Sheet1LAPORAN KLAIM RITL BPJS JANUARI 2014 NoTGL MASUKTGL
PULANGRAWAT RMNAMA PASIENTOTAL TARIFTARIF RIIL
RSKETDIAGNOSA11/26/141/29/14Inap128883ABDUL
MUGHNI9,472,902.003,993,000.005,479,902.00AMI I21.9 + HHD
I11.021/23/141/28/14Inap128859MUH. DENNY
RAHMADI2,720,143.002,406,000.00314,143.00DHF
A9131/26/141/28/14Inap128930KALYKA NOVA
PRATISTA2,133,791.001,974,000.00159,791.00Common cold
J0041/19/141/27/14Inap128204ANIS
MULYATI3,029,653.003,063,000.00-33,347.00Intracerebral haemorrhage
I61.951/19/141/26/14Inap128766MARGONO7,463,208.006,858,000.00605,208.00Cerebral
infaction I63.3 + Hemiplegia G81.9 + CT scan
87.0361/20/141/25/14Inap128798FATWA
ADITYA3,527,051.003,364,000.00163,051.00Diare
A0971/20/141/23/14Inap128788RARA INDAH
PRATIWI3,891,434.002,543,000.001,348,434.00Dispepsia
K3081/14/141/22/14Inap122799SUYATA7,333,333.008,472,000.00-1,138,667.00VIPHT
I10 + STROKE I64 + Dislipidemia E78.591/20/141/21/14Inap67058ANGGA
DWI DARMAWAN2,170,497.002,948,000.00-777,503.00VIPFracture of lower
end of both ulna and radius, closed
S52.60101/14/141/19/14Inap112603TASRIPIN H
FADHOLI5,616,407.006,718,000.00-1,101,593.00VIPAcute myocardial
infarction
I21.9111/16/141/19/14Inap91486WARNISI3,892,664.002,231,000.001,661,664.00CKR
S09.9121/15/141/18/14Inap128684TARMUDI2,172,417.002,175,000.00-2,583.00CEPALGIA
R51 + Urticaria L50.9131/14/141/17/14Inap125407HAFIDZ ASH SHIDDIQ
PRATAMA2,490,308.001,558,000.00932,308.00ISPA
J06.9141/13/141/16/14Inap77311SRI
RESTIYANINGSIH5,838,726.002,623,000.003,215,726.00 CHF + CAD
I25.1151/14/141/15/14Inap72376UZMA RAZITA
PUJIANI8,382,098.003,317,000.005,065,098.00Leukaemia C91.0 + Otitis
media H66.9 + HEPATITIS B16.9161/10/141/15/14Inap128153IBNU
KURNIAWAN NUGROHO7,272,515.0012,033,000.00-4,760,485.00VIPFracture
of other metacarpal bone, closedS62.30 + ORIF
171/12/141/15/14Inap121297LAELA
ELISWATI3,884,254.003,318,000.00566,254.00TYpoid A01.0 + HT
I10181/11/141/14/14Inap128188MUTIARA AINA
ALMA6,836,736.004,865,000.001,971,736.00BRPN J18.9 + KDS R56.9 +
ANEMIA
D64.9191/12/141/13/14Inap128201HARIJADI1,632,236.001,062,000.00570,236.00INTOXIKASI
T54.2201/10/141/12/14Inap67976GODJALI5,837,039.003,145,000.002,692,039.00DYSPEPSI
K30 + ANEMIA D64.9211/3/141/11/14Inap51570MOH.
NAIM10,145,815.0010,032,000.00113,815.00CHF I50.0 + STROKE
I64221/7/141/11/14Inap119118SUKADI3,450,929.003,012,000.00438,929.00BATU
GINJAL N20.0 + hydronephrosisN13.3 + HT
I10231/6/141/10/14Inap72376UZMA RAZITA
PUJIANI4,293,859.005,203,000.00-909,141.00VIPLeukaemia C91.0 +
DIARE A09241/3/141/8/14Inap103437ENDANG
FATMAWATI3,119,690.002,435,000.00684,690.00Epilepsy G40.9 + STROKE
I64 + HEMIPLEGIA G81.9251/4/141/7/14Inap128001WACHID
DURI3,267,108.003,936,000.00-668,892.00VIPCellulitis L03.9 + CAD
I25.1 261/1/141/4/14Inap77709MUH AGUS
FAUZAN2,133,791.003,141,000.00-1,007,209.00VIPISPA J06.9 +
DYSPEPSIA K30271/2/141/4/14Inap127956SLAMET
WIDIYANTO2,170,733.002,255,000.00-84,267.00VIPISK
N39.0281/29/141/30/14Inap128972UMAR1,858,597.001,296,000.00562,597.00TRAUMA
thoraxS29.9291/27/141/30/14Inap121504MOH. ALDIYAS
FAUZAN2,134,550.001,540,000.00594,550.00ISPA J06.9 + KDS
R56.0301/23/141/30/14Inap128860ENDAH
WINDARTI1,859,336.004,515,000.00-2,655,664.00VIPEpilepsy G40.9 +
Gastritis
29.7311/26/141/29/14Inap128867RAMDON1,860,628.002,196,000.00-335,372.00VIPISK
N39.0321/28/141/29/14Inap128963NYONO ARIF
ZAENAL3,023,187.002,698,000.00325,187.00DiARE A09 + HT
I10331/23/141/28/14Inap128853MOCHAMAD ARIEF
ROESANTO5,179,058.006,475,000.00-1,295,942.00VIPHT I10, CRF N18,
HHD I11341/24/141/28/14Inap123394NAKEYSHA AZKA
NAUVALIN3,023,187.003,200,000.00-176,813.00UTAMAGE A09 + ISPA
J06.9351/25/141/28/14Inap96238DEWI
EVATI1,828,964.001,313,000.00515,964.00ISPA J06.9 + DYSPEPSIA
K30361/24/141/26/14Inap94453SRI
REJEKI3,329,360.002,226,000.001,103,360.00Typoid A01.0
371/22/141/25/14Inap128821SUGIARTI1,775,051.001,762,000.0013,051.00Concussion
S06.0381/23/141/24/14Inap128864DUNASAH3,336,569.002,369,000.00967,569.00Diffuse
brain injury S06.2391/21/141/23/14Inap113877YUNI NARDIENA
KUSUMA2,416,358.002,413,000.003,358.00PARTUS SPONTAN
O80.9401/20/141/22/14Inap903460HADUN
PURWANTO1,755,656.001,757,000.00-1,344.00VL
T14.1411/19/141/20/14Inap128773YUANITA
MARTIWI3,023,187.001,046,000.001,977,187.00VL
T14.1421/16/141/18/14Inap8LASRI
ERITA2,331,471.001,278,000.001,053,471.00DM NON INSULIN
E11.6431/15/141/17/14Inap118646ADITYA NOVA
AZANI3,548,018.005,431,000.00-1,882,982.00VIPDelayed union of
fracture, forearm M84.23441/9/141/15/14Inap30720LAELA
MUNTIROH13,724,015.0012,983,500.00740,515.00Fr. of lower end of
tibia, closed S82.30 + ANEMIA D64.9 +
ORIF451/8/141/12/14Inap128087NAURA ATHAYYA
SYUKUR2,415,129.002,184,000.00231,129.00ISPA J06.9 + TYPOID A01.0 +
KDS R56.9461/8/141/11/14Inap35400MOHAMAD
NASIR13,988,496.0011,466,000.002,522,496.00HEMIPLEGI G81.9 +
Intracerebral haemorrhage I61.9 + HT I10 + VENTILATOR + CT
SCANT471/9/141/10/14Inap111728LUTFATUL
KHASANAH1,862,404.001,071,000.00791,404.00GERD K21.9 + VIRAL
INFECTION B34.9481/8/141/10/14Inap48921ONIE
CANDRA4,826,560.004,771,500.0055,060.00PARTUS SC
O82.9491/5/141/8/14Inap128024CASMAN2,313,356.001,757,000.00556,356.00Retention
of urine R33501/7/141/8/14Inap127933HARDIAN H
TIFANI3,929,050.003,025,000.00904,050.00Epidermal cyst L72.0 +
EKSISI 86.3511/5/141/7/14Inap128026ANINDITA NOVIA
M2,416,358.001,891,000.00525,358.00PARTUS NORMAL
O80.9521/4/141/7/14Inap128013RIFQI TRIBAGUS
SATRIA1,862,518.001,590,000.00272,518.00ANEMIA D64.9 + FEVER
R50.9531/5/141/7/14Inap89418AGUS SRI
RISKIYANI3,023,187.001,600,000.001,423,187.00DIARE
A09541/1/141/5/14Inap127928KHUSNIYAWATI5,326,085.005,715,000.00-388,915.00PARTUS
SC O82.9 + ANEMIA D64.9 + SC +
TRANSFUSI551/3/141/4/14Inap125823DANTI2,416,358.002,237,000.00179,358.00PARTUS
NORMAL
O80.9561/1/141/3/14Inap127913DARSIMAH3,820,383.002,237,000.001,583,383.00HT
I10 + CHEPALGIA R51 + EKG + CT
SCANT571/29/141/31/14Inap120647JAMIL1,552,349.001,035,000.00517,349.00Asthma,
unspecifiedJ45.9581/17/141/30/14Inap128722JOKO
SANTOSO3,461,812.002,571,500.00890,312.00Schizophrenia
F20.9591/27/141/30/14Inap128939WA
RIAH1,550,524.001,078,000.00472,524.00ISK N39.0 + Pain in joint,
unspecified site
M25.59601/29/141/29/14Inap128920ANDRIANTO1,551,652.001,050,000.00501,652.00VL
T14.9611/8/141/29/14Inap121307KARJOYO1,552,349.00993,000.00559,349.00Asthma
J45.9621/26/141/29/14Inap128915KHOTIJAH2,779,595.001,034,000.001,745,595.00Dispepsia
K40 + Gastritis
K29.7631/22/141/27/14Inap128845WARODI4,169,314.002,515,000.001,654,314.00Hematemesis
K92.0 + Anemia
D64.9641/23/141/27/14Inap128848MUBIN2,779,595.001,378,000.001,401,595.00Dispepsia
K30651/23/141/26/14Inap122460SUTIPAH2,779,595.001,058,500.001,721,095.00Dispepsia
K30 + Glaucoma H40.0661/21/141/25/14Inap93536ANANDA PRATAMA
R1,524,136.001,420,000.00104,136.00ISPA
J06.9671/24/141/25/14Inap128867RAMDON2,519,322.001,250,000.001,269,322.00Diare
A09681/24/141/25/14Inap128869TARINAH2,788,669.00801,000.001,987,669.00Delayed
and secondary postpartum haemorrhage O72.2 + Anemia
D64.9691/22/141/24/14Inap124906SITI
KOMAEROH4,022,133.004,437,000.00-414,867.00Delivery by caesarean
section, unspecified
O82.9701/22/141/24/14Inap128809JAENI4,169,314.001,726,000.002,443,314.00Dispepsia
k30 + Anemia D64.9 + DM non insulin
e11.9711/20/141/23/14Inap128732SUGIANTO2,321,946.001,328,000.00993,946.00hronic
ulcer of skin, not elsewhere classified
L98.4721/20/141/23/14Inap121876SUPARMI2,398,446.001,159,000.001,239,446.00PPOK
J44.9731/21/141/23/14Inap84797SITI
SALAMAH1,552,349.001,152,000.00400,349.00Asthma,
unspecifiedJ45.9741/18/141/22/14Inap128759ELY FATUL
CHERIYAH2,383,264.002,181,000.00202,264.00Preterm labour with
preterm delivery
O60.1751/19/141/22/14Inap120118SUSILISNAWATI2,774,467.001,708,000.001,066,467.00Typoid
Fever A01.0
761/22/141/22/14Inap90429SULARTO2,707,869.002,565,000.00142,869.00Cerebrovascular
disease, unspecified
I67.9771/19/141/22/14Inap123548NURJAMIL2,398,446.001,261,000.001,137,446.00PPOK
J44.9781/19/141/22/14Inap128770WARDAH5,114,538.001,711,000.003,403,538.00Dyspepsia
K30 + Hypovolaemic shock
R57.1791/20/141/21/14Inap128793DARYANI1,463,047.00996,000.00467,047.00VL
T14.1801/17/141/21/14Inap128709KASMIAH4,315,882.002,334,000.001,981,882.00HT
i10 + EPISTAKSIS R04,0811/15/141/18/14Inap128656HAPPY DWIAYU
LESTARI2,779,595.001,099,000.001,680,595.00DYSpepsia K30
821/16/141/18/14Inap128697ROKHMAH7,426,314.004,870,000.002,556,314.00ULCER
DM L98.4 + ENCEPALOPATI G93.9 +DM E10.6+ ANEMIA
D64.9831/17/141/17/14Inap188182WASMAD2,709,451.001,293,000.001,416,451.00Intracerebral
haemorrhage, intraventricular I61.5 + Hydrocephalus G91.9 + HT
I10841/13/141/17/14Inap128630SARIPIN4,170,518.003,746,000.00424,518.00CHF
I50.9 + CAD I25.9851/11/141/15/14Inap128176M PENDI
IRFANI2,326,564.002,226,500.00100,064.00DHF A91+ SHOCK
R57.9861/11/141/15/14Inap128167MASRIAH3,183,652.002,424,000.00759,652.00HT
I10 + FEBRIS
R50.9871/11/141/15/14Inap128143CASINAH2,398,446.001,414,000.00984,446.00DIARE
A09 + PPOK J44.9881/3/141/15/14Inap127958HILYATUN HAYFA
U3,461,812.002,435,500.001,026,312.00Schizophrenia, unspecified
F20.9891/13/141/14/14Inap89645UMI
FADILAH2,732,580.002,072,000.00660,580.00Blighted ovum and
nonhydatidiform mole O02.0 + CURETASE
69.52901/10/141/13/14Inap124879SUTIRAH5,952,050.003,136,500.002,815,550.00CHF
I50.0 + CAD I25.1 + Atrial fibrillation and flutterI48 + HT
I10911/10/141/13/14Inap127002DOMIRI4,170,518.002,009,000.002,161,518.00CHF
I50.0 + CAD I25.1921/10/141/12/14Inap128140ANGGER IBNU
KHAER1,524,136.00971,500.00552,636.00Acute pharyngitis,
