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REKAPITULASI DATA PELAYANAN/TINDAKAN

Unit Kerja : KAMAR OPERASI


Klasifikasi Pasien : Semua Customer
Periode : 01 JAN 2022 s.d 04 SEP 2022

Tanggal, Jam dan Nama


Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
1 AZRIL AFIDALFARIZI 1/Jan/22 0101R0011221 1-29-54-9 0072157 TEUKU YUSRIADI, dr. 1/Jan/22 10:01 K56.1 : Operasi Khsusus KULSUM, dr. M. K -
V026541 Sp. BA;T. MUHAMMAD Intussusception;
RIZKI, A.Md.Kep;AL R57.0 : Cardiogenic
KHALID, A.Md.Kep; shock
2 ALIF ATHARSYAH 3/Jan/22 0101R0010122 0-99-40-3 0072166 NOER FAISAL DARMI, 3/Jan/22 10:58 D21.0 : Benign Operasi Sedang KULSUM, dr. M. K -
V000260 dr. Sp. B (K) neoplasm of
Onk;SULAIMAN connective and other
GP;Ns.HAFIDHAH, so
S.Kep;
3 H BADRUL KAMAL 3/Jan/22 0101R0010122 1-11-26-0 0072193 LIA MUTHIA ZAINI, dr. 3/Jan/22 15:34 Z96.1 : Presence of Operasi Khsusus KULSUM, dr. M. K -
V000279 Sp. M (K); intraocular lens
4 NIHASLINAR BINTI IDRIS 3/Jan/22 0101R0010122 1-21-21-4 0072167 NOER FAISAL DARMI, 3/Jan/22 11:02 E04.9 : Nontoxic Operasi Khsusus KULSUM, dr. M. K -
V000233 dr. Sp. B (K) goiter, unspecified;
Onk;SULAIMAN GP;Desi N64.9 : Diso
Triana;
5 SALSABILA MUKHTAR 3/Jan/22 0101R0010122 1-26-66-7 0072170 MUHAMMAD JAILANI. dr, 3/Jan/22 11:10 D10.1 : Benign Operasi Besar KULSUM, dr. M. K -
V000213 Sp. BP-RE (K);ABDUL neoplasm of tongue;
MUNIR, T00.1 : Superfi
A.Md.Kep;Afrizal;Nurbeni
Amk;
6 SAFRIJAL EFENDI 3/Jan/22 0101R0010122 1-28-12-6 0072188 NOER FAISAL DARMI, 3/Jan/22 13:58 D16.5 : Benign Operasi Khsusus KULSUM, dr. M. K -
V000220 dr. Sp. B (K) neoplasm of lower
Onk;SULAIMAN GP;Desi jaw bone
Triana;
7 TAISYIR BIN HASAN MAS 3/Jan/22 0101R0010122 1-29-05-7 0072189 LIA MUTHIA ZAINI, dr. 3/Jan/22 14:41 H33.5 : Other retinal Operasi Khsusus KULSUM, dr. M. K -
V000221 Sp. M (K);Ns. EDI detachments
ARDIANSYAH,
S.Kep;BAKHTIAR SYIFA;
8 SYAHKUBAT BIN M ASYEK 3/Jan/22 0101R0010122 1-29-29-8 0072186 MUSLIM dr. Sp. B-KBD 3/Jan/22 14:31 D12.8 : Benign Operasi Canggih KULSUM, dr. M. K -
V000259 (K);SATRIA MUNANDAR, neoplasm of rectum;
STR.Kep.An;EDI D63.0 : Anemia
MUSMULIA PUTRA,
A.Md.Kep;
9 SAJI BIN MARJO 3/Jan/22 0101R0010122 1-29-34-5 0072194 SRI MARLINDA, dr. Sp. 3/Jan/22 15:42 H27.1 : Dislocation of Operasi Khsusus KULSUM, dr. M. K -
V000281 M;BAKHTIAR SYIFA;Ns. lens
MUSDIANSYAH, S.Kep;
10 ALAMSYAH BIN T NAK BASY 3/Jan/22 0101R0011221 1-29-41-0 0072178 MUHAMMAD JAILANI. dr, 3/Jan/22 12:17 E11.5 : Type 2 Operasi Besar KULSUM, dr. M. K -
V012695 Sp. BP-RE (K);ABDUL diabetes mellitus
MUNIR, A.Md.Kep;SAIDI, with circulatory
A.Md.Kep;

Hal : 1
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
11 ADITYA SUDJONO 3/Jan/22 0101R0010122 1-29-41-8 0072169 M. YUSUF, dr. Sp. 3/Jan/22 11:09 K80.5 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V000241 B-KBD (K);SATRIA bile duct without
MUNANDAR, cholangitis
STR.Kep.An;YENTI
MASWITA;
12 NURHASANAH BINTI ISHAK 3/Jan/22 0101R0011221 1-29-49-6 0072168 FERRY ERDANI dr. Sp. 3/Jan/22 11:07 K80.5 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V021132 B-KBD (K);SATRIA bile duct without
MUNANDAR, cholangitis
STR.Kep.An;Zulfikar. R,
A.Md.Kep;
13 SURYATI BINTI HANAFIAH 3/Jan/22 0101R0011221 1-29-52-0 0072179 MUHAMMAD JAILANI. dr, 3/Jan/22 12:18 E11.5 : Type 2 Operasi Besar KULSUM, dr. M. K -
V023629 Sp. BP-RE (K);ABDUL diabetes mellitus
MUNIR, A.Md.Kep;ARIE with circulatory
NANDA RIZKY,
A.Md.Kep;
14 DINI AGUSTINA 4/Jan/22 0101R0010122 1-29-57-5 0072230 RIZKA ADITYA, dr. 4/Jan/22 8:27 O64.8 : Obstructed Operasi Besar KULSUM, dr. M. K -
V002456 Sp.OG;NAZARUDDIN, labor due to other
A.Md.Kep;RYA MAULINA malposition
A.Md.Kep;
15 M. ARIF DERMAWAN 7/Jan/22 0101R0010122 0-75-69-7 0072328 ONARISA AYU, dr. M. 7/Jan/22 10:03 D16.9 : Benign Operasi Khsusus KULSUM, dr. M. K -
V004718 Ked (Surg), Sp. OT(K), neoplasm of bone
FICS;Ns. NICO AULIA and articular cart
PERDANA, S.Kep;
16 NAJLA SYIFA 7/Jan/22 0101R0010122 0-90-94-5 0072332 CHAIRUNAS, Dr. drg, M. 7/Jan/22 10:15 K01.1 : Impacted Operasi Besar - KULSUM, dr. M. K
V004797 Kes, Sp. BM;KULSUM, teeth
dr. M. Ked (An), Sp.
An.,KNA (K);FAISAL,
SST, An;
17 DITA AYU RIZKI 7/Jan/22 0101R0010122 0-97-08-6 0072333 CHAIRUNAS, Dr. drg, M. 7/Jan/22 10:16 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V004816 Kes, Sp. BM;FAISAL, teeth; K04.1 :
SST, An; Necrosis of pulp
18 MURSIDI BARAT 7/Jan/22 0101R0011221 1-29-41-3 0072346 ARMIA INDRA NUR 7/Jan/22 13:37 S72.302 : Operasi Canggih KULSUM, dr. M. K -
V021052 ALAM,dr.Sp.OT(K) HIP Unspecified fracture
AND KNEE,FICS;Ns. of shaft of left fe
NICO AULIA PERDANA,
S.Kep;
19 MUHARDI BIN MUHAMMAD 7/Jan/22 0101R0011221 1-29-48-7 0072339 ONARISA AYU, dr. M. 7/Jan/22 13:22 T02.50 : Fractures Operasi Besar KULSUM, dr. M. K -
V020809 Ked (Surg), Sp. OT(K), involving multiple
FICS;SERI MAULIANI, regions of b
A.Md.Kep;AL ISLAMI,
A.Md.Kep;
20 PASHA FADILLAH 7/Jan/22 0101R0010122 1-29-51-4 0072340 T. NANTA AULIA, dr. M. 7/Jan/22 13:23 Z47.0 : Follow-up Operasi Sedang KULSUM, dr. M. K -
V004716 Kes, Sp. OT, K-Spine, care involving
FICS ;SERI MAULIANI, removal of fractu
A.Md.Kep;AL ISLAMI,
A.Md.Kep;
21 M AMIN BIN M YUSUF ET 7/Jan/22 0101R0011221 1-29-51-9 0072349 IRSAN ABUBAKAR, dr. 7/Jan/22 15:08 S72.00 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V023540 Sp. OT;Ns. NICO AULIA unspecified part of
PERDANA, S.Kep; neck of f

Hal : 2
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
22 MANICAH BINTI SYAHIDIN 7/Jan/22 0101R0010122 1-29-52-1 0072343 lainnya
JUFRIADI ISMI, dr. Dr. 7/Jan/22 13:31 N20.0 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V004705 Sp. U (K);FAISAL, SST, kidney
An;
23 NURUL HAYATI 7/Jan/22 0101R0010122 1-29-55-4 0072331 ONARISA AYU, dr. M. 7/Jan/22 10:11 S58.1 : Traumatic Operasi Canggih KULSUM, dr. M. K -
V000156 Ked (Surg), Sp. OT(K), amputation at level
FICS;SERI MAULIANI, between elbo
A.Md.Kep;AL ISLAMI,
A.Md.Kep;
24 SUWENDRA AMBARILA 7/Jan/22 0101R0010122 1-29-56-9 0072352 IRSAN ABUBAKAR, dr. 7/Jan/22 15:16 S72.30 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V001345 Sp. OT;Ns. ARIF fracture of shaft of
MUNANDAR, S.Kep; femur; V
25 DEVI LIANA 7/Jan/22 0101R0010122 1-29-57-7 0072335 AZHARUDDIN, DR. dr. 7/Jan/22 10:19 S82.20 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V002479 Sp. OT K-Spine FICS fracture of shaft of
(K);SERI MAULIANI, tibia
A.Md.Kep;AL ISLAMI,
A.Md.Kep;
26 NURHIMMAH BINTI RAMZAN 17/Jan/22 0101R0010122 1-26-06-2 0072609 NOER FAISAL DARMI, 17/Jan/22 10:58 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V012409 dr. Sp. B (K) neoplasm of breast
Onk;SULAIMAN of unspecifie
GP;Ns.ZULFIKAR, S.
Kep;
27 SABIRIN. B 17/Jan/22 0101R0010122 1-27-26-1 0072623 LIA MUTHIA ZAINI, dr. 17/Jan/22 12:13 H33.5 : Other retinal Operasi Khsusus KULSUM, dr. M. K -
V012411 Sp. M (K);Rismaniar;Ns. detachments; H26.2 :
EDI ARDIANSYAH, Complic
S.Kep;
28 ROSMIATI BINTI M AMIN UM 17/Jan/22 0101R0010122 1-28-61-6 0072625 SRI MARLINDA, dr. Sp. 17/Jan/22 12:35 H59.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V012403 M;Rismaniar;Ns. intraoperative and
MUSDIANSYAH, S.Kep; postprocedural co
29 MUZAKIR ABDULLAH 17/Jan/22 0101R0010122 1-29-40-1 0072611 NOER FAISAL DARMI, 17/Jan/22 11:04 D21.2 : Benign Operasi Sedang KULSUM, dr. M. K -
V011931 dr. Sp. B (K) neoplasm of
Onk;SULAIMAN GP;Desi connective and other
Triana; so
30 SALAMAH BINTI ABDURRAHMA 17/Jan/22 0101R0011221 1-29-54-0 0072637 ISKANDAR, dr. M.Kes 17/Jan/22 8:33 G91.9 : Operasi Khusus II KULSUM, dr. M. K -
V025739 Sp. BS (K);Zulfahmi Hydrocephalus,
Effendi AMK;Ns. unspecified; I64 :
JULIANI, Stroke,
S.Kep;SAIFANNUR,
Amd.Kep;
31 ZULKIFLI MOHD 17/Jan/22 0101R0010122 1-29-60-9 0072610 MUSLIM dr. Sp. B-KBD 17/Jan/22 11:01 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V005865 (K);HAMDARDI, gallbladder without
AMK;SATRIA cholecysti
MUNANDAR,
STR.Kep.An;Zulfikar. R,
A.Md.Kep;
32 MUHAMMAD NAZAR 17/Jan/22 0101R0010122 1-29-65-3 0072612 MUHAMMAD JAILANI. dr, 17/Jan/22 11:09 S02.40 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V009895 Sp. BP-RE (K);ABDUL malar, maxillary and
MUNIR, A.Md.Kep;SAIDI, zygoma b
A.Md.Kep;

Hal : 3
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
33 MUHAMMAD FAIRUZ IRSYAD 17/Jan/22 0101R0010122 1-29-70-0 0072636 TEUKU NANDAlainnya
PUTRA, 17/Jan/22 8:31 S68.9 : Traumatic Operasi Canggih KULSUM, dr. M. K -
V013747 dr. Sp. BP-RE;Ns. amputation of wrist
TEDDY KURNIADY and hand, le
THAHER, S.Kep;T.
MUHAMMAD RIZKI,
A.Md.Kep;SAFRIZAL,
A.Md.Kep;
34 DARMIATI HASYIM 18/Jan/22 0101R0010122 0-87-82-6 0072649 YULIA PUSPITA SARI, 18/Jan/22 11:23 H25.9 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V013759 dr. Sp. M (K);Ns. age-related cataract
MUSDIANSYAH, S.Kep;
35 ALESHA NUHA ZAHIRA 18/Jan/22 0101R0010122 1-03-63-0 0072643 MUHAMMAD JAILANI. dr, 18/Jan/22 11:09 D18.0 : Operasi Canggih KULSUM, dr. M. K -
V013674 Sp. BP-RE (K);ABDUL Hemangioma
MUNIR,
A.Md.Kep;Nurbeni Amk;
36 TEUKU RAFFASYA ATHARRA 18/Jan/22 0101R0010122 1-23-40-2 0072667 JAMHUR, dr. Sp. 18/Jan/22 14:45 D31.9 : Benign Operasi Khsusus KULSUM, dr. M. K -
V013753 M;Rismaniar;Ns. EDI neoplasm of
ARDIANSYAH, S.Kep; unspecified part of
eye
37 ABDUL HALIM 18/Jan/22 0101R0010122 1-27-95-6 0072650 FERRY ERDANI dr. Sp. 18/Jan/22 11:26 Z93.3 : Colostomy Operasi Khusus KULSUM, dr. M. K -
V012378 B-KBD (K);HAMDARDI, status
AMK;EDI MUSMULIA
PUTRA, A.Md.Kep;
38 T.M HUSEN 18/Jan/22 0101R0010122 1-27-95-7 0072661 IRSAN ABUBAKAR, dr. 18/Jan/22 13:29 M84.16 : Nonunion of Operasi Besar KULSUM, dr. M. K -
V013501 Sp. OT;ABDUL MUNIR, fracture
A.Md.Kep;MARZUKI; [pseudarthrosis], lo
39 HAMIDAH BINTI ABDULLAH 18/Jan/22 0101R0010122 1-28-68-2 0072641 NOER FAISAL DARMI, 18/Jan/22 11:07 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V012263 dr. Sp. B (K) neoplasm of breast
Onk;SULAIMAN of unspecifie
GP;Ns.ZULFIKAR, S.
Kep;
40 ILYAS BIN ISMAIL 18/Jan/22 0101R0010122 1-29-23-3 0072659 NOER FAISAL DARMI, 18/Jan/22 12:06 C71.3 : Malignant Operasi Sedang KULSUM, dr. M. K -
V001152 dr. Sp. B (K) neoplasm of parietal
Onk;SULAIMAN lobe; C34.0
GP;IMAM
HIDAYATULLAH,
A.Md.Kep;
41 TASMIN A RAHIM 18/Jan/22 0101R0010122 1-29-29-2 0072642 FERRY ERDANI dr. Sp. 18/Jan/22 9:41 C20 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V003699 B-KBD (K);HAMDARDI, neoplasm of rectum;
AMK;YENTI MASWITA; D63.0 : Anemia
42 MAWADDAH BINTI MUTAWA 18/Jan/22 0101R0010122 1-29-34-2 0072658 NOER FAISAL DARMI, 18/Jan/22 12:04 N60.2 : Operasi Sedang KULSUM, dr. M. K -
V013660 dr. Sp. B (K) Fibroadenosis of
Onk;SULAIMAN breast; N64.9 :
GP;IMAM Disorder
HIDAYATULLAH,
A.Md.Kep;
43 SYAHRIL KURNIAWAN 18/Jan/22 0101R0010122 1-29-61-9 0072651 RAHMI H. ADRIMAN, dr. 18/Jan/22 11:49 D31.9 : Benign Operasi Besar KULSUM, dr. M. K -
V013059 Sp. M, M. neoplasm of
Kes;Rismaniar;Sri unspecified part of
Mulyani; eye

Hal : 4
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
44 YUSMAIDA BINTI MIDAN DAL 18/Jan/22 0101R0010122 1-29-63-5 0072657 NOER FAISAL lainnya
DARMI, 18/Jan/22 12:02 M71.28 : Synovial Operasi Sedang KULSUM, dr. M. K -
V013752 dr. Sp. B (K) cyst of popliteal
Onk;SULAIMAN GP;Desi space [Baker],
Triana;
45 RAISA ARLIZA AZHAR PUTRI 19/Jan/22 0101R0010122 1-06-06-3 0072718 WINDA MARLINA, 19/Jan/22 8:56 O00.0 : Abdominal Operasi Canggih KULSUM, dr. M. K -
V015016 A.Md.Kep;NAZARUDDIN pregnancy; O14.9 :
, A.Md.Kep;Hj. Sri Unspecified p
Indrawati Amd,
Kep;NIKEN ASRI UTAMI,
dr. Sp. OG;
46 HIDAYATI BINTI HANAFIAH 19/Jan/22 0101R0010122 1-13-72-8 0072719 ISKANDAR, dr. M.Kes 19/Jan/22 8:59 I61.5 : Nontraumatic Operasi Khusus II KULSUM, dr. M. K -
V002569 Sp. BS intracerebral
(K);NAZARUDDIN, hemorrhage, int
A.Md.Kep;WINDA
MARLINA, A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
47 MUHAMMAD FAIZ ARKHAN 19/Jan/22 0101R0010122 1-20-30-7 0072714 IMAM HIDAYAT, dr. 19/Jan/22 8:43 T85.0 : Mechanical Operasi Khusus II KULSUM, dr. M. K -
V015019 M.Kes, Sp. BS (K), complication of
FINPS;ISKANDAR, ventricular int
AMK;Nadya Latifah,
A.Md.Kep;SAIFANNUR,
Amd.Kep;
48 MARYANI BINTI ABD MAJID 19/Jan/22 0101R0011221 1-29-23-2 0072716 FERRY ERDANI dr. Sp. 19/Jan/22 8:50 C25.7 : Malignant Operasi Khusus KULSUM, dr. M. K -
V016377 B-KBD (K);Nadya neoplasm of other
Latifah, parts of pancr
A.Md.Kep;ISKANDAR,
AMK;Mukhtaruddin;
49 SAMSUL BAHRI 19/Jan/22 0101R0010122 1-29-65-7 0072721 MUHAMMAD SYALTUT, 19/Jan/22 9:24 I73.1 : Operasi Canggih KULSUM, dr. M. K -
V009952 dr. Sp. BTKV; Thromboangiitis
obliterans [Buerger's
dise
MUHAMMAD SYALTUT, 19/Jan/22 9:26 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;
MUHAMMAD SYALTUT, 19/Jan/22 9:23 Operasi Canggih KULSUM, dr. M. K -
dr. Sp.
BTKV;AMSAL,A.Md.
Kep;MUAMMAR,
A.Md.Kep;SALAMUN
DAUD;
50 GUSNELI BINTI BAKRI ARIF 19/Jan/22 0101R0010122 1-29-65-8 0072723 MUHAMMAD SYALTUT, 19/Jan/22 9:27 E11.3 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V011003 dr. Sp. BTKV; diabetes mellitus
with ophthalmic c
MUHAMMAD SYALTUT, 19/Jan/22 9:28 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;
MUHAMMAD SYALTUT, 19/Jan/22 9:26 Operasi Canggih KULSUM, dr. M. K -
dr. Sp. BTKV;Ns.
JANUWIR, S.Kep;

Hal : 5
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
51 WARDANI BINTI M TAYEB 19/Jan/22 0101R0010122 1-29-69-0 0072717 NIKEN ASRIlainnya
UTAMI, dr. 19/Jan/22 8:54 O72.0 : Third-stage Operasi Sedang KULSUM, dr. M. K -
V012483 Sp. OG;WINDA hemorrhage; O90.8 :
MARLINA, Other comp
A.Md.Kep;NAZARUDDIN
, A.Md.Kep;Ns. ARZA
RUFLI, S.Kep;
52 AOS BIN ARUN 19/Jan/22 0101R0010122 1-29-71-4 0072715 IMAM HIDAYAT, dr. 19/Jan/22 8:48 S06.00 : Operasi Khsusus III KULSUM, dr. M. K -
V015060 M.Kes, Sp. BS (K), Concussion, without
FINPS;Zulfahmi Effendi open intracranial
AMK;YOZAR MAFRUZAR wou
YANFRI, A.MK;Cut
Rismalinda, Amk.Kep;
53 RAMLI.P 19/Jan/22 0101R0010122 1-29-72-4 0072713 FERRY ERDANI dr. Sp. 19/Jan/22 8:41 K40.9 : Unilateral Operasi Canggih - -
V016229 B-KBD (K);KULSUM, dr. inguinal hernia,
M. Ked (An), Sp. An.,KNA without obstru
(K);ZOEL FAHMI,
A.Md.Kep;YOPIE
AFRIANDI HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;M. ARIF FADHIL,
A.Md.Kep;
54 NURJANNAH BINTI DJAILA 31/Jan/22 0101R0010122 1-09-55-0 0073068 JUFRIADI ISMI, dr. Dr. 31/Jan/22 10:55 N20.0 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V025149 Sp. U (K);FAHRURRAZI, kidney
A.Md.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
55 SALMA NABILA 31/Jan/22 0101R0010122 1-15-62-6 0073078 IRSAN ABUBAKAR, dr. 31/Jan/22 11:43 Z47.0 : Follow-up Operasi Sedang KULSUM, dr. M. K -
V025340 Sp. OT;AL ISLAMI, care involving
A.Md.Kep;SERI removal of fractu
MAULIANI,
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;
56 MUZAKKIR BIN M. THALEB 31/Jan/22 0101R0010122 1-25-99-5 0073077 ARMIA INDRA NUR 31/Jan/22 11:41 Z47.0 : Follow-up Operasi Sedang KULSUM, dr. M. K -
V025336 ALAM,dr.Sp.OT(K) HIP care involving
AND KNEE,FICS;SERI removal of fractu
MAULIANI, A.Md.Kep;AL
ISLAMI,
A.Md.Kep;Anjasmoro;
57 RADIYAH BINTI ZAKARIA 31/Jan/22 0101R0010122 1-26-42-1 0073095 JUFRIADI ISMI, dr. Dr. 31/Jan/22 13:50 N81.1 : Cystocele; Operasi Khsusus KULSUM, dr. M. K -
V018798 Sp. U (K);FAHRURRAZI, D13.1 : Benign
A.Md.Kep;MUNAWAR, neoplasm of stom
Amd.Kep;Ns. USMAN,
S.Kep;
58 ABDUL MALIK 31/Jan/22 0101R0010122 1-29-22-2 0073080 JUFRIADI ISMI, dr. Dr. 31/Jan/22 11:48 D30.3 : Benign Operasi Khsusus KULSUM, dr. M. K -
V025330 Sp. U (K);FAHRURRAZI, neoplasm of bladder
A.Md.Kep;T. EDY
SATRIA;

