DINAS KESEHATAN ANGKATAN UDARA

RSAU Dr. M. SALAMUN

LAPORAN BULANAN

PENDERITA
NO BAGIAN ANGK. SENDIRI ANGK. LAIN JAMKES
BPJS
MIL SIP KEL AD AL MAS
1 2 3 4 5 6 7 8 9
1 RUANG PERWIRA
1. Kelas VVIP
a. Penyakit Dalam 0 0 0 0 0 8 0
b. Bedah Umum 0 0 1 0 0 1 0
c. Bedah Urologi 0 0 0 0 0 2 0
d. Bedah Orthopedi 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 4 0
f. Jantung 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 1 0
h. THT 0 0 0 0 0 0 0
i. Kulit/ Kelamin 0 0 0 0 0 0 0
j. Paru 0 0 1 0 0 1 0
k. Gigi 0 0 0 0 0 0 0
2. Kelas VIP
a. Penyakit Dalam 8 2 11 0 1 42 0
b. Bedah Umum 6 0 3 0 0 12 0
c. Bedah Urologi 0 0 0 0 0 6 0
d. Bedah Orthopedi 0 0 0 0 0 3 0
e. Syaraf 2 0 2 0 0 7 0
f. Jantung 1 0 2 0 0 8 0
g. Mata 0 0 0 0 0 4 0
h. THT 0 0 1 1 0 1 0
i. Kulit/ Kelamin 0 0 1 0 0 0 0
j. Paru 0 0 1 0 0 4 0
k. Gigi 0 0 0 0 0 4 0

1 2 3 4 5 6 7 8 9
3. Kelas I
a. Penyakit Dalam 34 3 33 8 1 300 0
b. Bedah Umum 7 0 10 15 0 261 0
c. Bedah Urologi 1 0 8 1 0 51 0
d. Bedah Orthopedi 2 0 1 3 0 22 0
e. Syaraf 11 0 6 3 0 75 0
f. Jantung 3 3 2 2 0 88 0
g. Mata 1 2 4 0 0 61 0
h. THT 8 0 2 0 0 16 0
i. Kulit/ Kelamin 0 0 1 0 0 1 0
j. Paru 0 0 4 0 0 39 0
k. Gigi 0 0 2 1 0 33 0
84 10 96 34 2 1055 0
3 RUANG PARKIT
1. Kelas II
a. Penyakit Dalam 2 0 0 2 0 143 0
b. Syaraf 1 0 0 0 0 37 0
c. Jantung 0 0 0 0 0 42 0
d. Kulit/Kelamin 0 0 0 0 0 0 0
e. Paru 0 0 0 1 0 42 0
2. Kelas III
a. Penyakit Dalam 0 0 0 0 1 395 6
b. Syaraf 0 0 0 0 0 145 5
c. Jantung 0 0 0 0 1 125 1
d. Kulit/Kelamin 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 96 1
3 0 0 3 2 1025 13

1 2 3 4 5 6 7 8 9
4 RUANG MERAK
1. Kelas II
a. Penyakit Dalam 1 1 1 1 1 115 0
b. Syaraf 0 0 0 1 0 39 0
c. Jantung 0 0 0 0 0 23 0
d. Kulit/Kelamin 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 25 0
2. Kelas III
a. Penyakit Dalam 0 0 0 2 0 495 13
b. Syaraf 0 0 0 0 0 217 8
c. Jantung 0 0 0 0 0 146 2
d. Kulit/Kelamin 0 0 0 0 0 1 0
e. Paru 0 0 0 0 0 76 1
1 1 1 4 1 1137 24
5 RUANG GELATIK
1. Kelas II
a. Bedah Umum 12 1 3 9 2 488 0
b. Bedah Urologi 3 0 0 0 0 91 0
c. Bedah Orthopedi 5 1 1 2 0 32 0
d. Mata 1 0 0 0 0 74 0
e. THT 0 0 0 0 0 24 0
f. Gigi dan Mulut 0 0 0 0 0 18 0
2. Kelas III
a. Bedah Umum 0 0 0 0 0 781 23
b. Bedah Urologi 0 0 0 1 0 121 2
c. Bedah Orthopedi 0 0 0 0 0 26 5
d. Mata 0 0 0 1 0 148 1
e. THT 0 0 0 0 0 38 0
f. Gigi dan Mulut 0 0 0 0 0 16 0
 21 2 4 13 2 1857 31

1 2 3 4 5 6 7 8 9
6 RUANG MERPATI
1. VIP 2 0 3 0 0 56 0
2. Kelas II 2 2 19 6 0 462 0
3. Kelas III 0 0 0 0 0 669 7
4 2 22 6 0 1187 7
7 RUANG RAJAWALI
1. Kelas I
a. Penyakit Dalam 0 0 1 1 0 38 0
b. Bedah Umum 0 0 0 0 0 28 0
c. Bedah Urologi 0 0 0 0 0 3 0
d. Bedah Orthopedi 0 0 0 0 0 1 0
c. Syaraf 0 0 0 0 0 39 0
d. Jantung 0 0 0 0 0 26 0
e. Kulit/Kelamin 0 0 0 0 0 1 0
f. Paru 1 0 0 0 0 5 0
g. THT 0 0 0 0 0 4 0
h.Gigi 0 0 0 0 0 1 0
i.Mata 0 0 0 0 0 15 0
2. Kelas II
a. Penyakit Dalam 15 5 7 6 1 453 1
b. Bedah Umum 2 2 0 0 0 100 0
c. Bedah Urologi 1 0 0 0 0 24 0
d. Bedah Orthopedi 1 0 1 0 0 9 0
c. Syaraf 4 3 0 1 0 165 0
d. Jantung 2 1 2 0 0 174 0
e. Kulit/Kelamin 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 49 0
g. THT 0 0 1 0 0 39 0
h.Gigi 0 0 0 0 0 10 0
i.Mata 0 0 0 0 0 81 0
26 11 12 8 1 1265 1

1 2 3 4 5 6 7 8 9
8 RUANG KUTILANG
1. Kelas I 1 1 47 9 0 83 1
2. Kelas II 0 1 94 22 1 288 1
3. Kelas III 0 0 6 2 0 346 23
4. Perinatal 0 0 12 0 0 52 7
1 2 159 33 1 769 32
9 RUANG CENDRAWASIH
1. Kelas I 0 0 0 0 0 18 0
 2. Kelas II 1 0 1 0 0 24 0
3. Kelas III 0 0 0 0 0 25 5
1 0 1 0 0 67 5
10 ICU 4 1 0 0 0 281 5
JUMLAH 145 29 295 101 9 8643 118
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 KES/A-03/BL
LAPORAN BULANAN PELAYANAN RAWAT INAP
2016

HARI PERAWATAN
ANGK. SENDIRI ANGK. LAIN JAMKES
KONT YANMAS JML BPJS
MIL SIP KEL AD AL MAS
10 11 12 13 14 15 16 17 18 19

0 1 9 0 0 0 0 0 49 0
0 0 2 0 0 5 0 0 3 0
0 0 2 0 0 0 0 0 11 0
0 0 0 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 23 0
0 1 1 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 4 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 8 0 0 4 0
0 0 0 0 0 0 0 0 0 0

0 7 71 29 6 61 0 4 247 0
0 0 21 36 0 14 0 0 62 0
0 0 6 0 0 0 0 0 37 0
0 0 3 0 0 0 0 0 16 0
0 1 12 6 0 7 0 0 47 0
0 1 12 2 0 4 0 0 32 0
0 0 4 0 0 0 0 0 13 0
0 0 3 0 0 3 3 0 6 0
0 0 1 0 0 3 0 0 0 0
0 0 5 0 0 5 0 0 27 0
0 0 4 0 0 0 0 0 15 0

