JENIS KELAMIN CARA PEMBAYARAN

N TANGGA RM NAMA PASIEN DIAGNOSA

O L
PER ANAK ANAK
EMP LAKI- PEREM
LAKI-LAKI UAN LAKI PUAN CASH BPJS ASS
1 12/5/2023 2311233753 NANA, TN (61 Th) LAKI-LAKI PEREMPUAN BPJS TUMOR KOLON KANAN
2 12/5/2023 2311233707 NY. EHA (58 Th) PEREMPUAN BPJS PO AXILA BILATERAL
3 12/5/2023 2307222001 AGUS SUPARMAN, TN (52 Th) LAKI-LAKI PEREMPUAN BPJS PO OCCIPITAL/SCC
4 12/5/2023 2203177230 HJ. SITI FATIMAH, NY (57 Th) PEREMPUAN BPJS GANGREN PEDIS DX
5 12/5/2023 2311233764 MUKSIN ARYADI, TN (47 Th) LAKI-LAKI BPJS APP
6 12/5/2023 2210196123 ERMA RAHMAYANTI, NY (47 Th) PEREMPUAN BPJS CA MAMAE
7 12/5/2023 2112166994 FAUZI NUGROHO, TN (27 Th) LAKI-LAKI BPJS HIL DX
8 12/5/2023 1804034251 TN. SAEPULOH BIN JUHAENI (59 Th) LAKI-LAKI BPJS GANGREN PEDIS SIN
9 12/5/2023 2308223667 RIPKI, TN (18 Th) LAKI-LAKI BPJS PO STT PEDIS SIN
10 12/5/2023 2311233103 ENDO SOPIAN, TN (23 Th) LAKI-LAKI BPJS PO HIL
11 12/5/2023 2310230743 BAYU SETIAWAN, TN (54 Th) LAKI-LAKI BPJS ULKUS PEDIS DX
12 12/5/2023 2311233576 NY. NEUIS MARYATI (36 Th) PEREMPUAN BPJS TBC PAYUDARA
13 12/5/2023 2311233106 SATIBI, TN (81 Th) LAKI-LAKI BPJS PO STT BAKERCYST
14 12/5/2023 2207188630 SARIPUDIN, TN (65 Th) LAKI-LAKI BPJS PO LIMPADENOPATI COLI SIN
15 12/5/2023 2002101852 LIA MELIANI,NY (37 Th) PEREMPUAN BPJS PO LE PERITONITIS
16 12/5/2023 2107148209 SRI RAHAYU , NY (61 Th) PEREMPUAN BPJS PO AXILA BILATERAL
17 12/5/2023 2208191000 MIRA SEPTHIANI DINITA, NN (18 Th) PEREMPUAN BPJS PO LE APP
18 12/5/2023 2309228161 DENI BADRU SEHABUDIN, TN (38 Th) LAKI-LAKI BPJS KELOID DINDING THORAX
19 12/5/2023 2306218811 YUNIATI SUTENDI, NY (32 Th) PEREMPUAN BPJS KELOID LEHER
20 12/5/2023 2311232843 MUHAMMAD RIYANDI FAUZI, TN (30 Th) LAKI-LAKI BPJS PO STT OCIPITAL
21 12/5/2023 1910088192 APIT SANUSI, TN (70 Th) LAKI-LAKI BPJS CHOLECYSTITIS
22 12/5/2023 1904070506 SULTAN ADITYA PRATAMA, AN (8 Th) LAKI-LAKI BPJS LIMPADENOPATI INGUINAL SIN
23 12/5/2023 1802029288 HANA PUTRI PERTIWI, NN (25 Th) PEREMPUAN BPJS PO TUMOR MAMAE DX
24 12/5/2023 2309227416 ERNI SARIPAH, NY (43 Th) PEREMPUAN BPJS PO HEMOROID
25 12/5/2023 98314 NY ROHAETI 59 PEREMPUAN BPJS STT PEDIS DX
NAMA
DOKTER

dr. RANDY, SP.B

dr. RANDY, SP.B
dr. RANDY, SP.B
dr. RANDY, SP.B
dr. RANDY, SP.B
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dr. RANDY, SP.B
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dr. RANDY, SP.B
