Kbs Bln April 2016

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Dari Tanggal : 2016/04/01

Sampai Tanggal : 2016/04/30

No Nama Alamat

1 RODIYAH BANTERAN 3/3

2 ROPINGAH KLAPAGADING 1/10

3 ROSIDI JASAN JAB! RT 4/10

4 S!"IRAH PAR!NG KAAL 01/01

" #AI$AL ABD!RROH"AN BANTERAN 1/2

6 S!ARNI PENGADEGAN RT 1/2

# SISAN%O $ANG%N 3/2

& KAN%INI $ANG%N 6/"

' IDA %RIYANI $ANG%N 2/12

10 S!"IAH BANTERAN 3/4

11 &KO P!RNO"O KLAPAGADING 2/&

12 "!HYADI RANDEGAN RT 3/6

13 S!LIYAH RA$A(ENG 4/1

14 KAR%I&" $ANG%N 2/11

1" NAKIYAH RAN)ABANTENG 3/1

16 &RNA AS"ARANI KLAPAGADING 1/#

1# S!NAR%O DIK!N KLAPAGADING K!L%N 03/01

1& S!G&NG S!JARO J!RANGBA(AS 6/1

1' J!"AIYAH J!RANGBA(AS RT 6 R$ 1

20 S!SAN%I KLAPAGADING K!L%N 4/2

21 NADI#A KA"&LIA BAI%IS PENGADEGAN 1/10

22 AL#INA 'ALBI N!!RAN RANDEGAN 3/2

23 AKIKA (A"&NIA P!SPI%A $ANG%N RT 6/"

24 RAI$AL ASRO# SYAHRI RA"ADHAN $ANG%N 4/2

2" #AI$AL ASRO# SYAHRI RO"ADON $ANG%N 4/2

26 "AR"I BANTERAN 3/1

2# S&NO KLAPAGADING K!L%N 3/&

2& "ARGONO BANTERAN 3/"

2' PA%"IA%I BANTERAN 1/4

30 RO"INI KLAPAGADING 2/10

31 &%I S&%IANINGSIH BANTERAN 4/3

T*+al : 150 Pa,i-n

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32 JONI ARDADI RA$A(ENG "/2

33 K!S"IYA%I KLAPAGADING 2/'

34 AG!S S!LIS%IONO $ANG%N 2/1

3" DI AHY!NI BANTERAN 1/"

36 IAN S!PRIA%NA BANTERAN 4/1

3# A&N BANTERAN 2/2

3& RODIYAH BANTERAN 3/3

3' NAKIYAH RAN)ABANTENG 3/1

40 S&)H!N KLAPAGADING K!L%N 2/6

41 S!NAR%O DIK!N KLAPAGADING K!L%N 03/01

42 SAHIDI KLAPAGADING K!L%N 2/&

43 S!KADI RANDEGAN 2/4

44 ALI#IA RA)ABANTENG RT 2/#

4" NGA%INI KLAPAGADING K!L%N 2/&

46 KAR%I&" $ANG%N 2/11

4# NINING P!RNINGSIH $ANG%N RT 2/11

4& ANI AS%!%I $ANG%N RT 1/&

4' OK%A DI Y!LIAAN JAB! 03/12

"0 K!S"IA%I KLAPAGADING $ETAN 2/'

"1 $AH&R P!%RA P&RDANA KLAPAGADING RT1/1

"2 SADAN AH)H"AD S!GI%O KLAPAGADING K!L%N "/12

"3 A%INI RA$A(ENG 4/2

"4 IDA %RIYANI $ANG%N 2/12

"" %!%I T!NJ!NG #/3

"6 AL#IAN N!ROH"AN BANTERAN 2/"

