RUMAH SAKIT UMUM DAERAH MAMPANG PRAPATAN

Jl. Kapten P. Tendean No. 9A, Mampang Prapatan, Jakarta Selatan, DKI Jakarta
021-7971115
E-mail : rsudmampangprapatan@jakarta.go.id

DAFTAR PASIEN RAWAT INAP

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/02/29/000589 003697 PATMI CA001 P CEMPAKA A HYPOKALEMI + HYPOKALEMI + 01/03/2024 03:47:10 02/03/2024 12:24:05 Rp 200,000.00
INTAKE SULIT + INTAKE SULIT +
DYSPEPSIA DYSPEPSIA
2024/03/01/000758 079163 SLAMET RIYANTI CA003 P CEMPAKA A SUSP HNP LS-SI SUSP HNP LS-SI 01/03/2024 14:32:49 04/03/2024 14:02:41 Rp 400,000.00
2024/02/29/000588 120151 UMAYYAH CA001 P CEMPAKA A SUSP TB + VIRAL SUSP TB + VIRAL 01/03/2024 17:15:16 01/03/2024 17:47:06 Rp 100,000.00
INFECTION INFECTION
2024/03/01/000793 114546 AFRILIA ARI CA001 P CEMPAKA A COLIC ABDOMEN COLIC ABDOMEN 01/03/2024 18:24:20 03/03/2024 19:03:56 Rp 300,000.00
2024/03/01/000808 101095 NUR ULFAYATUN CA004 P CEMPAKA A KOLIK ABDOMEN KOLIK ABDOMEN 01/03/2024 22:24:30 03/03/2024 11:03:53 Rp 300,000.00
SUSP APP SUSP APP
2024/03/02/000217 120221 RAHMATIN CA002 P CEMPAKA A GEA DRS GEA DRS 02/03/2024 22:33:42 05/03/2024 11:28:43 Rp 400,000.00
2024/03/03/000054 120244 HINDUN CA003 P CEMPAKA A DHF DHF 03/03/2024 16:18:13 05/03/2024 15:22:17 Rp 300,000.00
2024/03/04/000184 067578 ASMAH HAMZAH CA001 P CEMPAKA A ANEMIA ANEMIA 04/03/2024 06:49:14 07/03/2024 10:58:10 Rp 400,000.00
2024/03/04/000360 115547 DASRI CA003 P CEMPAKA A GENERAL GENERAL 04/03/2024 15:03:47 05/03/2024 14:33:11 Rp 200,000.00
WEAKNESS + WEAKNESS +
HIPOKALEMIA HIPOKALEMIA
SEDANG
2024/03/04/000398 020063 NIWID INDIYARTI CA003 P CEMPAKA A GERD GERD 04/03/2024 22:19:06 08/03/2024 11:10:30 Rp 500,000.00
2024/03/05/000122 120324 SHAFAA SALSABILA CA002 P CEMPAKA A DHF DHF 05/03/2024 02:07:33 07/03/2024 10:57:57 Rp 300,000.00
2024/03/05/000275 120333 PUJI LESTARI CA004 P CEMPAKA A GEA + VIRAL GEA 05/03/2024 18:23:02 08/03/2024 11:04:43 Rp 400,000.00
INFECTION
2024/03/05/000274 120360 LIA AGUSTININGSIH CA002 P CEMPAKA A kolik renal kolik renal 05/03/2024 18:24:17 07/03/2024 19:09:35 Rp 400,000.00
2024/03/06/000119 120368 ASRI WAHYUNI CA002 P CEMPAKA A BACTERIAL BACTERIAL 06/03/2024 00:19:10 07/03/2024 18:12:25 Rp 200,000.00
INFECTION INFECTION
2024/03/06/000254 055712 TATIK CA001 P CEMPAKA A DHF GR I DHF GR I 06/03/2024 12:17:45 08/03/2024 20:46:54 Rp 300,000.00
2024/03/06/000265 040251 INDAH PRIYATIN CA001 P CEMPAKA A DENGUE FEVER DHF 06/03/2024 13:25:23 09/03/2024 11:02:28 Rp 400,000.00
2024/03/06/000282 033108 SUMARSIFA CA002 P CEMPAKA A LBP DD LPNP LBP DD LPNP 06/03/2024 15:14:25 07/03/2024 15:45:50 Rp 200,000.00
2024/03/07/000218 029114 SUSWATI CA001 P CEMPAKA A HYPERGLIKEMIA EC HYPERGLIKEMIA 07/03/2024 13:48:27 10/03/2024 13:50:30 Rp 400,000.00
DM TIPE II EC DM TIPE II
2024/03/07/000222 089002 NURSEHA CA001 P CEMPAKA A ULKUS PEDIS ULKUS PEDIS 07/03/2024 14:15:27 09/03/2024 11:06:05 Rp 300,000.00
DEXTRA
2024/03/07/000237 035701 RINI ADE CA001 P CEMPAKA A DHF GR I DHF GR I 07/03/2024 16:17:05 09/03/2024 11:08:05 Rp 300,000.00
KURNIAWATI
2024/03/07/000241 084169 RIA AMANABILLAH CA002 P CEMPAKA A ANEMIA GRAVIS, ANEMIA GRAVIS, 07/03/2024 16:35:08 10/03/2024 13:38:18 Rp 400,000.00
AIHA, MDS AIHA, MDS
2024/03/07/000279 120478 SITI MASTUROH CA002 P CEMPAKA A Anemia Gravis ec 07/03/2024 22:51:54 10/03/2024 19:07:53 Rp 300,000.00
Menometroragia
Hiperglikemia reaktif
dd DM tipe 2
2024/03/08/000447 120506 ROHIMAH BT ROMLI CA004 P CEMPAKA A ANEMIA + ANEMIA + 08/03/2024 13:27:40 10/03/2024 20:52:39 Rp 300,000.00
ABDOMINAL PAIN ABDOMINAL
2024/03/08/000467 103743 ADE IRMA CANIAGO CA003 P CEMPAKA A ABDOMINAL PAIN ABDOMINAL 08/03/2024 15:39:25 10/03/2024 20:30:51 Rp 300,000.00

7/19/24, 8:38 PM Page 1 of 18

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/09/000174 020348 SITI RAHMAWATI CA003 P CEMPAKA A DHF DHF 09/03/2024 12:28:46 15/03/2024 10:53:05 Rp 700,000.00
ALISIAH
2024/03/09/000212 120351 FANISA RAHMAWATI CA001 P CEMPAKA A DHF DHF 10/03/2024 14:28:04 11/03/2024 15:14:53 Rp 200,000.00
2024/03/10/000076 085876 YAMIATI CA003 P CEMPAKA A HT EMERGENCY HT EMERGENCY 10/03/2024 23:23:09 11/03/2024 13:15:55 Rp 200,000.00
2024/03/11/000152 120616 ALANG SRI BAKTI CA002 P CEMPAKA A MALAISE DAN MALAISE DAN 11/03/2024 13:16:03 14/03/2024 13:01:36 Rp 400,000.00
FATIGUE FATIGUE
2024/03/12/000224 089002 NURSEHA CA003 P CEMPAKA A GANGREN PEDIS GANGREN PEDIS 12/03/2024 10:13:47 15/03/2024 12:54:45 Rp 400,000.00
2024/03/12/000327 053139 DEWI APRIYANI CA001 P CEMPAKA A obs dyspneu obs dyspneu 12/03/2024 21:53:04 14/03/2024 10:32:47 Rp 300,000.00
2024/03/12/000330 064285 YEYET ROHAYATI CA004 P CEMPAKA A OBS DYSPNEU EC OBS DYSPNEU 12/03/2024 22:31:39 14/03/2024 10:45:45 Rp 300,000.00
ASMA EC ASMA
2024/03/12/000329 052591 IIM MASRIAH CA001 P CEMPAKA A HAEMOPTOE HAEMOPTOE 12/03/2024 22:56:30 14/03/2024 21:49:27 Rp 300,000.00
2024/03/13/000217 022173 LAILAH HANIFAH CA001 P CEMPAKA A VERTIGO, ISK VERTIGO, ISK 13/03/2024 09:13:14 15/03/2024 15:22:39 Rp 300,000.00
2024/03/13/000383 120691 AFIFAH SYIFAH CA001 P CEMPAKA A GEA GEA 13/03/2024 12:55:55 15/03/2024 11:01:16 Rp 300,000.00
2024/03/13/000427 118455 NURLAELA CA003 P CEMPAKA A VERTIGO PERIFER VERTIGO 13/03/2024 15:00:02 15/03/2024 14:38:16 Rp 300,000.00
2024/03/13/000446 120724 ASWIYAH CA004 P CEMPAKA A DHF GRADE 1 DHF GRADE 1 13/03/2024 18:10:24 17/03/2024 16:19:37 Rp 600,000.00
2024/03/13/000462 078410 SUPRIYATI CA002 P CEMPAKA A HT URGENCY HT URGENCY 13/03/2024 19:52:32 15/03/2024 12:58:02 Rp 300,000.00
2024/03/14/000488 008699 MURTIFAH CA002 P CEMPAKA A CVD SNH DD SH CVD SNH DD SH 14/03/2024 06:22:23 14/03/2024 19:00:54 Rp 200,000.00
2024/03/15/000162 110694 SITI MIRA NUR CA002 P CEMPAKA A HIPOKALEMIA HIPOKALEMIA 15/03/2024 03:07:34 16/03/2024 12:00:02 Rp 200,000.00
AWALIYAH PERBAIKAN
2024/03/15/000359 119291 RINI ARYANI CA003 P CEMPAKA A gea + anemia gea + anemia 15/03/2024 17:42:54 18/03/2024 11:49:20 Rp 400,000.00
2024/03/15/000388 120818 AMELDA NESIMNASI CA001 P CEMPAKA A KOLIK ABDOMEN KOLIK ABDOMEN 15/03/2024 22:38:27 16/03/2024 13:26:22 Rp 200,000.00
2024/03/15/000395 120829 HERLINA YANTI CA001 P CEMPAKA A DHF GR 1 DHF GR 1 15/03/2024 23:55:22 18/03/2024 11:55:03 Rp 400,000.00
2024/03/16/000348 120834 EUNIKE FERSA CA002 P CEMPAKA A DHF DHF 16/03/2024 02:56:59 18/03/2024 12:22:09 Rp 300,000.00
2024/03/17/000008 026097 SANTIKA APRILIA CA004 P CEMPAKA A GEA DRS + ISPA gea drs + ispa 17/03/2024 05:30:09 17/03/2024 20:16:02 Rp 200,000.00
2024/03/17/000015 114055 RIYANA HERMAWATI CA004 P CEMPAKA A KOLIK ABDOMEN KOLIK ABDOMEN 17/03/2024 08:15:26 19/03/2024 14:34:17 Rp 300,000.00
2024/03/17/000038 019393 ERNAWATI CA002 P CEMPAKA A VOMITUS vomitus 17/03/2024 13:38:46 20/03/2024 14:44:57 Rp 400,000.00
2024/03/18/000271 033316 AMSIAH CA001 P CEMPAKA A HYPERKALAEMIA HYPERKALAEMIA 18/03/2024 10:54:39 21/03/2024 14:08:51 Rp 400,000.00
2024/03/16/000472 041965 YUYUS KOMALASARI CA003 P CEMPAKA A ASMA ASMA 18/03/2024 13:20:23 20/03/2024 14:12:26 Rp 300,000.00
EKSASERBASI EKSASERBASI
BERAT
2024/03/18/000379 119159 ARFA TUSIEK CA002 P CEMPAKA A ANEMIA ANEMIA 18/03/2024 21:26:24 21/03/2024 11:24:40 Rp 400,000.00
2024/03/18/000381 104082 NOVIA SURYANI CA003 P CEMPAKA A DHF Gr I DHF Gr I 18/03/2024 21:56:45 21/03/2024 11:14:34 Rp 400,000.00
2024/03/19/000113 095431 SRI MAILANI CA004 P CEMPAKA A syok hipovolemik syok hipovolemik 19/03/2024 02:23:30 19/03/2024 18:53:37 Rp 200,000.00
teratasi,bacterial teratasi,bacterial
infection, dispepsia, infection,
low intake dispepsia, low
intake
2024/03/19/000238 104663 ETTY ARYANI CA001 P CEMPAKA A SNH SNH 19/03/2024 19:31:44 23/03/2024 11:12:49 Rp 500,000.00
2024/03/20/000111 084086 ROHAYNI CA001 P CEMPAKA A CHOLELITIASIS CHOLELITIASIS 20/03/2024 02:45:19 21/03/2024 14:21:46 Rp 200,000.00
2024/03/20/001268 121002 RISKA ISTIANA CA004 P CEMPAKA A DENGUE FEVER DENGUE FEVER 20/03/2024 12:32:40 24/03/2024 16:30:32 Rp 500,000.00
2024/03/20/001293 121014 EVA MULYANI CA001 P CEMPAKA A LBP LBP 20/03/2024 15:32:10 21/03/2024 23:05:36 Rp 200,000.00
2024/03/20/001307 117654 AYU HAMDANI CA001 P CEMPAKA A DHF GRADE II DHF GRADE II 20/03/2024 19:55:17 23/03/2024 10:05:51 Rp 400,000.00
2024/03/21/000090 121028 JIM STIAWATI CA003 P CEMPAKA A DEMAM TYPHOID DEMAM TYPHOID 21/03/2024 02:00:08 23/03/2024 14:50:56 Rp 300,000.00
2024/03/21/000104 121041 ALIFAH HANA CA002 P CEMPAKA A TYPHOID FEVER TYPHOID FEVER 21/03/2024 07:11:37 26/03/2024 16:19:56 Rp 600,000.00
2024/03/21/000247 110219 SITI RUKILAH CA001 P CEMPAKA A CAP DD TB + CAP DD TB + 21/03/2024 18:38:45 24/03/2024 20:01:40 Rp 400,000.00
HYPERGLIKEMIA HYPERGLIKEMIA
PADA DM TIPE II + PADA DM TIPE II
INTAKE SULIT + INTAKE SULIT

