KODE_RS KELAS_RS KELAS_RAWAT KODE_TARIF PTD ADMISSION_DATE

DISCHARGE_DATE BIRTH_DATE BIRTH_WEIGHT SEX DISCHARGE_STATUS

DIAGLIST PROCLIST ADL1 ADL2 IN_SP IN_SR IN_SI IN_SD INACBG
SUBACUTE CHRONIC SP SR SI SD DESKRIPSI_INACBG TARIF_INACBG
TARIF_SUBACUTE TARIF_CHRONIC DESKRIPSI_SP TARIF_SP DESKRIPSI_SR
TARIF_SR DESKRIPSI_SI TARIF_SI DESKRIPSI_SD TARIF_SD
TOTAL_TARIF TARIF_RS TARIF_POLI_EKS LOS ICU_INDIKATOR ICU_LOS
VENT_HOUR NAMA_PASIEN MRN UMUR_TAHUN UMUR_HARI DPJP SEP NOKARTU
PAYOR_ID CODER_ID VERSI_INACBG VERSI_GROUPER C1 C2 C3
C4
3207012 C 1 CP 1 28/01/2018 01/02/2018 12/03/2001 0 2
1 K30;L23.9 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 2808070 0 5 0 0 0 ANISA NURUL MARTAYA
00443823 16 6166 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180010809
0000070874414 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159620
1#0##0#0#0.0#2018-03-15 10:01:53#0#00:00:00#00:00:00#00:00:00 1
87917a9d73fdb07f45610265241302bf
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/05/2011 0 2
1 J46;B99 93.94;87.49;90.59 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 570144 0 3 0 0 0 ZULFA AULIA 00359824
6 2466 HJ. SUHERJATI, SP. A 1023R00101180012440 0000439339184
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159628
1#0##0#0#0.0#2018-03-15 10:03:39#0#00:00:00#00:00:00#12:00:00 1
7a7ba559107b46fa585fb781cf511d16
3207012 C 1 CP 1 29/01/2018 01/02/2018 14/07/1938 0 2
1 I25.0;E79.0;E78.5 89.52;90.59 - - None None None None I-4-
16-I None None None None None None ATHEROSKLEROSIS (RINGAN) 2187000
0 0 - 0 - 0 - 0 - 0 2187000
2351395 0 4 0 0 0 ROHAYATI 00493443 79 29054
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011341 0000071229701 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159638 1#0##0#0#0.0#2018-
03-15 10:07:05#0#00:00:00#00:00:00#00:00:00 1
42817eef1aba3b50e203df924aa33c4f
3207012 C 1 CP 1 29/01/2018 01/02/2018 21/11/2001 0 2
1 A01.0;K30;D50.9 90.59 - - None None None None A-4-14-II
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 3556000 0 0 - 0 - 0 - 0
- 0 3556000 2210700 0 4 0 0 0 ANISA
NURSYIFAYANTI 00493447 16 5913 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180011636 0001819069839 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159658 1#0##0#0#0.0#2018-03-15
10:13:47#0#00:00:00#00:00:00#00:00:00 1 6c3eeb81e4426a37d6b7764cb7480f5c
3207012 C 1 CP 1 29/01/2018 01/02/2018 10/05/1972 0 1
1 I25.0;R51 90.59;89.52 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 2187000
0 0 - 0 - 0 - 0 - 0 2187000
2381636 0 4 0 0 0 TASJRIFIN MULJANA ABDUL H
00493375 45 16700 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180011235 0000134023972 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159721 1#0##0#0#0.0#2018-03-15
10:35:55#0#00:00:00#00:00:00#00:00:00 1 8e045be15fcd21db47dd41df9c929d19
3207012 C 3 CP 1 26/01/2018 01/02/2018 10/05/1945 0 1
1 I50.0;I25.0 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
 2288018 0 7 0 0 0 EMED 00488910 72 26559
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180010545 0001089606767 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159953 1#0##0#0#0.0#2018-
03-15 12:42:38#0#00:00:00#00:00:00#00:00:00 1
7c7c22553df2f011f9255389c20cc8e1
3207012 C 3 CP 1 27/01/2018 01/02/2018 10/03/1999 0 1
1 A16.2 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 2137274 0 6 0 0 0 RIFQI FATHUROHMAN
00493295 18 6898 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180010779
0000442087288 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159955
1#0##0#0#0.0#2018-03-15 12:45:49#0#00:00:00#00:00:00#00:00:00 1
802cfcb838b4dafc343b62a45ed450c4
3207012 C 3 CP 1 25/01/2018 01/02/2018 01/11/1965 0 2
1 K74.6 90.59 - - None None None None B-4-13-I None None
None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100 0
0 - 0 - 0 - 0 - 0 3122100 12785020
0 8 0 0 0 CARMILAH 00458041 52 19078 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00101180010180 0000439803314 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 159956 1#0##0#0#0.0#2018-03-15
12:49:12#0#00:00:00#00:00:00#12:00:00 1 4207e38b0f931ae53fb57c356b91641a
3207012 C 3 CP 1 30/01/2018 01/02/2018 21/03/1976 0 2
1 K30;E78.5 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 973916 0 3 0 0 0 AAN NURAENI 00493528
41 15290 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011991
0002419620412 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160044
1#0##0#0#0.0#2018-03-15 13:37:29#0#00:00:00#00:00:00#00:00:00 1
2eaee6d2d59c29a72dc80ad5b14f8807
3207012 C 3 CP 1 29/01/2018 01/02/2018 06/08/1978 0 2
1 O14.1 88.78;90.59;91.39 - - None None None None W-4-16-II
None None None None None None GANGGUAN ANTEPARTUM (SEDANG) 2674300
0 0 - 0 - 0 - 0 - 0 2674300
1979295 0 4 0 0 0 ETI SAETI 00493452 39 14421
BUDI AHMAD RASAS, SP.OG.M.KES 1023R00101180011489 0000441061086 3;JKN
INACBG;123123123123 5.2.0.201712280730 4 160074
1#0##0#0#0.0#2018-03-15 13:49:22#0#00:00:00#00:00:00#00:00:00 1
800cb04f86ae6a8ea22b2343c962c4e3
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/06/2010 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 827014 0 3 0 0 0 MUHAMAD ALFIN FA'IS
00493569 7 2800 HJ. SUHERJATI, SP. A 1023R00101180012425
0001006068003 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160397
1#0##0#0#0.0#2018-03-16 11:10:42#0#00:00:00#00:00:00#00:00:00 1
4ebb8941aef1b8d2c85c823a6f76eb5a
3207012 C 3 CP 1 31/01/2018 01/02/2018 12/05/1998 0 2
1 D24 85.21;87.49;90.59;91.89 - - None None None None L-1-
50-I None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3574832 0 2 0 0 0 LULU LUTFIAH
00475980 19 7204 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012368 0001815891434 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161511 1#0##0#0#0.0#2018-03-20
09:55:32#0#00:00:00#00:00:00#00:00:00 1 5930b0e036429693db4da400a1840739
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/06/1950 0 2
 1 K40.9 53.05;89.52;90.59;57.94;93.57 - - None None None None
K-1-14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN
FEMORAL (RINGAN) 4528900 0 0 - 0 - 0 - 0 -
0 4528900 3671208 0 3 0 0 0 AMAH 00493411
67 24715 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00101180012140
0000440866258 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162238
1#0##0#0#0.0#2018-03-21 11:43:12#0#00:00:00#00:00:00#00:00:00 1
dc18f1587c12cdc20c216f008d79efa5
3207012 C 3 CP 1 22/01/2018 01/02/2018 01/05/1953 0 2
4 J18.0 93.94;90.41;89.52;90.59 - - None None None None J-4-
16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 4796610 0 11 0 0 0 KORYATI 00411393
64 23642 ABU BAKAR, DR. SPP, MKES 1023R00101180009131
0000439979409 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163581
1#0##0#0#0.0#2018-03-26 07:55:44#0#00:00:00#00:00:00#12:00:00 1
dff5a45d7b2d28dfda9495ef8b8d11ab
3207012 C 3 CP 1 29/01/2018 01/02/2018 18/10/2017 0 1
1 D69.6 90.59 - - None None None None D-4-11-I None None
None None None None GANGGUAN PEMBEKUAN DARAH (RINGAN) 3002100 0
0 - 0 - 0 - 0 - 0 3002100 1189109
0 4 0 0 0 VINO ARSENIO KHALIFAL GIBRRAN 00484546 0
103 HJ. SUHERJATI, SP. A 1023r00101180011973 0002298724931 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164214 1#0##0#0#0.0#2018-
03-26 14:12:01#0#14:09:36#14:09:36#00:00:00 1
bdfc3d5d0a97d0ca16ddba2210abcbb5
3207012 C 2 CP 1 28/01/2018 01/02/2018 26/05/2001 0 2
1 I10;J20.9;K30 87.49;90.59 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 2130835
0 5 0 0 0 MIRNA MEIRA BUDIANI 00461224 16 6091
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00101180010828 0000071727682
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164764
1#0##0#0#0.0#2018-03-27 11:32:52#0#11:30:21#11:30:21#12:00:00 2
c861d64d6b948ada1163e5427f1d0c48
3207012 C 3 CP 1 30/01/2018 01/02/2018 15/08/1969 0 1
1 E11.9;K30 90.59;91.39 - - None None None None E-4-10-I
None None None None None None PENYAKIT KENCING MANIS & GANGGUAN
NUTRISI/ METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 -
0 - 0 3330600 1021510 0 3 0 0 0 EDIS
I. SETIAWAN 00493481 48 17700 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180011955 0000070916411 3;JKN ANDI; 5.2.0.201712280730
4 164870 1#0##0#0#0.0#2018-03-27
13:25:37#0#13:23:44#13:23:44#00:00:00 1 4002185ea3faf188994c80991a49d33d
3207012 C 3 CP 1 28/01/2018 01/02/2018 28/01/2018 3400 1
1 P21.1;P12.8;Z24.6 93.93;99.59;90.59 - - None None None None
P-8-08-I None None None None None None NEONATAL, BERAT BADAN LAHIR
GROUP-5 DENGAN SINDROMA DISTRES PERNAFASAN (RINGAN) 3841500 0 0 -
0 - 0 - 0 - 0 3841500 2123629 0 5
0 0 0 BY NY SUSI DHANIAWATI 00493365 0 0 TISA
RAHMAWATY DR. SP.A 1023r00101180011239 0002424488804 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164894 1#0##0#0#0.0#2018-03-27
13:42:56#0#13:40:00#13:40:00#00:00:00 1 63f272d03f16935a99c3305c9a4cc5a4
3207012 C 1 CP 1 25/01/2018 01/02/2018 01/05/1964 0 1
1 I50.0;N18.9;E14.9;R18 89.52;90.59 - - None None None None
I-4-12-II None None None None None None KEGAGALAN JANTUNG (SEDANG)
4179700 0 0 - 0 - 0 - 0 - 0
4179700 5576758 0 8 0 0 0 SANUSI 00277412
53 19627 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180009951
 0000070956292 3;JKN Ridwan; 5.2.0.201712280730 4 164922
1#0##0#0#0.0#2018-03-27 14:03:58#0#14:02:38#14:02:38#00:00:00 1
f60ea3b20f73509e4564136552aada09
3207012 C 1 CP 1 23/01/2018 01/02/2018 15/04/1960 0 1
1 E03.9;N18.9;I50.0;E14.9 90.59;87.49 - - None None None None
E-4-13-II None None None None None None GANGGUAN KELENJAR ENDOKRIN
LAIN-LAIN (SEDANG) 5630200 0 0 - 0 - 0 - 0
- 0 5630200 9335762 0 10 0 0 0 DEDE KUSNADI
00242009 57 21102 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180009148 0000070881568 3;JKN Ridwan; 5.2.0.201712280730
4 164926 1#0##0#0#0.0#2018-03-27
14:05:38#0#14:04:11#14:04:11#00:00:00 1 9cc6710b63e20870877c0ca563fa0c71
3207012 C 1 CP 1 30/01/2018 01/02/2018 17/04/1999 0 2
1 A01.0;K30;R51 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2929500 0 0 - 0 - 0 - 0
- 0 2929500 1296038 0 3 0 0 0 RIESKA
HANGGARANINGRUM ERMAWAN 00460329 18 6863 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180012418 0001887254199 3;JKN Ridwan; 5.2.0.201712280730
4 164928 1#0##0#0#0.0#2018-03-27
14:07:24#0#14:06:12#14:06:12#12:00:00 1 010552b293eeaa46e7043463d6d0ff9b
3207012 C 1 CP 1 27/01/2018 01/02/2018 12/09/1975 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 4209235 0 6 0 0 0 VIVIAN DAHLAN
00493282 42 15478 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011795
0001278780254 3;JKN Ridwan; 5.2.0.201712280730 4 164932
1#0##0#0#0.0#2018-03-27 14:09:14#0#14:08:05#14:08:05#00:00:00 1
e7a4e53b11baa53b8f49d1754401a391
3207012 C 2 CP 1 29/01/2018 01/02/2018 10/05/1963 0 1
1 A06.0 90.59;90.99 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1491100 0 0 - 0 - 0 - 0 - 0
1491100 2013494 0 4 0 0 0 DEDE 00279387 54
19988 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180011371
0001315956339 3;JKN Ridwan; 5.2.0.201712280730 4 164935
1#0##0#0#0.0#2018-03-27 14:10:37#0#14:09:38#14:09:38#12:00:00 1
ccc16caa4dd718da55e390b5e51d4777
3207012 C 3 CP 1 31/01/2018 01/02/2018 01/01/1952 0 1
4 I61.9 99.60;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 1203739 0 2 0 0 0 SARIPUDIN 00493630
66 24137 H. DENNY RAHARJONO, DR. SP. S. 1023r001011800012491
0000440161503 3;JKN ANDI; 5.2.0.201712280730 4 164931
1#0##0#0#0.0#2018-03-27 14:11:01#0#14:06:53#14:06:53#00:00:00 2
4d9abf5b91f462990cc9f6b62af6f275
3207012 C 3 CP 1 24/01/2018 01/02/2018 26/10/1954 0 2
1 J18.0;I50.0 89.52;87.49;90.41;90.59 - - None None None None
J-4-16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (SEDANG) 4683100 0 0 - 0 - 0 - 0 -
0 4683100 4363648 0 9 0 0 0 ADE NINGSIH
00493065 63 23101 ABU BAKAR, DR. SPP, MKES 1023R00101180009675
0001462815371 3;JKN Ridwan; 5.2.0.201712280730 4 164963
1#0##0#0#0.0#2018-03-27 14:29:01#0#14:27:52#14:27:52#00:00:00 1
333b563f4ea7a312e522baf817387401
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/03/1969 0 2
1 J40;K30 87.49;90.59 - - None None None None J-4-21-I
 None None None None None None GEJALA, TANDA DAN DIAGNOSIS SISTEM
PERNAFASAN LAIN-LAIN (RINGAN) 2661000 0 0 - 0 - 0 -
0 - 0 2661000 982574 0 3 0 0 0 WAKIAH
00411972 48 17867 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012149
0000440039564 3;JKN ANDI; 5.2.0.201712280730 4 164973
1#0##0#0#0.0#2018-03-27 14:36:24#0#14:35:00#14:35:00#00:00:00 1
8cf6fc86b84a975d1725d15974bea9a8
3207012 C 3 CP 1 26/01/2018 01/02/2018 30/06/1958 0 1
1 I63.9;E14.9;G40.9 87.03;87.49;90.59 - - None None None None
G-4-14-II None None None None None None KECEDERAAN PEMBULUH DARAH
OTAK DENGAN INFARK (SEDANG) 4976900 0 0 - 0 - 0 -
0 - 0 4976900 3697517 0 7 0 0 0 TARSO
00493240 59 21760 RISSA NURLAILLA, DR. SP. S. 1023r00101180010543
0001089591794 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165338
1#0##0#0#0.0#2018-03-29 10:26:54#0#10:25:09#10:25:09#00:00:00 1
e92ad69f9c14cf72edac5a664fe51aaf
3207012 C 3 CP 1 28/01/2018 01/02/2018 05/09/1959 0 2
1 M54.16 87.24;90.59 - - None None None None M-4-17-I
None None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 1910697 0 5 0 0 0 DEDEH KURNIASIH
00493346 58 21330 RISSA NURLAILLA, DR. SP. S. 1023r00101180010953
0002019070563 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165348
1#0##0#0#0.0#2018-03-29 10:30:18#0#10:28:48#10:28:48#00:00:00 1
1729b52189f6fe2dccba47c846f32870
3207012 C 3 CP 1 28/01/2018 01/02/2018 01/05/1957 0 1
1 I63.9 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2227280 0 5 0 0 0 SOBAR 00393027 60
22187 RISSA NURLAILLA, DR. SP. S. 1023r00101180010800 0001006084899
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166052
1#0##0#0#0.0#2018-04-02 10:27:30#0#10:26:00#10:26:00#00:00:00 1
1bc4221ced5b573d1e73072304ba1e50
3207012 C 3 CP 1 25/01/2018 01/02/2018 01/06/1950 0 1
1 E14.4 90.59 - - None None None None G-4-17-I None None
None None None None GANGUAN SARAF KRANIAL DAN PERIFER (RINGAN)
3339800 0 0 - 0 - 0 - 0 - 0
3339800 3366846 0 8 0 0 0 MUHTAR 00448173
67 24710 RISSA NURLAILLA, DR. SP. S. 1023r00101180010328
0000441117325 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166204
1#0##0#0#0.0#2018-04-03 09:30:45#0#09:29:25#09:29:25#12:00:00 1
4df64c21685cc0f921dd17c2b7b1517a
3207012 C 2 CP 1 29/01/2018 01/02/2018 07/09/2007 0 2
1 S59.8;W06.0 88.22;90.59;88.21 - - None None None None M-4-
21-I None None None None None None GANGGUAN SISTEM MUSKULOSKELETAL &
JA(RINGAN) PENGHUBUNG LAIN-LAIN (RINGAN) 2631000 0 0 - 0 -
0 - 0 - 0 2631000 1891860 0 4 0 0
0 FITHRI RAMADHANI H 00387307 10 3797 ALDI DR.SP OT
1023R00101180011364 0001109749689 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159634 1#0##0#0#0.0#2018-04-04
09:24:06#0#00:00:00#00:00:00#00:00:00 2 2c2e47cab33604af05b49e402ffc6429
3207012 C 3 CP 1 31/01/2018 01/02/2018 01/12/1991 0 2
1 D24 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 3177457 0 2 0 0 0 RESTI PUSPITASARI
00370166 26 9558 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012464 0000439702187 3;JKN NANA KUSLIANA;
 5.2.0.201712280730 4 162246 1#0##0#0#0.0#2018-04-04
10:54:22#0#00:00:00#00:00:00#00:00:00 2 11e4eaadb2804417ed38cb6cfff7beed
3207012 C 3 CP 1 27/01/2018 01/02/2018 05/06/1947 0 2
1 J44.1 93.94;87.49;90.59 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2402911 0 6 0 0 0 ANAH 00493291 70
25804 SETYO RAHARJO, DR, SP. PD 1023r00101180011348 0002424631781
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167398
1#0##0#0#0.0#2018-04-09 08:21:56#0#08:20:32#08:20:32#00:00:00 1
41094f1b3d06e603700164e0bce3ef5d
3207012 C 3 CP 1 27/01/2018 01/02/2018 01/08/1970 0 2
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1349746 0 6 0 0 0 NENI 00486321 47
17346 SETYO RAHARJO, DR, SP. PD 1023r00101180010753 0000440721729
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167577
1#0##0#0#0.0#2018-04-09 10:48:42#0#10:46:21#10:46:21#00:00:00 1
7af349b4d654e60ce2ea24826172870a
3207012 C 3 CP 1 28/01/2018 01/02/2018 01/05/2011 0 1
1 A18.2 87.49;90.59 - - None None None None D-4-14-I None
None None None None None GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH
LAIN-LAIN (RINGAN) 2379000 0 0 - 0 - 0 - 0
- 0 2379000 1844862 0 5 0 0 0 FAJRIN
YASSIR KHOIRILAZZA 00469034 6 2464 HJ. SUHERJATI, SP. A
1023R00101180010830 0000439789735 3;JKN Ridwan; 5.2.0.201712280730
4 160151 1#0##0#0#0.0#2018-04-11
08:11:34#0#00:00:00#00:00:00#00:00:00 2 46cf4cc784ff9c034f7572f62bbfa16a
3207012 C 3 CP 1 23/01/2018 01/02/2018 15/07/1962 0 1
1 N18.5;L30.9 39.95;90.04;88.76;88.19;90.59 - - None None None
None N-4-10-I None None None None None None TUMOR GINJAL & SALURAN
URIN & GAGAL GINJAL (RINGAN) 2460800 0 0 - 0 - 0 -
0 - 0 2460800 6754173 0 10 0 0 0 JENAL
00443185 55 20281 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180009150
0002057331701 3;JKN Ridwan; 5.2.0.201712280730 4 160247
1#0##0#0#0.0#2018-04-11 08:19:08#0#00:00:00#00:00:00#00:00:00 3
564f9d134cb181013231efb50dc598b4
3207012 C 2 CP 1 29/01/2018 01/02/2018 03/05/1981 0 2
1 O61.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 6727206 0 4 0 0 0 SITI NURHAYATI
00493396 36 13420 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00101180011351
0000442130152 3;JKN Ridwan; 5.2.0.201712280730 4 164644
1#0##0#0#0.0#2018-04-11 08:23:24#0#10:29:16#10:29:16#00:00:00 3
ff842cf7afadb4b36bf55a304b51e648
3207012 C 3 CP 1 28/01/2018 01/02/2018 06/08/1951 0 1
1 S52.5;W10.0 79.32;87.49;90.59 - - None None None None M-1-
80-I None None None None None None PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
6246500 0 0 - 0 - 0 - 0 - 0
6246500 10623569 0 5 0 0 0 DEDDY SUTARDI
00492302 66 24282 ALDI DR.SP OT 1023r00101180010798
0001481214767 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167998
1#0##0#0#0.0#2018-04-11 10:19:28#0#10:17:41#10:17:41#00:00:00 1
fcf43bb7b8b9af6440663ff232c35a48
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/08/1958 0 1
4 G93.4;R54;I50.0;I25.0 89.52;90.59 - - None None None None
G-4-21-II None None None None None None KOMA & STUPOR NON TRAUMA
(SEDANG) 3383500 0 0 - 0 - 0 - 0 - 0
3383500 1447543 0 3 0 0 0 ABDULLLOAH 00493565
59 21732 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180011990
0000433560396 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168013
1#0##0#0#0.0#2018-04-11 10:36:40#0#10:35:18#10:35:18#00:00:00 1
98156b9b221b7fb625160ca18086f1cb
3207012 C 1 CP 1 28/01/2018 01/02/2018 22/06/1968 0 2
1 K80.2;K30 88.76;90.59;87.49 - - None None None None B-4-
14-I None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(RINGAN) 4366200 0 0 - 0 - 0 - 0 - 0
4366200 3308968 0 5 0 0 0 NENTI RUYANTI
00413253 49 18117 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180010818 0000071588193 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160458 1#0##0#0#0.0#2018-04-13
10:36:48#0#00:00:00#00:00:00#00:00:00 2 2c7f55372b089249ddd0448f19f06d07
3207012 C 3 CP 1 29/01/2018 01/02/2018 01/07/1962 0 2
1 D34 06.39;87.49;89.52;90.59 - - None None None None E-1-
20-I None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 10749024 0 4 0 0 0 ADAH
SAADAH 00482072 55 20301 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00101180011357 0002284725712 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168602 1#0##0#0#0.0#2018-04-16
10:46:57#0#10:44:57#10:44:57#00:00:00 1 ce5f52f5eab7ba3ee3c17f8a2f288be3
3207012 C 3 CP 1 27/01/2018 01/02/2018 15/10/1939 0 2
1 C22.9;D63.0 88.76;89.52;90.59;57.94;99.04 - - None None None
None B-4-11-II None None None None None None TUMOR SISTEM
HEPATOBILLIARI DAN PANCREAS (SEDANG) 5068000 0 0 - 0 -
0 - 0 - 0 5068000 2870378 0 6 0 0
0 SUKANAH 00493330 78 28594 SETYO RAHARJO, DR, SP. PD
1023r00101180011358 0002424727484 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 167913 1#0##0#0#0.0#2018-04-16
13:57:27#0#08:35:05#08:35:05#00:00:00 2 a1697b00aa2b7b5b688a1407d13805b6
3207012 C 3 CP 1 30/01/2018 01/02/2018 02/04/1994 0 1
1 Q53.1;K40.9 62.5;53.21;87.49;90.59 - - None None None None
V-1-12-I None None None None None None PROSEDUR PADA SKROTUM DAN
PROSTAT KOMPLEK-MODERAT (RINGAN) 6416100 0 0 - 0 - 0
- 0 - 0 6416100 3847040 0 3 0 0 0
IRPAN NURUL ARIPIN 00483098 23 8704 FIRDAUS BENNY PUTRA, DR. SP.
B. 1023R00101180012002 0002022401992 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169779 1#0##0#0#0.0#2018-04-18
08:32:42#0#00:00:00#00:00:00#00:00:00 1 12da8028fcdfe754f56d46785776af0b
3207012 C 3 CP 1 29/01/2018 01/02/2018 16/02/1954 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1237547 0 4 0 0 0 YOYOH 00331339 63
23358 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011370 0000201527223
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 159954
1#0##0#0#0.0#2018-04-18 10:12:27#0#00:00:00#00:00:00#00:00:00 2
59cad1e93269cc257d87ea81e4a7874b
3207012 C 3 CP 1 23/01/2018 01/02/2018 01/09/1950 0 2
1 I50.0;J18.9 89.52;87.49;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 4228598 0 10 0 0 0 RAECIH 00492678
67 24616 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180009161
0000441198966 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160030
1#0##0#0#0.0#2018-04-19 08:28:09#0#00:00:00#00:00:00#00:00:00 2
 0233f8ecae458805736b070fb5a07587
3207012 C 3 CP 1 27/01/2018 01/02/2018 05/09/1959 0 2
4 A15.0;D64.9;E43 99.04;89.52;87.49;90.59 - - None None None
None J-4-15-III None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 - 0
- 0 6429000 8345157 0 6 0 0 0 EMA IRAWATI
00493332 58 21329 ABU BAKAR, DR. SPP, MKES 1023R00101180010795
0001421470528 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165019
1#0##0#0#0.0#2018-04-19 08:40:36#0#15:13:45#15:13:45#00:00:00 2
63caeb080b9919cb31dc408dbeac53c9
3207012 C 3 CP 1 31/01/2018 01/02/2018 18/08/1972 0 1
1 D10.9 86.3;90.59;91.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3076839 0 2 0 0 0 MAMAN
HERMANSYAH 00481139 45 16602 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012465 0001869838536 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171752 1#0##0#0#0.0#2018-04-23
08:24:57#0#00:00:00#00:00:00#00:00:00 1 ccab6f0f69fc3ce65a2e4308018bc089
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/10/1935 0 1
3 K65.9;N19;E87.1;E83.5;K92.1;K92.0 88.76;88.19;87.49;90.59 - -
None None None None K-4-16-II None None None None None None
INFEKSI-INFEKSI GASTROINTESTINAL (SEDANG) 3283600 0 0 - 0
- 0 - 0 - 0 3283600 2133449 0 3 0
0 0 MADKARTA 00493570 82 30072 FIRDAUS BENNY PUTRA, DR. SP.
B. 1023R00102180012001 0000437012605 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167944 1#0##0#0#0.0#2018-04-24
12:54:09#0#09:14:49#09:14:49#00:00:00 2 d3b3d5e4b271d9505e9e6d2564f8d23a
3207012 C 3 CP 1 30/01/2018 01/02/2018 09/08/1999 0 1
1 Q53.1 62.5;53.05;90.59 - - None None None None V-1-12-I
None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT
KOMPLEK-MODERAT (RINGAN) 6416100 0 0 - 0 - 0 -
0 - 0 6416100 3598653 0 3 0 0 0 REZA
HELMI AGUSTI 00490356 18 6749 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012000 0001266510047 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169672 1#0##0#0#0.0#2018-04-25
07:49:54#0#00:00:00#00:00:00#00:00:00 2 d68239667553874246f55438774b709d
3207012 C 3 CP 1 31/01/2018 01/02/2018 15/11/1994 0 2
4 O85;O98.0;A15.0;E43
96.71;99.60;57.94;96.07;93.96;88.73;87.49;90.49;90.59- - None None
None None J-1-20-III None None None None None None PROSEDUR SISTEM
PERNAFASAN NON-KOMPLEKS (BERAT) 18651400 0 0 - 0 - 0
- 0 - 0 18651400 5806600 0 2 0 0 0
NOPI KURNIASIH 00493382 23 8478 DIDI KURNIADI M, DR. SP.OG
1023R00101180012420 0002422209644 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 163558 1#0##0#0#0.0#2018-04-25
07:52:25#0#00:00:00#00:00:00#00:00:00 4 8d76247185e426cf380d965acad06a69
3207012 C 3 CP 1 31/01/2018 01/02/2018 01/01/1952 0 1
4 I61.9 99.60;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 1203739 0 2 0 0 0 SARIPUDIN 00493630
66 24137 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012491
0000440161503 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164931
1#0##0#0#0.0#2018-04-25 10:45:02#0#14:06:53#14:06:53#00:00:00 3
bda2fcba6fb0f2fb810b927ee70246ab
3207012 C 3 CP 1 30/01/2018 01/02/2018 07/04/1969 0 1
1 A01.4 89.52;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1080351 0 3 0 0 0 YAYAT FAUJI HIDAYAT
00493476 48 17830 SETYO RAHARJO, DR, SP. PD 1023r00101180011608
0001089560935 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167790
1#0##0#0#0.0#2018-04-25 10:45:58#0#08:38:49#08:38:49#00:00:00 2
9e94d14beaf87b54036cd66b0014b2d7
3207012 C 3 CP 1 25/01/2018 01/02/2018 07/03/1945 0 2
1 E11.5 86.22;89.52;88.27;90.59 - - None None None None I-4-
15-I None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (RINGAN) 4262100 0 0 - 0 - 0 - 0 -
0 4262100 8456820 0 8 0 0 0 SITI SUKAESIH
00493185 72 26622 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00101180010479 0000071402229 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167761 1#0##0#0#0.0#2018-04-25
10:47:32#0#07:33:57#07:33:57#00:00:00 2 6673117cbbd1869b7cdcd07ed0384d82
3207012 C 3 CP 1 30/01/2018 01/02/2018 01/10/1935 0 1
3 K65.9;N19;E87.1;E83.5;K92.1;K92.0 88.76;88.19;87.49;90.59 - -
None None None None K-4-16-II None None None None None None
INFEKSI-INFEKSI GASTROINTESTINAL (SEDANG) 3283600 0 0 - 0
- 0 - 0 - 0 3283600 2133449 0 3 0
0 0 MADKARTA 00493570 82 30072 FIRDAUS BENNY PUTRA, DR. SP.
B. 1023r00101180012001 0000437012605 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167944 1#0##0#0#0.0#2018-04-30
07:58:32#0#09:14:49#09:14:49#00:00:00 3 bdab53a95d5575689c62a284b2a76023
3207012 C 3 CP 1 31/01/2018 01/02/2018 07/04/2000 0 1
1 D21.9 86.3;93.57 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2348484 0 2 0 0 0 FAZRI TRI APRIZAL
00493120 17 6508 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012471 0002423025134 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162369 1#0##0#0#0.0#2018-05-02
07:54:38#0#00:00:00#00:00:00#00:00:00 3 a752aadd0da2bbc8ede9278406f653a4
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/10/1963 0 1
1 I50.0;I25.0 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
2356119 0 4 0 0 0 HAPID 00493576 54 19845
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012429 0000440463058 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159803 1#0##0#0#0.0#2018-
03-15 11:04:30#0#00:00:00#00:00:00#00:00:00 1
3938fc9e86d90d54aa5bc74f4ec7d557
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/02/2018 3050 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 482820 0 2 0 0 0 MUHAMAD YUSUF
HIDAYAT 00493841 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180000760
0002426537957 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159811
1#0##0#0#0.0#2018-03-15 11:08:47#0#00:00:00#00:00:00#00:00:00 1
5e69ddf0b780bdeae39e5627696877cb
3207012 C 3 CP 1 31/01/2018 02/02/2018 21/05/1976 0 2
1 J45.9;J18.9 93.94;89.52;90.59 - - None None None None J-4-
18-III None None None None None None ASTHMA & BRONKIOLITIS (BERAT)
2972300 0 0 - 0 - 0 - 0 - 0
2972300 984108 0 3 0 0 0 ELIN SUHERLIN
00490831 41 15230 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012358
0001304821809 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159871
1#0##0#0#0.0#2018-03-15 11:26:11#0#00:00:00#00:00:00#00:00:00 1
 025f6791f63518ba6eeefa56c2a539f3
3207012 C 3 CP 1 29/01/2018 02/02/2018 10/07/1956 0 1
1 R51;K30 89.52;90.59 - - None None None None G-4-23-I
None None None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN)
1967900 0 0 - 0 - 0 - 0 - 0
1967900 1667962 0 5 0 0 0 MANSUR 00490866
61 22483 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011349
0001879627127 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159970
1#0##0#0#0.0#2018-03-15 12:54:33#0#00:00:00#00:00:00#00:00:00 1
78e4581a18c2e2dfa6469bd996250840
3207012 C 3 CP 1 30/01/2018 02/02/2018 06/04/1955 0 1
1 I25.0;J44.1 87.49;90.59 - - None None None None I-4-16-II
None None None None None None ATHEROSKLEROSIS (SEDANG) 2508400
0 0 - 0 - 0 - 0 - 0 2508400
1745602 0 4 0 0 0 ENDIN 00473017 62 22945
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011967 0000439899467 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159973 1#0##0#0#0.0#2018-
03-15 12:56:19#0#00:00:00#00:00:00#00:00:00 1
c64b1fa9aa004da09d0a2a18d044fbdb
3207012 C 3 CP 1 29/01/2018 02/02/2018 20/07/1972 0 1
1 D64.9;K92.1;N20.1;K30 99.04;88.76;90.59 - - None None None
None D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 3368977 0 5 0 0
0 OLIH SOLIHIN 00492913 45 16629 AYATULLAH KHOMAINI, DR. SP.PD
1023R00101180011330 0000441419771 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159978 1#0##0#0#0.0#2018-03-15
12:57:49#0#00:00:00#00:00:00#00:00:00 1 f55a25517b8dfa803299912c82a39577
3207012 C 3 CP 1 26/01/2018 02/02/2018 05/03/1963 0 1
1 I11.0;A15.0 89.52;87.49;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
2759974 0 8 0 0 0 WAWAN KUSTIAWAN 00351713 54
20051 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011343 0001262674359
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160020
1#0##0#0#0.0#2018-03-15 13:29:31#0#00:00:00#00:00:00#00:00:00 1
43b0debec326110e94c0f68ea2949c8d
3207012 C 3 CP 1 26/01/2018 02/02/2018 14/05/1975 0 2
1 D64.9;K92.1 99.04;90.59;87.49 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 -
0 - 0 2218100 6183063 0 8 0 0 0
HERLINA 00472090 42 15598 AYATULLAH KHOMAINI, DR. SP.PD
1023R00101180010651 0002251702787 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160071 1#0##0#0#0.0#2018-03-15
13:47:36#0#00:00:00#00:00:00#00:00:00 1 321a3186be850803d9b0be2369e03f40
3207012 C 3 CP 1 31/01/2018 02/02/2018 01/06/1964 0 1
1 A01.0;I25.0 89.52;87.49;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1102220 0 3 0 0 0 IYOS
00387107 53 19602 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012454
0000441761095 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160077
1#0##0#0#0.0#2018-03-15 13:49:30#0#00:00:00#00:00:00#00:00:00 1
4f2912b804db9c60fba522e0b94bcaa2
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/01/1985 0 2
1 A15.0;D64.9 99.04;87.49;90.59;90.41 - - None None None None
J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
 - 0 4778500 3296812 0 5 0 0 0 LELAH
00369148 33 12081 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011368
0000442060029 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160317
1#0##0#0#0.0#2018-03-16 10:21:09#0#00:00:00#00:00:00#00:00:00 1
d678dcdbedc20ccde87ebae1b9419f18
3207012 C 3 CP 1 29/01/2018 02/02/2018 24/05/2010 0 2
1 A09.9;E86;K30 90.99;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1702475 0 5 0 0 0 AIRIN NURUL ARIPIN
00459277 7 2807 HJ. SUHERJATI, SP. A 1023R00101180011978
0002294897951 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160470
1#0##0#0#0.0#2018-03-16 12:45:16#0#00:00:00#00:00:00#00:00:00 1
bf0104c00d2cdfb55d988e4433004e03
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/01/1969 0 2
1 R42;K30;M79.19 90.59;90.99 - - None None None None U-4-
11-I None None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0
0 - 0 - 0 - 0 - 0 1311700 2170907
0 5 0 0 0 LINA KARLINA 00493378 49 17925
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011350 0000439211643 3;JKN
Ridwan; 5.2.0.201712280730 4 159488 1#0##0#0#0.0#2018-03-21
11:23:08#0#00:00:00#00:00:00#00:00:00 2 6e546fe926de828a26a531b30e7d8cea
3207012 C 3 CP 1 31/01/2018 02/02/2018 02/06/1950 0 1
1 K40.9 53.05;89.52;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3911951 0 3 0 0 0 HOPID 00192323 67
24715 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00101180012508
0000156632591 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161878
1#0##0#0#0.0#2018-03-21 11:40:33#0#00:00:00#00:00:00#12:00:00 1
6ec701da9c0c50fd367ee5b366bdd612
3207012 C 3 CP 1 31/01/2018 02/02/2018 01/11/1947 0 2
1 K40.9 53.05;90.59;89.52 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3730232 0 3 0 0 0 TITI SUHAETI
00491806 70 25659 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012448 0000439593704 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162341 1#0##0#0#0.0#2018-03-21
13:00:09#0#00:00:00#00:00:00#00:00:00 1 65d83c11098aa6776bfd9eff29de6ced
3207012 C 3 CP 1 30/01/2018 02/02/2018 20/03/2011 0 1
1 K40.9 53.05;90.59;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3401722 0 4 0 0 0 MELDA NURNISA
00366662 6 2508 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180011965 0001315170358 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162363 1#0##0#0#0.0#2018-03-21
13:16:09#0#00:00:00#00:00:00#12:00:00 1 82a2bda0aaae7c1b490ebe9ac05a67bf
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/07/1945 0 2
1 I25.0 89.52;87.49;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
1934432 0 4 0 0 0 ETI 00493540 72 26511
AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012432 0000439844455 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 162702 1#0##0#0#0.0#2018-
03-22 08:45:43#0#00:00:00#00:00:00#00:00:00 1
22a6e4d8b76bb61187ca1a3de12e1ac3
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/07/1945 0 1
 4 A40.3;E87.1;H11.3;I10 89.52;90.59 - - None None None None
A-4-10-II None None None None None None SEPTIKEMIA (SEDANG)
3215600 0 0 - 0 - 0 - 0 - 0
3215600 2038990 0 5 0 0 0 SALEH SUKMARA
00493470 72 26510 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011983
0002425242688 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163566
1#0##0#0#0.0#2018-03-26 07:47:33#0#00:00:00#00:00:00#00:00:00 1
4a4a099dfe7a6da5311b6208a4f79896
3207012 C 3 CP 1 31/01/2018 02/02/2018 15/07/2016 0 1
1 A01.0;R56.0 90.59 - - None None None None A-4-14-II None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(SEDANG) 2540000 0 0 - 0 - 0 - 0 - 0
2540000 878502 0 3 0 0 0 ARFA NURAHMAN
00478474 1 565 H. IWAN A, DR. SPKJ. M.KES. 1023R00101180012397
0002274432388 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163737
1#0##0#0#0.0#2018-03-26 09:00:20#0#00:00:00#00:00:00#00:00:00 1
7ba23b3fe3033fc83a841028c09061cf
3207012 C 3 CP 1 30/01/2018 02/02/2018 13/08/2004 0 1
1 A91 99.03;90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 3520129 0 4 0 0 0 RINA AGUSTINA
00493557 13 4918 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00101180012201 0002024686045 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164222 1#0##0#0#0.0#2018-03-26
14:14:27#0#14:13:18#14:13:18#00:00:00 1 d7df74919c83237bd32dd4155f31ada3
3207012 C 3 CP 1 29/01/2018 02/02/2018 07/10/2015 0 2
1 A16.2;A09.9 87.49;90.99;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1854720 0 5 0 0 0 NADYA RAHMA SHOLIHA
00493458 2 845 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00101180011666 0002303774561 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164226 1#0##0#0#0.0#2018-03-26
14:16:01#0#14:14:47#14:14:47#00:00:00 1 4a378acc64442e1f121ffc92a0b71b2d
3207012 C 3 CP 1 30/01/2018 02/02/2018 05/06/1959 0 1
1 G58.9 87.24;90.59 - - None None None None G-4-17-I None
None None None None None GANGUAN SARAF KRANIAL DAN PERIFER (RINGAN)
3339800 0 0 - 0 - 0 - 0 - 0
3339800 1449766 0 4 0 0 0 MAMAN DAHLAN
00456684 58 21424 H. DENNY RAHARJONO, DR. SP. S.
