Bulanan

RAWAT INAP
PUSKESMAS KECAMATAN KEMBANGBAHU

BULAN : JANUARI 2013
TANGGAL H R P
NO NAMA L/P UMUR ALAMAT DIAGNOSA MASUK KELUAR Dws. Anak Jumlah
Uang
1 Ny. Barkus P 43 Th Kembangbahu Vomiting + Asma 1-Jan-13 3-Jan-13 2 Rp. 15,000.00
2 An. Aini P 3.5 Th Tunggun Obs. Febris + Dermatitis 1-Jan-13 3-Jan-13 2 Rp. 15,000.00
3 An. Najwa P 5.5 Th Balan Obs. Febris 1-Jan-13 3-Jan-13 2 Rp. 15,000.00
4 Ny. Tasri P 41 Th Balan Obs. Febris 1-Jan-13 3-Jan-13 2 Rp. 15,000.00
5 Ny. Sudarwi P 60 Th Ngembet PPOK 1-Jan-13 4-Jan-13 3 Rp. 22,500.00
6 An. Fifa P 9 Th Glendeh Thypoid 2-Jan-13 5-Jan-13 3 Rp. 22,500.00
7 An. Ninda P 7 Th Kembangbahu DHF 2-Jan-13 5-Jan-13 3 Rp. 22,500.00
8 An. Tio L 8 Th Maor Morbili 2-Jan-13 5-Jan-13 3 Rp. 22,500.00
9 Ny. Juwariyah P 50 Th Sukobendu Obs. Febris 2-Jan-13 4-Jan-13 2 Rp. 15,000.00
10 Nn. Yuli P 18 Th Sukobendu Susp. DHF 2-Jan-13 5-Jan-13 3 Rp. 22,500.00
11 An. Ubed L 4 Th Tempuran Obs. Febris 2-Jan-13 4-Jan-13 2 Rp. 15,000.00
12 Tn. Idris L 21 Th Sukosongo Thypoid 3-Jan-13 6-Jan-13 3 Rp. 22,500.00
13 An. Agung L 12 Th Sukorejo Obs. Febris 3-Jan-13 5-Jan-13 2 Rp. 15,000.00
14 An. Rahma P 4.5 Th Tunggun Obs. Febris 3-Jan-13 5-Jan-13 2 Rp. 15,000.00
15 Tn. Mahmud L 33 Th Lawangan Obs. Febris + bronchitis 3-Jan-13 5-Jan-13 2 Rp. 15,000.00
16 An. Ilham L 9 Th Kembangbahu Susp. DBD 3-Jan-13 6-Jan-13 3 Rp. 22,500.00
17 An. Fani L 9 Th Misik DBD 4-Jan-13 7-Jan-13 3 Rp. 22,500.00
18 An. Ahmad Wafid L 8 Th Kedungklanting GE + Bronchitis 4-Jan-13 7-Jan-13 3 Rp. 22,500.00
19 Tn. Subandi L 45 Th Pucung DM + DC + Hipertensi 4-Jan-13 7-Jan-13 3 Rp. 22,500.00
20 An. Diah P 10 Th Sukobendu DHF 4-Jan-13 7-Jan-13 3 Rp. 22,500.00
21 An. Ach Bayu L 11 Th Tunggun jagir DHF 4-Jan-13 7-Jan-13 3 Rp. 22,500.00
22 An. Angelina P 9 Th Randubener Susp. DHF 5-Jan-13 9-Jan-13 4 Rp. 30,000.00
23 Ny. Silvi P 21 Th Sukobendu Hiperemesis 5-Jan-13 7-Jan-13 2 Rp. 15,000.00
24 Tn. Sutaji L 31 Th Juwet Colic Abdomen 5-Jan-13 7-Jan-13 2 Rp. 15,000.00
25 An. Bram L 14 bln Kembangbahu Typhoid 5-Jan-13 7-Jan-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
26 By. Aden L 14 bln Lembeyan GE 6-Jan-13 8-Jan-13 2 Rp. 15,000.00
27 Tn. Noto L 65 Th Kaliwates Hipertensi + Melena 6-Jan-13 8-Jan-13 2 Rp. 15,000.00
28 Nn. Nur H. P 19 Th German Obs. Febris 6-Jan-13 8-Jan-13 2 Rp. 15,000.00
29 Ny. Tulus P 22 Th Misik Bronchitis 6-Jan-13 8-Jan-13 2 Rp. 15,000.00
30 By. Bunga P 3 bln Kedunglonggong ISPA 6-Jan-13 8-Jan-13 2 Rp. 15,000.00
31 Tn. Pandan L 70 Th Mojorembun Anemia 7-Jan-13 10-Jan-13 3 Rp. 22,500.00
32 Tn. Sukardi L 50 Th Doyomulyo Obs. Febris 7-Jan-13 9-Jan-13 2 Rp. 15,000.00
33 Ny. Asmaiyah P 61 Th Kaliwates Asma 7-Jan-13 9-Jan-13 2 Rp. 15,000.00
34 An. Andi L 20 bln Randekan Vomiting 7-Jan-13 9-Jan-13 2 Rp. 15,000.00
35 Tn. Asoh L 53 Th Tunggun GE 7-Jan-13 9-Jan-13 2 Rp. 15,000.00
36 An. Adzim L 2.4 Th Misik Febris Convulsi 8-Jan-13 10-Jan-13 2 Rp. 15,000.00
37 An. Cika P 2.5 Th Tempuran Obs. Febris 8-Jan-13 10-Jan-13 2 Rp. 15,000.00
38 An. Iik P 12 Th Lembeyan DHF 8-Jan-13 12-Jan-13 4 Rp. 30,000.00
39 Tn. Ungu L 70 Th Kembangbahu Anemia 8-Jan-13 11-Jan-13 3 Rp. 22,500.00
40 An. Tegar L 9 Th Kedungmegarih DBD 8-Jan-13 9-Jan-13 1 Rp. 7,500.00
41 Ny. Nasri P 75 Th Randubener Oedema anasarko 9-Jan-13 12-Jan-13 3 Rp. 22,500.00
42 An. Anggi P 10 Th Maor Susp DHF 9-Jan-13 12-Jan-13 3 Rp. 22,500.00
43 Tn. Radi L 73 Th Maor Obs. Febris 9-Jan-13 11-Jan-13 2 Rp. 15,000.00
44 An. Shinta P 4 Th Randubener DHF 9-Jan-13 12-Jan-13 3 Rp. 22,500.00
45 Tn. Amat L 60 Th Moronyamplung Susp. Hepatitis 9-Jan-13 13-Jan-13 4 Rp. 30,000.00
###
46 Ny. Siti Nuraini P 23 Th Mojomanis Typhoid 10-Jan-13 13-Jan-13 3 Rp. 22,500.00
47 Tn. Waras L 55 Th Randubener DM + Ganggrem 10-Jan-13 13-Jan-13 3 Rp. 22,500.00
48 An. Fadila P 11 Th Mojosari Thypoid 10-Jan-13 12-Jan-13 2 Rp. 15,000.00
49 An. Mita P 9 Th Mojosari DHF 10-Jan-13 13-Jan-13 3 Rp. 22,500.00
50 Ny. Badria P 60 Th Kembangbahu DM + KP 10-Jan-13 13-Jan-13 3 Rp. 22,500.00
51 Ny. Sulikah P 30 Th Kedungklanting Susp. Peritonitis 11-Jan-13 13-Jan-13 2 Rp. 15,000.00
52 Ny. Ani P 33 Th Mojosari Gastritis 11-Jan-13 13-Jan-13 2 Rp. 15,000.00
53 Tn. Sutadi L 55 Th Slatung GE 11-Jan-13 14-Jan-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 An. Kendy Saputra L 1.5 Th Mojorembun Obs. Febris 11-Jan-13 13-Jan-13 2 Rp. 15,000.00
55 An. Naihi P 7.5 Th Sukosongo DHF 12-Jan-13 16-Jan-13 4 Rp. 30,000.00
56 Tn. Kandar L 70 Th Pilangpinggir Hipertensi 12-Jan-13 15-Jan-13 3 Rp. 22,500.00
57 Tn. Huda L 30 Th Randubener Atritis 12-Jan-13 14-Jan-13 2 Rp. 15,000.00
58 An. Melani P 7 Th Randubener DHF 12-Jan-13 16-Jan-13 4 Rp. 30,000.00
59 Ny. Parmi P 30 Th Maor Thypoid 12-Jan-13 14-Jan-13 2 Rp. 15,000.00
60 Ny. Ning Astutik P 35 Th Sukobendu Gastritis 13-Jan-13 15-Jan-13 2 Rp. 15,000.00
61 By. Wafi P 27 bln Doyomulyo Obs. Febris + Vomiting 13-Jan-13 15-Jan-13 2 Rp. 15,000.00
62 An. Ronald L 10 Th Randubener Obs. Febris 13-Jan-13 15-Jan-13 2 Rp. 15,000.00
63 Ny. Sri Genah P 55 Th Balan Diabetus Millitus 13-Jan-13 15-Jan-13 2 Rp. 15,000.00
64 Ny. Dasri P 41 Th Sidobranti PPOM 14-Jan-13 17-Jan-13 3 Rp. 22,500.00
65 Nn. Sasa P 13 Th Lopang Thypoid 15-Jan-13 17-Jan-13 2 Rp. 15,000.00
66 Ny. Enah P 50 Th Kembangbahu Asma 15-Jan-13 18-Jan-13 3 Rp. 22,500.00
67 An. Pipit P 6 Th Randubener Susp DHF 15-Jan-13 18-Jan-13 3 Rp. 22,500.00
68 An. Kiki L 10 Th Tunggun Susp DHF 15-Jan-13 18-Jan-13 3 Rp. 22,500.00
69 An. Lilis P 12 Th Sukoanyar Susp. DHF 16-Jan-13 18-Jan-13 2 Rp. 15,000.00
70 Ny. Tian P 70 Th Tunggun Susp Bronchitis 16-Jan-13 19-Jan-13 3 Rp. 22,500.00
71 An. Riska P 9 Th Lembeyan Obs. Febris 16-Jan-13 18-Jan-13 2 Rp. 15,000.00
72 Ny. Ratna P 40 Th Moronyamplung Status Asmatikus 16-Jan-13 18-Jan-13 2 Rp. 15,000.00
73 Tn. Kastam L 45 Th Sukowati Susp DHF 17-Jan-13 21-Jan-13 4 Rp. 30,000.00
###
74 Ny. Siti P 25 Th Kedungmegarih Obs. Febris 18-Jan-13 20-Jan-13 2 Rp. 15,000.00
75 An. Jihan P 5.5 Th Randekan Obs. Febris 19-Jan-13 21-Jan-13 2 Rp. 15,000.00
76 An. Rehan L 4 Th Randubener Typhoid 19-Jan-13 21-Jan-13 2 Rp. 15,000.00
77 An. Ach. Dani L 7 Th Maor Obs. Febris 19-Jan-13 21-Jan-13 2 Rp. 15,000.00
78 An. Ikra L 19 Th Kembangbahu Hipertensi 19-Jan-13 21-Jan-13 2 Rp. 15,000.00
79 Tn. Bandu L 55 Th Maor Hipertensi + Anemia 19-Jan-13 22-Jan-13 3 Rp. 22,500.00
80 An. Panji L 9 Th Tempuran Obs. Febris 20-Jan-13 23-Jan-13 3 Rp. 22,500.00
81 Ny. Aseh P 70 Th Lopang CVA 20-Jan-13 22-Jan-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
82 An. Elin P 2.3 Th Kaliwates Vomiting 20-Jan-13 22-Jan-13 2 Rp. 15,000.00
83 Ny. Makrufa L 21 bln Sidobranti Susp DHF 20-Jan-13 23-Jan-13 3 Rp. 22,500.00
84 Nn. Oktavia P 12 Th Tunggun Obs. Febris 21-Jan-13 23-Jan-13 2 Rp. 15,000.00
85 An. Nurul P 2 Th Sukobendu GE 29-Jan-13 31-Jan-13 2 Rp. 15,000.00
86 An. Riski L 10 Th Kembangbahu Susp DBD 21-Jan-13 24-Jan-13 3 Rp. 22,500.00
87 Ny. Rusmiati P 28 Th Kedungmegarih Obs. Febris + Post Curretage 21-Jan-13 23-Jan-13 2 Rp. 15,000.00
88 An. Anas L 14 Th Sidomukti DHF 21-Jan-13 24-Jan-13 3 Rp. 22,500.00
89 Ny. Aseh P 60 Th Rancang Obs. Febris + PPOM 21-Jan-13 23-Jan-13 2 Rp. 15,000.00
90 Ny. Wartini P 47 Th Misik Disminorhe 22-Jan-13 24-Jan-13 2 Rp. 15,000.00
91 An. Anisa P 7 Th Sukobendu Obs. Febris 23-Jan-13 25-Jan-13 2 Rp. 15,000.00
92 Ny. Siti P 40 Th Kedungmegarih Typoid 24-Jan-13 26-Jan-13 2 Rp. 15,000.00
93 Ny. Sujiati P 50 Th Kembangbahu Obs. Febris 25-Jan-13 27-Jan-13 2 Rp. 15,000.00
94 Sdr. M. Taufik L 24 Th Balan DC 26-Jan-13 28-Jan-13 2 Rp. 15,000.00
95 Tn. Abd. Rozak L 40 Th Gempol lumbung Anemia + DC 27-Jan-13 29-Jan-13 2 Rp. 15,000.00
96 An. Ratna P 8 Th Sukobendu Obs. Febris 28-Jan-13 30-Jan-13 2 Rp. 15,000.00
97 Ny. Tandur P 30 Th Mojomanis GE 28-Jan-13 30-Jan-13 2 Rp. 15,000.00
98 Ny. Yuni P 36 Th Mojomanis DHF 28-Jan-13 30-Jan-13 2 Rp. 15,000.00
###
JUMLAH 110 130 Rp. 1,800,000.00
Mengetahui, Kembangbahu, 31 - 01 - 2013 240

Kepala U.P.T Puskesmas Pelapor,
Kecamatan Kembangbahu
dr. Nanang Rahardi Abdul Muzakir, SE

NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : FEBRUARI 2013
TANGGAL H R P
Uang
1 Tn. Darmo L 60 Th Kaliwates PPOM 1-Feb-13 3-Feb-13 2 Rp. 15,000.00
2 An. Andi L 3 Th Sidobranti Febris Convulsi 1-Feb-13 4-Feb-13 3 Rp. 22,500.00
3 An. Riski L 10 Th Sukobendu Obs. Febris 1-Feb-13 3-Feb-13 2 Rp. 15,000.00
4 An. Toni L 11 Th Sidowayah DBD 1-Feb-13 4-Feb-13 3 Rp. 22,500.00
5 An. Enjel P 4 Th Tunggun DBD 2-Feb-13 5-Feb-13 3 Rp. 22,500.00
6 Ny. Lik'ah P 44 Th Juwet UTI 2-Feb-13 5-Feb-13 3 Rp. 22,500.00
7 Ny. Muslimah P 70 Th Kedungmegarih Obs. Febris 2-Feb-13 4-Feb-13 2 Rp. 15,000.00
8 An. Zahro P 5 Th Sukobendu Febris Convulsi 2-Feb-13 4-Feb-13 2 Rp. 15,000.00
9 Sdr. Yamari L 28 Th Kedungklanting Hemapto 3-Feb-13 6-Feb-13 3 Rp. 22,500.00
10 An. Nadin P 4 Th Mengkuli Obs. febris 3-Feb-13 6-Feb-13 3 Rp. 22,500.00
11 Sdr. Herlambang L 24 Th Kumisik Vomiting 3-Feb-13 5-Feb-13 2 Rp. 15,000.00
12 An. Fizah P 2.5 Th Kedungklanting Vomiting 3-Feb-13 5-Feb-13 2 Rp. 15,000.00
13 Sdr. Widodo L 16 Th Kalibogo Obs. Febris 4-Feb-13 6-Feb-13 2 Rp. 15,000.00
14 Ny. Sarian P 60 Th Wudi Vomiting 4-Feb-13 6-Feb-13 2 Rp. 15,000.00
15 Ny. Ranti P 84 Th Kedungglonggong Vomiting 4-Feb-13 6-Feb-13 2 Rp. 15,000.00
16 Nn. Linda P 16 Th Randubener DHF 4-Feb-13 8-Feb-13 4 Rp. 30,000.00
17 Nn. Suryawati P 15 Th Maor Obs. febris 4-Feb-13 6-Feb-13 2 Rp. 15,000.00
18 Ny. Tiah P 50 Th Dorogedhe Vomiting 5-Feb-13 7-Feb-13 2 Rp. 15,000.00
19 Ny. Mutmainah P 38 Th Lembeyan Obs. febris 5-Feb-13 7-Feb-13 2 Rp. 15,000.00
20 Tn. Simin L 55 Th Tunggun Post. TB 5-Feb-13 8-Feb-13 3 Rp. 22,500.00
21 Nn. Sumiarni P 17 Th Kaliwates Obs. febris 5-Feb-13 7-Feb-13 2 Rp. 15,000.00
22 An. M. Ilham L 7 Th Puter Obs. Febris 5-Feb-13 7-Feb-13 2 Rp. 15,000.00
23 Tn. Juri L 87 Th Kedungglonggong Susp. Hepatitis 6-Feb-13 9-Feb-13 3 Rp. 22,500.00
24 Ny. Jumilah P 37 Th Tunggun HT + Gastritis 6-Feb-13 9-Feb-13 3 Rp. 22,500.00
25 Sdr. M. Thoriq L 17 Th Maor Susp. DBD 6-Feb-13 10-Feb-13 4 Rp. 30,000.00
TANGGAL H R P
Uang
26 Tn. Nasrikan L 57 Th Sukobendu Vomiting 6-Feb-13 8-Feb-13 2 Rp. 15,000.00
27 An. Dafa L 15 bln Maor Febris Convulsi 7-Feb-13 9-Feb-13 2 Rp. 15,000.00
28 An. Aris L 12 Th Sumberpanggang Obs. Febris 7-Feb-13 9-Feb-13 2 Rp. 15,000.00
29 An. Amanda P 2.5 Th Tunggun jagir Obs. Febris 7-Feb-13 9-Feb-13 2 Rp. 15,000.00
30 An. Aril L 6 Th Kaliwates Obs. Febris 7-Feb-13 9-Feb-13 2 Rp. 15,000.00
31 Tn. Kh. Zainal L 55 Th Kaliwates Hipertensi 8-Feb-13 10-Feb-13 2 Rp. 15,000.00
32 Ny. Sining P 60 Th Tunggun Vomiting 8-Feb-13 10-Feb-13 2 Rp. 15,000.00
33 An. Anggi P 4.5 Th Kalibogo Obs. Febris 8-Feb-13 10-Feb-13 2 Rp. 15,000.00
34 An. Sirotudin L 3 Th Puter Febris Convulsi 8-Feb-13 10-Feb-13 2 Rp. 15,000.00
35 Tn. Darnis L 50 Th Kembangbahu Obs. febris 8-Feb-13 10-Feb-13 2 Rp. 15,000.00
36 Ny. Krisnawati P 30 Th Wudi Hiperemesis 9-Feb-13 11-Feb-13 2 Rp. 15,000.00
37 Hj. Kiswariah P 61 Th Sukobendu Anemia 9-Feb-13 13-Feb-13 4 Rp. 30,000.00
38 An. Lutfi P 6 Th Puter Obs. Febris 9-Feb-13 11-Feb-13 2 Rp. 15,000.00
39 Tn. Suep L 21 Th Glendeh Susp. DHF 9-Feb-13 12-Feb-13 3 Rp. 22,500.00
40 An. Fafa L 11 Th Tunggun Tongsilitis 10-Feb-13 12-Feb-13 2 Rp. 15,000.00
41 Ny. Ama P 70 Th Puter HT + Coma 10-Feb-13 14-Feb-13 4 Rp. 30,000.00
42 Ny. Fitri P 33 Th Kaliwates GE 10-Feb-13 12-Feb-13 2 Rp. 15,000.00
43 Tn. Wongso Sikin L 70 Th Sukobendu Colic Abdomen 10-Feb-13 12-Feb-13 2 Rp. 15,000.00 780,000.00
44 By. Fina Oktavia P 13 bln Kedungklanting Febris Convulsi 11-Feb-13 13-Feb-13 2 Rp. 15,000.00
45 Ny. Yuli P 29 Th Ringinanom GE 11-Feb-13 13-Feb-13 2 Rp. 15,000.00
###
46 An. Yolanda L 8 Th Sidowayah Typhoid 11-Feb-13 14-Feb-13 3 Rp. 22,500.00
47 An. Ilham L 3 Th Njuwet Typhoid 11-Feb-13 14-Feb-13 3 Rp. 22,500.00
48 Ny. Samiani P 40 Th Kedungklanting TB 12-Feb-13 15-Feb-13 3 Rp. 22,500.00
49 Ny. Supi'ah P 65 Th Sukobendu Obs. Febris 12-Feb-13 14-Feb-13 2 Rp. 15,000.00
50 An. Robik L 5 Th Balan DHF 12-Feb-13 15-Feb-13 3 Rp. 22,500.00
51 Tn. Asrim L 60 Th Sukobendu DM + Gangren 12-Feb-13 15-Feb-13 3 Rp. 22,500.00
52 Ny. Khoiriyah P 27 Th Puter Hiperemesis 12-Feb-13 14-Feb-13 2 Rp. 15,000.00
53 Tn. Podo L 56 Th Glendeh CVA 13-Feb-13 17-Feb-13 4 Rp. 30,000.00
TANGGAL H R P
Uang
54 An. Farel L 3 Th Puter Typhoid 13-Feb-13 16-Feb-13 3 Rp. 22,500.00
55 An. Baim L 35 Th Sukobendu Typhoid 13-Feb-13 16-Feb-13 3 Rp. 22,500.00
56 Nn. Ita P 20 Th Sumberpanggang Typhoid 13-Feb-13 16-Feb-13 3 Rp. 22,500.00
57 Tn. Kanit L 60 Th Lembeyan Susp. Illeus 14-Feb-13 16-Feb-13 2 Rp. 15,000.00
58 Ny. Asri P 80 Th Besi Anemia Gravis 14-Feb-13 16-Feb-13 2 Rp. 15,000.00
59 Ny. Wida P 18 Th Kedungsambi Susp. Appendixitis 14-Feb-13 16-Feb-13 2 Rp. 15,000.00
60 Ny. Mira P 60 Th Randubener Asma Bronchitis 14-Feb-13 18-Feb-13 4 Rp. 30,000.00
61 An. Refa P 4 Th Tunggun Typhoid 15-Feb-13 18-Feb-13 3 Rp. 22,500.00
62 An. Siska P 6 Th Kaliwates Obs. Febris 15-Feb-13 17-Feb-13 2 Rp. 15,000.00
63 Ny. Kase P 40 Th Mojosari Psikosomatis + Chespain 15-Feb-13 17-Feb-13 2 Rp. 15,000.00
64 Ny. Hartatik P 40 Th Kalibogo GE 15-Feb-13 17-Feb-13 2 Rp. 15,000.00
65 Tn. Kasmolan L 50 Th Kedungglonggong GE 16-Feb-13 18-Feb-13 2 Rp. 15,000.00
66 An. Idris L 10 bln Sidobranti GE + Obs. Febris 16-Feb-13 18-Feb-13 2 Rp. 15,000.00
67 Tn. Kasnawi L 50 Th Mojomanis Gastritis 16-Feb-13 18-Feb-13 2 Rp. 15,000.00
68 Tn. Lamijo L 50 Th Daliwangun Anemia + DC 16-Feb-13 18-Feb-13 2 Rp. 15,000.00
69 Ny. Kartini P 39 Th Kedungkampil Hiperemesis 17-Feb-13 19-Feb-13 2 Rp. 15,000.00
70 An. Ica P 4 Th Lembeyan Typhoid 17-Feb-13 20-Feb-13 3 Rp. 22,500.00
71 By. Fida P 5 bln Sidomukti Bronchitis acut 17-Feb-13 20-Feb-13 3 Rp. 22,500.00
72 Tn. Kudri L 50 Th Sidomukti Obs. Febris 17-Feb-13 21-Feb-13 4 Rp. 30,000.00 562,500.00
73 Ny. Siti Samiani P 50 Th Bangsri Typus abdominolis 18-Feb-13 20-Feb-13 2 Rp. 15,000.00
###
74 Tn. Sanusi L 70 Th Mengkuli Gastritis 18-Feb-13 20-Feb-13 2 Rp. 15,000.00
75 An. Yusuf L 60 Th Tunggun Susp. Typhoid 18-Feb-13 20-Feb-13 2 Rp. 15,000.00
76 Ny. Sinduk P 65 Th Glendeh Gastritis 18-Feb-13 20-Feb-13 2 Rp. 15,000.00
77 An. Najwa P 16 bln Sidomukti Obs. Febris 19-Feb-13 21-Feb-13 2 Rp. 15,000.00
78 Tn. Jariman L 60 Th Daliwangun Gastritis 20-Feb-13 22-Feb-13 2 Rp. 15,000.00
79 Ny. Sudarmi P 60 Th Daliwangun KP 21-Feb-13 23-Feb-13 2 Rp. 15,000.00
80 An. Amiratul P 9 Th Sidowayah Susp. Typhoid 22-Feb-13 24-Feb-13 2 Rp. 15,000.00
81 Ny. Sriah P 67 Th Sukorejo Hipertensi 23-Feb-13 26-Feb-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
82 An. Anisa P 7 Th Sukobendu Susp. DHF 23-Feb-13 25-Feb-13 2 Rp. 15,000.00
83 An. Aril L 3 Th Mojosari Typhoid 23-Feb-13 25-Feb-13 2 Rp. 15,000.00
84 Ny. Meilia P 25 Th Sidowayah Gastritis 23-Feb-13 25-Feb-13 2 Rp. 15,000.00
85 Tn. Juki L 52 Th Kembangbahu Susp. Hepatitis + DHF 24-Feb-13 27-Feb-13 3 Rp. 22,500.00
86 Tn. Suhadak L 35 Th Slatung Typhoid 25-Feb-13 27-Feb-13 2 Rp. 15,000.00
87 An. Bagus L 6 Th Kedungklanting ISPA 25-Feb-13 28-Feb-13 3 Rp. 22,500.00 247,500.00
JUMLAH 129 83 Rp. 1,590,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : MARET 2013
TANGGAL H R P
Uang
1 An. Anisa P 80 Th Sukobendu Obs. Febris 1-Mar-13 3-Mar-13 2 Rp. 15,000.00
2 Tn. Tarso L 70 Th Randubener Anemia + Gastritis 1-Mar-13 4-Mar-13 3 Rp. 22,500.00
3 Nn. Sri Wahyuni P 20 Th Randubener GE 1-Mar-13 4-Mar-13 3 Rp. 22,500.00
4 Tn. Tokol L 60 Th Kaliwates Asma 1-Mar-13 3-Mar-13 2 Rp. 15,000.00
5 Ny. Sulasih P 41 Th Mangkujajar GE 2-Mar-13 5-Mar-13 3 Rp. 22,500.00
6 An. Nika P 2 Th Tunggun ISPA 2-Mar-13 6-Mar-13 4 Rp. 30,000.00
7 Ny. Musning P 65 Th Kedungdowo Colic abdomen 2-Mar-13 6-Mar-13 4 Rp. 30,000.00
8 Nn. Miftahul P 15 Th sukobendu Typhoid + susp. DHF 2-Mar-13 5-Mar-13 3 Rp. 22,500.00
9 Tn. Arjo L 60 Th Kedungdowo Obs. Febris 3-Mar-13 6-Mar-13 3 Rp. 22,500.00
10 Ny. Sini P 65 Th Puter Obs. Febris 3-Mar-13 5-Mar-13 2 Rp. 15,000.00
11 Ny. Nur P 37 Th Benjeng Typhoid 3-Mar-13 5-Mar-13 2 Rp. 15,000.00
12 An. Fendi L 5 Th Lopang Typhoid 3-Mar-13 6-Mar-13 3 Rp. 22,500.00
13 Ny. Nariyah P 50 Th Kembangbahu Status Asmatikus 4-Mar-13 6-Mar-13 2 Rp. 15,000.00
14 An. Agung L 3 Th Kalibogo GE + Obs. Febris 4-Mar-13 7-Mar-13 3 Rp. 22,500.00
15 Ny. Pasri P 50 Th Tunggun KP 4-Mar-13 7-Mar-13 3 Rp. 22,500.00
16 Tn. Hendra L 25 Th Lopang Obs. Febris 4-Mar-13 6-Mar-13 2 Rp. 15,000.00
17 An. Rehan L 4 Th Glendeh ISPA 4-Mar-13 7-Mar-13 3 Rp. 22,500.00
18 Tn. Mat L 72 Th Mojorayung Retensio Urin 5-Mar-13 7-Mar-13 2 Rp. 15,000.00
19 Ny. Piah P 80 Th Dorogede DC + Asma 5-Mar-13 8-Mar-13 3 Rp. 22,500.00
20 Ny. Soka P 70 Th Sukosongo Vomiting 5-Mar-13 8-Mar-13 3 Rp. 22,500.00
21 Nn. Ainul P 18 Th Besi Gastritis 5-Mar-13 8-Mar-13 3 Rp. 22,500.00
22 Tn. Aluwi L 64 Th Maor PPOM 5-Mar-13 8-Mar-13 3 Rp. 22,500.00
23 Ny. Yatemi P 60 Th Slatung GE 6-Mar-13 8-Mar-13 2 Rp. 15,000.00
24 Ny. Sri P 50 Th Randubener GE 6-Mar-13 8-Mar-13 2 Rp. 15,000.00
25 Ny. Indah P 25 Th Waru Lor Colic abdomen 6-Mar-13 8-Mar-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
26 Ny. Yasih P 70 Th Randubener GE 6-Mar-13 8-Mar-13 2 Rp. 15,000.00
27 An. Angga L 12 Th Puter Susp. DHF 6-Mar-13 9-Mar-13 3 Rp. 22,500.00
28 An. Bagus L 14 Th Lopang Obs. Febris + Faringitis 7-Mar-13 10-Mar-13 3 Rp. 22,500.00
29 Tn. Rinan L 35 Th Besi Susp. Hepatitis + DHF 7-Mar-13 11-Mar-13 4 Rp. 30,000.00
30 Tn. Seno L 60 Th Randubener Colic abdomen 7-Mar-13 9-Mar-13 2 Rp. 15,000.00
31 Ny. Tami P 60 Th Sukorejo Hipertensi 7-Mar-13 10-Mar-13 3 Rp. 22,500.00
32 Tn. Suwardi L 33 Th Kembangbahu Susp. DHF 8-Mar-13 11-Mar-13 3 Rp. 22,500.00
33 Tn. Edi L 35 Th Sumberpanggang Susp. DHF 8-Mar-13 11-Mar-13 3 Rp. 22,500.00
34 Tn. Abd. Ghoni L 70 Th Sukobendu Chespain 8-Mar-13 11-Mar-13 3 Rp. 22,500.00
35 Tn. Catur L 45 Th Lembeyan Comser 8-Mar-13 10-Mar-13 2 Rp. 15,000.00
36 An. A. Febri L 3 Th Kedungmegarih ISPA 9-Mar-13 12-Mar-13 3 Rp. 22,500.00
37 Tn. Mat Ngali L 70 Th Dorogede DC + Anemia 9-Mar-13 12-Mar-13 3 Rp. 22,500.00
38 By. Aksan L 9 bln Randubener Febris Convulsi 9-Mar-13 11-Mar-13 2 Rp. 15,000.00
39 Ny. Asri P 49 Th Jagir Obs. Febris + KP 9-Mar-13 12-Mar-13 3 Rp. 22,500.00
40 Sdr. M. Khoiril L 30 Th Sukorejo Gastritis 10-Mar-13 12-Mar-13 2 Rp. 15,000.00
41 Tn. Sakrip L 75 Th Juwet Hemaptoe 10-Mar-13 12-Mar-13 2 Rp. 15,000.00
42 An. Alfa P 15 bln Kedungklanting GE + Obs. Febris 10-Mar-13 12-Mar-13 2 Rp. 15,000.00
43 Ny. Napi'ah P 52 Th Sukobendu Hipertensi 11-Mar-13 13-Mar-13 2 Rp. 15,000.00
44 Tn. Ngadimin L 78 Th Polumbung Obs. Febris 11-Mar-13 13-Mar-13 2 Rp. 15,000.00
45 Ny. Inah P 60 Th Lembeyan DC + Asma 11-Mar-13 13-Mar-13 2 Rp. 15,000.00
###
46 Ny. Dasemi P 80 Th Gedangan Renatoid artritis 11-Mar-13 14-Mar-13 3 Rp. 22,500.00
