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RUMAH SAKIT DUTA INDAH

Jl Teluk Gong Raya No 12


Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

1 05/01/2018 Baru RI20180501-0001 01-01-54-93 P / 28 05/04/2018 LT005 dr. Johny Setio, Sp.OG
HENISA GUSTIA II (508 A),
06 (523-C) OBSTETRI DAN GINEKOLOGI

2 05/01/2018 Baru RI20180501-0003 01-02-29-63 P/0 05/04/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY HENISA GUSTIA
ANAK

3 05/01/2018 Baru RI20180501-0004 01-01-70-42 P / 33 05/04/2018 LT005 dr. Johny Setio, Sp.OG
ACIH RUSTINI
OBSTETRI DAN GINEKOLOGI

4 05/01/2018 Baru RI20180501-0005 01-02-29-65 P / 57 05/02/2018 LT005 dr. Martin Winardi, Sp.PD
PHOEY GIOK LIE II (528-B),
05 (528-A) PENYAKIT DALAM

5 05/01/2018 Baru RI20180501-0006 01-02-29-67 P / 35 05/04/2018 LT005 dr. Johny Setio, Sp.OG
LANJAR ARNI LESTARI
OBSTETRI DAN GINEKOLOGI

6 05/01/2018 Baru RI20180501-0007 01-02-29-69 P / 25 05/04/2018 LT005 dr. Johny Setio, Sp.OG
RETIH II (512-A),
05 (510-B) OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

7 05/01/2018 Baru RI20180501-0008 01-02-29-72 L/0 05/04/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY ACIH RUSTINI
ANAK

8 05/01/2018 Baru RI20180501-0009 01-02-29-73 P/0 05/04/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY LANJAR ARNI LESTARI RUANG BAYI (201-
C), ANAK
10 (PERI001-B)

9 05/01/2018 Baru RI20180502-0002 01-02-29-75 L/0 05/03/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY RETIH
ANAK

10 05/02/2018 Lama RI20180502-0001 01-01-58-83 P / 33 05/04/2018 LT005 dr. Johny Setio, Sp.OG
KARLAYANA
OBSTETRI DAN GINEKOLOGI

11 05/02/2018 Baru RI20180502-0004 01-01-99-14 L/6 05/04/2018 LT005 dr. Juliawaty Salim, Sp. A
MOCH. FAHRIE UBAIDILLAH
ANAK

12 05/02/2018 Baru RI20180502-0005 01-02-29-84 L/0 05/04/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY KARLAYANA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

13 05/02/2018 Baru RI20180502-0006 01-02-29-27 L / 46 05/03/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SAMSUL BAHRI
BEDAH

14 05/02/2018 Baru RI20180502-0007 01-02-29-90 P / 39 05/04/2018 LT005 dr. Johny Setio, Sp.OG
RUMIYATI
OBSTETRI DAN GINEKOLOGI

15 05/02/2018 Baru RI20180502-0008 01-02-26-42 P / 26 05/03/2018 LT005 dr. Johny Setio, Sp.OG
PURWATI
OBSTETRI DAN GINEKOLOGI

16 05/02/2018 Baru RI20180502-0009 01-02-29-92 P/1 05/04/2018 LT005 dr. Juliawaty Salim, Sp. A
AINAYA FATHEYATURAHMA
ANAK
17 05/02/2018 Lama RI20180502-0010 01-02-27-71 L/0 05/05/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY RIA JUNIWATI
ANAK

18 05/02/2018 Lama RI20180502-0013 01-02-27-96 L/0 05/04/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY ADMINI
ANAK

19 05/02/2018 Baru RI20180502-0014 01-02-29-97 L/3 05/06/2018 LT005 dr. Juliawaty Salim, Sp. A
NUFAIL FAWAS ASANI
ANAK

20 05/02/2018 Baru RI20180502-0015 01-02-29-99 P/0 05/04/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY RUMIYATI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

21 05/02/2018 Baru RI20180502-0016 00-00-85-21 P / 37 05/06/2018 LT005 dr. Tities, Sp.PD


LIAWATI
PENYAKIT DALAM

22 05/02/2018 Baru RI20180502-0017 01-02-30-02 P / 36 05/03/2018 LT005 dr. Johny Setio, Sp.OG
MAINAH
OBSTETRI DAN GINEKOLOGI

23 05/02/2018 Baru RI20180502-0018 01-02-30-00 P / 49 05/08/2018 LT005 dr. Andre, Sp.S


SANTI HARNOKO
SYARAF

24 05/02/2018 Baru RI20180502-0019 01-02-30-05 L / 48 05/08/2018 LT005 dr. Tjhin Sun Fu, Sp.B
MULYADI ICU (90902-01),
III (521-B), BEDAH
ICU (90901-01),
06 (521-D)

25 05/02/2018 Baru RI20180502-0020 01-02-30-08 P / 19 05/03/2018 LT005 dr. Tities, Sp.PD


EVA NOVITA SARI
PENYAKIT DALAM

26 05/02/2018 Baru RI20180502-0021 00-00-17-05 L / 27 05/05/2018 LT005 dr. Tities, Sp.PD


FURQON HIDAYAT
PENYAKIT DALAM

27 05/03/2018 Baru RI20180503-0001 01-02-30-09 P / 33 05/04/2018 LT005 dr. Johny Setio, Sp.OG
WULANDARI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

28 05/03/2018 Baru RI20180503-0002 01-02-30-11 P/0 05/04/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY WULANDARI
ANAK

29 05/03/2018 Baru RI20180503-0003 01-02-30-12 L / 27 05/05/2018 LT005 dr. Tjhin Sun Fu, Sp.B
MUHAMAD NURBIN
BEDAH

30 05/03/2018 Baru RI20180503-0004 01-02-30-15 P / 37 05/06/2018 LT005 dr. Johny Setio, Sp.OG
SRI MULYAHATI
OBSTETRI DAN GINEKOLOGI

31 05/03/2018 Baru RI20180503-0005 01-02-30-16 P / 28 05/05/2018 LT005 dr. Johny Setio, Sp.OG
WINDA
OBSTETRI DAN GINEKOLOGI

32 05/03/2018 Baru RI20180503-0006 01-02-09-63 P / 43 05/05/2018 LT005 dr. Johny Setio, Sp.OG
YULIATI
OBSTETRI DAN GINEKOLOGI

33 05/03/2018 Baru RI20180503-0008 01-01-31-79 P / 37 05/05/2018 LT005 dr. Johny Setio, Sp.OG
SIANNY
OBSTETRI DAN GINEKOLOGI

34 05/03/2018 Baru RI20180503-0009 01-02-15-11 L / 62 05/05/2018 LT005 dr. Tities, Sp.PD


SUKARDI BIN KARSAN
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

35 05/03/2018 Baru RI20180503-0010 01-02-00-68 P / 35 05/05/2018 LT005 dr. Johny Setio, Sp.OG
DIANA TANIAPA
OBSTETRI DAN GINEKOLOGI

36 05/03/2018 Baru RI20180503-0011 01-02-30-32 P / 44 05/05/2018 LT005 dr. Martin Winardi, Sp.PD
SARWI
PENYAKIT DALAM

37 05/03/2018 Lama RI20180503-0012 01-02-27-17 P / 27 05/05/2018 LT005 dr. Johny Setio, Sp.OG
JULITA LONDAH II (508 A),
OBSTETRI DAN GINEKOLOGI
04 (599-G)

38 05/03/2018 Baru RI20180503-0013 01-02-30-43 L/0 05/05/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY WINDA
ANAK

39 05/03/2018 Baru RI20180503-0014 01-02-30-42 P/7 05/07/2018 LT005 dr. Juliawaty Salim, Sp. A
ERLIN SURYA KENCANA
ANAK

40 05/03/2018 Baru RI20180503-0015 01-02-30-47 L/0 05/07/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY SRI MULYAHATI RUANG BAYI (201-
J), ANAK
10 (PERI001-A)

41 05/03/2018 Lama RI20180503-0016 00-00-58-12 P/2 05/07/2018 LT005 dr. Juliawaty Salim, Sp. A
RAQUEENZHA AGUSTINA
PUTRI ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

42 05/03/2018 Baru RI20180503-0017 01-02-30-51 P/0 05/05/2018 ZZ088 dr. Juliawaty Salim, Sp. A
GRACELLA LOVELY
ANAK

43 05/03/2018 Baru RI20180503-0018 01-02-30-53 L/0 05/05/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY DIANA TANIAPA
ANAK

44 05/03/2018 Baru RI20180503-0019 01-02-30-52 P / 24 05/05/2018 LT005 dr. Johny Setio, Sp.OG
LUSIANAH
OBSTETRI DAN GINEKOLOGI

45 05/03/2018 Baru RI20180503-0020 01-02-30-33 L/1 05/06/2018 LT005 dr. Juliawaty Salim, Sp. A
FAUZAN PUTRA WIJAYA
ANAK

46 05/04/2018 Baru RI20180504-0001 01-02-30-54 L / 58 05/08/2018 LT005 dr. Martin Winardi, Sp.PD
DOBLE
PENYAKIT DALAM

47 05/04/2018 Baru RI20180504-0002 01-02-30-55 P / 20 05/05/2018 LT005 dr. Johny Setio, Sp.OG
MELA SARI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

48 05/04/2018 Baru RI20180504-0003 01-02-30-56 L/0 05/07/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY MELA SARI RUANG BAYI (201-
D), ANAK
10 (PERI001-C)

49 05/04/2018 Baru RI20180504-0004 01-02-25-76 L / 48 05/05/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SUHERDI
BEDAH

50 05/04/2018 Baru RI20180504-0005 01-02-30-57 P / 32 05/06/2018 LT005 dr. Johny Setio, Sp.OG
NOVI ANDARI
OBSTETRI DAN GINEKOLOGI

51 05/04/2018 Baru RI20180504-0006 01-01-50-85 P / 74 05/07/2018 LT005 dr. Johny Setio, Sp.OG
LIE MOEI LIAN
OBSTETRI DAN GINEKOLOGI

52 05/04/2018 Baru RI20180504-0007 01-02-30-60 P / 38 05/06/2018 LT005 dr. Johny Setio, Sp.OG
AISAH III (523-A),
II (508 A), OBSTETRI DAN GINEKOLOGI
05 (512-B)

53 05/04/2018 Lama RI20180504-0008 01-01-80-73 P/1 05/07/2018 LT005 dr. Juliawaty Salim, Sp. A
ALULA RAMADHANI AZZAHRA I (599-B),
ICU (90901-01), ANAK
06 (526-C)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

54 05/04/2018 Baru RI20180504-0009 01-02-30-77 P/0 05/06/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY NOVI ANDARI
ANAK

55 05/04/2018 Baru RI20180504-0010 01-02-30-74 P / 36 05/06/2018 LT005 dr. Johny Setio, Sp.OG
ASNAWATI
OBSTETRI DAN GINEKOLOGI

56 05/04/2018 Baru RI20180504-0011 01-02-30-71 L / 18 05/09/2018 LT005 dr. Tities, Sp.PD


NUR KOLIES
PENYAKIT DALAM

57 05/04/2018 Baru RI20180504-0012 01-02-30-79 L / 23 05/08/2018 LT005 dr. Tities, Sp.PD


DEWA PUTU DARMAYASA
PENYAKIT DALAM

58 05/04/2018 Baru RI20180504-0013 01-02-30-73 L / 82 05/07/2018 LT005 dr. Tjhin Sun Fu, Sp.B
JONG TSE TJHONG
BEDAH

59 05/04/2018 Baru RI20180504-0014 01-02-30-81 P / 23 05/06/2018 LT005 dr. Johny Setio, Sp.OG
INNE MEI DWIJAYANTI
OBSTETRI DAN GINEKOLOGI

60 05/04/2018 Baru RI20180504-0015 01-02-30-83 P/0 05/06/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY AISAH
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

61 05/04/2018 Baru RI20180504-0016 01-02-30-84 L/0 05/10/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY ASNAWATI
ANAK

62 05/04/2018 Baru RI20180504-0017 01-02-30-78 P/2 05/07/2018 LT005 dr. Juliawaty Salim, Sp. A
NAZWA KALEA SUGIANTO
ANAK
63 05/04/2018 Baru RI20180504-0018 01-02-30-75 P / 43 05/10/2018 LT005 dr. Tities, Sp.PD
OEY AMELIA SUSANTI
PENYAKIT DALAM

64 05/04/2018 Baru RI20180504-0019 01-02-30-76 P / 11 05/10/2018 LT005 dr. Juliawaty Salim, Sp. A
ANGGY PRATIWI I (599-K),
06 (526-B) ANAK

65 05/04/2018 Baru RI20180504-0020 01-01-52-98 P / 35 05/07/2018 LT005 dr. Johny Setio, Sp.OG
NURBAETI I (507),
VIP (503), OBSTETRI DAN GINEKOLOGI
02 (505)

66 05/04/2018 Baru RI20180504-0021 01-02-30-88 L / 32 05/08/2018 LT005 dr. Andre, Sp.S


ANDY
SYARAF

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

67 05/05/2018 Baru RI20180505-0001 01-02-30-93 P / 21 05/05/2018 LT005 dr. Tities, Sp.PD


LELA NURJANAH
PENYAKIT DALAM

68 05/05/2018 Baru RI20180505-0002 01-02-30-69 P / 46 05/06/2018 LT005 dr. Johny Setio, Sp.OG
KUWATI
OBSTETRI DAN GINEKOLOGI

69 05/05/2018 Baru RI20180505-0003 01-02-30-96 P / 38 05/06/2018 LT005 dr. Johny Setio, Sp.OG
RUSMINI I (525),
05 (509-A) OBSTETRI DAN GINEKOLOGI

70 05/05/2018 Baru RI20180505-0004 01-02-30-97 L/3 05/07/2018 LT005 dr. Juliawaty Salim, Sp. A
ANDHIKA PRATAMA
SYAHPUTRA ANAK
71 05/05/2018 Baru RI20180505-0005 01-02-31-06 P / 38 05/06/2018 LT005 dr. Johny Setio, Sp.OG
SITI MARIAM
OBSTETRI DAN GINEKOLOGI

72 05/05/2018 Baru RI20180505-0006 00-00-81-05 P / 38 05/09/2018 LT005 dr. Johny Setio, Sp.OG
JULIATY II (510-B),
05 (510-A) OBSTETRI DAN GINEKOLOGI

73 05/05/2018 Baru RI20180505-0007 01-02-31-07 P / 22 05/07/2018 LT005 dr. Johny Setio, Sp.OG
DIAH AMBARWATI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

