CARA DEBITUR

JK MASUK
NO NAMA No RM (L/P) (IGD/ (UMUM/ KAMAR
BPJS/JS)
1 NY YUNITA 233137 P POLI) BPJS 3
IGD 4B
2 NY SITI CHANIFAH 229436 P IGD BPJS 2 4A
3 NY KASIYAH 233192 P IGD BPJS 1 NAIK VIP M7
4 TN KIRYANTO 233191 L POLI UMUM VIP M8
5 NY HEROWATI 233163 P IGD UMMUM VIP M6
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK
DR ANDREAS ABD PAIN 6/1/2022
DR ADIT CKD ON HD, HD RUTIN RABU-SABTU, HIPERTERMIA 6/1/2022
DR NUGROHO+DR ARINI HPD, SNH, HT, DM, CHF, HT, HHD 6/1/2022
DR LOPO CELULITIS, OEDEMA TUNGKAI BAWAH KANAN 6/1/2022
DR IMAN CHF-IHD, ACKD, HT? 6/1/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)
6/2/2022 BLPL
6/2/2022 BLPL
6/5/2022 BLPL
6/3/2022 BLPL
6/3/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
 KET
TGL KELUAR (Pulang/APS/
Pindah)
 DEBITUR
NO NAMA No RM JK CARA MASUK (UMUM/ KAMAR
(L/P) (IGD/POLI)
BPJS/JS)

1 TN SURYO 231410 L IGD BPJS 3 4A

2 TN EDI 233271 L IGD BPJS 3 4B
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK TGL KELUAR

DR LOPO SEVERE PAIN, TM COLLI S 6/3/2022

DR MARDHA HPD, SUSP STROKE, VERTIGO, HT 6/3/2022
 KET
(Pulang/APS/
Pindah)
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/ KAMAR
(L/P) (IGD/
POLI) BPJS/JS)

1 NY RUPI 232043 P IGD BPJS 1 5A

2 TN AGUS WINARNO 233294 L POLI BPJS 1 3A
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS

DR IMAN CA CERVIKS, DIARE AKUT, OBS TROMBOSITOPENIA

DR LOPO TM TYROID, R/ TYROIDECTOMI 5/6/22
 KET
TGL MASUK TGL (Pulang/
KELUAR
APS/Pindah)

6/4/2022
6/4/2022 6/7/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
 KET
TGL KELUAR (Pulang/APS/
Pindah)
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 TN EWO 233367 L POLI BPJS 3 2A

2 TN TARSUDIN 233233 L POLI BPJS 3 5B
3 TN SARYAN 233368 L POLI BPJS 3 2B
4 TN CARTIM 232613 L POLI BPJS 3 5A
5 NY RUSMIYATI 213833 P IGD BPJS 1 4A
6 AN AEERA 175652 P IGD BPJS 1 M7
7
8
9
10
11
12
 DPJP DIAGNOSIS

DR TRI BPH R/TURP 7/6/22

DR TRI BPH R/TURP 7/6/22
DR TRI BPH R/TURP 7/6/22
DR TRI BPH, CHF, CKD, VESIKOLIATIS, R/ TURP+LITOTRIPSI 7/6/22
DR TRI CKD ON HD, HD RUTIN SENIN, ANEMIA
DR YUDHA VIRAL INFECTION, VOMITUS DG DRS
 KET
TGL MASUK TGL KELUAR (Pulang/APS/
Pindah)

6/6/2022 6/9/2022 BLPL

6/6/2022 6/9/2022 BLPL
6/6/2022 6/9/2022 BLPL
6/6/2022 6/9/2022 BLPL
6/6/2022 6/7/2022 BLPL
6/6/2022 6/7/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 SDR RICHO 229963 L POLI BPJS 2 3A

2 TN SUDARTO 233385 L POLI BPJS 3 1B
3 TN SURKIM 233392 L POLI BPJS 3 1A
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK TGL
KELUAR

DR AGUS GIGI 48 IMPAKSI KLS II BMA 6/7/2022 6/10/2022

DR LOPO TM COLLI S R/EXISI 7/6/22 6/7/2022 6/8/2022
DR TRI BATU URETER DX R/URS+DJ STENT DX 7/6/22 6/7/2022 6/9/2022
 KET
(Pulang/APS/
Pindah)

