Anda di halaman 1dari 6

Nama RS : RS Citama

Konfirmasi : Mohon disiapkan Rekam Medis

No NoKaPst NoSEP TglSEP Poli KdDiag NmDiag


1 1645217954 0117R0091217V002309 December 18, 2017 OBG Z349 Supervision of normal pre..
2 0117R0091217V005932 December 27, 2017 OBG Z349 Supervision of normal pre..
3 0117R00906170005308 June 17, 2017 OBG Z349 Supervision of normal pre..
4 0117R00906170008233 June 28, 2017 OBG Z349 Supervision of normal pre..
5 0117R00907170001474 July 5, 2017 OBG Z349 Supervision of normal pre..
6 0117R00907170004078 July 12, 2017 OBG Z349 Supervision of normal pre..
7 0117R00907170006899 July 19, 2017 OBG Z098 Follow-up examination af..
8 0117R00907170009548 July 26, 2017 OBG Z349 Supervision of normal pre..
9 0117R00908170000709 August 2, 2017 OBG Z349 Supervision of normal pre..
10 0117R00908170003462 August 9, 2017 OBG Z349 Supervision of normal pre..
11 0117R00908170005389 August 14, 2017 OBG Z349 Supervision of normal pre..
12 0117R00908170008138 August 21, 2017 OBG Z349 Supervision of normal pre..
13 0117R00908170011007 August 28, 2017 OBG Z349 Supervision of normal pre..
14 0117R00909170001804 September 6, 2017 OBG Z349 Supervision of normal pre..
15 0117R00909170005290 September 14, 2017 OBG Z349 Supervision of normal pre..
16 0117R00909170010932 September 28, 2017 OBG Z349 Supervision of normal pre..
17 0117R00910170002341 October 6, 2017 OBG Z349 Supervision of normal pre..
18 0117R00910170005655 October 13, 2017 OBG Z349 Supervision of normal pre..
19 0117R00910170008082 October 19, 2017 OBG Z349 Supervision of normal pre..
20 0117R00910170011626 October 27, 2017 OBG Z349 Supervision of normal pre..
21 0117R00911170001294 November 3, 2017 OBG Z349 Supervision of normal pre..
22 0117R00911170007589 November 17, 2017 OBG Z349 Supervision of normal pre..
23 0117R00911170013224 November 30, 2017 OBG Z349 Supervision of normal pre..
24 1450379733 0117R00904170000908 April 3, 2017 OBG Z340 Supervision of normal firs..
25 0117R00904170005278 April 15, 2017 OBG Z358 Supervision of other high-..
26 0117R00905170000583 May 2, 2017 OBG Z349 Supervision of normal pre..
27 0117R00905170003238 May 9, 2017 OBG Z358 Supervision of other high-..
28 0117R00905170004505 May 13, 2017 OBG Z349 Supervision of normal pre..
29 0117R00905170005638 May 16, 2017 OBG Z349 Supervision of normal pre..
30 0117R00905170008244 May 23, 2017 OBG Z349 Supervision of normal pre..
31 0117R00905170011014 May 31, 2017 OBG Z349 Supervision of normal pre..
32 0117R00906170001299 June 5, 2017 OBG Z349 Supervision of normal pre..
33 0117R00906170003693 June 12, 2017 OBG Z349 Supervision of normal pre..
34 0117R00906170005949 June 19, 2017 OBG Z349 Supervision of normal pre..
35 0117R00906170007433 June 23, 2017 OBG Z349 Supervision of normal pre..
36 0117R00907170001179 July 4, 2017 OBG Z349 Supervision of normal pre..
37 0117R00907170006066 July 17, 2017 OBG Z349 Supervision of normal pre..
38 0117R00907170008866 July 24, 2017 OBG Z349 Supervision of normal pre..
39 0117R00908170002776 August 7, 2017 OBG Z349 Supervision of normal pre..
40 0117R00908170005588 August 14, 2017 OBG Z349 Supervision of normal pre..
41 0117R00908170007630 August 19, 2017 OBG Z349 Supervision of normal pre..
42 0117R00909170000284 September 2, 2017 OBG Z349 Supervision of normal pre..
43 0117R00909170003223 September 9, 2017 OBG Z349 Supervision of normal pre..
44 0117R00909170008874 September 23, 2017 OBG Z349 Supervision of normal pre..
45 0117R00910170002833 October 7, 2017 OBG Z349 Supervision of normal pre..
46 1833621164 0117R00905170005573 May 16, 2017 OBG Z349 Supervision of normal pre..
47 0117R00905170007802 May 22, 2017 OBG Z349 Supervision of normal pre..