"# KASINAH BANTERAN 2/3

"& %ARIS&" KLAPAGADING 4/1

"' SA&NDAH KLAPAGADING "/1

60 H&NDRI ALA"SYAH P PENGADEGAN 3/6

61 APRIYAN%O RA$A(ENG 3/2

62 OK%A DI Y!LIAAN JAB! 03/12

63 S&%O S!PADI KLAPAGADING 1/12

64 S!KIDAH KLAPAGADING K!L%N 1/#

6" S&P%I ANIS&%IYANI KLAPAGADING 6/10

66 KO"ARI RA$A(ENG "/2

6# )AHAYA &$A PRAKAR%I $ANG%N 1/14

6& Y!DA HARI P $ANG%N 1/11

6' AL(IANSYAH "A!LANA SHAL&H T!NJ!NG 2/1

#0 %!"IRAH BANTERAN "/1

#1 A"INAH KLAPAGADING K!L%N 3/4

#2 SHIN%A #ADHILLAH IDRIYANI BANTERAN 4/4

#3 AD"INI BANTERAN 2/4

#4 S&%O S!PADI KLAPAGADING 1/12

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#" S&P%I ANIS&%IYANI KLAPAGADING 6/10

#6 "!HYADI RANDEGAN RT 3/6

## AR%INAH RA$A(ENG 6/3

#& IL"AN $ANG%N 4/11

#' SIGI% RIYAN%O $ANG%N 4/1"

&0 Y!DA HARI P $ANG%N 1/11

&1 NINING P!RNINGSIH $ANG%N RT 2/11

&2 ANI AS%!%I $ANG%N RT 1/&

&3 A%INAH PENGADEGAN 3/"

&4 SA"S!DIN BANTERAN 4/1

&" KA"IRAH BANTERAN 6/4

&6 S!%RIYAH KLAPAGADING 1/6

&KO P!RNO"O KLAPAGADING 2/&

&& !"INAH KLAPAGADING RT 0" R$ 10

&' &NI S!RYANI KLAPAGADING K!L%N 1/&

'0 %!"INAH RANDEGAN 2/11

'1 A%INI RA$A(ENG 4/2

'2 SANROKYA% ANGKA% $ANG%N 1/#

'3 S!K&SIH BANTERAN 3/4

'4 NAKIYAH RAN)ABANTENG 3/1

'" AJI S!SAN%O KLAPAGADING RT 1/12

'6 ASI%!N S!PRIYADI KLAPAGADING K!L%N 2.1&

'# S!NAR%O DIK!N KLAPAGADING K!L%N 03/01

'& SAHIDI KLAPAGADING K!L%N 2/&

'' AR%A" PENGADEGAN RT 1/2

100 ARSIAH RA$A(ENG 4/3

101 KAR%I&" $ANG%N 2/11

102 INDRI S!LIS%IOA%I KLAPAGADING 1/&

103 ASI%!N S!PRIYADI KLAPAGADING K!L%N 2.1&

104 KARS!N KLAPAGADING K!L%N 02/04

10" SIGI% RIYAN%O $ANG%N 4/1"

106 J!RIYAH BANTERAN 4/1

10# A%INAH PENGADEGAN 3/"

10& AD"INI KARANGGAA 1/2

10' SA"S!DIN BANTERAN 4/1

110 S!ARNI PENGADEGAN RT 1/2

111 S!"IRAH BANTERAN 3/6

112 SALBIYAH KLAPAGADING 3/1

113 BARIYAH KLAPAGADING 4/2

114 J!RIYAH $ANG%N 2/#

11" SANROKYA% ANGKA% $ANG%N 1/#

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116 "AHARDIKA PAR!NG KAAL 3/3

11# #AI$AL ABD!RROH"AN BANTERAN 1/2

11& S!K&SIH BANTERAN 3/4

11' S&%O S!PADI KLAPAGADING 1/12

120 SA%IN&" KLAPAGADING 3/3

121 S&P%I ANIS&%IYANI KLAPAGADING 6/10

122 "!HYADI RANDEGAN RT 3/6

123 &KAS SAN%OSO RANDEGAN 3/'