10 11 12 13 14 15 16 17 18 19

8 21 408 175 14 175 50 2 1492 0

0 2 295 29 0 44 67 0 1148 0
1 0 62 8 0 35 7 0 284 0
2 0 30 16 0 5 11 0 97 0
3 2 100 55 0 19 14 0 380 0
1 6 105 21 9 7 10 0 454 0
0 0 68 4 6 13 0 0 193 0
0 0 26 32 0 9 0 0 55 3
0 0 2 0 0 5 0 0 3 0
1 1 45 0 0 15 0 0 191 0
1 1 38 0 0 6 3 0 121 1
17 44 1342 413 35 443 165 6 5014 4
1 35 183 4 0 0 11 0 692 0
0 2 40 9 0 0 0 0 232 0
0 3 45 0 0 0 0 0 234 0
0 0 0 0 0 0 0 0 0 0
0 3 46 0 0 0 1 0 214 0

10 161 573 0 0 0 0 0 1816 24

3 43 196 0 0 0 0 0 753 35
3 22 152 0 0 0 0 0 606 7
0 1 1 0 0 0 0 0 0 0
4 20 121 0 0 0 0 0 403 7
21 290 1357 13 0 0 12 0 4950 73

10 11 12 13 14 15 16 17 18 19

1 8 129 4 5 3 6 3 649 0
1 0 41 0 0 0 7 0 240 0
0 1 24 0 0 0 0 0 113 0
0 0 0 0 0 0 0 0 0 0
0 7 32 0 0 0 0 0 150 0

7 189 706 0 0 8 8 0 2424 51

8 61 294 0 0 0 0 0 1222 37
3 23 174 0 0 0 0 0 653 5
0 1 2 0 0 0 0 0 17 0
1 14 92 0 0 0 0 0 441 5
21 304 1494 4 5 11 21 3 5909 98

1 13 529 73 3 9 26 6 2198 0
1 0 95 15 0 0 0 0 381 0
0 2 43 32 5 5 11 0 163 0
0 0 75 3 0 0 0 0 305 0
0 1 25 0 0 0 0 0 75 0
0 0 18 0 0 0 0 0 52 0

11 42 857 0 0 0 0 0 3569 99
2 5 131 0 0 0 4 0 595 11
0 7 38 0 0 0 0 0 177 53
0 2 152 0 0 0 2 0 437 2
0 1 39 0 0 0 0 0 124 0
0 1 17 0 0 0 0 0 50 0
15 74 2019 123 8 14 43 6 8126 165

10 11 12 13 14 15 16 17 18 19

1 3 65 6 0 7 0 0 182 0
1 14 506 6 6 70 20 0 1592 0
0 73 749 0 0 0 0 0 2296 21
2 90 1320 12 6 77 20 0 4070 21

0 6 46 0 0 6 3 0 152 0
0 0 28 0 0 0 0 0 106 0
0 0 3 0 0 0 0 0 13 0
0 0 1 0 0 0 0 0 8 0
0 1 40 0 0 0 0 0 171 0
0 1 27 0 0 0 0 0 101 0
0 0 1 0 0 0 0 0 3 0
0 0 6 7 0 0 0 0 23 0
0 0 4 0 0 0 0 0 17 0
0 0 1 0 0 0 0 0 3 0
0 0 15 0 0 0 0 0 42 0

2 97 587 71 31 32 27 4 2139 4
0 1 105 9 11 0 0 0 467 0
1 1 27 3 0 0 0 0 119 0
0 0 11 14 0 5 0 0 57 0
1 31 205 16 13 0 6 5 896 0
0 21 200 6 2 4 0 0 800 0
0 0 0 0 0 0 0 0 0 0
2 4 55 0 0 0 0 0 318 0
0 0 40 0 0 2 0 0 220 0
0 2 12 0 0 0 0 0 37 0
0 0 81 0 0 0 0 0 267 0
6 165 1495 126 57 49 36 9 5959 4

10 11 12 13 14 15 16 17 18 19

0 17 159 4 3 196 35 0 323 7

3 52 462 0 2 430 89 3 1241 5
4 282 663 0 0 28 7 0 1410 95
0 72 143 0 0 73 0 0 413 33
7 423 1427 4 5 727 131 3 3387 140

6 1 25 0 0 0 0 0 324 0
 2 4 32 11 0 14 0 0 281 0
1 7 38 0 0 0 0 0 424 88
9 12 95 11 0 14 0 0 1029 88
5 20 316 30 2 0 0 0 943 16
103 1422 10865 736 118 1335 428 27 39387 609
 KES/A-03/BL

Bandung, Mei 2014

Kamed

M. Mulyana
Mayor Kes NRP 510550

KES/A-03/BL
 Bandung, Mei 2014
Kamed

M. Mulyana
Mayor Kes NRP 510550

KES/A-03/BL

KES/A-03/BL
KES/A-03/BL

KONT YANMAS JML

20 21 22

0 2 51
0 0 8
0 0 11
0 0 0
0 0 23
0 5 5
0 0 4
0 0 0
0 0 0
0 0 12
0 0 0

0 33 380
0 0 112
0 0 37
0 0 16
0 9 69
0 7 45
0 0 13
0 0 12
0 0 3
0 0 32
0 0 15

20 21 22

40 94 2042
0 16 1304
6 0 340
10 0 139
14 12 494
5 33 539
0 0 216
0 0 99
0 0 8
8 2 216
0 2 133
83 215 6378
 3 159 869
0 14 255
0 6 240
0 0 0
0 15 230

46 767 2653
18 190 996
17 93 723
0 9 9
17 103 530
101 1356 6505

20 21 22

4 50 724
5 0 252
0 2 115
0 0 0
0 35 185

33 877 3401
43 312 1614
16 96 770
0 3 20
6 62 514
107 1437 7595

3 51 2369
3 0 399
0 11 227
0 0 308
0 0 75
0 0 52

46 180 3894
12 27 649
0 19 249
0 7 448
0 2 126
0 3 53
64 300 8849

20 21 22

2 9 206
1 38 1733
0 188 2505
3 235 4444

0 26 187
0 0 106
0 0 13
0 0 8
0 6 177
0 2 103
0 0 3
0 0 30
0 0 17
0 0 3
0 0 42

11 435 2754
0 6 493
4 14 140
0 0 76
6 151 1093
0 91 903
0 0 0
7 22 347
0 0 222
0 10 47
0 0 267
28 763 7031

20 21 22

0 61 629
13 228 2011
11 1092 2643
0 351 870
24 1732 6153

87 0 411
 49 70 425
16 67 595
152 137 1431
35 50 1076
597 6225 49462
KES/A-03/BL
KES/A-03/BL

KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

KES/A-03/BL

Mei 2014
med

ulyana
NRP 510550

KES/A-03/BL
KES/A-03/BL
 Mei 2014
med

ulyana
NRP 510550

KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

KES/A-03/BL
KES/A-03/BL
DINAS KESEHATAN ANGKATAN UDARA
RSAU Dr. M. SALAMUN

LAPORAN BULANAN PEL

TAHUN

PENDERITA
NO BAGIAN ANGK. SENDIRI ANGK. LAIN JAMKES
BPJS KONT
MIL SIP KEL AD AL MAS
1 2 3 4 5 6 7 8 9 10
1 RUANG PERWIRA
1. Kelas VVIP
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 0 0 0
f. Jantung 0 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 0 0 0
k. Gigi 0 0 0 0 0 0 0 0
2. Kelas VIP
a. Penyakit 9 1 1 0 0 18 0 0
b. Bedah 2 0 0 0 0 5 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 1 0 11 0 0
f. Jantung 0 0 0 0 0 5 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 1 0 0 0 0 0
j. Paru 1 0 1 0 0 0 0 0
k. Gigi 1 0 2 0 0 1 0 0

