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SURVELENCE PPI APRIL 2018

Tanggal 01/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 29/3/2018 028751 An Matthias M 4thn9bln dr. Diana Sp.A


2 29/3/2018 051603 An Achmad Syafid 7bln dr. Diana Sp.A
3 29/3/2018 052515 An Mehrunisa 8bln dr Husnul SpA
4 29/3/2018 048545 An athaya Zivan 10bln dr Husnul SpA
5 30/3/2018 005055 Ny Setia Wati 40thn dr Raditya SpOG
6 30/3/2018 023421 Ny Erni Susanti 27 thn Bidan
7 30/3/2018 052520 By Ny Erni S 0hari -
8 31/3/2018 008780 An Gista Fitriyani 7thn6bln dr. Diana Sp.A
9 31/3/2018 046837 An Azril Haikal 2thn dr. Diana Sp.A
10 31/3/2018 052530 An Muhammad Fahreza 1thn3bln dr. Diana Sp.A
11 31/3/2018 037374 An Shanum Bellvania 2thn9bln dr. Diana Sp.A
12 31/3/2018 052537 Tn Jo Edi Besuni 63thn dr.Garinda
13 31/3/2018 049515 Ny Windi Lutfiah 22thn dr Raditya SpOG
14 31/3/2018 052539 By Ny Windi L 0hari dr Husnul SpA
15 1/4/2018 052540 Ny Saripah 63thn
dr Heriyatmo Sp PD,dr Garindra Sp.P
16 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp PD
SURVELENCE PPI APRIL 2018
Tanggal 01/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
TF + - - - - - -
BP + - - - - - -
GEA,Vomiting + - - - - - -
TF + - - - - - -
Menomethoragia + - - - - - -
GII PiooI Abooo Uk 39-40mgg - - - - - - -
BBL - - - - - - -
Obs.vomiting,GEA + - - - - - -
Obs.vomiting,GEA + - - - - - -
Bacterial Infection + - - - - - -
Bacterial Infeksi + - - - - - -
TB,Bronkitis Infeksi,susp ILD + - - - - - -
GI Poooo Abooo UK 39 mgg + + - - - - -
BBL,Neonatal Pnemonia + - - - - - -
Susp ALO , DM + + - - - - -
DM, DHF + - - - - - -
ANTIBIOTIK ODEMA

Terfacef -
Terfacef -
- -
Taxegram -
- -
- -
- -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cinam -
levo,metro,ceftixo -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 02/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 29/3/2018 048545 An athaya Zivan 10bln dr Husnul SpA


2 31/3/2018 008780 An Gista Fitriyani 7thn6bln dr. Diana Sp.A
3 31/3/2018 046837 An Azril Haikal 2thn dr. Diana Sp.A
4 31/3/2018 052530 An Muhammad Fahreza 1thn3bln dr. Diana Sp.A
5 31/3/2018 037374 An Shanum Bellvania 2thn9bln dr. Diana Sp.A
6 31/3/2018 052537 Tn Jo Edi Besuni 63thn dr.Garinda
7 31/3/2018 049515 Ny Windi Lutfiah 22thn dr Raditya SpOG
8 31/3/2018 052539 By Ny Windi L 0hari dr Husnul SpA
9 1/4/2018 052540 Ny Saripah 63thn
dr Heriyatmo Sp PD,dr Garindra Sp.P
10 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp PD
11 2/4/2018 029362 An Noel Enzha Daendra 4thn dr. Diana Sp.A
12 2/4/2018 051353 An M Abid Hadi 10 thn dr. Diana Sp.A
13 2/4/2018 052558 An Nasyauqi Ismatillah 8 bln dr Husnul SpA
14 2/4/2018 052556 An Muh.Luthfi Najmi 2thn 7bln dr Husnul SpA
15 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA
16 2/4/2018 039648 An dirga Dwi Ibra 2thn9bln dr. Diana Sp.A
17 2/4/2018 040199 An. Aliyah Zahidah 3thn 6bln dr. Husnul Sp. A
18 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 02/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
TF + - - - - - -
Obs.vomiting,GEA + - - - - - -
Obs.vomiting,GEA + - - - - - -
Bacterial Infection + - - - - - -
Bacterial Infeksi + - - - - - -
TB,Bronkitis Infeksi,susp ILD + - - - - - -
GI Poooo Abooo UK 39 mgg + - - - - - -
BBL,Neonatal Pnemonia + - - - - - -
Susp ALO , DM + + - - - - -
DM, DHF + - - - - - -
OF, Vomit dehidrasi + - - - - - -
Obs Vomiting + - - - - - -
KDS , Obs Vomiting + - - - - - -
GEA + - - - - - -
GEA + - - - - - -
OF + - - - - - -
Status Epileptikus + - - - - - -
OF Hr 4 + - - - - - -
ANTIBIOTIK ODEMA

Taxegram -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cinam -
levo,metro,ceftixo -
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cefotaxime -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Cefotaxime -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 03/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 31/3/2018 046837 An Azril Haikal 2thn dr. Diana Sp.A


2 31/3/2018 052530 An Muhammad Fahreza 1thn3bln dr. Diana Sp.A
3 31/3/2018 037374 An Shanum Bellvania 2thn9bln dr. Diana Sp.A
4 31/3/2018 052537 Tn Jo Edi Besuni 63thn dr.Garinda
5 31/3/2018 049515 Ny Windi Lutfiah 22thn dr Raditya SpOG
6 31/3/2018 052539 By Ny Windi L 0hari dr Husnul SpA
7 1/4/2018 052540 Ny Saripah 63thn dr Heriyatmo Sp PD,dr
8 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp PD
9 2/4/2018 029362 An Noel Enzha Daendra 4thn dr. Diana Sp.A
10 2/4/2018 051353 An M Abid Hadi 10 thn dr. Diana Sp.A
11 2/4/2018 052558 An Nasyauqi Ismatillah 8 bln dr Husnul SpA
12 2/4/2018 052556 An Muh.Luthfi Najmi 2thn 7bln dr Husnul SpA
13 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA
14 2/4/2018 039648 An dirga Dwi Ibra 2thn9bln dr. Diana Sp.A
15 2/4/2018 040199 An. Aliyah Zahidah 3thn 6bln dr. Husnul Sp. A
16 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A

17 3/4/2018 007063 Ny. Emilia Agustini 40thn Dr. Raditya Sp. OG

18 3/4/2018 050862 An. M Arka Rafathan 6bln dr. Diana Sp.A


19 3/4/2018 062574 Ny. Theresia Sri D 23thn Bidan

20 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

21 3/4/2018 052578 An. Aliyahsyaza jingga M 1thn 1bln dr. Diana Sp.A
22 3/4/2018 052578 Tn. Budiono 46 thn dr. Antonius, MMRS
23 3/4/2018 051415 An. Arga Maulana 4 thn dr Husnul SpA
SURVELENCE PPI APRIL 2018
Tanggal 03/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
Obs.vomiting,GEA + - - - - - -
Bacterial Infection + - - - - - -
Bacterial Infeksi + - - - - - -
TB,Bronkitis Infeksi,susp ILD + - - - - - -
GI Poooo Abooo UK 39 mgg + - - - - - -
BBL,Neonatal Pnemonia + - - - - - -
Susp ALO , DM + + - - - - -
DM, DHF + - - - - - -
OF, Vomit dehidrasi + - - - - - -
Obs Vomiting + - - - - - -
KDS , Obs Vomiting + - - - - - -
GEA + - - - - - -
GEA + - - - - - -
OF + - - - - - -
Status Epileptikus + - - - - - -
OF Hr 4 + - - - - - -
G4 P3003 Ab 000 uk 38-39 + - - - - - -
mgg , PEB
OF, BP + - - - - - -
G1 P0000 Ab 000 uk 41 mgg - - - - - - -
Dehidrasi ringan sedang, + + - - - - -
Dyspepsia syndrome
S. BP, OF + - - - - - -
Anemia + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
ANTIBIOTIK ODEMA