124 S!RINAH PAR!NGKAAL 3/1

12" K!S"IYA%I KLAPAGADING 2/'

126 RO"INI KLAPAGADING 2/10

12# RA&N KLAPAGADING 4/10

12& S!ARNI PENGADEGAN RT 1/2

12' ASI RANDEGAN 1/4

130 S!KI"IN RANDEGAN 02/02

131 S&NO KLAPAGADING K!L%N 3/&

132 HANANDIKA PRAYA%AYASA RANDEGAN 3/&

133 %!%I T!NJ!NG #/3

134 %!%I T!NJ!NG #/3

13" LAS%RIANI KARANGGAA 1/1

136 N!R!LI%A APRILIANI KARANGGAA 1/1

13# "!HA""AD S&P%IAN ALI# $ANG%N 4/4

13& NAKIYAH RAN)ABANTENG 3/1

13' ROPINGAH KLAPAGADING 1/10

140 ARI SISA%I

KLAPAGADING 3/4 330202#112"'001#

141 S!NAR%O DIK!N KLAPAGADING K!L%N 03/01

142 Y!DA HARI P $ANG%N 1/11

143 S&%O S!PADI KLAPAGADING 1/12

144 "ANISAH $ANG%N 4/1

14" D!LROH"AN PAR!NGKAAL 6/3

146 S!PRIYONO RANDEGAN "/4

14# SANIS KLAPAGADING RT 4/10

14& J!"IA%I KLAPAGADING K!L%N 4/12

14' ASI%!N S!PRIYADI KLAPAGADING K!L%N 2.1&

1"0 KO"ARI RA$A(ENG "/2

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Laporan Pasien Rawat Jalan Jam

No Asuransi Umur Tgl Transaksi

1021012&03#'02"4 3# P */+/,-+.

1021021"06##02#& 3& P */+/,-+.

1022020#0'4#0230 6& L */+/,-+.

1011101204&102"2 32 P */,/,-+.

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10210616036&01"2 4# P */*/,-+.

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1021020312"#01'# "' P *//,-+.

1021021&06'0013# 2" P *//,-+.

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1022030"04"4002# "' L *//,-+.

1022032#0#"3000" 63 P *//,-+.

102103040"&30033 33 P */./,-+.

10210424020102#" 1" P */./,-+.

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1021#2401&2020# L */./,-+.

1021013112"30244 63 P */0/,-+.

1021030#0'#001'6 40 L */0/,-+.

1021011212"401&6 "" L */1/,-+.

1021011'11#'0223 3# P */1/,-+.

1021020#0"&002'2 3" P */1/,-+.

102102#11'300#2 22 P */1/,-+.

JenisKel

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1021061606#&0026 3& L */1/,-+.

102102010&6"0060 "1 P */2/,-+.

10210#2"12"'023" "# L */2/,-+.

102101040#&102"1 3" P */++/,-+.

1021010'02'30216 22 L */++/,-+.

1021012004""0114 60 P */++/,-+.

1021012&03#'02"4 3# P */++/,-+.

1021020312"#01'# "' P */++/,-+.

102103110264022" "2 L */++/,-+.

1021033112"301&2 63 L */++/,-+.

1021033112"'00#& "# L */++/,-+.

10210"04064#026' 60 L */++/,-+.

102103300&140223 1 P */+,/,-+.

1021033112#200#' 44 P */+,/,-+.

10210#0"0ஹ& 42 P */+,/,-+.

10210#2101&'01#' 2# P */+,/,-+.

10210#260'ì 2' P */+,/,-+.

102202030#&&00"# 0 L */+,/,-+.

102102010&6"0060 "0 P */+3/,-+.

1021020&121202'4 4 L */+3/,-+.

102103260'620222 "4 L */+3/,-+.

1021060'01610122 "" P */+3/,-+.

10210#1#01&30233 33 P */+3/,-+.

103111311266003# "0 P */+3/,-+.

