data pasien ruang kelas iii dewasa tahun 2011
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Data Pasien Ruang Kelas III Dewasa Tahun 2011TRANSCRIPT
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN JANUARI 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 11-Dec 23-Dec 12 10014882 III Aminah,ny2 14-Dec 29-Dec 15 9005018 III Samadikun,Tn
16-Dec 21-Dec 5 10019336 III Diah,An3 17-Dec 23-Dec 6 10019377 III Kosim,Tn4 18-Dec 21-Dec 3 10019413 III Wan Che Cau,Tn5 19-Dec 21-Dec 2 10011268 ISOLASI Asri,Tn6 19-Dec 21-Dec 2 10019473 III Palina,ny7 19-Dec 21-Dec 2 10019481 III Ikman,Tn9 19-Dec 24-Dec 5 10016503 III Yutiha,Ny
10 19-Dec 24-Dec 5 10019498 III Devi,ny11 19-Dec 22-Dec 3 10019503 III Yudi,tn12 19-Dec 21-Dec 2 10017239 III Asnani,Ny13 19-Dec 21-Dec 2 10017239 III Elisa,ny14 20-Dec 24-Dec 4 10019527 ISOLASI Kusmaboti,Ny15 20-Dec 24-Dec 4 7002627 III Yamida,Ny16 20-Dec 25-Dec 5 10019564 III Julianto,Tn17 20-Dec 21-Dec 1 8017621 III Dewi Asmara,Ny18 20-Dec 22-Dec 2 10019125 III Nuranawati,Ny
20-Dec 21-Dec 1 6006895 III Supardi,Sdr20-Dec 21-Dec 1 10019578 III Aji Kemal,Tn
19 20-Dec 28-Dec 8 10019579 III Nora,Ny20 20-Dec 23-Dec 3 10017997 III Nasarudin,Tn21 21-Dec 28-Dec 7 10019698 III Yasid,Tn22 21-Dec 24-Dec 3 10019655 III Syaiful Anwar,Tn23 22-Dec 24-Dec 2 10019658 III Amad Usdin,Tn24 22-Dec 27-Dec 5 6014624 III Holiawati,Ny25 22-Dec 25-Dec 3 10012804 III Ediansyah,Tn26 22-Dec 27-Dec 5 10019686 III Supriyati,Ny27 22-Dec 23-Dec 1 10019680 III Abdul Hebal,Tn28 22-Dec 27-Dec 5 10017743 III Diana,Ny29 22-Dec 26-Dec 4 8009303 III Erlena,Ny30 22-Dec 28-Dec 6 10017468 III Krisman,Tn31 23-Dec 25-Dec 2 10019724 III Daslizar,Tn32 23-Dec 27-Dec 4 10019751 III Bumbila,Ny33 23-Dec 27-Dec 4 10019730 ISOLASI Ernawati,Ny34 23-Dec 24-Dec 1 8017274 III Dini,Ny35 23-Dec 21-Jan 29 10019762 ISOLASI Alma,Nn36 23-Dec 25-Dec 2 10019786 III Lukman,Sdr37 23-Dec 24-Dec 1 10009787 III Septi,Nn38 23-Dec 25-Dec 2 10019811 III Rita,Ny39 24-Dec 29-Dec 5 10019765 III Elisa,Ny40 24-Dec 26-Dec 2 10019820 III Samsi,Tn41 24-Dec 30-Dec 6 6013034 III Supardi,Tn42 24-Dec 27-Dec 4 10019828 III Salwi,Tn43 24-Dec 28-Dec 4 10019840 III Asbawi,Tn44 24-Dec 28-Dec 4 10019839 III Sainimah,Ny45 24-Dec 26-Dec 2 10019858 III Paiman,Tn46 24-Dec 29-Dec 5 7007579 III Herman,Tn
47 25-Dec 29-Dec 4 10013144 III Adi Candra,Tn48 26-Dec 27-Dec 1 10019900 III Malyanson,Tn49 27-Dec 29-Dec 3 9016484 ISOLASI Novita Sari,Ny50 27-Dec 29-Dec 2 10019951 III Sukarmaji,Tn51 27-Dec 29-Dec 2 10013793 III Yon Aini,Tn52 27-Dec 31-Dec 4 10011665 III Hilalia,Ny53 27-Dec 29-Dec 2 10019971 III Digo,Sdr54 27-Dec 1-Jan 5 10019932 III Rumneti,Ny55 28-Dec 30-Dec 2 7006102 III Sumadi,Tn56 28-Dec 5-Jan 8 10017672 III Abu Bakar,Tn57 28-Dec 30-Dec 2 10003351 III Ali Usman,Tn58 30-Dec 1-Jan 2 10020131 III Paimah,Ny59 30-Dec 3-Jan 4 9005141 III Haryono,Tn60 30-Dec 5-Jan 6 10020146 III Sapriadi,Tn61 1-Jan 5-Jan 4 6012133 III Rahman,Tn62 2-Jan 3-Jan 2 10000030 III Vivin,Nn63 3-Jan 6-Jan 4 11000100 III Gatot,Tn64 3-Jan 4-Jan 1 11000114 III Fitriyani,Ny65 3-Jan 5-Jan 3 11000115 III Usman,Tn66 3-Jan 10-Jan 7 10019654 III Medi,Sdr67 3-Jan 6-Jan 3 11000140 III Resnani,ny68 3-Jan 6-Jan 4 11000144 III Ahmad,tn69 4-Jan 6-Jan 2 11000157 III M Dolah,Tn70 4-Jan 7-Jan 3 11000180 III Asminah,Ny71 4-Jan 8-Jan 4 10010868 III Hanayani,Ny72 4-Jan 7-Jan 3 8015797 III Armojo,Tn
5-Jan 5-Jan 1 11000259 III Hendri,Tn73 5-Jan 8-Jan 3 11000263 III Yuliana,Ny74 5-Jan 10-Jan 5 11000272 III Sumsila,Ny75 5-Jan 11-Jan 6 9003799 III Junaidi,Tn76 5-Jan 9-Jan 4 11000302 III Mat Gani,Tn77 5-Jan 10-Jan 5 11000310 ISOLASI Tini,Ny78 6-Jan 8-Jan 2 9011204 III Sucipto,Tn79 7-Jan 10-Jan 3 10015505 III Dilia,Ny80 7-Jan 10-Jan 3 11000367 III Abdulah Kirom,Tn81 7-Jan 10-Jan 3 11000400 III Dewi,Ny82 7-Jan 10-Jan 3 11000411 III Zulkarnaen,Tn83 7-Jan 12-Jan 5 11000415 III Suparmi,Ny84 8-Jan 11-Jan 3 11000482 III Aprianti,Ny85 8-Jan 11-Jan 3 11000527 III Saniah,Ny86 9-Jan 12-Jan 3 11000537 III Maidi,Tn87 9-Jan 10-Jan 1 11000534 ISOLASI Umi,Ny88 9-Jan 14-Jan 6 11000542 III Juniarto,Tn89 9-Jan 12-Jan 2 11000554 III Tasima,Ny90 10-Jan 12-Jan 2 10010007 III Ali Bahtiar,Tn91 10-Jan 20-Jan 10 11000614 III Ahmad Sulip,Tn92 10-Jan 12-Jan 2 11000617 III Sujud,Tn93 10-Jan 14-Jan 4 11000643 III Thalib,Tn
10-Jan 11-Jan 1 11000639 III Tati,An11-Jan 12-Jan 1 11000651 III Septi,Ny
94 11-Jan 12-Jan 1 8018047 III Sadariah,Nn95 11-Jan 19-Jan 8 11000684 ISOLASI Ali Usman,Tn96 11-Jan 13-Jan 2 10007405 III Reni,Ny97 11-Jan 16-Jan 5 11000044 ISOLASI Rusmala Dewi,Ny
98 11-Jan 14-Jan 3 11000391 ISOLASI Nadius,Tn99 12-Jan 14-Jan 2 9006226 III Meriza,Nn100 12-Jan 14-Jan 2 11000736 III Joni,Sdr101 12-Jan 13-Jan 1 11000705 III Adenan,Tn102 13-Jan 16-Jan 3 11000763 III Khairudin,Tn103 13-Jan 15-Jan 2 11000770 III Neti Maryani,Ny104 13-Jan 16-Jan 3 11000800 III Jupri,Tn105 13-Jan 16-Jan 3 11000803 III Maryani,Ny106 13-Jan 16-Jan 3 11000815 III Cik Uda,Ny107 14-Jan 16-Jan 2 11000848 III Sendra,Sdr108 14-Jan 19-Jan 5 11000847 III Herdiyanti,Nn109 14-Jan 17-Jan 3 8014809 III Emiyati,Ny110 14-Jan 15-Jan 1 8008255 III Nora,Ny111 14-Jan 18-Jan 4 11000868 III Rodiah,Ny112 14-Jan 18-Jan 4 10003105 III Husnah,Ny113 15-Jan 17-Jan 2 11000940 III Jon Akla,Tn114 15-Jan 19-Jan 4 10003773 III Amriyadi,Tn115 15-Jan 18-Jan 3 6006269 ISOLASI Ramlan,Tn116 16-Jan 19-Jan 3 11000979 III Beni,Tn117 16-Jan 18-Jan 2 11000977 ISOLASI Romlan,Tn118 16-Jan 20-Jan 4 11000981 III Suryadi,Tn119 16-Jan 20-Jan 4 11000982 III Purwadi,Tn120 16-Jan 19-Jan 2 11000983 III Roniah,Ny121 17-Jan 22-Jan 6 10017581 III Ruen,Sdr122 17-Jan 19-Jan 2 11000456 III Yarop,Tn123 17-Jan 18-Jan 1 11001018 III Ngadiran,Tn124 17-Jan 21-Jan 4 11001047 III Erhan,Tn125 17-Jan 19-Jan 2 11001058 III Makmur,Tn126 18-Jan 20-Jan 2 11001061 III Cik Amah,Ny127 18-Jan 21-Jan 3 11001098 ISOLASI Ramijah,Ny128 18-Jan 20-Jan 2 11001106 III Supriyadi,Ny129 18-Jan 23-Jan 5 11001108 ISOLASI Rusnania,Ny130 18-Jan 21-Jan 3 11001127 III Ernani,Tn131 19-Jan 22-Jan 3 11001168 III Nurmalena,Ny132 19-Jan 21-Jan 2 11001175 III Indra,Tn
19-Jan 21-Jan 2 10015744 III Eky,Ny133 20-Jan 21-Jan 1 11001221 IIi Indrawati,Ny134 20-Jan 22-Jan 2 11001232 III Ino,Sdr135 20-Jan 21-Jan 1 11001235 III Nahidah,Ny
20-Jan 21-Jan 1 10068691 III Eka,Nn136 21-Jan 23-Jan 2 8014661 III Komarudin,Tn137 21-Jan 22-Jan 1 11001270 III Nurifa,Ny138 21-Jan 23-Jan 2 11001284 III Tarman,Tn139 21-Jan 22-Jan 1 11001290 III Cik Ola,Ny140 21-Jan 22-Jan 1 11001254 III Natalia,Nn141 22-Jan 24-Jan 2 11000534 ISOLASI Umi,Ny142143144145
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XDs Tanjung Tiga P THN 60 HHD+Decomcordis PDLJl Belitung L THN 72 TB Paru PDLDs Tanjung Rambang P THN 5 Obs Febris PDLDs Kuang L THN 75 PPOK PDLDs Gunung Raja L THN 42 Vomitus PDLDs Gerinam L THN 18 TB Paru PDLPerumahan Prabu Indah P THN 22 Obs Febris PDLDs Karang Bindu L THN 40 Observasi PDLDs Talang Beling P THN 52 Colic Abdomen PDLDs Pagar Agung P THN 23 Post Partum KEBDs Negri Agung L THN 25 Obs Febris PDLDs Gunung Ibul P THN 26 Post Partum KEBDs Prambatan P THN 25 Post Parum KEBDs Tanjung Rambang P THN 45 TB Paru PDLDs Tanjung telang P THN 52 Chepalgia PDLDs Gaung Telang L THN 35 Sirosis Hepatis PDLDs Tanjung Raman P THN 47 Dyspepsia PDLDs Sukaraja P THN 50 Hemiplegia PDLDs Kemang L THN 25 Dyspepsia PDLDs Sumber Rahayu L THN 60 Hipertensi PDLDs Suban Mas P THN 19 Inkopotensi Jantung PDLDs Tambang Kelekar L THN 34 Dyspepsia PDLDs Raja L THN 32 Dyspepsia PDLDs Raja L THN 42 Faringitis PDLDs Manunggal Makmur L THN 45 Colic Abdomen PDLDs Bukit Lingkar P THN 37 Gastritis PDLDs Talang Balai L THN 38 Dyspnoe PDLJl Yusuf Wahid P THN 33 Dyspepsia PDLDs Karya Mulya L THN 35 Dyspepsia PDLDs Sungai Medang P THN 48 Dyspepsia PDLDs Karang Raja P THN 43 CVD SYARAFPTPN VII L THN 40 Dyspepsia PDLJl Jend Sudirman L THN 53 Haematomesis PDLDs Sukarame P THN 42 GE PDLDs Sukamerindu P THN 53 TB Paru PDLJl Damai P THN 27 Gastritis PDLDs Banuayu P THN 14 TB Paru PDLJl Jend Sudirman L THN 25 Malaria PDLJl Jend Sudirman P THN 15 Dyspepsia PDLJl Alipatan P THN 42 Haemaptoe PDLDs Sialingan P THN 22 Decomcordis PDLDs Tanjung Baru L THN 60 HHD+CVD SYARAFJl Shinta L THN 68 TB Laring PDLDs Karang Endah L THN 80 Gastritis PDLDs Sialingan L THN 40 Asma Bronchiale PDLDs Gunung Megang P THN 70 HHD Decomcordis PDLDs Talang Akar L THN 48 Cronik Kidney Disease PDLDs Lubuk Raman L THN 53 Gout PDL
Ds Karya Mulya L THN 23 Dyspepsia PDLDs Pagar Agung L THN 37 Colic Abdomen PDLDs Sialingan P THN 27 Haemaptoe PDLDs Sukamenanti L THN 28 Obs Febris PDLDs Pagar Dewa L THN 29 Dyspesia PDLDs Tanjung Kemala P THN 37 Dyspesia PDLTaman Siswa L THN 13 Thypoid PDLDs Sugiwaras P THN 45 Decomcordis PDLTrans Karang Sari L THN 49 Obs Febris PDLDs Tanah Abang L THN 54 Stroke Non Haemoroghie SYARAFDs Menanti L THN 60 GE PDLDs Talang Taling P THN 50 TbB Paru PDLDs Muara Sungai L THN 47 Dyspepsia PDLGang Amir L THN 26 Dyspepsia PDLDs Talang Bulang L THN 50 Haematomesis Melena PDLJl M Yamin P THN 28 GE PDLDs Air Enau L THN 45 Obs Febris PDLDs Pengabuan P THN 21 Colic Abdomen PDLDs Sugihan L THN 48 Colic Abdomen PDLJl Angkatan 45 L THN 18 Obs Febris PDLDs Sungai Medang P THN 30 Vertigo PDLDs Lembak L THN 20 Haematomesis PDLDs Payuputat L THN 63 Dyspepsia PDLDs Prambatan P THN 27 Decomcordis PDLJl Tanggai P THN 21 Thypoid PDLDs Negri Agung L THN 56 Thypoid PDLDs Tanjung Rambang L THN 28 Cholelithiasis PDLDs Manunggal Jaya P THN 21 TDBD PDLDs Sukamerindu P THN 34 Akut Myocard Infark PDLJl Kemuning L THN 45 Thypoid PDLDs Air Keruh L THN 60 Thypoid PDLDs Talang Balai P THN 51 Hamemaptoe PDLJl Pangkul L THN 26 Obs Febris PDLJl Baturaja P THN 40 Colic Renal PDLDs Lubuk Semantung L THN 58 Dyspepsia PDLDs Sumber Mulya P THN 24 Dyspepsia PDLJl Sumatera L THN 32 GE PDLJul Dulmubin P THN 28 Vomitus PDLJl Diponegoro P THN 24 Cephalgia PDLDs Talang Bulang P THN 40 Dyspepsia PDLDs Pelempang L THN 50 Meningitis SYARAFDs Lembak P THN 40 TB Paru PDLDs Karangan L THN 41 Gastritis Erusif PDLDs Midar P THN 38 TB Paru PDLDs Lembak L THN 54 Haematomesis Melena PDLDs Lubuk Raman L THN 60 Ca Gaster PDLDs Tanjung Raya L THN 45 Obs Febris PDLDs Kencana Mulya L THN 80 Oedema Paru PDLDs Melilian P THN 11 Dyspesia PDLDs Baturaja P THN 17 Dyspepsia PDLDs Ibul P THN 23 Dyspepsia PDLDs Tanah Abang P THN 40 TB Paru PDLWonosari P THN 15 Dyspepsia PDLDs Gumai P THN 35 TB Paru+DM PDL
Jl Seminung L THN 50 TB Paru PDLJl Mayor Iskandar P THN 15 Obs Febris PDLDs Pagar Agung L THN 23 Vomitus PDLDs Sungai Medang L THN 50 Hipertensi PDLDs Tanjung Kemala P THN 39 GE PDLDs Talang Sukamenanti P THN 17 Cephalgia SYARAFDs Babat kp 1 L THN 50 Obs Febris PDLDs Pagar Agung P THN 20 Vomitus PDLDs Pandan P THN 60 CVD SYARAFDs Karang Bindu L THN 13 TDBD PDLJl Alipatan P THN 17 Syncope PDLKomplek Balakarta P THN 37 GE PDLDs Tanjung Tiga P THN 18 Decomcordis PDLJl Baturaja P THN 40 Susp Neprolithiasis BDHDs Betung P THN 50 Hipertensi PDLDs Pagar Agung L THN 35 Obs Febris PDLDs Marga Mulya L THN 27 Dyspepsia PDLDs Babat kp 1 L THN 40 TB Paru PDLDs Gunung Ibul L THN 26 Obs Febris PDLDs Kayu Ara L THN 30 TB Paru PDLDs Pagar Agung L THN 35 Haematomesis+Melena PDLDs Talang Ubi L THN 53 Congestive Heart Failure PDLDs Purun P THN 54 Dyspepsia PDLDs Tanjung Telang L THN 18 Anemia PDLDs Betung kp 2 L THN 44 Syncope PDLJl A Yani L THN 60 ISPA PDLDs Tanjung Tiga L THN 27 DBD PDLDs Sedupi L THN 55 Colic Abdomen PDLDs Ibul P THN 50 Dyspepsia PDLDs Manunggal jaya P THN 40 TB Paru PDLJl Krakatau L THN 50 GE PDLJl Surya Wonosari P THN 64 TB Paru PDLDs Tanjung Telang P THN 35 Obs Febris PDLDs Menanti P THN 25 Haemoroghie Post Partum KANDDs Tanah Abang L THN 26 Intoxikasi Solar PDLJl M Yamin P THN 17 Susp Apendiksitis BDHDs Sumber Mulya P THN 26 Hamil dg Hyperemisis KEBDs Karang Agung L THN 16 Coic Abdomen PDLDs Pagar Gunung P THN 40 Vomitus PDLDs Kasih Dewa P THN 25 Post Partum KEBDs Tanah abang L THN 52 Decomcordis PDLDs Babat kp 3 L THN 45 Dyspepsia PDLDs Tanjung Telang L THN 50 Dyspepsia PDLDs Tanjung Tiga P THN 55 Hipertensi PDLJl Baturaja P THN 19 Dyspepsia PDLDs Lubuk Enau P THN 20 TB Paru PDL
DOKTERK E T BIAYA
R PULANG ALKES OPNAME J. PARAMEDIS J.SHIFDepta P Kontrol 3,920,000 840,000 70,200 46,800 Depta P Aps 1,370,035 1,620,000 45,000 30,000 Hary Pdh Anak 552,900 350,000 27,000 18,000 Depta P Kontrol 2,026,005 528,000 37,800 50,000 Afrianto P Kontrol 1,643,505 210,000 21,600 14,400 Afrianto P Kontrol 30,000 216,000 23,400 15,600 Afrianto P Kontrol 740,945 140,000 16,200 10,800 Afrianto P Kontrol 716,530 140,000 16,200 10,800 Hary P Kontrol 785,660 350,000 32,400 21,600 Rahman P Kontrol 1,803,100 350,000 32,400 21,600 Hary P Kontrol 440,810 210,000 21,600 14,400 Rahman P Kontrol - ### - - Rahman P Kontrol 493,050 140,000 16,200 10,800 Azinar P Kontrol 509,525 352,000 39,000 26,000 Azinar P Kontrol 712,905 280,000 27,000 18,000 Azinar P Kontrol 2,777,075 350,000 32,400 21,600 Azinar P Kontrol 250,080 70,000 10,800 7,200 Azinar P Kontrol - 165,000 18,000 12,000 Azinar Pdh Bdh 155,600 70,000 5,400 3,600 Hary Pdh Bdh - 70,000 5,400 3,600 Indra P Kontrol - 165,000 18,000 6,000 Hary P Kontrol 1,261,835 210,000 21,600 14,400 Hary P Kontrol 183,330 140,000 16,200 10,800 Ali Romon P Kontrol 646,990 210,000 21,600 14,400 Ali Romon P Kontrol 442,750 140,000 16,200 18,000 Depta P Kontrol 22,500 275,000 30,000 20,000 Depta P Kontrol 881,775 210,000 21,600 14,400 Depta P Kontrol 1,544,280 350,000 32,400 21,600 Azinar P Kontrol 296,325 140,000 16,200 10,800 Depta P Kontrol 1,671,830 350,000 32,400 21,600 Depta P Aps 1,290,580 280,000 21,600 14,400 Afrianto P Kontrol 2,253,280 420,000 37,800 25,200 Depta P Aps 1,303,545 210,000 21,600 14,400 Depta P Kontrol 41,200 234,000 12,000 8,000 Indra P Kontrol 3,716,265 352,000 39,000 26,000 Depta P Kontrol - 55,000 6,000 4,000 Depta P Kontrol 11,261,395 2,552,000 226,200 150,800 Hary P Kontrol 177,540 140,000 16,200 10,800 Hary P Kontrol 3,450 70,000 10,800 7,200 Afrianto P Aps 143,080 70,000 10,800 7,200 Depta P Kontrol 1,874,990 420,000 37,800 25,200 Depta Meninggal 2,557,700 140,000 16,200 10,800 Depta Rujuk 893,020 648,000 18,000 12,000 Depta P Kontrol 1,379,725 210,000 27,000 18,000 Depta P Kontrol 1,499,845 280,000 27,000 18,000 Depta P Kontrol 1,296,465 280,000 27,000 18,000 Afrianto Meninggal 962,625 70,000 10,800 7,200 Alip P Kontrol 829,050 280,000 27,000 18,000
Hary P Kontrol 57,550 165,000 30,000 20,000 Hary P Kontrol 317,130 70,000 10,800 7,200 Depta P Kontrol 980,963 210,000 31,200 20,800 Depta P Kontrol 624,050 140,000 16,200 10,800 Depta P Kontrol 974,980 140,000 16,200 10,800 Depta P Kontrol 1,378,495 298,000 21,600 14,400 Afrianto P Kontrol - 110,000 12,000 8,000 Depta P Kontrol 677,440 250,000 32,400 21,600 Depta P Kontrol 1,109,463 140,000 16,200 10,800 Depta P Kontrol 3,645,490 560,000 48,600 32,400 Depta P Kontrol 477,550 140,000 16,200 10,800 Hary P Kontrol 208,225 140,000 16,200 10,800 Depta P Kontrol 1,707,380 280,000 27,000 14,400 Hary P Kontrol 1,399,140 140,000 37,800 25,200 Hary P Kontrol 1,235,375 352,000 27,000 18,000 Hary P Kontrol 175,290 140,000 16,200 10,800 Afrianto P Aps 1,250,375 280,000 27,000 18,000 Afrianto P Kontrol 564,980 70,000 10,800 7,200 Depta P Kontrol 922,735 140,000 16,200 10,800 Depta P Kontrol 2,476,540 490,000 43,200 28,800 Depta P Kontrol - 165,000 16,200 10,800 Azinar P Kontrol 820,475 280,000 27,000 18,000 Depta P Kontrol 789,430 140,000 16,200 10,800 Depta P Kontrol 769,850 210,000 21,600 14,400 Ali Romon P Kontrol 888,200 280,000 27,000 18,000 Ali Romon P Kontrol 852,000 210,000 21,600 14,400 Depta Pdh Kls II 188,150 88,000 7,800 5,200 Alip P Kontrol 551,235 210,000 21,600 14,400 Depta P Kontrol 3,507,115 350,000 32,400 21,600 Depta P Kontrol 22,500 330,000 32,400 21,600 Ali Romon P Kontrol 1,449,950 280,000 27,000 18,000 Afrianto P Kontrol 1,921,170 352,000 46,800 31,200 Afrianto P Kontrol 758,100 140,000 16,200 10,800 Depta P Kontrol - 165,000 18,000 12,000 Depta P Kontrol 482,695 210,000 21,600 14,400 Hary P Kontrol 624,150 210,000 21,600 14,400 Depta P Kontrol - 165,000 18,000 12,000 Depta P Kontrol 1,448,915 350,000 32,400 21,600 Hartono P Kontrol 3,565,300 210,000 21,600 14,400 Ali Romon P Kontrol 907,625 210,000 16,200 10,800 Nury P Kontrol 3,487,975 280,000 27,000 18,000 Nury P Kontrol 325,170 88,000 15,600 10,400 Afrianto P Kontrol 2,057,730 420,000 37,800 25,200 Nury P Kontrol 926,970 176,000 16,200 10,800 Nury P Kontrol 1,802,650 140,000 16,200 10,800 Alip P Kontrol 5,458,940 700,000 59,400 39,600 Afrianto P Kontrol 609,050 140,000 16,200 10,800 Nury P Kontrol 1,492,435 210,000 21,600 14,400 Nety Pdh Anak - ### - - Hary Pdh kls II - ### - - Hary P Kontrol 127,675 70,000 10,800 7,200 Nury P Kontrol 3,045,315 792,000 78,000 52,000 Nury P Kontrol 441,400 140,000 16,200 10,800 Nury P Kontrol 2,620,730 350,000 46,800 31,200
Afrianto P Kontrol 1,423,695 210,000 31,200 20,800 Nury P Kontrol - 110,000 12,000 8,000 Afrianto P Kontrol 566,000 140,000 16,200 10,800 Afrianto P Kontrol 252,220 70,000 10,800 7,200 Afrianto P Kontrol 341,650 210,000 21,600 14,400 Afrianto P Kontrol 521,835 210,000 21,600 14,400 Afrianto P Kontrol 389,620 210,000 21,600 14,400 Afrianto P Kontrol 835,050 210,000 21,600 14,400 Nury P Kontrol 2,408,250 210,000 21,600 14,400 Afrianto P Aps 341,350 210,000 21,600 14,400 Afrianto P Kontrol 1,061,600 350,000 32,400 21,600 Afrianto P Kontrol 836,950 210,000 21,600 14,400 Nury Meninggal 815,425 70,000 5,400 3,600 Nury P Kontrol 606,800 280,000 27,000 18,000 Hary P Kontrol 502,770 280,000 27,000 18,000 Afrianto P Kontrol 388,650 140,000 16,200 10,800 Nury P Kontrol 807,495 280,000 27,000 18,000 Hary P Kontrol 1,234,090 264,000 31,200 20,800 Hary P Kontrol 340,615 210,000 21,600 14,400 Hary P Kontrol 384,000 264,000 31,200 20,800 Hary P Kontrol 1,656,885 280,000 27,000 18,000 Hary P Kontrol 1,056,360 280,000 27,000 18,000 Hary P Kontrol 474,200 210,000 21,600 14,400 Nury P Kontrol 775,310 420,000 32,400 21,600 Alip P Kontrol 319,820 140,000 16,200 10,800 Nury P Kontrol 216,100 70,000 10,800 7,200 Nury P Kontrol 1,838,125 280,000 27,000 18,000 Afrianto P Kontrol 631,250 140,000 16,200 10,800 Afrianto P Kontrol 1,199,350 140,000 16,200 10,800 Nury P Kontrol 1,098,375 264,000 31,200 20,800 Nury P Kontrol 598,375 140,000 16,200 10,800 Tanudjaya P Aps 998,615 440,000 46,800 31,200 Afrianto P Kontrol 942,100 210,000 21,600 14,400 Rahman P Kontrol 625,975 210,000 21,600 14,400 Nury P Kontrol 344,830 140,000 16,200 10,800 Nury Pdh BdhRahman P Kontrol 171,750 70,000 10,800 7,200 Nury P Kontrol 314,150 140,000 16,200 10,800 Nury P Kontrol 149,500 70,000 10,800 7,200 Rahman Pdh kls II - 55,000 6,000 4,000 Nury P Kontrol 234,985 140,000 16,200 10,800 Hary P Kontrol 68,325 70,000 48,600 32,400 Hary P Kontrol 411,000 140,000 16,200 10,800 Hary P Aps 86,650 70,000 10,800 7,200 Hary P Aps 16,100 70,000 10,800 7,200 Hary P Kontrol 164,510 140,000 23,400 15,600
147,939,851 36,135,000 3,573,000 2,404,400
BIAYA
PSG. INFUS CHATETER NGT INJEKSI SKINTEST VIS. & KONSUL SELANG O2 - ### - 180,000 - 470,000 10,000 - 80,000 - ### - 450,000 -
### - - 75,000 2,000 60,000 - ### - - 90,000 2,000 210,000 -
210,000 - - 45,000 2,000 90,000 - ### - - ### - 60,000 - ### - - 30,000 2,000 60,000 - ### - - 30,000 - 60,000 10,000
- ### - 75,000 - 180,000 - ### - - 20,000 - 180,000 10,000
- ### - 45,000 2,000 155,000 - ### - - ### - - ###
- ### - 5,000 - 80,000 - ### - - 45,000 2,000 160,000 10,000
- ### - 45,000 2,000 160,000 - ### - - 75,000 2,000 220,000 - ### - - 5,000 2,000 80,000 - ### - - 27,000 2,000 120,000 - ### - - 15,000 2,000 260,000 - ### - - ### - 80,000 - ### - - 27,000 - 80,000 - ### - - 45,000 2,000 150,000 - ### - - 30,000 2,000 60,000 - ### - - 30,000 - 90,000 - ### - - 30,000 2,000 60,000 -
15,000 - - 36,000 - 240,000 - 20,000 - - 45,000 2,000 160,000 10,000 20,000 - - 75,000 2,000 200,000 -
### - - 30,000 - 80,000 - ### - - 75,000 - 240,000 -
20,000 - - 75,000 - 225,000 - ### - - 75,000 - 230,000 - ### - - 45,000 - 120,000 - ### - - 14,000 2,000 250,000 -
20,000 - - 60,000 2,000 205,000 - ### - - 9,000 - 80,000 10,000
- ### - 435,000 - 1,465,000 - ### - - 30,000 2,000 60,000 10,000
- ### - ### - 30,000 - ### - - 15,000 - 30,000 -
20,000 - - 90,000 - 300,000 10,000 20,000 - - 45,000 - 120,000 10,000 - ### - ### - 180,000 -
### - - 45,000 - 160,000 - ### - - 45,000 2,000 200,000 - ### - - 45,000 - 200,000 - ### - - 15,000 2,000 30,000 10,000
- ### - 45,000 - 90,000 -
- ### - 27,000 - 120,000 - ### - - 15,000 2,000 30,000 - ### - - 45,000 - 185,000 10,000
- ### - 30,000 2,000 120,000 - ### - - 30,000 2,000 120,000 - ### - - 45,000 - 160,000 - ### - - ### - 50,000 -
20,000 - - 75,000 - 230,000 10,000 - ### - 30,000 2,000 185,000 - 20,000 40,000 - 120,000 - 350,000 10,000 - ### - ### 2,000 120,000 -
### - - 30,000 2,000 60,000 - ### - - 75,000 2,000 30,000 10,000
20,000 - - 90,000 2,000 265,000 - ### - - 60,000 - 205,000 - ### - - 10,000 2,000 30,000 - ### - - 60,000 2,000 90,000 - ### - - 15,000 2,000 30,000 - ### - - 30,000 2,000 100,000 -
20,000 - - 120,000 - 320,000 - ### - - 18,000 - 160,000 - ### - - 60,000 - 120,000 - ### - - 30,000 - 185,000 - ### - - 45,000 2,000 160,000 -
20,000 - - 60,000 2,000 120,000 - 20,000 - - 45,000 2,000 150,000 -
### - - 15,000 2,000 45,000 - ### - - 45,000 - 90,000 -
20,000 - - 50,000 - 240,000 10,000 15,000 - - 54,000 2,000 280,000 -
### - - 60,000 2,000 120,000 - ### - - 60,000 2,000 225,000 - ### - - 30,000 2,000 60,000 - ### - - 27,000 2,000 160,000 - ### - - 45,000 - 150,000 - ### - - 45,000 2,000 90,000 - ### - - 27,000 2,000 120,000 - ### - - 75,000 2,000 150,000 - ### - - 45,000 - 140,000 10,000
- ### - 45,000 - 90,000 - 20,000 - - 60,000 2,000 225,000 10,000 - ### - 15,000 - 90,000 10,000 20,000 - - 90,000 2,000 240,000 -
### - - 10,000 - 90,000 10,000 - ### - 30,000 2,000 80,000 - 20,000 40,000 - 150,000 2,000 390,000 10,000 - ### - 30,000 2,000 - ### - ### - 45,000 2,000 205,000 10,000 - ### - ### - - ### - ### - ### - - ### - ### - 15,000 - 30,000 - 20,000 - - 135,000 2,000 385,000 -
### - - 30,000 - 120,000 - 20,000 - - 75,000 2,000 245,000 -
- ### - 45,000 2,000 135,000 10,000 - ### - 18,000 - 30,000 -
### - - 30,000 2,000 60,000 - ### - - 15,000 - 30,000 10,000
- ### - 45,000 2,000 90,000 - ### - - 45,000 - 105,000 10,000
20,000 - - 45,000 - 90,000 - ### - - 45,000 2,000 90,000 -
20,000 - - 45,000 2,000 145,000 10,000 - ### - 45,000 - 60,000 - 20,000 - - 50,000 - 255,000 -
### - - 30,000 2,000 90,000 - ### - - 5,000 2,000 30,000 10,000
- ### - 60,000 - 190,000 - ### - - 45,000 2,000 120,000 - ### - - 30,000 2,000 60,000 - ### - - 60,000 2,000 120,000 - ### - - 45,000 - 115,000 10,000
- ### - 45,000 2,000 90,000 - ### - - 30,000 2,000 90,000 -
20,000 - - 60,000 2,000 220,000 - ### - - 60,000 2,000 220,000 10,000
- ### - 30,000 2,000 110,000 - 20,000 - - 90,000 2,000 295,000 -
### - - ### - 60,000 - ### - - 30,000 2,000 70,000 -
20,000 - - 60,000 - 200,000 - ### - - 10,000 2,000 115,000 - ### - - 10,000 2,000 60,000 - ### - - 45,000 2,000 180,000 10,000
- ### - 15,000 2,000 120,000 - 20,000 80,000 - 75,000 - 280,000 10,000 - ### - 45,000 2,000 90,000 -
### - - 45,000 - 80,000 - 20,000 - - 30,000 - 120,000 -
- ### - 5,000 - 40,000 - 20,000 - - 30,000 2,000 60,000 -
### - - 40,000 - 40,000 - ### - - ### - 40,000 - ### - - 30,000 2,000 175,000 10,000
- ### - 15,000 - 30,000 - ### - - 30,000 - 60,000 - ### - - 15,000 2,000 30,000 - ### - - 15,000 - 30,000 - ### - - 30,000 2,000 70,000 -
780,000 240,000 - 6,384,000 158,000 21,015,000 310,000
BIAYATOTAL
O2 ELEKTRIK O2 TABUNG PA GV LAIN-LAIN ADM - 715,000 - - - 100,000 6,352,000 - 60,000 - - - - 3,655,035 - ### - - - - 1,084,900 - ### - - - 50,000 2,993,805 - ### - - - 40,000 2,276,505 - 10,000 - - - 10,000 365,000 - ### - - - 30,000 1,029,945 - 15,000 - - - 35,000 1,033,530 - ### - - - 40,000 1,484,660 - 37,500 - - - 40,000 2,494,600 - ### - - - 30,000 918,810 - ### - - - - - - ### - - - 30,000 775,050 - 382,500 - - - 30,000 1,556,025 - ### - - - 30,000 1,274,905 - ### - - - 90,000 3,568,075 - ### - - - 15,000 440,080 - ### - - - - 344,000 - ### - - - - 511,600 - ### - - - - 159,000 - ### - - - - 296,000 - ### - - - 35,000 1,739,835 - ### - - - 30,000 472,330 - ### - - - 30,000 1,042,990 - ### - - - 30,000 738,950 - ### - - - - 638,500 - 15,000 - - - 40,000 1,419,775 - ### - - - 40,000 2,285,280 - ### - - - 15,000 588,325 - ### - - - 40,000 2,430,830 - ### - - - 41,500 1,968,080 - ### - - - 45,000 3,086,280 - ### - - - 47,000 1,761,545 - ### - - - - 561,200 - ### - - - 70,000 4,490,265 - 102,500 - - - - 266,500 - ### - - - 300,000 16,390,395 - 10,000 - - - 20,000 476,540 - ### - - - 20,000 141,450 - ### - - - 15,000 291,080 - 150,000 - - - 100,000 3,027,990 - 315,000 - - - 72,500 3,307,200 - 30,000 - - - 30,000 1,811,020 - ### - - - 85,000 1,924,725 - ### - - - 45,000 2,116,845 - ### - - - 45,000 1,911,465 - 75,000 - - - 52,000 1,234,625 - ### - - - 40,000 1,329,050
- ### - - - - 419,550 - ### - - - 25,000 477,130 - 75,000 - - - 30,000 1,587,963 - ### - - - 20,000 963,050 - ### - - - 30,000 1,323,980 - ### - - - 50,000 1,967,495 - ### - - - - 180,000 - 77,500 - - - 50,000 1,443,940 - ### - - - 30,000 1,523,463 - 12,500 - - - 80,000 4,918,990 - ### - - - 30,000 796,550 - ### - - - 15,000 482,225 - 15,000 - - - 50,000 2,210,780 - ### - - - 40,000 2,019,140 - ### - - - 40,000 1,937,375 - ### - - - 10,000 394,290 - ### - - - 45,000 1,772,375 - ### - - - 30,000 729,980 - ### - - - 30,000 1,251,735 - ### - - - 80,000 3,578,540 - ### - - - - 370,000 - ### - - - 30,000 1,355,475 - ### - - - 30,000 1,201,430 - ### - - - 35,000 1,257,850 - ### - - - 35,000 1,450,200 - ### - - - 35,000 1,350,000 - ### - - - - 351,150 - ### - - - 30,000 962,235 - 160,000 - - - 80,000 4,471,115 - ### - - - - 757,500 - ### - - - 30,000 1,986,950 - ### - - - 75,000 2,713,170 - ### - - - 35,000 1,052,100 - ### - - - - 384,000 - ### - - - 25,000 948,695 - ### - - - 25,000 1,032,150 - ### - - - - 344,000 - ### - - - 50,000 2,129,915 - 350,000 - - - 80,000 4,436,300 - ### - - - 30,000 1,309,625 - 477,500 - - - 85,000 4,692,475 - 115,000 - - - 30,000 699,170 - ### - - - 75,000 2,967,730 - 272,500 - - - 10,000 1,522,470 - ### - - - 35,000 2,116,650 - 125,000 - - - 90,000 7,084,940 - ### - - - 30,000 838,050 - 115,000 - - - 50,000 2,165,435 - ### - - - - - - ### - - - - - ### - - - 20,000 280,675 - ### - - - 65,000 4,574,315 - ### - - - 15,000 773,400 - ### - - - 65,000 3,455,730
- 90,000 - - - 45,000 2,012,695 - ### - - - - 178,000 - ### - - - 20,000 845,000 - 15,000 - - - 30,000 440,220 - ### - - - 25,000 749,650 - 15,000 - - - 30,000 972,835 - ### - - - 25,000 815,620 - ### - - 25,000 1,243,050 - 40,000 - - - 75,000 2,991,250 - ### - - - 15,000 707,350 - ### - - - 45,000 1,835,600 - ### - - - 25,000 1,229,950 - 90,000 - - - 25,000 1,056,425 - ### - - - 40,000 1,221,800 - ### - - - 40,000 1,034,770 - ### - - - 30,000 677,650 - ### - - - 30,000 1,344,495 - 137,500 - - - 85,000 1,942,590 - ### - - - 40,000 763,615 - ### - - - 30,000 852,000 - ### - - - 80,000 2,363,885 - 350,000 - - - 30,000 2,053,360 - ### - - - 30,000 892,200 - ### - - - 50,000 1,706,310 - ### - - - 20,000 566,820 - ### - - - 15,000 421,100 - ### - - - 40,000 2,483,125 - ### - - - 25,000 950,250 - ### - - - 30,000 1,468,350 - 50,000 - - - 40,000 1,741,375 - ### - - - 20,000 922,375 - 237,500 - - - 45,000 2,264,115 - ### - - - 30,000 1,355,100 - ### - - - 37,000 1,033,975 - ### - - - 20,000 701,830
- - ### - - - 20,000 324,750 - ### - - - 20,000 613,150 - ### - - - 15,000 332,500 - ### - - - - 105,000 - 40,000 - - - 25,000 683,985 - ### - - - 15,000 279,325 - ### - - - 20,000 688,000 - ### - - - 20,000 241,650 - ### - - - 10,000 159,100 - ### - - - 25,000 470,510
- - 4,777,500 - - 25,000 5,075,000 228,816,751
SELISIH DISCOUNT PERUSAHAAN
1,279,325 ASKES SOSIAL
294,000 ASKES SOSIAL
JAMSOSTEK
JAMSOSTEK
JAMSOSTEK
ASKES SWASTA
JAMSOSTEK
1,383,520 ASKES PNS
57,550 JAMSOSTEK
80,000 JAMSOSTEK
JAMSOSTEK
JAMSOSTEK
BSP
JAMSOSTEK
JAMSOSTEK
JAMSOSTEK
PSDA
3,094,395 -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULANFEBRUARI 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 20-Jan 24-Jan 4 11001233 III Limia,Ny21-Jan 24-Jan 3 6005300 ISOLASI Bakri,Tn
2 22-Jan 25-Jan 3 11001392 III Burman,Tn3 23-Jan 27-Jan 4 11001402 III Lamindap,Ny4 24-Jan 29-Jan 5 10017086 ISOLASI Rizki,An5 25-Jan 26-Jan 1 11001493 III Yuswila,Ny6 25-Jan 4-Feb 10 11001530 ISOLASI Kopli,Tn7 25-Jan 28-Jan 3 11001581 III Karsini,Ny8 25-Jan 29-Jan 4 6005379 III Ayudin,Tn9 26-Jan 27-Jan 1 6014624 III Holiawati,Ny
