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Charitas Hospital

Jl. Jend. Sudirman No.1054


Palembang
Phone (0711) 353374 / 353375
Fax (0711) 377088
Laporan Pasien Gawat Darurat Berdasarkan Cara Keluar
Tanggal 01-Sep-2022 s/d 30-Sep-2022
DIRAWAT (MRS)
All
All
No. No.Reg No. RM Nama Pasien JK Umur Penjamin Bayar Cara Keluar Kasus
00-54-70-88
1 REG/OP/220901-0005 KHAIRULLAH L 61 Th Yakes Telkom DIRAWAT (MRS) 02

2 REG/OP/220901-0017 01-28-77-37 AMEERA BILQIS RAMADHANI P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02


3 REG/OP/220901-0021 01-31-47-31 KHALIESA A. FAZUMI P 11 Th PRIBADI DIRAWAT (MRS) 05

4 REG/OP/220901-0030 01-31-47-34 OEY KIM LIAN P 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02

5 REG/OP/220901-0034 01-31-44-98 FITRI YANTI P 36 Th PRIBADI DIRAWAT (MRS) 02

6 REG/OP/220901-0132 01-29-50-92 RAPHAEL GIANDRA KRISNADI L 5 Bl BPJS KESEHATAN DIRAWAT (MRS) 02


00-90-25-36
7 REG/OP/220901-0147 ROSITA DEWI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

8 REG/OP/220901-0302 01-31-47-69 BY. NY. ROSITA DEWI P 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
9 REG/OP/220901-0360 01-31-47-47 FENI WULANDARI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

10 REG/OP/220901-0368 01-31-47-50 METHA FARMI AFRILIA PUTRI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
11 REG/OP/220901-0374 01-27-52-70 CARLIN ANJANI P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-61-59-49
12 REG/OP/220901-0404 CU KIM KIOK P 81 Th PRIBADI DIRAWAT (MRS) 02

13 REG/OP/220901-0475 01-05-95-60 AY GUAT / HERAWATY P 76 Th PRIBADI DIRAWAT (MRS) 02


14 REG/OP/220901-0500 01-31-47-30 OKNUR FITRI P 35 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02
00-87-51-62 BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
15 REG/OP/220901-0509 RIA NOVIANTI PRATAMI P 33 Th DIRAWAT (MRS) 03
INDONESIA (AJII-INDEMNITY)
16 REG/OP/220901-0583 01-31-48-13 FATMI DARLIN P 54 Th PRIBADI DIRAWAT (MRS) 01
17 REG/OP/220901-0589 01-31-48-14 NAYYARA SACHI RAMADHANI P 5 Bl PRIBADI DIRAWAT (MRS) 02

18 REG/OP/220901-0593 01-29-75-01 MUHAMMAD RAYYAN HANIF L 7 Bl BPJS KESEHATAN DIRAWAT (MRS) 02


00-38-72-12
19 REG/OP/220901-0641 NADYA LUFITA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

20 REG/OP/220901-0684 01-31-36-74 MIKAYLA AZZARAH P 11 Bl BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02

21 REG/OP/220901-0728 01-13-22-70 OKTAVIA TANTRI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03


22 REG/OP/220901-0736 01-26-69-74 CHEYZA ZEA RUMAISHA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

23 REG/OP/220901-0749 01-06-93-64 INDAH FEBRIYANTY P 31 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 03
00-83-38-01
24 REG/OP/220901-0762 FLORENSIA SUKIRMAN SALIM P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
25 REG/OP/220901-0764 01-31-45-78 FELISYAH P 9 Bl PRIBADI DIRAWAT (MRS) 02

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26 REG/OP/220901-0769 01-21-69-37 FARID ATHALLAH L 5 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02

27 REG/OP/220901-0778 01-15-68-74 NINGSIH P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-65-77-76
28 REG/OP/220901-0789 ALBERTUS SARJIMAN L 81 Th BPJS KESEHATAN DIRAWAT (MRS) 02
MICHELLE LOVY CINNYVELLA
29 REG/OP/220901-0793 01-31-48-45 P 22 Th PRIBADI DIRAWAT (MRS) 02
TONGKELES
30 REG/OP/220901-0795 01-29-90-43 MUNA P 57 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02
31 REG/OP/220901-0796 01-29-50-84 JULIUS EVEN L 69 Th PRIBADI DIRAWAT (MRS) 02
00-97-06-01
32 REG/OP/220902-0005 TRININDIA SARI P 33 Th PT. AJ CENTRAL ASIA RAYA ( CAR ) DIRAWAT (MRS) 03
00-41-39-06
33 REG/OP/220902-0007 TULUSRO PARNINGOTAN SIREGAR L 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-53-72-31
34 REG/OP/220902-0014 FAUZIAH P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

35 REG/OP/220902-0018 01-25-34-13 JERICHO ARSENIO GUNAWAN L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

36 REG/OP/220902-0019 01-31-48-50 CINTA NABILA AZZAHRA P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05


00-86-72-87
37 REG/OP/220902-0022 YULIA HARYATI P 53 Th PRIBADI DIRAWAT (MRS) 02
38 REG/OP/220902-0034 01-28-35-56 PARTINI P 50 Th BPJS KESEHATAN DIRAWAT (MRS) 02
39 REG/OP/220902-0039 01-21-26-52 TRISNA DAMAYANTI SAGALA P 29 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

40 REG/OP/220902-0169 01-27-22-91 ZELINE ZAKEISHA ADELIA P 1 Th PRIBADI DIRAWAT (MRS) 05

41 REG/OP/220902-0176 01-31-48-63 ROMADON FIRDAUS L 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-46-95-68
42 REG/OP/220902-0228 HERLIMAWATI P 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

43 REG/OP/220902-0278 01-31-48-80 NAZULA L 68 Th PRIBADI DIRAWAT (MRS) 02


44 REG/OP/220902-0328 01-31-20-78 DEPI ARYANI P 28 Th PRIBADI DIRAWAT (MRS) 03

45 REG/OP/220902-0388 01-31-48-96 ALVIN RINALDO L 27 Th PRIBADI DIRAWAT (MRS) 02


00-63-32-59
46 REG/OP/220902-0399 RIKA NOVALITA P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-71-15-98
47 REG/OP/220902-0488 WATI P 75 Th PRIBADI DIRAWAT (MRS) 02

48 REG/OP/220902-0495 01-31-48-78 YOSSY ANDRIYANI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-53-62-73
49 REG/OP/220902-0508 YULIA HARTATY P 36 Th ADMEDIKA, TUGU PRATAMA INDONESIA PT. DIRAWAT (MRS) 02
00-28-43-23
50 REG/OP/220902-0514 UTARI DAMAYANTI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 03

51 REG/OP/220902-0524 01-31-48-85 NATALIA BERNITA HUTAURUK P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-97-95-14
52 REG/OP/220902-0532 MADE SUCI TUSDAYANTI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-94-19-60
53 REG/OP/220902-0582 AURELIUS BENNY L 14 Th BPJS KESEHATAN DIRAWAT (MRS) 02
54 REG/OP/220902-0593 01-31-39-16 SYAQILLA AZZAHRA P 8 Hr BPJS KESEHATAN DIRAWAT (MRS) 05

55 REG/OP/220902-0602 01-30-78-16 ZAINAL AMRI L 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02

56 REG/OP/220902-0608 01-31-47-97 MICHAEL LIANG L 14 Th PRIBADI DIRAWAT (MRS) 02


57 REG/OP/220902-0623 01-04-52-90 ANITA OEI P 68 Th PRIBADI DIRAWAT (MRS) 02
58 REG/OP/220902-0637 01-21-95-97 MUHAMAD HAFUZA RAFFASYA L 2 Th BNILIFE ( Peserta ) DIRAWAT (MRS) 02
00-79-79-20
59 REG/OP/220902-0639 MELIANA P 66 Th PRIBADI DIRAWAT (MRS) 02

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BPJSK COB PT. ASURANSI JIWA INHEALTH
60 REG/OP/220902-0659 01-11-67-17 ALAN FARID ATALLAH L 6 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
61 REG/OP/220902-0672 01-01-02-62 YUNI SEPRIYANTI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
62 REG/OP/220902-0712 01-31-49-43 RENI AFRIYANI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

63 REG/OP/220902-0715 01-31-49-45 PUTRI SUKMA P 19 Th PRIBADI DIRAWAT (MRS) 01


BPJSK COB PT. ASURANSI JIWA INHEALTH
64 REG/OP/220902-0726 01-18-91-43 M. ALVINO ZAVIER L 3 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
65 REG/OP/220902-0730 01-30-16-71 RAHMI YUSRO P 30 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
66 REG/OP/220902-0739 01-31-49-47 TIARA FAJRIN P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 03

67 REG/OP/220902-0741 01-14-02-59 HERRY TITO IRNANTO L 52 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 02
68 REG/OP/220902-0750 01-19-18-25 LINA HERMAWAN P 76 Th PRIBADI DIRAWAT (MRS) 02
00-47-09-81
69 REG/OP/220902-0758 HIKMAT L 68 Th PRIBADI DIRAWAT (MRS) 02
BPJS KESEHATAN ( CHARITAS HOSPITAL
70 REG/OP/220902-0760 01-24-08-80 ADIVA ARSYILA HALWATU ZAHRA P 2 Th DIRAWAT (MRS) 02
PALEMBANG )
00-30-53-74
71 REG/OP/220902-0775 ANGGI WULANDARI P 36 Th ADMEDIKA, CIGNA DIRAWAT (MRS) 02
72 REG/OP/220902-0781 01-22-92-48 DAAFIQ NAZWAN DITHERA L 2 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

73 REG/OP/220902-0803 01-31-49-63 WINDA MERIANA PANJAITAN P 23 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
74 REG/OP/220902-0804 01-30-27-97 DIAN RISMA YANIARTI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-73-94-24
75 REG/OP/220902-0805 DEWI DIANA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
76 REG/OP/220902-0807 01-26-73-20 AL ARSYA KAMBERA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-46-73-81
77 REG/OP/220902-0812 NURLELA P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

78 REG/OP/220903-0003 01-29-86-23 WADLI KOSIM L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

79 REG/OP/220903-0012 01-31-49-73 SURATNO L 48 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 02


80 REG/OP/220903-0015 01-31-29-81 ELISA OKTARINA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-53-89-09
81 REG/OP/220903-0022 MOCHTAR HALIM L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
82 REG/OP/220903-0030 01-31-49-79 SEMI L 62 Th PRIBADI DIRAWAT (MRS) 02
00-44-50-63
83 REG/OP/220903-0174 SUPRIYADI L 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02
84 REG/OP/220903-0177 01-01-57-61 MULKAN L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-80-13-09
85 REG/OP/220903-0291 TEJA ANTHARA, SCJ. L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-82-94-36 BPJSK COB PT. ASURANSI JIWA INHEALTH
86 REG/OP/220903-0302 AFRI YANTI P 37 Th DIRAWAT (MRS) 03
INDONESIA (AJII-MANAGE CARE)
87 REG/OP/220903-0415 01-31-50-15 SRI UTARI P 24 Th PRIBADI DIRAWAT (MRS) 03

88 REG/OP/220903-0467 01-18-79-09 WULAN INDRIANTI P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-83-36-55
89 REG/OP/220903-0490 NURHAYANI P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02
90 REG/OP/220903-0541 01-31-50-19 ENI YUNIKA P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03

91 REG/OP/220903-0581 01-31-50-50 RIA ANGGRAINI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-54-79-04
92 REG/OP/220903-0564 PUSPA ARDINI P 22 Th PRIBADI DIRAWAT (MRS) 02

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00-46-14-35
93 REG/OP/220903-0612 ARDHIANSYAH L 37 Th PRIBADI DIRAWAT (MRS) 02

94 REG/OP/220903-0617 01-31-50-35 DIANA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-31-33-87
95 REG/OP/220903-0644 EFFENDI NAWAWI L 67 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02
00-35-83-23
96 REG/OP/220903-0655 FITRIYANTI P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03

97 REG/OP/220903-0729 01-24-95-60 TRI MUSTIKA ANANDHI P 5 Th PRIBADI DIRAWAT (MRS) 02

98 REG/OP/220903-0775 01-30-79-11 MEIRIA MATILDA RHEVA PANJAITAN P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-35-48-81
99 REG/OP/220903-0785 FAISAL L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-83-09-97
100 REG/OP/220903-0819 MUHAMMAD DANISH L 12 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
00-96-96-41
101 REG/OP/220903-0833 SUWATI P 67 Th PRIBADI DIRAWAT (MRS) 02

102 REG/OP/220903-0841 01-31-50-97 NOVI HERIYANTO L 47 Th PRIBADI DIRAWAT (MRS) 02

103 REG/OP/220903-0845 01-30-45-41 PUTRI PERMATASARI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03

104 REG/OP/220903-0852 01-30-47-13 RATIH NINING ANJARSARI P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03
105 REG/OP/220903-0858 01-30-74-63 BASUKI TENGGARA L 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
106 REG/OP/220903-0867 01-22-63-89 BILAL ADE SETIAWAN L 7 Th PRIBADI DIRAWAT (MRS) 02

107 REG/OP/220903-0876 01-31-51-04 ALIFHA BALQIST P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

108 REG/OP/220903-0883 01-31-51-01 MIRA MASLIANA P 30 Th PRIBADI DIRAWAT (MRS) 03


00-70-78-98
109 REG/OP/220903-0888 NURUL ISMARANI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-67-07-28
110 REG/OP/220903-0896 MUSLINDA WATI P 50 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02
111 REG/OP/220903-0898 01-30-92-42 SHINTA P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03

112 REG/OP/220903-0901 01-31-51-11 SUTILAH P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-35-48-81
113 REG/OP/220903-0903 FAISAL L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
114 REG/OP/220903-0908 01-31-20-68 ABDUL KADIR MADIOLO L 57 Th PRIBADI DIRAWAT (MRS) 02
00-53-89-32
115 REG/OP/220904-0009 ETIY P 56 Th PRIBADI DIRAWAT (MRS) 02
00-42-61-96
116 REG/OP/220904-0029 MIMI SUDIARTI P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-53-89-32
117 REG/OP/220904-0032 ETIY P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

118 REG/OP/220904-0041 01-31-51-30 HERLEN ANJANI P 4 Bl PRIBADI DIRAWAT (MRS) 02


119 REG/OP/220904-0045 01-04-35-67 TJUNG A NYEN P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

120 REG/OP/220904-0051 01-31-51-35 LAKSANA L 80 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02


121 REG/OP/220904-0052 01-12-63-89 M. ARROYYAN ALTHAFARIZKY L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-28-60-11
122 REG/OP/220904-0071 ABDUL SOMAD L 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-73-38-94
123 REG/OP/220904-0076 OEY BOK DJIN L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-50-43-28
124 REG/OP/220904-0097 AMIRAH KHAIRUNNISA MARWAH P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
125 REG/OP/220904-0113 01-31-51-31 KARMILA WATI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

126 REG/OP/220904-0119 01-31-51-03 DESTA MONICA PASARIBU P 18 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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00-81-14-88
127 REG/OP/220904-0125 SALMA P 81 Th PRIBADI DIRAWAT (MRS) 02

128 REG/OP/220904-0153 01-31-51-67 YAP THAI NIO P 79 Th BPJS KESEHATAN DIRAWAT (MRS) 01

129 REG/OP/220904-0165 01-31-51-73 BIMA CAKRA WERDANA L 24 Th PRIBADI DIRAWAT (MRS) 01


130 REG/OP/220904-0183 01-31-51-80 RUSPARNI P 36 Th PRIBADI DIRAWAT (MRS) 01

131 REG/OP/220904-0184 01-31-51-81 ARAHMAN HADI L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02


132 REG/OP/220904-0189 01-05-97-25 ASIA P 71 Th PRIBADI DIRAWAT (MRS) 02

133 REG/OP/220904-0191 01-23-99-12 BEVERLY KYRENE TAN P 2 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
134 REG/OP/220904-0193 01-31-51-83 MSY KHOIRIAH P 22 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-94-22-03
135 REG/OP/220904-0194 RIKA OKTORA P 38 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-61-95-86
136 REG/OP/220904-0201 NGATIYEM P 68 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 01
137 REG/OP/220904-0203 01-31-51-86 MARLINA P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 01
00-66-18-72
138 REG/OP/220904-0207 GITA OKTARIANI P 13 Th PRIBADI DIRAWAT (MRS) 02

139 REG/OP/220904-0213 01-30-22-56 M. ALIF AKBAR L 2 Th PRIBADI DIRAWAT (MRS) 02


140 REG/OP/220904-0214 01-31-51-88 KASWANTO L 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-42-08-32
141 REG/OP/220905-0001 RAHMAD PURNAMA L 51 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02

142 REG/OP/220905-0004 01-31-51-92 BY. NY. RIKA OKTORA L 0 Hr BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 05

143 REG/OP/220905-0006 01-17-06-93 ALIA KAMILA P 3 Th PRIBADI DIRAWAT (MRS) 02

144 REG/OP/220905-0008 01-31-06-45 RASIM L 86 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-91-21-64 BPJS KESEHATAN ( CHARITAS HOSPITAL
145 REG/OP/220905-0017 NURMALA SARI P 28 Th DIRAWAT (MRS) 03
PALEMBANG )
BPJS KESEHATAN ( CHARITAS HOSPITAL
146 REG/OP/220905-0022 01-20-36-39 LEONARDUS DERU GUNTORO L 3 Th DIRAWAT (MRS) 02
PALEMBANG )
147 REG/OP/220905-0026 01-14-19-90 MUHAMMAD KAMIL L 65 Th BRINGIN, Prospen YKP BRI DIRAWAT (MRS) 02

