureter 1/3 Proximal S


Adeno ca Recti GR II Post miles procedure
craniofaringioma
Burst fracture CV L2 Fr D
OS endoftalmitis post triple procedure
OF Pedis D 1/3 Distal
OS endoftalmitis
ca prostat metastase tulang
ca sinonasal
Tumor testis D
Tumor solid ovarium
BPH GRADE III

Appendicitis
CKS Membaik, SAH, ICH
Adeno CA Recti ( t4N2M0 )
Appendicitis
CKS, SDH frontotemporoparietal D, ICH SAH
Fr Maxilla, FR Frontozygoma S, OF Patella S , CF Femur S
G1P0000 38 MGG, T/H, LHM, PEB, PK II
G1P0000 42 MGG, T/H, OBESITAS, KPD
APPENDISITIS AKUT

Appendicitis
CKR + EDH TEMPOROPARIETAL D
OF RIMA ORBITA S + FR ZIGOMATICOMAXILLARIS S + FR. CLAVICULA S

APENDISITIS AKUT

TRAUMA TUSUK ABDOMEN

CRUSH INJURY PEDIS S

KET

SH (ICH + IVH)
APPENDISITIS AKUT
POST ORIF PS + ORIF TBW KNEE D + IMMOBILLEZED U SLAB +
PERIIMPLANT FR. HUMERUS S
OLIGODENDROGLIOMA RESIDIV + HIDROCEPHALUS NON KOMUNIKAN
KONTRAKTUR FEMUR-TBIA S

TUMOR MAMMAE S
P SPT B HARI 1
MAR POST COLOSTOMY
CA CERVIX ST IIB + FISTULA RECTOVAGINA

BATU PYELUM D

PRIMARY MALIGNANT BONE TUMOR


ABSES DINDING ABDOMEN
V. ICTUM R. ARTICULATIO RADIOCARPAL D

G1P0000 42 MGG, T/H, OLIGOHIDRAMNION; PK I; GAWAT JANIN

G2P1001 38-39 MGG; T/H + APB (PLASENTA PREVIA TOTALIS)

CKR + EDH TEMPROPARIETAL S + CONTUSIO HEMORAGIK


CHOLEDOCAL CYST

SCHWANNOMA PLEX BRACHIDS DEXTRA

HIPOSPADIA TIPE PERINEAL


HIPOSPADIA MIDSHAFT + CHURDEE
SH + ICH
G1P000 +T/H + PK 1 (KELUAR AIR) KASEP

SH (ICH + IVH)

V. ICTUM R. ANTEBRACHII

APPENDISITIS

G1P000 + KPD
CKR + EDH TEMPROPARIETAL S

KET
KET + SYOK HYPOVOLEMIK

APPENDISITIS AKUT
EDH FRONTOTEMPOROPARIETAL D + SAH TEMPOROPARIETOBASAL D
+ SDH TEMPOROPARIETOBASAL D

APPENDISITIS AKUT
CKS + EDH FRONTOTEMPOROPARIETAOBASAL S + FR. LINEAR
TEMPORAL S
OF LATERAL CONDYLE FEMUR D
APPENDISITIS AKUT

APPENDISITIS AKUT
SCC MAXILLARIS S RECURRENT
SUSP CA BULI
LABC D

SYNDACTILY MANUS D DIGITI II-III

COMBUSTIO GRD II AB 30%

ADENOMA PLEOMORFIK
TUMOR SINONASAL

HISCPRUG DISEASES
G3P1102 37 MGG T/H LMR KPD ANEMIA
APPENDISITIS AKUT

OBS. JAUNDICE + SEPSIS


PERFORASI DUODENUM + EMPIEMA THORAX D
NEGLECTED CF COLLUM FEMUR D
SUBDURAL HYGROMA FRONTOTEMPOROPARIETAL S
G4P1111 34-35 MG; T/H IMPENDING EKLAMPSIA + PARTIAL HELLP
SYNDROME
G2P1001 38-39 MGG; KPD; LETSU

CF COLLUM FEMUR S
CHOLESISTITIS CHOLELITIASIS
BATU PYELUM D
CA MAMAE
MENINGIOMA
KISTA PAROTIS D
TUMOR ABDOMEN SUSP LIMFOMA

OF SUBTROCHANTER FEMUR S
BCC PALPEBRA

HEMANGIOMA TEMPORAL

HIDROCEFALUS COMMUNICANS CONGENITAL POST EVD


TORTIO TESTIS D
OD TRAUMA TUMPUL KOMPLIKASI RUPTUR KORNEA SKLERA + PTISIS
BULBI
APPENDISITIS AKUT
APPENDISITIS AKUT

G4P3003; T/H; 37 MGG; LMR; ANEMIA BERAT


DM DF WAGNER V PEDIS
SUBDURAL HYGROMA FROTOTEMPOROPARIETAL D ET S
Batu Pyelum D
Tumor Recti Susp Malignancy
fistel vesicovagina
CF Intertrochanter Femur S post Hemiarthroplasty AMP D
fistel mandibula post ORIF Miniplate
SOL cerebri infratentorial + hidrochepalus
undensensus Testis S
HPP ec inversio uteri
G2P1001,35-36 mg TH APB ec Plasenta previa totalis

EDH TEMPOROPARIETAL S
OF HUMERUS D GR.III B POST VASCULARISED+FIBULAR GRAFT
MNT FOLIKULAR NEOPLASMA
CA BULI
OS RUP[TUR PASLPEWBRA INFERIOR FULLTIHICKNESS+ KANALIKULI s
PALPEBRA INFERIOR PARTIA THICKNESS
OS PTISIS BULBI

LABC S
CF FEMUR S 1/3 DISTAL
FR5 HUMERUS S POST ROTATIONAL POST ORIF PS
POMSK MALIGNA S+ ABSES BEZOLD
KISTOMA OVARII CURIGA GANAS DD/ MIOMA UTERI--> TUBA OAVRIAL
ABSES S
CF INTERTROCHANTER FEMUR D
DM DF WAGNER IV PEDIS S
P3003 POST PARTUM HR.II

MYELOPATHI KOMPRESSIF TH10-11, L3-5

HIDROSEFALUS KOMUNIKANS EC MENINGITIS BAKTERIAL DD/TB

G1P000 38 MINGGU, TH, KPDZ+LETSU


CF INTERTROCHANTER FEMUR D

IMPLANT FAILURE FEMUR D 1/3 TENGAH


DM DF WG IV PEDIS D

DM DF WG III PEDIS D/S + SELULITIS D


CA OVARIUM STD III + POST ILEOSTOMY PROLAPS
TUMOR TESTIS S RESIDIF
STRIKTUR URETRA PARS MEMBRANASEA + BPH GRD II + DIVERTIKEL
BULBI
KISTA GLANDULA SALIVATORIUS SUBMANDIBULA S

HIL S REPONIBILIS
G4P3003 40 MG; T/H + B24
CA CERVIX STD IIIB + HIDRONEFROSIS RINGAN D
PRIMARY BENIGN SOFT TISSUE TUMOR FEMUR D EC LIPOMA
CA CERVIX STD IIIB + HIDRONEFROSIS SEDANG D
CHOLELITHIASIS
MNT

G1P0000; 39-40 MGG; T/H; KALA II LAMA

SUSP. RUPTUR ANEURISMA + HYDROCHEPALUS COMMUNICANS


ABSES CEREBRI R. TEMPORAL D
SDH SUBAKUT FRONTOTEMPORO PARIETAL D + CKR

OD PROLAPS BULBI
APPENDISITIS AKUT
G3P2002 37-38 MGG; T/H; PEB + ROB
HIDROCEPHALUS NON KOMUNIKANS
FR. ZYGOMATICO D, FR. RIMA ORBITA INFERIOR S, PR. PARASIMFISIS
MANDIBULA S
CKS+EDH FRONTOPPARIETALE D, FR. DEPREESSED OS TEMPORAL D
COMPARETEMENT SINDROM CRURIS S+ CF TIBIA PLATEAU S
G2P1001 28-29 MGG; T/H; LMR; KPD; OLIGOHIFRAMNION
STRIKTUR PARTIAL URETRA PARS MEMBRANASEA + PROSTATIKA
SYOK SEPSIS + TUMOR RECTUM
BPH GRD III + LUTS BERAT + CAD + HT GRD I

MIOMA UTERI DD/ ADENOMYOSIS


TUMOR MAMMAE S
TUMOR PERIPHERAL NERVE SHEATH ANTEBRACHII S
TUMOR R THORAX S
BATU STAGHORN S + HN RINGAN S + DM TYPE II

VULNUS SCLOPECTORUM R. COLLI ANTERIOR + POST TRAKEOSTOMI


OMSK FASE TENANG D/S

STENOSIS DUODENUM
SCC LABIO ORALIS INFERIOR
LUMBAL CANAL STENOSIS L2-S1
CF RIGHT NECK FEMUR GARDEN TIPE IV

PPOK, PERSISTEN PNEUMOTHORAX D

TINDAKAN

ASA TEKNIK ANESTES DPJP

DIVISI

BOORHOLE

IIIE

GA OTT

B. Saraf

DEBRIDEMENT
ELEVASI+ORIF PS
DEBRIDEMENT ELEVASI+
TREPANASI EVAKUASI CLOT

IIIE

GA OTT

B. SARAF

VE

GA OTT

B. Saraf

TUTUP COLOSTOMI

IIIE

GA-OTT

BEDAH

open biopsi

GALMA

ortho

laparatomi eksplorasi

II

RA CSE

b. Digestif

reseksi celle

II

GA-OTT

B. Saraf

Release syndactil

GA OTT

B. Plastik

Orchidectomy D

RA BSA

B. Uro

Debridement + Revisi OREF

RA BSA

Orto

debridement + screwing

IIe

RACSE

ortho

SC cito

IIe

RABSA

Obsgyn

Herbiotomi + Mesh

II

RA BSA

B. Digestif

TREPANASI EVAKUASI CLOT

VE

GAOTT

B. SARAF

LAPARATOMI EXPLORASI

IIIE

GA OTT
EPIDURAL

B. TRAUMA

RELEASE ADHESI

IIIE

GA-OTT

DEBRIDMENT OSTEOCLASI;
ORIF PS
STABILISASI FUSI

RA-CSE

ORTOPEDI

III

GA-OTT

B.SARAF

DR. AGUS
digestif
SUETA,SP.(K)BD

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

DR. GOLDEN,
SP.BS
DR. ARYANA,
SP.OT; DR
YULIANI, SP.M

B. SARAF

ORIF PS FEMUR + REPAIR


RUPTUR PALPEBRA

IIE

GA OTT

LAPARATOMI EKSPLORASI
SEGMENTECTOMI

II

GA-OTTEPIDURAL
ANESTESIA

SC cito

IIIE

RA BSA

DR. HARRY
WIJAYA, SP.OG

Obsgyn

DEBRIDEMENT ELEVASI +
ORIF MINIPLATE +
ARCHBARR

IIIE

GA OTT

DR. TJOK
MAHADEWA,
SP.BS

B.SARAF

DEBRIDEMENT + ORIF PS
RADIUS ULNA

IIE

GA OTT

DR.
BRAMANTYA,
SP.OT

ORTHO

TREPANASI EVAKUASI CLOT

VE

GA OTT

DR. TJOK
MAHADEWA,
SP.BS

B.SARAF

DEBRIDEMENT

IV E GA OTT

DR. YASA, SP.BTKV BTKV

LAPAROTOMI FZ

III

GAOTT+EPIDURAL

PROF.SUWIYOGA OBGYN
,SP.OG

TOTAL THYROIDEKTOMI

GA-OTT+BPSS

DR.STEVEN,SP.B ONKO

EKSISI LYMPANGIOMA

II

GA-OTT

DR.DEDY,SP.BA

B.ANAK

REVISI PINNING + CLOSED


REDUCTION
RESEKSI TUMOR + PRIMER
HECTING
MRM D

DR.WIEN,SP.OT

ORTO

III

RA-PNB + GALMA
GA-OTT

PROF.SRI,SP.BS

B.SARAF

II

GA-OTT

PRIMER NEFREKTOMI S

III

GAOTT+EPIDURAL

DR.WIDIANA,SP. B.ONKO
B
DR.YUDIANA,SP. URO
U

EKSISI BIOPSI

II

GA-LMA

ORIF MINI PLATE + ARCH


BARR

II

GA-NTT

ORTHO +
MATA
digestif

DR.WIDIANA,SP. ONKO
B
DR. MADE SUKA, B. PLASTIK
SP.BP

ORIF DHS

RA-CSE

DR.COK,SP.POT

ORTO

GANTI DJ STENT

II

RA-BSA

URETEROLITOTOMI D

II

GAOTT+EPIDURAL

DR. YUDIANA,
URO
SP.U
DR.YUDIANA,SP. URO
U

APPENDISEKTOMI

IIE

RA-BSA

APPENDISEKTOMI

IIE

GA-OTT

COLOSTOMI

IIIE

GA-OTT

TREPANASI EVAKUASI CLOT

VE

GA-OTT

LAPAROTOMI EKSPLORASI

VE

GA-OTT

APPENDISEKTOMI

IIE

RA-BSA

REPAIR RUPTUR

IE

GA-OTT

INSISI DRAINASE ABSES

IIIE

GA-OTT

DR.SUDIASA,SP. B.TRAUMA
B
DR.SUDIASA,SP. B.TRAUMA
B
DR.DARMAJAYA,S B.ANAK
P.BA
DR.TJOK,SP.BS
B.SARAF
DR.SWEDAGATA,
SP.B
DR.SWEDAGATA,
SP.B
DR.MEGAPUTRA,
SP.OG
DR.SEMADI,SP.B
TKV

B.TRAUMA
B.TRAUMA
OBGYN
BTKV

THORACOTOMY + BULECTOMY IV

GA OTT

DR SEMADI

BTKV

VP SHUNT

II

GA OTT

DR GOLDEN

B.SARAF

REDO PSARP

III

GA- EPIDURAL

DR DARMAJAYA

B. ANAK

FRENCH OSTEOTOMY

GA OTT

DR SUBAWA

ORTHO

ORIF PS

RA BSA

DR SUBAWA

ORTHO

COMMANDO

III

GA NTT

DR BUDI
SETIAWAN

ONKO

LAPAROTOMY + TAH BSA + DJ


STENT + URS DOBLE LUMEN

III

GA OTT

DR UPADANA

OBSGYN

INCISI BIOPSI

II

GA LMA

DR STEVEN

ONKO

INCISI BIOPSI

GA FM

DR STEVEN

ONKO

INCISI BIOPSI

GA LMA

DR STEVEN

ONKO

URS S

III

RA BSA

DR YUDIANA

URO

EVALUASI SKIN GRAFT

GA FM

DR HENDRA

B. PLASTIK

REPAIR PALATOPLASTY

GA OTT

DR HENDRA

B. PLASTIK

MILES PROSEDURE

III

GA-EPIDURAL

DR RUSDI

B. DIGESTIF

LAPAROTOMY EKSPLORASI

IIIE

GA OTT

DR KRISNA

B. TRAUMA

LAPAROTOMY RESEKSI
ANTERIOR

IVE GA OTT

DR KRISNA

B.TRAUMA
B. SARAF
B. SARAF

BORHOLE CRAINAGE
IIE
CRANIECTOMY EVAKUASI CLOT VE

GA OTT
GA OTT

PROF SRI M
PROF SRI M

DECOMPRESI STABILISASI FUSI II

GA OTT

DR LANANG, SPOT ORTHO

POST EVALUASI GRAFT

GA FM

DR HENDRA SPBP BEDAH


PLASTIK

RADIKAL HISTEREKTOMI

II

GA OTT

DR UPADANA,
SPOG

OBGYN

VP SHUNT

III

GA OTT

DR GOLDEN

BEDAH
SARAF

COLOSTOMY

III

GA OTT

DR MULYAWAN

DIGESTIF

OD VITERECTOMY + SO/GAS + I
SB + EL

GA OTT

MATA

POST PEMASANGAN IMPLANT

GA OTT

THT

CYSTOCPY + VESIKOLITOTOMY II

RA BSA

DR YUDIANA,
SP.BU

URO

POST DUODENODUODENOSTOMY

GA OTT CAUDAL

DR DEDY SPBA

BEDAH ANAK

GA OTT

DR MULYAWAN

BEDAH
DIGESTIF

III

POST HARTMAN PROCEDURE + II


ILEOSTOMI/ TUTUP ILEOSTOMI

DEBRIDEMENT + PRIMARY
HECTING

III

RA BSA

DR HENDRA,
SPBP

BEDAH
PLASTIK

ORIF PS RADIUS (D)