1211012"02030044 12 L */+3/,-+.

102101311244024& #1 P */+*/,-+.

1021020'06#00010 46 P */+*/,-+.

1021022'12'&000& 3# P */+*/,-+.

102104040"130216 1 L */+*/,-+.

1021060'04&3000# 33 L */+*/,-+.

102202030#&&00"# 0 L */+*/,-+.

1021021#0630300 40 L */+/,-+.

1021021#0###02'6 3& P */+/,-+.

102102260''1000" 24 P */+/,-+.

1021062&10"00030 6" L */+/,-+.

10210#03041301'0 3 P */+/,-+.

10210#1002000234 1" L */+/,-+.

1031110&0414016' 2 L */+/,-+.

1021011#046#1'4 4' P */+./,-+.

1021033112610212 4& P */+./,-+.

102101130&&1022' 14 P */+1/,-+.

102101200'#60224 4" P */+1/,-+.

1021021#0630300 40 L */+1/,-+.

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102102260''1000" 24 P */+1/,-+.

10210"22026"02#2 "0 L */+1/,-+.

10210631126200&0 "3 P */+1/,-+.

10210#0612&"022' 0 L */+1/,-+.

10210#0#10&&0041 2# L */+1/,-+.

10210#1002000234 1" L */+1/,-+.

10210#2101&'01#' 2# P */+1/,-+.

10210#260'ì 2' P */+1/,-+.

33 P */+2/,-+.

102101060#"6021& "' L */+2/,-+.

1021010&01#00063 4" P */+2/,-+.

1021020402&&0001 33 P */+2/,-+.

1021020#016602'1 "0 L */+2/,-+.

1021021201#"01#4 3# P */+2/,-+.

1021031010&"00#" 30 P */+2/,-+.

10210"160&6'0260 46 P */+2/,-+.

1021060'01610122 "" P */+2/,-+.

10210#3112""0033 60 L */+2/,-+.

102101311263002' "2 P */,-/,-+.

1021020312"#01'# "' P */,-/,-+.

1021022'0È'2 44 L */,-/,-+.

1021032002#0022& 46 L */,-/,-+.

1021033112"301&2 63 L */,-/,-+.

1021033112"'00#& "# L */,-/,-+.

102104240##1016# 44 L */,-/,-+.

10210631126'00 46 P */,-/,-+.

10210#0"0ஹ& 42 P */,-/,-+.

102102060'&200"3 32 L */,+/,-+.

1021032002#0022& 46 L */,+/,-+.

102103220"340221 "" L */,+/,-+.

10210#0#10&&0041 2# L */,+/,-+.

10211140#66101&2 4& P */,+/,-+.

1031020403&201'# 33 P */,+/,-+.

10110#3112#3013" 43 P */,,/,-+.

102101060#"6021& "' L */,,/,-+.

10210423116&0260 4& P */,,/,-+.

1211012"10#30112 43 P */,,/,-+.

1021022610&3026" 33 P */,3/,-+.

1021033012660231 "# P */,3/,-+.

10210#1&0&63010" "2 P */,3/,-+.

10210#3112""0033 60 L */,3/,-+.

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10111013030"0312 11 L */,/,-+.

1021013101'40243 23 L */,/,-+.

102101311263002' "2 P */,/,-+.

1021021#0630300 40 L */,/,-+.

1021022"12"#00#0 "6 P */,/,-+.

102102260''1000" 24 P */,/,-+.

10210"22026"02#2 "1 L */,/,-+.

10210"3010' 1& L */,/,-+.

101110100"&"0311 31 P */,./,-+.

102102010&6"0060 "1 P */,./,-+.

1021020#0"&002'2 3" P */,./,-+.

1021023112"402'" 62 P */,./,-+.

10210423116&0260 4& P */,./,-+.

10210"0212#102#6 44 P */,./,-+.

10210"26046#022# 4& L */,./,-+.

1021030#0'#001'6 40 L */,0/,-+.