148 REG/OP/220905-0124 01-31-51-99 ZULDIANA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-67-49-16
149 REG/OP/220905-0249 FERAWATI P 42 Th MAG, Asuransi Multi Artha Guna (Peserta) DIRAWAT (MRS) 02
00-92-98-44
150 REG/OP/220905-0272 TJHEN HONG SENG L 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02
151 REG/OP/220905-0299 01-25-73-17 HUSIN EDI L 66 Th PRIBADI DIRAWAT (MRS) 02

152 REG/OP/220905-0353 01-31-52-38 ROJANAH P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 03

153 REG/OP/220905-0401 01-31-52-50 AISYAH P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-61-98-14
154 REG/OP/220905-0473 WENNY DIANSARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-34-73-13
155 REG/OP/220905-0507 ACHMAD PURWANA L 58 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02

156 REG/OP/220905-0540 01-29-36-48 FELLICYA MEDINA PRATIYAKSA P 6 Bl BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
KEMENKES RI (COVID-19) COB BPJSK (POST COVID-
157 REG/OP/220905-0543 01-14-50-16 AL RAFISKI L 5 Th DIRAWAT (MRS) 02
19)
00-93-95-95
158 REG/OP/220905-0548 WILLY P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-93-33-93
159 REG/OP/220905-0445 DWI MUSTIKA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-78-60-60
160 REG/OP/220905-0618 MARINA P 53 Th PRIBADI DIRAWAT (MRS) 02

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00-89-99-05
161 REG/OP/220905-0636 SUDIRMAN L 65 Th PRIBADI DIRAWAT (MRS) 02

162 REG/OP/220905-0676 01-29-48-77 NASYA ALDANA LINGGA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJS KESEHATAN ( CHARITAS HOSPITAL
163 REG/OP/220905-0690 01-15-35-19 IRENEUS GEFARIEL RADEVA L 4 Th DIRAWAT (MRS) 02
PALEMBANG )
BPJSK COB PT. ASURANSI JIWA INHEALTH
164 REG/OP/220905-0708 01-22-81-43 MUHAMMAD ALBIRRU FAIREL L 2 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
165 REG/OP/220905-0717 01-02-28-90 SUPARTIN P 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02

166 REG/OP/220905-0779 01-31-53-14 FARALIAN AGUNG JERMAWAN L 11 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02
00-92-92-99
167 REG/OP/220905-0787 DENNIS YOHANES WIRAWAN L 24 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

168 REG/OP/220905-0808 01-30-63-86 JESSY MONALISA P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-55-41-51
169 REG/OP/220905-0866 SUPIAH JUWITA P 80 Th BPJS KESEHATAN DIRAWAT (MRS) 02

170 REG/OP/220905-0873 01-31-36-36 DAVID HUSIN L 44 Th PRIBADI DIRAWAT (MRS) 01


171 REG/OP/220905-0904 01-31-53-34 ALI L 47 Th PRIBADI DIRAWAT (MRS) 01

172 REG/OP/220905-0942 01-19-23-60 DEVI JULIANTI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03


173 REG/OP/220905-0943 01-04-76-18 SISKA PUTRI UTAMI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

174 REG/OP/220905-0964 01-31-53-42 M. SYAHID L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02


175 REG/OP/220905-0975 01-13-36-88 MUHAMMAD MUSLIM L 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02

176 REG/OP/220905-0977 01-31-43-29 DOMINICA YOCELINE SIAGIAN P 7 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
177 REG/OP/220905-0987 01-30-22-15 SITI ALFIAH RATNA P 41 Th ASURANSI BNI LIFE DIRAWAT (MRS) 02

178 REG/OP/220905-0989 01-30-64-60 ERIN DWI CAHYANI P 15 Th PRIBADI DIRAWAT (MRS) 02

179 REG/OP/220905-0994 01-19-18-66 YENNI FARIANI P 49 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02

180 REG/OP/220905-0995 01-31-53-53 KASIATI P 41 Th PRIBADI DIRAWAT (MRS) 02


00-63-27-21
181 REG/OP/220905-1032 M. SUKRI DAMIRI L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-69-04-01
182 REG/OP/220905-1035 HALIMAH P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

183 REG/OP/220905-1037 01-31-13-34 WILDHA YUNIASTUTI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 03

184 REG/OP/220905-1045 01-31-52-55 PUPUT NOVEL P 20 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 01
185 REG/OP/220905-1053 01-31-53-71 M. ATQA ALBAASITH ARMANTO L 2 Th PRIBADI DIRAWAT (MRS) 02

186 REG/OP/220905-1055 01-26-20-61 AISHWA NAHLA MAHESA ARMANTO P 1 Th PRIBADI DIRAWAT (MRS) 02

187 REG/OP/220906-0005 01-31-53-70 NABILA LAURENSIYA P 16 Th BPJS KESEHATAN DIRAWAT (MRS) 02


188 REG/OP/220906-0011 01-31-53-75 WIWIK WIDIAWATI P 31 Th PRIBADI DIRAWAT (MRS) 03
00-98-69-41
189 REG/OP/220906-0124 PIA KOMALASARI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-40-34-92
190 REG/OP/220906-0300 ASNI P 57 Th PRIBADI DIRAWAT (MRS) 02
00-42-15-81
191 REG/OP/220906-0321 HENNI P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-33-59-01
192 REG/OP/220906-0401 KOMAR HALIM L 66 Th PRIBADI DIRAWAT (MRS) 02
193 REG/OP/220906-0444 01-30-09-94 ASHERA CARABELLE P 4 Bl PRIBADI DIRAWAT (MRS) 02

194 REG/OP/220906-0453 01-16-25-55 DWI ARIANTO L 26 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02

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195 REG/OP/220906-0494 01-25-68-89 TITIK HIDAYATI P 33 Th PRIBADI DIRAWAT (MRS) 03

196 REG/OP/220906-0578 01-31-54-53 BY. NY. TITIK HIDAYATI P 0 Hr PRIBADI DIRAWAT (MRS) 05

197 REG/OP/220906-0501 01-28-05-99 RARA MARZUELLA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02


198 REG/OP/220906-0509 01-03-95-53 MUZAIRI L 49 Th PT Zurich Asuransi Indonesia (Admedika) DIRAWAT (MRS) 02
00-55-59-33
199 REG/OP/220906-0532 HERU SUSENO L 43 Th PRIBADI DIRAWAT (MRS) 02
200 REG/OP/220906-0543 01-31-53-95 SHERLY OKTAVIAN P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

201 REG/OP/220906-0555 01-31-54-48 GIBRAN NAUFAL AL QUDTSY L 1 Th PRIBADI DIRAWAT (MRS) 02


202 REG/OP/220906-0564 01-31-54-01 IIN ANDRIANI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

203 REG/OP/220906-0572 01-31-54-06 SANI L 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02

204 REG/OP/220906-0621 01-31-54-57 MINARNI P 59 Th PRIBADI DIRAWAT (MRS) 02


00-92-58-55
205 REG/OP/220906-0643 FAUZIAH EKAWATI P 40 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 03
00-41-00-55
206 REG/OP/220906-0749 KOSIM JAUR, H L 80 Th PRIBADI DIRAWAT (MRS) 02

207 REG/OP/220906-0757 01-18-40-31 TANISHA AZZAHRA WATIAH P 3 Th PRIBADI DIRAWAT (MRS) 05


208 REG/OP/220906-0784 01-31-54-83 ELMEYRA RALINE AYUNINDYA P 2 Bl KEMENKES RI (COVID-19) DIRAWAT (MRS) 05

209 REG/OP/220906-0785 01-31-36-69 BY. NY. MARLYANTI L 14 Hr BPJS KESEHATAN DIRAWAT (MRS) 05

210 REG/OP/220906-0841 01-15-88-18 BUDI WAHYONO L 53 Th PT. SAMPOERNA AGRO, TBK DIRAWAT (MRS) 02

211 REG/OP/220906-0850 01-31-54-90 ASMA P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

212 REG/OP/220906-0858 01-06-46-95 DACKENNLY BENEDICT TAN L 6 Th PT. ASURANSI JIWA SEQUIS LIFE DIRAWAT (MRS) 02
213 REG/OP/220906-0881 01-31-55-09 BAMBANG L 35 Th PT. SAMPOERNA AGRO, TBK DIRAWAT (MRS) 01
214 REG/OP/220906-0891 01-13-25-97 ARNES P 57 Th PRIBADI DIRAWAT (MRS) 02

215 REG/OP/220906-0897 01-31-42-51 NYAYU GHANIYAH AL MADANIYAH P 9 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
216 REG/OP/220906-0899 01-31-55-14 M. ATHAR AZKA LUGIS L 3 Bl PRIBADI DIRAWAT (MRS) 05
00-29-23-64
217 REG/OP/220906-0912 FITRIANA P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

218 REG/OP/220906-0916 01-20-45-92 M. RAFIF TAAMIR RAHMAN L 3 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

219 REG/OP/220906-0920 01-16-20-25 ILYAS L 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02


220 REG/OP/220906-0923 01-00-67-04 DANIEL STEVEN WIRAWAN L 30 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
221 REG/OP/220906-0924 01-31-46-69 SUMINAH P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02
222 REG/OP/220907-0006 01-31-55-29 YUSUF HIDAYAT L 7 Hr PRIBADI DIRAWAT (MRS) 05
00-35-33-25
223 REG/OP/220907-0012 WEMI SURJANI P 51 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-80-89-58
224 REG/OP/220907-0020 HERMAN L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

225 REG/OP/220907-0107 01-06-23-23 RAIYAN RIZKI FATULLAH L 21 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 02
00-76-08-09
226 REG/OP/220907-0141 LINA MARDIA P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-37-91-26 BPJS KESEHATAN ( CHARITAS HOSPITAL
227 REG/OP/220907-0176 M. IKA SULISTYAWATI P 43 Th DIRAWAT (MRS) 03
PALEMBANG )
00-50-69-60 R. PETRUS CATUR ADI DHARMA
228 REG/OP/220907-0260 L 52 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 02
BARATA

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229 REG/OP/220907-0269 01-09-57-13 RUSDY L 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-39-36-48
230 REG/OP/220907-0358 NUR SERIARTI P 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA INHEALTH
231 REG/OP/220907-0480 01-31-55-84 YASMIN INDRAWATI P 57 Th DIRAWAT (MRS) 01
INDONESIA (AJII-MANAGE CARE)
232 REG/OP/220907-0484 01-30-91-63 WARLI L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02
233 REG/OP/220907-0492 01-27-72-61 RAHMI HIDAYATI P 36 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
234 REG/OP/220907-0515 01-31-55-95 NOFIANI P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-53-55-69
235 REG/OP/220907-0517 KHOIRULLOH MARZUKI L 66 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02

236 REG/OP/220907-0563 01-30-86-52 SN SEPTIANA PUSPITA RINI P 33 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
237 REG/OP/220907-0612 01-21-05-56 MUHAMMAD REYNAND AKBARIZI L 2 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 05

238 REG/OP/220907-0638 01-31-56-08 SABARIA P 58 Th PRIBADI DIRAWAT (MRS) 02

239 REG/OP/220907-0723 01-22-16-03 RAYN AKSA AL FATIH WICAKSONO L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

240 REG/OP/220907-0764 01-11-78-64 MUHAMMAD BILAL ALFATIH L 6 Th PRIBADI DIRAWAT (MRS) 02


00-91-51-87
241 REG/OP/220907-0772 CYNTHIA MENTARI DEWI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-77-85-36
242 REG/OP/220907-0774 BERTY YUSTIANI P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

243 REG/OP/220907-0782 01-23-27-65 NATASA AULIA RISKI HARAHAP P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-70-86-59
244 REG/OP/220907-0785 TALITHA SYAKIRAH NANDA WIJAYA P 18 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02

245 REG/OP/220907-0795 01-08-61-88 BEARO HAREFA L 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-74-17-16
246 REG/OP/220907-0798 MELISA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

247 REG/OP/220907-0810 01-31-56-30 MELANTI MANANDA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02

248 REG/OP/220907-0815 01-22-49-22 NASUTION L 68 Th PRIBADI DIRAWAT (MRS) 02


00-82-23-10
249 REG/OP/220907-0823 NURDIN L 74 Th PRIBADI DIRAWAT (MRS) 02

250 REG/OP/220907-0825 01-24-62-89 YURISMA NANDASARI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-45-22-51
251 REG/OP/220907-0826 SUYATI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02

252 REG/OP/220907-0833 01-31-55-74 M. YUSUF L 7 Bl PRIBADI DIRAWAT (MRS) 05


253 REG/OP/220907-0834 01-24-25-72 ICHA DAMAYANTI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

254 REG/OP/220908-0002 01-31-56-38 BADARUDIN L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02

255 REG/OP/220908-0003 01-22-16-03 RAYN AKSA AL FATIH WICAKSONO L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 05

256 REG/OP/220908-0012 01-23-61-12 WILLIAM L 47 Th BPJS KESEHATAN DIRAWAT (MRS) 02


257 REG/OP/220908-0016 01-15-84-47 SWAIN JUNIOR SAMPUL L 4 Th PRIBADI DIRAWAT (MRS) 05

258 REG/OP/220908-0017 01-28-66-06 AYDAN SATRIA ALMUJAHID L 8 Bl BPJS KESEHATAN DIRAWAT (MRS) 05

259 REG/OP/220908-0022 01-26-04-43 ALMEERA KHALISA GUIEZA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-89-58-58
260 REG/OP/220908-0023 YULI SUSILAWATI P 47 Th BPJS KESEHATAN DIRAWAT (MRS) 03
261 REG/OP/220908-0151 01-31-56-57 RONIMAH P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-56-65-56
262 REG/OP/220908-0183 HARISTON SILABAN L 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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263 REG/OP/220908-0265 01-31-56-70 SULIYONO L 44 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-35-17-21
264 REG/OP/220908-0325 MARIA GORETTI/LANY KONG P 77 Th PRIBADI DIRAWAT (MRS) 02

265 REG/OP/220908-0345 01-31-56-51 ARDILA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03


SULTAN MUHAMMAD AL-FATIH
266 REG/OP/220908-0353 01-31-38-69 L 6 Bl BPJS KESEHATAN DIRAWAT (MRS) 01
PUTRA DAUD
00-37-79-29
267 REG/OP/220908-0369 UNTUNG PRAYITNO L 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
268 REG/OP/220908-0421 01-29-07-76 LIA KAROLINA P 36 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-93-69-02
269 REG/OP/220908-0448 PAULUS HARNASA PURBA L 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02

270 REG/OP/220908-0467 01-19-73-93 SRI TUTI PURNAMASARI P 26 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 03
00-86-72-87
271 REG/OP/220908-0474 YULIA HARYATI P 53 Th PRIBADI DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
272 REG/OP/220908-0482 01-31-56-95 DEPI HELIANA P 40 Th DIRAWAT (MRS) 03
INDONESIA (AJII-INDEMNITY)
00-71-78-14
273 REG/OP/220908-0494 RAMEYZA HUMAIRA P 12 Th BPJS KESEHATAN DIRAWAT (MRS) 02

274 REG/OP/220908-0519 01-31-56-98 HILDA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03


275 REG/OP/220908-0563 01-22-22-68 MITA FRAND SISCA P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

276 REG/OP/220908-0578 01-25-98-56 AISYAH MAHDI SYAHAB P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
277 REG/OP/220908-0593 01-10-35-57 HABIB ROSYIDI L 59 Th Yakes Telkom DIRAWAT (MRS) 02

278 REG/OP/220908-0624 01-31-57-14 MARIA IRENE PRISKILA P 16 Th PRIBADI DIRAWAT (MRS) 02


00-40-82-75
279 REG/OP/220908-0634 EVA RUSNATI P 58 Th PRIBADI DIRAWAT (MRS) 02

280 REG/OP/220908-0659 01-31-57-21 ARIEF ARKAN L 55 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-50-33-87
281 REG/OP/220908-0662 LILIA P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-68-93-37
282 REG/OP/220908-0665 M. NADHIF ISLAMI L 13 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-89-07-35
283 REG/OP/220908-0668 HESTI EFRINA P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

284 REG/OP/220908-0699 01-29-03-38 NOVENI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-75-84-44
285 REG/OP/220908-0724 MAIMUNAH P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

286 REG/OP/220908-0743 01-30-99-39 MUHAMMAD ZAIN AL KAUTSAR L 1 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
287 REG/OP/220908-0766 01-31-29-19 HAFSHAH ANNAFI P 22 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
00-41-72-10
288 REG/OP/220908-0780 YOHANES WIDARDIYONO L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-45-47-02
289 REG/OP/220908-0798 CYNTHIA GEOFANI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-46-60-80
290 REG/OP/220908-0799 YUSMAR UMAR L 72 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02
00-86-79-94 BPJS KESEHATAN ( CHARITAS HOSPITAL
291 REG/OP/220908-0801 MARIA MAGDALENA P 31 Th DIRAWAT (MRS) 03
PALEMBANG )
00-89-18-86
292 REG/OP/220908-0803 YANTO L 36 Th PT. ASURANSI JIWA GENERALI INDONESIA DIRAWAT (MRS) 02
293 REG/OP/220908-0809 01-26-26-16 M. SULTAN MOEZA L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

