Respon Time Radiologi Des 23

RSUD PMAS PATROL
JL. RAYA PATROL KM. 50
LAPORAN WAKTU TUNGGU

CARA BAYAR : Semua
INSTALASI : Instalasi Radiologi
UNIT : Semua
SUB UNIT : Semua
DOKTER : Semua
TINDAKAN : Semua
PERIODE 01 DESEMBER 2023 S/D 31 DESEMBER 2023
No. No. RM Nama Pasien JK Tgl Lahir Cara Bayar Nama Tindakan Nama Dokter Tgl Order
1 2 3 4 5 6 7 8 9
Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24
1 253811 KELVIN L 01-01-2014
Umum x 30 = 1 Lbr) ( Umum )
Thorak 1 Posisi(Film 30 x 40/35

2 163017 KARSAM L 20-02-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
3 30305 ROICHATUL JANAH P 10-07-1982 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
4 249918 JUHROH P 13-04-1988 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
5 252792 SEPUDIN L 13-04-1982 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
6 247786 KADIYAH L 01-12-1985 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

7 253813 PONIYATI P 11-03-1991

8 155577 JUNAH P 16-11-1960 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
9 253815 SELYN P 14-09-2023 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
10 253794 KARIYAH, TN L 05-10-1965 - Upper Abdomen ( Umum )
Umum
Tanpa Asuransi /
11 253821 KHOIRUL ANAM L 25-08-1999 Panoramic ( UMUM )
Umum
12 253822 LIYANDA, NY P 15-05-1989 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
13 233476 SARUDIN, TN L 12-06-1963 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
14 232642 KASTI NY P 05-07-1955 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
15 247987 SUKINIH, NY P 10-09-1974 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
16 146232 SALIMAH BT KABUL, NY P 08-10-1982 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
17 233298 ARNI BINTI KARMEN NY P 05-07-1971 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
18 250776 SUKAESIH, NY P 25-04-1979 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
19 158011 SAMANUDIN L 02-06-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
20 253845 TARYEM, NT P 06-07-1947 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
21 253848 WARYA, TN L 05-07-1974 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Abdomen 1 Posisi (Film 30 x
22 121774 SAROH, NY P 09-11-1976 BPJS / JKN
40 = 1 lbr )( Bpjs )
23 253850 KASMINAH, NY P 09-07-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
24 253127 CASTI BT SAMA, NY P 22-01-1950 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
25 240356 NADIA AZKADINA ZHIMRAN L 31-12-2022 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
Extremitas Atas/ bawah AP/
Tanpa Asuransi /
26 253855 MUHAMMAD BAHRUL LMY L 28-10-1996 Perbandingan (Film 24 x 30 = 2
Umum
lbr)( Umum )
27 253027 SULASTRI P 06-02-1997 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
28 247045 ANDRIYAN L 25-04-2004 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
29 238443 DALI L 05-06-1947 BPJS / JKN - Upper Abdomen ( Bpjs )
Tanpa Asuransi /
30 253883 CECEP YUWANTO L 05-07-1999 Panoramic ( UMUM )
Umum
Pelvis (Film 30 x 40 = 1 lbr )
31 234576 CEISYAH PUTRI KHANZA P 26-10-2021 BPJS / JKN
( Bpjs )
32 173740 DEWI NINGRUM P 01-09-1994 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
33 253860 WARIDIN L 17-06-1973 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
34 252700 SARMILAH P 03-03-2002 BPJS / JKN - Parotis

35 253859 BIMO SUKMAWAN L 18-11-2003
Umum x 35= 1 Lbr) ( Umum )
Vertebra AP/ Lateral (Film 30 x

36 253877 AMING BIN KUSEN L 19-05-1965 BPJS / JKN
40 = 2 lbr)( Bpjs )
Tanpa Asuransi /
37 253853 WARJA L 01-01-1961 - Upper Abdomen ( Umum )
Umum

38 253649 ADE TASDIK L 15-12-1986 JAMKESKIN
x 35= 1 Lbr) ( Umum )

39 253887 MAHESA ADYA PASHA L 23-10-2006

40 244411 ASTINI P 08-05-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
41 253896 NALEM P 01-07-1944 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
42 253899 MISKANAH P 14-07-1957 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
43 253898 SUKARYO L 02-07-1972 BPJS / JKN
40 = 1 lbr )( Bpjs )
44 119232 RATIWEN P 20-06-1972 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
DEVANYA NADHIFA Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

45 246099 P 21-01-2022
ALMAHYRA, AN Umum x 30 = 1 Lbr) ( Umum )
Tanpa Asuransi /
46 253925 JAHARI L 01-01-1963 Perbandingan (Film 24 x 30 = 2
Umum
lbr)( Umum )
47 244027 HOERUL MUMININ L 18-06-2012 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
48 46725 PATIMAH, NY P 09-02-1953 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
49 253930 LARAS HATI, NY P 12-05-2004 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
50 248181 CASMI P 08-03-1966 BPJS / JKN
40 = 2 lbr)( Bpjs )
Tanpa Asuransi /
51 253922 MOHAMAD SUBHAN L 12-01-1988 Panoramic ( UMUM )
Umum
52 253941 KUKUH ANDRIYANTO L 04-05-1996 BPJS / JKN Panoramic (BPJS)
53 151315 SITI KAMELIA P 31-12-2002 BPJS / JKN Panoramic (BPJS)
WaterÃ¢â‚¬â„¢s (Film 24 x 30
54 252225 AGUS SONJAYA L 23-06-1993 BPJS / JKN
= 1 Lbr)( Bpjs )
55 253926 ZACKY RIFYAL FIRDAUS L 14-06-1988 BPJS / JKN Panoramic (BPJS)

56 46842 AAN MUNANI P 01-04-1955 BPJS / JKN Perbandingan (Film 24 x 30 = 2
lbr)( Bpjs )
57 253932 SITI UMI P 04-10-1974 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
58 169280 CASIDIN L 14-05-1970 BPJS / JKN - Upper Abdomen ( Bpjs )

