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DATA PASIEN BULAN M

JK PEMBAYARAN

NO NAMA

UMUM
NO RM TGL LAHIR DIAGNOSA

BPJS
L P

57485 28-05-84 1 rekontruksi mamae 1


1 Ny. Sri mulyat
58273 30-09-79 1 vertgo 1
2 Ny. Yeni rachman
impaksi gigi 18,28,38,48 pro
57483 21-10-175 1 1
3 Tn. Teguh sugiono odontektomi

56421 23-09-93 1 impaksi gigi 38,48 pro odontektomi 1


4 Tn. Andri priyanto
56362 19-9-95 1 impaksi gigi 38,48 pro odontektomi 1
5 Nn. Lulu in nazma
58459 19-1-67 1 STT regio leher 1
6 tn. Mahmud efendi
11212 14-11-67 1 obs dypsneu EC asma bronchial 1
7 Tn. Sulaeman
56202 14-7-1988 1 impaksi 38 pro odontektomi 1
8 tn. Kevin raoul
49388 12/10/1991 1 impaksi gigi 38,48 1
9 nn. Maulidah
57010 10/8/1987 1 impaksi gigi 38,28 1
10 tn. Teguh Prayitno
33348 1/11/1970 1 ceohaklgia EC HT 1
11 tn. Syarmadani
58739 3/6/1946 1 BP 1
12 Ny. Tuminah
58923 2/7/1932 1 stt regio punggung 1
13 Ny. Ani suparni
58845 16-1-2001 1 STT regio genu dextra 1
14 Tn. Rafli
58859 22-10-1970 1 stt avricula sinistra 1
15 Ny. Ester
57195 10/9/1996 1 odontektomi impaksi 38,48 1
16 Ny. Sit nurohmah
8013 20-08-1983 1 fistel perianal 1
17 Ny. Iin arifia
57325 15-07-1993 1 odontektomi impaksi 38,48 1
18 nn. Yashinta
57947 20-03-1988 1 odontektomi impaksi 18,48 1
19 Ny. Bet adika
59138 12/5/1983 1 STT regio pedis sinistra 1
20 Tn. Akhirudin
41817 6/6/2010 1 obs febris 1
21 An. Alfin
19040 26-11-14 1 obs vomitus 1
22 An. Affan
57979 1/12/2016 1 kejang deamam simplek 1
23 An. M Anis
39721 22-12-16 1 pneumonia 1
24 An. Ahmad faris
15097 28-12-2015 1 demam typhoid 1
25 An. Nathan arshaka A
57890 24-10-2017 1 BP 1
26 An. Darel athala A
58102 22-07-2008 1 BP 1
27 An. Raihan
58105 17-07-2011 1 demam typhoid 1
28 An. Putra aldiansyah
10005 13-05-2015 1 demam typhoid 1
29 An. Syauqi
33315 8/1/2015 1 dengue fever 1
30 An. Aksel ahza
58193 9/9/2017 1 serius bakterial infecton 1
31 An. Adrian
58165 20-08-2010 1 hernia umbilikal 1
32 An. Abdul Rahman
58136 18-05-2013 1 dhf 1
33 An. Ahmad ibanes
55517 29-05-2017 1 BP 1
34 An. Nia ramadhani
36287 12/1/2015 1 diare akut ringan sedang 1
35 An. Haura
11923 25-11-14 1 hiperpirexia 1
36 An. Abizar
47792 17-11-2010 1 kejang ed epilepsi 1
37 An. Sofia amira romadhan
58319 18-12-11 1 typhoid fever 1
38 A. shafa
20139 3/10/2015 1 BP 1
39 An. Afikah zahra abidah
38648 30-07-2002 1 dengue fever 1
40 An. Ilham
56037 13-04-17 1 typhoid fever 1
