RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019

DOKTER dr. YULIA RIKAWATI, SPpD

PASIEN BPJS

NO NAMA MR TGL RAWAT INA CBG IGD/POLI ADM OBAT

1 Ny. Nihaya 07.44.18 14/11/19 (3) 1,992,400 209,000 20,000 216,000
2 Tn. Lorisman 07.58.71 13/11/19 (3) 2,617,500 175,000 20,000 437,341
3 Ny. Sugiarti 05.06.63 10/11/19 (4) 4,044,700 231,500 20,000 322,000
4 Nn. Zhafira 05.12.89 10/11/19 (2) 2,664,700 301,500 20,000 1,017,200
5 Ny. Endang hartati 05.13.34 13/11/19 (5) 2,693,600 209,000 20,000 831,200
6 Ny. Krislinawati 07.61.85 17/11/19 (2) 1,707,700 175,000 20,000 145,000
7 Tn. Nasrul 05.31.37 13/11/19 (4) 3,108,800 20,000 211,000
8 Ny. Maina 06.33.89 16/11/19 (4) 3,127,800 175,000 20,000 865,700
9 Tn. Ferry salim 07.07.03 18/11/19 (3) 3,108,800 209,000 20,000 259,500
10 Tn. Syafnir 07.62.16 17/11/19 (3) 2,562,400 209,000 20,000
11 Tn. Fahmi rinaldi 07.58.64 13/11/19 (5) 1,852,700 175,000 20,000 411,300
12 Tn. Muchsin 07.59.69 11/111/19 (7) 4,044,700 209,000 20,000 298,100
13 Ny. Duma 07.62.50 18/11/19 (3) 1,257,500 175,000 20,000 230,600
14 Tn. Ruslan nafis 07.63.80 19/11/19 (3) 3,787,400 209,000 20,000 380,800
15 Tn iqbal mudzaki 07.57.18 11/11/19 (3) 2,541,200 175,000 20,000 319,100
16 Ny. Devi sulistein 07.56.19 10/11/19 (3) 1,509,000 175,000 20,000 239,800
17 Tn. Ferdinan 07.56.41 11/11/19 (3) 1,217,900 175,000 20,000 269,000
18 Nn. Irenne siray 07.59.32 14/11/19 (2) 1,832,700 175,000 20,000 234,600
19 Nn. Zhafirah nadia 05.17.89 22/11/19 (2) 3,905,000 175,000 20,000 1,169,800
20 Tn. David artus 07.66.58 22/11/19 (3) 2,541,200 175,000 20,000 263,900
21 Tn. Rustian 04.79.92 23/11/19 (3) 2,772,100 175,000 20,000 763,300
22 Tn. Zikri b 07.67.69 24/11/19 (4) 3,326,500 231,000 20,000 1,300,800
23 Ny. Nuraza 07.67.73 24/11/19 (4) 3,047,600 209,000 20,000 343,600
24 Ny. Lady soraya 05.99.19 23/11/19 (2) 1,509,000 175,000 20,000 189,300
25 Tn irawan efendi 07.53.01 21/11/19 (8) 1,961,000 209,000 20,000 1,454,500
LABOR LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP
175,000 1,372,400 164,688 109,792
175,000 450,000 1,360,159 163,219 108,813
305,000 3,166,200 379,944 253,296
410,000 916,000 109,920 73,280
255,000 1,378,400 165,408 110,272
50,000 1,317,700 158,124 105,416
460,000 2,417,800 290,136 193,424
100,000 1,967,100 236,052 157,368
280,000 175,000 2,165,300 259,836 173,224
10,000 175,000 2,148,400 257,808 171,872
250,000 996,400 119,568 79,712
275,000 3,242,600 389,112 259,408
100,000 731,900 87,828 58,552
100,000 425,000 2,652,600 318,312 212,208
125,000 1,902,100 228,252 152,168
100,000 974,200 116,904 77,936
380,000 373,900 44,868 29,912
100,000 1,303,100 156,372 104,248
520,000 2,020,200 242,424 161,616
260,000 1,822,300 218,676 145,784
100,000 175,000 1,538,800 184,656 123,104