10 26-Jan 28-Jan 2 11001567 III Mat Yamin,Tn11 26-Jan 28-Jan 2 11001492 III Susanti,Nn12 26-Jan 30-Jan 4 11000208 III Zulkifli,Tn13 26-Jan 27-Jan 1 11001570 III Lamiawati,Ny14 26-Jan 31-Jan 5 11001587 ISOLASI M Jari,Tn15 26-Jan 30-Jan 4 9000546 ISOLASI Zainal,Tn16 27-Jan 31-Jan 4 11001619 III Budi Ningsih,Tn17 27-Jan 2-Feb 6 11001630 III Nurlima,Ny18 27-Jan 29-Jan 2 7009085 III Dwi,Ny19 27-Jan 29-Jan 2 11001654 III Devi,Nn20 27-Jan 31-Jan 4 11001656 III Mainayu,Ny21 27-Jan 31-Jan 3 11001654 III Umi,Ny22 28-Jan 30-Jan 2 11001681 III Amardiah,Ny23 28-Jan 29-Jan 1 11001717 III Nurbaiti,Ny24 28-Jan 31-Mar 3 11001732 III Yulmi,Tn25 29-Jan 29-Jan 1 11001733 III Imron,Tn26 29-Jan 31-Jan 2 10004794 ISOLASI Karyono,Tn27 29-Jan 4-Feb 6 11001804 III Parmin,Tn28 29-Jan 4-Feb 6 8016480 III Ningsih,Ny29 30-Jan 3-Feb 4 11001837 III Imron,Tn30 30-Jan 1-Feb 2 11001842 III Ibrahim,Tn31 31-Jan 5-Feb 5 11001850 III Muhibah,Ny32 31-Jan 2-Feb 2 11001860 III Ruseka,Ny33 31-Jan 2-Feb 2 11001919 III Yaimah,Ny34 31-Jan 5-Feb 5 11001926 III Sonama,Ny35 1-Feb 4-Feb 3 11001938 III Yuhan,Tn36 1-Feb 3-Feb 2 6004146 III Jupriyanto,Sdr37 2-Feb 7-Feb 5 8007736 III Delima,Ny38 2-Feb 5-Feb 3 11002017 III Rica,Ny39 2-Feb 3-Feb 1 9007568 III Maras,Tn40 2-Feb 7-Feb 5 11002030 III Musamah,Tn41 2-Feb 5-Feb 3 11002037 ISOLASI Kori,Tn42 2-Feb 6-Feb 4 11002052 III Rusmawati,Ny43 3-Feb 7-Feb 4 11001961 ISOLASI Eko,Tn44 3-Feb 4-Feb 1 11002066 III Randa,Sdr45 3-Feb 8-Feb 6 11002079 III Asadi,Tn46 4-Feb 7-Feb 3 11002085 III Naimah,Ny47 4-Feb 8-Feb 4 11002132 III Ellia,Ny
48 5-Feb 10-Feb 5 11002138 III Kornedi,Tn49 5-Feb 9-Feb 4 11002145 III Asnawati,Ny50 5-Feb 6-Feb 1 8010042 III Sobiah,Ny51 5-Feb 6-Feb 1 11002205 III Haji Bilal,Sdr52 5-Feb 7-Feb 2 11002208 III Siti Bahijah,Ny53 5-Feb 7-Feb 2 10001006 III Hadia,Ny
7-Feb 8-Feb 1 11002257 III Subagio,Tn54 8-Feb 14-Feb 7 11002257 ISOLASI Subagio,Tn55 7-Feb 9-Feb 2 11002310 III Ayup,Tn56 7-Feb 10-Feb 3 11002317 III Euis,Ny57 8-Feb 10-Feb 2 11001556 ISOLASI Saidun,Tn58 8-Feb 11-Feb 3 11002399 III Sahodi,Tn
8-Feb 9-Feb 1 11002406 III Bariah,Ny59 9-Feb 12-Feb 4 11002406 ISOLASI Bariah,Ny60 8-Feb 10-Feb 2 11002408 III Rosik,Tn61 8-Feb 9-Feb 1 11002416 III Hendri,Tn62 9-Feb 12-Feb 4 10016418 III Albani,Tn63 9-Feb 12-Feb 3 10011852 III Essy,Ny64 9-Feb 11-Feb 2 7004567 III Yenika,Ny
9-Feb 10-Feb 1 11002434 III Firdaus,Tn65 9-Feb 12-Feb 3 11002472 III Novita Lestari,Nn66 9-Feb 12-Feb 3 11002482 III Kurniawan,Tn67 9-Feb 12-Feb 3 11002485 III Mispan,Tn68 10-Feb 11-Feb 1 11002486 III Rasni,Ny69 10-Feb 10-Feb 1 11002493 III Nerah,Nn70 10-Feb 12-Feb 2 11002547 III Sarmidi,Tn71 10-Feb 12-Feb 2 11002550 III Eko Saputra,Tn72 10-Feb 11-Feb 1 11002553 III Novita,Nn73 10-Feb 12-Feb 2 11002557 ISOLASI Heli Firman,Tn74 11-Feb 12-Feb 1 11002612 III Miah,Ny75 11-Feb 13-Feb 2 11002620 III Herdamami,Ny76 12-Feb 14-Feb 2 11002646 III Amanis,Ny77 12-Feb 16-Feb 4 11001654 III Devi,Nn78 12-Feb 14-Feb 2 11002719 III Maima,Ny79 12-Feb 15-Feb 3 11002720 III Robiyem,Ny80 12-Feb 17-Feb 5 11002727 III Yusnaniar,Ny81 13-Feb 16-Feb 3 11002728 III Erbai,Tn82 13-Feb 14-Feb 2 8016483 III M Nojul,Sdr83 13-Feb 15-Feb 3 11002054 III Mardiana,Ny84 13-Feb 15-Feb 2 11002759 ISOLASI Sekijan,Tn85 13-Feb 16-Feb 3 11002763 III Fitra,Ny86 13-Feb 16-Feb 3 11002764 III Hermi,Ny87 14-Feb 15-Feb 1 8012176 III Octa,Nn88 14-Feb 16-Feb 2 11002818 III Marlisin,Tn89 14-Feb 15-Feb 1 11002836 III Julia,Ny90 14-Feb 15-Feb 1 8006870 III Bahrul Wadi,Tn91 15-Feb 19-Feb 4 11002865 III Fikri,Tn92 15-Feb 16-Feb 1 11002886 III Nuryati,Ny93 15-Feb 19-Feb 4 8016480 III Ningsih,y94 16-Feb 19-Feb 3 10002905 III Endang,Ny95 16-Feb 18-Feb 2 11002929 III Darlis,Tn96 16-Feb 19-Feb 3 9007946 III Asna,Ny97 17-Feb 19-Feb 2 8016002 III Sajirah,Ny98 17-Feb 19-Feb 2 11003019 III Samsul,Tn
99 18-Feb 20-Feb 2 11003060 III Titin,Nn100 20-Feb 21-Feb 2 11003056 III Samin,Tn101102103104105106107108109114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XJl Tanggamus P 42 TH Dyspepsia K 30 PDLJl Baru Rambang L 65 TH TB Paru A 15 PDLDs Belimbing L 55 TH Stroke Haemoroghie I 64 SYARAFDs Tebat Agung P 70 TH Stroke Non Haemoroghie I 64 SYARAFDs Marga Mulya L 3 TH TB Paru A 15 PDLDs Pagar Agung P 43 TH Hemiparese Sinistra SYARAFDs Lembak L 72 TH TB Paru A 15 PDLDs Karang Endah P 31 TH Vertigo G 43 PDLDs Pangkul L 69 TH Dyspepsia K 30 PDLBakaran P 38 TH Dyspepsia K 30 PDLDs Sialingan L 48 TH Dyspepsia PDLDs Sungai Medang P 19 TH RHD PDLDs Sungai Medang L 60 TH Vertigo+Neuropati G 43 PDLDs Tambang Kelekar P 50 TH Dyspepsia K 30 PDLDs.Sebau L 65 TH TB Paru A 15 PDLDs Dalam L 52 TH TB Paru A 15 PDLPerumahan Prabu Indah P 52 TH Cephalgia+HHD G 43 PDLDs Cinta Kasih P 45 TH Hepatomegali PDLJl Senuling P 25 TH GE A 09 PDLDs.Aur Duri P 24 TH Obs Febris R 50 UMUMDs Manunggal Makmur P 70 TH ISPA PDLDs Siku P 15 TH Colic Abdomen R 10 UMUMDs Dalam P 50 TH Chest Pain PDLDs Segayam P 18 TH Post Partum O 80 KEBDs Lubuk Raman L 45 TH GE A 09 PDLDs.Modong L 55 TH TB Paru A 15 PDLJl.Ali Lekat No.386 L 60 TH TB Paru A 15 PDLDs.Sukamenang L 60 TH Decompcordis I 24 PDLMess PT PSDA P 44 TH Dyspepsia K 30 PDLJl.Anggrek L 40 TH Colic Abdomen R 10 UMUMDs.Spantan Jaya L 31 TH Cephalgia G 43 PDLDs.Air Asam P 60 TH Anemia D 50 PDLDs.Tanjung Dalam P 67 TH Hipotensi PDLDs.Suka Manis Kp.I P 65 TH Anemia D 50 PDLDs.Pagar Agung P 63 TH GE A 09 PDLDs.Talang Nangka P 60 TH Decompcordis I 24 PDLJl.Rama Wonosari L 21 TH GE A 09 PDLDs.Betung Kp.3 P 25 TH GE A 09 PDLJl.Tebat P 25 TH Thypoid A 01 PDLDs.Gunung Raja L 60 TH Dyspepsia K 30 PDLDs.Karang Endah L 37 TH Hepatitis B 15 PDLDs.Tanjung Bunut L 60 TH TB Paru A 15 PDLDs.Marga Mulya P 50 TH Dyspepsia K 30 PDLDs.Sukamerindu L 27 TH TB Paru A 15 PDLDs.Prambatan L 13 TH DBD A 91 PDLDs.Gelumbang L 55 TH HHD PDLDs.Modong P 72 TH Stroke Non Haemoroghie I 64 SYARAFDs.Modong P 35 TH Rhematoid Artritis PDL
Ds.Sungai Medang L 45 TH Hipertensi I 10 PDLKelurahan Payuputat P 42 TH GE A 09 PDLDs.Tanjung Raya P 50 TH Obs Febris R 50 UMUMDs.Sumber Mulya RT.12 L 17 TH GE A 09 PDLDs.Karang Agung Kp.I P 70 TH CHF PDLDs.Embacang Kp.III P 65 TH Hipertensi I 10 PDLJl.Urip Sumoharjo L 55 TH Sirosis Hepatis PDLJl.Urip Sumoharjo L 55 TH Sirosis Hepatis PDLDs.Tambang Rambang L 27 TH Obs Febris R 50 UMUMJl.Dian No.34 P 21 TH GE A 09 PDLDs.Payuputat L 52 TH TB Paru A 15 PDLDs.Talang Balai Kp.I L 75 TH SNH I 64 SYARAFDs.Sumber Mulya RT.01/01 P 60 TH TB Paru A 15 PDLDs.Sumber Mulya RT.01/01 P 60 TH TB Paru A 15 PDLDs.Sungai Dua L 46 TH Hipertensi I 10 PDLDs.Embacang Kp.III L 24 TH GE A 09 PDLDs.Tanjung Miring L 60 TH DUT PDLDs.Gunung Ibul P 25 TH Asma Bronchial J 45 PDLDs.Tebat Agung P 31 TH Asma Bronchial J 45 PDLDs.Gunung Raja L 26 TH GE A 09 PDLDs.Sukamerindu P 16 TH Obs.Kejang R 56 UMUMDs.Teluk Lubuk L 27 TH Ulkus Lambung PDLDs.Karya Mulya L 42 TH Bronchopnemonia Duplek J 18 PDLDs.Sukaraja P 28 TH Dyspepsia K 30 PDLDs.Jemenang Kp.2 P 22 TH GE A 09 PDLDs.Lubuk Getam L 70 TH Hipertensi I 10 PDLDs.Sukarami L 28 TH Thypoid A 01 PDLDs.Sungai Baru P 18 TH Dyspepsia K 30 PDLDs.Sukarami L 37 TH TB Paru A 15 PDLCurup Tanah Abang P 60 TH Adnexitis KANDDs.Ruos OKU Selatan P 30 TH Hamil 5 mg+colic abdomen R 10 KEBDs.Air Cek Dam P 45 TH Dyspepsia K 30 PDLDs.Aur Duri Kp.3 P 24 TH SOL SYARAFDs.Karang Agung Kp.I P 60 TH HHD PDLDs.Aur P 74 TH Disentri PDLDs.Tanah Abang P 54 TH ICH SYARAFDs.Karang Sari L 30 TH ISPA PDLJl.Ali Lekat No.386 L 17 TH ISPA PDLDs.Tambang Rambang P 41 TH Tumor Caput Pankreas BDHDs.Karta Dewa L 65 TH Hematemisis Melena PDLDs.Aur P 29 TH Abses Ginggiva GIGIDs.Lubai P 29 TH Vertigo G 43 PDLJl.Arjuna No.79 P TH Syncope PDLDs.Sumber Mulya L 30 TH Dyspepsia K 30 PDLDs.Tanjung Telang P 40 TH Intoxikasi Racun Serangga UMUMDs.Pagar Gunung L 50 TH Intoxikasi Sasa UMUMDs.Tanjung Bulang L 50 TH Disentri PDLDs.Siku Kp.2 P 55 TH ITP PDLMess PT PSDA P 45 TH Gastritis K 29 PDLJl.Rambutan P 41 TH LBP PDLDs.Tanjung Miring L 31 TH Hipertensi I 10 PDLDs.Negri Agung P 75 TH SNH I 64 SYARAFDs.Air Limau Kp.I P 51 TH HHD PDLDs.Tapus L 38 TH GE A 09 PDL
Ds.Payuputat P 17 TH Psikosomatis F 28 PDLDs.Dangku L 30 TH GE A 09 PDL
DOKTERK E T BIAYA
R PULANG ALKES OPNAME J. PARAMEDISNury DR P Kontrol 11,075 220,000 40,000 Tanudjaya DR Pindah Bedah 294,250 264,000 52,000 Hary Non Meniggal > 24 1,926,555 210,000 36,000 Hary Non Dirujuk 3,116,905 280,000 45,000 Hary Non P Kontrol 710,855 440,000 78,000 Afrianto Non P Kontrol 500,960 70,000 1,800 Nury Non P Kontrol 1,368,520 1,080,000 50,000 Nurlela Non P Kontrol 999,100 210,000 36,000 Nurlela Non P Kontrol 1,734,570 280,000 45,000 Nury Non P Kontrol - 55,000 10,000 Nury Non P Kontrol 1,129,150 140,000 27,000 Nury Non P Kontrol 518,355 140,000 27,000 Nury Non P Kontrol 3,191,445 280,000 45,000 Nury Non P Kontrol 349,595 70,000 18,000 Nury Non P Kontrol 2,398,670 440,000 78,000 Nury Non P Kontrol 552,045 52,000 ###Nury DR P Kontrol 220,000 40,000 Nury Non Dirujuk 2,234,525 420,000 63,000 Nury Non P Kontrol 364,950 140,000 27,000 Nury Non APS 611,985 140,000 27,000 Nury Non P Kontrol 1,015,350 280,000 45,000 Nurlela Non P Kontrol 711,455 324,000 15,000 Nurlela Non P Kontrol 761,615 140,000 27,000 Rahman Non P Kontrol 22,145 140,000 25,000 Nury Non P Kontrol 290,935 210,000 36,000 Nury Non Meniggal < 24 1,210,225 70,000 1,800 Alip Non P Kontrol 770,475 176,000 39,000 Nury Non P Kontrol 1,670,828 420,000 63,000 Nury Non P Kontrol 2,926,985 420,000 63,000 Nury DR P Kontrol 80,430 220,000 45,000 Hary Non APS 586,365 140,000 27,000 Nury Non P Kontrol 1,368,870 350,000 54,000 Nurlela Non P Kontrol 988,550 140,000 27,000 Afrianto Non APS 391,015 140,000 27,000 Afrianto Non P Kontrol 744,600 280,000 45,000 Nury Non P Kontrol 878,310 210,000 36,000 Nurlela Non P Kontrol 494,940 140,000 27,000 Hary Non P Kontrol 1,039,715 350,000 54,000 Nury DR P Kontrol 165,000 30,000 Hary Non APS 180,475 70,000 27,000 Nury Non P Kontrol 4,757,105 440,000 78,000 Nury Non APS 1,888,780 264,000 52,000 Mariam Non P Kontrol 815,050 280,000 45,000 Nury Non P Kontrol 1,232,300 352,000 52,000 Hary Non APS 214,280 70,000 18,000 Nury Non APS 5,426,050 420,000 63,000 Nury Non Dirujuk 2,264,500 210,000 36,000 Nury DR P Kontrol 220,000 40,000
Nury Non P Kontrol 3,190,235 350,000 54,000 Nury Non APS 1,142,450 280,000 45,000 Afrianto Non APS 193,035 140,000 18,000 Hary Non APS 210,000 70,000 18,000 Hary Non Meninggal < 24 85,810 140,000 27,000 Hary Non PK 158,000 70,000 18,000 Nuri DR Pindah IsolasiNuri DR P Kontrol 22,500 385,000 70,000 Hary Non P Kontrol 516,565 140,000 27,000 Hary Non P Kontrol 477,825 210,000 36,000 Alip Non APS 544,700 176,000 39,000 Nuri Non APS 1,409,860 210,000 36,000 Nuri Non Pindah IsolasiNuri Non Meninggal > 24 2,093,900 404,000 70,000 Afrianto Non P Kontrol 344,700 140,000 27,000 Afrianto Non APS 135,300 70,000 9,000 Nuri Non Dirujuk 624,650 280,000 45,000 Nuri DR APS 64,160 220,000 40,000 Nuri DR P Kontrol 64,160 110,000 20,000 Afrianto Non Pindah Kls 2 136,150 70,000 9,000 Afrianto Non P Kontrol 434,650 210,000 36,000 Afrianto Non Dirujuk 1,434,110 210,000 36,000 Nuri Non P Kontrol 977,460 210,000 36,000 Nuri Non P Kontrol 201,650 70,000 18,000 Afrianto Non P Kontrol 170,850 70,000 18,000 Hary PN P Kontrol 703,125 140,000 27,000 Hary Non P Kontrol 226,120 140,000 27,000 Hary Non APS 101,850 70,000 9,000 Nuri Non APS 382,125 176,000 39,000 Rahman Non P Kontrol 363,450 70,000 18,000 Rahman Non P Kontrol 614,075 140,000 27,000 Alip Non P Kontrol 1,266,070 140,000 27,000 Hartono Non APS 2,583,745 280,000 45,000 Nurlela Non APS 894,850 210,000 36,000 Nurlela Non P Kontrol 461,295 210,000 36,000 Ali Romon Non P Kontrol 3,738,850 350,000 54,000 Afrianto Non P Kontrol 958,655 210,000 36,000 Nuri DR P Kontrol 110,000 20,000 Afrianto Non Dirujuk 310,300 140,000 27,000 Harry Non APS 510,500 176,000 39,000 Harry Non APS 577,180 210,000 36,000 Nuri DR P Kontrol 22,500 165,000 30,000 Nuri DR P Kontrol 55,000 10,000 Alip Non P Kontrol 833,800 140,000 27,000 Afrianto Non P Kontrol 98,775 70,000 18,000 Afrianto Non P Kontrol 225,550 70,000 18,000 Nurlela Non P Kontrol 986,015 280,000 45,000 Afrianto Non Dirujuk 165,700 70,000 18,000 Afrianto Non P Kontrol 1,418,050 280,000 45,000 Nurlela Non P Kontrol 972,960 210,000 36,000 Nuri Non P Kontrol 1,514,605 140,000 27,000 Afrianto Non APS 1,679,615 210,000 36,000 Nuri Non P Kontrol 785,075 140,000 27,000 Afrianto Non P Kontrol 412,400 140,000 27,000
Mariam Non P Kontrol 535,850 140,000 27,000 Ali Romon Non P Kontrol 221,150 140,000 18,000
92,941,813 21,049,000 3,559,600
BIAYA
J.SHIFT PSG. INFUS CHATETER NGT INJEKSI SKINTEST VIS. & KONSUL 16,000 36,000 2,000 210,000 20,800 45,000 155,000 14,400 20,000 - 40,000 45,000 - 120,000 14,400 20,000 40,000 40,000 60,000 - 220,000 31,200 20,000 - - 75,000 - 225,000 7,200 - ### - 15,000 - 30,000 20,000 250,000 14,400 45,000 110,000 18,000 20,000 60,000 2,000 160,000 4,000 - ### - 9,000 - 80,000 10,800 30,000 2,000 120,000 10,800 30,000 185,000 18,000 20,000 60,000 2,000 225,000 7,200 10,000 80,000 31,200 20,000 75,000 2,000 225,000 20,800 45,000 125,000 16,000 36,000 160,000 25,200 90,000 2,000 280,000 10,800 30,000 120,000 10,800 30,000 2,000 160,000 18,000 60,000 2,000 160,000 6,000 45,000 10,800 20,000 30,000 2,000 60,000 10,000 80,000 14,400 45,000 2,000 120,000 7,200 5,000 2,000 40,000 156,000 30,000 35,000 25,200 20,000 90,000 260,000 25,200 20,000 90,000 2,000 280,000 18,000 15,000 36,000 185,000 10,800 30,000 2,000 60,000 21,600 20,000 20,000 2,000 240,000 10,800 30,000 2,000 60,000 10,800 20,000 30,000 60,000 18,000 75,000 2,000 150,000 14,400 45,000 160,000 10,800 30,000 2,000 60,000 21,600 20,000 50,000 2,000 150,000 12,000 27,000 2,000 120,000 10,800 15,000 2,000 30,000 31,200 20,000 75,000 2,000 230,000 20,800 30,000 240,000 18,000 40,000 2,000 170,000 20,800 20,000 2,000 250,000 7,200 5,000 2,000 30,000 25,200 20,000 75,000 220,000 14,400 40,000 60,000 2,000 140,000 16,000 36,000 2,000 150,000
21,600 75,000 230,000 18,000 40,000 60,000 2,000 210,000 7,200 10,000 30,000 7,200 10,000 2,000 30,000 10,800 20,000 2,000 30,000 7,200 10,000 2,000 30,000
28,000 15,000 63,000 320,000 10,800 30,000 2,000 60,000 14,400 30,000 90,000 15,600 30,000 70,000 14,400 45,000 2,000 200,000
28,000 60,000 2,000 270,000 10,800 30,000 100,000 3,600 5,000 30,000 18,000 20,000 45,000 2,000 255,000 16,000 27,000 160,000 8,000 18,000 120,000 3,600 15,000 90,000 14,400 45,000 155,000 14,400 45,000 130,000 14,400 45,000 160,000 7,200 15,000 60,000 7,200 5,000 40,000 10,800 30,000 95,000 10,800 20,000 2,000 60,000 3,600 5,000 30,000 15,600 30,000 2,000 125,000 7,200 105,000 10,800 20,000 10,000 2,000 40,000 10,800 30,000 30,000 30,000 18,000 20,000 60,000 170,000 14,400 20,000 80,000 10,000 2,000 140,000 14,400 20,000 30,000 2,000 130,000 21,600 20,000 75,000 235,000 14,400 30,000 185,000 8,000 18,000 2,000 40,000 10,800 10,000 2,000 130,000 15,600 30,000 2,000 115,000 14,400 45,000 170,000 12,000 15,000 27,000 2,000 160,000 4,000 9,000 2,000 65,000 10,800 30,000 60,000 7,200 10,000 30,000 7,200 10,000 30,000 18,000 20,000 60,000 2,000 120,000 7,200 15,000 70,000 18,000 40,000 120,000 14,400 45,000 140,000 10,800 30,000 2,000 120,000 14,400 45,000 140,000 10,800 20,000 20,000 10,800 20,000 2,000 60,000
10,800 20,000 2,000 140,000 7,200 15,000 60,000
1,573,600 485,000 160,000 120,000 3,472,000 246,000 12,890,000
BIAYA
SELANG O2 O2 ELEKTRIK O2 TABUNG PA GV LAIN-LAIN ADM 7,500 15,000
20,000 - 302,500 - - - 55,000 10,000 - 627,500 - - 80,000 100,000 10,000 - 22,500 - - - 40,000 - - ### - - - 20,000
40,000 50,000 30,000
37,500 50,000 10,000 - 20,000 - - - - 20,000 40,000 30,000 20,000 127,500 25,000
65,000 30,000
10,000 150,000 80,000 30,000
60,000 30,000 30,000 40,000
12,000 15,000 10,000 15,000 20,000
12,500 20,000
20,000 140,000 20,000 ###
20,000 546,250 60,000 55,000
30,000 50,000 30,000 25,000 30,000
20,000 182,500 40,000 30,000 30,000
10,000 15,000 20,000 75,000
10,000 112,500 30,000 45,000 30,000 30,000 20,000
20,000 252,500 95,000 20,000 382,500 71,000 7,500 15,000
65,000 10,000 12,500 40,000
16,000 10,000
20,000 ### 27,000 10,000
30,000 20,000 20,000 45,000
20,000 665,000 50,000 30,000 20,000 35,000
30,000 40,000 30,000 20,000 15,000
10,000 15,000 40,000 20,000 10,000
20,000 140,000 30,000 15,000 26,000
### 70,000
10,000 62,500 30,000 20,000
20,000 615,000 80,000 10,000 20,000 50,000
30,000 30,000 30,000
7,500 15,000 25,000 15,000 15,000 30,000
20,000 190,000 20,000 50,000 40,000 60,000 50,000 30,000 20,000
30,000 10,000
392,500 - 4,810,750 - - 110,000 3,112,500
TOTAL SELISIH DISCOUNT PERUSAHAAN
557,575 JAMSOSTEK 831,050 2,789,455 4,653,805 1,652,555 644,960 2,858,520 2,025,920 PNS 1,444,500 2,407,070 188,000 JAMSOSTEK 1,548,950 1,083,655 3,906,445 564,795
876,845 472,000 JAMSOSTEK 3,174,725 722,750
1,620,350 1,128,455 898,155 PNS 1,096,415 289,645 738,335 1,516,225 1,241,475 3,175,278 3,882,185 PSDA 599,430 134,320 JAMSOSTEK 886,165 2,126,470 1,288,350 703,815 1,344,600 1,586,210 794,740 1,717,315 356,000 JAMSOSTEK 380,275 5,708,305 2,693,080 1,400,050 1,959,100 366,480 6,616,750 3,240,400 486,500 JAMSOSTEK
3,985,835 1,859,950 414,235 357,200 382,610 305,200 - 903,500 66,000 Jamsostek 816,365 878,225 895,300 1,962,260 - 3,662,900 682,500 BSP 272,900 1,324,650 527,160 100,510 Jamsostek 340,160 94,160 Jamsostek 323,750 925,050 1,909,510 1,472,860 391,850 326,050 1,070,925 505,920 229,450 959,725 578,650 889,875 1,563,870 3,246,745 1,509,750 923,695 5,209,450 1,514,055 198,000 Jamsostek 660,100 918,100 1,082,580 433,500 Jamsostek 167,500 Jamsostek 1,126,600 248,975 375,750 1,561,015 575,900 1,971,050 PSDA 1,458,360 1,904,405 2,175,015 1,032,875 692,200 -
905,650 471,350 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 144,922,763 3,319,065 -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN MARET 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 16-Feb 22-Jun 6 9012991 III Adi,Tn2 18-Feb 26-Feb 8 7007579 III Hermanyadi,Tn3 18-Feb 26-Feb 8 11003038 Isolasi Haryati,Ny4 18-Feb 22-Feb 4 11003039 III Daryok,Tn5 19-Feb 26-Feb 7 10014266 III Mariani,Ny6 19-Feb 22-Feb 3 11003111 III Asma Farida,Ny7 19-Feb 22-Feb 3 11002952 III Yentiana,Ny8 20-Feb 23-Feb 3 11003140 III Hambali,Tn9 20-Feb 22-Feb 2 6004721 III Sugoyono,Tn10 20-Feb 22-Feb 2 11003155 III M Yusuf,Tn11 20-Feb 21-Feb 1 11003156 III Masidah,Ny12 20-Feb 23-Feb 4 11000847 III Herdiyanti,Nn13 21-Feb 25-Feb 4 10002439 Isolasi Aisyah,Ny14 21-Feb 23-Feb 2 10012780 III Rusdi,Tn15 21-Feb 25-Feb 4 11003228 III Icon,Tn
22-Feb 23-Feb 1 11003302 III Anita,Ny16 22-Feb 26-Feb 4 11003308 III Hosinah,Ny17 22-Feb 26-Feb 4 11003309 Isolasi Dawud,Tn18 23-Feb 28-Feb 5 11003316 Isolasi Lafriadi,Tn19 23-Feb 26-Feb 3 11003318 III Yumna,Ny20 24-Feb 26-Feb 2 11003376 III Suhairoh,Ny21 24-Feb 27-Feb 3 11003140 III Hambali,Tn22 24-Feb 28-Feb 4 11003433 III Erwanto,Tn23 24-Feb 26-Feb 2 11003448 III Jojon,Tn24 24-Feb 27-Feb 3 8012176 III Octa,Nn25 24-Feb 26-Feb 2 11003453 III Agus Saim,Tn26 24-Feb 26-Feb 2 11003455 III Fitri,Ny27 25-Feb 2-Mar 5 11003505 Isolasi Holina,Ny28 25-Feb 28-Feb 3 7011072 III Rumiatin,Ny29 25-Feb 26-Feb 1 11003513 III Jusni,Ny
25-Feb 26-Feb 1 11003520 III Ahmad Aini,Tn30 26-Feb 2-Mar 4 9013228 III Mulyana,Ny31 26-Feb 28-Feb 2 11003573 III Haina,Ny32 26-Feb 8-Mar 10 11003561 Isolasi Zainubi,Tn33 26-Feb 1-Mar 3 11003577 III Djunedi,Tn34 26-Feb 3-Mar 5 9000577 III Rizal,Tn35 27-Feb 1-Mar 2 11003608 Isolasi Kasmiredi,Tn36 28-Feb 7-Mar 7 11003627 III Usmar,Tn37 28-Feb 9-Mar 9 11002259 III Mustia,Ny38 28-Feb 7-Mar 7 III Linda,Ny39 28-Feb 2-Mar 2 11003673 III Dodi,Tn40 28-Feb 28-Feb 1 11003696 III Sunarto,Tn41 28-Feb 4-Apr 4 11002634 III Sri Erma,Ny42 28-Feb 1-Mar 2 11003707 III Dwi,Sdr
43 1-Mar 4-Mar 3 11003758 III Aji Wani,Tn1-Mar 5-Mar 4 11003768 III Depa,Nn
44 5-Mar 7-Mar 2 11003768 Isolasi Depa,Nn45 1-Mar 3-Mar 2 11003779 III Kemirah,Ny46 1-Mar 2-Mar 1 11003780 III Sunardi,Tn47 1-Mar 3-Mar 2 11003786 III Jokarni,Tn48 2-Mar 4-Mar 2 11003798 III Agustion,Tn
2-Mar 4-Mar 2 11003800 III Tapning,Ny49 2-Mar 5-Mar 3 9008397 III Sugianto,Tn50 2-Mar 4-Mar 2 11003846 III Arrahman,Tn51 2-Mar 5-Mar 3 III Mika,Ny52 3-Mar 8-Mar 5 9013228 III Mulyana,Ny53 3-Mar 4-Mar 2 11003872 III Yadi,Tn
3-Mar 8-Mar 5 6013161 III Nurmiyati,Ny54 3-Mar 7-Mar 4 10001191 III Karsih,Ny55 3-Mar 8-Mar 5 11003910 III Aas,Ny56 3-Mar 5-Mar 2 11003921 III Jasron,Tn57 4-Mar 7-Mar 3 11003955 III Aditya,An58 4-Mar 8-Mar 4 11009299 III Darwin,Tn59 4-Mar 8-Mar 4 8012088 III Jhon Simamora,Tn60 4-Mar 7-Mar 3 11003691 III Marwan,Tn61 4-Mar 8-Mar 4 11003967 III Asina,Ny62 4-Mar 6-Mar 2 11003970 III Riska,Nn63 5-Mar 8-Mar 3 10007738 III Mugina,Ny64 5-Mar 6-Mar 1 11003997 III Dodo,Sdr65 5-Mar 10-Mar 5 11017540 III Rosenem,Ny
6-Mar 9-Mar 3 11003602 III Fitriana,Ny66 6-Mar 18-Mar 12 11004026 III Siti Robiah,Ny67 6-Mar 10-Mar 4 11004031 III Kosim,Tn68 6-Mar 9-Mar 3 11004037 III Witri,Nn69 6-Mar 7-Mar 1 11004042 III Sarina,Ny70 7-Mar 8-Mar 2 11004050 III Putra,An71 7-Mar 10-Mar 3 11004056 Isolasi Maryani,Ny72 7-Mar 10-Mar 3 10019498 III Devi,Ny73 7-Mar 8-Mar 2 11004049 III Yusmala,Ny74 7-Mar 9-Mar 2 11004102 III Yusman,Tn75 7-Mar 9-Mar 2 11004118 III Eli,Ny76 8-Mar 11-Mar 3 9017211 III Rima,Ny77 8-Mar 10-Mar 2 8010042 III Sobiah,Ny78 8-Mar 16-Mar 8 6005300 Isolasi Bakri,Tn79 8-Mar 9-Mar 1 11004171 Isolasi Komariah,Ny
9-Mar 11-Mar 2 11004196 III Aniyah,Ny80 9-Mar 11-Mar 2 11004224 III Saidah,Ny81 10-Mar 11-Mar 1 7006822 III Ngadio,Tn82 10-Mar 11-Mar 1 11004272 Isolasi Abdul Haris,Tn83 10-Mar 12-Mar 2 8010376 III Sainah,Ny84 10-Mar 20-Mar 10 11004287 III Zailani,Tn85 11-Mar 12-Mar 1 11004327 III Asri,Tn86 11-Mar 14-Mar 3 11003627 III Usmar,Tn87 11-Mar 13-Mar 1 9005839 III Ruslawati,Ny
88 12-Mar 13-Mar 1 11004385 III Sainudin,Tn89 13-Mar 17-Mar 4 11004440 III Jasmani,Tn90 13-Mar 16-Mar 3 11004442 III Heri Yulius,Sdr91 13-Mar 16-Mar 3 9012066 III Bela,Ny92 13-Mar 15-Mar 2 11004449 III Lela,Ny93 13-Mar 14-Mar 1 11004468 III Enton,Tn94 13-Mar 15-Mar 2 11002634 III Sri Ermayati,Ny95 14-Mar 15-Mar 1 11004477 III Irodatul,Tn96 14-Mar 15-Mar 1 11004544 Isolasi Yuharni,Ny97 14-Mar 18-Mar 4 11004549 III Musdalima,Ny98 14-Mar 19-Mar 5 11000940 III Jhon Akla,Tn99 14-Mar 15-Mar 1 11002952 III Yentiana,Ny100 14-Mar 21-Mar 7 11004563 III Siti Aminah,Ny101 14-Mar 18-Mar 4 9005839 III Ruslawati,Ny102 14-Mar 16-Mar 2 11004568 III Susilawati,Ny103 14-Mar 19-Mar 5 11004363 Isolasi Noval,Sdr104 15-Mar 16-Mar 1 11004601 III Maryanti,Ny105 15-Mar 18-Mar 3 11004619 III Zulkipli,Tn106 15-Mar 19-Mar 4 11004620 III Abi Kasman,Sdr107 15-Mar 18-Mar 3 11004624 III Ngatirin,Tn108 16-Mar 17-Mar 1 8012088 III Jhon Simamora,Tn109 16-Mar 18-Mar 2 8002667 III Fuji,Tn110 16-Mar 17-Mar 1 11004664 III Samingin,Tn111 16-Mar 18-Mar 2 10002154 III Asni,Ny112 16-Mar 22-Mar 6 11004670 Isolasi Ishak,Sdr113 16-Mar 18-Mar 2 11004682 III Ruslan,Tn114 16-Mar 21-Mar 5 10005086 III Sidar,Ny115 17-Mar 17-Mar 1 11004683 III Samhani,Ny116 17-Mar 22-Mar 5 11004744 III Nina,Ny
17-Mar 18-Mar 1 11004747 III Agustina,Ny18-Mar 21-Mar 3 11004748 III Husin,Tn
117 18-Mar 24-Mar 6 11004755 III Harjinah,Ny118 18-Mar 21-Mar 3 11004756 III Abdul Wahid,Tn
18-Mar 21-Mar 3 11004775 III Topik,Tn119 18-Mar 21-Mar 3 11004792 Isolasi Juhro,Ny120 18-Mar 21-Mar 3 11004797 III Kusina,Ny121 18-Mar 21-Mar 3 11004799 III Misrun,Tn122 19-Mar 19-Mar 1 11004801 III Trisdilafani,Tn
21-Mar 22-Mar 1 11004948 III Amilan,Ny123 21-Mar 23-Mar 2 11004955 III Cik Unik,Tn124 21-Mar 24-Mar 3 7011673 III Suhartini,Ny125 22-Mar 23-Mar 1 11004961 III Ruslan,Tn126 23-Mar 23-Mar 1 11005063 III Basori,Tn
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XDs.Modong Kp.2 L 30 TH LBP PDLDs.Lubuk Raman L 52 TH Hipertensi I 10 PDLDs.Jirak Kp.3 P 39 TH Efusi Pleura J 90 BDHMess PT BSP L 25 TH Colic Abdomen R 10 UMUMMess PT BSP P 37 TH Infark Lakuner Cerebri SyarafDs.Marga Mulya P 28 TH Angina Pectoris PDLJl.Madrasah P 37 TH Nefrotik Syndrom N 03 PDLDs.Sumber Rahayu L 30 TH DBD A 91 PDLDs.Negri Agung L 50 TH DBD A 91 PDLDs.Kayuara L 55 TH Obstipasi PDLJl.Alipatan RT.4/4 P 40 TH Dyspepsia K 30 PDLJl.Alipatan Gg.Amir No.35 P 16 TH Dyspepsia K 30 PDLDs.Purun P 45 TH TB Paru A 15 PDLJl.Mayor Iskandar L 52 TH Retensio Urine R 33 PDLDs.Pagar Dewa Kp.II L 40 TH Anemia D 50 PDLDs.Sungai Medang P 25 TH Anemia D 50 KANDJl.Pemuda Muara Dua P 52 TH Hipertensi I 10 PDLDs.Air Enau L 62 TH TB Paru A 15 PDLDs.Karang Agung L 38 TH TB Paru A 15 PDLDs.Alai Kp.III P 55 TH LBP PDLDs.Negri Agung P 55 TH SNH I 64 SyarafDs.Sumber Rahayu L 30 TH Obs febris R 50 UMUMDs.Purun Kp.I L 36 TH Obs febris R 50 UMUMDs.Muara Sungai L 26 TH Dyspepsia K 30 PDLJl.Arjuna P 17 TH Dyspepsia K 30 PDLDs.Sumber Rahayu L 66 TH SNH I 64 SyarafJl.Said Muara Dua P 23 TH TB Paru A 15 PDLDs.Teluk Limau P 54 TH TB Paru A 15 PDLDs.Manunggal Jaya P 21 TH Tonsilofaringitis THTDs.Gumawang P 59 TH Vertigo G 43 PDLDs.Sukarami L 57 TH Dyspepsia K 30 PDLDs.Tanjung Bunut P 45 TH Dyspepsia K 30 PDLDs.Gelumbang P 40 TH Cephalgia G 43 PDLDs.Tempirai L 42 TH TB Paru A 15 PDLJl.Sudirman No.7 L 39 TH Dyspepsia K 30 PDLDs.Air Cek Dam Kp.I L 39 TH Kerato Conjungtivitis MATADs.Babat L 25 TH TB Paru A 15 PDLDs.Lubuk Enau L 55 TH CHF PDLDs.Sinar Dewa P 35 TH SOL SyarafDs.Air Talas Penunggu BayiDs.Gumawang Kp.I L 24 TH DBD A 91 PDLJl.Tebing Admojo Pendopo L 70 TH Icterik PDLDs.Sukamerindu Kp.III P 37 TH LBP PDLDs.Tambang Kelekar L 23 TH Obs febris R 50 UMUM
Ds.I Suban Jeriji L 65 TH Dyspepsia K 30 PDLDs.III Kuripan P 19 TH Varicela B 01 PDLDs.III Kuripan P 19 TH Varicela B 01 PDLDs.Karang Sari P 55 TH GE A 09 PDLDs.Sigam III L 28 TH Colic Abdomen R 10 UMUMDs.Tanjung Raya L 28 TH Ulkus Cornea MATADs.II Tl Ubi Utara Pendopo L 37 TH Dyspepsia K 30 PDLDs.Pandan Kp.2 P 55 TH Peritonitis K 65 BDHJl.Baturaja RT.2/1 L 30 TH Sinusitis J 01 THTDs.Sugihan L 33 TH Gead A 09 PDL
Penunggu BayiDs.Tanjung Bunut P 45 TH Dyspepsia K 30 PDLDs.Kemang L 35 TH Tonsilofaringitis J 02 THTDs.Belimbing P 54 TH Cephalgia G 43 PDLMess PT BSP P 39 TH SOL SyarafMess PT BSP P 45 TH Asma Attack J 45 PDLDs.Tanjung Dalam L 50 TH Dyspepsia K 30 PDLDs.Air Itam L 2 TH ISPA J 22 ANAKDs.Air Itam L 57 TH Hipertensi I 10 PDLJl.Alipatan L 36 TH Cephalgia G 43 PDLJl.Baturaja Sukamerindu L 22 TH Dyspepsia K 30 PDLDs.Sungai Medang RT.2/02 P 54 TH Dyspepsia K 30 PDLJl.M Husin No.38 RT.2/5 P 16 TH Cephalgia G 43 PDLDs.Marga Mulya P 51 TH Dyspepsia K 30 PDLDs.Sukarame Kp.I L 18 TH Psikosomatis F 28 PDLDs.Tanjung Menang P 64 TH Decompcordis I 24 PDLJl.Lintas P 27 TH Tumo Vagina KANDDs.Sebau P 42 TH Efusi Pleura J 90 PDLDs.Tanjung Muning L 58 TH SNH I 64 SyarafTugu Kecil P 21 TH Colic Abdomen R 10 UMUMDs.Prambatan P 21 TH Lupus Cerebral SyarafDs.Babat KP.3 L 7 TH ISPA J 22 ANAKDs.Sungai Medang P 40 TH TB Paru A 15 PDLDs.Pagar Agung P 23 TH DBD A 15 PDLDs.Babat P 29 TH HEG O 21 KEBDs.Sigam RT.02 RW.02 L 60 TH Anemia D 50 PDLDs.Tempirai P 45 TH Vertigo G 43 PDLJl.Gama P 42 TH RHD PDLDs.Tanjung Raya Kp.I P 52 TH Gangguan Kognitif SyarafDs.Baru Rambang L 73 TH PPOK J 44 PDLDs.Talang Nangka P 37 TH Hepatitis B 15 PDLJl.Lintas Sekayu P 66 TH Hernia K 40 BDHDs.Tanjung Muning P 75 TH SNH I 64 SyarafDs.Karang Endah Kp.2 L 66 TH Dyspepsia K 30 PDLJl.Mayor Iskandar L TH Hepatitis B 15 PDLDs.Muara Sungai P 77 TH Hipertensi I 10 PDLDs.Betung L 42 TH SNH I 64 SyarafDs.Teluk Limau L 43 TH Hipertensi I 10 PDLDs.Lubuk Enau L 55 TH CHF PDLJl.M Yamin P 42 TH Obs febris R 50 UMUM
Ds.Talang Subur L 70 TH Hipertensi I 10 PDLDs.Marga Mulya L 44 TH Asma Attack J 45 PDLDs.Tanjung Telang L 21 TH Thypoid A 01 PDLJl.Lingkar P 26 TH GE A 09 PDLDs.Sugiwaras P 45 TH Vertigo G 43 PDLTanjung Raman No.9 L 43 TH Colic Abdomen R 10 UMUMDs.Sukamerindu Kp.III P 37 TH Dyspepsia K 30 PDLJl.Cendrawasih L 25 TH GE A 09 PDLDs.Tempirai P 37 TH Kusta PDLDs.Tanjung Miring P 30 TH GE A 09 PDLDs.Pagar Agung L 33 TH Dyspepsia K 30 PDLJl.Madrasah No.37 P 37 TH NS N 03 PDLDs.Lubuk Raman P 60 TH Hipertensi I 10 PDLJl.M Yamin P 40 TH Dyspepsia K 30 PDLDs.Dangku P 32 TH Dyspepsia K 30 PDLDs.Bulang L 20 TH TB Paru A 15 PDLGunung Kemala P 42 TH Hamil+febris R 50 KEBDs.Gunung Raja L 50 TH GE A 09 PDLDs.Gunung Menang L 14 TH GE A 09 PDLJl.Tebat No.190 RT.10 RW.09 L 49 TH Dyspepsia K 30 PDLJl.Alipatan L 40 TH Cefalgia G 43 PDLDs.Babat L 34 TH Thypoid A 01 PDLMasjid Arrahman L 80 TH SNH I 64 SyarafJl.Mentawai No.178 P 60 TH Gastritis Erosi K 29 PDLDs.Modong Kp.2 L 25 TH CKD N 18 PDLAsrama Yon Zipur L 27 TH Dyspepsia K 30 PDLJl.Singgalang P 38 TH GE A 09 PDLDs.Perjito P 25 TH Post Partum O 80 KEBDs.Bulang P 70 TH PSA SyarafDs.Karang Endah Kp.2 P 60 TH GE A 09 PDLDs.Tambang Kelekar L 70 TH Hernia K 40 BDHDs.Pagar Dewa Kp.IV P 60 TH SNH I 64 SyarafDs.Air Asam L 30 TH GE A 09 PDLDs.Baturaja Kp.2 L 23 TH Peritonitis K 65 BDHDs.Lematang P 36 TH Multipel Limfadenopati PDLDs.Tambak P 54 TH Asma Attack J 45 PDLJl.Aru L 60 TH TB Paru A 15 PDLDs.Lubuk Raman L 55 TH GE A 09 PDLDs.Talang Nangka P 51 TH DBD A 91 PDLDs.Sungai Langan L 60 TH PPOK J 44 PDLJl.Beringin RT.2 P 41 TH LBP BDHDs.Gunung Menang L 40 TH Dyspepsia K 30 PDLDs.Sigam Kp.2 L 73 TH SH Syaraf
