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Kdrs;Klsrs;Norm;Klsrawat;TariffRS;Jnsrawat;Tglmsk;Tglklr;Los;Tgllhr;UmurThn;Umur

Hari;JK;CaraPlg;Berat;Dutama;D1;D2;D3;D4;D5;D6;D7;D8;D9;D10;D11;D12;D13;D14;D15;
D16;D17;D18;D19;D20;D21;D22;D23;D24;D25;D26;D27;D28;D29;P1;P2;P3;P4;P5;P6;P7;P8;
P9;P10;P11;P12;P13;P14;P15;P16;P17;P18;P19;P20;P21;P22;P23;P24;P25;P26;P27;P28;P
29;P30;adl;Recid;Inacbg;Deskripsi;Tarif;SA;TarifSA;SP;DescSP;TarifSP;SR;DescSR;T
arifSR;SI;DescSI;TarifSI;SD;DescSD;TarifSD;TotalTarif;NamaPasien;DPJP;SEP;Rujuka
n;PengesahanSL3;VersiINACBG;C1;C2;C3
3509134;C;192807;3;44734;2;30/09/2015;30/09/2015;1;14/08/1975;40;14657;2;1;;Z098
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;1;Q-5-44-0; PENYAK
IT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;16050
0;MONIKA PURBANDARI;dr. MOCH. MOERAD, Sp.OG;1329R00209150000621^0001824304702;ad
a;tidak ada;INACBG 4.1;C / I / RSU;4;a64715c425d8f9a6ebe7be7f98c92968
3509134;C;161003;3;37000;2;30/09/2015;30/09/2015;1;13/03/1995;20;7506;2;1;;K041;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;2371;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;2;U-3-16-0; PRO
SEDUR PADA GIGI;170600.00;None;0;None;;0;None;;0;None;;0;None;;0;170600;SOFFIL W
IDAD;drg. GANDHI;1329R00209150000617^0000113812391;ada;tidak ada;INACBG 4.1;C /
I / RSU;8;700186f27b1264f189bbe09fdd1e4b25
3509134;C;193484;3;204294;2;30/09/2015;30/09/2015;1;01/07/1953;62;22736;1;1;;I61
9;I10;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;3;Q-5-27-0; SI
STEM PERSARAFAN PUSAT AKUT;136700.00;None;0;None;;0;None;;0;None;;0;None;;0;1367
00;MOHAMAD RIDHAN;dr. LELY MARTHA ULI, Sp. S;1329R00209150000616^0000690744554;a
da;tidak ada;INACBG 4.1;C / I / RSU;2;0eb945bcbe9216d5010584a7106c4c72
3509134;C;070827;3;420363;2;30/09/2015;30/09/2015;1;29/05/1955;60;22039;1;1;;E10
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;4;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;NOER ROKHMANIYAH;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000611^0000114523
007;ada;tidak ada;INACBG 4.1;C / I / RSU;24;dd1766ab6e302dee02c6456c1464ca5c
3509134;C;148139;3;30019;2;30/09/2015;30/09/2015;1;11/09/1949;66;24125;2;1;;I10;
I259;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;5;Q-5-44-0; PEN
YAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;16
0500;TUMIYEM PARIASIH;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000618^00000495
58443;ada;tidak ada;INACBG 4.1;C / I / RSU;9;d33a59e6d7050bf9633f7e5a79a72507
3509134;C;193343;3;85762;2;30/09/2015;30/09/2015;1;01/07/1958;57;20910;2;1;;K30;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;6;Q-5-44-0; PENYAKI
T KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160500
;SUNARIYAH;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000608^0001085667287;ada;t
idak ada;INACBG 4.1;C / I / RSU;2;b89868bd32bcf34557b054aa44c2dbee
3509134;C;018294;3;23738;2;30/09/2015;30/09/2015;1;02/10/1950;65;23739;2;1;;A010
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;7;Q-5-42-0; PENYAK
IT AKUT KECIL LAIN-LAIN;137300.00;None;0;None;;0;None;;0;None;;0;None;;0;137300;
ISMIYATUN;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000623^0000114156538;ada;ti
dak ada;INACBG 4.1;C / I / RSU;4;7b74d00f04ac90feb98be4b7bae6faae
3509134;C;071789;3;370900;2;30/09/2015;30/09/2015;1;16/02/1957;58;21410;1;1;;E14
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;8;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;SOLIKHIN S;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000620^0000114708958;ad
a;tidak ada;INACBG 4.1;C / I / RSU;22;b71fd72899a8d6d3d1154da3d2ff36a0
3509134;C;023374;3;369943;2;30/09/2015;30/09/2015;1;17/04/1942;73;26829;1;1;;E14
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;9;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;MOERDIMAN, BSC;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000605^000011415795
6;ada;tidak ada;INACBG 4.1;C / I / RSU;41;b7458e847c99001be01d5568b8e69874
3509134;C;124299;3;264156;2;30/09/2015;30/09/2015;1;18/07/1952;63;23084;1;1;;E14
9;M1999;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;10;Q-5-44-0;
PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;
0;160500;ISMUNANDAR;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000606^0000113980
138;ada;tidak ada;INACBG 4.1;C / I / RSU;16;ac5d1cd4d09d70ca38bba5c35f1e3832
3509134;C;192943;3;102628;2;30/09/2015;30/09/2015;1;03/05/1935;80;29370;1;1;;Z09
8;I259;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;11;Q-5-44-0;
PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0

;160500;KUSUPARMAN;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000607^00001141570
67;ada;tidak ada;INACBG 4.1;C / I / RSU;4;f73dafefc56250580a8587452aee95dd
3509134;C;149635;3;44509;2;30/09/2015;30/09/2015;1;01/06/1956;59;21670;1;1;;Z090
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;12;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;RAIT;dr. ARIF HERMAWAN, Sp. B;1329R00209150000614^0000687900317;ada;tidak ada
;INACBG 4.1;C / I / RSU;4;82145970a677f5e7ba0179d307996a6c
3509134;C;193049;3;66296;2;30/09/2015;30/09/2015;1;01/06/1934;81;29706;1;1;;N40;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;13;Q-5-44-0; PENYAK
IT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;16050
0;MOCTAR;dr. ARIF HERMAWAN, Sp. B;1329R00209150000624^0000688854554;ada;tidak ad
a;INACBG 4.1;C / I / RSU;2;3334a9bd7dbfff3a6bb993c336d2ddaa
3509134;C;049437;3;20004;2;30/09/2015;30/09/2015;1;02/04/1943;72;26479;2;1;;N23;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;14;Q-5-32-0; SALURA
N KEMIH AKUT;150400.00;None;0;None;;0;None;;0;None;;0;None;;0;150400;SUYANTI;dr.
ARIF HERMAWAN, Sp. B;1329R00209150000619^0000114161218;ada;tidak ada;INACBG 4.1
;C / I / RSU;9;59d7f20617ebd6a42d677591e1563691
3509134;C;182099;3;120463;2;30/09/2015;30/09/2015;1;02/08/1945;70;25626;1;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;15;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;SUYATMIN;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000615^0000693349266;ada;tida
k ada;INACBG 4.1;C / I / RSU;14;3fceef924ad90ca80c92aeba91c80bfa
3509134;C;157154;3;120463;2;30/09/2015;30/09/2015;1;15/01/1971;44;16329;1;1;;H43
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;16;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;AHMAD ANDRIYANTO;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000610^0001424538718;
ada;tidak ada;INACBG 4.1;C / I / RSU;1;283863bcb8c691c96f63ce9eaf206b12
3509134;C;097516;3;104689;2;30/09/2015;30/09/2015;1;26/02/1950;65;23957;2;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;17;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;DEWI MUJIATI;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000612^0000114017523;ada;
tidak ada;INACBG 4.1;C / I / RSU;5;824c7c3c53544cae0c1a112d2f3561ef
3509134;C;193372;3;103000;2;30/09/2015;30/09/2015;1;01/11/1959;55;20422;2;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;18;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;PONIYEM;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000613^0000689302102;ada;tidak
ada;INACBG 4.1;C / I / RSU;2;1d9825919fb1405088b8267c0ff0e54d
3509134;C;013075;3;369943;2;30/09/2015;30/09/2015;1;31/12/1953;61;22553;2;1;;E14
8;I10;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;19;Q-5-44-0; P
ENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;
160500;CHUNAINAH;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000625^0000114368477
;ada;tidak ada;INACBG 4.1;C / I / RSU;28;3bdaa3e394c1ff3c2c7dd28937d48325
3509134;C;027424;3;201212;2;29/09/2015;29/09/2015;1;27/05/1940;75;27518;2;1;;H40
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;20;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;SOETINIK;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000592^0000113929209;ada;tida
k ada;INACBG 4.1;C / I / RSU;31;117cd4629d7876a4cc546fc61dd42c89
3509134;C;169244;3;163439;2;29/09/2015;29/09/2015;1;04/07/1950;65;23828;1;1;;H26
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;21;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;SUTIKNO;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000595^0000114610735;ada;tidak
ada;INACBG 4.1;C / I / RSU;11;636f3f57cddeff995a665e9a12aacf88
3509134;C;193186;3;103000;2;29/09/2015;29/09/2015;1;12/12/1973;41;15266;1;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;22;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;EDY SUSANTO;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000591^0001542297194;ada;t
idak ada;INACBG 4.1;C / I / RSU;2;c727a2257d75d5e0be06381e483cd148
3509134;C;057888;3;136212;2;29/09/2015;29/09/2015;1;06/11/1951;63;23338;2;1;;H40
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;23;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160

500;SUNARMI;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000584^0000114280086;ada;tidak
ada;INACBG 4.1;C / I / RSU;23;031d9642b72cbbfc00609ab1c75a507e
3509134;C;100265;3;131462;2;29/09/2015;29/09/2015;1;11/12/1957;57;21111;1;1;;H43
1;Z961;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;24;Q-5-44-0;
PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0
;160500;MOH. KHOLIL, S. AG;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000586^00001144
05761;ada;tidak ada;INACBG 4.1;C / I / RSU;9;d84a70d929e47e5314d698473a4c8262
3509134;C;192506;3;164000;2;29/09/2015;29/09/2015;1;01/07/1961;54;19813;2;1;;K04
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;232;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;25;U-3-16-0; P
ROSEDUR PADA GIGI;170600.00;None;0;None;;0;None;;0;None;;0;None;;0;170600;JUMAIY
AH;drg. GANDHI;1329R00209150000589^0000688460343;ada;tidak ada;INACBG 4.1;C / I
/ RSU;6;7a9c563b9dbbeaf71306f727e2edfec0
3509134;C;193530;3;37000;2;29/09/2015;29/09/2015;1;01/03/1996;19;7151;2;1;;K040;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;2371;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;26;U-3-16-0; PR
OSEDUR PADA GIGI;170600.00;None;0;None;;0;None;;0;None;;0;None;;0;170600;SITI EK
A;drg. ELLA FAJAR;1329R00209150000593^0000689231957;ada;tidak ada;INACBG 4.1;C /
I / RSU;2;8bb75ebde5230f040b96317e7afb926e
3509134;C;191330;3;37705;2;29/09/2015;29/09/2015;1;09/07/1970;45;16518;2;1;;G442
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;27;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;SITI MUHAYANAH;dr. LELY MARTHA ULI, Sp. S;1329R00209150000590^0001814060081;a
da;tidak ada;INACBG 4.1;C / I / RSU;4;0ca4e1d4884d37edc3eef79d81cbb8c4
3509134;C;191784;3;60669;2;29/09/2015;29/09/2015;1;10/03/1957;58;21387;2;1;;E149
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;28;Q-5-44-0; PENYA
KIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;1605
00;SITTIYA;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000597^0001320756581;ada;t
idak ada;INACBG 4.1;C / I / RSU;6;7739f180db7888917a4d8db00da92a25
3509134;C;092486;3;433450;2;29/09/2015;29/09/2015;1;19/04/1945;70;25730;2;1;;I10
;I259;E148;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;29;Q-5-440; PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None
;;0;160500;CHOMSATUN;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000577^000011422
1632;ada;tidak ada;INACBG 4.1;C / I / RSU;12;2e2452fffe53d80770c67e5a7c561a0f
3509134;C;058807;3;99434;2;29/09/2015;29/09/2015;1;06/01/1962;53;19624;2;1;;E790
;E789;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;30;Q-5-44-0; P
ENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;
160500;AINUN JARIYAH, S.Pd;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000576^000
0114721795;ada;tidak ada;INACBG 4.1;C / I / RSU;5;97f06dbb3b64577d807d56596ffb70
16
3509134;C;193193;3;67847;2;29/09/2015;29/09/2015;1;17/10/1961;53;19705;1;1;;D649
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;31;Q-5-33-0; HEMAT
OLOGI AKUT;157600.00;None;0;None;;0;None;;0;None;;0;None;;0;157600;MOCHAMAD SUBI
JANTO;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000579^0001878571438;ada;tidak
ada;INACBG 4.1;C / I / RSU;3;52d6edbda169d4b0e5e13214a2ef697d
3509134;C;145289;3;82700;2;29/09/2015;29/09/2015;1;07/04/1951;64;23551;1;1;;Z098
;I259;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;32;Q-5-44-0; P
ENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;
160500;SAMSURI;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000580^0001430810458;a
da;tidak ada;INACBG 4.1;C / I / RSU;8;9b4c3764840f16c4aa87ba317d5ae925
3509134;C;122086;3;123415;2;29/09/2015;29/09/2015;1;05/04/1947;68;25014;1;1;;I10
;I259;I491;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;33;Q-5-440; PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None
;;0;160500;KARSAN;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000582^000011445186
3;ada;tidak ada;INACBG 4.1;C / I / RSU;3;da06e5978c424c4f4d979f18cc022dbc
3509134;C;075480;3;124333;2;29/09/2015;29/09/2015;1;23/11/1963;51;18938;2;1;;E79
0;E789;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;34;Q-5-44-0;
PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0
;160500;RETNO DEWI SAPTORINI;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000587^0
000114119098;ada;tidak ada;INACBG 4.1;C / I / RSU;2;73fd298a31d1e5edb453c16c8e6d
0660
3509134;C;057889;3;77125;2;29/09/2015;29/09/2015;1;25/06/1942;73;26759;1;1;0;I10

;M1999;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;35;Q-5-44-0;
PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0
;160500;MOELJONO;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000585^0000114280097
;ada;tidak ada;INACBG 4.1;C / I / RSU;27;d5340e03b214b350a86a8b57d7dd1c13
3509134;C;061291;3;113874;2;29/09/2015;29/09/2015;1;01/08/1954;61;22339;1;1;;I10
;E790;N281;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;36;Q-5-440; PENYAKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None
;;0;160500;PAIKUN SUHADI;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000588^00006
88802591;ada;tidak ada;INACBG 4.1;C / I / RSU;21;376e2ab2d9af2e47ad4407be15cd9b7
3
3509134;C;182329;3;12000;2;29/09/2015;29/09/2015;1;06/07/1959;56;20539;2;1;;D649
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;37;Q-5-33-0; HEMAT
OLOGI AKUT;157600.00;None;0;None;;0;None;;0;None;;0;None;;0;157600;ROFIAH;dr. AG
US YUDHO SANTOSO, Sp.PD;1329R00209150000581^0001446778001;ada;tidak ada;INACBG 4
.1;C / I / RSU;10;5ccb47cd45aa7d00f24684b688c60499
3509134;C;193635;3;290000;2;29/09/2015;29/09/2015;1;01/04/1941;74;27209;1;1;;I61
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;9396;9960;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;38;J-3-13
-0; PROSEDUR TERAPI SALURAN PERNAFASAN;246300.00;None;0;None;;0;None;;0;None;;0;
None;;0;246300;NAKUWI;Dr. ROHMADONI;1329R00209150000627^0000691677437;ada;tidak
ada;INACBG 4.1;C / I / RSU;1;a9534917762503bde9f89b3ce7c6d1f4
3509134;C;193634;3;272067;2;29/09/2015;29/09/2015;1;01/04/1971;44;16252;2;1;;A09
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;9396;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;39;J-3-13-0; P
ROSEDUR TERAPI SALURAN PERNAFASAN;246300.00;None;0;None;;0;None;;0;None;;0;None;
;0;246300;MUTMAINAH;Dr. ROHMADONI;1329R00209150000602^0000692532314;ada;tidak ad
a;INACBG 4.1;C / I / RSU;1;5a3ff0a1a2f6a3e96b09b0b938e85ea2
3509134;C;193477;3;284633;2;29/09/2015;29/09/2015;1;01/02/1990;25;9371;1;1;;N132
;K760;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;40;Q-5-41-0; P
ENYAKIT AKUT BESAR LAIN-LAIN;175000.00;None;0;None;;0;None;;0;None;;0;None;;0;17
5000;TRI SETYO H P;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000594^00006924139
64;ada;tidak ada;INACBG 4.1;C / I / RSU;2;210d7aec60aacc2175220377f33c711c
3509134;C;148905;3;22806;2;29/09/2015;29/09/2015;1;01/04/1954;61;22461;1;1;;M199
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;41;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;SOLEHAN BUDIADJI;dr. AGUS YUDHO SANTOSO, Sp.PD;1329R00209150000596^000180274
8936;ada;tidak ada;INACBG 4.1;C / I / RSU;22;977fd962b10796d52c41809f0ab3e6e6
3509134;C;193348;3;43902;2;28/09/2015;28/09/2015;1;17/07/1982;33;12126;2;1;;Z359
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;42;Q-5-23-0; PEMER
IKSAAN ANTEPARTUM;126800.00;None;0;None;;0;None;;0;None;;0;None;;0;126800;ROSIDA
H;dr. MOCH. MOERAD, Sp.OG;1329R00209150000569^0001843832992;ada;tidak ada;INACBG
4.1;C / I / RSU;2;30fb14bebf77b70a2a95668d7e6cc437
3509134;C;193333;3;142000;2;28/09/2015;28/09/2015;1;01/04/1966;49;18077;2;1;;Z35
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;43;Q-5-23-0; PEME
RIKSAAN ANTEPARTUM;126800.00;None;0;None;;0;None;;0;None;;0;None;;0;126800;LILIS
SUSILOWATI;dr. MOCH. MOERAD, Sp.OG;1329R00209150000558^0000692951837;ada;tidak
ada;INACBG 4.1;C / I / RSU;1;721a020cd69779d55da90166a6f82ec4
3509134;C;050107;3;120463;2;28/09/2015;28/09/2015;1;06/05/1953;62;22790;1;1;;H26
9;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;44;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;MUHAMMAD SUPRIYADI, BA;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000559^00001138
35554;ada;tidak ada;INACBG 4.1;C / I / RSU;3;1898e00fd728df45a6d529c631e80b1d
3509134;C;118750;3;123988;2;28/09/2015;28/09/2015;1;16/05/1940;75;27528;1;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;45;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;S. SUHERDJONO, Drs;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000564^000011427967
1;ada;tidak ada;INACBG 4.1;C / I / RSU;8;f8a8437ec1b61dbceca3a6165dc7e300
3509134;C;162149;3;120463;2;28/09/2015;28/09/2015;1;17/07/1948;67;24544;1;1;;Z96
1;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;0;46;Q-5-44-0; PENY
AKIT KRONIS KECIL LAIN-LAIN;160500.00;None;0;None;;0;None;;0;None;;0;None;;0;160
500;ONTOSENO RIFA'I;Dr. HENI WIJAYANTI, Sp.M;1329R00209150000536^0000114286601;a
da;tidak ada;INACBG 4.1;C / I / RSU;14;3514b120ac446e7dadfde12be735677a

..0.........C..1329R00209150000567^0000114093077..0....0.48..00...00.00...3.....171325...INACBG 4......0..C......12...00...28/09/2015.56867.2..1....None.......0... LELY MARTHA ULI....None..dr..164782.2.dr..1.160500.None.dr.ada.1. MOERAD... AGUS YUDHO SANTOSO.......None..0..0.6...28/09/2015...1..0.None..12814.C / I / RSU..1.ada.None.0..3.0.16050 0.1...58.0.. ELLA FAJAR......None... ...28/09/2015.ada.1......None.1. AGUS YUDHO SANTOSO..51..0.18303..1.170538..2...None..40000.ACH.a da..170600.0.28/08/1980.124200.None...None...28/09/2015...135300.1......22..53......00......ada...INACBG 4.1.K047...SUHARD I..28/09/2015.None..U-3-16-0. S..I NACBG 4..09/08/2011.tidak ada. HENI WIJAYANTI. P ENYAKIT KRONIS KECIL LAIN-LAIN...47.28/09/2015....INACBG 4.00.None.123230...3509134..160 500.None.None............0.1511.C.1..tidak ada. PENYAK IT KRONIS KECIL LAIN-LAIN.... PROSEDUR PADA GIGI.00.....Q-5-12-0.Z098 .None....3.28/09/2015... .23522... DEVI.0.tidak ada.2.0.00.0. 160500...None.0...2..None.12000..12..28/09/2015.....05/05/1951.7934a4270550435accfd221d65bc83de 3509134.......28/09/2015.None..1..0..C / I / RSU..I259........0..1. Sp...C.ada..1..dr..3..None..None..28/09/2015......2...0..............ada...C / I / RSU.52...PUTRA PRA TAMA MAULANA R..2551f73e6ef87e5e6672692d1258229f 3509134...29752.28/09/2015.0...MARFU'AH.None.1..None.142000.......... Drs...28/09/2015..186507...INACBG 4.PD..1.2371...0.None......None......00..Q-5-44-0..0.1...0...C..0..35...None....160500. MOCH.....drg.3....drg... P ROSEDUR PADA GIGI.....0....170600......... 160500... PENY AKIT KRONIS KECIL LAIN-LAIN...0...118513.1.81.1329R00209150000563^0001871670183........None.INACBG 4.TUMIRAN..1...01/07/1945.0..74476....drg..U-3-16-0.......None......0.ada .072423........0.0..0...17....None.191108.I10.1...79aff7f883a1a0f473cb7c434ae29a14 3509134.None....28/09/2015.......OG.12000..70...28/09/2015....0...None...C / I / RS U.14/04/1934.......dr g.C.28/09/2015.160500.135300.....tidak ada..None..drg.17......C..K040 ....160500.....0..Q-5-25-0....None.bcd8387d2c9000059d8e0ac9e427f007 3509134.C.INACBG 4.13105.N97 9. Sp..50...1...50.tidak ada.....192958...1329R00209150000566^0001829041424.28/09/2015...3.170600...1.2.20595..C / I / RSU...28/09/2015.... LELY MARTHA ULI.1. P ENYAKIT KRONIS KECIL LAIN-LAIN.. 160500........e0ba3b632fb19209d900aa592326bf55 3509134.1....G409.00.0...tida k ada..H40 9.57.56....K05 2.FALELA SANDY MATOVANI...INACBG 4. INACBG 4.10/05/1959.R104...25656.1.3......4.....55...PD....160 500........0.1329R00209150000533^0000692851004..None.2.None.0.1329R00209150000540^0000688605063....01/02/1998...None..BRAIL.0...MOCH.....49.Q-5-44-0....0. Sp.... GIGI.......49..28/09/2015..2.....None.0.None..0......None.170600...SUNTI .01/02/1998..0....None...G409.......23691.ti dak ada.0...11.....M...1. P ENYAKIT KRONIS KECIL LAIN-LAIN... PENY AKIT KRONIS KECIL LAIN-LAIN..2. GIGI..0...05c4af5cbec57cc93ca5f6a627f4ca37 3509134.........1..C..45bdd2ae5cf4e2d2c9f340fbe3ecd36d 3509134..1..None.....0.Q-5-44-0.2.None. 124200....0.C / I / RSU...INACBG 4.54........ada...None...None.28/09/2015.28/09/2015..3.Q-5-44-0.dr....01/11/1949.........56867..1...00.9a0af30c9609fd5e98d8d6701740d0a7 3509134.. Sp.C...None.Z090 .Q-5-44-0..4...193412.....1......2.6448.. A..K041 .None.0.....ada..6448.1.0....C / I / RSU..00...0..None..189975...35. Sp..1..160500.1....INACBG 4....2. ELLA FAJAR..2.HANDAYANI.0..0.Dr.None.0..0.C / I / RSU.1.18012. Sp..0.1..64. ELLA FAJAR..None.18/08/1965.None...914d7a15df34c661bfc6922d2c984aa7 ...3........4...1...0. ELLA FAJAR.0...0..1329R00209150000541^0000688605399.tidak ada.None.. PENYAK IT KRONIS KECIL LAIN-LAIN...None.None......16050 0.1.0...1.MOCH JUHUD..28/09/2015.None.0....24072...INACBG 4.2...1..ti dak ada........dr.49240....65...0.ada..1329R00209150000532^0000692799366.175408. ELLA FAJAR....M199 9. GASTROI NTESTINAL AKUT....None....28/09/2015..None.56.N40..... .C / I / RSU...1..1.0.3..None...C / I / RSU...C / I / RSU.28/09/2015..SANUSI.1....0..1329R00209150000545^0001824975505....9789...1.3.125708.tidak ada..73b3fa6b9d889be07c44e10a355a239e 3509134...1.2319..21022...139409...t idak ada. FIKI...11/11/1979....K052 . SUBARI.None....1329R00209150000560^0001267753601...0...7fa33fb819f34433d9c73941a93014ce 3509134.124200.0..124200.1329R00209150000555^0000114712029.160500...C.C......0.05/06/1966..Q-5-12-0 .1329R00209150000544^0000114159183..0..1329R00209150000572^0001540616477.28/09/2015....Q-5-44-0....C / I / RSU.3.0.None.0..Q-5-44-0...160500..1.0.......tidak ada.....None..0....1. S...6ea26b07982d189440ebc1c368976fa3 3509134.2.0...ada.18... Sp...22.

..1...None.76884.....1329R00209150000554^0001826689296....None...0.None.0.4....3.1....193235.C..00....2.0....L570.C...None.M674....1.......... AGUS YUDHO SANTOSO...ada.1329R00209150000556^0001456888239.None...0......None.20.......1.137300 .None.f8fbccbe86f3576dc92cab2f82d823b1 3509134. INACBG 4..INACBG 4.tidak ada...0..C..1.2...160500.556574930660a016bf00b21100d84a4e 3509134...1.0.........ada.0.2..ada..0.E14 9..C / I / RSU.....INACBG 4.0.1....2......C / I / RSU..67... AGUS YUDHO SANTOSO....68.78729..... Sp.1..01/03/1951..1.None.160500.00...ada.71.137300...Q-5-44-0..71152.None.None..14/09/1959.CHASIJATI.None..... PENYAK IT KRONIS KECIL LAIN-LAIN..None.FATHONAH.None..1...ada. .3..137300..13..160500......3...1...C / I / RSU..0....16050 0.None.. Sp.....1329R00209150000561^0000113898947..0..79524.3...0. Sp..26016...00..65...Q-5-44-0.3....ada .dr.0.None..None.H609 .0....None.61.193603......28/09/2015....... PENYA KIT KRONIS KECIL LAIN-LAIN..None.2. ARIF HERMAWAN.tid ak ada.1329R00209150000546^0000113861024..1...None...0.329745.None.0.2......aa94bdf337cf51460a4bedadfb1f3e60 3509134.SITI PARMIYATI.Q-5-44-0..... B..0.None..dr.K122 .None....28/09/2015......I509.160500..2.60.....INACBG 4...00.0.None.. ARIF HERMAWAN.C / I / RSU.........1.4.... EVI...INA CBG 4...ada.tidak ada ..70.1329R00209150000565^0001479653043...0.. Sp..134594..7455.....2.9..ce4b99c2e8d3a28ee0ebae87e41e8335 3509134.20........1605 00.1329R00209150000551^0000114155414..None..Q-5-44-0.1.0..16525.58.. PENYA KIT KRONIS KECIL LAIN-LAIN....137300 ..33873.113924..INACBG 4..2.........50333ce1a3361eebc0b36add918852f2 3509134..C..d30f307bea3b590d7c7466e1fee637eb 3509134.0...........Q-5-44-0..0..None.. P ENYAKIT KRONIS KECIL LAIN-LAIN...........00....0...PD...0. PENYA KIT AKUT KECIL LAIN-LAIN......01/07/1952.0....INACBG 4...45......0..2.C / I / RSU..1.....None..ti dak ada.0.01/06/1945........C.....0....028959...70.0..28/09/2015.1.23616..None... Sp.None..None..0....39500......0....3679.C..0.1....SUGIJONO.28/09/2015. PENYAK IT KRONIS KECIL LAIN-LAIN.01/09/2005..106307....0...PD....1...None.None. ..23099..1.. EVI.....162120...10.21466..2......None.d8168c6986db8839f2267b2764a286ca 3509134.0... THT.None..........191383..1..E790.tidak ada.INACBG 4..None. B.. PENY AKIT KRONIS KECIL LAIN-LAIN.64........HAFIFAH...28/09/2015...16050 0.SITI HAYANI...0......1329R00209150000543^0000114365575.None.3.....Q-5-42-0.0.C / I / RSU..28/09/2015..28/09/2015.0.None... AGUS YUDHO SANTOSO.None.tidak ada.2. PENYA KIT AKUT KECIL LAIN-LAIN.None..2.28/09/2015.....28/09/2015.......2..dr...99ab8ce1fa303a23b6de6dd83327215b 3509134..0..28/09/2015.. Sp..22000. Sp...Q-5-44-0...None...1...afb8f377ab3ec07fd7afd4af1e3a9509 .M.C.....2..PD.2..None....64.1.2.1.0..25686...132113.16050 0...160 500.2...1.FARIDA.0...H612 ...00....I51 7.1..0.....tidak a da.0.86533.69..None....None....None.. Sp..tidak ada.0.1..28/09/2015. AGUS YUDHO SANTOSO.62. PENYAK IT KRONIS KECIL LAIN-LAIN....ada.1.tid ak ada......0.E145 .28.tidak ada..00........None.None...2...92.0.01/05/1995. AGUS YUDHO SANTOSO.193201.160500.None... B.....3509134..59. B.0...dr..dr..3.20f2395096dc26d690165c4cb76a4860 3509134.. ...28/09/2015.C..64. 160500...C / I / RSU. THT....None.....14..1.059916.2..Q-5-44-0.....1605 00..dr.C / I / RSU.C / I / RSU..6.RUSTI..160500..I10 ..06/07/1944......None....28/09/2015..INACBG 4..78690......C / I / RSU.E780 ...C...1605 00.. 160500...28/09/2015.1..1.3..28/09/2015.Q-5-44-0.160500.1..0..PD.....20468...01/07/1970.....Q-5-42-0.160500.28/09/2015...160500.None. Sp..None..Q-5-44-0........dr...........None......0....INACBG 4..... Sp........1.0..ada.ada.0.0.C.None..23587..0..160500...dr.tidak ada.PD.63. TOHIR MAKSUM..Z098. P ENYAKIT KRONIS KECIL LAIN-LAIN..00.....3..1..0....0....1.ada..63..3. PENYA KIT KRONIS KECIL LAIN-LAIN..2.....0..1...66..dr...01/01/1923.2..39500..SEFI IRMA Y....28/09/2015..1....140288...7390..dr...28/09/2015.ada.1........1.. Sp.None...31/01/1951........1329R00209150000535^0000692024139..None.t idak ada..0...193531....28/09/2015..05/07/1995.INACBG 4.....0.0.1...C.0.0...INACBG 4.1329R00209150000548^0000114 157247.......c15b736bff5d841a44a0255a02ebdcbb 3509134.C..00.0.SUKARTININGSIH..00...1329R00209150000549^0000113927714 .. THT.1329R00209150000534^000011437740 9..None. EVI...0.3.035ff8e1fee2502ff1a59fd5b8e39895 3509134...00....28/09/2015. PENY AKIT KRONIS KECIL LAIN-LAIN....0...None......Z098 .None..56...28/09/2015..160 500...C / I / RSU.0...0...00.....0..28/09/2015.C / I / RSU.1329R00209150000570^0000689185811..2..0.None....... ARIF HERMAWAN..2.0.Q-5-44-0.0.0.3.2.....28/09/2015......None...dr.dr.. Sp..0.3..EVI YULIA FATMAWATI..059547.....0. ARIF HERMAWAN..28/09/2015..None.20/12/1956...........

