Ranap Januari-Sep 2019 Edit Nisa

DATA KAMAR INAP PASIEN
No. Rawat No. RM Nama Pasien J.K. Alamat Diagnosa Tanggal masuk Asesmen Awal Asesmen lengkap Nyeri Resiko Jatuh
2019/01/05/000049 109255 AWALUDIN, BP L JETAKAN, PANDOWOHARJO, CKR 05/01/2019
SLEMAN, SLEMAN
2019/01/07/000032 107001 MUDONO,BP L GAWAR RT 1 RW 37, DYSPNEU,PP 08/01/2019
PANDOWOHARJO, SLEMAN, OK
SLEMAN
2019/01/11/000005 109424 SUMADI, BP L GONDANG LEGI, fraktur 11/01/2019
MERDIKOREJO, TEMPEL, manus
SLEMAN
2019/01/12/000185 039852 WALISAH,NY P CANDI DUKUH 12/01/2019
SARDONOHARJO NGAGLIK,
2019/01/13/000018 105358 PUJI HARJONO, BP L -, -, TRIMULYO,
KEPITU 5/18, - chf, ihd, dm 13/01/2019
SLEMAN, -
2019/01/16/000116 036802 TAUFIK NUGROHO TRI L KRANDON, # manus dg 16/01/2019
IRIYANTO, SDR PANDOWOHARJO, -, -, - 2 dextra
2019/01/19/000132 109671 AJI EKO KUSUMO, SDR L NGANGGRUNG, SUKOHARJO, DF 19/01/2019
NGAGLIK, SLEMAN
2019/01/25/000001 109769 WIJI HARJO, BP L BAYEMAN 4/22, ulcus pedis 25/01/2019
BANGUNKERTO, TURI,
2019/01/28/000200 006416 DARTO RAHARJO, BP L WONOREJO, SLEMAN
SARIHARJO, VERTIGO 28/01/2019
NGAGLIK, -, -, -
2019/02/01/000074 109918 MARGANA, BP L NGUMBUL , BANGUNKERTO, HM gr IV 01/02/2019
TURI, SLEMAN
2019/02/04/000042 079772 IYAN HANAFI VAN TONY, L NGAGLIK CATURHARJO multiple 04/02/2019
BP SLEMAN, -, -, - tumor
2019/02/06/000260 110256 SUWARDI,BP L NGANCAR , GLAGAHHARJO, prolong 06/02/2019
CANGKRINGAN, SLEMAN fever
2019/02/11/000034 013916 JUMINI/ MUSTARI, BP L BRAYUT, PANDOWOHARJO, TUMOR 11/02/2019
-SLEMAN, SLEMAN PEDIS
2019/02/12/000129 110431 NGADIRAN,BP L KARANG RT 2 RW 22, prolong 12/02/2019
BANYUREJO, TEMPEL, fever
2019/02/14/100141 110511 PONIDI, BP L SLEMAN
TOINO 001/016 GEA 15/02/2019
PANDOWOHARJO SLEMAN
DIY, -, -, -
2019/02/18/000166 110631 HARJO SAWOTO,BP L KAMDANEN RT 2 RW 7, ppok, chf, 18/02/2019
SARIHARJO, NGAGLIK, hhd
2019/02/23/000032 010680 GITO REJO, BP L SLEMAN
BENDOLELE pneumoni dd 23/02/2019
SARDONOHARJO, -, -, - KP
2019/02/27/000118 110885 YULIANTO,BP L KONTENG RT 5 RW 16, tumor 27/02/2019
SUMBERADI, MLATI, punggung
2019/03/01/000014 051332 PRATAMA HERDA L GARONGAN SLEMAN
WONOKERTO tumor pedis 01/03/2019
SANTOSO, AN TURI SLEMAN, -, -, - sinistra
2019/03/04/000041 110908 WAHYUDI SDR L ARJOSARI BANJARSARI RT hemoroid 04/03/2019
02/ RW 08, WONOKERTO,
TURI,
9/30/19 12:19 PM Page 1 of
Skrining Gizi Bio-Psiko-Sosial Asesmen Pasien/Shift Koordinasi antar PPA
V
103
No. Rawat No. RM Nama Pasien J.K. Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Ulang Nyeri Resiko Jatuh Skrining Gizi
SLEMAN
2019/03/05/00007 069234 SULISTIYADI, BP L NGEPRING obs vomitus 05/03/2019 V
0 PURWOBINANGUN PAKEM, -,
2019/03/08/00020 111148 SLAMET .BP L -, -
MEDARI GEDE RT 3 RW 11, hematemesis 08/03/2019 V
6 CATUR HARJO, SLEMAN, melena
SLEMAN
2019/03/12/00008 062700 BUDI PRAYITNO L GONDANG LUTUNG RT 4 RW bronchopneu 12/03/2019 V
9 BANTU, BP 20, GONDANG LUTUNG, moni
NGAGLIK, SLEMAN
2019/03/18/00004 111439 PAIDI, BP L KADIROJO, MARGOREJO, INGUINAL 18/03/2019 V
2 TEMPEL, SLEMAN HERNIA
2019/03/19/00011 111507 SUGIYANTO BP L LEDOKWARENG RT 02/ RW diare 19/03/2019 V
7 035, SARDONOHARJO,
NGAGLIK, SLEMAN
2019/03/27/00019 111705 AGUNG WIDODO, L KRAPYAK RT 09/RW 20, HIPERGLIKE 27/03/2019 V
7 BP TRIHARJO, SLEMAN, MI,DM
2019/04/01/00004 111839 YULIANTO, BP L SLEMAN
SIDOMULYO 001/026 K30, 01/04/2019 V
9 TRIMULYO SLEMAN DIY, -, -,
2019/04/03/00002 039120 WAHYANTO,BP L -
SARAGAN PANDOWOHRJO, stroke infark 03/04/2019 V
2 -, -, -
2019/04/09/00046 112077 SUPARYADI, BP L KEMIRI 5/22, MARGOREJO, - 09/04/2019 V
2 TEMPEL, SLEMAN
2019/04/09/10054 112094 BAYU WICAKSONO, L NGALANGAN, DF 09/04/2019 V
7 SDR SARDONOHARJO, NGAGLIK,
2019/04/12/10033 112175 HARI PRIYANTO, BP L SLEMAN
SEMAMPIR KULON, DM II 13/04/2019 V
7 TAMBAKREJO, TEMPEL, NO,CKD
2019/04/21/00001 112410 SUHARDIWIYONO/ L SLEMAN
BRAYUT 002/028 ANEMIA 21/04/2019 V
6 SURADI, BP PANDOWOHARJO SLEMAN GRAVIS
DIY, -, -, -
2019/04/27/00002 112546 AMAT SIAR, BP L WADAS 001/001 TRIDADI - 27/04/2019 V
4 SLEMAN DIY, -, -, -
2019/04/29/00008 112612 TRI PURNOMO, SDR L JOGOKERTEN, TRIMULYO, tumor R. 29/04/2019 V
7 SLEMAN, - Temporal
2019/05/01/00007 112666 SUKAMTO, BP L KEMIRI 006/009 - 01/05/2019 V
2 PJURWOBINANGUN PAKEM
SLEMAN, -, -, -
2019/05/06/00003 018669 LAKSANA, BP L MANCASAN, RT/RW : 04/25, tumor 06/05/2019 V
6 PANDOWOHARJO, punggung
PANDOWOHAJRO, SLEMAN,
SLEMAN
2019/05/09/00011 112926 NGADIYANTO, BP L KLIDON, SUKOHARJO, FEBRIS 09/05/2019 V
9 NGAGLIK, SLEMAN UNSPROFIL
2019/05/15/00007 109703 MUKIDI / MUJI L GARONGAN POJOK, anemia 15/05/2019 V
7 WIYONO, BP WONOKERTO, TURI, grafis
2019/05/15/00021 113093 SUKAYAT, BP L SLEMAN
SOMOITAN , GIRIKERTO, BRONCHOPN 20/05/2019 V
7 TURI, SLEMAN EUMONI
2019/05/24/00017 113315 SUDIRGO, BP L NGAMPEL 06/06, bronchitis 25/05/2019 V
6 HARGOBINANGUN, PAKEM, chronis
SLEMAN
2019/05/29/00026 113462 FRANSISKUS L PAKISAJI, CANDIBINANGUN, 31/05/2019 V
4 NUGROHO, SDR PAKEM, -SLEMAN
9/30/19 12:19 PM Page 2 of 103

Bio-Psiko-Sosial Asesmen Pasien/Shift Koordinasi Antar PPA
No. Rawat No. RM Nama Pasien J.K. Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
2019/06/01/0000 113520 BANDI SUTRISNO, L KEMIRI KEBO 001/007, I10, 01/06/2019 V

88 BP GIRIKERTO, TURI, SLEMAN
2019/06/03/1004 034428 SIGIT PURWANTO, L SAMBIREJO, PAKEM, PAKEM, CKD, HHD 04/06/2019 V
55 BP PAKEMBINANGUN, PAKEM,
SLEMAN
2019/06/10/0001 113752 ASIH WALUYO, BP L NGANGKRIK 03/14, HEMOROID 10/06/2019 V
93 TRIHARJO, SLEMAN,
2019/06/11/0003 064511 KURNIA DWI, SDR L SLEMAN
POTON SARIHARJO contusio 11/06/2019 V
46 NGAGLIK, -, -, - cerebri,odem
a cerebri,
multiple VE
2019/06/13/0000 113833 SUWARJITO, BP L MURANGAN VIII, TRIHARJO, bacterial 13/06/2019 V
35 SLEMAN, SLEMAN infection
2019/06/13/0001 013382 IDA ROYANI, NN P TEGALREJO 001/027, - 13/06/2019 V
24 BANGUNKERTO, TURI, -, -, -
2019/06/18/0001 113984 KASIYONO, BP L BLUNYAH, TRIMULYO, FEBRIS 18/06/2019 V
12 SLEMAN, SLEMAN UNPROFILE
2019/06/21/1000 068403 SUPARJI, BP L NYAMPLUNG DONOHARJO dispepsi 21/06/2019 V
84 NGAGLIK, -, -, -
2019/06/25/1001 114112 SARJIMAN, BP L NYAMPLUNG, DONOHARJO, DENGUE 25/06/2019 V

54 NGAGLIK, SLEMAN FEVER
2019/06/28/0002 114302 NOVA NUR L SAWAHAN 1/18, OF 28/06/2019 V

35 RAHMADHANI,SDR PANDOWOHARJO, SLEMAN,
SLEMAN
2019/07/01/0000 113747 SURASA,BP L NGANGKRIK V, TRIHARJO, GRANULOMA 01/07/2019 V
34 SLEMAN, SLEMAN GENU
2019/07/04/0000 114469 MULYO SAPUTRO L GROJOGAN, STROKE 04/07/2019 V

92 PANDOWOHARJO, SLEMAN, INFARK
2019/07/08/0000 056129 YADI WIYONO, BP L SLEMAN PANDOWOHARJO
BRAYUT ANEMIA 08/07/2019 V
63 NGAGLIK, -, -, - GRAVIS,CHF
2019/07/13/0001 112893 MUJIYONO/MUJI L GROJOGAN 004/002 GEA 13/07/2019 V
70 RAHARJO, BP PANDOWOHARJO SLEMAN
DIY, -, -, -
2019/07/18/0002 114869 JUMANGIN, BP L WONOSOBO, VERTIGO 18/07/2019 V
72 SARDONOHARJO, NGAGLIK,
2019/07/24/0002 115011 CHAIRUDIN L SLEMAN
NGEMPLAK POLOWIDI, hematochesi 24/07/2019 V
19 TRIMULYO, SLEMAN, a
2019/07/27/0001 047594 SUDIRAN, BP L SLEMAN
GLONDONG, - 27/07/2019 V
21 PURWOBINANGUN, PAKEM,
-, -, -
2019/07/28/0000 115131 MUHAMMAD L PONPES PERTANIAN DM TIPE 2 28/07/2019 V
13 IKHSAN MAULANA, MANDIRI, WONOKERTO,
SDR TURI, SLEMAN
2019/08/01/0001 050713 DANANG L SEDAN SARIHARJO NGAGLIK - 02/08/2019 V
34 FEBRIANTO SLEMAN, -, -, -
2019/08/05/0001 115320 KURNIADI,
AKIMUN BP BP L KLELEN 005/024, ULKUS DM; 05/08/2019 V
94 TRIMULYO, SLEMAN, DM
SLEMAN
9/30/19 12:19 PM Page 3 of 103
2 045634 G L TAMBAKREJO SARIHARJO H 09/08/2019 V

0 I NGAGLIK, SARIHARJO, I
1 T NGAGLIK, SLEMAN L
2
9 071274 N
O L PLUMBON RT6 RW 31 u 10/08/2019 V
0
/ G
A SARDONOHARJO NGAGLIK, ls
1
0 A
R -, -, - c
2
9
8 115428 H
T
J L LUNGGUHREJO SANGUREJO G
u 10/08/2019 V
0
/ A
IO 005/029, WONOKERTO, E
s
1
0 D
J, TURI, SLEMAN A
2
9
8 115492 S
IO L KEMLOKO 001/001, -,D 12/08/2019 V
0
/ A
,B CATURHARJO, SLEMAN, V
M
1
0 LP SLEMAN E
2
9
8
7
0 006329 D
IE
B P CANDIREJO, -R 13/08/2019 V
0
/ H
M
R
P SARDONOHARJO, -, -, - T
1
0
2 115545 U
,W
T L NGAGLIK 001/048, I
A 14/08/2019 V
9
8
0 I
R CATURHARJO, SLEMAN, G
B
/0
1 IB
T SLEMAN O
S
0
1
2
9 061460 P
D
O
Y L KEMBANGAN 3/6 -E 17/08/2019 V
/8
2
03 A
O CANDIBINANGUN PAKEM, S
/3
1
0 T
R
B
N CANDIBINAGUN , PAKEM,
1
0
9
8 IT
P
O SLEMAN P
/3
02
5 115638 ,
O
A L LECI, NGLABAN, D
E 18/08/2019 V
/2
0
1 N
B SINDUHARJO, NGAGLIK, F
R
0
8
1
4
2 072898 N
W
D
P L SLEMAN
BENDOLOLE I
A 21/08/2019 V
/1
9
0 IY
U SARDONOHARJO NGAGLIK, A
N
2
/0
1 Y
R -, -, - N
G
7
0
2
9 115857 O
S
M
W L SOKA WETAN, A
I 25/08/2019 V
/2
8
0 N
E
U
A MERDIKOREJO, TEMPEL, L
F
N
/
1
0
2 041029 O
T
H
N
Y L SLEMAN
WONOREJO, SARIHARJO, A
V 26/08/2019 V
1
7
9
8
0 I,
T
U NGAGLIK, -, -, - S
E
0
/7
51
2 115967 A
S
O
D
F L JLEGONGAN, MARGOREJO, IP
R
A 30/08/2019 V
/
2
9
0 B
,W
IA TEMPEL, SLEMAN A
E
T
B
4
0
/8
1
2 116048 P
A
R
S L GARONGAN, WONOKERTO, IC
S 02/09/2019 V
/0
9
0 N
JB
P
M
A TURI, SLEMAN e
G
E
T
0
2
/8
1
2 055197 ,W
O
P
A
R L NGLEBENG , MARGOREJO, c
O
S
R
C 05/09/2019 V
/5
09
0 A
IN TEMPEL, SLEMAN R
O
H
6
/0
2
8
1
2 104893 B
O
S
M
D
N L SIDOMULYO 006/028, S
IH
P
K
F 09/09/2019 V
9
0
2
/6
9
0 P
E
IA
O TRIMULYO, SLEMAN, N
S
IE
/0
13
9
1
2 112850 T
K
N
V
T L SLEMAN
SIDOMULYO 001/026, H
D
LC 11/09/2019 V
8
/0
9
0 Y
/T
IS
R TRIMULYO, SLEMAN, I
H
/9
0
1
2 064961 O
A
U
I
K L SLEMANWARAS 05/29,
TEGAL S
N
F
T 16/09/2019 V
1
0
/2
9
0 A
M
N
Y
A SARIHARJO, NGGALIK, IF
H
1
/2
0
9
1 Y
R
D
A
O
D SLEMAN D
A
N
Y
3
0
/5
0
2
9 115746 U
IO
R
N
M
A L MURANGAN VIII 02/26, E
IR
-P 26/09/2019
3
/1
0
9 N
M
T
U
O
IR TRIHARJO, SLEMAN, X
K
S
O V
0
/9
1
0 IT
A
M
O
I,R SLEMAN S
T
I
5
/0
1
2
9 109159 D
/A
R
S L MRIYUNAN 005/024, T
R
p
D 04/01/2019 V
8
0
/1 W
H
R
K
E
B
O
M SARDONOHARJO, NGAGLIK, R
A
o
,
/2
1
0 A
O
S
V
P
H
A SLEMAN sIA
3
0
2
9
6 109269 N
O
M
E
IH
N L KLEGHEN 004/008, A
tS 05/01/2019 V
0
/ ,S
D
,N
A TRIMULYO, SLEMAN, B
K
9
1
0
2 IO
D
G
T
R SLEMAN D
r,
89/30/19 12:19 PM
9
2
1
6
0 B
S
,
IJB O
e
C Page 4 of 103
/0
3 P
,D
Y
A
O
P M
p
H
0
4
2 R
B
A
G
, Io
F
1
4
0
5 P
S
N
U N
s,
Bio-Psiko-Sosial Asesmen Pasien/Shift Koordinasi antar PPA
2 109145 N L JINEMAN, KLOPOSAWIT, d 08/01/2019 V
0 G GIRIKERTO, TURI, SLEMAN i
1
2 109264 A
P L PROJAYAN POJOK 1/35, -s 14/01/2019 V
9
0 D
A WONOKERTO, TURI, p
/
1
2 109546 I
R
W L SLEMANKLOPOSAWIT,
PELEM n
S 15/01/2019 V
9
0 IJY GIRIKERTO, TURI, SLEMAN e
N
/
1
2 108765 IO
Y
R L GONDANG 002/013, u
iH 23/01/2019 V
/0
9 ,IO
M DONOKERTO, TURI, SLEMAN s
/0
1
2 056518 O
N
Y
S L RINGIN PUTIH RT 4 RW 8, vk 29/01/2019 V
/8
9
0 ,B
O
A
U DONOHARJO, NGAGLIK, ,
o
/
1 ,P
N SLEMAN m
/4
0
2
9 066864 B
T
H
A L WONOREJO d
i 02/02/2019 V
0
/1
0 P
B
O
E
R SARDONOHARJO NGAGLIK, fti
0
/4
1
0
2 015979 P
N
D L -, -, - PUTIH,
RINGIN sH
u 07/02/2019 V
1
/0
2
9
1
0 F
ID DONOHARJO, NGAGLIK, -, -, Isp
1
0
/3
1
2 110451 ,I
RD
A L -
NANGSRI 3/13, GIRIKERTO, e
-P 13/02/2019 V
2
0
/0
2
9 IT
G TURI, SLEMAN p
E
5
0
/9
1
2 110228 R
B
K
U
R L PENDEMAN, TRIMULYO, rs
R
a 13/02/2019 V
5
1
0
/0
9 IE
K
P
S SLEMAN, DIY in
o
G
6
/0
1
2 110547 U
JY
D L TEMPUR SARI RT 01 RW 27, Lfa
e
C 16/02/2019 V
6
/1
09
0 Y
R
U
S
IO SARDONOHARJO, Iu
m
K
8
0
/2
1 A
N
D
U
R NGANGLIK, SLEMAN s
iK
S
5
0
1
/7
2
9 079313 IN
A
B
JU
H L MAJEGAN 1/32, e
E
a 22/02/2019 V
0
1
/2
0 T
A
T
A
O PANDOWOHARJO, SLEMAN, M
n
7
0
/3
1 O
W
P
G
O
R SLEMAN I
e
1
/0
2
9 110901 ,M
A
R
Y
W L DONOLAYAN/ PERUM G
m 28/02/2019 V
2
0
/3 N
O
IA JOSROYO INDAH, i,
E
6
1
/
0 B
S
,
E
N
R DONOHARJO, NGAGLIK, D
A
a
2
0
9
6 053866 P
G
E
IL,S P KARANG
SLEMAN TANJUNG RT 4/13, -,M 04/03/2019 V
1
0
/ A
T
B
S
JI PANDOWOHARJO, SLEMAN, C
g
1
0
2 R
Y
O
P
T -, -, - K
r
5
2
9
0 111073 D
S
A
T
O L NGEPRING, sD
a 06/03/2019 V
0
/9 A
T
O
, PURWOBINANGUN, PAKEM, tf
1
0
2 061334 I,N
R L SLEMAN DADAPAN
BANJARAN ri
d 10/03/2019 V
9
3
8
0
6 A
S
M
,B WONOKERTO TURI, -, -, - o
m
s
/0
1
2 111368 ,
D
IB
T
P
W L BLEMBEM LOR, ,k
O 15/03/2019 V
0
9
1 R
D
N
IP
A HARJOBINANGUN, PAKEM, e
F
/3
4
01 S
IY
M
G SLEMNA ic
/8
0
2
9 111289 ,D
IA L JOGOKERTEN, TRIMULYO, ih
n
T
e 18/03/2019 V
/3
0 R
N
R
Y SLEMAN, SLEMAN cfn
U
/6
31
0
2 111511 ,
W
O
B L GAWAR, PANDOWOHARJO, f
a
M
P 20/03/2019 V
/
9
3
0 ,P
AU SLEMAN, SLEMAN ra
O
T
P
0
/9
1
2 111609 B
N
D
S L PANDAN PURO , kr
R
F
O
o 23/03/2019 V
/0
31
9
0 P
IS
B HARGOBINANGUN, PAKEM, kb
K
2
0
/3
51 P
Y
A SLEMAN ,I
d
2
/0
9 111711 A
O
S
M L BUMIREJO RT 05/ RW 05, N
C
p 27/03/2019 V
1
/3
0 H
N
U
T BANGUNKERTO, TURI, G
H
p
d
/8
1
0
2 019205 ,
M
O L SLEMAN
SEMBUNG 1/35, U
yF
oP 04/04/2019 V
/
2
9
3
0 ,
A PURWOBINANGUN, -PAKEM, ksI
N
6
2
/0
1 S
R - SLEMAN N
p
E
/8
0
2
9 112207 D
JY
B
F P CANDI DUKUH I 004/002 A
n
-U 13/04/2019 V
4
/3
0 R
P
IO L
e
M
0
/
1 N
T u
O
59/30/19 12:19 PM
2
0
9
4 O
R
U N
Page 5 of 103
/7
0 IT I
/6
0 B
A
O ,
8
0
1
4 P
N
No. Rawat No. RM Nama Pasien J. Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
K. SARDONOHARJO NGAGLIK
SLEMAN, -, -, -
2019/04/15/00015 056432 WAGIYO SUPRAPTO, L KARANGMLOKO SARIHARJO hematemesis 15/04/2019 V
1 BP NGAGLIK, -, -, - melena,
CKD, CHF
2019/04/20/00017 112398 RAHMAT L KALIWANGLU WETAN DF 20/04/2019 V
6 HERMAWAN .SDR 003/020, HARJOBINANGUN,
PAKEM, SLEMAN
2019/04/24/00025 112324 ANDI FERIYANTO, L POTRO 001/017 HIL D 24/04/2019 V
2 SDR PURWOBINANGUN PAKEM
SLEMAN, -, -, -
2019/04/25/00012 104617 SUBAGIYO, BP L SANGGRAHAN 3/16, HIPERGLIKE 25/04/2019 V
7 LUMBUNGREJO, TEMPEL, MI,CKD
SLEMAN
2019/04/29/00005 112608 AGUS SUSANTO, BP L MAJEGAN 1/32, HIL Dextra 29/04/2019 V
6 PANDOWOHARJO, SLEMAN,
SLEMAN
2019/05/02/00001 112625 SUKARDIYANA, BP L PENEN, DONOHARJO, - 02/05/2019 V
9 NAGAGLIK, SLEMAN
2019/05/10/00003 112914 CAHYO PRANOMO, L TURIREJO 002/023 hemoroid 10/05/2019 V
5 BP HARGOBINANGUN PAKEM
SLEMAN, -, -, -
2019/05/13/00010 113003 HARYONO, BP L LEDOK LEMPONG HIL 13/05/2019 V
0 BANJARSARI 003/009 DEKSTRA
WONOKERTO TURI SLEMAN
2019/05/15/00016 052532 MUHAMMAD IMAM L KADIREJO,
DIY, -, -, - SINDUHARJO, bacterial 15/05/2019 V
6 HANIF, SDR NGAGLIK, -, -, - infection
2019/05/21/10011 112931 NYOTO SUTRISNO, L JAMBUSARI 003/015, BPH 21/05/2019 V
0 BP WONOKERTO, TURI,
2019/05/23/00016 105753 SUHADI PRAYITNO, L SLEMAN 2/4,
NGEPRING CHF,TROMB 25/05/2019 V
1 BP PURWOBINANGUN, PAKEM, OSITOPENI
SLEMAN
2019/06/11/00035 113787 SANTIKA SAPUTRA, L JAMBUSARI, WONOKERTO, GEA 11/06/2019 V
5 BP TURI, SLEMAN
2019/06/14/00006 034818 SUMIDIN, BP L MUDAL, SARIHARJO, STROKE 14/06/2019 V
4 NGAGLIK, SLEMAN SNH
2019/06/19/00012 113956 ADITYA BUDI L PISANGAN TRIDADI 2/14, -, - 19/06/2019 V
3 PRATAMA,SDR -, -
2019/06/21/10003 006917 DADIMAN, BP L NGEPAS LOR RT 1/4 ABSES JARI 21/06/2019 V
2 DONOHARJO, DONOHARJO,
NGAGLIK, SLEMAN
2019/06/24/00012 071037 SUWANDI,BP L KOPEN BECICI WONOKRETO - 24/06/2019 V
2 TURI SLEMAN, -, -, -
2019/06/26/00003 106338 HARYADI,BP L KEMBANGARUM XIII RT 5 fraktur 1/3 26/06/2019 V
0 RW 26, DONOKERTO, TURI, DISTAL ulna
SLEMAN S
2019/06/27/00017 114278 ANDANG L KANGKUNG, KETRO, GEA 27/06/2019 V
9 YULIYANTO, SDR KARANGRAYUNG,
2019/07/06/00008 114517 JOKO PRASETIYA, L GROBOGAN
CARAN NGEMPLAK, DHF 06/07/2019 V
6 BP SINDUHARJO, NGAGLIK,
SLEMAN
2019/07/12/00022 114716 EHWAN ERWANTO L NGABEAN, MARGOREJO, - 12/07/2019 V
7
9/30/19 12:19 PM Page 6 of 103
K. TEMPEL, SLEMAN
2019/07/15/10027 114783 ARDIANTO, SDR L BLEKIK, SARDONOHARJO, DF 16/07/2019 V
7 NGAGLIK, SLEMAN
2019/07/20/00007 114885 SAMSURI, BP L TEGAL SARI, SARIHARJO, - 20/07/2019 V

1 NGAGLIK, SLEMAN
2019/07/24/00024 071274 NGATIJO, BP L PLUMBON RT6 RW 31 ckd dm hhd 24/07/2019 V
8 SARDONOHARJO NGAGLIK,
-, -, -
2019/07/28/00001 115135 SIDI MADYO L BRENGOSAN 003/008, pneumoni 28/07/2019 V
9 UTOMO, BP DONOHARJO, NGAGLIK, chf ppok
SLEMAN
2019/08/01/00001 115163 OKY HARIYANTO, L WONOREJO, SARIHARJO, DF 01/08/2019 V
8 SDR NGAGLIK, SLEMAN
2019/08/08/00001 115310 DARYANTO, BP L MANGKUDRANAN, POLOP 05/08/2019 V

5 MARGOREJO, TEMPEL, RECTI
SLEMAN
2019/08/07/00012 115360 SUKARMAN ESDI L KLOPOSAWIT, GIRIKERTO, ANGINA 07/08/2019 V
6 SARJONO, BP TURI, SLEMAN PICTORIS
2019/08/12/00021 115492 SALIM, BP L KEMLOKO 001/001, CML 12/08/2019 V
2 CATURHARJO, SLEMAN,
SLEMAN
2019/08/17/00004 115631 DWIJO L MLATEN 2/5, HERNIA 17/08/2019 V
8 SUWARNO/SARWON PANDOWOHARJO, SLEMAN, INGUINAL
O,BP SLEMAN SINISTRA
2019/08/26/00007 115822 FATCHUR ROHMAN, L NGANGKRIK, TRIHARJO, TUMOR 26/08/2019 V
0 BP SLEMAN, SLEMAN COLLI
2019/08/28/00019 115927 SUYONO ARYANTO L GUNUNGSARI 007/021, TUMOR 28/08/2019 V
7 BP CANDIBINANGUN, PAKEM, - GLUTEA
SLEMAN
2019/09/02/00009 116032 PURWOKO L MANTARAN 003/011, HIL s 02/09/2019 V
1 HARJONO/SUKIMAN TRIHARJO, SLEMAN,
2019/09/04/00016 116077 BP
PONIMAN, BP L SLEMAN
PISANGAN, TRIDADI, FR. OS 04/09/2019 V
2 SLEMAN, SLEMAN TALUS
2019/09/06/00015 114915 TRI HARJONO/ L KALIASIN, MOROREJO, PEDIS
HIL DEXTRA 06/09/2019 V
2 BARDINI, BP TEMPEL, SLEMAN DEXTRA
2019/09/10/00005 113713 MUJIMIN, BP L MAJEGAN 003/033, - 10/09/2019 V

SLEMAN
2019/09/12/00033 116344 SAPTONO, BP L DONOLAYAN 001/021, - 12/09/2019 V
9 DONOHARJO, NGAGLIK,
SLEMAN
SLEMAN
2019/09/12/00038 116358 MUHAMMAD L KEMPUT, CANDIBINANGUN, FEBRIS 12/09/2019 V
8 SODIKIN, BP PAKEM, SLEMAN UNSPESIFIE
D
2019/09/20/00015 116526 DEDY NUR L BULUS LOR , DENGUE 20/09/2019 V
3 SETYAWAN, AN CANDIBINANGUN, PAKEM, FEVER
SLEMAN
9/30/19 12:19 PM Page 7 of 103
2019/09/25/00027 116664 SUROTO, BP
K.
L JABUNG, PANDOWOHARJO, - 25/09/2019 V
0 SLEMAN, SLEMAN
2019/01/02/00007 109180 TUKIJO, BP L GONDANG 004/014, TF 02/01/2019 V
9 DONOKERTO, TURI, SLEMAN
2019/01/09/00002 068087 YATIJO L JATIREJO SENDANGADI HEMOROID 09/01/2019 V
5 WIGNYATARYONO, MLATI, -, -, -
2019/01/14/00001 109417 BP
PRASETYO, BP L NGAMBAKEMBANG 013/-, ABSES 14/01/2019 V
1 KRAGILAN, GEMOLONG, MANDIBULA
SRAGEN
2019/01/23/00008 109764 ABDUL LATIEF, BP L PATEN, TRIDADI, SLEMAN, chf ihd 23/01/2019 V
6 SLEMAN
2019/01/29/00010 078402 PAWIRO SUMARTO, L NGEPRING chf 29/01/2019 V
7 BP PURWOBINANGUN PAKEM, -,
2019/02/01/00015 107640 MARSIDI, BP L -, -
KEMIRIKEBO, GIRIKERTO, chf 02/02/2019 V
1 TURI, SLEMAN
2019/02/07/00013 060920 PRINGGO MALANG L GROJOGAN 003/002 bronchopneu 07/02/2019 V
4 YUDO, BP PANDOWOHARJO SLEMAN, moni, chf,
-, -, - ppok, ihd
2019/02/13/00012 110451 AGUS SUBAGYO, BP L NANGSRI 3/13, GIRIKERTO, DF 13/02/2019 V
5 TURI, SLEMAN
2019/02/18/00003 109525 WASGITO, BP L REJODANI 002/003, ULKUS 18/02/2019 V
9 SARIHARJO, NGAGLIK, LENGAN
2019/02/20/00011 110677 WANDOKO SDR L SLEMAN
KEMIRIKEBO RT 02/RW 07, tumor 20/02/2019 V
4 GIRIKERTO, TURI, SLEMAN manus
2019/02/22/00017 076489 DWI L SIDOMULYO, TRIMULYO, dekstra
suso colum 22/02/2019 V
2 SUGIHARTONO, BP SLEMAN, -, -, - rectum
2019/02/22/00024 072936 PONIMIN, BP L GABUGAN, - 22/02/2019 V
7 PANDOWOHARJO,
PANDOWOHARJO, SLEMAN,
2019/03/01/00000 110874 SUPRIYANTO,BP L BUMIREJO
SLEMAN GADUNG RT 5 tumor R. 01/03/2019 V
8 RW 5, BANGUNKERTO, frontalis
2019/03/04/00002 105431 PAIMAN MUHADI L TURI, JOGOPATEN
JETIS SLEMAN 2/30, sistitis 05/03/2019 V
5 WIYONO, BP PANDOWOHARJO, SLEMAN,
2019/03/10/00003 056019 HARDI WIYONO, BP L -
PAJANGAN PANDOWOHARJO anorexia 10/03/2019 V
9 SLEMAN, -, -, - geriatri
2019/03/20/00008 111515 SAMSUL JASWADI, L KARANGWUNI 004/019 febris 20/03/2019 V
6 SDR BANGUNKERTO TURI unspesifik
SLEMAN, -, -, -
2019/03/24/00002 042726 SUKAJIYANTO, BP L JABAN, SINDUHARJO, HIPERGLIKE 24/03/2019 V
1 NGAGLIK, SLEMAN MI DM, AMI
2019/03/28/00010 111726 AG HENDAR L BANTENG UTAMA III NO 41, - 28/03/2019 V
5 TRIWARSONO, BP SINDUHARJO, NGAGLIK,
SLEMAN
2019/03/30/00012 111629 SUPARNO, BP L KARANGGENENG, CHF 30/03/2019 V
8 SENDANGADI, MLATI, SLM
2019/04/11/00006 072124 SUWONDO,BP L REJODANI I SARIHARJO - 11/04/2019 V
0 NGAGLIK SLEMAN, -, -, -
2019/04/13/00015 011567 HAJAM, BP L REJODANI, SARIHARJO, ANEMIA,AML 13/04/2019 V
8 NGAGLIK, -, -, -
2019/04/18/00016 112339 SUYOTO, BP L SEYEGAN, MARGOREJO, DISPEPSI 18/04/2019 V
4 SEYEGAN, -
9/30/19 12:19 PM Page 8 of 103

Bio-Psiko-Sosial Asesmen Paien/Shift Koordinasi Antar PPA
2019/04/22/00023 105334 MANTO RAHONO,
K.
L RINGINPUTIH 04/28, isk 22/04/2019 V
8 BP DONOHARJO, NGAGLIK,
SLEMAN
2019/04/29/00014 064592 SUYONO, BP L WATU GETHEK DONOHARJO bronchopneu 30/04/2019 V
1 NGAGLIK, -, -, - monia
2019/05/02/00001 112625 SUKARDIYANA, BP L PENEN, DONOHARJO, TUMOR 04/05/2019 V
9 NAGAGLIK, SLEMAN SUBMANDIB
ULA
2019/05/09/00012 068403 SUPARJI, BP L NYAMPLUNG DONOHARJO DF 09/05/2019 V
1 NGAGLIK, -, -, -
2019/05/14/00006 113044 RIKI SATRIYATAMA, L KLOPOSAWIT, GIRIKERTO, DF 14/05/2019 V
6 SDR TURI, SLEMAN
2019/05/21/00002 104812 MULYO SUMARTO/ L PLOSOREJO 2/18, PPOK 21/05/2019 V
1 MULYONO, BP SARDONOHARJO, NGAGLIK,
SLEMAN
2019/05/27/00000 110934 SUGERI, BP L JETAKAN 3/17, aff orif 27/05/2019 V
SLEMAN
2019/05/28/00006 113416 MUH JUMAR, BP L TURI 03/27, DONOKERTO, stroke infark 28/05/2019 V
9 TURI, SLEMAN
2019/06/03/10045 034428 SIGIT PURWANTO, L SAMBIREJO, PAKEM, PAKEM, 04/06/2019 V

5 BP PAKEMBINANGUN, PAKEM,
SLEMAN
2019/06/04/10054 113092 JUWARDI, BP L BRENGOSAN 005/009 - 04/06/2019 V
1 DONOHARJO NGAGLIK
SLEMAN DIY, -, -, -
2019/06/07/00000 113656 WAGINO, BP L NGANGKRIK 07/15, anemia 07/06/2019 V
6 TRIHARJO, SLEMAN, gravis,
SLEMAN melena
2019/06/09/00001 113713 MUJIMIN, BP L MAJEGAN 003/033, - 09/06/2019 V
SLEMAN
2019/06/10/00022 113758 PRIAMI P TEMON 004/023, dypneu 11/06/2019 V
SLEMAN
2019/06/17/00009 031396 SUMADI, BP L WONOKERSO 004/010 febris 17/06/2019 V
1 SARIHARJO NGAGLIK
SLEMAN, -, -, -
2019/06/22/00010 114093 MUH TIJO BP L DAREN KIDUL 001/007, SNH 22/06/2019 V
2019/06/28/00000 112914 CAHYO PRANOMO, L TURIREJO 002/023 STENOSIS 28/06/2019 V
5 BP HARGOBINANGUN PAKEM ANI
SLEMAN, -, -, -
2019/07/01/00016 114104 WAKHID YUKRINA L KEMIRI GADING KULON - 01/07/2019 V
4 WANTO SDR 006/021, DONOKERTO,
TURI, SLEMAN
2019/07/05/00006 112072 FARID ALDI L KEPITU , TRIMULYO, ASMA 05/07/2019 V
8 NUGRAHA, SDR SLEMAN, SLEMAN BRONCHIAL
E; DISPEPSI
2019/07/08/00003 114487 DIAZ PERMANA L WARAS, SAIHARJO, tumor colli 08/07/2019 V
0 PUTRA, AN NGAGLIK, SLEMAN
9/30/19 12:19 PM Page 9 of 103

No. Kamar No. RM Nama Pasien J. Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
2019/07/10/00026 061502 SURADI, BP
K.
L GROJOGAN SNH; DM 2 10/07/2019 V
9 PANDOWOHARJO, -, -, - NO
2019/07/17/00019 114849 NGADIYO L TEGALSARI, SARIHARJO, GANGREN 17/07/2019 V

9 NGAGLIK, SLEMAN PEDIS
DIGITI 4
2019/07/18/00033 033455 SUDIYONO, BP L GAWAR 004/037, gea
SINISTRA 18/07/2019 V
4 PENDOWOHARJO, -
NGAGLIK, SLEMAN
2019/07/20/00007 114885 SAMSURI, BP L TEGAL SARI, SARIHARJO, ppok 20/07/2019 V
1 NGAGLIK, SLEMAN
2019/07/27/00012 047594 SUDIRAN, BP L GLONDONG, hiperglikemi 27/07/2019 V
1 PURWOBINANGUN, PAKEM, dm ihd
-, -, - V
2019/07/31/00016 033600 SUPARNO, BP L KAMDANEN RT. 02/07 ulkus dm 31/07/2019 V
5 SARIHARJO NGAGLIK, -, -, -
2019/08/05/00019 115320 AKIMUN BP L KLELEN 005/024, - 05/08/2019 V
4 TRIMULYO, SLEMAN,
SLEMAN V
2019/08/07/00004 115318 SARJANA, BP L KEPITU, TRIMULYO, stroke infark 07/08/2019 V
5 SLEMAN, SLEMAN hipertensi
2019/08/10/00013 064719 KASIARJO, BP L SEDAN 3/33, SARIHARJO, BRONCHOPN 10/08/2019 V
0 NGAGLIK, -SLEMAN EUMONI;
CHF
2019/08/15/00009 058329 FARHAN AINUN L CANDIWINANGUN tf 15/08/2019 V
2 NAIM, SDR SARDONOHARJO NGAGLIK,
-, -, -
2019/08/21/00024 065503 MUHARI, BP L GAWAR PANDOWOHARJO dispepsi 21/08/2019 V
4 SLEMAN, -, -, -
2019/08/28/00022 115932 BUDI NUGROHO, BP L PANGUKAN PERUM PERMAI HM gr IV 28/08/2019 V
5 II, PANGUKAN , SLEMAN,
2019/08/31/00003 073535 SUNGATIJO, BP L SLEMANDONOHARJO,
PENEN, vertigo 31/08/2019 V
9 NGAGLIK, -, -, -
2019/09/03/00006 005092 BASUKI RAKHMAD, L GATEP 03/30, CHF; IHD 03/09/2019 V

0 BP PURWOBINANGUN, PAKEM,
SLEMAN
SLEMAN
2019/09/12/00033 116344 SAPTONO, BP L DONOLAYAN 001/021, HT 12/09/2019 V
9 DONOHARJO, NGAGLIK, URGENCY
SLEMAN
2019/09/17/00005 116465 WILDAN NUR RIZKI L DK KRAJAN KIDUL, DF 17/09/2019 V
2 KALIWADAS, BUMIAYU,
2019/09/21/00006 116344 SAPTONO, BP L BREBES
DONOLAYAN 001/021, SNH 21/09/2019 V
SLEMAN
2019/09/29/00000 111095 SUTRISNO, BP L JL. NAKULA 05 001/008 OF H2 dg 29/09/2019 V
8 TRITIH WETAN JERUK LEGI TROMBOSIT
CILACAP JAWA TENGAH, -, -, OPENI dd DF
2019/01/03/00003 109197 PONIDJO, BP L -DRONO, TRIDADI, SLEMAN, CHF 03/01/2019 V
7
9/30/19 12:19 PM Page 10 of 103
No. Kamar No. RM Nama Pasien J. Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
K. SLEMAN
2019/01/07/00016 109316 GAVIN SALMAN L GONDANG LUTUNG RT 1, kds 07/01/2019 V
4 ARSAKHA,AN DONOHARJO, NGAGLIK,
SLEMAN
2019/01/10/00004 109400 BUDI SURYANTORO, L KRINGINAN], of 10/01/2019 V
9 BP SARDONOHARJO, NGAGLIK,
2019/01/13/00004 109514 ALIKA NAYLA P SLEMAN, TRIMULYO,
KEPITU kds 13/01/2019 V
3 PUTRI, AN SLEMAN, SLEMAN
2019/01/17/00008 073685 PUJIYATMI, NY P NIRON, PANDOWOHARJO, ULKUS DM 17/01/2019 V
2 SLEMAN, -, -, -
2019/01/19/00015 066064 KEYSAN DIMAS L MUDAL SARIHARJO DF 20/01/2019 V
3 RAMADHAN, AN NGAGLIK, -, -, -
2019/01/23/00011 109772 MUHAMAD SYARIEF, L KEMLOKO, CATURHARJO, LYMPHADEN 23/01/2019 V
6 BP SLEMAN, SLEMAN OPATI
INGUINAL
2019/01/27/00002 109896 WARINDI, BP L PANGGUNGSARI 008/023, STROKE 27/01/2019 V
7 SARIHARJO, NGAGLIK, INFARK+DM
SLEMAN ,HT,DISLIPI
DEMI
2019/01/30/00000 109915 SUPRIYONO, BP L KEMLOKO, CATURAHARJO, multiple 30/01/2019 V
4 SLEMAN, SLEMAN tumor
2019/02/01/00012 055314 ARI TRIYANTO, BP L KADISOBO II, TRIMULYO, - 01/02/2019 V
5 SLEMAN, SLEMAN
2019/02/02/00010 110085 BENEDIOIUS L PELEM, PURWOBINANGUN, of 02/02/2019 V
5 ANTHONI TEDDY, PAKEM, SLEMAN
2019/02/07/00007 110198 AN
WANTA DIHARJA/ P GANJURAN, CATURHARJO, - 07/02/2019 V
2 SURATINA, NY SLEMAN, SLEMAN
2019/02/07/00010 071274 NGATIJO, BP L PLUMBON RT6 RW 31 tumor 08/02/2019 V
2 SARDONOHARJO NGAGLIK, lengan
-, -, - sinistra
2019/02/08/00019 106171 JANUARI P WONOSARI 10/3, ITP 09/02/2019 V
3 PRIHASANTI, NN JERUKAGUNG, SRUMBUNG,
2019/02/13/00014 110450 MUDJINEM, NY P MAGELANG
JONGKE TENGAH 3/23, - 13/02/2019 V
8 SENDANGADI, MLATI,
2019/02/17/00003 078403 KIAT TJEN, NY P SLEMAN
JL. P. MANGKUBUMI NO. 35 CKR 18/02/2019 V
4 GOWONGAN JETIS, -, -, -
2019/02/23/00034 108002 WIDODO, BP L PISANGAN, TRIDADI, -, DM 01/03/2019 V
5
2019/04/30/00006 054005 SRIYATUN L SLEMANSARDONOHARJO
TUREN - 30/04/2019 V
4 MULYONO, NY NGAGLIK, -, -, -
2019/04/30/00010 060462 REISA TRISNA P KARANG TANJUNG - 30/04/2019 V
9 DEWANI, AN PANDOWOHARJO, -, -, -
2019/05/08/00009 112863 SUBARI, BP L MALANG 001/039 cholesistitis, 08/05/2019 V
5 CATURHARJO SLEMAN DIY, cholelitiasis
2019/05/11/00015 019868 MUDJIHARDJO, BP L -, -, -
KARANG JENJEM RT.02/ CHF 11/05/2019 V
8 SARDONOHARJO NGAGLIK
SLEMAN, -, -, -
2019/05/17/00003 104552 SUPRIYONO,BP L KAWEDAN, BANGUNKERTO, hemoroid 17/05/2019 V
8 TURI, SLEMAN
2019/05/20/00004 113183 PROBO WINASTUTI, P BRAYUT, -PANDOWOHARJO, - 20/05/2019 V
9 NY -NGAGLIK, SLEMAN
2019/05/22/00006 113213 AFRILA P JL KALIURANG KM 18 FAM Dekstra 22/05/2019 V
5 WAHYUASTUTI,
9/30/19 12:19 PM Page 11 of 103
No. Kamar No. RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
NN PARAKSARI,
PAKEMBINNAGUN, PAKEM,
2019/05/23/00012 113271 HAVI SOFY NAYLA, P SLEMAN
NGLEMPONGSARI NO 129 , DF 23/05/2019 V
1 AN SARIHARJO, NGGALIK,
2019/05/25/00013 106127 AFNAN FEBY L SLEMAN 04/37,
GAWAR GEA 25/05/2019 V
7 SAPUTRA, AN PANDOWOHARJO, SLEMAN,
SLEMAN
2019/05/28/00013 113426 SUPRIYATI,NY P GONDANGAN PENEN 28/5, DYSPEPSIA 28/05/2019 V
2019/04/30/00013 112656 INDAH P SLEMAN
REJODANI, SARIHARJO, contusio 30/05/2019 V
7 PURWANINGSIH, NY NGAGLIK, SLEMAN cerebri
2019/05/31/00034 113482 GIVANO REVANZO, L GONDANGLEGI, ----, -, - gea isk 31/05/2019 V
4
2019/06/06/00000 113630 AN
AFFIFANSA CIKA P BETENG , TRIDADI, - 06/06/2019 V
4 MEHINDA SLEMAN, SLEMAN
DHANAKY, NN
2019/06/06/00000 113630 AFFIFANSA CIKA P BETENG , TRIDADI, df 08/06/2019 V
DHANAKY, NN
2019/06/10/00001 023216 NGADINAH, NY P NGETIRAN 4/6, SARIHARJO, AFF PEN 10/06/2019 V
6 NGAGLIK, SLEMAN
2019/06/11/00030 047936 SUMARAH, NY P BRENGOSAN DONOHARJO anemia,dm 2 11/06/2019 V
5 NGAGLIK, -, -, - no,chf,hhd
2019/06/15/00017 113913 RIDA KURNIAWATI, P MURANGAN VIII, TRIHARJO, df 15/06/2019 V
2 NY SLEMAN, SLEMAN
2019/06/17/00011 043593 SATRIA DONI L GROJOKAN 3/2, DHF 17/06/2019 V

5 PRATAMA, AN PANDOWOHARJO, SLEMAN,
SLEMAN
2019/06/24/00001 114063 HADI SUROSO, BP L BERAN KIDUL, TRIDADI, HM gr 4 24/06/2019 V
2 SLEMAN, SLEMAN
2019/06/25/10001 114160 A DINI PANDAN P SLEMAN PERMAI I BLOK L-5 ISK,IHD 25/06/2019 V
1 WANGI,NN 9/40, TRIDADI, SLEMAN,
SLEMAN
2019/06/29/00009 113482 GIVANO REVANZO, L GONDANGLEGI, ----, -, - GEA 29/06/2019 V
0 AN Dehidrasi
2019/07/03/00024 114457 ATMI SAPTATI P GONDANGAN 3/45, GEA 04/07/2019 V

4 PANCAMARGA W.L, SARDONOHARJO, NGAGLIK,
NY SLEMAN
2019/07/07/00002 114543 ANISA L BLEKIK 4/26, dispepsia 07/07/2019 V
9 SALSABILA,AN SARDONOHARJO, NGAGLIK,
2019/07/10/00009 057033 DIAH NOVA L SLEMAN
DUWETSARI TUMOR 10/07/2019 V
1 PRATIWI, NY PAKEMBINANGUN PAKEM, -, PUNGGUNG
2019/07/11/00012 015811 AYU FEBRIANA P -, -
MAJEGAN, gastritis 11/07/2019 V
8 MAWARTININGTYAS PANDOWOHARJO, -, -, -
, AN
2019/07/17/00007 068112 HADI HS, BP L PEPEN TRIMULYO, -, -, - TUMOR 17/07/2019 V
0 PUNGGUNG
2019/07/18/00030 114875 NENI INDRIANI, NY P JL. RAYA CILEGON contusio 18/07/2019 V

7 KEPANDEAN, KAGUNGAN, cerebri;
SERANG, SERANG vertigo
9/30/19 12:19 PM Page 12 of 103

No. Kamar No.RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
2019/07/26/00019 115091 SLAMET,BP L BANGUNSARI 4/9, INFARK 26/07/2019 V
4 BANGUNKERTO, TURI, PARENTAL
SLEMAN D,ODEMA
CEREBRI
2019/08/02/00001 015564 GUNARTI, NY P RINGIN PUTIH, granuloma 02/08/2019 V
5 DONOHARJO, NGAGLIK, paha
2019/08/03/00023 115246 LIANA P SLEMANPURI GENTAN ASRI,
PERUM FEBRIS; DM 03/08/2019 V
8 SEPTIANINGSIH, NY SARDONOHARJO, NGAGLIK,
SLEMAN
2019/08/10/00012 115442 FRANTAMA L NIRON 01/20, GEA 10/08/2019 V
2 ADIKARA PANDOWOHARJO, SLEMAN, DISENTRI
RAMADHAN, AN SLEMAN dg
2019/08/15/00003 109316 GAVIN SALMAN L GONDANG LUTUNG RT 1, KDK,FA
DEHIDRASI 15/08/2019 V
9 ARSAKHA,AN DONOHARJO, NGAGLIK,
SLEMAN
2019/08/17/00005 115633 ANANDA KRISNA L IMOREJO, WONOKERTO, contusio 17/08/2019 V
1 GIMANTARA, SDR TURI, SLEMAN cerebri,
fraktur
dinding
maxila
anterior s,
2019/08/20/00013 115735 TRI WAHYUNING P NGLINGI 003/009, ISK,DM,LBP,
hemalosinus 20/08/2019 V
1 JANUARTI, NY HARJOBINANGUN, PAKEM, HT
maxilla s
SLEMAN
2019/09/01/00006 112387 NINING PRATIWI, P SEDAN, SARIHARJO, DM II NO; 01/09/2019 V
8 NY NGAGLIK, SLEMAN STROKE
INFARK;
DISLIPIDEMI
2019/09/05/00010 116150 DEDEN SUHENDAR, L DAYU , SINDUHARJO, A
- 05/09/2019 V
3 BP NGAGLIK, SLEMAN
2019/09/08/00001 116176 WIDADA BP L BULUS LOR 004/004, ISK 08/09/2019 V
3 CANDIBINANGUN, PAKEM,
SLEMAN
2019/09/11/00008 116238 NIKEN PUJI P MURANGAN VIII RT 15, TUMOR 11/09/2019 V
4 ASTUTUIK, NY TRIHARJO, SLEMAN, PUNGGUNG
2019/09/13/00003 116311 SUBARDINI S HADI P SLEMANPANASAN ,
PERUM GANGLION 13/09/2019 V
3 SUWARNO NY TRIHARJO, SLEMAN, WRIST
SLEMAN JOINT
2019/09/15/00000 116389 YULIA WAHYU P KARANGANYAR 02/03, CHIKUNGUN
SINISTRA 15/09/2019 V
1 KRISPIOLITA, NN DONOKERTO, TURI, SLEMAN YA
2019/09/17/00004 049048 ANNISA FATIAH, NN P TEMULAWAK TRIHARJO PROLONG 17/09/2019 V
3 SLEMAN, -, -, - FEVER
2019/09/20/00005 116517 SIDIK PRANOTO, BP L MAJEGAN 003/033, TUMOR 20/09/2019 V
0 PANDOWOHARJO, NGAGLIK, GLUTEA
SLEMAN SINISTRA
2019/09/21/00007 116554 LUKMAN AL HAKIM L BATANG GEDE 004/010, MASSA DI 21/09/2019 V
0 BP TAMBAKREJO, TEMPEL, LOBUS
SLEMAN PARIENTAL
2019/09/22/00000 116580 ROHMAT YANI L GONDANG LUTUNG 04/20, HT 22/09/2019 V
3 ANGGORO, BP DONOHARJO, NGAGLIK, URGENCY
SLEMAN
2019/09/26/00002 062039 PUJO SUMARTO, NY P SANGGRAHAN, - 26/09/2019 V
2 CATURHARJO,
9/30/19 12:19 PM Page 13 of 103
Bio-Psiko Sosial Asesmen Pasien/Shift Koordinasi Antar PPA
SLEMAN, SLEMAN
2019/09/25/00031 116685 ARIFFAH NUR P SURUH 1/10, DONOHARJO, morbili 26/09/2019 V
3 KASHARWATI NGGALIK, SLEMAN
2019/09/29/00000 116193 RUBINEM, NY P BULUS LOR, - 29/09/2019 V
SLEMAN
2018/12/31/00002 032240 SULAMI/ NGATINEM P KALIURANG BARAT PNEMONI,D 05/01/2019 V
1 NY HARGOBINANGUN PAKEM, -, M,OTITIS
2019/01/09/00010 109370 TUKIMAN, BP L -, -
PANDAK 008/061, MEDIA
CHF,IHD,DM 11/01/2019 V
7 SINDUADI, MLATI, SLEMAN
2019/01/19/00003 020480 MARIDI, BP L BERKISAN RT 5 RW 7, ppok, chf 19/01/2019 V
SLEMAN
2019/01/22/00011 109370 TUKIMAN, BP L PANDAK 008/061, chf dm 22/01/2019 V
2019/02/01/00008 108447 AKHID SAIKHU,BP L PERUM GRIYA TAMAN ASRI HIL D 01/02/2019 V
7 G -309 RT 1 RW 35,
DONOHARJO, NGAGLIK,
2019/02/06/00021 076819 BASUKI, BP L TEGALSARI,
SLEMAN LODADI, TUMOR 06/02/2019 V
4 NGEMPLAK, -, -, - FEMUR
2019/02/09/00001 021162 MARIYEM, NY L BONJOTAN, - 09/02/2019 V
0 SARDONOHARJO, MGAGLIK,
2019/02/14/10013 078984 JAEZA AMALINA P -, -, - GRIA TAMAN ASRI
PERUM df 14/02/2019 V
2 GHAISYANI, AN BLOK G 703, DONOHARJO,
NGAGLIK, SLEMAN
2019/02/20/00017 110694 ABDILAH MEIZA, L PERUM GTA BLOK F 704/705 DF 20/02/2019 V
7 SDR DONOHARJO NGAGLIK
SLEMAN, -, -, -
2019/02/24/00002 110733 KINAYRA NAILA P KEPITU, TRIMULYO, df 24/02/2019 V
3 CAHYA, AN SLEMAN, SLEMAN
2019/03/01/00001 079901 MANDALA ADI L LUNGGUH REJO op app 01/03/2019 V
7 PRATAMA, AN WONOKERTO TURI, -, -, -
2019/03/03/00001 110991 ATHAYA FAREIZAL L BANTARJO, DONOHARJO, FEBRIS 03/03/2019 V
8 ANGGELO, AN NGAGLIK, SLEMAN
2019/03/09/00014 111179 MOHAMMAD FATIH L KANCILAN RT 6 RW 26 , DHF grade 2 09/03/2019 V
5 DEVA SINDUHARJO, NGAGLIK,
RAMADHANA,AN SLEMAN
2019/03/23/00012 111614 HAMADA ADZANI, L JL RANDUGOWANG CKR 23/03/2019 V
6 NY PALAGAN, SLEMAN,
2019/04/01/00002 023879 NASIJATI, NY L NGAGLIK, -I, SARIHARJO,
REJODANI tumor axila 01/04/2019 V
6 NGAGLIK, -, -, -
2019/04/08/00047 111152 KAWIYATI,NY P SEDAN RT 6 RW 34, - 08/04/2019 V
6 SARIHARJO, NGAGLIK,
2019/04/09/10051 111152 KAWIYATI,NY P SLEMANRT 6 RW 34,
SEDAN ckd, chf, dm 08/04/2019 V
5 SARIHARJO, NGAGLIK, 2 no
2019/04/20/00018 112402 TOMMY L SLEMAN
SINDUADI, MLATI, SLEMAN, HT 20/04/2019 V
8 KURNIAWAN SLEMAN EMERGENCY
DENGAN
DISPEPSIA
2019/04/26/00032 112395 SURADJI .BP L NGEMPLAK, WUKIRSARI, hemoroid 26/04/2019 V
9 CANGKRINGAN, SLEMAN
9/30/19 12:19 PM Page 14 of 103

2019/04/29/00009 112581 DARMAWAN L TEGAL SARI 008/030 DF 30/04/2019 V
4 SAPUTRA, BP SARIHARJO NGAGLIK
SLEMAN, -, -, -
2019/05/03/00013 112728 SUMINI, NY P JOMBOR LOR, SINDUADI, STROKE 04/05/2019 V
7 MLATI, SLEMAN INFARK,HHD
,DISLIPIDEM
2019/05/13/00007 074039 PUJIATI, NY P BERAN LOR 001/020 IULKUS DM 13/05/2019 V
4 TRIDADI SLEMAN, -, -, -
2019/05/22/00014 113225 DARMAWI, BP L PERUM GRIYA TAMAN ASRI DF 22/05/2019 V
8 G-319, DONOHARJO,
NGAGLIK, SLEMAN
2019/05/28/00009 029255 SUGENG MARTOYO, P PELEM 05/36, OBS 28/05/2019 V
2 NY PURWOBINANGUN, PAKEM, DYSPNEU
SLEMAN
2019/06/06/00003 107663 ERLIN SRI P JL.ATMOSUKARTO 9 G-9 , back pain, 06/06/2019 V
6 YUNIARTI, NY KOTABARU, ckd,hhd
GONDOKUSUMAN,
2019/06/17/00016 021100 MURTINI , NY P BERAN KIDUL 3/28,
YOGYAKARTA tumor genu 17/06/2019 V
3 TRIDADI, SLEMAN, SLEMAN dextra
2019/06/17/00019 113943 SUJIYATI, NY P BANJARSARI 01/08, cholelithiasis 19/06/2019 V