DOKTERK E T BIAYA
R PULANG TPO 4 O.RESEP OPNAME J PARAMEDIK JASA SHIFNuri DR PK 22,500 183,960 330,000 60,000 24,000 Nuri Non Dirujuk 960,300 1,687,525 560,000 81,000 32,400 Bujang Non Dirujuk 1,379,250 46,400 704,000 117,000 46,800 Harry Non PK 606,900 80,050 280,000 45,000 18,000 Hartono Non PK 2,700,350 4,786,641 490,000 72,000 28,800 Harry Non PK 194,950 97,645 210,000 36,000 14,400 Nuri DR PK 371,150 866,365 165,000 30,000 12,000 Afriyanto Non PK 789,100 168,600 210,000 36,000 14,400 Afriyanto Non APS 457,450 87,100 140,000 27,000 10,800 Nuri Non PK 102,200 104,525 140,000 27,000 10,800 Ali Romon Non APS 207,800 180,420 70,000 18,000 7,200 Ali Romon Non PK 185,000 335,475 280,000 36,000 14,400 Nuri Non PK 593,500 559,645 352,000 65,000 26,000 Nuri Non Dirujuk 117,150 116,075 140,000 27,000 10,800 Nuri Non PK 780,550 734,165 280,000 45,000 18,000 Rahman Non Pindah VK 27,850 Nuri Non PK 513,400 3,128,790 280,000 45,000 18,000 Nuri Non PK 422,150 865,345 352,000 65,000 26,000 Nuri Non PK 1,065,750 263,270 440,000 78,000 31,200 Nurlela Non PK 573,550 358,310 210,000 36,000 14,400 Nuri Non APS 244,700 67,475 140,000 27,000 10,800 Nurlela Non PK 342,300 262,700 210,000 36,000 14,400 Nurlela Non PK 969,850 804,920 280,000 45,000 18,000 Ali Romon Non PK 460,850 62,525 140,000 27,000 10,800 Nuri DR PK 55,000 10,000 4,000 Nuri Non APS 68,750 241,350 140,000 27,000 10,800 Ali Romon Non Pindah RSU 132,550 140,000 27,000 10,800 Afriyanto Non PK 587,950 212,790 440,000 78,000 31,200 Afriyanto Non APS 625,150 210,000 36,000 14,400 Afriyanto Non PK 64,800 131,150 70,000 18,000 7,200 Harry Non Pindah Kls II 124,150 190,190 70,000 9,000 3,600 Afriyanto Non PK 529,700 331,445 280,000 45,000 18,000 Afriyanto Non PK 436,900 56,550 140,000 27,000 10,800 Nuri Non PK 1,046,050 310,150 880,000 143,000 57,200 Afriyanto Non PK 45,000 324,000 15,000 6,000 Maimunah DR PK 275,000 50,000 20,000 Nuri Non Mati < 24 352,550 997,190 176,000 39,000 15,600 Nuri Non PK 668,750 840,350 560,000 72,000 28,800 Hartono Non PK 1,500,300 5,020,295 720,000 90,000 36,000
PK 490,000 Nurlela Non PK 225,000 275,185 140,000 27,000 10,800 Nurlela Non Mati < 24 15,000 108,000 5,000 2,000 Nurlela Non PK 551,650 220,215 320,000 45,000 18,000 Afriyanto Non APS 833,750 40,875 140,000 27,000 10,800
Nurlela Non PK 559,550 76,340 240,000 36,000 14,400 Nurlela Non Pindah IsolasiNurlela Non PK 13,200,050 2,790,970 510,000 75,000 30,000 Harry Non PK 295,200 17,950 160,000 27,000 10,800 Harry Non PK 51,250 3,400 80,000 18,000 7,200 Maimunah Non PK 984,250 160,000 27,000 10,800 Nuri Non PK 156,900 1,303,545 160,000 27,000 10,800 Bujang Non Pindah Bedah 1,107,000 352,200 160,000 18,000 7,200 Nuri DR PK 165,000 30,000 12,000 Nuri Non PK 265,200 76,165 160,000 27,000 10,800
PK 240,000 Nuri Non PK 406,250 913,775 400,000 54,000 21,600 Nuri Non APS 157,050 522,200 160,000 27,000 10,800 Nuri Non Pindah Kls II 699,050 764,665 480,000 54,000 21,600 Nuri Non Dirujuk 1,079,550 2,325,160 280,000 45,000 18,000 Nuri Non PK 612,250 731,065 350,000 54,000 21,600 Nuri Non PK 188,000 365,615 160,000 27,000 10,800 Afriyanto Non PK 214,900 15,575 240,000 36,000 14,400 Nuri Non PK 908,550 1,828,090 320,000 45,000 18,000 Nuri DR PK 220,000 40,000 16,000 Afriyanto Non PK 464,850 140,000 240,000 36,000 14,400 Nuri Non PK 297,550 156,075 350,000 57,000 22,800 Afriyanto DR PK 4,960 110,000 20,000 8,000 Afriyanto Non PK 747,100 15,235 240,000 36,000 14,400 Harry Non PK 15,050 4,750 80,000 18,000 7,200 Nuri Non PK 394,150 176,525 400,000 45,000 18,000 Rahman Non Pindah VK 413,350 294,000 240,000 36,000 14,400 Nuri Non APS 1,519,650 2,474,220 960,000 117,000 46,800 Nuri Non PK 451,700 720,030 320,000 45,000 18,000 Nuri Non PK 262,300 461,000 240,000 36,000 14,400 Nuri Non Dirujuk 107,900 93,830 80,000 18,000 7,200 Zul Non APS 60,300 106,185 160,000 18,000 7,200 Nuri Non PK 283,700 325,295 285,000 52,000 20,800 Alip Non PK 376,350 104,450 240,000 36,000 14,400 Rahman Non PK 64,500 118,140 160,000 9,000 3,600 Nurlela Non PK 337,600 469,940 160,000 27,000 10,800 Harry Non PK 305,400 515,505 160,000 27,000 10,800 Nuri Non PK 241,300 251,680 240,000 36,000 14,400 Nuri Non PK 87,750 629,520 160,000 27,000 10,800 Nuri Non PK 583,000 2,952,395 760,000 117,000 46,800 Nuri Non Mati < 24 333,850 95,000 26,000 10,400 Bujang Non Pindah Bedah 279,550 620,960 160,000 27,000 10,800 Harry Non APS 48,350 2,303,000 160,000 27,000 10,800 Harry Non PK 166,800 237,825 80,000 18,000 7,200 Nuri Non Dirujuk 58,150 319,875 95,000 26,000 10,400 Harry Non PK 81,100 321,900 160,000 27,000 10,800 Nuri Non APS 1,502,400 5,779,420 800,000 99,000 39,600 Afriyanto Non APS 149,850 110,980 80,000 18,000 7,200 Nuri Non PK 49,150 4,180 240,000 36,000 14,400 Harry Non APS 341,350 11,350 80,000 18,000 7,200
Afriyanto Non APS 103,100 148,730 80,000 18,000 7,200 Nuri Non PK 202,650 143,985 320,000 45,000 18,000 Nuri Non PK 616,300 611,115 240,000 36,000 14,400 Nuri DR PK 165,000 30,000 12,000 Afriyanto Non PK 301,500 344,400 160,000 27,000 10,800 Nuri Non PK 15,000 108,000 5,000 2,000 Nuri Non PK 170,200 66,755 160,000 27,000 10,800 Nuri DR PK 55,000 10,000 4,000 Nuri Non Dirujuk 116,450 192,190 95,000 26,000 10,400 Nurlela Non PK 781,700 388,955 320,000 45,000 18,000 Nurlela Non PK 1,281,300 1,366,260 400,000 54,000 21,600 Nuri DR Dirujuk 55,000 10,000 4,000 Nuri Non PK 472,850 3,271,030 560,000 72,000 28,800 Afriyanto Non PK 539,650 284,500 320,000 45,000 18,000 Afriyanto Non APS 331,200 298,555 160,000 27,000 10,800 Afriyanto Non PK 704,800 17,895 475,000 78,000 31,200 Rahman Non PK 124,600 526,350 80,000 18,000 7,200 Afriyanto Non APS 252,050 222,125 240,000 36,000 14,400 Afriyanto Non APS 507,350 310,180 320,000 45,000 18,000 Afriyanto Non PK 521,700 317,230 240,000 36,000 14,400 Nuri DR PK 55,000 10,000 4,000 Nuri Non PK 160,650 122,175 140,000 27,000 10,800 Nurlela Non APS 6,650 728,308 80,000 18,000 7,200 Nuri Non PK 30,000 216,000 10,000 4,000 Nuri DR Dirujuk 25,000 161,925 330,000 54,000 24,000 Afriyanto Non PK 248,200 312,810 160,000 18,000 7,200 Nuri DR PK 275,000 50,000 20,000 Rahman Non Pindah VK 26,900 96,425 80,000 Nuri Non APS 1,032,508 2,890,432 400,000 54,000 21,600 Nuri Non Pindah Kls II 60,700 Bujang Non Pindah Bedah 588,800 987,385 240,000 27,000 10,800 Nuri Non APS 1,173,600 3,324,100 480,000 63,000 25,200 Nuri Non PK 293,900 1,197,455 240,000 36,000 14,400 Bujang Non Pindah Bedah 387,250 1,710,845 240,000 27,000 10,800 Nuri Non Dirujuk 480,600 391,650 240,000 52,000 20,800 Nuri Non PK 278,050 179,000 240,000 36,000 14,400 Nuri Non PK 376,308 428,238 400,000 54,000 21,600 Afriyanto Non Mati < 24 82,000 126,850 80,000 18,000 7,200 Nurlela Non Pindah Kls II 234,550 93,600 80,000 9,000 3,600 Nuri Non PK 92,450 329,225 160,000 27,000 10,800 Bujang DR PK 165,000 30,000 12,000 Afriyanto Non APS 143,950 192,138 80,000 18,000 7,200 Afriyanto Non Dirujuk 35,100 80,000 9,000 3,600
65,516,616 78,396,967 33,275,000 5,010,000 2,006,400
BIAYA
P INFUS CHATETER NGT INJEKSI SKIN TEST VISITE&KONSULSLANG O2 15,000 54,000 2,000 265,000 20,000 40,000 120,000 2,000 385,000 20,000 80,000 2,000 675,000 20,000
### 60,000 2,000 200,000 20,000 35,000 305,000
45,000 2,000 175,000 20,000 27,000 2,000 125,000 45,000 2,000 90,000 30,000 2,000 60,000
120,000 10,000 30,000 40,000 90,000 10,000 60,000 2,000 225,000 20,000 30,000 2,000 120,000
20,000 60,000 180,000
60,000 230,000 10,000 40,000 2,000 215,000
20,000 75,000 2,000 415,000 45,000 2,000 90,000 20,000 120,000
20,000 30,000 2,000 90,000 40,000 2,000 120,000
20,000 10,000 60,000 10,000 9,000 2,000 65,000 10,000 30,000 40,000 30,000 60,000 10,000
20,000 50,000 2,000 220,000 30,000 2,000 170,000 10,000 30,000 15,000 30,000
20,000 40,000 2,000 170,000 20,000 60,000 60,000 655,000
45,000 45,000 165,000 30,000 2,000 125,000 20,000 70,000 2,000 330,000 10,000
20,000 120,000 390,000
10,000 60,000 4,000
40,000 2,000 160,000 20,000 2,000 60,000
30,000 2,000 90,000
50,000 90,000 2,000 190,000 20,000 60,000 5,000 30,000 20,000 2,000 100,000 20,000 2,000 120,000
50,000 30,000 45,000 10,000 27,000 175,000 30,000 2,000 80,000
75,000 2,000 230,000 15,000 80,000 45,000 2,000 170,000
20,000 50,000 50,000 60,000 240,000 10,000 20,000 75,000 2,000 220,000 20,000
30,000 2,000 110,000 20,000 15,000 2,000 130,000
60,000 2,000 245,000 10,000 36,000 2,000 225,000 45,000 90,000 30,000 2,000 150,000 18,000 90,000 30,000 2,000 140,000
30,000 10,000 60,000 190,000 10,000
50,000 30,000 110,000 10,000 20,000 120,000 830,000 20,000
60,000 2,000 190,000 20,000 15,000 2,000 110,000 15,000 2,000 40,000 10,000 30,000 2,000 80,000 45,000 2,000 180,000 30,000 2,000 90,000 15,000 30,000 20,000 2,000 60,000
20,000 10,000 70,000 20,000 2,000 160,000 15,000 160,000 10,000 70,000 2,000 385,000 20,000 15,000 45,000 10,000 30,000 2,000 140,000 30,000 80,000 15,000 30,000 15,000 2,000 90,000 20,000 100,000 150,000 2,000 360,000 15,000 2,000 70,000 10,000 135,000 20,000 25,000 60,000
10,000 30,000 10,000 20,000 2,000 160,000 20,000 45,000 2,000 120,000 27,000 2,000 120,000 30,000 180,000 20,000
25,000 30,000 110,000 9,000 2,000 80,000 15,000 2,000 90,000
20,000 60,000 2,000 120,000 20,000 75,000 2,000 150,000
9,000 80,000 105,000 310,000 60,000 120,000 30,000 4,000 110,000 60,000 175,000 15,000 30,000 30,000 2,000 90,000 60,000 2,000 190,000 10,000 45,000 2,000 90,000 9,000 80,000 15,000 2,000 145,000 15,000 70,000
50,000 54,000 2,000 250,000 30,000 60,000 45,000 185,000
120,000 20,000 50,000 75,000 210,000 10,000
20,000 30,000 2,000 160,000 20,000 50,000 90,000 2,000 300,000 10,000
15,000 2,000 140,000 45,000 4,000 150,000 45,000 2,000 140,000 45,000 2,000 120,000 20,000
### 25,000 2,000 210,000 10,000 15,000 2,000 30,000 15,000 2,000 30,000 15,000 2,000 120,000 10,000
160,000 15,000 2,000 30,000
50,000 20,000
455,000 340,000 100,000 4,664,000 152,000 19,195,000 474,000
BIAYATOTAL SELISIH
O2 TABUNG PA GV LAIN-LAIN ADM 183,190
70,000 452,500 55,000
50,000 165,000
127,500 30,000 1,237,515
30,000 30,000 20,000 20,000
37,500 20,000 227,500 35,000
30,000 65,000
45,000 80,000 50,000 50,000 30,000 30,000 30,000 40,000
15,000 20,000 15,000
15,000 15,000 ###
35,000 25,000 15,000
30,000 25,000
80,000 45,000 12,000 15,000 209,000
340,000 55,000 400,000 50,000
100,000
25,000 5,000 976,000 30,000 30,000
25,000
60,000 20,000 10,000 25,000 42,000
35,000
50,000 53,000
452,500 90,000 315,000 140,000
30,000 16,000
15,000 62,500
30,000 22,500
5,000 30,000
15,000 10,000 15,000 40,000 112,500 20,000 285,000 318,000 160,000 130,000 115,000 60,000
22,500 150,000 15,000
20,000 30,000 20,000 20,000 30,000 25,000 30,000
52,500 30,000 377,500 80,000 65,000 30,000
60,000 ###
30,000 25,000 130,000 2,000
302,500 20,000 15,000
15,000 ### 572,500 35,000
40,000
65,000 30,000 4,000 5,000 50,000
20,000
20,000 50,000 50,000
70,000 30,000 30,000 25,000 15,000 30,000
215,000 30,000 30,000
30,000 30,000
8,000 10,000 186,500 164,425
30,000
212,500 30,000 75,000
212,500 80,000 35,000
50,000 60,000 30,000 365,000 35,000
77,500 25,000
20,000 302,500 58,000
6,069,000 318,000 240,000 30,000 4,163,500 - 3,011,630
DISCOUNT PERUSAHAAN
Jamsostek
BSPBSP
Jamsostek
Jamsostek
PNSJamsostek
PNS
Jamsostek
BSPBSP
Jamsostek
Jamsostek
Jamsostek
PNS
Jamsostek
BSP
Jamsostek
JamsostekPSDA
PNSJamsostek
Jamsostek
Jamsostek
-
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN APRIL 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 22-Mar 25-Mar 3 6014624 III Holiawati,Ny2 22-Mar 26-Mar 4 11005029 III Santi,Ny3 23-Mar 26-Mar 3 8005732 III Levi,Ny4 24-Mar 26-Mar 2 11005125 III Sumiati,Ny5 24-Mar 26-Mar 2 11005141 III Sumartadinata,Sdr6 25-Mar 29-Mar 4 11005146 III Anwar,Tn7 25-Mar 26-Mar 1 11005166 III Samsu,Tn8 25-Mar 30-Mar 5 11005169 III Mat Rofei,Tn9 25-Mar 27-Mar 3 11005184 III Emi Janayani,Ny
10 25-Mar 28-Mar 3 7011673 III Suhartini,Ny11 25-Mar 28-Mar 3 11005197 III Muklis,Tn12 26-Mar 28-Mar 2 11005264 III Saitiha,Ny
26-Mar 28-Mar 2 10019881 III Nurmalawati,Ny13 27-Mar 29-Mar 2 11005271 III Pipit,Nn14 27-Mar 31-Mar 4 11005274 Iso Indri,Nn15 27-Mar 29-Mar 2 11005289 III Mat Sori,Tn16 28-Mar 29-Mar 1 10008548 III Marwiyah,Ny17 28-Mar 29-Mar 1 11005303 III Ayumiya,Ny18 28-Mar 29-Mar 1 11005368 III Djayunah,Ny19 28-Mar 29-Mar 3 11005374 III Kusnadi,Tn20 29-Mar 1-Apr 3 7002432 III Mike,Ny21 29-Mar 4-Apr 6 11005423 III Susmina,Ny22 29-Mar 31-Mar 2 11005427 III Cik Yam,Ny23 29-Mar 1-Apr 3 11005430 III Adi Irawan,Tn24 29-Mar 31-Mar 2 11005438 III Masnah,Ny25 29-Mar 1-Apr 3 10008184 III Habiburrahman,An26 29-Mar 1-Apr 3 11005449 III Homsiah,Ny27 30-Mar 2-Apr 3 11005481 III Sudarti,Ny28 31-Mar 4-Apr 4 8017368 III Reza,An29 1-Apr 4-Apr 3 11005599 III Mascik,Tn30 1-Apr 1-Apr 1 11004746 III Amir Selan,Tn31 1-Apr 4-Apr 3 11005629 III Sayudin,Tn32 2-Apr 7-Apr 5 10017096 Iso Riski,An
2-Apr 6-Apr 4 10015367 III Siti Zahara,Ny33 2-Apr 4-Apr 2 11005694 III Yahimur,Ny34 2-Apr 5-Apr 3 11005706 Iso Bastiar,Tn35 4-Apr 7-Apr 3 11005742 III Riski,Nn36 4-Apr 12-Apr 9 11005748 III Rindu,Ny37 4-Apr 7-Apr 3 10002936 III Nuryama,Ny
4-Apr 5-Apr 1 10002398 III Zainudin,Tn38 4-Apr 7-Apr 3 11005799 III Ilyas,Tn39 4-Apr 5-Apr 1 11005802 III Rika,Nn
4-Apr 5-Apr 1 11005820 III Chandra,Sdr40 5-Apr 12-Apr 7 11005820 Iso Chandra,Sdr
41 4-Apr 7-Apr 3 11005822 III Ansori,Tn5-Apr 6-Apr 1 11001511 III Sipentri,Tn
42 6-Apr 7-Apr 1 11001511 Iso Sipentri,Tn43 5-Apr 7-Apr 2 11005745 III Mistatik,Ny44 5-Apr 8-Apr 3 10020009 III Sutinem,Ny45 5-Apr 9-Apr 4 10010365 III Yaman,Tn46 5-Apr 11-Apr 6 11005902 III Maria,Nn47 6-Apr 8-Apr 2 11005932 III Sairan,Tn48 6-Apr 6-Apr 1 11005956 III Anmiril,Tn49 6-Apr 6-Apr 1 11005960 III Rasiah,Ny50 6-Apr 8-Apr 2 10015452 III Sri Karnedi,Tn51 6-Apr 9-Apr 3 10004443 III Heliwana,Ny52 6-Apr 8-Apr 2 11005975 III Siti Dayah,Ny
6-Apr 7-Apr 1 11005836 III Harno,Tn53 7-Apr 9-Apr 2 11005836 Iso Harno,Tn54 6-Apr 8-Apr 2 7012968 III Arsonadi,Tn55 6-Apr 9-Apr 3 11005987 III Pomo,Tn
6-Apr 7-Apr 1 11005990 III Agung,Sdr56 7-Apr 9-Apr 2 11005992 III Wadimin,Tn57 7-Apr 9-Apr 2 11006036 Iso Mariyanto,Tn58 7-Apr 9-Apr 2 11006050 Iso Asrun,Tn59 7-Apr 9-Apr 2 10002732 III Astoyen,Tn60 7-Apr 9-Apr 2 7008660 III Abu Bakar,Tn61 7-Apr 12-Apr 5 8014661 III Komarudin,Tn62 8-Apr 10-Apr 3 11006070 III Baryati,Ny63 8-Apr 11-Apr 3 10013024 III Sugiono,Tn
8-Apr 11-Apr 3 11006079 III Nungcik,Tn64 11-Apr 12-Apr 1 11006079 III Nungcik,Tn65 8-Apr 10-Apr 3 6009132 III Roidah,Ny66 8-Apr 9-Apr 1 III Saihona,Ny67 9-Apr 12-Apr 3 7014367 III Diane,Nn68 9-Apr 10-Apr 1 11006189 III Tasini,Ny69 9-Apr 12-Apr 3 11006190 Iso Kasidi,Tn70 9-Apr 11-Apr 2 11006195 III Walila,Sdr71 10-Apr 13-Apr 3 11006212 III Windra,Tn72 10-Apr 11-Apr 1 11005992 III Wadimin,Tn73 11-Apr 14-Apr 3 11006267 Iso Eka,Ny74 11-Apr 15-Apr 4 7005601 III Nasori,Tn75 12-Apr 13-Apr 1 11006310 III Munaji,Tn76 12-Apr 16-Apr 4 11006330 III Suijah,Ny77 12-Apr 18-Apr 6 10009339 III Herliyeni,Ny78 12-Apr 14-Apr 2 11006338 Iso Nazarudin,Tn79 12-Apr 14-Apr 2 7014367 III Diane,Nn80 13-Apr 15-Apr 2 11006375 III Novilia,Nn81 13-Apr 14-Apr 1 11006402 III Poniran,Tn82 14-Apr 15-Apr 1 9003459 III Dahlia,Ny83 14-Apr 19-Apr 5 11006482 Iso Irwani,Tn84 15-Apr 19-Apr 4 11002257 Iso Subagio,Tn85 15-Apr 18-Apr 3 11006519 III Yayan,Sdr86 15-Apr 19-Apr 4 11006529 III Rusdiah,Ny
87 16-Apr 16-Apr 1 11006583 III Rusmini,Ny88 16-Apr 18-Apr 2 11006592 III Sainuning,Ny89 17-Apr 24-Apr 7 7000968 III Titin,Ny90 17-Apr 19-Apr 2 11006637 III Artoni,Tn91 17-Apr 19-Apr 2 11006645 III Febri,Sdr
17-Apr 18-Apr 1 11006649 III Sanudin,Tn92 18-Apr 19-Apr 1 11006649 Iso Sanudin,Tn93 18-Apr 21-Apr 3 10013300 III Nursila,Ny94 18-Apr 22-Apr 4 11006659 III Asiyah,Ny95 18-Apr 21-Apr 3 11006741 III Herlinda,Ny96 18-Apr 22-Apr 4 6005847 III Sumarni,Ny97 18-Apr 22-Apr 4 8009707 III Ety,Ny98 21-Apr 22-Apr 1 11006957 III Nursiah,Ny99 21-Apr 23-Apr 2 11006961 III Pargon,Tn100 22-Apr 23-Apr 1 11006964 III Asnawi,Tn
12345
127128129130131132133134135136137138139140141142143144145146
147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XJl.Setapan Bukit Lingkar P 38 TH Dyspepsia K 30 PDLDs.Pagar Agung P 26 TH Dyspepsia K 30 PDLJl.Madang P 34 TH Hipokalemia PDLDs.Aur Kp.3 P 40 TH GE A 09 PDLTl.Ubi Pendopo L 18 TH Obs febris R 50 UMUMDs.Bulang Ds.III L 64 TH Gastritis K 29 PDLDs.Bumi Makmur L 65 TH Stroke Haemoragie SyarafDs.Simpang Tanjung L 64 TH Anemia D 50 PDLDs.Beringin P 26 TH Cefalgia G 43 PDLJl.Beringin Anak Petai P 41 TH LBP BDHDs.Harapan Jaya L 25 TH Demam Thypoid A 01 PDLDs.Kayuara P 60 TH Dyspepsia K 30 PDLDs.Karang Agung P 35 TH Apendik K 35 BDHJl.Gotong Royong No.33 P 23 TH Suspec SLE PDLDs.Pagar Agung P 12 TH Varicela ANAKDs.Talang L 50 TH Asma Bronchial J 45 PDLDs.Sigam P 55 TH Colic Abdomen R 10 UMUMDs.Purun P 59 TH HHD I 11 PDLDs.Kasih Dewa P 67 TH Hipertensi I 10 PDLGg.Serelo No.18 Muara Dua L 35 TH Colic Abdomen R 10 UMUMJl.Kemang No.66 P 27 TH Viral Akut PDLDs.Dalam P 50 TH Dyspepsia K 30 PDLDs.Tanah Abang P 60 TH GE A 09 PDLDs.Gunung Raja Kp.3 L 22 TH Colic Abdomen R 10 UMUMDs.Karang Agung P 50 TH GE A 09 PDLJl.Kemang No.66 L 1 TH ISPA ANAKDs.Betung Kp.2 P 37 TH Colic Abdomen R 10 UMUMDs.Tanjung Raman P 44 TH Ischialgia PDLJl.Cempaka Blok B I L 13 TH DBD A 91 ANAKDs.Setuntum L 60 TH Pnemonia J 18 PDLDs.Lubuk Raman Kp.5 L 56 TH DM E 10 PDLDs.Pay Besar L 55 TH Orchitis BDHDs.Marga Mulya L 4 TH TB Paru A 15 ANAKDs.Gumai P 66 TH HHD I 10 PDLDs.Payuputat P 54 TH Pericardial Efusi PDLDs.Purun L 70 TH TB Paru A 15 PDLJl.Anggrek P 16 TH ISK PDLDs.Aringin Linggau P 55 TH Anemia D 50 PDLJl.R A Kartini P 30 TH Cholecystolitiasis PDLJl.Mayor Iskandar L 71 TH HHD I 11 PDLJl.Arimbi L 37 TH Intoxikasi A 05 UMUMPerum Vina Sejahtera P 16 TH Syncope R 55 UMUMDs.Tanjung Bunut L 27 TH Pneumothorax J 93 PDLDs.Tanjung Bunut L 27 TH Pneumothorax J 93 PDL
Ds.Tanjung Kemala L 38 TH ISK PDLDs.I Spatan Jaya L 36 TH TB Paru A 15 PDLDs.I Spatan Jaya L 36 TH TB Paru A 15 PDLDs.Lubuk Getam Kp.I P 27 TH Alergi Obat PDLDs.Karang Sari P 42 TH HHD I 11 PDLDs.Kemang Kp.II L 70 TH HHD I 11 PDLDs.Padang Lalang P 22 TH Leukemia PDLJl.Mawar No.43 L 63 TH Hipertensi I 10 PDLDs.Gaung Telang L 56 TH Artalgia PDLDs.Lubuk Raman Kp.IV P 50 TH ICH SyarafDs.Sungai Medang No.3 L 32 TH Cystitis N 30 PDLDs.Karang Endah RT.4 P 35 TH Thypoid A 01 PDLDs.Aur RT.I P 52 TH Dyspepsia K 30 PDLDs.Siku KP.4 L 26 TH TB Paru A 15 PDLDs.Siku KP.4 L 26 TH TB Paru A 15 PDLDs.Aur Kec.Lubai L 47 TH Dyspepsia K 30 PDLDusun IV Benakat Minyak L 80 TH SNH I 64 SyarafJl.Bukit Cambai L 18 TH Dyspepsia K 30 PDLDs.Sumber Mulya L 47 TH Keracunan Jengkol PDLJl.Rama Sinta Pendopo L 41 TH Anemia D 50 PDLJl.Rasuti Prabujaya L 55 TH TB Paru A 15 PDLDs.Pagar Agung L 33 TH TDBD A 15 PDLDs.Sedupi L 50 TH Asma Bronchial J 45 PDLDs.Tanah Abang L 45 TH HHD I 11 PDLBeringin P 53 TH Dyspepsia K 30 PDLJl.Gandaria L 54 TH HHD I 11 PDLTalang Ubi Kp.I L 64 TH TB Paru A 15 PDLTalang Ubi Kp.I L 64 TH TB Paru A 15 PDLDs.Sukamerindu Kp.III P 60 TH Cefalgia G 43 PDL
Penunggu BayiJl.Cendrawasih P 16 TH Dyspepsia K 30 PDLDs.Majasari P 58 TH Decompcordis I 21 PDLDs.Alai L 43 TH TB Paru A 15 PDLDs.Sugiwaras L 20 TH Obs febris R 50 UMUMJl.Kapten Abdulah L 39 TH DBD A 91 PDLDs.Sumber Mulya L 47 TH Colic Abdomen R 10 UMUMDs.Raja P 33 TH TB Paru A 15 PDLDs.Jirak Pendopo L 70 TH HHD I 11 PDLDs.Benakat L 70 TH Anemia D 50 PDLDs.Sungai Medang No.3 P 46 TH Dyspepsia K 30 PDLDs.Banuayu P 31 TH Thypoid A 01 PDLDs.Mita Kencana L 32 TH TB Paru A 15 PDLJl.Cendrawasih P 16 TH Dyspepsia K 30 PDLDs.Tanjung Kemala Kp.3 P 14 TH Cefalgia G 43 PDLDs.Benuang L 23 TH Colic Renal N 23 PDLDs.Gumawang P 45 TH Cefalgia G 43 PDLDs.Pinang Banjar Kp.I L 34 TH TB Paru A 15 PDLJl.Urip Sumoharjo L 55 TH Cirosis Hepatitis PDLDs.Pagar Agung L 25 TH Dyspepsia K 30 PDLDs.Perjito P 58 TH Abses diabetikum BDH
Prumnas Prabu Indah P 56 TH Stroke Haemoragie I 64 SyarafJl.Arimbi P 42 TH Hipertensi I 10 PDLJl.Kapten Abdulah P 51 TH Dyspepsia K 30 PDLJl.Kopral Toya L 27 TH GE A 09 PDLDs.Baru Rambang L 20 TH Infeksi Viral A 08 PDLJl.Pipa Pertamina Lk.I L 30 TH Asma Bronchial J 45 PDLJl.Pipa Pertamina Lk.I L 30 TH TB Paru A 15 PDLDs.Karang Agung P 60 TH Gastritis Erosi PDLJl.Tampo Mas P 60 TH DM E 11 PDLMuara Dua P 34 TH Dyspepsia K 30 PDLDs.Alai P 34 TH Hipertensi I 10 PDLJl.Jenderal Sudirman P 44 TH Dyspepsia K 30 PDLJl.A Roni P 51 TH Hipertensi I 10 PDLDs.Karang Mulya L 55 TH Dyspepsia K 30 PDLJl.R A Kartini L 55 TH Asma Bronchial J 45 PDL
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME JASA MEDIKNuri DR PK 165,000 30,000 Nuri Non PK 601,200 648,350 320,000 45,000 Nuri Non APS 530,350 71,395 240,000 36,000 Harry Non PK 417,600 14,750 160,000 27,000 Afriyanto Non PK 355,250 244,980 160,000 27,000 Bujang Non PK 643,250 620,000 320,000 45,000 Harry Non Mati < 24 316,400 1,670,550 80,000 18,000 Nurlela Non PK 1,136,350 2,045,415 400,000 54,000 Harry Non PK 467,000 65,950 160,000 27,000 Bujang DR PK 165,000 40,000 Ali Romon Non PK 605,800 103,350 240,000 36,000 Ali Romon Non PK 388,100 132,455 160,000 27,000 Bujang Non Pindah Bedah 377,750 160,000 18,000 Nuri Non Dirujuk 435,300 180,190 160,000 27,000 Zul DR PK 420,000 86,905 380,000 170,000 Nurlela Non APS 320,450 75,995 160,000 27,000 Bujang Non PK 121,800 217,200 80,000 18,000 Nuri Non APS 59,900 226,880 80,000 18,000 Harry Non PK 15,000 105,000 5,000 Harry Non APS 73,800 89,340 80,000 18,000 Depta DR PK 22,500 165,000 30,000 Depta DR PK 45,000 330,000 60,000 Nurlela Non PK 356,050 90,330 160,000 27,000 Bujang DR PK 165,000 30,000 Nurlela Non PK 269,700 152,580 160,000 27,000 Zul DR PK 27,500 165,000 30,000 Depta DR PK 165,000 30,000 Nurlela Non PK 45,000 324,000 15,000 Alip Non PK 425,700 236,000 320,000 45,000 Afriyanto Non PK 370,850 127,030 240,000 36,000 Depta Non Mati < 24 216,500 330,330 80,000 9,000 Harry Non PK 300,750 413,350 240,000 36,000 Nety DR PK 372,950 72,930 475,000 78,000 Depta Non Pindah Kls II 1,070,650 320,000 27,000 Depta Non Dirujuk 222,200 344,140 160,000 27,000 Depta Non PK 417,000 577,125 285,000 52,000 Depta DR PK 165,000 30,000 Depta Non PK 2,167,250 1,379,920 720,000 90,000 Depta DR PK 45,000 165,000 30,000 Depta Non Pindah Kls IIAfriyanto Non PK 440,150 127,205 240,000 36,000 Depta DR PK 55,000 20,000 Depta Non Pindah IsoDepta Non PK 715,300 1,100,025 730,000 83,000
Afriyanto Non PK 1,221,700 183,230 240,000 36,000 Afriyanto Non Pindah IsoAfriyanto Non PK 207,100 178,530 175,000 35,000 Depta Non APS 287,750 150,700 160,000 27,000 Depta Non PK 167,250 451,425 240,000 36,000 Depta Non APS 263,000 284,390 320,000 45,000 Depta Klinik Dirujuk 1,476,150 790,085 480,000 63,000 Depta Non PK 229,950 339,810 160,000 27,000 Afriyanto Non APS 5,300 18,950 80,000 18,000 Hartono Non Dirujuk 35,150 313,690 80,000 18,000 Depta Non PK 375,850 728,840 160,000 27,000 Depta Non PK 410,650 74,430 240,000 36,000 Harry Non PK 295,200 82,705 160,000 27,000 Depta Non Pindah IsoDepta Non PK 376,900 295,525 240,000 36,000 Afriyanto Non PK 276,850 325,580 160,000 27,000 Harry Non APS 563,650 240,000 36,000 Harry Non Pindah Vip 229,650 80,000 18,000 Depta Non PK 475,050 188,050 160,000 27,000 Depta DR PK 45,000 161,925 110,000 20,000 Depta Non APS 418,700 383,375 190,000 39,000 Nurlela Non PK 289,200 180,190 160,000 27,000 Depta Non APS 177,200 7,140 160,000 27,000 Depta Non PK 484,100 191,080 400,000 54,000 Depta Non APS 477,750 94,215 240,000 36,000 Depta DR PK 165,000 30,000 Alip Non Pindah IsoAlip Non PK 464,950 1,314,140 335,000 53,000 Depta Non APS 357,600 289,525 240,000 36,000
PK 80,000 Depta Non PK 618,500 602,865 240,000 36,000 Depta Non Mati < 24 15,000 105,000 5,000 Depta Non APS 338,000 521,555 285,000 52,000 Harry Non PK 172,950 100,430 160,000 27,000 Nurlela Non APS 493,400 118,100 240,000 36,000 Nuri Non PK 82,500 137,850 80,000 18,000 Azinar DR PK 319,200 128,100 285,000 52,000 Nuri Non PK 464,550 574,700 320,000 45,000 Nuri Non APS 72,100 308,195 80,000 18,000 Harry Non PK 438,150 139,460 320,000 45,000 Harry Non PK 794,200 803,070 480,000 63,000 Nuri Non PK 205,450 31,030 190,000 39,000 Nuri Non PK 93,550 208,340 160,000 27,000 Nuri DR PK 110,000 20,000 Afriyanto Non PK 56,850 80,000 18,000 Nuri Non PK 106,400 305,480 80,000 18,000 Nuri Non PK 622,900 728,400 475,000 78,000 Nuri DR PK 220,000 40,000 Depta Non PK 578,450 80,975 240,000 36,000 Depta Non PK 1,190,100 220,560 320,000 45,000
Nurlela Non Mati < 24 374,300 80,000 9,000 Depta Non PK 468,950 288,125 160,000 27,000 Depta Non PK 2,130,200 262,065 560,000 72,000 Nurlela Non PK 505,450 251,830 160,000 27,000 Depta Non PK 165,650 452,725 160,000 27,000 Depta Non Pindah IsoDepta Non PK 142,800 363,975 175,000 35,000 Depta Non PK 1,238,400 201,710 240,000 36,000 Depta Non PK 663,800 707,945 320,000 45,000 Harry Non PK 646,600 60,300 240,000 36,000 Harry Non PK 727,700 432,655 320,000 45,000 Depta Non PK 915,050 324,570 320,000 45,000 Depta Non PK 37,100 78,650 80,000 18,000 Depta Non PK 231,950 248,620 160,000 18,000 Depta Non PK 133,500 184,435 80,000 18,000
39,470,700 27,338,915 22,584,000 3,598,000
BIAYA
SHIF P INFUS CATETER NGT INJEKSI SKIN TEST VISITE 12,000 27,000 120,000 18,000 20,000 2,000 140,000 14,400 45,000 2,000 130,000 10,800 20,000 60,000 10,800 30,000 2,000 100,000 18,000 60,000 2,000 310,000 7,200 5,000 20,000 21,600 75,000 2,000 190,000 10,800 20,000 10,000 2,000 60,000 16,000 27,000 225,000 14,400 45,000 2,000 90,000 10,800 30,000 60,000 7,200 30,000 2,000 140,000 10,800 30,000 2,000 100,000 68,000 25,000 2,000 365,000 10,800 30,000 2,000 130,000 7,200 15,000 2,000 80,000 7,200 10,000 105,000 2,000 15,000 7,200 10,000 2,000 30,000 12,000 15,000 27,000 2,000 160,000 24,000 30,000 54,000 2,000 280,000 10,800 20,000 2,000 60,000 12,000 27,000 2,000 160,000 10,800 30,000 2,000 60,000 12,000 15,000 27,000 2,000 120,000 12,000 27,000 2,000 200,000 6,000 60,000 18,000 60,000 90,000 14,400 20,000 30,000 2,000 90,000 3,600 5,000 65,000 14,400 45,000 2,000 130,000 31,200 75,000 2,000 180,000 10,800 30,000 2,000 200,000 10,800 50,000 20,000 110,000 20,800 45,000 2,000 160,000 12,000 27,000 2,000 175,000 36,000 20,000 120,000 2,000 495,000 12,000 15,000 27,000 2,000 160,000
14,400 45,000 2,000 90,000 8,000 9,000 2,000 80,000
33,200 20,000 120,000 2,000 695,000
14,400 20,000 45,000 2,000 90,000
14,000 20,000 65,000 10,800 30,000 120,000 14,400 30,000 185,000 18,000 40,000 265,000 25,200 20,000 50,000 60,000 335,000 10,800 30,000 2,000 120,000 7,200 5,000 7,200 5,000 65,000 10,800 30,000 145,000 14,400 20,000 15,000 2,000 150,000 10,800 20,000 2,000 60,000
14,400 15,000 2,000 225,000 10,800 20,000 110,000 14,400 60,000 90,000 7,200 5,000 2,000 30,000 10,800 10,000 2,000 185,000 8,000 15,000 18,000 2,000 120,000 15,600 10,000 2,000 200,000 10,800 10,000 2,000 60,000 10,800 10,000 2,000 110,000 21,600 20,000 75,000 220,000 14,400 45,000 110,000 12,000 30,000 27,000 2,000 225,000
21,200 20,000 20,000 95,000 14,400 30,000 110,000
14,400 45,000 170,000 2,000 20,800 45,000 2,000 125,000 10,800 30,000 2,000 60,000 14,400 20,000 30,000 2,000 90,000 7,200 5,000 40,000 20,800 45,000 180,000 18,000 20,000 60,000 225,000 7,200 10,000 2,000 105,000 18,000 60,000 2,000 120,000 25,200 20,000 60,000 2,000 230,000 15,600 30,000 2,000 90,000 10,800 20,000 120,000 8,000 18,000 120,000 7,200 30,000 7,200 80,000 31,200 50,000 4,000 225,000 16,000 36,000 215,000 14,400 30,000 2,000 120,000 18,000 20,000 60,000 2,000 280,000
3,600 10,000 65,000 10,800 30,000 145,000 28,800 20,000 105,000 2,000 280,000 10,800 20,000 2,000 60,000 10,800 15,000 2,000 80,000
14,000 10,000 85,000 14,400 20,000 45,000 185,000 18,000 20,000 60,000 2,000 265,000 14,400 45,000 2,000 130,000 18,000 60,000 2,000 225,000 18,000 60,000 160,000 7,200 10,000 145,000 7,200 20,000 2,000 80,000 7,200 10,000 105,000
1,439,200 410,000 130,000 - 3,233,000 242,000 14,295,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM 7,500 15,000
30,000 20,000 77,500 50,000
25,000 50,000 50,000
10,000 177,500 40,000 10,000 27,500 80,000
20,000
30,000 30,000
50,000 40,000
10,000 227,500 22,500 20,000
10,000 122,500 30,000 4,000 5,000
10,000 ### 20,000
20,000
30,000
12,000 15,000 30,000 30,000
10,000 27,500 10,000 30,000
10,000 12,500 30,000
10,000 15,000 35,000 35,000
10,000 125,000 425,000 150,000
10,000 ### 30,000
120,000 70,000
40,000
30,000 30,000 20,000
20,000 177,500 35,000 20,000 190,000 70,000
20,000 10,000
212,500 10,000 30,000 30,000 20,000
25,000 25,000
10,000 150,000 20,000