78...031666....193607.ada...0..59.1de2dd309f30ce7e6390e0583973fed4 3509134..72.8659.... Sp....1.9929.35.....C.160500.0.0.I259.193483. 196300...01/01/1947.C. AGUS YUDHO SANTOSO..None.....66.C / I / RSU...tidak ada..3.None..1..77...0..None..21658.None.1.C / I / RSU..0.1..0.None..2...0.INACBG 4..None.0...None..0..C.None.None....30..SUMADI.0.None.None .......dr.64..33..Z098 ...085637...102863..None.26285....0.....28/09/2015....C / I / RSU.09/06/1956.Q-5 -44-0.....0.None. PENYAKIT KRONIS KECIL LAIN-LAIN.25/09/2015..81....MURADI.ada..PD...A419.tidak ada.ada..None..tidak ada..tidak ada...25/09/2015.2...0.63.00. Sp..10988...26/09/2015....1329R00209150000542^000011399 9455.a02ca2727a8a35002bafb4322d156ad6 3509134.........tidak a da...76..0.Q-5-44-0..1.30/06/1982. 160500.....Z098 ...K295 ....26/09/2015.2... HE MATOLOGI AKUT.SARIJAH...None............2.2..INACBG 4..12902....C / I / RSU...1...None....1605 00.28/09/2015...160500.1329R00209150000562^0001877066346.3..2. Sp......160500....2.....0..1329R00209150000531^0001039682452....INACBG 4.None.......None..00....00...Q-5-440..17082...1329R00209150000530^00001144990 56.2.C......2....28/09/2015..dr....0..None.dr..00..1...1 54500.1329R00209150000524^0000113856761..Q-5-44-0.1..1....1... PENYA KIT KRONIS KECIL LAIN-LAIN....bb3c090e7012d55998e0113198adbddd 3509134.C.1.......None..tidak ada.tidak ada.C / I / RSU..25/09/2015.74..0..177444.25107...S61 9.....INACBG 4....None....... JEFRI CHRISDIAWAN.....061236....01/07/1952...1.0...None.00...L-3-12 -0.5312b1397e24e6c37f9cae556acc6a52 3509134.. Sp.0...3.13/05/1951... AGUS YUDHO SANTOSO....0. AGUS YUDHO SANTOSO.01/01/1949.....0.....0..None...M179...0....INACBG 4.2.1.Q-5-44-0.....INACBG 4..INACBG 4..HOMSATUN....0..2.Q-5-44-0..d748620acd8d73e2f492baee7c87f86e 3509134.1.28/09/2015..157600.28/09/2015... 160500...160500...3.....PD.C..PD...None...182329.1329R00209150000516^00013 24246296.1329R00209150000547^0001446778001.0...23097.PD...1.None.186151.....0..I259.00....dr..2.... AGUS YUDHO SANTOSO....tidak ada.1605 00....1.Z098 .1...C..19749.160500.2....160500..None...56..4.0.75........... PROSEDUR KECIL PADA KULIT...00. PENYAKIT KRONIS KECIL LAIN-LAIN...0....None. Sp..28/09/2015...0...dr..0.None.79.....54.1.82....68. PENYA KIT KRONIS KECIL LAIN-LAIN.... None....25504.00.26/09/2015.1..26/09/2015.0..22420..K30.3.0.039812.3..1...a8a28d4cbdbc9dbb49b64dd338876a25 3509134..a da.....None.Q-5-44-0....73..Z098 ..00..608540..23.......None..ada....PD.....E059 .160500..0..1..28/09/2015.dr.26/09/2015.....ROFIAH...INACBG 4..1.160500..26/09/2015. 0.01/06/1980.I259 .dr.None..0.. P ENYAKIT KRONIS KECIL LAIN-LAIN.160500..I509...ce98d6f6bb109fb324d3299d4bfa6ccd 3509134.1...28/09/2015....INACB G 4......28/09/2015.None.0....0.... Sp.....ada.. 160500.0....None...25/08/1985.D649 ..None.None..0.20538.2.0..M54 59.dr.2....1........0...ada.C / I / RSU.Q-5-43-0..I259.INACBG 4.SENIYAMI...3.....f6b351851edd02b38a6aba4bb691eeae 3509134....3..2.1....0........0....None.C..0..24373..2...... P ENYAKIT KRONIS KECIL LAIN-LAIN.None... AGUS YUDHO SANTOSO.167583..... PENYAKIT KRONIS KECIL LAIN-LAIN.........1..1329R00209150000571^000126061 0233....0..0.154500...MOESLI.None. P ENYAKIT KRONIS BESAR LAIN-LAIN...0..... AGUS YUDHO SANTOSO.0..12143.1329R00209150000568^0000114293799.0.1..1.SITI MARDIYAH..1.1.I10 .C / I / RSU..1. Sp...6.........28/09/2015.1.0.0..C...E148.HAYATUL MAKKY.1.1.2..None.C / I / RSU.0.....None.1....b2b9bcc78f4bb7834d0d931dc6a70929 3509134..23514.....None..4..27076.tidak ada.28/09/2015...C..PD...06/07/1959.PD..030892..3.103149..None..3......0. AGUS YUDHO SANTOSO......C.None..0. Sp.None.dr.......None....ada.0....68697..PD...None.84063.E790.1.PD..MASUMI KHASANAH...Q-5-44-0...ad a......LAILATUL MAGFIROH.. AGUS YUDHO SANTOSO. AGUS YUDHO SANTOSO..3.....5ee4fe14c31fdef37380bd738e97bc1a 3509134....2...dr.196300.None...3.1..42adc412483c7478f08d284e10de989 ...00.....18..PD..None.0..C.1329R00209150000537^000069102284 5.0....INACBG 4..Q-5-33-0.61..17967.0.0... tidak ada..157600..C / I / RSU.. Sp.........2.0.C / I / RSU....None...00.1329R00209150000509^000011415841 7.1.0.Z098 ....0.25/09/2015..C / I / RSU..None..None..3933955ec324fd2039877d21e3286470 3509134.71...ada..I259...2... P ENYAKIT KRONIS KECIL LAIN-LAIN...31817.160500.....70881...None.0.00...ada. Sp..160500...1.tidak ada.1.11/05/1954.56.dr....49.None....None.I259.18/07/1966.1329R00209150000550^00001142 05645. AGUS YUDHO SANTOSO.0..........ada.........20...tidak ada.9.1.191725.0...0...0.28/09/2015...28/09/2015..M329....80..C / I / RSU...1...None....1...28/09/2015....... 160500. Sp....PD.....3509134.Q-5-44-0..None...0.0....0....0...29371... AGUS YUDHO SANTOSO..None..0. P ENYAKIT KRONIS KECIL LAIN-LAIN...INACBG 4..dr.....None....02/09/1961..None........DJAJIN...160500..

193398...2.....00.1. Sp.........tidak ada.25/09/2015....12692.None...........INACBG 4.192998..0.C / I / RSU...0..1...074955..002594.74866cb8b1e23cbd5bdf0b3d3c7eb1ae 3509134...1.K041 ....0...None.0.01/09/2005.......None..23/09/2015..32be2a8a48d9384b2e15990d809f0692 3509134.19..1...1 60500...893c52e995611ebd60118a30f0cb1ec3 3509134....1.25/12/1980...00......None.91f51abf7facd1597e5f1b2bd7a1df7 0 3509134..None......0.3.1.....1.. SI..tidak ada.....00.......H612 .drg.24643. PENYA KIT KRONIS KECIL LAIN-LAIN.0.....1..2.INACBG 4.1.3.None..2..0.2...1..3.1329R00209150000515^0001 482794954...193201.C. THT..8577.None.0..C.2..LILIK FINDIYANI.........M1999.25/09/2015...23096. PEN YAKIT KRONIS KECIL LAIN-LAIN..0..1.0.ada...None...24192........1........89..00.1......Q-5-42-0.25/09/2015.bc78363e3245530161c6ec5e60a3be46 3509134...3.32000...21..86..92............0..66.... P ROSEDUR PADA GIGI...None.12897...None.None..1..C.....None.00.0.2371......c2a8f85b7ffc4ea5e5870d9ea3c54ebf 3509134.2..00....SITI E KA.C..tidak ada..Q-5-44-0.Z090 ........OG... MOCH..tidak ada.....None.ada...INACBG 4.None.0....C..160500.None..C / I / RSU..1605 00.....842009..25/09/2015.......193531..0.2.2.Dr..264000.85000.......25/09/2015.2.0.. PE NYAKIT KRONIS KECIL LAIN-LAIN..........63.0..14.........65....10..34...0..160500....25/09/2015......0..0..0.....0. MOERAD.160500.193180. ARIF HERMAWAN...Z090 ...None.1.....1.None...2.C / I / RSU....25/09/2015. S.N059.3.3..25/09/2015.01/06/1980...04/06/1950.Q-5-44-0.None.......67...MIFTAHUL HUDA.C / I / RSU..None.. THT....Q-5-44-0.193443....tidak ada..None.C....... B.193530.ada. PENYA KIT KRONIS KECIL LAIN-LAIN..01/07/1949.None..None.....INACBG 4..........1.None.0...0..2.None...None........11377...Q-5-44-0. ARIF HERMAWAN.INACBG 4.None....23/09/2015.PD.... Drs...01/10/1996..........25/09/2015.25/09/2015.C / I / RSU...0.2.0....None.ada.0. Sp..None.25/09/2015...L-3-12-0.0...1..0.2...a da.tidak ada.None.1329R00209150000506^0000 114156393....e 3509134.DIAN PRASETYO.3..None.... AGUS YUDHO SANTOSO...25/09/2015...........18..93...1329R00209150000518^0000173813951.Q-5-44-0..3.0...PD...E14 8.None..94. Sp.0.None...88.1......0....1329R00209150000507^0000689892614 ..0.INACBG 4..01/08/1984..NURHALIM..ada.....25/09/2015....dr..dr...None.2.160500... Sp..None... Sp..None.IMAM BUKARI.....None.C..C.154500 .193483.0.C.None....192604...... 0.1.Q-5-44-0..1329R00209150000522^0000689185811..1.48132.........PD...C / I / RSU.........0....1..84....0........S810 ..ada.None.1....PD..0..1..C / I / RSU..0..None...0.SEFI IRMA Y.....85...Q-5-44-0.. PENYA KIT KRONIS KECIL LAIN-LAIN...ada... EVI.None..None.dr..1....C..00..INACBG 4. PENYA KIT KRONIS KECIL LAIN-LAIN..1329R00209150000511^0001286560056.None.25/09/2015...dr...0..0.0...1.....ada........158927..2.1.C. PENYAKIT KRONIS KECIL LAIN-LAIN.. ELLA FAJAR...00.. PENYA KIT KRONIS KECIL LAIN-LAIN...3.....None.ENDANG PRALI YANTINI..dr.1.160500.00....None.1....M199 9..1.25/09/2015.dr.. AGUS YUDHO SANTOSO.83..1..6933...06/04/1948..U-3-16-0..........25/09/2015.1..None....tidak a da......0..None....25/09/2015.25/09/2015.2.123997..0..0...01/07/1952.2...1329R00209150000520^0000689231957..170600.....1..ee8c6f6966a927b49d23fc18424e6933 3509134.SULFIADI.157841.. K30..C / I / RSU.......261ad82a7b084e65106873025ea445 e2 3509134...0....01/01/1948.41190. ROHMADONI.INACBG 4.INACBG 4.......None.0.16 0500..43588....3.. AGUS YUDHO SANTOSO.0.C..3..35.....2.. AGUS YUDHO SANTOSO.Z090 ..137300..0. PEN YAKIT AKUT KECIL LAIN-LAIN..None.tidak ada..91..C / I / RSU..1.1...23.. Sp.. Sp....M19 99. tidak ada.. Sp.01/03/1996.....0.0....9..8659...24739.0.0..2.1.INACBG 4.None.154500...0..1605 00..25/09/2015..0....00.....7147...0.......0...4..0.161006.None.0..Q-5-44-0.3...1..23854.25/09/2015...2bfe1d61ea74eba0ddc88dd5ace216e9 3509134. B.1605 00.87...ada..1329R00209150000519^0001456888239..None..SITI PARMIYATI. E790.1605 00.None....0..None.0.0........90..160500.160500.dr..806c3b8e0315190e0e38b0f7fbda608b 3509134.1329R00209150000513^00001147 62137...1605 00....1329R00209150000514^0001277026828......1.ada......0.......170600.C / I / RSU....Q-5-44-0.31.160500..tidak ada..160500...1.....3.. PENY .0...1373 00..IKA HESTI AGUSTIN.Z098 ...1.........0..None....67..1.01/04/1992..2.36741.75297...25/09/2015.......1...dr...00. EVI..tidak ada..dr. Sp..1......1.1329R00209150000505^0000688627811.3676.... P ROSEDUR KECIL PADA KULIT..25/09/2015.I10....0......2..e1cd59f57e7036d05aa858c960547528 3509134.None.C / I / RSU..INACB G 4.0.

.8289.....None..0 .0.Q-5-44-0.None........ada.0..........1.1.0..None..tidak ad a..J459...23/09/2015.0.KUSUPARMAN...PD..20845..2.0.3.C.160500..........None.23/09/2015...4e0565f995cb58d26a8afd2e74f22e99 3509134..WASULI.....0..INACBG 4.0......160500..LISIN..192943.tidak ada..tidak ada....None.0..tidak ada.None...1..1... AGUS YUDHO SANTOSO...24118....I119...... Sp... PENYAK IT KRONIS BESAR LAIN-LAIN.19630 0..0.00.103....059916.. HENI WIJAYANTI..193199.23/09/2015.C / I / RSU..None.0...ada.0....None.......None.PD.Q-5-44-0.....1329R00209150000499^0000691022845.f335cbc1015b7d2f1362ebe2e5558cb0 3509134.Z098 .1..3.2... Sp.....PD.53.0..None.130463....None...95.C..0...1...TRI SETYO H P..2...101. 160500.1..dr..0..Q-5-44-0...0. N039. . ...E790 ....1329R00209150000491^00001141572 47..C...N23. AGUS YUDHO SANTOSO...None.5..2.None.00........28/08/1958.0.00.23/09/2015.1..1... AGUS YUDHO SANTOSO.None...0.0.66.23/09/2015..160500.23277.... Sp.QUROTAISNIA APRILIYANTI...1329R00209150000481 ^0000114507988.14.ada.0....M.INACBG 4.C / I / RSU.. AGUS YUDHO SANTOSO..107082.0..1.122114..1..None..PD.....dr.....tidak ada..22072b875e5389e7fbb30722659748c9 3509134..220399.None...C / I / RSU.160500..0.2. Sp.1.23/09/2015.9365.C..Z09 8....None.4...1......12/01/1993.WAHYU YOGA WICAKSONO......0.00... SALUR AN KEMIH AKUT..Q-5-44-0..None...1..1.tidak ada...None..0......C / I / RSU.391778178f390f8f58d21358a5e41baf 3509134.100..0...2..C..23/09/2015....26.1329R00209150000492^0000692413964..1..160500..99.C / I / RSU..160 500...25..INACBG 4..193475.4.00.None...01/02/1957....3..1329R00209150000489^00010962072 44.055046.2......1.Q-5-4 4-0..1.1. P ENYAKIT KRONIS KECIL LAIN-LAIN..ad a...28/05/1997...1..1..0..23/09/2015......2...1329R00209150000484^000011415 7067.80..1329R002091500004 87^0000049558443......Q-5-43-0..None..23/09/2015.Dr.0.Z098.I10.3..1...INACBG 4...MISTANTO....23/09/2015...None......0... .0.23276.23/09/2015..PD.160500...Q-5-44-0 ..180495..0..0..None.3..14.2.0..INACBG 4....49856.......160500.2.57........C / I / RSU..dr.dr...54547.1...None.C... 160500...16 0500.ada...104.1.0.58...... Sp...dr..None....C / I / RSU.Z96 1..8.1..96.......ada..0..tidak ada.....None..C. P ENYAKIT KRONIS KECIL LAIN-LAIN...C..0...Q5-44-0......tidak ada.None...0....dr.6692.None...... AGUS YUDHO SANTOSO..None..ada .1. PENY AKIT KRONIS KECIL LAIN-LAIN.0..None....ada.......PD..0.160 500..0.None.None....H433 .2......None.03/05/1935..None..I259.......0...3.1...INACBG 4..98...2....0.....None.... Sp.M5459.....55027.44788ce7875a6fef33c8ef8b3b ddb776 3509134..11/09/1949.....105....0.0..1.0..160500.I259..0......1.00.0.160500....23/09/2015.None...1......3.0.INACBG 4........ AGUS YUDHO SANTOSO.None......3..0.1....160500....23/09/2015.PD.1329R00209150000496^0001633 657656. PENYAKIT KRONIS KECIL LAIN-LAIN...00.C / I / RSU....PD...AKIT KRONIS KECIL LAIN-LAIN..0.. Sp.0.71..PD.tid ak ada.31/12/1951..None..None........None.C / I / RSU.23/09/2015...19436....2.ada ...... TOHIR MAKSUM... Sp.07d19170fb0158e1907b1e695b6f2d26 3509134.182321.0.No ne.0.0....C / I / RSU...J42.150400.0..dr.... Sp.C.35ee81b068f298fe259b3952f49df3db 3509134.1329R00209150000485^0001390744822. PENYAKIT KRONIS KECIL LAIN-LAIN....Dr.....1..None...1. PENYAKIT KRONIS KECIL LAIN-LAIN.01/02/1990.0......None.None..193477.dr.....332153.....00....144b4112cd9c70ece25987afe52a1ee0 3509134...None.00.......None..INACBG 4.....2.196300..102.ada.None.... AGUS YUDHO SANTOSO..0.None.None.C / I / RSU.0..1.E148.Z098 ...None.1.Q-5-32-0..97.2..23/09/2015..26011.1......160500.... AGUS YUDHO SANTOSO..23/09/2015.......K30...0.....0....Q-5-44-0 ..75053e4ac4fca78d58b3b3ab 6d745d11 3509134.C / I / RSU.MOHAMMAD SYANGADI..0...INACBG 4.1.ada..C.0..07/07/1962.None..0.M...... Sp.06/07/1944....15201.00.Q-5-44-0.None.148139.23/09/2015...dr.0..1605 00.1329R00209150000638^0001481983997..1.0...TUMIYEM PARIASIH..1..160500...dr......None..150400..23/09/2015..1329R00209150000494^0000114591159.23/09/2015.....23/09/2015....5283...M.None...ada.00.1329R00209150000488^0000114 613975.INACBG 4..4.CHOLIFAH....PD.........1....... AGUS YUDHO SANTOSO......None....8c5193108cb4e9b3da61c39506b60fcb ......29363..None.. Sp.. PEN YAKIT KRONIS KECIL LAIN-LAIN. PENYAKIT KRONIS KECIL LAIN-LAIN.I259.0.1.tidak ada...0.0... HENI WIJAYANTI...00.160500.None.None.E148...... Sp..INACBG 4....2.23/09/2015..tidak ada..3.21418...1.115337.0.tidak ada.192816..0.0... AGUS YUDHO SANTOSO.23/09/2015..C.3...aba4655441ba02a2cb1dc9c5640c0b8d 3509134.63..None.160500.. ...HOMSATUN....None..I10 .1.22.3..f81e2d7235b126aeb97532f54c79798c 3509134....0..18.06/04/2001.I10 . PENYA KIT KRONIS KECIL LAIN-LAIN.103000......INACBG 4..1.1....

..1.......01/08/1954....C..None.............3.45.U-3-16-0. PENYAKIT KRONIS KECIL LAIN-LAIN. ada.None.None.160500. B.0..12000..0..22/09/2015.3.......1..None... Sp...1329R00209150000 441^0000114119098...None.C......0..0.184687.00..1.None.....1.None..1..0.None..None..1329R00209150000451^00018395481 69..160 500.0. INACBG 4....None.Q-5-4 3-0.I10.23/09/2015. Sp.136504. PROSEDUR PADA GIGI...None..01/03/1987.None.........0.145289.23/09/2015....Q-5-42-0.C....1..1.....188735..0.7.b628b2f8a15ee063b5e1b7c0442fac94 3509134.cf588dfb2e721f6cc9b2b8d725c6f596 3509134.0..112..... Sp...drg.25651.0....1329R00209150000480^0000114365575..23/09/2015.None....M....PD...20.....2.RUSTI.None... PENY AKIT AKUT KECIL LAIN-LAIN..1.Z098 ..160500.170600. B... Sp...None.2.2.tidak ada.None...2371.ada ...0.0.tidak ada.43ad101b0cd7653b142dcf9b0bee2ae2 3509134.....196300.2bbdaccadaf3e5c4099140196334d8d6 3509134.K102 .1..SUKARTI....None..22/09/2015...0...INACBG 4..... MOCH...0......PD.00.None.........None.1329R00209150000455^000068880 2591..2....C... PENYAKIT KRONIS BESAR LAIN-LAIN.Z961 .252000..0...3.193443.106307..1.160500.109.0..22/09/2015.1..C / I / RSU.C..1329R00209150000478^0000114017523.0.None...196300.4.51.02/08/1965...........0.1.2.1..0.134127.I10..191383..3..None........0.2...None.None..Q-5-43-0.E790.None.None.23/09/2015....64....1.None.23/09/2015.....0..3509134.137300.22/09/2015..None......111...SAMSURI.INACBG 4..None....I259.22/09/2015..None..SAKRI....dr.2..2.. Sp..0.ada..23/09/2015.....0.22/09/2015.C / I / RSU.I259..00..22/09/2015....b60a43645048e120d0a3eea030220781 3509134..23/09/2015.......2..0....dr. Sp....0.0.....No ne. MOERAD.PD..0..ada.None.1...ENDANG PRALI YANTINI.......110.. PENY AKIT KRONIS KECIL LAIN-LAIN..C / I / RSU.None.....196 300. ELLA FAJAR.0.1.ada...23/09/2015.1329R00209150000495^0000113812391...None.. AGUS YUDHO SANTOSO..... ARIF HERMAWAN.160500......0..0..None.3a9b6ddcb600a4aca4e6f4c 60620efcb 3509134.ada....0.1.18931.22/09/2015...0....01/07/1970.1.tidak ada.....0..tidak ada....dr.117.114...None.1329R00209150000448^0000692024139.... Sp.81319..C / I / RSU.. Sp.1.C.137300...2....C.0.1.ada.........INACBG 4.17/07/1976..Q-5-42-0...0..tidak ada.21593..0..PAIKUN SUHADI..None...23907..1..108... tidak ada..0 .....0.0......C / I / RSU.18313..None.0. AGUS YUDHO SANTOSO..23/09/2015.00.2...0......INACBG 4.1....1.........Z09 8.C.0..ada.........50.....Q-5-44-0..Q-5-44-0....0.89302......None...0...0.....None..dr....63901..1.......dr....00..0..None.16 0500..cbaaa48a0200f30ffe6f097af03e4e5e 3509134.44472.ada.......160 500.....R609 ..2.00.106.2.1329R00209150000486^0000196799196.C / I / RSU.None...1...160 500.13730 0..0.....92000.......0...0. Sp....0..0.dr..C / I / RSU.. P ENYAKIT KRONIS KECIL LAIN-LAIN.None..20..70..8......ebd3665df44dca4d7fe0be029fc64546 3509134.196300..00.......PD.C / I / RSU.Q-5-44-0.....113..K040 ..... ARIF HERMAWAN.1329R00209150000479^00014346 41095.....0..tidak ada..None...0.None......None..378000f41f2de8ccfb542171b90c9beb 3509134....069135.3..160500.. ARIF HERMAWAN.None......1.dr.....061291.. PENY AKIT KRONIS KECIL LAIN-LAIN.7..tidak ada.I25 9.... Sp...E789.....22/09/2015.26/02/1950.....23950..22332.0....22/09/2015.. AGUS YUDHO SANTOSO..2..65.....3..0.UMARUL FAHRUQ........160500.15..None.61. PENY AKIT AKUT KECIL LAIN-LAIN............None.0.DEWI MUJIATI.22/09/2015..N93 8..0 .None.C......272866......01/03/1951. PEN YAKIT KRONIS KECIL LAIN-LAIN..tidak ada....3....Dr..C / I / RSU.1.......07/04/1951...B.00.0.INACBG 4.23/09/2015.028213..1..None....dr..39.. E790..00...3..1.1..025fb840b33178461ab3af71eae4c6c0 3509134....0.01/07/1945..22/09/2015..04/06/1950..1.. PENYAKIT KRONIS KECIL LAIN-LAIN. HENI WIJAYANTI.RETNO DEWI SAPTORINI....SOFFI L WIDAD...160500...161003...3.None..1.0... AGUS YUDHO SANTOSO.13730 0.10432..0...0.INACBG 4 ....C.....0....2..INACBG 4..None....dr........C.5...1.C / I / RSU..Z098 ....1.....0..13/03/1995.A169 ..107.193242........0..1329R00209150000440^0001430810458..0....00.INACBG 4...1. PENY AKIT KRONIS KECIL LAIN-LAIN....2...... PENY AKIT KRONIS BESAR LAIN-LAIN...3.22/09/2015....1.None..None.... AGUS YUDHO SANTOSO.C..3.C / I / RSU..None.Q-5-44-0.14312.ada..0.23544...None.65.1..PD.0.1.16519.23/11/1963..64.....SITI HAYANI.. 160500....1329R00209150000468^0000924433165..OG....Q5-44-0.23851..INACBG 4.....2.tidak ada.....00.....0...PD...E148.3..Q-5-44-0.None...GATOT SUPRIADI. Sp....116.2...28.....9d6ea3b1cb16ad51b3013390b82a0f8d 3509134.L029 ..23582.160500.00..INACBG 4. AGUS YUDHO SANTOSO.7.......2.2..None.0...Q-5-44-0..0....097516....None....1..............dr.tid ak ada...ada...3......0..160500.115.22/09/2015.1329R00209150000453^00014 ..170600.1..1..7499..None.

119.C / I / RSU.22/09/2015..170600.0....Q-5-44-0.None. Sp.....0...0...None...03/03/1947......... tidak ada......0....PD...0.None.a36c492d30dfe470eff9b7d4e0ec5231 3509134....Q-5-27-0.None.........2.22454.0.1.b896db51735cdd158a22174bc23ef9aa 3509134.0.160500.MARIYANI..C / I / RSU......None....1.. LELY MARTHA ULI..1.1...0...064386.INACBG 4.tid ak ada.0 ..C / I / RSU...Z098 ..0..Q-5-44-0....INACBG 4.SOLEHAN BUDIADJI.U-3-16-0.52680.. PENY AKIT KRONIS KECIL LAIN-LAIN.None..U-3-16-0.dr.1..1...Q-5-44-0.tidak ada.16768.....22/09/2015..66076.22/09/2015..118..193447..0.....3.....tidak ada..1329R00209150000462^0000688767895..C. PEN YAKIT KRONIS KECIL LAIN-LAIN..3.....0......22/09/2015.120.....C / I / RSU......122152......... A.125116.1.130678...C / I / RSU..1.2. LELY MARTHA ULI.....22/09/2015....01/06/1944......0.1329R00209150000450^0001541664786....I259..148905.SUJANIK.0....64...INACBG 4.C / I / RSU. PENYAKIT KRONIS KECIL LAIN-LAIN....22/09/2015.......... Sp.ada..ad a...16 0500. Sp...2....22/09/2015..BARI ROH..2319..None......0.None...0 .C / I / RSU....None.None..None..ada..tida k ada.. Sp.M199 9...INACBG 4..1. P ENYAKIT KRONIS KECIL LAIN-LAIN...None.1.1.170600..22/09/2015.None..C ...42.99316......0..00...0.None.00..0.0....1329R00209150000456^0000114460209......3..C.20.None.a da...H11 0.....K30...None..SULASMI.dr......Q-5-44-0.None.49681..C.C / I / RSU...........MISDI..........3.45.1..ada.None.1......159217.22/09/2015.0..18/08/1965.160 500.0.C / I / RSU....None.22/02/1973.0..ada.....None... PENYAK IT KRONIS KECIL LAIN-LAIN.16 0500..71.0.. HENI WIJAYANTI..0.48413.....1..2.0....ada......None.SUNARTI...INACBG 4.None......25040..0.0...12/07/1981..0.0.0...None.tidak ada.....160500.0....C / I / RSU.00..2..160500.153352........127....0....193146.bc733b003f36ad8d9912a9280ecea04d 3509134.....160500.2.I639 ..1..122.8...22/09/2015.None.3.e0ec65d8942abcae321055546d1640fd 3509134.1.26045..None.22/09/2015..1.....22/09/2015.50.None.160500.None.0.. GANDHI...SUYITNO.tidak ada.....None..124..00.1....01/10/1956.None.tidak ada. AGUS YUDHO SANTOSO.00.484584..None..2.39d10dfca914773258d3c5642cc34afa 3509134.0.C..00.tidak ada.0...160500....None...C..18448....INACBG 4. S.0.INACBG 4.None..1.. Sp..00..........1..None..1.18345...1..1329R00209150000467^0001478503844.None..0.None...46b2972ffca578b41f0a4f620d60919d 3509134. Sp.22/02/2007....PD.None..3.f3e8f06dbcb4f518ef383770085c5471 3509134.....Q-5-44-0.ad3d924c768374740ecc7ca489869676 3509134.....22361.1....22/09/2015..3.1.....1......Q-5-44-0..None.61....... PROSEDUR PADA GIGI......None...drg.059390....2.15552....1...2..0...0...ada.....0.C.1..2. SIST EM PERSARAFAN PUSAT AKUT...None......M..03/05/1951......ad a...Dr.C.....983baaba18a830b2d106ba453c6e5b22 3509134.064505.2.........Z098 ..12490........22/09/2015.I509.ada.INACBG 4.1.1.dr.PD........None.dr...0.None. ELLA FAJAR.... DEVI.K04 1.01/07/1945..... S.2..22/09/2015..3.4f0fe6aa448bbe6757f1f9c44cc90540 3509134...0..0. Sp.1...128...INACBG 4.BRAIL...1....None.....INACBG 4.C.None...1....68..Q-5-44-0....None.0.None.2.0.34.0...INACBG 4.193446.ada......129.drg..1329R00209150000461^0000114093077..PD..160500..1.....PD..0. AGUS YUDHO SANTOSO.dr..E790 ..22/09/2015........18297.3134.82794954. HENI WIJAYANTI........22/09/2015..2..0... Sp.tidak ada... AGUS YUDHO SANTOSO. PENYAKIT KRONIS KECIL LAIN-LAIN.None......0.......25/10/1969......0.22/09/2015...8.0...2.....2....0.59.dr...136700 .None.1329R00209150000464^00018027 48936.01/04/1954....5....3.0.....1...1.2.None..0..1.2..21540...tidak ada.3.00.. PENY AKIT KRONIS KECIL LAIN-LAIN..160500... GHEVA FAWWAZI.None.ada.None.INACBG 4.0..None. .Q-5-44-0....0.0...1329R00209150000449^0001541664764.....160500....Dr..0.....0...M..1329R00209150000459^0000114365452...0..2.....1.....22/09/2015....tid ak ada...7c6fab7e9a2c1f803fb0fc1f2ed29825 3509134.191844.....1..C...1....None. PEN YAKIT KRONIS KECIL LAIN-LAIN....0.2..160 500...... PEN YAKIT KRONIS KECIL LAIN-LAIN.INACBG 4......160500.170600.2319...C. AGUS YUDHO SANTOSO.bc7404d9263c9a9a6db2df367653d1c3 3509134.G409 ..121...170600.None..0..25650.......C......1329R00209150000443^0000114115296..3..1.01/07/1965....0..22/09/2015...22/09/2015... Sp...0.2.59510.C..0.....1.0...00....dr..M..MARF U'AH.22/09/2015. E790.....C / I / RSU..None.. Sp.136700...H26 9......123..None.23518....1...16 0500...None.0.None.126.K01 1.......tidak a da.125.....Q-5-44-0.SUKARDI..None.0.00.. PROSEDUR PADA GIGI.00.1....0. 160500..22/09/2015...None...dr....J459.3.50....16050 0..70..3.00..1...0...1329R00209150000446^0000692851004.2..0..1.....160500..None..192958...1.1329R00209150000466^0000114279783.193145...C / I / RSU.1329R00209150000463^0000113984019.22/09/2015.ada..5... AGUS YUDHO SANTOSO..

.192506.22/09/2015.I130....1.C / I / RSU..ada.142000.....None.147000..12000...0....6569434.0.tidak ada.H-236-0.3.5.None.2.....0..0.119519.3.C.1329R00209150000452^0000114473799...2.0..ada......JUMAI YAH.......OG...1..1329R00209150000471^0001809960974......160500.Z35 .2.30063.. PROSEDUR PADA GIGI.0..........6774100.192215.132 9R00209150000447^0000114017523..23610..None...dr.3..1.None.None.1..52cbe9b4e8 31504e18054f68aa96f293 3509134.None..1...1..d21216b8d9dbee29622f07f9224f 744e 3509134..193372....None.None.8425.None.0..01/06/1933..Phacoemulsification....dr........ca4cd2da547d2c82839ae0d9d45ea516 3509134.170600..3.....01/11/1959.dr.INACBG 4...170600..None..Q-5-44-0.1329R00209150000465^0000690318268.1.......Z098 ...L03 9....0....INACBG 4...None..6774100..0..6.....22/09/2015..2..None.0......1329R00209150000460^0000688460343..C...........SUMINO...0.M.11205..0..132...C..H2 51. PEME RIKSAAN ANTEPARTUM..2.0...2.ada.....None.None. ARIF HERMAWAN.....0..Q-5-44-0...C / I / RSU..126800.. MOERAD.3...15/08/1966.C.0..22/09/2015..0.1.134...22/09/2015....22/09/2015......22/09/2015..0.160 500.232..1..1..dr.2...1.None.... Sp..00.1.1329R00209150000475^0000688804007.0....22/09/2015.. PENY AKIT KRONIS KECIL LAIN-LAIN...136...0.C / I / RSU.0.55....1.0...D481 ..0.....3......3 309100....82..None.None.....C / I / RSU.61. Sp.tidak ada ...None...0..None.00.2.PD..0.0..OG..192807.140.024788..0...1..131.... Sp.. Sp... PENYAKIT KRONIS KECIL LAIN-LAIN.00...0..f2993e1db0e8107f6c847357397b2c9a 3509134...None..C.C / I / RSU...Q-5-44 -0....None.1.1329R00209150000474^0000113898947..None..3465000.....31/01/1951..3..30.17935..0..1329R00209150000473^0001878515177..0.22/09/2015. PROSEDUR PADA GIGI.20171.22/09/2015. HENI WIJAYANTI.01/07/1958. PEM ERIKSAAN ANTEPARTUM.... Sp..1341.None.1..22/09/2015....H612 .None...INACBG 4.None..3.....22/09/2015..tidak ada...U-3-16-0.126800.2......1.139.DIANA H ROSYIDAH (PST).19806..23e3876d382010850e2fe91470e6f342 3509134.589fb85f443fd6977f80d08e2461d5f2 3509134...0.1. PENYAKIT KRONIS KECIL LAIN-LAIN...55.0...Z359 . Sp.I259.None....ada...0 .I10.3.............0.00..None...tidak ada..65......3465000.160500../ I / RSU..Dr.0.dr.......0.22/09/2015.1329R00209150000469^0001824304702....57.......None.193383...YY-13-III...01/07/1961.170600.00.2.None.None.......1....INACBG 4...00..152000.20414.22/09/2015.tidak ada..C..None..0......83566.3..0..1329R002 09150000439^0000689302102..1..U-3-16-0.None.dr.....160500......None.0....None..2.1...e183c3acb16e12997a4a8ba7b984f668 3509134... PEN YAKIT AKUT KECIL LAIN-LAIN.0...a456eee833f27b7 f8307b6b0bd7611c9 3509134.....None..M.3..28/08/1992....None...1341....1....74000.......0.0..1...00. THT...c854b44a022562812e26764183a89cab 3509134.26/02/1950..0.133.INACBG 4.....22/09/2015....YY-13-III...INACBG 4.C / I / RSU.ada.Phacoemulsification.0.None.C / I / RSU.........508a2de76a6372ec3b90742d76f24a6a 3509134...160500.Q-5-42-0....0..tidak ada.......2.. EVI..126800..1.....3..22/09/2015..Z09 8.1.. PROSEDUR OPERASI KATARAK..None.137.....3........0...C / I / RSU.22/09/2015.1.INACBG 4.C.0.54.2371..3.......Non e. PROSEDUR OPERASI KATARAK.1...........22/09/2015......1..0....None.........2.1329R00209150000444^0 000113858695....0.drg....0.17/01/1985. Sp..... MOCH...4fb42efa0e9a879887a2c03d0ed6dd9f 3509134.1371..49..tidak ada....086314.1..ada.....01/07/1960....C / I / RSU......C / I / RSU.ada.1.None...None.ada.Dr......14/08/1975.5.0....40..1371.1.1......2.. Sp. B.e2eb18f43aa00881dd32c79b0e7bcb1f 3509134......22625.....22/09/2015....2.C..14649... ada.MONI KA PURBANDARI...0.tidak a da.160 500... AGUS YUDHO SANTOSO..3 309100.H-236-0.........DEWI MUJIATI..Z35 9...23..137300..135.C...C..WARIPAH..170600.K041 .1...None..None..1......126800..22/09/2015..UMMI HANIFAH.None..23949. Hj.6610915.12/10/1953.20902.0..None..39500.... B..193454....00..INACBG 4......2.22/09/2015.0.....C...2.097516. MOERAD.C / I / RSU...0...Q-5-23-0..None......1.tidak ad a..PD.. ARIF HERMAWAN..tida k ada...22/09/2015....0.. AGUS YUDHO SANTOSO.1......SUGIJONO..tidak ada.C...INACBG 4...2.00..0... HENI WIJAYANTI.drg..IN ACBG 4.None.164000......00.64.134594....0.1... Sp.....INACBG 4.1..1.K04 1.0.1. PENY AKIT KRONIS KECIL LAIN-LAIN...None.2..0.. MOCH.ada.None..ada.. ELLA FAJAR...0.None.3..1373 00....Q-5-44-0..2..3.1...MALIKI..5...0.dr..160500..None..0.22/09/2015.0..22/09/2015....00....4..160500...DEWI SHOLIKHAH.H2 51..22/09/2015.208000..192553.Q-5-23-0...138.190776.2..0..None. ELLA FAJAR.....130..PONIYEM.....