Hal : 6
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
59 ALFATIH AKMAL 31/Jan/22 0101R0010122 1-29-41-6 0073076 lainnya
ARMIA INDRA NUR 31/Jan/22 11:40 Z47.0 : Follow-up Operasi Sedang KULSUM, dr. M. K -
V025331 ALAM,dr.Sp.OT(K) HIP care involving
AND KNEE,FICS;SERI removal of fractu
MAULIANI, A.Md.Kep;AL
ISLAMI,
A.Md.Kep;Anjasmoro;
60 ALFIN ALGHAFARI ISWADI 31/Jan/22 0101R0010122 1-29-59-7 0073075 ARMIA INDRA NUR 31/Jan/22 11:37 M84.29 : Delayed Operasi Canggih KULSUM, dr. M. K -
V018834 ALAM,dr.Sp.OT(K) HIP union of fracture, site
AND KNEE,FICS;Ns. unspecifi
ARIF MUNANDAR,
S.Kep;Ns. NICO AULIA
PERDANA,
S.Kep;MAHFUD, A.Md.
Kep;
61 JAIDANI BIN M. JOHAN 31/Jan/22 0101R0010122 1-29-76-4 0073094 ARMIA INDRA NUR 31/Jan/22 13:47 M86.97 : Operasi Sedang KULSUM, dr. M. K -
V020151 ALAM,dr.Sp.OT(K) HIP Osteomyelitis,
AND KNEE,FICS;Ns. unspecified, ankle
NICO AULIA PERDANA, and foo
S.Kep;Ns. ARIF
MUNANDAR,
S.Kep;MAHFUD, A.Md.
Kep;
62 RUSMIYATI BINTI T. M ISA 31/Jan/22 0101R0010122 1-29-77-8 0073092 ARMIA INDRA NUR 31/Jan/22 13:43 S42.40 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V021504 ALAM,dr.Sp.OT(K) HIP fracture of lower end
AND KNEE,FICS;Ns. of hume
ARIF MUNANDAR,
S.Kep;Ns. NICO AULIA
PERDANA,
S.Kep;AZHAR NUR
FAISAL, A.Md.Kep;
63 HAMAMAH GADENG 31/Jan/22 0101R0010122 1-29-78-1 0073091 IRSAN ABUBAKAR, dr. 31/Jan/22 13:30 T81.3 : Disruption of Operasi Khsusus KULSUM, dr. M. K -
V022506 Sp. OT;SERI MAULIANI, wound, not
A.Md.Kep;AL ISLAMI, elsewhere classif
A.Md.Kep;Cut M Rahmat;
64 BURHANUDDIN MUSTAFA 2/Feb/22 0101R0010122 0-84-33-7 0073172 MUHAMMAD SYALTUT, 2/Feb/22 11:17 T81.4 : Infection Operasi Besar KULSUM, dr. M. K -
V023859 dr. Sp. BTKV; following a
procedure
MUHAMMAD SYALTUT, 2/Feb/22 11:16 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;Ns.
JANUWIR,
S.Kep;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;
65 ALAMSAH bin ALI 2/Feb/22 0101R0010222 0-91-34-5 0073165 KULSUM, dr. M. Ked 2/Feb/22 8:37 K65 : Peritonitis Operasi Sedang - -
V002857 (An), Sp. An.,KNA (K);
M. YUSUF, dr. Sp. 2/Feb/22 8:34 Operasi Khusus KULSUM, dr. M. K -
B-KBD (K);T.
MUHAMMAD RIZKI,
A.Md.Kep;CRASDIAN
AFRIYUDI, A.Md.Kep;

Hal : 7
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
66 NURBAITI BINTI MUHAMMAD 2/Feb/22 0101R0010122 0-93-72-4 0073141 AZHARUDDIN,lainnya
DR. dr. 2/Feb/22 12:46 S32.0 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V026767 Sp. OT K-Spine FICS lumbar vertebra;
(K);AL ISLAMI, S72.80 : Frac
A.Md.Kep;SERI
MAULIANI,
A.Md.Kep;Anjasmoro;
67 IRWAN SAMIUN 2/Feb/22 0101R0010122 1-03-74-6 0073128 MUHAMMAD PUTEH 2/Feb/22 10:35 N18.5 : Chronic Operasi Khsusus KULSUM, dr. M. K -
V021478 MAUNY, dr. Sp. kidney disease,
U;FAHRURRAZI, stage 5; N20.0 : C
A.Md.Kep;FAISAL, SST,
An;T. EDY SATRIA;
68 MUTIARA ALMAHDI 2/Feb/22 0101R0010222 1-04-69-3 0073167 ISKANDAR, dr. M.Kes 2/Feb/22 8:43 D33.2 : Benign Operasi Khusus II KULSUM, dr. M. K -
V000181 Sp. BS (K);Ns. ARIF neoplasm of brain,
MUNANDAR, unspecified
S.Kep;SAFRIZAL,
A.Md.Kep;
69 MISRA MURNIATI 2/Feb/22 0101R0010122 1-14-48-9 0073140 ZULKARNAINI. dr, 2/Feb/22 12:03 T02.70 : Fractures Operasi Canggih KULSUM, dr. M. K -
V025362 Sp.OT(K) SPORT involving thorax with
;Ns. NICO AULIA lower bac
PERDANA,
S.Kep;Rismaniar;MAHF
UD, A.Md. Kep;
70 RAFIQA ALFIN PRANATA 2/Feb/22 0101R0010222 1-21-95-3 0073129 ZULKARNAINI. dr, 2/Feb/22 10:42 S83.5 : Sprain of Operasi Khsusus KULSUM, dr. M. K -
V000062 Sp.OT (K) SPORT cruciate ligament of
;NOVIA SUSILAWATI, knee
A.Mk;Ns. NICO AULIA
PERDANA,
S.Kep;Fachriani;
71 RAYYAN MAULANA PUTRA 2/Feb/22 0101R0010222 1-29-12-5 0073149 ONARISA AYU, dr. M. 2/Feb/22 13:24 D16.3 : Benign Operasi Besar KULSUM, dr. M. K -
V000177 Ked (Surg), Sp. OT(K), neoplasm of short
FICS;Ns. NICO AULIA bones of lower li
PERDANA,
S.Kep;AZHAR NUR
FAISAL, A.Md.Kep;
72 KHAIRIL BIN ASNAWI 2/Feb/22 0101R0010222 1-29-45-4 0073157 ONARISA AYU, dr. M. 2/Feb/22 13:59 D16.2 : Benign Operasi Besar KULSUM, dr. M. K -
V000064 Ked (Surg), Sp. OT(K), neoplasm of long
FICS;Ns. NICO AULIA bones of lower lim
PERDANA, S.Kep;Endi
Prima;
73 ROSMANI BINTI A WAHAB 2/Feb/22 0101R0010122 1-29-74-9 0073166 MUSLIM dr. Sp. B-KBD 2/Feb/22 8:40 C19 : Malignant Operasi Khusus KULSUM, dr. M. K -
V018899 (K);T. MUHAMMAD neoplasm of
RIZKI, rectosigmoid
A.Md.Kep;SAIFANNUR, junction;
Amd.Kep;
74 SITI GADE 2/Feb/22 0101R0010122 1-29-78-8 0073130 MUHAMMAD PUTEH 2/Feb/22 10:48 D30.3 : Benign Operasi Khsusus KULSUM, dr. M. K -
V022672 MAUNY, dr. Sp. neoplasm of bladder;
U;FAHRURRAZI, A02 : Other sa
A.Md.Kep;Nelli
Faridah;MUHAMMAD
ROZHIE, A.Md.Kep;

Hal : 8
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
75 SAMSUAR T M ALI 2/Feb/22 0101R0010122 1-29-80-8 0073158 lainnya
IRSAN ABUBAKAR, dr. 2/Feb/22 14:01 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V025063 Sp. OT;Ns. NICO AULIA diabetes mellitus
PERDANA, S.Kep;SRI with circulatory
WAHYUNI, A.Md.Kep;
76 ABD WAHAB 2/Feb/22 0101R0010122 1-29-81-3 0073142 AZHARUDDIN, DR. dr. 2/Feb/22 12:48 S72.10 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V025291 Sp. OT K-Spine FICS trochanteric fracture
(K);SERI MAULIANI, of femu
A.Md.Kep;AL ISLAMI,
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;
77 JULLI RIZKI AR 2/Feb/22 0101R0010122 1-29-81-3 0073156 AZHARUDDIN, DR. dr. 2/Feb/22 13:56 S72.1 : Operasi Canggih KULSUM, dr. M. K -
V025267 Sp. OT K-Spine FICS Pertrochanteric
(K);AL ISLAMI, fracture
A.Md.Kep;SERI
MAULIANI, A.Md.Kep;Cut
M Rahmat;
78 FEBRINA RAHMATI 3/Feb/22 0101R0010222 0-90-35-7 0073195 CUT RIKA MAHARANI, 3/Feb/22 11:47 O65.8 : Obstructed Operasi Canggih KULSUM, dr. M. K -
V001631 dr. Sp. OG;Ns. TEDDY labor due to other
KURNIADY THAHER, maternal pel
S.Kep;CRASDIAN
AFRIYUDI, A.Md.Kep;AL
KHALID, A.Md.Kep;
79 VISKA YAUHANA NADIA 3/Feb/22 0101R0010222 1-21-05-0 0073168 NIKEN ASRI UTAMI, dr. 3/Feb/22 8:52 O65.8 : Obstructed Operasi Besar KULSUM, dr. M. K -
V001599 Sp. OG;Ns. TEDDY labor due to other
KURNIADY THAHER, maternal pel
S.Kep;NAZARUDDIN,
A.Md.Kep;RYA MAULINA
A.Md.Kep;
80 AL FATIH RAYZAN 3/Feb/22 0101R0010122 1-29-74-6 0073169 SYAMSUL RIZAL, dr .Sp. 3/Feb/22 8:56 - Operasi Sedang KULSUM, dr. M. K -
V019991 BP-RE;T. MUHAMMAD
RIZKI, A.Md.Kep;Ns.
TEDDY KURNIADY
THAHER, S.Kep;Ns.
ARZA RUFLI, S.Kep;
81 SALMIATI BINTI HAMZAH 4/Feb/22 0101R0010222 0-98-56-4 0073248 Tgk. PUSPA DEWI, dr. 4/Feb/22 13:02 O64.8 : Obstructed Operasi Canggih KULSUM, dr. M. K -
V002734 Sp. OG labor due to other
(K);NAZARUDDIN, malposition
A.Md.Kep;Ns. JULIANI,
S.Kep;Ns. SITI
WARDANI, S.Kep;
82 SUCI ERNA WATI 4/Feb/22 0101R0010122 1-29-68-7 0073249 SARAH IKA 4/Feb/22 13:07 D27 : Benign Operasi Besar KULSUM, dr. M. K -
V012363 NAINGGOLAN, dr. Sp. neoplasm of ovary
OG (K)
Onk;NAZARUDDIN,
A.Md.Kep;Ns. JULIANI,
S.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;

Hal : 9
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
83 NUR ASTUTI 4/Feb/22 0101R0010222 1-29-86-2 0073247 HASANUDDIN,lainnya
dr. Dr. 4/Feb/22 12:58 O14.9 : Unspecified Operasi Besar KULSUM, dr. M. K -
V002917 Sp. OG (K) pre-eclampsia;
Onk;NAZARUDDIN, O00.0 : Abdomin
A.Md.Kep;Ns. JULIANI,
S.Kep;Cut Rismalinda,
Amk.Kep;
84 FELLY ADYTIA QODRAT 4/Feb/22 0101R0010222 1-29-86-4 0073261 AZHARUDDIN, DR. dr. 4/Feb/22 8:01 T02.01 : Fractures Operasi Besar KULSUM, dr. M. K -
V003882 Sp. OT K-Spine FICS involving head with
(K);YOZAR MAFRUZAR neck, open;
YANFRI, A.MK;
85 NURDINSYAH BIN ABDUL W 7/Feb/22 0101R0010222 0-86-43-4 0073306 M. YUSUF, dr. Sp. 7/Feb/22 14:23 C25.9 : Malignant Operasi Khusus KULSUM, dr. M. K -
V004331 B-KBD (K);HAMDARDI, neoplasm of
AMK;YENTI MASWITA; pancreas, unspecifie
86 MUHAMMAD KASIM 7/Feb/22 0101R0010222 1-12-80-8 0073287 NOER FAISAL DARMI, 7/Feb/22 10:14 C41.1 : Malignant Operasi Sedang KULSUM, dr. M. K -
V004255 dr. Sp. B (K) neoplasm of
Onk;SULAIMAN mandible; D63.0 : An
GP;Ns.ZULFIKAR, S.
Kep;
87 MUSTAFA ALI 7/Feb/22 0101R0010222 1-16-11-4 0073320 LIA MUTHIA ZAINI, dr. 7/Feb/22 7:50 H33.5 : Other retinal Operasi Khsusus KULSUM, dr. M. K -
V005547 Sp. M (K);BAKHTIAR detachments; H26.9 :
SYIFA;Ns. Unspeci
MUSDIANSYAH, S.Kep;
88 SERI MAWARNI 7/Feb/22 0101R0010222 1-25-40-2 0073319 LIA MUTHIA ZAINI, dr. 7/Feb/22 7:48 H43.1 : Vitreous Operasi Khsusus KULSUM, dr. M. K -
V004313 Sp. M (K);BAKHTIAR hemorrhage
SYIFA;Ns.
MUSDIANSYAH, S.Kep;
89 ELSA WULANDARI 7/Feb/22 0101R0010222 1-26-01-3 0073289 MUHAMMAD JAILANI. dr, 7/Feb/22 11:08 M24.54 : Contracture, Operasi Besar KULSUM, dr. M. K -
V004285 Sp. BP-RE (K);ABDUL hand
MUNIR, A.Md.Kep;SAIDI,
A.Md.Kep;
90 ALIFIYA FARZANA NAVISHA 7/Feb/22 0101R0010222 1-29-39-8 0073300 HERU NOVIAT 7/Feb/22 11:56 Z51.1 : Encounter for Operasi Kecil KULSUM, dr. M. K -
V003842 HERDATA, dr. Sp. antineoplastic
A;SULAIMAN GP; chemotherapy
91 SUFIANTI BINTI M SUARDI 7/Feb/22 0101R0010222 1-29-47-4 0073288 FERRY ERDANI dr. Sp. 7/Feb/22 10:18 K76.8 : Other Operasi Khusus KULSUM, dr. M. K -
V004288 B-KBD (K);HAMDARDI, specified diseases
AMK;EDI MUSMULIA of liver; Q44.6 :
PUTRA, A.Md.Kep;
92 MUHAMMAD IQBAL 7/Feb/22 0101R0010122 1-29-68-1 0073290 MUHAMMAD JAILANI. dr, 7/Feb/22 11:09 N49.9 : Inflammatory Operasi Besar KULSUM, dr. M. K -
V013438 Sp. BP-RE (K);ABDUL disorder of
MUNIR, unspecified male
A.Md.Kep;MARZUKI;
93 M ZAKI AL FATA 7/Feb/22 0101R0010222 1-29-70-5 0073291 IRSAN ABUBAKAR, dr. 7/Feb/22 11:10 T84.1 : Mechanical Operasi Besar KULSUM, dr. M. K -
V004294 Sp. OT;ABDUL MUNIR, complication of
A.Md.Kep;ARIE NANDA internal fixati
RIZKY, A.Md.Kep;
94 MUZA LIFA 7/Feb/22 0101R0010222 1-29-82-0 0073298 NOER FAISAL DARMI, 7/Feb/22 8:45 L02.1 : Cutaneous Operasi Sedang KULSUM, dr. M. K -
V004307 dr. Sp. B (K) abscess, furuncle
Onk;SULAIMAN GP;Desi and carbuncle
Triana;

Hal : 10
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
95 HAFSARAH 7/Feb/22 0101R0010222 1-29-85-4 0073304 M. YUSUF,lainnya
dr. Sp. 7/Feb/22 13:39 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V004265 B-KBD (K);HAMDARDI, gallbladder without
AMK;YENTI MASWITA; cholecysti
96 SAFARYANI BINTI ISMAIL B 8/Feb/22 0101R0010222 1-29-75-6 0073332 NOER FAISAL DARMI, 8/Feb/22 9:58 C50.9 : Malignant Operasi Sedang KULSUM, dr. M. K -
V005580 dr. Sp. B (K) neoplasm of breast
Onk;SULAIMAN GP;Desi of unspecifie
Triana;
97 M JAKFAR HS 8/Feb/22 0101R0010222 1-29-89-6 0073329 T. NANTA AULIA, dr. M. 8/Feb/22 10:38 M79.59 : Residual Operasi Khsusus KULSUM, dr. M. K -
V005593 Kes, Sp. OT, K-Spine, foreign body in soft
FICS ;NAZARUDDIN, tissue, sit
A.Md.Kep;ISKANDAR,
AMK;M. ARIF FADHIL,
A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
98 NUR SALIMAH 9/Feb/22 0101R0010222 0-98-67-5 0073406 ARMIA INDRA NUR 9/Feb/22 13:42 M17.9 : Osteoarthritis Operasi Khsusus KULSUM, dr. M. K -
V006687 ALAM,dr.Sp.OT(K) HIP of knee, unspecified;
AND KNEE,FICS;SERI D64.9
MAULIANI, A.Md.Kep;AL
ISLAMI,
A.Md.Kep;Anjasmoro;
99 LUKMAN BIN ABBAS 9/Feb/22 0101R0010222 1-08-42-4 0073403 MUHAMMAD PUTEH 9/Feb/22 13:23 N40 : Benign Operasi Khsusus KULSUM, dr. M. K -
V000207 MAUNY, dr. Sp. prostatic hyperplasia;
U;FAHRURRAZI, I25 : Chronic
A.Md.Kep;FAISAL, SST,
An;MUNAWAR,
Amd.Kep;
100 MUHAMMAD USMAN 9/Feb/22 0101R0010222 1-17-59-4 0073384 ZULKARNAINI. dr, 9/Feb/22 10:49 S72.009 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V004240 Sp.OT (K) SPORT unspecified part of
;Ns. NICO AULIA neck of
PERDANA,
S.Kep;AZHAR NUR
FAISAL,
A.Md.Kep;Fachriani;
101 RIJALUL AKHIYAR 9/Feb/22 0101R0010222 1-29-04-7 0073407 IRSAN ABUBAKAR, dr. 9/Feb/22 13:53 S52.40 : Fracture of Operasi Canggih KULSUM, dr. M. K -
V002920 Sp. OT;SERI MAULIANI, shafts of both ulna
A.Md.Kep;AL ISLAMI, and radiu
A.Md.Kep;Cut M Rahmat;
102 MUSRIJAL BIN BAHARUDDI 9/Feb/22 0101R0010122 1-29-68-2 0073418 MUHAMMAD SYALTUT, 9/Feb/22 9:10 J85.0 : Gangrene Operasi Sedang KULSUM, dr. M. K -
V012185 dr. Sp. BTKV;EDY and necrosis of lung;
SURANTA;SALAMUN K12.2 : Cel
DAUD;MUAMMAR,
A.Md.Kep;
103 MUKHSIN M DAUD 9/Feb/22 0101R0010222 1-29-76-7 0073404 MUHAMMAD PUTEH 9/Feb/22 13:31 N35.9 : Urethral Operasi Canggih KULSUM, dr. M. K -
V006901 MAUNY, dr. Sp. stricture, unspecified;
U;FAHRURRAZI, R33 : Ret
A.Md.Kep;FAISAL, SST,
An;MUHAMMAD
ROZHIE, A.Md.Kep;

Hal : 11
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
104 AMINAH BINTI NEK MAK 9/Feb/22 0101R0010122 1-29-78-9 0073423 MUHAMMAD lainnya
SYALTUT, 9/Feb/22 9:21 E11.5 : Type 2 Operasi Besar KULSUM, dr. M. K -
V022713 dr. Sp. BTKV;EDY diabetes mellitus
SURANTA;SALAMUN with circulatory
DAUD;MUAMMAR,
A.Md.Kep;
105 SUDARNO BIN WARTAM 9/Feb/22 0101R0010222 1-29-80-2 0073408 MUHAMMAD PUTEH 9/Feb/22 14:01 N21.1 : Calculus in Operasi Canggih KULSUM, dr. M. K -
V006204 MAUNY, dr. Sp. urethra
U;FAISAL, SST,
An;FACHRUL RAZI, dr.
Sp. B (K) Onk;T. EDY
SATRIA;
106 ROSMIATI BINTI MUHAMMAD 9/Feb/22 0101R0010122 1-29-81-6 0073422 MUHAMMAD SYALTUT, 9/Feb/22 9:20 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V025779 dr. Sp. BTKV; diabetes mellitus
with circulatory
MUHAMMAD SYALTUT, 9/Feb/22 9:19 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;DESY
RAHMAT,
S.Kep;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;
107 MUHAMMAD RIZIEQ LUTHFI 9/Feb/22 0101R0010222 1-29-87-4 0073383 ZULKARNAINI. dr, 9/Feb/22 10:47 S72.30 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V008079 Sp.OT (K) SPORT fracture of shaft of
;Ns. NICO AULIA femur
PERDANA,
S.Kep;MAHFUD, A.Md.
Kep;
108 HANIF BIN TAMIN 16/Feb/22 0101R0010122 1-08-18-3 0073613 MIRNASARI AMIRSYAH, 16/Feb/22 11:44 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V025471 dr. Sp. BP- RE;ABDUL diabetes mellitus
MUNIR, A.Md.Kep;Afrizal; with circulatory
109 NURIN NASYWA AGDA 16/Feb/22 0101R0010222 1-10-11-1 0073598 EVA IMELDA, dr. Sp. 16/Feb/22 9:58 Q11.1 : Other Operasi Besar KULSUM, dr. M. K -
V012426 M;BAKHTIAR SYIFA;Sri anophthalmos;
Mulyani; H35.9 : Unspecified
re
110 ADI SURYA JAYA 16/Feb/22 0101R0010222 1-16-80-6 0073603 MIRNASARI AMIRSYAH, 16/Feb/22 10:34 L97 : Non-pressure Operasi Besar KULSUM, dr. M. K -
V001520 dr. Sp. BP- RE;MUSNI, chronic ulcer of lower
A.Md. Kep;Desi Triana; limb, no
111 HABIL SYAHPUTRA 16/Feb/22 0101R0010222 1-22-89-3 0073599 EVA IMELDA, dr. Sp. 16/Feb/22 10:01 C69 : Malignant Operasi Besar KULSUM, dr. M. K -
V012440 M;BAKHTIAR SYIFA;Sri neoplasm of eye and
Mulyani; adnexa
112 NASRIANI BINTI QAMARUZZAM 16/Feb/22 0101R0010222 1-29-70-7 0073590 M. YUSUF, dr. Sp. 16/Feb/22 8:39 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V011975 B-KBD (K);HAMDARDI, gallbladder without
AMK;YENTI MASWITA; cholecysti
113 ALFIS JAKWAN 16/Feb/22 0101R0010222 1-29-78-1 0073600 EVA IMELDA, dr. Sp. 16/Feb/22 10:02 H26.1 : Traumatic Operasi Besar KULSUM, dr. M. K -
V012498 M;BAKHTIAR SYIFA;Ns. cataract; H43.0 :
MUSDIANSYAH, S.Kep; Vitreous prola
114 DINA AJRINA 16/Feb/22 0101R0010222 1-29-80-4 0073589 RUSLI, Drg. Sp. 16/Feb/22 8:35 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V013218 BM;MUSNI, A.Md. teeth; K05.6 :
Kep;IMAM Periodontal diseas
HIDAYATULLAH,
A.Md.Kep;

