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RSUP Dr.

Rivai Abdullah
Jl. Sungai Kundur Kel Mariana Kec. Banyuasin I Sumatera Selatan

LAPORAN PENGUNJUNG RAWAT JALAN PER PASIEN

CARA BAYAR : Semua


INSTALASI : Instalasi Rawat Jalan
UNIT : Poliklinik
SUB UNIT : Klinik Mata

PERIODE 01 AGUSTUS 2021 S/D 31 AGUSTUS 2021

No. No. RM Nama Pasien JK Tgl Status Tgl Reg Cara Rujukan Dokter User Prosedur (ICD09 CM) Diagnosa (ICD10)
19-05-1988 03-08-2021 METHA Z09.0-[Follow-up examination after
1 614328 NUR AINI P Lama BPJS / JKN
(33 Th/ 2 bl/ 08:31:11 FRANSSISCA surgery for other conditions]
22-12-1998 03-08-2021 METHA Z03.8-[Observation for other suspected
2 615076 SANDRA AMALIA PUTRI P Baru BPJS / JKN
(22 Th/ 7 bl/ 09:07:22 FRANSSISCA diseases and conditions]
01-03-1979 03-08-2021 REMONA H25.8-[Other senile cataract]
3 614898 HAMINA BINTI DUNG CIK P Lama BPJS / JKN
(42 Th/ 5 bl/ 6 09:13:21 SINTIA
03-12-1962 03-08-2021 PKM METHA
4 612370 ZAKIR FAUZI L Lama BPJS / JKN
(58 Th/ 8 bl/ 4 09:28:40 MARYANA FRANSSISCA
02-02-1967 03-08-2021 PKM METHA
5 613626 SRI MARDALINAS P Lama BPJS / JKN
(54 Th/ 6 bl/ 3 09:33:37 MARYANA FRANSSISCA
01-07-1965 03-08-2021 PKM METHA H18.9-[Disorder of cornea, unspecified]
6 611991 KARNI BINTI SULEMI P Lama BPJS / JKN
(56 Th/ 1 bl/ 3 09:39:51 MARYANA FRANSSISCA
19-04-1961 03-08-2021 METHA Z96.1-[Presence of intraocular lens]
7 610262 IYUS WAHYUDI L Lama BPJS / JKN
(60 Th/ 3 bl/ 09:47:42 FRANSSISCA
04-06-1962 03-08-2021 PKM METHA H40.9-[Glaucoma, unspecified]
8 610352 ISNAENI BINTI M. IDRIS P Lama BPJS / JKN
(59 Th/ 2 bl/ 0 11:02:59 MARYANA FRANSSISCA
06-11-2000 03-08-2021 Tanpa METHA H53.1-[Subjective visual disturbances]
9 615083 EKO PRAYOGO L Baru
(20 Th/ 9 bl/ 0 11:24:33 Asuransi / FRANSSISCA
23-11-1982 10-08-2021 METHA H04.1-[Other disorders of lacrimal gland]
10 605124 FATMAWATI BINTI LUKMAN P Lama BPJS / JKN
(38 Th/ 8 bl/ 08:09:31 FRANSSISCA
09-07-1997 16-08-2021 Tanpa METHA T15.9-[Foreign body on external eye, part
11 615261 RIZKI YULIANTO L Baru
(24 Th/ 1 bl/ 8 10:11:13 Asuransi / FRANSSISCA unspecified]
05-06-1981 24-08-2021 PKM YUSRIZA METHA
12 538493 JUJUK JULEHA P Lama BPJS / JKN
(40 Th/ 2 bl/ 08:22:19 MARYANA L FRANSSISCA
10-03-1958 24-08-2021 REMONA
13 612326 MAT AMIN L Lama BPJS / JKN
(63 Th/ 5 bl/ 09:02:09 SINTIA
02-02-1967 24-08-2021 PKM REMONA
14 613626 SRI MARDALINAS P Lama BPJS / JKN
(54 Th/ 6 bl/ 09:05:43 MARYANA SINTIA
01-03-1979 24-08-2021 METHA Z96.1-[Presence of intraocular
15 614898 HAMINA BINTI DUNG CIK P Lama BPJS / JKN
(42 Th/ 5 bl/ 09:09:31 FRANSSISCA lens],H25.8-[Other senile cataract]
04-01-1960 24-08-2021 PKM REMONA
16 603381 PONISARI BINTI SOPIAN P Lama BPJS / JKN
(61 Th/ 7 bl/ 09:14:35 MARYANA SINTIA
RSUP Dr. Rivai Abdullah
Jl. Sungai Kundur Kel Mariana Kec. Banyuasin I Sumatera Selatan
LAPORAN PENGUNJUNG RAWAT JALAN PER PASIEN

CARA BAYAR : Semua


INSTALASI : Instalasi Rawat Jalan
UNIT : Poliklinik
SUB UNIT : Klinik Mata

PERIODE 01 AGUSTUS 2021 S/D 31 AGUSTUS 2021

No. No. RM Nama Pasien JK Tgl Status Tgl Reg Cara Rujukan Dokter User Prosedur (ICD09 CM) Diagnosa (ICD10)
02-06-1966 24-08-2021 METHA
17 579122 SYAHRIL BIN AHMAD L Lama PT.SAP
(55 Th/ 2 bl/ 09:31:48 FRANSSISCA
15-05-1964 24-08-2021 REMONA
18 615389 BUJANG BIN ABU BAKAR L Baru BPJS / JKN
(57 Th/ 3 bl/ 09:53:24 SINTIA
10-01-1972 24-08-2021 METHA
19 585541 ASNANI BINTI SAINI P Lama BPJS / JKN
(49 Th/ 7 bl/ 10:03:26 FRANSSISCA
27-06-1970 24-08-2021 PKM REMONA
20 612993 TURJANA BIN BAIDIN L Lama BPJS / JKN
(51 Th/ 1 bl/ 10:14:19 SUNGAI SINTIA
04-06-1962 24-08-2021 PKM REMONA H40.1-[Primary open-angle glaucoma]
21 610352 ISNAENI BINTI M. IDRIS P Lama BPJS / JKN
(59 Th/ 2 bl/ 10:41:05 MARYANA SINTIA
10-03-1958 30-08-2021 METHA
22 612326 MAT AMIN L Lama BPJS / JKN
(63 Th/ 5 bl/ 08:17:55 FRANSSISCA
12-04-1997 31-08-2021 REMONA
23 594984 AYU AFRIANI P Lama BPJS / JKN
(24 Th/ 4 bl/ 08:22:22 SINTIA
02-02-1967 31-08-2021 PKM REMONA
24 613626 SRI MARDALINAS P Lama BPJS / JKN
(54 Th/ 7 bl/ 1 09:44:22 MARYANA SINTIA
15-08-1993 31-08-2021 Tanpa METHA
25 615500 SULTAN BIN GUNAWAN L Baru
(28 Th/ 0 bl/ 10:09:40 Asuransi / FRANSSISCA
04-06-1962 31-08-2021 PKM METHA
26 610352 ISNAENI BINTI M. IDRIS P Lama BPJS / JKN
(59 Th/ 2 bl/ 10:52:06 MARYANA FRANSSISCA

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