7/19/24, 8:38 PM Page 2 of 18

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/22/000227 022727 EUIS MUHAROMAH CA001 P CEMPAKA A VOMITUS VOMITUS 22/03/2024 03:45:41 24/03/2024 18:31:48 Rp 300,000.00
2024/03/22/000229 121098 OON CA003 P CEMPAKA A HYPOKALAEMIA HYPOKALAEMIA 22/03/2024 04:12:47 23/03/2024 15:12:08 Rp 200,000.00
2024/03/22/000236 121095 SITI ZUBAEDAH CA003 P CEMPAKA A PNEUMONIA PNEUMONIA 22/03/2024 06:34:05 25/03/2024 19:14:43 Rp 400,000.00
2024/03/22/000341 118627 ROSADAH CA001 P CEMPAKA A LEUKOSITOSIS, LEUKOSITOSIS, 22/03/2024 12:21:37 02/04/2024 15:56:17 Rp 1,200,000.00
HIPERGLIMEKIA DM HIPERGLIMEKIA
TIPE 2, ELEKTROLIT DM TIPE 2,
IMBALANCE ELEKTROLIT
IMBALANCE
2024/03/23/000158 121152 HIMLAH CA003 P CEMPAKA A EFUSI PLEURA EFUSI PLEURA 23/03/2024 10:24:59 26/03/2024 19:40:05 Rp 400,000.00
2024/03/23/000157 112921 ANJANI RISKA JULIA CA001 P CEMPAKA A GEA GEA 23/03/2024 10:28:03 25/03/2024 11:40:31 Rp 300,000.00
MAULIDINI
2024/03/23/000199 121167 RAMDANI CA003 P CEMPAKA A DHF. SUSP TB DHF. SUSP TB 23/03/2024 19:13:03 25/03/2024 21:23:28 Rp 300,000.00
2024/03/23/000244 049431 HUSNAWATI CA003 P CEMPAKA A HYPERGLIKEMIA HYPERGLIKEMIA 23/03/2024 23:01:51 26/03/2024 17:18:36 Rp 400,000.00
DM TIPE 2 + SNH DM TIPE 2 + SNH
2024/03/24/000014 061288 ALAWIYAH CA003 P CEMPAKA A ANEMIA ANEMIA 24/03/2024 07:08:28 25/03/2024 20:12:30 Rp 200,000.00
2024/03/24/000042 043181 SYAIFUL ZAHRI CA003 P CEMPAKA A VOMITUS VOMITUS 24/03/2024 14:04:57 25/03/2024 21:20:24 Rp 200,000.00
2024/03/25/000315 113571 RAHMA RAMADHANI CA001 P CEMPAKA A ANEMIA ANEMIA 25/03/2024 14:30:57 28/03/2024 19:02:01 Rp 400,000.00
2024/03/26/000235 121259 MUZAINAH CA003 P CEMPAKA A GEA + KERACUNAN GEA 26/03/2024 12:54:51 27/03/2024 18:31:03 Rp 200,000.00
MAKANAN
2024/03/27/000472 037647 ADINDA MAULIDIA CA002 P CEMPAKA A DENGUE FEVER DENGUE FEVER 27/03/2024 20:32:17 30/03/2024 11:09:48 Rp 500,000.00
2024/03/27/000480 121369 DEWI AGUSTINA CA004 P CEMPAKA A DHF GR I DHF GR I 27/03/2024 22:57:51 31/03/2024 14:21:14 Rp 500,000.00
2024/03/28/000640 121408 THJAI OEY TJEN CA001 P CEMPAKA A Curiga CVD SNH dd/Curiga CVD SNH 28/03/2024 20:58:42 30/03/2024 13:12:14 Rp 300,000.00
SH dd/ SH
2024/03/28/000649 121411 ROHYATI CA001 P CEMPAKA A BRONCHOPNEUMO BRONCHOPNEU 28/03/2024 21:30:00 30/03/2024 13:55:42 Rp 300,000.00
NIA MONIA
2024/03/29/000110 099327 ROKHANI CA002 P CEMPAKA A HIPOKALEMIA HIPOKALEMIA 29/03/2024 11:54:18 31/03/2024 13:27:11 Rp 300,000.00
2024/03/29/000140 090720 DARYATI CA003 P CEMPAKA A DENGUE FEVER + DENGUE FEVER 29/03/2024 18:41:41 01/04/2024 14:01:39 Rp 400,000.00
GEA + GEA
2024/03/29/000142 121428 SUMIATI CA002 P CEMPAKA A HEMAPTOEEC HEMAPTOEEC 29/03/2024 23:31:19 01/04/2024 17:41:30 Rp 400,000.00
SUSP TB DD EFUSI SUSP TB DD
EFUSI FLEURA
2024/03/30/000481 121452 PARTINI CA004 P CEMPAKA A GENERAL GENERAL 30/03/2024 14:08:08 02/04/2024 13:52:43 Rp 400,000.00
WEAKNESS, HT, DM, WEAKNESS, HT,
HIPOKALEMIA DM,
2024/03/30/000488 121474 BARIYAH CA002 P CEMPAKA A DHF GR II DHF 30/03/2024 16:05:02 01/04/2024 14:28:40 Rp 300,000.00
2024/03/31/000032 120156 ROSYADAH CA002 P CEMPAKA A TUMOR FRONTALIS TUMOR 31/03/2024 12:31:28 02/04/2024 10:36:47 Rp 300,000.00
FRONTALIS
2024/03/31/000068 121514 SEPTI AMELIYA CA001 P CEMPAKA A DENGUE FEVER DENGUE FEVER 31/03/2024 21:33:12 03/04/2024 13:00:58 Rp 400,000.00
2024/02/29/000585 107056 MAMAN CB002 L CEMPAKA B CAP DD BRONKITIS CAP DD 01/03/2024 04:50:34 03/03/2024 10:39:01 Rp 300,000.00
SUSP TB BRONKITIS SUSP
TB
2024/03/01/000796 120186 AGENG PANGESTU CB003 L CEMPAKA B DHF GRADE II DHF GRADE II 01/03/2024 18:51:14 05/03/2024 09:15:26 Rp 500,000.00
2024/03/03/000048 120242 RIDHO ARDIANSYAH CB002 L CEMPAKA B DHF DHF 03/03/2024 15:12:58 07/03/2024 10:57:40 Rp 500,000.00
PUTRA
2024/03/04/000367 057113 MAULANA BUDI CB004 L CEMPAKA B PNEUMONIA DD TB PNEUMONIA DD 04/03/2024 15:19:15 06/03/2024 12:48:17 Rp 300,000.00
PRASTIO TB
2024/03/04/000401 107056 MAMAN CB003 L CEMPAKA B CHF CHF 04/03/2024 22:20:23 08/03/2024 11:17:38 Rp 500,000.00
2024/03/06/000306 111313 IBRAHIM CB004 L CEMPAKA B TUMOR PEDIS TUMOR PEDIS 06/03/2024 18:08:38 07/03/2024 18:16:00 Rp 200,000.00
2024/03/06/000312 120404 M SALIM AWIENG CB003 L CEMPAKA B SUSP TB, SUSP TB, 06/03/2024 19:21:55 08/03/2024 11:21:13 Rp 300,000.00