30,000 7,500 15,000
25,000 20,000
20,000 157,500 20,000 10,000 215,000 50,000
26,000 5,000 70,000
35,000 17,000
10,000 ### 100,000 4,000 5,000
20,000 165,000 35,000 20,000 25,000 15,000 25,000
20,000 202,500 40,000 15,000 30,000 60,000 30,000 50,000
15,000 10,000
10,000 475,000 40,000
25,000 10,000 90,000 150,000 45,000
20,000 182,500 30,600
60,000 25,000 20,000
10,000 102,500 20,000 70,000
20,000 345,000 45,000 30,000
20,000 140,000 45,000 100,000
10,000 15,000 20,000 25,000
10,000 90,000 30,000
380,000 3,872,500 - 695,000 - 2,851,100 -
SELISIH DISCOUNT PERUSAHAAN
Jamsostek
Jamsostek
84,750 PNS
JamsostekJamsostek
Jamsostek
JamsostekJamsostek
263,000 PNS
Jamsostek 153,920
Jamsostek
Jamsostek
161,925 Jamsostek
Jamsostek
TUGU MANDIRI 261,000 PNS
TUGU MANDIRIJamsostek
Jamsostek
TUGU MANDIRI
770,675 153,920
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN MEI 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 11-Apr 29-Apr 17 10013024 III Sugiono,Tn2 19-Apr 28-Apr 9 11006006 III Saihali,Tn3 22-Apr 25-Apr 3 11006965 III Radin,Tn4 22-Apr 26-Apr 4 7009139 III Asma,Ny5 22-Apr 27-Apr 5 9001255 III Zukkifli,Tn6 22-Apr 25-Apr 3 8010193 III Muslim,Tn7 22-Apr 25-Apr 3 11006980 III Seni Warni,Ny8 22-Apr 25-Apr 4 8009321 III Heriyanti,Ny9 22-Apr 25-Apr 3 11006989 III Odi,Sdr
10 22-Apr 25-Apr 3 11006991 III Deliana,Ny11 22-Apr 25-Apr 3 11006992 Iso Eko,Tn12 22-Apr 28-Apr 6 11006993 Iso Slamet,Tn13 23-Apr 27-Apr 4 11007068 Iso Rami,Ny14 24-Apr 26-Apr 3 11007075 III Siti,Ny15 24-Apr 25-Apr 1 11007086 III Maryana,Ny16 24-Apr 29-Apr 5 11007089 III Nurleha,Ny17 24-Apr 3-May 9 11007100 III Ronaita,Ny18 25-Apr 28-Apr 4 11007101 III Ali Sakri,Tn19 25-Apr 29-Apr 4 11007078 III Tutik,Ny20 25-Apr 27-Apr 2 8001719 III Ratna,Ny21 25-Apr 27-Apr 2 11002491 III Idrus,Tn22 25-Apr 26-Apr 1 11007169 III Dedi,Sdr23 25-Apr 27-Apr 2 11007172 III Zailani,Tn24 26-Apr 29-Apr 3 11007206 III Sumyati,Ny25 26-Apr 2-May 6 8000353 III Holna,Ny26 26-Apr 29-Apr 3 11007232 III Waroaital,Sr27 26-Apr 30-Apr 4 9006043 III Efendi,Tn28 27-Apr 29-Apr 2 10018209 III Yos Hermiansyah,Sdr29 27-Apr 1-May 4 11007301 III Kusnadi,Tn
27-Apr 28-Apr 1 11007306 III Asmeli,Ny30 28-Apr 30-Apr 2 11007329 III Ardiman,Tn31 28-Apr 2-May 4 10006929 Iso Aderus,Tn32 28-Apr 29-Apr 1 11007359 III Sular,Tn33 29-Apr 2-May 3 8009314 III Cik Inah,Ny
29-Apr 30-Apr 1 11007393 III Junaidi,Tn34 30-Apr 9-May 9 11007393 Iso Junaidi,Tn35 29-Apr 4-May 5 11007395 III Dafia,Ny36 29-Apr 2-May 3 11007401 III Nurhasana,Ny37 29-Apr 30-Apr 1 11007411 III Arsan,Tn38 29-Apr 2-May 3 9009308 III Reni,Ny39 29-Apr 2-May 3 11007420 III Hartati,Ny40 30-Apr 4-May 5 11007426 III Sumaria,Ny41 30-Apr 2-May 2 11007452 III Suryadi,Tn
30-Apr 2-May 2 8015608 III Tasmi,Ny42 30-Apr 6-May 6 11001850 III Muhiba,Ny43 30-Apr 2-May 2 11007479 III Sarmin,Tn44 30-Apr 6-May 6 11007454 III Hosliana,Ny45 1-May 3-May 2 9016949 III Angga,Sdr
46 1-May 4-May 3 11007492 III Suraya,Ny47 1-May 2-May 2 11007493 III Cik Rilam,Ny48 1-May 5-May 5 11007190 III Ahmad Sabirin,Tn49 1-May 2-May 1 11006800 III Sulpatan,Tn50 2-May 5-May 3 11007551 III Husina,Ny51 2-May 4-May 2 11007557 III Ida Royani,Ny
2-May 3-May 1 11007290 III Siti Hasana,Ny52 2-May 6-May 4 11007585 III Meizi,Tn53 2-May 4-May 2 11007583 III Selamat,Tn54 3-May 3-May 1 10006027 III Sar Rahmad,Sdr55 3-May 8-May 5 11007647 III Pangaribuan,Tn56 3-May 8-May 5 11007648 III Simon,Tn57 3-May 10-May 7 11007664 III Abdul Malik,Tn58 3-May 6-May 3 10009969 III Sri Handayani,Ny59 3-May 4-May 1 11007666 III Nuzairul,Tn60 3-May 6-May 3 11007668 Iso Rusli,Tn61 4-May 7-May 3 11007716 III Murni,Ny62 4-May 5-May 1 11007737 III Helda,Ny63 5-May 8-May 3 11007756 III Yadena,Ny64 5-May 7-May 2 11007783 III Musdalia,Nn65 5-May 15-May 10 11007795 Iso Ahui,Tn66 6-May 7-May 1 11007883 Iso Wiwin,Ny67 6-May 8-May 2 8002867 III Humina,Ny68 6-May 10-May 4 11014609 III Yatima,Ny69 6-May 9-May 3 9006043 III Efendi,Tn70 7-May 1-May 9 11007857 Iso Santo,Sdr71 7-May 10-May 3 11007924 III Sukmana,Sdr72 7-May 10-May 3 11007925 III Anwar Hasan,Tn73 7-May 10-May 3 11007927 III Maryanti,Nn74 7-May 10-May 3 11007929 III Suharno,Tn75 8-May 10-May 2 11007954 III Mardiana,Ny76 8-May 9-May 1 11007957 III Busnu,Tn77 8-May 10-May 2 11007960 III Edi Karsono,Tn78 8-May 11-May 3 11007966 III Agusmawan,Tn79 8-May 9-May 1 11007967 III Mat Din,Tn80 9-May 10-May 1 11007980 III Diana Susinta,Ny81 9-May 10-May 1 11007993 III Sri Wahyuni,Ny82 9-May 11-May 2 11008035 III Alex Indra,Tn83 9-May 11-May 2 11008038 III Daitim,Tn84 10-May 15-May 5 11008044 III Nurlima,Ny85 10-May 11-May 1 11008045 III I Wayan,Tn86 10-May 13-May 3 11008057 III Husaiyati,Ny87 10-May 23-May 14 11008084 III Nurasiah,Ny88 10-May 12-May 2 11008101 III Catur,An89 10-May 12-May 2 11008102 III Siti Asna,Ny90 10-May 12-May 2 11008113 III Yepi,Nn91 10-May 12-May 2 10010169 III Elmawati,Ny92 10-May 12-May 2 11008115 III Arina,Ny93 11-May 15-May 5 11008119 III Amran,Tn94 11-May 14-May 3 11008148 III Nunaya,Ny95 11-May 19-May 8 11008166 III Busman,Tn96 11-May 18-May 7 11008168 III Yusuf,Tn97 11-May 13-May 2 11008174 III Maryatum,Ny
11-May 14-May 3 11008179 III Bejo,Tn
98 12-May 16-May 4 10013524 III Rusiatuti,Ny99 12-May 16-May 4 11008215 III Amir Hamzah,Tn100 13-May 17-May 5 11008276 III Herawati,Ny
13-May 17-May 4 11008155 III Budiansyah,Tn101 13-May 16-May 3 11008305 III Rohman,Tn102 13-May 19-May 6 11008143 Iso Wita,Ny103 13-May 18-May 4 11008313 III Tamina,Ny104 14-May 17-May 3 6002873 III Abdul Kadir,Tn105 14-May 15-May 1 11008358 III Juwita,Ny106 14-May 15-May 2 11008359 III Mat Aden,Tn107 14-May 19-May 4 11007887 Iso Siti Anafi,An108109110111112113114115116117118119120127128129130131132133134135136137138139140141142143144145146147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XJl.Gandaria L 54 TH Selulitis L 03 BDHJl.Jenderal Sudirman No.37 L 47 TH Anemia D 50 PDLDs.Tanjung Bunut L 60 TH Konstipasi PDLJl.Angkatan 45 P 64 TH SNH I 64 SyarafJl.Alipatan No.176 L 36 TH Colic Renal N 23 PDLJl.Madang L 53 TH Asma Bronchial J 45 PDLDs.Pagar Jati P 35 TH Dyspepsia K 30 PDLJl.Mayor Iskandar P 37 TH Vertigo G 43 PDLDs.Tanjung Dalam L 18 TH Chest Paint PDLRambang Dangku P 36 TH Dyspepsia K 30 PDLDs.Jungai L 34 TH Varicela B 01 PDLJl.Nias L 56 TH Coma Hepatikum PDLTalang Ubi P 60 TH Anemia D 50 PDLDs.Pangkul P 68 TH Dyspepsia K 30 PDLDs.Baru Rambang P 49 TH Syncope R 55 PDLDs.Negri Agung P 44 TH Dyspepsia K 30 PDLDs.III Jemenang P 51 TH Angina I 20 PDLDs.Lubuk Enau L 60 TH Pnemonia J 18 PDLDs.Karya Mulya P 40 TH Asma Bronchial J 45 PDLPrumnas Gunung Ibul P 40 TH Dyspepsia K 30 PDLDs.Karta Mulya L 69 TH Dyspepsia K 30 PDLJl.Angkatan 45 RT.02/03 L 24 TH GE A 09 PDLDs.Serdang Kp.II L 51 TH Suspec Efusi Pleura PDLDs.Mekar Jaya P 48 TH Chest Paint PDLDs.Karta Mulya P 40 TH Angina I 20 PDLDs.Karang Mulya L 19 TH GE A 09 PDLDs.Banuayu L 47 TH Cephalgia R 51 PDLJl.Anggrek No.277 L 19 TH Syncope R 55 PDLDs.Belimbing Jaya L 34 TH DBD+Malaria A 91 PDLDs.Sukarame P 25 TH HPP KEBDs.Belimbing Jaya L 30 TH DM PDLDs.Gumai L 60 TH PPOK J 44 PDLJl.Stasiun L 35 TH Stroke I 64 SyarafJl.Mangga Baru P 55 TH Hipertensi I 10 PDLDs.Karangan L 59 TH PPOK J 44 PDLDs.Karangan L 59 TH PPOK J 44 PDLDs.Embacang P 75 TH Gastropati K 29 PDLDs.Petanang P 55 TH CHF PDLDs.Ladangan L 44 TH GE A 09 PDLJl.Bukit Lebar P 31 TH Post Partum O 80 KEBDs.Gelumbang P 27 TH Post Partum O 80 KEBDs.Talang Nangka P 41 TH SNH I 64 SyarafJl.R A Kartini L 31 TH GE A 09 PDLDs.Karang Mulya P 50 TH Gastritis Erosi K 29 PDLDs.Air Masam P 60 TH Nefrotik Syndrom PDLJl.Samosir L 38 TH Obs febris R 50 UMUMJl.Singgalang No.09 P 50 TH Gastropati K 29 PDLJl.Bukit Lingkar L 17 TH Dyspepsia K 30 PDL
Jl.M Yamin P 34 TH Vertigo G 43 PDLJl.Anggrek No.277 P 65 TH HHD PDLJl.Nurillahi L 37 TH Anemia D 50 BDHDs.Air Masam L 62 TH HHD PDLDs.Pagar Agung P 56 TH Osteoporesis PDLDs.Banuayu P 36 TH Hidroneprosis PDLDs.Jirak P 31 TH PPHD PDLPerumnas Prabu Indah L 34 TH Dyspepsia K 30 PDLDs.Tanjung Baru L 65 TH ISPA J 22 PDLDs.Tanjung Telang L 30 TH GE A 09 PDLDs.Suban Jeriji L 32 TH Malaria B 54 PDLDs.Suban Jeriji L 26 TH TDBD A 91 PDLDs.Sukamerindu L 50 TH Ulkus Gaster K 92 PDLJl.Rama P 30 TH Hipokalemia PDLDs.Alai Utara L 33 TH Colic Abdomen R 10 UMUMDs.Tanjung Telang L 47 TH TB Paru A 15 PDLDs.Betung P 24 TH Colic Abdomen R 10 UMUMDs.Prambatan Kp.IV P 30 TH PP+Heart Disease KEBMuara Dua P 49 TH Asma Bronchial J 45 PDLJl.Letnan Sumanto P 17 TH TDBD A 91 PDLDs.Pangkalan Babat L 62 TH TB Paru A 15 PDLJl.Kerinci P 24 TH Hepatitis B 15 PDLDs.Pagar Agung P 50 TH Cephalgia G 43 PDLDs.Sungai Medang P 50 TH Dyspepsia K 30 PDLDs.Banuayu L 47 TH Cephalgia G 43 PDLDs.Pagar Agung L 17 TH TB Paru A 15 PDLDs.Sukamerindu L 16 TH Thypoid A 01 PDLDs.Sukamanis L 16 TH Dyspepsia K 30 PDLDs.Sukarame P 18 TH Hamil 8 mg+cephagia G 43 KEBJl.Alipatan No.24 L 53 TH GE A 09 PDLDs.Sukamerindu P 42 TH Cephalgia G 43 PDLDs.Sugiwaras L 53 TH Infark Cerebri SyarafDs.Babat Kp.II L 33 TH LBP PDLTanjung Miring L 30 TH Dyspepsia K 30 PDLDs.Dalam Kp.I L 50 TH ISPA J 22 PDLDs.Sugiwaras P 18 TH Post Partum O 80 KEBDs.Rejosari P 24 TH Post Partum O 80 KEBDs.Sukarame L 29 TH Hipertensi I 10 PDLDs.Tanah Abang L 55 TH SNH I 64 SyarafDs.Manunggal Makmur P 60 TH Anemia D 50 PDLDs.Jiwa Baru Kp.V L 45 TH Konstipasi PDLDs.Pagar Gunung P 48 TH Dyspepsia K 30 PDLDs.Air Talas P 28 TH Thypoid A 01 PDLKarang Raja I L 13 TH Infeksi Viral Akut PDLDs.Tanah Abang P 65 TH Cephalgia G 43 PDLDs.Sukadana P 19 TH Colic Abdomen R 10 UMUMJl.Sepatu P 41 TH Alergi Makanan UMUMDs.Tanjung Miring P 47 TH Syncope R 55 PDLJl.Taman Murni L 50 TH HHD PDLDs.Tanjung Kp.3 P 55 TH Obs febris R 50 UMUMDs.Talang Nangka L 55 TH Abses Hepar PDLJl.M Yamin RT.3/4 L 50 TH Cephalgia G 43 PDLDs.Talang Harapan P 45 TH Anemia D 50 PDLDs.Sumber Rahayu L 50 TH Dyspepsia K 30 PDL
Jl.Griya Damar Rambang Dangku P 39 TH ISK PDLJl.M Yamin No.121 L 59 TH Infeksi Viral Akut PDLDs.Sugiwaras P 26 TH Dyspepsia K 30 PDLJl.Baturaja L 42 TH Dyspepsia K 30 PDLKomplek PTPN L 40 TH Dyspepsia K 30 PDLDs.Tanjung Miring P 36 TH TB Paru A 15 PDLDs.Air Asam P 43 TH Dyspepsia K 30 PDLMess PT BSP L 45 TH Dyspepsia K 30 PDLDs.Tanah Abang P 51 TH Colic Abdomen R 10 UMUMDs.Sungai Medang L 45 TH Trauma Tumpul Thorax BDHDs.Marga Mulya P 8 TH Hepatitis B 15 ANAK
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME J PARAMEDIKBujang DR PK 112,500 935,000 170,000 Depta Non PK 1,445,450 554,090 720,000 90,000 Depta Non PK 431,850 524,790 240,000 36,000 Harry Non APS 2,668,600 1,459,700 320,000 45,000 Depta DR Dirujuk 33,050 275,000 50,000 Depta DR PK 165,000 30,000 Depta Non PK 657,750 335,560 240,000 36,000 Depta DR PK 165,000 30,000 Depta Non PK 680,850 259,160 240,000 36,000 Depta Non PK 504,850 464,535 240,000 36,000 Depta Non PK 398,900 310,280 285,000 52,000 Depta Non Mati > 24 2,886,800 340,750 570,000 91,000 Depta Non PK 789,300 567,115 380,000 65,000 Depta Non PK 240,000 36,000 Depta Non PK 59,400 284,135 80,000 18,000 Depta Non PK 1,252,850 455,685 400,000 54,000 Depta Non PK 2,856,650 747,520 720,000 90,000 Depta Non PK 311,250 198,735 320,000 27,000 Depta Non PK 1,348,700 65,750 320,000 45,000 Depta DR PK 110,000 20,000 Nurlela Non PK 378,050 436,270 160,000 27,000 Afrianto Non PK 88,600 3,400 80,000 18,000 Depta Non PK 329,200 24,400 160,000 27,000 Depta Non APS 396,700 591,675 240,000 52,000 Depta Non APS 1,661,850 241,400 480,000 63,000 Nurlela Non PKDepta Non PK 692,500 149,600 320,000 45,000 Depta DR PK 110,000 20,000 Nurlela Non APS 958,900 269,200 320,000 45,000 Rahman Non Pindah VKDepta Non Dirujuk 401,750 498,760 160,000 27,000 Depta Non PK 689,300 272,000 380,000 65,000 Nurlela Non Mati < 24 98,200 80,000 18,000 Depta Non PK 376,750 209,465 240,000 36,000 Depta Non Pindah IsoDepta Non APS 3,742,800 463,515 935,000 139,000 Depta Non PK 1,102,250 436,735 400,000 54,000 Depta Non PK 204,650 281,550 240,000 36,000 Depta DR PKRahman DR PK 516,370 165,000 30,000 Rahman Non PK 101,650 240,000 27,000 Depta Non APS 1,845,750 520,105 400,000 54,000 Depta DR PK 22,500 110,000 20,000 Depta Non Pindah Kls IIDepta Non PK 1,045,050 263,610 480,000 91,000 Afrianto Non PK 236,700 3,400 160,000 27,000 Depta Non PK 1,832,350 243,380 480,000 63,000 Depta DR PK 110,000 20,000
Depta DR PK 165,000 30,000 Depta Non Mati < 24 714,300 114,495 160,000 27,000 Bujang DR PK 344,400 275,000 50,000 Harry Non APS 69,750 56,630 80,000 18,000 Nurlela Non PK 987,950 734,600 240,000 36,000 Depta Non PK 390,050 253,875 160,000 27,000 Depta Non Pindah Kls IIDepta DR PK 45,000 220,000 50,000 Depta Non PK 454,400 47,850 160,000 27,000 Harry Non APS 103,250 14,750 80,000 18,000 Nurlela Non PK 1,262,100 223,750 400,000 54,000 Nurlela Non PK 592,650 425,460 400,000 54,000 Depta Non PK 2,500,050 742,440 360,000 72,000 Depta DR PK 165,000 40,000 Nurlela Non APS 59,200 262,660 80,000 18,000 Depta Non PK 757,950 144,050 285,000 52,000 Nurlela Non PK 397,250 126,835 240,000 36,000 Harry Non Mati< 24 23,010 80,000 18,000 Depta Non PK 424,600 195,395 240,000 36,000 Nurlela Non PK 242,400 58,750 160,000 27,000 Depta Non PK 3,651,700 692,950 950,000 143,000 Harry Non APS 267,600 100,400 190,000 39,000 Nurlela Non PK 205,000 119,780 160,000 27,000 Depta Non PK 888,900 343,885 320,000 45,000 Depta Non PK 238,750 676,750 240,000 36,000 Alip Non PK 2,215,000 976,860 855,000 130,000 Afrianto Non PK 340,900 67,530 240,000 36,000 Depta Non PK 698,650 235,410 240,000 36,000 Rahman Non PK 227,300 230,550 240,000 36,000 Depta DR PK 45,000 11,800 165,000 30,000 Nurlela Non PK 319,600 375,515 160,000 27,000 Nurlela Non Mati < 24 78,950 17,550 80,000 18,000 Nurlela Non APS 533,500 431,625 160,000 27,000 Nurlela Non PK 454,950 158,680 240,000 36,000 Nurlela Non APS 128,300 35,445 80,000 18,000 Rahman Non PKRahman Non PK 97,800 80,000 18,000 Depta Non PK 95,800 204,975 160,000 27,000 Depta Non Dirujuk 741,200 392,325 160,000 27,000 Depta Klinik PK 1,867,950 172,525 400,000 54,000 Depta Non PK 106,650 454,875 80,000 18,000 Depta Non PK 986,350 402,455 240,000 36,000 Depta Klinik DirujukDepta DR PK 110,000 20,000 Depta Non APS 200,450 358,780 160,000 27,000 Nurlela Non PK 269,700 65,350 160,000 27,000 Depta Non PK 12,800 117,000 10,000 Depta Non PK 225,050 287,705 160,000 18,000 Depta Non PKAfrianto Non PKDepta Non PKDepta Non PKAfrianto Non APSAfrianto Non Pindah Kls II
Depta DR PKDepta Non PKDepta Non PKDepta Non Pindah Kls IIDepta Non PKDepta Non PKDepta Non PKAfrianto Non PKAfrianto Non PKAfrianto Non PKAfrianto Non PK
56,687,950 22,430,360 23,512,000 3,717,000
BIAYA
J SHIF P INFUS CATETER NGT INJEKSI SKINT TEST VISITE 51,000 15,000 153,000 1,360,000 30,000 20,000 135,000 360,000 12,000 30,000 2,000 185,000 15,000 20,000 50,000 60,000 180,000 15,000 45,000 2,000 280,000 9,000 27,000 2,000 160,000 12,000 30,000 2,000 150,000 9,000 27,000 2,000 160,000 12,000 45,000 2,000 160,000 12,000 20,000 30,000 140,000 12,000 30,000 2,000 160,000 21,000 100,000 90,000 295,000 15,000 60,000 2,000 205,000 12,000 45,000 145,000 6,000 5,000 80,000 18,000 50,000 240,000 30,000 20,000 135,000 400,000 9,000 40,000 120,000 15,000 60,000 2,000 225,000 6,000 18,000 80,000 9,000 20,000 60,000 6,000 5,000 2,000 30,000 9,000 10,000 150,000 12,000 45,000 180,000 21,000 105,000 280,000
15,000 60,000 2,000 170,000 6,000 18,000 2,000 120,000 15,000 60,000 2,000 185,000
9,000 20,000 160,000 15,000 45,000 245,000 6,000 5,000 35,000 12,000 30,000 160,000
33,000 20,000 150,000 2,000 550,000 18,000 20,000 75,000 265,000 12,000 30,000 160,000
9,000 80,000 9,000 80,000 18,000 20,000 100,000 330,000 6,000 15,000 18,000 2,000 80,000
21,000 20,000 60,000 2,000 315,000 9,000 20,000 2,000 60,000 21,000 90,000 270,000 6,000 18,000 120,000
9,000 27,000 160,000 9,000 50,000 10,000 80,000 15,000 45,000 160,000 6,000 5,000 2,000 95,000 12,000 30,000 155,000 9,000 30,000 145,000
15,000 15,000 36,000 2,000 255,000 9,000 20,000 2,000 120,000 6,000 15,000 2,000 30,000 18,000 50,000 2,000 150,000 18,000 20,000 2,000 120,000 24,000 20,000 50,000 105,000 320,000 12,000 27,000 120,000 6,000 10,000 2,000 30,000 12,000 15,000 2,000 245,000 12,000 20,000 30,000 2,000 90,000 6,000 35,000 12,000 20,000 45,000 2,000 110,000 9,000 30,000 2,000 60,000 33,000 20,000 150,000 2,000 405,000 9,000 30,000 2,000 90,000 9,000 30,000 60,000 15,000 40,000 2,000 160,000 12,000 15,000 2,000 120,000 30,000 20,000 135,000 2,000 280,000 12,000 45,000 2,000 90,000 12,000 20,000 30,000 140,000 12,000 5,000 140,000 9,000 27,000 2,000 120,000 9,000 20,000 100,000 6,000 2,000 20,000 9,000 30,000 60,000 12,000 30,000 2,000 90,000 6,000 10,000 2,000 70,000
6,000 80,000 9,000 10,000 185,000 9,000 30,000 100,000 18,000 20,000 50,000 220,000 6,000 15,000 2,000 110,000 12,000 20,000 45,000 160,000
6,000 18,000 2,000 120,000 9,000 30,000 2,000 120,000 9,000 20,000 2,000 60,000 6,000 7,000 100,000 6,000 10,000 110,000
1,128,000 365,000 100,000 150,000 3,481,000 84,000 14,960,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM 780,000
80,000 30,000 80,000
15,000 175,000 30,000
7,500 15,000 30,000 30,000 20,000
20,000 515,000 30,000 75,000 10,000 ### 80,000
25,000 10,000 40,000
10,000 440,000 75,000 20,000 140,000 35,000 10,000 25,000 30,000
25,000 20,000
20,000 27,500 20,000 30,000
10,000 212,500 60,000
35,000 7,500 20,000
50,000
10,000 15,000 40,000 10,000 127,500 50,000 20,000 52,500 30,000
25,000
10,000 1,075,000 90,000 80,000
10,000 96,250 30,000
10,000 12,500 25,000 20,000 315,000 27,000 65,000
10,000 15,000 55,000 30,000
10,000 ### 80,000
10,000 190,000 35,000
10,000 45,000 27,000
10,000 15,000 25,000 20,000
10,000 15,000 50,000 50,000
10,000 125,000 75,000 7,500
10,000 20,000 240,000 30,000
30,000 20,000 77,500 10,000 20,000 115,000 30,000
30,000 80,000 20,000 30,000
10,000 15,000 43,000 22,000 80,000 30,000 27,000 20,000
30,000 20,000 65,000 30,000
30,000 30,000 20,000
12,500 10,000 115,000 21,000 20,000 333,750 80,000
65,000 10,000 50,000
50,000 30,000
7,500 15,000 15,000
415,000 4,620,000 - 780,000 57,000 2,812,500 -
SELISIH DISCOUNT PERUSAHAAN
300,000 Jamsostek
271,250 JamsostekJamsostek
Jamsostek
Jamsostek
Jamsostek
Jamsostek 2,104,170 Jamsostek 1,760,450 MBAI
Jamsostek
Jamsostek
Jamsostek
Jamsostek
Jamsostek
Jamsostek
11,800 Jamsostek
BSP
Jamsostek
Inhealth
Jamsostek
BSP
BSP
4,447,670 -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULANJUNI 2011
NO. NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 21-May 4-Jun 14 11006695 III Sandi,Sdr1 21-May 25-May 4 11008863 III Kimah,Ny
2 2 22-May 26-May 4 11008873 III Bahdir,Tn3 3 22-May 25-May 3 11008879 III Jasri,Tn4 4 22-May 25-May 3 11008885 III Sugeng,Tn5 5 23-May 26-May 3 11008907 III Apandi,Tn6 6 23-May 25-May 2 8008529 III Sarno,Tn
7 23-May 29-May 6 11008861 III Desta,Nn7 8 23-May 28-May 5 11008961 III Ningijah,Ny8 9 23-May 27-May 4 8012264 III Sopiah,Ny9 10 23-May 26-May 3 11008992 III Uci Lestari,Ny
10 11 23-May 27-May 4 11008996 III Chandra,Ny11 12 24-May 28-May 4 11009001 III Tri Oktami,Ny12 13 24-May 24-May 1 11009032 III Suina,Ny13 24-May 25-May 1 11007753 III Desiana,Ny14 24-May 26-May 2 11009072 III Fatturrahman,Sdr15 24-May 26-May 2 11009073 III Novita,Nn16 14 24-May 27-May 3 11009075 III Huri,Tn
15 25-May 27-May 2 11008798 III Marlian,Tn17 16 25-May 27-May 2 11009097 III Yama,Ny18 17 25-May 30-May 5 11009111 III Sukarmi,Ny19 18 25-May 28-May 3 11009113 III Suratno,Tn20 19 25-May 3-Jun 9 11009124 III Yusuf,Sdr21 25-May 26-May 1 11009145 III Sri,Nn22 20 26-May 28-May 2 9005170 III Wardiaty,Ny23 21 26-May 28-May 2 11009177 III Saidi,Tn24 22 26-May 30-May 4 11003228 III Herson (Icon),Tn25 23 26-May 30-May 4 10019253 III Ani Zuldaita,Ny26 26-May 27-May 1 11009215 III Asma"un,Tn27 24 26-May 27-May 1 11009217 III Maryama,Tn28 25 26-May 27-May 1 6007266 III Cik Nona,Ny29 26 27-May 31-May 4 11009230 III Edi Winarno,Tn30 27 27-May 30-May 3 11002399 III Sahodi,Tn31 28 27-May 30-May 3 11009265 III Siti Aminah,Nn32 29 27-May 30-May 3 8008384 III Sulbiah,Ny33 30 27-May 30-May 3 III Penunggu Bayi34 31 27-May 30-May 3 11009272 III Apek,Sdr35 32 28-May 29-May 1 11009332 III Kanedi,Tn36 33 28-May 30-May 2 11009340 III A Ibnu,Tn37 34 28-May 30-May 2 11009346 III Zainuri,Tn38 35 28-May 1-Jun 4 10014062 III Suleba,Ny39 36 28-May 31-May 3 11009348 III Isa,Sdr40 37 28-May 31-May 3 11009350 III Aswan,Tn41 38 29-May 1-Jun 3 11009359 III Cik Ima,Ny42 39 29-May 1-Jun 3 11009371 III Mariyani,Ny43 40 30-May 31-May 1 11009383 III Nursiah,Nn44 41 30-May 1-Jun 2 11009439 III Fardim,Tn45 42 30-May 1-Jun 2 11009440 III Hernita,Ny
46 43 30-May 1-Jun 2 11009452 III Rediyanto,Tn47 44 31-May 2-Jun 2 11009503 III Sunaryo,Tn48 45 31-May 4-Jun 4 9010082 III Sunyani,Ny49 46 31-May 3-Jun 3 11009514 III Muzammil,Tn50 47 31-May 4-Jun 4 7013249 III Jack Ismart,Tn51 48 31-May 2-Jun 2 11009522 III Yusmar,Tn52 49 31-May 1-Jun 1 11009527 III Yurdiana,Ny
50 31-May 1-Jun 1 11009532 III Budiman,Sdr53 51 1-Jun 3-Jun 2 11009536 III Marwan,Tn54 52 1-Jun 2-Jun 1 11009561 III Dewy Agustia,Nn55 53 1-Jun 2-Jun 1 11009591 III Relawita,Ny56 54 1-Jun 6-Jun 5 11009594 III Hamzah,Tn57 55 1-Jun 2-Jun 1 6008217 III Susanti,Ny58 56 2-Jun 6-Jun 4 10015363 III Nungcik,Tn59 57 2-Jun 3-Jun 1 11009623 III Aftari,Nn60 58 2-Jun 3-Jun 1 11009635 III Tina Mayasari,Ny61 59 3-Jun 10-Jun 7 11009640 III Mat Deham,Tn62 60 3-Jun 6-Jun 3 11009680 III Sarman,Tn63 61 3-Jun 8-Jun 5 11008693 III Elsa,Ny64 62 3-Jun 10-Jun 7 7011984 III Wardati,Ny65 63 3-Jun 6-Jun 3 11009704 III Windawati,Nn66 64 3-Jun 6-Jun 3 11009719 III Yusdianto,Tn67 65 3-Jun 6-Jun 3 11009727 III Endang,Ny68 66 4-Jun 7-Jun 3 6004721 III Sugoyono,Tn
67 4-Jun 10-Jun 6 11009774 III Rukini,Ny69 68 4-Jun 5-Jun 1 11009784 III Sukardin,Tn70 69 4-Jun 5-Jun 1 11009787 III Santi,Nn71 70 4-Jun 6-Jun 2 11009793 III Awaludin,Tn72 71 4-Jun 7-Jun 3 7007192 III Suhartono,Tn73 72 5-Jun 7-Jun 3 11009785 III Yudi Harsoyo,Tn74 73 5-Jun 7-Jun 2 11009804 III Saippudin,Tn75 74 5-Jun 8-Jun 3 7008688 III Indrayati,Ny76 75 5-Jun 9-Jun 4 6014624 III Holiawati,Ny77 76 5-Jun 6-Jun 1 11009810 III Dodi Efendi,Tn78 77 6-Jun 14-Jun 8 11003494 III Samsia,Ny79 78 6-Jun 9-Jun 3 9008936 III Dwi Fitmi,Nn80 79 6-Jun 7-Jun 1 11009000 III Nofri,Tn81 7-Jun 8-Jun 1 11009921 III Iyang,Tn82 80 7-Jun 10-Jun 3 11009922 III Hotma,Ny83 81 7-Jun 11-Jun 4 11009680 III Sarman,Tn84 82 7-Jun 10-Jun 3 11009955 III Ahmad Afriansyah,Sdr85 83 7-Jun 8-Jun 1 11008624 III Zulkarnain,Tn86 7-Jun 8-Jun 1 11009994 III Dedi Irawan,Tn87 84 7-Jun 11-Jun 4 11009995 III Halima,Ny88 85 7-Jun 9-Jun 2 11010001 III Sasmitra,Nn89 86 7-Jun 9-Jun 2 11010006 III Fitri Handayani,Ny90 8-Jun 9-Jun 1 6007559 III Nevi,Nn91 87 8-Jun 9-Jun 1 11005410 III Robert,Tn
8-Jun 9-Jun 1 11010061 III A Rais,Tn92 88 9-Jun 13-Jun 5 10002575 III Maimunah,Ny93 89 9-Jun 11-Jun 2 7002214 III Elisa,Nn94 90 9-Jun 11-Jun 2 11010134 III Erta,Tn95 91 9-Jun 11-Jun 2 11010136 III Kadi,Tn96 92 9-Jun 12-Jun 3 10002831 III Tri Handoko,Tn
97 93 9-Jun 13-Jun 4 11010153 III Nehari,Tn98 94 10-Jun 11-Jun 1 9002286 III Yunaya,Ny99 95 10-Jun 13-Jun 3 6012293 III Ahmad Efendi,Tn100 96 10-Jun 13-Jun 3 11010219 III Siti Astuti,Ny101 97 10-Jun 14-Jun 4 III Minani,Ny102 98 11-Jun 15-Jun 4 10013300 III Nursila,Ny103 99 11-Jun 14-Jun 3 11010309 III Eni Yuliyanti,Ny
100 11-Jun 23-Jun 12 11002257 III Subagio,Tn101 11-Jun 14-Jun 3 11000317 III Sartiman,Tn102 11-Jun 14-Jun 3 11010320 III Rasidan,Tn103 12-Jun 14-Jun 2 11010326 III Santi,Nn104 12-Jun 15-Jun 3 11010327 III Ruslan,Tn105 12-Jun 14-Jun 2 11010335 III Sutarno,Tn106 12-Jun 14-Jun 2 11010341 III Cik Uda,Ny107 12-Jun 14-Jun 2 11010349 III Ropi,Tn108 12-Jun 15-Jun 3 11010353 III Sutinem,Ny109 13-Jun 15-Jun 2 11010419 III Komariah,Ny110 13-Jun 15-Jun 2 8002543 III Rohima,Ny111 13-Jun 16-Jun 3 11010425 III Siti Sudiana,Ny112 13-Jun 15-Jun 2 11010428 III Rusila,Ny113 14-Jun 17-Jun 3 11010431 III Pit Adi,Tn114 14-Jun 15-Jun 1 11010492 III Uci Lestari,Nn115 14-Jun 17-Jun 3 6002305 III Sopina,Ny116 15-Jun 16-Jun 2 11010507 III Marlina,Ny117 15-Jun 17-Jun 2 11010518 III Mahmun,Tn118 15-Jun 18-Jun 3 11010311 III Asri Gunung Ayu,Tn119 15-Jun 17-Jun 3 11010523 III Edi Purnomo,Tn120 15-Jun 18-Jun 3 11010546 III Armadi,Tn121 15-Jun 18-Jun 3 11004194 III Jusniar,Ny122 15-Jun 20-Jun 5 11010556 III Hadun,Tn123 15-Jun 21-Jun 6 11010327 III Ruslan,Tn124 15-Jun 22-Jun 7 11010564 III Sahiba,Ny125 16-Jun 18-Jun 2 8015499 III Eko,Sdr126 16-Jun 19-Jun 3 11010584 III Ulia,Ny127 16-Jun 17-Jun 1 9002597 III Yenni,Ny128 16-Jun 20-Jun 4 11010622 III Muslipa,Ny129 16-Jun 21-Jun 5 11010624 III Siti Napia,Ny130 16-Jun 18-Jun 2 11010629 III Khoirul,Tn
16-Jun 18-Jun 2 11018156 III Abdullah,Tn131 17-Jun 19-Jun 2 11010662 III Evi Purwisi,Ny132 17-Jun 24-Jun 7 11009171 III Wayan,Tn133 17-Jun 20-Jun 3 11010669 III Romliyanto,Tn
17-Jun 18-Jun 1 8012024 III Sumirawati,Ny134 18-Jun 21-Jun 3 7002627 III Yamida,Ny135 18-Jun 22-Jun 4 8015499 III Eko,Sdr136 19-Jun 19-Jun 0 11010750 III Misa Martini,Ny137 19-Jun 21-Jun 2 11010755 III Soleha,Ny138 19-Jun 20-Jun 1 11010773 III Karmila,Ny139 19-Jun 22-Jun 3 11010781 III Sainul Bahri,Tn140 19-Jun 21-Jun 2 11010785 III Fitri,Nn141 20-Jun 24-Jun 4 11010786 III Elmi,Ny142 20-Jun 22-Jun 2 10012591 III Firman,Tn143 20-Jun 23-Jun 3 11010859 III Zahri,Tn144 20-Jun 22-Jun 2 11010863 III Rusida,Ny
145 20-Jun 21-Jun 1 9004217 III Sarini,Ny146 20-Jun 22-Jun 2 11010879 III Lasmiyati,Nn
21-Jun 22-Jun 1 10001563 III Ratna,Ny147 21-Jun 22-Jun 1 11010943 III M Nurhuda,Sdr148 22-Jun 24-Jun 2 8006370 III Jasa,Tn149 22-Jun 23-Jun 1 11011005 III Amroni,Tn150 22-Jun 24-Jun 2 11011034 III Sri Wardah,Ny151 23-Jun 24-Jun 1 11011092 III Susilawati,Ny
4681 4-Jun 9-Jun 5 11006695 Iso Sandi,Sdr2 21-May 26-May 5 11008859 Iso Ema.Ny3 24-May 25-May 1 11008867 Iso Jemmy,Sdr4 25-May 28-May 3 11009107 Iso Alamad,Tn5 31-May 3-Jun 3 11009476 Iso Imron,Tn6 31-May 1-Jun 1 11009528 Iso Saring,Tn
2-Jun 3-Jun 1 11009640 Iso Mat Deham,Tn7 6-Jun 8-Jun 2 7012891 Iso Mia,Nn8 6-Jun 13-Jun 7 11009841 Iso Sunan Dewi,Tn9 7-Jun 10-Jun 3 11009939 Iso Sumarni,Ny10 8-Jun 9-Jun 1 11009994 Iso Dedi Irawan,Tn11 9-Jun 13-Jun 5 11010061 Iso A Rais,Tn12 10-Jun 13-Jun 3 11010195 Iso Sukirman,Tn13 10-Jun 14-Jun 4 10019377 Iso Kosim,Tn14 13-Jun 16-Jun 3 10009365 Iso Sarina,Ny15 14-Jun 18-Jun 4 10020153 Iso Sarkasi,Tn
14-Jun 15-Jun 1 11009841 Iso Sunan Dewi,Tn15-Jun 16-Jun 1 8106437 Iso Nonima,Ny
16 17-Jun 20-Jun 3 11010678 Iso Sutiyo,Tn17 20-Jun 22-Jun 2 11006554 Iso Mayusin,Tn
### 58###
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XJl. M Yusuf Wahid L 20 TH Nefrotik Syndrom N 03 PDLDs.Purun Kp.I P 75 TH Melena PDLJl.Raya Baturaja L 67 TH Ulkus Gaster PDLDs.Marga Mulya L 40 TH Suspec Batu Ureter BDHDs.Ladangan Suban Jeriji L 32 TH Malaria B 54 PDLDs.Sungai Medang L 22 TH DBD A 91 PDLJl.Tangkupan Perahu L 55 TH Infeksi Viral Akut PDLJl.Alipatan No.43 P 18 TH Syncope R 55 PDLDs.Talang Nangka P 56 TH LBP PDLDs.Jungai P 67 TH GE A 09 PDLDs.Karang Agung P 18 TH Hamil+Asma J 45 KEBJl.Urip Sumoharjo P 43 TH GE A 09 PDLDs.Sungai Duren P 21 TH Thypoid A 01 PDLDs.Pengabuan P 50 TH Stroke I 64 SyarafJl.Bangau P 29 TH Rubella PDLDs.Kayuara L 15 TH TDBD A 15 PDLDs.Kayuara P 12 TH TDBD A 15 PDLDs.Kayuara L 25 TH Leukemia PDLJl.Sumatra L 34 TH Nefrolitiasis Dextra PDLDs.Sialingan P 45 TH LBP PDLMuara Tiga P 61 TH Decompcordis I 24 PDLJl.Sakura No.23 L 48 TH TB Paru A 15 PDLTalang Ubi Selatan L 24 TH DBD A 15 PDLDs.Berugo P 19 TH Apendik K 35 BDHJl.Shinta P 45 TH Vertigo G 43 PDLDs.Sungai Luar L 40 TH Syok Septik PDLDs.Pagar Dewa Kp.II L 40 TH Anemia D 50 PDLJl.Anggrek P 38 TH Vertigo G 43 PDLDs.Muara Sungai L 54 TH CAD PDLDs.Panta Dewa P 45 TH GE A 09 PDLDs.Tanjung Bunut P 74 TH Coma PDLKepodang L 48 TH Orchitis BDHDs.Talang Balai L 75 TH LBP PDLDs.Segayam P 18 TH Hamil+Dyspepsia K 30 PDLDs.Gunung Raja P 55 TH Hipertensi I 10 PDL
UMUMDs.Talang Balai L 27 TH GE A 09 PDLDs.Sukarame L 45 TH Dyspnoe PDLJl.Bangau L 34 TH ISK N 23 PDLJl.Srikandi L 59 TH Dyspepsia K 30 PDLDs.Gaung Asam P 60 TH AMI I 21 PDLDs.Sungai Langan P 16 TH Anemia Aplastik PDLDs.Talang Nangka L 30 TH GE A 09 PDLJl.Kerinci P 50 TH Gastropati PDLDs.Sumaja Makmur P 25 TH Post Partum O 80 KEBJl.A K Gani P 20 TH Syncope PDLDs.Aur Duri Kp.3 L 45 TH ISPA J 06 PDLDs.Pendopo P 29 TH Hipertensi I 10 PDL