1 2 3 4 5 6 7 8 9 10
3. Kelas I
a. Penyakit 29 4 7 7 0 407 0 0
b. Bedah 8 1 2 12 0 222 0 0
c. Bedah Ur 3 0 2 3 0 97 0 0
d. Bedah Or 2 0 1 0 1 8 0 0
e. Syaraf 4 1 0 4 0 240 0 0
f. Jantung 2 1 0 0 0 159 0 0
 g. Mata 3 0 0 2 0 31 0 0
h. THT 6 0 1 1 0 33 0 0
i. Kulit/ Kel 2 0 0 0 0 21 0 0
j. Paru 1 0 0 0 1 20 0 0
k. Gigi 1 0 5 1 0 30 0 2
3. Isolasi
a. Penyakit 0 0 0 0 0 2 0 0
b. Bedah 0 0 0 0 0 1 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 1 0 0
f. Jantung 0 0 0 0 0 1 0 0
g. Mata 0 0 0 0 0 1 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 1 0 0
k. Gigi 0 0 0 0 0 0 0 0
74 8 23 31 2 1315 0 2

1 2 3 4 5 6 7 8 9 10
3 RUANG PARKIT
1. Kelas II
a. Penyakit 0 0 0 2 0 44 0 1
b. Syaraf 2 0 0 1 0 19 0 0
c. Jantung 2 0 0 0 0 11 1 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 3 0 0
2. Kelas III
a. Penyakit 0 0 2 0 0 239 66 0
b. Syaraf 1 0 0 0 0 159 52 0
c. Jantung 0 0 0 0 0 136 28 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 1 0 0 0 29 5 0
3. Isolasi
a. Penyakit 1 0 0 1 0 66 7 0
b. Syaraf 0 0 0 0 0 2 1 0
c. Jantung 0 0 0 0 0 3 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 23 1 0
8 6 6 4 0 806 176 1
4 RUANG MERAK
1. Kelas II
a. Penyakit 0 0 0 2 0 65 0 0
 b. Syaraf 0 0 0 0 0 26 0 0
c. Jantung 0 0 0 0 0 8 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 1 0 0
2. Kelas III
a. Penyakit 1 0 0 0 0 331 87 0
b. Syaraf 0 0 0 0 0 158 55 1
c. Jantung 0 0 1 0 0 97 24 0
d. Kulit/Kel 1 0 0 0 0 1 0 0
e. Paru 0 0 0 1 0 27 4 0
3. Isolasi
a. Penyakit 1 0 0 1 0 42 6 0
b. Syaraf 0 0 0 0 0 2 0 0
c. Jantung 0 0 0 0 0 0 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 8 0 0
7 1 1 4 0 902 191 1

1 2 3 4 5 6 7 8 9 10
5 RUANG GELATIK
1. Kelas II
a. Bedah 10 1 5 10 2 310 2 0
b. Bedah Ur 3 0 2 3 0 67 1 0
c. Bedah Or 3 0 0 1 0 16 0 0
d. Mata 2 0 0 2 4 28 0 0
e. THT 5 0 2 1 0 65 1 0
f. Gigi dan 1 0 0 2 1 39 0 0
2. Kelas III
a. Bedah 0 0 0 2 0 435 108 0
b. Bedah Ur 0 0 0 1 0 124 70 1
c. Bedah Or 0 0 0 0 1 40 26 0
d. Mata 0 0 0 0 0 45 18 0
e. THT 0 0 0 0 0 51 20 0
f. Gigi dan 0 0 0 0 0 27 12 0
3. Isolasi
a. Bedah 0 0 0 0 0 7 3 0
b. Bedah Ur 0 0 0 0 0 3 0 0
c. Bedah Or 0 0 0 0 0 0 0 0
d. Mata 0 0 0 0 0 1 0 0
e. THT 0 0 0 0 0 0 0 0
f. Gigi dan 0 0 0 0 0 0 0 0
15 5 3 9 2 1030 190 1
6 RUANG MERPATI
1. VIP 0 0 1 0 0 33 0 0
2. Kelas II 17 8 16 17 1 461 0 0
3. Kelas III 1 0 8 1 1 560 86 0
18 8 25 18 2 1054 86 0
1 2 3 4 5 6 7 8 9 10
7 RUANG RAJAWALI
1. Kelas I
a. Penyakit 0 1 1 1 0 48 0 0
b. Bedah 0 0 2 0 0 39 0 0
c. Bedah Ur 0 0 0 0 0 3 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 0 0 0 1 0 25 0 0
d. Jantung 0 0 0 0 0 22 0 0
e. Kulit/Kel 0 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 6 0 0
g. THT 0 0 0 0 0 6 0 0
h.Gigi 0 0 0 0 0 5 0 0
i.Mata 0 0 0 0 0 25 0 0
2. Kelas II
a. Penyakit 29 4 5 10 1 288 2 0
b. Bedah 8 0 1 2 0 25 0 0
c. Bedah Ur 0 0 0 0 0 5 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 9 1 2 6 0 181 1 0
d. Jantung 8 1 0 3 0 111 0 0
e. Kulit/Kel 0 0 0 0 0 2 0 0
f. Paru 2 0 0 0 0 14 1 0
g. THT 3 0 1 0 0 14 0 0
h.Gigi 1 0 0 0 0 1 0 0
i.Mata 1 0 0 3 0 42 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 0 0 0 0 0 0 0 0
d. Jantung 0 0 0 0 0 0 0 0
e. Kulit/Kel 0 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 0 0 0
g. THT 0 0 0 0 0 0 0 0
h.Gigi 0 0 0 0 0 0 0 0
i.Mata 0 0 0 0 0 0 0 0
61 7 12 26 1 862 4 0
1 2 3 4 5 6 7 8 9 10
8 RUANG KUTILANG
1. Kelas I 2 1 18 6 0 119 0 0
2. Kelas II 7 0 40 31 0 368 2 0
3. Kelas III 1 0 0 3 0 424 53 0
4. Perinatal 0 0 5 2 0 71 5 0
5. Isolasi 0 0 1 0 0 7 0 0
10 1 64 42 0 989 60 0
9 RUANG CENDRAWASIH
1. Kelas I 0 0 0 0 0 24 0 1
2. Kelas II 3 0 0 0 0 26 0 2
3. Kelas III 0 0 0 0 0 36 7 0
4. Isolasi 1 0 0 0 0 1 0 0
4 0 0 0 0 87 7 3
10 ICU 5 0 1 0 0 444 23 2
JUMLAH 219 36 135 134 7 7489 737 10
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 KES/A-03/BL
PORAN BULANAN PELAYANAN RAWAT INAP
TAHUN 2017

HARI PERAWATAN
ANGK. SENDIRI ANGK. LAIN JAMKES
YANMAS JML BPJS KONT
MIL SIP KEL AD AL MAS
11 12 13 14 15 16 17 18 19 20

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

2 31 32 4 5 0 0 59 0 0
0 7 4 0 0 0 0 18 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 12 0 0 0 3 0 43 0 0
0 5 0 0 0 0 0 19 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 3 0 0 0 0 0
0 2 2 0 6 0 0 0 0 0
0 4 2 0 4 0 0 2 0 0

11 12 13 14 15 16 17 18 19 20

14 468 91 15 28 20 0 1665 0 0
7 252 28 4 7 29 0 678 9 0
0 105 7 0 6 7 0 271 0 0
0 12 13 0 4 0 6 26 0 0
7 256 15 2 0 13 0 1012 0 0
4 166 5 3 0 0 0 536 0 0
 0 36 6 0 0 4 0 84 0 0
1 42 14 0 2 2 0 56 0 0
0 23 2 0 0 0 0 68 0 0
1 23 5 0 0 0 7 67 0 0
0 39 2 0 8 2 0 63 0 9

0 2 0 0 0 0 0 3 0 0
0 1 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 6 0 0
0 1 0 0 0 0 0 3 0 0
0 1 0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 4 0 0
0 0 0 0 0 0 0 0 0 0
36 1486 228 28 73 80 13 4686 9 9

