PAKET RAWAT INAP

BIAYA
NO TGL LAMA
MR KELUAR J.SARANA J.PELAYANAN
HARI
RAWAT
MEDIK ASKEP
N0 NAMA ( RP ) ( RP ) ( RP )
1 2 3 4 5 6 7 8

1 ST.JAELANI 66161 1/3/2010 4

2 DIAN RESKY 66270 3/3/2010 6

3 NY.IRAWATI 66528 6/3/2010 4

4 BY.NY.IRAWATI 66553 6/3/2010 3

5 MUH. JUFRI 66522 8/3/2010 6

6 MUH.BASRI 68031 8/3/2010 1

7 HASNANI TAPU 66910 10/3/2010 2

8 PUTRI 66722 10/3/2010 1

9 SERLI 66784 10/3/2010 3

10 NURUL AISYAH 66742 11/3/2010 5

11 YUSRIL 66572 11/3/2010 5

12 IYAS 47421 11/3/2010 2

13 HASMIRAH 66778 11/3/2010 4

14 ROSNA DG.SANGNGING 61733 11/3/2010 4

15 ADE NOVALDI 66795 12/3/2010 4

16 SULTAN ACHMAD.F 67009 12/3/2010 3

17 ANGGI 66732 12/3/2010 6

18 SAHRUL 66767 12/3/2010 5

19 DIAH WAHYUNI 67041 12/3/2010 2

20 DARMAN 66940 12/3/2010 3

21 MUH.RIZKY 66717 12/3/2010 7

22 HEDAR AB ALHAMID 67018 13/3/2010 3

23 HESTI SRI DAMAYANTI 66863 13/3/2010 4

24 SASO 66819 13/3/2010 5

25 NATSIR 63464 13/3/2010 1

26 MUTMAINNAH 66945 13/3/2010 4

27 SURIANI 66988 13/3/2010 2

28 MUH.ADITYA.P 66983 13/3/2010 2

29 SRI WAHYUNI 66938 13/3/2010 4

30 M.NASAR 66750 13/3/2010 7

31 HASNI DG.ANGKI 66960 13/3/2010 4

32 ROSDIANTI 66792 14/3/2010 6

33 ST.JOHARI 1480 14/3/2010 4

34 HALIM 67193 15/1/2010 1

35 BY.NY.SYAMSIAH 67144 15/3/2010 2

36 ALIFAH 67000 15/3/2010 3

37 MUSLINA 66944 15/3/2010 6

38 SANARIAH 65293 15/3/2010 6

39 BY.NY.ROSTINA 67145 15/3/2010 2

40 NY.HERLINA 67013 15/3/2010 3

41 SYAHRUL 67156 15/3/2010 2

42 ABDUL AZIS 67160 15/3/2010 1

43 AGUS SALIM LATIEF 66738 15/3/2010 9

44 BY.NY.MULIASNENI 67302 16/3/2010 1

45 ARMAN MAULANA 66976 16/3/2010 6

46 ANGGI ANGGRAENI 67306 16/3/2010 2

47 TIHTA DWIARTI 67177 17/3/2010 3

48 NURSIAH INAS 67216 17/3/2010 5

49 BY.NY.HASMAWATI 67336 17/3/2010 1

50 BY.NY.SELMI 67303 17/3/2010 2

51 BY.NY.HASNAH 67363 17/3/2010 1

52 YUSRAN 66902 17/3/2010 9

53 NY.SAWA 66978 17/3/2010 7

54 ASLAN ROMO 67307 17/3/2010 2

55 SYARIFUDDIN NUR 67137 17/3/2010 4

56 TENRI YULIANA 67207 17/3/2010 6

57 IBNU HAJAR 66970 17/3/2010 7

58 HAERUL ANAM 67127 17/3/2010 5

59 MANSYUR DG.NAI 67179 17/3/2010 2

60 ST.DEWI 42582 17/3/2010 8

61 ERNIWATI DG.NGAI 66798 17/3/2010 9

62 RAHMAWATI 66955 17/3/2010 8

63 SUBU DG.NAPPA 67176 18/3/2010 5

64 ZULKIFLI 67150 18/3/2010 5

65 HAMIDE 67128 18/3/2010 6

66 BY.NY.NURHAYATI 67369 18/3/2010 2

67 ABD.JALIL 66892 18/3/2010 10

68 SOFYAN 67327 18/3/2010 2

69 AHMAD ZULFIKAR 67325 18/3/2010 3

70 MUH.NUR IKHSAN 67338 18/3/2010 2

71 SYIFA NURUL 67119 18/3/2010 6

72 RIZKY 47451 18/3/2010 3