Hal : 12
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
115 MUAJIR BIN ILYAS 16/Feb/22 0101R0010222 1-29-84-1 0073595 MIRNASARI AMIRSYAH, 16/Feb/22 11:14 C44.9 : Other and Operasi Khsusus KULSUM, dr. M. K -
V013867 dr. Sp. BP- RE;ARIE unspecified
NANDA RIZKY, malignant neoplasm
A.Md.Kep;ABDUL o
MUNIR, A.Md.Kep;
116 TEGAR YUDA AGUSTIA 16/Feb/22 0101R0010222 1-29-92-8 0073626 ABDUL MUNIR, 16/Feb/22 14:09 I78.1 : Nevus, Operasi Canggih KULSUM, dr. M. K -
V013231 A.Md.Kep;MARZUKI; non-neoplastic
117 FAISAL PRAJA. S 16/Feb/22 0101R0010222 1-29-96-7 0073594 MIRNASARI AMIRSYAH, 16/Feb/22 9:12 S02.60 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V010736 dr. Sp. BP- mandible,
RE;Afrizal;ABDUL unspecified; V22.4
MUNIR, A.Md.Kep;SAIDI,
A.Md.Kep;
118 IDA FARIDA 1/Mar/22 0101R0010322 1-05-40-7 0073979 HILWAH NORA, dr. 1/Mar/22 8:31 O33.9 : Maternal care Operasi Besar KULSUM, dr. M. K -
V001214 M.Ked, Sci, ART, Sp. OG for disproportion,
(K);YOZAR MAFRUZAR unspecifi
YANFRI,
A.MK;CRASDIAN
AFRIYUDI, A.Md.Kep;
119 ROSITA M YASIN 1/Mar/22 0101R0010222 1-18-52-2 0073978 SARAH IKA 1/Mar/22 8:28 O44.1 : Complete Operasi Canggih KULSUM, dr. M. K -
V023346 NAINGGOLAN, dr. Sp. placenta previa with
OG (K) Onk;Ns. TEDDY hemorrhage;
KURNIADY THAHER,
S.Kep;NAZARUDDIN,
A.Md.Kep;Mukhtaruddin;
120 MUZAKIR BIN LUKMAN 1/Mar/22 0101R0010322 1-25-28-8 0073981 M. YUSUF, dr. Sp. 1/Mar/22 8:38 K35 : Acute Operasi Khusus KULSUM, dr. M. K -
V000601 B-KBD (K);YOZAR appendicitis; E11.9 :
MAFRUZAR YANFRI, Type 2 diabetes
A.MK;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Hj. Sri Indrawati
Amd, Kep;
121 ABDUL MUTALEB IBRAHIM 1/Mar/22 0101R0010222 1-30-07-9 0073972 SUHARDI, dr. Sp. BTKV 1/Mar/22 14:22 S22.40 : Multiple Operasi Khusus KULSUM, dr. M. K -
V020403 (K)-VE;SALAMUN fractures of ribs,
DAUD;Ns. closed; S22.9
HIDAYATULLAH, S.Kep;
122 TAMLIKHA BIN NURDIN 1/Mar/22 0101R0010322 1-30-13-4 0073977 AZHARUDDIN, DR. dr. 1/Mar/22 8:18 S66.1 : Injury of flexor Operasi Besar KULSUM, dr. M. K -
V000147 Sp. OT K-Spine FICS muscle, fascia and
(K);NAZARUDDIN, tendon
A.Md.Kep;Ns. TEDDY
KURNIADY THAHER,
S.Kep;AL KHALID,
A.Md.Kep;
123 M NADIR SY 1/Mar/22 0101R0010322 1-30-13-4 0073976 TEUKU YOSE 1/Mar/22 8:13 - Operasi Khusus I KULSUM, dr. M. K -
V000008 MAHMUDDIN AKBAR,
M.Ked, dr. Sp. BS;Ns.
JULIANI, S.Kep;Ns. ARIF
MUNANDAR, S.Kep;Cut
Rismalinda, Amk.Kep;

Hal : 13
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
124 NITA SAHARA 1/Mar/22 1171015ICC220 1-30-14-1 0073974 SARAH IKAlainnya 1/Mar/22 7:39 - Operasi Canggih KULSUM, dr. M. K -
30322 NAINGGOLAN, dr. Sp.
OG (K) Onk;FAHRIZAL,
A.Md. Kep;SAIDI,
A.Md.Kep;
125 SITI MASYTHAH 1/Mar/22 1171015ICC220 1-30-14-2 0073975 SARAH IKA 1/Mar/22 7:40 - Operasi Canggih KULSUM, dr. M. K -
3031F NAINGGOLAN, dr. Sp.
OG (K)
Onk;NAZARUDDIN,
A.Md.Kep;SAIDI,
A.Md.Kep;
126 SYAFINAR BINTI ABDUL HAM 2/Mar/22 0101R0010322 1-30-14-6 0073980 HILWAH NORA, dr. 2/Mar/22 8:33 O05.4 : Other Operasi Sedang KULSUM, dr. M. K -
V001367 M.Ked, Sci, ART, Sp. OG abortion, incomplete,
(K);T. MUHAMMAD without compli
RIZKI, A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
127 SAMSUL BAHRI 7/Mar/22 0101R0010322 0-67-69-2 0074072 AZHARUDDIN, DR. dr. 7/Mar/22 10:43 D33.4 : Benign Operasi Khsusus KULSUM, dr. M. K -
V004106 Sp. OT K-Spine FICS neoplasm of spinal
(K);Fachriani;FAHRURR cord
AZI, A.Md.Kep;
128 MUHAMMAD KHALIL 7/Mar/22 0101R0010322 1-25-22-0 0074083 ARMIA INDRA NUR 7/Mar/22 13:45 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V004276 ALAM,dr.Sp.OT(K) HIP care involving
AND KNEE,FICS;AL removal of fractu
ISLAMI, A.Md.Kep;SERI
MAULIANI,
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;
YOPIE AFRIANDI 7/Mar/22 9:56 Operasi Besar KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA, FIC;
YOPIE AFRIANDI 7/Mar/22 9:55 Operasi Besar KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;AIDAR,
A.Md.Kep;Ns. Zulfazli, S.
Kep;
129 MUHAMMAD HAIKAL 7/Mar/22 0101R0010322 1-25-58-6 0074077 ARMIA INDRA NUR 7/Mar/22 11:16 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V004185 ALAM,dr.Sp.OT(K) HIP care involving
AND KNEE,FICS;SERI removal of fractu
MAULIANI, A.Md.Kep;AL
ISLAMI, A.Md.Kep;SRI
WAHYUNI, A.Md.Kep;
130 TJUT LINDA DJUANA 7/Mar/22 0101R0010322 1-26-71-3 0074086 T. NANTA AULIA, dr. M. 7/Mar/22 13:55 T84.1 : Mechanical Operasi Besar KULSUM, dr. M. K -
V004148 Kes, Sp. OT, K-Spine, complication of
FICS ;FAHRURRAZI, internal fixati
A.Md.Kep;Endi Prima;
131 NURUL AINI 7/Mar/22 0101R0010322 1-28-41-6 0074078 JUFRIADI ISMI, dr. Dr. 7/Mar/22 11:22 N20.1 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V004269 Sp. U (K);FAISAL, SST, ureter; D13.1 :
An;Nelli Faridah; Benign neoplas

Hal : 14
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
132 SITI FARWIJA 7/Mar/22 0101R0010322 1-30-09-1 0074076 lainnya
ARMIA INDRA NUR 7/Mar/22 11:07 S42.00 : Fracture of Operasi Besar KULSUM, dr. M. K -
V004178 ALAM,dr.Sp.OT(K) HIP unspecified part of
AND KNEE,FICS;AL clavicle
ISLAMI, A.Md.Kep;SERI
MAULIANI,
A.Md.Kep;Anjasmoro;
133 SAIFUL AFWADI 7/Mar/22 0101R0010222 1-30-10-6 0074079 JUFRIADI ISMI, dr. Dr. 7/Mar/22 11:23 N20.0 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V022105 Sp. U (K);FAISAL, SST, kidney; R33 :
An;T. EDY SATRIA; Retention of uri
134 ISMAYADI BIN ANWAR FAUZI 7/Mar/22 0101R0010222 1-30-13-1 0074073 AZHARUDDIN, DR. dr. 7/Mar/22 10:49 S42.00 : Fracture of Operasi Besar KULSUM, dr. M. K -
V023562 Sp. OT K-Spine FICS unspecified part of
(K);MAHFUD, A.Md. clavicle;
Kep;FAHRURRAZI,
A.Md.Kep;
135 HUSNA BINTI M DAUD 9/Mar/22 0101R0010322 1-15-01-4 0074133 HARMAINI, dr. Sp. 9/Mar/22 9:36 H04.9 : Disorder of Operasi Khsusus KULSUM, dr. M. K -
V006047 M;FAHRURRAZI, lacrimal system,
A.Md.Kep;Sri Mulyani; unspecified
136 FATIH AAQILAH FAWWAZ J 9/Mar/22 0101R0010322 1-16-75-9 0074143 T. NANTA AULIA, dr. M. 9/Mar/22 10:28 S52.50 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V006996 Kes, Sp. OT, K-Spine, fracture of the lower
FICS ;MUSNI, A.Md. end of
Kep;IMAM
HIDAYATULLAH,
A.Md.Kep;
137 JUHARI MUKHTAR 9/Mar/22 0101R0010322 1-28-47-2 0074130 M. YUSUF, dr. Sp. 9/Mar/22 8:22 K60.2 : Anal fissure, Operasi Besar KULSUM, dr. M. K -
V006934 B-KBD (K);HAMDARDI, unspecified
AMK;Zulfikar. R,
A.Md.Kep;
138 WARDIAH BINTI RAZALI 9/Mar/22 0101R0010322 1-29-88-0 0074147 TEUKU NANDA PUTRA, 9/Mar/22 10:41 Z48.0 : Encounter for Operasi Besar KULSUM, dr. M. K -
V006966 dr. Sp. BP-RE;ABDUL attention to
MUNIR, A.Md.Kep;ARIE dressings, sutu
NANDA RIZKY,
A.Md.Kep;
139 MOHD. ALI 9/Mar/22 0101R0010222 1-29-92-0 0074138 TEUKU NANDA PUTRA, 9/Mar/22 9:53 S61.8 : Open wound Operasi Besar KULSUM, dr. M. K -
V006964 dr. Sp. BP-RE;ABDUL of other parts of wrist
MUNIR, A.Md.Kep;SAIDI, and han
A.Md.Kep;
140 FARIDAH BINTI ABDULLAH P 9/Mar/22 0101R0010322 1-30-02-8 0074132 EVA IMELDA, dr. Sp. 9/Mar/22 13:25 H25.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V006150 M;FAHRURRAZI, age-related cataract
A.Md.Kep;Ns. EDI
ARDIANSYAH, S.Kep;
141 M YUSUF HASYEM 9/Mar/22 0101R0010322 1-30-08-5 0074153 HARMAINI, dr. Sp. 9/Mar/22 13:27 Q10.0 : Congenital Operasi Besar KULSUM, dr. M. K -
V006952 M;FAHRURRAZI, ptosis
A.Md.Kep;Ns. EDI
ARDIANSYAH, S.Kep;

Hal : 15
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
142 NURUL HUSNA 14/Mar/22 1171015ICC220 1-00-64-8 0074271 lainnya
RIZKA ADITYA, dr. 14/Mar/22 13:28 - Operasi Canggih KULSUM, dr. M. K DORA DARUSSAL
302B6 Sp.OG;FAHRIZAL, A.Md.
Kep;IMAM
HIDAYATULLAH,
A.Md.Kep;DORA
DARUSSALAM, dr.Dr.
Sp. A (K);
143 ACHMAD SAMPURNA 14/Mar/22 0101R0010322 1-23-06-2 0074282 KULSUM, dr. M. Ked 14/Mar/22 9:44 K65.9 : Peritonitis, Operasi Sedang - -
V010554 (An), Sp. An.,KNA (K); unspecified; D64.9 :
Anemia,
M. YUSUF, dr. Sp. 14/Mar/22 7:23 Operasi Khusus KULSUM, dr. M. K -
B-KBD (K);T.
MUHAMMAD RIZKI,
A.Md.Kep;ISKANDAR,
AMK;Ns. SITI WARDANI,
S.Kep;RYA MAULINA
A.Md.Kep;
144 BAMBANG ASRI YUDHA UTO 14/Mar/22 0101R0010322 1-29-87-0 0074288 MUHAMMAD SYALTUT, 14/Mar/22 9:48 T02.80 : Fractures Operasi Canggih KULSUM, dr. M. K -
V010564 dr. Sp. involving other
BTKV;MERIYANTI;SALA combinations of
MUN DAUD;MUAMMAR,
A.Md.Kep;
MUHAMMAD SYALTUT, 14/Mar/22 9:48 Operasi Canggih KULSUM, dr. M. K -
dr. Sp.
BTKV;MERIYANTI;SALA
MUN DAUD;MUAMMAR,
A.Md.Kep;
145 T M ALI 15/Mar/22 0101R0010322 0-80-80-9 0074307 T. NANTA AULIA, dr. M. 15/Mar/22 12:58 S72.00 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V010555 Kes, Sp. OT, K-Spine, unspecified part of
FICS ;Ns. NICO AULIA neck of f
PERDANA, S.Kep;Endi
Prima;
146 CUT ALFI SYAHRIANUR 15/Mar/22 0101R0010322 0-83-31-2 0074301 T. NANTA AULIA, dr. M. 15/Mar/22 10:22 A18.0 : Tuberculosis Operasi Khsusus KULSUM, dr. M. K -
V011991 Kes, Sp. OT, K-Spine, of bones and joints;
FICS ;Ns. NICO AULIA M54.5 :
PERDANA,
S.Kep;Fachriani;MAHFU
D, A.Md. Kep;
147 SITI AKSARA 15/Mar/22 0101R0010322 1-27-85-2 0074302 DAHRIL, DR. dr. Sp. U 15/Mar/22 10:26 N20.0 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V011956 (K), FRACS;FAISAL, kidney
SST, An;MUNAWAR,
Amd.Kep;
148 YUSMIJAL BIN M JAIS 15/Mar/22 0101R0010322 1-29-69-9 0074306 DAHRIL, DR. dr. Sp. U 15/Mar/22 12:56 T81.0 : Haemorrhage Operasi Khsusus KULSUM, dr. M. K -
V010590 (K), FRACS;FAISAL, and haematoma
SST, An;MUHAMMAD complicating a p
ROZHIE, A.Md.Kep;
149 NURSYIDAH BINTI ZAINAL A 15/Mar/22 0101R0010322 1-30-20-9 0074300 T. NANTA AULIA, dr. M. 15/Mar/22 10:21 S82.10 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V008108 Kes, Sp. OT, K-Spine, fracture of upper end
FICS ;AL ISLAMI, of tibi
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;

Hal : 16
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
150 KAMALUDDIN BIN NYA'ASA 15/Mar/22 0101R0010322 1-30-21-5 0074308 DAHRIL, DR. dr. Sp. U 15/Mar/22 13:00 N25.9 : Disorder Operasi Khsusus KULSUM, dr. M. K -
V010029 (K), FRACS;FAISAL, resulting from
SST, An;T. EDY SATRIA; impaired renal tub
151 ZUFIKA. R 16/Mar/22 0101R0010322 1-28-65-0 0074341 ZULKARNAINI. dr, 16/Mar/22 10:43 T84.1 : Mechanical Operasi Khsusus KULSUM, dr. M. K -
V011010 Sp.OT (K) SPORT complication of
;AL ISLAMI, internal fixati
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;
152 SUMARNI ANALISA 16/Mar/22 0101R0010322 1-29-66-4 0074340 T. NANTA AULIA, dr. M. 16/Mar/22 10:41 M54.5 : Low back Operasi Khsusus KULSUM, dr. M. K -
V003991 Kes, Sp. OT, K-Spine, pain
FICS ;Ns. NICO AULIA
PERDANA, S.Kep;Endi
Prima;AZHAR NUR
FAISAL, A.Md.Kep;
153 FAUZI YAHYA 16/Mar/22 0101R0010322 1-30-12-9 0074342 ONARISA AYU, dr. M. 16/Mar/22 10:45 - Operasi Canggih KULSUM, dr. M. K -
V010551 Ked (Surg), Sp. OT(K),
FICS;ZULKHAIRI, A.Md.
Kep;Cut M Rahmat;
154 M. IRFAN 18/Mar/22 0101R0010322 0-67-55-4 0074417 MIRNASARI AMIRSYAH, 18/Mar/22 11:15 S91.3 : Open wound Operasi Besar KULSUM, dr. M. K -
V015679 dr. Sp. BP- RE;ABDUL of foot
MUNIR, A.Md.Kep;
155 SAMSUL MUKHTAR 18/Mar/22 0101R0010322 1-02-39-4 0074399 LIA MUTHIA ZAINI, dr. 18/Mar/22 9:41 H59.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V015670 Sp. M (K);Ns. intraoperative and
MUSDIANSYAH, S.Kep; postprocedural co
156 SARTINI LUBIS 18/Mar/22 0101R0010322 1-10-17-1 0074418 FACHRUL RAZI, dr. Sp. 18/Mar/22 11:22 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V015654 B (K) Onk;MUSNI, A.Md. neoplasm of breast
Kep;IMAM of unspecifie
HIDAYATULLAH,
A.Md.Kep;
157 ISMAIL BIN HANAFIAH HS 18/Mar/22 0101R0010322 1-26-38-7 0074404 MIRNASARI AMIRSYAH, 18/Mar/22 9:57 K13.7 : Other and Operasi Besar KULSUM, dr. M. K -
V015678 dr. Sp. BP- RE;ABDUL unspecified lesions
MUNIR, of oral muco
A.Md.Kep;Afrizal;Nurbeni
Amk;
158 AHMAD DARUS SAPUTRA 18/Mar/22 0101R0010322 1-28-12-8 0074424 MUHAMMAD PUTEH 18/Mar/22 12:22 Q54.9 : Operasi Khsusus KULSUM, dr. M. K -
V015706 MAUNY, dr. Sp. Hypospadias,
U;FAHRURRAZI, unspecified; N39.0 :
A.Md.Kep;Nelli Faridah; Urinary
159 MUHAMMAD KARIM H 18/Mar/22 0101R0010322 1-28-60-9 0074416 MIRNASARI AMIRSYAH, 18/Mar/22 11:10 Z47.0 : Follow-up Operasi Canggih KULSUM, dr. M. K -
V015681 dr. Sp. BP- RE;ABDUL care involving
MUNIR, A.Md.Kep;SAIDI, removal of fractu
A.Md.Kep;
160 ROSMAINI BINTI SULAIMAN 18/Mar/22 0101R0010322 1-28-63-4 0074400 FACHRUL RAZI, dr. Sp. 18/Mar/22 9:52 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V015664 B (K) Onk;MUSNI, A.Md. neoplasm of breast
Kep;Ns.ZULFIKAR, S. of unspecifie
Kep;
161 ALIFA FAZA 18/Mar/22 0101R0010322 1-29-83-7 0074398 CUT PUTRI SAMIRA, dr. 18/Mar/22 9:41 H16.9 : Unspecified Operasi Sedang KULSUM, dr. M. K -
V015668 Sp. M;BAKHTIAR keratitis
SYIFA;Sri Mulyani;

Hal : 17
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
162 ZAKARIA BIN IDRIS 18/Mar/22 0101R0010322 1-30-01-9 0074402 FERRY ERDANI dr. Sp. 18/Mar/22 9:54 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V015671 B-KBD (K);HAMDARDI, gallbladder without
AMK;Jasmi, SSt; cholecysti
163 HANIF MUZIYAD 18/Mar/22 0101R0010322 1-30-04-8 0074407 MIRNASARI AMIRSYAH, 18/Mar/22 10:04 - Operasi Khsusus KULSUM, dr. M. K -
V012068 dr. Sp. BP-
RE;Afrizal;ABDUL
MUNIR, A.Md.Kep;ARIE
NANDA RIZKY,
A.Md.Kep;MARZUKI;
164 HAMZAH MUKTAR 18/Mar/22 - 1-30-06-8 0074415 FAISAL, SST, 18/Mar/22 11:02 N13.3 : Other and Operasi Khsusus KULSUM, dr. M. K -
An;MUNAWAR, unspecified
Amd.Kep;JUFRIADI hydronephrosis
ISMI, dr. Dr. Sp. U (K);
165 SUKARNI BINTI M.JOHAN 18/Mar/22 0101R0010322 1-30-19-0 0074403 FERRY ERDANI dr. Sp. 18/Mar/22 9:56 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V015665 B-KBD (K);HAMDARDI, gallbladder without
AMK;YENTI MASWITA; cholecysti
166 SHAUMI HIDAYATI 19/Mar/22 0101R0010322 0-87-59-3 0074431 SARAH IKA 19/Mar/22 7:59 O34.2 : Maternal care Operasi Canggih KULSUM, dr. M. K -
V016772 NAINGGOLAN, dr. Sp. due to uterine scar
OG (K) Onk;Ns. JULIANI, from pre
S.Kep;AL KHALID,
A.Md.Kep;
167 AFRINA MAULIDA 19/Mar/22 0101R0010322 1-22-10-7 0074432 NIKEN ASRI UTAMI, dr. 19/Mar/22 8:01 O34.2 : Maternal care Operasi Besar KULSUM, dr. M. K -
V016713 Sp. OG;Ns. ARIF due to uterine scar
MUNANDAR, from pre
S.Kep;Nadya Latifah,
A.Md.Kep;Cut
Rismalinda, Amk.Kep;
168 RIKA WULAN DARI 19/Mar/22 0101R0010322 1-23-70-6 0074458 MUHAMMAD SYALTUT, 19/Mar/22 12:41 T81.3 : Disruption of Operasi Besar KULSUM, dr. M. K -
V016668 dr. Sp. BTKV;M. RISKI wound, not
NOVIANSYAH, A.Md.Kep; elsewhere classif
169 MARDIANA BINTI M. YUSUF 19/Mar/22 0101R0010322 1-30-27-3 0074433 HILWAH NORA, dr. 19/Mar/22 8:03 O42.0 : Premature Operasi Besar KULSUM, dr. M. K -
V017305 M.Ked, Sci, ART, Sp. OG rupture of
(K);T. MUHAMMAD membranes, onset
RIZKI, A.Md.Kep;Ns. of l
JULIANI, S.Kep;FAJRI,
A.Md.Kep;
170 AIDIL BIN RUSLI 19/Mar/22 0101R0010322 1-30-28-9 0074429 ISKANDAR, dr. M.Kes 19/Mar/22 7:52 I61.9 : Nontraumatic Operasi Khusus II KULSUM, dr. M. K -
V016706 Sp. BS (K);Nadya intracerebral
Latifah, A.Md.Kep;Ns. hemorrhage, uns
ARIF MUNANDAR,
S.Kep;SAFRIZAL,
A.Md.Kep;
171 INTAN MAGHFIRAH 19/Mar/22 0101R0010322 1-30-29-0 0074430 RIZKA ADITYA, dr. 19/Mar/22 7:56 O14.1 : Severe Operasi Besar KULSUM, dr. M. K -
V016701 Sp.OG;Ns. ARIF pre-eclampsia;
MUNANDAR, O82.1 : Delivery by
S.Kep;Nadya Latifah,
A.Md.Kep;Hj. Sri
Indrawati Amd, Kep;