59 250467 KADMINIH P 08-11-1974 BPJS / JKN
40 = 2 lbr)( Bpjs )
ANENG ROBIATU ADAIYYAH, Tanpa Asuransi /
60 253949 P 08-07-1991 Panoramic ( UMUM )
SE Umum
61 253890 LILIS P 01-07-1979 BPJS / JKN - Upper Abdomen ( Bpjs )

62 238618 ISTIMUHAYANA P 11-04-1975 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
63 253958 RAINI ANJAR WATI, NY P 06-01-1999 Panoramic ( UMUM )
Umum
64 253321 SAMI P 19-03-1970 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
65 253962 TITIN SUMARNI, NY P 01-01-1958 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
66 131239 RUKYATI, NY P 14-03-1971 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi / Vertebra AP/ Lateral (Film 30 x
67 253980 CANGKOL BIN RAKIM L 07-08-1954
Umum 40 = 2 lbr)( Umum )
68 153074 UUS RUSNANDI L 15-08-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
69 253746 GHAVIN MALIK AL FAIZAN L 19-12-2021 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
70 250543 SULISTIAH P 19-09-2000 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
71 233249 SURNATA L 01-01-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
MUHAMAD RIFKI ARDIANSYAH, Thorak 1 Posisi(Film 18 x 24/24
72 218750 L 30-03-2021 BPJS / JKN
BAYI NYONYA SUMIYATI x 30 = 1 Lbr) ( Bpjs )
73 125612 ELISNAWATI BT RIFA'I P 17-06-1992 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
74 242269 SUHERMAN L 24-04-1993 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
75 252508 TIWAN, TN L 01-06-1981 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
76 187999 TB MOH JAUHARI L 12-07-1956 BPJS / JKN Panoramic (BPJS)

77 250458 MUHAMMAD IZZAN KAMIL L 23-11-2022 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
78 158011 SAMANUDIN L 02-06-1959 BPJS / JKN - Upper Abdomen ( Bpjs )

79 187999 TB MOH JAUHARI L 12-07-1956 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
80 253900 MAYA SOFA BT ABDURI P 05-06-1973 BPJS / JKN Perbandingan (Film 24 x 30 = 2
lbr)( Bpjs )
81 246893 SUMERAH, NY P 05-03-1977 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
82 184903 KURNIAH P 11-12-1991 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
83 253985 SUSI DEPIYARNIS P 11-10-1989 BPJS / JKN - Thyroid

84 253954 JUMINAWATI, NY P 02-04-1955 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
85 253972 DWI FAYANI SALSABILLAH P 13-06-2003 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
86 253993 ANISAH P 01-01-1999 Perbandingan (Film 24 x 30 = 2
Umum
lbr)( Umum )
87 239314 RASBA, TN L 10-12-1965 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
88 254001 CARMI P 10-11-1965 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
89 122780 MUALIMIN L 01-10-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
90 250764 CARYAN L 01-01-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
91 153627 ANTIKAH P 17-05-1957 BPJS / JKN
40 = 2 lbr)( Bpjs )
92 173467 CANA BIN TASWAD, TN L 25-07-1961 BPJS / JKN
40 = 2 lbr)( Bpjs )

93 254024 MOHAMMAD AUFAR ALFARIZI L 21-02-2020
94 254008 LILI HAYATUL AINI, NN P 09-08-2002 BPJS / JKN Panoramic (BPJS)
95 214052 SAADAH P 02-05-1981 BPJS / JKN Panoramic (BPJS)

96 254023 SUTIHAT P 12-07-1952 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
97 254013 KURNIASIH BINTI SOBARI P 14-10-1975 BPJS / JKN Panoramic (BPJS)

98 243311 ZAYTUNIL HIKMAH P 17-10-2000 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
99 44070 IDA DAYUNI BT SARAM P 13-06-1953 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
100 253921 TAWA L 03-02-1950 BPJS / JKN - Upper Abdomen ( Bpjs )

101 235789 JHONI L 10-09-1974 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
102 210454 CUPANG, NY P 21-02-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
103 254045 PEBY AMELIA FAZRIN L 14-02-1999 Panoramic ( UMUM )
Umum
104 254037 SAMINIH P 06-07-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
105 247106 FITRI P 10-11-1985 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
106 254038 ARYATI BT USMAN, NY P 14-04-1994
Umum x 35= 1 Lbr) ( Bpjs )
107 254046 MAHFUD L 07-06-1942 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
108 251004 SRI PRIHATIN P 16-04-1973 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
109 210454 CUPANG, NY P 21-02-1969 BPJS / JKN - Upper Abdomen ( Bpjs )
Tanpa Asuransi /
110 254068 HJ. ESIH SUKAESIH, SPD P 19-05-1958 Panoramic ( UMUM )
Umum
111 254052 WASTIRI P 24-07-1970 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
112 254055 DEDE SITI ROKAYAH P 05-12-1995 BPJS / JKN - Mammae

113 187537 NY. WIWIN ANGGRAENI P 19-04-1995 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
114 254054 RIYANTI P 05-02-1972 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
115 253861 USMAN BIN TARJA L 30-07-1958 BPJS / JKN - Upper Abdomen ( Bpjs )

116 253408 MAESAROH, Nn P 25-02-2006 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
117 252556 RUSNADI L 06-04-1978 Panoramic ( UMUM )
Umum
118 253891 JHINAR RAMADHANI L 14-06-2018 JAMKESKIN - Upper Abdomen ( Umum )

119 176828 NANDA SOEDARSA L 02-10-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
120 254085 WINAH, NY P 21-04-1953 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
121 254081 AHMAD SAHRIL FALAHIN, JK L 25-02-2004 Lateral (Film 24 x 30 = 1 lbr)
Umum
( Umum )
122 254091 WAHYU P 01-01-1989