Glibotik -
Ceftriaxone -
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cinam -
levo,metro,ceftixo -
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cefotaxime -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Cefotaxime -
Ceftriaxone -

- -

Terfacef -
Cefadroxil -

Ceftriaxone -

Terfacef -
Ceftriaxone -
Cefotaxime -
SURVELENCE PPI APRIL 2
Tanggal 04/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 31/3/2018 046837 An Azril Haikal 2thn dr. Diana Sp.A


2 31/3/2018 052530 An Muhammad Fahreza 1thn3bln dr. Diana Sp.A
3 31/3/2018 037374 An Shanum Bellvania 2thn9bln dr. Diana Sp.A
4 31/3/2018 052537 Tn Jo Edi Besuni 63thn dr.Garinda
dr Heriyatmo Sp PD,dr
5 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P
6 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp PD
7 2/4/2018 029362 An Noel Enzha Daendra 4thn dr. Diana Sp.A
8 2/4/2018 051353 An M Abid Hadi 10 thn dr. Diana Sp.A
9 2/4/2018 052558 An Nasyauqi Ismatillah 8 bln dr Husnul SpA
10 2/4/2018 052556 An Muh.Luthfi Najmi 2thn 7bln dr Husnul SpA
11 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA
12 2/4/2018 039648 An dirga Dwi Ibra 2thn9bln dr. Diana Sp.A
13 2/4/2018 040199 An. Aliyah Zahidah 3thn 6bln dr. Husnul Sp. A
14 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A
15 3/4/2018 050862 An. M Arka Rafathan 6bln dr. Diana Sp.A
16 3/4/2018 062574 Ny. Theresia Sri D 23thn Bidan

17 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

18 3/4/2018 052578 An. Aliyahsyaza jingga M 1thn 1bln dr. Diana Sp.A
19 3/4/2018 052578 Tn. Budiono 46 thn dr. Antonius, MMRS
20 3/4/2018 051415 An. Arga Maulana 4 thn dr. Husnul SpA
21 4/4/2018 052584 An. M Dafin Saputra 2thn dr. Husnul SpA
22 4/4/2018 052586 By. Ny. Theresia Sri D 0hr dr. Husnul SpA
23 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 04/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
Obs.vomiting,GEA + - - - - - -
Bacterial Infection + - - - - - -
Bacterial Infeksi + - - - - - -
TB,Bronkitis Infeksi,susp ILD + - - - - - -

Susp ALO , DM + + - - - - -

DM, DHF + - - - - - -
OF, Vomit dehidrasi + - - - - - -
Obs Vomiting + - - - - - -
KDS , Obs Vomiting + - - - - - -
GEA + - - - - - -
GEA + - - - - - -
OF + - - - - - -
Status Epileptikus + - - - - - -
OF Hr 4 + - - - - - -
OF, BP + - - - - - -
G1 P0000 Ab 000 uk 41 mgg - - - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
S. BP, OF + - - - - - -
Anemia + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
Asthma, BP + - - - - - -
BBL + - - - - - -
OF, ISPA + - - - - - -
ANTIBIOTIK ODEMA

Glibotik -
Ceftriaxone -
Ceftriaxone -
Ceftriaxone -
levofloxacin -
,metro,ceftixo
Ceftriaxone -
Ceftriaxone -
Terfacef -
Cefotaxime -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Cefotaxime +
Ceftriaxone -
Terfacef -
Cefadroxil -

Ceftriaxone -

Terfacef -
Ceftriaxone -
Cefotaxime -
Cefotaxime -
Cinam -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 05/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp
1 1/4/2018 052540 Ny Saripah 63thn PD,dr Garindra
Sp.P
2 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp
3 2/4/2018 051353 An M Abid Hadi 10 thn dr. Diana Sp.A
4 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA
5 2/4/2018 040199 An. Aliyah Zahidah 3thn 6bln dr. Husnul Sp. A
6 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A
7 3/4/2018 050862 An. M Arka Rafathan 6bln dr. Diana Sp.A
8 3/4/2018 062574 Ny. Theresia Sri D 23thn Bidan

9 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MM

10 3/4/2018 052578 An. Aliyahsyaza jingga M 1thn 1bln dr. Diana Sp.A
11 3/4/2018 052578 Tn. Budiono 46 thn dr. Antonius, MM
12 3/4/2018 051415 An. Arga Maulana 4 thn dr. Husnul SpA
13 4/4/2018 052584 An. M Dafin Saputra 2thn dr. Husnul SpA
14 4/4/2018 052586 By. Ny. Theresia Sri D 0hr dr. Husnul SpA
15 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 05/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

DM, DHF + - - - - - -
Obs Vomiting + - - - - - -
GEA + - - - - - -
Status Epileptikus + - - - - - -
OF Hr 4 + - - - - - -
OF, BP + - - - - - -
G1 P0000 Ab 000 uk 41 mgg - - - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
S. BP, OF + - - - - - -
Anemia + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
Asthma, BP + - - - - - -
BBL + - - - - - -
OF, ISPA + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin -
,metro,ceftixo

Ceftriaxone -
Terfacef -
Glibotik -
Cefotaxime -
Ceftriaxone -
Terfacef -
Cefadroxil -

Ceftriaxone -

Terfacef -
Ceftriaxone -
Cefotaxime -
Cefotaxime -
Cinam -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 06/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P

2 1/4/2018 048546 Tn M syamsul Huda 22 thn dr Heriyatmo Sp PD


3 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA
4 2/4/2018 040199 An. Aliyah Zahidah 3thn 6bln dr. Husnul Sp. A
6 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A
7 3/4/2018 050862 An. M Arka Rafathan 6bln dr. Diana Sp.A
8 3/4/2018 062574 Ny. Theresia Sri D 23thn Bidan

9 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

10 3/4/2018 052578 An. Aliyahsyaza jingga M 1thn 1bln dr. Diana Sp.A
11 3/4/2018 051415 An. Arga Maulana 4 thn dr. Husnul SpA
12 4/4/2018 052584 An. M Dafin Saputra 2thn dr. Husnul SpA
13 4/4/2018 052586 By. Ny. Theresia Sri D 0hr dr. Husnul SpA
14 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
15 6/4/2018 029006 An. Mokhammad Alvien 4thn 10 bln dr. Husnul SpA
16 6/4/2018 024725 An. Raissa Canggih K 4thn 9bln dr. Diana Sp.A
17 6/4/2018 052620 Ny. Sri Wulandari 38thn dr. Heriyatmo Sp. PD
18 6/4/2018 046054 An. Jasmine Naila 12 thn 5 bln dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 06/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

DM, DHF + - - - - - -
GEA + - - + - - -
Status Epileptikus + - - - - - -
OF Hr 4 + - - - - - -
OF, BP + - - - - - -
G1 P0000 Ab 000 uk 41 mgg - - - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
S. BP, OF + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
Asthma, BP + - - - - - -
BBL + - - - - - -
OF, ISPA + - - - - - -
KDK + - - - - - -
Baterial Infectoin + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
S. TF , Scabies + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin -
,metro,ceftixo