294 REG/OP/220908-0816 01-11-24-20 THENG THEK LENG L 71 Th PRIBADI DIRAWAT (MRS) 02


295 REG/OP/220908-0821 01-30-91-61 DAMAN HURI L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

296 REG/OP/220908-0847 01-27-29-59 AHILMA SUUD P 73 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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297 REG/OP/220908-0858 01-31-57-53 M. FEDROLIC L 22 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-85-53-69
298 REG/OP/220908-0859 WELDA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-63-72-62
299 REG/OP/220908-0864 LIDYA PUSPITASARI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-30-52-24
300 REG/OP/220908-0870 SURYATI P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-55-17-42
301 REG/OP/220908-0872 LAMONO HADISONO L 70 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02
302 REG/OP/220909-0002 01-31-57-58 LUFIAH P 18 Th BPJS KESEHATAN DIRAWAT (MRS) 02

303 REG/OP/220909-0005 01-20-78-54 ANSORI L 57 Th PRIBADI DIRAWAT (MRS) 02


MARIE ABIGAIL R. NAULIBASA
304 REG/OP/220909-0010 01-04-12-50 P 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02
SITORUS
305 REG/OP/220909-0013 01-28-81-01 ELVANITA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

306 REG/OP/220909-0016 01-31-57-62 GEMPAR UDIN L 46 Th PRIBADI DIRAWAT (MRS) 02


00-43-47-70 BPJS KESEHATAN ( CHARITAS HOSPITAL
307 REG/OP/220909-0017 SR. M. DAMIANA, FCH P 53 Th DIRAWAT (MRS) 02
PALEMBANG )
308 REG/OP/220909-0038 01-31-57-66 DIAN PUSPITA SARI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-35-49-03
309 REG/OP/220909-0166 NURHAYATI P 62 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02

310 REG/OP/220909-0178 01-11-12-65 JULYANTHO SITINJAK L 39 Th BPJS KESEHATAN DIRAWAT (MRS) 02


311 REG/OP/220909-0198 01-31-57-84 YESSY ARIANI P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02

312 REG/OP/220909-0232 01-27-84-15 THENG PO LAI L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02


BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
313 REG/OP/220909-0238 01-04-33-12 PAWIT NURKHASANAH P 32 Th DIRAWAT (MRS) 03
INDONESIA (AJII-INDEMNITY)
314 REG/OP/220909-0303 01-27-94-29 SELPI P 27 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-92-02-77 BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
315 REG/OP/220909-0323 DWINTA JULIANA RIZKIYAN P 35 Th DIRAWAT (MRS) 03
INDONESIA (AJII-INDEMNITY)
00-92-19-02
316 REG/OP/220909-0337 MARHELIN P 34 Th PT. HINDOLI ( A Cargill Company ) DIRAWAT (MRS) 03

317 REG/OP/220909-0366 01-23-05-74 BELLA MELISSA TUTUPOHO P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-55-83-59
318 REG/OP/220909-0440 VIVIN WIBOWO P 33 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-71-89-88
319 REG/OP/220909-0442 NUNUK KASMIATI P 54 Th PRIBADI DIRAWAT (MRS) 02
00-98-15-00
320 REG/OP/220909-0451 SARAH SANIA P 24 Th ASURANSI BNI LIFE DIRAWAT (MRS) 02
00-97-74-92
321 REG/OP/220909-0460 SIAH SURI P 52 Th PT. Bukit Asam Tbk. (Pensiunan) DIRAWAT (MRS) 02
00-62-67-42
322 REG/OP/220909-0514 MUTIA AZIZAH P 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02

323 REG/OP/220909-0524 01-31-57-74 SYAUQI Z A L 12 Th PRIBADI DIRAWAT (MRS) 02


324 REG/OP/220909-0619 01-31-48-86 SARJANA P 36 Th BPJS KESEHATAN DIRAWAT (MRS) 03

325 REG/OP/220909-0635 01-24-71-43 JUNAIDI L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02


326 REG/OP/220909-0642 01-30-95-14 YULIA RAHAYU P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
327 REG/OP/220909-0667 01-13-00-31 KLADIVA KHANSA KURNIAWAN P 7 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02

328 REG/OP/220909-0676 01-31-48-14 NAYYARA SACHI RAMADHANI P 5 Bl BPJS KESEHATAN DIRAWAT (MRS) 02

329 REG/OP/220909-0703 01-12-49-56 LUSIANA FIBRIANTI P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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330 REG/OP/220909-0708 01-11-03-28 NURMALA DEWI P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-57-17-99
331 REG/OP/220909-0718 SUTALIYAH P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-84-73-95
332 REG/OP/220909-0726 BARLY YANUARDI L 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-42-48-29
333 REG/OP/220909-0731 JONI SUSANTO L 40 Th PRIBADI DIRAWAT (MRS) 02
00-29-28-18
334 REG/OP/220909-0734 HUSEN TANTONO L 83 Th PRIBADI DIRAWAT (MRS) 02
335 REG/OP/220909-0739 01-22-93-56 TRIANTI PASKALINA PUTRI P 27 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02

336 REG/OP/220909-0743 01-05-49-10 ZULFATMAHHUSNI P 32 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 02
00-64-04-67
337 REG/OP/220910-0002 GERVY VILANDA P 26 Th PRIBADI DIRAWAT (MRS) 03

338 REG/OP/220910-0018 01-31-58-67 AKMAL SATIBI IKHWAN L 29 Th BPJS KESEHATAN DIRAWAT (MRS) 01

339 REG/OP/220910-0026 01-31-58-69 BUDI WARDONO L 30 Th PRIBADI DIRAWAT (MRS) 02


BPJS KESEHATAN ( CHARITAS HOSPITAL
340 REG/OP/220910-0142 01-11-21-76 JOSEPH DIRANDRA A. S. L 5 Th DIRAWAT (MRS) 05
PALEMBANG )
341 REG/OP/220910-0180 01-27-63-60 KIRANA YUKI JANNATI P 1 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 05
00-81-68-16
342 REG/OP/220910-0330 HOLILA P 64 Th PRIBADI DIRAWAT (MRS) 02
343 REG/OP/220910-0361 01-31-53-84 DESTI YUNITA SARI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

344 REG/OP/220910-0491 01-31-59-26 AHMAD TAMARUN SYAKBAN L 72 Th BRINGIN, Prospen YKP BRI DIRAWAT (MRS) 02

345 REG/OP/220910-0437 01-31-59-16 SUKRI L 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02

346 REG/OP/220910-0446 01-31-59-19 DRS. BOEGIO HARIYANTO L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-63-16-90
347 REG/OP/220910-0541 DEDE CAHYADI L 45 Th PT. ASURANSI RELIANCE INDONESIA DIRAWAT (MRS) 02
00-84-78-29
348 REG/OP/220910-0567 OLIVIA LESTARI P 32 Th PRIBADI DIRAWAT (MRS) 03
00-82-67-25
349 REG/OP/220910-0623 KHIAT SIN HO P 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
350 REG/OP/220910-0659 01-04-35-89 SUHARTINI P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
351 REG/OP/220910-0727 01-31-58-44 LINDA ASMARA P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02

352 REG/OP/220910-0755 01-31-59-83 ADEVIA MEISAR PUTRI AFJA P 19 Th PRIBADI DIRAWAT (MRS) 01

353 REG/OP/220910-0757 01-26-60-06 TAN PO TJUN HOEI P 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-60-29-77
354 REG/OP/220910-0830 GITA SAPUTRI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 03

355 REG/OP/220910-0834 01-22-25-57 ITJAHKU P 83 Th BPJS KESEHATAN DIRAWAT (MRS) 02


356 REG/OP/220910-0859 01-31-60-25 UJANG ROIS L 66 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 01

357 REG/OP/220910-0871 01-31-60-29 TEMUK P 75 Th PRIBADI DIRAWAT (MRS) 02


00-51-26-60
358 REG/OP/220910-0872 SRI HARTARTI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

359 REG/OP/220910-0877 01-31-60-31 PUTRI MARISKA P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02

360 REG/OP/220910-0886 01-10-51-32 YUSTINA MURDIWATI P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02


361 REG/OP/220910-0902 01-09-81-59 HARSONO L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-94-16-92
362 REG/OP/220910-0914 YULIYANA P 31 Th PRIBADI DIRAWAT (MRS) 03

363 REG/OP/220910-0940 01-20-19-35 GHAIZAN AHMAD DZAKIANDRA L 3 Th PRIBADI DIRAWAT (MRS) 02

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364 REG/OP/220910-0948 01-20-59-68 INTAN RIZKI AMALIA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-96-26-87
365 REG/OP/220910-0950 FHIYA RATNA PUSPITA P 30 Th PRIBADI DIRAWAT (MRS) 02

366 REG/OP/220910-0964 01-31-60-65 IKA NURI KARTIKA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-94-10-66
367 REG/OP/220910-0965 NURDIN L 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02

368 REG/OP/220911-0005 01-26-28-68 CELYN ABISHA SIAHAAN P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 05
369 REG/OP/220911-0011 01-21-41-83 QIANZI VAN ALVAREND L 2 Th PRIBADI DIRAWAT (MRS) 05

370 REG/OP/220911-0015 01-30-77-62 JANUARIKA ANGGUNAN P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03


371 REG/OP/220911-0030 01-08-20-80 SUMINIK P 26 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

372 REG/OP/220911-0035 01-31-60-80 BY. NY. SUMINIK L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05

373 REG/OP/220911-0045 01-31-60-78 HERI IRAWAN L 19 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 02
00-43-24-39
374 REG/OP/220911-0046 EFRANS ROBERTO SIBARANI L 56 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02
375 REG/OP/220911-0050 01-31-60-76 SUSANTO L 53 Th PRIBADI DIRAWAT (MRS) 02

376 REG/OP/220911-0053 01-08-29-09 SIMPEN P 61 Th PRIBADI DIRAWAT (MRS) 02

377 REG/OP/220911-0090 01-29-56-12 JOHANES KIONGGOWASITO SIMSIH L 72 Th PRIBADI DIRAWAT (MRS) 02

378 REG/OP/220911-0113 01-22-88-92 NURMA P 50 Th PRIBADI DIRAWAT (MRS) 02


00-38-36-23
379 REG/OP/220911-0119 SUSWINDA MEILISTIA LARASATI P 29 Th PT. PAMAPERSADA NUSANTARA DIRAWAT (MRS) 02
00-85-20-75
380 REG/OP/220911-0122 MUHAMMAD HERBI RICO L 33 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 02

381 REG/OP/220911-0123 01-31-61-00 GARNIDA SURYATI P 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-93-13-12
382 REG/OP/220911-0127 DEYANTO L 56 Th Yakes Telkom DIRAWAT (MRS) 02
00-90-97-05 BPJS KESEHATAN ( CHARITAS HOSPITAL
383 REG/OP/220911-0133 SITI RASINAH P 30 Th DIRAWAT (MRS) 03
PALEMBANG )
BPJS KESEHATAN ( CHARITAS HOSPITAL
384 REG/OP/220911-0138 01-15-06-58 MUHAMMAD FADHLAN ALFARIZQI L 4 Th DIRAWAT (MRS) 02
PALEMBANG )
385 REG/OP/220911-0155 01-23-88-59 JESSLYN ALMAHYRA SHEZA JUAN P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
386 REG/OP/220911-0161 01-31-55-71 M. LEO ZIKRILLAH L 20 Th BPJS KESEHATAN DIRAWAT (MRS) 02

387 REG/OP/220911-0163 01-31-61-08 MARDIAH P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02


388 REG/OP/220912-0009 01-31-61-24 PRAN KUNERO L 15 Th PRIBADI DIRAWAT (MRS) 02

389 REG/OP/220912-0013 01-27-52-99 ARSAKHA MALIK AKBAR L 1 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 05
00-72-71-36
390 REG/OP/220912-0019 TAUPIK A. ROZAK L 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
PT. ASURANSI JIWA INHEALTH INDONESIA (AJII-
391 REG/OP/220912-0027 01-02-37-17 TRI SANDI P 35 Th DIRAWAT (MRS) 03
MANAGE CARE)
PT. ASURANSI JIWA INHEALTH INDONESIA (AJII-
392 REG/OP/220912-0038 01-31-61-32 BY. NY. TRI SANDI L 0 Hr DIRAWAT (MRS) 05
MANAGE CARE)
BPJSK COB PT. ASURANSI JIWA INHEALTH
393 REG/OP/220912-0033 01-02-61-34 HANDY B. L 33 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
394 REG/OP/220912-0149 01-13-05-94 DEVI DAMAYANTI P 28 Th PRIBADI DIRAWAT (MRS) 03
00-93-99-21
395 REG/OP/220912-0182 SUWARNO ADIE WALUYO L 86 Th BPJS KESEHATAN DIRAWAT (MRS) 02

396 REG/OP/220912-0207 00-99-86-75 M. ADLAY ROBBY L 7 Th PRIBADI DIRAWAT (MRS) 05

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00-79-30-36
397 REG/OP/220912-0379 YUSUF WIJAYA L 66 Th PRIBADI DIRAWAT (MRS) 02

398 REG/OP/220912-0556 01-29-02-79 RALINE ZEVANIA AMANDA P 10 Bl BPJS KESEHATAN DIRAWAT (MRS) 02

399 REG/OP/220912-0573 01-31-62-04 RUDI ALDI L 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-37-75-38
400 REG/OP/220912-0588 JULIANA PURBA P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02

401 REG/OP/220912-0626 01-29-70-97 RINI P 30 Th PRIBADI DIRAWAT (MRS) 03


402 REG/OP/220912-0708 01-31-62-28 AGUNG PRASETIO L 25 Th PRIBADI DIRAWAT (MRS) 02
00-28-99-53 BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
403 REG/OP/220912-0747 POSMA AYAX ACHILLES L 64 Th DIRAWAT (MRS) 02
INDONESIA (AJII-INDEMNITY)
M. ERLANGGA PRADIPTA
404 REG/OP/220912-0763 01-31-05-90 L 1 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
BUMANTARA
405 REG/OP/220912-0783 01-31-61-99 RAHMATIA P 18 Th PRIBADI DIRAWAT (MRS) 03
00-97-28-23
406 REG/OP/220912-0901 LUNA SYAFIRA P 14 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
00-43-99-10
407 REG/OP/220912-0945 HERMANTO L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

408 REG/OP/220912-0969 01-31-62-89 FELICIA SANSA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02


409 REG/OP/220912-0966 01-30-76-99 WINDA WULANDARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-44-76-22
410 REG/OP/220912-0989 TUGINO L 63 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 02
411 REG/OP/220912-1022 01-31-60-64 EDWARD L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

412 REG/OP/220912-1028 01-30-67-41 PURNIATI P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-28-30-35
413 REG/OP/220912-1032 MASRAN L 45 Th BPJS KESEHATAN DIRAWAT (MRS) 02

414 REG/OP/220912-1036 01-27-96-73 AFRITA YUNANI P 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

415 REG/OP/220912-1042 01-31-62-96 LIBERSON SAGALA L 43 Th BPJS KESEHATAN DIRAWAT (MRS) 01


00-55-37-99
416 REG/OP/220912-1054 TARGIMAN L 77 Th PRIBADI DIRAWAT (MRS) 02
00-39-74-05 CLARISSA DAMAYANTI
417 REG/OP/220912-1059 P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
BADARUDDIN
00-80-49-14
418 REG/OP/220912-1064 MARJATY P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
419 REG/OP/220912-1084 01-31-63-02 KHALISA P 13 Hr BPJS KESEHATAN DIRAWAT (MRS) 02

420 REG/OP/220912-1087 01-31-49-51 FATHIYA KHAIRUNISAA P 13 Th AXA Mandiri Financial Services (ADMEDIKA) DIRAWAT (MRS) 02
421 REG/OP/220912-1097 01-29-54-05 YULI AYU DWI LESTARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

422 REG/OP/220912-1112 01-22-32-13 TETY KURNIANTY P 32 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-29-97-81
423 REG/OP/220912-1139 TANTOWI L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02
424 REG/OP/220912-1147 01-31-55-23 BY. NY. FITRIANA L 6 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
425 REG/OP/220912-1150 01-08-43-51 CINDY MARCELLA TANZIL P 26 Th PT. Asuransi Jiwa Sequis Life ( Peserta ) DIRAWAT (MRS) 02

426 REG/OP/220912-1153 01-05-12-70 ARFAN ZIQRI FAIZI L 8 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 02
427 REG/OP/220912-1158 01-31-29-42 ANIK EKAERAWATI P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02

428 REG/OP/220912-1178 01-21-72-04 ZAHIRA RIZKI MIKAYLA P 3 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02
429 REG/OP/220913-0001 01-31-63-25 FAYOLLA AYUDITYA FITRI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-54-02-21
430 REG/OP/220913-0002 MUHAMMAD RONALDO L 15 Th BPJS KESEHATAN DIRAWAT (MRS) 01

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431 REG/OP/220913-0010 01-27-93-86 SARBINI L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