123 254087 DEWI ANGGRAENI P 07-05-1991
Tanpa Asuransi / Kepala AP/ Lateral (Film 24 x

124 254089 NACI SUNENTI, NY P 01-01-2000
Umum 30=2 Lbr) ( Umum )
125 254090 MARLINA, NY P 13-11-1983 JAMKESKIN
40 = 1 lbr )( Bpjs )
126 253743 SUBHAN ARIF BUDIMAN L 29-06-1991 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
ALDEBARAN NABHAN Tanpa Asuransi /
127 254100 L 01-01-2016 Panoramic ( UMUM )
RAJENDRA Umum
Tanpa Asuransi /
128 254102 CUNENTI BT H HASYIM P 14-05-1972 Panoramic ( UMUM )
Umum
129 198431 ULING L 16-08-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
130 245421 ADIB HAFIDZ RAMADHAN, AN L 13-04-2022 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
131 254108 NIZAM APRILIANSYAH, AN L 08-04-2012 Panoramic ( UMUM )
Umum
132 254109 RATINIH, NY P 09-09-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
133 254112 TARIDAH BIN TARJA, TN L 23-10-1965 BPJS / JKN
40 = 1 lbr )( Bpjs )
134 254111 ETI, NY P 11-05-1955 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
135 242622 KARTIKA EKAWATI, NY P 23-02-1970 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
136 254119 REVA ERTIKA PUTRI P 20-04-2016 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
137 150651 KARTIM L 03-04-1962 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
138 254117 WARYEM P 07-06-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
139 254118 TANURI L 08-02-1970 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
140 254116 KASMO, TN L 24-09-1966 BPJS / JKN
40 = 1 lbr )( Bpjs )
141 254125 SITI MULYATI P 14-07-1953
142 254122 MARWATI P 02-10-1955
143 198269 WAHYUDIN, TN L 12-01-1956 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
144 167129 RASTO PRIYANTO L 02-06-1976 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
145 251662 SUMARNO L 17-07-1967 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
146 251758 ENDANG WATI P 11-05-1982 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
147 247436 TOTO L 17-04-1980 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
148 251839 SRI MAWAR P 20-06-1986 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
149 113605 NONO TARYONO L 01-07-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
150 147581 NADI L 16-03-1977 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
151 254133 SUPARMAN BIN MADULAH L 08-04-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
152 173265 MARWAH P 13-04-1964 BPJS / JKN
40 = 2 lbr)( Bpjs )
153 254094 DASIYAH P 15-10-1957 BPJS / JKN
40 = 2 lbr)( Bpjs )
154 254159 NURESIH P 16-05-1973 BPJS / JKN
40 = 2 lbr)( Bpjs )
155 177755 YADI BASUKI L 02-02-1980 BPJS / JKN
40 = 2 lbr)( Bpjs )
156 253690 DIANA JULYEN BT TIRWAN P 18-07-2008 BPJS / JKN
40 = 2 lbr)( Bpjs )
157 254111 ETI, NY P 11-05-1955 BPJS / JKN - Upper Abdomen ( Bpjs )
158 122780 MUALIMIN L 01-10-1968 BPJS / JKN - Upper Abdomen ( Bpjs )
159 254036 UTI, NY P 09-02-1947 BPJS / JKN - Upper Abdomen ( Bpjs )

160 252402 ANANG RIZKI MULANA L 30-11-2011 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
161 254112 TARIDAH BIN TARJA, TN L 23-10-1965 BPJS / JKN - Upper Abdomen ( Bpjs )
162 254116 KASMO, TN L 24-09-1966 BPJS / JKN - Upper Abdomen ( Bpjs )

163 254174 RAFI RAZIQ PRATAMA L 17-12-2017

164 254202 KALSUM P 10-10-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

165 254127 MOCH SYAIFULLAH, TN L 01-08-1969

166 247129 ARDIAZ SAMUDRA, AN L 11-07-2022

167 254233 M ALHAIZAN, AN L 01-01-2021
Tanpa Asuransi /
168 254238 SHOLEHA P 28-08-1981 Panoramic ( UMUM )
Umum
169 254248 KASA, TN L 05-08-1951 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

170 254247 ALIYATI L 01-01-2009
Tanpa Asuransi /
171 254231 MUHAMMAD SYARIF L 20-01-2005 Lateral (Film 24 x 30 = 1 lbr)
Umum
( Umum )
172 236725 SINTA P 17-06-2021 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
173 254266 JAMILAH P 03-07-1962 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
174 135665 TANGINAH P 01-01-1965 BPJS / JKN
40 = 2 lbr)( Bpjs )
175 28331 TUNI, NY P 12-10-1961 BPJS / JKN
40 = 2 lbr)( Bpjs )
176 254286 SUWANDI GANEA SALEH L 09-07-1955 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
177 254280 TURINAH P 01-07-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
178 155425 SRUWET P 25-01-1974 BPJS / JKN - Upper Abdomen ( Bpjs )
179 249273 MEIGA DINDA SYAFIRA P 11-05-2012 BPJS / JKN - Upper Abdomen ( Bpjs )

180 254131 ABDUL MALIK L 12-12-2003 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
DEWI PURWATI BY, M. HERI Thorak 1 Posisi(Film 30 x 40/35
181 231715 L 18-03-2022 BPJS / JKN
RAMADHAN x 35= 1 Lbr) ( Bpjs )
182 254264 AHMAD NABIL AL FATIH L 22-05-2021 BPJS / JKN Lateral (Film 24 x 30 = 1 lbr)
( Bpjs )
183 157439 SANIYAH P 10-04-1981 BPJS / JKN - Upper Abdomen ( Bpjs )
184 254130 LIKA EPI, NY P 06-06-1999 BPJS / JKN - Upper Abdomen ( Bpjs )