Ceftriaxone -
Glibotik -
Cefotaxime -
Ceftriaxone -
Terfacef -
Cefadroxil -

Ceftriaxone -

Terfacef -
Cefotaxime -
Cefotaxime -
Cinam -
Ceftriaxone -
Cefotaxime -
Terfacef -
Zibac -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 07/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P

2 2/4/2018 045813 An Gallendra Laksamana 1thn 5bln dr Husnul SpA


3 2/4/2018 032934 An. M Arka Devirzha 3thn 10 bln dr. Diana Sp.A
4 3/4/2018 050862 An. M Arka Rafathan 6bln dr. Diana Sp.A
5 3/4/2018 062574 Ny. Theresia Sri D 23thn Bidan

6 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

7 4/4/2018 052584 An. M Dafin Saputra 2thn dr. Husnul SpA


8 4/4/2018 052586 By. Ny. Theresia Sri D 0hr dr. Husnul SpA
9 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
10 6/4/2018 029006 An. Mokhammad Alvien 4thn 10 bln dr. Husnul SpA
11 6/4/2018 024725 An. Raissa Canggih K 4thn 9bln dr. Diana Sp.A
12 6/4/2018 052620 Ny. Sri Wulandari 38thn dr. Heriyatmo Sp. PD
13 6/4/2018 046054 An. Jasmine Naila 12 thn 5 bln dr. Diana Sp.A
14 7/4/2018 052592 Tn. Rony Wahyu S 27 thn dr. Heriyatmo Sp. PD
15 7/4/2018 027583 An. Nayla wahyu agustina 4thn 3bln dr. Husnul Sp. A
SURVELENCE PPI APRIL 2018
Tanggal 07/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

GEA + - - - - - -
OF Hr 4 + - - - - - -
OF, BP + - - - - - -
G1 P0000 Ab 000 uk 41 mgg - - - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
Asthma, BP + - - - - - -
BBL + - - - - - -
OF, ISPA + - - - - - -
KDK + - - - - - -
Baterial Infectoin + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
S. TF , Scabies + - - - - - -
DF + - - - - - -
GERD + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin , -
metro,ceftixo

Glibotik -
Ceftriaxone -
Terfacef -
Cefadroxil -

Ceftriaxone -

Cefotaxime -
Cinam -
Ceftriaxone -
Cefotaxime -
Terfacef -
Zibax -
Ceftriaxone -
Zibac -
Ceftriaxone -
SURVELENCE PPI APRIL 2018
Tanggal 08/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P

2 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

3 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
4 6/4/2018 024725 An. Raissa Canggih K 4thn 9bln dr. Diana Sp.A
5 6/4/2018 052620 Ny. Sri Wulandari 38thn dr. Heriyatmo Sp. PD
6 6/4/2018 046054 An. Jasmine Naila 12 thn 5 bln dr. Diana Sp.A
7 7/4/2018 052592 Tn. Rony Wahyu S 27 thn dr. Heriyatmo Sp. PD
8 7/4/2018 027583 An. Nayla wahyu agustina 4thn 3bln dr. Husnul Sp. A
9 8/4/2018 035970 An. Azca Arya Zidan 2thn 11bln dr. Diana Sp.A
10 8/4/2018 040593 An. Wahyu Sadili 2thn 4 bln dr. Diana Sp.A
11 8/4/2018 052635 An. Arsa Bayu Prasetio 5bln dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 08/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
OF, ISPA + - - - - - -
Baterial Infectoin + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
S. TF , Scabies + - - - - - -
DF + - - - - - -
GERD + - - - - - -
OF Hr 4 + - - - - - -
BP, Susp. DHF + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin , -
metro,ceftixo

Ceftriaxone -

Ceftriaxone -
Terfacef -
Zibax -
Ceftriaxone -
Zibac -
Ceftriaxone -
- -
Ceftriaxone -
Glibotik -
SURVELENCE PPI APRIL 2018
Tanggal 09/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P

2 3/4/2018 062524 Ny. Sri Rahayu 88thn dr. Antonius, MMRS

3 4/4/2018 052593 An. Defka Septa Glen 6bln dr. Diana Sp.A
4 6/4/2018 024725 An. Raissa Canggih K 4thn 9bln dr. Diana Sp.A
5 6/4/2018 052620 Ny. Sri Wulandari 38thn dr. Heriyatmo Sp. PD
6 6/4/2018 046054 An. Jasmine Naila 12 thn 5 bln dr. Diana Sp.A
7 7/4/2018 052592 Tn. Rony Wahyu S 27 thn dr. Heriyatmo Sp. PD
8 7/4/2018 027583 An. Nayla wahyu agustina 4thn 3bln dr. Husnul Sp. A
9 8/4/2018 035970 An. Azca Arya Zidan 2thn 11bln dr. Diana Sp.A
10 8/4/2018 040593 An. Wahyu Sadili 2thn 4 bln dr. Diana Sp.A
11 8/4/2018 052635 An. Arsa Bayu Prasetio 5bln dr. Diana Sp.A
12 9/4/2018 049512 An William Arsya 10bln 2hr dr. Diana Sp.A
13 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A
14 9/4/2018 001108 Ny. Nanin Triana 34 thn dr. Raditya Sp. OG
15 9/4/2018 044309 An. Abidzar Gibran Ai Ghifari 2thn dr. Diana Sp.A
16 9/4/2018 052654 Tn. Charles Edmud Co Ert 71thn dr. Heriyatmo Sp. PD
17 9/4/2018 052655 Nn. Sutik 18thn dr. Heriyatmo Sp. PD
SURVELENCE PPI APRIL 2018
Tanggal 09/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

Dehidrasi ringan sedang, + + - - - - -


Dyspepsia syndrome
OF, ISPA + - - - - - -
Baterial Infectoin + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
S. TF , Scabies + - - - - - -
DF + - - - - - -
GERD + - - - - - -
OF Hr 4 + - - - - - -
BP, Susp. DHF + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
OF , low intake,trombositopenia + - - - - - -
susp DF + - - - - - -
Hiperemesis gravidarum + - - - - - -
Susp. BP + - - - - - -
OF,Anemia + - - - - - -
Colic Renal S dd Gastritis + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin ,
metro,ceftix -
o
Ceftriaxone -

Ceftriaxone -
Terfacef -
Zibax -
Ceftriaxone -
Zibac -
Ceftriaxone -
- -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Ceftriaxone -
- -
Terfacef -
Zibax -
Zibax -
SURVELENCE PPI APRIL 20
Tanggal 10/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P
2 6/4/2018 046054 An. Jasmine Naila 12 thn 5 bldr. Diana Sp.A
3 7/4/2018 052592 Tn. Rony Wahyu S 27 thn dr. Heriyatmo Sp. PD
4 8/4/2018 035970 An. Azca Arya Zidan 2thn 11blndr. Diana Sp.A
5 8/4/2018 040593 An. Wahyu Sadili 2thn 4 bln dr. Diana Sp.A
6 8/4/2018 052635 An. Arsa Bayu Prasetio 5bln dr. Diana Sp.A
7 9/4/2018 049512 An William Arsya 10bln 2hr dr. Diana Sp.A
8 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A
9 9/4/2018 001108 Ny. Nanin Triana 34 thn dr. Raditya Sp. OG
10 9/4/2018 044309 An. Abidzar Gibran Ai Ghifari 2thn dr. Diana Sp.A
11 9/4/2018 052654 Tn. Charles Edmud Co Ert 71thn dr. Heriyatmo Sp. PD
12 9/4/2018 052655 Nn. Sutik 18thn dr. Heriyatmo Sp. PD
13 10/4/2018 052657 An. Ino Kanza 6bln dr. Diana Sp.A
14 10/4/2018 052605 Tn. Mimin Gofari 51 thn dr. Anton, MMRS
SURVELENCE PPI APRIL 2018
Tanggal 10/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + + - - - - -

S. TF , Scabies + - - - - - -
DF + - - - - - -
OF Hr 4 + - - - - - -
BP, Susp. DHF + - - - - - -
GEA Dehidrasi ringan Sedang + - - - - - -
OF , low intake,trombositopenia + - - - - - -
susp DF + - - - - - -
Hiperemesis gravidarum + - - - - - -
Susp. BP + - - - - - -
OF,Anemia + - - - - - -
Colic Renal S dd Gastritis + - - - - - -
GEA , Observasi vomiting + - - - - - -
GEA, Observasi Nausea + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin -
,metro,ceftixo
Ceftriaxone -
Zibac -
- -
Ceftriaxone -
Glibotik -
Ceftriaxone -
Ceftriaxone -
- -
Terfacef -
Zibax -
Zibax -
Glibotik -
Ceftriaxone -
SURVELENCE PPI APRIL
Tanggal 11/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P

2 8/4/2018 040593 An. Wahyu Sadili 2thn 4 bln dr. Diana Sp.A
3 9/4/2018 049512 An William Arsya 10bln 2hr dr. Diana Sp.A
4 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A
5 9/4/2018 001108 Ny. Nanin Triana 34 thn dr. Raditya Sp. OG
6 9/4/2018 044309 An. Abidzar Gibran Ai Ghifari 2thn dr. Diana Sp.A
7 9/4/2018 052654 Tn. Charles Edmud Co Ert 71thn dr. Heriyatmo Sp. PD
8 9/4/2018 052655 Nn. Sutik 18thn dr. Heriyatmo Sp. PD
9 10/4/2018 052657 An. Ino Kanza 6bln dr. Diana Sp.A
10 10/4/2018 052605 Tn. Mimin Gofari 51 thn dr. Anton, MMRS
11 11/4/2018 052584 An M Dafin saputra 2thn dr Husnul Sp.A
12 11/4/2018 041379 An Adirajada 2thn 3bln dr Husnul Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 11/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS

Susp ALO , DM + - - - - -

BP, Susp. DHF + - - - - -


OF , low intake,trombositopenia + - - - - -
susp DF + - - - - -
Hiperemesis gravidarum + - - - - -
Susp. BP + - - - - -
OF,Anemia + - - - - -
Colic Renal S dd Gastritis + - - - - -
GEA , Observasi vomiting + - - - - -
GEA, Observasi Nausea + - - - - -
GEA + - - - - -
TF + - - - - -
ANTIBIOTIK ODEMA
HAP

levofloxacin
- ,metro,cefti +
xo

- Ceftriaxone -
- Ceftriaxone -
- Ceftriaxone -
- - -
- Terfacef -
- Zibax -
- Zibax -
- Glibotik -
- Ceftriaxone -
- cefotaxime -
- cefotaxime -
SURVELENCE PPI APRIL 2
Tanggal 12/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

dr Heriyatmo Sp PD,dr
1 1/4/2018 052540 Ny Saripah 63thn Garindra Sp.P
2 9/4/2018 049512 An William Arsya 10bln 2hr dr. Diana Sp.A
3 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A
4 9/4/2018 044309 An. Abidzar Gibran Ai Ghifari 2thn dr. Diana Sp.A
5 9/4/2018 052654 Tn. Charles Edmud Co Ert 71thn dr. Heriyatmo Sp. PD
6 9/4/2018 052655 Nn. Sutik 18thn dr. Heriyatmo Sp. PD
7 10/4/2018 052657 An. Ino Kanza 6bln dr. Diana Sp.A
8 10/4/2018 052605 Tn. Mimin Gofari 51 thn dr. Anton, MMRS
9 11/4/2018 052584 An M Dafin saputra 2thn dr Husnul Sp.A
10 11/4/2018 041379 An Adirajada 2thn 3bln dr Husnul Sp.A
11 12/4/2018 052139 An. Aaron king immanuel 1bln 26 hr dr. Diana Sp.A
SURVELENCE PPI APRIL 2018
Tanggal 12/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP

Susp ALO , DM + - - - - - -

OF , low intake,trombositopenia + - - - - - -
susp DF + - - - - - -
Susp. BP + - - - - - -
OF,Anemia + - - - - - -
Colic Renal S dd Gastritis + - - - - - -
GEA , Observasi vomiting + - - - - - -
GEA, Observasi Nausea + - - - - - -
GEA + - - - - - -
TF + - - - - - -
GEA + - - - - - -
ANTIBIOTIK ODEMA

levofloxacin , -
metro,ceftixo
Ceftriaxone -
Ceftriaxone +
Terfacef -
Zibax -
Zibax -
Glibotik -
Ceftriaxone -
cefotaxime -
cefotaxime -
Cefxon -
SURVELENCE PPI APRIL 20
Tanggal 13/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A


2 9/4/2018 044309 An. Abidzar Gibran Ai Ghifari 2thn dr. Diana Sp.A
3 9/4/2018 052654 Tn. Charles Edmud Co Ert 71thn dr. Heriyatmo Sp. PD
4 9/4/2018 052655 Nn. Sutik 18thn dr. Heriyatmo Sp. PD
5 10/4/2018 052657 An. Ino Kanza 6bln dr. Diana Sp.A
6 10/4/2018 052605 Tn. Mimin Gofari 51 thn dr. Anton, MMRS
7 11/4/2018 052584 An M Dafin saputra 2thn dr Husnul Sp.A
8 11/4/2018 041379 An Adirajada 2thn 3bln dr Husnul Sp.A
9 12/4/2018 052139 An. Aaron king immanuel 1bln 26 hr dr. Diana Sp.A
10 13/4/2018 052688 An Moch. Ilham Fio 2thn4bln dr Diana Sp.A
11 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD
12 13/4/2018 049975 An Kevin Hartoko 1thn3bln dr Diana Sp.A
13 13/4/2018 052693 An Tarup 60thn9bln dr Hari Budi Sp S
SURVELENCE PPI APRIL 2018
Tanggal 13/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
susp DF + - - - - - -
Susp. BP + - - - - - -
OF,Anemia + - - - - - -
Colic Renal S dd Gastritis + - - - - - -
GEA , Observasi vomiting + - - - - - -
GEA, Observasi Nausea + - - - - - -
GEA + - - - - - -
TF + - - - - - -
GEA + - - - - - -
OF + - - - - - -
Struma multi nodusa bilterl + - - - - - -
Obs vomiting,dehi R-S, OF + - - - - - -
HT Urgency+chepalgia + - - - - - -
ANTIBIOTIK ODEMA

Ceftriaxone +
Terfacef -
Zibax -
Zibax -
Glibotik -
Ceftriaxone -
cefotaxime -
cefotaxime -
Cefxon -
- -
Zibac -
Cefxon -
- -
SURVELENCE PPI APRIL 2
Tanggal 14/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 9/4/2018 052638 An Ardela Anjelin 2bln7hr dr. Diana Sp.A