.94359... ..tidak ada..11740.C....INACBG 4...2.C / I / RSU.00......1...None..tidak ada..160 500.C........1329R00209150000424^0001839 548169.MASR UROH....0.64...2.ada.0.146...0.0..None....2b6464efecd24322ad2d400819023620 3509134...1..E789 .........Z098 .141.SRI WENI.00.160500. MOCH.1..None...1.157600..C.62000...1..0.0.. Sp........C.160500.26751...21/09/2015..0.dr. AGUS YUDHO SANTOSO. PENY AKIT KRONIS KECIL LAIN-LAIN.0..115337....2...C...00..None.0.ada.21/09/2015...None......0... ..32.0..1329R00209150000454^0000691758303..2...None..0..152.0.None... PEN YAKIT KRONIS KECIL LAIN-LAIN.00.....1.None.......dr..16 0500.142..1329R00209150000426^000011428009 7.21/09/2015..tida k ada......... Sp.INACBG 4..22/09/2015.f5b77f05669df9f710d6d0a894dfac3c 3509134.0....01/07/1951.16 0500...f20174e888d9452c71ffe470bc230e6f 3509134....1...161006. Sp..A169..0.. B..3..0... PENYAKIT KRONIS KECIL LAIN-LAIN.None....1329R00209150000402^0000690318268......21/09/2015.None...07/07/1962....01/06/1933..1....PD.160500..tidak ada....056454..N93 8..dr.0.1.None.Q-5-44-0...None....2....01/08/1983.. MOERAD....None..C / I / RSU.ada..01/07/1960...C / I / RSU.1329R00209150000420^0000688804007.0.48.....C..1.d79dc8eb707d7c804535aacc07052a25 3509134...None.........ada.....244285.833efb63e720c1eda707f6402c266c2a 3509134....55...1.None.4c50be851443db36d9e4b8f7c08ab92c 3509134.2. Sp....tida k ada.2........1. PENYA KIT KRONIS KECIL LAIN-LAIN.Q-5-44-0..3....0...OG....None... MOERAD.3..2..Q-5-23-0...D649 .160 500..OG...1.None..0...dr.....1.None....dr. 0.1.193383...0..PD.dr.75691.193193..0..0.None..0.193445..50............0.......0.bf4c919400ab7078492f4f3e0e78b55b 3509134.ada..21/09/2015..160500..01/09/1967...None...81000....0.MUZAYIN.22/09/2015.....43020..0...None.tidak ada.1...None.....None.0. ARIF HERMAWAN.0...0..1.0.0.19697.0...None..1329R00209150000409^0001878571438..0....None....INACBG 4.OG........057889.26......MALIKI..1....... ada...INACBG 4..24188...48.......None..160500..C / I / RSU..22000.None....C..1329R00209150000472^0001442305541.ada.2.21/09/2015.1.C / I / RSU..2...1.160 500....188735....None..0.. tidak ada... PENYAKIT KRONIS KECIL LAIN-LAIN....0.126800...1..dr.53..D481 .0..147...00.....INACBG 4..PD.INA CBG 4.......t idak ada. PENY AKIT KRONIS KECIL LAIN-LAIN.INACBG 4.....21f4daa68c71e40c2776dfc4ce245a82 3509134....C.0....Q-5-33-0...142e84cdb245504242e9860236aeb6be 3509134.67960....1..189922.I10.....0. MOERAD...1..ada.0.....None.Q-5-44-0.Q-5-44-0. B.None..0..244285..0......0..0.1.None.....25/06/1942.21/09/2015......dr....M1999.1.None.C......None.....None....0.ASIA HOTIMA..160500.1.None.......22.3. PEN YAKIT KRONIS KECIL LAIN-LAIN.None...0.....82... PEM ERIKSAAN ANTEPARTUM.0.2...148.........None. Sp..1.I10 .....65859...3.0.1.2...00.....NURHALIM.21/09/2015..21/09/2015..Q-5-42-0.None..18312.21/09/2015.3........8.....137300.00...00.17553.17/10/1961..3..C / I / RSU..None.00.I10..23458.C / I / RSU.......07/02/1942.21/09/2015.1....1....1..1329R00209150000414^0001286560056. ARIF HERMAWAN.2....02/08/1965..1.PONIMAN.. HEMA TOLOGI AKUT.1329R00209150000408^0001272026531.dr.1...C / I / RSU..00.0.1329R00209150000432^0001467483467...None.9....1............ ARIF HERMAWAN.1..None... PEN YAKIT KRONIS KECIL LAIN-LAIN....8e1010a70854837d147afb25c79524d7 3509134.....0...17538..1.INACBG 4...3. AGUS YUDHO SANTOSO.1....0.192215.. Sp..C....2. Sp..2.22/09/2015....160500. ARIF HERMAWAN.None...21/09/2015.tidak ada.Q-5-44-0....None.00.0...3...0 .21/09/2015. B.150.. MOCH.1.2....26889.0.None.21/09/2015.None.... AGUS YUDHO SANTOSO.N91 1..0...C / I / RSU...C / I / RSU..145... Sp.....3.1.21/09/2015...20170...C...73..GATOT SUPRIADI..1.....None...0......C.0.None...74fd108282b311451176fd20dd40dfc4 3509134........0.UMI SALAMAH.....21/09/2015..None... PEN YAKIT AKUT KECIL LAIN-LAIN...None.M478 9.Q-5-44-0...0..Q-5-44-0...1329R00209150000458^0000692349748.0... Sp. PENY AKIT KRONIS KECIL LAIN-LAIN...MOELJONO...........1329R00209150000437^0001472470571..160500...151.0.tidak a da.2....21/09/2015..160500.0.Q-5-44-0.1.160500..3..157600.1.INACBG 4.3..19434.. Sp. AGUS YUDHO SANTOSO......tidak ada..1605 00....30062.0...MOCHAMAD SUB IJANTO......53.21/09/2015...1....None.193442..1...0...L03 9..73...1....21/09/2015....... B..INACBG 4......1.00.None..........None... AGUS YUDHO SANTOSO.....PD...0..dr..144500..1.None.1......21/09/2015.....4...None.PD. Sp.01/07/1949..ada.ada..0..149...2..0..66.None. MOCH.ada.INACBG 4.None..ada.C / I / RSU.1..dr..SUMINO. Sp.None.tidak ada.N359 .0....1373 00...0...160500..dr.Q-5-44-0...0..143..144..126800..0....None....4f442f012e2e8f89a80af984bf121702 3509134.16 0500..None...87743...INACBG 4..22/09/2015..172036....15/09/1967..1..None.C / I / RSU.......

......None...92.......0....1..21/09/2015..0...0.1.31.0..1.Q-5-44-0.Z090 ..2.Q-5-44-0..21/09/2015.. EVI...0..None..0.6.2.0...00.dr.00..29745.43496...2....43..1. EVI.....1329R00209150000403^0000114712029......160500..21/09/2015....00.21/09/2015.....0.161.13098....2..160 500.Q-5-44-0.a da....ada..K30..113724...1.2......None..10...a368c0d76419fd979629d14e2b792954 3509134..None.1. THT.H612 .None.0..2.00.193235.None...160500..0.0.drg..ada.C.SUHA RDI.........160500...170600.......INACBG 4...None... Sp.None.01/07/1972.1605 00.21/09/2015..05/06/1966...cd23033c12a0d0b54f7d22b3c60102cd 3509134..55.2.. PROSEDUR PADA GIGI..0.......160500. PE NYAKIT KRONIS KECIL LAIN-LAIN. Sp..170600.INACBG 4..2860e05069e193b36a4a7440992b0e3d 3509134...1329R00209150000405^0000114377163...21/09/2015..0...163......ada... HENI WIJAYANTI..1..3..... Sp.3...0...21/09/2015.21/09/2015..0...98c83c8131f0aa636a7c605675ea99d0 3509134...18005..1.0.0 .None...C / I / RSU.0.2319.C..M..1...0.21/09/2015.U-3-16-0.H612.....ada..0.0.PD...2..C..0e56317c8781aa9575ecaf6ea67a4983 3509134..42000.U-3-16-0...3..1..2371..e72c00c80eb198f74e9783e0bf5216ea 3509134.H433 . THT.1....2.f2f0821d6e78224dd4c662335e14a75d 3509134.. PENYAKIT KRONIS KECIL LAIN-LAIN.160 500.2.ada.1.INACBG 4.0..M..160500.1...00.164.180738..00.175408..81.1...None.01/11/1959.21/09/2015....INACBG 4..None..0..H40 ....07/01/1990.Q-5-44-0.0.11/11/1979.........0...2..65941..tidak ada.ada..21/09/2015..tidak ad a.21/09/2015...None.162.None..1329R00209150000415^0001809463285.2.1329R00209150000418^0001826689296...120678.0...0..0...C / I / RSU...21/04/1997.....057888..120463..INACBG 4.. SI....1.1.C / I / RSU.None..3..Z098 ....8.. Sp...tidak ada..tidak ada.0.0.INACBG 4 .0.........00.00...8a39c66290393b993a20921246e743ad 3509134..K041 ..2.05/07/1995.ada...0..6..........23330.None...20195..None.dr.1.159...6727. ..1 60500.drg.2e1286d38e72bb3e666fe4b2f2ac1564 3509134..1329R00209150000428^0001540616477...MISTANTO.........1..160500........1.170600....C..FALE LA SANDY MATOVANI. PEN YAKIT KRONIS KECIL LAIN-LAIN.....2.0..1........None..21/09/2015.3...1..None..tida k ada..None....... MOCH..170600...0.0....0.I509.....Dr.....H604..1..Q-5-44-0.160500....ti dak ada.C....1..... ELLA FAJAR...0...1.11373. S..0....None.1329R00209150000429^0000114 762137..1.None..3.21/09/2015.....0. HENI WIJAYANTI..C..........0.. Sp.1......C / I / RSU.C / I / RSU. PROSEDUR PADA GIGI.0.... PENYA KIT KRONIS KECIL LAIN-LAIN......ada.13..a da.0..0.21/09/2015.2..... AGUS YUDHO SANTOSO.INACBG 4......1......21/09/2015.CHASIJATI.Dr.3.0 .dr.None.......1...20.None..PONIYEM.160500...J304 .C..0...21/09/2015..C / I / RSU.1.None..15787...K04 1....01/01/1923......1...0.None....... PENY AKIT KRONIS KECIL LAIN-LAIN.1.drg....None.......2..9388..0.0....None.None..160500..tidak ada..1.21/09/2015..... P ROSEDUR PADA GIGI....160 500..21/09/2015..None....160500.2..3..ACH.1..0.153.....00....None.39500.C / I / RSU...160....U-3-16-0...C.3.1..None.C.0.....2.06/11/1951..None.8e730854b191f45cf19a664a9b5ae010 3509134....157..3.0.....170600...None.. Hj.0..C / I / RSU...None.... Sp..192121..136212...2..156.21/09/2015..21/09/2015.20413.... AGUS YUDHO SANTOSO..1...137000...dr.14/04/1934...PD.None..2.None..00...0.0.........3.00....0.H26 9.3.01/08/1984.. Sp..dr..170600.2....ada....35.None...INA CBG 4...tidak ada.None..None..INACBG 4.Q-5-44-0.1.MISNATI.None... ELLA FAJAR....None.Q-5-44-0.None...0...0... PROSEDUR PADA GIGI.U-3-16-0.....None.....INACBG 4.drg..None.tidak ada.....1329R00209150000425^0001267753601.....C / I / RSU.C / I / RSU..C / I / RSU.......118513.C.. PENY AKIT KRONIS KECIL LAIN-LAIN...2..EVI YULIA FATMAWATI......None.K04 1.00.INACBG 4....164000....None.......None. GANDHI.1329R00209150000406^0000689302102.None..0...1329R00209150000430^0001096207244...55......5.......C..None........25....139908.0...IKA HESTI AGUSTIN... THT.None.193398.11....193372.AJENG KHALILI R.....155....06/06/1960..C. MOERAD..072423.2..ada.INACBG 4...None..0...None.0.......33866......SITI QOWIYAH.0.1329R00209150000407^000011392771 4.1.1329R00209150000422^0000114438881...267044.None.170600.None...ALFAN FACHRUL ROZI.1329R00209150000417^0000170095623...158.......None.... ELLA FAJAR.None...0... SUBARI...16 0500.31e75d711e5b22af8948989e1d124c34 3509134..0.......None..1..K05 3.....21/09/2015...232..1.1.........0... tidak ada....tidak ada...tidak ada.63......OG..None...0.170600.None.....18. PENYAKIT KRONIS KECIL LAIN-LAIN.21/09/2015.........21/09/2015. EVI......2319....0.0...49..... Sp.48858.1..0.0.......dr.0...7383..0.C / I / RSU.None.876942bc77daae555787438beaaa61c6 3509134.113924.154........1.041775.Q-5-44-0.. PENY AKIT KRONIS KECIL LAIN-LAIN....

...92000.C / I / RSU....None...21/09/2015.120463....1....208907.0.4094.None...M..f9dada0ec19cbba03d5e90bb5364fa60 3509134.3..Q-5-44-0.2.tidak ada.4553..INACBG 4.C / I / RSU...KATIYEM......21/09/2015.4fa2d98ae9cbd0b84ea4da32ecff874a 3509134.Dr.226900..0.....ONTOSENO RIFA'I.1.16862...21/09/2015.None..0.C / I / RSU.. Sp....0.1.. LELY MARTHA ULI.9.1....160 500.None ....1329R00209150000392^0001421216109...16 0500...R33......12.168..11..dr.. PENY AKIT KRONIS KECIL LAIN-LAIN.None.....16 0500. S.2........0.1.160500......0.21/09/2015.13.....0.174.1329R00209150000400^0000690470976..Q-5-44-0.b99ed79fe2373512284d6abafe9338c5 3509134..0.2........I63 9.1.INACBG 4. Sp...18/09/2015...G409........MARIADI.... PENY AKIT KRONIS KECIL LAIN-LAIN.5.1...None.0....0..1..0......1.. S.26798..I10.136212.....19/09/2015. PEN YAKIT KRONIS KECIL LAIN-LAIN.0.C / I / RSU.160500.....66.1..25/08/1976.INACBG 4.....175..None.None..01/07/1949...None.2.......24537.Dr....C.SUPRAPTO HADI..N-3-14-0...INACBG 4...None..... Sp.M.......1..9..20744..160 500...C....1329R00209150000399^000000111881 2.Dr.....YULIUS EKO HARIYANTO.......None.None. LELY MARTHA ULI.....0...0.0.None.3......162149.0.0.0.ada. PEN YAKIT KRONIS KECIL LAIN-LAIN.298f85e606b0d47c1add1fe2976527b5 3509134.16 0500.....2..None.12.0...None......0..1.H26 ..00.None...... Sp..None.193401.130463.DINA KHANIFAH R.Q-5-44-0..2....C / I / RSU...C / I / RSU.0.. HENI WIJAYANTI..C / I / RSU.13/05/2006.tidak ada.ti dak ada. ....160500..0...191328.None.tidak ada....0bc922d1c780b8e56d279e2885f599d5 3509134.dr...0.......Dr.M..1605 00..688799..226900....50463..C / I / RSU. Sp.3...19407.1.21/09/2015.21/09/2015....cba286fe57df102a97569c8145cfa87a 3509134...None.0.C..2..00.INACBG 4.None.None..1..0..None. Sp....21/09/2015..1....18/09/2003.1....0.....21/09/2015..None.Q-5-44-0..0..0....2...2. ada.. HENI WIJAYANTI..ada..00....3.Q-5-44-0.1.1..21/09/2015.ada........ti dak ada.........192286.112973...21/09/2015..C / I / RSU.0.160500.0..1...None..2596d66a0c56cacdcb04df678af4c2b0 3509134..1605 00..Q-5-44-0.... tidak ada.3..2.....1.......INACBG 4. HENI WIJAYANTI.1329R00209150000401^0000114286601..1.21/09/2015...INACBG 4.0..1329R00209150000416^000133 6320516..C.3.21/09/2015...None.dr..ad521eeff787c25fa78c2c5ba754dc96 3509134.None.....1329R00209150000434^00001002533 49..14271..None.H26 9.21/09/2015..... PEN YAKIT KRONIS KECIL LAIN-LAIN.....Q-5-44-0.19/09/2015.....160500.. SISTEM PERSARAFAN PUSAT AKUT.CINDY YUSI CALLISTA..39..00.54.....1329R00209150000413^0001865091947.1...0....C.IMAM TAUCHIT.None..INACBG 4.0...01/07/1961.170....03/12/1958..0..165.None.None.None......3. .1329R00209150000431^0001103459422.16 0500..169..None.15/06/1955.174763.. PEN YAKIT KRONIS KECIL LAIN-LAIN..........1..H110 ..1...0.........0...Q-5-27-0.06/07/2004.24188.......ad a........None.M.1..None..1.......None.........None..0....0..2...a6f3f8f16964cb958460b0c1ad89005b 3509134...173.ada.0..1...C..0.... HENI WIJAYANTI.0.8594173fc6eb83fc32f893a76bd9ba8d 3509134...M543 9..1....None....1...........None...0..1.....1329R00209150000427^0000114280086.04/04/2003.. LELY MARTHA ULI.0.INACBG 4.3418....M.0.None..21/09/2015.16 0500....3.06/05/1942.C / I / RSU..None.160500........00.2.tidak ada..21/09/2015..0.00..C.. PEN YAKIT KRONIS KECIL LAIN-LAIN...21/09/2015.M.0.2..1.0...0.21/09/2015.C. Sp.0.160500.....0.0....Dr...193408.... P ROSEDUR KECIL ENDOSKOPI PADA SALURAN KEMIH... HENI WIJAYANTI...136700....None...SUNARMI.None.........193406. Sp.2.1..None...00....60.1329R00209150000433^000010025 3327...0........ PENYA KIT KRONIS KECIL LAIN-LAIN.172.1.MUSRINGATUN....0.. ..2.Q-5-44-0.C.....1..ada.1...None.......H433 .0...............67..0..160 500...0. HEIDY....56.None..120463.H26 9.None.....0..171..4386..19805.ada..Q-5-44-0.......3...73.ada ..037840.......176. Sp..3..071517.21/09/2015...3. HENI WIJAYANTI. HENI WIJAYANTI.21/09/2015...0..1.2..M.....164726.None...tidak ada.....INACBG 4. HENI WIJAYANTI. PENY AKIT KRONIS KECIL LAIN-LAIN....22..0.ada...0.00...de81c95f65ffa2a8cf795dd96394fa72 3509134........3.167.0..None.....0..0..1.22013.Dr......1......None..1329R00209150000404^0000114377174. S.2.00.....C / I / RSU......Z96 1...2.INACBG 4...None.....052216....1..3.....1.None.Dr.................2..17/07/1948..1...2.M...None...46..160500.Dr..0.0.00.None..tidak ada.5794...None.0..18/09/2015.1..00. PENYA KIT KRONIS KECIL LAIN-LAIN.None..1..C / I / RSU..........C...INACBG 4.0..130463.160500..1..13 6700. tidak ada.tidak ada........0.20000..21/09/2015.160500.None...ada..NI'MATUN AWWALIYAH..7c5b90e3d487ef8f8e3228acbf1ef670 3509134.....REVI RAHMATULLOH ADZIMI.22/07/1969....None..None.Dr..00.2.1329R00209150000412^0001481803323..0....None.2.0..0.H433......None.0......C.ada....1.Q-5-44-0.H433 ..1.. Sp.107032. Sp.C.166....tida k ada..

M1999.......E05 9....INACBG 4..160500...None.3....None..185.3...ada...0..18/09/2015..None.1329R00209150000371^0000113856761.18/09/2015.. PEN YAKIT KRONIS KECIL LAIN-LAIN.18..160500.. PENYAKIT KRONIS KECIL LAIN-LAIN.tidak ada..dr...1.OG....dr.160500..1329R00209150000389^0001882420053.....18/09/2015....2...1..C / I / RSU....C.101494.18/09/2015.C..28/05/1997......25/09/1969.2... PENYA KIT KRONIS KECIL LAIN-LAIN..DJAJIN...25115..18/09/2015.....I259..None.......None...dr.Q-5-44-0...ada..0.None.Q-5-44-0...2...3.192274.....C.0..Q-5-44-0......46..1329R00209150000380^0000114672453.2..None.tidak ada.....55..E059 ..19.0.None..Q-5-440.None.. Sp.ada.1.0.168157..18/09/2015..120463........1329R00209150000383^00018 52795798....None.0.None.18/09/2015.....1..00.None..0.....tida k ada.0..1329R00209150000374^00001141 57067.None.C / I / RSU.... HENI WIJAYANTI.191725..0.....Dr....1.0..........50053. M1999. AGUS YUDHO SANTOSO.1329R00209150000382^0000114142768......18.c2b8fde2d703814a4a45747fb318c2a7 3509134....dr.00............INACBG 4.0....188.....Dr....Z96 1..1.3......C...Q-5-44-0.12.20338. P ROSEDUR PADA GIGI.1.. Sp.0...3.2.C. Sp. AGUS YUDHO SANTOSO.187.9e61e467b3f6dab3888672ec84e7fa79 3509134.......SUYATMI...None.a da...182.1..1.......18/09/2015.18/09/2015...... 0....0.....0 .Q-5-44-0...0..None.0...1...21857.SENIYAMI...00.......1.None.0.3.None..0.0..0.....I259..... PEN YAKIT KRONIS KECIL LAIN-LAIN....TUYEM.1. Sp......C / I / RSU.None.....24fb90fc58920b4c2e7a5c772ef1a970 3509134..160500..INACBG 4.Q-5-44-0..18/09/2015...0..C / I / RSU...None..C..dr..C.1.21650...None.Dr........1..69b15a7587e5a345c5f6c015dfb894d4 3509134.....None..drg.....fe8204e85aeadc0665645fe26c30b05c 3509134...... AGUS YUDHO SANTOSO..7591529278d5eb1265d71aae57e5b0b2 3509134.160500..9.160500..09/06/1956.Q-5-44-0.SA'ADAH....2.None....3.....0..bdbf0c77b30cfb4c923aa1f90fc5e92e 3509134....None..ada..None..ada..2...1605 00.....67599.160 500..2.Q-5-44-0...None.0..160500..1329R00209150000379^0001081123997... PENYAKIT KRONIS KECIL LAIN-LAIN.. PENY AKIT KRONIS KECIL LAIN-LAIN..1..None...160500..170600.......C / I / RSU.None.C..177827.None..22066.1..2.160500.....00.164562.18/09/2015.1.. MOERAD....30/06/1982....None.0...0.1.1. Sp....tidak ada...K30....74031.None..10/05/1952....0...183....12133...1329R00209150000386^0000113996068 ....C / I / RSU..18/09/2015..0.1605 00.2.ada.. PENYA KIT KRONIS KECIL LAIN-LAIN.. ....None.30231.6.C...J42.44.10957.18/09/2015.13/03/1995...0..........1329R00209150000378^0001877066346....16794..0..1.dr.PD...92000.177444.0.0..None.......ANDI RACHMAN...C / I / RSU.4.30..ada..1329R00209150000373^0000114038278........0...INACBG 4.2..3...tidak ada.03/05/1935.....161003...0...2..0.0..WAHYU YOGA WICAKSONO.16 0500.None.......00...5....16 0500....1.0.C.160500.. HENI WIJAYANTI.tidak ada.59....0.INACBG 4........2. 1......None..SUWADI.None.......163509...0......tidak ada....0....C / I / RSU.2...........59.None..M.......None..184.... AGUS YUDHO SANTOSO..6.......K30.None.PD. PENYAKIT KRONIS KECIL LAIN-LAIN.0.. PEN YAKIT KRONIS KECIL LAIN-LAIN..12000..1..1..0.12/01/1960...None....0.160 500....68.....0.None.2371.....INACBG 4..Z098 .....0.20.0...179......3.KUSUPARMAN.Q-5-44-0....1.155ededa54dbef548e193cd26811a2fb 3509134.1.PD..0.....M.2.PD...186...1...PD.1.1.None.........afb4041c704b1bece4d86b45ee5904e f .00..........178.None .None..33....SUNSUN IKA WINARSIH.None.. Sp..SOFFIL WIDAD........None.c70fbd92be4ed2d8460a5e8c7647119a 3509134...6687...None..00.None.0..0..dr..None.0.1329R00209150000385^0000113812391..00..........0...None.....1.None.H269 .INACBG 4.tida k ada.1...0..18/09/2015.0.... MOCH.U-3-16-0..18/09/2015..3.....ada..192943.672abe12b8d123e76bb8837448a8e320 3509134.180. tidak ada...ada.M.0...0....1329R00209150000384^000163 3657656..63....... Sp...29358...0.1.1.00.1...C / I / RSU.0. Sp.PD..tidak ad a.INACBG 4. AGUS YUDHO SANTOSO....None..14/12/1946.....0.Q-5-44-0...0..18/09/2015..None...193199.dr.....1.. ..1...INACBG 4.7494...1.....2. AGUS YUDHO SANTOSO....C / I / RSU.PD.0...None... HENI WIJAYANTI. tidak ada..177..Z098 . PENY AKIT KRONIS KECIL LAIN-LAIN.160500. ELLA FAJAR.036297..INACBG 4.23141..160500.........3...C / I / RSU..tidak ada.J459...None. .16 0500....0.00......1.16.None.INACBG 4...None.181.. Sp...160500..2..0...0.1..18/09/2015.160500..00.18/09/2015.INACBG 4.0.80.....a da...0.160500.18/09/2015.18/09/1985...ada.170600.0...... AGUS YUDHO SANTOSO...18/09/2015..15/11/1955...0..18/09/2015.693b92c625d7c3fdfaecf42b87be098e 3509134....0...0 .C.0....C / I / RSU. PENYAKIT KRONIS KECIL LAIN-LAIN...K041...Z098 ..None....41678.....1......18/09/2015. Sp.0..00. Sp.0...12000..None.SUWARDI.None..3.3.None.

..18/09/2015..None.13....2.None...00..15784.None..17/09/2015.None..None.1.1...E79 0...17995.......TAREKAT.C......1.M.....None.23944.0..0.18/09/2015....192604...INACBG 4. HENI WIJAYANTI.3.........1329R00209150000377^0001809463285..C...1...dr.17/09/2015.H26 9....INACBG 4..00..Q-5-44-0..... Sp..Q-5-44-0.MIFTAHUL HUDA.I10 .2.None.195.None.. THT.Dr..160500..160500.Q-5-44-0.....5..1.None.1..1.1329R00209150000345^0000114172277.00...M.170662.3.....INACBG 4.189.... Sp....00....H810 ..19989.0....16 0500...C / I / RSU.1....SISWOJO.....Q-5-44-0....C / I / RSU.M..18/09/2015..160500..None.None..2.0.2.......C / I / RSU..1.54.1.None.....e0d058c197910c5a8edd42cc482f575a 3509134.160500.1.0..2.H169 ....... .None.00.....1......00.H40 9.....25613...0..1....160500..None...dr..6926... Sp.Q-5-42-0...INACBG 4..1.0...4..3.160500....160500.0....0.....2.C...524022012ab32c8c02a43ebd6233b23e 3509134.0.1329R00209150000339^0000114017523...0...ada .160500....1605 00.1..0...17/09/2015.1..C / I / RSU..0.......K30.None. PENY AKIT KRONIS KECIL LAIN-LAIN.1329R00209150000352^000000111881 2...0..1329R00209150000357^0000693349266.160500....None.. HENI WIJAYANTI..1..... PENY AKIT KRONIS KECIL LAIN-LAIN..0.t idak ada.00. Sp.0...None.0..17/09/2015...ada..1.18/09/2015. Sp.....1..... PEN YAKIT KRONIS KECIL LAIN-LAIN..Dr...None...None.MISNATI.0.160500..00.26/02/1950.None.1...M..3509134...Q-5-44-0..0.3...Q-5-44-0........0..tida k ada...2...tidak ada. PEN YAKIT KRONIS KECIL LAIN-LAIN..1....None.17/09/2015.............0..Q-5-44-0...ada.160 500.....0. Sp..9.3. LELY MARTHA ULI..199..b5551182532086cc29cc4b5448d54680 3509134.c3450bf885af2f5335c7b5b54d60c5fc 3509134.18/09/2015.01b886a9ed8722b45934e7eb29f65c0d 3509134.0....Dr.None..1329R00209150000372^000011415 7247.2...0....73.1....1...Q-5-44-0.....None.1.1.. HENI WIJAYANTI.0.3....ada..062814..1.17/09/2015....0..22/04/1961...H11 0..1..ada....17/09/2015...0...107032. EVI.........0....71...C / I / RSU......Z961 .. ...76...0.None.0.INA CBG 4.None.0....... AGUS YUDHO SANTOSO.3.None...17/09/2015..C....160 500..None. AGUS YUDHO SANTOSO.0...... Sp..E118.5896cce35e68903c02fa55219a297f03 3509134.None.M...137300.......25/12/1960.12000.......... S..C / I / RSU.None.None.16 0500.C / I / RSU..Dr. Sp.16 0500.18/09/2015...2.131462.None..0.... PENYAKIT KRONIS KECIL LAIN-LAIN....18/09/2015.283316.1.Dr.C..C / I / RSU...INACBG 4..54.....tidak ada..197...None.2......0.0....1..0...ti dak ada...198...SUYATMIN...DANUN..0...2..ada...cbaf68c59f5772f615db89de1dd455d5 .None...None.None.... HENI WIJAYANTI.C...16 0500..........196...INACBG 4.C..INACBG 4.17/09/2015.1329R00209150000359^0001384470145.26751.160 500...01/07/1972....02/08/1945.137300 .18..1..None......None. Sp.45..INACBG 4...H30 9....1.tidak ada.0..125565.43...bf6faafde5fa96e195aa8e2a49c85d1c 3509134....Dr..9a0c2528f77bcde7ebc0f421d6b603d7 3509134..867f6d67bd858be453a77a1a7a529ff4 3509134..0.193261.. PENYA KIT AKUT KECIL LAIN-LAIN.1.0.73.NI'MATUN AWWALIYAH... TOHIR MAKSUM.1329R00209150000342^0000691890827....1.1.......0.....db12b2909f846b6ff85c5c9173e575eb 3509134.C / I / RSU.19872.None.None.None.Q-5-44-0.None....65.190.0.....INACBG 4.89691.C / I / RSU.3.17/09/2015.1329R00209150000376^0000689892614.192.0.. PENYAKIT KRONIS KECIL LAIN-LAIN.tidak ada..M..18/09/2015.0....70.3.ada.....0.......None..1.1329R00209150000338^0000113996215.None........1.....M....17/09/2015...0 ..None.. PENY AKIT KRONIS KECIL LAIN-LAIN.0.0..3.ada..182099.PD...0.dr.1........1...1..21/06/1942.160500...C. Sp....160500.dr..None.1........ada..a da.....92000.191.2.......None...........0.17/09/2015..2.. Sp.......01/06/1970..3..0.C..DEWI MUJIATI..0.2.097516...None......tidak ada..ROSSY.17/09/2015..00.0.1..TAMYIS.........SUTIA..059916.None..130463..........ada.........1...3.......125923.........None....0.3.110223...H521. PEN YAKIT KRONIS KECIL LAIN-LAIN.20/10/1941....None..0.17/09/2015..None.1...C / I / RSU....0....tidak ada.00..... PENYA KIT KRONIS KECIL LAIN-LAIN..None.. 0.0...3.2....26995.INACBG 4.None..None.17/09/2015.192121.tida k ada..tid ak ada.PD.1329R00209150000341^0000114373102..Q-5-44-0....C..140388.....1.18..17/09/2015..0...tidak ada.....16544..dr......dd1f13b29bb32a44b3bb289b6d704adf 3509134..None.01/01/1939......INACBG 4....1. HENI WIJAYANTI.PD..2..194...C.193...None.0..0...0..1329R00209150000387^0001320507371...1...18/09/2003...0..... PENY AKIT KRONIS KECIL LAIN-LAIN.....ada.0.....H269 ..120463......M...26006....160500..193274....06/07/1944....0....C / I / RSU...0....... HENI WIJAYANTI.200.. PEN YAKIT KRONIS KECIL LAIN-LAIN.0..00..4382..1...12..None...2.Q-5-44-0.0. Sp..C... HENI WIJAYANTI.096320. AGUS YUDHO SANTOSO.28018.0.00..None.None.Dr.0.160 500.2.0......None...0.N058...01/10/1996.14374..