74 05/05/2018 Baru RI20180505-0008 01-02-30-27 P / 26 05/08/2018 LT005 dr. Johny Setio, Sp.OG
RIZKA JULIANTI
OBSTETRI DAN GINEKOLOGI

75 05/05/2018 Baru RI20180505-0009 01-02-31-08 L/0 05/07/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY DIAH AMBARWATI
ANAK

76 05/05/2018 Baru RI20180505-0010 01-02-31-12 P/0 05/07/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY NURBAETI
ANAK

77 05/05/2018 Baru RI20180505-0011 01-02-31-17 P/0 05/09/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY JULIATY
ANAK

78 05/05/2018 Baru RI20180505-0012 01-02-31-23 P / 11 05/09/2018 LT005 dr. Juliawaty Salim, Sp. A
RISMA FEBRIANTY III (526-B),
05 (528-A) ANAK

79 05/06/2018 Baru RI20180506-0001 01-01-12-20 P / 21 05/08/2018 LT005 dr. Johny Setio, Sp.OG
ANGGREK MARIANAH
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

80 05/06/2018 Baru RI20180506-0002 01-02-31-26 P / 62 05/10/2018 LT005 dr. Martin Winardi, Sp.PD
AAM III (522-B),
ICU (90902-01), PENYAKIT DALAM
III (522-E),
I (598-A),
06 (522-B)

81 05/06/2018 Baru RI20180506-0003 01-02-31-27 P / 62 05/12/2018 LT005 dr. Martin Winardi, Sp.PD
KARYATI III (522-D),
III (522-C), PENYAKIT DALAM
04 (518)

82 05/06/2018 Baru RI20180506-0004 01-02-31-29 L/0 05/08/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY ANGGREK MARIANAH
ANAK

83 05/06/2018 Baru RI20180506-0005 01-02-31-31 L/0 05/08/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY RIZKA JULIANTI
ANAK

84 05/06/2018 Baru RI20180506-0006 01-02-31-35 P / 23 05/08/2018 LT005 dr. Johny Setio, Sp.OG
SARAH SHAHNAZ
OBSTETRI DAN GINEKOLOGI

85 05/06/2018 Baru RI20180506-0007 01-02-31-39 L / 49 05/10/2018 LT005 dr. Tities, Sp.PD


PRANIKO SIPAYUNG III (521-C),
PENYAKIT DALAM
III (521-D),
06 (521-E)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

86 05/06/2018 Baru RI20180506-0008 01-02-31-40 L / 65 05/12/2018 LT005 dr. Tities, Sp.PD


DURACHMAN III (521-E),
06 (521-C) PENYAKIT DALAM

87 05/06/2018 Baru RI20180506-0009 01-02-31-42 P / 79 05/09/2018 LT005 dr. Tities, Sp.PD


ROSLINDA III (522-B),
06 (522-D) PENYAKIT DALAM

88 05/06/2018 Baru RI20180506-0010 01-02-31-46 L / 14 05/09/2018 LT005 dr. Juliawaty Salim, Sp. A
RISKI SETIAWAN
ANAK

89 05/06/2018 Baru RI20180506-0011 01-02-31-47 P / 75 05/10/2018 LT005 dr. Tities, Sp.PD


ASMANI III (522-D),
06 (522-E) PENYAKIT DALAM

90 05/07/2018 Baru RI20180507-0001 01-02-05-30 P / 32 05/09/2018 LT005 dr. Johny Setio, Sp.OG
NOVI RIBKA III (523-D),
05 (508 A) OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

91 05/07/2018 Baru RI20180507-0002 01-02-30-70 P / 33 05/09/2018 LT005 dr. Tjhin Sun Fu, Sp.B
NUR JANAH III (522-E),
I (598-A), BEDAH
I (599-E),
05 (509 B)

92 05/07/2018 Baru RI20180507-0003 01-02-31-66 P / 29 05/08/2018 LT005 dr. Johny Setio, Sp.OG
IKA YULIANTI
OBSTETRI DAN GINEKOLOGI

93 05/07/2018 Baru RI20180507-0004 01-02-31-78 P / 12 05/10/2018 LT005 dr. Tjhin Sun Fu, Sp.B
FITRI ARILA ZAHRA I (599-D),
06 (526-A) BEDAH

94 05/07/2018 Baru RI20180507-0005 01-02-31-85 P/1 05/10/2018 LT005 dr. Juliawaty Salim, Sp. A
SHAFFA SHIDQIYYAH I (599-L),
06 (526-D) ANAK

95 05/07/2018 Baru RI20180507-0006 01-02-31-87 L/0 05/08/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY IKA YULIANTI
ANAK

96 05/07/2018 Baru RI20180507-0007 01-02-31-90 L / 11 05/09/2018 LT005 dr. Juliawaty Salim, Sp. A
ADAM KHAIRY YASHA I (516),
04 (517) ANAK

97 05/07/2018 Baru RI20180507-0008 01-02-31-92 P / 22 05/09/2018 LT005 dr. Johny Setio, Sp.OG
RAHMAWATI I (599-A),
06 (523-A) OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

98 05/07/2018 Baru RI20180507-0009 01-02-32-01 P/0 05/09/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY RAHMAWATI
ANAK

99 05/07/2018 Baru RI20180507-0010 01-02-31-99 P / 17 05/11/2018 LT005 dr. Juliawaty Salim, Sp. A
POPY FEBRIYANTI
ANAK

100 05/07/2018 Lama RI20180507-0011 01-02-28-32 P/0 05/11/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY SARIPAH
ANAK

101 05/07/2018 Lama RI20180507-0012 01-02-28-52 L/0 05/10/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY ISWATI
ANAK

102 05/07/2018 Baru RI20180507-0013 01-02-32-03 L/0 05/09/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY NOVI RIBKA
ANAK

103 05/07/2018 Baru RI20180507-0014 01-02-32-04 P / 30 05/10/2018 LT005 dr. Johny Setio, Sp.OG
MAESAROH III (523-A),
III (523-D), OBSTETRI DAN GINEKOLOGI
06 (523-A)

104 05/07/2018 Baru RI20180507-0015 01-02-32-05 P / 33 05/09/2018 LT005 dr. Johny Setio, Sp.OG
DARMIYATI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

105 05/07/2018 Lama RI20180507-0016 01-02-19-74 L / 30 05/11/2018 LT005 dr. Tities, Sp.PD
SANDI HERMAWAN I (516),
06 (521-B) PENYAKIT DALAM

106 05/07/2018 Baru RI20180508-0001 01-02-32-06 L/0 05/09/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY DARMIYATI
ANAK

107 05/08/2018 Baru RI20180508-0002 01-02-32-07 P/0 05/10/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY MAESAROH
ANAK

108 05/08/2018 Baru RI20180508-0003 01-02-29-32 L / 80 05/09/2018 LT005 dr. Tjhin Sun Fu, Sp.B
KIMIN SUDIN
BEDAH

109 05/08/2018 Baru RI20180508-0004 01-02-32-15 L / 87 05/18/2018 ZZ089 dr. Martin Winardi, Sp.PD
SAMPARA III (521-A),
II (512-B), PENYAKIT DALAM
II (512-A),
ICU (90901-01),
I (598-A),
ICU (90901-01),
III (521-D),
07 (90901-01)

110 05/08/2018 Baru RI20180508-0005 01-02-32-18 P / 44 05/09/2018 LT005 dr. Tjhin Sun Fu, Sp.B
YUYUN I (599-F),
06 (522-C) BEDAH

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

111 05/08/2018 Baru RI20180508-0006 01-02-32-29 L / 35 05/11/2018 LT005 dr. Martin Winardi, Sp.PD
AGUNG WAHYUDI
PENYAKIT DALAM

112 05/08/2018 Lama RI20180508-0007 01-02-24-52 P / 35 05/10/2018 LT005 dr. Johny Setio, Sp.OG
TRI PARJIATI
OBSTETRI DAN GINEKOLOGI

113 05/09/2018 Lama RI20180509-0001 01-02-17-71 P / 18 05/12/2018 LT005 dr. Johny Setio, Sp.OG
IRA RISMALA CAHYANI
OBSTETRI DAN GINEKOLOGI

114 05/09/2018 Baru RI20180509-0002 01-02-32-31 P/7 05/10/2018 LT005 dr. James Widjaja, Sp.A
ALFIANI ANGELA ANGGRAENI II (527-B),
II (528-B), ANAK
06 (526-B)

115 05/09/2018 Baru RI20180509-0003 00-00-62-55 P / 39 05/10/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SRI UTAMI
BEDAH

116 05/09/2018 Baru RI20180509-0004 01-02-32-42 L/0 05/11/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY IRA RISMALACAHYANI
ANAK

117 05/09/2018 Baru RI20180509-0005 01-02-07-15 P / 32 05/12/2018 LT005 dr. Johny Setio, Sp.OG
RAHMI ISRIANA
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

118 05/09/2018 Baru RI20180509-0006 01-02-32-39 P / 25 05/12/2018 LT005 dr. Johny Setio, Sp.OG
GITA SEPTIANINGSIH
OBSTETRI DAN GINEKOLOGI

119 05/09/2018 Baru RI20180509-0007 01-02-32-37 L / 44 05/12/2018 LT005 dr. Tities, Sp.PD
SUTRISNO
PENYAKIT DALAM

120 05/09/2018 Baru RI20180509-0008 01-02-32-50 L/0 05/11/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY GITA SEPTIANINGSIH
ANAK

121 05/09/2018 Baru RI20180509-0009 01-02-32-48 P/7 05/12/2018 LT005 dr. Juliawaty Salim, Sp. A
FENITA ZAHRA
ANAK

122 05/09/2018 Baru RI20180509-0010 01-02-32-54 L / 20 05/12/2018 LT005 dr. Tities, Sp.PD
BOBBY JEREMIA
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

123 05/09/2018 Baru RI20180509-0011 01-02-32-41 P/1 05/12/2018 LT005 dr. Juliawaty Salim, Sp. A
SYAQILLA AURELIANA
ANAK

124 05/09/2018 Baru RI20180509-0012 01-02-32-51 P / 21 05/13/2018 LT005 dr. Tities, Sp.PD
FUJI LESTARI
PENYAKIT DALAM

125 05/09/2018 Baru RI20180509-0013 01-02-32-59 P/0 05/11/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY RAHMI ISRIANA
ANAK

126 05/09/2018 Lama RI20180509-0014 01-01-03-36 L/2 05/13/2018 LT005 dr. Juliawaty Salim, Sp. A
MUHAMMAD RAYFIAN ABQARY
ANAK

127 05/09/2018 Baru RI20180509-0015 01-02-32-61 L / 23 05/13/2018 LT005 dr. Tities, Sp.PD
MUHTADIN SUHADI
PENYAKIT DALAM

128 05/09/2018 Baru RI20180509-0016 01-02-32-69 P / 23 05/12/2018 LT005 dr. Johny Setio, Sp.OG
NURHASANAH
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

129 05/10/2018 Baru RI20180510-0001 01-02-16-23 P / 35 05/12/2018 LT005 dr. Johny Setio, Sp.OG
KUSRIASIH
OBSTETRI DAN GINEKOLOGI

130 05/10/2018 Baru RI20180510-0002 01-02-32-72 P / 26 05/12/2018 LT005 dr. Johny Setio, Sp.OG
YUNI HASANAH
OBSTETRI DAN GINEKOLOGI

131 05/10/2018 Lama RI20180510-0003 01-02-13-48 P / 34 05/13/2018 LT005 dr. Tities, Sp.PD
SITI RUKANI
PENYAKIT DALAM

132 05/10/2018 Baru RI20180510-0004 01-02-32-73 P / 32 05/12/2018 LT005 dr. Johny Setio, Sp.OG
DWI PUTRI RAMADHANY
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

133 05/10/2018 Baru RI20180510-0005 01-02-32-74 L/0 05/12/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY YUNI HASANAH
ANAK

134 05/10/2018 Baru RI20180510-0006 01-02-32-75 P / 23 05/12/2018 LT005 dr. Johny Setio, Sp.OG
INDRI RAHMAWATI
OBSTETRI DAN GINEKOLOGI

135 05/10/2018 Baru RI20180510-0007 01-02-32-79 L/0 05/12/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY KUSRIASIH
ANAK

136 05/10/2018 Baru RI20180510-0008 01-02-32-80 L/0 05/12/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY INDRI RAHMAWATI
ANAK

137 05/10/2018 Baru RI20180510-0009 01-02-32-81 L/0 05/12/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY DWI PUTRI
RAMADHANY ANAK

138 05/10/2018 Baru RI20180510-0010 01-02-31-09 P / 30 05/13/2018 LT005 dr. Johny Setio, Sp.OG
SITI SUNDARIH
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

139 05/10/2018 Baru RI20180510-0011 01-02-32-87 P / 48 05/12/2018 LT005 dr. Martin Winardi, Sp.PD
NURHAYATI
PENYAKIT DALAM

140 05/10/2018 Baru RI20180510-0012 01-02-32-84 L / 23 05/13/2018 LT005 dr. Martin Winardi, Sp.PD
MUHAMMAD IQBAL
PENYAKIT DALAM

141 05/10/2018 Baru RI20180510-0013 01-02-32-88 P / 49 05/15/2018 LT005 dr. Martin Winardi, Sp.PD
HAPSAH
PENYAKIT DALAM

142 05/10/2018 Baru RI20180510-0014 01-02-32-91 L/1 05/11/2018 LT005 dr. Juliawaty Salim, Sp. A
ALFARIEL PRADANA PUTRA
ANAK
143 05/10/2018 Baru RI20180510-0015 01-02-30-48 L / 12 05/13/2018 LT005 dr. Juliawaty Salim, Sp. A
DAFFA DWI SAPTA
ANAK

144 05/10/2018 Baru RI20180510-0016 01-02-32-93 L/5 05/11/2018 LT005 dr. Juliawaty Salim, Sp. A
JET LIE WIJAYA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

145 05/11/2018 Baru RI20180510-0017 01-02-20-35 P / 42 05/13/2018 LT005 dr. Johny Setio, Sp.OG
MURNITI
OBSTETRI DAN GINEKOLOGI

146 05/11/2018 Baru RI20180511-0001 01-02-32-94 L / 19 05/12/2018 ZZ089 dr. Martin Winardi, Sp.PD
DEDE ARDIANSYAH I (599-H),
PENYAKIT DALAM
07 (90901-01)

147 05/11/2018 Baru RI20180511-0002 01-02-32-96 P / 40 05/12/2018 LT005 dr. Johny Setio, Sp.OG
ROHNENGSIH
OBSTETRI DAN GINEKOLOGI

148 05/11/2018 Lama RI20180511-0003 00-00-62-07 P / 58 05/13/2018 LT005 dr. Tities, Sp.PD
ANITA NYOTO
PENYAKIT DALAM