100,000 75,000 1,599,700 191,964 127,976
310,000 2,165,000 259,800 173,200
50,000 1,074,700 128,964 85,976
280,000 525,000 -527,500 -63,300 -42,200
 DIAGNOSA
gea
sistis
syok sepsis
hipokalemi
anemia berat
gea
hiponatrium
hhd
aritma
chf
demam dengue
dm tipe 2
syndrom dispepsia
choleletiasis
bacterial infection
syndrom dispepsia
fharingitis akut
viral infection
hipokalemi
demam typoid
ppok ekserbasi
ppok ekserbasi
demam typoid
demam typoid
ileus paralitis
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. BOBBY PRIMA, SPpD
PASIEN BPJS

NO NAMA MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR RO/USG LAIN2 TDKAN LAIN
1 Tn. Dachnial 05.44.12 1/11/19 (3) 1,509,000 20,000 287,000 100,000
2 Ny. Hharlena 07.35.18 29/10/19 (4) 2,693,000 20,000 774,600 205,000
3 Tn. Arsal 06.10.17 30/10/19 (3) 1,760,500 209,000 20,000 302,700 100,000 135,000
4 Tn. Hidayat 07.25.91 02/11/19 (3) 3,127,800 175,000 20,000 269,900 100,000
5 Tn. L. trian sugara 07.52.61 03/11/19 (2) 2,541,200 175,000 20,000 300,000 330,000
6 Tn. Takrin 07.22.69 01/11/19 (5) 1,509,000 200,000 20,000 586,900 100,000
7 Ny. Cik ana 07.49.67 29/10/19 (4) 4,047,100 209,000 20,000 418,450 50,000
8 Ny. Intan tiara dewi 07.37.78 13/11/19 (4) 2,664,700 175,000 20,000 358,000 280,000
9 Tn. Tamudin 05.40.15 16/11/19 (3) 1,509,000 175,000 20,000 269,000 100,000
10 Nn. Elma meiysa 06.75.87 12/11/19 (4) 2,541,200 195,000 20,000 618,800 330,000
11 Ny. Melianti 07.60.52 14/11/19 (2) 1,509,000 175,000 20,000 172,800 50,000
12 Ny. Nurlela 07.57.21 13/11/19 (4) 3,127,800 209,000 20,000 596,000 100,000 175,000
13 Ny. Cik wana 05.43.35 16/11/19 (2) 1,992,400 231,500 20,000 169,100 100,000
14 Tn sutanto 07.61.84 17/11/19 (3) 1,707,700 175000 20000 373600 380000
15 Ny. Novi syahri yanti 07.56.96 11/11/19 (3) 1,509,000 175,000 20,000 267,900 50,000
16 Ny. Martini 07.63.97 19/11/19 (3) 2,077,600 209,000 20,000 287,500 175,000
17 Ny. Parida 02.14.42 14/11/19 (3) 1,509,000 20,000 444,900 100,000
18 Ny. Rasinah 07.61.55 16/11/19 (4) 2244700 209,000 20,000 1,488,800 310,000
19 Ny. Ajeng febri 07.60.83 15/11/19 (3) 1,509,000 175,000 20,000 186,300 50,000
20 Ny. Aisyah 07.52.55 03/11/19 (3) 1,432,100 209,000 20,000 329,900 100,000 135000
21 Tn. Palri aryo 07.61.65 19/11/19 (4) 3,159,500 20,000 626,600 50,000
22 tn. Junardi 07.57.87 12/11/19 (3) 2,541,200 175,000 20,000 286,300 330,000
23 Nn. Elsi apriliani 07.56.16 10/11/19 (3) 1,832,700 175,000 20,000 201,500 100,000
24 tn. Kanedy 07.57.10 11/111/19 (3) 1,760,500 209,000 20,000 345,900 100,000
25 Tn. Niki juniawan 07.64.73 20/11/19 (3) 2,541,200 175,000 20,000 277,700 250,000
26 Nn. Safa 06.00.24 20/11/19 (5) 2,117,600 175,000 20,000 383,100 335,000
27 Ny. Fitriana 07.65.78 21/11/19 (4) 6,967,300 175,000 20,000 402,000 50,000
