FORMULIR

No Nama Pasien No.RM Tgl Masuk

General Pasien Informed Second Spiritual Permintaan
Consent Terminal Consent Tind.Medis DNR Opinion Record Yan.Kerohanian
y t y t y t ya tdk y t y t y t y t
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1
1 0 1 0 1 0 0 1 0 1 1 0 0 1 0 1
1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1
1 0 1 0 0 1 0 1 1 0 0 1 0 1 0 1
1 0 1 0 0 1 0 1 1 0 0 1 0 1 1 0
0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0
0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0
1 0 0 1 0 1 0 1 1 0 0 1 0 1 1 0
1 0 0 1 0 1 1 0 1 0 0 1 1 1 1 0
0 1 0 1 0 1 1 0 1 0 0 1 1 1 1 0
0 1 0 1 0 1 1 0 0 1 0 1 1 0 1 0
1 0 0 1 0 1 1 0 0 1 0 1 1 0 1 0
1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1
1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 1 0 0 1 1 0 1 0 0 0 0 1
1 0 0 1 1 0 0 1 1 0 1 0 0 1 0 1
1 0 0 1 1 0 0 1 1 0 0 1 0 1 0 1
1 0 1 0 1 0 0 1 1 0 0 1 0 1 1 0
 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0
total 21 4 12 13 15 10 13 12 15 10 12 13 12 13 10 15
Penyimpanan
Barang milik
pasien
y t form Gc PT IC TM DNR SO
0 1 0.84 0.48 0.6 0.52 0.6 0.96
0 1
0 1
0 1
0 1 25 25 25 25 25 25
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
1 0
1 0
1 0
 1 0
12 13
SR PK PBP
0.48 0.4 0.48

25 25 25
 FORMULIR

No Nama Pasien No.RM Tgl Masuk

General Pasien Informed Second Spiritual Permintaan
Consent Terminal Consent Tind.Medis DNR Opinion Record Yan.Kerohanian
y t y t y t ya tdk y t y t y t y t
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 1 0 0 1 1 0 1 0 0 1
1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1
1 0 1 0 1 0 0 1 0 1 1 0 0 1 0 1
1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1
1 0 1 0 0 1 0 1 1 0 0 1 0 1 0 1
1 0 1 0 0 1 0 1 1 0 0 1 0 1 1 0
0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0
0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0
1 0 0 1 0 1 0 1 1 0 0 1 0 1 1 0
1 0 0 1 0 1 1 0 1 0 0 1 1 1 1 0
0 1 0 1 0 1 1 0 1 0 0 1 1 1 1 0
0 1 0 1 0 1 1 0 0 1 0 1 1 0 1 0
1 0 0 1 0 1 1 0 0 1 0 1 1 0 1 0
1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1
1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1
1 0 0 1 1 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 1 0 0 1 1 0 1 0 0 0 0 1
1 0 0 1 1 0 0 1 1 0 1 0 0 1 0 1
1 0 0 1 1 0 0 1 1 0 0 1 0 1 0 1
1 0 1 0 1 0 0 1 1 0 0 1 0 1 1 0
 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0
total 21 4 12 13 15 10 13 12 15 10 12 13 12 13 10 15
Penyimpanan
Barang milik
pasien
y t form Gc PT IC TM DNR SO
0 1 0.84 0.48 0.6 0.52 0.6 0.96
0 1
0 1
0 1
0 1 25 25 25 25 25 25
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
1 0
1 0
1 0
 1 0
12 13
SR PK PBP
0.48 0.4 0.48

25 25 25
Agust 2018, NIFAS
FORMULIR
No Nama Pasien No.RM Tgl Masuk Diagnosa Permintaan
Spiritual Record
Kerohanian
y t y t
01 Ritayana 14.16.40 31-08-2018 presentasi kaki + kpd 1 0 0 0
02 Maya 22.12.72 27-08-2018 bilateral kista ovarium + anemia 1 0 0 0
03 Susi 22.14.79 28-08-2018 presentasi bokong 1 0 0 0
04 Siti masamah 13.91.09 29-08-2018 susp.CPD 1 0 0 0
05 Sri wahyuni 17.60.64 2/9/2018 Perdarahan pervagina 1 0 0 0
06 Windriyani razeqi 22.15.81 30-08-2018 Kpd 1 0 0 0
07 Susilawati 21.32.28 28-08-2018 ancaman partus prematus 1 0 0 0
08 Martini 21.60.44 28-08-2018 presentasi bokong 1 0 0 0
09 Erna utami rahayu 22.11.70 28-08-2018 gagal induksi 1 0 0 0
10 Miftahul jannah 21.44.21 30-08-2018 janin lintang 1 0 0 0
11 Nurainun 22.08.75 29-08-2018 janin oblique 1 0 0 0
12 Fatimah 14.59.57 30-08-2018 Kpd 3 hari 1 0 0 0
13 Misnawati 21.71.23 29-08-2018 janin lintang 1 0 0 0
14 Ani prawati 22.20.02 8/9/2018 KPD+PTM 1 0 0 0