41 An. Farzan rayhan S
5828 31-12-16 1 bronchits dd tb paru 1
42 An. Zulfikar rizki
31935 22-5-2009 1 APP akut 1
43 An. Fatmah
8196 15-1-2014 1 asma bronchial serangan berat 1
44 An. Alvaro
58559 17-02-17 1 BP 1
45 An. Meysha nu athifah
58479 12/11/2017 1 pneumonia 1
46 An. Rafan dzikri
31935 22-5-2009 1 APP akut 1
47 An. Fatmah
58706 20-12-17 1 BP 1
48 An. Faza nur ramadhani
32840 5/9/2013 1 febris, riw kejang demam 1
49 An. Berlian syahila R
53119 15-11-17 1 kejang demam sederhana 1
50 An, ibrahim rasyid
36397 7/9/2013 1 typhoid fever 1
51 An. Grace chaviva. W
58816 3/3/2017 1 pneumonia 1
52 An. Raisah rahmawat
58868 14-12-16 1 pneumonia 1
53 An. Izqo
52650 27-05-15 1 pneumonia 1
54 An. Fadilah rizki ibrahim
58950 31-07-2017 1 pneumonia 1
55 An. Alde baran
58735 2/9/2012 1 typhoid fever 1
56 An. Rizka Aulia
58931 21-04-17 1 KDK 1
57 An. Arsyla faiza azzahra
58964 13-09-2005 1 vulnus bulae d kaki kana 1
58 An. M randi barkah W M
59039 24-03-2017 1 hiperpirexia 1
59 An. Khaira nafiza firdana
59084 5/4/2012 1 prolong fever 1
60 An. Rizky alif akbar
30769 8/8/2008 1 obs febris 1
61 adlian nanda H
49078 22-06-204 1 STT regio pedis sinistra 1
62 An. M agung
59017 22-07-2007 1 stt froximal femur dextra 1
63 An. Rifqi S
7952 3/5/2014 1 prolong fever 1
64 An. M ragil
59114 12/7/2013 1 status epileptkus 1
65 An. Nadia azzahra
59105 20-02-17 1 KDK 1
66 An. Javier
59066 5/1/2005 1 DHF gr 2 1
67 An. Fachri aditya putra
14241 20-10-13 1 DIARE AKUT` 1
68 An. Dayana batrisya aqila
55188 19-11-17 1 serius bakterial infecton 1
69 An. Yusuf zabir muzafar
59192 19-06-17 1 DADRS 1
70 An. Jasmin sabia nasira
An. Shaka wiratama 56275 30-10-2015 1 observasi febris 1
71 arifin
59245 29-10-2004 1 demam typhoid 1
72 An. Zidan sakana nurki
48591 6/6/2006 1 asma bronchial 1
73 An. Feri akbar
58211 13-7-1990 1 p2A0 post partum 1
74 ny. Veni devilian
18488 9/5/1989 1 HEG 1
75 ny. Devi fitria
58393 28-09-1992 1 p2A0 post partum 1
76 Ny. Sept
58375 4/2/1986 1 p4A1 post partum dengan PEB 1
77 Ny. Andi depung
58476 2/3/1991 1 g3p0a2 1
78 ny, vita fatmah
58478 29-Jul-92 1 post partum spontan 1
79 ny. Yuliana rosa
58560 1/14/1982 1 p3A0 post partum 1
80 ny. Dini riana
58736 3/18/1990 1 post partum spontan 1
81 Ny. Dwi marianingsih
10391 20-4-91 1 p3A0 post partum 1
82 ny. Zakiyah
59142 10/15/1984 1 p3A0 post partum 1
83 Ny. Sant
PASIEN BULAN MARET 2018