C.2..INACBG 4....1.1329R00209150000353^00018 02748936..2............. PENYAKIT KRONIS KECIL LAIN-LAIN.Q-5-44-0..190862.ada...76.2.798f38284c687527d711da361cd7df9 a 3509134.1..0.205..........INACBG 4.00.ZAINUL MUSTHOFA......1.0...193276.None.110000..6329ff3795c341bae16a8589179f40e1 3509134.....10....1032fa82fcd5b675c43cc5d365ba2788 3509134..3..0...None..201.....160 500....160500.ada..22449.ada...........None......160500. AGUS YUDHO SANTOSO.SOLEHAN BUDIADJI.E10 8.C / I / RSU...None.5.01/07/1970..PD....None. AGUS YUDHO SANTOSO..0......0........17/09/2015. AGUS YUDHO SANTOSO......K30.91cfdc6ed0b830cdfd70b3d36cdc0ce9 3509134.None .3......... MOCH..17/09/2015..18586......17/09/2015.drg...00..None.....132000......... M1999.1.None....S01 9.17/09/2015....1.0.....0.dr....01/07/1989.........0...160500....None........0...25896.0.193268...0.1..INACBG 4.ada....7.ARKOES.0..2..1.1.C....2.0.... PROSEDUR PADA GIGI..dr..10/05/1961.....0.....INACBG 4.. Sp.PD....61.30... AGUS YUDHO SANTOSO...160500.. Sp..C.ada.. PENYAKIT KRONIS KECIL LAIN-LAIN.1...1.N898 ..ada.....00.3....0 .39537.... AGUS YUDHO SANTOSO.SOLI K HATI.K30...0.0.17/09/2015.08/08/1954..tidak ada........N89 8...21...160500.....1.Q-5-44-0..2.. Sp...0.1.ada.3..........0..17/09/2015.1.None...C / I / RSU.None.128100........ada..212.... Sp.29...210.. PENYAKIT KRONIS KECIL LAIN-LAIN.0.002594.....0....dr.OG..SAMIATI MEISAROH..0....16050 0. AGUS YUDHO SANTOSO..None.2....0..4.....11/02/1953..1...1.SAIFUL... Sp.17/09/2015...62...C / I / RSU.....ada....dr.C / I / RSU..U-3-16-0..0.052495... AGUS YUDHO SANTOSO.0. PENYAKIT KRONIS KECIL LAIN-LAIN...None..None...1.2.2...None..C / I / RSU.17/09/2015.........25481..None..1329R00209150000360^0000 114664746..None....C / I / RSU.....N62 ..17/09/2015.....112469..0.27.160500..3509134.INACBG 4..1329R00209150000358^0000114276486 ......0.......0.dr...1......1...22863..None...None.17/09/2015.....17/09/2015...0..10670.0..2..K05 1..Q-5-44-0.22320.0.1....Q-5-44-0.1...C...C.1.tidak ada...1..None. Drs...None....0..Q-5-44-0.0.f9f57b1fbd1fbc3d64d8c9aa68445c63 3509134..2..C.None..1.0...0dd791d52c5bd5c89bde092ca8ebb96b 3509134.0.None...0...00.....None......PD..160500.....1.....None..17/09/2015...None.17/09/2015.PD..1329R00209150000354^000180275 0769....0..9574...Z098 ......3... PENY AKIT KRONIS KECIL LAIN-LAIN.C / I / RSU..00....3.45.1....None.208...None.148905... .00. AGUS YUDHO SANTOSO.INACBG 4.....INACBG 4.97528.. ELLA FAJAR..17/09/2015...IMAM BUKARI...3.1... AGUS YUDHO SANTOSO.0.TUTIK SUSILOWATI....17/09/2015..1....C....INACBG 4.None.54.1........K30.0.. Sp.17/09/2015.13.3b4219376b400270b72071c833b0c3 ee 3509134.209....1.2.3..40634429752701c8e8f7b8a838d08f34 3509134.PD..180338..........0..46354.00.....19853.None.Q-5-440.1..... KEC EDERAAN BESAR PADA JARINGAN LUNAK...0.1329R00209150000361^0000694787128.0.160 500..None.C / I / RSU.1....0..ISROFIYAH...2.193279.tidak ada..dr.....160500.....01/07/1986.PD..203.....61.1329R00209150000340^000011415 6393..C / I / RSU......0....e6cfb97915d37eaf6d254bdc0bb43c4b 3509134..I259.001119. ...3...PD. ..09/10/1938.None..1..0..0.dr.None..tida k ada.............None..0.. Sp......00.C.....E10 8.17/09/2015....INACBG 4.2371....17/09/2015...160500.160500.104506..1.. .00..Q-5-44-0 .50.0..170600.0.1...Q-5-44-0..128100.0.0.tidak ada....3.None.0...K30.....1329R00209150000366^00006 92572083.None.....M1999...17/09/2015.dr.... Sp.Q-5-44-0.C.8....160 500.211....ada.......202.....tidak ada. Sp.. Sp...3.00...Q-5-39-0..0.E109 .None.SUGENG LELONO..2.0...17/09/2015..24731.28102.d7b0e7aa9df9c3dafefeb2151a3e9e0 5 3509134.None..tidak ada...01/01/1948...1.I499 ..N921.1..1..0.160 500.0........1..C..01/04/1954.3. PENYAK IT KRONIS KECIL LAIN-LAIN.....204..1329R00209150000364^0000689672575.C / I / RSU.170600.INACBG 4.3.1329R00209150000351^0000693035886.C.None...None..0..... MOERAD..206......... PENY AKIT KRONIS KECIL LAIN-LAIN..0......160500.17/09/2015. PENY AKIT KRONIS KECIL LAIN-LAIN.None...........26..... PENY AKIT KRONIS KECIL LAIN-LAIN.16514....28/10/1964.dr.00...2..2..None...1.....0.ada.160500..17/09/2015.0..C.tid ak ada..191802..11216..ffcd88f9dc8372fd1c23d50d0a8cf779 3509134......2...tidak ada..None.dr....1.17/09/2015.0.C / I / RSU.INACBG 4.0..None..None.1.0..0 .PD....1...66142...160500.....218633..SUNANIAH......0.01/01/1985..1329R00209150000362^000 1430248318..None.None..t idak ada.0....1329R00209150000356^0000114281954....None.....152000..207..10213...None...0.None.01/10/1987.Q-5-44-0.None.None..None..None.tidak ada... 1.1....67.17/09/2015.....434598..002155.PD...None.2.

. Sp..507455.34..0.dr... PROSEDUR TERAPI SALURAN PERNAFASAN..C / I / RSU......17/09/2015..tidak ada...C / I / RSU. P ENYAKIT KRONIS KECIL LAIN-LAIN..None.01/01/1950...129900....00. 160500.......0.0.. FRA KTUR..... GAST ROINTESTINAL AKUT.216...1371.....0...IZZAN RAMADHAN.......Q-5-42-0...9396.Q-5-44-0...0...None.YY-13-III..None.None...1.2.12/12/1973.17/09/2015..1..... AGUS YUDHO SANTOSO..246300.10427...............1. EVI. MOCH..None.None...0........0...........None. PENY AKIT AKUT KECIL LAIN-LAIN...0.160 500..dr..UMARUL FAHRUQ..2.3...C.1...3 309100...3...PD.ee88a0caeaf 24a381a36204b8996ada0 3509134..160500....ada...17/09/2015.C.28.INACBG 4. AGUS YUDHO SANTOSO..0.f70b9b0a12e323fb8290d70bc15e9882 3509134.3..7773..01/08/1971.0...1...0..2..17/09/2015..ada.SUPONO.2. ARIF HERMAWAN..00...17/09/2015....16149.........134512....tidak ada.C / I / RSU.dr....R560..........1......None..None....3.EDY SUSANTO.0...70da357751c2e76927f1486faad0bfef .213..1..ada.....ada.2.None..None.44..193265.1329R00209150000346^0001272026531.218.9059.C / I / RSU.C / I / RSU....None........829ac266b8240fb3ed2e6fd535c04dc9 3509134...0..0....C.. B..135300.3...192564..None.0.C / I / RSU.5.0. B.129900...1...221.17/09/2015..17/09/2015.C... THT...222...056454..1..0..C...0.17/09/2015.0....ada...0....00.0.... JEFRI CHRISDIAWAN..DYAH A YU NURVITASARI..Dr..... Sp.....23503..0....None.4.........3......126800...129900.C..16118....None..167583.dr....0.INACBG 4.1.INACBG 4........036148.1....PENYAKIT KRONIS KECIL LAIN-LAIN......INDARSIH.1...None..Phacoemulsification.3...17/09/2015.215.ada......0.1.... B..KHOMSIYAH.2.15254..0.214..3.1.2.17/09/2015.Q-5-25-0.None.None..None...25/12/1980.None.79172a3a7079475931ecd1d04570de1a 3509134. .C...17/09/2015.ad a.1.H2 51........INACBG 4..17/09/2015.None.1.tidak ada....220.3465000.1..None..0............None.1329R00209150000336^000145875 4176..H-236-0.00...None..137300...1.1.0..1.dr..0..None..126800.1.65.tidak ada..2....None..135300..None..Z098 .223.. B......H609 ....None..182540.Dr....ada.fd05ba18247e33265ca8777131ddcb15 3509134.S82 2..0.None..160500....2...0.MURADI.1329R00209150000365^0000690462246... HENI WIJAYANTI....0.0..0.INACBG 4.17534.INACBG 4..None..0......C / I / RSU.1....0.2.SUMARTO..1371.....1..C / I / RSU.0..1341.0.127000.dr....Q-5-31-0....tidak ada...1.2.b75e158fb8684d4fce84625ea72bd327 3509134.17/09/2015...None..ab1ba4824b9d4ff8d429a677970e18be 3509134.C.None...6.Q-5-44-0.16 0500.None..INACBG 4.1329R00209150000355^0001619826344.ST.. AR IF HERMAWAN.INACBG 4..13730 0.01/02/1972..0.00.OG..YY-13-III.C / I / RSU..0..43....404b92a28517f8a 83b7f10adf277d0ca 3509134..00..None... PEMER IKSAAN ANTEPARTUM..Q-5-23-0.0...UMI SA LAMAH.INACBG 4...17/09/2015....06/06/1994....3......1..2. FRA KTUR.INACBG 4.1.0....dr.....S92 3.1341..J-3-130..44......1857......0....1329R00209150000348^0000114160915..15/09/1967......O141.0...2....0....None.tidak ada.3465000.1.00. Sp...6563921...None.0.193186..None....H2 51...160500. Sp.17/09/2015.....None..dr. PROSEDUR OPERASI KATARAK. Sp.21....160500..C / I / RSU.......1..None.0.None.C.1.3 309100.. Sp....None.17/09/2015.tidak ada.. JEFRI CHRISDIAWAN.....13/05/1951.None..0.17/09/2015.ada.C.dr.1...None......dr.....None..1..R104 ...0..0...0....None...17/09/2015.....None.3..I10.01/07/1971.193242...1329R00209150000343^0001277026828...ada . JUHRIYAH..77264.0..1. I259.....INACBG 4..............INACBG 4.tidak ada.6774100.160500.....3....15934......1329R00209150000344^0000114205645.0.....129900....M. ARIF HERMAWAN... HENI WIJAYANTI.None.tidak a da.....1329R00209150000347^0000689962375.....2..ada.17/09/2015.0.00.13837.00.0....None.1..LILIK FINDIYANI.1.....17/09/2015...1...3..12684.1329R00209150000335^0001865525488....H-236-0.......1329 R00209150000337^0001542297194.D18 0..12000.0...1... 0....0..0.N one. .C / I / RSU....48.6576466..17/08/2010.64.0...0..2......17/09/2015..1.......None.. PEN YAKIT KRONIS KECIL LAIN-LAIN.......0.ee05c09c2d2c591da43948bb749ad52b 3509134. Sp.C.PD.192998.6774100. Sp..5..None.217.None.19...193250.0.M..C / I / RSU...1.00...0...144551.1.0..0....246300.2..41.Phacoemulsification..ada..None.....1329R002 09150000349^0001039265965...5......140423.None.2....None. Sp. tidak ada.1.f720144c10b5d7f4861fb87841008446 3509134.1..ti dak ada.. PENY AKIT KRONIS KECIL LAIN-LAIN..1329R00209150000363^0000924433165.17/09/2015....01/03/1987..Q-5-31-0..9f90e6bc0ad2ef1c15b786a9d1a20cf0 3509134. PROSEDUR OPERASI KATARAK...Q-5-44-0..2..3. MOERAD..0.219...None..46759.. ARIF HER MAWAN..None.....None.60000.0.00...3....0.tidak ada.... Sp.00.0....24000...1.

....None.160500....145409.20378....3..3. PEN YAKIT KRONIS KECIL LAIN-LAIN.16/09/2015....I63 9.25612....16/09/2015.None..0.120463..None. HENI WIJAYANTI.00..1329R00209150000324^0000693349266...tidak ada.....3.C / I / RSU.... MOERAD..None.C..3..1.Dr.KUSDIAH PRIYATI.0......None.1.Q-5-44-0.ada..0...0.ada.0....None..3.None.H52 4....1.16 0500..None.16/09/2015.....2..None.None.14/09/1959.None.....Q-5-44-0......2.16/09/2015.tidak ada..None..15/01/1955..INACBG 4...8...None..056357....00.ada.........eb2a2b422db59b6b5e3f6dcbe67cfd30 3509134..........None....0...2.160500.0.3.....1.234.136700.M...Z090 ..Q-5-44-0.....C / I / RSU....12.3.C / I / RSU...1.None..192880.None.08/01/1946.01/07/1960....C.2.. PEN YAKIT KRONIS KECIL LAIN-LAIN.1329R00209150000332^000154171773 9.None.1...M....160500.....160500.............None...0.......16 0500.00....None.INACBG 4..00........0.Dr.ada.None..0.0...C...None.None.1.232.C / I / RSU..160 500.H43 1.None.2.Q-5-27-0..0......1.160500..15/08/1969.1329R00209150000307^0000114361288..Dr..None.1....22159.00..813a85c719a31b4cb71f0a6c7b6f8bf4 3509134....2....1...None......49....2.1.C / I / RSU..0.None...Q-5-44-0...C.... SISTEM PERSARAFAN PUSAT AKUT..0.0.....118749.Q-5-44-0........ Sp.25.1....56.173753.1....tida k ada....Q-5-44-0..27124.1.None.25453....16/09/2015.0.None.Q-5-44-0..1.0........None.............C..1....192017.INACBG 4.None..20165...INACBG 4...INACBG 4.. PEN YAKIT KRONIS KECIL LAIN-LAIN.0... Sp.0...None.0.192980.. Sp. Sp.None.16 0500.......16/09/2015... HENI WIJAYANTI..00.None..0...16/09/2015..Dr....27...None.1329R00209150000323^0000114616181........None....Dr.....1329R00209150000327^0001039251971.C.......1.320428dd9c96656d137bddfa52436297 ..0..0....Q-5-44-0....7........0....None...1.1.KATIYEM. PENY AKIT KRONIS KECIL LAIN-LAIN.103000. ada.NGATIMIN...0.. S. PEN YAKIT KRONIS KECIL LAIN-LAIN....None.f620eb206f3c3482cae1bf7a2bbe0a93 3509134.Z96 1...16833.....0.0.160500.1..........26/11/1989..C / I / RSU.. HENI WIJAYANTI. Sp...0...C........2.0.00...1329R00209150000309^0000692328802.1.229....1..16 0500.None.. HENI WIJAYANTI...1.None.....None.ada..FARIDA...0..0.. HENI WIJAYANTI.ada.130495. HENI WIJAYANTI...INACBG 4.0......1...1329R00209150000305^0000114696437.. PENY AKIT KRONIS KECIL LAIN-LAIN..66.160500.None.06/03/1949. HENI WIJAYANTI..16/09/2015.Q-5-44-0.....0.C / I / RSU.2........2.H11 0.....Dr.0.dr..16 0500...1329R00209150000315^0001541491097.None.....1..1..9425.2.0..16/09/2015...1.........0.123239.2.16/09/2015..Q-5-44-0.46.....AZIS.....Dr.H26 9....tidak ada.160500.....0.0....C....1.0.1..230.... HENI WIJAYANTI.231.082228....ada..0...None..1..182099.ada.160 500..13 6700.55..Dr.None.1329R00209150000326^0001284028953..123000.16/09/2015.0..01/01/1988.2..132113.1...0.04/06/1972.0.None.LIS TUMIARSIH..None...None.16/09/2015.. Sp........1......d35462bd402239175a09bd230b707938 3509134.10120....16/09/2015..None.120462.SITI HANIFATUL HOIROH.MUKSIN.2.290926434ea0936f979130f772bcb802 3509134.ada. MOCH..None.....16/09/2015.2..6.......ti dak ada......2.0. Sp...H11 0.....16/09/2015...1329R00209150000304^0001873163891.43.3.2....0.....191082....None....233....ada...60.... Sp....3..H209 .........f921d25b9a22442fe78a195b46e1f2d5 3509134..1....16 0500.. HENI WIJAYANTI.M..M.....3.tidak a da.....HOIRIYAH.....16/09/2015..0...Dr.INACBG 4......C.227...0.16/09/2015.... PEN YAKIT KRONIS KECIL LAIN-LAIN.C.....3...02/08/1945....2.....24300.0..0. HENI WIJAYANTI.2.....16/09/2015.tid ak ada..0...449caa13d95960f35864fec538f7fb6f 3509134.tidak ada...None.INACBG 4......... Sp.16/09/2015.M..M.2......1.0. PEN YAKIT KRONIS KECIL LAIN-LAIN.00...b7cbc486b1113bf8cc0a78551988280d 3509134...00.H26 9.1aa6363738648be480fa98748991239d 3509134.16/09/2015...0. Sp....00.15809...1.H40 9..ada.0....tidak ada....0....M...dr...Dr.C....ed6928ee6527ef17c245d10498ea512b 3509134..16/09/2015.12000...None...3.....0...tidak ada..0..tid ak ada.None..0...120463...3509134..70..192342.....C / I / RSU..2.....235.2.. PEN YAKIT KRONIS KECIL LAIN-LAIN.......1.None..H524..C / I / RSU.0..192465.I10.0.160500....0.1...............None.2.226.225.....SUYATMIN.3...1.160500..OG..M...12/12/1965.160500.. PENY AKIT KRONIS KECIL LAIN-LAIN..18175......None.16/09/2015.. Sp...0......INACBG 4.C.0.1.. 0.00..9..224.tidak ada.C / I / RSU......H409 ....0..0.69........16/09/2015.INACBG 4.MARMIATI.160 500.None.0...0.None.20456.0..55.INACBG 4.16 0500..0..SUWOTO.Q-5-44-0.01/12/1959...... LELY MARTHA ULI..1.1329R00209150000320^000154162 7908....0.C / I / RSU.None..INACBG 4.00.. PENYAKIT KRONIS KECIL LAIN-LAIN.1.1329R00209150000331^0000113861024..16/09/2015..6212ec2db81f0d42944ac9fc04b6dfa4 3509134.3....228...505549.M...C / I / RSU..None....M...0..0... Sp.120463..1.160500.

None..1.1......63c8bcbd8a93741a294a8bf5b319c4a2 3509134....3...99941.........C......NAAM..SAMSURI..0.16/09/2015.ada.192720.Q-5-44-0.0.tidak ada. Sp....None........1....0.None...00.20.None...0...2.....160500.0... AGUS YUDHO SANTOSO......0..None....dr....2.tidak ada..174310...238....None...16/09/2015....None.C..0.0.C.11/09/1949........0.J984 ..PD..PD.0 .. .None... Sp..1...ada...Q-5-44-0. PENYAKIT KRONIS KECIL LAIN-LAIN...1.92d7757b819db0c63dfc0d5062f5b500 3509134.1..0.1....Q-5-440......00...01/07/1955..16/09/2015......K30..1634dfd8b10b50304af073f32d8 bf91f 3509134.. PENYAKIT KRONIS KECIL LAIN-LAIN.0.ada .1....SITI PATEMI.. ..None.2...00.245..16/09/2015.I259.. AGUS YUDHO SANTOSO.INACBG 4...I259.INACBG 4......Q-5-32-0..6.0..None...........None.None..16/09/2015.Non e......3..3...2..246..C / I / RSU.ada.... PENYAKIT KRONIS KECIL LAIN-LAIN.15571.None..0.Z098 .........MOHAMMAD SYANGADI.E109 ...16/09/2015.........None.5.65.2....None.16/09/2015..16/09/2015...160500..160500.C..None..PD.11/01/1981.3......0...None.E109 .None...dr..C..C.....SAMINTEN..None....None...0.1329R00209150000308^ 0000114507988..1..dr....23801...25.None..240........ PENY AKIT KRONIS KECIL LAIN-LAIN...2.H612....0..Non e.None.Q-5-44-0.0..A169.PD.C / I / RSU..21992.PD.1.18302.dr.Q-5-4 4-0...237.C / I / RSU.1.. AGUS YUDHO SANTOSO.dr..1..0..I259.None...INACBG 4..75412..........192816..1...0.None..21862.INACBG 4.dr.M1999....1329R00209150000319^0000688129 154.0. PEN YAKIT KRONIS KECIL LAIN-LAIN....00.........0.0...0..... EVI.192993..52cb4755096acf70b713c401d32014b1 3509134...0.......3.1.20348...150400.0.229d8e3eed26e03c40be6bf51d40a059 3509134...173020.160500.. AGUS YUDHO SANTOSO....0....... AGUS YUDHO SANTOSO.... PENY AKIT KRONIS KECIL LAIN-LAIN.2.None......160 500.......None.3.1. Sp...244..1.31/12/1959.0..16/09/2015. Sp..28/01/1973...2..C / I / RSU..PD......INACBG 4.....247...1.1329R00209150000311^000179096 0624..TUMIYEM PARIASIH.0.Z098 .0....15.2... AGUS YUDHO SANTOSO..ad a..Q-5-44 -0.C...I509.0.....16/09/2015..Q-5-44-0.....None..0.05/07/1995...None.166821.None...dr.160500..C..None....INACBG 4.21411..0.0..C / I / RSU.0.2...0..16/09/2015..None ...None..160500.172237. Sp..1329R00209150000312^0001842562517 ......16/09/2015.....None..64..PD.1329R00209150000321^0001541628066..2..ada....145289.0.34....160500.tidak ada.3....Q-5-44 -0.1..INACBG 4.None.188298. PENYA KIT KRONIS KECIL LAIN-LAIN...b7582b653e5db48563f2e5b5be61b4c5 3509134....0.. Sp...72527..None... AGUS YUDHO SANTOSO.. PENY AKIT KRONIS KECIL LAIN-LAIN.da13984b979337a2445e53160660e105 3509134.242..0.00.Q-5-44-0.Z098 ......160500.. tidak ada...16/09/2015.1.00.1....23420.f5cc23209f41d3bbd3bb5263ac0b203e 3509134...C / I / RSU.....EVA VAENA..........243....16/09/2015..C / I / RSU.32433.160500....16/09/2015.0.18.dr.24307...16/09/2015... SALU RAN KEMIH AKUT.1.87000.2.ada...None...3.3....42.0...C...None....None...1..0.EVI YULIA FATMAWATI..SITI MARIYAM...None.....INACBG 4.0....1......0.0.1329R00209150000306^0001291395227.1.None...tidak ada...C / I / RSU.0.M199 9.00.... THT.TUKIRAN....C.0...239.16/09/2015.2...00.80013.None..01/02/1957.PD.....0.24111..........1605 00....160500.00.....1.1.tidak ada.1329R00209150000310^00014308104 58...... Sp.INACBG 4.39..50.0 ..12666.....tidak ada.236...07/08/1965.1.None.. PENYAKIT KRONIS KECIL LAIN-LAIN.. ada... Sp....C..3..0.E148......None.2....182213.241.0...0......INACBG 4......0735da190624e841661ed00d124 acd48 3509134.1.3..tidak ada.193235....Z098 ......1329R00209150000328^0001826689296...5...3.. PENYAKIT KRONIS KECIL LAIN-LAIN.3..1..0......1..23931.65.0..None.2.0.2.. Sp.....2..0.00...... AGUS YUDHO SANTOSO...07/04/1951..Z098 ..C / I / RSU.01/03/1976...fa1f09c938dd80fb1f8647d0e4cabd83 3509134..None...... PENYAKIT KRONIS KECIL LAIN-LAIN...0.0.2.......0..0.16/09/2015........16/09/2015.01/06/1950.1.....0..0..1...148139.16/09/2015..bc18bedefeb0bfd617e6f35b3fe0a2f5 3509134.None..None....None..60..3.0....23848...18/07/1950...58.160500...ROCHMAD..0..None..N201 ..150400......Q-5-44-0....00.2.0....... AGUS YUDHO SANTOSO..14443.1..1.PD..75872...0....C.....66.I509..160500....None.......dr.HASANAH.........1...160500.....ti dak ada..No ne.dr.1....dr.None.16/09/2015...PD..12000... Sp.1329R00209150000303^0001305830441......0.Z098 ..1......55.......None..16 0500. Sp.1329R00209150000322^ 0000049558443...ada....1.I509.3509134.16/09/2015.None.1329R00209150000313^0001842562012..None.ada.0......2......7378.160500....0.160500.0.0..160 500..None.INACBG 4. AGUS YUDHO SANTOSO.dr...7.Q-5-44-0..23538..None...ada.C / I / RSU..C / I / RSU.tidak ada..0..16/09/2015...00.160 500.......tidak ada.160500..1.1....16/09/2015.None.160500.1..

H26 9... B....INACBG 4.1.166375.....None.. ELLA FAJAR...071517..None....3...0....1...INACBG 4..None...056154.1...K01 1.00.1....None.....1. PENY AKIT KRONIS KECIL LAIN-LAIN...PD..None.3..15/09/2015...15/09/2015..None...Z09 8..0.....1..ada...None.15/09/2015.None.00.16 0500..INACBG 4.. ada.M.0.00.ada.0...1...C / I / RSU..E059 .None........ LELY MARTHA ULI..C.M179 ...........3.0..INACBG 4.PD..3.ERVAN SETYOBUDI.2. AGUS YUDHO SANTOSO.4cdf90a1631e0da76826c49601f4e6f3 3509134.3....160500....None....3.0.2.0..00....2.. PENY AKIT KRONIS KECIL LAIN-LAIN.13356..0.160500.0..18/09/1985....1....... AGUS YUDHO SANTOSO..dd68a4904b0428f5125f72ca5cc557b2 3509134....C..None....0....3.193242...Q-5-44-0.0.160500.0..16/09/2015....0..00.None..16311.2..0...00.f4d4aba0d43219ef269bac4c2916cc5d 3509134.dr.....15/09/2015.0...None..1329R00209150000286^00006920413 53....2319.None..None....dr..250..K30. Sp.2...1..C. Sp....0....0..0......01/04/1951.....tidak ada.15/09/2015....15/09/2015..INACBG 4....2.None...1329R00209150000278^0000113929209...52c768421304fd2800d8ab9738c51471 3509134....None...UMARUL FAHRUQ.None..1.15/09/2015.1....dr. 0...15/09/2015.59bfd608068f8376e01b040e8dfbe245 3509134.0.1...1.160500..3..75...1..15/09/2015.0..... PENY AKIT KRONIS KECIL LAIN-LAIN.16 0500...Q-5-44-0.C / I / RSU.160500.192495.. AGUS YUDHO SANTOSO.1..None.193186.tidak ada.....00...251.0....tidak ada.061291...16 0500.2......None.1.15052...0..32......tidak ada...C / I / RSU..3.2..C.ada. PEN YAKIT KRONIS KECIL LAIN-LAIN.1.....0.0..00...0..28.C.0....41.0....01/07/1974.. AGUS YUDHO SANTOSO..C / I / RSU......1329R00209150000279^0000688 802591.....0.. PEN YAKIT KRONIS KECIL LAIN-LAIN.....None.....36.249..15/09/2015.00..00.16/09/2015...0.None.4840b8486c60059e11004f56eaedac02 3509134.15/09/2015....1.79608.1329R00209150000300^0000114157 247.1605 00.None...INACBG 4.160500....1...None.......027424..0.1...dr. C / I / RSU.1..C.N289...01/07/1949.....0.None..160500.1.ada...N40.1329R00209150000270^0000114471641. Sp..None...C..0..254.0...Q-5-44-0.None..None... PROSEDUR PADA GIGI...None.170600.16/02/1974....C / I / RSU.1.160 500........256.2.C / I / RSU.PD.....059916..None.tidak ada....None.15/09/2015. PENYAKIT KRONIS KECIL LAIN-LAIN.... HENI WIJAYANTI.160 500..1....Dr..INACBG 4.136044.....None...0.0...None.....ada. HENI WIJAYANTI.259..None..101494.1329R00209150000271^0001542297194..Z09 8...15/09/2015... Sp.None.tidak ada.........64..160500.........None.....0.15186.0..24182.a da..0. .Q-5-44 -0..0.0...0..... Sp.0...253.1..12/12/1973.ada.41.......Q-5-44-0...2..None...... B.PURW ANTO..0.00....C / I / RSU.....drg....1..0.dr..I130.15/09/2015.......1329R00209150000269^0000690470976....Q-5-44-0..255.....PD......193236.MARIADI.11.3...........3.U-3-16-0...M..15252.2.15/09/2015.1329R00209150000287^000180754 1177.Q-5-44-0.tida k ada.ada..3........ S....None..b8fa1af4d8604bc2e6d653f2e4ef8051 3509134..160 ..0......0....ada.1..PAIKUN SUHADI..........160500.......26003.0...0..dr...... PENY AKIT KRONIS KECIL LAIN-LAIN.2ddcf544be09eadb83c9a3eea385cb7a 3509134.1.1.C / I / RSU..92267....23543..2.None..tidak ada..0.None......... TOHIR MAKSUM..dr.....2.4...Dr...61..15/09/2015.. Sp.. tidak ada..0..None.2.01/08/1954.0..C.22325.tidak ada.......06/07/1944......H409 .10426. Sp.. PEN YAKIT KRONIS KECIL LAIN-LAIN... Sp....ARIF HERMAWAN....SOETINIK...1.....JASULI..None..Q-5-44-0..0. HENI WIJAYANTI....INACBG 4....05/03/1983.2. ARIF HERMAWAN.1.. Sp...........None..C.1..Q-5-44-0.M543 9...1..H524 ..2......C.10954..1.EDY SUSANTO...1..None.None.282844..9d4e1ffcc2ca5b35f2291be2446ee7df 3509134.41.5.30..20/02/1979......3..INACBG 4..E14 9.SITI FUTI'AH.Q-5-44-0..160500....252..16/09/2015.27/05/1940..PD...None.0....160500...192963..160 500...........0.......15/09/2015.C..92000..11882...17589..tidak ada...0.....M....188303.1.....3..0.77000. Sp.....ADI TRI WAHYUDI......None.None.0.0.1..1......4c1553fa74db9dcc5a2ebcf09fdfeed2 3509134..1.0..1......ada..None..27504.....248...16/09/2015.None.2.0.None. Sp..1...258.0...INACBG 4.46916290dfdada881dc5ab2d9ec4e465 3509134.... PENYAKIT KRONIS KECIL LAIN-LAIN....0.........311659...71.None.160500.None.....93156813427a6fcb208a8343af25037f 3509134.257.None.1.30. PENY AKIT KRONIS KECIL LAIN-LAIN..0..0...INACBG 4..15/09/2015.1......0.INACBG 4....M.1. AGUS YUDHO SANTOSO....1.. C / I / RSU...160 500..1329R00209150000316^0000688865747.....66. PENYA KIT KRONIS KECIL LAIN-LAIN..0....15/09/2015.1....00..160500.None.1329R00209150000334^0000924433165....None..ti dak ada....Dr..0.1..1.0...1329R00209150000301^0000114375521..170600.150388.....19..C / I / RSU..1329R00209150000329^0001480207948..Q-5-44-0.None.0.K409 ....0..15/09/2015..Non e...56212..01/03/1987.None..ada .0.None.......C....C / I / RSU...