15 Sri indriwahyuni 21.12.02 8/9/2018 KPD+FD 1 0 0 0
16 Milawati 12.35.13 8/9/2018 AUB 1 0 0 0
17 Dwi puspita rini 05.21.25 9/8/2018 Poli hidramnion+Ptm 1 0 0 0
18 Nurkamaliah 22.14.90 29-08-2018 Kpd 3 hari 1 0 0 0
19 Nurleni damanik 22.14.73 28-08-2018 gagal induksi 1 0 0 0
20 Husna rida yani 21.24.67 28-08-2018 susp cpd 1 0 0 0
21 Juli fita 09.75.68 31-08-2018 anemia 1 0 0 0
22 Fatimah 22.15.60 30-08-2018 susp cpd 1 0 0 0
23 Sumiati 22.12.91 28-08-2018 Peb 1 0 0 0
24 Nafsiah 17.98.06 29-08-2018 oligohidramnion 1 0 0 0
25 Mutiara 14.91.10 30-08-2018 AG 1 0 0 0
26 Diana robbi 22.03.64 31-08-2018 abartos inkompletus 1 0 0 0
27 Ramsiah 21.88.45 30-08-2018 Letak obligh 1 0 0 0
28 Rahmatinur 15.15.28 30-08-2018 Oligohiydromnion 1 0 0 0
29 Rina 09.91.28 30-08-2018 HG 1 0 0 0
30 Siti aminah 22.15.70 30-08-2018 Syok Hivopolemik 1 0 0 0
31 Asmawati 22.14.96 29-08-2018 Oligohidramnion 1 0 0 0
32 feriyanti nadilah 22.08.90 30-08-2018 HG 1 0 0 0
33 Hajar merdeka wati 06.30.01 30-08-2018 hiperemesis gravidarum 1 0 0 0
34 Nuryanti 22.16.38 31-8-2018 abortus imminems 1 0 0 0
35 Misna wati 220631 29/08/2018 Neoplasma ovarium kistik 1 0 0 0
36 Sri mulyani 222989 8/10/2018 Obs.febris 1 0 0 0
37 Sri hartati 206418 8/10/2018 Abortus insipiens 1 0 0 0
38 Fitri azriani 223351 8/10/2018 1 0 0 0
39 Dwi indah wulandari 217072 8/10/2018 1 0 0 0

Karang Baru , 12 Feb 2019

Koordinator Kerohanian RSUD
Aceh Tamiang

ZALEHA
Nip. 1966 0507 1986 03 2003
September 2018, NIFAS
FORMULIR
No Nama Pasien No.RM Tgl Masuk Diagnosa
Spiritual Record Permintaan Kerohanian

y t y t
1 Jamilah 22.16.44 1/9/2018 Psp luar eklamsi 1 0 0 0
2 Reniah 22.17.26 4/9/2018 missed abortion 1 0 0 0
3 Intan hartiningsih 21.87.51 31-08-2018 letak lintang + fd 1 0 0 0
4 Fitria 22.16.55 1/9/2018 Ptm + Bsc 1 0 0 0
5 Ritayana 14.16.40 31-08-2018 presentasi kaki + kpd 1 0 0 0
6 Fitriani 21.62.37 3/9/2018 Cpd 1 0 0 0
7 Helni suryani 22.17.04 3/9/2018 letak oblique + polihidramnion 1 0 0 0
8 Ramini 19.45.89 3/9/2018 AUB + susp carcinoma 1 0 0 0
10 Nurjannah 22.16.80 3/9/2018 abortus kompletus 1 0 0 0
11 Darniyanti 22.19.77 7/9/2018 abortus inkomplete 1 0 0 0
12 Nifta hulija 07.29.08 7/9/2018 H6 1 0 0 0
13 Siti hazarah liana 09.79.00 6/9/2018 hiperemesis gravidarum 1 0 0 0
16 Sri wahyuni 17.60.64 2/9/2018 Perdarahan pervagina 1 0 0 0
25 Leny medyani 22.17.90 4/9/2018 Cpd 1 0 0 0
26 Siti rohani 22.15.15 7/9/2018 partus premature imminens+kpd 1 0 0 0
27 Juhairina 21.15.54 9/9/2018 KPD 1 0 0 0
28 Sari devi anggraini 22.16.31 9/9/2018 KPD 1 0 0 0
29 Siska amelia 20.77.73 8/9/2018 Edema vagina 1 0 0 0
30 Suryati / Sarianti 22.19.32 7/9/2018 Hg 1 0 0 0
31 Sri wika dewi 21.94.60 3/9/2018 mioma uteri 1 0 0 0
32 Fitri susanti 22.20.01 7/9/2018 Kpd+FD 1 0 0 0
35 Nurma wati 09.27.85 9/9/2018 Hiperemisis gravidarum 1 0 0 0
37 Dwi puspita rini 05.21.25 9/8/2018 Poli hidramnion+Ptm 1 0 0 0
39 Melisah 22.16.57 2/9/2018 susp plasenta previa 1 0 0 0
40 Teti 16.54.31 6/9/2018 presentasi bokong+hipoksia janin 1 0 0 0
41 Desi triulantika 12.11.24 5/9/2018 gagal induksi 1 0 0 0
42 Sarifah 22.16.73 3/9/2018 PUA 1 0 0 0
43 Intan diana ishak 11.01.67 4/9/2018 Polip cerviks 1 0 0 0
44 Sri eka wahyuni 18.93.56 5/9/2018 Susp.Pjt 1 0 0 0
45 Lilis mahyani 19.00.72 1/9/2018 Kpd 1 0 0 0
46 Aliya linda sari 21.12.79 2/9/2018 Hiperemisis gravidarum 1 0 0 0
47 Ngatmi 11.33.24 4/9/2018 Abdominal pain 1 0 0 0
48 Mardiana 22.19.50 5/9/2018 Eklamsi imminens 1 0 0 0
49 P.Srirahayu 21.83.42 4/9/2018 G3P2A0 1 0 0 0
50 Neti sumarni 21.87.77 4/9/2018 Susp cpd 1 0 0 0
51 Vina pitaloka 22.17.33 4/9/2018 Inersia uteri 1 0 0 0