73 ST.RAHMADANI 67124 19/3/2010 7

74 MUH.FAHREZA ASRI 61973 19/3/2010 3

75 HERLINA 63530 19/3/2010 1

76 MISEM RAHAYU 66982 19/3/2010 7

77 RIPAL 67510 19/3/2010 1

78 BY.NY.AENI ISWARI 67386 19/3/2010 2

79 BY.NY.NOVIYANTI 67392 19/3/2010 2

80 HAPSAH 67332 20/3/2010 4

81 NY.HASLINDA 66307 20/3/2010 4

82 MUH.REHAN 44385 20/3/2010 5

83 ADRIANSAH 67383 20/3/2010 3

84 HARIANI 67195 20/3/2010 6

85 NY.NAHARIAH 65510 20/3/2010 5

86 BY.NY.NAHARIA 67324 20/3/2010 5

87 MAWAR 67391 20/3/2010 3

88 AKMAL 67364 20/3/2010 4

89 FAREL 67387 20/3/2010 3

90 HANAFIAH 66394 20/3/2010 10

91 YULIANA LAHANISE 64768 20/3/2010 7

92 NY.SUMARNI 67023 20/3/2010 2

93 BY.NY.SUMARNI 67524 21/3/2010 3

94 MURNI 67539 21/3/2010 2

95 BY.NY.MURNI 67552 21/3/2010 2

96 MARIATI 66939 21/3/2010 11

97 MAEMUNAH 67467 21/3/2010 2

98 NURHAYATI 67479 21/3/2010 2

99 MUH.ZULKIFLI 67326 22/3/2010 7

### SYAMSINAR 7423 22/3/2010 3

### ISMAWATI 67365 22/3/2010 6

### NY.RISMAYANTI 67567 22/3/2010 2

### BY.NY.RISMAYANTI 67568 22/3/2010 2

### NY.LENTENG 67370 22/3/2010 5

### BY.NY.LENTENG 67371 22/3/2010 5

### SYAHRULLAH 67561 22/3/2010 2

### DIMAS 67514 22/3/2010 4

### KARTINI 67357 22/3/2010 7

### ST.AISYAH 67356 22/3/2010 4

### NURIANAI 67562 22/3/2010 2

### ARIFIN DG.ERO 55254 22/3/2010 4

### NY.MASTANG 67574 22/3/2010 2

### BY.NY.MASTANG 67577 22/3/2010 2

### M.IMRAN SARIAWA 67671 23/3/2010 6

### BACHTIAR 66921 23/3/2010 15

### NY.SHERLY SIAMA 67623 23/3/2010 1

### MUH.NOVAL 67594 23/3/2010 2

### ADELIA 67127 23/3/2010 11

### NYIKKO DAENG TAYANG 67544 23/3/2010 4

### SARI DG.TENE 51538 23/3/2010 8

### RIYADH HENDRAWAN 67566 23/3/2010 3

### SARASAN DG.BANI 67378 23/3/2010 6

### MUH.LUTHFI 46545 23/3/2010 5

### MUH.ASDAR RASYID 62189 23/3/2010 5

### NY.SURYANI 67611 23/3/2010 1

### BY.NY.SURYANI 67614 23/3/2010 1

### AMA RAMADHANI 65835 23/3/2010 7

### RANNU.M.E.W 67533 23/3/2010 4

### AMRI DG.NOMPO 67449 23/3/2010 4

### NY.NIRAWATI 67394 23/3/2010 3

### KURNIAWAN 67509 23/3/2010 5

### MUH.AGUS PRAYOGI 67575 23/3/2010 3

### NY.EMY KALSUM 67640 24/3/2010 2

### BY.NY.EMY KALSUM 67645 24/3/2010 2

### NY.SUHARTINI 67480 24/3/2010 5

### BY.NY.SUHARTINI 67556 24/3/2010 4

### MUH.ARIF 67586 24/3/2010 3

### SALMA DG.NGAGI 67659 24/3/2010 1

### RAHMATIAH 67397 24/3/2010 7

### MUH.SAIR 67579 24/3/2010 4

### BY.NY.SHERLY SIAMA 67625 24/3/2010 2

### AGUS 66719 24/3/2010 17

### NY.JUMANI 67681 24/3/2010 1

### HASNIAH DG.NGASSENG 53718 25/3/2010 10

### DACHNIAR SYAR AILA,SE 67442 25/3/2010 3