10210"0'06#4024& 0 L */,0/,-+.

103111311266003# "0 P */,0/,-+.

103111311266003# "0 P */,0/,-+.

10110#1210#20010 44 P */,1/,-+.

10110#2004000011 16 P */,1/,-+.

1021010'0'1"023" L */,1/,-+.

1021020312"#01'# "' P */,1/,-+.

1021021"06##02#& 3' P */,1/,-+.

1021023112"'0042 "6 P */,1/,-+.

1021033112"301&2 63 L */,1/,-+.

10210#1002000234 16 L */,1/,-+.

1021021#0630300 40 L */,2/,-+.

10210#3112"600&2 63 P */,2/,-+.

1022203101440101 #1 L */,2/,-+.

10"1102010&0014" 3" L */,2/,-+.

1021023112"401'3 62 P */3-/,-+.

1021030&0&0231 36 P */3-/,-+.

1021032002#0022& 46 L */3-/,-+.1021062&10"00030 6" L */3-/,-+.

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esda / KBS

Diagnosa Keterangan

Di,p-p,ia

ALGIA

DE)%P )%RDIS

In-,i A+ lain paa ,alran P-rnaa,an 5agian a+a,

Lima-ni+i,

DE)%P )%RDIS

DE)%P )%RDIS

P*,+par+m )ar- an Eamina+i*n 7PN)8

K-larga B-r-n9ana 7KB8 KB I!D

(ip-r+-n,i prim-r

DE)%P )%RDIS

Dia5-+-, -lli+, 7NIDD8



)%PD 7)r*ni9 %5,+r9+i;- Plm*nar< Di,-a,-8



ALGIA

D-mam

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D-rma+i+i, *n+a al-rgi

Ar+ri+i, lain

ALGIA

(ip-r+-n,i prim-r

Di,p-p,ia


Di,p-p,ia


Inar i*ar a+



Gagal =an+ng

A,ma

ALGIA

>-r+ig*

K-amilan N*rmal


Diar- an ga,+r*-n+-ri+i,

Ar+ri+i, lain

Diar- an ga,+r*-n+-ri+i,

In-,i ,alran -mi 5agian 5a?a

Di,p-p,ia


ALGIA


Gagal =an+ng

Gagal =an+ng

DE)%P )%RDIS


(I> AIDS +anpa *mplia,i

D-mam

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@i5r* a-n*ma mamma-

Inar i*ar a+

D-mam +i*i an para+i*i


S9i*pr-nia

!r+iaria





Ganggan +ir n*n*rgani


(-pa+i+i, Kr*ni

K*n=n+i;i+i,

Di,p-p,ia


Br*ni+i, a+

PERI%D%NTITIS KR%NIS



S+r*-

DE)%P )%RDIS


TB par lini, 7r*n+g-n 8

S+r*-

DE)%P )%RDIS

A,ma

ALGIA

@ra+r

Ba+

S9i*pr-nia

(-m*r*i

K-amilan ,-r*+in,

G C 0

P C 0

A C 0

(ip-r+-n,i prim-r


Gagal =an+ng

>-r+ig*

A5*r+,

N

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Tujuan Berobat

Karcis +

Tindakan

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

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R!J!KAN 0

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KLINIK KIA 0

KLINIK KB 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

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KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

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R!J!KAN 0

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R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK KIA 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK KIA 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK KIA 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

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R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK KIA 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK GIGI 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

KLINIK (AIL 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK KIA 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

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KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

R!J!KAN 0

R!J!KAN 0

KLINIK KIA 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK !! / BP 0

KLINIK !! / BP 0

R!J!KAN 0

R!J!KAN 0

R!J!KAN 0

R!J!KAN 0

KLINIK !! / BP 0

R!J!KAN 0

KLINIK KIA 0

KLINIK !! / BP 0

KLINIK !! / BP 0

Kbs Bln April 2016

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Transcript of Kbs Bln April 2016