11 12 13 14 15 16 17 18 19 20

2 49 0 0 0 7 0 194 0 4
3 25 5 0 0 5 0 88 0 0
3 17 6 0 0 0 0 47 5 0
0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 13 0 0

71 378 0 0 10 0 0 964 298 0

51 263 5 0 0 0 0 739 276 0
25 189 0 0 0 0 0 584 129 0
1 1 0 0 0 0 0 0 0 0
2 37 0 5 0 0 0 148 26 0

9 84 5 0 0 7 0 309 36 0
2 5 0 0 0 0 0 21 6 0
0 3 0 0 0 0 0 17 0 0
0 0 0 0 0 0 0 0 0 0
4 126 0 0 0 0 0 124 8 0
173 1180 29 25 28 19 0 3582 849 4

3 70 0 0 0 7 0 219 0 0
 1 27 0 0 0 0 0 111 0 0
1 9 0 0 0 0 0 32 0 0
0 0 0 0 0 0 0 0 0 0
1 2 0 0 0 0 0 5 0 0

93 512 3 0 0 0 0 1268 400 0

40 254 0 0 0 0 0 705 272 3
23 145 0 0 3 0 0 396 89 0
0 2 8 0 0 0 0 7 0 0
3 35 0 0 0 5 0 131 20 0

9 59 8 0 0 6 0 220 24 0
0 2 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0
0 94 0 0 0 0 0 47 0 0
175 1299 25 0 3 18 0 3465 860 3

11 12 13 14 15 16 17 18 19 20

7 347 29 2 17 19 6 1080 6 0
0 76 11 0 8 12 0 238 7 0
0 20 11 0 0 1 0 42 0 0
0 36 4 0 0 5 0 65 0 0
2 76 10 0 6 3 0 186 1 0
0 43 1 0 0 3 3 104 0 0

22 567 0 0 0 4 0 1444 323 0

6 202 0 0 0 4 0 380 209 2
1 68 0 0 0 0 4 134 78 0
0 63 0 0 0 0 0 111 41 0
2 73 0 0 0 0 0 128 39 0
7 46 0 0 0 0 0 75 30 0

0 10 0 0 0 0 0 15 11 0
0 3 0 0 0 0 0 13 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0
0 161 0 0 0 0 0 0 0 0
42 1297 44 17 11 19 6 3172 372 2

0 34 0 0 2 0 0 84 0 0
15 535 36 14 34 39 4 1060 0 0
61 718 2 0 17 1 3 1442 183 0
76 1287 38 14 53 40 7 2586 183 0
11 12 13 14 15 16 17 18 19 20

3 54 0 4 3 4 0 199 0 0
1 42 0 0 5 0 0 133 0 0
0 3 0 0 0 0 0 7 0 0
0 0 0 0 0 0 0 0 0 0
5 31 0 0 0 5 0 107 0 0
0 22 0 0 0 0 0 80 0 0
0 0 0 0 0 0 0 0 0 0
2 8 0 0 0 0 0 30 0 0
0 6 0 0 0 0 0 16 0 0
0 5 0 0 0 0 0 13 0 0
0 25 0 0 0 0 0 61 0 0

46 385 77 14 23 39 4 1100 7 0
3 39 24 0 3 4 4 94 0 0
0 5 0 0 0 0 0 17 0 0
0 0 0 0 0 0 0 0 0 0
22 222 32 2 5 17 0 772 4 0
8 131 22 2 0 10 0 382 0 0
0 2 0 0 0 0 0 11 0 0
4 21 12 0 0 0 0 54 2 0
0 18 6 0 2 0 0 37 0 0
1 3 2 0 0 0 0 2 0 0
0 46 2 0 0 7 0 102 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 82 0 0 0 0 0 0 0 0
95 1150 177 22 41 86 8 3217 13 0
 11 12 13 14 15 16 17 18 19 20

23 169 7 3 50 19 0 475 0 0
31 479 28 0 156 95 0 1344 2 0
268 749 2 0 0 10 0 1538 217 0
47 130 0 0 17 7 0 414 12 0
7 15 0 0 4 0 0 40 0 0
376 1542 37 3 227 131 0 3811 231 0
,
2 27 0 0 0 0 0 364 0 8
0 31 64 0 0 0 0 352 0 37
6 49 0 0 0 0 0 490 146 0
1 3 8 0 0 0 0 16 0 0
9 110 72 0 0 0 0 1222 146 45
24 499 10 0 4 0 0 1229 70 4
1006 9850 660 109 440 393 34 26970 2733 67
KES/A-03/BL
KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

Bandung, Mei 2014

Kamed

M. Mulyana
Mayor Kes NRP 510550
 KES/A-03/BL

Bandung, Mei 2014

Kamed

M. Mulyana
Mayor Kes NRP 510550

KES/A-03/BL
KES/A-03/BL

KES/A-03/BL
KES/A-03/BL

YANMAS JML
21 22

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

3 103
0 22
0 0
0 0
0 46
0 19
0 0
0 0
0 3
0 8
0 8

21 22

40 1859
27 782
0 291
0 49
28 1070
13 557
 0 94
3 77
0 70
1 80
0 84

0 3
0 1
0 0
0 0
0 6
0 3
0 2
0 0
0 0
0 4
0 0
115 5070

21 22

9 214
13 111
10 68
0 0
0 13

276 1548
168 1188
112 825
3 3
12 191

36 393
12 39
0 17
0 0
16 593
667 5203

8 234
 2 113
4 36
0 0
5 10

382 2053
164 1144
94 582
0 15
17 173

31 289
0 9
0 0
5 5
0 423
712 5412

21 22

17 1176
0 276
0 54
0 74
2 208
2 113

91 1862
19 614
6 222
0 152
7 174
15 120

0 26
0 13
0 0
0 9
0 0
0 593
118 3998

0 86
30 1217
131 1779
161 3082
21 22

8 218
3 141
0 7
0 0
18 130
0 80
0 0
8 38
0 16
0 13
0 61

179 1443
11 140
0 17
0 0
86 918
24 440
0 11
20 88
0 45
2 6
0 111

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 354
359 4277
 21 22

84 638
99 1724
926 2693
207 657
20 64
1336 5776

23 395
9 462
64 700
12 36
108 1593
57 1374
3633 35785
KES/A-03/BL
KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

KES/A-03/BL

14

550
 KES/A-03/BL
KES/A-03/BL

14

550

KES/A-03/BL
KES/A-03/BL

KES/A-03/BL

KES/A-03/BL
KES/A-03/BL
DINAS KESEHATAN ANGKATAN UDARA
RSAU Dr. M. SALAMUN

LAPORAN PELAYAN
TAHUN

PENDERITA
NO BAGIAN ANGK. SENDIRI ANGK. LAIN JAMKES
BPJS KONT
MIL SIP KEL AD AL MAS
1 2 3 4 5 6 7 8 9 10
1 RUANG PERWIRA
1. Kelas VVIP
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 0 0 0
f. Jantung 0 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 0 0 0
k. Gigi 0 0 0 0 0 0 0 0
2. Kelas VIP
a. Penyakit 11 0 2 0 1 19 0 0
b. Bedah 5 0 1 0 0 5 0 0
c. Bedah Ur 4 0 0 0 0 3 0 0
d. Bedah Or 0 0 0 0 0 2 0 0
e. Syaraf 2 0 1 1 0 11 0 0
f. Jantung 0 0 0 0 0 1 0 0
g. Mata 1 0 0 0 0 2 0 0
h. THT 4 0 1 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Obgyn 1 0 0 0 0 2 0 0
k. Gigi 1 0 1 0 0 1 0 0