### AMIR SYAM 67539 25/3/2010 6

### HERLINA RASYID 38281 25/3/2010 3

### ANISE 66585 25/3/2010 21

### ANHAR 67627 25/3/2010 3

### MUH.FADIL HAMZAH 67606 25/3/2010 4

### MUH.WAHYU 67631 25/3/2010 3

### MUH.AGUNG 67638 25/3/2010 3

### SURIYADI 66782 25/3/2010 18

### SUBAEDAH 67348 25/3/2010 9

### MUH.FARIL 67582 25/3/2010 5

### GONDO.P 66347 26/3/2010 11

### BY.NY.ST.FATIMAH 67834 26/3/2010 2

### AIDIL SATYA PUTRA 67585 26/3/2010 5

### AHMAD 67676 26/3/2010 3

### MUH.DG.RATE 67366 26/3/2010 10

### NY.WIWI 65776 26/3/2010 2

### BY.NY.ADERIA 67622 26/3/2010 4

### NY.KURNIA 67689 26/3/2010 2

### BY.NY.KURNIA 67699 26/3/2010 2

### H.M.SATUYAM 67691 26/3/2010 2

### SENNANIA 65895 26/3/2010 8

### RAKHMADIA 63040 26/3/2010 1

### NY.ST.HADERIA,SH 67617 26/3/2010 4

### INDRIA PURNAWATI 67826 26/3/2010 1

### MUH.AL PARIJAL 67512 26/3/2010 5

### AISYAH 67696 26/3/2010 2

### RUKIYAH 67267 26/3/2010 8

### RAMALIA 53521 26/3/2010 5

### LONNIO 67811 26/3/2010 2

### A.NURUL REZKY 67716 27/3/2010 4

### NY.ATI 67856 27/3/2010 1

### BY.NY.ATI 67857 27/3/2010 1

### MUSFIDA 67844 27/3/2010 2

### MIFTA ANGGRAENI 67573 27/3/2010 7

### RISKA 67580 27/3/2010 7

### NY.SUGIATI 67854 27/3/2010 3

### BY.NY.SUGIATI 67855 27/3/2010 1

### ROSTINY MAKKA,SE 38286 27/3/2010 3

### SRI REJEKI AMIR 67038 27/3/2010 4

### DRACHTEN WATI 67758 27/3/2010 3

### CENRA 67374 27/3/2010 10

### SERLING 67801 27/3/2010 3

### AFDILLAH SAPUTRA 67804 27/3/2010 3

### BY.NY.WIWI 67821 27/3/2010 2

### MUH.RIFAD DWI 67694 27/3/2010 3

### BESSE SUKMAWATI 67700 27/3/2010 3

### NAPING DG.KULLE 67654 28/3/2010 6

### NURSITA 67720 28/3/2010 5

### BANRI 67590 28/3/2010 7

### NY.JOHRIA 67686 28/3/2010 4

### NY.BY.JOHRIA 67687 28/3/2010 4

### ABD.WAHID 67872 28/3/2010 2

### MUH.ILYAS DG.LIANG 67835 28/3/2010 3

### RUSLAN 67655 28/3/2010 5

### SURI 24624 28/3/2010 6

### DG.KILO 66936 28/3/2010 19

### MUSLIM 67704 29/3/2010 5

### MUH.FEBRIAN 67663 29/3/2010 6

### TATI 67668 29/3/2010 6

### HABUBA DG.TARRING 67660 29/3/2010 6

### SYAMSUL DG.NABA 67644 29/3/2010 7

### SYAMSUL BAHRI 67703 29/3/2010 7

### SANGGOI 84951 29/3/2010 3

### YULIANA MANSYUR 67838 29/3/2010 4

### NY.MILA KARMILA 68051 29/3/2010 1

### NY.JUMANI 67681 29/3/2010 3

### BY.NY.JUMANI 67876 29/3/2010 2

### MAHA 67648 29/3/2010 6

### ARKI.P 67820 29/3/2010 4

### A.FAUSUL ADING 67873 29/3/2010 3

### LASARI 66337 29/3/2010 20

### NY.DIANA DG.BAJI 67891 29/3/2010 2

### BY.NY.DIANA DG.BAJI 67896 29/3/2010 2

### ILO 67845 29/3/2010 