6 WONOKERTO, TURI,
2019/06/26/00018 114239 BADRIAH SUKARDI, P SLEMAN
MARGOREJO ASRI P.18 HM GR IV 26/06/2019 V
6 NY 2/30, MARGOREJO, TEMPEL,
2019/06/28/00010 114138 MUHAMMAD RAFIF L SLEMAN
TRUMPON, MERDIKOREJO, BALANOPLA 28/06/2019 V
3 HAIDAR, AN TEMPEL, SLEMAN STY
2019/06/29/00012 114325 ISMI KUSUMA P TEMON, PANDOWOHARJO, DF 29/06/2019 V
9 WARDANI, NN SLEMAN, SLEMAN
2019/07/08/00001 008579 ENDANG DWI P GABUGAN, DONOKERTO ulkus dm 08/07/2019 V

4 NINGSIH TURI SLEMAN, -, -, -
2019/07/10/00027 114660 KUSRIANTINAH,
AHMAD FADIL,ANNY L JETIS, CATURHARJO, DF 10/07/2019 V
1 SLEMAN, SLEMAN
2019/07/20/00009 112047 PASIEN UJI COBA P -, -, -, - - 20/07/2019 V
6
2019/08/07/00014 115282 DASIH P KAMDANEN 2/7, DENGUE 07/08/2019 V
8 RAHMAWATI,NY SARIHARJO, NGAGLIK, FEVER
2019/08/16/00022 110808 SUMIYATI NY P SLEMAN
JETIS BARAN RT 04/ RW CHOLESISTI 16/08/2019 V
1 028, SARDONOHARJO, TIS,CHOLELI
NGAGLIK, SLEMAN TIASIS
2019/08/24/00005 115827 WAGIMIN/ H PUJI L PLUMBON 005/031, chf,ihd 24/08/2019 V

6 SUNARTO, BP SARDONOHARJO, NGAGLIK,
SLEMAN
2019/08/29/00003 039809 TRI REJEKI P GTA BLOK H. 334, -, -, - CA 29/08/2019 V
0 WULANDARI, NY RECTI,ACITE
2019/09/05/00010 116150 DEDEN SUHENDAR, L DAYU , SINDUHARJO, S
disatria 05/09/2019 V
3 BP NGAGLIK, SLEMAN
2019/01/04/00004 108824 SUTINAH, NY P KEMIRI RT 6 RW 21, ulkus DM 04/01/2019 V
3 GADINGKULON,
DONOKERTO, TURI
2019/01/07/00000 073315 VERAMEDITA, NN P NGLEMPONGSARI TUMOR 07/01/2019 V
4 SARIHARJO NGAGLIK, -, -, - PAYUDARA
9/30/19 12:19 PM Page 15 of 103

2019/01/08/00011 109343 SRI LESTARI, NY P KALIWANGLU WETAN, DF 08/01/2019 V
8 HARJOBINANGUN, PAKEM,
SLEMAN
2019/01/12/00018 039852 WALISAH,NY P CANDI DUKUH isk 13/01/2019 V
2019/01/16/00011 109576 SUPARTIYAH, NY P -, -, -
MAJEGAN , tumor pedis 16/01/2019 V
4 PANDOWOHARJO, SLEMAN, dextra
2019/01/17/00005 072257 WAGIYAH, NY P SLEMAN
TEGALSARI 1/23 TRIMULYO chf 18/01/2019 V
0 SELMAN, -, -, -
2019/01/22/00001 104534 HARI P JETAKAN, PANDOWOHARJO, dm 22/01/2019 V
3 SUSANTO/WAGIYEM SLEMAN, SLEMAN
, NY
2019/01/29/00007 109946 JUMINAH MARDI P SEMAWUNG 003/022, isk 31/01/2019 V
9 SUMARTO, NY SUMBERREJO, TEMPEL,
2019/02/06/00015 047969 ERLIN P SLEMAN
SIDOMULYO, TRIMULYO,, -, tumor 06/02/2019 V
1 KISWARAWATI, NN -, - punggung
2019/02/08/00006 110270 SALMAH SAHAMAH, P PANGUKAN, TRIDADI, - 08/02/2019 V
6 NY SLEMAN, SLEMAN
2019/02/08/00010 021304 MUKIYEM P JABUNG PENDOWOHARJO, -, - 08/02/2019 V
3 -, -
2019/02/09/00013 106976 MARYATI, NY P SOROWAJAN 14/02, HIPOGLIKEM 10/02/2019 V
6 BANGUNTAPAN, I
BANGUNTAPAN , BANTUL
2019/02/12/00012 110431 NGADIRAN,BP L KARANG RT 2 RW 22, - 12/02/2019 V
9 BANYUREJO, TEMPEL,
2019/02/13/00009 110228 REJO UTOMO, BP L SLEMAN
PENDEMAN, TRIMULYO, - 13/02/2019 V
1 SLEMAN, DIY
2019/02/13/00001 047936 SUMARAH, NY P BRENGOSAN DONOHARJO anemia 13/02/2019 V
9 NGAGLIK, -, -, -
2019/02/16/10013 110572 MUJIATI, NY P DARI, HARGOBINANGUN, febris 16/02/2019 V
5 PAKEM, SLEMAN
2019/02/22/00017 110707 MARSUDI P KARANGDALEM JUMENENG gangrene 22/02/2019 V
4 PAWIRO/WIJI, NY 004/003 MARGOMULYO
SEYEGAN SLEMAN, -, -, -
2019/02/24/00004 053608 APRILIA SUSANTI, L WADAS TRIDADI SLEMAN, -, dispepsia 24/02/2019 V
5
2019/02/27/00002 110853 NY
YULIAN, NY P -,
GTA- BLOK B.515, hemoroid gr 27/02/2019 V
1 PANDOWOHARJO, SLEMAN, 3-4
SLEMAN
2019/03/01/00005 110873 ERNI WULANDARI, P BAKALAN, SUMBERADI, tumor 01/03/2019 V
2 NY MLATI, SLEMAN payudara
sinistra
2019/03/04/00002 068855 SURTI, NY P KLOPOSAWIT GIRIKERTO hemiparese 04/03/2019 V
2 TURI, -, -, -
2019/03/09/00010 111165 SRI MUSYAWARAH, P KETULAN, CANDI - 09/03/2019 V
2 NY BINANGUN, PAKEM, SLEMAN
2019/03/11/00006 075608 SURATMIYATI, NY P SELOREJO 001/029 - 11/03/2019 V
-, -, -
2019/03/11/00016 078368 SRI LESTARI,NY P TEMULAWAK TRIHARJO VERTIGO 11/03/2019 V
4 SLEMAN, -, -, -
2019/03/13/00019 105296 SRI INDARTI, NY P JONGKE TENGAH 04/23, DISPEPSI 13/03/2019 V
0
9/30/19 12:19 PM Page 16 of 103
Bio-Psiko-Sosial Asemen Pasien/Shift Koordinasi Antar PPA
SENDANGADI, MLATI,
2019/03/15/00031 111377 AYU KRISNA DEWI, P SLEMAN CILIK,
NGEBEL obs 15/03/2019 V
6 NY SARDONOHARJO, NGAGLIK, abominal
SLEMAN pain susp
2019/03/16/00013 111417 SUPARTINAH, NY P WATU GETHEK, vertigo
KET 16/03/2019 V
2019/03/19/00002 111478 PUJI ASTUTI, NY P SLEMANRT 03/RW 05,
SUCEN isk 19/03/2019 V
6 TRIHARJO, SLEMAN,
2019/03/23/00014 111620 SUGIYEM NY P SLEMAN
JALAN KOPEN II NO 20 RT PPOK,CHF 24/03/2019 V
1 010/ RW 31, SINDUHARJO,
NGAGLIK, SLEMAN
2019/03/27/00008 111683 WAGIYATI.NY P SEBAYU 3/40, TRIHARJO, tumor 27/03/2019 V
8 SLEMAN, SLEMAN payudara S
2019/03/28/00014 111741 RINDA NUR P TEMULAWAK RT 005 RW typhoid fever 28/03/2019 V
4 HANIFAH NN 37 , TRIHARJO, SLEMAN,
2019/04/01/00001 111772 KARTINI NY P SLEMAN
JETIS DONOHARJO RT 01/ tumor 01/04/2019 V
9 RW 23, DONOHARJO, punggung
NGAGLIK, SLEMAN
2019/04/02/00014 105575 SUJIYEM, NY P NGEMPLAK CABAN , dm 2 no, 02/04/2019 V
8 TRIDADI, SLEMAN, SLEMAN vertigo
2019/04/10/00024 112108 RACHELLIA P CANGGAL, MERDIKOREJO, sentral
choleltiasis, 10/04/2019 V
4 SARASWATI, NN TEMPEL, SLEMAN cysta ovari
2019/04/15/00000 111078 TUTIK WIYANTI, NY P SANGGRAHAN, TUMOR 15/04/2019 V
3 CATURHARJO, SLEMAN, PAYUDARA
2019/04/17/00002 112307 WIJINEM, NY P SLEMANPANGGUNG,
TEGAL STROKE 17/04/2019 V
4 GIRIKERTO, TURI, SLEMAN INFARK ,
DISLIPIDEMI
,FROZEN
SHOULDER
2019/04/22/00024 112417 SUNARSIH, NY P KRAPYAK, TRIHARJO, -, - BACTERIAL 22/04/2019 V
9 INFECTION,
CHF
2019/04/26/00045 112552 SUYATI,NY P KLEGEN RT 4 RW 8, dm; 29/04/2019 V
2 TRIMULYO, SLEMAN, ht;stroke
2019/05/04/00015 112772 MARYANI, NY P SLEMAN BANGUNKERTO,
GADUNG, infark
DF 04/05/2019 V
3 TURI, SLEMAN
2019/05/08/00014 110015 DIMI DARTO/ P DRONO, SARDONOHARJO, melena obs 08/05/2019 V
5 NGADILAH, NY NGAGLIK, SLEMAN ikterik
2019/05/12/00002 112992 MARTUTIK, NY P POTRO, PURWOBINANGUN, anemia 13/05/2019 V
7 PAKEM, SLEMAN gravis
2019/05/16/00007 032787 SUWARNIYATI, NY P RANDUSONGO RT 4/5 CHF,DM,HH 16/05/2019 V
9 DONOKERTO TURI SLEMAN, D,IHD
-, -, -
2019/05/21/00002 113206 SRI HARTUTIK, NY P SELOWANGSAN DADAPAN SISTITIS,NE 21/05/2019 V
4 002/025, WONOKERTO, PRHOCALSI
TURI, SLEMAN NOSIS
2019/05/29/00018 074358 EXA RAHAYU P PALGADING, SINDUHARJO, TUMOR 29/05/2019 V
1 NINGSIH, NY NGAGLIK, -, -, - PAYUDARA
SINISTRA
2019/06/03/10025 113521 LESTARI, NY P DENGGUNG 004/036, ABD PAIN 03/06/2019 V
8 TRIDADI, SLEMAN, SLEMAN SUSP
9/30/19 12:19 PM Page 17 of 103

Bio-Psiko-Sosisal Asesmen Pasien/Shift Koordinasi Antar PPA
ADNEXITIS
2019/06/05/00002 069792 SUNARYO REJO, NY P TANJUNG, anorexsia 05/06/2019 V
6 PANDOWOHARJO, NGAGLIK, geriatri;
-, -, - dispepsia
2019/06/07/00004 113667 MARDIHARJO, NY P BETENG, TRIDADI, SLEMAN, STROKE 07/06/2019 V
2 SLEMAN INFARK
2019/06/12/00021 113820 NGATINEM, NY P NGANGGRING, GIRIKERTO, ppok 12/06/2019 V
3 TURI, SLEMAN
2019/06/17/00019 113943 SUJIYATI, NY P BANJARSARI 01/08, - 17/06/2019 V

6 WONOKERTO, TURI,
2019/06/19/00017 114026 KARTINEM,NY P SLEMAN
NGEPRING 3/5, PANSITOPE 22/06/2019 V
0 PURWOBINAGUN, PAKEM, NIA
SLEMAN
2019/06/24/00006 114128 ISRINA LESTARI NY P GAWAR , PANDOWOHARJO, ANEMIA 24/06/2019 V
7 SLEMAN, SLEMAN GRAVIS
2019/06/28/00004 114111 ERMA KRESIANA, P GABUGAN, APPENDICT 28/06/2019 V
9 NY PENDOWOHARJO, NGAGLIK, OMY
2019/06/29/00014 109491 JUMIATI, NY P SLEMAN 5/12, TRIMULYO,
BALONG chf 29/06/2019 V
6 SLEMAN, SLEMAN
2019/07/09/00000 114561 SRI PUJI UTAMI, NY P KADISOBO I, TRIMULYO, - 09/07/2019 V

3 SLEMAN, SLEMAN
2019/07/10/00018 070486 NANING P TEGALSARI, TRIMULYO, TUMOR 10/07/2019 V

6 KUMARAWATI, NY SLEMAN, -, -, - GLUTEA
2019/07/12/00008 112604 MARIA TITIK P GONDANGAN PENEN TUMOR 12/07/2019 V
3 BUDIASTUTI, NY 005/028, SENDANGADI, MAMAE
MLATI, SLEMAN DEXTRA
2019/07/15/00000 114230 SUPARNI P TEMULAWAK 009/038, CA MAMMAE 15/07/2019 V
4 TRIHARJO, SLEMAN,
2019/07/16/10021 114818 SUKIRAH NY P SLEMAN 003/027,
GILINGAN - 16/07/2019 V
1 SENDEANGADI, MLATI,
SLEMAN
2019/07/19/00009 114882 PRIYO MIHARJO, NY P DUKUH, PANDOWOHARJO, - 19/07/2019 V
6 SLEMAN, SLEMAN
2019/07/22/00002 114892 WALUTI P PULEWULUNG, tumor dada 22/07/2019 V
0 BANGUNKERTO, TURI,
2019/07/24/00022 114990 KARYATI, NY P SLEMAN
BANJARHARJO, tumor 24/07/2019 V
0 PONDOKREJO, TEMPEL, mamae
2019/07/26/00008 115028 SITI FATIMAH P SLEMAN
KEBONDALEM 008/006, dextra
TUMOR 26/07/2019 V
9 JAMHAROH NY TRIDADI, SLEMAN, SLEMAN MAMAE
SINISTRA
2019/07/29/00009 021607 MAYA AULINA P MAJEGAN, TUMOR 29/07/2019 V
4 HERAWATI, NN PANDOWOHARJO, SLEMAN, PEDIS
2019/07/31/00013 115188 ROKHANIYAH, NY P SLEMAN
WONOSOBO, SINISTRA
VERTIGO 31/07/2019 V
2019/08/05/00008 115299 PARIYEM, NY P SLEMAN
KEMBANGAN, RUPTUR 05/08/2019 V
8 CANDIBINANGUN, PAKEM, TENDON
SLEMAN PEDIS
SINISTRA
9/30/19 12:19 PM Page 18 of 103

2019/08/07/00014 115366 RUSMIASIH NY P MURANGAN VIII 005/028, STROKE 07/08/2019 V
2 TRIHARJO, SLEMAN, INFARK
2019/08/12/00015 114887 MUJINEM/ PURWO P SLEMAN BANGUNHARJO,
NGABLAK, COLESISTITI 12/08/2019 V
0 WIDODO, NY BANGUNKERTO, TURI, S,CHOLELITI
SLEMAN ASIS,CHF
2019/08/16/00010 107749 PONISIH, NY P NGANGKRIK 7/5, TRIHARJO, GANGREN 16/08/2019 V
4 SLEMAN, SLEMAN DG II PEDIS
DEXSTRA
2019/08/18/00004 115666 RUDATI, NY L JOMBORAN 02/15, VERTIGO 18/08/2019 V
2019/08/21/00016 070940 WIWIK MARDIANA, P NGALANGAN ANGINA 21/08/2019 V
4 NY SARDONOHARJO NGAGLIK, PECTORIS
2019/08/25/00002 064474 PARTINEM, NY P -, -, -
KARANG TANJUNG, ppok,dispeps 25/08/2019 V
7 PANDOWOHARJO, SLEMAN, i
SLEMAN
2019/08/30/00010 077465 FITRI ANDAINI, NY P SARAGAN PANDOWOHARJO, tumor 30/08/2019 V
0 -, -, - payudara
sinistra
2019/08/31/00007 055014 PRIYO SUMARTO, P SUDIMORO, - 31/08/2019 V
9 NY PURWOBINANGUN, PAKEM,
PURWOBINANGUN, PAKEM,
2019/09/01/00000 060527 NGADIYEM, NY P NGLEMPONG
SLEMAN LOR DISPEPSIA 01/09/2019 V
5 SARIHARJO NGAGLIK
2019/09/04/00017 116123 EVI RAHMAWATI, P SEMAN, -, BEJEN,
POJOKAN -, - KISTE 04/09/2019 V
2 NN CATURHARJO, SLEMAN, BRACHIOGE
SLEMAN NETAL;
TUMOR
COLLIE
2019/09/06/00007 112887 PURWANTI, NY P KRASAKAN, LUMBUNGREJO, DEXTRA
TUMOR 06/09/2019 V
9 TEMPEL, SLEMAN MAMAE
SINISTRA
2019/09/09/00010 066451 PUJI ASIH, NY P DRONO 003/033 GEA 09/09/2019 V
-, -, -
2019/09/13/00007 034422 SUBARKAH, BP L PENEN DONOHARJO CORPAL 13/09/2019 V
9 NGAGLIK, -, -, - KAYU
2019/09/14/00014 115058 SUDINEM, NY P SANGGRAHAN, - 14/09/2019 V
SLEMAN
2019/09/15/00001 106816 IROH MUNAWAROH, P BERAN LOR, TRIDADI, CHF,OA 15/09/2019 V
1 NY SLEMAN, SLEMAN
2019/09/20/00009 051295 EKA DEWI P BRENGOSAN DONOHARJO APP 20/09/2019 V
5 HANDAYANI, AN NGAGLIK SLEMAN, -, -, - LAPAROTOM
2019/09/26/00007 036167 SARMINI, NY P REJODANI, SARIHARJO, Y
KEHAMILAN 26/09/2019 V
0 NGAGLIK, SARIHARJO, EKTOPIK
NGAGLIK, SLEMAN
2019/09/29/00001 034531 SUWARTI, NY P MAKNOREJO , - 29/09/2019 V
SLEMAN
2019/01/04/00003 109225 ASMO P CANDI II 004/004, tumor 04/01/2019 V
1 PAWIRO/PAIRAH, SARDONOHARJO, NGAGLIK, punggung
NY SLEMAN
9/30/19 12:19 PM Page 19 of 103

2019/01/07/00002 109295 TRI FINA HARYANI, P SIDOMULYO, TRIMULYO, HEMOROID 07/01/2019 V
9 NY SLEMAN, SLEMAN
2019/01/12/00000 070643 PARTIYEM, NY P SOMOITAN, GIRIKERTO, N18.5, 12/01/2019 V
1 TURI, -, -, -
2019/01/23/00011 109771 DWI WIDIYANTI, NY P KALIURANG UTARA17/05, kolesistiasis,i 23/01/2019 V
5 HARGOBINANGUN, PAKEM, sk
SLEMAN
2019/01/29/00008 109949 SURIP, NY P NAMBONGAN, TLOGOADI, - 29/01/2019 V
6 MLATI, SLEMAN
2019/02/01/00004 109994 PARTIYEM, NY P GONDOARUM, combotio gr 01/02/2019 V
8 WONOKERTO, TURI, II - III 40%
2019/02/07/00001 110264 UMAR SARSIYAH, P SLEMAN
KAYUNAN 001/005 dispepsia 07/02/2019 V
8 NY DOINOHARJO NGAGLIK
SLEMAN, -, -, -
2019/02/08/00006 110270 SALMAH SAHAMAH, P PANGUKAN, TRIDADI, angina 08/02/2019 V
6 NY SLEMAN, SLEMAN pectoris, dm
2 no
2019/02/13/00010 077236 PAINEM/SUPARNO, P REJODADI BANGUNKERTO - 13/02/2019 V
7 NY TURI SLEMAN, -, -, -
2019/02/13/00010 110445 KUSMIYATI, NY P REJODADI 3/28, chlecyscolithi 13/02/2019 V
4 BANGUNKERTO, TURI, asis
2019/02/20/00017 110693 MAULANA SEPTI P SLEMAN
NGANGKRIK TRIHARJO df 20/02/2019 V
6 ASTUTI, NY SLEMAN, -, -, -
2019/03/01/00005 042995 NABILA ZULFA P PELEM RT 4 RW 24, - 01/03/2019 V
7 LUTHFIAH HARJOBINAGUN, PAKEM,
AURANI,NN SLEMAN
2019/03/01/00005 110884 AYAT SULAMI, NY P JONGGRANGAN, tumor 01/03/2019 V
0 SUMBERADI, MLATI, payudara
SLEMAN sinistra
2019/03/08/00004 111107 WANTINEM, NY P PLOSOKUNING II 006/1003 tumor pedis 08/03/2019 V
7 MINOMARTANI NGAGLIK dekstra
SLEMAN, -, -, -
2019/03/11/00000 109794 SUPRIYATI, NY P NGALANGAN, ulkus Dm 11/03/2019 V
2019/03/13/00011 111284 WAHYU PUJI P SLEMAN
KLELEN, TRIMULYO, tumor 13/03/2019 V
3 PRIHATIN, NY SLEMAN, SLEMAN supraclavicul
2019/03/15/00012 015314 SAMINEM, NY L JABAN TRIDADI, SLEMAN, -, a
COMBUTIO 15/03/2019 V
0 -, - gr 2
2019/03/18/00011 111450 MUJI HARJO, NY P NGLEBENG 001/007 pneumoni 18/03/2019 V
6 MARGOREJO TEMPEL
SLEMAN, -, -, -
2019/03/22/00006 110872 KRIS DWI OKTAVIA, P TUREN, SARDONOHARJO, tumor collie 22/03/2019 V
6 NN NGAGLIK, SLEMAN
2019/03/25/00015 003595 ASIYEM, NY L KARANG JENJEM, - 25/03/2019 V
SARDONOHARJO, -NGAGLIK,
-SLEMAN
2019/03/29/00005 111747 RESTI WAHYUNI, P KRASAKAN 003/013 tumor 29/03/2019 V
1 NN LUMBUNGREJO TEMPEL payudara
SLEMAN, -, -, -
2019/04/01/00020 111856 S. BUANAWATI, NY P BANGUNREJO, TRIDADI, - 01/04/2019 V
3 SLEMAN, SLEMAN
9/30/19 12:19 PM Page 20 of 103

2019/04/01/00015 111572 NUR HIDAYAH, NY P KENARUHAN 001/017 - 01/04/2019 V
6 DONOKERTO TURI SLEMAN,
-, -, -
2019/04/04/00015 111927 NGADIYEM P BULUSAN BENDOLOLE RT 4 TF 04/04/2019 V
3 /KUSDIYONO,NY RW 40, SARDONOHARJO,
NGAGLIK, SLEMAN
2019/04/10/00037 005423 CATARINA P SROWOLAN, dispepsia 10/04/2019 V
0 APRILIANI NN PURWOBINANGUN, PAKEM,
SLEMAN
2019/04/15/00013 035383 SITI YULIANI,NY P WONOKERSO RT 04 RW 010 vertigo, 15/04/2019 V
1 SARIHARJO NGAGLIK dispepsia
SLEMAN DIY, -, -, -
2019/04/18/00019 068038 SUHARNI, NN P GONDANG LEGI SARIHARJO dispepsia 18/04/2019 V
3 NGAGLIK, -, -, -
2019/04/23/00003 112420 JUMARIYAH, NY P KOPEN 4/20, - 23/04/2019 V
2 LUMBUNGREJO, TEMPEL,
2019/04/23/00003 112420 JUMARIYAH, NY P SLEMAN4/20,
KOPEN ULKUS 24/04/2019 V
2 LUMBUNGREJO, TEMPEL, CRURIS
2019/04/24/00021 112482 SUGIARTI, NY P SLEMAN
PANDANPURO, TUMOR 24/04/2019 V
0 HARGOBINANGUN, PAKEM, INGUINAL
SLEMAN
2019/04/25/00007 042374 GINEM, NY P NGAMBOH MARGOREJO - 25/04/2019 V
8 TEMPEL SLEMAN, -, -, -
2019/04/29/00000 107427 RODIYAH, NY P KEBONDALEM 8 / 6, appendicitis 29/04/2019 V
7 TRIDADI, SLEMAN, SLEMAN akut
2019/05/01/00001 077236 PAINEM/SUPARNO, P REJODADI BANGUNKERTO - 01/05/2019 V
6 NY TURI SLEMAN, -, -, -
2019/05/02/00008 112541 NAHROWI/ ANTENG, P SALEHAN, SALAM, SALAM, chf 02/05/2019 V
8 NY MAGELANG
2019/05/08/00021 112890 CICILIA P PERUM GRIYA DHARMA - 08/05/2019 V
3 SUMARTILAH, NY ASRI II 003/024 NGENTAK
KADIPURA SLEMAN, -, -, -
2019/05/10/00005 111747 RESTI WAHYUNI, P KRASAKAN 003/013 TUMOR 10/05/2019 V
5 NN LUMBUNGREJO TEMPEL PAYUDARA
SLEMAN, -, -, - DEXTRA
2019/05/13/00007 112879 SUPRIHATIN, NY P LOJAJAR, MARGOREJO, APP 13/05/2019 V
7 TEMPEL, SLEMAN
2019/05/17/00010 061431 SAMINEM PAMRIH P NGEMPALK DONOHARJO GEA 17/05/2019 V
0 DIHARJO, NY NGAGLIK, -, -, -
2019/05/20/00000 113077 NOVITA WATI, NY P JEMBULAN, APP 20/05/2019 V
2019/05/23/00016 105753 SUHADI PRAYITNO, L SLEMAN 2/4,
NGEPRING - 23/05/2019 V
SLEMAN
2019/05/29/00018 113446 TITIK P CANDIWINANGUN 06/13, TUMOR 29/05/2019 V
8 SULISTYAWATI, NY SARDONOHARJO, NGAGLIK, PAYUDARA
SLEMAN DEXTRA
2019/06/04/10048 113575 DEWI LATIFAH P PENEN 01/33, DONOHARJO, dengue fever 04/06/2019 V
7 SARI, AN NGAGLIK, SLEMAN
2019/06/15/00011 113897 DARMO SUMADI NY P SURODADI 002/023, vertigo;IHD 15/06/2019 V

3 GIRIKERTO, TURI, SLEMAN
9/30/19 12:19 PM Page 21 of 103

2019/06/21/10007 106603 MARIA ULPA SARI, P SARAGAN, TUMOR 21/06/2019 V
4 NN PANDOWOHARJO, SLEMAN, PAYUDARA
SLEMAN
2019/06/24/00004 114113 UNDAR ROSTIANA, P POJOK, HARJOBINANGUN, HIL D 24/06/2019 V
3 NY PAKEM, SLEMAN
2019/06/26/00015 114224 I.T W P DENGGUNG, TRIDADI, tumor glutea 26/06/2019 V
4 BUDININGSIH, NY SLEMAN, SLEMAN D
2019/06/28/00012 114230 SUPARNI P TEMULAWAK 009/038, TU MOR 28/06/2019 V
8 TRIHARJO, SLEMAN, MAMAE
SLEMAN DEXTRA
2019/07/03/00019 048040 SUWARNI, NY P PEPEN, TRIMULYO, SLEMAN, DM,DYSPEPS 03/07/2019 V
5 TRIMULYO, SLEMAN, IA
SLEMAN
2019/07/10/00021 114636 MUJIATUN, NY P JABUNG, PANDOWOHARJO, TUMOR 10/07/2019 V
0 NGAGLIK, SLEMAN LENGAN
SINISTRA
2019/07/12/00011 114637 JUMINEM NY P MURANGAN VII 002/022, REMOVE 12/07/2019 V
9 TRIHARJO, SLEMAN, PEN POST
SLEMAN ORIF
2019/07/16/10015 114808 ANASTASIA WAHYU P PROJAYAN, WONOKERTO, APPENDICIT
FR.TIBIA 12/07/2019 V
6 LISNA WATI, NN TURI, SLEMAN IS
DEXTRA
2019/07/15/00001 074358 EXA RAHAYU P PALGADING, SINDUHARJO, TUMOR 15/07/2019 V
4 NINGSIH, NY NGAGLIK, -, -, - PAYUDARA
SINISTRA
2019/07/19/00007 114425 IRNA SUSILOWATI, P JABUNG, PANDOWOHARJO, CA MAMAE 19/07/2019 V
2 NY NGAGLIK, SLEMAN SINISTRA
2019/07/24/00024 115019 PARMI NY P GOMERTO 002/008, CA MAMAE 24/07/2019 V
0 WATANGSONGO, DEXTRA
JATISRONO, WONOGIRI
2019/07/26/00009 115017 NGADIYEM NY P RELOKASI PELEM #TIBIA 26/07/2019 V
2 NGANDONG 002/027, SINISTRA
GIRIKERTO, TURI, SLEMAN
2019/07/29/00010 115132 MEI LIYAN SARI, P NGANGKRUK, CATURHARJO, TUMOR 29/07/2019 V
7 NN SLEMAN, SLEMAN AURICULA
DEXTRA
2019/08/05/00008 115028 SITI FATIMAH P KEBONDALEM 008/006, CA MAMAE 05/08/2019 V
9 JAMHAROH NY TRIDADI, SLEMAN, SLEMAN SINISTRA
POST
MASTEKTOM
2019/08/11/00003 110969 SUNARYO NY P JETAKAN RT 03/ RW 017, Y
- 11/08/2019 V
SLEMAN
2019/08/16/00021 035086 SUMINI, NY P JONGKE KIDUL RT 5 RW 24, VERTIGO 16/08/2019 V
2019/08/21/00024 034829 SUWITO HARJONO/ P SLEMAN MURTEN,
PISANGAN CHF 21/08/2019 V
3 SUMIYEM, NY TRIDADI, TRIDADI,
SLEMAN, SLEMAN
2019/08/30/00006 106269 NADILLA DEWI P TEMON, PENDOWOHARJO, TUMOR 30/08/2019 V
5 ISNAINI, NN SLEMAN, SLEMAN COLLI
2019/09/02/00009 114686 NUR P NGAGLIK 01/48, tumor colli 02/09/2019 V
6 ROHMANINGSIH, CATURHARJO, SLEMAN,
2019/09/06/00013 105177 NN
GINEM, NY P SLEMAN
SIDOREJO NGANGGRING, - 06/09/2019 V
4
9/30/19 12:19 PM Page 22 of 103
No. Kamar No. RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Jatuh
2019/09/06/00014 115762 PULANGSIH NY P CANDI DUKUH 002/003, CA MAMAE 06/09/2019 V V
0 SARDONOHARJO, NGAGLIK, DEXTRA; T4
SLEMAN N2 M0
2019/09/09/00013 068786 SUMILAH/KISMO P MLATI TEGAL BRONCHOPN 09/09/2019 V V
6 DARMINTO, NY KARANGGENENG EUMONI
SENDANGADI MLATI, -, -, -
2019/09/13/00014 116307 TUMIJO, BP L NAMBONGAN, CATURHARJO, HIL 13/09/2019 V V
1 SLEMAN, SLEMAN
2019/09/15/00001 116341 SUTAMI NY P MOLODONO 004/004, DM,HT 15/09/2019 V V
SLMEAN
2019/09/18/00017 114620 SIREP SRI BUDI P KLEBEN 03/44, ULKUS DM 18/09/2019 V V
1 MARGONO, NY CATURHARJO, SLEMAN,
2019/09/23/00007 111330 PUJI ASTUTI, NN P SLEMAN , SARIHARJO,
REJODANI APPENDICT 23/09/2019 V V
8 NGAGLIK, SLEMAN OMY
2019/09/25/00031 116685 ARIFFAH NUR P SURUH 1/10, DONOHARJO, - 25/09/2019 V V
2019/09/26/00007 116697 PURMINI P TEGALREJO REJODADI, DISPEPSIA 26/09/2019 V V
2019/01/04/00003 107749 PONISIH, NY P SLEMAN
NGANGKRIK 7/5, TRIHARJO, ULCUS DM 04/01/2019 V V
6 SLEMAN, SLEMAN
2019/01/07/00003 107001 MUDONO,BP L GAWAR RT 1 RW 37, - 07/01/2019 V V
SLEMAN
2019/01/09/00016 005425 CHOMSATUN, NY P PRUJAKAN, SINDUHARJO, - 09/01/2019 V V
9 NGAGLIK, -, -, -
2019/01/11/00000 106909 SOGIYEM, NY P NANGKRIK V , TRIHARJO, - 11/01/2019 V V
8 SLEMAN, SLEMAN
2019/01/13/00001 057311 MULWIYONO, NY P TEMON PANDOWOHARJO BRADICHAR 13/01/2019 V V
1 (SUWARTI) SLEMAN, -, -, - DI,CHF
2019/01/19/00013 109669 YUDINA PUTRI P NGANGGRUNG , DF 19/01/2019 V V
0 PRATIWI, AN SUKOHARJO, NGAGLIK,
2019/01/23/00001 108958 SARIYEM,NY P SLEMAN TANJUNG,
KARANG CHF,DMHHD 23/01/2019 V V
7 PANDOWOHARJO, SLEMAN, ,IHD,ISK
SLEMAN
2019/02/01/00003 107139 SITI SURYANI, NY P KEPITU 1/17, TRIMULYO, ulkus DM 01/02/2019 V V
8 SLEMAN, SLEMAN
2019/02/04/00020 110191 MUSRINGAH,NY P BANGUNSARI RT 4 RW 9, FEBRIS 05/02/2019 V V
2019/02/10/00001 080179 SRI HARTATIK, NY P SLEMAN
DENGGUNG TRIDADI DM,HT,ISK 10/02/2019 V V
6 SLEMAN, -, -, -
2019/02/20/00008 110656 WALJINAH, NY P PENDEMAN, TRIMULYO, P000047477, 20/02/2019 V V
8 SLEMAN, SLEMAN
2019/02/21/00012 110731 RUKAYAH,NY P PLOSO KUNING II RT 11 RW I10, J44.9, 21/02/2019 V V
3 4, MINOMARTANI, NGAGLIK,
SLEMAN
2019/03/01/00005 042995 NABILA ZULFA P PELEM RT 4 RW 24, tumor axilla 01/03/2019 V V
7 LUTHFIAH HARJOBINAGUN, PAKEM, sinistra
AURANI,NN SLEMAN
2019/03/04/00023 053866 ISYATI, NY P KARANG TANJUNG RT 4/13, isk, vertigo, 05/03/2019 V V
2
9/30/19 12:19 PM Page 23 of 103
No. Kamar No. RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh
PANDOWOHARJO, SLEMAN, chf, hhd
-, -, -
2019/03/11/00006 075608 SURATMIYATI, NY P SELOREJO 001/029 asma 11/03/2019
4 SARDONOHARJO NGAGLIK, bronchial
-, -, -
2019/03/14/00012 106297 SUMARSIH/ P BERAN KIDUL RT 6 RW 29, CKD, DM, OF 14/03/2019
1 SUMARSONO TRIDADI, SLEMAN, SLEMAN
2019/03/16/00006 022052 HADI,NY
MOERSILAH P TEGALPANGGUNG, - 16/03/2019
2 PRAPTO, NY GIRIKERTO, TURI, -, -, -
2019/03/20/00004 111269 NGATINEM, NY P TUREN, SARDONOHARJO, TUMOR 21/03/2019
4 NGAGLIK, SLEMAN AXILA D
2019/03/22/00007 111542 KRISMA DITA P SEBDEN TR 05/RW 23, tumor 22/03/2019
2 ARYANI, NY SUMBERADI, MLATI, payudara
SLEMAN dextra
2019/03/24/00000 107181 RIYANTI, NY P JONGKE TENGAH 3/23, DM II 24/03/2019
1 SENDANGADI, MLATI, NO,STROKE
SLEMAN INFARK
2019/03/29/00015 111769 OCTA MASHITA P NGAGLIK, CATURHARJO, DF 30/03/2019
6 KURNIAWARDANI, SLEMAN, SLEMAN
2019/04/03/00005 059741 NN
DWIYANTI RETNA P GABUGAN, DONOKERTO, anemia 03/04/2019
6 FADELA K, NN TURI, SLEMAN grafis
2019/04/10/00026 112115 DERTA AZMY P SANGUREJO, WONOKERTO, tumor 10/04/2019
9 RIYANTI TURI, SLEMAN dinding
2019/04/11/00013 107225 SARTI, NY P TEGAL PANGGUNG abdomen
hipoglikemi, 11/04/2019
3 SUKOREJO 2/9, GIRIKERTO, post stroke
2019/04/15/00013 035383 SITI YULIANI,NY P TURI, SLEMANRT 04 RW 010
WONOKERSO - 15/04/2019
1 SARIHARJO NGAGLIK
SLEMAN DIY, -, -, -
2019/04/14/00002 112230 WIRATNI, NY P KLOPOSAWIT 002/005 - 16/04/2019
5 GIRIKERTO TURI SLEMAN, -,
-, -
2019/04/20/00005 012383 HARWANI,NY P JABAN TRIDADI, SLEMAN, -, CELULITIS,D 20/04/2019
8 -, - M II NO,CHF
2019/04/26/00045 112552 SUYATI,NY P KLEGEN RT 4 RW 8, - 26/04/2019
2 TRIMULYO, SLEMAN,
2019/04/29/00004 112602 HANIFAH P SLEMAN LOR 001/009
PLUMBON tumor collie 29/04/2019
2 ROSFIYANDANI, NN MOROREJO TEMPEL
SLEMAN, -, -, -
2019/05/01/00001 077236 PAINEM/SUPARNO, P REJODADI BANGUNKERTO hiperglikemi; 01/05/2019
6 NY TURI SLEMAN, -, -, - hipertensi
2019/05/04/00016 112776 MARTO SUSISWO, P PENDEMAN 4/10, STROKE 04/05/2019
7 NY TRIMULYO, SLEMAN, HAEMORAGI
SLEMAN HIPERTENSI
2019/05/10/10019 053866 ISYATI, NY P KARANG TANJUNG RT 4/13, hemiparase 10/05/2019
-, -, -
2019/05/14/00005 113041 GINAH/ P DURENSAWIT, MOROREJO, massa VV dd 14/05/2019
4 SUHARYANTO, NY TEMPEL, SLEMAN CKD
2019/05/20/00008 113185 INDAH P JUGANG 5/11, TRIDADI, ABSES 20/05/2019
2 PUSPITASARI, NN SLEMAN, SLEMAN PEDIS
2019/05/22/00008 113217 Evi Indriyati, nn P TEGALSARI, TRIMULYO, VERTIGO, 22/05/2019
1
9/30/19 12:19 PM Page 24 of
Skrining Gizi Bio-Psiko-Sosial Asesmen Pasien/Shift Koordinasi Antar PPA
Page 24 of 103
SLEMAN, SLEMAN DISPEPSIA
2019/05/25/00009 113333 JUMINTEN, NY P DRONO 03/33, DF 25/05/2019 V
SLEMAN
2019/06/03/10036 113547 SITI ZULAIFAH, NY P KAYUNAN 01/05, DENGUE 03/06/2019 V
7 DONOHARJO, NGAGLIK, FEVER
2019/06/09/00001 112817 WAGIYEM, NY P SLEMAN
KALIURANG TIMUR 004/015, - 09/06/2019 V
1 HARGOBINANGUN, PAKEM,
SLEMAN
2019/06/10/00004 113574 HARTINI, NY P NGETIRAN 03/06, reposisi GA 10/06/2019 V
2019/06/13/00011 051801 SADINEM, NY P SLEMAN
TEGALREJO SARIHARJO STROKE 13/06/2019 V
9 NGAGLIK SLEMANS, -, -, - SNH
2019/06/19/00017 114026 KARTINEM,NY P NGEPRING 3/5, - 19/06/2019 V
0 PURWOBINAGUN, PAKEM,
SLEMAN
2019/06/24/00000 112420 JUMARIYAH, NY P KOPEN 4/20, granuloma 24/06/2019 V
3 LUMBUNGREJO, TEMPEL, pedis
2019/06/24/00015 114142 JUMINAH, NY P SLEMAN LEGI,
GONDANG dengue fever 24/06/2019 V
2019/07/02/00012 106918 SUTITI ,NY P SLEMANSARI RT 7 RW 30,
TEGAL GEA 02/07/2019 V
3 NGAGLIK, SLEMAN, SLEMAN
2019/07/09/00001 107060 KUSNIATI, NY P TOINO, PANDOWOHARJO, HIPERGLIKE 09/07/2019 V
6 SLEMAN, SLEMAN MI; DM; ISK
2019/07/15/00000 113261 RUSDI, NY P TURGO 4/2, ABSES 15/07/2019 V
5 PURWOBINANGUN, PAKEM, CRURIS
2019/07/24/00024 114993 ELLISA DENIYANTI, P SLEMAN
WONOREJO, SARIHARJO, - 24/07/2019 V
7 AN NGAGLIK, SLEMAN
2019/07/26/00007 115065 MUSIYEM, NY P SOKA TEGAL, CA MAMAE 26/07/2019 V
2 MERDIKOREJO, TEMPEL,
2019/07/29/00013 115143 INDIAH NORHAYATI P SLEMAN
BRAYUT, PANDOWOHARJO, TUMOR 29/07/2019 V
3 SLEMAN, SLEMAN PUNGGUNG
2019/07/31/00021 109284 SUDARMINI, NY P NGANCAR 005/024, GEA 31/07/2019 V
3 TRIDADI, SLEMAN, SLEMAN
2019/08/05/00006 115296 MARMINAH, NY P KRANDON, TUMOR 05/08/2019 V

8 PANDOWOHARJO, SLEMAN, PUNGGUNG
2019/08/10/00015 115456 TURIYAH, NY P SLEMAN TUNJUNGSETO,
PAMRIAN, GEA 10/08/2019 V
5 KUTOWINANGUN, KEBUMEN
2019/08/16/00021 115612 SUPARNIAH, NY P KETULAN, CANDIBINANGUN, gea 16/08/2019 V

6 PAKEM, SLEMAN
2019/08/19/10020 115680 SUHARNI NY P TURI 003/027, STROKE 19/08/2019 V

0 DONOKERTO, TURI, SLEMAN INFARK
2019/08/23/00009 115762 PULANGSIH NY P CANDI DUKUH 002/003, tumor 23/08/2019 V

0 SARDONOHARJO, NGAGLIK, mamae D
SLEMAN
2019/08/28/00013 115887 LASIRAH, NY P PANASAN, TRIHARJO, BRONCHOPN 28/08/2019 V
7 SLEMAN, SLEMAN EUMONI,CH
F
9/30/19 12:19 PM Page 25 of
103
2019/09/03/00009 074358 EXA RAHAYU P PALGADING, SINDUHARJO, GEA 03/09/2019 V
8 NINGSIH, NY NGAGLIK, -, -, -
2019/09/06/00013 105177 GINEM, NY P SIDOREJO NGANGGRING, TUMOR 06/09/2019 V

4 GIRIKERTO, TURI, SLEMAN MAMAE
SINISTRA
2019/09/09/00003 116185 SUMINAH, NY P MURANGAN VIII 03/27, TUMOR 09/09/2019 V
4 TRIHARJO, SLEMAN, PUNGGUNG
2019/09/13/00000 109395 MARDI WIYONO, BP L SLEMAN
CEBONGAN KULON 1/27, GRANULOMA 13/09/2019 V
3 MARGPOREJO, TEMPEL, ANUS
SLEMAN
2019/09/19/00005 059934 YOHANA SARJUNI S, P PULOWATU CKD GR 5; 19/09/2019 V
7 NY PURWOBINANGUN PAKEM, -, ANEMIA
-, - GRAVIS
2019/09/23/00018 106356 MARDIYAH, NY P KRAGAN RT 1 RW 1, APPENDICIT 23/09/2019 V
7 MOROREJO, TEMPEL, IS ACUT
SLEMAN
2019/09/24/00014 064193 NGADINEM, NY P SEMBUNG SUKOHARJO - 24/09/2019 V
0 NAGGLIK SLEMAN,
SUKOHARJO, -, -
2019/01/07/00000 039376 WAHYUNI P SIMPING TIRTOADI MLATI, #RADIUS 08/01/2019 V
6 PURWANINGSIH, NY -, -, - SINISTRA
2019/01/07/00012 016499 SUKIRAH,NY P PLAOSAN, TLOGOADI, - 08/01/2019 V
8 MLATI, -, -, -
2019/01/09/00010 109370 TUKIMAN, BP L PANDAK 008/061, - 09/01/2019 V
2019/01/15/00010 059546 SUPARDI, BP L GONDANG DONOKERTO hiperglikemi 16/01/2019 V
2019/01/18/00005 109622 SUYADI, BP L GATEP, PURWOBINANGUN, DIPSNOE 27/01/2019 V
9 PAKEM, SLEMAN
2019/02/01/00013 110047 ENDANG P SIDOMULYO, TRIMULYO, - 01/02/2019 V
5 WULANDARI, NY SLEMAN, SLEMAN
2019/02/04/00020 110193 SHERYLY NADA L KEMBANGAN RT 4 RW 6, TFA 06/02/2019 V
9 NOVANKA,AN CANDIBINAGUN , PAKEM,
SLEMAN
2019/02/14/00006 107925 RIYAN EKA L SELOKERTO RT 3 RW 18, dengue fever 14/02/2019 V
6 PAMUJI,BP SARDONOHARJO, NGAGLIK,
SLEMAN
2019/03/01/00005 110856 RURUS MURNI P KRAPYAK, TRIHARJO, tumor 01/03/2019 V
8 HARTINI, NY SLEMAN, SLEMAN payudara
sinistra
2019/03/21/00008 111556 AQILLA MISHA P TEGALKRAPAYAK RT01/ RW - 21/03/2019 V
4 SHAFANA AN 023, SARIHARJO, NGAGLIK,
SLEMAN
2019/03/25/00019 076492 TITIK SRI P KARANGASEM - 25/03/2019 V
8 PURWANTI, NY PANDOWOHARJO/
MAYANGAN MAYANGAN PE,
2019/04/03/00001 108706 FATONAH, NY P PAMBREGAN
-, -, - , TRIMULYO, 03/04/2019 V
0 SLEMAN, SLEMAN
2019/04/12/10019 033956 SUBARYATI, NY P KOMPLEK PH, -, -, - tumor 12/04/2019 V
0 payudara
2019/05/01/00003 112675 SETYO P KOMP. TOMON BLOK D 7/01 dispepsia 01/05/2019 V
9 BUDININGSIH,
9/30/19 12:19 PM Page 26 of
103
No. Kamar No. RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap N
Resiko Jatuh Skrining Gizi
NY 003/005 KRAMATWATU
y
SERANG BANTEN, -, -, - e
2019/05/07/00008 112851 SUHASTAPA, BP L MURANGAN VII, TRIHARJO, DF 08/05/2019 r V
0 SLEMAN, SLEMAN i
2019/06/26/00012 114215 FATHMA AMALIA P GAWAR, PENDOWOHARJO, DF 26/06/2019 V
9 RAHMAH, AN SLEMAN, SLEMAN
2019/07/09/00006 110383 PRAYITNO, BP L REJODANI 002/003 - 09/07/2019 V

6 SARIHARJO NGAGLIK
2019/07/12/00001 114132 TUKIYANTI P SLEMAN, -, -, -
BOYONG 003/010, CA MAMAE 12/07/2019 V
0 HARGOBINANGUN, PAKEM, SINISTRA
SLEMANDIY
2019/08/05/00004 113183 PROBO WINASTUTI, P BRAYUT, -PANDOWOHARJO, TUMOR 05/08/2019 V
7 NY -NGAGLIK, SLEMAN MAMAE
SINISTRA
2019/08/07/00021 115380 SUROYO L LOJAJAR 04/02, - 07/08/2019 V
2 HARYANTO, BP SINDUHARJO, NGAGLIK,
2019/09/09/00010 002644 AZIZAH P SLEMANPURWOBINANGUN
CEPET HM 09/09/2019 V
5 KHOIRIYATI, NY PAKEM, -, -, -
2019/09/10/00005 113713 MUJIMIN, BP L MAJEGAN 003/033, obs oedema 12/09/2019 V
7 PANDOWOHARJO, SLEMAN, ec susp chf
SLEMAN
2019/01/03/00003 109198 BARNAWI, BP L PLUMBON LOR, CANDIDIASI 03/01/2019 V
9 MERDIKOREJO, TEMPEL, S,STOMATIT
2019/01/07/00004 109279 AULIA RAHMAN L SLEMAN
TURI KM 3 MANTARAN, IS
DF 07/01/2019 V
4 HAKIM, BP TRIMULYO, SLEMAN,
2019/01/11/00000 109425 DZURRA NASEHA, P SLEMAN SAWAH MULYA,
PACINAN, VOMITUS,D 11/01/2019 V
7 NN SANGKAPURA, GRESIK CA DG
DEHIDRASI
2019/01/11/00015 069279 MARTANTO, BP L PANGGUNGSARI SARIHARJO ANGINA 11/01/2019 V
1 NGAGLIK, -, -, - PECTORIS
2019/01/14/00007 109524 GINAN NUR L MOLODONO 2/3, appendicitis 14/01/2019 V
0 RAHMAT, BP LUMBUNGREJO, TEMPEL, perforasi
SLEMAN
2019/01/15/00010 058078 SUDARYATI, NY P PISANGAN, TRIDADI,, -, -, - S06.2, 15/01/2019 V
6
2019/01/19/00002 109651 BADINGAH/ MARTO P JETIS DONOASIH 2/11, dyspepsia 19/01/2019 V
4 SUWARNO, NY DONOKERTO, TURI, SLEMAN
2019/01/24/00002 011567 HAJAM, BP L REJODANI, SARIHARJO, anemia, AML 24/01/2019 V
5 NGAGLIK, -, -, -
2019/01/29/00008 109916 WILDAN MARFUAH, P BUMIREJO GADUNG, cistitis 29/01/2019 V
2 NN BANGUNKERTO, TURI,
2019/02/03/00004 037390 MUHDIWIDARTO/ L SLEMAN 04/04,
TRUMPON ht urgency 03/02/2019 V
5 TUKIRAN, BP MERDIKOREJO, TEMPEL,
SLEMAN
2019/02/08/00010 073332 NURTADI, BP L REJODANI, SARIHARJO, gout 08/02/2019 V
9 NGAGLIK, -, -, - arthritis, chf
2019/02/12/00010 018050 KASTINAH,NY P KEPITU 001/017 TRIMULYO BRONCHITIS 12/02/2019 V
7 SLEMAN DIY, -, -, - KRONIS,ISK
2019/02/18/00015 045607 DEWA BOMA L NGETIRAN SARIHARJO TF 18/02/2019 V
6 BRAHMA WIJAYA, NGAGLIK SLEMAN, -, -, -
AN
9/30/19 12:19 PM Page 27 of
Bio-psiko-Sosial Asesmen Pasien/Shift Koordinasi Antar PPA
103
2019/02/22/00024 072936 PONIMIN, BP L GABUGAN, OBS.DISPNE 01/03/2019 V
7 PANDOWOHARJO, U
2019/04/20/00019 108072 SUPARMIN, BP L NANDAN
SLEMAN 007/039, DYSPNEU 24/04/2019 V
2019/04/30/00006 054005 SRIYATUN L SLEMANSARDONOHARJO
TUREN VL 30/04/2019 V
4 MULYONO, NY NGAGLIK, -, -, -
2019/04/30/00004 112640 TUMIRAH, NY P BERAN KIDUL 4/28, VL 30/04/2019 V
2019/05/08/00021 112890 CICILIA P PERUM GRIYA DHARMA CKR,# 09/05/2019 V
3 SUMARTILAH, NY ASRI II 003/024 NGENTAK COSTA,CHF
KADIPURA SLEMAN, -, -, -
2019/05/15/00005 113059 H. MUHAMMAD IDA, L MURTEN 07/16, TRIDADI, DM; ULKUS 15/05/2019 V
4 BP SLEMAN, SLEMAN DM
2019/05/20/00004 113183 PROBO WINASTUTI, P BRAYUT, -PANDOWOHARJO, HEMOROID 20/05/2019 V
9 NY -NGAGLIK, SLEMAN
2019/05/23/00012 113272 ANGGUN PERMATA P TEGALSARI KLELEN, DF 23/05/2019 V
6 SARI, NY TRIMULYO, SLEMAN,
2019/05/26/00001 113357 TRI WINARSIH, NY P SLEMAN
MULUNGAN WETAN 03/16, DF 26/05/2019 V
SLEMAN
2019/05/28/00012 057515 AHNAF BUDI L WONOREJO SARIHARJO DF 28/05/2019 V
9 SAHPUTRA, AN NGAGLIK, -, -, -
2019/05/31/00032 006556 DIMAS TRI NOVIAN, L PATEN, TRIDADI, -, -, - DF 31/05/2019 V
9 BP
2019/06/04/10045 113568 AGUSTINA M, NN P SEPUAK, BELITUNG HULU, DISPEPSIA 04/06/2019 V
9 BALAI SEPUAK, SEKADAU
2019/06/07/00004 052787 MINTO UTOMO / P MUDAL SARIHARJO isk hhd chf 07/06/2019 V
4 RANTIYEM, NY NGAGLIK, SARIHARJO,
2019/06/10/00016 113745 MARJOKO BP L NGAGLIK,006/013,
GENTAN SLEMAN hemoroid 10/06/2019 V
0 SINDUHARJO, NGAGLIK,
SLEMAN
2019/06/13/00018 107813 WIJI UTOMO/ P KRANDON, gea 13/06/2019 V
0 LEGINEM, NY PANDOWOHARJO, SLEMAN,
2019/06/17/00017 111593 DUTA NATAYA L SLEMANRT 3 RW 4, TRIDADI,
PATEN GEA 17/06/2019 V
4 WIBAWA,AN SLEMAN, SLEMAN DESENTRI
2019/06/24/00008 114132 TUKIYANTI P BOYONG 003/010, - 24/06/2019 V

SLEMANDIY
2019/06/24/00006 069441 MUHAMMAD YUSUF L SLEMAN PERMAI 2 BLOK G4 dehisiensi 24/06/2019 V
5 ZAKY, AN TRIDADI, -, -, -
2019/06/24/00012 071037 SUWANDI,BP L KOPEN BECICI WONOKRETO vertigo 25/06/2019 V
2019/06/27/00018 114280 TAUFAN ARIFIN, L NYAMPLUNG, DONOHARJO, DF 27/06/2019 V
3 SDR BGAGLIK, SLEMAN
2019/07/02/00006 057991 SUPINEM, NY P JONGKANG SARIHARJO ANOREXIA 02/07/2019 V
5 NGAGLIK, -, -, - PADA ca
Nasofaring
2019/07/06/00010 079327 MUJI SUBAGYO, BP L KARANGMLOKO 03/18, DCA 06/07/2019 V
SLEMAN
9/30/19 12:19 PM Page 28 of
103
2019/07/07/00003 049252 TINI WAHYUNI, NY P GABUGAN 4/15 HHD,CHEST 10/07/2019 V

0 PANDOWOHARJO SLEMAN, PAIN
-, -, -
2019/07/10/00014 069599 WAHYU SUBROTO, L GONDANG LUTUNG TUMOR 10/07/2019 V
2 SDR DONOHARJO NGAGLIK, PEDIS
DONOHARJO, NGAGLIK,
SLEMAN
2019/07/12/00000 114395 DASA ATMAJA, BP L JURUGAN, BANGUNKERTO, HEMOROID 12/07/2019 V
2 TURI, SLEMAN GR 4
2019/07/13/00016 050593 SUMARDI, BP L KLEBEN PANDOWOHARJO hiperglikemi 13/07/2019 V
0 SLEMAN, -, -, -
2019/07/15/10007 114635 LISA SARASWATY, P KALIURANG KM 5 GANG TUMOR 15/07/2019 V

2 NN MEGATRUH , PAYUDARA
CATURTUNGGAL, DEPOK,
2019/07/17/00011 045654 SANDIMIN, BP L REJODANI
SLEMAN SARIHARJO FR.PHALANK 17/07/2019 V
8 NGAGLIK, -, -, - DG 5 MANUS
SINISTRA
POST ORIF
2019/07/19/00011 078407 SRIYONO, BP L MURANGAN VII TRIHARJO TUMOR 19/07/2019 V
8 SLEMAN, -, -, - PEDIS
2019/07/22/00007 114928 RISKA P KARANGASEM , DEXSTRA
tumor 22/07/2019 V
3 WAHYUNINGSIH, PANDOWOHARJO, SLEMAN, mamae
NN SLEMAN sinistra
2019/07/23/00010 110825 ADZIKIYYA P GADUNG RT 03/ RW 04, GEA 23/07/2019 V
4 CALLISTA INARA AN BANGUNKERTO, TURI, DEHIDRASI
2019/07/26/00006 107698 SUWARGIJONO, BP L SLEMAN
GUNUGSARI, CHOLELITIA 26/07/2019 V
2 CANDIBINANGUN, PAKEM, SIS,CHOLESI
SLEMAN STITIS,CHF,
IHD
2019/08/01/00013 050713 DANANG L SEDAN SARIHARJO NGAGLIK OF 02/08/2019 V
4 FEBRIANTO SLEMAN, -, -, -
2019/08/04/00006 114643 KURNIADI,
HARMASTOBPBP L JONGKE LOR 001/026, HT 06/08/2019 V
0 SENDANGADI, MLATI, URGENCY
2019/08/11/00001 025783 PAMUJI AGUS L SLEMAN 01/29,
SELOREJO DM; 11/08/2019 V
1 RINTOKO, BP SARDONOHARJO, NGAGLIK, BRONCHOPN
SLEMAN EUMONIA
2019/08/12/00020 115485 BUDI WIDIANTO BP L NGANGKRIK 002/014, DF 15/08/2019 V
2 TRIHARJO, SLEMAN,
SLEMAN
2019/08/16/00017 115607 JOKO KRISMANTO L KEPITU 002/017, DF 16/08/2019 V
5 TRIMULYO, SLEMAN,
2019/08/19/10021 044176 KARNO DIHARJO, L SLEMAN
GEDONGAN 006/005 DM,NEFROP 19/08/2019 V
1 BP SINDUADI MLATI, -, -, - ATI,CHF
2019/08/26/00006 108002 WIDODO, BP L PISANGAN, TRIDADI, -, ULJUS DM 26/08/2019 V