II

GA OTT

DR BRAMANTYA,
SPOT

ORTHO

BIVALVE NEFROLITOTOMY KP
NEFRECTOMY S (POST OP RTI)

II

GA OTT

DR BUDI
SANTOSA

URO

DEBRIDEMENT + SRAMPLASTY IIE

GA OTT

DR COK SPOT

ORTHO

TREAPANASI EVALUASI CLOT

VE

GA OTT

DR NIRYANA SPBS BEDAH


SARAF

DEBRIDEMENT, ELEVASI,
EVAKUASI CLOT

IIIE

GA OTT

DR NIRYANA SPBS BEDAH


SARAF

DEBRIDEMENT

GA OTT

DR WARSITA SPB

Biliodigestif

III

GA oTT

B. digestif

palatoplasty

GA NTT

B. plastik

D&C + MOW

II

GA OTT

Obsgyn

Eksisi + Bone recysling

GA OTT

Ortho

ORIF Double Plate

RA CSE

Otho

Nefrectomi (D) +URS RPG

GA OTT

Simple Mastectomy

II

GA OTT

B.Onco

Kolostomi

GA OTT -CAUDAL
ANESTESIA

B.ANAK

Tutup Kolostomi

II

GA 0TT-CAUDAL
ANESTESIA

B.ANAK

Post Laparotomi Eksplorasi

IV E GA OTT

Bedah

Trepanasi +Evakuasi Clot

III E GA OTT

Bedah

Debridement

III E RA BSA

B. Trauma

BEDAH

Borhole

IVE

GA OTT

Laparotomi

III E GA OTT

Sc Cito

IVE

B.Saraf

GA OTT

OG

Debridement
GA OTT
+elevasi+Trepanasi+Evakuasi
Clot
Debridement ORIF Pinning +
III E RA BSA
Stump Plasty

B.Saraf

Appendictomy

RA BSA

Bedah

LAMIINECTOMY DECOMPRESI II
STABILISASI FUSI

GA OTT EOIDURAL DR TJOK


MAHADEWA

B SARAF

THR S

II

RA-CSE

DR.DUSAK, SP.
OT

ORTO

RESEKSI TUMOR

III

GA-OTT

DR.GOLDEN,SP.B B.SARAF
S

OPEN KOLESISTEKTOMI

II

GAOTT+EPIDURAL

DR.SWETA,SP.B

DIGESTIF

CAPD

IV

RA-BSA

DR.GWK,SP.U

URO

INSISI BIOPSI

II

GA-FM

DR.BUDI,SP.B

ONKO

OD ASPIRASI MASA

GA-OTT

OD EVISERASI + DFG +
PROTESA
REPAIR PERINEUM

GA-OTT

DR.EKA,SP.M

MATA

RA-BSA

DR.DR.
MEGADHANA,
SP.OG

OBGYN

POST COLOSTOMI

III

GA-OTT

DR. DJ, SP.BA

B.ANAK

POST REPAIR VASCULER

II E

RA-BSA

REVISI PINNING

GA-OTT

DR. KT YASA, SP BTKV


BTKV
DR BRAMANTYA ORTO
SP.OT

II E

B.ortho

MATA

ORIF TBW

III

GA-LMA-PNB

DR BRAMANTYA ORTO
SP.OT

DEBRIDEMENT + INCISI
DRAINAGE

IV E RA-BSA

DR KT YASA SP
BTKV

SC cito

II E

RA-BSA

DR MADE DWI
OBGYN
ARYANA, SPOG K

APPENDISEKTOMI

IE

RA-BSA

DR
BEDAH
SWEDAGATATHA
SPB

BIOPSI + INSISI

II E

RA-BSA

DR
BEDAH
SWEDAGATATHA
SPB

DEBRIDEMENT

III

RA-BSA

DR SEMADI SP
BTKV

BTKV

POST LAPAROSCOPY
KOLESISTEKTOMI

II

GA-OTT

DR MAHAYASA
SPB KBD

digestif

LAPAROTOMI LAR

II

GA-OTT + Epidural DR RUSDI


anestesia

DIGESTIF

RPG + URS S + DJ STENT S

II

RA-BSA

DR YUDIANA

UROLOGI

RESEKSI TUMOR + CRYOTERAPI II


+BIOPSI

GA LMA

DR YULI SPM

MATA

VP SHUNT

III

GA OTT

DR NIRYANA SPBS BEDAH


SARAF

DEBRIDEMENT + REVISION
EXTERNAL FIKSASI

II

RA BSA

DR SUBAWA SPOT ORTHO

DEBRIDEMENT + REPAIR
TENDON + ORIF PINNING

III

GA LMA

DR CANDRA SPOT ORTHO

APPENDISEKTOMI

II E

RA BSA

DR SUDIASA SPB BEDAH

ISTHMOLOBEKTOMI S

II

GA OTT

DR GEDE ARDIKA THT


SP THTKL

LAPAROSCOPY

GA OTT

DR ADNYANA
SPOG

BTKV

OBGYN

BONE CEMMENT ANTIBIOTIK + I


REMOVE MINISCREW +
REMOVE WIRE

GA OTT
+EPIDURAL
ANESTESIA

DR ACE SPOT

ORTHO

VSD CLOUSURE WITH AV


REPAIR

III

GA OTT

DR YASA

BTKV

total koreksi

III

GA OTT

DR YASA

BTKV

Treapanasi Evaluasi Klot

III E GA OTT
III

GA NTT

dr Niryani Sp BS B.saraf
dr. Periadijaya
Sp.B

B. Trauma

SC CITO

IV E RA-BSA

dr. Artana Sp.oG

Colostomy

IV E GA OTT

dr.wiargita

SC CITO

III E RA BSA

Prof Fuwiyoga

DEBRIDEMENT ORIF PS

III

dr .Subawa

B.Orto

Sc Cito

IVE RA-BSA

DR. SUYOGA

OBSGYN

TREPANASI EVAKUASI CLOT

VE

GA OTT

PROF. DR. SRI


B. Trauma
MALIAWAN, SPBS

LAPAROTOMI MILKING
PROSEDURE + RESEKSI END
TO END ANASTOMOSE

IVE

GA OTT

DR DEDY

B. ANAK

EKSISI BIOPSI

GA OTT

DR. NYM. PT.


RIASA, SPBP

B. PLASTIK

TOTAL TIROIDEKTOMI

GA OTT

DR. STEVEN,
SPB(K)ONK

B. ONKOLOGI

POST EKSISIONAL BIOPSI

III

GA LMA

DR. SUDARSA,
SPB(K)ONK

B.
ONKOLOGI

OPEN PROSTATECTOMY

II

RA BSA

DR. WN YUDIANA, B. UROLOGI


SP.U

GA OTT

B.Uro

VP SHUNT

III

GA OTT

PROF.DR. SRI
B. SYARAF
MALIAWAN, SPBS

PREVISI IMPLANT+ ORIF PS


I
INTERLOCKING+ BONE GRAFT+
ORIF PS FIBULA D

RA CSE

DR. SUBHAWA,
SPOT

AMPUTASI BELOW KNEE

III

RA CSE

MIDFACIAL DEGLOVING

III

GA OTT

DR. GDE ARDIKA, THT


SP. THT-KL

MILES PROCEDURE

II

GA-OTT EP

DR. MA. SUWETA, B. DIGESTIF


SPB, KBD

DEKOMPRESI-SABILISASI-FUSI

II

GA OTT EP

DR. LANANG,
SP.OT

B. ORTOPEDI

MRM S

II

GA OTT

DR. STEVEN,
SPB(K)ONK

B. ONKOLOGI

MILES PROSEDURE

II

GA OTT +
EPIDURAL
ANALGESIA

DR MULYAWAN

B. DIGESTIF

LAR

III

GA OTT +
EPIDURAL
ANALGESIA

DR MULYAWAN

B. DIGESTIF

HEMIARTHROPLASTY BIPOLAR

III

RA CSE

DR DUSAK

ORTHO

REDO URETROPLASTY

GA OTT +
EPIDURAL
ANALGESIA

DR WIRYA
KUSUMA

B. URO

URS DJ STENT

III

RA BSA

DR BUDI
SANTOSA

B. URO

OPEN CYSTOSTOMY

II

RA BSA

DR BUDI
SANTOSA

B. URO

ORIF MINIPLATE

IIE

GA NTT

DR SUDIASA

B. Trauma

LAPAROTOMI - RADIKAL HT +
SOB

II

GA OTT

REPAIR + FISTULA R. PENIS

II

GA OTT

THORACOTOMI SHAPP CLIPP

III

GA OTT

B. ORTOPEDI

B. TKV

OBGYN

DR RIASA

B. PLASTIK
BTKV

LATEP

III

GA OTT

DR DARMAJAYA

B. ANAK

ORIF PINNING + ORIF TBW

II

GA OTT

DR BRAMANTYA

ORTHO

LAPAROTOMI USO FZ

II

GA OTT

OBGYN

revisi impant orif PS

II

RACSE

orto

Total Penectomy + Diseksi


Inguinal D/S

RA CSE

Urologi

Open biopsi
total thyroidektomy

I
I

RA BSA
GA OTT

orto
Onco

open biopsi

GA OTT

Orto

radical mastoidectomy

III

GA OTT

THT

ureterolitotomi

III

GA-epidural

Urologi

laparatomi eksplorasi
SC
colostomy

IIIE
IIE
II

GA OTT
RA BSA
GA OTT

digestif
obsgyn
Bedah anak

laparatomi eksplorasi

II

GA OTT

Bedah anak

Decompresi stabilisasi fusi

III

GA OTT

B saraf

ARCHBARR

II

GA OTT

INSISIONAL BIOPSI

II

GA-OTT

B. ONC0

DEBRIDEMENT DEKOMPRESI
STABILISASI BIOPSI

II

GA-OTT

ORTOPEDI

DEBRIDEMENT + ORIF P-S

III

GA-OTT

ORTOPEDI

ABDOMINOPLASTY

II

GA-OTT

B. ANAK

TOTAL TIROIDEKTOMI

GA-OTT

B. ONCO

POST HEMIMANDIBULECTOMY S I
+ FREE FIBULAR GRAFT

GA-NTT

B. ONCO

DR SWEDAGATRA B. Trauma
SPB

CYSTOSCOPY + SACHE OTIS

II

RA-BSA

B URO

INSISIONAL BIOPSI

II E

GA- FM

B. ONCO

ORIF PINNING + ORIF


SCREWING

III E RA-BSA

ORTOPEDI

TREPANASI ELEVASI

II E

GA-OTT

B. SARAF

LAPAROTOMI CITO

IIE

GA-OTT

OBGYN

SC CITO

IIIE

GA-OTT

OBGYN

POST DEBRIDEMENT + ELEVASI III E GA-OTT

B. SARAF

APENDISEKTOMI

GA-OTT

B. TRAUMA

APENDISEKTOMI

II E

RA-BSA

B. TRAUMA

LAPAROTOMI SALFINGEKTOMY
D

IIE

RA BSA

DR WIRADNYANA OBSGYN

ORIF WIRING

IIE

GA NTT

DR SWEDAGATHA B. Trauma

LAR + ILEOSTOMY

III

GA OTT

DR RUSDI

digestif

ureterolitotomi D

II

GA OTT +
EPIDURAL
ANALGESIA

DR YUDIANA

Urologi

TUTUP KOLOSTOMI

II

GA OTT

DR DHARMA
PUTRA

digestif

DEBRIDEMENT + ORIF P-S

II

RA BSA +
EPIDURAL
ANESTESI

LAPAROTOMI TAH + URS + DJ


STENT BILATERAL

III

GA OTT

DR DOSTER

OBGYN

INCISIONAL BIOPSI

III

GA FM

DR ANDA TUSTA

onco

OPEN BIOPSI

II

RA BSA

DR EKA

ORTOPEDI

LD BIOPSI

III

GA OTT

DR SUANDA

THT

DEBRIDEMENT + REVISI
EKSTERNAL FIKSASI + TUTUP
FACIOTOMY

II

GA OTT

DR BRAMANTYA

ORTOPEDI

LAMINOPLASTY

II

GA OTT

DR TJOK

B. SARAF

ORTOPEDI

DEBRIDEMENT

III

RA-PNB

DR SEMADI

BTKV

RESEKSI TUMOR

III

GA OTT

DR TJOK

B. SARAF

OPEN PROSTATECTOMY

II

RA BSA

DR BUDI
SANTOSA

Urologi

CRANIECTOMY EVAKUASI CLOT IVE

GA OTT

DR. NIRYANA,
SPbs

B. SARAF

DEBRIDEMENT PRIMARY
HECTING

IE

GA OTT

DR. SUDIASA SPB B. Trauma

DEBRIDEMENMT, ORIF
IIE
PS+TBW, SCREWING, OINNING

GA OTT

DR. LANANG SPOT ORTOPEDI

LAPARATOMI EKSPLORASI

IVE

GA OTT

DR. RUSDI SPB


KBD

SC CITO+ MOW

IIE

RA BSA

DR. DWI ARYANA, OBSGIN


SPOG

LAPAROTOMY

IVE

GA OTT

DR SWEDAGATHA TRAUMA

SC

IIIE

RA BSA

DR MEGADHANA

OBSGYN

LAPAROTOMY

IIE

RA BSA

DR HARIYASA

OBSGYN

DEBRIDEMENT ELEVASI + ORIF IIIE


MINIPLATE

GA OTT

DR NIRYANA + DR B. SARAF +B.