unspecifiedJ02.9931/8/141/12/14Inap128091SILVI LAELA
SAVITRI2,774,467.001,368,500.001,405,967.00TYPOID A01.0 + ISPA
J06.9941/1/141/9/14Inap127764TRUBUS
WIJAKSONO3,461,812.001,664,000.001,797,812.00Acute and transient
psychotic disorder, unspecified
F23.9951/5/141/7/14Inap126029MARSITI TRI
WULANDARI2,013,631.002,240,000.00-226,369.00PARTUS NORMAL
O80.9TOTAL 344,102,572.00274,434,500.0069,668,072.00
RI Jan 14LAPORAN KLAIM RITL BPJS JANUARI 2014 NoTGL
PULANGRMTOTAL TARIFTARIF RIIL
RSKETDIAGNOSA11/29/141288839,472,902.003,993,000.005,479,902.00AMI
I21.9 + HHD
I11.021/28/141288592,720,143.002,406,000.00314,143.00DHF
A9131/28/141289302,133,791.001,974,000.00159,791.00Common cold
J0041/27/141282043,029,653.003,063,000.00-33,347.00Intracerebral
haemorrhage
I61.951/26/141287667,463,208.006,858,000.00605,208.00Cerebral
infaction I63.3 + Hemiplegia G81.9 + CT scan
87.0361/25/141287983,527,051.003,364,000.00163,051.00Diare
A0971/23/141287883,891,434.002,543,000.001,348,434.00Dispepsia
K3081/22/141227997,333,333.008,472,000.00-1,138,667.00VIPHT I10 +
STROKE I64 + Dislipidemia
E78.591/21/14670582,170,497.002,948,000.00-777,503.00VIPFracture of
lower end of both ulna and radius, closed
S52.60101/19/141126035,616,407.006,718,000.00-1,101,593.00VIPAcute
myocardial infarction
I21.9111/19/14914863,892,664.002,231,000.001,661,664.00CKR
S09.9121/18/141286842,172,417.002,175,000.00-2,583.00CEPALGIA R51 +
Urticaria
L50.9131/17/141254072,490,308.001,558,000.00932,308.00ISPA
J06.9141/16/14773115,838,726.002,623,000.003,215,726.00 CHF + CAD
I25.1151/15/14723768,382,098.003,317,000.005,065,098.00Leukaemia
C91.0 + Otitis media H66.9 + HEPATITIS
B16.9161/15/141281537,272,515.0012,033,000.00-4,760,485.00VIPFracture
of other metacarpal bone, closedS62.30 + ORIF
171/15/141212973,884,254.003,318,000.00566,254.00TYpoid A01.0 + HT
I10181/14/141281886,836,736.004,865,000.001,971,736.00BRPN J18.9 +
KDS R56.9 + ANEMIA
D64.9191/13/141282011,632,236.001,062,000.00570,236.00INTOXIKASI
T54.2201/12/14679765,837,039.003,145,000.002,692,039.00DYSPEPSI K30
+ ANEMIA D64.9211/11/145157010,145,815.0010,032,000.00113,815.00CHF
I50.0 + STROKE
I64221/11/141191183,450,929.003,012,000.00438,929.00BATU GINJAL
N20.0 + hydronephrosisN13.3 + HT
I10231/10/14723764,293,859.005,203,000.00-909,141.00VIPLeukaemia
C91.0 + DIARE
A09241/8/141034373,119,690.002,435,000.00684,690.00Epilepsy G40.9 +
STROKE I64 + HEMIPLEGIA
G81.9251/7/141280013,267,108.003,936,000.00-668,892.00VIPCellulitis
L03.9 + CAD I25.1
261/4/14777092,133,791.003,141,000.00-1,007,209.00VIPISPA J06.9 +
DYSPEPSIA K30271/4/141279562,170,733.002,255,000.00-84,267.00VIPISK
N39.0281/30/141289721,858,597.001,296,000.00562,597.00TRAUMA
thoraxS29.9291/30/141215042,134,550.001,540,000.00594,550.00ISPA
J06.9 + KDS
R56.0301/30/141288601,859,336.004,515,000.00-2,655,664.00VIPEpilepsy
G40.9 + Gastritis
29.7311/29/141288671,860,628.002,196,000.00-335,372.00VIPISK
N39.0321/29/141289633,023,187.002,698,000.00325,187.00DiARE A09 +
HT I10331/28/141288535,179,058.006,475,000.00-1,295,942.00VIPHT
I10, CRF N18, HHD
I11341/28/141233943,023,187.003,200,000.00-176,813.00UTAMAGE A09 +
ISPA J06.9351/28/14962381,828,964.001,313,000.00515,964.00ISPA
J06.9 + DYSPEPSIA
K30361/26/14944533,329,360.002,226,000.001,103,360.00Typoid A01.0
371/25/141288211,775,051.001,762,000.0013,051.00Concussion
S06.0381/24/141288643,336,569.002,369,000.00967,569.00Diffuse brain
injury S06.2391/23/141138772,416,358.002,413,000.003,358.00PARTUS
SPONTAN O80.9401/22/149034601,755,656.001,757,000.00-1,344.00VL
T14.1411/20/141287733,023,187.001,046,000.001,977,187.00VL
T14.1421/18/1482,331,471.001,278,000.001,053,471.00DM NON INSULIN
E11.6431/17/141186463,548,018.005,431,000.00-1,882,982.00VIPDelayed
union of fracture, forearm
M84.23441/15/143072013,724,015.0012,983,500.00740,515.00Fr. of
lower end of tibia, closed S82.30 + ANEMIA D64.9 +
ORIF451/12/141280872,415,129.002,184,000.00231,129.00ISPA J06.9 +
TYPOID A01.0 + KDS
R56.9461/11/143540013,988,496.0011,466,000.002,522,496.00HEMIPLEGI
G81.9 + Intracerebral haemorrhage I61.9 + HT I10 + VENTILATOR + CT
SCANT471/10/141117281,862,404.001,071,000.00791,404.00GERD K21.9 +
VIRAL INFECTION
B34.9481/10/14489214,826,560.004,771,500.0055,060.00PARTUS SC
O82.9491/8/141280242,313,356.001,757,000.00556,356.00Retention of
urine R33501/8/141279333,929,050.003,025,000.00904,050.00Epidermal
cyst L72.0 + EKSISI
86.3511/7/141280262,416,358.001,891,000.00525,358.00PARTUS NORMAL
O80.9521/7/141280131,862,518.001,590,000.00272,518.00ANEMIA D64.9 +
FEVER R50.9531/7/14894183,023,187.001,600,000.001,423,187.00DIARE
A09541/5/141279285,326,085.005,715,000.00-388,915.00PARTUS SC O82.9
+ ANEMIA D64.9 + SC +
TRANSFUSI551/4/141258232,416,358.002,237,000.00179,358.00PARTUS
NORMAL O80.9561/3/141279133,820,383.002,237,000.001,583,383.00HT
I10 + CHEPALGIA R51 + EKG + CT
SCANT571/31/141206471,552,349.001,035,000.00517,349.00Asthma,
unspecifiedJ45.9581/30/141287223,461,812.002,571,500.00890,312.00Schizophrenia
F20.9591/30/141289391,550,524.001,078,000.00472,524.00ISK N39.0 +
Pain in joint, unspecified site
M25.59601/29/141289201,551,652.001,050,000.00501,652.00VL
T14.9611/29/141213071,552,349.00993,000.00559,349.00Asthma
J45.9621/29/141289152,779,595.001,034,000.001,745,595.00Dispepsia
K40 + Gastritis
K29.7631/27/141288454,169,314.002,515,000.001,654,314.00Hematemesis
K92.0 + Anemia
D64.9641/27/141288482,779,595.001,378,000.001,401,595.00Dispepsia
K30651/26/141224602,779,595.001,058,500.001,721,095.00Dispepsia K30
+ Glaucoma
H40.0661/25/14935361,524,136.001,420,000.00104,136.00ISPA
J06.9671/25/141288672,519,322.001,250,000.001,269,322.00Diare
A09681/25/141288692,788,669.00801,000.001,987,669.00Delayed and
secondary postpartum haemorrhage O72.2 + Anemia
D64.9691/24/141249064,022,133.004,437,000.00-414,867.00Delivery by
caesarean section, unspecified
O82.9701/24/141288094,169,314.001,726,000.002,443,314.00Dispepsia
k30 + Anemia D64.9 + DM non insulin
e11.9711/23/141287322,321,946.001,328,000.00993,946.00hronic ulcer
of skin, not elsewhere classified
L98.4721/23/141218762,398,446.001,159,000.001,239,446.00PPOK
J44.9731/23/14847971,552,349.001,152,000.00400,349.00Asthma,
unspecifiedJ45.9741/22/141287592,383,264.002,181,000.00202,264.00Preterm
labour with preterm delivery
O60.1751/22/141201182,774,467.001,708,000.001,066,467.00Typoid
Fever A01.0
761/22/14904292,707,869.002,565,000.00142,869.00Cerebrovascular
disease, unspecified
I67.9771/22/141235482,398,446.001,261,000.001,137,446.00PPOK
J44.9781/22/141287705,114,538.001,711,000.003,403,538.00Dyspepsia
K30 + Hypovolaemic shock
R57.1791/21/141287931,463,047.00996,000.00467,047.00VL
T14.1801/21/141287094,315,882.002,334,000.001,981,882.00HT i10 +
EPISTAKSIS
R04,0811/18/141286562,779,595.001,099,000.001,680,595.00DYSpepsia
K30 821/18/141286977,426,314.004,870,000.002,556,314.00ULCER DM
L98.4 + ENCEPALOPATI G93.9 +DM E10.6+ ANEMIA
D64.9831/17/141881822,709,451.001,293,000.001,416,451.00Intracerebral
haemorrhage, intraventricular I61.5 + Hydrocephalus G91.9 + HT
I10841/17/141286304,170,518.003,746,000.00424,518.00CHF I50.9 + CAD
I25.9851/15/141281762,326,564.002,226,500.00100,064.00DHF A91+
SHOCK R57.9861/15/141281673,183,652.002,424,000.00759,652.00HT I10
+ FEBRIS
R50.9871/15/141281432,398,446.001,414,000.00984,446.00DIARE A09 +
PPOK
J44.9881/15/141279583,461,812.002,435,500.001,026,312.00Schizophrenia,
unspecified
F20.9891/14/14896452,732,580.002,072,000.00660,580.00Blighted ovum
and nonhydatidiform mole O02.0 + CURETASE
69.52901/13/141248795,952,050.003,136,500.002,815,550.00CHF I50.0 +
CAD I25.1 + Atrial fibrillation and flutterI48 + HT
I10911/13/141270024,170,518.002,009,000.002,161,518.00CHF I50.0 +
CAD I25.1921/12/141281401,524,136.00971,500.00552,636.00Acute
pharyngitis,
unspecifiedJ02.9931/12/141280912,774,467.001,368,500.001,405,967.00TYPOID
A01.0 + ISPA
J06.9941/9/141277643,461,812.001,664,000.001,797,812.00Acute and
transient psychotic disorder, unspecified
F23.9951/7/141260292,013,631.002,240,000.00-226,369.00PARTUS NORMAL
O80.9TOTAL 344,102,572.00274,434,500.0069,668,072.00
R.Jln Jan 14NOTGL RMTARIF INA CBGsTARIF
RS11/30/14128955JalanMUHAMMAD SALAM
AZHARI160,474.00134,000.0026,474.0021/30/1478247JalanDWI
LUKITO160,474.00150,000.0010,474.0031/30/1430720JalanLAELA
MUNTIROH160,474.00133,000.0027,474.0041/30/14121423JalanADE MUHAMAD
ARIFIN160,474.0075,000.0085,474.0051/30/14128153JalanIBNU KURNIAWAN
NUGROHO160,474.00110,000.0050,474.0061/30/14118646JalanADITYA NOVA
AZANI160,474.00110,000.0050,474.0071/30/1425299JalanNUR
ROZIKIN146,292.00139,000.007,292.0081/29/14126822JalanMIRAH169,993.00112,000.0057,993.0091/29/14128143JalanCASINAH160,474.0099,000.0061,474.00101/29/14124515JalanSUMADI160,474.0096,500.0063,974.00111/29/14127623JalanKHAERUL
UMAM160,474.00113,000.0047,474.00121/29/14127311JalanMUJAHIDIN160,474.00122,000.0038,474.00131/29/14124776JalanMAWARDI160,474.00117,000.0043,474.00141/29/1496238JalanDEWI
EVATI169,993.00105,000.0064,993.00151/28/14124293JalanLEKSI TRI
NANDINI169,993.00108,000.0061,993.00161/28/14122799JalanSUYATA136,735.00135,000.001,735.00171/28/14113484JalanTRI
NURCAHYO196,308.00160,000.0036,308.00181/28/14128955JalanMUHAMMAD
SALAM AZHARI217,355.00213,000.004,355.00191/27/14127758JalanTRI
YUAH160,474.00154,500.005,974.00201/27/14125032JalanMASTUROH137,259.00132,500.004,759.00211/27/14122421JalanARNIAH160,474.00111,000.0049,474.00221/27/14128658JalanWAKHIDIN160,474.00129,500.0030,974.00231/27/14125940JalanGIMIN160,474.00117,000.0043,474.00241/27/1459472JalanCHOIRIYAH