48 0117R00905170010161 May 29, 2017 OBG Z349 Supervision of normal pre..
49 0117R00906170001731 June 6, 2017 OBG Z349 Supervision of normal pre..
50 0117R00906170003686 June 12, 2017 OBG Z349 Supervision of normal pre..
51 0117R00906170006363 June 20, 2017 OBG Z349 Supervision of normal pre..
52 0117R00907170000129 July 1, 2017 OBG Z349 Supervision of normal pre..
53 0117R00907170005815 July 17, 2017 OBG Z349 Supervision of normal pre..
54 0117R00907170010555 July 28, 2017 OBG Z349 Supervision of normal pre..
55 0117R00908170001918 August 5, 2017 OBG Z349 Supervision of normal pre..
56 0117R00908170011015 August 28, 2017 OBG Z349 Supervision of normal pre..
57 0117R00909170001626 September 5, 2017 OBG Z349 Supervision of normal pre..
58 0117R00909170007724 September 20, 2017 OBG Z349 Supervision of normal pre..
59 0117R00909170011658 September 30, 2017 OBG Z349 Supervision of normal pre..
60 0117R00910170002760 October 7, 2017 OBG Z349 Supervision of normal pre..
61 0117R00910170009535 October 23, 2017 OBG Z349 Supervision of normal pre..
62 0117R00910170013001 October 30, 2017 OBG Z349 Supervision of normal pre..
63 0117R00911170002284 November 6, 2017 OBG Z349 Supervision of normal pre..
64 0117R00911170005571 November 13, 2017 OBG Z349 Supervision of normal pre..
65 0117R00911170008134 November 20, 2017 OBG Z349 Supervision of normal pre..
66 0117R00911170011528 November 27, 2017 OBG Z349 Supervision of normal pre..
67 1144658755 0117R0091217V001189 December 15, 2017 OBG Z014 Gynaecological examinati..
68 0117R0091217V004137 December 22, 2017 OBG Z014 Gynaecological examinati..
69 0117R00901170001861 January 6, 2017 OBG Z014 Gynaecological examinati..
70 0117R00901170010733 January 31, 2017 BED Z098 Follow-up examination af..
71 0117R00902170002370 February 7, 2017 OBG Z014 Gynaecological examinati..
72 0117R00902170005811 February 17, 2017 OBG Z014 Gynaecological examinati..
73 0117R00903170003984 March 11, 2017 INT Z098 Follow-up examination af..
74 0117R00903170007324 March 21, 2017 OBG Z139 Special screening examin..
75 0117R00904170001352 April 4, 2017 OBG Z014 Gynaecological examinati..
76 0117R00904170007427 April 20, 2017 BED Z098 Follow-up examination af..
77 0117R00904170008631 April 25, 2017 OBG Z014 Gynaecological examinati..
78 0117R00905170005446 May 16, 2017 OBG Z014 Gynaecological examinati..
79 0117R00905170008225 May 23, 2017 OBG Z014 Gynaecological examinati..
80 0117R00906170004320 June 14, 2017 OBG Z014 Gynaecological examinati..
81 0117R00907170001190 July 4, 2017 OBG Z014 Gynaecological examinati..
82 0117R00907170009594 July 26, 2017 OBG Z014 Gynaecological examinati..
83 0117R00908170003553 August 9, 2017 OBG Z014 Gynaecological examinati..
84 0117R00908170009089 August 23, 2017 OBG Z014 Gynaecological examinati..
85 0117R00909170001992 September 6, 2017 OBG Z014 Gynaecological examinati..
86 0117R00909170005769 September 15, 2017 OBG Z014 Gynaecological examinati..
87 0117R00909170008444 September 22, 2017 OBG Z014 Gynaecological examinati..
88 0117R00909170011324 September 29, 2017 OBG Z014 Gynaecological examinati..
89 0117R00910170002447 October 6, 2017 OBG Z014 Gynaecological examinati..
90 0117R00910170008129 October 19, 2017 OBG Z014 Gynaecological examinati..
91 0117R00910170011249 October 26, 2017 OBG Z014 Gynaecological examinati..
92 0117R00911170005990 November 14, 2017 OBG Z014 Gynaecological examinati..
93 0117R00911170009979 November 23, 2017 OBG Z014 Gynaecological examinati..
94 0117R00911170013320 November 30, 2017 OBG Z014 Gynaecological examinati..
95 0117R00912170003040 December 8, 2017 OBG Z014 Gynaecological examinati..