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dr. RANDY, SP.B
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dr. RANDY, SP.B
 JENIS KELAMIN CARA PEMBAYARAN

N TANGGAL RM NAMA PASIEN

O ANA
K
LAKI
LAKI- PEREMPUA - ANAK
LAKI N LAKI PEREMPUAN CASH BPJS ASS
1 12/11/2023 2302208572 A ROSITA, NY (53 Th) PEREMPUAN BPJS
2 12/11/2023 1912093802 NURJANAH, NY (37 Th) PEREMPUAN BPJS
3 12/11/2023 2311233570 NY. LELA (33 Th) PEREMPUAN BPJS
4 12/11/2023 2301205100 ELIS YANTI SUSANTI, NY (43 Th) PEREMPUAN BPJS
5 12/11/2023 2312236219 NINA, NY (44 Th) PEREMPUAN BPJS
6 12/11/2023 1804033226 AAN ANISAH, ny (48 Th) PEREMPUAN BPJS
7 12/11/2023 2312236217 SUSI SUSILAWATI, NN (19 Th) PEREMPUAN BPJS
8 12/11/2023 2311234055 MOCH ENCEP SOLEHUDIN, TN (42 Th) LAKI-LAKI BPJS
9 12/11/2023 2311234972 GINA SAGITA, NN (28 Th) PEREMPUAN BPJS
10 12/11/2023 2312235505 OPON PATONAH, NY (59 Th) PEREMPUAN BPJS
11 12/11/2023 2312236213 MUHAMMAD ELVAN ADRIAN PRATAMA, AN (4 Th) L BPJS
12 12/11/2023 2312236212 NOVI SALBIAH, AN (17 Th) P BPJS
13 12/11/2023 1512003485 KHOIRONI, S.PI, M.SI, TN (63 Th) LAKI-LAKI BPJS
14 12/11/2023 2311233588 ANGGI NURISKA PUTRI, NN (21 Th) PEREMPUAN BPJS
15 12/11/2023 2311235097 EEN PATIMAH, NY (40 Th) PEREMPUAN BPJS
16 12/11/2023 2307221568 NY. ADE SUMIATI (49 Th) PEREMPUAN BPJS
17 12/11/2023 2201168724 ETI ROHAETI, NY (51 Th) PEREMPUAN BPJS
18 12/11/2023 2312235299 NENENG, NY (51 Th) PEREMPUAN BPJS
19 12/11/2023 2312236199 DE ASTI MAULANI, NN (21 Th) PEREMPUAN BPJS
20 12/11/2023 2305215412 LISTYA NURDYANI, NN (19 Th) PEREMPUAN BPJS
21 12/11/2023 2103135415 ENUNG, NY (57 Th) PEREMPUAN BPJS
22 12/11/2023 2312236183 ENDANG DURI, TN (63 Th) LAKI-LAKI BPJS
23 12/11/2023 2311234984 ENDANG, TN (55 Th) LAKI-LAKI BPJS
24 12/11/2023 2311235191 KARTINI, NY (28 Th) PEREMPUAN BPJS
25 12/11/2023 2307222977 SITI HAWATU AL ARIFAH, NN (22 Th) PEREMPUAN BPJS
26 12/11/2023 2208189312 JALALUDIN, TN (36 Th) LAKI-LAKI BPJS
27 12/11/2023 2312236112 JIJAH KHODIJAH, NY/NN (53 Th) PEREMPUAN BPJS
28 12/11/2023 2309228064 MAMAN SURATMAN, TN (65 Th) LAKI-LAKI BPJS
29 12/11/2023 2312236073 SITI SALMA MUJAHAROH, NN (21 Th) PEREMPUAN BPJS
30 12/11/2023 2011124945 ETI NURHAYATI, NY (47 Th) PEREMPUAN BPJS
31 12/11/2023 2008115646 MOCHAMAD RAMDHAN, TN (20 Th) LAKI-LAKI BPJS
32 12/11/2023 2201168566 GUGUN GUNAWAN, TN (45 Th) LAKI-LAKI BPJS