1023r00101180012069 0002423464244 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164528 1#0##0#0#0.0#2018-03-27
09:36:00#0#09:34:34#09:34:34#00:00:00 1 2af242e36f2aa566258c59550c465fa6
3207012 C 3 CP 1 30/01/2018 02/02/2018 18/10/2000 0 1
2 D15.2 87.41;90.59 - - None None None None J-4-14-I None
None None None None None TUMOR PARU (RINGAN) 3278200 0 0
- 0 - 0 - 0 - 0 3278200 988490 0
4 0 0 0 MUHAMMAD THORIQ 00492911 17 6313 ABU BAKAR,
DR. SPP, MKES 1023r00101180012518 0001185672554 3;JKN ANDI;
5.2.0.201712280730 4 164865 1#0##0#0#0.0#2018-03-27
13:23:12#0#13:19:11#13:19:11#00:00:00 1 755ec610952a1852aeb50cce6a75fbf9
3207012 C 2 CP 1 30/01/2018 02/02/2018 22/02/1953 0 1
1 I13.2;I25.9 89.52;90.59;91.39 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 3090800
0 0 - 0 - 0 - 0 - 0 3090800
1626257 0 4 0 0 0 ILYAS 00400099 64 23718
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180012434 0001848524613
3;JKN Ridwan; 5.2.0.201712280730 4 164921 1#0##0#0#0.0#2018-
03-27 14:02:25#0#14:01:06#14:01:06#00:00:00 1
4c646fac9c808ca1509d39aa9ac3c860
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/09/1955 0 2
1 J44.1 87.49;90.59 - - None None None None J-4-17-I None
None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2540811 0 4 0 0 0 RUKMINI 00443025
62 22797 ABU BAKAR, DR. SPP, MKES 1023R00101180012238
0000440765807 3;JKN Firman; 5.2.0.201712280730 4 164934
1#0##0#0#0.0#2018-03-27 14:09:47#0#14:08:30#14:08:30#00:00:00 1
44c67aa2fd3efe8bc5319359bef9daa8
3207012 C 3 CP 1 21/01/2018 02/02/2018 09/11/1990 0 1
1 J18.0;J47;I27.9 87.49;90.41;90.59 - - None None None None
J-4-16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (SEDANG) 4683100 0 0 - 0 - 0 - 0 -
0 4683100 5321215 0 13 0 0 0 ACHMAD SELAMET
00492729 27 9935 ABU BAKAR, DR. SPP, MKES 1023R00101180008676
0002422222222 3;JKN Firman; 5.2.0.201712280730 4 164936
1#0##0#0#0.0#2018-03-27 14:11:34#0#14:10:19#14:10:19#00:00:00 1
53f2055309bfaafc8eebef865bb34946
3207012 C 1 CP 1 31/01/2018 02/02/2018 09/09/1975 0 2
1 A01.4;L50.9;K30 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2929500 0 0 - 0 - 0 - 0
- 0 2929500 2303239 0 3 0 0 0 NURLIAH
00325656 42 15485 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180012478 0000071495447 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164940 1#0##0#0#0.0#2018-03-27
14:14:19#0#14:12:37#14:12:37#00:00:00 1 081e0c4517b36fdf03a7106393d53bcf
3207012 C 2 CP 1 31/01/2018 02/02/2018 05/07/1965 0 2
1 I10;R42 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 2110300 0 0
- 0 - 0 - 0 - 0 2110300 1781717 0
3 0 0 0 SOPIAH 00480274 52 19203 PRIMAHATI RIANA
ROSY, DR. SP.PD 1023r00101180012456 0000071527004 3;JKN ANDI;
5.2.0.201712280730 4 164927 1#0##0#0#0.0#2018-03-27
14:15:52#0#14:04:15#14:04:15#00:00:00 2 d3aed7a6f86dc301e31b9ebe77fab192
3207012 C 2 CP 1 31/01/2018 02/02/2018 12/10/1996 0 2
1 A04.9;K30 90.99;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1491100 0 0 - 0 - 0 - 0 - 0
1491100 1550834 0 3 0 0 0 DEWI MUTIA SILMI
00428371 21 7781 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180012481 0000196929156 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164943 1#0##0#0#0.0#2018-03-27
14:16:17#0#14:14:47#14:14:47#12:00:00 2 c188d09450a950fc9de2afdcf05b5f64
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/08/1998 0 2
1 A16.2 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 1570535 0 4 0 0 0 AYUNI SUNARYA
00493572 19 7122 ABU BAKAR, DR. SPP, MKES 1023R00101180012004
0000439831528 3;JKN Ridwan; 5.2.0.201712280730 4 164957
1#0##0#0#0.0#2018-03-27 14:25:52#0#14:24:15#14:24:15#00:00:00 1
0715e8cf559f9cccfdd500c33b8d18aa
3207012 C 3 CP 1 31/01/2018 02/02/2018 22/09/1998 0 2
1 J45.9 93.94;87.49;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
 2053000 1588289 0 3 0 0 0 AAS 00471592 19
7071 ABU BAKAR, DR. SPP, MKES 1023R00101180012469 0001973019115
3;JKN Ridwan; 5.2.0.201712280730 4 164961 1#0##0#0#0.0#2018-
03-27 14:27:10#0#14:26:05#14:26:05#00:00:00 1
9f10a830593f3916f798c715549c8b74
3207012 C 3 CP 1 31/01/2018 02/02/2018 05/03/1995 0 2
1 O80.0;O70.1;O72.2;Z37.0 73.59;73.6;75.7;90.59 - - None None
None None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 3075499 0 3 0 0 0 RESTI NURJANAH
00407034 22 8368 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00101180012509
0001476979018 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164986
1#0##0#0#0.0#2018-03-27 14:45:43#0#14:43:49#14:43:49#00:00:00 1
31ecfa658371d12d95e0f9671aebdcee
3207012 C 3 CP 1 31/01/2018 02/02/2018 01/11/1956 0 2
4 I61.9 99.60;90.59 - - None None None None G-4-13-I None
None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 1510293 0 3 0 0 0 IRAH 00491508 61
22371 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012493
0000441366671 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165892
1#0##0#0#0.0#2018-04-02 09:14:14#0#09:12:23#09:12:23#00:00:00 1
9ae6464e7d73b8adbc9ff64fc2b8a266
3207012 C 3 CP 1 29/01/2018 02/02/2018 14/03/1963 0 1
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2026780 0 5 0 0 0 AHMAD SOBANDI
00493415 54 20045 H. DENNY RAHARJONO, DR. SP. S.
1023r00101180011520 0002424744011 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165918 1#0##0#0#0.0#2018-04-02
09:22:36#0#09:20:51#09:20:51#00:00:00 1 3874fa45d957c97e10a1b1fc85e62801
3207012 C 3 CP 1 28/01/2018 02/02/2018 17/07/1950 0 2
1 I61.9 87.49;90.59 - - None None None None G-4-13-I None
None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2372040 0 6 0 0 0 UKAR SUKARSIH
00493352 67 24667 H. DENNY RAHARJONO, DR. SP. S.
1023r00101180010817 0001831617325 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165926 1#0##0#0#0.0#2018-04-02
09:29:02#0#09:23:30#09:23:30#00:00:00 1 5cfa8885afda7bbcc9784b617eda236b
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/07/1959 0 1
1 I63.9 90.59 - - None None None None G-4-14-I None None
None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK (RINGAN)
3722700 0 0 - 0 - 0 - 0 - 0
3722700 1910125 0 5 0 0 0 MA'SUN 00411163
58 21397 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180011367
0001662770799 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165942
1#0##0#0#0.0#2018-04-02 09:34:30#0#09:33:22#09:33:22#12:00:00 1
5efc3dcce9a9f263fa6817e13607c0f4
3207012 C 3 CP 1 29/01/2018 02/02/2018 17/10/1962 0 2
1 I63.8 96.07;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 1742924 0 5 0 0 0 IDAH 00456597 55
20193 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012237
0002202717712 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165969
1#0##0#0#0.0#2018-04-02 09:47:47#0#09:46:29#09:46:29#12:00:00 1
55c8e7114690475cb6b06f9d9b916cd1
3207012 C 3 CP 1 21/01/2018 02/02/2018 01/01/1942 0 1
1 I63.8;K30 88.76;87.49;90.59 - - None None None None G-4-
14-I None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 5813757 0 13 0 0 0 ENO KISNO
00491649 76 27779 H. DENNY RAHARJONO, DR. SP. S.
1023r00101180008517 0000439145921 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165979 1#0##0#0#0.0#2018-04-02
09:53:33#0#09:50:48#09:50:48#00:00:00 1 ff5c9613f659a11fec6be017bdc2f442
3207012 C 3 CP 1 28/01/2018 02/02/2018 01/03/1955 0 2
1 I63.8 89.52;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2544234 0 6 0 0 0 NENE NESIH 00493371
62 22979 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180010829
0000440123073 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165996
1#0##0#0#0.0#2018-04-02 09:59:22#0#09:58:17#09:58:17#00:00:00 1
95faa9dc7ab0b7faf6dd67f81a5e00e2
3207012 C 3 CP 1 27/01/2018 02/02/2018 01/04/1948 0 2
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 3044568 0 7 0 0 0 ROHAENIH 00493297
69 25503 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180010778
0001006075708 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166055
1#0##0#0#0.0#2018-04-02 10:35:01#0#10:33:41#10:33:41#00:00:00 1
f97440b05699e486275639c33e57f727
3207012 C 3 CP 1 30/01/2018 02/02/2018 11/05/1960 0 1
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 1448309 0 4 0 0 0 UJU 00493483 57
21083 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180011537
0001866562323 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166210
1#0##0#0#0.0#2018-04-03 09:35:10#0#09:32:11#09:32:11#00:00:00 1
37633abeeac2a92984490dfc0046498c
3207012 C 2 CP 1 24/01/2018 02/02/2018 16/03/1940 0 2
1 J18.9;I10;N13.4 89.52;88.76;87.49 - - None None None None
J-4-16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (SEDANG) 5619800 0 0 - 0 - 0 - 0 -
0 5619800 5969669 0 10 0 0 0 UWIT 00493085
77 28438 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180009690
0000071426834 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159664
1#0##0#0#0.0#2018-04-04 09:28:53#0#00:00:00#00:00:00#00:00:00 2
c6bd839d30c93c4d3f7964bbeea6c0de
3207012 C 3 CP 1 31/01/2018 02/02/2018 03/08/1989 0 2
1 O02.0 69.02;90.59 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 3453276 0 3 0 0 0 NENI ROHAETI
00493766 28 10408 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00101180012485
0002014796777 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162106
1#0##0#0#0.0#2018-04-04 10:51:25#0#00:00:00#00:00:00#00:00:00 2
436ad8ee6fd9873e173d8c7bdfa60f32
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/01/1996 0 2
1 O65.4;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 7106246 0 5 0 0 0 ADAH SITI SAADAH
 00421371 22 8064 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00101180011427
0001006246798 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163258
1#0##0#0#0.0#2018-04-04 11:09:14#0#00:00:00#00:00:00#00:00:00 2
d801ef78aeaf3de0dbebde63dcbc5643
3207012 C 3 CP 1 01/02/2018 02/02/2018 03/03/1962 0 1
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2773802 0 2 0 0 0 WAWAN SUHARA
00492566 55 20424 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180000734 0001833216434 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162288 1#0##0#0#0.0#2018-04-04
12:58:43#0#00:00:00#00:00:00#00:00:00 2 4f577f074a592faa33ba0faa17668245
3207012 C 3 CP 1 30/01/2018 02/02/2018 09/08/1975 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 1036838 0 4
0 0 0 IDA 00493482 42 15515 H. DENNY RAHARJONO, DR. SP.
S. 1023r00101180012087 0002425192514 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167115 1#0##0#0#0.0#2018-04-06
09:47:31#0#09:46:04#09:46:04#00:00:00 1 c6a2dc007e26f2918b908875a148bfed
3207012 C 3 CP 1 29/01/2018 02/02/2018 09/09/1969 0 2
4 I11.0;I48 89.52;90.59 - - None None None None I-4-12-II
None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
2305198 0 5 0 0 0 EEN JAENAH 00493394 48 17674
SETYO RAHARJO, DR, SP. PD 1023r00101180011615 0002424640386 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167122 1#0##0#0#0.0#2018-
04-06 09:54:11#0#09:52:48#09:52:48#00:00:00 1
2e436049b9e11618741af709656dafe5
3207012 C 3 CP 1 29/01/2018 02/02/2018 01/12/1977 0 2
1 N18.5 39.95;99.04;90.59;57.94 - - None None None None N-4-
10-I None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (RINGAN) 2460800 0 0 - 0 - 0 - 0 -
0 2460800 3959498 0 5 0 0 0 IIS SITIAISAH
00493433 40 14669 SETYO RAHARJO, DR, SP. PD 1023r00101180011342
0000442760602 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167139
1#0##0#0#0.0#2018-04-06 10:06:32#0#10:05:02#10:05:02#00:00:00 1
1830a714645594afb436f01b61957d32
3207012 C 3 CP 1 21/01/2018 02/02/2018 15/03/1969 0 2
4 I11.0 99.60;89.52;88.76;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
4589509 0 13 0 0 0 SAIAH 00429099 48 17844 SETYO
RAHARJO, DR, SP. PD 1023r00101180008079 0001424483739 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167441 1#0##0#0#0.0#2018-04-09
09:01:31#0#09:00:05#09:00:05#12:00:00 1 cb05727f6c6481a11fb4e06766da9aa6
3207012 C 3 CP 1 31/01/2018 02/02/2018 01/01/1953 0 2
1 I11.0;A09.9 89.52;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1867654 0 3 0 0 0 ENTIT 00493768 65 23771 SETYO
RAHARJO, DR, SP. PD 1023r00101180012505 0002426031562 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167872 1#0##0#0#0.0#2018-04-11
07:52:02#0#07:50:37#07:50:37#00:00:00 1 8ec89029c771533dd3892117a38ff475
3207012 C 3 CP 1 30/01/2018 02/02/2018 06/11/1979 0 1
1 G40.9;R90.0 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 1399123
 0 4 0 0 0 DIDIN 00430363 38 13965 H. DENNY
RAHARJONO, DR. SP. S. 1023R00101180012392 0002025634623 3;JKN Ridwan;
5.2.0.201712280730 4 164902 1#0##0#0#0.0#2018-04-11
11:21:43#0#13:46:49#13:46:49#00:00:00 2 7ad553de194c0ae3dc11b29bdbc08fdc
3207012 C 3 CP 1 01/02/2018 02/02/2018 10/04/1968 0 1
3 S72.91;W01.0 88.26;90.59 - - None None None None M-4-
10-I None None None None None None FRAKTUR FEMUR (RINGAN) 2200400 0
0 - 0 - 0 - 0 - 0 2200400 764340
0 2 0 0 0 UCEN 00493861 49 18194 ALDI DR.SP OT
1023r00102180000732 0002050173652 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168596 1#0##0#0#0.0#2018-04-16
10:44:30#0#10:43:05#10:43:05#00:00:00 1 087031a0a84e0d731fdf0ca7e64e8ccf
3207012 C 3 CP 1 30/01/2018 02/02/2018 06/06/1955 0 1
1 A16.2 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 1478548 0 4 0 0 0 UMIN 00485954 62
22884 SETYO RAHARJO, DR, SP. PD 1023r00101180011950 0002306266402
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167918
1#0##0#0#0.0#2018-04-16 13:51:49#0#08:38:32#08:38:32#00:00:00 2
679535d3421a3e8b4453ac233864428d
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/10/1947 0 1
4 I50.0;A16.2;E11.9 99.60;89.52;90.59 - - None None None None
I-4-12-II None None None None None None KEGAGALAN JANTUNG (SEDANG)
2985500 0 0 - 0 - 0 - 0 - 0
2985500 2279438 0 4 0 0 0 AJUM JUMARI 00491205
70 25689 SETYO RAHARJO, DR, SP. PD 1023r00101180012060
0001006050666 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167214
1#0##0#0#0.0#2018-04-16 13:53:54#0#11:11:59#11:11:59#00:00:00 2
ee486d88b8fac06546d02913c33f8e3a
3207012 C 3 CP 1 01/02/2018 02/02/2018 02/01/1965 0 2
1 M71.2 83.39;89.52;90.59 - - None None None None M-1-50-I
None None None None None None PROSEDUR JARINGAN LUNAK (RINGAN)
3840300 0 0 - 0 - 0 - 0 - 0
3840300 2713412 0 2 0 0 0 CICIH 00479842 53
19388 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180000432
0000440841284 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169648
1#0##0#0#0.0#2018-04-18 07:37:46#0#00:00:00#00:00:00#00:00:00 1
3092f3b1a12151e72acd238f09bb1879
3207012 C 3 CP 1 30/01/2018 02/02/2018 07/09/2000 0 1
1 Q69.9;Q70.9 90.59 - - None None None None M-4-21-I None
None None None None None GANGGUAN SISTEM MUSKULOSKELETAL & JA(RINGAN)
PENGHUBUNG LAIN-LAIN (RINGAN) 2192500 0 0 - 0 - 0 -
0 - 0 2192500 5195601 0 4 0 0 0 LUTHFI
FAUZI NUGRAHA 00355729 17 6354 ALDI DR.SP OT 1023R00101180012500
0000070946864 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169680
21#0##0#0#0.0#2018-04-18 08:04:58#0#00:00:00#00:00:00#00:00:00 1
523a8f7d8c38e2d2c5f266b381abfbae
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/03/1970 0 2
1 C50.9 86.11;89.52;90.59;91.59 - - None None None None L-4-
11-I None None None None None None TUMOR PAYUDARA (RINGAN) 2658300 0
0 - 0 - 0 - 0 - 0 2658300 2883079
0 2 0 0 0 ERAT 00491119 47 17504 ACHMAD HERYADI,
DR. SP. B 1023R00102180000419 0001006023431 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169789 1#0##0#0#0.0#2018-04-18
08:35:01#0#00:00:00#00:00:00#00:00:00 1 05548dcd47bc70646228dd19e5fc6d4b
3207012 C 2 CP 1 28/01/2018 02/02/2018 24/02/1942 0 1
1 I24.9 89.52;87.49;90.59 - - None None None None I-4-20-I
None None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
 3632600 0 0 - 0 - 0 - 0 - 0
3632600 2072946 0 6 0 0 0 OMON HARTOMON
00086228 75 27732 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180010814 0000071426046 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164976 1#0##0#0#0.0#2018-04-18
09:01:35#0#14:35:58#14:35:58#00:00:00 2 0e900cfe3cd889456cf6bb68a83ea816
3207012 C 3 CP 1 25/01/2018 02/02/2018 01/05/1962 0 2
1 D21.4 88.76;90.59 - - None None None None M-4-21-I None
None None None None None GANGGUAN SISTEM MUSKULOSKELETAL & JA(RINGAN)
PENGHUBUNG LAIN-LAIN (RINGAN) 2192500 0 0 - 0 - 0 -
0 - 0 2192500 3023833 0 9 0 0 0
MARYAMAH 00493165 55 20358 ACHMAD HERYADI, DR. SP. B
1023R00101180010159 0000439277488 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161517 2#0##0#0#0.0#2018-04-18
09:20:18#0#00:00:00#00:00:00#00:00:00 2 8c85fa5adf1d9f15ba60429d5e2a3c03
3207012 C 1 CP 1 31/01/2018 02/02/2018 01/09/1964 0 2
1 E05.9;I10;E14.9;A16.2 89.52;90.59 - - None None None None
E-4-13-II None None None None None None GANGGUAN KELENJAR ENDOKRIN
LAIN-LAIN (SEDANG) 5630200 0 0 - 0 - 0 - 0
- 0 5630200 2146839 0 3 0 0 0 NURHAYATI
00476088 53 19510 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180012503 0000009060579 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164228 1#0##0#0#0.0#2018-04-18
09:37:52#0#14:16:26#14:16:26#00:00:00 3 18536f7608f4eba546532d1007f1a15f
3207012 C 2 CP 1 29/01/2018 02/02/2018 10/11/1940 0 2
1 C92.1;D63.0;I10;A15.0 99.04;90.59 - - None None None None
C-4-11-II None None None None None None LIMFOMA & LEUKEMIA NON AKUT
(SEDANG) 5279800 0 0 - 0 - 0 - 0 - 0
5279800 1684325 0 5 0 0 0 IOT SULIAH 00456679
77 28204 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180011337
0000071286726 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164911
1#0##0#0#0.0#2018-04-18 12:47:14#0#13:52:28#13:52:28#12:00:00 2
be61ac33cceb8cf1d860eef363d63946
3207012 C 3 CP 1 26/01/2018 02/02/2018 13/03/1978 0 2
1 A15.0;D64.9;E43 99.04;90.41;87.49;90.59 - - None None None
None J-4-15-III None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 - 0
- 0 6429000 4199144 0 8 0 0 0 NURHAYATI
00493188 39 14564 ABU BAKAR, DR. SPP, MKES 1023R00101180010754
0002423993872 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164930
1#0##0#0#0.0#2018-04-19 08:39:38#0#14:06:37#14:06:37#00:00:00 2
1863ea83f5cbe04c05309ad9c145d2e7
3207012 C 3 CP 1 29/01/2018 02/02/2018 02/06/1962 0 2
1 M32.9;A01.4 90.59 - - None None None None M-4-16-III None
None None None None None GANGGUAN JARINGAN KONEKTIF (BERAT) 5676400
0 0 - 0 - 0 - 0 - 0 5676400
1960587 0 5 0 0 0 SUTIA 00493456 55 20330 SETYO
RAHARJO, DR, SP. PD 1023R00101180011649 0002424566395 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163252 1#0##0#0#0.0#2018-04-19
08:42:52#0#00:00:00#00:00:00#00:00:00 4 04b183653d1cd5ad26749879718af705
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/03/1997 0 2
1 D36.7;D24 86.3;87.49;90.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2597969 0 2 0 0 0 DINA
LATIPAH 00480670 20 7642 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180000357 0001006191393 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171626 1#0##0#0#0.0#2018-04-23
07:30:20#0#00:00:00#00:00:00#00:00:00 1 81cd3f7985609086dba3bb240e9bff65
3207012 C 3 CP 1 31/01/2018 02/02/2018 16/05/1951 0 1
1 K40.9 53.05;89.52;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3885834 0 3 0 0 0 TARDJO 00358683
66 24367 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00101180012455
0000071485029 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171748
1#0##0#0#0.0#2018-04-23 08:22:25#0#00:00:00#00:00:00#00:00:00 1
54610f264b1bb21d4dc227aa60889860
3207012 C 2 CP 1 29/01/2018 02/02/2018 04/03/1938 0 2
1 I10;R42;K30 89.52;87.24;90.59 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 2027480
0 5 0 0 0 SUTIYATI 00198008 79 29186 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023R00101180011359 0000071388281 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 164919 1#0##0#0#0.0#2018-04-24
13:13:09#0#13:59:02#13:59:02#00:00:00 4 b4676806c94ae904dbd21d065491eda4
3207012 C 1 CP 1 31/01/2018 02/02/2018 12/12/1929 0 1
4 I50.0;J18.9;B34.9;R54 99.60;57.94;96.07;87.49;89.52 - - None
None None None I-4-12-III None None None None None None KEGAGALAN
JANTUNG (BERAT) 5015600 0 0 - 0 - 0 - 0 -
0 5015600 2511646 0 3 0 0 0 MOH.SIRODJ
00360378 88 32192 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012483
0000071486425 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168010
1#0##0#0#0.0#2018-04-25 07:54:19#0#10:31:11#10:31:11#12:00:00 2
a410e8c3dff8a966c61a4b27b5a9b4c1
3207012 C 3 CP 1 30/01/2018 02/02/2018 01/01/1984 0 1
1 A49.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1374612 0 4 0 0 0 AEP SAEPULOH
00493486 34 12448 SETYO RAHARJO, DR, SP. PD 1023r00101180011981
0000440533394 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167869
1#0##0#0#0.0#2018-04-25 11:37:41#0#07:47:00#07:47:00#00:00:00 2
36b91bb923d14176521c1817baa89126
3207012 C 3 CP 1 30/01/2018 02/02/2018 07/06/1965 0 2
1 I10;K30 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 1146607
0 4 0 0 0 WATIAH 00493479 52 19230 SETYO
RAHARJO, DR, SP. PD 1023r00101180011987 0000951847031 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 166889 1#0##0#0#0.0#2018-04-25
11:39:02#0#11:03:37#11:03:37#00:00:00 2 bbae95f679256127c3a2b6ae5bbb7998
3207012 C 3 CP 1 31/01/2018 02/02/2018 01/07/1937 0 2
1 M19.9;I10;K30 89.52;87.49;90.59 - - None None None None
M-4-18-I None None None None None None PENYAKIT TULANG DAN SENDI
LAIN-LAIN (RINGAN) 2069900 0 0 - 0 - 0 - 0
- 0 2069900 1246933 0 3 0 0 0 R TITI
00493762 80 29434 SETYO RAHARJO, DR, SP. PD 1023r00101180012499
0002426078395 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168027
1#0##0#0#0.0#2018-04-25 11:53:25#0#11:20:36#11:20:36#00:00:00 2
bb37c23c325d1d3aa5a196606028c2b7
3207012 C 3 CP 1 28/01/2018 02/02/2018 14/06/2001 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 2414912 0 6 0 0 0 IWAN IRAWAN 00493347
16 6072 SETYO RAHARJO, DR, SP. PD 1023r00102180010977
0000438161769 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168003
 1#0##0#0#0.0#2018-04-25 11:54:38#0#10:22:20#10:22:20#00:00:00 2
5e6d146b800906111a83c29792b5665b
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/07/1955 0 2
1 H25.9;H11.0;I10 13.3;13.19 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5458593 0 2 0 0 0 SARI 00484044 62
22861 SUTRISNO, DR. SP.M 1023R00102180000148 0000441156947 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159952 1#0##0#0#0.0#2018-
04-30 07:26:31#0#00:00:00#00:00:00#00:00:00 2
0ec1e6f2096a9531e0000cc47aa4f51b
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/04/1949 0 2
1 H25.9;I10 13.19;13.69;90.59 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5519916 0 2 0 0 0 SOLIHAH 00387914
68 25143 SUTRISNO, DR. SP.M 1023R00102180000259 0000071129182
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163578
1#0##0#0#0.0#2018-04-30 07:29:03#0#00:00:00#00:00:00#00:00:00 3
bc9d72a35fb224c688891225b3d401bc
3207012 C 3 CP 1 01/02/2018 02/02/2018 01/08/1972 0 1
1 H25.9;H18.5 13.3;13.19;90.59;93.57 - - None None None None
H-1-30-I None None None None None None PROSEDUR LENSA DAN INTRA
OKULER (RINGAN) 6433000 0 0 - 0 - 0 - 0 -
0 6433000 5552284 0 2 0 0 0 IIP MUARIP
00484525 45 16620 SUTRISNO, DR. SP.M 1023r00102180000210
0000440268489 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164886
1#0##0#0#0.0#2018-04-30 07:32:08#0#13:32:57#13:32:57#00:00:00 3
507719f44448f75a29d0f95584f3d83e
3207012 C 3 CP 1 28/01/2018 02/02/2018 14/06/2001 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 2414912 0 6 0 0 0 IWAN IRAWAN 00493347
16 6072 SETYO RAHARJO, DR, SP. PD 1023R00101180010977
0000438161769 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 174914
1#0##0#0#0.0#2018-04-30 07:51:58#0#00:00:00#00:00:00#00:00:00 1
9aabb35379164db5820b421c84ea7ea1
3207012 C 3 CP 1 31/01/2018 02/02/2018 05/04/2017 0 1
1 A09.9;L22 90.59;90.99 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1394030 0 3 0 0 0 REYHAN DZAKY HERMAWAN
00468320 0 301 HJ. SUHERJATI, SP. A 1023R00101180012495
0002225085412 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173515
1#0##0#0#0.0#2018-04-30 07:54:14#0#00:00:00#00:00:00#00:00:00 1
a1aca1da95ec3cdadfc406404b097229
3207012 C 3 CP 1 31/01/2018 02/02/2018 12/05/1977 0 1
1 S92.91 79.37;90.59;86.28 - - None None None None M-1-
30-I None None None None None None PROSEDUR KAKI (RINGAN) 6295600 0
0 - 0 - 0 - 0 - 0 6295600 6928987
0 3 0 0 0 HERMAN ASTARI 00493314 40 14874 ALDI
DR.SP OT 1023R00101180012451 0002424630846 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173178 1#0##0#0#0.0#2018-04-30
08:03:16#0#00:00:00#00:00:00#00:00:00 2 b862ce094a4f694d2620ca14362b3fbe
3207012 C 1 CP 1 24/01/2018 02/02/2018 15/01/1958 0 1
1 J18.0;A01.0;I13.2 89.52;87.49;90.59;88.27 - - None None None
None J-4-16-III None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (BERAT) 8289600 0 0 - 0 - 0 - 0
 - 0 8289600 9207641 0 10 0 0 0 ENANG
RUKMANA,DRS 00368006 60 21924 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180009659 0000071754041 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164259 1#0##0#0#0.0#2018-05-02
07:38:16#0#14:31:23#14:31:23#12:00:00 4 41e23b110f592f194953ac46bc99af5b
3207012 C 3 CP 1 30/01/2018 02/02/2018 24/07/1962 0 2
1 D34 06.4;40.40;91.89;87.49;90.59 - - None None None None
U-1-11-I None None None None None None PROSEDUR KOMPLEK LEHER DAN
KEPALA LAIN-LAIN (RINGAN) 6250000 0 0 - 0 - 0 -
0 - 0 6250000 12617366 0 4 0 0 0 DEDE
JAMILAH 00473303 55 20279 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180011994 0000071438938 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163253 1#0##0#0#0.0#2018-05-02
07:55:08#0#00:00:00#00:00:00#00:00:00 3 8a603b12cda7bdfaf6cd41d08e4906dc
3207012 C 3 CP 1 30/01/2018 03/02/2018 01/07/1967 0 1
1 J18.9 89.52;87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 1998356 0 5 0 0 0 TOTO 00493568 50
18476 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012501 0002425981588
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159961
1#0##0#0#0.0#2018-03-15 12:50:37#0#00:00:00#00:00:00#00:00:00 1
b348b10e26f71d091bd1150ff081f4c8
3207012 C 3 CP 1 01/02/2018 03/02/2018 01/05/1958 0 2
1 I25.0;K30 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100 919128
0 3 0 0 0 SITI SUNINGSIH 00428324 59 21826
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000427 0000442866082 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160086 1#0##0#0#0.0#2018-
03-15 13:52:48#0#00:00:00#00:00:00#00:00:00 1
47363aad90531a9abba4ecb02150cda9
3207012 C 1 CP 1 31/01/2018 03/02/2018 17/11/1974 0 1
1 G45.9 87.03;90.59 - - None None None None G-4-16-I None
None None None None None ISKEMIK TRANSIENT (RINGAN) 3510500 0
0 - 0 - 0 - 0 - 0 3510500 2598213
0 4 0 0 0 R.AGUS MULYANA, ST,SH 00445504 43 15781
H. DENNY RAHARJONO, DR. SP. S. 1023R00101180012479 0000071065056
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160476
1#0##0#0#0.0#2018-03-16 12:58:06#0#00:00:00#00:00:00#00:00:00 1
47e10652afef296b9a252100d1115c41
3207012 C 3 CP 1 02/02/2018 03/02/2018 14/09/1964 0 2
1 R10.4;Z03.8;K80.2 - - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 635088 0 2 0 0 0 TETI SUGIARTI
00410425 53 19499 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180000918 0000070963367 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162043 1#0##0#0#0.0#2018-03-21
10:25:12#0#00:00:00#00:00:00#00:00:00 1 ddda373f34e3ed6b1eb8f2f03b1f2f4d
3207012 C 3 CP 1 01/02/2018 03/02/2018 01/01/1980 0 2
1 O03.4 69.52;90.59 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 3284210 0 3 0 0 0 ASMAROH 00493867
38 13911 H. SUSWADI, SP.OG 1023R00102180000585 0000442007943 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 162697 1#0##0#0#0.0#2018-
03-22 08:43:45#0#00:00:00#00:00:00#00:00:00 1
7b0c15d58491603134867f13077ba66e
3207012 C 3 CP 1 01/02/2018 03/02/2018 21/04/2017 0 1
1 R56.0;J06.9 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 887884
0 3 0 0 0 ZINEDIN ZAIDAN NUGRAHA HAFIZH 00493774 0
286 HJ. SUHERJATI, SP. A 1023R00102180000252 0002287264667 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163259 1#0##0#0#0.0#2018-
03-22 12:15:59#0#00:00:00#00:00:00#00:00:00 1
c44bf7662cd33710068c499ce2c7f37e
3207012 C 3 CP 1 29/01/2018 03/02/2018 20/03/1989 0 2
1 N84.1;N92.1 69.59;99.04;57.94;88.79;90.59 - - None None None
None W-4-12-I None None None None None None GANGGUAN MENSTRUASI &
SISTEM REPRODUKSI WANITA LAIN-LAIN (RINGAN) 2671300 0 0 - 0
- 0 - 0 - 0 2671300 5910015 0 6 0
0 0 INE SUMARNI 00493401 28 10542 BUDI AHMAD RASAS, SP.OG.M.KES
1023R00101180012034 0002425260677 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163306 1#0##0#0#0.0#2018-03-22
13:18:28#0#00:00:00#00:00:00#00:00:00 1 56a791ba9fec047b9a50eeecc4fd63b7
3207012 C 2 CP 1 29/01/2018 03/02/2018 04/04/1964 0 2
1 I63.9;M17.1;G44.2 90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 4467200 0 0 - 0 - 0 - 0 -
0 4467200 2128956 0 6 0 0 0 WINARTI
00374293 53 19658 H. DENNY RAHARJONO, DR. SP. S.