149 05/11/2018 Baru RI20180511-0004 01-02-33-02 L/0 05/13/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY SITI SUNDARIH
ANAK

150 05/11/2018 Baru RI20180511-0005 01-02-24-66 P / 29 05/12/2018 LT005 dr. Johny Setio, Sp.OG
MEY DAYANTI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

151 05/11/2018 Baru RI20180511-0006 01-02-33-08 L/0 05/15/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY MURNITI
ANAK

152 05/11/2018 Baru RI20180511-0007 01-02-33-10 P / 33 05/14/2018 LT005 dr. Tities, Sp.PD
RUSPIATIN I (599-G),
PENYAKIT DALAM
05 (527-A)

153 05/11/2018 Baru RI20180511-0008 01-02-33-18 P / 66 05/14/2018 LT005 dr. Andre, Sp.S
NAMI
SYARAF

154 05/11/2018 Baru RI20180511-0009 01-02-33-09 P / 32 05/15/2018 LT005 dr. Johny Setio, Sp.OG
HINDARTI
OBSTETRI DAN GINEKOLOGI

155 05/11/2018 Lama RI20180511-0010 01-02-01-97 P / 25 05/13/2018 LT005 dr. Tities, Sp.PD
WITA PUTRI
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

156 05/11/2018 Baru RI20180511-0011 01-02-33-19 L / 48 05/19/2018 LT005 dr. Tities, Sp.PD
ARMIN BIN ARTAMAN
PENYAKIT DALAM

157 05/11/2018 Baru RI20180511-0012 01-02-33-22 P/8 05/14/2018 LT005 dr. James Widjaja, Sp.A
MAULIDYA NAELA SUWITO
ANAK
158 05/11/2018 Baru RI20180511-0013 01-02-33-21 P / 33 05/12/2018 LT005 dr. Johny Setio, Sp.OG
SRI DARYATI
OBSTETRI DAN GINEKOLOGI

159 05/11/2018 Baru RI20180511-0014 01-02-33-27 L / 52 05/16/2018 LT005 dr. Tities, Sp.PD
ZAINI
PENYAKIT DALAM

160 05/11/2018 Baru RI20180512-0001 01-02-33-28 P / 56 05/14/2018 LT005 dr. Tities, Sp.PD
ZAWARNI I (599-H),
PENYAKIT DALAM
06 (522-E)

161 05/12/2018 Baru RI20180512-0002 01-02-33-30 P / 42 05/14/2018 LT005 dr. Johny Setio, Sp.OG
EVI NURHAYATI I (599-I),
05 (508 A) OBSTETRI DAN GINEKOLOGI

162 05/12/2018 Baru RI20180512-0003 01-02-33-31 L / 35 05/13/2018 LT005 dr. Johny Setio, Sp.OG
LINA
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

163 05/12/2018 Baru RI20180512-0004 01-02-33-32 P / 40 05/15/2018 LT005 dr. Johny Setio, Sp.OG
SUWARSIH I (599-K),
I (525), OBSTETRI DAN GINEKOLOGI
04 (507)

164 05/12/2018 Baru RI20180512-0005 01-02-33-40 P/0 05/15/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY SUWARSIH
ANAK

165 05/12/2018 Baru RI20180512-0006 01-02-33-41 P/0 05/15/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY EVI NURHAYATI PERINATOLOGI
(PERI001-A), ANAK
RUANG BAYI (201-
F),
10 (PERI001-E)

166 05/12/2018 Baru RI20180512-0007 01-02-33-42 L/0 05/13/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY LINA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

167 05/12/2018 Lama RI20180512-0008 01-02-31-31 L/0 05/14/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY RIZKA JULIANTI
ANAK

168 05/12/2018 Baru RI20180512-0009 01-02-33-48 P / 52 05/14/2018 LT005 dr. Martin Winardi, Sp.PD
NYAI ROHAYATI ICU (90902-01),
I (599-D), PENYAKIT DALAM
06 (522-C)

169 05/12/2018 Baru RI20180512-0010 01-02-33-25 P / 44 05/13/2018 LT005 dr. Johny Setio, Sp.OG
RITA SURYANI
OBSTETRI DAN GINEKOLOGI

170 05/12/2018 Baru RI20180512-0011 01-02-33-16 P / 40 05/13/2018 LT005 dr. Johny Setio, Sp.OG

DARTI
OBSTETRI DAN GINEKOLOGI

171 05/12/2018 Baru RI20180512-0012 01-02-33-50 P / 27 05/13/2018 LT005 dr. Martin Winardi, Sp.PD
SUCI RAHAYU
PENYAKIT DALAM

172 05/12/2018 Baru RI20180512-0013 01-02-33-52 P / 26 05/15/2018 LT005 dr. Johny Setio, Sp.OG
ISTIQOMAH
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

173 05/12/2018 Baru RI20180512-0014 01-02-33-53 P/0 05/15/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY ISTIQOMAH
ANAK

174 05/13/2018 Baru RI20180513-0001 01-02-25-86 P / 23 05/16/2018 LT005 dr. Johny Setio, Sp.OG
KARTIKA SALPIANI
OBSTETRI DAN GINEKOLOGI

175 05/13/2018 Baru RI20180513-0002 00-00-81-71 P / 52 05/16/2018 LT005 dr. Martin Winardi, Sp.PD
TJHANG SIAK HA(ERNI
SUSANTI) PENYAKIT DALAM
176 05/13/2018 Lama RI20180513-0003 01-02-32-81 L/0 05/16/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY DWI PUTRI
RAMADHANY ANAK

177 05/13/2018 Baru RI20180513-0004 01-02-33-62 P/0 05/16/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY KARTIKA SALPIANI
ANAK

178 05/13/2018 Baru RI20180513-0005 01-02-33-64 L / 43 05/15/2018 LT005 dr. Martin Winardi, Sp.PD
ADE BIN JOHO
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

179 05/13/2018 Baru RI20180513-0006 01-02-32-25 L / 62 05/16/2018 LT005 dr. Martin Winardi, Sp.PD
ANG OK BIE
PENYAKIT DALAM

180 05/13/2018 Baru RI20180513-0007 01-02-33-65 L / 19 05/15/2018 LT005 dr. Martin Winardi, Sp.PD
ADAM ADNAN HAKIM
PENYAKIT DALAM

181 05/13/2018 Baru RI20180513-0008 01-02-33-66 P / 48 05/17/2018 LT005 dr. Andre, Sp.S
JAMINTEN III (522-B),
06 (522-A) SYARAF

182 05/13/2018 Baru RI20180513-0009 01-02-33-67 L / 27 05/15/2018 LT005 dr. Martin Winardi, Sp.PD
ANDRIYANI
PENYAKIT DALAM

183 05/14/2018 Baru RI20180514-0001 01-02-32-32 L / 56 05/15/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SARBI
BEDAH

184 05/14/2018 Baru RI20180514-0002 01-02-32-13 L / 50 05/15/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SUHARTO
BEDAH

185 05/14/2018 Lama RI20180514-0003 01-02-06-38 P / 13 05/16/2018 LT005 dr. Juliawaty Salim, Sp. A
SASKIA NILAM CAHYA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

186 05/14/2018 Baru RI20180514-0004 01-02-33-84 L / 38 05/16/2018 LT005 dr. Andre, Sp.S
MUHAMMAD RIDWAN II (509-A),
05 (528-A) SYARAF

187 05/14/2018 Baru RI20180514-0005 01-02-14-41 P / 31 05/15/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
ENCUH
OBSTETRI DAN GINEKOLOGI

188 05/14/2018 Baru RI20180514-0006 01-02-33-90 P / 39 05/17/2018 LT005 dr. Johny Setio, Sp.OG
EDAH JUBAEDAH II (509-A),
I (525), OBSTETRI DAN GINEKOLOGI
I (599-C),
04 (525)

189 05/14/2018 Baru RI20180514-0007 01-02-33-95 P / 55 05/17/2018 LT005 dr. Tities, Sp.PD
SISKA I (525),
02 (505) PENYAKIT DALAM

190 05/14/2018 Baru RI20180514-0008 01-02-33-93 L/6 05/16/2018 LT005 dr. James Widjaja, Sp.A
MUHAMMAD REZKY TIRTA II (527-A),
ADJI 04 (516) ANAK

191 05/14/2018 Baru RI20180514-0009 01-02-33-99 L/0 05/17/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY EDAH JUBAEDAH
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

192 05/14/2018 Baru RI20180514-0010 01-02-33-96 P/0 05/15/2018 LT005 dr. James Widjaja, Sp.A
RESKA BALQIS APRILIYANI
ANAK

193 05/14/2018 Baru RI20180514-0011 01-02-34-05 P / 21 05/16/2018 LT005 dr. Tities, Sp.PD
MUTIA KHAIRUNISA
PENYAKIT DALAM

194 05/14/2018 Baru RI20180514-0012 01-02-34-03 P / 20 05/17/2018 LT005 dr. Tities, Sp.PD
RANI PRINGGASARI
PENYAKIT DALAM

195 05/14/2018 Baru RI20180514-0013 01-02-34-02 L/1 05/16/2018 LT005 dr. Juliawaty Salim, Sp. A
KHANHA FARAZ RAUFA
ANAK

196 05/14/2018 Baru RI20180514-0014 01-02-34-06 L/8 05/17/2018 LT005 dr. Tjhin Sun Fu, Sp.B
MUHAMMAD DIKA III (526-C),
III (526-C), BEDAH
06 (526-C)

197 05/14/2018 Baru RI20180514-0015 01-02-32-89 L / 41 05/17/2018 LT005 dr. Tities, Sp.PD
SARTONO I (599-B),
05 (528-B) PENYAKIT DALAM

198 05/15/2018 Baru RI20180515-0001 01-02-34-09 L / 43 05/15/2018 ZZ089 dr. Tities, Sp.PD
CECEP I (518),
07 (90901-01) PENYAKIT DALAM

199 05/15/2018 Baru RI20180515-0002 01-02-34-12 P / 52 05/16/2018 LT005 dr. Tities, Sp.PD
MIMIN
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

200 05/15/2018 Baru RI20180515-0003 01-02-34-13 P/1 05/24/2018 LT005 dr. Tjhin Sun Fu, Sp.B
ELLEA AISYAH HALIM
BEDAH

201 05/15/2018 Baru RI20180515-0004 01-02-34-14 P / 36 05/16/2018 LT005 dr. Johny Setio, Sp.OG
RUSMALA
OBSTETRI DAN GINEKOLOGI

202 05/15/2018 Baru RI20180515-0005 01-02-34-15 L/3 05/17/2018 LT005 dr. Juliawaty Salim, Sp. A
FAISAL
ANAK

203 05/15/2018 Baru RI20180515-0006 01-01-82-41 P / 32 05/17/2018 LT005 dr. Johny Setio, Sp.OG
ERAWATI MUSIKA II (508 A),
II (510-B), OBSTETRI DAN GINEKOLOGI
04 (507)

204 05/15/2018 Baru RI20180515-0007 01-02-34-40 P/0 05/17/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY ERAWATI MUSIKA
ANAK

205 05/15/2018 Baru RI20180515-0008 01-02-29-57 P / 21 05/16/2018 LT005 dr. Johny Setio, Sp.OG
RINI HARYANTI
OBSTETRI DAN GINEKOLOGI

206 05/15/2018 Baru RI20180515-0009 01-02-34-41 P/4 05/17/2018 LT005 dr. Juliawaty Salim, Sp. A
NATHALIA I (599-
D), ANAK
06 (526-
A)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

207 05/15/2018 Lama RI20180515-0010 01-02-24-52 P / 35 05/20/2018 LT005 dr. Johny Setio, Sp.OG
TRI PARJIATI I (599-E),
05 (510-B) OBSTETRI DAN GINEKOLOGI

208 05/15/2018 Baru RI20180515-0011 01-01-96-56 P / 22 05/17/2018 LT005 dr. Johny Setio, Sp.OG
DWI ANJARWANI III (523-A),
06 (523-B) OBSTETRI DAN GINEKOLOGI

209 05/15/2018 Baru RI20180515-0012 01-02-34-43 P / 28 05/16/2018 LT005 dr. Johny Setio, Sp.OG
RINA KURNIAWATI
OBSTETRI DAN GINEKOLOGI

210 05/15/2018 Baru RI20180515-0013 01-02-13-58 P / 42 05/17/2018 LT005 dr. Johny Setio, Sp.OG
HEVIE
OBSTETRI DAN GINEKOLOGI

211 05/15/2018 Baru RI20180515-0014 01-02-34-45 L/0 05/18/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY DWI ANJARWANI RUANG BAYI (201-
D), ANAK
09 (201-E)

212 05/15/2018 Baru RI20180515-0015 01-02-34-46 P / 29 05/17/2018 LT005 dr. Johny Setio, Sp.OG
DWI NURHASANAH I (599-F),
06 (523-A) OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

213 05/15/2018 Baru RI20180515-0016 01-02-34-47 L/1 05/18/2018 LT005 dr. Juliawaty Salim, Sp. A
DZAKY HAIDAR ATMANTO
ANAK

214 05/15/2018 Baru RI20180515-0017 01-02-34-49 P / 31 05/17/2018 LT005 dr. Johny Setio, Sp.OG
NURHASANAH
OBSTETRI DAN GINEKOLOGI

215 05/15/2018 Baru RI20180515-0018 01-02-34-52 L/0 05/17/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY DWI NURHASANAH RUANG BAYI (201-
F), ANAK
PERINATOLOGI
(PERI001-D),
RUANG BAYI (201-
G),
10 (PERI001-B)

216 05/16/2018 Baru RI20180515-0019 01-02-34-50 L / 18 05/19/2018 LT005 dr. Juliawaty Salim, Sp. A
EKA SAPUTRA I (599-G),
ANAK
05 (527-A)

217 05/16/2018 Baru RI20180516-0001 01-02-34-54 L/0 05/17/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY HEVIE
ANAK

218 05/16/2018 Baru RI20180516-0002 01-02-30-80 P / 33 05/16/2018 LT005 dr. Johny Setio, Sp.OG
SANTI
OBSTETRI DAN GINEKOLOGI

219 05/16/2018 Baru RI20180516-0003 01-02-34-55 L / 12 05/18/2018 LT005 dr. Juliawaty Salim, Sp. A
MUHAMAD LUTHFI I (599-I),
DARMAWAN 06 (526-D) ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

220 05/16/2018 Baru RI20180516-0004 01-02-04-33 L / 71 05/17/2018 LT005 dr. Tjhin Sun Fu, Sp.B
IRWAN SETIAWAN III (521-B),
BEDAH
06 (521-A)