33 12/11/2023 2312235878 SUMENI, NY (47 Th) PEREMPUAN BPJS
34 12/11/2023 1910087414 UDI SUTARDI, TN (77 Th) LAKI-LAKI BPJS
35 12/11/2023 2310231498 RIAN HERMAWAN, TN (29 Th) LAKI-LAKI BPJS
36 12/11/2023 2312235289 PUSPA SITI NURSILAH, NN (23 Th) PEREMPUAN BPJS
37 12/11/2023 2310231427 TATI KARTINI, NY (60 Th) PEREMPUAN BPJS
38 12/11/2023 2309228153 SITI HASANAH,NY (33 Th) PEREMPUAN BPJS
39 12/11/2023 2310230821 JOKO NOPYANTO, TN (38 Th) LAKI-LAKI BPJS
40 12/11/2023 2009118746 NENTI, NN (28 Th) PEREMPUAN BPJS
41 12/11/2023 221568 NY ADE SUMIATI PEREMPUAN BPJS
42 12/11/2023 233210 TN H MUSLIM LAKI-LAKI BPJS
 DIAGNOSA

NAMA
DOKTER

GANGREN PEDIS BILATERAL dr. RANDY, SP.B

TUMOR TYROID dr. RANDY, SP.B
PO HEMOROID dr. RANDY, SP.B
CHOLELITIASIS dr. RANDY, SP.B
KGB dr. RANDY, SP.B
HEMOROID dr. RANDY, SP.B
TUMOR MAMAE DX dr. RANDY, SP.B
PO ABSES DIGITI IV MANUS DDX dr. RANDY, SP.B
PO HEMOROID dr. RANDY, SP.B
TUMOR TYROID BILATERAL dr. RANDY, SP.B
HIL DX dr. RANDY, SP.B
TUMOR MATA dr. RANDY, SP.B
CHOLELITIASIS dr. RANDY, SP.B
TUMOR MAMAE DX dr. RANDY, SP.B
PO PEDIS SIN dr. RANDY, SP.B
GANGREN PEDIS DX dr. RANDY, SP.B
PO MASTEKTOMY dr. RANDY, SP.B
COLIC ABDOMEN dr. RANDY, SP.B
TUMOR MAMAE DX dr. RANDY, SP.B
PO LIMPADENITIS dr. RANDY, SP.B
GANGREN DM PEDIS SIN dr. RANDY, SP.B
GANGREN PEDIS DX dr. RANDY, SP.B
PO EKSISI STT PEDIS BILATERAL dr. RANDY, SP.B
PO LIMPADENOPATI dr. RANDY, SP.B
TB ABDOMEN dr. RANDY, SP.B
PO HEMOROID dr. RANDY, SP.B
HEMOROID dr. RANDY, SP.B
PO PEDIS SIN+ABSES GLUTEUS dr. RANDY, SP.B
TUMOR MAMAE SIN dr. RANDY, SP.B
PO GANGREN PEDIS DX dr. RANDY, SP.B
PO STT PUNGGUNG dr. RANDY, SP.B
PO STT PUNGGUNG dr. RANDY, SP.B
TUMOR TYROID dr. RANDY, SP.B
PO DEBRIDEMEN GANGREN MANUS DX dr. RANDY, SP.B
PO LIMPADENOPATI dr. RANDY, SP.B
COLIC ABDOMEN dr. RANDY, SP.B
CYSTITIS dr. RANDY, SP.B
PO HIPERTROPIC SCAR dr. RANDY, SP.B
PO DEBRIDEMEN dr. RANDY, SP.B
PO TYROID dr. RANDY, SP.B
GANGREN PEDIS DX dr. RANDY, SP.B
HIL DX dr. RANDY, SP.B
 1 12/12/2023 2312236361 ALIVINA RAHMI, NN (23 Th) dr. RANDY, SP.B BPJS TUMOR MAMAE DX
2 12/12/2023 2312236348 ADE ROHMAN, TN (50 Th) dr. RANDY, SP.B BPJS GANGREN SCROTUM
3 12/12/2023 2307222246 SINTA, NY (58 Th) dr. RANDY, SP.B BPJS GANGREN PEDIS DX
4 12/12/2023 2311233942 ERAH, NY (59 Th) dr. RANDY, SP.B BPJS PO OCCIPITAL
5 12/12/2023 1811053758 TN. KRISNA AWALUDIN GUNARSA (29 Th) dr. RANDY, SP.B BPJS STT PEDIS DX MULTIPEL