28 Nn. Veronica alba 07.67.32 26/11/19 (4) 1,509,000 175,000 20,000 382,500 50,000
29 Ny. Erna kurniawati 07.66.55 23/11/19 (4) 1,509,000 195,000 20,000 733,799 145,000 175,000
30 Ny. Leni sunarti 07.17.64 28/11/19 (3) 2,541,200 175,000 20,000 332,800
31 Nn. Tiara andini 07.69.89 27/11/19 (3) 2,964,700 20,000 202,100 260,000
32 Nn. Liza yuli 07.19.38 24/11/19 (2) 4,047,100 175,000 20,000 179,300 50,000 175,000
33 Nn. Vika yuninda 07.21.51 26/11/19 (3) 1,509,000 206,000 20,000 182,000 50,000
34 Tn. Amir h bustami 06.33.95 25/11/19 (5) 1,707,700 209,000 20,000 409,100 150,000
35 Ny. Ari santi 07.69.89 27/11/19 (3) 4,047,100 175,000 20,000 254,700 50,000 175,000
36 Tn. Moratahan panghiburan 07.67.55 24/11/19 (6) 4,047,100 175,000 20,000 838,200 50,000 175,000
37 Tn. Suardi 07.68.53 25/11/19 (4) 3,231,500 209,000 20,000 490,000 100,000 175,000
NETTO VISITE ASKEP DIAGNOSA
1,102,000 132,240 88,160 chf
1,693,400 203,208 135,472 anemia
993,800 119,256 79,504 chf
2,562,900 307,548 205,032 chf
1,716,200 205,944 137,296 demam typoid
602,100 72,252 48,168 syndrom dispepsia
3,349,650 401,958 267,972 cap
1,831,700 219,804 146,536 gerd
945,000 113,400 75,600 gastroentrisis erosif
1,377,400 165,288 110,192 demam typoid
1,091,200 130,944 87,296 syndrom dispepsia
2,027,800 243,336 162,224 chf
1,471,800 176,616 117,744 gea
759,100 91,092 60,728 gea
996,100 119,532 79,688 syndrom dispepsia
1,386,100 166,332 110,888 serangan asma sedang
944,100 113,292 75,528 chf
216,900 26,028 17,352 tb paru
1,077,700 129,324 86,216 syndrom dispepsia
638,200 76,584 51,056 chf
2,462,900 295,548 197,032 abses hepar
1,729,900 207,588 138,392 demam typoid
1,336,200 160,344 106,896 demam dengue
1,085,600 130,272 86,848 syndrom dispepsia
1,818,500 218,220 145,480 demam typoid
1,204,500 144,540 96,360 demam typoid
6,320,300 758,436 505,624 cap
881,500 105,780 70,520 syndrom dispepsia
240,201 28,824 19,216 syndrom dispepsia
2,013,400 241,608 161,072 demam typoid
2,482,600 297,912 198,608 demam typoid
3,447,800 413,736 275,824 cap
1,051,000 126,120 84,080 syndrom dispepsia
919,600 110,352 73,568 dm
3,372,400 404,688 269,792 cap
2,788,900 334,668 223,112 cap
2,237,500 268,500 179,000 cap
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. LAILA, SP.A
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR LAIN 2 RO/USG
1 An. Masya nurul 07.50.04 29/10/19 (5) 1,707,700 220,000 20,000 285,800 255,000
2 By.Ny. Eni m 07.51.78 31/10/19 (2) 4,039,600 20,000 48,000
3 An. Fringky fernando 07.51.87 01/11/19 (8) 1,832,700 135,000 20,000 1,043,400 890,000
4 An. Naura dita 07.50.64 31/10/19 (6) 4,721,600 180,000 20,000 606,000 255,000 90000 270000
5 An. Adzkia 07.48.66 28/10/19 (6) 1,423,100 220,000 20,000 928,500 255,000
6 An. Muhamad afif 07.51.29 31/10/19 (6) 2,117,600 180,000 20,000 361,000 690,000