2 12/4/2018 052139 An. Aaron king immanuel 1bln 26 hr dr. Diana Sp.A
3 13/4/2018 052688 An Moch. Ilham Fio 2thn4bln dr Diana Sp.A
4 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD
5 13/4/2018 049975 An Kevin Hartoko 1thn3bln dr Diana Sp.A
6 13/4/2018 052693 An Tarup 60thn9bln dr Hari Budi Sp S
7 14/4/2018 051745 An Putri Alya Safika 4bln dr Diana SpA
8 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS
9 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS
SURVELENCE PPI APRIL 2018
Tanggal 14/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
susp DF + - - - - - -
GEA + - - - - - -
OF + - - - - - -
Struma multi nodusa bilterl + - - - - - -
Obs vomiting,dehi R-S, OF + - - - - - -
HT Urgency+chepalgia + - - - - - -
Cardiometgali,OF,Icterus + - - - - - -
OF, Dehidrasi Ringan Sedang + - - - - - -
Dyspepsia + - - - - - -
ANTIBIOTIK ODEMA

Ceftriaxone +
Cefxon -
- -
Zibac -
Cefxon -
- -
Cefotaxime -
Ceftriaxone -
- -
SURVELENCE PPI APRIL 20
Tanggal 15/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 12/4/2018 052139 An. Aaron king immanuel 1bln 26 hr dr. Diana Sp.A
2 13/4/2018 052688 An Moch. Ilham Fio 2thn4bln dr Diana Sp.A
3 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD
4 13/4/2018 049975 An Kevin Hartoko 1thn3bln dr Diana Sp.A
5 13/4/2018 052693 An Tarup 60thn9bln dr Hari Budi Sp S
6 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS
7 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS
8 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS

9 15/4/2018 052702 Nn. Sanis Ayu Santana 16 thn Bidan

10 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A


SURVELENCE PPI APRIL 2018
Tanggal 15/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
GEA + - - - - - -
OF + - - - - - -
Struma multi nodusa bilterl + - - - - - -
Obs vomiting,dehi R-S, OF + - - - - - -
HT Urgency+chepalgia + - - - - - -
OF, Dehidrasi Ringan Sedang + - - - - - -
Dyspepsia + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
G2 P1001 Ab000 uk ??dg + - - - - - -
Abortus incomplete
BP + - - - - - -
ANTIBIOTIK ODEMA

Cefxon -
- -
Zibac -
Cefxon -
- +
Ceftriaxone -
- +
- -
Ceftriaxone, -
Sagestam
Cefotaxime -
SURVELENCE PPI APRIL
Tanggal 16/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 12/4/2018 052139 An. Aaron king immanuel 1bln 26 hr dr. Diana Sp.A
2 13/4/2018 052688 An Moch. Ilham Fio 2thn4bln dr Diana Sp.A
3 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD
4 13/4/2018 049975 An Kevin Hartoko 1thn3bln dr Diana Sp.A
5 13/4/2018 052693 An Tarup 60thn9bln dr Hari Budi Sp S
6 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS
7 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS

8 15/4/2018 052702 Nn. Sanis Ayu Santana 16 thn Bidan

9 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS


10 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A
11 16/4/2018 052148 By. Muhammad Nizam Abdillah 1bln 17hr dr. Husnul Sp. A
12 16/4/2018 052714 An Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
SURVELENCE PPI APRIL 2018
Tanggal 16/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
GEA + - - - - - -
OF + - - - - - -
Struma multi nodusa bilterl + - - - - - -
Obs vomiting,dehi R-S, OF + - - - - - -
HT Urgency+chepalgia + - - - - - -
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
G2 P1001 Ab000 uk ??dg + - - - - - -
Abortus incomplete
Dyspepsia + - - - - - -
BP + - - - - - -
BP, Aspirasi Pneumonia + - - - - - -
BP + - - - - - -
ANTIBIOTIK ODEMA

Cefxon -
- -
Zibac -
Cefxon -
- +
Ceftriaxone -
- -
Ceftriaxone, -
Sagestam
- -
Cefotaxime -
Cinam -
Cefotaxime -
SURVELENCE PPI APRI
Tanggal 17/04/20

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD


2 13/4/2018 052693 An Tarup 60thn9bln dr Hari Budi Sp S
3 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS
4 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS
5 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS
6 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A
7 16/4/2018 052714 An Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
8 17/4/2018 015722 Tn. Agus Santoso 53thn dr. Heriyatmo Sp. PD
9 17/4/2018 052726 Tn. Ali Muntoyib 53thn dr. Heriyatmo Sp. PD
SURVELENCE PPI APRIL 2018
Tanggal 17/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
Struma multi nodusa bilterl + - - - - - -
HT Urgency+chepalgia + - - - - - -
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
Dyspepsia + - - - - - -
BP + - - - - - -
BP + - - - - - -
OF hr 2, Chepalgia + - - - - - -
OF hr 4, Susp TF + - - - - - -
ANTIBIOTIK ODEMA

Zibac -
- -
Ceftriaxone -
- -
Colsancentine +
Cefotaxime -
Cefotaxime +
zibax -
Ceftizozime -
SURVELENCE PPI APRI
Tanggal 18/04/20

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 13/4/2018 052689 Ny Fatimah 56thn dr Heriyatmo sp PD


2 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS
3 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS
4 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS
5 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A
6 16/4/2018 052714 An Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
7 17/4/2018 015722 Tn. Agus Santoso 53thn dr. Heriyatmo Sp. PD
8 17/4/2018 052726 Tn. Ali Muntoyib 53thn dr. Heriyatmo Sp. PD
SURVELENCE PPI APRIL 2018
Tanggal 18/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
Struma multi nodusa bilterl + - - - - - -
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
Dyspepsia + - - - - - -
BP + - - - - - -
BP + - - - - - -
OF hr 2, Chepalgia + - - - - - -
OF hr 4, Susp TF + - - - - - -
ANTIBIOTIK ODEMA

Zibac -
Ceftriaxone -
- -
Colsancentine +
Cefotaxime +
Cefotaxime +
zibax -
Ceftizozime -
SURVELENCE PPI APRIL 20
Tanggal 19/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS


2 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS
3 14/4/2018 026730 Ny. Ariani 53thn dr. Anton MMRS
4 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A
5 16/4/2018 052714 An. Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
6 17/4/2018 015722 Tn. Agus Santoso 53thn dr. Heriyatmo Sp. PD
7 17/4/2018 052726 Tn. Ali Muntoyib 53thn dr. Heriyatmo Sp. PD
8 19/4/2018 052741 An Gara Kazuhiro 2thn7bln dr. Husnul Sp. A
9 19/4/2018 052743 Tn Lasum 50 thn dr. Anton MMRS
SURVELENCE PPI APRIL 2018
Tanggal 19/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
Dyspepsia + - - - - - -
BP + - - - - - -
BP + - - - - - -
OF hr 2, Chepalgia + - - - - - -
OF hr 4, Susp TF + - - - - - -
obs vomiting + - - - - - -
Gastritis akut + - - - - - -
ANTIBIOTIK ODEMA

Ceftriaxone -
- -
Colsancentine -
Cefotaxime -
Cefotaxime +
zibax -
Ceftizozime -
Amikasin -
- -
SURVELENCE PPI APRI
Tanggal 20/04/20