52 Nurhasanah 05.82.40 4/9/2018 Kpd 1 0 0 0
53 Susana 22.15.26 3/9/2018 Post date 1 0 0 0
54 Yusmiati 22.16.89 3/9/2018 B.o 1 0 0 0
55 Erika damayanti 14.11.61 4/9/2018 Ancaman partus prematurus 1 0 0 0
56 Nurliana 09.62.16 3/9/2018 B.o 1 0 0 0
58 Saprida 22.17.97 5/9/2018 H.aterm bsc 2x 1 0 0 0
60 fatimah Br.harahap 22.16.71 2/9/2018 Kista ovarium 1 0 0 0
61 Erni devi susanti BS 21.14.87 4/9/2018 PEB 1 0 0 0
62 Yusnaini 17.71.07 4/9/2018 KPD 1 0 0 0
63 Ona dwi nanda 18.00.75 2/9/2018 KPD 1 0 0 0
65 Siti jariyah 20.26.73 5/9/2018 Susp cpd 1 0 0 0
67 Sri elsa handayani 22.16.84 3/9/2019 susp cpd 1 0 0 0
69 Nera wati 10.71.06 3/9/2018 susp cpd 1 0 0 0
70 Maimunah hasibuan 09.18.42 10/9/2018 partus prematurus iminnens 1 0 0 0
71 Zubaidah 13.66.69 3/9/2018 Hiperemisis gravidrum 1 0 0 0
72 Linda wati 22.16.97 3/9/2018 abortus iminens 1 0 0 0
73 Afrida darni 19.34.73 3/9/2018 Cpd 1 0 0 0
74 Ramadayanti 22.20.36 10/9/2018 Cpd 1 0 0 0
75 Nuriyati 21.34.03 7/9/2018 H.aterm bsc 2x 1 0 0 0
79 Mardiana 17.18.26 4/9/2018 oligohidramnion 1 0 0 0
80 Nurul huda 18.61.72 3/9/2018 abortus inspiens 1 0 0 0
81 Misriani binti M.yahmin 22.10.45 7/9/2018 KDR letak oblique 1 0 0 0
82 Kumara yarani 16.39.19 6/9/2018 Kdr letak oblique 1 0 0 0
83 Yuni asnawati 20.35.60 4/9/2018 Kdr letak sunsang 1 0 0 0
84 Ratna sari 19.85.39 7/9/2018 Anemia 1 0 0 0
85 Sri dewi andela 22.16.90 3/9/2018 L.Obligh 1 0 0 0
86 Kumala sari 22.17.22 4/9/2018 Oligohydromnion 1 0 0 0
87 Elisa 14.75.65 6/9/2018 Letak sungsang 1 0 0 0
88 Gimawati 17.57.71 6/9/2018 Letak sungsang 1 0 0 0
89 Ftriani 18.48.35 5/9/2018 CPD 1 0 0 0
97 Nuriani 22.22.16 14-09-2018 Letak obligh 1 0 0 0
98 Supit 15.57.65 12/9/2018 HG 1 0 0 0
99 Astuti 15.08.97 15-09-2018 hiperemesis gravidarum 1 0 0 0
100 Zidnilatifah 16.51.37 11/9/2018 Letak sungsang 1 0 0 0
101 Martini 14.86.42 9/9/2018 Adenomiosis 1 0 0 0
102 Martini 18.18.69 13-09-2018 KPD 1 0 0 0
103 Fitri novika sari 22.22.10 14-09-2018 Prev sc 2x 1 0 0 0
104 Rosmawar 09.70.58 13-09-2018 Syok Hivopolemik 1 0 0 0
105 Sunartik 22.20.84 13-09-2018 ol[gohydramnion 1 0 0 0
106 Radiah, SE 18.20.46 12/9/2018 Ptm 1 0 0 0
107 Suelmi 22.20.86 13-09-2018 KPD 1 0 0 0
108 Galuh mahyura 22.20.97 13-09-2018 Letak obligh 1 0 0 0
109 Rosmayuni simarmata 22.20.60 12/9/2018 Letak obligh 1 0 0 0
110 Agus linar 09.42.28 13-09-2018 PEB 1 0 0 0
111 Eva wulandari 12.10.56 11/9/2018 Kista ovarium 1 0 0 0
112 Agus supiani 22.21.66 13-09-2018 Letak obligh 1 0 0 0
113 Nanda afriani 16.38.75 14-09-2018 Odem pulmo 1 0 0 0
114 Liana 22.22.25 14-09-2018 abortus iminens 1 0 0 0
115 Suriani 22.09.60 17-09-2018 CPD 1 0 0 0
116 Mardiana 16.49.11 18-09-2018 CPD 1 0 0 0
117 Ratna wati 21.55.94 17-09-2018 Placenta previa 1 0 0 0
118 Nurhayati 18.74.29 18-09-2018 Letak sungsang 1 0 0 0
119 Nurhayati 16.36.92 16-09-2018 PTM 1 0 0 0
120 Irmayani 22.22.32 15-09-2018 HG 1 0 0 0
121 Rahmi helvita sari 22.22.44 16-09-2018 Anemia 1 0 0 0
122 Suriani 22.22.71 17-09-2018 Prev.sc 1 0 0 0
123 Ramalia 22.22.74 17-09-2018 PTM 1 0 0 0
124 Tria agustina 06.96.62 17-09-2018 HG 1 0 0 0
125 Mardayanti 05.47.68 21-09-2018 abortus iminens 1 0 0 0
126 Ulfa 22.26.12 21-09-2018 PTM 1 0 0 0
127 Susi andrita 22.25.64 20-09-2018 Letak obligh 1 0 0 0
128 Erlinawati 19.95.62 16-09-2018 CPD 1 0 0 0
129 Dinasti 22.26.25 21-09-2018 Retensio placenta 1 0 0 0
130 Dina rosulina 22.25.62 20-09-2018 KPD 1 0 0 0
131 Novita juli yanti 22.21.80 14-09-2018 AUB 1 0 0 0
132 Atik arimurti 22.24.53 19-09-2018 PTM 1 0 0 0
133 Halimatussakdiah 18.85.51 19-09-2018 Prolaps uteri 1 0 0 0
134 Samsiah 22.22.62 17-09-2018 Ruptur uteri 1 0 0 0
