Rekap APRIL 2021

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI
RUMAH SAKIT UMUM DAERAH GBST LT. III INSTALASI BEDAH SENTRAL
ARIFIN ACHMAD BULAN : APRIL 2021
BEDAH ORTHOPEDI
JENIS DOKTER DOKTER CARA
TANGGAL NO NAMA MEDREK USIA RUANG KELAS DIAGNOSA PRE DIAGNOSA POST TINDAKAN ANESTESI KET BIAYA OPERASI
OPERASI OPERATOR ANAK PEMBAYARAN
4/1/2021 1 Wirdayani 90-38-76 53 Gardenia 1 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS Rp 38,268,000
2 Sarniwati 01-05-72-17 66 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
3 Asril 01-05-92-49 57 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
4/5/2021 4 Ruslan Edy 01-05-97-78 48 Edelweis 3 # Pelvis # Pelvis ORIF KH ET Dr. Ihsan BPJS Rp 16,412,000
5 Aslinar 01-05-97-03 63 Gardenia 1 Dislokasi HIP (D) Dislokasi HIP (D) Revisi KH SP Dr. Ihsan BPJS Rp 15,876,000
4/6/2021 6 Muhamad Kevin 01-05-99-13 23 Edelweis 3 PBT Humerus (S) PBT Humerus (S) Inj Steroid KH ET dr. Rangga BPJS Rp 7,946,000
7 M. Fadlan 01-03-08-87 1.4 Edelweis 3 CTEV D/S CTEV D/S Release KH ET Dr. Arnadi JKSD SIAK Rp 13,536,000
8 Wawan Purwana 91-10-62 55 Edelweis 3 # Distal Radius (D) # Distal Radius (D) ORIF KH ET Dr. Arnadi BPJS Rp 6,776,000
4/7/2021 9 Faiqah Al Zahra 01-06-00-82 8 Edelweis 3 # Colum Femur (S) # Colum Femur (S) ORIF KH ET Dr. Arnadi BPJS Rp 8,466,000
10 Fazrina Humaira 01-05-49-56 5 Edelweis 3 Synovitis Knee Synovitis Knee Synovectomy KH ET Dr. Arnadi JKSD SIAK Rp 7,296,000
11 Rizka Aulia 01-03-26-14 25 Gardenia 1 Union # Clavicula (D) Union # Clavicula (D) Remove Implant B ET Dr. Arnadi BPJS Rp 6,776,000
4/8/2021 12 Meriah 96-74-95 80 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
13 Ruslinda 01-05-84-83 53 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
14 Harry Fadilah 01-05-27-49 58 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
15 Jefri 01-05-59-88 35 Edelweis 3 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS Rp 27,072,000
4/9/2021 16 Jasmadi 01-05-80-47 42 Edelweis 3 Non Union # TF (S) Non Union # TF (S) ORIF+Bone Graft KH SP dr. Eko BPJS Rp 16,932,000
17 Darwati 01-05-77-97 44 Edelweis 3 Post ORIF Elbow (S) Post ORIF Elbow (S) Buka Wire B ET dr. Eko BPJS Rp 6,776,000
18 Sunidar 01-01-57-65 55 Gardenia 1 Bilateral Duquarvain Bilateral Duquarvain Release KH ET dr. Eko BPJS Rp 7,296,000
19 Regi Wijaya 01-06-00-39 19 Flamboyan 2 Neghleted # MC Neghleted # MC ORIF KH ET dr. Eko BPJS Rp 9,636,000
4/12/2021 20 Sugiono 01-03-28-43 57 Flamboyan 2 Union # MC Digiti V (D) Union # MC Digiti V (D) Remove Implant B ET Dr. Ihsan BPJS Rp 5,216,000
4/13/2021 21 Nessa Febria 01-05-96-46 18 Flamboyan 2 PBT Prox Humerus (D) PBT Prox Humerus (D) Core Biopsi + C Arm KH ET dr. Rangga BPJS Rp 7,946,000
22 Netty Oktavia 87-99-11 45 Edelweis 3 Osteomilitis Elbow (D) Osteomilitis Elbow (D) Debridemant KH ET dr. Rangga BPJS Rp 8,466,000
4/14/2021 23 Darmi Wati 01-06-06-38 52 Edelweis 3 # Neck Femur (D) # Neck Femur (D) Hemihip Artroplasty KH SP Dr. Arnadi BPJS Rp 12,366,000
24 Dzakwan Aflah 01-02-01-59 16 Flamboyan 2 Union # Humerus (D) Union # Humerus (D) Remove Implant B ET Dr. Arnadi BPJS Rp 6,776,000
25 Faulina 01-05-43-32 36 Edelweis 3 Osteomilitis Femur (D) Osteomilitis Femur (D) Debridemant+Bone Graft KH SP Dr. Arnadi BPJS Rp 8,466,000
4/15/2021 26 Lince 01-05-93-83 68 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
27 Indra Irawan 00-14-1-09 68 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
28 Budi Prasetyo 01-05-93-80 57 Flamboyan 2 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS Rp 27,072,000
29 Fiter Adianto 01-05-55-05 25 Flamboyan 2 Union # Elbow (D) Union # Elbow (D) Remove Implant B KAP Dr. Chairudin BPJS Rp 6,776,000
4/16/2021 30 David Saputra 01-05-89-87 3 Flamboyan 2 Union # Digiti III Manus (S) Union # Digiti III Manus (S) Remove Implant B ET dr. Eko BPJS Rp 6,776,000
31 Deni Ferlina 01-03-90-89 42 Edelweis 3 Implant Failur Tibia (D) Implant Failur Tibia (D) ORIF+Bone Graft+Repair Tendon KH ET dr. Eko BPJS Rp 22,538,000
32 Satiawati 01-06-06-14 63 Edelweis 3 # Distal Femur (D) # Distal Femur (D) ORIF KH ET dr. Eko BPJS Rp 7,946,000
4/19/2021 33 Mei Pinta 78-09-29 42 Flamboyan 2 Neghleted Malunion # Prox Tibia (SNeghleted Malunion # Prox Tibia (STKR KH SP Dr. Ihsan BPJS Rp 10,156,000
34 Zulham Bin Uzer 01-04-11-56 38 Edelweis 3 Modul Intradural Genu (D)+HBSAG Modul Intradural Genu (D)+HBSAG AtroscopyKnee+Synovectomy KH SP Dr. Ihsan BPJS Rp 18,102,000
4/20/2021 35 Dones Sirumapea 01-0-40-60 23 Edelweis 3 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH SP dr. Rangga BPJS Rp 9,636,000
36 Riski Maulana 01-0-40-77 26 Flamboyan 2 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH LMA dr. Rangga BPJS Rp 9,636,000
4/21/2021 37 Rubiaty 11-16-75 62 Gardenia 1 # Femur Proximal (S) # Femur Proximal (S) Hemihip Artroplasty KH SP Dr. Arnadi BPJS Rp 11,326,000
4/22/2021 38 Fahren 67-55-95 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
39 Yeldawati 01-06-09-61 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
40 Boy Manahan 61-97-46 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
4/23/2021 41 Nabila Mahrusah 01-06-12-91 22 Bougenvile1 1 MPFL Tear (S)+Meniscus MPFL Tear (S)+Meniscus Artroscopy KH SP dr. Romi BPJS Rp 9,636,000
42 Rukiyati 01-06-05-31 59 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
43 Emiarti Elok 85-14-26 66 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
4/26/2021 44 Mukhtar 01-05-45-45 78 Edelweis 3 AVN Hip (D) AVN Hip (D) THR KH SP Dr. Ihsan BPJS Rp 22,132,000
45 Sugimin 01-05-92-68 55 Edelweis 3 Post FE Tibia (S) Post FE Tibia (S) Remove+ORIF+Bone Graft KH SP Dr. Ihsan BPJS Rp 23,708,000
46 Yasrizal 01-04-67-48 48 Edelweis 3 PSST Antebrachi PSST Antebrachi Core Biopsi + C Arm KH SP dr. Rangga BPJS Rp 7,946,000
4/27/2021 47 Iswandi 01-06-10-93 40 Flamboyan 2 # Clavicula (D) # Clavicula (D) Bone Reconstruksi KH ET dr. Rangga BPJS Rp 9,636,000
48 Riski Maulana 01-0-40-77 26 Flamboyan 2 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH SP dr. Rangga BPJS Rp 9,636,000
49 Nanda 01-06-13-07 17 Edelweis 3 Dislokasi HIP (D) Dislokasi HIP (D) Closed Reduction B ET dr. Romi Umum Rp 7,946,000
4/28/2021 50 Albizar 01-06-15-13 15 Edelweis 3 Open # Tibia + Femur (D) Open # Tibia + Femur (D) Debri+Debridemant+ORIF KH SP Dr. Arnadi BPJS Rp 31,654,000
47 Warsini 01-06-01-67 58 Edelweis 3 Non Union # TF (S) Non Union # TF (S) Osteotomy+Bone Graft KH SP Dr. Arnadi BPJS Rp 19,272,000
52 Faisal Aulia 95-13-91 24 Edelweis 3 Union # Tibia (D) Union # Tibia (D) Remove Implant B LMA dr. Rangga BPJS Rp 9,116,000
4/29/2021 53 Azizah Azis 49-15-30 75 Gardenia 1 # Colum Femur (S) # Colum Femur (S) PROTESA KH SP Dr. Chairudin BPJS Rp 11,326,000
54 Lince F Silaban 01-05-93-83 66 Flamboyan 2 HNP HNP Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS Rp 38,269,079
55 Indrawati 86-75-04 50 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
56 Remi Hutagalung 63-30-06 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS Rp 8,596,000
4/30/2021 57 Gusniati 01-06-09-37 51 Edelweis 3 Meniscus Tear (D) Meniscus Tear (D) Artroscopy KH ET dr. Romi BPJS Rp 8,466,000
58 Sunardi 01-06-16-09 62 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
59 Suhendrik 01-02-61-19 32 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
60 Nurhayati 40-79-70 56 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
61 Husniati 01-06-09-43 62 Poli 2 LCS LCS CESI B LA dr. Romi BPJS Rp 8,596,000
TOTAL 61 Rp 731,735,079
KEBIDANAN
2
3
4
5
6
7
TOTAL 0 Rp -
UROLOGI
4/1/2021 1 Untung 01-05-66-73 37 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Explorasi Ginjal+Expulsi KH ET Dr. Zuhirman BPJS Rp 6,522,000
2 Marro Aini 01-05-95-70 27 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent B KAP Dr. Zuhirman BPJS Rp 6,522,000
3 Ishak 01-06-00-22 55 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Zuhirman BPJS Rp 5,276,000
4 Duwan 01-05-99-68 61 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Zuhirman BPJS Rp 5,276,000
4/5/2021 5 Amson Sianipar 01-06-00-52 56 Edelweis 3 Tumor Ginjal (S) Tumor Ginjal (S) Radikal Nefrectomy KH ET Dr. Adan BPJS Rp 6,836,000
6 Surya Darma 0101-49-84 47 Anggrek1 1 Hematuri Hematuri URS+Dilatasi+Dj Stent KH SP Dr. Indra BPJS Rp 15,438,000
7 Henky Rizka 79-84-51 41 Anggrek1 VIP HN Bilateral HN Bilateral URS+Litotripsi KH SP Dr. Indra BPJS Rp 10,162,000
8 Dewi 01-03-95-49 42 Edelweis 3 HN (S) HN (S) URS KH SP Dr. Indra BPJS Rp 5,016,000
9 Heki Akbar 01-5-89-04 27 Edelweis 3 Strictur Uretra+HBSAG (+) Strictur Uretra+HBSAG (+) Uretroscopy B SP Dr. Indra BPJS Rp 3,196,000
4/6/2021 10 Alimin 01-06-02-5 66 Edelweis 3 BPH+Batu Buli BPH+Batu Buli SA B SP Dr. Afdal BPJS Rp 4,366,000
11 Waginem 01-05-95-50 55 Flamboyan 2 Retensi Urine Retensi Urine Sistoscopy+Uretroscopy+Kalibrasi KH SP Dr. Zuhirman BPJS Rp 9,718,000
12 Marsita 01-05-88-55 42 Edelweis 3 Karunkle (S)+HN Karunkle (S)+HN URS+Lithotripsi+Uretroscopy+Kalibrasi KH SP Dr. Zuhirman BPJS Rp 19,880,000
13 Martini 01-05-99-92 36 Edelweis 3 Batu Ureter+HN Batu Ureter+HN URS KH SP Dr. Zuhirman BPJS Rp 5,016,000
4/7/2021 14 Juri 01-05-63-23 58 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS Rp 6,522,000
15 Padin 01-05-92-82 56 Edelweis 3 Tumor Penis Tumor Penis Total Penectomy KH SP Dr. Adan BPJS Rp 7,692,000
16 Hendry Susila 01-05-83-36 49 Edelweis 3 Tumor Ginjal Tumor Ginjal Laparatomy Biopsi B ET Dr. Indra BPJS Rp 5,146,000
4/8/2021 17 Sukaisi 01-06-04-56 47 Flamboyan 2 HN + Batu Ureter HN + Batu Ureter URS+Uretrolisis KH SP Dr. Zuhirman BPJS Rp 10,032,000
18 Sofyan 01-06-03-97 54 Gardenia 1 Tumor Buli Tumor Buli Evacuasi Blood Cloth KH SP Dr. Zuhirman BPJS Rp 17,074,000
19 Lomsari Pohan 01-06-02-37 72 Edelweis 3 Ca. Buli Ca. Buli Sistoscopy S SP Dr. Zuhirman Umum Rp 3,326,000
20 Banak 01-06-04-20 58 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy + TURP KH SP Dr. Zuhirman BPJS Rp 8,602,000
4/12/2021 21 Syamsul 99-18-38 28 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS Rp 6,522,000
22 Rosnawati 01-04-21-67 55 Edelweis 3 Dj Stent Insitu Dj Stent Insitu URS+Reinsersi Dj Stent KH SP Dr. Indra+dr. Adan BPJS Rp 9,902,000
23 Suniwati 01-05-89-03 46 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS Rp 6,522,000
24 Berlima Nduru 01-05-99-23 39 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina URS+Uretroscopy Diagnostik KH SP Dr. Indra BPJS Rp 8,212,000
4/13/2021 25 Budi Haryanto 01-06-06-62 51 Flamboyan 2 Tumor Buli Tumor Buli TURBT KH SP Dr. Afdal BPJS Rp 5,276,000
26 Amin 01-06-05-42 59 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Afdal JKSD PLLWN Rp 5,276,000
27 Inur 01-05-87-15 58 Edelweis 3 Retensi Urine Retensi Urine Uretrosistoscopy B SP Dr. Afdal BPJS Rp 3,196,000
4/14/2021 28 Ringkel Rico 01-06-05-19 29 Edelweis 3 Ca. Penis Ca. Penis Biopsi B SP Dr. Indra BPJS Rp 3,196,000
29 Khairul 01-05-77-54 46 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS Rp 6,522,000
30 Aseng 01-05-78-44 50 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS Rp 6,522,000
31 Wagenam 01-05-38-13 50 Edelweis 3 Batu Ginjal (D) Batu Ginjal (D) PCNL+URS+DJ Stent KH ET Dr. Indra+dr. Adan BPJS Rp 16,478,000
32 Jermia 01-06-01-88 60 Edelweis 3 Batu Staghorn Batu Staghorn PCNL+URS+DJ Stent KH ET Dr. Indra+dr. Adan BPJS Rp 16,478,000
33 Rusiana 01-05-67-32 55 Bougenvile1 1 Ca. Cx+Post Nefrostomy Ca. Cx+Post Nefrostomy Ganti Nefrostomy (S)+(D) S LA Dr. Indra+dr. Adan BPJS Rp 6,652,000
4/12/2021 34 Supriyanto 01-06-07-36 43 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Afdal BPJS Rp 3,196,000
35 Rubiah 01-05-96-74 48 Edelweis 3 HN+ Ca Cx HN+ Ca Cx Sistoscopy S KAP Dr. Zuhirman BPJS Rp 3,326,000
36 Ngatini 01-06-05-45 48 Edelweis 3 Retensi Urine Retensi Urine Sistoscopy + Uretroscpy+Kalibrasi' KH SP Dr. Zuhirman BPJS Rp 9,718,000
37 Tohom 01-05-99-83 52 Flamboyan 2 Nefolitiasis+HN Nefolitiasis+HN Nefrolititimy+Dj Stent KH ET Dr. Zuhirman BPJS Rp 11,722,000
4/16/2021 38 Rasdi Bin Matrusdi 94-08-04 49 Kenanga 3 Batu Ureter Batu Ureter Sache+Laser+Lithotripsi+Dj Stent KH SP Dr. Indra+dr. Adan BPJS Rp 19,674,000
39 Andriasnyah 01-06-06-66 11 Flamboyan 2 Hipospadia Hipospadia Uretroplasty KH ET Dr. Adan BPJS Rp 5,582,000
40 Pinem Elisabet 01-05-80-19 45 Tulip 2 Ca. Cx+HN Ca. Cx+HN Ganti Nefrostomy (S)+(D) S LA Dr. Indra+dr. Adan BPJS Rp 6,652,000
4/19/2021 41 Misni 01-06-01-64 46 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu URS/Lithotripsi+Aff Dj Stent KH KAP Dr. Indra BPJS Rp 8,602,000
42 Kariawan 01-06-7-44 55 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Indra BPJS Rp 3,196,000
43 M. Zaky 01-06-09-56 17 Bougenvile1 1 Varicocele Varicocele Ligasi Vena B SP Dr. Indra Umum Rp 4,236,000
4/20/2021 44 Ahmad Safawi 01-06-09-86 48 Gardenia 1 CRF+DJ Stent Bilateral CRF+DJ Stent Bilateral URS/Lithotripsi+Aff Dj Stent KH SP Dr. Afdal BPJS Rp 8,602,000
45 Syaifullah 01-06-10-14 53 Flamboyan 2 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Afdal BPJS Rp 5,276,000
46 Hiras Hutabarat 01-06-09-26 57 Edelweis 3 Tumor Buli Tumor Buli TURBT KH SP Dr. Afdal BPJS Rp 5,276,000
47 Mudji Diharjo 92-94-59 69 Gardenia 1 BPH+Batu Buli BPH+Batu Buli Lithotripsi+Sistolapaksi KH SP Dr. Indra+dr. Adan BPJS Rp 10,292,000
48 Toni Nainggolan 01-05-01-47 44 Edelweis 3 ILO+Meatal Stenosis ILO+Meatal Stenosis Open Sistostomy B LMA Dr. Indra BPJS Rp 4,236,000
4/21/2021 49 Maryam 01-06-10-68 67 Gardenia 1 Enkrunasi Dj Stent Enkrunasi Dj Stent URS/Lithotripsi+Aff Dj Stent KH SP Dr. Indra BPJS Rp 8,602,000
50 Feronika 01-05-85-04 20 Edelweis 3 Enkrunasi Dj Stent Enkrunasi Dj Stent URS/Lithotripsi+Aff Dj Stent+Vesicolitotripsi KH SP Dr. Indra+dr. Adan BPJS Rp 9,772,000
51 Edina Gulo 01-06-06-98 36 Flamboyan 2 HN (S)+Batu Ureter HN (S)+Batu Ureter URS/Lithotripsi+Aff Dj Stent KH SP Dr. Adan BPJS Rp 10,292,000
52 Zainudin 01-05-94-69 64 Edelweis 3 Vesicolitiasis Vesicolitiasis Vesicolitotripsi+TURP+Sache KH SP Dr. Indra+dr. Adan BPJS Rp 14,528,000
53 Berliana Nduru 01-05-99-23 39 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina URS+PSOAS KH SP Dr. Indra+dr. Adan BPJS Rp 10,422,000
4/22/2021 54 Junedi 01-06-08-61 38 Edelweis 3 Batu Ureter (D) Batu Ureter (D) URS+Laser KH SP Dr. Zuhirman BPJS Rp 10,552,000
55 Sarimi 48-43-69 40 Edelweis 3 Batu Ureter (S) Batu Ureter (S) URS+Ureterolisis KH SP Dr. Zuhirman BPJS Rp 10,032,000
56 Dewi 01-03-95-49 42 Edelweis 3 Retensi Urine Retensi Urine Uretroscopy+Kalibrasi+Sistoscopy KH SP Dr. Zuhirman BPJS Rp 9,718,000
4/23/2021 57 Juniar Nainggolan 01-04-73-34 45 Kenanga 3 Vesicolitiasis+BPH+Ulkus DM Vesicolitiasis+BPH+Ulkus DM Litotripsi Laser+TURP+Debridemant KH SP Dr. Adan+dr. Kisman BPJS Rp 14,062,000
4/26/2021 58 Nono Darsono 93-10-86 47 Edelweis 3 Dj Stent Insitu Dj Stent Insitu URS/Lithotripsi+Aff Dj Stent S KAP Dr. Indra BPJS Rp 8,212,000
59 Azhari Andriandy 92-23-91 56 Flamboyan 2 BNC BNC TURBN KH SP Dr. Indra BPJS Rp 6,836,000
60 Quzaifah 01-05-96-97 34 Edelweis 3 Ruptur Uretra Ruptur Uretra Open Sistostomy+Uretroscopy Diagnostik KH SP Dr. Indra+dr. Adan BPJS Rp 7,432,000
61 Jariaman Purba 01-02-14-48 52 Edelweis 3 Neghleted Dj Stent (D) Neghleted Dj Stent (D) URS+Laser+PCNL KH SP Dr. Indra+dr. Adan JKSD SIAK Rp 11,982,000
4/28/2021 62 Diran Mamat 01-03-06-59 66 Gardenia 1 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS Rp 3,196,000
63 David Leo 01-05-35-76 18 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS Rp 3,196,000
64 Padil Liyus 98-14-03 51 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS Rp 3,196,000
65 Rahmani Eka 01-03-57-52 43 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS Rp 3,196,000
66 Tukiran 01-06-14-37 69 Edelweis 3 BPH+Batu Buli BPH+Batu Buli TURP+Lithotripsi KH SP Dr. Indra+dr. Adan JKSD KAMPAR Rp 10,422,000
67 Po Jong 01-06-12-35 57 Mawar 2 Ca. Cx+HN Ca. Cx+HN URS+Dilatasi+Dj Stent KH SP Dr. Indra BPJS Rp 13,098,000
68 Netiani Simamora 01-06-11-02 34 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina Uretroplasty+Uretroscopy KH SP Dr. Indra+dr. Adan BPJS Rp 7,042,000
4/29/2021 69 Nasrul 01-06-15-37 30 Edelweis 3 Batu Ureter Batu Ureter URS+Dilatasi KH SP Dr. Zuhirman BPJS Rp 8,212,000
70 Zulfahmi 01-06-15-52 59 Edelweis 3 Batu Ureter Batu Ureter URS+Laser+Lithotripsi KH SP Dr. Zuhirman BPJS Rp 15,698,000
TOTAL 70 Rp 571,656,000
BEDAH SARAF
4/1/2021 1 Dzihni Shalsabila 01-05-21-10 11 Edelweis 3 Tumor Cerebri Tumor Cerebri Craniotomy+Rekonstruksi KH ET Dr. Andre BPJS Rp 34,352,000
4/5/2021 2 Ghina Inayah 99-97-00 3 Edelweis 3 MM Lumbal MM Lumbal Laminectomy+Bedah MIkro KH ET Dr. Tondi BPJS Rp 19,012,000
4/8/2021 3 Nur Alisyah 01-00-86-63 2.5 Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre BPJS Rp 24,212,000
4/13/2021 4 Dendi Pradana 01-05-20-58 11 Flamboyan 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS Rp 18,232,000
5 Devi Candra 01-03-99-19 29 Edelweis 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS Rp 18,232,000
4/14/2021 6 Denora 01-05-96-58 29 Flamboyan 3 SOL SOL Craniotomy+Rekonstruksi KH ET Dr. Gatot BPJS Rp 32,922,000
4/15/2021 7 M. Daut 01-05-95-98 40 Edelweis 3 Fibroma Displasi Fibroma Displasi Craniotomy+Rekonstruksi KH ET Dr. Andre BPJS Rp 29,542,000
4/19/2021 8 Elida Royati 01-06-06-06 42 Gardenia 1 SOL SOL Craniotomy+Rekonstruksi KH ET Dr. Tondi BPJS Rp 32,922,000
4/20/2021 9 Dona Erika 88-12-70 20 Edelweis 3 Soft Tissu Tumor Soft Tissu Tumor Eksisi+Rekonstruksi KH ET Dr. Andre BPJS Rp 15,778,000
4/22/2021 10 Laura Santika 01-06-08-71 4 Bln Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre JKSD BKLS Rp 24,212,000
4/26/2021 11 Samsirizal 01-04-45-81 28 Edelweis 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS Rp 13,406,000
4/27/2021 12 Soviah 01-5-95-79 50 Edelweis 3 Adenoma Hipofise Adenoma Hipofise Endoscopy Craniotomy KH ET Dr. Andre BPJS Rp 13,406,000
4/28/2021 13 Aida 01-05-76-82 55 Bougenvile1 1 Meningioma Meningioma Craniotomy+Rekonstruksi KH ET Dr. Gatot BPJS Rp 32,922,000
TOTAL 13 Rp 309,150,000
BEDAH DIGESTIF
4/1/2021 1 Katirah 01-06-00-57 65 Edelweis 3 Abces Mesentrium Abces Mesentrium Laparatomy Drain KH ET dr. Taufik BPJS Rp 5,192,000
4/9/2021 2 Syambiar 01-06-00-06 72 Flamboyan 2 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Agus BPJS Rp 5,850,000
4/12/2021 3 Yenni Lucia 72-37-15 62 Bougenvile1 1 TIA TIA Laparatomy Biopsi KH ET Dr. Suindra BPJS Rp 5,192,000
4/13/2021 4 Ronni Defitri 01-06-00-07 46 Gardenia 1 Cholelitiasis Cholelitiasis Laparascopy Cholecystectomy KH ET Dr. Agus BPJS Rp 7,156,000
4/15/2021 5 Parlindungan 01-05-90-49 49 Flamboyan 2 Kista Hepar Kista Hepar LE+Hepatectomy KH ET dr. Taufik BPJS Rp 12,204,000
4/20/2021 6 Tagor Siburian 01-06-0-73 57 Flamboyan 2 Gastric Outlet Obstruksi Gastric Outlet Obstruksi LE+By Pass KH ET Dr. Suindra BPJS Rp 14,942,000
7 Berliana Lumban 99-20-96 55 Edelweis 3 Ca. Recti Ca. Recti Permanent Colostomy B ET Dr. Suindra BPJS Rp 4,932,000
8 Rimbunita Silitonga 92-48-76 42 Edelweis 3 Cholelitiasis+B20 Cholelitiasis+B20 Cholecystectomy KH ET Dr. Suindra BPJS Rp 5,850,000
4/22/2021 9 Arbaiyah 01-05-87-52 24 Edelweis 3 Post LE+Colostomy Post LE+Colostomy Repair+Debridemant+Heacting B ET dr. Taufik BPJS Rp 6,776,000
10 Indra Jefri 01-06-04-90 48 Edelweis 3 Ulkus Decubitus Ulkus Decubitus Colostomy B ET dr. Taufik BPJS Rp 5,712,000
4/27/2021 11 Aung 11-01-17 60 Edelweis 3 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Suindra BPJS Rp 5,850,000
12 Hilda 74-83-07 41 Bougenvile1 1 Cholelitiasis+Batu CBD Cholelitiasis+Batu CBD Cholecystectomy+Explor CBD KH ET Dr. Suindra BPJS Rp 9,750,000
13 Gafur 55-19-13 34 Gardenia 1 Cholelitiasis Cholelitiasis Laparascopy Cholecystectomy KH ET Dr. Agus BPJS Rp 7,156,000
4/29/2021 14 Dasrik 01-05-23-12 57 Edelweis 3 Ca. Recti Ca. Recti MILES KH ET Dr. Agus BPJS Rp 11,050,000
4/30/2021 15 Siti Komaria 01-06-03-65 36 Edelweis 3 Appendic Infiltrat Appendic Infiltrat Laparatomy KH ET dr. Dardis BPJS Rp 6,825,000
TOTAL 15 Rp 114,437,000 #REF!