47 An. Siti M. P 5 Th Tempuran Typhoid 12-Mar-13 14-Mar-13 2 Rp. 15,000.00
48 Ny. Karni P 65 Th Juwet GE 12-Mar-13 14-Mar-13 2 Rp. 15,000.00
49 Tn. Abu L 42 Th Kedungasri Hepatomegali 12-Mar-13 15-Mar-13 3 Rp. 22,500.00
50 An. Adit L 3 Th Sukorejo Obs. Febris 12-Mar-13 14-Mar-13 2 Rp. 15,000.00
51 An. Anggun P 12 Th Tunggun Obs. Febris 12-Mar-13 14-Mar-13 2 Rp. 15,000.00
52 Tn. Jayus L 60 Th Randubener Disentri + Obs. Febris 13-Mar-13 16-Mar-13 3 Rp. 22,500.00
53 Ny. Lapiani P 48 Th Sedangrejo DC + Diabetus Millitus 13-Mar-13 16-Mar-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 Sdr. Yongki L 19 Th Tempuran Typhoid 13-Mar-13 15-Mar-13 2 Rp. 15,000.00
55 An. Dita P 3 Th Kalibogo ISPA 14-Mar-13 16-Mar-13 2 Rp. 15,000.00
56 Ny. Sira P 85 Th Sukorejo DM + Hipertensi 14-Mar-13 16-Mar-13 2 Rp. 15,000.00
57 Ny. Sarining P 60 Th Sukobendu CVA 14-Mar-13 17-Mar-13 3 Rp. 22,500.00
58 Ny. Muntamah P 65 Th Sukobendu Anemia 14-Mar-13 16-Mar-13 2 Rp. 15,000.00
59 Tn. Suprat L 55 Th Lopang Anemia 15-Mar-13 17-Mar-13 2 Rp. 15,000.00
60 Tn. Miran L 74 Th Pojok Vertigo 15-Mar-13 17-Mar-13 2 Rp. 15,000.00
61 Tn. Oto L 60 Th Glendeh Typhoid 15-Mar-13 17-Mar-13 2 Rp. 15,000.00
62 Ny. Suis P 35 Th Randubener Obs. Febris 15-Mar-13 17-Mar-13 2 Rp. 15,000.00
63 Tn. Toha L 70 Th Maor KP 16-Mar-13 18-Mar-13 2 Rp. 15,000.00
64 An. Ayu P 10 Th Lembeyan Typus 16-Mar-13 18-Mar-13 2 Rp. 15,000.00
65 An. Aryo L 2.5 Th Sukobendu Obs. Febris 16-Mar-13 18-Mar-13 2 Rp. 15,000.00
66 An. Saerah L 70 Th Kedungglonggong Asma Bronchitis 16-Mar-13 18-Mar-13 2 Rp. 15,000.00
67 Tn. Suroto L 50 Th Deketagung UTI 17-Mar-13 20-Mar-13 3 Rp. 22,500.00
68 An. Nuriyanto L 11 Th Sukorejo Typus 18-Mar-13 20-Mar-13 2 Rp. 15,000.00
69 Ny. Risa P 55 Th Lopang GE 18-Mar-13 20-Mar-13 2 Rp. 15,000.00
70 Ny. Mukeni P 80 Th Puter HM + Susp. Sirosis Hep. 18-Mar-13 20-Mar-13 2 Rp. 15,000.00
71 Tn. Badrun L 80 Th Gempollumbung Obs. Febris 19-Mar-13 21-Mar-13 2 Rp. 15,000.00
72 An. Kevin L 9 bln Mojorembun ISPA 19-Mar-13 21-Mar-13 2 Rp. 15,000.00
73 Tn. Puger L 71 Th Randubener GE 19-Mar-13 21-Mar-13 2 Rp. 15,000.00
###
74 An. Riski L 10 Th Tempuran Susp. DHF 19-Mar-13 22-Mar-13 3 Rp. 22,500.00
75 Sdr. Amar M L 16 Th Tanggungan Typus 19-Mar-13 21-Mar-13 2 Rp. 15,000.00
76 An. Firdaus L 19 bln Sukobendu GE 20-Mar-13 22-Mar-13 2 Rp. 15,000.00
77 Ny. Enah P 50 Th Kembangbahu Status Asmatikus 20-Mar-13 22-Mar-13 2 Rp. 15,000.00
78 an. Arya L 5 Th Kumisik Obs. Febris 20-Mar-13 22-Mar-13 2 Rp. 15,000.00
79 Nn. Yuni P 25 Th Kembangbahu Gastritis 20-Mar-13 22-Mar-13 2 Rp. 15,000.00
80 Tn. Lajim L 43 Th Kedungasri Anemia 21-Mar-13 23-Mar-13 2 Rp. 15,000.00
81 By. Nikma P 80 Th Slatung Obs. Febris 22-Mar-13 24-Mar-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
82 Ny. Siti Munawaroh P 26 Th Sukorejo UTI 22-Mar-13 24-Mar-13 2 Rp. 15,000.00
83 Ny. Sulikah P 45 Th Bender Obs. Febris 22-Mar-13 24-Mar-13 2 Rp. 15,000.00
84 Ny. Saepah P 70 Th Randubener Hipertensi 22-Mar-13 25-Mar-13 3 Rp. 22,500.00
85 Ny. Endang P 21 Th Sidobranti Gastritis 23-Mar-13 25-Mar-13 2 Rp. 15,000.00
86 Tn. Nuril L 41 Th Gempollumbung Obs. Illeus 24-Mar-13 26-Mar-13 2 Rp. 15,000.00
87 An. Zuroul P 12 Th Kaliwates Obs. Febris 25-Mar-13 27-Mar-13 2 Rp. 15,000.00
88 Ny. Sulianah P 32 Th Lopang CRF + DC 25-Mar-13 27-Mar-13 2 Rp. 15,000.00
89 Ny. Jayati P 50 Th Sukobendu Susp. Meningitis 25-Mar-13 27-Mar-13 2 Rp. 15,000.00
JUMLAH 159 55 Rp. 1,605,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : APRIL 2013
TANGGAL H R P
Uang
1 Tn. Zaenuri L 43 Th Lawanganagung Typus 1-Apr-13 3-Apr-13 2 Rp. 15,000.00
2 Ny. Ida Fitriani P 20 Th Slatung Gastritis 1-Apr-13 3-Apr-13 2 Rp. 15,000.00
3 Ny. Sri Sudarni P 37 Th Kedungsambi Colic abdomen 1-Apr-13 3-Apr-13 2 Rp. 15,000.00
4 An. Abdullah L 7 Th Puter Susp. DHF 1-Apr-13 3-Apr-13 2 Rp. 15,000.00
5 Sdr. M.F. Khobir L 15 Th Tunggun jagir Obs. Febris 2-Apr-13 4-Apr-13 2 Rp. 15,000.00
6 Tn. Idris L 60 Th Sukobendu Anemia 2-Apr-13 4-Apr-13 2 Rp. 15,000.00
7 Ny. Sulikah P 55 Th Maor DM + Hiperglikemi 2-Apr-13 6-Apr-13 4 Rp. 30,000.00
8 Ny. Sati P 60 Th Tunggun jagir Ca. mamae + KP 2-Apr-13 6-Apr-13 4 Rp. 30,000.00
9 By. Akbar L 8 bln Randubener Bronchitis akud 3-Apr-13 6-Apr-13 3 Rp. 22,500.00
10 Ny. Yati P 50 Th Jagir Obs. Febris 3-Apr-13 5-Apr-13 2 Rp. 15,000.00
11 An. Putri P 3.5 Th Tunggun jagir ISPA 3-Apr-13 6-Apr-13 3 Rp. 22,500.00
12 An. Zaki L 4 Th Kalibogo Susp. DHF 3-Apr-13 5-Apr-13 2 Rp. 15,000.00
13 Ny. Umiyati P 70 Th Kumisik Asma 4-Apr-13 6-Apr-13 2 Rp. 15,000.00
14 An. Yayuk P 12 Th Dorogede Obs. Febris 4-Apr-13 6-Apr-13 2 Rp. 15,000.00
15 An. Zahrotul L P 9 Th Mojomanis Obs. Febris 4-Apr-13 6-Apr-13 2 Rp. 15,000.00
16 Nn. Imelda P 14 Th Mojomanis Vomiting 4-Apr-13 6-Apr-13 2 Rp. 15,000.00
17 Sdr. Anggi P 20 Th Randubener Susp. DHF + Typus 4-Apr-13 8-Apr-13 4 Rp. 30,000.00
18 Tn. Raji L 70 Th Kembangbahu Comser 5-Apr-13 9-Apr-13 4 Rp. 30,000.00
19 Ny. Rokayah P 45 Th Dorogede GE 5-Apr-13 8-Apr-13 3 Rp. 22,500.00
20 An. Miftakhul P 11 Th Jajar Asma bronchiale 5-Apr-13 8-Apr-13 3 Rp. 22,500.00
21 An. Bintang P 8 Th Lembeyan Typhoid 5-Apr-13 7-Apr-13 2 Rp. 15,000.00
22 An. Widia P 8 Th Wangkit DHF 5-Apr-13 9-Apr-13 4 Rp. 30,000.00
23 Tn. Asrim L 60 Th Sukobendu DM + Hipoglikemi 6-Apr-13 7-Apr-13 1 Rp. 7,500.00
24 Ny. Tira P 60 Th Mangkujajar Disentri amuba 6-Apr-13 8-Apr-13 2 Rp. 15,000.00
25 Ny. Darseh P 70 Th Puter Hipertensi 6-Apr-13 9-Apr-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
26 An. Fania P 3 Th Besi ISPA 6-Apr-13 9-Apr-13 3 Rp. 22,500.00
27 An. Silva P 13 Th Ringinanom DHF 6-Apr-13 8-Apr-13 2 Rp. 15,000.00
28 Tn. Zeni L 41 Th Kaliwates LBP 7-Apr-13 11-Apr-13 4 Rp. 30,000.00
29 Tn. Sido L 70 Th Kalipang Asma bronchiale 7-Apr-13 9-Apr-13 2 Rp. 15,000.00
30 Ny. Tiyam P 50 Th Kembangbahu GE 7-Apr-13 9-Apr-13 2 Rp. 15,000.00
31 Ny. Lilik Fitriyah P 21 Th Kedungklanting Typhoid 7-Apr-13 9-Apr-13 2 Rp. 15,000.00 592,500.00
32 An. Winda P 12 Th Mangkujajar Typhoid + Susp. DHF 8-Apr-13 12-Apr-13 4 Rp. 30,000.00
33 Sdr. Alfian L 15 Th Ringinanom DHF 8-Apr-13 11-Apr-13 3 Rp. 22,500.00
34 An. Sufiyah Ainur R. P 8 Th Miru Susp. DHF 8-Apr-13 11-Apr-13 3 Rp. 22,500.00
35 Ny. Hidayah P 25 Th Juwet Gastritis 8-Apr-13 10-Apr-13 2 Rp. 15,000.00
36 Sdr. Suwoto L 22 Th Randubener Gastritis 9-Apr-13 11-Apr-13 2 Rp. 15,000.00
37 Ny. Supit P 60 Th Maor ISPA 9-Apr-13 11-Apr-13 2 Rp. 15,000.00
38 An. Lubis L 20 bln Sukorejo ISPA 9-Apr-13 11-Apr-13 2 Rp. 15,000.00
39 An. Lifi P 2.5 Th Randubener ISPA 9-Apr-13 11-Apr-13 2 Rp. 15,000.00
40 Ny. Napisah P 65 Th Kedungmegarih Decom 10-Apr-13 12-Apr-13 2 Rp. 15,000.00
41 Tn. Slamet L 50 Th Kembangbahu Hipotensi 10-Apr-13 13-Apr-13 3 Rp. 22,500.00
42 Tn. Ramelan L 48 Th Sukosongo Obs. Febris 10-Apr-13 14-Apr-13 4 Rp. 30,000.00
43 Ny. Fatimah P 80 Th Cumpleng Decomp + Hipertensi 10-Apr-13 13-Apr-13 3 Rp. 22,500.00
44 Ny. Enis P 23 Th Sukobendu Obs. Febris 11-Apr-13 13-Apr-13 2 Rp. 15,000.00
45 Ny. Sutarti P 47 Th Lopang Decomp 11-Apr-13 13-Apr-13 2 Rp. 15,000.00
###
46 Ny. Nasi P 70 Th Randubener Asma bronkhitis 11-Apr-13 14-Apr-13 3 Rp. 22,500.00
47 Ny. Siti Maria Ulfa P 35 Th Sukobendu Diabetus Millitus 11-Apr-13 13-Apr-13 2 Rp. 15,000.00
48 Ny. Asri P 55 Th Slatung Hipertensi 12-Apr-13 15-Apr-13 3 Rp. 22,500.00
49 Ny. Lutfi P 3 Th Tempuran Typhoid 12-Apr-13 15-Apr-13 3 Rp. 22,500.00
50 An. Aida P 3 Th Lembeyan Obs. Febris 12-Apr-13 14-Apr-13 2 Rp. 15,000.00
51 Ny. Sriyah P 60 Th Wangun Vertigo + Gastritis 12-Apr-13 15-Apr-13 3 Rp. 22,500.00
52 Tn. Supi'i L 63 Th Sidomukti BPH + Hematuri 12-Apr-13 14-Apr-13 2 Rp. 15,000.00
53 An. Sundra L 10 Th Lembeyan Susp. DHF 13-Apr-13 16-Apr-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 Tn. Rupiyan L 49 Th Besi GE 13-Apr-13 15-Apr-13 2 Rp. 15,000.00
55 Nn. Ulfa P 15 Th Lopang DHF 13-Apr-13 17-Apr-13 4 Rp. 30,000.00
56 An. Febri L 7 Th Kedungmegarih Vomiting 13-Apr-13 15-Apr-13 2 Rp. 15,000.00
57 Ny. Rini P 37 Th Sukorejo Gastritis + Hipertensi 14-Apr-13 16-Apr-13 2 Rp. 15,000.00
58 An. Alfian L 6 Th Dorogede ISPA 14-Apr-13 16-Apr-13 2 Rp. 15,000.00
59 Nn. Nanda P 15 Th Juwet ISPA 14-Apr-13 16-Apr-13 2 Rp. 15,000.00
60 Tn. Isa L 50 Th Kembangbahu CVA 14-Apr-13 16-Apr-13 2 Rp. 15,000.00 547,500.00
61 Ny. Ni'ah P 50 Th Slatung Hipertensi 15-Apr-13 18-Apr-13 3 Rp. 22,500.00
62 An. Agit L 18 bln Tempuran Obs. Febris 15-Apr-13 17-Apr-13 2 Rp. 15,000.00
63 An. Andika L 6 Th Kalibogo DHF 15-Apr-13 17-Apr-13 2 Rp. 15,000.00
64 Tn. Sugeng L 60 Th Mojorayung PPOM 15-Apr-13 17-Apr-13 2 Rp. 15,000.00
65 Ny. Jinten P 70 Th Randubener Anemia 16-Apr-13 18-Apr-13 2 Rp. 15,000.00
66 Ny. Kartinah P 67 Th Kedungklanting Hipertensi 16-Apr-13 18-Apr-13 2 Rp. 15,000.00
67 Tn. Muslikah L 50 Th Sukobendu Gastritis 16-Apr-13 19-Apr-13 3 Rp. 22,500.00
68 Ny. Sriati P 35 Th Dorogede Obs. Febris 16-Apr-13 18-Apr-13 2 Rp. 15,000.00
69 Tn. H. Sutomo L 70 Th Deketagung Rematoid artritis 17-Apr-13 19-Apr-13 2 Rp. 15,000.00
70 Tn. Ali L 50 Th Tunggun jagir Hipertensi 17-Apr-13 18-Apr-13 1 Rp. 7,500.00
71 Ny. Niso P 70 Th Kaliwates GE + Hipertensi 17-Apr-13 19-Apr-13 2 Rp. 15,000.00
72 Ny. Kati P 60 Th Juwet Post of struma 17-Apr-13 21-Apr-13 4 Rp. 30,000.00
73 An. Viko L 4 Th Deketagung GE 18-Apr-13 20-Apr-13 2 Rp. 15,000.00
###
74 An. Sela P 2 Th Tempuran Susp. Febris 18-Apr-13 20-Apr-13 2 Rp. 15,000.00
75 Tn. Sutarmaji L 93 Th Krajan Hipertensi 18-Apr-13 19-Apr-13 1 Rp. 7,500.00
76 Tn. Panji L 40 Th Lopang GE 18-Apr-13 20-Apr-13 2 Rp. 15,000.00
77 An. Tias P 4 Th Sukorejo ISPA 19-Apr-13 21-Apr-13 2 Rp. 15,000.00
78 An. Nurul P 5 Th Katemas Susp. DHF 19-Apr-13 22-Apr-13 3 Rp. 22,500.00
79 An. Zaki L 8 Th Randubener Coma + Sepsis 19-Apr-13 20-Apr-13 1 Rp. 7,500.00
80 Ny. Tuminah P 75 Th Mangkujajar Hipertensi + DM 19-Apr-13 22-Apr-13 3 Rp. 22,500.00
81 Ny. Eka P 25 Th Kedungasri Typhoid 20-Apr-13 22-Apr-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
82 An. Deandra L 7 Th Kedungklanting Typus 21-Apr-13 23-Apr-13 2 Rp. 15,000.00
83 Ny. Kartining P 55 Th Sukoanyar CVA 22-Apr-13 23-Apr-13 1 Rp. 7,500.00
84 Tn. Bambang L 59 Th Kembangbahu Chirosis 23-Apr-13 24-Apr-13 1 Rp. 7,500.00
85 Ny. Erni P 23 Th Ringinanom GE 24-Apr-13 26-Apr-13 2 Rp. 15,000.00
86 Tn. Heru Sutikno L 31 Th Puter Typhoid 25-Apr-13 27-Apr-13 2 Rp. 15,000.00
87 Ny. Riswati P 38 Th Balan Diabetus Millitus 26-Apr-13 27-Apr-13 1 Rp. 7,500.00
88 Ny. Risa P 60 Th Kedungori Susp. Appendix 26-Apr-13 27-Apr-13 1 Rp. 7,500.00
89 Tn. Karnawi L 35 Th Kalipang Susp. DHF 26-Apr-13 28-Apr-13 2 Rp. 15,000.00
90 An. Feli P 2 Th Randubener GE 26-Apr-13 28-Apr-13 2 Rp. 15,000.00 442,500.00
JUMLAH 135 76 Rp. 1,582,500.00
Mengetahui, Kembangbahu, 30 - 04 - 2013