Hal : 18
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
172 AMINAH binti ataleb 19/Mar/22 0101R0010322 1-30-29-2 0074434 MIRNASARI lainnya
AMIRSYAH, 19/Mar/22 8:05 T31.0 : Burns Operasi Sedang KULSUM, dr. M. K -
V016813 dr. Sp. BP- RE;T. involving less than
MUHAMMAD RIZKI, 10% of body surf
A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
173 AL KHALIFI ZIKRI MIRZA 19/Mar/22 0101R0010322 1-30-29-2 0074435 MIRNASARI AMIRSYAH, 19/Mar/22 8:09 S01.5 : Open wound Operasi Canggih KULSUM, dr. M. K -
V017841 dr. Sp. BP- RE;T. of lip and oral cavity
MUHAMMAD RIZKI,
A.Md.Kep;YOZAR
MAFRUZAR YANFRI,
A.MK;Ns. SITI WARDANI,
S.Kep;
174 RAJA MAULIDIN 23/Mar/22 0101R0010322 1-30-33-0 0074621 IRSAN ABUBAKAR, dr. 23/Mar/22 11:29 S92.31 : Fracture of Operasi Besar KULSUM, dr. M. K -
V020832 Sp. OT;SAFRIZAL, first metatarsal bone
A.Md.Kep;
175 REZKI AULIA ROZA 24/Mar/22 1171015ICC220 1-04-16-7 0074596 SARAH IKA 24/Mar/22 9:04 U07.1 : COVID-19; Operasi Canggih KULSUM, dr. M. K HERU NOVIAT HE
30324 NAINGGOLAN, dr. Sp. O82.0 : Delivery by
OG (K) elective cae
Onk;NAZARUDDIN,
A.Md.Kep;IMAM
HIDAYATULLAH,
A.Md.Kep;HERU NOVIAT
HERDATA, dr. Sp. A;
176 M. NASIR BIN MAHMUD 1/Apr/22 0101R0010322 0-92-75-8 0074830 JUFRIADI ISMI, dr. Dr. 1/Apr/22 11:13 N40 : Benign Operasi Khsusus KULSUM, dr. M. K -
V028439 Sp. U (K);FAHRURRAZI, prostatic hyperplasia
A.Md.Kep;MUNAWAR,
Amd.Kep;
177 MUZAKIR S 1/Apr/22 0101R0010322 0-99-49-3 0074821 IRSAN ABUBAKAR, dr. 1/Apr/22 10:41 S72.00 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V024847 Sp. OT;Rismaniar;Endi unspecified part of
Prima; neck of f
178 NURLISMAWATI BINTI USMA 1/Apr/22 0101R0010322 1-01-35-3 0074826 AZHARUDDIN, DR. dr. 1/Apr/22 10:54 D16.6 : Benign Operasi Khsusus KULSUM, dr. M. K -
V027267 Sp. OT K-Spine FICS neoplasm of
(K);AL ISLAMI, vertebral column;
A.Md.Kep;Cut M D50.9
Rahmat;Ns. USMAN,
S.Kep;
179 NGATIAM BINTI KUSMADI 1/Apr/22 0101R0010322 1-23-22-3 0074819 ZULKARNAINI. dr, 1/Apr/22 10:24 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V028274 Sp.OT (K) SPORT care involving
;Rismaniar;AZHAR NUR removal of fractu
FAISAL, A.Md.Kep;
180 AZWAR ANAS 1/Apr/22 0101R0010322 1-25-29-5 0074828 IRSAN ABUBAKAR, dr. 1/Apr/22 11:04 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V028311 Sp. care involving
OT;Rismaniar;Fachriani; removal of fractu
181 BANTA GADENG 1/Apr/22 0101R0010322 1-26-47-3 0074822 IRSAN ABUBAKAR, dr. 1/Apr/22 10:42 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V027919 Sp. care involving
OT;Rismaniar;AZHAR removal of fractu
NUR FAISAL, A.Md.Kep;

Hal : 19
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
182 MURIYATI 1/Apr/22 0101R0010322 1-29-88-7 0074825 lainnya
AZHARUDDIN, DR. dr. 1/Apr/22 10:54 M41.9 : Scoliosis, Operasi Khsusus KULSUM, dr. M. K -
V027285 Sp. OT K-Spine FICS unspecified
(K);SERI MAULIANI,
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md.
Kep;AIDIL FURQAN,
A.Md.Kep;
183 FARISHA IRWAYU 1/Apr/22 0101R0010322 1-30-38-0 0074829 CHAIRUNAS, Dr. drg, M. 1/Apr/22 11:12 K12.2 : Cellulitis and Operasi Besar KULSUM, dr. M. K -
V028064 Kes, Sp. abscess of mouth
BM;FAHRURRAZI,
A.Md.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
184 SUYATNI BINTI TIYO 1/Apr/22 0101R0010322 1-30-38-8 0074838 TEUKU YOSE 1/Apr/22 7:57 S06.6 : Traumatic Operasi Khusus II KULSUM, dr. M. K -
V027821 MAHMUDDIN AKBAR, subarachnoid
M.Ked, dr. Sp. BS;Ns. hemorrhage; J95.9 :
TEDDY KURNIADY
THAHER, S.Kep;Ns.
ARIF MUNANDAR,
S.Kep;AL KHALID,
A.Md.Kep;
185 MANSUR BIN ABUBAKAR UM 1/Apr/22 0101R0010422 1-30-39-6 0074839 SYAMSUL RIZAL, dr .Sp. 1/Apr/22 8:01 S02.60 : Fracture of Operasi Besar KULSUM, dr. M. K -
V000322 BP-RE;Ns. ARIF mandible,
MUNANDAR, unspecified
S.Kep;SAFRIZAL,
A.Md.Kep;
186 FAUZAN 2/Apr/22 0101R0010422 1-26-68-7 0074843 CHAIRUNAS, Dr. drg, M. 2/Apr/22 8:14 S02.80 : Fracture of Operasi Sedang KULSUM, dr. M. K -
V000733 Kes, Sp. BM;T. other specified skull
MUHAMMAD RIZKI, and fac
A.Md.Kep;MAIMUN
TARIDA;
187 RAYSUL AKBAR 2/Apr/22 0101R0010422 1-30-40-0 0074840 SYAMSUL RIZAL, dr .Sp. 2/Apr/22 8:03 S91.3 : Open wound Operasi Sedang KULSUM, dr. M. K -
V000732 BP-RE;Ns. ARIF of foot; V02.1 :
MUNANDAR, S.Kep;Ns. Pedestrian inj
TEDDY KURNIADY
THAHER, S.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;
188 NURDIN MAJID 4/Apr/22 0101R0010322 0-88-31-8 0074862 FERRY ERDANI dr. Sp. 4/Apr/22 10:32 C20 : Malignant Operasi Khusus KULSUM, dr. M. K -
V028433 B-KBD (K);HAMDARDI, neoplasm of rectum;
AMK;YENTI J95.9 : Postpr
MASWITA;EDI
MUSMULIA PUTRA,
A.Md.Kep;
189 WARNIDAH HAJI 4/Apr/22 0101R0010422 1-13-66-8 0074886 SYAMSUL RIZAL, dr .Sp. 4/Apr/22 12:58 M24.54 : Contracture, Operasi Canggih KULSUM, dr. M. K -
V001385 BP-RE;ABDUL MUNIR, hand; S39.7 : Other
A.Md.Kep;SAIDI, multiple
A.Md.Kep;

Hal : 20
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
190 RUSNI BINTI SARONG 4/Apr/22 0101R0010422 1-29-46-4 0074856 NOER FAISAL lainnya
DARMI, 4/Apr/22 10:17 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V000859 dr. Sp. B (K) Onk;MUSNI, neoplasm of breast
A.Md. Kep;IMAM of unspecifie
HIDAYATULLAH,
A.Md.Kep;
191 AL FATIH RAYZAN 4/Apr/22 0101R0010222 1-29-74-6 0074858 SYAMSUL RIZAL, dr .Sp. 4/Apr/22 10:22 - Operasi Sedang KULSUM, dr. M. K -
V023462 BP-RE;ABDUL MUNIR,
A.Md.Kep;Afrizal;Nurbeni
Amk;
192 MUSFITA DAHLIANA 4/Apr/22 0101R0010422 1-29-93-2 0074864 SYAMSUL RIZAL, dr .Sp. 4/Apr/22 10:40 S02.2 : Fracture of Operasi Canggih KULSUM, dr. M. K -
V000910 BP-RE;ABDUL MUNIR, nasal bones
A.Md.Kep;Afrizal;MARZU
KI;
193 YUNIZA MAQFIRAH 4/Apr/22 0101R0010422 1-29-94-1 0074861 NOER FAISAL DARMI, 4/Apr/22 10:31 D21.0 : Benign Operasi Sedang KULSUM, dr. M. K -
V000860 dr. Sp. B (K) Onk;MUSNI, neoplasm of
A.Md. Kep;Desi connective and other
Triana;Ns.ZULFIKAR, S. so
Kep;
194 MUSLEM BIN HASBALLAH 4/Apr/22 0101R0010422 1-30-05-0 0074863 SRI MARLINDA, dr. Sp. 4/Apr/22 10:35 S05.5 : Penetrating Operasi Khsusus KULSUM, dr. M. K -
V000861 M;BAKHTIAR SYIFA;Ns. wound with foreign
MUSDIANSYAH, S.Kep; body of eye
195 MARYATI SULAIMAN 4/Apr/22 0101R0010322 1-30-16-3 0074857 FERRY ERDANI dr. Sp. 4/Apr/22 10:20 D13.6 : Benign Operasi Khusus KULSUM, dr. M. K -
V023158 B-KBD (K);HAMDARDI, neoplasm of
AMK;Zulfikar. R, pancreas; D63.0 :
A.Md.Kep; Anemi
196 RAHMAH BINTI SABI 4/Apr/22 0101R0010422 1-30-24-6 0074874 NOER FAISAL DARMI, 4/Apr/22 11:42 D24 : Benign Operasi Sedang KULSUM, dr. M. K -
V001052 dr. Sp. B (K) Onk;MUSNI, neoplasm of breast;
A.Md. Kep;Desi Triana; D05.7 : Other car
197 DEVIANA BINTI SAHARI 4/Apr/22 0101R0010422 1-30-30-0 0074860 NOER FAISAL DARMI, 4/Apr/22 10:29 D21.3 : Benign Operasi Sedang KULSUM, dr. M. K -
V000856 dr. Sp. B (K) Onk;MUSNI, neoplasm of
A.Md. connective and other
Kep;Ns.ZULFIKAR, S. so
Kep;
198 GAZALI ZALALUDDIN 4/Apr/22 0101R0010322 1-30-37-9 0074859 SYAMSUL RIZAL, dr .Sp. 4/Apr/22 10:24 S02.40 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V026177 BP-RE;ABDUL MUNIR, malar, maxillary and
A.Md.Kep;Afrizal;ARIE zygoma b
NANDA RIZKY,
A.Md.Kep;
199 NASRULLAH BIN M KASIM 5/Apr/22 0101R0010322 1-30-29-1 0074934 TEUKU YOSE 5/Apr/22 7:57 G91.9 : Operasi Khusus I KULSUM, dr. M. K -
V016719 MAHMUDDIN AKBAR, Hydrocephalus,
M.Ked, dr. Sp. unspecified; A15.7 :
BS;ISKANDAR, AMK;T. Primar
MUHAMMAD RIZKI,
A.Md.Kep;CRASDIAN
AFRIYUDI, A.Md.Kep;

Hal : 21
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
200 CUT MAWADDAH 5/Apr/22 0101R0010422 1-30-37-5 0074932 MUNIZAR, lainnya
dr. Sp. OG 5/Apr/22 7:51 O42.9 : Premature Operasi Besar KULSUM, dr. M. K -
V001698 (K);T. MUHAMMAD rupture of
RIZKI, membranes,
A.Md.Kep;ISKANDAR, unspecifie
AMK;Cut Rismalinda,
Amk.Kep;
201 AISYAH HUMAIRA 5/Apr/22 0101R0010422 1-30-42-1 0074933 TEUKU YUSRIADI, dr. 5/Apr/22 7:53 K35.2 : Acute Operasi Sedang KULSUM, dr. M. K -
V001744 Sp. BA;T. MUHAMMAD appendicitis with
RIZKI, generalized perito
A.Md.Kep;ISKANDAR,
AMK;Hj. Sri Indrawati
Amd, Kep;
202 NOVI MAULIDA 5/Apr/22 0101R0010422 1-30-42-3 0074931 ISKANDAR, dr. M.Kes 5/Apr/22 7:46 G91.9 : Operasi Khusus II KULSUM, dr. M. K -
V002580 Sp. BS (K);ISKANDAR, Hydrocephalus,
AMK;T. MUHAMMAD unspecified; G94.0 :
RIZKI, A.Md.Kep;Ns. SITI Hydroc
WARDANI, S.Kep;
203 YUNITA BINTI RUSLI 5/Apr/22 0101R0010422 1-30-42-4 0074935 SARAH IKA 5/Apr/22 7:58 O02.1 : Missed Operasi Sedang KULSUM, dr. M. K -
V002574 NAINGGOLAN, dr. Sp. abortion
OG (K) Onk;ISKANDAR,
AMK;T. MUHAMMAD
RIZKI, A.Md.Kep;Hj. Sri
Indrawati Amd, Kep;
204 ABU BAKAR 7/Apr/22 0101R0010422 1-05-03-8 0074992 ISKANDAR, dr. M.Kes 7/Apr/22 7:21 I61.9 : Nontraumatic Operasi Khusus II KULSUM, dr. M. K -
V003485 Sp. BS (K);Nadya intracerebral
Latifah, A.Md.Kep;Ns. hemorrhage, uns
TEDDY KURNIADY
THAHER, S.Kep;RYA
MAULINA
A.Md.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;
KULSUM, dr. M. Ked 7/Apr/22 7:24 Operasi Sedang - -
(An), Sp. An.,KNA (K);
205 SUWARNI BINTI SALIYOK 7/Apr/22 0101R0010422 1-30-43-1 0075001 MUHAMMAD SYALTUT, 7/Apr/22 9:23 I99 : Other and Operasi Sedang KULSUM, dr. M. K -
V003471 dr. Sp. BTKV;Ns. TEDDY unspecified
KURNIADY THAHER, disorders of circulato
S.Kep;Nadya Latifah,
A.Md.Kep;MUHAZIRSYA
H, A.Md.Kep;
206 SUNAO BINTI TEUKU NAGO 7/Apr/22 0101R0010422 1-30-43-3 0074985 ISKANDAR, dr. M.Kes 7/Apr/22 11:01 S06.5 : Traumatic Operasi Khusus I KULSUM, dr. M. K -
V003531 Sp. BS (K);Nadya subdural
Latifah, A.Md.Kep;Ns. hemorrhage; H83.8 :
TEDDY KURNIADY Oth
THAHER, S.Kep;Ns. SITI
WARDANI, S.Kep;
207 MAULANA 7/Apr/22 - 1-30-43-3 0074997 ISKANDAR, dr. M.Kes 7/Apr/22 7:32 S01.9 : Open wound Operasi Besar KULSUM, dr. M. K -
Sp. BS (K);Ns. ARIF of unspecified part of
MUNANDAR, head
S.Kep;SAFRIZAL,
A.Md.Kep;

Hal : 22
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
208 SYAIFUL IDRIS 7/Apr/22 0101R0010422 1-30-43-3 0074993 M. YUSUF, dr. Sp. 7/Apr/22 7:26 K63.1 : Perforation of Operasi Khusus KULSUM, dr. M. K -
V003549 B-KBD (K);Ns. TEDDY intestine
KURNIADY THAHER, (nontraumatic); K
S.Kep;Ns.
FAKHRURRIZA,
S.Kep;SAIFANNUR,
Amd.Kep;
209 FIRDA HUSNA 11/Apr/22 0101R0010422 1-26-45-5 0075081 HASANUDDIN, dr. Dr. 11/Apr/22 7:46 O14.1 : Severe Operasi Besar KULSUM, dr. M. K -
V006734 Sp. OG (K) Onk;Zulfahmi pre-eclampsia;
Effendi O82.0 : Delivery by
AMK;NAZARUDDIN,
A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
210 IRMA SUSILAWATI NURULLA 11/Apr/22 0101R0010322 1-30-34-0 0075077 MUHAMMAD SYALTUT, 11/Apr/22 8:18 A41.8 : Other Operasi Sedang KULSUM, dr. M. K -
V022099 dr. Sp. BTKV;MUAMMAR, specified sepsis;
A.Md.Kep;MUHAZIRSYA E11.5 : Type 2 dia
H, A.Md.Kep;
211 ZAKARIA AHMAD 11/Apr/22 0101R0010322 1-30-35-0 0075079 MUHAMMAD SYALTUT, 11/Apr/22 8:26 S22.40 : Multiple Operasi Canggih KULSUM, dr. M. K -
V023277 dr. Sp. BTKV;SALAMUN fractures of ribs,
DAUD;MERIYANTI; closed; S27.1
MUHAMMAD SYALTUT, 11/Apr/22 8:28 Operasi Canggih KULSUM, dr. M. K -
dr. Sp. BTKV;SALAMUN
DAUD;MERIYANTI;
MUHAMMAD SYALTUT, 11/Apr/22 8:30 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;SALAMUN
DAUD;MERIYANTI;
MUHAMMAD SYALTUT, 11/Apr/22 8:32 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;SALAMUN
DAUD;MERIYANTI;
212 DEVIJA SETIAWAN 11/Apr/22 1171015ICC220 1-30-45-2 0075080 TEUKU YOSE 11/Apr/22 8:54 - Operasi Khusus II KULSUM, dr. M. K -
50009 MAHMUDDIN AKBAR,
M.Ked, dr. Sp.
BS;IQRAMULLAH,
A.Md.Kep;Ns. RIDHA
ZULFAJRI, S.Kep;
213 AGUS SETIAWAN ALFAJRI 11/Apr/22 0101R0010422 1-30-45-6 0075338 MUHAMMAD SYALTUT, 11/Apr/22 11:42 S55.1 : Injury of radial Operasi Besar KULSUM, dr. M. K -
V006595 dr. Sp. BTKV;EDY artery at forearm
SURANTA; level;
214 NABILA ASKANAH SAKHI 12/Apr/22 0101R0010422 1-28-66-2 0075153 TEUKU NANDA PUTRA, 14/Apr/22 7:24 Z47.0 : Follow-up Operasi Sedang KULSUM, dr. M. K -
V008897 dr. Sp. BP-RE;ABDUL care involving
MUNIR, A.Md.Kep;SAIDI, removal of fractu
A.Md.Kep;
215 AL FAIZUN 14/Apr/22 0101R0010422 1-13-00-4 0075162 TEUKU NANDA PUTRA, 14/Apr/22 10:16 S71.0 : Open wound Operasi Besar KULSUM, dr. M. K -
V005503 dr. Sp. BP-RE;ABDUL of hip; S82.231A :
MUNIR, Displaced ob
A.Md.Kep;MARZUKI;
216 ROSNANI LIDAN 14/Apr/22 0101R0010422 1-15-15-3 0075163 FACHRUL RAZI, dr. Sp. 14/Apr/22 10:59 C50 : Malignant Operasi Sedang KULSUM, dr. M. K -
V008901 B (K) Onk;SULAIMAN neoplasm of breast
GP;LUKMAN, SKM.
S.Kep;

Hal : 23
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
217 BUKHARI MUHAMMAD AMIN 14/Apr/22 0101R0010422 1-19-31-2 0075180 CUT PUTRI SAMIRA, dr. 14/Apr/22 12:49 H18.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V007666 Sp. M;BAKHTIAR specified disorders
SYIFA;Ns. EDI of cornea; H44.0
ARDIANSYAH, S.Kep;
218 SULTAN MISBAHUL FAYRA 14/Apr/22 0101R0010422 1-20-21-0 0075160 FACHRUL RAZI, dr. Sp. 14/Apr/22 11:56 D18.0 : Operasi Sedang KULSUM, dr. M. K -
V008887 B (K) Onk;SULAIMAN Hemangioma; J33.9
GP;Desi Triana; : Nasal polyp,
unspecifi
219 FAKRURRAZI M HUSEN AMI 14/Apr/22 0101R0010422 1-21-90-3 0075161 TEUKU NANDA PUTRA, 14/Apr/22 10:10 M62.46 : Contracture Operasi Besar KULSUM, dr. M. K -
V005741 dr. Sp. BP-RE;ABDUL of muscle, lower leg
MUNIR,
A.Md.Kep;Nurbeni Amk;
220 AZZAM AL- KHALISH 14/Apr/22 0101R0010422 1-28-58-2 0075176 EVA IMELDA, dr. Sp. 14/Apr/22 11:03 H54.0 : Blindness, Operasi Besar KULSUM, dr. M. K -
V007902 M;BAKHTIAR SYIFA;Ns. both eyes
MUSDIANSYAH, S.Kep;
221 NURMA BINTI NYAK E 14/Apr/22 0101R0010422 1-30-22-7 0075182 FACHRUL RAZI, dr. Sp. 14/Apr/22 13:07 N64.9 : Disorder of Operasi Sedang KULSUM, dr. M. K -
V004618 B (K) Onk;SULAIMAN breast, unspecified
GP;Desi Triana;
222 ASMAWATI BINTI A.RASYID 14/Apr/22 0101R0010422 1-30-26-5 0075170 FACHRUL RAZI, dr. Sp. 14/Apr/22 11:54 C73 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V008898 B (K) Onk;SULAIMAN neoplasm of thyroid
GP;IMAM gland; A83.4 :
HIDAYATULLAH,
A.Md.Kep;
223 KATINEM BINTI NOYO 14/Apr/22 0101R0010422 1-30-32-5 0075164 FACHRUL RAZI, dr. Sp. 14/Apr/22 11:12 C50.9 : Malignant Operasi Sedang KULSUM, dr. M. K -
V008911 B (K) Onk;SATRIA neoplasm of breast
MUNANDAR, of unspecifie
STR.Kep.An;Jasmi, SSt;
224 MULYADI BIN MAHMUD 14/Apr/22 0101R0010422 1-30-41-5 0075174 ONARISA AYU, dr. M. 14/Apr/22 10:50 D16.2 : Benign Operasi Besar KULSUM, dr. M. K -
V008677 Ked (Surg), Sp. OT(K), neoplasm of long
FICS;SATRIA bones of lower lim
MUNANDAR,
STR.Kep.An;Zulfikar. R,
A.Md.Kep;
225 AKMARUL FAJRI 14/Apr/22 0101R0010422 1-30-42-5 0075169 TEUKU NANDA PUTRA, 14/Apr/22 11:42 T88.8 : Other Operasi Besar KULSUM, dr. M. K -
V002581 dr. Sp. BP-RE;ABDUL specified
MUNIR, A.Md.Kep;ARIE complications of
NANDA RIZKY, surgical
A.Md.Kep;
226 SUHAIL PUTRA ANDRIA 18/Apr/22 0101R0010422 0-99-25-1 0075246 YOPIE AFRIANDI 18/Apr/22 8:48 I31.3 : Pericardial Operasi Canggih KULSUM, dr. M. K -
V010483 HABIBIE, dr, effusion
Sp.B.TKV(K), FIHA, (noninflammatory);
FIC;MUHAZIRSYAH, F5
A.Md.Kep;
YOPIE AFRIANDI 18/Apr/22 8:56 Operasi Sedang KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;MUHAZIRSYAH,
A.Md.Kep;