185 254297 MUHAMMAD ALSIHA L 17-08-2022

186 254319 YESI SUSANTI, NY P 08-03-1989
187 254285 MAESONAH P 09-12-1981 BPJS / JKN Panoramic (BPJS)
188 254256 CARIYAH P 16-10-1985 BPJS / JKN Panoramic (BPJS)
189 254294 SUPRIYANA BIN WASDI L 07-06-1973 BPJS / JKN Panoramic (BPJS)
190 253964 CARNITI BT CARKIM, NY P 15-06-1974 BPJS / JKN Panoramic (BPJS)
191 254254 AJENG CELIN APRILIA P 11-04-2000 BPJS / JKN Panoramic (BPJS)

192 173898 MOHAMAD FUAD L 11-04-1969 BPJS / JKN
40 = 1 lbr )( Bpjs )
193 192173 SUBUR L 01-01-1965 BPJS / JKN Panoramic (BPJS)

194 254333 WASTIRI P 12-08-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
195 254332 MAMAT, TN L 15-10-1975 BPJS / JKN Panoramic (BPJS)

196 38517 WAWAN PERMANA, TN L 10-05-1953 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
197 228913 DASNA L 25-04-1970 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
198 254341 AJENG SEKAR KIRANA P 13-04-2020
199 202015 ATIQOH NY P 10-04-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
200 163096 DULGANI TN L 01-12-1965 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
201 143384 RAHAYU, NY P 24-04-1972 BPJS / JKN - Upper Abdomen ( Bpjs )

202 236383 DARILEM, NY P 12-06-1963 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
203 59587 AMILAH, NY P 21-10-1971 BPJS / JKN - Thyroid

204 252700 SARMILAH P 03-03-2002 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
205 250871 TRIE MELIANTI P 21-05-2001 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
206 254113 SATA, TN L 20-10-1948 JAMKESKIN - Upper Abdomen ( Bpjs )
207 153491 LUFI RACHMA WATI P 04-03-2005 BPJS / JKN - Upper Abdomen ( Bpjs )
208 254299 M DASUKI BIN ARTA, TN L 07-07-1972 BPJS / JKN - Upper Abdomen ( Bpjs )
209 254283 KARNALI L 24-03-1956 BPJS / JKN - Upper Abdomen ( Bpjs )

210 254352 SABRINA AYUMI P 09-03-2023

211 254299 M DASUKI BIN ARTA, TN L 07-07-1972 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

212 241188 KARYADI, TN L 01-01-1953
Tanpa Asuransi /
213 254368 HERLINA L 01-01-1991 Panoramic ( UMUM )
Umum
Tanpa Asuransi /
214 254365 DIANI SITI AFIFAH P 01-01-2002 Cephalometri
Umum
215 254354 TANIAH P 24-08-1947 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
216 254353 NAWI L 16-05-1950 BPJS / JKN
40 = 1 lbr )( Bpjs )
217 254356 DONI PRAYOGO L 14-05-1995 BPJS / JKN
40 = 1 lbr )( Bpjs )
218 254367 SULASTRI ZULIYATI P 02-08-1987 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
219 254362 MASTEM, NY P 04-03-1958 BPJS / JKN Panoramic (BPJS)

220 152720 HIKMAH FITRIA P 28-03-1994 BPJS / JKN
40 = 1 lbr )( Bpjs )
221 182796 SUNARYO L 04-04-1961 BPJS / JKN - Upper Abdomen ( Bpjs )
222 153153 UJU L 29-12-1963 BPJS / JKN - Upper Abdomen ( Bpjs )

223 246508 ARIS L 03-06-2012 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
224 251682 TARMID L 04-06-1940 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
225 254369 FADIL, AN L 12-06-2008 - Upper Abdomen ( Umum )
Umum

226 254378 KAYLA, AN P 02-07-2022

227 254379 MERLIN MARLINA, AN P 14-07-2010

228 254381 DUMAN, TN L 15-02-1941 BPJS / JKN
40 = 1 lbr )( Bpjs )
229 254384 DASEM P 07-10-1963 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
230 254386 JERMIA TAIRAS, TN L 29-11-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
231 254385 RAHEL, AN L 10-01-2022 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
232 191080 SOPENDI L 09-03-1964 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
233 153335 KADMINAH, NY P 10-06-1978 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
234 173898 MOHAMAD FUAD L 11-04-1969 BPJS / JKN - Upper Abdomen ( Bpjs )
235 254248 KASA, TN L 05-08-1951 BPJS / JKN - Upper Abdomen ( Umum )

236 252371 MASKINAH, NY P 08-12-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
237 157684 WANITA BIN CARKIM L 17-05-1943 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
238 245891 INTAN OKTAVIA PURNAMA, NY P 13-10-1999 BPJS / JKN - Upper Abdomen ( Bpjs )

239 245754 NURCHOLIS L 14-07-1952 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
240 254155 MARDIN BIN SARKIM L 01-05-1957 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
241 254393 KADMA, TN L 01-07-1968 BPJS / JKN - Thyroid

242 254415 SUBAYONG L 10-10-1972
243 253329 MUZAMMIL FATIH ARRAHMAN L 25-04-2022 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
244 254425 KARWI L 12-06-1934 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
245 254467 AFRIL, JK L 01-01-2006 Lateral (Film 30 x 40 = 1 lbr)
Umum
( Umum )
TUKASYA MUHAMAD AL Tanpa Asuransi / Kepala AP/ Lateral (Film 24 x
246 254462 L 15-07-2021
FATIH, AN Umum 30=2 Lbr) ( Umum )
Tanpa Asuransi /
247 254457 HJ. NI ULFAH, NY P 04-07-1981 Panoramic ( UMUM )
Umum
248 254388 SARPAN, TN L 01-07-1975 BPJS / JKN - Upper Abdomen ( Bpjs )