TANGGAL STATUS pulang

LAMA RAWAT

pindah HCU
ALAMAT NO TELPHON
MASUK KELUAR S R APS P

07/03/18 09/03/18 3 1 barkah rt3/5 ciganjur, jagakarsa 083899787651

jl. Melat 2 no 69 rt9/2 pondok


07/03/18 12/03/18 6 1 081314422955
lanu, cilandak

kemang utara E no 45 rt8/1,


08/03/18 10/03/18 3 1 083819888754
bangka, mamapang prapatan

jl. Kemang tmur x no 41c, bangka,


09/03/18 11/03/18 3 1 083895181842
mampang prapatan

jl. Kh muhsim iv, rt12/6 cilandak


09/03/18 11/03/18 3 1 0217502046
barat, cilandak

12/03/18 14-3-18 -1454 1 jl. Kp kandang rt 1/6 jagakarsa 085771619424

jl. Kramat, rt 5/1 cilandak tmur, ps


12/03/18 17-3-18 -358 1 087738132565
minggu

jl. Abdul majid no 21 rt8/2 pondok


13-3-18 15-3-18 731 1 08119889536
labu, cilandak

jl. Jat padang no 59 rt4/4 jat


15-3-18 17-3-18 732 1 0895613304085
pdang, ps minggu

pangeran antasari rt5/6 cipete


15-3-18 17-3-18 732 1 085888083008
selatan, cilandak

15-3-18 16-3-18 367 1 jl. Kelapa blokk N, DEPOK NO TELPHON

JL. SRENGSENG SAWAH no 5 rt


17-3-18 23-3-18 2192 1 089622895110
10/8 L. agung,

21-3-18 23-3-18 731 1 jl, damay no 50 rt 8/2 ciganjur 081510307332

21-3-18 22-3-18 366 1 jl. Kecapi v rt 6/5 jagakarsa 089621701154

21-3-18 22-3-18 366 1 jl. Joe kelapa tga, jagakarsa 087881390086

pradja dalam no 7d, rt12/2


22-3-18 25-3-18 1097 1 081280937964
kebayoran lama, JAKSEL

jl. Bakt rt3/7 cilandak tmur, ps


22-3-18 23-3-18 366 1 085890635687
minggu

gg taman sari 3 no 52, rt 11/8


23-3-18 25-3-18 732 1 08991042321
ragunan, ps minggu
jl. Mujamalah IIX, no 84 rt 5/3
23-3-18 25-3-18 732 1 082123883380
cipedak