Kepala U.P.T Puskesmas Pelapor, 211

NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : MEI 2013
TANGGAL H R P
Uang
1 Ny. Sawi P 70 Th Mojorembun Gastritis 1-May-13 3-May-13 2 Rp. 15,000.00
2 An. Hafid L 4 Th Pilangpinggir Obs. Febris 1-May-13 3-May-13 2 Rp. 15,000.00
3 Tn. Slamet L 80 Th Puter Asma + DC 1-May-13 3-May-13 2 Rp. 15,000.00
4 Ny. Asrep P 68 Th Puter Vomiting 1-May-13 3-May-13 2 Rp. 15,000.00
5 An. Leo L 9 Th Pelang Susp. Typhoid 2-May-13 5-May-13 3 Rp. 22,500.00
6 Tn. Taslim L 70 Th Kedungbanjar Copd 2-May-13 4-May-13 2 Rp. 15,000.00
7 Ny. Umariyati P 34 Th Kedungmegarih DM + Bronchitis 2-May-13 5-May-13 3 Rp. 22,500.00
8 Tn. Karsono L 45 Th Lembeyan Gastritis 2-May-13 4-May-13 2 Rp. 15,000.00
9 Ny. Tosi P 65 Th Kalipang Obs. febris 3-May-13 5-May-13 2 Rp. 15,000.00
10 Ny. Iyak P 60 Th Gempol Hipertensi 3-May-13 5-May-13 2 Rp. 15,000.00
11 Sdr. Bram L 14 Th Kembangbahu Susp. Typhoid 3-May-13 6-May-13 3 Rp. 22,500.00
12 Tn. Warji L 70 Th Randubener Anemia 3-May-13 5-May-13 2 Rp. 15,000.00
13 An. Aprilia L 1 Th Randubener GE 4-May-13 6-May-13 2 Rp. 15,000.00
14 An. Nabila P 10 bln Lopang Febris Convulsi 4-May-13 6-May-13 2 Rp. 15,000.00
15 Nn. Nia K. P 14 Th Dorogedhe Colic abdomen 4-May-13 6-May-13 2 Rp. 15,000.00
16 Tn. Safari L 31 Th Sidobranti Hemoroid 4-May-13 7-May-13 3 Rp. 22,500.00
17 Tn. Tarso L 70 Th Randubener Melena 5-May-13 8-May-13 3 Rp. 22,500.00
18 Tn. Suyono L 55 Th Sukosongo Hipertensi 5-May-13 9-May-13 4 Rp. 30,000.00
19 An. Cika P 5 Th Lembeyan DHF 5-May-13 9-May-13 4 Rp. 30,000.00
20 Sdr. Indra L 19 Th Mengkuli DHF 5-May-13 8-May-13 3 Rp. 22,500.00
21 Ny. Rupiati P 40 Th Kedungglonggong GE 6-May-13 8-May-13 2 Rp. 15,000.00
22 Tn. Niti L 35 Th Kedungori Susp. Bronchitis 6-May-13 10-May-13 4 Rp. 30,000.00
23 An. Udin L 4 Th Pucung Typhoid 6-May-13 9-May-13 3 Rp. 22,500.00
24 Ny. Rukiyati P 47 Th Kedungmegarih Vertigo + Hipertensi 6-May-13 9-May-13 3 Rp. 22,500.00
25 Tn. Sari L 75 Th Pelang Asma 7-May-13 10-May-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
26 Ny. Tiyam P 50 Th Kembangbahu GE + Vomiting 7-May-13 9-May-13 2 Rp. 15,000.00
27 Ny. Asri P 50 Th Sumberdono Kll + Hematom 7-May-13 9-May-13 2 Rp. 15,000.00
28 Ny. Suwati P 60 Th Mojosari DM + Ulcus 7-May-13 10-May-13 3 Rp. 22,500.00 540,000.00
29 Tn. Joyo L 55 Th Jombok Susp. Illeus 8-May-13 11-May-13 3 Rp. 22,500.00
30 Ny. Mira P 65 Th Randubener Asma 8-May-13 11-May-13 3 Rp. 22,500.00
31 An. Hayu L 10 Th Tunggun Obs. Febris 8-May-13 10-May-13 2 Rp. 15,000.00
32 Ny. Supiah P 70 Th Tunggun Anemia 8-May-13 10-May-13 2 Rp. 15,000.00
33 Tn. Setu L 70 Th Kebalan PPOM 9-May-13 12-May-13 3 Rp. 22,500.00
34 Tn. Yaman L 60 Th Mangkujajar DBD 9-May-13 12-May-13 3 Rp. 22,500.00
35 Nn. Tyas P 14 Th Kembangbahu DBD 9-May-13 12-May-13 3 Rp. 22,500.00
36 An. Andi L 6 Th Wonorejo Vomiting 10-May-13 13-May-13 3 Rp. 22,500.00
37 Tn. Anam L 60 Th Sukobendu ISPA 10-May-13 13-May-13 3 Rp. 22,500.00
38 An. Aditya L 10 Th Jagir Post. GE 10-May-13 12-May-13 2 Rp. 15,000.00
39 Ny. Maria Ulfa P 30 Th Sukobendu DM + Gastritis 10-May-13 13-May-13 3 Rp. 22,500.00
40 Nn. Aprilia P 19 Th Pelang Psiko 10-May-13 12-May-13 2 Rp. 15,000.00
41 Tn. Sadi L 60 Th Sukosongo GE 11-May-13 13-May-13 2 Rp. 15,000.00
42 Tn. Paejan L 75 Th Lembeyan Melena 12-May-13 14-May-13 2 Rp. 15,000.00
43 Tn. Nurabidin L 40 Th Sukobendu Colic abdomen 12-May-13 14-May-13 2 Rp. 15,000.00
44 Tn. Nurul Huda L 33 Th Randubener Gastritis / lepra 12-May-13 14-May-13 2 Rp. 15,000.00
45 Tn. Umur L 50 Th Sukobendu Colic abdomen 12-May-13 14-May-13 2 Rp. 15,000.00
46 Sdr. Ach. Habib L 16 Th Slatung Kll + Hematom 12-May-13 14-May-13 2 Rp. 15,000.00
47 Ny. Martiani P 55 Th Kembangbahu GE + Disentri 13-May-13 15-May-13 2 Rp. 15,000.00
48 Nn. Nengseh P 16 Th Mangkujajar DBD 13-May-13 17-May-13 4 Rp. 30,000.00
49 Tn. Kardi L 60 Th Bender GE 13-May-13 15-May-13 2 Rp. 15,000.00
50 Tn. Mustari L 80 Th Kedungklanting PPOM 13-May-13 16-May-13 3 Rp. 22,500.00
51 An. Andi L 3 Th Sidomukti Febris Convulsi 13-May-13 15-May-13 2 Rp. 15,000.00
52 An. Reno L 3 Th Puter Obs Febris + Vomiting 14-May-13 16-May-13 2 Rp. 15,000.00
53 Ny. Tumina P 53 Th Wudi Hemaptomisis + DM 14-May-13 17-May-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 Tn. Marjan L 65 Th Juwet Intoksikasi 14-May-13 16-May-13 2 Rp. 15,000.00
55 An. Anwar L 15 bln Tunggun Obs. Febris 14-May-13 16-May-13 2 Rp. 15,000.00 495,000.00
56 Ny. Taslikah P 61 Th Wudi HT + CVA 15-May-13 18-May-13 3 Rp. 22,500.00
57 Ny. Sri Rahayu P 20 Th Sekidang Susp. Illeus 15-May-13 18-May-13 3 Rp. 22,500.00
58 An. Sheva P 3 Th Sukorejo Typhoid 15-May-13 18-May-13 3 Rp. 22,500.00
59 Ny. Suwati P 60 Th Mojosari Diabetus Millitus 15-May-13 18-May-13 3 Rp. 22,500.00
60 Ny. Sapi'i P 43 Th Sukobendu Colic abdomen 16-May-13 19-May-13 3 Rp. 22,500.00
61 Ny. Sulastri P 50 Th Balan Vertigo 16-May-13 19-May-13 3 Rp. 22,500.00
62 Tn. Irin L 65 Th Glendeh Susp. Hepatitis 16-May-13 18-May-13 2 Rp. 15,000.00
63 Ny. Zani P 50 Th Pilangpinggir Diabetus Millitus 16-May-13 18-May-13 2 Rp. 15,000.00
64 Ny. Rame P 60 Th Puter GE 17-May-13 19-May-13 2 Rp. 15,000.00
65 Ny. Marliyah P 50 Th Mengkuli Hipertensi 17-May-13 21-May-13 4 Rp. 30,000.00
66 Tn. Awi L 60 Th Slatung GE + Vomiting 17-May-13 19-May-13 2 Rp. 15,000.00
67 Ny. Kamiati P 65 Th Kedungmegarih GE + Amoeba 17-May-13 19-May-13 2 Rp. 15,000.00
68 Tn. Sardi L 70 Th Randubener Vomiting 18-May-13 20-May-13 2 Rp. 15,000.00
69 Tn. Idris L 70 Th Sukobendu Hepatoma 18-May-13 22-May-13 4 Rp. 30,000.00
70 Tn. Sumantri L 60 Th Sukobendu Hipertiroid 18-May-13 21-May-13 3 Rp. 22,500.00
71 Ny. Riyati P 70 Th Balan Post KP 18-May-13 21-May-13 3 Rp. 22,500.00
72 Ny. Nur Hidayati P 45 Th Sukobendu Asma 18-May-13 20-May-13 2 Rp. 15,000.00
73 Tn. Anam L 37 Th Mangkujajar Obs. febris 19-May-13 22-May-13 3 Rp. 22,500.00
74 Tn. Nur L 80 Th Bender Diabetus Millitus 20-May-13 23-May-13 3 Rp. 22,500.00
75 Ny. Ammah P 30 Th Lopang Obs. febris 21-May-13 23-May-13 2 Rp. 15,000.00
76 Tn. Sari L 84 Th Lembeyan UTI 22-May-13 24-May-13 2 Rp. 15,000.00
77 An. Silvi P 4.3 Th Lembeyan Susp. DHF 23-May-13 26-May-13 3 Rp. 22,500.00
78 Tn. Latif L 55 Th Sukobendu Miorardial Ischemic 24-May-13 26-May-13 2 Rp. 15,000.00
79 An. Firman L 2 Th Kalibogo Combusio 25-May-13 26-May-13 1 Rp. 7,500.00
80 An. Rafa L 4 Th Lembeyan GE 26-May-13 28-May-13 2 Rp. 15,000.00
81 Tn. Atur L 60 Th Mengkuli Colic abdomen 27-May-13 29-May-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
82 By. Kiki L 56 Th Sukobendu ISPA 28-May-13 31-May-13 3 Rp. 22,500.00
83 Sdr. Fandi L 23 Th Blora Susp. Illeus 29-May-13 2-Jun-13 4 Rp. 30,000.00
84 Nn. Intan P 17 Th Daliwangun Obs. Febris 30-May-13 2-Jun-13 3 Rp. 22,500.00 570,000.00
JUMLAH 166 48 Rp. 1,605,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : JUNI 2013
TANGGAL H R P
Uang
1 Tn. Jalil L 33 Th Randubener Anemia 1-Jun-13 3-Jun-13 2 Rp. 15,000.00
2 Tn. Sumantri L 60 Th Maor Hipertiroid 1-Jun-13 3-Jun-13 2 Rp. 15,000.00
3 Tn. Bandu L 63 Th Maor Hematemisis 1-Jun-13 4-Jun-13 3 Rp. 22,500.00
4 Ny. Ti'ah P 45 Th Daliwangun Asma 1-Jun-13 3-Jun-13 2 Rp. 15,000.00
5 Ny. Nurul P 43 Th Pilangpinggir Vertigo 2-Jun-13 4-Jun-13 2 Rp. 15,000.00
6 Tn. Mariyono L 73 Th Kembangbahu GE 2-Jun-13 3-Jun-13 1 Rp. 7,500.00
7 Ny. Suwarni P 55 Th Balan Obs. Febris 2-Jun-13 4-Jun-13 2 Rp. 15,000.00
8 Ny. Sumira P 50 Th Tunggun DM + Gastritis 2-Jun-13 5-Jun-13 3 Rp. 22,500.00
9 An. Fatir L 10 bln Besi GE 3-Jun-13 6-Jun-13 3 Rp. 22,500.00
10 Tn. Karsimin L 70 Th Kaliwates PPOM 3-Jun-13 6-Jun-13 3 Rp. 22,500.00
11 Tn. Kasmiran L 45 Th Lembeyan GE 3-Jun-13 6-Jun-13 3 Rp. 22,500.00
12 Tn. Safi'i L 65 Th Sidowayah Anemia 3-Jun-13 6-Jun-13 3 Rp. 22,500.00
13 Tn. Suharsono L 41 Th Tunggun Susp. Hepatitis 4-Jun-13 7-Jun-13 3 Rp. 22,500.00
14 Ny. Karlin P 54 Th Cumpleng Diabetus millitus 4-Jun-13 7-Jun-13 3 Rp. 22,500.00
15 Tn. Sukadi L 70 Th Sukobendu Asma 4-Jun-13 6-Jun-13 2 Rp. 15,000.00
16 Ny. Jami P 47 Th Kembangbahu HT + NS 4-Jun-13 8-Jun-13 4 Rp. 30,000.00
17 Tn. Tokol L 60 Th Kaliwates Gastritis 5-Jun-13 7-Jun-13 2 Rp. 15,000.00
18 Tn. Noto L 60 Th Kaliwates GE 5-Jun-13 7-Jun-13 2 Rp. 15,000.00
19 Nn. Hidayatul P 22 Th Wonorejo CVA 5-Jun-13 8-Jun-13 3 Rp. 22,500.00
20 An. Mia P 10 Th Sidobranti Febris Convulsi 5-Jun-13 7-Jun-13 2 Rp. 15,000.00
21 Ny. Herin P 58 Th Mengkuli Colic abdomen 6-Jun-13 8-Jun-13 2 Rp. 15,000.00
22 Tn. Ardi L 32 Th Tempuran Vetrikuler Tachicardi 6-Jun-13 8-Jun-13 2 Rp. 15,000.00
23 Ny. Simi P 80 Th Palo Asma 6-Jun-13 8-Jun-13 2 Rp. 15,000.00
24 Tn. Kastolan L 60 Th Maor Asma Bronchiale 6-Jun-13 9-Jun-13 3 Rp. 22,500.00
###
25 Tn. Kasmuri L 35 Th Randubener Obs. Febris 7-Jun-13 9-Jun-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
26 Ny. Nariyah P 50 Th Kembangbahu Asma 7-Jun-13 8-Jun-13 1 Rp. 7,500.00
27 By. Novel L 7 bln Randubener Susp. Bronkopheumoni 7-Jun-13 9-Jun-13 2 Rp. 15,000.00
28 Tn. Mahmud L 80 Th Kedungmegarih Hipertensi 7-Jun-13 10-Jun-13 3 Rp. 22,500.00
29 Ny. Sulatin P 65 Th Sukobendu Stomatitis 8-Jun-13 10-Jun-13 2 Rp. 15,000.00
30 An. Ghifari L 1 Th Randubener Bronchitis acut 8-Jun-13 12-Jun-13 4 Rp. 30,000.00
31 Ny. Sumarti P 50 Th Slatung GE 8-Jun-13 10-Jun-13 2 Rp. 15,000.00
32 Tn. Saman L 80 Th Lembeyan DM + Obs. Kejang 8-Jun-13 9-Jun-13 1 Rp. 7,500.00
33 Tn. Rasim L 55 Th Glendeh PPOM 9-Jun-13 12-Jun-13 3 Rp. 22,500.00
34 Ny. Patri P 70 Th Kedungmegarih Gastritis 9-Jun-13 11-Jun-13 2 Rp. 15,000.00
35 Tn. Moch. Syaifudin L 18 Th Sidomukti Susp. Epilepsi 9-Jun-13 11-Jun-13 2 Rp. 15,000.00
36 Sdr. Fani L 15 Th Lopang Intoksikasi 10-Jun-13 12-Jun-13 2 Rp. 15,000.00
37 Tn. Kastam L 50 Th Mojosari Gastritis 10-Jun-13 12-Jun-13 2 Rp. 15,000.00
38 Tn. Sujono L 60 Th Besi Colic abdomen 10-Jun-13 13-Jun-13 3 Rp. 22,500.00
39 Ny. Nurkana P 60 Th Tunggun Anemia 10-Jun-13 12-Jun-13 2 Rp. 15,000.00
40 By. Via P 6 bln Mbender Amoeba Disentri 11-Jun-13 14-Jun-13 3 Rp. 22,500.00
41 Ny. Wiwin P 23 Th Sukobendu Colic abdomen 11-Jun-13 13-Jun-13 2 Rp. 15,000.00
42 Tn. Said L 62 Th Tunggun Kardiomegali 11-Jun-13 13-Jun-13 2 Rp. 15,000.00
43 Ny. Tarse P 45 Th Kedungglonggong DM + Hiperglikemi 11-Jun-13 14-Jun-13 3 Rp. 22,500.00
44 Tn. Sumo wariso L 70 Th Sukobendu Status Asmatikus 12-Jun-13 14-Jun-13 2 Rp. 15,000.00
45 Tn. Tarto L 55 Th wonorejo Susp. Hepatitis 12-Jun-13 15-Jun-13 3 Rp. 22,500.00
46 An. Shifa P 2.5 Th Sukobendu Obs. Febris 12-Jun-13 14-Jun-13 2 Rp. 15,000.00
47 Tn. Sadi L 70 Th Sukorejo GE 12-Jun-13 15-Jun-13 3 Rp. 22,500.00
###
48 Ny. Mujiah P 53 Th Sukobendu CRF 13-Jun-13 16-Jun-13 3 Rp. 22,500.00
49 Tn. Suparman L 90 Th Kembangbahu CVA 13-Jun-13 17-Jun-13 4 Rp. 30,000.00
50 Tn. Bahrul Ulum L 35 Th Slatung Gastritis 13-Jun-13 15-Jun-13 2 Rp. 15,000.00
51 Ny. Sayemi P 70 Th Randubener Anemia + DC + febris 13-Jun-13 15-Jun-13 2 Rp. 15,000.00
52 Tn. Muzaini L 50 Th Kembangbahu GE 14-Jun-13 17-Jun-13 3 Rp. 22,500.00
53 Ny. Artini P 23 Th Miru Vomiting 14-Jun-13 17-Jun-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 Tn. Sampan L 95 Th Mangkujajar GE 14-Jun-13 16-Jun-13 2 Rp. 15,000.00