1023R00101180011345 0001106239961 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163717 1#0##0#0#0.0#2018-03-26
08:52:40#0#00:00:00#00:00:00#00:00:00 1 a1168fda58bc185599fbdb22916c6edf
3207012 C 3 CP 1 31/01/2018 03/02/2018 05/04/2017 0 1
1 A09.9;L22 90.59;90.99 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1394030 0 4 0 0 0 REYHAN DZAKY HERMAWAN
00468320 0 301 HJ. SUHERJATI, SP. A 1023R00104170004767
0002225085412 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 52606
1#0##0#0#0.0#2018-03-26 14:21:05#0#00:00:00#00:00:00#00:00:00 1
fce5d02dcbb92a13534b1c3cc5db4976
3207012 C 3 CP 1 29/01/2018 03/02/2018 23/06/2016 0 2
1 A09.9;E86;B37.0 90.59 - - None None None None K-4-17-II
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(SEDANG) 1923400 0 0 - 0 - 0 - 0 - 0
1923400 1670198 0 6 0 0 0 NADIA RAHIMATUL ARIPIN
00459278 1 585 HJ. SUHERJATI, SP. A 1023r00101180011979
0002294898175 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164242
1#0##0#0#0.0#2018-03-26 14:22:52#0#14:21:28#14:21:28#00:00:00 1
1ac141ef76189e45595374c2726efdad
3207012 C 3 CP 1 24/01/2018 03/02/2018 01/09/1960 0 1
1 I20.9;I24.0;I51.6 89.52;87.49;90.59 - - None None None None
I-4-20-I None None None None None None ANGINA PEKTORIS DAN NYERI
DADA (RINGAN) 3027200 0 0 - 0 - 0 - 0 -
0 3027200 5693303 0 11 0 0 0 ROING 00435823
57 20964 SETYO RAHARJO, DR, SP. PD 1023R00101180010513
0000441939576 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162201
1#0##0#0#0.0#2018-03-27 11:56:54#0#00:00:00#00:00:00#12:00:00 2
5e11fc4a10655ddb687d6de3f6a85bfb
3207012 C 3 CP 1 31/01/2018 03/02/2018 10/12/1957 0 2
1 I10;R42;K30 90.59;91.39 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 1521745
0 4 0 0 0 SITI DJENAB 00450999 60 21967 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023r00101180012457 0000160482969 3;JKN ANDI;
5.2.0.201712280730 4 164875 1#0##0#0#0.0#2018-03-27
13:27:49#0#13:26:21#13:26:21#00:00:00 1 7377860bfac7446d70c9b7089602ea7c
3207012 C 1 CP 1 01/02/2018 03/02/2018 25/05/1968 0 2
1 H81.1;E11.9 90.59 - - None None None None U-4-11-I None
None None None None None DYSEQUILIBRIUM (RINGAN) 1836400 0 0
- 0 - 0 - 0 - 0 1836400 1750678 0
3 0 0 0 KASMAH 00454414 49 18149 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180000423 0000071569078 3;JKN Firman;
5.2.0.201712280730 4 164897 1#0##0#0#0.0#2018-03-27
13:45:16#0#13:43:58#13:43:58#00:00:00 1 81aa85df0f05f06ca25d8cc33b59573b
3207012 C 3 CP 1 31/01/2018 03/02/2018 17/01/1981 0 2
1 O64.1;O99.8;O82.1;Z37.0 74.0;74.3;88.78;90.59;57.94;93.57 - -
None None None None W-1-20-II None None None None None None
PROSEDUR PADA RAHIM & ADNEKSA (SEDANG) 7668100 0 0 - 0
- 0 - 0 - 0 7668100 7987185 0 4 0
0 0 AAT MARTINI 00493555 37 13528 H. SUSWADI, SP.OG
1023R0010118000 0002326573708 3;JKN Firman; 5.2.0.201712280730
4 164925 1#0##0#0#0.0#2018-03-27
14:04:56#0#14:03:21#14:03:21#00:00:00 1 ba965b11081b5b6536477e6288e86a5d
3207012 C 3 CP 1 29/01/2018 03/02/2018 26/06/1944 0 1
1 L89.9 90.59;88.26;93.57 - - None None None None L-4-10-I
None None None None None None PENYAKIT KULIT MAYOR (RINGAN) 1269400
0 0 - 0 - 0 - 0 - 0 1269400
2372930 0 6 0 0 0 MUHSINUL ARIFIN 00488475 73
26880 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00101180011977
0002312690556 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164933
1#0##0#0#0.0#2018-03-27 14:10:03#0#14:08:10#14:08:10#00:00:00 1
9bdc233e7771a295ff089c8803199229
3207012 C 3 CP 1 31/01/2018 03/02/2018 01/12/1942 0 1
1 E11.9;L23.9 90.59 - - None None None None E-4-10-I None
None None None None None PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/
METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 - 0
- 0 3330600 1258117 0 4 0 0 0 IDI SUPRIADI
00443512 75 27455 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012473
0000437916115 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164971
1#0##0#0#0.0#2018-03-27 14:35:10#0#14:33:37#14:33:37#00:00:00 1
9abf08a88dff03e09969e6e04484a49a
3207012 C 3 CP 1 31/01/2018 03/02/2018 02/04/1986 0 2
1 O47.0;O30.0;O32.1 88.78;90.59 - - None None None None W-4-
15-I None None None None None None PERSALINAN PALSU (RINGAN) 1503100
0 0 - 0 - 0 - 0 - 0 1503100
1986380 0 4 0 0 0 YANTI RISMAYANTI 00493760 31
11627 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00101180012486 0002236854396
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164983
1#0##0#0#0.0#2018-03-27 14:42:23#0#14:39:58#14:39:58#00:00:00 1
393d5c247f4553bf33b46c5994b9f088
3207012 C 3 CP 1 31/01/2018 03/02/2018 01/03/2000 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1215297 0 4 0 0 0 PIPIT OKTAPIANI
00493581 17 6545 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012507
0000463272581 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165243
1#0##0#0#0.0#2018-03-29 09:43:23#0#09:38:32#09:38:32#00:00:00 1
7a8a89ef0fad319e9daa94a6e6904257
3207012 C 3 CP 1 31/01/2018 03/02/2018 01/07/2000 0 1
1 S09.9;V29.9 87.16 - - None None None None G-4-24-I None
None None None None None TRAUMA KEPALA (RINGAN) 2192000 0 0
 - 0 - 0 - 0 - 0 2192000 1555461 0
4 0 0 0 JULI JUANDANI 00493654 17 6423 H. DENNY
RAHARJONO, DR. SP. S. 1023r00101180012459 0000441364307 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 165944 1#0##0#0#0.0#2018-04-02
09:37:48#0#09:36:01#09:36:01#00:00:00 1 fb1db025951d53f11dad6eb8dd3ec33e
3207012 C 2 CP 1 01/02/2018 03/02/2018 05/07/1970 0 2
1 I10;K30 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 2110300 0 0
- 0 - 0 - 0 - 0 2110300 959980 0
3 0 0 0 ANAH SALNAH 00380875 47 17378 PRIMAHATI RIANA
ROSY, DR. SP.PD 1023r00102180000451 0001450442766 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166073 1#0##0#0#0.0#2018-04-02
10:46:04#0#10:44:41#10:44:41#00:00:00 1 98692a5e0dc387a91ef0aa211711fefb
3207012 C 3 CP 1 01/02/2018 03/02/2018 01/11/1956 0 1
1 K40.9 53.05;89.52;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3720692 0 3 0 0 0 JUMRI 00493058 61
22372 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180000438
0000441081292 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167399
1#0##0#0#0.0#2018-04-09 08:23:53#0#08:22:16#08:22:16#00:00:00 1
fe93c9a0bb994752f37d65861b411e55
3207012 C 3 CP 1 30/01/2018 03/02/2018 17/08/1984 0 2
1 A09.0 90.99;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1698651 0 5 0 0 0 ROSMIATI 00493500
33 12219 SETYO RAHARJO, DR, SP. PD 1023r00101180011988
0001972375424 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167585
1#0##0#0#0.0#2018-04-09 10:52:11#0#10:50:33#10:50:33#00:00:00 1
45d67dc72089bd60280fac0c5b12a946
3207012 C 3 CP 1 01/02/2018 03/02/2018 07/11/1970 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1109892 0 3 0 0 0 SITI SADIAH 00490241
47 17253 SETYO RAHARJO, DR, SP. PD 1023r00102180000637
0002318330733 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167668
1#0##0#0#0.0#2018-04-09 12:35:16#0#12:34:17#12:34:17#00:00:00 1
a2029a350fe2b8b7cb0d1ab6d19dfd68
3207012 C 3 CP 1 27/01/2018 03/02/2018 01/02/1950 0 2
1 D62;B76.0;N81.9;K92.1 99.04;89.52;90.59 - - None None None
None D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 4575688 0 8 0 0
0 EMAH 00369923 67 24832 SETYO RAHARJO, DR, SP. PD
1023r00101180010780 0000438554327 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167768 1#0##0#0#0.0#2018-04-10
07:56:42#0#07:55:07#07:55:07#00:00:00 1 8df8801f3f912b21ed47e18941ecec89
3207012 C 3 CP 1 30/01/2018 03/02/2018 07/03/1962 0 2
1 A09.9;I10 90.99;90.59 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1751181 0 5 0 0 0 OOH 00462689 55
20418 SETYO RAHARJO, DR, SP. PD 1023r00101180011995 0001089595179
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167876
1#0##0#0#0.0#2018-04-11 07:56:07#0#07:54:56#07:54:56#12:00:00 1
fb62f493c37d310839264c8a2bb50f80
3207012 C 3 CP 1 02/02/2018 03/02/2018 02/02/2018 2600 1
 1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 506368 0 2 0 0 0 BY NY
RIKA KARTINI 00493928 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180000756 0002325956646 3;JKN Ridwan; 5.2.0.201712280730
4 164740 1#0##0#0#0.0#2018-04-11
08:13:42#0#11:15:44#11:15:44#00:00:00 2 2ebdd777821c3c94f2a2c03ce8e39ba4
3207012 C 3 CP 1 31/01/2018 03/02/2018 01/11/1961 0 1
1 M54.16 87.24 - - None None None None M-4-17-I None
None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 1756716 0 4 0 0 0 ABDUL ROSID 00476822
56 20545 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012436
0000441125469 3;JKN Ridwan; 5.2.0.201712280730 4 165940
1#0##0#0#0.0#2018-04-11 08:30:34#0#09:31:28#09:31:28#00:00:00 2
a81f86a6498cc40f88317a72acc158e2
3207012 C 1 CP 1 22/01/2018 03/02/2018 13/05/1947 0 2
1 I11.0;S52.3;R42;M81.9 79.32;88.23;87.49;90.59 - - None None
None None M-1-80-I None None None None None None PROSEDUR ANGGOTA
TUBUH ATAS (RINGAN) 8745100 0 0 - 0 - 0 - 0
- 0 8745100 13847936 0 13 0 0 0 ILOH
00463816 70 25822 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180008647 0000071357488 3;JKN Ridwan; 5.2.0.201712280730
4 167932 1#0##0#0#0.0#2018-04-11
08:48:43#0#08:46:29#08:46:29#12:00:00 1 85bbe43889af2c702a1c1abdc45421fd
3207012 C 1 CP 1 01/02/2018 03/02/2018 01/03/1957 0 1
1 I11.0;E78.5 89.52;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 3605900
0 0 - 0 - 0 - 0 - 0 3605900
1857911 0 3 0 0 0 LILY FELANI KUSUMAH 00423743
60 22252 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000426
0001205670857 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167945
1#0##0#0#0.0#2018-04-11 09:16:38#0#09:15:14#09:15:14#12:00:00 1
15f4ff5563b4fa272b48dcaca2294524
3207012 C 3 CP 1 01/02/2018 03/02/2018 25/02/1979 0 2
1 O21.0 90.59 - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0 0
- 0 - 0 - 0 - 0 1999800 1451603 0
3 0 0 0 HENY 00493847 38 14221 H. SUSWADI, SP.OG
1023r00102180000706 0001079718941 3;JKN Firman; 5.2.0.201712280730
4 164245 1#0##0#0#0.0#2018-04-11
10:50:50#0#14:23:15#14:23:15#00:00:00 2 61cee524a70ca912937b3690cbafa1a6
3207012 C 3 CP 1 31/01/2018 03/02/2018 13/07/1997 0 2
1 O65.4;O99.4;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-II None None None None None None OPERASI PEMBEDAHAN
CAESAR (SEDANG) 5102000 0 0 - 0 - 0 - 0 -
0 5102000 6429928 0 4 0 0 0 ISTI KOMSATUN
00493771 20 7507 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00101180012512
0002426563855 3;JKN Firman; 5.2.0.201712280730 4 164255
1#0##0#0#0.0#2018-04-11 10:51:45#0#14:27:22#14:27:22#00:00:00 2
ba05b7b0a342ac90a8bf0d45686fc3ad
3207012 C 3 CP 1 30/01/2018 03/02/2018 01/06/1962 0 2
1 C92.1;D63.0 99.04;89.52;90.59 - - None None None None C-4-
11-II None None None None None None LIMFOMA & LEUKEMIA NON AKUT (SEDANG)
4399800 0 0 - 0 - 0 - 0 - 0
4399800 2919474 0 5 0 0 0 ISAH 00490132 55
20332 SETYO RAHARJO, DR, SP. PD 1023r00101180012206 0000441502626
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167870
 1#0##0#0#0.0#2018-04-16 13:18:43#0#07:48:39#07:48:39#00:00:00 2
be4c2e765d433f8a7e2a3ea862ab593c
3207012 C 3 CP 1 31/01/2018 03/02/2018 17/01/1981 0 2
1 O64.1;O99.8;O82.1;Z37.0 74.0;66.32;88.78;90.59;57.94;93.57 - -
None None None None O-6-10-II None None None None None None
OPERASI PEMBEDAHAN CAESAR (SEDANG) 5102000 0 0 - 0 -
0 - 0 - 0 5102000 7987185 0 4 0 0
0 AAT MARTINI 00493555 37 13528 H. SUSWADI, SP.OG
1023R00101180012488 0002326573708 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164925 1#0##0#0#0.0#2018-04-18
08:44:35#0#14:03:21#14:03:21#00:00:00 3 12e5dbcc791a15637af6f98135a50f7a
3207012 C 1 CP 1 03/02/2018 03/02/2018 03/11/1950 0 2
4 I61.9 89.52;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 3072300 0 0 - 0 - 0 - 0 - 0
3072300 699995 0 1 0 0 0 NENI SUMENI 00449557
67 24564 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180001027
0002044144765 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160950
1#0##0#0#0.0#2018-04-18 08:56:51#0#00:00:00#00:00:00#00:00:00 2
3844fc9d69a1fcf8b9a121d8817345fd
3207012 C 3 CP 1 31/01/2018 03/02/2018 17/08/1969 0 1
1 I50.0;J18.9 89.52;87.49;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 1525891 0 4 0 0 0 ARA KOMARA 00493769
48 17699 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012489
0001826147981 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159779
1#0##0#0#0.0#2018-04-19 08:28:43#0#00:00:00#00:00:00#00:00:00 2
731ed0c796087a3257c0090809cc472f
3207012 C 1 CP 1 30/01/2018 03/02/2018 04/02/1974 0 1
1 S40.9;W09.0 87.43;90.59 - - None None None None L-4-13-I
None None None None None None TRAUMA PADA KULIT, JARINGAN BAWAH KULIT
DAN PAYUDARA (RINGAN) 3173300 0 0 - 0 - 0 - 0
- 0 3173300 3050476 0 5 0 0 0 ANDANG IRPAN
SAHARA, S.AG, SH 00493474 43 16066 ALDI DR.SP OT 1023R00101180012419
0001826497269 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173120
1#0##0#0#0.0#2018-04-24 12:42:31#0#00:00:00#00:00:00#00:00:00 1
0f010ea6bd8f4d3a60d8ccd2b4b06a2f
3207012 C 3 CP 1 02/02/2018 03/02/2018 02/02/2018 3250 2
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 471588 0 2 0 0 0 BY NY
LELA NURLAELA 00493930 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180000762 0002426541129 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173365 1#0##0#0#0.0#2018-04-25
10:39:09#0#00:00:00#00:00:00#00:00:00 1 2c60df609cdd83905f7a5d4bad43ead8
3207012 C 3 CP 1 31/01/2018 03/02/2018 05/04/2017 0 1
1 A09.9;L22 90.59;90.99 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1394030 0 4 0 0 0 REYHAN DZAKY HERMAWAN
00468320 0 301 HJ. SUHERJATI, SP. A 1023r00101180004767
0002225085412 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 52606
1#0##0#0#0.0#2018-04-25 11:42:58#0#00:00:00#00:00:00#00:00:00 2
6ad2c6926794369bd4065d21d7f11f93
3207012 C 2 CP 1 02/02/2018 03/02/2018 02/02/2018 3500 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3991700 0 0 - 0 - 0 -
0 - 0 3991700 491588 0 2 0 0 0 SHAKA
RAFISQY PRAYUDI 00493925 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180001398 0002426734078 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 175446 1#0##0#0#0.0#2018-05-02
08:01:39#0#00:00:00#00:00:00#00:00:00 1 4abc432c9ace5aa93845bd3819f0daa8
3207012 C 1 CP 1 29/01/2018 03/02/2018 17/06/1940 0 1
1 I63.9 90.59 - - None None None None G-4-14-I None None
None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK (RINGAN)
5211700 0 0 - 0 - 0 - 0 - 0
5211700 3705948 0 6 0 0 0 ANAS KARTAMIHARDJA
00493463 77 28350 H. DENNY RAHARJONO, DR. SP. S.
1023R00101180011366 0000071218708 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164920 1#0##0#0#0.0#2018-05-03
08:54:11#0#14:00:41#14:00:41#00:00:00 4 e64d90887ea15766d98e3ff71ecd03d7
3207012 C 1 CP 1 31/01/2018 04/02/2018 17/09/2000 0 2
1 K30;R42 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 1762259 0 5 0 0 0 NADA YASMIN HADAYA
00470687 17 6345 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180012462 0001516856916 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160191 1#0##0#0#0.0#2018-03-15
14:29:06#0#00:00:00#00:00:00#00:00:00 1 8c566b28e5254618ec7b29209c7c2881
3207012 C 3 CP 1 03/02/2018 04/02/2018 18/04/2011 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 893565 0 2 0 0 0 BERYL IKHSAN KOMARA
00285323 6 2483 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180001021 0000977084458 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160965 1#0##0#0#0.0#2018-03-19
12:53:25#0#00:00:00#00:00:00#12:00:00 1 1baee5fc15f56d7c06783bb9120a3a18
3207012 C 1 CP 1 02/02/2018 04/02/2018 04/03/1965 0 2
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1968700 0 0 - 0 - 0 - 0 - 0
1968700 1657822 0 3 0 0 0 TETI SUMIATI
00445073 52 19328 SETYO RAHARJO, DR, SP. PD 1023R00102180000746
0000071727737 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161309
1#0##0#0#0.0#2018-03-20 08:22:22#0#00:00:00#00:00:00#00:00:00 1
c4c91d6ca1ab6abf4201e8b1a103c0be
3207012 C 1 CP 1 01/02/2018 04/02/2018 08/07/1965 0 2
1 R10.4 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1968700 0 0 - 0 - 0 - 0 - 0
1968700 2430395 0 4 0 0 0 HENDRAWATI 00353553
52 19201 SETYO RAHARJO, DR, SP. PD 1023R00102180000437
0000070984293 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161582
1#0##0#0#0.0#2018-03-20 10:53:46#0#00:00:00#00:00:00#00:00:00 1
975e853a173ad88eb2d4e8f10b5ac9bf
3207012 C 3 CP 1 01/02/2018 04/02/2018 01/09/1979 0 1
1 Z47.0 78.65;87.49;90.59 - - None None None None M-1-40-I
None None None None None None EKSISI LOKAL DAN PENGANGKATAN ALAT
FIKSASI INTERNAL (RINGAN) 3204700 0 0 - 0 - 0 -
0 - 0 3204700 6166584 0 4 0 0 0 LILI
HADLI 00460395 38 14033 ALDI DR.SP OT 1023r00102180000370
0000441342123 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164536
1#0##0#0#0.0#2018-03-27 09:41:03#0#09:39:20#09:39:20#12:00:00 1
 0d8116f22a17ea95ea0b7170227641b4
3207012 C 3 CP 1 26/01/2018 04/02/2018 02/10/1996 0 2
1 O47.0 88.78;90.59 - - None None None None W-4-15-I None
None None None None None PERSALINAN PALSU (RINGAN) 1503100 0
0 - 0 - 0 - 0 - 0 1503100 2507536
0 10 0 0 0 IMA PUJIYANTI 00493259 21 7786 DIDI
KURNIADI M, DR. SP.OG 1023r00101180011763 0001847538088 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164724 1#0##0#0#0.0#2018-03-27
11:10:16#0#11:08:33#11:08:33#00:00:00 1 1db9e9010674a418e73684d5266c7a2f
3207012 C 3 CP 1 03/02/2018 04/02/2018 03/02/2018 3050 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 476010 0 2 0 0 0 BY NY
MEIDA MEILANTINI 00493975 0 0 HJ. SUHERJATI, SP. A
1023r00102180001280 0002426751246 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164909 1#0##0#0#0.0#2018-03-27
13:52:01#0#13:50:39#13:50:39#00:00:00 1 fef0188a3fab099504a735db673d21a8
3207012 C 3 CP 1 29/01/2018 04/02/2018 01/05/1943 0 2
1 I63.9 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2770353 0 7 0 0 0 EMAH 00493417 74
27302 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180011314
0000071095331 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165356
1#0##0#0#0.0#2018-03-29 10:32:44#0#10:31:28#10:31:28#00:00:00 1
324190c82c75215a3981973c0d546f2f
3207012 C 2 CP 1 03/02/2018 04/02/2018 04/12/1960 0 1
4 I61.9 99.60;89.52;87.49;90.59 - - None None None None G-4-
13-I None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2633400 0 0 - 0 - 0 - 0 - 0
2633400 1531233 0 2 0 0 0 TATANG SUHENDRA
00494007 57 20880 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180001033 0001280909057 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163083 1#0##0#0#0.0#2018-04-04
10:36:16#0#00:00:00#00:00:00#00:00:00 2 8354a46e16f65a5fd0cdaa1aae9b6c5b
3207012 C 3 CP 1 03/02/2018 04/02/2018 01/07/1952 0 1
1 R42 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 808775 0 2
0 0 0 NANANG 00493950 65 23958 H. HERDIANA, SP. THT
1023r00102180000870 0000440500882 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167095 1#0##0#0#0.0#2018-04-06
09:37:36#0#09:34:44#09:34:44#00:00:00 1 ca85f93db98a727b5e2b387ae195eea5
3207012 C 3 CP 1 01/02/2018 04/02/2018 01/11/2003 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1348360 0 4 0 0 0 YESI RAHMAWATI
00467749 14 5206 SETYO RAHARJO, DR, SP. PD 1023r00102180000417
0000441659529 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167801
1#0##0#0#0.0#2018-04-10 12:13:41#0#12:12:21#12:12:21#00:00:00 1
9a96093655aeadd32c85f1ca92344d52
3207012 C 3 CP 1 01/02/2018 04/02/2018 01/07/1961 0 1
4 T09.3;S09.9;W14.9 99.60;87.16;87.24;89.52 - - None None None
None G-4-10-II None None None None None None KECEDERAAN & GANGGUAN
TULANG BELAKANG (SEDANG) 3844900 0 0 - 0 - 0 -
0 - 0 3844900 2526759 0 4 0 0 0 ADANG
00493824 56 20669 H. DENNY RAHARJONO, DR. SP. S.
 1023r00102180000471 0000441974474 3;JKN Firman; 5.2.0.201712280730
4 164948 1#0##0#0#0.0#2018-04-11
10:45:29#0#14:18:17#14:18:17#00:00:00 2 d74028623a5955b7b1a09c3d6796b118
3207012 C 3 CP 1 02/02/2018 04/02/2018 18/11/1980 0 2
1 O02.0 69.02;69.93;88.78;90.59 - - None None None None W-1-
11-I None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3700025 0 3 0 0 0 DEDE HALIMAH
00493856 37 13590 H. SUSWADI, SP.OG 1023r00102180000742
0002426440421 3;JKN Firman; 5.2.0.201712280730 4 164889
1#0##0#0#0.0#2018-04-11 10:46:21#0#13:35:45#13:35:45#00:00:00 2
0b0a14d3af2db0bea6faa110a970043a
3207012 C 3 CP 1 28/01/2018 04/02/2018 26/06/1973 0 2
1 I50.0 87.49;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 2323580
0 8 0 0 0 TANTY ARISTANTY 00489868 44 16287 SETYO
RAHARJO, DR, SP. PD 1023r00101180010802 0002317114945 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 168026 1#0##0#0#0.0#2018-04-11
11:19:44#0#11:17:57#11:17:57#00:00:00 1 04837bb5cd373888e7fbc45d69a4d8f5
3207012 C 3 CP 1 02/02/2018 04/02/2018 26/01/2018 3800 1
1 P59.9 99.83;90.59 - - None None None None B-4-13-I None
None None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100
0 0 - 0 - 0 - 0 - 0 3122100 840613
0 3 0 0 0 BY NY YATI HERAWAT 00493927 0 7
HJ. SUHERJATI, SP. A 1023R00102180000764 0002426566364 3;JKN
Ridwan; 5.2.0.201712280730 4 159809 1#0##0#0#0.0#2018-04-11
11:24:56#0#00:00:00#00:00:00#00:00:00 2 2b41ce16ab7463b8c95509fe5114607c
3207012 C 3 CP 1 02/02/2018 04/02/2018 15/06/1949 0 1
4 I50.0;I46.9;I25.0;J18.9 99.60;90.59;89.52;87.49 - - None None
None None I-4-12-III None None None None None None KEGAGALAN JANTUNG
(BERAT) 3582600 0 0 - 0 - 0 - 0 - 0
3582600 1468824 0 3 0 0 0 ASMAR SUMARNA
00493953 68 25069 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001039
0001776781506 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164850
1#0##0#0#0.0#2018-04-19 08:29:23#0#13:06:37#13:06:37#00:00:00 2
854302cd5553f2958666102ede4e3b39
3207012 C 3 CP 1 03/02/2018 04/02/2018 07/02/1951 0 1
4 I50.0;I46.9;I47.2;R04.2 99.60;89.52;90.59 - - None None None
None I-4-12-III None None None None None None KEGAGALAN JANTUNG
(BERAT) 3582600 0 0 - 0 - 0 - 0 - 0
3582600 868290 0 2 0 0 0 ATENG JUHARI
00479789 66 24468 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001040
0001779010479 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164835
1#0##0#0#0.0#2018-04-19 08:29:40#0#12:55:37#12:55:37#00:00:00 2
b080bd1d4bf2cbdf877ffc2b5b986fb5
3207012 C 2 CP 1 03/02/2018 04/02/2018 03/02/2018 4200 1
1 P03.4;Z24.0;Z24.6 93.93;99.59;99.41;96.07;90.59 - - None None
None None P-8-17-I None None None None None None NEONATAL, BBL >
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 3991700 0 0 - 0 -
0 - 0 - 0 3991700 564503 0 2 0 0
0 BY NY HERA HERAWATI 00493981 0 0 HJ. SUHERJATI, SP. A
1023r00102180001611 0002426908814 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164912 1#0##0#0#0.0#2018-04-25
10:10:01#0#13:53:03#13:53:03#00:00:00 2 4f411a895a411375fa80747c4625fef1
3207012 C 3 CP 1 01/02/2018 04/02/2018 06/04/1981 0 1
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 1377979 0 4
 0 0 0 IWAN GUNAWAN 00493840 36 13450 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180000414 0001859897384 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 173358 1#0##0#0#0.0#2018-04-25
10:33:59#0#00:00:00#00:00:00#00:00:00 1 71a7a93354b59a0eea3646bc7b031924
3207012 C 3 CP 1 01/02/2018 04/02/2018 01/07/1961 0 1
4 T09.3;S09.9;W14.9 99.60;87.16;87.24;89.52 - - None None None
None G-4-10-II None None None None None None KECEDERAAN & GANGGUAN
TULANG BELAKANG (SEDANG) 3844900 0 0 - 0 - 0 -
0 - 0 3844900 2526759 0 4 0 0 0 ADANG
00493824 56 20669 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180000421 0000441974474 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164948 1#0##0#0#0.0#2018-05-02
07:48:23#0#14:18:17#14:18:17#00:00:00 3 01a09ed9fb13786f945a6b3fa96e965a
3207012 C 1 CP 1 31/01/2018 05/02/2018 12/08/1964 0 2
1 A15.0;K71.1;D64.9 99.04;87.49;90.59 - - None None None None
J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 6689900 0 0 - 0 - 0 - 0
- 0 6689900 3983359 0 6 0 0 0 YATI HARYATI
00443077 53 19530 SETYO RAHARJO, DR, SP. PD 1023R00101180012504
0000071632844 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159645
1#0##0#0#0.0#2018-03-15 10:11:54#0#00:00:00#00:00:00#00:00:00 1
ec7a2411958133052412b4e14edcacbc
3207012 C 3 CP 1 03/02/2018 05/02/2018 02/02/2018 2500 2
1 P70.4;Z24.6;Z24.0 99.59;99.41;90.59 - - None None None None
P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA
PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0
- 0 3326400 834249 0 3 0 0 0 BY NY
SUSANTI 2 00493938 0 1 TISA RAHMAWATY DR. SP.A 1023R00102180001615
0002426980329 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159875
1#0##0#0#0.0#2018-03-15 11:28:36#0#00:00:00#00:00:00#00:00:00 1
7b0df008226e4d396fd6c20bc15cbfee
3207012 C 3 CP 1 02/02/2018 05/02/2018 02/03/1964 0 1
1 J18.9 89.52;87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 1638433 0 4 0 0 0 ENTO 00375023 53
19695 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000700 0001321525686
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159966
1#0##0#0#0.0#2018-03-15 12:53:00#0#00:00:00#00:00:00#00:00:00 1
02a09e519dfea5615b0c02e7a71b06a2
3207012 C 3 CP 1 02/02/2018 05/02/2018 06/02/1969 0 2
1 A01.0 89.52;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1514944 0 4 0 0 0 SUMIATI 00493924
48 17893 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000763
0000440612021 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160239
1#0##0#0#0.0#2018-03-15 14:47:24#0#00:00:00#00:00:00#00:00:00 1
9751988c806753da7222c39a9cc89f4c
3207012 C 3 CP 1 02/02/2018 05/02/2018 28/08/1978 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1393008 0 4 0 0 0 NURHAYATI 00493937
39 14403 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001005
0000441742544 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160242
1#0##0#0#0.0#2018-03-15 14:49:32#0#00:00:00#00:00:00#00:00:00 1
0c7913ff156e605449214f0a1e641710
3207012 C 3 CP 1 01/02/2018 05/02/2018 01/12/1945 0 2
 1 I25.0 89.52;87.49;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
1654257 0 5 0 0 0 IMOH 00472135 72 26360
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000434 0000441351494 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160245 1#0##0#0#0.0#2018-
03-15 14:50:55#0#00:00:00#00:00:00#00:00:00 1
022b84df02a2413264e268ec7b087c8a
3207012 C 3 CP 1 02/02/2018 05/02/2018 18/12/1959 0 2
1 A18.8;I10;K30 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1199860 0 4 0 0 0 N ELOH
SUHAENAH 00490139 58 21231 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180010433 0002253537235 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160298 1#0##0#0#0.0#2018-03-16
10:08:16#0#00:00:00#00:00:00#00:00:00 1 7f82a3d0faa65e21a5cb409e33a043f7
3207012 C 2 CP 1 31/01/2018 05/02/2018 13/08/1930 0 2
1 A15.0;E44.1;I10 87.49;90.59;89.52 - - None None None None
J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 5734200 0 0 - 0 - 0 - 0
- 0 5734200 3659630 0 6 0 0 0 MARPUAH
00493756 87 31948 SETYO RAHARJO, DR, SP. PD 1023R00101180012452
0000071110563 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160409
1#0##0#0#0.0#2018-03-16 11:14:06#0#00:00:00#00:00:00#00:00:00 1
d7783a0fea8b7afac6fbaabc6870fe5a
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/07/1945 0 2
4 I61.9 99.60;89.52;87.49;90.59 - - None None None None G-4-
13-I None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 1832662 0 4 0 0 0 IKAH ATIKAH 00493943
72 26514 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180000771
0000440655063 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160473
1#0##0#0#0.0#2018-03-16 12:51:05#0#00:00:00#00:00:00#00:00:00 1
2309b6b74abb97a803bd603a4c2e848b
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/03/1946 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 630030 0 2
0 0 0 OYOH 00389761 71 26273 H. DENNY RAHARJONO, DR. SP.
S. 1023R00102180001075 0000439746243 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160474 1#0##0#0#0.0#2018-03-16
12:53:59#0#00:00:00#00:00:00#00:00:00 1 851ecbf87224a1c49ae9ae4e5c9ff19e
3207012 C 3 CP 1 31/01/2018 05/02/2018 07/01/2017 0 2
1 J18.0 90.59 - - None None None None J-4-16-I None None
None None None None SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
3332600 0 0 - 0 - 0 - 0 - 0
3332600 2182004 0 6 0 0 0 NADERA CAHYANI FARZANA
00493629 1 389 HJ. SUHERJATI, SP. A 1023R00101180012442
0002425688223 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161873
1#0##0#0#0.0#2018-03-20 14:05:15#0#00:00:00#00:00:00#00:00:00 1
07f098fb3e798bfb077c1f239dac4460
3207012 C 3 CP 1 01/02/2018 05/02/2018 15/05/1987 0 2
1 O14.1;O36.5;O60.1;O82.1;Z37.0;Z30.5
74.0;69.7;89.52;90.59;91.39;57.94;93.57 - - None None None None
O-6-10-II None None None None None None OPERASI PEMBEDAHAN CAESAR
(SEDANG) 5102000 0 0 - 0 - 0 - 0 - 0
5102000 1775180 0 5 0 0 0 DEWI YANTI 00493835
30 11220 H. SUSWADI, SP.OG 1023R00102180011072 0002316393336 3;JKN
 NANA KUSLIANA; 5.2.0.201712280730 4 161879 1#0##0#0#0.0#2018-
03-20 14:14:14#0#00:00:00#00:00:00#00:00:00 1
ac4bd05f26133d134329579518e5dfbb
3207012 C 3 CP 1 02/02/2018 05/02/2018 15/06/1940 0 1
1 D64.9;K92.1 99.04;89.52;87.49;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 2723645 0 4 0 0
0 SANIB 00493939 77 28356 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180000770 0001978009558 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161921 1#0##0#0#0.0#2018-03-21
09:44:42#0#00:00:00#00:00:00#00:00:00 1 7cce8cebf8b760b83e9f7ac59e577bf3
3207012 C 3 CP 1 31/01/2018 05/02/2018 01/12/1948 0 1
1 J18.0;D34 87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 2849237 0 6 0 0 0 KARMAN 00493765
69 25263 ABU BAKAR, DR. SPP, MKES 1023R00101180012498
0002426033608 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161938
1#0##0#0#0.0#2018-03-21 09:51:00#0#00:00:00#00:00:00#00:00:00 1
81b19cdc3fc05fcf8a92f68a0615f3c1
3207012 C 3 CP 1 01/02/2018 05/02/2018 05/08/1973 0 2
1 K30;I25.0 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1978897 0 5 0 0 0 ONAH 00493779 44
16251 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000374 0000441005073
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161953
1#0##0#0#0.0#2018-03-21 09:56:12#0#00:00:00#00:00:00#00:00:00 1
b7fe73fca8520b5937bc026526e47e4d
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/07/1996 0 2
1 O65.4;O80.0;Z37.0 73.59;73.6;90.59 - - None None None None
O-6-13-I None None None None None None PERSALINAN VAGINAL (RINGAN)
1544900 0 0 - 0 - 0 - 0 - 0
1544900 2681528 0 2 0 0 0 DINI 00437300 21
7888 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180001196 0000441387933
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162100
1#0##0#0#0.0#2018-03-21 10:58:59#0#00:00:00#00:00:00#00:00:00 1
9c282c4bf577d2c3f553f4f2b49a5cdd
3207012 C 3 CP 1 02/02/2018 05/02/2018 18/06/2016 0 2
1 R56.0 90.59 - - None None None None G-4-22-I None None
None None None None SERANGAN KEJANG (RINGAN) 2525300 0 0
- 0 - 0 - 0 - 0 2525300 1015116 0
4 0 0 0 ATTIYA MUTIARA RAMADHANI 00485428 1 594
IMELDA PINGKAN MONIAGA, DR. SP. A 1023R00102180001022 0002303443405
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162151
1#0##0#0#0.0#2018-03-21 11:16:00#0#00:00:00#00:00:00#00:00:00 1
f233c6de99c3de0b79dee3aeffb708e8
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/06/1975 0 2
1 D21.9 83.39 - - None None None None M-1-50-I None None
None None None None PROSEDUR JARINGAN LUNAK (RINGAN) 3840300 0
0 - 0 - 0 - 0 - 0 3840300 3250532
0 2 0 0 0 ENTIN HARTINI 00493815 42 15589
FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001060 0000440630987
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162280
1#0##0#0#0.0#2018-03-21 11:53:12#0#00:00:00#00:00:00#00:00:00 1
1ce61a3a569d40a47fd5380ea139c085
3207012 C 3 CP 1 29/01/2018 05/02/2018 15/02/1962 0 1
1 N40 60.69;90.59;89.52 - - None None None None V-1-13-I
 None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 8473207 0 8 0 0 0 WAWAN 00491952
55 20437 ACHMAD HERYADI, DR. SP. B 1023R00101180011347
0002018809337 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162351
1#0##0#0#0.0#2018-03-21 13:14:17#0#00:00:00#00:00:00#00:00:00 1
e369f8c99e2e79462c9dad7d57d37841
3207012 C 3 CP 1 02/02/2018 05/02/2018 08/07/2013 0 2
1 J06.9;E86 90.59 - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0 -
0 - 0 1826300 1130916 0 4 0 0 0 ALLANI
BUDIARTI MALIKI 00493910 4 1670 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180001023 0002230204432 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162718 1#0##0#0#0.0#2018-03-22
08:51:09#0#00:00:00#00:00:00#00:00:00 1 e72c4eb6649e19ecf957b348928ac3db
3207012 C 1 CP 1 31/01/2018 05/02/2018 15/03/1945 0 1
1 I63.9;G70.9 87.49;90.59 - - None None None None G-4-14-II
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (SEDANG) 6967700 0 0 - 0 - 0 - 0 -
0 6967700 5965401 0 6 0 0 0 HARDIWAN
00493753 72 26620 H. DENNY RAHARJONO, DR. SP. S.