SWEDAGATRA
TRAUMA

TREPANASI + EVAKUASI CLOT

IVE

GA OTT

DR NIRYANA

B. SARAF

LAPAROTOMY COLOSTOMY

IIIE

GA OTT +
EPIDURAL
ANESTESIA

DR MULYAWAN

B. DIGESTIF

EXTENDED PYELOLITOTOMY D

III

GA OTT +
EPIDURAL
ANESTESIA

DR YUDIANA

Urologi

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

B. SARAF

EKSTRAKSI LENSA OD + IOL +


ASPIRASI KOAGULUM

II

GA OTT

MATA

REVISI IMPLANT

II

RA BSA

DR SUBAWA

B. Trauma

ORTOPEDI

ORIF PS + TUTUP FASCIOTOMY II

RA BSA

DR SUBAWA

ORTOPEDI

DISEKSI KGB INGUINAL D

RA BSA

DR WISESA

ONKOLOGI

PALATOPLASTY

II

GA OTT

DR HENDRA

B. PLASTIK

CAPD

III

RA BSA

DR WIRYA
KUSUMA

Urologi

EKSISI KELOID

GA OTT

DR HENDRA

B. PLASTIK

RPG URS D/S

II

RA BSA

DR WIRYA
KUSUMA

Urologi

HEMOROIDECTOMY

II

RA BSA

DR MULYAWAN

B. DIGESTIF

RESEKSI TUMOR + SEGMENTAL III


HEMIMANDIBULECTOMY

GA NTT

DR SURYAWISESA ONKOLOGI

WIDE EXCISI

II

RA BSA

DR SUDARSA

Ureterolitotomi S

III

GA OTT + E

Uro

post miles procedure

III

GA OTT + E

B. Diges

post reseksi tumor

III

GA OTT

BS

decompresi-stabilisasi-fusi

III

GA OTT

Ortho

OS vitrectomy

III

GA OTT

MATA

remove ekt fiksasi, skin graft

GA OTT

Ortho

OS vitrectomy

III

G AOTT

MATA

TURP

III

GA LMA

URO

mid facial degloving

GA OTT

THT

Orchidectomy D
laparatomi FZ

I
III

RA BSA
GA OTT

Uro
OBS

TURP

III

RA BSA

URO

ONKOLOGI

appendisectomy

IIE

RA BSA

B trauma

Trepanasi evakuasi clot


laparatomi debridement
appendisectomy

IIIE
IIIE
II

G AOTT
GA OTT
RA BSA

B saraf
Bdigestif
B Trauma

Trepanasi evakuasi clot


ORIF Miniplate
SC CITO
SC CITO

IV E
IIIE
IIIE
IIE

GA OTT
GA NTT
RA BSA
RA BSA

DR DOSTER
DR SUWIYOGA

B. Saraf
B trauma
OBSGYN
obsgyn

appendisectomy

IE

RA BSA

DR PERIADIJAYA

B. Trauma

appendisectomy

IIE

RA BSA

DR SUDIASA

B. TRAUMA

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

DR NIRYANA

B. SARAF

DEBRIDEMENT + ORIF
MINIPLATE

IIE

GA OTT

DR WIARGITHA

B. TRAUMA

appendisectomy

II

RA BSA

DR WIARGITHA

B. TRAUMA

LAPAROTOMI EKSPLORASI

II

GA OTT +
EPIDURAL
ANESTESIA

DR WIARGITHA

B. TRAUMA

DEBRIDEMENT + ORIF PINNING IIE

GA OTT

DR WIEN

Ortho

LAPAROTOMI CITO

IIE

RA BSA

DR FAJAR

OBSGYN

TREPANASI EVAKUASI CLOT +


CRANIEKTOMI

IV E GA OTT

DR NIRYANA

B. SARAF

appendisectomy

II

GA OTT

DR WIARGITHA

B. TRAUMA

REMOVE IMPLANT ULNA +


IMPLANT HUMERUS + ORIF PS
HUMERUS

II

GA-OTT

DR. SUBAWA

ORTO

VP SHUNT

III

GA-OTT

DR. NIRYANA

B. SARAF

GA-OTT

DR. HENDRA

B. PLASTIK

RELEASE KONTRAKTUR + SKIN I


GRAFT

INSISI BIOPSI

II

GA-FM

DR. SUDARSA

ONKOLOGI

MOW

II

RA-BSA

DR. FAJAR

OBBGYN

PSARP

III

GA-OTT

DR. DEDY

B.ANAK

COLOSTOMI

II

GA-OTT

DR. AGUS

B.DIGESTIF

PNL D

II

GA-OTT

DR. YUDIANA

URO

OPEN BIOPSY

II

RA-BSA

DR. EKA

ORTO

INSISI DRAINAGE

II

RA-CSE

DR. MULYAWAN

DIGESTIF

DEBRIDEMENT + REPAIR
TENDON

GA-OTT

DR. PERIADIJAYA

TRAUMA

SC

II

RA BSA

DR. SUYASA

OBSGYN

SC

IIE

GA OTT

DR. SUYASA

OBSGYN

B. SARAF

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

DR. TJOK
MAHADEWA,
SP.BS

KASAI PROCEDURE

GA OTT

DR. RUSDI

DIGESTIF

RESEKSI TUMOR

II

GA OTT

DR. TJOK
MAHADEWA,
SP.BS

B.SARAF

GA OTT + CAUDAL

DR. GEDE WIRYA


KUSUMA

B.UROLOGI

URETROPLASTY
REKONSTRUKSI HIPOSPADIA

GA OTT + CAUDAL DR. ROY

B.PLASTIK

POST EVD

IV

GA OTT

DR. COK, SP.BS

B.SARAF

RA BSA

DR.DR. FAJAR
OBGYN
MANUABA, SP.OG

GA-OTT

DR. TJOK
MAHADEWA,
SP.BS

SC

EVD

IVE

B.SARAF

DEBRIDEMENT + EKSPLORASI

IE

GA-OTT

DR.
SUWEDAGATHA

TRAUMA

APPENDISEKTOMI

IE

RA-BSA

DR.
SUWEDAGATHA

TRAUMA

SC CITO

IIE

RA-BSA

DR. FAJAR

OBGYN

TREPANASI EVAKUASI CLOT

IVE

GA-OTT

DR. TJOK
MAHADEWA,
SP.BS

B.SARAF

LAPAROTOMI

IIE

RA-BSA

DR. FAJAR

OBGYN

LAPAROTOMI

IIIE

GA-OTT

DR. FAJAR

OBGYN

APPENDISEKTOMI

IIE

RA-BSA

DR.
SUWEDAGATHA

TRAUMA

TREPANASI EVAKUASI CLOT

IVE

GA-OTT

DR. TJOK
MAHADEWA,
SP.BS

B. SARAF

appendisectomy

RA BSA

DR PERIADIJAYA

B. TRAUMA

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

DR TJOK

B. SARAF

RA BSA

DR EKA

ORTHO

RA BSA

DR SUDIASA

B. Trauma

IIE

RA BSA

DR WIARGITA

B. Trauma

ORIF SCREWING +
DEBRIDEMENT
appendisectomy

appendisectomy
ANTERIOR MAKSILECTOMY S

III

GA NTT

B. ONKOLOGI

CYSTOSCOPY + TUR BULI


STAGING

II

RA BSA

DR YUDIANA

UROLOGI

BIOPSI + MRM

II

GA OTT

DR SUDARSA

ONKOLOGI

RELEASE SYNDACTILY

GA LMA

DR ROY

B. PLASTIK

DEBRIDEMENT

II

GA OTT

B. PLASTIK

EKSTIRPASI ADENOMA
PLEOMORFIK

III

GA OTT

DR ARDIKA

THT

MIDFACIAL DEGLOVING

GA OTT

DR ARDIKA

THT

LATBP

II

GA OTT + CAUDAL
DR DEDI
ANALGESIA

B. ANAK

SC CITO

IIIE

RA BSA

DR HARIYASA

OBSGYN

appendisectomy

RA BSA

DR WIARGITHA

B. Trauma

CHOLEDEKO CUTANEUS +
COLEDECOJEJUNOSTOMI

IIIE

GA OTT

DR SUDARTANA

DIGESTIF

LAPAROTOMI

IVE

GA OTT

DR AGUS

B. DIGESTIF

HEMIARTHROPLASTY HIP D

RA CSE

DR SUBAWA

ORTHO

BOREHOLE

II

GA OTT

PROF SRI

B. SARAF

SC

IIIE

GA OTT

DR HARYASA

OBSGYN

SC CITO

IIE

RA BSA

DR HARYASA

OBSGYN

HEMIARTHROPLASTI BIPOLAR

III

RA CSE

DR COK SPOT

ORTO

OPEN CHOLESISTECTOMI

II

GA-OTT EPIDURAL

DR MULYAWAN

DIGESTIF

NEFREKTOMI

III

GA-OTT

DR YUDIANA

UROLOGI

MRM + LD FLAP

II

GA OTT

DR IB SURYA
WISESA

ONCOLOGI

RESEKSI TUMOR

II

GA OTT

DR NIRYANA

B. SARAF

PAROTIDEKTOMI

III

GA OTT

DR BUDI
SETIAWAN

ONCOLOGI

LAPARATOMI BIOPSI

III

GA OTT CAUDAL

DR DARMAJAYA

B. ANAK

ORIF PS

II

RA - BSA

DR COK SPOT

ORTHO

WIDE EXISI

II

GA OTT

DR HENDRA

B. PLASTIK

LIGASI ARTERI

GA-OTT

DR SEMADI

BTKV

GANTI TAMPON

III

GA NTT

DR BUDI
SETIAWAN

B ONCOLOGI

REDO EVD URGENT

IVE

GA OTT

DR NIRYANA

B. SARAF

ORCHIDECTOMY

IE

RA BSA

DR PERIADIJAYA

B. Trauma

OD EVICERASI BULBI +
PROTESE

IE

GA OTT

DR BUDIYASA

MATA

appendisectomy

IIE

GA OTT

DR PERIADIJAYA

B. Trauma

appendisectomy

IE

RA BSA

DR PERIADIJAYA

B. Trauma

SC CITO

IIIE

RA BSA

DR WARDHIANA

OBSGYN

DEBRIDEMENT

IVE

RA BSA

DR SEMADI

BTKV

BORRHOLE

IIIE

GA OTT

DR TJOK

B. SARAF

dr. Budi

Uro

Pyelonefrolitotomi D

III

GA OTT + E

Mile procedure

II

GA OTT + E

repair fistel

II

RA CSE

dr. Budi

Uro

Hemiarthroplasty AMP S

III

RA CSE

prof siki

Ortho

Debridement + aff Miniplate

III

GA OTT

B trauma

VP Shunt

III

GA OTT

B saraf

Orchidopexy

II

GA OTT + caudal

B Anak

reposisi utrerus

II

R ABSA

Obgyn

SC Cito

IIIE RA BSA

B diges

Obs

TREPANASI EVAKUASI CLOT

IIIE

GA OTT

PROF SRI

B. SARAF

ORIF PS+BONE GRAFT

GA OTT

DR. BRAMANTYA

ORTOPEDI

TOTAL TYROIDECTOMY+ RND


S+ FND D

III

GA OTT

DR. BUDI
SENTOSA,SPB(K)O ONKOLOGI
NK

RADICAL SISTEKTOMI+ILEAL
CONDUIT

IV

GA OTT- EPIDURAL

DR. WYN YUDIAN


UROLOGI
SPU

OS PRO REPAIR PALPOEBRA


INFERIOR+KANALIKULI

III

GA OTT

DR. AAA. S.
DJELANTIK,
SPM(k)

MATA

MATA

OS PRO EVISERASI+PASANG
PROTESE DENGAN GA

GA OTT

DR. AAA. S.
DJELANTIK,
SPM(k)

MRM S

II

GA OTT

DR. WAYAN
SUDIASA,
SPB(K)ONK

ONKOLOGI

GA OTT

DR. CHANDRA
DEWI SPOT

ORTOPEDI
ORTOPEDI

ORIF PS

AFF IMPLANT

GA LMA

DR. BRAMANTYA

MASTEDICETOMY RADICAL S

GA OTT

DR. KETUT
THT
SUANDA SPTHTKL

LAPARATOMY TAH SOS

II

RA BSA

DR. UPADANA,
SPOG

OBSGIN

ORIF PS

RA CSE

DR. SUBHAWA,
SPOT

ORTOPEDI

DEBRIDEMENT PEDIS S

III

RA BSA

DR. YASA, SPBTKV BTKV

MOW

II

RA BSA

DR. WARHDHANA,
OBSGIN
SP[OG

LAMINECTOMY DEKOMPRESI
STABILISASI

III

DR. TJOK
GA OTT EPIDURAL MAHADEWA,
SP.BS

B. SARAF

VP SHUNT

IIIE

GA OTT

DR. TJOK
MAHADEWA,
SP.BS

B. SARAF

SC

II

RA BSA

FAJAR MANUABA,
OBSGIN
SPOG

ORIF PS

RA CSE

DR. SUBHAWA,
SPOT

ORTOPEDI

REMOVE IMPLANT + ORIF


INTERLOCKING NAIL

RA-CSE

DR SUBAWA

Ortho

DEBRIDEMENT URGENT

IV

RA PNB

DR YASA

BTKV

DEBRIDEMENT + INCISI
DRAINAGE

III

RA BSA

DR YASA

BTKV

REPAIR ILEOSTOMY +
LAPAROTOMY

II

GA OTT

DR AGUS

B. DIGESTIF

DEBULKING +
HEMISCROTALECTOMY S

II

GA OTT + CAUDAL DR DEDY

B. ANAK

TUR P + SACHE + CYSTOSCOPY IV

GA LMA

DR BUDI
SANTOSA

EKSISI KISTA

II

GA OTT

DR SURYAWISESA B. ONKOLOGI

HERNIOTOMY + MESH

RA BSA

DR AGUS

B. DIGESTIF

SC + MOW + KISTEKTOMI

II

DR ARTANA

OBSGIN

URS DJ STENT D/S

II

RA BSA

DR BUDI
SANTOSA

B. UROLOGI

MERGINAL EKSISI

II

GA OTT + CAUDAL DR EKA

URS DJ STENT D/S

II

RA BSA

DR BUDI
SANTOSA

UROLOGI

LAPAROSCOPIC
CHOLESISTECTOMY

GA OTT

DR RUSDI

B. DIGESTIF

TOTAL TYROIDECTOMY

II

GA OTT + BPSS

SC CITO

II

RA BSA

DR FAJAR

OBSGIN

VP SHUNT

IVE

GA OTT

PROF SRI

B. SARAF

TREPANASI + EVAKUASI ABSES IIIE

GA OTT

PROF SRI

B. SARAF

BOORHOLE DRAINAGE

GA OTT

PROF SRI

B. SARAF

IVE

RA BSA

UROLOGI

ORTHO

ONKOLOGI

OD EVICERASI

IIIE

GA OTT

DR AGUS

MATA

IE

GA OTT

DR PERIADIJAYA

B. TRAUMA

SC GREEN CODE

IIIE

RA BSA

PROF SUYOGA

OBSGYN

VP SHUNT

IIIE

GA OTT

PROF. DR. SRI


B. SARAF
MALIAWAN, SPBS

APPENDISECTOMY

ORIF MINIPLATE

IIE GA NTT

DR.
SWEDAGATHA,
SPB

B. TRAUMA

TREPANASI + EVAKUASI CLOT

VE

GA OTT

PROF. DR. SRI


B. SARAF
MALIAWAN, SPBS

FASCIOTOMI

RA BSA

DR. WIEN, SPOT

Ortho

SC CITO

IIE

DR HARIYASA

OBSGYN

RA BSA
OPEN CYSTESTOMY

IIE

RA BSA

DR BUDI
SANTOSA

B. UROLOGI

COLOSTOMI

IV

GA OTT

DR SUDARTANA

B. DIGESTIF

TUR P

III

RA BSA

DR BUDI
SANTOSA

B. UROLOGI

SUPRAVAGINAL HISTEREKTOMI I

GA OTT +
EPIDURAL
ANESTESIA

PROF. SUYOGA

OBSGYN

INSISIONAL BIOPSI

III

GA FM

DR STEVEN

ONKOLOGI

INSISIONAL BIOPSI

GA FM

DR SURYAWISESA ONKOLOGI

INSISIONAL BIOPSI

II

GA FM

DR SURYAWISESA ONKOLOGI

NEFROLITOTOMI BIVALVE S

II

GA OTT +
EPIDURAL
ANESTHESIA

DR YUDIANA

EKSPLORASI DAN EKSTRAKSI


CORPUS ALIENUM

GA TRAKEOSTOMA DR. PERIADIJAYA

B. TRAUMA

TIMPANOPLASTY D/S

GA OTT

THT

DR EKA

UROLOGI

LAPAROTOMI EKSPLORASI +
DUODENO-DUODENOSTOMI

IV

GA OTT

DR DARMAJAYA

B.ANAK

WIDE EKSISI + REKONSTRUKSI II

GA NTT

DR STEVEN

ONKOLOGI

DEKOMPRESI STABILISASI FUSI III

GA OTT

DR SUYASA

ORTHOPEDI

HEMIATHROPLASTY BIPOLAR

II

RA CSE

DR SUBAWA

ORTHOPEDI

THORACOTOMY + REPAIR
FISTEL

III

GA DLT +
EPIDURAL
ANESTHESIA

DR SEMADI

BTKV

REGIMEN ANALGESIA

JENIS
REGIMEN

KONSULEN RES

TRAMADOL 50 MG@ 8JAM IV, PARACETAMOL


500 MG@ 6JAM PO
FENTANYL 400 MCG/24JAM IV; PARACETAMOL
500 MG@6JAM PO
FENTANYL 500 MCG/24 JAM,
PARACETAMOL1000 MG @ 8 JAM IV