1 2 3 4 5 6 7 8 9 10
3. Kelas I
a. Penyakit 33 3 4 9 2 341 0 0
b. Bedah 13 0 3 19 0 171 0 0
c. Bedah Ur 7 0 2 1 0 95 0 0
d. Bedah Or 4 0 3 2 1 45 0 3
e. Syaraf 23 1 1 9 0 213 0 0
f. Jantung 1 1 2 1 0 134 0 0
g. Mata 5 0 0 2 0 33 0 0
h. THT 8 0 3 1 0 37 0 0
 i. Obgyn 2 0 0 2 0 35 0 0
j. Paru 0 0 0 0 0 15 0 0
k. Gigi 3 0 7 8 0 70 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 0 0 0
f. Jantung 0 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 0 0 0
k. Gigi 0 0 0 0 0 0 0 0
128 5 31 55 4 1235 0 3

145 7 34 66 4 1349 0 4

1 2 3 4 5 6 7 8 9 10
3 RUANG PARKIT
1. Kelas II
a. Penyakit 3 0 3 6 0 53 0 0
b. Syaraf 4 0 0 0 0 25 0 0
c. Jantung 0 0 0 0 0 15 1 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 0 0 0
2. Kelas III
a. Penyakit 0 0 2 0 0 135 131 1
b. Syaraf 0 0 0 1 0 98 83 0
c. Jantung 0 0 0 0 0 75 46 0
d. THT 0 0 0 0 0 0 1 0
e. Paru 0 0 0 0 0 3 3 0
3. Isolasi
a. Penyakit 4 0 0 0 0 50 23 0
b. Syaraf 0 0 0 0 0 7 6 0
c. Jantung 0 0 0 0 0 4 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 0 1 0
11 0 5 7 0 465 295 1
13 0 5 7 0 520 326 2
4 RUANG MERAK
1. Kelas II
a. Penyakit 0 0 1 1 0 71 0 0
b. Syaraf 0 0 0 0 0 28 1 0
c. Jantung 0 0 0 0 0 18 0 0
 d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 1 0 0
2. Kelas III
a. Penyakit 1 0 0 0 0 268 170 2
b. Syaraf 0 0 0 0 0 130 100 0
c. Jantung 0 0 1 0 0 76 50 0
d. Kulit/Kel 1 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 6 3 0
3. Isolasi
a. Penyakit 3 0 0 0 0 38 13 0
b. Syaraf 0 0 0 0 0 1 2 0
c. Jantung 0 0 0 0 0 0 1 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 2 0 0
5 0 2 1 0 639 340 2
8 0 2 1 0 689 386 2
1 2 3 4 5 6 7 8 9 10
5 RUANG GELATIK
1. Kelas II
a. Bedah 9 1 4 11 0 177 0 0
b. Bedah Ur 4 0 2 1 0 43 2 0
c. Bedah Or 5 0 0 1 0 20 2 0
d. Mata 1 0 0 1 0 18 0 0
e. THT 2 0 4 2 0 26 1 0
f. Gigi dan 1 0 0 2 1 33 0 0
g. Obgyn 1 0 2 1 0 24 2 0
2. Kelas III
a. Bedah 2 0 0 2 1 302 196 1
b. Bedah Ur 0 0 0 1 0 119 59 0
c. Bedah Or 0 0 0 0 0 81 41 0
d. Mata 0 0 0 0 0 63 32 0
e. THT 0 0 0 0 0 39 22 0
f. Gigi dan 0 0 0 0 0 49 26 0
g. Obgyn 1 0 0 0 0 61 37 0
h. Bedah Pl 0 0 0 0 0 9 2 0
3. Isolasi
a. Bedah 0 0 0 0 0 0 2 0
b. Bedah Ur 0 0 0 0 0 1 0 0
c. Bedah Or 0 0 0 0 0 0 0 0
d. Mata 0 0 0 0 0 0 0 0
e. THT 0 0 0 0 0 0 0 0
f. Gigi dan 0 0 0 0 0 0 0 0
26 1 12 22 2 1065 424 1
33 1 12 25 2 1101 438 1
6 RUANG MERPATI
1. VIP 3 0 2 0 0 24 0 0
2. Kelas II 29 3 19 11 1 364 0 3
3. Kelas III 0 0 0 2 0 344 214 0
32 3 21 13 1 732 214 3
39 3 21 16 1 768 228 3
1 2 3 4 5 6 7 8 9 10
7 RUANG RAJAWALI
1. Kelas I
a. Penyakit 0 0 0 1 0 13 0 0
b. Bedah 1 0 0 1 0 2 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 1 0 3 0 0
c. Syaraf 0 0 0 0 0 12 0 0
d. Jantung 0 0 0 0 0 3 0 0
e. Kulit/Kel 0 0 0 0 0 1 0 0
f. Paru 0 0 0 0 0 0 0 0
g. THT 0 0 0 0 0 0 0 0
h.Gigi 0 0 0 0 0 1 0 0
i.Mata 0 0 0 0 0 5 0 0
2. Kelas II
a. Penyakit 47 0 4 13 0 252 0 0
b. Bedah 15 1 3 6 0 100 0 0
c. Bedah Ur 7 0 0 0 0 35 0 0
d. Bedah Or 9 0 2 3 0 32 0 0
c. Syaraf 16 1 1 7 0 204 0 0
d. Jantung 6 0 1 4 0 104 0 0
e. Obgyn 1 0 1 0 0 19 0 0
f. Paru 0 0 0 0 0 8 0 0
g. THT 1 0 1 0 0 14 0 0
h.Gigi 6 0 0 12 1 33 0 0
i.Mata 3 0 0 0 0 31 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 0 0 0 0 0 0 0 0
d. Jantung 0 0 0 0 0 0 0 0
e. Kulit/Kel 0 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 0 0 0
g. THT 0 0 0 0 0 0 0 0
h.Gigi 0 0 0 0 0 0 0 0
i.Mata 0 0 0 0 0 0 0 0
112 2 13 48 1 872 0 0
125 2 15 60 1 933 0 0

1 2 3 4 5 6 7 8 9 10
8 RUANG KUTILANG
1. Kelas I 0 1 33 17 1 99 1 0
2. Kelas II 0 2 53 45 2 323 1 0
3. Kelas III 0 0 0 3 0 313 187 0
4. Perinatal 0 0 9 2 0 49 18 1
5. Isolasi 0 0 1 0 0 7 4 0
 0 3 96 67 3 791 211 1
0 3 112 78 3 866 232 1
9 RUANG CENDRAWASIH
1. Kelas I 1 0 0 0 0 22 0 2
2. Kelas II 2 0 0 0 0 19 0 0
3. Kelas III 0 0 0 0 0 24 18 0
4. Isolasi 0 0 1 0 0 11 7 1
3 0 1 0 0 76 25 3
4 0 1 0 0 79 26 3
10 ICU 3 1 3 0 0 360 35 1
JUMLAH 320 15 184 213 11 6235 1544 15
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 ,Mengetahui
An. Kepala RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

Letkol Kes NRP 513093
 KES/A-03/BL
LAPORAN PELAYANAN RAWAT INAP
TAHUN 2018

HARI PERAWATAN
ANGK. SENDIRI ANGK. LAIN JAMKES
YANMAS JML BPJS KONT
MIL SIP KEL AD AL MAS
11 12 13 14 15 16 17 18 19 20

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

4 37 22 0 10 0 3 67 0 0
0 11 12 0 3 0 0 13 0 0
0 7 5 0 0 0 0 6 0 0
0 2 0 0 0 0 0 7 0 0
1 16 7 0 2 3 0 49 0 0
0 1 0 0 0 0 0 2 0 0
0 3 2 0 0 0 0 5 0 0
0 5 7 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 3 2 0 0 0 0 6 0 0
1 4 2 0 3 0 0 1 0 0

