Ruangan : FLAMBOYAN

Bulan : MEI 2021

Dpjp : dr.H. Lukman Pura,Sp.Pd,

No Nama Pasien No. MR

1 TN. SATIMIN 157898
2 NY. ASWAROH 153678
3 NY. SUGIARTI 120210
4 NY. YULI YANTI 150044
5 NY. LAWIYAH 157550
6 NY. INSIANI 158156
7 NY. MISTUN 159477
8 NY. ANNA WATI 97214
9 TN. ADINAS BUKHARI 156892
10 TN. ADI IRAWAN 155634
11 TN. SATIMIN 157898
12 NY. MARSINAH 157135
13 TN. SUNARTO 135381
14 TN. AHMAD SARNUDIN 158208
15 NY. UMMI MUNAWAROH 156252
16 TN. AHMAD SARNUDIN 158208
17 NY. SITI YUKRIYAH 16 04 35
18 TN. ROZIKAN 13 77 18
19 NY. ROSIDAH 16 07 08
20 TN. ADINAS BUKHARI 156892
21 NY. PARTINI 15 88 78
22 TN. AHMAD SARNUDIN 158208
23 NY. HERNA 09 83 31
24 TN. MUHAMMAD YUNUS 15 91 53
25 NY. MARSINAH 15 71 35
26 TN. ADINAS BUKHARI 156892
27 TN. SUTARMO 16 07 92
28 NY. SUGIARTI 12 02 10
29 TN. ADINAS BUKHARI 156892
30 TN. SUKRAM 15 70 123
31 NY. SURWI 13 78 45
32 NY. INSIANI 15 81 56
33 NY. HERNA 09 83 31
34 NY. SUPINAH 15 37 57
35 TN. SUTOMO 1584 64
36 TN. ROZIKAN 13 77 18
37 TN. SUKRAM 15 70 12
38 NY. DALYATI 07 82 11
 Diagnosa No.Sep Tanggal Masuk
Ckd stg V on hd dg gastropati +ht on terapi+anemia.r 3275 4/29/2021
Ckd stg V on hd +capd dg peritonitas O224 5/3/2021
ckd V ec dkd post inisiasi hd+dm tp 2+ht stg 2+anemia.r O226 5/3/2021
Ckd V on hd+anemia.r+ht.r+asites O354 5/4/2021
ckd V on hd dg efusi pleura dextra+anemia.r+ht stg 2+ie O695 5/6/2021
Ckd V on hd+anemia.r+ht.r O602 5/5/2021
Ckd V on hd+anemia.r+ht.r O744 5/6/2021
Ckd V on hd+anemia.r+ht.r O754 5/6/2021
ckd V on hd dg overhidrasi+clebsi +anemia.r+ht.r O495 5/5/2021
ckd V on hd dg overhidrasi+clebsi +anemia.r+ht.r O755 5/6/2021
Ckd V on hd+anemia.r+ht.r O802 5/7/2021
ckd V on hd dg overhidrasi+edem pulmo +anemia.r+ht.r O844 5/8/2021
ckd V on hd dg overhidrasi+edem pulmo +anemia.r+chf O887 5/10/2021
ckd V on hd dg overhidrasi+CAP +anemia.r+ht.r 1054 5/10/2021
Cholanasitis ec imbalance cholelitiasis pd ckd stg 1+sepsis O805 5/8/2021
ckd V on hd dg overhidrasi+CAP +anemia.r+ht.r 1190 5/12/2021
Post insersi cdl ai ckd stg 1 ec pnc dg trouble akses+anemia 1053 5/10/2021
Ckd V on hd+anemia.r+ht on th 1486 5/17/2021
ckd V on hd ec gnp+anemia.r+ht.r+imbalance elektrolit 1617 5/17/2021
ckd V on hd dg edem pulmo+chf ec hhd+anemia.r 1337 5/17/2021
ckd V on hd ec cholelitiasis+anemia.r+ht.r 1206 5/14/2021
ckd V on hd dg overhidrasi+CAP +anemia.r+ht.r 1625 5/19/2021
ckd V on hd+anemia.r+hhd+asites releted hd 1765 5/19/2021
ckd V on hd dg truoble akses +anemia.r+ht.r 1797 5/19/2021
ckd V on hd+elektrolit imbalance+ht.r 1800 5/20/2021
ckd V on hd dg edem pulmo+chf ec hhd+anemia.r 1923 5/19/2021
aki superimposed ckd+syd genatri+uremicum 1922 5/21/2021
ckd V on hd ec dkd+anemia.r+ht.r+ie 2396 5/24/2021
chf ec hhd/cad+ckd V on hddg edem pulmo 2100 5/24/2021
ckd V on hd dg overhidrasi +anemia.r+ht.r 2209 5/23/2021
ckd V on hd+ie+hiperkalemia+anemia.r 2197 5/24/2021
ckd V on hd+anemia related ckd+ht.r 2488 5/26/2021
ckd V on hd dg dvt+ht.r+anemia.r 2392 5/22/2021
ckd V on hd ec dkd+chfec hhd cad dd crs+ht 2236 5/24/2021
ckd Vdg pleuropneumonia+anemia.r+ht.r+hipokalimia 2646 5/27/2021
Ckd V on hd+anemia.r+ht.r 2714 5/28/2021
Ckd V on hd+anemia.r+ht.r 2713 5/28/2021
sepsis artritis+ckdV on hd+anemia.e+ht.r 2718 5/29/2021
TOTAL
 Hari Pemeriksaan Penunjang
Tanggal Pulang Obat
Rawat Lab Radiologi PMI Lain-lain
5/1/2021 3
5/5/2021 3
5/5/2021 3
5/5/2021 2
5/7/2021 2
5/6/2021 2
5/7/2021 2
5/7/2021 2
5/9/2021 5
5/9/2021 4
5/8/2021 2
5/11/2021 4
5/11/2021 2
5/11/2021 2
5/13/2021 6
5/15/2021 4
5/16/2021 7
5/18/2021 2
5/18/2021 2
5/19/2021 3
5/19/2021 6
5/20/2021 2
5/21/2021 3
5/22/2021 4
5/21/2021 2
5/23/2021 5
5/25/2021 5
5/25/2021 2
5/25/2021 2
5/26/2021 4
5/26/2021 3
5/27/2021 2
5/25/2021 4
5/28/2021 5
5/28/2021 2
5/29/2021 2
5/30/2021 3
5/31/2021 3