7 An. Nazwa janeta 07.52.27 02/11/19 (4) 2,587,600 180,000 20,000 466,000 330,000
8 An. Talita 05.00.24 31/10/19 (6) 2,541,200 220,000 20,000 733,000 330,000
9 By. Ny. Yulis 07/57/17 11/11/19 (6) 2,541,200 265,000 20,000 625,200 255,000
10 An. Radika arka 07.62.06 17/11/19 (3) 1,423,100 180,000 20,000 196,500 50,000
11 An. Anindita keisha 07.60.53 15/11/19 (3) 1,707,700 265,000 20,000 217,000 205,000
12 An. Iqbal baheri 04.70.20 13/11/19 (4) 1,707,700 180,000 20,000 543,500 255,000
13 An. Nadia eka 00.56.84 16/11/19 (4) 1,423,100 220,000 20,000 409,100 485,000
14 An. Jihan febrian 07.57.70 12/11/19 (2) 1,707,700 20,000 380,500 485,000
15 An. Yaqdhan abqhori 06.36.94 09/11/19 (4) 2,541,200 180,000 20,000 303,000 50,000
16 An. Muhamad alqianu 07.55.99 09/11/19 (4) 1,707,700 180,000 20,000 301,000 105,000
17 An. Keisha hana 07.61.98 17/11/19 (4) 1,707,700 220,000 20,000 157,000 205,000
18 An. Asyifa desta 07.61.24 16/11/19 (5) 1,832,700 20,000 409,000 635,000
19 An. Al zaidan 07.61.33 17/11/19 (4) 1,992,400 180,000 20,000 386,000 255,000
20 An. Qioshi najwa 07.50.17 29/10/19 (6) 1,832,700 180,000 20,000 444,000 355,000
21 An. Farizal 07.53.51 04/11/19 (5) 2,541,200 220,000 20,000 457,000 50,000
22 An. Muhamad arkan 07.63.84 19/11/19 (4) 2,541,200 180,000 220,000 239,100 355,000
23 An. Nandi eka 07.58.04 13/11/19 (5) 2,541,200 220,000 20,000 193,000 100,000
24 An. Rafael 07.59.49 14/11/19 (4) 2,117,600 135,000 20,000 431,000 105,000
 25 An. Gamma renaldi 07.64.79 20/11/19 (7) 2,964,700 180,000 20,000 390,000 260,000
26 An. Muharam 07.63.79 19/11/19 (5) 1,423,100 180000 20,000 344000 255000
27 An. Shaqueena 06.20.31 24/11/19 (5) 2,541,200 20,000 676,000 540,000
28 An. Maryam aisyah 07.63.99 19/111/19 (5) 2,335,700 225,000 20,000 374,500 255,000
29 An. Chilia agustina 07.69.39 27/11/19 (2) 2,541,200 211,000 20,000 131,300 225,000
30 An. Riza cahya 07.67.71 24/11/19 (4) 1,707,700 180,000 20,000 623,500 255,000
31 An. Dewi purnama 07.68.15 25/11/19 (3) 2,541,200 20,000 200,200 720,000
32 An. Gibran alvaro 07.64.82 20/11/19 (6) 1,992,400 20,000 675,500 280,000
33 by. Ny. Rina 07.64.00 19/11/19 (7) 2,117,600 225,000 20,000 492,500 255,000
34 An. Ahmad fharoza 06.40.37 25/11/19 (3) 2,541,200 220,000 20,000 117,000 405,000
35 An. Afif rahman 07.43.57 22/11/19 (7) 2,541,200 220,000 20,000 179,000 480,000
36 An a phawas lee 07.06.47 22/11/19 (3) 1,707,700 20,000 254,000 205,000
s
TDKAN LAIN NETTO VISITE ASKEP DIAGNOSA
926,900 111,228 74,152 gea
3,971,600 476,592 317,728 bayi lahir sc
-255,700 -30,684 -20,456 demam dengue
3,300,600 396,072 264,048 pneumonia
-400 -48 -32 gea
866,600 103,992 69,328 demam typoid
1,591,600 190,992 127,328 tfa
1,238,200 148,584 99,056 demam typoid