11 12 13 14 15 16 17 18 19 20

15 407 132 10 11 27 5 1190 0 0

8 214 21 0 14 25 0 404 0 0
1 106 20 0 6 1 0 208 0 0
1 59 16 0 7 3 3 98 0 6
9 256 88 2 2 25 0 959 0 0
5 144 2 3 5 1 0 445 0 0
3 43 7 0 0 3 0 56 0 0
2 51 13 0 3 1 0 50 0 0
 2 41 3 0 0 6 0 101 0 0
1 16 0 0 0 0 0 39 0 0
1 89 5 0 8 8 0 109 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
54 1515 366 15 75 103 11 3815 0 6

62 1671 407 19 79 122 11 4188 0 20

11 12 13 14 15 16 17 18 19 20

2 67 11 0 8 25 0 243 0 0
1 30 10 0 0 0 0 119 0 0
2 18 0 0 0 0 0 61 6 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

51 320 0 0 10 0 0 523 604 7

44 226 0 0 0 2 0 466 401 0
15 136 0 0 0 0 0 266 146 0
2 3 0 0 0 0 0 0 2 0
0 6 0 0 0 0 0 17 17 0

16 93 17 0 0 0 0 241 100 0
2 15 0 0 0 0 0 31 33 0
0 4 0 0 0 0 0 21 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 8 0
135 919 38 0 18 27 0 1988 1317 7
151 996 43 0 18 27 0 2295 1463 10

7 80 0 0 5 5 0 297 0 0
5 34 0 0 0 0 0 105 7 0
0 18 0 0 0 0 0 64 0 0
 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 2 0 0

88 529 3 0 0 0 0 1001 703 10

36 266 0 0 0 0 0 531 461 0
16 143 0 0 3 0 0 269 184 0
0 1 8 0 0 0 0 0 0 0
0 9 0 0 0 0 0 26 15 0

8 62 23 0 0 0 0 192 58 0
0 3 0 0 0 0 0 5 10 0
1 2 0 0 0 0 0 0 4 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 12 0 0
161 1150 34 0 8 5 0 2504 1442 10
175 1263 47 0 8 5 0 2730 1642 10
11 12 13 14 15 16 17 18 19 20

0 202 16 2 13 17 0 365 0 0
1 53 8 0 8 2 0 114 5 0
0 28 9 0 0 1 0 40 4 0
0 20 1 0 0 3 0 28 0 0
2 37 2 0 6 3 0 51 1 0
0 37 1 0 0 3 3 41 0 0
0 30 2 0 2 2 0 60 4 0

22 526 2 0 0 5 2 708 450 1

9 188 0 0 0 2 0 245 131 0
10 132 0 0 0 0 0 238 91 0
7 102 0 0 0 0 0 119 53 0
6 67 0 0 0 0 0 89 44 0
1 76 0 0 0 0 0 98 38 0
2 101 1 0 0 0 0 138 99 0
0 11 0 0 0 0 0 24 4 0

0 2 0 0 0 0 0 0 8 0
0 1 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0
61 1614 42 2 29 38 5 2367 932 1
68 1681 59 2 29 44 5 2440 959 1

0 29 6 0 5 0 0 23 0 0
6 436 41 6 33 23 1 669 0 4
59 619 0 0 0 2 0 606 349 0
65 1084 47 6 38 25 1 1298 349 4
72 1151 64 6 38 31 1 1371 376 4
11 12 13 14 15 16 17 18 19 20

0 14 0 0 0 4 0 56 0 0
0 4 2 0 0 1 0 6 0 0
0 0 0 0 0 0 0 0 0 0
0 4 0 0 0 5 0 6 0 0
3 15 0 0 0 0 0 43 0 0
0 3 0 0 0 0 0 10 0 0
0 1 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 4 0 0
0 5 0 0 0 0 0 11 0 0

45 361 155 0 13 48 0 901 0 0

6 131 34 2 8 18 4 263 0 0
0 42 13 0 0 0 0 69 0 0
2 48 21 0 5 5 0 91 0 0
22 251 51 6 4 25 0 826 0 0
7 122 15 0 1 12 0 321 0 0
1 22 1 0 4 0 0 103 0 0
0 8 0 0 0 0 0 26 0 0
0 16 1 0 2 0 0 24 0 0
3 55 8 0 0 16 1 56 0 0
0 34 7 0 0 0 0 45 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
89 1137 308 8 37 134 5 2862 0 0
93 1229 334 8 40 165 5 3040 0 0

11 12 13 14 15 16 17 18 19 20

7 159 0 3 114 52 3 316 5 0

36 462 0 5 173 134 5 1191 2 0
218 721 0 0 0 9 0 1183 672 0
40 119 0 0 36 5 0 342 156 7
4 16 0 0 9 0 0 33 11 0
305 1477 0 8 332 200 8 3065 846 7
350 1645 1 8 372 233 8 3314 925 7

0 25 12 0 0 0 0 289 0 22
0 21 32 0 0 0 0 252 0 0
3 45 0 0 0 0 0 299 199 26
2 22 0 0 18 0 0 148 129 23
5 113 44 0 18 0 0 988 328 71
7 120 61 0 18 0 0 1036 347 71
15 418 15 1 12 0 0 1161 101 4
890 9427 894 40 567 532 30 20048 5315 110
KES/A-03/BL
KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

Bandung, Mei 2014

Kamed

M. Mulyana
Mayor Kes NRP 510550

KES/A-03/BL
 Bandung, Mei 2014
Kamed

M. Mulyana
Mayor Kes NRP 510550

KES/A-03/BL

KES/A-03/BL
KES/A-03/BL
KES/A-03/BL

YANMAS JML
21 22

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

12 114
0 28
0 11
0 7
5 66
0 2
0 7
0 8
0 0
0 8
2 8

21 22

46 1421
21 485
1 236
2 135
21 1097
14 470
3 69
9 76
 4 114
1 40
2 132

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
143 4534

159 5005

21 22

9 296
3 132
6 73
0 0
0 0

180 1324
128 997
59 471
6 8
0 34

58 416
14 78
0 21
0 0
0 8
463 3858
528 4256

21 328
20 132
0 64
 0 0
0 2

320 2037
135 1127
60 516
0 8
0 41

24 297
0 15
3 7
0 0
0 12
583 4586
636 5078
21 22

0 413
4 141
0 54
0 32
2 65
0 48
0 70

50 1218
19 397
22 351
8 180
8 141
1 137
3 241
0 28

0 8
0 9
0 0
0 0
0 0
4 4
121 3537
131 3670

0 34
13 790
116 1073
129 1897
139 2030
21 22

0 60
0 9
0 0
0 11
12 55
0 10
0 1
0 0
0 0
0 4
0 11

156 1273
11 340
0 82
11 133
94 1006
27 376
2 110
0 26
0 27
5 86
0 52

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
318 3672
330 3922

21 22

21 514
116 1626
745 2609
251 797
11 64
1144 5610
1325 6193

0 323
8 292
35 559
29 347
72 1521
94 1627
43 1337
3016 30552
KES/A-03/BL
KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

KES/A-03/BL

14

550

KES/A-03/BL
KES/A-03/BL
 KES/A-03/BL

14

550

KES/A-03/BL

KES/A-03/BL
 KES/A-03/BL

KES/A-03/BL
KES/A-03/BL
DINAS KESEHATAN ANGKATAN UDARA
RSAU Dr. M. SALAMUN

LAPORAN BULANAN PEL

201

PENDERITA
NO BAGIAN ANGK. SENDIRI ANGK. LAIN JAMKES
BPJS KONT
MIL SIP KEL AD AL MAS
1 2 3 4 5 6 7 8 9 10
1 RUANG PERWIRA
1. Kelas VVIP
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 0 0 0
f. Jantung 0 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 0 0 0
k. Gigi 0 0 0 0 0 0 0 0
2. Kelas VIP
a. Penyakit 4 0 6 0 0 7 0 0
b. Bedah 1 0 1 0 0 1 0 0
c. Bedah Ur 0 0 1 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 1
e. Syaraf 1 0 0 0 0 7 0 0
f. Jantung 2 0 0 0 0 5 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Obgyn 0 0 0 0 0 0 0 0
k. Gigi 1 0 3 0 0 1 0 0