1023R00101180012449 0000071450278 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162779 1#0##0#0#0.0#2018-03-22
09:16:08#0#00:00:00#00:00:00#00:00:00 1 4e3a2fa5f143678d7568f84119d7dcb0
3207012 C 3 CP 1 29/01/2018 05/02/2018 22/10/1968 0 2
1 I50.0;E78.5;I49.4 89.52;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
2855039 0 8 0 0 0 JUJU JUARIAH 00364344 49
17996 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011796 0001311746106
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162786
1#0##0#0#0.0#2018-03-22 09:25:45#0#00:00:00#00:00:00#12:00:00 1
0a7212806ad67e0db309308fc74764d5
3207012 C 3 CP 1 01/02/2018 05/02/2018 05/10/1955 0 1
1 J18.9;K30 89.52;87.49;90.59 - - None None None None J-4-
16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 1689252 0 5 0 0 0 ENGKOS KOSWARA
00492309 62 22765 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000422
0000441398259 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162789
1#0##0#0#0.0#2018-03-22 09:27:14#0#00:00:00#00:00:00#00:00:00 1
eb5d75b3e7122239cd5c8a6068921057
3207012 C 3 CP 1 01/02/2018 05/02/2018 19/10/2016 0 1
1 R56.0;D50.9 90.59 - - None None None None G-4-22-II None
None None None None None SERANGAN KEJANG (SEDANG) 3226600 0
0 - 0 - 0 - 0 - 0 3226600 1638197
0 5 0 0 0 RAKA ARSYAD SAGUFTA OKTAFIAN 00485232 1
470 HJ. SUHERJATI, SP. A 1023R00102180000758 0002426507526 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 162816 1#0##0#0#0.0#2018-
03-22 09:36:18#0#00:00:00#00:00:00#00:00:00 1
6ba4a85089c827c56fe165d818fef962
3207012 C 3 CP 1 30/01/2018 05/02/2018 17/06/1968 0 2
1 K74.6;B16.9 88.76;89.52;90.59 - - None None None None B-4-
13-II None None None None None None GANGGUAN HATI LAIN-LAIN (SEDANG)
3637100 0 0 - 0 - 0 - 0 - 0
3637100 9542608 0 7 0 0 0 DARSIH 00493578
49 18124 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180012435
0002425166605 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163340
 1#0##0#0#0.0#2018-03-22 13:26:05#0#00:00:00#00:00:00#00:00:00 1
030f7390f1b36743705cd431cc00ff93
3207012 C 2 CP 1 03/02/2018 05/02/2018 05/05/1955 0 1
1 A15.0;K30 89.52;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 4799600 0 0 - 0 - 0 - 0 - 0
4799600 1217183 0 3 0 0 0 NUR ACHMAT 00489665
62 22920 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180001024
0000052434797 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164761
1#0##0#0#0.0#2018-03-27 11:29:51#0#11:27:45#11:27:45#00:00:00 2
b028e8e4d3482866a7ae881e556d688a
3207012 C 3 CP 1 02/02/2018 05/02/2018 14/03/1953 0 1
1 J44.9;K30 89.52;90.59 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 1745964 0 4 0 0 0 IDRIS 00330561 64
23701 ABU BAKAR, DR. SPP, MKES 1023R00102180000744 0001260889334
3;JKN Ridwan; 5.2.0.201712280730 4 164843 1#0##0#0#0.0#2018-
03-27 13:02:14#0#13:01:13#13:01:13#12:00:00 1
8e98143d3a10c4f0c0577a9ad2390dfe
3207012 C 2 CP 1 01/02/2018 05/02/2018 16/05/1991 0 2
1 O65.4;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 6775590 0 5 0 0 0 YUNI MEILANI
00432284 26 9758 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180000416
0001384613076 3;JKN Firman; 5.2.0.201712280730 4 164864
1#0##0#0#0.0#2018-03-27 13:21:08#0#13:18:56#13:18:56#00:00:00 1
3a98b7b55c7b164e4ae3707307d92ade
3207012 C 3 CP 1 01/02/2018 05/02/2018 21/04/1994 0 2
1 O64.1;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6242379 0 5 0 0 0 RIKA KARTINI
00488724 23 8687 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180000425
0002300297073 3;JKN Firman; 5.2.0.201712280730 4 164874
1#0##0#0#0.0#2018-03-27 13:27:55#0#13:26:18#13:26:18#00:00:00 1
b992717b4e854318a723fad8a73cefd7
3207012 C 3 CP 1 03/02/2018 05/02/2018 24/04/1974 0 2
1 I10;K30;E14.9;R42 90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 896080
0 3 0 0 0 CUCU INDRAWATI 00409008 43 15991
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180001607 0000206219327
3;JKN Ridwan; 5.2.0.201712280730 4 164881 1#0##0#0#0.0#2018-
03-27 13:31:30#0#13:30:21#13:30:21#00:00:00 1
f3b36a287b2fd14e56c5ad80e41721a0
3207012 C 2 CP 1 03/02/2018 05/02/2018 08/11/1981 0 2
1 O13;O66.2;O34.2;O42.9;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 -
- None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 5796300 0 0 - 0 -
0 - 0 - 0 5796300 6589050 0 3 0 0
0 HERA HERAWATI 00491374 36 13236 DIDI KURNIADI M, DR. SP.OG
1023R00102180001025 0001198774923 3;JKN Firman; 5.2.0.201712280730
4 164884 1#0##0#0#0.0#2018-03-27
13:33:52#0#13:32:19#13:32:19#00:00:00 1 557d647085a4b3c13ccc6e768adae4cb
3207012 C 3 CP 1 03/02/2018 05/02/2018 01/11/1994 0 2
1 O64.1;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6347052 0 3 0 0 0 NIA NURONIAH
00493965 23 8495 DIDI KURNIADI M, DR. SP.OG 1023R00102180001014
0000458339376 3;JKN Firman; 5.2.0.201712280730 4 164890
1#0##0#0#0.0#2018-03-27 13:37:44#0#13:35:57#13:35:57#00:00:00 1
f04937e5c1555cfd68322df3580880c9
3207012 C 3 CP 1 02/02/2018 05/02/2018 10/05/1995 0 2
1 O42.9;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
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00493926 22 8304 DIDI KURNIADI M, DR. SP.OG 1023R00102180001015
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1#0##0#0#0.0#2018-03-27 13:40:40#0#13:38:53#13:38:53#00:00:00 1
fcbe94bc7d05c0a01df9a7b3c5fdd1f3
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1 O65.4;O82.1;Z37.0 74.0;88.78;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
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1 O42.9;O80.0;Z37.0 73.59;88.78;90.59 - - None None None None
O-6-13-II None None None None None None PERSALINAN VAGINAL (SEDANG)
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1828500 3037537 0 2 0 0 0 ADE LINA 00494035
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13:57:27#0#13:55:20#13:55:20#00:00:00 1 65a4f7f5c9e6a50043dfb0271c835755
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/03/1999 0 2
1 O63.9;O80.0;O70.1;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
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1544900 2879137 0 2 0 0 0 FITRI HANDAYANI
00494028 18 6915 NANANG WIBOWO, DR. SP. OG 1023r001021800012479
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1#0##0#0#0.0#2018-03-27 14:29:50#0#14:28:30#14:28:30#00:00:00 1
5298ee6b773d16a96d33bb29d23ddadf
3207012 C 3 CP 1 31/01/2018 05/02/2018 01/07/1960 0 2
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
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57 21033 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012468
0001006158519 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166008
1#0##0#0#0.0#2018-04-02 10:03:03#0#10:01:52#10:01:52#00:00:00 1
 d1236542571c46490f68dd62e44c0f2f
3207012 C 3 CP 1 31/01/2018 05/02/2018 06/07/1996 0 2
1 G44.2 89.14;90.59 - - None None None None G-4-23-I None
None None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN)
1967900 0 0 - 0 - 0 - 0 - 0
1967900 1833917 0 6 0 0 0 SRI RAHAYU 00493600
21 7879 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180012460
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1#0##0#0#0.0#2018-04-02 10:18:33#0#10:17:29#10:17:29#00:00:00 1
789337858588c6fe2988c938a37705a9
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/05/2001 0 2
1 A09.9 88.76;88.19;87.49;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
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1406200 2033722 0 4 0 0 0 SITI ATIAH 00493837
16 6121 SETYO RAHARJO, DR, SP. PD 1023r00102180000692
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1#0##0#0#0.0#2018-04-03 08:15:38#0#08:14:24#08:14:24#00:00:00 1
beaa57dd41316355eb53cee8ab02e0be
3207012 C 3 CP 1 30/01/2018 05/02/2018 01/03/1946 0 1
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11:18:48#0#11:16:27#11:16:27#00:00:00 1 d564d8ae3e59b84bf06a6ba2428af71a
3207012 C 3 CP 1 28/01/2018 05/02/2018 01/10/1952 0 2
1 K74.6;N20.0;I10 88.76;90.59 - - None None None None B-4-
13-II None None None None None None GANGGUAN HATI LAIN-LAIN (SEDANG)
3637100 0 0 - 0 - 0 - 0 - 0
3637100 2576648 0 9 0 0 0 ERAT 00493358 65
23860 AYATULLAH KHOMAINI, DR. SP.PD 1023R00101180011121 0000502687135
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ab6df8703de4a574679d5102b8a4d850
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1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3204541 0 5 0 0 0 YEYET
00470138 55 20278 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180011074 0002256763173 3;JKN NANA KUSLIANA;
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10:59:17#0#00:00:00#00:00:00#00:00:00 2 8234581adebd0dfdc829ff81a649d021
3207012 C 1 CP 1 03/02/2018 05/02/2018 25/11/1997 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 1422706 0 3 0 0 0 ELIS NOVIASARI
00487197 20 7375 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180011075
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1#0##0#0#0.0#2018-04-04 11:36:41#0#00:00:00#00:00:00#00:00:00 2
90b3480409840bf593f6b3a8e522d19e
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/07/1996 0 2
1 D21.9 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
 0 3696900 2407986 0 2 0 0 0 YUNI MULYANI
00491175 21 7888 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001051 0000439854388 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162180 1#0##0#0#0.0#2018-04-04
12:09:49#0#00:00:00#00:00:00#00:00:00 2 ead4dcdfa68d6005b7c256623d41e6d2
3207012 C 3 CP 1 27/01/2018 05/02/2018 01/07/1963 0 2
1 I20.9;I25.0 89.52;90.59 - - None None None None I-4-20-I
None None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
3027200 0 0 - 0 - 0 - 0 - 0
3027200 3318765 0 10 0 0 0 YANI 00391898 54
19934 SETYO RAHARJO, DR, SP. PD 1023r00101180010790 0000440241298
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167142
1#0##0#0#0.0#2018-04-06 10:09:39#0#10:07:36#10:07:36#00:00:00 1
6fb7984b87ee4450ae8d6f55bf140563
3207012 C 3 CP 1 03/02/2018 05/02/2018 21/05/1976 0 2
1 J18.0 87.49;90.59 - - None None None None J-4-16-I None
None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
3332600 0 0 - 0 - 0 - 0 - 0
3332600 1156539 0 3 0 0 0 ELIN SUHERLIN
00490831 41 15233 SETYO RAHARJO, DR, SP. PD 1023r00102180001043
0001304821809 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167394
1#0##0#0#0.0#2018-04-09 08:17:58#0#08:16:42#08:16:42#00:00:00 1
cd856a0a2ca2ea213a0e1cfab4db19ca
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/03/1962 0 1
1 A49.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1771672 0 4 0 0 0 ENDID 00493958 55
20427 SETYO RAHARJO, DR, SP. PD 1023r00102180001011 0000441715926
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1#0##0#0#0.0#2018-04-09 10:08:38#0#10:07:21#10:07:21#00:00:00 1
e05ec56a41c409e18d6321e7f8a40939
3207012 C 3 CP 1 01/02/2018 05/02/2018 24/07/1996 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1605939 0 5 0 0 0 YULI YULITA PURNAMASARI
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1#0##0#0#0.0#2018-04-09 10:11:12#0#10:10:12#10:10:12#00:00:00 1
3a613c96b10d4c78072a58c00529ab9d
3207012 C 3 CP 1 04/02/2018 05/02/2018 18/09/1989 0 1
1 N18.5 39.95;90.59 - - None None None None N-4-10-I None
None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL
(RINGAN) 2460800 0 0 - 0 - 0 - 0 - 0
2460800 1930286 0 2 0 0 0 AZIS ABDUL HALIM
00350470 28 10366 SETYO RAHARJO, DR, SP. PD 1023r00102180001605
0001261401603 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167786
1#0##0#0#0.0#2018-04-10 08:31:41#0#08:30:25#08:30:25#00:00:00 1
6fa2a6398379d05f9d4e2e586931b9b7
3207012 C 3 CP 1 24/01/2018 05/02/2018 01/07/1960 0 1
1 E11.5;I50.0;E88.0 89.52;90.59;90.99 - - None None None None
I-4-15-II None None None None None None PENYAKIT PEMBULUH DARAH
PERIFER DAN LAIN-LAIN (SEDANG) 5798200 0 0 - 0 - 0
- 0 - 0 5798200 8681431 0 13 0 0 0
ENCENG SUPRIADI 00493074 57 21026 SETYO RAHARJO, DR, SP. PD
1023r00101180009686 0000441066047 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167815 1#0##0#0#0.0#2018-04-10
13:18:11#0#13:16:27#13:16:27#00:00:00 1 a2ca12da1a003b147bef10568dad5fff
3207012 C 3 CP 1 29/01/2018 05/02/2018 18/07/1993 0 1
1 N04.9 90.59;91.39 - - None None None None N-4-11-I None
None None None None None PERADANGAN GINJAL (RINGAN) 1889100 0
0 - 0 - 0 - 0 - 0 1889100 2814526
0 8 0 0 0 NURJAMAN 00474284 24 8961 SETYO
RAHARJO, DR, SP. PD 1023r00101180011968 0002260519119 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167861 1#0##0#0#0.0#2018-04-10
14:15:48#0#14:14:25#14:14:25#00:00:00 1 0baa629c283234e9a81002fab9b36605
3207012 C 3 CP 1 30/01/2018 05/02/2018 03/11/1962 0 1
1 A15.0;M41.96;S22.00 87.49;89.52;90.59 - - None None None
None J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 2561352 0 7 0 0 0 WARSO
00493536 55 20177 SETYO RAHARJO, DR, SP. PD 1023r00101180012323
0002048667838 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167863
1#0##0#0#0.0#2018-04-10 14:18:37#0#14:16:12#14:16:12#00:00:00 1
0ddbb017cb7b36fdd51a409db6305955
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/07/1982 0 2
1 D10.9 86.3;90.59;91.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2815422 0 2 0 0 0 ELA
SULAELA 00429086 35 13002 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001042 0000440666526 3;JKN Ridwan; 5.2.0.201712280730
4 167928 1#0##0#0#0.0#2018-04-11
08:45:37#0#08:44:22#08:44:22#00:00:00 1 3fbd00158fc0549af1df60535df2e111
3207012 C 2 CP 1 29/01/2018 05/02/2018 02/08/1991 0 2
1 O90.0 86.59;90.59;93.57;57.94 - - None None None None W-4-
17-I None None None None None None GANGGUAN POSTPARTUM (RINGAN) 1770800
0 0 - 0 - 0 - 0 - 0 1770800
5454996 0 8 0 0 0 MARTINA FAUZIYAH NATSR 00492626
26 9677 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00101180011630
0000071505246 3;JKN Ridwan; 5.2.0.201712280730 4 167934
1#0##0#0#0.0#2018-04-11 08:50:57#0#08:49:26#08:49:26#00:00:00 1
8b1b5df3181fe18cc100c314debfd167
3207012 C 1 CP 1 02/02/2018 05/02/2018 02/06/1997 0 1
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2112800 0 0 - 0 - 0 - 0 - 0
2112800 2301957 0 4 0 0 0 RANDA GUNA DWIPAYA
00479275 20 7550 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000455
0000071804294 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167948
1#0##0#0#0.0#2018-04-11 09:18:24#0#09:17:01#09:17:01#00:00:00 1
09a39b5e9119ca9e842b299e5a1ed1d7
3207012 C 1 CP 1 31/01/2018 05/02/2018 27/09/1963 0 2
1 S42.20;W01.0 79.32;87.49;88.21;89.52;90.59 - - None None
None None M-1-80-I None None None None None None PROSEDUR ANGGOTA
TUBUH ATAS (RINGAN) 8745100 0 0 - 0 - 0 - 0
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00457362 54 19850 ALDI DR.SP OT 1023R00102180012502
0000071495559 3;JKN Firman; 5.2.0.201712280730 4 167952
1#0##0#0#0.0#2018-04-11 09:22:29#0#09:20:31#09:20:31#12:00:00 1
c1ae08f7ce28e82d6f0ee9d1eb20f5cc
3207012 C 3 CP 1 02/02/2018 05/02/2018 15/06/2011 0 2
1 D69.0 90.59 - - None None None None D-4-11-I None None
None None None None GANGGUAN PEMBEKUAN DARAH (RINGAN) 3002100 0
0 - 0 - 0 - 0 - 0 3002100 1531580
0 4 0 0 0 NABILA ANNISA ASHARY 00493952 6 2424
IMELDA PINGKAN MONIAGA, DR. SP. A 1023r00102180000780 0002046095234
 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167965
1#0##0#0#0.0#2018-04-11 09:41:07#0#09:40:00#09:40:00#00:00:00 1
5c37a38de59ddfe075182f26fc9c4312
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/10/1997 0 2
1 D24 85.21 - - None None None None L-1-50-I None None
None None None None PROSEDUR PADA PAYUDARA (RINGAN) 4853300 0
0 - 0 - 0 - 0 - 0 4853300 3139507
0 2 0 0 0 PIPIH ROPIKAH 00406501 20 7431
FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001069 0000439316346
3;JKN Firman; 5.2.0.201712280730 4 167984 1#0##0#0#0.0#2018-
04-11 09:57:27#0#09:56:02#09:56:02#00:00:00 1
f7c57e1ae49f3633cd084d3c5d66c425
3207012 C 3 CP 1 01/02/2018 05/02/2018 28/12/1999 0 2
1 R50.9;R10.4 87.49;90.59 - - None None None None A-4-12-I
None None None None None None DEMAM YANG TIDAK DITENTUKAN (RINGAN)
2509600 0 0 - 0 - 0 - 0 - 0
2509600 1823899 0 5 0 0 0 RAHMI RAMDAYANTI
00493866 18 6610 SETYO RAHARJO, DR, SP. PD 1023R00102180000445
0001781391273 3;JKN Firman; 5.2.0.201712280730 4 167996
1#0##0#0#0.0#2018-04-11 10:13:45#0#10:12:31#10:12:31#00:00:00 1
196cd66a65e0fd981ae8cb33700fd4fe
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/07/1959 0 2
1 I10;K30 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 1278382
0 4 0 0 0 BURIAH 00493922 58 21401 SETYO
RAHARJO, DR, SP. PD 1023R00102180000754 0000439828817 3;JKN Ridwan;
5.2.0.201712280730 4 167997 1#0##0#0#0.0#2018-04-11
10:16:53#0#10:15:43#10:15:43#00:00:00 1 12f2f391cb5ce688f5473a92b7d59259
3207012 C 3 CP 1 03/02/2018 05/02/2018 02/02/2018 2000 2
1 P07.1;Z24.6;Z24.0 96.07;99.59;99.41;90.59 - - None None None
None P-8-13-I None None None None None None NEONATAL, BBL 2000 -
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 -
0 - 0 - 0 4989600 1097247 0 3 0 0
0 BY NY SUSANTI 1 00493967 0 1 HJ. SUHERJATI, SP. A
1023R00102180001616 0002426979429 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159881 1#0##0#0#0.0#2018-04-11
11:25:25#0#00:00:00#00:00:00#00:00:00 2 95dfeb38eb723a602e96bb37cb00f8e9
3207012 C 2 CP 1 31/01/2018 05/02/2018 07/07/1943 0 1
1 I25.2;J45.9 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1874600
0 0 - 0 - 0 - 0 - 0 1874600
5504151 0 6 0 0 0 ABDUL 00389149 74 27237
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00101180012510 0000071207559
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164879
1#0##0#0#0.0#2018-04-11 12:42:50#0#13:29:13#13:29:13#00:00:00 2
43d1424e06338275f39f4ed46ca12ed5
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/02/1959 0 2
1 I64 87.49;90.59 - - None None None None G-4-15-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK NON SPESIFIK &
PENYUMBATAN PRE-CEREBRAL TANPA INFARK (RINGAN) 3041700 0 0 - 0
- 0 - 0 - 0 3041700 1578640 0 4 0
0 0 UCIH 00493955 59 21551 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180001440 0000441515564 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164834 1#0##0#0#0.0#2018-04-11
12:44:16#0#12:55:36#12:55:36#00:00:00 2 7f23eba5eeeeb521fcef5b400ca0a9a4
3207012 C 3 CP 1 02/02/2018 05/02/2018 05/03/1998 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1358877 0 4 0 0 0 RANI TRIOKTAVIANI
00493938 19 7274 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000927
0001247418191 3;JKN ANDI; 5.2.0.201712280730 4 168642
1#0##0#0#0.0#2018-04-16 11:05:58#0#11:04:11#11:04:11#00:00:00 1
f3daf55243f5550dc9ae4396cc84e316
3207012 C 3 CP 1 02/02/2018 05/02/2018 01/07/1961 0 2
1 I11.9;R51 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 1758600 0 0
- 0 - 0 - 0 - 0 1758600 1042690 0
4 0 0 0 TITI 00493957 56 20670 SETYO RAHARJO, DR, SP.
PD 1023r00102180001020 0000441591715 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 167684 1#0##0#0#0.0#2018-04-16
13:22:23#0#12:56:47#12:56:47#00:00:00 2 07d13585c2c534f8e554f039ac83b619
3207012 C 3 CP 1 01/02/2018 05/02/2018 12/08/1998 0 1
1 D34 06.39;91.59;90.59 - - None None None None E-1-20-I
None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 9770289 0 5 0 0 0 TITIN
00491542 19 7113 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180000428 0002327752146 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 169667 1#0##0#0#0.0#2018-04-18
07:53:51#0#00:00:00#00:00:00#00:00:00 1 57e516a080676757fb019c077be05c7c
3207012 C 3 CP 1 31/01/2018 05/02/2018 15/05/1955 0 1
1 N21.0 57.19;89.52;90.59 - - None None None None N-1-30-I
None None None None None None PROSEDUR KANDUNG KEMIH DAN SALURAN URIN
BAWAH (RINGAN) 6449400 0 0 - 0 - 0 - 0 -
0 6449400 4888436 0 6 0 0 0 HARODI
00491514 62 22907 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00101180012450 0001780798522 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 169675 1#0##0#0#0.0#2018-04-18
07:58:48#0#00:00:00#00:00:00#00:00:00 1 3075161797068329e3e9a8b9dab865c7
3207012 C 3 CP 1 01/02/2018 05/02/2018 01/01/1996 0 2
1 D34 06.39;90.59;91.59 - - None None None None E-1-20-I
None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 6308964 0 5 0 0 0 ASTUTI
PUJA YANTI 00492385 22 8067 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180000435 0001006240443 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169768 1#0##0#0#0.0#2018-04-18
08:29:17#0#00:00:00#00:00:00#00:00:00 1 6c4e52ce0fbb3601c1cedc0b29d706cd
3207012 C 3 CP 1 31/01/2018 05/02/2018 22/09/1956 0 1
1 M71.0 86.3;86.28;89.52;90.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 4598608 0 6 0 0 0 YUSUP
KARTAWISASTRA 00493057 61 22411 ACHMAD HERYADI, DR. SP. B
1023R00101180012426 0000071077015 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169774 1#0##0#0#0.0#2018-04-18
08:30:59#0#00:00:00#00:00:00#00:00:00 1 01df24a791e71805d87e9d02f4ae7329
3207012 C 1 CP 1 01/02/2018 05/02/2018 13/12/1951 0 1
1 I50.0 87.49;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 3605900 0
0 - 0 - 0 - 0 - 0 3605900 3008595
0 5 0 0 0 IPIK ABDULLAH CHOLIQ 00493860 66 24157
SETYO RAHARJO, DR, SP. PD 1023R00102180000443 0000071551708 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 161269 1#0##0#0#0.0#2018-
04-18 09:28:22#0#00:00:00#00:00:00#00:00:00 2
8aa8f59561182e285fc87b91f35781bd
3207012 C 2 CP 1 01/02/2018 05/02/2018 23/09/1977 0 2
1 O00.2;O99.0 65.49;90.59;57.94;93.57 - - None None None None
W-1-20-II None None None None None None PROSEDUR PADA RAHIM & ADNEKSA
(SEDANG) 9201700 0 0 - 0 - 0 - 0 - 0
9201700 6421895 0 5 0 0 0 NURHASANAH 00493812
40 14741 H. SUSWADI, SP.OG 1023R00102180000424 0001177598226 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 164880 1#0##0#0#0.0#2018-
04-18 09:35:27#0#13:30:04#13:30:04#00:00:00 2
0a8d8e62594016c88621374528a83893
3207012 C 3 CP 1 01/02/2018 05/02/2018 14/05/1966 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1598633 0 5 0 0 0 TITI KARYAWATI
00421185 51 18891 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000452
0001965997629 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 162784
22#0##0#0#0.0#2018-04-18 09:59:49#0#00:00:00#00:00:00#00:00:00 2
921d0731e98cd079b229d67685ea3161
3207012 C 3 CP 1 03/02/2018 05/02/2018 01/11/1936 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 897082 0 3 0 0 0 DASIR 00494015 81
29679 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001036 0000438843475
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160848
1#0##0#0#0.0#2018-04-18 10:04:29#0#00:00:00#00:00:00#00:00:00 2
61a4900c40227351e1ffa8de5824d1fd
3207012 C 3 CP 1 02/02/2018 05/02/2018 19/04/1945 0 2
1 K30 87.49;88.19;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1425636 0 4 0 0 0 SARI 00493929 72
26587 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001598 0002426873354
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161381
1#0##0#0#0.0#2018-04-18 10:05:34#0#00:00:00#00:00:00#00:00:00 2
9854633557a74a5afe4032383d354e97
3207012 C 2 CP 1 31/01/2018 05/02/2018 03/04/1991 0 2
1 I10;A01.0;G44.2 90.59 - - None None None None I-4-17-III
None None None None None None HIPERTENSI (BERAT) 2948200 0
0 - 0 - 0 - 0 - 0 2948200 3157842
0 6 0 0 0 NIHLAH AZIZAH 00492505 26 9800
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00101180012443 0002035175613
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159929
1#0##0#0#0.0#2018-04-19 08:30:27#0#00:00:00#00:00:00#00:00:00 2
2016499c3c2b3f92f4055c7334a104b7
3207012 C 3 CP 1 30/01/2018 05/02/2018 01/03/1956 0 1
1 A15.0;I11.0 89.52;87.49;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 2560928 0 7 0 0 0 JARUKI 00493566
61 22615 SETYO RAHARJO, DR, SP. PD 1023r00101180011992
0000441941657 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166398
1#0##0#0#0.0#2018-04-19 08:36:22#0#11:20:11#11:20:11#00:00:00 2
03e64a1e014aef9301ff6d7ce9443d36
3207012 C 2 CP 1 31/01/2018 05/02/2018 25/07/1957 0 1
4 N18.5;I50.0;G93.4;A40.3 39.95;99.60;57.94;96.07;93.96;99.04;89.52;90.59
- - None None None None N-4-10-III None None None None None
None TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL (BERAT) 5253400 0
0 - 0 - 0 - 0 - 0 5253400 7029893
 0 6 0 0 0 BADRUJAMAN 00493754 60 22105 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00101180012496 0001830672314 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163562 1#0##0#0#0.0#2018-04-19
08:40:05#0#00:00:00#00:00:00#00:00:00 2 8cd184b3055d04bd045cfbbe509f1ac3
3207012 C 3 CP 1 22/01/2018 05/02/2018 01/10/1996 0 2
1 A15.0;E43;L89.0 87.49;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 8983694 0 15 0 0 0 RIA PUSPITASARI
00492852 21 7783 ABU BAKAR, DR. SPP, MKES 1023R00101180008758
0000442007111 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163667
1#0##0#0#0.0#2018-04-19 08:41:04#0#00:00:00#00:00:00#00:00:00 2
8269e4c1b4efe893b786b30c9f79a536
3207012 C 3 CP 1 04/02/2018 05/02/2018 08/06/1946 0 2
1 C44.3 86.3;86.89;69.52;90.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3141596 0 2 0 0 0
RUMINAH 00478403 71 26174 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001056 0000438756096 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171797 1#0##0#0#0.0#2018-04-23
08:40:35#0#00:00:00#00:00:00#00:00:00 1 9d1ddb32784ee70bee5e1795cdb867e6
3207012 C 3 CP 1 24/01/2018 05/02/2018 08/04/1956 0 1
1 K74.6;R18 54.91;90.59 - - None None None None B-4-13-II
None None None None None None GANGGUAN HATI LAIN-LAIN (SEDANG)
3637100 0 0 - 0 - 0 - 0 - 0
3637100 5921009 0 13 0 0 0 EMON PARMAN 00475272
61 22571 SETYO RAHARJO, DR, SP. PD 1023r00101180009794
0002259201486 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167135
1#0##0#0#0.0#2018-04-23 08:50:28#0#10:03:08#10:03:08#00:00:00 2
5d14e958466ab1846bfe518893cbf024
3207012 C 3 CP 1 04/02/2018 05/02/2018 14/02/1995 0 2
1 D24 85.21;87.49;91.89;90.59 - - None None None None L-1-
50-I None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3748458 0 2 0 0 0 NINA GARTINA
00385578 22 8391 ACHMAD HERYADI, DR. SP. B 1023r00102180001061
0001183055163 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167225
1#0##0#0#0.0#2018-04-23 08:51:43#0#11:30:15#11:30:15#00:00:00 2
583b7abe8cb60d3dd3b7902e6941b029
3207012 C 3 CP 1 26/01/2018 05/02/2018 01/09/1980 0 2
1 O99.8;M51.1;Z30.2;O82.1;Z37.0 74.0;66.32;90.59;93.57;57.94 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 -
0 - 0 - 0 4830200 9951329 0 11 0 0
0 NINA 00493261 37 13661 H. SUSWADI, SP.OG 1023R00101180010569
0000440484647 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173061
1#0##0#0#0.0#2018-04-24 12:23:42#0#00:00:00#00:00:00#00:00:00 1
d212c11c299c0ea56817db8f8831b162
3207012 C 1 CP 1 02/02/2018 05/02/2018 26/12/1965 0 2
1 E11.4;G63.2;R51 90.59 - - None None None None G-4-17-II
None None None None None None GANGUAN SARAF KRANIAL DAN PERIFER
(SEDANG) 6130900 0 0 - 0 - 0 - 0 - 0
6130900 1315728 0 4 0 0 0 ENOK SUSILAWATININGSH
00036022 52 19031 SETYO RAHARJO, DR, SP. PD 1023R00102180000757
0000071786687 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161314
1#0##0#0#0.0#2018-04-25 07:48:40#0#00:00:00#00:00:00#00:00:00 3
8cd168741138dd60ac3ac44f396cc941
3207012 C 3 CP 1 31/01/2018 05/02/2018 05/10/1942 0 1
 1 A15.0;E11.2;N08.3;I11.0;I48 89.52;87.49;90.59 - - None None
None None J-4-15-III None None None None None None PERADANGAN DAN
INFEKSI PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 -
0 - 0 6429000 2142914 0 6 0 0 0 MANSUR
00488238 75 27512 SETYO RAHARJO, DR, SP. PD 1023r00101180012480
0002314138757 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167818
1#0##0#0#0.0#2018-04-25 08:00:06#0#13:25:52#13:25:52#00:00:00 3
9af727875fd919cf8680c04b1926c453
3207012 C 3 CP 1 04/02/2018 05/02/2018 01/03/1999 0 2
1 O63.9;O80.0;O70.1;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 2879137 0 2 0 0 0 FITRI HANDAYANI
00494028 18 6915 NANANG WIBOWO, DR. SP. OG 1023r00102180001479
0000441643972 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164964
1#0##0#0#0.0#2018-04-25 10:40:02#0#14:28:30#14:28:30#00:00:00 2
fb69a805a83b5279741c96766c232458
3207012 C 1 CP 1 31/01/2018 05/02/2018 27/09/1963 0 2
1 S42.20;W01.0 79.32;87.49;88.21;89.52;90.59 - - None None
None None M-1-80-I None None None None None None PROSEDUR ANGGOTA
TUBUH ATAS (RINGAN) 8745100 0 0 - 0 - 0 - 0
- 0 8745100 16258233 0 6 0 0 0 RUSKIDAH
00457362 54 19850 ALDI DR.SP OT 1023r00101180012502
0000071495559 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167952
1#0##0#0#0.0#2018-04-25 11:48:14#0#09:20:31#09:20:31#12:00:00 2
493cceac844a922c4ee4f1ff8c1cc264
3207012 C 3 CP 1 03/02/2018 05/02/2018 20/05/1981 0 2
1 O13;O60.1;O80.0;O70.1;O72.2;Z37.0 73.59;73.6;75.7;90.59 - -
None None None None O-6-13-II None None None None None None
PERSALINAN VAGINAL (SEDANG) 1828500 0 0 - 0 - 0
- 0 - 0 1828500 605000 0 3 0 0 0
IMAT ROHIMAT 00493991 36 13408 DIDI KURNIADI M, DR. SP.OG
1023R00102180001219 0002183123272 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173522 1#0##0#0#0.0#2018-04-25
11:59:53#0#00:00:00#00:00:00#00:00:00 1 60c831d1cede326e9de3c697f487168f
3207012 C 3 CP 1 31/01/2018 05/02/2018 16/05/1954 0 1
1 J44.0;B90.9;D64.9 99.04;93.94;87.49;90.41;90.59 - - None None
None None J-4-17-II None None None None None None PENYAKIT PARU
OBSTRUKTIF KRONIS (SEDANG) 3280300 0 0 - 0 - 0 -
0 - 0 3280300 4334653 0 6 0 0 0 MAMAN
SUPARMAN 00493758 63 23271 ABU BAKAR, DR. SPP, MKES
1023R00101180012461 0002425587658 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161843 1#0##0#0#0.0#2018-04-30
08:20:58#0#00:00:00#00:00:00#00:00:00 2 e4928af7b6195b1c937adcdca4a0668a
3207012 C 3 CP 1 01/02/2018 06/02/2018 06/12/2014 0 2
1 A01.0;J45.9 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1844771 0 6 0 0 0 QIRANA NURAZIZAH
00428334 3 1153 HJ. SUHERJATI, SP. A 1023R00102180000729
0001795099511 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160003
1#0##0#0#0.0#2018-03-15 13:25:08#0#00:00:00#00:00:00#00:00:00 1
b27346c9ddbd0e8cda726e04b9c4c231
3207012 C 3 CP 1 02/02/2018 06/02/2018 28/06/2008 0 1
1 K30 89.52;87.49;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1310709 0 5 0 0 0 ARINGGA GUNAWAN
00493960 9 3506 IMELDA PINGKAN MONIAGA, DR. SP. A
 1023R00102180001559 0001850763699 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160169 1#0##0#0#0.0#2018-03-15
14:22:27#0#00:00:00#00:00:00#00:00:00 1 2357a58c783f5ddee81775dd7c5eed4b
3207012 C 1 CP 1 01/02/2018 06/02/2018 14/11/1958 0 1
1 I11.0;K59.0;R60.1 89.52;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 3605900
0 0 - 0 - 0 - 0 - 0 3605900
3863671 0 6 0 0 0 OTONG KUSNADI 00395512 59
21629 SETYO RAHARJO, DR, SP. PD 1023R00102180000442 0000071495548
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160417
1#0##0#0#0.0#2018-03-16 11:16:42#0#00:00:00#00:00:00#00:00:00 1
e8c7aa2f9b5fb23ac72f652e04f5e3be
3207012 C 3 CP 1 01/02/2018 06/02/2018 02/05/1950 0 2
1 I61.8 87.49;90.59 - - None None None None G-4-13-I None
None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2575215 0 6 0 0 0 NUNING 00493857
67 24747 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180000750
0002426502609 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160472
1#0##0#0#0.0#2018-03-16 12:49:04#0#00:00:00#00:00:00#00:00:00 1
7c45fb9c5077a63f66b1c931e1abab06
3207012 C 3 CP 1 01/02/2018 06/02/2018 06/05/1964 0 1
1 I63.8 88.19;87.49;91.39 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 2305989 0 6 0 0 0 MOMON 00387742
53 19629 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180000873
0000040130133 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160475
1#0##0#0#0.0#2018-03-16 12:56:23#0#00:00:00#00:00:00#00:00:00 1
5f550cdd557e1166760cc4e85e803951
3207012 C 1 CP 1 02/02/2018 06/02/2018 14/01/2004 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 2899524 0 5 0 0 0 AYU INTAN AFIANI AULIA
00462206 14 5133 SETYO RAHARJO, DR, SP. PD 1023R00102180000767
0000071493355 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160491
1#0##0#0#0.0#2018-03-16 13:38:22#0#00:00:00#00:00:00#12:00:00 1
728b5c7fb4d53400fc21aa106b8040c7
3207012 C 3 CP 1 30/01/2018 06/02/2018 25/05/1968 0 2
1 I50.0;M06.88 89.52;87.49;90.59 - - None None None None
I-4-12-I None None None None None None KEGAGALAN JANTUNG (RINGAN)
2575600 0 0 - 0 - 0 - 0 - 0
2575600 2925208 0 8 0 0 0 ETI GARTINI 00309407
49 18147 SETYO RAHARJO, DR, SP. PD 1023R00101180012219
0001309953554 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161483
1#0##0#0#0.0#2018-03-20 09:46:37#0#00:00:00#00:00:00#12:00:00 1
c77cb94101473187ef979e42941c25d4
3207012 C 3 CP 1 03/02/2018 06/02/2018 02/08/1964 0 1
1 M13.99;K30 89.52;90.59 - - None None None None M-4-18-I
None None None None None None PENYAKIT TULANG DAN SENDI LAIN-LAIN
(RINGAN) 2069900 0 0 - 0 - 0 - 0 - 0
2069900 1186770 0 4 0 0 0 ENDANG KISWA
00494008 53 19543 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001049
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1#0##0#0#0.0#2018-03-21 09:47:28#0#00:00:00#00:00:00#00:00:00 1
a2174ae825426e36f483a9de710e1aca
3207012 C 3 CP 1 30/01/2018 06/02/2018 06/12/1950 0 1
1 N40 60.69;89.52 - - None None None None V-1-13-I None
 None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON KOMPLEK
(RINGAN) 3346700 0 0 - 0 - 0 - 0 - 0
3346700 8060430 0 8 0 0 0 BASRI 00480600 67
24527 ACHMAD HERYADI, DR. SP. B 1023R00101180011971 0002327230552
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162065
1#0##0#0#0.0#2018-03-21 10:48:23#0#00:00:00#00:00:00#00:00:00 1
9fd0b84300c13f6f63fa0c5ce03bd4a5
3207012 C 3 CP 1 02/02/2018 06/02/2018 01/07/1937 0 2
1 D64.9;K92.1;I10 99.04;89.52;87.49;90.59 - - None None None
None D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 3287772 0 5 0 0
0 ANAH 00493923 80 29436 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180000719 0000441632902 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162730 1#0##0#0#0.0#2018-03-22
08:58:55#0#00:00:00#00:00:00#00:00:00 1 98d36a31d153fbf92aee3ba26302f0de
3207012 C 3 CP 1 02/02/2018 06/02/2018 09/07/1965 0 1
1 A15.0;E14.9;M79.19 89.52;87.49;90.59 - - None None None
None J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 1799910 0 5 0 0 0 URI SAPTARI
00490323 52 19201 ABU BAKAR, DR. SPP, MKES 1023R00102180000774
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1#0##0#0#0.0#2018-03-26 07:51:01#0#00:00:00#00:00:00#00:00:00 1
7b70768fd2c75c65bb6e342807bb1a3b
3207012 C 3 CP 1 01/02/2018 06/02/2018 01/05/1980 0 2
1 K30;I84.9 88.76;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
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1242600 1920476 0 6 0 0 0 LIA DAHLIA 00488972
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1#0##0#0#0.0#2018-03-26 08:45:18#0#00:00:00#00:00:00#00:00:00 1
7b6a90b2e35297f11ea817c60927f813
3207012 C 3 CP 1 04/02/2018 06/02/2018 14/03/1975 0 1
1 K40.9 53.05;89.52;87.49;90.59;93.57 - - None None None None
K-1-14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN
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0 4528900 4569129 0 3 0 0 0 MAMAN HERMAWAN
00493511 42 15668 FIRDAUS BENNY PUTRA, DR. SP. B.