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS


2 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS
3 15/4/2018 052705 An. Muhammad Rafasya A 2bln dr. Husnul Sp. A
4 16/4/2018 052714 An. Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
5 17/4/2018 015722 Tn. Agus Santoso 53thn dr. Heriyatmo Sp. PD
6 17/4/2018 052726 Tn. Ali Muntoyib 53thn dr. Heriyatmo Sp. PD
7 19/4/2018 052741 An Gara Kazuhiro 2thn7bln dr. Husnul Sp. A
8 19/4/2018 052743 Tn Lasum 50 thn dr. Anton MMRS
9 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS
10 20/4/2018 052748 An Raisa Kamila 3thn dr. Husnul Sp. A
11 20/4/2018 052749 Ny Agustina Ika Ambarwati 26thn prof.dr Soetomo
SURVELENCE PPI APRIL 2018
Tanggal 20/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
BP + - - - - - -
BP + - - - - - -
OF hr 2, Chepalgia + - - - - - -
OF hr 4, Susp TF + - - - - - -
obs vomiting + - - - - - -
Gastritis akut + - - - - - -
susp DC,oedema anarsaka + + - - - - -
Abdominal Discomfort + - - - - - -
Gravida , Hyperemesis + - - - - - -
ANTIBIOTIK ODEMA

Ceftriaxone -
- -
Cefotaxime -
Cefotaxime +
zibax -
Ceftizozime -
Amikasin -
- -
- -
Cefotaxime -
- -
SURVELENCE PPI APRI
Tanggal 21/04/20

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 14/4/2018 052698 Ny. Musnati Herniati 76 thn dr. Anton MMRS


2 15/4/2018 032000 Ny. Sunarmi 46thn dr. Anton MMRS
3 16/4/2018 052714 An. Sabina azahra Maharani 1bln2hr dr. Husnul Sp. A
4 19/4/2018 052741 An Gara Kazuhiro 2thn7bln dr. Husnul Sp. A
5 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS
6 20/4/2018 052748 An Raisa Kamila 3thn dr. Husnul Sp. A
7 20/4/2018 052749 Ny Agustina Ika Ambarwati 26thn prof.dr Soetomo
8 21/4/2018 033550 An Ninda Hamza N 3thn8bln dr. Husnul Sp. A
9 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A
10 21/4/2018 052762 Ny Aminatun 55thn dr. Anton MMRS
SURVELENCE PPI APRIL 2018
Tanggal 21/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
OF, Dehidrasi Ringan Sedang + - - - - - -
Cephalgia , Dyspepsia + - - - - - -
BP + - - - - - -
obs vomiting + - - - - - -
susp DC,oedema anarsaka + + - - - - -
Abdominal Discomfort + - - - - - -
Gravida , Hyperemesis + - - - - - -
OF + - - - - - -
Icterus Neonatorum + - - - - - -
Vertigo , GEA + - - - - - -
ANTIBIOTIK ODEMA

Ceftriaxone -
- -
Cefotaxime +
Amikasin -
- -
Cefotaxime -
- -
Cefotaxime -
- -
Ceftriaxone -
SURVELENCE PPI APRI
Tanggal 22/04/20

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 19/4/2018 052741 An Gara Kazuhiro 2thn7bln dr. Husnul Sp. A


2 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS
3 20/4/2018 052748 An Raisa Kamila 3thn dr. Husnul Sp. A
4 20/4/2018 052749 Ny Agustina Ika Ambarwati 26thn prof.dr Soetomo
5 21/4/2018 033550 An Ninda Hamza N 3thn8bln dr. Husnul Sp. A
6 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A
7 21/4/2018 052762 Ny Aminatun 55thn dr. Anton MMRS
8 22/4/2018 051044 An Diandra Dwi Ardana 7 bln dr Diana Sp A
9 22/04/2018 052765 Ny Dori Ismayani 31thn prof.dr Soetomo
SURVELENCE PPI APRIL 2018
Tanggal 22/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS HAP
obs vomiting + - - - - - -
susp DC,oedema anarsaka + + - - - - -
Abdominal Discomfort + - - - - - -
Gravida , Hyperemesis + - - - - - -
OF + - - - - - -
Icterus Neonatorum + - - - - - -
Vertigo , GEA + - - - - - -
OF H3, GEA, ISPA + - - - - - -
GI PI00I Ab000 UK 40 mgg + - - - - - -
ANTIBIOTIK ODEMA

Amikasin -
- -
Cefotaxime -
- +
Cefotaxime -
- -
Ceftriaxone -
Glibotik -
- -
SURVELENCE PPI
Tanggal 23/0

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS


2 20/4/2018 052748 An Raisa Kamila 3thn dr. Husnul Sp. A
3 20/4/2018 052749 Ny Agustina Ika Ambarwati 26thn prof.dr Soetomo
4 21/4/2018 033550 An Ninda Hamza N 3thn8bln dr. Husnul Sp. A
5 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A
6 21/4/2018 052762 Ny Aminatun 55thn dr. Anton MMRS
7 22/4/2018 051044 An Diandra Dwi Ardana 7 bln dr Diana Sp A
8 22/4/2018 052765 Ny Dori Ismayani 31thn prof.dr Soetomo
9 23/4/2018 052768 An Shakila Azzahra Firza 2thn11bln dr Diana Sp A
10 23/4/2018 052761 An Aslam Zico Mahaprana 3bln dr Diana Sp A
11 23/4/2018 019194 Ny Sinta Ernawati 36 thn Bidan
12 23/4/2018 041544 An. Natalika Halongan sagala 2thn 4 bln dr Diana Sp A
13 23/4/2018 052767 By. Ny. Dori Ismayani 0 hr -
14 23/4/2018 052782 By. Ny. Shinta ernawati 0 hr -
15 23/4/2018 048083 An. Gilang Hilmi Pratama 1 thn 3 bln dr. Husnul Sp. A
16 23/4/2018 052780 An. Kahiyang Putra Djati Dharma 6 bln dr Diana Sp A
17 23/4/2018 052785 Nn. Hana Nafisah 20 thn dr. Heriyatmo Sp. PD
SURVELENCE PPI APRIL 2018
Tanggal 23/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA
IVL UC BARING PLEBITIS ISK DEKUBITUS
susp DC,oedema anarsaka + + - - - -
Abdominal Discomfort + - - - - -
Gravida , Hyperemesis + - - - - -
OF + - - - - -
Icterus Neonatorum - - - - - -
Vertigo , GEA + - - - - -
OF H3, GEA, ISPA + - - - - -
GI PI00I Ab000 UK 40 mgg + - - - - -
KDK + - - - - -
BP,GEA dehi R-S + - - - - -
GII P2002 AB000 UK 38mggu - - - - - -
ISPA + - - - - -
BBL - - - - - -
BBL - - - - - -
OF hr 5, Oliguri + - - - - -
Eritema multiform ec drug Eruption + - - - - -
GEA, Obs Vomiting dehidrasi R-S + - - - - -
ANTIBIOTIK ODEMA
HAP
- - -
- Cefotaxime -
- - -
- Cefotaxime -
- - -
- Ceftriaxone -
- Glibotik -
- - -
- Ceftriaxone -
- Terfacef -
- - -
- Ceftriaxone -
- - -
- - -
- -
- meixam -
- Ceftixozime -
SURVELENCE PPI APRIL 2018
Tanggal 24/04/2018