7/19/24, 8:38 PM Page 3 of 18

NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
PROLONGED PROLONGED
FEBRIS
2024/03/07/000138 120430 EVARITUS CB002 L CEMPAKA B VOMMITUS VOMMITUS 07/03/2024 08:24:01 09/03/2024 10:22:01 Rp 300,000.00
JEFRIANUS SABAN
2024/03/05/000254 120332 HILMAN AGUSTA CB004 L CEMPAKA B PENURUNAN PENURUNAN 07/03/2024 20:02:12 11/03/2024 13:20:29 Rp 500,000.00
KESADARAN SUSP KESADARAN
KAD + AKI DD AKUT SUSP KAD + AKI
ON CKD DD AKUT ON
2024/03/08/000158 120488 HERMAWAN BAGUS CB001 L CEMPAKA B DHF grade 1 DHF grade 1 08/03/2024 00:36:49 11/03/2024 13:49:20 Rp 400,000.00
SANTOSO
2024/03/08/000503 120526 MURSIDI CB001 L CEMPAKA B GENERAL GENERAL 08/03/2024 19:09:45 13/03/2024 13:24:10 Rp 600,000.00
WEAKNESS EC LOW WEAKNESS EC
INTAKE, LBP EC LOW INTAKE,
LBP EC SUSP
2024/03/09/000079 120540 ABDUL RAFIQ CB003 L CEMPAKA B DHF DHF 09/03/2024 06:22:19 11/03/2024 13:35:08 Rp 300,000.00
2024/03/09/000210 085054 SUHARDIMAN CB002 L CEMPAKA B VOMITUS VOMITUS 09/03/2024 18:42:03 11/03/2024 18:57:17 Rp 300,000.00
2024/03/10/000013 024934 MOHAMMAD REZA CB002 L CEMPAKA B OBS DYSPNEU EC OBS DYSPNEU 10/03/2024 06:36:07 11/03/2024 14:12:04 Rp 200,000.00
PAHLEVI ASTHMA EC ASTHMA
2024/03/11/000190 056312 MOH ARIF CB004 L CEMPAKA B DYSPNEA DYSPNEA 11/03/2024 22:16:13 14/03/2024 18:26:30 Rp 400,000.00
2024/03/12/000221 120329 HENDRA CB002 L CEMPAKA B VOMITUS TROMBOSITOPE 12/03/2024 10:33:50 14/03/2024 13:41:19 Rp 300,000.00
NIA
2024/03/12/000282 120546 DERIS SEPTIANDI CB003 L CEMPAKA B DENGUE FEVER DENGUE FEVER 12/03/2024 15:07:29 15/03/2024 11:29:23 Rp 400,000.00
2024/03/12/000335 072370 RASNA CB004 L CEMPAKA B SUSP TB PARU SUSP TB PARU 12/03/2024 23:16:28 14/03/2024 19:00:00 Rp 300,000.00
2024/03/13/000443 120716 SRIYONO CB001 L CEMPAKA B SNH dd SH SNH dd SH 13/03/2024 17:12:55 15/03/2024 10:30:53 Rp 300,000.00
2024/03/14/000565 120666 ABDUL AZIZ CB002 L CEMPAKA B DHF dhf 14/03/2024 12:04:56 17/03/2024 20:20:35 Rp 500,000.00
2024/03/14/000586 120160 SUPRIADI CB004 L CEMPAKA B TUMOR PENDIS TUMOR PENDIS 14/03/2024 15:20:19 15/03/2024 17:54:22 Rp 200,000.00
DEXTRA DEXTRA
2024/03/14/000613 120759 M. TRI KUSTIAN CB003 L CEMPAKA B DHF GR I DHF GR I 14/03/2024 17:18:12 17/03/2024 14:45:26 Rp 500,000.00
2024/03/14/000653 120288 NIMAN CB001 L CEMPAKA B ABSES SCROTUM ABSES 14/03/2024 23:22:00 16/03/2024 10:01:23 Rp 500,000.00
2024/03/15/000386 120811 NURIL ASHAR CB004 L CEMPAKA B DHF DHF 15/03/2024 21:59:57 18/03/2024 11:59:29 Rp 400,000.00
2024/03/15/000361 025556 SOKIB BIN CB003 L CEMPAKA B SUSP TB + SUSP TB + 16/03/2024 17:50:28 19/03/2024 18:47:07 Rp 400,000.00
BACTERIAL BACTERIAL
INFECTION INFECTION
2024/03/16/000503 120850 AHMAD RAZYN CB001 L CEMPAKA B DHF DHF 16/03/2024 21:51:17 20/03/2024 10:33:30 Rp 500,000.00
BADRAN
2024/03/17/000035 120155 DANA PAHIYANA CB002 L CEMPAKA B STT STT 17/03/2024 12:38:15 18/03/2024 19:00:36 Rp 200,000.00
2024/03/18/000149 120888 KARWAN MARTADI CB004 L CEMPAKA B DHF GRADE II DHF GRADE II 18/03/2024 02:22:49 23/03/2024 10:03:32 Rp 600,000.00
2024/03/18/000285 014222 RISDIYANTO CB002 L CEMPAKA B HYPERGLIKEMIA HYPERGLIKEMIA 18/03/2024 11:22:20 22/03/2024 11:07:57 Rp 500,000.00
2024/03/19/000110 120946 TUKINO CB003 L CEMPAKA B cap dd tb, rbbb, chf CAP 19/03/2024 00:28:56 20/03/2024 12:06:10 Rp 200,000.00
2024/03/20/001312 121020 SURAJI CB004 L CEMPAKA B PPOK BERAT PPOK BERAT 20/03/2024 19:13:48 27/03/2024 18:15:08 Rp 600,000.00
2024/03/21/000092 087460 M TAUFAN SE CB001 L CEMPAKA B HEPATITIS HEPATITIS 21/03/2024 02:16:22 21/03/2024 14:39:16 Rp 200,000.00
2024/03/21/000218 121066 SAHAK CB001 L CEMPAKA B DHF GRADE II DHF GRADE II 21/03/2024 16:19:29 26/03/2024 16:04:50 Rp 600,000.00
2024/03/22/000350 121107 JASMADI CB003 L CEMPAKA B HIPERGLIKEMIA HIPERGLIKEMIA 22/03/2024 14:39:43 26/03/2024 15:53:02 Rp 500,000.00
2024/03/22/000372 120986 REZKA PRATAMA CB002 L CEMPAKA B DHF GR II DHF GR II 22/03/2024 16:28:19 26/03/2024 17:14:43 Rp 500,000.00
2024/03/23/000200 121155 SUNARDI CB003 L CEMPAKA B GEA GEA 23/03/2024 16:58:30 27/03/2024 18:07:04 Rp 500,000.00
2024/03/23/000243 088678 ACHMAD HELMI CB001 L CEMPAKA B PNEUMONIA PNEUMONIA 24/03/2024 00:18:53 26/03/2024 19:03:05 Rp 300,000.00
2024/03/24/000008 058050 HOLID CB001 L CEMPAKA B DYSPNOE DYSPNOE 24/03/2024 15:05:57 28/03/2024 10:49:11 Rp 500,000.00
2024/03/24/000072 121202 SOBIRIN CB002 L CEMPAKA B CHF, DYSPNEA CHF, DYSPNEA 24/03/2024 21:12:44 26/03/2024 19:38:34 Rp 300,000.00
2024/03/25/000148 121207 KURNIAWAN CB002 L CEMPAKA B DHF DHF 25/03/2024 02:05:47 27/03/2024 11:19:23 Rp 300,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/25/000257 061190 HUSNI KAMAL CB001 L CEMPAKA B KONVULSI + SH DD KONVULSI + SH 25/03/2024 10:26:54 30/03/2024 15:28:57 Rp 600,000.00
SNH+ VIRAL DD SNH+ VIRAL
INFECTION INFECTION
2024/03/25/000355 121244 YAKUB CB001 L CEMPAKA B PNEUMONIA + PNEUMONIA + 25/03/2024 20:23:30 30/03/2024 14:27:04 Rp 700,000.00
DYSPNEU DYSPNEU
2024/03/27/000288 105772 SUNARDIONO CB003 L CEMPAKA B PNEUMONIA DD TB PNEUMONIA DD 27/03/2024 00:32:58 30/03/2024 14:35:53 Rp 500,000.00
TB
2024/03/27/000443 121262 DENNY CB004 L CEMPAKA B ABDOMINAL PAIN ABDOMINAL 27/03/2024 14:00:41 29/03/2024 13:35:35 Rp 500,000.00
2024/03/27/000447 121349 ABDUL MALIK CB002 L CEMPAKA B HYPERGLYCAEMIA HYPERGLYCAEM 27/03/2024 14:49:36 31/03/2024 15:02:09 Rp 500,000.00
2024/03/28/000531 111649 RAMADHAN CB004 L CEMPAKA B HYPOKALEMIA + HYPOKALEMIA + 28/03/2024 07:59:12 30/03/2024 13:45:01 Rp 300,000.00
VOMITUS VOMITUS
PERSISTEN
2024/03/28/000650 118051 MUHAMAD HARUN CB001 L CEMPAKA B BRONCHOPNEUMO BRONCHOPNEU 28/03/2024 22:30:16 30/03/2024 21:06:25 Rp 300,000.00
NIA MONIA
2024/03/30/000179 121444 EKO SUPRIYANTO CB003 L CEMPAKA B COLIC ABDOMEN COLIC ABDOMEN 30/03/2024 07:08:06 03/04/2024 11:39:17 Rp 500,000.00
2024/03/30/000497 121429 AJI PRADES CB004 L CEMPAKA B DHF DHF 30/03/2024 18:42:55 02/04/2024 07:40:37 Rp 400,000.00
2024/03/31/000040 121504 WISNU WARDANA CB001 L CEMPAKA B DHF GRADE II, DHF GRADE II 31/03/2024 14:45:03 04/04/2024 13:31:14 Rp 500,000.00
DIARE AKUT
2024/03/31/000069 121443 MAKMUR RAMBE CB004 L CEMPAKA B OBS SESAK EC OBS SESAK EC 31/03/2024 23:11:20 04/04/2024 14:49:11 Rp 500,000.00
PPOK DD TB PPOK DD TB
2024/03/10/000065 120595 M YUSUF ICU1 ICU CURIGA CHF DD STEMI 10/03/2024 19:53:19 11/03/2024 11:59:16 Rp 2,000,000.00
ALO DD STEMI
2024/03/14/000489 043694 ADI KELANA ICU2 ICU ARDS EC SUSP CHF ARDS EC SUSP 14/03/2024 08:20:43 15/03/2024 17:12:41 Rp 2,000,000.00
+ OBS JAUNDICE + CHF + OBS
IKTERIK JAUNDICE +
IKTERIK
2024/03/07/000242 120450 TUMINEM ISO3 P ISOLASI A hipertensi cap hipertensi cap 07/03/2024 16:39:48 10/03/2024 07:43:25 Rp 800,000.00
2024/03/11/000174 120625 CHOLILAH ISO3 P ISOLASI A DYSPNEU + SUSP DYSPNEU + 11/03/2024 17:10:56 12/03/2024 16:13:17 Rp 400,000.00
SUSP TB
2024/03/18/000388 120764 PUTRI RESMI ISO1 P ISOLASI A DHF + TB DHF + TB 18/03/2024 22:27:40 20/03/2024 09:48:52 Rp 600,000.00
2024/03/22/000304 120604 SITI SARAH ISO5 P ISOLASI A EDEMA ANASARKA EDEMA 22/03/2024 10:31:37 30/03/2024 12:31:33 Rp 2,000,000.00
2024/03/23/000064 121144 MASWAH ISO3 P ISOLASI A CAP DD TB CAP DD TB 23/03/2024 06:50:05 25/03/2024 21:26:20 Rp 600,000.00
2024/03/29/000143 121424 MUNTAMAH ISO3 P ISOLASI A BACTERIAL BACTERIAL 29/03/2024 18:51:26 31/03/2024 19:13:15 Rp 600,000.00
INFECTION, SUSP INFECTION,
CHF AKI DD AKUT SUSP CHF AKI
ON CKD DD AKUT ON
2024/03/29/000144 100614 MASNUN ISO4 P ISOLASI A ANEMIA ANEMIA 29/03/2024 19:37:10 31/03/2024 19:40:52 Rp 600,000.00
2024/02/29/000586 098088 SUMARNO ISO8 L ISOLASI B TB PARU ON OAT TB PARU 01/03/2024 03:58:09 02/03/2024 15:57:09 Rp 400,000.00
2024/03/02/000195 102615 SAHLANI ISO10 L ISOLASI B SUSP TB SUSP TB 02/03/2024 17:00:26 04/03/2024 21:43:10 Rp 600,000.00
2024/03/20/001300 104326 RIDWAN MUHAJIR ISO10 L ISOLASI B ARDS EC CAP DD ARDS EC CAP 20/03/2024 16:27:05 20/03/2024 23:56:07 Rp 400,000.00
DD TB
2024/03/26/000127 121253 MANI ISO10 L ISOLASI B GENERAL GENERAL 26/03/2024 05:19:29 28/03/2024 11:17:38 Rp 600,000.00
WEAKNESS CAP DD WEAKNESS CAP
DD TB
2024/03/27/000465 119604 SUPRIYANTO ISO10 L ISOLASI B ULKUS PEDIS ULKUS PEDIS 27/03/2024 19:30:05 29/03/2024 14:00:43 Rp 1,000,000.00
2024/03/03/000011 077545 SARDI AL IDRIS ISO11 ISOLASI C DYSPNOE SUSP TB TB DD CAP 03/03/2024 17:11:59 10/03/2024 16:52:35 Rp 1,600,000.00
DD CAP SUSP SUSP EFUSI
EFUSI PLEURA , HT, PLEURA , HT, DM
2024/03/09/000189 033763 ADI DARMAWAN ISO11 ISOLASI C CURIGA TB PARU + CURIGA TB 09/03/2024 14:46:56 13/03/2024 14:26:45 Rp 1,000,000.00
DHF GRADE I PARU + DHF