3 SLEMAN
2019/08/28/00023 114941 MARGANA, BP L SEDAN 004/033, asma 28/08/2019 V
5 SARIHARJO, NGAGLIK, bronchiale
SLEMAN
2019/09/02/00007 043776 SUMARMAN, BP L JLAMPRANG - 02/09/2019 V
5 PANDOWOHARJO
9/30/19 12:19 PM Page 29 of
103
SLEMAN, PANDOWOHARJO,
SLEMAN, SLEMAN
2019/09/02/00002 115985 YACOBUS PRIYA L JABAN, TRIDADI, SLEMAN, multiple 02/09/2019 V
2 HERMAGUS, BP SLEMAN tumor
2019/09/04/00014 105291 DWI RIYANTI, NY P TUREN, SARDOOHARJO, dinding abd
CKD 04/09/2019 V
8 NGAGLIK, SLEMAN DENGAN
ANEMIA
2019/09/10/00011 076408 WHEBRI P NGELOSARI, GEA
GRAFIS; HT 10/09/2019 V
7 NOVITARANI, NY PURWOBINANGUN, PAKEM,
2019/09/13/00019 116381 SEFTIAN L SLEMAN
REJODADI, BANGUNKERTO, PERFORASI 13/09/2019 V
0 APRIANSYAH, SDR TURI, SLEMAN
2019/09/16/10007 116377 RIPDIYONO BP L JETIS SURUH 002/012, TUMOR 16/09/2019 V

7 DONOHARJO, NGAGLIK, CRURIS
SLEMAN DEXTRA
2019/09/16/20031 116454 SUWARNI, NY P DURENAN V, TRIHARJO, DM; ISK; 17/09/2019 V
8 SLEMAN, SLEMAN DISLIPIDEMI
2019/09/23/00007 114300 SITI FATIMAH,NY P MURANGAN VII 7/28, A
ANEMIA; 23/09/2019 V
4 TRIHARJO, SLEMAN, CHF HHD;
2019/09/27/00013 106821 PUJIAMAN, BP L SLEMAN
SIDOMULYO , TRIMULYO, CKD;
- DM 27/09/2019 V
0 SLEMAN, SLEMAN
2019/01/04/00001 108316 MUH SYAMSUDDIN, L JURUGAN 5/15, ULCUS DM 04/01/2019 V

3 BP BANGUNKERTO, TURI,
2019/01/05/00011 065844 HADI PRASETYO L SLEMAN DONOKERTO
GABUGAN SISTITIS,NE 05/01/2019 V
7 BANDIMAN, BP TURI, -, -, - PHROLITIAS
IS
2019/01/09/00016 005425 CHOMSATUN, NY P PRUJAKAN, SINDUHARJO, vomitus 10/01/2019 V
9 NGAGLIK, -, -, -
2019/01/11/00010 106016 SISILIA,NY P RANDU GUNTING RT 2 RW snh 11/01/2019 V
1 1/ PISANGAN TRIDADI,
BLONDO, MUNGKID,
2019/01/16/00003 108562 WIBI DWI L BAKALAN
MAGELANG DONO, DYSPEPSIA, 17/01/2019 V
7 PURMANO DONOHARJO, NGAGLIK, CEPALGIA
2019/01/18/00016 021830 MINGSRI, NY L SLEMAN
PAKEMGEDE, hipoglikemi, 19/01/2019 V
2 PAKEMBINANGUN, PAKEM, -, penurunan
-, - kesadaran
2019/01/23/00020 072079 NURMAYA P DERO KULON DF, faringitis 23/01/2019 V
5 KURNIAWATI HARJOBINAGUN PAKEM
BROTO,NY SLEMAN, HARJOBINANGUN,
PAKEM, SLEMAN
2019/01/25/00008 105929 SUMIRAH, NY P NGENTAK , BANGUNKERTO, paraparese 25/01/2019 V
9 TURI, SLEMAN + DM
2019/02/05/00003 110017 SUDARMADI, BP L KALIURANG, anorexia 06/02/2019 V
1 HARGOBINANGUN, PAKEM, geriatri
2019/02/11/00009 110380 BAGUS TONY L SLEMAN, TRIDADI, SLEMAN,
DUKUH FEBRIS 12/02/2019 V
4 ENDARTO, BP SLEMAN
2019/02/13/00015 110383 PRAYITNO, BP L REJODANI 002/003 sudluksasi 14/02/2019 V
2 SARIHARJO NGAGLIK ungkle joint
2019/02/15/10002 054360 E. HARTINI, NY P SLEMAN, -,TRIMULYO
KEPANJEN -, - dislokasi 15/02/2019 V
4 SLEMAN, -, -, - scapula
9/30/19 12:19 PM Page 30 of

103
2019/02/16/10006 110548 FAWAZZA SHESA P KARDANGAN RT 01 RW 27, K0000009 bronchopneu 16/02/2019 UMUM
3 NAUSHAFARIN AN PURWOBINANGU, PAKEM, CENDRAWASIH muni
SLEMAN
2019/02/21/00011 110649 MARDIJATI, NY P NGABLAK BANGUNHARJO RT K0000009 CHF 21/02/2019 - UMUM
6 02/ RW 21, BANGUNKERTO, CENDRAWASIH
TURI, SLEMAN
2019/02/24/00004 110808 SUMIYATI NY P JETIS BARAN RT 04/ RW K0000009 chf 24/02/2019 UMUM
0 028, SARDONOHARJO, CENDRAWASIH
NGAGLIK, SLEMAN
2019/03/08/00004 037086 TUGIYEM, NY P NGEMPLAK, DONOHARJO, -, K0000009 tumor pedis 08/03/2019 -
6 -, - CENDRAWASIH
2019/03/10/00003 053321 WILDHAN HAIDAN L PELEM HARJOBINANGUN, K0000009 dispepsia 10/03/2019 UMUM
8 RAFANO, AN PAKEM SLEMAN, -, -, - CENDRAWASIH
2019/03/15/00014 111334 FURY FATMASARI P SLEMAN III RT 01/ RW 07, K0000009 tumor 15/03/2019 BPJS
7 NY TRIHARJO, SLEMAN, CENDRAWASIH payudara
SLEMAN sinistra
2019/03/13/00009 034789 SUTIYAH/NARJU P NGELO PANDOWOHARJO, -, K0000009 CHF, 16/03/2019 UMUM
7 DIHARJO, NY -, - CENDRAWASIH Dispepsia
2019/03/18/00019 111473 MALAIKA ELSA AL P NGIJON MALANGAN , K0000009 RA,GEA 18/03/2019 - UMUM
7 RISKAN,AN SUMBERAGUNG , SLEMAN, CENDRAWASIH DISENTRI
SLEMAN
2019/03/22/00018 111593 DUTA NATAYA L PATEN RT 3 RW 4, TRIDADI, K0000009 GEA 22/03/2019 - BPJS
4 WIBAWA,AN SLEMAN, SLEMAN CENDRAWASIH DISENTRI KESEHATAN
2019/03/28/00006 111486 SRI RIONI, NY P WADAS, TRIDADI, SLEMAN, K0000009 chf,dm,hiper 28/03/2019 - UMUM
0 SLEMAN CENDRAWASIH glikemi,
2019/04/01/00024 068330 PURWANTO, BP L WONOREJO 004/008 K0000009 df 01/04/2019 UMUM
8 SARIHARJO NGAGLIK CENDRAWASIH
SLEMAN, -, -, -
2019/04/07/00003 112013 NUR LU LU UL P NGLAMPAR 2/8, K0000009 df 08/04/2019 - BPJS
8 KHADLIROH, NN CATURHARJO, SLEMAN, CENDRAWASIH
2019/04/12/00016 112044 MUHAMMAD SOIM L SLEMAN
MURANGAN VII 012/030, K0000009 HM 12/04/2019 -
1 BP TRIHARJO, SLEMAN, CENDRAWASIH
2019/04/13/00015 059375 SRI RUSMIWARTI, P SLEMAN
LOJAJAR SINDUHARJO K0000009 viral 14/04/2019 BPJS
1 NY NGAGLIK, -, -, - CENDRAWASIH infection KESEHATAN
2019/04/15/00007 108751 ASRORI, BP L PEKIK BANGUNHARJO, K0000009 ulkus dm 15/04/2019 UMUM
4 BANGUNKERTO, TURI, CENDRAWASIH post
2019/04/16/00006 112158 FL. SUNARYATI, NY P SLEMAN
PRUMPUNG, K0000009 amputatum
bronchitis, 16/04/2019 - UMUM
8 SARDONOHARJO, SLEMAN, CENDRAWASIH chf
2019/04/22/00021 112445 WINDA EVIANA, NN P SLEMAN
LEMPONGSARI, SARIHARJO, K0000009 CHOLILITHI 22/04/2019 NGAGLIK II BPJS
1 NGAGLIK, SLEMAN CENDRAWASIH ASIS KESEHATAN
2019/04/24/00023 112491 ROMZI NUR SYARIF, L POTRO PURWOBINANGUN, K0000009 - 24/04/2019 DR SARJOKO BPJS
9 SDR PURWOBINANGUN, PAKEM, CENDRAWASIH
SLEMAN
2019/04/26/00030 112433 YULI SINANTA, NY P NGEPRING , K0000009 APPENDICT 26/04/2019 -
9 PURWOBINANGUN, PAKEM, CENDRAWASIH OMY
2019/04/29/00008 079183 NGATIYEM, NY P SLEMAN
NGENTAK SINDUHARJO K0000009 CHF 29/04/2019 RSPH BPJS
8 NGAGLIK SLEMAN, CENDRAWASIH
SINDUHARJO, -, -
2019/05/03/00003 112712 DIMAS ARYO L GABUGAN, DONOKERTO, K0000009 ginecomasti 03/05/2019 BPJS
3 WICAKSONO, SDR TURI, SLEMAN CENDRAWASIH
2019/05/05/00004 109184 MUHAMMAD ARUNG L PATUK 002/021, K0000009 DHF grade II 05/05/2019 - UMUM
4
9/30/19 12:19 PM Page 31 of 103
ZHAFRAN, AN SARDONOHARJO, NGAGLIK, CENDRAWASIH
SLEMAN
2019/05/12/00002 112984 WAHYU TRI L TEGAL KRAPYAK 1/33, K0000009 DF 13/05/2019 UMUM
9 WIBOWO, BP SARIHARJO, NGAGLIK, CENDRAWASIH
2019/05/16/00014 113114 ADITYA NABHAN L SLEMAN
NGEMPLAK II 04/016, K0000009 DF,GEA 16/05/2019 BPJS
7 PUTRA, AN UMBULMARTANI, CENDRAWASIH DESENTRI,R
NGEMPLAK, SLEMAN A
2019/05/21/10009 042231 GIYARTA, BP L PISANGAN TRIDADI, -, -, - K0000009 STROKE 21/05/2019 UMUM
7 CENDRAWASIH INFARK;
HIPERTENSI
2019/05/25/00009 060679 SUJARNO HADI L TLACAP PANDOWOHARJO K0000009 CHF,GOUT 25/05/2019 SLEMAN BPJS
8 SAPUTRA, BP SLEMAN, -, -, - CENDRAWASIH ARTRITIS
2019/06/01/00002 113501 DICKY EKA L PANASAN/ GTA G340, K0000009 DF 01/06/2019 - UMUM
3 SETYAWAN, SDR DONOHARJO, NGGALIK, CENDRAWASIH
SLEMAN
2019/06/10/00019 113751 SUDIYONO BP L KRAPYAK 11/21, TRIHARJO, K0000009 - 10/06/2019 UMUM
2 SLEMAN, SLEMAN CENDRAWASIH
2019/06/17/00006 106258 MUGIASRI/ YUSUP, P GATAK, KLEGUNG, K0000009 tumor 17/06/2019 Klinik SWA BPJS
5 NY DONOKERTO, TURI, SLEMAN CENDRAWASIH manus
2019/06/17/00020 113960 ARIF L PANDESARI 5/8, PARAKAN K0000009 dextra
DF 18/06/2019 RS PURI BPJS
7 BUDIAWAN,SDR WETAN, PARAKAN, CENDRAWASIH HUSADA
TEMANGGUNG
2019/06/24/00022 066423 NOOR HAYAT, BP L WADAS, TRIDADI,, -, -, - K0000009 DM 24/06/2019 UMUM
8 CENDRAWASIH HIPERGLIKE
2019/07/01/00012 107673 JUMADI, BP L JONGKE LOR 2/26, K0000009 MI
CHF 01/07/2019 dr. Alexander BPJS
6 SENDANGADI, MLATI, CENDRAWASIH Prasudi M.Kes
2019/07/08/00001 008579 ENDANG DWI P SLEMAN DONOKERTO
GABUGAN, K0000009 - 08/07/2019 dr. BPJS
4 NINGSIH TURI SLEMAN, -, -, - CENDRAWASIH Sulistyowati
2019/07/08/00010 114430 KUSRIANTINAH,
FAJRI HAMID NY L TANJUNG ANOM, TANJUNG K0000009 tumor 08/07/2019 Ngaglik II BPJS
6 BUAY, MADANG, OKU TIMUR CENDRAWASIH inguinalis
2019/07/09/00006 110383 PRAYITNO, BP L REJODANI 002/003 K0000009 open fraktur 09/07/2019 - UMUM
6 SARIHARJO NGAGLIK CENDRAWASIH os
2019/07/10/00018 106414 SARONO, BP L SLEMAN, -, -, -TRIHARJO,
TEMULAWAK, K0000009 metacarpal
- 10/07/2019 RSPH BPJS
8 NGAGLIK, SLEMAN CENDRAWASIH
2019/07/17/00014 114771 SARIYAH, NY P NGANGKRIK V, TRIHARJO, K0000009 gangren gr 17/07/2019 - UMUM
4 SLEMAN, SLEMAN CENDRAWASIH 1v pedis d
2019/07/22/00008 080164 ANAS SUDIBYO, BP L TEMON 1/22, K0000009 infeksi caput 22/07/2019 Klinik SWA BPJS
9 PANDOWOHARJO, SLEMAN, CENDRAWASIH penis
2019/07/22/00016 114321 SUMIYATI, NY P SLEMANHARJOBINANGUN,
CEPIT, K0000009 stroke infark 23/07/2019 Klinik Satria BPJS
0 PAKEM, SLEMAN CENDRAWASIH hipertensi,he Gadingan
mianopepsia
2019/07/25/00011 115052 SUHARTI, NY P SIDAKANGEN, SIDAKANGEN, K0000009 ULKUS DM 25/07/2019 UMUM
8 KALI BENING, CENDRAWASIH
2019/07/30/00007 115128 NURIZCHA AFRI, L BANJARNEGARA
JAYAN, SUKOHARJO, K0000009 DF 30/07/2019 RS PURI UMUM
2 SDR NGAGLIK, SLEMAN CENDRAWASIH HUSADA -
KAB. SLEMAN
2019/08/02/00018 115249 KASIH MARTO P KALIJERUK, WIDOMARTANI, K0000009 CHF,ANEMIA 02/08/2019 - UMUM
0 WIHARJO NGEMPLAK, SLEMAN CENDRAWASIH GRAVIS
2019/08/05/00008 115297 RIZKI ANGGARA L GITO GATI GONDANGLEGI, K0000009 VARISES 05/08/2019 Ngaglik II BPJS
6 KURNIAWAN, SDR SARIHARJO, NGAGLIK, CENDRAWASIH SCROTAMIS
SLEMAN SINISTRA
9/30/19 12:19 PM Page 32 of 103

2019/08/06/00004 021385 MULYO RAHARJO, L PLUMBON, SARDONOHARJO, K0000009 ANEMIA 06/08/2019 RS PURI UMUM
8 BP NGAGLIK, -, -, - CENDRAWASIH GRAVIS; HUSADA -
CHF KAB. SLEMAN
2019/08/12/00023 115498 IRZAL HAFIZ L JL. PALAGAN KM.9, K0000009 GEA 13/08/2019 - UMUM
7 SETIAWAN, AN SARIHARJO, NGAGLIK, CENDRAWASIH
2019/08/16/00010 115590 SRIYATUN, NY P SLEMANIBUL BARU, AIR
DUSUN K0000009 tumor 16/08/2019 Ngaglik II BPJS
8 UPAS, AIR UPAS, KETAPANG CENDRAWASIH mamae
2019/08/19/10027 115712 MURNIATI, NY P WONOREJO 05/08, K0000009 sinistra
- 19/08/2019 - UMUM
0 SARIHARJO, NGAGLIK, CENDRAWASIH
2019/08/21/00018 115765 NAUFAL TYAS L SLEMAN
SONO KULON 002/029, K0000009 TUMOR 21/08/2019 Klinik SWA BPJS
4 HUTAMA PUTRA MERDIKOREJO, TEMPEL, CENDRAWASIH AXILA
SLEMAN SINISTRA
2019/08/23/00009 115560 ENY SUDARWATI,NY P GABUGAN 3/15, K0000009 CELULITIS 23/08/2019 Sleman BPJS
5 PANDOWOHARJO, SLEMAN, CENDRAWASIH CRURIS
SLEMAN SINISTRA;
CHF
2019/08/30/00017 115981 ANANTA PUTRA SDR L TURI 003/027, K0000009 DF 30/08/2019 dr. VELVIE BPJS
3 DONOKERTO, TURI, SLEMAN CENDRAWASIH MICHICHA
KAPARANG
2019/09/02/00022 044750 PARTINEM, NY P PULESARI, WONOKERTO, K0000009 GEA; CHF; 02/09/2019 RS PURI BPJS
6 TURI SLEMAN, -, -, - CENDRAWASIH DISPEPSIA HUSADA -
KAB. SLEMAN
2019/09/07/00008 116202 SURMALAHADI BP L CANDI 007/014, K0000009 - 07/09/2019 RS PURI BPJS
4 PURWOBINANGUN, PAKEM, CENDRAWASIH HUSADA -
SLEMAN KAB. SLEMAN
2019/09/08/00000 116207 MARGARETHA P BRAYUT 04/29, K0000009 VERTIGO 08/09/2019 RS PURI BPJS
1 WANTINI, NY PANDOWOHARJO, SLEMAN, CENDRAWASIH HUSADA -
SLEMAN KAB. SLEMAN
2019/09/09/00025 115590 SRIYATUN, NY P DUSUN IBUL BARU, AIR K0000009 ANEMIA 10/09/2019 RSPH UMUM
0 UPAS, AIR UPAS, KETAPANG CENDRAWASIH GRAVIS,CA
MAMAE
2019/09/14/00004 116391 FELICITA ANINDYA P DUKUH, PANDOWOHARJO, K0000009 asthma 14/09/2019 - UMUM
6 LR SLEMAN, SLEMAN CENDRAWASIH
2019/09/20/00011 116532 IMMANUEL BASTIAN L BAKALAN, DONOHARJO, K0000009 ASMA 20/09/2019 UMUM
1 MATAWIJAYA, AN NGAGLIK, SLEMAN CENDRAWASIH BRONCHIAL
2019/09/23/00002 116103 HYASINTUS AGUS L BERAN KIDUL 04/28, K0000009 E
TUMOR 23/09/2019 dr. Trisni Nur BPJS
2 PURWIYANTO, BP TRIDADI, SLEMAN, SLEMAN CENDRAWASIH COLLIE Andayani
SUSP NHL
2019/09/24/00014 116524 SUWARSINAH NY P NGEMPLAK CABAN 003/008, K0000009 - 24/09/2019 UMUM
5 TRIDADI, SLEMAN, SLEMAN CENDRAWASIH
2019/01/01/00001 109143 ROSIHADI PUSPITA, P MURANGAN VII, TRIHARJO, K0000014 DAHLIA LBP TRAUMA 01/01/2019 - UMUM
6 NN SLEMAN, SLEMAN LUMBAL
2019/01/04/00000 108375 JATI GENENG L KAMDANEN 2/7, K0000014 DAHLIA - 04/01/2019 BPJS
7 SANTOSA, BP SARIHARJO, NGAGLIK,
2019/01/06/00000 045417 KASONO HADI L SLEMAN
KARANG TANJUNG, K0000014 DAHLIA - 06/01/2019 - UMUM
2 PRONOTO, BP PANDOWOHARJO, SLEMAN,
-, -, -
2019/01/07/00000 109254 SITI MARYATUN, NY P JURANGREJO, K0000014 DAHLIA - 07/01/2019 - UMUM
SLEMAN
2019/01/07/00008 036703 TRIYADI, BP L WONOKERSO, SARIHARJO K0000014 DAHLIA - 08/01/2019 klinik chandra BPJS
1 RT. 10/03, -, -, - brata medika
9/30/19 12:19 PM Page 33 of 103

2019/01/08/00012 076032 FRANSISKUS L GONDANGLEGI SARIHARJO K0000014 DAHLIA ckr 08/01/2019 - UMUM
1 BORGIAS NGAGLIK, -, -, -
2019/01/14/00013 109539 YULIAWAN,
PARSITI, NYBP P NGLENGKONG 002/024, K0000014 DAHLIA gea 14/01/2019 UMUM
4 SUKOHARJO, NGAGLIK,
2019/01/21/00002 109700 YUKO HAMAS L SLEMAN
KAMDANEN, K0000014 DAHLIA tumor pedis 21/01/2019 -
0 RAMADAN PENDOWOHARJO, SLEMAN, dextra
2019/01/24/00011 069912 SUPARTI, NY P SLEMAN
KEPANJEN 3/19, K0000014 DAHLIA DYSPNEU 24/01/2019 - UMUM
7 TRIMULYO, SLEMAN,
2019/01/29/00006 109943 TRI SUSILOWATI, P SLEMAN PANDOWOHARJO,
TLACAP, K0000014 DAHLIA of 30/01/2019 - BPJS
9 NY SLEMAN, SLEMAN KESEHATAN
2019/02/01/00013 110046 HADI SUMARTO, NY P DARI , HARGOBINANGUN, K0000014 DAHLIA - 01/02/2019 - UMUM
3 PAKEM, SLEMAN
2019/02/02/00001 069092 MARSUDIYONO, BP L TOINO PANDOWOHARJO, -, K0000014 DAHLIA PPOK 08/02/2019 -
8
2019/02/08/00009 064477 SUWARDJO, BP L -, -
TEGALSEMBUNG K0000014 DAHLIA BRTONCHOP 10/02/2019 -
3 PURWOBINANGUN PAKEM, -, NEMONIA,C
-, - HF,ANEMIA
2019/02/12/00008 110421 NAFISAH IVANA P PONOSARAN KIDUL K0000014 DAHLIA - 12/02/2019 BPJS
3 KHALILAH, AN KARANGGAWANG, KESEHATAN
2019/02/14/00005 110490 DWI ISYANTI,NY P MEDARI CILIK, K0000014 DAHLIA anemia mh 14/02/2019 BPJS
2019/02/18/00018 039945 WASILAH SUGIYO, P SLEMAN IV RT 3 RW 8,
KURAHAN K0000014 DAHLIA vertigo 18/02/2019 - BPJS
8 NY MARGOREJO, SEYEGAN, central KESEHATAN
SLEMAN
2019/02/26/00004 105084 JENDRO WINARTO, L TROJAYAN 3/5, K0000014 DAHLIA DM 01/03/2019 - BPJS
8 BP HARJOBINANGUN, PAKEM,
SLEMAN
2019/04/15/00025 037467 TRIYANTI, NY L KARANG JENJEM, K0000014 DAHLIA - 15/04/2019 RSPH BPJS
3 SARDONOHARJO, NGAGLIK, KESEHATAN
-, -, -
2019/04/25/00007 042374 GINEM, NY P NGAMBOH MARGOREJO K0000014 DAHLIA ulkus DM, 27/04/2019 UMUM
8 TEMPEL SLEMAN, -, -, - DM II NO,
2019/05/06/00017 112822 SUNARTO, BP L KALIWANGLU WETAN, K0000014 DAHLIA - 06/05/2019 -
SLEMAN
2019/05/17/00006 112938 SUGENG, BP L BOYONG 002/010 K0000014 DAHLIA - 17/05/2019 UMUM
3 HARGOBINANGUN PAKEM
SLEMAN, -, -, -
2019/05/17/00012 050049 SUNYOTO,BP L TEMPURSARI SARDONO K0000014 DAHLIA DF 17/05/2019 - BPJS
6 HARJO NGAGLIK SLEMAN, -,
2019/05/24/00004 064416 MEILINDA, NY L -, -
KARANGASEM 004/027 K0000014 DAHLIA DISPEPSIA 24/05/2019 UMUM
0 PANDOWOHARJO, -, -, -
2019/05/27/00018 113388 TRIYANTO, BP L KARANGWUNI, K0000014 DAHLIA CYSTITIS 27/05/2019 Turi BPJS
2019/06/02/00000 030584 SOMO HARSONO / P SLEMAN 003/033
DRONO K0000014 DAHLIA hemiparese 02/06/2019 UMUM
3 WAGIYEM, NY SARIHARJO, NGAGLIK, dextra ec
2019/06/08/00012 079212 MULYATI, NY P SLEMAN,DIY, 02/07,
BRENGOSAN -, -, - SNH
K0000014 DAHLIA VERTIGO,CH 08/06/2019 RS PURI BPJS
2 DONOHARJO, NGAGLIK, F HUSADA -
SLEMAN KAB. SLEMAN
2019/06/13/00012 113819 FITRI NARYANTO, L KALIRASE 01/29, K0000014 DAHLIA - 13/06/2019 - UMUM
1 BP TRIMULYO, SLEMAN,
SLEMAN
9/30/19 12:19 PM Page 34 of 103
2019/06/17/00006 106258 MUGIASRI/ YUSUP, P GATAK, KLEGUNG, K0000014 DAHLIA - 17/06/2019 Klinik SWA BPJS
5 NY DONOKERTO, TURI, SLEMAN
2019/06/19/00007 011196 HARDI UTOMO, NY P GONDANG LUTUNG, -, -, - K0000014 DAHLIA penuruan 19/06/2019 - UMUM
9 kesadaran
2019/06/25/10014 033360 SURATINI, NY P TEGAL SARI, SARIHARJO, -, K0000014 DAHLIA GEA,DM 25/06/2019 RS PURI UMUM
5 -, - HUSADA -
KAB. SLEMAN
2019/06/28/00013 114285 SEPTIANI, NN P MAJEGAN 3/33, K0000014 DAHLIA TUMOR 28/06/2019 Klinik SWA BPJS
2 PANDOWOHARJO, SLEMAN, COLLI
SLEMAN SINISTRA
2019/07/05/00009 114489 PURTIANTO, BP L POTRO, PURWOBINANGUN, K0000014 DAHLIA hiperglikemi 05/07/2019 UMUM
1 PAKEM, SLEMAN a pd DM
2019/07/08/00017 114562 AHMAD NUR ALIM, L DAYAKAN, SARDONOHARJO, K0000014 DAHLIA - 08/07/2019 RS PURI BPJS
7 AN NGAGLIK, SLEMAN HUSADA -
KAB. SLEMAN
2019/07/10/00022 114043 SULISTIYO PRASIWI P KRAPYAK, TRIHARJO, K0000014 DAHLIA GRANULOMA 10/07/2019 Sleman BPJS
0 DAYANING WARNI, SLEMAN, SLEMAN PUNGGUNG
2019/07/12/00018 114703 NY
SAPARI/ PARDI L TUREN, SARDONOHARJO, K0000014 DAHLIA STROKE 12/07/2019 RS PURI UMUM
2 WIYONO, BP SLEMAN, SLEMAN INFARK HUSADA -
OH6 KAB. SLEMAN
2019/07/22/00015 114950 SIGIT EDY L BULUSAN, SARDONOHARJO, K0000014 DAHLIA fraktur 22/07/2019 UMUM
0 PURWANTO, BP NGAGLIK, SLEMAN corpal digiti
2019/07/24/00028 115031 M SANUSI LATIF S L MUNDU JL ANGGUR 205-B K0000014 DAHLIA 1
- 24/07/2019 UMUM
4 FILI SPd 006/002, CATURTUNGGAL,
DEPOK, SLEMAN
2019/07/24/00024 114993 ELLISA DENIYANTI, P WONOREJO, SARIHARJO, K0000014 DAHLIA reposisi GA 24/07/2019 Ngaglik II BPJS
7 AN NGAGLIK, SLEMAN
2019/07/22/00017 114508 PX UJI COBA L , -, -, - K0000014 DAHLIA - 26/07/2019 UMUM
1
2019/07/28/00000 110852 SUDARYONO BP L BLEKIK RT 04/ RW 026, K0000014 DAHLIA DF 28/07/2019 RS PURI UMUM
9 SARDONOHARJI, NGAGLIK, HUSADA -
SLEMAN KAB. SLEMAN
2019/08/02/00016 067306 LUKY LISANDRA P KEPITU PANDOWOHARJO K0000014 DAHLIA - 02/08/2019 Sleman BPJS
8 PUSPARINI, NN SLEMAN, PANDOWOHARJO,
SLEMAN, SLEMAN
2019/08/04/00006 114643 HARMASTO BP L JONGKE LOR 001/026, K0000014 DAHLIA - 05/08/2019 - BPJS
2019/08/12/00020 115485 BUDI WIDIANTO BP L SLEMAN
NGANGKRIK 002/014, K0000014 DAHLIA - 12/08/2019 RS PURI BPJS
2 TRIHARJO, SLEMAN, HUSADA -
SLEMAN KAB. SLEMAN
2019/08/19/10011 115673 YABARUDI, SDR L KARANG TANJUNG, K0000014 DAHLIA open fr. 19/08/2019 RS PURI UMUM
1 PANDOWOHARJO, NGAGLIK, phalanx digit HUSADA -
SLEMAN 5 manus KAB. SLEMAN
2019/08/21/00002 115677 SARIJO BP L DUKUH 003/018, TRIDADI, K0000014 DAHLIA sinistra
ULKUS DM 21/08/2019 Sleman BPJS
7 SLEMAN, SLEMAN
2019/08/23/00009 115761 MOCHAMAD TEGAR L JETIS JOGOPATEN 01/32, K0000014 DAHLIA TUMOR 23/08/2019 Klinik SWA BPJS
6 GILANG PRAYUDA PANDOWOHARJO, NGAGLIK, PEDIS
SLEMAN
2019/09/02/00010 078610 SRI AMBARWATI, P DUKUH 04/18, TRIDADI, K0000014 DAHLIA tringger 02/09/2019 Klinik SWA BPJS
3 NY SLEMAN, SLEMAN finger
2019/09/09/00016 116239 SUTRISNIATI L SIDOMULYO 003/027, K0000014 DAHLIA dispepsia 09/09/2019 RS PURI UMUM
6 TRIMULYO, SLEMAN, HUSADA -
SLEMAN KAB. SLEMAN
9/30/19 12:19 PM Page 35 of 103

2019/09/18/00015 116420 USNIATI PUTRI, AN P PALAGAN, WONOREJO K0000014 DAHLIA SUSP 18/09/2019 UMUM
0 04/08, SARIHARJO, APPENDICIT
NGAGLIK, SLEMAN IS ACUT
2019/09/23/00014 115671 EKO YULIANTO L KEMLOKO 04/02, CATUR K0000014 DAHLIA POLIP RECTI 23/09/2019 RS PURI BPJS
2 HARJO, SLEMAN, SLEMAN HUSADA -
KAB. SLEMAN
2019/09/25/00029 116673 LIA DYAH P JL ANGGREK, SIDAKAYA, K0000014 DAHLIA - 25/09/2019 - BPJS
4 NURYANTI ,NY COLACAP SELATAN,
2019/09/25/00031 116685 ARIFFAH NUR P CILACAP1/10, DONOHARJO,
SURUH K0000014 DAHLIA - 25/09/2019 - BPJS
2019/09/30/00004 050314 MULYANTO, BP L TOINO, PANDOWOHARJO, K0000014 DAHLIA - 30/09/2019 Klinik SWA BPJS
0 SLEMAN, -, -, -
2019/01/02/00000 109172 ASLINA, NY P DUSUN BARAT, SEI NILAM, K0000008 - 02/01/2019 - UMUM
4 JAWAI, SAMBAS GARDENIA
2019/01/05/00011 061850 ERNI, NY P KARANGJENJEM, K0000008 DF 05/01/2019 UMUM
3 SARDONOHARJO, NGAGLIK, GARDENIA
-, -, -
2019/01/06/00002 031504 SAMIHARJO, NY P LEDOK WARENG RT.02/35, K0000008 anorexia 11/01/2019 - UMUM
7 SARDONOHARJO, NGAGLIK, GARDENIA geriatri
-, -, -
2019/01/14/00017 065780 MUKIJAH REJO P PLALANGAN K0000008 PANSITOPE 14/01/2019 - BPJS PEKERJA
0 MARTONO, NY PANDOWOHARJO SLEMAN, GARDENIA NI MANDIRI
2019/01/21/00006 109705 GUNAWAN, BP L -, -, - PONDOK DAMAI,
PERUM K0000008 TF 21/01/2019 BPJS
6 MALANG, CATURHARJO, GARDENIA
SLEMAN, SLEMAN
2019/01/23/00020 072079 NURMAYA P DERO KULON K0000008 - 23/01/2019 -
5 KURNIAWATI HARJOBINAGUN PAKEM GARDENIA
BROTO,NY SLEMAN, HARJOBINANGUN,
PAKEM, SLEMAN
2019/01/25/00003 109621 SUBROTO, BP L NGABEAN KULON 6/36, K0000008 - 25/01/2019 BPJS
5 SINDUHARJO, NGAGLIK, GARDENIA
SLEMAN
2019/01/25/00004 109779 SALVARESA EKA L SLEMAN III 3/8, TRIHARJO, K0000008 hil sin 25/01/2019 BPJS
0 PRIYANGGA, SDR SLEMAN, SLEMAN GARDENIA
2019/01/29/00015 109432 MARSUDI, BP L DUMUNG , NANGSRI, K0000008 penkes 29/01/2019 - BPJS
8 MANISRENGGO, KLATEN GARDENIA
2019/02/01/00012 055314 ARI TRIYANTO, BP L KADISOBO II, TRIMULYO, K0000008 SELULITIS 02/02/2019 -
5 SLEMAN, SLEMAN GARDENIA
2019/02/08/00002 046491 SUROSO, BP L LEMPONGSARI SARIHARJO, K0000008 hemoroid gr 08/02/2019 -
7 NGAGLIK, -, -, - GARDENIA 3-4
2019/02/11/00001 073685 PUJIYATMI, NY P NIRON, PANDOWOHARJO, K0000008 ULCUS DM 11/02/2019 -
9 SLEMAN, -, -, - GARDENIA
2019/02/13/00015 110383 PRAYITNO, BP L REJODANI 002/003 K0000008 - 13/02/2019 BPJS
2 SARIHARJO NGAGLIK GARDENIA KESEHATAN
2019/02/13/00011 106236 SANTOSO,BP L SLEMAN, -, -, - JLN
KEMBANGARUM/ K0000008 tumor pedis 14/02/2019 BPJS
8 VETERAN NO 48 RT 1 RW 5, GARDENIA KESEHATAN
DONOKERTO, TURI, SLEMAN
2019/02/15/10002 054360 E. HARTINI, NY P KEPANJEN TRIMULYO K0000008 - 15/02/2019 -
2019/02/15/10016 110531 HERU SUPRIHATIN, L POTROWANGSAN 2/24, K0000008 leptospirosis 15/02/2019 UMUM
1 BP CANDIBINANGUN, PAKEM, GARDENIA
SLEMAN
9/30/19 12:19 PM Page 36 of 103
2019/02/26/00012 110860 RASYA RAMAVIA P SEJATI PASAR 2/17, dyspepsia 26/02/2019
5 NAFA SAKILA, AN SUMBERARUM, MOYUDAN,
SLEMAN
2019/03/08/00008 078946 ROCHINAH, NY L NIRON, PANDOWOHARJO, ulkus pedis 08/03/2019
2 SLEMAN, SLEMAN
2019/03/11/00001 111160 TRI WIDAYATI NY P PANGGERAN IX RT 03/ RW nail 11/03/2019
4 34, TRIHARJO, SLEMAN, impacted
2019/03/12/00013 078859 WAGIYO, BP L SLEMAN
GONDANGLEGI SARIHARJO sinistra
of h 2 12/03/2019
4 NGAGLIK SLEMAN, -, -, -
2019/03/15/00014 111335 RINI SUSILAWATI P SOHO KULON RT , dehisiensi 15/03/2019
9 NY MERDIKERTO, TEMPEL, post
2019/03/15/00015 111336 SUHARINTEN NY P SLEMAN
WADAS RT 05/ RW 02, appendictom
asma 16/03/2019
4 TRIDADI, SLEMAN, SLEMAN i
bronciale,
2019/03/17/00004 111436 DIAN ISNANINGSIH, P NGABEAN, BANYUREJO, HT
- 18/03/2019
4 NN TEMPEL, SLEMAN
2019/03/18/00004 057389 SRI SUGIYANTI, NY P PLALANGAN TUMOR 18/03/2019
7 PANDOWOHARJO SLEMAN, COLLI
2019/03/21/00014 111568 ADE EVA P -, -, -
KRANDON 001/043 - 21/03/2019
0 FATMAWATI, NN PANDOWOHARJO SLEMAN,
-, -, -
2019/03/23/00006 108127 SUYATNO,BP L JABAN RT 1 RW 12, obs dyspneu 23/03/2019
2019/03/27/00014 106185 SUHARTI, NY P NGANGKRIKRT 04/ RW 014, tumor cruris 27/03/2019
9 TRIHARJO, SLEMAN, D
2019/03/28/00012 061140 ARKA BINTANG L SLEMAN
TEGALWERU SARIHARJO HFMD 28/03/2019
5 PRASETYA, AN NAGGLIK SLEMAN, -, -, -
2019/04/01/00004 003234 AGNES P TAMBAKREJO, GEA 01/04/2019
4 SUPRIYATI,NY SARIHARJO,NGAGLIK, -, -, -
2019/04/03/00001 108706 FATONAH, NY P PAMBREGAN , TRIMULYO, angina 03/04/2019
0 SLEMAN, SLEMAN pictoris
2019/04/06/00011 111971 HARYONO, BP L NANDAN, SARIHARJO, - 06/04/2019
6 NGAGLIK, SLEMAN, DIY, -, -,
2019/04/07/00003 112013 NUR LU LU UL P -
NGLAMPAR 2/8, - 07/04/2019
8 KHADLIROH, NN CATURHARJO, SLEMAN,
2019/04/13/00013 037800 TUGIYATI, NY P SLEMAN
BANTARJO, DONOHARJO, HEMATEMES 13/04/2019
5 NGAGLIK,, -, -, - IS MELENA,
SIROSIS
HEPATIS
2019/04/18/00018 071285 DERRY MEILANA L WADAS TRIDADI SLEMAN, -, dispepsia 20/04/2019
5 JEFFRI, SDR -, -
2019/04/22/00020 112444 RR. RATNA P TEMULAWAK 009/ 038, DISPEPSI 22/04/2019
8 PRASETYAWATI,NY TRIHARJO, SLEMAN,
2019/04/29/00018 110696 SUGIYATI P SLEMAN
KLOPOSAWIT, GIRIKERTO, chf, svt 29/04/2019
4 TURI, SLEMAN
2019/05/01/00002 020426 M. SHEVA L PRUJAKAN JL. KALIURANG DF 01/05/2019
7 RAMADHAN, AN KM.08, -, -, -
2019/05/06/00021 112750 ADUNG HASTIAN, L PISANGAN, TRIDADI, DF 07/05/2019
5 BP SLEMAN, SLEMAN
2019/05/09/00010 112923 RINO BHAGAS L POKOH 5/12, - 09/05/2019
3 PUTRA, SDR UMBULMARTANI, NGAGLIK,
2019/05/12/00000 112980 SUPARYANTO, BP L SLEMAN
KADILOBO DF 12/05/2019
1 PURWOBINANGUN
9/30/19 12:19 PM Page 37 of 103
PAKEM SLEMAN DIY, -, -, - GARDENIA
2019/05/13/00003 075727 MURJANI, BP L PANGGERAN IX 4/35, K0000008 ulkus dm 14/05/2019 -
6 TRIHARJO, SLEMAN, GARDENIA
2019/05/15/00007 112641 WINDI TANTRI P SLEMANKIDUL JL.
BERAN K0000008 cholesistitis; 15/05/2019 BPJS
2 NINGRUM, NY FLAMBOYAN 006/029 GARDENIA cholelitiasis
TRIDADI SLEMAN DIY, -, -, -
2019/05/20/00006 002598 ASHARI AHMAT, BP L PRUMPUNG, K0000008 DF 20/05/2019 UMUM
4 SARDONOHARJO, NGAGLIK GARDENIA
2019/05/24/00001 113215 RIYANTA L SLEMAN, -, -, -
RANDUSONGO, K0000008 hemoroid 24/05/2019 BPJS
5 DWIJAWIYATA, BP DONOKERTO, TURI, SLEMAN GARDENIA
2019/05/28/00004 113412 PATRICIA P KOST GRIYA WIDYA, K0000008 df 28/05/2019 RS PURI UMUM
7 WULANDARI, NN PALAGAN, SLEMAN, GARDENIA HUSADA -
YOGYAKARTA, -, -, - KAB. SLEMAN
2019/06/03/10028 050314 MULYANTO, BP L TOINO, PANDOWOHARJO, K0000008 ULKUS DM 03/06/2019 Klinik SWA BPJS
2019/06/06/00000 113630 AFFIFANSA CIKA P BETENG , TRIDADI, K0000008 - 08/06/2019 BPJS
4 MEHINDA SLEMAN, SLEMAN GARDENIA
DHANAKY, NN
2019/06/07/00007 054919 SUPARTIYAH,NY P PISANGAN, TRIDADI , - K0000008 dm,neprhop 09/06/2019 RS PURI UMUM
1 SLEMAN, -SLEMAN GARDENIA ati, vertigo HUSADA -
KAB. SLEMAN
2019/06/17/00020 113960 ARIF L PANDESARI 5/8, PARAKAN K0000008 - 17/06/2019 RS PURI BPJS
7 BUDIAWAN,SDR WETAN, PARAKAN, GARDENIA HUSADA
TEMANGGUNG
2019/06/18/00013 113990 SLAMET HERRY L GODEAN IV, SIDOAGUNG, K0000008 ulkus Dm 18/06/2019 RS PURI BPJS
0 SANTOSO, BP GODEAN, SLEMAN GARDENIA HUSADA -
KAB. SLEMAN
2019/06/21/10006 114056 R WALUYO JATI, BP L GADING WETAN, K0000008 BACTHERIAL 21/06/2019 RS PURI UMUM
7 DONOKERTO, TURI, SLEMAN GARDENIA INFECTION, HUSADA -
CHEPALGIA KAB. SLEMAN
AKUT
2019/06/28/00016 065677 DASIRAH, NY P PELEM HARJOBINANGUN K0000008 CHF 28/06/2019 RS PURI BPJS
4 PAKEM, HARJOBINANGUN, GARDENIA HUSADA -
PAKEM, SLEMAN KAB. SLEMAN
2019/07/08/00011 113082 IKHSANUDIN BP L KEMIRI 005/022, K0000008 granuloma 08/07/2019 Tempel I BPJS
5 MARGOREJO, TEMPEL, GARDENIA punggung
2019/07/09/00008 114596 MACY AESAR FI L SLEMAN
CLUMPRIT, K0000008 VULNUS 09/07/2019 - UMUM
3 DARAIN, AN SARODOHOARJO, NGAGLIK, GARDENIA LACERATUM
2019/07/12/00001 114132 TUKIYANTI P SLEMAN 003/010,
BOYONG K0000008 - 12/07/2019 RS PURI BPJS
0 HARGOBINANGUN, PAKEM, GARDENIA HUSADA -
SLEMANDIY KAB. SLEMAN
2019/07/12/00012 114478 M. GALIEH L PERUM KANAKA SEJAHTERA K0000008 TUMOR 12/07/2019 Klinik Keluarga BPJS
3 GUNAGAMA NO2 K TIYASAN, CONDONG GARDENIA LENGAN Sembada
CATUR, DEPOK, SLEMAN SINISTRA
2019/07/22/00016 114321 SUMIYATI, NY P CEPIT, HARJOBINANGUN, K0000008 - 22/07/2019 Klinik Satria BPJS
0 PAKEM, SLEMAN GARDENIA Gadingan
2019/07/25/00011 115051 WIRATMI, NY P BLOK KAMPUNG BARU, K0000008 ULKUS DM 25/07/2019 - UMUM
7 SERANG, CIREBON, - GARDENIA
2019/07/31/00013 115184 AKHMAD MUJIB, BP L MUDAL RT 02/19, K0000008 ULKUS DM 31/07/2019 - BPJS
0 SARIHARJO, NGAGLIK, GARDENIA
2019/08/02/00016 067306 LUKY LISANDRA P SLEMAN
KEPITU PANDOWOHARJO K0000008 SISTITIS 03/08/2019 Sleman BPJS
8 PUSPARINI, NN SLEMAN, PANDOWOHARJO, GARDENIA
9/30/19 12:19 PM Page 38 of 103

SLEMAN, SLEMAN
2019/08/05/00004 115257 ALIFTIANA P BANYURIP 007/009, K0000008 TUMOR 05/08/2019 Seyegan BPJS
2 MAHARANI MARGOAGUNG, SEYEGAN, GARDENIA ANTEBRACH
SLEMAN I SINISTRA
2019/08/07/00015 115371 SANTOSO, BP L JL. WR. SUPRATMAN 05/11, K0000008 - 07/08/2019 - UMUM
9 GISIKDRONO, SEMARANG GARDENIA
BARAT, SEMARANG
2019/08/07/00023 115387 HARIYOSO,BP L JLN KAPT HARYADI NO 2 K0000008 SYOK 07/08/2019 RSPH BPJS
0 NGENTAK RW 23, GARDENIA HIPOVOLEM
SINDUHARJO, NGAGLIK, I; VL NASAL
2019/08/16/00011 115591 MUHAMMAD IRFAN L BATANG
SLEMAN GEDE, K0000008 TUMOR 16/08/2019 dr. Sutaris BPJS
1 MURTADHO, BP TAMBAKREJO, TEMPEL, GARDENIA UMBILIKALI
2019/08/20/00001 115694 SUPARMAN, BP L SLEMAN
GAMA ASRI/ TEMANDANG II, K0000008 S
bacteri 19/08/2019 RS PURI UMUM
3 PENDOWO, KRANGGAN, GARDENIA infection HUSADA -
TEMANGGUNG KAB. SLEMAN
2019/08/23/00006 115800 NATAR,BP L JLEGONGAN 3/27, K0000008 ABSES 23/08/2019 Tempel I BPJS
2 MARGOREJO, TEMPEL, GARDENIA PERIANAL
2019/08/24/00012 027977 RYO DWI RIZALDI, L SLEMAN SINDUHARJO
LOJAJAR K0000008 DENGUE 24/08/2019 - UMUM
5 SDR NGAGLIK SLEMAN, -, -, - GARDENIA FEVER
2019/09/02/00007 043776 SUMARMAN, BP L JLAMPRANG K0000008 SNH; 02/09/2019 RS PURI BPJS
5 PANDOWOHARJO SLEMAN, GARDENIA DISLIPIDEMI HUSADA -
PANDOWOHARJO, SLEMAN, A KAB. SLEMAN
2019/09/08/00000 116207 MARGARETHA P BRAYUT
SLEMAN 04/29, K0000008 - 08/09/2019 RS PURI BPJS
1 WANTINI, NY PANDOWOHARJO, SLEMAN, GARDENIA HUSADA -
SLEMAN KAB. SLEMAN
2019/09/08/00002 111347 PURWANTI, NY P CANDI, PURWOBINANGUN, K0000008 VERTIGO 08/09/2019 - UMUM
1 PAKEM, SLEMAN GARDENIA
2019/09/10/00010 051280 SITI SURATMI, NY P GONDANG LUTUNG 05/20, K0000008 HIPERGLIKE 10/09/2019 - BPJS ASKES
7 DONOHARJO, NGAGLIK, GARDENIA MI,DM PENSIUNAN
SLEMAN
2019/09/14/00012 115590 SRIYATUN, NY P DUSUN IBUL BARU, AIR K0000008 VERTIGO; 14/09/2019 - UMUM
8 UPAS, AIR UPAS, KETAPANG GARDENIA CA MAMAE
2019/09/20/00011 116532 IMMANUEL BASTIAN L BAKALAN, DONOHARJO, K0000008 - 20/09/2019 UMUM
1 MATAWIJAYA, AN NGAGLIK, SLEMAN GARDENIA
2019/09/20/00006 064764 ELISABETH SRI P SURODADI 003/001 K0000008 DISLOKASI 20/09/2019 Turi BPJS
2 SUMIYATUN, NY DONOKERTO TURI, -, -, - GARDENIA SHOULDER
JOINT
2019/09/25/00022 113845 R. AGUS JUWARI, L PLUMBON LOR, MOROREJO, K0000008 SNH
DEXTRA 25/09/2019 RS PURI BPJS
5 BP TEMPEL, SLEMAN GARDENIA RECURENT HUSADA -
OH6 KAB. SLEMAN
2019/09/29/00004 027813 RAHAYU MULYATI, P BLEKIK 02/00, K0000008 - 29/09/2019 UMUM
1 NY SARDONOHARJO, NGAGLIK, GARDENIA
SLEMAN
2019/01/04/00001 109223 SUTJIATI, NY P KAMDANEN 002/007, K0000010 ulcus 04/01/2019 BPJS
6 SARIHARJO, NGAGLIK, GARUDA dicubitus
2019/01/06/00000 045417 KASONO HADI L SLEMAN TANJUNG,
KARANG K0000010 HT 06/01/2019 - UMUM
2 PRONOTO, BP PANDOWOHARJO, SLEMAN, GARUDA URGENCY,D
-, -, - M II
2019/01/11/00001 017234 KUSDARINAH, NY P BRAYUT, PENDOWOHARJO, K0000010 fraktur ankle
NO,IHD,VER 11/01/2019 KLINIK SWA BPJS
8 -, -, - GARUDA TIGO
2019/01/14/00002 067648 SUNARTI, NY P PLUMBON SARDONOHARJO, K0000010 # radius 14/01/2019 -
3 -, -, - GARUDA sinistra
9/30/19 12:19 PM Page 39 of 103

2019/01/15/00006 109559 AGUS SETIAWAN, L NGLEMPONGSARI, K0000010 pneumoni 15/01/2019 - UMUM
9 BP SARIHARJO, NGAGLIK, GARUDA
2019/01/21/00000 014187 JUMINTEN, NY P SLE,MANRT 26/03,
BLEKIK, K0000010 tumor pedis 21/01/2019 BPJS
2 SARDONOHARJO, NGAGLIK, GARUDA sinistra
SARDONOHAJRO, NGAGLIK,
SLEMAN
2019/01/23/00019 026045 PANGGIH BEKTI L KARANGASEM, K0000010 cystitis 23/01/2019 - BPJS
9 RIMBAWAN, AN PANDOWOHARJO, -, -, - GARUDA
2019/01/29/00010 109951 MARJIONO, BP L SUKODONO 5/16, K0000010 DM,CKD ec 29/01/2019 - UMUM
4 DONOKERTO, TURI, SLEMAN GARUDA ND,VOMITU
2019/02/04/00016 110181 PARJIYO L JL. STASIUN CAKUNG K0000010 S
DIABETICFO 04/02/2019 BPJS
9 HADIWIDJOYO, BP 008/003 PULO GEBANG GARUDA OT KESEHATAN
CAKUNG JAKARTA TIMUR, -,
2019/02/09/00006 109804 SUHARTO, BP L GESIKAN
-, - , MERDIKOREJO, K0000010 CHF,HHD,VE 09/02/2019 -
9 TEMPEL, SLEMAN GARUDA RTIGO
2019/02/13/00006 110440 AUDREY MANALU, P JL ANGGREK GONDANG K0000010 GEA 13/02/2019 UMUM
9 AN LEDI, SARIHARJO, NGAGLIK, GARUDA DISENTRI
2019/02/20/00017 110694 ABDILAH MEIZA, L SLEMANGTA BLOK F 704/705
PERUM K0000010 - 20/02/2019 BPJS
7 SDR DONOHARJO NGAGLIK GARUDA
SLEMAN, -, -, -
2019/02/21/00008 110720 SITI ROMZAH A. P KOMP. TURONGGOASRI K0000010 hipoglikemi 21/02/2019 UMUM
6 FATONI, NY BLOK II/14 GANDOK GARUDA
008/063 CONDONGCATUR
DEPOK SLEMAN, -, -, -
2019/02/26/00004 105084 JENDRO WINARTO, L TROJAYAN 3/5, K0000010 - 26/02/2019 - BPJS
8 BP HARJOBINANGUN, PAKEM, GARUDA
SLEMAN
2019/03/08/00003 111078 TUTIK WIYANTI, NY P SANGGRAHAN, K0000010 tumor 09/03/2019 -
8 CATURHARJO, SLEMAN, GARUDA payudara
SLEMAN dekstra
2019/03/11/00006 037800 TUGIYATI, NY P BANTARJO, DONOHARJO, K0000010 SIROSIS 11/03/2019 - UMUM
5 NGAGLIK,, -, -, - GARUDA HEPATIS,CH
F,ISK,ANEMI
2019/03/16/00011 111409 MUH. DARIYONO L POJOK WONOKERTO TURI K0000010 -
A 16/03/2019 UMUM
5 DALIYO, BP SLEMAN, -, -, - GARUDA
2019/03/17/00004 111436 DIAN ISNANINGSIH, P NGABEAN, BANYUREJO, K0000010 ISK 18/03/2019 - UMUM
4 NN TEMPEL, SLEMAN GARUDA
2019/03/22/00005 111516 INDRATI PRASIWI, P GABUGAN, -, -, - K0000010 tumor 22/03/2019 BPJS
6 NY GARUDA payudara
sinistra
2019/03/25/00005 111479 SUGENG SUPRAPTO, L MARGOREJO ASRI BLOK M K0000010 TUMOR 25/03/2019 BPJS
9 BP 11, MARGOREJO, TEMPEL, GARUDA COLLI
2019/03/27/00024 030874 SAIJO, BP L SLEMAN
PRUMPUNG, K0000010 cholelithiasis 27/03/2019 UMUM
2 SARDONOHARJO, NGAGLIK, GARUDA ,cholesistitis
2019/04/01/00015 002229 AGUS KRISDIANTO, L -, -, - RT/RW: 03/24,
PENEN, K0000010 DF 02/04/2019 - BPJS
9 SDR HARJOBINANGUN, PAKEM, -, GARUDA
-, -
2019/04/05/00014 111938 SITI FATIMAH, NY P KRAPYAK , TRIHARJO, K0000010 thypoid fever 05/04/2019 - UMUM
5 SLEMAN, SLEMAN GARUDA
2019/04/10/00030 112122 INDAH P TURI JOGOKERTEN, K0000010 tumor 10/04/2019 DR. SUNARKO BPJS
6 KURNIAWATI, NN TRIMULYO, SLEMAN, GARUDA payudara
SLEMAN dextra
9/30/19 12:19 PM Page 40 of 103