B+O

UTR

AYI

SP+O

UTR

AYI

SP+B

PNT

BDH

FENTANYL 300 MC/24 JAM;PCT 3 X 500 iv

SPB

ALT

SAS

Fentanyl 300 mcg + ketamine 15 mg/24 jam kec


1.0 ml/jam + ketorolac 3 x 30 mg

SP

UTR

AST

bupivacaine 0,1 % + MO 1 mg Vol 10 ml +


Ketorolac 3 x 30 mg IV

GB

AYI

Fentanyl 75 mcg/24 jam kec 1.0 ml/jam +


metamizole 3 x 150 mg PO

SP

PRM

IGK

Fentanyl 90 mcg/24 jam kec 1.0 ml/jam + PCT 4 x SP


150 mg PO

UTR

DOD

Fentanyl 300 mcg/24 jam kec 1.0 ml/jam +


ketorolac 30 mg @ 8 jam IV

UTR

Fer

Morfin 10 mg+ ketamine 20 mg dalam 50 ml kec 4 SP


cc/jam + Ketorolac 30 mg @ 8 jam IV

GB

HAN

bupivacaine 0,1 % + MO 1 mg Vol 10 ml +


Ketorolac 3 x 30 mg IV

PTK

WIBI

PCA MORFIN, demand dose 1 mg/dose LOI 5 mnt,


Max 10mg/4 jam, ketorolac 30 mg @ 8 jam

PCA

IBS

AFS

Fentanyl 300 mcg/24 jam kec 1.0 ml/jam + PCT 4 x SP


500 mg PO

SND

SAW

FENTANYL 500 MCG/24 JAM,


PARACETAMOL1000 MG @ 8 JAM IV
BUPIVACAINE 0.0625% MORFINE 0.5 MG@ 12
JAM, PARACETAMOL 1 GR@ 8JAM IV

SP+n

WID

AYI

WIB

BDH

FENTANYL 300 MCG/24JAM IV; PARACETAMOL


500 MG@6JAM PO

SPO

ALT

EPIDURAL ANALGESIA; BUPIVACAINE 0,1% +


MO 1 MG VOL 10 CC
EPIDURAL ANALGESIA; BUPIVACAINE 0,1% +
MO 0.5 MG VOL 10 CC

SHY

PAL

PRM

LAN

SP

FENTANYL 200 MCG/24JAM IV

SP

UTR

FENTANYL 300 MCG/24JAM IV; PARACETAMOL


500 MG@6JAM PO

SPO

ALT

EPIDURAL ANALGESIA; BUPIVACAINE 0,1% +


MO 1 MG VOL 10 CC

PRM

WBI

PCA MORFIN, demand dose 1 mg/dose LOI 5


mnt, Max 10mg/4 jam

PCA

SS

SAS

FENTANYL 500 MCG/24 JAM,


PARACETAMOL1000 MG @ 8 JAM IV

SPB

SND

SAS

Morfin 10 mg dalam 24 ml kec14 cc/jam +


Ketorolac 30 mg @ 8 jam IV

SPB

HRY

SAS

FENTANYL 500 MCG/24 JAM,


PARACETAMOL1000 MG @ 8 JAM IV

SPB

PNT

BDH

PARASETAMOL 1 G @ 8 JAM IV; TRAMADOL 50 B


MG 2 8 JAM IV
BUPIVACANE 0,1% + MO 1 MG VOL 10 ML @
EB
12 JAM, PARACETAMOL 1 GRAM @ 8 JAM IV

PNT

BDH

SND

JON

KETOROLAC 30 MG @ 8 JAM IV, TRAMADOL 50 B


MG @ 8 JAM IV, PARACETAMOL 500 MG @ 6
JAM PO

SND

YSF

FENTANYL 30 MCG/24 JAM, METAMIZOLE 80


MG @ 8 JAM IV
FENTANYL 400 MCG/24 JAM, PARACETAMOL
500 MG @ 6 JAM PO
FENTANYL 600 MCG/24 JAM, KETOROLAC 30
MG @ 8 JAM IV
FENTANYL 300 MCG/24 JAM, PARACETAMOL
500 MG @ 6 JAM PO
BUPIVACAINE 0,1 % + MO 1 MG VOL 10 ML,
KETOROLAC 30 MG @ 8 JAM IV

SPB

IBK

GUS

SPB

IBK

SAW

SPB

PRM

EMK

SPB

WIB

BDH

SPB

WIB

TAN

IBS

BDH

SS

FER

KETOROLAC 30 MG @ 8 JAM IV, PARACETAMOL B


500 MG @ 6 JAM PO
FENTANYL 300 MCG @8 JAM IV, KETOLORAC 30 SPB
MG @8 JAM IV

BUPIVACAINE 0,1% + MO 0,5 MG VOL 10 ML @ EB


12 JAM, PARACETAMOL 500 MG @ 6 JAM

SS

DAR

PARACETAMOL 500 MG @ 6 JAM PO

SS

AJD

BUPIVACAINE 0,1% + MO 0,5 MG VOL 10 ML @ EB


12 JAM, PARACETAMOL 500 MG @ 6 JAM

IBS

AJD

MORFIN 10 MG/24 JAM, KETOROLAC 30 MG @ SPB


8 JAM IV
FENTANYL 300 MCG/24 JAM, PARACETAMOL
SPB
500 MG @ 6 JAM PO
PARACETAMOL 30 MG @ 8 JAM
B

THIA

SAS

THIA

AYI

HRY

SAS

FENTANYL 500 MCG/24 JAM, PARACETAMOL 1


GRAM @ 8 JAM IV
MORFIN 20 MG/24 JAM, PARACETAMOL 1 GRAM
@ 8 JAM IV
MORFIN 20 MG/24 JAM, KETOROLAC 30 MG @
8 JAM IV
METAMIZOLE 200 MG @ 8 JAM IV,
PARACETAMOL 200 MG @ 6 JAM PO
TRAMADOL 50 MG@ 8JAM IV, PARACETAMOL
500 MG@ 6JAM PO

SPB

HRY

SAS

SPB

HRY

SAS

SPB

HRY

SAS

SS

SAS

HRY

SAS

FENTANYL 100 MCG/24 JAM, METAMIZOLE 3 X 100 SP


MG

HRY

DEN

PARACETAMOL 4 X 500 MG DAN TRAMADOL 3 O


X 50 MG

THIA

TUT

BUPI 0,1 % + MO 0,5 MG VOL 8 ML @ 12 JAM.


METAMIZOLE 3 X 400 MG

PTK

IMA

FENTANYL 200 MCG/24 JAM, PARACETAMOL 500


MG @ 8 JAM

SPO

GB

SAS

FENTANYL 400 MCG/24 JAM, KETOROLAC 30


MG @ 8 JAM, PARACETAMOL 4 X 500 MG

SPBO

SBG

TRI

FENTANYL 400MCG/24 JAM, PARACETAMOL 500 MG SPBO


@ 8 JAM

PTK

YSF

FENTANYL 400 MCG/24 JAM, PARACETAMOL 3 X


1000 MG

SPBO

SND

AST

PARACETAMOL 500 MG @ 6 JAM

GB

BDH

PARACETAMOL 500 MG @ 6 JAM

GB

BDH

BO

PARACETAMOL 500 MG @ 6 JAM

GB

BDH

TRAMADOL 50 MG @ 8 JAM DAN PARACETAMOL


500 MG @ 6 JAM

SBG

TEO

FENTANYL 75 MCG/24 JAM, METAMIZOLE 150 MG


@ 8 JAM

SPBO

HRY

TRY

TRAMADOL 50 MG @ 8 JAM

PTK

TRY

BUPIVACAINE 0,1 % + MO 1 MG VOL 10 MG @ 12


JAM, KETOROLAC 30 MG @ 8 JAM

PTK

FER

FENTANYL 400 MCG/24 JAM, PARACETAMOL 1GR @ SPBO


8 JAM

SHY

AJD

MORFIN 10 MG /24 JAM, PARACETAMOL 1 GR @ SPBO


8 8 JAM

THIA

AYI

PARACETAMOL 1 GR @ 8 JAM
FENTANYL 500 MCG/24 JAM

THIA
THIA

AYI
AYI

BUPIVACAINE 0,1% + MO 0,5 MG VOL 10 ML @ EB


12 JAM, PARACETAMOL 1000 MG @ 8 JAM

HRY

TRY

PARACETAMOL SYRUP 250 MG @8 JAM

SIN

TRI

PCA MORFINE 0,3 ML/JAM, PCA DOSE 1MG LOI 5


MENIT MAX DOSE 4X/JAM

PCA

SND

EMR

METAMIZOLE 50 MG @ 8JAM IV

FENATNYL 300 MCG/24 JAM KECEPATAN 2,1


ML/JAM, PARACETAMOL 500 MG @6 JAM

SPO

SBG

AYI

FENATNYL 400 MCG/24 JAM KECEPATAN 2,1


ML/JAM, PARACETAMOL 500 MG @6 JAM

SPO

SS

JAY

SPB
FENATNYL 400 MCG/24 JAM KECEPATAN 2,1
ML/JAM, KETOROLAC 30MG @8 JAM
FENATNYL 400 MCG VOL 50 CC NS KECEPATAN SPO
2,1 CC/JAM, PARACETAMOL 500MG @6 JAM PO

THIA

UDI

SBG

WBI

FENATNYL 25 MCG VOL KECEPATAN 1 CC/JAM SP

THIA

GUS

FENATNYL 200 MCG + KETAMIN 30 MG DALAM SPB


NACL 0,9% 50 ML DRIP 2,1 ML/JAM,
KETOROLAC 30 MG IV @ 8 JAM

SS

AYI

B
SP

TUT

FENATNYL 400 MCG /24 JAM KECEPATAN 2,1


CC/JAM, PARACETMOL 500MG ORAL @6 JAM

SPO

IBS

TRI

FENATNYL 300 MCG /50 ML KECEPATAN 2,1


CC/JAM, KETOROLAC 300MG ORAL @8 JAM

SPO

SBG

SAS

BUPIVACAINE 0,1% + MO 0,5 MG VOL 10 ML @ EO


12 JAM, PARACETAMOL 500 MG @ 6 JAM

SIN

TAN

MORPHINE 20 MG DALAM 24 CC NS KECEPATAN


0,7 CC/JAM, KETOROLAC 30 MG @ 8 JAM BOLUS,
PARACETAMOL 500MG @ 6 JAM ORAL

SPBO

KADE

BVH

FENTANYL 400 MCG/24 JAM

SP

KADE

FENATNYL 400 MCG /24 JAM, PARACETMOL


500MG ORAL @6 JAM

SPO

KADE

PARACETAMOL 500MG@ G JAM ORAL, KETOROLAC BO


15MG @8 JAM IV, TRAMDOL 25MG@ 8 JAM IV

KADE

BDH

Fentanyl 300 mcg/24 jam kec 1.0 ml/jam + PCT 3 x SP


1000 mg IV

WIB

UDI

Fentanyl 175 mcg/24 jam kec 1.0 ml/jam + PCT 4 x SP


500 mg PO

TJ

Pal

Fentanyl 300 mcg/24 jam kec 2.1 ml/jam +


Ketorolac 3 x 30 mg IV

SP

IBS

FER

Fentanyl 300 mcg/24 jam kec 2.1 ml/jam +


Ketorolac 4 x 500 mg PO

SP

SS

DAR

Bupivacaine 0,1 % + MO 0,5 mg vol 10 ml + PCT


4x500 mg PO

PTK

DAR

Fentanly 500mcg/24 jam +PCT 3x 1 gr IV

SP

SIN

TAN

Fentanly 300mcg dalm 50 cc NS kec 2.1ml/jam

SP

IBS

LAN/FER/
WIBI

Fentanyl 75 mcg/ 24 jam 1ml/jam

SP

PTK

IMA

Fentanyl 60 mcg/24 jam 1ml/jam

SP

SIN

IMA

Fentanyl450 mcg /24 jam kec21.ml/jam

SP

IBS

WIM/DEN/
TRY/SAS

Fentanyl 400mcg/24 jam kec 21.ml/jam

SP

IBK

WIM /SAS

Fentanyl 300mcg/24 jam kec 2.1/jam

SP

IBK

WIM/SAS

Fentanyl 400mcg/24jam kec 2.1/jam

SP

IBK

WIM/TRY

Fentanyl 400 mcg/24 jam kec 2.1/jam

SP

SND

WIM/SAS

Fentanyl 300mcg/24 jam + Paraacetamol 500mcg SP


@6 jam PO

PRM

Fentanyl 400 mcg/24 jam + Paracetamol 1gr @ 8


jam IV

SP

ARY

SANTI

Fentanyl 400 mcg/24 jam kec 2.1/jam

SP

IBK

WIM/TRY

Fentanyl 300 mcg/24jam kec 2.1/jam

SP

PAS

WIM/SAS

Bupivacaine 0,1 % + MO 0,5 mg vol 10 ml +


PCT 4x500 mg PO

SS

IGK

BUPIVACAINE 0,1% + MO 1 MG VOL 10 ML @


12 JAM, PARACETAMOL 500 MG @ 6 JAM PO

EB

KD

DAR

FENTANYL 500 MCG/24 JAM, PARACETAMOL 1


GRAM @ 8 JAM IV

SPB

SS

TUT

BUPIVACAINE 0,1% + MO 0,5 MG VOL 10 ML @ EB


12 JAM, PARACETAMOL 500 MG @ 6 JAM

SS

TRY

TRAMADOL 25 MG @ 8 JAM IV, PARACETAMOL B


500 MG @ 6 JAM IV
KETOROLAC 30 MG @ 8 JAM IV, PARACETAMOL B
500 MG @ 6 JAM PO
PARACETAMOL 60 MG @ 6 JAM
B

KD

HAN

KD

WBI

SS

DOD

PARACETAMOL 250 MG @ 6 JAM

KD

DOD

KETOROLAC 30 MG @ 8 JAM IV

SS

JAYADI

Fentanyl 100 MCG/24 JAM, METAMIZOLE 250


MG @ 8 JAM
TRAMADOL 50 MG@ 8JAM IV, PARACETAMOL
500 MG@ 6JAM PO
PARACETAMOL 500 MG @ 6 JAM PO

IBK

GUS

WID

AYI

SS

SAS

FENTANYL 500 MCG / 24 JAM

SP

SS

SAS

PARACETAMOL 1000 MG @ 6 JAM PO,


FENTANIL 480 MG DALAM NACL 0,9% 50 CC
DRIP 2,1 MG / JAM SYRINGE PUMP

SPB

WID

AYI

PARACETAMOL 500 MG @ 6 JAM PO, MORFIN 8 SPB


MG DALAM NACL 0,9% 50 ML DRIP 2,1 ML /
JAM

PAS

DIAN

PARACETAMOL 500 MG @ 6 JAM, KETOROLAC


30 MG IV @ 8 JAM

TJH

AYI

TRAMADOL 50MG @ 8 JAM PO, PARACETAMOL B


500MG @ 6 JAM PO, KETOROLAC 30 MG IV @ 8
JAM

TJH

AYI

PARACETAMOL 500 MG @ 6 JAM, FENTANIL


400MCG @ 24 JAM,

TJH

SAW

PARACETAMOL 500MG @ 8 JAM, FENTANYL 400 SPB


MCG @ 24 JAM

SS

TRY

Bupivacaine 0,1 % + MO 0,5 mg vol 10 ml + PCT 1 EB


G 2 8 JAM IV

SND

AYI

TRAMADOL 25 MG @ 8 JAM IV, PARACETAMOL 500 BO


MG @ 6 JAM IV

HRY

TRI

KETOROLAC 3OMG/8JAM, PARACETAMOL


500G/6JAM

BO

HRY

SAW

MITAMIZOLE 50MG/8 JAM

HRY

TUT

PARACETAMOL 500G/6 JAM

HRY

DAR

FENTANYL 400 MCG /24 JAM KECEPATAN 2.1


ML/JAM, PARACETAMOL 500G/6 JAM

SPO

WIR

WBI

MO 20 MG+ KETAMIN 20 MG VOL 24 ML NS


KECEPATAN 1 ML/ JAM, KETOROLAC 30MG/8JAM

SPB

WIR

WBI

FENTANYL 300 MCG/ 24 JAM KECEPATAN 2.1


ML/JAM, KETOROLAC 30 MG/8 JAM

SPB

HRY

TEO

FENTANYL 300 MCG +KETAMIN 20 MG / 24 JAM


KECEPATAN 2,1 ML/JAM, KETOROLAC 30 MG/8JAM

SPB

SBG

EMR

SPB

BUPIVACAINE 0,1% + MO 1 MG VOL 10 ML,


PARACETAMOL 500 G/6 JAM

HRY

IMA

MORFIN 20 MCG/KG BB/JAM; PARASETAMOL 250


MG @ 8 JAM IV

SPB

WIB

DEN

MORFIN 15 MCG/KG BB/JAM; PARASETAMOL 1 G @ SPB


8 JAM IV

SND

DEN

Fentanly 400cmg/24jam+PCT 1g /8jam

SPB

IBS

Fentanly 500mcg/24 jam+PCT 3x1 g IV

SPB

IBS

Fentanyl 300mcg/24 jam kec 2.1ml/jam

SP

PAS

Fentanyl 300mcg/24 jam

SP

SIN

WIM/OAL/
TAN/TRI/S
ai

Fentanyl 300mcg/24jam kec 2.1 ml/jam + PCT SPO


500mg /6jam

PAS

WIM/OAL/
TAN/TRI/S
AS

Fentanyl 400mcg/24jam kec 2.1/jam

SP

SIN

WIM/OAL/
TAN/ARI/S
AS

PCA MORFIN, demand dose 1 mg/dose LOI 5


mnt, Max 10mg/4 jam; KETOROLAC 30 MG @
8 JAM iv; paRASETAMOL 500 MG @ 6 JAM po

PCA, BO

ARY

BDH

FENTANYL 300 MCG/24 JAM, PARACETAMOL 1GR@ SP/B


8JAM IV

IBS

BDH

FENTANYL 100 MCG/24 JAM, METAMIZOLE 200 MG SPB


@ 8 JAM IV

IBS

AST

FENTANYL 250 MCG/24JAM, PARACETAMOL 500


MG@6JAM PO

SND

TRI

FENTANYL 400 MCG/24 JAM, KETOROLAC 30 MG@ SP/B


8JAM IV

TJH

DAV/WBI

TAMADOL 50 MG@ 8JAM PO, PARACETAMOL


500 MG@6JAM PO

THIA

DAV/ IGK

FENTANYL 350 MCG/24JAM IV, PARACETAMOL 500


MG@ 6JAM PO

SP/O

IBS

UDI

SP/O

LIS/IMA

METAMIZOLE 50 MG@ 8JAM IV

WIB

HPY/ IGK

BUPIVACAINE 0.1% + Morphine 1 mg vol 10 ml


@12 jam., PARACETAMOL 500 MG@ 6JAM PO

E/O

SIN

AYI

BUPIVACAINE 0.1% + Morphine 1 mg vol 10 ml


@12 jam.