0..I10 .15/09/2015.3.INACBG 4...Q-5-23-0...PD.46392.1..0...dr....0..0.....M179 ..16/08/1954...3.192723.PD.C..dr.PD.1. AGUS YUDHO SANTOSO.8f4ed5e7154d326b4c6b74a5b06d4916 3509134....2.ada .192807.0..0.1..None.0...0..160500...00..0...500.1329R00209150000284^000 0169469763.....C.None.40..3..261..06/08/1967...15/09/2015.15/09/2015...INACBG 4.a8c4052a5482ebe97e44c5bec9fd46d0 3509134........b995faca0a7f36158dba30ed88d045 fa 3509134...........INACBG 4.2.18.192395........None.15/09/2015....E790....267.None.....0..3.......MONI KA PURBANDARI..2...17/10/1961.1..2...1..0. ...ROFIAH...1. Sp. INACBG 4.......01/07/1972.... 160500.. AGUS YUDHO SANTOSO....1. Sp.1....C...e07c09bbd2a92bda4ab63f7507f90230 3509134....C.1........3.INACBG 4..1..1....1..63631.......INACBG 4.........1...None......0...15. AGUS YUDHO SANTOSO..346053.None...ada.260.Q-5-44-0...201000.142000.SRI SUDARTININGSIH....MOCHAMAD SUBIJANTO ..C / I / RSU...C..None...3.3...0.....3..15/09/2015..tidak ada......77000.0.....E10 8.None..6684..0.50..None.C / I / RSU.15/09/2015.1.1329R00209150000274^0001428149485.....2.1...0.tidak ada.None. Sp.1329R00209150000282^0000692851004.....C / I / RSU.I259....None.....1.0....PD.. Sp.None. MOCH..2.. PENYAK IT KRONIS KECIL LAIN-LAIN..17572.43..31/10/2012...15/09/2015..0 ....01/07/1945...3.15/09/2015...Q -5-44-0.1...1.0..ada.PD.C...........INACBG 4.I259.None..15/09/2015..None.SUNSUN IKA WINARSIH.1.None....None.70..C..........dr...00.269...270...None.None..........00.0.3..56..201000.3443e7f68606a13e1f7a2e9cac3d4700 3509134.tidak ada.15/09/2015.0.. PENYAKIT KRONIS KECIL LAIN-LAIN.1329R00209150000285^0001039277777.2...14642..77..I259.None...dr....2...ada.Q-5-44 -0..Q-5-44-0.1....2.1.None...1. MOCH..15/09/2015..None.None..INACBG 4..14/06/1938.2.1.C / I / RSU...1.tidak ada.....15/09/2015...2.C / I / RSU. AGUS YUDHO SANTOSO.dr...WAHYU YOGA WICAKSON O......0..0....182329.3..0 .K30.0.dr.61.19691. Sp...054080..1.1....dr...1.8.....00...48.SUJITNO.0.C / I / RSU.15/09/2015..193193.None.00....E149 .C......0....72960.0...201000...28217.15/09/2015.0..0.2..0..1.18154....None..C / I / RSU.160 500.. Sp. Sp.....E108 .. ada..266.None...None.15/09/2015.ad a.Z098.15/09/2015.. Sp..0...139367..160500.PD....15/09/2015.2...12000.J440 .15/09/2015.aad0143695c8fbf01cfba52fafe871d1 3509134..3.None.34613..2....None..3.0.....28/05/1997. Sp....268.1........dr.1..160500.1...Z098 .53..1329R00209150000272^0001824304702......18428..2.dr..1329R00209150000268^000 0049553469.2...1......SUJARLIN......dr...Q-5-44-0..0.C / I / RSU... AGUS YUDHO SANTOSO.Q-5-38-0...2.....tidak ada...0. Sp...C / I / RSU.. PARU AKUT....RUKMIATI....tidak ada.0..None...2.......1......160500.20525.INACBG 4.0..None...Non e..160500...26.0.34646.... PENYAKIT KRONIS KECIL LAIN-LAIN.0.E148..None.14/08/1975....15/09/2015..0.0..None....INACBG 4.0...002327...1049.H810 . PENYAKIT KRONIS KECIL LAIN-LAIN..ada.OG.88216..0....... AGUS YUDHO SANTOSO.69109c674f43e47450b10ffe973ea548 3509134.2..Q-5-38-0.1.201000..192966...263..0......None.15/09/2015.ada. Sp...ada....0.160500..C / I / RSU...None...0...76943..0.tidak ada.0.C.....160500.15/09/2015.b55868a69db0250fcd634101632c83fc 3509134.C.... Sp.1329R00209150000292^0000114160 432.0..49...1329R00209150000281^0001878571438..f0199895cb4941595e9fd5e2e2594 7a3 3509134.....1329R00209150000290^0001633657656.192121. DEVI.0.02/04/1965.2..6....126800.. ....2.0.tidak ada.None.193199.0..... PENYAKIT KRONIS KECIL LAIN-LAIN.None..C / I / RSU....Z35 9.160500..160500..0...None...ad a.None.0..15781.06/07/1959..C / I / RSU....I NACBG 4.160 500.ada...SAFARAZ AKMA FADHIL MUHROJI...None.1.00....01/01/1966.0...1..None.INACBG 4..0..... AGUS YUDHO SANTOSO.160500..160500....0...0.M1999. 0.None..25643...1.C.00....R042..265.......192276.PD.OG.264...tidak ada....0.1.None...None...1329R00209150000275^0001446778001...1. MOERAD....16050 0..0..1329R00209150000288^0001203963006.160500.None.....523587937a73352c3fbec1f5e8da2165 3509134..None..None...00. PENY AKIT KRONIS KECIL LAIN-LAIN..UMI HANIK.15/09/2015.....None...15/09/2015.None... AGUS YUDHO SANTOSO..2.PD.None.00...None. P ENYAKIT KRONIS KECIL LAIN-LAIN....I10.None...... PENY AKIT KRONIS KECIL LAIN-LAIN.0..tidak ada..ada.None.344f51127225787cb96e142739a7c1b3 3509134... A.....0..1.PD.....22310.0...C..tida k ada..00....262......00..... PEM ERIKSAAN ANTEPARTUM.....Q-5-44-0.. AGUS YUDHO SANTOSO....15/09/2015.192958........tidak ada.. MOERAD.....0....Q-5-44-0.1.1..Z305 .dr.1..1329R00209150000295^000185 2795798..126800...dr.13.Q-5-44-0......None.2...0.......BRAIL.. PARU AKUT.None...2....7eead314ef711d9ae4ebf570a32404d3 3509134...

...1......2..2.None.JUMAI YAH.CHOLIFAH.276.0..01/07/1961.13730 0..0..31/12/1951....0.None...INACBG 4..15/09/2015..0...0.. PENY AKIT KRONIS KECIL LAIN-LAIN.1......3.128042......SUNTI..None..14/09/2015.. Sp.......dr..282.189975..4bfad93e460e911655ecf4fcd768785a 3509134..None..0.tidak ada...M.......0.. THT.Q-5-44-0..None......e606e2f86608820aeac874cba7e651cf 3509134..2371.0......0...0.ad a.139049...CHOLIFAH.1..SUYANTI.3.........ada....3.26/07/1977...0. ELLA FAJAR......192884...dr.1329R00209150000294^0001456888239....NAAM...19721...0...dr.. Sp..1.H2 51..16050 0..00.C / I / RSU.....1...1...0.C / I / RSU..ada..ada....0........NANIK SETIYOWATI..None..Q-5-12-0..dr.23846.0..1...72.......3 309100..C.1.None.0.ada.......Q-5-44-0......0.....ada....None.C / I / RSU....15/09/2015.15/09/2015...277...1.2.....Dr. PENY AKIT KRONIS KECIL LAIN-LAIN.23268.2. B.0......272.INA CBG 4.dr...0.1329R00209150000636^0001481983997..None. PEN YAKIT KRONIS KECIL LAIN-LAIN..15/09/2015.C / I / RSU...15/09/2015.15/09/2015..274.2...813934845bcc6c498831b892e92df98d 3509134.......None..20582...280...6774100.. ARIF HERMAWAN. ARIF HERMAWAN..None...c62ebe7af13fb14375d19a171fca60d2 3509134...170600.None....ba52071b 3920cd01c4111ff638c8276a 3509134......INACBG 4.18014...1..INACBG 4.C / I / RSU.124200....0...0..9... Sp.0..Phacoemulsification.U-3-16-0.YY-13-III.None..... ARIF HERMAWAN.0.None.2.MARIYANTI..0....None........a0532e9c5ed7b5de5c4a37a9d15af31d 3509134...26464.None.1.160 500.ee899a09340f05ccb28a4f5350f4e31b 3509134.0...2.None..None....160500...160500.........37000.1....C.a19b518930e0da4e88b47774aa888f90 3509134.........3...3.0.....f28c5a3cdc8dc6 0690ffb1044cb4d5bb 3509134.0. ELLA FAJAR.....54. HENI WIJAYANTI........INACBG 4......None. Sp.1341..1....None...... HENI WIJAYANTI. PENY AKIT KRONIS KECIL LAIN-LAIN........10/05/1959..drg..1.None......None.00.None.170649.1...1..192506.273.....C..tidak ad a...None.None.1.None.Q-5-44-0.54....48890...None.0.INACBG 4....0.C.........160500....SITI PARMIYATI. B..1.None.63..0..K041 . Sp.H609 .35.170600..14/09/2015.3.0..U-3-16-0.....None......None.278...3....... Sp....C / I / RSU.....14/09/2015..C.......ada...1371.......18/08/2007..15/09/2015..0..0.None...8...160500.AYLA AURAZZANDEA S..0daeb02aaf2228eda37c65aac959f503 .......C / I / RSU..INACBG 4. PROSEDUR OPERASI KATARAK...17/09/1961.281..0...0...None...2......160500...........0.. Sp......00..N40 .tidak ada.160 500...0...180495......1329R00209150000302^0000114375543..0....15/09/2015..65.....193831.C...C / I / RSU.None.2....7..0...00..tidak ada...0.......170600....0...2..15/09/2015..271.C509 ......1..15/09/2015....15/09/2015. PROSEDUR PADA GIGI...13092......2...1605 00.......None..2.tidak ada.H524..2....None...0.0.2..0....1.1..ada.1...14/09/2015.E049 ...K040 ...15/09/2015............0.INACBG 4.Dr.2. PENY AKIT KRONIS KECIL LAIN-LAIN..13929. HENI WIJAYANTI.275.None.C / I / RSU......8...3.15/09/2015.....INACBG 4.1329R00209150000293^0001540616477...dr. PENY AKIT AKUT KECIL LAIN-LAIN..None..........M..tidak ada...137300..91088.1.63...None.0...1329R00209150000241^0001276721651.C......0...0...02/04/1943..None.2.00..279.0......B.2.1.1 329R00209150000297^0001829041424.0.Q-5-44-0.Dr...160 500.56.0...None.Q-5-44-0...0.ada. B..072423.FALEL A SANDY MATOVANI..2950.2..K041 .14/09/2015......None.ada...None.INACBG 4..1..1329R00209150000283^0000114495715.0..00...None...173020.00..15/09/2015...tidak ada..C. .1.11/11/1979..23269.2.....c7976246339ee50be566cb19ae8003d6 3509134..None..3.. ada..INACBG 4.....1329R00209150000280^0000688460343..................3..3.0..00..drg...C / I / RSU..180495.67358. THT.0.C...0..C..C...36.1329R00209150000291^0000114161218.. Sp.00..5.160 500..6590460.1..1.01/06/1950..None..19799..31/12/1951.0..160500. PROSEDUR PADA GIGI.None......00.. PENYA KIT KRONIS KECIL LAIN-LAIN..23086.3.....16678.None.H26 9...drg. ELLA FAJAR.00..M.None.3465000...Q-5-42-0....1.....0..14/09/2015..MISNATI.1329R00209150000256^0000688865747...0..193201.1.39c1ecaa65b00557914760f773872e02 3509134.C20..049437.. EVI....tid ak ada.38.00.0....None..0.None.....2.H-236-0.1329R00 209150000637^0001481983997..tid ak ada.2371.0..12000..None..93342...........1.None.2... Sp. ARIF HERMAWAN..1. GIGI .tidak ada ...ada...01/07/1952....INACBG 4..0.1329R00209150000277^0001809463285..None.16 0500..0...1..4.None.1..0.. EVI..0.0.0. PENYAK IT KRONIS KECIL LAIN-LAIN.......1..0.None...None....1..160500...3....2.tidak ad a.C / I / RSU..124200.63.None...0.170600.15/09/2015...None... .Q-5-44-0..C / I / RSU....0..Q-5-44-0....3.......1..tidak ada...None.15/09/2015.

1.0.0...14/09/2015.0....994011a7aa4b9714f728296c48bba94a 3509134..None.23785.160500.c0d54483f66d2435a280656c3ba4fb6e 3509134...None...1...1..14/09/2015...None.14/09/2015...056454..16 0500..None..00....SATIAH...C...0..2.....I132..1...None...ada.0....00...None....8424611f51518eb3da425343e453510c 3509134......160500..29660. HENI WIJAYANTI.tidak ada.Q-5-44-0...M....1..1889......M.Z09 8.1.C..0.2........0..0..Q-5-44-0..1.C / I / RSU...160500.....0... PEN YAKIT KRONIS KECIL LAIN-LAIN. AGUS YUDHO SANTOSO..........72602c0a78743bb6570537b6423b90b4 3509134....None..5.C / I / RSU..T...dr....81...284..067437......3...PD.t idak ada.H11 0.....023374.1.283.00..14/09/2015..None..INACBG 4..1. PEN YAKIT KRONIS KECIL LAIN-LAIN.0.None.tidak ada. Sp..0......ada....58... Sp.....MARIYANI.ASHFA ZAMITA NURIL AISY.. PENYAKIT KRONIS KECIL LAIN-LAIN..tida k ada.1.135879..193146.132152.None... HENI WIJAYANTI.....17/04/1945...14/09/2015.0.1....00.INACBG 4...01/07/1934.H26 9. Sp. HENI WIJAYANTI.1. MOCH...Q-5-44-0.00..0.32000.17/04/1942.M..160500. PEN YAKIT KRONIS KECIL LAIN-LAIN..0..1..14/09/2015.None.MOERDIMAN...M...1329R00209150000255^0000114276014.dr.2. PENYAKIT KRONIS KECIL LAIN-LAIN...3....1.140984..3509134....16115.160500.1.0..44..1.70..294..40..7....Q-5-44 -0.....C...131462..None..ab851af389e3bb651d7de83525a4ce07 3509134..ada.0..tidak ada..UMI SALAMAH...........K761.0.0.292. .1.0..160500...3..1.....Dr.14/09/2015.E11 8..01/10/1956....14/09/2015...None..0..73.1.1..M......160500.77c0716a0192cce3722e6bf7a389d1b3 3509134..None.0...00.INACBG 4....None..1329R00209150000259^0001039265965..2....M. Sp.2...3...2.None.............0.....1..0..1329R00209150000243^0000690549063.b6cb3b7e6123db31d55f358e843438b9 3509134.0.........14/09/2015...PD... PENYA KIT KRONIS KECIL LAIN-LAIN.None.None.1.None.0.1329R00209150000251^0001541664764...21532.C.INACBG 4..None....130463.Non e.2..Q-5-44-0..None..C / I / RSU.17531...None.0..MOH AL BAITUNNUR.2.01/07/1977..0 .38....1...0.13/07/2010.14/09/2015.0......160500.None.Q-5-44-0..1.121308..Q-5-44-0.None...045128.5.None.14/09/2015.tidak ada..293... PENYAKIT KRONIS KECIL LAIN-LAIN......14/09/2015..None...None..2.2.160500.C.....SUMARTO.....dr.3....K30..14/09/2015......01/08/1950.None....None...0....a da...INACBG 4...0.None.INACBG 4.0..5...0..f29ccbff3894f5d8c2292404f0a924a6 3509134.160500..N898....Dr..1...3...H26 9.C.ada..70.14/09/2015.1....None.. Sp..2..0..0..1..a da.1.48.0... Sp...1................ AGUS YUDHO SANTOSO.............tidak ada..Q-5-44-0...C..INACBG 4...........14/09/2015...3.....R18.....None.Dr.......0.65....14/09/2015.0.PD.. Sp. Sp..01/08/1971......1.tida k ada..0.1.....0......14/09/2015.16 0500...0.H26 9.None.OG. HENI WIJAYANTI....None..dr...290...00.None......45...17/08/1970.Q-5-44-0.None..0.ada ...6bac9cd1f83805d3b39481b9c01ee09 1 3509134...I10..C / I / RSU..1.....Q-5-44-0...0..ada..1...ada. PEN YAKIT KRONIS KECIL LAIN-LAIN..16 0500.C / I / RSU.....dr...0... DEVI..160500.1..0.None.2..None..Dr.Q-5-44-0..0 ..146490.... Sp.......2..None. Sp.00.MOHAMMAD MUNIR.0....1605 00..5...1329R00209150000247^00006 89789856. HENI WIJAYANTI..0..1.None.1329R00209150000262^0001875555426.2.25745.160500. Sp..0....N814 ......42.....0........C / I / RSU. PENYAKIT KRONIS KECIL LAIN-LAIN..Z09 8.160500..1.None..INACBG 4..00.59454...00....15/09/1967.....dr.00.Q-5-44-0. SUJIATI...SUYITNO....Dr..0.H409..3.0...14/09/2015.14/09/2015........ PENYA KIT KRONIS KECIL LAIN-LAIN....None....141462....tidak ada..0b81a82c3d52a51415b21dbf5a15fddb 3509134......None...SITI KHOTIAH.C..C / I / RSU.25717..2..160500....0.0.15544.....2....3.C / I / RSU.None..Z098...0...None..1..0....None.14/09/2015..INACBG 4...1. Sp..None..None.191914.3..........None....C.......3..... HENI WIJAYANTI.0. PENYAKIT KRONIS KECIL LAIN-LAIN.291..1..H26 9.C..3.0..22/02/1973.1329R00209150000245^0000114 157956.289.None......0.. AGUS YUDHO SANTOSO.....1.......tidak ada.16 0500.1605 00..RUSLAN.C.288.. A....193160. PEN YAKIT KRONIS KECIL LAIN-LAIN...INACBG 4.C / I / RSU....Dr.2. 0..285...None....tid ak ada..ada.14/09/2015.0.0. MOERAD....108449.. BSC.1329R00209150000261^0000114370053.....PD......13954.3...14/09/2015.16464...287.16 0500...20/03/1945.0......None.286.ada ....None....1..193145.160500.C..2.1.None....None.........0.1329R00209150000250^0001541664786..Z96 1..C / I / RSU.cf8ded2072c158070aace1ef8b38ea34 3509134.......1. ..0..0.1.None.ada.. AGUS YUDHO SANTOSO.......1329R00209150000240^0001272026531......0.....14/09/2015..142000.1329R00209150000265^0001540618165..INACBG 4.160500..152054.182540......None.....2....192500..None.0.0.... 0.00..160500......None.C / I / RSU....14/09/2015..0....107749.1.0.26813...1329R00209150000252^0001 039682261.

.2...None.12/09/2015.SUHAR DI....16509.....d7039f0c573ae4404917d076d74e5e96 3509134.116064.13/09/2015..2......170600...0...41190..160 500....None.J312 .........tidak ada..14/09/2015..None..PD..0.160500.9367..7.160500..0.2..None........ THT...30/06/1982.None...2..INACBG 4 .14/09/2015.None......1.None.3.U-3-16-0.14/09/2015..00.None.1.2..0.......13730 0.ada..tidak ad a.49.None.. MOERAD.2...14/09/2015.1...1.C / I / RSU. Sp......00.0.tidak ada.2..dr.M..0.25/12/1980.TEMI. ARIF HERMAWAN..00..None.ada....0..None.tidak ada..13daca7a80d7ad5644b672fd2986bc4a 3509134......13/09/2015..None.0....25..... ELLA FAJAR.....1. EVI.160 500..297.0.13588.tidak ada... B.37000.SITI HAYANI.1329R00209150000236^00001138937 ..Q-5-44-0.... JEFRI CHRISDIAWAN.....2.....ada...14/09/2015...0.None..0.0..2..Dr... PENYA KIT KRONIS KECIL LAIN-LAIN.....37..0...........126800..1......62......K040 ..2.3.1329R00209150000242^0001319401427.......0........14/09/2015.2.None.. PROSEDUR PADA GIGI.....12/11/2004...0.1.ada....0....160500..... C / I / RSU.....FIRDAUS ABU BAKAR....51.....12/09/2015....0..C / I / RSU..1.dr.1329R00209150000249^0001465538117..1.dr.3ffd27aa7202d950b0f9cb0e216e53c9 3509134.drg.01/01/1954.. Sp...45.C.None.0.8628. AGUS YUDHO SANTOSO...0....120463.0...ada.3956...00..None....2.16 0500.0.306.dr..None...........28/12/1952.192998. ARIF HERMAWAN...12681.0...3.0..None.None.None..61.. Sp..K052.01/07/1970.......160500.....1.2..None.....MAULI DA MARYANI.PD....305.. MOCH.Q-5-44-0..53.None.INACBG 4..1329R00209150000260^0001387346253.Q-5-44-0..tidak ada.1.tidak ada..14/09/2015... PROSEDUR KECIL PADA KULIT....3....None.None. EVI..0.tidak ada.Q-5-44-0. PENY AKIT AKUT KECIL LAIN-LAIN....C.....34.........t idak ada..170600.2........3..C / I / RSU.L-3-12-0.C..None..3......14/09/2015.dr..4b3ae4647d13f00ca1bff29d691c8c5a 3509134..12/09/2015....2...0.C...U-3-1 6-0.1...05/06/1966....154500.None.. PENY AKIT KRONIS KECIL LAIN-LAIN..2.4.tidak ada..Q-5-44-0..C / I / RSU....0.. ..0.22536.1..295.80480..SHOLIHIN....None.2...1.178519.....01/07/1962.INACBG 4...None.C....1...C..1.1..3..None. 160500.0....None.....3.0...0.None.None.0....ada.12/09/2015.....Z098 .None...299....OG....C....127715....160 500.3. Sp..18967..0.ada...1..None.0....0.17998........Q-5-44-0.ada .2...132643.1605 00......391c3e7f4773316b8fc130feba602ac7 3509134...2371....1329R00209150000257^0001877066346.....Q-5-23-0....126800.2..0.........1...14/09/2015....0..0..INACBG 4..C / I / RSU...C / I / RSU...0...442aae95dc83fd0c9bc86710a7597821 3509134.... EVA.0......None.1. THT.00.98841c82f29c962bb09da6ec7e3fff07 3509134. PEN YAKIT KRONIS KECIL LAIN-LAIN..None..1.14/09/2015....160500......LILIK FINDIYANI..303. PENY AKIT KRONIS KECIL LAIN-LAIN..0...1...160500...1... HENI WIJAYANTI...0.....2.ada..2..T63 0.2319...22552.K30 .tida k ada...189622...None.C.1...H612 .b73b69148445d71aabcc70a594b5e88e 3509134......None.170600...Q-5-44-0........160500.00..tidak a da.0.0..INACBG 4..3.None.0...UMI SALAMAH. Sp...19433.0...dr.None.0.184413....1...INACBG 4. AGUS YUDHO SANTOSO....1...None. PENY AKIT KRONIS KECIL LAIN-LAIN.None.e91bf7cb2dfb02db033ac12f87f9bb74 3509134..None...1..0..C / I / RSU..192072.107507...0.0..873341..INACBG 4..........301. B..None.1.None.137300...None....INACBG 4....21/01/1990..0..IN ACBG 4.0.14/09/2015.2..........dr......0.3.......1..12000..191383.INACBG 4....79574.3.Q-5-42-0.1.61.1....3.00.0.dr.......2....14/09/2015...14/09/2015....C.. Sp.0.......1.C / I / RSU.....00..None...0...1329R00209150000235^0000167568467..ada..c451d058c83ef2aafa687e7d45dbe086 3509134......None.3......1...0.1. GANDHI.296..14/09/2015.0...12/09/2015...JURMIYAH...Z96 1...Z359 ...None.....1.1329R00209150000263^0001874114774..0.None.14/09/2015.193118..14/12/1953....300..0......10/10/1963.1. PROSEDUR PADA GIGI.1.0...None......77728.SENIYAMI.2.031747. THT....1329R00209150000264^0000114102628.0.ef83cf90e79ce70479aad7e2048979a1 3509134..SURATMI.160 500.........1545 00.0...170600..1329R00209150000254^0001277026828..562ba95a386bafd2c62b4bbe6bb2fef7 3509134.0.C.J42.1.INACBG 4..... ada.33.None..142000...None... Sp.2.10. Sp.I10 ... P ENYAKIT KRONIS KECIL LAIN-LAIN....... SUHARSIH.None...dr..0.0.0.None.C / I / RSU....1329R00209150000253^0000114712029...0.3.298. PENY AKIT KRONIS KECIL LAIN-LAIN.0.. Sp.14/09/2015...00.INACBG 4. PEME RIKSAAN ANTEPARTUM.0.None..None..C..............22905.drg....None..1329R00209150000234^0000692024139........17...C / I / RSU..C.192725...0....3.1329R00209150000276^0000691529128....304...118513.00....00....C / I / RSU....12129.......0.Z098.None...302.1.01/07/1978.None...0..H609 ...............1...191725.K04 1.12/09/2015.....00.

Q-5-44-0.21501.. Sp.....0...315.dr..0.0.None...ada....0.None.ada..........80132.09/06/1956.....HUZAIRI.5f9a2bdbe3a91dfff7be7d2fce77a0bc 3509134.160500..EKO SISWANTO....0...tidak ada....e020777cb75ef932b38e82b61dda5a15 3509134.0....0...None.....2..0.None.1. PENY AKIT KRONIS KECIL LAIN-LAIN....tidak .INACBG 4....1....081073...Q-5-440..dr.1.........280837.dr..23843..None.1.None..1.None....25/12/1980.11/09/2015..1329R00209150000237^000011466199 1.None.None...Q-5-44-0.....1..0.PD....None.C.67000...ada.7853a7e3a8ecee800889a82deddeaf2e 3509134..INACBG 4...0.0...0...ACHMAD....0..160500..None.. THT..1.None.0..K04 1.None.0....65..... PENYAKIT KRONIS KECIL LAIN-LAIN.C.None..dr.None.......160500.160500.E14 8.00.0.tidak ada.1.. AGUS YUDHO SANTOSO.drg...64..None.1.None.2..1329R00209150000238^000011436847 7.226900..C / I / RSU..0..C / I / RSU...None...1.00..Dr...11/09/2015........9396...51.12/09/2015..Z098 ..None...None..3....0.. AGUS YUDHO SANTOSO..3..11/09/2015..23814.3..ada.............17/04/1971.I10 ....... EVA....INACBG 4..Q-5-44-0..ada..05...ada....59....1....None..... PENY AKIT KRONIS KECIL LAIN-LAIN...None.None....1..None..160 500...None...None.192998.. PENYAKIT KRONIS KECIL LAIN-LAIN..1.1329R00209150000369^0001310776852..11/09/2015..175692.Q-5-44-0..C / I / RSU.00.. PROSEDUR KECIL ENDOSKOPI PADA SALURAN KEMIH.0.None.9059.312..None.170600. Sp...00.309..12/09/2015...No ne..None......00. AGUS YUDHO SANTOSO..ada..24629. PENY AKIT KRONIS KECIL LAIN-LAIN..BUAMAR.160 500..16218..11/09/2015.12678...2...1.....None.tidak ada......0.......1..00.......I259.....67.None.0.13730 0.C / I / RSU..INACBG 4.2.....tidak ada..160500.None.0.CHUNAINAH.tida k ada....SUNAN IK..... B.1.02/10/1963..C.C / I / RSU.173020....091388..ada.075461....None... ARIF HERMAWAN...11/09/2015..tidak ada....140681.1..00.PD.dr..160 500..3....None....0...22535.1.12/09/2015. GANDHI..212215........1.NAAM.1..dr.....tidak ada.bfb936153016817c78e23cdb7528e9c6 3509134.2.0.....2..160 500..29/10/1956...1...........2.. B..C.0...0.....01/07/1950....INACBG 4....None..None...dr...052997.115566.00..1329R00209150000227^0000113976696.2...drg.. Dra........ ROHMADONI.2.2.00.....318..C / I / RSU.DJAJIN..... B.316...0...1.K051 ...None..0...39500..34...C / I / RSU.INACBG 4.12/09/2015..C / I / RSU....317..06/04/1948...0......53..0.0. Sp......1329R00209150000223^0000173813951.226900...0...1329R00209150000221^000011385676 1...1.....1..58...3.tidak ada. PENY AKIT AKUT KECIL LAIN-LAIN..0.None.. 1.SULFIADI.0...0....0...0.I10 ...0...0.3.313.1....None...2983b1dea2bdd9e86f5e8af459c45643 3509134.........C / I / RSU....116000..0..0.Q-5-44-0 ...2....23/08/1962.None.23448.None..D64 9...0........2....11/09/2015.......11/09/2015...3.....00..1....0.5794.None..2.95921ef7f693a5b2b0f67cd1171962a9 3509134.... PENY AKIT KRONIS KECIL LAIN-LAIN...438289..44...None...........None.M1999...0.L029 .0..182773..tidak ad a..0....160500..0.11883....0.......Q-5-42-0...01/07/1951..1329R00209150000222^0001437668864.INACBG 4.....0...0.None.PD....193060.1..... PENY AKIT KRONIS KECIL LAIN-LAIN..4b88c987d32ac6fa1635a0c758f508e7 3509134..C.ada..3.00.U-3-16-0.310..0...1..None...C / I / RSU...fd2ca936829ca706ed64195c47f9e4f6 3509134.11/09/2015..... B.C.None ..2371.1...1329R00209150000229^000103966 9672..12/09/2015.17... Sp....1.....0. Sp...160 500...1...11/09/2015......ada.18972......None...... Sp.. Sp..1..27.0...31/12/1953..INACBG 4.ada....137300.0.0..1329R00209150000233^0001540616365..C...0.. ARIF HERMAWAN.C....2319...16851.Z090 ..01/06/1950....0...0..H612 .177444.160500.6.... ARIF HERMAWAN.. .1.Q-5-44-0.3...C / I / RSU...1..ada.tidak ad a. AGUS YUDHO SANTOSO...170600.1329R00209150000228^0001277026828.....0.....1329R00209150000230^0000114 449343..C.1..ca4366d387f8a31410cf4a6aa50330dc 3509134....1....0.0.1..Q-5-44-0..SUPRAPTI.PD.160500.160500...65.E148.0.11/09/2015.None.32.....314..1.0...tidak ada......12/09/2015.160500...83143....11/09/2015...e3cf1637008fe015773e432610736af5 3509134.....0...None...INACBG 4..3...18.LILIK FINDIYANI..0.11/09/2015.. Sp.........1... PROSEDUR PADA GIGI....11f8d3eebba6dd6a78a7ced02bcfdf8a 3509134....170600.INACBG 4.0.dr.2..311......20...0.2.2......5..None..U-3-16-0...1..tidak ada......None.20...11/09/2015.1..0......170600..0.C / I / RSU.None.None..307.ada.11/09/2015...3.3. PROSEDUR PADA GIGI..None.....None..28/02/1983.N359 ..2.K30.....1329R00209150000224^0000688865747.N40 .C..1.21643.None...142000....0 ..61.dr.. Sp..None.. GANDHI..013075.INACBG 4...11/09/2015....82906. PENYAKIT KRONIS KECIL LAIN-LAIN..160500.00..19378..C.1.2.0.N -3-14-0.. ARIF HERMAWAN.308...0.1....43622d3a12eb792b4860793575d47ce8 3509134..11/09/2015.None.KUSV A ANDAYANI..1.11/09/2015...C..1...INACBG 4...