ANNUR169,993.00105,000.0064,993.00251/26/147612JalanDWIKI
KURNIAWAN137,259.0050,000.0087,259.00261/24/1478247JalanDWI
LUKITO160,474.00129,000.0031,474.00271/24/14127734JalanWARKHONIAH160,474.0091,000.0069,474.00281/24/147529JalanPARTIANI160,474.00108,000.0052,474.00291/24/1422831JalanTEGUH
RAHARJO146,292.00142,000.004,292.00301/23/14127958JalanHILYATUN
HAYFA U146,292.00132,000.0014,292.00311/23/1430720JalanLAELA
MUNTIROH183,428.00125,000.0058,428.00321/23/14128696JalanSRI UNING
NURAHARSIH129,891.00100,000.0029,891.00331/23/14118646JalanADITYA
NOVA
AZANI160,474.00112,000.0048,474.00341/22/14102405JalanSUMARTIN196,308.00136,000.0060,308.00351/22/14128143JalanCASINAH160,474.0080,000.0080,474.00361/22/14118032JalanSETYO
HENDRAWATI160,474.00153,500.006,974.00371/22/14128820JalanROJIKIN137,259.00108,000.0029,259.00381/22/14126123JalanMARYATI196,308.00113,000.0083,308.00391/22/1473058JalanTANYEM196,308.00109,000.0087,308.00401/21/14128091JalanSILVI
LAELA SAVITRI191,788.00101,000.0090,788.00411/21/141973JalanAGUS
SUBIANTO160,474.00106,000.0054,474.00421/20/14125940JalanGIMIN136,735.00117,000.0019,735.00431/20/14125032JalanMASTUROH160,474.00103,000.0057,474.00441/20/14116271JalanINAYAH
HIDAYATI169,993.00139,000.0030,993.00451/17/1478247JalanDWI
LUKITO160,474.00133,000.0027,474.00461/17/14120564JalanA. RIZKON
M146,292.00140,000.006,292.00471/16/14125381JalanKUSTINI196,308.0093,000.00103,308.00481/16/14128658JalanWAKHIDIN196,308.00173,000.0023,308.00491/15/14127913JalanDARSIMAH160,474.00125,000.0035,474.00501/15/14128091JalanSILVI
LAELA
SAVITRI191,788.0098,000.0093,788.00511/15/14127933JalanHARDIAN H
TIFANI160,474.0085,000.0075,474.00521/15/14128658JalanWAKHIDIN175,031.00162,000.0013,031.00531/15/14126362JalanMOH
FATIH HILMI
ROBBANI160,474.00112,000.0048,474.00541/15/14127623JalanKHAERUL
UMAM160,474.00122,000.0038,474.00551/15/14125940JalanGIMIN160,474.00128,000.0032,474.00561/13/14125545JalanSUDIYANTO160,474.00160,000.00474.00571/13/14128617JalanKOMISAH160,474.00140,000.0020,474.00581/13/14128216JalanKARSADI196,308.00148,000.0048,308.00591/13/1466547JalanAMIR
MAHMUD160,474.00154,000.006,474.00601/11/14127933JalanHARDIAN H
TIFANI160,474.0075,000.0085,474.00611/10/1478247JalanDWI
LUKITO136,735.00133,500.003,235.00621/10/14124776JalanMAWARDI137,259.0089,000.0048,259.00631/10/14122421JalanARNIAH160,474.00130,000.0030,474.00641/10/14125545JalanSUDIYANTO136,735.00135,000.001,735.00651/10/1459364JalanRUPENDI146,292.00140,000.006,292.00661/10/1423188JalanNINING
FATIMAH146,292.00133,000.0013,292.00671/10/1488725JalanNASIKHUN146,292.00135,000.0011,292.00681/9/1466221JalanAGIN
MIASIH169,993.00105,000.0064,993.00691/9/14113484JalanTRI
NURCAHYO196,308.00133,000.0063,308.00701/9/1423785JalanPRIYO CIPTO
HARMONO160,474.0094,000.0066,474.00711/8/14127623JalanKHAERUL
UMAM160,474.00135,000.0025,474.00721/8/14126123JalanMARYATI196,308.00113,000.0083,308.00731/8/14127933JalanHARDIAN
H TIFANI160,474.0099,500.0060,974.00741/8/14126758JalanFADLAN PUTRA
FEBRIANSYAH191,788.0096,000.0095,788.00751/8/14118119JalanARDI
IRFANTO151,174.00105,000.0046,174.00761/8/14124515JalanSUMADI160,474.00110,000.0050,474.00771/8/14122431JalanKASMU'I160,474.00136,000.0024,474.00781/8/14102405JalanSUMARTIN160,474.00130,000.0030,474.00791/8/14124776JalanMAWARDI160,474.00138,000.0022,474.00801/8/14127311JalanMUJAHIDIN160,474.00114,000.0046,474.00811/8/14109227JalanFAIZAL
YUDHI
N135,319.0079,000.0056,319.00821/7/14125940JalanGIMIN160,474.00108,000.0052,474.00831/7/14125032JalanMASTUROH160,474.00127,000.0033,474.00841/7/1459472JalanCHOIRIYAH
ANNUR160,474.00105,000.0055,474.00851/7/14127865JalanVICTOR DIVO
MAHENDRA137,259.0089,000.0048,259.00861/6/14127758JalanTRI
YUAH160,474.00105,000.0055,474.00871/6/1496542JalanBUCHORI146,292.00140,000.006,292.00881/6/14106261JalanSUSWANTI169,993.00105,000.0064,993.00891/3/14124776JalanMAWARDI160,474.0085,000.0075,474.00901/3/1464106JalanWASNIPAH146,292.00100,000.0046,292.00911/2/14125381JalanKUSTINI196,308.00139,000.0057,308.00921/2/14125032JalanMASTUROH160,474.00110,000.0050,474.00931/2/14127623JalanKHAERUL
UMAM160,474.0095,000.0065,474.00TOTAL
15,133,682.0011,074,500.004,059,182.00
RI Feb
14NAMATGLDATANGTGLPULANGLOSKLSRWTBIAYASEPBIAYARSKETNMDOKTERNmCbgsHARJANA2/18/142/22/14513,884,2544,489,000(604,746)dr.
MOH. LUKMAN, Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS
1YANUARTO1/30/142/1/14314,530,7993,184,0001,346,799dr. HATMANTO,
Sp.PDRENAL & URINARY TRACT NEOPLASM & KIDNEY FAILURE
2YANUARTO2/17/142/19/14316,042,2343,361,0002,681,234dr. MOH.
LUKMAN, Sp PDHYPERTENSION 3NALURITA REGINA
PRATIWI2/18/142/19/14217,137,8485,330,0001,807,848dr. IRAWAN,
Sp.BBREAST OPERATIONS 4DEVI
APRILIANI2/10/142/14/14513,884,2543,812,00072,254dr. SAID BARABAH,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS 5HILAL FAIRUZ ABUL
UMAMI2/12/142/14/14313,884,2542,497,0001,387,254dr. HERRY. S, Sp.
AOTHER BACTERIAL & PARASITIC INFECTIONS
6LUTFAH2/20/142/26/14716,042,2348,552,000(2,509,766)dr. NURMILA,
Sp.PDHYPERTENSION 7KANAAH JD KIDAM
ATMODIWIRJO2/19/142/20/14225,004,8512,845,0002,159,851dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
8RIHARTI1/25/142/3/141017,333,33313,716,000(6,382,667)dr. HARYO, Sp
SHYPERTENSION
9MARYOTO2/11/142/12/14213,891,4342,847,0001,044,434dr. MOH. LUKMAN,
Sp PDOTHER DIGESTIVE SYSTEM DISORDERS 10ISNA OKTAVIANTIKA
R.2/23/142/26/14413,516,4946,866,000(3,349,506)dr. HERRY. S, Sp.
ATONSIL & ADENOID OPERATIONS 11EDY
SANUSI2/9/142/16/14824,814,0634,840,000(25,937)DR. WASRIL WAZAR, Sp
JPACUTE MYOCARDIAL INFARCTION
12RIYANTI2/14/142/28/141515,838,99317,197,000(11,358,007)dr. TONI
EKO, Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
13RIYANTI2/10/142/12/14313,807,9772,140,0001,667,977dr. TONI EKO,
Sp.PPNEUMOTHORAX & PLEURAL EFFUSION 14MUHAMMAD
FARHAN2/1/142/4/14413,527,0512,102,0001,425,051dr. TRI MULYO,
Sp.AGASTROENTERITIS & ABDOMINAL PAIN 15ENI KUSRINI,
ST2/13/142/17/14512,168,1453,009,000(840,855)dr. SAID BARABAH, Sp
PDDYSEQUILIBRIUM
16DARIYAH1/29/142/3/14619,560,76611,927,000(2,366,234)dr.
PROBODJATI, Sp.BOOPERATIONS OF UPPER LIMB
17KARSADI2/13/142/14/14214,944,9473,212,0001,732,947dr. MOH.
LUKMAN, Sp PDOTHER LIVER DISEASES
18KARSADI2/23/142/26/14413,265,6491,791,0001,474,649dr. MOH.
LUKMAN, Sp PDOTHER LIVER DISEASES 19DAFFA ANOV
RAMADHAN2/11/142/13/14212,179,6971,386,000793,697dr. TRI MULYO,
Sp.AUNSPECIFIED PYREXIA 20M .PUTRA FADHILLA
R2/25/142/28/14413,884,2542,866,0001,018,254dr. SAID BARABAH, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS 21WAHYU AGUNG
PURBAYA2/4/142/7/14412,168,3632,310,000(141,637)dr. TONI EKO,
Sp.PRESPIRATORY SYSTEM SIGNS SYMPTOMS & OTHER DISORDERS 22WAHYU
AGUNG PURBAYA2/19/142/22/14412,173,2892,022,000151,289dr. TONI EKO,
Sp.PASTHMA & BRONCHIOLITIS
23KARYONO2/22/142/24/14323,336,5692,540,000796,569dr. IRAWAN,
Sp.BHEAD TRAUMA 24SRI
RESTYANINGSIH2/3/142/7/14515,616,4076,242,000(625,593)DR. WASRIL
WAZAR, Sp JPACUTE MYOCARDIAL INFARCTION 25TRI JOKO
JULIANTO2/9/142/10/14221,860,4261,482,000378,426dr. PROBODJATI,
Sp.BOFRACTURE OR DISLOCATION EXCLUDING FEMUR & PELVIS
26ULWIYAH2/10/142/14/14515,367,6084,070,0001,297,608DR. WASRIL
WAZAR, Sp JPCARDIAC ARRHYTHMIA & CONDUCTION DISEASES 27KARSAD
2/25/142/28/14412,712,3332,157,000555,333dr. HATMANTO, Sp.PDMEDICAL
BACK DISORDERS 28NUR AZIZAH,
S.SOS.I2/21/142/27/14713,729,0404,819,000(1,089,960)dr. HARYO, Sp
SNON TRAUMATIC STUPOR & COMA 29TOHA A
RASID2/21/142/26/14626,436,6784,581,0001,855,678dr. HARYO, Sp
SNERVOUS SYSTEM NEOPLASM & DEGENERATIVE DISESESES 30SRI AGUS
SUMARYATI2/19/142/24/14615,837,0393,400,0002,437,039dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
31KUSTIYAH1/29/142/3/14626,285,7143,860,0002,425,714dr. MOH.
LUKMAN, Sp PDHYPERTENSION 32M
AMINUDIN2/23/142/26/14432,774,4672,140,000634,467dr. SAID BARABAH,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS
33NURJAMIL2/14/142/17/14433,081,6581,727,0001,354,658dr. TONI EKO,
Sp.PCHRONIC OBSTRUCTIVE PULMONARY DISEASE 34SITI NUR
KHAMILAH2/23/142/26/14434,170,7092,317,0001,853,709dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
35WAHYUNINGSIH2/11/142/13/14331,942,9591,167,000775,959dr. NURMILA,
Sp.PDVIRAL AND OTHER NON BACTERIAL INFECTIONS
36SUGIARTO1/28/142/2/14634,170,5182,984,0001,186,518DR. WASRIL
WAZAR, Sp JPHEART FAILURE 37RISKA
NINGRUM2/19/142/22/14431,942,9591,319,000623,959dr. HERRY. S, Sp.
AVIRAL AND OTHER NON BACTERIAL INFECTIONS
38TARIB2/24/142/28/14537,247,0116,568,000679,011dr. SUNARTO,
Sp.SHEART FAILURE 39MOH
RAHIDI2/21/142/25/14533,473,7783,081,000392,778DR. RIZAL , Sp
BSHEAD TRAUMA 40AENUL
YAKIN2/12/142/15/14431,942,9591,538,000404,959dr. MOH. LUKMAN, Sp
PDVIRAL AND OTHER NON BACTERIAL INFECTIONS 41HAMZANI
MUTAKIN2/18/142/20/14331,550,3551,567,000(16,645)dr. IRAWAN,
Sp.BFRACTURE OR DISLOCATION EXCLUDING FEMUR & PELVIS
42KARYA2/16/142/20/14534,315,8823,261,0001,054,882dr. NURMILA,
Sp.PDHYPERTENSION 43ANDRIE
PRIYANTO2/5/142/8/14432,779,5951,316,0001,463,595dr. SAID BARABAH,
Sp PD.OTHER DIGESTIVE SYSTEM DISORDERS
44KAMAD1/26/142/1/14732,779,5951,585,0001,194,595dr. SAID BARABAH,
Sp PDOTHER DIGESTIVE SYSTEM DISORDERS
45SAHURI2/24/142/27/14432,779,5951,337,0001,442,595dr. IRAWAN,
Sp.BOTHER DIGESTIVE SYSTEM DISORDERS
46WARYAT2/10/142/12/14331,940,9831,188,000752,983dr. SUNARTO,
Sp.STRANSIENT ISCHEMIA
47MUKRI2/15/142/16/14235,238,0952,419,0002,819,095dr. HARYO, Sp
SHYPERTENSION 48TANISAH2/3/142/7/14534,315,8822,609,0001,706,882dr.