1 2 3 4 5 6 7 8 9 10
3. Kelas I
a. Penyakit 46 2 13 15 1 350 0 1
b. Bedah 23 0 3 3 0 96 0 0
c. Bedah Ur 3 0 2 1 0 51 0 0
d. Bedah Or 9 0 1 2 1 72 0 1
e. Syaraf 10 1 1 2 0 158 0 1
f. Jantung 8 1 1 1 1 161 0 0
g. Mata 7 0 1 0 0 19 0 0
 h. THT 7 0 7 1 0 4 0 0
i. Obgyn 1 0 0 1 0 11 0 0
j. Paru 1 0 0 0 0 27 0 0
k. Gigi 11 0 2 4 0 42 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
e. Syaraf 0 0 0 0 0 0 0 0
f. Jantung 0 0 0 0 0 0 0 0
g. Mata 0 0 0 0 0 0 0 0
h. THT 0 0 0 0 0 0 0 0
i. Kulit/ Kel 0 0 0 0 0 0 0 0
j. Paru 0 0 0 0 0 0 0 0
k. Gigi 0 0 0 0 0 0 0 0
135 4 42 30 3 1012 0 4

1 2 3 4 5 6 7 8 9 10
ANGK. SENDIRI ANGK. LAIN JAMKES
BPJS KONT
3 RUANG PA MIL SIP KEL AD AL MAS
1. Kelas II
a. Penyakit4 0 0 0 0 66 0 0
b. Syaraf 1 0 0 1 0 22 1 0
c. Jantung 1 0 0 0 0 10 0 0
d. Kulit/Kel
0 0 0 0 0 0 0 0
e. Paru 0 1 0 0 0 4 0 0
2. Kelas III
0 0 0 0 0 0 0 0
a. Penyakit0 0 0 0 0 378 38 0
b. Syaraf 0 0 0 0 0 160 10 0
c. Jantung 0 0 0 0 0 135 6 1
d. THT 0 0 0 0 0 2 1 0
e. Paru 0 0 0 0 0 37 0 0
3. Isolasi 0 0 0 0 0 0 0 0
a. Penyakit0 0 1 0 0 59 2 0
b. Syaraf 1 0 0 0 0 4 0 0
c. Jantung 0 0 0 0 0 0 1 0
d. Kulit/Kel
0 0 0 0 0 1 0 0
e. Paru 2 0 0 0 0 14 0 0
9 1 1 1 0 892 59 1
4 RUANG MERAK
 1. Kelas II
a. Penyakit 2 0 0 1 0 67 0 0
b. Syaraf 0 0 0 0 0 23 0 0
c. Jantung 0 0 0 0 0 11 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 7 0 0
2. Kelas III
a. Penyakit 1 0 0 0 0 405 45 0
b. Syaraf 0 0 0 0 0 171 19 0
c. Jantung 0 0 0 0 0 122 20 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 14 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 26 0 0
b. Syaraf 0 0 0 0 0 6 1 0
c. Jantung 0 0 0 0 0 2 0 0
d. Kulit/Kel 0 0 0 0 0 0 0 0
e. Paru 0 0 0 0 0 7 0 0
3 0 0 1 0 861 85 0

1 2 3 4 5 6 7 8 9 10
5 RUANG GELATIK
1. Kelas II
a. Bedah 0 0 0 0 0 0 0 0
b. Bedah Ur 0 0 0 0 0 0 0 0
c. Bedah Or 0 0 0 0 0 0 0 0
d. Mata 0 0 0 0 0 0 0 0
e. THT 0 0 0 0 0 0 0 0
f. Gigi dan 0 0 0 0 0 0 0 0
g. Obgyn 0 0 0 0 0 0 0 0
2. Kelas III
a. Bedah 4 0 0 1 0 246 13 0
b. Bedah Ur 0 0 0 0 0 92 5 0
c. Bedah Or 3 0 0 1 0 87 8 0
d. Mata 0 0 0 0 0 66 2 1
e. THT 3 0 0 0 0 16 5 0
f. Gigi dan 1 0 0 1 0 35 3 0
g. Obgyn 0 0 0 0 0 34 6 0
h. Bedah Pl 0 0 0 0 0 5 4 0
3. Isolasi
a. Bedah 0 0 0 0 0 0 0 0
b. Bedah Ur 0 0 0 0 0 0 0 0
c. Bedah Or 0 0 0 0 0 0 0 0
d. Mata 0 0 0 0 0 0 0 0
e. THT 0 0 0 0 0 0 0 0
f. Gigi dan 0 0 0 0 0 0 0 0
11 0 0 3 0 581 46 1
6 RUANG MERPATI
1. VIP 1 0 4 1 0 21 0 0
2. Kelas II 7 0 14 2 0 306 0 1
3. Kelas III 0 0 0 0 0 320 31 0
8 0 18 3 0 647 31 1
1 2 3 4 5 6 7 8 9 10
7 RUANG RAJAWALI
1. Kelas I
a. Penyakit 0 0 0 0 0 1 0 0
b. Bedah 0 0 0 0 0 1 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 0 0 0 0 0 0 0 0
d. Jantung 0 0 0 0 0 0 0 0
e. Kulit/Kel 0 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 0 0 0
g. THT 0 0 0 0 0 0 0 0
h.Gigi 0 0 0 0 0 0 0 0
i.Mata 0 0 0 0 0 0 0 0
2. Kelas II
a. Penyakit 32 2 17 4 1 362 0 4
b. Bedah 13 2 9 7 0 104 0 0
c. Bedah Ur 9 0 2 0 0 26 0 0
d. Bedah Or 23 1 1 1 0 51 0 1
c. Syaraf 8 1 2 2 0 129 0 2
d. Jantung 3 0 2 1 0 98 0 2
e. Obgyn 3 0 2 1 0 7 0 0
f. Paru 1 0 2 0 0 22 0 0
g. THT 2 0 3 2 0 16 0 0
h.Gigi 7 0 8 2 0 65 1 1
i.Mata 3 0 1 2 0 18 0 0
3. Isolasi
a. Penyakit 0 0 0 0 0 0 0 0
b. Bedah 0 0 0 0 0 0 0 0
c. Bedah Ur 0 0 0 0 0 0 0 0
d. Bedah Or 0 0 0 0 0 0 0 0
c. Syaraf 0 0 0 0 0 0 0 0
d. Jantung 0 0 0 0 0 0 0 0
e. Kulit/Kel 0 0 0 0 0 0 0 0
f. Paru 0 0 0 0 0 0 0 0
g. THT 0 0 0 0 0 0 0 0
h.Gigi 0 0 0 0 0 0 0 0
i.Mata 0 0 0 0 0 0 0 0
104 6 49 22 1 900 1 10

1 2 3 4 5 6 7 8 9 10
8 RUANG KUTILANG
 1. Kelas I 4 0 41 9 0 121 0 1
2. Kelas II 6 0 59 22 0 290 6 0
3. Kelas III 3 0 2 1 0 458 56 0
4. Perinatal 0 0 4 2 0 70 3 1
5. Isolasi 0 0 0 0 0 11 2 0
13 0 106 34 0 950 67 2
9 RUANG CENDRAWASIH
1. Kelas I 0 0 0 0 0 16 0 0
2. Kelas II 1 0 0 0 0 5 1 0
3. Kelas III 0 0 0 0 0 12 5 0
4. Isolasi 3 0 0 0 0 25 18 1
4 0 0 0 0 58 24 1
10 ICU 2 0 1 0 0 233 23 0
JUMLAH 289 11 217 94 4 6134 336 20
 ,Mengetahui
An. Kepala,Mengetahui
RSAU dr. M. Salamun
An. Kepala Sesrumkit
RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

dr.Letkol KesNursyam
R. Lucky NRP 513093
A, SpB
Letkol Kes NRP 513093
 ,Mengetahui
,Mengetahui
An. Kepala RSAU dr. M. Salamun
An. Kepala Sesrumkit
RSAU dr. M. Salamun
Sesrumkit

dr. R. Lucky Nursyam A, SpB

dr.Letkol KesNursyam
R. Lucky NRP 513093
A, SpB
Letkol Kes NRP 513093
 KES/A-03/BL
PORAN BULANAN PELAYANAN RAWAT INAP
2019