Tanpa Asuransi /
249 254495 HANIFAH P 27-07-1996 Panoramic ( UMUM )
Umum

250 254487 SANDIKA PRATAMA L 17-06-2021

251 240369 ATI SUNARTI P 10-05-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
252 249004 SITI FAUZIYAH AZ ZAHRA, AN P 14-05-2022 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
253 101283 WARTI BINTI TANDA P 06-08-1969 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

254 254403 ABDURAHMAN L 12-09-1945 BPJS / JKN
x 35= 1 Lbr) ( Umum )
Tanpa Asuransi / Abdomen 1 Posisi (Film 30 x

255 254456 AEZHIN L 01-07-1977
Umum 40 = 1 lbr )( Umum )
256 254472 MUNISAH P 15-01-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
257 254479 TALYUNI, NY P 13-11-1957 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
258 189848 UNTARA, TN L 09-11-1962 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
259 254478 DASTAM, TN L 16-10-1955 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
260 239244 SAMIAH P 04-02-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

261 254481 SETIA REGINA P 15-01-2003

262 254483 JAMIDI, TN L 02-06-1975 JAMKESKIN
x 35= 1 Lbr) ( Umum )

263 245432 WARTO L 06-10-1951 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
264 242020 TINYATI, NY P 01-07-1983 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
265 17800 MASINAH P 03-01-1975 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

266 250048 SAYUMI P 17-09-1960
267 254409 KARYADI E L 21-01-1973 BPJS / JKN - Upper Abdomen ( Bpjs )

268 254520 RAWUD L 10-05-1959 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
269 249993 TASWADI BIN DATAR L 01-10-1967 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
270 254522 YULIANA NOVIANI P 29-07-2002 Panoramic ( UMUM )
Umum
271 210166 YUTI YULIANTI P 25-10-1987 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
272 254455 WARYONO BIN KASIM L 12-05-1962 BPJS / JKN - Lower Abdomen ( BPJS )
273 253881 JUNERIH P 28-08-1978 BPJS / JKN - Upper Abdomen ( Bpjs )

274 254494 ALPIAH BINTI HS BASYARI P 13-08-1960 BPJS / JKN Lateral (Film 24 x 30 = 1 lbr)
( Bpjs )
275 254531 RUYI P 20-10-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
276 253649 ADE TASDIK L 15-12-1986 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
277 120868 KARMI, NY P 25-09-1982 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
278 254538 KASEM, NY P 11-03-1982 BPJS / JKN
40 = 1 lbr )( Bpjs )

279 254550 RAYYAN AL FATIH, AN L 23-04-2023

280 254548 TARYONO, TN L 11-09-1968 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
281 254551 KHUSNUL KHOTIMAH P 11-04-1986 BPJS / JKN Panoramic (BPJS)
282 254552 ARGA ADITIA L 09-01-1989 BPJS / JKN Panoramic (BPJS)
283 254562 NOLA ADELIA, NN P 24-01-2003 BPJS / JKN Panoramic (BPJS)

284 254564 KASAN L 01-07-1985

285 173267 ENO DARKEM P 17-05-1983 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
286 254569 DEWI AMALIA P 06-06-1974 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
Tanpa Asuransi /
287 254588 RIRIN SAFITRI P 10-02-1993 Panoramic ( UMUM )
Umum
Tanpa Asuransi /
288 254592 DENITA TIARA P 29-08-2014 Panoramic ( UMUM )
Umum
Tanpa Asuransi /
289 254481 SETIA REGINA P 15-01-2003 - Upper Abdomen ( Umum )
Umum
290 135433 WASRINIH P 14-05-1983 BPJS / JKN - Upper Abdomen ( Bpjs )

291 254590 WASLI BIN TARLAM L 14-02-1951 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
292 254591 KARINTA L 15-12-1979 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
293 254609 ANJAS ADITIA L 01-01-2008 Perbandingan (Film 24 x 30 = 2
Umum
lbr)( Umum )
294 249909 PAMIR L 20-11-1954 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
295 254599 WAWAT P 01-01-1973 Perbandingan (Film 30 x 40 = 2
Umum
lbr)( Umum )
296 254596 YULIYAWATI P 31-08-1984 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
297 254618 ATO HARIS SUTARTO L 11-08-1967 Panoramic ( UMUM )
Umum
298 239028 DASWATI P 07-08-1973 BPJS / JKN - Upper Abdomen ( Bpjs )

299 249004 SITI FAUZIYAH AZ ZAHRA, AN P 14-05-2022 BPJS / JKN
Tanpa Asuransi /
300 254639 DARSINAH P 08-09-1987 Panoramic ( UMUM )
Umum
Tanpa Asuransi /
301 254629 NENENG SUNENGSIH P 09-09-1975 Panoramic ( UMUM )
Umum
302 254122 MARWATI P 02-10-1955 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
303 254621 SUMARTO L 22-02-1995 BPJS / JKN Panoramic (BPJS)

304 247249 TUNIAH, NY P 15-08-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
305 244026 NANANG SUNARYO L 04-10-1976 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
306 208889 EDI PURWADI L 27-10-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
307 254548 TARYONO, TN L 11-09-1968 JAMKESKIN - Lower Abdomen ( BPJS )
308 254591 KARINTA L 15-12-1979 BPJS / JKN - Upper Abdomen ( Bpjs )
309 123151 SAMAN L 07-11-1960 BPJS / JKN - Upper Abdomen ( Bpjs )
310 254301 WAWAN, TN L 14-05-1990 BPJS / JKN - Upper Abdomen ( Bpjs )

311 254625 ADIVA SARALEE ABDULNUR P 31-12-2014 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
312 179644 IQBAL NUR MUHAMAD WAFA L 30-07-2011 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
313 254635 TITIN NURHAYATIN, NN P 28-06-2001 BPJS / JKN - Upper Abdomen ( Bpjs )