135 Dewi ulan suci 22.22.49 16-09-2018 Letak sungsang 1 0 0 0
136 Tika wati 14.71.14 16-09-2018 Oligohydromnion 1 0 0 0
137 Sriwahyuni 15.74.44 21-09-2018 MG 1 0 0 0
138 Siti Nurbaya 17.22.90 12/9/2018 Abortus insipiens 1 0 0 0
139 Rita elvina 22.25.19 20-09-2018 PEB 1 0 0 0
140 Susi Nengsih 22.26.84 22-09-2018 Hamil Aterm 1 0 0 0
141 Eva wulandari 12.10.56 4/9/2018 Mioma uteri 1 0 0 0
142 Lailan sholehah 16.75.62 22-09-2018 HG 1 0 0 0
143 Weni dara 18.20.58 20-09-2018 Riwayat prematurus 1 0 0 0
144 Sukanti 22.26.11 21-09-2018 Bligh ovum 1 0 0 0
145 Fikriah rahma 21.70.18 11/9/2018 HT 1 0 0 0
146 Tri umami 18.36.21 20-09-2018 SG 1 0 0 0
147 Ftiani 10.38.98 13-09-2018 MG + Letak obligh 1 0 0 0
148 Sugiyem 22.20.69 13-09-2018 Oligohydromnion 1 0 0 0
149 Wulan indah sari 15.12.74 17-09-2018 Letak obligh 1 0 0 0
150 Eliana 20.16.00 19-09-2018 Prev sc 1 0 0 0
151 Kasni hayati 17.39.12 18-09-2018 letak lintang + fd 1 0 0 0
152 Herlin karlina 22.27.80 26-09-2018 KPD 1 0 0 0
153 Imas purnama sari 17.72.30 21-09-2018 Mastitis 1 0 0 0
154 Siti nurhaliza 22.27.87 26-09-2018 Partus prematurus iminens 1 0 0 0
155 Sukesih 06.44.28 20-09-2018 janin lintang 1 0 0 0
156 Suparmi 09.11.58 19-09-2018 janin lintang 1 0 0 0
157 Ardiana Rahayu 15.72.20 21-09-2018 Janin Obligh 1 0 0 0
158 Erika ramadayanti 14.11.61 19-09-2018 KPD 1 minggu 1 0 0 0
159 Irawati 22.24.01 17-09-2018 Janin obligh 1 0 0 0
160 Halimatus sakdiah 22.20.75 13-09-2018 Retensio placenta 1 0 0 0
161 Eka sari 16.28.45 11/9/2018 GE 1 0 0 0
162 Khairunizar 19.25.52 12/9/2018 Bligh ovum 1 0 0 0
163 Suriati 22.19.32 12/9/2018 HG 1 0 0 0
164 Windi syafitriani 22.20.47 11/9/2018 Vulnus laseratet verinium 1 0 0 0
165 Jumaiyah 22.17.96 5/9/2018 KPD 1 0 0 0
166 Afni ayu lestari 22.19.25 7/9/2018 Anemia 1 0 0 0
167 Eka wahyuni 22.21.48 12/9/2018 Post Date 1 0 0 0
168 Novi rahma hidayani 15.77.11 18-09-2018 Ancaman partus prematurus 1 0 0 0
169 Juliana syahfitri hsb 22.20.61 12/9/2018 PEB 1 0 0 0
170 Irfa yunida 21.47.46 11/9/2018 Blighted ovum 1 0 0 0
171 Ameliyan dara 04.55.44 12/9/2018 KPD 1 0 0 0
172 Rismawati 14.87.84 17-09-2018 Janin persentase bokong 1 0 0 0
173 Rina sari 14.41.20 18-09-2018 KPD 1 0 0 0
174 wardani 18.26.74 17-09-2018 Janin lintang 1 0 0 0
175 suratmi 18.45.10 11/9/2018 KPD 1 0 0 0
176 suci ramadayani hsb 17.90.27 19-09-2018 Susp.CPD 1 0 0 0
177 Siti marlinda 22.25.93 24-09-2018 PTM 1 0 0 0
178 Rasmina 22.26.91 23-09-2018 Placenta previa totalis 1 0 0 0
179 Novita sari ramadhani lbs 22.26.67 22-09-2018 Abortus insiviens 1 0 0 0
180 juliana putri dewi 19.49.95 24-09-2018 Polihydramnion 1 0 0 0
181 Nurjannah 22.25.57 20-09-2018 Abortus incomplet 1 0 0 0
182 Sonia 22.26.93 23-09-2018 Abortus iminens 1 0 0 0
183 Desi juwanti 17.46.31 23-09-2018 KDR 1 0 0 0
184 eka sartika 22.27.93 26-09-2018 Abortus incomplet 1 0 0 0
185 asmawati 16.38.05 12/9/2018 Letak sungsang 1 0 0 0
186 lindayani 22.08.66 11/9/2018 KPD 1 0 0 0
187 Mariani 22.27.41 25-09-2018 Gagal induksi 1 0 0 0
188 Nurbaiti 22.22.15 14-09-2018 Oligohydromnion 1 0 0 0
189 Pipin Ardaini 22.03.70 24-09-2018 Abortus incomplet 1 0 0 0
190 Saadah 22.26.32 24-09-2018 PTM 1 0 0 0
191 Ernawati 22.26.53 25-09-2018 Missed Aaborsi 1 0 0 0
192 Hawa 04.40.82 25-09-2018 KPD 1 0 0 0
193 Selvi novita putri 15.98.97 21-09-2018 Asma brochial 1 0 0 0
194 Siska 21.25.43 24-09-2018 KPD 1 0 0 0
195 Rusdinar 09.00.56 25-09-2018 BSC 2x 1 0 0 0
196 Reni novita 22.24.32 19-09-2018 BO 1 0 0 0
197 Aminah 10.41.28 24-09-2018 Janin Obligh 1 0 0 0
198 Nur salmiyah 22.27.67 26-09-2018 Abortus complet 1 0 0 0