BLPL
BLPL
BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 TN SUDIYONO 233442 L IGD BPJS 3 3B

2 NY ASTUTI 233440 P IGD BPJS 3 4A
3 NY KATIJAH 233432 P IGD BPJS 3 4B
4 SDR BENI 232691 L EBONI BPJS 3 1B
5
6
7
8
9
10
11
12
 KET
DPJP DIAGNOSIS TGL TGL (Pulang/APS/
MASUK KELUAR
Pindah)

DR LOPO TM COLLI S R/ EXISI 8/6/22 8/6/222 6/9/2022 BLPL

DR LOPO TMD P/ EXISI 8/6/22 6/8/2022 6/9/2022 BLPL
DR YUHAN HILL DX P/HERNIORAPHY 8/6/22 6/8/2022 6/10/2022 BLPL
DR TRI BATU URETER S P/ URS+DJ STENT 7/6/22 6/68/6/22 6/9/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 NN GHIFNIAR 231307 P IGD BPJS 3 NAI 5B

2 NY RENI 233165 P POLI BPJS 1 2A
3 NY ENI 233507 P IGD BPJS 1 2B
4 TN AWAN 233478 L POLI BPJS 2 NAI 3B
5 NY MINTARSIH 232955 P POLI BPJS 3 4A
6 NY RAHAJENG 171885 P POLI BPJS 2 NAI 1A
7 NY NAYLY 230672 P POLI BPJS 1 1B
8 NY NANI 231362 P POLI BPJS 1 5A
9
10
11
12
 DPJP DIAGNOSIS

DR WAHYU LMNH, HIPOGLIKEMI

DR WAHYU SP THT TONSILITIS P/TONSILEKTOMI 9/6/22
DR YUSUF COLIC ABDOMEN
DR LOPO TM PUNGGGUNG, KISTA ANTEROMA PUNNGUNG P/EXISI 9/6/22
DR YUSUF DM, ULKUS DM P/ DEBRIDEMENT 9/6/22
DR LOPO TMD R/EXISI 9/6/22
DR LOPO ANEMIA, DISPEPSIA, CA MAMAE
DR LOPO CA MAMAE, AGRONULOSITOSIS, DISPEPSIA
 KET
TGL MASUK TGL KELUAR (Pulang/APS/
Pindah)

6/9/2022 6/12/2022 MENINGGAL DUNIA

6/9/2022 6/10/2022 BLPL
6/9/2022 6/12/2022 BLPL
6/9/2022 6/10/2022 BLPL
6/9/2022 6/13/2022 BLPL
6/9/2022 6/10/2022 BLPL
6/9/2022 6/10/2022 BLPL
6/9/2022 6/11/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 TN INDIN 200969 L IGD BPJS 1 3A

2 TN BAMBANG 194340 L IGD BPJS 1 M7
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS

DR NUGROHO HPS DD STROKE RECURENT RIW HT

DR KRIS + DR YUSUF CLOSE FRAKTUR 1/3 PROXIMAL RIW DM, HT P/REPOSISI GIPS 14/6/2
 KET
TGL MASUK TGL KELUAR (Pulang/APS/
Pindah)

6/10/2022 6/15/2022 BLPL

6/10/2022 6/15/2022 BLPL
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/ KAMAR
(L/P) (IGD/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS
 KET
TGL MASUK TGL KELUAR (Pulang/APS/
Pindah)
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/ KAMAR
(L/P) (IGD/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
 KET
TGL KELUAR (Pulang/
APS/Pindah)
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/BPJS/ KAMAR
(L/P) (IGD/
POLI) JS)

1 NY EPI SANDARI 233626 P POLI UMUM 1 4A

2
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR LOPO TMS P/EXISI 13/6/22 6/13/2022

 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/14/2022 BLPL
NO NAMA No RM JK CARA MASUK DEBITUR KAMAR
(L/P) (IGD/POLI) (UMUM/BPJS/JS)

1 TN ROSYIDIN 161445 L POLI BPJS 2 2B

2 TN HANDOKO 185956 L POLI BPJS 1 5B
3 NY RURI 231817 P POLI BPJS 1 4B
4 TN MURJADI 224102 L POLI BPJS 3 2A
5 NY NASITAH 232311 P POLI BPJS 3 1B
6 NY LILIS 233250 P POLI BPJS 3 1B
7 NY JUMIATI 170983 P POLI BPJS 3 4A
8
9
10
11
12
 DPJP DIAGNOSIS