KotaBaru, 2021

Kepala Ruangan Bedah

 Ns.Yakubus Wahyudi S.Kep
NIP : 19790815 200701 1 004
Total Klaim
Ruangan : MAWAR/BEDAH

Bulan : MEI 2021

Dpjp : dr. Tabrani Putra, Sp.Pd

No Nama Pasien No. MR

1 NY. ELOK 10 35 73
2 NY. DARMI 16 04 80
3 TN. ERHADIANSYAH 16 04 90
4 TN. ISWANDI 13 96 73
5 TN. EMRI 11 82 75
6 NY. JUMIRAH 16 05 95
7 TN. YAKKUP 15 77 92
8 NY. REFI 15 82 19
9 TN. YAKKUP 15 77 92
 Diagnosa No.Sep Tanggal Masuk Tanggal Pulang
chf fc nyha IV+ht stg I+ppok dg sekunder 3162 4/29/2021 5/1/2021
chf ec thd+sinus brakdikardia dg RBBB kompliks OO48 5/3/2021 5/5/2021
colic abdomen ec ulkus deptikum+IE O511 5/4/2021 5/7/2021
atypical chest pain+cholelitiasis O6O1 5/5/2021 5/7/2021
chf ec hhd dg edem pulmo+cap+ht stg 2 O883 5/9/2021 5/11/2021
dli+susp.cholelitiasis+isk+ileus paralitik O940 5/9/2021 5/12/2021
massa gaster metastase hepar+ht stg 1+anemia 1056 5/10/2021 5/12/2021
efusi plura disease+imbalance+ckd+asites masiv 1277 5/11/2021 5/15/2021
tumor gaster metastase hepar+ht stg 2+dli 1212 5/13/2021 5/17/2021
 Hari Pemeriksaan Penunjang
Obat Total Klaim
Rawat Lab Radiologi PMI Lain-lain
3
3
4
3
3
4
3
5
5