221 05/16/2018 Lama RI20180516-0005 01-01-16-05 P / 23 05/16/2018 LT005 dr. Johny Setio, Sp.OG
CICIH KURNIASIH
OBSTETRI DAN GINEKOLOGI

222 05/16/2018 Baru RI20180516-0006 01-02-34-61 P / 41 05/19/2018 LT005 dr. Tities, Sp.PD
AIZZAH III (522-E),
05 (512-A) PENYAKIT DALAM

223 05/16/2018 Baru RI20180516-0007 01-02-34-59 P/0 05/17/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY ARIS SETIANI
ANAK

224 05/16/2018 Baru RI20180516-0008 01-02-34-69 L / 32 05/20/2018 LT005 dr. Tities, Sp.PD
AJAT SURYANA III (521-A),
PENYAKIT DALAM
06 (521-C)

225 05/16/2018 Baru RI20180516-0009 01-02-34-68 P / 36 05/17/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
SISKA DEWI
OBSTETRI DAN GINEKOLOGI

226 05/16/2018 Baru RI20180516-0010 01-02-34-70 L/4 05/18/2018 LT005 dr. James Widjaja, Sp.A
NIZAM PUTRA PRATAMA
ANAK

227 05/16/2018 Baru RI20180516-0011 01-02-34-73 P / 18 05/17/2018 LT005 dr. Johny Setio, Sp.OG
RISKA AMELIA III (523-C),
I (598-A), OBSTETRI DAN GINEKOLOGI
04 (518)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

228 05/16/2018 Baru RI20180516-0012 01-02-26-89 L / 58 05/17/2018 LT005 dr. Tities, Sp.PD
WARDI BIN SARNAN III (521-D),
04 (517) PENYAKIT DALAM

229 05/16/2018 Lama RI20180516-0013 01-02-34-43 P / 28 05/19/2018 LT005 dr. Johny Setio, Sp.OG
RINA KURNIAWATI III (523-B),
02 (503) OBSTETRI DAN GINEKOLOGI

230 05/16/2018 Baru RI20180516-0014 01-02-34-76 L/0 05/19/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY RINA KURNIAWATI
ANAK
231 05/16/2018 Baru RI20180516-0015 01-02-34-78 P/3 05/19/2018 LT005 dr. James Widjaja, Sp.A
KHOIRIN NASIFA II (508 A),
II (509 B), ANAK
05 (508 A)

232 05/16/2018 Baru RI20180516-0016 01-02-34-79 L / 26 05/17/2018 LT005 dr. Tities, Sp.PD
CATUR YULIANTO I (599-A),
PENYAKIT DALAM
05 (528-A)

233 05/16/2018 Baru RI20180516-0017 01-02-34-80 P / 34 05/17/2018 LT005 dr. Johny Setio, Sp.OG
MAESAROH
OBSTETRI DAN GINEKOLOGI

234 05/17/2018 Lama RI20180517-0001 01-02-34-02 L/1 05/20/2018 LT005 dr. Juliawaty Salim, Sp. A
KHANHA FARAZ RAUFA I (516),
ANAK
06 (526-B)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

235 05/17/2018 Baru RI20180517-0002 01-02-34-81 L / 72 05/19/2018 LT005 dr. Tities, Sp.PD
PARNO BAGONG I (525),
PENYAKIT DALAM
I (516),
04 (599-A)

236 05/17/2018 Baru RI20180517-0003 01-02-34-88 P/7 05/19/2018 LT005 dr. Juliawaty Salim, Sp. A
FARRAH AISYAH SALSABILLA
ANAK

237 05/17/2018 Baru RI20180517-0004 01-02-26-87 L / 30 05/19/2018 LT005 dr. Martin Winardi, Sp.PD
ACHMAD SODIK
PENYAKIT DALAM

238 05/17/2018 Lama RI20180517-0005 01-02-31-17 P/0 05/20/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY JULIATY
ANAK

239 05/17/2018 Lama RI20180517-0006 01-01-31-93 L / 58 05/18/2018 LT005 dr. Tities, Sp.PD
DJIE MIANG TJUNG
PENYAKIT DALAM

240 05/17/2018 Baru RI20180517-0007 01-02-35-03 P / 43 05/19/2018 LT005 dr. Martin Winardi, Sp.PD
KASINIH
PENYAKIT DALAM

241 05/17/2018 Baru RI20180517-0008 01-02-35-05 P / 45 05/19/2018 LT005 dr. Martin Winardi, Sp.PD
WINDY ANTIKA
PENYAKIT DALAM

242 05/17/2018 Lama RI20180517-0009 01-02-03-34 P / 26 05/21/2018 LT005 dr. Martin Winardi, Sp.PD
SITI MARHAMAH II (512-A),
04 (516) PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

243 05/17/2018 Baru RI20180517-0010 01-02-34-87 P / 37 05/20/2018 LT005 dr. Martin Winardi, Sp.PD
TITIN ELMASARI
PENYAKIT DALAM

244 05/17/2018 Lama RI20180517-0011 01-02-30-73 L / 82 05/18/2018 LT005 dr. Martin Winardi, Sp.PD
JONG TSE TJHONG
PENYAKIT DALAM

245 05/18/2018 Baru RI20180517-0012 01-02-34-77 P/3 05/20/2018 LT005 dr. James Widjaja, Sp.A
DIAJENG RORO GENDIS
HESTAPURI ANAK
246 05/18/2018 Baru RI20180518-0001 01-02-35-17 P / 26 05/20/2018 LT005 dr. Johny Setio, Sp.OG
FITRI NURAINI
OBSTETRI DAN GINEKOLOGI

247 05/18/2018 Baru RI20180518-0002 01-02-34-28 L / 35 05/19/2018 LT005 dr. Tjhin Sun Fu, Sp.B
GUNAWAN
BEDAH

248 05/18/2018 Baru RI20180518-0003 01-02-35-19 P / 40 05/19/2018 LT005 dr. Johny Setio, Sp.OG
WIYANTI
OBSTETRI DAN GINEKOLOGI

249 05/18/2018 Baru RI20180518-0004 01-02-35-20 P / 77 05/19/2018 ZZ089 dr. Martin Winardi, Sp.PD
KUSNI LEOMARDI I (525),
07 (90902-01) PENYAKIT DALAM

250 05/18/2018 Baru RI20180518-0005 01-02-28-29 P / 41 05/20/2018 LT005 dr. Johny Setio, Sp.OG
ELIN PARMILINA
OBSTETRI DAN GINEKOLOGI

251 05/18/2018 Baru RI20180518-0006 01-02-35-26 L/0 05/20/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY FITRI NURAINI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

252 05/18/2018 Baru RI20180518-0007 01-02-35-23 L / 52 05/24/2018 LT005 dr. Tjhin Sun Fu, Sp.B
MUHAMAD NUR
BEDAH

253 05/18/2018 Lama RI20180518-0008 01-02-32-80 L/0 05/19/2018 ZZ086 dr. Juliawaty Salim, Sp. A
BY NY INDRI RAHMAWATI
ANAK

254 05/18/2018 Lama RI20180518-0009 01-01-28-70 L/1 05/21/2018 LT005 dr. James Widjaja, Sp.A
MUCHAMMAD GHAVIN JO AL
GH ANAK

255 05/18/2018 Lama RI20180518-0010 01-01-42-46 L/2 05/20/2018 LT005 dr. James Widjaja, Sp.A
FARHAN
ANAK

256 05/18/2018 Baru RI20180518-0011 01-02-35-34 P/0 05/20/2018 ZZ088 dr. James Widjaja, Sp.A
MARSELA BABY JAYANTARA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

257 05/18/2018 Baru RI20180518-0012 01-02-35-36 L / 34 05/20/2018 LT005 dr. Tities, Sp.PD
ZAINUDIN
PENYAKIT DALAM

258 05/18/2018 Lama RI20180518-0013 01-01-17-39 P / 70 05/19/2018 LT005 dr. Tities, Sp.PD
GOUW EN NIE
PENYAKIT DALAM

259 05/18/2018 Baru RI20180518-0014 01-02-35-37 P / 55 05/20/2018 LT005 dr. Tities, Sp.PD
RASIWEN
PENYAKIT DALAM

260 05/18/2018 Baru RI20180518-0015 01-02-35-43 P / 30 05/25/2018 LT005 dr. Tities, Sp.PD
SITI JULAEHA II (512-B),
05 (512-A) PENYAKIT DALAM

261 05/19/2018 Baru RI20180519-0001 01-02-34-94 P / 80 05/22/2018 LT005 dr. Tities, Sp.PD
NYI JUMRAH ARDIMAN
PENYAKIT DALAM

262 05/19/2018 Baru RI20180519-0002 01-02-35-45 L / 56 05/22/2018 LT005 dr. Tities, Sp.PD
TJONG BUY LIM
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

263 05/19/2018 Lama RI20180519-0003 01-02-21-42 P / 40 05/20/2018 LT005 dr. Tities, Sp.PD
SUPARIYEM
PENYAKIT DALAM

264 05/19/2018 Baru RI20180519-0004 01-02-35-08 P / 19 05/21/2018 LT005 dr. Tjhin Sun Fu, Sp.B
ALVANI INDAH SARI II (527-B),
BEDAH
06 (522-D)

265 05/19/2018 Baru RI20180519-0005 00-00-64-40 P / 64 05/22/2018 LT005 dr. Martin Winardi, Sp.PD
GIOK LEE
PENYAKIT DALAM

266 05/19/2018 Baru RI20180519-0006 01-02-35-53 P / 21 05/21/2018 LT005 dr. Johny Setio, Sp.OG
SRI HARYATI
OBSTETRI DAN GINEKOLOGI

267 05/19/2018 Baru RI20180519-0007 01-02-35-55 P / 38 05/22/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
MARINA
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

268 05/19/2018 Baru RI20180519-0008 01-02-35-48 P/5 05/21/2018 LT005 dr. Juliawaty Salim, Sp. A
SALSABILA PUTRI RIFANAH I (599-B),
III (526-C), ANAK
04 (599-A)

269 05/19/2018 Baru RI20180519-0009 01-02-35-62 P/0 05/22/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY MARINA
ANAK

270 05/19/2018 Baru RI20180519-0010 01-02-35-60 P/3 05/21/2018 LT005 dr. James Widjaja, Sp.A
AULIYA SHAZIA AZURAH
ANAK
271 05/19/2018 Baru RI20180519-0011 01-02-35-63 P / 21 05/21/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
ALUN RIMADHOTI
OBSTETRI DAN GINEKOLOGI

272 05/19/2018 Lama RI20180519-0012 01-02-11-87 P / 66 05/24/2018 LT005 dr. Martin Winardi, Sp.PD
ANG TJUIN NIO
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

273 05/19/2018 Baru RI20180519-0013 01-02-35-64 P/0 05/21/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY ALUN RIMADHOTI
ANAK

274 05/19/2018 Baru RI20180519-0014 01-02-35-65 L / 63 05/24/2018 LT005 dr. Andre, Sp.S
SUMARJO
NO SYARAF

275 05/20/2018 Lama RI20180520-0001 00-00-80-33 L/4 05/26/2018 LT005 dr. James Widjaja, Sp.A
DAMAR MIKAIL DANADYAKSA
ANAK

276 05/20/2018 Baru RI20180520-0002 01-02-35-75 P/1 05/23/2018 LT005 dr. James Widjaja, Sp.A
ADZKIYYAH SOPIATUN
ANAK

277 05/20/2018 Baru RI20180520-0003 01-01-65-17 L / 29 05/23/2018 LT005 dr. Tities, Sp.PD
IRIN BUDI SETIAWAN
PENYAKIT DALAM

278 05/20/2018 Baru RI20180520-0004 01-02-35-77 P / 59 05/24/2018 LT005 dr. Tities, Sp.PD
UMINAH
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

279 05/20/2018 Baru RI20180520-0005 01-02-35-81 P / 59 05/24/2018 LT005 dr. Tities, Sp.PD
SUSMIATI
PENYAKIT DALAM

280 05/20/2018 Baru RI20180520-0006 01-02-35-82 L / 18 05/23/2018 LT005 dr. Tities, Sp.PD
FIRDOS BAYU SAPUTRA
PENYAKIT DALAM

281 05/20/2018 Baru RI20180520-0007 01-02-35-47 L / 48 05/22/2018 LT005 dr. Tities, Sp.PD
SUHARNO
PENYAKIT DALAM

282 05/20/2018 Baru RI20180520-0008 01-02-26-41 P / 25 05/23/2018 LT005 dr. Johny Setio, Sp.OG
RUSTIAN APRIANI
OBSTETRI DAN GINEKOLOGI

283 05/21/2018 Baru RI20180521-0001 01-02-35-83 L / 61 05/27/2018 LT005 dr. Tities, Sp.PD
TALEN III (521-E),
06 (521-B) PENYAKIT DALAM

284 05/21/2018 Lama RI20180521-0002 00-00-76-20 P / 29 05/22/2018 LT005 dr. Tjhin Sun Fu, Sp.B
LILY
BEDAH

285 05/21/2018 Lama RI20180521-0003 01-02-08-32 P / 33 05/24/2018 LT005 dr. Johny Setio, Sp.OG
INDAH KURNIASARI
OBSTETRI DAN GINEKOLOGI

286 05/21/2018 Baru RI20180521-0004 01-02-35-93 P/0 05/23/2018 ZZ088 dr. Juliawaty Salim, Sp. A
JANITRA RENGGANIS
ANDHANARESWARI ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

287 05/21/2018 Baru RI20180521-0005 01-02-35-31 P / 33 05/22/2018 LT005 dr. Johny Setio, Sp.OG
NINING SARINI
OBSTETRI DAN GINEKOLOGI

288 05/21/2018 Baru RI20180521-0006 01-02-35-99 P / 38 05/23/2018 LT005 dr. Martin Winardi, Sp.PD
NINA INDAH SARI
PENYAKIT DALAM

289 05/21/2018 Baru RI20180521-0007 01-02-36-05 L / 41 05/24/2018 LT005 dr. Tities, Sp.PD
HERFIH
PENYAKIT DALAM

290 05/21/2018 Baru RI20180521-0008 01-02-36-04 P/2 05/23/2018 LT005 dr. James Widjaja, Sp.A
JUWITA ANGGUN BERLIAN
ANAK

291 05/21/2018 Baru RI20180521-0009 01-02-36-00 P / 39 05/22/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
SUMYRAH
OBSTETRI DAN GINEKOLOGI

292 05/21/2018 Lama RI20180521-0010 01-01-71-87 P / 37 05/22/2018 LT005 dr. Johny Setio, Sp.OG
SRI WURYANINGSIH
OBSTETRI DAN GINEKOLOGI