MOH. LUKMAN, Sp PDHYPERTENSION 49DWI
UFIANI2/16/142/22/14734,088,8523,048,0001,040,852dr. HERRY. S, Sp.
AOTHER BACTERIAL & PARASITIC INFECTIONS
50KASEP2/9/142/13/14531,551,2991,446,000105,299dr. SAID BARABAH, Sp
PDGASTRITIS & PEPTIC ULCER
51NURKHAYATUN2/3/142/6/14432,383,2642,966,000(582,736)dr. INDRAWAN,
Sp OGVAGINAL DELIVERY
52SAR'AN2/24/142/28/14534,170,5183,512,000658,518DR. WASRIL WAZAR,
Sp JPHEART FAILURE 53ALESA FITRIYAH
AZHRA2/11/142/14/14432,774,4671,286,0001,488,467dr. TRI MULYO,
Sp.AOTHER BACTERIAL & PARASITIC INFECTIONS
54SUNARDI2/19/142/22/14434,169,3144,155,00014,314dr. MOH. LUKMAN,
Sp PDOTHER DIGESTIVE SYSTEM DISORDERS
55SAKHRONI2/12/142/17/14633,101,7742,511,000590,774dr. IRAWAN,
Sp.BOTHER RENAL & URINARY TRACT DISEASES
56SAIROH2/12/142/15/14434,169,3142,652,0001,517,314dr. SAID
BARABAH, Sp PDOTHER DIGESTIVE SYSTEM DISORDERS 57RIDO
REVALDO2/20/142/24/14531,524,1361,430,00094,136dr. TRI MULYO,
Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 58M NIZAR
ARIAN2/16/142/22/14732,774,4672,088,000686,467dr. HERRY. S, Sp.
AOTHER BACTERIAL & PARASITIC INFECTIONS 59SITI
MUTIASARI2/21/142/24/14431,556,9261,537,00019,926dr. TRI MULYO,
Sp.AUNSPECIFIED PYREXIA
60DARKINAH2/25/142/26/14233,532,1051,626,0001,906,105dr. SAID
BARABAH, Sp PDOTHER LIVER DISEASES
61SAYIM1/30/142/4/14632,328,0942,412,000(83,906)dr. MOH. LUKMAN, Sp
PDGASTRITIS & PEPTIC ULCER
62WARODI2/6/142/10/14533,013,2852,464,000549,285dr. HATMANTO,
Sp.PDDIVERTICULITIS DIVERTICULOSIS & INFLAMMATORY DISEASES OF
INTESTINES 63RASMINI2/17/142/17/14132,013,6312,328,000(314,369)dr.
INDRAWAN, Sp OGVAGINAL DELIVERY 64TASYA
N2/9/142/12/14431,942,9591,277,000665,959dr. HERRY. S, Sp. AVIRAL
AND OTHER NON BACTERIAL INFECTIONS
65KUSNANDI2/13/142/18/146310,806,2066,598,0004,208,206dr. IRAWAN,
Sp.BOTHER OPERATION OF DIGESTIVE SYSTEM 66ANDINA ADELIA
MULYONO2/11/142/12/14432,519,3221,189,0001,330,322dr. HARYO, Sp
SGASTROENTERITIS & ABDOMINAL PAIN 67NUR
RISTA2/10/142/13/14431,942,9591,396,000546,959dr. TRI MULYO,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS
68SUHATI2/14/142/17/14534,170,5181,692,0002,478,518DR. WASRIL
WAZAR, Sp JPHEART FAILURE
69SARINAH2/12/142/19/14832,398,4463,686,000(1,287,554)dr. TONI EKO,
Sp.PCHRONIC OBSTRUCTIVE PULMONARY DISEASE 70SILVI LAELA
SAVITRI1/29/142/5/14834,088,8522,211,0001,877,852dr. HERRY. S, Sp.
AOTHER BACTERIAL & PARASITIC INFECTIONS 71YUYUN
NOVIANI2/12/142/14/14332,774,4671,130,0001,644,467dr. HATMANTO,
Sp.PDOTHER BACTERIAL & PARASITIC INFECTIONS 72NUR
MUZAYANAH2/22/142/26/14532,774,4671,739,0001,035,467dr. MOH.
LUKMAN, Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS 73WIDIA
SARI2/14/142/25/141233,461,8122,154,0001,307,812dr. TRI SETYO, Sp
KjSCHIZOPHRENIA
74LUTFIYAH1/25/142/6/141433,461,8122,595,000866,812dr. TRI SETYO,
Sp KjSCHIZOPHRENIA
75SARNI2/21/142/24/14432,774,4671,367,0001,407,467dr. MOH. LUKMAN,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS 76O SZI
SADEWO2/17/142/19/14332,774,4671,026,0001,748,467dr. MOH. LUKMAN,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS 77IRVAN
AZIZ2/11/142/13/14332,774,4671,033,0001,741,467dr. MOH. LUKMAN, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS 78JOHAN
WAHYUDI2/4/142/17/141433,461,8123,183,000278,812dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 79SITI
UNANI2/5/142/9/14531,551,2991,432,000119,299dr. SAID BARABAH, Sp
PDGASTRITIS & PEPTIC ULCER 80SRI
YULIANI2/22/142/26/14532,519,3221,497,0001,022,322dr. HATMANTO,
Sp.PDGASTROENTERITIS & ABDOMINAL PAIN
81KARPI2/11/142/14/14432,519,322985,0001,534,322dr. NURMILA,
Sp.PDGASTROENTERITIS & ABDOMINAL PAIN 82SYIFA PUTRI
SETIYANI2/11/142/14/14413,527,0512,333,0001,194,051dr. HERRY. S,
Sp. AGASTROENTERITIS & ABDOMINAL PAIN
83MADRAN2/21/142/26/14634,170,7092,346,0001,824,709dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
84KOMISAH2/21/142/25/14532,779,5951,202,0001,577,595dr. MOH.
LUKMAN, Sp PDOTHER DIGESTIVE SYSTEM DISORDERS 85RADIKA
ZALZILATUR1/28/142/1/14531,524,1361,312,000212,136dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA
86DARSIPAH2/8/142/15/14833,183,6522,004,0001,179,652dr. SUNARTO,
Sp.SHYPERTENSION
87RAGYO2/15/142/20/14635,238,0952,681,0002,557,095dr. NURMILA,
Sp.PDHYPERTENSION
88RUMNASIH2/11/142/14/14432,779,5951,133,0001,646,595dr. MOH.
LUKMAN, Sp PDOTHER DIGESTIVE SYSTEM DISORDERS
89DRAJAT2/23/142/28/14634,170,7091,924,0002,246,709dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
90TARMI1/25/142/3/141033,183,6522,893,000290,652dr. NURMILA,
Sp.PDHYPERTENSION 91FAIZ PUTRA
WIBOWO1/25/142/3/141022,134,5502,308,000(173,450)dr. TRI MULYO,
Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 92LUKMANUL HANAN
FATIH1/29/142/1/14412,720,1431,551,0001,169,143dr. TRI MULYO,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS 93NUR
KHASANAH2/9/142/11/14321,677,4182,153,000(475,582)dr. INDRAWAN, Sp
OGTHREATENED ABORTION 94VIEaRA AYUNING
RAMADHANTI2/20/142/22/14321,828,9641,642,000186,964dr. TRI MULYO,
Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 95CHOIRIYAH
ANNUR2/24/142/28/14524,826,5605,140,000(313,440)dr. INDRAWAN, Sp
OGCESAREAN SECTON
96DARMAWAN2/19/142/24/14625,004,8512,860,0002,144,851dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
97ROHWATI2/5/142/6/14222,416,3582,945,000(528,642)dr. INDRAWAN, Sp
OGVAGINAL DELIVERY 98SITI FATIMAH
SAHATA2/6/142/8/14328,334,5005,144,0003,190,500dr. IRAWAN,
Sp.BOTHER SKIN SUBCUTANEOUS TISSUE & BREAST OPERATIONS
99DWIPURWANDHANI2/27/142/28/14223,820,3831,499,0002,321,383dr.
HATMANTO, Sp.PDHYPERTENSION 100MOH ZAMZAMI
MUBAROK2/18/142/20/14322,134,5501,245,000889,550dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 101ISNANI M
SI2/13/142/14/14223,279,0972,269,0001,010,097dr. INDRAWAN, Sp
OGINTRAUTERINE CERVICAL OPERATIONS and OTHER DILATION &
CURETTAGE 102PARAMAYUDA ILHAM
P2/5/142/7/14323,329,3602,536,000793,360dr. MOH. LUKMAN, Sp PDOTHER
BACTERIAL & PARASITIC INFECTIONS 103INDYNIAMUZAYR
H2/25/142/26/14223,335,5141,167,0002,168,514dr. IRAWAN, Sp.BOTHER
DIGESTIVE SYSTEM DISORDERS
104DAMARSUKMASEJATI2/23/142/25/14321,828,9641,244,000584,964dr. TRI
MULYO, Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION
LARYNGOTRACHEITIS & OTITIS MEDIA 105BAGASRAFAELA
P2/25/142/27/14321,859,3361,362,000497,336dr. HERRY. S, Sp.
ASEIZURE 106SRI
WACHYUNI2/7/142/11/14523,820,3832,711,0001,109,383dr. NURMILA,
Sp.PDHYPERTENSION
107DOMIRI2/4/142/8/14534,170,5182,917,0001,253,518DR. WASRIL WAZAR,
Sp JPHEART FAILURE 108nur
afifah2/10/142/12/14312,819,0845,250,000(2,430,916)dr. INDRAWAN, Sp
OGVAGINAL DELIVERY 109FAHRI PUITISANDI
ARSYI2/13/142/15/14333,569,9334,909,000(1,339,067)dr. IRAWAN,
Sp.BINGUINAL & FEMORAL HERNIA REPAIR 110ADE Muhamad
ARIFIN2/18/142/18/14131,550,355757,000793,355dr. PROBODJATI,
Sp.BOFRACTURE OR DISLOCATION EXCLUDING FEMUR & PELVIS
111DURIYAH2/1/142/8/14825,004,8513,578,0001,426,851dr. HATMANTO,
Sp.PDRESPIRATORY INFECTIONS & INFLAMMATIONS
112MASRUCHA2/4/142/9/14612,712,3332,395,000317,333dr. SUNARTO,
Sp.SMEDICAL BACK DISORDERS 113TEGUH
PRIYANTO1/31/142/6/14731,873,5832,626,500(752,917)dr. HATMANTO,
Sp.PDOTHER DISORDERS OF HAEMOPOITIC SYSTEM 114LILIS
SUPRIYATI2/19/142/21/14312,819,0843,772,000(952,916)dr. INDRAWAN,
Sp OGVAGINAL DELIVERY 115JAMIATI
2/8/142/11/14425,947,2218,064,000(2,116,779)dr. IRAWAN,
Sp.BINGUINAL & FEMORAL HERNIA REPAIR
116TAROMI2/3/142/12/141034,315,8825,100,000(784,118)dr. SAID
BARABAH, Sp PDHYPERTENSION
117SOHIBAH2/5/142/6/14233,183,6522,297,000886,652dr. HARYO, Sp
SHYPERTENSION 118NUR CHOLIFAH
AISYAH2/5/142/6/14231,556,926711,000845,926dr. HATMANTO,
Sp.PDUNSPECIFIED PYREXIA
119SOLEKHA2/6/142/7/14232,788,6692,515,000273,669dr. INDRAWAN, Sp
OGPREPARTUM DISEASES 120VITA
RISTIA2/14/142/17/14434,022,1334,249,000(226,867)dr. INDRAWAN, Sp
OGCESAREAN SECTON 121ZAHRA PUTERI
WIJIANI2/9/142/11/14412,172,8042,121,00051,804dr. HATMANTO,
Sp.PDDISEASES OF ESOPHAGUS 122mohammad fazal
muttaqin2/10/142/12/14322,331,5511,655,000676,551dr. TRI MULYO,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS
123FATCHUROCHMAN.S2/10/142/19/141025,004,8513,254,0001,750,851dr.
TONI EKO, Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
124AFIQOTUN AGHNIA2/10/142/13/14421,859,3361,914,000(54,664)dr.
HARYO, Sp SSEIZURE 125REZA
ZAQIA2/27/142/28/14232,013,6312,817,000(803,369)dr. INDRAWAN, Sp
OGVAGINAL DELIVERY
126DREMI2/13/142/15/14313,891,4342,025,0001,866,434dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS 127OCHANDHA BERTI
SAWLUNA2/12/142/15/14421,828,9641,685,000143,964dr. TRI MULYO,
Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 128ZAHRAN
FIRZYATULLOH2/13/142/17/14531,942,9591,367,000575,959dr. HERRY. S,
Sp. AVIRAL AND OTHER NON BACTERIAL INFECTIONS 129RADITHYA ARDHANI
PRADANA2/6/142/9/14421,828,9641,808,00020,964dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 130DEDI
SANTOSO2/17/142/18/14234,200,3933,604,000596,393dr. NURMILA,
Sp.PDHEPATOBILIARY & PANCREAS NEOPLASMS 131SLAMET
BUNTORO2/18/142/21/14425,947,2214,765,0001,182,221dr. IRAWAN,
Sp.BINGUINAL & FEMORAL HERNIA REPAIR
132RATINI2/15/142/18/14423,820,3831,208,0002,612,383dr. MOH.
LUKMAN, Sp PDHYPERTENSION 133SITI
SOPIYAH2/19/142/21/14334,170,7092,010,0002,160,709dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
134DASMUN2/17/142/26/141025,004,8513,075,0001,929,851dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
135SAROJI2/20/142/26/14734,169,3143,000,0001,169,314dr. MOH.