2019/04/13/00003 112180 RETNO PUJI P NGETIRAN, SARIHARJO, K0000010 HIPERGLIKE 13/04/2019 - BPJS
5 ASTUTI, NY NGAGLIK, SLEMAN GARUDA MI DM
2019/04/16/00015 112302 NY KASONO HADI P KARANG TANJUNG 5/13, K0000010 gea, HT 16/04/2019 BPJS
3 PRANOTO PANDOWOHARJO, NGAGLIK, GARUDA
SLEMAN
2019/04/23/00008 108040 WAGINEM P PAJANGAN RT 4 RW 9, K0000010 CHF 23/04/2019 - BPJS
7 MURDIYATI,NY PANDOWOHARJO, SLEMAN, GARUDA KESEHATAN
SLEMAN
2019/04/29/00008 076029 NGADILAH,NY P KAWEDAN BANGUNKERTO K0000010 ulkus dm 29/04/2019 KLINIK SWA BPJS
9 TURI SLEMAN, -, -, - GARUDA
2019/04/30/00010 060462 REISA TRISNA P KARANG TANJUNG K0000010 DF 01/05/2019 - UMUM
9 DEWANI, AN PANDOWOHARJO, -, -, - GARUDA
2019/05/05/00004 031564 SUKIDIANTO, BP L NGEPAS LOR, DONOHARJO, K0000010 DF 05/05/2019 RSPH BPJS
5 NGAGLIK, -, -, - GARUDA
2019/05/09/00010 112923 RINO BHAGAS L POKOH 5/12, K0000010 DF 09/05/2019 UMUM
3 PUTRA, SDR UMBULMARTANI, NGAGLIK, GARUDA
2019/05/13/00018 061427 FAHRY FADEL LAYA, L SLEMANSLEMAN PERMAI
PERUM K0000010 - 13/05/2019 BPJS
1 SDR TRIDADI, -, -, - GARUDA
2019/05/15/00021 113094 WISNU RESIAJI, AN L MRISEN 5/21, K0000010 GEA 15/05/2019 UMUM
9 SARDONOHARJO, NGAGLIK, GARUDA DESENTRI
2019/05/17/00006 112938 SUGENG, BP L SLEMAN 002/010
BOYONG K0000010 TF 17/05/2019 UMUM
3 HARGOBINANGUN PAKEM GARUDA
SLEMAN, -, -, -
2019/05/23/00010 113265 ENY NUR P GAMBLOK, GONDANG LEGI, K0000010 GEA 23/05/2019 KLINIK BPJS
8 SULISTIANI MERDIKOREJO, TEMPEL, GARUDA POLRES
SLEMAN SLEMAN
2019/05/26/00002 066875 ALFIN ERLIAN L WONOREJO SARIHARJO K0000010 DF 26/05/2019 RS PURI BPJS
0 SAPTRA, AN NGAGLIK, SARIHARJO, GARUDA HUSADA -
NGAGLIK, SLEMAN KAB. SLEMAN
2019/05/30/00032 070811 TUMINEM, NY P JETIS DONOLAYAN, K0000010 ulkus 30/05/2019 UMUM
7 DONOHARJO, NGAGLIK, - GARUDA dikubitus
SLEMAN
2019/06/06/00005 113650 DERI ALFIAN L CEPET, PURWOBINANGUN, K0000010 df 06/06/2019 RS PURI BPJS
9 FEBRIANTO, SDR PAKEM, - GARUDA HUSADA -
KAB. SLEMAN
2019/06/10/00000 008579 ENDANG DWI P GABUGAN, DONOKERTO K0000010 - 10/06/2019 dr. BPJS
3 NINGSIH TURI SLEMAN, -, -, - GARUDA Sulistyowati
2019/06/10/00015 113386 KUSRIANTINAH,
TITIK SRI NY P SONOKULON, K0000010 ANGINA 10/06/2019 Klinik SWA BPJS
1 WAHYUNINGSIH, NY MERDIKOREJO, TEMPEL, GARUDA PECTORIS
2019/06/17/00012 012975 IRMA SUCI ZASARI, P SLEMAN
NGEMPLAK 02/31, K0000010 df 17/06/2019 RS PURI BPJS
3 NY DONOHARJO, NGAGLIK, GARUDA HUSADA -
SLEMAN KAB. SLEMAN
2019/06/20/00012 105084 JENDRO WINARTO, L TROJAYAN 3/5, K0000010 CHF; DM 20/06/2019 RS PURI UMUM
6 BP HARJOBINANGUN, PAKEM, GARUDA HUSADA -
SLEMAN KAB. SLEMAN
2019/06/24/00008 114132 TUKIYANTI P BOYONG 003/010, K0000010 tumor 24/06/2019 Klinik SWA BPJS
4 HARGOBINANGUN, PAKEM, GARUDA payudara S
SLEMANDIY
2019/06/25/10014 073057 SURADI, BP L KEPITU, TRIMULYO, -, -, - K0000010 ANEMIA 25/06/2019 RS PURI UMUM
4 GARUDA GRAVIS HUSADA -
PADA CML KAB. SLEMAN
2019/06/28/00024 022080 MARDI UTOMO,BP L BONJOTAN, -, -, - K0000010 - 28/06/2019 RSPH UMUM
1 GARUDA
9/30/19 12:19 PM Page 41 of 103
2019/06/29/00011 114321 SUMIYATI, NY P CEPIT, HARJOBINANGUN, K0000010 HT 02/07/2019 RS PURI UMUM
3 PAKEM, SLEMAN GARUDA URGENCY HUSADA -
KAB. SLEMAN
2019/07/05/00014 114507 SUKENI,NY P JL. KOMPAS NO 09 3/1, K0000010 GEA 05/07/2019 RSPH UMUM
6 PACITAN, PACITAN, GARUDA
2019/07/08/00012 113183 PROBO WINASTUTI, P PACITAN -PANDOWOHARJO,
BRAYUT, K0000010 hemoroid gr 08/07/2019 Klinik Satria BPJS
3 NY -NGAGLIK, SLEMAN GARUDA 4 Gadingan
2019/07/09/00000 114561 SRI PUJI UTAMI, NY P KADISOBO I, TRIMULYO, K0000010 CHF, 09/07/2019 RS PURI UMUM
3 SLEMAN, SLEMAN GARUDA ARITMIA HUSADA -
KAB. SLEMAN
2019/07/15/10026 106649 SAMIRAH, NY P CAWAN PUCANG , K0000010 fever,dm,hh 15/07/2019 - BPJS
8 WIDODOMARTANI, GARUDA d
NGEMPLAK, SLEMAN
2019/07/19/00017 114154 UMIYATUN, NY P SOKODONO, JOMBORAN, K0000010 pneumonia,i 19/07/2019 - UMUM
4 DONOKERTO, TURI GARUDA sk
2019/07/23/00013 115001 BAMBANG UTORO, L JL. SASAK DALAM NO I B, K0000010 fraktur 24/07/2019 KEC. KEBON BPJS
6 BP KELAPA DUA, KB JERUK, GARUDA metacarpal 5 JERUK
JAKARTA BARAT manus d
2019/07/26/00002 115006 NUR ROKHMAD, BP L BANGUNSARI, K0000010 TUMOR 26/07/2019 dr. BPJS
4 BANGUNKERTO, TURI, GARUDA PUNGGUNG Sulistyowati
2019/07/28/00000 115125 NI KETUT MURNI P SLEMAN SARIHARJO,
NANDAN, K0000010 CHF,DM 28/07/2019 - BPJS
2 ASIH, NY NGAGLIK, SLEMAN GARUDA
2019/08/02/00019 115254 PADI HARJONO, BP L GLONDONG, K0000010 CKR 02/08/2019 - UMUM
2 PURWOBINANGUN, PAKEM, GARUDA
SLEMAN
2019/08/05/00009 115301 SETRO REJO/ TADI L SAREN, WEDOMARTANI, K0000010 hiperglikemi 05/08/2019 RS PURI UMUM
5 MARSONO, BP NGEMPLAK, SLEMAN GARUDA HUSADA -
KAB. SLEMAN
2019/08/12/00019 115489 KANGA AUDA L GRIYA TAMAN ASRI BLOK B, K0000010 CKS; VL 12/08/2019 RS PURI UMUM
7 BUANA, SDR PANDOWOHARJO, SLEMAN, GARUDA FRONTALIS HUSADA -
-, -, - KAB. SLEMAN
2019/08/15/00011 115573 SUPRIH HARTANTO, L MANJUNG, MAGETAN, K0000010 hemoroid gr 15/08/2019 RS PURI BPJS
3 BP PANEKAN, MAGETAN GARUDA 4 HUSADA -
KAB. SLEMAN
2019/08/18/00001 108422 MARGARETA P KAYUNAN 002/005 K0000010 atrofi 18/08/2019 - BPJS
8 AERTUTI DONOHARJO NGAGLIK GARUDA cerebri,shoul
SLEMAN, DONOHARJO, der pain
NGAGLIK, SLEMAN
2019/08/21/00024 115770 DEVANDRA L BERAN LOR , TRIDADI, K0000010 DENGUE 21/08/2019 UMUM
5 SLEMAN, SLEMAN GARUDA FEVER
2019/08/26/00005 106618 AGUS SUPRIYO, BP L SANGGRAHAN UH I/529, K0000010 RE HECTING 26/08/2019 Sleman BPJS
9 SEMAKI, UMBULHARJO, GARUDA TUMOR
YOGYAKARTA AXILLA
2019/08/31/00007 055014 PRIYO SUMARTO, P SUDIMORO, K0000010 CKD 31/08/2019 - UMUM
9 NY PURWOBINANGUN, PAKEM, GARUDA
2019/08/30/00009 115590 SRIYATUN, NY P DUSUN
SLEMANIBUL BARU, AIR K0000010 CA MAMAE 02/09/2019 RSPH BPJS
9 UPAS, AIR UPAS, KETAPANG GARUDA
2019/09/04/00013 116115 DWI AGUSNI P BANTARJO , DONOHARJO, K0000010 ULKUS DM, 04/09/2019 RS PURI UMUM
7 DJAJAWATI, NY NGAGLIK, SLEMAN GARUDA SNH HUSADA -
KAB. SLEMAN
2019/09/10/00010 116281 NAURA GHISKA P LEDOK WARENG 4/35, K0000010 VERTIGO 11/09/2019 RS PURI BPJS
8 ALYA GARUDA
9/30/19 12:19 PM Page 42 of 103
CAESARLITA SARDONOHARJO, NGAGLIK, HUSADA -
SLEMAN KAB. SLEMAN
2019/09/14/00014 068671 FONNY HENDRO L JABAN SINDUHARJO K0000010 VERTIGO,CH 14/09/2019 RS PURI BPJS
9 SUCAHYO, BP NGAGLIK, -, -, - GARUDA F HUSADA -
KAB. SLEMAN
2019/09/19/00014 106542 SUDARMI,NY P NGEBEL GEDE RT 8 RW 34 K0000010 GEA 19/09/2019 RS PURI BPJS
9 NO 78, SARDONOHARJO, GARUDA HUSADA -
2019/09/23/00002 116103 HYASINTUS AGUS L BERAN KIDUL 04/28, K0000010 - 23/09/2019 dr. Trisni Nur BPJS
2 PURWIYANTO, BP TRIDADI, SLEMAN, SLEMAN GARUDA Andayani
2019/09/23/00004 111264 SUPRAPTINAH, NY P KETULAN 004/002 K0000010 GANGGREN 23/09/2019 RS PURI UMUM
8 CANDIBINANGUN PAKEM GARUDA DIGIT 1 HUSADA -
SLEMAN, -, -, - PEDIS KAB. SLEMAN
2019/09/25/00026 058581 SUDIRMANTO, BP L GROJOGAN 03/02, K0000010 -
SINISTRA 25/09/2019 - UMUM
2 PANDOWOHARJO, SLEMAN, GARUDA
SLEMAN
2019/01/07/00008 036703 TRIYADI, BP L WONOKERSO, SARIHARJO K0000039 - 07/01/2019 klinik chandra BPJS
1 RT. 10/03, -, -, - GATOTKACA brata medika
2019/01/15/00010 059546 SUPARDI, BP L GONDANG DONOKERTO K0000039 - 15/01/2019 - UMUM
9 TURI SLEMAN, -, -, - GATOTKACA
2019/01/25/00002 109829 PARIYEM, NY P NANGSRI LOR/ MLATI K0000039 TUMOR 25/01/2019 BPJS
8 GLONDONG, CANDIREJO, GATOTKACA AXILA
SEMANUU, GUNUNGKIDUL
2019/01/29/00007 109946 JUMINAH MARDI P SEMAWUNG 003/022, K0000039 - 29/01/2019 BPJS
9 SUMARTO, NY SUMBERREJO, TEMPEL, GATOTKACA KESEHATAN
2019/02/01/00015 107640 MARSIDI, BP L SLEMAN
KEMIRIKEBO, GIRIKERTO, K0000039 - 02/02/2019 -
1 TURI, SLEMAN GATOTKACA
2019/02/03/00005 073110 SUWARNO, BP L NGALANGAN SRDONOHARJO K0000039 TB,DM,HIPO 03/02/2019 - BPJS
7 NGAGLIK, -, -, - GATOTKACA NATREMI
2019/02/08/00010 021304 MUKIYEM P JABUNG PENDOWOHARJO, -, K0000039 tb milier 09/02/2019 BPJS
3 -, - GATOTKACA KESEHATAN
2019/02/15/10007 022412 NUR SAHID, BP L BANTERAN RT 2 RW 25, K0000039 TB DENGAN 15/02/2019 BPJS
4 DONOHARJO, NGAGLIK, GATOTKACA INFEKSI
SLEMAN SEKUNDER
2019/03/29/00005 107748 SUPRIYONO, BP L NGLEBENG 4/8, K0000039 ULCUS 29/03/2019 BPJS
7 MARGOREJO, TEMPEL, GATOTKACA PEDIS
2019/04/05/00014 072101 SUDARTI, NY L SLEMAN
SINDUHARJO, K0000039 dispepsi 05/04/2019 - UMUM
4 BANGUNKERTO, TURI, -, -, - GATOTKACA pada TB
2019/04/12/10026 043733 NURUL P RANDU SONGO K0000039 - 12/04/2019 BPJS
7 RACHMAWATI DONOKERTO TURI, GATOTKACA
2019/04/26/00036 112530 SUYANTO,BP L JL KEBON REJO TENGAH XII K0000039 fr phalank 26/04/2019 BPJS
6 NO.3, KEBONBATUR, GATOTKACA dgt 1 manus
MRANGGEN, DEMAK dekstra
2019/04/29/00019 112627 WARNIYATI, NY P LEDOK LEMPONG K0000039 GEA 29/04/2019 UMUM
6 BANJARSARI 003/009 GATOTKACA
WONKERTO TURI SLEMAN,
2019/05/20/00007 054453 WAGIYO, BP L GONDANG
-, -, - LUTUNG, K0000039 TB, 20/05/2019 NGAGLIK II BPJS
9 DONOHARJO, NGAGLIK, -, -, GATOTKACA TROMBOSIT
- OPENI
2019/05/23/00017 104724 SAN PRIYADI, BP L BULUS TEMPEL 3/2 , K0000039 - 23/05/2019 UMUM
5 CANDIBINANGUN, PAKEM, GATOTKACA
9/30/19 12:19 PM Page 43 of 103

SLEMAN
2019/06/09/00001 113713 MUJIMIN, BP L MAJEGAN 003/033, K0000039 chf 09/06/2019 RS PURI UMUM
0 PANDOWOHARJO, SLEMAN, GATOTKACA HUSADA -
SLEMAN KAB. SLEMAN
2019/06/10/00019 113751 SUDIYONO BP L KRAPYAK 11/21, TRIHARJO, K0000039 - 21/06/2019 UMUM
2 SLEMAN, SLEMAN GATOTKACA
2019/07/04/00005 052599 ROMLAH, NY P KARANGMLOKO SARIHARJO K0000039 CHF 04/07/2019 RS PURI UMUM
8 NGAGLIK, -, -, - GATOTKACA HUSADA -
KAB. SLEMAN
2019/07/12/00022 114712 asfa danesha P CILUAR ASRI, CILUAR, K0000039 - 12/07/2019 - BPJS
6 zaviera,AN BOGOR UTARA, BOGOR GATOTKACA
2019/07/13/00017 061580 MUKIYEM, NY P NIRON PANDOWOHARJO K0000039 chf 14/07/2019 BPJS
3 SLEMAN, -, -, - GATOTKACA
2019/07/24/00009 114087 SRI WIDIASTUTI, P PONOSARAN DALEMAN K0000039 ANEMIA,BRO 24/07/2019 dr. Muchamat BPJS
3 NY 4/22, GIRIKERTO, TURI, GATOTKACA NCHOPNEM Indriyanto C.
SLEMAN ONIA
2019/08/08/10004 060968 WARNO UTOMO.BP L DANIKERTO 001/007, K0000039 ABDOMINAL 09/08/2019 RS PURI UMUM
6 SARIHARJO, NGAGLIK, GATOTKACA PAIN; ec HUSADA -
SLEMAN GASTRITIS KAB. SLEMAN
AKUT; HT
2019/08/11/00003 110969 SUNARYO NY P JETAKAN RT 03/ RW 017, K0000039 PNEUMONIA 13/08/2019 RS PURI BPJS
5 PANDOWOHARJO, SLEMAN, GATOTKACA HUSADA -
SLEMAN KAB. SLEMAN
2019/01/04/00003 042328 PAINEM SUGI P NGENTAK SUMBERADI, K0000059 DM 04/01/2019 BPJS
9 UTOMO, NY SUMBERADI, MLATI, HIBRIDA
2019/01/07/00000 109254 SITI MARYATUN, NY P SLEMAN
JURANGREJO, K0000059 ca mamae 07/01/2019 - UMUM
3 HARJOBINANGUN, PAKEM, HIBRIDA
SLEMAN
2019/01/08/00011 109344 YUSUF ANIS, BP L KAYUNAN, DONOHARJO, K0000059 HT 08/01/2019 - UMUM
9 NGAGLIK, SLEMAN HIBRIDA URGENCY,C
2019/01/11/00001 109361 PRI MULYANI, NY P KALANGAN, BATURETNO, K0000059 HF,IHD
tumor 11/01/2019 RSPH BPJS
6 BANGUNTAPAN , BANTUL HIBRIDA inguinal
2019/01/13/00002 109508 KUMARIYAH, NY P MRIYUNAN 4/23, K0000059 dekstra
HT, 13/01/2019 - UMUM
7 SARDONOHARJO, NGAGLIK, HIBRIDA HIPERGLIKE
SLEMAN MI
2019/01/17/00011 109617 SUTAMTINAH, NY P KARANGGENENG, K0000059 df 18/01/2019 - BPJS
5 PURWOBINANGUN, PAKEM, HIBRIDA
SLEMAN
2019/01/23/00017 067493 SURATINEM, NY P NGLEMPONGSARI, K0000059 isk, bronkitis 23/01/2019 - -
6 SARIHARJO, NGAGLIK, HIBRIDA
2019/01/28/00001 075255 RAHMAWATI, NY P SLEMAN,
BERAN -, -,TRIDADI
LOR - K0000059 VERTIGO 28/01/2019 - BPJS
9 SLEMAN, -, -, - HIBRIDA
2019/01/29/00008 109949 SURIP, NY P NAMBONGAN, TLOGOADI, K0000059 ckr 30/01/2019 - UMUM
6 MLATI, SLEMAN HIBRIDA
2019/02/02/00007 110077 DWIYANTO, BP L SAWAH , MONGGOL, K0000059 CONTUSIO 03/02/2019 UMUM
4 SAPTOSARI, GUNUNGKIDUL HIBRIDA
2019/02/04/00020 110193 SHERYLY NADA L KEMBANGAN RT 4 RW 6, K0000059 - 04/02/2019 - BPJS
9 NOVANKA,AN CANDIBINAGUN , PAKEM, HIBRIDA KESEHATAN
SLEMAN
2019/02/07/00007 110198 WANTA DIHARJA/ P GANJURAN, CATURHARJO, K0000059 anorexia 07/02/2019 - UMUM
2 SURATINA, NY SLEMAN, SLEMAN HIBRIDA geriatri
9/30/19 12:19 PM Page 44 of 103

2019/02/13/00009 010776 GIYONO, BP L JABUNG 1/38, K0000059 tumor pedis 13/02/2019 BPJS
3 PANDOWOHARJO, SLEMAN, HIBRIDA dx KESEHATAN
SLEMAN
2019/02/13/00022 110484 THIO UNG HAUW, P PUNTUKSARI, WONOSOBO K0000059 AFASIA, 13/02/2019 - UMUM
6 NY BARAT, WONOSOBO, HIBRIDA DISLIPIDEMI
WONOSOBO
2019/02/22/00017 108339 LUSY NUR P MURANGAN VIII, TRIHARJO, K0000059 tumor 22/02/2019 BPJS
3 PUSPITAWATI SLEMAN, SLEMAN HIBRIDA manus
2019/02/25/00005 067725 HERNAMA DWI L KEMBANGARUM XV BALONG K0000059 tumor 25/02/2019 BPJS
5 ISWANTO, BP 004/031 DONOKERTO TURI HIBRIDA lengan kiri
SLEMAN, -, -, -
2019/02/25/00022 110534 KASMIDJO,BP L KEPITU RT 1 RW 17, K0000059 ANOREXIA 26/02/2019 - BPJS
4 TRIMULYO, SLEMAN, HIBRIDA GERIATRI
2019/03/06/00021 111091 TIAS TRI P SLEMAN
MURANGAN VII RT 7 RW 23, K0000059 pneumoni 07/03/2019 DR SUNARKO BPJS
5 ASTUTI,NN TRIHARJO, SLEMAN, HIBRIDA KESEHATAN
2019/03/11/00017 050947 MACHMUD, BP L SLEMAN RT 03/ RW 016, -
BLUNYAH K0000059 BRONCHOPN 11/03/2019 - UMUM
6 TRIMULYO, SLEMAN, HIBRIDA EUMONI,
2019/03/16/00006 022052 MOERSILAH P SLEMAN
TEGALPANGGUNG, K0000059 CHF 18/03/2019 turi BPJS
2 PRAPTO, NY GIRIKERTO, TURI, -, -, - HIBRIDA
2019/03/22/00005 110661 ARDI NUGROHO L TEMULAWAK RT 05/ RW K0000059 tumor regio 22/03/2019 KLINIK SWA BPJS
4 SDR 037, TRIHARJO, SLEMAN, HIBRIDA frontalis
2019/03/25/00006 108428 PALUPI ANGGUN P SLEMAN
SENOBOYO 004/014, K0000059 TUMOR 25/03/2019 BPJS
2 KUMALASARI, NN BANYUREJO, TEMPEL, HIBRIDA PAYUDARA
2019/03/26/00012 111656 TARYONO,BP L SLEMAN
BENDOLOLE RT 5 RW 4, K0000059 febris 26/03/2019 - UMUM
4 SARDONOHARJO, NGAGLIK, HIBRIDA
SLEMAN
2019/04/01/00015 111572 NUR HIDAYAH, NY P KENARUHAN 001/017 K0000059 pneumoni 01/04/2019 - BPJS
6 DONOKERTO TURI SLEMAN, HIBRIDA
-, -, -
2019/04/06/00011 111971 HARYONO, BP L NANDAN, SARIHARJO, K0000059 INFARK 06/04/2019 - UMUM
6 NGAGLIK, SLEMAN, DIY, -, -, HIBRIDA
2019/04/09/00046 112078 PUJI RAHAYU, NY P -
SENDEN , K0000059 vertigo 09/04/2019 - UMUM
3 PURWOBINANGUN, PAKEM, HIBRIDA
2019/04/12/10019 033956 SUBARYATI, NY P SLEMAN
KOMPLEK PH, -, -, - K0000059 - 12/04/2019 -
0
2019/04/12/10023 112109 SRI KOMARIYAH, NY P JUMENENG KIDUL, HIBRIDA
K0000059 HEMOROID 12/04/2019 BPJS
1 SUMBERADI, MLATI, HIBRIDA GR 1V
2019/04/13/00013 112207 FITRIANI, NY P SLEMANDUKUH I 004/002
CANDI K0000059 CONTUSIO 13/04/2019 UMUM
2 SARDONOHARJO NGAGLIK HIBRIDA CELEBRI
SLEMAN, -, -, -
2019/04/15/00025 037467 TRIYANTI, NY L KARANG JENJEM, K0000059 vertigo, 16/04/2019 RSPH BPJS
3 SARDONOHARJO, NGAGLIK, HIBRIDA hipertensi, KESEHATAN
-, -, - dm
2019/04/18/00018 071285 DERRY MEILANA L WADAS TRIDADI SLEMAN, -, K0000059 - 18/04/2019 - UMUM
5 JEFFRI, SDR -, - HIBRIDA
2019/04/20/00014 112383 AFIFAH P LEMPONGSARI, -, -, - K0000059 TF 20/04/2019 UMUM
7 WULANSARI, AN HIBRIDA
2019/04/23/00011 112465 PARMIN L TURGO, PURWOBINANGUN, K0000059 PPOK 24/04/2019 BPJS
1 PAKEM, SLEMAN HIBRIDA
2019/04/29/00015 111683 WAGIYATI.NY P SEBAYU 3/40, TRIHARJO, K0000059 mastectomy 29/04/2019 BPJS
3 SLEMAN, SLEMAN HIBRIDA ca mamae
2019/05/02/00017 112710 SUHARJONO,BP L GLONDONG 3 / 28, K0000059 sinistra
DF 04/05/2019 - UMUM
5 HIBRIDA
9/30/19 12:19 PM Page 45 of 103
PURWOBINAGUN, PAKEM,
SLEMAN
2019/05/06/00002 023216 NGADINAH, NY P NGETIRAN 4/6, SARIHARJO, K0000059 fraktur 06/05/2019 BPJS
8 NGAGLIK, SLEMAN HIBRIDA radius
2019/05/06/00017 112822 SUNARTO, BP L KALIWANGLU WETAN, K0000059 obs.febris; 07/05/2019 -
9 HARJOBINANGUN, PAKEM, HIBRIDA trombositope
SLEMAN ni susp df
2019/05/09/00008 112918 NANIK YULIATI, NY P DONOLAYAN, DONOHARJO, K0000059 DF 09/05/2019 BPJS
5 NGAGLIK, SLEMAN HIBRIDA
2019/05/15/00021 113093 SUKAYAT, BP L SOMOITAN , GIRIKERTO, K0000059 - 15/05/2019 UMUM
7 TURI, SLEMAN HIBRIDA
2019/05/20/00017 008374 ENY BUDIYANTI, NY P RINGIN PUTIH 04/028 K0000059 DYSPEPSIA,L 20/05/2019 UMUM
2 DONOHARJO NGAGLIK HIBRIDA BP
SLEMAN DIY, -, -, -
2019/05/22/00022 113245 AIDA AYU KINANTI, P GADUNG, BANGUNKERTO, K0000059 RA 22/05/2019 UMUM
7 AN TURI, SLEMAN HIBRIDA
2019/05/26/00002 066875 ALFIN ERLIAN L WONOREJO SARIHARJO K0000059 - 26/05/2019 RS PURI BPJS
0 SAPTRA, AN NGAGLIK, SARIHARJO, HIBRIDA HUSADA -
2019/05/26/00004 033686 SURIP PAWIRO L MURANGAN 07, -, -, - K0000059 ppok 26/05/2019 UMUM
7 HARJONO, BP HIBRIDA
2019/05/30/00028 113436 ASYIYATUN P PATEN, TRIDADI, SLEMAN, K0000059 DF 30/05/2019 - UMUM
5 SHAFARIYAH, NY SLEMAN HIBRIDA
2019/04/30/00015 107944 FLO RATMINI,NY P PALGADING RT 5 RW 2, K0000059 hipoglikemi; 30/05/2019 BPJS
0 MINOMARTANI, NGAGLIK, HIBRIDA stroke infark
SLEMAN
2019/06/04/10045 113567 LIDA ANDRIYANI, P WATUADEG 3/20, K0000059 obs 04/06/2019 RS PURI UMUM
7 NY PURWOBINANGUN, PAKEM, HIBRIDA cepalgia,of HUSADA -
SLEMAN h3 KAB. SLEMAN
2019/06/08/00001 107146 GOGOK TRIADI, BP L TEMULAWAK, TRIHARJO, K0000059 ANEMIA 08/06/2019 Klinik Widuri -
5 SLEMAN, SLEMAN HIBRIDA GRAFIS;
CKD;CHF
2019/06/12/00008 108551 JASINAH MARDI P REJODADI 3/18, K0000059 STROKE
HHD 12/06/2019 RS PURI UMUM
6 SURTISNO, NY BANGUNKERTO, TURI, HIBRIDA SNH HUSADA -
SLEMAN KAB. SLEMAN
2019/06/17/00020 113960 ARIF L PANDESARI 5/8, PARAKAN K0000059 - 17/06/2019 RS PURI BPJS
7 BUDIAWAN,SDR WETAN, PARAKAN, HIBRIDA HUSADA
TEMANGGUNG
2019/06/18/00013 057991 SUPINEM, NY P JONGKANG SARIHARJO K0000059 CA 18/06/2019 RS PURI BPJS
9 NGAGLIK, -, -, - HIBRIDA NASOFHARI HUSADA -
NG KAB. SLEMAN
2019/06/21/10014 114069 ANISA PUTRI NUR P SANGGRAHAN, K0000059 FA 22/06/2019 RS PURI UMUM
3 CAHYANI, BY CATURHARJO, SLEMAN, HIBRIDA HUSADA -
SLEMAN KAB. SLEMAN
2019/06/24/00016 108138 MARIA SRI WIDI P KAYUNAN RT 1 RW5, K0000059 PROLONG 24/06/2019 dr. Alexander BPJS
1 LESTARI,NY DONOHARJO, NGAGLIK, HIBRIDA FEVER Prasudi M.Kes
SLEMAN
2019/06/29/00009 113482 GIVANO REVANZO, L GONDANGLEGI, ----, -, - K0000059 - 29/06/2019 RS PURI BPJS
0 AN HIBRIDA HUSADA -
KAB. SLEMAN
2019/07/01/00003 069976 NANDYAS SILA P BARAN SARI RT 05 RW 42 K0000059 DF 01/07/2019 UMUM
8 SARI, NN SARIHARJO NGAGLIK, -, -, - HIBRIDA
9/30/19 12:19 PM Page 46 of 103

2019/07/04/00012 075465 NUGROHO, BP L WONOREJO, SARIHARJO, K0000059 ISHKEMI 04/07/2019 RS PURI BPJS
0 NGAGLIK, SLEMAN HIBRIDA HEART HUSADA -
DISEASE KAB. SLEMAN
2019/07/08/00010 017059 SUPRAPTI, NY P KUTU, PATRAN, SINDUADI, K0000059 hm gr 4 08/07/2019 RS PURI UMUM
2 MLATI SLEMAN DIY, -, -, - HIBRIDA HUSADA -
KAB. SLEMAN
2019/07/08/00017 114562 AHMAD NUR ALIM, L DAYAKAN, SARDONOHARJO, K0000059 DF 09/07/2019 RS PURI BPJS
7 AN NGAGLIK, SLEMAN HIBRIDA HUSADA -
KAB. SLEMAN
2019/07/10/00027 114660 AHMAD FADIL,AN L JETIS, CATURHARJO, K0000059 - 10/07/2019 UMUM
1 SLEMAN, SLEMAN HIBRIDA
2019/07/12/00002 114600 NAYAKA L JL MAGELANG KM 13,5 K0000059 BALANOPLA 12/07/2019 RS PURI BPJS
8 NAYOTTAMA MURANGAN, TRIHARJO, HIBRIDA STY HUSADA -
NATAHARJA, AN SLEMAN, SLEMAN KAB. SLEMAN
2019/07/12/00022 114716 EHWAN ERWANTO L NGABEAN, MARGOREJO, K0000059 df 13/07/2019 - BPJS
7 TEMPEL, SLEMAN HIBRIDA
2019/07/17/00017 114840 M. RUSLAN, AN L PALGADING, SINDUHARJO, K0000059 gea dicentri 17/07/2019 - UMUM
5 NGAGLIK, SLEMAN HIBRIDA
2019/07/22/00009 108398 EKO WIDIHARTO, L KARANGWUNI, K0000059 ULKUS 22/07/2019 Klinik SWA BPJS
8 BP BANGUNKERTO, TURI, HIBRIDA CRURIS
2019/07/23/00013 115001 BAMBANG UTORO, L SLEMAN
JL. SASAK DALAM NO I B, K0000059 SINISTRA
- 23/07/2019 KEC. KEBON BPJS
6 BP KELAPA DUA, KB JERUK, HIBRIDA JERUK
JAKARTA BARAT
2019/07/24/00024 114993 ELLISA DENIYANTI, P WONOREJO, SARIHARJO, K0000059 - 24/07/2019 Ngaglik II BPJS
7 AN NGAGLIK, SLEMAN HIBRIDA
2019/07/24/00028 115031 M SANUSI LATIF S L MUNDU JL ANGGUR 205-B K0000059 # CRURIS 24/07/2019 UMUM
4 FILI SPd 006/002, CATURTUNGGAL, HIBRIDA 1/2 DISTAL
DEPOK, SLEMAN SINISTRA
2019/07/28/00000 018267 KASIMAN RAHMAN L SIDOMULYO, TRIMULYO, K0000059 DISENTRI 28/07/2019 RS PURI BPJS
8 WIDARTO, BP SLEMAN, SLEMAN HIBRIDA AMUBA HUSADA -
KAB. SLEMAN
2019/08/05/00004 113183 PROBO WINASTUTI, P BRAYUT, -PANDOWOHARJO, K0000059 - 05/08/2019 Klinik Satria BPJS
7 NY -NGAGLIK, SLEMAN HIBRIDA Gadingan
2019/08/06/00004 021385 MULYO RAHARJO, L PLUMBON, SARDONOHARJO, K0000059 - 06/08/2019 RS PURI UMUM
8 BP NGAGLIK, -, -, - HIBRIDA HUSADA -
KAB. SLEMAN
2019/08/07/00014 115282 DASIH P KAMDANEN 2/7, K0000059 - 07/08/2019 - UMUM
8 RAHMAWATI,NY SARIHARJO, NGAGLIK, HIBRIDA
2019/08/10/00012 115442 FRANTAMA L SLEMAN01/20,
NIRON K0000059 - 10/08/2019 - UMUM
2 ADIKARA PANDOWOHARJO, SLEMAN, HIBRIDA
RAMADHAN, AN SLEMAN
2019/08/11/00001 115462 IKA WAHYU P TURI 01/27, DONOKERTO, K0000059 dispepsi 11/08/2019 - BPJS
6 KARLINA, NY TURI, SLEMAN HIBRIDA
2019/08/15/00011 115467 NOVAN HERPROBO, L JAYAN 005/025, K0000059 dengue fever 15/08/2019 RS PURI UMUM
7 BP SUKOHARJO, NGAGLIK, HIBRIDA HUSADA -
SLEMAN KAB. SLEMAN
2019/08/18/00001 115653 HADI WARSITO P BRAYUT , PANDOWOHARJO, K0000059 stroke infark 18/08/2019 - UMUM
2019/08/21/00017 115763 MURSITI NAFIATUN P BETENG 006/013, TRIDADI, K0000059 TUMOR 21/08/2019 Klinik SWA BPJS
2 NY SLEMAN, SLEMAN HIBRIDA MANUS
2019/08/22/00016 112351 THERESIA ASTUTI P SOMPILAN, DONOHARJO, K0000059 APP ACUT 22/08/2019 - UMUM
5 OKTAVIANA, NN NGAGLIK, SLEMAN HIBRIDA
9/30/19 12:19 PM Page 47 of 103

2019/08/23/00019 107944 FLO RATMINI,NY P PALGADING RT 5 RW 2, K0000059 hipoglikemi 25/08/2019 RS PURI BPJS
5 MINOMARTANI, NGAGLIK, HIBRIDA HUSADA -
SLEMAN KAB. SLEMAN
2019/08/28/00021 105590 MURDITRIYATI, NY P BABADAN GIRIKERTO, K0000059 HEMORAGI, 28/08/2019 - UMUM
8 GIRIKERTO, TURI, SLEMAN HIBRIDA POLIP
CERVICAL,IS
2019/09/03/00007 116081 BRILLYANT RAFA L BLEKIK 02/25, K0000059 DF
K 03/09/2019 - BPJS
9 KESOWO, AN SARDONOHARJO, NGAGLIK, HIBRIDA
SLEMAN
2019/09/06/00023 049551 YUSTINA RATIH P KARANGASEM K0000059 - 06/09/2019 - UMUM
1 KUSUMASTUTI, NY PANDOWOHARJO SLEMAN, HIBRIDA
2019/09/08/00003 022942 NGATINI, NY P DRONO,
SLEMAN SARDONOHARJO, K0000059 DF 08/09/2019 RS PURI BPJS
8 SARDONOHARJO, -NGAGLIK, HIBRIDA HUSADA -
SLEMAN KAB. SLEMAN
2019/09/13/00014 116304 HIJRAH ENI P KEMBANGARUM K0000059 APP 13/09/2019 BPJS
7 DONOKERTO, DONOKERTO, HIBRIDA
2019/09/16/20031 116454 SUWARNI, NY P TURI, SLEMAN
DURENAN V, TRIHARJO, K0000059 - 16/09/2019 UMUM
2019/09/20/00010 116527 SALSABILA P KALAKIJO 06/03, TRIHARJO, K0000059 TUMOR 20/09/2019 Klinik Widuri BPJS
2 FIRDAUSI SLEMAN, SLEMAN HIBRIDA PAYUDARA
KHAYYATI, NN DEXTRA
2019/09/21/00002 032069 SRI SULARSIH, NY P NGETIRAN RT.02/05, K0000059 VERTIGO 21/09/2019 Klinik Chandra UMUM
0 SARIHARJO, NGAGLIK, -, -, - HIBRIDA PERIFER Brata Medika
2019/09/24/00006 116627 ASTUTI, NY P WADAS 04/02, TRIDADI, K0000059 CHOLELITHI 24/09/2019 UMUM
4 SLEMAN, SLEMAN HIBRIDA ASIS;
CHOLESISTI
TIS
2019/09/30/00010 116770 Y SARTONO BP L DURENAN , KALANGAN, K0000059 - 30/09/2019 RS PURI UMUM
6 PEDAN, JATENG HIBRIDA HUSADA -
KAB. SLEMAN
2019/01/04/00002 108866 TAUFIK HIDAYAT, L PULESARI BECICI 002/022, K0000037 High TUMOR 04/01/2019 BPJS
1 SDR WONOKERTO, TURI, Care Unit A INGUINALIS
SLEMAN DEXTRA
2019/01/05/00004 109255 AWALUDIN, BP L JETAKAN, PANDOWOHARJO, K0000037 High S06.11, 05/01/2019 - UMUM
9 SLEMAN, SLEMAN Care Unit A
2019/01/07/00003 107001 MUDONO,BP L GAWAR RT 1 RW 37, K0000037 High - 07/01/2019 -- BPJS
2 PANDOWOHARJO, SLEMAN, Care Unit A
SLEMAN
2019/01/07/00004 109279 AULIA RAHMAN L TURI KM 3 MANTARAN, K0000037 High A90, 07/01/2019 - UMUM
4 HAKIM, BP TRIMULYO, SLEMAN, Care Unit A
2019/01/07/00003 079640 NUR CAHYO, SDR L SLEMANTRIDADI SLEMAN, -,
WADAS K0000037 High TUMOR 07/01/2019 - BPJS
0 -, - Care Unit A SUBRANOID
2019/01/10/00003 109396 MUHDIYANTO, BP L JONGGRANGAN 004/018, K0000037 High - 10/01/2019 UMUM
1 SUMBERADI, MLATI, Care Unit A
2019/01/11/00006 106501 DASENO, BP L SLEMAN, PANDOWOHARJO0,
NIRON K0000037 High hipo na,k,cl 11/01/2019 - UMUM
3 SLEMAN, SLEMAN Care Unit A
2019/01/16/00012 109074 NARTO HARDONO, L BLEKIK, SARDONOHARJO, K0000037 High sugestif 16/01/2019 - BPJS
6 BP NGAGLIK, SLEMAN Care Unit A brain
metastase
dd multifokal
2019/01/17/00009 067123 SURASIH, NY P MAJEGAN PANDOWOHARJO K0000037 High ckd, hipo k,
enchephalitis 18/01/2019 - BPJS
1 Care
9/30/19 12:19 PM Page 48 of 103
SLEMAN, -, -, - Unit A stroke infark
dd sh, afasia
2019/01/25/00011 109842 ANGGARETA P SOMPOKAN, MARGOMULYA, K0000037 High abses cruris 25/01/2019 UMUM
8 OKTAVIASARI, NY SEYEGAN, SLEMAN Care Unit A
2019/02/01/00015 107640 MARSIDI, BP L KEMIRIKEBO, GIRIKERTO, K0000037 High - 01/02/2019 -
1 TURI, SLEMAN Care Unit A
2019/02/01/00012 066864 HENDRI L WONOREJO K0000037 High - 02/02/2019 BPJS
6 KURNIAWAN SARDONOHARJO NGAGLIK, Care Unit A
2019/02/02/00001 069092 GARDANA, SDR BP
MARSUDIYONO, L -, -, - PANDOWOHARJO, -,
TOINO K0000037 High chf ihd ppok 10/02/2019 -
8 -, - Care Unit A
2019/02/12/00012 108423 PUJI REJO, NY P JL. GARUDA NO. 4 K0000037 High koma 12/02/2019 - BPJS
4 PLEMBURAN 002/024, Care Unit A
SARIHARJO, NGAGLIK,
2019/02/19/00000 077049 HARSONO, BP L MAGERSARI,
SLEMAN K0000037 High - 19/02/2019 -
7 CANDIBINAGUN, PAKEM, Care Unit A
2019/02/22/00017 110679 MUJI HARTONO L DIY, -, -, NANGGRING
BENING, - 1/3, K0000037 High HILL dextra 22/02/2019 BPJS
9 JIYONO, BP GIRIKERTO, TURI, SLEMAN Care Unit A
2019/02/25/00001 110771 MULYONO, BP L MEDARI GEDE IV 002/011 K0000037 High corpal besi 25/02/2019 BPJS
4 CATURHARJO SLEMAN, -, -, Care Unit A
2019/02/26/00005 110667 NURI ISMIANTO, L -
DEGOLAN 02/03, K0000037 High - 26/02/2019 RSPH BPJS
9 SDR UMBULMARTANI, Care Unit A
NGEMPLAK, SLEMAN
2019/03/01/00001 110862 RUGIONO, BP L LOJAJAR, SINDUHARJO, K0000037 High fr. phalanx 01/03/2019 -
2 NGAGLIK, SLEMAN Care Unit A dg 3 manus
dextra
2019/03/08/00007 078151 IRBANI SUSANTI, P JABAN SINDUHARJO K0000037 High haemoroid 08/03/2019 RSPH BPJS
6 NY NGAGLIK, -, -, - Care Unit A gr 3-4
2019/03/09/00010 061334 RATIMAN, BP L BANJARAN DADAPAN K0000037 High - 09/03/2019 turi BPJS
6 WONOKERTO TURI, -, -, - Care Unit A
2019/03/25/00005 075525 KUSNANTO, BP L TEGALSARI KRASAKAN K0000037 High ULKUS DM 25/03/2019 BPJS
8 LUMBUNGREJO TEMPEL, -, -, Care Unit A
2019/03/28/00013 067309 HARUN, BP L -
NGEMPLAK SINDHARJO K0000037 High - 28/03/2019 - UMUM
2 NGAGLIK, -, -, - Care Unit A
2019/03/29/00008 110643 MUDIYONO, BP L MURANGAN VII, TRIHARJO, K0000037 High - 29/03/2019 UMUM
2 -SLEMAN, SLEMAN Care Unit A
2019/04/01/00007 110679 MUJI HARTONO L BENING, NANGGRING 1/3, K0000037 High hil s 01/04/2019 RSPH BPJS
3 JIYONO, BP GIRIKERTO, TURI, SLEMAN Care Unit A
2019/04/10/00037 058750 WARNO L KEPANJEN TRIMULYO K0000037 High N81.4, 11/04/2019 UMUM
7 UTOMO/JANI, BP SLEMAN, -, -, - Care Unit A
2019/04/12/10021 112128 INDRIANI KUSUMA P SLEMAN III 001/007, K0000037 High - 12/04/2019 RSPH BPJS
6 CAHYAMINGRUM, TRIHARJO, SLEMAN, Care Unit A
2019/04/12/10021 112162 NY
UTAMI AISYAH P SLEMAN
NGAGLIK, CATURHARJO, K0000037 High APP 13/04/2019 SLEMAN BPJS
1 HIDAYATI, NN SLEMAN, SLEMAN Care Unit A
2019/04/14/00001 112139 SARJINEM, NY P NAMBONGAN 6/26, K0000037 High - 14/04/2019 UMUM
8 CATURHARJO, SLEMAN, Care Unit A
SLEMAN
2019/04/15/00007 108751 ASRORI, BP L PEKIK BANGUNHARJO, K0000037 High - 15/04/2019 UMUM
4 BANGUNKERTO, TURI, Care Unit A
2019/04/16/00013 112292 MUH WIKUN/ MUH L SLEMAN
TUNGGULARUM, K0000037 High PENURUnan 17/04/2019 BPJS
1 DASUKI, BP WONOKERTO, TURI, Care Unit A kesadaran
2019/04/23/00000 108002 WIDODO, BP L SLEMAN
PISANGAN, TRIDADI, -, K0000037 High ULKUS DM 23/04/2019 -
4 SLEMAN Care
9/30/19 12:19 PM Page 49 of 103
Unit A
2019/04/26/00026 112487 SUMIRAH, NY P POLOWIDI 1/7, TRIMULYO, K0000037 High tumor 26/04/2019 -
3 SLEMAN, SLEMAN Care Unit A payudara
2019/04/29/00006 112609 JOHAN PRAMONO, L MRIYAN X, KASURAN, K0000037 High tumor paha 29/04/2019 KLINIK BPJS
3 SDR MARGOMULYO, SEYEGAN, Care Unit A dextra WIDURI
SLEMAN
2019/05/02/00018 112716 MARDI RINO L NEPEN 013/003 PLAOSAN K0000037 High - 03/05/2019 UMUM
8 SUTEDJO, SDR WATES KEDIRI JAWA Care Unit A
TIMUR, -, -, -
2019/05/02/00018 112715 ARI SANTOSO, SDR L NGRANGKAH 006/001 K0000037 High CKS 04/05/2019 UMUM
7 MRUWAK DAGANGAN Care Unit A
MADIUN JAWA TIMUR, -, -, -
2019/05/23/00017 078091 TUKIJO, BP L WONOSOBO K0000037 High - 23/05/2019 UMUM
0 SARDONOHARJO NGAGLIK, Care Unit A
2019/05/24/00008 107142 IGNATIUS JUMENO, L -, -, -
BUNDER, K0000037 High - 24/05/2019 UMUM
8 BP PURWOBINANGUN, PAKEM, Care Unit A
2019/07/29/00007 115038 HARMOYO BP L SLEMANPUTIH 004/028,
RINGIN K0000037 High BRONCHOPN 29/07/2019 Ngaglik II UMUM
7 DONOHARJO, NGAGLIK, Care Unit A EUMONI,CA
SLEMAN NDIDIASIS
ORAL
2019/08/01/00001 115163 OKY HARIYANTO, L WONOREJO, SARIHARJO, K0000037 High - 01/08/2019 RS PURI UMUM
8 SDR NGAGLIK, SLEMAN Care Unit A HUSADA -
KAB. SLEMAN
2019/08/07/00017 115372 EKO SUBIYANTORO, L SANGGRAHAN 4/27, K0000037 High TUMOR 07/08/2019 Mlati I BPJS
1 SDR SENDANGADI, MLATI, Care Unit A PAHA
2019/08/09/00014 114236 NGATIJA, BP L SLEMAN
BERAN KIDUL 002/027, K0000037 High DEXTRA
ULKUS DM 09/08/2019 RS PURI BPJS
7 TRIDADI, SLEMAN, SLEMAN Care Unit A HUSADA -
KAB. SLEMAN
2019/08/17/00006 115638 ANDI SETIAWAN, BP L LECI, NGLABAN, K0000037 High - 17/08/2019 - UMUM
9 SINDUHARJO, NGAGLIK, Care Unit A
2019/08/17/00004 061460 DARTO WIYONO, BP L SLEMAN
KEMBANGAN 3/6 K0000037 High SNH; AF; 18/08/2019 RSPH UMUM
9 CANDIBINANGUN PAKEM, Care Unit A CHF
CANDIBINAGUN , PAKEM,
SLEMAN
2019/09/04/00010 068432 BOIMAN, BP L JEMBULAN PANDOWOHARJO K0000037 High ULKUS DM 04/09/2019 Sleman BPJS
0 SLEMAN, -, -, - Care Unit A
2019/09/14/00014 115058 SUDINEM, NY P SANGGRAHAN, K0000037 High SEIZURE dd 14/09/2019 RS PURI BPJS
3 SENDANGADI, MLATI, Care Unit A SNH SH HUSADA -
SLEMAN KAB. SLEMAN
2019/09/23/00018 007683 DANANG SIGIT L NGELO, PANDOWOHARJO, K0000037 High FR 23/09/2019 UMUM
2 PRASETIYO, SDR SLEMAN, SLEMAN Care Unit A PROXIMAL
TIBIA
2019/01/05/00004 109255 AWALUDIN, BP L JETAKAN, PANDOWOHARJO, K0000038 High S06.11,
SINISTRA 05/01/2019 - UMUM
9 SLEMAN, SLEMAN Care Unit B
2019/01/07/00004 109279 AULIA RAHMAN L TURI KM 3 MANTARAN, K0000038 High A90, 07/01/2019 - UMUM
4 HAKIM, BP TRIMULYO, SLEMAN, Care Unit B
2019/01/07/00003 107001 MUDONO,BP L SLEMAN RT 1 RW 37,
GAWAR K0000038 High - 07/01/2019 -- BPJS
2 PANDOWOHARJO, SLEMAN, Care Unit B
SLEMAN
2019/01/14/00016 065123 ROHMAD LUKMAN L DONOLAYAN DONOHARJO K0000038 High CKR 14/01/2019 - BPJS
9 ZAINAL, BP NGAGLIK, -, -, - Care Unit B
9/30/19 12:19 PM Page 50 of 103

2019/01/17/00009 067123 SURASIH, NY P MAJEGAN PANDOWOHARJO K0000038 High - 17/01/2019 - BPJS
1 SLEMAN, -, -, - Care Unit B
2019/01/25/00008 105929 SUMIRAH, NY P NGENTAK , BANGUNKERTO, K0000038 High - 25/01/2019 - UMUM
9 TURI, SLEMAN Care Unit B
2019/02/01/00012 066864 HENDRI L WONOREJO K0000038 High - 01/02/2019 BPJS
6 KURNIAWAN SARDONOHARJO NGAGLIK, Care Unit B
2019/02/01/00015 107640 GARDANA, SDR
MARSIDI, BP L -, -, -
KEMIRIKEBO, GIRIKERTO, K0000038 High - 02/02/2019 -
1 TURI, SLEMAN Care Unit B
2019/02/02/00001 069092 MARSUDIYONO, BP L TOINO PANDOWOHARJO, -, K0000038 High - 03/02/2019 -
8 -, - Care Unit B
2019/02/08/00019 106171 JANUARI P WONOSARI 10/3, K0000038 High - 08/02/2019 - UMUM
3 PRIHASANTI, NN JERUKAGUNG, SRUMBUNG, Care Unit B
2019/02/13/00013 105576 RISNA PUJI P MAGELANG, DONOKERTO,
KLEGUNG K0000038 High - 13/02/2019 BPJS
5 NUGRAHENI, NN TURI, SLEMAN Care Unit B KESEHATAN
2019/02/15/10002 078441 SUCIPTO, BP L KADILOBO CANDIBINANGUN K0000038 High - 15/02/2019 BPJS
0 PAKEM, -, -, - Care Unit B
2019/02/22/00013 068087 YATIJO L JATIREJO SENDANGADI K0000038 High stenosis ani 22/02/2019 BPJS
7 WIGNYATARYONO, MLATI, -, -, - Care Unit B
2019/02/22/00017 110679 BP HARTONO
MUJI L BENING, NANGGRING 1/3, K0000038 High - 22/02/2019 BPJS
9 JIYONO, BP GIRIKERTO, TURI, SLEMAN Care Unit B
2019/02/25/00022 110534 KASMIDJO,BP L KEPITU RT 1 RW 17, K0000038 High - 25/02/2019 - BPJS
4 TRIMULYO, SLEMAN, Care Unit B
2019/02/26/00005 110667 NURI ISMIANTO, L SLEMAN 02/03,
DEGOLAN K0000038 High COLIC 26/02/2019 RSPH BPJS
9 SDR UMBULMARTANI, Care Unit B ABDOMEN
NGEMPLAK, SLEMAN
2019/03/22/00002 111546 EKO KRISTIANTO L NGELOSARI RT 02/ RW 010, K0000038 High - 22/03/2019 UMUM
2 BP PURWOBINANGUN, PAKEM, Care Unit B
SLEMAN
2019/03/25/00012 111643 WAJINO, BP L TEGALREJO, SARIHARJO, K0000038 High - 25/03/2019 RSPH BPJS
6 NGAGLIK, SLEMAN Care Unit B
2019/03/28/00005 105092 SUMADI, BP L CIBUKAN 5/7, SUMBERADI, K0000038 High - 28/03/2019 DR TRISNI BPJS
7 MLATI, SLEMAN Care Unit B NUR
2019/03/29/00008 110643 MUDIYONO, BP L MURANGAN VII, TRIHARJO, K0000038 High vertigo, dm 29/03/2019 ANDAYANI UMUM
2 -SLEMAN, SLEMAN Care Unit B 2 no
2019/04/01/00005 107868 SUPRIYANTO, BP L JETIS 6/14, CATURHARJO, K0000038 High hm gr iv 01/04/2019 BPJS
2019/04/12/10021 112162 UTAMI AISYAH P NGAGLIK, CATURHARJO, K0000038 High - 12/04/2019 SLEMAN BPJS
1 HIDAYATI, NN SLEMAN, SLEMAN Care Unit B
2019/04/12/10021 112128 INDRIANI KUSUMA P SLEMAN III 001/007, K0000038 High TUMOR 13/04/2019 RSPH BPJS
6 CAHYAMINGRUM, TRIHARJO, SLEMAN, Care Unit B PAYUDARA
NY SLEMAN DEXSTRA
2019/04/15/00003 075784 WAGIRAH, NY P KUTU TEGAL 10/25, K0000038 High - 15/04/2019 BPJS
2 SINDUADI, MLATI, SLEMAN Care Unit B KESEHATAN
2019/04/23/00011 112465 PARMIN L TURGO, PURWOBINANGUN, K0000038 High - 23/04/2019 BPJS
1 PAKEM, SLEMAN Care Unit B
2019/05/02/00018 112715 ARI SANTOSO, SDR L NGRANGKAH 006/001 K0000038 High - 03/05/2019 UMUM
7 MRUWAK DAGANGAN Care Unit B
MADIUN JAWA TIMUR, -, -, -
2019/05/02/00018 112716 MARDI RINO L NEPEN 013/003 PLAOSAN K0000038 High CKR 04/05/2019 UMUM
8 SUTEDJO, SDR WATES KEDIRI JAWA Care Unit B
TIMUR, -, -, -
9/30/19 12:19 PM Page 51 of 103

2019/05/24/00008 107142 IGNATIUS JUMENO, L BUNDER, K0000038 High - 24/05/2019 UMUM
8 BP PURWOBINANGUN, PAKEM, Care Unit B
2019/05/23/00017 078091 TUKIJO, BP L SLEMAN
WONOSOBO K0000038 High - 24/05/2019 UMUM
0 SARDONOHARJO NGAGLIK, Care Unit B
2019/05/24/00017 113315 SUDIRGO, BP L -, -, -
NGAMPEL 06/06, K0000038 High - 24/05/2019 - BPJS
6 HARGOBINANGUN, PAKEM, Care Unit B
SLEMAN
2019/05/29/00019 113447 MUJI MULYONO,BP P KEBONDALEM 07/06, K0000038 High tumor 29/05/2019 Sleman BPJS
1 TRIDADI, SLEMAN, SLEMAN Care Unit B auricula
2019/05/31/00030 059527 MARDIYANTO,BP L KLELEN TRIMULYO SLEMAN K0000038 High sinistra
- 31/05/2019 Sleman BPJS
5 SLEMAN, -, -, - Care Unit B
2019/06/12/00006 113747 SURASA,BP L NGANGKRIK V, TRIHARJO, K0000038 High tumor genu , 12/06/2019 Sleman BPJS
5 SLEMAN, SLEMAN Care Unit B dm
2019/06/14/00007 113816 WINARTA, BP L KEBONDALEM, TRIADDI, K0000038 High HIL 14/06/2019 Sleman BPJS
2019/06/19/00002 071274 NGATIJO, BP L PLUMBON RT6 RW 31 K0000038 High DM 19/06/2019 RS PURI BPJS
8 SARDONOHARJO NGAGLIK, Care Unit B HUSADA -
-, -, - KAB. SLEMAN
2019/06/21/10007 052383 ARIF MUHTADIN, L KELOR BANGUNKERTO K0000038 High HEMOROID 21/06/2019 BPJS
1 SDR TURI, BANGUNKERTO, TURI, Care Unit B
2019/06/24/00016 108138 MARIA SRI WIDI P SLEMAN RT 1 RW5,
KAYUNAN K0000038 High - 24/06/2019 dr. Alexander BPJS
1 LESTARI,NY DONOHARJO, NGAGLIK, Care Unit B Prasudi M.Kes
SLEMAN
2019/06/25/10001 114160 A DINI PANDAN P SLEMAN PERMAI I BLOK L-5 K0000038 High - 25/06/2019 dr. Trisni Nur BPJS
1 WANGI,NN 9/40, TRIDADI, SLEMAN, Care Unit B Andayani
SLEMAN
2019/06/26/00004 114131 ANI SUSILOWATI P SIDOASRI KLEGUNG K0000038 High tumor 26/06/2019 RS PURI BPJS
7 RAHMAH NY 004/025, DONOKERTO, Care Unit B payudara S HUSADA -
TURI, SLEMAN KAB. SLEMAN
2019/06/28/00005 113973 PONIJO,BP L LODOYONG, -, -, - K0000038 High HIL 28/06/2019 RS PURI BPJS
2 Care Unit B HUSADA -
KAB. SLEMAN
2019/07/12/00022 114713 ASFA JAVINA P CILUAR ASRI, CILUAR, K0000038 High - 12/07/2019 - BPJS
5 SYAKIRA BOGOR UTARA, BOGOR Care Unit B
2019/07/29/00006 028821 SUHADI, BP L BALONG, TRIMULYO K0000038 High GRANULOMA 29/07/2019 Sleman BPJS
2 SLEMAN, -, -, - Care Unit B INGUINALIS
2019/08/08/10004 060968 WARNO UTOMO.BP L DANIKERTO 001/007, K0000038 High - 08/08/2019 RS PURI UMUM
6 SARIHARJO, NGAGLIK, Care Unit B HUSADA -
SLEMAN KAB. SLEMAN
2019/08/10/00005 115428 HADI PERWITO BP L LUNGGUHREJO SANGUREJO K0000038 High - 10/08/2019 RS PURI UMUM
2 005/029, WONOKERTO, Care Unit B HUSADA -
TURI, SLEMAN KAB. SLEMAN
2019/08/17/00003 053338 P SUWARDI, BP L DENGGUNG 1/35, TRIDADI, K0000038 High AMI 18/08/2019 RSPH BPJS
2019/09/06/00019 116171 PARJIATMOJO, BP L SAWAHAN, K0000038 High DYSPNEU, 06/09/2019 Sleman BPJS
7 PANDOWOHARJO, SLEMAN, Care Unit B HAEMATURI;
SLEMAN ANEMIA
2019/09/24/00014 064193 NGADINEM, NY P SEMBUNG SUKOHARJO K0000038 High - 26/09/2019 RS PURI UMUM
0 NAGGLIK SLEMAN, Care Unit B HUSADA -
SUKOHARJO, -, - KAB. SLEMAN
2019/01/01/00001 109142 MUHAMMAD L JALAN WAHID HASYIM NO K0000054 INDAH ckr 01/01/2019 - UMUM
4 MALUTFI, SDR 15, -, -, PALU
9/30/19 12:19 PM Page 52 of 103