BEDAH ANAK
4/6/2021 1 Alif Al Ghazani 01-06-03-90 24 Hr IPN 2 Atresia Ani Atresia Ani LE KH ET Dr. Ismar BPJS Rp 6,232,000
2 Insan Rohman 01-05-99-97 1 Bln Edelweis 3 HIL (S) HIL (S) Herniotomy B ET Dr. Ismar BPJS Rp 4,022,000
3 Siti Nurhalita 91-60-02 4 Edelweis 3 Mesh Expose Mesh Expose Debridemant+Heacting B ET Dr. Ismar BPJS Rp 5,712,000
4 Rafqi Ramadhan 01-06-00-25 10 Edelweis 3 Hipospadia Hipospadia Uretroplasty KH ET Dr. Ismar BPJS Rp 5,852,000
4/7/2021 5 Nawra Sadiya 01-05-41-85 4 Bln Edelweis 3 Atresia Ani Atresia Ani LE+Adesiolisis+Reseksi KH ET Dr. Odih BPJS Rp 18,306,000
6 Qaidu Bazil 01-06-00-90 4 Edelweis 3 HIL (D) HIL (D) Herniotomy B ET Dr. Odih BPJS Rp 4,022,000
4/9/2021 7 By. Dessi 01-06-04-84 7 Hr IPN 2 Urackel Urackel LE+Adesiolisis KH ET Dr. Odih BPJS Rp 12,984,000
4/12/2021 8 Raban Nadim 01-05-96-5710 Bln Edelweis 3 Limpadenopaty Limpadenopaty Injeksi Fenodenol KH ET Dr. Odih BPJS Rp 5,590,000
4/13/2021 9 Kanaya 01-05-29-68 5 Bln Edelweis 3 MAR MAR Anoplasty KH ET Dr. Ismar BPJS Rp 6,492,000
4/15/2021 10 Rayyan 01-05-82-17 8 Bln Bougenvile1 1 Abces Leher+Phimosis Abces Leher+Phimosis Insisi+Sirkumsisi B ET Dr. Odih BPJS Rp 7,264,000
4/16/2021 11 Syauqi Jafits 01-06-05-29 8 Flamboyan 2 UDT+Phimosis UDT+Phimosis Orchidopexy+Sirkumsisi B ET Dr. Odih BPJS Rp 8,304,000
4/20/2021 12 Yasmin Banafsha 01-06-10-1710 Bln Gardenia 1 Tong Tie Tong Tie Release B ET Dr. Ismar BPJS Rp 2,982,000
4/21/2021 13 Pater Makarius 01-06-10-62 4 Edelweis 3 Hernia (D)+Phimosis Hernia (D)+Phimosis Herniotomy+Sirkumsisi B ET Dr. Odih BPJS Rp 7,264,000
14 Danendra Syazwan 01-05-56-26 4 Bln Edelweis 3 Atresia Ani Atresia Ani PSARP+Tutup Fistel KH ET Dr. Odih BPJS Rp 15,062,000
4/23/2021 15 By. Hanna 01-06-07-87 14 Hr IPN 2 Wound Infection Wound Infection Debridemant+Repair Luka B LA Dr. Odih BPJS Rp 5,590,000
4/27/2021 16 M. Varga 01-04-46-67 12 Gardenia 1 Inverted Colon Inverted Colon Pulltrought KH ET Dr. Ismar BPJS Rp 14,162,000
4/28/2021 17 Abdul Rahman 01-01-61-35 2 Edelweis 3 Limpangioma Limpangioma Wide Eksisi+Flap KH ET Dr. Odih BPJS Rp 15,982,000
18 Ade Ariansyah 01-05-63-60 2 Edelweis 3 Atresia Ani Atresia Ani LE+Reseksi+Pulltrought+Anoplasty KH ET Dr. Odih BPJS Rp 26,452,000
TOTAL 18 Rp 172,274,000 #REF!

BEDAH GIGI & MULUT

1
2
3
4
5
6
TOTAL 0 Rp - #REF!
BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -
ONKOLOGI
Tanggal NO NAMA MEDREK USIA RUANG KELAS DIAGNOSA PRE DIAGNOSA POST TINDAKAN ANESTESI KET BIAYA OPERASI
4/1/2021 1 Mei Helni 01-02-21-92 33 Flamboyan 2 Limpadenopaty Limpadenopaty Eksisi Biopsi KH ET Dr. Elfadri BPJS Rp 14,942,000
2 Zulnilis 01-04-77-77 49 Gardenia 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
3 Okta Fitrya 01-05-92-73 44 Bougenvile1 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
4 Asmadi 01-05-45-18 48 Dahlia 3 Sqmous Cell Ca Axila (S) Sqmous Cell Ca Axila (S) Forequarter Amputasi KH ET Dr. Effif BPJS Rp 12,366,000
4/5/2021 5 Ningsih 01-03-24-40 45 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
4/6/2021 6 Musdalifah 01-05-93-36 52 Dahlia 3 Struma Struma Total Tyroidectomy KH ET Dr. Fatar BPJS Rp 14,942,000
7 Ahmad Yakin 01-05-82-04 49 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy KH ET Dr. Fatar BPJS Rp 17,282,000
8 Al Maymunah 01-05-86-11 24 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) Eksisi B ET Dr. Fatar BPJS Rp 7,402,000
9 Erni Wati 01-05-46-87 47 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi+Biopsi KH ET Dr. Elfadri BPJS Rp 25,720,000
4/9/2021 10 Arman Saparibu 01-05-91-81 36 Flamboyan 2 Sqmous Cell Ca Sqmous Cell Ca Eksisi Biopsi B ET Dr. Fatar BPJS Rp 4,936,000
11 Gemi Astuti 01-04-62-39 54 Dahlia 3 Struma Struma Total Tyroidectomy KH ET Dr. Fatar BPJS Rp 14,942,000
12 Fitri Andriyani 01-05-89-97 29 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Fatar BPJS Rp 12,782,000
13 Yatini 01-05-24-81 53 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
4/12/2021 14 Siti Sahawa 76-49-24 50 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
15 Masdelianti 01-04-60-85 42 Gardenia 1 Tumor Mamae (D) Tumor Mamae (D) FC+Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
4/13/2021 16 Yenni Cicilia 01-05-13-31 54 Gardenia 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
17 Rinni Susanti 01-05-75-32 43 Dahlia 3 Ca. Lidah Ca. Lidah RND KH ET Dr. Fatar BPJS Rp 22,742,000
18 Mardiana 01-04-44-50 53 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS Rp 25,334,000
19 Ristinalia 01-05-99-94 31 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Fatar BPJS Rp 12,782,000
4/12/2021 20 Salsabila 01-05-99-03 17 Dahlia 3 Struma Struma FC+Total Tyroidectomy+RND KH ET Dr. Effif BPJS Rp 52,626,000
4/16/2021 21 Atilina Hulu 01-05-75-34 60 Flamboyan 2 Tumor Axila + Colly Tumor Axila + Colly Eksisi Tumor Multiple KH ET Dr. Fatar BPJS Rp 14,942,000
22 Rusnani 52-06-43 51 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS Rp 25,334,000
23 Sarijem 01-05-31-40 48 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS Rp 25,334,000
4/19/2021 24 Elly Artina 77-96-76 44 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) FC+Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
4/20/2021 25 M. Azizul 01-06-02-30 13 Dahlia 3 Soft Tissu Tumor Cruris (S) Soft Tissu Tumor Cruris (S) Wide Eksisi KH ET Dr. Fatar BPJS Rp 10,392,000
26 Marcya 01-05-89-55 13 Dahlia 3 Tumor Mandibula (S) Tumor Mandibula (S) Wide Eksisi KH ET Dr. Fatar BPJS Rp 10,392,000
27 Watini 01-05-76-32 42 Dahlia 3 Pyloides (S) Pyloides (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
4/22/2021 28 Kerli Lince 01-01-37-60 44 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
29 Gatot Prasetya 75-67-52 31 Bougenvile1 1 Struma Struma FC+Total Tyroidectomy+RND KH ET Dr. Effif BPJS Rp 52,626,000
30 Asmar Yani 01-05-41-55 35 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
4/23/2021 31 Lilis Magdalena 01-05-69-58 38 Dahlia 3 Post Mastectomy Post Mastectomy STSG KH ET Dr. Fatar BPJS Rp 10,392,000
32 Asnita 01-05-70-20 56 Flamboyan 2 Ca. Lidah Ca. Lidah Hemiglosectomy+RND KH ET Dr. Fatar BPJS Rp 37,684,000
33 Nurhayati 01-05-85-01 66 Dahlia 3 Ca. Tyroid Ca. Tyroid Total Tyroidectomy KH ET Dr. Fatar BPJS Rp 14,942,000
4/26/2021 34 Edriati Baharudin 96-95-17 52 Flamboyan 2 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 33,134,000
35 Yufia Melda 01-04-74-70 43 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 25,334,000
36 Riko Rizki 92-73-43 39 Gardenia 1 Struma Struma FC+Ismolobectomy+Total Tyroidectomy KH ET Dr. Effif BPJS Rp 29,884,000
37 Hernimawati 01-06-00-28 37 Dahlia 3 Parget Disease (S) Parget Disease (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
4/27/2021 38 Deska Putri 78-83-12 34 Flamboyan 2 Tumor Mamae (D) Tumor Mamae (D) Eksisi B ET Dr. Elfadri BPJS Rp 7,402,000
39 Johanes 01-06-09-89 52 Dahlia 3 Tumor Colly Tumor Colly Eksisi Biopsi KH ET Dr. Elfadri JKSD SIAK Rp 14,942,000
40 Yoga rafael 01-01-95-45 4 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy KH ET Dr. Fatar BPJS Rp 17,282,000
41 Chairul 01-0-85-57 72 Flamboyan 2 Sqmous Cell Ca Sqmous Cell Ca Marginal Mandibulectomy+Wide Eksisi KH ET Dr. Fatar BPJS Rp 33,134,000
42 Tuminem 01-06-05-75 57 Dahlia 3 Sqmous Cell Ca Sqmous Cell Ca Wide Eksisi KH SP Dr. Fatar BPJS Rp 10,392,000
4/29/2021 43 Leli Marlina 98-40-02 40 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 25,334,000
44 Wulandari 01-03-71-10 25 Dahlia 3 Ca. Tyroid Ca. Tyroid Total Tyroidectomy KH ET Dr. Effif BPJS Rp 14,942,000
4/30/2021 45 Jupriadi 91-25-82 46 Dahlia 3 Soft Tissu Tumor Soft Tissu Tumor Eksisi KH ET Dr. Fatar BPJS Rp 10,392,000
46 Sutoyo 01-06-10-60 45 Dahlia 3 Higroma Colly Higroma Colly Eksisi KH ET Dr. Fatar BPJS Rp 14,942,000
47 Hetty Hellyana 01-02-35-57 45 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) Eksisi B ET Dr. Fatar BPJS Rp 7,402,000
47 Rp 989,360,000
4/1/2021 1 Halimah 01-05-99-22 66 Poli 2 Tumor Mamae (D) Tumor Mamae (D) Biopsi Insisi S LA Dr. Effif BPJS Rp 3,082,000
2 Daffa Akmal 01-05-98-20 19 Poli 2 Ca. Lidah Ca. Lidah Biopsi Insisi S LA Dr. Effif BPJS Rp 3,082,000
4/5/2021 3 Sri Haryati 01-05-99-76 61 Poli 2 Tumor Mamae (D) Tumor Mamae (D) Biopsi Insisi S LA Dr. Effif BPJS Rp 3,082,000
4/6/2021 4 Siti Ngatirah 01-0-98-16 38 Poli 2 Tumor Orbita Tumor Orbita Biopsi Insisi S LA Dr. Fatar BPJS Rp 3,082,000
4/9/2021 5 Sulaini 01-05-95-68 54 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi S LA Dr. Fatar BPJS Rp 3,082,000
4/19/2021 6 Susandralena 01-03-15-29 40 Poli 2 Soft Tissu Tumor Soft Tissu Tumor Biopsi Insisi S LA Dr. Elfadri BPJS Rp 3,082,000
4/20/2021 7 Brontak 01-05-97-00 62 Dahlia 3 Tumor Inguinal Tumor Inguinal Biopsi Insisi S LA Dr. Fatar BPJS Rp 3,082,000
4/26/2021 8 Hasuandi 01-06-13-36 44 Poli 2 Sqmous Cell Ca Sqmous Cell Ca Biopsi Insisi S LA Dr. Elfadri BPJS Rp 3,082,000
4/27/2021 9 Neng Pipit 01-06-12-22 42 Poli 2 Soft Tissu Tumor Soft Tissu Tumor Biopsi Insisi S LA Dr. Fatar BPJS Rp 3,082,000
9 Rp 27,738,000
TOTAL 56 Rp1,017,098,000
BEDAH UMUM
TANGGAL NO NAMA MEDREK USIA RUANG KELAS DIAGNOSA PRE DIAGNOSA POST TINDAKAN ANESTESI KET
4/6/2021 1 Sastiawan 01-05-95-48 25 Edelweis 3 Papiloma+B20 Papiloma+B20 Eksisi S SP dr. Agus BPJS Rp 4,106,000
4/14/2021 2 Salim 01-06-04-87 46 Flamboyan 2 Gangren DM Pedis (D) Gangren DM Pedis (D) Debridemant B SP dr. Ramzi BPJS Rp 6,776,000
4/15/2021 3 Hasbi Abdullah 01-06-03-44 59 Dahlia 3 Gangren DM Palank Manus (S) Gangren DM Palank Manus (S) Debridemant B ET dr. Ramzi BPJS Rp 6,776,000
4/16/2021 4 M.A.D Putra 94-040-14 62 Kenanga 3 Gangren Pelvis+Scrotum Gangren Pelvis+Scrotum Nekrotomy B ET dr. Dardis BPJS Rp 6,646,000
4/19/2021 5 Dila Mustika 01-06-09-46 31 Edelweis 3 Tumor Colly Tumor Colly Eksisi B ET dr. Ismar JKSD SIAK Rp 4,542,000
4/27/2021 6 Nematullah 01-05-89-63 34 Flamboyan 2 Soft Tissu Tumor Soft Tissu Tumor Eksisi B ET dr. Suindra IOM Rp 2,852,000
6 Rp 31,698,000
4/13/2021 1 Febri Eko 01-06-07-62 27 Poli 2 Paronechia Paronechia Eksisi S LA Dr. Kisman BPJS Rp 1,942,000
1 Rp 1,942,000
TOTAL 7 Rp 33,640,000
BEDAH THORAX, CARDIO, VASKULAR