432 REG/OP/220913-0012 01-09-05-64 HELENA PENDE P 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02

433 REG/OP/220913-0015 01-22-01-39 KEISHA AURELIA RAFANDA P 4 Th PRIBADI DIRAWAT (MRS) 02


434 REG/OP/220913-0283 01-31-61-59 EVA HERLINA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-83-23-90
435 REG/OP/220913-0300 SANTRI SIAHAAN P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03
436 REG/OP/220913-0313 01-27-96-49 NABILA ARBIANA PUTRI P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

437 REG/OP/220913-0368 01-31-63-54 LILI CORNIALI OKTARI P 31 Th PRIBADI DIRAWAT (MRS) 03


438 REG/OP/220913-0395 01-27-52-18 WIE SHONG GOA P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02

439 REG/OP/220913-0421 01-31-63-78 RAYSYA MULYANI P 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02

440 REG/OP/220913-0433 01-31-63-79 ALLEA PUTRI TEZAR P 2 Th PRIBADI DIRAWAT (MRS) 05


441 REG/OP/220913-0485 01-31-63-86 M. DAUD L 79 Th PRIBADI DIRAWAT (MRS) 01
442 REG/OP/220913-0561 01-03-72-36 WAGIYO BK L 48 Th PRIBADI DIRAWAT (MRS) 02

443 REG/OP/220913-0630 01-28-33-99 AHMAD BAKRI L 72 Th PRIBADI DIRAWAT (MRS) 02


444 REG/OP/220913-0639 01-04-80-34 AHMAD KHOLID L 7 Th PRIBADI DIRAWAT (MRS) 02
00-97-92-74
445 REG/OP/220913-0659 MARGARETA EKA SETYA NINGSIH P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-72-76-09
446 REG/OP/220913-0684 PARTAHANAN SILITONGA L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02

447 REG/OP/220913-0693 01-16-20-09 M. AL FATIR CANIAGO L 4 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02

448 REG/OP/220913-0719 01-31-61-16 ADRIAN NOVANSYAH L 47 Th BPJS KESEHATAN DIRAWAT (MRS) 02


449 REG/OP/220913-0770 01-22-61-07 EVA NATALIA P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03
450 REG/OP/220913-0787 01-31-64-39 NURUL HUDA, SE P 50 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
00-71-09-24
451 REG/OP/220913-0800 RUSLI SAIDIL AZIZ L 72 Th PRIBADI DIRAWAT (MRS) 02
00-59-42-86 BPJS KESEHATAN ( CHARITAS HOSPITAL
452 REG/OP/220913-0810 FITRI NUR OKTAVIANI P 14 Th DIRAWAT (MRS) 02
PALEMBANG )
453 REG/OP/220913-0823 01-31-64-28 SUPRIYANTO L 37 Th PRIBADI DIRAWAT (MRS) 02
00-95-93-18
454 REG/OP/220913-0825 GIOVINCO NICANDER L 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
455 REG/OP/220913-0830 01-31-64-31 GARREL KANAKA PRADIPA KESUMA L 4 Hr BPJS KESEHATAN DIRAWAT (MRS) 05

456 REG/OP/220913-0835 01-08-76-49 KRISTINA SELLY KURNIA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-48-13-36
457 REG/OP/220913-0863 DJASIAH,HJ P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-30-81-24
458 REG/OP/220913-0872 ANI KUSUMA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02
459 REG/OP/220913-0900 01-31-64-56 FALENCIA MELYNDA P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 03

460 REG/OP/220913-0907 01-31-64-60 RAQQILA KHUMAIROH P 1 Bl KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

461 REG/OP/220914-0001 01-31-14-67 DEDEK OKTAVIANI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03


462 REG/OP/220914-0013 01-08-27-36 HERLI P 35 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 03
463 REG/OP/220914-0020 01-27-22-31 WIDYA KESUMA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

464 REG/OP/220914-0021 01-31-64-66 ROINAH P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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465 REG/OP/220914-0022 01-31-63-58 HANSEL WIJAYA L 2 Th PRIBADI DIRAWAT (MRS) 02

466 REG/OP/220914-0221 01-12-86-56 KASIM SOWANTO L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

467 REG/OP/220914-0227 01-18-56-40 MURYANI P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-47-59-95
468 REG/OP/220914-0283 GIYATNO L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

469 REG/OP/220914-0301 01-26-60-06 TAN PO TJUN HOEI P 75 Th PRIBADI DIRAWAT (MRS) 02


470 REG/OP/220914-0360 01-31-65-03 M.GHALI RALAR PANANG KARA L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02

471 REG/OP/220914-0417 01-31-58-24 AZKAYRA BIANCA ARJUN P 5 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
472 REG/OP/220914-0433 01-05-47-89 AMBIAH ABUBAKAR L 59 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02
00-40-42-11
473 REG/OP/220914-0503 ENDIY SITOHANG L 47 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
00-47-14-52
474 REG/OP/220914-0526 BUDINSANIE JOHANOS L 53 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
475 REG/OP/220914-0598 01-11-61-42 ARSYLA NUR FARHANI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
476 REG/OP/220914-0610 01-31-64-71 ASTOBI L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

477 REG/OP/220914-0694 01-12-53-03 BETTI P 65 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
478 REG/OP/220914-0702 01-31-65-53 DINI KARTIKA UTAMI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03

479 REG/OP/220914-0751 01-31-65-71 MUHAMMAD AFZAL ATHALLAH L 1 Th PRIBADI DIRAWAT (MRS) 02

480 REG/OP/220914-0763 01-30-71-86 SONYA MARSELA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

481 REG/OP/220914-0807 01-31-65-79 YATI P 62 Th PRIBADI DIRAWAT (MRS) 02

482 REG/OP/220914-0816 01-31-65-82 HUMAIDI L 62 Th PRIBADI DIRAWAT (MRS) 02


483 REG/OP/220914-0818 01-31-57-97 BY. NY. CYNTHIA GEOFANI L 5 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
484 REG/OP/220914-0825 01-20-45-40 CAROL ABISHA SIAHAAN P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-41-12-89
485 REG/OP/220914-0828 AMBAR FAWITRI P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
486 REG/OP/220914-0847 01-10-17-01 SOFYAN ANSORI, DR L 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-36-13-66
487 REG/OP/220914-0849 YULIATI P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02

488 REG/OP/220914-0852 01-31-65-89 ZENIA ASIFA MECCA P 10 Bl PRIBADI DIRAWAT (MRS) 02

489 REG/OP/220914-0859 01-29-59-57 ZUBAYA AD P 58 Th Yakes Telkom DIRAWAT (MRS) 02


00-71-89-35
490 REG/OP/220914-0862 INDRAWATI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02
491 REG/OP/220914-0863 01-04-82-78 MUHAMMAD RASYID KHALID L 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
492 REG/OP/220915-0002 01-31-65-96 SITI NURBAYA P 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02

493 REG/OP/220915-0008 01-31-41-31 ASMAH P 69 Th PRIBADI DIRAWAT (MRS) 03


494 REG/OP/220915-0025 01-31-66-03 HUSRIZAL L 57 Th PT. Bukit Asam Tbk. (Pensiunan) DIRAWAT (MRS) 02

495 REG/OP/220915-0031 01-27-76-30 GHIBRAN ALTAMIS POHAN L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
496 REG/OP/220915-0036 01-23-75-75 NI KADEK JESSICA PUTRI P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02

497 REG/OP/220915-0038 01-31-66-06 HALIMIN L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-92-13-89
498 REG/OP/220915-0244 SITI DJAMILAH P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02

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499 REG/OP/220915-0267 01-31-63-04 M. KURDI ARROYAN L 11 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02

500 REG/OP/220915-0294 01-00-77-32 M. AXELLE ARZIKI LAIS L 8 Th PRIBADI DIRAWAT (MRS) 02


00-53-34-81
501 REG/OP/220915-0321 BENEDICTUS EFFENDI L 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-84-73-32
502 REG/OP/220915-0333 YULIANAH P 51 Th PRIBADI DIRAWAT (MRS) 02
00-83-85-14
503 REG/OP/220915-0379 JESSICA CHANDRA P 26 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
504 REG/OP/220915-0418 01-11-87-52 WAIDAH P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

505 REG/OP/220915-0442 01-01-60-86 VALENTCIA NATALIE P 19 Th PRIBADI DIRAWAT (MRS) 03


506 REG/OP/220915-0506 01-31-66-56 HUSIN L 54 Th PRIBADI DIRAWAT (MRS) 02

507 REG/OP/220915-0521 01-31-66-35 TITI SUMARNI P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02

508 REG/OP/220915-0566 01-31-66-76 SUDIRMAN L 35 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01


00-35-49-71
509 REG/OP/220915-0596 MARMELLA P 37 Th BCA LIFE (ADMEDIKA) DIRAWAT (MRS) 03
00-98-46-61
510 REG/OP/220915-0630 DELLA VIRIYA P 18 Th PRIBADI DIRAWAT (MRS) 02
00-37-77-80 BPJS KESEHATAN ( CHARITAS HOSPITAL
511 REG/OP/220915-0656 RAHMAN L 49 Th DIRAWAT (MRS) 02
PALEMBANG )
512 REG/OP/220915-0675 01-08-43-38 GISELA MARSELIN P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-97-34-56
513 REG/OP/220915-0693 RERIN NOVITASARI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA INHEALTH
514 REG/OP/220915-0705 01-26-23-77 RAAY MOSESURIEL SIMAMORA L 2 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
00-84-18-77 BPJS KESEHATAN ( CHARITAS HOSPITAL
515 REG/OP/220915-0728 CLARA MARSELINA BERNADUS P 31 Th DIRAWAT (MRS) 03
PALEMBANG )
00-84-59-89
516 REG/OP/220915-0775 APRIANTI P 30 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

517 REG/OP/220915-0825 01-31-66-97 OKTARINA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 02

518 REG/OP/220915-0844 01-31-48-68 INAYAH KAYLA SHAFIRRA P 13 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
BPJSK COB PT. ASURANSI JIWA INHEALTH
519 REG/OP/220915-0846 01-19-84-58 SALSABILA RAMADHANI P 3 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
520 REG/OP/220915-0855 01-08-43-49 GHISLAINE CHIEKO GONADI P 14 Th PT. PANINDAI-ICHILIFE, TBK. DIRAWAT (MRS) 05
BPJS KESEHATAN ( CHARITAS HOSPITAL
521 REG/OP/220915-0863 01-28-10-55 AFI SADID QAULUH L 2 Th DIRAWAT (MRS) 02
PALEMBANG )
00-53-70-36
522 REG/OP/220915-0866 HALIMAH P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

523 REG/OP/220915-0882 01-31-61-13 ANNISA DIVIA AZKADINA P 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02
524 REG/OP/220915-0884 01-29-54-16 NIKEN ELISABETH P 22 Th PRIBADI DIRAWAT (MRS) 03

525 REG/OP/220915-0909 01-06-88-02 MUAZZAM SUFI AL FAYYADH L 8 Th PRIBADI DIRAWAT (MRS) 02


526 REG/OP/220915-0915 01-10-48-29 ADELIE PUTRI WIDIANTI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02

527 REG/OP/220915-0921 01-27-95-34 MSY SITI HAJAR P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJS KESEHATAN ( CHARITAS HOSPITAL
528 REG/OP/220915-0919 01-28-78-11 PINKY MANDALA PUTRI P 8 Bl DIRAWAT (MRS) 02
PALEMBANG )
529 REG/OP/220915-0922 01-06-51-71 VEIGA LINTANG MULWANDA P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-65-96-06
530 REG/OP/220915-0924 KOMARIAH P 62 Th PRIBADI DIRAWAT (MRS) 02

531 REG/OP/220915-0932 01-18-13-90 REZA PAHLEVI ABAS L 18 Th PRIBADI DIRAWAT (MRS) 02

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532 REG/OP/220915-0937 01-31-67-28 NURLELA P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-73-65-28
533 REG/OP/220915-0944 MARLINA P 37 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

534 REG/OP/220916-0146 01-04-41-33 RIZKY KHAIRUNNISA P 7 Th BPJS KESEHATAN DIRAWAT (MRS) 02


535 REG/OP/220916-0200 01-31-54-77 NURUL KISTI P 26 Th PT. MUSI HUTAN PERSADA DIRAWAT (MRS) 03
00-95-48-85
536 REG/OP/220916-0251 FANYA LARISA PUTRI P 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-43-29-39
537 REG/OP/220916-0258 NURJANA P 36 Th ASURANSI PERISAI LISTRIK NEGARA (MEDLINX) DIRAWAT (MRS) 03

538 REG/OP/220916-0281 01-28-07-61 AFRIANI HAMIDAH P 26 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
539 REG/OP/220916-0291 01-20-12-26 HABIBA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

540 REG/OP/220916-0340 01-31-67-59 MULIATI P 70 Th PRIBADI DIRAWAT (MRS) 02


00-79-49-35
541 REG/OP/220916-0353 SIHAT LUMBAN TOBING P 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-95-93-98
542 REG/OP/220916-0368 SIDIN L 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02
543 REG/OP/220916-0398 01-05-80-31 STEVEN ALEXANDER L 6 Th PRIBADI DIRAWAT (MRS) 02

544 REG/OP/220916-0434 01-31-67-72 M. RAFLI ATHASYAH L 14 Th BPJS KESEHATAN DIRAWAT (MRS) 02


545 REG/OP/220916-0436 01-27-28-49 JOTI BELA SUCI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-82-37-51
546 REG/OP/220916-0446 RAISHA DZAKI DEFARDAN L 11 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 02

547 REG/OP/220916-0448 01-06-10-28 RAIHAN ATHALLAH DEFATDZA L 7 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 02
00-62-83-37
548 REG/OP/220916-0463 SILVIA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-34-02-25
549 REG/OP/220916-0540 NURHAYATI P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02
550 REG/OP/220916-0605 01-26-01-29 ARSENIO KHAIZURAN HENDIS L 1 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 05
551 REG/OP/220916-0651 01-29-56-28 ELIASARI P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-83-33-46
552 REG/OP/220916-0656 ROSMAIDA SINAGA P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02
553 REG/OP/220916-0671 01-23-43-03 GUMAR KUS KAT L 77 Th PRIBADI DIRAWAT (MRS) 02

554 REG/OP/220916-0705 01-25-76-87 HARRISON RAY THEJA L 1 Th PRIBADI DIRAWAT (MRS) 05

555 REG/OP/220916-0720 01-21-56-16 AHMAD ADZKA L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 05

556 REG/OP/220916-0749 01-16-08-86 TJIA TJOEI LAI P 73 Th PRIBADI DIRAWAT (MRS) 02


00-35-17-81
557 REG/OP/220916-0760 HENDRIK GUSTINUS SIBARANI L 38 Th PRIBADI DIRAWAT (MRS) 02
558 REG/OP/220916-0777 01-31-68-16 AKBAR PAKUSADEWO L 20 Th PRIBADI DIRAWAT (MRS) 02
559 REG/OP/220916-0783 01-31-68-17 MAKMUN L 52 Th PRIBADI DIRAWAT (MRS) 02

560 REG/OP/220916-0782 01-30-29-15 SURIP L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02


561 REG/OP/220916-0786 01-20-66-95 SUDARYATI P 84 Th BPJS KESEHATAN DIRAWAT (MRS) 02

562 REG/OP/220916-0803 01-31-68-24 JOSE NATANAEL LIVERNANDO L 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02
563 REG/OP/220917-0012 01-31-68-33 INDRA MARSUDI L 59 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02

564 REG/OP/220917-0194 01-31-68-50 SHINTIA JUNIAR P 22 Th PRIBADI DIRAWAT (MRS) 03


565 REG/OP/220917-0199 00-99-30-15 USMAN APRIANSYAH L 37 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

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566 REG/OP/220917-0470 01-31-68-86 SUGENG ANDIKA L 34 Th PRIBADI DIRAWAT (MRS) 02

567 REG/OP/220917-0472 01-01-80-19 TARIDA SIRAIT, DR P 47 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 03

568 REG/OP/220917-0528 01-31-68-93 BY. NY. YETI MIRA SARI L 5 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
569 REG/OP/220917-0616 01-23-71-96 LILIS ANGRUM SARI P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 02

570 REG/OP/220917-0637 01-09-40-55 KETUT TAPIAN L 82 Th PRIBADI DIRAWAT (MRS) 02


571 REG/OP/220917-0670 01-27-96-18 MINA P 50 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02

572 REG/OP/220917-0674 01-31-68-87 HAMNA P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02


573 REG/OP/220917-0679 01-24-86-11 FREDDY KRISMANTO TOBING L 45 Th PT. SAMPOERNA AGRO, TBK DIRAWAT (MRS) 02

574 REG/OP/220917-0687 01-23-56-84 ELSY WARENNICA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03

575 REG/OP/220917-0699 01-31-69-28 SANDI EPRIANSYAH L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 01


576 REG/OP/220917-0712 01-31-19-75 MUHAMMAD ZAYN ARSYA FIRDAUS L 1 Bl PRIBADI DIRAWAT (MRS) 05
577 REG/OP/220917-0713 01-21-47-92 WAYAN KENTEN L 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

578 REG/OP/220917-0723 01-31-69-36 SUHAILI L 34 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01


579 REG/OP/220917-0755 01-31-69-40 M. NATHAN AL FATIH L 1 Th PRIBADI DIRAWAT (MRS) 02

580 REG/OP/220917-0760 01-30-46-09 ZIVANA HAKAMA ANDRIANSYAH P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 05
00-39-99-24
581 REG/OP/220917-0805 KHOIRIYAH WATY P 61 Th PRIBADI DIRAWAT (MRS) 02
00-81-18-67
582 REG/OP/220917-0818 ALI MARWAN L 34 Th BPJS KESEHATAN DIRAWAT (MRS) 02