SIN

DEN

FENTANYL 400 MCG/24 JAM, KETOROLAC 30 MG@ SP/B


8JAM IV

SIN

TEO

BUPIVACAIN 0.1%+ MORPHINE 1 MG VOL. 10 ML@ E/B


12 JAM, KETOROLAC 30 MG@ 8JAM IV

SS

FER

EPIDURAL KELUAR DARAH, TIDAK DIBERIKAN,


FENTANYL 400 MCG/24 JAM, PARACETAMOL 500
MG@6JAM PO

WIB

DAR

FENTANYL 300 MCG/24 JAM, KETOROLAC 30 MG@ SP/B


8JAM IV

PRAM

YSF

BUPIVACAIN 0.1%+ MORPHINE 1 MG VOL. 10 ML@ E/B


12 JAM, KETOROLAC 30 MG@ 8JAM IV

IBS

PAL

BUPIVACAIN 0.1%+ MORPHINE 1 MG VOL. 10 ML@ E/B


12 JAM, PARASETAMOL 1 G @ 8JAM IV

HRY

SAW

BUPIVACAIN 0.1%+ MORPHINE 1 MG VOL. 10 ML@ EO


12 JAM, PARASETAMOL 500 MG @ 6 JAM PO

IBS

AJD

BUPIVACAIN 0.1%+ MORPHINE 0.5 MG VOL. 10


ML@ 12 JAM, KETOROLAC 30 MG @ 8 JAM IV

EB

GB

FER

TRAMADOL 50 MG @ 8 JAM IV, PARACETAMOL


500MG @ 6 JAM PO

BO

TJ

FER

TRAMADOL 50MG @8JAM IV, KETOROLAC 30 MG @ BO


8 JAM IV, PARACETAMOL 500MG @6JAM PO

SS

SAS

FENTANYL 500 MCG/24 JAM, PARACETAMOL 1GR@ SPB


8JAM IV

SS

SAS

PCA MO 30 MG, KONSENTRASI 0,3 MG/CC; PCA


COUNT 0,3 MG/JAM; PCA DEMAND 1,02 MG/X; LOI
5 MENIT; MAX 4 X/JAM

THIA

AST

FENTANYL350 MCG/24 JAM, KETOROLAC 30 MG @ SPB


8JAM IV

ALT

IMA

MORFIN 20 MG/24JAM; PARASETAMOL 1 G @ 8 JAM SPB


IV

WIB

DEN

SP/O

PCA

FENTANYL 30 MCG/24 JAM; METAMIZOLE 50 MG @ SPB


8 JAM IV

WIB

GUS

FENTANYL 400 MCG/24 JAM, PARACETAMOL 500


MG @ 6 JAM PO

SPO

WBI

FENTANYL 300 MCG/24 JAM, PARACETAMOL 500


MG @ 6 JAM PO

SPO

Bupivacaine 0,1% + MO 1 mg Vol 10 ml, PCT


4x500mg PO

Bupivacaine 0,1% + MO 1 mg Vol 10 ml, PCT


4x500mg PO

PTK

AJD

pct 4 x 500 mg . Ketorolac 30 mg @ 8 jam IV


Fentanyl 400mcg dalam 50 ml Nacl/24 jam,
ketorolac 30 mg @ 8 jam IV

B
SP

WIB
IBS

SAS
WBI

Fentanyl 150mcg + metamizole 500 mcg dalam


50 ml Nacl/24 jam

SP

SS

SAS

Fentanyl 300mcg dalam 50 ml Nacl/24 jam, PCT


4x500mg PO

SP

PTK

UDI

Bupivacaine 0,1% + MO 1 mg Vol 10 ml, PCT


4x500mg PO

IBK

TAN

fentanyl 400 mcg/24 jam , PCT 3x 1 g IV


MO 10 mg/24 jam, PCT 4x500 mg Po
PCT 30 mg @8 jam PO

SP
SP
O

SS
ALT
SS

fentanyl 200 mcg/24 jam , PCT 4x 500 mg PO

SP

SND

Bupivacaine 0,1% + MO 1 mg Vol 10 ml, PCT


4x500mg PO

SS

IGK

FENTANYL 400 MCG/24 JAM, PARACETAMOL 1G @ 8 SPB


JAM IV

SBG

SAS

TRAMADOL 50 MG @8 JAM; PCT 500MG @6 Jam

SS

BDH

FENTANYL 4000 MCG DALAM NACL 0,9% VOL 50ML O


2,1 ML/JAM; PCT 500MG @6 JAM

SS

TRI

FENTANYL 4000 MCG DALAM NACL 0,9% VOL 50ML BO


2,1 ML/JAM, KETOLORAC 30 MG @8 JAM

SS

YSF

FENTANYL 40 MCG/24 JAM 1,0 CC/JAM;


METAMIZOLE 3X100G

SPB

SS

IMA

FENTANYL 400 MCG/24 JAM 1,0CC/JAM;


KETOLORAC 30MG @ 8JAM

SP/B

SS

WBI

FENTANYL 400MCG/ 24 JAM 1,0 CC/JAM; PCT 1 G


@8 JAM

SPO

SS

UDI

IBS

YSF
DAR

KETOLORAC 30 MG @6 JAM; PCT 500MG @6JAM

BO

SS

KETOLORAC 30 MG @ 8 JAM; PCT 500MG @ 6 JAM

SS

FENTANYL 300MCG/24 JAM; PCT 500MG @6 JAM

SPO

SND

FENTANYL 400MCG/ 24 JAM 1,0 CC/JAM; PCT 1 G


@8 JAM

SPO

SND

FENTANYL 250MCG DALAM NACL 0,9% VOL 50ML


2,1ML/JAM; PCT 500MG@ 6 JAM

SPO

PTK

FER

FENTANYL 350 MCG DALAM NACL 0,9% VOL 50ML SPO


2,1 ML/JAM; PCT 500MG @ 6 JAM

SS

LIS

FENTANYL 4000 MCG DALAM NACL 0,9% VOL 50ML SPO


2,1 ML/JAM; PCT 500MG @ 6 JAM

SBG

AYI

KETOLORAC 30MG @ 8JAM; PCT 500MG @6JAM

SND

BO

TRI

KETOLORAC 30MG @ 8JAM; TRAMADOL 50MG; PCT BO


500MG @6JAM

GB

AYI

MORFIN 15 MG DALAM NACL 0,9% VOL 50ML 2,1


ML/JAM; PCT 500MG @ 6 JAM

SPO

UTR

SAS

FENTANYL 4000 MCG DALAM NACL 0,9% VOL 50ML SPB


2,1 ML/JAM; PCT 1 G @ 8 JAM IV

PRM

SAS

Bupivacaine 0,1% + MO 0,5 mg Vol 10 ml @ 12


JAM, PCT 1 G @ 8 JAM IV

EB

PTK

AYI

Bupivacaine 0,1% + MO 1 mg Vol 10 ml @ 12 JAM, EO


PCT 4x500mg PO

PRM

SAW

Bupivacaine 0,1% + MO 0,5 mg Vol 10 ml @ 12


JAM, KETOROLAC 30 MG @ 8 JAM IV

SS

TRY

Bupivacaine 0,1% + MO 1 mg Vol 10 ml @ 12 JAM, EO


PCT 4x500mg PO

PRM

YSF

FENTANYL 300MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

GB

AST

KETOROLAC 30 MG @ 8 JAM IV; PCT 500 MG @ 6


JAM PO

BO

THIA

FENTANYL 300MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

PRM

PCT 500MG @6 JAM PO

FENTANYL 400MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

SND

JAY

FENTANYL 500 MCG DALAM NACL 0,9% VOL 50ML SPB


2,1 ML/JAM; PCT 1 G @ 8 JAM IV

PRM

IGK

EB

PAL
TEO

FENTANYL 300 MCG DALAM NACL 0,9% VOL 50ML SPB


2,1 ML/JAM; PCT 1 G @ 8 JAM IV

SS

OAL

FENTANYL 500 MCG DALAM NACL 0,9% VOL 50ML SPB


2,1 ML/JAM; PCT 1 G @ 8 JAM IV

PRM

TUT

FENTANYL 300MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

THIA

WBI

FENTANYL 500 MCG/24 JAM IV, PARACETAMOL


1GR@ 8JAM IV

SPB

PNT

WBI

FENTANYL 350 MCG/24 JAM IV, KETOROLAC 30


MG@ 8 JAMIV, PARACETAMOL 500 MG@ 6JAM PO

SPBO

TJ

PAL

FENTANYL 400 MCG/24 JAM IV

SP

TJ

PAL

FENTANYL 400 MCG/24 JAM IV, PARACETAMOL


1GR@ 8 JAM IV

SPB

TJ

SAS

FENTANYL 400 MCG/24 JAM IV, PARACETAMOL 500 SPO


MG@ 6JAM PO

PNT

WBI

FENTANYL 400 MCG/24 JAM, PARACETAMOL 3 X 1


GR

SP

PAS

SAS

MORFIN 20 MG, KETOROLAC 3 X 30 MG, PCT 4 X


500 MG

SPBO

HRY

SAS

FENTANYL 300MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

THIA

SAS

FENTANYL 500MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

THIA

SAS

FENTANYL 500 MCG DALAM NACL 0,9% VOL 50ML SPB


2,1 ML/JAM; PCT 1 G @ 8 JAM IV

PAS

SAS

Bupivacaine 0,1% + MO 0,5 mg Vol 15 ml @ 12


JAM

THIA

AYI

Bupivacaine 0,1% + MO 1 mg Vol 10 ml @ 12


JAM, , PCT 4x500mg PO

EO

SS

TAN

FENTANYL 500MCG/ 24 JAM 2,1 CC/JAM; PCT 500


MG @6 JAM PO

SPO

METAMIZOLE 150 MG @ 8 JAM IV; PARASETAMOL


300 MG @ 6 JAM

BO

MORFIN 10 MG/24 JAM, KEC 1 ML/JAM; KETOROLAC SPBO


30 MG @ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM
PO

SAS
TJH

JAY

GB

SAW

FENTANYL 350 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

UTR

FER

FENTANYL 400 MCG/24 JAM KEC. 2,1 ML/JAM;


KETOROLAC 30 MG @ 8 JAM IV

SPB

WIB

WBI

METAMIZOLE 100 MG @ 8 JAM IV; PARACETAMOL


CTH I @ 8 JAM PO

BO

TJH

GUS

TRAMADOL 50 MG @ 8 JAM PO; PARASETAMOL 500 O


MG @ 6 JAM PO

PAL

KETOROLAC 30 MG @ 8 JAM IV; PARASETAMOL 500 BO


MG @ 6 JAM PO

TJH

GUS

TRAMADOL 50 MG @ 8 JAM PO; PARASETAMOL 500 O


MG @ 6 JAM PO

TJH

PAL

FENTANYL 300 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

TJH

IMA

FENTANYL 400 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

UTR

FENTANYL 500 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

Bupivacaine 0,1% + MO 1 mg vol 10 ml + PCT


4x500 mg PO

PNT

TAN

Bupivacaine 0,1% + MO 1 mg vol 10 ml + PCT


4x500 mg PO

HRY

AYI

fentanyl 500 mcg/24 jam, PCT 1 gr @ 8 jam IV

SP

PRM

IGK

morfin 15 mg/24 jam kec 1.o ml/jam + PCT 3x1 gr SP


IV

PAS

SAS

fentanyl 300 mcg/24 jam, PCT 500 mg @ 6 jam PO SP

ALT

JAY

morfin 10 mg/24 jam kec 1.o ml/jam + PCT 3x1 gr SP


IV, ketorolac 3x 30 mg IV

IBS

DAR

fentanyl 150 mcg/24 jam, PCT 250 mg @ 6 jam


PO, metamizole 250 mg @ 8 jam

IBS

JAY

fentanyl 350 mcg/24 jam, PCT 500 mg @ 6 jam PO SP

SS

FER

fentanyl 300 mcg/24 jam, ketorolac 3 x 30 mg IV

SS

UDI

fentanyl 300 mcg/24 jam, PCT 4 x 500 mg PO


SP
morfin 15 mg/24 jam kec 1.o ml/jam + ketorolac 3 SP
x 30 mg IV

IBS
PTK

FER
AST

fentanyl 300 mcg/24 jam, PCT 4 x 500 mg PO

PNT

TRY

SP

SP

SP

WBI

morfin 8 mg/24 jam, pct 4x500 mg, ketorolac 30


mg @ 8 jam IV

SP

SHY

AYI

fentanyl 400 mcg/24 jam, PCT 3 x 1000 mg IV


SP
fentanyl 400 mcg/24 jam, PCT 3 x 1000 mg IV
SP
PCT 4 x 500 mg, ketorolX 3 X 30 MG iv, TRAMADOL BO
3X50 MG po

IBK
IBK
ARY

Wibi
SAW
WBI

fentanyl
fentanyl
fentanyl
fentanyl

ARY
ARY
KADE
PRM

WBI
WBI

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG BO


@ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM PO

IBK

GUS

MORFIN 10 MG/24 jam kec 1.o ml/jam + PCT 4x


500 MG PO, ketorolac 3x 30 mg IV

SPBO

SHY

AYI

fentanyl 350 mcg/24 jam, PCT 1 gr @ 8 jam IV

SPB

SHY

AYI

FENTANYL 400 MCG/ 24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

SND

AYI

FENTANYL 300 MCG/ 24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

WIB

ADT

EPIDURAL BUPIVACAIN 0,1 % + MO 1 MG VOL 10


ML; PARASETAMOL 500 MG @ 6 JAM PO;
AMITRIPTILIN 12,5 MG @ 24 JAM PO (MALAM)

EO

FENTANYL 400 MCG/ 24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

400
400
300
400

mcg/24
mcg/24
mcg/24
mcg/24

jam,
jam,
jam,
jam,

PCT
PCT
PCT
PCT

3 x 1000 mg IV
4x500mg PO
4x500mg PO
4x500mg PO

SP
SP
SPO
SPO

MORRFIN 10 MG + KETAMIN 5 MG/24 JAM, KEC. 2,1 SPO


ML/JAM; PARASETAMOL 500 MG @ 6 JAM PO

AYI

JAY

KADE

AYI

TJH

FENTANYL 500 MCG/24 JAM KEC. 2,1 ML/JAM;