Hal : 24
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
227 SAIFUL BAHRI 18/Apr/22 0101R0010422 1-30-46-5 0075225 MIRNASARI lainnya
AMIRSYAH, 18/Apr/22 11:50 S02.70 : Multiple Operasi Khsusus KULSUM, dr. M. K -
V006909 dr. Sp. BP- RE;ABDUL fractures involving
MUNIR, skull and fa
A.Md.Kep;Afrizal;MARZU
KI;
228 USMAN AHMAD 18/Apr/22 0101R0010422 1-30-49-7 0075248 MUHAMMAD SYALTUT, 18/Apr/22 8:59 S22 : Fracture of Operasi Canggih KULSUM, dr. M. K -
V010525 dr. Sp. BTKV;Ns. TEDDY rib(s), sternum and
KURNIADY THAHER, thoracic spi
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
MUHAMMAD SYALTUT, 18/Apr/22 9:03 Operasi Canggih KULSUM, dr. M. K -
dr. Sp. BTKV;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
MUHAMMAD SYALTUT, 18/Apr/22 9:05 Operasi Canggih KULSUM, dr. M. K -
dr. Sp. BTKV;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
MUHAMMAD SYALTUT, 18/Apr/22 9:07 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
MUHAMMAD SYALTUT, 18/Apr/22 9:10 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
MUHAMMAD SYALTUT, 18/Apr/22 9:14 Operasi Sedang KULSUM, dr. M. K -
dr. Sp. BTKV;Ns. TEDDY
KURNIADY THAHER,
S.Kep;Ns. USMAN,
S.Kep;Ns.
HIDAYATULLAH, S.Kep;
229 LISA OKTIANA 19/Apr/22 0101R0010422 1-30-36-3 0075257 NOER FAISAL DARMI, 19/Apr/22 11:10 D24 : Benign Operasi Sedang KULSUM, dr. M. K -
V011717 dr. Sp. B (K) Onk;MAYA neoplasm of breast;
KHUZAIMI SARI, N64.9 : Disorder
AMK;MISWARDI,
A.Md.Kep;Ns.
SUWARNI, S.Kep;

Hal : 25
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
230 SOFIA FARDIANI 19/Apr/22 0101R0010422 1-30-47-5 0075260 NOER FAISAL lainnya
DARMI, 19/Apr/22 10:27 D24 : Benign Operasi Sedang KULSUM, dr. M. K -
V008844 dr. Sp. B (K) Onk;MAYA neoplasm of breast;
KHUZAIMI SARI, I10 : Essential (
AMK;MISWARDI,
A.Md.Kep;NOVALLIA
LESTARI, A.Md.Kep;
231 JUARIAH RAHMAN 5/May/22 0101R0010522 0-94-46-3 0075592 FERRY ERDANI dr. Sp. 5/May/22 9:15 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V000612 B-KBD (K);CRASDIAN diabetes mellitus
AFRIYUDI, A.Md.Kep;Ns. with circulatory
USMAN, S.Kep;
LAUHIL MAHFUDZ, dr. 5/May/22 9:23 Operasi Sedang KULSUM, dr. M. K -
Sp.B (K) V;Ns. JULIANI,
S.Kep;EDY SURANTA;
232 FEBRI AGUSTIAN 5/May/22 0101R0010522 1-30-59-0 0075612 TEUKU NANDA PUTRA, 5/May/22 12:04 - Operasi Khsusus KULSUM, dr. M. K -
V000315 dr. Sp. BP-RE;MAIMUN
TARIDA;
233 SYARIEF HIDAYATULLAH 5/May/22 0101R0010522 1-30-59-2 0075611 TEUKU NANDA PUTRA, 5/May/22 11:56 S02.402 : Zygomatic Operasi Canggih KULSUM, dr. M. K -
V000472 dr. Sp. BP-RE;Nadya fracture, unspecified
Latifah, A.Md.Kep;RIZKI side; V2
HIDAYATULLAH,
A.Md.Kep;
234 TILAIYA BINTI IBRAHIM 5/May/22 0101R0010522 1-30-59-3 0075589 FERRY ERDANI dr. Sp. 5/May/22 9:07 K35.8 : Other and Operasi Canggih KULSUM, dr. M. K -
V000402 B-KBD (K);Ns. SITI unspecified acute
WARDANI, S.Kep;Ns. appendicitis
JULIANI, S.Kep;
235 MUHAMMAD ABDUR RAZZA 5/May/22 0101R0010522 1-30-59-5 0075591 T. NANTA AULIA, dr. M. 5/May/22 9:12 S72.10 : Unspecified Operasi Besar KULSUM, dr. M. K -
V000463 Kes, Sp. OT, K-Spine, trochanteric fracture
FICS ;AL KHALID, of femu
A.Md.Kep;Ns. JULIANI,
S.Kep;
236 TRI FADIL RAMADHAN 5/May/22 0101R0010522 1-30-59-5 0075590 TEUKU YUSRIADI, dr. 5/May/22 9:09 Q42.0 : Congenital Operasi Khsusus KULSUM, dr. M. K -
V000812 Sp. BA;M. ARIF FADHIL, absence, atresia and
A.Md.Kep;Ns. SITI stenosis o
WARDANI,
S.Kep;AZHAR NUR
FAISAL, A.Md.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;Ns. JULIANI,
S.Kep;
237 ABDUL AZIZ 5/May/22 0101R0010522 1-30-59-6 0075646 LAUHIL MAHFUDZ, dr. 5/May/22 9:04 S86.8 : Injury of other Operasi Besar KULSUM, dr. M. K -
V000527 Sp.B (K) V;Ns. ARIF muscles and
MUNANDAR, tendons at low
S.Kep;AMSAL,A.Md. Kep;
LAUHIL MAHFUDZ, dr. 5/May/22 9:06 Operasi Besar KULSUM, dr. M. K -
Sp.B (K) V;Ns. ARIF
MUNANDAR,
S.Kep;AMSAL,A.Md.
Kep;EDY SURANTA;

Hal : 26
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
237 ABDUL AZIZ 5/May/22 0101R0010522 1-30-59-6 0075646 lainnya dr.
LAUHIL MAHFUDZ, 5/May/22 9:16 S86.8 : Injury of other Operasi Sedang KULSUM, dr. M. K -
V000527 Sp.B (K) V;Ns. ARIF muscles and
MUNANDAR, tendons at low
S.Kep;AMSAL,A.Md.
Kep;EDY SURANTA;
238 H. RAMLI BIN ABDUL AZIZ 6/May/22 0101R0010522 1-17-65-9 0075639 YOPIE AFRIANDI 6/May/22 8:47 I70.2 : Operasi Sedang KULSUM, dr. M. K -
V000458 HABIBIE, dr, Atherosclerosis of
Sp.B.TKV(K), FIHA, native arteries of the
FIC;Ns. ARIF
MUNANDAR, S.Kep;EDY
SURANTA;
YOPIE AFRIANDI 6/May/22 8:49 Operasi Sedang KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;Ns. ARIF
MUNANDAR, S.Kep;EDY
SURANTA;
239 WINARTI binti WINARTO 6/May/22 0101R0010422 1-30-55-1 0075641 FACHRUL JUNAIDI, dr. 6/May/22 8:51 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V017123 Sp. B (K) V;Ns. ARIF diabetes mellitus
MUNANDAR, S.Kep;EDY with circulatory
SURANTA;
FACHRUL JUNAIDI, dr. 6/May/22 8:53 Operasi Sedang KULSUM, dr. M. K -
Sp. B (K) V;Ns. ARIF
MUNANDAR, S.Kep;EDY
SURANTA;
240 NURUL DJANAH 6/May/22 0101R0010522 1-30-59-1 0075588 SARAH IKA 6/May/22 9:04 N85.0 : Endometrial Operasi Sedang KULSUM, dr. M. K -
V000401 NAINGGOLAN, dr. Sp. hyperplasia
OG (K) Onk;Hj. Sri
Indrawati Amd,
Kep;Nadya Latifah,
A.Md.Kep;
241 VERANIKA EVALINA 6/May/22 0101R0010522 1-30-59-5 0075587 IMA INDIRAYANI, dr. 6/May/22 9:01 O41.0 : Operasi Canggih KULSUM, dr. M. K -
V000470 Sp.OG;Ns. SYUKRI, Oligohydramnios;
S.Kep;Hj. Sri Indrawati O82.0 : Delivery by
Amd, elect
Kep;MANSURIZA;RIZKI
HIDAYATULLAH,
A.Md.Kep;Nadya Latifah,
A.Md.Kep;
242 ARIF RAFI 6/May/22 0101R0010522 1-30-59-9 0075594 TEUKU YOSE 6/May/22 12:07 - Operasi Khusus II KULSUM, dr. M. K -
V000661 MAHMUDDIN AKBAR,
M.Ked, dr. Sp. BS;FAJRI,
A.Md.Kep;Ns. USMAN,
S.Kep;M. ARIF FADHIL,
A.Md.Kep;
243 AISYAH NUR 12/May/22 0101R0010522 0-96-36-6 0075794 MUHAMMAD SYALTUT, 12/May/22 9:27 E11.5 : Type 2 Operasi Besar KULSUM, dr. M. K -
V004929 dr. Sp. BTKV;T. diabetes mellitus
MUHAMMAD RIZKI, with circulatory
A.Md.Kep;Ns. JULIANI,
S.Kep;Ns. USMAN,
S.Kep;

Hal : 27
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
244 CUT RITA MEUTIA 13/May/22 0101R0010522 0-82-93-3 0075800 FACHRUL RAZI, dr. Sp. 13/May/22 10:12 C50.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V005865 B (K) Onk;SULAIMAN neoplasm of breast
GP;Desi Triana; of unspecifie
245 SYLVIA VANDRA KESUMA 13/May/22 0101R0010522 0-91-96-0 0075809 M. YUSUF, dr. Sp. 13/May/22 10:48 K80.8 : Other Operasi Khusus KULSUM, dr. M. K -
V002185 B-KBD (K);HAMDARDI, cholelithiasis; D13.1
AMK;YENTI MASWITA; : Benign neopl
246 ERLINA WATI 13/May/22 0101R0010522 1-22-70-7 0075821 FACHRUL RAZI, dr. Sp. 13/May/22 14:29 D10.1 : Benign Operasi Sedang KULSUM, dr. M. K -
V000156 B (K) Onk;SULAIMAN neoplasm of tongue;
GP;Desi Triana; D24 : Benign ne
247 ASMAWATI BINTI A.RASYID 13/May/22 0101R0010522 1-30-26-5 0075818 FACHRUL RAZI, dr. Sp. 13/May/22 13:50 C73 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V005993 B (K) Onk;SULAIMAN neoplasm of thyroid
GP;IMAM gland; D34 : B
HIDAYATULLAH,
A.Md.Kep;
248 LINDA NOVIANA 13/May/22 0101R0010522 1-30-36-7 0075801 FERRY ERDANI dr. Sp. 13/May/22 10:14 K80.2 : Calculus of Operasi Khusus KULSUM, dr. M. K -
V004897 B-KBD (K);HAMDARDI, gallbladder without
AMK;Jasmi, SSt; cholecysti
249 RAHIL BINTI DAHLAWI 13/May/22 0101R0010522 1-30-42-9 0075802 TEUKU NANDA PUTRA, 13/May/22 10:17 M62.48 : Contracture Operasi Khsusus KULSUM, dr. M. K -
V005986 dr. Sp. BP-RE;ABDUL of muscle, other site
MUNIR, A.Md.Kep;SAIDI,
A.Md.Kep;
250 FUJIA WAHYUNI 13/May/22 0101R0010522 1-30-46-0 0075810 FACHRUL RAZI, dr. Sp. 13/May/22 10:49 D24 : Benign Operasi Sedang KULSUM, dr. M. K -
V006020 B (K) Onk;SULAIMAN neoplasm of breast;
GP;LUKMAN, SKM. S21.0 : Open woun
S.Kep;
251 HASBIY NUDDIN 13/May/22 0101R0010522 1-30-62-0 0075823 TEUKU NANDA PUTRA, 13/May/22 14:51 T31.3 : Burns Operasi Canggih KULSUM, dr. M. K -
V002242 dr. Sp. BP-RE;ABDUL involving 30-39% of
MUNIR, A.Md.Kep; body surface; W4
252 HOTMA DEWI BATUBARA 13/May/22 0101R0010522 1-30-62-0 0075824 TEUKU NANDA PUTRA, 13/May/22 14:52 T31.2 : Burns Operasi Canggih KULSUM, dr. M. K -
V002248 dr. Sp. BP-RE;ABDUL involving 20-29% of
MUNIR, A.Md.Kep; body surface; D6
253 RIDHO SAPUTRA 13/May/22 0101R0010522 1-30-62-5 0075820 TEUKU NANDA PUTRA, 13/May/22 14:24 T31.5 : Burns Operasi Canggih KULSUM, dr. M. K -
V005530 dr. Sp. BP-RE;ABDUL involving 50-59% of
MUNIR, body surface; E8
A.Md.Kep;Afrizal;Nurbeni
Amk;
254 SARUNI ALI BASYAH 14/May/22 0101R0010522 1-14-60-7 0075835 KULSUM, dr. M. Ked 14/May/22 8:59 L89 : Pressure ulcer; Operasi Sedang MUHAMMAD IQ -
V005959 (An), Sp. An.,KNA E11.5 : Type 2
(K);WINDA MARLINA, diabetes mell
A.Md.Kep;EDY
SURANTA;
255 SYUKRI BIN DAUD 18/May/22 0101R0010522 0-90-32-2 0075951 JUFRIADI ISMI, dr. Dr. 18/May/22 15:58 D30.3 : Benign Operasi Khsusus KULSUM, dr. M. K -
V003691 Sp. U (K);Ns. neoplasm of bladder
MUSTAQIM M.DIAH,
S.Kep;T. EDY SATRIA;
256 DARMAWANSYAH BIN M.DA 18/May/22 0101R0010522 1-00-79-2 0075949 IRSAN ABUBAKAR, dr. 18/May/22 9:21 Z47.0 : Follow-up Operasi Khsusus KULSUM, dr. M. K -
V005886 Sp. OT;Ns. USMAN, care involving
S.Kep;AIDIL RADHI removal of fractu
ALKHAIR, A.Md. Kep;

Hal : 28
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
257 EVI ANITA 18/May/22 0101R0010522 1-30-67-1 0075967 Tgk. PUSPA DEWI, dr. 18/May/22 9:59 O68.9 : Labour and Operasi Besar KULSUM, dr. M. K -
V007398 Sp. OG (K);Ns. JULIANI, delivery complicated
S.Kep;WINDA MARLINA, by fetal s
A.Md.Kep;RYA MAULINA
A.Md.Kep;SAFRIZAL,
A.Md.Kep;
258 NAURA ZAHIRA 18/May/22 0101R0010522 1-30-69-3 0075968 MUNTADHAR, dr. Sp. B, 18/May/22 10:03 K35.3 : Acute Operasi Besar KULSUM, dr. M. K -
V008990 Sp. BA;Zulfahmi Effendi appendicitis with
AMK;Ns. SITI WARDANI, localized peritoni
S.Kep;
259 MUHAMMAD FADIYALHAQ 18/May/22 0101R0010522 1-30-70-2 0075969 T. NANTA AULIA, dr. M. 18/May/22 10:08 S42.00 : Fracture of Operasi Besar KULSUM, dr. M. K -
V010163 Kes, Sp. OT, K-Spine, unspecified part of
FICS ;Zulfahmi Effendi clavicle
AMK;MANSURIZA;
260 ZURAIDA M DAUD 19/May/22 0101R0010522 1-12-48-9 0076025 CUT MEURAH YENI, dr. 19/May/22 10:47 O14.1 : Severe Operasi Besar KULSUM, dr. M. K -
V007081 Dr. Sp. OG (K);Nadya pre-eclampsia;
Latifah, A.Md.Kep;Cut O34.2 : Maternal car
Rismalinda, Amk.Kep;
261 SUWARNO KASIMIN 19/May/22 0101R0010522 1-20-74-2 0075955 LAUHIL MAHFUDZ, dr. 19/May/22 8:31 T14.5 : Injury of blood Operasi Besar KULSUM, dr. M. K -
V010296 Sp.B (K) V;Zulfahmi vessel(s) of
Effendi AMK;AIDAR, unspecified b
A.Md.Kep;
LAUHIL MAHFUDZ, dr. 19/May/22 8:32 Operasi Besar KULSUM, dr. M. K -
Sp.B (K) V;Zulfahmi
Effendi AMK;AIDAR,
A.Md.Kep;
262 SRI YANTI 20/May/22 0101R0010522 0-99-28-6 0076056 TEUKU NANDA PUTRA, 20/May/22 9:14 E11.5 : Type 2 Operasi Besar KULSUM, dr. M. K -
V003713 dr. Sp. diabetes mellitus
BP-RE;ISKANDAR, with circulatory
AMK;MAIMUN TARIDA;
263 RISA ASNALYA 20/May/22 0101R0010522 1-27-56-8 0076055 FERRY ERDANI dr. Sp. 20/May/22 9:07 K63.2 : Fistula of Operasi Khusus KULSUM, dr. M. K -
V010317 B-KBD (K);ISKANDAR, intestine; D13.1 :
AMK;WINDA MARLINA, Benign neopl
A.Md.Kep;Anwarullah;C
RASDIAN AFRIYUDI,
A.Md.Kep;
264 MUHAMMAD ALI PUTEH 20/May/22 0101R0010522 1-30-70-6 0076045 BUSTAMI, dr. Sp. BS 20/May/22 14:21 I62.0 : Nontraumatic Operasi Khusus I KULSUM, dr. M. K -
V010347 (K);Nadya Latifah, subdural
A.Md.Kep;Ns. ARZA hemorrhage; G44.0 :
RUFLI, S.Kep;
265 ZAHIRA SYURAYA BINTI FAU 20/May/22 0101R0010522 1-30-70-8 0076031 BUSTAMI, dr. Sp. BS 20/May/22 11:19 T02.80 : Fractures Operasi Khusus II KULSUM, dr. M. K -
V011496 (K);Nadya Latifah, involving other
A.Md.Kep;ARIE NANDA combinations of
RIZKY, A.Md.Kep;

Hal : 29
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
266 FADHILAH UMAR 31/May/22 0101R0010522 0-74-30-1 0076343 lainnyadr. Sp.
SUBHAN THAIB, 31/May/22 12:12 T81.4 : Infection Operasi Khsusus KULSUM, dr. M. K -
V019675 OT (K) Hip Knee & following a
Sports;AL ISLAMI, procedure; I10 : Ess
A.Md.Kep;SERI
MAULIANI,
A.Md.Kep;Anjasmoro;AI
DIL RADHI ALKHAIR,
A.Md. Kep;
267 NURIAH ISMAIL 31/May/22 0101R0010522 0-86-99-8 0076344 AZHARUDDIN, DR. dr. 31/May/22 12:14 S72.10 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V017140 Sp. OT K-Spine FICS trochanteric fracture
(K);AL ISLAMI, of femu
A.Md.Kep;SERI
MAULIANI, A.Md.Kep;Cut
M Rahmat;
268 RITA YULIA 31/May/22 0101R0010522 1-30-34-6 0076341 DAHRIL, DR. dr. Sp. U 31/May/22 12:01 N20.0 : Calculus of Operasi Khsusus KULSUM, dr. M. K -
V019864 (K), kidney
FRACS;FAHRURRAZI,
A.Md.Kep;MUNAWAR,
Amd.Kep;
269 NALDO SHIURIZIO 31/May/22 0101R0010522 1-30-78-4 0076334 ONARISA AYU, dr. M. 31/May/22 11:24 S52.41 : Fracture of Operasi Canggih KULSUM, dr. M. K -
V018448 Ked (Surg), Sp. OT(K), shafts of both ulna
FICS;Rismaniar;Ns. and radiu
NICO AULIA PERDANA,
S.Kep;Endi Prima;
270 MUHAMMAD RAFIS ALGIF 31/May/22 0101R0010522 1-30-78-6 0076333 ONARISA AYU, dr. M. 31/May/22 11:21 S42.40 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V019564 Ked (Surg), Sp. OT(K), fracture of lower end
FICS;Ns. NICO AULIA of hume
PERDANA,
S.Kep;Rismaniar;MUHA
MMAD ROZHIE,
A.Md.Kep;
271 MARDHIAH BINTI SYEH UMA 2/Jun/22 0101R0010622 0-83-85-5 0076396 NISKA ALFISYAHRIN, dr. 2/Jun/22 14:28 H26.9 : Unspecified Operasi Besar KULSUM, dr. M. K -
V000112 Sp.M;BAKHTIAR cataract; H18.1 :
SYIFA;Ns. Bullous kera
MUSDIANSYAH, S.Kep;
272 SRI YANTI 2/Jun/22 0101R0010522 0-99-28-6 0076400 SYAMSUL RIZAL, dr .Sp. 2/Jun/22 9:33 E11.5 : Type 2 Operasi Khsusus KULSUM, dr. M. K -
V003713 BP-RE;ABDUL MUNIR, diabetes mellitus
A.Md.Kep;LUKMAN, with circulatory
SKM. S.Kep;
273 ZAMZAMI M AMIN 2/Jun/22 0101R0010622 1-01-55-3 0076385 SYAMSUL RIZAL, dr .Sp. 2/Jun/22 12:34 T88.8 : Other Operasi Canggih KULSUM, dr. M. K -
V000087 BP-RE;ABDUL MUNIR, specified
A.Md.Kep;Nurbeni Amk; complications of
surgical
274 ASMAH BINTI ISMAIL 2/Jun/22 0101R0010622 1-17-98-2 0076373 SAIFUL BASRI, dr. 2/Jun/22 10:56 H59.8 : Other Operasi Besar KULSUM, dr. M. K -
V000145 Sp.M;DEWI ARIMA, A.Mk; intraoperative and
postprocedural co
275 MUHAMMAD AL FATIH 2/Jun/22 0101R0010622 1-19-61-5 0076383 MUNTADHAR, dr. Sp. B, 2/Jun/22 12:19 Q54.9 : Operasi Khsusus KULSUM, dr. M. K -
V000098 Sp. BA;HAMDARDI, Hypospadias,
AMK;Jasmi, SSt; unspecified