Ds.Sungai Medang L 30 TH Dyspepsia K 30 PDLJl.Sepatu L 42 TH ISPA J 06 PDLDs.Tanjung Bunut P 52 TH Gastropati PDLKepodang L 42 TH Hepatitis B 15 PDLGg.Damai Wonosari L 41 TH Infeksi Viral Akut A 08 PDLDs.Pagar Agung P 34 TH Retensio Urine N 23 PDLDs.Tanding Marga Kp.2 P 25 TH Dyspepsia K 30 PDLDs.Pengabuan Kp.4 L 18 TH Colic Abdomen R 10 UMUMDs.Karang Jaya L 40 TH Peritonitis K 65 BDHDs.Menanti P 15 TH Syncope PDLDs.Lubuk Raman P 45 TH LBP PDLDs.Tanjung Miring L 39 TH ISPA J 06 PDLPrumnas Sukajadi P 31 TH HAP KEBDs.Sungai Medang L 54 TH HHD I 11 PDLDs.Jemenang P 19 TH Dyspepsia K 30 PDLDs.Midar P 27 TH HEG O 21 KEBDs.Kuripan L 68 TH CAD PDLDs.Sugihan L 56 TH GE A 09 PDLJl.Urip Sumoharjo P 28 TH Dyspepsia K 30 PDLJl.Arjuna Wonosari P 47 TH Cephalgia G 43 PDLDs.Tanjung Bunut P 22 TH Kolitis PDLDs.Tapus L 43 TH Dyspepsia K 30 PDLDs.Muara Sungai P 27 TH Post Partum O 80 KEBDs.Negri Agung Kp.3 L 45 TH Obs febris R 50 UMUMDs.Air Enau Kp.II P 38 TH Uretrolitiasis PDLDs.Cinta Kasih L 47 TH Dyspnoe PDLGg.Arena P 16 TH Dyspepsia K 30 PDLDs.Sumaja Makmur L 43 TH Colic Abdomen R 10 UMUMJl.Madang L 44 TH Cephalgia G 43 PDLJl.Nias L 27 TH Thypoid A 01 PDLDs.Beringin L 51 TH Dyspepsia K 30 PDLJl.Baturaja P 30 TH Dyspepsia K 30 PDLJl.Setapan Bakaran P 43 TH Cephalgia G 43 PDLDs.Pagar Dewa Kp.II L 35 TH Efidural Haematum SyarafDs.Sumber Rejo P 35 TH Tumor Rectum C 18 BDHPrumnas Gunung Ibul P 19 TH Obs febris R 50 UMUMDs.Lunas Jaya L 27 TH Intoxikasi Makanan A 05 UMUMDs.Kuang Dalam L 22 TH Obs febris R 50 UMUMDs.Lembak P 65 TH Obs febris R 50 UMUMDs.Sugihan L 56 TH Haematemisis PDLDs.Jungai L 19 TH Epistaxis PDLDs.Tambak Kp.I L 31 TH Asma Attack J 44 PDLSimpang Tais L 31 TH TB Paru A 15 PDLDs.Sungai Medang P 45 TH Dyspepsia K 30 PDLDs.Sungai Medang P 16 TH Alergi Obat PDLGunung Ibul P 22 TH Dyspepsia K 30 PDLDs.Gunung Raja P 20 TH Vertigo R 42 PDLJl.Arjuna Wonosari L 43 TH Myalgia PDLDs.Tanah Abang L 59 TH TB Paru A 15 PDLDs.Tanjung Raman P 56 TH HHD I 11 PDLJl.Patra Sukaraja P 14 TH Urtikaria PDLDs.Makmur Kp.I L 30 TH DBD A 91 PDLDs.Tanjung Dalam L 65 TH Cephalgia R 42 PDLJl.Merak No.45 L 26 TH Dyspepsia K 30 PDL
Stasiun Penimur LK.V L 85 TH Colic Abdomen R 10 UMUMDs.Sumber Rahayu P 60 TH Dyspepsia K 30 PDLJl.Alipatan No.43 L 54 TH DM E 11 PDLJl.Bukit Lebar P 26 TH Dyspepsia K 30 PDL
Penunggu BayiDs.Karang Agung P 61 TH Gastropati PDLPrumnas Sukajadi P 40 TH Dyspepsia K 30 PDLJl.Urip Sumoharjo L 55 TH Sirosis Hepatis PDLDs.Sugihan L 34 TH Dyspepsia K 30 PDLJl.Jenderal Sudirman L 35 TH GE A 09 PDLDs.Tanah Abang P 15 TH Tachicardi PDLDs.Tanjung Raja L 60 TH HHD+Konstipasi I 11 PDLDs.Trans Aur III L 50 TH DBD A 15 PDLDs.Sukaraja Kp.I P 50 TH Apendik K 35 BDHDs.Pangkul L 36 TH GE A 09 PDLDs.Raja Kp.I P 60 TH Bronkhitis J 20 PDLJl.Mekar Sari No.46 P 39 TH GE A 09 PDLMess PT BSP P 45 TH Thypoid A 01 PDLDs.Baturaja P 48 TH Asma Attack J 44 PDLDs.Sugihan P 50 TH GE A 09 PDLDs.Tanjung Dalam L 30 TH Dyspepsia K 30 PDLDs.Muara Sungai P 17 TH GERD PDLDs.Bulang P 87 TH HHD I 11 PDLJl.Kerinci P 31 TH ISPA J 22 PDLDs.Siku L 70 TH Dyspnoe PDLDs.Gunung Ayu L 35 TH Thypoid A 01 PDLDs.Sumaja Makmur L 36 TH Cephalgia R 42 PDLDs.Sugihan L 25 TH DBD A 91 PDLVina Sejahtera P 37 TH Thypoid A 01 PDLDs.Tanjung Miring L 28 TH Cephalgia R 42 PDLDs.Sukajaya L 60 TH HHD+Konstipasi I 11 PDLDs.Beringin P 68 TH Anemia D 50 PDLJl.Nias L 16 TH DBD A 91 PDLDs.Purun Kp.I P 46 TH Dyspepsia K 30 PDLDs.Jungai Kp.2 P TH Hamil+kontraksi KEBDs.Pagar Dewa Kp.II P 45 TH Faringitis J 02 THTJl.Mayor Iskandar P 58 TH DM E 10 PDLDs.Sukamerindu L 43 TH GE A 09 PDLDs.Sialingan L 70 TH BPH BDHDs.Sugiwaras P 24 TH Dyspepsia K 30 PDLDs.Jiwa Baru L 70 TH Dyspepsia K 30 PDLDs.Sumber Rejo L 32 TH Varicela B 01 PDLDs.Karang Sari P 30 TH KET KANDDs.Tanjung Telang P 58 TH Colic Abdomen R 10 UMUMJl.Nias L 16 TH DBD A 91 PDLDs.Sukamerindu P 35 TH Stroke I 64 SyarafDs.Sungai Langan P 17 TH Dyspepsia K 30 PDLDs.Putak Kp.I P 25 TH Post Curet O 03 KANDDs.Pagar Gunung L 50 TH Colic Abdomen R 10 UMUMDs.Tanjung Raya P 18 TH Dyspepsia K 30 PDLDs.Tebat Agung P 44 TH Asma Attack J 45 PDLDs.Tempirai L 31 TH Esofago Gastroduodenopaty PDLDs.Aur Lubai L 22 TH Hepatitis B 15 PDLDs.Purun Kp.I P 65 TH Dyspepsia K 30 PDL
Jl.Bukit Sejahtera P 30 TH Dyspepsia K 30 PDLPrumnas Cendrawasih P 17 TH Dyspepsia K 30 PDLJl.Pasar Bhayangkara No.115 P 61 TH ASHD PDLDs.Beringin L 21 TH Obs febris R 50 UMUMDs.Benuang L 52 TH Gastropati K 21 PDLJl.Mayor Iskandar L 23 TH Meningitis SyarafDs.Sukamerindu P 15 TH G1P0A0 hamil 7-8 minggu O 21 KEBDs.Karang Endah P 25 TH Syncope R 55 UMUM
Jl.M Yusuf Wahid L 20 TH TB Paru A 15 PDLDs.Sukamanis P 20 TH TB Paru A 15 PDLPrumnas Sukajadi L TH TB Paru A 15 PDLDs.Pengabuan L 59 TH Efusi Pleura J 90 PDLDs.Sukamerindu L 68 TH PPOK J 44 PDLDs.Talang Taling Kp.2 L 55 TH Syok Hipokalemi E 15 PDLDs.Kuripan L 68 TH CAD PDLDs.Gunung Megang P 27 TH Pleuritis Exudata TB PDLDs.Pagar Agung L 54 TH Obs febris R 50 PDLDs.Karta Dewa P 46 TH TB Paru A 15 PDLSimpang Tais L 31 TH TB Paru A 15 PDLDs.Tanah Abang L 59 TH TB Paru A 15 PDLKarang Raja L 34 TH TB Paru A 15 PDLDs.Rambang Kuang L 76 TH TB Paru A 15 PDLDs.Sungai Medang P 22 TH TB Paru A 15 PDLDs.Beringin L 72 TH PPOK J 44 PDLPagar Gunung L 54 TH TB Paru A 15 PDLDs.Sindur P 62 TH TB Paru A 15 PDLDusun II Karya Mulya L 58 TH TB Paru A 15 PDLDs.Air Itam L 74 TH Erupsi Obat PDL
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME J MEDIKDepta DR Pindah IsoDepta Non PK 963,950 695,675 320,000 27,000 Depta Non PK 1,316,550 620,955 320,000 27,000 Bujang Non PK 430,650 48,025 240,000 21,600 Depta Non PK 349,950 310,005 240,000 21,600 Nurlela Non PK 1,385,200 342,700 240,000 21,600 Depta DR PK 22,500 110,000 12,000 Depta DR PK 330,000 36,000 Afriyanto Non PK 400,450 465,530 400,000 32,400 Depta Non APS 772,700 355,440 320,000 27,000 Depta Non PK 273,300 415,050 240,000 21,600 Depta DR PK 4,750 220,000 24,000 Depta Non PK 678,050 503,805 320,000 27,000 Afriyanto Non Mati < 24 40,000 5,400 Harry Non Pindah Kls IIHarry Non Pindah Kls II 304,600 160,000 10,800 Harry Non Pindah Kls II 205,900 30,530 160,000 10,800 Depta Non Dirujuk 298,250 3,500 240,000 21,600 Depta DR PK 110,000 12,000 Afriyanto Non APS 879,600 693,825 160,000 16,200 Indra DR PK 1,240,750 468,935 400,000 32,400 Depta Non APS 483,350 358,375 285,000 21,600 Afriyanto Non PK 1,686,750 180,750 720,000 54,000 Bujang Non Pindah Bedah Depta DR PK 110,000 12,000 Depta Non APS 1,503,000 14,750 160,000 16,200 Depta Non APS 1,192,650 346,895 320,000 27,000 Depta DR PK 220,000 24,000 Depta Non Pindah Kls II 80,000 5,400 Ali Romon Non APS 107,550 58,435 80,000 10,800 Depta Non Mati < 24 15,000 90,450 108,000 3,000 Bujang DR PK 45,000 220,000 24,000 Afriyanto Non PK 773,100 601,450 240,000 21,600 Afriyanto Non PK 467,700 82,330 240,000 21,600 Depta Non PK 224,150 430,200 240,000 21,600
PK 240,000 Ali Romon Non PK 279,250 184,300 240,000 16,200 Depta Non APS 182,500 33,520 80,000 16,200 Harry Non PK 308,350 179,320 160,000 16,200 Harry Non PK 257,950 39,545 160,000 16,200 Harry Non APS 1,059,100 211,055 320,000 27,000 Depta Non Dirujuk 609,200 33,300 240,000 21,600 Harry Non PK 565,650 120,300 240,000 21,600 Depta Non PK 1,262,650 167,460 320,000 21,600 Rahman Non PK 163,475 240,000 26,400 Afriyanto Non APS 447,450 14,750 80,000 10,800 Harry Non PK 208,500 97,350 160,000 16,200 Depta Non PK 103,700 144,400 160,000 16,200
Afriyanto Non PK 313,300 256,345 160,000 16,200 Depta DR PK 110,000 12,000 Depta Non PK 771,600 595,725 320,000 27,000 Depta DR APS 165,000 18,000 Depta DR PK 22,500 220,000 24,000 Nurlela Non PK 219,500 44,400 160,000 16,200 Depta Non APS 256,300 101,425 80,000 10,800 Harry Non APS 27,550 80,000 10,800 Harry Non APS 917,450 156,205 160,000 16,200 Nurlela Non APS 445,000 157,300 80,000 10,800 Depta Non PK 92,750 3,400 80,000 10,800 Depta Non PK 1,073,500 446,975 400,000 32,400 Rahman Non APS 80,000 10,800 Depta DR PK 45,000 220,000 24,000 Depta DR PK 55,000 6,000 Rahman Non PK 110,100 159,700 80,000 5,400 Depta Non PK 1,808,500 476,675 640,000 48,600 Depta Non APS 658,000 357,130 240,000 21,600 Depta DR PK 45,000 275,000 30,000 Depta DR PK 67,500 648,000 385,000 42,000 Afriyanto Non PK 348,000 38,480 240,000 21,600 Harry Non PK 864,200 88,085 240,000 21,600 Rahman Non PK 5,607,150 463,650 240,000 21,600 Afriyanto Non APS 841,650 30,530 240,000 21,600 Afriyanto Non PK 915,700 576,640 480,000 37,800 Depta Non Mati < 24 138,850 230,640 80,000 10,800 Afriyanto Non PK 170,400 27,130 80,000 10,800 Harry Non PK 302,800 99,505 160,000 16,200 Depta DR PK 165,000 18,000 Depta Non PK 290,000 348,625 240,000 21,600 Afriyanto Non PK 188,950 87,380 160,000 16,200 Afriyanto Non PK 563,950 129,280 240,000 21,600 Depta DR PK 22,500 220,000 24,000 Harry Non Mati < 24 174,050 80,000 16,200 Bujang DR Dirujuk 45,000 440,000 48,000 Depta DR PK 165,000 18,000 Nurlela Non PK 49,000 99,100 80,000 10,800 Nurlela Non Pindah Vap 111,900 77,025 80,000 5,400 Nurlela Non PK 440,550 614,100 240,000 21,600 Nurlela Non PK 187,650 253,385 320,000 27,000 Nurlela Non PK 729,800 304,575 240,000 16,200 Depta Non PK 89,300 349,475 80,000 10,800 Depta Non Pindah Iso Depta Non PK 1,293,200 570,100 320,000 27,000 Afriyanto Non PK 242,000 27,130 160,000 16,200 Afriyanto Non PK 691,000 132,680 160,000 16,200 Depta Non Pindah Kls II 55,000 6,000 Depta DR PK 55,000 6,000 Depta Non Pindah Iso Depta Non PK 269,600 324,375 400,000 32,400 Depta DR PK 110,000 12,000 Depta Non PK 102,800 733,705 160,000 16,200 Depta Non PK 297,650 500,265 160,000 16,200 Depta Non PK 165,000 18,000
Nurlela Non PK 1,129,400 327,650 320,000 27,000 Depta Non PK 95,450 613,175 80,000 5,400 Tanudjaja DR PK 556,400 450,125 240,000 21,600 Depta DR PK 22,500 165,000 18,000
PK 320,000 Depta Non PK 2,039,650 417,800 320,000 27,000 Depta DR PK 165,000 18,000 Depta Non PK 7,054,950 2,068,990 960,000 70,200 Depta Non PK 791,900 125,975 240,000 21,600 Depta Non PK 702,650 143,055 240,000 21,600 Depta Non APS 137,700 229,730 160,000 16,200 Depta Non PK 343,100 433,770 240,000 21,600 Nurlela Non APS 327,200 275,350 160,000 16,200 Bujang Non APS 333,800 100,875 160,000 16,200 Depta Non APS 213,000 169,730 160,000 16,200 Depta Non PK 357,050 616,795 240,000 21,600 Depta DR PK 110,000 12,000 Afriyanto Non PK 172,900 77,075 160,000 16,200 Depta Non APS 251,150 475,170 240,000 21,600 Afriyanto Non APS 49,500 42,700 160,000 16,200 Nurlela Non APS 1,133,400 330,825 240,000 21,600 Depta Non APS 123,500 51,680 80,000 10,800 Depta Non PK 374,200 451,260 240,000 21,600 Depta Non PK 303,450 106,950 160,000 16,200 Depta Non PK 267,750 202,345 160,000 16,200 Depta Non PK 897,500 416,835 240,000 21,600 Nurlela Non APS 442,900 681,400 240,000 21,600 Nurlela Non PK 820,450 304,800 240,000 21,600 Azinar DR PK 165,000 18,000 Harry Non PK 605,100 127,880 400,000 32,400 Azinar Non PK 651,400 342,245 480,000 37,800 Azinar Non PK 2,567,300 246,485 560,000 43,200 Azinar Non PK 321,950 6,595 160,000 16,200 Harry Non PK 772,650 316,310 240,000 21,600 Rahman Non PK 5,300 85,960 80,000 10,800 Harry Non PK 693,650 202,120 320,000 27,000 Indra Non PK 1,447,250 612,140 400,000 32,400 Harry Non PK 248,500 204,280 160,000 16,200 Bujang Non Pindah Bedah 396,835 856,600 400,000 32,400 Afriyanto Non PK 239,650 164,980 160,000 16,200 Azinar Non PK 490,850 375,580 560,000 43,200 Afriyanto Non PK 682,350 258,995 285,000 31,200 Rahman Non Pindah Bedah Azinar Non PK 574,350 253,705 240,000 21,600 Azinar DR PK 220,000 24,000 Nurlela Non Mati < 24 353,750 5,400 Nurlela Non APS 1,004,050 229,970 160,000 16,200 Rahman Non PK 80,000 10,800 Nurlela Non APS 1,204,200 273,475 240,000 21,600 Nurlela Non PK 353,850 333,775 160,000 10,800 Depta DR PK 974,100 479,325 320,000 27,000 Depta Non APS 880,250 670,100 160,000 16,200 Depta DR PK 165,000 18,000 Harry Non PK 450,900 109,320 160,000 16,200
Afriyanto DR PK 28,200 55,000 6,000 Afriyanto Non PK 61,550 27,130 110,000 12,000 Depta Non Pindah Bedah 15,000 140,000 4,800 Afriyanto Non APS 140,300 3,400 160,000 16,200 Depta Non PK 620,950 508,650 160,000 16,200 Depta Non APS 225,650 238,650 160,000 16,200 Rahman Non PK 327,500 262,830 160,000 16,200 Nurlela Non APS 100,550 64,100 80,000 10,800
Depta DR APS 135,000 1,045,000 114,000 Depta Non PK 935,150 671,055 475,000 46,800 Depta Non APS 188,500 77,825 95,000 7,800 Depta Non APS 596,600 148,000 285,000 31,200 Depta Non APS 499,350 986,000 285,000 31,200 Depta Non Mati < 24 191,000 95,000 15,600 Depta Non Pindah Kls III Depta Non PK 233,150 861,225 190,000 23,400 Alip Non PK 1,962,500 1,393,290 665,000 62,400 Depta Non PK 45,000 21,825 315,000 9,000 Depta Non PK 330,950 892,100 160,000 16,200 Depta Non PK 1,063,850 571,950 555,000 32,400 Depta Non PK 609,800 441,665 240,000 31,200 Azinar DR PK 305,850 95,950 380,000 39,000 Alip Non PK 564,700 269,135 285,000 21,600 Depta Non PK 563,950 268,980 380,000 39,000 Depta Non Pindah Iso 527,700 23,150 95,000 7,800 Depta Non Pindah Vip 23,700 343,540 95,000 15,600 Azinar Non PK 206,100 308,110 285,000 31,200 Depta Non APS 379,650 591,235 190,000 23,400
- 87,869,835 42,382,170 40,333,000 3,713,400
BIAYA
J SHIF P INFUS CATETER NGT INJEKSI SKINT TEST VISITE
18,000 50,000 60,000 200,000 18,000 20,000 40,000 200,000 14,400 45,000 2,000 110,000 14,400 30,000 2,000 160,000 14,400 45,000 2,000 90,000 8,000 15,000 18,000 2,000 80,000 24,000 54,000 235,000 21,600 20,000 50,000 270,000 18,000 20,000 40,000 215,000 14,400 20,000 120,000 16,000 36,000 2,000 170,000 18,000 20,000 20,000 2,000 180,000 3,600 40,000
7,200 30,000 2,000 60,000 7,200 2,000 60,000 14,400 15,000 2,000 100,000 8,000 18,000 2,000 105,000 10,800 20,000 100,000 21,600 20,000 50,000 75,000 2,000 220,000 14,400 20,000 45,000 160,000 36,000 20,000 135,000 270,000
8,000 18,000 50,000 10,800 30,000 2,000 125,000 18,000 20,000 50,000 40,000 140,000 16,000 15,000 36,000 130,000 3,600 30,000 7,200 10,000 2,000 30,000 2,000 15,000 16,000 15,000 36,000 2,000 125,000 14,400 20,000 30,000 2,000 130,000 14,400 45,000 2,000 90,000 14,400 30,000 110,000
10,800 20,000 15,000 2,000 60,000 10,800 20,000 10,000 30,000 10,800 30,000 2,000 60,000 10,800 20,000 2,000 60,000 10,800 20,000 60,000 2,000 160,000 14,400 45,000 2,000 150,000 14,400 20,000 45,000 2,000 90,000 14,400 20,000 45,000 2,000 120,000 17,600 120,000 7,200 20,000 2,000 30,000 10,800 30,000 2,000 60,000 10,800 10,000 145,000
10,800 30,000 60,000 8,000 18,000 2,000 120,000 18,000 20,000 40,000 2,000 225,000 12,000 27,000 2,000 175,000 16,000 15,000 36,000 2,000 215,000 10,800 20,000 2,000 60,000 7,200 15,000 60,000 7,200 5,000 2,000 30,000 10,800 20,000 20,000 2,000 100,000 7,200 20,000 95,000 7,200 15,000 2,000 60,000 21,600 20,000 75,000 2,000 265,000 7,200 16,000 15,000 36,000 215,000 4,000 9,000 40,000 3,600 5,000 80,000 32,400 20,000 120,000 345,000 14,400 45,000 2,000 140,000 20,000 15,000 45,000 240,000 28,000 15,000 63,000 390,000 14,400 30,000 2,000 90,000 14,400 45,000 2,000 140,000 14,400 20,000 5,000 80,000 14,400 45,000 2,000 90,000 25,200 20,000 60,000 2,000 180,000 7,200 5,000 60,000 7,200 15,000 30,000 10,800 30,000 2,000 110,000 12,000 27,000 4,000 120,000 14,400 20,000 2,000 120,000 10,800 20,000 60,000 14,400 30,000 2,000 90,000 16,000 15,000 36,000 2,000 200,000 10,800 20,000 5,000 2,000 30,000 32,000 15,000 72,000 2,000 440,000 12,000 27,000 2,000 160,000 7,200 5,000 30,000 3,600 15,000 2,000 30,000 14,400 20,000 20,000 2,000 90,000 18,000 20,000 60,000 120,000 10,800 45,000 2,000 90,000 7,200 15,000 2,000 105,000
18,000 20,000 60,000 160,000 10,800 20,000 30,000 60,000 10,800 10,000 60,000 4,000 9,000 40,000 4,000 9,000 80,000
21,600 25,000 200,000 8,000 18,000 2,000 120,000 10,800 30,000 2,000 120,000 10,800 30,000 2,000 120,000 12,000 27,000 140,000
18,000 20,000 40,000 180,000 3,600 15,000 105,000 14,400 45,000 150,000 12,000 27,000 2,000 160,000
18,000 20,000 60,000 225,000 12,000 27,000 2,000 160,000 46,800 20,000 120,000 530,000 14,400 45,000 2,000 140,000 14,400 30,000 140,000 10,800 10,000 120,000 14,400 20,000 30,000 160,000 10,800 30,000 2,000 60,000 10,800 30,000 2,000 110,000 10,800 20,000 2,000 110,000 14,400 30,000 150,000 8,000 18,000 2,000 120,000 10,800 30,000 2,000 60,000 14,400 15,000 140,000 10,800 60,000 14,400 15,000 2,000 90,000 7,200 15,000 145,000 14,400 50,000 45,000 160,000 10,800 15,000 2,000 80,000 10,800 20,000 2,000 120,000 14,400 30,000 2,000 225,000 14,400 45,000 60,000 14,400 45,000 2,000 90,000 12,000 27,000 2,000 120,000 21,600 20,000 75,000 2,000 150,000 25,200 20,000 60,000 230,000 28,800 20,000 105,000 4,000 300,000 10,800 30,000 2,000 145,000 14,400 45,000 2,000 130,000 7,200 5,000 40,000 18,000 20,000 60,000 2,000 160,000 21,600 20,000 50,000 2,000 190,000 10,800 20,000 2,000 60,000 21,600 20,000 50,000 360,000 10,800 30,000 60,000 28,800 20,000 70,000 310,000 20,800 45,000 2,000 90,000
14,400 45,000 2,000 130,000 16,000 36,000 185,000 3,600 5,000 35,000 10,800 30,000 2,000 60,000 7,200 40,000 14,400 30,000 2,000 90,000 7,200 20,000 2,000 60,000 18,000 20,000 60,000 200,000 10,800 30,000 120,000 12,000 27,000 175,000 10,800 10,000 2,000 60,000
4,000 9,000 65,000 8,000 18,000 90,000 3,200 30,000 10,800 10,000 2,000 30,000 10,800 30,000 145,000 10,800 15,000 80,000 10,800 30,000 100,000 7,200 15,000 2,000 30,000
76,000 30,000 171,000 2,000 785,000 31,200 20,000 75,000 225,000 5,200 5,000 90,000 20,800 45,000 2,000 245,000 20,800 45,000 2,000 180,000 10,400 45,000
15,600 20,000 155,000 41,600 20,000 70,000 2,000 300,000 6,000 90,000 10,800 30,000 120,000 21,600 75,000 265,000 20,800 45,000 2,000 180,000 26,000 20,000 2,000 180,000 14,400 15,000 2,000 90,000 26,000 60,000 225,000 5,200 15,000 90,000 10,400 70,000 20,800 30,000 125,000 15,600 20,000 30,000 155,000 2,468,400 985,000 150,000 50,000 5,600,000 184,000 23,220,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM
50,000 70,000 30,000 30,000 40,000
15,000 185,000 36,000
10,000 15,000 35,000 20,000 72,500 30,000
60,000 20,000 40,000 30,000
50,000
45,000 10,000 200,000 70,000 30,000 40,000 45,000
50,000
20,000 325,000 50,000 75,000
10,000 4,000 5,000
10,000 39,000 25,000 20,000
30,000 20,000 65,000 20,000
21,000 20,000
### 182,500 45,000 10,000 202,500 60,000
30,000 31,250 60,000
10,000 37,500 12,500 20,000 52,500 20,000
30,000 20,000
30,000
10,000 50,000
25,000 35,000
10,000 15,000 20,000 35,000
10,000 15,000 15,000 15,000 40,000 10,000
7,500 15,000
20,000 10,000 212,500 70,000
50,000
7,500 185,000 25,000 30,000 30,000 35,000 45,000
20,000 152,500 20,000 10,000 15,000 10,000
20,000
30,000 15,000 30,000
10,000 100,000 25,000 345,000
10,000
30,000 45,000 35,000
10,000 27,500 20,000
68,000 10,000 127,500 30,000 10,000 40,000 35,000
7,500 10,000
20,000 215,000 35,000
25,000 25,000
43,000 40,000 32,000
120,000
10,000 212,500 160,000 30,000 25,000 20,000
10,000 345,000 40,000 30,000 30,000
10,000 ### 20,000 30,000
50,000 20,000 177,500 35,000
10,000 35,000
20,000 102,500 20,000 20,000 377,500 35,000 10,000 15,000 20,000 10,000 15,000 30,000
50,000 15,000 50,000
100,000 10,000 200,000 30,000
120,000 15,000 35,000 10,000 50,000 40,000 30,000
25,000 45,000 50,000
30,000
10,000 12,500 10,000 50,000 30,000 30,000 30,000
10,000 240,000 50,000 50,000 60,000
25,000
4,000 10,000 15,000 15,000
50,000 25,000 25,000
10,000 15,000 20,000
35,000 47,000 50,000
10,000 175,000 40,000 10,000 77,500 50,000
30,000 10,000 140,000 65,000
12,000 15,000 50,000
10,000 15,000 45,000 25,000 25,000
10,000 ### 27,000 10,000 215,000 50,000
30,000 10,000 37,500 30,000 597,500 5,006,250 345,000 - 50,000 4,935,500 -
SELISIH DISCOUNT PERUSAHAAN
35,000 JamsostekJamsostek
4,750 Jamsostek
BSP Jamsostek
Jamsostek
Jamsostek
637950 PNS Jamsostek
BSP
Jamsostek
Jamsostek Jamsostek
Jamsostek Jamsostek
Jamsostek 798,000 Jamsostek
Jamsostek
Jamsostek
2,645,000 Jamsostek Jamsostek
Jamsostek
Jamsostek
Jamsostek
Jamsostek
Jamsostek BSP
150,000 Jamsostek BSP
Jamsostek
Jamsostek
28,200 Jamsostek 111,030
Jamsostek
360,875 PNS SBAL
4,770,805 -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN JULI 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 18-Jun 28-Jun 10 10006199 III Mujino,Tn2 22-Jun 27-Jun 5 11010982 III Sulna,Ny3 22-Jun 25-Jun 3 11010993 III Zahna,Ny4 22-Jun 27-Jun 5 7006637 III Diah Miharti,Ny5 22-Jun 27-Jun 5 10003384 III Sucipto,Tn6 22-Jun 24-Jun 2 11011031 III Sop Wanda,Tn7 22-Jun 26-Jun 4 11011036 III Jamiah,Ny8 23-Jun 25-Jun 2 11011052 III Linda,Ny9 23-Jun 25-Jun 2 11007579 III Andi Law,Sdr
10 24-Jun 25-Jun 1 11011107 III Ita Sourni,Ny11 24-Jun 26-Jun 2 11011110 III Musal,Tn12 24-Jun 27-Jun 3 11011114 III Desiana,Ny13 24-Jun 26-Jun 2 11011138 III Norapika,Nn14 24-Jun 26-Jun 3 11011141 III Romina,Ny15 24-Jun 26-Jun 2 11011148 III Sarmina,Ny16 24-Jun 28-Jun 4 11011158 III Cik Yun,Ny17 25-Jun 27-Jun 2 8017869 III Tarmudi,Tn18 25-Jun 27-Jun 2 11011211 III Cik Umar,Tn19 25-Jun 26-Jun 1 11011216 III Nengsih,Ny20 25-Jun 28-Jun 3 11011223 ISO Asmawi,Tn21 25-Jun 27-Jun 2 11011228 III Siti Maysaroh,Ny22 25-Jun 26-Jun 1 11009230 III Edi W,Tn
26-Jun 27-Jun 1 11011252 III Supandi,Sdr23 27-Jun 1-Jul 4 11011252 ISO Supandi,Sdr24 26-Jun 28-Jun 2 11011263 III Maman,Tn25 29-Jun 3-Jul 5 11011396 III Yunita,Ny26 29-Jun 30-Jun 1 11009312 III Erdaina,Ny27 29-Jun 30-Jun 1 11011428 III Sri Jeni,Nn28 29-Jun 2-Jul 3 11011429 III Mita,Ny29 29-Jun 1-Jul 2 11011432 III Maryam,Ny30 29-Jun 2-Jul 3 11011434 III Taufik,Tn31 30-Jun 2-Jul 2 11011449 III Supaidi,Tn32 30-Jun 2-Jul 2 11011450 III Hairul,Tn33 30-Jun 4-Jul 4 11011486 III Nazipah,Ny
30-Jun 1-Jul 1 11014356 III Resi Wulan,Ny30-Jun 1-Jul 1 11011496 III Desi Yuniarti,Nn
34 1-Jul 2-Jul 1 11011496 ISO Desi Yuniarti,Nn35 30-Jun 2-Jul 2 11007291 III Wandi,Tn36 30-Jun 2-Jul 2 110114970 III Holiam,Ny37 30-Jun 2-Jul 2 11011028 III Heti,Ny38 1-Jul 5-Jul 4 11009171 III Wayan,Tn39 1-Jul 3-Jul 2 6004774 III Puryanto,Tn40 1-Jul 5-Jul 4 11011541 III Cik Nuna,Ny41 1-Jul 3-Jul 2 11011551 ISO Sunawar,Sdr42 2-Jul 3-Jul 1 11011573 III Tursina,Nn43 2-Jul 3-Jul 1 11011618 III Yasna,Ny44 2-Jul 5-Jul 3 11011628 III Nuhan,Tn45 2-Jul 4-Jul 2 11011632 III Febrian,Sdr
46 2-Jul 5-Jul 3 11011633 III Ahmadal,Tn47 2-Jul 4-Jul 2 11011634 III Mahadi,Tn
3-Jul 8-Jul 5 11011648 III Sri Suartini,Ny48 8-Jul 11-Jul 3 11011648 ISO Sri Suartini,Ny49 3-Jul 5-Jul 2 11011652 ISO Aan Friadi,Tn50 3-Jul 4-Jul 1 11011661 III Zainul,Tn51 3-Jul 5-Jul 2 11011655 III Herman,Tn52 3-Jul 4-Jul 1 11011669 III Ferryansyah,Tn53 3-Jul 4-Jul 1 11011670 III Yutrailis,Ny54 3-Jul 5-Jul 2 10015209 III Suwari,Ny55 4-Jul 6-Jul 2 11011675 III Romna,Ny56 4-Jul 5-Jul 1 11011676 ISO Rusli,Tn57 4-Jul 5-Jul 1 11011723 III Daryani,Ny58 4-Jul 7-Jul 3 11011726 III Letiana,Ny59 4-Jul 7-Jul 3 11011736 III Halimah,Nn60 4-Jul 4-Jul 2 11011745 III Eli Suswati,Ny61 5-Jul 8-Jul 3 11011551 ISO Sunawar,Sdr62 5-Jul 6-Jul 1 8014226 III Maryani,Ny63 5-Jul 11-Jul 6 11011793 III Endang,Ny64 5-Jul 7-Jul 2 11011800 III Sumarni,Ny65 5-Jul 7-Jul 2 11011802 III Nurhasanah,Ny66 5-Jul 6-Jul 1 11011618 III Yasna,Ny67 6-Jul 8-Jul 2 11011825 III Marsiah,Ny68 6-Jul 9-Jul 3 10004570 III Saidi,Tn69 6-Jul 8-Jul 2 11011844 ISO Mahya,Ny70 6-Jul 9-Jul 3 11010794 ISO Parozi,Tn71 6-Jul 7-Jul 1 7005596 III Nuyah,Ny72 6-Jul 10-Jul 4 11009842 III Dalia,Ny73 6-Jul 7-Jul 1 7010343 III Suraida,Ny74 6-Jul 8-Jul 2 11011871 III Rukaya,Ny75 7-Jul 8-Jul 1 11011885 III Awiyah,Ny76 7-Jul 9-Jul 2 11011907 III Yamina,Ny77 7-Jul 14-Jul 4 11007190 III Ahmad Sabirin,Tn78 7-Jul 8-Jul 1 11011852 III Lisdayani,Ny79 7-Jul 9-Jul 2 11004055 III Komariah,Ny80 7-Jul 11-Jul 4 11011949 III Yadi,Tn81 7-Jul 9-Jul 2 11011956 III Nuraini,Ny82 8-Jul 11-Jul 3 9012047 III Perwira,Tn83 8-Jul 11-Jul 3 11012004 III Hendra,Tn84 8-Jul 10-Jul 2 11012011 III Nurasiah,Ny85 9-Jul 13-Jul 4 11012030 III Cik Manyur,Tn
9-Jul 9-Jul 1 11012035 III Tumirah,Ny86 9-Jul 14-Jul 5 11012049 III Mastokim,Tn87 9-Jul 12-Jul 3 11012095 III Asromin,Tn88 9-Jul 11-Jul 2 6008244 III Naisiha,Ny89 10-Jul 14-Jul 4 11012120 III Heliyana,Ny
10-Jul 11-Jul 1 11012126 III Yunizar,Tn90 10-Jul 12-Jul 2 11011231 III Selama,Ny91 10-Jul 14-Jul 4 11012132 III Rusmini,Ny92 10-Jul 12-Jul 2 11012149 III Misriyanti,Ny
10-Jul 11-Jul 1 11012152 III Amlan,Tn93 11-Jul 14-Jul 3 11012152 ISO Amlan,Tn94 11-Jul 14-Jul 3 11002163 III Arman,Sdr95 11-Jul 14-Jul 3 10003575 III Sukmawati,Ny
96 11-Jul 16-Jul 5 7013937 III Tatang,Sdr11-Jul 13-Jul 2 11012220 III Kusri,Tn
97 12-Jul 13-Jul 1 10012222 III Tobri,Tn98 12-Jul 18-Jul 6 10004517 III Jumliyati,Ny99 12-Jul 14-Jul 2 11010807 III Rini Utami,Ny100 13-Jul 14-Jul 1 11012301 III Listri,Ny101 13-Jul 15-Jul 2 7006181 III Abdullah,Tn102 13-Jul 15-Jul 2 10012343 III Jon Aidi,Tn103 13-Jul 17-Jul 4 11012352 III Jidin,Tn104 13-Jul 14-Jul 1 11012229 ISO Zulkipli,Tn105 14-Jul 19-Jul 5 10002154 III Asni,Ny106 14-Jul 18-Jul 4 11012435 III Nurmala,Ny107 15-Jul 16-Jul 1 11012450 III Yaji Tarijan,Tn108 15-Jul 16-Jul 1 11012469 III Mas Nuro,Ny109 16-Jul 19-Jul 3 11012506 III Nursima,Ny110 17-Jul 23-Jul 6 7013937 III Tatang,Sdr
17-Jul 20-Jul 3 9006645 III Surlina,Ny111 17-Jul 19-Jul 2 11012571 III Indrayanti,Ny112 18-Jul 20-Jul 2 8004784 III Cik Kap,Tn113 18-Jul 20-Jul 2 9006915 III Mariam,Ny114 18-Jul 22-Jul 4 11012620 III Kursia,Ny115 18-Jul 22-Jul 4 11012621 III Juharsah,Tn116 18-Jul 19-Jul 1 11012630 III Mardiana,Ny117 19-Jul 22-Jul 3 11012639 III Nuryudap,Ny118 19-Jul 22-Jul 3 9017073 III Haryadin,Tn119 20-Jul 22-Jul 2 11012699 III Jasiah,Ny120 20-Jul 23-Jul 3 11012719 III Muryati,Ny121 20-Jul 22-Jul 2 11012724 III Abas,Tn122 21-Jul 23-Jul 2 11012791 III Devi Herlina,Ny123 22-Jul 23-Jul 2 10012875 III Sukara,Tn124 22-Jul 23-Jul 1 11012846 III Lili,Ny
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XDs.Jemenang L 54 TH SNH I 64 SyarafDs.Karta Dewa P 45 TH PSA SyarafDs.Sukajaya P 70 TH Anemia D 50 PDLJl.Pelawi P 49 TH Dyspepsia K 30 PDLWonosari L 50 TH Dyspepsia K 30 PDLJl.Panca Usaha Palembang L 21 TH Colic Abdomen N 27 UMUMDs.Kota Dewa P 39 TH Cefalgia R 51 PDLDs.Modong P 22 TH Paraflegi SyarafDs.Purun L 15 TH Obs febris R 50 UMUMDs.Benuang P 24 TH Post Curet O 03 KANDDs.Kota Baru L 55 TH Cefalgia R 51 PDLDs.Pangkul P 29 TH Post Partum O 80 KEBJl.Ade Irma P 17 TH Vomitus R 11 UMUMDs.Beruge P 62 TH Erupsi Obat PDLDs.Pengabuan P 70 TH HHD I 11 PDLDs.Babat Lembak P 60 TH GE A 09 PDLCambai L 68 TH PPOK J 44 PDLJl.Kerinci No.06 L 56 TH Dyspepsia K 30 PDLJl.Batu Tugu P 31 TH Epilepsi SyarafDs.Sukamerindu L 65 TH TB Paru A 15 PDLDs.Segayam P 28 TH Hamil 20 mg+ab.iminens KEBKepodang L 48 TH Obs nyeri perut N 27 UMUMJl.Pelangi Wonosari L 23 TH Colic Abdomen N 27 UMUMJl.Pelangi Wonosari L 23 TH TB Paru A 15 PDLJl.Wawasan Lampung L 50 TH Apendik K 35 BDHDs.Kota Baru P 22 TH Post ops sc KEBDs.Tanjung Raman P 37 TH Sinusitis THTDs.Sukamerindu P 14 TH Trauma Capitis S 00 BDHDs.Karang Agung P 21 TH Dyspepsia K 30 PDLDs.Lubuk Enau P 50 TH GE A 09 PDLJl.Surya L 31 TH Malaria B 50 PDLDs.Sukamenanti Kp.3 L 58 TH HHD I 11 PDLDs.Talang Balai L 48 TH Obs febris R 50 UMUMDs.Jiwa Baru P 76 TH Ulkus Peptikum K 28 PDLJl.Gotong Royong P 19 TH Dyspepsia K 30 PDLJl.Lekipali P 29 TH TB Paru A 15 PDLJl.Lekipali P 29 TH TB Paru A 15 PDLDs.Danau Rata L 37 TH Hepatoma PDLDs.Lubuk Enau P 24 TH Post Partum O 80 KEBDs.Raja P 23 TH Post Partum O 80 KEBDs.Jiwa Baru L 70 TH MI/MS PDLDs.Marga Mulya L 35 TH Infeksi Viral Akut A 99 PDLDs.Siku Kp.II P 78 TH Dyspepsia K 30 PDLDs.Tempirai L 24 TH TB Paru A 15 PDLDs.Sungai Medang P 18 TH Dyspepsia K 30 PDLJl.Beringin P 30 TH Syncope R 55 PDLDs.Sungai Medang L 85 TH Dyspepsia K 30 PDLJl.Mayor Iskandar L 14 TH Histeria PDL
Ds.Sungai Medang L 60 TH MCI I 21 PDLDs.Siku Kp.II L 29 TH Cefalgia R 51 PDLDs.Simpang Tais P 43 TH SNH I 64 SyarafDs.Simpang Tais P 43 TH TB Paru A 15 PDLDs.Negri Agung L 29 TH Herpes Zoster PDLDs.Menanti Kp.II L 58 TH SNH I 64 SyarafDs.Karang Agung L 37 TH Pnemonia J 18 PDLDs.Gunung Raja L 28 TH Dyspepsia K 30 PDLDs.Marga Mulya P 37 TH hamil 20 mg+kontraksi KEBDs.Talang Ubi P 50 TH Dyspepsia K 30 PDLJl.Mayor Iskandar P 52 TH CKD PDLDs.Air Itam L 63 TH TB Paru A 15 PDLDs.Karya Dewa P 37 TH Obs febris R 50 UMUMDs.Sungai Medang P 26 TH ISPA PDLGunung Ibul P 12 TH Colic Abdomen N 27 UMUMDs.Sukamerindu P 41 TH Dyspepsia K 30 PDLDs.Tempirai L 24 TH TB Paru A 15 PDLJl.Urip Sumoharjo P 35 TH GE A 09 PDLDs.Panta Dewa P 34 TH Dyspepsia K 30 PDLDs.Negri Agung P 26 TH Dyspepsia K 30 PDLJl.Pranasib P 60 TH GE A 09 PDLJl.Beringin P 30 TH Hipertensi I 10 PDLTanjung Kemala P 70 TH GE A 09 PDLDs.Embacang L 68 TH HHD I 11 PDLDs.Tanjung Kurung P 65 TH TB Paru A 15 PDLDs.Sumber Mulya L 50 TH TB Paru A 15 PDLDs.Raja P 80 TH HHD I 11 PDLDs.Gumai P 51 TH Hepatoma PDLDs.Kencana Mulya P 26 TH Dyspepsia K 30 PDLDs.Kencana Mulya P 55 TH Dyspepsia K 30 PDLDs.Pangkul P 65 TH GE A 09 PDLDs.Banuayu P 47 TH Colic Abdomen N 27 UMUMJl.Nur Illahi L 37 TH Anemia D 50 PDLDs.Raja P TH Hamil 20 mg+Asma J 45 KEBDs.Karta Mulya P 50 TH Cefalgia R 42 PDLDs.Pagar Agung L 22 TH DBD A 91 PDLDs.Sungai Langan P 55 TH Hipertensi I 10 PDLDs.Lubuk Raman L 20 TH Chest Paint PDLDs.Tangai L 25 TH Colic Abdomen N 27 UMUMDs.Pagar Agung P 33 TH Colic Abdomen N 27 UMUMDs.Pagar Jati L 65 TH Selulitis Septum THTBakaran P 49 TH GE A 09 PDLDs.Air Enau L 40 TH Obs nyeri perut N 27 UMUMDs.Negri Agung L 56 TH Colic Ureter N 23 PDLDs.Penandingan P 30 TH Dyspepsia K 30 PDLDs.Sungai Medang P 21 TH Dyspepsia K 30 PDLJl.K H Ahmad Dahlan L 23 TH Apendik K 35 BDHDs.Beruge P 60 TH Dyspepsia K 30 PDLDs.Aur Kp.I P 42 TH Dyspepsia K 30 PDLDs.Pengabuan P 39 TH GE A 09 PDLDs.Sugiwaras L 25 TH TB Paru A 15 PDLDs.Sugiwaras L 25 TH TB Paru A 15 PDLDs.Sumber Mulya L 25 TH Tumor Nasofaring C 11 THTDs.Air Masam Kp.I P 26 TH GOUT PDL