2019/01/04/00020 109243 MUJI HARJO, BP L KRATUAN, K0000054 INDAH - 04/01/2019 - BPJS
NGANGKRIK , TRIHARJO, K0000054 INDAH PPOK 06/01/2019 - UMUM
3 SLEMAN, -, -, -
2019/01/09/00005 108930 PUTRI WULANDARI P GAWAR, PANDOWOHARJO, K0000054 INDAH TUMOR 09/01/2019 BPJS
1 SLEMAN, SLEMAN INGUINALIS
DEXSTRA
2019/01/12/00000 109461 YULIANA P KUNCEN, BANGUNMULYO, K0000054 INDAH - 12/01/2019 - UMUM
2 SUMARYATI, NY GIRIKERTO, SLEMAN,
2019/01/11/00010 109438 SRI SULASTRI, NY P SLEMAN
JL.CEMPAKA NO.3, K0000054 INDAH FEBRIS 12/01/2019 UMUM
3 SIDAKAYA, CILACAP
2019/01/19/00015 109644 YOSES ERNEST L SELATAN, CILACAP
GRIYA SAKA PERMAI D17 K0000054 INDAH DF 19/01/2019 UMUM
9 PRAWINULAT, SDR PLUMBON, SARDONOHARJO,
NGAGLIK, SLEMAN
2019/01/23/00012 109776 RIYA TRI WIBAWA, L MEDARI GEDE IV, K0000054 INDAH TUMOR 23/01/2019 -
6 BP CATURHARJO, SLEMAN, PEDIS
SLEMAN DEXSTRA
2019/01/25/00004 109695 SITI SALAMI, NY P NGENTAK, SINDUHARJO, K0000054 INDAH tumor 25/01/2019 -
4 NGAGLIK, SLEMAN punggung
2019/01/27/00001 109892 DWI ANTONO, SDR L BRENGOSAN , DONOHARJO, K0000054 INDAH ashma 27/01/2019 -
0 NGAGLIK, SLEMAN bronchiale
2019/02/01/00012 110044 AMANDA RAFANIA P SUMEDANG 2/27, K0000054 INDAH GEA 01/02/2019 - BPJS
8 TANOKO, AN PURWOBINANGUN, PAKEM, DENGAN
SLEMAN DESENTERIF
ORM,ALERGI
2019/02/06/00016 110236 BAMBANG L TEPAN NGENTAK, K0000054 INDAH vl,
OBAT 06/02/2019 BPJS
8 SUPRIJANTO, BP BANUNKERTO , TURI, amputatum
2019/02/08/00003 108930 PUTRI WULANDARI P SLEMAN
GAWAR, PANDOWOHARJO, K0000054 INDAH bartulinitis 08/02/2019 BPJS
3 SLEMAN, SLEMAN
2019/02/11/00005 110244 DEWI SITI MUTMA, P KOPEN 5/19, K0000054 INDAH TUMOR 11/02/2019 BPJS
2 NN LUMBUNGREJO, TEMPEL, PUNGGUNG
2019/02/13/00007 110442 RUSWANTI, NY P SLEMAN
LABASAN 042/- K0000054 INDAH penkes 13/02/2019 UMUM
3 PAKEMBINANGUN SLEMAN,
-, -, -
2019/02/16/10003 110541 YUYU WAHYUNI, NY P PULES KIDUL KARANG K0000054 INDAH dispneu 16/02/2019 -
7 ANYER, DONOKERTO, TURI,
2019/02/22/00023 110729 TRI ISTINAWATI, P SLEMAN 2/4,
NGEPRING K0000054 INDAH ITP 22/02/2019 -- UMUM
SLEMAN
2019/02/27/00015 110891 IHKWAN ROZAQUM L SELOREJO, K0000054 INDAH DF 27/02/2019 - BPJS
2019/03/04/00023 111006 FAJAR PRADITO, AN L SLEMAN
KAMDANEN, SARIHARJO, K0000054 INDAH ckr 04/03/2019 - UMUM
5 NGAGLIK, SLEMAN
2019/03/06/00019 111086 MURTINI, NY P REJOSARI, SARDONOHARJO, K0000054 INDAH - 06/03/2019 dr. PATIMAH BPJS
4 NGAGLIK, SLEMAN HARYATI
2019/03/06/00019 111071 REICO ARDI L KADISOBO II, TRIMULYO, K0000054 INDAH monoparese 07/03/2019 KLINIK SWA BPJS
3 FADILLAH, BP SLEMAN, SLEMAN
2019/03/08/00020 111151 tukinah ny P JONKE TENGAH RT 01/ RW K0000054 INDAH CHF 08/03/2019 BPJS
9 023, SENDANG, MLATI, KESEHATAN
2019/03/15/00015 111212 ISTI NANINGRUM P SLEMAN RT 01/ RW 06,
KRANDON K0000054 INDAH APP 15/03/2019 BPJS
0 NN SUMBERADI, MLATI,
SLEMAN
9/30/19 12:19 PM Page 53 of 103
2019/03/22/00006 111572 NUR HIDAYAH, NY P KENARUHAN 001/017 K0000054 INDAH APP 22/03/2019 BPJS
5 DONOKERTO TURI SLEMAN,
-, -, -
2019/03/26/00006 111671 ASTYANA DONI L WONOSARI, DONOHARJO, K0000054 INDAH DISPEPSIA 26/03/2019 UMUM
7 RIAN P NGAGLIK, SLEMAN
2019/03/29/00015 111769 OCTA MASHITA P NGAGLIK, CATURHARJO, K0000054 INDAH - 29/03/2019 SLEMAN BPJS
6 KURNIAWARDANI, SLEMAN, SLEMAN
2019/03/28/00013 067309 NN
HARUN, BP L NGEMPLAK SINDHARJO K0000054 INDAH BRONCHOPN 30/03/2019 - UMUM
2 NGAGLIK, -, -, - EUMONI,
2019/04/02/00019 068253 SUTRISNO, BP L BALONG UMBULHARJO K0000054 INDAH CHF
ckd 03/04/2019 - UMUM
5 CANGKRINGAN, -, -, -
2019/04/10/00018 023596 NGATINAH, NY P NGENTAK, SINDUHARJO, K0000054 INDAH dyspneu 10/04/2019 -
4 NGAGLIK, -, -, -
2019/04/15/00009 112240 ERNAWATI, NY P SURIREJO, SUKOHARJO, K0000054 INDAH tumor 15/04/2019 BPJS
4 SLEMAN, SLEMAN punggung
2019/04/17/00005 112316 SUTAJI L PLEMBURAN TEGAL, K0000054 INDAH DF 17/04/2019 - UMUM
4 MUSTANGIN, BP SARIHARJO, NGAGLIK,
2019/04/20/00018 112402 TOMMY L SLEMAN
SINDUADI, MLATI, SLEMAN, K0000054 INDAH - 20/04/2019 UMUM
8 KURNIAWAN SLEMAN
2019/04/22/00014 112431 AZKA ADITYA, AN L PENEN 03/24, K0000054 INDAH KDS, FA, ISK 22/04/2019 UMUM
SLEMAN
2019/04/27/00002 112546 AMAT SIAR, BP L WADAS 001/001 TRIDADI K0000054 INDAH PNEUMONI, 27/04/2019 BPJS
4 SLEMAN DIY, -, -, - CHF
2019/05/03/00007 112718 TRI MULIANINGSIH, P MURANGAN VII 008/023 K0000054 INDAH HT 03/05/2019 UMUM
5 NY TRIHARJO SLEMAN DIY, -, -, EMERGENCY
- ;
2019/05/03/00013 112728 SUMINI, NY P JOMBOR LOR, SINDUADI, K0000054 INDAH HEMIPARES
- 03/05/2019 UMUM
7 MLATI, SLEMAN E
2019/05/06/00002 112775 AGUNG SUBAGYO, L KARANGTANJUNG, K0000054 INDAH tumor 06/05/2019 -
9 BP PANDOWOHARJO, SLEMAN, punggung
SLEMAN
2019/05/07/00006 112848 SARDJONO, BP L PENCARSARI, K0000054 INDAH ppok, chf 07/05/2019 DR. BPJS
7 SARDNOHARJO, -, - ALEXANDER
2019/05/12/00002 112984 WAHYU TRI L TEGAL KRAPYAK 1/33, K0000054 INDAH - 12/05/2019 UMUM
9 WIBOWO, BP SARIHARJO, NGAGLIK,
2019/05/13/00006 022132 MARIMAN, BP L SLEMAN
JONGKE TENGAH, -, -, - K0000054 INDAH ASMA 13/05/2019 UMUM
0 BRONCHIAL
2019/05/17/00012 113134 ETIK SUSANA,NY P PENEN 3/34, DONOHARJO, K0000054 INDAH - 17/05/2019 WIDURI BPJS
4 NGAGLIK, SLEMAN
2019/05/21/10011 112848 SARDJONO, BP L PENCARSARI, K0000054 INDAH HIL 21/05/2019 BPJS
1 SARDNOHARJO, -, -
2019/05/23/00017 078091 TUKIJO, BP L WONOSOBO K0000054 INDAH - 24/05/2019 UMUM
2019/05/27/00012 077262 SITI WASIDAH, NY P -, -, -
GLONDONG, K0000054 INDAH hemiparese 27/05/2019 - UMUM
6 PURWOBINANGUN, PAKEM, dekstra ec
SLEMAN, -, -, - SNH
2019/05/31/00029 113474 SUHARDI, BP L NGANGKRIK 04/14, K0000054 INDAH fisura 31/05/2019 - UMUM
6 TRIHARJO, SLEMAN, perianal
2019/06/01/00007 075939 TITIK P SLEMAN
MANTARAN TRIMULYO K0000054 INDAH cholelistitis 01/06/2019 RS PURI UMUM
0 SISWANTININGSIH, SLEMAN, -, -, - HUSADA -
NY KAB.
9/30/19 12:19 PM Page 54 of 103
SLEMAN
2019/06/06/00000 113630 AFFIFANSA CIKA P BETENG , TRIDADI, K0000054 INDAH - 06/06/2019 BPJS
DHANAKY, NN
2019/06/07/00007 054919 SUPARTIYAH,NY P PISANGAN, TRIDADI , - K0000054 INDAH - 07/06/2019 RS PURI UMUM
1 SLEMAN, -SLEMAN HUSADA -
KAB. SLEMAN
2019/06/10/00007 113733 PUJI LESTARI P MEDARI GEDE IV 01/10, K0000054 INDAH tumor genu 10/06/2019 Klinik SWA BPJS
SLEMAN
2019/06/12/00001 112775 AGUNG SUBAGYO, L KARANGTANJUNG, K0000054 INDAH MULTIPLE 12/06/2019 Sleman -
4 BP PANDOWOHARJO, SLEMAN, TUMOR
SLEMAN PUNGGUNG
2019/06/14/00007 113868 TRI PURWANTI, NY P TEGALMINDI, K0000054 INDAH - 14/06/2019 Klinik Chandra BPJS
4 SARDONOHARJO, NGAGLIK, Brata Medika
2019/06/14/00001 112995 JUWADI, BP L SLEMAN
RANDUSONGO, K0000054 INDAH GRANULOMA 14/06/2019 Turi BPJS
2 DONOKERTO, TURI, SLEMAN PERUT
2019/06/17/00006 113919 KHANSAA JIHAN P SEBAYU, TRIHARJO, K0000054 INDAH polip recti 17/06/2019 Klinik SWA BPJS
7 FARANNISA, AN SLEMAN, -
2019/06/19/00005 034653 SOKINAH,NY P LOJAJAR, SINDUHARJO, -, -, K0000054 INDAH febris 19/06/2019 UMUM
0
2019/06/23/00017 114124 GALIH AHLAN L -KALIURANG TIMUR 5/15, K0000054 INDAH GEA 23/06/2019 RS PURI BPJS
7 PRADITYA P, AN HARGOBINANGUN, PAKEM, HUSADA -
SLEMAN KAB. SLEMAN
2019/06/27/00015 113761 ATHANASIA P JOMBOR BARU , K0000054 INDAH DF 27/06/2019 UMUM
6 HARYANI, NY SENDANGADI, MLATI,
2019/07/02/00005 044107 SUMIYARSI, NY P SLEMAN 004/046,
JEMBULAN K0000054 INDAH ANEMIA,DM 02/07/2019 Ngaglik II BPJS
SLEMAN
2019/07/08/00000 114220 RENI INDRIYANI P KARANGTALUN 002/006, K0000054 INDAH app akut 08/07/2019 Klinik FIA BPJS
9 KARANGTALUN, NGLUWAR,
MAGELANG
2019/07/09/00013 055959 ARIS MUNAHAR, BP L GONDANGAN PENEN K0000054 INDAH ASMA 09/07/2019 RS PURI BPJS
7 SENDANGADI MLATI, -, -, - BRONCIALE HUSADA -
KAB. SLEMAN
2019/07/12/00002 114612 DEVITA HESTINI P GABUGAN, TURI, K0000054 INDAH TUMOR 12/07/2019 RS PURI BPJS
9 PUTRI, NN DONOKERTO, TURI, SLEMAN MAMAE HUSADA -
DEXTRA KAB. SLEMAN
2019/07/17/00004 113942 SISWO SUYATNO,BP L SOKOBINANGUN, K0000054 INDAH chf 17/07/2019 Tempel I BPJS
5 MERDIKOREJO, TEMPEL,
SLEMAN
2019/07/24/00010 114954 BRIGITA YULIARTI, P MURANGAN VIII, TRIHARJO, K0000054 INDAH hm gr 4 24/07/2019 dr. Nanuk BPJS
9 NY SLEMAN, SLEMAN Rajawali
2019/07/26/00002 015604 ENDANG KADARSIH, P GILINGAN RT 3/27 K0000054 INDAH ULKUS DM 26/07/2019 Wahid
dr. Suryawan -
8 NY SENDANGAN MLATI, -, -, - Hadijaya
2019/07/28/00001 115088 LINTANG VERA P BLEKIK, SARDONOHARJO, K0000054 INDAH DF 28/07/2019 RS PURI BPJS
0 LUSITA NGAGLIK, SLEMAN HUSADA -
KAB. SLEMAN
2019/08/02/00016 067306 LUKY LISANDRA P KEPITU PANDOWOHARJO K0000054 INDAH - 02/08/2019 Sleman BPJS
8 PUSPARINI, NN SLEMAN, PANDOWOHARJO,
SLEMAN, SLEMAN
2019/07/28/00001 115134 SAWAL/ WARDI L KARANGLO 2/5, K0000054 INDAH - 03/08/2019 RS PURI BPJS
7 SUWARNO, BP SIDOMULYO, GODEAN, HUSADA -
SLEMAN KAB.
9/30/19 12:19 PM Page 55 of 103
SLEMAN
2019/08/03/00028 115283 ANSORI, SDR L IMOREJO, WONOKERTO, K0000054 INDAH HEMIPARES 03/08/2019 - UMUM
8 TURI, SLEMAN E
2019/08/09/00022 007494 DENIS KRISNAWAN, L BLEKIK, SAR-DONOHARJO, K0000054 INDAH SINISTRA,S
DF 09/08/2019 RS PURI UMUM
4 SDR NGAGLIK, -, -, - NH HUSADA -
KAB. SLEMAN
2019/08/16/00007 115589 GERALD VIKARDO L JL GRIYA TAMAN ASRI, K0000054 INDAH PROLONG 16/08/2019 - UMUM
8 STEPU SARAGAN, FEVER
PANDOWOHARJO, SLEMAN
2019/08/19/10010 115671 EKO YULIANTO L KEMLOKO 04/02, CATUR K0000054 INDAH hemoroid 19/08/2019 Klinik FIA BPJS
2 HARJO, SLEMAN, SLEMAN
2019/08/21/00005 115729 SUNIHADI, BP L KEMIRI , PURWOBINANGUN, K0000054 INDAH TUMOR 21/08/2019 Klinik SWA BPJS
1 PAKEM, SLEMAN PARIENTAL
2019/08/22/00016 034860 SRI SULASMI, NY P JETIS DONOLAYAN, K0000054 INDAH CKR 23/08/2019 RSPH UMUM
SLEMAN
2019/08/31/00007 055014 PRIYO SUMARTO, P SUDIMORO, K0000054 INDAH - 31/08/2019 - UMUM
2019/09/02/00007 043776 SUMARMAN, BP L JLAMPRANG
SLEMAN K0000054 INDAH - 02/09/2019 RS PURI BPJS
5 PANDOWOHARJO SLEMAN, HUSADA -
PANDOWOHARJO, SLEMAN, KAB. SLEMAN
2019/09/02/00009 032504 SUMARDI, BP L KEPITU
SLEMANRT 2/17 TRIMULYO, K0000054 INDAH ganglion 02/09/2019 Sleman BPJS
5 -, -, - paplitea
2019/09/06/00019 116170 FITRI ATMONO L PALGADING 003/018, K0000054 INDAH DF,DM 06/09/2019 RS PURI BPJS
6 AGUS WALUYO, BP SINDUARJO, NGAGLIK, HUSADA -
SLEMAN KAB. SLEMAN
2019/09/10/00010 116281 NAURA GHISKA P LEDOK WARENG 4/35, K0000054 INDAH - 10/09/2019 RS PURI BPJS
8 ALYA CAESARLITA SARDONOHARJO, NGAGLIK, HUSADA -
SLEMAN KAB. SLEMAN
2019/09/11/00017 116300 YULIUS TIMPOR L TANEN, HARGOBINANGUN, K0000054 INDAH BACTERIAL 11/09/2019 Pakem BPJS
3 GINTING, BP PAKEM, SLEMAN INFECTION
2019/09/18/00010 063733 MARTO SARI,NY P NGETIRAN SARIHARJO K0000054 INDAH CHF 18/09/2019 RS PURI BPJS
0 NGAGLIK SLEMAN, -, -, - HUSADA -
KAB. SLEMAN
2019/09/23/00005 116579 MARJIYAH, NY P SOROWANGSAN, BABADAN K0000054 INDAH GANGLION 23/09/2019 Klinik SWA BPJS
1 004/018, GIRIKERTO, TURI, POPLITEA
SLEMAN
2019/09/24/00014 116524 SUWARSINAH NY P NGEMPLAK CABAN 003/008, K0000054 INDAH - 24/09/2019 UMUM
2019/09/25/00007 114131 ANI SUSILOWATI P SIDOASRI KLEGUNG K0000054 INDAH TUMOR 25/09/2019 BPJS
9 RAHMAH NY 004/025, DONOKERTO, PAYUDARA
TURI, SLEMAN SINISTRA
2019/09/27/00013 106821 PUJIAMAN, BP L SIDOMULYO , TRIMULYO, K0000054 INDAH - 27/09/2019 RS PURI BPJS
0 SLEMAN, SLEMAN HUSADA -
KAB. SLEMAN
2019/09/27/00010 109526 PAINEM, NY P NGEPAS LAR 5/16, K0000054 INDAH - 27/09/2019 dr. Sunarko BPJS
SLEMAN
2019/05/06/00021 112750 ADUNG HASTIAN, L PISANGAN, TRIDADI, K0000077 Kamar - 06/05/2019 BPJS
5 BP SLEMAN, SLEMAN Bersalin
2019/06/10/00019 113751 SUDIYONO BP L KRAPYAK 11/21, TRIHARJO, K0000077 Kamar - 27/06/2019 UMUM
2
9/30/19 12:19 PM Page 56 of 103
SLEMAN, SLEMAN Bersalin
2019/01/01/00006 109163 CAKRA INDRA L GONDANGAN PENEN JL. K0000034 kds 01/01/2019 UMUM
3 LASMANA, AN MULUNGAN BARU, MLATI, MADUKARA A
SLEMAN, SLEMAN
2019/01/05/00014 109276 SKOLASTIKA VALEN P NGETIRAN , K0000034 - 05/01/2019 - UMUM
2 ANANTA PUTRI, AN SARDONOHARJO, NGAGLIK, MADUKARA A
2019/01/15/00010 109560 AFIFAH AZAHRA P SLEMAN
NGELOSARI, K0000034 KDS 15/01/2019 - UMUM
2 KHOIRUNISA, AN PURWOBINANGUN, PAKEM, MADUKARA A
2019/01/22/00007 109746 MUHAMMAD AL L SLEMAN
BRONGKOL, ARGOMULYO, K0000034 BRONCHOPN 22/01/2019 -
1 FATIH, AN CANGKRINGAN, SLEMAN MADUKARA A EMONIA
2019/01/30/00019 062556 RAISYA ZAHRINA P TLACAP PANDOWOHARJO K0000034 - 30/01/2019 - UMUM
1 AZIZAH, AN SLEMAN, -, -, - MADUKARA A
2019/01/30/00022 110003 MUHAMMAD AHNAN L DAREN KIDUL 001/007 K0000034 BRONCOPNE 31/01/2019 BPJS
7 ZUKHRUFUL DONOKERTO TURI SLEMAN, MADUKARA A MONIA
MANAN, AN -, -, -
2019/02/08/00002 109982 ZARA ADARA P SUDIMORO 4/22, K0000034 app akut 08/02/2019 BPJS
9 LARASATI, AN MOROREJO, TEMPEL, MADUKARA A
2019/02/10/00002 110359 MUHAMMAD L SLEMAN
PAKEL 004/004 PLANJAN K0000034 KDS,FA 10/02/2019 UMUM
4 ALFIAN, AN SAPTOSARI GUNUNG KIDUL MADUKARA A
DIY, -, -, -
2019/02/14/10013 038327 WIGNYO PERTOMO, P JABUNG, PENDOWOHARJO, K0000034 vertigo 14/02/2019 UMUM
4 NY -, -, - MADUKARA A
2019/02/25/00021 110757 IRENIUS KENZI P KEMIRI 007/007 K0000034 BRONCHOPN 25/02/2019 RSPH UMUM
1 KRISMA PUTRA, AN PURWOBINANGUN PAKEM MADUKARA A EUMONI
SLEMAN, -, -, -
2019/03/01/00013 110928 ALYA ZAHIDAH A, P PATUK SARDONOHARJO K0000034 GEA 01/03/2019 UMUM
1 AN NGAGLIK SLEMAN, -, -, - MADUKARA A Dehidrasi
2019/03/05/00011 111064 FAISAL IMAMUL L KAYUNAN RT 02/ RW 05, K0000034 GEA 05/03/2019 - UMUM
6 HAKIM AN DONOHARJO, NGAGLIK, MADUKARA A DESENTRI
SLEMAN
2019/03/11/00015 106635 FARA DINA MAHA P JETIS DONOLAYAN, K0000034 FUO 11/03/2019 - UMUM
6 NANI, AN DONOHARJO, NGAGLIK, MADUKARA A
SLEMAN
2019/03/13/00021 111303 ZAHRA KHUROTUL P REJODADI, BANGUNKERTO, K0000034 - 13/03/2019 - BPJS
2 AKHYUN, AN TURI, SLEMAN MADUKARA A
2019/03/15/00011 111317 FARHAN L NGABEAN 004/006 K0000034 tumor 15/03/2019 BPJS
8 KHOLILURROHMAN, MARGOREJO TEMPEL MADUKARA A submandibul
AN SLEMAN DIY, -, -, - a sinistra
2019/03/17/00004 111413 ANASTAYA RAUFAN L TEGALSARI SARIHARJO K0000034 DF 17/03/2019 UMUM
0 NAFIANTO, AN NGAGLIK SLEMAN , -, -, - MADUKARA A
2019/03/19/00008 111494 NADINIA PRISTA P PALAGAN WONOREJO, -, -, - K0000034 DF 23/03/2019 UMUM
0 NAURA, AN MADUKARA A
2019/03/25/00006 009719 VIVILIA ASTRIKA, P KALIWANGLU WETAN TR K0000034 DHF 25/03/2019 BPJS
4 AN 03/RW 20, MADUKARA A
HARJOBINANGUN, -PAKEM, -
2019/03/29/00005 110207 ROSSA ANINDYA P CUNGKRIK,
SLEMAN -, NGAGLIK, K0000034 KDS 29/03/2019 UMUM
4 PUTRI, AN SLEMAN MADUKARA A
2019/04/06/00003 111965 MEYLA MUTIARA P DRONO 3/33, K0000034 DCA 06/04/2019 - BPJS
8 RAMADHANI, AN SARDONOHARJO, NGAGLIK, MADUKARA A
2019/04/09/10055 112100 VILRENZHIO L SLEMAN
NGEBEL CILIK, K0000034 isk 09/04/2019 - UMUM
8 ABIGAEL, AN SARDONOHARJO, NGAGLIK, MADUKARA A
9/30/19 12:19 PM Page 57 of 103

SLEMAN
2019/04/15/00027 112275 KEIYLLA AIZHA P JL. GITO-GATI KM. 02 K0000034 OF 16/04/2019 UMUM
0 AZHAFANOVIRA, AN NGEMPLAK DONOHARJO MADUKARA A
NGAGLIK SLEMAN, -, -, -
2019/04/19/00000 112349 ARDI MAULANA L BULUSAN 02/039, K0000034 bronchitis, 19/04/2019 UMUM
5 SAPUTRA, AN SARDONOHARJO, NGAGLIK, MADUKARA A CHF
SLEMAN
2019/04/26/00032 111317 FARHAN L NGABEAN 004/006 K0000034 tumor sub 26/04/2019 BPJS
2 KHOLILURROHMAN, MARGOREJO TEMPEL MADUKARA A mandibula
2019/04/29/00023 108960 AN
DEVA AFIN L SLEMAN DIY, -, KENDAL
PANDANSAREN -, - RT K0000034 DF 29/04/2019 - BPJS
6 FAJARI,AN 1 RW 11, BANGUNKERTO, MADUKARA A
TURI, SLEMAN
2019/05/01/00007 112692 RAZENDRIA ALESYA P PELEM, HARGOBINANGUN, K0000034 KDS 01/05/2019 UMUM
1 ZAHRA, AN PAKEM, SLEMAN MADUKARA A
2019/05/05/00001 112786 BAYU FAJAR L NGANGKRUK 3/5, K0000034 DF 05/05/2019 BPJS
1 IRMANSYAH, AN CATURHARJO, SLEMAN, MADUKARA A
SLEMAN
2019/05/09/00008 112917 NADEA P GONDANGAN 004/045 K0000034 DF 10/05/2019 BPJS
4 WULANDARI, AN SARDONOHARJO NGAGLIK MADUKARA A
SLEMAN, -, -, -
2019/05/13/00005 112987 PRABU ANDRA L SAWAHAN, K0000034 TUMOR 13/05/2019 BPJS
4 ARGANI, AN PANDOWOHARJO, NGAGLIK, MADUKARA A PALPEBIA
2019/05/31/00029 113435 RADITYA FAIZ, AN L SLEMAN
TEMULAWAK 04/36, K0000034 tumor 31/05/2019 Sleman BPJS
5 TRIHARJO, SLEMAN, MADUKARA A manus
2019/06/03/00017 066249 WISNU PRASETIA L SLEMAN
SOPRAYAN NANGSRI, K0000034 dekstra
TUMOR 03/06/2019 BPJS
9 DEFCANO, AN GIRIKKERTO, TURI,, -, -, - MADUKARA A TEMPORAL
2019/06/10/00002 113230 RENDY WISNU L SOKA TEGAL 001/013, K0000034 TUMOR 10/06/2019 Tempel I BPJS
4 BRATA, AN MERDIKOREJO, TEMPEL, MADUKARA A COLLIE
SLEMAN SINISTRA
2019/06/17/00006 020912 MARSHA AYU P KARANG ASEM RT 3/27 K0000034 ISK 17/06/2019 RS PURI UMUM
8 WULANSARI, AN PANDOWOHARJO, -, -, - MADUKARA A HUSADA -
KAB. SLEMAN
2019/06/24/00006 069441 MUHAMMAD YUSUF L SLEMAN PERMAI 2 BLOK G4 K0000034 - 24/06/2019 dr. Trisni Nur BPJS
5 ZAKY, AN TRIDADI, -, -, - MADUKARA A Andayani
2019/06/26/00009 114200 TAUFIQ RAMADHAN, L WATUGETHEG, K0000034 - 26/06/2019 Ngaglik II BPJS
1 SDR DONOHARJO, NGAGLIK, MADUKARA A
2019/07/01/00011 114360 ALDISTHA TRY P SLEMAN DONOHARJO,
KAYUNAN, K0000034 GEA 01/07/2019 RS PURI BPJS
6 HAPSARY, AN NGAGLIK, SLEMAN MADUKARA A DISENTRI HUSADA -
KAB. SLEMAN
2019/07/05/00006 061619 INTAN NUR P DRONO SARDONOHARJO K0000034 DHF 05/07/2019 RS PURI UMUM
4 KHASANAH, AN NGAGLIK, -, -, - MADUKARA A HUSADA -
KAB. SLEMAN
2019/07/10/00026 114654 ALATAS MALIQ L GABUGAN, K0000034 GEA 11/07/2019 - UMUM
2 RAMADHAN, AN PANDOWOHARJO, NGAGLIK, MADUKARA A
2019/07/15/10027 114784 SAHID ABDULLOH, L SLEMAN
KENARUAN, DONOKERTO, K0000034 gea dicentri 15/07/2019 RS PURI UMUM
8 AN TURI, SLEMAN MADUKARA A HUSADA -
KAB. SLEMAN
2019/07/26/00008 115066 JOHAN ANGGA L GONDOARUM, K0000034 TUMOR 26/07/2019 Turi BPJS
0 RAMADHAN, AN WONOKERTO, TURI, MADUKARA A OCCIPITAL
2019/07/30/00006 115168 M. DESVIAN L SLEMANBANTUL, BANTUL,
BEJEN, K0000034 post orif 30/07/2019 RS PURI UMUM
1 AVISKO, AN BANTUL MADUKARA A fraktur HUSADA -
radius KAB. SLEMAN
sinistra
9/30/19 12:19 PM Page 58 of 103
2019/08/01/00008 115224 CHELSEA FEBRIANI P NGLEMPONGSARI, K0000034 DF 01/08/2019 - UMUM
6 SARIHARJO, NGAGLIK, MADUKARA A
2019/08/11/00003 115470 LILIK SUMARSONO, L SLEMAN
NGANGGRING 03/04, K0000034 - 11/08/2019 RS PURI BPJS
7 BP GIRIKERTO, TURI, SLEMAN MADUKARA A HUSADA -
KAB. SLEMAN
2019/08/11/00004 109728 LINDA DESI P NGENTAK 001/023, K0000034 appendicitis 12/08/2019 - UMUM
0 NIRMALA SARI, AN BANGUNKERTO, TURI, MADUKARA A
2019/08/16/00006 115569 HANIDHA WULAN P SLEMAN
SUKOREJO, GIRIKERTO, K0000034 TUMOR 16/08/2019 Turi BPJS
4 RAMADHANI, AN TURI, SLEMAN MADUKARA A LENGAN
DEXSTRA
2019/08/20/00014 115744 INARA AYUDIA, AN P TOINO 01/16, K0000034 gea desentri 20/08/2019 - UMUM
3 PANDOWOHARJO, SLEMAN, MADUKARA A dehidrasi
SLEMAN
2019/08/26/00012 115873 IRFAN HAKIM, AN L PLOSOKUNING, WONOSARI K0000034 MULTIPLE 26/08/2019 Turi BPJS
2 002/001, BANGUNKERTO, MADUKARA A ABSES
TURI, SLEMAN
2019/09/03/00008 113341 NUR HANAFI L JABAN KADIREJO 05/26, K0000034 PYELONEFRI 03/09/2019 - BPJS
4 ADNAN, AN SINDUHARJO, NGAGLIK, MADUKARA A TIS
SLEMAN
2019/09/06/00024 116180 ZASKYA P GONDANGAN, K0000034 KDS 06/09/2019 - BPJS
5 ARDININGRUM SARDONOHARJO, NGAGLIK, MADUKARA A
2019/09/11/00025 116335 ABDURRAHMAN L SLEMAN02/01, TRIDADI,
WADAS K0000034 - 12/09/2019 UMUM
1 DZAKWAN U. Z , AN SLEMAN, SLEMAN MADUKARA A
2019/09/16/20022 116431 FRISKA PUTRI P NGLABAN, SINDUHARJO, K0000034 SUSP ILEUS 16/09/2019 RS PURI UMUM
6 NABILA, BY NGAGLIK, SLEMAN MADUKARA A HUSADA -
KAB. SLEMAN
2019/09/26/00021 039039 WAHIDIN ERLAN L KALIWANGLU RT.03/18, K0000034 EDH 26/09/2019 UMUM
6 RAMADANI, AN HARJOBINANGUN, PAKEM, -, MADUKARA A
-, -
2019/01/04/00011 077582 MUHAMMAD SETYA L PANGGERAN IX TRIHARJO, K0000035 - 04/01/2019 - BPJS
5 RAMADHAN -, -, - MADUKARA B
2019/01/30/00022 110003 MUHAMMAD AHNAN L DAREN KIDUL 001/007 K0000035 - 30/01/2019 BPJS
7 ZUKHRUFUL DONOKERTO TURI SLEMAN, MADUKARA B
MANAN, AN -, -, -
2019/02/02/00010 110085 BENEDIOIUS L PELEM, PURWOBINANGUN, K0000035 - 02/02/2019 - UMUM
5 ANTHONI TEDDY, PAKEM, SLEMAN MADUKARA B
2019/02/11/00000 109740 AN
MUHAMMAD FADHIL L GADING KULON, K0000035 APP 11/02/2019 -
2 ABDULLAH, AN DONOKERTO, TURI, SLEMAN MADUKARA B
2019/02/13/00006 110440 AUDREY MANALU, P JL ANGGREK GONDANG K0000035 - 13/02/2019 UMUM
9 AN LEDI, SARIHARJO, NGAGLIK, MADUKARA B
2019/02/15/10010 110460 MUHAMMAD NAJIB L SLEMAN
JOGOKERTEN 1/13, K0000035 tumor 15/02/2019 BPJS
2 KHOIRUL HUDA, AN TRIMULYO, SLEMAN, MADUKARA B lengan
2019/02/16/10009 110532 ARIF YUNIANTORO, L SLEMAN
DONOLAYAN 3/22, K0000035 kanan
df atas 22/02/2019 NAGGLIK II BPJS
2 SDR DOOHARJO, NGAGLIK, MADUKARA B
2019/03/02/00009 059526 MOHAMAD ZAQY L SLEMAN SARDONOHARJO
DRONO K0000035 dispepsia 02/03/2019 - UMUM
9 DANIAL HAQ,AN NGAGLIK SLEMAN, MADUKARA B
SARDONOHARJO, NGAGLIK,
SLEMAN
2019/03/13/00013 111292 DIMAS ADI L DURENAN/ BETENG, K0000035 Fr. wrist 13/03/2019 SLEMAN BPJS
7 WICAKSONO, AN TRIDADI, SLEMAN, SLEMAN MADUKARA B
2019/03/15/00027 111362 AULIA UMMU HANI, P DAYU, SINDUHARJO, K0000035 DF 15/03/2019 - BPJS
3 AN NGAGLIK, SLEMAN MADUKARA B
9/30/19 12:19 PM Page 59 of 103

2019/03/28/00012 111735 RIZKY NAUFAL AN L CANDI III RT 06/ RW 7, DHF 28/03/2019 UMUM
1 SARDONO HARJO, NGAGLIK,
SLEMAN
2019/04/07/00003 112010 M. AKBAR L WONOSARI 1/3, DF 07/04/2019 - UMUM
0 WIJAYANTO, AN DONOHARJO, NGAGLIK,
2019/05/02/00005 112681 MUHAMMAD DIMAS L SLEMAN SARDONOHARJO,
TUREN, abses penis 02/05/2019 -
1 RAMADHAN, AN NGGALIK, SLEMAN
2019/05/09/00008 112917 NADEA P GONDANGAN 004/045 - 09/05/2019 BPJS
4 WULANDARI, AN SARDONOHARJO NGAGLIK
SLEMAN, -, -, -
2019/06/17/00014 113947 GHANI AHMAD L DURENAN, TRIDADI, - 17/06/2019 - UMUM
8 KURNIAWAN, AN SLEMAN, SLEMAN
2019/06/18/00009 113981 NABILA FATONAH, L TRIRIS NGANDONG, ISK 18/06/2019 Turi BPJS
6 AN GIRIKERTO, TURI, SLEMAN
2019/06/21/10014 114069 ANISA PUTRI NUR P SANGGRAHAN, - 21/06/2019 RS PURI UMUM
3 CAHYANI, BY CATURHARJO, SLEMAN, HUSADA -
SLEMAN KAB. SLEMAN
2019/07/08/00003 114487 DIAZ PERMANA L WARAS, SAIHARJO, - 08/07/2019 Ngaglik II UMUM
0 PUTRA, AN NGAGLIK, SLEMAN
2019/07/10/00020 077170 MUHAMMAD WISNU L CANDI 007/014, TUMOR 10/07/2019 dr. Aprilia BPJS
4 HADI ARDAN PURWOBINAGUN, PAKEM, INGUINALIS Dyah
KUSUMA, A SLEMAN DEXTRA Kusumawati
2019/08/02/00004 114824 SLAMET RIADI L WADAS, TRIDADI, SLEMAN, GRANULOMA 02/08/2019 Sleman BPJS
8 SLEMAN GENU
2019/08/11/00004 109728 LINDA DESI P NGENTAK 001/023, - 11/08/2019 - UMUM
0 NIRMALA SARI, AN BANGUNKERTO, TURI,
2019/09/17/00008 116466 RADITYA SATRIA L SLEMAN BEJEN 03/42,
POJOKAN ISK; GEA 17/09/2019 Sleman BPJS
8 BIMA, AN CATURHARJO, SLEMAN,
SLEMAN
2019/01/04/00011 077582 MUHAMMAD SETYA L PANGGERAN IX TRIHARJO, tumor 04/01/2019 - BPJS
5 RAMADHAN -, -, - auricula
2019/02/01/00000 056515 YUNANDA MAY P SUMBERAN /NANGSRI LOR, tumor 01/02/2019 BPJS
8 RANI, AN GIRIKERTO, TURI, manus D
CANDIBINANGUN, PAKEM,
SLEMAN
2019/02/09/00000 110320 ERLAND DIMAS L KARANGGAWANG, -, -, - TF, ISK 09/02/2019 - UMUM
9 AGASTA, AN
2019/02/12/00008 110421 NAFISAH IVANA P PONOSARAN KIDUL gea disenteri 13/02/2019 BPJS
3 KHALILAH, AN KARANGGAWANG, dengan KESEHATAN
GIRIKERTO, TURI, SLEMAN deidrasi tak
berat
2019/02/26/00009 110854 AMAT SARIJA BP L TAMBAKAN RT 01/ RW 019, - 26/02/2019 BPJS
SLEMAN
2019/02/28/00012 078856 NATANAEL FALKAU L DRONO SARDONOHARJO GEA 28/02/2019 UMUM
9 ALKA, AN NGAGLIK SLEMAN,
SLEMAN
2019/03/03/00001 110991 ATHAYA FAREIZAL L BANTARJO, DONOHARJO, - 03/03/2019 - UMUM
8 ANGGELO, AN NGAGLIK, SLEMAN
2019/03/07/00001 111102 DIAH LUTFI ADE P TURGO 001/001 COLIC 07/03/2019 UMUM
5 RIFANI, AN PURWOBINANGUN PAKEM RENAL
9/30/19 12:19 PM Page 60 of 103

SLEMAN, -, -, -
2019/03/15/00023 111359 CHALISTHA ANGEL P BANJARHARJO, SUSP ILEUS 15/03/2019 V
5 LEDISTA, AN PONDOKREJO, TEMPEL,
2019/03/26/00010 111675 ZHOOHIRU AZIS L SLEMAN
TAMBAKREJO 001/011 DF 26/03/2019 V
7 SAPUTRO, AN SARIHARJO NGAGLIK
SLEMAN DIY, -, -, -
2019/04/01/00004 111838 RAYHAN DIKA L PANASAN 005/035 app akut 01/04/2019 V
3 SATYA PUTRA, AN TRIHARJO SLEMAN DIY, -, -, post op
2019/04/06/10017 111995 ACHMAD RAIHAN L -
NGEBONG, MARGOREJO, gea 06/04/2019 V
5 AKHSANI, AN TEMPEL, SLEMAN
2019/04/13/00006 107819 ARKHA ZAINUL L CANDI 2 SARDONOHRJO, RA 13/04/2019 V
9 RAFLI, AN SARDONOHARJO, NGAGLIK,
SLEMAN
2019/04/30/00007 112646 FAHDINA MUTIARA, L KRNARUHAN 004/018 dispepsia 30/04/2019 V
4 AN DONOKERTO TURI SLEMAN,
-, -, -
2019/05/10/10018 112944 MUHAMMAD JABAL L JALAN MAGELANGKM 11,8 DF 10/05/2019 V
9 KEMAL PASA, AN BETENG, TRIDADI, SLEMAN,
SLEMAN
2019/05/14/00003 113035 MUHAMMAD L MAJEGAN 33/05, GEA 14/05/2019 V
1 CASEMIRO AL PANDOWOHARJO, SLEMAN,
AYYUBI, AN SLEMAN
2019/06/17/00011 043593 SATRIA DONI L GROJOKAN 3/2, - 17/06/2019 V
5 PRATAMA, AN PANDOWOHARJO, SLEMAN,
SLEMAN
2019/06/19/00011 114015 ANNORA ALZENA P GROGOL GAMBRETAN, GEA 19/06/2019 V
1 FIRDA, AN UMBULHARJO, DESENTRI
CANGKRINGAN, SLEMAN
2019/07/05/00006 114483 FAIRUZ FAKHIRAH P PLEMBURAN TEGAL, dengue fever 05/07/2019 V
9 HASNA, AN SARIHARJO, NGAGLIK,
2019/07/09/00004 114577 HOSEA GEVARIEL L SLEMAN
PANASAN, TRIHARJO, gea 09/07/2019 V
6 ALEIXO, AN SLEMAN, SLEMAN
2019/07/10/00020 114633 TITANIA P KEMIRI KEBO, GIRIKERTO, - 10/07/2019 V
1 RAHMADHANI TURI, SLEMAN
2019/07/10/00020 114633 TITANIA P KEMIRI KEBO, GIRIKERTO, - 10/07/2019 V
1 RAHMADHANI TURI, SLEMAN
2019/07/17/00010 114824 SLAMET RIADI L WADAS, TRIDADI, SLEMAN, tumor genu 17/07/2019 V
1 SLEMAN sinistra
2019/07/18/00032 114880 ANGGRAINI P MAJEGAN, DCA 18/07/2019 V
9 WAHYUNINGSIH, AN PANDOWOHARJO, SLEMAN,
SLEMAN
2019/07/27/00005 114944 DIRGA PUTRA L JETIS DONOLAYAN, vomitus 27/07/2019 V
7 RAMADHANI,AN DONOHARJO, NGAGLIK,
SLEMAN
2019/07/31/00016 115194 AHMAD ZAKY L SIDOMULYO 007/028, DHF 31/07/2019 V
0 CHOIRONI, AN TRIMULYO, SLEMAN,
2019/09/08/00003 116223 MUHAMMAD AZZAM L SLEMAN
GONDANGLEGI, SARIHARJO, BRONCHOPN 08/09/2019 V
1 RAJATA, AN NGAGLIK, SLEMAN EUMONI
2019/09/11/00025 116335 ABDURRAHMAN L WADAS 02/01, TRIDADI, DF 12/09/2019 V

1 DZAKWAN U. Z , AN SLEMAN, SLEMAN
9/30/19 12:19 PM Page 61 of

103
No. Kamar No.RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
2019/09/15/00000 116407 ATHAR RISKY,AN L REJOSARI 2/20, BRONCHOPN 15/09/2019 V
4 SARDONOHARJO, NGAGLIK, EUMONI
SLEMAN
2019/01/04/00000 042532 PONIDI, BP L NGANGKRIK , TRIHARJO, dispneu 04/01/2019 V
2 SLEMAN, -, -, -
2019/01/04/00001 079313 HARMIN,BP L MAJEGAN 1/32, HEMOROID 04/01/2019 V
2 PANDOWOHARJO, SLEMAN, GR IV,POLIP
SLEMAN RECTI
2019/01/05/00008 109262 MUHAMMAD L SOPRAYAN NANGSRI, DF 05/01/2019 V
6 DAWAM TASYA GIRIKERTO, TURI, SLEMAN
2019/01/10/00003 109396 ABDILLAH, SDRBP
MUHDIYANTO, L JONGGRANGAN 004/018, #FIBULA 10/01/2019 V
1 SUMBERADI, MLATI, SINISTRA
SLEMAN V.LAC
2019/01/14/00007 109330 WIDIYONO, BP L KEMIRI, PURWOBINANGUN, ppok 14/01/2019 V
1 PAKEM, SLEMAN
2019/01/16/00007 106747 SUDARTO, BP L KEMIRIKEBO 2/7, hemoroid gr 16/01/2019 V
5 GIRIKERTO, TURI, SLEMAN 4
2019/01/18/00007 109623 MUHADI WARSITO/ L DUKUH , TRIDADI, SLEMAN, hepatoma 18/01/2019 V
0 SAUDI, BP SLEMAN
2019/01/21/00002 109702 ZUSUP KUSNAINI, L PANGGERAN IX, TRIHARJO, tumor 21/01/2019 V
7 BP SLEMAN, SLEMAN dinding
2019/01/23/00016 109787 ELI YANI L KALIWANGLU WETAN , abdomen
dengue fever 23/01/2019 V
8 PURWOKO, SDR HARJOBINANGUN, PAKEM,
SLEMAN
2019/01/30/00010 109739 NGADIMAN, BP L SIDOREJO, CATURHARJO, abses 30/01/2019 V
6 SLEMAN, SLEMAN antrebachi
dextra
2019/02/01/00003 106777 HADI SUWITO, BP L BETENG/ DURENEN , HIL D 01/02/2019 V
2019/02/07/00006 110269 GANDI SAPTORO, L KARANGWUNI, angina 07/02/2019 V
0 BP BANGYUNKERTO, TURI, pectoris
SLEMAN
2019/02/11/00011 074575 KARDI WIYONO, BP L SEMPU WONOKERTO TURI isk, chf, hhd 11/02/2019 V
6 SLEMAN, -, -, -
2019/02/15/10002 078441 SUCIPTO, BP L KADILOBO CANDIBINANGUN PROLONG 16/02/2019 V
0 PAKEM, -, -, - FEVER EC
PNEMONI
2019/02/22/00019 110718 SLAMET/SUDI L KEMBANG 004/019 - 22/02/2019 V
1 RAHARJO, BP WONOKERTO TURI SLEMAN,
-, -, -
2019/02/22/00016 110737 SARIASIH, BP L PANASAN IX, TRIHARJO, tumor 22/02/2019 V
8 SLEMAN, SLEMAN manus
2019/02/27/00007 020342 MURI JOKO SUSILO, L GABUGAN, dextra
HILL dextra 27/02/2019 V
4 BP PANDOWOHARJO, -, -, -
2019/02/28/00013 110914 PRATIKNO BP L BULUS LOR RT 02/ RW 03, bacterial 28/02/2019 V
8 CANDIBINANGUN, PAKEM, infection
SLEMAN
2019/03/06/00012 111069 PARIJO, BP L BURIKAN, SUMBERADI, tumor 06/03/2019 V
2 MLATI, SLEMAN supraclavicul
2019/03/07/00002 068402 SUYANTO, BP L NGEPAS KIDUL 001/017 la
obs dyspneu 09/03/2019 V
7 DONOHARJO NGAGLIK, -, -,
-
9/30/19 12:19 PM
103
2019/03/11/00014 111217 DJAROT WIDODO L JL PANDEAN 2 RT 07/ RW vertigo 11/03/2019 V
2 BP 056, CONDONGCATUR,
DEPOK, SLEMAN
2019/03/15/00019 060303 BAMBANG L KARANG dyspneu ec 14/03/2019 V
3 SUNARNO,BP TANJUNG,PANDOHARJO,SLE ppok
2019/03/16/00013 065503 MUHARI, BP L MAN, -, -,
GAWAR -
PANDOWOHARJO DISPEPSIA 16/03/2019 V
7 SLEMAN, -, -, -
2019/03/20/00011 111526 M ABDURROHIM, BP L JOGOKERTEN, TRIMULYO, tumor lutut 20/03/2019 V
5 SLEMAN, SLEMAN belakang,
ganglion
poplitea
2019/03/22/00001 110771 MULYONO, BP L MEDARI GEDE IV 002/011 granuloma 22/03/2019 V
2 CATURHARJO SLEMAN, -, -, cruris dextra
2019/03/25/00003 028821 SUHADI, BP L -
BALONG, TRIMULYO HIL 25/03/2019 V
3 SLEMAN, -, -, -
2019/03/25/00012 111643 WAJINO, BP L TEGALREJO, SARIHARJO, FEBRIS 26/03/2019 V
6 NGAGLIK, SLEMAN
2019/03/28/00010 111726 AG HENDAR L BANTENG UTAMA III NO 41, CHOLESISTI 29/03/2019 V
5 TRIWARSONO, BP SINDUHARJO, NGAGLIK, TIS
SLEMAN KRONIS,CHO
LELITHIASIS
,ISK,DM II
2019/04/07/00002 111928 FAHRUDIN L KRANDON, 04/04, NO
- 07/04/2019 V
5 ILHAMSYAH, SDR BENDOHARJO, SLEMAN,
SLEMAN
2019/04/08/00002 111934 SUWITO HADI, BP L KENARUAN 001-17, TURI, TUMOR 08/04/2019 V
0 SLEMAN, DIY, -, -, - LENGAN
DEXSTRA
2019/04/10/00016 056094 SUHADI, BP L PISANGAN TRIDADI hils 10/04/2019 V
2 SLEMAN, -, -, -
2019/04/11/00013 112157 EKO SUNU WIBOWO L MULUNGAN BARU N0.15, df 11/04/2019 V
6 .BP PANDOWOHARJO, SLEMAN,
SLEMAN
2019/04/16/00013 112292 MUH WIKUN/ MUH L TUNGGULARUM, - 16/04/2019 V
1 DASUKI, BP WONOKERTO, TURI,
2019/04/20/00019 108072 SUPARMIN, BP L SLEMAN 007/039,
NANDAN - 20/04/2019 V
2019/04/25/00006 112428 SAMIYO, BP L SLEMAN
BENDOSARI 002/017 - 25/04/2019 V
0 PAKEM, SLEMAN, DIY, -, -, -
2019/04/26/00030 112333 SUGENG, BP L TEMULAWAK 004/036 HIL S 26/04/2019 V
7 TRIHARJO SLEMAN, -, -, -
2019/04/27/00013 112586 EKO L SEMAK RT 2 RW 7, KARANG 27/04/2019 V
4 SULISTIYANTO,BP MOJO, WERU, SUKOHARJO
2019/04/30/00003 057177 PARJONO,BP L MURANGAN VIII 6/28, SNH 30/04/2019 V
6 TRIHARJO, SLEMAN,
2019/05/01/00006 112655 PARTO WIKROMO, L SLEMAN TASIKHARJO,
BANARAN, BPH 03/05/2019 V
9 BP JATI SRONO, WONOGIRI
2019/05/07/00007 112849 WAGINO, BP L SUCEN, TRIHARJO, SLEMAN, cholelitiasis 07/05/2019 V
3 SLEMAN
2019/05/13/00005 112995 JUWADI, BP L RANDUSONGO, TUMOR 13/05/2019 V
5 DONOKERTO, TURI, SLEMAN INGUINAL S
9/30/19 12:19 PM Page 63 of

103
2019/05/15/00016 106747 SUDARTO, BP L KEMIRIKEBO 2/7, tumor 15/05/2019 V
2 GIRIKERTO, TURI, SLEMAN punggung
2019/05/17/00001 113082 IKHSANUDIN BP L KEMIRI 005/022, tumor 17/05/2019 V
0 MARGOREJO, TEMPEL, pinggang
2019/05/19/00001 113165 RAKA WISNU L SLEMAN KM7, SARIHARJO,
PALAGAN DF 19/05/2019 V
8 ERLANGGA, SDR NGAGLIK, SLEMAN
2019/05/24/00017 113313 DAHONO ARJO L TUREN 02/01, HT 24/05/2019 V
5 DAHONO, BP SARDONOHARJO, NGAGLIK, URGENCY;
SLEMAN CHF
2019/05/29/00017 113439 HADI SUWITO, BP L RANDUSONGO 01/06, ppok 29/05/2019 V
2019/06/04/10054 113092 JUWARDI, BP L BRENGOSAN 005/009 DYSPEPSIA 04/06/2019 V

1 DONOHARJO NGAGLIK
SLEMAN DIY, -, -, -
2019/06/08/00012 078498 MURDIYO,BP L MURANGAN VII TRIHARJO ASMA 08/06/2019 V
5 SLEMAN, -, -, - BRONCHIAL
E; IHD
2019/06/11/00037 107258 PROJO SUSANTO, P SIDOREJO 1/20, DM,POST 11/06/2019 V
0 BP CATURHARJO, SLEMAN, SNH
2019/06/19/00008 114006 GALIH EKO L SLEMAN3
MANGKUDRANAN, tumor 19/06/2019 V
6 PRASETYO, AN MARGOREJO, TEMPEL, aurikula s
2019/06/21/10008 068403 SUPARJI, BP L SLEMAN
NYAMPLUNG DONOHARJO - 21/06/2019 V
4 NGAGLIK, -, -, -
2019/06/21/10011 114067 MUHAMMAD ZULFI L MURANGAN VII, TRIHARJO, DF 22/06/2019 V

8 NURROHMAN SLEMAN, SLEMAN
2019/06/26/00009 114200 TAUFIQ RAMADHAN, L WATUGETHEG, tumor 26/06/2019 V
1 SDR DONOHARJO, NGAGLIK, manus D
2019/06/27/00014 114266 BONIFASIUS TONY L SLEMAN MARGOREJO,
NGEBONG, snh 28/06/2019 V
1 ROSARYANTO, BP TEMPEL, SLEMAN
2019/07/08/00009 114426 ERYANTO L SEMPU, WONOKERTO, TURI, hil s 08/07/2019 V

7 SLEMAN
2019/07/12/00012 114689 IMAM MUCHLIS L PERUM MARGOREJO ASRI - 12/07/2019 V
9 JAYADI, SDR BLOK C-17, MARGOREJO,
TEMPEL, SLEMAN
2019/07/13/00009 114729 NGAJIDI, BP L SELOWANGSAN 2/25, ruptur 13/07/2019 V
2 WONOKERTO, TURI, tendon
2019/07/19/00006 107945 ABDUL BARI, BP L SLEMAN
JETIS DONOASIH, - 19/07/2019 V
2019/07/22/00010 114584 JAMZANI, BP L KARANGWUNI, ULKUS DM 22/07/2019 V
2019/07/24/00021 115010 HARTONO, BP L SLEMAN
SENDANGREJO, - 24/07/2019 V
5 KARANGNOM, KLATEN,
2019/07/24/00022 115014 NGADENAN BP L KLATEN
NGADENAN, MERDIKOREJO, fr. costa 24/07/2019 V
8 TEMPEL, SLEMAN
2019/07/29/00023 115047 BIYONO BP L KRAPYAK 002/018, BRONCHOPN 29/07/2019 V

3 TRIHARJO, SLEMAN, EUMONI,PP
SLEMAN OK
9/30/19 12:19 PM Page 64 of

103
2019/08/06/00003 115335 SETYO HADI L KRATUAN RT 008/ 006, - 06/08/2019 V
1 PRAMONO, BP PURWOBINANGUN, PAKEM,
SLEMAN
2019/08/07/00015 115368 RIZKY DWI L DADAPAN RT 004/ 026, TUMOR 07/08/2019 V
2 SAPUTRO, SDR WONOKERTO, TURI, PAHA
2019/08/09/00009 115245 KAMTO, BP L SLEMAN, PANDOWOHARJO,
TOINO DEXTRA
DISLOKASI 09/08/2019 V
5 SLEMAN, SLEMAN SHOULDER
2019/08/13/00006 115502 RIFQI FITRIYANTO, L SANGGRAHAN 03/16, S
K35, 13/08/2019 V
4 AN LUMBUNGREJO, TEMPEL,
SLEMAN
2019/08/15/00010 115570 RIYANTO BP L NGLEMPONGSARI , DF 15/08/2019 V
SLEMAN
2019/08/19/00006 109395 MARDI WIYONO, BP L CEBONGAN KULON 1/27, abses 19/08/2019 V
4 MARGPOREJO, TEMPEL, perianal
SLEMAN
2019/08/22/00004 115787 MULYANI BP L JABUNG, PANDOWOHARJO, stroke infark 22/08/2019 V
0 SLEMAN, SLEMAN
2019/09/03/00009 115893 ANDIKA RIZKI L SURUH, DONOHARJO, hematochezi 03/09/2019 V
1 WIDAYONO NGAGLIK, SLEMAN a
2019/09/06/00020 116172 SURADAL BP L KARANGLO 006/024, - 06/09/2019 V

0 TLOGOADI, MLATI, SLEMAN
2019/09/13/00008 116361 AGUS LASONO L DONOLAYAN, DONOHARJO, FEBRIS 13/09/2019 V
4 NGAGLIK, SLEMAN UNSPESIFIE
2019/09/18/00002 033600 SUPARNO, BP L KAMDANEN RT. 02/07 D
ULKUS DM 18/09/2019 V
2019/09/23/00002 116306 SUKRISNO, BP L MEDARI CILIK, app 23/09/2019 V
SLEMAN
2019/09/25/00027 116664 SUROTO, BP L JABUNG, PANDOWOHARJO, - 25/09/2019 V
0 SLEMAN, SLEMAN
2019/09/25/00031 003752 AFIF SAWALUDIN, L KUWERON CANDIBINANGUN CKD; CHF; 25/09/2019 V
9 BP PAKEM, -, -, - DM; HHD
2019/09/30/00007 116605 BUDIONO, BP L TURCANAN 02/16, - 30/09/2019 V

SLEMAN
2019/01/04/00006 042843 MOH. SLAMET, BP L REJODANI, SARIHARJO, HT 04/01/2019 V
3 SLEMAN, -, -, - URGENCY
2019/01/10/00005 109368 SUGIHARJO, BP L KLOPOSAWIT 002/005, HIL 10/01/2019 V
2 GIRIKERTO, TURI, SLEMAN DEXSTRA
2019/01/14/00012 077083 IMUN EDI L KEMIRI PURWOBINANGUN stroke infark 14/01/2019 V
8 SISWANTO, BP PAKEM SLEMAN, -, -, -
2019/01/24/00003 048711 SUPARJO, BP L TAMBAKREJO SARIHARJO PPOK,IHD 24/01/2019 V
0 NGAGLIK, -, -, -
2019/01/31/00005 110010 ABU ROKHMAD L SOKO BINANGUN , anemia 31/01/2019 V
2 SAHURI, BP MERDIKOREJO, TEMPEL, gravis
SLEMAN
2019/02/02/00001 069092 MARSUDIYONO, BP L TOINO PANDOWOHARJO, -, - 04/02/2019 V
8 -, -
9/30/19 12:19 PM Page 65 of

103
2019/02/08/00002 110283 SURAHMAN, BP L MURANGAN VII, TRIHARJO, tumor pedis 08/02/2019 V
4 SLEMAN, SLEMAN sinistra
2019/02/09/00011 110338 YOGA AZIZ L DRONO, TRIDADI, SLEMAN, DF 09/02/2019 V
1 WICAKSONO SLEMAN
2019/02/14/10009 110497 DWI NAMA L PANDANSAREN, -, -, - akut 14/02/2019 V
5 PRAYOGO, BP limfadenitis
2019/02/16/10009 110532 ARIF YUNIANTORO, L DONOLAYAN 3/22, - 16/02/2019 V
2 SDR DOOHARJO, NGAGLIK,
2019/02/22/00019 110718 SLAMET/SUDI L SLEMAN 004/019
KEMBANG chf 22/02/2019 V
1 RAHARJO, BP WONOKERTO TURI SLEMAN,
-, -, -
2019/02/27/00011 110883 MEDI RAHARJO,BP L JALAN GARUDA NO 2 tumor 27/02/2019 V
6 PLEMBURAN RT 2 RW 24, manus
SARIHARJO, NGAGLIK, sinistra
2019/02/28/00012 078856 NATANAEL FALKAU L DRONO
SLEMAN SARDONOHARJO - 28/02/2019 V
9 ALKA, AN NGAGLIK SLEMAN,
SLEMAN
2019/02/28/00013 110913 NUR SANTOSO L NGELOSARI RT 01/ RW 10, DISPEPSI 28/02/2019 V
6 WIBOWO SDR PURWOBINANGUN, PAKEM,
SLEMAN
2019/03/06/00019 111071 REICO ARDI L KADISOBO II, TRIMULYO, - 06/03/2019 V
3 FADILLAH, BP SLEMAN, SLEMAN
2019/03/08/00003 111076 RIZKI AMBARI, SDR L MURTEN, TRIDADI, SLEMAN, hemoroid 08/03/2019 V
4 SLEMAN
2019/03/09/00016 033358 SUBANDI, BP L REJODANI RT.4 SARIHARJO bronchopneu 09/03/2019 V
0 NGAGLIK, -, -, - moni chf
2019/03/09/00009 033358 SUBANDI, BP L REJODANI RT.4 SARIHARJO obs. dispneu 09/03/2019 V
0 NGAGLIK, -, -, -
2019/03/15/00023 111359 CHALISTHA ANGEL P BANJARHARJO, - 15/03/2019 V
5 LEDISTA, AN PONDOKREJO, TEMPEL,
2019/03/15/00032 110384 WARINDI L SLEMAN
KAYEN, CONDONG CATUR, - 15/03/2019 V
3 PADMORJO, BP SLEMAN, SLEMAN
2019/03/21/00002 104724 SAN PRIYADI, BP L BULUS TEMPEL 3/2 , ppok 21/03/2019 V
SLEMAN
2019/03/27/00012 075431 KAMIJAN, BP L NGANGKRUK RT 03/ RW 05 anemia 27/03/2019 V
2 CATURHARJO, gravis,
CATURHARJO, SLEMAN, hematochesi
2019/04/01/00006 111219 SANTOSO ABDUL L MARON
SLEMANRT 04/ RW 011, aff pen post
a, chf 01/04/2019 V
1 AZIZ SUPRAPTO BP DONOHARJO, NGAGLIK, orif fraktur
SLEMAN clavicula
2019/04/03/00005 111835 PARWANTO BP L PALAGAN/WONOGIRI df 03/04/2019 V
0 BANYUANGET RT 02/ RW
08, BANYUANGET,
TIRTOMOYO, WONOGIRI
2019/04/08/00002 111943 DZIKRI ALFAIZZANI L BOYONG, HARGOBINANGUN, TUMOR 08/04/2019 V
7 GUSNANDA, AN PAKEM, SLEMAN AURIKULA
DEXSTRA
2019/04/10/00034 111778 PARJONO L GABUGAN 03/15, app 10/04/2019 V
SLEMAN
9/30/19 12:19 PM Page 66 of