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS


2 20/4/2018 052748 An Raisa Kamila 3thn dr. Husnul Sp. A
3 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A
4 22/4/2018 051044 An Diandra Dwi Ardana 7 bln dr Diana Sp A
5 22/4/2018 052765 Ny Dori Ismayani 31thn prof.dr Soetomo
6 23/4/2018 052768 An Shakila Azzahra Firza 2thn11bln dr Diana Sp A
7 23/4/2018 052761 An Aslam Zico Mahaprana 3bln dr Diana Sp A
8 23/4/2018 019194 Ny Sinta Ernawati 36 thn Bidan
9 23/4/2018 041544 An. Natalika Halongan sagal2thn 4 bln dr Diana Sp A
10 23/4/2018 052767 By. Ny. Dori Ismayani 0 hr -
11 23/4/2018 052782 By. Ny. Shinta ernawati 0 hr -
12 23/4/2018 048083 An. Gilang Hilmi Pratama 1 thn 3 blndr. Husnul Sp. A
13 23/4/2018 052780 An. Kahiyang Putra Djati D 6 bln dr Diana Sp A
14 23/4/2018 052785 Nn. Hana Nafisah 20 thn dr. Heriyatmo Sp. P
15 24/4/2018 050563 An. Divina Shakila 6bln dr Diana Sp A
16 24/4/2018 028109 An. Chika kirana 4 thn 7bln dr Diana Sp A
SURVELENCE PPI APRIL 2018
Tanggal 24/04/2018
PEMAKAIAN ALAT TIRAH INFEKSI
DIAGNOSA DEKUBITUS HAP
IVL UC BARING PLEBITIS ISK
susp DC,oedema anarsaka + + - - - - -
Abdominal Discomfort + - - - - - -
Icterus Neonatorum - - - - - - -
OF H3, GEA, ISPA + - - - - - -
GI PI00I Ab000 UK 40 mgg + - - - - - -
KDK + - - - - - -
BP,GEA dehi R-S + - - - - - -
GII P2002 AB000 UK 38mggu - - - - - - -
ISPA + - - - - - -
BBL - - - - - - -
BBL - - - - - - -
OF hr 5, Oliguri + - - - - - -
Eritema multiform ec drug Eruption + - - - - - -
GEA, Obs Vomiting dehidrasi R-S + - - - - - -
OF hr 3, Diare akut dehidrasi R-S + - - - - - -
Probable Dengue, OF hr 5, ISPA + - - - - - -
ANTIBIOTIK ODEMA

- -
Cefotaxime -
- -
Glibotik -
- -
Ceftriaxone -
Terfacef -
- -
Ceftriaxone -
- -
- -
-
meixam -
Ceftixozime -
Glibotik -
Ceftriaxone -
SURVELENCE PPI APRIL
Tanggal 25/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 20/4/2018 051489 Tn Dadang 45thn dr. Anton MMRS


2 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A
3 23/4/2018 052768 An Shakila Azzahra Firza 2thn11bln dr Diana Sp A
4 23/4/2018 041544 An. Natalika Halongan sagala 2thn 4 bln dr Diana Sp A
5 23/4/2018 048083 An. Gilang Hilmi Pratama 1 thn 3 bln dr. Husnul Sp. A
6 23/4/2018 052785 Nn. Hana Nafisah 20 thn dr. Heriyatmo Sp. PD
7 24/4/2018 050563 An. Divina Shakila 6bln dr Diana Sp A
8 24/4/2018 028109 An. Chika kirana 4 thn 7bln dr Diana Sp A
9 25/4/2018 050222 An Arjuna Xavier 1thn 6bln dr Diana Sp A
SURVELENCE PPI APRIL 2018
Tanggal 25/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS HAP
susp DC,oedema anarsaka + + - - - - -
Icterus Neonatorum - - - - - - -
KDK + - - - - - -
ISPA + - - - - - -
OF hr 5, Oliguri + - - - - - -
GEA, Obs Vomiting dehidrasi R-S + - - - - - -
OF hr 3, Diare akut dehidrasi R-S + - - - - - -
Probable Dengue, OF hr 5, ISPA + - - - - - -
GERD + - - - - - -
ANTIBIOTIK ODEM
A

- -
- -
Ceftriaxone -
Ceftriaxone -
-
Ceftixozime -
Glibotik -
Ceftriaxone -
Terfacef -
SURVELENCE PPI APRI
Tanggal 26/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A


2 23/4/2018 041544 An. Natalika Halongan sagala 2thn 4 bln dr Diana Sp A
3 23/4/2018 052785 Nn. Hana Nafisah 20 thn dr. Heriyatmo Sp. PD
4 24/4/2018 050563 An. Divina Shakila 6bln dr Diana Sp A
5 24/4/2018 028109 An. Chika kirana 4 thn 7bln dr Diana Sp A
6 25/4/2018 050222 an. Arjuna yavier 1thn 6bln dr. Diana Sp.A
7 26/4/2018 052807 ny. S. Banun 28thn bidan
8 26/4/2018 052810 by. Ny. S Banun 0hr bidan
9 26/4/2018 052813 Ny. Zainil Arifah 39th dr. Heriyatmo Sp. PD
10 26/4/2018 047696 An Raihan Rizky 2thn dr Diana Sp A
11 26/4/2018 044847 Ny Atik 56thn dr. Heriyatmo Sp. PD
12 26/4/2018 052827 An Zhafira Azkiyah 1thn4bln dr. Husnul Sp. A
13 26/4/2019 052829 Ny Umy Chopsoh 57thn8bln dr. Heriyatmo Sp. PD
14 26/4/2018 030800 An Ruqoyyatul Musila 14thn10bln dr Diana Sp A
SURVELENCE PPI APRIL 2018
Tanggal 26/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS
Icterus Neonatorum - - - - - -
ISPA + - - - - -
GEA, Obs Vomiting dehidrasi R-S + - - - - -
OF hr 3, Diare akut dehidrasi R-S + - - - - -
Probable Dengue, OF hr 5, ISPA + - - - - -
GERD + - - - - -
G4 P2002 AB100 - - - - - -
BBL NP - - - - - -
Susp. Neuropati DM dd Selulitis DM + - - - - -
GEA + - - - - -
Gastritis + - - - - -
KDK + - - - - -
Dyspepsia syndrom,Gastritis + - - - - -
Of hr VII, ISPA,low intake + - - - - -
ANTIBIOTIK ODEMA

HAP
- - -
- Ceftriaxone -
- Ceftixozime -
- Glibotik -
- Ceftriaxone -
- terfacef -
- - -
- - -
- Zibac -
- Glibotik -
- Ceftixozime -
- Cefotaxime -
- Zibac -
- terfacef -
SURVELENCE PPI APRI
Tanggal 27/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 21/4/2018 052760 By Sa'ad Abdillah 4hari dr. Husnul Sp. A


2 26/4/2018 052807 ny. S. Banun 28thn bidan
3 26/4/2018 052810 by. Ny. S Banun 0hr bidan
4 26/4/2018 052813 Ny. Zainil Arifah 39th dr. Heriyatmo Sp. PD
5 26/4/2018 047696 An Raihan Rizky 2thn dr Diana Sp A
6 26/4/2018 044847 Ny Atik 56thn dr. Heriyatmo Sp. PD
7 26/4/2018 052827 An Zhafira Azkiyah 1thn4bln dr. Husnul Sp. A
8 26/4/2019 052829 Ny Umy Chopsoh 57thn8bln dr. Heriyatmo Sp. PD
9 26/4/2018 030800 An Ruqoyyatul Musila 14thn10bln dr Diana Sp A
10 27/4/2018 000210 Ny Ika Widiyanti 32thn Bidan
11 27/4/2019 052833 By NY Ika Widiyanti 0hari -
12 27/4/2018 052834 An M.Daffa 2bln dr Diana Sp A
SURVELENCE PPI APRIL 2018
Tanggal 27/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS
Icterus Neonatorum - - - - - -
G4 P2002 AB100 - - - - - -
BBL NP - - - - - -
Susp. Neuropati DM dd Selulitis DM + - - - - -
GEA + - - - - -
Gastritis + - - - - -
KDK + - - - - -
Dyspepsia syndrom,Gastritis + - - - - -
Of hr VII, ISPA,low intake + - - - - -
GII PI00i Ab000 Uk 40 mgg + - - - - -
BBL NP - - - - - -
KDK, Susp BP + - - - - -
ANTIBIOTIK ODEMA