DR LOPO PIOTHORAX, SUSP DRESS, ALERGI CEFADROXIL, RIW STROKE, CKD, CHF, PPOK
DR TRI BATU URETER DX, R/ URS 15/6/22
DR LOPO ULKUS GRANULASI MAMAE P/ STSG 14/6/22
DR LOPO ULKUS GRANULASI BRACHIALIS S P/STSG 14/6/22
DR LOPO ULKUS GRANULASI MAMAE DX P/STSG 14/6/22
DR LOPO CA MAMAE S P/MRM 14/6/22
DR LOPO CA MAMAE, ISCHIALGIA, ALERGI?
 KET
TGL MASUK TGL KELUAR (Pulang/APS/
Pindah)

6/14/2022 6/18/2022 BLPL

6/14/2022 6/16/2022 BLPL
6/14/2022 6/15/2022 BLPL
6/14/2022 6/15/2022 BLPL
6/14/2022 6/15/2022 BLPL
6/14/2022 6/15/2022 BLPL
6/14/2022 6/15/2022 BLPL
 DEBITUR
NO NAMA No RM JK CARA MASUK (UMUM/BPJS/ KAMAR
(L/P) (IGD/POLI)
JS)

1 TN JOKO 233245 L POLI BPJS 2 2A

2 NY SRI SUNARTI 232842 P POLI BPJS 3 3A
3 NY PAOSSY 233682 P IGD BPJS 1 M6
4 NY SUGIYANTI 233662 P IGD BPJS 1 M7
5 AN NAUFAL 233693 L POLI BPJS 1 M8
6 NY KARSINEM 232609 P POLI BPJS 3 1B
7 NY UTARI 231890 P POLI BPJS 3 3B
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR SANKURNIA MULTIPLE IMPAKSI GIGI 28, 38 R/OD 16/6/22 6/15/2022

DR BAGUS THT SINUSITIS CRPNIC P/ CWL 15/6/22 6/15/2022
DR ERI SP OG TM UTRUS, PPV, HT, ABD PAIN P/ CURRET 16/6/22 6/15/2022
DR YUHAN TM PUNGGUNG P/EXISI 16/6/22 6/15/2022
DR YUDHA DISENTRI, SUSP DENGUE 6/15/2022
DR LOPO ULKUS GRANULASI MAMAE DX P/STSG 15/6/22 6/15/2022
DR WAHYU LIMFOMA HODGKIN R/ KRMO KE-2 16/6/22 6/15/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/16/2022 BLPL
6/16/2022 BLPL
6/16/2022 BLPL
6/17/2022 BLPL
6/17/2022 BLPL
6/16/2022 BLPL
6/16/2022 BLPL
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/ KAMAR
(L/P) (IGD/
POLI) BPJS/JS)

1 TN DARYOTO 233062 L IGD BPJS 1 5A

2 NY KHULOSATUL 227668 P IGD BPJS 3 4B
3 TN SECHAN 177570 L POLI BPJS 1 1A
4 TN SUPRIYADI 296559 L POLI BPJS 1 1B
5 NY SUESTI 233744 P POLI BPJS 1 3A
6 NY RUSMIATI 231851 P POLI BPJS 2 4A
7 NY KHULOSATUL 227668 P IGD BPJS 3 4B
8 NY SITI A 232747 P POLI BPJS 1 3A
9 TN MUHYIDIN 233755 L PIGD UMUM VIP 6A
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR ADIT GEA, CA CELL SQUAMOUS, CA GINGGIVA 6/16/2022

DR LOPO SEVERE PAIN, CA MAMAE, DISPEPSIA 6/16/2022
DR MARDA VERTIGO. HT, CERVICALGIA 6/16/2022
DR TUTIK CERVICALGIA 6/16/2022
DR LOPO TM TYROID P/TYROIDECTOMY 16/6/22 6/16/2022
DR LOOPO CA MAMAE, AGRANULOSITOSIS 6/16/2022
DR LOPO + DR TUTIK CA MAMAE, EP DX, SEVERE PAIN P/ WSD 17/6/22 6/16/2022
DR LOPO TM DINDING DADA P/EXISI 16/6/22 6/16/2022
DR YUSUF OF H3, HEMATURIA P/TURP 10/6/22 DI RSMS 6/16/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/22/2022 BLPL