6 12/12/2023 2312236325 TITIN SUHARTINI, NY (44 Th) dr. RANDY, SP.B BPJS TUMOR MAMAE SIN+DM
7 12/12/2023 2309227243 ISOH, NY (65 Th) dr. RANDY, SP.B BPJS TUMOR TYROID DX
8 12/12/2023 2312236322 LILI, TN (63 Th) dr. RANDY, SP.B BPJS HIL SIN
9 12/12/2023 2311235044 SUKAENAH , NY (43 Th) dr. RANDY, SP.B BPJS PO LE APP
10 12/12/2023 2312236306 AI ROHILAWATI, NY (56 Th) dr. RANDY, SP.B BPJS PO INGUINAL SIN
11 12/12/2023 2310230600 JAELANI, TN (48 Th) dr. RANDY, SP.B BPJS PO HIL
12 12/12/2023 1812055021 H. M. ENDANG, TN (65 Th) dr. RANDY, SP.B BPJS PO GANGREN PEDIS DX
13 12/12/2023 1808043136 TN. SUPRIATNA BIN ADANG DIMYATI (64 Th) dr. RANDY, SP.B BPJS PO ULKUS PEDIS BILATERAL
14 12/12/2023 2310230645 NOLIS KADARISMAN, NY (53 Th) dr. RANDY, SP.B BPJS CHOLELITIASIS
15 12/12/2023 2309228161 DENI BADRU SEHABUDIN, TN (38 Th) dr. RANDY, SP.B BPJS PO STT DINDING THORAX
16 12/12/2023 2310231567 EPON NURJANAH, NY (55 Th) dr. RANDY, SP.B BPJS PO STT DINSING ABDOMEN
17 12/12/2023 156866 NY ATI MULYATI 57 dr. RANDY, SP.B BPJS TUMOR TYROID DX
18 12/12/2023 234530 NY AISYAH 47 dr. RANDY, SP.B BPJS CHOLELITIASIS
 1 13/12/2023 2308224007 HJ AINAH KOMARIAH, NY (50 Th) dr. RANDY, SP.B BPJS 0119R0031223V003930 POLI BEDAH VARISES
2 13/12/2023 2303210235 ASEP INDRA, TN (25 Th) dr. RANDY, SP.B BPJS 0119R0031223V003929 POLI BEDAH TYROID
3 13/12/2023 2310231886 DENI RAFSANJANI, TN (30 Th) dr. RANDY, SP.B BPJS 0119R0031223V003914 POLI BEDAH PO BIOPSI TYROID
4 13/12/2023 2312235275 PINA NURAENI, NY (26 Th) dr. RANDY, SP.B BPJS 0119R0031223V003905 POLI BEDAH COLIC ABDOMEN
5 13/12/2023 2311234953 KARTINI, ny (52 Th) dr. RANDY, SP.B BPJS 0119R0031223V003896 POLI BEDAH PO LIMPADENOPATI COLI DX
6 13/12/2023 2210198215 SANI, NY (71 Th) dr. RANDY, SP.B BPJS 0119R0031223V003894 POLI BEDAH PO GANGREN PEDIS BILATERAL
7 13/12/2023 2001098314 ROHAETI, NY (59 Th) dr. RANDY, SP.B BPJS 0119R0031223V003882 POLI BEDAH PO STT PEDIS
8 13/12/2023 2312236453 SITI ALIA NURHIKMAT (0 Hr) dr. RANDY, SP.B BPJS 0119R0031223V003879 POLI BEDAH HERNIA UMBILICAL
9 13/12/2023 2203177230 HJ. SITI FATIMAH, NY (57 Th) dr. RANDY, SP.B BPJS 0119R0031223V003868 POLI BEDAH PO GANGREN
10 13/12/2023 2312235500 LAELA, NY (38 Th) dr. RANDY, SP.B BPJS 0119R0031223V003859 POLI BEDAH PO TUMOR MAMAE DX
11 13/12/2023 2312236449 MUHAMMAD AMAR PUDIN, TN (30 Th) dr. RANDY, SP.B BPJS 0119R0031223V003866 POLI BEDAH HIL