Hal : 30
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
276 ZIYA ALNAIRA SHAFIA 2/Jun/22 0101R0010522 1-26-31-2 0076398 lainnya
HERU NOVIAT 2/Jun/22 15:22 Z51.1 : Encounter for Operasi Kecil KULSUM, dr. M. K -
V019795 HERDATA, dr. Sp. antineoplastic
A;MUSNI, A.Md. chemotherapy
Kep;IMAM
HIDAYATULLAH,
A.Md.Kep;Desi Triana;
277 ANIS BIN SUFI 2/Jun/22 0101R0010622 1-29-00-8 0076382 FACHRUL RAZI, dr. Sp. 2/Jun/22 12:13 E04.9 : Nontoxic Operasi Khsusus KULSUM, dr. M. K -
V000088 B (K) Onk;MUSNI, A.Md. goiter, unspecified;
Kep;Ns.ZULFIKAR, S. I10 : Essent
Kep;
278 RAMLAH BINTI ABUBAKAR 2/Jun/22 0101R0010522 1-29-93-9 0076397 SYAMSUL RIZAL, dr .Sp. 2/Jun/22 15:43 H26.9 : Unspecified Operasi Besar KULSUM, dr. M. K -
V021102 BP-RE;ABDUL MUNIR, cataract; H40.8 :
A.Md.Kep;MARZUKI; Other glauco
279 MUHAMMAD FARHAN 2/Jun/22 0101R0010422 1-30-42-7 0076384 SYAMSUL RIZAL, dr .Sp. 2/Jun/22 12:30 T31.6 : Burns Operasi Canggih KULSUM, dr. M. K -
V002636 BP-RE;ABDUL MUNIR, involving 60-69% of
A.Md.Kep;SAIDI, body surface; E8
A.Md.Kep;
280 SUTRATIN ASTARI 2/Jun/22 0101R0010622 1-30-54-6 0076388 FACHRUL RAZI, dr. Sp. 2/Jun/22 13:43 C73 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V000084 B (K) Onk;MUSNI, A.Md. neoplasm of thyroid
Kep;Desi Triana; gland
281 MUHAMMAD SYAH 2/Jun/22 0101R0010622 1-30-68-4 0076389 FACHRUL RAZI, dr. Sp. 2/Jun/22 13:46 E04.9 : Nontoxic Operasi Khsusus KULSUM, dr. M. K -
V000129 B (K) Onk;MUSNI, A.Md. goiter, unspecified
Kep;IMAM
HIDAYATULLAH,
A.Md.Kep;
282 BY NY. TARMI YANTI 2/Jun/22 0101R0010522 1-30-74-7 0076395 MUNTADHAR, dr. Sp. B, 2/Jun/22 14:26 Q56.2 : Female Operasi Khsusus KULSUM, dr. M. K -
V015377 Sp. BA;HAMDARDI, pseudohermaphrodit
AMK;EDI MUSMULIA ism, not elsewher
PUTRA, A.Md.Kep;
283 HAMDANI BIN M. AMIN 2/Jun/22 0101R0010522 1-30-76-8 0076391 SYAMSUL RIZAL, dr .Sp. 2/Jun/22 13:51 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V016885 BP-RE;ABDUL MUNIR, diabetes mellitus
A.Md.Kep;LUKMAN, with circulatory
SKM. S.Kep;
284 AMAR MAULANA 3/Jun/22 0101R0010622 1-20-42-0 0076428 ONARISA AYU, dr. M. 3/Jun/22 13:04 Z47.0 : Follow-up Operasi Canggih KULSUM, dr. M. K -
V001258 Ked (Surg), Sp. OT(K), care involving
FICS;Ns. NICO AULIA removal of fractu
PERDANA,
S.Kep;Fachriani;
SUHARDI, dr. Sp. BTKV 3/Jun/22 14:48 Operasi Canggih KULSUM, dr. M. K -
(K)-VE;M. RISKI
NOVIANSYAH, A.Md.Kep;
285 TUKINAH BINTI AMAT KUSNI 3/Jun/22 0101R0010522 1-29-95-6 0076423 DAHRIL, DR. dr. Sp. U 3/Jun/22 12:41 D21.4 : Benign Operasi Khsusus KULSUM, dr. M. K -
V011537 (K), neoplasm of
FRACS;FAHRURRAZI, connective and other
A.Md.Kep;T. EDY so
SATRIA;

Hal : 31
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
286 MUHAMMAD RAFIS ALGIF 3/Jun/22 0101R0010522 1-30-78-6 0076427 lainnya
ONARISA AYU, dr. M. 3/Jun/22 13:02 S42.40 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V019564 Ked (Surg), Sp. OT(K), fracture of lower end
FICS;Ns. NICO AULIA of hume
PERDANA,
S.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
287 RADIAH BINTI IBRAHIM 3/Jun/22 0101R0010622 1-30-79-2 0076425 SUBHAN THAIB, dr. Sp. 3/Jun/22 12:53 M84.05 : Malunion of Operasi Khsusus KULSUM, dr. M. K -
V001288 OT (K) Hip Knee & fracture, pelvic and
Sports;AL ISLAMI, thigh
A.Md.Kep;SERI
MAULIANI,
A.Md.Kep;Anjasmoro;AI
DIL RADHI ALKHAIR,
A.Md. Kep;
288 YUSLIDAR BINTI M. YUSUS A 3/Jun/22 0101R0010522 1-30-80-1 0076426 SUBHAN THAIB, dr. Sp. 3/Jun/22 12:56 S72.90 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V019789 OT (K) Hip Knee & fracture of
Sports;SERI MAULIANI, unspecified femur
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Cut M
Rahmat;SRI WAHYUNI,
A.Md.Kep;
289 ISKANDAR AR 3/Jun/22 0101R0010522 1-30-81-1 0076421 ONARISA AYU, dr. M. 3/Jun/22 12:12 S72.00 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V021002 Ked (Surg), Sp. OT(K), unspecified part of
FICS;Ns. NICO AULIA neck of f
PERDANA, S.Kep;Endi
Prima;MUHAMMAD
ROZHIE, A.Md.Kep;
290 MAISARA M NUR 13/Jun/22 0101R0010622 0-95-75-2 0076796 SUHARDI, dr. Sp. BTKV 13/Jun/22 8:52 S22.40 : Multiple Operasi Besar KULSUM, dr. M. K -
V006362 (K)-VE;Ns. Zulfazli, S. fractures of ribs,
Kep; closed; M87.2
291 HELVIRA WARISDA 13/Jun/22 0101R0010622 1-15-44-8 0076716 Tgk. PUSPA DEWI, dr. 13/Jun/22 11:12 O02.0 : Blighted Operasi Sedang KULSUM, dr. M. K -
V008993 Sp. OG (K);Ns. JULIANI, ovum and
S.Kep;Ns. TEDDY nonhydatidiform
KURNIADY THAHER, mole
S.Kep;Hj. Sri Indrawati
Amd, Kep;
292 SYARIFAH NURJANNAH 13/Jun/22 0101R0010622 1-19-57-6 0076755 Tgk. PUSPA DEWI, dr. 13/Jun/22 9:41 O65.4 : Obstructed Operasi Besar KULSUM, dr. M. K -
V009013 Sp. OG (K);Nadya labor due to
Latifah, A.Md.Kep;AL fetopelvic disprop
KHALID, A.Md.Kep;
293 HAIKAL MUNAYA 13/Jun/22 0101R0010622 1-30-91-0 0076754 FACHRUL JUNAIDI, dr. 13/Jun/22 9:01 S55.0 : Injury of ulnar Operasi Besar KULSUM, dr. M. K -
V008939 Sp. B (K) V;Ns. artery at forearm level
HIDAYATULLAH, S.Kep;
FACHRUL JUNAIDI, dr. 13/Jun/22 9:04 Operasi Besar KULSUM, dr. M. K -
Sp. B (K) V;Ns.
HIDAYATULLAH, S.Kep;
294 MARALUN NAIBAHO 15/Jun/22 - 0-84-29-1 0076817 T. NANTA AULIA, dr. M. 15/Jun/22 11:21 S42.00 : Fracture of Operasi Canggih KULSUM, dr. M. K -
Kes, Sp. OT, K-Spine, unspecified part of
FICS ;SERI MAULIANI, clavicle
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Anjasmoro;

Hal : 32
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
295 IRWAN FAISAL 15/Jun/22 0101R0010622 1-08-35-5 0076835 ZULKARNAINI. dr, 15/Jun/22 14:24 - Operasi Khsusus KULSUM, dr. M. K -
V005216 Sp.OT (K) SPORT
;SERI MAULIANI,
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Cut M Rahmat;
296 INDRA SAPUTRA 15/Jun/22 0101R0010622 1-20-10-7 0076818 ZULKARNAINI. dr, 15/Jun/22 11:23 S83.5 : Sprain of Operasi Khsusus KULSUM, dr. M. K -
V011525 Sp.OT (K) SPORT cruciate ligament of
;SERI MAULIANI, knee
A.Md.Kep;AL ISLAMI,
A.Md.Kep;SRI
WAHYUNI, A.Md.Kep;
297 CUT ADEK IRMA RASYID 15/Jun/22 0101R0010622 1-28-85-1 0076832 ONARISA AYU, dr. M. 15/Jun/22 13:19 D16.9 : Benign Operasi Khsusus KULSUM, dr. M. K -
V008855 Ked (Surg), Sp. OT(K), neoplasm of bone
FICS;Ns. NICO AULIA and articular cart
PERDANA,
S.Kep;Fachriani;
298 KAMALUDDIN BIN NYA'ASA 15/Jun/22 0101R0010622 1-30-21-5 0076816 JUFRIADI ISMI, dr. Dr. 15/Jun/22 11:20 C67.9 : Malignant Operasi Khsusus KULSUM, dr. M. K -
V011528 Sp. U (K);FAISAL, SST, neoplasm of bladder,
An;Nelli Faridah; unspecified
299 IBRAHIM MANYAK 15/Jun/22 0101R0010622 1-30-49-4 0076838 JUFRIADI ISMI, dr. Dr. 15/Jun/22 15:04 N45.0 : Orchitis, Operasi Besar KULSUM, dr. M. K -
V003895 Sp. U (K);Hj. Sri epididymitis and
Indrawati Amd, Kep; epididymo-orchi
300 SYAKUMI BINTI MAHMUD 15/Jun/22 0101R0010622 1-30-68-1 0076839 AZHARUDDIN, DR. dr. 15/Jun/22 15:13 M19.98 : Arthrosis, Operasi Khsusus KULSUM, dr. M. K -
V011397 Sp. OT K-Spine FICS unspecified, other
(K);Ns. NICO AULIA sites
PERDANA, S.Kep;Endi
Prima;
301 M ELMIZAN FARENZA 15/Jun/22 0101R0010622 1-30-86-0 0076815 ARMIA INDRA NUR 15/Jun/22 11:17 S72.11 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V003910 ALAM,dr.Sp.OT(K) HIP greater trochanter of
AND KNEE,FICS;Ns. femur
NICO AULIA PERDANA,
S.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
302 AZHAR BIN M. DAUD 17/Jun/22 0101R0010622 1-14-01-9 0076917 MUHAMMAD PUTEH 17/Jun/22 12:39 D21 : Other benign Operasi Khsusus KULSUM, dr. M. K -
V010246 MAUNY, dr. Sp. neoplasms of
U;FAISAL, SST, An;T. connective and oth
EDY SATRIA;
303 GIMIN BIN MARTO SIMIN 17/Jun/22 0101R0010622 1-16-49-1 0076912 IRSAN ABUBAKAR, dr. 17/Jun/22 12:23 T84.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V012806 Sp. OT;AL ISLAMI, specified
A.Md.Kep;SERI complications of
MAULIANI, A.Md.Kep;Cut internal
M Rahmat;

Hal : 33
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
304 RAFIAH BINTI KALAM 17/Jun/22 0101R0010622 1-29-37-5 0076931 lainnyadr. Sp.
SUBHAN THAIB, 17/Jun/22 15:58 M17.9 : Osteoarthritis Operasi Khsusus KULSUM, dr. M. K -
V013916 OT (K) Hip Knee & of knee, unspecified
Sports;ZULKHAIRI,
A.Md. Kep;Ns.
FAKHRURRIZA,
S.Kep;M. ARIF FADHIL,
A.Md.Kep;MUHAMMAD
ROZHIE,
A.Md.Kep;SAIDI,
A.Md.Kep;
305 ZULAICHA binti HASAN 17/Jun/22 0101R0010622 1-30-80-9 0076915 AZHARUDDIN, DR. dr. 17/Jun/22 12:33 D33.4 : Benign Operasi Khsusus KULSUM, dr. M. K -
V013911 Sp. OT K-Spine FICS neoplasm of spinal
(K);AL ISLAMI, cord; D47.0 : Hi
A.Md.Kep;Anjasmoro;SE
RI MAULIANI, A.Md.Kep;
306 HASBIAN BIN BUYUNG 17/Jun/22 0101R0010622 1-30-82-5 0076907 MUHAMMAD PUTEH 17/Jun/22 11:30 D29.2 : Benign Operasi Khsusus KULSUM, dr. M. K -
V001270 MAUNY, dr. Sp. neoplasm of testis;
U;FAISAL, SST, D21 : Other ben
An;MUNAWAR,
Amd.Kep;
307 FAHRUL AZMI 17/Jun/22 0101R0010622 1-30-85-8 0076914 ZULKARNAINI. dr, 17/Jun/22 12:32 S53.1 : Subluxation Operasi Khsusus KULSUM, dr. M. K -
V013863 Sp.OT(K) SPORT and dislocation of
;T. MUHAMMAD RIZKI, ulnohumeral
A.Md.Kep;
308 IQRA DURRATUN NASIHAH 17/Jun/22 0101R0010622 1-30-90-6 0076926 T. NANTA AULIA, dr. M. 17/Jun/22 15:26 S82.40 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V008845 Kes, Sp. OT, K-Spine, fracture of shaft of
FICS ;AL ISLAMI, fibula;
A.Md.Kep;SRI
WAHYUNI, A.Md.Kep;
309 NURHANIFAH BINTI ISHAK 17/Jun/22 0101R0010622 1-30-90-8 0076909 ARMIA INDRA NUR 17/Jun/22 11:39 T84.1 : Mechanical Operasi Khsusus KULSUM, dr. M. K -
V008834 ALAM,dr.Sp.OT(K) HIP complication of
AND internal fixati
KNEE,FICS;Rismaniar;E
ndi Prima;
310 AMAN FARISYAH 17/Jun/22 0101R0010622 1-30-93-1 0076911 IRSAN ABUBAKAR, dr. 17/Jun/22 12:22 S72.00 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V011516 Sp. OT;AL ISLAMI, unspecified part of
A.Md.Kep;Anjasmoro; neck of f

Hal : 34
Tanggal, Jam dan Nama
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yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
311 MAULIDIN BIN RUSLI 18/Jun/22 0101R0010622 1-29-84-0 0076952 lainnya
YOPIE AFRIANDI 18/Jun/22 11:28 I08.2 : Rheumatic Operasi Canggih MUJAHIDIN, dr. S -
V012775 HABIBIE, dr, disorders of both
Sp.B.TKV(K), FIHA, aortic and tri
FIC;MUHAMMAD
SYALTUT, dr. Sp.
BTKV;MUHAZIRSYAH,
A.Md.Kep;AMSAL,A.Md.
Kep;Ns. CLARA
RUHAYA, S.Kep;M.
RISKI NOVIANSYAH,
A.Md.Kep;Ns.
HIDAYATULLAH,
S.Kep;Ns. JANUWIR,
S.Kep;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. NIC
YOPIE AFRIANDI 18/Jun/22 11:10 Operasi Canggih MUJAHIDIN, dr. S -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;MUHAMMAD
SYALTUT, dr. Sp.
BTKV;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. NICO
AULIA PERDANA,
S.Kep;MUSNI, A.Md.
Kep;MUHAZIRSYAH,
A.Md.Kep;AMSAL,A.Md.
Kep;Ns. CLARA
RUHAYA, S.Kep;M.
RISKI NOVIANSYAH,
A.Md.Kep;Ns.
YOPIE AFRIANDI 18/Jun/22 11:23 Operasi Canggih MUJAHIDIN, dr. S -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;MUHAMMAD
SYALTUT, dr. Sp.
BTKV;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. NICO
AULIA PERDANA,
S.Kep;MUSNI, A.Md.
Kep;MUHAZIRSYAH,
A.Md.Kep;AMSAL,A.Md.
Kep;Ns. CLARA
RUHAYA, S.Kep;M.
RISKI NOVIANSYAH,
A.Md.Kep;Ns.

Hal : 35
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
312 YUYUN INDRIANA 18/Jun/22 0101R0010622 1-29-95-3 0076959 lainnya
YOPIE AFRIANDI 18/Jun/22 11:33 Q21.1 : Atrial septal Operasi Canggih MUJAHIDIN, dr. S -
V012773 HABIBIE, dr, defect; I27.2 : Other
Sp.B.TKV(K), FIHA, second
FIC;MUHAMMAD
SYALTUT, dr. Sp.
BTKV;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. NICO
AULIA PERDANA,
S.Kep;MUSNI, A.Md.
Kep;MERIYANTI;EDY
SURANTA;AIDAR,
A.Md.Kep;M. RISKI
NOVIANSYAH,
A.Md.Kep;Ns. CLARA
RUHAYA, S.Kep;
YOPIE AFRIANDI 18/Jun/22 14:09 Operasi Canggih MUJAHIDIN, dr. S -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;MUHAMMAD
SYALTUT, dr. Sp.
BTKV;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. NICO
AULIA PERDANA,
S.Kep;MUSNI, A.Md.
Kep;MERIYANTI;EDY
SURANTA;AIDAR,
A.Md.Kep;M. RISKI
NOVIANSYAH,
A.Md.Kep;Ns. CLARA
RUHAYA, S.Kep;
313 MUHAMMAD BIN YUSUF 21/Jun/22 0101R0010622 1-29-27-1 0077040 YOPIE AFRIANDI 21/Jun/22 9:06 S22.40 : Multiple Operasi Canggih KULSUM, dr. M. K -
V011613 HABIBIE, dr, fractures of ribs,
Sp.B.TKV(K), FIHA, closed; V28.9
FIC;SALAMUN
DAUD;DESY RAHMAT,
S.Kep;
YOPIE AFRIANDI 21/Jun/22 9:08 Operasi Sedang KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;SALAMUN
DAUD;DESY RAHMAT,
S.Kep;
314 TUKINAH BINTI AMAT KUSNI 21/Jun/22 0101R0010522 1-29-95-6 0077047 FERRY ERDANI dr. Sp. 21/Jun/22 10:07 D21.4 : Benign Operasi Khusus KULSUM, dr. M. K -
V011537 B-KBD (K);Zulfahmi neoplasm of
Effendi AMK;WINDA connective and other
MARLINA, A.Md.Kep;Ns. so
JULIANI,
S.Kep;CRASDIAN
AFRIYUDI, A.Md.Kep;

Hal : 36
Tanggal, Jam dan Nama
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yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
315 HERLISUSIANA BINTI M.HAS 21/Jun/22 0101R0010622 1-30-37-0 0077045 MUSLIM dr.lainnya
Sp. B-KBD 21/Jun/22 9:54 C18.1 : Malignant Operasi Khusus KULSUM, dr. M. K -
V016524 (K);Ns. TEDDY neoplasm of
KURNIADY THAHER, appendix
S.Kep;EDI MUSMULIA
PUTRA, A.Md.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;
316 RUSNAWATI BIN BUDIMAN 21/Jun/22 0101R0010622 1-30-69-9 0077046 NIKEN ASRI UTAMI, dr. 21/Jun/22 9:59 O34.2 : Maternal care Operasi Canggih KULSUM, dr. M. K -
V016539 Sp. OG;T. MUHAMMAD due to uterine scar
RIZKI, from pre
A.Md.Kep;Mukhtaruddin;
317 ISKANDARIAH BINTI A KARI 21/Jun/22 0101R0010622 1-30-82-0 0077038 MUHAMMAD SYALTUT, 21/Jun/22 8:50 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V016649 dr. Sp. BTKV;Zulfahmi diabetes mellitus
Effendi AMK;WINDA with circulatory
MARLINA, A.Md.Kep;Hj.
Sri Indrawati Amd,
Kep;Ns. JULIANI, S.Kep;
318 M. ASFAHANI 21/Jun/22 0101R0010622 1-30-98-1 0077050 SUBHAN THAIB, dr. Sp. 21/Jun/22 10:11 T02.6 : Fractures Operasi Sedang KULSUM, dr. M. K -
V016807 OT (K) Hip Knee & involving multiple
Sports;NAZARUDDIN, regions of up
A.Md.Kep;Cut
Rismalinda, Amk.Kep;
319 ELIZA ALAMTARUDDIN 22/Jun/22 0101R0010622 0-89-90-0 0077067 FERRY ERDANI dr. Sp. 22/Jun/22 11:53 K80 : Cholelithiasis Operasi Khusus KULSUM, dr. M. K -
V015287 B-KBD (K);HAMDARDI,
AMK;YOZAR MAFRUZAR
YANFRI, A.MK;EDI
MUSMULIA PUTRA,
A.Md.Kep;
320 NAFIRA BINTI NASRUL MAHM 22/Jun/22 0101R0010622 0-98-45-0 0077048 FERRY ERDANI dr. Sp. 22/Jun/22 10:19 I84.1 : Internal Operasi Besar KULSUM, dr. M. K -
V017913 B-KBD (K);Jasmi, haemorrhoids with
SSt;YENTI other complicat
MASWITA;HAMDARDI,
AMK;YOZAR MAFRUZAR
YANFRI, A.MK;
321 BISMI RAHMAN 22/Jun/22 0101R0010622 1-09-54-6 0077078 MIRNASARI AMIRSYAH, 22/Jun/22 14:01 Z47.0 : Follow-up Operasi Canggih KULSUM, dr. M. K -
V017984 dr. Sp. BP- RE;ABDUL care involving
MUNIR, removal of fractu
A.Md.Kep;MARZUKI;
322 FARZANA AIYRA SHEZA 22/Jun/22 0101R0010622 1-10-02-9 0077076 EVA IMELDA, dr. Sp. 22/Jun/22 14:52 H05.4 : Operasi Sedang KULSUM, dr. M. K -
V017923 M;MISWARDI, Enophthalmos
A.Md.Kep;Sri Mulyani;
323 KHAIRANNISA BINTI KHAIDI 22/Jun/22 0101R0010622 1-17-89-1 0077075 EVA IMELDA, dr. Sp. 22/Jun/22 14:51 Q12.0 : Congenital Operasi Khsusus KULSUM, dr. M. K -
V017287 M;MISWARDI, cataract; H26 : Other
A.Md.Kep;DEWI ARIMA, cataract
A.Mk;
324 DELISHA NUR SHEZA 22/Jun/22 0101R0010622 1-30-43-4 0077094 ISKANDAR, dr. M.Kes 22/Jun/22 9:50 I61.9 : Nontraumatic Operasi Khusus II KULSUM, dr. M. K -
V005174 Sp. BS (K);Zulfahmi intracerebral
Effendi AMK;WINDA hemorrhage, uns
MARLINA, A.Md.Kep;Ns.
JULIANI,
S.Kep;Mukhtaruddin;

