NO NAMA_PASIEN SEP NOKARTU ADMISSION_DATE DIAGLIST PROCLIST INACBG

1 AAN, NY 0464R0091018V000645 2297815817 10/30/2018 I10;K30;G58.9 - Q-5-44-0

2 ABAS BASUNI 0464R0091018V000517 2485591817 25/10/2018 J44.9;I10 - Q-5-44-0
3 AGUS KUSMANA 0464R0091018V000560 1442897842 17/10/2018 A91;E11.9;N39.0 90.54;89.52 Q-5-41-0
4 AHMAD HIDAYAT, TN 0464R0091018V000660 1732734944 30/10/2018 K04.2 96.04 J-2-21-0
5 AI KOMALA 0464R0091018V000518 1012625379 10/10/2018 Z48.9 88.76;93.57 Z-3-23-0
6 AI KOMALA 0464R0091018V000344 1012625379 18/10/2018 Z48.9 88.76 Z-3-23-0
7 ALIKA RIZNA MALIK, NY 0464R0091018V000441 1959011313 23/10/2018 Z09.8;Z48.9 88.76;93.57 Z-3-23-0
8 ALIKA RIZNA MALIK, NY 0464R0091018V000666 1959011313 30/10/2018 Z09.8;Z48.9 88.76;93.57 Z-3-23-0
9 ANDI S, TN 0464R0091018V000333 2050222048 18/10/2018 F20.9 94.11 F-5-12-0
10 ANNA MATHOPANI 0464R0091018V000478 1304854053 24/10/2018 E11.8;I10;G58.9 - Q-5-44-0
11 ASEP TATANG, TN 0464R0091018V000311 497579714 17/10/2018 A18.3;K93.0 - Q-5-43-0
12 ASRI RAHAYU, BY NY 0464R0091018V000168 2474965462 11/10/2018 Z38.8 - Q-5-44-0
13 AZI LATIF ABDILLAH 0464R0091018V000235 1665737921 22/10/2018 F32.3 94.11 F-5-12-0
14 AZI LATIF ABDILLAH 0464R0091018V000606 1665737921 29/10/2018 F41.1 91.14 F-5-14-0
15 CUCU JUBAEDAH, NY 0464R0091018V000644 1157670257 30/10/2018 F32.3 - F-5-14-0
16 DAROJI, TN 0464R0091018V000659 2213612818 30/10/2018 I10;H81.1 - Q-5-44-0
17 DEDE MIHARYATI, NY 0464R0091018V000694 2456071705 31/10/2018 Z48.9 88.76;93.57 Z-3-23-0
18 DEDEH BARKIAH, NY 0464R0091018V000248 2475590264 15/10/2018 Z48.9 88.76 Z-3-23-0
19 DIAN KUSMIATI 0464R0091018V000179 2437126064 11/10/2018 D25.9 88.76 Z-3-23-0
20 DIAN KUSMIATI 0464R0091018V000525 2437126064 25/10/2018 Z48.9 93.57;88.76 Z-3-23-0
21 E DJUARIAH WIDIANINGSIH 0464R0091018V000488 58577027 24/10/2018 Z09.8;E11.8;G58.9 - Q-5-44-0
22 EEM, NY 0464R0091018V000287 1303461393 16/10/2018 N83.2 88.76 Z-3-23-0
23 EEM, NY 0464R0091018V000674 1303461393 30/10/2018 Z09.8;N83.2 88.76;93.57 Z-3-23-0
24 ELA NURHAYATI, NY 0464R0091018V000339 1012633683 10/10/2018 Z48.9 88.76;93.57 Z-3-23-0
25 ELA NURHAYATI, NY 0464R0091218V000339 1012633683 18/10/2018 Z48.9 88.76;93.57 Z-3-23-0
26 ELA, NY 0464R0091018V000170 1012633683 11/10/2018 Z48.9 88.76;93.57 Z-3-23-0
27 ENIS 0464R0091018V000016 2206373229 19/10/2018 N28.8 88.76;93.57 Z-3-23-0
28 ENIS 0464R0091018V000597 2206373229 29/10/2018 N81.3 88.76 Z-3-23-0
29 ENTIN WARTINI, NY 0464R0091018V000509 1287412492 25/10/2018 Z48.9 88.76;93.57 Z-3-23-0
30 ENTIN WARTINI, NY 0464R0091018V000329 1287412492 25/10/2018 Z48.9 88.76;93.57 Z-3-23-0
31 ENUNG HAYATI, NY 0464R0091018V000456 498761921 23/10/2018 N73.9 88.76 Z-3-23-0
32 ENUNG HAYATI, NY 0464R0091018V000652 498761921 30/10/2018 N80.0 88.76 Z-3-23-0
33 FERA ERISTA, NY 0464R0091018V000304 2218315173 17/10/2018 I10;R51 - Q-5-44-0
34 HASANAH, NY 0464R0091018V000469 499407276 24/10/2018 Z09.8;E11.9;I10 - Q-5-44-0
35 HERI SAHERI 0464R0091018V000513 2041627522 25/10/2018 E14.6;I10 - Q-5-44-0
36 IMAS IDA, NY 0464R0091018V000692 499427998 31/10/2018 Z09.8;Z48.9 88.76;93.57 Z-3-23-0
37 IRA YULIANTI, NY 0464R0091018V000693 2182064714 31/10/2018 Z34.9;B20.0 88.76 Z-3-23-0
38 JUJU JUARIAH 0464R0091018V000470 1324844291 24/10/2018 I10;R42;K30 - Q-5-44-0
39 LINA, NY 0464R0091018V000588 2071219893 29/10/2018 N30.9;N94.8 - Q-5-40-0
40 LISTI R ADAWIAH 0464R0091018V000409 499383977 22/10/2018 N82.3 77.19;91.46 M-2-41-0
41 LISTI R ADAWIAH 0464R0091018V000615 499383977 29/10/2018 N82.4 - Q-5-44-0
42 NIA KURNIA, NY 0464R0091018V000487 2499727915 24/10/2018 Z48.8 88.76;93.57 Z-3-23-0
43 NINA TRISNAWATI 0464R0091018V000280 1314886241 16/10/2018 I10;K30 - Q-5-44-0
44 RATNA SUGIARTI 0464R0091018V000156 1433470937 10/10/2018 Z34.9 88.78 Z-3-25-0
45 RATNA SUGIARTI 0464R0091018V000695 1433470937 30/10/2018 Z48.9 88.76;93.57 Z-3-23-0
46 RESTI, AN 0464R0091018V000561 498553064 26/10/2018 N83.2 88.76 Z-3-23-0
47 RESTI, AN 0464R0091018V000612 498553064 29/10/2018 N83.2 88.76 Z-3-23-0