103
2019/04/12/10025 112070 IRFAN SANJAYA, L MUDAL, SARIHARJO, - 12/04/2019 V
2019/04/13/00004 044243 SARYANTO, BP L MAJEGAN PANDOWOHARJO, FEBRIS 13/04/2019 V
9 -, -, - UNSPSIFIAL
2019/04/22/00006 112406 JUMADI SISNO L PLALANGAN, CHEST PAIN 22/04/2019 V
3 WARDOYO .BP PANDOWOHARJO, NGAGLIK,
2019/04/25/00006 112428 SAMIYO, BP L SLEMAN
BENDOSARI 002/017 HERNIA 25/04/2019 V
0 PAKEM, SLEMAN, DIY, -, -, -
2019/05/01/00006 112655 PARTO WIKROMO, L BANARAN, TASIKHARJO, - 01/05/2019 V
9 BP JATI SRONO, WONOGIRI
2019/05/02/00018 112716 MARDI RINO L NEPEN 013/003 PLAOSAN - 04/05/2019 V
8 SUTEDJO, SDR WATES KEDIRI JAWA
TIMUR, -, -, -
2019/05/07/00008 112854 SUKIMAN, BP L NGEPRING, DF 07/05/2019 V
2019/05/13/00005 069226 SUPARNO, BP L SLEMANPANDOWOHARJO, -,
TOINO hiperglikemi 13/05/2019 V
8 -, - pada Dm 2
2019/05/21/10004 113211 IVAN NUR ISTANTO, L BUMIREJO, BANGUNKERTO, no
DF 21/05/2019 V
9 AN TURI, SLEMAN
2019/05/23/00017 078091 TUKIJO, BP L WONOSOBO CHOLELITIA 24/05/2019 V
0 SARDONOHARJO NGAGLIK, SIS
2019/05/27/00021 113394 MUHAMMAD ALI L -, -,KALIURANG
JL - KM 10 DF 27/05/2019 V
9 AZIZ, SDR GENTAN, GUNUNGCUPU,
SINDANGKASIH, CIAMIS
2019/05/31/00027 113472 SUDARYANTO, BP L DADAPAN 04/26, melena, 31/05/2019 V
9 WONOKERTO, TURI, nephrolitiasis
SLEMAN multiple
2019/06/11/00035 113788 EKO SUSANTO, BP L PENEN , DONOHARJO, df 11/06/2019 V
6 NGAGLIK, SLEMAN
2019/06/13/00012 113819 FITRI NARYANTO, L KALIRASE 01/29, DENGUE 14/06/2019 V
1 BP TRIMULYO, SLEMAN, FEVER
2019/06/17/00018 113952 RAHMAT RIZAL L SLEMAN SARDONOHARJO,
DAYAKAN, DF 17/06/2019 V
4 ARDIANTO, SDR NGAGLIK, SLEMAN
2019/06/20/00012 112150 SENIN PONIJO, BP L KEPANJEN 001/019, HT 20/06/2019 V
3 TRIMULYO, SLEMAN, URGENCY;
2019/06/26/00015 114227 Yoto Pawiro Giyana L SLEMAN
NGANGGRING 003/004, DM
HERNIA 26/06/2019 V
7 Bp GIRIKERTO, TURI, SLEMAN INGUINAL,
ASMA
2019/07/03/00020 114441 HARDI WIYONO / L BALERANTE SEMPU chf, 03/07/2019 V
5 PAIMIN BP 006/007, WONOKERTO, bronchitis,
TURI, SLEMAN dispepsi
2019/07/10/00025 114592 PRADIKA YOGI L MURANGAN 7, MURANGAN, DF 10/07/2019 V
3 TAMTOMO,SDR SLEMAN, SLEMAN
2019/07/13/00017 112893 MUJIYONO/MUJI L GROJOGAN 004/002 - 13/07/2019 V
0 RAHARJO, BP PANDOWOHARJO SLEMAN
DIY, -, -, -
2019/07/19/00006 107945 ABDUL BARI, BP L JETIS DONOASIH, HIL 19/07/2019 V
2019/07/24/00022 115014 NGADENAN BP L NGADENAN, MERDIKOREJO, - 24/07/2019 V
8 TEMPEL, SLEMAN
9/30/19 12:19 PM Page 67 of

103
2019/07/24/00021 115010 HARTONO, BP L SENDANGREJO, OPEN 24/07/2019 V
5 KARANGNOM, KLATEN, FRAKTUR
KLATEN PHALANX DG
5 MANUS D
2019/07/28/00001 115134 SAWAL/ WARDI L KARANGLO 2/5, - 28/07/2019 V
7 SUWARNO, BP SIDOMULYO, GODEAN,
SLEMAN
2019/07/28/00001 115134 SAWAL/ WARDI L KARANGLO 2/5, CHOLESISTI 03/08/2019 V
7 SUWARNO, BP SIDOMULYO, GODEAN, TIS
SLEMAN
2019/08/06/00003 115335 SETYO HADI L KRATUAN RT 008/ 006, HIPERGLIKE 06/08/2019 V
1 PRAMONO, BP PURWOBINANGUN, PAKEM, MI; DM
SLEMAN
2019/08/09/00022 079694 PUJIHARJO, BP L NGLEBENG 003/008, CHF 09/08/2019 V
5 MARGOREJO, TEMPEL,
2019/08/11/00003 115470 LILIK SUMARSONO, L SLEMAN
NGANGGRING 03/04, LBP;PARAPA 12/08/2019 V
7 BP GIRIKERTO, TURI, SLEMAN RESE
2019/08/17/00003 053338 P SUWARDI, BP L DENGGUNG 1/35, TRIDADI, - 17/08/2019 V

0 SLEMAN, SLEMAN
2019/08/19/10010 115672 AGUS RIYANTO, BP L TAMBAK REJO 03/11, CKR+AMNES 19/08/2019 V
6 SARIHARJO, NGAGLIK, IA
2019/08/29/00001 035358 SUTIJO,BP L SLEMAN
BERKISAN,PANDOWOHARJO PJK,CHF 29/08/2019 V
6 ,SLEMAN, -, -, -
2019/09/03/00003 058734 JUMANTO, BP L KARANG TANJUNG , THYPOID 03/09/2019 V
7 PANDOWOHARJO, SLEMAN, FEVER
SLEMAN
2019/09/09/00013 116192 NGADIYO MUJIONO, L PLALANGAN, CHF,IHD 10/09/2019 V
8 BP PANDOWOHARJO, SLEMAN,
SLEMAN
2019/09/18/00005 024553 PONIRAN, BP L GONDANG LUTUNG RT 001/ TUMOR 18/09/2019 V
1 019, DONOHARJO, AURICULA
NGAGLIK, SLEMAN
2019/09/19/00008 116514 NOTO WIYARJO, BP L KLOPOSAWIT RT 002 RW PPOK; IHD 19/09/2019 V
0 005, GIRIKERTO, TURI,
2019/09/30/00017 116743 KEVIN SATRIA, SDR L SLEMAN
PLUMBON, SARDONOHARJO, - 30/09/2019 V
2 NGAGLIK, SLEMAN
2019/01/02/00004 104687 ARIFA P MANONGSARI, - 04/01/2019 V
3 BUDIANTORO, AN SARDONOHARJO, NGAGLIK,
SLEMAN
2019/01/04/00000 042532 PONIDI, BP L NGANGKRIK , TRIHARJO, ppok 04/01/2019 V
2 SLEMAN, -, -, -
2019/01/04/00020 109243 MUJI HARJO, BP L KRATUAN, dispneu 05/01/2019 V
2019/01/09/00009 109367 ROBBY CAHYADI, L SLEMAN
CUNGKUK 002/019, tumor paha 09/01/2019 V
5 SDR MARGOREJO, TEMPEL, sinistra
2019/01/06/00001 109286 AGUS HASIM, BP L SLEMAN
PLALANGAN 004/041, - 10/01/2019 V
SLEMAN
2019/01/14/00005 109264 PARJIMO, BP L PROJAYAN POJOK 1/35, chf,ppok 15/01/2019 V
5 WONOKERTO, TURI,
2019/01/21/00002 109702 ZUSUP KUSNAINI, L SLEMAN
PANGGERAN IX, TRIHARJO, - 21/01/2019 V
7 BP
9/30/19 12:19 PM Page 68 of
103
No Kamar No. RM Nama Pasien JK Alamat Diagnosa Tanggal Masuk Asesmen Awal Asesmen Lengkap Nyeri Resiko Jatuh Skrining Gizi
SLEMAN, SLEMAN
2019/01/21/00013 079125 TRISNO UTOMO, BP L NGABEAN KULON ckd,anemi,d 21/01/2019 V
0 SINDUHARJO NGAGLIK, -, -, m,chf,hhd
2019/01/25/00016 109845 SUGENG,BP L -
MURANGAN VII, TRIHARJO, DF 25/01/2019 V
0 SLEMAN, SLEMAN
2019/02/01/00002 109906 SUGIMAN, BP L KEMBANG, WONOKERTO, HIL D 01/02/2019 V
8 TURI, SLEMAN
2019/02/02/00013 110132 EDI SETIAWAN, BP L PENCARSARI, of 02/02/2019 V
2019/02/08/00008 076489 DWI L SLEMAN
SIDOMULYO, TRIMULYO, dispepsia 08/02/2019 V
9 SUGIHARTONO, BP SLEMAN, -, -, -
2019/02/13/00002 109841 SULISTIYONO, BP L TEGALSARI, TRIMULYO, STROKE 13/02/2019 V
2 SLEMAN, SLEMAN INFARK,HIP
ERTENSI
2019/02/19/00000 077049 HARSONO, BP L MAGERSARI, ulcus cruris 20/02/2019 V
7 CANDIBINAGUN, PAKEM, sinistra
2019/02/26/00009 110854 AMAT SARIJA BP L DIY, -, -, - RT 01/ RW 019,
TAMBAKAN PPOK,HT 26/02/2019 V
SLEMAN
2019/03/06/00014 111075 GITO HARJO, BP L KEPITU, TRIMULYO, ISK,CHF 06/03/2019 V
7 SLEMAN, SLEMAN
2019/03/08/00020 111147 RICHO ADE L WONOSARI RT 01/ RW 03, df 09/03/2019 V
4 ANGGORO SDR DONOHARJO, NGAGLIK,
SLEMAN
2019/03/12/00010 111248 TRISNO WIYARJO, L REBOBONG LOR, PPOK,CHF 12/03/2019 V
1 BP MOROREJO, TEMPEL,
2019/03/15/00032 111383 KARTO WIYONO, BP L SLEMAN
NGLAMPAR 002/018, LBP, HT 15/03/2019 V
SLEMAN
2019/03/20/00002 111504 MUH.FARID BP L REJODANI II RT 01/ RW 03, DM II NO 20/03/2019 V
2019/03/25/00017 111650 PRIYO L SLEMAN 002/01,
REJODANI NEFROLITIA 25/03/2019 V
6 SUHARJONO,BP SARIHARJO, NGAGLIK, SIS
2019/03/28/00005 105092 SUMADI, BP L SLEMAN 5/7, SUMBERADI,
CIBUKAN chf dm 28/03/2019 V
7 MLATI, SLEMAN
2019/03/29/00008 055813 PRASETIYA, BP L NGLEMPONGSARI RAYA NO isk 29/03/2019 V
9 132 SARIHARJO NGAGLIK S,
2019/03/28/00010 111726 AG HENDAR L -, -, -
BANTENG UTAMA III NO 41, - 29/03/2019 V
5 TRIWARSONO, BP SINDUHARJO, NGAGLIK,
SLEMAN
2019/04/03/00005 111674 MARTIN SENO AJI, L PERUM GTA F-326 - 03/04/2019 V
1 BP DONOHARJO NGAGLIK
2019/04/07/00002 111928 FAHRUDIN L SLEMAN, -, 04/04,
KRANDON, -, - df 07/04/2019 V
5 ILHAMSYAH, SDR BENDOHARJO, SLEMAN,
SLEMAN
2019/04/12/10025 112070 IRFAN SANJAYA, L MUDAL, SARIHARJO, DF 12/04/2019 V
2019/04/16/00006 058582 SATRIO TEGAR P GONDANG LUTUNG VOMITUS 16/04/2019 V
6 PAMUDI, SDR DONOHARJO NGAGLIK, -, -,
2019/04/20/00017 112399 AGUS SURYANTO L -
PULESARI, WONOKERTO, NEPROLITIA 20/04/2019 V
9 TURI, SLEMAN SIS
9/30/19 12:19 PM Page 69 of

103
2019/04/22/00022 064258 SUJARWO, BP L NEPEN CANDIBINANGUN ABSES 22/04/2019 V
1 PAKEM, -, -, - MANUS
2019/04/26/00030 112333 SUGENG, BP L TEMULAWAK 004/036 - 26/04/2019 V
7 TRIHARJO SLEMAN, -, -, -
2019/04/26/00034 112480 HERIYADI, BP L PATEN 1/4, TRIDADI, ULKUS DM 26/04/2019 V
8 SLEMAN, SLEMAN
2019/04/29/00022 112631 SARINDI, BP L MAJEGAN 4-33, HIL dextra 29/04/2019 V
4 PAMDOWOHARJO, -
NGAGLIK, SLEMAN
2019/05/02/00018 047655 SUMARDI, BP L JETIS DENGGUNG TRIDADI CHF,HHD 02/05/2019 V
5 SLEMAN, -, -, -
2019/05/10/10007 112932 ALIFKA FAISHAL L RANDUSONGO 02/06, polip recti 10/05/2019 V
3 ARDAN DONOKERTO, TURI, SLEMAN
2019/05/16/00005 077483 SUMARDI, BP L JL. DAMAI KRIKILAN CHF 16/05/2019 V
2019/05/24/00008 107142 IGNATIUS JUMENO, L BUNDER, HEMIPARES 24/05/2019 V
8 BP PURWOBINANGUN, PAKEM, E DEXTRA
2019/05/23/00017 104724 SAN PRIYADI, BP L SLEMANTEMPEL 3/2 ,
BULUS BRONCHOPN 24/05/2019 V
5 CANDIBINANGUN, PAKEM, EUMONI;
SLEMAN PPOK
2019/05/28/00013 113428 ANGGA DWI L BABADAN 3/17, GIRIKERTO, contusio 30/05/2019 V
6 PAMUNGKAS TURI, SLEMAN cerebri
2019/05/31/00030 059527 MARDIYANTO,BP L KLELEN TRIMULYO SLEMAN tumor colli 31/05/2019 V
5 SLEMAN, -, -, -
2019/06/05/00002 113605 SUKIRNO, BP L BOYONG, HARGOBINANGUN, susp illeus 05/06/2019 V
0 PAKEM, SLEMAN
2019/06/08/00008 109344 YUSUF ANIS, BP L KAYUNAN, DONOHARJO, chf,hhd,hipe 08/06/2019 V
7 NGAGLIK, SLEMAN ruriani,dm
2019/06/15/00018 113917 PRAYOGA AJI L PLUMBON KIDUL, DF 15/06/2019 V
7 SWASTIRA, BP MOROREJO, TEMPEL,
SLEMAN
2019/06/19/00002 113963 SUPARMO,BP L PONDOK I 4/31, tumor pedis 19/06/2019 V
1 WIDODOMARTANI, sinistra
NGEMPLAK, SLEMAN
2019/06/23/00017 114125 SUYUD L BERAN KIDUL, TRIDADI, ANEMIA 23/06/2019 V
9 MARGIYANTO,BP SLEMAN, SLEMAN GRAVIS
2019/06/28/00008 054748 ABDUL FATAH, AN L PENEN RT 2/33, MULTIPLE 28/06/2019 V

4 DONOHARJO, NGAGLIK, TUMOR
2019/06/30/00004 114356 HARDJITO, BP L SLEMAN, -,LUTUNG
GONDANG -, - 2/19, CHF,BRINCH 30/06/2019 V
3 DONOHARJO, NGAGLIK, OPNEMONI
SLEMAN
2019/07/08/00009 114479 AHMAD ARIFIN L ALAMATWONOSARI, - hm gr 4 08/07/2019 V
1 BANGUNKERTO, -TURI, -
SLEMAN
2019/07/10/00004 114564 ANUNG HARYONO, L MURANGAN VII, TRIHARJO, TUMOR 10/07/2019 V
7 BP SLEMAN, SLEMAN PUNGGUNG
2019/07/12/00012 114689 IMAM MUCHLIS L PERUM MARGOREJO ASRI TUMOR 13/07/2019 V

9 JAYADI, SDR BLOK C-17, MARGOREJO, COLLIE
TEMPEL, SLEMAN
9/30/19 12:19 PM Page 70 of

103
2019/07/19/00003 073550 MUH DAIP, BP L JATIREJO SENDANGADI POST 19/07/2019 V
8 MLATI, -, -, - REPOSISI
GA
2019/07/23/00007 053047 MUHDIHARJO, BP L KEPANJEN, TRIMULYO, gea 23/07/2019 V
8 (019682) SLEMAN, -, -, -
2019/07/27/00010 075803 PAIDI, BP L KALIWANGLU CHF,CKD 27/07/2019 V

4 HARJOBINANGUN PAKEM, -,
2019/08/07/00014 115367 ISKANDAR BP L -, -
PUNTUK BECICI 006/024, ULKUS DM 07/08/2019 V
9 WONOKERTO, TURI,
2019/08/08/10004 060968 WARNO UTOMO.BP L SLEMAN
DANIKERTO 001/007, - 08/08/2019 V
SLEMAN
2019/08/09/00005 115315 HADI SUMITRO BP L BLUNYAH GEDE 011/034, HIL D 09/08/2019 V
2019/08/13/00011 115514 SADIYO, BP L PANASAN IX 006/035, CHF 13/08/2019 V

0 TRIHARJO, NGAGLIK,
SLEMAN
2019/08/17/00001 115623 TRISNO,BP L JLN GITO -GATI, stroke infark 17/08/2019 V
9 SARIHARJO, NGAGLIK, afasia
2019/08/23/00009 115796 AGUS SETIYAWAN L SLEMAN
KALIURANG SELATAN sentral
TUMOR 23/08/2019 V
7 BP 004/013, HARGOBINANGUN, GLUTEAA
PAKEM, SLEMAN
2019/08/28/00018 115925 RATIJO/ JARI L NGEPRING 03/05, CKS 28/08/2019 V
7 SUDARYANTO, BP PURWOBINANGUN, PAKEM,
SLEMAN
2019/09/02/00019 037841 TUGIRAN, BP L RINGIN PUTIH 004/028, DISPEPSIA 02/09/2019 V
8 BANTARJO, NGAGLIK,
SLEMAN
2019/09/04/00005 116085 SUKISWANTO, BP L BLUNYAH, TRIMULYO, CORPAL 04/09/2019 V
2 SLEMAN, SLEMAN KAYU
2019/09/06/00002 064933 SUTOMO,BP L ARJOSARI BANJARSARI HILL 06/09/2019 V
9 002/008, WONOKERTO, -
TURI, SLEMAN
2019/09/09/00013 116192 NGADIYO MUJIONO, L PLALANGAN, - 09/09/2019 V
8 BP PANDOWOHARJO, SLEMAN,
SLEMAN
2019/09/06/00020 116172 SURADAL BP L KARANGLO 006/024, ANEMIA 10/09/2019 V
0 TLOGOADI, MLATI, SLEMAN GRAVIS,CHF
2019/09/13/00009 116349 SUWARSO BUDI L KARANG, BANYUREJO, ABSES 13/09/2019 V
8 SANTOSO, BP TEMPEL, SLEMAN AXILLA
2019/09/14/00012 065011 HADI SUWARNO, BP L KEMBANGARUM, SINISTRA
SH,IHD,HT 14/09/2019 V
6 DONOKERTO, TURI, -, -, - URGENCY
2019/09/17/00010 070398 SUTIYONO, BP L KALIWANGLU WETAN, DM 17/09/2019 V

SLEMAN
2019/09/22/00000 116580 ROHMAT YANI L GONDANG LUTUNG 04/20, - 22/09/2019 V
3 ANGGORO, BP DONOHARJO, NGAGLIK,
SLEMAN
2019/09/23/00001 116519 TAUFIQ HANDOKO, L KEMIRI 003/021, TUMOR 23/09/2019 V
5 BP MARGOREJO,
9/30/19 12:19 PM Page 71 of
103
TEMPEL, SLEMAN TESTIS
SINISTRA
2019/09/25/00027 116666 MUHAMMAD ALIM, L NGEBEL CILIK, #CALCANIU 25/09/2019 V
2 BP SARDONOHARJO, NGAGLIK, S
SLEMAN
2019/09/28/00002 116724 AGUSTINUS L KLASEMAN, SINDUHARJO, - 28/09/2019 V
8 SETIAWAN NGAGLIK, SLEMAN
2019/01/14/00016 109546 WIYONO, BP L PELEM KLOPOSAWIT, - 14/01/2019 V
6 GIRIKERTO, TURI, SLEMAN
2019/02/13/00020 110476 RESMIYATI,NY P MEDARI GEDE RT 2 RW 11, - 13/02/2019 V
2 CATUR HARJO, SLEMAN,
SLEMAN
2019/03/29/00005 110207 ROSSA ANINDYA P CUNGKRIK, -, NGAGLIK, - 29/03/2019 V
4 PUTRI, AN SLEMAN
2019/04/22/00017 112439 TERIANUS L JL TRIKORA 004/002, DYSPNEU 22/04/2019 V
8 MANGGONSWAM, WAMENA KOTA, WAMENA,
2019/04/27/00013 112586 SDR
EKO L JAYAWIJAYA
SEMAK RT 2 RW 7, KARANG - 27/04/2019 V
4 SULISTIYANTO,BP MOJO, WERU, SUKOHARJO
2019/05/28/00013 113428 ANGGA DWI L BABADAN 3/17, GIRIKERTO, - 28/05/2019 V
6 PAMUNGKAS TURI, SLEMAN
2019/06/21/10011 114067 MUHAMMAD ZULFI L MURANGAN VII, TRIHARJO, - 21/06/2019 V
8 NURROHMAN SLEMAN, SLEMAN
2019/06/22/00015 114115 SIBON, NY P DADAPAN 6/27, hemiparese 27/06/2019 V
3 WONOKERTO, TURI, sinistra ec
SLEMAN susp sh
2019/07/24/00021 115010 HARTONO, BP L SENDANGREJO, - 24/07/2019 V
5 KARANGNOM, KLATEN,
2019/07/26/00015 114953 px uji coba 56789 L KLATEN
-, -, -, - - 26/07/2019 V
1
2019/01/02/00004 104687 ARIFA P MANONGSARI, - 02/01/2019 V
SLEMAN
2019/01/02/00004 104687 ARIFA P MANONGSARI, gea 04/01/2019 V
SLEMAN
2019/01/06/00002 031504 SAMIHARJO, NY P LEDOK WARENG RT.02/35, - 06/01/2019 V
-, -, -
2019/01/11/00010 106016 SISILIA,NY P RANDU GUNTING RT 2 RW - 11/01/2019 V
1 1/ PISANGAN TRIDADI,
BLONDO, MUNGKID,
2019/01/15/00005 056958 HIJRAH RAHARJO, L BLUNYAH
MAGELANG04/16 TRIMULYO CKD DG 15/01/2019 V
0 BP SLEMAN, -, -, - TROMBOSIT
OPENI, CHF
2019/01/25/00003 109621 SUBROTO, BP L NGABEAN KULON 6/36, TUMOR 25/01/2019 V
5 SINDUHARJO, NGAGLIK, MANUS
SLEMAN
2019/01/30/00009 108161 VINIARTI SIREGAR, P JOMBOR LOR, SINDUADI, gea 30/01/2019 V
6 NY MLATI, SLEMAN cephalgia
2019/02/02/00002 110016 RUBINGAH, NY P DADAPAN , WONOKERTO, SNH 02/02/2019 V
7 TURI, SLEMAN
9/30/19 12:19 PM Page 72 of

103
2019/02/08/00004 053310 BADAWI HA, DRS, L BLUNYAH, TRIMULYO, hill dextra 08/02/2019 V
7 BP SLEMAN, -, -, -
2019/02/13/00011 106236 SANTOSO,BP L KEMBANGARUM/ JLN - 13/02/2019 V
8 VETERAN NO 48 RT 1 RW 5,
2019/02/13/00013 105576 RISNA PUJI P KLEGUNG , DONOKERTO, TUMOR 14/02/2019 V
5 NUGRAHENI, NN TURI, SLEMAN PAYUDARA
2019/02/14/10014 110511 PONIDI, BP L TOINO 001/016 - 14/02/2019 V
1 PANDOWOHARJO SLEMAN
DIY, -, -, -
2019/02/15/10010 110518 S. IBNU WIDARTO. L SOPRAYAN 5/14 NANGSRI, chf,hipokale 15/02/2019 V
9 BP GIRIKERTRO, TURI, SLEMAN mi, post snh
2019/02/26/00007 058890 NGADIYEM SISWO L TEGAL SEMBUNG CISTITIS 26/02/2019 V
9 HARJONO, NY PURWOBINANGUN PAKEM, -,
-, -
2019/03/03/00001 014712 SURYANTO, BP L NGETIRAN, SARIHARJO, bronchopneu 03/03/2019 V
4 NGAGLIK, -, -, - moni,
hiperglikemi
2019/03/06/00019 111086 MURTINI, NY P REJOSARI, SARDONOHARJO, LBP, 07/03/2019 V
4 NGAGLIK, SLEMAN spondilosis
lumbalis
2019/03/11/00001 032927 SRI HARTATI,NY P DONOLAYAN RT 1/ RW 21, tumor 11/03/2019 V
2 DONOLAYAN, NGAGLIK, punggung
SLEMAN
2019/03/13/00009 034789 SUTIYAH/NARJU P NGELO PANDOWOHARJO, -, - 13/03/2019 V
7 DIHARJO, NY -, -
2019/03/18/00020 111475 TUKIYEM, NY P GEMUTRI, SUKOHARJO, - 19/03/2019 V
0 NGAGLIK, SLEMAN
2019/03/22/00010 111579 AGUS JOKO L KADISOBO II RT 01/ RW 02, CHF,PPOK,D 22/03/2019 V
5 WIBOWO BP TRIMULYO, SLEMAN, M II NO
2019/03/27/00013 111612 YETTY KADARINI,NY P SLEMAN
BANARAN RT 2 RW 13, ULKUS DM 27/03/2019 V
2019/03/29/00016 111771 SLAMET PURNAMI/ P SLEMAN
NGEBEL CILIK RT 05/ RW VOMITUS 30/03/2019 V
3 DIBYO HADI NY 46, SARDONOHARJO, DISPEPSIA
NGAGLIK, SLEMAN
2019/04/03/00001 108706 FATONAH, NY P PAMBREGAN , TRIMULYO, 03/04/2019 V
0 SLEMAN, SLEMAN
2019/04/01/00020 111856 S. BUANAWATI, NY P BANGUNREJO, TRIDADI, bells 03/04/2019 V
3 SLEMAN, SLEMAN palsy,dislipid
emi,edema
2019/04/10/00028 112117 SUKINAH. NY P KEMIRI, PURWOBINANGUN, celebri
app 10/04/2019 V
0 PAKEM, SLEMAN
2019/04/12/10022 051438 SUPIYATI,NY P MUDAL SARIHARJO INCOMPLET 12/04/2019 V
4 NAGAGLIK SLEMAN, -, -, - FRAKTUR
METATARSA
L V PEDIS
SINISTRA
2019/04/13/00015 112018 AMAT SIDIK, BP L JETIS DONOASIH 1/11, DF 13/04/2019 V
2019/04/13/00015 059375 SRI RUSMIWARTI, P LOJAJAR SINDUHARJO - 13/04/2019 V
1 NY NGAGLIK, -, -, -
9/30/19 12:19 PM Page 73 of

103
2019/04/18/00009 037599 TONDO SUMITRO, L WONOLELO, DONOHARJO, VERTIGO 18/04/2019 V
7 NY/SUTINAH NGAGLIK, -, -, -
2019/04/29/00018 015811 AYU FEBRIANA P MAJEGAN, dispepsia 29/04/2019 V
8 MAWARTININGTYAS PANDOWOHARJO, -, -, -
, AN
2019/05/01/00003 007141 DALUDI, BP L TAMBAK REJO, SARIHARJO, CHF 01/05/2019 V
8 NGAGLIK, SLEMAN
2019/05/07/00008 112851 SUHASTAPA, BP L MURANGAN VII, TRIHARJO, - 07/05/2019 V
0 SLEMAN, SLEMAN
2019/05/17/00004 107621 SRI PURWANTI, NY P KERTODADI, app 17/05/2019 V
2 PAKEMBINANGUN, PAKEM,
2019/05/25/00009 060679 SUJARNO HADI L SLEMAN
TLACAP PANDOWOHARJO - 25/05/2019 V
8 SAPUTRA, BP SLEMAN, -, -, -
2019/05/29/00014 108664 HARRY L DUSUN II , TULADENGGI, ULCUS DM 29/05/2019 V
7 ZULKARNAIN, BP TELAGA BIRU, GORONTALO
2019/06/12/00000 075727 MURJANI, BP L PANGGERAN IX 4/35, ulkus DM 12/06/2019 V

4 TRIHARJO, SLEMAN,
2019/06/19/00010 114012 VIRA SYAPUTRI, AN P SLEMAN
SANGGRAHAN 3/16, tumor 19/06/2019 V
2 LUMBUNGREJO, TEMPEL, manus
SLEMAN dextra
2019/06/21/10007 113079 SEPTIATI NUR P PENDEMAN 001/009, tumor 21/06/2019 V
8 CAHYANI, NY TRIMULYO, SLEMAN, mamae D
2019/06/24/00022 066423 NOOR HAYAT, BP L SLEMAN
WADAS, TRIDADI,, -, -, - - 24/06/2019 V
8
2019/06/26/00012 114215 FATHMA AMALIA P GAWAR, PENDOWOHARJO, - 26/06/2019 V
9 RAHMAH, AN SLEMAN, SLEMAN
2019/06/26/00016 015065 B. KRISNA L TAMBAKREJO, SARIHARJO, abses 26/06/2019 V

4 PRIYATAMA, SDR NGAGLIK, -, -, - perianal
2019/06/29/00011 114321 SUMIYATI, NY P CEPIT, HARJOBINANGUN, - 29/06/2019 V
3 PAKEM, SLEMAN
2019/07/22/00017 114508 PX UJI COBA L , -, -, - - 26/07/2019 V

1
2019/07/26/00015 114953 px uji coba 56789 L -, -, -, - - 26/07/2019 V
1
2019/01/03/00011 052476 EKA MULYANI S, NN P KRINGINAN post insect 03/01/2019 V
7 SARDONOHARJO NGAGLIK bice
2019/01/05/00014 109276 SKOLASTIKA VALEN P SLEMAN, -, ,-, -
NGETIRAN trombositope 07/01/2019 V
2 ANANTA PUTRI, AN SARDONOHARJO, NGAGLIK, ni
2019/01/09/00017 109388 WASIASIH, NY P SLEMANDONOHARJO,
PENEN, vomitus 10/01/2019 V
3 NGAGLIK, SLEMAN
2019/01/14/00012 109537 TUTI SUMARNI, NY P NGAMPLAK 4/8, DCA 14/01/2019 V
2019/01/18/00012 044750 PARTINEM, NY P SLEMAN WONOKERTO,
PULESARI, CHF,ARITMI 19/01/2019 V
5 TURI SLEMAN, -, -, - A
2019/01/23/00013 109708 INDYAH LESTARI, P GADUNG 4/4, TUMOR 23/01/2019 V
0 NY BANGUNKERTO, TURI, PAHA
2019/01/25/00007 109624 SARJONO, BP P SLEMAN 003/016,
PISANGAN DEXSTRA(riw
dispneu 25/01/2019 V
5 TRIDADI, SLEMAN, SLEMAN TB)
2019/02/01/00015 110026 QUEENSYA BELINA P BLIMBINAGN , GEA 01/02/2019 V
8 NARESWARI, AN TAMBAKREJO, TEMPEL,
2019/02/04/00020 110190 BANU ARSANA,BP L SLEMAN
PERUM GTA BLOK 0 346, - 04/02/2019 V
4
9/30/19 12:19 PM Page 74 of
103
SARIHARJO, NGAGLIK,
2019/02/05/00003 110017 SUDARMADI, BP L SLEMAN
KALIURANG, - 05/02/2019 V
2019/02/06/00010 078610 SRI AMBARWATI, P SLEMAN04/18, TRIDADI,
DUKUH ASMA 06/02/2019 V
1 NY SLEMAN, SLEMAN BRONCHIAL
2019/02/13/00014 110450 MUDJINEM, NY P JONGKE TENGAH 3/23, E
ISK,HEPATIT 14/02/2019 V
8 SENDANGADI, MLATI, IS
2019/02/18/00004 079956 WAGIMIN, BP L SLEMAN
KALIWANGLU WETAN hil s 18/02/2019 V
2 HARJOBINANGUN PAKEM
SLEMAN, -, -, -
2019/02/23/00034 108002 WIDODO, BP L PISANGAN, TRIDADI, -, R73.9, 23/02/2019 V
5
2019/03/01/00006 042708 SISWO SUHARJO,BP L SLEMAN TENGAH
JONGKE BRONCHOPN 01/03/2019 V
8 SENDANGADI MLATI, -, -, - EMONI
2019/03/04/00020 028214 RIYATMININGSIH,N P WADAS 7/3 TRIDADI DM 04/03/2019 V
1 Y SLEMAN, -, -, -
2019/03/08/00003 111070 MARYONO, BP L NGABLAK BANGUNHARJO, tumor testis 08/03/2019 V
2019/03/10/00001 111193 TRI RAHMAWATI P SLEMAN
TURGOSARI RT 01/ RW 023, CONTUSIO 10/03/2019 V
2 MUFLIHAH NY HARJOBINANGUN, PAKEM, CELEBRI
SLEMAN
2019/03/13/00021 111303 ZAHRA KHUROTUL P REJODADI, BANGUNKERTO, ISK 14/03/2019 V
2 AKHYUN, AN TURI, SLEMAN
2019/03/19/00008 111494 NADINIA PRISTA P PALAGAN WONOREJO, -, -, - - 19/03/2019 V
0 NAURA, AN
2019/03/22/00002 111546 EKO KRISTIANTO L NGELOSARI RT 02/ RW 010, VIRAL 23/03/2019 V
2 BP PURWOBINANGUN, PAKEM, INFECTION
SLEMAN
2019/03/25/00014 054634 PUJO SUTRISNO/ P SURUH DONOHARJO CHF 25/03/2019 V
V
2 RUMINAH, NY NGAGLIK SLEMAN, -, -, -
2019/03/30/00012 111798 KEINARRA ARUNA P MULUNGAN WETAN 07/17, kds 30/03/2019 V
3 IZZA TUNNISA, AN SENDANGADI, MLATI,
2019/03/31/00001 111755 SEKAR ROFI P SLEMAN
NAMBONGAN, CATURHARJO, DF 01/04/2019 V
1 WIJAYANTI, NN SLEMAN, SLEMAN
2019/04/03/00005 111674 MARTIN SENO AJI, L PERUM GTA F-326 TF 03/04/2019 V
1 BP DONOHARJO NGAGLIK
2019/04/10/00031 112125 SRIYATUN, NY P SLEMAN, -,006/027,
DADAPAN -, - tumor 10/04/2019 V
1 WONOKERTO, TURI, payudara
SLEMAN sinistra
2019/04/11/00006 072124 SUWONDO,BP L REJODANI I SARIHARJO vertigo, 11/04/2019 V
0 NGAGLIK SLEMAN, -, -, - hiperglikemi,
dm
2019/04/14/00001 112139 SARJINEM, NY P NAMBONGAN 6/26, DF 14/04/2019 V
SLEMAN
2019/04/19/00005 112344 ARFINA P PLEMBURAN 3/24, DF/DHF 19/04/2019 V
5 ARDITASARI, AN SARIHARJO, NGAGLIK,
2019/04/22/00014 112431 AZKA ADITYA, AN L SLEMAN03/24,
PENEN - 22/04/2019 V
SLEMAN
2019/04/22/00012 075873 MUHAMMAD L LEDOK LEMPONG vertigo 22/04/2019 V
9 BURHANUDIN Z, BP WONOKERTO TURI, -, -, -
9/30/19 12:19 PM Page 75 of

103
2019/04/25/00011 112516 RAYYA ZANNUBA, L BAYEMAN, BANGUNHARJO, KDS 25/04/2019 V
0 AN BANGUKERTO, TURI
2019/04/28/00003 105291 DWI RIYANTI, NY P TUREN, SARDOOHARJO, anemia po 28/04/2019 V
5 NGAGLIK, SLEMAN ckd; ht
urgency
2019/05/05/00002 112796 MARTO DIRYO P SUMBERAN II 1/21, stroke; 05/05/2019 V
7 JAMI, NY SARIHARJO, NGAGLIK, hipertensi
2019/05/11/00015 009338 FAJAR ARINTAKA, L SLEMAN
KUMENDUNG 2/17, DF 14/05/2019 V
2 BP CANDIBINANGUN, PAKEM,
SLEMAN
2019/05/17/00002 110274 MUH ROJI, BP L REJODADI, BANGUNKERTO, OBS. 17/05/2019 V
5 TURI, SLEMAN DISPNEU
2019/05/17/00012 113134 ETIK SUSANA,NY P PENEN 3/34, DONOHARJO, DHF 18/05/2019 V
4 NGAGLIK, SLEMAN
2019/05/24/00008 107142 IGNATIUS JUMENO, L BUNDER, SNH DD SH 24/05/2019 V
2019/05/27/00001 113002 PUJI ASTUTI, NY P SLEMAN
KADILUWIH 008/012 GRANULOMA 27/05/2019 V
6 MARGOREJO TEMPEL
SLEMAN DIY, -, -, -
2019/05/31/00029 113473 YUDHA L SELOREJO 01/29, DF 31/05/2019 V
2 ADYTYATAMA SARDONOHARJO, NGAGLIK,
PUTRA, SDR SLEMAN
2019/06/06/00000 113630 AFFIFANSA CIKA P BETENG , TRIDADI, - 06/06/2019 V
DHANAKY, NN
2019/06/08/00004 113688 AZKADINA KIRAY P PERUM MANGGISA ASRI KDS,GEA 08/06/2019 V
0 AELYA PUTRI, AN BLOK J 10, ANDONG SILI,
MOJOTENGAH, WONOSOBO
2019/06/14/00007 113868 TRI PURWANTI, NY P TEGALMINDI, febris 14/06/2019 V
4 SARDONOHARJO, NGAGLIK, unspesifik
2019/06/17/00014 113947 GHANI AHMAD L SLEMAN
DURENAN, TRIDADI, DF 17/06/2019 V
8 KURNIAWAN, AN SLEMAN, SLEMAN
2019/06/21/10003 114043 SULISTIYO PRASIWI P KRAPYAK, TRIHARJO, TUMOR 21/06/2019 V
4 DAYANING WARNI, SLEMAN, SLEMAN PUNGGUNG
2019/06/23/00017 114123 NY
INDRIYATI, NY P JETIS DONOLAYAN, DF 23/06/2019 V
SLEMAN
2019/06/28/00010 114277 SUPARYATI, NY P NGENTAK 2/23, TUMOR 28/06/2019 V
4 SINDUHARJO, NGAGLIK, MAMAE
SLEMAN DEXTRA
2019/07/01/00016 114104 WAKHID YUKRINA L KEMIRI GADING KULON VIRAL 01/07/2019 V
4 WANTO SDR 006/021, DONOKERTO, INFECTION
TURI, SLEMAN
2019/07/07/00003 049252 TINI WAHYUNI, NY P GABUGAN 4/15 - 07/07/2019 V
0 PANDOWOHARJO SLEMAN,
-, -, -
2019/07/10/00006 105919 ANGIE FITRI P PERUMAHAN SLEMAN TUMORT 10/07/2019 V
9 CHAYRANI SIAGIAN, PERMAI 2, TRIDADI, PAYUDARA
NN SLEMAN, SLEMAN DEXTRA
2019/07/12/00011 114685 bagas alfa rizki L PANGGERAN XII 004/043, HEMOROID 12/07/2019 V
1 TRIHARJO, SLEMAN, GR 4
2019/07/13/00016 114656 DEVI SEKAR ASRI P SLEMAN
PANDANSAREN APPENDICT 13/07/2019 V
9 KENDAL1/11, OM
9/30/19 12:19 PM Page 76 of
103
BANGUNKERTO, TURI, Y
SLEMAN
2019/07/19/00021 035359 SAIDI, BP L KARANGWUNI, multipal 19/07/2019 V
1 BANGUNKERTO, TURI, infark
2019/07/24/00011 114957 THERESIA IDA P SLEMAN MARGOREJO,
NGEBONG, bilateral
MAMAE 24/07/2019 V
0 WIDIYASTUTI, NY TEMPEL, SLEMAN ASESORIA
DEXTRA
2019/07/26/00017 115082 YUWONO BUDI L GIMBERAN , MERDIKOREJO, HIPERTENSI 26/07/2019 V
0 SUMARNO, BP TEMPEL, SLEMAN ; STROKE
INFARK
2019/07/31/00016 115199 SURYONO, BP L SEBAYU RT 003, TRIHARJO, STROKE 31/07/2019 V
8 SLEM, SLEMAN INFARK;
DISATRIA;
HIPERTENSI
2019/08/05/00006 109376 SUWARSO, BP L JURUGAN, BANGUNKERTO, TUMOR 05/08/2019 V
6 TURI, SLEMAN MANUS
DEXTRA
2019/08/07/00008 114300 SITI FATIMAH,NY P MURANGAN VII 7/28, CHF,HHD,D 07/08/2019 V
5 TRIHARJO, SLEMAN, M
SLEMAN
2019/08/12/00014 115480 RAKA SATRIA P, L TOINO RT 02, OBS FEBRIS 12/08/2019 V
6 SDR PENDOWOHARJO, SLEMAN, HARI KE 4
SLEMAN
2019/08/16/00007 115589 GERALD VIKARDO L JL GRIYA TAMAN ASRI, - 16/08/2019 V
8 STEPU SARAGAN,
PANDOWOHARJO, SLEMAN
2019/08/18/00002 115608 SANDYA AKTA L TLACAP , PANDOWOHARJO, dengue fever 18/08/2019 V
3 GERHAN LANTARA, SLEMAN, SLEMAN
2019/08/22/00015 115758 AN NUR SAFITRI,
EKA P KADILUWIH, MARGOREJO, APPENDICIT 22/08/2019 V
7 NN TEMPEL, SLEMAN IS
2019/08/25/00000 115818 BUANA MANDALA L TLACAP, PANDOWOHARJO, DF 25/08/2019 V
9 YUDA P, SDR SLEMAN, SLEMAN
2019/09/02/00004 019858 MUSDALIFA, NN P PONDOK PESANTREN THYPOID 31/08/2019 V
6 SUNAN PANDANARAN CANDI FEVER
3, SARDONOHARJO,
NGAGLIK, SLEMAN
2019/09/04/00020 079694 PUJIHARJO, BP L NGLEBENG 003/008, CHF 04/09/2019 V
3 MARGOREJO, TEMPEL,
2019/09/11/00008 116282 ERIYANDARI,NY P SLEMAN1/16,
TOINO KISTA 11/09/2019 V
1 PANDOWOHARJO, SLEMAN, DERMATOR
2019/09/17/00009 116469 MUHAMMAD RASYA L SLEMAN
JL. MAGELANG KM 11, D
KLINIS 17/09/2019 V
3 AL GHIFARI, AN TRIDADI, SLEMAN, SLEMAN SEPSIS,
BRONCHITIS
BILATERAL
2019/09/20/00010 116531 SITA INDRI P PULEWULUNG 06/29, ABSES 20/09/2019 V
9 YULIAWATI, NN BANGUNKERTO, TURI, PEDIS
2019/09/23/00008 116594 NOVALINA P SLEMAN
NGALANGAN, SINISTRA
TUMOR 23/09/2019 V
1 MAYASARI SARDONOHARJO, NGAGLIK, PAYUDARA
SLEMAN SINISTRA
2019/09/24/00010 037390 MUHDIWIDARTO/ L TRUMPON 04/04, vertigo 24/09/2019 V
4 TUKIRAN, BP MERDIKOREJO, TEMPEL, sentral
SLEMAN
9/30/19 12:19 PM Page 77 of

103
2019/09/29/00000 116749 SUDI RATMOJO, BP L RANDU 03/24, - 29/09/2019 V
SLEMAN
2019/01/04/00000 108375 JATI GENENG L KAMDANEN 2/7, ULKUS 04/01/2019 V
7 SANTOSA, BP SARIHARJO, NGAGLIK, PEDIS
JL. NOGOMUDO GOWOK BRONCHITIS 05/01/2019 V
1 RT.09/04 NOLOBANGSAN ,DISPEPSI
CATUR TUNGGAL DEPO, -, -,
2019/01/11/00005 066316 DIAN PRASTIWI, NN P -RS PURI HUSADA, -, -, - FEBRIS 11/01/2019 V
0
2019/01/15/00011 073057 SURADI, BP L KEPITU, TRIMULYO, -, -, - ANEMIA 15/01/2019 V
3 PADA AML
2019/01/19/00005 109656 OKTA TALITA P DADAPAN , WONOKERTO, TF 19/01/2019 V
3 ZAHRA, AN TURI, SLEMAN
2019/01/23/00019 109778 MARTINI SARINTA P NGEBRAK, GENTAN, BAKI, ISK 23/01/2019 V
5 SUKOHARJO
2019/01/25/00019 109856 MULYANA, BP L BAKALAN, DONOHARJO, TF 25/01/2019 V
3 NGAGLIK, SLEMAN
2019/02/01/00001 108428 PALUPI ANGGUN P SENOBOYO 004/014, tumor 01/02/2019 V
6 KUMALASARI, NN BANYUREJO, TEMPEL, payudara
2019/02/03/00003 110158 SUTRISNA, BP L SLEMAN DONOKERTO,
GABUGAN, stroke infark 03/02/2019 V
6 TURI, SLEMAN
2019/02/06/00027 033926 SLAMET, BP P TEGALSARI, SARIHARJO bronchitis, 06/02/2019 V
8 NGAGLIK, -, -, - chf
2019/02/13/00014 110457 IQBAL L RUSNAWA JONGKEMIDANG, FEBRIS 13/02/2019 V
9 HABIBURRAHMAN, SENDANGADI, MLATI,
2019/02/27/00016 108969 SDR
TUGIMAN, BP L SLEMAN
SABRANGWETAN SRUNI, HILL dextra 27/02/2019 V
8 WUKIRSARI, CANGKIRSARI,
SLEMAN
2019/03/07/00003 033926 SLAMET, BP P TEGALSARI, SARIHARJO chf 07/03/2019 V
3 NGAGLIK, -, -, -
2019/03/16/00009 111299 TITIK MULATIASIH P KEMBANGAN RT , DIDPEPSIA 16/03/2019 V
2 NY CANDIBINANGUN, PAKEM, VOMITUS
SLEMAN
2019/03/18/00020 111475 TUKIYEM, NY P GEMUTRI, SUKOHARJO, gea, chf 19/03/2019 V
0 NGAGLIK, SLEMAN
2019/03/21/00008 111556 AQILLA MISHA P TEGALKRAPAYAK RT01/ RW OF 22/03/2019 V
4 SHAFANA AN 023, SARIHARJO, NGAGLIK,
SLEMAN
2019/03/26/00009 107663 ERLIN SRI P JL.ATMOSUKARTO 9 G-9 , ANEMIA 26/03/2019 V
7 YUNIARTI, NY KOTABARU, CKD, CHF,
GONDOKUSUMAN, HIPER K
2019/03/29/00016 111771 SLAMET PURNAMI/ P NGEBEL CILIK RT 05/ RW
YOGYAKARTA - 30/03/2019 V
3 DIBYO HADI NY 46, SARDONOHARJO,
NGAGLIK, SLEMAN
2019/03/30/00009 110662 DALIYEM PARTO P BEJI, HARJOBINANGUN, CKD 30/03/2019 V
9 DIHARJO, NY PASKEM, SLEMAN
2019/04/07/00001 017553 KUSWADI RUSTAM, L BANTARJO RT 01/ RW 027, dispepsia 07/04/2019 V
2 BP DONOHARJO, NGAGLIK,
SLEMAN
2019/04/13/00012 108934 SURANTO, BP L KALIURANG, SRUMBUNG, gea 13/04/2019 V
6 MAGELANG, MAGELANG
9/30/19 12:19 PM Page 78 of

103
2019/04/17/00006 062701 BELLA ARDHIA, NN L DUWET SENDANGADI DF 17/04/2019 V
1 MLATI, -, -, -
2019/04/22/00025 112457 SITI SUBANDIYAH, P LODOYONG LUMBUNGREJO HEMIPARES 23/04/2019 V
4 NY TEMPEL SLEMAN DIY, -, -, - SE
2019/04/24/00023 112491 ROMZI NUR SYARIF, L POTRO PURWOBINANGUN, HIL DEXTRA 24/04/2019 V
9 SDR PURWOBINANGUN, PAKEM,
SLEMAN
2019/04/26/00045 112553 YURIKA DIVYA P KALIMASADA, SEKARAN, - 26/04/2019 V
3 FAQRAENI, SDR GUNUNG PATI, SREMARANG
2019/04/30/00011 049031 SUHARDJONO, BP L PUSMALANG 06/06 cholelitiasis 30/04/2019 V
7 WUKIRSARI CANGKRINGAN
2019/05/03/00007 112717 PUTRI NUR AINI, P SLEMAN, -, -, - NO. 12
PERUM DEPPEN abses 03/05/2019 V
1 NN SETURAN 008/003 punggung
CATURTUNGGAL DEPOK
SLEMAN, -, -, -
2019/05/07/00013 053258 SUWARTO, BP L MURANGAN 8 TRIHARJO DF 07/05/2019 V
7 SLEMAN, -, -, -
2019/05/13/00018 061427 FAHRY FADEL LAYA, L PERUM SLEMAN PERMAI DISPEPSIA 13/05/2019 V
1 SDR TRIDADI, -, -, -
2019/05/15/00002 113042 MUDJIASRI, NY P GANGGONG, CHF; ULKUS 15/05/2019 V
0 BANGUNKERTO, TURI, DM
2019/05/22/00012 042490 RETNO P SLEMAN
JOMBLANG SENDANGADI, -, DF 23/05/2019 V
3
2019/05/25/00011 113337 DARUWATI,NY
ROSALIA SRI P -, -
BALONG 03/02, OBS 25/05/2019 V
8 WULAN P.S, NY DONOHARJO, NGAGLIK, DYSPNEU
2019/05/26/00004 113256 KOKOH MIKAIL L SLEMAN
BANTERAN/ JL.NOTO DF 27/05/2019 V
6 UTHMAN, AN SUKARJO 2/15,
DONOHARJO, NGAGLIK,
2019/06/01/00008 113519 ASRI WIYANTO, BP L POKOH
SLEMAN005/012, DF 01/06/2019 V
6 UMBULMARTANI,
NGEMPLAK, SLEMAN
2019/06/05/00006 113624 ARISMAN, BA BP L MANGUNAN 004/007, bronchopne 05/06/2019 V
0 HARJOBINANGUN, PAKEM, moni,ihd,isk
SLEMAN
2019/06/19/00015 114024 FRISCHA AISHA P KARANG, TRIMULYO, DF 19/06/2019 V
7 SYATA ANANDA, NN SLEMAN, SLEMAN
2019/06/24/00017 034022 SUKARTINI, NY P WADAS RT.04/2 TRIDADI, -, FEBRIS 24/06/2019 V
5 -, - UNSPSIFICA
L
2019/06/28/00002 113962 EKO SINGGIH L KALIURANG BARAT 5/18, HERNIA 28/06/2019 V
4 SUTANTO,BP HARGOBINAGUN, PAKEM, UMBILIKALI
SLEMAN S
2019/06/28/00024 022080 MARDI UTOMO,BP L BONJOTAN, -, -, - HIPERGLIKE 01/07/2019 V
1 MI pada DM
2019/07/05/00014 056327 MARYUNIA SIWI P BONJOTAN, DF 05/07/2019 V
2 UTAMI, NN SARDONOHARJO, NGAGLIK,
2019/07/12/00022 114713 ASFA JAVINA P -, -, - ASRI, CILUAR,
CILUAR - 12/07/2019 V
5 SYAKIRA BOGOR UTARA, BOGOR
2019/07/13/00012 114735 MUHTAR ARIFIN, BP L JL.BERINGIN 3 NO.15, dislokasi 13/07/2019 V
9 BOJONG, PURBALINGGA, cubiti (s)
2019/07/26/00007 115064 RIMPI MAEMONAH, P PURBALINGGA
MURANGAN VIII, TRIHARJO, ULCUS 26/07/2019 V
1 NY SLEMAN, SLEMAN DICUBITUS
9/30/19 12:19 PM Page 79 of

103
2019/08/01/00003 115214 TUNGGUL L JALAN MAGELANG KM.16, GEA 01/08/2019 V
0 CHANDRASAH, BP CATURHARJO, SLEMAN,
SLEMAN
2019/08/05/00007 115277 SAIFUL L JLN MAWAR II BLOK AD 2/7 EFUSI 05/08/2019 V
6 RAMDHANI,SDR MANGUN JAYA INDAH I PLEURA
2/10, MANGUNJAYA,
TAMBUN SELATAN, BEKASI
2019/08/11/00003 115468 NOVI KRESNAWATY, P PACAE NO. 11, BNCIRO, vomitus 11/08/2019 V
2 NY GODONGKUSUMAN,
YOGYAKARTA
2019/08/16/00011 115592 MARYATI, NY P JENGGALAN , TUMOR 16/08/2019 V
4 SUMBERAGUNG , MOYUDAN, MAMAE
SLEMAN DEXSTRA
2019/08/19/00005 020693 MARDIYONO, BP L SROWOLAN, -, -, - ppok 19/08/2019 V
9
2019/09/03/00013 116098 AYESHA RAYYA P GABUGAN 5/8, GEA 03/09/2019 V

9 MAHDIYA, AN DONOKERTO, TURI, SLEMAN
2019/09/07/00008 116202 SURMALAHADI BP L CANDI 007/014, hiperglikemi 07/09/2019 V

4 PURWOBINANGUN, PAKEM, DM 2 NO
SLEMAN
2019/09/25/00029 116673 LIA DYAH P JL ANGGREK, SIDAKAYA, ABSES 26/09/2019 V
4 NURYANTI ,NY COLACAP SELATAN, PUNGGUNG
2019/09/27/00008 116713 DWI IRIANTO, BP L CILACAP
DENGGUNG RT 03/38, - 27/09/2019 V
2019/01/04/00010 108822 SUMIYARSO, BP L BLIMBINGAN 004/004, HIL 04/01/2019 V

1 TAMBAKREJO, TEMPEL, SINISTRA
2019/01/06/00001 109286 AGUS HASIM, BP L SLEMAN
PLALANGAN 004/041, RESIDIF
- 06/01/2019 V
SLEMAN
2019/01/11/00000 106909 SOGIYEM, NY P NANGKRIK V , TRIHARJO, DYSPNEU 13/01/2019 V
8 SLEMAN, SLEMAN
2019/01/17/00005 072257 WAGIYAH, NY P TEGALSARI 1/23 TRIMULYO - 17/01/2019 V
0 SELMAN, -, -, -
2019/01/24/00005 109810 NARDI SUNARTI, NY P DONOLAYAN 002/022, obs ISK,CHF 24/01/2019 V
SLEMAN
2019/02/08/00020 110317 SUDI UTOMO,BP L BRAYUT RT 1 RW 28, hiperglikemi, 08/02/2019 V
1 PANDOWOHARJO, SLEMAN, dm
SLEMAN
2019/02/14/00008 025087 PANUT CIPTO L GONDANG LUTUNG, -, -, - - 14/02/2019 V
4 UTOMO, BP
2019/03/08/00009 111127 HARI ATIN, BP L JOSARI, SOKOHARJO, VL, 08/03/2019 V
5 NGAGLIK, SLEMAN FRAKTUR
PHALANK dg
2019/03/09/00010 111165 SRI MUSYAWARAH, P KETULAN, CANDI - manus
3 09/03/2019 V
2 NY BINANGUN, PAKEM, SLEMAN dekstra
2019/03/26/00001 052055 MARDI, BP L DRONO SARDONOHARJO, -, gea, DM 2, 26/03/2019 V
8 -, - NEPROPHAT
I DM
9/30/19 12:19 PM Page 80 of

103
2019/04/01/00015 002229 AGUS KRISDIANTO, L PENEN, RT/RW: 03/24, K0000066 - 01/04/2019 - BPJS
9 SDR HARJOBINANGUN, PAKEM, -, PARIKESIT A
-, -
2019/04/09/00046 112077 SUPARYADI, BP L KEMIRI 5/22, MARGOREJO, K0000066 cholelitiasis 09/04/2019 TEMPEL 1 BPJS
2 TEMPEL, SLEMAN PARIKESIT A
2019/04/23/00008 108040 WAGINEM P PAJANGAN RT 4 RW 9, K0000066 - 23/04/2019 - BPJS
7 MURDIYATI,NY PANDOWOHARJO, SLEMAN, PARIKESIT A KESEHATAN
SLEMAN
2019/04/25/00005 107051 SUNTORO, BP L WONOREJO, SARIHARJO, K0000066 SIROSIS 25/04/2019 - UMUM
0 NGAGLIK, SLEMAN PARIKESIT A HEPATIS,CH
OLESISTITIS
,CHOLELITH
IASIS
2019/05/01/00007 112666 SUKAMTO, BP L KEMIRI 006/009 K0000066 TB PARU 02/05/2019 UMUM