1,376,000 165,120 110,080 Bacterial infection
976,600 117,192 78,128 gea
1,000,700 120,084 80,056 gastroeriferitis
709,200 85,104 56,736 gea
289,000 34,680 23,120 gea
822,200 98,664 65,776 gastroetritis
1,988,200 238,584 159,056 Bacterial infection
1,101,700 132,204 88,136 gea
1,105,700 132,684 88,456 gastroentritis
768,700 92,244 61,496 Viral Infection
1,151,400 138,168 92,112 gastroentritis
833,700 100,044 66,696 demam dengue
1,794,200 215,304 143,536 Bacterial infection
1,547,100 185,652 123,768 Bacterial infection
2,008,200 240,984 160,656 Bacterial infection
1,426,600 171,192 114,128 Viral Infection
2,114,700 253,764 169,176 anoba etis
624,100 74,892 49,928 gea
1,305,200 156,624 104,416 demam typoid
1,461,200 175,344 116,896 Bacterial infection
1,953,900 234,468 156,312 demam typoid
629,200 75,504 50,336 gastritis
1,601,000 192,120 128,080 demam typoid
1,016,900 122,028 81,352 gastrolitiasis
1,125,100 135,012 90,008 gea
1,779,200 213,504 142,336 demam typoid
1,642,200 197,064 131,376 demam typoid
1,228,700 147,444 98,296 febris
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. ANNELIN, SPpD
PASIEN BPJS

NO NAMA MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR LAIN 2 RO/USG
1 Tn. Heren alfio 07.51.41 31/10/19 (5) 1,707,700 175,000 20,000 618,400 50,000
2 Ny. Milda 07.51.29 31/10/19 (3) 1,527,300 175,000 20,000 403,800 380,000
3 Tn. Febrizon 07.50.79 31/10/19 (3) 4,721,600 209,000 20,000 1,018,500 100,000
4 Ny. Rusniati 06.62.37 01/11/19 (5) 3,127,800 209,000 20,000 1,062,400 100,000 135,000
5 Ny. Heryanti 07.56.09 10/11/19 (2) 1,509,000 175,000 20,000 472,650 100,000
6 Ny. Juniatrti 05.15.43 08/11/19 (2) 3,791,400 175,000 20,000 302,700 100,000
7 Ny. Yusli marlinda 04.63.87 07/11/19 (2) 2,135,600 209,000 20,000 149,300 100,000
8 Tn. Ibrahim 07.60.73 15/11/19 (2) 1,707,700 175,000 20,000 281,500 50,000
9 Tn. Arwin 07.52.62 03/11/19 (8) 3,127,800 231,500 20,000 1,930,900 1,065,000
10 Ny. Hartati 07.56.78 11/11/19 (7) 4,419,600 20,000 1,182,000 540,000
11 Ny. Gustini 06.21.10 11/11/19 (5) 3,888,400 20,000 982,600 280,000
12 Tn. Burniat 06.82.00 17/11/19 (2) 3,142,600 57,500 20,000 211,000 155,000
13 Ny. Anismawati 04.92.87 16/11/19 (4) 1,257,500 20,000 315,500 50,000
14 Ny. Maswanih 07.56.13 10/11/19 (3) 1,592,900 209,000 20,000 334,000 100,000
15 Tn. Suplan efendi 07.63.62 18/11/19 (4) 4,047,100 20,000 758,000 205,000 175,000
16 Tn. Buniran 05.87.99 16/11/19 (3) 3,486,400 209,000 20,000 186,600 205,000
17 Tn . Hadirin 05.81.97 19/11/19 (4) 2,541,200 209,000 20,000 276,900 380,000
18 Tn ude 07.64.80 20/11/19 (3) 2,692,900 20,000 215,000 205,000 175,000
19 Ny. Sawati 07.05.22 06/11/19 (4) 2,541,200 209,000 20,000 492,200 430,000
20 ny. Siti hadijah 07.36.90 09/11/19 (2) 1,707,700 209,000 20,000 700,900 100,000