199 Evi sahara 21.98.32 28-09-2018 Distosia 1 0 0 0
200 Ernawati 22.08.05 18-09-2018 KPD 1 0 0 0
201 Yuni masdiah 04.80.03 18-09-2018 BO 1 0 0 0
202 Ratna dewi 06.87.08 18-09-2018 HG 1 0 0 0
203 Siti salamiah 12.43.24 26-09-2018 retensio placenta 1 0 0 0
204 Kiki aprilia 22.25.44 19-09-2018 CPD 1 0 0 0
205 Rosmayani 22.27.43 25-09-2018 Hamil aterm 1 0 0 0
206 Musliati 22.26.37 24-09-2018 Oligohydromnion 1 0 0 0
207 shinta novia dewi 22.25.89 23-09-2018 KPD 1 0 0 0
208 Sumiati 13.13.97 20-09-2018 Preterm labour 1 0 0 0
209 salbiah 15.31.89 23-09-2018 Letak sungsang 1 0 0 0
210 Zairina sh 22.28.87 27-09-2018 Missed aborsi 1 0 0 0
211 Sutanti 19.39.76 25-09-2018 letak lintang + fd 1 0 0 0
212 Mila lawiyah 21.26.06 28-09-2018 BO 1 0 0 0
213 Sumarni 22.28.81 27-09-2018 Makrosomia 1 0 0 0
214 Suratmiani 22.28.86 27-09-2018 Abortus insipiens 1 0 0 0
215 Sri kartini 16.49.75 28-09-2018 P/V braxton ais 1 0 0 0
216 Susriani 22.08.74 27-09-2018 PEB 1 0 0 0
217 Grasella 19.52.64 27-09-2018 Inpartu 1 0 0 0
218 Lia utari 22.24.27 19-09-2018 Gagal induksi 1 0 0 0
219 Lisa adila rizki 22.26.88 22-09-2018 KPD 1 0 0 0
220 Sri ratna dewi 20.73.28 19-09-2018 Inpartu 1 0 0 0
221 astuti biana 22.25.94 24-09-2019 PEB 1 0 0 0
222 Nuraini 22.25.91 24-09-2018 Janin obligh 1 0 0 0
223 Dian maya sari 11.05.74 18-09-2018 BO 1 0 0 0
224 Sri oktari nanda 04.90.40 24-09-2019 Wound deseas 1 0 0 0
225 Sri bunikawati 22.22.79 20-09-2018 Multiple mioma uteri 1 0 0 0
226 Susiyani 14.90.99 15-09-2018 Neoplasma ovarium kistik 1 0 0 0
227 Nurainun 17.93.53 19-09-2018 AFF IUD 1 0 0 0
228 Sonem 22.16.46 1/9/2018 AUB 1 0 0 0
229 Siti asma 21.55.20 23-09-2018 Obs.Febris+ KDR 1 0 0 0
19 Khuzaimah 222890 27/9/2018 Letak lintang 1 0 0 0
22 Misiyem 222953 28/9/2018 Letak lintang 1 0 0 0
23 Asrina 222957 29/9/2018 Oligohydramniom 1 0 0 0
24 Saidah nafisah 191377 27/9/2018 Letak obligh 1 0 0 0
25 Retno handarini 160505 27/9/2018 Letak sungsang 1 0 0 0
26 Dwi agustina sari 0'56567 27/9/2018 Letak obligh 1 0 0 0
27 Diah vita loka 222889 27/9/2018 Abortus insipiens 1 0 0 0
28 Juwita purnama sari 222949 28/9/2018 Abortus iminens 1 0 0 0
30 Nila wati 198879 27/9/2018 Prev sc 2x 1 0 0 0
31 Nurjannah 214156 27/9/2018 Letak lintang 1 0 0 0
40 Zubaidah 136669 30/9/2018 HG 1 0 0 0
41 Mariana 222955 28/9/2018 Retensio placenta 1 0 0 0
42 Trinanda endang putri 184817 29/9/2018 Prev sc 1 0 0 0
43 Ulfa ulantika 147723 30/9/2018 Susp.PTT 1 0 0 0
44 Ratna wigianti 177684 3/10/2018 KPD 1 0 0 0
45 Hanisah 223049 3/10/2018 Inpartu 1 0 0 0
46 Sastira eka sari 126327 9/10/2018 CPD 1 0 0 0
57 Ratnawati 134305 9/10/2018 KPD 1 0 0 0
58 Sri mulyani 222989 8/10/2018 Obs.febris 1 0 0 0
59 Darlinda S 135346 1/10/2018 KPD 1 0 0 0
60 Asri suci misriana 222922 30/9/2018 Anemia 1 0 0 0
61 Mita handayani 0'91842 30/9/2018 BO 1 0 0 0
62 Maimunah hasibuan 194506 30/9/2018 Distosia vk 1 1 0 0 0
63 Wan mariani 137573 29/9/2018 KPD 1 0 0 0
64 Eka oktaviani 223571 29/9/2018 KPD 1 0 0 0
66 Hema malini 223518 9/10/2018 PEB 1 0 0 0
67 Seniasah 223674 9/10/2018 KPD 1 0 0 0
72 Maimuna amriyati 223534 9/10/2018 CPD 1 0 0 0
75 Novita sari 149270 25/9/2018 PEB 1 0 0 0
76 Lilis kurnia sari 157444 30/9/2018 KPD 1 0 0 0
78 Sarah ananda 127689 27/09/2018 Perdarahan ante partum 1 0 0 0
79 Rosmaidar 223523 27/09/2019 Janin obligh 1 0 0 0
81 Susanti 223523 9/10/2018 Febris 1 0 0 0
91 Mirna sari 0,73600 9/10/2018 1 0 0 0
111 Zubaidah 223522 9/10/2018 1 0 0 0
Oktober 2018, NIFAS

No Nama Pasien No.RM Tgl Masuk Diagnosa Permintaan

Spiritual Record
Kerohanian
y t y t
1 Sri puan 0'98699 3/10/2018 Panggul sempit 1 0 0 0
