RSUD H.

DAMANHURI BARABAI

SENSUS HARIAN PASIEN UNIT HEMODIALISA

HARI/ TANGGAL : Rabu/ 15 November 2016

No No. Nama Pasien Alamat HD L/ Tanggal Pengunjung Kunjungan Cara Asal Rujukan Golongan
RM KE- P Lahir/Umur (Kasus) Bayar Penyakit/Sebab
Baru Lama Baru Lama
1 040940 Akhmadi Jl Lorong said alwi 103 L 30/04/1960 (57) BPJS Dr. darmanto Sundary CKD stage V
2 040967 Abdul Sani Batu tangga 101 L 21/05/1970 (47) BPJS PKM Batu Tangga CKD stage V
3 041908 Syamsi Bungur Batu Mandi 98 L 23/04/1967 (60) BPJS Dr. Ismawati CKD stage V
4 010848 Rely Fiteriana Banua Hanyar 103 P 16/02/1977 (40) BPJS Dr. Dharmanto Sundary CKD stage V
5 021469 Khadijah Mandingin 77 P 23/07/1972 (45) BPJS PKM Barabai CKD stage V
6 001566 Warsito Jl. P. Kemerdekaan / gambah 100 L 02/11/1960 (57) BPJS PKM Pagat CKD stage V
7 042281 Makhfudin Ds Kias Kec. BAS 95 L 04/01/1972 (45) BPJS Dr. darmanto Sundary CKD stage V
8 049215 Salimah Hilir banua 54 P 21/10/1958 (59) BPJS Dr. Sri Mirajjumiati CKD stage V
9 050210 Supian Noor Putat Basiun 59 L 17/12/1967 (50) BPJS PKM Awayan CKD stage V
10 020091 Suyoto Banua Binjai 4 L 11/09/1956 (61) BPJS PKM Pantai Hambawang CKD stage V
11 060549 Rasidah Binti Berahim Ayuang 2 P 15/06/1946 (71) BPJS Ruang Al Adan CKD stage V