jl. Pangkalan jat 1 rt10/2. limo


27-3-18 28-3-18 367 1 081318499346
depok

01/03/18 04/03/18 4 1 jl. Kair no 23 rt 6/4 jagakarsa 081315720362

jl. Damai 2 kp setu no 55 rt8/2


01/03/18 03/03/18 3 1 085776062525
ciganjur,jagakarsa

jl. Kuningan barat no 60 rt 7/3


01/03/18 03/03/18 3 1 08118707188
kuningan barat mampang

jl. Manggis dalam no 1rt14/1


02/03/18 09/03/18 8 1 081313007235
ciganjur, jagakarsa

02/03/18 06/03/18 5 1 jl. M kahfi gg amsar, jagakarsa 083891400693

jl. Pln, EHV no 100 rt25/5 gandul,


03/03/18 07/03/18 5 1 089638 153790
jagakarsa

jl. Sarfa no 41 rt7/1


04/03/18 09/03/18 6 1 08081380072643
ciganjur,jagakrsa

jl. Camat gabut, 2 rt 4/8 lenteng


04/03/18 10/03/18 7 1 087823143595
agung, jagakarsa

04/03/18 09/03/18 6 1 jl. Kp setu, ciganjur no phone number

jl. Cipedak 04 rt14/3 no 41


04/03/18 08/03/18 5 1 0857807001701
srengseng sawah

06/03/18 08/03/18 3 1 jl. Gg H. ali kelnteng agung rt9/5 081218137282

06/03/18 08/03/18 3 1 jl tmbul rt1/3 cipedak 083805595338

jl. Abdul rohman no 11, rt8/2


06/03/18 10/03/18 5 1 081318310539
ciganjur

gg. Kancil rt4/2 no 49, ragunan, ps


07/03/18 11/03/18 5 1 087711042438
minggu

09/03/18 14-3-18 -1451 1 jl. Kecapi rt6/6 no 50 ciganjur 081806105941

jl. Tri darma utama 3, rt9/12 no 30, 087876472595


09/03/18 14-3-18 -1451 1 cilandak barat

jl. M kahfi 1 rt 5/1, ciganjur,


10/03/18 16-3-18 -721 1 081253079032
jagakarsa

10/03/18 08/03/18 -1 1 jl. Katar, rt8/6 ciganjur 087885884248

06/03/18 08/03/18 3 1 jl. Bangka raya, jagakarsa no phone number

07/03/18 10/03/18 4 1 jl. Pepaya raya no 88 rt5/5 081932332040

jl pinang gg h arip rt 9/4 pondok


07/03/18 12/03/18 6 1 085774226368
labu, cilandak
09/03/18 17-3-18 -355 1 cipedak rt 1/4 jagakrsa 085780388616

12/03/18 14-3-18 -1454 1 jl. Niim rt5/9 tanah baru, depok 081514622078

13-3-18 14-3-18 366 1 jl. Pinang IV jagakarsa 085814036233

14-03-18 17-3-18 1097 1 jl. Cilandak KKO, gg cemara rt 11/5 085780791962

kp. Pisangan rt7/7 ragunan, ps


15-03-18 20-3-18 1828 1 089521459009
minggu

12/03/18 14-3-18 -1454 1 jl. Niim rt5/9 tanah baru, depok 081514622078

jl. Opek rt 1/4 cilandak tmur, ps


17-3-18 20-3-18 1097 1 089679993652
minggu

13-3-18 17-3-18 1462 1 jl. Sadar 4 rt5/2, jagakarsa no phone number

14-3-18 16-3-18 732 1 jl. Kecapi 5 no D4 rt 1/5 jagakarsa 089666677778

14-3-18 16-3-18 732 1 jl. M kahfi GG. SAWO no phone number

20-3-18 25-3-18 1827 1 JL. BAKTI MULYA rt 4/4 081317561811

20-3-18 25-3-18 1827 1 jl. Sarpa rt 7/1. ciganjur, jagakarsa 087730402527

19-3-18 22-3-18 1097 1 jl. Kopo no 68, ciganjur jagakarsa 08387778034

22-3-18 28-3-18 2193 1 gg. Kopo no 37 rt 4/5, ciganjur 085777559654

jl. Tanah baru no 42 rt2/6, tanah


17-3-18 19-3-18 731 1 089661042741
baru, beji depok

jl. Cilobak ujung rt3/4, pngkalan


21-3-18 24-3-18 1097 1 085647043191
jat baru, limo, depok

jl. Kp grogol 125 K rt7/1, grogol,


22-3-18 24-3-18 732 1 089692954380
limo, depok

23-3-18 26-3-18 1097 1 jl. Kopo rt 5/5 ciganjur, jagakarsa 08211639665

jl. Pasie 1, rt1/6 no 22A ciganjur,


28-3-18 02/04/18 -3637 1 085718897694
jagakarsa

28-3-18 30-3-18 -35794 1 jl. Pasir no 33 B, rt1/6, jagakarsa 082310784481

bangka ujung blok 6, rt2/11, cinere 083819090098


27-3-18 28-3-18 367 1 depok

jl. Lihun no 02, rt3/8 ragunan


25-3-18 28-3-18 1097 1 083811335502
pasar minggu

jl. Kelapa 3 no 13, rt10/03


25-3-18 30-3-18 -34698 1 087885683133
jagakarsa
26/03/18 28-3-18 3646 1 jl. Kp kandang, jagakarsa 083896011048