2 Dewi gustiani 0'56193 4/10/2018 Letak sungsang 1 0 0 0
3 Mariani 223082 5/10/2018 KPD 1 0 0 0
4 Novitasari lubis 187828 2/10/2018 Letak obligh 1 0 0 0
5 Yulita sahriana 223015 2/10/2018 Mioma uteri 1 0 0 0
6 Anisah 2231004 5/10/2018 PEB 1 0 0 0
7 Irawati 223096 5/10/2018 PTM 1 0 0 0
8 Afridawati 223324 6/10/2018 Abortus insipiens 1 0 0 0
9 Paini 223086 5/10/2018 Abirtus iminens 1 0 0 0
10 Karin detia pasyah 223317 6/10/2018 Kista ovarium 1 0 0 0
11 ratna wati 215594 7/10/2018 Partus imaturus iminens 1 0 0 0
12 Irna elviana 139232 1/10/2018 Partus imaturus iminens 1 0 0 0
14 Tri wulandari 222998 1/10/2018 Kista ovarium 1 0 0 0
15 Nurliana 96216 1/10/2018 Abortus complet 1 0 0 0
16 Nur indah sari 40239 1/10/2018 KPD 1 0 0 0
17 Rendah wulandari 101826 1/10/2018 KPD 1 0 0 0
18 Marliani 223069 4/10/2018 Eklamsi 1 0 0 0
20 Elisnawati 189166 2/10/2018 Placenta previa 1 0 0 0
21 Sri rahayu ningsih 135723 1/10/2018 Abortus insipiens 1 0 0 0
22 Misiyem 222953 28/9/2018 Letak lintang 1 0 0 0
23 Asrina 222957 29/9/2018 Oligohydramniom 1 0 0 0
24 Saidah nafisah 191377 27/9/2018 Letak obligh 1 0 0 0
25 Retno handarini 160505 27/9/2018 Letak sungsang 1 0 0 0
26 Dwi agustina sari 0'56567 27/9/2018 Letak obligh 1 0 0 0
27 Diah vita loka 222889 27/9/2018 Abortus insipiens 1 0 0 0
28 Juwita purnama sari 222949 28/9/2018 Abortus iminens 1 0 0 0
29 Neni kartisa 223109 1/10/2018 Post date 1 0 0 0
30 Nila wati 198879 27/9/2018 Prev sc 2x 1 0 0 0
31 Nurjannah 214156 27/9/2018 Letak lintang 1 0 0 0
32 Silvia harumi 223045 3/10/2018 Abortus iminens 1 0 0 0
33 Siti herliani 223041 3/10/2018 BO 1 0 0 0
34 Erni lestari 214941 5/10/2018 Ancaman partus imaturus 1 0 0 0
35 Novita widian 210921 3/10/2018 BO 1 0 0 0
36 Hidayati 159020 3/10/2018 HG 1 0 0 0
38 Sugiarti 222988 1/10/2018 Post Aterm 1 0 0 0
39 Farida niar 121668 1/10/2018 KPD 1 0 0 0
44 Ratna wigianti 177684 3/10/2018 KPD 1 0 0 0
45 Hanisah 223049 3/10/2018 Inpartu 1 0 0 0
46 Sastira eka sari 126327 9/10/2018 CPD 1 0 0 0
47 Juliana sri hartati 223358 8/10/2018 Perdarahan post partum 1 0 0 0
49 Nurhayati 0'92532 10/10/2018 BO 1 0 0 0
50 Nuraini 0'69946 8/10/2018 Letak lintang 1 0 0 0
51 Reni sepriza 223171 10/10/2018 Kista ovarium 1 0 0 0
52 Siti fatimah 223322 7/10/2018 Letak obligh 1 0 0 0
53 Krisnawati boru purba 223329 7/10/2018 Letak sungsang 1 0 0 0
54 Nazma 223350 7/10/2018 PTM 1 0 0 0
55 Asrina 222177 7/10/2018 PTM 1 0 0 0
56 Sri mulyani 223519 7/10/2018 PSP 1 0 0 0
57 Ratnawati 134305 9/10/2018 KPD 1 0 0 0
58 Sri mulyani 222989 8/10/2018 Obs.febris 1 0 0 0
59 Darlinda S 135346 1/10/2018 KPD 1 0 0 0
65 Ramini 223516 10/10/2018 HG 1 0 0 0
66 Hema malini 223518 9/10/2018 PEB 1 0 0 0
67 Seniasah 223674 9/10/2018 KPD 1 0 0 0
68 Rusni adrah 137573 12/10/2018 KPD 1 0 0 0
69 Eka oktavianai 168475 10/10/2018 Post aterm 1 0 0 0
70 Indah multazam 223034 11/10/2018 Abortus iminens 1 0 0 0
71 Nining setiawati 223504 3/10/2018 BO 1 0 0 0
72 Maimuna amriyati 223534 9/10/2018 CPD 1 0 0 0
73 Artika 223541 10/10/2018 Fase labour before 1 0 0 0
74 Anita 199987 10/10/2018 Retensio plcenta 1 0 0 0
77 Sri wahyuni 222195 2/10/2018 Gagal induksi 1 0 0 0
80 Sri hartati 206418 8/10/2018 Abortus insipiens 1 0 0 0
81 Susanti 223523 9/10/2018 Febris 1 0 0 0
82 Rizki 223146 2/10/2018 Gagal induksi 1 0 0 0
83 Triwan purnama ningsih 161361 11/10/2018 Distosia vk 1 1 0 0 0
84 Ramuna 223022 2/10/2018 Oligohydramniom 1 0 0 0
85 Devi safitri 223073 4/10/2018 1 0 0 0
86 Ria Rahmayati 223175 4/10/2018 1 0 0 0
93 Zainab 147186 10/10/2018 1 0 0 0
94 Siti novita sari 0,69821 13/10/2018 1 0 0 0
95 Asmidar 156928 13/10/2018 1 0 0 0