2 PJURWOBINANGUN PAKEM PARIKESIT A BILATERAL
SLEMAN, -, -, -
2019/05/10/10008 064258 SUJARWO, BP L NEPEN CANDIBINANGUN K0000066 ULKUS DM 10/05/2019 BPJS
9 PAKEM, -, -, - PARIKESIT A
2019/05/22/00022 113244 HADI RAHARJO L REJONDANI 1, SARIHARJO, K0000066 Susp.TETAN 22/05/2019 - BPJS PEKERJA
5 NGAGLIK, SLEMAN PARIKESIT A US MANDIRI
2019/05/25/00012 105324 ASNGARI, BP P LODOYONG, LUMBUNGREJO, K0000066 CHF 25/05/2019 RS PURI BPJS
8 TEMPEL, SLEMAN PARIKESIT A HUSADA -
KAB. SLEMAN
2019/06/09/00001 112817 WAGIYEM, NY P KALIURANG TIMUR 004/015, K0000066 vomitus 10/06/2019 RS PURI UMUM
1 HARGOBINANGUN, PAKEM, PARIKESIT A profus dg HUSADA -
SLEMAN dehidrasi KAB. SLEMAN
2019/06/10/00019 113751 SUDIYONO BP L KRAPYAK 11/21, TRIHARJO, K0000066 -
sedang 17/06/2019 UMUM
2 SLEMAN, SLEMAN PARIKESIT A
2019/06/19/00012 113956 ADITYA BUDI L PISANGAN TRIDADI 2/14, -, K0000066 OBS.SCHIZO 21/06/2019 - UMUM
3 PRATAMA,SDR -, - PARIKESIT A PHENIA
2019/06/26/00013 114219 ROJIKI SETIAWAN, L KLEBEN, CATUR HARJO, K0000066 celulitis 26/06/2019 Sleman BPJS
9 SDR SLEMAN, SLEMAN PARIKESIT A cruris S
2019/07/08/00012 114481 Zaqky Akbar L BERKISAN, K0000066 tumor paha 08/07/2019 Sleman BPJS
4 PENDOWOHARJO, NGAGLIK, PARIKESIT A
2019/07/12/00011 114686 NUR P SLEMAN 01/48,
NGAGLIK K0000066 TUMOR 12/07/2019 Sleman BPJS
3 ROHMANINGSIH, CATURHARJO, SLEMAN, PARIKESIT A MAME
2019/07/12/00022 114712 NN danesha
asfa P SLEMANASRI, CILUAR,
CILUAR K0000066 DEXTRA
GEA 13/07/2019 - BPJS
6 zaviera,AN BOGOR UTARA, BOGOR PARIKESIT A DENGAN
2019/07/29/00008 115119 PARJIMAN BP L KEMBANGARUM 002/030, K0000066 DEHIDRASI
TUMOR 29/07/2019 Klinik SWA BPJS
9 DONOKERTO, TURI, SLEMAN PARIKESIT A INGUINAL
SINISTRA
2019/08/17/00004 061460 DARTO WIYONO, BP L KEMBANGAN 3/6 K0000066 - 18/08/2019 RSPH UMUM
9 CANDIBINANGUN PAKEM, PARIKESIT A
CANDIBINAGUN , PAKEM,
SLEMAN
2019/08/19/00006 115659 MARYANA, BP L KLONCOMAN 01/14, K0000066 hemoroid gr 19/08/2019 Sleman BPJS
2 PANDOWOHARJO, SLEMAN, PARIKESIT A 4
SLEMAN
2019/09/08/00002 116219 NIYATI, NY P PLEMBURAN TEGAL, K0000066 DM,GANGRE 10/09/2019 - UMUM
4 SARIHARJO, NGAGLIK, PARIKESIT A N
SLEMAN
9/30/19 12:19 PM Page 81 of 103
2019/09/23/00016 116606 MURTOLO/ HERI L PRINGAPUS 01/03, K0000066 SUSP CA 23/09/2019 Tempel I BPJS
9 SUKARNO, BP MOROREJO, TEMPEL, PARIKESIT A EPIDERMA
2019/09/25/00028 116423 SURTINI P SLEMAN
PANGUKAN 002/009, K0000066 - 26/09/2019 BPJS
3 TRIDADI, SLEMAN, SLEMAN PARIKESIT A
2019/01/07/00003 079640 NUR CAHYO, SDR L WADAS TRIDADI SLEMAN, -, K0000076 - 07/01/2019 - BPJS
0 -, - PARIKESIT B
2019/01/06/00001 109286 AGUS HASIM, BP L PLALANGAN 004/041, K0000076 HIPERGLIKE 15/01/2019 UMUM
4 PANDOWOHARJO, SLEMAN, PARIKESIT B MI
SLEMAN GANGREN
2019/01/25/00000 109752 SARMINI, NY P TRITIS NGANDONG, K0000076 tumor cruris
PEDIS 25/01/2019 BPJS
6 GIRIKERTO, TURI, SLEMAN PARIKESIT B
2019/02/09/00008 110330 MUJIYONO, BP L GATEN, SUMBERREJO, K0000076 CHF 09/02/2019 BPJS
5 TEMPEL, SLEMAN PARIKESIT B
2019/02/14/00008 025087 PANUT CIPTO L GONDANG LUTUNG, -, -, - K0000076 BRONCHOPN 15/02/2019 -
4 UTOMO, BP PARIKESIT B EMONI
2019/03/29/00006 111692 SUDIJONO / L KARANGWARU LOR TR K0000076 HIL 29/03/2019 BPJS
3 SOEDIJONO, BP II/325 003/001, PARIKESIT B
KARANGWARU, TEGALREJO,
2019/04/01/00020 111856 S. BUANAWATI, NY P BANGUNREJO,
YOGYAKARTA TRIDADI, K0000076 - 01/04/2019 BPJS
3 SLEMAN, SLEMAN PARIKESIT B
2019/04/23/00016 112436 MULYONO, BP L POTON, SARIHARJO, K0000076 VERTIGO 23/04/2019 - UMUM
7 NGAGLIK, SLEMAN PARIKESIT B
2019/06/26/00015 114228 MARIYO, BP L SUCEN, TRIHARJO, SLEMAN, K0000076 POLIP RECTI 26/06/2019 Sleman BPJS
8 SLEMAN PARIKESIT B
2019/07/08/00011 114358 BUDI WAHYONO L BERAN LOR 007/022, K0000076 abses 08/07/2019 Sleman BPJS
4 TRIDADI, SLEMAN, SLEMAN PARIKESIT B perianal
2019/07/12/00019 114706 SITI KHOIRIYAH, NY P CANDIWINANGUN, K0000076 - 12/07/2019 RS PURI BPJS
0 SARDONOHARJO, NGAGLIK, PARIKESIT B HUSADA -
SLEMAN KAB. SLEMAN
2019/07/12/00022 114713 ASFA JAVINA P CILUAR ASRI, CILUAR, K0000076 GEA 13/07/2019 - BPJS
5 SYAKIRA BOGOR UTARA, BOGOR PARIKESIT B DISENTRI
DENGAN
2019/07/29/00021 115154 SUROJO, BP L TEGAL PANGGUNG, K0000076 hiperglikemi
DEHIDRASI 29/07/2019 UMUM
8 GIRIKERTO, TURI, SLEMAN PARIKESIT B a; abses
mandibula
2019/04/01/00018 075758 CARLINE ADELIA P KARANG TRIMULYO K0000001 RAMA vomitus 01/04/2019 UMUM
5 SAFITRI, AN SLEMAN, -, -, -
2019/07/13/00009 112047 PASIEN UJI COBA P -, -, -, - K0000001 RAMA chf 13/07/2019 UMUM
3
2019/07/22/00017 114508 PX UJI COBA L , -, -, - K0000001 RAMA - 22/07/2019 UMUM
1
2019/01/04/00021 109246 FERNANDO ALHAJ L PALAGAN TENTARA PELAJAR K0000007 DF 04/01/2019 - BPJS
5 EDRIS KM 10,9, REJODANI, SADEWA
SARIHARJO, NGAGLIK
2019/01/07/00012 016499 SUKIRAH,NY P PLAOSAN, TLOGOADI, K0000007 ISK 09/01/2019 KLINIK SWA BPJS
8 MLATI, -, -, - SADEWA
2019/01/16/00003 108562 WIBI DWI L BAKALAN DONO, K0000007 - 17/01/2019 - UMUM
7 PURMANO DONOHARJO, NGAGLIK, SADEWA
2019/01/18/00005 109622 SUYADI, BP L SLEMANPURWOBINANGUN,
GATEP, K0000007 - 18/01/2019 - UMUM
9 PAKEM, SLEMAN SADEWA
2019/01/27/00001 043642 PRISCILLA LIVIA P PERUM SENDANG INDAH NO K0000007 DF 27/01/2019 UMUM
6 SARASWATI,NN C 1 SENDANGADI MLATI, -, SADEWA
2019/02/01/00003 073695 PRAMUDYA RASDAN L -, -
KEMIRI PURWOBINANGUN K0000007 tumor 01/02/2019 BPJS
5 SADEWA
9/30/19 12:19 PM Page 82 of 103
ARRYAN, AN PAKEM, -, -, - inguinalis
sinistra
2019/02/01/00013 110047 ENDANG P SIDOMULYO, TRIMULYO, K0000007 chf 02/02/2019 -
5 WULANDARI, NY SLEMAN, SLEMAN SADEWA
2019/02/06/00022 110247 WARTO UTOMO, BP L KEMIRIKEBO1/7, K0000007 ppok, ihd, 08/02/2019 UMUM
7 GIRIKERTO, TURI, SLEMAN SADEWA dm
2019/02/11/00005 020693 MARDIYONO, BP L SROWOLAN, -, -, - K0000007 ppok chf 14/02/2019 -
7 SADEWA gastritis
2019/02/20/00018 020480 MARIDI, BP L BERKISAN RT 5 RW 7, K0000007 ppok, 21/02/2019 - BPJS
3 PANDOWOHARJO, SLEMAN, SADEWA chf,hipokale
SLEMAN mi
2019/03/02/00012 110972 AMI LINAMURTI NN P BARATAN RT 04/ RW 014, K0000007 dispepsia 02/03/2019 - UMUM
4 CANDIBINANGUN, PAKEM, SADEWA
SLEMAN
2019/03/06/00002 107830 SAMINEM, NY P DURENAN TEJO 12/25, K0000007 tumor pipi 06/03/2019 BPJS
2 TRIHARJO, SLEMAN, SADEWA sinistra KESEHATAN
2019/03/08/00013 109302 MUSRIN, BP L SLEMAN
TRUMPON, MERDIKIREJO, K0000007 - 08/03/2019 RSPH BPJS
1 TEMPEL, SLEMAN SADEWA
2019/03/12/00001 111233 ADERA EMIR FAIQ, L KALIURANG KM 9,3 K0000007 KDS 12/03/2019 - BPJS
9 AN LEDOKWARENG, -, -, - SADEWA
2019/03/15/00032 110384 WARINDI L KAYEN, CONDONG CATUR, K0000007 OA, 16/03/2019 RSPH BPJS
3 PADMORJO, BP SLEMAN, SLEMAN SADEWA HIPERUREMI
, NERALGIA
POST
2019/03/25/00015 003595 ASIYEM, NY L KARANG JENJEM, K0000007 DISPEPSI,HT
HERPES 25/03/2019 UMUM
2 SARDONOHARJO, NGAGLIK, SADEWA
SARDONOHARJO, -NGAGLIK,
-SLEMAN
2019/03/28/00009 008704 EKA YULIANTO, BP L GAWAR RT 2/36, -, -, - K0000007 febris 28/03/2019 - UMUM
9 SADEWA unspesifik
2019/04/03/00003 070894 NAVEED SIVERT L REJODANI SARIHARJO K0000007 DF 04/04/2019 - UMUM
6 MAMUN, AN NGAGLIK, -, -, - SADEWA
2019/04/15/00010 008579 ENDANG DWI P GABUGAN, DONOKERTO K0000007 ULKUS DM 15/04/2019 BPJS
5 NINGSIH TURI SLEMAN, -, -, - SADEWA
2019/04/18/00013 047850 KUSRIANTINAH, NY
DWI PRIJANTO, BP L JONGKE KIDUL 6/24 K0000007 HT 18/04/2019 UMUM
7 SENDANGADI MLATI, -, -, - SADEWA URGENCY,
2019/04/23/00011 005182 BAMBANG BASUKI L KEPITU , TRIMULYO, -, -, - K0000007 VERTIGO
HT, DF 24/04/2019 UMUM
5 ILYAS, BP SADEWA
2019/04/26/00045 112553 YURIKA DIVYA P KALIMASADA, SEKARAN, K0000007 ANEMIA,VER 27/04/2019 UMUM
3 FAQRAENI, SDR GUNUNG PATI, SREMARANG SADEWA TIGO
2019/04/29/00011 020693 MARDIYONO, BP L SROWOLAN, -, -, - K0000007 PPOK, CHF 29/04/2019 BPJS
3
2019/05/10/10020 111232 BUDIYATI, NY P TROJAYAN, SADEWA
K0000007 nephrolitiasis 11/05/2019 UMUM
8 HARJOBINANGUN, PAKEM, SADEWA dekstra
2019/05/16/00008 113100 MANGGALA ADITYA L SLEMAN
GRIYA PESONA , K0000007 obs, febris 16/05/2019 UMUM
7 PRATAMA SIDOARUM, GODEAN, SADEWA
2019/05/22/00014 113225 DARMAWI, BP L SLEMAN
PERUM GRIYA TAMAN ASRI K0000007 - 22/05/2019 - UMUM
8 G-319, DONOHARJO, SADEWA
NGAGLIK, SLEMAN
2019/05/26/00004 113256 KOKOH MIKAIL L BANTERAN/ JL.NOTO K0000007 - 26/05/2019 RS PURI UMUM
6 UTHMAN, AN SUKARJO 2/15, SADEWA HUSADA -
DONOHARJO, NGAGLIK, KAB. SLEMAN
SLEMAN
9/30/19 12:19 PM Page 83 of 103
2019/06/01/00008 113519 ASRI WIYANTO, BP L POKOH 005/012, K0000007 - 01/06/2019 UMUM
6 UMBULMARTANI, SADEWA
NGEMPLAK, SLEMAN
2019/06/10/00000 008579 ENDANG DWI P GABUGAN, DONOKERTO K0000007 ULKUS DM 10/06/2019 dr. BPJS
3 NINGSIH TURI SLEMAN, -, -, - SADEWA Sulistyowati
2019/06/13/00012 113854 KUSRIANTINAH,
SABARI/ NY
SUGINAH, L SONOSEWU BARU, K0000007 LBP; 13/06/2019 UMUM
3 NY SONOSEWU, BANTUL, SADEWA VERTIGO
2019/06/16/00004 045456 HARJO SUKARTO, L BANTUL
WONOLELO, DONOHARJO, K0000007 ppok,ihd 16/06/2019 RS PURI BPJS
9 BP NGAGLIK, -, -, - SADEWA HUSADA -
KAB. SLEMAN
2019/06/21/10010 114061 ANDRIYANI, NY P JOMBORAN, DONOKERTO, K0000007 ISK,ICH 21/06/2019 RS PURI BPJS
7 TURI, SLEMAN SADEWA HUSADA -
KAB. SLEMAN
2019/07/03/00023 024132 NANANG CAHYO L SIDODADI KAUMAN 4/2, K0000007 ich 03/07/2019 RSPH BPJS
8 YUWONO,BP SELOMARTANI, KALASAN, -, SADEWA
2019/07/27/00007 115093 SUWATIYAH, NY P -, -
JLAMPRANG, K0000007 STROKE 27/07/2019 - UMUM
6 PANDOWOHARJO, SLEMAN, SADEWA INFARK,CHF
2019/08/05/00018 052575 NANIK HARYANTI, P SLEMANLOR 05/022 TRIDADI
BERAN K0000007 cholelitiasis; 05/08/2019 RS PURI UMUM
4 NY SLEMAN, -, -, - SADEWA DM; HHD HUSADA -
KAB. SLEMAN
2019/08/15/00013 011703 DALIYEM HADI P SEDAN RT 3/33 , K0000007 MELENA 15/08/2019 BPJS
9 ATMOJO, NY SARIHARJO, NGAGLIK, SADEWA
2019/08/22/00016 115808 SUDARTI P SLEMANPALAGAN ASRI 3,
TAMAN K0000007 STROKE 22/08/2019 - UMUM
2 SINDUHARJO, NGAGLIK, SADEWA INFARK,HIP
SLEMAN ERTENSI
2019/09/03/00007 116071 RADITYA JAVAS L CANDI , PURWOBINANGUN, K0000007 faringitis 03/09/2019 UMUM
5 NARARYA, AN PAKEM, SLEMAN SADEWA acut
2019/09/06/00017 022197 MARSINEM,NY P PRUMPUNG, K0000007 BRONCHOPN 06/09/2019 - BPJS
8 SARDONOHARJO, -, -, - SADEWA EUMONI;
CHF;
2019/09/11/00024 116288 SITI ASAROTUN, NY P DEMANGAN BARAT 4/2, K0000007 ISK
ARITMIA 11/09/2019 UMUM
2 KALIABU, SALAMAN, SADEWA
2019/09/16/20029 116445 AGUS HARIYANTO, L MAGELANG
JETIS 03/13, CATURHARJO, K0000007 AMI,HIPERG 16/09/2019 RS PURI BPJS
2 BP SLEMAN, SLEMAN SADEWA LIKEMI DM HUSADA -
KAB. SLEMAN
2019/09/25/00029 116673 LIA DYAH P JL ANGGREK, SIDAKAYA, K0000007 - 25/09/2019 - BPJS
4 NURYANTI ,NY COLACAP SELATAN, SADEWA
2019/09/27/00008 116713 DWI IRIANTO, BP L CILACAP
DENGGUNG RT 03/38, K0000007 - 27/09/2019 RS PURI UMUM
1 TRIDADI, SLEMAN, SLEMAN SADEWA HUSADA -
KAB. SLEMAN
2019/01/07/00018 005896 DENNY DESTYANTO L KOMP. PURI HUSADA, -, -, - K0000002 MULTIPLE 08/01/2019 BPJS
3 WIBOWO, BP SHINTA FIBRONA
2019/01/07/00008 036703 TRIYADI, BP L WONOKERSO, SARIHARJO K0000002 VERTIGO 08/01/2019 klinik chandra BPJS
1 RT. 10/03, -, -, - SHINTA brata medika
2019/01/10/00008 078457 SRI BUDIYONO,BP L TANGKILAN JOTON K0000002 VOMITUS 10/01/2019 UMUM
1 JOGONALAN KLATEN, -, -, - SHINTA
2019/01/29/00014 048517 SARMO, BP L JOMBOR LOR SINDUADI K0000002 CHF,IHD,CK 29/01/2019 - UMUM
7 MLATI SLEMAN, -, -, - SHINTA D
2019/02/15/10016 110190 BANU ARSANA,BP L PERUM GTA BLOK 0 346, K0000002 anemia mh, 15/02/2019 RSPH BPJS
9 SARIHARJO, NGAGLIK, SHINTA chf, ppok KESEHATAN
2019/02/20/00013 110662 DALIYEM PARTO P SLEMAN
BEJI, HARJOBINANGUN, K0000002 CHF, 20/02/2019 UMUM
2 SHINTA
9/30/19 12:19 PM Page 84 of 103
DIHARJO, NY PASKEM, SLEMAN DISLIPIDEMI
,HHD
2019/02/27/00017 048517 SARMO, BP L JOMBOR LOR SINDUADI K0000002 tumor pedis 27/02/2019 - UMUM
1 MLATI SLEMAN, -, -, - SHINTA sinistra
2019/04/05/00011 048517 SARMO, BP L JOMBOR LOR SINDUADI K0000002 DYSPNEU 05/04/2019 - UMUM
7 MLATI SLEMAN, -, -, - SHINTA
2019/04/18/00013 112318 HENDI TRIANTORO, L BERAN LOR 05/22, TRIDADI, K0000002 DENGUE 18/04/2019 = UMUM
2 BP SLEMAN, SLEMAN SHINTA FEVER
2019/04/22/00025 047628 NGATINI, NY P JOMBOR LOR SINDUADI K0000002 HEMIPARES 23/04/2019 UMUM
5 MLATI SLEMNA, -, -, - SHINTA E DEXTRA
2019/04/29/00018 112626 AFRIZAL PUTRA L PEDAK 003/006 K0000002 CKR 29/04/2019 UMUM
2 PRATAMA, AN SINDUHARJO NGAGLIK SHINTA
2019/05/02/00017 112710 SUHARJONO,BP L SLEMAN, -, -,3 -/ 28,
GLONDONG K0000002 - 02/05/2019 - UMUM
5 PURWOBINAGUN, PAKEM, SHINTA
SLEMAN
2019/05/11/00011 112927 ISTANTO L TEGALSEMBUNG, K0000002 DISPEPSIA,V 11/05/2019 UMUM
3 NUGROHO, BP PURWOBINANGUN, -, - SHINTA IRAL
INFECTION
2019/05/16/00015 113108 IRPHAN GUSTHAM L CEBONGAN LOR, TLOGOADI, K0000002 DF 17/05/2019 UMUM
7 SURENGGA, BP MLATI, SLEMAN SHINTA
2019/06/24/00022 070676 DODI NURCAHYO, L PATUK, SARDONOHARJO, K0000002 GEA 24/06/2019 UMUM
7 BP NGAGLIK, -, -, - SHINTA
2019/07/03/00024 039958 WIKAN MARUTI P MLATI GLONDONG, K0000002 VERTIGO 03/07/2019 UMUM
3 PRABASITA, Ny SENDANGADI, MLATI, -, -, - SHINTA PERIFER
2019/07/07/00001 114539 ENI HERIYATI, NY P PRUJAKAN 1/32, K0000002 CKR,SAH, 07/07/2019 UMUM
8 SINDUHARJO, NGAGLIK, SHINTA ICH
2019/08/07/00021 115380 SUROYO L SLEMAN
LOJAJAR 04/02, K0000002 DF 07/08/2019 - UMUM
2 HARYANTO, BP SINDUHARJO, NGAGLIK, SHINTA
2019/09/27/00015 004183 AGUS HERMAWAN, L SLEMAN
JAMBLANGAN 02/21, - K0000002 vertigo 27/09/2019 UMUM
1 BP PURWOBINANGUN, -PAKEM, SHINTA perifer.
-SLEMAN dispepsia.sus
2019/01/01/00006 079208 SARTINI, NY P REJODANI II 004/004, K0000024 dm,
p DMvertigo 01/01/2019 UMUM
5 SARIHARJO, NGAGLIK, WIRATA A
2019/01/07/00011 073677 SAJIRAH, NY P SLEMAN KEPEK I,
MUDAL/ K0000024 SNH,VERTIG 07/01/2019 - UMUM
8 SARIHARJO NGAGLIK, -, -, - WIRATA A O CENTRAL
2019/01/11/00003 106607 NOVI SRININGSIH, P KELOR, BANGNKERTO, K0000024 tumor 11/01/2019 RSPH BPJS
3 NN TURI, SLEMAN WIRATA A dinding dada
2019/01/12/00004 059915 MUSLIKHAH,NY P PANGGERAN IX,TRIHARJO, K0000024 chf, ihd, dm, 12/01/2019 BPJS
6 -, -, - WIRATA A isk
2019/01/21/00002 109517 NOR HIDAYATI, NN P KARANGWUNI, K0000024 # radius 21/01/2019 -
6 BANGUNKERTO, TURI, WIRATA A sinistra
2019/01/22/00010 109751 SAMINAH,NY P SLEMAN
WONOKERSO RT 4 RW 10, K0000024 - 22/01/2019 - UMUM
2019/01/23/00018 109794 SUPRIYATI, NY P SLEMAN
NGALANGAN, K0000024 ulkus DM, 23/01/2019 - BPJS
0 SARDONOHARJO, NGAGLIK, WIRATA A dm ii No KESEHATAN
2019/01/25/00004 109831 ILMA AMALIA P SLEMAN
SUCEN, TRIHARJO, SLEMAN, K0000024 ABSES 25/01/2019 -
7 ZAHROUTUN, NN SLEMAN WIRATA A PEDIS
2019/01/26/00013 109888 SUTINI, NY P BESI, SUKOHARJO, K0000024 CONTUSIO 27/01/2019 - UMUM
0 NGAGLIK, SLEMAN WIRATA A CELEBRI
2019/01/29/00011 109954 SUWARTI,NY P TURGO RT 1 RW 1, K0000024 - 29/01/2019 - UMUM
3 PURWOBINAGUN, PAKEM, WIRATA A
9/30/19 12:19 PM Page 85 of 103

SLEMAN
2019/01/31/00002 106297 SUMARSIH/ P BERAN KIDUL RT 6 RW 29, K0000024 DM POST 31/01/2019 -
0 SUMARSONO TRIDADI, SLEMAN, SLEMAN WIRATA A HIPOGLIKEM
HADI,NY I,CKD EC
ND,CHF
2019/02/06/00007 110217 MUJIYO, BP L PANGUKAN, TRIDADI, K0000024 - 06/02/2019 - UMUM
8 SLEMAN, SLEMAN WIRATA A
2019/02/08/00009 064477 SUWARDJO, BP L TEGALSEMBUNG K0000024 - 08/02/2019 -
3 PURWOBINANGUN PAKEM, -, WIRATA A
-, -
2019/02/10/00001 110356 JUMIRAH, NY P DRONO, TRIDADI, SLEMAN, K0000024 dyspneu 10/02/2019 BPJS
9 SLEMAN WIRATA A
2019/02/15/10000 110271 RISTI DWI P RANDU GOWAN, K0000024 tumor 15/02/2019 BPJS
5 ENDARWATI, NY SARIHARJO, NGAGLIK, WIRATA A payudara
SLEMAN dextra
2019/02/17/00002 062989 PAINTEN, NY P TURGO PURWOBINANGUN K0000024 cholesystitis 17/02/2019 -
1 PAKEM, -, -, - WIRATA A cronis,
cholelitiasis
2019/02/23/00003 052127 BANDIYAH,NY P BRENGOSAN DONOHARJO K0000024 chf dispepsia 23/02/2019 UMUM
4 NGAGLIK SLEMAN, -, -, - WIRATA A
2019/02/27/00015 071467 SUGIYATI, NY P KLOPOSAWIT GIRIKERTO K0000024 appendicitis 27/02/2019 BPJS
7 TURI, -, -, - WIRATA A akut
2019/03/01/00018 078185 PARTIYEM, NY P CEPET PURWOBINANGUN K0000024 gea 01/03/2019 - BPJS PEKERJA
7 PAKEM SLEMAN, -, -, - WIRATA A MANDIRI
2019/03/06/00012 106160 MUJIATI,NY P PURWOSARI RT 1 RW 7, K0000024 SNH 06/03/2019 - BPJS
4 SINDUADI, MLATI, SLEMAN WIRATA A
2019/03/09/00010 111165 SRI MUSYAWARAH, P KETULAN, CANDI K0000024 pneumonia 10/03/2019 NGAGLIK II BPJS
2 NY BINANGUN, PAKEM, SLEMAN WIRATA A
2019/03/13/00010 111282 ROSILOWATI, NY P MURANGAN VII 015/032 K0000024 appendictom 13/03/2019 BPJS
5 TRIHARJO SLEMAN, -, -, - WIRATA A y
2019/03/17/00001 111421 WIDO UTOMO, NY L NGAGLIK, CATURHARJO, K0000024 hemiparese 17/03/2019 - UMUM
1 SLEMAN, SLEMAN WIRATA A sinistra,
SNH, DM
2019/03/21/00012 111565 VIRA NUR P TURGO GEDE RT 3 RW 22, K0000024 GEA 21/03/2019 - BPJS
9 SAFITRI,NN HARJOBINAGUN, PAKEM, WIRATA A KESEHATAN
SLEMAN
2019/03/24/00003 054189 SASTRO UTOMO, NY P KEPANJEN RT 02/ RW 019, - K0000024 VERTIGO 24/03/2019 UMUM
5 KEPANJEN, TRIMULYO, WIRATA A
2019/03/28/00006 111486 SRI RIONI, NY P SLEMAN TRIDADI, SLEMAN,
WADAS, K0000024 - 28/03/2019 - UMUM
0 SLEMAN WIRATA A
2019/03/29/00008 108290 SUMARTINAH P PANGUKAN RT 3 RW 10, - K0000024 CHF 29/03/2019 SLEMAN BPJS
8 TRIDADI, -SLEMAN, - WIRATA A
2019/04/07/00000 111999 SUTIYEM,NY P SLEMAN RT 3 RW 9,
NGAMBOH K0000024 DF 07/04/2019 - PBI (APBN)
5 MARGOREJO, TEMPEL, WIRATA A
2019/04/12/10026 043733 NURUL P SLEMAN
RANDU SONGO K0000024 CYSTITIS 12/04/2019 BPJS
7 RACHMAWATI DONOKERTO TURI, WIRATA A
2019/04/18/00007 106535 RUSMINAH,NY P GESIKAN RT 4 RW 28, K0000024 OBS DYSPEU 18/04/2019 UMUM
9 MERDIKOREJO, TEMPEL, WIRATA A
SLEMAN
2019/04/23/00016 062496 SISWO P MUDAL SARIHARJO K0000024 - 23/04/2019 UMUM
6 NGAGLIK, -, WIRATA A
9/30/19 12:19 PM Page 86 of 103
DIHARJO/LAMIYEM, -, -
2019/04/23/00003 112420 NY
JUMARIYAH, NY P KOPEN 4/20, K0000024 24/04/2019 -
2 LUMBUNGREJO, TEMPEL, WIRATA A
2019/04/23/00016 112476 JUMARIYAH, NY P SLEMAN 02/033 ,
KADILOBO K0000024 DF 24/04/2019 UMUM
4 PURWOBINANGUN, PAKEM, WIRATA A
SLEMAN
2019/04/27/00010 053478 SITI WARTINI, NY P PENDEMAN RT 3/10, K0000024 GEA 28/04/2019 UMUM
7 TRIMULYO, SLEMAN WIRATA A
SLEMAN, -, -, -
2019/05/08/00012 112872 SRI MULYANI, NY P NGEBEL CILIK, -, NGAGLIK, K0000024 GEA 08/05/2019 - UMUM
8 SLEMAN WIRATA A
2019/05/09/00013 053608 APRILIA SUSANTI, L WADAS TRIDADI SLEMAN, -, K0000024 gea 09/05/2019 UMUM
1
2019/05/12/00001 112983 NY
VR. MUJINAH, NY P -, -
NGELOSARI 1/10, WIRATA A
K0000024 CHF,HIPERU 12/05/2019 BPJS
5 PURWOBINANGUN, PAKEM, WIRATA A RIUM,GOUT
SLEMAN ARTRITIS
2019/05/17/00003 113117 JAINEM, NY P SENDOWO F144 10/55, K0000024 ca mamae 17/05/2019 DR BPJS
7 SINDUADI, MLATI, SLEMAN WIRATA A CHAMDAWATI
WAHYU H
2019/05/19/00000 073510 MUJINEM, NY P KEMIRI 006/009, K0000024 GEA 19/05/2019 UMUM
6 PURWOBINANGUN, PAKEM WIRATA A
SLEMAN, -, -, -
2019/05/21/10006 113214 KARTINI, NY P SIDOREJO 003/020, K0000024 BRONCHOPN 21/05/2019 UMUM
1 CATURHARJO, SLEMAN, WIRATA A EUMONI;
SLEMAN CHF
2019/04/29/00019 073732 SAIRAH, NY P KEMIRI, PURWOBINANGUN, K0000024 chf 29/05/2019 BPJS
4 PAKEM, -, -, - WIRATA A
2019/06/08/00000 113546 ZAZIMAH, NY P RANDUSONGO 03/05, K0000024 dispneu 08/06/2019 Turi BPJS
7 DONOKERTO, TURI, SLEMAN WIRATA A
2019/06/13/00012 013382 IDA ROYANI, NN P TEGALREJO 001/027, K0000024 APPENDICIT 13/06/2019 - UMUM
4 BANGUNKERTO, TURI, -, -, - WIRATA A IS ACUT
2019/06/17/00004 076712 SRI WIDAYATI, NY P RANDU 01/23, K0000024 TUMOR 17/06/2019 RS PURI BPJS
5 HARGOBINANGUN, PAKEM, WIRATA A MANUS HUSADA -
SLEMAN KAB. SLEMAN
2019/06/18/00010 113982 NGADIYEM, NY P KARANGMLOKO, K0000024 DM; ISK; 18/06/2019 RS PURI UMUM
1 SARIHARJO, NGAGLIK, WIRATA A IHD; HHD; HUSADA -
SLEMAN VERTIGO KAB. SLEMAN
2019/06/24/00016 111550 JUMIRAH NY P GONDOREJO JAMBUSARI RT K0000024 - 24/06/2019 Turi BPJS
2 01/ RW 014, WONOKERTO, WIRATA A
TURI, SLEMAN
2019/06/24/00017 034022 SUKARTINI, NY P WADAS RT.04/2 TRIDADI, -, K0000024 - 24/06/2019 RS PURI UMUM
5 -, - WIRATA A HUSADA -
KAB. SLEMAN
2019/06/26/00010 106976 MARYATI, NY P SOROWAJAN 14/02, K0000024 GEA; DM 26/06/2019 RS PURI UMUM
4 BANGUNTAPAN, WIRATA A HUSADA -
BANGUNTAPAN , BANTUL KAB. SLEMAN
2019/07/03/00014 114416 suwartiyah P TEGAL REJO, K0000024 ISK 03/07/2019 Turi BPJS
1 BANGUNKERTO, TURI, WIRATA A
2019/07/08/00002 114425 IRNA SUSILOWATI, P SLEMAN
JABUNG, PANDOWOHARJO, K0000024 tumor 08/07/2019 Sleman BPJS
2 NY NGAGLIK, SLEMAN WIRATA A payudara s
2019/07/10/00020 114633 TITANIA P KEMIRI KEBO, GIRIKERTO, K0000024 - 10/07/2019 Turi BPJS
1 RAHMADHANI TURI, SLEMAN WIRATA A
9/30/19 12:19 PM Page 87 of 103

2019/07/10/00022 113229 ALEXANDER L NGLANJARAN, K0000024 SUBLOKASI 10/07/2019 RS PURI UMUM
3 YUDHISTIRA, AN SARDONOHARJO, NGAGLIK, WIRATA A OLECRANON HUSADA -
SLEMAN HUMERI KAB. SLEMAN
SINISTRA
2019/07/11/00015 114677 ANTONIA WARSINI, P WONOREJO, K0000024 SOPT; GEA; 11/07/2019 BPJS
1 NY HARGOBINANGUN, PAKEM, WIRATA A DM; IHD
2019/07/16/10021 114818 SUKIRAH NY P SLEMA
GILINGAN 003/027, K0000024 STROKE 17/07/2019 RS PURI UMUM
1 SENDEANGADI, MLATI, WIRATA A INFARK,HT HUSADA -
SLEMAN KAB. SLEMAN
2019/07/24/00029 061232 ROMININGRUM P TEMULAWAK TRIHARJO K0000024 gea 24/07/2019 - BPJS
8 FITRIATIN, NY SLEMAN, -, -, - WIRATA A hipertensi
2019/07/28/00001 077894 NUR ARIFAH, NN P SUMOITAN DALEMAN K0000024 APP AKUT 28/07/2019 RS PURI UMUM
5 001/021 , GIRIKERTO, TURI, WIRATA A POT HUSADA -
SLEMAN, -, -, - APPENDICT KAB. SLEMAN
2019/07/31/00015 115193 SUJIYEM, NY P MURANGAN VII 2/22, K0000024 TUMOR
OMY 31/07/2019 Sleman BPJS
9 TRIHARJO, SLEMAN, WIRATA A CRURIS
SLEMAN DEXTRA
2019/08/02/00019 115255 SRI SUBEKTI P CANDIWINANGUN, K0000024 ANEMIA 02/08/2019 - UMUM
3 SARDONOHARJO, NGGALIK, WIRATA A GRAVIS
SLEMAN
2019/08/13/00002 006329 DHURIYATI, NY P CANDIREJO, K0000024 13/08/2019 Ngaglik I BPJS
2 SARDONOHARJO, -, -, - WIRATA A
2019/08/17/00004 115629 AISYAH SABILLA P GONDANGLEGI 2/13, K0000024 appendicitis 17/08/2019 RS PURI BPJS
3 RAHMI SARIHARJO, NGAGLIK, WIRATA A HUSADA -
SLEMAN KAB. SLEMAN
2019/08/22/00007 059915 MUSLIKHAH,NY P PANGGERAN IX,TRIHARJO, K0000024 anemia, 22/08/2019 Klinik SWA BPJS
2 -, -, - WIRATA A chf,dm
2019/08/28/00007 060383 TRI MAWARNI, NY P BARATAN 04/14, K0000024 tumor 28/08/2019 Pakem BPJS
9 CANDIBINAGUN , PAKEM, WIRATA A mamae (D)
SLEMAN
2019/08/30/00014 073260 SUTITI, NY P MURANGAN VIII , K0000024 DM,CHF.HH 30/08/2019 RS PURI BPJS
4 TRIHARJO, SLEMAN, WIRATA A D HUSADA -
SLEMAN KAB. SLEMAN
2019/09/04/00015 116116 JOYO PAWIRO, NY P PANGGERAN XII, TRIHARJO, K0000024 DM; CHF; 04/09/2019 - UMUM
3 SLEMAN, SLEMAN WIRATA A ISK
2019/09/08/00002 116219 NIYATI, NY P PLEMBURAN TEGAL, K0000024 - 08/09/2019 - UMUM
2019/09/12/00006 116334 PONIYAH / PAWIRO P SLEMAN
GARONGAN CEPIT, K0000024 PENURUNAN 12/09/2019 UMUM
7 SUWITO, NY WONOKERTO, TURI, WIRATA A KESADARN
SLEMAN SUSP SH DD
SNH
2019/09/15/00001 116341 SUTAMI NY P MOLODONO 004/004, K0000024 - 15/09/2019 - UMUM
4 LUMBUNGREJO, TEMPEL, WIRATA A
SLMEAN
2019/09/20/00010 025327 PARJIYATI, NY P KEMBANGARUM 4/26, K0000024 TUMOR 20/09/2019 Klinik SWA BPJS
6 DONOKERTO, TURI, SLEMAN WIRATA A MAMAE
SINISTRA
2019/09/23/00001 035681 SULANTINA, NY P KLEBEN, PANDOWOHARJO, K0000024 - 23/09/2019 Sleman BPJS
3 PANDOWOHARJO, -, - WIRATA A
2019/09/24/00007 116628 TITIK ATIKAH, NY P KEMPUT 02/22, K0000024 HIPERGLIKE 24/09/2019 RS PURI UMUM
7 CANDIBINANGUN, PAKEM, WIRATA A MI; DM HUSADA -
SLEMAN KAB. SLEMAN
9/30/19 12:19 PM Page 88 of 103

2019/09/26/00022 116707 TUMBAR, NY P LEMPONG SARI BLOK C 15, K0000024 GEA 26/09/2019 - UMUM
2019/09/30/00010 106918 SUTITI ,NY P SLEMANSARI RT 7 RW 30,
TEGAL K0000024 - 30/09/2019 RS PURI UMUM
8 NGAGLIK, SLEMAN, SLEMAN WIRATA A HUSADA -
KAB. SLEMAN
2019/01/03/00012 073196 TRI RAHMAWATI, P KARANGTANJUNG, K0000060 df 03/01/2019 - UMUM
4 NN PANDOWOHARJO, -, -, - WIRATA B
2019/01/07/00012 016499 SUKIRAH,NY P PLAOSAN, TLOGOADI, K0000060 - 07/01/2019 KLINIK SWA BPJS
8 MLATI, -, -, - WIRATA B
2019/01/09/00008 109362 VITA KURNIAWATI, P GANGGONG, K0000060 ganglion 09/01/2019 BPJS
0 NY BANGUNKERTO, TURI, WIRATA B wist parsial
2019/01/11/00010 109438 SRI SULASTRI, NY P SLEMAN
JL.CEMPAKA NO.3, K0000060 - 11/01/2019 UMUM
3 SIDAKAYA, CILACAP WIRATA B
2019/01/12/00010 109473 PARJINTEN, NY P SELATAN,
NGUMBUL CILACAP
KELOR , K0000060 chf, ckd, ihd 12/01/2019 turi BPJS
2 BANGUNKERTO, TURI, WIRATA B
2019/01/22/00005 055285 BOINEM, NY P SLEMAN TOGOADI,
PLAOSAN. K0000060 dm, ulkus 22/01/2019 -
9 MNLATI, SLEMAN, -, -, - WIRATA B dm
2019/01/26/00013 109888 SUTINI, NY P BESI, SUKOHARJO, K0000060 - 27/01/2019 - UMUM
0 NGAGLIK, SLEMAN WIRATA B
2019/01/29/00006 109943 TRI SUSILOWATI, P TLACAP, PANDOWOHARJO, K0000060 - 29/01/2019 - BPJS
9 NY SLEMAN, SLEMAN WIRATA B KESEHATAN
2019/02/01/00000 110008 ANITA PUTRI P KRAPYAK, TRIHARJO, K0000060 tumor sub 01/02/2019 BPJS
4 PRIHATIN,NY SLEMAN, SLEMAN WIRATA B mandibula KESEHATAN
2019/02/08/00010 110159 PURWATI, NY P KRIKILAN 3/21, SARIHARJO, K0000060 - 08/02/2019 -
2019/02/08/00017 050000 DEDEK SANTI P KRANDON, K0000060 dispepsia 08/02/2019 -
8 WAAFIATEN, NN PANDOWOHARJO, SLEMAN, WIRATA B
2019/02/11/00005 110373 Suparminah, NY P SLEMAN DONOHARJO,
MARON, K0000060 contusiocere 11/02/2019 - UMUM
4 NGAGLIK, SLEMAN WIRATA B bri
2019/02/18/00008 110594 RUMINAH NY P PULESARI RT 01/ RW 22, K0000060 bronchitis 18/02/2019 UMUM
3 WONOKERTO, TURI, WIRATA B chronis
2019/02/26/00013 110865 SITTY MARA`ATUN P SLEMAN SARIHARJO,
MUDAL, K0000060 DF 26/02/2019 BPJS
3 N, NY NGAGLIK, SLEMAN WIRATA B
2019/03/06/00016 111082 DWI NARTI, NY P REBOBONG LOR, K0000060 tumor 06/03/2019 TEMPEL 1 BPJS
9 MOROREJO, TEMPEL, WIRATA B manus
2019/03/08/00013 111131 HANI NURHAYATI P SLEMAN MARGOREJO,
JATIREJO, K0000060 sinistra
CONTUSIO 08/03/2019 - UMUM
7 TEMPEL, SLEMAN WIRATA B
2019/03/15/00015 062176 WARSINI, NY P PLOSOKUNING K0000060 ULKUS DM 15/03/2019 BPJS
6 BANGUNKERTO TURI, -, -, - WIRATA B
2019/03/17/00004 111436 DIAN ISNANINGSIH, P NGABEAN, BANYUREJO, K0000060 - 18/03/2019 - UMUM
4 NN TEMPEL, SLEMAN WIRATA B
2019/03/18/00002 076424 DINA KRISNAWATI, P GABUGAN PANDOWOHARJO K0000060 APP 18/03/2019 - UMUM
3 NN SLEMAN, -, -, - WIRATA B
2019/03/20/00018 107024 WAGIYAH, NY P KLEGUNG 001/024, K0000060 CKD, HHD 20/03/2019 RSPH BPJS
8 DONOKERTO, TURI, SLEMAN WIRATA B
2019/03/25/00004 111634 MARTINI NY P BLUNYAH RT 01/ RW015, K0000060 CHF ec IHD 25/03/2019 UMUM
5 TRIMULYO, SLEMAN, WIRATA B
2019/03/30/00016 111817 UMI RAHMA AFIFAH P SLEMANGRAMA ASRI RT 02/
PERUM K0000060 DF 30/03/2019 UMUM
7 AN RW 034, DONOKERTO, WIRATA B
TURI, SLEMAN
2019/04/08/00031 112032 GINEM / PUJI P KRATUAN 007/006, K0000060 TUMOR 08/04/2019 BPJS
7 UTOMO , WIRATA B PEDIS
9/30/19 12:19 PM Page 89 of 103
NY PURWOBINANGUN, PAKEM,
SLEMAN
2019/04/10/00034 107003 MARDIYATUN, NY P NGENTAK , BANGUNKERTO, K0000060 ulkus DM 10/04/2019 RSPH BPJS
0 TURI, SLEMAN WIRATA B
2019/04/15/00009 112240 ERNAWATI, NY P SURIREJO, SUKOHARJO, K0000060 - 15/04/2019 BPJS
4 SLEMAN, SLEMAN WIRATA B
2019/04/15/00026 112270 NUR FAIZAH P SUMBERAN, SARIHARJO, K0000060 df 16/04/2019 - BPJS
2019/04/23/00001 062176 WARSINI, NY P PLOSOKUNING K0000060 ulkus DM 23/04/2019 -
6 BANGUNKERTO TURI, -, -, - WIRATA B
2019/04/24/00025 107749 PONISIH, NY P NGANGKRIK 7/5, TRIHARJO, K0000060 pneumoni, 24/04/2019 - BPJS
4 SLEMAN, SLEMAN WIRATA B dm II no
2019/05/02/00013 112703 SUDARMI, NY P MULUNGAN WETAN 3/16, K0000060 CF WRIST 02/05/2019 - BPJS
8 SENDANGADI, MLATI, WIRATA B
2019/05/03/00016 112732 WAGIYEM CIPTO P SLEMAN LUTUNG 2/19,
GONDANG K0000060 chf, 03/05/2019 -
6 UTOMO, NY DONOHARJO, NGAGLIK, WIRATA B cholesistiasis
SLEMAN
2019/05/07/00006 112847 SEPTI P TELAGA LANGSAT, TELAGA, K0000060 DF 07/05/2019 UMUM
6 MURTININGSIH, NN -, - WIRATA B
2019/05/10/10014 112936 SUPIYATI, NY P PENEN 002/033 K0000060 DF 10/05/2019 BPJS
4 DONOHARJO NGAGLIK WIRATA B
2019/05/13/00015 113009 AMALIA FITRI P SLEMAN,
BERAN -, -,TRIDADI,
LOR, - K0000060 DF 13/05/2019 BPJS
8 NURJANAH, NN SLEMAN, SLEMAN WIRATA B
2019/05/18/00009 113145 SINDI PURBOWATI, P NGAGNGGRING, GIRIKERTO, K0000060 DF 18/05/2019 TURI BPJS
7 NY TURI, SLEMAN WIRATA B
2019/05/23/00017 113280 MENIK, NY P PERUM MARGOREJO P2 K0000060 STROKE 23/05/2019 UMUM
2 002/030, MARGOREJO, WIRATA B INFARK,LBP
TEMPEL, SLEMAN
2019/06/13/00017 104993 BOIKEM, NY P NGETIRAN 2/5, SARIHARJO, K0000060 ht 13/06/2019 RS PURI UMUM
0 NGAGLIK, SLEMAN WIRATA B urgency,chf HUSADA
2019/06/17/00019 113943 SUJIYATI, NY P BANJARSARI 01/08, K0000060 - 18/06/2019 RS PURI UMUM
6 WONOKERTO, TURI, WIRATA B HUSADA
2019/06/21/10007 058284 SURYANTI, NY P SLEMAN
NGEMPLAK CABAN TRIDADI, K0000060 tumor 21/06/2019 BPJS
2 -, -, - WIRATA B dinding dada
2019/06/22/00015 114115 SIBON, NY P DADAPAN 6/27, K0000060 - 22/06/2019 RS PURI BPJS
3 WONOKERTO, TURI, WIRATA B HUSADA -
SLEMAN KAB. SLEMAN
2019/06/26/00018 011664 HARNES SUPRIYATI, P JOGOKERTEN 003/014 K0000060 CEFVICAL 27/06/2019 UMUM
3 NY TRIMULYO, SLEMAN, -, -, - WIRATA B SYNDROME
2019/07/04/00005 052599 ROMLAH, NY P KARANGMLOKO SARIHARJO K0000060 - 04/07/2019 RS PURI UMUM
8 NGAGLIK, -, -, - WIRATA B HUSADA -
KAB. SLEMAN
2019/07/08/00004 114435 SEPTI WIDIASTUTI, P NGEPRING, K0000060 tumor 08/07/2019 Pakem BPJS
7 NY PURWOBINANGUN, PAKEM, WIRATA B mamae s
2019/07/11/00015 114677 ANTONIA WARSINI, P SLEMAN
WONOREJO, K0000060 - 11/07/2019 BPJS
1 NY HARGOBINANGUN, PAKEM, WIRATA B
2019/07/12/00000 114477 DIYAN WIDJAYANTI P SLEMA
GADUNG, BANGUNKERTO, K0000060 - 12/07/2019 Klinik SWA BPJS
2019/07/12/00011 055944 SUPENI, NY P RINGN PUTIH DONOHARYO K0000060 TUMOR 12/07/2019 Ngaglik II BPJS
2 NGAGLIK LSEMAN, -, -, - WIRATA B AXILLA
DEXTRA
9/30/19 12:19 PM Page 90 of 103

2019/07/15/10031 114796 MURTINEM, NY P NGLEMPONG, GIRIKERTO, K0000060 GEA,DM 15/07/2019 UMUM
2019/07/19/00018 050637 SRI P BENDOLOLE, K0000060 FEBRIS 19/07/2019 RS PURI BPJS
1 WAHYUNINGSIH, NY SARDONOHARJO, NGAGLIK, WIRATA B UNSPESIFIE HUSADA -
-, -, - D KAB. SLEMAN
2019/07/26/00001 112604 MARIA TITIK P GONDANGAN PENEN K0000060 CA MAMAE 26/07/2019 Mlati I BPJS
9 BUDIASTUTI, NY 005/028, SENDANGADI, WIRATA B DEXSTRA
MLATI, SLEMAN POST
MASTEKTOM
2019/07/30/00002 115137 WALINAH, NY P KARANG WUNI, K0000060 Y
CHOLELITIA 30/07/2019 - UMUM
4 BANGUNKERTO, TURI, WIRATA B SIS,HT
SLEMAN URGENCY
2019/08/13/00016 115525 SUMINEM, NY P PULESARI BECICI, K0000060 GEA,CHF 13/08/2019 RS PURI BPJS
2 WONOKERTO, TURI, WIRATA B HUSADA -
SLEMAN KAB. SLEMAN
2019/08/19/10011 115156 ISLAMIAH HUSNIAH, P KUWERON, K0000060 colic 19/08/2019 UMUM
4 NY CANDIBINANGUN, PAKEM, WIRATA B abdomen
2019/08/21/00023 115782 SURATI, NY P SLEMAN
LEDOKWARENG 2/35, K0000060 CHF,NEFHR 21/08/2019 RS PURI BPJS
9 SARDONOHARJO, NGAGLIK, WIRATA B OLITIASIS HUSADA -
SLEMAN KAB. SLEMAN
2019/08/28/00008 035681 SULANTINA, NY P KLEBEN, PANDOWOHARJO, K0000060 TUMOR 28/08/2019 Sleman BPJS
2 PANDOWOHARJO, -, - WIRATA B PAYUDARA
2019/09/02/00007 046142 SISWO P SIDOMULYO TRIMULYO K0000060 (D)
CHF 02/09/2019 RS PURI BPJS
6 HARDONO/MUJILAH SLEMAN, -, -, - WIRATA B HUSADA -
, NY KAB. SLEMAN
2019/09/04/00014 116094 PONIKEM NY P KRAPYAK 008/020, K0000060 FRAKTUR 04/09/2019 Sleman UMUM
3 TRIHARJO, SLEMAN, WIRATA B RADIUS
SLEMAN DEXTRA
2019/09/09/00022 063733 MARTO SARI,NY P NGETIRAN SARIHARJO K0000060 ANEMIA 09/09/2019 RS PURI UMUM
2 NGAGLIK SLEMAN, -, -, - WIRATA B GRAVIS,CHF HUSADA -
KAB. SLEMAN
2019/09/23/00006 067014 LASIYEM, NY P PANCOH GIRIKERTO TURI, K0000060 VERTIGO 23/09/2019 dr. Muchamat BPJS
3 -, -, - WIRATA B Indriyanto C.
2019/09/26/00009 068802 MUJINEM, NY P DENGGUNG TRIDADI K0000060 - 26/09/2019 RS PURI UMUM
0 SLEMAN, -, -, - WIRATA B HUSADA -
KAB. SLEMAN
2019/01/02/00000 109170 PAINAH, NY P KALIRASE, TRIMULYO, K0000042 FEVER OF 02/01/2019 - BPJS
1 SLEMAN, SLEMAN WIRATA C UNKNOW
2019/01/11/00011 076937 MARSIH, NY P SEMPU WONOKERTO TURI K0000042 DM 11/01/2019 - UMUM
7 SLEMAN, -, -, - WIRATA C
2019/01/16/00001 109565 SURATINEM, NY P MURTEN 005/016, TRIDADI, K0000042 DISPEPSIA 16/01/2019 UMUM
4 SLEMAN, SLEMAN WIRATA C
2019/01/24/00003 076630 DITA AMELIA, NY P KUTU PATRAN SINDUADI K0000042 vertigo, isk 24/01/2019 UMUM
9 MLATI SLEMAN, -, -, - WIRATA C
2019/01/29/00011 109952 INDAH P GATAK, WUKIRSARI, K0000042 fever 29/01/2019 -
1 ANGGIASARI, NN CANGKRINGNA, SLEMAN WIRATA C
2019/02/02/00013 053252 PAIJEM, NY P BERAN KIDUL TRIDADI K0000042 CHF 02/02/2019 - BPJS
1 SLEMAN, -, -, - WIRATA C
2019/02/04/00021 033212 SUWASONO, TN L GILINGAN RT.03/27 K0000042 B 04/02/2019 - UMUM
0 SENDANG ADI MLATI, -, -, - WIRATA C
2019/02/04/00020 110191 MUSRINGAH,NY P BANGUNSARI RT 4 RW 9, K0000042 - 04/02/2019 - UMUM
7 BANGUNKERTO, TURI, WIRATA C
SLEMAN
9/30/19 12:19 PM Page 91 of 103
2019/02/08/00010 110159 PURWATI, NY P KRIKILAN 3/21, SARIHARJO, K0000042 febris 08/02/2019 -
4 NGAGLIK, SLEMAN WIRATA C
2019/02/11/00002 110369 RR. INTAN P PLALANGAN RT002 RW040, K0000042 TUMOR 11/02/2019 -
9 PURNAMA SARI, NY PANDOWOHARJO, SLEMAN, WIRATA C DINDING
SLEMAN ABDOMEN
2019/02/13/00010 077236 PAINEM/SUPARNO, P REJODADI BANGUNKERTO K0000042 DM,CHF EC 13/02/2019 BPJS
7 NY TURI SLEMAN, -, -, - WIRATA C HHD/IHD,HE KESEHATAN
MAPTOE EC
CHF
2019/02/19/00005 110647 SUKIYAH NY P SEBAYU RT 03/ RW 40 K0000042 - 19/02/2019 BPJS
1 TRIHARJO, TRIHARJO, WIRATA C
SLEMAN, SLEMAN
2019/02/25/00019 108020 AMBARWATI, NY P NGALANGAN 2/41, K0000042 COLIC 25/02/2019 NGAGLIK I BPJS
5 SARDONOHARJO, NGAGLIK, WIRATA C ABDOMEN
SLEMAN
2019/03/06/00002 107830 SAMINEM, NY P DURENAN TEJO 12/25, K0000042 - 06/03/2019 BPJS
2 TRIHARJO, SLEMAN, WIRATA C KESEHATAN
2019/03/16/00006 022052 MOERSILAH P SLEMAN
TEGALPANGGUNG, K0000042 - 16/03/2019 turi BPJS
2 PRAPTO, NY GIRIKERTO, TURI, -, -, - WIRATA C
2019/03/18/00002 076424 DINA KRISNAWATI, P GABUGAN PANDOWOHARJO K0000042 - 18/03/2019 - UMUM
3 NN SLEMAN, -, -, - WIRATA C
2019/03/20/00004 111269 NGATINEM, NY P TUREN, SARDONOHARJO, K0000042 - 20/03/2019 BPJS
4 NGAGLIK, SLEMAN WIRATA C KESEHATAN
2019/03/22/00005 111570 ENIK NURHAYATI, P TEGALREJO 004/004 K0000042 tumor lutut 22/03/2019 BPJS
1 NY MARGOREJO TEMPEL WIRATA C
SLEMAN, -, -, -
2019/03/25/00014 054634 PUJO SUTRISNO/ P SURUH DONOHARJO K0000042 - 25/03/2019 - UMUM
2 RUMINAH, NY NGAGLIK SLEMAN, -, -, - WIRATA C
2019/03/26/00009 109491 JUMIATI, NY P BALONG 5/12, TRIMULYO, K0000042 CHF ec IHD, 26/03/2019 - BPJS
0 SLEMAN, SLEMAN WIRATA C Aritmia
2019/03/30/00016 111817 UMI RAHMA AFIFAH P PERUM GRAMA ASRI RT 02/ K0000042 - 30/03/2019 UMUM
7 AN RW 034, DONOKERTO, WIRATA C
TURI, SLEMAN
2019/04/01/00018 106350 SUGIYEM,NY P NGANGKRIK JLN LEKTOL K0000042 - 01/04/2019 RS PURI BPJS
2 SUBADRI RT 5 RW 15, WIRATA C HUSADA -
TRIHARJO, SLEMAN, KAB. SLEMAN
2019/04/08/00029 112028 SRI MARTINI, NY P KEPANJEN,
SLEMAN TRIMULYO, K0000042 GEA 08/04/2019 UMUM
6 SLEMAN, SLEMAN WIRATA C
2019/04/09/10055 112101 SALECHA/ SALEKA, P BANGUNREJO, TRIDADI, K0000042 CHF 09/04/2019 - UMUM
9 NY SLEMAN, SLEMAN WIRATA C
2019/04/22/00025 112458 WAHYUNI, NY P SANGGRAHAN K0000042 DYSPEPSIA 23/04/2019 UMUM
6 CATUIRHARJO SLEMAN DIY, WIRATA C
2019/04/25/00001 065275 SUBIYANTI, NY P -, -, -
KUTUASEM SINDUADI K0000042 CHF, 25/04/2019 UMUM
9 MLATI, -, -, - WIRATA C SELULITIS
2019/04/27/00004 112561 MARDI SUDIRJO, NY P SELOKERTO PLUMBON, K0000042 PPOK 28/04/2019 UMUM
8 SARDONOHARJO, NGAGLIK, WIRATA C
SLEMAN
2019/04/30/00015 112662 TH. SUTIYAH, NY P , -, -, - K0000042 - 30/04/2019 UMUM
3
2019/05/01/00007 112691 MANGUN DIMEJO, P JONGKANG 007/036, WIRATA C
K0000042 dispneu, chf, 01/05/2019 UMUM
0 NY SARIHARJO, NGAGLIK, WIRATA C hipoglikemi
2019/05/15/00017 113080 SUKODIYONO, NY P SLEMAN
GONDANGAN, K0000042 CHF; HHD; 15/05/2019 UMUM
2 SARDONOHARJO, WIRATA C
9/30/19 12:19 PM Page 92 of 103
NGAGLIK, SLEMAN CHOLELITIA
SIS
2019/05/19/00002 017930 KARSONO/ P BERAN LOR RT. 05/22, K0000042 HEMATOCLE 19/05/2019 BPJS
6 RUBINAH, NY TRIDADI, SLEMAN, SLEMAN WIRATA C SIS
2019/05/22/00017 113232 MUSIYAH, NY P KARANGTANJUNG, -, -, - K0000042 tumor 22/05/2019 BPJS
8 WIRATA C payudara
2019/05/24/00004 111713 PAERAH, NY P GAWAR RT 02/RW 36, K0000042 TUMOR 24/05/2019 -
7 PANDOWOHARJO, NGAGLIK, WIRATA C NASAL
SLEMAN
2019/05/29/00018 113446 TITIK P CANDIWINANGUN 06/13, K0000042 - 29/05/2019 Klinik Satria BPJS
8 SULISTYAWATI, NY SARDONOHARJO, NGAGLIK, WIRATA C Gadingan
SLEMAN
2019/06/14/00004 106350 SUGIYEM,NY P NGANGKRIK JLN LEKTOL K0000042 ULKUS DM 14/06/2019 Sleman BPJS
6 SUBADRI RT 5 RW 15, WIRATA C
TRIHARJO, SLEMAN,
2019/06/17/00008 111078 TUTIK WIYANTI, NY P SANGGRAHAN,
SLEMAN K0000042 - 17/06/2019 Sleman BPJS
2 CATURHARJO, SLEMAN, WIRATA C
2019/06/18/00010 113982 NGADIYEM, NY P SLEMAN
KARANGMLOKO, K0000042 - 18/06/2019 RS PURI UMUM
1 SARIHARJO, NGAGLIK, WIRATA C HUSADA -
SLEMAN KAB. SLEMAN
2019/06/24/00001 028159 RAHMA P JONGKE TENGAH K0000042 abses 24/06/2019 dr. Endang -
3 KHOIRUNNISA, NN SENDANGADI MLATI, -, -, - WIRATA C selulitis D Sunarti, M.Kes
2019/06/26/00011 055285 BOINEM, NY P PLAOSAN. TOGOADI, K0000042 HIPERGLIKE 26/06/2019 RS PURI UMUM
8 MNLATI, SLEMAN, -, -, - WIRATA C MI HUSADA -
KAB. SLEMAN
2019/07/08/00002 015564 GUNARTI, NY P RINGIN PUTIH, K0000042 tumor glutea 08/07/2019 RS PURI BPJS
1 DONOHARJO, NGAGLIK, WIRATA C HUSADA -
SLEMAN KAB. SLEMAN
2019/07/12/00000 114477 DIYAN WIDJAYANTI P GADUNG, BANGUNKERTO, K0000042 TUMOR 12/07/2019 Klinik SWA BPJS
9 TURI, SLEMAN WIRATA C PEDIS
2019/07/12/00019 114706 SITI KHOIRIYAH, NY P CANDIWINANGUN, K0000042 SINISTRA
DENGUE 13/07/2019 RS PURI BPJS
0 SARDONOHARJO, NGAGLIK, WIRATA C FEVER HUSADA -
SLEMAN KAB. SLEMAN
2019/07/19/00020 075841 UDI PAWIRO,NY P RANDUGOWANG 1/15, K0000042 CHF; 19/07/2019 RSPH UMUM
7 SARIHARJO, NGAGLIK, WIRATA C VERTIGO
2019/07/31/00014 115186 WARSINAH, NY P SLEMANDONOHARJO,
PENEN, K0000042 REPOSISI 31/07/2019 RSPH BPJS
1 NGAGLIK, SLEMAN WIRATA C GA
FR.RADIUS
1/2 DISTAL
2019/08/19/10026 115708 EKA SALSABILA P JATIREJO , SENDANGADI, K0000042 -
DEXTRA 19/08/2019 RSPH JASA RAHARJA
2 A.P.AN MLATI, SLEMAN WIRATA C
2019/08/23/00009 115796 AGUS SETIYAWAN L KALIURANG SELATAN K0000042 - 23/08/2019 Turi BPJS
7 BP 004/013, HARGOBINANGUN, WIRATA C
PAKEM, SLEMAN
2019/08/23/00005 115797 MUJIYEM NY P NGEMPLAK CABAN 003/008, K0000042 APPENDICIT 23/08/2019 Sleman BPJS
6 TRIDADI, SLEMAN, SLEMAN WIRATA C IS
2019/08/26/00006 115172 TUMINEM, NY P NGABEAN RT 004/ 006, K0000042 ULKUS DM 26/08/2019 Tempel I BPJS
6 MARGOREJO, TEMPEL, WIRATA C
2019/09/02/00010 116035 SELSA SUSANTI NN P SLEMAN
SANGGRAHAN 003/015, K0000042 appendicitis 02/09/2019 Tempel I BPJS
2 LUMBUNGREJO, TEMPEL, WIRATA C acut
SLEMAN
2019/09/04/00019 076831 LINDA ROSIANA,NY P KEMBANGARUM BALONG K0000042 VERTIGO 04/09/2019 RSPH BPJS
0 1/30, WIRATA C
9/30/19 12:19 PM Page 93 of 103
2019/09/09/00025 115590 SRIYATUN, NY P DUSUN IBUL BARU, AIR K0000042 - 09/09/2019 RSPH UMUM
0 UPAS, AIR UPAS, KETAPANG WIRATA C
2019/09/11/00019 050491 MARYANTI, NY P MANCASAN, K0000042 TUMOR 11/09/2019 Sleman BPJS
4 PANDOWOHARJO, SLEMAN, WIRATA C MANUS
PANDOWOHARJO, SLEMAN, SINISTRA
2019/09/25/00027 116668 INDRA VIKA P PROJAYAN,
SLEMAN WONOKERTO, K0000042 TUMOR 25/09/2019 Turi BPJS
8 LESTARI TURI, SLEMAN WIRATA C PAYUDARA
DEXSTRA
2019/09/27/00005 116710 SURYANTI, NY P WARAS 04/32, SARIHARJO, K0000042 - 27/09/2019 RS PURI BPJS
3 NGAGLIK, SLEMAN WIRATA C HUSADA -
KAB. SLEMAN
2019/01/04/00012 109232 SUBADRIYAH, NY P JETIS DONOASIH 1/11, K0000027 vertigo 04/01/2019 - UMUM
5 DONOKERTO, TURI, SLEMAN WIRATA D
2019/01/09/00017 109388 WASIASIH, NY P PENEN, DONOHARJO, K0000027 - 09/01/2019 - UMUM
3 NGAGLIK, SLEMAN WIRATA D
2019/01/12/00017 109491 JUMIATI, NY P BALONG 5/12, TRIMULYO, K0000027 CHF,ISK 12/01/2019 - BPJS
4 SLEMAN, SLEMAN WIRATA D
2019/01/12/00004 059915 MUSLIKHAH,NY P PANGGERAN IX,TRIHARJO, K0000027 - 12/01/2019 BPJS
6 -, -, - WIRATA D
2019/01/18/00004 108619 YUICHIRO P SOKOWARTO GADING K0000027 TUMOR 18/01/2019 - BPJS
5 AMOURIXA PUTRI WETAN, DONOKERTO, TURI, WIRATA D BIBIR
2019/01/23/00010 109770 ARDIAT,LARAS
LAURA AN ATI, P SLEMAN
PANGUKAN 2/9, TRIDADI, K0000027 TUMOR 23/01/2019 -
9 NN SLEMAN, SLEMAN WIRATA D OCCUPITAL
2019/01/24/00008 045059 JUMINAH, NN P TOINO PANOWOHARJO, -, -, K0000027 vertigo, 24/01/2019 - UMUM
2 - WIRATA D dispepsia
2019/01/29/00012 063307 WAGIYEM, NY P PULESARI RT1 RW 22, K0000027 - 29/01/2019 - UMUM
5 WONOKERTO, TURI, WIRATA D
2019/01/29/00011 109954 SUWARTI,NY P SLEMAN
TURGO RT 1 RW 1, K0000027 strok infark 29/01/2019 - UMUM
3 PURWOBINAGUN, PAKEM, WIRATA D afasia
SLEMAN
2019/02/03/00001 109153 IZAH, NY P JETIS JOGOPATEN, K0000027 DM,HT,NEUR 03/02/2019 BPJS
2 PANDOWOHARJO, SLEMAN, WIRATA D OPATI
SLEMAN
2019/02/09/00005 106369 BARDIYAH, NY P KEMLOKO, CATURHARJO, K0000027 CKD 09/02/2019 -
2019/02/11/00004 070408 SUPRI HARTATI, NY L NIRON, PANDOWOHARJO, K0000027 CA MAMAE 12/02/2019 BPJS
1 SLEMAN, -, -, - WIRATA D DEXSTRA KESEHATAN
2019/02/13/00014 110456 NURUL EMI P MOLODONO 4/4, K0000027 tumor 14/02/2019 BPJS
1 LATIFAH, NY LUMBUNGREJO, TEMPEL, WIRATA D mamae
SLEMAN
2019/02/15/10003 109831 ILMA AMALIA P SUCEN, TRIHARJO, SLEMAN, K0000027 ulkus pedis 15/02/2019 -
5 ZAHROUTUN, NN SLEMAN WIRATA D
2019/02/19/00004 110646 SITI MALICHAH NY P KARANGASEM RT 03/ RW K0000027 isk 19/02/2019 BPJS
8 027, PANDOWOHARJO, WIRATA D
SLEMAN, SLEMAN
2019/03/06/00020 111089 SARMIYATI, NY P SIDOSARI DUKUHSARI RT 4 K0000027 isk, 06/03/2019 TURI BPJS
7 RW 17, WONOKERTO, TURI, WIRATA D gravidarum KESEHATAN
SLEMAN
2019/03/13/00008 111272 RISTIYANI, NY P JURUGAN BANGUNKERTO K0000027 tumor 13/03/2019 BPJS
8 TURI SLEMAN , -, -, - WIRATA D payudara
9/30/19 12:19 PM Page 94 of 103

