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RUMAH SAKIT WATES HUSADA

Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik


Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

REKAPITULASI PASIEN
JULI 2020
RAWAT INAP
No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawata
n
1 Rokim 3525020402640001 2006000486 04-02-1964 Konfirm 30-06-2020 12-07-2020 - Inf RL 13 hari 7.360.300
covid 19 - Inf Intermoxil
DM - Inj Tomit
- Inj Antrain
- Inj Ranitidin
- Inj Sansulin
- Pantopump
- Nalitik
- Levofloxacin 500 mg
- Code in
- Curcumek
- Gliben 5 mg
2 Harti 3525025205780004 2007000056 12-05-1978 Konfirm 03-07-2020 12-07-2020 - Inf PZ 10 hari 5.891.100
covid 19 - Inj Antrain
- Inj Ranitidin
- Inj Tomit
- Nalitik
- Azitromycin
- Becomzet
- Pantopump
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
3 Aries Setiadi 3516170204900002 2007000436 02-04-1990 Konfirm 20-07-2020 23-07-2020 - Inf RL 4 hari 5.019.400
kovid 19 (rujuk) - Inf Resvar
- Inj Antrain
- O2 masker 10 -12 lpm
- Inj Azitromycin 500
mg
- Inj Dexamethason
- Mucylin
- Azitromycin tab
- Codikaf
- Becomzet
- Nalitik
4 Tarim 3525020910670001 2007000164 09-10-1967 Konfirm 09-07-2020 10-07-2020 - Inf PZ 2 hari 6.742.000
covid 19 (meninggal) - O2
- Inj Antrain
- Inj ceftriaxon
- Inj Ketorolac
- Inj Ranitidin
- Nalitik
- Azytromicin
- Salbutamol
5 Toni susanto 3525021105970001 1907000079 11-05-1997 PDP 17-07-2020 23-07-2020 - Inf RL : D5 7 hari 4.160.900
- Inj Antrain
- Inj Dypen
- Lesikol
- Nalitik
- Paracetamol
- Azitromycin
- Becomzet
- Codein
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
7 Mahmudah 3525115303650001 2007000171 13-03-1965 Konfirm 09-07-2020 13-07-2020 - Inf PZ 4 hari 8.634.700
Covid 19 (meninggal) - Inj Ranitidin
HT - Inj ceftriaxon
DM - O2
- Nalitik
- Paracetamol
- Azitromycin
- Becomzet
- Glimepirid 2 mg
8 Sampurah 3525044505690001 2007000175 05-05-1969 Konfirm 09-07-2020 10-07-2020 - Inf PZ 2 hari 5.220.600
Covid 19 (meninggal) - O2 NRM 12 Lpm
DM - Inj Ceftriaxon
- Azitromycin 500 mg
- Nalitik
- Paracetamol
- Ecomzet
- Omeprazol
9 Takim 3516172805530002 2007000210 11-07-2020 Konfirm 11-07-2020 12-07-2020 - Inf PZ 2 hari 5.757.400
Covid 19 (meninggal) - Inf Futrolit
TB - Inj Ranitidin
- O2 nasal 5 lpm
- Salbutamol
- Kodikaf
- Mucylin
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
10 Dasri 352502520260002 1806000136 12-02-1965 Konfirm 09-07-2020 11-07-2020 - O2 NRM 10 lpm 2 hari 7.489.200
Covid 19 (meninggal) - Inj Ceftriaxon
- Inj Omeprazol
- Azitromicyn 500 mg
- Oseltamivir 75mg
- Becomzet
- Nalitik
- Parasetamol
11 Arik 3525027103920001 1606000305 31-03-1992 Konfirm 29-06-2020 16-07-2020 - Inf PZ 18 hari 13.242.700
Dwiyantoro Covid 19 - O3 nasal 3 lpm
- Inf Levofloksasin
- Inj Resfar
- Inj Omeprazol
- Natik
- Becomzet
- Fluvir
- Dexametason
12 Moh Sukarto 352502108540001 003388 02-08-1954 Konfirm 04-07-2020 21-07-2020 - Inf PZ 18 hari 12.779.400
Covid 19 - Inj Antrain
- Inj Bioxon
- Inj Vulvice
- Inj Trofensis
- Inj Pepzol
- Azytromicim 500 mg
- Fluvir
- Becomzet
- Riboquin
- Interlac
- Santa E
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
13 Budi Luhur 3525151806750002 2007000112 18-08-1975 Konfirm 06-07-2020 12-07-2020 - Inf PZ 7 hari 10.677.000
Covid 19 (meninggal) - Inj Antrain
HT - Inj Azitromycin 500
mg
- Inf Risfar
- Inj Vit C
- Inj Ranitidin
- Inj Tomit
- Salbutamol
- Becomzet
- Oseltamivir
- Azitromicyn tab 500
mg
- Nalitik
- Codein
- Cloroquin
- Sucralfat
14 Siti aminah 3525044101580024 2007000500 01-01-1958 Konfirm 24-07-2020 28-07-2020 - Inf Asering 5 hari 8.275.400
Covid 19 - Inj Levofloxasin
- Inj Resvar
- Inj Ranitidin
- Inj Tomit
- O2 NRM 10 lpm
- Becomzet
- Parasetamol
- Asetanofir
- Lansoprazol
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