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09:03:35#0#00:00:00#00:00:00#00:00:00 1 1be6f81186b6cd9435a6efecddc43835
3207012 C 3 CP 1 05/02/2018 06/02/2018 01/09/1960 0 1
4 E11.7;N08.3 99.60;96.07;57.94;90.59 - - None None None None
E-4-10-I None None None None None None PENYAKIT KENCING MANIS &
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0 - 0 - 0 3330600 2406377 0 2 0 0
0 SOLEH 00359819 57 20976 SETYO RAHARJO, DR, SP. PD
1023R00102180001461 0000440241197 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163985 1#0##0#0#0.0#2018-03-26
10:45:22#0#00:00:00#00:00:00#12:00:00 1 1730cc79cb3420b6d441fe50a643096f
3207012 C 3 CP 1 04/02/2018 06/02/2018 14/10/2015 0 1
1 K30;Q24.9;Q90.9 90.59 - - None None None None K-4-18-II
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(SEDANG) 1765800 0 0 - 0 - 0 - 0 - 0
1765800 788105 0 3 0 0 0 ARKAN RAFFASYA NUGRAHA
00494061 2 844 HJ. SUHERJATI, SP. A 1023r00102180002205
0001891354757 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164284
 1#0##0#0#0.0#2018-03-26 14:52:52#0#14:51:38#14:51:38#00:00:00 1
6c7feaf00d467cc5f73cd28d55955636
3207012 C 3 CP 1 03/02/2018 06/02/2018 11/07/2014 0 1
1 K12.0 90.59 - - None None None None U-4-14-I None None
None None None None PENYAKIT MULUT DAN GIGI (RINGAN) 2738800 0
0 - 0 - 0 - 0 - 0 2738800 1058418
0 4 0 0 0 AA ADAM SYIDIK 00486699 3 1303 IMELDA
PINGKAN MONIAGA, DR. SP. A 1023r00102180001035 0002025230501 3;JKN NANA
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10:06:36#0#10:05:29#10:05:29#00:00:00 1 48b9af23255637cb7b63ca7d32380148
3207012 C 3 CP 1 01/02/2018 06/02/2018 13/06/1961 0 1
1 I11.0;K30 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
2220011 0 6 0 0 0 SOBIRIN 00358998 56 20687
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000448 0001286094532 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164770 1#0##0#0#0.0#2018-
03-27 11:37:38#0#11:35:47#11:35:47#00:00:00 1
46021dcff68a2c655eea16a9c63d744d
3207012 C 2 CP 1 02/02/2018 06/02/2018 01/03/1949 0 1
1 I50.0;I25.0;K30 89.52;87.49;90.59 - - None None None None
I-4-12-I None None None None None None KEGAGALAN JANTUNG (RINGAN)
3090800 0 0 - 0 - 0 - 0 - 0
3090800 1845170 0 5 0 0 0 H.USUP 00493881
68 25175 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000595
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1#0##0#0#0.0#2018-03-27 13:15:41#0#13:08:42#13:08:42#00:00:00 1
1adb37bf81a004d7048a538cbdbb8c6f
3207012 C 3 CP 1 05/02/2018 06/02/2018 05/02/2018 2500 2
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 455612 0 2 0 0 0 BY NY
DIANA APRILIANI 00494177 0 0 TISA RAHMAWATY DR. SP.A
1023r00102180002225 0002427414322 3;JKN NANA KUSLIANA;
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13:32:22#0#13:30:37#13:30:37#00:00:00 1 77e6b0f0a21ebaae2d2107c264ffabee
3207012 C 3 CP 1 02/02/2018 06/02/2018 01/06/1969 0 1
1 A01.0;K30 89.52;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1656016 0 5 0 0 0 KOSWARA
SONJAYA 00493934 48 17778 AYATULLAH KHOMAINI, DR. SP.PD
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4 164908 1#0##0#0#0.0#2018-03-27
13:52:22#0#13:50:23#13:50:23#00:00:00 1 aba45028757f28a328e1953a125055a1
3207012 C 3 CP 1 05/02/2018 06/02/2018 08/05/1993 0 2
1 O42.9;O80.0;O70.1;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 327787 0 2 0 0 0 ENI ROHAENI 00494066
24 9039 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180001182
0002253379948 3;JKN ANDI; 5.2.0.201712280730 4 164913
1#0##0#0#0.0#2018-03-27 13:54:59#0#13:53:19#13:53:19#00:00:00 1
efeab99be3480981e73cecca7cb44f2d
3207012 C 3 CP 1 31/01/2018 06/02/2018 01/01/1965 0 1
1 L02.4 86.28;90.59 - - None None None None L-4-12-I None
None None None None None PERADANGAN KULIT/CELLULITIS (RINGAN)
1262500 0 0 - 0 - 0 - 0 - 0
 1262500 5992154 0 7 0 0 0 TALIM IIN SOLIHIN
00191910 53 19388 ALDI DR.SP OT 1023r00101180012475
0000439990233 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164937
1#0##0#0#0.0#2018-03-27 14:11:51#0#14:10:28#14:10:28#00:00:00 1
5c9ebde2baf09adda190b0d32677cb47
3207012 C 2 CP 1 26/01/2018 06/02/2018 03/08/1974 0 2
1 K80.2;N30.9 88.76;90.59 - - None None None None B-4-14-II
None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(SEDANG) 4366100 0 0 - 0 - 0 - 0 - 0
4366100 5990055 0 12 0 0 0 YENI HERAWATI
00349030 43 15882 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r0010118000
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1#0##0#0#0.0#2018-03-27 14:39:36#0#14:38:01#14:38:01#12:00:00 2
a2ac77c3e0cc3a73cd6e1f2b439ed0c3
3207012 C 2 CP 1 26/01/2018 06/02/2018 03/08/1974 0 2
1 K80.2;N30.9 88.76;90.59 - - None None None None B-4-14-II
None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(SEDANG) 4366100 0 0 - 0 - 0 - 0 - 0
4366100 5990055 0 12 0 0 0 YENI HERAWATI
00349030 43 15882 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00101180010519 0000071698757 3;JKN INACBG;123123123123
5.2.0.201712280730 4 164980 1#0##0#0#0.0#2018-03-28
08:49:38#0#14:38:01#14:38:01#12:00:00 3 bf86050e2d478b44332fadf597cdadf4
3207012 C 3 CP 1 28/01/2018 06/02/2018 03/10/1962 0 2
1 M06.99;I10 87.24;90.59 - - None None None None M-4-16-I
None None None None None None GANGGUAN JARINGAN KONEKTIF (RINGAN)
2110000 0 0 - 0 - 0 - 0 - 0
2110000 3835595 0 10 0 0 0 ENGKAR 00341414
55 20206 H. DENNY RAHARJONO, DR. SP. S. 1023r00101180010926
0001262698345 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165938
1#0##0#0#0.0#2018-04-02 09:30:47#0#09:29:28#09:29:28#00:00:00 1
a6f738de4f1f4399d07567b12c6f48e9
3207012 C 3 CP 1 30/01/2018 06/02/2018 15/04/2015 0 1
1 R56.0;A16.2 87.49;90.59 - - None None None None G-4-22-II
None None None None None None SERANGAN KEJANG (SEDANG) 3226600
0 0 - 0 - 0 - 0 - 0 3226600
4795320 0 8 0 0 0 FARIEL WILDAN NUGRAHA 00493484
2 1021 HJ. SUHERJATI, SP. A 1023r00101180011494 0002219879327
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166003
1#0##0#0#0.0#2018-04-02 10:01:27#0#10:00:02#10:00:02#00:00:00 1
407da2578255d00216e664ab4d1ec591
3207012 C 3 CP 1 04/02/2018 06/02/2018 18/08/1999 0 2
1 K59.0 88.76;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1134179 0 3 0 0 0 DITA NURKAMILAH
00494048 18 6745 ACHMAD HERYADI, DR. SP. B 1023R00102180001604
0002426894324 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159861
1#0##0#0#0.0#2018-04-04 10:07:19#0#00:00:00#00:00:00#00:00:00 2
7b8b738cb67cabd01466a17b7152510a
3207012 C 1 CP 1 03/02/2018 06/02/2018 04/07/1966 0 2
1 D64.9;K30;I10 90.59;99.04 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 3105300 0 0 - 0 - 0 -
0 - 0 3105300 2741526 0 4 0 0 0 TITIK
SUGIHARTINAH 00361923 51 18842 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180001446 0000070905982 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159767 1#0##0#0#0.0#2018-04-04
10:08:48#0#00:00:00#00:00:00#12:00:00 2 a016f8415f42e259258d563b460902cc
3207012 C 3 CP 1 01/02/2018 06/02/2018 01/04/1948 0 1
1 J18.0 93.94;87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 2270830 0 6 0 0 0 ENGKUS KUSNADI
00493858 69 25508 SETYO RAHARJO, DR, SP. PD 1023r00102180000450
0001005957718 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167184
1#0##0#0#0.0#2018-04-06 10:54:16#0#10:52:23#10:52:23#00:00:00 1
310e97a09db7e312757acb0206ea5a68
3207012 C 3 CP 1 04/02/2018 06/02/2018 01/07/1964 0 2
1 A15.0;B99 90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 958500 0 3 0 0 0 EDAH 00460686 53
19576 RINA ANGGRAENI, DR 1023r00102180001552 0000440725026 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167495 1#0##0#0#0.0#2018-
04-09 09:45:07#0#09:43:54#09:43:54#12:00:00 1
ac0609b1781cf29321da0b6dc0c585c1
3207012 C 3 CP 1 04/02/2018 06/02/2018 05/02/1968 0 2
4 I11.0;E11.9 99.60;89.52;87.49;90.59;57.94 - - None None None
None I-4-12-I None None None None None None KEGAGALAN JANTUNG
(RINGAN) 2575600 0 0 - 0 - 0 - 0 - 0
2575600 1571020 0 3 0 0 0 ANAH 00487113 49
18262 SETYO RAHARJO, DR, SP. PD 1023r00102180001076 0002304438941
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167771
1#0##0#0#0.0#2018-04-10 08:02:38#0#08:01:20#08:01:20#00:00:00 1
7a70dd686851380a8f35d7b8ccb3a629
3207012 C 3 CP 1 03/02/2018 06/02/2018 01/12/1987 0 2
1 A15.0 87.49;90.41;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1663010 0 4 0 0 0 YAYAH ROKAYAH
00474192 30 11022 ABU BAKAR, DR. SPP, MKES 1023r00102180001026
0000437848288 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167798
1#0##0#0#0.0#2018-04-10 09:06:19#0#09:05:11#09:05:11#00:00:00 1
d6a4954bdbcef2f30271e88ba1a3ddd0
3207012 C 2 CP 1 02/02/2018 06/02/2018 24/04/1971 0 1
1 J18.0;I20.0 89.52;87.49;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 5619800 0 0 - 0 - 0 - 0 - 0
5619800 2920004 0 5 0 0 0 OON 00491643 46
17086 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180000745
0001829117237 3;JKN Ridwan; 5.2.0.201712280730 4 164754
1#0##0#0#0.0#2018-04-11 08:16:41#0#11:23:09#11:23:09#00:00:00 3
9955df8e889f3fabdff8020cd1cdaf01
3207012 C 3 CP 1 01/02/2018 06/02/2018 01/09/1960 0 1
1 M51.0;G99.2;G44.2;J45.9 87.24;90.59 - - None None None None
M-4-17-II None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (SEDANG) 3830100 0 0 - 0 - 0
- 0 - 0 3830100 2291093 0 6 0 0 0
ENDIN 00431343 57 20972 H. DENNY RAHARJONO, DR. SP. S.
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4 167947 1#0##0#0#0.0#2018-04-11
09:18:16#0#09:16:45#09:16:45#00:00:00 1 343f940041766197cd7e842cf9f78df0
3207012 C 2 CP 1 02/02/2018 06/02/2018 01/02/1990 0 1
1 F41.9;K30 90.59;87.49 - - None None None None F-4-15-I
None None None None None None FOBIA, ANXIETAS DAN NEUROSIS LAIN-LAIN
(RINGAN) 2482900 0 0 - 0 - 0 - 0 - 0
2482900 2740514 0 5 0 0 0 MOCHAMAD AYI PRATAMA
 00488927 28 10228 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000772
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1#0##0#0#0.0#2018-04-11 09:37:43#0#08:18:08#08:18:08#00:00:00 1
23e10aea29d63e9425060da8bcfdf1be
3207012 C 3 CP 1 05/02/2018 06/02/2018 05/02/2018 3100 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 482820 0 2 0 0 0 BY NY HIKMATUL
FAIZAH 00494178 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002190
0002427376803 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159828
1#0##0#0#0.0#2018-04-11 12:29:14#0#00:00:00#00:00:00#00:00:00 2
a21914701cb7562af46aaf8f8a4a4765
3207012 C 3 CP 1 05/02/2018 06/02/2018 18/07/1978 0 2
1 H11.0 11.39;10.44 - - None None None None H-1-20-I None
None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2834982 0 2 0 0 0 ADE SUKAESIH
00468331 39 14447 MEGA PRAYOGA, DR. SP. M. 1023R00102180001161
0002231543878 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163276
1#0##0#0#0.0#2018-04-13 10:25:05#0#00:00:00#00:00:00#00:00:00 2
1068bd9c9117fb3f39d916cc9dece018
3207012 C 3 CP 1 01/02/2018 06/02/2018 12/08/1959 0 1
1 E14.5 84.11;89.52;87.49;90.59 - - None None None None M-1-
30-I None None None None None None PROSEDUR KAKI (RINGAN) 6295600 0
0 - 0 - 0 - 0 - 0 6295600 4970692
0 6 0 0 0 SURYADI 00493862 58 21358 ACHMAD
HERYADI, DR. SP. B 1023r00102180000747 0001312871062 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 168608 1#0##0#0#0.0#2018-04-16
10:49:01#0#10:47:32#10:47:32#00:00:00 1 47eb7bffccec170ecaf68c032af05dd6
3207012 C 3 CP 1 03/02/2018 06/02/2018 13/11/1997 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1318093 0 4 0 0 0 PEREN PERINA
00450090 20 7387 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001596
0002084035318 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164840
1#0##0#0#0.0#2018-04-18 08:38:59#0#12:59:20#12:59:20#00:00:00 2
f8d62130cddb0b8a2e1f60b8345fc2cf
3207012 C 3 CP 1 26/01/2018 06/02/2018 09/11/1998 0 2
1 A15.0 99.04;87.49;90.59;87.24 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 7516625 0 12 0 0 0 PUAD MUNAWAROH
00493256 19 7018 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180010555
0000437212078 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164968
1#0##0#0#0.0#2018-04-18 08:40:53#0#14:30:28#14:30:28#00:00:00 2
11329ee419ba7630d38b99efe77e1154
3207012 C 3 CP 1 02/02/2018 06/02/2018 29/12/1986 0 2
1 T43.8;F32.9;K30;X41.0 90.59 - - None None None None S-4-
12-I None None None None None None KERACUNAN TERMASUK KERACUNAN OBAT
(RINGAN) 1481200 0 0 - 0 - 0 - 0 - 0
1481200 4053828 0 5 0 0 0 HENI SURYANI
00492285 31 11358 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180000702
0001776778997 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161918
1#0##0#0#0.0#2018-04-18 08:58:13#0#00:00:00#00:00:00#00:00:00 2
c377bd75f77c4eb46d043059447557eb
3207012 C 3 CP 1 03/02/2018 06/02/2018 01/10/1947 0 1
1 K30 89.52;90.59 - - None None None None K-4-18-I None
 None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1199163 0 4 0 0 0 HOLIS MUHAMAD S
00350046 70 25693 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001028
0000440253685 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161926
13#0##0#0#0.0#2018-04-18 10:00:34#0#00:00:00#00:00:00#00:00:00 2
ebb3f9fba754d23d0c97bfa1082ebe8e
3207012 C 1 CP 1 27/01/2018 06/02/2018 01/08/1950 0 1
1 I48;I13.0;A15.0;E14.9 89.52;87.49;88.76;90.59;90.41 - - None
None None None I-4-19-III None None None None None None GANGGUAN
KONDUKSI & ARITMIA JANTUNG (BERAT) 7584800 0 0 - 0 - 0
- 0 - 0 7584800 6687543 0 11 0 0 0
MAMAN GANDASASMITA 00253843 67 24651 PRIMAHATI RIANA ROSY, DR.
SP.PD 1023R00101180010784 0000071314075 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164907 1#0##0#0#0.0#2018-04-19
08:30:07#0#13:50:04#13:50:04#00:00:00 2 c869a7acb2e454bf3fc9575f23b7f64c
3207012 C 3 CP 1 01/02/2018 06/02/2018 11/11/2013 0 1
1 A16.2;A01.0 87.49;90.59 - - None None None None J-4-15-III
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (BERAT)
6429000 0 0 - 0 - 0 - 0 - 0
6429000 2223874 0 6 0 0 0 DANI 00493833 4
1543 HJ. SUHERJATI, SP. A 1023R00102180000731 0002426146975 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160140 1#0##0#0#0.0#2018-
04-19 08:33:22#0#00:00:00#00:00:00#00:00:00 3
c45574596386aa68d3d049c4ae3a27af
3207012 C 3 CP 1 05/02/2018 06/02/2018 03/09/1980 0 2
1 D24 85.12;90.59;91.59 - - None None None None L-1-50-I
None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3052035 0 2 0 0 0 ANAH JUJU 00491125
37 13669 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001344
0002213805879 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171713
1#0##0#0#0.0#2018-04-23 08:00:12#0#00:00:00#00:00:00#00:00:00 1
ac9c42a287c4ca57cc31955008c2738d
3207012 C 3 CP 1 05/02/2018 06/02/2018 21/04/1956 0 2
1 E14.3;H28.0;Z96.1;I10 13.3;13.19;90.59 - - None None None
None H-1-30-I None None None None None None PROSEDUR LENSA DAN INTRA
OKULER (RINGAN) 6433000 0 0 - 0 - 0 - 0 -
0 6433000 5476435 0 2 0 0 0 ENE ROHIMAH
00410897 61 22570 MEGA PRAYOGA, DR. SP. M. 1023R00102180001136
0000071365149 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159853
1#0##0#0#0.0#2018-04-23 08:35:44#0#00:00:00#00:00:00#00:00:00 3
3ecc303874d0b9e170c0d4e1a2dde1ec
3207012 C 3 CP 1 05/02/2018 06/02/2018 28/03/2007 0 2
1 D36.7 86.3;86.89;87.49;90.59;91.56 - - None None None None
L-1-40-I None None None None None None PROSEDUR PADA KULIT,
JA(RINGAN) BAWAH KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0
- 0 - 0 - 0 3696900 2971961 0 2 0
0 0 NAZWA MAULINDA 00489939 10 3967 FIRDAUS BENNY PUTRA, DR.
SP. B. 1023R00102180001626 0002272854936 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171799 1#0##0#0#0.0#2018-04-23
08:42:13#0#00:00:00#00:00:00#00:00:00 1 471098011fdd5223d4c04e2891c6be64
3207012 C 3 CP 1 05/02/2018 06/02/2018 18/10/2001 0 2
1 D24 86.3;91.59;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3889002 0 2 0 0 0 SYIFA
ANANDA FARID ANISA 00482448 16 5954 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180001597 0002288629653 3;JKN NANA KUSLIANA;
 5.2.1.201804062320 4 168594 1#0##0#0#0.0#2018-04-25
07:44:15#0#10:41:05#10:41:05#00:00:00 2 002217e7e2d4bab57ce28b3979b834bc
3207012 C 2 CP 1 05/02/2018 06/02/2018 30/01/2018 3100 1
2 P36.9;P57.9 93.90;99.83;96.07;90.59 - - None None None None
P-8-16-III None None None None None None NEONATAL, BBL > 2499 GR
DENGAN KONGENITAL/INFEKSI PERINATAL (BERAT) 8402800 0 0 - 0
- 0 - 0 - 0 8402800 3026225 0 2 0
0 0 BY NY EVIE PRATIWI 00494175 0 6 IMELDA PINGKAN
MONIAGA, DR. SP. A 1023R00102180002080 0002318166461 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 171703
1#0##0#0#0.0#2018-04-25 09:05:19#0#00:00:00#00:00:00#00:00:00 3
50b075862d7cd7753d6020408ff4e9bb
3207012 C 3 CP 1 05/02/2018 06/02/2018 15/04/1976 0 2
1 H11.0;I10 11.32 - - None None None None H-1-20-I None
None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2844657 0 2 0 0 0 LALAH 00390300 41
15271 MEGA PRAYOGA, DR. SP. M. 1023R00102180001146 0001425700866
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163274
1#0##0#0#0.0#2018-04-30 07:47:00#0#00:00:00#00:00:00#00:00:00 5
badc5cce59bbe3115b56eb4b7b56e191
3207012 C 3 CP 1 05/02/2018 06/02/2018 19/09/1968 0 1
4 J18.0 89.52;87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 1532071 0 2 0 0 0 SAKIM SAGITA
00388073 49 18036 ABU BAKAR, DR. SPP, MKES 1023R00102180002215
0002427414208 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163659
1#0##0#0#0.0#2018-04-30 08:47:57#0#00:00:00#00:00:00#00:00:00 2
189c6b5b7d83f8346bf582308d684042
3207012 C 3 CP 1 03/02/2018 06/02/2018 01/05/2001 0 2
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1133353 0 4 0 0 0 WIDIA SRI HERDIANA
00409562 16 6122 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180001189
0000441174914 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164775
1#0##0#0#0.0#2018-05-03 08:51:15#0#11:38:12#11:38:12#00:00:00 3
30bf222ffddf55be6e2337f9fdf04b37
3207012 C 3 CP 1 03/02/2018 07/02/2018 22/06/1971 0 2
1 I63.9 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 2193543 0 5 0 0 0 ENOK NUR ADAWIYAH
00452713 46 17028 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180001002 0002026492323 3;JKN INACBG;123123123123
5.2.0.201712280730 4 159448 1#0##0#0#0.0#2018-03-14
09:08:28#0#00:00:00#00:00:00#00:00:00 1 692206295f5565be61713691d841fa78
3207012 C 3 CP 1 04/02/2018 07/02/2018 25/03/2016 0 1
1 R56.0;J06.9 90.59;90.99 - - None None None None G-4-22-I
None None None None None None SERANGAN KEJANG (RINGAN) 2525300
0 0 - 0 - 0 - 0 - 0 2525300
1243985 0 4 0 0 0 MUHAMMAD AZHWA PUTRA RYANTO
00433925 1 681 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180002175 0002047946951 3;JKN INACBG;123123123123
5.2.0.201712280730 4 159465 1#0##0#0#0.0#2018-03-14
09:15:30#0#00:00:00#00:00:00#00:00:00 1 af92916f3bf3af33772ec7e2d3836a6d
3207012 C 3 CP 1 05/02/2018 07/02/2018 01/09/1995 0 1
1 Z48.8;I84.9;R50.9 90.59 - - None None None None Z-4-12-I
 None None None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS
KESEHATAN LAIN-LAIN (RINGAN) 1166200 0 0 - 0 - 0 -
0 - 0 1166200 981378 0 3 0 0 0 RAMLAN
00493084 22 8193 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001625 0000441947856 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159867 1#0##0#0#0.0#2018-03-15
11:23:51#0#00:00:00#00:00:00#00:00:00 1 c66aa91d690b230370cbe7b46cb0ce1b
3207012 C 3 CP 1 06/02/2018 07/02/2018 06/02/2018 3500 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 462820 0 2 0 0 0 PIKRI LUTPIANSAH
PATONI 00494268 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002519
0002318140326 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159890
1#0##0#0#0.0#2018-03-15 11:36:57#0#00:00:00#00:00:00#00:00:00 1
09cbfc75c1c9cad09b4bf2dddc62976d
3207012 C 3 CP 1 06/02/2018 07/02/2018 06/02/2018 3100 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 462820 0 2 0 0 0 BY NY EPIH
NURHOPIPAH 00494258 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002390
0002313280991 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159895
1#0##0#0#0.0#2018-03-15 11:42:21#0#00:00:00#00:00:00#00:00:00 1
05eaa812f7c41c88d97475b51d8ee552
3207012 C 2 CP 1 06/02/2018 07/02/2018 06/02/2018 3300 1
1 P03.4 93.93 - - None None None None P-8-17-I None None
None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR MAYOR (RINGAN)
3991700 0 0 - 0 - 0 - 0 - 0
3991700 462820 0 2 0 0 0 BY NY FRINKA SEPTIANI
PIHARA 00494265 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002491
0002427465633 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159918
1#0##0#0#0.0#2018-03-15 11:50:16#0#00:00:00#00:00:00#00:00:00 1
e178f0f2ee9d083f57fafc131b75524e
3207012 C 2 CP 1 31/01/2018 07/02/2018 02/10/1970 0 1
1 E11.5;I25.9 90.59;89.52 - - None None None None I-4-15-I
None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (RINGAN) 5114500 0 0 - 0 - 0 - 0 -
0 5114500 5146805 0 8 0 0 0 ASEP SAEPUDIN
00391555 47 17288 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00101180012458 0001095911763 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159988 1#0##0#0#0.0#2018-03-15
13:18:55#0#00:00:00#00:00:00#00:00:00 1 a91cf501062b1c46a49657c31d7643db
3207012 C 2 CP 1 06/02/2018 07/02/2018 06/02/2018 2700 1
1 P03.4;Z24.6 93.93;90.59;99.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3991700 0 0 - 0 - 0 - 0 -
0 3991700 516010 0 2 0 0 0 BY NY RINNA
NURLINNA 00494272 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002697
0002427724563 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160253
1#0##0#0#0.0#2018-03-15 14:56:04#0#00:00:00#00:00:00#00:00:00 1
f9f89fab61239c166bd2d941b5e709cd
3207012 C 1 CP 1 01/02/2018 07/02/2018 28/05/1961 0 1
1 C92.1;D63.0 99.04;89.52;90.59 - - None None None None C-4-
11-II None None None None None None LIMFOMA & LEUKEMIA NON AKUT (SEDANG)
6159800 0 0 - 0 - 0 - 0 - 0
6159800 5568398 0 7 0 0 0 SAHLAN RUSDIANA
00486208 56 20703 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180000383 0000071741395 3;JKN NANA KUSLIANA;
 5.2.0.201712280730 4 161317 1#0##0#0#0.0#2018-03-20
08:25:35#0#00:00:00#00:00:00#00:00:00 1 bd1ef48631bf89da1f78a312fcd48e89
3207012 C 3 CP 1 29/01/2018 07/02/2018 10/10/1963 0 1
1 A15.0;K71.1;E11.9 89.52;87.49;90.59 - - None None None None
J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 4170375 0 10 0 0 0 E. KUSMANA
00487920 54 19835 SETYO RAHARJO, DR, SP. PD 1023R00101180011361
0001859606313 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161476
1#0##0#0#0.0#2018-03-20 09:43:25#0#00:00:00#00:00:00#00:00:00 1
1252e61ba457c736f5719a907e009488
3207012 C 3 CP 1 31/01/2018 07/02/2018 07/08/1945 0 1
1 N40 60.69;89.52;93.57 - - None None None None V-1-13-I
None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 8656821 0 8 0 0 0 USMAN 00391383
72 26475 ACHMAD HERYADI, DR. SP. B 1023R00101180012467
0002047060203 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161499
1#0##0#0#0.0#2018-03-20 09:52:07#0#00:00:00#00:00:00#12:00:00 1
272730e08390a4b247bcf4504043eadd
3207012 C 3 CP 1 06/02/2018 07/02/2018 14/05/2012 0 1
2 Q05.9 - - - None None None None G-4-26-I None None
None None None None GANGGUAN - PENYAKIT SISTEM SARAF LAIN-LAIN (RINGAN)
2959900 0 0 - 0 - 0 - 0 - 0
2959900 213450 0 2 0 0 0 ISNAN FAIZAL MAJID
00489705 5 2094 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002304 0002307256885 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161526 1#0##0#0#0.0#2018-03-20
10:04:41#0#00:00:00#00:00:00#00:00:00 1 7709df2d90d0a804fd9f8e707bf803d3
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/02/1994 0 2
1 O42.9;O63.9;O80.0;O70.1;Z37.0 73.59;73.6;90.59 - - None None
None None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 2713684 0 2 0 0 0 DEPI DEPIANINGSIH
00494188 24 8771 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180001767
0000441567775 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161606
1#0##0#0#0.0#2018-03-20 11:17:33#0#00:00:00#00:00:00#00:00:00 1
ac7bc30d981274813fa0f02e1ab14f9e
3207012 C 2 CP 1 04/02/2018 07/02/2018 20/03/1989 0 2
1 J02.9 90.59 - - None None None None U-4-13-I None None
None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 2191600 0 0 - 0 - 0 -
0 - 0 2191600 2177858 0 4 0 0 0 SILVA
NURUL FADILA, AM.KEB 00494052 28 10548 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180001073 0001428873939 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161742 1#0##0#0#0.0#2018-03-20
12:35:12#0#00:00:00#00:00:00#00:00:00 1 a7ac2075c983b9e2b9d85eb8ab0d04b3
3207012 C 3 CP 1 06/02/2018 07/02/2018 13/07/1989 0 2
1 O63.9;O80.0;O72.2;Z37.0 73.59;73.6;75.7;90.59 - - None None
None None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 2829530 0 2 0 0 0 ANI SUMIATI 00494301
28 10435 DIDI KURNIADI M, DR. SP.OG 1023R00102180002334
0000440071828 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161822
1#0##0#0#0.0#2018-03-20 13:12:00#0#00:00:00#00:00:00#00:00:00 1
8a06253713b02e5e361b511b61f60a44
3207012 C 3 CP 1 03/02/2018 07/02/2018 06/10/2015 0 2
1 J06.9;R56.0 90.59 - - None None None None U-4-13-II None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (SEDANG) 2153100 0 0 - 0 - 0 -
0 - 0 2153100 1263925 0 5 0 0 0 VINA
NUR AULIA 00449373 2 851 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180001032 0002038819746 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161857 1#0##0#0#0.0#2018-03-20
13:42:51#0#00:00:00#00:00:00#00:00:00 1 5bb8dc1adc957af13fa3f91481be6e19
3207012 C 3 CP 1 04/02/2018 07/02/2018 01/10/1952 0 2
1 I84.2;I10;K92.1 90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1287572 0 4 0 0 0 UNAMAH 00427655
65 23867 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001074
0001006113947 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161966
1#0##0#0#0.0#2018-03-21 09:59:34#0#00:00:00#00:00:00#00:00:00 1
9b0bc3241f30bdf13a81a9c976148e4f
3207012 C 3 CP 1 06/02/2018 07/02/2018 05/09/1945 0 1
1 K40.9 53.05;89.52 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 3919848 0 2 0 0 0 BASAR SURYANA
00494123 72 26452 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001783 0002249362146 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162311 1#0##0#0#0.0#2018-03-21
12:01:26#0#00:00:00#00:00:00#00:00:00 1 827a9abbbd336a6e3a39caa94d629b42
3207012 C 3 CP 1 05/02/2018 07/02/2018 23/02/2013 0 2
1 K40.9 53.05;90.59;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3567705 0 3 0 0 0 YULIS FEBRYANTI
00490598 4 1808 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001813 0002289309963 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162387 1#0##0#0#0.0#2018-03-21
13:24:08#0#00:00:00#00:00:00#00:00:00 1 680bd5411548102e7c5c88c18913a9f9
3207012 C 3 CP 1 05/02/2018 07/02/2018 01/08/1948 0 1
1 K40.9;K75.9 53.05 - - None None None None K-1-14-II None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (SEDANG)
5307800 0 0 - 0 - 0 - 0 - 0
5307800 4257286 0 3 0 0 0 MIMIN MUHAEMIN
00364924 69 25390 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001622 0000071456545 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162409 1#0##0#0#0.0#2018-03-21
13:32:09#0#00:00:00#00:00:00#00:00:00 1 59728c655ac25a25f6ba95bb9fd3f886
3207012 C 3 CP 1 01/02/2018 07/02/2018 08/11/1934 0 1
1 N40 60.69;89.52;90.59 - - None None None None V-1-13-I
None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 7842366 0 7 0 0 0 H. NANDA JUANDA
00491192 83 30401 ACHMAD HERYADI, DR. SP. B 1023R00102180000436
0000497789403 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162433
1#0##0#0#0.0#2018-03-21 13:38:35#0#00:00:00#00:00:00#00:00:00 1
a6dd88c9b7fe3943da2f9ccf0de9e5a3
3207012 C 3 CP 1 05/02/2018 07/02/2018 05/07/1967 0 2
1 A15.6 34.91;89.52;87.49;90.41;90.59 - - None None None None
J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 2133134 0 3 0 0 0 ELA LAELA
00475548 50 18478 ABU BAKAR, DR. SPP, MKES 1023R00102180001379
0002056370376 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162747
1#0##0#0#0.0#2018-03-22 09:05:46#0#00:00:00#00:00:00#00:00:00 1
 895f1c0c24988a3549715beef87bdfbd
3207012 C 3 CP 1 03/02/2018 07/02/2018 17/08/2012 0 1
1 D62;R62.8;E46 99.04;87.49;90.59 - - None None None None
D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 2484966 0 5 0 0
0 TOMI KUSMAWAN 00493997 5 1996 IMELDA PINGKAN MONIAGA, DR.
SP. A 1023R00102180001019 0002244466337 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162767 1#0##0#0#0.0#2018-03-22
09:11:03#0#00:00:00#00:00:00#00:00:00 1 101f7ebb1e482079135c7cbf26f9d58d
3207012 C 3 CP 1 01/02/2018 07/02/2018 01/09/1950 0 1
1 J44.1;A15.0;E14.9 87.49;90.59 - - None None None None J-4-
17-II None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (SEDANG)
3280300 0 0 - 0 - 0 - 0 - 0
3280300 2963820 0 7 0 0 0 HARJA 00493859 67
24625 ABU BAKAR, DR. SPP, MKES 1023R00102180000441 0000440545735
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163347
1#0##0#0#0.0#2018-03-22 13:28:16#0#00:00:00#00:00:00#00:00:00 1
d03a0db072180b3e02cb29b03364a03a
3207012 C 3 CP 1 06/02/2018 07/02/2018 15/10/1967 0 2
1 I10;R42;R11 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 1758600 0 0
- 0 - 0 - 0 - 0 1758600 545774 0
2 0 0 0 ERNI KATAENI 00384073 50 18377 RASAM, DR
1023R00102180002269 0000071492771 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164005 1#0##0#0#0.0#2018-03-26
10:49:57#0#00:00:00#00:00:00#00:00:00 1 9a317a4e18db2bac2fab6ef992397540
3207012 C 3 CP 1 06/02/2018 07/02/2018 29/10/1955 0 2
3 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 561133 0 2 0 0 0 YATI SUPRIYATI
00494293 62 22746 RASAM, DR 1023R00102180002275 0000370731969
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164024
1#0##0#0#0.0#2018-03-26 10:55:06#0#00:00:00#00:00:00#00:00:00 1
811ad876e13187a1c63060ef9dc2ddc7
3207012 C 3 CP 1 05/02/2018 07/02/2018 01/02/1998 0 2
1 O02.0 69.02;69.93;88.78;90.59 - - None None None None W-1-
11-I None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3469515 0 3 0 0 0 SUSI SADIYAH
FEBRIANTI 00494170 20 7309 BUDI AHMAD RASAS, SP.OG.M.KES
1023r00102180001868 0000439745927 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164624 1#0##0#0#0.0#2018-03-27
10:23:12#0#10:21:47#10:21:47#00:00:00 1 c2998b23c9dbd724dbcfac31c154e7f1
3207012 C 3 CP 1 04/02/2018 07/02/2018 04/02/1943 0 1
1 N40;N30.9 88.76;89.52;57.94;90.59 - - None None None None
V-4-11-II None None None None None None PENYAKIT SISTEM REPRODUKSI
LAKI-LAKI SELAIN TUMOR (SEDANG) 3679400 0 0 - 0 - 0
- 0 - 0 3679400 1440726 0 4 0 0 0
IDI 00494033 75 27394 AYATULLAH KHOMAINI, DR. SP.PD
1023r00102180001050 0002425097362 3;JKN ANDI; 5.2.0.201712280730
4 164828 1#0##0#0#0.0#2018-03-27
12:53:27#0#12:51:30#12:51:30#00:00:00 1 f0058224a2d49519785ea79c857ac79c
3207012 C 3 CP 1 04/02/2018 07/02/2018 05/06/1945 0 1
1 E11.9;I10;I25.0 89.52;90.59 - - None None None None E-4-
10-I None None None None None None PENYAKIT KENCING MANIS & GANGGUAN
NUTRISI/ METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 -
0 - 0 3330600 1723089 0 4 0 0 0
 TARMIDI 00378433 72 26542 AYATULLAH KHOMAINI, DR. SP.PD
1023r00102180001054 0001432152742 3;JKN ANDI; 5.2.0.201712280730
4 164839 1#0##0#0#0.0#2018-03-27
13:01:47#0#12:58:30#12:58:30#00:00:00 1 983158f061d2454e84a0681812c8e8cf
3207012 C 3 CP 1 01/02/2018 07/02/2018 01/01/1981 0 2
1 O99.6;K30 88.76;90.59 - - None None None None W-4-16-I
None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
3172233 0 7 0 0 0 YOYOH 00493848 37 13545
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000433 0000438620826 3;JKN
ANDI; 5.2.0.201712280730 4 164847 1#0##0#0#0.0#2018-03-27
13:07:44#0#13:03:07#13:03:07#00:00:00 1 358ea026a63b143696673978026c23bf
3207012 C 3 CP 1 05/02/2018 07/02/2018 10/10/1977 0 2
1 O03.4;O99.4;I10 69.02;88.78;90.59 - - None None None None
W-1-11-II None None None None None None PROSEDUR DILATASI, KURET,
INTRAUTERIN & SERVIK (SEDANG) 1828600 0 0 - 0 - 0 -
0 - 0 1828600 3020755 0 3 0 0 0
SURTINI 00404724 40 14728 DIDI KURNIADI M, DR. SP.OG
1023R00102180001966 0001314286132 3;JKN Ridwan; 5.2.0.201712280730
4 164860 1#0##0#0#0.0#2018-03-27
13:17:40#0#13:16:20#13:16:20#00:00:00 1 c57dfe999c987d393cf2d3ab8817a546
3207012 C 3 CP 1 05/02/2018 07/02/2018 01/12/1998 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1008445 0 3 0 0 0 ULFA NUR MAHALA
00457113 19 7006 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001638
0000441220498 3;JKN Ridwan; 5.2.0.201712280730 4 164863
1#0##0#0#0.0#2018-03-27 13:20:08#0#13:18:42#13:18:42#12:00:00 1
2f5ff03f86a448b112b048419a8f9a4b
3207012 C 3 CP 1 01/02/2018 07/02/2018 01/07/1968 0 2
1 A01.0;I25.0 88.76;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 3734587 0 7 0 0 0 IHAT
00493863 49 18112 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180000444
0001006168656 3;JKN ANDI; 5.2.0.201712280730 4 164836
1#0##0#0#0.0#2018-03-27 14:13:50#0#12:56:08#12:56:08#00:00:00 2
dba38ca9fbb3be2f2cc1ad0edd9dd261
3207012 C 3 CP 1 02/02/2018 07/02/2018 02/03/1963 0 2
1 I63.9 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 2120656 0 6 0 0 0 TETI
KUSNIAWATI,S.PD. 00493940 54 20061 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180000766 0000071540425 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164953 1#0##0#0#0.0#2018-03-27
14:22:50#0#14:21:30#14:21:30#00:00:00 1 3d0152ad38d1703d21d3c4e8c75c07d8
3207012 C 1 CP 1 04/02/2018 07/02/2018 24/07/1962 0 2
1 K30;Z48.9 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 9237366 0 4 0 0 0 DEDE JAMILAH
00473303 55 20284 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180001045 0000071438938 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165206 1#0##0#0#0.0#2018-03-29
09:27:45#0#09:23:01#09:23:01#00:00:00 2 efed088c9e37b77e7277a2fe4bbe857e
3207012 C 3 CP 1 31/01/2018 07/02/2018 01/04/2002 0 1
1 N04.9 90.59;91.39 - - None None None None N-4-11-I None
 None None None None None PERADANGAN GINJAL (RINGAN) 1889100 0
0 - 0 - 0 - 0 - 0 1889100 7291660
0 8 0 0 0 KIKI HERYANA 00493770 15 5784
AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012494 0000441791109 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 165224 1#0##0#0#0.0#2018-
03-29 09:34:02#0#09:31:38#09:31:38#00:00:00 1
81530a8a5a8dc00dc310989221ea0184
3207012 C 3 CP 1 29/01/2018 07/02/2018 01/07/1949 0 1
1 N40;J44.1 60.69;89.52;90.59 - - None None None None V-1-
13-II None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (SEDANG) 6394500 0 0 - 0 - 0 - 0 -
0 6394500 8198032 0 10 0 0 0 USUP 00484769
68 25049 ACHMAD HERYADI, DR. SP. B 1023r00101180011260
0001006219899 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166060
1#0##0#0#0.0#2018-04-02 10:39:25#0#10:37:47#10:37:47#00:00:00 1
990fef9815c111986b692551b51bafd9
3207012 C 2 CP 1 28/01/2018 07/02/2018 12/05/1947 0 2
1 A15.0;K30;K92.1;D63.8;I25.0 89.52;88.76;90.59;99.04 - - None
None None None J-4-15-II None None None None None None PERADANGAN
DAN INFEKSI PERNAFASAN (SEDANG) 5734200 0 0 - 0 - 0
- 0 - 0 5734200 7914543 0 11 0 0 0
HJ. AAH 00284422 70 25829 AYATULLAH KHOMAINI, DR. SP.PD
1023R00101180010810 0001837454095 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160187 1#0##0#0#0.0#2018-04-04
09:36:22#0#00:00:00#00:00:00#00:00:00 2 7e14625f3e91a8c945e70dfd3d10ac33
3207012 C 3 CP 1 05/02/2018 07/02/2018 08/09/1992 0 2
1 S09.9;W18.9 88.39;90.59 - - None None None None G-4-24-I
None None None None None None TRAUMA KEPALA (RINGAN) 2192000 0
0 - 0 - 0 - 0 - 0 2192000 1022715
0 3 0 0 0 ELIN HERLINA 00494158 25 9281 H.