55 Tn. Akmad Zami L 37 Th Besi Chirosis Hepatis 14-Jun-13 17-Jun-13 3 Rp. 22,500.00
56 Tn. Uwoh L 75 Th Balan PPOM 15-Jun-13 18-Jun-13 3 Rp. 22,500.00
57 Ny. Enah P 45 Th Kembangbahu Asma 15-Jun-13 19-Jun-13 4 Rp. 30,000.00
58 By. Safa P 5.5 bln Kembangbahu Susp. Bronkopheumoni 15-Jun-13 18-Jun-13 3 Rp. 22,500.00
59 Ny. Ana P 18 Th Jombok Gastritis 15-Jun-13 17-Jun-13 2 Rp. 15,000.00
60 Ny. Sriah P 60 Th Wangun Vertigo 16-Jun-13 18-Jun-13 2 Rp. 15,000.00
61 Tn. Sudar L 70 Th Kedunglonggong DC+Anemia 17-Jun-13 19-Jun-13 2 Rp. 15,000.00
62 An. Ajib L 3.5 Th Puter ISPA 17-Jun-13 20-Jun-13 3 Rp. 22,500.00
63 Ny. Enik P 21 Th Sukobendu Gastritis 17-Jun-13 20-Jun-13 3 Rp. 22,500.00
64 Tn. Slamet L 55 Th Kembangbahu Diabetus millitus 17-Jun-13 18-Jun-13 1 Rp. 7,500.00
65 An. Okta P 11 Th Kembangbahu Obs. Kejang 18-Jun-13 20-Jun-13 2 Rp. 15,000.00
66 Ny. Wartini P 70 Th Sukobendu Obs. Febris + CVA 18-Jun-13 20-Jun-13 2 Rp. 15,000.00
67 An. Evril P 3 Th Sidowayah Obs. Febris 18-Jun-13 20-Jun-13 2 Rp. 15,000.00
68 Tn. Suparman L 50 Th Mojosari CVA 18-Jun-13 21-Jun-13 3 Rp. 22,500.00
69 An. Ranu L 3 Th Sukobendu GE 19-Jun-13 22-Jun-13 3 Rp. 22,500.00
70 Tn. Kusnan L 40 Th Kalibogo Colic abdomen 19-Jun-13 21-Jun-13 2 Rp. 15,000.00
71 An. Dani L 12 Th Kedungbanjar GE 19-Jun-13 22-Jun-13 3 Rp. 22,500.00
72 Tn. Kozim L 45 Th Gempol GE + Colic abdomen 19-Jun-13 22-Jun-13 3 Rp. 22,500.00
73 Tn. Kusron L 80 Th Lopang Colic abdomen 19-Jun-13 22-Jun-13 3 Rp. 22,500.00
74 Tn. sukadi L 70 Th Sukobendu status Asmatikus 20-Jun-13 22-Jun-13 2 Rp. 15,000.00
75 Tn. Saim L 65 Th Kalipang Gastritis 20-Jun-13 22-Jun-13 2 Rp. 15,000.00
76 Tn. Sumarji L 65 Th Sukobendu Colic abdomen 20-Jun-13 23-Jun-13 3 Rp. 22,500.00
77 Nn. Istirohatul P 18 Th Sukosongo Vomiting 20-Jun-13 22-Jun-13 2 Rp. 15,000.00
78 An. Bilqis P 4 Th Randubener Asma 21-Jun-13 24-Jun-13 3 Rp. 22,500.00
79 Ny. Patri P 55 Th Dorogedhe Hipertensi 21-Jun-13 24-Jun-13 3 Rp. 22,500.00
80 Ny. Sutiani P 48 Th Puter Vomiting 21-Jun-13 24-Jun-13 3 Rp. 22,500.00
81 An. Alfina P 6 Th Randubener GE 21-Jun-13 23-Jun-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
82 An. Zaira P 11 bln Kembangbahu GE + Vomiting 22-Jun-13 25-Jun-13 3 Rp. 22,500.00
83 An. Aqila P 6.5 Th Kembangbahu GE + Vomiting 23-Jun-13 25-Jun-13 2 Rp. 15,000.00
84 Tn. Sakimun L 60 Th Puter Hipertensi 24-Jun-13 26-Jun-13 2 Rp. 15,000.00
85 Ny. Aminah P 23 Th Mojosari Obs. Febris 25-Jun-13 27-Jun-13 2 Rp. 15,000.00
86 Sdr. Wisnu L 17 Th sukobendu Obs. Febris 26-Jun-13 29-Jun-13 3 Rp. 22,500.00
87 Tn. Sampan L 80 Th Sukorejo Obs. Febris 26-Jun-13 28-Jun-13 2 Rp. 15,000.00
###
JUMLAH 172 42 Rp. 1,605,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : JULI 2013
TANGGAL H R P
Uang
1 Tn. Sukro L 70 Th Lopang Status Asmatikus 1-Jul-13 3-Jul-13 2 Rp. 15,000.00
2 An. Belinda P 3 Th Kalangan GE + Febris Convulsi 1-Jul-13 3-Jul-13 2 Rp. 15,000.00
3 An. Sifa P 2 Th Mojomanis GE 1-Jul-13 3-Jul-13 2 Rp. 15,000.00
4 Tn. Mardi L 50 Th Mengkuli Anemia Gravis 1-Jul-13 3-Jul-13 2 Rp. 15,000.00
5 Tn. Syaiful Umam L 28 Th Kedungmegarih Susp. Hepatitis 2-Jul-13 5-Jul-13 3 Rp. 22,500.00
6 An. Yosi P 13 Th Randubener Obs. Febris 2-Jul-13 4-Jul-13 2 Rp. 15,000.00
7 Ny. Umi P 60 Th Tempuran Hepatitis + Anemia 2-Jul-13 4-Jul-13 2 Rp. 15,000.00
8 An. Ikwan L 4 Th Mojomanis GE 2-Jul-13 4-Jul-13 2 Rp. 15,000.00
9 Tn. Dulrakim L 60 Th Lembeyan Hepatoma + IMA 3-Jul-13 7-Jul-13 4 Rp. 30,000.00
10 Tn. Bibit L 65 Th Randubener ISPA 3-Jul-13 6-Jul-13 3 Rp. 22,500.00
11 Tn. Kasbola L 60 Th Kedungmegarih ASMA 3-Jul-13 5-Jul-13 2 Rp. 15,000.00
12 Sdr. Agus L 15 Th Sukorejo Susp. DHF 3-Jul-13 6-Jul-13 3 Rp. 22,500.00
13 Ny. Warinten P 70 Th Kedungklanting Susp. Illeus 4-Jul-13 6-Jul-13 2 Rp. 15,000.00
14 Tn. Radi L 60 Th Lembeyan DC + Asma 4-Jul-13 7-Jul-13 3 Rp. 22,500.00
15 Ny. Endah P 33 Th Mengkujajar Heperemisis 4-Jul-13 7-Jul-13 3 Rp. 22,500.00
16 Ny. Enah P 55 Th Kembangbahu Asmabronchiale 4-Jul-13 7-Jul-13 3 Rp. 22,500.00
17 Ny. Kasran P 70 Th Kembangbahu Asmabronchiale 5-Jul-13 7-Jul-13 2 Rp. 15,000.00
18 Tn. Asi L 45 Th Kembangbahu Asmabronchiale 5-Jul-13 7-Jul-13 2 Rp. 15,000.00
19 Nn. Elin P 17 Th Sidowayah Gastritis 5-Jul-13 8-Jul-13 3 Rp. 22,500.00
20 Tn. Asto L 80 Th Sukobendu Asma 5-Jul-13 8-Jul-13 3 Rp. 22,500.00
21 An. Risqi L 16 bln Sukobendu Suspec broncopneumonia 6-Jul-13 8-Jul-13 2 Rp. 15,000.00
22 Tn. Tokol L 68 Th Kaliwates Gastritis 6-Jul-13 8-Jul-13 2 Rp. 15,000.00
23 Ny. Taning P 50 Th Kedungmegarih DM + Gangren 6-Jul-13 9-Jul-13 3 Rp. 22,500.00
24 Tn. Sunarto L 30 Th Tempuran Tipoid + Hepatitis 6-Jul-13 9-Jul-13 3 Rp. 22,500.00
25 Ny. Lasri P 65 Th Kedungori Colic abdomen 7-Jul-13 9-Jul-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
26 Ny. Pantun P 70 Th Sidowayah Chespex 7-Jul-13 9-Jul-13 2 Rp. 15,000.00
27 By. Anin P 6.5 bln Lopang ISPA 7-Jul-13 9-Jul-13 2 Rp. 15,000.00
28 Tn. Noto L 65 Th Kaliwates Selvagia 7-Jul-13 10-Jul-13 3 Rp. 22,500.00 517,500.00
29 An. Zidan L 4.5 Th Cumpleng ISPA 8-Jul-13 11-Jul-13 3 Rp. 22,500.00
30 Tn. Dauper L 70 Th Balan ISPA 8-Jul-13 11-Jul-13 3 Rp. 22,500.00
31 Tn. Kaser L 70 Th Sukobendu ISPA + Neuralgi 8-Jul-13 11-Jul-13 3 Rp. 22,500.00
32 Ny. Nuriyati P 47 Th Slatung DM + Gangren 8-Jul-13 11-Jul-13 3 Rp. 22,500.00
33 Tn. Samirun L 60 Th Mojorayung BP 8-Jul-13 10-Jul-13 2 Rp. 15,000.00
34 Tn. Simin L 70 Th Tunggun KP 9-Jul-13 12-Jul-13 3 Rp. 22,500.00
35 Tn. Imam K L 38 Th Sukobendu Suspec hepatitis 9-Jul-13 12-Jul-13 3 Rp. 22,500.00
36 Nn. Yuliati P 14 Th Lopang Gastritis + ISPA 9-Jul-13 12-Jul-13 3 Rp. 22,500.00
37 Ny. Ima P 70 Th Puter Asma Bronciale 10-Jul-13 13-Jul-13 3 Rp. 22,500.00
38 An. Arya P 3 Th Kumisik Asma 10-Jul-13 12-Jul-13 2 Rp. 15,000.00
39 Tn. Garyono L 65 Th Sukobendu HT + Asma 10-Jul-13 12-Jul-13 2 Rp. 15,000.00
40 Sdr. Budi P. L 24 Th Sukobendu Hepatitis A 10-Jul-13 12-Jul-13 2 Rp. 15,000.00
41 Nn. Maulidia P 14 Th Sukobendu ISPA 11-Jul-13 13-Jul-13 2 Rp. 15,000.00
42 Ny. Suyatri P 55 Th Sambijajar Suspec gastritis 11-Jul-13 13-Jul-13 2 Rp. 15,000.00
43 Ny. Jama P 46 Th Bender Sirosis hepatitis 11-Jul-13 13-Jul-13 2 Rp. 15,000.00
44 Tn. Sugito L 50 Th Lopang TB 11-Jul-13 15-Jul-13 4 Rp. 30,000.00
45 Sdr. Ahmad Mudzakir L 17 Th Bender Thypoid 12-Jul-13 15-Jul-13 3 Rp. 22,500.00
46 Tn. Sutarjo L 48 Th Sidowayah Susp. Illeus 12-Jul-13 14-Jul-13 2 Rp. 15,000.00
47 Tn. Sarji L 45 Th Kembangbahu Susp. Hepatitis 12-Jul-13 14-Jul-13 2 Rp. 15,000.00
48 Nn. Maya P 17 Th Mojorayung Post. TBC 13-Jul-13 15-Jul-13 2 Rp. 15,000.00
49 Ny. Sudarni P 51 Th Mengkuli Obs. febris 13-Jul-13 15-Jul-13 2 Rp. 15,000.00
50 An. Rasta P 22 bln Ringinanom GE 13-Jul-13 15-Jul-13 2 Rp. 15,000.00
51 Tn. Slamet L 60 Th Kembangbahu DM +Hepatitis + Gastritis 13-Jul-13 16-Jul-13 3 Rp. 22,500.00
52 Ny. Supik P 60 Th Wangkit Hipoglikemi 14-Jul-13 16-Jul-13 2 Rp. 15,000.00
53 Ny. Endang P 43 Th Lopang GE 14-Jul-13 16-Jul-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
54 Ny. Sarti P 32 Th Pelang Hiperemesis Gravis 14-Jul-13 17-Jul-13 3 Rp. 22,500.00
55 Ny. Fatimah P 47 Th Kedungklanting KP 14-Jul-13 17-Jul-13 3 Rp. 22,500.00 510,000.00
56 Nn. Andi L 15 Th Lopang Gastritis 15-Jul-13 18-Jul-13 3 Rp. 22,500.00
57 Tn. Suwito L 45 Th Sukoanyar TB 15-Jul-13 19-Jul-13 4 Rp. 30,000.00
58 Tn. Sudirno L 30 Th Bender Vomiting 15-Jul-13 17-Jul-13 2 Rp. 15,000.00
59 Tn. Ramidin L 96 Th Sidomukti Anemia 15-Jul-13 18-Jul-13 3 Rp. 22,500.00
60 Ny. Lilik P 40 Th Sukobendu ISK 16-Jul-13 19-Jul-13 3 Rp. 22,500.00
61 Tn. Arifin L 38 Th Sukobendu Obs. Febris 16-Jul-13 18-Jul-13 2 Rp. 15,000.00
62 Tn. Samsuri L 60 Th Sukobendu Gastritis 16-Jul-13 18-Jul-13 2 Rp. 15,000.00
63 Sdr. Wawan L 14 Th Lopang Gastritis 17-Jul-13 20-Jul-13 3 Rp. 22,500.00
64 Ny. Warinten P 70 Th Kedungklanting susp. Illeus 18-Jul-13 19-Jul-13 1 Rp. 7,500.00
65 Ny. Kasemi P 70 Th Sidomukti Obs. Febris + Colic abd. 18-Jul-13 21-Jul-13 3 Rp. 22,500.00
66 Tn. Nur Khozim L 35 Th Sukosongo Colic abdomen 18-Jul-13 20-Jul-13 2 Rp. 15,000.00
67 Tn. Jito L 60 Th Tunggun Asmabronchiale 18-Jul-13 21-Jul-13 3 Rp. 22,500.00
68 Tn. Trimo L 65 Th Wudi Obs. Febris 19-Jul-13 21-Jul-13 2 Rp. 15,000.00
69 Sdr. Sugito L 19 Th Gempollumbung Obs. Febris 19-Jul-13 21-Jul-13 2 Rp. 15,000.00
70 Ny. Tarseh P 50 Th Sidomukti Gastritis + DM 19-Jul-13 22-Jul-13 3 Rp. 22,500.00
71 Ny. Wiwin P 27 Th Slatung Obs. Febris 19-Jul-13 22-Jul-13 3 Rp. 22,500.00
72 Ny. Lasep P 80 Th Sukorejo CVA / Hi 19-Jul-13 22-Jul-13 3 Rp. 22,500.00
73 An. Febriyanti P 11 Th Sukobendu Obs. Febris 20-Jul-13 22-Jul-13 2 Rp. 15,000.00
74 An. Ilmi P 2 Th Dorogedhe Vomiting 20-Jul-13 22-Jul-13 2 Rp. 15,000.00
75 Ny. Rumani P 60 Th Kedungkampil ISPA 20-Jul-13 22-Jul-13 2 Rp. 15,000.00
76 Tn. Sutrisno L 40 Th Tunggun Hipertensi 20-Jul-13 23-Jul-13 3 Rp. 22,500.00
77 Ny. Nanib Iswati P 35 Th slatung Colic abdomen 21-Jul-13 23-Jul-13 2 Rp. 15,000.00
78 Ny. Rini P 38 Th Sukorejo Hipertensi 21-Jul-13 24-Jul-13 3 Rp. 22,500.00
79 Sdr. Hangki L 17 Th Randubener Vomiting 22-Jul-13 26-Jul-13 4 Rp. 30,000.00
80 Ny. Supini P 65 Th Dorogedhe Hipertensi 23-Jul-13 26-Jul-13 3 Rp. 22,500.00
81 An. M. Sutrisno L 4 Th Kembangbahu GE 24-Jul-13 27-Jul-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
82 Ny. Hartini P 31 Th Wangun GE 25-Jul-13 27-Jul-13 2 Rp. 15,000.00
83 Tn. Rupian L 45 Th Wudi Obs. Febris 26-Jul-13 29-Jul-13 3 Rp. 22,500.00
84 Ny. Suyatmi P 66 Th Kedungklanting Diabetus Millitus 27-Jul-13 30-Jul-13 3 Rp. 22,500.00 570,000
JUMLAH 180 33 Rp. 1,597,500.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : AGUSTUS 2013
TANGGAL H R P
Uang
1 Tn. Vero L 29 Th Kembangbahu Obs. Febris + Susp. DHF 1-Aug-13 4-Aug-13 3 Rp. 22,500.00
2 Ny. Ina P 42 Th Juwet Vomiting 1-Aug-13 3-Aug-13 2 Rp. 15,000.00
3 An. Dawam L 7 Th Slatung GE + Obs. Febris 1-Aug-13 4-Aug-13 3 Rp. 22,500.00
4 Tn. Sutarji L 60 Th Wudi Miocard Ischemia 1-Aug-13 3-Aug-13 2 Rp. 15,000.00
5 Ny. Lisnanik P 37 Th Glendeh Obs. Febris 2-Aug-13 4-Aug-13 2 Rp. 15,000.00
6 Tn. Sujono L 45 Th Sidomukti Obs. Febris 2-Aug-13 4-Aug-13 2 Rp. 15,000.00
7 Tn. Yahib L 70 Th Pucung Asma 2-Aug-13 4-Aug-13 2 Rp. 15,000.00
8 Tn. Asrip L 57 Th Glendeh Susp. Bronchitis 2-Aug-13 4-Aug-13 2 Rp. 15,000.00
9 Ny. Yatemi P 65 Th Lawangan GE 3-Aug-13 5-Aug-13 2 Rp. 15,000.00
10 Ny. Zul P 38 Th Juwet GE 3-Aug-13 5-Aug-13 2 Rp. 15,000.00
11 By. Alzena P 5 bln Moronyamplung Obs. Febris 3-Aug-13 5-Aug-13 2 Rp. 15,000.00
12 Tn. Carok L 60 Th Mojorembun Gastritis 3-Aug-13 6-Aug-13 3 Rp. 22,500.00
13 Ny. Alfiah P 50 Th Kedungadem Hipertensi + Psikis 4-Aug-13 10-Aug-13 6 Rp. 45,000.00
14 Ny. Sugiarti P 50 Th Sukoanyar Post. Tumor otak 4-Aug-13 6-Aug-13 2 Rp. 15,000.00
15 Ny. Sum P 70 Th Randubener CVA + DC 4-Aug-13 7-Aug-13 3 Rp. 22,500.00
16 an. Dani L 4 Th Sidowayah Febris Convulsi 4-Aug-13 7-Aug-13 3 Rp. 22,500.00
17 Ny. Rima P 60 Th Lopang Miocardial Ischemi 5-Aug-13 8-Aug-13 3 Rp. 22,500.00
18 Ny. Aspiah P 50 Th Kedungmegarih TB 5-Aug-13 9-Aug-13 4 Rp. 30,000.00
19 Tn. Ismanan L 50 Th Sukobendu Faringitis 5-Aug-13 8-Aug-13 3 Rp. 22,500.00