LUKMAN, Sp PDOTHER DIGESTIVE SYSTEM DISORDERS
136KARTIYAH2/14/142/14/14124,814,0632,575,0002,239,063DR. WASRIL
WAZAR, Sp JPACUTE MYOCARDIAL INFARCTION
137TARMINAH2/20/142/26/14725,004,6224,363,000641,622DR. WASRIL
WAZAR, Sp JPHEART FAILURE 138BAYI NY. LILIS
SUPRIYATI2/20/142/22/14412,328,420668,0001,660,420dr. SETYADI,
Sp.ANEONATE BIRTHWT >2499 GRAMS WITHOUT COMPLEX OPERATION
139SAIMAH2/18/142/24/14735,238,0953,365,0001,873,095dr. NURMILA,
Sp.PDHYPERTENSION
140TARWADI2/23/142/24/14232,019,4931,085,000934,493DR. WASRIL
WAZAR, Sp JPUNEXPLAINED CARDIAC ARREST 141by ny choiriyah
annur2/25/142/28/14421,995,789770,0001,225,789dr. SETYADI,
Sp.ANEONATE BIRTHWT >2499 GRAMS WITHOUT COMPLEX OPERATION
142SA'ARI2/27/142/28/14225,004,6222,853,0002,151,622DR. WASRIL
WAZAR, Sp JPHEART FAILURE 143
R.Jln Feb
14NONAMAJNSPELTGLDATANGBIAYASEPBIAYARSKETNMDOKTERNmCbgs1IBNU
KURNIAWAN NUGROHORJTL2/6/14160,474109,00051,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 2DEVI
APRILIANIRJTL2/19/14160,474105,00055,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 3ENDANG
SUCIATIRJTL2/10/14160,474136,00024,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 4ENDANG
SUCIATIRJTL2/17/14160,474128,00032,474dr. HERI, Sp.THTAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 5KERSO,
SHRJTL2/6/14135,319114,00021,319dr. MOH. LUKMAN, Sp.PDAMBULATORY
VISIT FOR ACUTE GASTROINTESTINAL DISORDER
6PARIKHINRJTL2/14/14146,292137,0009,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
7SULAMIRJTL2/13/14160,474135,00025,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
8SULAMIRJTL2/20/14160,474114,00046,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
9SULAMIRJTL2/27/14160,474114,00046,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
10KOMARIYAHRJTL2/27/14160,474134,00026,474dr. HERI,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
11WAKHIDINRJTL2/3/14160,474133,00027,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
12WAKHIDINRJTL2/11/14160,474160,000474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
13WAKHIDINRJTL2/20/14160,474151,0009,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
14WAKHIDINRJTL2/27/14160,474129,00031,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
15SURATMIRJTL2/18/14160,47490,00070,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 16KARTONO
BUDI SETIYONORJTL2/6/14160,474103,00057,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 17SRI UNING
NURAHARSIHRJTL2/6/14160,47499,00061,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
18MARYOTORJTL2/18/14160,474130,00030,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
19MARYOTORJTL2/25/14160,474139,00021,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 20DEWI AYU
DYAH ANGGRAENIRJTL2/7/14146,29293,00053,292dr. TRI SETYO,
Sp.KJADULT NON ACUTE INDIVIDUAL PSYCHOTHERAPY 21DWI
LUKITORJTL2/7/14160,474163,000(2,526)dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 22DWI
LUKITORJTL2/14/14160,474133,00027,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 23DWI
LUKITORJTL2/21/14160,474160,000474dr. HARYO, Sp.SAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 24DWI
LUKITORJTL2/28/14160,474159,0001,474dr. HARYO, Sp.SAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES
25JUSTIFYWATIRJTL2/21/14131,533117,00014,533dr. INDRAWAN,
Sp.OGAMBULATORY VISIT FOR CONSULTATION OR OTHER EXAMINATION
26JUSTIFYWATIRJTL2/11/14131,533117,00014,533dr. INDRAWAN,
Sp.OGAMBULATORY VISIT FOR CONSULTATION OR OTHER EXAMINATION
27ROCHAYAH SULISTYOWATYRJTL2/13/14151,174125,00026,174dr. HERI,
Sp.THTOTHER EAR NOSE MOUTH & THROAT OPERATIONS
28DARIYAHRJTL2/6/14160,474130,00030,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
29DARIYAHRJTL2/27/14160,474167,500(7,026)dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 30WAHYU
AGUNG PURBAYARJTL2/26/14160,47481,00079,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 31MUHAMMAD
SALAM AZHARIRJTL2/3/14160,47499,00061,474dr. IRAWAN, Sp.BAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
32KUSTIYAHRJTL2/10/14160,474135,00025,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 33JOO
SUNSATORJTL2/5/14160,474105,00055,474dr. TRI SETYO, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
34MUSTOPARJTL2/19/14146,29290,00056,292dr. TRI SETYO, Sp.KJADULT
NON ACUTE INDIVIDUAL PSYCHOTHERAPY
35WITNORJTL2/28/14160,474103,00057,474dr. HANAFI, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
36ROJIKINRJTL2/21/14146,292131,00015,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY 37M
FAHMIRJTL2/5/14146,29297,00049,292dr. TRI SETYO, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
38CASINAHRJTL2/5/14160,47481,00079,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
39CASINAHRJTL2/12/14160,47487,00073,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
40CASINAHRJTL2/19/14160,474106,00054,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
41CASINAHRJTL2/26/14160,474106,00054,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 42RISKA
NINGRUMRJTL2/25/14160,47489,00071,474dr. TRI MULYO, Sp.AAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
43TARJUKIRJTL2/11/14160,474117,00043,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
44TARJUKIRJTL2/18/14160,474113,00047,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
45TARJUKIRJTL2/25/14160,474100,00060,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
46NASIKHUNRJTL2/7/14160,474138,00022,474dr. HANAFI, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
47NASIKHUNRJTL2/21/14160,474134,50025,974dr. HANAFI,
Sp.KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 48AENUL
YAKINRJTL2/18/14160,47477,00083,474dr. MOH. LUKMAN, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 49A RIZKON
MRJTL2/14/14160,474136,00024,474dr. HANAFI, Sp.KJAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES
50ZARUKHIRJTL2/14/14146,292140,0006,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY 51NUR
HAYATIRJTL2/21/14146,292108,00038,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
52MUJAHIDINRJTL2/19/14196,308122,00074,308dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES 53JUENI ARIS
MUNANDARRJTL2/7/14146,292104,00042,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
54WARYATRJTL2/19/14136,735126,00010,735dr. SUNARTO, Sp.SAMBULATORY
VISIT FOR ACUTE CENTRAL NERVOUS SYSTEM DISORDER 55DWI
UFIANIRJTL2/25/14160,47488,00072,474dr. TRI MULYO, Sp.AAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
56KASEPRJTL2/18/14160,474125,00035,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
57KUSTINIRJTL2/13/14312,558105,000207,558dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR CONGESTIVE HEART FAILURE & OTHER
CARDIAC DISORDER 58NURKHAYATUNRJTL2/13/1486,884114,000(27,116)dr.
INDRAWAN, Sp.OGAMBULATORY VISIT FOR POSTPARTUM DISORDER 59ALESA
FITRIYAH AZHRARJTL2/17/14160,47491,00069,474dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 60M WAHYU
NICO RYANDARJTL2/13/14151,174125,00026,174dr. HERI, Sp.THTOTHER EAR
NOSE MOUTH & THROAT OPERATIONS 61M WAHYU NICO
RYANDARJTL2/20/14160,474139,00021,474dr. HERI, Sp.THTAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
62MAWARDIRJTL2/12/14160,474113,00047,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
63MAWARDIRJTL2/26/14160,474116,00044,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
64SAIROHRJTL2/18/14160,474114,00046,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 65KHAERUL
UMAMRJTL2/12/14160,474122,00038,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 66KHAERUL
UMAMRJTL2/26/14160,474112,50047,974dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 67M NIZAR
ARIANRJTL2/25/14160,47479,00081,474dr. TRI MULYO, Sp.AAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 68SITI
MUTIASARIRJTL2/26/14191,78897,50094,288dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER
69WARODIRJTL2/6/14135,319100,00035,319dr. HATMANTO, Sp.PDAMBULATORY
VISIT FOR ACUTE GASTROINTESTINAL DISORDER 70TASYA
NRJTL2/19/14160,474111,00049,474dr. HERY, Sp.AAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES
71ARNIAHRJTL2/3/14160,474106,00054,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
72ARNIAHRJTL2/19/14160,474117,00043,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
73GIMINRJTL2/3/14160,474109,00051,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
74GIMINRJTL2/11/14160,474108,00052,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
75GIMINRJTL2/18/14160,474113,00047,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
76GIMINRJTL2/24/14160,474110,00050,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
77KUSNANDIRJTL2/21/14183,428127,00056,428dr. IRAWAN, Sp.BWOUND CARE
78KUSNANDIRJTL2/25/14160,47486,50073,974dr. IRAWAN, Sp.BAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
79TANYEMRJTL2/19/14160,474106,00054,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 80NUR
RISTARJTL2/17/14160,47490,00070,474dr. TRI MULYO, Sp.AAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
81SARINAHRJTL2/26/14160,47491,00069,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 82YUYUN
NOVIANIRJTL2/17/14160,47491,00069,474dr. HATMANTO, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 83YUYUN
NOVIANIRJTL2/24/14160,47475,00085,474dr. HATMANTO, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 84YUYUN
NOVIANIRJTL2/27/14160,474198,500(38,026)dr. HATMANTO,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 85NUR
MUZAYANAHRJTL2/28/14137,259135,0002,259dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER
86JANATINRJTL2/7/14160,474140,00020,474dr. HANAFI, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 87NUR
ROZIKINRJTL2/14/14160,474140,00020,474dr. HANAFI, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 88NUR
ROZIKINRJTL2/28/14160,474135,00025,474dr. HANAFI, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
89WAHADIRJTL2/21/14146,29275,00071,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
90RUPENDIRJTL2/14/14146,292140,0006,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY 91NINING
FATIMAHRJTL2/7/14146,292140,0006,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY 92JOHAN
WAHYUDIRJTL2/25/14160,47480,00080,474dr. TRI SETYO, Sp.KJAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
93RONINGSIHRJTL2/15/14160,474130,00030,474dr. SUNARTO,
Sp.SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 94SITI
UNANIRJTL2/11/14160,474103,00057,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
95MARYATIRJTL2/5/14160,474113,00047,474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
96MARYATIRJTL2/19/14160,474114,00046,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
97WA'RIAHRJTL2/3/14160,474111,00049,474dr. HATMANTO,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
98MASTUROHRJTL2/10/14160,47496,00064,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
99ANDRIYANTORJTL2/4/14160,474115,00045,474dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
100SUMARTINRJTL2/5/14160,474163,000(2,526)dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
101BUCHORIRJTL2/21/14160,474135,00025,474dr. HANAFI,
Sp.KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
102BUCHORIRJTL2/7/14146,292137,0009,292dr. HANAFI, Sp.KJADULT NON
ACUTE INDIVIDUAL PSYCHOTHERAPY
103KHOTIJAHRJTL2/3/14160,474140,00020,474dr. HATMANTO,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
104RAGYORJTL2/26/14160,474152,5007,974dr. SUNARTO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
105RUMNASIHRJTL2/18/14160,474115,00045,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 106DAVID
AGUNG HANANTORJTL2/5/14160,474107,00053,474dr. SUNARTO,
Sp.SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
107SYARIFATUZZAHRO AL AFFANIRJTL2/11/14196,308150,00046,308dr. TRI
MULYO, Sp.AAMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES
108LUKMANUL HANAN FATIHRJTL2/4/14160,474119,00041,474dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 109VIEaRA
AYUNING RAMADHANTIRJTL2/26/14160,474117,00043,474dr. HERY,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
110PARTIANIRJTL2/3/14160,474123,00037,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
111PARTIANIRJTL2/18/14160,474117,00043,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
112PARTIANIRJTL2/25/14160,474124,50035,974dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
113PARTIANIRJTL2/10/14160,474103,00057,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 114LASRI
ERITARJTL2/14/14160,474125,00035,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 115LASRI
ERITARJTL2/24/14160,47486,00074,474dr. MOH. LUKMAN, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 116LAELA
MUNTIROHRJTL2/27/14160,474218,500(58,026)dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 117CHOIRIYAH
ANNURRJTL2/12/14131,533110,00021,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION 118DEWI
EVATIRJTL2/17/14131,533119,00012,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION 119DEWI
EVATIRJTL2/25/14131,533110,00021,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION
120DARMAWANRJTL2/26/14160,474123,50036,974dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 121MARGIATI
ELING PRIATINRJTL2/4/14126,806110,00016,806dr. INDRAWAN,
Sp.OGAMBULATORY VISIT FOR ANTEPARTUM DISORDER 122M FAJAR
PRIYONORJTL2/25/14137,259130,0007,259dr. HERI, Sp.THTAMBULATORY
VISIT FOR OTHER MINOR ACUTE DISORDER 123MOH
FATIHHILMIROBBANIRJTL2/12/14160,474113,00047,474dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 124SITI
FATIMAH SAHATARJTL2/6/14160,47475,00085,474dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 125SITI
FATIMAH SAHATARJTL2/11/14160,474125,00035,474dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 126SITI
FATIMAH SAHATARJTL2/14/14160,474121,00039,474dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 127ENDAH
WINDARTIRJTL2/12/14160,474131,00029,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 128ENDAH
WINDARTIRJTL2/20/14160,474155,0005,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 129ENDAH
WINDARTIRJTL2/27/14160,474158,0002,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 130ISNANI M
SIRJTL2/4/14126,806110,00016,806dr. INDRAWAN, Sp.OGAMBULATORY VISIT
FOR ANTEPARTUM DISORDER 131ISNANI M
SIRJTL2/12/14126,806105,00021,806dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR ANTEPARTUM DISORDER 132ISNANI M
SIRJTL2/25/14160,474160,000474dr. INDRAWAN, Sp.OGAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 133PARAMAYUDA ILHAM
PRJTL2/11/14160,474107,00053,474dr. MOH. LUKMAN, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 134SETYO
HENDRAWATIRJTL2/19/14160,474135,00025,474dr. SUNARTO,
Sp.SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
135FARAHARNANDARJTL2/8/14160,474160,000474dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
136INDYNIAMUZAYR HRJTL2/28/14175,031167,0008,031dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER
137NINIKPUSPONEGORORJTL2/21/14160,474130,00030,474dr. FITRIA
RAHMAWATIAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
138ENRICODWIKIIRJTL2/20/14160,474126,50033,974dr.
ROSNELINAAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
139MOHALDIYAZFAUZANRJTL2/3/14160,47491,00069,474dr. TRI MULYO,
Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
140WARKHONIAHRJTL2/27/14160,474132,00028,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
141RIANAAPRIYANTIRJTL2/19/14160,474128,00032,474dr. HERI,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
142RIANAAPRIYANTIRJTL2/13/14137,259135,0002,259dr. HERI,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER
143RIANAAPRIYANTIRJTL2/17/14160,474131,00029,474dr. HERI,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
144RIANAAPRIYANTIRJTL2/21/14160,474125,00035,474dr. HERI,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 145SITI
KOMAEROHRJTL2/13/14160,47478,00082,474dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
146DANIAHRJTL2/22/14160,47476,00084,474dr. IRAWAN, Sp.BAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 147FAHRI PUITISANDI
ARSYIRJTL2/18/14160,474121,00039,474dr. IRAWAN, Sp.BAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 148FAHRI PUITISANDI
ARSYIRJTL2/21/14160,47499,00061,474dr. IRAWAN, Sp.BAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 149FAHRI PUITISANDI
ARSYIRJTL2/13/14135,319100,00035,319dr. IRAWAN, Sp.BAMBULATORY
VISIT FOR ACUTE GASTROINTESTINAL DISORDER 150LEKSI TRI
NANDINIRJTL2/6/14131,53392,00039,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION 151LEKSI TRI
NANDINIRJTL2/13/14131,533105,00026,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION 152LEKSI TRI
NANDINIRJTL2/20/14131,533110,00021,533dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR CONSULTATION OR OTHER EXAMINATION 153TO'AT
BUDIMANRJTL2/6/14160,47494,50065,974dr. PROBODJATI, Sp.OTAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 154TEGUH
PRIYANTORJTL2/10/14160,474150,00010,474dr. HATMANTO,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
155MUGIYANTORJTL2/26/14160,474112,00048,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 156JAMIATI
RJTL2/6/14160,474125,00035,474dr. MOH. LUKMAN, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 157JAMIATI
RJTL2/7/14160,47475,00085,474dr. MOH. LUKMAN, Sp.PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 158JAMIATI
RJTL2/14/14160,474119,00041,474dr. IRAWAN, Sp.BAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 159JAMIATI
RJTL2/18/14160,474100,00060,474dr. IRAWAN, Sp.BAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES
160TAROMIRJTL2/17/14160,474128,00032,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
161NURHADIRJTL2/6/14160,474138,50021,974dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
162NURHADIRJTL2/13/14160,474132,00028,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
163NURHADIRJTL2/20/14160,474135,00025,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
164NURHADIRJTL2/27/14160,474126,00034,474dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 165VITA
RISTIARJTL2/24/14160,474126,00034,474dr. INDRAWAN, Sp.OGAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
166RATMIRJTL2/20/14160,474113,00047,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 167NUR
KHOTIMAHRJTL2/10/14131,533118,00013,533dr. INDRAWAN,
Sp.OGAMBULATORY VISIT FOR CONSULTATION OR OTHER EXAMINATION
168MUDHOFIRRJTL2/19/14160,47489,00071,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
169MUDHOFIRRJTL2/26/14160,474123,00037,474dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 170dewi
khofifah RJTL2/19/14160,474122,00038,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 171dewi khofifah
RJTL2/26/14160,474127,00033,474dr. HARYO, Sp.SAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES
172sunartiRJTL2/26/14160,474110,00050,474dr. HATMANTO,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
173SURAJIRJTL2/18/14175,031133,00042,031dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER
174HARNETIRJTL2/18/14160,474114,00046,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
175FATCHUROCHMAN.SRJTL2/26/14160,474116,50043,974dr. TONI EKO,
Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 176AFIQOTUN
AGHNIARJTL2/20/14160,474132,00028,474dr. HARYO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
177AFIFAHRJTL2/27/14160,474196,500(36,026)dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
178RATINIRJTL2/24/14160,474125,00035,474dr. MOH. LUKMAN,
Sp.PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
179SUBALKHIRJTL2/20/14146,292100,00046,292dr. TRI SETYO, Sp.KJADULT
NON ACUTE INDIVIDUAL PSYCHOTHERAPY 180SITI
SOPIYAHRJTL2/26/14160,474114,50045,974dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 181SITI
SOPIYAHRJTL2/27/14160,47492,00068,474dr. HATMANTO, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
182WARLANRJTL2/26/14264,33575,000189,335dr. IRAWAN, Sp.BMINOR
BLADDER & URETHRA OPERATIONS 183TERESA SRI
LESTARIRJTL2/27/14129,89190,00039,891dr. PROBODJATI,
Sp.OTAMBULATORY VISIT FOR SIGNIFICANT FRACTURES
28,940,27621,685,0007,255,276
RI MAR
14NAMAJNSPELTGLDATANGTGLPULANGLOSBIAYASEPBIAYARSKETKLSRWTNMDOKTERNmCbgsYANUARTORITL3/4/143/7/14432560923212000440921dr.
MOH. LUKMAN, Sp PDANAEMIA EXCLUDING SICKLE CELL ANEMIA WITH CRISIS
1SUKADIRITL2/28/143/1/1422875038187200010030381dr. IRAWAN,
Sp.BURINARY CALCULI
2SANURIRITL3/11/143/18/14851790586620000-14409422dr. NURMILA,
Sp.PDHYPERTENSION
3WASTINAHRITL3/15/143/22/1489723584776900019545841dr. MOH. LUKMAN,
Sp PDOTHER SKIN SUBCUTANEOUS TISSUE & BREAST OPERATIONS
4BAMBANG SUPRIYADIRITL3/10/143/12/1435179058286000023190582dr.
NURMILA, Sp.PDHYPERTENSION
5KADIRRITL3/17/143/22/14633813428838000-54566582dr. PROBODJATI,
Sp.BOFRACTURE OR DISLOCATION EXCLUDING FEMUR & PELVIS 6APOEN
TJAHJONORITL3/11/143/13/1436137446472400014134462dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS 7APOEN
TJAHJONORITL3/25/143/27/14318625182030000-1674822dr. HATMANTO,
Sp.PDANAEMIA EXCLUDING SICKLE CELL ANEMIA WITH CRISIS 8IMRON
NACHRAWIRITL3/1/143/6/14682780218440000-1619791dr. ANDIENBLADDER
& LOWER URINARY TRACT OPERATION
9SUKARNIRITL3/1/143/4/1443820383183100019893832dr. MOH. LUKMAN, Sp
PDHYPERTENSION 10SRI
HARTATIRITL3/16/143/18/14321681452222000-538551dr. HARYO, Sp
SDYSEQUILIBRIUM 11SUGENGRITL3/11/143/15/145388425435970002872541dr.
SAID BARABAH, Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS
12KORIYAHRITL3/1/143/7/1475004851276200022428512dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS 13AKHMAD
RUDINRITL3/11/143/13/1435179058215400030250582dr. HERY,
Sp.THTHYPERTENSION 14ALBERTUS
SUHARSANARITL3/18/143/22/145733333310450000-31166671dr. HARYO, Sp
SHYPERTENSION 15HASNA
NABILARITL3/5/143/8/144213379117660003677911dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA
16RUSLANIRITL3/12/143/16/14556164076059000-4425931DR. WASRIL WAZAR,
Sp JPACUTE MYOCARDIAL INFARCTION 17KARTIKA DIAH ARUMI
ASIHRITL3/12/143/15/14479477349863000-19152661dr. IRAWAN, Sp.BOTHER
OPERATION OF DIGESTIVE SYSTEM 18MUSA
EFENDIRITL3/24/143/28/1458332871592600024068711DR. WASRIL WAZAR, Sp
JPHEART FAILURE
19MARJITORITL3/10/143/16/1476042234466600013762341dr. SAID BARABAH,
Sp PDHYPERTENSION 20JACOBUS REXY
ADHINUGRAHARITL3/14/143/16/143777176910145000-23732311dr. HARYO, Sp
SSPINAL CONDITIONS & INJURIES 21NURI
MARATUNRITL3/5/143/5/1414944947200800029369471dr. SAID BARABAH, Sp
PDOTHER LIVER DISEASES 22HAMAS
IBNUSENORITL3/19/143/20/142272014318320008881431dr. SETYADI,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS 23IMAM MAQDURUDDIN
ALSYRITL3/12/143/14/143389266435320003606641dr. IRAWAN, Sp.BHEAD
TRAUMA 24DJUMIYAHRITL3/18/143/20/1433820383137100024493832dr. SAID
BARABAH, Sp PDHYPERTENSION
25SUYIRITL3/13/143/16/1447142461320000039424612dr. MOH. LUKMAN, Sp
PDHEART FAILURE
26TRISMIYANTORITL3/17/143/26/1410604223410987000-49447661dr.
HATMANTO, Sp.PDHYPERTENSION 27HERO NIMUS
MOYAHRITL3/5/143/10/1463820383180100020193832dr. SAID BARABAH, Sp
PDHYPERTENSION 28HERO NIMUS
MOYAHRITL3/27/143/29/1433820383139000024303832dr. SAID BARABAH, Sp
PDHYPERTENSION 29TAUMIRITL3/17/143/21/14530954604500000-14045402dr.
MOH. LUKMAN, Sp PDOTHER PANCREAS DISORDERS EXCLUDING NEOPLASMS
30W.GALIH GURATMIKORITL2/27/143/8/14104846536303300018135361dr. TRI
SETYO, Sp KjSCHIZOPHRENIA 31NURUL
FAUZIAHRITL3/24/143/26/1432919470182600010934701dr. INDRAWAN, Sp
OGPREPARTUM DISEASES 32TRIS
HEROWANTIRITL3/3/143/6/1443884254167600022082541dr. SAID BARABAH,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS 33MOH.RYAN
SAPRIYANTORITL3/2/143/4/1433023187128500017381872dr. HERRY. S, Sp.
AGASTROENTERITIS & ABDOMINAL PAIN 34PRATIWI RINI
SUSANTIRITL3/28/143/31/144281765024550003626501dr. SAID BARABAH, Sp
PDEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 35NASYA PUTRI
DIANNYRITL3/19/143/22/1443891434206400018274341dr. HERRY. S, Sp.
AOTHER DIGESTIVE SYSTEM DISORDERS 36ENDANG AJI WARTI
PURWANINGSIHRITL3/18/143/20/1435179058278800023910582dr. SAID
BARABAH, Sp PDHYPERTENSION 37SITI
RAHAYURITL3/14/143/15/14215569266700008869263dr. HATMANTO,
Sp.PDUNSPECIFIED PYREXIA
38MUTASRIPAHRITL3/5/143/6/142251932217260007933223dr. IRAWAN,
Sp.BGASTROENTERITIS & ABDOMINAL PAIN 39RETNI
WATIRITL3/17/143/18/1424170518149000026805183DR. WASRIL WAZAR, Sp
JPHEART FAILURE
40MUDHOFIRRITL3/17/143/28/1412346181228580006038123dr. TRI SETYO,
Sp KjSCHIZOPHRENIA
41TIWANRITL3/10/143/15/146444909236140008350923dr. MOH. LUKMAN, Sp
PDPERIPHERAL & OTHER VASCULAR DISEASES
42SUMIYATIRITL3/1/143/4/144277959522580005215953dr. NURMILA,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
43TASNYANRITL3/10/143/13/14419277971950000-222033dr. IRAWAN,
Sp.BRENAL & URINARY TRACT SIGNS & SYMPTOMS 44MOH FAERUL
FAHMIRITL3/10/143/12/143233364995600013776493dr. IRAWAN,
Sp.BCELLULITIS 45TRI
YUAHRITL3/9/143/10/1423568667159700019716673dr. MOH. LUKMAN, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS
46TUMINAHRITL3/6/143/11/1464170709187600022947093dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
47NAYEMRITL2/25/143/3/1472779595158100011985953dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
48AMINUDINRITL3/7/143/11/145192779716350002927973dr. IRAWAN,
Sp.BRENAL & URINARY TRACT SIGNS & SYMPTOMS 49ALESA FITRIYAH
AZHRARITL2/26/143/3/146232656419760003505643dr. TRI MULYO,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS
50ENDANGRITL3/7/143/19/1413346181228410006208123dr. TRI SETYO, Sp
KjSCHIZOPHRENIA
51SOLIKLHATUNRITL3/27/143/30/144154867513330002156753dr.
ANDIENDYSEQUILIBRIUM
52SAMSUDINRITL3/27/143/31/145233260615790007536063dr. ANDIENOTHER
LIVER DISEASES 53DURMADRITL3/20/143/26/1475238095269100025470953dr.