4/16/2021 1 Adlinsyah Rowi 61-47-99 73 Gardenia 1 CKD on HD CKD on HD AV Graft B ET Dr. Ramzi BPJS Rp 4,615,000
1 Rp 4,615,000
4/9/2021 1 Chairul 96-93-81 50 Dahlia 3 CKD on HD CKD on HD Av Shunt B LA Dr. Ramzi BPJS Rp 4,615,000
4/16/2021 2 Martina 01-05-91-99 70 Gardenia 1 LNH LNH Kemoport B LA Dr. Ramzi BPJS Rp 4,615,000
4/20/2021 3 Chairul 96-93-81 47 Dahlia 3 CKD on HD CKD on HD CDL B LA Dr. Ramzi BPJS Rp 4,615,000
4/21/2021 4 Waridun 01-01-98-11 61 Dahlia 3 CKD on HD CKD on HD Reseksi+Ligasi B LA Dr. Ramzi BPJS Rp 5,395,000
4/23/2021 5 Rahmad 01-05-98-15 65 Flamboyan 2 LNH LNH Kemoport B LA Dr. Ramzi BPJS Rp 4,615,000
4/30/2021 6 Rosnidar 01-06-08-75 55 Dahlia 3 CKD on HD CKD on HD CDL B LA Dr. Ramzi BPJS Rp 3,372,000
6 Rp27227000.000
TOTAL 7 Rp 31,842,000
BEDAH PLASTIK
4/1/2021 1 Afni Anggraini 01-04-01-56 1 Dahlia 3 Sindactily Sindactily Release KH ET dr. Fakhrul BPJS Rp 18,995,000
2 Ego Dwansyah 94-24-44 25 Gardenia 1 Defect Achiles Defect Achiles Revisi Flap KH SP dr. Fakhrul BPJS Rp 18,995,000
4/5/2021 3 Feriaman Gulo 01-06-00-79 18 Dahlia 3 Electric Burn Electric Burn Debridemant B ET dr. Fakhrul BPJS Rp 5,590,000
4 Nurul Hikmah 01-05-84-08 16 Dahlia 3 Electric Burn Electric Burn STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
5 Sasminita 01-05-84-07 20 Dahlia 3 Electric Burn Electric Burn STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
4/7/2021 6 Isabella Eva 96-54-90 8 Dahlia 3 Kontraktur Axila (D) Kontraktur Axila (D) Release+STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
7 Mona Parhusip 01-06-01-73 57 Dahlia 3 Open # Zygoma + Maxila Open # Zygoma + Maxila Rekonstruksi KH ET Dr. Mulyadi BPJS Rp 25,902,000
4/8/2021 8 Remon 01-05-94-85 50 Flamboyan 2 Fournier Gangren Fournier Gangren STSG KH ET dr. Fakhrul Umum Rp 18,995,000
9 Hanter 01-05-92-62 28 Flamboyan 2 Post Revaskularisasi Post Revaskularisasi STSG KH ET Dr. Mulyadi BPJS Rp 18,995,000
4/9/2021 10 Edy Suyono 01-06-05-52 35 Dahlia 3 Combustio Combustio Debridemant B ET dr. Kuswan BPJS Rp 8,027,000
4/12/2021 11 Bayu Manulang 01-06-04-82 11 Flamboyan 2 # Mandibula+Skin Loss # Mandibula+Skin Loss ORIF+Debridemant+STSG KH ET dr. Kuswan BPJS Rp 25,902,000
12 Ego Dwansyah 94-29-44 24 Gardenia 1 Post Flap Cruris (S) Post Flap Cruris (S) STSGS KH SP dr. Fakhrul BPJS Rp 18,995,000
13 Marfauziah 01-05-50-73 48 Gardenia 1 Post Flap Post Flap Revisi Flap KH SP dr. Fakhrul BPJS Rp 18,995,000
14 Azizah Rahmadani 01-05-44-3211 Bln Dahlia 3 Hemangioma Hemangioma Eksisi+Jahit KH ET Dr. Mulyadi JKSD SIAK Rp 11,602,000
4/12/2021 15 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss Debridemant B ET dr. Kuswan BPJS Rp 8,027,000
16 Indra Jefri 01-06-04-90 49 Dahlia 3 Decubitus Decubitus Debridemant B ET dr. Kuswan BPJS Rp 8,027,000
4/19/2021 17 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss STSG KH ET dr. Kuswan BPJS Rp 18,995,000
18 M. Arifin 01-06-00-69 20 Dahlia 3 # Maxila # Maxila Rekonstruksi KH NT Dr. Mulyadi JKSD KAMPAR Rp 25,902,000
4/20/2021 19 Yogi Hamzah 01-02-30-37 18 Dahlia 3 Ulkus Decubitus Gluteus Ulkus Decubitus Gluteus Flap KH SP dr. Fakhrul BPJS Rp 18,995,000
21 Hendri 01-06-11-29 28 Dahlia 3 Elektric Burn Elektric Burn STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
22 Nurul Hikmah 01-05-84-08 16 Dahlia 3 Elektric Burn Elektric Burn STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
4/22/2021 23 Daffa Ihsanul 01-05-65-91 6 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Free ALT Flap+Mikro KH ET dr. Fakhrul+dr.Mulyadi BPJS Rp 51,804,000
4/23/2021 24 Haris Irawan 01-06-08-59 18 Dahlia 3 Post FE Tibia (S) Post FE Tibia (S) Debridemant+STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
26 Padin 01-05-92-82 11 Dahlia 3 Raw Surface ec Tumor Penis Raw Surface ec Tumor Penis STSG KH ET dr. Fakhrul BPJS Rp 18,995,000
27 Hanter Bantara 01-05-92-62 26 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Debridemant B SP Dr. Mulyadi BPJS Rp 5,590,000
4/28/2021 28 Daffa Ihsanul 01-05-65-91 6 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Free ALT Flap+Mikro KH ET dr. Fakhrul+dr.Mulyadi+dr. BPJS Rp 77,706,000
4/29/2021 29 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Post STSG Post STSG Debridemant B ET dr. Kuswan BPJS Rp 5,590,000
30 Zammi Supaindra 01-05-80-33 9 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy+Orbitotomy+Free ALT+Mikro+Graft KH ET dr. Effif+dr.Bagus+Dr.Mulya BPJS Rp 103,299,000 77706000
TOTAL 30 Rp 685,883,000
BEDAH KEPALA LEHER

1
TOTAL 0 Rp -
BEDAH MATA
TANGGAL NO RUANG KELAS DIAGNOSA PRE DIAGNOSA POST TINDAKAN ANESTESI KET BIAYA OPERASI
1
0 Rp -
1
0 Rp -
TOTAL 0 Rp -
TOTAL KESELURUHAN PASIEN 277 Orang Rp 3,667,715,079

Pekanbaru, 2021
Kepala Ruangan GBST LT. III
Instalasi Bedah Sentral
Ns. Sarika Dewi, S. Kep

NIP. 19811205 200903 2 002
ARIFIN ACHMAD KAMAR OPERASI I

4/1/2021 1 Wirdayani 90-38-76 53 Gardenia 1 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS 4 Rp 38,268,000
2 Sarniwati 01-05-72-17 66 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.2 Rp 8,596,000
3 Asril 01-05-92-49 57 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.2 Rp 8,596,000
4/5/2021 4 Ruslan Edy 01-05-97-78 48 Edelweis 3 # Pelvis # Pelvis ORIF KH ET Dr. Ihsan BPJS 2.5 Rp 16,412,000
5 Aslinar 01-05-97-03 63 Gardenia 1 Dislokasi HIP (D) Dislokasi HIP (D) Revisi KH SP Dr. Ihsan BPJS 3 Rp 15,876,000
4/6/2021 6 Muhamad Kevin 01-05-99-13 23 Edelweis 3 PBT Humerus (S) PBT Humerus (S) Inj Steroid KH ET dr. Rangga BPJS 1 Rp 7,946,000
7 M. Fadlan 01-03-08-87 1.4 Edelweis 3 CTEV D/S CTEV D/S Release KH ET Dr. Arnadi JKSD SIAK 1.5 Rp 13,536,000
8 Wawan Purwana 91-10-62 55 Edelweis 3 # Distal Radius (D) # Distal Radius (D) ORIF KH ET Dr. Arnadi BPJS 1.5 Rp 6,776,000
4/7/2021 9 Faiqah Al Zahra 01-06-00-82 8 Edelweis 3 # Colum Femur (S) # Colum Femur (S) ORIF KH ET Dr. Arnadi BPJS 2 Rp 8,466,000
10 Fazrina Humaira 01-05-49-56 5 Edelweis 3 Synovitis Knee Synovitis Knee Synovectomy KH ET Dr. Arnadi JKSD SIAK 1.5 Rp 7,296,000
11 Rizka Aulia 01-03-26-14 25 Gardenia 1 Union # Clavicula (D) Union # Clavicula (D) Remove Implant B ET Dr. Arnadi BPJS 1 Rp 6,776,000
4/8/2021 12 Meriah 96-74-95 80 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
13 Ruslinda 01-05-84-83 53 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
14 Harry Fadilah 01-05-27-49 58 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
15 Jefri 01-05-59-88 35 Edelweis 3 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS 4 Rp 27,072,000
4/9/2021 16 Jasmadi 01-05-80-47 42 Edelweis 3 Non Union # TF (S) Non Union # TF (S) ORIF+Bone Graft KH SP dr. Eko BPJS 2 Rp 16,932,000
17 Darwati 01-05-77-97 44 Edelweis 3 Post ORIF Elbow (S) Post ORIF Elbow (S) Buka Wire B ET dr. Eko BPJS 1 Rp 6,776,000
18 Sunidar 01-01-57-65 55 Gardenia 1 Bilateral Duquarvain Bilateral Duquarvain Release KH ET dr. Eko BPJS 1 Rp 7,296,000
4/12/2021 19 Sugiono 01-03-28-43 57 Flamboyan 2 Union # MC Digiti V (D) Union # MC Digiti V (D) Remove Implant B ET Dr. Ihsan BPJS 1 Rp 5,216,000
4/12/2021 20 Ego Dwansyah 94-29-44 24 Gardenia 1 Post Flap Cruris (S) Post Flap Cruris (S) STSGS KH SP dr. Fakhrul BPJS 3 Rp 18,995,000
4/13/2021 21 Nessa Febria 01-05-96-46 18 Flamboyan 2 PBT Prox Humerus (D) PBT Prox Humerus (D) Core Biopsi + C Arm KH ET dr. Rangga BPJS 1.5 Rp 7,946,000
22 Netty Oktavia 87-99-11 45 Edelweis 3 Osteomilitis Elbow (D) Osteomilitis Elbow (D) Debridemant KH ET dr. Rangga BPJS 1.5 Rp 8,466,000
4/13/2021 23 Febri Eko 01-06-07-62 27 Poli 2 Paronechia Paronechia Eksisi S LA Dr. Kisman BPJS 0.3 Rp 1,942,000
4/14/2021 24 Darmi Wati 01-06-06-38 52 Edelweis 3 # Neck Femur (D) # Neck Femur (D) Hemihip Artroplasty KH SP Dr. Arnadi BPJS 2.5 Rp 12,366,000
25 Dzakwan Aflah 01-02-01-59 16 Flamboyan 2 Union # Humerus (D) Union # Humerus (D) Remove Implant B ET Dr. Arnadi BPJS 1 Rp 6,776,000
4/12/2021 26 Lince 01-05-93-83 68 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
27 Indra Irawan 00-14-1-09 68 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
28 Budi Prasetyo 01-05-93-80 57 Flamboyan 2 Spondilitis TB Spondilitis TB Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS 4 Rp 27,072,000
4/13/2021 29 David Saputra 01-05-89-87 3 Flamboyan 2 Union # Digiti III Manus (S) Union # Digiti III Manus (S) Remove Implant B ET dr. Eko BPJS 1 Rp 6,776,000
30 Deni Ferlina 01-03-90-89 42 Edelweis 3 Implant Failur Tibia (D) Implant Failur Tibia (D) ORIF+Bone Graft+Repair Tendon KH ET dr. Eko BPJS 2.5 Rp 22,538,000
4/19/2021 31 Mei Pinta 78-09-29 42 Flamboyan 2 Neghleted Malunion # Prox Tibia (SNeghleted Malunion # Prox Tibia (STKR KH SP Dr. Ihsan BPJS 4 Rp 10,156,000
32 Zulham Bin Uzer 01-04-11-56 38 Edelweis 3 Modul Intradural Genu (D)+HBSAG Modul Intradural Genu (D)+HBSAG Atroscopy KH SP Dr. Ihsan BPJS 4 Rp 9,636,000
4/20/2021 33 Dones Sirumapea 01-0-40-60 23 Edelweis 3 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH SP dr. Rangga BPJS 2 Rp 9,636,000
34 Riski Maulana 01-0-40-77 26 Flamboyan 2 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH LMA dr. Rangga BPJS 2 Rp 9,636,000
4/21/2021 35 Rubiaty 11-16-75 62 Gardenia 1 # Femur Proximal (S) # Femur Proximal (S) Hemihip Artroplasty KH SP Dr. Arnadi BPJS 2 Rp 11,326,000
4/22/2021 36 Fahren 67-55-95 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
37 Yeldawati 01-06-09-61 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
38 Boy Manahan 61-97-46 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
39 Asmar Yani 01-05-41-55 35 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 3 Rp 25,334,000
4/23/2021 40 Nabila Mahrusah 01-06-12-91 22 Bougenvile1 1 MPFL Tear (S)+Meniscus MPFL Tear (S)+Meniscus Artroscopy KH SP dr. Romi BPJS 4 Rp 9,636,000
4/26/2021 41 Mukhtar 01-05-45-45 78 Edelweis 3 AVN Hip (D) AVN Hip (D) THR KH SP Dr. Ihsan BPJS 3.5 Rp 22,132,000
42 Sugimin 01-05-92-68 55 Edelweis 3 Post FE Tibia (S) Post FE Tibia (S) K-Nail + C- Arm KH SP Dr. Ihsan BPJS 2 Rp 23,708,000
4/27/2021 43 Iswandi 01-06-10-93 40 Flamboyan 2 # Clavicula (D) # Clavicula (D) Bone Reconstruksi KH ET dr. Rangga BPJS 2 Rp 9,636,000
44 Riski Maulana 01-0-40-77 26 Flamboyan 2 Osteomilitis Femur (S) Osteomilitis Femur (S) Bone Reconstruksi KH SP dr. Rangga BPJS 3 Rp 9,636,000
45 Nanda 01-06-13-07 17 Edelweis 3 Dislokasi HIP (D) Dislokasi HIP (D) Closed Reduction B ET dr. Romi Umum 1 Rp 7,946,000
4/28/2021 46 Albizar 01-06-15-13 15 Edelweis 3 Open # Tibia + Femur (D) Open # Tibia + Femur (D) Debri+Debridemant+ORIF KH SP Dr. Arnadi BPJS 3 Rp 31,654,000
47 Warsini 01-06-01-67 58 Edelweis 3 Non Union # TF (S) Non Union # TF (S) Osteotomy+Bone Graft KH SP Dr. Arnadi BPJS 2 Rp 19,272,000
4/29/2021 48 Azizah Azis 49-15-30 75 Gardenia 1 # Colum Femur (S) # Colum Femur (S) PROTESA KH SP Dr. Chairudin BPJS 2 Rp 11,326,000
49 Lince F Silaban 01-05-93-83 66 Flamboyan 2 HNP HNP Dekompresi+Laminectomy+Fusi+Instrumentasi KH ET Dr. Chairudin BPJS 4.5 Rp 38,269,079
4/30/2021 50 Gusniati 01-06-09-37 51 Edelweis 3 Meniscus Tear (D) Meniscus Tear (D) Artroscopy KH ET dr. Romi BPJS 2 Rp 8,466,000
TOTAL 50 93.1 Rp 650,886,079