20 Tn. Wari L 45 Th Kedungori Colic abdomen 5-Aug-13 7-Aug-13 2 Rp. 15,000.00
21 An. Alfiansyah L 9 bln Randubener GE 5-Aug-13 8-Aug-13 3 Rp. 22,500.00
22 Sdr. Danang L 18 Th Pelang Vulnus / Kll 6-Aug-13 9-Aug-13 3 Rp. 22,500.00
23 Tn. Tono L 43 Th Waru Lor HIV 6-Aug-13 8-Aug-13 2 Rp. 15,000.00
24 Nn. Elifatur P 13 Th Kedungklanting Asma Bronchiale 6-Aug-13 8-Aug-13 2 Rp. 15,000.00
25 Ny. Sida P 60 Th Kedungori Disentri 6-Aug-13 9-Aug-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
26 Tn. Sismono L 45 Th Tunggun Obs. Febris 6-Aug-13 8-Aug-13 2 Rp. 15,000.00
27 Ny. Sarpi P 60 Th Puter Obs. Febris 7-Aug-13 9-Aug-13 2 Rp. 15,000.00
28 Ny. Nisa P 65 Th Mojorembun Hipertensi + Obs. Febris 8-Aug-13 11-Aug-13 3 Rp. 22,500.00
29 An. Faza P 27 bln Mangkujajar Obs. Febris 8-Aug-13 11-Aug-13 3 Rp. 22,500.00
30 Ny. Tiani P 55 Th Rancang Vertigo 8-Aug-13 10-Aug-13 2 Rp. 15,000.00
31 Ny. Andayani P 35 Th Sukobendu Obs. Febris + Gastritis 8-Aug-13 11-Aug-13 3 Rp. 22,500.00
32 An. Habib L 3 Th Bender Febris Convulsi 9-Aug-13 12-Aug-13 3 Rp. 22,500.00
33 Tn. Padi L 65 Th Kedungglonggong Chest panit 9-Aug-13 12-Aug-13 3 Rp. 22,500.00
34 Nn. Elifatur P 13 Th Kedungklanting Status asmatikus 9-Aug-13 12-Aug-13 3 Rp. 22,500.00
35 Ny. Jani P 65 Th Kalipang Hipertensi 9-Aug-13 13-Aug-13 4 Rp. 30,000.00
36 Nn. Olfatur P 24 Th Kedungmegarih Comser 10-Aug-13 11-Aug-13 1 Rp. 7,500.00
37 Tn. Karto L 55 Th Sukowati TB 10-Aug-13 14-Aug-13 4 Rp. 30,000.00
38 Ny. Parni P 50 Th Sukobendu Psiko + Hipertensi 10-Aug-13 13-Aug-13 3 Rp. 22,500.00
39 Tn. Suwaji L 43 Th Lembeyan Obs. Febris 10-Aug-13 12-Aug-13 2 Rp. 15,000.00
40 Tn. Sipan L 70 Th Lembeyan Obs. Febris 11-Aug-13 13-Aug-13 2 Rp. 15,000.00
41 Ny. Karsi P 60 Th Lopang Vomiting 11-Aug-13 13-Aug-13 2 Rp. 15,000.00
42 Ny. Bekti P 70 Th Kembangbahu Diabetus Millitus 11-Aug-13 14-Aug-13 3 Rp. 22,500.00
43 Ny. Ti'ah P 35 Th Mojorembun Psikosomatis 11-Aug-13 13-Aug-13 2 Rp. 15,000.00 847,500.00
44 Ny. Tanjung P 90 Th Puter Asma 12-Aug-13 14-Aug-13 2 Rp. 15,000.00
45 Tn. Kusyanto L 30 Th Lembeyan Obs. Febris 12-Aug-13 14-Aug-13 2 Rp. 15,000.00
46 Ny. Muji'ah P 60 Th Randubener Hipertensi 12-Aug-13 15-Aug-13 3 Rp. 22,500.00
47 Tn. Sukardi L 41 Th Wudi Trauma abdomen 12-Aug-13 14-Aug-13 2 Rp. 15,000.00
48 Ny. Siti Janah P 45 Th Sukobendu DM + Obs. Febris 13-Aug-13 15-Aug-13 2 Rp. 15,000.00
49 Tn. Abd. Kamid L 56 Th Kembangbahu Asma 13-Aug-13 15-Aug-13 2 Rp. 15,000.00
50 Ny. Supining P 55 Th Sukobendu Anemia 13-Aug-13 15-Aug-13 2 Rp. 15,000.00
51 Tn. Sholekan L 70 Th Tempuran Asma 13-Aug-13 15-Aug-13 2 Rp. 15,000.00
52 An. Safa P 7 bln Kembangbahu Susp. Bronchopneumonia 14-Aug-13 15-Aug-13 1 Rp. 7,500.00
53 Sdr. Salahudin L 12 Th Sumberpanggang Vomiting + Obs. Febris 14-Aug-13 17-Aug-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
54 Tn. Sarijo L 70 Th Sukoanyar Obs. Febris 14-Aug-13 16-Aug-13 2 Rp. 15,000.00
55 An. Al Azizin L 1.5 Th Kumisik Febris Convulsi 14-Aug-13 16-Aug-13 2 Rp. 15,000.00
56 Nn. Samsuti P 25 Th Randubener Obs. Febris 14-Aug-13 16-Aug-13 2 Rp. 15,000.00
57 Ny. Ranti P 80 Th Tlanak Gastritis 15-Aug-13 17-Aug-13 2 Rp. 15,000.00
58 Ny. Rining P 35 Th Kalibogo Comser 15-Aug-13 17-Aug-13 2 Rp. 15,000.00
59 An. Achmad L 14 bln Randubener GE + Obs. Febris 15-Aug-13 17-Aug-13 2 Rp. 15,000.00
60 Ny. Sampurna P 70 Th Maor Diabetus Millitus 15-Aug-13 18-Aug-13 3 Rp. 22,500.00
61 Tn. Tatang L 30 Th Tlogoagung Hernia scrotalis 16-Aug-13 17-Aug-13 1 Rp. 7,500.00
62 Ny. Kastin P 55 Th Sukobendu Psikosomatis 16-Aug-13 18-Aug-13 2 Rp. 15,000.00
63 Tn. Kasmiran L 55 Th Lembeyan Cirosis hepatis 16-Aug-13 18-Aug-13 2 Rp. 15,000.00
64 An. Najwa P 6 Th Balan GE + Obs. Febris 16-Aug-13 19-Aug-13 3 Rp. 22,500.00
65 An. Indah P 4 Th Puter Obs. Febris 17-Aug-13 19-Aug-13 2 Rp. 15,000.00
66 Ny. Satria P 60 Th Kedungklanting Asma bronchiale 17-Aug-13 19-Aug-13 2 Rp. 15,000.00
67 Ny. Parni P 54 Th Tunggun Diabetus Millitus 17-Aug-13 19-Aug-13 2 Rp. 15,000.00
68 Ny. Manise P 80 Th Lembeyan Vomiting 17-Aug-13 19-Aug-13 2 Rp. 15,000.00
69 Ny. Rawit P 59 Th Mojodadi Asma 18-Aug-13 20-Aug-13 2 Rp. 15,000.00
70 Ny. Joyoarti P 84 Th Kedungmegarih Colic abdomen 18-Aug-13 21-Aug-13 3 Rp. 22,500.00
71 Tn. Subakir L 41 Th Sukowati Tersengat Listrik 18-Aug-13 20-Aug-13 2 Rp. 15,000.00
72 Tn. Saruwi L 75 Th Lembeyan Susp. App 18-Aug-13 20-Aug-13 2 Rp. 15,000.00 457,500.00
73 Tn. Sidik L 75 Th Sukoebendu Obs. Febris 19-Aug-13 21-Aug-13 2 Rp. 15,000.00
74 Tn. Rusman L 48 Th Kedungmegarih KP + Efisi Pleura 20-Aug-13 23-Aug-13 3 Rp. 22,500.00
75 Tn. San L 76 Th Maor Asma 21-Aug-13 23-Aug-13 2 Rp. 15,000.00
76 Tn. Kastolan L 70 Th Maor Asma 22-Aug-13 24-Aug-13 2 Rp. 15,000.00
77 Tn. Ahmad Yudi L 41 Th Wudi Anemia 23-Aug-13 26-Aug-13 3 Rp. 22,500.00
78 An. Rino L 6 Th Kembangbahu Obs. Febris 24-Aug-13 27-Aug-13 3 Rp. 22,500.00
79 An. Firman L 11 Th Sukobendu Obs. Febris 24-Aug-13 27-Aug-13 3 Rp. 22,500.00
80 Nn. Widarti P 18 Th Deketagung Comser 24-Aug-13 27-Aug-13 3 Rp. 22,500.00
81 An. Alif L 5.5 Th Mangkujajar Gastritis 24-Aug-13 27-Aug-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
82 Nn. Tutut P 17 Th Puter susp. Hepatitis 25-Aug-13 28-Aug-13 3 Rp. 22,500.00
83 Ny. Sumiati P 50 Th Kedungmegarih Gastritis 26-Aug-13 29-Aug-13 3 Rp. 22,500.00
84 Ny. Sites P 55 Th Kembangbahu Hepatoma 27-Aug-13 30-Aug-13 3 Rp. 22,500.00
85 Tn. Sarbumi L 55 Th Tunggun Asma Bronchiale 27-Aug-13 30-Aug-13 3 Rp. 22,500.00
86 Ny. Sriatun P 60 Th Tunggun Asma 27-Aug-13 29-Aug-13 2 Rp. 15,000.00
87 An. Ismid P 2.5 Th Sidowayah ISPA 27-Aug-13 29-Aug-13 2 Rp. 15,000.00
88 Tn. Musiran L 70 Th Maor susp. Hernia scrotolis 27-Aug-13 29-Aug-13 2 Rp. 15,000.00 315,000
JUMLAH 178 38 Rp. 1,620,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : SEPTEMBER 2013
TANGGAL H R P
Uang
1 Tn. Muji L 55 Th Puter Hemapto 1-Sep-13 3-Sep-13 2 Rp. 15,000.00
2 Tn. Mujiono L 57 Th Kaliwates DM + Ulkus 1-Sep-13 3-Sep-13 2 Rp. 15,000.00
3 Ny. Supi P 56 Th Miru ISPA 1-Sep-13 3-Sep-13 2 Rp. 15,000.00
4 An. Ahzan L 15 bln Randubener ISPA + Febris Convulsi 1-Sep-13 3-Sep-13 2 Rp. 15,000.00
5 Tn. Akhiyat L 60 Th Sumberjo CVA + Coma 2-Sep-13 4-Sep-13 2 Rp. 15,000.00
6 Ny. Nur Aini P 29 Th Polumbung Obs. Febris 2-Sep-13 4-Sep-13 2 Rp. 15,000.00
7 Ny. Kaseh P 54 Th Balan Diabetus Millitus 2-Sep-13 5-Sep-13 3 Rp. 22,500.00
8 Ny. Nika P 23 Th Sukobendu Anemia 2-Sep-13 5-Sep-13 3 Rp. 22,500.00
9 Ny. Timi P 70 Th Kedungklanting CVA 3-Sep-13 5-Sep-13 2 Rp. 15,000.00
10 Nn. Yanti P 16 Th Sukobendu Vomiting 3-Sep-13 5-Sep-13 2 Rp. 15,000.00
11 Tn. Munaji L 60 Th Kalangan Susp. Hepatoma 3-Sep-13 5-Sep-13 2 Rp. 15,000.00
12 Sdr. Nurkholis P 19 Th Lopang Gastritis + Susp. Hepatitis 3-Sep-13 5-Sep-13 2 Rp. 15,000.00
13 An. Amel P 6 Th Sukobendu Gea + Susp. Hepatitis 4-Sep-13 7-Sep-13 3 Rp. 22,500.00
14 Ny. Nur'ani P 26 Th Sukobendu Susp. Frajtur Ulnaris 4-Sep-13 7-Sep-13 3 Rp. 22,500.00
15 An. Bayu Adi S L 10 Th Waru Lor Kesetrum 4-Sep-13 6-Sep-13 2 Rp. 15,000.00
16 An. Tama L 9 Th Kedungmegarih Susp. Bronchitis 4-Sep-13 7-Sep-13 3 Rp. 22,500.00
17 Nn. Indah P 18 Th Puter GE 5-Sep-13 8-Sep-13 3 Rp. 22,500.00
18 Ny. Sri Makna P 42 Th Kaliwates Susp. Illeus 5-Sep-13 8-Sep-13 3 Rp. 22,500.00
19 Tn. Sukirno L 56 Th Sukobendu Gea 5-Sep-13 7-Sep-13 2 Rp. 15,000.00
20 Tn. Moro L 70 Th Dorogedhe Obs. Febris + Anemia 5-Sep-13 7-Sep-13 2 Rp. 15,000.00
21 Tn. Suwondo L 60 Th Tempuran TB 5-Sep-13 8-Sep-13 3 Rp. 22,500.00
22 Tn. Jito L 50 Th Tunggun Asma Bronchitis 6-Sep-13 9-Sep-13 3 Rp. 22,500.00
23 Tn. Kandim L 71 Th Mojosari Susp. BPH 6-Sep-13 8-Sep-13 2 Rp. 15,000.00
24 Ny. Enah P 48 Th Kembangbahu Gastritis + Asma 6-Sep-13 9-Sep-13 3 Rp. 22,500.00
25 Ny. Nurhayati P 47 Th Slatung DM + Ganggren 6-Sep-13 9-Sep-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
26 Ny. Eti P 21 Th Kedungklating Hiperemisis 6-Sep-13 8-Sep-13 2 Rp. 15,000.00
27 Sdr. Bagas L 14 Th Puter ISPA 7-Sep-13 9-Sep-13 2 Rp. 15,000.00
28 Ny. Nasrotin P 50 Th Mojorembun Susp. Appendixitis 7-Sep-13 11-Sep-13 4 Rp. 30,000.00
29 Tn. Mustakim L 26 Th Kaliwates Depresi 7-Sep-13 9-Sep-13 2 Rp. 15,000.00
30 Sdr. Panji L 16 Th Rungkut Obs. Febris 7-Sep-13 9-Sep-13 2 Rp. 15,000.00
31 Ny. Sampurna P 60 Th Lembeyan DM + Hipertensi 8-Sep-13 11-Sep-13 3 Rp. 22,500.00
32 Ny. Sori P 55 Th Randubener GE 8-Sep-13 10-Sep-13 2 Rp. 15,000.00
33 Tn. Pardi L 60 Th Besi Typhoid 8-Sep-13 12-Sep-13 4 Rp. 30,000.00
34 Sdr. Bagus L 18 Th Puter Gastritis 8-Sep-13 11-Sep-13 3 Rp. 22,500.00
35 Sdr. Faizin L 23 Th Tunggun Typhoid 8-Sep-13 12-Sep-13 4 Rp. 30,000.00
36 Nn. Yulifa P 16 Th Tunggun Susp. DHF 9-Sep-13 13-Sep-13 4 Rp. 30,000.00
37 An. Moch. Fahrudin L 2.5 Th Puter Gea 9-Sep-13 12-Sep-13 3 Rp. 22,500.00
38 Ny. Sri Watini P 41 Th Gedangan Ca. Mamae 9-Sep-13 11-Sep-13 2 Rp. 15,000.00
39 An. Zidan L 10 bln Wangkit Febris Convulsi 9-Sep-13 12-Sep-13 3 Rp. 22,500.00
40 Tn. Kasim L 50 Th Mojosari Obs. Febris 10-Sep-13 12-Sep-13 2 Rp. 15,000.00
41 Ny. Istikoma P 24 Th Sukorejo Gastritis, hepatitis 10-Sep-13 13-Sep-13 3 Rp. 22,500.00
42 Tn. Munaf L 60 Th Kembangbahu GE 10-Sep-13 12-Sep-13 2 Rp. 15,000.00
43 Ny. Ani P 70 Th Mengkuli Anemia 10-Sep-13 12-Sep-13 2 Rp. 15,000.00
44 Ny. Muntiari P 80 Th Mojomanis CVA 11-Sep-13 14-Sep-13 3 Rp. 22,500.00
45 Tn. Kasiman L 50 Th German Hipertensi 11-Sep-13 14-Sep-13 3 Rp. 22,500.00
46 Tn. Ismail L 63 Th Besi DM + Chespen 11-Sep-13 15-Sep-13 4 Rp. 30,000.00
47 Ny. Paini P 60 Th Sukobendu HIpertensi 11-Sep-13 15-Sep-13 4 Rp. 30,000.00
48 By. Mirza P 17 bln Kembangbahu GE 12-Sep-13 14-Sep-13 2 Rp. 15,000.00
49 Ny. Sugiarti P 63 Th Sukobendu Chespan 13-Sep-13 15-Sep-13 2 Rp. 15,000.00
50 Ny. Enah P 55 Th Kembangbahu Asma 13-Sep-13 15-Sep-13 2 Rp. 15,000.00
51 Tn. Rawi L 65 Th Banjar anyar Tumor Panu 13-Sep-13 15-Sep-13 2 Rp. 15,000.00
52 Tn. Tasrin L 50 Th Kedungsambi ISK 13-Sep-13 15-Sep-13 2 Rp. 15,000.00
53 Ny. Tutup P 80 Th Mojorembun Asma 14-Sep-13 16-Sep-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
54 Ny. Sawi P 65 Th Randubener Tumor Abdomen 14-Sep-13 16-Sep-13 2 Rp. 15,000.00
55 Tn. Afandi L 64 Th Kedungglonggong ISK 14-Sep-13 16-Sep-13 2 Rp. 15,000.00
56 Ny. Luluk K P 31 Th Rungkut GE 14-Sep-13 16-Sep-13 2 Rp. 15,000.00
57 By. Aqila P 8 bln Gampeng Asma Bronchitis 15-Sep-13 17-Sep-13 2 Rp. 15,000.00
58 Ny. Datul P 16 Th Rancang Kencono Obs. Febris 16-Sep-13 18-Sep-13 2 Rp. 15,000.00
59 Tn. Norman L 50 Th Kembangbahu Obsertasi ulius 17-Sep-13 19-Sep-13 2 Rp. 15,000.00
60 Ny. Sutarti P 38 Th Mojodadi Anemia 17-Sep-13 19-Sep-13 2 Rp. 15,000.00
61 Tn. Subianto L 35 Th Lawangan Hipertensi 17-Sep-13 19-Sep-13 2 Rp. 15,000.00
62 Ny. Ruslin P 47 Th Lopang ISK 17-Sep-13 19-Sep-13 2 Rp. 15,000.00
63 Tn. Samiran L 60 Th Mojorayung Diabetus Millitus 18-Sep-13 20-Sep-13 2 Rp. 15,000.00
64 Tn. Syam L 76 Th Maor Asma 19-Sep-13 21-Sep-13 2 Rp. 15,000.00
65 Tn. Tawih L 55 Th Dumpi Contosio cerebra 19-Sep-13 22-Sep-13 3 Rp. 22,500.00
66 Tn. Suparto L 53 Th Kembangbahu Gastritis 19-Sep-13 22-Sep-13 3 Rp. 22,500.00
67 An. Gilang L 8 Th Tunggun Typhoid 19-Sep-13 22-Sep-13 3 Rp. 22,500.00