Hal : 37
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
325 ROSMAINA BINTI M.DAUD 22/Jun/22 0101R0010522 1-30-57-4 0077081 SYAMSUL RIZAL, dr .Sp. 22/Jun/22 8:55 T84.6 : Infection and Operasi Khsusus KULSUM, dr. M. K -
V011463 BP-RE;ABDUL MUNIR, inflammatory
A.Md.Kep;LUKMAN, reaction due to
SKM. S.Kep;
326 FAUZIAH BINTI BUDIMAN 22/Jun/22 0101R0010622 1-30-64-5 0077065 RUSLI, Drg. Sp. 22/Jun/22 11:44 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V017919 BM;SULAIMAN GP;IMAM teeth
HIDAYATULLAH,
A.Md.Kep;
327 MARIYAM BIINTI HUSEIN 22/Jun/22 0101R0010622 1-30-68-8 0077064 RUSLI, Drg. Sp. 22/Jun/22 11:42 K09.0 : Operasi Sedang KULSUM, dr. M. K -
V017931 BM;SULAIMAN GP;IMAM Developmental
HIDAYATULLAH, odontogenic cysts
A.Md.Kep;
328 YUSNIDAR BINTI ABDUL MA 22/Jun/22 0101R0010522 1-30-73-5 0077079 MIRNASARI AMIRSYAH, 22/Jun/22 9:22 I64 : Stroke, not Operasi Canggih KULSUM, dr. M. K -
V013017 dr. Sp. BP- RE;ABDUL specified as
MUNIR, haemorrhage or infa
A.Md.Kep;LUKMAN,
SKM. S.Kep;
329 SRI WAHYUNI 22/Jun/22 0101R0010622 1-30-74-3 0077063 RUSLI, Drg. Sp. 22/Jun/22 11:40 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V017920 BM;SULAIMAN GP;IMAM teeth
HIDAYATULLAH,
A.Md.Kep;
330 MARDIANA BINTI M.IDHAM 22/Jun/22 0101R0010622 1-30-79-9 0077049 CHAIRUNAS, Dr. drg, M. 22/Jun/22 10:21 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V017929 Kes, Sp. teeth
BM;Ns.ZULFIKAR, S.
Kep;SULAIMAN GP;
331 KASWATI BINTI H.M AMIN 22/Jun/22 0101R0010622 1-30-83-3 0077085 M. YUSUF, dr. Sp. 22/Jun/22 14:50 C20 : Malignant Operasi Sedang KULSUM, dr. M. K -
V016519 B-KBD (K);HAMDARDI, neoplasm of rectum
AMK;YOZAR MAFRUZAR
YANFRI, A.MK;Zulfikar.
R, A.Md.Kep;
332 AISYAH PUTRI ZAIA 22/Jun/22 0101R0010622 1-30-83-4 0077073 EVA IMELDA, dr. Sp. 22/Jun/22 13:39 H00.1 : Chalazion Operasi Besar KULSUM, dr. M. K -
V017947 M;MISWARDI,
A.Md.Kep;DEWI ARIMA,
A.Mk;
333 MUHAMMAD BIN ABD GANI 22/Jun/22 0101R0010622 1-30-85-3 0077051 CHAIRUNAS, Dr. drg, M. 22/Jun/22 10:24 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V017902 Kes, Sp. BM;SULAIMAN teeth
GP;Ns.ZULFIKAR, S.
Kep;
334 NUR SAJIDA 22/Jun/22 0101R0010622 1-30-90-6 0077080 SYAMSUL RIZAL, dr .Sp. 22/Jun/22 8:58 T14 : Injury of Operasi Khsusus KULSUM, dr. M. K -
V008805 BP-RE;ABDUL MUNIR, unspecified body
A.Md.Kep;SAIDI, region
A.Md.Kep;
335 ANITA BINTI HASBI 22/Jun/22 0101R0010622 1-30-96-4 0077096 MUHAMMAD SYALTUT, 22/Jun/22 10:02 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V015145 dr. Sp. diabetes mellitus
BTKV;NAZARUDDIN, with circulatory
A.Md.Kep;MAIMUN
TARIDA;

Hal : 38
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
336 KHALIFAH LAIQA LAMISA 22/Jun/22 0101R0010622 1-30-96-8 0077062 MIRNASARI lainnya
AMIRSYAH, 22/Jun/22 11:38 S09.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V015284 dr. Sp. BP- RE;ABDUL specified injuries of
MUNIR, A.Md.Kep;SAIDI, head
A.Md.Kep;
337 CUT DESY SYAFRIANI 22/Jun/22 0101R0010622 1-30-98-9 0077095 ISKANDAR, dr. M.Kes 22/Jun/22 9:55 G91.9 : Operasi Khusus II KULSUM, dr. M. K -
V017992 Sp. BS (K);M. IQBAL, Hydrocephalus,
A.Md.Kep;Cut unspecified; A50.56 :
Rismalinda, Amk.Kep; Late
338 JUFRI SUSANTO 22/Jun/22 0101R0010622 1-30-98-9 0077052 AZHARUDDIN, DR. dr. 22/Jun/22 10:16 S66.1 : Injury of flexor Operasi Besar KULSUM, dr. M. K -
V017974 Sp. OT K-Spine FICS muscle, fascia and
(K);MAIMUN TARIDA; tendon
339 NURHAYATI BINTI JABAT 22/Jun/22 0101R0010622 1-30-99-1 0077093 LAUHIL MAHFUDZ, dr. 22/Jun/22 9:41 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V018027 Sp.B (K) V;Ns. JULIANI, diabetes mellitus
S.Kep;Zulfahmi Effendi with circulatory
AMK;Hj. Sri Indrawati
Amd, Kep;
340 WULAN HANDAYANI 23/Jun/22 0101R0010622 1-27-40-7 0077136 MUNIZAR, dr. Sp. OG 23/Jun/22 10:10 O34.2 : Maternal care Operasi Canggih KULSUM, dr. M. K -
V020370 (K);ISKANDAR, AMK;Ns. due to uterine scar
SYARIFAH ZAKIAH from pre
SEHUN, S. Kep;
341 LISNA MUFIDA 24/Jun/22 0101R0010622 0-72-94-0 0077176 HASANUDDIN, dr. Dr. 24/Jun/22 9:27 O64.8 : Obstructed Operasi Besar KULSUM, dr. M. K -
V021544 Sp. OG (K) Onk;T. labor due to other
MUHAMMAD RIZKI, malposition
A.Md.Kep;SATRIA
MUNANDAR,
STR.Kep.An;Ns. SITI
WARDANI, S.Kep;
342 HIRA HANIFA 24/Jun/22 0101R0010622 0-76-64-3 0077175 FACHRUL JUNAIDI, dr. 24/Jun/22 9:38 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V015214 Sp. B (K) V;MUAMMAR, diabetes mellitus
A.Md.Kep;Ns. with circulatory
HIDAYATULLAH, S.Kep;
FACHRUL JUNAIDI, dr. 24/Jun/22 9:40 Operasi Canggih KULSUM, dr. M. K -
Sp. B (K) V;MUAMMAR,
A.Md.Kep;Ns.
HIDAYATULLAH, S.Kep;
343 RASYIDAH BINTI RIDWAN J 24/Jun/22 0101R0010622 1-30-89-0 0077170 IMA INDIRAYANI, dr. 24/Jun/22 9:13 O00.0 : Abdominal Operasi Besar KULSUM, dr. M. K -
V020341 Sp.OG;WINDA pregnancy; O32.9 :
MARLINA, A.Md.Kep;AL Maternal care
KHALID, A.Md.Kep;
344 AMIN BIN WASMIN 24/Jun/22 0101R0010622 1-30-96-4 0077184 FERRY ERDANI dr. Sp. 24/Jun/22 9:59 C20 : Malignant Operasi Khusus KULSUM, dr. M. K -
V015146 B-KBD (K);ISKANDAR, neoplasm of rectum;
AMK;Ns. JULIANI, K27 : Peptic u
S.Kep;ARIE NANDA
RIZKY, A.Md.Kep;
345 M AMIN UMAR 24/Jun/22 0101R0010622 1-31-01-2 0077171 LAUHIL MAHFUDZ, dr. 24/Jun/22 9:29 M62.1 : Other rupture Operasi Besar KULSUM, dr. M. K -
V020473 Sp.B (K) V;WINDA of muscle
MARLINA, A.Md.Kep; (nontraumatic)

Hal : 39
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
345 M AMIN UMAR 24/Jun/22 0101R0010622 1-31-01-2 0077171 lainnya dr.
LAUHIL MAHFUDZ, 24/Jun/22 9:32 M62.1 : Other rupture Operasi Besar KULSUM, dr. M. K -
V020473 Sp.B (K) V;WINDA of muscle
MARLINA, (nontraumatic)
A.Md.Kep;AMSAL,A.Md.
Kep;
346 ABDULLAH BANTA 24/Jun/22 0101R0010622 1-31-01-3 0077174 ARMIA INDRA NUR 24/Jun/22 9:23 S52.32 : Transverse Operasi Besar KULSUM, dr. M. K -
V022876 ALAM,dr.Sp.OT(K) HIP fracture of shaft of
AND KNEE,FICS;T. radius; S
MUHAMMAD RIZKI,
A.Md.Kep;SATRIA
MUNANDAR,
STR.Kep.An;AZHAR
NUR FAISAL, A.Md.Kep;
347 MUSA AMIN 25/Jun/22 0101R0010622 1-31-01-2 0077167 LAUHIL MAHFUDZ, dr. 26/Jun/22 10:21 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V020483 Sp.B (K) V;WINDA diabetes mellitus
MARLINA, A.Md.Kep;AL with circulatory
KHALID, A.Md.Kep;
348 KASMAWATI BINTI A MANAF 25/Jun/22 0101R0010622 1-31-02-1 0077178 RUSNAIDI, dr. Sp.OG 25/Jun/22 9:33 O34.2 : Maternal care Operasi Canggih KULSUM, dr. M. K -
V021573 (K);ISKANDAR, AMK;Ns. due to uterine scar
SITI WARDANI, S.Kep; from pre
349 MUHAMMAD AFDHAL 1/Jul/22 0101R0010622 0-03-22-2 0077423 SUBHAN THAIB, dr. Sp. 1/Jul/22 13:23 S82.30 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V024268 OT (K) Hip Knee & fracture of lower end
Sports;SERI MAULIANI, of tibi
A.Md.Kep;AL KHALID,
A.Md.Kep;
350 MUHAMMAD UMAR 1/Jul/22 0101R0010622 0-87-83-6 0077399 JUFRIADI ISMI, dr. Dr. 1/Jul/22 10:58 R33 : Retention of Operasi Khsusus KULSUM, dr. M. K -
V018022 Sp. U (K);FAISAL, SST, urine
An;MUNAWAR,
Amd.Kep;
351 ABDULLAH BIN SRAF 1/Jul/22 0101R0010622 1-17-93-1 0077416 AZHARUDDIN, DR. dr. 1/Jul/22 13:03 M48.07 : Spinal Operasi Khsusus KULSUM, dr. M. K -
V026994 Sp. OT K-Spine FICS stenosis,
(K);AL ISLAMI, lumbosacral region
A.Md.Kep;SERI
MAULIANI, A.Md.Kep;Cut
M Rahmat;
352 EZUARSYAH HUTTBAN EFE 1/Jul/22 0101R0010622 1-19-34-6 0077407 ONARISA AYU, dr. M. 1/Jul/22 12:32 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V027014 Ked (Surg), Sp. OT(K), care involving
FICS;Ns. NICO AULIA removal of fractu
PERDANA, S.Kep;Endi
Prima;
353 MUHAMMAD SALEH 1/Jul/22 0101R0010622 1-26-19-9 0077421 AZHARUDDIN, DR. dr. 1/Jul/22 13:20 Z47.0 : Follow-up Operasi Khsusus KULSUM, dr. M. K -
V027040 Sp. OT K-Spine FICS care involving
(K);SERI MAULIANI, removal of fractu
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Cut M Rahmat;
354 ANNISA BINTI HUSAINI 1/Jul/22 0101R0010622 1-26-23-1 0077422 AZHARUDDIN, DR. dr. 1/Jul/22 13:21 Q66.4 : Congenital Operasi Khsusus KULSUM, dr. M. K -
V027020 Sp. OT K-Spine FICS talipes
(K);SERI MAULIANI, calcaneovalgus
A.Md.Kep;AL ISLAMI,
A.Md.Kep;AIDIL RADHI
ALKHAIR, A.Md. Kep;

Hal : 40
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
355 MUSAUWIRUL HADI 1/Jul/22 0101R0010622 1-29-16-9 0077409 ONARISA AYU, dr. M. 1/Jul/22 12:37 M65.96 : Synovitis Operasi Sedang KULSUM, dr. M. K -
V025834 Ked (Surg), Sp. OT(K), and tenosynovitis,
FICS;Ns. NICO AULIA unspecified,
PERDANA,
S.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
356 THAURA KAMILA 1/Jul/22 0101R0010622 1-30-11-3 0077406 ONARISA AYU, dr. M. 1/Jul/22 12:30 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V026946 Ked (Surg), Sp. OT(K), care involving
FICS;Ns. NICO AULIA removal of fractu
PERDANA,
S.Kep;Fachriani;
357 INTAN QANITA 1/Jul/22 0101R0010722 1-30-79-6 0077445 SYAMSUL RIZAL, dr .Sp. 1/Jul/22 10:00 S01.1 : Open wound Operasi Sedang KULSUM, dr. M. K -
V001024 BP-RE;T. MUHAMMAD of eyelid and
RIZKI, A.Md.Kep;SATRIA periocular area;
MUNANDAR,
STR.Kep.An;MAIMUN
TARIDA;
358 NURHUDA BIN MUHALIL 1/Jul/22 0101R0010622 1-31-04-2 0077426 SUBHAN THAIB, dr. Sp. 1/Jul/22 14:54 M87.05 : Idiopathic Operasi Khsusus KULSUM, dr. M. K -
V023245 OT (K) Hip Knee & aseptic necrosis of
Sports;Endi Prima; pelvis and
359 SYAKIRA BINTI ZULKIFLI 1/Jul/22 - 1-31-04-5 0077415 AZHARUDDIN, DR. dr. 1/Jul/22 13:02 S10 : Superficial Operasi Canggih KULSUM, dr. M. K -
Sp. OT K-Spine FICS injury of neck
(K);AL ISLAMI,
A.Md.Kep;SRI
WAHYUNI, A.Md.Kep;
360 ROSNITA binti M YUSUF SU 1/Jul/22 0101R0010622 1-31-05-9 0077443 MUNIZAR, dr. Sp. OG 1/Jul/22 9:54 O01.9 : Hydatidiform Operasi Sedang KULSUM, dr. M. K -
V025788 (K);SATRIA MUNANDAR, mole, unspecified
STR.Kep.An;T.
MUHAMMAD RIZKI,
A.Md.Kep;M. ARIF
FADHIL, A.Md.Kep;
361 RUKIAH BINTI ISA 1/Jul/22 0101R0010722 1-31-07-7 0077448 CUT PUTRI SAMIRA, dr. 1/Jul/22 10:07 H44.1 : Other Operasi Khsusus KULSUM, dr. M. K -
V000817 Sp. M;T. MUHAMMAD endophthalmitis;
RIZKI, A.Md.Kep;Ns. H54.1 : Blindness,
MUSDIANSYAH, S.Kep;
362 SAIDAH HARUN 2/Jul/22 0101R0010722 1-31-07-9 0077449 CUT PUTRI SAMIRA, dr. 2/Jul/22 10:15 H44.1 : Other Operasi Khsusus KULSUM, dr. M. K -
V000996 Sp. M;T. MUHAMMAD endophthalmitis
RIZKI, A.Md.Kep;Ns.
MUSDIANSYAH, S.Kep;
363 MUHAJIR BIN MUSA 2/Jul/22 1-31-08-1 0077438 SUHARDI, dr. Sp. BTKV 2/Jul/22 8:36 S51.7 : Multiple open Operasi Canggih KULSUM, dr. M. K -
(K)-VE;T. MUHAMMAD wounds of forearm
RIZKI, A.Md.Kep;SATRIA
MUNANDAR,
STR.Kep.An;MIRZA,
A.Md. Kep;Ns.
JANUWIR, S.Kep;
364 MUZAKKIR BIN SAMSUDDIN 3/Jul/22 0101R0010622 1-31-02-5 0077472 LIA MUTHIA ZAINI, dr. 3/Jul/22 11:44 H59.8 : Other Operasi Khsusus KULSUM, dr. M. K -
V021828 Sp. M (K);T. MUHAMMAD intraoperative and
RIZKI, A.Md.Kep;Ns. postprocedural co
MUSDIANSYAH, S.Kep;

Hal : 41
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No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
365 MARDIANI BINTI AHMAD IB 4/Jul/22 0101R0010722 0-89-33-3 0077496 YOPIE AFRIANDI 4/Jul/22 9:37 T82.4 : Mechanical Operasi Canggih KULSUM, dr. M. K -
V001356 HABIBIE, dr, complication of
Sp.B.TKV(K), FIHA, vascular dialys
FIC;SALAMUN
DAUD;AIDAR,
A.Md.Kep;Ns. Zulfazli, S.
Kep;
YOPIE AFRIANDI 4/Jul/22 9:35 Operasi Besar KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;SALAMUN
DAUD;AIDAR,
A.Md.Kep;Ns. Zulfazli, S.
Kep;MUNIRAWATI, A.Md.
Kep;
366 NURUL FADHILAH 4/Jul/22 0101R0010722 1-13-69-2 0077480 Tgk. PUSPA DEWI, dr. 4/Jul/22 12:51 O34.2 : Maternal care Operasi Canggih KULSUM, dr. M. K -
V001401 Sp. OG (K);Zulfahmi due to uterine scar
Effendi AMK;Ns. from pre
JULIANI,
S.Kep;SAFRIZAL,
A.Md.Kep;
367 HERNAWATI BINTI AMAN 4/Jul/22 0101R0010722 1-26-55-0 0077498 FERRY ERDANI dr. Sp. 4/Jul/22 10:45 C04.8 : Malignant Operasi Khusus KULSUM, dr. M. K -
V001388 B-KBD (K);Zulfahmi neoplasm of
Effendi AMK;Ns. overlapping sites of
JULIANI, S.Kep;M. ARIF
FADHIL, A.Md.Kep;
368 NURHAJJAH BINTI AMIR HA 4/Jul/22 0101R0010722 1-31-09-1 0077511 M. YUSUF, dr. Sp. 4/Jul/22 12:11 L02.9 : Cutaneous Operasi Khusus KULSUM, dr. M. K -
V002415 B-KBD (K);WINDA abscess, furuncle
MARLINA, and carbuncle,
A.Md.Kep;NAZARUDDIN
, A.Md.Kep;AL KHALID,
A.Md.Kep;
369 RAISYAH RAHMI 4/Jul/22 0101R0010722 1-31-09-2 0077512 SARAH IKA 4/Jul/22 12:16 N75.0 : Cyst of Operasi Kecil KULSUM, dr. M. K -
V001430 NAINGGOLAN, dr. Sp. Bartholin's gland
OG (K) Onk;WINDA
MARLINA,
A.Md.Kep;NAZARUDDIN
, A.Md.Kep;Cut
Rismalinda, Amk.Kep;
370 JUNAIDI SAPUTRA 13/Jul/22 0101R0010722 0-92-09-7 0077716 SYAMSUL RIZAL, dr .Sp. 13/Jul/22 11:42 S02.20 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V007491 BP-RE;ABDUL MUNIR, nasal bones, closed
A.Md.Kep;Afrizal;SAIDI,
A.Md.Kep;
371 DEDY PRAYUDI 13/Jul/22 0101R0010722 0-92-30-2 0077701 RUSLI, Drg. Sp. 13/Jul/22 10:35 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V007558 BM;MUSNI, A.Md. teeth; K05.3 : Chronic
Kep;IMAM periodonti
HIDAYATULLAH,
A.Md.Kep;

Hal : 42
Tanggal, Jam dan Nama
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Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
372 SANTI MAULISA 13/Jul/22 0101R0010722 1-12-00-6 0077712 RUSLI, Drg.lainnya
Sp. 13/Jul/22 11:15 K09.0 : Operasi Besar KULSUM, dr. M. K -
V007556 BM;MUSNI, A.Md. Developmental
Kep;Desi Triana; odontogenic cysts;
K01.1 : I
373 DESIKALIANA SYARIFUDDIN 13/Jul/22 0101R0010722 1-22-13-9 0077719 Tgk. PUSPA DEWI, dr. 13/Jul/22 12:10 O34.2 : Maternal care Operasi Besar KULSUM, dr. M. K -
V007613 Sp. OG (K);SATRIA due to uterine scar
MUNANDAR, from pre
STR.Kep.An;RYA
MAULINA A.Md.Kep;
374 BUDIMAN BIN HASYIM 13/Jul/22 0101R0010722 1-30-06-3 0077720 M. YUSUF, dr. Sp. 13/Jul/22 12:28 K43.9 : Ventral hernia Operasi Besar KULSUM, dr. M. K -
V007573 B-KBD (K);HAMDARDI, without obstruction or
AMK;YOZAR MAFRUZAR gang
YANFRI, A.MK;EDI
MUSMULIA PUTRA,
A.Md.Kep;
375 FURQAN THAHIRA 13/Jul/22 0101R0010722 1-30-23-2 0077706 MIRNASARI AMIRSYAH, 13/Jul/22 10:52 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V007489 dr. Sp. BP- RE;ABDUL care involving
MUNIR, removal of fractu
A.Md.Kep;LUKMAN,
SKM. S.Kep;
376 AZIZATUN ASRA 13/Jul/22 0101R0010722 1-30-55-8 0077689 MIRNASARI AMIRSYAH, 13/Jul/22 9:21 M24.58 : Contracture Operasi Besar KULSUM, dr. M. K -
V004817 dr. Sp. BP- RE;ABDUL of joint, other sites
MUNIR, A.Md.Kep;SAIDI,
A.Md.Kep;
377 VERA YUNARSAH 13/Jul/22 0101R0010722 1-30-89-2 0077695 RUSLI, Drg. Sp. 13/Jul/22 10:09 K01.1 : Impacted Operasi Besar KULSUM, dr. M. K -
V007553 BM;MUSNI, A.Md. teeth; K05.3 : Chronic
Kep;Ns.ZULFIKAR, S. periodonti
Kep;
378 ASRI WAHYUNI 13/Jul/22 0101R0010722 1-31-06-4 0077729 HARMAINI, dr. Sp. 13/Jul/22 14:25 H59.9 : Operasi Khsusus KULSUM, dr. M. K -
V007551 M;BAKHTIAR SYIFA;Ns. Postprocedural
EDI ARDIANSYAH, disorder of eye and
S.Kep; adnexa,
379 SITI HAJAR 13/Jul/22 0101R0010722 1-31-09-1 0077691 M. YUSUF, dr. Sp. 13/Jul/22 9:38 D13.6 : Benign Operasi Khusus KULSUM, dr. M. K -
V001391 B-KBD (K);HAMDARDI, neoplasm of
AMK;YOZAR MAFRUZAR pancreas; D63.0 :
YANFRI, A.MK;YENTI Anemi
MASWITA;
380 ADI WARDANA 13/Jul/22 0101R0010722 1-31-10-6 0077728 FERRY ERDANI dr. Sp. 13/Jul/22 13:12 I84.5 : External Operasi Besar KULSUM, dr. M. K -
V007512 B-KBD (K);MUSNI, A.Md. haemorrhoids
Kep;IMAM without complication
HIDAYATULLAH,
A.Md.Kep;
381 NADHIATUL HIKMAH RAMAD 14/Jul/22 0101R0010722 0-77-40-4 0077794 CUT RIKA MAHARANI, 14/Jul/22 10:03 O41.0 : Operasi Besar KULSUM, dr. M. K -
V010055 dr. Sp. Oligohydramnios;
OG;NAZARUDDIN, O42.0 : Premature
A.Md.Kep;Zulfahmi rupture
Effendi AMK;Ns. SITI
WARDANI, S.Kep;