314 254606 ADE LISMAWATI P 05-03-1967 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
315 254622 RASIM L 27-03-1958 BPJS / JKN - Testis
316 254623 TAWAN BIN NAMING L 02-11-1959 BPJS / JKN - Upper Abdomen ( Bpjs )
Tanpa Asuransi / Vertebra AP/ Lateral (Film 30 x

317 254642 KASWINIH P 25-01-1995
Umum 40 = 2 lbr)( Umum )
Tanpa Asuransi /
318 254646 NURUL JANNAH P 18-04-2000 Panoramic ( UMUM )
Umum
319 254652 DELIA VERAWATI P 11-04-2004
320 254649 TARYAN, TN L 11-10-1948 BPJS / JKN Lateral (Film 24 x 30 = 1 lbr)
( Bpjs )
321 157912 KASEM P 12-10-1972 BPJS / JKN Perbandingan (Film 24 x 30 = 2
lbr)( Bpjs )
322 253321 SAMI P 19-03-1970 BPJS / JKN - Upper Abdomen ( Bpjs )

Tanpa Asuransi /
323 254668 KASHIFAH P 01-01-1980 Lateral (Film 30 x 40 = 1 lbr)
Umum
( Umum )
Tanpa Asuransi /
324 254679 VANESA P 01-01-2008 Panoramic ( UMUM )
Umum
325 244108 DASIMAH P 19-06-1961 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
326 254392 MUNIAH P 20-06-1962 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
HARUKA QIANNDRA Thorak 1 Posisi(Film 18 x 24/24
327 184869 P 11-07-2019 BPJS / JKN
SETYAWAN x 30 = 1 Lbr) ( Bpjs )

328 254682 NABIL, AN L 14-01-2020
Tanpa Asuransi /
329 254684 YENI RAHMAN P 06-06-1990 Panoramic ( UMUM )
Umum
330 254686 ASRORI L 07-07-1961
331 254687 JONO WIRYATNO L 09-04-1981 BPJS / JKN
40 = 1 lbr )( Bpjs )
332 242842 ADI YAHYA L 04-03-2023
333 254688 ROIDAH P 01-01-1981
334 254696 ABD KHALIK, TN L 20-10-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
335 148123 RASIYAH, NY P 15-03-1968 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

336 254698 NUR FIRDAUS, JK L 01-01-2004

337 159630 NANI DARMILA P 01-04-1973 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
338 236276 KARSAM L 07-03-1962 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
339 247671 CAHYAN PRASETYO L 25-05-2021 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
340 232038 GILANG SADEWA L 02-08-2014 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
341 187453 TATI AENI P 21-12-1983 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
342 254712 LINDA P 28-05-1976 Panoramic ( UMUM )
Umum
343 254714 USMAN L 06-11-1949
Tanpa Asuransi /
344 239315 MUHAMMAD DANDI, AN L 19-12-2014 Lateral (Film 24 x 30 = 1 lbr)
Umum
( Umum )
345 250791 NUR FATIMAH, NN P 26-05-2003 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
346 198425 ARFAN YAZID ZIDANE L 26-02-2020 BPJS / JKN - Upper Abdomen ( Bpjs )

347 253418 FITRI P 04-06-1997 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
348 252521 SITI ROKAYAH P 17-10-1986 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
349 254620 SAMPET P 04-06-1965 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
350 161710 KUSNADI L 11-09-1969 BPJS / JKN - Upper Abdomen ( Bpjs )

351 254711 DURIM L 10-12-1954 BPJS / JKN - Upper Abdomen ( Bpjs )
MUHAMAD ALFAREZA ARIN, Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

352 254720 L 02-01-2023
AN Umum x 30 = 1 Lbr) ( Umum )

353 247796 MUHAMMAD SYAUQI L 29-04-2022

354 254729 KARMITA L 11-06-1997 BPJS / JKN
40 = 1 lbr )( Bpjs )
Tanpa Asuransi /
355 254742 M LANTANG L 01-01-2009 Perbandingan (Film 24 x 30 = 2
Umum
lbr)( Umum )
356 254741 SURIP BIN KUSEN L 12-04-1974

357 246708 ALIF FAUZI, AN L 19-01-2017 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
358 242952 CITRA, ASSADI P 07-03-2023 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
359 254737 KARSA L 15-06-1966 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
360 147239 CASIDI BIN WASNGAD L 15-11-1973 BPJS / JKN - Upper Abdomen ( Bpjs )

361 252593 CALEM BT TARMIDI P 01-04-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
362 253857 CARSIKIN L 05-08-1959 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
363 247603 NOPI INDRIYANI P 17-03-1999 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
364 246434 SURTINAH P 14-05-1975 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
365 243514 SUHERTI P 10-07-1975 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
366 254756 MULYATI P 09-04-1963 JAMKESKIN
x 35= 1 Lbr) ( Bpjs )
367 44070 IDA DAYUNI BT SARAM P 13-06-1953 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
368 254757 AHMAD KUSWANTO, TN L 22-09-1996 Panoramic ( UMUM )
Umum
369 252612 KADMIN BIN CASMAD L 21-06-1952 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
370 254761 WAMAH BIN WARTIM L 01-11-1977 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

371 254701 WARTA L 12-05-1963
372 189166 SUNENGSIH P 15-10-1976 BPJS / JKN Panoramic (BPJS)
373 254785 TARIPAH P 08-11-1973 BPJS / JKN Panoramic (BPJS)
374 254736 KARSEM P 20-03-1960 BPJS / JKN Panoramic (BPJS)
375 147156 CHRISTIN ELAWITACHYA P 13-12-1963 BPJS / JKN Panoramic (BPJS)

376 254657 KARTONI L 03-03-1984 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
377 254906 SEFIANI P 15-09-2005 Panoramic ( UMUM )
Umum
378 109834 ROHENI P 23-06-1968 BPJS / JKN - Upper Abdomen ( Bpjs )