HAP
- - -
- - -
- - -
- Zibac -
- Glibotik -
- Ceftixozime -
- Cefotaxime -
- Zibac -
- terfacef -
- - -
- - -
- Terfacef -
SURVELENCE PPI APRI
Tanggal 28/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 26/4/2018 052813 Ny. Zainil Arifah 39th dr. Heriyatmo Sp. PD


2 26/4/2018 047696 An Raihan Rizky 2thn dr Diana Sp A
3 26/4/2018 044847 Ny Atik 56thn dr. Heriyatmo Sp. PD
4 26/4/2018 052827 An Zhafira Azkiyah 1thn4bln dr. Husnul Sp. A
5 26/4/2019 052829 Ny Umy Chopsoh 57thn8bln dr. Heriyatmo Sp. PD
6 26/4/2018 030800 An Ruqoyyatul Musila 14thn10bln dr Diana Sp A
7 27/4/2018 000210 Ny Ika Widiyanti 32thn Bidan
8 27/4/2019 052833 By NY Ika Widiyanti 0hari -
9 27/4/2018 052834 An M.Daffa 2bln dr Diana Sp A
10 28/4/2018 052837 An Achmad Adam 1thn dr Diana Sp A
11 28/4/2018 052837 Nn Riza Fanda 18thn dr Anton MMRS
12 28/4/2018 052819 An Aprilia Dwi Andini 1thn dr diana SpA
SURVELENCE PPI APRIL 2018
Tanggal 28/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS
Susp. Neuropati DM dd Selulitis DM + - - - - -
GEA + - - - - -
Gastritis + - - - - -
KDK + - - - - -
Dyspepsia syndrom,Gastritis + - - - - -
Of hr VII, ISPA,low intake + - - - - -
GII PI00i Ab000 Uk 40 mgg + - - - - -
BBL NP - - - - - -
KDK, Susp BP + - - - - -
GEA , obs Vomiting + - - - - -
Susp Limfadetis + - - - - -
Bacterial Infection , ISPA + - - - - -
ANTIBIOTIK ODEMA

HAP
- Zibac -
- Glibotik -
- Ceftixozime -
- Cefotaxime -
- Zibac -
- terfacef -
- - -
- - -
- Terfacef -
- Ceftriaxone -
- Ceftriaxone -
- Ceftriaxone -
SURVELENCE PPI APRI
Tanggal 29/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 26/4/2018 052813 Ny. Zainil Arifah 39th dr. Heriyatmo Sp. PD


2 26/4/2018 047696 An Raihan Rizky 2thn dr Diana Sp A
3 26/4/2018 044847 Ny Atik 56thn dr. Heriyatmo Sp. PD
4 26/4/2019 052829 Ny Umy Chopsoh 57thn8bln dr. Heriyatmo Sp. PD
5 26/4/2018 030800 An Ruqoyyatul Musila 14thn10bln dr Diana Sp A
6 27/4/2018 052834 An M.Daffa 2bln dr Diana Sp A
7 28/4/2018 052837 An Achmad Adam 1thn dr Diana Sp A
8 28/4/2018 052837 Nn Riza Fanda 18thn dr Anton MMRS
9 28/4/2018 052819 An Aprilia Dwi Andini 1thn dr diana SpA
10 29/4/2018 052846 By. Ny. Antin 5 hr dr Diana Sp A
11 29/4/2018 049594 An. Muhammad Razkazio 11bln dr Diana Sp A
12 29/4/2018 045814 An. Muhammad Alby Kahfi 1thn 5 bln dr Diana Sp A
SURVELENCE PPI APRIL 2018
Tanggal 29/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS
Susp. Neuropati DM dd Selulitis DM + - - - - -
GEA + - - - - -
Gastritis + - - - - -
Dyspepsia syndrom,Gastritis + - - - - -
Of hr VII, ISPA,low intake + - - - - -
KDK, Susp BP + - - - - -
GEA , obs Vomiting + - - - - -
Susp Limfadetis + - - - - -
Bacterial Infection , ISPA + - - - - -
S. PJB, Obs. Cyanosis + - - - - -
BP, Dyspepsia Syndrrome + - - - - -
OF + - - - - -
ANTIBIOTIK ODEMA

HAP
- Zibac +
- Glibotik -
- Ceftixozime -
- Zibac +
- terfacef -
- Terfacef -
- Ceftriaxone -
- Ceftriaxone -
- Ceftriaxone -
- Cinam -
- terfacef -
- +
SURVELENCE PPI APRIL
Tanggal 30/04/201

NO TGL MRS NO REG NAMA PASIEN UMUR DOKTER

1 26/4/2018 052813 Ny. Zainil Arifah 39th dr. Heriyatmo Sp. PD


2 26/4/2018 044847 Ny Atik 56thn dr. Heriyatmo Sp. PD
3 26/4/2019 052829 Ny Umy Chopsoh 57thn8bln dr. Heriyatmo Sp. PD
4 27/4/2018 052834 An M.Daffa 2bln dr Diana Sp A
5 28/4/2018 052837 An Achmad Adam 1thn dr Diana Sp A
6 28/4/2018 052837 Nn Riza Fanda 18thn dr Anton MMRS
7 28/4/2018 052819 An Aprilia Dwi Andini 1thn dr diana SpA
8 29/4/2018 052846 By. Ny. Antin 5 hr dr Diana Sp A
9 29/4/2018 049594 An. Muhammad Razkazio 11bln dr Diana Sp A
10 29/4/2018 045814 An. Muhammad Alby Kahfi 1thn 5 bln dr Diana Sp A
11 30/4/2018 051910 An Nelzen Arcelino 3bln dr Diana Sp A
12 30/4/2018 012618 Ny Evi Handajani 46thn dr Raditya Sp.OG
SURVELENCE PPI APRIL 2018
Tanggal 30/04/2018
TIRAH
PEMAKAIAN ALAT INFEKSI ANTIBIOTIK
DIAGNOSA BARING ISK DEKUBITUS
IVL UC PLEBITIS HAP
Susp. Neuropati DM dd Selulitis DM + - - - - - -
Gastritis + - - - - - -
Dyspepsia syndrom,Gastritis + - - - - - -
KDK, Susp BP + - - - - - -
GEA , obs Vomiting + - - - - - -
Susp Limfadetis + - - - - - -
Bacterial Infection , ISPA + - - - - - -
S. PJB, Obs. Cyanosis + - - - - - -
BP, Dyspepsia Syndrrome + - - - - - -
OF + - - - - - -
Susp Arachnoiditis + - - - - - -
Menometoraghia + - - - - - -
ANTIBIOTIK ODEMA

Zibac -
Ceftixozime -
Zibac -
Terfacef -
Ceftriaxone -
Ceftriaxone -
Ceftriaxone -
Cinam -
terfacef -
- -
terfacef -
- -