293 05/21/2018 Baru RI20180521-0011 01-02-35-24 P / 36 05/23/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
LENI FAJRI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

294 05/21/2018 Baru RI20180521-0012 01-02-33-89 P / 26 05/24/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
OKTA SARI
OBSTETRI DAN GINEKOLOGI

295 05/21/2018 Lama RI20180521-0013 00-00-89-40 P / 29 05/24/2018 LT005 dr. Johny Setio, Sp.OG
KURNIYANTI
OBSTETRI DAN GINEKOLOGI

296 05/21/2018 Baru RI20180521-0014 01-02-36-18 P / 38 05/22/2018 LT005 dr. Tities, Sp.PD
NUR KOMARIAH ST
PENYAKIT DALAM

297 05/21/2018 Baru RI20180521-0015 01-02-36-25 L/0 05/24/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY OKTA SARI
ANAK

298 05/21/2018 Baru RI20180521-0016 01-02-36-24 L / 58 05/27/2018 LT005 dr. Tities, Sp.PD
SAHIB II (527-B),
PENYAKIT DALAM
04 (516)

299 05/21/2018 Baru RI20180521-0017 01-02-36-26 L/0 05/23/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY LENI FAJRI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

300 05/22/2018 Baru RI20180522-0001 01-02-30-24 P / 31 05/24/2018 LT005 dr. Johny Setio, Sp.OG
SITI AMINAH
OBSTETRI DAN GINEKOLOGI

301 05/22/2018 Baru RI20180522-0002 01-02-20-55 P / 25 05/24/2018 LT005 dr. Johny Setio, Sp.OG
ASIH WULANDARI
OBSTETRI DAN GINEKOLOGI

302 05/22/2018 Baru RI20180522-0003 01-02-35-01 L / 41 05/23/2018 LT005 dr. Tjhin Sun Fu, Sp.B
ASEP AKEW
BEDAH

303 05/22/2018 Baru RI20180522-0004 01-02-36-29 P/0 05/26/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY SITI AMINAH RUANG BAYI (201-
ANAK
B),
PERINATOLOGI
(PERI001-A),
09 (201-J)

304 05/22/2018 Baru RI20180522-0005 01-02-34-30 L / 43 05/23/2018 LT005 dr. Tjhin Sun Fu, Sp.B
RAHAYU WIDODO
BEDAH

305 05/22/2018 Baru RI20180522-0006 01-02-36-30 P/0 05/24/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY KURNIYANTI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

306 05/22/2018 Baru RI20180522-0007 01-02-36-15 P / 32 05/24/2018 LT005 dr. Johny Setio, Sp.OG
NURAENI
OBSTETRI DAN GINEKOLOGI

307 05/22/2018 Baru RI20180522-0008 01-02-36-42 L / 42 05/26/2018 LT005 dr. Martin Winardi, Sp.PD
LUCKY SUKATWISANDJAJA I (599-I),
02 (503) PENYAKIT DALAM

308 05/22/2018 Baru RI20180522-0009 01-02-36-45 P / 21 05/26/2018 LT005 dr. Johny Setio, Sp.OG
AMINAH I (599-J),
05 (528-A) OBSTETRI DAN GINEKOLOGI

309 05/22/2018 Baru RI20180522-0010 01-02-36-48 P/8 05/24/2018 LT005 dr. James Widjaja, Sp.A
DIANA CAROLINE II (510-A),
ANAK
04 (599-K)

310 05/22/2018 Lama RI20180522-0011 00-00-83-83 P/2 05/25/2018 LT005 dr. James Widjaja, Sp.A
ANASTASIA II (510-B),
ANAK
I (599-L),
05 (527-A)

311 05/22/2018 Lama RI20180522-0012 00-00-31-43 L / 58 05/24/2018 LT005 dr. Martin Winardi, Sp.PD
M RODI
PENYAKIT DALAM

312 05/22/2018 Baru RI20180522-0013 01-02-36-60 P / 33 05/24/2018 LT005 dr. Martin Winardi, Sp.PD
SUHAYATI
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

313 05/22/2018 Baru RI20180522-0014 01-02-36-63 P/0 05/24/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY NURAENI
ANAK

314 05/22/2018 Baru RI20180522-0015 01-02-36-61 P / 59 05/24/2018 ZZ089 dr. Martin Winardi, Sp.PD
TARSIH III (522-E),
07 (90901-01) PENYAKIT DALAM

315 05/23/2018 Baru RI20180523-0001 01-02-30-86 P / 26 05/25/2018 LT005 dr. Johny Setio, Sp.OG
DENI WATI
OBSTETRI DAN GINEKOLOGI

316 05/23/2018 Baru RI20180523-0002 01-02-27-32 P / 26 05/26/2018 LT005 dr. Johny Setio, Sp.OG
FITRIA MAHARANI III (523-C),
II (528-A), OBSTETRI DAN GINEKOLOGI
06 (523-B)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

317 05/23/2018 Baru RI20180523-0003 01-02-36-77 P/0 05/25/2018 ZZ088 dr. Juliawaty Salim, Sp. A
BY NY DENI WATI
ANAK

318 05/23/2018 Lama RI20180523-0004 00-00-76-22 P / 23 05/25/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
RIFANA ARISTIANI
III (523-D), OBSTETRI DAN GINEKOLOGI
06 (523-C)

319 05/23/2018 Baru RI20180523-0005 01-02-36-79 P / 61 05/26/2018 LT005 dr. Tities, Sp.PD
DARIMPEN I (599-F),
06 (522-A) PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

320 05/23/2018 Baru RI20180523-0006 01-02-36-76 P / 60 05/24/2018 LT005 dr. Tities, Sp.PD
TARMI
PENYAKIT DALAM

321 05/23/2018 Baru RI20180523-0007 01-02-36-84 P / 22 05/25/2018 LT005 dr. Johny Setio, Sp.OG
MUSLIKAH I (598-A),
05 (528-B) OBSTETRI DAN GINEKOLOGI

322 05/23/2018 Baru RI20180523-0008 01-02-36-86 L/0 05/26/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY FITRIA MAHARANI
ANAK
323 05/23/2018 Baru RI20180523-0009 01-02-36-89 L/0 05/25/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY MUSLIKAH
ANAK

324 05/23/2018 Baru RI20180523-0010 01-02-31-91 P / 30 05/26/2018 LT005 dr. Johny Setio, Sp.OG
CASMINA I (599-A),
05 (509-A) OBSTETRI DAN GINEKOLOGI

325 05/23/2018 Baru RI20180523-0011 01-02-36-91 P/0 05/26/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY CASMINA
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

326 05/24/2018 Baru RI20180524-0001 01-02-36-06 L / 12 05/25/2018 LT005 dr. Tjhin Sun Fu, Sp.B
REIKI ANGGORO ANWAR
BEDAH
327 05/24/2018 Baru RI20180524-0002 01-02-36-07 P / 30 05/26/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
NENDEN RATNA WILIS
II (509-A), OBSTETRI DAN GINEKOLOGI
05 (509 B)

328 05/24/2018 Baru RI20180524-0003 01-02-36-74 P / 30 05/26/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
NUR AYANIH
I (518), OBSTETRI DAN GINEKOLOGI
06 (523-D)

329 05/24/2018 Baru RI20180524-0004 01-02-37-09 L / 44 05/25/2018 LT005 dr. Martin Winardi, Sp.PD
SUPRIYATNO
PENYAKIT DALAM

330 05/24/2018 Baru RI20180524-0005 01-01-07-99 P / 54 05/30/2018 LT005 dr. Martin Winardi, Sp.PD
HARIAH III (522-E),
06 (522-C) PENYAKIT DALAM

331 05/24/2018 Baru RI20180524-0006 01-02-37-10 L / 26 05/27/2018 LT005 dr. Martin Winardi, Sp.PD
JAHRI III (521-A),
PENYAKIT DALAM
06 (521-E)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

332 05/24/2018 Lama RI20180524-0007 01-02-33-09 P / 32 05/25/2018 LT005 dr. Johny Setio, Sp.OG
HINDARTI
OBSTETRI DAN GINEKOLOGI

333 05/24/2018 Baru RI20180524-0008 01-02-37-11 L/1 05/26/2018 LT005 dr. James Widjaja, Sp.A
ARBANI SEPTIAN PRATAMA
ANAK
334 05/24/2018 Baru RI20180524-0009 01-01-95-37 P / 26 05/24/2018 LT005 dr. Johny Setio, Sp.OG
SELI FISKA OKTAVIA
OBSTETRI DAN GINEKOLOGI

335 05/24/2018 Baru RI20180524-0010 01-02-37-17 L/0 05/27/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY NENDEN RATNA WILIS
ANAK

336 05/24/2018 Baru RI20180524-0011 01-02-37-21 L/0 05/28/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY NUR AYANIH RUANG BAYI (201-
L), ANAK
PERINATOLOGI
(PERI001-A),
RUANG BAYI (201-
F),
09 (201-A)

337 05/24/2018 Baru RI20180524-0012 01-02-37-22 P / 43 05/28/2018 LT005 dr. Martin Winardi, Sp.PD
SUTINI III (522-A),
PENYAKIT DALAM
06 (522-B)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

338 05/24/2018 Baru RI20180524-0013 01-02-37-20 L/6 05/26/2018 LT005 dr. James Widjaja, Sp.A
M QAISAR III (526-B),
06 (526-D) ANAK

339 05/25/2018 Baru RI20180525-0001 01-02-34-39 L / 29 05/26/2018 LT005 dr. Tjhin Sun Fu, Sp.B
RAY SHAPUTRA
BEDAH

340 05/25/2018 Baru RI20180525-0002 01-02-20-99 P / 32 05/28/2018 LT005 dr. Johny Setio, Sp.OG
INAYAH BAROKAH
OBSTETRI DAN GINEKOLOGI

341 05/25/2018 Baru RI20180525-0003 01-02-33-69 P / 31 05/28/2018 LT005 dr. Johny Setio, Sp.OG
JAYANTI WIDIASTUTI
OBSTETR
I DAN
GINEKOL
OGI

342 05/25/2018 Baru RI20180525-0004 01-02-37-36 L/0 05/28/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY INAYAH BAROKAH
ANAK
343 05/25/2018 Baru RI20180525-0005 01-02-37-37 P/0 05/28/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY JAYANTI WIDIASTUTI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

344 05/25/2018 Baru RI20180525-0006 01-02-37-39 L / 62 05/28/2018 LT005 dr. Tities, Sp.PD
TJIE HAI
PENYAKIT DALAM

345 05/25/2018 Baru RI20180525-0007 01-02-37-43 L/5 05/27/2018 LT005 dr. James Widjaja, Sp.A
ABI DZAR AL GHIFARI
ANAK

346 05/26/2018 Baru RI20180526-0001 01-02-37-45 P / 50 05/29/2018 LT005 dr. Tities, Sp.PD
SUMIYATI ISOLASI (520),
04 (517) PENYAKIT DALAM

347 05/26/2018 Baru RI20180526-0002 01-02-37-48 P / 45 05/28/2018 LT005 dr. Martin Winardi, Sp.PD
TUKIYEM
PENYAKIT DALAM

348 05/26/2018 Baru RI20180526-0003 01-02-37-50 P / 31 05/28/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
RIANA SUMBAYAK
OBSTETRI DAN GINEKOLOGI

349 05/26/2018 Baru RI20180526-0004 01-02-37-54 P / 39 05/28/2018 LT005 dr. Johny Setio, Sp.OG
SUKATI
OBSTETRI DAN GINEKOLOGI

350 05/26/2018 Lama RI20180526-0005 01-02-35-64 P/0 05/28/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY ALUN RIMADHOTI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

351 05/26/2018 Baru RI20180526-0006 01-02-10-73 P / 38 05/28/2018 LT005 dr. Johny Setio, Sp.OG
WELDA OKTORA
OBSTETRI DAN GINEKOLOGI

352 05/26/2018 Baru RI20180526-0007 01-02-37-56 L/0 05/27/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY SUKATI RUANG BAYI (201-
D), ANAK
10 (PERI001-D)

353 05/26/2018 Baru RI20180526-0008 01-02-37-58 L/0 06/02/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY WELDA OKTORA RUANG BAYI (201-
ANAK
E),
PERINATOLOGI
(PERI001-C),
09 (201-C)

354 05/26/2018 Lama RI20180526-0009 01-02-30-79 L / 23 05/29/2018 LT005 dr. Martin Winardi, Sp.PD
DEWA PUTU DARMAYASA
PENYAKIT DALAM
355 05/27/2018 Lama RI20180527-0001 00-00-76-30 P / 46 06/06/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
OTIH S
III (523-B), OBSTETRI DAN GINEKOLOGI
06 (523-C)

356 05/27/2018 Lama RI20180527-0002 01-01-98-74 L/1 05/28/2018 LT005 dr. James Widjaja, Sp.A
ALBY MUKHTI RIPAI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

357 05/27/2018 Baru RI20180527-0003 01-02-37-64 L / 57 05/31/2018 LT005 dr. Martin Winardi, Sp.PD
NGADINO
PENYAKIT DALAM

358 05/27/2018 Baru RI20180527-0004 01-02-02-99 P / 39 05/29/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
SUHARTI
OBSTETRI DAN GINEKOLOGI

359 05/27/2018 Baru RI20180527-0005 01-02-37-66 P / 21 05/30/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
AGUSTINA ENDANG RIYANTI
OBSTETRI DAN GINEKOLOGI

360 05/27/2018 Baru RI20180527-0006 01-02-37-67 P/0 05/29/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY SUHARTI
ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

361 05/27/2018 Lama RI20180527-0007 01-01-91-76 P / 43 06/05/2018 LT005 dr. Tjhin Sun Fu, Sp.B
SUNENGSIH III (522-A),
06 (522-D) BEDAH

362 05/27/2018 Baru RI20180527-0008 01-02-37-68 P/0 05/30/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY AGUSTINA ENDANG
RIYANTI ANAK

363 05/28/2018 Baru RI20180528-0001 01-02-37-70 P / 46 06/08/2018 ZZ089 dr. Martin Winardi, Sp.PD
KASMI I (516),
PENYAKIT DALAM
07 (90901-01)

364 05/28/2018 Baru RI20180528-0003 00-00-52-47 L / 65 06/01/2018 LT005 dr. Martin Winardi, Sp.PD
MUHAMAD RAUF
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

365 05/28/2018 Baru RI20180528-0004 01-02-37-72 P / 34 05/30/2018 LT005 dr. Martin Winardi, Sp.PD
SUPRIYATI NINGSIH
PENYAKIT DALAM