2019/03/15/00015 111336 SUHARINTEN NY P WADAS RT 05/ RW 02, K0000027 - 15/03/2019 BPJS
4 TRIDADI, SLEMAN, SLEMAN WIRATA D
2019/03/20/00010 111206 SUHARTINI, NY P CANDI DUKUH K0000027 LBP 20/03/2019 UMUM
5 SARDONOHARJO NGAGLIK WIRATA D
2019/03/29/00005 111700 MASIYEM, NY P SLEMAN,
POJOK -, -,WONOKERTO,
1/20, - K0000027 ruptur 29/03/2019 BPJS
5 TURI, SLEMAN WIRATA D tendon
2019/03/31/00001 111755 SEKAR ROFI P NAMBONGAN, CATURHARJO, K0000027 - 31/03/2019 - PNS DAERAH
1 WIJAYANTI, NN SLEMAN, SLEMAN WIRATA D
2019/04/01/00018 106350 SUGIYEM,NY P NGANGKRIK JLN LEKTOL K0000027 ulkus dm, 02/04/2019 RS PURI BPJS
2 SUBADRI RT 5 RW 15, WIRATA D DM II NO HUSADA -
TRIHARJO, SLEMAN, KAB. SLEMAN
2019/04/08/00037 111855 SAMSUDI RAHARJO P JOMBOR
SLEMAN LOR, SINDUADI, K0000027 TUMOR 08/04/2019 BPJS
2 MUJIRAH, NY MLATI, SLEMAN WIRATA D OCIPITAL
2019/04/12/10019 107231 HASTIYAH, NY P PATUK/ REJOSARI 3/21, K0000027 CKD, CHF 12/04/2019 -
1 SARDONOHARJO., NGAGLIK, WIRATA D
SLEMAN
2019/04/14/00002 112230 WIRATNI, NY P KLOPOSAWIT 002/005 K0000027 DF 20/04/2019 BPJS
5 GIRIKERTO TURI SLEMAN, -, WIRATA D
-, -
2019/04/20/00015 112387 NINING PRATIWI, P SEDAN, SARIHARJO, K0000027 hemiparese 20/04/2019 UMUM
3 NY NGAGLIK, SLEMAN WIRATA D DM
2019/04/23/00016 062496 SISWO P MUDAL SARIHARJO K0000027 FR.TROCHA 23/04/2019 UMUM
6 DIHARJO/LAMIYEM, NGAGLIK, -, -, - WIRATA D NTER
NY FEMUR
DEXTRA,
FR.COLLER
DEXTRA
2019/04/25/00013 048599 RIYATMI, NY P JETIS DONOLAYAN K0000027 MONONUCL 25/04/2019 BPJS
0 DONOHARJO NGAGLIK WIRATA D EOSIS
SLEMAN, -, -, - INFECTIOSA
2019/04/29/00004 072268 SITI NURITA, NY P REJODANI SARIHARJO K0000027 tumor 29/04/2019 -
9 NGAGLIK, -, -, - WIRATA D payudara
sinistra
2019/05/02/00002 075725 SRI MURNIASIH,NY P GODANG LUTUNG K0000027 POST ORIF 02/05/2019 BPJS
1 DONOHARJO NGAGLIK WIRATA D FR RADIUS KESEHATAN
SLEMAN, -, -, - DISTAL
SINISTRA
2019/05/04/00017 077265 SRI MURYANI, NY P BERAN KIDUL 5/29, K0000027 ANEMIA 04/05/2019 - BPJS
8 TRIDADI, SLEMAN, SLEMAN WIRATA D GRAVIS
2019/05/09/00009 112919 SARAH SABIBAH, NY L MANCASAN KLEBEN 001/024 K0000027 DF 09/05/2019 UMUM
0 PANDOWOHARJO SLEMAN WIRATA D
DIY, -, -, -
2019/05/17/00011 113131 SITI AMINAH, NY P KENARUHAN, DONOKERTO, K0000027 GEA 17/05/2019 UMUM
6 TURI, SLEMAN WIRATA D
2019/05/20/00005 109961 MARDI WIYONO,NY P KRATUAN RT 7 RW 6, K0000027 FR 20/05/2019 BPJS
3 PURWOBINAGUN, PAKEM, WIRATA D INTROCHAN
SLEMAN TER FEMUR
2019/05/24/00005 113233 SRI SUGIYANTI, NY P RINGIN PUTIH 004/028, K0000027 ABSES 24/05/2019 BPJS
6 DONOHARJO, NGAGLIK, WIRATA D MAMAE
SLEMAN
2019/06/14/00008 113869 PONIRAH, NY P JURUGAN 03/14, K0000027 TUMOR 14/06/2019 Turi BPJS
5 BANGUNKERTO, TURI, WIRATA D AXILLA
SLEMAN
9/30/19 12:19 PM Page 95 of 103
DEXTRA
2019/06/19/00008 114005 SUNARTI, NY P KOPATAN , UMBULMARTANI, K0000027 ANOREXIA 19/06/2019 - UMUM
5 NGEMPLAK, SLEMAN WIRATA D GERIATRI;
2019/06/21/10002 113233 SRI SUGIYANTI, NY P RINGIN PUTIH 004/028, K0000027 OF
granuloma 21/06/2019 Ngaglik II BPJS
7 DONOHARJO, NGAGLIK, WIRATA D mamae S
SLEMAN
2019/06/24/00005 107139 SITI SURYANI, NY P KEPITU 1/17, TRIMULYO, K0000027 ulkus DM 24/06/2019 Sleman BPJS
2019/06/26/00017 114234 JUMINTEN NY P CANDI PURWOBINANGUN, K0000027 CKD,HIPERK 26/06/2019 UMUM
6 PURWOBINANGUN, PAKEM, WIRATA D ALEMI
SLEMAN ENCEPALOP
ATI
2019/07/08/00006 114465 SUTINAH, NY P TEGALSARI, TRIMULYO, K0000027 appendictom 08/07/2019 Sleman BPJS
5 SLEMAN, SLEMAN WIRATA D i
2019/07/12/00008 114476 JULITA HASNI P PULES KIDUL, KARANG K0000027 HEMOROID 12/07/2019 Turi BPJS
4 ANYAR, DONOKERTO, TURI, WIRATA D GR 4
2019/07/13/00017 061580 MUKIYEM, NY P SLEMANPANDOWOHARJO
NIRON K0000027 - 13/07/2019 BPJS
3 SLEMAN, -, -, - WIRATA D
2019/07/16/10015 114805 ALYA DIAH P WONOREJO, SARIHARJO, K0000027 cikungunya 16/07/2019 - BPJS
2 WANDIRA, AN NGAGLIK, SLEMAN WIRATA D fever
2019/07/24/00030 105126 RUJIYEM, NY P JETAKAN , K0000027 hiperglikemi; 24/07/2019 RS PURI BPJS
4 PANDOWOHARJO, NGAGLIK, WIRATA D isk; hhd HUSADA -
SLEMAN KAB. SLEMAN
2019/07/30/00008 115172 TUMINEM, NY P NGABEAN RT 004/ 006, K0000027 dm ulkus 30/07/2019 - UMUM
9 MARGOREJO, TEMPEL, WIRATA D
2019/07/31/00012 115183 MARYATI, NY P SLEMAN
TEGALSARI 3/23, K0000027 TUMOR 31/07/2019 Sleman BPJS
9 TRIMULYO, SLEMAN, WIRATA D PUNGGUNG
2019/08/14/00014 115540 SETIYA P SLEMAN001/009,
NGELO K0000027 14/08/2019 RS PANTI UMUM
6 WINDARTO/BOIYEM HARJOBINANGUN, PAKEM, WIRATA D NUGROHO -
NY SLEMAN KAB. SLEMAN
2019/08/19/10026 115707 AYA SOPHIA ALIYYA P JATIREJO 5/22, K0000027 CKR 19/08/2019 RSPH JASA RAHARJA
1 AZ ZAHRA,AN SENDANGADI, MLATI, WIRATA D
2019/08/23/00009 115560 ENY SUDARWATI,NY P SLEMAN 3/15,
GABUGAN K0000027 - 23/08/2019 Sleman BPJS
5 PANDOWOHARJO, SLEMAN, WIRATA D
SLEMAN
2019/09/02/00010 062047 SITI ROHYATI, NY P KLOPOSAWIT GIRIKERTO K0000027 tumor 02/09/2019 Turi BPJS
0 TURI, -, -, - WIRATA D paudara s
2019/09/25/00015 112744 TARMINI, NY P RINGIN PUTIH, K0000027 TUMOR 25/09/2019 Ngaglik II BPJS
0 DONOHARJO, NGAGLIK, WIRATA D MAMAE
2019/09/27/00005 116710 SURYANTI, NY P SLEMAN,04/32,
WARAS DIY, -,SARIHARJO,
-, - K0000027 - 27/09/2019 RS PURI BPJS
3 NGAGLIK, SLEMAN WIRATA D HUSADA -
KAB. SLEMAN
2019/01/04/00013 109233 YAKUT UMI P CANDI KARANG 4/9, K0000028 tumor 04/01/2019 - BPJS
9 ROKHMATI, NY SARDONOHARJO, SLEMAN, WIRATA E payudara
SLEMAN
2019/01/09/00018 056782 REJO PAWIRO,NY P NGLEMPONG LOR K0000028 ppok 09/01/2019 - BPJS
0 SARIHARJO NGAGLIK, -, -, - WIRATA E
2019/01/16/00018 063339 MITRO UTOMO, NY P KARANG TRIMULYO / K0000028 CHF 16/01/2019 - BPJS
0 KEPANJEN, -, -, - WIRATA E
2019/01/24/00004 109807 SUYANTI, NY P NANGSRI 1/13, GIRIKERTO, K0000028 dispepsia, 24/01/2019 BPJS
6 TURI, SLEMAN WIRATA E isk
9/30/19 12:19 PM Page 96 of 103

2019/01/29/00014 109964 ENI KARTIKAWATI, P NGANGKRUK, CATURHARJO, K0000028 vertigo 29/01/2019 - BPJS
9 NY SLEMAN, SLEMAN WIRATA E KESEHATAN
2019/02/09/00007 110326 SUMINAH, NY P KRADON, PANDOWOHARJO, K0000028 GEA 09/02/2019 -
0 SLEMAN, SLEMAN WIRATA E
2019/02/11/00004 070408 SUPRI HARTATI, NY L NIRON, PANDOWOHARJO, K0000028 - 11/02/2019 BPJS
1 SLEMAN, -, -, - WIRATA E KESEHATAN
2019/02/13/00007 059545 MUJARIYAH, NY P BLEKIK SARDONOHARJO K0000028 - 13/02/2019 BPJS
4 NGAGLIK SLEMAN, -, -, - WIRATA E KESEHATAN
2019/02/13/00020 110476 RESMIYATI,NY P MEDARI GEDE RT 2 RW 11, K0000028 DF 14/02/2019 BPJS
2 CATUR HARJO, SLEMAN, WIRATA E KESEHATAN
SLEMAN
2019/02/19/00005 110647 SUKIYAH NY P SEBAYU RT 03/ RW 40 K0000028 DM, CKD, 19/02/2019 BPJS
1 TRIHARJO, TRIHARJO, WIRATA E SISTITIS,
SLEMAN, SLEMAN CHF
2019/02/25/00007 110696 SUGIYATI P KLOPOSAWIT, GIRIKERTO, K0000028 ARITMIA,CH 25/02/2019 -- UMUM
8 TURI, SLEMAN WIRATA E F
2019/03/04/00017 110993 SITI KASANAH, NY P CANDI DUKUH I, TUREN, K0000028 DF 04/03/2019 NGAGLIK I BPJS
9 SARDONOHARJO, NGAGLIK, WIRATA E
SLEMAN
2019/03/08/00008 111125 FITRI WELAS ASIH, P TEGALSARI NGANGGRING, K0000028 tumor 08/03/2019 TURI BPJS
5 NY GIRIKERTO, TURI, SLEMAN WIRATA E payudara
sinistra
2019/03/13/00002 111220 RISTHA FARIAN P NGEMPLAK CABAN RT 03/ K0000028 hemoroid 13/03/2019 BPJS
2 TRIASTUTI NN RW 08, TRIDADI, SLEMAN, WIRATA E
2019/03/15/00030 111373 DWI NOOR INDAH P SLEMAN 001/003,
SARAGAN K0000028 dispepsia 15/03/2019 SLEMAN BPJS
1 SARI PANDOWOHARJO, SLEMAN, WIRATA E
SLEMAN
2019/03/20/00013 111530 JODIRYO/ P MAJEGAN, K0000028 HT CHF 20/03/2019 UMUM
5 JUWARIYAH, NY PANDOWOHARJO, SLEMAN, WIRATA E
2019/03/29/00004 111743 MAQHFIRA RADITA P SLEMAN RT 003 RW 009,
NGAMBOH K0000028 #CLAVICULA 29/03/2019 UMUM
1 RAHMAWATI MARGOREJO, TEMPEL, WIRATA E SINISTRA
2019/04/01/00015 111857 DUWI LESTARI, NN P SLEMAN
KALIWANGLU KULON, K0000028 DF 01/04/2019 - BPJS
8 HARJOBINANGUN, PAKEM, WIRATA E
SLEMAN
2019/04/07/00001 108963 NURAINI P BRAYUT RT 4 RW 29, K0000028 hiperglikemi 07/04/2019 - BPJS
6 MUTIFAH,NY PANDOWOHARJO, SLEMAN, WIRATA E DM
SLEMAN
2019/04/12/10026 106039 TUMINI, NY P KRANDON 2/43, K0000028 LOW BACK 12/04/2019 BPJS
0 PANDOWOHARJO, SLEMAN, WIRATA E PAIN
SLEMAN
2019/04/15/00003 075784 WAGIRAH, NY P KUTU TEGAL 10/25, K0000028 ULKUS DM 16/04/2019 BPJS
2 SINDUADI, MLATI, SLEMAN WIRATA E KESEHATAN
2019/04/17/00005 070408 SUPRI HARTATI, NY L NIRON, PANDOWOHARJO, K0000028 DCA 17/04/2019 - BPJS
2 SLEMAN, -, -, - WIRATA E
2019/04/23/00008 112461 NGATINI, NY L SANGUREJO, WONOKERTO, K0000028 CHF 23/04/2019 BPJS
5 TURI, SLEMAN WIRATA E
2019/04/29/00001 112510 ROMADLON WIWIN P BULUS LOR, PAKEM, K0000028 tumor 29/04/2019 -
6 MULYAWATI, NN CANDIBINANGUN, - WIRATA E payudara
sinistra
2019/05/02/00006 106231 RINI IKA SARI, NN P SUDIMORO 4/22, K0000028 TUMOR 02/05/2019 BPJS
6 MOROREJO, TEMPEL, WIRATA E COLLIE
SLEMAN
9/30/19 12:19 PM Page 97 of 103

2019/05/03/00017 112735 PONIYEM, NY P PUNTUK 06/24, K0000028 TUMOR 03/05/2019 UMUM
4 WONOKERTO, TURI, WIRATA E KEPALA
2019/05/17/00008 113121 ANISA PUTRI DWI, P SLEMAN PURWBINANGUN,
CEPET, K0000028 DF 17/05/2019 BPJS
6 NN PAKEM, SLEMAN WIRATA E
2019/05/20/00009 108851 SUMIKEM, NY P PENEN, DONOHARJO, K0000028 HIPERGLIKE 20/05/2019 BPJS
6 NGAGLIK, SLEMAN WIRATA E MI; CHF
2019/06/14/00005 006329 DHURIYATI, NY P CANDIREJO, K0000028 ABSESPEDIS 14/06/2019 RS PURI -
1 SARDONOHARJO, -, -, - WIRATA E HUSADA -
KAB. SLEMAN
2019/06/17/00008 111078 TUTIK WIYANTI, NY P SANGGRAHAN, K0000028 tumor 17/06/2019 Sleman BPJS
2 CATURHARJO, SLEMAN, WIRATA E payudara
SLEMAN dextra
2019/06/19/00009 114008 NGATIYAH, NY P NGEPRING, K0000028 DM; IHD; 19/06/2019 - UMUM
5 PURWOBINANGUN, PAKEM, WIRATA E SCI
2019/07/08/00010 114417 YONANDA P SLEMAN005/025,
JINGIN K0000028 tumor 08/07/2019 Seyegan BPJS
4 NOVITASARI NN MARGOMULYO, SEYEGAN, WIRATA E manus
SLEMAN sinistra
2019/07/12/00011 114639 KHUSNUL P JOGOKERTEN/ NGEBONG, K0000028 TUMOR 12/07/2019 RS PURI BPJS
7 KHOTIMAH, NY MARGOREJO, TEMPEL, WIRATA E MANUS HUSADA -
SLEMAN SINISTRA KAB. SLEMAN
2019/07/13/00017 114751 TUKIRAH, NY P BLEKIK, SARDONOHARJO, K0000028 HIPERTENSI 13/07/2019 RS PURI UMUM
4 NGAGLIK, SLEMAN WIRATA E ; DM HUSADA -
KAB. SLEMAN
2019/07/17/00019 114846 WAJIYEM P WADAS, TRIDADI, SLEMAN, K0000028 TUMOR 17/07/2019 Sleman BPJS
0 SLEMAN WIRATA E GLUTEA
2019/07/31/00009 115178 SURATINI, NY P KARANGGENENG 004/032, K0000028 APPENDICIT 31/07/2019 RS PURI BPJS
8 PURWOBINANGUN, -PAKEM, WIRATA E IS AKUT HUSADA -
-SLEMAN POST KAB. SLEMAN
APPENDICT
2019/08/13/00016 115525 SUMINEM, NY P PULESARI BECICI, K0000028 OMY 13/08/2019 RS PURI BPJS
2 WONOKERTO, TURI, WIRATA E HUSADA -
SLEMAN KAB. SLEMAN
2019/08/14/00014 115540 SETIYA P NGELO 001/009, K0000028 SIROSIS 14/08/2019 RS PANTI UMUM
6 WINDARTO/BOIYEM HARJOBINANGUN, PAKEM, WIRATA E HEPATIS NUGROHO -
NY SLEMAN KAB. SLEMAN
2019/08/19/10026 115708 EKA SALSABILA P JATIREJO , SENDANGADI, K0000028 SUSP TSAH 19/08/2019 RSPH JASA RAHARJA
2 A.P.AN MLATI, SLEMAN WIRATA E
2019/08/22/00016 034860 SRI SULASMI, NY P JETIS DONOLAYAN, K0000028 - 22/08/2019 RSPH UMUM
0 DONOHARJO, NGAGLIK, WIRATA E
SLEMAN
2019/08/23/00019 107944 FLO RATMINI,NY P PALGADING RT 5 RW 2, K0000028 - 23/08/2019 RS PURI BPJS
5 MINOMARTANI, NGAGLIK, WIRATA E HUSADA -
SLEMAN KAB. SLEMAN
2019/08/31/00003 115994 ERNI MAYANG SARI P JL RAJA ALAM, MALINAU K0000028 cidera kepala 31/08/2019 - UMUM
2 KOTA, MALINAU KOTA, WIRATA E
2019/09/01/00006 116029 RUBIYEM P MALINAU
KUMENDUNG, K0000028 STROKE 01/09/2019 - UMUM
7 CANDIBINANGUN, PAKEM, WIRATA E INFARK
SLEMAN
2019/09/09/00025 079622 SUMINI, NY P JETIS JOGOPATEN RT 1 RW K0000028 NEPHROLIT 09/09/2019 RSPH BPJS
7 30, PANDOWOHARJO, WIRATA E HIASIS
SLEMAN, SLEMAN
2019/09/23/00016 109726 ADI P PELEM 005/036, K0000028 - 23/09/2019 RS PURI UMUM
8 WIYONO/SUDILAH, WIRATA E
9/30/19 12:19 PM Page 98 of 103
NY PURWOBINANGUN, PAKEM, HUSADA -
SLEMAN KAB. SLEMAN
2019/01/03/00010 109118 DWI WIRYANTI, NY P TROJAYAN, K0000029 df 03/01/2019 - UMUM
9 HARJOBINANGUN, PAKEM, WIRATA F
2019/01/06/00000 047936 SUMARAH, NY P SLEMAN
BRENGOSAN DONOHARJO K0000029 HIPERGLIKE 06/01/2019 UMUM
8 NGAGLIK, -, -, - WIRATA F MI,ANEMIA
2019/01/12/00000 070643 PARTIYEM, NY P SOMOITAN, GIRIKERTO, K0000029 - 12/01/2019 - BPJS
1 TURI, -, -, - WIRATA F
2019/01/12/00000 109461 YULIANA P KUNCEN, BANGUNMULYO, K0000029 GEA 12/01/2019 - UMUM
2 SUMARYATI, NY GIRIKERTO, SLEMAN, WIRATA F
2019/01/13/00004 109513 SITI FATIMAH, NY P SLEMAN
KALIURANG, CEPAGAN, K0000029 vomitus 13/01/2019 - UMUM
1 SRUMBUNG, MAGELANG WIRATA F
2019/01/22/00010 109751 SAMINAH,NY P WONOKERSO RT 4 RW 10, K0000029 chf, isk, 22/01/2019 - UMUM
0 SARIHARJO, NGAGLIK, WIRATA F
2019/01/29/00012 063307 WAGIYEM, NY P SLEMAN RT1 RW 22,
PULESARI K0000029 dca 29/01/2019 - UMUM
5 WONOKERTO, TURI, WIRATA F
2019/02/01/00013 110046 HADI SUMARTO, NY P SLEMAN
DARI , HARGOBINANGUN, K0000029 dispepsia 02/02/2019 - UMUM
3 PAKEM, SLEMAN WIRATA F
2019/02/06/00024 063733 MARTO SARI,NY P NGETIRAN SARIHARJO K0000029 CHF 06/02/2019 BPJS
7 NGAGLIK SLEMAN, -, -, - WIRATA F
2019/02/13/00010 110445 KUSMIYATI, NY P REJODADI 3/28, K0000029 - 13/02/2019 BPJS
4 BANGUNKERTO, TURI, WIRATA F
2019/02/13/00014 110456 NURUL EMI P SLEMAN
MOLODONO 4/4, K0000029 - 13/02/2019 BPJS
1 LATIFAH, NY LUMBUNGREJO, TEMPEL, WIRATA F
SLEMAN
2019/02/13/00007 059545 MUJARIYAH, NY P BLEKIK SARDONOHARJO K0000029 ulkus dm 14/02/2019 BPJS
4 NGAGLIK SLEMAN, -, -, - WIRATA F KESEHATAN
2019/02/15/10011 110414 HADI PRAYITNO/ P KEPITU, TRIMULYO, K0000029 dispneu, 15/02/2019 BPJS
7 SAMIYAH, NY SLEMAN, SLEMAN WIRATA F bronchitis
2019/02/22/00017 110738 SUPARTI, NY P DOMBAN, MOROREJO, K0000029 fr. radius 22/02/2019 -
1 TEMPEL, SLEMAN WIRATA F sinistra
2019/03/04/00008 110603 AMBAR SUNARTI NY P NGEPRING RT 03/ RW 05, K0000029 tumor 04/03/2019 BPJS
6 PURWOBINANGUN, PAKEM, WIRATA F inguinal
SLEMAN dekstra
2019/03/06/00021 111091 TIAS TRI P MURANGAN VII RT 7 RW 23, K0000029 - 06/03/2019 DR SUNARKO BPJS
5 ASTUTI,NN TRIHARJO, SLEMAN, WIRATA F KESEHATAN
2019/03/08/00015 111133 SUWARTINAH, NY P SLEMANKELOPOSAWIT
PELEM K0000029 anemia pada 08/03/2019 BPJS
1 003/006 GIRIKERTO TURI WIRATA F ckd, chf
SLEMAN DIY, -, -, -
2019/03/15/00011 111204 SITI YULAIKA, NY P TRUMPON, MERDIKOREJO, K0000029 TF 15/03/2019 BPJS
4 TEMPEL, SLEMAN WIRATA F KESEHATAN
2019/03/18/00016 069011 ISRO ROKHIMAH, P KEPITU RT 7 RW 17, K0000029 chepalgia 18/03/2019 SLEMAN BPJS
0 NY TRIMULYO, SLEMAN, WIRATA F kronis KESEHATAN
2019/03/21/00012 111565 VIRA NUR P SLEMAN
TURGO GEDE RT 3 RW 22, K0000029 - 21/03/2019 - BPJS
9 SAFITRI,NN HARJOBINAGUN, PAKEM, WIRATA F KESEHATAN
SLEMAN
2019/03/22/00007 111574 SRI LESTARI, NY P SUKOREJO 003/010 K0000029 tumor pedis 22/03/2019 BPJS
4 GIRIKERTO TURI SLEMAN, -, WIRATA F sinistra
2019/03/23/00010 075931 WARNO UTOMO, NY P -, -
KEPANJEN YRIMULYO K0000029 CHF 23/03/2019 UMUM
9 SLEMAN, -, -, - WIRATA F
2019/03/28/00001 068446 SARIYEM, NY P MAJEGAN 1/32, K0000029 vertigo, 28/03/2019 UMUM
0 WIRATA F febris
9/30/19 12:19 PM Page 99 of 103
PANDOWOHARJO, NGAGLIK,
SLEMAN
2019/04/01/00015 049937 RIKA SULISTYO P BULUSTEMPEL K0000029 app acut 01/04/2019 - BPJS
1 RINI, NN CANDIBINANGUN PAKEM WIRATA F
SLEMAN, -, -, -
2019/04/02/00019 111893 NOVIYANTI P TURGO 003/002, K0000029 ISK,DISPEPS 02/04/2019 BPJS PEKERJA
2 PURWOBINAGUN, PAKEM, WIRATA F IA MANDIRI
SLEMAN
2019/04/07/00002 112007 WIRO SENTONO. NY P LEDOK WARENG, K0000029 GEA, DF 07/04/2019 BPJS
1 SARDONOHARJO, NGAGLIK, WIRATA F
SLEMAN
2019/04/11/00002 112141 WAGINEM.NY P GANGGONG 001/006, K0000029 DM II 11/04/2019 UMUM
7 BANGUNKERTO, TURI, WIRATA F NO,STROKE
SLEMAN INFARK
2019/04/17/00004 112315 PAINEM, NY P GONDANG LUTUNG, K0000029 vertigo 17/04/2019 - UMUM
2 DONOHARJO, NGAGLIK, WIRATA F
SLEMAN
2019/04/20/00016 112237 IIS NURYANI, NY P PISANGAN, TRIDADI, K0000029 dhf, isk 20/04/2019 UMUM
7 SLEMAN, SLEMAN WIRATA F
2019/04/22/00010 075763 NGADINEM, NY P SUMBERAN 1/21, K0000029 CHF 22/04/2019 UMUM
0 SARIHARJO, NGAGLIK, WIRATA F
2019/04/26/00042 107139 SITI SURYANI, NY P SLEMAN1/17, TRIMULYO,
KEPITU K0000029 HIPERGLIKE 26/04/2019 BPJS
6 SLEMAN, SLEMAN WIRATA F MI DM,DF
2019/04/30/00015 112662 TH. SUTIYAH, NY P , -, -, - K0000029 DISPEPSIA 01/05/2019 UMUM
3
2019/05/06/00014 112817 WAGIYEM, NY P KALIURANG TIMUR 004/015, WIRATA F
K0000029 STROKE 06/05/2019 UMUM
1 HARGOBINANGUN, PAKEM, WIRATA F INFARK,
SLEMAN AFASIA,DISL
IPIDEMI,ISK
2019/05/13/00012 113006 MUJINEM, NY P KARANGJENJEM, K0000029 vertigo 14/05/2019 UMUM

1 SARDONOHARJO, NGAGLIK, WIRATA F
SLEMAN
2019/05/16/00003 079526 SRI PUJI ASTUTI, P PISANGAN 2/14, TRIDADI, K0000029 obs. febris 16/05/2019 UMUM
8 NY SLEMAN, SLEMAN WIRATA F
2019/05/19/00003 113176 TUKINEM, NY P KALIURANG TIMUR 6/15, K0000029 CHF 19/05/2019 PKU BPJS
4 HARGOBINANGUN, PAKEM, WIRATA F MUHAMMADIY
SLEMAN AH PAKEM
2019/05/22/00017 113232 MUSIYAH, NY P KARANGTANJUNG, -, -, - K0000029 - 22/05/2019 BPJS
8
2019/05/25/00007 113159 MUSRIYATI,NY P JETAKAN 9/17, WIRATA
K0000029F vertigo 25/05/2019 - UMUM
0 PANDOWOHARJO, SLEMAN, WIRATA F
SLEMAN
2019/06/09/00001 112817 WAGIYEM, NY P KALIURANG TIMUR 004/015, K0000029 - 09/06/2019 RS PURI UMUM
1 HARGOBINANGUN, PAKEM, WIRATA F HUSADA -
SLEMAN KAB. SLEMAN
2019/06/14/00019 113886 SASTI TRISWANA P BALONG , DONOHARJO, K0000029 DF 14/06/2019 PBI (APBD)
1 PUTRI NY SLEMAN, SLEMAN WIRATA F
2019/06/22/00011 114095 KEDAH, NY P GUNDENGAN KIDUL , K0000029 SNH 22/06/2019 Tempel I BPJS
9 MARGOREJO, TEMPEL, WIRATA F
2019/06/28/00013 114285 SEPTIANI, NN P SLEMAN 3/33,
MAJEGAN K0000029 - 28/06/2019 Klinik SWA BPJS
2 PANDOWOHARJO, SLEMAN, WIRATA F
SLEMAN
9/30/19 12:19 PM Page 100 of 103

2019/06/28/00009 114272 PIPI ANGRAHENI, P SOMOITAN DALEMAN, K0000029 HEMOROID 28/06/2019 Turi BPJS
1 NN GIRIKERTO, TURI, SLEMAN WIRATA F GR 4
2019/07/08/00013 114423 WIDI ASTUTI P PANGUKAN, TRIDADI, K0000029 tumor 08/07/2019 Sleman BPJS
2 SLEMAN, SLEMAN WIRATA F payudara
2019/07/12/00010 114684 HENI PURWANTI, P MEDARI GEDE, K0000029 APPENDICT 12/07/2019 Klinik FIA BPJS
5 NY CATURHARJO, SLEMAN, WIRATA F OMY
2019/07/13/00013 114736 LUMANAH, NY P SLEMAN LUTUNG,
GONDANG K0000029 DENGUE 13/07/2019 RS PURI UMUM
9 DONOHARJO, NGAGLIK, WIRATA F FEVER HUSADA -
SLEMAN KAB. SLEMAN
2019/07/17/00016 114838 SITI NGATIYAH, NY P BUMIREJO, GADUNG, K0000029 HEMOROID 17/07/2019 Turi BPJS
4 BANGUNKERTO, TURI WIRATA F GR 4
2019/07/19/00015 036026 SUKINI, NY P REJODANI 3/4, SARIHARJO, K0000029 somnolen,hi 19/07/2019 - BPJS
7 NGAGLIK, SLEMAN WIRATA F perglikemi
dm, ht
2019/07/26/00005 065983 JUMIYATI, NY P JONGKANG SARIHARJO K0000029 APP 26/07/2019 - BPJS
2 NGAGLIK, SARIHARJO, WIRATA F
NGAGLIK, SLEMAN
2019/07/29/00010 048817 DINA LESTARI P LEDOK WARENG K0000029 app akut 29/07/2019 RS PURI -
9 SARDONOHARJO NGAGLIK, WIRATA F post HUSADA -
SARDONOHARJO, NGAGLIK, appendictom KAB. SLEMAN
SLEMAN i
2019/07/31/00009 115178 SURATINI, NY P KARANGGENENG 004/032, K0000029 - 31/07/2019 RS PURI BPJS
8 PURWOBINANGUN, -PAKEM, WIRATA F HUSADA -
-SLEMAN KAB. SLEMAN
2019/08/14/00017 075903 BUDIMAN, NY P KEPITU TRIMULYO SLEMAN, K0000029 PPOK,CHF,B 14/08/2019 RS PURI UMUM
3 -, -, - WIRATA F RONCHITIS HUSADA -
KAB. SLEMAN
2019/08/21/00024 065930 SAMINEM, NY P BULUS CANDIBINANGUN K0000029 VERTIGO 21/08/2019 RS PURI UMUM
9 PAKEM, -, -, - WIRATA F HUSADA -
KAB. SLEMAN
2019/09/02/00009 116033 ROBINGAH NY P GANGGONG 003/007, K0000029 tumor colli 02/09/2019 Turi BPJS
2 BANGUNKERTO, TURI, WIRATA F
2019/09/06/00020 116173 MUSTIKA INDAH P SLEMAN
PANGGERAN 002/034, K0000029 HIPOKALEMI 06/09/2019 Sleman BPJS
2 CAHYANI, NN TRIHARJO, SLEMAN, WIRATA F
2019/09/11/00015 116294 UMIYATI,NY P SLEMAN
KENDITAN, MERDIKOREJO, K0000029 amputasi dg 11/09/2019 Tempel I BPJS
0 TEMPEL, SLEMAN WIRATA F 4 manus
sinistra;
2019/09/23/00001 035681 SULANTINA, NY P KLEBEN, PANDOWOHARJO, K0000029 CA MAMAE
ganggren 23/09/2019 Sleman BPJS
3 PANDOWOHARJO, -, - WIRATA F DEXTRA
2019/09/25/00028 116423 SURTINI P PANGUKAN 002/009, K0000029 TUMOR 25/09/2019 BPJS
3 TRIDADI, SLEMAN, SLEMAN WIRATA F PAYUDARA
DEXSTRA+S
INISTRA
2019/09/30/00003 116727 RUSTINAH, NY P JETIS DONOASIH, K0000029 - 30/09/2019 Turi BPJS
4 DONOKERTO, TURI, SLEMAN WIRATA F
2019/01/04/00002 108344 ISMAYANTO, BP L PERUM PANASAN IX , K0000003 HIL 04/01/2019 BPJS
5 TRIHARJO, SLEMAN, YUDHISTIRA SINISTRA
2019/01/05/00013 109242 SLAMET L SLEMAN
JETIS DONOASIH RT 2 RW K0000003 DYSPEPSIA 05/01/2019 UMUM
9 WIDODO,BP 11, DONOKERTO, TURI, YUDHISTIRA
2019/01/08/00004 105504 SRI HARTATI, NY P SLEMAN 02/13,
BANARAN K0000003 GEA 08/01/2019 BPJS
8 SENDANGADI, MLATI, YUDHISTIRA
SLEMAN
9/30/19 12:19 PM Page 101 of 103

2019/01/21/00017 109666 LH. HARI L PERUM JONGKANG BARU, --, K0000003 dm 21/01/2019 -
1 WARDANA, BP -, - YUDHISTIRA
2019/01/30/00019 062556 RAISYA ZAHRINA P TLACAP PANDOWOHARJO K0000003 DF 31/01/2019 - UMUM
1 AZIZAH, AN SLEMAN, -, -, - YUDHISTIRA
2019/02/04/00020 110190 BANU ARSANA,BP L PERUM GTA BLOK 0 346, K0000003 PPOK,CHF,A 04/02/2019 BPJS
4 SARIHARJO, NGAGLIK, YUDHISTIRA NEMIA KESEHATAN
2019/02/09/00001 021162 MARIYEM, NY L SLEMAN
BONJOTAN, K0000003 bronchopne 09/02/2019 - UMUM
0 SARDONOHARJO, MGAGLIK, YUDHISTIRA monia
2019/02/19/00004 025817 PAWIRO L -, -, -
NGEPAS LOR, DONOHARJO, K0000003 HIPONATRIU 19/02/2019 - BPJS
3 SUMARTO,BP DONOHARJO, NGAGLIK, YUDHISTIRA M,ISK
2019/02/25/00006 108292 WIRO SUDARMO, BP L DEPOK
SROWOLAN, K0000003 PNEMONIA,I 25/02/2019 UMUM
1 PURWOBINANGUN, PAKEM, YUDHISTIRA SK
SLEMAN
2019/03/08/00013 109302 MUSRIN, BP L TRUMPON, MERDIKIREJO, K0000003 SIROSIS 08/03/2019 RSPH BPJS
1 TEMPEL, SLEMAN YUDHISTIRA HEPATIS
2019/03/16/00011 111409 MUH. DARIYONO L POJOK WONOKERTO TURI K0000003 STEMI,DISE 17/03/2019 UMUM
5 DALIYO, BP SLEMAN, -, -, - YUDHISTIRA NTRI
AMUBA,DISL
IPIDEMI
2019/03/21/00014 111568 ADE EVA P KRANDON 001/043 K0000003 GEA 21/03/2019 UMUM
0 FATMAWATI, NN PANDOWOHARJO SLEMAN, YUDHISTIRA
-, -, -
2019/03/25/00019 076492 TITIK SRI P KARANGASEM K0000003 ashtma 25/03/2019 - UMUM
8 PURWANTI, NY PANDOWOHARJO/ YUDHISTIRA bronchial,
MAYANGAN MAYANGAN PE, DM 2 NO,
2019/03/31/00001 111828 ALDEBARA L KARANGGENENG
-, -, - RT 02/ RW K0000003 TF,ISK, RA
ISK 31/03/2019 UMUM
6 RASENDRIA 31, PURWOBINANGUN, YUDHISTIRA
HERZBERG AN PAKEM, SLEMAN
2019/04/06/10016 005779 CHORI SRI P JATIREJO, SENDANGADI, K0000003 dispepsia 06/04/2019 - UMUM
8 INDRIYANI,NY MLATI, -, -, - YUDHISTIRA
2019/04/12/10021 112128 INDRIANI KUSUMA P SLEMAN III 001/007, K0000003 - 13/04/2019 RSPH BPJS
6 CAHYAMINGRUM, TRIHARJO, SLEMAN, YUDHISTIRA
2019/04/16/00011 043092 NY
PARDJONO, BP L SLEMAN
KARANGASEM, K0000003 penurunan 16/04/2019 - UMUM
9 PANDOWOHARJO, SLEMAN, YUDHISTIRA kesadaran
SLEMAN
2019/04/26/00029 112525 MUJI HARJONO, BP L PERUM HARVEST PARK NO K0000003 PPOK 26/04/2019 UMUM
7 A4, PENEN DONOHARJO, YUDHISTIRA
NGAGLIK, SLEMAN
2019/04/30/00006 112644 GIANG BAYU L PAJANGAN, K0000003 DF 30/04/2019 - UMUM
2 TETUKO, AN PANDOWOHARJO, SLEMAN, YUDHISTIRA
2019/05/11/00015 112973 FAHMI WULANDARI, P SLEMAN
MAGELANG KM 75, MLATI, K0000003 DF 11/05/2019 UMUM
0 NN SLEMAN, SLEMAN YUDHISTIRA
2019/05/16/00014 055898 RIRIK RIDOIYAH, P PERUM LOJAJAR INDAH, K0000003 DYSPNEU 16/05/2019 UMUM
1 NY SINDUHARJO, NGAGLIK, YUDHISTIRA
SLEMAN
2019/05/22/00012 042490 RETNO P JOMBLANG SENDANGADI, -, K0000003 - 22/05/2019 - UMUM
3 DARUWATI,NY -, - YUDHISTIRA
2019/05/23/00012 113273 HARI PRAKASH L JL INDUSTRI KM 12, K0000003 DF 23/05/2019 - UMUM
8 PRAGATHEESWARA SUKADAMAI, CIKUPA, YUDHISTIRA
N, SDR TANGERANG
2019/05/29/00015 113441 DALMINEM, NY P SUCEN, TRIHARJO, SLEMAN, K0000003 DISPEPSIA 29/05/2019 dr. Sunarko BPJS
0 SLEMAN YUDHISTIRA
9/30/19 12:19 PM Page 102 of 103

2019/06/06/00003 107663 ERLIN SRI P JL.ATMOSUKARTO 9 G-9 , K0000003 N18.5, 06/06/2019 - UMUM
6 YUNIARTI, NY KOTABARU, YUDHISTIRA
GONDOKUSUMAN,
2019/06/14/00020 005589 CAECILIA P BANTARJO/MANCASAN,
YOGYAKARTA K0000003 dispneu 14/06/2019 RS PURI UMUM
9 RUPMININGSIH, NY PANDOWOHARJO, SLEMAN, YUDHISTIRA HUSADA
-, -, -
2019/06/17/00001 113876 SUAPRI, BP L CANDI KARANG/ K0000003 tumor nasal 20/06/2019 dr. BPJS
2 RAWATENGAH JOHAR BARU, YUDHISTIRA Chamdawati
SARDONOHARJO, NGAGLIK, Wahyu H -
2019/06/24/00012 032504 SUMARDI, BP L KEPITU
SLEMANRT 2/17 TRIMULYO, K0000003 dislokasi 24/06/2019 -
KAB. SLEMAN UMUM
4 -, -, - YUDHISTIRA shoulder D
2019/06/26/00012 059888 SAIKEM, NY P KARANG MLOKO SARIHARJO K0000003 CHF 26/06/2019 dr. Alexander BPJS
5 NGAGLIK, -, -, - YUDHISTIRA Prasudi M.Kes
2019/07/10/00022 113229 ALEXANDER L NGLANJARAN, K0000003 SUBLUKASI 10/07/2019 RS PURI UMUM
3 YUDHISTIRA, AN SARDONOHARJO, NGAGLIK, YUDHISTIRA OLECRANON HUSADA -
SLEMAN SINISTRA KAB. SLEMAN
2019/07/12/00022 114713 ASFA JAVINA P CILUAR ASRI, CILUAR, K0000003 - 12/07/2019 - BPJS
5 SYAKIRA BOGOR UTARA, BOGOR YUDHISTIRA
2019/07/31/00015 053159 CIPTO L DUKUH TRIDADI SLEMAN, -, K0000003 TUMOR 31/07/2019 Klinik SWA BPJS
6 DIARJO/SLAMET,BP -, - YUDHISTIRA AXILLA
DEXTRA
2019/08/02/00006 010909 HARJO WIYONO, TN L WONOSARI, BANGUNKERTO, K0000003 DISPNEU ec 02/08/2019 UMUM
9 TURI, -, -, - YUDHISTIRA CHF
2019/08/07/00015 115371 SANTOSO, BP L JL. WR. SUPRATMAN 05/11, K0000003 ANEMIA; DF; 07/08/2019 - UMUM
9 GISIKDRONO, SEMARANG YUDHISTIRA SISTITIS
BARAT, SEMARANG
2019/08/19/10027 115712 MURNIATI, NY P WONOREJO 05/08, K0000003 CKB 20/08/2019 - UMUM
0 SARIHARJO, NGAGLIK, YUDHISTIRA
2019/08/28/00021 115901 NAJLA FATIN P SLEMAN
CANDI III, SARDONOHARJO, K0000003 DF 28/08/2019 UMUM
7 NABIHA, AN NGAGLIK, SLEMAN YUDHISTIRA
2019/09/06/00023 049551 YUSTINA RATIH P KARANGASEM K0000003 ANEMIA 06/09/2019 - UMUM
1 KUSUMASTUTI, NY PANDOWOHARJO SLEMAN, YUDHISTIRA GRAVIS,IHD
2019/09/26/00002 062039 PUJO SUMARTO, NY P SANGGRAHAN,
SLEMAN K0000003 - 26/09/2019 UMUM
2 CATURHARJO, SLEMAN, YUDHISTIRA
2019/09/26/00002 062039 PUJO SUMARTO, NY P SLEMAN
SANGGRAHAN, K0000003 - 26/09/2019 UMUM
2 CATURHARJO, SLEMAN, YUDHISTIRA
SLEMAN
9/30/19 12:19 PM Page 103 of 103

Ranap Januari-Sep 2019 Edit Nisa

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Ranap Januari-Sep 2019 Edit Nisa

Diunggah oleh

Hak Cipta:

Format Tersedia

DATA KAMAR INAP PASIEN

9/30/19 12:19 PM Page 2 of 103

2019/06/01/0000 113520 BANDI SUTRISNO, L KEMIRI KEBO 001/007, I10, 01/06/2019 V

2019/06/25/1001 114112 SARJIMAN, BP L NYAMPLUNG, DONOHARJO, DENGUE 25/06/2019 V

2019/06/28/0002 114302 NOVA NUR L SAWAHAN 1/18, OF 28/06/2019 V

2019/07/04/0000 114469 MULYO SAPUTRO L GROJOGAN, STROKE 04/07/2019 V

2 045634 G L TAMBAKREJO SARIHARJO H 09/08/2019 V

2019/07/20/00007 114885 SAMSURI, BP L TEGAL SARI, SARIHARJO, - 20/07/2019 V

2019/08/08/00001 115310 DARYANTO, BP L MANGKUDRANAN, POLOP 05/08/2019 V

2019/09/10/00005 113713 MUJIMIN, BP L MAJEGAN 003/033, - 10/09/2019 V

9/30/19 12:19 PM Page 8 of 103

2019/06/03/10045 034428 SIGIT PURWANTO, L SAMBIREJO, PAKEM, PAKEM, 04/06/2019 V

9/30/19 12:19 PM Page 9 of 103

2019/07/17/00019 114849 NGADIYO L TEGALSARI, SARIHARJO, GANGREN 17/07/2019 V

2019/09/03/00006 005092 BASUKI RAKHMAD, L GATEP 03/30, CHF; IHD 03/09/2019 V

2019/06/17/00011 043593 SATRIA DONI L GROJOKAN 3/2, DHF 17/06/2019 V

2019/07/03/00024 114457 ATMI SAPTATI P GONDANGAN 3/45, GEA 04/07/2019 V

2019/07/18/00030 114875 NENI INDRIANI, NY P JL. RAYA CILEGON contusio 18/07/2019 V

9/30/19 12:19 PM Page 12 of 103

9/30/19 12:19 PM Page 14 of 103

2019/06/17/00019 113943 SUJIYATI, NY P BANJARSARI 01/08, cholelithiasis 19/06/2019 V

2019/07/08/00001 008579 ENDANG DWI P GABUGAN, DONOKERTO ulkus dm 08/07/2019 V

2019/08/24/00005 115827 WAGIMIN/ H PUJI L PLUMBON 005/031, chf,ihd 24/08/2019 V

9/30/19 12:19 PM Page 15 of 103

9/30/19 12:19 PM Page 17 of 103

2019/06/17/00019 113943 SUJIYATI, NY P BANJARSARI 01/08, - 17/06/2019 V

2019/07/09/00000 114561 SRI PUJI UTAMI, NY P KADISOBO I, TRIMULYO, - 09/07/2019 V

2019/07/10/00018 070486 NANING P TEGALSARI, TRIMULYO, TUMOR 10/07/2019 V

9/30/19 12:19 PM Page 18 of 103

9/30/19 12:19 PM Page 19 of 103

9/30/19 12:19 PM Page 20 of 103

2019/06/15/00011 113897 DARMO SUMADI NY P SURODADI 002/023, vertigo;IHD 15/06/2019 V

9/30/19 12:19 PM Page 21 of 103

2019/08/05/00006 115296 MARMINAH, NY P KRANDON, TUMOR 05/08/2019 V

2019/08/16/00021 115612 SUPARNIAH, NY P KETULAN, CANDIBINANGUN, gea 16/08/2019 V

2019/08/19/10020 115680 SUHARNI NY P TURI 003/027, STROKE 19/08/2019 V

2019/08/23/00009 115762 PULANGSIH NY P CANDI DUKUH 002/003, tumor 23/08/2019 V

2019/09/06/00013 105177 GINEM, NY P SIDOREJO NGANGGRING, TUMOR 06/09/2019 V

2019/07/09/00006 110383 PRAYITNO, BP L REJODANI 002/003 - 09/07/2019 V

2019/06/24/00008 114132 TUKIYANTI P BOYONG 003/010, - 24/06/2019 V

2019/07/07/00003 049252 TINI WAHYUNI, NY P GABUGAN 4/15 HHD,CHEST 10/07/2019 V

2019/07/15/10007 114635 LISA SARASWATY, P KALIURANG KM 5 GANG TUMOR 15/07/2019 V

2019/08/26/00006 108002 WIDODO, BP L PISANGAN, TRIDADI, -, ULJUS DM 26/08/2019 V

2019/09/16/10007 116377 RIPDIYONO BP L JETIS SURUH 002/012, TUMOR 16/09/2019 V

2019/01/04/00001 108316 MUH SYAMSUDDIN, L JURUGAN 5/15, ULCUS DM 04/01/2019 V

9/30/19 12:19 PM Page 30 of

9/30/19 12:19 PM Page 32 of 103

9/30/19 12:19 PM Page 33 of 103

9/30/19 12:19 PM Page 35 of 103

9/30/19 12:19 PM Page 38 of 103

9/30/19 12:19 PM Page 39 of 103

9/30/19 12:19 PM Page 40 of 103

9/30/19 12:19 PM Page 43 of 103

9/30/19 12:19 PM Page 44 of 103

9/30/19 12:19 PM Page 46 of 103

9/30/19 12:19 PM Page 47 of 103

9/30/19 12:19 PM Page 50 of 103

9/30/19 12:19 PM Page 51 of 103

9/30/19 12:19 PM Page 52 of 103

9/30/19 12:19 PM Page 57 of 103

9/30/19 12:19 PM Page 59 of 103

9/30/19 12:19 PM Page 60 of 103