12 13/12/2023 2311234225 HERI ASHURI, TN (39 Th) dr. RANDY, SP.B BPJS 0119R0031223V003911 POLI BEDAH SELULITIS
13 13/12/2023 2311235195 AMAN, TN (63 Th) dr. RANDY, SP.B BPJS 0119R0031223V003888 POLI BEDAH PO HIL
14 13/12/2023 2211201330 SANTI SRI RAHMA, NN (22 Th) dr. RANDY, SP.B BPJS 0119R0031223V003893 POLI BEDAH HYPERTROPIC SCAR
15 13/12/2023 2110157124 LUSIANA, NY (42 Th) dr. RANDY, SP.B BPJS 0119R0031223V003871 POLI BEDAH DYSPLASIA MAMAE
16 13/12/2023 2108148984 NENTI, NY (23 Th) dr. RANDY, SP.B BPJS 0119R0031223V003889 POLI BEDAH PO TUMOR MAMAE SIN
17 13/12/2023 2311233576 NY. NEUIS MARYATI (36 Th) dr. RANDY, SP.B BPJS 0119R0031223V003874 POLI BEDAH PO TUMOR MAMAE DX
18 13/12/2023 1907077593 OLIS, NY (59 Th) dr. RANDY, SP.B BPJS 0119R0031223V003876 POLI BEDAH HERNIA VENTRALIS
19 13/12/2023 2312235451 ELA SOPIAWATI, NY (37 Th) dr. RANDY, SP.B BPJS 0119R0031223V003890 POLI BEDAH PO STT SHOULDER
20 13/12/2023 2312236351 MUHAMMAD SYAFIQ BURHANUDIN, AN (0 Th) dr. RANDY, SP.B BPJS 0119R0031223V003927 POLI BEDAH HERNIA UMBILICAL
21 13/12/2023 2306217672 SISKA SITI ROSMAWATI, NY (25 Th) dr. RANDY, SP.B BPJS 0119R0031223V003928 POLI BEDAH CHOLELITIASIS
22 13/12/2023 2304212529 RACHMAT LUCKY WARDHANA, TN (51 Th) dr. RANDY, SP.B BPJS 0119R0031223V003887 POLI BEDAH PO HIL
23 13/12/2023 2301205498 AWAN KURNIA, TN (33 Th) dr. RANDY, SP.B BPJS 0119R0031223V003904 POLI BEDAH PO TB ABDOMEN
24 13/12/2023 2311232843 MUHAMMAD RIYANDI FAUZI, TN (30 Th) dr. RANDY, SP.B BPJS 0119R0031223V003916 POLI BEDAH PO HIL DX
25 13/12/2023 2308223085 FITRI NURAENI, NY (29 Th) dr. RANDY, SP.B BPJS 0119R0031223V003873 POLI BEDAH PO LIMPADENOPATI COLI DX
26 13/12/2023 2112166705 TAMAMI, TN (68 Th) dr. RANDY, SP.B BPJS 0119R0031223V003891 POLI BEDAH HEMOROID
27 13/12/2023 2211201226 NENENG HESTIYANAH, NN (20 Th) dr. RANDY, SP.B BPJS 0119R0031223V003875 POLI BEDAH PO TUMOR MAMAE DXS
28 13/12/2023 2002101852 LIA MELIANI,NY (37 Th) dr. RANDY, SP.B BPJS 0119R0031223V003881 POLI BEDAH CHOLELITIASIS
29 13/12/2023 2107148209 SRI RAHAYU , NY (61 Th) dr. RANDY, SP.B BPJS 0119R0031223V003869 POLI BEDAH PO ABSES AXILA BILATERAL
30 13/12/2023 1910088192 APIT SANUSI, TN (70 Th) dr. RANDY, SP.B BPJS 0119R0031223V003861 POLI BEDAH CHOLELITIASIS
31 13/12/2023 2311233707 NY. EHA (58 Th) dr. RANDY, SP.B BPJS 0119R0031223V003867 POLI BEDAH PO LIMPADENITIS AXILA