....0...12/04/1942..1.1. HENI WIJAYANTI.0.INACBG 4..b76dc313c754f02889b81fb89b8b2e43 3509134... B.0.11.None.Q-5-42-0...0.24/07/1940.278890.None.0..7... AGUS YUDHO SANTOSO.7......52.......0..10/09/2015.None...C..None.....6bbc8c5a1da33fa2f0bf349603f2f974 3509134....19245...INACBG 4..U-3-16-0..None..None......06/04/1948.None...M.7.None.27441..0.None..00.196300.10/09/2015..191725..10/09/2015.None.137300.None...SENIYAMI...1329R00209150000218^0001540616477...329.170600.Dr.tidak ada.160500...INACBG 4.0..00.3..0..None......C.Q-5-44-0....0.C. 1.None.....00.Dr..C.......1.0..1..None.C...0. PENYA KIT KRONIS KECIL LAIN-LAIN.1..160500....072423..10/09/2015.....22215..0.4.327....1605 00.......0.0.ada. ......1.1329R00209150000212^00 00114576625...3.160500..ada..None..Q-5-44-0..00.None. ARIF HERMAWAN...SULFIADI...325.10/09/2015....0..3.11/11/1979....YATINEM..3..119907.67..C..1329R00209150000202^0000114068452. Sp..1..None....10/09/2015.0..2.... .None.None...1329R00209150000216^0001877066346.......tidak ada.....1....10/09/2015.0.None.E148.....None.... A...... tidak ada.C / I / RSU....1425..1.dr.J029....INACBG 4.26459.None....3.047773..M.183637.dr..........C....27494...None...1.......2.25/07/1979.8d2cc6b878d7c5bf1312b0d5281a3d09 3509134.....tidak ada.125800...00.INACBG 4... B...1..C / I / RSU..13087..ada...0.No ne.H26 9.9059.....None..20.....K040 ...ada.0.None.....3...tida k ada....1...2..16/10/2011.098337.321...0...324...ada.26814.None..2.BASUNI.2... ARIF HERMAWAN..160500. Sp...INACBG 4...1329R00209150000207^0001297209969.00..1....320...319.73..160 500.137300..PD..2......tidak ada .None. RATNA IRDIANI.1.. ELLA FAJAR.......Q-5-44-0.tidak ada............00..00..None.0.10/09/2015....C / I / RSU.....C...10/09/2015.....160 500... HENI WIJAYANTI.. SALUR AN KEMIH AKUT.....C..1.13196..36.0...160500....1....2371.10/09/2015... MUHAMMAD.H26 9.............330..2..10/09/2015.....SUYANTI...10/09/2015.10/09/2015.2.SUYATMIN.PD..... Sp.074955...M....25606..1...01/06/1940.....H26 9...2.C / I / RSU...14/11/1954.1..22120. PENYAKIT KRONIS BESAR LAIN-LAIN.drg.....1.125800......02/04/1943.a467e29bea7d8c8a92636fe3f713 f144 3509134...None.0.INACBG 4..0.None.None.0.....None.2.. Sp..3.. HENI WIJAYANTI.Dr. PENYAK IT AKUT KECIL LAIN-LAIN..049437.. Sp.. B.96964.31...2...142376.33.. PEN YAKIT KRONIS KECIL LAIN-LAIN...2.4813db688db3e672c3d3c446497562f1 3509134...16 0500.10/09/2015....0..0.....2794cdbb7988bec8ca665021964f1c1f 3509134. AGUS YUDHO SANTOSO..10/09/2015.1329R00209150000211^0000173813951..ada...10/09/2015....None.0..INACBG 4.. PEN YAKIT KRONIS KECIL LAIN-LAIN..1...0.....0.C / I / RSU.10/09/2015.02/08/1945.. ..INACBG 4..10/09/2015.........ada.None.1.C / I / RSU...150400..1..10/09/2015.16 0500.75..193009..None.5c678141ebb654c2bce8098234283551 3509134.. ARIF HERMAWAN.N359 ..None.1.2.Q-5-4 4-0..None.0.Dr...0.None...00.....C....23292...M...00....dr...None......3.0...473848fd96eceef41147a69b03278fe8 3509134.1329R00209150000205^0000689155266..1...150400.1...Q-5-40-0..None..2..... Sp..1..Z961 ...160500..0.1........N39 0.None...326.0.C / I / RSU..None...2.. INF EKSI SALURAN KEMIH AKUT.0...70...M1999.... PENY AKIT KRONIS KECIL LAIN-LAIN..None.610531.0.16 0500....None...12000..160500....1329R00209150000210^0000693349266..2..2....120463..tida k ada.0...0...0.None....0......None...27647.. Sp.......ada... PROSEDUR PADA GIGI...10/09/2015.10/09/2015.0....1329R00209150000214^0000114156112 ...170600..I10 ..0...None..24628..0.N23.1.610401..1.None..ada..3.0..INACBG 4... PENY AKIT KRONIS KECIL LAIN-LAIN.1329R00209150000213^0000114161218......3.3..0...None....182099.1..2..tida k ada.....1329R00209150000209^0001538395604.160500......K30.None...C / I / RSU....1.......3......H. Sp..37000.....120463.....0.........0..0........INACBG 4.....0..0.None..C / I / RSU.0.0....0.0. HENI WIJAYANTI..1..None..0.None.2..00.21.ba7708ddcef3bcf8a7089e6036869851 3509134..1.None.1.1.0.... PENYAKIT KRONIS KECIL LAIN-LAIN..dr ..INACBG 4.10/09/2015..None..72. Sp... Drs....Q-5-32-0......30/06/1982..323....C.... PEN YAKIT KRONIS KECIL LAIN-LAIN.10/09/2015...Q-5-44-0....3..1..35.None.ada.......10/09/2015.....FALEL A SANDY MATOVANI.C / I / RSU.0....0.C.12125.322...None....0....Q-5-44-0..1.Q-5-43-0.......3...1..0.0..1.ada.... IZZAH NABILAH ROMLI..0. Sp.82f2e12801066da7f7adfe0c29475143 3509134...C / I / RSU..I13 0.. ..0........dr...2..None.......0...3..0..0.75..120463.60.........0.0.None.01/01/1963.tidak ada...SUGENG PAMUDJI....ada.328..f620c7ce87e8186ae000b81bbe2b02eb 3509134..1.....00...C / I / RSU...03ee885118bb11e24aab8d4ad6c089f7 3509134...0..tid ak ada....Q-5-44-0... DEVI..1...158057..dr.

...c5c010735b03722e5dd1051d2197a04d 3509134.None..INACBG 4.None.C / I / RSU.16/03/1991..INACBG 4......09/09/2015. LELY MARTHA ULI.3.Q-5-21-0..Dr...None......None.....077542..155130...None...tidak ada .1329R00209150000182^0001809463285.2......3.None.1..C / I / RSU..Dr.INACBG 4.334..0..54..0.22807..2....10/09/2015..None..20..None.... HENI WIJAYANTI....00....09/09/2015...00...............09/09/2015.0..0...09/09/2015.. Sp.0.145409...OG......Z09 0..196300.C / I / RSU.3..None....ada...50.......0.2......1.....15775...None..M.C / I / RSU.160500.None.00..None.None..160500...0. PEN YAKIT KRONIS KECIL LAIN-LAIN...None. Sp.2.O034 ....M...135376..0............10/09/2015.0.877bb1b6c9afc35f790ec56cae22e240 3509134.C / I / RSU.....09/09/2015.C / I / RSU.None.Q-5-44-0...0.0....INACBG 4.09/09/2015.......26266....160500..None.3.C.. Sp.....128100..09/09/2015....2..MISNATI...1..2.ada .Dr....0.0.None....80...MUSTOFA.510a17f05a91466ca12ffc8737e40956 3509134....128100...0....0...Q-5-4 ...... HENI WIJAYANTI.tidak ada...0..0...20371.None.25...2.Q-5-44-0... PENYAKIT KRONIS KECIL LAIN-LAIN..140527.1329R00209150000206^0000049558 307.0..64...06/08/1965.None........1.0.13/05/1935....1329R00209150000185^0001799315842.0.0.None...2..None... PEN YAKIT KRONIS KECIL LAIN-LAIN...339.MISINAH..4.09/09/2015.2.3..None... SISTEM PERSARAFAN PUSAT AKUT..None. S.. HENI WIJAYANTI.1329R00209150000173^0000114361288.1329R00209150000187^0001646 578923.3.1329R00209150000190^ 0001541627908.118749..0.None.00....331.0.....M..... PEN YAKIT KRONIS KECIL LAIN-LAIN...20.......1....None.M1999.... 0.. PENYAKIT KRONIS KECIL LAIN-LAIN..0........1...1..e6d4399512dc2370ac93520a10717baf 3509134..1.1.120463.....192121....0.H26 9...ada...tidak ada..2....0......3...H169 ...09/09/2015..192980...0.C...C / I / RSU.2.I63 9..Dr.....CHUSNI KASDI.3..C. MOERAD.1...ada....1........8943.136700.1....160 500.None. Sp.10/09/2015..13/05/1951.0.31/03/1953.1....None......0.2.1.None..tidak ada.1.....MARMIATI........124744.acee3b5f51503576aba9e80acfdefb8d 3509134......160 500....336.23/08/1961...23495....160500.. HENI WIJAYANTI.fc5ffb74e0ea5682688ddc6aaeb399a2 3509134...192293.........130463..Dr...INACBG 4..INACBG 4......None.......09/09/2015.I10 .NGATIMIN..M.1329R00209150000220^0000114155807..333.ada.0..tidak ada.... HENI WIJAYANTI.16 0500.55.C....tidak ada.....8..192991.0...dr.09/09/2015. Sp..ada.10/09/2015..09/09/2015.None. PEN YAKIT KRONIS KECIL LAIN-LAIN.tidak ada.....1329R00209150000204^0001875485902.0......E118...H209.16 0500.24.0..29340..None..SITI HANIFATUL HOIROH.332...Q-5-39-0.16 0500...0..0..0....ada.None...0.C / I / RSU.11. Sp..1329R00209150000178^0000692328802.Dr........338.0..09/09/2015..09/09/2015.....None. 0.........1.tida k ada.09/09/2015.1..C..160500..9418.None..1...ada ...10/09/2015.0. tidak ada.....11/10/1943. Sp...1..1.1..INACBG 4.342.26/11/1989. LELY MARTHA ULI..1.0...1......1.None..Z96 1...1.83016e06fa5a58ed88e82ad7b03 eb871 3509134.I259.None.......C / I / RSU.340. S.YENI HIDIYAH...M....c4ff06df69795d64c4b9ee2a99fe8c3a 3509134....160500.None. HENI WIJAYANTI..C.......None..00.5.1..0..18cfb3d5dd914631d8b93737d4ff4e4c 3509134.160500.ada..C.1329R00209150000171^0000114294925....H209.....0.....M..3. KECEDERAAN BESAR PADA JARINGAN LUNAK......ad a.... ABOR SI.1..12/06/1995.1...INACBG 4.43.Q-5-44-0.......e96b4b4d05624527fa8066a5eaf3461f 3509134..2...7395........dr.136700.2.....C.80500..C / I / RSU..Q-5-44-0.00...1.0...3......09/09/2015.0.09/09/2015....337......Dr.C.64901. 0....C...None.Q-5-44-0. Sp.. Sp......None..Dr..ada...tid ak ada....09/09/2015....0.0....None...01/12/1959......18296...335.19741.None.....130463...None.0.1.0.10/09/2015.192880...0.0.I10...S059 .....0.....341.2......None.1..0.0...None.192997....01/07/1972......00...1...Q-5-44-0.....2....INACBG 4...107104..None...No ne.tida k ada..C / I / RSU.0. MOCH.....2...0..1329R00209150000192^0001876000599.142000.24293....SOETI JD SOEPINGAT.. Sp.....Q-5-44-0.Z961..1.22f3cc93aa2bfd88ee9049aa4a9c47d0 3509134.71.3. PENY AKIT KRONIS KECIL LAIN-LAIN.. ROHMADONI.Q-5-27 -0....0....0.dr..0. HENI WIJAYANTI.160500..Z098 ....SUTAYIK.1.........0.2.. PENY AKIT KRONIS KECIL LAIN-LAIN..H40 9..1.INACBG 4..0.......167583...2.16 0500.1...179546.3.None.M.....None..00..1....None..80500...00..0.tidak ada...None.None.1...1...66.0.Z96 1...2.....26f1db161de813c1beead426c4ed3765 3509134.1...0.INACBG 4.ada.C.......00.....C / I / RSU.00......151075...1..Dr.160500..1....127923.......M.0.Q-5-44-0.INACBG 4.1.None.1.None..160500.1..1....1329R00209150000215^0000210846251.20.0.UMI HANIK.H43 1... Sp.. HENI WIJAYANTI..62...205574...06/03/1949.C.MUJI YANA MURTI NINGSIH........None..

... ARIF HERMAWAN......0.SARIJAH.51021.C / I / RSU.None...None..None.160500....INACBG 4....1..I259....b80b8d3666adcc23f945ccfc339afde2 3509134.0.R042 ..ada..1....None.0..1.1329R00209150000172^00001 14156393...PD.tidak ad a...........None.1.C.201000... P ENYAKIT KRONIS KECIL LAIN-LAIN..0.C / I / RSU...1..1329R00209150000176^0000114205 645........ AGUS YUDHO SANTOSO.....30/05/1956.67000.1.None.C..Q-5-44 -0.09/09/2015...C / I / RSU.dr..0..Z098 .1.None.C.2.8107.. I259.INACBG 4.None....0......25/07/1979.00.....None.09/09/2015..None.196300.None..09/09/2015. PENYA KIT KRONIS KECIL LAIN-LAIN..PD.Z098 ...PD....352. ada.9.52..None..YUNIAR SILVIA.SITI HAYANI.0..90512..ada.0.None.....00..09/09/2015..0.C.......... PENYAKIT KRONIS KECIL LAIN-LAIN.0.1.. Sp.Q-5-40-0....0.1...e82ec5caf215af73aea02fb2057a9d7a 3509134.3e7af0826a355bba632c3622231 5c78f 3509134....1... PENYAKIT KRONIS KECIL LAIN-LAIN..0... PENYAKIT KRONIS KECIL LAIN-LAIN... tidak ada..a da. ARIF HERMAWAN...345.C / I / RSU.2.160500..1605 00.09/09/2015.12.0.68.0....22672....0.347......INACBG 4.....192816..... AGUS YUDHO SANTOSO.None..09/09/2015.....Q-5-44-0.21404..Q-5-44-0.353...09/09/2015..UMI HANIK........0...19244..dr.067107..INACBG 4..None..I110. .2.dr.0...None...1329R00209150000194^0000689570425..Q-5-44-0.None...160500... ARIF HERMAWAN..C....3..00.. B.1..09/09/2015..None..1..tidak ada.160500.0.0..dr.0.Z098 ......201000. PENYAKIT KRONIS KECIL LAIN-LAIN.3.2....0.6.No ne.None...cc974cd8ee17d4b3a8a894ff67ef6c0d 3509134....12659.C.09/09/2015.. AGUS YUDHO SANTOSO..01/07/1970.....135381.0..3..None..22..ed64a2cc57bc3d5a3164a54c14f64d24 .1.09/09/2015.2....None.1.09/09/2015.59..0 .2....... Drs.0....002594..None......I49 3.09/09/2015.. AGUS YUDHO SANTOSO.160500.2....None...I259 .0.1..142376. ARIF HERMAWAN. AGUS YUDHO SANTOSO..N390 ..193009...01/01/1948..None.None.00..R ATNA IRDIANI..0.I10...t idak ada...dr.01e8c6b1639fa2ffdd88c466dd1ee698 3509134....00.40254.. B.....1......18..ada...INACBG 4.318127b17fccac38ae11abb03a3b779 9 3509134...00...1.54.0.None..1....C. Sp...0.0.160500.09/09/2015....Q-5-42-0.None..56024.125800.0.2....1329R00209150000175^0000692024139.....INACBG 4.....125800..None.C / I / RSU.None..........None.tidak ada.1.....1.3.....C / I / RSU.None...tidak ada.0 ....C / I / RSU.0..Q-5-44-0..1.PD.Q-5-44-0.None.None.....58... AGUS YUDHO SANTOSO....... Sp.ada...None..0.E049.19/01/1942.INACBG 4.2...2.67..C / I / RSU..C.137300....C / I / RSU.. .09/09/2015.160500.160500...105264. 0..2..INACBG 4...........76334.36..None... Sp. AGUS YUDHO SANTOSO..2.SLAMET.1..0.24723..16be2b2a9675176489f0db9f17e9e192 3509134...1.....160500.....09/09/2015....09/09/2015.09/09/2015...........ada..0.22000...00....0...0.ad a.348. INFE KSI SALURAN KEMIH AKUT..None.......... PENYA KIT AKUT KECIL LAIN-LAIN..PD...0.........tidak ada...dr. Sp..3..1329R00209150000197^0001538395604..None...351.....160500..dr.....0... Sp.3.3.0..2..2......1329R00209150000186^0000114155807 .1..dr.1....MOHAMMAD SYANGADI...0.... AGUS YUDHO SANTOSO.0.a174ed486aefccd4884efac899cf4935 3509134.45..1.B07.....4c11dbaa91f6c07b158fd68c3fe8fb39 3509134.11/01/1981.T814..0..0.19793..193008...0...None.PD......09/09/2015..0......1329R00209150000196^0000114537554....INACBG 4..192993...2..1..tidak ada.1.1..4-0.344. Sp..73.... Sp....I130. PENYAKIT KRONIS KECIL LAIN-LAIN...None..0..0..C / I / RSU.None..14.....00.0..None..160500.2.dr.01/02/1957......tidak ada.160500.1..0.....1..EVA VAENA...0..031666.dr....IMAM BUKARI.3..INACBG 4.00..C...tidak ada...GIMAH..f218b28754b45037cf490448eb0aa644 3509134.None.... PENY AKIT KRONIS BESAR LAIN-LAIN....2.3.1....1329R00209150000198^0001097597248.0.00...None....C / I / RSU.12.137300 ..PD.1...E148 .. PARU AKUT.191383.25088...0....E148..Q-5-43-0...None......0...1..0..09/09/2015.1..0.None.None.None..26896. PENYAKIT KRONIS KECIL LAIN-LAIN..00..... 160500......1329R00209150000191^0000114293799.29/06/1993.......2...None.09/09/2015...1...346....01/01/1947.......1 ......dr..196 300.01/01/1963.2.E790...1.160500.tida k ada.None..INACBG 4..ada.16506..09/09/2015..0.None.1...Q-5-44-0...C / I / RSU.. Sp.3.196000757a15d7d28ffb187b3aeda8f5 3509134........None..1329R00209150000179^ 0000114507988...1....None...........0. Sp.ada.09/09/2015...58729...WINARNI...350.None..dr.........2.21651..B.0.Q-5-38-0..00.0..1329R00209150000189^0001541628066........0 .......343.37927.0.5.2..349..0.....1329R00209150000181^0000114159666...None......Non e.3.C... B..C...01/07/1961....0. Sp.160500.PD..None.None.INACBG 4...104913.....0. Sp.0.13195.None....0..MURADI.0..0.34..0......ada....tidak ada..ada.....None..

..160500..025652..0..2.INACBG 4... PEN YAKIT KRONIS KECIL LAIN-LAIN.09/09/2015......89fee9e6bc522213c1ded879a513036e 3509134..1.15564.......19792...08/09/2015.None.23718..C / I / RSU...Q-5-41-0.1.None.55.....0........C.M...PD.0.2....09/09/2015.08/09/2015.2.....tida k ada..232...C.M.None.2.0.35.1. tidak ada.28/01/1973.16 0500..1.0.INACBG 4... PROSEDUR PADA GIGI.. Sp..........IMAM SYAFII.C / I / RSU....364....C / I / RSU.......t idak ada...None.1..ada..............C...2.....12676........0...None..6ca457883828cb3db83585911bbc6dd3 3509134....None.00..0.1.C / I / RSU.tidak ada....H26 9....None..0.1.e08de9a2f96eb807616d11200be1e565 3509134....C / I / RSU.2. PENYAKIT KRONIS KECIL LAIN-LAIN...C / I / RSU...0.....0..1.None..Dr.0..3..None......131462.09/09/2015.42....0...0..1329R00209150000184^0001291395227....None. ELLA FAJAR...170600.0..None..None..Z090 ..09/09/2015.360..20355..1..00.11163.19172.C.C / I / RSU....Q-5-44-0..1..1..08/09/2015...160500.16 0500..None.C.. HENI WIJAYANTI. PEN YAKIT KRONIS KECIL LAIN-LAIN...None.NGATIYAH.0...None..C.....0.....None.....0....LILIK FINDIYANI..160 500.....0.354.C / I / RSU.21438. PEN YAKIT KRONIS KECIL LAIN-LAIN....08/09/2015......174310.. PENY AKIT KRONIS KECIL LAIN-LAIN..0..0.None...0.Q-5-44-0.3509134. PROSEDUR PADA GIGI...170600.2........1.. Sp.ISMIYATUN......30.. ada.0.355.INACBG 4......aaf07813e9a07bd9f454635c4beef2b1 3509134.....52....E790.10.None.160 500. HENI WIJAYANTI..Q-5-44-0...2.54.0..1..2371........00.1.C / I / RSU.1....1d11a4afa24664de41a85568765384a2 3509134.192936.2.MUSIYAM......35...None....None.0..U-3-16-0....160500..MURIYATI..dr.2..dr..0.357...112000.2.1..I493 ..76..26215..INACBG 4....358..3cb3b63d0744823de238bc5ba39fd12a 3509134..01/07/1980...102335...None..None..K040 ....0..0.. Sp..SULASMI.0. ARIF HERMAWAN.160500....None......drg...2..Q-5-44-0.......0..None...Dr.H43 3..3......1..1329R00209150000166^0001269353428.0..K04 0....None.C / I / RSU.0..Dr........H40 9..08/09/2015..359. PENY AKIT KRONIS KECIL LAIN-LAIN..1329R00209150000183^0000113867313.800fb175a4f1000884c7c8e5698a5b6d .0....130463..01/07/1961...00..1.....363.None...0....5a09bf7724a957bfce0da04e4c6166a0 3509134.1.ada ..64..tidak a da.None...None..None. EVA.INACBG 4...0.20523..01/12/1943......0.1329R00209150000157^0000688460343.......160500..None.None...None.INACBG 4..INACBG 4.2...ada.1...0..ada...........1329R00209150000177^0000692035997.....3... S..101443.1..Q-5-44-0...01/01/1947.2.INACBG 4.0...131462.tidak ada...2....N93 8..0........86d472b51497446b90a8325a55ae2566 3509134....160500...09/09/2015... PEN YAKIT KRONIS KECIL LAIN-LAIN....3..160500.170600.........16 0500.0 .192586..C / I / RSU.....3...None..14..None.None..0.PD...09/09/2015.1....None...018294.None.OG.0.......2..ada.160500.......00. B.....0.SOHIB AN.0.....Q-5-44-0.None..7..142000.. Sp.08/09/2015...3.0..16 0500...0.. MOERAD...d62eb76f94e586892104f3e25185577f 3509134.C.None.1.362.C....170600..None...M..00.80d484e93cd4f13c57def385b191fc40 3509134.JUMAI YAH.1329R00209150000138^0001319162038.0..1..dr..INACBG 4. THT.... Sp..192506......077902.15/02/1985....1329R00209150000193^0001277026828...68.1..08/09/2015.09/09/2015.08/09/2015.....0....08/09/2015.None.None.27822.....00.......16 0500..365.. tidak ada. Sp.None.1....0. ELLA FAJAR...0..ada..00....1..1..0.....143517.0... Sp.0..0.1.12853..tid ak ada.None..356.....00....None.....0.SOEKAMTO..C...INACBG 4.....08/09/2015.76334....None..M.U-3-16-0.1...125116..34..0.Q-5-44-0..160500..None....0.104246.160500..0.. PEN YAKIT KRONIS KECIL LAIN-LAIN......0...1.3..INACBG 4.None......None...0.tidak ada.09/09/2015.09/09/2015..dr...None..None.....K30 ..17500 0.00.1329R00209150000158^0000114172806.......None..1..0....08/09/2015..C / I / RSU...c6499283af7cf3556ce9daeb11d30cf6 3509134.16 0500........None.C.....NURUL HASANAH.......J36 ......1...Q-5-44-0....1329R00209150000188^0000114156538..ada.... PEN YAKIT KRONIS KECIL LAIN-LAIN.16/12/1959..0. HENI WIJAYANTI... AGUS YUDHO SANTOSO. Sp...1..INACBG 4..0.00. AGUS YUDHO SANTOSO..175000..07/07/1939..HASANAH.0...M543 9.0..None...08/09/2015...0.....95320.. LELY MARTHA ULI...02/10/1950.dr.Q-5-44-0. PENY AKIT AKUT BESAR LAIN-LAIN..1.2....3...None..None........1.1..dr.09/09/2015...None...192277.......0..ada.2..3..2..1329R00209150000161^0000114368073..ada.1.1. Sp.192998..25087....None..56.3.37000.0.1.1.......09/09/2015..2.2.tidak ada.None....3.........01/07/1959.H26 9.1...0.71..077275..None.drg.1329R00209150000195^0001430112374.0.361.......0. HENI WIJAYANTI.2. MOCH.ada...13/03/1963..tid ak ada....09/09/2015.3..1329R00209150000148^0000157047276...........12.3..C..25/12/1980. Sp.3.ada.....2....Dr......0...0..00.C....tid ak ada.

67489....1.Q-5 -44-0.83002....1... AGUS YUDHO SANTOSO..SUPARMI....25636....1.07/04/1951..1329R00209150000150^0000113861024..08/09/2015......K760....0..1329R00209150000145^0001842562517 ..160500.0.dr....None..0..60.dr..0... Sp..t idak ada...1..0...M....2..None..64.None.None...C..0..None......21984.20888.......N289...I259..None....dr.1.. Sp...1..None.160500.INACBG 4.None.Q-5-44-0..08/09/2015..None.08/09/2015...3....08/09/2015.0. PENYAKIT KRONIS KECIL LAIN-LAIN.179237.ZUBAIDAH. PENYAKIT KRONIS KECIL LAIN-LAIN....0..f14d7841e12f64dc8b570ce145b2000c 3509134.0.0...1..BRAIL..C.........01/07/1945...C. Sp...SAHARI.0..M.....K30.1...192676..0....tid ak ada...57.K30. HENI WIJAYANTI...160500..3..PD..08/09/2015.C / I / RSU..160500.2....160500.....0fb4e2a259f11fa7713ba65462edc8b0 3509134.2.ada.INACBG 4...ada...SAMIATI MEISAROH.00.......00.None.c4f60f3a668d423aa76da9eb68a1 2291 3509134..C / I / RSU.373.1.160500.00.3......08/09/2015.C..None...Q-5-44-0..None......07/08/1965.1329R00209150000167^0000692851004. Sp.192942.1329R00209150000144^0001466555951.1.....3509134.1.45. PEN YAKIT KRONIS KECIL LAIN-LAIN.0..2.I259 .08/09/2015....0..6......SAMSURI.Z098 .......FARIDA..None......1........50...0.14/09/1959..160 500.0.C / I / RSU.None..C.2. HENI WIJAYANTI.1.None..0..81b377083318cf20ec49e8bddbd705bc 3509134....01/07/1958...14422abd02e792e1c34505a86f2d522d 3509134..0...0...372.01/07/1955..20448..INACBG 4.. PENYAKIT KRONIS KECIL LAIN-LAIN.2..2....66068..160 500..6da8c5789e2aaad344081d01ee101334 3509134..tidak ada.0.2........ AGUS YUDHO SANTOSO..1329R00209150000142^0001423916212..E149 ..2..00...None...54. .3...08/09/2015.ti .1.. None...0........ Sp.....None..0....08/09/2015.96c8386896758fc291400a279bd6554d 3509134...884414e36fd9d55f9a08444820c288fd 3509134..None..dr.TUKIRAN.tidak ada.None.. PENY AKIT KRONIS KECIL LAIN-LAIN..11.Z09 8.....1.......08/09/2015...Q-5-4 4-0..367.......0..tidak ada..1329R00209150000151^0000692054403....08/09/2015.0.....0.0.0.64. Sp..0.......... AGUS YUDHO SANTOSO...INACBG 4..None.None.192720...None...I259...196300..Q-5-44-0.C.4.01/10/1950..2.Dr.08/09/2015..No ne.. tidak ada...None.ada.10/05/1961......C / I / RSU..2......None..INACBG 4.0.I509..C / I / RSU..08/09/2015.1..23/03/1958...1..... 0.WARIPAH.....INACBG 4..Q-5-43-0.None.376..None.0...0.08/09/2015..371.None.None.........Q-5-44-0.1329R00209150000163^0 000692572083..None. AGUS YUDHO SANTOSO...ada......None.34303..01/07/1945.0.ada..1.SUGENG LELONO.0....0... AGUS YUDHO SANTOSO..3..3...E109 .C..1.160500.119588..1...368..0.dr..129863...Q-5-44-0.1329R00209150000155^000180275 0769.tidak ada.....1.08/09/2015..160500..1.1.....1......None....ada....None...........None.16 0500.None............00....3.0.002155.None.1..4.08/09/2015.PD.08/09/2015.160500......00.19844..C....2.C / I / RSU....4ea795a97a770603db11e9e9fc56927c 3509134.ada..1329R00209150000143^000011456062 7.C.3.3...160 500..191802.INACBG 4.....188298.....C / I / RSU.160 500..0.....0.1.0..1.23718.......PD.23530..ada.0.25636. Sp.87090..08/09/2015...160500..1329R00209150000139^00014308104 58...tidak ada.dfdfe227b210d9f1b1fa3f1011c5d494 3509134...1.... PENYAKIT KRONIS KECIL LAIN-LAIN...12/02/1953..00......ada..2.....None.H26 9..00.2...2.. Sp...None.....None..0...PD.None..3...ada..196 300..62.....INACBG 4....22853...0.08/09/2015.160500..190776.165929..H409...None...5.PD...Dr.....0.tidak ada...PD.None..0...0..C / I / RSU..0..64168...1....1.None....18294....None .0... AGUS YUDHO SANTOSO.12..None..SIAMI.....C..INACBG 4........2.. AGUS YUDHO SANTOSO...... 0.1.E149 .None..160500.PD..366...3...tidak ada.. PENY AKIT KRONIS BESAR LAIN-LAIN..0.1.01/07/1970.3..77300..1.0....None..None.....160500..57.70. AGUS YUDHO SANTOSO.192958. PENYAKIT KRONIS KECIL LAIN-LAIN.None..374.......Q-5-440...0....0....377..dr...2..None...None....08/09/2015.G629...0..None.C.......SITI MARIYAM.dr.INACBG 4....370...0.C / I / RSU...1.56...0..0.C / I / RSU.160500...0.3.0..0..1....... tidak ada......00....PD..C. PENY AKIT KRONIS KECIL LAIN-LAIN.....20988..C / I / RSU.None.2....1.......INACBG 4.dr.. Sp....1329R00209150000146^0001842562012..... AGUS YUDHO SANTOSO.......22000.0.Q-5-44-0....00.2.K30.None...2..08/09/2015... PENYA KIT KRONIS KECIL LAIN-LAIN.........16505.1329R00209150000162^000180996 0974.08/09/2015...145289. Sp....00..E108 ...ada..0..PD.dr.00..None...132113.Q-5-44-0..Z098 ....None.115911.1....E11 8...0.0..1.. Sp.dr.2..... Sp.70..None...0...ada.0..0. PENY AKIT KRONIS KECIL LAIN-LAIN...1..0..1.369........08/09/2015..0..1605 00.0.118749..... AGUS YUDHO SANTOSO...Q-5-44-0.375.None. PENY AKIT KRONIS KECIL LAIN-LAIN...160500..160500..6e2c0713adcb028f3be94528639da94f 3509134..1..0.08/09/2015.0....H40 9............PD..None.1......

....C / I / RSU.C / I / RSU.......388.dr...0 .INACBG 4..None.C...ca0fe9012a35db8596709a88224a128c 3509134...tid ak ada.E059 ...3......18/07/1966...INACBG 4.Z098 ....0.3...None.......0....08/09/2015..Q-5-44-0.160500....C...C / I / RSU. PENY AKIT KRONIS KECIL LAIN-LAIN..None.0....Q-5-44-0....None...1.1..T....101494..PD.......08/09/2015....191988.dr....None... THT...2.1329R00209150000160^0001388296271...... PENYAKIT KRONIS KECIL LAIN-LAIN.dr..0..08/09/2015..22440..0...148905.0.....None.dr..None.1.1.08/09/2015.1.None...0.00.ada.0.0..dr.INACBG 4...08/09/2015...0.160500..C..08/09/2015.... AGUS YUDHO SANTOSO....dr.14..0...E059 .None...dr.. Sp...17949..08/09/2015.........160500. AGUS YUDHO SANTOSO..0.C..3.1.H921 .Non .176797..1.N814 .73b459eece990a18d84a4e745b1763b3 3509134.01/04/1951.... Sp.1....None.379.None.1....ada..2......160500..1.....0 .18961.C / I / RSU.....INACBG 4...None....08/09/2015......0..IN ACBG 4..1329R00209150000165^000185 2795798.....1329R00209150000169^0000114499 056...................08/09/2015... Sp.1.MASUMI KHASANAH..160500..10947..160 500.PD.5...160500.192495..None....Q-5-44-0....ada....None....08/09/2015..None.C / I / RSU..2.None..29371.....ABD R HIDAYAT..1..6....None..1.......0.None..C / I / RSU..1.. MOCH.1...385.23664.......0..None....08/09/2015...0...1.None...None.......4...None. EVI..Q-5-44-0..None..43.....52235.None..45d9495fc1654157d8e8fa2bc7b1ad55 3509134....None.00.JURMIYAH.... Sp. PENYAKIT KRONIS KECIL LAIN-LAIN...M199 9...1.Q-5-44-0.SUTRISNO....... ....None...0.tidak ada.. THT.0.. Sp..160500. None..1329R00209150000152^0001465538117...1.0.1..0...2..I110...08/09/2015...E789.3.F-5-14-0..01/07/1972..2.tidak ada.383.a480bcac38d7e432e336717680d83f a1 3509134.None.0.0..PD...160500. ada. Sp..I259.dr....253985.SUNSUN IKA WINARSIH. PENY AKIT KRONIS KECIL LAIN-LAIN.SOLEHAN BUDIADJI.0...C.23536....None..055943..24/11/1950......OG.K30..0...01/05/1994...Q-5 -44-0.....PD..1329R00209150000153^0001540539584...None.1...0..77000........ada.Q-5-44-0..2.37...17..1.....2..C..70.49...0...a da.. PENYAK IT KRONIS KECIL LAIN-LAIN........08/09/2015..01/04/1954.3..None.08/09/2015.0.......e5f4c509ae74887aba86a72af6d310a3 3509134.......08/09/2015.Q-5-44-0....None....H919 ..None......INA CBG 4....0.0.Q-5-44-0.00.08/09/2015.1329R00209150000147^0000692041353....00..None..67..ada..79120d36b0fe70c3cfcc0e5c60b5bea9 3509134...2.....None....C / I / RSU..23400...K30.None.160 500....tidak ada.29. EVI...0.2.184413..0..160 500....15774.None...None...0........2..None.1...0...ada......1..0..08/09/2015.146300.3.. SUJIATI....1.I10..0.I509...........0.... THT.027495.Z09 8..Q-5-44-0...tidak ada.17/04/1945.....0...0.00...PD....8.....2..10/10/1963...None..3.039812.. ada.C / I / RSU.1.tidak ada.......160 500...........24494.0...PD.386.187704.....381.0.38280.0......None.INACBG 4.08/09/2015..0....None.64.0.72338.....C / I / RSU.00.1.0.None.......None.00.J312 .43216.cf541ecaf4c49ab962dd44ab34f032b4 3509134.dr..160500.tidak ada..F489 ..160 500....... Sp.3.....1329R00209150000154^0001 802748936.Q-5-44-0..389.0. PSIK OTHERAPI INDIVIDU DEWASA BUKAN AKUT. Sp....160500.160500...1.380..80476.61..C.16050 0.067437.C...51......None..JUMIRAN. PENYAKIT KRONIS KECIL LAIN-LAIN.d7817755199247c3702d059639d4d2e1 3509134.ada...1..0..0....dr.0..192121.08/09/2015.... Sp..2.INACBG 4..TARI HARIYATI.1. Sp..55.160500..387.ada.160 500.20210...0...1......1...None......21..ed820a78c575cc52f9a1e1579bd10c7e 3509134..INACBG 4.0...C / I / RSU.. 0...160500.3......1......382..384.08/09/2015.......18/09/1985.MISNATI.. PENY AKIT KRONIS KECIL LAIN-LAIN...C / I / RSU.None.13668.00...1...1.C / I / RSU..62...2.None....0......2..0.tidak a da..ee56575f26c4c34bd1770dbb75eba8cd 3509134.19.. AGUS YUDHO SANTOSO.JASULI..73792...17/06/1953..00.None.2...0..INACBG 4...INACBG 4.0. MOERAD.0...INACBG 4...None....None.0.3......None.1..07/04/1978.08/09/2015..0..64..None...16/08/1948.3.2.0..1.........00. PENYAKIT KRONIS KECIL LAIN-LAIN....1329R00209150000140^0000114276014...54e6c9e537547dba84fa26bec140c1e7 3509134.1..C..1329R00209150000159^0000689865063..160500...0. AGUS YUDHO SANTOSO..... AGUS YUDHO SANTOSO.tidak ada.....1..2..tidak ada.. AGUS YUDHO SANTOSO..1...None.None.0..25711.C....None...2....00..tidak ada.....3..41948.1.......PD.None.C.. PENY AKIT KRONIS KECIL LAIN-LAIN..dak ada.1.None.. PENY AKIT KRONIS KECIL LAIN-LAIN.... Sp.0.Z098 .1329R00209150000156^0001809463285...0.22728...0....378..0... AGUS YUDHO SANTOSO. EVI..7800.00...2. PENY AKIT KRONIS KECIL LAIN-LAIN.0..160500........08/09/2015...2.0.C...df080fc457746c3cf3554e11e5ae0433 3509134...dr.....1...08/09/2015.1..None.....08/09/2015.0...1329R00209150000149^000011 3899869.....0.2.