21 Ny. Romlah 07.24.02 08/11/19 (5) 4,044,700 20,000 1,020,900 305,000
22 tn. Amirasin 07.54.59 06/11/19 (3) 1,509,000 175,000 20,000 523,000 100,000
23 Ny. Erfida 07.55.69 09/11/19 (4) 2,541,200 175,000 20,000 1,000,000 100,000
24 Ny. Yamatulandri 07.51.35 17/11/19 (5) 1,509,000 175,000 20,000 1,059,500 640,000
25 Tn. Padmonadi 07.64.74 20/11/19 (4) 3,127,800 209,000 20,000 545,700 355,000 175000
26 Tn. Hermen gusmatri 06.24.27 23/11/19 (2) 4,047,100 209,000 20,000 467,500 305,000
27 Ny. Tuti indrawan 04.61.34 21/11/19 (3) 2,513,700 209,000 20,000 539,600
28 Tn. Ery herwindo 07.65.77 21/111/19 (4) 1,992,400 175,000 20,000 313,600 50,000
29 Ny. Kartina 07.64.05 19/11/19 (6) 4,047,100 20,000 1,152,000 485,000 90000 175000
30 Nn. Elisa susiana 07.64.75 20/11/19 (4) 4,044,700 175,000 20,000 120,000 400,000
31 Tn. Arstin 07.69.01 26/11/19 (5) 1,509,000 209,000 20,000 120,000 100,000
32 Ny. Kartina 07.64.05 25/11/19 (3) 4,044,700 231,500 20,000 357,700 505,000
TDKAN LAIN NETTO VISITE ASKEP DIAGNOSA
844,300 101,316 67,544 gea desentri
548,500 65,820 43,880 dengue fever
3,374,100 404,892 269,928 pneumoni9a
1,601,400 192,168 128,112 chf
741,350 88,962 59,308 syndrom dispepsia
3,193,700 383,244 255,496 asites
1,657,300 198,876 132,584 ht urgency
1,181,200 141,744 94,496 gea
-119,600 -14,352 -9,568 chf hhd
2,677,600 321,312 214,208 septic atritis
2,605,800 312,696 208,464 isk
2,699,100 323,892 215,928 ckd st v
872,000 104,640 69,760 syndrom dispepsia
929,900 111,588 74,392 vertigo
2,889,100 346,692 231,128 pneumoni9a
2,865,800 343,896 229,264 ckd st v gerd
1,655,300 198,636 132,424 demam typoid
2,077,900 249,348 166,232 sepsis
1,390,000 166,800 111,200 demam typoid
677,800 81,336 54,224 gea
2,698,800 323,856 215,904 dm tipe 2
691,000 82,920 55,280 syndrom dispepsia
1,246,200 149,544 99,696 demam typoid
-385,500 -46,260 -30,840 syndrom dispepsia
1,823,100 218,772 145,848 chf
3,045,600 365,472 243,648 dm tipe 2
1,745,100 209,412 139,608 0a infensi
1,433,800 172,056 114,704 gea
2,125,100 255,012 170,008 pneumoni9a
3,329,700 399,564 266,376 dm tipe 2
1,060,000 127,200 84,800 syndrom dispepsia
2,930,500 351,660 234,440 dm tipe 2
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. MIRTON, SP.B
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM

1 Tn ridiansyah 05.71.49 30/10/19 (5) 11,976,500 20,000
2 Ny. Effi efrida 07.62.78 18/11/19 (2) 5,237,800 20,000
3 Tn. Tamrin 07.52.93 04/11/19 (3) 4,663,700 20,000
4 Ny. Asri krisnawati 07.52.80 06/11/19 (3) 7,202,700 20,000
5 Ny. Jumiati 07.52.99 05/1/19 (3) 5,893,900 20,000
6 Tn. Amat saleh 07.62.27 20/11/19 (2) 4,663,700 20,000
7 Ny. Surismi 07.36.66 20/11/19 (2) 3,106,300 20,000
8 Ny. Isnayni 07.57.55 25/11/19 (3) 5,284,850 20,000
9
 OBAT LABOR LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP
473,700 275,000 5,735,500 5,472,300 656,676 437,784
164,000 50,000 2,602,000 2,401,800 288,216 192,144
585,000 195,000 2,476,800 1,386,900 166,428 110,952
936,500 120,000 2,681,500 3,444,700 413,364 275,576
814,000 110,000 4,949,900 593,988 395,992
105,500 195,000 2,699,500 1,643,700 197,244 131,496
60,000 63,000 757,500 2,446,700 -240,900 -28,908 -19,272
1,693,100 145,000 3,426,750 411,210 274,140
 DIAGNOSA
uretrolitiasi
limphoma
kista sinoval
kontraktus op knae
tumor mamae
abses
abses plunta pedis
post op pam
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. VIOLITA, SpOG
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR LAIN 2 RO/USG TDKAN LAIN
1 Ny. Rubiah 07.48.18 05/11/19 (3) 2,428,600 175,000 20,000 283,500 145,000
2 Ny. Metty fatma 05.38.43 08/11/19 (2) 2,428,600 175,000 20,000 204,000 100,000
3 Ny. Anike putri 07.47.71 28/11/19 (3) 2,428,600 175,000 20,000 156,500 145,000
4
5
6
7

9
NETTO VISITE ASKEP DIAGNOSA
1,805,100 216,612 144,408 heg
1,929,600 231,552 154,368 heg
1,932,100 231,852 154,568 heg
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. HERU, SpTHT
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR LAIN 2 RO/USG TDKAN LAIN
1 An. Nurizatul j 07.49.51 01/11/19 (3) 4,310,300 20,000 611,000 100,000
2 Tn. Dwi agung k 07.54.94 07/11/19 (4) 1,848,300 175,000 20,000 462,500 250,000
3 An. Afifah putri 07.55.62 25/11/19 (3) 4,310,300 20,000 384,000 4,152,000
 NETTO VISITE ASKEP DIAGNOSA
3,579,300 429,516 286,344 tonsilitis kronis
940,800 112,896 75,264 selulitis abses
-245,700 -29,484 -19,656 te
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. AMIR, SP.B
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM

1 Tn. Duran 05.52.34 18/11/19 (4) 5,499,900 20,000
2 Tn. Marvius ronaldi 07.08.20 29/11/19 (2) 5,237,800 20,000
3 Tn. Lalihaprizon 07.69.45 27/11/19 (3) 4,489,600 20,000
4 Tn. Heldi saputra 07.70.73 29/11/19 (2) 3,741,300 20,000
5 Nn. Auliya dwika 07.60.08 25/11/19 (3) 5,284,850 20,000
 OBAT LABOR LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP
525,300 70,000 2,435,300 2,449,300 293,916 195,944
215,000 120,000 2,471,500 2,411,300 289,356 192,904
315,000 70,000 4,084,600 490,152 326,768
562,500 120,000 3,038,800 364,656 243,104
1,330,000 155,000 3,337,850 442,000 53,040 35,360
 DIAGNOSA
hills
stt
stt
stt
post op pam
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. DINI, SpOG
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT

1 Ny. Eni mardiawati 07.50.71 30/10/19 (3) 6,195,900 20,000 1,331,000
2 Ny. Apriliana pohan 07.54.04 05/11/19 (2) 2,012,400 65,000 20,000 233,500
LABOR LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP DIAGNOSA
150,000 3,745,300 949,600 113,952 75,968 sc
125,000 1,795,150 -226,250 -27,150 -18,100 curetasge