96 769833448 0117R0091217V001771 December 16, 2017 OBG Z014 Gynaecological examinati..
97 0117R00903170001380 March 4, 2017 OBG N939 Abnormal uterine and vag..
98 0117R00903170002342 March 7, 2017 OBG Z014 Gynaecological examinati..
99 0117R00903170005921 March 16, 2017 OBG Z392 Routine postpartum follo..
100 0117R00903170008448 March 23, 2017 OBG Z392 Routine postpartum follo..
101 0117R00905170007548 May 22, 2017 OBG N760 Acute vaginitis
102 0117R00905170009968 May 29, 2017 OBG Z014 Gynaecological examinati..
103 0117R00906170003391 June 12, 2017 OBG Z014 Gynaecological examinati..
104 0117R00906170005675 June 19, 2017 OBG Z014 Gynaecological examinati..
105 0117R00907170000120 July 1, 2017 OBG Z014 Gynaecological examinati..
106 0117R00907170001478 July 5, 2017 OBG Z014 Gynaecological examinati..
107 0117R00907170002504 July 8, 2017 OBG Z014 Gynaecological examinati..
108 0117R00907170005317 July 15, 2017 OBG Z014 Gynaecological examinati..
109 0117R00907170008033 July 22, 2017 OBG Z014 Gynaecological examinati..
110 0117R00908170001940 August 5, 2017 OBG Z014 Gynaecological examinati..
111 0117R00908170004670 August 12, 2017 OBG Z014 Gynaecological examinati..
112 0117R00908170007500 August 19, 2017 OBG Z014 Gynaecological examinati..
113 0117R00909170000963 September 4, 2017 OBG Z014 Gynaecological examinati..
114 0117R00909170004288 September 12, 2017 OBG Z014 Gynaecological examinati..
115 0117R00909170008456 September 22, 2017 OBG Z014 Gynaecological examinati..
116 0117R00910170002712 October 7, 2017 OBG Z014 Gynaecological examinati..
117 0117R00910170008825 October 21, 2017 OBG Z014 Gynaecological examinati..
118 0117R00910170010662 October 25, 2017 OBG Z014 Gynaecological examinati..
119 0117R00911170010944 November 25, 2017 OBG Z014 Gynaecological examinati..
120 0117R00912170000146 December 2, 2017 OBG Z014 Gynaecological examinati..
121 1825633956 0117R00901170003563 January 11, 2017 OBG Z014 Gynaecological examinati..
122 0117R00901170008465 January 25, 2017 OBG Z014 Gynaecological examinati..
123 0117R00902170003052 February 9, 2017 OBG Z014 Gynaecological examinati..
124 0117R00902170009013 February 25, 2017 OBG Z014 Gynaecological examinati..
125 0117R00903170010397 March 29, 2017 OBG Z014 Gynaecological examinati..
126 0117R00904170004542 April 12, 2017 OBG Z014 Gynaecological examinati..
127 0117R00904170005189 April 15, 2017 OBG Z014 Gynaecological examinati..
128 0117R00905170002351 May 8, 2017 OBG Z014 Gynaecological examinati..
129 0117R00905170008227 May 23, 2017 OBG Z014 Gynaecological examinati..
130 0117R00907170002013 July 6, 2017 OBG Z014 Gynaecological examinati..
131 0117R00908170001081 August 3, 2017 OBG Z014 Gynaecological examinati..
132 0117R00908170003976 August 10, 2017 OBG Z014 Gynaecological examinati..
133 0117R00908170007461 August 19, 2017 OBG Z014 Gynaecological examinati..
134 0117R00909170003124 September 9, 2017 OBG Z014 Gynaecological examinati..
135 0117R00909170008730 September 23, 2017 OBG Z014 Gynaecological examinati..
136 0117R00910170002642 October 7, 2017 OBG Z014 Gynaecological examinati..
137 0117R00910170005700 October 14, 2017 OBG Z014 Gynaecological examinati..
138 0117R00910170008800 October 21, 2017 OBG Z014 Gynaecological examinati..
139 0117R00911170000285 November 1, 2017 OBG Z014 Gynaecological examinati..
Prosedur Inacbg Tarif
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8878 - Diagnostic ultraso.. Z-3-25-0 311,300
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8876 - Diagnostic ultraso.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnosti Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900
8879 - Other diagnostic ul.. Z-3-23-0 576,900

Anda mungkin juga menyukai