None.None..tidak ada.1......2....SUNT I..tida k ada......2.170600..0. HENI WIJAYANTI..None.0.160500.07/09/2015...None...C / I / RSU.146300...1...... Sp..1..0...ada.ada ..0.07/09/2015.0..56.0..None. HENI WIJAYANTI..160500..07/09/2015..0......INACBG 4.fffeae3c5bf649255790b5f5832a6e0f 3509134....1329R00209150000128^0001829041424.None.None...1....0.....56212..None.MOH MASHURROZI.1.192564..00.12........01/04/1996.. ..tidak ada.None...0.......1329R00209150000635^0001481983997..Dr.00.399.2.00..192880.0.......46092..5625bdc66f3fa7198510307540447dfc 3509134.3.......192882...3.08/09/2015.180495..2......None..398..2....None........D319.0....137300.0.......1605 00..159837.0....160 500..392.8..C / I / RSU..25... HENI WIJAYANTI.....Q-5-44-0.INACBG 4...tidak ada.....tidak ada.15043.0...Z098 ...C.391.20/02/1990.None.4b495215d40ebdb42b4be9a6badc09e1 3509134....20596...2..0..0.tidak ada..a da.K040 ....SITI JUWARIYAH.INACBG 4.0......00.0..b5a5f6a39afe15ca32aa96684d75831b 3509134.07/09/2015.07/09/2015.. HENI WIJAYANTI...2341..1329R00209150000103^0000114286601....0.....Q-5-42-0.160500....0..2..H409 ...2...2319.0...C.C..0..1329R00209150000136^0001846890189..0.01/02/1972.....78044. PENY AKIT KRONIS KECIL LAIN-LAIN..None......25.....1.1.0.00.........1. PENYA KIT AKUT KECIL LAIN-LAIN...Q-5-44-0......1.None..0..U-3-16-0. Sp.....0....ada....ONTOSENO RIFA'I... PROSEDUR PADA GIGI....160500. PROSEDUR PADA GIGI....ada...170600..2.23723..1329R00209150000130^0001104802334.1329R00209150000101^000154162790 8....None.07/09/2015.0...M.186556.C / I / RSU..42.bab6bb1dbae269fdfeba94a4bcd252d0 3509134......None.ce3d495a704fb4bd0f8d3335c3680d6a 3509134..M.1.M.120678..None.0. PENY AKIT KRONIS KECIL LAIN-LAIN.None.396..3..a3dd8f7d2be970c810563a10879ab701 3509134.None..Dr...C.1.1....15394.0...1.3..H269 .Q-5-44-0.C / I / RSU...0.64.......Z961 ...3....192440.......1.23..None.397...None.K04 5..00..ada...0...None.0..0.00.26/11/1989....INAC BG 4.....18/04/1959.1.None...1.42100.H269 ....034517....1...None...9416..tidak a da......drg......1329R00209150000115^0000692595448.170600..1.2371...None....e.INACBG 4.None.1...0.0.tidak ada.........160500.0. PENYA KIT KRONIS KECIL LAIN-LAIN.56.....3.3.20574.None.....1...3.....None.....None.C / I / RSU....0...0.1.C..drg. PROSEDUR PADA GIGI..160 500.0..160500..0..None...........2..07/09/2015..None.None..0.....50463.10/05/1959.....1...00..None..25/09/1950.1.190872.....None.M...390..170600.INACBG 4......08/09/2015..07/09/2015...None.None.....0.160 500..1329R00209150000633^0000690462246........07/09/2015.00.3...1...dr..400..C....118513...07/09/2015.160 500.SUHAR DI..2.U-3-16-0...07/09/2015...B.....0..2.. PENY AKIT KRONIS KECIL LAIN-LAIN...ad a.3....07/09/2015.31/12/1951..INACBG 4.K040 ....Dr..SUPONO.0.......401..63..1.None... ELLA FAJAR.C..40463....07/09/2015..C / I / RSU...49.1........None.CHOLIFAH..1.tidak ada. Sp.0..1...ada .3. PENY AKIT KRONIS KECIL LAIN-LAIN......1329R00209150000111^0001081315 405..None..0..C / I / RSU...0.None..... LELY MARTHA ULI..C / I / RSU...0..2..None....393.395....Q-5-44-0.3.19....None...Q-5-44-0.......01/07/1974........3.....0.tidak ada..dr.. PENY AKIT KRONIS KECIL LAIN-LAIN.c31d5a1cb19ca256518b2be8cfbc5348 3509134....07/09/2015..drg.C..394......07/09/2015. S.Dr..0.. Sp.INACBG 4......None..a6b2f8f00a14fc36cc85321b43744b13 3509134..00......0.... Sp.....23261. PENY AKIT KRONIS KECIL LAIN-LAIN.00.....0..7098........ Sp.None.......0.67.....None...0.1.GUNTU R TRIANANDA...170600.24523.1..512000..None...0.tidak ada.1...None...0.C...07/09/2015.H269 .160 ..H160..2....Q-5-44-0..07/09/2015.H269 .1ed5c1d55b0dd617c848d89a3c1985e3 3509134..160 500..76334......2.None..1...U-3-16-0.None.None... Sp..Dr..BAMBANG AGUS SUNARYO.17/07/1948.....1..1329R00209150000141^0000114540322 .. ARIF HERMAWAN......INACBG 4.. HENI WIJAYANTI...2.None.0..0..None...2...1..None.160500.INACBG 4.None......0..0......1.07/09/2015....9330..162149...1....05/06/1966....1. PENY AKIT KRONIS KECIL LAIN-LAIN...2....None........ HENI WIJAYANTI......2.C.07/09/2015.None..0.C..1329R00209150000102^0000114136716.C / I / RSU.0.1329R00209150000112^0000114712029.C / I / RSU. Sp.. Sp.M.ada.43.160500...0.00.0...170600..0.160 500.RUSMINI.Q-5-44-0..1.0..ada.... ELLA FAJAR..41....None.ada.None.07/09/2015.......12000.d11a9cc5985faa047735502326df6451 3509134... ELLA FAJAR..2...1...e0eb9b73b257a56ef5a7acc77a47db80 3509134.SITI HANIFATUL HOIROH....0.None..07/09/2015..Q-5-44-0.15/07/1973. .07/09/2015....192900.1.2.C.......None.... HENI WIJAYANTI.....0..0......0.M....52497.....0..1.ada.15925.137300 ..1.17991..Dr.1...........INACBG 4.....1.0.1...C / I / RSU.40463..Dr.1...C / I / RSU.M..0.INACBG 4..AGUS YULIANTO..tidak ada..1...

..C..2.SITI KHOTIAH....191700........None.dr.00..0.38...tidak ada.dr.....07/09/2015..None.None.. AGUS YUDHO SANTOSO.2..00.6854678d4770957d1d86c300564e4311 3509134.0..00... BSC...SULFIADI.0...160500....None.0.3.Q-5-44-0..PD..ada....1...0...1.None.........1.Q-5-44-0.04a40045e5f251a3f793a5d79cd896dd 3509134..None.C / I / RSU....00....0.5..0....tid ak ada.0..07/09/2015.Q-5-44-0...2..0...0.1329R00209150000124^0000113996068 ..312600.MUHAMMAD MUSTAIN.....9b44aaee043f116921 e1345100435213 3509134.INACBG 4.None..None.....1..INACBG 4..0..5...None.3....23130..C / I / RSU.INACBG 4.1.1329R00209150000104^0001276721651.160500...192884...dr. AGUS YUDHO SANTOSO.0.1.1.dr.34579.....408..07/09/2015...0.1..dr....PD......1..N13 6...b9a8f3893d41404e14060ff4984c90d0 3509134..None.166821.3......1329R00209150000125^0001867970799....1605 00.....2.0.99312...tidak ada.2.ada.... Sp. Sp..20....0.1..407.None..2..1.1.0.INACBG 4..404.074955.......0.c11e1a393b86cb745cf5edc6e4fac002 3509134.None.....E789..........1.63.0...None.1329R00209150000134^0000114 634776..4.1.2.0....Q-5-44-0...1.0.07/09/2015.......00.73..371437.INACBG 4....402.2..None.78654...0..0.43.Z098.AGUS MAWAN...2.C / I / RSU.Dr.....1.1...78d714eaad812f842455d156aab3d0d4 3509134. MUHAMMAD HASAN.None.2......None.12000..0..None.None.5b49e7a472160e0faf370b7309a54d7e 3509134........38...160500......01/07/1977...None...None.1.0....C.......272000..1...105769.......C / I / RSU.0..192687...1. PEN YAKIT KRONIS KECIL LAIN-LAIN..Q-5-44-0...87493.16 0500.20590. Sp.0.56..160500.Z098 ..21...1.None...150400...881aaad145a9058f74142168ceb21d73 3509134.....C..07/09/2015.1329R00209150000133^0000173813951.....07/09/2015.16 0500....07/09/2015.2...82....1..0..160500.406.None. PENY AKIT KRONIS KECIL LAIN-LAIN.dr. PEN YAKIT KRONIS KECIL LAIN-LAIN..1329R00209150000099^0001305830441......C..Q-5-44 -0..C / I / RSU..0...01/12/1995...ARIF ROHMAN HAKIM.24625...None.07/09/2015.tidak ada.0.1..3. PENYAKIT KRONIS KECIL LAIN-LAIN...00.10/05/1952.tidak ada..07/09/2015......C / I / RSU.07/09/2015.. ...0.0..dr........160500..dr.0.INACBG 4.A16 2...160500.... .. ARIF HERMAWAN.None...C / I / RSU..00.3.....1.. Sp..405.0.ca44f6ed224f2c3d0517d6faed028fc0 3509134.INACBG 4.... Sp.3...1..None.13922.G409 .150400.0....07/09/2015.0...160500..188719. ada.None.409..None......I110.None.3.00..None.None.1.190138....None.....1. S.1.None........1329R002091 50000100^0000689789856.160500.135771...67.Non e....ada....1329R00209150000117^0000690001953...403........None. .....1..INACBG 4.07/09/2015...Q-5-44-0.... A...1.....1.528571c91726e981a0a109884b4411a9 3509134..ada.0.0..C..None.77431.00.0..17/06/2015...07/09/2015..00...160500.446b4b6ddddcb8ea42d687a7d5fac51d 3509134...tidak ada..dr.0...ada.... DEVI.. Sp..C......1. Sp..dr..Q-5-44-0.. ARIF HERMAWAN.3..MOERDIMAN.160 500..1..C...........033630...ada ..tidak ada.411.7303.20339....1329R00209150000116^0000114 483633. Sp.0..... AGUS YUDHO SANTOSO.0....1329R00209150000105^0000690274181...None....0..47..None..None..0...01/01/1968..07/09/2015.....ada..2...tidak ada..31/12/1959.... Sp...E059 ..0....0....PD..None..07/09/2015........tidak ada.....PD..09/09/1995..0..07/09/2015.3. HENI WIJAYANTI.1..208907...None.. AGUS YUDHO SANTOSO..None. PENYA KIT KRONIS KECIL LAIN-LAIN...1... PENYAKIT KRONIS KECIL LAIN-LAIN.26/07/1977..None...C..JEAN SEPTILIA DINDA N.None........I NACBG 4...17/04/1942..... Sp...1..0..C.500. AGUS YUDHO SANTOSO....N40......SA'ADAH.C / I / RSU... B......ada.49e77272cd95e38620732582800a5f bb 3509134.3.160500...07/09/2015..C / I / RSU..2.E11 9.07/09/2015.192500.1329R00209150000098^0000114157 956...None.ada..ti dak ada..312600.....I509 ...39...tidak ada.None....17416..412...1..0.0.26806.023374...... Sp..1.INACBG 4.......07/09/2015.3.. 0.....0..0... LELY MARTHA ULI....C / I / RSU.07/09/2015....0...16899.K30..113441.3...0. PENYAKIT KRONIS KECIL LAIN-LAIN..07/09/2015.1.2.0.......C....2.46.ada.81680.19.None.None.2.. Sp.....C...Q-5-32-0.dr......0...0.SYAIHULLOH... .160500...0........None.1.13947......Q-5-29-0...160 500...ada. GAGA L JANTUNG KONGESTIF DAN KONDISI JANTUNG LAIN-LAIN..1.Z080 ..06/04/1948. PENYAKIT KRONIS KECIL LAIN-LAIN.. 0.7220.....C.M..C / I / RSU.C / I / RSU.None....036297. AGUS YUDHO SANTOSO.410..M5459..1329R00209150000121^000 1463639321.NANIK SETIYOWATI.INACBG 4..1.....tidak ada.0.0..07/09/2015.. PENY AKIT KRONIS KECIL LAIN-LAIN....1...None.INACBG 4.01/06/1969.......00.55...0.None.1.......0...None...1.0...None....K30 .. AGUS YUDHO SANTOSO.ROCHMAD.0....0...PD.PD.None..... B..2....4.2.24/04/1959..8..0.1.160500.None.Q-5-44-0......PD...M1999...07/09/2015... SAL URAN KEMIH AKUT...07/09/2015..

.00..0.0.C / I / RSU..3........... DRS....INACBG 4..0...INACBG 4.58..0.0.E790.1.0......0 ..0..422....1.None....Q-5-44-0.PD..2... AGUS YUDHO SANTOSO.None. Sp.. AGUS YUDHO SANTOSO....1.0....1.....0..1....0..03/04/1958......Q-5-44-0..3.None.....0......160 ......160500...0..C..50.None......C.61...160500.C / I / RSU..None.46db2139a20ab014e082d8566f3405ab 3509134...None.0...None..07/09/2015....07/09/2015.02/04/1965... AGUS YUDHO SANTOSO.0.0....C / I / RSU..1.0.0......2.117488.17/04/1945..dr....None..None....07/09/2015.00....0.......1.C / I / RSU....C.E789 .1605 00...3.1329R00209150000129^0000114448252 ..Z08 0.C / I / RSU.None.160500.0....... B... ..160500.00....0.16/08/1954.0.07/09/2015.00..None..1..1...ad a...0...01/08/1954..None...2.20795..1..00.PD.......67.....3.17.INACBG 4...JUWARIYAH....None....None.1329R00209150000118^0000 688802591..423.3........ AGUS YUDHO SANTOSO....424......1..None..160500.3.0. Sp.1.07/09/2015.1...00.......160500..SUJARLIN......16050 0....ti dak ada..16 0500.5...A16 2..E12 9....10....2...None.0.20976.358477.0....07/09/2015.Q-5-44-0..Q-5-44-0.None.. PENYA KIT KRONIS KECIL LAIN-LAIN.C / I / RSU.....PD.....1..ada.. Sp. PENYAK IT KRONIS KECIL LAIN-LAIN..None.ada...1.N814 .None..66420.tidak ada.....None.4f6aca8e57c298d8821497c78787fe51 3509134.dr..ada...0.......None..0..0...07/09/2015....160500.L84..2...0..0.. AGUS YUDHO SANTOSO.tidak ada.UMMI HANIFAH.0..1.PAIKUN SUHADI.. Hj.18695.dr..07/09/2015..416..None.033908.None...01/10/1958.196300.07/09/2015.........0..192918.Q-5-43 -0...PD..0...dr.1329R00209150000108^0000694212772.......None.... Sp.....Q-5-44-0....1...Q-5-44-0. PENYAKIT KRONIS KECIL LAIN-LAIN..4e0a59e6d302325689eb92719601ad 01 3509134...... AGUS YUDHO SANTOSO......tidak ada.1...NUR ROHMAD.1... PENY AKIT KRONIS KECIL LAIN-LAIN...None..70.None.INACBG 4.1.0.....2.061291....031747..21242..SRI SUDARTININGSIH....None.PD.716b20eae288e5e2034afb1bb0b0440f 3509134.22317....1.Z098 ..1329R00209150000096^0000167568467..420...None..None.......0.....None..414..None......E148.1.......00.51.41832.0.None.C.None.None..075542.....2.....PD. PEN YAKIT KRONIS KECIL LAIN-LAIN... Sp..0.. S..1......1. Sp..196300.160500.....192276.dr..07/09/2015..2..00..9.413..1605 00..07/09/2015..None.ada.07/10/1947......00.1.. PENYAKIT KRONIS KECIL LAIN-LAIN..07/09/2015.......None...1.57474.191398.tidak ad a.. ARIF HERMAWAN....61.Q-5-44-0.18420.None....C / I / RSU.5e9290941454509832b5b956a63a0128 3509134..160500.... Sp.C / I / RSU.14..0.1329R00209150000132^00 00113858695.0...... PENY AKIT KRONIS KECIL LAIN-LAIN...INACBG 4... B... Sp.tidak ada.0.C..... AGUS YUDHO SANTOSO..dr............None..0.12/11/2004.......0......4....1329R00209150000110^0000114601048.0..0...K30..0.....0..dr....11/07/1957..024788.J304 .....None.07/09/2015......07/09/2015.07/09/2015..415.160500.118545.1.....0........417.1.dr.....00.....1..C..ad a..2...PD..160500...07/09/2015..None.32000.C / I / RSU..0.0....1329r00209150000120^0001428149485..0...0.0.....E789..INACBG 4.FIRDAUS ABU BAKAR.None.KHOLIFAH....2...tidak ada..701a4507cdaa9c15070c4510f443c6b3 3509134.....0......None.INACBG 4.INACBG 4..... THT...INACBG 4....25710. PENYA KIT KRONIS KECIL LAIN-LAIN..ada.Q-5-44-0......419.Q-5-440.00.22302......dr....0.2.4c668151d8c4fc62ab6be5b0ceca68fa 3509134.1.ada.125596.None...1..418.INACBG 4...M179.56.235592......b59b8efb02ca0a130c516ab0b113e 98a 3509134.None.067437.tidak ada...3..0.192233.... Sp.07/09/2015..00.....I10 .3951..ada.....1.0.61.57250ab74c12576e98270c13918541 55 3509134..3.. Sp...0..C.62569..2......1...3.None.0....None...0 .None..79739...7cac3164013ee6646e08cf1b890b76c7 3509134...1329R00209150000122^0001855137835...160500......421.07/09/2015...... ARIF HERMAWAN.None ... PENYAKIT KRONIS KECIL LAIN-LAIN........dr...16 0500.0... ..1329R00209150000106^0000692224569.12/10/1953...160500.192723..160 500. EVA.SOEDJAI...None..C.07/09/2015. PEN YAKIT KRONIS KECIL LAIN-LAIN..None..C.2..None.tidak ada......INACBG 4.EDY SUHAEDI...tidak ada.160500...1.....1329R00209150000097^000 0049553469...I130 ...2..0... PEN YAKIT KRONIS KECIL LAIN-LAIN...t idak ada....1...0.07/09/2015....0.None....1.C.....MAYSAROH.0.. PENYAKIT KRONIS BESAR LAIN-LAIN....0..2.0....4..2.None.None.07/09/2015.1..... ada...None. LELY MARTHA ULI.C / I / RSU..ad a.....1329R00209150000131^0000114288513....18.........None...dr..C..57.None...1.None.3..22610.1.. Sp.2...2.None..1.2d1817ee3183cfe1d8bf4496c3e886db 3509134....Q-5-44-0........24807...01/07/1964.0..0....0..2.Q-5-44-0..0...07/09/2015....I259..16 0500.0....Non e..3...C / I / RSU..A09...

ada.. EVA.....10/02/1965.....160 500...1..None. AGUS YUDHO SANTOSO.0.0...1.....4.1..C / I / RSU.120463.None.1..tid ak ada..1605 .00...None.E11 8.0..C..None..1.0...C.Z359 .... MOERAD.....b8dee8b225a756b77a0c6c7c67565ddc 3509134.232.1..0..Q-5-44-0.167583......INACBG 4. Sp.0.430... SUJIATI... B...431.. 0.......None.........None.0.None.161442..Z098 ... Sp....1329R00209150000091^0001104113169...0.80918..None......C....0.25.3.00.2....192794.50.0.....0...13/05/1951...None..0....192564..... PENY AKIT KRONIS KECIL LAIN-LAIN..018293.OG..2.dr......GUNTUR TRIANANDA...1....tidak ada.0.....433...C / I / RSU.None..None...3.C.C..I259...160500.C / I / RSU.Dr.....23128...04/09/2015...9508..05/09/2015...0.0..1.......192706.160 500..INACBG 4..170150..None..C / I / RSU.25..2....1..1.170600....109875..33.......0.12119..1.ada......75480..None. PENYAKIT KRONIS KECIL LAIN-LAIN.None..... Sp...17..K041 ....PD.05/09/2015.0..0.. PEN YAKIT KRONIS KECIL LAIN-LAIN..PD.260000..1....BUDIONO...23490.00.55ce0e1ffc04d125ceb0e599ec4d32ae 3509134.None...None...None...2.43.9327.C / I / RSU.INACBG 4....16/04/1960.3...0....05/09/2015. Sp.....26590.0.Q-5-44-0.1.KARDIMAN...None...3..0. P ROSEDUR PADA GIGI.... Sp.a368f57807351d47d1021642b22e8c99 3509134..1.16 0500..0...MURADI.T.1.None.INACB G 4..1329R00209150000078^0001846890189..0........None.00.........28.Z098 .Q-5-44-0.160500.0.None.1.1329R00209150000074^0000114367318...12000..1.59057ddcbf6dd61eb98d8b97305cfc7a 3509134..0.0.E790..PD.1.None....1329R00209150000094^0000113996068 ..2.Q-5-44-0.....59425.........None.0. PENY AKIT KRONIS KECIL LAIN-LAIN...OG..None..........C.None.H61 2.....3.191383.2.0.160500.ada.0......16 0500....04/09/2015.9306.0......07/09/2015....500..U-3-16-0... ARIF HERMAWAN...None. ARIF HERMAWAN.Q-5-44-0.......M.. AGUS YUDHO SANTOSO.3.....0....0.1329R00209150000123^0001274341004.142000... PENYA KIT KRONIS KECIL LAIN-LAIN....ada.tidak ada.2....126800.....0..3..3...0.1..2..2.........0...0.None.....01/07/1970....I259..None...160500....None.45.. MOERAD........tidak a da..SA'ADAH.......2.H524 ...Q -5-44-0..1329R00209150000126^0000114276014..192823....None.04/09/2015.1.04/09/2015.1..3.None.16502. 0.tidak ada.............. PENYAKIT KRONIS KECIL LAIN-LAIN...0.drg..427.M1999.00.192643.07/09/2015.ada..7a007fe1c354ab57b05c784381c90331 3509134.05/09/2015....dr.1.2..130117.Q-5-23-0.tidak ada..160 500.00....None.None.t idak ada.1...........1....168393.K30.04/09/2015...C / I / RSU..170600. Sp.0...0. PENYAKIT KRONIS KECIL LAIN-LAIN. THT....0........2.B..0...04/09/2015...1...0.425.26692.0..None.1329R00209150000079^000011 4205645.ada...160500..None.0..ISNGARIB.None..10/05/1952.0.............C.1.None.00.0.3.0.1329R00209150000073^000011415654 9....426.C / I / RSU.dr.ada.20230..00....0..H26 9.1329R00209150000084^0001877023754..M1999...None.3.... Sp.. 0.1329R00209150000088^0001324236385.....04/09/2015.C / I / RSU..INACBG 4..160500......160500..0....2. Sp..1...04/09/2015.......C / I / RSU..None..04/09/2015..00...73.1.None..20/02/1990....Q-5-44-0.SITI HAYANI..None..2bb8940d941b79fbbb52e8d6c56da256 3509134........16/11/1942.1..None.dr.435.None.. AGUS YUDHO SANTOSO.0....SUPONO..77125.160500. PEN YAKIT KRONIS KECIL LAIN-LAIN...429.0..159837.00.INACBG 4.0.Q-5-44-0.81030.......INACBG 4...Z098 .ada........0....dr....1..None.....dr.1.None..0.04/09/2015.04/09/2015..2.0......1.....BUNARI.1.1..1..0....126800. MOCH.3.None.dr....160500....C.1..8289ac97f5bb0d3914295a2848eef0ee 3509134.06/08/1942.....Z098 ..04/09/2015.4a727b40c7a8aab3a613544e560e361d 3509134....2.....436...tidak ada. ELLA FAJAR........ Sp....1329R00209150000093^0000692024139. PEME RIKSAAN ANTEPARTUM. B.15921....036297..1.6a9bcb77538157f7bd71ba2efe7c81fb 3509134..INACBG 4...None..1.......... PENY AKIT KRONIS KECIL LAIN-LAIN.Q-5-44-0..1. Sp..C..1...0....None..tidak ada.....C / I / RSU.....0..0..None.None.C..None....432..1...0.b65677fca5b950b36ac62f4f569738e6 3509134.23/08/1989.......dr.DIANR ETNO SUSANTI. Sp...PD.2..00.160500.None..INACBG 4.0...None..3.....00..... tidak ada....160500..E059 .05/09/2015.......None.INACBG 4.Q-5-44-0.......tidak ada..160500....2.....C..3.2....05/09/2015..160 500.0.a da.. AGUS YUDHO SANTOSO...None.42.tidak ada..0. ARIF HERMAWAN..1.72.None...0...0...55..18468......None....0...1.C / I / RSU..2..None.1....0....... ..ae5cc1908cfc7eb7c6c33c464aef7579 3509134...272a1be9ad0510560291abf3ca6e584e 3509134.64.1.04/09/2015......dr...ada.ada...04/09/2015....None.ada......04/09/2015...2..0.0..26..INACBG 4.dr.....C.63..RIRIN HANDAYANI.None.....1..30/06/1982. PENY AKIT KRONIS KECIL LAIN-LAIN.. MOCH...I NACBG 4...434.......1329R00209150000083^0000690462246.16/03/1990..04/09/2015..C / I / RSU.428.01/02/1972.. HENI WIJAYANTI.160500.

.dr.10.. K30.04/09/2015.None.170600...3...0.04/09/2015..OG.I509.dr.0..1329R00209150000064^0000688742032..19..187294.None .00.1.dr.1.0.2..122000.ada.1.drg..ada..1329R00209150000069^0000114128368...C / I / RSU...438.None. tidak ada.. ARIF HERMAWAN.2.. PENYAKIT KRONIS KECIL LAIN-LAIN..1.. Sp.C / I / RSU.......Q-5-44-0..0.......443. MOERAD....TUTIK SUSILOWATI.....3. B.SENIYAMI...tidak ada. AGUS YUDHO SANTOSO.55....C.0.1...Q-5-44-0..None.126800..0..439..None.....16948.C / I / RSU.0.1.....2..170600..3..1329R00209150000087^0001279297495.INACBG 4.........None..441....0...107002........Q-5-440...0.....28/02/2003..1........ PEN YAKIT KRONIS KECIL LAIN-LAIN...151977..01/06/1956..04/09/2015..M179 ...191961.3..00.......Q-5-23-0.223635356367b53c308c8e4179c383d2 3509134.232..00. PEN YAKIT KRONIS KECIL LAIN-LAIN.0.Q-5-330...None...None....160500....1..1.......INACBG 4.None......Z098 .KHOIR UL UMAM (PTS)..2.aa798cc7ca38ea3ce7242df7d60d9bca 3509134....... PE NYAKIT KRONIS KECIL LAIN-LAIN.PD..0..None.Z098 ......dr.1329R00209150000065^0001805982208...2d933ba9524614ba9c14638e5a2db4a1 3509134..BAYU AMIRI.......00...C / I / RSU.None.....K40 9.87269..0.0..INACBG 4..None.160500.C / I / RSU.None.None..52..192623.00....164000.None..dr..tidak ada.I NACBG 4...None....0.0...21643..160500.C / I / RSU..2.0...140314.INACBG 4..0..None......149635......701177f3471d6c82420b4564ca357724 3509134..tidak ada.None.........1.WIJIATI.None...2.None.None.. Sp....C...01/01/1963.0..01/11/1985..1acbb4e0da23111e3c69910949147c1a 3509134.....C.. B....... Sp...1329R00209150000082^0001426 384686.C.Z098 ..04/09/2015..1...C / I / RSU....ada.None..None....0.M1999.INACBG 4....C...00.None...Q-5-440.0......H16 9.00.......C / I / RSU...23733.None......3.4.1.dr...2..0..0...0....2..03/09/2015.........19238.dr....65.1..tidak a da.None.ada.1.. Sp...35551..C / I / RSU.03/09/2015..1...None...3...2.160 500...59443...PD.192463....00........16 0500..1. PENY AKIT KRONIS KECIL LAIN-LAIN..None.I10.1.0..04/09/2015..2....PD.ti dak ada.Dr.2.None.0.04/09/2015..0..01/07/1970.C..None.C.....160 500........160500....09/04/1969.20335.. AGUS YUDHO SANTOSO.None.I10.29/01/1958.None.1329R00209150000089^000068 9354943..0.1...00..1.None....1.None.446.ada.1329R00209150000057^0000114155807...50.04/09/2015......1........1..ada..04/09/2015..None..03/09/2015.0.......0...... PEM ERIKSAAN ANTEPARTUM... Sp..03/09/2015.....157600.3........Z96 1.....1.Q-5-44-0.818650142b16aabe81b0378729f6611e 3509134.0....04/09/2015.. PROSEDUR PADA GIGI.PD.....SOLI KHATIN.....444.1.03/09/2015....1......None....ada ...10898..None...None..143886....1..1.. 0.0.K04 1....Q-5-44-0....2..tidak ada..Q-5-44-0..448.16501.tidak ada. Sp.1. MOCH...None.2.......... PENY AKIT KRONIS KECIL LAIN-LAIN..I509...0...... PENYAKIT KRONIS KECIL LAIN-LAIN.....dr.123604...1.03/09/2015..tidak a da.5.12/09/1950.03/09/2015.None.1.0.0. PEN YAKIT KRONIS KECIL LAIN-LAIN...11708...0......160500.None...3...0.16 0500.ada.28/10/1964.....INACBG 4..0.01/01/1960..None..1..0.None...03/09/2015.03/09/2015..1..tidak ada.D649 .0.3....447.....AHMAD GOZALI..PD. AGUS YUDHO SANTOSO..0..03/09/2015.IN ACBG 4.03/09/2015...None.1.29.None ..... Sp.04/09/2015..00.160500..None.03/09/2015..0....59......67385.I10. Sp.ada..12...0.0. Sp.....MISNOTO.4728ad24d92e71815b5f0c07bf994c89 3509134.dr...0...00..0.......None.....0....None.. Sp.0.. Sp.0.None....C / I / RSU.RAIT....1.14....... AGUS YUDHO SANTOSO.None.1....160500...1....0..tida k ada.0.None....ABDUL HAMID...2.I10 .437..18573.160500........Q-5-44-0.1.0.PD.None...21037.......2...None...C.None.3....0.....45.63. HENI WIJAYANTI.1329R00209150000059^0000687900317.....M..142000.....1..14/08/1983..1....0....None...46.1 60500.00. HEMATOLOGI AKUT..0...3.977d96c7cf8a3e9d9d256a9685fe2860 3509134.7e3593e875a612be42f2848e25f1e2cd 3509134...INACBG 4..... ELLA FAJAR..0.....0. AGUS YUDHO SANTOSO..O02 0.....1.2..e8dfe32bc1ff68f197b5c2d7dde9af9c 3509134.1329R00209150000076^0001424113042 ..0...442.445..ada.C.C....440....180633....160500..............UMI H ANIK.160500.....2....C..INACBG 4...0...C / I / RSU.MANISI..03/09/2015....I259.C.3.......1.None..2....1...1...None..dr.7.32.6fcf2d6a2df409687c58aeb6f4ef6141 3509134...023719.......142376.4570.0......0..2.0..0...U-3-16-0..0.1329R00209150000075^0001877066346.0..179029.I10.. PENYAKIT KRONIS KECIL LAIN-LAIN.tidak ada..03/09/2015.0.INACBG 4.......INACBG 4.23135..PD.160500.157600...160500..4.....00..0.Q-5-44-0.c071f6cb95bb3ae1d620013160f6bb1a 3509134..ada...None.180338...126800.None...1.0...60402...C / I / RSU.0.104689.......None.ada.16 ...0.. AGUS YUDHO SANTOSO.1329R00209150000066^0000195975988..57...1. ARIF HERMAWAN.........0...1.0.01/05/1952.. AGUS YUDHO SANTOSO..1329R00209150000077^000143024 8318.