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/14/000553 120745 MAT NOOR ISO11 ISOLASI C DYSPNEU EC SUSP DYSPNEU EC 14/03/2024 10:51:26 18/03/2024 12:25:40 Rp 1,000,000.00
SUSP TB
2024/03/21/000100 018388 PARTI ISO11 ISOLASI C PENURUNAN PENURUNAN 21/03/2024 05:50:01 28/03/2024 02:45:41 Rp 1,600,000.00
KESADARAN KESADARAN
2024/03/28/000597 107687 MAZDA SAFINA ISO11 ISOLASI C OAT BULAN KE-5 OAT BULAN KE-5 28/03/2024 11:58:07 30/03/2024 19:54:28 Rp 800,000.00
2024/03/30/000492 121467 SOPIAH ISO11 ISOLASI C EFUSI PLEURA EFUSI PLEURA 30/03/2024 16:29:47 02/04/2024 15:24:31 Rp 800,000.00
SINISTRA DD SINISTRA DD
MOSSA, SUSP TB MOSSA, SUSP TB
PARU
2024/03/01/000810 076799 SURATMIN ISO7 ISOLASI D SYOK HIPOKALEMIK SYOK 01/03/2024 23:55:43 04/03/2024 14:23:44 Rp 800,000.00
+ LOW INTAKE + HIPOKALEMIK +
SUSP BP DD TB LOW INTAKE +
SUSP BP DD TB
2024/03/08/000506 120476 FADHILAH ISO7 ISOLASI D TB PARU TB PARU 08/03/2024 21:10:15 11/03/2024 08:34:08 Rp 800,000.00
2024/03/14/000635 120598 KAHAR ISO7 ISOLASI D PPOK PPOK 14/03/2024 19:51:10 19/03/2024 12:00:37 Rp 1,200,000.00
2024/03/22/000413 120814 SYARIFUDIN ISO7 ISOLASI D EFUSI PLEURA EFUSI PLEURA 22/03/2024 20:15:55 30/03/2024 15:39:18 Rp 2,000,000.00
2024/03/26/000224 112617 ASMARI ISO7 ISOLASI D SUSP EFUSI SUSP EFUSI 26/03/2024 11:30:43 02/04/2024 15:20:42 Rp 1,600,000.00
PLEURA
2024/02/29/000587 043277 SRI YATMINI ISO5 ISOLASI E EFUSI PLEURA EFUSI PLEURA 01/03/2024 03:54:38 04/03/2024 10:36:30 Rp 800,000.00
2024/03/14/000487 120568 ARIS ISO5 ISOLASI E DYSPNEU + TB + DM DYSPNEU + TB + 14/03/2024 03:01:05 16/03/2024 14:00:17 Rp 1,000,000.00
DM
2024/03/17/000071 093085 ROCHMANI ISO5 ISOLASI E TB PARU TB PARU 18/03/2024 02:17:32 19/03/2024 11:46:46 Rp 400,000.00
+ELECTROLIC +ELECTROLIC
IMBALANCE IMBALANCE
2024/03/21/000262 121071 ABDUL ROHMAN ISO5 ISOLASI E CAP + DD TB CAP 21/03/2024 20:34:43 26/03/2024 15:41:48 Rp 1,200,000.00
2024/03/25/000354 100578 ROBBY TANU ISO5 ISOLASI E ANEMIA, SUSP CVD ANEMIA, SUSP 25/03/2024 21:48:21 28/03/2024 15:54:47 Rp 800,000.00
CVD
2024/03/28/000648 121075 BAMBANG ISO5 ISOLASI E EFFUSION PLEURAL EFUSI PLEURA 28/03/2024 21:00:09 01/04/2024 12:17:59 Rp 1,000,000.00
PURWANDONO
2024/03/19/000114 120952 STANISLAUS H ISO6 ISOLASI F syndrom geriatri syndrom geriatri 19/03/2024 02:36:57 19/03/2024 16:52:48 Rp 400,000.00
IMUNOKOMPROMA
IS
2024/03/02/000141 118178 ALMASYIFA QIRANI LL008 LILLY A BRONCHOPNEUMO BRONCHOPNEU 02/03/2024 09:34:01 07/03/2024 12:06:39 Rp 600,000.00
NIA MONIA
2024/03/02/000201 120213 MAULANA ADITYA LL003 LILLY A DHF DHF GRADE I 02/03/2024 17:25:48 05/03/2024 12:57:24 Rp 400,000.00
2024/03/02/000216 096444 KHALILA YUMNA LL003 LILLY A TB ON OAT TB ON OAT 02/03/2024 21:43:11 04/03/2024 15:38:13 Rp 300,000.00
RIANI
2024/03/04/000359 120307 MUHAMMAD LL010 LILLY A DHF GRADE I DHF GRADE I 04/03/2024 14:26:25 06/03/2024 11:53:10 Rp 300,000.00
SHYIHAN HANAFI
2024/03/05/000267 120359 JEREMI CHOKI LL003 LILLY A DENGUE FEVER DENGUE FEVER 05/03/2024 16:59:50 07/03/2024 11:27:54 Rp 300,000.00
DELESEF
SIMANJUNTAK
2024/03/06/000286 111554 HAFIDZAH AISYAH LL010 LILLY A DYSPEPSIA, DYSPEPSIA, 06/03/2024 15:44:11 07/03/2024 11:11:03 Rp 200,000.00
LUBNA VOMITUS
2024/03/06/000330 120425 MUHAMMAD AMMAR LL008 LILLY A DHF DHF 06/03/2024 22:13:45 10/03/2024 14:07:15 Rp 500,000.00
2024/03/07/000262 119717 LAYYINATUS SYAFA LL010 LILLY A GEA DRS GEA DRS 07/03/2024 19:16:19 11/03/2024 12:36:58 Rp 500,000.00
AULIA
2024/03/09/000178 120561 AKHSAN SYAM LL010 LILLY A DHF DHF 09/03/2024 12:41:21 13/03/2024 10:58:54 Rp 500,000.00
SABILAH
2024/03/09/000186 120564 RIZKI AHMAD LL003 LILLY A DHF DHF 09/03/2024 14:33:14 11/03/2024 14:33:42 Rp 300,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
MUNTACO
2024/03/10/000036 096835 NABILAH RAIHANA LL008 LILLY A GEA GEA 10/03/2024 13:57:44 12/03/2024 12:51:00 Rp 300,000.00
AL KAYRA
2024/03/11/000110 086104 ALIF KHALID LL008 LILLY A DHF DHF 11/03/2024 02:03:33 13/03/2024 15:22:34 Rp 300,000.00
ALVARONIZAM
2024/03/11/000172 105867 ZALFA DILA TASYA LL010 LILLY A Anemia ec Anemia ec 11/03/2024 16:24:58 13/03/2024 13:52:20 Rp 300,000.00
Menometroragi Menometroragi
2024/03/12/000232 120647 MUHAMMAD DAFFI LL003 LILLY A SUSP DEMAM SUSP DEMAM 12/03/2024 11:05:42 14/03/2024 12:27:52 Rp 300,000.00
FIRDAUS THYPOID, TFA THYPOID, TFA
2024/03/13/000124 120684 ABDUL ZAKIR LL003 LILLY A KDS + ISPA KDS + ISPA 13/03/2024 06:29:09 14/03/2024 14:29:34 Rp 200,000.00
2024/03/13/000377 067761 FATHIMAH AINAYYA LL010 LILLY A PRONGLED FEVER PRONGLED 13/03/2024 11:29:30 15/03/2024 10:51:00 Rp 300,000.00
SHALIHA
2024/03/13/000350 120689 MUHAMMAD ADJIE LL010 LILLY A DYSPEPSIA DYSPEPSIA 13/03/2024 12:30:06 14/03/2024 12:49:09 Rp 200,000.00
ALGHIFARI
2024/03/13/000439 043909 KANAYA FATIMAH LL003 LILLY A BROCHOPNEUMONI BROCHOPNEUM 13/03/2024 16:06:53 15/03/2024 10:45:05 Rp 300,000.00
AZZAHRA ONIA
2024/03/14/000491 082650 AMMAR NAZRIL LL008 LILLY A DHF DHF 14/03/2024 02:29:46 16/03/2024 17:55:28 Rp 500,000.00
RAMADHAN
2024/03/14/000490 051103 EARLYTA ARSYIFA LL003 LILLY A DHF GRADE 2 DHF GRADE 2 14/03/2024 05:06:28 18/03/2024 16:23:18 Rp 500,000.00
2024/03/15/000287 020163 MUHAMMAD DEAN LL010 LILLY A DHF dhf 15/03/2024 10:06:07 17/03/2024 16:27:31 Rp 400,000.00
ALFATIH
2024/03/15/000313 120801 AISYAH AQILA LL010 LILLY A DHF DHF 15/03/2024 15:28:37 19/03/2024 10:04:35 Rp 500,000.00
HAZIMAH
2024/03/16/000461 043909 KANAYA FATIMAH LL008 LILLY A BRONCHITIS ACUTE BRONCHITIS 16/03/2024 13:55:48 22/03/2024 12:48:30 Rp 700,000.00
AZZAHRA ACUTE
2024/03/18/000241 120895 ZAARA INDAH LL010 LILLY A DHF GRADE III DHF GRADE III 18/03/2024 09:16:38 21/03/2024 11:44:23 Rp 400,000.00
PURNAMA
2024/03/18/000307 120905 KAIRA NAJWA LL003 LILLY A DHF DHF 18/03/2024 13:20:07 21/03/2024 11:59:05 Rp 400,000.00
FAUZIYAH AZAHRA
2024/03/18/000344 084784 DIYAN INDERATINI LL008 LILLY A DHF GRADE 1 DHF GRADE 1 18/03/2024 16:00:16 22/03/2024 15:02:41 Rp 500,000.00
2024/03/20/001328 121026 MUHAMMAD FADLI LL010 LILLY A DHF GRADE II DHF GRADE II 20/03/2024 20:06:50 23/03/2024 13:07:21 Rp 400,000.00
2024/03/20/001325 037951 SITI JULAIHA LL008 LILLY A DHF GRADE II DHF GRADE II 20/03/2024 20:19:39 22/03/2024 13:46:52 Rp 300,000.00
2024/03/21/000143 121046 DIVYANISA LL008 LILLY A DHF DHF 21/03/2024 09:54:44 25/03/2024 12:02:26 Rp 500,000.00
2024/03/21/000184 121063 SITI ZHAFIRAH LL003 LILLY A DHF dhf 21/03/2024 12:43:21 24/03/2024 14:35:51 Rp 400,000.00
PUTRI SANTOSA
2024/03/23/000078 121147 MUHAMMAD LL010 LILLY A KDS KDS 23/03/2024 06:48:43 24/03/2024 14:16:21 Rp 200,000.00
RAFFAN AQMAR
2024/03/23/000248 031458 AISYAH TUL LL010 LILLY A VOMITUS VOMITUS 23/03/2024 23:54:46 26/03/2024 12:42:12 Rp 400,000.00
KHAFSYAH
2024/03/25/000151 104292 ADZKIYA NAILA LL003 LILLY A VOMITUS VOMITUS 25/03/2024 02:09:01 26/03/2024 12:38:51 Rp 200,000.00
TALEETHA
2024/03/25/000342 121247 BIMA SATRIADI LL008 LILLY A BACTERIAL BACTERIAL 25/03/2024 17:36:32 27/03/2024 13:10:20 Rp 300,000.00
INFECTION INFECTION
2024/03/26/000262 121300 MAURA MAHABINA LL003 LILLY A DHF GRADE I DHF GRADE I 26/03/2024 18:22:54 27/03/2024 13:02:54 Rp 200,000.00
2024/03/26/000277 121240 MUHAMMAD REVAN LL010 LILLY A DENGUE FEVER DENGUE FEVER 26/03/2024 21:35:08 29/03/2024 09:39:24 Rp 400,000.00
2024/03/27/000289 049808 MUHAMMAD HABIBI LL008 LILLY A GEA GEA 27/03/2024 00:44:19 28/03/2024 12:17:30 Rp 200,000.00
QOLBY
2024/03/27/000293 057812 MUHAMMAD LL003 LILLY A OBS VOMITUS OBS VOMITUS 27/03/2024 02:44:06 29/03/2024 11:31:02 Rp 300,000.00
2024/03/28/000609 121402 MUHAMAD AL FATIH LL008 LILLY A DHF GRADE I DHF GRADE I 28/03/2024 15:23:04 01/04/2024 10:51:27 Rp 500,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/29/000131 121422 SANTI AGUSTINA LL003 LILLY A KDK KDK 29/03/2024 16:36:00 30/03/2024 13:15:12 Rp 200,000.00
2024/03/30/000487 121476 SALWA LL003 LILLY A DHF DHF 30/03/2024 15:52:05 01/04/2024 10:43:14 Rp 300,000.00
2024/03/30/000505 024966 KHANZA NUR LL010 LILLY A GEA DRS GEA DRS 30/03/2024 22:43:26 01/04/2024 17:51:14 Rp 300,000.00
2024/03/31/000074 121521 MUHAMMAD KHALID LL003 LILLY A OBS SEIZURE OBS SEIZURE 31/03/2024 22:54:00 02/04/2024 19:05:41 Rp 300,000.00
ZULMI MUMTAAZ
2024/03/31/000075 121520 MUHAMMAD LL008 LILLY A OBS FEBRIS OBS FEBRIS 31/03/2024 22:55:07 02/04/2024 19:06:08 Rp 300,000.00
KHAIDIR ZAYID
2024/03/02/000200 106128 SHOFWAH LL005 LILLY B GEA gea 02/03/2024 18:13:14 04/03/2024 16:24:28 Rp 300,000.00
KIMBERLY
2024/03/03/000034 119380 AGUS SOELAIMAN LL005 LILLY B Tumor coli posterior Tumor coli 03/03/2024 12:27:44 05/03/2024 11:39:46 Rp 300,000.00
posterior
2024/03/05/000262 055650 HABIBIE NASRULLAH LL005 LILLY B PHIMOSIS PHIMOSIS 05/03/2024 15:49:40 07/03/2024 10:43:18 Rp 300,000.00
2024/03/07/000281 093881 RAYYA ADISTI LL006 LILLY B GEA DRS Bacterial GEA DRS 07/03/2024 23:06:43 10/03/2024 14:00:51 Rp 400,000.00
KAMALIA infection Bacterial infection
2024/03/08/000488 120524 MUHAMMAD FAKHRI LL005 LILLY B DHF GRADE I DHF GRADE I 08/03/2024 17:00:22 11/03/2024 19:56:25 Rp 400,000.00
2024/03/12/000120 120632 RICCI ALBASARA LL005 LILLY B SUSP APP APPENDICITIS 12/03/2024 04:16:01 14/03/2024 11:37:58 Rp 300,000.00
ACUTE
2024/03/12/000274 119953 NAZWA RAHMADYA LL006 LILLY B TUMOR NASAL POST EKSISI 12/03/2024 14:13:43 14/03/2024 13:59:18 Rp 300,000.00
TUMOR REGIO
NASAL
2024/03/13/000428 120718 MUHAMAD AL LL005 LILLY B DHF DHF 13/03/2024 16:28:51 17/03/2024 20:10:36 Rp 600,000.00
PRATAMA
2024/03/15/000381 027552 RANDIKA LL006 LILLY B DHF DHF 15/03/2024 20:04:06 18/03/2024 16:23:29 Rp 400,000.00
2024/03/18/000242 008643 AMMARA SHIDQIA LL006 LILLY B DHF DHF 18/03/2024 09:26:15 21/03/2024 12:12:19 Rp 400,000.00
RAMADHANI
2024/03/18/000351 119679 FATIN ARUMI LL006 LILLY B TUMOR COLLI TUMOR COLLI 18/03/2024 16:48:01 20/03/2024 11:20:17 Rp 300,000.00
2024/03/19/000221 120984 KURNIA DAFFA LL006 LILLY B DHF DHF 19/03/2024 19:20:31 20/03/2024 11:56:39 Rp 200,000.00
NURSYAHBANI
2024/03/20/000237 120997 MOCHAMMAD LL005 LILLY B DHF DHF 20/03/2024 08:52:11 23/03/2024 13:12:00 Rp 400,000.00
SAYIDINA ALY
2024/03/21/000231 109471 KEISHA SYAHIRA LL006 LILLY B GEA DEHIDRASI GEA DEHIDRASI 21/03/2024 17:54:22 23/03/2024 12:36:52 Rp 300,000.00
ZAHRA
2024/03/23/000144 121038 SHAREEN FARRA LL006 LILLY B BRONCHITIS BRONCHITIS 23/03/2024 09:23:05 25/03/2024 13:55:43 Rp 300,000.00
ZANETHA
2024/03/24/000001 121177 RAZZAN ALFAREZI LL005 LILLY B BACTERIAL BACTERIAL 24/03/2024 00:05:31 30/03/2024 11:09:10 Rp 800,000.00
DZAKIANDRA INFECTION INFECTION
2024/03/27/000287 121052 KAVIN ARDANA LL005 LILLY B DHF DHF 27/03/2024 00:25:34 27/03/2024 20:15:23 Rp 200,000.00
ABIPUTRA
2024/03/31/000038 103517 FARHA ALIA SOFIA LL005 LILLY B FEBRIS FEBRIS 31/03/2024 14:29:09 02/04/2024 12:46:02 Rp 300,000.00
2024/03/01/000734 099504 ADAM ARSHAKA LL007 LILLY C GEA DEHIDRASI GEA 01/03/2024 12:36:58 03/03/2024 17:29:10 Rp 300,000.00
KHALID
2024/03/02/000058 101566 AINAYYA YUMNA LL011 LILLY C KDK KDK 02/03/2024 04:04:36 04/03/2024 15:22:27 Rp 300,000.00
SHAQEENA
2024/03/02/000060 096214 HUMAIRA AZZAHRA LL004 LILLY C HIPERPIREKSIA HIPERPIREKSIA 02/03/2024 07:54:18 04/03/2024 15:33:58 Rp 300,000.00
2024/03/04/000199 120269 AKMAL UWAIS AL- LL011 LILLY C BP BP 04/03/2024 07:27:29 07/03/2024 12:12:55 Rp 400,000.00
QARNI
2024/03/04/000336 120290 MUHAMMAD LL004 LILLY C GEA GEA 04/03/2024 13:08:59 06/03/2024 11:51:23 Rp 300,000.00
SADDAM AL GHIFARI
2024/03/04/000339 018351 AZKAL AULIYA LL007 LILLY C VOMITUS DRS, VOMITUS DRS, 04/03/2024 13:22:07 05/03/2024 13:12:08 Rp 200,000.00
HIPOKALEMIA HIPOKALEMIA