4

### KARTIKA 64321 29/3/2010 8

### ICHA 66517 30/3/2010 7

### DG.LIWANG 67659 30/3/2010 4

### AHRIANI.B 67647 30/3/2010 7

### NELEN LIAUM 67682 30/3/2010 6

### A.RASYID ARTADO 67835 30/3/2010 5

### LINDA 6761 30/3/2010 7

### WANDI 67897 30/3/2010 3

### ST.NURFAIDAH 67898 30/3/2010 3

### MELATI 67892 30/3/2010 3

### SUSWATI MUNADJAT 67852 30/3/2010 4

### SYAHRUL 67699 30/3/2010 6

### AYU ANDIRA 67843 30/3/2010 5

### NY.PUSPITA SARI 54480 31/3/2010 4

### NY.DEWI RISMA 67837 31/3/2010 6

### BY.NY.DEWI RISMA 67850 31/3/2010 6

### DG.HASNA 67528 31/3/2010 5

### ANNISA CAHYANI 68005 31/3/2010 3

### MUH.YUSRIL 67553 31/3/2010 4

TOTAL BERKAS : 241 1073

 PAKET INTENSIF
BIAYA RM
PATOLOGI KLINIK
ICCU/ICU/NICU/PICU
J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN SEDERHANA

MEDIK ASKEP JASPEL

MEDIK ASKEP J.SARANA
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
9 10 11 12 13 14 15 16
 PENUNJA

PATOLOGI KLINIK PATOLOGI ANATOMI

SEDERHANA SEDANG SEDERHANA SEDANG

J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
17 18 19 20 21 22 23
 PENUNJANG DIAGNOSTIK

RADIODIAGNOSTIK DIAGNOST

SEDERHANA SEDANG KOMPLEKS SEDERHANA

J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA

( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
24 25 26 27 28 29 30
 " HASIL REKAP RAWAT INAP PESERTA JA

DIAGNOSTIK ELEKTROMEDIK SEDERHANA

SEDERHANA SEDANG KOMPLEKS J.SARANA J.PELAYANAN

J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

( RP ) ( RP ) ( RP ) ( RP ) (RP ) ( RP ) ( RP )
31 32 33 34 35 36 37
AT INAP PESERTA JAMKESDA MARET 2010 "

TINDAKAN MEDIK

SEDANG KOMPLEKS
KECIL SEDANG
J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA

OPERATOR ANESTESI
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
38 39 40 41 42 43 44 45
AN MEDIK
OPERASI
SEDANG BESAR KHUSUS
J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

OPERATOR ANESTESI OPERATOR ANESTESI OPERATOR

( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
46 47 48 49 50 51 52
 KEBIDANAN DAN KA

NORMAL ( FISIOLOGIS ) PATOLOGIS

HUSUS
J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

ANESTESI OPERATOR ANESTESI ANAK OPERATOR ANESTESI

( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
53 54 55 56 57 58 59 60
 KEBIDANAN DAN KANDUNGAN

GIS CAESAR KURETASE

PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

ANAK OPERATOR ANESTESI ANAK OPERATOR

( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
61 62 63 64 65 66 67
 PELAYANAN
KURETASE TOTAL
OBAT
J.PELAYANAN NAMA DOKTER KETERANGAN DIAGNOSA