379 254653 ROHIMAH, NY P 17-06-1966 BPJS / JKN Perbandingan (Film 24 x 30 = 2
lbr)( Bpjs )
380 254149 KALIMAH P 08-06-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
381 190667 YANTI.NY P 01-01-1980 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
382 254706 FATHONI MIKHAIL L 10-03-1968 BPJS / JKN - Upper Abdomen ( Bpjs )
Tanpa Asuransi /
383 254889 MEDITA P 05-05-2023 - Upper Abdomen ( Umum )
Umum
384 185799 TARCEM P 01-01-1977 BPJS / JKN - Mammae
ARSYILLA APRILLIA SUDARSO, Tanpa Asuransi / Thorak 1 Posisi(Film 30 x 40/35

385 254919 P 25-04-2017
AN Umum x 35= 1 Lbr) ( Bpjs )
MUHAMAD ILHAM MUFARIKH, Tanpa Asuransi /
386 255043 L 28-01-2000 Panoramic ( UMUM )
tn Umum
Tanpa Asuransi /
387 255072 BUDI SUPRIYONO L 15-07-1974 Panoramic ( UMUM )
Umum
388 252683 JUNAH, NY P 10-12-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
389 242741 ENDANG WAHYUDIN, TN L 31-08-1960 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
390 255035 WARSI P 03-01-1975 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tanpa Asuransi /
391 255082 KAMALIA, AN P 01-01-2018 - Upper Abdomen ( Umum )
Umum
392 17800 MASINAH P 03-01-1975 BPJS / JKN Perbandingan (Film 24 x 30 = 2
lbr)( Bpjs )
393 250182 SAMAN L 01-12-1969 BPJS / JKN - Upper Abdomen ( Bpjs )

394 133128 WIYAN L 13-02-1963 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
395 254709 SRI PUJI LESTARI P 24-11-1953 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
396 254333 WASTIRI P 12-08-1960 BPJS / JKN - Upper Abdomen ( Bpjs )
397 254687 JONO WIRYATNO L 09-04-1981 BPJS / JKN - Upper Abdomen ( Bpjs )

398 248502 SAMANI, TN L 25-02-1985 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )

399 255169 ROKETI P 01-01-1963

400 255168 SUKYAN L 10-07-1966
401 220312 CASIH P 28-09-1936 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
402 255170 RINA AGUSTININGSIH P 11-08-1998
403 253861 USMAN BIN TARJA L 30-07-1958 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
404 198520 ASSYIFA NUR KHALIFAH, AN P 19-01-2018 BPJS / JKN
x 30 = 1 Lbr) ( Bpjs )
Tanpa Asuransi /
405 255227 ENDANG SHOLIHIN L 22-09-2001 Panoramic ( UMUM )
Umum
406 243685 SURNATA, TN L 12-03-1972 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
407 143378 NADZIF BARIZI , TN L 07-03-1977 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
408 255410 NURULLOH L 06-09-1981 BPJS / JKN
x 35= 1 Lbr) ( Bpjs )
Tgl Terima Tgl Hasil Lama Pelayanan Bahan Kesimpulan Ket.
10 11 11-10 12 13 14
01-12-23 11:13:09
01-12-23 11:14:06
01-12-23 11:14:37
01-12-23 11:15:20
01-12-23 11:15:54
01-12-23 11:16:28
01-12-23 11:16:59
01-12-23 11:18:02
01-12-23 14:12:59
01-12-23 14:19:58
02-12-23 06:30:53
02-12-23 06:32:06
02-12-23 06:33:28
02-12-23 06:34:34
02-12-23 09:27:33
02-12-23 09:31:47
02-12-23 09:33:05
02-12-23 10:52:39
02-12-23 12:38:13
03-12-23 07:25:23
03-12-23 07:26:18
03-12-23 07:27:17
03-12-23 07:35:42
03-12-23 07:36:41
03-12-23 13:43:49
03-12-23 16:52:53
04-12-23 09:34:39
04-12-23 09:36:21
04-12-23 10:20:22
04-12-23 10:26:29
04-12-23 10:30:17
04-12-23 10:31:39
04-12-23 10:33:07
04-12-23 10:37:39
04-12-23 10:49:15
04-12-23 11:11:48
04-12-23 12:46:09
04-12-23 12:49:41
04-12-23 13:04:47
05-12-23 06:40:18
05-12-23 06:43:59
05-12-23 06:44:54
05-12-23 06:45:43
05-12-23 09:43:59
05-12-23 09:53:58
05-12-23 10:24:41
05-12-23 10:25:47
05-12-23 10:47:33
05-12-23 10:59:02
05-12-23 10:59:38
05-12-23 11:00:38
05-12-23 11:01:06
05-12-23 11:01:32
05-12-23 11:02:00
05-12-23 11:02:37
05-12-23 11:13:58
05-12-23 11:14:40
05-12-23 11:14:53
05-12-23 11:44:11
05-12-23 13:03:44
05-12-23 13:04:18
05-12-23 13:06:09
05-12-23 16:47:10
05-12-23 22:38:38
05-12-23 22:39:39
06-12-23 08:40:33
06-12-23 08:41:52
06-12-23 09:45:00
06-12-23 09:45:31
06-12-23 09:50:48
06-12-23 10:13:12
06-12-23 10:21:15
06-12-23 11:03:30
06-12-23 11:06:03
06-12-23 11:08:05
06-12-23 11:08:34
06-12-23 11:09:06
06-12-23 11:10:19
06-12-23 11:33:55
06-12-23 11:45:48
06-12-23 11:46:23
06-12-23 11:47:10
06-12-23 11:58:24
06-12-23 13:28:01
06-12-23 13:28:33
06-12-23 13:29:00
07-12-23 06:45:49
07-12-23 06:46:57
07-12-23 07:05:19
07-12-23 08:39:55
07-12-23 08:40:29
07-12-23 08:47:11
07-12-23 10:19:00
07-12-23 10:20:07
07-12-23 10:20:34
07-12-23 10:20:58
07-12-23 11:35:32
07-12-23 12:57:39
07-12-23 12:57:46
07-12-23 13:18:57
07-12-23 13:33:03
07-12-23 13:33:28
07-12-23 20:43:19
08-12-23 09:21:31
08-12-23 09:22:01
08-12-23 09:22:34
08-12-23 09:23:17
08-12-23 09:23:59
08-12-23 09:24:37
08-12-23 09:45:27
08-12-23 10:37:59
08-12-23 10:38:47
08-12-23 10:39:13
08-12-23 10:40:08
08-12-23 10:40:42
08-12-23 10:41:10
08-12-23 10:42:00
08-12-23 13:42:07
09-12-23 06:49:20
09-12-23 06:50:08
09-12-23 06:51:16
09-12-23 06:52:44
09-12-23 06:54:13
09-12-23 06:55:01
09-12-23 06:55:51
09-12-23 09:17:18
09-12-23 11:21:05
09-12-23 11:21:52
09-12-23 11:22:40
09-12-23 11:25:24
10-12-23 08:32:09
10-12-23 08:38:34
10-12-23 08:40:33
10-12-23 08:43:33
10-12-23 08:46:16
10-12-23 14:01:32
10-12-23 14:02:15
10-12-23 14:04:08
10-12-23 14:05:01
10-12-23 14:07:00
10-12-23 21:50:19
10-12-23 21:51:21
10-12-23 22:25:17
10-12-23 23:49:47
11-12-23 10:21:29
11-12-23 10:23:41
11-12-23 10:25:05
11-12-23 10:31:15
11-12-23 10:32:44
11-12-23 11:29:50
11-12-23 11:30:29
11-12-23 12:22:35
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RSUD PMAS PATROL