6/17/2022 BLPL
6/21/2022 BLPL
6/18/2022 BLPL
6/18/2022 BLPL
6/21/2022 BLPL
6/17/2022 BLPL
6/19/2022 BLPL
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/ KAMAR
(L/P) (IGD/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS
 KET
TGL MASUK TGL KELUAR (Pulang/
APS/
Pindah)
 CARA
NO NAMA No RM JK MASUK DEBITUR KAMAR
(L/P) (IGD/ (UMUM/BPJS/JS)
POLI)

1 NY LAELA 191210 P POLI BPJS 2 2B

2 TN SAMAD 233811 L POLI BPJS 3 3A
3 NY AMINAH 229585 P POLI BPJS 3 4B
4 NN FIRDAUS 233578 P POLI BPJS 1 2A
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR JOKO CA PARU 6/18/2022

DR JOKO PPOK 6/18/2022
DR LOPO CA MAMAE, AGRANULOSITOSIS 6/18/2022
DR LOPO TMD R/EXISI 18/6/22 6/18/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/20/2022 BLPL
6/21/2022 BLPL
6/19/2022 BLPL
19/06/2022 BLPL
 CARA
DEBITUR
NO NAMA No RM JK MASUK (UMUM/BPJS/ KAMAR
(L/P) (IGD/
POLI) JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
 KET
TGL KELUAR (Pulang/
APS/Pindah)
 CARA
NO NAMA No RM JK MASUK DEBITUR KAMAR
(L/P) (IGD/ (UMUM/BPJS/JS)
POLI)

1 NY TUTUN 231734 P POLI BPJS 3 4B

2 NY MARYATI 233896 P POLI BPJS 1 2A
3 TN ROSDIYANTO 232921 L POLI BPJS 1 1A
4 NY SURIPNAH 233898 P IGD BPJS 3 2B
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR TRI PODT URS+DJ STENT R/AFF DJ STENT 21/6/22 6/20/2022

DR LOPO TMS P/ EXISI 20/6/22 6/20/2022
DR SANKURNIA MULTIPLE IMPAKSI GIGI 18,28.48 R/ OD DG GA 21/6/22 6/20/2022
DR LOPO ABD PAIN EC ILEUS OBSTRUKSI LETAK TINGGI 6/20/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/21/2022 BLPL
6/21/2022 BLPL
6/21/2022 PINDAH CEMARA
6/20/2022 ICU
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 TN HERI 233942 L IGD ASURANSI M7

2 NY IIN 213836 P POLI BPJS 2 NAI 3B
3 TN SYARIF 233932 L IGD BPJS 1 NAI M8
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS

DR IMAN ABD PAIN, CHOLELITIASIS

DR LOPO TMD P/EXISI 21/6/22
DR ARINI ASMA, CHEST PAIN, CHF
 KET
TGL MASUK TGL KELUAR (Pulang/
APS/
Pindah)

6/21/2022 6/23/2022 BLPL

6/21/2022 6/22/2022 BLPL
6/21/2022 6/22/2022 BPLP
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 NY TRI LASTARI 161711 P BPJS 2 NAI IGD 1A

2
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK TGL
KELUAR

DR ANDREAS HIPERGLIKEMIA, HT URGENCY, OBS FEBRIS H1 6/22/2022 6/22/2022

 KET
(Pulang/APS/
Pindah)

C4
 CARA
NO NAMA No RM JK MASUK DEBITUR KAMAR
(L/P) (IGD/ (UMUM/BPJS/JS)
POLI)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS
 KET
TGL MASUK TGL KELUAR (Pulang/
APS/Pindah)
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
 KET
TGL KELUAR (Pulang/APS/
Pindah)
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1
2
3
4
5
6
7
8
9
10
11
12
DPJP DIAGNOSIS TGL MASUK
TGL KELUAR KET
(Pulang/APS/Pindah)
 CARA
NO NAMA No RM JK MASUK DEBITUR KAMAR
(L/P) (IGD/ (UMUM/BPJS/JS)
POLI)

1 TN MIMIN 232223 L POLI UMUM 2 1B

2 NY ANI R 169897 P POLI BPJS 5A
3 TN SLAMET 202554 L IGD BPJS 1 NAIK VIP M7
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR HAJID BPH P/TURP 27/6/22 6/26/2022