ARIFIN ACHMAD BULAN : JANUARI 2019
KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
1/2/2019 1 Asmalia 72-37-40 63 Gardenia 1 Batu Ureter (S) Batu Ureter (S) Sistoscopy + Aff Dj Stent KH ET Dr. Adan BPJS Rp 7,500,000
2 Ujang Hamzah 01-00-37-45 74 Edelweis 3 Batu Buli + BPH Batu Buli + BPH Sistoscopy + TURP +Evacuasi Cloth KH SP Dr. Adan BPJS Rp 10,850,000
3 Rozali Nawawi 92-28-47 53 Edelweis 3 Batu Staghorn (S) Batu Staghorn (S) URS+PCNL+UKA+Nefrolitotomy KH ET Dr. Indra BPJS Rp 10,350,000
1/3/2019 4 Tengku Ahmad 99-97-04 51 Edelweis 3 Tumor Ginjal (S) Tumor Ginjal (S) Nefrectomy + Explorasi KH ET Dr. Zuhirman BPJS Rp 6,000,000
5 Rio Andika 01-00-44-66 11 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Rekon Penis+Chordectomy KH ET Dr. Zuhirman BPJS Rp 8,500,000
6 Sutrismanto 01-00-35-04 58 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy + TURP KH SP Dr. Zuhirman JKD PKU Rp 3,850,000
1/4/2019 7 Nurmayulis 01-00-45-45 52 Edelweis 3 Tumor Buli Tumor Buli Sistoscopy + TURBT + Evacuasi Cloth KH SP Dr. Indra BPJS Rp 5,850,000
1/5/2019 8 Sumarni 97-58-90 53 Edelweis 3 Batu Ginjal (D) Batu Ginjal (D) Pielolitotomy B ET Dr. Afdal BPJS Rp 2,000,000
9 Jumadi 01-00-45-03 37 Flamboyan 2 Batu Ureter (S) Batu Ureter (S) Ureterolitotomy+Dj Stent KH ET Dr. Zuhirman BPJS Rp 4,500,000
1/7/2019 10 Armen Samad 01-00-47-64 61 Edelweis 3 Batu Buli Batu Buli Litotripsi Laser KH SP Dr. Afdal BPJS Rp 3,500,000
11 Tati Zulita 01-00-40-52 45 Edelweis 3 Batu Ginjal Bilateral Batu Ginjal Bilateral Explorasi+Nephrotomy+Repair+Nefrectomy KH ET Dr. Indra BPJS Rp 12,000,000
1/8/2019 12 Purnomo 01-00-47-10 50 Edelweis 3 Batu Ureter Proximal (S) Batu Ureter Proximal (S) Ureterolitotomy+Dj Stent KH ET Dr. Adan BPJS Rp 8,500,000
13 Zainal ismail 88-60-45 50 Edelweis 3 Batu Ureter Bilateral Batu Ureter Bilateral URS+laser+Litholapaksi KH ET Dr. Adan BPJS Rp 10,500,000
1/9/2019 14 Sukrianto 01-00-45-64 11 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Rekon Penis+Flap+Flap KH ET Dr. Adan BPJS Rp 9,000,000
15 Ali Noten 01-00-01-75 64 Edelweis 3 Ca. Buli Ca. Buli Radikal Sistectomy+LE+Ureterolisis+Uretrocutaneus+Dj KH ET Dr. Indra BPJS Rp 12,000,000
16 Sri Mulyani 98-55-40 42 Edelweis 3 Hidronefrosis Bilateral Hidronefrosis Bilateral Sistoscopy + URS + Dj Stent KH SP Dr. Indra BPJS Rp 5,850,000
1/10/2019 17 Bauni Ento 01-00-44-86 79 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy + TURP KH SP Dr. Zuhirman JKSD SIAK Rp 3,850,000
18 Sanwireja 01-00-49-51 67 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy + TURP + Evacuasi Cloth KH SP Dr. Zuhirman Umum Rp 5,850,000
19 Andi Saut 98-06-05 39 Edelweis 3 Vesicolitiasis Vesicolitiasis Sistoscopy + TURBT KH SP Dr. Zuhirman Umum Rp 3,850,000
1/11/2019 20 Rosita Saragih 00-90-23-20 56 Tulip 1 Hidronefrosis Hidronefrosis Sisttoscopy+URS+Insersi Dj Stent KH SP Dr. Indra BPJS Rp 8,350,000
21 Andi Usman 58-08-61 58 Cempaka2 1 Post Nefrostomy (D) Post Nefrostomy (D) Ganti Nefrostomy S LA Dr. Adan BPJS Rp 1,350,000
1/14/2019 22 Habib Hidayatullah 98-78-94 7 Flamboyan 2 Hipospadia Hipospadia Uretroplasty+Rekon Penis+Chordectomy KH ET Dr. Adan BPJS Rp 11,000,000
23 Agus Salim 98-45-65 30 Anggrek1 1 Ca. Colon Ca. Colon URS+Dj Stent KH ET Dr. Indra BPJS Rp 6,450,000
1/15/2019 24 Ujang Hamzah 01-00-37-45 74 Edelweis 3 Batu Ureter Bilateral Batu Ureter Bilateral URS+laser+Litholapaksi+Sistoscopy+Dj Stent KH ET Dr. Adan BPJS Rp 11,850,000
25 Haryati 01-00-26-85 48 Dahlia 3 Hidronefrosis (S) Hidronefrosis (S) Sistoscopy+URS KH ET Dr. Indra BPJS Rp 3,850,000
1/16/2019 26 Yusmader 93-38-61 64 Flamboyan 2 BPH dgn Retensi BPH dgn Retensi Sistoscopy+TURP KH SP Dr. Adan BPJS Rp 3,850,000
27 Wilson 71-97-10 46 Gardenia 1 Tumor Ginjal (S) Tumor Ginjal (S) LE+Radikal Nefrectomy+Adrenalectomy KH ET Dr. Adan BPJS Rp 12,700,000
28 Rosma Wilis 98-71-21 33 Poli 2 Post UCN Bilateral Post UCN Bilateral Repair + Ganti UCN Kecil LA Dr. Adan BPJS Rp 850,000
1/17/2019 29 M. Syukri 98-97-03 10 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Rekon Penis KH ET Dr. Zuhirman BPJS Rp 6,000,000
30 Sardi 01-00-55-98 73 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy+TURP+litoripsi KH ET Dr. Zuhirman BPJS Rp 6,350,000
31 Rasben Sinaga 01-00-55-99 47 Edelweis 3 BPH dgn Retensi+Strictur BPH dgn Retensi+Strictur Meatotomy+Uretroscopy+Sache+Litoripsi KH ET Dr. Zuhirman BPJS Rp 6,050,000
32 Agusti 01-00-58-77 53 Edelweis 3 Batu Cetak Ginjal (D) Batu Cetak Ginjal (D) URS+Litotripsi+Dj Stent KH ET Dr. Zuhirman BPJS Rp 7,000,000
1/19/2019 33 Nawari 01-00-55-02 27 Flamboyan 3 Non Fungsi Ginjal (S) Non Fungsi Ginjal (S) Nefrolitotomy+Sj Stent+Drain KH ET Dr. Zuhirman BPJS Rp 6,850,000
34 Haryati 01-00-26-85 48 Edelweis 3 Hidronefrosis (S) Hidronefrosis (S) Nefrostomy B LA Dr. Adan BPJS Rp 2,000,000
1/21/2019 35 Triyatno 01-00-60-87 61 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP+Lithotripsi KH SP Dr. Afdal BPJS Rp 5,000,000
36 David Sugianto 01-00-44-85 53 Flamboyan 3 Fistula Uretrocutan Fistula Uretrocutan Sistoscopy+TURP+Fistulectomy+Repair Buli+Uretrolisis KH SP Dr. Indra BPJS Rp 9,850,000
37 Adri 01-00-39-55 21 Kenanga 3 Retensi Urine+Osteosarcoma Retensi Urine+Osteosarcoma Uretroscopy+Sache B KAP Dr. Adan BPJS Rp 3,850,000
38 Hamilita 72-44-35 46 Poli 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy+Aff Dj Stent S LA Dr. Indra BPJS Rp 2,700,000
1/22/2019 39 Kaharudin 89-19-22 60 Edelweis 3 Batu Ginjal Bilateral Batu Ginjal Bilateral URS+Laser KH ET Dr. Afdal BPJS Rp 6,000,000
40 Burhan Simarmata 01-00-60-23 48 Flamboyan 3 Ca. Penis Ca. Penis Biopsi S ET Dr. Afdal PT Cerenti Rp 2,000,000
1/23/2019 41 Arisman Agus 95-91-87 61 Gardenia 1 Batu Ureter Bilateral Batu Ureter Bilateral URS + Dj Stent KH SP Dr. Adan BPJS Rp 7,650,000
42 Sahat Manurung 99-88-97 58 Edelweis 3 Batu Ginjal (D) Batu Ginjal (D) PCNL+URS+Litotripsi+litholapaksi+Dj Stent KH ET Dr. Adan BPJS Rp 13,000,000
43 Gus Seno 75-52-57 46 Poli 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy+Aff Dj Stent S LA Dr. Indra JKSD PKU Rp 2,700,000
1/24/2018 44 Yulizar 01-00-56-25 49 Edelweis 3 BPH dgn Retensi+Batu Buli BPH dgn Retensi+Batu Buli Vesicolitripsi KH SP Dr. Zuhirman JKSD KAMPAR Rp 2,500,000
45 Sabar Iman 01-00-57-77 27 Flamboyan 2 Batu Cetak Ginjal (D) Batu Cetak Ginjal (D) Exploasi+drain+Extended+Dj Stent KH ET Dr. Zuhirman BPJS Rp 7,350,000
1/25/2019 46 Jordi Darmawan 01-00-64-91 19 Edelweis 3 Batu Ureter (D) Batu Ureter (D) URS+Laser+litolapaksi+Dj Stent KH SP Dr. Adan BPJS Rp 10,500,000
1/28/2019 47 Musmin Lase 69-40-80 46 Mawar 1 Hidronefrosis Hidronefrosis URS + Dj Stent KH ET Dr. Adan BPJS Rp 4,500,000
48 Wira Oktari 01-00-04-07 21 Gardenia 1 Batu Ginjal (D) Batu Ginjal (D) Sistoscopy+URS+PCNL+Litotripsi+Litolapaksi+Dj Stent KH ET Dr. Adan BPJS Rp 14,300,000
1/29/2019 49 Amir Dini 99-99-31 58 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Afdal BPJS Rp 2,500,000
50 Suryaman 01-00-38-41 82 Edelweis 3 BPH dgn Retensi+Hernia BPH dgn Retensi+Hernia TURP+Herniorapy KH SP Dr. Afdal+Dr. Sinta BPJS Rp 5,000,000
51 Rodiah Ahmad 01-00-61-94 52 Gardenia 1 Batu Ureter Batu Ureter URS+Laser+litolapaksi+Dj Stent KH SP Dr. Adan BPJS Rp 15,200,000
1/30/2019 52 Rifqi Risqullah 99-98-33 5 Edelweis 3 UVJ Stenosis UVJ Stenosis Uretrolisis+Reimplantasi+Insersi Stent KH ET Dr. Adan BPJS Rp 6,500,000
53 Irin Bin Jumri 01-00-60-27 62 Edelweis 3 Batu Ureter Proximal (D) Batu Ureter Proximal (D) Sistoscopy+URS+PCNL+Laser+Litolapaksi+Dj Stent KH ET Dr. Adan BPJS Rp 15,350,000
1/31/2019 54 Sukirman 85-41-03 40 Edelweis 3 Strictur Uretra + Fistel Uretrocutan Strictur Uretra + Fistel Uretrocutan Uretroscopy+Sache+Businasi+Explor+Rail Roding KH ET Dr. Zuhirman BPJS Rp 9,200,000
55 Risman 01-00-58-49 40 Edelweis 3 Batu Ureter (D) Batu Ureter (D) Sistoscopy+Uretroscopy+Laser KH ET Dr. Zuhirman BPJS Rp 6,200,000
56 Basri Bangkit 01-00-70-16 44 Gardenia 1 Batu Buli Batu Buli Sistoscopy+Laser KH ET Dr. Zuhirman BPJS Rp 6,900,000
TOTAL 56 Rp 387,550,000
BEDAH SARAF
1/2/2019 1 Sogorin 01-00-36-20 62 Edelweis 3 SOL SOL Craniotomy Micro + Rekonstruksi KH ET Dr. Gatot BPJS Rp 10,500,000
2 Gustinar 72-43-05 58 Poli 2 HNP HNP Injeksi KH LA Dr. Gatot BPJS Rp 2,500,000
1/3/2019 3 Syahrul Kasdi 01-00-13-76 31 Edelweis 3 Soft Tissu Tumor Soft Tissu Tumor Craniectomy+Trepanasi KH ET Dr. Andre BPJS Rp 5,000,000
1/8/2019 4 M. Idris 73-21-92 40 Edelweis 3 Tumor Spinalis Tumor Spinalis Laminectomy+Mikro+SpinalTumor+Decompresi KH ET Dr. Andre JKSD MERANTI Rp 10,500,000
1/10/2019 5 M. Azlan 99-70-08 24 Edelweis 3 Bone Defect Bone Defect Cranioplasty+Trepanasi KH ET Dr. Anthar BPJS Rp 5,000,000
1/14/2019 6 Susan Riani 99-77-50 37 Edelweis 3 SOL SOL Craniotomy Micro + Rekonstruksi KH ET Dr. Gatot BPJS Rp 15,000,000
1/15/2019 7 Ningsih 98-95-01 9 Edelweis 3 Meningioma Meningioma Craniotomy Micro + Rekonstruksi KH ET Dr. Andre BPJS Rp 10,500,000
1/16/2019 8 By. Nier 01-00-48-15 28 Hr Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre BPJS Rp 5,000,000
9 Hengki 96-52-95 30 Edelweis 3 Bone Defect Bone Defect Cranioplasty+Trepanasi KH ET Dr. Gatot BPJS Rp 5,000,000
1/21/2019 10 Jeni Framsiska 99-91-09 31 Edelweis 3 CPA CPA Craniotomy Micro + Rekonstruksi KH ET Dr. Gatot BPJS Rp 10,500,000
1/22/2019 11 Rizki Panaca 01-00-34-97 7Bln Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre BPJS Rp 5,000,000
12 Rian Oktavian 01-00-53-58 19 Edelweis 3 Soft Tissu Tumor Soft Tissu Tumor Eksisi KH ET Dr. Gatot BPJS Rp 2,500,000
1/24/2018 13 Uun Susilawati 01-00-23-56 45 Edelweis 3 Meningioma Meningioma Craniotomy Micro + Rekonstruksi KH ET Dr. Andre BPJS Rp 10,500,000
1/25/2019 14 Rafan Hadziq 01-00-26-09 2 Bln Edelweis 3 MM Lumbal MM Lumbal Craniotomy Micro + Reseksi KH ET Dr. Gatot BPJS Rp 6,000,000
1/28/2019 15 Jamil 01-00-43-73 57 Flamboyan 2 SOL SOL Craniotomy Micro + Rekonstruksi KH ET Dr. Gatot BPJS Rp 10,500,000
1/29/2019 16 By. Mardha 01-00-21-38 2 Bln Gardenia 1 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre BPJS Rp 7,500,000
1/31/2019 17 Martina Maarif 94-96-50 41 Edelweis 3 SOL SOL Craniotomy Micro + Rekonstruksi KH ET Dr. Andre BPJS Rp 10,500,000
TOTAL 17 Rp 132,000,000

BEDAH DIGESTIF
1/3/2019 1 Satriadi 01-00-36-70 53 Edelweis 3 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Suindra BPJS Rp 3,500,000
2 Basri 80-53-98 58 Gardenia 1 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Suindra BPJS Rp 5,000,000
3 Takdir Nasution 01-00-03-77 21 Edelweis 3 Appendicitis Appendicitis Appendictomy B SP Dr. Suindra JKSD PKU Rp 2,000,000
1/8/2019 4 Hendri 99-96-36 32 Flamboyan 2 Post T Tube Post T Tube Aff T Tube S KAP Dr. Suindra BPJS Rp 1,350,000
5 Selamet Riyadi 01-00-46-14 54 Flamboyan 2 Abces Hepar Abces Hepar Laparatomy Explorasi + Drain KH ET Dr. Suindra BPJS Rp 4,500,000
1/9/2019 6 Syamsul Bahri 00-44-41-47 70 Cempaka2 1 Fistula Ani Fistula Ani Fistulectomy KH ET Dr. Sinta BPJS Rp 2,700,000
1/12/2019 7 Handwiko 01-00-42-32 29 Gardenia 1 Ca. Caecum Ca. Caecum LE+Hemicolectomy+ileustomy KH ET Dr. Taufik BPJS Rp 11,450,000
1/14/2019 8 Deriadi Ahmad 01-00-53-65 26 Flamboyan 2 HIL (D) HIL (D) Tension Free Herniorapy KH SP Dr. Taufik PT Eluan Rp 2,500,000
1/15/2019 9 Subli Arsyad 01-00-51-31 70 Melati 1 Hemoroid Hemoroid Biopsi Rectum S SP Dr. Taufik BPJS Rp 1,350,000
1/19/2019 10 Suparman 92-24-04 62 Flamboyan 2 Hernia Inguinal Hernia Inguinal LE+Adesiolisis+TFH KH ET Dr. Taufik BPJS Rp 6,500,000
11 Sudirman 01-00-56-35 62 Gardenia 1 Ca. Recti Ca. Recti Colostomy KH ET Dr. Taufik BPJS Rp 3,750,000
1/21/2019 12 Suherna 01-00-59-34 50 Flamboyan 2 Ca. Recti Ca. Recti Insisi Bioipsi S ET Dr. Taufik PT Eluan Rp 1,350,000
1/22/2019 13 Charlie Hutabarat 98-30-93 31 Gardenia 1 Ca. Recti Ca. Recti MILES KH ET Dr. Suindra BPJS Rp 15,400,000
1/24/2018 14 Elizarti 95-70-34 47 Bougenvile2 1 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Suindra BPJS Rp 5,000,000
1/25/2019 15 Dansye 01-00-27-22 53 Edelweis 3 Post T Tube Post T Tube Aff T Tube S KAP Dr. Suindra BPJS Rp 13,500,000
1/26/2019 16 Refi Anita 01-00-17-04 33 Edelweis 3 Cholelitiasis+Batu CBD Cholelitiasis+Batu CBD Cholecystectomy+Explor CBD KH ET Dr. Suindra JKSD PKU Rp 5,500,000
1/28/2019 17 Masdariah 01-00-54-95 56 Edelweis 3 Fistel Enterocutaneus Fistel Enterocutaneus LE+Ileustomy+Nefrostomy+Dj Stent KH ET Dr. Sinta+dr. Adan BPJS Rp 8,000,000
18 Rio Ritonga 01-00-59-05 30 Flamboyan 2 Abces Perianal Abces Perianal Insisi KH ET Dr. Taufik BPJS Rp 2,500,000
19 Silvi 93-29-40 38 Edelweis 3 Appendicitis+B20 Appendicitis+B20 Laparatomy Kistectomy+Appendictomy KH ET Dr. Taufik+dr. Rika BPJS Rp 10,000,000
1/29/2019 20 Ramsia Hutapea 84-78-63 50 Edelweis 3 Hernia Insisional Hernia Insisional Hernia Repair KH ET Dr. Suindra BPJS Rp 2,500,000
21 Nuraini 01-00-61-25 64 Edelweis 3 Tumor Caput Pankreas Tumor Caput Pankreas LE+By Pass+Yeyenostomy KH ET Dr. Suindra BPJS Rp 9,500,000
22 Parlin Tambunan 98-90-72 60 Gardenia 1 Tumor Colon Tumor Colon LE+By Pass+Colon Sigmoid KH ET Dr. Suindra BPJS Rp 10,200,000
1/31/2019 23 Intan Komala 61-89-59 50 Cempaka2 1 Hernia Insisional Hernia Insisional Repair Hernia + Mesh KH ET Dr. Suindra BPJS Rp 3,750,000
24 Suardi 01-00-38-05 59 Edelweis 3 Cholelitiasis+Batu CBD Cholelitiasis+Batu CBD Cholecystectomy+Explor CBD KH ET Dr. Suindra BPJS Rp 5,500,000
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
1/2/2019 1 Desria Ananda 10-04-526 4 Hr Perina 2 Atresia Esofagus Atresia Esofagus Thoracotomy+Anostomosis KH ET Dr. Ismar Umum Rp 6,000,000
2 Restu Aji 95-75-79 12 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Chordectomy+Rekonstruksi Penis KH ET Dr. Odih JKSD PKU Rp 8,500,000
1/4/2019 3 Aimar Alzam 01-00-39-84 1 Edelweis 3 Hisprung Disease Hisprung Disease LE+Pulltrought+Reseksi KH ET Dr. Odih BPJS Rp 9,500,000
1/8/2019 4 Azkayra 01-00-24-19 2 Edelweis 3 Limpangioma Limpangioma Injeksi Bleumicin B KAP Dr. Ismar BPJS Rp 2,000,000
1/9/2019 5 Fatimah 94-32-28 4 Cempaka2 1 Hernia (D) Hernia (D) Herniotomy B KAP Dr. Odih BPJS Rp 2,700,000
6 Risma Yolanda 01-00-46-50 9 Flamboyan 2 Hernia (D) Hernia (D) Herniotomy B KAP Dr. Odih BPJS Rp 2,000,000
7 Ahmad Satari 98-59-16 10 Flamboyan 2 Hipospadia Hipospadia Uretroplasty+Chordectomy+Rekonstruksi Penis KH ET Dr. Odih BPJS Rp 8,500,000
8 Afizah Ghania 99-47-98 5 Bln Edelweis 3 Atresia Ani Atresia Ani LE+Adesiolisis+Reseksi KH ET Dr. Odih BPJS Rp 8,000,000
1/11/2019 9 Riko Dwi 01-00-45-42 12 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Chordectomy+Rekonstruksi Penis KH ET Dr. Ismar BPJS Rp 8,500,000
10 Riki Pratama 01-00-45-43 2 Edelweis 3 Hipospadia Hipospadia Uretroplasty+Chordectomy+Rekonstruksi Penis KH ET Dr. Ismar BPJS Rp 8,500,000
11 M. Lutfi 01-00-49-35 2.5 Flamboyan 2 Hernia (D) Hernia (D) Herniotomy B KAP Dr. Odih BPJS Rp 2,000,000
12 Ayu Ramadani 92-76-056 1 Edelweis 3 Cloaca Cloaca LE+Adesiolisis KH ET Dr. Odih BPJS Rp 4,500,000
13 Aimar Alzam 01-00-39-84 1 Edelweis 3 Hisprung Disease Hisprung Disease Reseksi + Potong Stump KH ET Dr. Odih BPJS Rp 6,000,000
1/15/2019 14 Syahira 96-98-73 1 Flamboyan 2 Limpangioma Limpangioma Injeksi Bleumicin B KAP Dr. Ismar BPJS Rp 2,000,000
15 Kayla Qaneta 00-99-01-41 7 Bln Edelweis 3 Hisprung Disease Hisprung Disease LE+Pulltrought KH ET Dr. Ismar BPJS Rp 6,000,000
16 M. Rafiqi Edelweis 2 Edelweis 3 Tumor Testis (D) Tumor Testis (D) Orchidectomy B KAP Dr. Ismar BPJS Rp 2,000,000
1/16/2019 17 Wulandari 98-93-84 7 Bln Flamboyan 2 Hisprung Disease Hisprung Disease LE+Reseksi+Pull Trought KH ET Dr. Odih BPJS Rp 9,500,000
18 Adwa 94-34-46 2 Edelweis 3 Atresia Ani Atresia Ani PSARP+Kateter KH ET Dr. Odih BPJS Rp 3,350,000
19 Erine Alisa 01-00-47-87 7 Edelweis 3 Kista ganglion Kista ganglion Eksisi KH ET Dr. Ismar BPJS Rp 2,500,000
1/18/2019 20 Doni Saputra 98-56-44 7 Edelweis 3 Limpangioma Limpangioma Injeksi Bleumicin B KAP Dr. Odih BPJS Rp 200,000
21 Mustaqim 97-56-83 13 Edelweis 3 Limpangioma Limpangioma Injeksi Bleumicin B KAP Dr. Odih BPJS Rp 200,000
22 Zety Sorena 92-08-60 8 Edelweis 3 TIA TIA LE+Adesiolisis+Anostomosis+Biopsi KH ET Dr. Odih BPJS Rp 10,000,000
23 M. Arafah 01-00-55-37 6 Flamboyan 2 UDT (S) UDT (S) Orchidectomy B ET Dr. Odih BPJS Rp 2,000,000
24 Rian Gunarsa 01-00-37-03 5 Bln Gardenia 1 Atresia Ani Atresia Ani LE+Pull Trught KH ET Dr. Ismar BPJS Rp 8,750,000
1/23/2019 25 By. Neni 01-00-63-50 4 Hr Perina 2 Stenosis Stenosis LE+Reseksi+Adesiolisis+Colostomy KH ET Dr. Odih BPJS Rp 9,500,000
26 Ester Manalu 99-10-87 3 Bln Edelweis 3 Cloaca Cloaca Eksterpasi+Kateterisasi KH ET Dr. Odih BPJS Rp 3,350,000
27 By. Wulandari 98-93-84 7 Bln Flamboyan 2 Hisprung Disease Hisprung Disease Reseksi + Potong Stump KH ET Dr. Odih BPJS Rp 6,000,000
1/25/2019 28 Dhea Izatun 99-48-67 9 Gardenia 1 Soft Tissu Tumor Colly Soft Tissu Tumor Colly Wide Eksisi KH ET Dr. Odih BPJS Rp 3,750,000
29 Nur Hidayah 01-00-58-22 16 Edelweis 3 HIL (D) HIL (D) Herniotomy B ET Dr. Ismar BPJS Rp 2,000,000
1/29/2019 30 Kayla Qaneta 00-99-01-41 7 Bln Edelweis 3 Hisprung Disease Hisprung Disease Potong Stump KH ET Dr. Ismar BPJS Rp 2,500,000
31 Nur Amira 98-97-64 7 Bln Edelweis 3 Hisprung Disease Hisprung Disease LE+Pull Trught KH ET Dr. Ismar BPJS Rp 6,000,000
1/30/2019 32 By. Althif 01-00-68-14 9 Hr Neonatus 2 Hisprung Disease Hisprung Disease Reseksi+Mukosectomy+Transanal Pulltrought KH ET Dr. Odih BPJS Rp 9,500,000
33 M. Ayus 99-75-19 4 Bln Edelweis 3 Atresia Ani Atresia Ani PSARP+Tutup Fistel KH ET Dr. Odih BPJS Rp 5,000,000
34 Mutia Ramadan 01-00-14-20 2 Flamboyan 2 Hernia (S) Hernia (S) Herniotomy B ET Dr. Odih BPJS Rp 2,000,000
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT

1
2
3
4
5
6
TOTAL 0 Rp - #REF!
BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -

ONKOLOGI
NO NAMA MEDREK USIA RUANG KELAS DIAGNOSA PRE DIAGNOSA POST TINDAKAN ANESTESI KET BIAYA OPERASI
1/3/2019 1 Solihatun 99-59-02 51 Gardenia 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 10,000,000
2 Nurmiati 01-80-42-64 51 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 7,000,000
3 Razali 99-96-02 65 Dahlia 3 Tumor Mandibula Tumor Mandibula Diseksi Mandibula KH NT Dr. Effif BPJS Rp 3,500,000
1/5/2019 4 Nuri Wulandari 95-85-67 26 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Biopsi + Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 8,350,000
5 Marulina 99-52-89 46 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 7,000,000
6 Masilina 01-00-32-19 25 Dahlia 3 Tumor Tyroid Tumor Tyroid Ismolobectomy KH ET Dr. Elfadri BPJS Rp 2,500,000
1/7/2019 7 Elsi Novita 01-00-31-93 46 Gardenia 1 Tumor Tyroid (D) Tumor Tyroid (D) Ismolobectomy KH ET Dr. Elfadri BPJS Rp 37,500,000
8 Nurmaisa 52-00-22 47 Dahlia 3 Tumor Tyroid (S) Tumor Tyroid (S) Ismolobectomy KH ET Dr. Elfadri BPJS Rp 2,500,000
9 Paimin 01-00-36-36 51 Flamboyan 2 Tumor Tyroid Bilateral Tumor Tyroid Bilateral Ismolobectomy + Sub Total Lobectomy KH ET Dr. Elfadri BPJS Rp 4,500,000
10 Sukarti 99-35-63 46 Flamboyan 2 Ca. Mamae (D) Residif Ca. Mamae (D) Residif Re Mastectomy KH ET Dr. Elfadri BPJS Rp 3,500,000
11 Masriani 01-00-39-94 25 Flamboyan 2 FAM (D) FAM (D) Eksisi B ET Dr. Elfadri BPJS Rp 2,000,000
1/8/2019 12 Hasmidar 45-99-72 54 Flamboyan 2 Mamae Aberan Bilateral Mamae Aberan Bilateral Eksisi KH ET Dr. Effif BPJS Rp 2,500,000
13 Ariyeni 98-03-51 47 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) SOB KH ET Dr. Effif BPJS Rp 2,500,000
1/9/2019 14 Fajar Triadi 01-00-52-71 22 Cempaka1 VIP Ginekomastie Bilateral Ginekomastie Bilateral Sub Cutan Mastectomy KH ET Dr. Elfadri BPJS Rp 3,500,000
15 Budiman 01-00-30-84 33 Dahlia 3 Soft Tissu Tumor Reg Inguinal (D) Soft Tissu Tumor Reg Inguinal (D) Insisi Biopsi S SP Dr. Elfadri BPJS Rp 1,350,000
1/10/2019 16 Feni Eli 01-00-30-75 44 Bougenvile2 1 Ca. Mamae (D) Ca. Mamae (D) FC+Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 11,900,000
1/12/2019 17 Nurmawati 01-00-18-27 51 Dahlia 3 Tumor Tyroid Tumor Tyroid Istmolobectomy KH ET Dr. Elfadri BPJS Rp 2,500,000
18 Sudartini 99-57-19 63 Cempaka2 1 Post Mastectomy (S) Post Mastectomy (S) Heacting Sekunder S KAP Dr. Elfadri BPJS Rp 1,900,000
19 Misrawati 01-00-28-78 59 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 7,000,000
20 Hainidar 01-00-37-87 36 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 7,000,000
21 Murnida 23-14-12 65 Gardenia 1 Soft Tissu Frontal Soft Tissu Frontal Eksisi KH ET Dr. Elfadri BPJS Rp 3,750,000
1/14/2019 22 Rukimini 96-02-87 63 Dahlia 3 Soft Tissu Tumor Liur Soft Tissu Tumor Liur Eksisi KH ET Dr. Elfadri BPJS Rp 2,500,000
23 Darmiati 01-00-30-44 49 Dahlia 3 Tumor Tyroid Tumor Tyroid Istmolobectomy KH ET Dr. Elfadri JKSD SIAK Rp 2,500,000
24 Endriyon 01-00-34-88 44 Dahlia 3 Tumor Tyroid Tumor Tyroid Istmolobectomy+sub Total Lobectomy KH ET Dr. Elfadri BPJS Rp 4,500,000
25 Frisda Carolina 99-81-06 31 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi+Vaskuler Reanostomosis KH ET Dr. Elfadri+dr. Ramzi BPJS Rp 10,125,000
1/15/2019 26 Yulfitri Andriani 01-00-46-44 36 Cempaka1 1 FAM (D) + Tumor Mamae (S) FAM (D) + Tumor Mamae (S) Eksisi + FC + Mastectomy + Diseksi KH ET Dr. Effif BPJS Rp 12,700,000
27 Dewi Bunandir 95-01-80 45 Dahlia 3 Tumor Parotis (D) Tumor Parotis (D) Superfisial Parotidectomy KH ET Dr. Effif BPJS Rp 2,500,000
28 Faano Lase 01-00-38-59 46 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Effif BPJS Rp 2,500,000
1/17/2019 29 Ernayanti 01-00-58-28 50 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 7,000,000
30 Sri Rahayu 99-33-72 32 Flamboyan 2 Struma Nodusa Susp Ca Tyroid Struma Nodusa Susp Ca Tyroid Total Tyroidectomy KH ET Dr. Effif BPJS Rp 3,500,000
31 Diana Pasaribu 86-56-13 47 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) FC+ Eksisi B ET Dr. Effif BPJS Rp 2,000,000
32 Mitrawati 99-97-82 51 Flamboyan 2 SNNT SNNT Ismolobectomy KH ET Dr. Effif BPJS Rp 2,500,000
33 Agung 99-11-98 58 Dahlia 3 Sqmous Cell Ca Inguinal Sqmous Cell Ca Inguinal Diseksi KGB KH ET Dr. Effif BPJS Rp 3,500,000
1/19/2019 34 Yamini 01-00-49-42 66 Flamboyan 2 Tumor Tyroid (S) Tumor Tyroid (S) Total Tyroidectomy KH ET Dr. Elfadri BPJS Rp 3,500,000
35 Jumi 01-00-34-66 60 Dahlia 3 Fibrosarcoma Femur (S) Fibrosarcoma Femur (S) Wide Eksisi KH SP Dr. Elfadri BPJS Rp 3,500,000
36 Zanidar Rustam 84-25-66 65 Gardenia 1 Liposarcoma Cruris (S) Liposarcoma Cruris (S) Amputasi KH SP Dr. Elfadri BPJS Rp 5,000,000
1/21/2019 37 Yusmaini 98-68-22 52 Cempaka1 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 10,000,000
38 Boyatin 99-97-05 55 Flamboyan 2 Tumor Mamae (D) Tumor Mamae (D) FC+Eksisi B ET Dr. Elfadri BPJS Rp 2,000,000
39 Adi Irawan 01-00-53-14 37 Dahlia 3 Soft Tissu Tumor Pedis (S) Soft Tissu Tumor Pedis (S) Eksisi Luas KH SP Dr. Elfadri BPJS Rp 3,500,000
1/22/2019 40 Nurhayati 01-00-00-74 39 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) FC+Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 7,000,000
41 Siti Ismiatun 01-00-47-81 48 Gardenia 1 Struma Struma FC+Ismolobectomy KH ET Dr. Effif BPJS Rp 3,750,000
42 Asparidawati 01-00-47-61 55 Flamboyan 2 Ca. Tyroid Ca. Tyroid Total Tyroidectomy KH ET Dr. Effif BPJS Rp 3,500,000
43 Cendrawati 59-10-56 41 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Effif BPJS Rp 2,500,000
44 Naning Sukasih 99-81-50 31 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif JKSD SIAK Rp 7,000,000
1/24/2018 45 Karti 01-00-47-60 82 Flamboyan 2 Basalioma Nasal Basalioma Nasal FC+Wide Eksisi+Flap+Skin Graft KH ET Dr. Effif BPJS Rp 10,500,000
46 Elfia Nora 63-16-22 42 Bougenvile2 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 10,000,000
47 Almizan 65-98-19 44 Dahlia 3 Limpoma Di Pundak Limpoma Di Pundak Eksisi KH ET Dr. Effif BPJS Rp 2,500,000
1/26/2019 48 Maruli 01-00-34-60 33 Dahlia 3 Limpadenopaty Limpadenopaty RND KH ET Dr. Elfadri BPJS Rp 3,500,000
49 Siti Zaarah 01-00-61-97 56 Flamboyan 2 Ca. Mamae (D) Residif Ca. Mamae (D) Residif Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS Rp 7,000,000
50 Martini Samsir 01-00-59-93 32 Dahlia 3 Tumor Pyloides (D) Tumor Pyloides (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri JKSD KAMPAR Rp 7,000,000
1/28/2019 51 Fatur Rahman 91-00-27 4 Dahlia 3 Hemangioma Hemangioma Injeksi Bleumicin Kecil KAP Dr. Elfadri BPJS Rp 850,000
52 Daswir Darwis 90-24-24 55 Dahlia 3 Fibrosarcoma Fibrosarcoma Eksisi+Muscle Group Eksisi KH ET Dr. Elfadri BPJS Rp 7,000,000
53 Lisbet Br Ritonga 01-00-56-24 41 Flamboyan 2 Tumor Tyroid (S) Tumor Tyroid (S) Ismolobectomy+Sub Total Lobectomy KH ET Dr. Elfadri PT KAT Rp 4,500,000
54 Iin Nurjanah 98-92-35 30 Dahlia 3 Luka Granulasi Luka Granulasi Skin Graft KH ET Dr. Elfadri BPJS Rp 3,500,000
1/29/2019 55 Nurmadiah 99-27-94 42 Flamboyan 2 Ca. Tyroid Ca. Tyroid FC+RND+Total Tyroidectomy KH ET Dr. Effif BPJS Rp 9,500,000
56 Sutini Wasidi 90-45-45 46 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Effif BPJS Rp 2,500,000
57 Misirah 99-49-49 49 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 7,000,000
1/31/2019 58 Darmadi 67-35-58 54 Flamboyan 2 Struma Struma FC+Ismolobectomy KH ET Dr. Effif BPJS Rp 2,500,000
59 Delimawati 98-91-18 39 Flamboyan 2 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 7,000,000
60 Yuliarti 01-00-59-90 47 Dahlia 3 Ca. Mamae Post Mastectomy Ca. Mamae Post Mastectomy Skin Graft KH ET Dr. Effif BPJS Rp 3,500,000
61 Tri Ningsih 01-00-54-00 58 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS Rp 7,000,000
61 Rp 334,675,000
1/3/2019 1 Anita Zainal 01-00-43-60 38 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/5/2019 2 Masriani 01-00-40-00 60 Poli 2 Tumor Mamae (S) Tumor Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/7/2019 3 Rahmah 01-00-48-86 47 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
4 Yendra Wati 98-04-86 34 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/8/2019 5 Widawati 01-00-44-88 41 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
6 Nurbrita 01-00-44-87 41 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
7 Martini 00-46-75-15 55 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
8 Rahmat Firdaus 01-00-44-98 29 Poli 2 Ca. Lidah Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
9 Talamudin 01-00-46-97 53 Poli 2 Limpadenopaty Limpadenopaty Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/10/2019 10 Desnawati 01-00-47-75 55 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
11 Tarikem 01-00-52-14 49 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
12 Linda Yunita 01-00-46-76 36 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/12/2019 13 Halimah 01-00-49-55 34 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
14 Yuniasrsih 01-00-39-33 48 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
15 Rusdianto 01-00-54-99 44 Poli 2 Sqmous Cell Ca Sqmous Cell Ca Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/14/2019 16 Erita 01-00-56-11 61 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
17 Jhon Petriek 91-35-53 29 Poli 2 Limpadenopaty Limpadenopaty Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/17/2019 18 Poniyem 01-00-58-28 46 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
19 Loria Siboro 88-35-48 47 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/19/2019 20 Karmiati 01-00-61-99 47 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/21/2019 21 Ida Dam 01-00-61-83 47 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/22/2019 22 Kartinah 7-71-35 41 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
23 Reni Donarita 01-00-58-21 47 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
24 Sentiana Nainggolan 01-00-42-01 70 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/24/2018 25 Asmita Taya 01-00-64-13 32 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/26/2019 26 Prima 01-00-60-54 33 Poli 2 Ca. Mamae (S) Ca. Mamae (S) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
27 Harmeli 73-37-22 50 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Elfadri BPJS Rp 850,000
1/29/2019 28 Rusmini 92-28-86 53 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
29 Tumiati 01-00-63-61 59 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
30 Kusmiati 01-00-65-67 32 Poli 2 Limpadenopaty Limpadenopaty Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
1/31/2019 31 Hadi Prayetno 01-00-63-79 36 Poli 2 Soft Tissu Tumor Soft Tissu Tumor Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
32 Junarti 01-00-69-58 46 Poli 2 Limpadenopaty Limpadenopaty Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
33 Syafrizal 01-00-69-47 56 Poli 2 Limpadenopaty Limpadenopaty Biopsi Insisi Kecil LA Dr. Effif BPJS Rp 850,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
1/4/2019 1 Umar Bin Ramli 87-64-40 30 Anggrek2 1 Limpadenopaty Limpadenopaty Insisi Biopsi Kecil ET Dr. Sinta Umum Rp 1,200,000
2 Nofa Sari 53-35-68 40 Kenanga 3 Ulkus DM Digiti V Manus (S) Ulkus DM Digiti V Manus (S) Amputasi + Debridemant B ET Dr. Sinta BPJS Rp 4,000,000
1/7/2019 3 Syamsidar 01-00-03-95 60 Gardenia 1 Ulkus Pedis (D) Ulkus Pedis (D) Debridemant B SP Dr. Kisman BPJS Rp 2,700,000
1/9/2019 4 Nazirwan 01-00-48-87 64 Gardenia 1 Soft Tissu Tumor Cruris (S) Soft Tissu Tumor Cruris (S) Eksisi KH SP Dr. Sinta BPJS Rp 3,750,000
1/15/2019 5 Fakhri Hadi 00-47-59-31 21 Edelweis 3 Condiloma Penis + B20 Condiloma Penis + B20 Eksisi S SP Dr. Sinta BPJS Rp 1,350,000
1/16/2019 6 Liyas 01-00-57-79 38 Edelweis 3 Soft Tissu Tumor Dipunggung Soft Tissu Tumor Dipunggung Eksisi B ET Dr. Sinta Umum Rp 2,500,000
1/18/2019 7 M. Ridwan 01-00-52-15 30 Flamboyan 2 Limpadenopaty Inguinal (S) Limpadenopaty Inguinal (S) Insisi Biopsi B KAP Dr. Sinta BPJS Rp 2,000,000
8 Bangun Tambunan 01-00-57-28 29 Kenanga 3 Limpoma Axila (S) Limpoma Axila (S) Insisi Biopsi B KAP Dr. Sinta BPJS Rp 2,000,000
1/19/2019 9 Rizki Fadilah 01-00-54-26 19 Gardenia 1 Condiloma Anal + B20 Condiloma Anal + B20 Eksisi KH SP Dr. Sinta BPJS Rp 3,750,000
1/21/2019 10 Edi Setiawan 98-37-89 23 Edelweis 3 Condiloma Anal + B20 Condiloma Anal + B20 Eksisi KH SP Dr. Taufik BPJS Rp 2,500,000
11 Sumiyati 01-00-59-82 50 Edelweis 3 Soft Tissu Axila (S) Soft Tissu Axila (S) Eksisi KH ET Dr. Taufik BPJS Rp 2,500,000
1/23/2019 12 Kokom Komariah 01-00-59-80 56 Gardenia 1 Soft Tissu Axila Deltoid (D) Soft Tissu Axila Deltoid (D) Eksisi KH ET Dr. Sinta BPJS Rp 3,750,000
13 Sisri Rahayu 91-08-65 20 Edelweis 3 Mastiti Mamae (S) Mastiti Mamae (S) Eksisi S ET Dr. Sinta BPJS Rp 1,350,000
1/24/2018 14 Siti Rawani 55-56-97 77 Gardenia 1 Soft Tissu Femur (S) Soft Tissu Femur (S) Eksisi Kecil ET Dr. Taufik Umum Rp 850,000
1/30/2019 15 Syamsu Nahar 01-00-62-16 66 Gardenia 1 Soft Tissu Tumor Antebrachi Soft Tissu Tumor Antebrachi Eksisi KH ET Dr. Sinta Umum Rp 3,750,000
15 Rp 37,950,000
1/7/2019 1 Yayan Hardiansyah 01-00-39-25 22 Poli 2 Post Appendictomy Post Appendictomy Repair Heacting S LA Dr. Sinta JKSD PKU Rp 1,350,000
1/10/2019 2 Eri Antoni 01-00-27-67 44 Jasmin 2 Limpadenopaty Limpadenopaty Insisi Biopsi Kecil LA Dr. Kisman BPJS Rp 850,000
1/11/2019 3 Nurul Dinda 82-58-69 18 Poli 2 Nevus Nevus Eksisi Kecil LA Dr. Sinta Umum Rp 850,000
1/19/2019 4 Dulasim 01-00-00-92 33 Jasmin 2 Tumor Paru Tumor Paru Biopsi Kecil LA Dr. Sinta BPJS Rp 850,000
1/24/2018 5 Parlagutan Lubis 01-00-10-66 65 Poli 2 Limpadenopaty Limpadenopaty Insisi Biopsi Kecil LA Dr. Taufik BPJS Rp 850,000
6 Suriamah 84-41-91 57 Poli 2 Soft Tissu Tumor Pedis + Manus Soft Tissu Tumor Pedis + Manus Eksisi Kecil LA Dr. Suindra BPJS Rp 850,000
1/30/2019 7 Suriati 95-67-03 52 Edelweis 3 Tetanus Tetanus Eksisi+Debridemant B LA Dr. Sinta BPJS Rp 2,000,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000