MOH. LUKMAN, Sp PDHYPERTENSION
54TARNORITL3/14/143/17/1444169314129300028763143dr. MOH. LUKMAN, Sp
PDOTHER DIGESTIVE SYSTEM DISORDERS
55DAIMANRITL3/17/143/20/144154883011920003568303dr. IRAWAN,
Sp.BRESPIRATORY SYSTEM SIGNS SYMPTOMS & OTHER DISORDERS
56KHOTIMAHRITL3/22/143/24/14313978489370004608483dr. INDRAWAN, Sp
OGTHREATENED ABORTION
57SAHURRITL3/1/143/6/1463565275240200011632753dr. MOH. LUKMAN, Sp
PDGASTROENTERITIS & ABDOMINAL PAIN 58WINDA
RAHMAWATIRITL3/1/143/4/14414630471463000473dr. IRAWAN, Sp.BTRAUMA
TO THE SKIN SUBCUTANEOUS TISSUE & BREAST
59TARWIRITL3/4/143/11/1484170709301000011607093dr. TONI EKO,
Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS
60AMINAHRITL3/10/143/13/1442519322112500013943223dr. MOH. LUKMAN,
Sp PDGASTROENTERITIS & ABDOMINAL PAIN 61ALI
FUDINRITL3/14/143/17/144194295912080007349593dr. MOH. LUKMAN, Sp
PDVIRAL AND OTHER NON BACTERIAL INFECTIONS
62WASNIPAHRITL3/4/143/21/14183461812345300088123dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 63NIRYEMRITL3/24/143/25/142270945125380001714513dr.
SUNARTO, Sp.SNON TRAUMATIC INTRACRANIAL HEMORRHAGE
64WAHADIRITL2/28/143/13/1414346181231590003028123dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 65WINDI AYU
KARTIKARITL3/17/143/25/149808257371340009485733dr. TRI MULYO,
Sp.ASIMPLE PNEUMONIA & PERTUSIS
66TASILAHRITL3/9/143/13/1452774467151200012624673dr. MOH. LUKMAN,
Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS
67TJASPINAHRITL3/20/143/24/1455238095150300037350953dr. MOH.
LUKMAN, Sp PDHYPERTENSION
68CARSUNRITL3/21/143/21/141232768913950009326893DR. WASRIL WAZAR,
Sp JPUNEXPLAINED CARDIAC ARREST 69OKTA
RAMADHANIRITL2/27/143/1/143155692613130002439263dr. HERRY. S, Sp.
AUNSPECIFIED PYREXIA 70dul
JAMILRITL3/4/143/6/1432398446125000011484463dr. TONI EKO,
Sp.PCHRONIC OBSTRUCTIVE PULMONARY DISEASE
71ASIYAHRITL3/8/143/8/1412333684127600010576843dr. MOH. LUKMAN, Sp
PDOTHER NERVOUS SYSTEM DISORDERS 72NURUL HIKMAH
FRITL3/26/143/30/145194295914740004689593dr. TRI MULYO, Sp.AVIRAL
AND OTHER NON BACTERIAL INFECTIONS 73SRI
YULIANIRITL3/5/143/5/1414205188264500015601883dr. SAID BARABAH, Sp
PDUNEXPLAINED CARDIAC ARREST 74ARIS
RISYANTORITL3/24/143/25/142251932283100016883223dr. MOH. LUKMAN, Sp
PDGASTROENTERITIS & ABDOMINAL PAIN 75FARAH AMALINA
ARBIANSARITL3/25/143/27/14318628192344000-4811812dr. TRI MULYO,
Sp.AASTHMA & BRONCHIOLITIS 76DWI
INDRIRITL3/26/143/28/1432774467106600017084673dr. MOH. LUKMAN, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS
77CARMIRITL3/20/143/22/1432519322110400014153223dr. SAID BARABAH,
Sp PDGASTROENTERITIS & ABDOMINAL PAIN
78ARTINAHRITL2/26/143/1/144318365222280009556523dr. MOH. LUKMAN, Sp
PDHYPERTENSION 79M SYAKUR
PRATOMORITL3/12/143/17/146232656419790003475643dr. SAID BARABAH, Sp
PDVIRAL AND OTHER NON BACTERIAL INFECTIONS 80KHONZA AYU
ALFIDHARITL3/1/143/4/1442774467136900014054673dr. MOH. LUKMAN, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS
81RATIMRITL3/19/143/25/1474169314254200016273143dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
82MULYANIRITL3/13/143/15/143208533584800012373353dr. INDRAWAN, Sp
OGPREPARTUM DISEASES
83WAESAHRITL3/18/143/22/1454170518171200024585183DR. WASRIL WAZAR,
Sp JPHEART FAILURE
84SURATMIRITL3/15/143/18/1444170518242100017495183DR. WASRIL WAZAR,
Sp JPHEART FAILURE 85LIEM GWAT
SIANRITL2/21/143/12/142052380956447000-12089053dr. HARYO, Sp
SHYPERTENSION 86DRAJATRITL3/20/143/24/1454170709274900014217093dr.
TONI EKO, Sp.PRESPIRATORY INFECTIONS & INFLAMMATIONS 87BAYU
ARTORITL3/6/143/10/14515512991527000242993dr. MOH. LUKMAN, Sp
PDGASTRITIS & PEPTIC ULCER 88NATHA UTUNGGA
M.PRITL3/16/143/17/142182896416470001819642dr. TRI MULYO,
Sp.AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 89ABU AYYUB
BADRUSSALAMRITL3/15/143/19/14523315512931000-5994492dr. HERRY. S,
Sp. AVIRAL AND OTHER NON BACTERIAL INFECTIONS 90UMI
ZUBAIDAHRITL3/22/143/24/14332790973672000-3929032dr. INDRAWAN, Sp
OGINTRAUTERINE CERVICAL OPERATIONS and OTHER DILATION &
CURETTAGE 91DEWI EVATIRITL2/25/143/1/14548265605017000-1904402dr.
INDRAWAN, Sp OGCESAREAN SECTON 92DINDA AULIA
SILVIANARITL2/28/143/5/1464282400246000018224002dr. MOH. LUKMAN, Sp
PDOTHER BACTERIAL & PARASITIC INFECTIONS 93ANA RODHOTUL
UMMAHRITL3/14/143/15/1424154174170000024541742dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 94HISYAM ATHARIZZ
ALHAQRITL2/27/143/1/1433527051217700013500511dr. HERRY. S, Sp.
AGASTROENTERITIS & ABDOMINAL PAIN 95TEGAR NISWAR
WIBOWORITL3/24/143/26/143186207111530007090712dr. TRI MULYO,
Sp.AOTHER SKIN & BREAST DISEASES 96NIKITA INDAH
PRATIWIRITL3/23/143/27/1453398881214000012588812dr. HERRY. S, Sp.
AVIRAL AND OTHER NON BACTERIAL INFECTIONS 97TIA EKA
YULIANTIRITL3/19/143/25/147279187724450003468772dr. SAID BARABAH,
Sp PDVIRAL AND OTHER NON BACTERIAL INFECTIONS 98ENDAH
WINDARTIRITL3/12/143/14/14318593362283000-4236642dr. HARYO, Sp
SSEIZURE 99SUGIARTIRITL2/27/143/12/141442031776279000-20758232dr.
HATMANTO, Sp.PDNEOPLASMS OF MUSCULOSKELETAL & CONNECTIVE TISSUE
& PATHOLOGICAL FRACTURES 100ALYAA NUR
FAUZIYYAHRITL3/28/143/29/14230141374728000-17138632dr. HERY,
Sp.THTTONSIL & ADENOID OPERATIONS
101MUHAMMADREVINOPUTRARITL3/17/143/20/1445860059292500029350592dr.
SETYADI, Sp.ASIMPLE PNEUMONIA & PERTUSIS 102CHINTY ABERLIANA
AURORA PutriRITL2/24/143/1/14627918773228000-4361232dr. TRI MULYO,
Sp.AVIRAL AND OTHER NON BACTERIAL INFECTIONS 103WISNU
KENDANARITL3/2/143/4/143182896411500006789642dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 104RAYKHAN BADI
WITJAKSONORITL3/17/143/20/1444906623148500034216232dr. TRI MULYO,
Sp.AOTHER BACTERIAL & PARASITIC INFECTIONS
105DINARIZKIPUJIATIRITL3/16/143/18/1433329360120600021233602dr.
MOH. LUKMAN, Sp PDOTHER BACTERIAL & PARASITIC INFECTIONS
106GABRIELEVANDERRITL3/1/143/4/144332936024550008743602dr. HERRY.
S, Sp. AOTHER BACTERIAL & PARASITIC INFECTIONS
107GABRIELEVANDERRITL3/12/143/16/1454170080167100024990802dr.
HERRY. S, Sp. ASIMPLE PNEUMONIA & PERTUSIS 108SATORI
RITL3/1/143/9/1498082573673800013445733dr. MOH. LUKMAN, Sp PDSIMPLE
PNEUMONIA & PERTUSIS
109SALIYAHRITL3/25/143/29/1454315882272700015888823dr. MOH. LUKMAN,
Sp PDHYPERTENSION
110TAMRINRITL3/13/143/20/1484846536260000022465361dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 111RIZKY DWI
KUNCORORITL3/14/143/17/14421337912893000-7592091dr. HERRY. S, Sp.
AEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION LARYNGOTRACHEITIS
& OTITIS MEDIA 112LEKSI TRI
NANDINIRITL3/10/143/14/14544384045402000-9635963dr. INDRAWAN, Sp
OGCESAREAN SECTON 113LAODE AZKA YAHDI
ASFARIRITL3/5/143/11/147277446721910005834673dr. TRI MULYO,
Sp.AOTHER BACTERIAL & PARASITIC INFECTIONS 114R BAGAS ADELIO
ASWATAMARITL3/30/143/31/142213455091700012175502dr.
SOEWIGNYOEPIGLOTTITISUPPER RESPIRATORY TRACT INFECTION
LARYNGOTRACHEITIS & OTITIS MEDIA 115AGUS
SUGENGRITL3/8/143/10/143205359886100011925983dr. MOH. LUKMAN, Sp
PDURINARY CALCULI 116CHRISTIAN AGUSTINUS
MARGIANTORITL3/5/143/7/1433891434219700016944341dr. HERRY. S, Sp.
AOTHER DIGESTIVE SYSTEM DISORDERS 117CHRISTIAN AGUSTINUS
MARGIANTORITL3/13/143/16/1443884254261900012652541dr. HERRY. S, Sp.
AOTHER BACTERIAL & PARASITIC INFECTIONS
118AFIFAHRITL3/12/143/17/14641393558162000-40226451dr. PROBODJATI,
Sp.BOLOCAL EXCISION & REMOVAL OF INTERNAL FIXATERS
119SARMINAHRITL3/7/143/10/144563098754920001389871dr. INDRAWAN, Sp
OGCESAREAN SECTON 120INAH
RIANAHRITL3/23/143/24/14220136312416000-4023693dr. INDRAWAN, Sp
OGVAGINAL DELIVERY
121SAIRAHRITL2/17/143/2/14145952050405200019000503dr. HATMANTO,
Sp.PDHEART FAILURE 122ALTHAF jefri
tegARJATIRITL3/1/143/3/14323315512321000105512dr. HERRY. S, Sp.
AVIRAL AND OTHER NON BACTERIAL INFECTIONS
123SUBALKHIRITL2/20/143/5/1414346181231650002968123dr. TRI SETYO,
Sp KjSCHIZOPHRENIA
124SAROJIRITL3/6/143/8/14315505241490000605243dr. MOH. LUKMAN, Sp
PDRENAL & URINARY TRACT INFECTIONS
125SAROJIRITL3/12/143/14/1432328094113300011950943dr. MOH. LUKMAN,
Sp PDGASTRITIS & PEPTIC ULCER 126JOHAN AnDI
WAHYUDIRITL2/7/143/7/1429484653639890008575361dr. TRI SETYO, Sp
KjSCHIZOPHRENIA
127WARLANRITL2/26/143/4/14786413678816000-1746331dr. IRAWAN,
Sp.BURETHRAL & TRANSURETHRAL OPERATIONS
128SALAMAHRITL2/25/143/10/141444490925538000-10889083dr. IRAWAN,
Sp.BPERIPHERAL & OTHER VASCULAR DISEASES 129WIWIN
KURNIASIHRITL2/13/143/6/14223461812223700012248123dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 130SARANRITL2/24/143/2/147523809547525004855953dr.