DENNY RAHARJONO, DR. SP. S. 1023R00102180001618 0000071352022 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 159695 1#0##0#0#0.0#2018-04-04
10:05:10#0#00:00:00#00:00:00#00:00:00 2 3cd2c28d0c2db4f00d35277f64ae2ccd
3207012 C 3 CP 1 31/01/2018 07/02/2018 12/05/2001 0 2
1 R10.4;K30 88.76;90.59 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 3290037 0 8 0 0 0 LIYA SYARIFAH
00412182 16 6108 SETYO RAHARJO, DR, SP. PD 1023r00101180012482
0001852430444 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167133
1#0##0#0#0.0#2018-04-06 10:02:46#0#10:01:22#10:01:22#00:00:00 1
866fc1b6e6bdc848db4f4d03bd0b680a
3207012 C 3 CP 1 03/02/2018 07/02/2018 21/01/1957 0 1
1 A15.0;I50.0;E11.9 87.49;89.52;90.41;90.59 - - None None None
None J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 2468227 0 5 0 0 0 HENRA
KUSNADI 00493963 61 22293 SETYO RAHARJO, DR, SP. PD
1023r00102180001018 0002086981648 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167171 1#0##0#0#0.0#2018-04-06
10:27:42#0#10:24:16#10:24:16#00:00:00 1 344ff0f08964c3fa3c9f449f0014197e
3207012 C 3 CP 1 03/02/2018 07/02/2018 05/07/1964 0 1
1 A15.0 93.94;89.52;87.49;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1988659 0 5 0 0 0 ACE KOSIM 00494011
53 19571 SETYO RAHARJO, DR, SP. PD 1023r00102180001034
0002018680885 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167176
1#0##0#0#0.0#2018-04-06 10:32:52#0#10:30:02#10:30:02#00:00:00 1
 4b8a1f76513777a6e4fa59d09410c842
3207012 C 3 CP 1 03/02/2018 07/02/2018 01/07/2004 0 1
1 A49.9;K75.9 87.49;90.59 - - None None None None A-4-14-II
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 2540000 0 0 - 0 - 0 - 0
- 0 2540000 2135854 0 5 0 0 0 DENI
DARMAWAN 00493969 13 4965 SETYO RAHARJO, DR, SP. PD
1023r00102180001010 0000500856895 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167574 1#0##0#0#0.0#2018-04-09
10:45:58#0#10:44:27#10:44:27#00:00:00 1 169ff051ba1880211f5b04591e14a328
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/09/2000 0 2
1 K30;N30.9 90.59 - - None None None None K-4-18-II None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (SEDANG)
1765800 0 0 - 0 - 0 - 0 - 0
1765800 498580 0 2 0 0 0 TINY FRIHATINI PAMUNGKAS
00445917 17 6367 RASAM, DR 1023r00102180002278 0000442358537
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167762
1#0##0#0#0.0#2018-04-10 07:41:13#0#07:38:27#07:38:27#00:00:00 1
e1482ed0f99beb96ce0c5e88628a72b7
3207012 C 3 CP 1 04/02/2018 07/02/2018 17/03/1984 0 2
1 K30;R10.1 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1308445 0 4 0 0 0 ERNAWATI 00494042
33 12377 SETYO RAHARJO, DR, SP. PD 1023r00102180001064
0001972360833 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167808
1#0##0#0#0.0#2018-04-10 12:31:00#0#12:29:44#12:29:44#00:00:00 1
3275d2d9867d730c01ded6cd32ec6d7f
3207012 C 2 CP 1 04/02/2018 07/02/2018 11/05/2003 0 2
1 A01.0;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 2172982 0 4 0 0 0 SITI NURLAELATUL
MAULIDIYAH 00359293 14 5383 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180001052 0000071493568 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167856 1#0##0#0#0.0#2018-04-10
14:11:40#0#14:09:48#14:09:48#00:00:00 1 4808d2a08f4d1f9324f0c2dbe2385526
3207012 C 3 CP 1 30/01/2018 07/02/2018 02/01/1982 0 1
1 A16.5;E14.9 34.91;88.73;88.76;90.41;90.59 - - None None None
None J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 4552808 0 9 0 0 0 EMAN
00493562 36 13177 ABU BAKAR, DR. SPP, MKES 1023R00101180012134
0002425083715 3;JKN Ridwan; 5.2.0.201712280730 4 161482
1#0##0#0#0.0#2018-04-11 08:10:33#0#00:00:00#00:00:00#00:00:00 2
f4be4b494f05975af1eb21706f71e2f7
3207012 C 3 CP 1 01/02/2018 07/02/2018 01/08/1948 0 1
1 A16.2;I50.0 87.49;90.59 - - None None None None J-4-15-II
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 4778500 0 0 - 0 - 0 - 0 - 0
4778500 2502571 0 7 0 0 0 SAMIAN 00455685
69 25386 SETYO RAHARJO, DR, SP. PD 1023r00102180000440
0000440068454 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167886
1#0##0#0#0.0#2018-04-11 08:14:24#0#08:13:15#08:13:15#00:00:00 1
658b037ea389a89a1032379ae4a539f5
3207012 C 3 CP 1 01/02/2018 07/02/2018 01/07/1975 0 2
1 E05.0;J40 87.49;90.59 - - None None None None E-4-13-I
None None None None None None GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN
(RINGAN) 2745400 0 0 - 0 - 0 - 0 - 0
 2745400 3728614 0 7 0 0 0 JUJU 00475969 42
15556 SETYO RAHARJO, DR, SP. PD 1023r00102180000447 0000443040513
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167909
1#0##0#0#0.0#2018-04-11 08:33:00#0#08:31:42#08:31:42#00:00:00 1
703054c3d50bec200bbe32d1129c25c6
3207012 C 3 CP 1 05/02/2018 07/02/2018 14/10/1997 0 2
1 R10.4 88.19;90.59;91.39 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 863740 0 3 0 0 0 GHANIA ANNITA OKTYA NOOR
00476639 20 7419 ACHMAD HERYADI, DR. SP. B 1023R00102180001637
0002181407297 3;JKN Firman; 5.2.0.201712280730 4 167956
1#0##0#0#0.0#2018-04-11 09:30:15#0#09:28:57#09:28:57#00:00:00 1
62a1d3f7d6f7447bebdc2d0060879e28
3207012 C 3 CP 1 04/02/2018 07/02/2018 08/05/1971 0 2
1 T78.2;R40.1 87.49;90.59 - - None None None None S-4-11-II
None None None None None None ALERGI DAN SYOK ANAFILAKTIK (SEDANG)
2289200 0 0 - 0 - 0 - 0 - 0
2289200 1748216 0 4 0 0 0 ATIKAH 00494024
46 17074 SETYO RAHARJO, DR, SP. PD 1023R00102180001071
0002262712241 3;JKN Ridwan; 5.2.0.201712280730 4 167972
1#0##0#0#0.0#2018-04-11 09:47:07#0#09:46:00#09:46:00#00:00:00 1
2760e288465d5d9be2de684830cdf5af
3207012 C 3 CP 1 06/02/2018 07/02/2018 08/08/1978 0 1
1 A05.9 96.36;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 682744 0 2 0 0 0 ASEP SUHENDAR
00494270 39 14427 RASAM, DR 1023R00102180002483 0002265363909
3;JKN Ridwan; 5.2.0.201712280730 4 167974 1#0##0#0#0.0#2018-
04-11 09:49:28#0#09:48:08#09:48:08#00:00:00 1
ed88e4f741fc36e712af765307b2e682
3207012 C 2 CP 1 04/02/2018 07/02/2018 04/06/1946 0 2
1 N81.9 68.59;57.94;90.59;91.49 - - None None None None W-1-
30-I None None None None None None PROSEDUR PADA VAGINA, SERVIK & VULVA
(RINGAN) 4157200 0 0 - 0 - 0 - 0 - 0
4157200 6048218 0 4 0 0 0 UTIN PARTINI
00492316 71 26178 NANANG WIBOWO, DR. SP. OG 1023r0010218000
0000042821594 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167988
1#0##0#0#0.0#2018-04-11 10:00:34#0#09:58:59#09:58:59#00:00:00 1
5bb6cc7e2defcef8091f8494b28955d0
3207012 C 3 CP 1 04/02/2018 07/02/2018 01/04/1971 0 2
1 A01.4 88.76;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1671506 0 4 0 0 0 MIMIN 00494023 46
17111 SETYO RAHARJO, DR, SP. PD 1023R00102180001047 0000440672736
3;JKN Firman; 5.2.0.201712280730 4 167995 1#0##0#0#0.0#2018-
04-11 10:12:02#0#10:10:59#10:10:59#00:00:00 1
33d006c20ff945885638461ed725f0dd
3207012 C 3 CP 1 06/02/2018 07/02/2018 12/08/1982 0 1
1 A05.9 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 620628 0 2 0 0 0 AGUS GUNAWAN
00494269 35 12962 RASAM, DR 1023R00102180002486 0002265365676
3;JKN Ridwan; 5.2.0.201712280730 4 168002 1#0##0#0#0.0#2018-
04-11 10:23:08#0#10:21:50#10:21:50#00:00:00 1
c7b8be46545c368dc319e46749cc8477
3207012 C 3 CP 1 31/01/2018 07/02/2018 01/07/1954 0 1
1 I50.0;D64.9 99.04;88.76;87.49;89.52;90.59 - - None None None
None I-4-12-II None None None None None None KEGAGALAN JANTUNG
(SEDANG) 2985500 0 0 - 0 - 0 - 0 - 0
2985500 5258529 0 8 0 0 0 JUMRI 00493764 63
23225 SETYO RAHARJO, DR, SP. PD 1023R00101180012472 0000440151546
3;JKN Ridwan; 5.2.0.201712280730 4 163251 1#0##0#0#0.0#2018-
04-11 11:29:29#0#00:00:00#00:00:00#00:00:00 2
039bcc1dbc0fce1e2f50a4dfb98fce28
3207012 C 3 CP 1 06/02/2018 07/02/2018 25/11/1985 0 1
1 A15.6 34.91;90.59;90.41 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1368241 0 2 0 0 0 ENDIN SHAPRUDIN
00494071 32 11761 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002200 0001406999373 3;JKN Ridwan; 5.2.0.201712280730
4 162743 1#0##0#0#0.0#2018-04-11
11:30:49#0#00:00:00#00:00:00#00:00:00 2 370572e31747dfe85c31685d19aa203a
3207012 C 3 CP 1 06/02/2018 07/02/2018 16/11/1976 0 1
1 D21.9 86.3;87.49 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2946115 0 2 0 0 0 UUS MANSUR
00486229 41 15057 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180002226 0002293092459 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168588 1#0##0#0#0.0#2018-04-16
10:30:09#0#10:28:50#10:28:50#00:00:00 1 25c2b3bd047e8c658d4a5e215cf45aca
3207012 C 3 CP 1 01/02/2018 07/02/2018 03/08/1978 0 1
1 G41.2 - - - None None None None G-4-22-I None None
None None None None SERANGAN KEJANG (RINGAN) 2525300 0 0
- 0 - 0 - 0 - 0 2525300 2872955 0
7 0 0 0 RUDIANA 00493777 39 14427 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180000415 0001739337131 3;JKN ANDI;
5.2.0.201712280730 4 168632 1#0##0#0#0.0#2018-04-16
11:01:06#0#10:59:47#10:59:47#00:00:00 1 59ecdf9377af5d84b6b731b6dfebde99
3207012 C 3 CP 1 31/01/2018 07/02/2018 01/05/1962 0 1
1 J18.0;Z03.8 99.04;89.52;87.16;87.14;87.49;90.59 - - None None
None None J-4-16-I None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (RINGAN) 3332600 0 0 - 0 - 0 - 0
- 0 3332600 4794341 0 8 0 0 0 DIDI SUTADI
00493642 55 20364 SETYO RAHARJO, DR, SP. PD 1023r00101180012447
0000441240827 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167813
1#0##0#0#0.0#2018-04-16 13:35:13#0#12:42:32#12:42:32#00:00:00 2
69ff289ad7636da3bdb2cc154601f9d3
3207012 C 3 CP 1 06/02/2018 07/02/2018 06/02/2018 3100 1
1 P03.4;Z24.6 93.93;90.59;99.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 482820 0 2 0 0 0 BY NY SINTYA
RIRISWATI 00494262 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002713
0002427785662 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 159893
1#0##0#0#0.0#2018-04-18 08:36:00#0#00:00:00#00:00:00#00:00:00 2
520c85381a665ea3e3e7dde8c9ec90b9
3207012 C 2 CP 1 04/02/2018 07/02/2018 06/08/1934 0 1
1 A16.2 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
4799600 0 0 - 0 - 0 - 0 - 0
4799600 2103293 0 4 0 0 0 KOMON 00494038 83
30498 ABU BAKAR, DR. SPP, MKES 1023R00102180001554 0000071303433
 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 159687
1#0##0#0#0.0#2018-04-18 09:03:54#0#00:00:00#00:00:00#00:00:00 2
aa754389bd303b0d221e45dcb009a146
3207012 C 3 CP 1 05/02/2018 07/02/2018 01/11/1992 0 2
1 O01.9 69.02;88.78;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 2885677 0 3 0 0 0 RENI NOVIA
ANGGRAENI 00492685 25 9227 DIDI KURNIADI M, DR. SP.OG
1023r00102180001819 0000440539863 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164883 1#0##0#0#0.0#2018-04-18
09:09:29#0#13:31:12#13:31:12#00:00:00 2 56874e6ad12d1390f452c13daaf29bdc
3207012 C 3 CP 1 04/02/2018 07/02/2018 27/10/1980 0 2
1 O60.1;O80.0;Z37.0 75.7;73.59 - - None None None None O-6-
13-I None None None None None None PERSALINAN VAGINAL (RINGAN) 1544900
0 0 - 0 - 0 - 0 - 0 1544900
3236639 0 4 0 0 0 IIS MARIYA ULFAH 00494022 37
13614 NANANG WIBOWO, DR. SP. OG 1023R00102180002477 0002423212119
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161454
1#0##0#0#0.0#2018-04-18 09:40:47#0#00:00:00#00:00:00#00:00:00 2
9fc21197409395b157b2891cb5ad772d
3207012 C 3 CP 1 05/02/2018 07/02/2018 11/12/1959 0 1
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 967013 0 3 0 0 0 AHING 00431399 58
21241 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001904 0002018684068
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160849
1#0##0#0#0.0#2018-04-18 10:06:48#0#00:00:00#00:00:00#00:00:00 2
05d2189f7c26b19a6b5956b9ba1c2355
3207012 C 3 CP 1 29/01/2018 07/02/2018 27/01/1968 0 1
1 R57.0;I21.1;R00.1;E11.9 89.52;90.59 - - None None None None
I-4-14-III None None None None None None CARDIAC ARREST, TIDAK
DIKETAHUI (BERAT) 4488100 0 0 - 0 - 0 - 0 -
0 4488100 8896069 0 10 0 0 0 KADELI
00493428 50 18265 SETYO RAHARJO, DR, SP. PD 1023R00101180011526
0001778890533 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162295
1#0##0#0#0.0#2018-04-19 08:36:47#0#00:00:00#00:00:00#00:00:00 2
0dc6847dddc0c5c528bdced5844dfb6c
3207012 C 2 CP 1 06/02/2018 07/02/2018 09/09/1966 0 1
1 E11.9 90.59;89.52 - - None None None None E-4-10-I None
None None None None None PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/
METABOLIK (RINGAN) 3996700 0 0 - 0 - 0 - 0
- 0 3996700 908156 0 2 0 0 0 POPO
PAUJISALAM 00493509 51 18778 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002382 0002419686167 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159728 1#0##0#0#0.0#2018-04-23
07:37:50#0#00:00:00#00:00:00#00:00:00 2 70ca6986904b804b5faff0a5d02d3f3b
3207012 C 2 CP 1 20/01/2018 07/02/2018 17/01/2018 1500 2
1 P36.9;P22.0;P07.1;P92.9;E87.3;P59.9 09.43;93.35;96.07;99.83 - -
None None None None P-8-12-III None None None None None None
NEONATAL, BBL 1500 - 1999 GR TANPA PROSEDUR MAYOR (BERAT) 11217300 0
0 - 0 - 0 - 0 - 0 11217300 11511258
0 19 0 0 0 BY NY RITA FITRI 2 00492684 0 3
TISA RAHMAWATY DR. SP.A 1023R00101180008399 0002421944897 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163561 1#0##0#0#0.0#2018-04-25
07:58:23#0#00:00:00#00:00:00#00:00:00 3 a102edf9880d47ebbfe6dec1093bcd8a
3207012 C 3 CP 1 31/01/2018 07/02/2018 24/12/2017 0 2
1 Q21.3;J18.9;Q35.9;E41 99.60;93.90;89.69;96.07;86.06;09.43;90.59;87.49
 - - None None None None H-1-20-III None None None None None
None PROSEDUR EKSTRAOKULER DAN ORBITA (BERAT) 7329100 0 0 -
0 - 0 - 0 - 0 7329100 8624403 0 8
0 0 0 AQILA HERLINA 00493763 0 38 IMELDA PINGKAN
MONIAGA, DR. SP. A 1023R00101180012487 0002425634752 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163471 1#0##0#0#0.0#2018-04-25
07:58:45#0#00:00:00#00:00:00#00:00:00 3 09fec7bb2557f9458084b18b2e4d8e9a
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/08/1981 0 2
1 O60.1;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-I None None None None None None PERSALINAN VAGINAL (RINGAN) 1544900
0 0 - 0 - 0 - 0 - 0 1544900
2494508 0 2 0 0 0 ADE HASANAH 00494264 36 13338
BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180002364 0000439721673 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 164901 1#0##0#0#0.0#2018-
04-25 10:34:34#0#13:46:46#13:46:46#00:00:00 2
bc543437dafae4c0a25d0759675f69a1
3207012 C 2 CP 1 04/02/2018 07/02/2018 04/06/1946 0 2
1 N81.9 68.59;57.94;90.59;91.49 - - None None None None W-1-
30-I None None None None None None PROSEDUR PADA VAGINA, SERVIK & VULVA
(RINGAN) 4157200 0 0 - 0 - 0 - 0 - 0
4157200 6048218 0 4 0 0 0 UTIN PARTINI
00492316 71 26178 NANANG WIBOWO, DR. SP. OG 1023r00102180001063
0000042821594 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167988
1#0##0#0#0.0#2018-04-25 10:43:38#0#09:58:59#09:58:59#00:00:00 2
1d522c9f1e8a6a9f46970c0bd813617b
3207012 C 3 CP 1 04/02/2018 07/02/2018 01/08/1993 0 1
1 K21.9;K30 87.49;90.59 - - None None None None K-4-12-I
None None None None None None GANGGUAN ESOFAGUS (RINGAN) 2194200
0 0 - 0 - 0 - 0 - 0 2194200
1182471 0 4 0 0 0 ANDRI MULYADI 00494049 24
8953 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001555 0001005944049
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164876
1#0##0#0#0.0#2018-04-25 10:48:17#0#13:27:23#13:27:23#00:00:00 2
667153738178dfb7ff58ab1553b971b2
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/04/1949 0 2
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5768961 0 2 0 0 0 EROH 00362959 68
25148 SUTRISNO, DR. SP.M 1023R00102180001913 0000439715169 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163555 1#0##0#0#0.0#2018-
04-30 07:29:54#0#00:00:00#00:00:00#00:00:00 3
ceb82b2c3a8ee5a1c7454749c0bfa622
3207012 C 3 CP 1 06/02/2018 07/02/2018 05/02/1999 0 1
1 H25.9 13.19;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5228663 0 2 0 0 0 RIFQI KHOERUL ABAD
00481537 19 6941 SUTRISNO, DR. SP.M 1023R00102180001871
0002285888679 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163553
1#0##0#0#0.0#2018-04-30 07:30:19#0#00:00:00#00:00:00#00:00:00 3
479360cc9294a16ce7ccb8bfd593e81c
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/04/1948 0 2
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5710354 0 2 0 0 0 ECIN KURAESIN
00491975 69 25513 SUTRISNO, DR. SP.M 1023R00102180001956
0000440625396 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163554
 1#0##0#0#0.0#2018-04-30 07:30:57#0#00:00:00#00:00:00#00:00:00 3
472f650bdf7f6d043ffbb43d59d81917
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/07/1954 0 1
1 H25.9;I10 13.19;13.71;90.59 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5521727 0 2 0 0 0 SADI 00481617 63
23231 SUTRISNO, DR. SP.M 1023R00102180001883 0000435793601 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163557 1#0##0#0#0.0#2018-
04-30 07:31:20#0#00:00:00#00:00:00#00:00:00 3
e1ceee13fc32929d6f2454b41607ff4c
3207012 C 3 CP 1 06/02/2018 07/02/2018 01/12/1942 0 1
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5549572 0 2 0 0 0 KARMAN 00494125
75 27461 SUTRISNO, DR. SP.M 1023R00102180001920 0000438868067
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163556
1#0##0#0#0.0#2018-04-30 07:31:42#0#00:00:00#00:00:00#00:00:00 3
278f89f1303b0265ebafc56174912d25
3207012 C 3 CP 1 01/02/2018 07/02/2018 28/08/1945 0 1
1 R63.3 88.76;90.59 - - None None None None E-4-10-I None
None None None None None PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/
METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 - 0
- 0 3330600 2459847 0 7 0 0 0 U.DJUHAEDIN
00493864 72 26455 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001608
0002426942935 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164872
1#0##0#0#0.0#2018-04-30 07:38:33#0#13:25:26#13:25:26#00:00:00 2
27be63d01a6d680082e9c0ee727625ea
3207012 C 3 CP 1 04/02/2018 07/02/2018 01/07/1982 0 1
1 S62.6;V28.0 86.28;93.54;87.49;88.23 - - None None None None
M-4-12-I None None None None None None FRAKTUR/DISLOKASI SELAIN
FEMUR DAN PELVIS (RINGAN) 2188700 0 0 - 0 - 0 -
0 - 0 2188700 5965176 0 4 0 0 0 UU
00494044 35 13002 ALDI DR.SP OT 1023r00102180001078
0000442219746 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168571
1#0##0#0#0.0#2018-04-30 08:00:32#0#10:17:19#10:17:19#00:00:00 3
1588d3131a89ba0ec320c705ad3199ad
3207012 C 3 CP 1 02/02/2018 07/02/2018 05/05/1939 0 1
4 I11.0;I46.9;C90.0 89.52;87.49;90.59;99.60 - - None None None
None I-4-12-III None None None None None None KEGAGALAN JANTUNG
(BERAT) 3582600 0 0 - 0 - 0 - 0 - 0
3582600 2251214 0 6 0 0 0 LATIP ARIPIN
00252678 78 28763 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180001017
0000071108111 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164861
1#0##0#0#0.0#2018-05-02 07:42:46#0#13:16:27#13:16:27#00:00:00 3
e36c23b00180cd79a2ca1a99eb5d9427
3207012 C 3 CP 1 04/02/2018 07/02/2018 09/04/2015 0 2
1 S01.7;V28.9 86.28;87.49;86.69 - - None None None None L-1-
30-I None None None None None None PEMINDAHAN KULIT TANPA LUKA BAKAR
(RINGAN) 6596700 0 0 - 0 - 0 - 0 - 0
6596700 4589894 0 4 0 0 0 NABIL FADILLAH
00494054 2 1032 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002916 0001851190391 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 174996 1#0##0#0#0.0#2018-05-03
08:51:56#0#00:00:00#00:00:00#00:00:00 2 e00f9cba22a4f253f750faa1745cb28f
3207012 C 3 CP 1 04/02/2018 08/02/2018 29/07/2015 0 2
1 A01.0;A16.2 90.59 - - None None None None A-4-14-II None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(SEDANG) 2540000 0 0 - 0 - 0 - 0 - 0
2540000 1679877 0 5 0 0 0 ALFI HUSNI FAADIYAH
00494053 2 921 HJ. SUHERJATI, SP. A 1023R00102180001077
0002089073384 3;JKN INACBG;123123123123 5.2.0.201712280730 4
159481 1#0##0#0#0.0#2018-03-14 09:18:34#0#00:00:00#00:00:00#00:00:00
1 8f68b7bb58761df7e5ba80519c1e3753
3207012 C 1 CP 1 05/02/2018 08/02/2018 05/09/1939 0 1
1 I63.9 89.52;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 5211700 0 0 - 0 - 0 - 0 -
0 5211700 1791219 0 4 0 0 0 MAHLI LILI
SOMANTRI 00402763 78 28643 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180001879 0000071312141 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159734 1#0##0#0#0.0#2018-03-15
10:39:28#0#00:00:00#00:00:00#00:00:00 1 b6d09860936b6634dd26a5b1404d03fd
3207012 C 3 CP 1 07/02/2018 08/02/2018 25/01/2018 0 1
1 P59.9 99.83 - - None None None None B-4-13-I None None
None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100 0
0 - 0 - 0 - 0 - 0 3122100 781742
0 2 0 0 0 BY NY RENI MARLAENI 00493164 0 13
TISA RAHMAWATY DR. SP.A 1023R00102180002552 0002423529887 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 159888 1#0##0#0#0.0#2018-03-15
11:34:09#0#00:00:00#00:00:00#00:00:00 1 9f6171125a2ea89db71dff38bd2ebce2
3207012 C 3 CP 1 07/02/2018 08/02/2018 07/02/2018 3000 2
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 502820 0 2 0 0 0 BY NY SITI
MAEMUNAH 00494349 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180002798
0002427815237 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159902
1#0##0#0#0.0#2018-03-15 11:48:46#0#00:00:00#00:00:00#00:00:00 1
c771fcfca86fb7ff18da8b0eecb135ea
3207012 C 3 CP 1 03/02/2018 08/02/2018 12/06/2017 0 1
1 A16.2 87.49;93.94;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 2297614 0 6 0 0 0 MUHAMMAD AZMI RAMDHANI
00481381 0 236 HJ. SUHERJATI, SP. A 1023R00102180001590
0002426855196 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160011
1#0##0#0#0.0#2018-03-15 13:26:45#0#00:00:00#00:00:00#00:00:00 1
109a8a55f906c9ef8ed7a7855a08679a
3207012 C 3 CP 1 05/02/2018 08/02/2018 15/06/1962 0 2
1 S09.9;V29.9 87.16;90.59 - - None None None None G-4-24-I
None None None None None None TRAUMA KEPALA (RINGAN) 2192000 0
0 - 0 - 0 - 0 - 0 2192000 1670855
0 4 0 0 0 DEDE FATIMAH 00446923 55 20324 RISSA
NURLAILLA, DR. SP. S. 1023R00102180001333 0001089560406 3;JKN
INACBG;123123123123 5.2.0.201712280730 4 160134
1#0##0#0#0.0#2018-03-15 14:12:03#0#00:00:00#00:00:00#00:00:00 1
78d2f108b42cc1d3797082635d631221
3207012 C 3 CP 1 06/02/2018 08/02/2018 18/07/2013 0 1
1 J45.9;J06.9 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1031571 0 3 0 0 0 MUHAMMAD NAZRIL RADITIA
RAHMAN 00494186 4 1664 HJ. SUHERJATI, SP. A 1023R00102180002459
0002427444786 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160196
1#0##0#0#0.0#2018-03-15 14:32:43#0#00:00:00#00:00:00#00:00:00 1
22ce8491825ee53784b84d7eba35ee3c
3207012 C 1 CP 1 05/02/2018 08/02/2018 08/02/1954 0 1
1 J44.9 90.59 - - None None None None J-4-17-I None None
None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN) 3834900
0 0 - 0 - 0 - 0 - 0 3834900
3025838 0 4 0 0 0 ENDANG SYAMSUDIN 00411643 63
23373 ABU BAKAR, DR. SPP, MKES 1023R00102180001612 0000071758067
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160312
1#0##0#0#0.0#2018-03-16 10:17:36#0#00:00:00#00:00:00#00:00:00 1
3bd0e6907e2b16ab24759820acb375e4
3207012 C 1 CP 1 02/02/2018 08/02/2018 06/12/1974 0 2
1 A01.0;I10;K30 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2929500 0 0 - 0 - 0 - 0
- 0 2929500 4377476 0 7 0 0 0 DIAH
PUSPASARI 00275383 43 15764 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180000753 0001260949882 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160433 1#0##0#0#0.0#2018-03-16
11:23:00#0#00:00:00#00:00:00#00:00:00 1 c61a142b07d32088431904900c64f53f
3207012 C 1 CP 1 05/02/2018 08/02/2018 10/05/1947 0 2
1 I25.9;R42 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 2187000
0 0 - 0 - 0 - 0 - 0 2187000
2355338 0 4 0 0 0 NONOH 00420347 70 25839
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180001464 0000071329149
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160440
1#0##0#0#0.0#2018-03-16 11:25:23#0#00:00:00#00:00:00#00:00:00 1
cbadf03c78425ccc5b84c9dfabf463c1
3207012 C 3 CP 1 06/02/2018 08/02/2018 14/05/2012 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 854365 0 3 0 0 0 ELDIVO OMARION
00364664 5 2094 HJ. SUHERJATI, SP. A 1023R00102180002539
0001307581176 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160477
1#0##0#0#0.0#2018-03-16 13:00:23#0#00:00:00#00:00:00#00:00:00 1
5db8df187f7bcb0b8b427cbabd7e4a98
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/04/1961 0 2
1 R50.9;K30 90.59 - - None None None None A-4-12-I None
None None None None None DEMAM YANG TIDAK DITENTUKAN (RINGAN)
2509600 0 0 - 0 - 0 - 0 - 0
2509600 792752 0 3 0 0 0 SOPIAH 00494296
56 20765 SETYO RAHARJO, DR, SP. PD 1023R00102180002473
0000440899536 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161489
1#0##0#0#0.0#2018-03-20 09:48:06#0#00:00:00#00:00:00#00:00:00 1
feab8a6e9616565419383a5a5de4ac12
3207012 C 3 CP 1 06/02/2018 08/02/2018 09/03/1983 0 1
1 K40.9 53.05;90.59 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 4322842 0 3 0 0 0 YAYA ANJAR 00494226
34 12753 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180002708
0002310952645 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162396
1#0##0#0#0.0#2018-03-21 13:27:43#0#00:00:00#00:00:00#00:00:00 1
04c5448add22369ba408783145f937f7
3207012 C 3 CP 1 06/02/2018 08/02/2018 28/08/1944 0 1
1 K40.9 53.05 - - None None None None K-1-14-I None None
None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 3889819 0 3 0 0 0 EMAN SULAEMAN
 00490274 73 26825 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002187 0001216405563 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162426 1#0##0#0#0.0#2018-03-21
13:37:00#0#00:00:00#00:00:00#00:00:00 1 dc40ead0a0072cbe27adbad6deaf0105
3207012 C 3 CP 1 04/02/2018 08/02/2018 03/05/2006 0 1
1 J45.9;K30 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1928965 0 5 0 0 0 MUHAMAD WILDAN ARIFIN
00457071 11 4295 HJ. SUHERJATI, SP. A 1023R00102180001057
0001183619665 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162720
1#0##0#0#0.0#2018-03-22 08:55:20#0#00:00:00#00:00:00#12:00:00 1
bdd04c9ec98124f94029e5d59580ea62
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/07/1995 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 857635 0 3 0 0 0 RISNA YULIANA
00441466 22 8256 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002242 0001006077587 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162753 1#0##0#0#0.0#2018-03-22
09:07:31#0#00:00:00#00:00:00#12:00:00 1 d5cacbd1f469cf92a2828adf0c5f6b5b
3207012 C 3 CP 1 04/02/2018 08/02/2018 04/07/1986 0 2
1 I84.4;K62.3 49.46;48.76;89.52;87.49;90.59 - - None None None
None K-1-50-I None None None None None None PROSEDUR ANAL (RINGAN)
4421500 0 0 - 0 - 0 - 0 - 0
4421500 3819916 0 5 0 0 0 AAH NOER KOMALA
00484961 31 11538 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001065 0001776722567 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163424 1#0##0#0#0.0#2018-03-22
13:53:18#0#00:00:00#00:00:00#00:00:00 1 ef717fdf81acc1dca6660f8e7518fc96
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/06/1963 0 1
1 D21.9 83.39;86.89;89.52 - - None None None None M-1-50-I
None None None None None None PROSEDUR JARINGAN LUNAK (RINGAN)
3840300 0 0 - 0 - 0 - 0 - 0
3840300 3382402 0 3 0 0 0 MAMAN SUPARMAN
00493385 54 19974 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002216 0000440965776 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163481 1#0##0#0#0.0#2018-03-22
14:14:18#0#00:00:00#00:00:00#00:00:00 1 557f6aae602d15f8c86d4dbaad22dc00
3207012 C 3 CP 1 08/02/2018 08/02/2018 01/09/1985 0 2
1 K30;R10.4 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 515148 0 1 0 0 0 YANTI SUGIANTI
00494305 32 11848 SETYO RAHARJO, DR, SP. PD 1023R00102180002869
0000438215837 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163574
1#0##0#0#0.0#2018-03-26 07:52:16#0#00:00:00#00:00:00#00:00:00 1
e1edd9d70d93acc06d33972a309aa45c
3207012 C 3 CP 1 07/02/2018 08/02/2018 06/06/1945 0 1
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2844808 0 2 0 0 0 IR.IDJO SUTARDJO
KARYADHARA 00010524 72 26544 SETYO RAHARJO, DR, SP. PD
1023R00102180002638 0000071282294 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163655 1#0##0#0#0.0#2018-03-26
08:21:09#0#00:00:00#00:00:00#00:00:00 1 ba700579c928cd61ed399c2be12f22bb
3207012 C 3 CP 1 02/02/2018 08/02/2018 01/10/2004 0 1
 1 J45.9;J06.8;K11.2 93.94;89.52;88.71;87.49;90.59 - - None None
None None J-4-18-I None None None None None None ASTHMA &
BRONKIOLITIS (RINGAN) 2053000 0 0 - 0 - 0 - 0
- 0 2053000 2718075 0 7 0 0 0 MOHAMMED
IRSAL 00493945 13 4872 HJ. SUHERJATI, SP. A 1023r00102180001867
0002426929626 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164279
1#0##0#0#0.0#2018-03-26 14:48:11#0#14:46:37#14:46:37#00:00:00 1
f056c6d2815e87d6dc1a37c0df5cb790
3207012 C 3 CP 1 04/02/2018 08/02/2018 01/07/1990 0 2
1 O99.0;D64.9;O80.0;O70.9;Z37.0 73.59;99.04;90.59;57.94;93.57 - -
None None None None O-6-13-II None None None None None None
PERSALINAN VAGINAL (SEDANG) 1828500 0 0 - 0 - 0
- 0 - 0 1828500 4537948 0 5 0 0 0
ROBIAH 00494036 27 10080 BUDI AHMAD RASAS, SP.OG.M.KES
1023r00102180001488 0000442829215 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164574 1#0##0#0#0.0#2018-03-27
10:02:05#0#10:00:06#10:00:06#00:00:00 1 c4db9e1d86e7270f1d94c00ddd9ff986
3207012 C 3 CP 1 06/02/2018 08/02/2018 14/08/1983 0 2
1 O64.1;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6707167 0 3 0 0 0 EPIH NURHOPIPAH
00494204 34 12595 DIDI KURNIADI M, DR. SP.OG 1023R00102180002012
0002312886238 3;JKN Ridwan; 5.2.0.201712280730 4 164826
1#0##0#0#0.0#2018-03-27 12:52:10#0#12:50:33#12:50:33#00:00:00 1
0db2224b610126019e94c08048e78a38
3207012 C 3 CP 1 05/02/2018 08/02/2018 28/11/1988 0 2
1 O65.4;O82.1;Z37.0 74.0;90.59;93.57;57.94 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6377765 0 4 0 0 0 DEDE PATONAH
00494097 29 10661 DIDI KURNIADI M, DR. SP.OG 1023R00102180001969
0002285859688 3;JKN Ridwan; 5.2.0.201712280730 4 164829
1#0##0#0#0.0#2018-03-27 12:53:51#0#12:52:26#12:52:26#00:00:00 1
8e88564310da9621b8457c4691e9dc25
3207012 C 3 CP 1 06/02/2018 08/02/2018 10/11/1994 0 1
1 K59.0;K30 87.49;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 879040 0 3 0 0 0 WALIYUDIN 00351990
23 8489 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002712
0001263627303 3;JKN Ridwan; 5.2.0.201712280730 4 164846
1#0##0#0#0.0#2018-03-27 13:03:52#0#13:02:28#13:02:28#12:00:00 1
e17d856d842cd243526666b28e7185a1
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/05/1971 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1061578 0 3 0 0 0 YUSUP SUPYAN
00494288 46 17083 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002498
0000441322143 3;JKN Ridwan; 5.2.0.201712280730 4 164848
1#0##0#0#0.0#2018-03-27 13:05:49#0#13:04:40#13:04:40#00:00:00 1
c95eb92af70db80bab9c88d1bb1eb74e
3207012 C 3 CP 1 05/02/2018 08/02/2018 03/06/1966 0 2
1 I25.0 87.49;90.59 - - None None None None I-4-16-I None
None None None None None ATHEROSKLEROSIS (RINGAN) 1562100 0
0 - 0 - 0 - 0 - 0 1562100 1469397
0 4 0 0 0 SRIYANI 00463535 51 18875 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180002489 0002223260043 3;JKN Ridwan;
 5.2.0.201712280730 4 164868 1#0##0#0#0.0#2018-03-27
13:23:50#0#13:22:43#13:22:43#12:00:00 1 49ccb4977793fb51aff64c5b1caab4cd
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/04/1970 0 1
1 J33.0 21.31;21.01 - - None None None None U-4-15-I None
None None None None None PENYAKIT TELINGA, HIDUNG, MULUT DAN TENGGOROKAN
LAIN-LAIN (RINGAN) 2199200 0 0 - 0 - 0 - 0
- 0 2199200 3424757 0 3 0 0 0 HIDAYAT
00491036 47 17478 H. HERDIANA, SP. THT 1023R00102180002231
0000440544958 3;JKN Ridwan; 5.2.0.201712280730 4 164885
1#0##0#0#0.0#2018-03-27 13:33:46#0#13:32:49#13:32:49#00:00:00 1
ba21b1d791c3b5c65744ad84b2313533
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/12/1992 0 2
1 O03.4 69.52;90.59 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 3078522 0 3 0 0 0 LISTIA ADITENA
00494235 25 9198 H. SUSWADI, SP.OG 1023r00102180002214
0002291312564 3;JKN ANDI; 5.2.0.201712280730 4 164887
1#0##0#0#0.0#2018-03-27 13:35:32#0#13:33:06#13:33:06#00:00:00 1
5d946930bac3fe2ea60b7ddcdc377daa
3207012 C 3 CP 1 05/02/2018 08/02/2018 01/04/1993 0 2
1 O42.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6376238 0 4 0 0 0 HIKMATUL FAIZAH
00494135 24 9076 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180001610
0000439764434 3;JKN Firman; 5.2.0.201712280730 4 164910
1#0##0#0#0.0#2018-03-27 13:53:00#0#13:51:23#13:51:23#00:00:00 1
63150dddb33cb8542ffbd2013bdab5fd
3207012 C 2 CP 1 04/02/2018 08/02/2018 05/12/1982 0 2
1 N83.2 65.29;90.59;57.94;93.57 - - None None None None W-1-
20-I None None None None None None PROSEDUR PADA RAHIM & ADNEKSA (RINGAN)
7364200 0 0 - 0 - 0 - 0 - 0
7364200 6891791 0 5 0 0 0 YULI HERLIANI
00387855 35 12845 NANANG WIBOWO, DR. SP. OG 1023r00102180001062
0001778703794 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164918
1#0##0#0#0.0#2018-03-27 14:00:32#0#13:58:36#13:58:36#00:00:00 1
185c90718acb283833fa80f834f5b19b
3207012 C 2 CP 1 05/02/2018 08/02/2018 18/10/1976 0 1
1 H81.1;F41.9;K30 90.59 - - None None None None U-4-11-I
None None None None None None DYSEQUILIBRIUM (RINGAN) 1574000 0
0 - 0 - 0 - 0 - 0 1574000 1285006
0 4 0 0 0 JAJANG JAENUDIN 00448301 41 15085 RISSA
NURLAILLA, DR. SP. S. 1023r00102180001629 0001105362639 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164946 1#0##0#0#0.0#2018-03-27
14:18:18#0#14:16:46#14:16:46#12:00:00 1 0086dfe64a1ac35d383013aed628400c
3207012 C 2 CP 1 05/02/2018 08/02/2018 05/05/1947 0 2
1 I48;I25.0 89.52;90.59 - - None None None None I-4-19-I
None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(RINGAN) 3488500 0 0 - 0 - 0 - 0 - 0
3488500 1477370 0 4 0 0 0 ENTIN SUARTINI
00355029 70 25844 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180001619 0000071137563 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165192 1#0##0#0#0.0#2018-03-29
09:18:44#0#09:15:35#09:15:35#00:00:00 2 b3d47c94d1a95d91afd63cbbbd51457a
3207012 C 2 CP 1 07/02/2018 08/02/2018 16/08/1945 0 2
1 I25.9;E11.9 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1874600
0 0 - 0 - 0 - 0 - 0 1874600 718030
 0 2 0 0 0 IIS SUHARTINI 00222364 72 26473
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180002289 0000071093913
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165200
1#0##0#0#0.0#2018-03-29 09:22:32#0#09:19:14#09:19:14#12:00:00 2
37b39123349f95e5fd9f54f5dfdba798
3207012 C 3 CP 1 05/02/2018 08/02/2018 05/09/1962 0 2
1 I51.6 89.52;90.59 - - None None None None I-4-16-I None
None None None None None ATHEROSKLEROSIS (RINGAN) 1562100 0
0 - 0 - 0 - 0 - 0 1562100 4490659
0 4 0 0 0 LISWARA 00494065 55 20242 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023r00102180001116 0000071494446 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166157 1#0##0#0#0.0#2018-04-03
08:54:33#0#08:53:10#08:53:10#00:00:00 1 0755a688cb964c29bcb6b7380b2a5550
3207012 C 3 CP 1 07/02/2018 08/02/2018 17/10/1951 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2559165 0 2 0 0 0 EMAR 00492877
66 24220 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180002715
0001006135514 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162056
1#0##0#0#0.0#2018-04-04 13:01:14#0#00:00:00#00:00:00#00:00:00 2
cf59195cc2b4f69f5997c0504a411132
3207012 C 3 CP 1 02/02/2018 08/02/2018 28/08/2002 0 2
1 K59.0;R10.4 99.04;88.19;90.59 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 2583570 0 7 0 0 0 AGIZKA NURFATHAN ZAHRA
00464233 15 5637 SETYO RAHARJO, DR, SP. PD 1023r00102180000761
0002225321842 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167058
1#0##0#0#0.0#2018-04-06 09:12:51#0#09:11:20#09:11:20#12:00:00 1
ad022f757cd0c211be297711f63c7e92
3207012 C 3 CP 1 04/02/2018 08/02/2018 04/02/1980 0 2
1 I10;E16.1;K30 89.52;90.59 - - None None None None I-4-
17-II None None None None None None HIPERTENSI (SEDANG) 2047300 0
0 - 0 - 0 - 0 - 0 2047300 2002260
0 5 0 0 0 TITIN KURNIA 00454056 38 13880 SETYO
RAHARJO, DR, SP. PD 1023r00102180001313 0000440402804 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167077 1#0##0#0#0.0#2018-04-06
09:24:51#0#09:23:30#09:23:30#00:00:00 1 e5a2d84fe606af20c1d52d4e521e0605
3207012 C 3 CP 1 05/02/2018 08/02/2018 07/08/1967 0 1
1 N18.9;I50.0 39.95;89.52;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 3221271 0 4 0 0 0 UNANG 00436775
50 18445 SETYO RAHARJO, DR, SP. PD 1023r00102180001627
0001278171448 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167080
1#0##0#0#0.0#2018-04-06 09:26:28#0#09:25:17#09:25:17#00:00:00 1
a6b73e3b8e5050adc06bcfa694a88533
3207012 C 3 CP 1 31/01/2018 08/02/2018 01/07/1959 0 1
4 D33.2;E14.9;G81.9 89.52;90.59 - - None None None None G-4-
26-II None None None None None None GANGGUAN - PENYAKIT SISTEM SARAF LAIN-
LAIN (SEDANG) 3443200 0 0 - 0 - 0 - 0 -
0 3443200 4094821 0 9 0 0 0 DIDI PERMADI
00380909 58 21399 RISSA NURLAILLA, DR. SP. S. 1023r00101180012463
0001006071377 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167429
1#0##0#0#0.0#2018-04-09 08:54:10#0#08:52:36#08:52:36#00:00:00 1
2551e20514886fa12099672e54abbd04
3207012 C 3 CP 1 24/01/2018 08/02/2018 05/02/1956 0 2
1 J18.0;E11.9;I25.0 99.04;89.52;87.49;57.94 - - None None None
 None J-4-16-I None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (RINGAN) 3332600 0 0 - 0 - 0 - 0
- 0 3332600 8969504 0 16 0 0 0 OYOH
00473262 61 22634 SETYO RAHARJO, DR, SP. PD 1023r00101180010032
0001326086807 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167873
1#0##0#0#0.0#2018-04-11 07:54:28#0#07:52:34#07:52:34#00:00:00 1
44109121606f6712443e1728875f0d4e
3207012 C 1 CP 1 06/02/2018 08/02/2018 23/06/1998 0 2
1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 5175700 0 0 - 0 - 0 -
0 - 0 5175700 3369493 0 3 0 0 0 INDAH
DWIKANIA HESTININGTYAS 00493531 19 7168 ACHMAD HERYADI, DR. SP. B
1023R00102180002378 0002304719166 3;JKN Ridwan; 5.2.0.201712280730
4 161380 1#0##0#0#0.0#2018-04-11
08:08:16#0#00:00:00#00:00:00#00:00:00 2 6c97c1611a537400b8994527ab71b198
3207012 C 3 CP 1 04/02/2018 08/02/2018 07/03/1951 0 2
1 A52.1;M14.6 81.11;90.59;88.28 - - None None None None M-1-
70-I None None None None None None PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN
KAKI (RINGAN) 10988400 0 0 - 0 - 0 - 0 -
0 10988400 8880841 0 5 0 0 0 IMAS 00447088
66 24441 ALDI DR.SP OT 1023R00102180001370 0001297272418 3;JKN
Firman; 5.2.0.201712280730 4 167941 1#0##0#0#0.0#2018-04-11
09:13:27#0#09:11:40#09:11:40#12:00:00 1 ad675ab17aeb75644806136555a4609f
3207012 C 3 CP 1 06/02/2018 08/02/2018 07/03/1962 0 1
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2062922 0 3 0 0 0 SOMAD 00482648
55 20425 SETYO RAHARJO, DR, SP. PD 1023R00102180002037
0002262207418 3;JKN Firman; 5.2.0.201712280730 4 168004
1#0##0#0#0.0#2018-04-11 10:25:16#0#10:23:55#10:23:55#00:00:00 1
85591feda39ff17e7e813f2bbd3afd17
3207012 C 3 CP 1 05/02/2018 08/02/2018 01/04/1994 0 2
1 O42.9;O82.1;Z37.0 73.59;90.59;57.94;93.57;74.0 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 7702689 0 4 0 0 0 DIANA APRILIANI
00494120 23 8711 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180001970
0000440260018 3;JKN Firman; 5.2.0.201712280730 4 164566
1#0##0#0#0.0#2018-04-11 11:16:24#0#09:56:28#09:56:28#00:00:00 3
f6938e0a59524ec20ce93c1ff6aa1804
3207012 C 3 CP 1 31/01/2018 08/02/2018 05/02/1957 0 1
1 I63.9;N40 88.76;89.52;87.49;90.59 - - None None None None
G-4-14-I None None None None None None KECEDERAAN PEMBULUH DARAH
OTAK DENGAN INFARK (RINGAN) 3722700 0 0 - 0 - 0 -
0 - 0 3722700 3104434 0 9 0 0 0 ASEP
NUPARA 00477356 60 22275 RISSA NURLAILLA, DR. SP. S.