PARASETAMOL 1 G @ 8 JAM IV

SPB

BDH

FENTANYL 200 MCG/24 JAM; PARASETAMOL 500


MG @ 8 JAM PO

SPO

WIB

MORFIN 30 MG/50 ML DIJALANKAN 2 ML/JAM,


SPB
KETOROLAC 30 MG @ 8 JAM IV, PARACETAMOL 500
MG @ 6 JAM PO

WIB

PAL

TRAMADOL 50 MG @ 8 JAM IV, PARACETAMOL 500 SPB


MG @ 6 JAM PO

IBS

IGK

FENTANYL 100 MCG/24 ML, DIJALANKAN 1 ML/JAM, SPB


KETOROLAC 30 MG @ 8 JAM IV

PNT

FER

KETOROLAC 30 MG @ 8 JAM IV, PARACETAMOL 500 B


MG @ 6 JAM PO

IBS

TRAMADOL 50 MG @ 8 JAM IV, PARACETAMOL 500 B


MG @ 6 JAM PO

WBI
IGK

FENTANYL 30 MCG/24 JAM

SP

WIB

GUS

MORFIN 15 MG/24 ML DIJALANKAN 1 ML/JAM,


PARACETAMOL 500 MG @ 6 JAM PO

SPB

IBS

WBI

MORFIN 20 MG/20 ML DIJALANKAN 0,6 ML/JAM,


PARACETAMOL 500 MG @ 6 JAM PO

SPB

IBS

HAN

TRAMADOL 50 MG @ 8 JAM IV, PARACETAMOL 500 B


MG @ 6 JAM PO

IBS

SAW

TRAMADOL 50 MG @ 8 JAM IV, PARACETAMOL 500 B


MG @ 6 JAM PO

THIA

BDH

FENTANYL 400 MCG/24 JAM, KETOROLAC 30 MG @ SPB


8 JAM IV, PARACETAMOL 500 MG @ 6 JAM PO

THIA

BDH

MORFIN 15 MG/24 JAM, KEC. 1 ML/JAM;


KETOROLAC 30 MG @ 8 JAM IV

SPB

WIR

WBI

SPO

WIR

WBI

SPO

ALT

WBI

EPIDURAL BUPIVACAINE 0,1% + MORFIN 0,5 MG


VOLUME 10 ML @ 12JAM + PARACETAMOL 1 GR
DRIP @ 8 JAM IV

ALT

MORFIN 10 MG/ 20 CC 1,0 CC @ JAM +


PARACETAMOL 500 MG @ 6 JAM

SPO

ALT

FENTANYL 100 MCG DLM 24 CC NS 1 CC @ JAM +


PARACETAMOL 250 MG PO

SPO

ALT

SPO

ALT

MORFIN 15 MG/24 JAM, KEC. 1 ML/JAM;


PARASETYAMOL 500 MG @ 6 JAM PO
FENTANYL 500 MCG/24 JAM; PARASETAMOL 500
MG @ 8 JAM PO

FENTANYL 100 MCG @ 24 JAM + PARACETAMOL


SYR CTH I 1/2 @ 6JAM PO
FENTANYL 300 MCG @ 24 JAM + PARACETAMOL
500 MG @ 6 JAM PO

SPO

FENTANYL 400 MCG @24 JAM + PARACETAMOL 4 X


SPO
500 MG PO
FENTANYL 400 MCG/24 JAM

SP

HRY

WBI

MORFIN 15 MG/24 JAM, KETOROLAC 30 MG @ 8


JAM IV

HRY

WBI

TRAMADOL 50 MG @ 8 JAM IV, KETOROLAC 30 MG


B
@ 8 JAM IV

PTK

AYI

MORFIN 20 MG/60 ML NACL, DIJALANKAN 2 ML/JAM,


SPB
PARACETAMOL 500 MG @ 6 JAM PO

THIA

PAL

PTK

AYI

KETOROLAC 30 MG @ 8 JAM IV, TRAMADOL 50 MG


B
@ 8 JAM IV, PARACETAMOL 500 MG @ 6 JAM PO

SIN

AYI

IBS

AYI

UTR

AYI

UTR

BDH

FENTANYL 300 MCG/24 JAM, PARACETAMOL 500


MG @ 6 JAM PO

KETOROLAC 30 MG @ 8 JAM IV, TRAMADOL 50 MG


@ 8 JAM IV, PARACETAMOL 500 MG @ 6 JAM PO

SPB

SPB

KETOROLAC 30 MG @ 8 JAM IV, TRAMADOL 50 MG


B
@ 8 JAM IV, PARACETAMOL 500 MG @ 6 JAM PO
FENTANYL 400 MCG/24 JAM, PARACETAMOL 1
GRAM @ 8 JAM IV

SPB

MORFIN 10 MG DALAM 50 ML NACL 0,9% KEC. 0,8


SPO
ML/JAM; PARASETAMOL 500 MG @ 6 JAM PO
FENTANYL 400 MCG/24 JAM, PARACETAMOL 1
GRAM @ 8 JAM IV

ALT

SPB

UTR

FENTANYL 400 MCG/24 JAM, KETOROLAC 30 MG @


SPB
8 JAM IV

UTR

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG BO


@ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM PO

UTR

MORFIN 10 MCG/KG/MENIT; KETOROLAC 30 MG @


SPB
8 JAM IV

PNT

SPO

ALT

YSF

SPO
FENTANYL 300 MCH/24 JAM; PARASETAMOL 500
MG @ 6 JAM PO
FENTANYL 300 MCG/24 JAM, KETOROLAC 30 MG @ SPB
8 JAM IV

SHY

UDI

PTK

WBI

IBS

AJD

FENTANYL 400 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG


BO
@ 8 JAM PO; PARASETAMOL 500 MG @ 6 JAM PO

MORFIN 15 MG + DEXAMETHASONE 10 MG +
DIPHENHIDRAMIN 10 MG VOL. 24 ML, KEC. 1
ML/JAM; PARASETAMOL 500 MG @ 6 JAM PO

SPO

SPO
FENTANYL 400 MCH/24 JAM; PARASETAMOL 500
MG @ 6 JAM PO
FENTANYL 300 MCG/24 JAM; METAMIZOLE 500 MG SPB
@ 8 JAM IV

JAY

PTK

TEO

PTK

TEO

SPB

PTK

GUS

MORFIN 10 MCG/KG BB/JAM; KETOROLAC 30 MG @


SPB
8 JAM IV

PNT

WBI

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG


BO
@ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM PO

PNT

WBI

MORFIN 20 MG + KETAMIN 50 MG/24 JAM DALAM


50 ML NACL 0,9% KEC. 2,1 ML/JAM; PARASETAMOL SPB
1 G @ 8 JAM IV

WIB

AYI

MORFIN 10 MCG/KG BB/JAM; PARASETAMOL 500


MG @ 8 JAM IV

PNT

WBI

EPIDURAL BUPIVACAINE 0,1% + MORFIN 0,3 MG


VOLUME 10 ML @ 12JAM + PARACETAMOL 500 MG EO
@ 8 JAM PO

IBS

PAL

FENTANYL 400 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

SPO

PTK

TUT

SPO

SBG

WBI

BO

SBG

WBI

BUPIVACAINE 0,1% + MO 1 MG VOL 10 CC @ 12


JAM

SND

BUPIVACAINE 0,1% + MO 1 MG VOL 10 CC @ 12


JAM

FENTANYL 45 MCG/24 JAM; METAMIZOLE 100 MG


@ 8 JAM IV

FENTANYL 400 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO
KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG
@ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM PO

SPB

FENTANYL 400 MCG/24 JAM, PARACETAMOL 1


SPO
GRAM @ 8 JAM IV
FENTANYL 400 MC/24 JAM; KETOROLAC 3 X 30 MG;
SPBO
PARASETAMOL 4 X 500 MG

SHY
SS

TRI
TRY

FENTANYL 500 MC/24 JAM; PARASETAMOL 3 1 GR

SPB

PRM

IGK

MORFIN 6 MG( 1CC/JAM); PARASETAMOL 4 X 500


MG

SPO

ALT

AFS

FENTANYL 100 MCG/24 JAM; METAMIZOLE 3 X 200


SPB
MG

WIB

IMA

MORFIN 10 MG DLM 24 CC NS (KEC 1 CC/JAM)

SPO

IBS

FER

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG BO


@ 8 JAM IV; PARASETAMOL 500 MG @ 6 JAM PO

WIB

AJD

FENTANYL 300MC/.24 JAM; PARASETAMOL 4 X 500 SPO


MG

SS

DEN

FENTANYL 400 MC/24 JAM; PARASETAMOL 4 X 500 SPO

ALT

TEO

PARASETAMOL 40 MG @ 6 JAM IV

BO

HRY

AYI

FENTANYL 300 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

SPO

PNT

WBI

METAMIZOLE 250 MG @ 8 JAM IV

BO

PNT

WBI

FENTANYL 150 MCG/24 JAM; METAMIZOLE 250 MG


SPB
@ 8 JAM IV

PNT

WBI

MORFIN 20 MG DALAM 24 CC NACL 0,9% KEC. 0,8


SPB
ML/JAM; KETOROLAC 30 MG @ 8 JAM IV

HRY

AYI

MORFIN 20 MG DALAM 24 CC NACL 0,9% KEC. 0,8


SPB
ML/JAM; KETOROLAC 30 MG @ 8 JAM IV

SS

AYI

PNT

WBI

PNT

SMR

FENTANYL 300 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

SPO

FENTANYL 300 MCH/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

SPO

bupivacaine 0,1 % + MO 1 mg Vol 10 ml + PCT 4 x


500 mg PO

WIB

HAN

bupivacaine 0,1 % + MO 1 mg Vol 10 ml + PCT 4 x


500 mg PO

SHY

TROY

bupivacaine 0,1 % + MO 1 mg Vol 10 ml + PCT 4 x


500 mg PO

WID

TAN

bupivacaine 0,0625 % + MO 0,3 mg Vol 10 ml +


PCT 4 x 500 mg PO

SS

EMR

Fentanyl 400 mcg/24 jam kec 2.1/jam PCT 4x 500


mg PO

SP

WID

WIBI

Fentanyl 300 mcg/24 jam kec 2.1/jam PCT 4x 500


mg PO

SP

WID

TUT

Fentanyl 50 mcg/24 jam kec 2.1/jam PCT 3x 100


mg PO

SP

PTK

AFS

morfin 15 mg/24 jam kec 1 ml/jam + PCT 4 x 500


mg PO

SP

IBS

AST

ketorolac 3 x 30 mg Iv, tramadol 50 mg @ 8 jam


PO + PCT 4 x 500 mg PO

SP

UTR

FER

FENTANYL 400 MCG/24 JAM; PARASETAMOL 500


MG @ 6 JAM PO

SPO

FENTANYL 300 MCG/ML IV, PARACETAMOL 500


MG@ 6JAM PO

SPO

GB

SAS

FENTANYL 400 MCG/24 JAM IV, PRACAETAMOL 1 GR


SPB
IV

GB

WBI

BUPIVACAIN O.1%+ Mo 0.5 mg vol 10 ml@ 12 jam E

GB

FER

FENTANYL 600 MCG/24JAM,. PARACETAMOL 750


MG@6 JAM PO

SPO

WID

TEO

KETOROLAC 30 MG@ 8 JAM IV; TRAMADOL 50


MG@ 8JAM PO

BO

WID

TEO

WID

YSF

FENTANYL 400 MCG/24JAM, KETOREOLAC 30 MG@


SPB
8JAM IV, SPB
FENTANYL 250 MCG/24 JAM, PARACETAMOL 500
MG@ 6 JAM PO

SPO

SND

AJD

FENTASNYL 300 MCG/24 JAM IV, PARACETAMOL.


500 MG@ 6JAM PO

SPO

WID

AYI

FENTANYL 300 MCG/243 JAM IV, KETOROLAC 30


MG@ 8JAM IV

SPB

GB

UDI

MORPHINE 20 MG/24 JAM, KETOROLAC 30 MG@


8JAM IV

SPB

GB

EMR

BUPIVACAINE 0.1%+ MO 1 MG VOL. 10 ML@ 12


JAM

WID

PAL

TRAMADOL 50MG@ 8JAM IV, PARACETAMOL 500


MG@ 6JAM PO

BO

WID

IMA

TRAMADOL 50MG@ 8JAM IV, PARACETAMOL 500


MG@ 6JAM PO

BO

WID

EMR

BUPIVACAIN 0.1VOL%+ MO 1 MG VOL 8 ML

WID

IGK

PARACETMOL 1 GR@ 8 JAM IV

WIB

BDH

FENTANYL 400 MCG/24JAM, KETOROLAC 30 MG


IV@ 8 JAM, PARACETAMOL 500MG@ JAM PO

SPBO

PTK

BDH

BUPIVACAINE 0.1%+ MO 1 MG VOL. 10 ML@ 12


JAM

WID

PAL

bupivacaine 0,1 % + MO 1 mg Vol 10 ml@ 12 JAM;


EB
KETOROLAC 30 MG @ 8 JAM IV

UTR

DAR

FENTANYL 400 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

THIA

JAY

FENTANYL 400 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

THIA

JAY

MORFIN 20 MG + KETAMIN 20 MG; KEC. 0,6 ML/JAM SP

GB

EMR

FENTANYL 100 MCG/24 JAM; KEC. 1 ML/JAM;


METAMIZOLE 200 MG @ 8 JAM IV

SPB

PTK

GUS

FENTANYL 300 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

TJ

TAN

FENTANYL 500 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

SND

FENTANYL 300 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

KADE

AJD

FENTANYL 300 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


KETOROLAC 30 MG @ 8 JAM IV

SPB

GB

TEO

FENTANYL 300 MCG/ 24 JAM; KEC. 2,1 ML/JAM

SP

KADE

TRI

FENTANYL 75 MCG/24 JAM; KEC. 1 ML/JAM;


METAMIZOLE 150 MG @ 8 JAM IV

SPB

ALT

TRY

TRAMADOL 50 MG @ 8 JAM IV; PARASETAMOL 500


BO
MG @ 6 JAM PO

SS

TRI

FENTANYL 400 MCG/ 24 JAM; KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SS

AYI

FENTANYL 300 MCG + KETAMIN 30 MG, VOL 50 ML; SPB


KEC. 2,1 ML/JAM; KETOROLAC 30 MG @ 8 IV

KADE

YSF

MORFIN 10 MG VOL. 50 ML; KEC. 1,6 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

GB

WBI

METAMIZOLE 400 MG @ 8 JAM IV; Tramadol 50 mg


B
@ 8 jam iv

WIR

SAS

FENTANYL 300 MCG/24 JAM KEC. 2,1 ML/JAM;


PARASETAMOL 1 G @ 8 JAM IV

WIR

SAS

WIR

SAS

FENTANYL 500 MCG/24 JAM; KEC. 2,1 ML/JAM +


PCT 4 x 500 mg PO

SPO

SPO

SPB
SPO

FENTANYL 350 MCG/24 JAM; KEC. 2,1 ML/JAM +


PCT 4 x 500 mg PO

SPO

FENTANYL 300 MCG/24 JAM; KEC. 2,1 ML/JAM +


PCT 3 x 500 mg PO

SPO

ALT

WBI
SHY

SAS

FENTANYL 400 MCG/24 JAM KEC. 2,1 ML/JAM;


PARASETAMOL 1 G @ 8 JAM IV

SPB

PRM

SAS

METAMIZOLE 200 MG@ 8JAM IV, PAREACETAMOL


200 MG@ 6JAM PO

BO

WIR

AYI

MORFIN 20 MG/24JAM IV, KETOROLAC 30 MG@


8JAM IV, PARACETAMOL 500 MG@6 JAM PO

SPBO

WIR

AYI

FENTANYL 400 MCG/24JAM IV, PARACETAMOL 1


GR@8JAM IV

SPB

WIR

AYI

FENTANYL 400 MCG/24 JAM IV, KETOROLAC 30


MG@ 8JAM IV

SPB

TJH

BDH

FENTANYL 300 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

WID

AYI

MORFIN 15 MG/24 JAM; KEC. 1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

WIR

AYI

FENTANYL 500 MCG/24 JAM; PARASETAMOL 1 G @


SPB
8 JAM IV

SND

FER

FENTANYL 400 MCG/24 JAM, KEC. 2,1 ML/JAM;