Hal : 43
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
382 ANSHARULLAH IDA 14/Jul/22 0101R0010722 1-10-01-8 0077790 ISKANDAR,lainnya
dr. M.Kes 14/Jul/22 9:46 G91.9 : Operasi Khusus II KULSUM, dr. M. K -
V007384 Sp. BS (K);Nadya Hydrocephalus,
Latifah, A.Md.Kep;Ns. unspecified; M54.5 :
JULIANI, Low ba
S.Kep;SAIFANNUR,
Amd.Kep;
383 NURBAITI BINTI ABDULLAH 14/Jul/22 0101R0010722 1-20-70-1 0077785 RUSNAIDI, dr. Sp.OG 14/Jul/22 9:27 D26.7 : Other benign Operasi Besar KULSUM, dr. M. K -
V007663 (K);WINDA MARLINA, neoplasm of other
A.Md.Kep;CRASDIAN parts of ut
AFRIYUDI, A.Md.Kep;
384 NAPSAH HAYEM 14/Jul/22 0101R0010722 1-24-50-7 0077761 LAUHIL MAHFUDZ, dr. 14/Jul/22 11:53 E11.5 : Type 2 Operasi Canggih KULSUM, dr. M. K -
V008596 Sp.B (K) V; diabetes mellitus
with circulatory
LAUHIL MAHFUDZ, dr. 14/Jul/22 11:45 Operasi Canggih KULSUM, dr. M. K -
Sp.B (K) V;DESY
RAHMAT, S.Kep;
385 YUYUN INDRIANA 14/Jul/22 0101R0010722 1-29-95-3 0077782 YOPIE AFRIANDI 14/Jul/22 8:51 T81.3 : Disruption of Operasi Besar KULSUM, dr. M. K -
V010004 HABIBIE, dr, wound, not
Sp.B.TKV(K), FIHA, elsewhere classif
FIC;NAZARUDDIN,
A.Md.Kep;Zulfahmi
Effendi AMK;TRYA
SURAYA, A.md.Keb;
386 MUHAMMAD KRISNA 14/Jul/22 0101R0010722 1-30-89-1 0077787 M. YUSUF, dr. Sp. 14/Jul/22 9:36 D12.5 : Benign Operasi Khusus KULSUM, dr. M. K -
V006888 B-KBD (K);Nadya neoplasm of sigmoid
Latifah, A.Md.Kep;Ns. colon; J95.9 :
JULIANI, S.Kep;ARIE
NANDA RIZKY,
A.Md.Kep;AZHAR NUR
FAISAL, A.Md.Kep;
387 AINON. D 14/Jul/22 0101R0010722 1-31-00-1 0077793 MUSLIM dr. Sp. B-KBD 14/Jul/22 9:59 M60.85 : Other Operasi Sedang KULSUM, dr. M. K -
V009812 (K);Zulfahmi Effendi myositis, thigh; A02 :
AMK;NAZARUDDIN, Other salmon
A.Md.Kep;Ns. SYUKRI,
S.Kep;
388 ABDI BAKTI 14/Jul/22 0101R0010722 1-31-11-5 0077760 LAUHIL MAHFUDZ, dr. 14/Jul/22 11:42 I73.9 : Peripheral Operasi Canggih KULSUM, dr. M. K -
V008604 Sp.B (K) V; vascular disease,
unspecified;
LAUHIL MAHFUDZ, dr. 14/Jul/22 11:43 Operasi Sedang KULSUM, dr. M. K -
Sp.B (K) V;
LAUHIL MAHFUDZ, dr. 14/Jul/22 11:40 Operasi Canggih KULSUM, dr. M. K -
Sp.B (K) V;SALAMUN
DAUD;MUAMMAR,
A.Md.Kep;Ns. JANUWIR,
S.Kep;
389 MAGHFIRAH BINTI M. ALI 14/Jul/22 0101R0010722 1-31-15-9 0077783 BUSTAMI, dr. Sp. BS 14/Jul/22 9:20 S02.10 : Unspecified Operasi Khusus II KULSUM, dr. M. K -
V008799 (K);WINDA MARLINA, fracture of base of
A.Md.Kep;SAFRIZAL, skull; V2
A.Md.Kep;

Hal : 44
Tanggal, Jam dan Nama
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yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
390 RISMA HAMDANI 14/Jul/22 0101R0010722 1-31-16-0 0077786 FACHRUL lainnya
RAZI, dr. Sp. 14/Jul/22 9:32 L02.4 : Cutaneous Operasi Sedang KULSUM, dr. M. K -
V008781 B (K) Onk;WINDA abscess, furuncle
MARLINA, A.Md.Kep;Ns. and carbuncle
TEDDY KURNIADY
THAHER,
S.Kep;CRASDIAN
AFRIYUDI, A.Md.Kep;
391 EKA YUNIDA 14/Jul/22 0101R0010722 1-31-16-6 0077788 ROZIANA, dr. M.Ked, Sp. 14/Jul/22 9:41 O09.0 : Supervision Operasi Besar KULSUM, dr. M. K -
V009729 OG (K)-Urogin;Nadya of pregnancy with
Latifah, A.Md.Kep;Ns. history of i
JULIANI,
S.Kep;SAIFANNUR,
Amd.Kep;
392 SAHIDAL TAKLIVI 14/Jul/22 0101R0010722 1-31-16-9 0077792 MUNTADHAR, dr. Sp. B, 14/Jul/22 9:55 S36.10 : Injury of liver Operasi Khsusus KULSUM, dr. M. K -
V009950 Sp. BA;NAZARUDDIN, or gallbladder,
A.Md.Kep;Zulfahmi without o
Effendi AMK;Ns. SITI
WARDANI, S.Kep;
393 ELFINA BINTI M. YUSUF 15/Jul/22 0101R0010722 0-76-24-7 0077823 CHAIRUNAS, Dr. drg, M. 15/Jul/22 12:23 L02.0 : Cutaneous Operasi Khsusus KULSUM, dr. M. K -
V007192 Kes, Sp. abscess, furuncle
BM;FAHRURRAZI, and carbuncle
A.Md.Kep;MUNIRAWATI,
A.Md. Kep;
394 RAHMI BINTI A HAMID 15/Jul/22 0101R0010722 1-17-75-2 0077812 ONARISA AYU, dr. M. 15/Jul/22 11:06 D16.9 : Benign Operasi Besar KULSUM, dr. M. K -
V009480 Ked (Surg), Sp. OT(K), neoplasm of bone
FICS;Ns. NICO AULIA and articular cart
PERDANA,
S.Kep;AMSAL,A.Md. Kep;
395 RAYYAN MAULANA PUTRA 15/Jul/22 0101R0010722 1-29-12-5 0077791 ONARISA AYU, dr. M. 15/Jul/22 10:05 M86.59 : Other Operasi Khsusus KULSUM, dr. M. K -
V012545 Ked (Surg), Sp. OT(K), chronic
FICS;Ns. NICO AULIA hematogenous
PERDANA, osteomyelitis,
S.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
396 CUT NAZHARA RAMADHINA K 15/Jul/22 0101R0010722 1-29-22-2 0077834 IRSAN ABUBAKAR, dr. 15/Jul/22 15:53 Z47.0 : Follow-up Operasi Besar KULSUM, dr. M. K -
V009957 Sp. OT;Ns. NICO AULIA care involving
PERDANA, removal of fractu
S.Kep;Rismaniar;MUHA
MMAD ROZHIE,
A.Md.Kep;
397 DWI RAMADHANI 15/Jul/22 0101R0010722 1-30-86-5 0077811 AZHARUDDIN, DR. dr. 15/Jul/22 10:55 A18.0 : Tuberculosis Operasi Khsusus KULSUM, dr. M. K -
V008686 Sp. OT K-Spine FICS of bones and joints;
(K);AL ISLAMI, M41.09 :
A.Md.Kep;Anjasmoro;
398 AHMAD YUSUF 15/Jul/22 0101R0010622 1-30-94-9 0077805 SYAMSUL RIZAL, dr .Sp. 15/Jul/22 9:38 T30.0 : Burn of Operasi Besar KULSUM, dr. M. K -
V013857 BP-RE;Ns. TEDDY unspecified body
KURNIADY THAHER, region, unspecifi
S.Kep;MAIMUN TARIDA;

Hal : 45
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
399 TEUKU KUSNAFIZAL 15/Jul/22 0101R0010722 1-31-05-7 0077832 MUHAMMAD lainnya
PUTEH 15/Jul/22 15:03 N21.0 : Calculus in Operasi Khsusus KULSUM, dr. M. K -
V009962 MAUNY, dr. Sp. bladder; N40 :
U;FAISAL, SST, An;Nelli Benign prostati
Faridah;
400 ABU KARI 15/Jul/22 0101R0010722 1-31-08-0 0077784 YOPIE AFRIANDI 15/Jul/22 9:40 D15.2 : Benign Operasi Besar KULSUM, dr. M. K -
V001006 HABIBIE, dr, neoplasm of
Sp.B.TKV(K), FIHA, FIC; mediastinum; D64.9
: An
YOPIE AFRIANDI 15/Jul/22 9:38 Operasi Canggih KULSUM, dr. M. K -
HABIBIE, dr,
Sp.B.TKV(K), FIHA,
FIC;FAJRI,
A.Md.Kep;NAZARUDDIN
, SST;Zulfahmi Effendi
AMK;
401 UMMIYAH M ADAM 15/Jul/22 0101R0010722 1-31-10-2 0077833 KULSUM, dr. M. Ked 15/Jul/22 8:49 N13.2 : Operasi Sedang - -
V002569 (An), Sp. An.,KNA (K); Hydronephrosis with
renal and ureteral cal
MUHAMMAD PUTEH 15/Jul/22 15:51 Operasi Khsusus KULSUM, dr. M. K -
MAUNY, dr. Sp.
U;FAISAL, SST, An;Nelli
Faridah;MUNIRAWATI,
A.Md. Kep;
402 MURHABAN BIN ABDURRA 15/Jul/22 0101R0010722 1-31-13-8 0077816 IRSAN ABUBAKAR, dr. 15/Jul/22 8:58 - Operasi Khsusus KULSUM, dr. M. K -
V007148 Sp. OT;SERI MAULIANI,
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Anwar;
403 TAJUDIN BIN NURDIN 15/Jul/22 0101R0010722 1-31-14-3 0077813 CHAIRUNAS, Dr. drg, M. 15/Jul/22 11:09 K12.1 : Other forms Operasi Khsusus KULSUM, dr. M. K -
V007242 Kes, Sp. of stomatitis
BM;FAHRURRAZI,
A.Md.Kep;T. EDY
SATRIA;
404 M.HANIF 15/Jul/22 0101R0010722 1-31-14-4 0077818 SUBHAN THAIB, dr. Sp. 15/Jul/22 15:56 - Operasi Khsusus KULSUM, dr. M. K -
V007325 OT (K) Hip Knee &
Sports;SERI MAULIANI,
A.Md.Kep;AL ISLAMI,
A.Md.Kep;Anwar;
405 NURZAINAH ZA 15/Jul/22 0101R0010722 1-31-15-0 0077815 IRSAN ABUBAKAR, dr. 15/Jul/22 15:48 S72.10 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V007581 Sp. trochanteric fracture
OT;Rismaniar;MAHFUD, of femu
A.Md. Kep;Ns. NICO
AULIA PERDANA, S.Kep;
406 ZULKARNEN BIN ZULKIFLI 15/Jul/22 0101R0010722 1-31-15-2 0077819 AZHARUDDIN, DR. dr. 15/Jul/22 11:11 S52.60 : Unspecified Operasi Khsusus KULSUM, dr. M. K -
V007643 Sp. OT K-Spine FICS fracture of lower end
(K);AL ISLAMI, of ulna
A.Md.Kep;SRI
WAHYUNI, A.Md.Kep;
407 MARHAMAH BINTI MUHAMMA 15/Jul/22 0101R0010722 1-31-15-9 0077814 T. NANTA AULIA, dr. M. 15/Jul/22 10:53 S52.30 : Unspecified Operasi Canggih KULSUM, dr. M. K -
V008753 Kes, Sp. OT, K-Spine, fracture of shaft of
FICS ;Endi Prima; radius

Hal : 46
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
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Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
408 ZULFIKAR BIN MUHAMMAD A 15/Jul/22 0101R0010722 1-31-17-0 0077836 ARMIA INDRA NUR 15/Jul/22 9:33 T02.80 : Fractures Operasi Khsusus KULSUM, dr. M. K -
V010026 ALAM,dr.Sp.OT(K) HIP involving other
AND combinations of
KNEE,FICS;RAHYUNI,
A.md.Kep;MAIMUN
TARIDA;
409 LUTHFIATUL ADELIA 15/Jul/22 0101R0010722 1-31-17-2 0077840 SYAMSUL RIZAL, dr .Sp. 15/Jul/22 10:04 T30.0 : Burn of Operasi Sedang KULSUM, dr. M. K -
V010028 BP-RE;SATRIA unspecified body
MUNANDAR, region, unspecifi
STR.Kep.An;FAJRI,
A.Md.Kep;
410 BAHRUM YUSUF 16/Jul/22 0101R0010722 1-17-54-3 0077839 LAUHIL MAHFUDZ, dr. 16/Jul/22 9:54 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V011051 Sp.B (K) V;Ns. TEDDY diabetes mellitus
KURNIADY THAHER, with circulatory
S.Kep;SATRIA
MUNANDAR,
STR.Kep.An;FAJRI,
A.Md.Kep;
411 ASNANI BINTI RASYIDIN 16/Jul/22 0101R0010722 1-31-17-9 0077841 Tgk. PUSPA DEWI, dr. 16/Jul/22 10:08 O65.9 : Obstructed Operasi Besar KULSUM, dr. M. K -
V011088 Sp. OG (K);Ns. TEDDY labor due to maternal
KURNIADY THAHER, pelvic ab
S.Kep;SATRIA
MUNANDAR,
STR.Kep.An;Mukhtarudd
in;
412 AKMAL IDRIS A 26/Jul/22 0101R0010722 1-04-96-2 0078209 ISKANDAR, dr. M.Kes 26/Jul/22 8:24 G93.6 : Cerebral Operasi Khusus II KULSUM, dr. M. K -
V017788 Sp. BS (K);Nadya edema; I63.9 :
Latifah, Cerebral infarctio
A.Md.Kep;NAZARUDDIN
, A.Md.Kep;FAJRI,
A.Md.Kep;
413 MAHYEDDIN BIN ISMAIL 26/Jul/22 0101R0010722 1-31-26-4 0078233 SUBHAN THAIB, dr. Sp. 26/Jul/22 11:48 - Operasi Sedang KULSUM, dr. M. K -
V019599 OT (K) Hip Knee &
Sports;Ns. TEDDY
KURNIADY THAHER,
S.Kep;M. IQBAL,
A.Md.Kep;ARIE NANDA
RIZKY, A.Md.Kep;Ns.
FAKHRURRIZA, S.Kep;
414 LISA CICI HAYUTRI 26/Jul/22 0101R0010722 1-31-26-5 0078229 CUT RIKA MAHARANI, 26/Jul/22 10:29 I70.9 : Other and Operasi Sedang KULSUM, dr. M. K -
V019603 dr. Sp. OG;Ns. TEDDY unspecified
KURNIADY THAHER, atherosclerosis; J95
S.Kep;M. IQBAL,
A.Md.Kep;SAFRIZAL,
A.Md.Kep;
415 HALIMAH BINTI JALIL 27/Jul/22 0101R0010722 0-94-77-8 0078265 FERRY ERDANI dr. Sp. 27/Jul/22 9:44 K45.0 : Other Operasi Khusus KULSUM, dr. M. K -
V020747 B-KBD (K);T. specified abdominal
MUHAMMAD RIZKI, hernia with obst
A.Md.Kep;WINDA
MARLINA, A.Md.Kep;Cut
Rismalinda, Amk.Kep;

Hal : 47
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
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Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya
416 ZARMIAH BINTI HANAFI 27/Jul/22 0101R0010722 1-19-26-5 0078266 FACHRUL JUNAIDI, dr. 27/Jul/22 9:47 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V020828 Sp. B (K) V;WINDA diabetes mellitus
MARLINA, A.Md.Kep;T. with circulatory
MUHAMMAD RIZKI,
A.Md.Kep;M. ARIF
FADHIL, A.Md.Kep;
417 RUSMAINI BINTI BUDIMAN M 27/Jul/22 0101R0010722 1-31-26-5 0078264 FACHRUL JUNAIDI, dr. 27/Jul/22 9:39 D72.9 : Disorder of Operasi Sedang KULSUM, dr. M. K -
V020775 Sp. B (K) V;WINDA white blood cells,
MARLINA, A.Md.Kep;T. unspecified
MUHAMMAD RIZKI,
A.Md.Kep;RIZKI
HIDAYATULLAH,
A.Md.Kep;
418 ZAKARIA IDRIS 1/Aug/22 0101R0010722 1-08-65-8 0078358 ONARISA AYU, dr. M. 1/Aug/22 10:50 S52.50 : Unspecified Operasi Besar KULSUM, dr. M. K -
V023327 Ked (Surg), Sp. OT(K), fracture of the lower
FICS;Ns. NICO AULIA end of
PERDANA,
S.Kep;Rismaniar;Endi
Prima;
419 MUHAMMAD AJHURI 1/Aug/22 0101R0010722 1-28-57-0 0078388 IRSAN ABUBAKAR, dr. 1/Aug/22 12:43 S72.3 : Fracture of Operasi Khsusus KULSUM, dr. M. K -
V024753 Sp. OT;AL ISLAMI, shaft of femur
A.Md.Kep;Anwar;
420 ANWAR BIN YUSUF 1/Aug/22 0101R0010722 1-30-31-0 0078349 JUFRIADI ISMI, dr. Dr. 1/Aug/22 10:24 N20.9 : Urinary Operasi Khsusus KULSUM, dr. M. K -
V024770 Sp. U (K);FAHRURRAZI, calculus, unspecified
A.Md.Kep;T. EDY
SATRIA;
421 ASNIDAR BUDIMAN 1/Aug/22 0101R0010722 1-30-92-9 0078357 ONARISA AYU, dr. M. 1/Aug/22 10:48 D16.9 : Benign Operasi Besar KULSUM, dr. M. K -
V024695 Ked (Surg), Sp. OT(K), neoplasm of bone
FICS;Ns. NICO AULIA and articular cart
PERDANA,
S.Kep;Rismaniar;Fachri
ani;
422 MUSTAFA BIN M ABDULLAH 1/Aug/22 0101R0010722 1-30-93-7 0078370 LIA MUTHIA ZAINI, dr. 1/Aug/22 11:51 H25.0 : Age-related Operasi Canggih - -
V024727 Sp. M (K);Ns. incipient cataract
MUSDIANSYAH,
S.Kep;BAKHTIAR
SYIFA;KULSUM, dr. M.
Ked (An), Sp. An.,KNA
(K);
423 MUHAMMAD AZKA AZKIA 1/Aug/22 0101R0010722 1-31-16-4 0078366 JUFRIADI ISMI, dr. Dr. 1/Aug/22 12:48 N20.9 : Urinary Operasi Canggih KULSUM, dr. M. K -
V024738 Sp. U (K);FAHRURRAZI, calculus, unspecified
A.Md.Kep;MUNIRAWATI,
A.Md. Kep;
424 MARDIAH 1/Aug/22 0101R0010722 1-31-23-5 0078401 MUHAMMAD SYALTUT, 1/Aug/22 9:19 E11.5 : Type 2 Operasi Sedang KULSUM, dr. M. K -
V016750 dr. Sp. BTKV;WINDA diabetes mellitus
MARLINA, A.Md.Kep;Ns. with circulatory
JULIANI,
S.Kep;SAFRIZAL,
A.Md.Kep;

Hal : 48
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
425 HENDRI BIN M.LIDAN 1/Aug/22 0101R0010722 1-31-23-5 0078360 AZHARUDDIN,lainnya
DR. dr. 1/Aug/22 10:56 V93.42XD : Struck by Operasi Khsusus KULSUM, dr. M. K -
V016758 Sp. OT K-Spine FICS falling object on
(K);AL ISLAMI, fishing boa
A.Md.Kep;Anjasmoro;AI
DIL RADHI ALKHAIR,
A.Md. Kep;
426 M AQIL NUZUL PASYAH 1/Aug/22 0101R0010722 1-31-23-7 0078390 JUFRIADI ISMI, dr. Dr. 1/Aug/22 12:50 N13.2 : Operasi Khsusus KULSUM, dr. M. K -
V024752 Sp. U (K);FAHRURRAZI, Hydronephrosis with
A.Md.Kep;Nelli Faridah; renal and ureteral cal
427 MAHYEDDIN BIN ISMAIL 1/Aug/22 0101R0010722 1-31-26-4 0078382 SUBHAN THAIB, dr. Sp. 1/Aug/22 12:25 - Operasi Besar KULSUM, dr. M. K -
V019599 OT (K) Hip Knee &
Sports;Ns. NICO AULIA
PERDANA,
S.Kep;MAHFUD, A.Md.
Kep;
428 FARDIAN AULA 1/Aug/22 0101R0010722 1-31-29-2 0078381 ONARISA AYU, dr. M. 1/Aug/22 12:24 S32.30 : Unspecified Operasi Besar KULSUM, dr. M. K -
V023335 Ked (Surg), Sp. OT(K), fracture of ilium;
FICS;Ns. NICO AULIA S06.00 : C
PERDANA,
S.Kep;MUHAMMAD
ROZHIE, A.Md.Kep;
429 NYAK UMI 1/Aug/22 0101R0010722 1-31-29-4 0078387 IRSAN ABUBAKAR, dr. 1/Aug/22 9:11 S72.80 : Fractures of Operasi Khsusus KULSUM, dr. M. K -
V023399 Sp. OT;AL ISLAMI, other parts of femur,
A.Md.Kep;Cut M Rahmat; closed
430 ZUBIR BIN TAHIR 1/Aug/22 0101R0010822 1-31-31-6 0078402 MUSLIM dr. Sp. B-KBD 1/Aug/22 9:23 K40.3 : Unilateral Operasi Khusus KULSUM, dr. M. K -
V001126 (K);T. MUHAMMAD inguinal hernia, with
RIZKI, obstructi
A.Md.Kep;SAIFANNUR,
Amd.Kep;
431 ZAITUN MALA 2/Aug/22 0101R0010722 1-31-30-4 0078403 RIZKA ADITYA, dr. 2/Aug/22 9:27 O03.4 : Incomplete Operasi Sedang KULSUM, dr. M. K -
V024526 Sp.OG;T. MUHAMMAD spontaneous
RIZKI, abortion without co
A.Md.Kep;MAIMUN
TARIDA;
432 KHAMSIAH BINTI MURTHAL 9/Aug/22 0101R0010822 1-26-22-9 0078697 SUHARDI, dr. Sp. BTKV 9/Aug/22 15:09 Z47.0 : Follow-up Operasi Khusus KULSUM, dr. M. K -
V006871 (K)-VE;SALAMUN care involving
DAUD;MUAMMAR, removal of fractu
A.Md.Kep;Ns. CLARA
RUHAYA, S.Kep;
433 SURYA AGUSLENI 11/Aug/22 0101R0010822 1-31-37-3 0078808 IRSAN ABUBAKAR, dr. 11/Aug/22 15:56 S76.9 : Injury of Operasi Khsusus KULSUM, dr. M. K -
V006442 Sp. OT;AL ISLAMI, unspecified
A.Md.Kep;AIDIL RADHI muscles, fascia and
ALKHAIR, A.Md. Kep;

Hal : 49
Tanggal, Jam dan Nama
Dokter/Perawat/Tenaga Kesehatan lainnya
yg melakukan pelayanan/tindakan

Nama Dokter/Perawat & Jenis Pelayanan/Tindakan yg Nama Dokter Nama Dokter


No. Nama Pasien Tgl Masuk No SJP No SKP No. CM No. Reg Tgl Jam Diagnosa Tgl Keluar Ket
Tenaga Kesehatan dilakukan Anastesi Pendamping Anak
lainnya

*) Coret yang tidak perlu

**) Berpedoman pada Perda Tarif dan Manlak Jamkesmas/Askesos

Mengetahui Atasan Langsung Banda Aceh, 05-Sep-2022


TTDLeft Kepada TTDRight

( LeftName ) ( RightName )
NIP LeftNIP NIP RightNIP

Hal : 50

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