HARYO, Sp SHYPERTENSION
131PAINGRITL2/27/143/8/14101080620616394000-55877943dr. IRAWAN,
Sp.BOTHER OPERATION OF DIGESTIVE SYSTEM 132SHIGIT
SULAISTIORITL3/11/143/13/14332742084814000-15397923dr. IRAWAN,
Sp.BOTHER SKIN SUBCUTANEOUS TISSUE & BREAST OPERATIONS
133PERSIS TULASNORITL2/21/143/12/14204846536343300014135361dr. TRI
SETYO, Sp KjSCHIZOPHRENIA
134MURSIDIRITL3/3/143/10/14828252493821000-9957512dr. HARYO, Sp
SNON SPECIFICIED CVA WITHOUT INFARCT
135DAIMAHRITL3/3/143/7/1452779595145400013255953dr. HATMANTO,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
136WADJUMRITL3/4/143/9/1464169314254700016223143dr. NURMILA,
Sp.PDOTHER DIGESTIVE SYSTEM DISORDERS
137RANIMANRITL3/4/143/7/1445616407381300018034071DR. WASRIL WAZAR,
Sp JPACUTE MYOCARDIAL INFARCTION
138SAEFUDINRITL3/4/143/10/1475838726410000017387261dr. SAID
BARABAH, Sp PDHEART FAILURE 139IPAH
RITL3/17/143/20/14447898947860000-30701063dr. IRAWAN, Sp.BOPERATION
OF THYROID PARATHYROID & THYROGLOSSAL DUCT 140MUHAMMAD EDI
NURZAMANRITL3/7/143/11/1452779595164300011365953dr. MOH. LUKMAN, Sp
PDOTHER DIGESTIVE SYSTEM DISORDERS 141kristiani
putriRITL3/5/143/6/142232741264300016844123dr. HARYO, Sp SBACTERIAL
INFECTIONS OF NERVOUS SYSTEM INCLUDING TUBERCULOUSIS
142WAKLANRITL2/27/143/13/1415794547110333000-23875292dr. SUNARTO,
Sp.SRESPIRATORY INFECTIONS & INFLAMMATIONS 143eko
supriyadiRITL3/14/143/27/1414346181232300002318123dr. TRI SETYO, Sp
KjSCHIZOPHRENIA 144eri sulistia
bektiRITL3/28/143/31/14444384045173000-7345963dr. INDRAWAN, Sp
OGCESAREAN SECTON
145PATMAHRITL3/20/143/21/142163261411260005066141dr. INDRAWAN, Sp
OGOTHER FACTORS INFLUENCING HEALTH STATUS
146DARUTIRITL3/8/143/14/14728099564100000-12900443dr. HARYO, Sp
SNON SPECIFICIED CVA WITHOUT INFARCT 147RAFIKA
YULIANARITL3/12/143/15/144298345526730003104551dr. HATMANTO,
Sp.PDOTHER DISEASES OF FEMALE REPRODUCTIVE SYSTEM
148HERKUSTINORITL3/10/143/25/1416568041048620008184103dr. TRI
SETYO, Sp KjSCHIZOPHRENIA 149AGUS
SUSANTORITL3/17/143/19/1435616407402100015954071DR. WASRIL WAZAR,
Sp JPACUTE MYOCARDIAL INFARCTION 150siti
masitohRITL3/13/143/14/142273258025130002195803dr. INDRAWAN, Sp
OGINTRAUTERINE CERVICAL OPERATIONS and OTHER DILATION &
CURETTAGE 151ADE LOVE RINA
TARIGANRITL3/7/143/12/1464944947358700013579471dr. SAID BARABAH, Sp
PDOTHER LIVER DISEASES 152PETRUS
KEMATRITL3/15/143/17/14321729382502000-3290621dr. MOH. LUKMAN, Sp
PDANAEMIA EXCLUDING SICKLE CELL ANEMIA WITH CRISIS 153A.MISKUL
CHITAMRITL3/24/143/28/14529566824842000-18853183dr. PROBODJATI,
Sp.BOLOCAL EXCISION & REMOVAL OF INTERNAL FIXATERS 154HABIB
KUNCORO AZIZRITL3/20/143/23/14449979066189000-11910941dr. IRAWAN,
Sp.BINGUINAL & FEMORAL HERNIA REPAIR 155NURSARINI
HIDAYAHRITL3/14/143/20/1474622525273000018925251dr. SUNARTO,
Sp.SNERVOUS SYSTEM NEOPLASMS & DEGENERATIVE DISEASES 156SOROS
MUHAMMAD AL GOZALIRITL3/12/143/22/1411565637512582000-69256251dr.
PROBODJATI, Sp.BOOSTEOMYELITIS
157SAMSUDINRITL3/22/143/26/1454315882203500022808823dr. SAID
BARABAH, Sp PDHYPERTENSION 158sultan al
ghifariRITL3/18/143/20/143232578022160001097803DR. RIZAL , Sp
BSANAEMIA EXCLUDING SICKLE CELL ANEMIA WITH CRISIS 159PUTRI ASIH
MULYANIRITL3/28/143/31/14440221335258000-12358673dr. INDRAWAN, Sp
OGCESAREAN SECTON
160SUSENORITL3/25/143/27/14335699334669000-10990673dr. IRAWAN,
Sp.BINGUINAL & FEMORAL HERNIA REPAIR
161SOEWARTORITL3/24/143/25/142193738183500011023813dr. IRAWAN,
Sp.BMEDICAL BACK DISORDERS
162TOIPAHRITL3/23/143/26/144251932288200016373223dr. SAID BARABAH,
Sp PDGASTROENTERITIS & ABDOMINAL PAIN 163KHUSWATUN
KHASANAHRITL3/25/143/27/143291947024960004234701dr. INDRAWAN, Sp
OGPREPARTUM DISEASES
164JAONAHRITL3/25/143/28/144233147120090003224712dr. HATMANTO,
Sp.PDDIABETES AND NUTRITIONAL & OTHER METABOLIC DISEASES
165bima setiawanRITL3/26/143/29/1444883383162700032563833dr. HERRY.
S, Sp. ASIMPLE PNEUMONIA & PERTUSIS 166PANJI ALDI
FIRAWANRITL3/16/143/20/1453398881220300011958812dr. MOH. LUKMAN, Sp
PDVIRAL AND OTHER NON BACTERIAL INFECTIONS
167637412926537309500100103426
RJln MAR
14NAMABIAYASEPBIAYARSKETNMDOKTERDIAGNOSAHARIYADI16047413800022474dr.
MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
1IBNU KURNIAWAN NUGROHO1604749900061474dr. PROBODJATI,
Sp.BOAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 2AKHMAD
FAUZI1578878000077887dr. ADRI S, Sp.MOTHER EYE OPERATIONS
3PARIKHIN1604741510009474dr. HANAFI, Sp KJAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 4SULAMI16047411500045474dr. HARYO, Sp
SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
5SULAMI16047412100039474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 6KOMARIYAH1604748300077474dr. HERY,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
7WAKHIDIN1604741510009474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 8WAKHIDIN1604741560004474dr. MOH.
LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
9SURATMI15788710500052887dr. ADRI S, Sp.MOTHER EYE OPERATIONS
10APOEN TJAHJONO16047413600024474dr. HATMANTO, Sp.PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES
11SUKARNI16047412300037474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 12KORIYAH16047411950040974dr. TONI
EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 13SRI
UMAYAH160474164500-4026dr. HERY, Sp.THTAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 14SRI UMAYAH16047414000020474dr. HERY,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 15SRI
UMAYAH16047414700013474dr. HERY, Sp.THTAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 16SRI UMAYAH16047414000020474dr. HERY,
Sp.THTAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
17RUSLANI16047413400026474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 18MARYOTO16047414500015474dr. MOH.
LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
19KARTIKA DIAH ARUMI ASIH18342811000073428dr. IRAWAN, Sp.BWOUND
CARE 20DEWI AYU DYAH ANGGRAENI16047412500035474dr. TRI SETYO, Sp
KjAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 21ISNA
OKTAVIANTIKA R.1604748900071474dr. HERY, Sp.THTAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 22DWI LUKITO160474160000474dr. HARYO,
Sp SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 23DWI
LUKITO1604741530007474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 24JUSTIFYWATI16999312700042993dr. INDRAWAN,
Sp OGULTRASOUND FOR GYNAECOLOGY DISORDERS
25JUSTIFYWATI169993173000-3007dr. INDRAWAN, Sp OGULTRASOUND FOR
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PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
27SULYATI160474209000-48526dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 28TURSINAH JD.
SOERATIDJAN1604741575002974dr. ADRI S, Sp.MAMBULATORY VISIT FOR
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SUNARTO, Sp.SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
30KARSADI16047411200048474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 31KARSADI16047414800012474dr. MOH.
LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
32WAHYU AGUNG PURBAYA160474160000474dr. TONI EKO, Sp.PAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 33WAHYU AGUNG
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HARYO, Sp SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 37JOO
SUNSATO16047410900051474dr. TRI SETYO, Sp KjAMBULATORY VISIT FOR
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SETYO, Sp KjAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
39MUTASRIPAH16047413700023474dr. IRAWAN, Sp.BAMBULATORY VISIT FOR
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Sp KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
41TIWAN160474160000474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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KJADULT NON ACUTE INDIVIDUAL PSYCHOTHERAPY
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SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
45TARJUKI16047411650043974dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
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KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
47TUMINAH16047412000040474dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
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EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
49NAYEM16047413500025474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
51DAROSIN1462928750058792dr. TRI SETYO, Sp KjADULT NON ACUTE
INDIVIDUAL PSYCHOTHERAPY 52NOFI TAULANDARI14629211100035292dr. TRI
SETYO, Sp KjADULT NON ACUTE INDIVIDUAL PSYCHOTHERAPY 53ALESA
FITRIYAH AZHRA1604741520008474dr. TRI MULYO, Sp.AAMBULATORY VISIT
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HARYO, Sp SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
55SUNARDI16047411000050474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
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Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
57SAIROH16047415000010474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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TONI EKO, Sp.PAMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES
59SAHUDIN146292155000-8708dr. HANAFI, Sp KJADULT NON ACUTE
INDIVIDUAL PSYCHOTHERAPY 60SAHUDIN16047414600014474dr. HANAFI, Sp
KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
61TRIYONO16047413500025474dr. TRI SETYO, Sp KjAMBULATORY VISIT FOR
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SETYO, Sp KjAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
63ARNIAH16047412900031474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
65GIMIN16047411000050474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
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SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
67KUSNANDI183428214000-30572dr. IRAWAN, Sp.BWOUND CARE
68KUSNANDI18342811300070428dr. IRAWAN, Sp.BWOUND CARE
69TANYEM16047412700033474dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
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LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
71TARWI16047412200038474dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
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LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
73NUR MUZAYANAH1372599700040259dr. MOH. LUKMAN, Sp PDAMBULATORY
VISIT FOR OTHER MINOR ACUTE DISORDER 74RUPENDI16047414000020474dr.
HANAFI, Sp KJAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
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WAHYUDI16047413000030474dr. TRI SETYO, Sp KjAMBULATORY VISIT FOR
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EKO, Sp.PAMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES
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Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
80MADRAN16047412700033474dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
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SUGIARTO, Sp.KKAMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 82M
SYAKUR PRATOMO1604749800062474dr. MOH. LUKMAN, Sp PDAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 83KHONZA AYU
ALFIDHA16047411350046974dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
85BUCHORI1604741520008474dr. HANAFI, Sp KJAMBULATORY VISIT FOR
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TRI SETYO, Sp KjAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
87DAVID AGUNG HANANTO16047414000020474dr. SUNARTO, Sp.SAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 88DRAJAT16047414100019474dr.
TONI EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
89DRAJAT16047414100019474dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
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AFFANI160474160000474dr. TRI MULYO, Sp.AAMBULATORY VISIT FOR OTHER
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SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
92PARTIANI16047411500045474dr. HARYO, Sp SAMBULATORY VISIT FOR
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Sp SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 94LASRI
ERITA16047414000020474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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HADININGSIH13153311500016533dr. INDRAWAN, Sp OGAMBULATORY VISIT FOR
CONSULTATION OR OTHER EXAMINATION 96CHOIRIYAH
ANNUR19425115600038251dr. INDRAWAN, Sp OGOTHER ULTRASOUND
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OGAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 98CHOIRIYAH
ANNUR16047411500045474dr. INDRAWAN, Sp OGAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 99CHOIRIYAH ANNUR16047411000050474dr.
INDRAWAN, Sp OGAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
100DEWI EVATI19425111500079251dr. INDRAWAN, Sp OGOTHER ULTRASOUND
OPERATIONS 101INAYAH HIDAYATI16999311500054993dr. INDRAWAN, Sp
OGULTRASOUND FOR GYNAECOLOGY DISORDERS 102SUTOPO1578878000077887dr.
ADRI S, Sp.MOTHER EYE OPERATIONS 103DARMAWAN1604741580002474dr.
TONI EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
104TRI NURCAHYO19630815200044308dr. MOH. LUKMAN, Sp PDAMBULATORY
VISIT FOR OTHER MAJOR CHRONIC DISEASES 105DINDA AULIA
SILVIANA16047414500015474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 106M FAJAR PRIYONO15117413300018174dr.
HERY, Sp.THTOTHER EAR NOSE MOUTH & THROAT OPERATIONS 107MOH
FATIH HILMI ROBBANI16047411900041474dr. TRI MULYO, Sp.AAMBULATORY
VISIT FOR OTHER MINOR CHRONIC DISEASES 108ENDAH
WINDARTI16047410400056474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
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Sp SAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 110ENDAH
WINDARTI16047412900031474dr. HARYO, Sp SAMBULATORY VISIT FOR OTHER
MINOR CHRONIC DISEASES 111FARAHARNANDA16047410000060474dr. TRI
MULYO, Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
112BAGAS RAFAEL ARDIN PAMUNGKAS16047414100019474dr. HERRY. S, Sp.
AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
113MARGONO1604741550005474dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 114MARGONO16047415000010474dr.
MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
115TEGUH RAHARJO16047413900021474dr. HANAFI, Sp KJAMBULATORY VISIT
FOR OTHER MINOR CHRONIC DISEASES 116LEKSI TRI
NANDINI16999312000049993dr. INDRAWAN, Sp OGULTRASOUND FOR
GYNAECOLOGY DISORDERS 117LAODE AZKA YAHDI ASFARI1604741530007474dr.
TRI MULYO, Sp.AAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
118NARDIATI1462921400006292dr. HANAFI, Sp KJADULT NON ACUTE
INDIVIDUAL PSYCHOTHERAPY 119CHRISTIAN AGUSTINUS
MARGIANTO16047414900011474dr. HERRY. S, Sp. AAMBULATORY VISIT FOR
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EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
121MUGIYANTO16047411550044974dr. TONI EKO, Sp.PAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 122JAMIATI 1604749850061974dr. IRAWAN,
Sp.BAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 123HM.
KASMURI19630880000116308dr. MOH. LUKMAN, Sp PDAMBULATORY VISIT FOR
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PROBODJATI, Sp.BOAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES
125RATMI16047413900021474dr. HANAFI, Sp KJAMBULATORY VISIT FOR
OTHER MINOR CHRONIC DISEASES 126MUDHOFIR16047412850031974dr. TONI
EKO, Sp.PAMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 127dewi
khof