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/05/000219 073678 MUHAMMAD AZKA LL004 LILLY C BP BP 05/03/2024 11:14:14 10/03/2024 13:49:04 Rp 600,000.00
RAFI
2024/03/05/000264 087705 YUSUF AMBARA LL007 LILLY C ASTHMA BRONKIAL ASTHMA 05/03/2024 16:23:27 12/03/2024 12:50:46 Rp 800,000.00
BRONKIAL
2024/03/05/000297 074753 NAJMA RABBANIA LL004 LILLY C BRONCHOPNEUMO - 05/03/2024 22:10:38 06/03/2024 06:12:35 Rp 0.00
BAIHAKI NIA
2024/03/06/000121 120376 ARUMI KANAHAYA LL009 LILLY C BRONCHOPNEUMO BRONCHOPNEU 06/03/2024 00:20:58 11/03/2024 12:40:53 Rp 600,000.00
NIA MONIA
2024/03/06/000324 120415 RAZIQ HAFUZA LL004 LILLY C DHF GRADE 1 DHF GRADE 1 06/03/2024 21:37:08 11/03/2024 12:54:51 Rp 600,000.00
MADANI
2024/03/01/000764 100576 ARSHAKA EL LL011 LILLY C GEA DRS, GEA DRS, 08/03/2024 07:00:19 08/03/2024 14:59:57 Rp 200,000.00
PROLONGED PROLONGED
FEVER, DOWN FEVER, DOWN
SYNDROME
2024/03/09/000208 106335 AISYAH NAJWA LL004 LILLY C KDS KDS 09/03/2024 17:58:14 11/03/2024 12:12:21 Rp 300,000.00
AZZAHRA
2024/03/10/000043 112019 MUHAMMAD HANAN LL011 LILLY C BRONKOPNEUMONI BP 10/03/2024 15:13:01 11/03/2024 12:49:50 Rp 200,000.00
HABIBI
2024/03/10/000060 104694 MAULIDA NUR LL007 LILLY C BRONKOPNEUMONI BRONKOPNEUM 10/03/2024 18:02:51 12/03/2024 12:46:36 Rp 300,000.00
ONIA
2024/03/10/000066 120600 MUHAMMAD LL009 LILLY C VIRAL INFECTION VIRAL 10/03/2024 20:22:27 12/03/2024 12:01:01 Rp 300,000.00
AKHTAR FADILA
2024/03/12/000186 120111 MUHAMMAD LABIB LL011 LILLY C GEA SUSP GEA SUSP 12/03/2024 09:05:29 15/03/2024 10:50:40 Rp 400,000.00
AL FATIH AMOEHIASIS, AMOEHIASIS,
HIPERPIREKSIA, HIPERPIREKSIA,
ISPA
2024/03/12/000289 120664 AYUMAIRA QIANA LL004 LILLY C Febris H5, GEA DRS, Febris H5, GEA 12/03/2024 16:17:22 14/03/2024 14:50:28 Rp 300,000.00
PUTRI Impetigo krustosa DRS, Impetigo
krustosa
2024/03/12/000298 110301 MUHAMMAD ALWI LL009 LILLY C BP BRONCHOPNEU 12/03/2024 17:47:09 16/03/2024 11:23:05 Rp 700,000.00
HUSIN MONIA
2024/03/12/000338 112275 BARRA MALIK LL007 LILLY C KDS kds 13/03/2024 00:33:36 14/03/2024 12:46:48 Rp 200,000.00
2024/03/15/000290 093250 AZZAHRA NUR AINI LL007 LILLY C BRONCHOPNEUMO BRONCHOPNEU 15/03/2024 10:31:00 15/03/2024 21:06:13 Rp 400,000.00
NIA MONIA
2024/03/15/000331 105302 ILHAM LATEEF LL004 LILLY C GEA GEA 15/03/2024 15:18:39 17/03/2024 17:57:40 Rp 400,000.00
RAMADHAN
2024/03/16/000347 120830 AFSANA SYIFA LL007 LILLY C BP BRONKOPNEUM 16/03/2024 02:41:07 17/03/2024 14:00:59 Rp 200,000.00
AZZAHRA ONIA
2024/03/16/000456 093571 ZAHWA HANANIA LL011 LILLY C BROCHOPNEUMONI BROCHOPNEUM 16/03/2024 13:39:34 19/03/2024 12:17:33 Rp 400,000.00
KAMILA ONIA
2024/03/16/000509 120855 ROBIAH ATTASARI LL009 LILLY C GEA DRS GEA DRS 16/03/2024 23:26:22 19/03/2024 11:27:24 Rp 400,000.00
2024/03/18/000352 120927 YARA AUVI LL004 LILLY C BRONCHOPNEUMO BRONCHOPNEU 18/03/2024 16:50:01 20/03/2024 12:06:19 Rp 300,000.00
NIA MONIA
2024/03/19/000194 098446 MUHAMMAD KENZO LL004 LILLY C GEA DRS GEA DRS 19/03/2024 14:19:39 21/03/2024 13:29:46 Rp 300,000.00
MAULANA
2024/03/19/000208 104394 OZZIE ARGA LL009 LILLY C PROLONGED PROLONGED 19/03/2024 15:01:37 21/03/2024 12:58:19 Rp 300,000.00
DEBATARAJA FEVER
2024/03/21/000160 089474 INDAH KIRANA LL004 LILLY C DHF DHF 21/03/2024 10:50:36 23/03/2024 14:52:35 Rp 300,000.00
2024/03/21/000177 121054 MUHAMMAD XAVIER LL004 LILLY C SUSP DBD SUSP DBD 21/03/2024 12:51:06 22/03/2024 14:54:18 Rp 200,000.00
MESSI
2024/03/21/000242 079811 MUHAMMAD HADAM LL009 LILLY C KDS + ISPA KDS + ISPA 21/03/2024 18:26:07 23/03/2024 12:31:34 Rp 300,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
YUNISAR
2024/03/22/000365 115771 MUHAMMAD SAVA LL009 LILLY C BRONCHOPNEUMO BRONCHOPNEU 22/03/2024 16:21:44 27/03/2024 14:30:17 Rp 600,000.00
ELVANO NIA MONIA
2024/03/22/000383 083706 RAMADAN AL LL007 LILLY C DHF DHF 22/03/2024 17:56:16 25/03/2024 15:55:49 Rp 400,000.00
2024/03/22/000387 032072 MUHAMMAD YUSS LL009 LILLY C DENGUE FEVER DENGUE FEVER 22/03/2024 18:12:14 24/03/2024 14:29:43 Rp 300,000.00
DWI ADITYA
2024/03/22/000399 121116 AXELLE EVANO LL011 LILLY C GEA DRS GEA DRS 22/03/2024 20:05:51 25/03/2024 14:43:17 Rp 400,000.00
CHALID
2024/03/24/000007 121180 MAFAZA HILYA LL004 LILLY C BRONCHOPNEUMO BRONCHOPNEU 24/03/2024 03:00:11 27/03/2024 13:37:56 Rp 400,000.00
SHALIHAH NIA MONIA
2024/03/27/000418 121301 NILMA KHAIRUNNISA LL009 LILLY C DHF GRADE I DHF GRADE I 27/03/2024 11:38:02 28/03/2024 19:29:46 Rp 200,000.00
2024/03/30/000479 102932 MUHAMMAD LL011 LILLY C KDS + ISPA + KDS + ISPA + 30/03/2024 13:52:36 01/04/2024 11:04:03 Rp 300,000.00
ZAHFRAN JANUAR HIPERPIREKSIA HIPERPIREKS
2024/03/31/000067 121522 ICHIRO TAMASHI LL004 LILLY C KDK + ISPA KDK + ISPA 31/03/2024 21:17:53 02/04/2024 13:27:06 Rp 300,000.00
SOUSA
2024/03/31/000076 034142 MUHAMMAD LL007 LILLY C KDK KDK 31/03/2024 23:04:22 02/04/2024 13:05:02 Rp 300,000.00
SHAKEEL
2024/03/31/000077 097299 SABRINA ELNARA LL009 LILLY C DENGUE FEVER DENGUE FEVER 31/03/2024 23:29:20 02/04/2024 12:53:11 Rp 300,000.00
2024/03/01/000694 120132 KENAZ FARRAZ M003 MELATI BAYI A NCB SMK NCB SMK 01/03/2024 21:37:21 02/03/2024 15:07:32 Rp 200,000.00
SUSILO
2024/03/01/000140 120148 BY NY INDAH RETNO M003 MELATI BAYI A NCB SMK + NCB SMK + 02/03/2024 12:45:28 02/03/2024 14:45:46 Rp 100,000.00
IRAWATI RESPIRATORY RESPIRATORY
DISSTRESS TTN DISSTRESS TTN
2024/03/02/000144 120193 AHMAD ALTHAF M015 MELATI BAYI A NCB SMK NCB SMK 02/03/2024 13:27:48 03/03/2024 11:32:04 Rp 200,000.00
ZAYYANSYAH/ BY
NY LAILA N
2024/03/03/000058 120252 TIOMOTHY JAUREL M003 MELATI BAYI A NCB SMK NCB SMK 03/03/2024 17:04:15 04/03/2024 20:25:51 Rp 300,000.00
PRASETIO
2024/03/05/000179 120326 BY NY ANGGRAENI M003 MELATI BAYI A NCB SMK NCB SMK 05/03/2024 16:47:11 06/03/2024 18:22:20 Rp 200,000.00
PRATIWI
2024/03/06/000234 120381 BY NY VIVI M003 MELATI BAYI A NCB SMK NCB SMK 06/03/2024 18:22:28 07/03/2024 19:52:54 Rp 300,000.00
RAHMAWATI
2024/03/08/000341 120490 ZELINA ALMAHYRA M003 MELATI BAYI A NCB SMK NCB SMK 08/03/2024 12:07:45 09/03/2024 16:59:45 Rp 200,000.00
(BY NY ESTI
KHALIPAH)
2024/03/08/000342 120489 MUHAMMAD M008 MELATI BAYI A NCB SMK NCB SMK 08/03/2024 13:33:36 09/03/2024 17:00:12 Rp 200,000.00
RAHSYA
ALVARENDRA (BY
2024/03/08/000440 120507 BY NY NAINI M020 MELATI BAYI A NCB SMK NCB SMK 08/03/2024 16:55:59 09/03/2024 17:46:54 Rp 200,000.00
RAHMADINI
2024/03/08/000439 120491 BY NY SITI M015 MELATI BAYI A NCB SMK NCB SMK 08/03/2024 20:02:30 09/03/2024 17:59:58 Rp 200,000.00
SYUHAIMAH
2024/03/09/000118 120539 BY NY RAGAD NOVA M008 MELATI BAYI A NCB SMK NCB SMK 09/03/2024 17:01:05 10/03/2024 20:08:09 Rp 200,000.00
ALTHEANA
2024/03/10/000017 120586 BY NY DIAN M015 MELATI BAYI A NCB SMK NCB SMK 10/03/2024 07:38:36 11/03/2024 16:23:19 Rp 200,000.00
ANGGRAINI
2024/03/12/000209 120651 DEVY SYAFRINAH- M003 MELATI BAYI A NCB SMK DGN NCB SMK DGN 12/03/2024 16:48:56 13/03/2024 12:22:17 Rp 200,000.00
BY NY AGNIA KAILA RESPIRATORY RESPIRATORY
IZANI DISTRESS DISTRESS
2024/03/13/000380 120682 BY NY PETRONELLA M008 MELATI BAYI A NCB SMK NCB SMK 13/03/2024 19:27:46 15/03/2024 13:12:22 Rp 300,000.00
TUMANNGOR