32 13/12/2023 174778 NY IIS MULYATI 49 dr. RANDY, SP.B BPJS 0119R0031223V003722 POLI BEDAH TUMOR RECTI 1/3 DISTAL
33 13/12/2023 220037 NY RINI SUSANTI 49 dr. RANDY, SP.B BPJS 0119R0031223V003833 POLI BEDAH SELULITIS CRURIS DX
 1 12/14/2023 2312236571 SOLIHIN, TN , TN (26 Th) dr. RANDY, SP.B BPJS limpadenopati coli
2 12/14/2023 2311233894 AYI DINDIN, TN (66 Th) dr. RANDY, SP.B BPJS PO LIM COLI DX
3 12/14/2023 1710021479 TN. ASEP SUNDJAJA (71 Th) dr. RANDY, SP.B BPJS ULKUS PEDIS DX
4 12/14/2023 2311233797 MUHAMMAD FAHREZA AMMAR (0 Th) dr. RANDY, SP.B BPJS HIDROKEL
5 12/14/2023 1806038092 NY.ENENG HERVIANA (32 Th) dr. RANDY, SP.B BPJS PO TUMOR MAMAE SIN
6 12/14/2023 2311232802 MILA SUNDAWIWAHA, NY (21 Th) dr. RANDY, SP.B BPJS PO MAMAE SIN
7 12/14/2023 2309226418 IJUN, TN (66 Th) dr. RANDY, SP.B BPJS PO ULKUS PEDIS DX
8 12/14/2023 2311234951 TINI PATIMAH, NY (47 Th) dr. RANDY, SP.B BPJS CHOLECYSTITIS
9 12/14/2023 2312235731 N. FAIZ FAUZIYATUL M.A, NN (21 Th) dr. RANDY, SP.B BPJS STT
10 12/14/2023 2312236538 MIA SUMIATI, NY (38 Th) dr. RANDY, SP.B BPJS LIMPADENOPATI COLI
11 12/14/2023 2312236535 GUNAWAN, TN (42 Th) dr. RANDY, SP.B BPJS HIL
12 12/14/2023 2312236468 EMAN SULAEMAN, TN (69 Th) dr. RANDY, SP.B BPJS GANGREN PEDIS DX
13 12/14/2023 2312236529 WINA PURNAMA, NN (18 Th) dr. RANDY, SP.B BPJS LIMPADENOPATI OCCIPITAL
14 12/14/2023 2310231026 E ROSITA, NY (45 Th) dr. RANDY, SP.B BPJS PO HEMOROID
15 12/14/2023 2311234807 ENCE NAJRUDIN, TN (61 Th) dr. RANDY, SP.B BPJS PO STT PEDIS
16 12/14/2023 1603004994 ATANG SUHENDAR, TN (63 Th) dr. RANDY, SP.B BPJS GANGREN PEDIS DX
17 12/14/2023 2002100935 JAJAT BARAJATUL ASLAMI, TN (41 Th) dr. RANDY, SP.B BPJS MELENA
18 12/14/2023 2311232479 SENA SUKMANURHAYATI, NN (17 Th) dr. RANDY, SP.B BPJS PO DINDING THORAX
19 12/14/2023 2304212865 AYI JUNAEDI,TN (57 Th) dr. RANDY, SP.B BPJS GANGREN PEDIS DX
20 12/14/2023 2308223601 A RUSTANDI, TN (48 Th) dr. RANDY, SP.B BPJS PO STT PUNGGUNG
21 12/14/2023 2311234783 SITI JUBAEDAH, NY (27 Th) dr. RANDY, SP.B BPJS PO TUMOR MAMAE DX
22 12/14/2023 2311234909 BUBUN ABDILAH, TN (63 Th) dr. RANDY, SP.B BPJS PO ULKUS PEDIS DX
23 12/14/2023 235944 AN NAYSI 14THN dr. RANDY, SP.B BPJS jantung
24 12/14/2023 236561 TN ADE DIMYATI 61 dr. RANDY, SP.B BPJS ULKUS PEDIS SIN
25 12/14/2023 45492 NY DEWI KURNIASIH 38THN dr. RANDY, SP.B BPJS SELULITIS ABSES DIGITI 3 MANUS SIN