68 Tn. Sumardi L 45 Th Puter Suspek Hepatitis 20-Sep-13 23-Sep-13 3 Rp. 22,500.00
69 Ny. Azizah P 23 Th Kumisik Obs. Febris 20-Sep-13 22-Sep-13 2 Rp. 15,000.00
70 Tn. Monaji L 63 Th Doyomulyo Ca. Pangkreas + melena 20-Sep-13 22-Sep-13 2 Rp. 15,000.00
71 Tn. Ach. Zaini L 37 Th Besi Serosis Hepatitis 20-Sep-13 22-Sep-13 2 Rp. 15,000.00
72 Tn. Mustakim L 26 Th Wangkit Psikosomatis + typhoid 21-Sep-13 24-Sep-13 3 Rp. 22,500.00
73 Ny. Tarmi P 50 Th Kedungmegarih Hipertensi 21-Sep-13 24-Sep-13 3 Rp. 22,500.00
74 Ny. Sunarmi P 49 Th Kembangbahu Hipertensi 21-Sep-13 24-Sep-13 3 Rp. 22,500.00
75 Ny. Murni P 70 Th Bender Obs. Febris 21-Sep-13 23-Sep-13 2 Rp. 15,000.00
76 Tn. Pardi L 70 Th Sumberjo Anemia 22-Sep-13 25-Sep-13 3 Rp. 22,500.00
77 An. Satria L 3 Th Waru Lor GE 23-Sep-13 26-Sep-13 3 Rp. 22,500.00
78 Ny. Sapiah P 60 Th Puter GE 24-Sep-13 26-Sep-13 2 Rp. 15,000.00
79 Ny. Astiana P 56 Th Kembangbahu GE 25-Sep-13 27-Sep-13 2 Rp. 15,000.00
80 Tn. Kusnu L 60 Th Pilangpinggir Susp. KP + hepatitis 26-Sep-13 30-Sep-13 4 Rp. 30,000.00
81 Nn. Nur fadila P 19 Th Wangkit Hematom 27-Sep-13 1-Oct-13 4 Rp. 30,000.00
TANGGAL H R P
Uang
82 Nn. Puri P 17 Th Wudi Gastritis 28-Sep-13 1-Oct-13 3 Rp. 22,500.00
83 Tn. Abdul Hafid L 42 Th Lopang Colic abdomen 28-Sep-13 30-Sep-13 2 Rp. 15,000.00
84 Ny. Atun P 60 Th Sukobendu Obs. Febris 28-Sep-13 1-Oct-13 3 Rp. 22,500.00
85 Ny. Mukni P 70 Th Puter Hemaptoe + Oba. Febris 28-Sep-13 30-Sep-13 2 Rp. 15,000.00
JUMLAH 189 26 Rp. 1,612,500.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
RAWAT INAP
BULAN : OKTOBER 2013
TANGGAL H R P
Uang
1 Tn. Manan L 50 Th Puter Susp. Illeus 1-Oct-13 3-Oct-13 2 Rp. 15,000.00
2 Tn. Nawi L 65 Th Kedungori BPH 1-Oct-13 4-Oct-13 3 Rp. 22,500.00
3 Tn. Sudarmaji L 75 Th Sukobendu CVA 1-Oct-13 6-Oct-13 5 Rp. 37,500.00
4 Ny. Sumika P 34 Th Sukowati Chespen 1-Oct-13 3-Oct-13 2 Rp. 15,000.00
5 An. Abidah P 7 Th Kedungmegarih Combus 1-Oct-13 4-Oct-13 3 Rp. 22,500.00
6 An. Sinar Abadi L 9 Th Kembangbahu Typhoid 2-Oct-13 5-Oct-13 3 Rp. 22,500.00
7 Tn. Warsim L 50 Th Puter Chespen 2-Oct-13 5-Oct-13 3 Rp. 22,500.00
8 Ny. Titin P 27 Th Kedungklanting Gastritis 2-Oct-13 5-Oct-13 3 Rp. 22,500.00
9 Ny. Murni P 27 Th Dorogede Typhoid abdomen 2-Oct-13 5-Oct-13 3 Rp. 22,500.00
10 Sdr. Agus Khotib L 24 Th Wangkit Hepatitis 3-Oct-13 6-Oct-13 3 Rp. 22,500.00
11 Tn. Purwanto L 45 Th Jombok CVA 3-Oct-13 6-Oct-13 3 Rp. 22,500.00
12 Tn. Ahmad Bisri L 45 Th Mojomanis Hiperglikemi 3-Oct-13 6-Oct-13 3 Rp. 22,500.00
13 Ny. Sipah P 68 Th Mojorayung ISPA 6-Oct-13 9-Oct-13 3 Rp. 22,500.00
14 Tn. Sujono L 50 Th Sukoanyar Neuritis 6-Oct-13 9-Oct-13 3 Rp. 22,500.00
15 Tn. Joyo Wadi L 80 Th Sukobendu Vomiting 6-Oct-13 9-Oct-13 3 Rp. 22,500.00
16 Ny. Roslin P 55 Th Lopang ISK 6-Oct-13 9-Oct-13 3 Rp. 22,500.00
17 Tn. Yanto L 40 Th Randubener Intoksikasi 7-Oct-13 9-Oct-13 2 Rp. 15,000.00
18 Tn. Atim L 57 Th Kalibogo CVA 8-Oct-13 11-Oct-13 3 Rp. 22,500.00
19 Ny. Siti Sholekah P 50 Th Sukobendu ISK 8-Oct-13 11-Oct-13 3 Rp. 22,500.00
20 An. Putri P 7 Th Kalibogo Susp. Typhoid 8-Oct-13 11-Oct-13 3 Rp. 22,500.00
21 An. Icha P 10 Th Kalibogo Typhoid 8-Oct-13 11-Oct-13 3 Rp. 22,500.00
22 Ny. Wiwik P 40 Th Sukobendu Gea 8-Oct-13 11-Oct-13 3 Rp. 22,500.00
23 Ny. Eny P 42 Th Balan CVA 9-Oct-13 12-Oct-13 3 Rp. 22,500.00
TANGGAL H R P
Uang
24 Ny. Supik P 60 Th Tunggun Vomiting 10-Oct-13 13-Oct-13 3 Rp. 22,500.00
25 Nn. Marfuatin P 17 Th Slatung Typus abdomen 10-Oct-13 13-Oct-13 3 Rp. 22,500.00
26 Ny. Tina P 60 Th Tempuran Diabetus Millitus 10-Oct-13 13-Oct-13 3 Rp. 22,500.00
27 Ny. Hj. Maryam P 60 Th sukobendu Susp. Hepatitis 11-Oct-13 14-Oct-13 3 Rp. 22,500.00
28 Ny. Sunari P 47 Th Kalibogo Susp. Nefrotik 11-Oct-13 14-Oct-13 3 Rp. 22,500.00
29 Tn. Ari L 60 Th Lopang Susp. Illeus 11-Oct-13 14-Oct-13 3 Rp. 22,500.00
30 Ny. Rini P 29 Th Sukorejo Asma 11-Oct-13 13-Oct-13 2 Rp. 15,000.00
31 Tn. Ridwan L 60 Th Randubener Gea 12-Oct-13 14-Oct-13 2 Rp. 15,000.00
32 Tn. Sardi L 50 Th Palo CVA 12-Oct-13 14-Oct-13 2 Rp. 15,000.00
33 Tn. Sarijan L 100 Th Kedungkampil Typoid 12-Oct-13 13-Oct-13 1 Rp. 7,500.00
34 Sdr. Dedik L 23 Th Kedungglonggong Susp. Hepatitis 13-Oct-13 15-Oct-13 2 Rp. 15,000.00
35 Ny. Sarti P 54 Th Lembeyan Susp. Typoid 13-Oct-13 17-Oct-13 4 Rp. 30,000.00
36 Tn. M. Samsul L 35 Th Mangkujajar Asma 13-Oct-13 15-Oct-13 2 Rp. 15,000.00
37 Tn. Mardi L 40 Th Mangkujajar GE + Vomiting 14-Oct-13 17-Oct-13 3 Rp. 22,500.00
38 Tn. Kartono L 46 Th Wudi Gea 14-Oct-13 16-Oct-13 2 Rp. 15,000.00
39 By. Choirin L 5 bln Sukoanyar Febris Convulsi 14-Oct-13 16-Oct-13 2 Rp. 15,000.00
40 Tn. Musiran L 70 Th Maor Hernia Scotalis 14-Oct-13 15-Oct-13 1 Rp. 7,500.00
41 Ny. Sutiani P 39 Th Mojomanis Hematom 15-Oct-13 17-Oct-13 2 Rp. 15,000.00
42 Ny. Sri Utami P 32 Th Kedungmegarih Psiko + gastritis 15-Oct-13 18-Oct-13 3 Rp. 22,500.00
43 Tn. Kaseno L 46 Th Wangkit Gastritis 15-Oct-13 17-Oct-13 2 Rp. 15,000.00
44 Tn. Yudi L 30 Th Tunggun Anemia 16-Oct-13 19-Oct-13 3 Rp. 22,500.00
45 Ny. Nasika P 70 Th Sukobendu GE 16-Oct-13 18-Oct-13 2 Rp. 15,000.00
46 Ny. Enah P 48 Th Kembangbahu Asma 16-Oct-13 19-Oct-13 3 Rp. 22,500.00
47 Tn. Sunarto L 28 Th Kedungmegarih Febris 17-Oct-13 19-Oct-13 2 Rp. 15,000.00
48 Tn. Atrap L 70 Th Wangkit Typus abdomen 18-Oct-13 21-Oct-13 3 Rp. 22,500.00
49 Tn. Kadrim L 80 Th Lawanganagung Anemia 19-Oct-13 23-Oct-13 4 Rp. 30,000.00
TANGGAL H R P
Uang
50 Ny. Wariyah P 65 Th Juwet Asma 20-Oct-13 22-Oct-13 2 Rp. 15,000.00
51 Ny. Siti P 17 Th Sumberpanggang Hiperemisis 21-Oct-13 24-Oct-13 3 Rp. 22,500.00
52 Ny. Sugiarti P 53 Th Sukobendu Diabetus Millitus 21-Oct-13 23-Oct-13 2 Rp. 15,000.00
53 Ny. Sumarli P 45 Th Sambijajar Obs. Febris + DM 21-Oct-13 23-Oct-13 2 Rp. 15,000.00
54 Ny. Likayatin P 50 Th Juwet Vertigo + Gastritis 21-Oct-13 24-Oct-13 3 Rp. 22,500.00
55 Ny. Eni P 21 Th Sukobendu Hepatitis 22-Oct-13 26-Oct-13 4 Rp. 30,000.00
56 An. Khusnul P 1 Th Randubener Gea 23-Oct-13 26-Oct-13 3 Rp. 22,500.00
57 Tn. Sadi L 70 Th Slatung Gea 23-Oct-13 25-Oct-13 2 Rp. 15,000.00
58 Tn. Usman L 50 Th Kumisik Colic abdomen 23-Oct-13 25-Oct-13 2 Rp. 15,000.00
59 An. Aira P 3 Th Lawanganagung Bronkhitis acut 23-Oct-13 25-Oct-13 2 Rp. 15,000.00
60 Ny. Anik P 30 Th Sidowayah Comser + Hematoma 23-Oct-13 25-Oct-13 2 Rp. 15,000.00
61 An. Fabian L 10 bln Kembangbahu Gea 24-Oct-13 26-Oct-13 2 Rp. 15,000.00
62 An. Tristan L 2 Th Tlogoagung Vomiting 25-Oct-13 28-Oct-13 3 Rp. 22,500.00
63 Tn. Kabid L 50 Th Kedungmegarih GE 25-Oct-13 27-Oct-13 2 Rp. 15,000.00
64 Ny. Saimi P 48 Th Gedangan Anemia + Hipertensi 25-Oct-13 28-Oct-13 3 Rp. 22,500.00
65 Ny. Iswati P 45 Th Maor Cefalgia 25-Oct-13 28-Oct-13 3 Rp. 22,500.00
66 An. Candra L 1 Th Randubener Obs. Febris 26-Oct-13 28-Oct-13 2 Rp. 15,000.00
67 Ny. Suwari P 65 Th Kumisik Gastritis 26-Oct-13 29-Oct-13 3 Rp. 22,500.00
68 Ny. Siti A P 35 Th Lembeyan Disentri Amoeba 26-Oct-13 29-Oct-13 3 Rp. 22,500.00
69 Tn. Fagih L 55 Th Kedungasri Hipotensi 26-Oct-13 29-Oct-13 3 Rp. 22,500.00
70 Tn. H. Kodrat L 59 Th Mojomanis Diabetus Millitus 26-Oct-13 28-Oct-13 2 Rp. 15,000.00
71 Ny. Sutiani P 50 Th Wudi LBP 27-Oct-13 31-Oct-13 4 Rp. 30,000.00
72 Ny. Sida P 60 Th Kedungori GE 27-Oct-13 29-Oct-13 2 Rp. 15,000.00
73 Ny. Suyati P 58 Th Sukobendu Obs. Febris 27-Oct-13 29-Oct-13 2 Rp. 15,000.00
74 Ny. Iswati P 60 Th Maor Cefalgia 27-Oct-13 31-Oct-13 4 Rp. 30,000.00
75 Tn. Sampan L 80 Th Sukorejo Cefalgia 27-Oct-13 29-Oct-13 2 Rp. 15,000.00
TANGGAL H R P
Uang
76 An. Vino L 1.5 Th Sukobendu Gea 28-Oct-13 31-Oct-13 3 Rp. 22,500.00
77 Tn. Suwandi L 37 Th Kembangbahu Obs. Febris 28-Oct-13 30-Oct-13 2 Rp. 15,000.00
78 Ny. Sumiah P 63 Th Bender GE 28-Oct-13 30-Oct-13 2 Rp. 15,000.00
79 Tn. Bakri L 70 Th Randubener anemia 28-Oct-13 31-Oct-13 3 Rp. 22,500.00
80 Tn. Reso L 60 Th Maor status Asmatikus 28-Oct-13 30-Oct-13 2 Rp. 15,000.00
JUMLAH 186 26 Rp. 1,590,000.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
360,000.00
510,000.00
720,000.00
212
3975000
2385000
1590000
18750
11250
2385000
795000
212 1949
3750
7308750
1949
7308750
RAWAT INAP
BULAN : NOPEMBER 2013
TANGGAL H R P
Uang
1 Tn. Manan L 50 Th Puter Susp. Illeus 1-Nov-13 4-Nov-13 3 Rp. 33,750.00
2 Tn. Nawi L 65 Th Kedungori BPH 1-Nov-13 4-Nov-13 3 Rp. 33,750.00
3 Tn. Sudarmaji L 75 Th Sukobendu CVA 1-Nov-13 6-Nov-13 5 Rp. 56,250.00
4 Ny. Sumika P 34 Th Sukowati Chespen 1-Nov-13 3-Nov-13 2 Rp. 22,500.00
5 An. Abidah P 7 Th Kedungmegarih Combus 2-Nov-13 5-Nov-13 3 Rp. 33,750.00
6 An. Sinar Abadi L 9 Th Kembangbahu Typhoid 2-Nov-13 5-Nov-13 3 Rp. 33,750.00
7 Tn. Warsim L 50 Th Puter Chespen 2-Nov-13 5-Nov-13 3 Rp. 33,750.00
8 Ny. Titin P 27 Th Kedungklanting Gastritis 2-Nov-13 5-Nov-13 3 Rp. 33,750.00
9 Ny. Murni P 27 Th Dorogede Typoid Abdomen 2-Nov-13 5-Nov-13 3 Rp. 33,750.00
10 Sdr. Agus Khotib L 24 Th Wangkit Hepatitis 3-Nov-13 6-Nov-13 3 Rp. 33,750.00
11 Tn. Purwanto L 45 Th Jombok CVA 3-Nov-13 6-Nov-13 3 Rp. 33,750.00
12 Tn. Ahmad Bisri L 45 Th Mojomanis Hiperglikemi 3-Nov-13 6-Nov-13 3 Rp. 33,750.00
13 Ny. Sipah P 68 Th Mojorayung ISPA 3-Nov-13 7-Nov-13 3 Rp. 33,750.00
14 Tn. Sujono L 50 Th Sukoanyar Neuritis 4-Nov-13 7-Nov-13 3 Rp. 33,750.00
15 Tn. Joyo Wadi L 80 Th Sukobendu Vomiting 4-Nov-13 7-Nov-13 3 Rp. 33,750.00
16 Ny. Ruslin P 55 Th Lopang ISK 4-Nov-13 7-Nov-13 3 Rp. 33,750.00
17 Tn. Kartono L 46 Th Wudi Gea 4-Nov-13 6-Nov-13 2 Rp. 22,500.00
18 Tn. Yanto L 40 Th Randubener Intoksikasi 5-Nov-13 7-Nov-13 2 Rp. 22,500.00
19 Tn. Atim L 57 Th Kalibogo CVA 5-Nov-13 8-Nov-13 3 Rp. 33,750.00
20 Ny. Siti Sholikah P 50 Th Sukobendu ISK 5-Nov-13 8-Nov-13 3 Rp. 33,750.00
21 An. Putri P 7 Th Bogo Susp. Typoid 5-Nov-13 8-Nov-13 3 Rp. 33,750.00
22 An. Icha P 10 Th Bogo Typoid 6-Nov-13 9-Nov-13 3 Rp. 33,750.00
23 Ny. Wiwik P 40 Th Ngembet/Sukobendu Gea 6-Nov-13 9-Nov-13 3 Rp. 33,750.00
TANGGAL H R P
Uang
24 Ny. Enik P 42 Th Balan CVA 6-Nov-13 9-Nov-13 3 Rp. 33,750.00
25 Ny. Supik P 60 Th Tunggun Vomiting 6-Nov-13 9-Nov-13 3 Rp. 33,750.00
26 Nn. Marfuatin P 17 Th Slatung Typus Abdomen 6-Nov-13 9-Nov-13 3 Rp. 33,750.00
27 Ny. Tina P 60 Th Tempuran Diabetus Millitus 7-Nov-13 10-Nov-13 3 Rp. 33,750.00
28 Ny. Hj. Maryam P 60 Th Sukobendu Susp. Hepatitis 7-Nov-13 10-Nov-13 3 Rp. 33,750.00
29 Ny. Sunari P 47 Th Kalibogo Susp. Nefrotik 7-Nov-13 10-Nov-13 3 Rp. 33,750.00
30 Tn. Ari L 60 Th Lopang Susp. Illeus 7-Nov-13 9-Nov-13 2 Rp. 22,500.00
31 Ny. Rini P 29 Th Sukorejo Asma 8-Nov-13 10-Nov-13 2 Rp. 22,500.00
32 Tn. Ridwan L 60 Th Randubener Gea 8-Nov-13 10-Nov-13 2 Rp. 22,500.00
33 Tn. Sardi L 50 Th Palo CVA 8-Nov-13 9-Nov-13 1 Rp. 11,250.00
34 Tn. Sarijan L 100 Th Kedungkampil Typhoid 8-Nov-13 10-Nov-13 2 Rp. 22,500.00
35 Sdr. Dedik L 23 Th Kedunglonggong Susp. Hepatitis 9-Nov-13 13-Nov-13 4 Rp. 45,000.00
36 Ny. Sarti P 54 Th Lembeyan Susp. Typoid 10-Nov-13 12-Nov-13 2 Rp. 22,500.00
37 Tn. M. Samsul L 35 Th Mangkujajar Asma 10-Nov-13 13-Nov-13 3 Rp. 33,750.00
38 Tn. Mardi L 40 Th Mangkujajar GE + Vomiting 10-Nov-13 13-Nov-13 3 Rp. 33,750.00
39 By. Choirin L 5 bln Sukoanyar Febris Convulsi 10-Nov-13 12-Nov-13 2 Rp. 22,500.00