583 REG/OP/220917-0829 01-31-69-50 ADI L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02


584 REG/OP/220917-0855 01-31-69-55 ADE ELFINA LISA ASKA P 23 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
00-28-43-23
585 REG/OP/220917-0859 UTARI DAMAYANTI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 03

586 REG/OP/220917-0865 01-31-69-61 ISMAIRAH P 30 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
00-70-60-64
587 REG/OP/220917-0877 NURYANA P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02

588 REG/OP/220917-0880 01-01-34-27 SURNIATY P 71 Th BRINGIN, Prospen YKP BRI DIRAWAT (MRS) 02
00-30-67-36
589 REG/OP/220917-0882 AGUSTINA P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-30-30-61
590 REG/OP/220917-0896 SOFIANI LAMSIHAR BAKARA P 49 Th PRIBADI DIRAWAT (MRS) 02
591 REG/OP/220917-0910 01-31-69-74 MASITOH P 49 Th DISKON MISKIN DIRAWAT (MRS) 02
00-93-20-30
592 REG/OP/220917-0915 M. ALI L 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
593 REG/OP/220917-0919 01-31-69-76 DEA LESTARI P 15 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-31-03-40
594 REG/OP/220917-0927 ENDA POO P 78 Th PRIBADI DIRAWAT (MRS) 02
00-78-86-34
595 REG/OP/220917-0928 ROHIMAH, HJ P 77 Th BPJS KESEHATAN DIRAWAT (MRS) 02

596 REG/OP/220917-0929 01-31-69-77 ABDUL ROZAK L 35 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
597 REG/OP/220918-0009 01-31-69-82 M. FADIL SYABANI L 17 Th PRIBADI DIRAWAT (MRS) 01

598 REG/OP/220918-0007 01-19-26-06 JAYA NINGRAT L 69 Th BRINGIN, Prospen YKP BRI DIRAWAT (MRS) 02
00-82-20-56 MARTIN NIKODEMUS DARUBA
599 REG/OP/220918-0010 L 22 Th PT. AIA FINANCIAL DIRAWAT (MRS) 01
TAMPUBOLON

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


600 REG/OP/220918-0018 01-17-55-34 SIRO FENESIA SIHOMBING P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
KEMENKES RI (COVID-19) COB BPJSK (POST COVID-
601 REG/OP/220918-0019 01-30-00-64 RAHILA DATIN SYAHPUTRA P 4 Bl DIRAWAT (MRS) 02
19)
602 REG/OP/220918-0026 01-31-31-36 YOSEPHIN NAWANG RATRI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

603 REG/OP/220918-0027 01-24-00-67 TARSILANI YULI P 32 Th PRIBADI DIRAWAT (MRS) 03


604 REG/OP/220918-0033 01-31-69-86 BY. NY. TARSILANI YULI P 0 Hr PRIBADI DIRAWAT (MRS) 05
605 REG/OP/220918-0034 01-31-69-87 LEONARDUS DISI PUTRA UTAMA L 26 Th PRIBADI DIRAWAT (MRS) 01
606 REG/OP/220918-0035 01-31-69-88 ONLY FRESLY SIMATUPANG P 26 Th Allianz Life Indonesia, Asuransi (Peserta) DIRAWAT (MRS) 01

607 REG/OP/220918-0037 01-31-69-89 KING UMAR YASIN L 5 Bl PRIBADI DIRAWAT (MRS) 02


608 REG/OP/220918-0040 01-05-97-25 ASIA P 71 Th PRIBADI DIRAWAT (MRS) 02

609 REG/OP/220918-0043 01-12-63-45 ALYA NUR MALIKHA P 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02

610 REG/OP/220918-0052 01-31-69-92 EKA BUANA P 27 Th PRIBADI DIRAWAT (MRS) 02

611 REG/OP/220918-0055 01-31-69-93 RAUDHATUSSAKINAH P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03


612 REG/OP/220918-0064 01-31-69-99 TITIN SUMARNI P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02
613 REG/OP/220918-0073 01-31-70-03 BY. NY. RAUDHATUSSAKINAH L 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05

614 REG/OP/220918-0074 01-28-72-45 MUHAMMAD AFIF ATHALLAH L 12 Th Asuransi Askrida (ADMEDIKA) DIRAWAT (MRS) 02

615 REG/OP/220918-0087 01-31-70-08 ANINDI YASMIN ARCILLA P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-56-96-25
616 REG/OP/220918-0094 ROMADONA P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03

617 REG/OP/220918-0097 01-18-89-48 LINDAWATI P 23 Th PRIBADI DIRAWAT (MRS) 03


00-77-33-52 BPJS KESEHATAN ( CHARITAS HOSPITAL
618 REG/OP/220918-0099 TRI UTAMI P 33 Th DIRAWAT (MRS) 03
PALEMBANG )
00-56-61-29
619 REG/OP/220918-0113 SETIAWAN L 43 Th PRIBADI DIRAWAT (MRS) 02
BPJS KESEHATAN ( CHARITAS HOSPITAL
620 REG/OP/220918-0122 01-25-78-28 JOVANKA OLIVIA SILABAN P 1 Th DIRAWAT (MRS) 02
PALEMBANG )
00-69-97-28 BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
621 REG/OP/220918-0124 WINDY FAINELLY PUTRI P 27 Th DIRAWAT (MRS) 03
INDONESIA (AJII-INDEMNITY)
00-82-94-61
622 REG/OP/220918-0135 LIES HANDRIANI P 44 Th ADMEDIKA (ADMINISTRASI MEDIKA (Peserta)) DIRAWAT (MRS) 02
623 REG/OP/220918-0137 01-31-47-42 RAFIKA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

624 REG/OP/220918-0142 01-31-69-51 MULYADI L 88 Th PRIBADI DIRAWAT (MRS) 02

625 REG/OP/220918-0164 01-31-70-28 RESA OKTARIA P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 01

626 REG/OP/220918-0174 01-19-33-50 DESINATALIA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03


BPJS KESEHATAN ( CHARITAS HOSPITAL
627 REG/OP/220918-0181 01-10-19-00 RIA FARAMITHA P 26 Th DIRAWAT (MRS) 03
PALEMBANG )
628 REG/OP/220918-0192 01-22-42-12 M. ALGHAZALI WINATA L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
629 REG/OP/220918-0204 01-30-61-02 CAHAYA ANDHIRA RISKY P 1 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02

630 REG/OP/220918-0211 01-31-70-48 JULIANA TRISNAWATI P 61 Th PRIBADI DIRAWAT (MRS) 01


00-33-98-84 BPJS KESEHATAN ( CHARITAS HOSPITAL
631 REG/OP/220918-0214 EVIDAWATI PASARIBU P 50 Th DIRAWAT (MRS) 01
PALEMBANG )
00-39-96-48
632 REG/OP/220918-0215 REVI SOFIA LOLOLUAN P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 01

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


633 REG/OP/220918-0236 01-29-22-24 SIA KIAN SANG L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

634 REG/OP/220918-0240 01-25-29-49 NURDIN L 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02

635 REG/OP/220918-0250 01-24-43-08 LEA PUTRI YOEWANO P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
636 REG/OP/220918-0261 01-04-63-68 DANIAL ASYRAF ISKANDAR L 6 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
WASKITA KARYA ( Proyek TOL KAYU AGUNG
637 REG/OP/220918-0265 01-31-70-56 RAHMAT HAIRIN FANJI L 28 Th DIRAWAT (MRS) 01
PALEMBANG BETUNG)
638 REG/OP/220918-0266 01-31-70-57 FATMAWATI. M P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
639 REG/OP/220918-0268 01-31-70-58 ERMAN YULIANSAH L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

640 REG/OP/220918-0272 01-04-37-06 MARINA P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-95-68-18
641 REG/OP/220918-0273 TEDI APRIANSYAH L 44 Th PT. TANJUNG ENIM LESTARI PULP & PAPER DIRAWAT (MRS) 02

642 REG/OP/220919-0002 01-31-67-10 UMSIAH P 71 Th PRIBADI DIRAWAT (MRS) 02


00-34-30-56
643 REG/OP/220919-0008 WAHYU IKA LESTARI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

644 REG/OP/220919-0009 01-31-70-64 SUTINI P 77 Th PRIBADI DIRAWAT (MRS) 02


00-44-57-86
645 REG/OP/220919-0014 EKKY SEPRIYANTO L 23 Th BPJS KESEHATAN DIRAWAT (MRS) 02
646 REG/OP/220919-0018 01-11-02-13 SARIPAH CENI P 58 Th PRIBADI DIRAWAT (MRS) 02

647 REG/OP/220919-0030 01-31-70-69 KATARINA SHERRINA P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

648 REG/OP/220919-0224 01-15-46-95 ARETHA KHANZA ALFATHUNNISA P 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02

649 REG/OP/220919-0227 01-20-39-67 TAZKIYAH ARIQATUNNISA P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-29-05-31
650 REG/OP/220919-0271 NURKIYAH P 81 Th PRIBADI DIRAWAT (MRS) 02
00-50-30-88
651 REG/OP/220919-0381 TJUI TO L 76 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

652 REG/OP/220919-0440 01-31-71-07 ASNAWISYAH L 24 Th PT. ASURANSI ASTRA BUANA / GARDA MEDIKA DIRAWAT (MRS) 02
653 REG/OP/220919-0506 01-06-53-53 SANTY HALIM P 89 Th PRIBADI DIRAWAT (MRS) 01
BPJSK COB PT. ASURANSI JIWA MANDIRI INHEALTH
654 REG/OP/220919-0527 01-04-91-81 RENALIA SEPTIANI P 36 Th DIRAWAT (MRS) 02
INDONESIA (AJII-INDEMNITY)
00-33-46-07
655 REG/OP/220919-0555 FATIMA BUSTAM P 46 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02

656 REG/OP/220919-0582 01-26-62-95 BELLA P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-98-66-68 KHAIRANEYMA RAMADHAQUEEN
657 REG/OP/220919-0593 P 8 Th PRIBADI DIRAWAT (MRS) 02
ANDARY
658 REG/OP/220919-0611 01-31-38-84 ZAINUN CHONDRO P 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-64-32-41
659 REG/OP/220919-0642 ERNI WATI P 45 Th PRIBADI DIRAWAT (MRS) 02
660 REG/OP/220919-0645 01-31-70-78 FITRIA NINGSIH P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-95-96-41
661 REG/OP/220919-0651 MERY P 50 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 03

662 REG/OP/220919-0653 01-26-56-74 PINET P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-82-41-97
663 REG/OP/220919-0659 DWI ARYANTI WULANDARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

664 REG/OP/220919-0666 01-28-96-47 LASHIRA ARSYFA SHAREEN P 6 Th BPJS KESEHATAN DIRAWAT (MRS) 02
665 REG/OP/220919-0670 01-31-71-46 M. ALBY AL RAIS L 8 Th BPJS KESEHATAN DIRAWAT (MRS) 02

666 REG/OP/220919-0732 01-31-63-63 JULIAN ELSADDAY RARSINA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

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667 REG/OP/220919-0735 01-30-82-69 SUSILORINI P 59 Th PRIBADI DIRAWAT (MRS) 02
00-87-17-27
668 REG/OP/220919-0751 FATIMAH ALYSHA GHANIARTHA P 12 Th PRIBADI DIRAWAT (MRS) 02

669 REG/OP/220919-0768 01-31-17-06 KOSIM L 89 Th PRIBADI DIRAWAT (MRS) 02


00-34-53-99
670 REG/OP/220919-0775 TJUNALITTA TJITRADJAYA P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02

671 REG/OP/220919-0785 01-31-71-60 SAIKANDRI L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02


672 REG/OP/220919-0797 01-29-49-46 NURUL FADHILAH P 25 Th Yakes Telkom DIRAWAT (MRS) 03

673 REG/OP/220919-0832 01-31-70-97 MILATUL KHASANAH P 19 Th PRIBADI DIRAWAT (MRS) 03


674 REG/OP/220919-0912 01-30-28-84 ALEXANDRE ALZAM SAMANTHA L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02

675 REG/OP/220919-0929 01-31-68-89 CHAIRUNNISA AZZARAH P 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-42-49-32 BPJS KESEHATAN ( CHARITAS HOSPITAL
676 REG/OP/220919-0956 MARGATETHA PANCA WINDIARTI P 37 Th DIRAWAT (MRS) 03
PALEMBANG )
677 REG/OP/220919-0973 01-03-36-86 MAYA RITA EKA SARI P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

678 REG/OP/220919-0976 01-15-39-40 JUKI MURTOPO L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02


679 REG/OP/220919-0982 01-31-61-19 JACQUELINE FILI LESWARA P 8 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
680 REG/OP/220919-0994 01-31-71-88 BUDI BUJANG L 47 Th BPJS KESEHATAN DIRAWAT (MRS) 02

681 REG/OP/220919-1004 01-31-71-91 ROSYADAH P 34 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

682 REG/OP/220919-1002 01-31-64-63 BY. NY. DEDEK OKTAVIANI P 5 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
00-66-58-75
683 REG/OP/220919-1020 KOBRI L 44 Th BPJS KESEHATAN DIRAWAT (MRS) 02

684 REG/OP/220919-1023 01-04-80-57 FARIDA ARYANI P 69 Th PRIBADI DIRAWAT (MRS) 02


685 REG/OP/220919-1029 01-31-71-99 ABU BAKAR L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02

686 REG/OP/220919-1030 01-31-72-00 HERU NOPIANTO L 35 Th PRIBADI DIRAWAT (MRS) 02


687 REG/OP/220920-0014 01-31-72-09 ARY NUGROHO L 51 Th PT. AJ CENTRAL ASIA RAYA ( CAR ) DIRAWAT (MRS) 02
688 REG/OP/220920-0018 01-31-25-19 HELMY ZAINUDIN L 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02

689 REG/OP/220920-0021 01-30-22-73 TAN, KEZIA ANGELICA HARTONO P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03
BPJS KESEHATAN ( CHARITAS HOSPITAL
690 REG/OP/220920-0025 01-05-89-70 FATHARIAN ALRAFAEYZA L 6 Th DIRAWAT (MRS) 02
PALEMBANG )
691 REG/OP/220920-0044 01-21-04-67 JULIANA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

692 REG/OP/220920-0175 01-25-95-41 AKHTAR ZHAFRAN AHMAD L 2 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 05
00-46-56-84
693 REG/OP/220920-0311 IMAM SUTANTO L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

694 REG/OP/220920-0335 01-05-29-52 SILVIA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03


695 REG/OP/220920-0484 01-07-00-47 ALVINO SEBASTIAN P L 9 Th BPJS KESEHATAN DIRAWAT (MRS) 02

696 REG/OP/220920-0532 01-01-43-56 LAIDIN DAMANIK L 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02

697 REG/OP/220920-0576 01-31-72-47 LERMAN SIHOMBING L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02

698 REG/OP/220920-0583 01-23-64-71 YUNI SILVIA P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03


BPJS KESEHATAN ( CHARITAS HOSPITAL
699 REG/OP/220920-0720 01-20-64-66 WANDIA WULAN APRIYANI P 32 Th DIRAWAT (MRS) 03
PALEMBANG )
700 REG/OP/220920-0830 01-31-67-11 AYU PUTRI PRATIWI P 29 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-96-96-55
701 REG/OP/220920-0834 GLADYS AYU SUTANTO P 32 Th BCA LIFE (ADMEDIKA) DIRAWAT (MRS) 03

702 REG/OP/220920-0862 01-30-09-94 ASHERA CARABELLE P 4 Bl PRIBADI DIRAWAT (MRS) 02

703 REG/OP/220920-0889 01-04-56-94 HAFSID L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02


704 REG/OP/220920-0903 01-31-57-80 DAVLY QUIERO JONATHAN L 11 Hr BPJS KESEHATAN DIRAWAT (MRS) 02

705 REG/OP/220920-0927 01-31-73-16 PARSI INTAN P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-35-18-25
706 REG/OP/220920-0928 RITA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-89-30-02 BPJSK COB PT. ASURANSI JIWA INHEALTH
707 REG/OP/220920-0929 WENNY PEBRIANI P 34 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
708 REG/OP/220920-0943 01-09-54-32 NOVIYANTI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
709 REG/OP/220920-0950 01-26-83-99 MANUELA ZEFANYA SIREGAR P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-93-73-11
710 REG/OP/220920-0951 RUSKINI P 82 Th PRIBADI DIRAWAT (MRS) 02

711 REG/OP/220920-0961 01-31-73-24 ALUDRA RUMAISYA P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02

712 REG/OP/220920-0962 01-25-14-63 KINANDRY ALMAHYRA KEANO P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-38-80-96
713 REG/OP/220920-0963 ANTONIUS RIYADI SASONGKO L 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02
714 REG/OP/220921-0005 01-31-73-25 ALDI ALPRIAN L 21 Th PRIBADI DIRAWAT (MRS) 02

715 REG/OP/220921-0007 01-31-73-28 ROZALI L 52 Th PRIBADI DIRAWAT (MRS) 02


00-29-31-70
716 REG/OP/220921-0010 LOSYLAWATI P 70 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