03/09/2015..SOELASTRI RAHAJU.INACBG 4.1329R00209150000049^0000688129154 .1...0..29/05/1955.....60.....0...0..INACBG 4..1329R00209150000054^00001144057 61.. Sp.16 0500..2....None.0..ada..100265...... Sp.. Sp..C / I / RSU...03/09/2015.OG.None..0.03/09/2015.1329R00209150000068^0001824304702..ANISWATUN NAFIAH...454.Q-5-44-0..0......120463...1329R00209150000056^0001104242771.0.3.126800.None.0 .1329R00209150000051^0000114616181.NOER ROKHMANIYAH...None.160500.C.SITI PATEMI.. Sp...2..03/09/2015.0.....5da42160d5a5c096d69150dd4575ce4f 3509134.. HENI WIJAYANTI.C / I / RSU.PD......C / I / RSU.04e3cc62022a7e5dad3c69934209b4a6 3509134. Sp..None.0.0.None.None...ada. MOERAD..81a15307f93eea1da8e8b6dfabd6034f 3509134.INACBG 4....3.172237.16 0500..449.1.tidak ada.C / I / RSU.0............INACBG 4...30.......1...126800..........0.None.....None.e538c9b02188d505ba10d6061bab2d77 3509134....0.0...00....03/09/2015......tida k ada.3.00..455....03/09/2015.ada...0.Dr.. Sp.....None..03/09/2015.M...0.1..18/02/1946.142000.0..2...0..1.192807...dr..0...0.24027.None..Q-5-44-0...E10 9.tidak ada..None.0..ada.C.152000.C..None..103000..192342.2......6.None.0.2..160500.....1...160500.None....1.1.7..5...ada ....4c8fe4ea3dfcd5a5041395b72852f227 3509134....1..139817.86181.0.C.1329R00209150000062^0000689033349..03/09/2015....451.00..H26 9....14630.None.ec803de8a423d966d997a7e25e373744 3509134.M.0.None..e32f89688c6609a5b68b59599f3edf96 3509134.......M.0500.1329R002091500000 63^0000114017049..03/09/2015.None..0...16 0500.2......... MOERAD...1...Q-5-23-0...M...0.....25399.0..None.1..... Sp.. AGUS YUDHO SANTOSO.0.1329R00209150000061^00001145 23007.Dr.. PEN YAKIT KRONIS KECIL LAIN-LAIN..None..K297 ..f8e3e6d88b476892b6037eb5 1459a937 3509134..PD.ad a.............0.1.2..1. MOERAD...C.. Sp..tidak ada.450.None..2....Dr..14/08/1975.0.None... HENI WIJAYANTI..57eaa720d63e25c0d00efd0a47d6a9af 3509134.tidak ada....0......C...15/02/1985.. Sp..160500... HENI WIJAYANTI.030138.None...None.INACBG 4. PEN YAKIT KRONIS KECIL LAIN-LAIN...0......None.... S........0.. PEN YAKIT KRONIS KECIL LAIN-LAIN..60...1....None...1.. HENI WIJAYANTI.0.126800.0.126800...137300...Q-5-44 ....01/02/1992.03/09/2015.MUSYA ROFAH.Q-5-42-0..1....50..0..03/09/2015......03/09/2015.14430.C / I / RSU.0.1.0.0...3..00.None.....None......C / I / RSU...None...458.None....3..1329R00209150000048^0000689914642......1.K30....C / I / RSU...22146....2...15.2.None.Z35 9..0......13730 0. PENY AKIT AKUT KECIL LAIN-LAIN..dr....11157....120463.E790..1..tidak ada..None.. PEM ERIKSAAN ANTEPARTUM.01/03/1976.1.tidak ada...None.ada.01/01/2000..C.ada.. P ENYAKIT AKUT KECIL LAIN-LAIN.22012......3..None.454300..453.....1.....e772da01922b5c26dd4b0c6c794e8ca5 3509134... PEN YAKIT KRONIS KECIL LAIN-LAIN.0... HENI WIJAYANTI. AGUS YUDHO SANTOSO...ada..Dr.2.dr...None......13 7300..1329R00209150000053^0001538274699 ..1.2.1.21085......03/09/2015..160500.0.C / I / RSU.None.dr...None.None....452...ada...INACBG 4..Q-5-44-0....None......53....03/09/2015..1.OG.......None.None.. KHOLIL..........1...tidak ada......1.2.137300...0.1.....0....1.Q-5-44-0...IN ACBG 4..0...192518. Sp.3.....None...I259.2.....tidak ada.0.Dr.......0.INACBG 4.0.C / I / RSU....2...C....INACBG 4..08d860434b9a73b93de1ecfd4a373e01 3509134.....192793.0.None.1..00......ada...Z098 ...8615...03/09/2015..1.1...PD......1....H43 3....00.3...A010 .16500. AG..... PENYAKIT KRONIS KECIL LAIN-LAIN...MOH..3...1......C / I / RSU..Z098 .C.tidak ada..19375....1....Z359 .2.C.0.1.None.3.None. MOCH.Q-5-44-0...0.......Dr.16 0500..None....... MOCH.....2...None...00......Q-5-44-0.1.0..MONI KA PURBANDARI...0....M....1....0.Q-5-42-0. PEN YAKIT KRONIS KECIL LAIN-LAIN..E148...160500.....INACBG 4.0.23...ULFA FITRIA...None..C / I / RSU..C / I / RSU..I259.1329R00209150000055^0001877023754..C...E789.... PEME RIKSAAN ANTEPARTUM.C.. Sp....0...1.0. PEN YAKIT KRONIS KECIL LAIN-LAIN........39.1..HERI KUSWANTO..2..ada.192808.H26 9.3.None...INACBG 4.....03/09/2015.None.tida k ada.110703...00.....03/09/2015.03/09/2015......152000..456..BUNARI...460.11/12/1957.None....None..15/01/1955. MOCH.1.5724..0.INACBG 4...03/09/2015.40.....130463..17/08/1962.None..457.None..Z96 1....1..191802...0...............16 0500.Q5-44-0.1.01/07/1970......03/09/2015.....1..00.3.Q-5-23-0.160500....M...1..192794..None. AGUS YUDHO SANTOSO..24.1...0....dr.2........H26 9.1.45...0......1.1329R00209150000070^0001039926148.03/09/2015......... HENI WIJAYANTI..0.....0..57.160500....OG..23.00.69..tidak ada...0....0..0..AKHMAD AINUL...16 0500.SUWOTO..18467....03/09/2015...943c6562455036c3b20d809a498fb58b 3509134.78270...459..00.03/09/2015...2...070827...03/09/2015.. Sp....dr.10/02/1965.....

C.Q-5-44-0.0......1.None..C / I / RSU......1.None.02/09/2015..3...2.7659.None..C / I / RSU.3....23/03/1958. Sp. .0...075504.....None...0..0..9.. GANDHI...SUNSUN IKA WINARSIH...1329R00209150000058^0000 692572083..Q-5-44-0.d88c9ca23e5b63b85ea875aa1e1c87a5 3509134..Non e.01/08/1995..H43 3..19103......None..1.None.......00.....2.00.10. PENYAKIT KRONIS KECIL LAIN-LAIN...C...1329R00209150000060^000185 2795798.00.10.NIKEN DEWI RORO MENDUT...463.Q-5-44-0.ada.........None..20983...1.........160500. S.160 500..1605 00...160500...2.02/09/2015..1.. ARIF HERMAWAN.47..None..160500.... Sp..tidak ada.C / I / RSU.2...None.Q-5-44-0.BAGUS R.160500.......None.8..Q-5-440.0....None..1.0..0.02/09/2015.160 500..2....None.None.02/09/2015..INACBG 4.....tidak ada.. B...1. HENI WIJAYANTI......46......ada .1.1a35b5cd7cbc59d56abb8e0784b996f1 3509134.464..dr..C. PENYA KIT KRONIS KECIL LAIN-LAIN...drg.C / I / RSU....None..dr.None.... Sp.INACBG 4......1.....tidak ada.0..6c4aef03fe58c98dc6434dcbfad349f0 3509134...1329R00209150000034^0001540616477..SITI HAYANI.PD....160500..1.1329R00209150000050^000103 9416131..02/09/2015..ada..1.tidak ada...02/09/2015.0.7733e12784885dbb31fa78c3f4f1fff2 3509134.None.1..ada.None....120463..C......02/09/2015.0.. PENY AKIT KRONIS KECIL LAIN-LAIN.160500....C..INACBG 4.3.0.0...R18..tida k ada.c1e0fcb7e3f9557747a222a7981f15da 3509134..dr.13....... AGUS YUDHO SANTOSO....FALEL A SANDY MATOVANI..160500....0..2371...G409.tidak a da. ARIF HERMAWAN.R104 ....03/09/2015....186099... Sp...Dr......Q-5-44-0.0.5...1. Sp....124569...0..0.tidak ada.None....471.ada.1329R00209150000030^0000692024139..........H26 9.Z098 .PD.........465.. AGUS YUDHO SANTOSO.45..67.2...INACBG 4.....D481.0..... Sp.0.0..074955.......57....0..0.1.0..None...82612..160500...dr.28724...22000..tidak ada...0..INA CBG 4.2.....57a1816ef04806c7b905db84d3d61f39 3509134.0.160500... .None.1. PENYA KIT KRONIS KECIL LAIN-LAIN..None.03/09/2015.0...0.1.None...00...0...K746.879ab94a5c0779bfa99988039ef80fec 3509134.1..ada...None.None.........1....K041 ..0.13/09/1994.02/09/2015.24620..M.None..1.....None.169244.27048...None.C / I / RSU.....0.20..2........INACBG 4.ada.0....27/12/1968..0.E059 . PENYAKIT KRONIS KECIL LAIN-LAIN.......0....02/09/2015.M.... PENY AKIT KRONIS KECIL LAIN-LAIN..INACBG 4.None.101494...03/09/2015.None.... Sp.1...None..3...SRI ENDANG WIDIASTUTIK.04/07/1950..21.ada. PROSEDUR PADA GIGI.0..2.119588.. LELY MARTHA ULI.1329R00209150000042^00018635 16971.3..1....INAC BG 4...02/09/2015.2..None. Sp..None.16 0500.1329R00209150000041^0000114610735.135300.17286..None.3...468.....1329R00209150000040^0000114 510565.........13079... Sp.tidak ada.466..2....02/09/2015.1..1....None.....None..0.None..0..None ...18/09/1985..160500.dr.0...None.0.470........0.None.17050.None..0..LUKMAN.467..1..317f1be8bae3ec5aa2ab5cd361e233d3 3509134...072423.461.462. Sp.02/09/2015.C...29.Q-5-44-0.....0....SUGENG LELONO...2..1605 00...0..2....3...1...0.02/09/2015..dr...1..-0..Q-5-44-0....None..00....00.1.C / I / RSU..170600..1.35.6..176168.0.0.0.1.C / I / RSU...0.6. HENI WIJAYANTI..2...SUTIKNO.....03/09/2015.......135300.None...Z098 .0.187465.1......170600. Sp..01/07/1970.dr....1.....39ced10c53aba830821d1bead3a18e40 3509134.00.20518.C..16499..0..00..None..0..06/04/1948.None..INACBG 4..INACBG 4...dr.......00.0.....12000..01/02/1994........56867...160500...191383.0.Q-5-44-0.....1329R00209150000052^0000114560627...02/09/2015..03/09/2015.ada.. PENY AKIT KRONIS KECIL LAIN-LAIN...C / I / RSU.....None..None.Q-5-25-0.1.00..0.C.. PEN YAKIT KRONIS KECIL LAIN-LAIN..U-3-16-0.3.0.......0.0.65.0. ARIF HERMAWAN.PD...None.ada.C.10942.INACBG 4. PENY AKIT KRONIS KECIL LAIN-LAIN.....1.2..3.1.None..ZUBAIDAH....C.. GAST ROINTESTINAL AKUT.C / I / RSU....0..160500.....0.C..tidak ada...INACBG 4..02/09/2015..Dr...1.9987e35b750933003a9be0ed6df64c9f 3509134...01/07/1959......0...120463....None...02/09/2015..160 500.ada.1..1.1...None..... AGUS YUDHO SANTOSO.0.3..1329R00209150000046^0000694881731..ada............. AGUS YUDHO SANTOSO.0....16 0500..1...160 500.None.7337....3..05/05/1968....2...2.1329R00209150000035^0000688582179.1......C / I / RSU..1....C / I / RSU..0.None..5..C.20....23801.0...None.192769.00.02/09/2015.0...0...Z098 ..03/09/2015..None.SULFIA DI...0..0..SITI AMINAHH...H26 .tida k ada..ad7f36ae3b83a5affc7b58549d362c19 3509134..2.t idak ada....00..0.PD.None.1329R00209150000044^0000173813951........02/09/2015...11/11/1979..7883.dr..469...120463. PEN YAKIT KRONIS KECIL LAIN-LAIN.. B...........2. B.0....b9569de15a188a63eec6f8974e1952e 8 3509134.0.......2..... B...None...17862.E119 ..None.0...56...None. ARIF HERMAWAN.1.None..1.3......C / I / RSU.192542......

AGUS YUDHO SANTOSO.None.179237. Sp...ada.67.2.......4.M.120463.C.Q-5-44-0..None..Z098 ..0.164706.......22847.dr.41. Sp....2.0.Q-5-44-0 .02/09/2015. PENY AKIT KRONIS KECIL LAIN-LAIN.1329R00209150000031^0001435149292....0.0..00.None. Sp. HENI WIJAYANTI... AGUS YUDHO SANTOSO..None.1.0....77950299527bf8e3fea494055f1b3c16 3509134....0...160500..1..0...15/05/2000.........None...K921 ..INACBG 4..02/09/2015......1.00...3...0..ada.1329R00209150000026^00001138998 69.ti dak ada.........0..0....CHOLIFAH.2...INACBG 4.E790.....137300..1...6db20212414bb03c0806ab6be8c03b83 3509134.0...IMAM BUKARI.3.....tidak ada.0........02/09/2015. I509.3.......None... .INACBG 4.02/09/2015.0....1.ada..C / I / RSU..15768.......0.00.tidak ada...C / I / RSU..M. AGUS YUDHO SANTOSO..0.1.None.PD.26732.103f79839cf8b9e29311c42df7970f88 3509134.None.2..None.160500..None..C.C..1.23256.0.... HENI WIJAYANTI.None....tid ak ada...tida k ada..None..31/12/1951...25..0...None...1.472.None.3.121241......None...177752.tid ak ada.1329R00209150000025^0001541491097..0.YATEMI......MOELJONO.0.00.160 500.....477.1..Z96 1.M..2.I259.9.....2..0...4....H26 9.0...PD.ada.16 0500..2......C / I / RSU.... AGUS YUDHO SANTOSO..E149 ..SUHERNIK.......C / I / RSU..0.1.None.....0.... ...None...18/07/1950.....None. HENI WIJAYANTI..2..1...1.1..1. Sp.160500...474.1329R00209150000024^ 0000114156393.0....2.93916...c6e2d3a251b26aa454af683c2f4c6bf9 3509134.tidak ada.Q-5-44-0 ...02/09/2015..cfaf96f570b5b7bfc74227c8885a8fdd 3509134...0...24488.3.1329R00209150000045^0000114066854.0.479....02/09/2015...002594. AGUS YUDHO SANTOSO.None.E789.None.PD..143698.None...02/09/2015...2.475.....25/11/1952...3...160500.Q-5-44-0.C..M.dr.00.483..M..16 0500..None..tidak ada..1....27/03/1974.00.1329R00209150000028^0001809463285..103000...0.2.....None.057889.1...00...None...INACBG 4..None.7a56fa51336bdc72a575965e0144411c 3509134.1..1329R00209150000033^0000113213002....1.1......12/02/1953..e2a5e1ba2ec9450e05687b317339d468 3509134...0.160500..None.C..BUADI...None..1.481.C / I / RSU...5588.....None.. PEN YAKIT KRONIS KECIL LAIN-LAIN.1....0.. Sp.3.Dr.dr.C..0...0cb594e9ddb4619100ec086174c3da35 3509134......02/09/2015.. HENI WIJAYANTI..None.No ne...... Sp...... PENYAKIT KRONIS KECIL LAIN-LAIN.480...Dr.tidak ada.0.1329R00209150000027^0001423916212.0....02/09/2015.1a607c8bdfffd5cc6da36b92d .SUTRISNO..0.None.473...0.0..3........ PENY AKIT AKUT KECIL LAIN-LAIN. Sp.None.None.1.None...16 0500.E14 8..00...None..6....192121....1.C....11..... PENYAKIT KRONIS KECIL LAIN-LAIN...MUKSIN.0..C / I / RSU.........Dr..1329R00209150000032^000179096 0624.0.tidak ada........0. AGUS YUDHO SANTOSO.PD.43...2.tid ak ada..0..0.3..ada.......1.C / I / RSU........160500..67..3.0.C / I / RSU..2......INACBG 4.. PEN YAKIT KRONIS KECIL LAIN-LAIN....None..23787......16/08/1948.........0.17..None...0...02/09/2015....1....26..None.....0.....69.....1..1..Dr.I1 0..02/09/2015.......182213. Sp.....1.0.Q-5-42-0..Dr....08/01/1946..... PEN YAKIT KRONIS KECIL LAIN-LAIN.......I509.0..02/09/2015..ada.. Sp..01/01/1948.482.1..None.160500.......160500.160500...C...ab958d0bf072b438030e372c72781cd6 3509134...0... HENI WIJAYANTI.160500....1..1..0......INACBG 4...tidak ada......62...1.None..1..02/09/2015...1.63......25/06/1942.......02/09/2015.None..02/09/2015.68a8d5d12cc6114aa1cf3dd291 611eb9 3509134....INACBG 4.N189.. Sp..1.0. Sp....dr.02/09/2015. Drs...C.None..ada..0.02/09/2015.......42423.65...4..None.476.....1329R00209150000043 ^0000977092514.1.......0.38227....1.56413586a3d9a39a8234a7383b05c05b 3509134....Q-5-44-0.02/09/2015.62.1329R00209150000037^000011428009 7.PD.....0.INACBG 4.16 0500......0..0.....02/09/2015... AGUS YUDHO SANTOSO..1..None..160500.....C / I / RSU.0.None.73...0... PEN YAKIT KRONIS KECIL LAIN-LAIN.........None.....2.0..ada..None.055943..00.....192465..MISNATI....02/09/2015..0.01/07/1972.3..None.dr. PENYAKIT KRONIS KECIL LAIN-LAIN..I10.1329R00209150000634^0001481983997...ada.... PENYAKIT KRONIS KECIL LAIN-LAIN.1.11...180495..INACBG 4.PD....Z098..2.Q-5-44-0....22926. Sp...SIAMI.0.I259.0.160500....PD.ada....None.160500..C...None.160500..Non e.None.......00..0....dr.0.None..Q-5-4 4-0.....00......ada.SAMINTEN..ada..3...1....0..Z96 1.I10....120463.........174978.....MUHAMMAD ANGGI RIZKA.0.0.24716...Q-5-44 -0......None..2.0.C / I / RSU.. PENYAKIT KRONIS KECIL LAIN-LAIN.None..C...160500..16..INACBG 4...15134.15...02/09/2015.....16 0500.None......118749...478.........None....00.. 0.......160500.25439.C / I / RSU.0..C / I / RSU.02/09/2015. K30...INACBG 4...1...Q-5-44-0...........0.dr.....0.......0.Q-5-44-0.H26 9..None...None.Q-5-44-0.0. PEN YAKIT KRONIS KECIL LAIN-LAIN....0.INACBG 4.None.72073.73236..13730 0.

..... PEN YAKIT KRONIS KECIL LAIN-LAIN...None...None..1....C / I / RSU....16 0500.1329R00209150000009^0001540539584..63...tidak ada.50..None. PENYAKIT KRONIS KECIL LAIN-LAIN.dr....ada...0.01/09/2015....0....0..None...E790..M179 .UMI HASANAH..None..... ......None.......C..None......35..TARI HARIYATI.. ARIF HERMAWAN.dr.160500.......0....None. Sp..ada.None....0...0..Q-5-44-0..489....01/09/2015. PEME RIKSAAN ANTEPARTUM..dr.1..126800. MOERAD.00.1......50......3......3..1...2..2..191900...C / I / RSU.0....126800..490.0.dr.1329R00209150000011^0000692035997...3ed8cf48a720c2b47af309da6e599e3f 3509134.2.Q-5-23-0.1..f445e25ae0ca3f2eef33857befaafdc7 3509134...1.0..01/09/2015....178306.0.0.1.0.488..None..1..1329R00209150000015^0001541641421..4.01/09/2015.0...492..None.......I10....19785.......DEFI RATNAWATI....01/09/2015..01/09/2015.00. MOCH...None.......C......02/09/2015.1....0..310650....tidak ada.......486...0...32000.3.....0.. PENYAKIT KRONIS KECIL LAIN-LAIN..30afb21d6eb8c91ac7848f2dc025f2be 3509134....1329R00209150000019^000126901 ..2.191988..... Sp.1605 00.None...2.0...ada. PEN YAKIT KRONIS KECIL LAIN-LAIN..........0..0.1....3..........None......25.ada.None.00..U-3-16-0.1.01/09/2015.0.2bf9af4dbd6d9f270152630e927e385c 3509134...3.None.170600.....1.JUMAI YAH.....160500.None...07/09/1959.e33f875 3509134...0.. MOCH..01/09/2015..1329R00209150000013^0000688460343...2371..LILIK SUSWENI..0..bcdc68c7eb88b21b6357abc831d5e8f4 3509134.1.....1...00.....1329R00209150000012^0001428149485.6. PENYA KIT KRONIS KECIL LAIN-LAIN...None......495.05/10/1949.Z359 ..2...0.....0....117808..0..1329R00209150000036^0000114280086..160 500.184455..None....011057..None. Sp.J42.IN ACBG 4.....1.......37000.U-3-1 6-0.C..SUNARMI.....72886..01/09/2015.160500.C....1.112311. PENY AKIT KRONIS KECIL LAIN-LAIN..None.........1.16 0500... ELLA FAJAR. Sp...... PROSEDUR PADA GIGI.None...2.None...K04 1.... THT.C....None...160500..0..Q-5-44-0...10/08/1975...dr..None.PD.....0.C / I / RSU........dr..K053.14632..None..1..487..None.None .160500.Q-5-44-0.0..2....196300. PROSEDUR PADA GIGI.3.None.B...Q-5-44 -0.057888..0.....None...dr......0...0.9354. Sp.....None.2.....1.....K30.....160500.1.160 500.21..3...01/09/2015. EVA.C / I / RSU....C..None.56...01/09/2015..None..1.None. AGUS YUDHO SANTOSO.01/09/2015..... AGUS YUDHO SANTOSO.....Q-5-43-0..0..0..2....tidak ada.01/07/1961.00.0.....54...79741.......192723.None. I509..PD... Sp. WIDJI ASTUTIK.ef67405dfd75d55ae088452c679ba8f1 3509134.drg..3.dr..INACBG 4...0..65.0...6508ffbf93635edf32d929391f0678c9 3509134...493..NURIYATI.C / I / RSU..1.15/07/1965........01/09/2015.Q-5-440..6831.. THT...01/09/2015.1329R00209150000008^000011439688 4........01/07/1980...INACBG 4.C / I / RSU.PD.INACBG 4...0.191884.2.07/04/1978...... Sp.None.None....I259....0.0.3.0.......Z098 .... AGUS YUDHO SANTOSO.None.None.484..01/09/2015..None.....0.None..tidak ada..2.......1.None.....0..C..2...0.C / I / RSU.00.None....None..3..None..14/05/1959....None..1.None....40..ti dak ada...tidak ad a...37.N898.C...C / I / RSU...ada .3..3....20565.00....H61 2..1..21/01/1990..2.160500...PD.1.0... MOERAD..0.. AGUS YUDHO SANTOSO.1...C / I / RSU..Q-5-44-0.1963 00. ELLA FAJAR....tidak a da......None.1........2.06/11/1951.drg..0.00.....0..Q-5-44-0.0.1.....02/09/2015.13661..81872...INACBG 4.19c7099824d471ddac20304b01f2ff34 3509134.....2....1..INACBG 4...1. Sp...2...ada....36e4afcc4e6a5b6b84b7e1f1cd610b4e 3509134....2.dr..00..INACBG 4.None....0..170600......485.C..0.2.None.INACBG 4.0..OG..SUJARLIN...Q-5-44-0.8..PD.......INACBG 4.ada.192506..0..Non e.dc98877a016f68ffbf545c12859facbe 3509134..23311.3..ada.170600. PENYA KIT KRONIS BESAR LAIN-LAIN..01/09/2015. PENY AKIT KRONIS KECIL LAIN-LAIN..INACBG 4....01/09/2015..2....1329R00209150000018^0001874114774..192725. tidak ada.E14 9....None.0..1..67173..2... Sp......00......C / I / RSU.20448.1...0..01/09/2015.....1.None..12845.0..0...18/12/1996....160500..01/09/2015...18414......2......0.323c6fb2b518138565762392ce0a678d 3509134..None.ada...None.0.0..MAULI DA MARYANI.0....24072..152000.170600......IMAM MUSTOFA.18.....02/09/2015..IMAM SYAFII..1.C.3..1.01/09/2015..........1.0..065849..H612 .....1.None.1.0..160500.494.02/04/1965....OG.160500... EVA.0..18310.tidak ada..C / I / RSU....192277..2371...160 500......0.491...0...0.0..0.... AGUS YUDHO SANTOSO.INACBG 4..None.266860.. PENY AKIT KRONIS KECIL LAIN-LAIN..None.0....C.1329R00209150000016^0000114634506...0....84145...K040 .02/09/2015......7....0.1329R00209150000029^0001472 303711.0...3.1329R00209150000022^0001856637922.00.None.tidak ada.None.ada.00.56..ada.Z09 8.... . tidak ada.1..dr.. Sp..C.

None.None. P ENYAKIT KRONIS KECIL LAIN-LAIN...160500...M1999.26360...tidak ada.23438...2..1329R00209150000007^0001842562012...tidak ada..1329R00209150000023^0001869734 957...1...ada....38826cb4dd7ec13699e446257d65c226 3509134.0..283287.228080..2..None.C / I / RSU... 0.143857....1...0.MAT ROHIM..498.01/09/2015.....23523......cf5c20cfa2fc50ced73a60fe6191900b 3509134. Sp.None..192482..INACBG 4.01/07/1955.0. Sp.......3....497..None.E789.01/09/2015..0..PD.196300...01/09/2015.1....160500.166821....PD...921fb0eef394026cc3eaa026de1439d4 3509134.. AGUS YUDHO SANTOSO..ada...00.C / I / RSU.38...INACBG 4..07/04/1951..22433....3.0..331e3921c325033f4e4cbb5548cee985 3509134.....20333........Q-5-44 -0..0. Sp..01/09/2015.145289...0.20559.... 160500.6247353290ccaf786d331e1a9cbbfc09 3509134....0.....77489.TUKIRAN.0.Q-5-43 -0.01/07/1943....C.None.None..1329R00209150000006^0001842562517 ..3...KASTUTIK..E789...160500.160500......01/09/2015.8415. AGUS YUDHO SANTOSO.dr..188298....1329R00209150000020^000184840679 2.0........None..1....SITI KHOTIAH.0..INACBG 4.....1.PD..0.....0........01/09/2015.. Sp..PD.dr....None..C....INACBG 4..01/09/2015.I494 .. PEN YAKIT KRONIS BESAR LAIN-LAIN..tidak ada.2. Sp.........ada...None..0..160 500.05/10/1950.3...0.......2..0....504...None..0...3.....M1999.......E790...Q-5-44-0.ROCHMAD....16 0500.1.Q-5-43-0..0.0. AGUS YUDHO SANTOSO...160500.....C.0..1......ada.dr....0..3...tidak ada.....0....1.0..0.16 0500.None.. PEN YAKIT KRONIS KECIL LAIN-LAIN.. AGUS YUDHO SANTOSO.None...SOLEHAN BUDIADJI..21977....None...0.C.C....50.72..Q-5-44-0.500.M1999...1..00..None.0......None.1.0. PENYAKIT KRONIS BESAR LAIN-LAIN..18287.0.01/09/2015..ada.....0...IDA ROYANI..PD....E109 . PEN YAKIT KRONIS KECIL LAIN-LAIN..PD..3.........None.0...0..0...64.1..INACBG 4..01/09/2015..1..Q-5-4 4-0.1.1.1....499.None.2.61..None.Q-5-44-0.1...0..23707..None.07/08/1965.2...None.61..ada...None.....C.00..Non e.. PENYAKIT KRONIS KECIL LAIN-LAIN....1....55.1....503..2....01/09/2015.. AGUS YUDHO SANTOSO.148905.K76 1. PENYAKIT KRONIS KECIL LAIN-LAIN.0.0...None....192500..2..0.. AGUS YUDHO SANTOSO......M545 9.1.061291......INACBG 4.None.... AGUS YUDHO SANTOSO....C / I / RSU..1.None...00.00..C / I / RSU....ada.0.....0....None....a da.0..1329R00209150000003^0001385268513 ..5.11/11/1979..dr.None...0.e111df0be7d82b484cb661f64dafbc5d 3509134.... ada..13078.......J42..tidak ada.SUTARMI.C.C / I / RSU..01/09/2015.C.................dr.None.0..ada.........None......0.. P ENYAKIT KRONIS KECIL LAIN-LAIN..........01/09/2015....PD..ada...35.160 500... AGUS YUDHO SANTOSO.I10 ....1329R00209150000005^00014308104 58.273134..160500..00.507.. tidak ada.00..None...Q-5-440..None.496. Sp..PD....3.Non ..J42.None.INACBG 4.0..None....tidak ada....1.None....727d6c1eec29dca82bcd1dfb91aa8727 3509134.43845...None...C.....19 6300.3..2..6..1.3....64..1329R00209150000002^0001305830441...........None.....22311...18.INEM..13.2.....1329R00209150000010^0000693208765...None. Sp...C / I / RSU....2..No ne.None.01/09/2015...3d245c524493a180aabf2e942067be28 3509134.None..1.....SITI MARIYAM.1.....INACBG 4. Sp....01/09/2015.dr...dr.0.....01/09/2015..160500..0.1..160500.I259..1..None...736b399dcd98f461d74e0dbbea a291e7 3509134.0.INACBG 4.I259 ..C....01/09/2015...1......2.74145.0.........45b0a101c86b50ae6201cc739514a201 3509134..1.. AGUS YUDHO SANTOSO.00. PENYAKIT KRONIS KECIL LAIN-LAIN........501.C / I / RSU.None..tidak ada.C..0.1..R16 1.2.160500..dr.1...C / I / RSU..dr..None...38000..None......192720..4..1...PD..0.01/09/2015.0.196300.......0..1........3...PD.64......None...0....160500..01/09/2015.None.None.01/08/1960.01/07/1951.01/09/2015..506.None..3.None .Q-5-44-0.01/07/1977..0...01/04/1954.0...None....0.Z098 ...00..00.. AGUS YUDHO SANTOSO.053286.0.0..2..160500. Sp.....164475......44035b0fe25e1c9cd8c260c9c1259722 3509134.None.192012.C / I / RSU...Z098 ..01/09/2015..16463..1..tidak ada..tidak ada.2...12696...0..Q-5-44-0.dr...0..SAMSURI........None.1.1.1..0.13941.C / I / RSU...None....1.....1329R00209150000017^ 0001802748936..1....C....dr....Q-5-44-0.3.N289 ..1...01/09/2015.0.00.2.ada.2..505.20119.....ti dak ada......K30..None.E109 ....1...1329R00209150000001^000068978985 6. Sp.. PENY AKIT KRONIS KECIL LAIN-LAIN. 160500.160500.1..01/09/2015.1..C / I / RSU.31/12/1959.......160500.0..0............None.394a57a16bf9c659b4a2307cb2bdfeff 3509134.........tidak ada..None.0...01/09/2015....0...INACBG 4.... PENYAKIT KRONIS KECIL LAIN-LAIN.0.C / I / RSU.1..None.1329R00209150000004^0001541625748. PENY AKIT KRONIS KECIL LAIN-LAIN. AGUS YUDHO SANTOSO.INACBG 4.....2...196300... Sp...502.01/09/2015...Q-5-44-0.00..01/08/1954.68707..0...None..2.3.2....PD.I10.68864...3..0..60.Z098 ..0.....55.INACBG 4....0.1...

0..None...E059 .160500...1....9273d54987f4b4272021ea211e431821 . AGUS YUDHO SANTOSO...01/09/2015.....1...1. AGUS YUDHO SANTOSO.PD..32049...1329R00209150000021^0000114499 056.1..039812.tidak ada. Sp.54.0.0..2..None.C / I / RSU.INACBG 4...49.None.160 500..INACBG 4..01/09/2015...PAIKUN SUHADI..3.C. PENY AKIT KRONIS KECIL LAIN-LAIN....18/07/1966.508.None.1329R00209150000014^0000 688802591..0.160500..f227863c5d403ffe80401bc961ddc9 9d 3509134..ada.e.dr.tidak ada.ada.C / I / RSU..dr.. Sp..0.2......0...17.....0..MASUMI KHASANAH..........PD..00.None......17942.Q-5-44-0.