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/15/000233 120781 BY NY MAYA M003 MELATI BAYI A NCB SMK NCB SMK 15/03/2024 13:17:36 16/03/2024 14:55:26 Rp 400,000.00
APRILLINGGA
2024/03/15/000342 120813 BY NY PUTRI OKFITA M008 MELATI BAYI A NCB SMK NCB SMK 15/03/2024 16:16:21 16/03/2024 19:09:39 Rp 400,000.00
DWI LESTARI
2024/03/16/000391 120832 ALEENA NAZIFA M015 MELATI BAYI A NCB SMK NCB SMK 16/03/2024 12:42:23 17/03/2024 13:07:03 Rp 200,000.00
ALMAHYRA
2024/03/16/000390 120828 BY NY DELLA CESA M020 MELATI BAYI A NCB SMK NCB SMK 16/03/2024 12:42:35 17/03/2024 14:15:49 Rp 200,000.00
WIDISAPUTRI
2024/03/16/000499 120857 BY NY PITRI M003 MELATI BAYI A NCB SMK NCB SMK 16/03/2024 21:21:38 18/03/2024 12:30:11 Rp 300,000.00
HANDAYANI
2024/03/17/000012 120866 BY NY ANISA M008 MELATI BAYI A NCB SMK NCB SMK 17/03/2024 06:34:50 18/03/2024 14:24:10 Rp 200,000.00
2024/03/18/000289 120887 BY NY ERLYN M015 MELATI BAYI A NCB SMK NCB SMK 18/03/2024 16:23:08 20/03/2024 14:21:58 Rp 300,000.00
SURYANINGRUM
2024/03/18/000288 120886 BY NY DINA M003 MELATI BAYI A NCB SMK ncb smk 18/03/2024 20:10:38 19/03/2024 06:46:50 Rp 300,000.00
2024/03/18/000376 120949 BY NY DINDA M008 MELATI BAYI A NCB SMK NCB SMK 18/03/2024 21:06:57 20/03/2024 13:20:36 Rp 300,000.00
ARIESTYA
2024/03/19/000145 120956 ADAM ASHRAF M020 MELATI BAYI A NCB SMK NCB SMK 19/03/2024 13:36:14 20/03/2024 19:51:21 Rp 200,000.00
ZUHAIR (BY NY
HOLIPAH)
2024/03/19/000152 120966 M DENISH M022 MELATI BAYI A NCB SMK NCB SMK 19/03/2024 13:36:31 20/03/2024 14:27:47 Rp 200,000.00
2024/03/20/001236 120989 REYSHAKA M003 MELATI BAYI A NCB SMK NCB SMK 20/03/2024 12:16:05 21/03/2024 18:49:05 Rp 200,000.00
KALEANDRA (BY NY
DESI RATNA S)
2024/03/21/000124 121047 BY NY DINY ARIYANI M020 MELATI BAYI A NCB SMK NCB SMK 21/03/2024 08:29:05 22/03/2024 13:29:58 Rp 200,000.00
2024/03/21/000137 121035 VHEIZYRA ARUMY M008 MELATI BAYI A NCB SMK NCB SMK 21/03/2024 13:30:33 22/03/2024 13:44:36 Rp 200,000.00
SWARA
2024/03/22/000228 121100 BY NY FATMAWATI M015 MELATI BAYI A NCB SMK NCB SMK 22/03/2024 03:56:54 23/03/2024 10:50:48 Rp 200,000.00
2024/03/22/000235 121103 MUHAMMAD ZAYID M022 MELATI BAYI A NCB SMK + - 22/03/2024 05:54:48 24/03/2024 23:29:53 Rp 0.00
KHAIRAN HIPERBILIRUBINEMI
2024/03/22/000290 121091 KENZIO DEVANDRA M008 MELATI BAYI A NCB SMK NCB SMK 22/03/2024 09:21:30 23/03/2024 15:14:50 Rp 200,000.00
RAMADHAN/BY NY
DIAN N
2024/03/22/000289 121092 AALIYAH M020 MELATI BAYI A NCB SMK NCB SMK 22/03/2024 09:22:19 23/03/2024 12:20:35 Rp 200,000.00
NAILUNNISA/BY NY
RIDHA M
2024/03/23/000119 121143 BY NY NUR M015 MELATI BAYI A NCB SMK NCB SMK 23/03/2024 12:51:42 24/03/2024 13:18:27 Rp 200,000.00
2024/03/23/000137 121145 BY NY ELSYAFF M008 MELATI BAYI A NCB SMK NCB SMK 23/03/2024 12:51:49 24/03/2024 12:16:12 Rp 200,000.00
ALFATH MELENIA
2024/03/25/000220 121212 ARKANA ZAYN M008 MELATI BAYI A NCB SMK NCB SMK 25/03/2024 14:36:06 26/03/2024 13:27:07 Rp 200,000.00
BAYANAKA
2024/03/25/000222 121215 BY NY TIARA M015 MELATI BAYI A NCB SMK NCB SMK 25/03/2024 18:44:23 26/03/2024 18:14:54 Rp 200,000.00
ROHMANIATUL ULYA
2024/03/26/000209 121255 BY NY SRI M003 MELATI BAYI A NCB SMK NCB SMK 26/03/2024 10:22:24 27/03/2024 13:28:33 Rp 200,000.00
WULANDARI
2024/03/26/000210 121258 BY NY DWI ANDIRA M020 MELATI BAYI A NCB SMK NCB SMK 26/03/2024 10:22:47 27/03/2024 13:52:33 Rp 200,000.00
WULANTARI
2024/03/27/000377 121315 NAMIRA VISCA M003 MELATI BAYI A NCB SMK NCB SMK 27/03/2024 13:37:10 28/03/2024 15:32:44 Rp 200,000.00
HANEEN
2024/03/27/000376 121313 BY NY SRI LESTARI M008 MELATI BAYI A NCB SMK NCB SMK 27/03/2024 13:37:15 28/03/2024 13:09:35 Rp 200,000.00
2024/03/27/000441 121311 BY NY ANDRIANI M015 MELATI BAYI A NCB SMK NCB SMK 27/03/2024 22:28:42 28/03/2024 19:06:17 Rp 200,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/28/000585 121395 MUHAMMAD ALWI M020 MELATI BAYI A NCB SMK NCB SMK 28/03/2024 10:48:38 29/03/2024 22:38:03 Rp 400,000.00
RAMADHAN (BY NY
SITI NUR)
2024/03/29/000126 121427 ARUNA ATHALIA M003 MELATI BAYI A NCB SMK NCB SMK 29/03/2024 15:10:38 30/03/2024 17:05:32 Rp 200,000.00
WIBOWO
2024/03/30/000178 121447 BY ARTHAPATI EL M008 MELATI BAYI A NCB SMK NCB SMK 30/03/2024 04:37:49 31/03/2024 14:03:25 Rp 200,000.00
DJUANDA/ BY NY
ANA SRIY
2024/03/30/000210 121445 DAISHA ALAYA M015 MELATI BAYI A NCB SMK NCB SMK 30/03/2024 12:51:43 31/03/2024 12:17:57 Rp 200,000.00
NUGROHO/BY NY
INDIRA
2024/03/30/000211 121439 ARFAN ZAHEED M020 MELATI BAYI A NCB SMK NCB SMK 30/03/2024 12:52:10 31/03/2024 15:39:15 Rp 200,000.00
LUQMAN
2024/03/30/000212 121440 DHARMA CAHYA M022 MELATI BAYI A NCB SMK NCB SMK 30/03/2024 13:26:31 31/03/2024 13:38:39 Rp 200,000.00
PUTRA/ BY NY LITA
2024/03/04/000300 120264 ARUMI DELIA MAIRA M023 MELATI BAYI B NCB SMK NCB SMK 04/03/2024 16:24:46 05/03/2024 15:29:59 Rp 200,000.00
ARSYANAH
2024/03/16/000344 120833 BY NY SITI MARYANI M023 MELATI BAYI B NCB SMK NCB SMK 16/03/2024 00:49:14 17/03/2024 14:15:25 Rp 200,000.00
2024/03/23/000090 121154 BY NY M023 MELATI BAYI B NKB SMK NCB SMK 23/03/2024 07:19:08 24/03/2024 09:52:38 Rp 200,000.00
2024/03/25/000221 121210 BY NY TINA REJEKI M026 MELATI BAYI B NCB SMK NCB SMK 25/03/2024 14:30:41 26/03/2024 15:55:33 Rp 200,000.00
2024/03/27/000440 121312 BY NY CASNENTI M023 MELATI BAYI B NCB SMK NCB SMK 27/03/2024 20:35:05 28/03/2024 18:59:38 Rp 200,000.00
2024/03/01/000146 119143 LAILA NABILA M016 MELATI IBU A HAMIL 37 MGG HAMIL 37 MGG 01/03/2024 02:59:52 03/03/2024 11:31:53 Rp 300,000.00
BELUM INPARTU + BELUM INPARTU
ABDOMINAL PAIN + ABDOMINAL
2024/03/03/000031 118281 TIVANI CHRISTINE E M005 MELATI IBU A GIPOAO hamil 38-39 GIPOAO hamil 38- 03/03/2024 11:48:12 04/03/2024 21:30:00 Rp 200,000.00
MONTOLALU mgg dengan inpartu 39 mgg dengan
PK I fase laten inpartu PK I fase
laten
2024/03/03/000044 108945 LINDA NURAMBIA M016 MELATI IBU A PRO SC POST SC 03/03/2024 14:34:20 05/03/2024 15:29:51 Rp 300,000.00
2024/03/03/000080 119655 VIVI RAHMAWATI M006 MELATI IBU A G1P0A0 HAMIL 37-38 G1P0A0 HAMIL 03/03/2024 21:49:25 07/03/2024 15:07:09 Rp 500,000.00
MINGGU ANEMIA 37-38 MINGGU
ANEMIA
2024/03/04/000302 100804 PUSPA AYU DEWI M007 MELATI IBU A PEB PEB 04/03/2024 11:17:40 04/03/2024 21:35:36 Rp 100,000.00
KARMILA
2024/03/04/000361 104932 ALIYAH NURKHOLIS M007 MELATI IBU A AB IMMINENS AB IMMINENS 04/03/2024 15:35:03 07/03/2024 16:38:20 Rp 400,000.00
2024/03/07/000219 119969 ANGGIE SAFITRI M002 MELATI IBU A PRO SC POST SC 07/03/2024 13:55:39 09/03/2024 18:24:43 Rp 300,000.00
2024/03/07/000224 118814 SITI SYUHAIMAH M005 MELATI IBU A PPM, G6P5A0 PRO POST SC 07/03/2024 14:35:23 09/03/2024 18:00:12 Rp 300,000.00
2024/03/07/000227 118347 ESTI KHALIPAH M016 MELATI IBU A PRO SC PRO SC 07/03/2024 15:11:49 09/03/2024 15:59:57 Rp 300,000.00
2024/03/08/000287 106340 TIARA M007 MELATI IBU A G2P1A0 H 34 G2P1A0 H 34 08/03/2024 02:11:29 09/03/2024 20:17:29 Rp 200,000.00
ROHMANIATUL ULYA MINGGU DENGAN MINGGU
PRETERM DENGAN
KONTRAKSI + BSC PRETERM
1X + ANEMIA PRO KONTRAKSI +
BSC 1X +
2024/03/08/000292 009960 DESTIA EKA M006 MELATI IBU A G2P0A1 hamil 40-41 G2P0A1 hamil 40- 08/03/2024 03:05:00 10/03/2024 13:11:35 Rp 300,000.00
WULANDARI minggu dg inpartu PK 41 minggu dg
1 fase laten inpartu PK 1 fase
laten
2024/03/08/000438 031736 RAHMAWATI M002 MELATI IBU A ANCAMAN PARTUS PARTUS 08/03/2024 12:10:17 09/03/2024 14:21:01 Rp 200,000.00
PREMATURUS PREMATURUS
2024/03/09/000175 120559 LAYLA SABRINA M007 MELATI IBU A PARTUS PARTUS 09/03/2024 12:39:17 10/03/2024 13:40:59 Rp 200,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/11/000161 038042 PETRONELLA M002 MELATI IBU A PRO SC POST SC 11/03/2024 14:17:37 15/03/2024 13:12:02 Rp 500,000.00
TUMANGGOR
2024/03/11/000189 120035 AGNIA KAILA IZANI M005 MELATI IBU A PK I LATEN PP SPONTAN 11/03/2024 22:27:43 13/03/2024 12:21:52 Rp 300,000.00
2024/03/12/000116 038729 SRI NURYANI M006 MELATI IBU A HEG HEG 12/03/2024 00:49:17 14/03/2024 11:51:42 Rp 300,000.00
2024/03/12/000336 062923 INDRI NOVIARDINI M016 MELATI IBU A PRETERM PRETERM 12/03/2024 23:14:02 16/03/2024 12:38:35 Rp 700,000.00
KONTRAKSI
2024/03/13/000489 104550 SITI MARIA AZZAHRA M002 MELATI IBU A AB INKOMPLIT POST KURETASE 13/03/2024 23:09:52 16/03/2024 08:22:54 Rp 600,000.00
2024/03/14/000569 047536 MAYA APRILLINGGA M006 MELATI IBU A G1H 38 MGG PRO G1H 38 MGG 14/03/2024 13:22:57 16/03/2024 14:54:01 Rp 500,000.00
POST SC
2024/03/14/000578 096645 THERESIA JELITA M007 MELATI IBU A ANEMIA, G1P0A0 POST 14/03/2024 14:10:55 16/03/2024 11:01:17 Rp 500,000.00
HML 21-22 MG, PRO
TRANSFUSI PRC
2024/03/14/000610 064736 YESSI AZZAHRA M016 MELATI IBU A TUMOR LABIA TUMOR LABIA 14/03/2024 17:13:35 15/03/2024 18:39:49 Rp 200,000.00
MINORA MINORA
2024/03/15/000327 088278 DELLA CESA M002 MELATI IBU A PRO SC PRO SC 15/03/2024 14:33:09 17/03/2024 14:16:04 Rp 400,000.00
WIDISAPUTRI
2024/03/15/000334 066087 NOVIYANTI M016 MELATI IBU A HEG HEG 15/03/2024 20:38:47 18/03/2024 13:06:00 Rp 400,000.00
2024/03/16/000446 076927 DEVI ANJASTARI M002 MELATI IBU A G1 HAMIL 36 G1 HAMIL 36 16/03/2024 10:00:01 16/03/2024 17:39:59 Rp 100,000.00
MINGGU JPK TH + MINGGU JPK TH
JANIN CENDERUNG + JANIN
KECIL SUSP IUGR, CENDERUNG
HDK DD PEB KECIL SUSP
IUGR, HDK DD
2024/03/16/000489 066695 PITRI HANDAYANI M005 MELATI IBU A G2P0A1 H 38 POST PP 16/03/2024 19:55:01 18/03/2024 12:30:18 Rp 300,000.00
MINGGU JPKTH
INPARTU PK I
2024/03/17/000011 047873 ANISA M006 MELATI IBU A G2P1A0 HAMIL 39-40 G2P1A0 HAMIL 17/03/2024 06:29:59 18/03/2024 14:24:33 Rp 200,000.00
MG PK I LATEN 39-40 MG PK I
2024/03/17/000028 012904 ALDA SAKINAH M007 MELATI IBU A POLIP POLIP 17/03/2024 11:33:46 18/03/2024 18:01:39 Rp 200,000.00
ENDROMETRIUM
2024/03/18/000309 084573 SEKARWATI M016 MELATI IBU A G4P2A1 G ATERM POST SC 18/03/2024 13:19:23 20/03/2024 14:27:40 Rp 300,000.00
PRO SC
2024/03/18/000354 066940 MARYATUL M005 MELATI IBU A MIOMA UTERI + MIOMA UTERI + 18/03/2024 17:00:12 19/03/2024 20:26:33 Rp 200,000.00
ANEMIA PRO ANEMIA PRO
TANSFUSI TANSFUSI
2024/03/19/000187 098982 DESI RATNA M006 MELATI IBU A G3P2A0 BSC IX, G3P2A0 BSC IX, 19/03/2024 13:07:32 21/03/2024 14:03:52 Rp 300,000.00
PRO SC PRO SC
2024/03/19/000191 074803 WATINI M007 MELATI IBU A POST MENOPAUSAL POST 19/03/2024 13:31:19 20/03/2024 19:36:13 Rp 200,000.00
BLEEDING PRO MENOPAUSAL
KURETASE BLEEDING PRO
KURETASE
2024/03/19/000243 019178 HALIMATUSSADIYYA M002 MELATI IBU A G3P2A0 hamil 11 G3P2A0 hamil 11 19/03/2024 20:59:32 23/03/2024 12:28:34 Rp 500,000.00
minggu dengan HEG minggu dengan
HEG
2024/03/20/001267 121008 DINY ARIYANI M005 MELATI IBU A G3P1A0 PP SPONTAN 20/03/2024 12:14:51 22/03/2024 13:29:30 Rp 300,000.00
OLIGOHIDRAMNION,
PRO INDUKSI
2024/03/20/001266 083242 WIDIANINGSIH M016 MELATI IBU A PRETERM PRETERM 20/03/2024 14:04:52 24/03/2024 09:52:06 Rp 500,000.00
KONTRAKSI
2024/03/21/000105 121037 NURUL MAWADAH M007 MELATI IBU A KPSW KPSW 21/03/2024 06:51:40 23/03/2024 12:11:16 Rp 300,000.00
2024/03/21/000208 121067 FATMAWATI M006 MELATI IBU A PRO INDUKSI POST PRETERM 21/03/2024 15:21:24 23/03/2024 10:49:33 Rp 300,000.00