96 Rika apriani 111280 13/10/2018 1 0 0 0
97 Nuraini 223729 13/10/2018 1 0 0 0
98 Ayu andira 223657 11/10/2018 1 0 0 0
99 Aprida evawati 223721 13/10/2018 1 0 0 0
100 Erna wati 223543 10/10/2018 1 0 0 0
101 Susanti boru tarigan 223532 10/10/2018 1 0 0 0
102 Rahmanita pratiwi 131996 4/10/2018 1 0 0 0
103 Rostiani 132140 11/10/2018 1 0 0 0
104 Ani 171161 11/10/2018 1 0 0 0
105 Meisyafni 163825 4/10/2018 1 0 0 0
106 Retno meilisa 145588 11/10/2018 1 0 0 0
107 Novi susanti 222847 11/10/2018 1 0 0 0
108 Mei ratna sari 222296 10/10/2018 1 0 0 0
109 Fitriani 223661 11/10/2018 1 0 0 0
110 Marinem 223668 11/10/2018 1 0 0 0
111 Zubaidah 223522 9/10/2018 1 0 0 0
112 Erlinda safitri 223752 14/10/2018 1 0 0 0
113 Marlina 223756 14/10/2018 1 0 0 0
114 Febriyanti 0,51910 13/10/2018 1 0 0 0
115 Dian maya sari 197559 16/10/2018 1 0 0 0
116 Zohar ningsih 199620 11/10/2018 1 0 0 0
117 Siti fauziah 0,30096 13/10'2018 1 0 0 0
118 Nurhafni 100906 02/102018 1 0 0 0
119 Novi andryani 178833 15/10/2018 1 0 0 0
120 Rahmawati 223820 17/10;2018 1 0 0 0
121 Melati agustina S 130409 12/10/2018 1 0 0 0
122 Rosmawati 156197 12/10/2018 1 0 0 0
123 Afriyani Ramada sari 167921 13/10/2018 1 0 0 0
124 Tumina 223872 17/10/2018 1 0 0 0
125 Avita sari 223701 12/10/2018 1 0 0 0
126 Afsari 223542 10/10/2018 1 0 0 0
127 Siti masitah 199210 19/10/2018 1 0 0 0
128 Nurbaya 223925 20/10/2018 1 0 0 0
129 Sutik 223914 19/10/2018 1 0 0 0
130 Fitri azriani 223351 8/10/2018 1 0 0 0
131 Rahma hidayati 223822 17/10/2018 1 0 0 0
132 Nurul mutmainnah 0,90199 14/10/2018 1 0 0 0
133 Indah purnama sari 151910 21/10/2018 1 0 0 0
134 Maini amriani Br.manik 223697 15/10/2018 1 0 0 0
135 Yeni entika 154641 22/10/2018 1 0 0 0
136 Junike 139598 28/10/2018 1 0 0 0
137 Sri rahayu 105142 26/10/2018 1 0 0 0
138 Ratna wati 215594 21/10/2018 1 0 0 0
139 Vivi Nurfianti 0,64831 28/10/2018 1 0 0 0
140 Tria febri andriani 221297 20/10/2018 1 0 0 0
141 Fitriani 210957 29/10/2018 1 0 0 0
142 Deriana wulandari 102242 20/10/2018 1 0 0 0
143 Darliana 171420 16/10/2018 1 0 0 0
144 Sisrianti 224283 29/10/2018 1 0 0 0
145 Siti kardilla 186932 26/10/208 1 0 0 0
146 Cut nova maulizar 224206 25/10/2018 1 0 0 0
147 Ratu balqis hanidah 0,57733 27/10/2018 1 0 0 0
148 Ririn faurina efendi siregar 224232 27/10/2018 1 0 0 0
149 Emma mayasari 224208 25/10/2018 1 0 0 0
150 Susilawati 172947 1/10/2018 1 0 0 0
151 Mimi darma 223103 16/10/2018 1 0 0 0
152 Erlis zuraidah 152107 21/10/2018 1 0 0 0
153 Susanti 223990 21/10/2018 1 0 0 0
154 Julia 224020 23/10/2018 1 0 0 0
155 Tukini 223757 14/10/2018 1 0 0 0
156 Mimi darma 223103 3/10/2018 1 0 0 0
157 Sakdiah 223030 2/10/2018 1 0 0 0
158 Siti hasanah 0,16062 17/10/2018 1 0 0 0
159 Sahfitri 220075 10/102018 1 0 0 0
160 Nurasma 199724 15/10/2018 1 0 0 0
161 Lasmi 223506 9/10/2018 1 0 0 0
162 Safaiyah 188469 9/10/2018 1 0 0 0
163 Selfi novita putri 159897 9/10/2018 1 0 0 0
164 Setia ningsih 223525 9/10/2018 1 0 0 0
165 Nurhayati 223076 4/10/2018 1 0 0 0
166 Novrida alfasyah 223825 17/10/2018 1 0 0 0
167 Ruslina 199197 21/10/2018 1 0 0 0
168 Siska pratiwi 221616 16/10/2018 1 0 0 0
169 Lidia oktaviani 149016 19/10/2018 1 0 0 0
170 Sugiarti 223763 15/10/2018 1 0 0 0
171 Eli agustina 191352 8/10/2018 1 0 0 0
172 Nurhayati 206919 14/10/2018 1 0 0 0
173 Winda sari 126343 13/10/2018 1 0 0 0
174 Nuriyah 223749 14/10/2018 1 0 0 0
175 Rita S 139958 13/10/2018 1 0 0 0
176 Erlinda wati 223751 14/10/2018 1 0 0 0
177 Isna silvia 223786 16/10/2018 1 0 0 0
178 Rafika yuni 223644 11/10/2018 1 0 0 0
179 Liza aulia 223566 15/10/2018 1 0 0 0
180 Yeni sulastri 0,73248 22/10/2018 1 0 0 0