JL. RAYA PATROL KM. 50

LAPORAN WAKTU TUNGGU

Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Thorak 1 Posisi(Film 18 x 24/24

29 238443 DALI L 05-06-1947 BPJS / JKN - Upper Abdomen ( Bpjs )

34 252700 SARMILAH P 03-03-2002 BPJS / JKN - Parotis

Tanpa Asuransi / Thorak 1 Posisi(Film 30 x 40/35

Vertebra AP/ Lateral (Film 30 x

Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Thorak 1 Posisi(Film 30 x 40/35

DEVANYA NADHIFA Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

52 253941 KUKUH ANDRIYANTO L 04-05-1996 BPJS / JKN Panoramic (BPJS)

53 151315 SITI KAMELIA P 31-12-2002 BPJS / JKN Panoramic (BPJS)

55 253926 ZACKY RIFYAL FIRDAUS L 14-06-1988 BPJS / JKN Panoramic (BPJS)

Extremitas Atas/ bawah AP/

58 169280 CASIDIN L 14-05-1970 BPJS / JKN - Upper Abdomen ( Bpjs )

Vertebra AP/ Lateral (Film 30 x

61 253890 LILIS P 01-07-1979 BPJS / JKN - Upper Abdomen ( Bpjs )

Thorak 1 Posisi(Film 30 x 40/35

76 187999 TB MOH JAUHARI L 12-07-1956 BPJS / JKN Panoramic (BPJS)

Thorak 1 Posisi(Film 30 x 40/35

78 158011 SAMANUDIN L 02-06-1959 BPJS / JKN - Upper Abdomen ( Bpjs )

Thorak 1 Posisi(Film 30 x 40/35

83 253985 SUSI DEPIYARNIS P 11-10-1989 BPJS / JKN - Thyroid

Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

95 214052 SAADAH P 02-05-1981 BPJS / JKN Panoramic (BPJS)

Thorak 1 Posisi(Film 30 x 40/35

97 254013 KURNIASIH BINTI SOBARI P 14-10-1975 BPJS / JKN Panoramic (BPJS)

Thorak 1 Posisi(Film 30 x 40/35

100 253921 TAWA L 03-02-1950 BPJS / JKN - Upper Abdomen ( Bpjs )

Thorak 1 Posisi(Film 30 x 40/35

109 210454 CUPANG, NY P 21-02-1969 BPJS / JKN - Upper Abdomen ( Bpjs )

112 254055 DEDE SITI ROKAYAH P 05-12-1995 BPJS / JKN - Mammae

Thorak 1 Posisi(Film 30 x 40/35

Thorak 1 Posisi(Film 30 x 40/35

118 253891 JHINAR RAMADHANI L 14-06-2018 JAMKESKIN - Upper Abdomen ( Umum )

Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Kepala AP/ Lateral (Film 24 x

157 254111 ETI, NY P 11-05-1955 BPJS / JKN - Upper Abdomen ( Bpjs )

158 122780 MUALIMIN L 01-10-1968 BPJS / JKN - Upper Abdomen ( Bpjs )

159 254036 UTI, NY P 09-02-1947 BPJS / JKN - Upper Abdomen ( Bpjs )

Thorak 1 Posisi(Film 30 x 40/35

162 254116 KASMO, TN L 24-09-1966 BPJS / JKN - Upper Abdomen ( Bpjs )

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Thorak 1 Posisi(Film 30 x 40/35

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

178 155425 SRUWET P 25-01-1974 BPJS / JKN - Upper Abdomen ( Bpjs )

Thorak 1 Posisi(Film 30 x 40/35

183 157439 SANIYAH P 10-04-1981 BPJS / JKN - Upper Abdomen ( Bpjs )

Tanpa Asuransi / Thorak 1 Posisi(Film 18 x 24/24

Tanpa Asuransi / Thorak 1 Posisi(Film 30 x 40/35

187 254285 MAESONAH P 09-12-1981 BPJS / JKN Panoramic (BPJS)

188 254256 CARIYAH P 16-10-1985 BPJS / JKN Panoramic (BPJS)

190 253964 CARNITI BT CARKIM, NY P 15-06-1974 BPJS / JKN Panoramic (BPJS)

Abdomen 1 Posisi (Film 30 x