Tanjung Rambang L 29 TH SH K 74 PDLDs.Sukarami L 40 TH Apendik K 35 BDHDs.Danau Baru L 42 TH GE A 09 PDLDs.Tanjung Bulan Kp.I P 50 TH Thypoid A 01 PDLJl.Kelekar Majasari P 23 TH Hipertiroid E 05 PDLDs.Sugihan P 43 TH Dyspepsia K 30 PDLDs.Menanti Kp.II L 59 TH PPOK J 44 PDLDs.Sukamanis L 36 TH Colic Abdomen N 27 UMUMDs.Betung L 60 TH Dyspepsia K 30 PDLDs.Lubuk Raman L TH TB Paru A 15 PDLJl.Mentawai P 60 TH Cefalgia R 42 PDLDs.Danau Rata P 48 TH Dyspepsia K 30 PDLBeringin L 60 TH Hipertensi I 10 PDLDs.Sugihan P 40 TH Dyspepsia K 30 PDLDs.Sungai Langan P 45 TH Ca Servix KANDDs.Tanjung Raman L 29 TH Anemia D 50 PDLDs.Prambatan P 21 TH Osteomilitis BDHDs.Payuputat P 20 TH Ascariasis PDLDs.Sugiwaras L 53 TH Terminum Zat Kimia BDHGunung Megang P 54 TH Anemia D 50 PDLDs.Tanjung Bunut P 40 TH Hipertensi I 10 PDLDs.Kuang Dalam L 32 TH DBD A 91 PDLDs.Baru Rambang P 50 TH GE A 09 PDLJl.Bukit Lingkar P 76 TH GE A 09 PDLJl.Jenderal Sudirman L 61 TH HHD I 11 PDLDs.Gunung Raja P 63 TH Dyspepsia K 30 PDLDs.Gumai Kp.I P 59 TH OA PDLDs.Talang Nangka L 70 TH HHD I 11 PDLDs.Muara Sungai P 19 TH Hamil 22 mg+anemia aplastik D 60 KEBDs.Sungai Langan L 40 TH Dyspepsia K 30 PDLDs.Sebau P 20 TH Post Curet O 03 KAND
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME J MEDIKHartono Non PK ### 1,426,690 800,000 54,400 Hartono Non APS 5,114,450 1,462,375 400,000 32,400 Depta Non PK 1,097,550 451,375 240,000 21,600 Depta DR PK 22,500 275,000 30,000 Depta DR PK 22,500 275,000 30,000 Afriyanto Non APS 508,050 27,130 160,000 16,200 Afriyanto Non PK 1,124,950 759,080 320,000 27,000 Depta DR APS 110,000 12,000 Nurlela Non PK 1,526,050 160,000 ### 16,200 Rahman Non PK 80,000 10,800 Depta Non PK 369,000 1,117,200 160,000 16,200 Rahman Non PK 100,300 240,000 10,800 Nurlela Non APS 401,550 406,400 160,000 16,200 Depta Non APS 596,000 61,880 240,000 21,600 Depta Non PK 148,650 152,650 160,000 16,200 Harry Non APS 714,400 64,330 320,000 27,000 Depta Non PK 377,900 307,475 160,000 16,200 Nurlela Non PK 718,450 327,375 160,000 16,200 Depta Non Mati < 24 890,100 182,110 80,000 10,800 Depta Non APS 601,850 469,395 285,000 31,200 Rahman Non PK 23,700 181,850 160,000 10,800 Harry Non PK 11,850 21,025 80,000 10,800 Depta Non Pindah IsoDepta Non PK 1,175,450 332,145 460,000 44,400 Bujang Non Dirujuk 540,300 27,130 160,000 16,200 Rahman Non PK 897,950 384,100 400,000 27,000 Afriyanto Non PK 86,350 127,700 80,000 10,800 Afriyanto Non PK 132,650 55,350 80,000 10,800 Afriyanto Non PK 864,600 83,530 240,000 21,600 Afriyanto Non APS 435,650 52,750 160,000 16,200 Afriyanto Non APS 729,500 186,700 240,000 21,600 Depta Non PK 241,150 278,510 160,000 16,200 Nurlela Non APS 520,800 282,275 160,000 16,200 Depta Non PK 1,250,200 482,125 320,000 2,700 Nurlela Non Pindah Kls II 232,100 84,235 80,000 10,800 Depta Non Pindah IsoDepta Non PK 177,700 371,025 175,000 21,000 Depta Non PK 241,150 471,680 160,000 16,200 Rahman Non PK 100,300 160,000 15,600 Rahman Non PK 100,300 160,000 15,600 Depta Non PK 1,066,100 574,215 320,000 27,000 Afriyanto Non PK 311,150 67,530 160,000 16,200 Afriyanto Non PK 972,900 70,930 320,000 27,000 Depta Non APS 422,650 513,700 190,000 16,200 Nurlela Non PK 99,950 84,235 80,000 10,800 Afriyanto Non PK 88,450 25,650 80,000 10,800 Afriyanto Non APS 1,091,900 30,530 240,000 21,600 Nurlela Non PK 124,650 352,750 160,000 16,200
Depta Non APS 941,700 977,665 240,000 21,600 Nurlela Non APS 352,700 258,250 160,000 10,800 Hartono Non Pindah IsoAfriyanto Non PK 7,203,050 1,943,425 700,000 60,600 Afriyanto Non APS 464,600 105,790 160,000 23,400 Depta Non Pindah RSU 254,150 80,000 10,800 Depta Non APS 311,250 633,465 160,000 16,200 Depta DR APS 22,500 110,000 12,000 Rahman Non PK 14,000 80,000 5,400 Depta Non APS 658,000 417,005 160,000 16,200 Depta Non APS 389,300 471,925 160,000 16,200 Depta Non PK 118,600 277,060 95,000 15,600 Afriyanto Non PK 146,950 140,050 80,000 10,800 Afriyanto Non PK 593,600 219,005 240,000 21,600 Harry Non PK 523,800 228,080 240,000 21,600 Harry Non PK 377,150 148,910 160,000 16,200 Depta Non PK 672,450 637,050 285,000 31,200 Depta DR PK 55,000 6,000 Afriyanto Non PK 2,291,300 252,080 480,000 37,800 Harry Non PK 420,150 214,285 160,000 16,200 Harry Non PK 268,800 109,775 160,000 16,200 Depta Non PK 16,500 80,000 10,800 Afriyanto Non APS 549,900 147,250 160,000 16,200 Depta Non PK 514,150 364,715 240,000 21,600 Depta Non PK 519,200 362,580 190,000 23,400 Afriyanto Non PK 443,950 287,280 285,000 31,200 Depta Non Dirujuk 88,000 144,425 80,000 10,800 Depta Non PK 1,027,350 263,445 320,000 27,000 Afriyanto Non PK 123,550 230,125 80,000 10,800 Harry Non PK 562,550 407,325 160,000 16,200 Afriyanto Non PK 227,000 111,350 80,000 10,800 Afriyanto Non PK 375,250 179,450 160,000 16,200 Depta DR Dirujuk 443,050 385,000 42,000 Depta Non PK 99,450 331,725 80,000 5,400 Depta Non PK 468,500 429,225 160,000 16,200 Nurlela Non PK 572,200 409,820 320,000 27,000 Harry Non PK 499,900 313,035 160,000 16,200 Depta Non PK 399,350 97,325 240,000 21,600 Depta DR PK 22,500 165,000 18,000 Depta Non PK 751,900 306,845 160,000 16,200 Afriyanto Non PK 703,350 163,850 320,000 27,000 Afriyanto Non Pindah Vip 121,300 80,000 5,400 Bujang Non PK 1,333,750 116,735 400,000 32,400 Bujang Non APS 740,850 230,080 240,000 21,600 Nurlela Non PK 825,500 189,735 160,000 16,200 Nurlela Non APS 1,259,450 497,105 320,000 27,000 Bujang Non Pindah Bedah 417,950 80,000 10,800 Nurlela Non PK 767,900 724,795 160,000 16,200 Depta Non PK 662,300 270,005 320,000 27,000 Depta DR PK 14,750 110,000 12,000 Depta Non Pindah IsoDepta Non PK 893,850 569,525 365,000 36,600 Alip Non Dirujuk 59,250 17,550 240,000 21,600 Depta Non PK 249,000 628,715 240,000 21,600
Depta Non PK 1,781,000 595,045 400,000 32,400 Bujang Non Pindah Bedah 444,500 3,400 160,000 16,200 Harry Non PK 170,950 14,750 80,000 10,800 Depta Non PK 2,408,300 914,860 480,000 37,800 Depta Non PK 256,950 325,155 160,000 16,200 Harry Non PK 281,850 292,650 80,000 10,800 Depta Non Dirujuk 655,500 207,400 160,000 16,200 Afriyanto Non APS 730,600 285,680 160,000 16,200 Depta Non PK 789,550 624,935 320,000 27,000 Alip Non PK 20,350 172,225 95,000 15,600 Depta Non PK 160,800 158,000 540,000 15,000 Depta Non PK 443,350 513,450 320,000 21,600 Depta Non PK 74,450 368,335 80,000 10,800 Harry Non APS 334,950 346,185 80,000 10,800 Rahman Non APS 504,650 1,701,225 240,000 21,600 Depta Non PK 1,461,100 145,405 480,000 37,800 Bujang Non Pindah Bedah 1,166,900 62,875 240,000 21,600 Harry Non PK 439,050 151,490 160,000 16,200 Nurlela Non PK 841,150 109,585 160,000 16,200 Depta Non PK 456,850 390,925 160,000 16,200 Depta Non Dirujuk 733,700 208,680 320,000 27,000 Depta Non PK 1,329,150 384,975 320,000 27,000 Harry Non APS 39,400 50,300 80,000 10,800 Nurlela Non PK 412,800 183,440 240,000 21,600 Depta Non PK 456,200 373,025 240,000 21,600 Depta Non PK 583,250 516,800 160,000 16,200 Depta Non APS 669,600 900,890 240,000 21,600 Depta Non PK 263,450 223,745 160,000 16,200 Depta Non Dirujuk 493,300 331,700 160,000 10,800 Afriyanto Non APS 237,900 89,645 160,000 10,800 Rahman Non PK 80,000 5,400
### 38,321,395 26,990,000 2,478,700
BIAYA
J SHIF P INFUS CATETER NGT INJEKSI SKINT TEST VISITE 39,600 20,000 150,000 420,000 21,600 20,000 75,000 220,000 14,400 45,000 185,000 20,000 15,000 45,000 2,000 200,000 20,000 45,000 240,000 10,800 30,000 2,000 145,000 18,000 20,000 60,000 125,000 8,000 18,000 160,000 10,800 20,000 30,000 2,000 70,000 7,200 40,000 10,800 30,000 2,000 120,000 7,200 80,000 10,800 20,000 30,000 2,000 60,000 14,400 20,000 185,000 10,800 45,000 120,000 18,000 20,000 20,000 2,000 180,000 10,800 20,000 30,000 2,000 120,000 10,800 20,000 30,000 7,200 50,000 5,000 2,000 105,000 20,800 45,000 2,000 135,000 7,200 60,000 7,200 15,000 40,000
29,600 20,000 50,000 4,000 245,000 10,800 20,000 2,000 140,000 18,000 45,000 280,000 7,200 5,000 30,000 7,200 10,000 30,000 14,400 20,000 45,000 2,000 90,000 10,800 20,000 30,000 2,000 60,000 14,400 45,000 2,000 90,000 10,800 145,000 10,800 30,000 60,000 18,000 20,000 60,000 200,000 7,200 5,000
14,000 30,000 2,000 85,000 10,800 15,000 80,000 10,400 80,000 10,400 80,000 18,000 60,000 200,000 10,800 30,000 2,000 60,000 18,000 20,000 60,000 2,000 120,000 10,800 20,000 145,000 7,200 15,000 30,000 7,200 5,000 30,000 14,400 20,000 45,000 2,000 90,000 10,800 10,000 2,000 60,000
14,400 45,000 150,000 7,200 20,000 2,000 60,000
40,400 40,000 120,000 2,000 340,000 15,600 30,000 2,000 70,000 7,200 50,000 10,000 40,000 10,800 30,000 80,000 8,000 15,000 18,000 120,000 3,600 20,000 10,800 30,000 80,000 10,800 30,000 120,000 10,400 10,000 90,000 7,200 15,000 2,000 30,000 14,400 30,000 2,000 90,000 14,400 15,000 2,000 170,000 10,800 10,000 60,000 20,800 20,000 45,000 180,000 4,000 9,000 2,000 80,000 25,200 20,000 60,000 180,000 10,800 30,000 2,000 60,000 10,800 20,000 10,000 2,000 60,000 7,200 75,000 10,800 20,000 2,000 60,000 14,400 60,000 215,000 15,600 20,000 2,000 155,000 20,800 45,000 2,000 105,000 7,200 10,000 40,000 18,000 20,000 60,000 2,000 265,000 7,200 5,000 2,000 30,000 10,800 30,000 2,000 80,000 7,200 10,000 2,000 30,000 10,800 20,000 2,000 60,000 28,000 15,000 63,000 290,000 3,600 80,000 10,800 30,000 135,000 18,000 60,000 2,000 120,000 10,800 20,000 60,000 14,400 20,000 27,000 140,000 12,000 15,000 27,000 2,000 110,000 10,800 20,000 2,000 60,000 18,000 20,000 40,000 2,000 170,000 3,600 10,000 21,600 20,000 75,000 2,000 240,000 14,400 20,000 30,000 2,000 140,000 10,800 30,000 60,000 18,000 40,000 2,000 150,000 7,200 15,000 30,000 10,800 30,000 2,000 60,000 18,000 20,000 40,000 180,000 8,000 18,000 2,000 105,000
24,400 20,000 60,000 2,000 205,000 14,400 165,000 14,400 30,000 2,000 160,000
21,600 20,000 75,000 265,000 10,800 20,000 40,000 7,200 15,000 2,000 30,000 25,200 20,000 90,000 2,000 280,000 10,800 30,000 145,000 7,200 15,000 30,000 10,800 20,000 2,000 120,000 10,800 30,000 2,000 60,000 18,000 20,000 60,000 160,000 10,400 35,000 10,000 150,000 14,400 40,000 190,000 7,200 5,000 80,000 7,200 15,000 2,000 30,000 14,400 50,000 30,000 2,000 230,000 25,200 20,000 90,000 345,000 14,400 45,000 220,000 10,800 30,000 2,000 60,000 10,800 30,000 2,000 100,000 10,800 20,000 30,000 120,000 18,000 60,000 240,000 18,000 60,000 2,000 160,000 7,200 5,000 2,000 30,000 14,400 30,000 2,000 90,000 14,400 20,000 45,000 185,000 10,800 30,000 2,000 145,000 14,400 45,000 150,000 10,800 20,000 20,000 2,000 120,000 7,200 20,000 80,000 7,200 10,000 30,000 3,600 40,000
1,672,000 740,000 100,000 50,000 3,860,000 122,000 15,285,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM 10,000 175,000 200,000 13,335,840 10,000 112,500 130,000 7,598,325
60,000 2,114,925 609,500 632,500
25,000 924,180 60,000 2,514,030
308,000 75,000 2,070,050 15,000 153,000
10,000 15,000 ### 1,865,200 10,000 25,000 12,500 485,800
30,000 1,136,950 20,000 1,158,880
20,000 95,000 30,000 798,300 30,000 1,395,730
10,000 40,000 30,000 1,124,375 ### 1,312,825
20,000 115,000 30,000 1,497,210 30,000 1,620,245 15,000 458,550 20,000 205,875
10,000 277,500 60,000 2,708,095 30,000 946,430
40,000 12,000 2,104,050 10,000 357,050 20,000 346,000
10,000 15,000 35,000 1,441,130 25,000 812,400 30,000 1,359,200 25,000 876,660 25,000 1,105,075 60,000 2,413,025
419,335
10,000 15,000 25,000 925,725 25,000 1,019,830 12,500 378,800 12,500 378,800 35,000 2,300,315 20,000 677,680 30,000 1,640,830 25,000 1,343,350
10,000 15,000 ### 367,185 10,000 15,000 ### 287,100
50,000 1,605,430 10,000 15,000 30,000 791,400
20,000 165,000 50,000 2,625,365 30,000 900,950
200,000 10,649,475 30,000 901,390
10,000 85,000 30,000 577,150 10,000 15,000 30,000 1,296,715
305,500 10,000 133,000 25,000 1,397,005 30,000 1,228,225 25,000 641,660
### 462,000 25,000 1,235,605 30,000 1,244,880 30,000 813,060 50,000 1,941,500
156,000 10,000 15,000 80,000 3,451,380
30,000 943,435 10,000 15,000 20,000 702,575 10,000 27,500 20,000 247,000
50,000 1,016,150 30,000 1,459,865 30,000 1,317,780
10,000 240,000 50,000 1,520,230 10,000 252,500 50,000 692,925 10,000 15,000 40,000 2,067,795
10,000 498,675 30,000 1,298,875
### 508,350 25,000 848,700
1,266,050 20,000 115,000 30,000 765,175 10,000 15,000 50,000 1,324,725
30,000 1,559,020 30,000 1,109,935 30,000 989,675
371,500 30,000 1,357,745 30,000 1,494,200
220,300 10,000 20,000 50,000 2,321,485
30,000 1,468,930 10,000 15,000 30,000 1,347,235
35,000 2,348,555 560,950
50,000 1,821,695 10,000 215,000 50,000 1,812,305
269,750
65,000 2,241,375 30,000 547,800 30,000 1,375,715
140,000 3,330,045 694,900
20,000 350,700 120,000 4,378,160 30,000 974,105 2,000 719,500
10,000 340,000 35,000 1,576,900 28,000 1,323,280
20,000 152,500 40,000 2,231,985 20,000 368,575
20,000 25,000 1,078,800 30,000 1,572,800 10,000 635,785
### 856,135 60,000 2,853,875 65,000 2,669,505
1,770,775 30,000 899,540 50,000 1,319,735 30,000 1,234,775 40,000 1,647,380 40,000 2,341,125 10,000 234,700 25,000 1,019,240
10,000 165,000 35,000 1,565,225 45,000 1,509,050 60,000 2,101,490 30,000 866,195 25,000 1,128,000 20,000 565,545 25,000 154,000
350,000 2,817,500 - 40,000 - 4,324,500 183,554,345
SELISIH DISCOUNT PERUSAHAAN
JamsostekJamsostek
Jamsostek
SBAL
Jamsostek
Jamsostek
475,550 Jamsostek
Jamsostek
38,150 Jamsostek
390,300 PNS
904,000 -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN AGUSTUS 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 20-Jul 26-Jul 6 9014476 III Ronisa,Ny2 21-Jul 25-Jul 4 7007599 III Doni,Sdr3 22-Jul 27-Jul 5 11003253 III Amin,Tn4 22-Jul 25-Jul 3 11012838 III Yusni,Ny5 23-Jul 24-Jul 2 11012886 III Heri Supren,Tn6 23-Jul 25-Jul 2 11012914 III Dasrin,Tn7 23-Jul 25-Jul 2 11012918 III Misira,Ny8 24-Jul 26-Jul 2 11002787 III Aini,Ny
24-Jul 25-Jul 1 11012956 III Defen,Sdr24-Jul 25-Jul 1 11006555 III Suparmin,Tn
10 25-Jul 29-Jul 4 11012983 III Apriadi,Tn11 25-Jul 27-Jul 2 11013002 III Diana,Ny12 25-Jul 27-Jul 2 11013028 III Marda,Ny13 26-Jul 28-Jul 2 7011673 III Suhartini,Ny14 26-Jul 27-Jul 1 11013112 III Rulhayati,Ny15 26-Jul 29-Jul 3 11007100 III Ronaita,Ny16 27-Jul 30-Jul 3 10015305 III Martini,Ny17 27-Jul 29-Jul 2 11013160 III Manto,Tn18 27-Jul 30-Jul 3 11013162 III Asni,Ny19 28-Jul 31-Jul 4 11013209 III Aimun,Tn20 28-Jul 31-Jul 4 11013210 III Yeni,Ny21 28-Jul 8-Aug 11 9017073 III Haryadin,Tn22 29-Jul 31-Jul 2 11013284 III Rumiana,Ny23 29-Jul 2-Aug 4 11013291 III Hendaria,Tn24 30-Jul 31-Jul 1 11013320 III Zailani,Tn25 30-Jul 3-Aug 4 11012496 III Sustia,Ny26 30-Jul 5-Aug 6 11013345 III Herman,Tn27 31-Jul 2-Aug 2 11013350 III GemitaTn28 31-Jul 3-Aug 3 11013367 III M Syarudin,Tn29 1-Aug 3-Aug 2 11013428 III Usep,Tn30 1-Aug 2-Aug 1 10019787 III Septi,Nn31 3-Aug 6-Aug 3 11013449 III Supriyadi,Tn32 3-Aug 5-Aug 2 11013547 III Sudarman,Tn33 3-Aug 4-Aug 1 11013546 III Ali Sapuan,Tn34 4-Aug 6-Aug 2 11013590 III Sipriyadi,Tn35 4-Aug 6-Aug 2 11013594 III Hj.Yauma,Ny36 6-Aug 9-Aug 3 11012914 III Dasrin,Tn37 6-Aug 11-Aug 5 11013709 III Mujio,Tn38 7-Aug 7-Aug 1 6013142 III Arbayani,Ny39 7-Aug 12-Aug 5 11013733 III Agus Mujono,Tn40 7-Aug 12-Aug 5 11013736 III Azwar,Tn41 7-Aug 9-Aug 2 11000573 III Suryati,Ny42 7-Aug 9-Aug 2 11013738 III Keary,Tn43 8-Aug 9-Aug 1 11013749 III Dedi,Tn44 8-Aug 10-Aug 2 11013791 III Hadisa,Ny45 8-Aug 10-Aug 2 10016035 III Asmudi,Tn46 9-Aug 11-Aug 3 11013857 III Yuanis,Ny47 9-Aug 10-Aug 1 11013860 III Meli,Ny
48 9-Aug 12-Aug 3 9015022 III Anasrudin,Tn49 9-Aug 12-Aug 3 III Rini,Ny50 9-Aug 13-Aug 4 11003627 III Usmar,Tn51 10-Aug 12-Aug 2 11013924 III Sukirman,Tn52 10-Aug 15-Aug 5 III Suryani,Ny53 11-Aug 15-Aug 4 11013961 III Hj. Zaenab,Ny54 11-Aug 15-Aug 4 11013971 III Siska,Ny55 12-Aug 16-Aug 4 11014010 III Parimin,Tn56 12-Aug 16-Aug 4 11014013 III Suyadi,Tn57 12-Aug 15-Aug 3 11010159 III Linasih,Ny58 12-Aug 15-Aug 3 10016035 III Asmudi,Tn59 12-Aug 15-Aug 3 11014043 III Mario,An60 12-Aug 18-Aug 6 11013709 III Mujio,Tn61 13-Aug 20-Aug 7 9003749 III Kartina,Ny62 13-Aug 16-Aug 3 11014094 III Cik Umar,Tn63 14-Aug 15-Aug 1 11014116 III Nurbaiti,Ny64 15-Aug 16-Aug 1 11014144 III Tiwa,Nn65 15-Aug 18-Aug 3 11014164 III Pono,Tn66 15-Aug 16-Aug 1 11014195 III Maisila,Ny67 15-Aug 19-Aug 4 11017371 III Rosadi,Tn68 16-Aug 22-Aug 6 11014220 III Abuzed,Tn69 16-Aug 18-Aug 2 10012471 III Rasinem,Ny70 16-Aug 21-Aug 6 11013769 III Romsana,Ny71 17-Aug 19-Aug 2 11014271 III Yuhani,Nn72 18-Aug 20-Aug 2 11014285 III Dasril,Tn73 18-Aug 19-Aug 1 9012976 III Kristine,Ny
18-Aug 20-Aug 2 11014297 III Kardinata,Tn74 18-Aug 18-Aug 1 11014301 III Cik Ning,Ny75 18-Aug 19-Aug 1 11014302 III Miftahul,Nn76 18-Aug 20-Aug 2 11013934 III Nicke,Nn77 19-Aug 21-Aug 2 11014372 III Kaer,Tn
1 24-Jul 30-Jul 6 11012786 Iso Dulhani,Tn2 26-Jul 29-Jul 3 11013053 Iso Supari,Tn3 26-Jul 6-Aug 11 11013082 Iso Zainal,Tn4 1-Aug 14-Aug 13 11013242 Iso Habibiyah,Ny5 3-Aug 6-Aug 3 11013525 Iso Yatni,Tn6 5-Aug 6-Aug 1 11013626 Iso Mulyadi,Tn7 6-Aug 9-Aug 3 11013710 Iso Nurhawa,Ny8 7-Aug 9-Aug 3 11005777 Iso Naswa,Ny9 11-Aug 14-Aug 3 11013986 Iso Jektori,Tn
10 15-Aug 18-Aug 3 10014864 Iso Welly,Tn11 17-Aug 20-Aug 3 11014253 Iso Dia,Nn12 18-Aug 22-Aug 4 11001844 Iso Regeme,Tn13 20-Aug 20-Aug 1 11014415 Iso Nudin,Tn149596979899100101102
103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XDs.Pangkul P 60 TH Ulkus Gaster K 29 PDLDs.Marga Mulya L 20 TH DBD A 91 PDLDs.Gumai Kp.I L 37 TH Hipertiroid PDLDs.Pangkul Kp.3 P 54 TH Dyspepsia K 30 PDLPerum Vina Sejahtera L 29 TH Chest Paint PDLDs.Sugiwaras L 33 TH Dyspepsia K 30 PDLDs.Sugihan P 50 TH Dyspepsia K 30 PDLDs.Sungai Medang P 63 TH Hipertensi I 10 PDLDs.Tanjung Raman L 14 TH Obs febris R 50 UMUMJl.Tebat No.202 L 68 TH Dyspepsia K 30 PDLMess PT BSP L 38 TH Anemia D 50 PDLDs.Prambatan P 20 TH Colic Abdomen R 10 UMUMDs.Aur P 35 TH Dyspepsia K 30 PDLJl.Beringin P 44 TH Syncope R 55 UMUMDs.Karang Bindu P 40 TH Colic Abdomen N 27 UMUMDs.Jemenang P 51 TH Dyspepsia A 15 PDLDs.Sialingan P 33 TH Dyspepsia K 30 PDLDs.Negeri Agung L 45 TH Syncope R 55 BDHDs.Sukamerindu P 30 TH Colic Renal N 23 PDLDs.Sungai Medang P 33 TH SNH I 64 SyarafDs.Marga Mulya P 20 TH Dyspepsia K 30 PDLJl.Jenderal Sudirman L 61 TH HHD I 11 PDLDs.Talang Nangka P 33 TH Dyspepsia K 30 PDLDs.Talang Balai L 30 TH Cefalgia R 51 PDLDs.Pengabuan Kp.2 L 55 TH SNH I 64 SyarafDs.Pagar Agung P 45 TH Dyspepsia K 30 PDLDs.Suban Jeriji L 35 TH Malaria B 50 PDLDs.Pagar Agung L 36 TH Thypoid A 01 PDLDs.Sukamerindu L 49 TH Asma Bronchial J 45 PDLMess PT BSP L 34 TH Cefalgia R 51 PDLJl.Jenderal Sudirman P 16 TH Dyspepsia K 30 PDLDs.Baru Jaya L 40 TH Abses Hepar PDLJl.Flores L 60 TH Gead Ringan A 09 PDLDs.Tanjung Menang Kp.3 L 29 TH Colic Abdomen N 27 UMUMDs.Karang Agung L 28 TH Dyspepsia K 30 PDLDs.Menanti P 50 TH Dyspepsia K 30 PDLDs.Sugiwaras L 33 TH Obs febris R 50 UMUMBhayangkara Pendopo L 53 TH HHD I 11 PDLDs.Talang Nangka Kp.I P 23 TH Colic Ureter N 23 PDLDs.Sumaja Makmur L 40 TH Anemia D 50 PDLJl.M Yamin L 36 TH Gead Ringan A 09 PDLDs.Sukarami P 43 TH Gead Ringan A 09 PDLDs.Talang Bulang L 22 TH Dyspepsia K 30 BDHDs.Sumber Rahayu L 32 TH Myalgia G 44 PDLDs.Sukamaju P 61 TH HHD I 11 PDLDs.Negri Agung L 53 TH Dyspepsia K 30 PDLDs.Pangkul P 46 TH Gead Ringan A 09 PDLDs.Sindur P 35 TH Dyspepsia K 30 PDL
Ds.Teluk Limau L 46 TH Dyspepsia K 30 PDLPenunggu Bayi
Ds.Lubuk Enau L 55 TH Syok Cardiogenik PDLDs.Panta Dewa KP.2 L 48 TH Kolitis K 51 PDL
Penunggu BayiDs.Babat Kp.3 P 80 TH Ulkus Peptikum K 28 PDLDs.Sialingan P 21 TH Cholecystitis BDHDs.Beringin L 50 TH Sirosis Hepatis K 74 PDLDs.Air Talas L 36 TH SNH I 64 SyarafDs.Lembak P 25 TH Dyspepsia K 30 PDLDs.Negri Agung L 53 TH Hipertensi I 10 PDLDs.Alai L 1 TH Gead Ringan A 09 ANAKJl.Pembangunan Pendopo L 53 TH Gead Ringan A 09 PDLMess PT BSP P 35 TH Suspec Meningitis SyarafDs.Sugiwaras L 86 TH Dyspepsia K 30 PDLDs.Penanggiran P 48 TH Dyspepsia K 30 PDLDs.Gunung Raja P 20 TH Dyspepsia K 30 PDLDs.Manunggal Jaya L 52 TH Ulkus Duodenum K 28 PDLDs.Gunung Raja P 65 TH HHD I 11 PDLTanjung Miring L 33 TH TB Paru A 15 PDLDs.Teluk Jaya L 65 TH Dyspepsia K 30 PDLDs.Raja P 60 TH Vertigo R 42 PDLJl.Baturaja P 54 TH Spondilosis Lumbalis PDLDs.Menanti P 20 TH ISK N 39 PDLJl.Bukit Lebar L 39 TH Gead Ringan A 09 PDLMess PT BSP P 25 TH Cholelitiasis PDLDs.Air Itam L 24 TH Peritonitis K 65 PDLDs.Talang Nangka P 50 TH Syok Cardiogenik PDLJl.Lintas P 21 TH Malaise PDLPendopo P 16 TH Belly Palsy SyarafTalang Ubi Pendopo L 66 TH CKD PDL
Ds.Sungai Medang L 55 TH TB Paru A 15 PDLJl.Jenderal Sudirman L 67 TH TB Paru A 15 PDLDs.Tanjung Raman L 66 TH TB Paru A 15 PDLDs.Sebau P 59 TH Hepatitis B 15 PDLDs.Mekar Jaya L 72 TH TB Paru A 15 PDLJl.Tri Sukses No.125 RT.2 L 40 TH Dyspepsia K 30 PDLDs.Teluk Limau P 50 TH TB Paru A 15 PDLDs.Sebau Kp.2 P 34 TH TB Paru A 15 PDLDs.Karta Mulya L 42 TH TB Paru A 15 PDLPrumnas Cendrawasih L 31 TH Varicela B 01 PDLDs.Tanjung Kemala P 15 TH Varicela B 01 PDLDs.Sugiwaras L 54 TH TB Paru A 15 PDLDs.Lubuk Getam L 70 TH Hematemesis+Melena PDL
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME J.MEDIKDepta Non PK 2,028,050 747,835 480,000 37,800 Depta Non PK 1,608,700 697,620 320,000 27,000 Depta Non PK 759,300 433,345 400,000 32,400 Afriyanto Non PK 821,800 226,325 240,000 21,600 Afriyanto Non APS 409,500 70,355 160,000 16,200 Harry Non PK 463,600 239,545 160,000 16,200 Harry Non APS 609,550 97,195 160,000 16,200 Depta Non PK 676,250 583,395 160,000 16,200 Afriyanto Non Pindah Kls II 283,000 30,530 80,000 10,800 Depta Non Pindah Vip 72,250 359,220 80,000 5,400 Depta Non PK 1,839,400 558,235 320,000 27,000 Bujang Non PK 555,950 185,310 160,000 16,200 Afriyanto Non PK 224,950 126,820 160,000 16,200 Depta DR PK 110,000 12,000 Afriyanto Non PK 18,250 70,680 80,000 10,800 Depta Non PK 901,850 241,410 240,000 21,600 Depta Non PK 789,700 420,775 240,000 21,600 Bujang Non PK 379,600 22,800 160,000 16,200 Depta Non PK 606,700 353,950 240,000 21,600 Depta Non APS 878,300 299,465 320,000 27,000 Depta Non APS 1,040,950 356,200 320,000 27,000 Depta Non PK 5,421,400 820,885 880,000 64,800 Harry Non PK 824,800 314,555 160,000 16,200 Depta Non APS 1,212,800 1,314,980 320,000 27,000 Harry Non Dirujuk 1,338,350 114,625 160,000 16,200 Depta Non PK 953,900 209,375 320,000 27,000 Depta Non PK 1,732,200 490,840 480,000 37,800 Harry Non PK 194,750 284,755 160,000 16,200 Depta Non PK 792,150 900,960 240,000 21,600 Nurlela Non PK 239,750 200,650 160,000 16,200 Harry Non PK 105,950 82,715 80,000 10,800 Depta Non Dirujuk 1,745,550 397,505 240,000 21,600 Afriyanto Non PK 275,150 32,450 160,000 16,200 Afriyanto Non APS 97,850 51,680 80,000 10,800 Nurlela Non PK 403,300 270,520 160,000 16,200 Depta Non PK 307,300 87,100 160,000 16,200 Depta Non PK 416,700 491,675 240,000 21,600 Depta RS PK 1,795,250 393,230 400,000 32,400 Afriyanto Non APS 46,250 160,050 80,000 10,800 Depta Non PK 2,892,100 347,380 400,000 32,400 Depta Non PK 998,700 304,295 400,000 32,400 Afriyanto Non PK 275,950 66,050 160,000 16,200 Depta Non PK 239,950 176,330 160,000 16,200 Depta Non PK 227,200 272,675 80,000 10,800 Depta Non Mati < 24 639,200 150,325 160,000 16,200 Depta Non PK 181,150 642,275 160,000 16,200 Nurlela Non APS 546,600 234,085 160,000 16,200 Nurlela Non PK 272,900 141,785 80,000 10,800
Azinar Non APS 876,350 475,215 240,000 21,600 24,000
Depta Non Mati > 24 2,056,450 206,500 320,000 27,000 Nurlela Non APS 241,650 103,340 160,000 16,200
400,000 Depta PKM Dirujuk 1,797,650 117,950 320,000 27,000 Bujang Non PK 834,750 320,000 27,000 Depta Non PK 1,289,550 444,615 320,000 27,000 Depta Non APS 1,404,700 1,340,305 320,000 27,000 Harry Non PK 997,950 318,295 240,000 21,600 Depta Non PK 480,000 302,720 240,000 21,600 Harry Non PK 94,850 127,925 240,000 21,600 Depta Non Pindah RSU 1,572,200 293,145 480,000 37,800 Hartono Non PK 4,598,350 3,142,885 560,000 43,200 Depta Non PK 666,200 392,560 240,000 21,600 Harry Non PK 253,550 267,185 80,000 10,800 Nurlela Non APS 273,150 197,785 160,000 16,200 Depta Non APS 1,723,600 399,085 240,000 21,600 Depta Non Mati < 24 589,850 129,495 80,000 10,800 Depta Non PK 600,800 1,178,375 240,000 21,600 Depta Non PK 1,967,100 573,505 480,000 37,800 Depta Non PK 237,050 518,215 160,000 16,200 Depta Non PK 1,042,050 730,945 480,000 37,800 Nurlela Non PK 252,500 122,475 160,000 16,200 Depta DR PK 110,000 12,000 Depta Non PK 180,600 573,535 160,000 16,200 Azinar DR Pindah Bedah 1,433,000 118,215 160,000 16,200 Depta Non Mati < 24 423,350 80,000 10,800 Depta Non PK 80,000 10,800 Hartono DR PK 110,000 12,000 Depta Non Mati < 24 1,881,000 29,375 160,000 16,200
Depta Non PK 1,227,300 1,343,795 570,000 54,600 Depta Non PK 45,000 517,020 324,000 9,000 Depta Non PK 2,511,250 2,109,390 1,045,000 64,800 Depta Non PK 3,830,050 1,245,860 1,235,000 109,200 Depta Non APS 922,300 473,275 285,000 31,200 Depta Non PK 107,250 296,375 95,000 15,600 Depta Non Pindah RSU 373,600 500,775 285,000 16,200 Depta Non Mati > 24 434,900 276,855 285,000 31,200 Depta Non PK 564,850 566,860 285,000 31,200 Depta Non PK 818,000 407,430 240,000 21,600 Depta DR PK 165,000 18,000 Depta DR PK 583,600 633,860 380,000 39,000 Depta Non Mati < 24 665,100 89,725 95,000 7,800
78,996,250 35,639,625 23,483,000 2,056,800
- -
BIAYA
J.SHIF P.INFUS CATETER NGT INJEKSI SKINT TEST VISITE 25,200 20,000 90,000 280,000 18,000 20,000 75,000 2,000 190,000 21,600 20,000 50,000 240,000 14,400 45,000 2,000 90,000 10,800 10,000 30,000 10,800 20,000 2,000 60,000 10,800 30,000 2,000 60,000 10,800 45,000 150,000 7,200 10,000 2,000 30,000 3,600 40,000 18,000 60,000 2,000 265,000 10,800 30,000 2,000 155,000 10,800 20,000 110,000 8,000 18,000 20,000 7,200 30,000 14,400 15,000 150,000 14,400 45,000 220,000 10,800 30,000 2,000 80,000 14,400 15,000 2,000 140,000 18,000 60,000 160,000 18,000 25,000 160,000 43,200 20,000 165,000 4,000 545,000 10,800 20,000 30,000 2,000 60,000 18,000 20,000 60,000 215,000 10,800 80,000 135,000 18,000 20,000 40,000 2,000 190,000 25,200 20,000 90,000 2,000 240,000 10,800 20,000 2,000 60,000 14,400 30,000 160,000 10,800 20,000 2,000 60,000 7,200 10,000 30,000 14,400 20,000 45,000 2,000 160,000 10,800 20,000 2,000 60,000 7,200 10,000 30,000 10,800 20,000 2,000 100,000 10,800 20,000 2,000 100,000 14,400 45,000 140,000 21,600 20,000 75,000 220,000 7,200 5,000 2,000 30,000 21,600 20,000 50,000 2,000 240,000 21,600 20,000 75,000 2,000 220,000 10,800 30,000 60,000 10,800 30,000 80,000 7,200 15,000 80,000 10,800 30,000 145,000 10,800 20,000 120,000 10,800 30,000 2,000 60,000 7,200 10,000 30,000
14,400 30,000 160,000
18,000 40,000 265,000 10,800 30,000 2,000 60,000
18,000 20,000 60,000 225,000 18,000 20,000 60,000 170,000 18,000 60,000 200,000 18,000 60,000 265,000 14,400 45,000 2,000 90,000 14,400 30,000 140,000 14,400 15,000 2,000 90,000 25,200 20,000 90,000 240,000 28,800 20,000 105,000 2,000 385,000 14,400 45,000 2,000 140,000 7,200 15,000 2,000 30,000 10,800 30,000 2,000 30,000 14,400 20,000 45,000 160,000 7,200 15,000 80,000 14,400 45,000 160,000 25,200 20,000 90,000 305,000 10,800 30,000 120,000 25,200 90,000 265,000 10,800 20,000 2,000 100,000 8,000 18,000 2,000 120,000 10,800 15,000 80,000 10,800 50,000 30,000 2,000 220,000 7,200 15,000 65,000 7,200 40,000 8,000 18,000 85,000 10,800 30,000 2,000 145,000
36,400 20,000 90,000 315,000 6,000 75,000 43,200 40,000 165,000 480,000 72,800 20,000 195,000 650,000 20,800 20,000 50,000 15,000 180,000 10,400 10,000 90,000 10,800 30,000 2,000 120,000 20,800 25,000 135,000 20,800 45,000 2,000 135,000 14,400 30,000 2,000 160,000 12,000 27,000 2,000 160,000 26,000 20,000 60,000 2,000 180,000 5,200 15,000 2,000 25,000
1,371,200 480,000 50,000 50,000 3,651,000 82,000 13,370,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM 100,000 3,808,885 60,000 3,018,320 50,000 2,006,645 50,000 1,511,125
20,000 77,500 17,000 821,355 30,000 1,002,145 30,000 1,015,745
10,000 27,500 50,000 1,729,145 453,530 560,470
100,000 3,189,635 30,000 1,145,260 30,000 698,770
7,500 10,000 185,500 10,000 15,000 20,000 261,930 20,000 40,000 45,000 1,689,260 20,000 40,000 50,000 1,861,475 10,000 15,000 30,000 756,400
30,000 1,423,650 25,000 1,787,765 32,000 1,979,150
10,000 215,000 120,000 8,309,285 30,000 1,468,355 80,000 3,267,780
20,000 327,500 40,000 2,242,475 30,000 1,810,275 60,000 3,178,040 20,000 768,505