1/2/2019 1 Majid Siregar 36-11-21 60 Dahlia 3 Gangren Digiti I Pedis (S) Gangren Digiti I Pedis (S) Debridemant + Amputasi KH SP Dr. Ramzi BPJS Rp 3,350,000
1/5/2019 2 Farida Rahmad 01-00-48-24 55 Cempaka2 1 CKD on HD CKD on HD Repair Anoresma + CDL KH ET Dr. Hariadi BPJS Rp 7,000,000
1/11/2019 3 Widodo 01-00-30-00 58 Jasmin 3 Pneumothorax Pneumothorax Thoracotomy+Lobectomy+WSD KH ET Dr. Hariadi BPJS Rp 8,350,000
1/12/2019 4 Darni Binti Yunus 01-00-32-50 36 Kenanga 3 Ulkus DM Pedis (D) Ulkus DM Pedis (D) Debridemant B SP Dr. Ramzi BPJS Rp 2,000,000
5 Elvi Hendri 01-00-37-28 48 Jasmin/ICU VIP Empiema Thoraxal Empiema Thoraxal Thoracotomy+Lobectomy+WSD KH ET Dr. Hariadi BPJS Rp 13,600,000
1/18/2019 6 Mahadir 01-00-54-79 41 Dahlia 3 # Sternum + # Femur (D) # Sternum + # Femur (D) ORIF Sternum+ORIF Femur+ Release KH ET Dr. Hariadi+Dr. Ihsan BPJS Rp 12,500,000
7 Tuti Hendra 01-00-21-36 46 Jasmin 3 Pneumothorax Pneumothorax Thoracotomy+Lobectomy+WSD KH ET Dr. Hariadi BPJS Rp 7,350,000
1/26/2019 8 Simarudin 01-00-59-47 64 Anggrek1 VIP Ulkus DM Pedis (S) Ulkus DM Pedis (S) Debridemant B SP Dr. Ramzi Umum Rp 3,500,000
9 Ernawati 06-57-12 41 Flamboyan 3 Ca. Paru (S) Ca. Paru (S) Thoracotomy+Lobectomy+WSD KH ET Dr. Hariadi BPJS Rp 7,350,000
9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000
BEDAH PLASTIK
1/2/2019 1 Anisa Reskiyana 96-28-06 20 Dahlia 3 # Mandibula # Mandibula ORIF KH NT Dr. Fahrul Umum Rp 2,500,000
2 Guniyawan 01-00-41-46 17 Dahlia 3 # Mandibula + Femur (D) # Mandibula + Femur (D) ORIF KH NT Dr. Mulyadi + Dr. Arnadi BPJS Rp 5,000,000
3 Holida 94-96-46 48 Dahlia 3 Combustio Combustio Debridemant B ET Dr. Mulyadi Umum Rp 2,000,000
1/3/2019 4 Sukri Efendi 01-00-43-29 18 Dahlia 3 # Segmental Mandibula # Segmental Mandibula Rekonstruksi Facial Bone KH NT Dr. Mulyadi Umum Rp 2,500,000
1/5/2019 5 Hia Manalu 01-00-38-76 40 Dahlia 3 # Dento Alveolar # Dento Alveolar Debridemant + STSG + Fiksasi KH NT Dr. Mulyadi Umum Rp 4,700,000
6 Robina Siamtupang 50-11-02 56 Teratai 3 ILO ILO Debridemant + Jahit Primer B ET Dr. Mulyadi BPJS Rp 4,600,000
7 Sindy Frisca 01-00-33-56 25 Gardenia 1 Dislokasi TMJ Dislokasi TMJ FE + Jahit Wajah KH NT Dr. Fahrul BPJS Rp 7,500,000
1/7/2019 8 Yuda Prawira 01-00-05-89 1.4 Dahlia 3 Raw Surface Abdomen Raw Surface Abdomen Debridemant + STSG KH ET Dr. Fahrul JKSD SIAK Rp 4,500,000
9 Jhon Kenedi 97-91-60 37 Gardenia 1 Kontraktur Genus (S) Kontraktur Genus (S) Release + STSG + Eksisi Skar + Flap KH SP Dr. Fahrul BPJS Rp 16,450,000
1/9/2019 10 Syamsidar 97-83-15 71 Dahlia 3 Post Free Flap Wajah Post Free Flap Wajah Potong Flap + Jahit KH ET Dr. Fahrul BPJS Rp 5,000,000
1/10/2019 11 Zamri Rikardo 99-87-26 30 Dahlia 3 Tumor mandibula Tumor mandibula Trakeostomy+Broncoscopy+Diseksi+Mikro KH ET Dr. Fahrul+Dr. Effif+Dr. Harianto+Dr. Azisman BPJS Rp 22,350,000
1/11/2019 12 Supratman 99-88-71 52 Flamboyan 2 Post Free Flap Wajah Post Free Flap Wajah Potong Flap KH ET Dr. Mulyadi BPJS Rp 3,500,000
1/14/2019 13 Sahrul Kasbi 01-00-13-76 31 Dahlia 3 Bone Expose Temporal Bone Expose Temporal Free ALT Flap+Mikro+Jahit+Wajah KH ET Dr. Fahrul BPJS Rp 13,000,000
1/16/2019 14 Zubir 99-55-14 43 Dahlia 3 Post Free Flap Wajah Post Free Flap Wajah Flap+Skin Graft+Jahit+Tindakan Wajah KH ET Dr. Fahrul BPJS Rp 11,500,000
15 Sabar Derita 01-0039-51 58 Dahlia 3 Defect Cruris Post OREF (D) Defect Cruris Post OREF (D) Debridemant + STSG KH ET Dr. Mulyadi BPJS Rp 5,500,000
1/17/2019 16 Pargiriyanto 01-00-27-73 37 Flamboyan 2 Ca. Mandibula Ca. Mandibula Trakeostomy+Diseksi+Mikro KH ET Dr. Mulyadi+Dr. Effif+Dr. Harianto BPJS Rp 22,000,000
1/19/2019 17 Cordelia Azria 01-00-39-05 2 Gardenia 1 Malformasi Vaskuler Malformasi Vaskuler Eksisi+Jahit Primer KH ET Dr. Mulyadi BPJS Rp 6,450,000
18 Ediman Surianto 01-00-58-68 38 Dahlia 3 # Zygoma Maxila + VL Femur (S) # Zygoma Maxila + VL Femur (S) ORIF+Debridemant+Jahit Luka KH ET Dr. Fahrul BPJS Rp 10,500,000
19 Zulharpeni 79-10-45 24 Poli 2 VL Elbow (D) VL Elbow (D) STSG B LA Dr. Fahrul BPJS Rp 2,000,000
1/21/2019 20 Sarulina 01-00-35-10 22 Dahlia 3 Trico Epitelium Wajah Trico Epitelium Wajah Eksisi+STSG+Tindakan Wajah+Jahit KH ET Dr. Fahrul BPJS Rp 12,000,000
21 Rosalina 68-17-21 52 Dahlia 3 Post Free Flap Wajah Post Free Flap Wajah Flap+STSG+Tindakan Wajah+Jahit KH ET Dr. Fahrul JKSD PKU Rp 12,000,000
1/23/2019 22 Sutikno 01-00-07-87 52 Dahlia 3 Elektric Burn Radius (S) Elektric Burn Radius (S) Flap+Debridemant+Jahit KH ET Dr. Fahrul BPJS Rp 9,000,000
1/24/2018 23 Herlan Pratama 99-86-24 10 Dahlia 3 Defect Cruris Post FE (S) Defect Cruris Post FE (S) Mikro Flap+Rekonstruksi+Jahit+Debridemant KH ET Dr. Mulyadi BPJS Rp 12,500,000
1/26/2019 24 Naufal 01-00-60-91 4 Flamboyan 2 Kontraktur Digiti Manus (D)\ Kontraktur Digiti Manus (D)\ Release + STSG KH ET Dr. Mulyadi Umum Rp 7,000,000
25 M. Waarsa 01-00-60-35 17 Flamboyan 2 Defect Post Amputasi Below Knee (Defect Post Amputasi Below Knee (Debridemant + STSG KH ET Dr. Mulyadi BPJS Rp 5,500,000
26 Abdul Sani 01-00-57-24 15 Dahlia 3 Skin Degloving Manus (D) Skin Degloving Manus (D) Debridemant + STSG KH ET Dr. Mulyadi BPJS Rp 5,500,000
1/28/2019 27 Abnita 01-00-16-63 38 Dahlia 3 Chronic Wound Pedis Chronic Wound Pedis Flap+Debridemant+Jahit KH ET Dr. Fahrul BPJS Rp 13,000,000
1/30/2019 28 Kaila Nur Afni 01-00-68-31 2 Dahlia 3 Combustio Combustio Debridemant B ET Dr. Mulyadi Umum Rp 2,000,000
29 Daswir 90-24-24 55 Dahlia 3 Fibrosarcoma Fibrosarcoma Flap Abdomen+debridemant+Jahit Luka KH ET Dr. Fahrul BPJS Rp 9,000,000
TOTAL 29 Rp 239,050,000
BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019
Ns. Dipa Handra, S. Kep

NIP. 19751004 199503 1 001
ARIFIN ACHMAD KAMAR OPERASI II

4/1/2021 1 Katirah 01-06-00-57 65 Edelweis 3 Abces Mesentrium Abces Mesentrium Laparatomy Drain KH ET dr. Taufik BPJS 1.5 Rp 5,192,000
4/1/2021 2 Mei Helni 01-02-21-92 33 Flamboyan 2 Limpadenopaty Limpadenopaty Eksisi Biopsi KH ET Dr. Elfadri BPJS 1.5 Rp 14,942,000
3 Zulnilis 01-04-77-77 49 Gardenia 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4/5/2021 4 Amson Sianipar 01-06-00-52 56 Edelweis 3 Tumor Ginjal (S) Tumor Ginjal (S) Radikal Nefrectomy KH ET Dr. Adan BPJS 3.5 Rp 6,836,000
4/6/2021 5 Al Maymunah 01-05-86-11 24 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) Eksisi B ET Dr. Fatar BPJS 1 Rp 7,402,000
4/6/2021 6 Sastiawan 01-05-95-48 25 Edelweis 3 Papiloma+B20 Papiloma+B20 Eksisi S SP dr. Agus BPJS 1.5 Rp 4,106,000
4/7/2021 7 Isabella Eva 96-54-90 8 Dahlia 3 Kontraktur Axila (D) Kontraktur Axila (D) Release+STSG KH ET dr. Fakhrul BPJS 2 Rp 18,995,000
4/8/2021 8 Remon 01-05-94-85 50 Flamboyan 2 Fournier Gangren Fournier Gangren STSG KH ET dr. Fakhrul Umum 2.5 Rp 18,995,000
4/9/2021 9 Regi Wijaya 01-06-00-39 19 Flamboyan 2 Neghleted # MC Neghleted # MC ORIF KH ET dr. Eko BPJS 1.5 Rp 9,636,000
4/9/2021 10 Syambiar 01-06-00-06 72 Flamboyan 2 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Agus BPJS 1.5 Rp 5,850,000
4/12/2021 11 Raban Nadim 01-05-96-5710 Bln Edelweis 3 Limpadenopaty Limpadenopaty Injeksi Fenodenol KH ET Dr. Odih BPJS 1 Rp 5,590,000
4/12/2021 12 Siti Sahawa 76-49-24 50 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 3 Rp 25,334,000
4/13/2021 13 Ronni Defitri 01-06-00-07 46 Gardenia 1 Cholelitiasis Cholelitiasis Laparascopy Cholecystectomy KH ET Dr. Agus BPJS 2 Rp 7,156,000
14 Ristinalia 01-05-99-94 31 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Fatar BPJS 2 Rp 12,782,000
4/14/2021 15 Faulina 01-05-43-32 36 Edelweis 3 Osteomilitis Femur (D) Osteomilitis Femur (D) Debridemant+Bone Graft KH SP Dr. Arnadi BPJS 1.5 Rp 8,466,000
4/12/2021 16 Parlindungan 01-05-90-49 49 Flamboyan 2 Kista Hepar Kista Hepar LE+Hepatectomy KH ET dr. Taufik BPJS 2 Rp 12,204,000
4/12/2021 17 Rayyan 01-05-82-17 8 Bln Bougenvile1 1 Abces Leher+Phimosis Abces Leher+Phimosis Insisi+Sirkumsisi B ET Dr. Odih BPJS 1 Rp 7,264,000
4/12/2021 18 Hasbi Abdullah 01-06-03-44 59 Dahlia 3 Gangren DM Palank Manus (S) Gangren DM Palank Manus (S) Debridemant B ET dr. Ramzi BPJS 1.5 Rp 6,776,000
4/15/2021 19 Satiawati 01-06-06-14 63 Edelweis 3 # Distal Femur (D) # Distal Femur (D) ORIF KH ET dr. Eko BPJS 2 Rp 7,946,000
4/16/2021 20 M.A.D Putra 94-040-14 62 Kenanga 3 Gangren Pelvis+Scrotum Gangren Pelvis+Scrotum Nekrotomy B ET dr. Dardis BPJS 1 Rp 6,646,000
4/20/2021 21 Tagor Siburian 01-06-0-73 57 Flamboyan 2 Gastric Outlet Obstruksi Gastric Outlet Obstruksi LE+By Pass KH ET Dr. Suindra BPJS 2 Rp 14,942,000
22 Berliana Lumban 99-20-96 55 Edelweis 3 Ca. Recti Ca. Recti Permanent Colostomy B ET Dr. Suindra BPJS 2 Rp 4,932,000
23 Rimbunita Silitonga 92-48-76 42 Edelweis 3 Cholelitiasis+B20 Cholelitiasis+B20 Cholecystectomy KH ET Dr. Suindra BPJS 1.5 Rp 5,850,000
4/21/2021 24 Nurul Hikmah 01-05-84-08 16 Dahlia 3 Elektric Burn Elektric Burn STSG KH ET dr. Fakhrul BPJS 1.5 Rp 18,995,000
4/22/2021 25 Arbaiyah 01-05-87-52 24 Edelweis 3 Post LE+Colostomy Post LE+Colostomy Repair+Debridemant+Heacting B ET dr. Taufik BPJS 1 Rp 6,776,000
26 Indra Jefri 01-06-04-90 48 Edelweis 3 Ulkus Decubitus Ulkus Decubitus Colostomy B ET dr. Taufik BPJS 1.5 Rp 5,712,000
4/23/2021 27 Lilis Magdalena 01-05-69-58 38 Dahlia 3 Post Mastectomy Post Mastectomy STSG KH ET Dr. Fatar BPJS 1.5 Rp 10,392,000
4/26/2021 28 Edriati Baharudin 96-95-17 52 Flamboyan 2 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 33,134,000
29 Yufia Melda 01-04-74-70 43 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4/27/2021 30 Hilda 74-83-07 41 Bougenvile1 1 Cholelitiasis+Batu CBD Cholelitiasis+Batu CBD Cholecystectomy+Explor CBD KH ET Dr. Suindra BPJS 2.5 Rp 9,750,000
31 Gafur 55-19-13 34 Gardenia 1 Cholelitiasis Cholelitiasis Laparascopy Cholecystectomy KH ET Dr. Agus BPJS 2.5 Rp 7,156,000
4/27/2021 32 Nematullah 01-05-89-63 34 Flamboyan 2 Soft Tissu Tumor Soft Tissu Tumor Eksisi B ET dr. Suindra IOM 1 Rp 2,852,000
4/28/2021 33 Faisal Aulia 95-13-91 24 Edelweis 3 Union # Tibia (D) Union # Tibia (D) Remove Implant B LMA dr. Rangga BPJS 1 Rp 9,116,000
4/29/2021 34 Dasrik 01-05-23-12 57 Edelweis 3 Ca. Recti Ca. Recti MILES KH ET Dr. Agus BPJS 4 Rp 11,050,000
4/29/2021 35 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Post STSG Post STSG Debridemant B ET dr. Kuswan BPJS 1 Rp 5,590,000
4/30/2021 36 Rosnidar 01-06-08-75 55 Dahlia 3 CKD on HD CKD on HD CDL B LA Dr. Ramzi BPJS 0.3 Rp 3,372,000
TOTAL 36 65.8 Rp 392,405,000

KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
TOTAL 56 Rp 387,550,000
BEDAH SARAF
TOTAL 17 Rp 132,000,000
BEDAH DIGESTIF
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT

1
2
3
4
5
6
TOTAL 0 Rp - #REF!

BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -

ONKOLOGI
61 Rp 334,675,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
15 Rp 37,950,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000


9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000

BEDAH PLASTIK
TOTAL 29 Rp 239,050,000

BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019

NIP. 19751004 199503 1 001
ARIFIN ACHMAD KAMAR OPERASI III

4/1/2021 1 Okta Fitrya 01-05-92-73 44 Bougenvile1 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 3 Rp 25,334,000
2 Asmadi 01-05-45-18 48 Dahlia 3 Sqmous Cell Ca Axila (S) Sqmous Cell Ca Axila (S) Forequarter Amputasi KH ET Dr. Effif BPJS 3 Rp 12,366,000
4/5/2021 3 Ningsih 01-03-24-40 45 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4 Sri Haryati 01-05-99-76 61 Poli 2 Tumor Mamae (D) Tumor Mamae (D) Biopsi Insisi S LA Dr. Effif BPJS 0.3 Rp 3,082,000
4/6/2021 5 Alif Al Ghazani 01-06-03-90 24 Hr IPN 2 Atresia Ani Atresia Ani LE KH ET Dr. Ismar BPJS 1.5 Rp 6,232,000
6 Insan Rohman 01-05-99-97 1 Bln Edelweis 3 HIL (S) HIL (S) Herniotomy B ET Dr. Ismar BPJS 1.5 Rp 4,022,000
7 Siti Nurhalita 91-60-02 4 Edelweis 3 Mesh Expose Mesh Expose Debridemant+Heacting B ET Dr. Ismar BPJS 1.5 Rp 5,712,000
8 Rafqi Ramadhan 01-06-00-25 10 Edelweis 3 Hipospadia Hipospadia Uretroplasty KH ET Dr. Ismar BPJS 1.5 Rp 5,852,000
4/7/2021 9 Nawra Sadiya 01-05-41-85 4 Bln Edelweis 3 Atresia Ani Atresia Ani LE+Adesiolisis+Reseksi KH ET Dr. Odih BPJS 1.5 Rp 18,306,000
10 Qaidu Bazil 01-06-00-90 4 Edelweis 3 HIL (D) HIL (D) Herniotomy B ET Dr. Odih BPJS 1.5 Rp 4,022,000
4/9/2021 11 Chairul 96-93-81 50 Dahlia 3 CKD on HD CKD on HD Av Shunt B LA Dr. Ramzi BPJS 1.5 Rp 4,615,000
4/9/2021 12 Edy Suyono 01-06-05-52 35 Dahlia 3 Combustio Combustio Debridemant B ET dr. Kuswan BPJS 1.5 Rp 8,027,000
4/12/2021 13 Masdelianti 01-04-60-85 42 Gardenia 1 Tumor Mamae (D) Tumor Mamae (D) FC+Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3.5 Rp 25,334,000
4/13/2021 14 Kanaya 01-05-29-68 5 Bln Edelweis 3 MAR MAR Anoplasty KH ET Dr. Ismar BPJS 1.5 Rp 6,492,000
4/13/2021 15 Yenni Cicilia 01-05-13-31 54 Gardenia 1 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4/14/2021 16 Ringkel Rico 01-06-05-19 29 Edelweis 3 Ca. Penis Ca. Penis Biopsi B SP Dr. Indra BPJS 1 Rp 3,196,000
17 Rusiana 01-05-67-32 55 Bougenvile1 1 Ca. Cx+Post Nefrostomy Ca. Cx+Post Nefrostomy Ganti Nefrostomy (S)+(D) S LA Dr. Indra+dr. Adan BPJS 0.3 Rp 6,652,000
4/15/2021 18 Salsabila 01-05-99-03 17 Dahlia 3 Struma Struma FC+Total Tyroidectomy+RND KH ET Dr. Effif BPJS 6 Rp 52,626,000
4/16/2021 19 Adlinsyah Rowi 61-47-99 73 Gardenia 1 CKD on HD CKD on HD AV Graft B ET Dr. Ramzi BPJS 3 Rp 4,615,000 14,30-15,30
20 Martina 01-05-91-99 70 Gardenia 1 LNH LNH Kemoport B LA Dr. Ramzi BPJS 1 Rp 4,615,000
4/19/2021 21 Elly Artina 77-96-76 44 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) FC+Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 3 Rp 25,334,000
22 Susandralena 01-03-15-29 40 Poli 2 Soft Tissu Tumor Soft Tissu Tumor Biopsi Insisi S LA Dr. Elfadri BPJS 0.2 Rp 3,082,000
4/20/2021 23 Yasmin Banafsha 01-06-10-1710 Bln Gardenia 1 Tong Tie Tong Tie Release B ET Dr. Ismar BPJS 1 Rp 2,982,000
4/21/2021 24 Pater Makarius 01-06-10-62 4 Edelweis 3 Hernia (D)+Phimosis Hernia (D)+Phimosis Herniotomy+Sirkumsisi B ET Dr. Odih BPJS 1.5 Rp 7,264,000
25 Danendra Syazwan 01-05-56-26 4 Bln Edelweis 3 Atresia Ani Atresia Ani PSARP+Tutup Fistel KH ET Dr. Odih BPJS 2 Rp 15,062,000
4/22/2021 26 Gatot Prasetya 75-67-52 31 Bougenvile1 1 Struma Struma FC+Total Tyroidectomy+RND KH ET Dr. Effif BPJS 5 Rp 52,626,000 14-15,30
4/23/2021 27 By. Hanna 01-06-07-87 14 Hr IPN 2 Wound Infection Wound Infection Debridemant+Repair Luka B LA Dr. Odih BPJS 0.2 Rp 5,590,000
4/23/2021 28 Rahmad 01-05-98-15 65 Flamboyan 2 LNH LNH Kemoport B LA Dr. Ramzi BPJS 0.2 Rp 4,615,000
4/23/2021 29 Haris Irawan 01-06-08-59 18 Dahlia 3 Post FE Tibia (S) Post FE Tibia (S) Debridemant+STSG KH ET dr. Fakhrul BPJS 1.5 Rp 18,995,000
4/26/2021 30 Riko Rizki 92-73-43 39 Gardenia 1 Struma Struma FC+Ismolobectomy+Total Tyroidectomy KH ET Dr. Effif BPJS 3 Rp 29,884,000
31 Hernimawati 01-06-00-28 37 Dahlia 3 Parget Disease (S) Parget Disease (S) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 3 Rp 25,334,000
32 Hasuandi 01-06-13-36 44 Poli 2 Sqmous Cell Ca Sqmous Cell Ca Biopsi Insisi S LA Dr. Elfadri BPJS 1 Rp 3,082,000
4/27/2021 33 M. Varga 01-04-46-67 12 Gardenia 1 Inverted Colon Inverted Colon Pulltrought KH ET Dr. Ismar BPJS 2 Rp 14,162,000
34 Deska Putri 78-83-12 34 Flamboyan 2 Tumor Mamae (D) Tumor Mamae (D) Eksisi B ET Dr. Elfadri BPJS 1.5 Rp 7,402,000
35 Johanes 01-06-09-89 52 Dahlia 3 Tumor Colly Tumor Colly Eksisi Biopsi KH ET Dr. Elfadri JKSD SIAK 1.5 Rp 14,942,000
4/28/2021 36 Abdul Rahman 01-01-61-35 2 Edelweis 3 Limpangioma Limpangioma Wide Eksisi+Flap KH ET Dr. Odih BPJS 2 Rp 15,982,000
37 Ade Ariansyah 01-05-63-60 2 Edelweis 3 Atresia Ani Atresia Ani LE+Reseksi+Pulltrought+Anoplasty KH ET Dr. Odih BPJS 2 Rp 26,452,000
4/29/2021 38 Wulandari 01-03-71-10 25 Dahlia 3 Ca. Tyroid Ca. Tyroid Total Tyroidectomy KH ET Dr. Effif BPJS 4 Rp 14,942,000
4/30/2021 39 Siti Komaria 01-06-03-65 36 Edelweis 3 Appendic Infiltrat Appendic Infiltrat Laparatomy KH ET dr. Dardis BPJS 1.5 Rp 6,825,000
TOTAL 39 76.7 Rp 546,325,000

KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
TOTAL 56 Rp 387,550,000
BEDAH SARAF
TOTAL 17 Rp 132,000,000
BEDAH DIGESTIF
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT
1
2
3
4
5
6
TOTAL 0 Rp - #REF!

BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -

ONKOLOGI
61 Rp 334,675,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
15 Rp 37,950,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000


9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000

BEDAH PLASTIK
TOTAL 29 Rp 239,050,000

BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019

NIP. 19751004 199503 1 001
ARIFIN ACHMAD KAMAR OPERASI IV

4/1/2021 1 Afni Anggraini 01-04-01-56 1 Dahlia 3 Sindactily Sindactily Release KH ET dr. Fakhrul BPJS 3 Rp 18,995,000
2 Ego Dwansyah 94-24-44 25 Gardenia 1 Defect Achiles Defect Achiles Revisi Flap KH SP dr. Fakhrul BPJS 3 Rp 18,995,000
4/5/2021 3 Feriaman Gulo 01-06-00-79 18 Dahlia 3 Electric Burn Electric Burn Debridemant B ET dr. Fakhrul BPJS 1 Rp 5,590,000
4 Nurul Hikmah 01-05-84-08 16 Dahlia 3 Electric Burn Electric Burn STSG KH ET dr. Fakhrul BPJS 2 Rp 18,995,000
5 Sasminita 01-05-84-07 20 Dahlia 3 Electric Burn Electric Burn STSG KH ET dr. Fakhrul BPJS 2 Rp 18,995,000
4/6/2021 6 Siti Ngatirah 01-0-98-16 38 Poli 2 Tumor Orbita Tumor Orbita Biopsi Insisi S LA Dr. Fatar BPJS 0.2 Rp 3,082,000
4/6/2021 7 Musdalifah 01-05-93-36 52 Dahlia 3 Struma Struma Total Tyroidectomy KH ET Dr. Fatar BPJS 2.5 Rp 14,942,000
8 Ahmad Yakin 01-05-82-04 49 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy KH ET Dr. Fatar BPJS 2 Rp 17,282,000
9 Siti Ngatirah 01-0-98-16 38 Poli 2 Tumor Orbita Tumor Orbita Biopsi Insisi S LA Dr. Fatar BPJS 0.2 Rp 3,082,000
4/7/2021 10 Mona Parhusip 01-06-01-73 57 Dahlia 3 Open # Zygoma + Maxila Open # Zygoma + Maxila Rekonstruksi KH ET Dr. Mulyadi BPJS 3 Rp 25,902,000
4/8/2021 11 Hanter 01-05-92-62 28 Flamboyan 2 Post Revaskularisasi Post Revaskularisasi STSG KH ET Dr. Mulyadi BPJS 2 Rp 18,995,000
4/9/2021 12 Gemi Astuti 01-04-62-39 54 Dahlia 3 Struma Struma Total Tyroidectomy KH ET Dr. Fatar BPJS 2 Rp 14,942,000
13 Fitri Andriyani 01-05-89-97 29 Dahlia 3 Struma Struma Ismolobectomy KH ET Dr. Fatar BPJS 2 Rp 12,782,000
14 Sulaini 01-05-95-68 54 Poli 2 Ca. Mamae (D) Ca. Mamae (D) Biopsi Insisi S LA Dr. Fatar BPJS 0.2 Rp 3,082,000
4/12/2021 15 Bayu Manulang 01-06-04-82 11 Flamboyan 2 # Mandibula+Skin Loss # Mandibula+Skin Loss ORIF+Debridemant+STSG KH ET dr. Kuswan BPJS 2.5 Rp 25,902,000
16 Azizah Rahmadani 01-05-44-3211 Bln Dahlia 3 Hemangioma Hemangioma Eksisi+Jahit KH ET Dr. Mulyadi JKSD SIAK 2 Rp 11,602,000
4/13/2021 17 Rinni Susanti 01-05-75-32 43 Dahlia 3 Ca. Lidah Ca. Lidah RND KH ET Dr. Fatar BPJS 3 Rp 22,742,000
18 Mardiana 01-04-44-50 53 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS 3 Rp 25,334,000
4/14/2021 19 Salim 01-06-04-87 46 Flamboyan 2 Gangren DM Pedis (D) Gangren DM Pedis (D) Debridemant B SP dr. Ramzi BPJS 1.5 Rp 6,776,000
4/12/2021 20 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss Debridemant B ET dr. Kuswan BPJS 1 Rp 8,027,000
21 Indra Jefri 01-06-04-90 49 Dahlia 3 Decubitus Decubitus Debridemant B ET dr. Kuswan BPJS 1 Rp 8,027,000
4/13/2021 22 Atilina Hulu 01-05-75-34 60 Flamboyan 2 Tumor Axila + Colly Tumor Axila + Colly Eksisi Tumor Multiple KH ET Dr. Fatar BPJS 1.5 Rp 14,942,000
23 Rusnani 52-06-43 51 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS 3 Rp 25,334,000
4/19/2021 24 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss STSG KH ET dr. Kuswan BPJS 2 Rp 18,995,000
25 M. Arifin 01-06-00-69 20 Dahlia 3 # MAxila # MAxila Rekonstruksi KH NT Dr. Mulyadi JKSD KAMPAR 4 Rp 25,902,000
4/20/2021 26 M. Azizul 01-06-02-30 13 Dahlia 3 Soft Tissu Tumor Cruris (S) Soft Tissu Tumor Cruris (S) Wide Eksisi KH ET Dr. Fatar BPJS 2 Rp 10,392,000
27 Marcya 01-05-89-55 13 Dahlia 3 Tumor Mandibula (S) Tumor Mandibula (S) Wide Eksisi KH ET Dr. Fatar BPJS 2 Rp 10,392,000
4/21/2021 28 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss STSG KH ET dr. Kuswan BPJS 1.5 Rp 18,995,000
29 Hendri 01-06-11-29 28 Dahlia 3 Elektric Burn Elektric Burn STSG KH ET dr. Fakhrul BPJS 1.5 Rp 18,995,000
4/22/2021 30 Daffa Ihsanul 01-05-65--91 6 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Free ALT Flap+Mikro KH ET dr. Fakhrul+dr.Mulyadi BPJS 5 Rp 51,804,000
4/23/2021 31 Asnita 01-05-70-20 56 Flamboyan 2 Ca. Lidah Ca. Lidah Hemiglosectomy+RND KH ET Dr. Fatar BPJS 2.5 Rp 37,684,000
32 Nurhayati 01-05-85-01 66 Dahlia 3 Ca. Tyroid Ca. Tyroid Total Tyroidectomy KH ET Dr. Fatar BPJS 2.5 Rp 14,942,000
4/26/2021 33 Bayu Manulang 01-06-04-82 11 Flamboyan 2 Skin Loss Skin Loss STSG KH ET dr. Kuswan BPJS 2 Rp 18,995,000
34 Padin 01-05-92-82 11 Dahlia 3 Raw Surface ec Tumor Penis Raw Surface ec Tumor Penis STSG KH ET dr. Fakhrul BPJS 2 Rp 18,995,000
35 Hanter Bantara 01-05-92-62 26 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Debridemant B SP Dr. Mulyadi BPJS 1 Rp 5,590,000
4/27/2021 36 Yoga rafael 01-01-95-45 4 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy KH ET Dr. Fatar BPJS 2 Rp 17,282,000
37 Chairul 01-0-85-57 72 Flamboyan 2 Sqmous Cell Ca Sqmous Cell Ca Marginal Mandibulectomy+Wide Eksisi KH ET Dr. Fatar BPJS 2 Rp 33,134,000
38 Neng Pipit 01-06-12-22 42 Poli 2 Soft Tissu Tumor Soft Tissu Tumor Biopsi Insisi S LA Dr. Fatar BPJS 0.3 Rp 3,082,000
4/28/2021 39 Daffa Ihsanul 01-05-65-91 6 Flamboyan 2 Defect Cruris (S) Defect Cruris (S) Free ALT Flap+Mikro KH ET dr. Fakhrul+dr.Mulyadi+dr. BPJS 5 Rp 77,706,000
4/29/2021 40 Zammi Supaindra 01-05-80-33 9 Dahlia 3 Tumor Maxila Tumor Maxila Maxilectomy+Orbitotomy+Free ALT+Mikro+Graft KH ET dr. Effif+dr.Bagus+Dr.Mulya BPJS 10 Rp 103,299,000
4/30/2021 41 Jupriadi 91-25-82 46 Dahlia 3 Soft Tissu Tumor Soft Tissu Tumor Eksisi KH ET Dr. Fatar BPJS 1.5 Rp 10,392,000
42 Sutoyo 01-06-10-60 45 Dahlia 3 Higroma Colly Higroma Colly Eksisi KH ET Dr. Fatar BPJS 1.5 Rp 14,942,000
TOTAL 42 93.9 Rp 855,865,000

KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
TOTAL 56 Rp 387,550,000
BEDAH SARAF
TOTAL 17 Rp 132,000,000
BEDAH DIGESTIF
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT

1
2
3
4
5
6
TOTAL 0 Rp - #REF!
BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -

ONKOLOGI
61 Rp 334,675,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
15 Rp 37,950,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000