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. AMALIA SPKK
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM

1 Ny. Wiwik febrianti 07.49.10 18/11/19 (2) 4,489,600 20,000
2 Ny. Subaidah 07.61.58 16/11/19 (10) 2,212,400 175,000 20,000
3 Tn. Alias 07.65.24 21/11/19 (9) 2,654,900 20,000
 OBAT LABOR LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP DIAGNOSA
239,500 70,000 4,160,100 499,212 332,808 stt
1,666,400 515,000 -164,000 -19,680 -13,120 ereitroderma
311,000 390,000 175,000 1,933,900 232,068 154,712 ereitroderma
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. TRI HADI SUSANTO, SPpD
PASIEN BPJS

NO NAMA MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR

1 Ny. Asni 05.45.00 30/10/19 (2) 4,047,700 731,500 20,000 261,700 100,000
2 Tn. Rohimon 07.53.96 05/111/19 (4) 2,541,200 65,000 20,000 253,800 330,000
3 Ny. Elvina 07.52.78 04/11/19 (3) 1,257,500 175,000 20,000 333,500 50,000
4 Nn. Fenia delina 05.44.01 04/11/19 (3) 1,509,000 175,000 20,000 280,000 125,000
5 Ny. Nurbayani 05.74.84 02/11/19 (3) 1,992,400 209,000 20,000 262,900 50,000
6 Ny. Resmi elfira 07.52.75 03/11/19 (3) 2,135,600 209,000 20,000 283,000 405,000
7 Ny. Sumarsih 07.54.99 02/11/19 (9) 4,055,900 209,000 20,000 362,600 305,000
8 Nn. Depita 07.53.29 04/11/19 (4) 2,541,200 175,000 20,000 477,100 330,000
9 Ny. Atimiati 07.53.93 05/11/19 (3) 1,707,700 209,000 20,000 285,400 100,000
10 Ny. Muliyanti 07.53.25 04/11/19 (4) 2,541,200 85,000 20,000 532,600 385,000
11 Ny. Nurlela utama 07.55.85 09/11/19 (3) 1,527,500 45,000 20,000 255,800 50,000
LAIN 2 RO/USG TDKAN LAIN NETTO VISITE ASKEP DIAGNOSA
135,000 2,799,500 335,940 223,960 tb paru
1,872,400 224,688 149,792 demam typoid
679,000 81,480 54,320 syndrom dispepsia
909,000 109,080 72,720 syndrom dispepsia
1,450,500 174,060 116,040 gea
1,218,600 146,232 97,488 ht urgency
3,159,300 379,116 252,744 dm tipe 2
1,539,100 184,692 123,128 demam typoid
1,093,300 131,196 87,464 gea
1,518,600 182,232 121,488 demam typoid
1,156,700 138,804 92,536 syndrom dispepsia
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. JUEN, SpOG
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR
1 Ny. Yola dwi m 06.97.70 01/11/19 (3) 5,865,800 65,000 20,000 1,461,900 245,000
2 Ny. Sinaryani 07.51.27 31/10/19 (4) 1,498,900 195,000 20,000 324,800 50,000
LAIN 2 RO/USG TDKAN LAINETTO VISITE ASKEP DIAGNOSA
3,784,000 289,900 34,788 23,192 cpd post term sc
100,000 809,100 97,092 64,728 ab iminens
 RAWAT INAP PASIEN KELAS II MARWAH NOVEMBER 2019
DOKTER dr. GITA, SpOG
PASIEN BPJS

NO NAMA N0.MR TGL RAWAT INA CBG IGD/POLI ADM OBAT LABOR
1 Ny. Siti aminah 07.51.99 02/11/19 (2) 2,012,400 175,000 20,000 410,000 100,000
LAIN 2 RO/USG TDKAN LAINETTO VISITE ASKEP DIAGNOSA
100,000 1,307,400 156,888 104,592 ab