717 REG/OP/220921-0021 01-26-80-61 KIKI MARETHA SARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

718 REG/OP/220921-0025 01-31-73-36 M. ALVARO ARGI NARUNA L 2 Th PT. AIA FINANCIAL DIRAWAT (MRS) 02
719 REG/OP/220921-0035 01-29-93-74 NARENDRA SAKHA ARKANANTA L 5 Bl PT. BANK SUMSEL BABEL DIRAWAT (MRS) 02

720 REG/OP/220921-0139 01-06-55-64 AZRIN AULI INAYAH P 6 Th PRIBADI DIRAWAT (MRS) 02


721 REG/OP/220921-0149 01-20-91-81 QALESYA NOUREEN MIKHAYLA J P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
722 REG/OP/220921-0316 01-31-73-70 MUHAMMAD KHAIRAN ALFARIZI L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-55-47-70
723 REG/OP/220921-0457 ARIF HIDAYAT L 38 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

724 REG/OP/220921-0479 01-31-73-92 SYAFIRA PUTRI RAMADHANI P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 03
725 REG/OP/220921-0509 01-27-72-11 ZAKARIA L 51 Th PRIBADI DIRAWAT (MRS) 02
00-45-18-54
726 REG/OP/220921-0567 FIKRAN TAMMA ADISTRA L 18 Th BPJS KESEHATAN DIRAWAT (MRS) 01
727 REG/OP/220921-0579 01-31-25-67 SANRIDO FUTERA L 41 Th PRIBADI DIRAWAT (MRS) 02

728 REG/OP/220921-0606 01-31-74-29 SUHARTO L 76 Th PRIBADI DIRAWAT (MRS) 02


729 REG/OP/220921-0617 01-31-74-19 DESI ARYANTI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-79-52-47 APRODHITA SABRINA SAKHI
730 REG/OP/220921-0631 P 11 Th BPJS KESEHATAN DIRAWAT (MRS) 02
ANELDA
731 REG/OP/220921-0658 01-31-74-37 MASAYU SITI AISYAH P 2 Th PRIBADI DIRAWAT (MRS) 02
00-85-88-67
732 REG/OP/220921-0662 ELIYA P 49 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
00-82-53-98
733 REG/OP/220921-0672 HERLYN TRIASTIKA P 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

734 REG/OP/220921-0701 01-31-73-85 JENNE P 87 Th PRIBADI DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


735 REG/OP/220921-0705 01-29-57-82 ADAM AL BANI L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

736 REG/OP/220921-0708 01-31-74-47 ENI ANGGRAINI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 01

737 REG/OP/220921-0711 01-31-74-48 PAWIT HARTATI P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-78-92-97
738 REG/OP/220921-0713 FENNY P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

739 REG/OP/220921-0720 01-31-74-51 WAYAN MUSTIKA YASE L 17 Th PRIBADI DIRAWAT (MRS) 01


00-49-27-32
740 REG/OP/220921-0716 MANUNTUN SIANIPAR L 75 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-57-31-72
741 REG/OP/220921-0717 ELLY RUSMI P 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-48-74-85
742 REG/OP/220921-0746 AHMAD YUDI SAPUTRA L 36 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 01

743 REG/OP/220921-0748 01-23-17-52 FITANTRI RAMADHANI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 02

744 REG/OP/220921-0749 01-31-74-61 REYHAN RAMADHAN L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02


745 REG/OP/220921-0750 01-11-25-34 BENEDIKTA PATRIA CANCERINA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
746 REG/OP/220921-0751 01-31-74-62 SOFIA VARGAS GONZALES P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 01

747 REG/OP/220921-0752 01-31-74-63 KAWITONO L 74 Th PRIBADI DIRAWAT (MRS) 02


748 REG/OP/220921-0760 01-30-69-87 M. ZIDAN ALFA RIZIEQ L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-92-10-59
749 REG/OP/220921-0761 LEONY ZAHRA PUTRI P 13 Th BPJS KESEHATAN DIRAWAT (MRS) 02

750 REG/OP/220921-0766 01-31-74-57 ILUN NOVIYANTI P 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

751 REG/OP/220922-0003 01-31-74-10 YANA DIANA P 21 Th PRIBADI DIRAWAT (MRS) 02

752 REG/OP/220922-0007 01-04-99-34 ANSHORI L 46 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02


753 REG/OP/220922-0008 01-31-74-69 ABDURRAHMAN AL FATIH L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
754 REG/OP/220922-0144 01-31-74-78 ARIS MAHDARISMANA L 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

755 REG/OP/220922-0246 01-31-74-05 RAFARDHAN AMMAR WIJAYA L 1 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 05
756 REG/OP/220922-0385 01-31-74-99 IRMA YANTI P 40 Th PRIBADI DIRAWAT (MRS) 03
00-48-33-41
757 REG/OP/220922-0383 JUNI P 58 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

758 REG/OP/220922-0397 01-31-75-09 BENJAMIN ZAYN AZZUBAYR L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-57-43-79
759 REG/OP/220922-0405 THOBIAS NGOSIEM L 68 Th BPJS KESEHATAN DIRAWAT (MRS) 01
760 REG/OP/220922-0410 01-04-52-90 ANITA OEI P 68 Th BPJS KESEHATAN DIRAWAT (MRS) 02
761 REG/OP/220922-0422 01-31-75-15 RUSLI L 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-88-48-45
762 REG/OP/220922-0468 POPO HERMANTO L 59 Th PT.ASURANSI JIWA SINARMAS MSIG DIRAWAT (MRS) 02
00-90-98-70
763 REG/OP/220922-0533 ROSIDA JUWITA P 62 Th PRIBADI DIRAWAT (MRS) 02
764 REG/OP/220922-0537 01-19-34-75 CALLISTA ANGELICA YONI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02

765 REG/OP/220922-0599 01-31-48-63 ROMADON FIRDAUS L 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02


766 REG/OP/220922-0637 01-31-75-45 PANGERAN FIKO L 1 Th PRIBADI DIRAWAT (MRS) 02

767 REG/OP/220922-0663 01-08-15-91 IDRUS L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02


768 REG/OP/220922-0674 01-31-75-47 MARSHANDA AULIA SAKIRA P 8 Th PRIBADI DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-97-31-51
769 REG/OP/220922-0699 DAFFA ARYA SAPUTRA L 9 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02

770 REG/OP/220922-0769 01-31-75-55 SUSILAWATI P 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02

771 REG/OP/220922-0819 01-02-04-31 WIN ERIVANO TAMBA L 8 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02
772 REG/OP/220922-0811 01-25-91-57 M.DANISH FAHLEVI L 3 Th PRIBADI DIRAWAT (MRS) 02

773 REG/OP/220922-0824 01-18-56-40 MURYANI P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02


774 REG/OP/220922-0835 01-28-46-09 LENI YUNITA MERLIYANTI P 45 Th BPJS KESEHATAN DIRAWAT (MRS) 02

775 REG/OP/220922-0836 01-31-75-67 NURSYAMSI L 69 Th BPJS KESEHATAN DIRAWAT (MRS) 02


776 REG/OP/220922-0840 01-24-95-83 RANY FERANITA P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

777 REG/OP/220922-0852 01-31-75-71 IRWIN L 49 Th PT. AA International Indonesia (GRAB USER) DIRAWAT (MRS) 01

778 REG/OP/220922-0853 01-26-16-21 BEE TJIAUW TJAN L 78 Th BPJS KESEHATAN DIRAWAT (MRS) 01
779 REG/OP/220922-0870 01-29-59-57 ZUBAYA AD P 58 Th Yakes Telkom DIRAWAT (MRS) 02
780 REG/OP/220922-0872 01-22-84-62 ANTONIUS HILMAN L 27 Th Manulife Indonesia, Asuransi Jiwa ( Peserta ) DIRAWAT (MRS) 02

781 REG/OP/220923-0006 01-30-59-18 TY TARMIJI L 75 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-38-26-66
782 REG/OP/220923-0025 IGNATIUS SURYONO L 44 Th PRIBADI DIRAWAT (MRS) 02
00-78-74-79
783 REG/OP/220923-0030 THAMRIN SILITONGA L 51 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
ZIONATHAN MARHOLONG
784 REG/OP/220923-0160 01-27-49-23 L 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
SITANGGANG
00-66-98-91
785 REG/OP/220923-0229 VALENT P 15 Th PRIBADI DIRAWAT (MRS) 02

786 REG/OP/220923-0293 01-22-78-28 K. ACHMAD AZHARI KHAN L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-36-35-92 BPJS KESEHATAN ( CHARITAS HOSPITAL
787 REG/OP/220923-0346 TITI JUWITA P 44 Th DIRAWAT (MRS) 03
PALEMBANG )
00-45-60-42
788 REG/OP/220923-0362 KIKI INDAH FATMAWATI P 31 Th PRIBADI DIRAWAT (MRS) 03
789 REG/OP/220923-0437 01-31-76-25 WAYAN MURIYATI P 50 Th PRIBADI DIRAWAT (MRS) 02

790 REG/OP/220923-0456 01-31-76-27 KEANU ALGHAZALI L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

791 REG/OP/220923-0498 01-22-40-73 HANI HWANG P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03

792 REG/OP/220923-0512 01-28-35-56 PARTINI P 50 Th BPJS KESEHATAN DIRAWAT (MRS) 02


793 REG/OP/220923-0536 01-31-76-30 ITAR JAUHARI L 31 Th BPJS KESEHATAN DIRAWAT (MRS) 02

794 REG/OP/220923-0567 01-31-76-38 ALEK SANTIKO L 25 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

795 REG/OP/220923-0579 01-02-41-44 CHANDRA L 40 Th Allianz Life Indonesia, Asuransi (Peserta) DIRAWAT (MRS) 02
00-92-28-78
796 REG/OP/220923-0590 PUJA CAHYANTIE P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-30-29-56
797 REG/OP/220923-0644 SUTEJA WIJAYA L 95 Th PRIBADI DIRAWAT (MRS) 02

798 REG/OP/220923-0682 01-10-88-37 SURO L 73 Th PRIBADI DIRAWAT (MRS) 02


00-30-67-36
799 REG/OP/220923-0777 AGUSTINA P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-38-04-91
800 REG/OP/220923-0781 RETY P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-96-60-51
801 REG/OP/220923-0782 REZITA GUNAWAN TAJUNG P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 02

802 REG/OP/220923-0788 01-31-76-82 LIE SIU KIN P 63 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


803 REG/OP/220923-0810 01-31-76-92 MUHAMMAD RIZKI L 16 Th BPJS KESEHATAN DIRAWAT (MRS) 02

804 REG/OP/220923-0819 01-31-76-99 HUSIN L 56 Th PRIBADI DIRAWAT (MRS) 01

805 REG/OP/220924-0191 01-31-77-22 SUSILAWATI P 34 Th PRIBADI DIRAWAT (MRS) 02


806 REG/OP/220924-0248 01-31-22-81 TITIN KHODIJAH P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03

807 REG/OP/220924-0334 01-31-77-40 BY. NY. TITIN KHODIJAH P 0 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
808 REG/OP/220924-0358 01-31-77-43 MUTAMIMAH P 39 Th PRIBADI DIRAWAT (MRS) 02
00-49-49-52
809 REG/OP/220924-0432 SALMAH P 85 Th BPJS KESEHATAN DIRAWAT (MRS) 01
810 REG/OP/220924-0416 01-31-77-53 CHAIRUNNISSA ALYA ANANDA P 22 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJS KESEHATAN ( CHARITAS HOSPITAL
811 REG/OP/220924-0455 01-28-06-00 ADZKIA HASNAH KHAYIRIYAH P 10 Bl DIRAWAT (MRS) 02
PALEMBANG )
812 REG/OP/220924-0503 01-10-04-14 SARTIKA DEWI P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 03

813 REG/OP/220924-0521 01-26-26-30 AISYAH NUHA ZAHIRA P 1 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02

814 REG/OP/220924-0529 01-31-77-72 SOPIAN INDRAWIJAYA L 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-53-77-53
815 REG/OP/220924-0557 YANSEL PAGIANDA L 55 Th PRIBADI DIRAWAT (MRS) 01
816 REG/OP/220924-0563 01-31-77-68 MUHAMMAD BAIHAQQI ALFARIZQI L 7 Bl BPJS KESEHATAN DIRAWAT (MRS) 02

817 REG/OP/220924-0565 01-21-24-65 LIONEL ANDRIAN SHU L 4 Th PRIBADI DIRAWAT (MRS) 02

818 REG/OP/220924-0589 01-31-77-70 JESIKA AGUSTINA MANURUNG P 19 Th BPJS KESEHATAN DIRAWAT (MRS) 02

819 REG/OP/220924-0600 01-28-61-86 YAMIN SUPRIYADI L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

820 REG/OP/220924-0609 01-31-77-89 MARYAM AMIRAH ADAM P 7 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
821 REG/OP/220924-0615 01-08-43-45 WAHYU WICAKSONO L 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02

822 REG/OP/220924-0638 01-06-85-49 MARRIN L 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02


823 REG/OP/220924-0655 01-31-08-49 EBENHAEZER WERISETIATHREE L 1 Th PRIBADI DIRAWAT (MRS) 05
824 REG/OP/220924-0660 01-31-77-97 ASIH WULANDARI P 26 Th PRIBADI DIRAWAT (MRS) 03
00-81-68-31
825 REG/OP/220924-0709 MULYADI EFFENLIE L 78 Th PRIBADI DIRAWAT (MRS) 01

826 REG/OP/220924-0713 01-25-68-00 MEISRIANI SR P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 02


827 REG/OP/220924-0714 01-15-37-74 SADIAH P 56 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-28-60-11
828 REG/OP/220924-0740 ABDUL SOMAD L 82 Th BPJS KESEHATAN DIRAWAT (MRS) 02
829 REG/OP/220924-0741 01-30-94-27 ANA MARIANA P 37 Th BPJS KESEHATAN DIRAWAT (MRS) 03

830 REG/OP/220924-0743 01-31-78-09 KAREN NIKAELA ANDRIAN P 2 Th PT. ALLIANZ LIFE INDONESIA DIRAWAT (MRS) 05
00-52-80-81
831 REG/OP/220924-0744 HERMALIKA P 34 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-90-95-29
832 REG/OP/220924-0747 YUDI TANZIL L 39 Th PRIBADI DIRAWAT (MRS) 02

833 REG/OP/220924-0752 01-31-78-11 MUHAMMAD DIRGA UTAMA L 10 Th BPJS KESEHATAN DIRAWAT (MRS) 02
834 REG/OP/220924-0759 01-22-88-92 NURMA P 50 Th PRIBADI DIRAWAT (MRS) 02
835 REG/OP/220924-0765 01-03-56-96 METHA FRANSISCA P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

836 REG/OP/220924-0768 01-20-27-34 TANISHA AYUNINDYA P 3 Th PRIBADI DIRAWAT (MRS) 05

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


837 REG/OP/220924-0776 01-31-78-21 NURIL P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03

838 REG/OP/220924-0777 01-31-78-12 SAKMA P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-53-26-34
839 REG/OP/220924-0784 RIZKI KURNIATI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03
840 REG/OP/220924-0785 01-09-28-69 TANISHA KAYANA PUTRI P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 05

841 REG/OP/220924-0787 01-08-84-06 AFIQA AZZAHRA SALSABILA P 5 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 05
00-79-36-52
842 REG/OP/220925-0003 JAMALI L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 02

843 REG/OP/220925-0010 01-31-78-27 LINDA SUNDARI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03


844 REG/OP/220925-0012 01-31-36-10 STEVANI LOREN P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

845 REG/OP/220925-0015 01-31-78-31 JARMI P 54 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-71-73-41
846 REG/OP/220925-0019 MIRANTI RESKI ARNASTASIAH P 29 Th BCA LIFE (ADMEDIKA) DIRAWAT (MRS) 02
847 REG/OP/220925-0037 01-31-78-38 IMAM SAHURI L 63 Th BPJS KESEHATAN DIRAWAT (MRS) 01
848 REG/OP/220925-0038 01-29-04-02 MEILANY LINGGA PERTIWI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-53-22-25
849 REG/OP/220925-0049 SIGIT GUNTORO L 38 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02
00-87-57-24
850 REG/OP/220925-0063 HERMAN YANGBRATA/HAN LIANG L 75 Th PRIBADI DIRAWAT (MRS) 02

851 REG/OP/220925-0081 01-31-78-55 YUHANIS P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02

852 REG/OP/220925-0088 01-31-78-45 HERLINA SARI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-75-82-13
853 REG/OP/220925-0094 MUHAMMAD FAISHAL EFFENDY L 12 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-86-59-10
854 REG/OP/220925-0095 AHMAD FADHIL EFFENDY L 10 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
855 REG/OP/220925-0097 01-26-81-67 YUMNA KHAIRA P 1 Th PRIBADI DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA INHEALTH
856 REG/OP/220925-0104 01-31-78-60 MHD. ARIANSYAH L 33 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
857 REG/OP/220925-0112 01-31-27-14 HELEN HERMAS P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03
858 REG/OP/220925-0121 01-31-78-62 ZULEHA P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

859 REG/OP/220925-0122 01-31-78-51 RENA ANGGRAINI P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 03

860 REG/OP/220925-0124 01-19-75-06 SUDARMADI L 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-53-89-32
861 REG/OP/220925-0130 ETIY P 56 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-67-07-28
862 REG/OP/220925-0131 MUSLINDA WATI P 50 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-77-61-16
863 REG/OP/220925-0134 TINDAWATY P 74 Th BPJS KESEHATAN DIRAWAT (MRS) 02