40 Tn. Musiran L 70 Th Maor Hernia Scrotatis 10-Nov-13 12-Nov-13 2 Rp. 22,500.00
41 Ny. Sutiani P 39 Th Mojomanis Hematom 12-Nov-13 14-Nov-13 2 Rp. 22,500.00
42 Ny. Sri Utami P 32 Th Kedungmegarih Psiko + Gastritis 13-Nov-13 16-Nov-13 3 Rp. 33,750.00
43 Tn. Kaseno L 46 Th Wangkit Gastritis 13-Nov-13 15-Nov-13 2 Rp. 22,500.00
44 Tn. Yudi L 30 Th Tunggun Anemia 13-Nov-13 16-Nov-13 3 Rp. 33,750.00
45 Ny. Nasika P 70 Th Sukobendu Ge 13-Nov-13 15-Nov-13 2 Rp. 22,500.00
46 Ny. Enah P 48 Th Kembangbahu Asma 14-Nov-13 17-Nov-13 3 Rp. 33,750.00
47 Tn. Sunarto L 28 Th Kedungmegarih Febris 14-Nov-13 16-Nov-13 2 Rp. 22,500.00
48 Tn. Atrap L 70 Th Wangkit Typus Abdomen 14-Nov-13 17-Nov-13 3 Rp. 33,750.00
49 Tn. Kadrim L 80 Th Lawangan agung Anemia 14-Nov-13 18-Nov-13 4 Rp. 45,000.00
TANGGAL H R P
Uang
50 Ny. Wariyah P 68 Th Juwet Asma 15-Nov-13 17-Nov-13 2 Rp. 22,500.00
51 Ny. Siti P 17 Th Sumberpanggang Hiperemesis 15-Nov-13 18-Nov-13 3 Rp. 33,750.00
52 Ny. Sugiarti P 53 Th Sukobendu Diabetus Millitus 15-Nov-13 17-Nov-13 2 Rp. 22,500.00
53 Ny. Sumarli P 45 Th Sambijajar Obs. Febris + DM 15-Nov-13 17-Nov-13 2 Rp. 22,500.00
54 Ny. Likayatun P 50 Th Juwet Vertigo + Gastritis 16-Nov-13 19-Nov-13 3 Rp. 33,750.00
55 Ny. Eni P 21 Th Mbuyut Hepatitis 16-Nov-13 20-Nov-13 4 Rp. 45,000.00
56 An. Khusnul P 1 Th Randubener Gea 16-Nov-13 18-Nov-13 2 Rp. 22,500.00
57 Tn. Sadi L 70 Th Slatung Gea 16-Nov-13 18-Nov-13 2 Rp. 22,500.00
58 Tn. Usman L 50 Th Kumisik colic abdomen 17-Nov-13 19-Nov-13 2 Rp. 22,500.00
59 An. Aira P 3 Th Lawangan agung Bronchitis acut 17-Nov-13 19-Nov-13 2 Rp. 22,500.00
60 Ny. Anik P 30 Th Sidowayah Comser + Hematom 17-Nov-13 19-Nov-13 2 Rp. 22,500.00
61 An. Fabiana P 10 bln Kembangbahu Gea 17-Nov-13 19-Nov-13 2 Rp. 22,500.00
62 An. Tristan L 2 Th Tlogoagung Vomiting 18-Nov-13 21-Nov-13 3 Rp. 33,750.00
63 Tn. Kabid L 50 Th Kedungmegarih Ge 19-Nov-13 21-Nov-13 2 Rp. 22,500.00
64 Ny. Saimi P 48 Th Gedangan Anemia + Hipertensi 20-Nov-13 23-Nov-13 3 Rp. 33,750.00
65 Ny. Iswati P 45 Th Maor Cefalgia 20-Nov-13 23-Nov-13 3 Rp. 33,750.00
66 An. Candra L 1 Th Randubener Obs. Febris 20-Nov-13 22-Nov-13 2 Rp. 22,500.00
67 Ny. Suwari P 65 Th Kumisik Gastritis 20-Nov-13 22-Nov-13 2 Rp. 22,500.00
68 Ny. Siti A. P 35 Th Lembeyan Disentri Amueba 20-Nov-13 23-Nov-13 3 Rp. 33,750.00
69 Tn. Faqih L 55 Th Kedungasri Hipotensi 21-Nov-13 24-Nov-13 3 Rp. 33,750.00
70 Tn. H. Kodrat L 59 Th Mojomanis Diabetus Millitus 21-Nov-13 23-Nov-13 2 Rp. 22,500.00
71 Ny. Sutiana P 50 Th Wudi LBP 21-Nov-13 25-Nov-13 4 Rp. 45,000.00
72 Ny. Sida P 60 Th Kedungori GE 21-Nov-13 23-Nov-13 2 Rp. 22,500.00
73 Ny. Suyati P 58 Th Sukobendu Obs. Febris 22-Nov-13 24-Nov-13 2 Rp. 22,500.00
74 Ny. Iswati P 60 Th Maor Obs. Febris 23-Nov-13 26-Nov-13 3 Rp. 33,750.00
75 Tn. Sampan L 80 Th Sukorejo Cefalgia 24-Nov-13 26-Nov-13 2 Rp. 22,500.00
TANGGAL H R P
Uang
76 An. Vico L 1.5 Th Sukobendu Gea 25-Nov-13 27-Nov-13 2 Rp. 22,500.00
77 Tn. Suwandi L 37 Th Kembangbahu Obs. Febris 25-Nov-13 27-Nov-13 2 Rp. 22,500.00
78 Ny. Sumi'ah P 63 Th Bender Ge 25-Nov-13 27-Nov-13 2 Rp. 22,500.00
79 Tn. Bakri L 70 Th Randubener Anemia 25-Nov-13 29-Nov-13 4 Rp. 45,000.00
80 Tn. Reso L 60 Th Maor Status asmatikus 25-Nov-13 27-Nov-13 2 Rp. 22,500.00
JUMLAH 186 25 Rp. 2,373,750.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
990,000.00
528,750.00
855,000.00
RAWAT INAP
BULAN : DESEMBER 2013
TANGGAL H R P
Uang
1 Ny. Sarti P 49 Th Kembangbahu Hipertensi 2-Dec-13 6-Dec-13 4 Rp. 45,000.00
2 Tn. Muhaimin L 39 Th Sukobendu Susp. DHF 2-Dec-13 5-Dec-13 3 Rp. 33,750.00
3 Ny. Watri P 60 Th Kalipang Illeus 2-Dec-13 5-Dec-13 3 Rp. 33,750.00
4 Ny. Muslika P 70 Th Wudi Susp. CVA 2-Dec-13 5-Dec-13 3 Rp. 33,750.00
5 Tn. Riban L 70 Th Wangkit GE 3-Dec-13 5-Dec-13 2 Rp. 22,500.00
6 Ny. Sutiana P 48 Th Puter Gastritis 3-Dec-13 5-Dec-13 2 Rp. 22,500.00
7 Ny. Sipah P 70 Th Wudi Vomiting 3-Dec-13 5-Dec-13 2 Rp. 22,500.00
8 Ny. Riati P 45 Th Balan Hemapto 3-Dec-13 6-Dec-13 3 Rp. 33,750.00
9 Tn. Ladi L 60 Th Kalipang Obs. Febris + ISPA 3-Dec-13 5-Dec-13 2 Rp. 22,500.00
10 Tn. Pardi L 55 Th Jati Langkir Obs. Febris + ISPA 3-Dec-13 5-Dec-13 2 Rp. 22,500.00
11 Ny. Darki P 80 Th Sukoanyar Hipertensi 4-Dec-13 7-Dec-13 3 Rp. 33,750.00
12 Tn. Wiro Kacung L 70 Th Ngembet Vomiting 4-Dec-13 6-Dec-13 2 Rp. 22,500.00
13 Tn. Saim L 70 Th Sukoanyar HT + DM 4-Dec-13 7-Dec-13 3 Rp. 33,750.00
14 An. Rahma P 6 Th Tunggun Jagir Febris Convulsi 4-Dec-13 7-Dec-13 2 Rp. 22,500.00
15 Nn. Stela P 13 Th Wangkit DHF 5-Dec-13 9-Dec-13 4 Rp. 45,000.00
16 Tn. Warso L 52 Th Lopang Anemia 5-Dec-13 7-Dec-13 2 Rp. 22,500.00
17 Ny. Nemu P 70 Th Lopang Chespea + gastritis 5-Dec-13 8-Dec-13 3 Rp. 33,750.00
18 Sdr. Irwanto L 16 Th Maor GE + Typoid 5-Dec-13 8-Dec-13 3 Rp. 33,750.00
19 An. Viki L 5 Th Sukosongo Epilepsi 5-Dec-13 7-Dec-13 2 Rp. 22,500.00
20 Ny. Rini P 38 Th Sukorejo Asma 6-Dec-13 9-Dec-13 3 Rp. 33,750.00
21 Ny. Waki P 70 Th Sukoanyar HIpertensi 6-Dec-13 9-Dec-13 3 Rp. 33,750.00
22 Tn. Alim L 50 Th Puter Asma 6-Dec-13 8-Dec-13 2 Rp. 22,500.00
23 An. Ismid L 3 Th Sukobendu Obs. Febris + Febris Convulsi 6-Dec-13 8-Dec-13 2 Rp. 22,500.00
TANGGAL H R P
Uang
24 An. Afif L 2 Th Glendeh Vomiting 6-Dec-13 8-Dec-13 2 Rp. 22,500.00
25 Tn. Pasiyun L 65 Th Daliwangun Gastritis 7-Dec-13 9-Dec-13 2 Rp. 22,500.00
26 Ny. Sulastri P 39 Th Mengkuli Hipertensi 8-Dec-13 10-Dec-13 2 Rp. 22,500.00
27 An. Indah P 4 Th Puter Obs. Febris 9-Dec-13 11-Dec-13 2 Rp. 22,500.00
28 Tn. Asan L 35 Th Mojorayung Susp. DHF 9-Dec-13 12-Dec-13 3 Rp. 33,750.00
29 Ny. Suwarni P 38 Th Slatung Diabetus Millitus 9-Dec-13 11-Dec-13 2 Rp. 22,500.00
30 Ny. Nasikah P 50 Th Sukobendu Obs. Febris 9-Dec-13 11-Dec-13 2 Rp. 22,500.00
31 By. Hafis L 7 bln Ngembet Gea 9-Dec-13 11-Dec-13 2 Rp. 22,500.00
32 An. Anggun P 13 bln Randubener Gea + Vomiting 10-Dec-13 12-Dec-13 2 Rp. 22,500.00
33 Tn. Tokol L 60 Th Tunggun Jagir ISPA + Anemia 10-Dec-13 13-Dec-13 3 Rp. 33,750.00
34 By. Naila P 7 bln Sukobendu Gea 10-Dec-13 12-Dec-13 2 Rp. 22,500.00
35 An. Fajri L 19 bln Sukobendu Gea 10-Dec-13 12-Dec-13 2 Rp. 22,500.00
36 Ny. Sawi P 60 Th Randubener Gea 10-Dec-13 13-Dec-13 3 Rp. 33,750.00
37 An. Yanuar L 11 Th Tunggun Jagir Typoid 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
38 By. Selvi P 6 Th Sukobendu Ge 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
39 Sdr. Agung L 17 Th Karang Aji Asma Bronchiale 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
40 Ny. Sri P 82 Th Randubener HT + CVA + Coma 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
41 Nn. Mar'atus P 16 Th Sukobendu Typhoid 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
42 Ny. Sulastri P 35 Th Kembangbahu Hipertensi 11-Dec-13 13-Dec-13 2 Rp. 22,500.00
43 Sdr. Agus L 16 Th Sukorejo Vomiting 12-Dec-13 14-Dec-13 2 Rp. 22,500.00
44 Ny. Mariani P 80 Th Wudi Chespen 13-Dec-13 15-Dec-13 2 Rp. 22,500.00
45 An. Irwan L 4 Th Kedungkampil Kejang 14-Dec-13 16-Dec-13 2 Rp. 22,500.00
46 Tn. Matokah L 60 Th Sukosongo Gastritis 15-Dec-13 17-Dec-13 2 Rp. 22,500.00
47 Tn. Musran L 70 Th Mojomanis Susp. Typhoid 15-Dec-13 17-Dec-13 2 Rp. 22,500.00
48 Tn. Kasmin L 65 Th Puter Ulkus Kronis 15-Dec-13 19-Dec-13 4 Rp. 45,000.00
49 Tn. Rofik L 48 Th Lopang Typhoid 15-Dec-13 17-Dec-13 2 Rp. 22,500.00
TANGGAL H R P
Uang
50 Tn. Samuji L 30 Th Kedungklanting Asma Bronchiale 15-Dec-13 17-Dec-13 2 Rp. 22,500.00
51 Ny. Rani P 60 Th Mojosari Hipertensi 16-Dec-13 19-Dec-13 3 Rp. 33,750.00
52 Tn. Solekan L 70 Th Tempuran Anemia 17-Dec-13 20-Dec-13 3 Rp. 33,750.00
53 Nn. Iin P 16 Th Sukobendu Typhoid abdomen 18-Dec-13 20-Dec-13 2 Rp. 22,500.00
54 An. Dafa L 4.5 Th Tunggun Jagir Gea 18-Dec-13 20-Dec-13 2 Rp. 22,500.00
55 Nn. Silvi P 16 Th Sidomukti Gea 18-Dec-13 20-Dec-13 2 Rp. 22,500.00
56 Tn. Abd. Somad L 50 Th Sukosongo Susp. BPH 18-Dec-13 21-Dec-13 3 Rp. 33,750.00
57 Tn. Kasman L 45 Th Besi Hematemesis 18-Dec-13 21-Dec-13 3 Rp. 33,750.00
58 An. Ibrahim L 23 bln Randubener Post GE + Susp. Illeus 18-Dec-13 21-Dec-13 3 Rp. 33,750.00
59 Ny. Kasmiani P 70 Th Sukobendu ISPA + Chespen 19-Dec-13 22-Dec-13 3 Rp. 33,750.00
60 Ny. Sinduk P 70 Th Glendeh Anemia + Dc 20-Dec-13 22-Dec-13 2 Rp. 22,500.00
61 Tn. Suradi L 45 Th Gampeng UTI + Obs. Febris 20-Dec-13 26-Dec-13 6 Rp. 67,500.00
62 An. Izza P 19 bln Sukoanyar GE 20-Dec-13 22-Dec-13 2 Rp. 22,500.00
63 Tn. Santoso L 24 Th Randubener Typus abdominolis 20-Dec-13 23-Dec-13 3 Rp. 33,750.00
64 An. Jihan L 2 Th Dorogede Obs. Febris 20-Dec-13 23-Dec-13 3 Rp. 33,750.00
65 Tn. Awi L 67 Th Lopang BPH + Susp. Illeus 20-Dec-13 24-Dec-13 4 Rp. 45,000.00
66 Tn. Edi L 34 Th Mojorayung Obs. Illeus + Hematemesis 21-Dec-13 25-Dec-13 4 Rp. 45,000.00
67 Sdr. Ach. Saiful L 18 Th Wangkit Obs. Febris + DHF 21-Dec-13 24-Dec-13 3 Rp. 33,750.00
68 An. Mardliyah P 18 bln Sukobendu Obs. Febris + DHF 21-Dec-13 23-Dec-13 2 Rp. 22,500.00
69 Tn. Yakub L 40 Th Sukosongo Disentri amoeba 21-Dec-13 24-Dec-13 3 Rp. 33,750.00
70 Sdr. Rosyid L 16 Th sukobendu Obs. Febris 22-Dec-13 24-Dec-13 2 Rp. 22,500.00
71 Ny. Maria Ulfa P 70 Th Sukobendu CVA + Vomiting 23-Dec-13 27-Dec-13 4 Rp. 45,000.00
72 Tn. Matrais L 65 Th Sidowayah Gastritis 23-Dec-13 25-Dec-13 2 Rp. 22,500.00
73 an. Galih L 2.5 Th Mojorayung Obs. Febris 23-Dec-13 25-Dec-13 2 Rp. 22,500.00
74 An. Nanda P 6 Th Sumberpanggang Obs. Febris + Vomiting 23-Dec-13 25-Dec-13 2 Rp. 22,500.00
75 An. Sulis Setiawan L 8 Th Bender Obs. Febris 23-Dec-13 25-Dec-13 2 Rp. 22,500.00
TANGGAL H R P
Uang
76 Tn. Slamet L 55 Th Kembangbahu Diabetus Millitus 24-Dec-13 27-Dec-13 3 Rp. 33,750.00
77 Ny. Sawi P 70 Th Randubener GE 25-Dec-13 27-Dec-13 2 Rp. 22,500.00
78 Ny. Khosiah P 32 Th Sukosngo Obs. Febris + Typhoid 26-Dec-13 28-Dec-13 2 Rp. 22,500.00
79 Tn. Rikhan L 54 Th Kedungklanting Copd + DM 27-Dec-13 29-Dec-13 2 Rp. 22,500.00
80 An. A. Thorikul L 12 Th Kedungkampil Susp. Typhoid 28-Dec-13 31-Dec-13 3 Rp. 33,750.00
JUMLAH 150 51 Rp. 2,261,250.00


NIP. 19650308 200212 1 004 NIP. 19591001 198603 1 015
742,500.00
596,250.00
922,500.00

Bulanan

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Bulanan

Diunggah oleh

Hak Cipta:

Format Tersedia

RAWAT INAP

PUSKESMAS KECAMATAN KEMBANGBAHU

Mengetahui, Kembangbahu, 31 - 01 - 2013 240

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 28 - 02 - 2013 212

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 28 - 03 - 2013 214

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 30 - 04 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 31 - 05 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 28 - 06 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 31 - 07 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 30 - 08 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 30 - 09 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 31 - 10 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 29 - 11 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Mengetahui, Kembangbahu, 31 - 12 - 2013

dr. Nanang Rahardi Abdul Muzakir, SE

Anda mungkin juga menyukai