181 Nurainun uska 0,67823 11/10/2018 1 0 0 0
182 Salfiani 223898 18/10/2018 1 0 0 0
183 Vera wati 149493 17/10/2018 1 0 0 0
184 Sinta widia astuti 224209 25/10/2018 1 0 0 0
185 Mahrami 0,68660 15/10/2018 1 0 0 0
186 Susilawati 204230 17/10/2018 1 0 0 0
187 Nurlinda wati 223796 17/10/2018 1 0 0 0
188 Rosmawati 144009 18/10/2018 1 0 0 0
189 Hendra yani 223891 18/10/2018 1 0 0 0
190 Nila kesuma 0,13433 17/10/2018 1 0 0 0
191 Sri kartini 164975 25/10/2018 1 0 0 0
192 Suriyanti 221627 25/10/2018 1 0 0 0
193 Elsnawati 189166 16/10/2018 1 0 0 0
194 Erni wahyuni 0,56370 23/10/2018 1 0 0 0
195 Yuni sarah 223923 19/10/2018 1 0 0 0
196 Ratna sari dewi 0,59487 16/10/2018 1 0 0 0
197 Alfi husna 134032 24/10/2018 1 0 0 0
198 Yuli astuti 224113 23/10/2018 1 0 0 0
199 Novi amelia 143003 23/10/2018 1 0 0 0
200 Umi slamah 143358 18/10/2018 1 0 0 0
201 Nurul intan 223883 18/10/2018 1 0 0 0
202 Nuraini saputri 224116 23/10/2018 1 0 0 0
203 Nurasiah 0,69314 24/10/2018 1 0 0 0
204 Syahrifah yusni 126923 22/10/2018 1 0 0 0
205 Sri rahayu 0,59118 25/10/2018 1 0 0 0
206 Nurkamila 224157 24/10/2018 1 0 0 0
207 Siswanti 223385 26/10/2018 1 0 0 0
208 Ita irawani 158309 26/10/2018 1 0 0 0
209 Suniah 224221 26/10/2018 1 0 0 0
210 Suriyati 156357 24/10/2018 1 0 0 0
211 Ranita 224381 30/102018 1 0 0 0
212 Riya trianjar sari 0,71204 26/10/2018 1 0 0 0
213 Mega lusi susilo 130855 17/10/2018 1 0 0 0
214 Safarida 222848 10/10/2018 1 0 0 0
215 Sri wahyuni 157444 17/10/2018 1 0 0 0
216 Hamidah 124473 26/10/2018 1 0 0 0
217 Eka sari 162845 28/10/2018 1 0 0 0
218 Dwi indah wulandari 217072 8/10/2018 1 0 0 0
219 Fitriani 220427 23/10/2018 1 0 0 0
220 Sri mayanti 0,74331 24/10/2018 1 0 0 0
221 Novi rahma hidayani 157711 24/10/2018 1 0 0 0
222 Painah 168492 17/10/2018 1 0 0 0
223 Nur cahayati 224112 23/10/2018 1 0 0 0
224 Ainul mardiah 223792 16/10/2018 1 0 0 0
225 Tengku sari safitri 224127 23/10/2018 1 0 0 0
226 Afni armaya 221753 23/10/2018 1 0 0 0
227 Anisah 224201 25/10/2018 1 0 0 0
228 Nurul husliani 223929 20/10/2018 1 0 0 0
229 Nurlina 216326 18/10/2018 1 0 0 0
230 Samira 192406 24/10/2018 1 0 0 0
231 Suherna 112520 17/10/2018 1 0 0 0
232 Elvira 160589 25/10/2018 1 0 0 0
233 Eka sartika 104750 13/10/2018 1 0 0 0
234 Sumarni 221574 23/23/2018 1 0 0 0
235 Surya ningsih 224030 23/10/2018 1 0 0 0
236 Misbah 224267 28/10/2018 1 0 0 0
237 Widia tania 223831 18/10/2018 1 0 0 0
238 Fatin rustini 0,52352 21/10/2018 1 0 0 0
239 Vina asari 196474 22/10/2018 1 0 0 0
240 Suarni 223884 18/10/2018 1 0 0 0
241 Siti fatimah 223799 17/10/2018 1 0 0 0
242 Suharyati 224132 24/10/2018 1 0 0 0
243 Ratna wati 215594 17/10/2018 1 0 0 0
244 Santi 224131 24/10/2018 1 0 0 0
245 Nurhayati zain 149660 28/10/2018 1 0 0 0
246 Fauzi diana 125976 23/10/2018 1 0 0 0
247 Semi 210837 23/10/2018 1 0 0 0
248 Ratna wati 215594 27/10/2018 1 0 0 0
249 Sutarmi 223812 17/10/2018 1 0 0 0
250 Zuliana 224110 24/10/2018 1 0 0 0
251 Erlian tika 224281 29/10/2018 1 0 0 0
252 Sri asih 164655 16/10/2018 1 0 0 0
253 Erni lestari 214941 19/10/2018 1 0 0 0
254 Jelita 0,55521 22/10/2018 1 0 0 0
255 Siti fatimah 223171 17/10/2018 1 0 0 0
256 Darmawar 220822 24/10/2018 1 0 0 0
257 Mayani khodijah 224151 24/10/2018 1 0 0 0
258 Sri fitria ningsih 166533 24/10/2018 1 0 0 0
259 Irawati 224167 24/10/2018 1 0 0 0
260 Sunarmi 224152 24/10/2018 1 0 0 0
261 Rosmawati 222191 17/10/2018 1 0 0 0
262 Nurmala 223865 08/10/1018 1 0 0 0
263 Margining rahayu 0,71308 2/10/2018 1 0 0 0
264 Rosdiana 224256 28/10/2018 1 0 0 0
265 kayut 224107 24/10/2018 1 0 0 0
266 Alina 204471 23/10/2018 1 0 0 0
267 Susilawati 0,26069 4/10/2018 1 0 0 0