864 REG/OP/220925-0137 01-31-78-68 SOPIAH P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02


865 REG/OP/220925-0144 01-19-63-60 MAURENTY LIZBETH TOLINE P 3 Th PRIBADI DIRAWAT (MRS) 02
00-78-92-97
866 REG/OP/220925-0156 FENNY P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

867 REG/OP/220925-0159 01-31-78-70 MIEJARTI PARMAN P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02


868 REG/OP/220925-0164 01-31-78-73 ZAVIER HAMIZAN L 4 Th BPJS KESEHATAN DIRAWAT (MRS) 02
869 REG/OP/220925-0165 01-25-53-96 REYHANA SHEZA NAUSHAFARINE P 1 Th PRIBADI DIRAWAT (MRS) 05

870 REG/OP/220925-0168 01-31-78-75 ISPANI HM SIDIK L 67 Th PRIBADI DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


871 REG/OP/220925-0187 00-99-47-13 ERLIN OKTAPIA P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03

872 REG/OP/220925-0186 01-15-36-25 DEMITRIA CHRISTI OVALIANTI P 4 Th PT. PRUDENTIAL LIFE ASSURANCE DIRAWAT (MRS) 02

873 REG/OP/220925-0193 01-31-78-82 MUHAMMAD RAYYAN IHSAN L 8 Bl DISKON MISKIN DIRAWAT (MRS) 02
00-79-58-92
874 REG/OP/220925-0203 THEN KHEK PHIN L 51 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02

875 REG/OP/220925-0209 01-31-78-87 REIFANSYAH ALJABBAR SETIAWAN L 7 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
876 REG/OP/220925-0214 01-17-39-38 ANNISA GUMILAR P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03

877 REG/OP/220925-0227 01-16-91-81 VERRY L 45 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
878 REG/OP/220925-0228 01-15-80-47 ELZA INDRIANI P 19 Th PRIBADI DIRAWAT (MRS) 02

879 REG/OP/220925-0230 01-31-78-94 AGUSTIAWAN L 23 Th PRIBADI DIRAWAT (MRS) 02

880 REG/OP/220925-0236 01-31-78-95 MUHAMMAD ZEFA RAFAEYZA L 1 Th PRIBADI DIRAWAT (MRS) 02


881 REG/OP/220925-0238 01-31-78-97 AKIAT L 63 Th PRIBADI DIRAWAT (MRS) 02
882 REG/OP/220925-0242 01-04-19-66 DWI PUSPITA SARI P 29 Th PRIBADI DIRAWAT (MRS) 03

883 REG/OP/220925-0252 01-05-16-69 NYOMAN MALI P 65 Th PRIBADI DIRAWAT (MRS) 02


884 REG/OP/220925-0253 01-31-79-02 NOVA AGUSTIAN L 1 Bl PRIBADI DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA INHEALTH
885 REG/OP/220926-0003 01-31-79-07 MUHAMMAD HAFIDZ ALFARIZI L 1 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
886 REG/OP/220926-0115 01-31-79-24 SISKA DWI ERMILIA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03

887 REG/OP/220926-0299 01-00-19-69 HUSNAINI P 44 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-69-82-96
888 REG/OP/220926-0386 OEY GUAT HUA P 93 Th PRIBADI DIRAWAT (MRS) 02
889 REG/OP/220926-0439 01-23-11-80 MAIMAN L 67 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-59-73-55
890 REG/OP/220926-0530 SUTRISNO L 40 Th BPJS KESEHATAN DIRAWAT (MRS) 02
891 REG/OP/220926-0595 01-08-23-88 NUR WULAN DARI P 31 Th PRIBADI DIRAWAT (MRS) 03
892 REG/OP/220926-0606 01-31-79-87 SELLA AYU PUSPITASARI P 4 Th PRIBADI DIRAWAT (MRS) 02

893 REG/OP/220926-0617 01-31-79-51 YUSNITA ANDINI P 21 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-87-37-84
894 REG/OP/220926-0781 NUR MAYA SARI P 29 Th PRIBADI DIRAWAT (MRS) 03
00-72-73-22
895 REG/OP/220926-0843 RINA P 52 Th BPJS KESEHATAN DIRAWAT (MRS) 02

896 REG/OP/220926-0882 01-27-48-41 YENI ERMAWATI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03


897 REG/OP/220926-0892 01-31-80-33 MUHAMMAD SAYUTI WIJAYA L 59 Th BPJS KESEHATAN DIRAWAT (MRS) 02

898 REG/OP/220926-0908 01-31-80-37 KUSWADI L 47 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01


899 REG/OP/220926-0916 01-24-88-76 YOHANES RINALDI PATI L 21 Th BPJS KESEHATAN DIRAWAT (MRS) 01
00-95-61-60
900 REG/OP/220926-0959 SYAFEI HASAN, H L 71 Th PRIBADI DIRAWAT (MRS) 02

901 REG/OP/220926-0962 01-20-91-81 QALESYA NOUREEN MIKHAYLA J P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJSK COB PT. ASURANSI JIWA INHEALTH
902 REG/OP/220926-0970 01-29-09-08 RINI MELISA P 30 Th DIRAWAT (MRS) 02
INDONESIA (AJII-MANAGE CARE)
903 REG/OP/220926-0958 01-08-70-41 IVAN BINSAR ULIBASA SIAHAAN L 36 Th PT. ASURANSI SINAR MAS DIRAWAT (MRS) 02
00-34-88-73
904 REG/OP/220926-0996 ELIYASNI P 51 Th BPJS KESEHATAN DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


905 REG/OP/220926-1020 01-31-80-53 RIDWAN SYAFITRA L 21 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

906 REG/OP/220926-1007 01-16-10-55 ENDHIKA YASA PRADIKTA L 28 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01
00-40-48-44
907 REG/OP/220926-1031 SUHADI L 71 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
00-55-28-62
908 REG/OP/220926-1044 FALENSIA HARTONO P 24 Th PRIBADI DIRAWAT (MRS) 03

909 REG/OP/220926-1065 01-31-73-46 ALVIANO RAFFASYA MUHAMMAD L 5 Hr BPJS KESEHATAN DIRAWAT (MRS) 02
00-59-79-33
910 REG/OP/220926-1069 LIYANI KHENG P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 01
00-88-35-69
911 REG/OP/220926-1085 ISTIN ISMAWATI P 34 Th PRIBADI DIRAWAT (MRS) 03
912 REG/OP/220926-1100 01-29-63-26 TINA DAMAYANTI P 26 Th BP/ RB PASANG SURUT DIRAWAT (MRS) 03
00-94-54-94
913 REG/OP/220926-1108 SELVIA MURNI SIMAMORA P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-40-47-93
914 REG/OP/220926-1113 IDA MARIYATI P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
915 REG/OP/220926-1115 01-23-30-67 SAID SUKARNI L 77 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-63-42-90
916 REG/OP/220926-1117 SAIRO P 66 Th PRIBADI DIRAWAT (MRS) 02

917 REG/OP/220926-1119 01-31-07-30 FADLAN FATHUR RIZKY THAUFIK L 28 Th BPJS KESEHATAN DIRAWAT (MRS) 02
918 REG/OP/220927-0005 01-31-27-96 M. AARAV BAGAS PUTRA L 1 Bl PRIBADI DIRAWAT (MRS) 02

919 REG/OP/220927-0010 01-31-25-86 NURUL AINI P 18 Th BPJS KESEHATAN DIRAWAT (MRS) 02


BPJS KESEHATAN ( CHARITAS HOSPITAL
920 REG/OP/220927-0011 01-09-47-29 EUGENIA FEBE KRISDYAMORA P 5 Th DIRAWAT (MRS) 02
PALEMBANG )
BPJS KESEHATAN ( CHARITAS HOSPITAL
921 REG/OP/220927-0015 01-15-09-10 ATHAYA SABHIRA NAZEEFAH P 4 Th DIRAWAT (MRS) 02
PALEMBANG )
00-53-34-81
922 REG/OP/220927-0019 BENEDICTUS EFFENDI L 52 Th LIPPO General Insurance ( Peserta ) DIRAWAT (MRS) 02

923 REG/OP/220927-0028 01-10-34-21 RAFISQY ADRIAN CARTER L 5 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02
00-35-79-81
924 REG/OP/220927-0324 SUDARMI P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 02
925 REG/OP/220927-0506 01-31-81-07 JENNY WULAN DARI P 20 Th BPJS KESEHATAN DIRAWAT (MRS) 03

926 REG/OP/220927-0511 01-25-10-87 MUHAMMAD FATHIR ALAWY L 1 Th PRIBADI DIRAWAT (MRS) 02

927 REG/OP/220927-0514 01-31-81-09 ZAKIRAH FEBRI ASTUTI P 26 Th BPJS KESEHATAN DIRAWAT (MRS) 03

928 REG/OP/220927-0517 01-31-80-99 HESTI RIZKI AMALIA P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
929 REG/OP/220927-0524 01-29-35-35 INTAN PERMATASARI P 28 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
BY. NY. INDAH SARI OKTAVIA
930 REG/OP/220927-0543 01-31-29-18 L 1 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
SINAGA
931 REG/OP/220927-0645 01-31-63-70 UMI SALAMATUR ROFIAH P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
932 REG/OP/220927-0659 01-31-81-64 RUDIANTO L 51 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02
933 REG/OP/220927-0664 01-24-88-40 ARKAN ARVINZA AKALANKA L 1 Th PRIBADI DIRAWAT (MRS) 02
00-79-37-68
934 REG/OP/220927-0677 MUHAMMAD DANI L 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02
935 REG/OP/220927-0682 01-31-80-83 AULIA QUEENZA P 12 Th BPJS KESEHATAN DIRAWAT (MRS) 02

936 REG/OP/220927-0691 01-31-21-59 RIRI ANGGERENI P 32 Th BPJS KESEHATAN DIRAWAT (MRS) 03


937 REG/OP/220927-0707 01-31-12-05 SUMAWATI P 39 Th PRIBADI DIRAWAT (MRS) 03
00-72-64-87
938 REG/OP/220927-0715 RATMIATI P 29 Th PRIBADI DIRAWAT (MRS) 03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-36-97-19 BPJSK COB PT. ASURANSI JIWA INHEALTH
939 REG/OP/220927-0749 INDRI ANGGRAINI P 26 Th DIRAWAT (MRS) 03
INDONESIA (AJII-MANAGE CARE)
940 REG/OP/220927-0764 01-08-12-10 SUNGKONO L 43 Th PRIBADI DIRAWAT (MRS) 02
00-96-29-56
941 REG/OP/220927-0791 MELLY P 60 Th PRIBADI DIRAWAT (MRS) 02
00-69-09-07
942 REG/OP/220927-0796 SUTIYO S L 69 Th PRIBADI DIRAWAT (MRS) 02
00-29-26-43
943 REG/OP/220927-0825 ROSDAH P 61 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-68-03-04
944 REG/OP/220927-0830 SUHARTINI P 58 Th PRIBADI DIRAWAT (MRS) 02
00-78-94-03
945 REG/OP/220927-0861 RA. AZIZAH P 66 Th BPJS KESEHATAN DIRAWAT (MRS) 02

946 REG/OP/220927-0883 01-14-18-34 WASNI P 60 Th PRIBADI DIRAWAT (MRS) 02


947 REG/OP/220927-0884 01-06-53-81 ADRY GRACIO L 6 Th Prudential Life Assurance PT. ( Peserta ) DIRAWAT (MRS) 02
00-86-36-11
948 REG/OP/220927-0881 MARIA DIANA P 34 Th PRIBADI DIRAWAT (MRS) 03

949 REG/OP/220927-0902 01-19-71-86 ARETHANIA QUINZHA MUNANDAR P 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-73-42-55
950 REG/OP/220927-0915 NAJWA ZAFIERA ADELINA P 12 Th BPJS KESEHATAN DIRAWAT (MRS) 02
951 REG/OP/220927-0916 01-19-39-17 SATINEM L 82 Th PRIBADI DIRAWAT (MRS) 02
00-76-30-47
952 REG/OP/220927-0918 YENNI LIAUW P 63 Th PRIBADI DIRAWAT (MRS) 02

953 REG/OP/220927-0932 01-03-35-41 MUHAMMAD TOMMY L 62 Th ASURANSI JASA RAHARJA DIRAWAT (MRS) 01
00-51-65-08
954 REG/OP/220927-0937 MIRA P 38 Th BNILIFE ( Peserta ) DIRAWAT (MRS) 02

955 REG/OP/220927-0944 01-16-86-54 DIONISIUS BINTANG DELVIN ARION L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

956 REG/OP/220927-0945 01-31-09-66 EZAR RAYQAL ABQARY L 1 Th PRIBADI DIRAWAT (MRS) 05

957 REG/OP/220927-0946 01-18-09-64 SUSIATI P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

958 REG/OP/220927-0947 01-31-82-07 SURIYANTI P 77 Th PRIBADI DIRAWAT (MRS) 02


00-97-06-01 GENERALI, Asuransi Jiwa Generali Indonesia ( Peserta
959 REG/OP/220927-0948 TRININDIA SARI P 33 Th DIRAWAT (MRS) 03
)
960 REG/OP/220927-0950 01-26-20-97 ALAIKA RAMADHANI P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 02
961 REG/OP/220927-0955 01-29-94-08 ELENO PASYA MUZAFFAR L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 05

962 REG/OP/220928-0219 01-11-29-19 MARIANA BR MARPAUNG P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03


963 REG/OP/220928-0206 01-30-09-00 DIAN HARISANDI L 31 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-47-12-88
964 REG/OP/220928-0250 TUTI RAHAYU P 33 Th PRIBADI DIRAWAT (MRS) 03
00-81-66-07
965 REG/OP/220928-0326 LETTI NARULITA P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
BPJS KESEHATAN ( CHARITAS HOSPITAL
966 REG/OP/220928-0355 01-29-08-87 MOSES BAYANAKA NURWANTORO L 7 Bl DIRAWAT (MRS) 05
PALEMBANG )
967 REG/OP/220928-0376 01-31-79-90 AZRUL RIZKY PARINDRA L 10 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-82-38-59
968 REG/OP/220928-0391 MEY AMBAR PUTRI P 29 Th BANK BRI (ADMEDIKA) DIRAWAT (MRS) 03
00-38-04-63
969 REG/OP/220928-0400 SONY HALIM L 38 Th PRIBADI DIRAWAT (MRS) 02

970 REG/OP/220928-0404 01-29-80-88 ADELIA AYU KIRANA P 26 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 03
BPJS KESEHATAN ( CHARITAS HOSPITAL
971 REG/OP/220928-0408 01-15-83-37 STEFHANI P 27 Th DIRAWAT (MRS) 03
PALEMBANG )

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-66-26-03
972 REG/OP/220928-0415 FLORENTINA SANTA ANGELIA P 34 Th PRIBADI DIRAWAT (MRS) 02
00-39-59-76
973 REG/OP/220928-0444 MARDIANA P 43 Th BPJS KESEHATAN DIRAWAT (MRS) 02

974 REG/OP/220928-0487 01-29-56-23 WIRIS CAYANTI P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02


975 REG/OP/220928-0491 01-10-25-12 I LUH METRI P 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

976 REG/OP/220928-0509 01-31-82-62 SARIPAH P 71 Th BPJS KESEHATAN DIRAWAT (MRS) 02


977 REG/OP/220928-0510 01-25-40-51 ZAHRANA AFSHEEN HUMAIRA P 2 Th BPJSK COB PT. HARSANA EKLINIKA REFORMA DIRAWAT (MRS) 02

978 REG/OP/220928-0575 01-31-82-72 MAC DONALD TSEN SIONG KEE L 43 Th PT. OKI PULP & PAPER MILLS (KEC. KERJA) DIRAWAT (MRS) 02
979 REG/OP/220928-0559 01-31-06-50 MONIKA JAYANTI P 29 Th BPJS KESEHATAN DIRAWAT (MRS) 03

980 REG/OP/220928-0566 01-28-99-01 QEENAN HAFIZH ATHAILLAH L 8 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
00-34-42-75
981 REG/OP/220928-0591 SUMARNO L 50 Th PT. FULLERTON HEALTH INDONESIA DIRAWAT (MRS) 02
982 REG/OP/220928-0588 01-31-82-75 NURHAYATI P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02
983 REG/OP/220928-0623 01-31-82-65 LIDO DARWIS L 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-92-53-39
984 REG/OP/220928-0642 ALIK ARIPIN L 65 Th PT. ASURANSI JIWA GENERALI INDONESIA DIRAWAT (MRS) 02
DHIRA MEGHACINTAKA
985 REG/OP/220928-0664 01-06-95-45 L 6 Th PRIBADI DIRAWAT (MRS) 02
JAYAWARDHANA
986 REG/OP/220928-0708 01-31-82-84 AZZALEA PUTRI SERAFINA P 1 Th PRIBADI DIRAWAT (MRS) 02

987 REG/OP/220928-0717 01-12-33-27 ALOHA P 67 Th BPJS KESEHATAN DIRAWAT (MRS) 02

988 REG/OP/220928-0719 01-31-41-67 NADIEM ATHA KESUMA L 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-90-36-11 BPJS KESEHATAN ( CHARITAS HOSPITAL
989 REG/OP/220928-0764 ODILIA VALIA FIQROSA. N P 25 Th DIRAWAT (MRS) 03
PALEMBANG )
00-90-29-90
990 REG/OP/220928-0778 ABDUL RIZAL L 47 Th PRIBADI DIRAWAT (MRS) 02