ANESTESI ANAK
( RP ) ( RP ) ( RP ) ( RP )
68 69 70 71 72 73

DR.BAHAR,SpB T.SUPRA PUBIS

DR.NADRA,SpS CEPHALGIA

DR.SAHA,SpOG INPARTU/SC

DR.FARIDHA,SpA BBL

DR.RUSMAN,SpD TYPHOID

DR.RUSMAN,SpD MELENA

DR.RUSMAN,SpD HT

DR.YATI,SpA GEA

DR.YATI,SpA FEBRIS

DR.YATI,SpA DBD

DR.FARIDHA,SpA TYPHOID

DR.YATI,SpA DIARE

DR.YATI,SpA FEBRIS

DR.RUSMAN,SpD DIARE DEHIDRASI

DR.YATI,SpA FEBRIS

DR.YATI,SpA DBD
DR.YATI,SpA BRONCHOPNEMONIA

DR.RUSMAN,SpD TYPOHID

DR.YATI,SpA DBD

DR.RUSMAN,SpD OBS.FEBRIS

DR.YATI,SpA KEJANG DEMAM

DR.BAHAR,SpB LIPOMA

DR.YATI,SpA FEBRIS

DR.RUSMAN,SpD BRONCHOPNEMONIA

DR.HASYIM,SpD ACUT ABDOMEN

DR.YATI,SpA DBD

DR.HASYIM,SpD DIARE DEHIDRASI

DR.YATI,SpA KEJANG DEMAM

DR.YATI,SpA TYPOHID

DR.HASYIM,SpD FEBRIS

DR.RUSMAN,SpD DIARE DEHIDRASI

DR.RUSMAN,SpD KOLIK ABDOMEN

DR.RUSMAN,SpD ISK

DR.MAPPI,SpB V.LACERATUM

DR.FARIDHA,SpA BBL

DR.YATI,SpA COMMOND COLD

DR.RUSMAN,SpD DYPEPSIA + HT BERAT

DR.RUSMAN,SpD DYPEPSIA

DR.FARIDHA,SpA BBL
DR.BAHAR,SpB T.MAMMAE

DR.FARIDHA,SpA GEA

DR.RUSMAN,SpD HEPATITIS

DR.NADRA,SpS CHEPALGIA

DR.FARIDHA,SpA BBL

DR.RUSMAN,SpD DBD

DR.FARIDHA,SpA ASHMA BRONCHITIS

DR.BAHAR,SpB T.MAMMAE

DR.BAHAR,SpB T.MAMMAE

DR.YATI,SpA BBL

DR.FARIDHA,SpA BBL

DR.FARIDHA,SpA BBL

DR.YATI,SpA FEBRIS

DR.RUSMAN,SpD DEMAM TYPHOID

DR.RUSMAN,SpD KP

DR.HASYIM,SpD DEMAM TYPHOID

DR.YATI,SpA KEJANG DEMAM

DR.YATI,SpA SUSP.DBD

DR.YATI,SpA TYPHOID

DR.RUSMAN,SpD SUSP.KP

DR.RUSMAN,SpD OBS.FEBRIS

DR.RUSMAN,SpD GASTRITIS
DR.RUSMAN,SpD GASTRITIS

DR.HASYIM,SpD GASTRITIS

DR.HASYIM,SpD FEBRIS + TYPHOID

DR.BAHAR,SpB H.PROSTAT

DR.FARIDHA,SpA BBL

DR.RUSMAN,SpD HEPATITIS

DR.FARIDHA,SpA BRONCHPNEMONIA

DR.YATI,SpA TYPHOID

DR FARIDHA,SpA DIARE DEHIDRASI

DR.YATI,SpA GEA DEHIDRASI

DR.YATI,SpA GEA

DR.BAHAR,SpB ILEUS OBSTRUKSI

DR.FARIDHA,SpA GEA DEHIDRASI

DR.FARIDHA,SpA KEJANG DEMAM

DR.HASYIM,SpD GASTRITIS AKUT

DR.FARIDHA,SpA GEA

DR.YATI,SpA BBL

DR,YATI,SpA BBL

DR.NADRA,SpS CHEPALGIA

DR.SAHA,SpOG INPARTU

DR.YATI,SpA GEA

DR.YATI,SpA DBD

DR.FARIDHA,SpA ACUT ABDOMEN

DR.SAHA,SpOG INPARTU

DR.YATI,SpA BBL

DR.YATI,SpA FEBRIS
DR.AZIZAH,SpM
DR.FARIDHA,SpA SUSP.BP

DR.YATI,SpA FEBRIS

DR.BAHAR,SpB STRUMA

DR.NADRA,SpS STROKE

DR.EDDY,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.EDDY,SpOG INPARTU

DR.YATI,SpA BBL

DR.RUSMAN,SpD CHF

DR.EDDY,SpOG ABORTUS INKOMPLIT

DR.BAHAR,SpB T.DINDING THORAS

DR.YATI,SpA DEMAM TYPHOID

DR.HASYIM,SpD KOLIK ABDOMEN

DR.RUSMAN,SpD FEBRIS

DR.FATMA,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.SAHA,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.FARIDHA,SpA TYPHOID
DR.FARIDHA,SpA DIARE