10,000 15,000 35,000 2,219,110 30,000 739,400 10,000 336,665 60,000 2,706,055 25,000 601,600 15,000 302,530 25,000 1,007,820 25,000 728,400 50,000 1,419,375
20,000 40,000 50,000 3,067,480 10,000 351,300
10,000 165,000 110,000 4,290,480 60,000 2,133,995 30,000 649,000 30,000 743,280 30,000 722,875
10,000 15,000 40,000 1,216,525 25,000 1,175,425
10,000 15,000 30,000 1,114,685 10,000 ### 20,000 592,685
50,000 1,867,565 24,000
20,000 612,500 65,000 3,630,450 30,000 653,990
400,000 95,000 2,680,600 25,000 1,474,750 70,000 2,429,165 60,000 3,495,005 25,000 1,754,245 30,000 1,258,720 20,000 625,775
10,000 15,000 60,000 2,843,345 200,000 9,085,235 30,000 1,551,760 20,000 685,735 20,000 739,935 100,000 2,723,685
20,000 177,500 50,000 1,159,845 10,000 15,000 80,000 2,365,175
80,000 3,578,605 30,000 1,122,265 33,000 2,703,995 25,000 708,975
270,000 50,000 1,086,135
2,040,215 10,000 62,500 10,000 683,850
15,000 153,000 233,000
20,000 197,500 70,000 2,561,875
20,000 277,500 55,000 4,009,595 12,000 15,000 1,003,020 20,000 1,077,500 234,000 15,000 7,805,140
120,000 7,477,910 10,000 152,500 35,000 2,195,075
20,000 644,625 10,000 165,000 30,000 1,543,375 20,000 15,000 30,000 1,273,755
30,000 1,680,710 100,000 1,793,430
384,000 30,000 1,954,460
20,000 21,250 25,000 971,075
399,500 3,816,250 234,000 3,717,000 167,396,625
- -
SELISIH DISCOUNT PERUSAHAAN
BSP
Jamsostek
936,835
BSP
17,905
BSP
JamsostekBSP
50,000 Jamsostek
913,820 PNS
TUGU MANDIRIJamsostek
- - - - - 963,820 954,740
- - - - -
- - -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN SEPTEMBER 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 11-Aug 24-Aug 13 11013428 III Usep,Tn2 18-Aug 23-Aug 5 11014287 III Indriyati,Nn3 19-Aug 23-Aug 4 11014377 III Yuna,Ny4 20-Aug 22-Aug 3 11014439 III Riko Hamzah,Tn5 21-Aug 24-Aug 3 11014444 III Mustobi,Tn6 21-Aug 25-Aug 4 11014450 III Angga,Sdr7 21-Aug 23-Aug 2 11010159 III Linasih,Ny8 21-Aug 23-Aug 2 11014458 III Megawati,Nn9 21-Aug 23-Aug 2 11014459 III Nuyuni,Ny
10 22-Aug 24-Aug 2 11014481 III M Siran,Tn11 22-Aug 27-Aug 5 10007893 III Lusi Opriati,Ny12 22-Aug 24-Aug 2 9006341 III Amisah,Ny13 22-Aug 23-Aug 2 11014515 III Sudiana,Ny14 22-Aug 24-Aug 2 11014532 III Rusana,Ny15 23-Aug 25-Aug 3 11014534 III Husnayanti,Ny16 23-Aug 24-Aug 1 11014538 III Rofiah,Ny17 23-Aug 28-Aug 5 11012168 III Suhaima,Ny18 23-Aug 26-Aug 3 11014584 III Sarmudin,Tn19 23-Aug 26-Aug 3 11014588 III Yansah,Tn20 23-Aug 27-Aug 4 11012331 III Jidin,Tn21 23-Aug 25-Aug 2 11014592 III Herdiyana,Ny22 24-Aug 27-Aug 3 11014612 III Hanayu,Ny23 25-Aug 28-Aug 3 11014675 III Muhamad,Tn24 25-Aug 31-Aug 6 11014699 III Sarkoha,Tn25 26-Aug 29-Aug 3 11014729 III Wati,Ny26 26-Aug 27-Aug 1 11014739 III Ngasidin,Tn27 27-Aug 29-Aug 2 11014755 III Irham,Tn28 27-Aug 28-Aug 1 11014793 III Fiki,Tn29 27-Aug 29-Aug 2 11014802 III Cekdung,Tn30 29-Aug 1-Sep 3 11014871 III Remsi,Ny31 29-Aug 31-Aug 2 11014889 III Sami,Ny32 30-Aug 31-Aug 2 11012333 III Pani,Tn33 30-Aug 2-Sep 2 11014934 III Ahmad Yasid,Tn34 31-Aug 1-Sep 1 11014951 III Masuna,Ny35 31-Aug 1-Sep 1 11010723 III Tri Wahyudi,Tn36 31-Aug 1-Sep 1 11014965 III Hairul,Tn37 31-Aug 1-Sep 1 11014969 III Awam Santoso,Tn38 31-Aug 1-Sep 1 11014971 III Anita,Nn39 31-Aug 2-Sep 2 11014974 III Abdurahman,Tn40 31-Aug 2-Sep 2 11014975 III Astiana Tuti,Ny41 1-Sep 3-Sep 2 11014984 III Husnaini,Ny42 1-Sep 2-Sep 1 11005002 III Haruwan,Tn
1-Sep 2-Sep 1 11015006 III Samsir,Tn43 1-Sep 6-Sep 5 11015027 III Sarinem,Ny44 1-Sep 3-Sep 2 11015028 III Ahmad Surani,Sdr
2-Sep 6-Sep 4 11015070 III Mat Yohan,Tn45 2-Sep 5-Sep 3 10013792 III Ernawati,Ny46 2-Sep 5-Sep 3 11015094 III A Budi,Tn
47 2-Sep 6-Sep 5 11015100 III Abul Hasan,Tn48 2-Sep 4-Sep 2 11015102 III Fitria,Ny49 2-Sep 3-Sep 1 11015106 III Marlinda,Ny50 3-Sep 4-Sep 1 9015345 III Faisal,Sdr51 3-Sep 9-Sep 6 11015126 III Ismail,Tn52 3-Sep 7-Sep 4 11007194 III Erna Juwita,Ny53 3-Sep 5-Sep 2 11015152 III Siti Lama,Ny54 3-Sep 5-Sep 2 11015149 III Sobiha,Ny
3-Sep 4-Sep 1 11015150 III Ardiansyah,Tn55 4-Sep 10-Sep 6 11015181 III Elmi Yulinda,Ny56 4-Sep 6-Sep 2 11015192 III Kunsuri,Tn57 5-Sep 7-Sep 2 11015313 III Hopiah,Ny58 6-Sep 10-Sep 4 6005300 III Bakri,Tn59 6-Sep 10-Sep 4 11015362 III M Sron,Tn60 6-Sep 8-Sep 2 11015369 III Lasni,Ny61 6-Sep 11-Sep 5 11015371 III Nurlela,Ny62 6-Sep 9-Sep 3 7013133 III Burhan,Tn63 6-Sep 9-Sep 3 10005974 III Dewi Retno,Ny64 7-Sep 15-Sep 8 11014895 III Juli,Tn65 7-Sep 17-Sep 10 11015421 III Rusnan,Tn66 7-Sep 9-Sep 2 11015450 III Seman,Tn67 7-Sep 11-Sep 4 9003186 III Kartini,Ny68 7-Sep 10-Sep 3 11015475 III Fitriyani,Ny69 7-Sep 8-Sep 2 11015479 III Sainama,Ny70 7-Sep 10-Sep 3 11015506 III Basirson,Tn71 8-Sep 10-Sep 2 11015529 III Yeyen,Ny72 8-Sep 10-Sep 2 11015534 III Rico,Sdr73 9-Sep 12-Sep 3 11015566 III Tariwen,Nn74 9-Sep 10-Sep 1 11015567 III Juhalima,Ny75 9-Sep 11-Sep 2 11015575 III Suharti,Ny76 9-Sep 14-Sep 5 11015577 III Yutiyana,Ny77 9-Sep 10-Sep 1 11015578 III Dwi Astuti,Ny78 9-Sep 12-Sep 3 11015596 III Ishak,Tn79 9-Sep 10-Sep 1 9010310 III Ari Sepriani,Ny80 10-Sep 15-Sep 5 11014971 III Anita,Nn81 10-Sep 14-Sep 4 11015660 III Aludin,Tn82 11-Sep 13-Sep 2 11015673 III Nislaini,Ny83 11-Sep 13-Sep 2 11014775 III Marani,Ny84 11-Sep 15-Sep 4 11015702 III Robiah,Ny85 12-Sep 14-Sep 2 III Witary,Ny86 12-Sep 14-Sep 2 11015714 III Dewi Agustina,Ny87 12-Sep 17-Sep 6 11015759 III Andri Kusuma,Sdr88 13-Sep 14-Sep 1 11015785 III Zulkifli,Tn
13-Sep 16-Sep 3 11015795 III Non Yumi,Nn89 13-Sep 16-Sep 3 11015801 III Bella,Ny90 13-Sep 16-Sep 3 7005601 III Nasori,Tn91 13-Sep 16-Sep 3 11015809 III Nasir,Tn92 13-Sep 15-Sep 2 11015811 III Jumina,Ny94 13-Sep 17-Sep 4 11015813 III Umar Hasan,Tn95 13-Sep 14-Sep 1 11015836 III Nawawi,Tn96 13-Sep 15-Sep 2 11015563 III Risnawati,Ny
14-Sep 15-Sep 1 11013631 III Pramawido,Tn97 14-Sep 15-Sep 1 11010629 III Khairul Saleh,Tn98 15-Sep 16-Sep 2 11009774 III Rukini,Ny
99 15-Sep 17-Sep 2 11015923 III Komarudin,Tn100 15-Sep 16-Sep 1 10019445 III Susanti,Ny101 15-Sep 17-Sep 2 11015939 III Sumrasni,Ny
15-Sep 16-Sep 1 10012947 III Henita,Ny102 15-Sep 19-Sep 4 11007671 III M Idris,Tn103 16-Sep 18-Sep 3 11015950 III Naiha,Ny104 16-Sep 21-Sep 5 9007445 III Bambang,Tn105 16-Sep 18-Sep 2 7008688 III Indrayati,Ny106 16-Sep 24-Sep 8 10008548 III Marwiyah,Ny107 16-Sep 19-Sep 3 11015595 III Acong,An108 16-Sep 18-Sep 2 11016000 III Rita,Ny109 17-Sep 21-Sep 4 8000036 III Cik Umar,Tn110 17-Sep 18-Sep 2 11016026 III Koryani,Tn111 17-Sep 17-Sep 1 11016031 III Miki Ardila,Nn112 17-Sep 18-Sep 2 11016049 III Doli,Nn113 17-Sep 23-Sep 6 11016069 III Sujono,Tn114 17-Sep 21-Sep 4 11015848 III Darman,Tn115 18-Sep 20-Sep 3 11016074 III A Saupawi,Tn116 18-Sep 20-Sep 2 7010067 III Hermasia,Ny117 18-Sep 22-Sep 4 11016103 III Dedi Asman,Tn
19-Sep 21-Sep 2 11016019 III Ropima,Ny118 19-Sep 21-Sep 2 9011931 III Titik Suwarti,Ny119 19-Sep 21-Sep 2 11008100 III Ahmad,Tn120 19-Sep 23-Sep 4 11016176 III Meli,Nn121 19-Sep 21-Sep 2 7014647 III Fatwa Rika,Tn122 20-Sep 23-Sep 3 11016239 III Merlin,Nn123 21-Sep 24-Sep 3 6005847 III Sumarni,Ny124 21-Sep 23-Sep 2 6012946 III Barika,Nn125 21-Sep 23-Sep 2 9002991 III Adi Waloyo,Tn126 21-Sep 24-Sep 3 11016298 III Rusli,Tn127 21-Sep 22-Sep 1 11016310 III Revi,Nn
21-Sep 23-Sep 2 11016313 III Desy,Nn128 22-Sep 24-Sep 2 11014894 III Kasmuji,Tn129 22-Sep 23-Sep 1 11016351 III Komang,Sdr130 22-Sep 24-Sep 2 11016358 III Sarimunah,Ny131 23-Sep 24-Sep 1 11016370 III Sima,Ny
1 22-Aug 27-Aug 5 11014506 Iso Saudan,Tn2 24-Aug 26-Aug 2 11014642 Iso Komari,Tn3 27-Aug 1-Sep 5 11013243 Iso Yuti,Ny4 2-Sep 4-Sep 2 11015006 Iso Samsir,Tn5 3-Sep 5-Sep 2 11015000 Iso Saini,Tn6 6-Sep 9-Sep 3 11015392 Iso Yuzanah,Ny7 7-Sep 10-Sep 3 10016771 Iso Marpuah,Ny
7-Sep 8-Sep 1 11015471 Iso Hazanah,Ny8 10-Sep 12-Sep 2 7013960 Iso Ginas,An9 12-Sep 17-Sep 5 11015749 Iso Mulyadi,Tn
10 12-Sep 14-Sep 2 11015766 Iso Sukiran,Tn11 13-Sep 16-Sep 3 11015823 Iso Berohim,Tn12 16-Sep 17-Sep 2 11014339 Iso Cik Ambon,Tn13 17-Sep 20-Sep 3 6001766 Iso Seh Darus,Tn14 19-Sep 23-Sep 4 11016139 Iso Umar Husni,Tn15 19-Sep 22-Sep 3 11016151 Iso Darseh,Ny16 20-Sep 23-Sep 3 11016189 Iso Aldiansyah,Tn
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XMess PT BSP L 24 TH Suspec Meningitis SyarafDs.Lubuk Semantung P 12 TH DSS A 91 PDLDs.Tanjung Bunut P 75 TH HHD I 11 PDLDs.Sukamerindu L 28 TH GE A 09 PDLDs.Jungai L 47 TH Dyspepsia K 30 PDLDs.Babat L 18 TH Thypoid A 01 PDLDs.Lembak P 25 TH Dyspepsia K 30 PDLDs.Manunggal Jaya P 11 TH Dyspepsia K 30 PDLDs.Tanjung Telang P 52 TH Dyspepsia K 30 PDLJl.Jenderal Sudirman L 54 TH Hipertensi I 10 PDLMess PT BSP P 29 TH Hipokalemia PDLDs.Betung P 58 TH Dyspepsia K 30 PDLDs.Pangkul P 50 TH Colic Abdomen N 27 PDLDs.Sukamerindu P 40 TH HHD I 11 PDLDs.Tanjung Bunut P 50 TH Atralgia PDLDs.Lubuk Enau P 55 TH Dyspepsia K 30 PDLJl.Kapten Abdulah P 56 TH Dyspepsia K 30 PDLDs.Pagar Dewa L 45 TH Dyspepsia K 30 PDLDs.Gunung Raja L 18 TH DBD A 91 PDLDs.Benuang L 28 TH PPOK J 44 PDLDs.Talang Beliung P 25 TH ISK PDLDs.Kayuara P 54 TH SNH I 64 SyarafDs.Prambatan L 22 TH Melena PDLDs.Sukamerindu L 65 TH Dyspepsia K 30 PDLDs.Tanjung Kemala Kp.3 P 45 TH GE A 09 PDLDs.Putak L 75 TH Dyspepsia K 30 PDLDs.Gaung Asam L 32 TH Colic Abdomen N 27 PDLDs.Tanah Abang L 26 TH Intoxikasi Racun Tikus PDLBakaran L 70 TH Stomatitis PDLKarang Raja P 29 TH Colic Abdomen N 27 PDLDs.Talang Akar Kp.3 P 65 TH Hematemisis Melena PDLDs.Pangkul P 50 TH Colic Abdomen N 27 PDLDs.Talang Balai Kp.2 L 29 TH GE A 09 PDLDs.Benuang P TH GE A 09 PDLJl.Alipatan L TH Colic Ranal N 23 PDLDs.Talang Balai Kp.2 L 25 TH GE A 09 PDLDs.Gunung Megang L 25 TH Colic Ranal N 23 PDLDs.Gunung Raja P 17 TH Intoxikasi Racun Tikus PDLJl.Toman No.7 L 44 TH Dyspepsia K 30 PDLDs.Talang Balai Kp.2 P 30 TH GE A 09 PDLDs.Sungai Medang P 50 TH SNH I 64 SyarafDs.Tanjung Telang L 24 TH Myalgia PDLJl.Baturaja L 40 TH TB Paru A 15 PDLDs.Sukajadi P 70 TH GE A 09 PDLDs.Sukajadi L 16 TH RHD I 09 PDLDs.Pagar Agung L 35 TH Tumor Otak SyarafDs.Penungkal Abab P 26 TH Malaise PDLJambi L 29 TH ISPA J 22 PDL
Ds.Petanang L 70 TH HHD I 11 PDLDs.Kuang Dalam P 22 TH Colic Abdomen N 27 PDLDs.Karang Endah P 19 TH Post Partum O 80 KEBDs.Sukamenanti L 20 TH GE A 09 PDLDs.Penandingan L 73 TH SNH I 64 SyarafDs.Talang Balai Kp.2 P 38 TH Pnemonia J 18 PDLTanjung Kemala P 42 TH GE A 09 PDLDs.Talang Balai Kp.2 P 55 TH Dyspepsia K 30 PDLDs.Sugihan L 38 TH Apendik K 35 BDHDs.Tebat Agung P 28 TH Dyspepsia K 30 PDLDs.Pagar Agung L 45 TH GE A 09 PDLDs.Melilian Kp.I P 60 TH GE A 09 PDLDs.Baru Rambang L 74 TH PPOK J 44 PDLDs.Tanjung Raman L 57 TH Dyspepsia K 30 PDLDs.Karya Mulya P 23 TH Dyspepsia K 30 PDLDs.Harapan Jaya P 40 TH Thypoid A 01 PDLDs.Embacang L 33 TH Abses Peritonsil PDLJl.Arjuna RT.14/06 P 17 TH GE A 09 PDLJl.Anggrek L 30 TH Thypoid A 01 PDLDs.Sungai Medang L 49 TH SNH I 64 SyarafDs.Pengadangan L 58 TH Dyspepsia K 30 PDLDs.Karang Endah P 30 TH Thypoid A 01 PDLSimpang Tais Pendopo P 30 TH GE A 09 PDLPrumnas P 68 TH Colic Abdomen N 27 BDHDs.Tanah Abang L 41 TH Kolitis K 51 PDLDs.Gunung Raja P 30 TH Dyspepsia K 30 PDLPendopo L 20 TH DBD A 91 PDLDs.Air Enau P 23 TH Gastropati K 29 PDLDs.Muara Sungai P 55 TH Colic Abdomen N 27 PDLDs.Karang Endah P 52 TH SNH I 64 SyarafDs.Tanjung Miring Kp.I P 40 TH Syok Cardiogenik PDLJl.Jenderal Sudirman P 33 TH Obs febris R 50 UMUMJl.Tampomas L 40 TH AMI I 21 PDLJl. A Roni No.537 P 29 TH Konstipasi UMUMDs.Gunung Ayu Kp.3 P 17 TH Intoxikasi Racun Rumpu PDLDs.Tanjung Pasir L 65 TH Suspect Batu Ginjal+BPH BDHJl.Sinta RT.18/07 P 31 TH GE A 09 PDLDs.Talang Nangka P 40 TH Dyspepsia K 30 PDLDs.Berugo P 58 TH Diabetes Mellitus E 10 PDL
Penunggu BayiDs.Tanjung Raman P 25 TH Post Curet KANDJl.Pipit No.22 L 17 TH DBD A 91 PDLPrumnas Griya L 44 TH GE A 09 PDLDs.Kemang Tanduk P 57 TH Batu Empedu BDHDs.Jemenang P 21 TH Hipokalemia PDLDs.Jirak L 90 TH HHD I 11 PDLDs.Karta Dewa L 54 TH Batu Ginjal N 17 BDHDs.Talang Subur P 51 TH Hepatoma PDLDs.Tanjung Bunut L 65 TH Bronkhitis J 20 PDLDs.Sungai Duren Kp.2 L 60 TH AMI I 21 PDLDs.Manunggal Makmur P 30 TH Post Partum O 80 KEBJl.Swakarsa Palembang L 35 TH Syncope R 55 PDLDs.Sukamerindu L 40 TH Dyspepsia K 30 PDLDs.Air Enau P 37 TH Ca Ginjal PDL
Ds.Ibul Dalam L 60 TH Anemia D 50 PDLJl.Cempaka Sukajadi P 36 TH Hipertensi I 10 PDLDs.Banuayu P 53 TH Dyspepsia K 30 PDLDs.Tapus P 29 TH GE A 09 PDLJl.Padat Karya L 52 TH MI/MS PDLDs.Sungai Medang P 35 TH GE A 09 PDLDs.Gumawang L 20 TH Colic Abdomen N 27 PDLDs.Tanjung Raman P 34 TH Hipokalemia PDLDs.Sigam P 55 TH Spondilosis PDLDs.Pagar Dewa L 13 TH RHD I 09 PDLDs.Prambatan P 32 TH Pyelonefritis PDLDs.Tanjung Dalam Kp.2 L 84 TH Infark Cerebri SyarafJl.Madang No.40 L 56 TH Hipertensi I 10 PDLDs.Sukamanis Kp.I P 19 TH Dyspepsia K 30 PDLDs.Gunung Menang P 20 TH Asma Bronchial J 45 PDLDs.Ibul Dalam L 50 TH CAD PDLDs.Sungai Medang L 23 TH Epistaxis PDLDs.Sukarami L 73 TH SNH I 64 SyarafDs.Lubuk Raman P 48 TH MI/MS PDLDs.Sungai Medang L 30 TH GE A 09 PDLDs.Prambatan P 70 TH GE A 09 PDLDs.Manunggal Makmur P 54 TH Vertigo R 42 PDLDs.Sukamerindu L 56 TH Cefalgia R 42 PDLPerum Sukajadi P 16 TH Dyspepsia K 30 PDLJl.Bukit Lingkar L 31 TH GE A 09 PDLDs.Sugihan P 14 TH Dyspepsia K 30 PDLDs.Alai L 30 TH Esofagitis K 23 PDLJl.Tenggamus No.40 P 17 TH Dyspepsia K 30 PDLDs.Lubuk Raman L TH Obs febris R 50 UMUMDs.Sukamerindu L 36 TH Gastroduodenopati K 28 PDLJl. A Wais No.20 P 18 TH Vomitus R 10 UMUMDs.Tebat Agung P 17 TH Apendik K 35 BDHDs.Sukamenang L 34 TH Hidronefrosis PDLDs.Jiwa Baru L 21 TH Dyspepsia K 30 PDLDs.Aur Kp.2 P 45 TH Kolitis K 51 PDLDs.Kuang Dalam P 60 TH TB Paru A 15 PDL
Ds.Pagar Agung L 67 TH TB Paru A 15 PDLJl.Veteran L 67 TH TB Paru A 15 PDLDs.Tanjung Bunut P 58 TH TB Paru A 15 PDLJl.Baturaja L 40 TH TB Paru A 15 PDLDs.Sugihan L 74 TH TB Paru A 15 PDLJl.Tenggamus No.40 P 25 TH Hamil 19 mg+ TB Paru A 15 PDLJl.Mayor Iskandar P 90 TH TB Paru A 15 PDLDs.Sebau P 60 TH Syok Cardiogenik PDLDs.Tanah Abang L 13 TH Hepatitis B 15 ANAKSukajadi L 65 TH Hepatitis B 15 PDLDs.Beringin L 70 TH TB Paru A 15 PDLDs.Dalam L 59 TH PPOK J 44 PDLDs.Tanah Abang L 74 TH PPOK J 44 PDLDs.Beringin Kp.3 L 83 TH PPOK J 44 PDLDs.Gaung Asam L 62 TH PPOK J 44 PDLDs.Talang Ubi P 87 TH TB Paru A 15 PDLDs.Tanjung Raman L 28 TH Varicela B 01 PDL
DOKTERK E T BIAYA
R PULANG ALKES OBAT RESEP OPNAME J MEDIKDepta Non PK 8,834,200 2,208,800 1,040,000 75,600 Alip Non PK 619,600 143,350 400,000 32,400 Depta Non PK 311,900 621,490 320,000 27,000 Depta Non PK 298,500 263,860 240,000 21,600 Depta Non PK 705,650 386,050 240,000 21,600 Depta Non PK 454,550 781,200 320,000 27,000 Depta Non PK 571,650 303,075 160,000 16,200 Depta Non PK 399,450 388,150 160,000 16,200 Depta Non PK 252,600 523,575 160,000 16,200 Depta Non PK 661,600 700,100 160,000 16,200 Depta Non PK 2,078,900 664,500 400,000 32,400 Depta Non PK 444,050 518,835 160,000 16,200 Nurlela Non APS 173,100 165,595 160,000 16,200 Depta Non PK 402,000 501,400 160,000 16,200 Afriyanto Non PK 408,450 281,085 240,000 21,600 Afriyanto Non PK 230,400 341,680 80,000 10,800 Depta Non APS 1,304,950 251,920 400,000 32,400 Depta Non APS 703,900 172,185 240,000 21,600 Depta Non PK 607,950 229,230 240,000 21,600 Depta Non PK 1,371,450 523,145 320,000 21,600 Hary Non APS 231,950 261,540 160,000 16,200 Nurlela Non APS 1,912,250 1,815,585 240,000 21,600 Depta Non APS 1,302,000 430,175 240,000 31,200 Nurlela Non PK 3,316,500 656,860 480,000 37,800 Afriyanto Non PK 1,003,650 232,100 240,000 21,600 Depta Non APS 122,550 131,055 80,000 10,800 Nurlela Non PK 814,950 228,235 160,000 16,200 Afriyanto Non APS 84,850 34,725 80,000 10,800 Hary Non PK 334,900 236,665 160,000 16,200 Afriyanto Non APS 612,250 93,930 240,000 21,600 Depta Non APS 1,069,200 89,725 160,000 16,200 Afriyanto Non PK 162,750 225,730 160,000 10,800 Afriyanto Non PK 347,600 31,800 160,000 23,400 Hary Non APS 279,250 68,265 80,000 10,800 Depta DR PK 55,000 6,000 Hary Non APS 164,300 41,880 80,000 10,800 Hary Non PK 38,050 153,255 80,000 10,800 Hary Non APS 166,550 129,825 80,000 10,800 Hary Non PK 25,100 130,105 150,000 10,200 Hary Non PK 216,700 223,880 160,000 16,200 Hary Non PK 1,102,250 643,250 160,000 16,200 Hary Non PK 176,550 232,325 80,000 10,800 Hary Non Pindah IsoDepta Non Pk 1,205,050 437,300 400,000 32,400 Depta Non APS 462,900 102,875 160,000 16,200 Depta Non Dirujuk 830,200 239,800 320,000 27,000 Nurlela Non PK 510,250 178,850 240,000 21,600 Depta DR PK 165,000 18,000
Depta Non PK 422,350 693,525 400,000 32,400 Nurlela Non PK 658,250 256,800 160,000 16,200 Rahman Non PK 97,800 160,000 15,600 Hary Non APS 169,950 207,230 80,000 10,800 Depta Non PK 3,676,000 1,441,950 480,000 84,000 Depta Non PK 905,100 899,215 320,000 27,000 Depta DR Mati < 24 1,525,600 129,685 110,000 12,000 Hary Non PK 627,300 162,725 160,000 16,200 Bujang Non Pindah Bedah 714,500 123,815 160,000 16,200 Depta Non PK 1,773,150 713,965 480,000 37,800 Afriyanto Non APS 86,100 151,230 160,000 16,200 Depta Non PK 301,650 250,800 160,000 16,200 Depta Non PK 665,800 1,035,670 320,000 27,000 Depta Non PK 888,400 844,250 320,000 27,000 Nurlela Non PK 680,300 166,090 160,000 16,200 Nurlela Non PK 1,364,850 225,925 400,000 32,400 Nurlela Non PK 393,550 80,500 240,000 21,600 Depta DR PK 165,000 18,000 Depta Non PK 1,701,900 108,275 640,000 48,600 Nurlela Non PK 4,910,400 4,436,775 800,000 59,400 Nurlela Non PK 263,650 161,610 160,000 16,200 Depta Non PK 819,400 729,175 320,000 27,000 Depta Non PK 630,600 209,800 240,000 31,200 Bujang Non APS 127,700 199,750 160,000 10,800 Nurlela Non APS 922,550 304,885 240,000 21,600 Depta Non PK 558,000 259,735 160,000 16,200 Afriyanto Non APS 153,450 188,680 160,000 16,200 Depta Non PK 914,800 378,590 240,000 21,600 Afriyanto Non Mati < 24 844,000 53,610 80,000 10,800 Hary Non Dirujuk 1,055,000 115,345 160,000 16,200 Depta Non APS 3,175,400 209,365 400,000 32,400 Hary Non APS 122,200 250,140 80,000 10,800 Depta Non APS 1,481,250 222,475 240,000 21,600 Depta DR PK 53,605 55,000 8,000 Depta Non PK 915,050 680,950 400,000 32,400 Bujang Non APS 1,671,950 414,100 320,000 27,000 Afriyanto Non PK 613,900 32,450 160,000 16,200 Depta Non PK 438,800 410,600 160,000 16,200 Depta Non PK 704,000 401,240 320,000 27,000
PK 160,000 Rahman Non PK 843,250 160,000 10,800 Depta DR PK 330,000 36,000 Depta Non PK 65,400 148,450 80,000 10,800 Bujang DR Pindah Bedah 165,000 18,000 Depta Non PK 537,900 150,350 240,000 21,600 Depta Non PK 522,750 469,975 240,000 21,600 Nurlela Non PK 596,150 709,590 240,000 21,600 Depta Non PK 158,200 382,835 160,000 16,200 Depta Non PK 932,050 651,000 320,000 27,000 Depta Non APS 499,450 255,975 80,000 10,800 Rahman Non PK 11,850 97,800 160,000 10,800 Nurlela Non Pindah Kls II 79,400 27,750 80,000 5,400 Hary Non PK 115,500 121,495 80,000 10,800 Depta Non Dirujuk 277,350 515,025 160,000 16,200
Depta Non APS 745,300 582,940 160,000 16,200 Depta Non PK 15,000 140,000 3,000 Hary Non PK 490,200 361,325 160,000 16,200 Nurlela Non Pindah Kls II 146,750 56,550 80,000 5,400 Depta Non PK 219,100 309,645 320,000 21,600 Nurlela Non APS 639,850 294,540 240,000 21,600 Nurlela Non PK 1,880,100 195,830 400,000 32,400 Depta Non APS 172,800 251,550 160,000 16,200 Hary Non PK 3,351,150 952,960 640,000 48,600 Depta Non APS 300,350 218,550 240,000 21,600 Afriyanto Non APS 732,700 138,350 160,000 16,200 Depta Non APS 2,586,700 1,402,745 320,000 27,000 Hary Non PK 466,100 160,185 160,000 10,800 Hary Non APS 15,050 38,920 80,000 10,800 Hary Non PK 129,650 146,815 160,000 10,800 Depta Non APS 3,357,100 606,100 480,000 37,800 Afriyanto Non PK 740,850 48,680 320,000 27,000 Depta Non Mati > 24 1,314,650 170,130 240,000 21,600 Depta Non PK 334,050 141,300 160,000 16,200 Afriyanto Non PK 834,450 215,310 320,000 27,000 Depta Non Pindah Kls II 748,400 141,450 160,000 15,600 Nurlela Non PK 424,450 421,120 160,000 16,200 Nurlela Non PK 600,000 301,150 160,000 16,200 Hary Non PK 1,046,550 168,260 320,000 27,000 Depta DR PK 110,000 12,000 Hary Non PK 436,400 168,605 240,000 21,600 Depta Non PK 488,350 868,750 240,000 21,600 Depta DR PK 110,000 12,000 Alip Non PK 117,450 160,000 16,200 Depta Non PK 796,350 320,435 240,000 21,600 Nurlela Non PK 30,750 88,600 80,000 10,800 Nurlela Non Pindah Bedah 660,400 104,365 160,000 16,200 Depta Non PK 382,850 568,585 160,000 16,200 Hary Non PK 278,150 157,400 80,000 10,800 Afriyanto Non APS 1,016,250 53,610 160,000 16,200 Depta Non APS 631,700 139,925 95,000 15,600
Depta Non PK 1,694,850 632,750 475,000 46,800 Depta PK PK 97,150 290,250 190,000 23,400 Alip Non PK 839,700 923,870 475,000 46,800 Hary Non PK 432,400 599,815 270,000 28,800 Depta Non PK 506,950 325,135 190,000 15,600 Rahman Non PK 602,500 599,395 285,000 31,200 Depta Non PK 848,650 778,450 285,000 31,200 Depta Non Pindah Kls II 204,550 96,625 95,000 7,800 Zul DR PK 149,200 34,240 190,000 23,400 Depta Non APS 1,616,550 712,700 460,000 46,800 Depta Non APS 270,900 523,815 190,000 23,400 Depta Non PK 612,750 615,540 285,000 31,200 Alip Non APS 371,900 426,375 190,000 23,400 Depta Non PK 381,200 653,680 285,000 31,200 Depta Non PK 645,250 1,101,000 380,000 39,000 Depta Non PK 190,100 260,015 285,000 31,200 Hary Non PK 417,500 92,190 285,000 23,400
114,855,550 56,312,060 35,345,000 3,299,000
BIAYA
J SHIF P INFUS CATETER NGT INJEKSI SKINT TEST VISITE 50,400 20,000 130,000 680,000 21,600 60,000 150,000 18,000 20,000 40,000 225,000 14,400 30,000 100,000 14,400 30,000 2,000 160,000 18,000 40,000 200,000 10,800 20,000 2,000 120,000 10,800 20,000 120,000 10,800 20,000 2,000 100,000 10,800 30,000 145,000 21,600 20,000 50,000 75,000 265,000 10,800 30,000 2,000 145,000 10,800 30,000 2,000 30,000 10,800 30,000 145,000 14,400 45,000 150,000 7,200 15,000 60,000 21,600 20,000 50,000 75,000 2,000 350,000 14,400 45,000 2,000 90,000 14,400 45,000 2,000 150,000 14,400 20,000 60,000 160,000 10,800 20,000 2,000 60,000 14,400 60,000 155,000 20,800 45,000 2,000 135,000 25,200 20,000 60,000 2,000 180,000 14,400 20,000 30,000 2,000 90,000 7,200 10,000 80,000 10,800 10,000 180,000 7,200 15,000 2,000 30,000 10,800 20,000 2,000 60,000 14,400 30,000 2,000 90,000 10,800 10,000 80,000 7,200 30,000 2,000 30,000 15,600 30,000 2,000 70,000 7,200 15,000 2,000 30,000 4,000 9,000 2,000 45,000 7,200 15,000 2,000 30,000 7,200 10,000 2,000 30,000 7,200 15,000 30,000 6,800 20,000 2,000 80,000 10,800 20,000 2,000 60,000 10,800 30,000 2,000 60,000 7,200 10,000 2,000 30,000
21,600 20,000 75,000 2,000 240,000 10,800 30,000 2,000 80,000 18,000 60,000 2,000 190,000 14,400 45,000 150,000 12,000 27,000 2,000 145,000
21,600 60,000 2,000 190,000 10,800 30,000 2,000 110,000 10,400 80,000 7,200 15,000 2,000 30,000 56,000 20,000 90,000 230,000 18,000 15,000 2,000 30,000 8,000 15,000 18,000 155,000 10,800 30,000 100,000 10,800 30,000 2,000 70,000 25,200 20,000 90,000 2,000 260,000 10,400 30,000 2,000 60,000 10,800 20,000 2,000 110,000 18,000 20,000 60,000 225,000 18,000 60,000 2,000 220,000 10,800 30,000 60,000 21,600 50,000 2,000 150,000 14,400 45,000 2,000 60,000 12,000 27,000 2,000 120,000 32,400 120,000 2,000 39,600 20,000 150,000 2,000 430,000 10,800 20,000 2,000 30,000 18,000 60,000 2,000 225,000 20,800 45,000 2,000 170,000 7,200 15,000 40,000 14,400 45,000 2,000 130,000 10,800 30,000 120,000 10,800 5,000 60,000 14,400 20,000 2,000 120,000 7,200 20,000 50,000 15,000 2,000 90,000 10,800 20,000 30,000 60,000 21,600 20,000 75,000 240,000 7,200 10,000 2,000 30,000 14,400 45,000 140,000 2,000 9,000 2,000 40,000 21,600 75,000 190,000 18,000 50,000 60,000 2,000 200,000 10,800 30,000 2,000 60,000 10,800 20,000 120,000 18,000 60,000 2,000 160,000
7,200 80,000 24,000 54,000 2,000 240,000 7,200 10,000 80,000 12,000 - 27,000 2,000 160,000 14,400 20,000 45,000 185,000 14,400 20,000 30,000 185,000 14,400 45,000 2,000 130,000 10,800 20,000 145,000 18,000 60,000 200,000 7,200 15,000 145,000 7,200 80,000 3,600 15,000 2,000 30,000 7,200 15,000 30,000 10,800 20,000 2,000 80,000
10,800 20,000 20,000 2,000 145,000 2,000 50,000 10,800 30,000 2,000 110,000 3,600 15,000 2,000 30,000 14,400 45,000 215,000 14,400 45,000 2,000 90,000 21,600 75,000 2,000 200,000 10,800 30,000 70,000 32,400 20,000 120,000 340,000 14,400 45,000 150,000 10,800 30,000 2,000 100,000 18,000 60,000 190,000 7,200 30,000 2,000 7,200 10,000 30,000 7,200 30,000 2,000 30,000 25,200 50,000 90,000 250,000 18,000 60,000 120,000 14,400 45,000 80,000 10,800 10,000 100,000 18,000 60,000 2,000 120,000 10,400 30,000 80,000 10,800 30,000 125,000 10,800 30,000 60,000 18,000 40,000 2,000 120,000 8,000 18,000 2,000 80,000 14,400 30,000 90,000 14,400 30,000 160,000 8,000 18,000 2,000 120,000 10,800 20,000 75,000 14,400 45,000 160,000 7,200 5,000 30,000 10,800 30,000 2,000 180,000 10,800 30,000 145,000 7,200 10,000 2,000 30,000 10,800 20,000 2,000 165,000 10,400 15,000 2,000 90,000
31,200 75,000 270,000 15,600 30,000 31,200 75,000 140,000 19,200 30,000 2,000 160,000 10,400 30,000 2,000 135,000 20,800 45,000 270,000 20,800 20,000 45,000 2,000 180,000 5,200 15,600 115,000 31,200 75,000 270,000 15,600 30,000 2,000 90,000 20,800 20,000 45,000 180,000 15,600 10,000 35,000 20,800 45,000 195,000 26,000 60,000 225,000 20,800 45,000 200,000 15,600 20,000 45,000 105,000
2,195,600 455,000 250,000 - 5,552,000 158,000 19,370,000
BIAYATOTAL
SLANG O2 O2 TABUNG PA GV LAIN-LAIN ADM 300,000 13,339,000 35,000 1,461,950
20,000 265,000 90,000 1,958,390 20,000 988,360 50,000 1,609,700 50,000 1,890,750 50,000 1,253,725 30,000 1,144,600
10,000 15,000 30,000 1,140,175 10,000 27,500 60,000 1,821,200 10,000 12,500 150,000 3,779,900
20,000 1,346,885 25,000 612,695
10,000 65,000 60,000 1,400,400 30,000 1,190,535 25,000 770,080 39,000 2,546,870 20,000 1,309,085 30,000 1,340,180 60,000 2,550,595 30,000 792,490 100,000 4,318,835 85,000 2,291,175 80,000 4,858,360
10,000 30,000 1,693,750 20,000 461,605 30,000 1,450,185
10,000 ### 20,000 304,575 30,000 870,565 25,000 1,129,180
10,000 15,000 40,000 1,500,925 20,000 648,480 30,000 710,400 20,000 512,515
121,000 10,000 361,180 20,000 351,305 20,000 459,375
424,205 30,000 739,580
10,000 140,000 60,000 2,234,500 15,000 563,875
- 35,000 2,468,350 30,000 894,775 100,000 1,787,000 30,000 1,190,100
369,000
20,000 58,750 35,000 1,935,625 30,000 1,274,050 12,500 376,300 20,000 542,180 150,000 6,227,950 10,000 2,226,315
7,500 275,000 2,255,785 35,000 1,142,025
1,127,315 162,500 100,000 3,664,615
30,000 545,930 30,000 901,450
10,000 15,000 50,000 2,446,470 100,000 2,479,650 30,000 1,153,390 40,000 2,286,775 20,000 877,050
344,000 2,653,175
240,000 11,088,175 20,000 684,260
10,000 15,000 35,000 2,260,575 30,000 1,379,400
10,000 ### 15,000 595,450 50,000 50,000 1,780,435
50,000 1,204,735 30,000 624,130
10,000 15,000 50,000 1,786,390 20,000 240,000 30,000 1,462,610
45,000 1,512,345 10,000 277,500 120,000 4,581,265
10,000 522,340 10,000 52,500 45,000 2,272,225
169,605 40,000 2,355,000 50,000 2,813,050 30,000 955,350 35,000 1,211,400 35,000 1,727,240
160,000 50,000 1,151,250
686,000 50,000 451,850
384,000 30,000 1,244,250
10,000 175,000 35,000 1,723,725 50,000 1,808,740 25,000 918,035
10,000 15,000 50,000 2,283,050 10,000 312,500 35,000 1,370,925
12,500 380,150 243,150
15,000 394,995 10,000 15,000 30,000 1,136,375
50,000 1,752,240 4,000 5,000 219,000
30,000 1,210,525 339,300
10,000 152,500 50,000 1,357,245 30,000 1,377,390 50,000 2,856,930 30,000 741,350 120,000 5,625,110
10,000 50,000 35,000 1,084,900 40,000 1,230,050 80,000 4,684,445 15,000 851,285 10,000 201,970
20,000 90,000 11,000 637,465 20,000 502,500 120,000 5,538,700
20,000 1,354,530 10,000 340,000 174,000 65,000 2,474,780 10,000 65,000 30,000 877,350
50,000 1,646,760 1,185,850
30,000 1,217,570 30,000 1,208,150 50,000 1,791,810
230,000 10,000 15,000 30,000 1,056,005
345,000 60,000 2,228,100 270,000
20,000 419,450 60,000 1,657,785 20,000 272,350
1,163,765 30,000 1,343,435 20,000 595,550
20,000 115,000 40,000 1,618,860 10,000 15,000 30,000 1,054,625
- 10,000 452,500 100,000 3,788,100 10,000 102,500 35,000 793,900
60,000 2,591,570 30,000 1,572,215
10,000 137,500 50,000 1,412,585 50,000 1,903,895
10,000 50,000 30,000 2,301,100 409,175
25,000 552,440 60,000 3,272,250
10,000 290,000 35,000 1,480,715 30,000 1,840,290
10,000 162,500 30,000 1,274,775 10,000 240,000 35,000 1,896,880
60,000 2,536,250 10,000 165,000 50,000 1,257,115
30,000 1,033,690
447,500 5,137,750 345,000 - 224,000 6,090,000 250,036,460
SELISIH DISCOUNT PERUSAHAAN
BSP
123,550
BSP
39,350 Jamsostek
244,455
Jamsostek
BSP 3,059,435 Jamsostek
Jamsostek
104,805 Jamsostek
JamsostekTUGU MANDIRI
213,500 PNS
Jamsostek -
Jamsostek
92,100 - - - -
3,661,545 215,650
- - - - - - -
- - - - - -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN OKTOBER 2010
NO.TGL TGL HR NO.