PARASETAMOL 500 MG @ 6 JAM PO

SPO

IBS

HAN

EPIDURAL BUPIVACAIN 0,1% + MO 1 MG VOL 10


ML @ 12 JAM; PARASETAMOL 500 MG @ 6 JAM PO

EO

EMR

KETOROLAC 30 MG @ 8 JAM IV; TRAMADOL 50 MG


BO
@ 8 JAM PO

TEO

TRAMADOL 50 MG @ 8 JAM PO; PARASETAMOL 500


O
MG @ 6 JAM PO

SS

TRAMADOL 50 MG @ 8 JAM IV; KETOROLAC 30 MG


B
@ 8 JAM IV

SND

YSF

EPIDURAL BUPIVACAIN 0,1% + MO 1 MG VOL 10


ML @ 12 JAM; PARASETAMOL 1G @ 8 JAM IV

EB

IBS

AJD

FENTANYL 300 MCG/24 JAM; KEC. 1 ML/JAM;


KETOROLAC 30 MG @ 8 JAM IV

SPB

SS

TEO

FENTANYL 300 MCG/24 JAM; KEC. 1 ML/JAM;


KETOROLAC 30 MG @ 8 JAM IV

SPB

WIB

UDI

FENTANYL 15 MCG/24 JAM

SP

ALT

IMA

FENTANYL 500 MCG/24 JAM; PARASETAMOL 1 G @


SPB
8 JAM IV

SND

YSF

EPIDURAL BUPIVACAIN 0,0625% + MO 0,3 MG VOL


E
10 @ 6-12 JAM

SS

SAS

EPIDURAL BUPIVACAIN 0,1% + MO 1 MG VOL 10


ML @ 12 JAM; PARASETAMOL 500 MG @ 6 JAM PO

EO

IBS

TRI

MORFIN 15 MG + KETAMIN 10 MG / 24 JAM

SP

WIB

DEN

VAS HARI 2
(MM)

JENIS
VAS HARI JAGA
ANALGETI 3 (MM)
RUANGAN
K HARI 3

APS

KONSULEN
JAGA

26-Sep-15
N0

RUANG

TANGGAL

NAMA

JENIS
KELAMIN

UMUR

46TH

NO CM

ALAMAT

REGIMEN ANALGESIA

JENIS
KONSULEN
REGIMEN

RES

DR. MULYAWAN, SP.B-KBD B DIGESTIVE

BUPIVACAIN 0.1% + MO 1 MG @ 12 JAM

PAS

WBI

DR. PERIADIJAYA, SP.B

BEDAH TRAUMA

FENTANYL 500 MCG DALAM 50 ML NS KECEPATAN


SP
2.1 ML/JAM

THIA

WBI

BEDAH UROLOGI

BUPIVACAINE 0,125% + MO 1MG VOL 15CC TIAP 1


EB
JAM + PCT 1GR IV DRIP @8 JAM

PNT

AYI

BEDAH SARAF

FENTANYL 400 MCG PEMBERIAN 1 CC/JAM + PCT 1


SPB
GR@8 JAM

IBK

JON

CARA BAYAR

DIAGNOSA

TINDAKAN

ASA

TEKNIK ANESTES

DPJP

14071269 TABANAN

BPJS UMUM

ADENO CA RECTI (T2 N1 M0) POST KOLOSTOMI

LAPORATOMY MILES PROCEDURE

II

GA-OTT+ EPIDURAL

15046885 DOMPU

UMUM

TRAUMA TUSUK ABDOMEN + MULTIPLE V. APPERTUM

LAPAROTOMI EKSPLORASI + PRIMARY HECTING

VE

GA-OTT

DIVISI

1
ANGSOKA 307-1

9/16/2015 NI NYOMAN SUKIATI

RTI TIMUR 7

9/19/2015 HAIRULAH

2
19

3
RTI timur 10

9/21/2015 I NYOMAN DARMI

60

1548633 DENPASAR

BPJS UMUM

CA BULI T2N1MX POST RADICAL CYSTECTOMY

POST RADICAL CYSTECTOMY

II

RA - CSE

DR. YUDIANA, SP.U

4
RTI TIMUR 3

9/21/2015 KETUT YULIASTINI

42

14062282 DENPASAR

BPJS UMUM

MULTIPLE TUMOR SUPRA + INTRA CRANIAL

5
RTI TIMUR 9

9/21/2015 DEWA AYU PUTU ASTINI P

RTI TIMUR 8

BERTHA DINAR ADRIANA


9/21/2015 SILITONGA
P

48
36

1142497 DENPASAR
15047139 DENPASAR

II
LAPAROTOMI F2 + RPG URS DJ STENT + RESEKSI
USUS END TO END

JKBM

KISTOMA OVARI CURIGA GANAS DAN HIDRONEFROSIS BILATERAL

UMUM

G3P2002 37-38 MINGGU T/H + LETAK LINTANG + PEB + GAGAL NAFAS


SC CITO
+ GAWAT JANIN

II
IV E

GA - OTT

DR. NIRYANA SP.BS

GA - OTT

DR. PUTRA WIRADNYANA,


OBGYN
SP.OG

BUPIVACAIN 0,25% + MORFIN 1 MG UD 10 ML


TIAP 12 JAM

GA - OTT

PROF. DR. SUWIYOGA,


SP.OG

OBGYN

FENTANYL 400 MCG DALAM 50 CC NS 0,9


KECEPATAN 2,1 CC/JAM + PCT 1 GR @ 8 JAM

SPB

PRM

BEDAH

FENTANYL 350 MCG @ 24 JAM KECEPATAN 2,1


CC/JAM + PCT 1 GR @ 8 JAM

SPB

IBK

SAS

ATW

7
HCU BARAT 2

9/21/2015 IRFAN

18

15047142

UMUM

TRAUMA TUMPUL ABDOMEN

LAPAROTOMI EKSPLORASI

IV E

GA - OTT

DR. SUWEDAGATHA

HCU BARAT 6

9/21/2015 NI NYOMAN SIRAM

55

15041966 DENPASAR

JKBM

OBS HEMATOSCHEZIA EC PERDARAHAN SMALL BOWEL

LAPAROTOMI EKSPLORASI

III E

GA - OTT

DR. MULYAWAN, SP.B-KBD BEDAH DIGESTIF

FENTANYL 500 MCG DALAM 50 CC NS KECEPATAN


SPB
2,1 CC/JAM + PCT 1 GR @ 8 JAM IV

ITA

9
10

A102-6

22/09/2015

I WAYAN LOGER

54

15044640 GIANYAR

JKBM

CF ACETABULUM S + CF COSTAE 4,7,8,9 S

POST ORIF PS ACETABULUM S

II

RA BSA EPIDURAL

DR SUBAWA SP.OT

BUPIVACAINE 0,1 % + MORFIN 1 MG VOL. 10 @


12 JAM

SS

RTI BED 5->


Kamboja 13

22/09/2015

NI MADE RENTIT

67

15047095 DENPASAR

BPJS

ILEUS OBSTRUKTIF TOTAL

LAPAROTOMI BIOPSI + ILEOSTOMY K/P

IV E

GA-OTT + RA EPIDURAL

DR. MAHAYASA, SP.B KBD BEDAH DIGESTIF

BUPIVACAINE 0,1% + MORFIN 1 MG VOL. 10 ML

TJH

DR. IDP

FENTANYL 300 MCG @ 24 JAM KECEPATAN 2,1


CC/JAM + KETOROLAC 30 MG @8 JAM

SPB

TJH

BEDAH ORTHOPEDI

11
ANGSOKA 3

22/09/2015

PUTU SRI ASTINI

15043317

JKBM

MULTIPLE CHOLELITHIASIS

OPEN CHOLESISTECTOMY

GA-OTT

BEDAH DIGESTIF

SAS

HARI KE

26-Sep-15

N0

2
4

RUANG

TANGGAL

NAMA

JENIS
KELAMIN

UMUR

ANGSOKA
307.1

16/09/2015

NI NYOMAN SUKIATI

46TH

WK 10.1

21/9/15

I NYOMAN DARMI

WK 6.1
11

9/23/2015

LAPORATOMY MILES
PROCEDURE

BUPIVACAIN 0.1% + MO 1 MG @ 12 JAM PKL 20.00

20/09/15

24

POST RADICAL CYSTECTOMY

BUPIVACAINE 0,125% + MO 1MG VOL


15CC TIAP 1 JAM + PCT 1GR IV DRIP @8
JAM
PKL 08.00

21/09/15

12

BUPIVACAIN 0,25% + MORFIN 1 MG UD


10 ML TIAP 12 JAM
BUPIVACAINE 0,1% + MORFIN 1 MG
VOL. 10 ML

21/09/15
22/09/2015

12

2
1

KISTOMA OVARI CURIGA GANAS DAN


1142497 HIDRONEFROSIS BILATERAL
15047095
ILEUS OBSTRUKTIF TOTAL

DAYU KADEK WIARTINI P

45 TH

15041592

RADICAL HISTEREKTOMI

9/23/2015

CA BULI T2N1MX POST RADICAL


1548633 CYSTECTOMY

I WY ARDANA

PURWO SUWARSITO

57 TH

58 TH

15037979

13029941

CA CERVIX STADIUM IB

SCC PENIS

ADENO CA RECTI POST KOLOSTOMI


POST TERAPI

TOTAL PENICTOMY + BIOPSI


KGB INGUINAL
ULTRALOANTERIO RESECTION
(POST OP RTI +VENTI)
SIRKULER RELOAD

PKL 08.00

TANGGAL

DURASI

KETERANGAN

REGIMEN ANALGESIA

48 TH
67 TH

CEMPAKA
GYN
ANGSOKA
I04.4

ADENO CA RECTI (T2 N1 M0) POST


14071269 KOLOSTOMI

PEMBERIAN
TERAKHIR

HARI KE

TINDAKAN

P
P

10

60 TH

DIAGNOSA

LAPAROTOMI F2 + RPG URS DJ


STENT + RESEKSI USUS END
TO END
LAPAROTOMI BIOPSI +
ILEOSTOMY K/P

DEWA AYU PUTU


A 307.1
9/21/2015 ASTINI
RTI Bed 5-> 22/09/2015
NI MADE RENTIT
Kamboja 13
9/23/2015

NO CM

PKL 08.00

12

PKL 08.00

12

BUPIVACAINE 0,1 % + MORFIN 1 MG @


12 JAM +PARACETAMOL 1 GR @8JAM

BUPIVACAINE 0,1% + MORPHIN 1 MG


@24JAM+ PARACETAMOL 500 MG@
6JAM

PKL 20.00

24

BUPIVACAINE 0,1% + MORPHIN 1 MG


@24JAM+ PARACETAMOL 500 MG@
6JAM

PKL 08.00

2
12

N0 RUANG

TANGGAL

MS 204.C
1

30/7/2015
MS 204.A 8/3/2015

NAMA PASIEN

JK UMUR

NO CM

WULAN AINI

8 TH

15038485

AGUS PUTU
WIGUNA

22 TH

15038423

52 TH

ALAMAT

GIANYAR

3 A103.6

05.08.2015 ARIFIN M. ALI

1547211 DENPASAR

MS 207 C 8/6/2015

Rozi
Handyansyah

23 TH

15039415

NTB

A 305.1

Ika Febriyanti

17TH

15039590

DPS

MS 204 A 8/6/2015

Pt Rama Andre L

17TH

15039583

Bulelelng

RATNA

8/7/2015

SITI FATIMAH

58 TH

1575108

DENPASAR

A 302.3

8/7/2015

BINTANG
YUDISTIRA

9 TH

15036249

DENPASAR

I Wayann
Sudiarsa

45 TH

15039815

DENPASAR

Issayev

32 TH

15030623

Canggu

20 TH

15010153

GIANYAR

15036570

Lkg
Brahmana
Bukit
Cempaga B

4
5

8/6/2015

RTI
9
10

8/9/2015

RTI

8/9/2015

Ni Kadek Indra
11 BT

8/9/2015 wahyuni

Ida Ayu Partini


12 Angsoka 3

8/9/2015

45TH

13 BT

14 MS
A 304.1
15
A 305

Ni Kd Mirah
Lestari

18TH

15040272

I Nengah
Reding

60TH

150399975 Tabanan

SITI NURHAYATI

47 TH

15009250 NTB

45 TH

15032095 KARANGASE
M

Jl PL Bungin

8/9/2015

8/9/2015
10/8/2015
10/8/2015 NI NENGAH
SARGI

16

57 TH
56 TH

KARANGASE
15035319 M
15035884 DENPASAR

46 TH

KARANGASE
15038174 M

11/8/2015 MD NUSANTARA L

42TH

15040585 KLUNGKUNG

21 A307.3

11/8/2015 NI WAYAN SUARJI L

60TH

15013957 TABANAN

22 A304.3

11/8/2015 NI WAYAN PADMI P

41TH

17 A 104.3
A 102.5

10/8/2015 I KETUT NARDIA L


MARSITI
P

18

10/8/2015

19 A107.1

I NYOMAN KOTI
11/8/2015 YASA

20 A104.5

A 307.6

13/08/15

Ni Wayan Kisi

49 TH

1569555 DENPASAR
15022559

DPS

23

24 A 102.4

14/8/2015

NI KETUT RUMUS P

49 THN

KARANGASE
15040767 M

25 A 304.4

26 A 103.3

14/8/2015

GST KT RAI
SULASMINI

42 THN

15035672 KLUNGKUNG

14/8/2015

I MADE PASEK
PURNAWAN

17 TH

15041194 BANGLI

18/8/2015
27 A 101.4

I WAYAN WAHYU
SEDANA
L

17 TH

18/8/2015
28 A 104.4

1182808 GIANYAR
KARANGASE
15030170 M

I WAYAN KERTA

36 TH

I NYOMAN
ARTANA

61 TH

15037336

Dewa Made
8/19/2015 Satriani
L
8/21/2015 AGNES FERGIYATI P

20 TH
34 TH

15036759 Jembrana
15038490
DENPASAR

ANGSOKA
1

8/22/2015

L.A SASTRADI

44 TH

15028770

NTB

ANGSOKA
3

8/22/2015

ADI PUTRA
KADEK

4 TH

1478009

KUTA
SELATAN

4 TH

14004293

DENPASAR
SELATAN

NI NENGAH
MEMES

63 TH

15042181

DENPASAR

MARSALINA

19 TH

15042551

FLORES

KAMBOJA 3 18/8/2015

BADUNG

29

30 A 101.5
A 305.6

31

32

33

ANGSOKA
3

8/22/2015

I MD ADI
WIGUNA SATYA

34
RR
35

8/22/2015
RR

36

8/22/2015

A 303.5

8/24/2015

NI NYM MERTA
ASIH

43 TH

15040371

DENPASAR

A 305.2

8/24/2015

NI LUH KALERINA P

37 TH

14005372

BADUNG

DEWA NYOMAN
WIDIANA

26 TH

15042621

KARANGASE
M

KETUT SENA

45 TH

15042668

DENPASAR

YATUN

56 TH

15023358

BLITAR

37

38
23/08/2015

39 A 101.7
23/08/2015
40 A 106.2
25/6/2015
41 A305.2
42
43

RR

8/26/2015 Tjok Mastini

35 TH

15040954 Negara

A306.6

8/26/2015 rabiah lawang

40 TH

15042143 DPS

A102.4

I PUTU
27/08/2015 SURYADIVA ABDI L
DHARMA

13 TH

15033066

KLUNGKUNG

A304.3

27/08/2015

44

45

NI NYOMAN
SUDIASIH

47 TH

15012878

TABANAN

A 105.5

8/28/2015

NYOMAN
WIDADA

40 TH

15041892

KARANGASE
M

A 306.2

8/28/2015

NI MADE
NURASIH

58 TH

15042987

TABANAN

63 TH

15023495

46

47
A 306.5
8/28/2015
48
49
50

NI NYOMAN
MUNEK

STATUS

JAMKESMAS
JKBM

DIAGNOSIS

TINDAKAN

TREPANASI
EDH + CKS
EVAKUASI
CLOT
FR PARASIMFISS
ORIF MINI
MANDIBULA D + ANGULUS PLATE +
MANDIBULA S
ARCH BARR

ASA JENIS ANESTESI

IIIE

GA OTT

II

GA-NTT

CYSTOCPY +
VESIKOLITOTO
MY
II

BPJS

STRIKTUR URETRA + BBB

BPJS

CKR+SDH Kronik R.
Temporoparietal (S) + ICH
Borhole
Temporoparietal (S)
+SAHTemporalis (S)

JANKESMAS

Appendiditis Akut +SLE

JKBM

EDH Bifrontal + CKR+ Fr


Basis Cranii

JKBM
DENPASAR

DM DF WAGNER IV PEDIS
S

BPJS

HISPRUNG DS

POST
COLOSTOMI

Umum

Ckr+SDH Kronik R.
Temporoparietal (D)

Treapanasi
III E GA OTT
Evaluasi Klot

Umum

OKS+SAH+ Fr.