DR.RUSMAN,SpD GEA DEHIDRASI

DR.HASYIM,SpD TYPHOID FEVER

DR.HASYIM,SpD SUSP.GASTRITIS

DR.HASYIM,SpD GASTRITIS

DR.FATMA,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.FARIDHA,SpA TYPHOID FEVER

DR.RUSMAN,SpD SUSP.HEPATITIS

DR.SAHA,SpOG INPARTU

DR.YATI,SpA FEBRIS

DR.YATI,SpA BRONCHPNEMONIA

DR.HASYIM,SpD TYPHOID

DR.RUSMAN,SpD SUSP.APP

DR.FARIDHA,SpA OBS.FEBRIS

DR.RUSMAN,SpD OBS.FEBRIS

DR.FARIDHA,SpA DIARE + FEBRIS

DR.JUFRI,SpB APP

DR.FATMA,SpOG INPARTU

DR.YATI,SpA BBL

DR.RUSMAN,SpD DBD + TYPHOID

DR.EDDY,SpOG PERDARAHAN PERVAGINAN

DR.RUSMAN,SpD BRONCHITIS
DR.FATMA,SpOG INPARTU

DR.DJUFRI,SpB DISLOKASI JEMPOL KIRI

DR.NADRA,SpS TRAUMA CAPITIS

DR.SAHA,SpG INPARTU

DR.YATI,SpA BBL

DR.EDDY,SpOG INPARTU

DR.YATI,SpA BBL

DR.YATI,SpA FEBRIS + GEA

DR.SAHA,SpOG PERDARAHAN PERVAGINA

DR.HASYIM,SpD TYPHOID

DR.FARIDHA,SpA BRONCHPNEMONIA

DR.YATI,SpA BBL

DR.MAPPI,SpB ABSES HEPAR

DR.FATMA,SpOG INPARTU

DR.BAHAR,SpB T.MAMMAE

DR.BAHAR,SpB T.AXILLA KIRI

DR.NADRA,SpS HEMIPLEGIA DEXTRA

DR.SAHA,SpOG HIPEREMESIS GRAVIDARUM

DR.HASYIM,SpD PPOM

DR.BAHAR,SpB HAEMOROID

DR.YATI,SpA DBD + ISPA

DR.YATI,SpA DIARE
DR.YATI,SpA GEA

DR.RUSMAN,SpD SPENOMEGALI

DR.RUSMAN,SpD GASTRITIS

DR.FARIDHA,SpA DEMAM TYPHOID

DR.BAHAR,SpB ABSES SUB.MANDIBULA

DR.FARIDHA,SpA BBL/PREMATUR

DR.FARIDHA,SpA TYPHOID

DR.FARIDHA,SpA DIARE DEHIDRASI

DR.RUSMAN,SpD BRONCHITIS KRONIK

DR.FATMA,SpOG INPARTU

DR.YATI,SpA BBL

DR.FATMA,SpOG INPARTU

DR.YATI,SpA BBL

DR.NADRA,SpS HYPERTENSI

DR.NADRA,SpS PARAPARESE

DR.EDDY,SpOG T.UTERUS

DR.FATMA,SpOG INPARTU + MIOMA UTERI

DR.NADRA,SpS SN

DR.YATI,SpA DIARE DEHIDRASI

DR.YATI,SPA DIARE

DR.RUSMAN,SpD DM

DR.YATI,SpA FEBRIS

DR.RUSMAN,SpD PPOK
DR.BAHAR,SpB SUS.APP

DR.EDDY,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.FARIDHA,SpA DYSPEPSIA

DR.FARIDHA,SpA FEBRIS

DR.FARIDHA,SpA MORBILI + RETENSIURINE

DR.EDDY,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.BAHAR,SpB T.ABDOMEN