1023R00102180012446 0002018663673 3;JKN Firman; 5.2.0.201712280730
4 168028 1#0##0#0#0.0#2018-04-11
11:22:04#0#11:20:45#11:20:45#00:00:00 1 c47505f52815110e306ca3acec033e86
3207012 C 3 CP 1 06/02/2018 08/02/2018 16/06/1971 0 2
1 E05.9;K30 - - - None None None None E-4-13-I None
None None None None None GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN (RINGAN)
2745400 0 0 - 0 - 0 - 0 - 0
2745400 958003 0 3 0 0 0 DEDE KOMARIAH
00339098 46 17037 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180002229
0001089593302 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168250
1#0##0#0#0.0#2018-04-13 09:14:30#0#09:12:46#09:12:46#12:00:00 1
 edafa9039ea21a8e14c2d52d7c38c450
3207012 C 1 CP 1 02/02/2018 08/02/2018 18/11/1998 0 1
1 J02.9;K30 90.59 - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 2556900 0 0 - 0 - 0 -
0 - 0 2556900 3920844 0 7 0 0 0
PRAYOGA LAYUNG IZATI 00449436 19 7016 PRIMAHATI RIANA ROSY, DR.
SP.PD 1023R00102180000782 0000016077993 3;JKN ANDI; 5.2.0.201712280730
4 168613 1#0##0#0#0.0#2018-04-16
10:51:41#0#10:49:37#10:49:37#00:00:00 1 ad4fce028ef5ecfa6233d5de3b71e7ba
3207012 C 3 CP 1 06/02/2018 08/02/2018 01/08/1982 0 2
1 M10.99;E87.6 89.52;90.59 - - None None None None M-4-
18-II None None None None None None PENYAKIT TULANG DAN SENDI LAIN-LAIN
(SEDANG) 3119400 0 0 - 0 - 0 - 0 - 0
3119400 1098585 0 3 0 0 0 IWAH 00494267 35
12973 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002227 0000441549505
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 164837
1#0##0#0#0.0#2018-04-16 13:29:08#0#12:57:23#12:57:23#00:00:00 3
fac8d08c52ff0e05e0c45322421d4903
3207012 C 3 CP 1 05/02/2018 08/02/2018 16/05/1989 0 1
1 K38.8 47.09;90.59 - - None None None None K-1-13-I None
None None None None None PROSEDUR APPENDIK (RINGAN) 2790800 0
0 - 0 - 0 - 0 - 0 2790800 4067167
0 4 0 0 0 IVAN NURDIANSAH 00493193 28 10492
FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001630 0001861750326
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169654
1#0##0#0#0.0#2018-04-18 07:40:31#0#00:00:00#00:00:00#00:00:00 1
541ad6bde5703470500e0c1cc2c3840d
3207012 C 1 CP 1 07/02/2018 08/02/2018 19/05/1980 0 2
1 C56;D63.0;E44.0 99.04;90.59 - - None None None None W-4-
10-III None None None None None None TUMOR SISTEM REPRODUKSI WANITA
(BERAT) 10587100 0 0 - 0 - 0 - 0 - 0
10587100 1525311 0 2 0 0 0 RISA NURLINA WARDANA
00422921 37 13778 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002579 0001078969061 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164851 1#0##0#0#0.0#2018-04-19
08:34:46#0#13:07:34#13:07:34#00:00:00 2 f8d2e6b3119b76d629f30d4006a3b800
3207012 C 3 CP 1 04/02/2018 08/02/2018 07/08/1965 0 2
1 K80.8 51.12;90.59;88.76 - - None None None None B-4-14-I
None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(RINGAN) 3118700 0 0 - 0 - 0 - 0 - 0
3118700 6096798 0 5 0 0 0 NINING 00488198
52 19174 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180001053
0002312746525 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171656
1#0##0#0#0.0#2018-04-23 07:39:54#0#00:00:00#00:00:00#00:00:00 1
e9324b9d84e2f78f573e3844245e10b2
3207012 C 3 CP 1 07/02/2018 08/02/2018 01/01/1991 0 2
1 D24 85.21;91.59;90.59 - - None None None None L-1-50-I
None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3357311 0 2 0 0 0 ERLIN KUSTIANI
00476753 27 9899 ACHMAD HERYADI, DR. SP. B 1023R00102180002699
0001006067981 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171670
1#0##0#0#0.0#2018-04-23 07:44:08#0#00:00:00#00:00:00#00:00:00 1
78a23da365b7969398c1f081408f9dff
3207012 C 3 CP 1 02/02/2018 08/02/2018 01/04/1950 0 2
4 A09.9;A41.9;I10;E87.1 99.60;89.52;90.59;96.07;57.94 - - None
None None None K-4-17-III None None None None None None NYERI
ABDOMEN & GASTROENTERITIS LAIN-LAIN (BERAT) 2308000 0 0 - 0
 - 0 - 0 - 0 2308000 5639564 0 7 0
0 0 SARI 00493959 67 24779 SETYO RAHARJO, DR, SP. PD
1023r00102180001012 0000441232896 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167400 1#0##0#0#0.0#2018-04-25
07:52:58#0#08:25:03#08:25:03#00:00:00 2 70bf20dfbe2c0f0d7944f0eaa68c94c8
3207012 C 3 CP 1 31/01/2018 08/02/2018 05/02/1957 0 1
1 I63.9;N40 88.76;89.52;87.49;90.59 - - None None None None
G-4-14-I None None None None None None KECEDERAAN PEMBULUH DARAH
OTAK DENGAN INFARK (RINGAN) 3722700 0 0 - 0 - 0 -
0 - 0 3722700 3104434 0 9 0 0 0 ASEP
NUPARA 00477356 60 22275 RISSA NURLAILLA, DR. SP. S.
1023r00101180012446 0002018663673 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168028 1#0##0#0#0.0#2018-04-25
11:51:59#0#11:20:45#11:20:45#00:00:00 2 396792de31dbbe9b7439aa20696aea1a
3207012 C 1 CP 1 07/02/2018 08/02/2018 02/06/1957 0 1
1 N18.5;D63.8 39.95;90.59 - - None None None None N-4-10-II
None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 4166900 0 0 - 0 - 0 - 0 -
0 4166900 1813977 0 2 0 0 0 EDI SUNARDI
00366507 60 22165 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180003289 0000071842487 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 160182 1#0##0#0#0.0#2018-04-30
08:26:42#0#00:00:00#00:00:00#12:00:00 2 49c31be0d9c74c8aeff51bdcfaef3cc6
3207012 C 3 CP 1 31/01/2018 08/02/2018 01/11/1972 0 2
1 K30;E43 89.52;90.59 - - None None None None K-4-18-III
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(BERAT) 2119000 0 0 - 0 - 0 - 0 - 0
2119000 3901002 0 9 0 0 0 TITIN NURMAYANTI
00365386 45 16527 AYATULLAH KHOMAINI, DR. SP.PD 1023r00101180012492
0000442005388 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168247
1#0##0#0#0.0#2018-05-02 07:41:45#0#09:10:42#09:10:42#00:00:00 2
53d5def5866fc108fda18c12795342dd
3207012 C 3 CP 1 07/02/2018 08/02/2018 01/09/1985 0 2
1 K30;R10.4 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 515148 0 2 0 0 0 YANTI SUGIANTI
00494305 32 11847 SETYO RAHARJO, DR, SP. PD 1023R0010218V000021
0000438215837 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 175406
1#0##0#0#0.0#2018-05-02 07:46:48#0#00:00:00#00:00:00#00:00:00 1
eeea30db658616a013586e446e1dc275
3207012 C 3 CP 1 07/02/2018 08/02/2018 03/11/2008 0 1
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2465714 0 2 0 0 0 RIFKI NOVIAN
HADIPUTRA 00493491 9 3383 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002799 0000174017665 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162419 1#0##0#0#0.0#2018-05-02
07:53:04#0#00:00:00#00:00:00#00:00:00 3 ed7f618bcb2f62fb3199f5d1a76a55e4
3207012 C 3 CP 1 08/02/2018 09/02/2018 01/11/1988 0 2
1 O42.9;O62.2;O80.0;O70.9;O72.2;Z37.0 73.59;73.6;75.7;90.59 - -
None None None None O-6-13-II None None None None None None
PERSALINAN VAGINAL (SEDANG) 1828500 0 0 - 0 - 0
- 0 - 0 1828500 310000 0 2 0 0 0
YULI YULIANA YASTIN 00494477 29 10691 H. SUSWADI, SP.OG
1023R00102180003408 0000441648595 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159943 1#0##0#0#0.0#2018-03-15
12:36:19#0#00:00:00#00:00:00#00:00:00 1 87b403b9148af3743f6c3f4726ebf684
3207012 C 1 CP 1 07/02/2018 09/02/2018 04/11/1967 0 2
1 A09.9 90.99;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1968700 0 0 - 0 - 0 - 0 - 0
1968700 1832378 0 3 0 0 0 TITIN KURNIATIN
00450658 50 18358 SETYO RAHARJO, DR, SP. PD 1023R00102180002293
0000071071773 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160109
1#0##0#0#0.0#2018-03-15 13:59:05#0#00:00:00#00:00:00#00:00:00 1
ff55463a703e3c61fb022fda7ad821b3
3207012 C 3 CP 1 07/02/2018 09/02/2018 19/06/2015 0 1
1 A06.0;E86 90.99;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 866141 0 3 0 0 0 ARKAN KHAIRY RAMADHAN
00469391 2 964 HJ. SUHERJATI, SP. A 1023R00102180002807
0002042946933 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160212
1#0##0#0#0.0#2018-03-15 14:36:12#0#00:00:00#00:00:00#00:00:00 1
8cc96dee363ae7d648a95938a2c41948
3207012 C 3 CP 1 06/02/2018 09/02/2018 19/05/2006 0 2
1 B34.9 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1230107 0 4 0 0 0 MEITHA TRI DAMAYANTI
00200704 11 4281 HJ. SUHERJATI, SP. A 1023R00102180002572
0001284578458 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160219
1#0##0#0#0.0#2018-03-15 14:38:45#0#00:00:00#00:00:00#00:00:00 1
9553fa866787d91dc675fb9841879368
3207012 C 3 CP 1 05/02/2018 09/02/2018 05/12/2007 0 2
1 A01.0;J45.9 93.94;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1757226 0 5 0 0 0 ADINDA PUTRI
SALSHABILLA 00494169 10 3715 HJ. SUHERJATI, SP. A 1023R00102180001634
0002225322426 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160227
1#0##0#0#0.0#2018-03-15 14:41:14#0#00:00:00#00:00:00#00:00:00 1
44f3c6c09b180e640eb1ea8a2d5bdd6d
3207012 C 3 CP 1 05/02/2018 09/02/2018 04/03/1963 0 2
1 N20.0 88.19;90.59 - - None None None None N-4-13-I None
None None None None None BATU URIN (RINGAN) 3249600 0 0
- 0 - 0 - 0 - 0 3249600 2373658 0
5 0 0 0 INNE RIEN MARTINA 00251876 54 20062 ACHMAD
HERYADI, DR. SP. B 1023R00102180001636 0000197898052 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160288 1#0##0#0#0.0#2018-03-16
10:03:48#0#00:00:00#00:00:00#00:00:00 1 0e5b4190386fba553643e50dd8f92f66
3207012 C 3 CP 1 07/02/2018 09/02/2018 12/01/1959 0 2
1 I12.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 2366680 0 3 0 0 0 ODEH 00445240
59 21576 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002784
0002282040358 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160899
1#0##0#0#0.0#2018-03-19 11:49:09#0#00:00:00#00:00:00#00:00:00 1
ec5e72390c07a10c3c1f2f63eadf2cba
3207012 C 3 CP 1 07/02/2018 09/02/2018 10/03/1958 0 2
1 I11.9;E11.9 89.52;87.49;90.59 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 1126127
0 3 0 0 0 ANIH SUTIRAH 00494312 59 21884 SETYO
RAHARJO, DR, SP. PD 1023r00102180002663 0002019212998 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161024 1#0##0#0#0.0#2018-03-19
13:24:53#0#13:23:30#13:23:30#00:00:00 1 74b6c0560090ef7faa49c88ad37d7e87
3207012 C 3 CP 1 07/02/2018 09/02/2018 01/01/1980 0 2
1 O36.4 69.52 - - None None None None W-1-11-I None None
None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 3672301 0 3 0 0 0 IMAS 00494383 38
13917 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180002920 0000438916138
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162132
1#0##0#0#0.0#2018-03-21 11:11:43#0#00:00:00#00:00:00#00:00:00 1
be45e11ea3225bcfcb0e3eb6e2718235
3207012 C 3 CP 1 29/01/2018 09/02/2018 20/08/1962 0 1
1 I10;K30;F45.8 89.52;90.59 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 4375865
0 12 0 0 0 HERI USDIANA 00493380 55 20251 SETYO
RAHARJO, DR, SP. PD 1023R00101180011914 0000440147068 3;JKN NANA
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11:36:52#0#00:00:00#00:00:00#00:00:00 1 2bbcd9242772376aaae41a0534924f9a
3207012 C 3 CP 1 07/02/2018 09/02/2018 01/06/1944 0 1
1 K40.9 53.05;88.76;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
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4528900 3677670 0 3 0 0 0 JUHRI 00421880 73
26914 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180002710
0000441436059 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162380
1#0##0#0#0.0#2018-03-21 13:22:37#0#00:00:00#00:00:00#00:00:00 1
a3050b83c851039ab677f27f55a14404
3207012 C 3 CP 1 05/02/2018 09/02/2018 01/05/2008 0 2
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11-II None None None None None None PERADANGAN GINJAL (SEDANG) 3300400
0 0 - 0 - 0 - 0 - 0 3300400
2754438 0 5 0 0 0 DEVI MEIDITA 00494157 9
3567 HJ. SUHERJATI, SP. A 1023R00102180001808 0000441834502 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163477 1#0##0#0#0.0#2018-
03-22 14:12:50#0#00:00:00#00:00:00#00:00:00 1
46c048292921c8149f61008d2ee0600c
3207012 C 2 CP 1 05/02/2018 09/02/2018 23/09/1991 0 2
1 O42.9;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 7086981 0 5 0 0 0 FRINKA SEPTIANI
PIHARA 00494166 26 9632 BUDI AHMAD RASAS, SP.OG.M.KES
1023R00102180001761 0002317106799 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163942 1#0##0#0#0.0#2018-03-26
10:28:47#0#00:00:00#00:00:00#00:00:00 1 ac4343d6f96d01df4f0657ff26579259
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/04/1979 0 2
1 O02.1 69.02;69.93;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3975874 0 4 0 0 0 TARYAH
00494279 38 14191 DIDI KURNIADI M, DR. SP.OG 1023r00102180002442
0000439815857 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164252
1#0##0#0#0.0#2018-03-26 14:26:59#0#14:25:41#14:25:41#00:00:00 1
e7eab6bee020b1fbe3eb56c10024ff87
3207012 C 3 CP 1 07/02/2018 09/02/2018 09/07/1957 0 2
1 J33.0 21.31;87.49;93.57 - - None None None None U-4-15-I
None None None None None None PENYAKIT TELINGA, HIDUNG, MULUT DAN
TENGGOROKAN LAIN-LAIN (RINGAN) 2199200 0 0 - 0 - 0
 - 0 - 0 2199200 3607203 0 3 0 0 0
WATI 00491903 60 22128 H. HERDIANA, SP. THT 1023r00102180002800
0001270516757 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164351
1#0##0#0#0.0#2018-03-27 07:56:25#0#07:54:14#07:54:14#00:00:00 1
7e09f956c8986a46e808d9c3e3158fd9
3207012 C 3 CP 1 06/02/2018 09/02/2018 31/05/2017 0 1
1 B06.9;A49.9 90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1276843 0 4 0 0 0 MUHAMAD ZIDAN RAMADHAN
00494184 0 251 HJ. SUHERJATI, SP. A 1023r00102180001641
0002238191717 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164593
1#0##0#0#0.0#2018-03-27 10:08:41#0#10:07:07#10:07:07#00:00:00 1
cec17f4f55d0d119d79c9abee8b5edf4
3207012 C 3 CP 1 08/02/2018 09/02/2018 26/02/1986 0 1
1 N23 90.59 - - None None None None N-4-13-I None None
None None None None BATU URIN (RINGAN) 3249600 0 0 -
0 - 0 - 0 - 0 3249600 667844 0 2
0 0 0 ASEP HENDRI PERMADI 00494390 31 11670 AYATULLAH
KHOMAINI, DR. SP.PD 1023r00102180003652 0001819771593 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164783 1#0##0#0#0.0#2018-03-27
11:42:32#0#11:41:07#11:41:07#00:00:00 1 95f0f59f04f168ebf5db9eaf893624c0
3207012 C 3 CP 1 07/02/2018 09/02/2018 12/06/2001 0 1
1 J40 87.49;90.59 - - None None None None J-4-21-I None
None None None None None GEJALA, TANDA DAN DIAGNOSIS SISTEM PERNAFASAN
LAIN-LAIN (RINGAN) 2661000 0 0 - 0 - 0 - 0
- 0 2661000 1008510 0 3 0 0 0 ARISA ALHAM
SETIAWAN 00494369 16 6084 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180002716 0002226578714 3;JKN Firman; 5.2.0.201712280730
4 164827 1#0##0#0#0.0#2018-03-27
12:52:30#0#12:50:58#12:50:58#00:00:00 1 3fa33b30243178968928d3ebf2420b82
3207012 C 3 CP 1 05/02/2018 09/02/2018 05/04/1954 0 1
1 M10.99 89.52;90.59 - - None None None None M-4-18-I
None None None None None None PENYAKIT TULANG DAN SENDI LAIN-LAIN
(RINGAN) 2069900 0 0 - 0 - 0 - 0 - 0
2069900 1846085 0 5 0 0 0 NONO SUPENO 00494076
63 23317 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001609
0002025391138 3;JKN Ridwan; 5.2.0.201712280730 4 164833
1#0##0#0#0.0#2018-03-27 12:55:23#0#12:54:19#12:54:19#00:00:00 1
dd418cf6ffcbe4a4e37455394adef718
3207012 C 3 CP 1 05/02/2018 09/02/2018 01/01/1951 0 2
1 A01.0;R42;I10 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1744065 0 5 0 0 0 TITI
RUSMIATI 00494110 67 24507 AYATULLAH KHOMAINI, DR. SP.PD
1023r00102180001621 0000440050239 3;JKN ANDI; 5.2.0.201712280730
4 164853 1#0##0#0#0.0#2018-03-27
13:10:07#0#13:08:32#13:08:32#00:00:00 1 f50957017b45bbc0b86840a95a99d935
3207012 C 3 CP 1 05/02/2018 09/02/2018 01/03/1979 0 2
1 E05.9;K30 89.52;90.59 - - None None None None E-4-13-I
None None None None None None GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN
(RINGAN) 2745400 0 0 - 0 - 0 - 0 - 0
2745400 2082957 0 5 0 0 0 LIA YULIA 00399130
38 14221 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180001639
0000440316742 3;JKN ANDI; 5.2.0.201712280730 4 164858
1#0##0#0#0.0#2018-03-27 13:16:12#0#13:12:27#13:12:27#00:00:00 1
ce4705e426cfa4beec50a00c458503d4
3207012 C 3 CP 1 07/02/2018 09/02/2018 01/09/1999 0 2
 1 N39.0 88.76;90.59 - - None None None None N-4-12-I None
None None None None None INFEKSI GINJAL DAN SALURAN URIN (RINGAN)
2155400 0 0 - 0 - 0 - 0 - 0
2155400 1437016 0 3 0 0 0 ITA MAULINA 00494046
18 6734 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003295
0001006092538 3;JKN Ridwan; 5.2.0.201712280730 4 164867
1#0##0#0#0.0#2018-03-27 13:22:15#0#13:21:06#13:21:06#00:00:00 1
66b6c5d86c50987ba509451fb7a6f173
3207012 C 3 CP 1 08/02/2018 09/02/2018 14/06/1980 0 2
1 E11.5;I25.0;K30 - - - None None None None I-4-15-I
None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (RINGAN) 4262100 0 0 - 0 - 0 - 0 -
0 4262100 938727 0 2 0 0 0 ESIH SUKAESIH
00423220 37 13753 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003516
0000440939226 3;JKN Ridwan; 5.2.0.201712280730 4 164871
1#0##0#0#0.0#2018-03-27 13:25:11#0#13:24:02#13:24:02#00:00:00 1
24a923ca9e93d8e45ed6b49546d6e9af
3207012 C 2 CP 1 02/02/2018 09/02/2018 17/06/1991 0 2
1 O63.9;O82.1;Z37.0 74.0;90.59;93.57 - - None None None None
O-6-10-I None None None None None None OPERASI PEMBEDAHAN CAESAR
(RINGAN) 5796300 0 0 - 0 - 0 - 0 - 0
5796300 8162817 0 8 0 0 0 RINNA NURLINNA
00450734 26 9727 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180000589
0002225354589 3;JKN Firman; 5.2.0.201712280730 4 164900
1#0##0#0#0.0#2018-03-27 13:47:05#0#13:45:33#13:45:33#00:00:00 1
44bbfab3f91578cf56452730a6383bc7
3207012 C 3 CP 1 05/02/2018 09/02/2018 07/09/2000 0 2
1 O42.9;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 7341640 0 5 0 0 0 SINTYA RIRISWATI
00494163 17 6360 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180001857
0002017485156 3;JKN Firman; 5.2.0.201712280730 4 164906
1#0##0#0#0.0#2018-03-27 13:50:35#0#13:49:24#13:49:24#00:00:00 1
b3619a56603e22e4de3c0c5d3f75ce55
3207012 C 1 CP 1 03/02/2018 09/02/2018 21/12/1947 0 2
1 I63.8 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 5211700 0 0 - 0 - 0 - 0 -
0 5211700 5270364 0 7 0 0 0 KARTIMI
00493961 70 25612 H. DENNY RAHARJONO, DR. SP. S.