DR LOPO CA MAMAE RESIDIF, R/ EXISI 26/6/22 6/26/2022
DR YUSUF+ DR INGE OBS DDYSPNEU DD CHF 6/26/2022
 KET
TGL KELUAR (Pulang/APS/
Pindah)

6/30/2022 BLPL
6/27/2022 BLPL
6/30/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 TN DARYOTO 233062 L IGD BPJS 1 1A

2 NY YULIA 191918 P ZONA 1 BPJS 1 NAI M7
3 NY UMI 233760 P POLI BPJS 1 5B
4 NY MINAH 233364 P POLI BPJS 3 2B
5 NY FRANSISKA 233455 P POLI BPJS 3 2A
6 TN AKHYAS 234120 L IGD BPJS 2 NAI 4A
7 NY P SURYATI 232173 P POLI BPJS 1 3A
8
9
10
11
12
 DPJP DIAGNOSIS

DR LOPO EFUSI PLEURA DX, TM THORAX, CA GINGGIVA P/ WSD 27/6/22

DR YUSUF DISPEPSIA, VERTIGO, RIW CHF, GERD
DR LOPO CA MAMAE S, IHD RIW DM, HT, CHF P/ MRM 27/6/22
DR LOPO CA MAMAE DX, POST MRM 27/6/22
DR SANKURNIA MULTIPLE IMPAKSI 18,48 R/ OD DG GA 28/6/22
DR JOKO OBS DYSPNEU, CA PARU
DR LOPO AGRANULOSSITOSIS, CA MAMAE
 KET
TGL MASUK TGL KELUAR (Pulang/
APS/Pindah)

6/27/2022
6/27/2022 6/30/2022 BLPL
6/27/2022 6/30/2022 BLPL
6/27/2022 6/30/2022 BLPL
6/27/2022 6/29/2022 BLPL
6/27/2022
6/27/2022 6/28/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 NY KASTINI 234177 P POLI UMUM 2 3A

2 NN FITA 210496 P POLI BPJS 3 3B
3 NN SEVIOLA 234175 P IGD BPJS 1 M8
4 TN SUKARDI L POLI BPJS 2 4B
5 NY KASTINI 234177 P POLI UMUM 2 3A
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK TGL KELUAR

DR LOPO CA MAMAE S P/ MRM 28/6/22 6/28/2022 7/1/2022

DR AGUS GIGI 13 IMPAKSI KLS III P/ OD 29/6/22 6/28/2022 6/30/2022
DR IMAN OBS FEBRIS H3, ISK, DF 6/28/2022
DR LOPO NHL 6/28/2022
DR LOPO CA MAMAE S P/ MRM 28/6/22 6/28/2022 6/30/2022
 KET
(Pulang/
APS/Pindah)

BLPL
BLPL

BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 SDR ARIF NUR 234218 L IGD BPJS 2 4A

2
3
4
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK

DR IMAN GEA KRONIS, SUSP B20, ANEMIA 6/29/2022

 KET
TGL KELUAR (Pulang/APS/
Pindah)

7/2/2022 BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

1 NY NAYLY 230672 P POLI BPJS 1 5A

2 NY TUBINGAH 220244 P POLI BPJS 2 3B
3 NY NANI 231362 P POLI BPJS 1 5B
4 NY SAMIJAH 234005 P ZONA 2 UMUM 1 2A
5
6
7
8
9
10
11
12
 DPJP DIAGNOSIS TGL MASUK TGL KELUAR

DR LOPO CA MAMAE, DISPEPSIA, ANEMIA 6/30/2022 7/1/2022

DR LOPO CA MAMAE, DYSPNEU 6/30/2022
DR LOPO AGRANULOSITOSIS, DISPEPSIA, CA MAMAE 6/30/2022 7/1/2022
DR YUSUF DM, CHF, VOMITUS 6/30/2022
 KET
(Pulang/
APS/Pindah)

BLPL

BLPL
 CARA DEBITU
NO NAMA No RM JK MASUK R KAMAR
(L/P) (IGD/ (UMUM/
POLI) BPJS/JS)

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DPJP DIAGNOSIS
 KET
TGL MASUK TGL KELUAR (Pulang/
APS/
Pindah)