DR.RUSMAN,SpD GEA

DR.FATMA,SpOG ABORTUS

DR.BAHAR,SpB STRUMA NADOSA

DR.YATI,SpA DIARE

DR.YATI,SpA DIARE DEHIDRASI

DR.YATI,SpA BBL

DR.YATI.SpA DBD

DR.YATI,SpA DBD

DR.RUSMAN,SpD KP + ASTHMA

DR.RUSMAN,SpD DYSPEPSIA

DR.RUSMAN,SPD FEBRIS

DR.FATMA,SpOG INPARTU

DR.YATI,SpA BBL
DR.HASYIM,SpD FEBRIS

DR.RUSMAN,S DEMAM TYPHOID

DR.RUSMAN,SpD ASTHMA + KP

DR.RUSMAN,SpD DYSPEPSIA

DR.RUSMAN,SpD SUSP.BRONCHITIS

DR.AMIRAH,SpTHT POLIP

DR.FARIDHA,SpA FEBRIS

DR.RUSMAN,SpD BRONCHITIS KRONIK

DR.RUSMAN,SpD GASTRITIS

DR.BAHAR,SpB SUSP.APP

DR.RUSMAN,SpD DEMAM TYPHOID

DR.NADRA,SpS COMMOSIO CEREBRI

DR.HASYIM,SpD DYSPEPSIA

DR.SAHA,SpOG MOLAHIDATIDOSA

DR.EDDY,SpOG INPARTU

DR.YATI,SpA BBL

DR.RUSMAN,SpD TRAUMA CAPITIS

DR.MAPPI,SpB APP

DR.NADRA,SpS TRAUMA CAPITIS

DR.BAHAR,SpB CA.MAMMAE

DR.FATMA,SpOG INPARTU

DR.FRIDHA,SpA BBL

DR.HASYIM,SpD FEBRIS
DR.YATI,SpA DIARE DEHIDRASI

DR.RUSMAN,SPD FEBRIS

DR.NADRA,SpS HEMIPARESE

DR.RUSMAN,SpD DEMAM TYPHOID

DR.RUSMAN,SpD SUSP.TYPHOID

DR.MAPPI,SpB HERNIA

DR.RUSMAN,SpD SUSP.TYPHOID FEVER

DR.FARIDHA,SpA FEBRIS

DR.FARIDHA,SpA DBD

DR.FARIDHA,SpA FEBRIS

DR.BAHAR,SpB CA.MAMAE

DR.YATI,SpA FEBRIS

DR.FARIDHA,SpA DIARE DEHIDRASI

DR.FATMA,SpOG HYPEREMESIS GRAVIDARUM

DR.EDDY,SpOG INPARTU

DR.FARIDHA,SpA BBL

DR.RUSMAN,SpD FEBRIS

DR.FARIDHA,SpA KEJANG DEMAM

DR.FARIDHA,SpA DBD + DIARE

 PAKET RAWAT INAP PAKET INTENSIF

BIAYA
ICCU/ICU/NICU/PICU
NO TGL LAMA
MR KELUAR HARI J.SARANA
RAWAT J.PELAYANAN J.SARANA J.PELAYANAN
MEDIK ASKEP MEDIK
N0 NAMA ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
1 2 3 4 5 6 7 8 9 10

1 ANHAR 67350 20/3/2010 4 Rp 60,000 Rp 40,000 Rp 10,000

KET INTENSIF
BIAYA RM
PATOLOGI KLINIK
/ICU/NICU/PICU

J.SARANA J.PELAYANAN
J.PELAYANAN SEDERHANA SEDANG
ASKEP MEDIK ASKEP JASPEL J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
11 12 13 14 15 16 17 18 19

Rp 2,400 Rp 1,600
 PENUNJANG DIAGNOSTIK

PATOLOGI ANATOMI RADIODIAGNOSTIK

SEDERHANA SEDANG SEDERHANA SEDANG

J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
20 21 22 23 24 25 26 27
 " HASIL REKAP SUSULAN RAWAT INAP PESE

GNOSTIK DIAGNOSTIK ELEKTROMEDIK

KOMPLEKS SEDERHANA SEDANG KOMPLEKS

J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
28 29 30 31 32 33 34
AN RAWAT INAP PESERTA JAMKESDA MARET 2010 "

TINDAKAN MED

SEDERHANA SEDANG KOMPLEKS

KECIL

KOMPLEKS J.SARANA J.PELAYANAN J.SARANAJ.PELAYANANJ.SARANAJ.PELAYANANJ.SARANA J.PELAYANAN

J.PELAYANAN OPERATOR
(RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
35 36 37 38 39 40 41 42 43