991 REG/OP/220928-0783 01-31-82-40 ELVANO MUSTAQIM L 6 Bl PRIBADI DIRAWAT (MRS) 02


992 REG/OP/220928-0787 01-31-21-76 POPPY PURNAMASARI P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
BPJS KESEHATAN ( CHARITAS HOSPITAL
993 REG/OP/220928-0785 01-04-26-96 MELISA YULIA ASTUTI P 31 Th DIRAWAT (MRS) 03
PALEMBANG )
BPJS KESEHATAN ( CHARITAS HOSPITAL
994 REG/OP/220928-0793 01-01-76-26 ADHELLIA KARTIKA SKD P 7 Th DIRAWAT (MRS) 02
PALEMBANG )
995 REG/OP/220928-0802 01-31-67-28 NURLELA P 64 Th BPJS KESEHATAN DIRAWAT (MRS) 02

996 REG/OP/220928-0804 01-31-83-01 SHERENA KIARA NATANZA P 27 Hr BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02

997 REG/OP/220928-0810 01-31-83-04 BETTY ZAHARA P 50 Th BPJS KESEHATAN DIRAWAT (MRS) 02

998 REG/OP/220928-0820 01-30-85-29 SITI NAFIAH P 48 Th BPJS KESEHATAN DIRAWAT (MRS) 02


999 REG/OP/220928-0826 01-31-83-09 KMS. M. HIZBULLAH L 36 Th PRIBADI DIRAWAT (MRS) 02

1000 REG/OP/220928-0829 01-31-83-11 SRI ATUN P 66 Th PRIBADI DIRAWAT (MRS) 02


1001 REG/OP/220928-0837 01-31-83-14 RUSDIYANTO L 41 Th PRIBADI DIRAWAT (MRS) 02
1002 REG/OP/220928-0848 01-31-83-18 MEI SELAH P 4 Bl PRIBADI DIRAWAT (MRS) 02
00-93-66-10 PT. ASURANSI JIWA INHEALTH INDONESIA (AJII-
1003 REG/OP/220928-0851 ASRI NURDAYANI P 32 Th DIRAWAT (MRS) 03
MANAGE CARE)
00-91-04-65 BPJS KESEHATAN ( CHARITAS HOSPITAL
1004 REG/OP/220929-0006 WIDIASTUTI P 39 Th DIRAWAT (MRS) 03
PALEMBANG )

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-91-44-20
1005 REG/OP/220929-0016 YAMIN SUPRIYADI L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1006 REG/OP/220929-0019 01-03-81-07 MARIANA P 62 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1007 REG/OP/220929-0033 01-31-83-27 SURMADAH P 71 Th PRIBADI DIRAWAT (MRS) 02


00-61-49-89
1008 REG/OP/220929-0178 SISILIA ALFONSA P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1009 REG/OP/220929-0195 01-23-09-61 ALTHAFARIZ GHIFARI SETIAWAN L 2 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 02
1010 REG/OP/220929-0203 01-11-14-75 YUMEZI YENINI P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-29-93-82
1011 REG/OP/220929-0207 LIOE MOY LIE P 72 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-93-24-61
1012 REG/OP/220929-0249 BUSTOMI L 59 Th PT. BANK SUMSEL BABEL DIRAWAT (MRS) 02

1013 REG/OP/220929-0279 01-31-73-54 WARREN DOMINIQUE LUKITO L 8 Hr PRIBADI DIRAWAT (MRS) 05

1014 REG/OP/220929-0295 01-22-63-64 WIDYA ASTUTI P 35 Th BPJS KESEHATAN DIRAWAT (MRS) 03


1015 REG/OP/220929-0321 01-07-57-54 LIE YUSTINA ALI P 62 Th PRIBADI DIRAWAT (MRS) 02
1016 REG/OP/220929-0367 01-23-67-61 DORLIANA SIAHAAN P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1017 REG/OP/220929-0390 01-24-80-24 YUMNA ALISHBA HADI P 2 Th ASURANSI BNI LIFE DIRAWAT (MRS) 02
1018 REG/OP/220929-0404 01-10-88-29 SUPATMI P 55 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1019 REG/OP/220929-0512 01-31-83-93 AKHMAD HADI S L 55 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01

1020 REG/OP/220929-0543 01-14-44-23 VERONICA FRANSISKA P 4 Th PRIBADI DIRAWAT (MRS) 02

1021 REG/OP/220929-0535 01-11-24-20 THENG THEK LENG L 71 Th PRIBADI DIRAWAT (MRS) 02

1022 REG/OP/220929-0596 01-31-84-07 AHMAD SYAHRI MUBAROQ L 2 Th PRIBADI DIRAWAT (MRS) 02


1023 REG/OP/220929-0603 01-31-37-48 AYU MELISYAH P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1024 REG/OP/220929-0646 01-31-83-96 FITRI WULAN DARI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1025 REG/OP/220929-0652 01-31-73-48 RASYA SAPUTRA L 5 Th BRI GROUP (ADMEDIKA) DIRAWAT (MRS) 02
00-69-87-34
1026 REG/OP/220929-0657 NELI YUNITA P 39 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1027 REG/OP/220929-0690 01-31-83-28 EMIR HASAN AL MUNTAZHAR L 7 Hr BPJS KESEHATAN DIRAWAT (MRS) 05
00-37-59-33 BPJSK COB PT. ASURANSI JIWA INHEALTH
1028 REG/OP/220929-0811 ESTHER FERINA P 37 Th DIRAWAT (MRS) 03
INDONESIA (AJII-MANAGE CARE)
1029 REG/OP/220929-0818 01-30-78-16 ZAINAL AMRI L 41 Th BPJS KESEHATAN DIRAWAT (MRS) 02
BPJS KESEHATAN COB PT. ASURANSI BRI LIFE
1030 REG/OP/220929-0826 01-12-79-22 BUDI UTOMO L 67 Th DIRAWAT (MRS) 02
(PROSPEN / PENSIUNAN BRI)
00-51-89-22
1031 REG/OP/220929-0843 MERY P 49 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1032 REG/OP/220929-0846 01-31-83-79 RUMSILA P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02


00-75-77-05
1033 REG/OP/220929-0838 SEPTYANI AMAN P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1034 REG/OP/220929-0873 01-31-84-56 SUWITO L 39 Th PRIBADI DIRAWAT (MRS) 01

1035 REG/OP/220929-0877 01-20-68-73 CHITRA DEWI / TJHIE HOEI LAN P 78 Th PRIBADI DIRAWAT (MRS) 02
00-83-49-14
1036 REG/OP/220929-0878 UMI KALSUM P 65 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1037 REG/OP/220929-0881 01-31-84-53 EKA ARI FIANTI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1038 REG/OP/220929-0895 01-29-88-85 ANDINI WULANDARI P 32 Th ADMEDIKA, ASURANSI RAMAYANA DIRAWAT (MRS) 02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


1039 REG/OP/220929-0900 01-31-67-77 NURHIDAYAH P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1040 REG/OP/220929-0903 01-17-48-26 JESSICA MENDROFA P 28 Th BCA LIFE (ADMEDIKA) DIRAWAT (MRS) 03
00-56-16-84
1041 REG/OP/220929-0905 RIO HUTABARAT L 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
1042 REG/OP/220929-0909 01-23-67-70 NURUL OKTARINA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-28-43-23
1043 REG/OP/220930-0007 UTARI DAMAYANTI P 46 Th BPJS KESEHATAN DIRAWAT (MRS) 02
KHAIZURAN AL KAREEN
1044 REG/OP/220930-0011 01-31-84-66 L 2 Bl PRIBADI DIRAWAT (MRS) 02
DJOYODININGRAT
00-96-72-45
1045 REG/OP/220930-0012 ZAINUDDIN L 57 Th PRIBADI DIRAWAT (MRS) 02
00-41-87-62
1046 REG/OP/220930-0013 LILY P 85 Th PRIBADI DIRAWAT (MRS) 02
1047 REG/OP/220930-0018 01-31-84-68 SARI P 23 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1048 REG/OP/220930-0022 01-31-48-50 CINTA NABILA AZZAHRA P 5 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1049 REG/OP/220930-0025 01-31-84-71 SABIRULLOH HAMAD L 60 Th PRIBADI DIRAWAT (MRS) 01

1050 REG/OP/220930-0026 01-25-98-64 DITA MUHARA SARI P 25 Th PRIBADI DIRAWAT (MRS) 03


1051 REG/OP/220930-0031 01-31-84-74 HERLINA P 27 Th BPJS KESEHATAN DIRAWAT (MRS) 03
00-61-11-94 BPJS KESEHATAN ( CHARITAS HOSPITAL
1052 REG/OP/220930-0033 HABIB KRISNA PRASTYA L 14 Th DIRAWAT (MRS) 02
PALEMBANG )
00-37-79-91
1053 REG/OP/220930-0157 HALIMAH P 78 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1054 REG/OP/220930-0233 01-02-49-08 LUSITA SARI P 31 Th BPJS KESEHATAN DIRAWAT (MRS) 03


00-36-11-27
1055 REG/OP/220930-0260 NASIR ACHMAD L 70 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1056 REG/OP/220930-0265 01-17-15-13 SUTRIANI P 32 Th BPJSK COB PT. KERETA API INDONESIA (KAI) DIRAWAT (MRS) 03
00-91-21-64 BPJS KESEHATAN ( CHARITAS HOSPITAL
1057 REG/OP/220930-0293 NURMALA SARI P 28 Th DIRAWAT (MRS) 02
PALEMBANG )
1058 REG/OP/220930-0303 01-31-85-02 MARIANCE SIMBOLON P 38 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-94-14-52 BPJS KESEHATAN ( CHARITAS HOSPITAL
1059 REG/OP/220930-0389 INDRI OKTAFIANTI P 30 Th DIRAWAT (MRS) 03
PALEMBANG )
00-30-63-04
1060 REG/OP/220930-0473 NELLA SIAHAAN P 67 Th PRIBADI DIRAWAT (MRS) 02
1061 REG/OP/220930-0502 01-27-96-73 AFRITA YUNANI P 53 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-30-81-24
1062 REG/OP/220930-0510 ANI KUSUMA P 58 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1063 REG/OP/220930-0546 01-31-85-32 NADIRA ARSYILA SHAQUEENA P 1 Th BPJS KESEHATAN DIRAWAT (MRS) 05

1064 REG/OP/220930-0642 01-31-85-56 REZKY FATYAH P 28 Th MANDIRI INHT MI CARE DIRAWAT (MRS) 02
00-51-54-74
1065 REG/OP/220930-0647 MARINA P 42 Th PRIBADI DIRAWAT (MRS) 02
00-92-57-26
1066 REG/OP/220930-0672 FITRIA ZUL ADHA P 33 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1067 REG/OP/220930-0683 01-31-85-65 ANSORI L 34 Th BPJS KETENAGAKERJAAN (JAMSOSTEK) DIRAWAT (MRS) 01


00-70-78-98
1068 REG/OP/220930-0686 NURUL ISMARANI P 30 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1069 REG/OP/220930-0721 01-31-85-52 ANGGUN JULIANTIKA P 2 Bl BPJS KESEHATAN DIRAWAT (MRS) 02
00-44-36-38
1070 REG/OP/220930-0729 FU MAN LIAN P 80 Th BPJS KESEHATAN DIRAWAT (MRS) 01
00-42-29-15
1071 REG/OP/220930-0730 LUANA P 41 Th BPJS KESEHATAN DIRAWAT (MRS) 03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


00-93-86-64
1072 REG/OP/220930-0745 MEGA WATI P 67 Th KEMENKES RI (COVID-19) DIRAWAT (MRS) 02

1073 REG/OP/220930-0748 01-31-85-74 WINARTO L 60 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1074 REG/OP/220930-0775 01-22-71-60 SINDI NOVITA PUTRI P 24 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1075 REG/OP/220930-0778 01-22-70-87 AHMAD AL GHAZALI L 3 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1076 REG/OP/220930-0793 01-06-61-51 MEY RINA MUTIA UTAMI P 28 Th BPJS KESEHATAN DIRAWAT (MRS) 03
1077 REG/OP/220930-0795 01-31-85-83 MUHAMMAD ADWI MURSALIN L 5 Bl BPJS KESEHATAN DIRAWAT (MRS) 02

1078 REG/OP/220930-0799 01-23-63-00 KHALEELA ALYA P 2 Th BPJS KESEHATAN DIRAWAT (MRS) 02


1079 REG/OP/220930-0800 01-31-37-72 ANGGI DETRI P 25 Th BPJS KESEHATAN DIRAWAT (MRS) 03

1080 REG/OP/220930-0802 01-00-92-49 WAHYUNI WIJAYA P 77 Th BPJS KESEHATAN DIRAWAT (MRS) 02

1081 REG/OP/220930-0805 01-03-32-65 R. TAMPUBOLON P 57 Th BPJS KESEHATAN DIRAWAT (MRS) 02


1082 REG/OP/220930-0798 01-31-85-85 S. HIKMAH P 42 Th BPJS KESEHATAN DIRAWAT (MRS) 02
00-52-67-51
1083 REG/OP/220930-0816 NURHAYATI P 49 Th PRIBADI DIRAWAT (MRS) 02

Jenis Kasus Kriteria GD


Palembang,17-11-2022
01 : Bedah 01 : Gawat Darurat
02 : Non Bedah 02 : Gawat Tidak Darurat Petugas Gawat Darurat
03 : Kebidanan 03 : Darurat Tidak Gawat
04 : Kejiwaan 04 : Tidak Gawat Tidak Darurat
05 : Anak 05 : Meninggal

Tiurma Malau Gurning

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


GD

03

02
03

03

02

03
04

04
04

04
04

03

03
03

03

03
03

03

03

03

03
03

03
03
02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

02

03

03

03
03
03

02
02

03

03

03
02
03

01

03

01

03
03

02
03
01

03

03
04

04
03

03
04

03

03
03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

04
04

03

03

04
04

03
03

03

03

03
03

03
03

03
03

03

03

03
02

03
01

03
03

03

03

03

03
03
03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

01
03

03

03

03

03
03

03

04

04
03
03

03

03

03

03
03

03
03
03

03

03
03

03
03

03
02

03

02
03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

02
03

03
03

03
03

04

03
03
03

03
03

03

04

03

03

04

03

03

04

02

02
02

03

01

03
03

03

03

02
03

02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


02

03

03

03

02

03
03

03
02

02
02

03
04

03
03

02
03

03

03

03
03

04

04

03
03

03

03
04
03

03
03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
03

02
03

03
03

03

03
03
03

03
01

03

03

02

03
03
02

02
03

03

03

02
03
03
03

02
03

03
03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03

03
03
03
02

03
03

02

03

03
03
03

02

03

03

03

03

02
03

03

03

03
03

03

03

03
03

03

03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

02

04

03

03
04
03

04
03

04

03

03
03

03
03

03
03

03

03

03
03

03

03

03
03

03

03

03

03

03
03

03
02

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
02

03
03

03

02

03

03

02

04
03

03
03

03

04

04

04

04

04
03
03
03

03

03

03
03

03
03
03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
03

01
02

03
03

02

02

03

03
02
03

02

02

03

02
03

02
02
03

03

03
04

03
03

03
04

03

03
02
04

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
03

03
03

03
03

03

01
03
03

03

03

02

03

03

03
03

04

03

03
02

02
03

03

03

03

04

03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

02
03

02
03

03

03

03

03
03

03
03

02
03

03
03

03

03

03

02

03
03

03
03

03

03
04
03

03
03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
02

03
03

02
03

03

03
03
03

03
03

03

03

03

03
03
03

03

03

03

03
03

03
03

03
04

03

04
04
04

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

02
03

03
03

03
02

03

03
03
03

03
03

03

03

02

03
03
03

03
03

03

03

02
03
03
03

02
03

03
03

03
03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
02

03
02

03
03

02

03
03
03

03

03

03

03

03

03

02

03

03

03

03

03

03
03

03
03

03

03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
04

03
04

03
03

03

03
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04

03

03

04

03
03
03

03
02

03

03

03
03
03
02

03
03

02
02

04
03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


02

04

04
03

03
03

03
03

03

03
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03

03

02

03

01
02
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02
03
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02
03

03
03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03

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03

03

03

02

02

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02

02

03

02
02

03

02

03

03

02
02

03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

03
03

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03

03

03

03

03
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03

03
02
03

03
03

03
03

02

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


02

02

02
03

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03

02
02

03

02

03

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03
02

03

03

02

03
03

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03
02

03

03

03

03

03

03
03

02

03

03

03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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04
03

03

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03

03

03

04

03
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03
02

03

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03

03
03

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03

03

03

03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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03
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03

03

03

03

03
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01

02
03

02

03

03
03
02
03

02
02

03
03

03
03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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02

01
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03

03

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03

03

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03

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02

02

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02

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03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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02

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03

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03

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02
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03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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02

02
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03

03

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03

03
03

03

04
02

03

03
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02
03

02
03

03

03
03
03

03

Avicenna HIS, Print Date : 17-11-2022 10:58 Page : 1/1


03

03

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03
02

02

02
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