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/21/000274 112726 SITI RAHMA SAFITRI M002 MELATI IBU A KPD KPD 21/03/2024 23:06:46 25/03/2024 15:27:45 Rp 500,000.00
2024/03/22/000230 120748 ISRA AULIA NAZLA M005 MELATI IBU A INPARTU PK 1 INPARTU PK 1 22/03/2024 04:51:19 23/03/2024 15:31:07 Rp 200,000.00
LATEN
2024/03/22/000343 032078 SUTINI M005 MELATI IBU A ABNORMAL POST KURETASE 22/03/2024 13:41:21 23/03/2024 11:34:51 Rp 200,000.00
UTERINE BLEEDING
2024/03/22/000352 076031 NUR KHALIMAH M006 MELATI IBU A G2P1A0 H37-38 MG, PRO SC 22/03/2024 15:52:15 24/03/2024 13:18:10 Rp 300,000.00
BSC 1X PRO SC
2024/03/22/000377 121123 UTIYAH M007 MELATI IBU A ANEMIA ANEMIA 22/03/2024 17:55:38 23/03/2024 19:37:40 Rp 200,000.00
2024/03/24/000005 121139 YOSI MAWATI M007 MELATI IBU A AB IMMINENS AB IMMINENS 24/03/2024 02:07:48 24/03/2024 13:36:29 Rp 200,000.00
2024/03/24/000025 106340 TIARA M016 MELATI IBU A PRO SC PRO SC 24/03/2024 10:20:16 26/03/2024 18:14:33 Rp 300,000.00
ROHMANIATUL ULYA
2024/03/24/000044 112896 EKA WAHYUNINGSIH M005 MELATI IBU A G1 HAMIL 39 PRO SC 24/03/2024 15:11:10 26/03/2024 14:20:19 Rp 300,000.00
MINGGU , CPD PRO
2024/03/24/000070 121201 TYAS ALINTRIANI M006 MELATI IBU A G2P1A0 hamil 6-7 G2P1A0 hamil 6-7 24/03/2024 20:40:29 30/03/2024 13:50:49 Rp 800,000.00
minggu abortus minggu abortus
imminens imminens
2024/03/25/000145 100631 NENENG YUNINGSIH M007 MELATI IBU A G3P1A1 H5MT AB G3P1A1 H5MT AB 25/03/2024 00:19:36 25/03/2024 21:57:29 Rp 200,000.00
IMINENS IMINENS
2024/03/25/000272 121053 FATHIYAL ARIKAH M007 MELATI IBU A ANEMIA ANEMIA 25/03/2024 11:33:31 26/03/2024 21:47:33 Rp 200,000.00
2024/03/25/000325 116437 SRI WULANDARI M002 MELATI IBU A PRO SC POST SC 25/03/2024 14:52:11 27/03/2024 13:28:23 Rp 300,000.00
2024/03/26/000246 121242 SRI LESTARI M016 MELATI IBU A g1p0a0 hamil 39-40 POST SC 26/03/2024 14:16:04 28/03/2024 13:09:41 Rp 300,000.00
minggu lkjh kpd
oligohidramnion , r/sc
2024/03/26/000247 120407 ANDRIANI M005 MELATI IBU A G2P1 hamil 36-37mg POST SC 26/03/2024 14:39:27 28/03/2024 19:06:09 Rp 300,000.00
bsc 1x , R/SC
2024/03/27/000294 121318 ARIANG PUTRI M007 MELATI IBU A G1P0A0 HAMIL 17-18 G1P0A0 HAMIL 27/03/2024 02:42:50 28/03/2024 19:21:43 Rp 200,000.00
AYUNDA RACHIM MINGGU DGN HEG 17-18 MINGGU
DGN HEG
2024/03/27/000434 089854 KAHENI M016 MELATI IBU A ABORTUS ABORTUS 27/03/2024 12:53:32 28/03/2024 18:45:20 Rp 200,000.00
INKOMPLIT
2024/03/27/000439 120094 MARYAM M002 MELATI IBU A G2P1A0 HAMIL 29-30 G2P1A0 HAMIL 27/03/2024 13:39:03 29/03/2024 15:05:03 Rp 500,000.00
MINGGU , BSC 1X + 29-30 MINGGU ,
PEB BSC 1X + PEB
2024/03/27/000454 098283 SITI NUR ALAWIYAH M005 MELATI IBU A PK I LATEN PK I LATEN 27/03/2024 17:19:27 29/03/2024 13:16:10 Rp 300,000.00
ASLAMIYAH
2024/03/27/000455 121358 SRI PUJIYANTI M006 MELATI IBU A ANAEMIA ANEMIA 27/03/2024 17:33:06 30/03/2024 09:16:34 Rp 500,000.00
2024/03/29/000085 116831 INDIRA ARLIANI M007 MELATI IBU A INFARTU PK 1 POST SC 29/03/2024 02:49:14 31/03/2024 12:18:14 Rp 300,000.00
2024/03/29/000113 118960 EKA MERTIYANI M016 MELATI IBU A INPARTU PK I POST INPARTU 29/03/2024 12:36:57 30/03/2024 17:03:08 Rp 300,000.00
PK I LATEN
2024/03/29/000119 121421 INTAN PERMATA M005 MELATI IBU A ANAEMIA ANAEMIA 29/03/2024 13:31:29 31/03/2024 13:21:19 Rp 300,000.00
SAVITHRI
2024/03/30/000483 074915 AMELIA AYU M016 MELATI IBU A INPARTU PK I INPARTU PK I 30/03/2024 15:04:15 31/03/2024 00:19:43 Rp 200,000.00
APRIHANTI LATEN
2024/03/31/000034 097738 SELVI DAMAYANTI M005 MELATI IBU A HEG HEG 31/03/2024 13:48:55 02/04/2024 16:14:10 Rp 300,000.00
2024/03/01/000765 091480 DIAN NOVITA M010 MELATI IBU B PEB PEB 01/03/2024 15:44:06 02/03/2024 00:11:36 Rp 200,000.00
2024/03/03/000007 112327 INA WINARTI M010 MELATI IBU B anemia anemia 03/03/2024 05:15:15 04/03/2024 18:59:51 Rp 200,000.00
2024/03/03/000051 038729 SRI NURYANI M011 MELATI IBU B HEG HEG 03/03/2024 15:48:34 07/03/2024 15:46:13 Rp 500,000.00
2024/03/04/000301 076201 SAIDAH M010 MELATI IBU B AB IMMINENS AB IMMINENS 04/03/2024 11:04:54 08/03/2024 19:21:59 Rp 500,000.00
2024/03/04/000328 111638 ERNYASIH FAJRIN M012 MELATI IBU B G2P1A0 H 34 MG PRE EKLAMSIA 04/03/2024 12:39:36 04/03/2024 23:17:11 Rp 100,000.00
JPUTH

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
SUPERIMPOSED
PRE EKLAMSIA
2024/03/04/000346 120117 ANGGRAENI M018 MELATI IBU B G1P0A0 PRO SC POST SC 04/03/2024 13:55:11 06/03/2024 14:01:18 Rp 300,000.00
2024/03/04/000357 003075 TAMIMAH M017 MELATI IBU B PRO SC PRO SC 04/03/2024 14:43:41 05/03/2024 08:55:08 Rp 200,000.00
2024/03/05/000259 066087 NOVIYANTI M017 MELATI IBU B HEG HEG 05/03/2024 14:59:53 08/03/2024 14:46:13 Rp 400,000.00
2024/03/07/000266 120343 SOLIHA M010 MELATI IBU B AB IMINIENS AB IMINIENS 07/03/2024 19:46:32 10/03/2024 18:27:35 Rp 400,000.00
2024/03/08/000391 076410 NAINI RAHMADINI M012 MELATI IBU B PRO SC POST SC 08/03/2024 09:26:09 09/03/2024 17:46:43 Rp 200,000.00
2024/03/08/000445 119652 RAGAD NOVA M018 MELATI IBU B PRO SC POST SC 08/03/2024 13:11:37 10/03/2024 17:26:38 Rp 300,000.00
ALTHEANA
2024/03/08/000502 120532 SHAFIRA M010 MELATI IBU B PRETERM PRETERM 08/03/2024 19:45:20 10/03/2024 20:28:48 Rp 300,000.00
KONTRAKSI
2024/03/10/000005 120305 DIAN ANGGRAINI M012 MELATI IBU B G1P0A0 H 39 MG DG G1P0A0 H 39 MG 10/03/2024 02:06:15 11/03/2024 16:29:19 Rp 200,000.00
INPARTU PK I DG INPARTU PK I
LATEN
2024/03/12/000278 120403 HERLENI M011 MELATI IBU B B20 ON ARV + KISTA B20 ON ARV + 12/03/2024 14:16:27 14/03/2024 17:00:15 Rp 300,000.00
BARTHOLIN KISTA
2024/03/13/000379 120535 SUPARTINI M010 MELATI IBU B PRO KURATASE POST KURETASE 13/03/2024 11:33:52 14/03/2024 15:54:53 Rp 200,000.00
2024/03/14/000615 119509 PUTRI OKFITA DWI M010 MELATI IBU B INDUKSI INDUKSI 14/03/2024 17:46:38 16/03/2024 17:29:02 Rp 500,000.00
LESTARI
2024/03/15/000291 119555 MIFTA OKTAVIA M012 MELATI IBU B PRO SC POST SC 15/03/2024 10:46:01 17/03/2024 13:04:03 Rp 400,000.00
2024/03/15/000333 119488 SITI MARYANI M018 MELATI IBU B g2p2a4 h 38 pk i laten g2p2a4 h 38 pk i 15/03/2024 15:36:01 17/03/2024 14:16:16 Rp 400,000.00
laten
2024/03/15/000352 120341 INTAN DESIANA BR M017 MELATI IBU B BO PRO KURETASE POST KURETASE 15/03/2024 16:54:18 16/03/2024 17:24:03 Rp 400,000.00
SIMANJUNTAK
2024/03/17/000034 098658 DINA MULYANA M010 MELATI IBU B PRO SC pro sc 17/03/2024 12:19:23 19/03/2024 22:10:15 Rp 300,000.00
2024/03/17/000039 096600 ERLYN M011 MELATI IBU B PRO SC POST SC 17/03/2024 13:58:44 20/03/2024 14:22:04 Rp 400,000.00
SURYANINGRUM
2024/03/17/000069 115076 DINDA ARIESTYA M012 MELATI IBU B inpartu post inpartu 17/03/2024 22:52:57 20/03/2024 13:18:07 Rp 400,000.00
2024/03/18/000283 091242 HOLIPAH M017 MELATI IBU B PRO SC POST SC 18/03/2024 11:42:58 20/03/2024 14:34:17 Rp 300,000.00
2024/03/19/000219 072134 MURNI OKTAVIANI M018 MELATI IBU B KURETASE KURETASE 19/03/2024 16:42:53 20/03/2024 19:51:30 Rp 200,000.00
2024/03/20/001260 099487 SETYONINGSIH M010 MELATI IBU B HEG HEG 20/03/2024 11:31:16 24/03/2024 15:56:22 Rp 500,000.00
2024/03/20/001280 079559 EKI MEINARTI M012 MELATI IBU B PRO SC POST SC 20/03/2024 13:54:11 22/03/2024 13:44:29 Rp 300,000.00
2024/03/20/001303 063426 SELA NOVEBRYANTI M011 MELATI IBU B PRETERM PP SPONTAN 20/03/2024 17:21:48 22/03/2024 13:42:29 Rp 300,000.00
2024/03/21/000159 121044 PUTRI HARDIYANTI M017 MELATI IBU B PRE EKLAMPSI PRE EKLAMPSI 21/03/2024 10:17:37 23/03/2024 11:41:02 Rp 300,000.00
BERAT
2024/03/21/000192 091480 DIAN NOVITA M018 MELATI IBU B PRO SC PRO SC 21/03/2024 15:58:09 23/03/2024 15:13:42 Rp 300,000.00
2024/03/21/000214 099444 RIDHA M011 MELATI IBU B PRO SC POST SC 21/03/2024 16:53:48 23/03/2024 12:20:26 Rp 300,000.00
2024/03/22/000354 111672 ELSYAFF ALFATH M017 MELATI IBU B PRO SC PRO SC 22/03/2024 15:50:26 24/03/2024 12:15:27 Rp 300,000.00
MELENIA
2024/03/22/000385 121124 ENI M010 MELATI IBU B PEB + PP SPONTAN ANEMIA 22/03/2024 18:02:33 27/03/2024 19:53:10 Rp 600,000.00
DG RUPTUR
PORTIO + SYOK
HIPOVALEMIK +
ANEMIA
2024/03/22/000410 088156 LYANA MALIDA M011 MELATI IBU B PREMATUR PREMATUR 22/03/2024 22:51:49 24/03/2024 14:29:32 Rp 300,000.00
KONTRAKSI ANEMIA KONTRAKSI
ANEMIA
2024/03/23/000246 020604 SITI SARAH M012 MELATI IBU B HEG + AB IMMINENS HEG + AB 23/03/2024 23:30:39 25/03/2024 16:02:29 Rp 300,000.00
IMMINENS