III

G1P0000 3mnggu T/H HIV


St 1 On HAART+PPI
SC CITO

IV E RA-BSA

Post Nefrktomi+ Perforasi


Colos Descenden + Fistel Colostomy
Enterokutan +sepsis

IV E GA OTT

JANKESMAS

RA BSA

IVE GA OTT

Appendictom
II E
y

RA BSA

Trepanasi
+Evakuasi
III E GA OTT
Clot
DEBRIDEMEN III
RA-BSA
T
III

GA-OTT

GA NTT

BPJS

G1P0000 35mnggu
gemeli/H-H/letkepletling=PEB+Impending
Eklampsia +PKI

JKBM

CKR+FR BASIS CRANII+CF


DEBRIDEMEN
Cruris (D) 1/3 tengah + OF
III
T ORIF PS
Metartarsal IV Pedis (D)

GA OTT

BPJS

LABC S

MRM S

II

GA OTT

JKBM

MNT

TOTAL
I
TIROIDEKTOMI

GA OTT

SC CITO

OPEN
PROSTATECTO
MY
II
DEKOMPRESI- II
SABILISASIFUSI

JKBM
BPJS

BPH GR. II
HNP L4-L5

BPJS

MALUNION FR ULNA DISTAL


+ NEGLECTED DRW
DISTRUPTION + CF RADIUS
1/ TENGAH + CF ULNA 1/3
TENGAH

OSTEOCLASIS
+ ORIF PS +
BONEGAFT +
PINNING

APENDIKSITIS AKUT

APPENDICTOM
I

JKBM

III E RA BSA

RA BSA
GA OTT EP

GA-OTT
I
RA-BSA
IE
GA-OTT

BPJS

LABC S

MRM

BPJS

MNT

TOTAL
THYROIDEKTO
MI

BPJS

MNT

JKBM

ORIF PINNING
DEGLOVING WOUND CRURIS + ORIF
D
SCREWING

III

GA-OTT
II

total
I
thyroidektomy

GA OTT

RA-BSA
III E

JKBM

MNT

GA-OTT

TOTAL
TIROIDEKTOMI

I
GA NTT

JKBM

FR SEGMENTAL MANDIBULA ORIF WIRING

JKBM

POST FACIOTOMI EC
ORIF PS +
COMPARTEMENT SYNDROME TUTUP
+ CF TIBIA FIBULA D
FASCIOTOMY

BPJS

DISEKSI KGB
LIMPADENOPATI INGUINAL D INGUINAL D

BPJS

HEMOROID GRD II

BPJS
BPJS

OF Pedis D 1/3 Distal


POST ORIF PS + ORIF TBW
KNEE D + IMMOBILLEZED U
SLAB + PERIIMPLANT FR.
HUMERUS S

IIE
RA BSA
II
RA BSA
I

HEMOROIDEC
II
TOMY
remove ekt
fiksasi, skin
graft
REMOVE
IMPLANT
ULNA +
IMPLANT
HUMERUS +
ORIF PS
HUMERUS

RA BSA

GA OTT
i
II

GA-OTT

II

GA OTT

BPJS

SCHWANNOMA PLEX
BRACHIDS DEXTRA

RESEKSI
TUMOR

JKBM

HIPOSPADIA TIPE PERINEAL

URETROPLAST
Y

BPJS UMUM

HIPOSPADIA MIDSHAFT +
CHURDEE

REKONSTRUK I
SI HIPOSPADIA

GA OTT + CAUDAL

BPJS

SH + ICH

POST EVD

GA OTT

UMUM

G1P000 +T/H + PK 1
(KELUAR AIR) KASEP

SC

GA OTT + CAUDAL

IV

RA BSA

SUSP. CA BULI

CYSTOSCOPY II
+ TUR BULI
STAGING

RA BSA

BPJS

LABC D

BIOPSI + MRM II

GA OTT

JKBM

OF LATERAL CONDYLE
FEMUR D

ORIF
SCREWING + I
DEBRIDEMENT

RA BSA

APPENDISITIS AKUT
UMUM

appendisecto
my
IIE
MRM + LD
FLAP

BPJS

CA MAMAE

JKBM

G2P1001,35-36 mg TH APB ecSC


P Cito

BPJS

SOL cerebri infratentorial + h VP Shunt

BPJS

FR5 HUMERUS S POST


ROTATIONAL POST ORIF PS

AFF IMPLANT

GA LMA

BPJS

LABC S

MRM S

II

GA OTT

UMUM

HIL S REPONIBILIS

HERNIOTOMY
I
+ MESH

RA BSA

JKBM

DM DF WG IV PEDIS D

DEBRIDEMENT
IV
URGENT

RA PNB

JKBM

MNT

TOTAL
TYROIDECTO
MY

II

RA BSA

GA OTT

IIIE RA BSA
III

II

GA OTT

GA OTT + BPSS

DIVISI

REGIMEN ANALGETIK

ANALGETIK

DR. GOLDEN,
SP.BS

B. SARAF

FENTANYL 200 MCG/24JAM IV

DR. MADE SUKA, B. PLASTIK


SP.BP

FENTANYL 300 MCG @8 JAM IV,


KETOLORAC 30 MG @8 JAM IV

DR YUDIANA,
SP.BU

FENATNYL 400 MCG VOL 50 CC


NS KECEPATAN 2,1 CC/JAM,
PARACETAMOL 500MG @6 JAM
PO

URO

B.Saraf

Fentanyl 400mcg/24jam kec


2.1/jam

Bedah

Fentanyl 300 mcg/24jam kec


2.1/jam

Bedah

Fentanyl 400mcg/24 jam kec


21.ml/jam

DR SEMADI SP
BTKV

BTKV

PARACETAMOL 500 MG @ 6
JAM, FENTANIL 400MCG @ 24
JAM,

DR. DJ, SP.BA

B.ANAK

Fentanyl 100 MCG/24 JAM,


METAMIZOLE 250 MG @ 8 JAM

dr Niryani Sp BS B.saraf
dr. Periadijaya
Sp.B

B. Trauma

dr. Artana Sp.oG

dr.wiargita

B.Uro

Fentanly 400cmg/24jam+PCT
1g /8jam
Fentanly 500mcg/24 jam+PCT
3x1 g IV
Fentanyl 300mcg/24 jam kec
2.1ml/jam

Fentanyl 300mcg/24 jam

Fentanyl 300mcg/24jam kec


2.1 ml/jam + PCT 500mg /6jam

Prof Fuwiyoga

Fentanyl 400mcg/24jam kec


2.1/jam

dr .Subawa

B.Orto

DR. STEVEN,
SPB(K)ONK

B. ONKOLOGI

FENTANYL 300 MCG/24 JAM,


KETOROLAC 30 MG@ 8JAM IV

DR. STEVEN,
SPB(K)ONK

B. ONKOLOGI

FENTANYL 400 MCG/24 JAM,


KETOROLAC 30 MG@ 8JAM IV

DR. WN YUDIANA,
SP.U
B. UROLOGI
DR. LANANG,
B. ORTOPEDI
SP.OT

FENTANYL 350 MCG/24JAM IV,


PARACETAMOL 500 MG@ 6JAM PO
FENTANYL 400 MCG/24 JAM,
PARACETAMOL 500 MG@6JAM PO

B. ORTHO

FENTANYL 400MCG/24 JAM


KECEPATAN 2,1CC/JAM,
KETOROLAC 30MG @ 6 JAM,
PARACEAMOL 500 ML @6 JAM

B. GASTRO

FENTANYL 400MCG/24 JAM


KECEPATAN 1CC/JAM,
PARACEAMOL 500 ML @6 JAM

B. ONKO

PARACETAMOL 500MG @6JAM,


MORFIN 10MG, KETAMIN 30MG
DALAN 24 ML KECEPATAN
1ML/JAM

B.ONKO

FENTANYL 300MCG + KETAMIN


50MG DALAM 50ML NS /24 JAM
KECEPATAN 2,1CC/JAM,
PARACEAMOL 500 ML @6 JAM

Onco

ORTOPEDI

Fentanyl 400mcg dalam 50 ml


Nacl/24 jam, ketorolac 30 mg @ 8
jam IV

FENTANYL 300MCG/24 JAM; PCT


500MG @6 JAM

B. ONCO

FENTANYL 400 MCG/24 JAM


1,0CC/JAM; KETOLORAC 30MG @
8JAM

DR SWEDAGATHA B. Trauma

FENTANYL 400 MCG DALAM NACL


0,9% VOL 50ML 2,1 ML/JAM; PCT 1
G @ 8 JAM IV

DR SUBAWA

ORTOPEDI

FENTANYL 350 MCG/24 JAM, KEC.


2,1 ML/JAM; PARASETAMOL 500
MG @ 6 JAM PO

DR WISESA

ONKOLOGI

FENTANYL 400 MCG/24 JAM KEC.


2,1 ML/JAM; KETOROLAC 30 MG @
8 JAM IV

DR MULYAWAN

B. DIGESTIF

DR. SUBAWA

Ortho
ORTO

FENTANYL 300 MCG/24 JAM, KEC.


2,1 ML/JAM; PARASETAMOL 500
MG @ 6 JAM PO
morfin 10 mg/24 jam kec 1.o
ml/jam + PCT 3x1 gr IV, ketorolac
3x 30 mg IV
MORFIN 30 MG/50 ML DIJALANKAN
2 ML/JAM, KETOROLAC 30 MG @ 8
JAM IV, PARACETAMOL 500 MG @
6 JAM PO

DR. TJOK
B.SARAF
MAHADEWA, SP.BS

MORFIN 10 MG/ 20 CC 1,0 CC @


JAM + PARACETAMOL 500 MG @ 6
JAM

DR. GEDE WIRYA


KUSUMA

B.UROLOGI

FENTANYL 100 MCG DLM 24 CC


NS 1 CC @ JAM + PARACETAMOL
250 MG PO

DR. ROY

B.PLASTIK

DR. COK, SP.BS

B.SARAF

FENTANYL 300 MCG @ 24 JAM +


PARACETAMOL 500 MG @ 6 JAM
PO

DR.DR. FAJAR
MANUABA, SP.OG

OBGYN

FENTANYL 400 MCG @24 JAM +


PARACETAMOL 4 X 500 MG PO

FENTANYL 100 MCG @ 24 JAM +


PARACETAMOL SYR CTH I 1/2 @
6JAM PO

DR YUDIANA

UROLOGI

FENTANYL 300 MCH/24 JAM;


PARASETAMOL 500 MG @ 6 JAM
PO

DR SUDARSA

ONKOLOGI

FENTANYL 300 MCG/24 JAM,


KETOROLAC 30 MG @ 8 JAM IV

DR EKA

ORTHO

FENTANYL 400 MCG/24 JAM,


KETOROLAC 30 MG @ 8 JAM IV

MORFIN 10 MCG/KG/MENIT;
KETOROLAC 30 MG @ 8 JAM IV

DR WIARGITA

B. Trauma

DR IB SURYA
WISESA

ONCOLOGI

FENTANYL 400 MC/24 JAM;


KETOROLAC 3 X 30 MG;
PARASETAMOL 4 X 500 MG

Obs

morfin 10 mg/24 jam kec 1


ml/jam + PCT 4 x 500 mg PO

B saraf

Fentanyl 300 mcg/24 jam kec


2.1/jam PCT 4x 500 mg PO

DR. BRAMANTYA

ORTOPEDI

FENTASNYL 300 MCG/24 JAM IV,


PARACETAMOL. 500 MG@ 6JAM PO

DR. WAYAN
SUDIASA,
SPB(K)ONK

ONKOLOGI

FENTANYL 400 MCG/24JAM,


KETOREOLAC 30 MG@ 8JAM IV,
SPB

DR AGUS

B. DIGESTIF

FENTANYL 300 MCG/ 24 JAM; KEC.


2,1 ML/JAM; PARASETAMOL 500
MG @ 6 JAM PO

DR YASA

BTKV

FENTANYL 400 MCG/ 24 JAM; KEC.


2,1 ML/JAM; PARASETAMOL 500
MG @ 6 JAM PO

ONKOLOGI

FENTANYL 300 MCG + KETAMIN


30 MG, VOL 50 ML; KEC. 2,1
ML/JAM; KETOROLAC 30 MG @ 8
IV

KONSULEN RES

ALASAN

UTR

terpakai

SS

FER
terpakai

terpakai
SBG

WBI

IBK

WIM/TRY terpakai

PAS

WIM/SAS terpakai

IBK

WIM /SAS terpakai

TJH

SAW
terpakai

IBK

GUS

terpakai

IBS
IBS

terpakai
LIS/IMA

terpakai

PAS

terpakai

SIN

WIM/OAL/
TAN/TRI/S terpakai
ai

PAS

WIM/OAL/
TAN/TRI/S terpakai
AS

SIN

WIM/OAL/
TAN/ARI/S terpakai
AS

PRAM

YSF

TJH

DAV/WBI

terpakai
terpakai

terpakai
IBS
WIB

UDI
DAR

terpakai

terpakai
SS

SAS

terpakai
GB

WBI

terpakai
GB

terpakai
SS
IBS

YSF
WBI

terpakai

terpakai
SND

terpakai
SS

WBI

terpakai
PRM

SAS

terpakai
UTR

FER

terpakai
WIB
TJH

WBI
IMA

terpakai

terpakai
IBS
WIB

DAR
PAL

terpakai

ALT

terpakai

ALT

terpakai

ALT

terpakai

terpakai

terpakai

SHY

UDI

terpakai
PTK

WBI

terpakai

UTR

terpakai

PNT

terpakai
TRY

terpakai

SS
UTR

terpakai

TUT

terpakai

WID

AYI

terpakai

WID

YSF

terpakai

KADE

AJD

terpakai

THIA

JAY

terpakai

KADE

YSF

terpakai

RUANGAN
A1
A2
A3
PUDAK, JEMPIRING, PICU
LELI
MAWAR
KAMBOJA
BT, BB
CT, CB
MS
NAGASARI, GANDASTURI
BURN
WK
RATNA

KONSULEN
TJH
THIA
PRM
WIB
WID
TJH
PNT
KADE
HRY
UTR
PTK
IBK
SIN
SBG

TANGGAL PCA 1
1 DIPERBAIKI
2 DIPERBAIKI
3 DIPERBAIKI
4 DIPERBAIKI
5 DIPERBAIKI
6 DIPERBAIKI
7 LOKER
8 LOKER
9 LOKER
10 LOKER
11 LOKER
12 LOKER
13 LOKER
14 LOKER
15 LOKER
16 LOKER
17 LOKER
18 LOKER
19 LOKER
20 LOKER
21 LOKER
22 LOKER
23 LOKER
24 LOKER
25 LOKER
26 MHT
27 MHT
28 MHT
29 MHT
30 LOKER
31 LOKER

PCA 2
LOKER
LOKER
flamboyan
flamboyan
flamboyan
flamboyan
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING
JEMPIRING

105
105
105
105

PCA 3
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 4
ANGGREK
ANGGREK
ANGGREK
ANGGREK
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 5
ANGGREK
ANGGREK
ANGGREK
ANGGREK
LOKER
LOKER
LOKER
wk
wk
wk
wk
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 6
Nusa Indah
Nusa Indah
Nusa Indah
Nusa Indah
Nusa Indah
Nusa Indah
Nusa Indah
RTI
RTI
RTI
RTI
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
BB
BB
BB
BB
MHT
MHT

PCA 7
IGD
IGD
LOKER
LOKER
LOKER
LOKER
LOKER
flamboyan 105
flamboyan 105
flamboyan 105
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 8
IGD
IGD
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 9
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 10
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

PCA 11
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER
LOKER

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