366 05/28/2018 Baru RI20180528-0005 01-02-37-24 P / 59 06/01/2018 LT005 dr. Martin Winardi, Sp.PD
RUMIYEM
PENYAKIT DALAM

367 05/28/2018 Baru RI20180528-0006 01-01-81-98 P / 40 05/29/2018 LT005 dr. Tjhin Sun Fu, Sp.B
KOMSANAH
BEDAH

368 05/28/2018 Baru RI20180528-0007 01-02-37-95 L / 13 05/30/2018 LT005 dr. Juliawaty Salim, Sp. A
HARTANTO
ANAK

369 05/28/2018 Lama RI20180528-0008 01-01-17-39 P / 70 06/02/2018 LT005 dr. Tities, Sp.PD
GOUW EN NIE I (525),
PENYAKIT DALAM
04 (599-F)

370 05/28/2018 Baru RI20180528-0009 01-02-37-98 P / 38 05/30/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
MUN SURYANI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

371 05/28/2018 Lama RI20180528-0010 00-00-45-29 P / 47 06/04/2018 LT005 dr. Tities, Sp.PD
JURIYAH I (599-B),
06 (522-C) PENYAKIT DALAM

372 05/28/2018 Baru RI20180528-0011 01-02-38-03 P / 23 06/06/2018 LT005 dr. Tities, Sp.PD
DINI INDRI LIANI I (599-C),
05 (528-B) PENYAKIT DALAM

373 05/28/2018 Lama RI20180528-0012 01-01-71-15 L/1 05/31/2018 LT005 dr. James Widjaja, Sp.A
DAFFA ALFARIZQI
ANAK

374 05/28/2018 Baru RI20180528-0013 01-02-35-87 P / 28 05/30/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
ONI
OBSTETRI DAN GINEKOLOGI

375 05/28/2018 Baru RI20180528-0014 01-02-38-06 P / 62 06/05/2018 LT005 dr. Andre, Sp.S
GAUW EM MIE I (599-E),
05 (527-B) SYARAF

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

376 05/28/2018 Baru RI20180528-0015 01-02-12-90 P / 37 05/30/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
DIDAH ROSIDAH
OBSTETRI DAN GINEKOLOGI

377 05/28/2018 Baru RI20180528-0016 01-02-38-12 P/0 05/30/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY DIDAH ROSIDAH
ANAK

378 05/28/2018 Baru RI20180528-0017 01-02-38-14 P/0 05/30/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY ONI
ANAK

379 05/28/2018 Baru RI20180528-0018 01-02-38-13 P / 70 06/02/2018 LT005 dr. Tities, Sp.PD
HO LOK MOIY
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

380 05/29/2018 Baru RI20180529-0001 01-01-88-10 P / 32 05/31/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
LATIPAH
OBSTETRI DAN GINEKOLOGI

381 05/29/2018 Baru RI20180529-0002 01-02-38-16 L/2 05/30/2018 LT005 dr. James Widjaja, Sp.A
NICHOLAS KWOK
ANAK

382 05/29/2018 Baru RI20180529-0003 01-02-38-22 L/0 06/01/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY LATIPAH
ANAK

383 05/29/2018 Baru RI20180529-0004 01-02-38-31 P / 32 05/30/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
INDRAM OKTAVIANNA AYU
SUCIPTO OBSTETRI DAN GINEKOLOGI

384 05/29/2018 Lama RI20180529-0005 01-02-33-95 P / 55 06/02/2018 LT005 dr. Martin Winardi, Sp.PD
SISKA
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

385 05/30/2018 Baru RI20180530-0001 01-02-35-25 P / 29 06/01/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
ANGGITA HANDAYANI
OBSTETRI DAN GINEKOLOGI

386 05/30/2018 Baru RI20180530-0002 01-02-34-56 P / 37 06/01/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
VENNY MERLIANA DEWI
OBSTETRI DAN GINEKOLOGI

387 05/30/2018 Baru RI20180530-0003 01-02-33-74 P / 28 05/31/2018 LT005 dr. Tjhin Sun Fu, Sp.B
LUKY LISNAWATI
BEDAH

388 05/30/2018 Baru RI20180530-0004 01-02-36-97 L / 19 05/31/2018 LT005 dr. Tjhin Sun Fu, Sp.B
IBNU JAMALLUDIN I (599-H),
06 (521-A) BEDAH

389 05/30/2018 Baru RI20180530-0005 01-02-36-10 P / 33 06/01/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
NURHAYATI
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

390 05/30/2018 Baru RI20180530-0006 01-02-38-50 L / 46 06/02/2018 LT005 dr. Martin Winardi, Sp.PD
MISA HERMAWAN
PENYAKIT DALAM

391 05/30/2018 Baru RI20180530-0007 01-02-38-58 P / 37 05/31/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
SITI NURHAYATI
OBSTETRI DAN GINEKOLOGI

392 05/30/2018 Baru RI20180530-0008 01-02-38-59 L / 23 06/04/2018 LT005 dr. Martin Winardi, Sp.PD
TRI ROBIYANSAH
PENYAKIT DALAM

393 05/30/2018 Baru RI20180530-0009 01-02-38-60 P/0 06/01/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY NURHAYATI
ANAK

394 05/30/2018 Lama RI20180530-0010 01-02-33-25 P / 44 06/02/2018 LT005 dr. Ivan Rifai Sentosa,Sp.OG
RITA SURYANI
III (523-D), OBSTETRI DAN GINEKOLOGI
II (508 B),
ICU (90902-01),
II (508 A),
05 (508 B)

395 05/30/2018 Baru RI20180530-0011 01-02-34-99 L / 77 06/01/2018 LT005 dr. Martin Winardi, Sp.PD
MUHAMAD IDRIS
PENYAKIT DALAM

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

396 05/30/2018 Baru RI20180530-0012 01-02-38-64 P / 39 06/01/2018 LT005 dr. Martin Winardi, Sp.PD
MUHAYINAH
PENYAKIT DALAM

397 05/30/2018 Lama RI20180530-0013 01-02-37-37 P/0 06/02/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY JAYANTI WIDIASTUTI
ANAK

398 05/30/2018 Lama RI20180530-0014 01-02-37-36 L/0 05/31/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY INAYAH BAROKAH
ANAK

399 05/30/2018 Baru RI20180530-0015 01-02-38-68 L / 27 06/05/2018 LT005 dr. Martin Winardi, Sp.PD
MAMAN SUGIATMAN ISOLASI (520),
04 (525) PENYAKIT DALAM

400 05/30/2018 Baru RI20180530-0016 01-02-38-70 L/0 06/08/2018 ZZ086 dr. James Widjaja, Sp.A
BY NY RITA SURYANI RUANG BAYI (201-
ANAK
C),
PERINATOLOGI
(PERI001-B),
RUANG BAYI (201-
C),
10 (PERI001-A)

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

401 05/30/2018 Baru RI20180530-0017 01-02-38-71 L/0 06/01/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY VENNY MERLINA DEWI
ANAK

402 05/30/2018 Baru RI20180530-0018 01-02-38-36 P / 16 06/02/2018 LT005 dr. James Widjaja, Sp.A
FAHIM DINA MEXIDA
ANAK

403 05/31/2018 Baru RI20180530-0019 01-02-38-72 L/0 06/01/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY ANGGITA HANDAYANI
ANAK

404 05/31/2018 Baru RI20180531-0001 01-02-37-04 L / 74 06/02/2018 LT005 dr. Tjhin Sun Fu, Sp.B
ROSIDI
BEDAH

405 05/31/2018 Baru RI20180531-0002 01-01-29-14 P / 26 06/01/2018 LT005 dr. Johny Setio, Sp.OG
SEPTIYANINGSIH
OBSTETRI DAN GINEKOLOGI

406 05/31/2018 Baru RI20180531-0003 01-02-38-94 L / 57 06/01/2018 LT005 dr. Martin Winardi, Sp.PD
GAUW TJOAN BIE
PENYAKIT DALAM

407 05/31/2018 Lama RI20180531-0004 01-01-09-69 P / 26 ### LT005 dr. Martin Winardi, Sp.PD
FITRIANINGSIH
PENYAKIT DALAM

408 05/31/2018 Baru RI20180531-0005 01-02-02-32 P / 33 06/03/2018 LT005 dr. Johny Setio, Sp.OG
FEBRI PARAMITA
OBSTETRI DAN GINEKOLOGI

Print Date : 6/13/2018, Print Time : 9:19:15AM


RUMAH SAKIT DUTA INDAH
Jl Teluk Gong Raya No 12
Telp : 021-66676188
Fax : 021-66676190
Jakarta Utara

LAPORAN HARIAN PASIEN RAWAT INAP


Periode : 01-May-2018 s/d 31-May-2018

No Tgl Jenis No Reg No RM JK/ Tgl Keluar Ruang Rawat Dokter


Kunjungan Kunj. Umur
Nama Kelas SMF

409 05/31/2018 Baru RI20180531-0006 01-02-39-05 P / 25 06/01/2018 LT005 dr. Johny Setio, Sp.OG
FATIKATULHANA II (527-A),
06 (523-D) OBSTETRI DAN GINEKOLOGI

410 05/31/2018 Baru RI20180531-0007 01-02-39-08 P/0 06/01/2018 ZZ088 dr. James Widjaja, Sp.A
BY NY FATIKATUL HANA
ANAK

411 05/31/2018 Baru RI20180531-0008 01-02-39-07 P / 12 06/02/2018 LT005 dr. James Widjaja, Sp.A
SHARON CALISTA WIJAYA III (526-A),
06 (526-C) ANAK

Print Date : 6/13/2018, Print Time : 9:19:15AM


Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 4 BPJS KESEHATAN DIIZINKAN PULANG Maternal care for


other specified fetal
problems (O36.8,
239.9, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA)

p. A 4 PRIBADI DIIZINKAN PULANG

G 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.PD 2 PRIBADI DIIZINKAN PULANG Toxic effect of
pesticides
(T60, 285,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective
caesarean section
(O82.0, 242.9,
LAMA),
Premature rupture
of membranes,
unspecified
(O42.9, 239.2,
LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA)

Page 1 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 4 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective


caesarean section
(O82.0, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Epilepsy, unspecified

(G40.9, 124, LAMA),


Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
Page 2 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

B 2 PRIBADI DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective


caesarean section
(O82.0, 242.9,
LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p. A 3 PRIBADI DIIZINKAN PULANG

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p. A 5 BPJS KESEHATAN DIIZINKAN PULANG Bacterial infection,


unspecified
(A49.9, 018,
LAMA),
Ge/Diare (A09.9,
005, LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Obst.lab.due to
malposition
malpresent.of fetus
(O64, 240, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 3 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

5 BPJS KESEHATAN DIIZINKAN PULANG

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

7 BPJS KESEHATAN DIIZINKAN PULANG

B 7 BPJS KESEHATAN DIIZINKAN PULANG Other and


unspecified cirrhosis
of liver
(K74.6, 194.2,
LAMA)

2 PRIBADI DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA)

4 RUMAH SAKIT DUTA DIIZINKAN PULANG DHF / DBD


INDAH
(A91, 032.1, LAMA),
Acute pharyngitis -
Includes: acute sore
throat (J02,
165.0, LAMA)
G 2 PRIBADI DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 4 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 2 PRIBADI DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Talipes equinovarus

(Q66.0, 263, LAMA)


B 3 BPJS KESEHATAN DIIZINKAN PULANG

G 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA)

3 BPJS KESEHATAN DIIZINKAN PULANG Chronic renal failure,


unspecified
(N18.9, 214.9,
LAMA),
Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA)

Page 5 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 3 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Gastroduodenitis,


unspecified
(K29.9, 189.9,
LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG

p. A 3 PRIBADI DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 5 BPJS KESEHATAN DIIZINKAN PULANG

p. A 5 BPJS KESEHATAN BELUM SEMBUH Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p. A 5 BPJS KESEHATAN DIIZINKAN PULANG

Page 6 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 5 BPJS KESEHATAN BELUM SEMBUH HIV disease


resulting in
candidiasis
(B20.4, 039, LAMA)
G 2 BPJS KESEHATAN DIIZINKAN PULANG Other failed
induction of labour
(O61.8,
242.9, LAMA),
Lab.& delivery
comp. by fetal
stress, unspecified
(O68.9, 242.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 7 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Slow virus infec. of


central nervous
system, unsp.
(A81.9, 041, LAMA),
Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


G 4 BPJS KESEHATAN DIIZINKAN PULANG Uterovaginal
prolapse,
unspecified
(N81.4, 228,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture
of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,
unspecified
(J18.9,
169, LAMA)

Page 8 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 PRIBADI DIIZINKAN PULANG Maternal care for
other specified fetal
problems (O36.8,
239.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)


6 BPJS KESEHATAN DIIZINKAN PULANG

5 PRIBADI DIIZINKAN PULANG demam/Fever,


unspecified -
Hyperpyrexia NOS-
Pyrexia NOS (R50.9,
268, LAMA)

B 4 BPJS KESEHATAN DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 9 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 7 PRIBADI DIIZINKAN PULANG Other preterm


infants - Prematurity
NOS (P07.3,
246, LAMA),
Respiratory distress
syndrome of
newborn
(P22.0, 249, LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG

7 BPJS KESEHATAN DIIZINKAN PULANG Leukaemia,


unspecified
(C95.9,
087, LAMA),
Anaemia in other
chronic dis.
classified elsewhere
(D63.8*, 098,
LAMA)
p. A 7 BPJS KESEHATAN DIIZINKAN PULANG Dengue fever
[classical dengue]
(A90,
032.0, LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective
caesarean section
(O82.0, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


5 PT. ASURANSI DIIZINKAN PULANG
ALLIANZ LIFE
INDONESIA

Page 10 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

1 PRIBADI MEMBAIK DHF / DBD

(A91, 032.1, LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG

G 2 PRIBADI DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 3 BPJS KESEHATAN DIIZINKA
N
PULANG

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

G 5 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective


caesarean section
(O82.0, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture
of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 11 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 5 BPJS KESEHATAN DIIZINKAN PULANG

p. A 5 BPJS KESEHATAN TIDAK SEMBUH Typhoid fever -


Infection due to
Salmonella typhi
(A01.0, 002, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Maternal care for


other specified fetal
problems (O36.8,
239.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 12 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG Supraventricular


tachycardia
(I47.1, 150,
LAMA),
Congestive heart
failure-Congestive
heart disease
(I50.0, 151, LAMA),
Left bundle-branch
block, unspecified
(I44.7, 150,
LAMA)
p.PD 7 BPJS KESEHATAN DIIZINKAN PULANG Herpes zoster