9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000

BEDAH PLASTIK
TOTAL 29 Rp 239,050,000

BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019

NIP. 19751004 199503 1 001
ARIFIN ACHMAD KAMAR OPERASI V

4/1/2021 1 Untung 01-05-66-73 37 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Explorasi Ginjal+Expulsi KH ET Dr. Zuhirman BPJS 2.5 Rp 6,522,000
2 Marro Aini 01-05-95-70 27 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent B KAP Dr. Zuhirman BPJS 0.3 Rp 6,522,000
3 Ishak 01-06-00-22 55 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Zuhirman BPJS 1 Rp 5,276,000
4 Duwan 01-05-99-68 61 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Zuhirman BPJS 1 Rp 5,276,000
4/5/2021 5 Surya Darma 0101-49-84 47 Anggrek1 1 Hematuri Hematuri URS+Dilatasi+Dj Stent KH SP Dr. Indra BPJS 1.5 Rp 15,438,000
6 Henky Rizka 79-84-51 41 Anggrek1 VIP HN Bilateral HN Bilateral URS+Litotripsi KH SP Dr. Indra BPJS 1.5 Rp 10,162,000
7 Dewi 01-03-95-49 42 Edelweis 3 HN (S) HN (S) URS KH SP Dr. Indra BPJS 1.5 Rp 5,016,000
8 Heki Akbar 01-5-89-04 27 Edelweis 3 Strictur Uretra+HBSAG (+) Strictur Uretra+HBSAG (+) Uretroscopy B SP Dr. Indra BPJS 1.5 Rp 3,196,000
4/6/2021 9 Alimin 01-06-02-5 66 Edelweis 3 BPH+Batu Buli BPH+Batu Buli SA B SP Dr. Afdal BPJS 1 Rp 4,366,000
10 Waginem 01-05-95-50 55 Flamboyan 2 Retensi Urine Retensi Urine Sistoscopy+Uretroscopy+Kalibrasi KH SP Dr. Zuhirman BPJS 1 Rp 9,718,000
11 Marsita 01-05-88-55 42 Edelweis 3 Karunkle (S)+HN Karunkle (S)+HN URS+Lithotripsi+Uretroscopy+Kalibrasi KH SP Dr. Zuhirman BPJS 1 Rp 19,880,000
12 Martini 01-05-99-92 36 Edelweis 3 Batu Ureter+HN Batu Ureter+HN URS KH SP Dr. Zuhirman BPJS 1 Rp 5,016,000
4/7/2021 13 Juri 01-05-63-23 58 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS 1 Rp 6,522,000
14 Padin 01-05-92-82 56 Edelweis 3 Tumor Penis Tumor Penis Total Penectomy KH SP Dr. Adan BPJS 1.5 Rp 7,692,000
4/8/2021 15 Sukaisi 01-06-04-56 47 Flamboyan 2 HN + Batu Ureter HN + Batu Ureter URS+Uretrolisis KH SP Dr. Zuhirman BPJS 1 Rp 10,032,000
16 Sofyan 01-06-03-97 54 Gardenia 1 Tumor Buli Tumor Buli Evacuasi Blood Cloth KH SP Dr. Zuhirman BPJS 1 Rp 17,074,000
17 Lomsari Pohan 01-06-02-37 72 Edelweis 3 Ca. Buli Ca. Buli Sistoscopy S SP Dr. Zuhirman Umum 1 Rp 3,326,000
18 Banak 01-06-04-20 58 Edelweis 3 BPH dgn Retensi BPH dgn Retensi Sistoscopy + TURP KH SP Dr. Zuhirman BPJS 1 Rp 8,602,000
4/9/2021 19 By. Dessi 01-06-04-84 7 Hr IPN 2 Urackel Urackel LE+Adesiolisis KH ET Dr. Odih BPJS 1.5 Rp 12,984,000
4/12/2021 20 Syamsul 99-18-38 28 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS 0.3 Rp 6,522,000
21 Rosnawati 01-04-21-67 55 Edelweis 3 Dj Stent Insitu Dj Stent Insitu URS+Reinsersi Dj Stent KH SP Dr. Indra+dr. Adan BPJS 1.5 Rp 9,902,000
22 Suniwati 01-05-89-03 46 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS 0.3 Rp 6,522,000
23 Berlima Nduru 01-05-99-23 39 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina URS+Uretroscopy Diagnostik KH SP Dr. Indra BPJS 1.5 Rp 8,212,000
4/13/2021 24 Budi Haryanto 01-06-06-62 51 Flamboyan 2 Tumor Buli Tumor Buli TURBT KH SP Dr. Afdal BPJS 1.5 Rp 5,276,000
25 Amin 01-06-05-42 59 Edelweis 3 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Afdal JKSD PLLWN 1.5 Rp 5,276,000
26 Inur 01-05-87-15 58 Edelweis 3 Retensi Urine Retensi Urine Uretrosistoscopy B SP Dr. Afdal BPJS 1.5 Rp 3,196,000
4/14/2021 27 Khairul 01-05-77-54 46 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS 0.3 Rp 6,522,000
28 Aseng 01-05-78-44 50 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Sistoscopy + Aff Dj Stent S KAP Dr. Indra BPJS 0.3 Rp 6,522,000
29 Wagenam 01-05-38-13 50 Edelweis 3 Batu Ginjal (D) Batu Ginjal (D) PCNL+URS+DJ Stent KH ET Dr. Indra+dr. Adan BPJS 1.5 Rp 16,478,000
30 Jermia 01-06-01-88 60 Edelweis 3 Batu Staghorn Batu Staghorn PCNL+URS+DJ Stent KH ET Dr. Indra+dr. Adan BPJS 1.5 Rp 16,478,000
4/12/2021 31 Supriyanto 01-06-07-36 43 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Afdal BPJS 0.3 Rp 3,196,000
32 Rubiah 01-05-96-74 48 Edelweis 3 HN+ Ca Cx HN+ Ca Cx Sistoscopy S KAP Dr. Zuhirman BPJS 0.3 Rp 3,326,000
33 Ngatini 01-06-05-45 48 Edelweis 3 Retensi Urine Retensi Urine Sistoscopy + Uretroscpy+Kalibrasi' KH SP Dr. Zuhirman BPJS 1 Rp 9,718,000
34 Tohom 01-05-99-83 52 Flamboyan 2 Nefolitiasis+HN Nefolitiasis+HN Nefrolititimy+Dj Stent KH ET Dr. Zuhirman BPJS 1 Rp 11,722,000
4/13/2021 35 Rasdi Bin Matrusdi 94-08-04 49 Kenanga 3 Batu Ureter Batu Ureter Sache+Laser+Lithotripsi+Dj Stent KH SP Dr. Indra+dr. Adan BPJS 1 Rp 19,674,000
36 Andriasnyah 01-06-06-66 11 Flamboyan 2 Hipospadia Hipospadia Uretroplasty KH ET Dr. Adan BPJS 1.5 Rp 5,582,000
37 Pinem Elisabet 01-05-80-19 45 Tulip 2 Ca. Cx+HN Ca. Cx+HN Ganti Nefrostomy (S)+(D) S LA Dr. Indra+dr. Adan BPJS 0.3 Rp 6,652,000
4/19/2021 38 Misni 01-06-01-64 46 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu URS/Lithotripsi+Aff Dj Stent KH KAP Dr. Indra BPJS 0.3 Rp 8,602,000
39 Kariawan 01-06-7-44 55 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Indra BPJS 0.3 Rp 3,196,000
40 M. Zaky 01-06-09-56 17 Bougenvile1 1 Varicocele Varicocele Ligasi Vena B SP Dr. Indra Umum 1.5 Rp 4,236,000
4/20/2021 41 Ahmad Safawi 01-06-09-86 48 Gardenia 1 CRF+DJ Stent Bilateral CRF+DJ Stent Bilateral URS/Lithotripsi+Aff Dj Stent KH SP Dr. Afdal BPJS 1 Rp 8,602,000
42 Syaifullah 01-06-10-14 53 Flamboyan 2 BPH dgn Retensi BPH dgn Retensi TURP KH SP Dr. Afdal BPJS 1 Rp 5,276,000
43 Hiras Hutabarat 01-06-09-26 57 Edelweis 3 Tumor Buli Tumor Buli TURBT KH SP Dr. Afdal BPJS 1 Rp 5,276,000
44 Mudji Diharjo 92-94-59 69 Gardenia 1 BPH+Batu Buli BPH+Batu Buli Lithotripsi+Sistolapaksi KH SP Dr. Indra+dr. Adan BPJS 1 Rp 10,292,000
45 Toni Nainggolan 01-05-01-47 44 Edelweis 3 ILO+Meatal Stenosis ILO+Meatal Stenosis Open Sistostomy B LMA Dr. Indra BPJS 1.5 Rp 4,236,000
4/21/2021 46 Maryam 01-06-10-68 67 Gardenia 1 Enkrunasi Dj Stent Enkrunasi Dj Stent URS/Lithotripsi+Aff Dj Stent KH SP Dr. Indra BPJS 1 Rp 8,602,000
47 Feronika 01-05-85-04 20 Edelweis 3 Enkrunasi Dj Stent Enkrunasi Dj Stent URS/Lithotripsi+Aff Dj Stent+Vesicolitotripsi KH SP Dr. Indra+dr. Adan BPJS 1 Rp 9,772,000
48 Edina Gulo 01-06-06-98 36 Flamboyan 2 HN (S)+Batu Ureter HN (S)+Batu Ureter URS/Lithotripsi+Aff Dj Stent KH SP Dr. Adan BPJS 1 Rp 10,292,000
49 Zainudin 01-05-94-69 64 Edelweis 3 Vesicolitiasis Vesicolitiasis Vesicolitotripsi+TURP+Sache KH SP Dr. Indra+dr. Adan BPJS 1 Rp 14,528,000
50 Berliana Nduru 01-05-99-23 39 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina URS+PSOAS KH SP Dr. Indra+dr. Adan BPJS 1.5 Rp 10,422,000
4/22/2021 51 Junedi 01-06-08-61 38 Edelweis 3 Batu Ureter (D) Batu Ureter (D) URS+Laser KH SP Dr. Zuhirman BPJS 1.5 Rp 10,552,000
52 Sarimi 48-43-69 40 Edelweis 3 Batu Ureter (S) Batu Ureter (S) URS+Ureterolisis KH SP Dr. Zuhirman BPJS 1.5 Rp 10,032,000
53 Dewi 01-03-95-49 42 Edelweis 3 Retensi Urine Retensi Urine Uretroscopy+Kalibrasi+Sistoscopy KH SP Dr. Zuhirman BPJS 1.5 Rp 9,718,000
4/23/2021 54 Juniar Nainggolan 01-04-73-34 45 Kenanga 3 Vesicolitiasis+BPH+Ulkus DM Vesicolitiasis+BPH+Ulkus DM Litotripsi Laser+TURP+Debridemant KH SP Dr. Adan+dr. Kisman BPJS 2 Rp 14,062,000
4/26/2021 55 Nono Darsono 93-10-86 47 Edelweis 3 Dj Stent Insitu Dj Stent Insitu URS/Lithotripsi+Aff Dj Stent S KAP Dr. Indra BPJS 1 Rp 8,212,000
56 Azhari Andriandy 92-23-91 56 Flamboyan 2 BNC BNC TURBN KH SP Dr. Indra BPJS 1 Rp 6,836,000
57 Quzaifah 01-05-96-97 34 Edelweis 3 Ruptur Uretra Ruptur Uretra Open Sistostomy+Uretroscopy Diagnostik KH SP Dr. Indra+dr. Adan BPJS 1 Rp 7,432,000
58 Jariaman Purba 01-02-14-48 52 Edelweis 3 Neghleted Dj Stent (D) Neghleted Dj Stent (D) URS+Laser+PCNL KH SP Dr. Indra+dr. Adan JKSD SIAK 1 Rp 11,982,000
4/27/2021 59 Aung 11-01-17 60 Edelweis 3 Cholelitiasis Cholelitiasis Cholecystectomy KH ET Dr. Suindra BPJS 2 Rp 5,850,000
60 Tuminem 01-06-05-75 57 Dahlia 3 Sqmous Cell Ca Sqmous Cell Ca Wide Eksisi KH SP Dr. Fatar BPJS 1.5 Rp 10,392,000
4/28/2021 61 Diran Mamat 01-03-06-59 66 Gardenia 1 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS 0.3 Rp 3,196,000
62 David Leo 01-05-35-76 18 Flamboyan 2 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS 0.3 Rp 3,196,000
63 Padil Liyus 98-14-03 51 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS 0.3 Rp 3,196,000
64 Rahmani Eka 01-03-57-52 43 Edelweis 3 Dj Stent Insitu Dj Stent Insitu Aff Dj Stent S KAP Dr. Adan BPJS 0.3 Rp 3,196,000
65 Tukiran 01-06-14-37 69 Edelweis 3 BPH+Batu Buli BPH+Batu Buli TURP+Lithotripsi KH SP Dr. Indra+dr. Adan JKSD KAMPAR 1.5 Rp 10,422,000
66 Po Jong 01-06-12-35 57 Mawar 2 Ca. Cx+HN Ca. Cx+HN URS+Dilatasi+Dj Stent KH SP Dr. Indra BPJS 1.5 Rp 13,098,000
67 Netiani Simamora 01-06-11-02 34 Edelweis 3 Fistel Vesico Vagina Fistel Vesico Vagina Uretroplasty+Uretroscopy KH SP Dr. Indra+dr. Adan BPJS 1.5 Rp 7,042,000
4/29/2021 68 Nasrul 01-06-15-37 30 Edelweis 3 Batu Ureter Batu Ureter URS+Dilatasi KH SP Dr. Zuhirman BPJS 1.5 Rp 8,212,000
69 Zulfahmi 01-06-15-52 59 Edelweis 3 Batu Ureter Batu Ureter URS+Laser+Lithotripsi KH SP Dr. Zuhirman BPJS 1.5 Rp 15,698,000
4/30/2021 70 Hetty Hellyana 01-02-35-57 45 Dahlia 3 Tumor Mamae (S) Tumor Mamae (S) Eksisi B ET Dr. Fatar BPJS 1 Rp 7,402,000
TOTAL 70 76.7 Rp 586,454,000

KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
TOTAL 56 Rp 387,550,000
BEDAH SARAF
TOTAL 17 Rp 132,000,000
BEDAH DIGESTIF
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT

1
2
3
4
5
6
TOTAL 0 Rp - #REF!
BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -
ONKOLOGI
61 Rp 334,675,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
15 Rp 37,950,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000


9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000
BEDAH PLASTIK
TOTAL 29 Rp 239,050,000

BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019

NIP. 19751004 199503 1 001
ARIFIN ACHMAD KAMAR OPERASI VI

4/1/2021 1 Dzihni Shalsabila 01-05-21-10 11 Edelweis 3 Tumor Cerebri Tumor Cerebri Craniotomy+Rekonstruksi KH ET Dr. Andre BPJS 5 Rp 34,352,000
4/1/2021 1 Halimah 01-05-99-22 66 Poli 2 Tumor Mamae (D) Tumor Mamae (D) Biopsi Insisi S LA Dr. Effif BPJS 0.2 Rp 3,082,000
2 Daffa Akmal 01-05-98-20 19 Poli 2 Ca. Lidah Ca. Lidah Biopsi Insisi S LA Dr. Effif BPJS 0.2 Rp 3,082,000
4/5/2021 2 Ghina Inayah 99-97-00 3 Edelweis 3 MM Lumbal MM Lumbal Laminectomy+Bedah MIkro KH ET Dr. Tondi BPJS 2.5 Rp 19,012,000
4/6/2021 Erni Wati 01-05-46-87 47 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi+Biopsi KH ET Dr. Elfadri BPJS 3 Rp 25,720,000
4/7/2021 Hendry Susila 01-05-83-36 49 Edelweis 3 Tumor Ginjal Tumor Ginjal Laparatomy Biopsi B ET Dr. Indra BPJS 1.5 Rp 5,146,000
4/8/2021 3 Nur Alisyah 01-00-86-63 2.5 Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre BPJS 2 Rp 24,212,000
4/9/2021 10 Arman Saparibu 01-05-91-81 36 Flamboyan 2 Sqmous Cell Ca Sqmous Cell Ca Eksisi Biopsi B ET Dr. Fatar BPJS 1 Rp 4,936,000
Yatini 01-05-24-81 53 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4/12/2021 3 Yenni Lucia 72-37-15 62 Bougenvile1 1 TIA TIA Laparatomy Biopsi KH ET Dr. Suindra BPJS 1 Rp 5,192,000
Marfauziah 01-05-50-73 48 Gardenia 1 Post Flap Post Flap Revisi Flap KH SP dr. Fakhrul BPJS 2 Rp 18,995,000
4/13/2021 4 Dendi Pradana 01-05-20-58 11 Flamboyan 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS 1.5 Rp 18,232,000
5 Devi Candra 01-03-99-19 29 Edelweis 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS 1.5 Rp 18,232,000
4/14/2021 6 Denora 01-05-96-58 29 Flamboyan 3 SOL SOL Craniotomy+Rekonstruksi KH ET Dr. Gatot BPJS 4.5 Rp 32,922,000
4/15/2021 Fiter Adianto 01-05-55-05 25 Flamboyan 2 Union # Elbow (D) Union # Elbow (D) Remove Implant B KAP Dr. Chairudin BPJS 1 Rp 6,776,000
4/15/2021 7 M. Daut 01-05-95-98 40 Edelweis 3 Fibroma Displasi Fibroma Displasi Craniotomy+Rekonstruksi KH ET Dr. Andre BPJS 4 Rp 29,542,000
4/16/2021 11 Syauqi Jafits 01-06-05-29 8 Flamboyan 2 UDT+Phimosis UDT+Phimosis Orchidopexy+Sirkumsisi B ET Dr. Odih BPJS 1.5 Rp 8,304,000
4/16/2021 Sarijem 01-05-31-40 48 Dahlia 3 Ca. Mamae (S) Ca. Mamae (S) Radikal Mastectomy+Diseksi KH ET Dr. Fatar BPJS 3 Rp 25,334,000
4/19/2021 8 Elida Royati 01-06-06-0 42 Gardenia 1 SOL SOL Craniotomy+Rekonstruksi KH ET Dr. Tondi BPJS 4 Rp 32,922,000
4/20/2021 9 Dona Erika 88-12-70 20 Edelweis 3 Soft Tissu Tumor Soft Tissu Tumor Eksisi+Rekonstruksi KH ET Dr. Andre BPJS 2 Rp 15,778,000
Watini 01-05-76-32 42 Dahlia 3 Pyloides (S) Pyloides (S) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 4 Rp 25,334,000
Brontak 01-05-97-00 62 Dahlia 3 Tumor Inguinal Tumor Inguinal Biopsi Insisi S LA Dr. Fatar BPJS 0.2 Rp 3,082,000
4/21/2021 4 Waridun 01-01-98-11 61 Dahlia 3 CKD on HD CKD on HD Reseksi+Ligasi B LA Dr. Ramzi BPJS 1.5 Rp 5,395,000
4/22/2021 10 Laura Santika 01-06-08-71 4 Bln Edelweis 3 HCP HCP VP Shunt + Trepanasi KH ET Dr. Andre JKSD BKLS 1.5 Rp 24,212,000
4/22/2021 28 Kerli Lince 01-01-37-60 44 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Elfadri BPJS 3 Rp 25,334,000
4/23/2021 Rukiyati 01-06-05-31 59 Poli 2 LCS LCS CESI B LA dr. Romi BPJS 0.2 Rp 8,596,000
Emiarti Elok 85-14-26 66 Poli 2 LCS LCS CESI B LA dr. Romi BPJS 0.2 Rp 8,596,000
4/26/2021 11 Samsirizal 01-04-45-81 28 Edelweis 3 Bone Defect Bone Defect Kranioplasty+Trepanasi KH ET Dr. Gatot BPJS 2 Rp 13,406,000
Yasrizal 01-04-67-48 48 Edelweis 3 PSST Antebrachi PSST Antebrachi Core Biopsi + C Arm KH SP dr. Rangga BPJS 1 Rp 7,946,000
4/27/2021 12 Soviah 01-5-95-79 50 Edelweis 3 Adenoma Hipofise Adenoma Hipofise Endoscopy Craniotomy KH ET Dr. Andre BPJS 4 Rp 13,406,000
4/28/2021 13 Aida 01-05-76-82 55 Bougenvile1 1 Meningioma Meningioma Craniotomy+Rekonstruksi KH ET Dr. Gatot BPJS 4 Rp 32,922,000
4/29/2021 Indrawati 86-75-04 50 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
Remi Hutagalung 63-30-06 60 Poli 2 LRP LRP CESI B LA Dr. Chairudin BPJS 0.3 Rp 8,596,000
4/29/2021 43 Leli Marlina 98-0-02 40 Dahlia 3 Ca. Mamae (D) Ca. Mamae (D) Radikal Mastectomy+Diseksi KH ET Dr. Effif BPJS 4 Rp 25,334,000
4/30/2021 Sunardi 01-06-16-09 62 Poli 2 LRP LRP CESI B LA dr. Romi BPJS 0.3 Rp 8,596,000
Suhendrik 01-02-61-19 32 Poli 2 LRP LRP CESI B LA dr. Romi BPJS 0.3 Rp 8,596,000
Nurhayati 40-79-70 56 Poli 2 LRP LRP CESI B LA dr. Romi BPJS 0.3 Rp 8,596,000
Husniati 01-06-09-43 62 Poli 2 LRP LRP CESI B LA dr. Romi BPJS 0.3 Rp 8,596,000
TOTAL 38 71.8 Rp 602,244,000

KEBIDANAN
1
2
3
4
5
6
7
TOTAL 0 Rp -

UROLOGI
TOTAL 56 Rp 387,550,000
BEDAH SARAF
TOTAL 17 Rp 132,000,000
BEDAH DIGESTIF
TOTAL 24 Rp 137,300,000 #REF!

BEDAH ANAK
TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT
1
2
3
4
5
6
TOTAL 0 Rp - #REF!

BEDAH THT
1
2
3
4
5
6
0 Rp -
1
2
3
4
0 Rp -
TOTAL 0 Rp -

ONKOLOGI
61 Rp 334,675,000
33 Rp 28,050,000
TOTAL 94 Rp 362,725,000
BEDAH UMUM
15 Rp 37,950,000
7 Rp 7,600,000
TOTAL 22 Rp 45,550,000


9 Rp 65,000,000
1
0 Rp -
TOTAL 9 Rp 65,000,000

BEDAH PLASTIK
TOTAL 29 Rp 239,050,000

BEDAH KEPALA LEHER

1
TOTAL 0 Rp -

Pekanbaru, 2019

NIP. 19751004 199503 1 001
REKAPITULASI PELAYANAN PEMBEDAHAN KSM DI INSTALASI BEDAH SENTRAL GEDUNG BEDAH SENTRAL TERPADU (GBST LT. III)
RSUD ARIFIN ACHMAD PROVINSI RIAU
TAHUN 2019
BULAN
NO SPESIALIS/DEVISI TOTAL KETERANGAN
JAN FEB MAR APR MEI JUN JUL AGUST SEP OKT NOP DES
1 Bedah Orthopedi
1.1 Trauma
1.2 Spine/PELD/Kypoplasty
1.3 TKR/THR
1.4 Arthroscopy
1.5 CESI
1.6 Remove Implant
1.7 Tindakan Lain
2 Bedah Urologi
2.1 Batu
2.2 TURP/BT
2.3 PCNL
2.4 Tindakan Lain
3 Bedah Saraf
3.1 Tumor/SOL
3.2 Spine
3.3 HCP
3.4 Tindakan Lain
4 Bedah Digestif
4.1 Cholelitiasis
4.2 HIL/Appendicitis
4.3. Ca. Recti/Ca. Caecum
4.4 Tindakan Lain
5 Bedah Anak
5.1 Neonatus
5.2 Digestif
5.3 Onkologi
BULAN
NO SPESIALIS/DEVISI TOTAL KETERANGAN
JAN FEB MAR APR MEI JUN JUL AGUST SEP OKT NOP DES
5.4 Urologi
6 Bedah Onkologi
6.1 Mastectomy
6.2 Radikal Neck Disection
(RND)
6.3 Total
Tyroidectomy/Ismolobectomy
6.4 Soft Tissu Tumor
6.5 Tindakan Lain
7 Bedah Umum
7.1 Onkologi
7.2 Degestif
7.3 Tindakan Lain
8 Bedah Thorax Cardio Vaskuler

8.1 Jantung
8.2 Thorax
8.3 Vaskuler
9 Bedah Plastik
9.1 Mikro
9.2 Fraktur
9.3 Kontraktur
9.5 Eksisi/Debridemant/STSG
10 Bedah Kepala Leher

10.1 Trauma
10. 2 Non Trauma
11 Joint Operasi
11.1 Join Awal/Dimeja Operasi

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PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 15 Rp 114,437,000 #REF!

TOTAL 18 Rp 172,274,000 #REF!

BEDAH GIGI & MULUT

BEDAH THORAX, CARDIO, VASKULAR

BEDAH KEPALA LEHER

TOTAL KESELURUHAN PASIEN 277 Orang Rp 3,667,715,079

Ns. Sarika Dewi, S. Kep

JENIS DOKTER DOKTER CARA

TOTAL 50 93.1 Rp 650,886,079

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 24 Rp 137,300,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 34 Rp 172,800,000 #REF!

BEDAH GIGI & MULUT

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH THORAX, CARDIO, VASKULAR

BEDAH KEPALA LEHER

TOTAL KESELURUHAN PASIEN 335 Orang Rp 2,192,861,079

Ns. Dipa Handra, S. Kep

JENIS DOKTER DOKTER CARA

TOTAL 36 65.8 Rp 392,405,000

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 34 Rp 172,800,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH GIGI & MULUT

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH THORAX, CARDIO, VASKULAR

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH KEPALA LEHER

TOTAL KESELURUHAN PASIEN 321 Orang Rp 1,934,380,000

Ns. Dipa Handra, S. Kep

JENIS DOKTER DOKTER CARA

TOTAL 39 76.7 Rp 546,325,000

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 24 Rp 137,300,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 34 Rp 172,800,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH THORAX, CARDIO, VASKULAR

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH KEPALA LEHER

TOTAL KESELURUHAN PASIEN 324 Orang Rp 2,088,300,000

Ns. Dipa Handra, S. Kep

JENIS DOKTER DOKTER CARA

TOTAL 42 93.9 Rp 855,865,000

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 24 Rp 137,300,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

TOTAL 34 Rp 172,800,000 #REF!

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH GIGI & MULUT

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

PEMERINTAH PROVINSI RIAU LAPORAN TINDAKAN OPERASI

BEDAH THORAX, CARDIO, VASKULAR