26/03/18 28-3-18 3646 1 manggis, ciganjur, jagakarsa no phone number

jl. Bakt 89 rt1/4, cipedak,


26/03/18 28-3-18 3646 1 083872685252
jagakarsa

jl. Kemenyanan no 1 rt 11/5


26/03/18 29-3-18 4011 1 089670391379
ciganjur

CY blok f.7 palakali rt10/12, tanah


27-3-18 29-3-18 732 1 082299138641
baru, depok

27-3-18 30-3-18 -35428 1 jl. Tanjung barat rt1/5 jagakarsa 081283123773

jl. Kayar no 36 rt 10/6 ciganjur,


29-3-18 03/04/18 -4001 1 081210986960
jagakarsa

29-3-18 01/04/18 -4003 1 jl. Pasir 3 rt4/6 ciganjur 087789918182

29-3-18 01/04/18 -4003 1 jl. Kp setu rt3/1 ciganjur 0895376439802

jl. jagakarsa gg keramat no 16 rt


3/10/2018 3/11/2018 2 1 089522002439
11/7 jagakarsa

gg harapan 2 kp kandang,
3/9/2018 3/11/2018 3 1 NO TELPHON
jagakarsa

jl. Swadaya 2 rt1/5, tanjung barat


3/11/2018 3/11/2018 1 1 089635995988
jagakarsa.

jl. Desa putra no 10 rt 6/5


3/11/2018 3/12/2018 2 1 0895333766202
srengseng sawah

13-3-18 15-3-18 731 1 jl. Damai 2 rt6/2 ciganjur 087886802042

14-3-18 15-3-18 366 1 jl. Keranji rt4/6 ciganjur 085371966588

jl. Rindang, warung sila rt 5/7


14-3-18 15-3-18 366 1 081223477709
cipedak jagakarsa

18-3-18 3/20/2018 3 1 jl. Pepaya VII, no 147 rt4/7 083878774219

20-3-18 21-3-18 366 1 jl. Kp kandang rt8/6 jagakarsa 085780200251

jl. Kemang tmur dalam rt3/3


27-3-18 28-3-18 367 1 081220577880
bangka, mampang prapatan
setatus pasien

DPJP keterangan
baru lama

dr. indra Sp.B 1

dr. asri Sp.S 1

dr. ahmad Sp.B 1

dr. ahmad Sp.B 1

dr. ahmad Sp.B 1

dr. indra Sp.B 1

dr. yanuar. Sp.p 1

dr. ahmad Sp.B 1

dr. ahmad Sp.B 1

dr. ahmad Sp.B 1

dr. asri Sp.S 1

dr. asri Sp.S 1

dr. indra Sp.B 1

dr. indra Sp.B 1

dr. indra Sp.B 1

dr. ahmad Sp.B 1

dr. indra Sp.B 1

dr. ahmad Sp.B 1


dr. ahmad Sp.B 1

dr. indra Sp.B 1

dr. diarum Sp.A 1

dr. ade Sp.A 1

dr. ade Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. indra Sp.B 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. hariadi. SpA 1

dr. hariadi. SpA 1

dr. ade Sp.A 1

dr. hariadi. SpA 1

dr. ade Sp.A 1

dr. hariadi. SpA 1

dr. hariadi. SpA 1


dr. diarum Sp.A 1

dr. indra Sp.B 1

dr. hariadi. SpA 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. indra Sp.B 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. ade Sp.A 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. hariadi. Sp.A 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. ade Sp.A 1 os ingin pulang

dr. hariadi. Sp.A 1

dr. indra Sp.B 1

dr. hariadi. Sp.A 1

dr. hariadi. Sp.A 1

dr. hariadi. Sp.A 1

dr. indra Sp.B 1

dr. indra Sp.B 1

dr. hariadi. Sp.A 1


dr. hariadi. Sp.A 1

dr. hariadi. Sp.A 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. diarum Sp.A 1

dr. hariadi. Sp.A 1

dr. diarum Sp.A 1

dr. ade Sp.A 1

dr. ade Sp.A 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

dr. rizki. Sp.Og 1

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