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/24/000040 113006 TINA REJEKI M010 MELATI IBU B PRO SC PRO SC 24/03/2024 13:47:59 26/03/2024 15:55:26 Rp 300,000.00
2024/03/25/000262 120980 FEBRIA NINGTYAS M012 MELATI IBU B PRO TRANSFUSI POST 25/03/2024 10:16:05 26/03/2024 10:20:35 Rp 200,000.00
PUTRI HIDAYAT
2024/03/25/000322 055055 DWI ANDIRA M011 MELATI IBU B PRO SC post sc 25/03/2024 14:40:13 27/03/2024 13:52:25 Rp 300,000.00
WULANTARI
2024/03/25/000328 112018 DIYAH M018 MELATI IBU B G3P2A0 HAMIL 36 DENGAN 25/03/2024 15:10:03 27/03/2024 16:36:32 Rp 300,000.00
MINGGU DENGAN ANCAMAN
ANCAMAN PARTU
PREMATURUS
2024/03/26/000120 120755 JULIYANI M017 MELATI IBU B PK 1 LATEN PK 1 LATEN 26/03/2024 02:19:32 28/03/2024 15:28:18 Rp 300,000.00
2024/03/26/000240 117645 SRI SUSILAWATI M012 MELATI IBU B PRO SC POST SC 26/03/2024 13:22:26 28/03/2024 15:32:33 Rp 300,000.00
2024/03/26/000257 033171 CASNENTI M011 MELATI IBU B 5P3A1 hamil 36-37mg5P3A1 hamil 36- 26/03/2024 16:47:25 28/03/2024 18:58:15 Rp 300,000.00
varises vagina 37mg varises
rencana sc vagina rencana sc
2024/03/27/000456 032548 YUSRINA HIZHWATI M018 MELATI IBU B ABORTUS ABORTUS 27/03/2024 17:38:41 28/03/2024 16:17:47 Rp 200,000.00
IMMINENS
2024/03/28/000590 121396 MEFTAHUL JANAH M012 MELATI IBU B PRO KURET CITO PRO KURET 28/03/2024 11:18:50 29/03/2024 10:43:03 Rp 200,000.00
2024/03/29/000122 112671 NOFITASARI M012 MELATI IBU B PRO SC post sc 29/03/2024 14:14:12 31/03/2024 14:58:37 Rp 300,000.00
2024/03/29/000135 083530 LITA KHOFIFAH M017 MELATI IBU B BSC 1x PRO SC post sc 29/03/2024 17:17:21 31/03/2024 15:09:53 Rp 300,000.00
2024/03/29/000137 120704 TETI DIAH SARTIKA M010 MELATI IBU B G3P2A H8MG AB G3P2A H8MG AB 29/03/2024 20:06:19 02/04/2024 15:49:19 Rp 500,000.00
IMMINENS IMMINENS
2024/03/30/000177 087424 ANA SRIYULIA M018 MELATI IBU B INFARTU PK 1 AKTIF POST INPARTU 30/03/2024 03:35:47 31/03/2024 14:03:07 Rp 200,000.00
PK I AKTIF
2024/03/30/000503 116055 UCI SYAFITRI M011 MELATI IBU B AB IMINENS AB IMINENS 30/03/2024 22:11:44 31/03/2024 22:26:14 Rp 200,000.00
2024/03/08/000448 120521 MUHAMMAD MAHIR NI1 NICU NCB SMK NCB SMK 08/03/2024 13:28:10 08/03/2024 20:01:58 Rp 800,000.00
ZAIN (BY NY
RAHMAWATI)
2024/03/09/000176 120562 BY NY LAYLA NI2 NICU NCB SMK NCB SMK 09/03/2024 12:37:12 09/03/2024 20:29:48 Rp 800,000.00
2024/03/21/000163 121055 CLEMIRA HALA NI1 NICU NCB SMK FETUS 21/03/2024 11:27:51 27/03/2024 06:16:14 Rp 5,600,000.00
FADHILAH NEWBORN
2024/03/22/000386 121126 EVA KUSNIAWATI NI1 NICU NCB SMK OTHER 22/03/2024 14:39:20 27/03/2024 00:26:56 Rp 4,800,000.00
RESPITORY
DISTRESS NB
2024/03/28/000563 120966 M DENISH NI1 NICU HIPERBILIRUBIN HIPERBILIRUBIN 29/03/2024 09:49:03 29/03/2024 21:59:38 Rp 2,400,000.00
2024/03/01/000140 120148 BY NY INDAH RETNO P001 PERINA NCB SMK + - 01/03/2024 09:14:30 02/03/2024 12:45:28 Rp 400,000.00
IRAWATI RESPIRATORY
DISSTRESS TTN
2024/03/01/000694 120132 KENAZ FARRAZ P002 PERINA NCB SMK - 01/03/2024 09:14:58 01/03/2024 21:37:21 Rp 400,000.00
SUSILO
2024/03/02/000144 120193 AHMAD ALTHAF P002 PERINA NCB SMK - 02/03/2024 09:41:54 02/03/2024 13:27:48 Rp 200,000.00
ZAYYANSYAH/ BY
NY LAILA N
2024/03/04/000300 120264 ARUMI DELIA MAIRA P001 PERINA NCB SMK - 04/03/2024 10:54:03 04/03/2024 16:24:46 Rp 200,000.00
ARSYANAH
2024/03/05/000179 120326 BY NY ANGGRAENI P001 PERINA NCB SMK - 05/03/2024 08:39:25 05/03/2024 16:47:11 Rp 200,000.00
PRATIWI
2024/03/05/000277 119595 RYUGA DEVANKA P001 PERINA IKTERIK IKTERIK 05/03/2024 19:48:09 06/03/2024 20:04:36 Rp 400,000.00
RAHMANA NEONATARUM
2024/03/06/000234 120381 BY NY VIVI P002 PERINA NCB SMK - 06/03/2024 10:12:57 06/03/2024 18:22:28 Rp 200,000.00
RAHMAWATI

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/07/000217 120451 ASZYURA ADZRA P001 PERINA HIPERBILIRUBINEMI HIPERBILIRUBIN 07/03/2024 13:43:20 09/03/2024 10:27:51 Rp 600,000.00
QIANA EMIA
2024/03/08/000341 120490 ZELINA ALMAHYRA P002 PERINA NCB SMK - 08/03/2024 07:51:15 08/03/2024 12:07:45 Rp 200,000.00
(BY NY ESTI
KHALIPAH)
2024/03/08/000342 120489 MUHAMMAD P002 PERINA NCB SMK - 08/03/2024 12:07:57 08/03/2024 13:33:36 Rp 200,000.00
RAHSYA
ALVARENDRA (BY
2024/03/08/000439 120491 BY NY SITI P002 PERINA NCB SMK - 08/03/2024 12:09:12 08/03/2024 20:02:30 Rp 200,000.00
SYUHAIMAH
2024/03/08/000440 120507 BY NY NAINI P002 PERINA NCB SMK - 08/03/2024 20:02:37 08/03/2024 16:55:59 Rp 200,000.00
RAHMADINI
2024/03/09/000118 120539 BY NY RAGAD NOVA P002 PERINA NCB SMK - 09/03/2024 08:20:29 09/03/2024 17:01:05 Rp 200,000.00
ALTHEANA
2024/03/09/000119 120538 ALBIAN DEWANGGA P002 PERINA DHF NCB SMK + 09/03/2024 08:37:14 12/03/2024 11:27:37 Rp 800,000.00
PUTRA AHMADI HIPERBILIRUBIN
EMIA
2024/03/11/000139 120614 ANISA NAJWA RISKI/ P001 PERINA HIPERBILIRUBINEMI HIPERBILIRUBIN 11/03/2024 11:05:30 13/03/2024 15:14:57 Rp 600,000.00
BY NY RESTI V L EMIA
2024/03/12/000209 120651 DEVY SYAFRINAH- P001 PERINA NCB SMK DGN - 12/03/2024 09:51:12 12/03/2024 16:48:56 Rp 200,000.00
BY NY AGNIA KAILA RESPIRATORY
IZANI DISTRESS
2024/03/12/000227 120193 AHMAD ALTHAF P001 PERINA HIPERBILIRUBINEMI HIPERBILIRUBIN 12/03/2024 10:13:03 14/03/2024 13:09:55 Rp 600,000.00
ZAYYANSYAH/ BY EMIA
NY LAILA N
2024/03/15/000233 120781 BY NY MAYA P001 PERINA NCB SMK - 15/03/2024 07:57:25 15/03/2024 13:17:36 Rp 200,000.00
APRILLINGGA
2024/03/16/000390 120828 BY NY DELLA CESA P001 PERINA NCB SMK - 16/03/2024 07:22:01 16/03/2024 12:42:35 Rp 200,000.00
WIDISAPUTRI
2024/03/16/000391 120832 ALEENA NAZIFA P002 PERINA NCB SMK - 16/03/2024 07:22:18 16/03/2024 12:42:23 Rp 200,000.00
ALMAHYRA
2024/03/18/000289 120887 BY NY ERLYN P001 PERINA NCB SMK - 18/03/2024 11:53:27 18/03/2024 16:23:08 Rp 200,000.00
SURYANINGRUM
2024/03/18/000288 120886 BY NY DINA P002 PERINA NCB SMK - 18/03/2024 11:54:09 18/03/2024 20:10:38 Rp 200,000.00
2024/03/18/000310 119367 ABIYAN KHALID AL P001 PERINA HIPERBILIRUBINEMI HIPERBILIRUBIN 18/03/2024 13:23:26 20/03/2024 11:36:48 Rp 600,000.00
ZAKI EMIA
2024/03/19/000145 120956 ADAM ASHRAF P002 PERINA NCB SMK - 19/03/2024 07:51:48 19/03/2024 13:36:14 Rp 200,000.00
ZUHAIR (BY NY
HOLIPAH)
2024/03/19/000152 120966 M DENISH P002 PERINA NCB SMK - 19/03/2024 08:56:44 19/03/2024 13:36:31 Rp 200,000.00
2024/03/20/001236 120989 REYSHAKA P002 PERINA NCB SMK - 20/03/2024 09:04:12 20/03/2024 12:16:05 Rp 200,000.00
KALEANDRA (BY NY
DESI RATNA S)
2024/03/21/000137 121035 VHEIZYRA ARUMY P001 PERINA NCB SMK - 21/03/2024 08:47:53 21/03/2024 13:30:33 Rp 200,000.00
SWARA
2024/03/22/000290 121091 KENZIO DEVANDRA P001 PERINA NCB SMK - 22/03/2024 09:21:43 22/03/2024 09:21:30 Rp 200,000.00
RAMADHAN/BY NY
DIAN N
2024/03/22/000289 121092 AALIYAH P002 PERINA NCB SMK - 22/03/2024 09:22:02 22/03/2024 09:22:19 Rp 200,000.00
NAILUNNISA/BY NY
RIDHA M

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NO.RAWAT NO.R.M. NAMA PASIEN NO.KAMAR NAMA KAMAR DIAGNOSA AWAL DIAGN.AKHIR TGL.MASUK TGL.KELUAR BIAYA KAMAR
2024/03/23/000119 121143 BY NY NUR P001 PERINA NCB SMK - 23/03/2024 08:36:26 23/03/2024 12:51:42 Rp 200,000.00
2024/03/23/000137 121145 BY NY ELSYAFF P002 PERINA NCB SMK - 23/03/2024 09:03:01 23/03/2024 12:51:49 Rp 200,000.00
ALFATH MELENIA
2024/03/22/000235 121103 MUHAMMAD ZAYID P001 PERINA NCB SMK + NCB SMK + 24/03/2024 23:29:53 26/03/2024 19:39:51 Rp 600,000.00
KHAIRAN HIPERBILIRUBINEMI HIPERBILIRUBIN
EMIA
2024/03/25/000220 121212 ARKANA ZAYN P001 PERINA NCB SMK - 25/03/2024 09:56:25 25/03/2024 14:30:22 Rp 200,000.00
BAYANAKA
2024/03/25/000221 121210 BY NY TINA REJEKI P002 PERINA NCB SMK - 25/03/2024 09:56:51 25/03/2024 14:30:41 Rp 200,000.00
2024/03/27/000290 121322 BY NY JULIYANI P002 PERINA NCB SMK, TTN NCB SMK, TTN 27/03/2024 00:40:19 28/03/2024 15:26:52 Rp 400,000.00
2024/03/27/000377 121315 NAMIRA VISCA P001 PERINA NCB SMK - 27/03/2024 09:13:14 27/03/2024 13:37:10 Rp 200,000.00
HANEEN
2024/03/27/000376 121313 BY NY SRI LESTARI P001 PERINA NCB SMK - 27/03/2024 09:13:29 27/03/2024 13:37:15 Rp 200,000.00
2024/03/27/000441 121311 BY NY ANDRIANI P001 PERINA NCB SMK - 27/03/2024 13:38:17 27/03/2024 22:28:42 Rp 200,000.00
2024/03/27/000440 121312 BY NY CASNENTI P002 PERINA NCB SMK - 27/03/2024 13:38:41 27/03/2024 20:35:05 Rp 200,000.00
2024/03/22/000231 121101 BY NY ISRA AULIA P002 PERINA NKB SMK + TTN DD TTN DD SNAD 28/03/2024 20:12:07 08/04/2024 14:44:22 Rp 2,400,000.00
NAZLA SNAD
2024/03/30/000210 121445 DAISHA ALAYA P001 PERINA NCB SMK - 30/03/2024 07:49:43 30/03/2024 12:51:43 Rp 200,000.00
NUGROHO/BY NY
INDIRA
2024/03/30/000211 121439 ARFAN ZAHEED P001 PERINA NCB SMK - 30/03/2024 07:51:19 30/03/2024 12:52:10 Rp 200,000.00
LUQMAN
2024/03/30/000212 121440 DHARMA CAHYA P001 PERINA NCB SMK - 30/03/2024 07:52:06 30/03/2024 13:14:18 Rp 200,000.00
PUTRA/ BY NY LITA
2024/03/30/000212 121440 DHARMA CAHYA P001 PERINA NCB SMK - 30/03/2024 13:14:18 30/03/2024 13:26:31 Rp 200,000.00
PUTRA/ BY NY LITA
2024/03/05/000297 074753 NAJMA RABBANIA P2 PICU BRONCHOPNEUMO BRONCHOPNEU 05/03/2024 06:12:35 07/03/2024 16:07:38 Rp 3,000,000.00
BAIHAKI NIA MONIA
2024/03/07/000202 117308 BIMA PRAMUDIQTA P1 PICU MENINGOENSEFALI MENINGOENSEF 07/03/2024 11:23:05 09/03/2024 17:43:52 Rp 3,000,000.00
AQILA TIS ALITIS
2024/03/11/000145 120615 ARSYILA P1 PICU BRONCHOPNEUMO BRONCHOPNEU 11/03/2024 11:53:09 13/03/2024 00:36:39 Rp 3,000,000.00
RIDANSYAH NIA MONIA
2024/03/25/000147 121213 MUHAMMAD P1 PICU PENURUNAN PENURUNAN 25/03/2024 02:20:31 27/03/2024 11:14:15 Rp 3,000,000.00
SAMMAN KESADARAN, KESADARAN,
VOMITUS, VOMITUS,
PRLONGED FEVER PRLONGED

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