Rp 13,500 Rp 9,000
 TINDAKAN MEDIK
OPERASI
KECIL SEDANG BESAR KHUSUS

J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

ANESTESI OPERATOR ANESTESI OPERATOR ANESTESI OPERATOR ANESTESI
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
44 45 46 47 48 49 50 51 52 53
 KEBIDANAN DAN KANDUNGAN

NORMAL ( FISIOLOGIS ) PATOLOGIS CAESAR

J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

OPERATOR ANESTESI ANAK OPERATOR ANESTESI ANAK OPERATOR
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
54 55 56 57 58 59 60 61 62 63
NGAN

CAESAR KURETASE PELAYAN TOTAL

AN OBAT
NAMA DOKTER
J.PELAYANAN J.SARANA J.PELAYANAN
ANESTESI ANAK OPERATOR ANESTESI ANAK
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
64 65 66 67 68 69 70 71 72

Rp 136,500 DR.NADRA,SpS
KETERANGAN
DIAGNOSA

73

CHEPALGIA
 PAKET RAWAT INAP PAKET INTENSIF

BIAYA
ICCU/ICU/NICU/PICU
NO TGL LAMA
MR KELUAR HARI J.SARANA
RAWAT J.PELAYANAN J.SARANA
MEDIK ASKEP
N0 NAMA ( RP ) ( RP ) ( RP ) ( RP )
1 2 3 4 5 6 7 8 9

ST.JAELANI 66161 1/3/2010 4

AMA RAMADHANI 65835 23/3/2010 7

 PAKET INTENSIF
BIAYA RM
PATOLOGI KLINIK
ICCU/ICU/NICU/PICU

J.SARANA J.PELAYANAN
J.PELAYANAN SEDERHANA SEDANG
MEDIK ASKEP MEDIK ASKEP JASPEL J.SARANA J.PELAYA J.SARANAJ.PELAYANAN
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
10 11 12 13 14 15 16 17 18 19
 PENUNJANG DIAGNOSTIK

PATOLOGI ANATOMI RADIODIAGNOSTIK

SEDERHANA SEDANG SEDERHANA SEDANG KOMPLEKS

J.SARANAJ.PELAYANANJ.SARANAJ.PELAYANANJ.SARANAJ.PELAYANANJ.SARANAJ.PELAYANANJ.SARANAJ.PELAYANAN
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
20 21 22 23 24 25 26 27 28 29
 DIAGNOSTIK ELEKTROMEDIK SEDERHANA SEDANG

SEDERHANA SEDANG KOMPLEKS J.SARANA J.PELAYA J.SARANAJ.PELAYANAN

J.SARANAJ.PELAYANANJ.SARANAJ.PELAYANANJ.SARANAJ.PELAYANAN
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) (RP ) ( RP ) ( RP ) ( RP ) ( RP )
30 31 32 33 34 35 36 37 38 39
 TINDAKAN MEDIK
OPERASI
KOMPLEKS
KECIL SEDANG BESAR

J.SARANAJ.PELAYANANJ.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

OPERATOR ANESTESI OPERATOR ANESTESI OPERATOR
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
40 41 42 43 44 45 46 47 48 49
 KEBIDAN

NORMAL ( FISIOLOGIS ) PATOLOGIS

BESAR KHUSUS

J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

ANESTESI OPERATOR ANESTESI OPERATOR ANESTESI ANAK OPERATOR
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
50 51 52 53 54 55 56 57 58 59
 KEBIDANAN DAN KANDUNGAN

PATOLOGIS CAESAR KURETASE

J.PELAYANAN J.SARANA J.PELAYANAN J.SARANA J.PELAYANAN

ANESTESI ANAK OPERATOR ANESTESI ANAK OPERATOR ANESTESI ANAK
( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP ) ( RP )
60 61 62 63 64 65 66 67 68 69
PELAYANAN TOTAL
OBAT KETERANGAN
NAMA DOKTER DIAGNOSA

( RP ) ( RP )
70 71 72 73

Rp 368,607 DR.BAHAR,SpB T.SUPRA PUBIS

Rp 136,599 DR.RUSMAN,SpD DBD + TYPHOID