KELAS NAMA A L A M A TJK
MASUK KELUAR RWT REG1 22-Sep 26-Sep 4 11016356 III Umar Alatas,Tn Perumnas Griya Medang L2 22-Sep 24-Sep 2 11016359 III Saidin,Tn Ds.Sindur L3 23-Sep 24-Sep 1 11016370 Iso Sima,Ny Ds.Kuang Dalam P4 25-Sep 29-Sep 4 11016450 Iso Abul Hoir,Tn Gunung Megang Kp.3 L5 25-Sep 27-Sep 2 11016453 Iso Asri,Tn Ds.Negri Agung L6 25-Sep 27-Sep 3 11016023 III Sri Hartati,Ny Ds.Talang Bulang Kp.2 P7 25-Sep 28-Sep 3 11016466 III Hodijah,Ny Ds.Babat Lembak P8 25-Sep 27-Sep 2 11016470 III Mat Yoni,Tn Ds.Tapus L9 26-Sep 28-Sep 2 10006454 Iso Halimah,Ny Sukajadi P10 26-Sep 28-Sep 2 11016563 III Ali Basah,Tn Ds.Babat Lembak L11 27-Sep 30-Sep 3 11016350 III Mistamat,Sdr Ds.Gelumbang L12 27-Sep 3-Oct 7 9012405 III Supami,Tn Mangga Besar L13 27-Sep 29-Sep 2 11016622 III Linda Ratna,Nn Ds.Kemang Kp.I P14 27-Sep 30-Sep 3 8010376 III Sainah,Ny Ds.Muara Sungai Kp.II P15 27-Sep 28-Sep 1 11016628 III Jumardi,Tn Prumnas Sukajadi L16 28-Sep 30-Sep 2 11016662 III Bustomi,Tn Ds.Sebau L17 28-Sep 30-Sep 2 11015811 Iso Jumina,Ny Ds.Talang Subur P18 29-Sep 1-Oct 2 11016707 III Bahdar,Tn Ds.Spantan Jaya L19 29-Sep 2-Oct 3 11016729 III Jupri,Tn Ds.Baru Rambang L20 29-Sep 30-Sep 1 11016730 III Ahmad Ar Rasyid,An Ds.Baru Rambang L21 30-Sep 1-Oct 1 11016743 Iso Amarma,Ny Ds.Belimbing P22 30-Sep 5-Oct 6 11016367 III Sulyaya,Sdr Ds.Kayu Ara L23 30-Sep 2-Oct 2 11016737 Iso Rojiah,Ny Ds.Spantan Jaya L24 30-Sep 1-Oct 1 11016685 Iso Alamah,Ny Ds.Kuang Dalam P25 30-Sep 2-Oct 3 11016764 Iso Rusmina,Ny Ds.Aur P
30-Sep 3-Oct 3 11016767 III Darwati,Ny Ds.Kencana Mulya P26 3-Oct 5-Oct 2 11016767 Iso Darwati,Ny Ds.Kencana Mulya P27 30-Sep 8-Oct 8 11016784 III Hasjono,Tn Ds.Pagar Agung L28 1-Oct 2-Oct 1 11008784 III Fatimah,Nn Jl.Sunda Kelapa P29 1-Oct 3-Oct 2 11016683 III Marwa,Tn Ds.Pinang Banjar L30 1-Oct 8-Oct 7 11016833 III Mat Sri,Tn Ds.Sukarami L31 1-Oct 4-Oct 3 11016837 Iso Jefri,Tn Jl.Sepatu L32 1-Oct 2-Oct 2 11016842 III Arneli,Ny Ds.Karang Endah P33 2-Oct 4-Oct 3 9005892 III Herlinda,Ny Ds.Gelumbang P34 2-Oct 5-Oct 3 9010963 III Asan Sidi,Tn Ds.Sungai Medang L35 2-Oct 6-Oct 4 9010902 III Masunah,Ny Ds.Sukamerindu P36 2-Oct 6-Oct 4 11016862 III Set Neli,Ny Ds.Pangkul P37 2-Oct 3-Oct 2 11016870 III Andi Adiputra,Tn Pendopo L38 2-Oct 5-Oct 3 11014029 III Mistri,Ny Jl.Bukit Sejahtera P39 3-Oct 8-Oct 5 11010159 III Linasih,Ny Ds.Lembak P
3-Oct 4-Oct 1 7004620 III Yanimin,Ny Ds.Gerinam P40 4-Oct 6-Oct 2 7004620 Iso Yanimin,Ny Ds.Gerinam P41 3-Oct 6-Oct 3 11016947 III Yamsana,Ny Ds.Manunggal Jaya P42 4-Oct 5-Oct 1 8013747 III Adi Harmonis,Tn Ds.Negri Agung L
43 4-Oct 5-Oct 1 11017025 III Nopiyanti,Nn Jl.Jenderal Sudirman P44 5-Oct 8-Oct 3 11017040 III Muslim,Tn Ds.Talang Bulang Kp.2 L45 5-Oct 8-Oct 3 11017062 III Suhairah,Ny Ds.Lubuk Enau P
6-Oct 15-Oct 10 11017079 Iso Helni,Ny Ds.Pagar Agung P46 15-Oct 17-Oct 2 11017079 III Helni,Ny Ds.Pagar Agung P47 6-Oct 8-Oct 2 11017139 Iso Samsul Huda,Tn Ds.Karya Mulya L48 7-Oct 7-Oct 1 10009522 III Santoso,Tn Ds.Pagar Dewa Kp.2 L49 7-Oct 9-Oct 2 11009680 III Sarman,Tn Ds.Sugihan Kp.II L50 8-Oct 10-Oct 2 11017198 III Ruslipa,Ny Ds.Sumber Rahayu P51 8-Oct 10-Oct 2 11014377 III Yuna,Ny Ds.Tanjung Bunut P52 9-Oct 10-Oct 1 10005908 Iso Kanah,Ny Jl.A Yani P53 9-Oct 12-Oct 3 11017209 III Suhardi,Tn Ds.Negri Agung L54 9-Oct 14-Oct 5 11017273 Iso Abdul Somad,Tn Ds.Kencana Mulya L55 9-Oct 12-Oct 3 7011673 III Suhartini,Ny Jl.Beringin Anak Petai P56 9-Oct 10-Oct 1 11017285 III Jahudin,Tn Ds.Sukarami L57 10-Oct 17-Oct 7 11017309 Iso Iwawan,Ny Ds.Karang Jaya Kp.I P
10-Oct 10-Oct 1 11017324 III Wiwin,Ny Ds.Muara Sungai Kp.II P58 10-Oct 19-Oct 10 11002025 III Ratmi,Ny Ds.Menanti Kp.I P59 10-Oct 14-Oct 4 11017334 III Sulda,Ny Ds.Babat Lembak P60 10-Oct 12-Oct 2 11017254 III Siti Napiyah,Ny Ds.Marga Mulya P61 11-Oct 12-Oct 2 10009611 III Hamid,Tn Ds.Tanjung Miring L62 11-Oct 13-Oct 2 11017382 Iso Tumbur Lindung,Sdr Mess AGRO L63 12-Oct 13-Oct 1 11011793 III Endang,Ny Talang Ubi Panta Dewa P64 12-Oct 14-Oct 2 11017439 III Amelia,Ny Ds.Tanjung Telang P65 13-Oct 13-Oct 1 11017476 III Rosima,Ny Ds.Karangan P66 13-Oct 14-Oct 1 11017499 III Sainipa,Ny Ds.Sugiwaras Kp.IV P67 13-Oct 20-Oct 7 11012132 III Rusmini,Ny Ds.Aur Kp.I P
13-Oct 14-Oct 1 11017500 III Doni,Sdr Ds.Karang Endah L68 13-Oct 17-Oct 4 11017501 III Mat Sri,Tn Ds.Payuputat P69 14-Oct 18-Oct 4 11012332 III Hamening,Ny Ds.Benuang P70 14-Oct 17-Oct 3 11017549 III Siti Asni,Ny Ds.Tanjung Dalam P71 14-Oct 19-Oct 5 11008143 Iso Wita,Ny Mess PT BSP P72 15-Oct 18-Oct 3 11017558 III Malariya,Ny Ds.Tanjung Baru Kp.I P73 15-Oct 21-Oct 6 11017614 Iso Acep,Tn Jl.Bukit Lebar L74 16-Oct 19-Oct 3 11017621 III Ruslaiha,Ny Ds.Sukamerindu P75 16-Oct 18-Oct 2 11017634 III Rani,Ny Ds.Gunung Raja P76 16-Oct 22-Oct 6 11017636 III Elni,Ny Ds.Sukamerindu P77 16-Oct 18-Oct 2 11017641 III Karsumi,Tn Ds.Pengabuan L78 16-Oct 20-Oct 4 11017642 III Gintir,Tn Ds.Karang Agung L79 17-Oct 24-Oct 7 11017682 III Malyuning,Tn Ds.Payuputat L80 17-Oct 21-Oct 4 11017703 III Nadia,An Ds.Karang Agung P81 17-Oct 20-Oct 3 11017704 III Andini,An Ds.Karang Agung P82 17-Oct 20-Oct 3 11017707 III Elen,An Ds.Karang Agung P83 17-Oct 21-Oct 4 11017706 III Wandi,An Ds.Karang Agung L84 18-Oct 18-Oct 1 11017726 III Wailit,Tn Ds.Karang Endah L85 18-Oct 20-Oct 2 11017758 III Primadona,An Ds.Karang Agung L86 18-Oct 20-Oct 2 11017760 III Resti,An Ds.Karang Agung P
18-Oct 19-Oct 2 10017907 III Surani,Tn Ds.Sungai Medang L87 20-Oct 21-Oct 2 10017907 Iso Surani,Tn Ds.Sungai Medang L88 18-Oct 20-Oct 2 11017761 III Femi,An Ds.Karang Agung P
89 18-Oct 19-Oct 1 III Ny.Yuni90 18-Oct 20-Oct 2 III Pina,Ny91 19-Oct 20-Oct 1 11017821 III Satini,Ny Ds.Karang Agung P92 19-Oct 21-Oct 2 11017831 III Hartoyo,Tn Ds.Lubuk Raman L93 19-Oct 21-Oct 2 8015029 III Apriyanti,Ny Mess PT BSP P
19-Oct 20-Oct 1 11017837 Iso Suwarwan,Tn Ds.Lembak L20-Oct 20-Oct 1 11017882 III Fitri,Ny Jl.MAN P
94 20-Oct 22-Oct 2 11017883 Iso Hendri,Tn Ds.Segayam Kp.I L95 20-Oct 22-Oct 2 9009849 III Yurdanila,Ny Ds.Baru Rambang P96 20-Oct 24-Oct 4 8001885 III Fahmi,Ny Ds.Gelumbang P97 21-Oct 22-Oct 1 8005650 Iso Kisam,Tn Ds.Prambatan L98 21-Oct 24-Oct 3 11017938 III Enik,Ny Ds.Sukamerindu P99 22-Oct 24-Oct 2 11017962 III Rahma,Nn Ds.Talang Batu P
UMRKET UMUR DIAGNOSA PULANG
KODE J. PELYDOKTER
K E T
THN ICD X R PULANG54 TH Emfiema PDL Depta Non APS55 TH GE A 09 PDL Afriyanto Non APS60 TH Tb Paru A 15 PDL Depta Non APS56 TH Tumor Paru PDL Depta Non Dirujuk69 TH Tb Paru A 15 PDL Depta Non PK40 TH Vertigo R 42 PDL Nurlela Non PK79 TH Thypoid A 01 PDL Nurlela Non PK65 TH Thypoid A 01 PDL Nurlela Non PK54 TH Tb Paru A 15 PDL Depta Non Dirujuk33 TH GE A 09 PDL Afriyanto Non APS26 TH Gastropati K 29 PDL Depta DR PK63 TH PSA Syaraf Depta Non Mati >2413 TH Psikosomatis F 28 PDL Nurlela Non APS75 TH Hipertensi I 10 PDL Depta Non PK40 TH Dyspepsia K 30 PDL Depta DR PK55 TH Dyspepsia K 30 PDL Harry Non PK51 TH Hepatoma PDL Depta Non APS81 TH GE A 09 PDL Nurlela Non PK61 TH GE A 09 PDL Afriyanto Non PK12 TH GE A 09 ANAK Afriyanto Non PK60 TH Ca Serviks D 06 KAND Rahman Non PK20 TH Dyspepsia K 30 PDL Depta Non APS48 TH Tb Paru A 15 PDL Depta Non PK58 TH Tb Paru A 15 PDL Depta Non Mati < 2460 TH Herpes Zoster B 02 PDL Depta Non PK60 TH DM E 11 PDL Depta Non Pindah Iso60 TH Tb Paru A 15 PDL Depta Non PK51 TH Abses Hepar PDL Depta Non PK16 TH Syncope R 55 PDL Hartono Non APS48 TH Paraplegi Syaraf Hartono Non APS60 TH Ulkus Gaster K 26 PDL Depta Non PK26 TH Tb Paru A 15 PDL Depta DR PK20 TH Obs febris R 50 UMUM Afriyanto Non PK28 TH Cephalgia R 51 PDL Afriyanto Non APS46 TH Dyspepsia K 30 PDL Afriyanto Non PK44 TH Vertigo R 42 PDL Indra Non PK40 TH Myalgia G 44 PDL Depta Non PK19 TH Meningitis Syaraf Hartono Non Mati < 2436 TH HHD I 11 PDL Depta Non PK25 TH Gastroduodenum PDL Depta Non PK65 TH Efusi Pleura J 90 PDL Depta Non Pindah Iso65 TH Efusi Pleura J 90 PDL Depta Non PK61 TH GE A 09 PDL Nurlela Non PK23 TH Keracunan Gas Co T 59 PDL Depta Non PK
20 TH Colic Abdomen N 27 PDL Afriyanto Non APS69 TH Dyspepsia K 30 PDL Depta Non PK40 TH GE A 09 PDL Harry Non APS35 TH RHD I 09 PDL Depta Non Pindah Kls III35 TH MI/MS PDL Depta Non PK32 TH Varicela B 01 PDL Harry Non PK53 TH CHF PDL Depta Non Mati < 2456 TH Hipertensi I 10 PDL Depta Non PK44 TH Dyspepsia K 30 PDL Afriyanto Non PK70 TH HHD I 11 PDL Depta Non APS67 TH Tb Paru A 15 PDL Depta Non Mati < 2440 TH Anemia D 50 PDL Depta Non PK46 TH Tb Paru A 15 PDL Depta Non APS40 TH Dyspepsia K 30 PDL Depta DR PK45 TH Cholecystolitiasis PDL Depta Non APS25 TH SLE M 32 PDL Depta Non APS19 TH Apendik K 35 BDH Bujang Non Pindah Bedah27 TH Meningitis Syaraf Depta Non Pindah RSU40 TH Hipertiroid E 05 PDL Depta Non PK20 TH Hipertiroid E 05 PDL Depta Non PK56 TH Varicela B 01 PDL Depta Non APS24 TH Tb Paru A 15 PDL Depta Non PK34 TH Dyspepsia K 30 PDL Harry Non Dirujuk25 TH GE A 09 PDL Nurlela Non APS68 TH Hipertensi I 10 PDL Harry Non Mati < 2464 TH GE A 09 PDL Ali Romon Non Mati < 2442 TH Anemia+HHD D 50 PDL Depta Non PK24 TH Apendik K 35 BDH Bujang Non Pindah Bedah37 TH ISPA J 06 PDL Depta Non PK73 TH Hipertensi I 10 PDL Depta Non PK43 TH Vertigo R 42 PDL Depta Non PK32 TH GE+TB Paru A 09 PDL Depta Non PK28 TH Dyspepsia K 30 PDL Depta Non PK54 TH Tb Paru A 15 PDL Depta DR PK50 TH GE A 09 PDL Depta Non PK19 TH Dyspepsia K 30 PDL Depta Non PK25 TH Cephalgia R 51 PDL Depta Non PK45 TH GE A 09 PDL Harry Non PK59 TH HHD I 11 PDL Depta Non PK66 TH Anemia D 50 PDL Depta Non PK9 TH Intoksikasi Makanan A 05 ANAK Nety Non PK10 TH Intoksikasi Makanan A 05 ANAK Nety Non PK9 TH Intoksikasi Makanan A 05 ANAK Nety Non PK11 TH Intoksikasi Makanan A 05 ANAK Nety Non APS42 TH LBP PDL Depta Non APS9 TH Intoksikasi Makanan A 05 ANAK Nurlela PKM PK11 TH Intoksikasi Makanan A 05 ANAK Nurlela PKM PK
TH Tb Paru A 15 PDL Depta Non Pindah IsoTH Tb Paru A 15 PDL Depta Non Dirujuk
9 TH Intoksikasi Makanan A 05 ANAK Nurlela PKM PK
Penunggu Bayi UMUM PKPenunggu Bayi UMUM PK
51 TH Intoksikasi Makanan A 05 UMUM Depta PKM PK23 TH Dyspepsia K 30 PDL Depta Non PK31 TH Dyspepsia K 30 PDL Harry Non PK61 TH Ca Buli BDH Bujang Non Pindah Bedah34 TH Syok Anafilaktif R 57 PDL Depta Non Pindah Kls II29 TH Tb Paru A 15 PDL Depta Non APS42 TH Dyspnoe R 06 PDL Depta Non PK32 TH Dyspepsia K 30 PDL Nurlela Non PK63 TH Tb Paru A 15 PDL Depta Non APS45 TH GE A 09 PDL Depta Non PK22 TH G1P0A0+Dyspepsia K 30 KEB Depta Non PK
BIAYA
ALKES OBAT RESEP OPNAME J MEDIK J SHIF P INFUS CATETER 2,148,100 675,465 380,000 39,000 26,000 20,000 264,050 235,750 160,000 16,200 10,800 631,700 139,925 95,000 15,600 10,400 650,650 837,950 475,000 46,800 31,200 374,450 650,325 190,000 23,400 15,600 905,500 349,205 240,000 21,600 14,400 573,350 375,235 240,000 21,600 14,400 20,000 352,650 157,875 160,000 16,200 10,800 749,450 201,530 190,000 23,400 15,600 20,000 234,900 167,150 160,000 16,200 10,800
165,000 18,000 12,000 3,028,400 242,470 560,000 43,200 28,800 1,585,150 37,200 160,000 16,200 10,800 50,000 853,000 563,025 240,000 21,600 14,400 100,000
55,000 6,000 40,000 509,950 197,700 160,000 16,200 10,800 1,066,050 89,725 190,000 23,400 15,600 306,000 263,565 160,000 16,200 10,800 569,000 34,100 240,000 21,600 14,400 60,700 27,130 80,000 10,800 7,200
382,325 95,000 7,800 5,200 1,901,250 234,200 480,000 37,800 25,200 250,150 494,540 160,000 23,400 15,600 568,250 216,600 160,000 23,400 15,600 20,000 515,450 250,245 285,000 23,400 15,600
1,253,750 848,095 430,000 39,600 26,400 20,000 3,752,850 633,585 640,000 48,600 32,400 20,000 604,050 33,350 80,000 10,800 7,200 1,690,100 627,955 160,000 10,800 7,200 20,000 3,824,350 502,200 560,000 43,200 28,800 20,000 50,000 22,500 165,000 18,000 12,000 15,000 64,550 102,230 160,000 10,800 7,200 422,150 153,275 240,000 21,600 14,400 20,000 279,900 122,870 240,000 21,600 14,400 1,666,400 227,485 320,000 27,000 18,000 20,000 844,350 586,555 320,000 27,000 18,000 285,300 17,550 160,000 16,200 10,800 129,750 498,075 240,000 21,600 14,400 2,117,500 586,000 400,000 32,400 21,600
324,900 566,825 270,000 28,800 19,200 651,450 114,175 240,000 21,600 14,400 20,000 121,000 222,425 80,000 10,800 7,200
77,550 27,130 80,000 10,800 7,200 896,050 666,765 240,000 21,600 14,400 934,750 179,175 240,000 21,600 14,400
1,053,850 923,030 1,110,000 102,000 68,000 20,000 173,500 221,285 190,000 23,400 15,600 3,200 31,925 80,000 5,400 3,600 268,050 381,555 160,000 16,200 10,800 323,300 81,280 160,000 16,200 10,800 128,350 411,200 160,000 16,200 10,800 40,750 108,000 3,000 20,000 1,396,250 394,300 240,000 21,600 14,400 2,560,800 572,700 475,000 46,800 31,200 20,000 22,500 165,000 18,000 12,000 15,000 87,500 354,880 80,000 5,400 3,600 1,511,100 808,900 665,000 62,400 41,600 20,000 255,600 77,025 80,000 10,800 7,200 2,834,650 407,875 800,000 54,900 39,600 20,000 1,089,150 308,325 320,000 27,000 18,000 811,350 422,150 160,000 16,200 10,800 445,800 355,655 160,000 16,200 10,800 689,800 847,010 160,000 23,400 15,600 277,200 100,585 80,000 10,800 7,200 201,150 90,190 160,000 16,200 10,800 3,200 80,000 5,400 3,600 173,600 80,000 10,800 7,200 50,000 1,884,150 547,385 560,000 43,200 28,800 20,000 293,050 77,025 80,000 10,800 7,200 956,300 638,100 320,000 27,000 18,000 2,007,350 511,430 320,000 27,000 18,000 20,000 50,000 851,750 335,290 240,000 21,600 14,400 1,559,750 398,010 475,000 39,000 26,000 563,900 293,695 240,000 21,600 14,400 22,500 330,000 36,000 24,000 15,000 437,500 744,470 240,000 21,600 14,400 658,300 329,710 160,000 16,200 10,800 2,254,650 576,700 480,000 37,800 25,200 40,000 50,000 142,100 118,775 160,000 16,200 10,800 238,500 318,745 320,000 27,000 18,000 1,309,850 431,550 560,000 43,200 28,800 20,000 329,150 35,530 320,000 27,000 18,000 349,350 164,490 240,000 21,600 14,400 20,000 349,950 96,270 240,000 21,600 14,400 20,000 366,950 42,110 320,000 27,000 18,000 63,100 128,975 80,000 10,800 7,200 201,200 108,380 160,000 16,200 10,800 255,750 185,055 160,000 16,200 10,800
1,059,850 947,110 350,000 39,600 26,400 203,450 66,550 160,000 16,200 10,800
80,000 160,000
148,850 598,060 80,000 10,800 7,200 278,000 457,250 160,000 16,200 10,800 588,800 125,935 160,000 16,200 10,800 91,600 142,060 80,000 15,600 10,400 59,150 29,875 80,000 5,400 3,600 305,750 1,270,300 190,000 23,400 15,600 215,950 279,200 160,000 16,200 10,800 1,217,750 340,950 320,000 27,000 18,000 162,450 492,735 95,000 15,600 10,400 710,000 318,550 240,000 21,600 14,400 450,400 211,080 160,000 16,200 10,800
72,999,100 31,690,175 24,898,000 2,310,300 1,597,200 485,000 350,000
BIAYA
NGT INJEKSI SKINT TEST VISITE SLANG O2 O2 TABUNG PA 60,000 340,000 10,000 427,500 20,000 60,000 15,000 2,000 90,000 10,000 15,000 75,000 2,000 240,000 20,000 171,250 30,000 2,000 150,000 45,000 60,000 45,000 2,000 90,000 30,000 2,000 60,000 30,000 135,000 20,000 390,000 30,000 2,000 30,000 27,000 120,000 30,000 335,000 20,000 27,500 30,000 2,000 125,000 45,000 120,000 9,000 2,000 40,000 15,000 2,000 60,000 5,000 135,000 112,500 30,000 2,000 60,000 45,000 2,000 90,000 5,000 30,000
45,000 90,000 4,000 295,000 30,000 125,000 10,000 15,000 30,000 135,000 75,000 45,000 80,000
75,000 245,000 120,000 2,000 330,000 10,000 70,000 20,000 77,500 20,000 170,000 70,000 2,000 290,000 20,000 215,000 27,000 2,000 130,000
30,000 30,000 90,000 45,000 90,000 60,000 180,000 60,000 180,000 15,000 2,000 40,000 10,000 175,000 45,000 150,000 20,000 77,500 75,000 2,000 240,000
65,000 195,000 30,000 2,000 90,000 10,000 80,000 20,000 77,500
10,000 30,000 45,000 160,000 30,000 2,000 90,000
180,000 525,000 10,000 190,000 20,000 2,000 70,000
65,000 10,000 15,000 30,000 40,000 30,000 60,000 30,000 130,000 20,000 402,500
15,000 4,000 30,000 140,000 75,000 2,000 230,000 20,000 452,500 27,000 140,000 5,000 40,000 105,000 365,000 15,000
50,000 150,000 400,000 20,000 327,500 60,000 2,000 130,000 30,000 2,000 200,000 30,000 2,000 80,000 30,000 2,000 110,000 5,000 2,000 20,000 77,500 20,000 10,000 60,000
20,000 52,500 10,000 2,000 10,000 ### 70,000 270,000 15,000 60,000 150,000 20,000 77,500
50,000 45,000 20,000 160,000 10,000 212,500 15,000 120,000 60,000 230,000 45,000 130,000 54,000 2,000 225,000 45,000 2,000 150,000 30,000 60,000 90,000 2,000 300,000 20,000 60,000 60,000 190,000 10,000 102,500 105,000 2,000 300,000 60,000 2,000 10,000 15,000 45,000 2,000 160,000 10,000 15,000 45,000 160,000 10,000 15,000 60,000 2,000 200,000 10,000 15,000 15,000 40,000 30,000 2,000 100,000 30,000 2,000 60,000
60,000 2,000 200,000 100,000 30,000 2,000 60,000
10,000 80,000 20,000 120,000 20,000 2,000 60,000 5,000 2,000
20,000 25,000 30,000 135,000 30,000 100,000 10,000 90,000 60,000 120,000 15,000 110,000 45,000 2,000 165,000 20,000 90,000
100,000 3,884,000 114,000 13,045,000 425,000 4,040,250
Oksigen 4,040,250
hrg beli 87,500 2000 ltr 44
32,322 16
1,414,088
BIAYATOTAL SELISIH DISCOUNT PERUSAHAAN
GV LAIN-LAIN ADM 100,000 4,226,065 25,000 791,800 30,000 1,054,625 60,000 2,609,850 30,000 1,465,775 35,000 1,670,705 30,000 1,411,585 30,000 819,525 60,000 1,834,980
### 681,050 342,000 2,277,590 Jamsostek
75,000 4,390,370 50,000 2,066,350 35,000 1,992,025
152,000 Jamsostek 30,000 1,001,650 30,000 1,667,275 25,000 873,565 30,000 1,046,100 10,000 230,830 20,000 555,325 50,000 3,117,450 30,000 1,153,690 40,000 1,283,850 25,000 1,239,695
50,000 2,987,845 130,000 5,709,435 30,000 942,900 140,000 2,846,055 115,000 5,740,550
391,500 137,500 Jamsostek 374,780
30,000 1,021,425 20,000 833,770 50,000 2,568,885 50,000 2,085,905 10,000 741,850 30,000 1,226,325 60,000 3,534,500
50,000 1,519,725 30,000 1,213,625 10,000 638,925
10,000 252,680 50,000 2,093,815 30,000 1,541,925
100,000 4,281,880 20,000 735,785 10,000 224,125 20,000 926,605 30,000 711,580 30,000 1,339,050 5,000 195,750 322,200 PNS 65,000 2,301,550 70,000 4,556,000
399,500 Jamsostek 20,000 596,380
350,000 100,000 4,029,000 445,625
95,000 5,199,525 50,000 2,004,475 60,000 1,712,500 25,000 1,125,455 35,000 1,912,810 20,000 600,285 15,000 583,340 50,000 214,700 15,000 368,600 60,000 3,483,535
483,075 40,000 2,306,900 80,000 3,531,280 30,000 1,628,040 100,000 2,887,760 BSP 50,000 1,358,595
708,500 Jamsostek 30,000 1,684,970 30,000 1,295,010 60,000 3,916,350 15,000 542,875 30,000 1,314,745 70,000 2,870,400 30,000 846,680 30,000 1,071,840 30,000 1,002,220 30,000 1,091,060 15,000 360,075 15,000 643,580 20,000 739,805
70,000 2,854,960 30,000 579,000
80,000 160,000
30,000 964,910 30,000 1,092,250 65,000 1,048,735 BSP
346,660 223,025
65,000 2,035,050 20,000 932,150 35,000 2,138,700 25,000 926,185 30,000 1,546,550 25,000 983,480
350,000 3,800,000 160,088,025 2,737,290
195501651268163613207303163178401402970314439106139213501273721913758105124603341405960917874859152309781207614711402311131016651443206112845570131906451156005412209108173329521340582413666101135778761109846517074185225173801297626416790508225796711201903411848091111304441076022514230395152703921258226513548395181608717086325
10125819135259439373304
116040901528643114182645110987771966258612570436105395201294464512522104137742501080137915702058202110337892424
122917981915705711990246214828311510804314523990123422951492474612294118122658681152866811836489180609831206533415713072181567021435540816865436138165161251641514469355136894161893211312185181137289411684030712792826132431471310391013281594118196711238668412579139100995781580958912257530
241759401762
13029455132841201019429711792890115456391516978210955962123610939939856
14192861
### - - - - - -
- - - - - - -
- - -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN APRIL 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
1 17-Oct 24-Oct 7 11017705 III Agus,An23456789
1011121314151617181920212223242526272829303132333435363738394041424344
4546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091929394
9596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144
145146147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD XDs.Karang Agung L 11 TH Intoksikasi Makanan A 05 ANAK
DOKTERK E T BIAYA
R PULANG ALKES OPNAME J. PARAMEDIS J. PORTIRNety Non PK
- - - -
BIAYA
PSG. INFUS CHATETER NGT INJEKSI SKINTEST VIS. & KONSUL SELANG O2
- - - - - - -
BIAYATOTAL
O2 ELEKTRIK O2 TABUNG PA GV LAIN-LAIN ADM
- - - - - - -
SELISIH DISCOUNT PERUSAHAAN
- -
RUMAH SAKIT AR. BUNDA PRABUMULIHDAFTAR PASIEN RAWAT INAP KELAS III DWS BULAN APRIL 2011
NO.TGL TGL HR NO.
KELAS NAMAMASUK KELUAR RWT REG
123456789
101112131415161718192021222324252627282930313233343536373839404142434445464748
495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102
103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150
A L A M A TJK UMR
KET UMUR DIAGNOSA PULANGKODE J. PELY
THN ICD X
DOKTERK E T BIAYA
R PULANG ALKES OPNAME J. PARAMEDIS J. PORTIR
- - - -
BIAYA
PSG. INFUS CHATETER NGT INJEKSI SKINTEST VIS. & KONSUL SELANG O2
- - - - - - -
BIAYATOTAL
O2 ELEKTRIK O2 TABUNG PA GV LAIN-LAIN ADM
- - - - - - -
SELISIH DISCOUNT PERUSAHAAN
- -