(B02, 034, LAMA),


Neuralgia and
neuritis, unspecified
(M79.2,
207.9, LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 PRIBADI DIIZINKAN PULANG

5 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

Page 13 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

7 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,


unspecified
(J18.9,
169, LAMA),
Hypokalaemia

(E87.6, 111, LAMA),


Hypertension - High
blood pressure
(I10, 145,
4 BPJS KESEHATAN DIIZINKAN PULANG Bronchitis,
LAMA) not
specified as acute or
chronic (J40,
175, LAMA),
Hypo-osmolality and
hyponatraemia
(E87.1, 111,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA)
p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Viral infection,
unspecified
(B34.9, 041,
LAMA)
5 BPJS KESEHATAN DIIZINKAN PULANG Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Chronic renal failure,
unspecified
(N18.9, 214.9,
LAMA),
Anaemia in chronic
diseases classified
elsewhere (D63*,
098, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Single spontaneous


delivery, unspecified
(O80.9, 243,
LAMA),
Severe pre-
eclampsia
(O14.1,
237.0, LAMA),
Single live birth

(Z37.0, 298, LAMA)


Page 14 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

B 3 BPJS KESEHATAN DIIZINKAN PULANG Neoplasma jinak


payudara
(D24, 091,
LAMA)

G 2 PRIBADI DIIZINKAN PULANG Single spontaneous


delivery
(O80, 243,
LAMA),
Single live birth

B 4 BPJS KESEHATAN DIIZINKAN PULANG (Z37.0, 298, LAMA)


Unspecified
appendicitis
(K37, 186,
LAMA)
p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,
005, LAMA),
Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA)

p. A 2 PRIBADI MEMBAIK

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Acute pharyngitis -


Includes: acute sore
throat (J02,
165.0, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 15 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 5 BPJS KESEHATAN DIIZINKAN PULANG

p.A 5 PRIBADI DIIZINKAN PULANG

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture
of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 16 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

5 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of


lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)


p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Contracted pelvis -
Persistent
occipitoposterior
(P03.1, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
B 2 BPJS KESEHATAN DIIZINKAN PULANG Inguinal hernia
(unilateral) NOS
(K40.9,
187, LAMA)
p.PD 11 BPJS KESEHATAN MENINGGAL < 48 JAM Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG Connective and


other soft tissue of
abdomen
(D21.4, 096.6,
LAMA)

Page 17 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective


caesarean section
(O82.0, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 2 BPJS KESEHATAN DIIZINKAN PULANG

B 2 BPJS KESEHATAN DIIZINKAN PULANG Soft tissue disorder,


unspecified
(M79.9, 207.9,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 18 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


4 BPJS KESEHATAN DIIZINKAN PULANG

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 4 PRIBADI DIIZINKAN PULANG Bacterial infection,
unspecified
(A49.9, 018,
LAMA),
Urinary tract
infection, site not
specified
(N39.0, 217, LAMA),
Other dis.of
electrolyte &amp;
fluid balance,not
else. (E87.8, 111,
LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Dyspepsia -
Indigestion
(K30,
189.9, LAMA)

Page 19 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Bacterial infection,


unspecified
(A49.9, 018,
LAMA),
Anaemia,
unspecified
(D64.9,
098, LAMA),
Ge/Diare (A09.9,
005, LAMA)
5 BPJS KESEHATAN DIIZINKAN PULANG Typhoid fever -
Infection due to
Salmonella typhi
(A01.0, 002, LAMA)

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 5 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,
unspecified
(J18.9,
169, LAMA),
Ge/Diare (A09.9,
005, LAMA)
5 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

G 4 PRIBADI DIIZINKAN PULANG

Page 20 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 3 BPJS KESEHATAN DIIZINKAN PULANG Pre-eclampsia,


unspecified
(O14.9,
237.0, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Severe pre-


eclampsia
(O14.1,
237.0, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Other and


unspecified
abdominal pain
(R10.4, 267,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Chronic renal failure,
unspecified
(N18.9, 214.9,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 21 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Other failed
induction of labour
(O61.8,
242.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery
by
caesarea
n section,
unspecifi
ed
(O82.9,
242.9,
LAMA),
Page 22 of 68 Single
live birth

(Z37.0,
298,
LAMA)
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 3 PRIBADI DIIZINKAN PULANG Syncope and


collapse - Blackout -
Fainting (R55,
270.9, LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA)
p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

p.PD 6 BPJS KESEHATAN DIIZINKAN PULANG Insulin-dependent


DM with gangrene
(ulcer) (E10.5,
104.0, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA)

p. A 2 PRIBADI BELUM SEMBUH

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Typhoid fever -


Infection due to
Salmonella typhi
(A01.0, 002, LAMA)

p. A 2 PRIBADI BELUM SEMBUH

Page 23 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

3 PRIBADI DIIZINKAN PULANG Hypokalaemia

(E87.6, 111, LAMA),


Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, BARU),
Hypertension - High
blood pressure
(I10, 145,
BARU)
p. A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 2 PRIBADI DIIZINKAN PULANG False lab. before 37
completed weeks of
gestation (O47.0,
239.9, LAMA)

Page 24 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 5 BPJS KESEHATAN DIIZINKAN PULANG Neonatal aspiration


of meconium
(P24.0, 249,
LAMA),
Bacterial sepsis of
newborn,
unspecified
(P36.9, 250, LAMA),
Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
4 BPJS KESEHATAN DIIZINKAN PULANG

4 BPJS KESEHATAN BELUM SEMBUH Hypertension - High


blood pressure
(I10, 145,
LAMA),
Stroke, not specified
as haemorrhage or
infarction (I64, 155,
LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA)

G 5 PT. ADMEDIKA DIIZINKAN PULANG

3 BPJS KESEHATAN DIIZINKAN PULANG Gastritis, unspecified


(K29.7, 185.9,
LAMA),
Acute pharyngitis -
Includes: acute sore
throat (J02,
165.0, LAMA)

Page 25 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

9 BPJS KESEHATAN DIIZINKAN PULANG Toxic liver disease

(K71, 194.9, LAMA),


Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA)
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG

G 2 PRIBADI DIIZINKAN PULANG

6 BPJS KESEHATAN DIIZINKAN PULANG Leptospirosis

(A27, 018, LAMA),


Congestive heart
failure-Congestive
heart disease
(I50.0, 151, LAMA)
4 BPJS KESEHATAN DIIZINKAN PULANG Asthma (J45, 176,
LAMA)

G 3 PRIBADI DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

G 2 PRIBADI DIIZINKAN PULANG Single spontaneous


delivery
(O80, 243,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


Page 26 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 4 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p. A 4 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p. A 4 PRIBADI DIIZINKAN PULANG Bacterial sepsis of
newborn,
unspecified
(P36.9, 250, LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p. A 2 PRIBADI DIIZINKAN PULANG Singleton, born in


hospital
(Z38.0, 295,
LAMA)

Page 27 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p.PD 3 PRIBADI BELUM SEMBUH Hypertension - High


blood pressure
(I10, 145,
LAMA)

G 2 PRIBADI DIIZINKAN PULANG Unspecified


maternal
hypertension
(O16, 237.9,
LAMA)
G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion
[See above for
subdivisions] (O06,
236.9, LAMA)

p.PD 2 BPJS KESEHATAN DIIZINKAN PULANG Dyspepsia -


Indigestion
(K30,
189.9, LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Other failed
induction of labour
(O61.8,
242.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 28 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG

p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Bacterial infection,


unspecified
(A49.9, 018,
LAMA),
Physiological
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Hypoglycaemia,
unspecified
(E16.2, 111,
LAMA)
p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.PD 3 PRIBADI DIIZINKAN PULANG Ge/Diare (A09.9,
005, LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA)

Page 29 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 4 PRIBADI DIIZINKAN PULANG

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Dyspepsia -
Indigestion
(K30,
5 BPJS KESEHATAN DIIZINKAN PULANG 189.9, LAMA)
Stroke, not specified
as haemorrhage or
infarction (I64, 155,
LAMA),
Atrial fibrillation and
flutter
(I48, 150, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA),
Elevation of levels of
transaminase and
lactic ... (R74.0,
270.9, LAMA)

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA)
B 2 BPJS KESEHATAN DIIZINKAN PULANG Soft tissue disorder,
unspecified
(M79.9, 207.9,
LAMA)

B 2 PRIBADI DIIZINKAN PULANG Inguinal hernia

(K40, 187, LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Asthma,


unspecified-
Asthmatic bronchitis
NOS (J45.9,
176, LAMA)

Page 30 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

3 PRIBADI DIIZINKAN PULANG Vertigo of central


origin
(H81.4, 142.9,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA)
a,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion
[See above for
subdivisions] (O06,
236.9, LAMA)

G 4 PRIBADI DIIZINKAN PULANG Prem.rupt.of


membran,onset of
lab.within 24 hours
(O42.0, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)


p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA),
Bacterial infection,
unspecified
(A49.9, 018,
LAMA)
p.A 4 PRIBADI DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 31 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.A 2 BPJS KESEHATAN DIIZINKAN PULANG Ispa/Acute upper


respiratory infection,
unspecified (J06.9,
167, LAMA),
Anaemia,
unspecified
(D64.9,
098, LAMA)
3 PRIBADI MEMBAIK Other and
unspecified
abdominal pain
(R10.4, 267,
LAMA)
4 BPJS KESEHATAN BELUM SEMBUH Typhoid fever -
Infection due to
Salmonella typhi
(A01.0, 002, LAMA)

p. A 3 PRIBADI DIIZINKAN PULANG

B 4 BPJS KESEHATAN DIIZINKAN PULANG Acute appendicitis,


unspecified
(K35.9, 186,
LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Toxic liver disease

(K71, 194.9, LAMA),


Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA)
1 BPJS KESEHATAN MENINGGAL < 48 JAM Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA)

2 BPJS KESEHATAN DIIZINKAN PULANG Dyspepsia -


Indigestion
(K30,
189.9, LAMA)
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B 10 PRIBADI DIIZINKAN PULANG Burns involving 20-


29% of body surface
(T31.2,
283, LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p. A 3 PRIBADI TIDAK SEMBUH

G 3 PRIBADI DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 2 BPJS KESEHATAN DIIZINKAN PULANG Mater.care due to
uterine scar from
previous surg.
(O34.2, 239.9,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Febrile convulsions

(R56.0, 270.3,
LAMA),
Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA)

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G 6 BPJS KESEHATAN DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Prem.rupt.of


membran,onset of
lab.within 24 hours
(O42.0, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

G 2 PRIBADI DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

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p. A 4 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA),
Acute pharyngitis -
Includes: acute sore
throat (J02,
165.0, LAMA),
Dehydration
(Volume depletion)
(E86,
110, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

p.A 3 BPJS KESEHATAN BELUM SEMBUH Neonatal aspiration


of meconium
(P24.0, 249,
LAMA),
Bacterial sepsis of
newborn,
unspecified
(P36.9, 250, LAMA),
Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

p.A 2 PRIBADI DIIZINKAN PULANG

G 1 PRIBADI DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Viral infection,


unspecified
(B34.9, 041,
LAMA)
Page 35 of 68
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B 2 BPJS KESEHATAN DIIZINKAN PULANG Inguinal hernia

(K40, 187, LAMA)

G 1 PRIBADI DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,


unspecified
(J18.9,
169, LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Hypokalaemia

p. A 2 PRIBADI DIIZINKAN PULANG Physiological


(E87.6, 111, LAMA)
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

5 BPJS KESEHATAN DIIZINKAN PULANG

a,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG Blighted ovum and


nonhydatidiform
mole
(O02.0, 236.9,
LAMA)

p.A 3 BPJS KESEHATAN BELUM SEMBUH

G 2 PRIBADI DIIZINKAN PULANG Anaemia,


unspecified
(D64.9,
098, LAMA)

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2 BPJS KESEHATAN DIIZINKAN PULANG Abnormal findings


on diagnostic
imaging of lung
(R91, 270.9, LAMA),
Thrombocytopenia,
unspecified
(D69.6, 099,
LAMA),
Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 4 BPJS KESEHATAN DIIZINKAN PULANG

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Ispa/Acute upper


respiratory infection,
unspecified (J06.9,
167, LAMA)

2 PRIBADI DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA)

p. A 4 PRIBADI DIIZINKAN PULANG

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3 BPJS KESEHATAN DIIZINKAN PULANG

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Urinary tract


infection, site not
specified
(N39.0, 217, LAMA)

p.PD 3 PT. PRIMA SARANA DIIZINKAN PULANG Other arthritis


JASA / PRUDENTIAL
SOS (M13, 200.9, LAMA),
Hypertension - High
blood pressure
(I10, 145,
p. A 4 BPJS KESEHATAN DIIZINKAN PULANG LAMA)

2 BPJS KESEHATAN BELUM SEMBUH Chronic renal failure,


unspecified
(N18.9, 214.9,
LAMA),
Anaemia,
unspecified
(D64.9,
098, LAMA)
p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Dyspepsia -
Indigestion
(K30,
p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG 189.9, LAMA)
Ge/Diare (A09.9,
005, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)


p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)

Page 38 of 68
Hari Penjamin Keadaan Keluar Diagnosa
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p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 2 BPJS KESEHATAN BELUM SEMBUH

p.A 3 PRIBADI DIIZINKAN PULANG

G 3 BPJS KESEHATAN DIIZINKAN PULANG

B 2 BPJS KESEHATAN DIIZINKAN PULANG Haemorrhoids

(I84, 163, LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p.PD 2 BPJS KESEHATAN MENINGGAL < 48 JAM Urinary tract


infection, site not
specified
(N39.0, 217, LAMA),
Cardiac arrest,
unspecified
(I46.9, 150,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Single live birth

(Z37.0, 298, LAMA)


Page 39 of 68
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B 7 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, LAMA),
Insulin-dependent
DM with gangrene
(ulcer) (E10.5,
104.0, LAMA),
Anal abscess -
Perianal abscess
(K61.0,
192.9, LAMA)

p. A 2 BPJS KESEHATAN DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA),
Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Bronchopneumonia,


unspecified
(J18.0, 169,
LAMA),
Ge/Diare (A09.9,
005, LAMA)
p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,
005, LAMA)

p.A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

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3 PRIBADI DIIZINKAN PULANG Hypokalaemia

(E87.6, 111, LAMA),


Thyrotoxicosis
[hyperthyroidism]
(E05, 102,
2 BPJS KESEHATAN BELUM SEMBUH LAMA)

3 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)


8 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of
lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Urinary tract


infection, site not
specified
(N39.0, 217, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of


lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA)

Page 41 of 68
Hari Penjamin Keadaan Keluar Diagnosa
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2 BPJS KESEHATAN DIIZINKAN PULANG