KotaBaru, 2021

Kepala Ruangan Bedah

Ns.Yakubus Wahyudi S.Kep

NIP : 19790815 200701 1 004
Ruangan : MAWAR/BEDAH

Bulan : APRIL 2021

Dpjp : dr. Mas Agus,Sp.Pd

No Nama Pasien No. MR Diagnosa

1 Ny. Sri Juarni 04.06.18 dm tipe II dgn hipokalemia, riwayat cad
2 Tn. Daryus 06.43.78 abdominal pain, dispepsia
TOTAL
 Hari Pemeriksaan Penunjang
No.Sep Tanggal Masuk Tanggal Pulang Obat
Rawat Lab Radiologi
1738 4/17/2021 4/19/2021 2
1778 4/16/2021 4/18/2021 2
Pemeriksaan Penunjang
Total Klaim
PMI Lain-lain

KotaBaru, 2021

Kepala Ruangan Bedah

Ns.Yakubus Wahyudi S.Kep

NIP : 19790815 200701 1 004
Ruangan : MAWAR/BEDAH

Bulan : APRIL 2021

Dpjp : dr. Dobi S. Burni, Sp.Pd

No Nama Pasien No. MR

1 Tn. Mukijo 15.91.66
2 Ny. Nilayati 12.06.67
3 Nn. Yulia 15.85.84
4 Ny. Non Aini 05.41.11
5 Ny. Lenayati 15.49.51
6 Tn. Ingwanto 13.33.64
7 Tn. Beni Lesmana 16.02.31
8 Tn. Sepran 11.76.93
9 Ny. Alyentina 06.43.35
 Diagnosa No.Sep Tanggal Masuk
hematemesis melena ec perdarahan 3444 3/30/2021
Gerd, hipokalemia 0211 4/3/2021
ca tiroid 0212 4/4/2021
massa paru kanan 0208 4/4/2021
atypical chest pain, dm tipe II dengan neuropati dm 1929 4/17/2021
choleshistitis 2151 4/20/2021
efusi fleura bilateral 2130 4/20/2021
syok kardiogenik, superimposed, syok sepsis 2241 4/23/2021
viral infection ec demam dengue 2921 4/27/2021
TOTAL
 Hari Pemeriksaan Penunjang
Tanggal Pulang Obat
Rawat Lab Radiologi PMI
4/2/2021 3
4/4/2021 1
4/5/2021 1
4/5/2021 1
4/20/2021 3
4/21/2021 1
4/22/2021 2
4/25/2021 2
4/29/2021 2

KotaBaru, 2021

Kepala Ruangan Bedah

Ns.Yakubus Wahyudi S.Kep

NIP : 19790815 200701 1 004
enunjang
Total Klaim
Lain-lain

, 2021

Kepala Ruangan Bedah

s.Yakubus Wahyudi S.Kep

P : 19790815 200701 1 004
Ruangan : MAWAR/BEDAH

Bulan : APRIL 2021

Dpjp : dr. Heri Aprijadi, Sp.Pd.K.Hom

No Nama Pasien No. MR

1 Ny. Yati Sopyati 15.97.99

 Diagnosa No.Sep Tanggal Masuk Tanggal Pulang

ileus obstruktif ec ca deudenum 3254 3/29/2021 4/3/2021

TOTAL
 Hari Pemeriksaan Penunjang
Obat
Rawat Lab Radiologi PMI Lain-lain
5

KotaBaru, 2021

Kepala Ruangan Bedah

Ns.Yakubus Wahyudi S.Kep

NIP : 19790815 200701 1 004
 Total Klaim

2021
Ruangan : MAWAR/BEDAH

Bulan : APRIL 2021

Dpjp : dr. Aprilyanda, Sp.P

No Nama Pasien No. MR

1 Tn. Zainuddin 15.96.42

 Diagnosa No.Sep Tanggal Masuk Tanggal Pulang

tb on terapi, DIH, dispepsia 3050 3/28/2021 4/2/2021

TOTAL
 Hari Pemeriksaan Penunjang
Obat
Rawat Lab Radiologi PMI Lain-lain
5

KotaBaru, 2021

Kepala Ruangan Bedah

Ns.Yakubus Wahyudi S.Kep

NIP : 19790815 200701 1 004
 Total Klaim

2021