No. MR Nama PasieRJ/RI Kelas Tgl. Masuk Tgl.

Keluar Diagnosa Prosedur INACBG

00148747 IIS ISMAYATRI Kelas 3 27-02-2018 01-03-2018 O62.4 - W-4-16-I
00148458 YUNITA SU RI Kelas 3 27-02-2018 01-03-2018 O63.1;Z37.074.4 O-6-10-I
00148127 JAHRONAHRI Kelas 3 01-03-2018 01-03-2018 O63.1;O80.973.6 O-6-13-I
00139401 NISA AMELRI Kelas 3 18-02-2018 01-03-2018 O82.1;O99.274.4 O-6-10-II
00148971 SUKANAH RI Kelas 3 28-02-2018 01-03-2018 N18.5;E87.1- N-4-10-II
00148737 SALBIAH RI Kelas 3 27-02-2018 01-03-2018 A09.9;E11.9- K-4-17-I
00148698 RIZKI JAYA RI Kelas 3 26-02-2018 01-03-2018 O80.9;O36.473.6 O-6-13-II
00102930 RISTANIA VRI Kelas 3 01-03-2018 01-03-2018 O03.9 - W-4-13-I
00148585 ERDAYATI RI Kelas 3 26-02-2018 01-03-2018 E05.9;K30;A- E-4-13-III
00148727 ANI SUKARRI Kelas 3 27-02-2018 01-03-2018 I84.9;D64.9 - K-4-18-II
00009495 DWI NOVITRI Kelas 3 27-02-2018 01-03-2018 O02.1 69.02 W-1-11-I
00148587 SAANAH RI Kelas 3 25-02-2018 01-03-2018 I11.0;D64.9 - I-4-12-II
00124233 KHALIJAH BRI Kelas 3 01-03-2018 01-03-2018 O80.9;O48; 73.6 O-6-13-I
00037754 UTAMI FET RI Kelas 3 27-02-2018 01-03-2018 O80.9;O41.073.6 O-6-13-I
00114418 RITA SARI RI Kelas 3 27-02-2018 01-03-2018 D17.9 86.3 L-1-40-I
00142715 WAHYUDI RI Kelas 3 04-01-2018 01-03-2018 E11.5;F20.9- I-4-15-II
00135463 ETI R RI Kelas 3 27-02-2018 01-03-2018 D24 85.21 L-1-50-I
00148967 M YUSUF RI Kelas 3 28-02-2018 01-03-2018 S60.9 98.26 L-4-13-I
00009592 ARIFIN RI Kelas 3 26-02-2018 01-03-2018 J44.0 - J-4-17-I
Deskripsi Tarif Tarif RS DPJP SEP Keterangan
GANGGUAN 1,999,800.02,257,889.0DR. AGUS 0223R03802-258,089.00
OPERASI P4,830,200.08,433,383.0DR. AGUS 0223R03802-3,603,183.00
PERSALINA1,544,900.02,884,867.0DR. AGUS 0223R03803-1,339,967.00
OPERASI P5,102,000.027,053,003.DR. ANITA 0223R03802-21,951,003.00
TUMOR GIN2,976,400.03,844,626.0DR. IWAN 0223R03802-868,226.00
NYERI ABD1,406,200.01,433,964.0DR. SANG A0223R03803-27,764.00
PERSALINA1,828,500.04,468,056.0DR. RADEN0223R03802-2,639,556.00
ABORTUS (923,600.00 1,417,540.0DR. AGUS 0223R03803-493,940.00
GANGGUAN 5,257,000.09,049,353.0DR. IWAN 0223R03802-3,792,353.00
GANGGUAN 1,765,800.02,976,358.0DR. SANG A0223R03802-1,210,558.00
PROSEDUR1,657,100.02,596,749.0DR.
D AGUS 0223R03802-939,649.00
KEGAGALAN 2,985,500.04,654,088.0DR. BERLIA0223R03802-1,668,588.00
PERSALINA1,544,900.02,992,924.0DR. AGUS 0223R03803-1,448,024.00
PERSALINA1,544,900.04,053,753.0DR. AGUS 0223R03802-2,508,853.00
PROSEDUR3,696,900.05,788,734.0DR. ACHMA0223R03802-2,091,834.00
PENYAKIT 5,798,200.039,561,277.DR AHMAD 0223R03801-33,763,077.00
PROSEDUR4,853,300.07,238,031.0DR. RICHAR0223R03802-2,384,731.00
TRAUMA PA2,266,600.06,084,600.0DR. HERWI0223R03802-3,818,000.00
PENYAKIT 2,739,200.03,582,583.0DR. HESTI 0223R03802-843,383.00