HARI PERAWATAN
ANGK. SENDIRI ANGK. LAIN JAMKES
YANMAS JML BPJS KONT
MIL SIP KEL AD AL MAS
11 12 13 14 15 16 17 18 19 20

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

4 21 16 0 19 0 0 26 0 0
0 3 3 0 1 0 0 4 0 0
0 1 0 0 2 0 0 0 0 0
0 1 0 0 0 0 0 0 3 0
0 8 3 0 0 0 0 33 0 0
0 7 5 0 0 0 0 18 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 5 3 0 9 0 0 3 0 0

11 12 13 14 15 16 17 18 19 20

16 444 176 7 56 50 4 1445 0 3

0 125 62 0 8 7 0 367 0 0
0 57 5 0 6 4 0 210 0 0
0 86 24 0 3 4 4 288 0 5
5 178 33 5 3 7 0 734 0 9
1 174 26 2 3 4 2 586 0 0
0 27 12 0 1 0 0 44 0 0
 1 20 10 0 33 1 0 42 0 0
1 14 3 0 0 3 0 46 0 0
0 28 4 0 0 0 0 113 0 0
0 59 15 0 6 9 0 109 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
28 1258 400 14 150 89 10 4068 3 17

11 12 13 14 15 16 17 18 19 20
ANGK. SENDIRI ANGK. LAIN JAMKES
YANMAS JML BPJS KONT
MIL SIP KEL AD AL MAS

10 80 17 0 0 0 0 285 0 0
1 26 3 0 0 6 0 116 2 0
0 11 3 0 0 0 0 24 0 0
0 0 0 0 0 0 0 0 0 0
0 5 0 6 0 0 0 23 0 0
0 0 0 0 0 0 0 0 0 0
100 516 0 0 0 0 0 1507 176 0
34 204 0 0 0 0 0 738 50 0
14 156 0 0 0 0 0 464 16 3
1 4 0 0 0 0 0 50 5 0
6 43 0 0 0 0 0 164 0 0
0 0 0 0 0 0 0 0 0 0
5 67 0 0 4 0 0 261 6 0
0 5 5 0 0 0 0 21 0 0
0 1 0 0 0 0 0 0 4 0
0 1 0 0 0 0 0 9 0 0
2 18 9 0 0 0 0 106 0 0
173 1137 37 6 4 6 0 3768 259 3
10 80 8 0 0 3 0 278 0 0
2 25 0 0 0 0 0 119 0 0
2 13 0 0 0 0 0 40 0 0
0 0 0 0 0 0 0 0 0 0
0 7 0 0 0 0 0 24 0 0

117 568 5 0 0 0 0 1608 184 0

37 227 0 0 0 0 0 805 86 0
3 145 0 0 0 0 0 406 80 0
0 0 0 0 0 0 0 0 0 0
3 17 0 0 0 0 0 69 0 0

5 31 0 0 0 0 0 114 0 0
0 7 0 0 0 0 0 36 3 0
0 2 0 0 0 0 0 11 0 0
0 0 0 0 0 0 0 0 0 0
0 7 0 0 0 0 0 36 0 0
179 111 13 0 0 3 0 3546 353 0

11 12 13 14 15 16 17 18 19 20

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

37 299 7 0 0 3 0 883 30 0
7 104 0 0 0 0 0 297 7 0
6 105 6 0 0 1 0 281 28 0
5 74 0 0 0 0 0 150 2 2
0 24 5 0 0 0 0 40 13 0
3 43 1 0 0 1 0 84 4 0
3 43 0 0 0 0 0 109 16 0
1 10 0 0 0 0 0 16 10 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
123 74 19 0 0 5 0 1860 110 2

2 29 2 0 11 2 0 63 0 0
10 340 16 0 44 6 0 804 0 2
47 398 0 0 0 0 0 841 66 0
59 767 18 0 55 8 0 1708 66 2
11 12 13 14 15 16 17 18 19 20

0 1 0 0 5 0 0 4 0 0
0 1 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

51 473 126 6 78 16 4 1421 0 12

1 136 48 7 28 22 0 350 0 0
1 38 22 0 5 0 0 80 0 0
0 78 81 4 3 7 0 203 0 3
9 153 28 3 8 8 0 566 0 5
5 111 9 0 4 6 0 303 0 6
0 13 6 0 6 4 0 24 0 0
5 30 3 0 16 0 0 97 0 0
1 24 4 0 10 6 0 47 0 0
3 87 16 0 23 4 0 172 1 3
0 24 5 0 3 5 0 46 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
76 1169 348 20 189 78 4 3316 1 29

11 12 13 14 15 16 17 18 19 20
 30 206 8 0 152 35 0 499 0 3
80 460 16 0 261 66 0 1036 26 0
229 749 9 0 8 6 0 2051 199 0
23 103 0 0 12 10 0 395 14 3
1 14 0 0 0 0 0 66 9 0
363 1532 33 0 433 117 0 4047 248 6

2 18 0 0 0 0 0 180 0 0
0 7 14 0 0 0 0 67 15 0
2 19 0 0 0 0 0 196 53 0
3 50 31 0 0 0 0 306 236 20
7 7 45 0 0 0 0 749 304 20
8 267 4 0 3 0 0 618 69 0
1016 6322 917 40 834 306 14 23680 1413 79
KES/A-03/BL
KES/A-03/BL
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KES/A-03/BL

KES/A-03/BL
KES/A-03/BL
 KES/A-03/BL
KES/A-03/BL

Bandung, Mei 2014

Bandung, Mei 2014
Kamed
Kamed

M. Mulyana
MayorM.
Kes NRP 510550
Mulyana
Mayor Kes NRP 510550

KES/A-03/BL
 KES/A-03/BL
KES/A-03/BL

Bandung, Mei 2014

Bandung, Mei 2014
Kamed
Kamed

M. Mulyana
MayorM.
Kes NRP 510550
Mulyana
Mayor Kes NRP 510550
KES/A-03/BL
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KES/A-03/BL
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YANMAS JML
21 22

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

19 80
0 8
0 2
0 3
0 36
0 23
0 0
0 0
0 0
0 0
0 15

21 22

63 1804
0 444
0 225
0 328
27 818
2 625
0 57
 2 88
3 55
0 117
0 139

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
116 4867

21 22
YANMAS JML

32 334
3 130
0 27
0 0
0 29
0 0
361 2044
139 927
66 549
4 59
25 189
0 0
19 290
0 26
0 4
0 9
10 125
659 4742
37 326
8 127
11 51
0 0
0 24

454 2251
157 1048
12 498
0 0
12 81

19 133
0 39
0 11
0 0
0 36
710 371

21 22

0 0
0 0
0 0
0 0
0 0
0 0
0 0

103 1026
19 323
22 338
9 163
0 58
4 94
7 132
3 29

0 0
0 0
0 0
0 0
0 0
0 0
331 159

4 82
18 890
106 1013
106 1985
21 22

0 9
0 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

197 1860
4 459
1 108
0 301
33 651
17 345
0 40
22 138
3 70
8 227
0 59

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
285 4270

21 22
 103 800
248 1653
801 3074
96 530
3 78
1251 6135

39 219
0 96
40 289
13 606
92 66
28 722
3578 23317
KES/A-03/BL
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 KES/A-03/BL
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KES/A-03/BL

14
14

550
550

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14
14

550
550
KES/A-03/BL
KES/A-03/BL

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 KES/A-03/BL
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