15 Subianah 3525044101540013 2007000520 01-01-1954 PDP 22-07-2020 31-07-2020 - Inf PZ 10 hari 5.676.200
DM - Inj Antrain
- Inj Ratidin
- Inj Tomit
- O2 Nasal 3 lpm
- KCL 50 meg
- Inj Sansulin 6 iu
- Azitromycin 500 mg
- Becomzet
16 Siti 3525046805870005 1701000326 28-05-1987 Konfirm 15-07-2020 24-07-2020 - Inf Futrolit 10 hari 14.110.600
Mutmainah Covid 19 (meninggal) - Inf Levofloxacin
Anemia - Inj Antrain
- Inj Ranitidin
- Inj Ondancetron
- Inf Metronidazol
- O2 NRM 15 tpm
- Cloroquin
- Oseltamivir
- Cefixim
- Becomzet
- Sucralfat
- Albuforse
- Tranfusi PRC
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
17 M .Agung 3509040806940001 1801000498 08-06-1994 PDP 21-07-2020 28-07-2020 - Inf RL 8 hari
Adipura - Inf Paracetamol
- Inf Levofloxacin
- Azitromycin
- Oseltamivir
- Becomzet
- Nalitik
18 Pujiono 3525020811770001 2006000432 08-11-1977 Konfirm 27-06-2020 11-07-2020 - Inf PZ 15 hari
covid 19 - Inf Levofloxacin
- Inj Ranitidin
- Inf Parasetamol
- Inj Antrain
- Nalitik
- Parasetamol 500 mg
- Becomzet
- Levofloxacin 500 mg
19 Nor Afifah 3525045505690005 2007000374 15-05-2020 Konfirm 17-07-2020 29-07-2020 - O2 NRM 10 lpm 13 hari
covid 19 - Inf PZ
HT - Inj Dexa
- Inf Resfar
- Inj Antrain
- Inj Azitromycin 500 mg
- Oseltamivir
- Salbutamol
- Vit C
- Furosemid
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
20 M. Sokip 3525022406880001 2007000015 24-06-1980 PDP 01-07-2020 10-07-2020 - Inf PZ 10 hari
- Inj Bioxon
- Bicomzet
- Parasetamol
- Nalitik
21 Rami 3525024704610002 2013006558 07-04-1961 PDP 09-07-2020 19-07-2020 - O2 masker 6 lpm 10 hari
DM - Inf PZ
HT - Inj Antrain
- Inj Cinam
- Inf Resfar
- Insulin 10 iu
- Rovastar
- Opiprol
- spironolacton
22 M.Jais 3525042809620001 2006000444 28-09-1962 PDP 19-07-2020 28-07-2020 - Inf RL 10 hari
- Inf Futrolit
- Inj Antrain
- Inj Ranitidin
- Inj Ondansetron
- Nalitik
- Parasetamol
- Betahistin
- Nucral
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
23 Tini 3525046904660001 2007000077 29-04-1966 Konfirm 04-07-2020 17-07-2020 - Inf RL 14 hari
covid 19 - Inj Ceftriaxon
DM - Inj Omeprazol
- O2 4 lpm
- Azitromycin 500 mg
- Glimepirid 1 mg
- Becomzet
- Paracetamol
- Nalitik
24 Ana Ernawati 3525024505630121 003577 05-05-1963 Konfirm 15-07-2020 28-07-2020 - Inf PZ 15 hari
covid 19 - Inj Ceftroiaxon
HT - Inj Pumpicel
- Inj Parasetamol
- Inj Prove ce 1000
- Inj Ketorolac
- Becomzet
- Oseltavimir
- Parasetamol
- KSR
25 Menik 3516177112720013 200600328 31-12-1972 Konfirm 10-07-2020 20-07-2020 - Inf D10 11 hari
covid 19 - D40
DM - Inj Antrain
- Inf Levofloxasin
- Inj Ranitidin
- Inj Provece
- Inj MP
- Ulsicral
- Mucylin
- Fermia
- Cefixim
- Becomzet
- Nalitik
- Metformin
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
26 Isnanik 3525024409630001 003728 04-09-1963 Konfirm 02-07-2020 20-07-2020 - Inf PZ 18 hari
Sudiati covid 19 - Inf Resfar
- Inj Omeprazol
- Inj Azitromicyn
- Inj Insulin 16 iu
- Parasetamol
- Becomzet
- Nalitik
- Code in
- Oselmuvir
- Azytromicin
- O2 NRM 8 lpm
- Metformin 500 mg
- Glimepirid 4 mg
27 Suprijantoro 3525020112610001 1707000015 01-12-1961 Konfirm 08-07-2020 24-07-2020 - Inf RL 16 hari
covid 19 - O2
DM - Inf Parasetamol
- Inj Antrain
- Inj Panzol
- Inf Levo 750
- Inj Azitromycin
- Inj Provee ce
- Inj isoprinosin
- Becomzet
- Nalitik
- Emibion
- Kurkumek
- Cefixim
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

No Nama Pasien NIK No RM Tgllahir Diagnosa TglMasuk TglKeluar Terapi Lama JumlahBiaya
Perawatan
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29 -

30 -

RUMAH SAKIT WATES HUSADA


Direktur
RUMAH SAKIT WATES HUSADA
Jl. Raya Wates Utara, Kedungpring, Balongpanggang, Gresik
Telp. (031) 7922351, Fax. (031) 79260077
email : rswateshusada@gmail.com

dr.Titin Ekowati. M.Kes

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