B 3 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG Urinary tract


infection, site not
specified
(N39.0, 217, LAMA),
Spondylosis,
unspecified
(M47.9,
206.0, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Anaemia comp.


preg.,childbirth
&amp; the
puerperium
(O99.0, 244, LAMA)

a,Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG Prem.rupt.of


membran,onset of
lab.within 24 hours
(O42.0, 239.2,
LAMA),
Severe pre-
eclampsia
(O14.1,
237.0, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 42 of 68
Hari Penjamin Keadaan Keluar Diagnosa
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p. A 3 BPJS KESEHATAN BELUM SEMBUH Scarlet fever -


Scarlatina
(A38, 018,
LAMA),
Septicaemia,
unspecified
(A41.9,
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG 017,
FetusLAMA)
and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,
005, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.PD 6 BPJS KESEHATAN DIIZINKAN PULANG Urinary tract


infection, site not
specified
(N39.0, 217, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA),
Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA)

Page 43 of 68
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p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
6 BPJS KESEHATAN DIIZINKAN PULANG Cerebrovascular
disease, unspecified
(I67.9,
156, LAMA),
Hypertension - High
blood pressure
(I10, 145,
p.A 7 BPJS KESEHATAN DIIZINKAN PULANG LAMA)
DHF / DBD

(A91, 032.1, LAMA),


Febrile convulsions

(R56.0, 270.3,
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG LAMA)
Bronchopneumonia,
unspecified
(J18.0, 169,
LAMA),
Ge/Diare (A09.9,
005, LAMA)
4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Typhoid fever -
Infection due to
Salmonella typhi
(A01.0, 002, LAMA)
5 BPJS KESEHATAN DIIZINKAN PULANG Congestive heart
failure-Congestive
heart disease
(I50.0, 151, LAMA),
Left bundle-branch
block, unspecified
(I44.7, 150,
LAMA)

Page 44 of 68
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5 BPJS KESEHATAN DIIZINKAN PULANG Vertigo of central


origin
(H81.4, 142.9,
LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA)
4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

3 BPJS KESEHATAN DIIZINKAN PULANG Idiopathic


thrombocytopenic
purpura
(D69.3, 099, LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


7 BPJS KESEHATAN DIIZINKAN PULANG Hypertension - High
blood pressure
(I10, 145,
LAMA)
B 2 BPJS KESEHATAN DIIZINKAN PULANG Haemorrhoids

(I84, 163, LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Other and


unspecified
abdominal pain
(R10.4, 267,
LAMA)
p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 45 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Other and


unspecified
abdominal pain
(R10.4, 267,
LAMA)
4 PRIBADI DIIZINKAN PULANG Hypertension - High
blood pressure
(I10, 145,
LAMA),
Headache - Facial
pain NOS
(R51, 270.9,
p.A 3 BPJS KESEHATAN DIIZINKAN PULANG LAMA)
Bacterial infection,
unspecified
(A49.9, 018,
LAMA),
Febrile convulsions

(R56.0, 270.3,
a,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG LAMA)
Missed abortion

(O02.1, 236.9,
LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG M.care for disp.due


to generally contrac.
pelvis (O33.1,
239.9, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 46 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

a,Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


2 BPJS KESEHATAN DIIZINKAN PULANG Other and
unspecified
abdominal pain
(R10.4, 267,
LAMA)
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
7 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 47 of 68
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G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

G 3 PRIBADI DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG Soft tissue disorder,


unspecified
(M79.9, 207.9,
LAMA)

p.A 5 BPJS KESEHATAN DIIZINKAN PULANG

B 2 BPJS KESEHATAN DIIZINKAN PULANG Soft tissue disorder,


unspecified
(M79.9, 207.9,
LAMA)

p. A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 48 of 68
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G 3 BPJS KESEHATAN DIIZINKAN PULANG Oligohydramnios

(O41.0, 239.9,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

G 5 BPJS KESEHATAN DIIZINKAN PULANG Urinary tract


infection, site not
specified
(N39.0, 217, LAMA)

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA)

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA)

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,


unspecified
(J18.9,
169, LAMA),
Dyspepsia -
Indigestion
(K30,
p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG 189.9, LAMA)
Ge/Diare (A09.9,
005, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)

Page 49 of 68
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p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Stroke, not specified
as haemorrhage or
infarction (I64, 155,
LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA),
Urinary tract
infection, site not
specified
(N39.0, 217, LAMA),
Typhoid fever -
Infection due to
Salmonella typhi
(A01.0, 002, LAMA)

G 3 PRIBADI DIIZINKAN PULANG Maternal care for


disproportion,
unspecified
(O33.9, 239.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


G 4 BPJS KESEHATAN DIIZINKAN PULANG Maternal care for
other specified fetal
problems (O36.8,
239.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 50 of 68
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p. A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Contracted pelvis -
Persistent
occipitoposterior
(P03.1, 245, LAMA),
Single live birth

(Z37.0, 298, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

4 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA)

Page 51 of 68
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2 PRIBADI DIIZINKAN PULANG Dyspepsia -


Indigestion
(K30,
189.9, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA)
G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 4 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
G 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by elective
caesarean section
(O82.0, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 4 PRIBADI DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 52 of 68
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B 2 BPJS KESEHATAN DIIZINKAN PULANG Other appendicitis

(K36, 186, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Obst.lab.due to


malposition
malpresent.of fetus
(O64, 240, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Obst.lab.due to


malposition
malpresent.of fetus
(O64, 240, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.PD 2 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 7 BPJS KESEHATAN DIIZINKAN PULANG Cervix uteri,


unspecified
(C53.9,
074, LAMA),
Hypokalaemia

(E87.6, 111, LAMA),


Hypertension - High
blood pressure
(I10, 145,
p.PD 4 PRIBADI DIIZINKAN PULANG DHF / DBD
LAMA)

(A91, 032.1, LAMA)

Page 53 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 2 PT. ADMEDIKA DIIZINKAN PULANG

p.A 3 PRIBADI DIIZINKAN PULANG Ge/Diare (A09.9,


005, LAMA)

G 1 PRIBADI BELUM SEMBUH

p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.A 5 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Congenital
pneumonia
(P23,
249, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG

Page 54 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Dyspepsia -


Indigestion
(K30,
189.9, LAMA),
Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA),
Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG Other appendicitis

(K36, 186, LAMA)

G 4 PRIBADI DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


G 4 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture
of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.A 4 PRIBADI DIIZINKAN PULANG

p.A 4 PRIBADI DIIZINKAN PULANG

Page 55 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

4 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG

4 BPJS KESEHATAN DIIZINKAN PULANG Larynx - Epiglottis


(suprahyoid portion)
(D14.1,
096.4, LAMA)

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Hyperemesis


gravidarum with
metabolic
disturbance (O21.1,
242.9, LAMA)

G 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Other failed
induction of labour
(O61.8,
242.9, LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

Page 56 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 3 BPJS KESEHATAN DIIZINKAN PULANG Premature rupture


of membranes,
unspecified
(O42.9, 239.2,
LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 2 PRIBADI BELUM SEMBUH Fetus&amp;newborn
affec.by placental
transfusion synd.
(P02.3, 245, LAMA),
Bacterial sepsis of
newborn,
unspecified
(P36.9, 250, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

p.A 8 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 4 PRIBADI DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

a,Sp.OG 11 BPJS KESEHATAN DIIZINKAN PULANG

p.A 2 BPJS KESEHATAN DIIZINKAN PULANG Ispa/Acute upper


respiratory infection,
unspecified (J06.9,
167, LAMA)

Page 57 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,


unspecified
(J18.9,
169, LAMA),
Hypo-osmolality and
hyponatraemia
(E87.1, 111,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Hypertension - High
blood pressure
a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG (I10, 145,
Oligohydramnios
LAMA)
(O41.0, 239.9,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

a,Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)

Page 58 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

B 10 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, LAMA),
Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA),
Hypo-osmolality and
hyponatraemia
(E87.1, 111,
LAMA),
Septicaemia,
unspecified
(A41.9,
017, LAMA)
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.PD 12 BPJS KESEHATAN MENINGGAL < 48 JAM

p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG Cellulitis

(L03, 198, LAMA),


Hypertension - High
blood pressure
(I10, 145,
LAMA),
Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Low back pain - Loin
pain - Low back
strain (M54.5,
206.9, LAMA)

Page 59 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 3 PRIBADI DIIZINKAN PULANG Hypo-osmolality and


hyponatraemia
(E87.1, 111,
LAMA),
Hypokalaemia

(E87.6, 111, LAMA),


Other specified
anaemias-Infantile
pseudoleukaemia
(D64.8, 098, LAMA)
p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Urinary tract
infection, site not
specified
(N39.0, 217, LAMA),
Diabetes Melitus
tidak tergantung
insulin (E11,
104.1, LAMA),
Hypertension - High
blood pressure
(I10, 145,
LAMA)
B 2 BPJS KESEHATAN DIIZINKAN PULANG Other appendicitis

(K36, 186, LAMA),


Other and
unspecified ovarian
cysts
(N83.2, 229, LAMA)
p. A 3 PRIBADI DIIZINKAN PULANG

6 BPJS KESEHATAN MENINGGAL < 48 JAM

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Supervision of high-


risk pregnancy,
unspecified
(Z35.9, 294.1,
LAMA)

Page 60 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

8 BPJS KESEHATAN DIIZINKAN PULANG Diabetes Melitus


tidak tergantung
insulin (E11,
104.1, BARU)

10 BPJS KESEHATAN DIIZINKAN PULANG Acute appendicitis,


unspecified
(K35.9, 186,
LAMA),
Anaemia,
unspecified
(D64.9,
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG 098, LAMA)
Ge/Diare (A09.9,
005, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

9 BPJS KESEHATAN DIIZINKAN PULANG Vertigo NOS-


Dizziness &amp;
giddiness-Light-
headedness (R42,
270.9, LAMA),
Urinary tract
infection, site not
specified
(N39.0, 217, LAMA),
Chronic renal failure,
unspecified
(N18.9, 214.9,
LAMA)

Page 61 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Lab.&amp; delivery


comp. by fetal
stress, unspecified
(O68.9, 242.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
6 BPJS KESEHATAN DIIZINKAN PULANG Pneumonia,
unspecified
(J18.9,
169, LAMA),
Anaemia,
unspecified
(D64.9,
098, LAMA),
Congestive heart
failure-Congestive
heart disease
(I50.0, 151, LAMA)

Page 62 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Prem.rupt.of


membran,onset of
lab.within 24 hours
(O42.0, 239.2,
LAMA),
Unspecified
maternal
hypertension
(O16, 237.9,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.A 2 PRIBADI BELUM SEMBUH Ge/Diare (A09.9,


005, LAMA),
Febrile convulsions

(R56.0, 270.3,
LAMA)
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
a,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG Anaemia comp.
preg.,childbirth
&amp; the
puerperium
(O99.0, 244, LAMA)

p.PD 5 BPJS KESEHATAN DIIZINKAN PULANG Tuberkulosis Milier

(A19, 008.4, LAMA),


Dyspepsia -
Indigestion
(K30,
189.9, LAMA),
Hypokalaemia

(E87.6, 111, LAMA)

Page 63 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Delivery by


caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Prem.rupt.of


membran,onset of
lab.within 24 hours
(O42.0, 239.2,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG Connective and


other soft tissue of
abdomen
(D21.4, 096.6,
LAMA)

B 2 BPJS KESEHATAN DIIZINKAN PULANG Inguinal hernia


(unilateral) NOS
(K40.9,
187, LAMA)
a,Sp.OG 3 BPJS KESEHATAN DIIZINKAN PULANG Oligohydramnios

(O41.0, 239.9,
LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 64 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Dyspepsia -
Indigestion
(K30,
a,Sp.OG 2 BPJS KESEHATAN DIIZINKAN PULANG 189.9, LAMA)

p.PD 6 BPJS KESEHATAN DIIZINKAN PULANG

p.A 3 BPJS KESEHATAN DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
a,Sp.OG 4 BPJS KESEHATAN DIIZINKAN PULANG Severe pre-
eclampsia
(O14.1,
237.0, LAMA),
Delivery by
caesarean section,
unspecified
(O82.9, 242.9,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG Angioneurotic


oedema - Giant
urticaria
(T78.3, 287, LAMA)

Page 65 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.PD 3 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA),


Hypertension - High
blood pressure
(I10, 145,
LAMA),
Dyspepsia -
Indigestion
(K30,
p.A 4 PRIBADI DIIZINKAN PULANG Physiological
189.9, LAMA)
jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p.A 2 PRIBADI DIIZINKAN PULANG Physiological


jaundice (intense)
(prolonged) NOS
(P59.9, 253.9,
LAMA)

p.PD 7 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of


lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA),
Haemoptysis -
Blood-stained
sputum
(R04.2, 270.9,
LAMA),
Pleural effusion, not
elsewhere classified
(J90, 179.3,
LAMA)

p.A 10 PRIBADI DIIZINKAN PULANG

Page 66 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

p.A 3 PRIBADI DIIZINKAN PULANG Fetus and newborn


affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.A 4 BPJS KESEHATAN DIIZINKAN PULANG Dyspepsia -
Indigestion
(K30,
189.9, LAMA)
p.A 2 PRIBADI DIIZINKAN PULANG Fetus and newborn
affected by
caesarean delivery
(P03.4, 245, LAMA),
Singleton, born in
hospital
(Z38.0, 295,
LAMA)
B 3 BPJS KESEHATAN DIIZINKAN PULANG Inguinal hernia

(K40, 187, LAMA)

G 2 BPJS KESEHATAN DIIZINKAN PULANG Unspecified abortion


[See above for
subdivisions] (O06,
236.9, LAMA)

p.PD 2 BPJS KESEHATAN DIIZINKAN PULANG

p.PD 4 BPJS KESEHATAN DIIZINKAN PULANG Tuber.of


lung,confir.by
sputum microscopy
culture (A15.0,
007.0, LAMA)

G 4 PRIBADI DIIZINKAN PULANG Single spontaneous


delivery
(O80, 243,
LAMA),
Single live birth

(Z37.0, 298, LAMA)

Page 67 of 68
Hari Penjamin Keadaan Keluar Diagnosa
Rawat

G 2 PRIBADI DIIZINKAN PULANG Single spontaneous


delivery
(O80, 243,
LAMA),
Ispa/Acute upper
respiratory infection,
unspecified (J06.9,
167, LAMA),
Single live birth

(Z37.0, 298, LAMA)


p.A 2 PRIBADI DIIZINKAN PULANG Singleton, born in
hospital
(Z38.0, 295,
LAMA)
p.A 3 BPJS KESEHATAN DIIZINKAN PULANG DHF / DBD

(A91, 032.1, LAMA)

Page 68 of 68

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