48 SANTI SUHETI, NY 0464R0091018V000481 2262175874 24/10/2018 N83.2 88.76;87.44 Z-3-23-0
49 SITI NURWARDAH, NY 0464R0091018V000593 2454926714 29/10/2018 E11.9;L97 90.54 Q-5-44-0
50 SUHERMAN, TN 0464R0091018V000314 1675133144 17/10/2018 A16.1 - Q-5-44-0
51 TARSIH, NY 0464R0091018V000100 498977133 9/10/2018 D25.9;D64.9 88.76 Z-3-23-0
52 TARSIH, NY 0464R0091018V000431 498977133 23/10/2018 Z09.9;D25.9 88.76;93.57 Z-3-23-0
53 TARSIH, NY 0464R0091018V000651 498977133 30/10/2018 Z09.8;Z48.9 88.76;93.57 Z-3-23-0
54 U. ROKAYAH, NY 0464R0091018V000482 2483649527 24/10/2018 D48.6;I10;I11.9 89.52 Q-5-44-0
55 UTING 0464R0091018V000587 499375877 29/10/2018 I11.9;N19 89.52 Q-5-44-0
56 WATNI NURYATI, NY 0464R0091018V000396 499900015 22/10/2018 E11.9;I10 - Q-5-44-0
57 WAWAN GUNAWAN 0464R0091018V000240 1731486869 22/10/2018 F32.3 94.11 F-5-12-0
58 WAWAN GUNAWAN 0464R0091018V000603 1731486869 29/10/2018 F32.3 91.14 F-5-14-0
59 YANI MARYANI, NY 0464R0091018V000403 1178785225 22/10/2018 O14.1 88.76 Z-3-23-0
60 YANI MARYANI, NY 0464R0091018V000665 2498485432 30/10/2018 I84.3 - Q-5-42-0
61 YANI MARYANI, NY 0464R0091018V000696 1178785225 31/10/2018 Z09.8;Z48.9 88.76;93.57 Z-3-23-0
62 YATI, NY 0464R0091018V000310 498857275 17/10/2018 Z09.9;Q50.5 88.76 Z-3-23-0
63 YATI, NY 0464R0091018V000545 498857275 26/10/2018 Z09.8;Q50.5 - Q-5-44-0
 DPJP DESKRIPSI_INACBG TARIF_INACBG TARIF_RS
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. ASSYIFA ANINDYA PENYAKIT AKUT BESAR LAIN-LAIN 274,800 157,000
DR. R.A. PRITASYA HANDAYANI PROSEDUR VENTILASI MEKANIKAL JANGKA PENDEK 1,381,000 82,500
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 184,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. ZULFITRIANI, SP.KJ PROSEDUR TES DIAGNOSTIK KESEHATAN JIWA 285,000 65,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS BESAR LAIN-LAIN 248,800 25,000
DR. REMI WARY RUMAHORBO, M.SC.SPA PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. ZULFITRIANI, SP.KJ PROSEDUR TES DIAGNOSTIK KESEHATAN JIWA 285,000 65,000
DR. ZULFITRIANI, SP.KJ PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 184,700 65,000
DR. ZULFITRIANI, SP.KJ PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 184,700 65,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 144,000
DR. TOMMY ALAMSYAH, SPOG, M.KES PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 184,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 264,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DIDIT, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 153,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. ANDI KURNIAWAN, SPPD, FINASIM INFEKSI SALURAN KEMIH AKUT 117,100 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR EKSISI, INSISI DAN ARTHROTOMI TULANG 357,000 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 70,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND GINEKOLOGIK 281,500 153,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 274,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 54,500
DR. DIDIT, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 199,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DIDIT RADITIYA, SPPD PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 70,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 70,000
DR. ANDI KURNIAWAN, SPPD, FINASIM PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 83,000
DR. ZULFITRIANI, SP.KJ PROSEDUR TES DIAGNOSTIK KESEHATAN JIWA 285,000 71,500
DR. ZULFITRIANI, SP.KJ PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 184,700 65,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. AGI BUDIANSYAH, SPB PENYAKIT AKUT KECIL LAIN-LAIN 173,400 229,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 209,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PROSEDUR ULTRASOUND LAIN-LAIN 508,200 169,000
DR. DR. H RIDWAN ABDULLAH P, SPOG, (K-FM) PENYAKIT KRONIS KECIL LAIN-LAIN 176,200 25,000
8,062,500
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