1023r001021800013326 0000071298437 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164994 1#0##0#0#0.0#2018-03-27
14:53:04#0#14:51:33#14:51:33#00:00:00 1 354b7ba1fd30892389f5aa3b08ede185
3207012 C 2 CP 1 06/02/2018 09/02/2018 12/07/1985 0 1
1 K30;T62.0;X28.9 90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1491100 0 0 - 0 - 0 - 0 - 0
1491100 1302584 0 4 0 0 0 DEDI CAHYADI
00494271 32 11897 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180002752 0000164577339 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164997 1#0##0#0#0.0#2018-03-27
14:56:08#0#14:54:35#14:54:35#00:00:00 1 9c468e1f5b63ed1831b5e1e48e1e7446
3207012 C 2 CP 1 06/02/2018 09/02/2018 02/01/1949 0 1
1 A01.0;I11.9;R51 89.52;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2511000 0 0 - 0 - 0 - 0
- 0 2511000 1440108 0 4 0 0 0 MUCHSIN
HIDAYAT 00419912 69 25237 PRIMAHATI RIANA ROSY, DR. SP.PD
 1023r00102180002234 0001479287013 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165000 1#0##0#0#0.0#2018-03-27
14:57:50#0#14:56:29#14:56:29#00:00:00 1 42f7120a66d93f2c72d0fd0ececdbba5
3207012 C 3 CP 1 04/02/2018 09/02/2018 03/07/1951 0 2
1 I63.9 87.03;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2591992 0 6 0 0 0 ARSIH 00494010 66
24323 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180001725
0002426903256 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165265
1#0##0#0#0.0#2018-03-29 09:52:15#0#09:50:31#09:50:31#00:00:00 1
43b70aec3c0b71a41deabdda4be517a7
3207012 C 3 CP 1 03/02/2018 09/02/2018 01/05/1994 0 1
1 K11.3 90.59 - - None None None None U-4-13-I None None
None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0 -
0 - 0 1826300 2408334 0 7 0 0 0 KUNTA
HARUMAN MUKTI 00493267 23 8679 SETYO RAHARJO, DR, SP. PD
1023r00102180001226 0000440560372 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166156 1#0##0#0#0.0#2018-04-03
08:52:07#0#08:50:45#08:50:45#00:00:00 1 6ce57be210fe09277cbbf8f4091dc916
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/01/1947 0 1
1 I50.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1380767 0 4 0 0 0 KARMITA 00494266 71 25969
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180002218 0000439734857 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166158 1#0##0#0#0.0#2018-
04-03 08:57:28#0#08:56:08#08:56:08#00:00:00 1
b936e44e2b6c792c8d2c3e3d5458a435
3207012 C 3 CP 1 05/02/2018 09/02/2018 04/02/1983 0 2
1 O99.6;K30 89.52;90.59 - - None None None None W-4-16-I
None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
1497195 0 5 0 0 0 NIA HARYANI 00494115 35 12785
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003264 0001259731495 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166159 1#0##0#0#0.0#2018-
04-03 09:04:56#0#09:01:10#09:01:10#00:00:00 1
ec08a5dc34e3365b43a996a2d87f458c
3207012 C 3 CP 1 08/02/2018 09/02/2018 01/07/1969 0 2
1 N18.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2169399 0 2 0 0 0 DADAH JUBAEDAH
00379505 48 17754 SETYO RAHARJO, DR, SP. PD 1023r00102180003061
0001006077565 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166380
1#0##0#0#0.0#2018-04-03 11:05:12#0#11:03:34#11:03:34#00:00:00 1
54f1725f7208d4e4c0d817395e444007
3207012 C 3 CP 1 07/02/2018 09/02/2018 03/10/2010 0 1
1 A09.9;E86 90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 642895 0 3 0 0 0 RIO SATRIA PRATAMA
00488601 7 2684 HJ. SUHERJATI, SP. A 1023R00102180003290
0002298278081 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160089
1#0##0#0#0.0#2018-04-04 09:25:09#0#00:00:00#00:00:00#00:00:00 2
cbe8d0ce27d508aecbbf1159fe64cf09
3207012 C 3 CP 1 08/02/2018 09/02/2018 01/04/1972 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
 None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2602617 0 2 0 0 0 OPOY YUSTIANAH
00381551 45 16749 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003310 0000441660047 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162404 1#0##0#0#0.0#2018-04-04
12:59:45#0#00:00:00#00:00:00#00:00:00 2 f36791d9c96bbe3e30fd4ad393846352
3207012 C 3 CP 1 08/02/2018 09/02/2018 08/02/2018 4100 2
2 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 524142 0 2 0 0 0 BY NYA
UUN UNARI 00494456 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180003653 0002306170179 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166865 1#0##0#0#0.0#2018-04-05
10:52:50#0#10:47:59#10:47:59#00:00:00 2 1db26f874dcf06e382f1b0c99f0f4250
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/09/2000 0 1
1 B15.9 90.59 - - None None None None B-4-13-I None None
None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100 0
0 - 0 - 0 - 0 - 0 3122100 1298472
0 4 0 0 0 MUHAMMAD SAEPUL IMAM 00492187 17 6367
SETYO RAHARJO, DR, SP. PD 1023r00102180002210 0000439295185 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166894 1#0##0#0#0.0#2018-
04-05 11:07:46#0#11:06:23#11:06:23#00:00:00 1
677148d10b2cf7cf5e8ec7f918077b41
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/03/2001 0 2
1 A49.9;R41.0 87.49;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1341383 0 4 0 0 0 SINDI
00494286 16 6186 SETYO RAHARJO, DR, SP. PD 1023r00102180002325
0000438228066 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167069
1#0##0#0#0.0#2018-04-06 09:20:16#0#09:18:51#09:18:51#00:00:00 1
f3fcab2038f956b9f5e4bb34965389c7
3207012 C 3 CP 1 07/02/2018 09/02/2018 17/09/1932 0 1
1 L02.9;B02.9;H53.0;K30 90.59 - - None None None None L-4-
12-II None None None None None None PERADANGAN KULIT/CELLULITIS (SEDANG)
1669800 0 0 - 0 - 0 - 0 - 0
1669800 909876 0 3 0 0 0 SUJANA 00494340
85 31189 NUR INDAH KOMARASARI,DR.SP.D.V 1023r00102180003605
0002427828513 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167481
1#0##0#0#0.0#2018-04-09 09:33:32#0#09:31:57#09:31:57#00:00:00 1
9c9cd470d795b4b9894bf4122aeadf91
3207012 C 3 CP 1 06/02/2018 09/02/2018 25/05/1987 0 2
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1474232 0 4 0 0 0 LIA HERLIANI
00494273 30 11215 SETYO RAHARJO, DR, SP. PD 1023r00102180002222
0001089584987 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167484
1#0##0#0#0.0#2018-04-09 09:35:31#0#09:34:23#09:34:23#00:00:00 1
1176168a6207e4d142e02cc5f01a95f9
3207012 C 3 CP 1 01/02/2018 09/02/2018 19/07/1954 0 1
1 A15.0;K30 87.49;90.41;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 3336547 0 9 0 0 0 KOMARUDIN 00456113
63 23208 SETYO RAHARJO, DR, SP. PD 1023r00102180000752
0002201573654 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167528
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3207012 C 3 CP 1 06/02/2018 09/02/2018 01/11/1975 0 2
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None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1370956 0 4 0 0 0 YANI 00458408 42
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1262500 0 0 - 0 - 0 - 0 - 0
1262500 2581145 0 2 0 0 0 LAHFA AZIZA ISNA FITRIA
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3207012 C 3 CP 1 08/02/2018 09/02/2018 01/05/1972 0 2
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b2752b84678355421dd106bc213fa76d
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- 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 -
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J-4-16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING
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3207012 C 3 CP 1 08/02/2018 09/02/2018 18/01/1983 0 2
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3207012 C 3 CP 1 08/02/2018 09/02/2018 11/03/1968 0 2
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3840300 0 0 - 0 - 0 - 0 - 0
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49 18231 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003277
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b26bec10bb98aac8851ede5747ffe291
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/03/1990 0 1
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3207012 C 3 CP 1 06/02/2018 09/02/2018 04/04/1983 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
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12727 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002701 0002427714404
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52675370818cda2e3a3f64afba7e29de
3207012 C 3 CP 1 31/01/2018 09/02/2018 01/07/1940 0 1
 1 K30;M54.56 87.24;88.19;88.76;90.59 - - None None None None
K-4-18-I None None None None None None GANGGUAN SISTEM PENCERNAAN
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36b23a1302cbc680f20d189193ae108c
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None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
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b5fd6f70a4c28801e24ce505ae248e50
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/02/1977 0 2
1 O41.0;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
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7b16f63ef1a5a3c73f65d68229f156c9
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/10/1998 0 1
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- 0 2266600 1413974 0 4 0 0 0 HENDI
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10:35:14#0#09:37:06#09:37:06#00:00:00 2 dbc6b2e92d685d16533aed485804c26a
3207012 C 3 CP 1 01/02/2018 09/02/2018 12/07/1950 0 1
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None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
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c7a58efdaf2aaccf273edc1b4f0895fd
3207012 C 1 CP 1 03/02/2018 09/02/2018 21/12/1947 0 2
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None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
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00493961 70 25612 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180001326 0000071298437 3;JKN NANA KUSLIANA;
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10:41:21#0#14:51:33#14:51:33#00:00:00 2 82fc132c72e8b740f85ec239a1e14caa
3207012 C 3 CP 1 06/02/2018 09/02/2018 01/01/1973 0 1
1 A01.0;I25.0 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1489448 0 4 0 0 0 MAMAN 00494276 45
16472 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180002706 0002427767346
 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 166058
1#0##0#0#0.0#2018-04-25 10:42:11#0#10:36:14#10:36:14#00:00:00 2
3259d8a02e90654bef01aef1d5e0c50b
3207012 C 3 CP 1 08/02/2018 09/02/2018 01/06/1952 0 2
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None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
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3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162528
1#0##0#0#0.0#2018-04-30 07:25:48#0#00:00:00#00:00:00#00:00:00 2
ad49f078a79a70503eb90d7c674f5349
3207012 C 3 CP 1 08/02/2018 09/02/2018 25/01/1955 0 1
1 H25.9 13.3;13.19;90.59 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5500485 0 2 0 0 0 MANAT SUJANA
00193975 63 23025 SUTRISNO, DR. SP.M 1023R00102180003078
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27d22e25f012920b385933f03c5e40ef
3207012 C 3 CP 1 08/02/2018 09/02/2018 13/08/1954 0 2
1 H25.9 13.3;13.19;90.59 - - None None None None H-1-30-I
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6433000 0 0 - 0 - 0 - 0 - 0
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23190 SUTRISNO, DR. SP.M 1023R00102180002959 0002023935579 3;JKN
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b2dc5053ed7111c1d0a4b1cd41452b8a
3207012 C 3 CP 1 07/02/2018 09/02/2018 12/10/2016 0 1
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None None None None None None SERANGAN KEJANG (BERAT) 3770200 0
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HJ. SUHERJATI, SP. A 1023R00102180003648 0002092605052 3;JKN NANA
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3207012 C 3 CP 1 08/02/2018 09/02/2018 28/02/1999 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 688346 0 2 0 0 0 RIDWAN FEBRIANSYAH
00494398 18 6920 PRIMAHATI RIANA ROSY, DR. SP.PD
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3207012 C 3 CP 1 06/02/2018 09/02/2018 04/02/1983 0 2
1 O99.6;K30 89.52;90.59 - - None None None None W-4-16-I
None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
1497195 0 4 0 0 0 NIA HARYANI 00494115 35 12786
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003284 0001259731495 3;JKN
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3207012 C 3 CP 1 06/02/2018 10/02/2018 04/08/1950 0 2
1 J44.9;I50.0 89.52;87.49;90.59 - - None None None None J-4-
17-II None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (SEDANG)
3280300 0 0 - 0 - 0 - 0 - 0
 3280300 2808070 0 5 0 0 0 PATIMAH 00494189
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1#0##0#0#0.0#2018-03-15 10:00:15#0#00:00:00#00:00:00#00:00:00 1
73f6806d974fbf5e1afe731f0ba1c512
3207012 C 1 CP 1 08/02/2018 10/02/2018 15/06/1971 0 2
1 N92.1 69.09;69.93;90.59 - - None None None None W-1-11-I
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0 2320000 3877280 0 3 0 0 0 MARSIH
00219981 46 17040 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180003422
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8704f5c9078b8f67be7309e4fa0769c6
3207012 C 2 CP 1 06/02/2018 10/02/2018 10/05/1941 0 1
1 I20.9;N40 89.52;90.59 - - None None None None I-4-20-I
None None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
3632600 0 0 - 0 - 0 - 0 - 0
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76 28031 SETYO RAHARJO, DR, SP. PD 1023R00102180002386
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0cea1b9e5aae8afc534dc09cc35fe361
3207012 C 3 CP 1 07/02/2018 10/02/2018 08/12/1997 0 2
1 J45.9 93.94;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000
1529262 0 4 0 0 0 SUSILAWATI 00355858 20 7366
ABU BAKAR, DR. SPP, MKES 1023R00102180002413 0001275294172 3;JKN
INACBG;123123123123 5.2.0.201712280730 4 160111
1#0##0#0#0.0#2018-03-15 13:59:41#0#00:00:00#00:00:00#12:00:00 1
b07c6d014909cca57e53ba3bfd043472
3207012 C 2 CP 1 08/02/2018 10/02/2018 15/01/1998 0 2
1 K59.0;K30 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1491100 0 0 - 0 - 0 - 0 - 0
1491100 983733 0 3 0 0 0 LILIS FITRIYANI
00492100 20 7329 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003603
0001975983906 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160121
1#0##0#0#0.0#2018-03-15 14:02:57#0#00:00:00#00:00:00#00:00:00 1
555a0a425308cdc2cb000457ebf1417c
3207012 C 3 CP 1 08/02/2018 10/02/2018 03/07/2017 0 1
1 I51.6;D64.9 99.04;90.59;87.49 - - None None None None I-4-
16-II None None None None None None ATHEROSKLEROSIS (SEDANG) 2508400
0 0 - 0 - 0 - 0 - 0 2508400
2092329 0 3 0 0 0 GALUH SYARIF NUR ZAMAN 00494460
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3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160153
1#0##0#0#0.0#2018-03-15 14:17:36#0#00:00:00#00:00:00#00:00:00 1
20eea507c8a1ce2874e8fb58141ff354
3207012 C 3 CP 1 07/02/2018 10/02/2018 01/06/1973 0 2
1 O60.1;O42.9;O80.0;Z37.0 73.59;90.59 - - None None None None
O-6-13-I None None None None None None PERSALINAN VAGINAL (RINGAN)
1544900 0 0 - 0 - 0 - 0 - 0
1544900 3046216 0 4 0 0 0 MIMIN 00494385 44
16322 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180002914 0001005943094
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161252
1#0##0#0#0.0#2018-03-20 08:03:44#0#00:00:00#00:00:00#00:00:00 1
9a5073c30e3e4c25bcd035617ce1b75b
3207012 C 1 CP 1 07/02/2018 10/02/2018 01/04/2003 0 2
1 A09.9 90.59;90.99 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1968700 0 0 - 0 - 0 - 0 - 0
1968700 2518995 0 4 0 0 0 NADIA KHOERUNNISA
00494370 14 5426 SETYO RAHARJO, DR, SP. PD 1023R00102180002719
0000070955921 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161325
1#0##0#0#0.0#2018-03-20 08:27:31#0#00:00:00#00:00:00#00:00:00 1
e4086aa2420851bca35dd3804ac75af3
3207012 C 3 CP 1 07/02/2018 10/02/2018 06/08/1970 0 2
1 C54.1;N92.1 69.09;69.93;88.78;90.59;91.49 - - None None None
None W-1-11-I None None None None None None PROSEDUR DILATASI,
KURET, INTRAUTERIN & SERVIK (RINGAN) 1657100 0 0 - 0 -
0 - 0 - 0 1657100 4206307 0 4 0 0
0 YUYUN YUNINGSIH 00494250 47 17352 H. SUSWADI, SP.OG
1023R00102180002955 0002426108038 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161363 1#0##0#0#0.0#2018-03-20
08:42:51#0#00:00:00#00:00:00#00:00:00 1 1441e493baa32a6b6f6d3094980e7163
3207012 C 3 CP 1 09/02/2018 10/02/2018 25/05/1957 0 1
1 N40;R33 89.52;90.59 - - None None None None V-4-11-I
None None None None None None PENYAKIT SISTEM REPRODUKSI LAKI-LAKI
SELAIN TUMOR (RINGAN) 2742300 0 0 - 0 - 0 - 0
- 0 2742300 1044998 0 2 0 0 0 ENANG NASIR
00494336 60 22175 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003667 0002427729985 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161605 1#0##0#0#0.0#2018-03-20
11:15:34#0#00:00:00#00:00:00#00:00:00 1 c71371b1057a62803417e3485a1d61db
3207012 C 3 CP 1 07/02/2018 10/02/2018 02/04/1986 0 2
1 O64.1;O63.9;O30.0;O80.0;Z37.2 73.59;90.59 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 3280608 0 4 0 0 0 YANTI RISMAYANTI
00493760 31 11634 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180002966
0002236854396 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161868
1#0##0#0#0.0#2018-03-20 14:00:15#0#00:00:00#00:00:00#00:00:00 1
6ffd26c6e9cccaa0990e1abfa1d8bc15
3207012 C 3 CP 1 05/02/2018 10/02/2018 28/04/1975 0 2
1 N83.2;N21.0;A09.9 90.59 - - None None None None W-4-12-II
None None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI
WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0 - 0 -
0 - 0 3667500 2825126 0 6 0 0 0 YENI
CHANDRASARI SUTRISNO 00494162 42 15624 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002228 0002427475522 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163030 1#0##0#0#0.0#2018-03-22
10:38:20#0#00:00:00#00:00:00#00:00:00 1 ff403b12e2bbc61ea34622447fe262f2
3207012 C 3 CP 1 07/02/2018 10/02/2018 02/10/1995 0 2
1 O21.0 90.59 - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0 0
- 0 - 0 - 0 - 0 1999800 1482402 0
4 0 0 0 NYAI SANIAH 00494382 22 8164 BUDI AHMAD RASAS,
SP.OG.M.KES 1023R00102180002971 0000514698131 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163122 1#0##0#0#0.0#2018-03-22
11:07:07#0#00:00:00#00:00:00#00:00:00 1 d3dd56e9173ac289a327e50c65136b35
3207012 C 3 CP 1 04/02/2018 10/02/2018 01/08/1942 0 1
1 I61.9 89.52;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2855809 0 7 0 0 0 AEP SAEPUDIN
00369247 75 27581 H. DENNY RAHARJONO, DR. SP. S.
 1023r00102180001070 0000439144132 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164514 1#0##0#0#0.0#2018-03-27
09:27:49#0#09:26:04#09:26:04#00:00:00 1 5cac855179eea859bc8b8342a0aef13f
3207012 C 3 CP 1 04/02/2018 10/02/2018 01/11/1959 0 1
1 I25.0;K30 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
2226053 0 7 0 0 0 IKUN 00430072 58 21280
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180001207 0001005965223 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 120836 1#0##0#0#0.0#2018-
03-27 11:01:36#0#08:45:22#08:45:22#00:00:00 1
68a0910f0a5a5477340714a15a086233
3207012 C 3 CP 1 06/02/2018 10/02/2018 01/07/1948 0 1
1 I11.0;J44.1 89.52;87.49;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
3532113 0 5 0 0 0 OMO 00494294 69 25422
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003302 0002428136649 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164712 1#0##0#0#0.0#2018-
03-27 11:04:10#0#11:02:33#11:02:33#00:00:00 1
23c8e2465e0458dca09342e25b7c6bea
3207012 C 3 CP 1 07/02/2018 10/02/2018 11/12/1994 0 1
1 A36.9 89.52;87.49;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1216032 0 4 0 0 0 MOHAMAD
SODIK 00494387 23 8459 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180002810
0002427743845 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164715
1#0##0#0#0.0#2018-03-27 11:07:22#0#11:04:41#11:04:41#00:00:00 1
41fdee4b8e715cd38c49a2db60b92f76
3207012 C 3 CP 1 07/02/2018 10/02/2018 28/01/1982 0 2
1 O72.2;O99.0 75.7;99.04;57.94;93.57 - - None None None None
W-4-17-II None None None None None None GANGGUAN POSTPARTUM (SEDANG)
2664400 0 0 - 0 - 0 - 0 - 0
2664400 2146230 0 4 0 0 0 RENI 00492098 36
13159 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180002523 0000440192158
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164807
1#0##0#0#0.0#2018-03-27 12:12:24#0#12:11:03#12:11:03#00:00:00 1
c0314d27c69156c79da8190a9497dfbf
3207012 C 1 CP 1 04/02/2018 10/02/2018 05/03/2001 0 1
1 S42.30 79.31;96.59;87.49;88.22;88.21;90.59 - - None None
None None M-1-80-I None None None None None None PROSEDUR ANGGOTA
TUBUH ATAS (RINGAN) 8745100 0 0 - 0 - 0 - 0
- 0 8745100 10613609 0 7 0 0 0 GEMA AGUNG
AOHARA 00376756 16 6180 ALDI DR.SP OT 1023R00102180001585
0000071570428 3;JKN Firman; 5.2.0.201712280730 4 164845
1#0##0#0#0.0#2018-03-27 13:06:02#0#13:02:27#13:02:27#12:00:00 1
d009d2ad717101030be1ab112bdf674d
3207012 C 3 CP 1 08/02/2018 10/02/2018 05/06/1979 0 2
1 A01.0;M54.56 87.24;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 991766 0 3 0 0 0 DEDEH
KURNIASIH 00494476 38 14128 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180003535 0002019068864 3;JKN Ridwan; 5.2.0.201712280730
4 164878 1#0##0#0#0.0#2018-03-27
13:30:08#0#13:29:13#13:29:13#00:00:00 1 1473f295ac1a4b78b641093f0bb064b2
3207012 C 3 CP 1 08/02/2018 10/02/2018 08/02/2018 2200 1
1 P07.1;Z24.6 96.07;99.59;90.59 - - None None None None P-8-
13-I None None None None None None NEONATAL, BBL 2000 - 2499 GR TANPA
PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 - 0 - 0
- 0 4989600 1236251 0 3 0 0 0 BY NY YANTI
II 00494392 0 0 HJ. SUHERJATI, SP. A 1023r00102180003286
0002428017895 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164903
1#0##0#0#0.0#2018-03-27 13:48:24#0#13:47:07#13:47:07#00:00:00 1
19580e76da2dfc5cb072a591b5afb282
3207012 C 3 CP 1 06/02/2018 10/02/2018 01/04/1947 0 1
1 I63.9 87.03;89.52;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 2305687 0 5 0 0 0 SARIPUDIN
00476335 70 25879 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180001740 0000440241243 3;JKN Ridwan; 5.2.0.201712280730
4 164904 1#0##0#0#0.0#2018-03-27
13:49:50#0#13:48:32#13:48:32#00:00:00 1 244dc8625f4e6a8c8b5f2617a2bb83d4
3207012 C 3 CP 1 07/02/2018 10/02/2018 12/07/1983 0 2
1 O13;O36.5;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6122544 0 4 0 0 0 SARI SUHARTI
00494384 34 12629 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180002975
0002026681277 3;JKN Firman; 5.2.0.201712280730 4 164916
1#0##0#0#0.0#2018-03-27 13:57:05#0#13:55:51#13:55:51#00:00:00 1
de259d7d399b31498ff2937f7b309440
3207012 C 3 CP 1 06/02/2018 10/02/2018 01/07/1951 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 2059538 0 5
0 0 0 EDAH 00494274 66 24327 H. DENNY RAHARJONO, DR. SP.
S. 1023r00102180003088 0001784891799 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164990 1#0##0#0#0.0#2018-03-27
14:50:14#0#14:46:30#14:46:30#00:00:00 1 b5631d5d3541bb45ea46bade2a2e8b8c
3207012 C 2 CP 1 09/02/2018 10/02/2018 01/07/1959 0 2
1 I12.9;D63.0 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 4700700 0 0 - 0 - 0 - 0 -
0 4700700 1561723 0 2 0 0 0 AI KURNIATI
00456957 58 21408 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180003606 0001826950252 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160136 1#0##0#0#0.0#2018-04-04
09:29:40#0#00:00:00#00:00:00#12:00:00 2 cadbc975e5362007ba2f7d8f9e61dc0a
3207012 C 3 CP 1 08/02/2018 10/02/2018 03/07/1969 0 2
1 I12.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 3046200 0 3 0 0 0 TITIN HARTINI
00445085 48 17752 SETYO RAHARJO, DR, SP. PD 1023r00102180003292
0002072764539 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167083
1#0##0#0#0.0#2018-04-06 09:28:19#0#09:26:52#09:26:52#00:00:00 1
872dddb704660c8cca5d63a95324d7bd
3207012 C 3 CP 1 06/02/2018 10/02/2018 01/06/1959 0 2
1 A09.9;R10.4 88.76;89.52;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1857358 0 5 0 0 0 RUMSAH 00494210
58 21435 SETYO RAHARJO, DR, SP. PD 1023r00102180002053
0000441328105 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167506
1#0##0#0#0.0#2018-04-09 09:55:47#0#09:54:29#09:54:29#00:00:00 1
 9d9733004d8b6d141dac3ad9acb1c681
3207012 C 3 CP 1 05/02/2018 10/02/2018 12/11/1962 0 1
1 A09.9;I84.9;N40;I10 89.52;88.76;90.99;90.59 - - None None
None None K-4-17-I None None None None None None NYERI ABDOMEN &
GASTROENTERITIS LAIN-LAIN (RINGAN) 1406200 0 0 - 0 - 0
- 0 - 0 1406200 2230916 0 6 0 0 0
UJANG RUHYAT 00474895 55 20174 SETYO RAHARJO, DR, SP. PD
1023r00102180002235 0002025748258 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167537 1#0##0#0#0.0#2018-04-09
10:21:47#0#10:20:29#10:20:29#00:00:00 1 167bcf686bedadd0ba03af53e4bad75f
3207012 C 3 CP 1 02/02/2018 10/02/2018 16/07/1960 0 2
1 D62;K92.1;K30 99.04;90.59 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 -
0 - 0 2218100 6078338 0 9 0 0 0
UNAESIH 00493932 57 21020 SETYO RAHARJO, DR, SP. PD
1023r00102180000765 0001089540281 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167806 1#0##0#0#0.0#2018-04-10
12:26:33#0#12:25:12#12:25:12#00:00:00 1 5a7d5e6ac503e8fe4cbf67a35d4cb708
3207012 C 3 CP 1 06/02/2018 10/02/2018 17/06/1962 0 1
1 J18.0;J98.1 89.52;87.49;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 4683100 0 0 - 0 - 0 - 0 - 0
4683100 1962464 0 5 0 0 0 SALEH 00494202 55
20323 SETYO RAHARJO, DR, SP. PD 1023r00102180001844 0002426901142
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167807
1#0##0#0#0.0#2018-04-10 12:28:46#0#12:27:02#12:27:02#00:00:00 1
6013e32a1d72a58445426fcf3e692fcd
3207012 C 3 CP 1 07/02/2018 10/02/2018 16/04/1982 0 2
1 O41.0;O82.1;Z37.0 74.0 - - None None None None O-6-10-I
None None None None None None OPERASI PEMBEDAHAN CAESAR (RINGAN)
4830200 0 0 - 0 - 0 - 0 - 0
4830200 8362139 0 4 0 0 0 UUN UNARI 00494332
35 13081 H. SUSWADI, SP.OG 1023R00102180002904 0002306168818 3;JKN
Ridwan; 5.2.0.201712280730 4 167967 1#0##0#0#0.0#2018-04-11
09:42:44#0#09:41:29#09:41:29#00:00:00 1 7e186ba46a6a1de72a73c196616b513e
3207012 C 3 CP 1 04/02/2018 10/02/2018 02/08/1964 0 2
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1406200 0 0 - 0 - 0 - 0 - 0
1406200 2313594 0 7 0 0 0 EMPAT FATIMAH
00380426 53 19544 SETYO RAHARJO, DR, SP. PD 1023R00102180001044
0001449282565 3;JKN Firman; 5.2.0.201712280730 4 167971
1#0##0#0#0.0#2018-04-11 09:46:34#0#09:45:10#09:45:10#00:00:00 1
53b2bb241df92efe73a0ec2be47cc8f1
3207012 C 3 CP 1 09/02/2018 10/02/2018 15/07/1997 0 2
1 I49.9;K30 90.59 - - None None None None I-4-19-I None
None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG (RINGAN)
2907100 0 0 - 0 - 0 - 0 - 0
2907100 574763 0 2 0 0 0 DINI HARDINI MAULIDINA
00494550 20 7514 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003847
0001478772347 3;JKN Firman; 5.2.0.201712280730 4 167992
1#0##0#0#0.0#2018-04-11 10:06:52#0#10:05:12#10:05:12#00:00:00 1
ee9a0bd5e3706baba4263794f207fb1a
3207012 C 3 CP 1 08/02/2018 10/02/2018 16/07/1992 0 2
1 K30;R10.4 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1004293 0 3 0 0 0 IMAS MUSFIROH
 00479185 25 9338 SETYO RAHARJO, DR, SP. PD 1023R00102180002924
0001403901235 3;JKN Firman; 5.2.0.201712280730 4 168008
1#0##0#0#0.0#2018-04-11 10:31:15#0#10:28:13#10:28:13#00:00:00 1
f56ce1a208987a654827ca361968cf27
3207012 C 3 CP 1 05/02/2018 10/02/2018 01/07/1950 0 1
4 D62;K92.1;K74.6 99.04;89.52;90.59;57.94 - - None None None
None D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 3555608 0 6 0 0
0 ASOBI 00494160 67 24691 SETYO RAHARJO, DR, SP. PD
1023r00102180001624 0000442087209 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168303 1#0##0#0#0.0#2018-04-13
09:44:46#0#09:42:16#09:42:16#00:00:00 1 96e4959d30449722de7ed7eb3770ba66
3207012 C 3 CP 1 05/02/2018 10/02/2018 01/07/1950 0 2
1 E11.5 84.11;86.28;90.59;88.28 - - None None None None M-1-
30-I None None None None None None PROSEDUR KAKI (RINGAN) 6295600 0
0 - 0 - 0 - 0 - 0 6295600 4385975
0 6 0 0 0 NENAH 00347966 67 24691 FIRDAUS BENNY
PUTRA, DR. SP. B. 1023r00102180001939 0001006209191 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168332 1#0##0#0#0.0#2018-04-13
09:58:59#0#09:56:20#09:56:20#00:00:00 1 eb1e6583a57300a7bcaf635bc9d44253
3207012 C 3 CP 1 05/02/2018 10/02/2018 01/09/1972 0 2
1 N92.1;D62 99.03;90.59 - - None None None None W-4-12-II
None None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI
WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0 - 0 -
0 - 0 3667500 3845126 0 6 0 0 0 UUN
RUMDASIH 00494168 45 16593 BUDI AHMAD RASAS, SP.OG.M.KES
1023r00102180001864 0001006130946 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168383 1#0##0#0#0.0#2018-04-13
10:19:55#0#10:18:37#10:18:37#00:00:00 1 0f7962a068dc72cd2d644250a6b4b7c6
3207012 C 3 CP 1 04/02/2018 10/02/2018 15/07/1984 0 2
1 I11.0;I49.9 90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 2304277
0 7 0 0 0 NENG MELA 00494029 33 12257 SETYO
RAHARJO, DR, SP. PD 1023r00102180001599 0002285907041 3;JKN NANA
KUSLIANA; 5.2.1.201802140120 4 167501 1#0##0#0#0.0#2018-04-16
13:31:40#0#09:49:18#09:49:18#00:00:00 2 e725691a41b2ebf2ee25ff3a42cbb698
3207012 C 2 CP 1 08/02/2018 10/02/2018 04/06/1964 0 1
1 K30;I10 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1491100 0 0 - 0 - 0 - 0 - 0
1491100 1328470 0 3 0 0 0 RAHMAT 00428956
53 19607 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003285
0000071735286 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 166069
1#0##0#0#0.0#2018-04-18 10:01:40#0#10:42:30#10:42:30#12:00:00 2
836d501a97500783e74c2c55164ca002
3207012 C 3 CP 1 08/02/2018 10/02/2018 01/05/1987 0 2
1 K30;M54.56 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 909701 0 3 0 0 0 SITI ROHAYANI
00494473 30 11241 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003544
0000440472598 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164673
1#0##0#0#0.0#2018-04-18 10:19:11#0#10:42:14#10:42:14#00:00:00 2
b7cbc476c8f6d85890e78c8ea3eba1f9
3207012 C 2 CP 1 09/02/2018 10/02/2018 16/04/1941 0 2
4 I50.0;I46.9 89.52;87.49;90.59;99.60 - - None None None None
I-4-12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
 4299100 0 0 - 0 - 0 - 0 - 0
4299100 1513985 0 2 0 0 0 ROMLAH 00481136
76 28058 SETYO RAHARJO, DR, SP. PD 1023R00102180004435
0002250656818 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159998
1#0##0#0#0.0#2018-04-19 08:34:02#0#00:00:00#00:00:00#00:00:00 3
532a3a679db1aa5e0e07cea8536411c2
3207012 C 2 CP 1 07/02/2018 10/02/2018 20/01/2016 0 2
1 B34.9;B37.9;E86 90.59 - - None None None None A-4-13-II
None None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN
(SEDANG) 2728200 0 0 - 0 - 0 - 0 - 0
2728200 2053241 0 4 0 0 0 KINANTI AURYNNISA ILHAMI
00494304 2 749 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180002702 0002097024412 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 159984 1#0##0#0#0.0#2018-04-23
07:36:50#0#00:00:00#00:00:00#00:00:00 3 23f9474446cfccbd6777f1a381316aaf
3207012 C 3 CP 1 05/02/2018 10/02/2018 07/06/1965 0 2
1 N93.9;D64.9 99.04;90.59 - - None None None None W-4-12-II
None None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI
WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0 - 0 -
0 - 0 3667500 3079659 0 6 0 0 0 ENOH
00494152 52 19236 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180002707
0002427747489 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173171
1#0##0#0#0.0#2018-04-24 12:58:48#0#00:00:00#00:00:00#00:00:00 1
fd1ef513f6bad30416f514ff252611d8
3207012 C 2 CP 1 06/02/2018 10/02/2018 08/08/1951 0 1
1 E11.2;N08.3 90.59 - - None None None None N-4-16-I None
None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-LAIN
(RINGAN) 3293400 0 0 - 0 - 0 - 0 - 0
3293400 3567375 0 5 0 0 0 IWA KARTIWA 00000019
66 24289 SETYO RAHARJO, DR, SP. PD 1023R00102180002249
0000071288853 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 165015
1#0##0#0#0.0#2018-04-30 08:36:19#0#15:10:51#15:10:51#00:00:00 2
7c2200955950408802c80e4750cd964b
3207012 C 3 CP 1 08/02/2018 10/02/2018 06/03/1945 0 1
1 I63.9;N40;R33 57.94 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 1044998 0 3 0 0 0 SUNARYA
00375329 72 26637 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003296 0001319367879 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160914 1#0##0#0#0.0#2018-05-02
07:56:51#0#00:00:00#00:00:00#00:00:00 3 94cd99abbb05eb71cb8b95f4f10aadd0
3207012 C 1 CP 1 09/02/2018 10/02/2018 07/07/1938 0 1
4 I50.0 99.04;89.52;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 3605900
0 0 - 0 - 0 - 0 - 0 3605900
1146067 0 2 0 0 0 ALEH BA 00494553 79 29072
SETYO RAHARJO, DR, SP. PD 1023R00102180003675 0000071216043 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 160877 1#0##0#0#0.0#2018-
05-03 08:54:54#0#00:00:00#00:00:00#00:00:00 3
75132c53752bd0b135a88daa3a8cf542
3207012 C 3 CP 1 07/02/2018 10/02/2018 03/09/2017 0 1
4 Q90.9;Q21.0;I51.6;R62.8 99.60;93.94;90.59 - - None None None
None F-4-16-II None None None None None None GANGGUAN OTAK ORGANIK
LAIN-LAIN TERMASUK KETERBELAKANGAN MENTAL (SEDANG) 4733200 0 0 -
0 - 0 - 0 - 0 4733200 2287846 0 4
0 0 0 SHAZFA FATHARANI ALMAHYRA 00485008 0 157 HJ.
TINA SUSILAWATI, DR. SP.KFR 1023R00102180002733 0002296887783 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 175007 1#0##0#0#0.0#2018-05-08
08:08:54#0#00:00:00#00:00:00#00:00:00 5 04a2f2fb2d9e58e441f12aa7ff321ea1
3207012 C 3 CP 1 10/02/2018 11/02/2018 05/01/1996 0 2
1 O03.4 69.52;90.59 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 2688026 0 2 0 0 0 NIDA NURANISA
00494568 22 8072 NANANG WIBOWO, DR. SP. OG 1023R00102180003888
0002428105959 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160068
1#0##0#0#0.0#2018-03-15 13:45:54#0#00:00:00#00:00:00#00:00:00 1
ae485d6a38530f2d23d0b0962c912614
3207012 C 3 CP 1 07/02/2018 11/02/2018 17/03/2012 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1504329 0 5 0 0 0 ZAHWA WARDATU ATSANIAH
00494386 5 2153 HJ. SUHERJATI, SP. A 1023R00102180003540
0002428295804 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160158
1#0##0#0#0.0#2018-03-15 14:20:19#0#00:00:00#00:00:00#00:00:00 1
198db4ad2a90a01d820e1a9c90f6a4b9
3207012 C 1 CP 1 10/02/2018 11/02/2018 01/11/1962 0 1
1 M79.19 90.59 - - None None None None M-4-20-I None
None None None None None TANDA, GEJALA & PERADANGAN MUSKULOSKELETAL
(RINGAN) 3048400 0 0 - 0 - 0 - 0 - 0
3048400 948974 0 2 0 0 0 DODO HERMANA
00379182 55 20190 SETYO RAHARJO, DR, SP. PD 1023R00102180003707
0000070883245 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161331
1#0##0#0#0.0#2018-03-20 08:32:13#0#00:00:00#00:00:00#00:00:00 1
31996dd03cc50811f1551f79f9a53b73
3207012 C 1 CP 1 08/02/2018 11/02/2018 16/06/2000 0 2
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2112800 0 0 - 0 - 0 - 0 - 0
2112800 2603634 0 4 0 0 0 RINE JUNI PRAHESTIE
00439488 17 6446 SETYO RAHARJO, DR, SP. PD 1023R00102180003316
0000206356059 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161338
1#0##0#0#0.0#2018-03-20 08:34:19#0#00:00:00#00:00:00#00:00:00 1
9b9ea4140774dbcb13efbc0fe8a862ca
3207012 C 3 CP 1 09/02/2018 11/02/2018 08/08/2014 0 2
1 A09.9;E86;J06.9 90.99;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 915053 0 3 0 0 0 ZARA ANAURA SACHY
00494552 3 1281 HJ. SUHERJATI, SP. A 1023R00102180003673
0001778997881 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162174
1#0##0#0#0.0#2018-03-21 11:24:30#0#00:00:00#00:00:00#00:00:00 1
a990aca1454b76bb5bebdf091ecf429b
3207012 C 1 CP 1 08/02/2018 11/02/2018 26/06/1985 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 2644957 0 4 0 0 0 ENTIN SUHARTINI, A.MK
00281157 32 11915 SETYO RAHARJO, DR, SP. PD 1023R00102180003593
0000201302357 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162187
1#0##0#0#0.0#2018-03-21 11:29:07#0#00:00:00#00:00:00#12:00:00 1
abd4609b4892c3150840a3866eae3f99
3207012 C 3 CP 1 30/01/2018 11/02/2018 11/09/1946 0 1
1 N40 60.69;89.52;87.49;90.59;93.57 - - None None None None
V-1-13-I None None None None None None PROSEDUR PADA SKROTUM DAN
PROSTAT NON KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 -
 0 - 0 3346700 12591678 0 13 0 0 0 SAIMAN
HADIWINOTO 00491500 71 26074 ACHMAD HERYADI, DR. SP. B
1023R00101180012005 0000437688257 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162331 1#0##0#0#0.0#2018-03-21
12:57:49#0#00:00:00#00:00:00#00:00:00 1 93695880ac266018c34079d0c0d05803
3207012 C 3 CP 1 08/02/2018 11/02/2018 20/04/1961 0 1
4 G93.4;I25.0;G40.9 99.04;89.52;90.59;57.94 - - None None None
None G-4-21-II None None None None None None KOMA & STUPOR NON TRAUMA
(SEDANG) 3383500 0 0 - 0 - 0 - 0 - 0
3383500 3251186 0 4 0 0 0 DUDUNG HINDARUN
00494415 56 20748 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003280
0002425068819 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162738
1#0##0#0#0.0#2018-04-04 10:37:14#0#00:00:00#00:00:00#00:00:00 2
422ff6af80820e96557350dfd4fa6c56
3207012 C 3 CP 1 07/02/2018 11/02/2018 01/07/1930 0 2
4 A40.3;D21.4;I50.0 89.52;96.07;57.94;90.59 - - None None None
None A-4-10-II None None None None None None SEPTIKEMIA (SEDANG)
3215600 0 0 - 0 - 0 - 0 - 0
3215600 1571239 0 5 0 0 0 EMOH 00438495 87
31998 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180004467 0002039823764
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160268
1#0##0#0#0.0#2018-04-05 08:01:14#0#00:00:00#00:00:00#00:00:00 2
00ebdce2c3b400616767bd5f49f523ef
3207012 C 3 CP 1 05/02/2018 11/02/2018 01/07/1958 0 1
1 A09.9 89.52;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 2548928 0 7 0 0 0 SUEB 00494093 59
21769 SETYO RAHARJO, DR, SP. PD 1023r00102180002119 0000439244594
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167758
1#0##0#0#0.0#2018-04-09 14:04:14#0#14:02:44#14:02:44#00:00:00 1
4c5625c81cfb612b4ffa6edbd8567508
3207012 C 3 CP 1 10/02/2018 11/02/2018 01/07/1949 0 2
4 R40.1;E15 99.60;96.07;57.94;90.59 - - None None None None
G-4-21-I None None None None None None KOMA & STUPOR NON TRAUMA
(RINGAN) 1999100 0 0 - 0 - 0 - 0 - 0
1999100 977068 0 2 0 0 0 RUKMI 00413769 68
25061 DEANA, DR 1023R00102180003942 0002419281911 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 163053 1#0##0#0#0.0#2018-04-18
08:52:10#0#00:00:00#00:00:00#00:00:00 2 e271d2a857b4fa2f81bb1ba4bd5bf81c
3207012 C 1 CP 1 06/02/2018 11/02/2018 24/07/1964 0 1
1 I64 87.03;87.49;90.59 - - None None None None G-4-15-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK NON
SPESIFIK & PENYUMBATAN PRE-CEREBRAL TANPA INFARK (RINGAN) 4258400 0 0
- 0 - 0 - 0 - 0 4258400 4265861 0
6 0 0 0 KUSTAMAN 00410164 53 19555 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180002057 0000071807455 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 164856 1#0##0#0#0.0#2018-04-24
12:52:13#0#13:10:17#13:10:17#00:00:00 2 8c3cf13c97a12ab15a26a3f2912e963a
3207012 C 3 CP 1 10/02/2018 11/02/2018 14/11/1965 0 2
1 I50.0;A15.0 90.59 - - None None None None I-4-12-II None
None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500 0
0 - 0 - 0 - 0 - 0 2985500 474895
0 2 0 0 0 SAPTI 00397213 52 19081 H. RAMDHAN PAHSJA,
DR 1023r00102180003908 0002077997422 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168020 1#0##0#0#0.0#2018-04-25
10:29:14#0#10:48:45#10:48:45#00:00:00 2 da9d3878bd790d4119a65fe2edad1c36
3207012 C 3 CP 1 10/02/2018 11/02/2018 21/05/1946 0 2
4 R40.1 96.07;57.94;89.52 - - None None None None G-4-21-I
 None None None None None None KOMA & STUPOR NON TRAUMA (RINGAN)
1999100 0 0 - 0 - 0 - 0 - 0
1999100 1021961 0 2 0 0 0 TIRAH 00494606 71
26198 H. RAMDHAN PAHSJA, DR 1023R00102180003901 0000071394658 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 167990
1#0##0#0#0.0#2018-04-25 12:57:26#0#10:03:00#10:03:00#00:00:00 2
da6d0cfbd1fcf4390e832391b955a49e
3207012 C 1 CP 1 07/02/2018 12/02/2018 01/07/1958 0 1
1 D62;K92.1;A15.0 99.04;88.19;87.49;90.59 - - None None None
None D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 4395100 0 0 - 0 -
0 - 0 - 0 4395100 4298302 0 6 0 0
0 ESO SUDARSA 00481626 59 21771 SETYO RAHARJO, DR, SP. PD
1023R00102180002806 0001717237618 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159760 1#0##0#0#0.0#2018-03-15
10:47:49#0#00:00:00#00:00:00#00:00:00 1 8bc6804152faf74db398da804f95415e
3207012 C 3 CP 1 06/02/2018 12/02/2018 10/07/2015 0 1
1 R56.0;A06.0;E86 90.59;90.99 - - None None None None G-4-
22-II None None None None None None SERANGAN KEJANG (SEDANG) 3226600
0 0 - 0 - 0 - 0 - 0 3226600
2171862 0 7 0 0 0 MUHAMAD FAHREZA MIFTAHUL MUBAROK
00494284 2 942 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180003150 0002427766481 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159818 1#0##0#0#0.0#2018-03-15
11:12:09#0#00:00:00#00:00:00#00:00:00 1 91d21347cf74dc758998f1ed23f299dd
3207012 C 2 CP 1 09/02/2018 12/02/2018 03/08/1949 0 1
1 I48;I25.0 89.52;90.59 - - None None None None I-4-19-I
None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(RINGAN) 3488500 0 0 - 0 - 0 - 0 - 0
3488500 1335104 0 4 0 0 0 JUMLI 00384661 68
25027 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180003852
0000071292251 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159951
1#0##0#0#0.0#2018-03-15 12:39:31#0#00:00:00#00:00:00#00:00:00 1
0693f470890fec3cd3ae3ab0cd6422ea
3207012 C 3 CP 1 05/02/2018 12/02/2018 05/04/1995 0 2
1 A01.0;K30 88.76;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 3048552 0 8 0 0 0 RISMA
TRISNASARI 00489570 22 8342 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180001613 0002019060753 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160094 1#0##0#0#0.0#2018-03-15
13:54:24#0#00:00:00#00:00:00#00:00:00 1 a178a8bab37c6209612fd6325e0d7060
3207012 C 1 CP 1 08/02/2018 12/02/2018 08/06/1948 0 2
1 I10;R42 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 2462000 0
0 - 0 - 0 - 0 - 0 2462000 2045247
0 5 0 0 0 JAJAH SETIASIH 00494470 69 25447
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180003313 0000071617926
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160130
1#0##0#0#0.0#2018-03-15 14:08:31#0#00:00:00#00:00:00#00:00:00 1
4d4b67467a1bad4f746a45e247aa3e90
3207012 C 2 CP 1 10/02/2018 12/02/2018 12/08/1942 0 2
1 I10;K30 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 1036261
0 3 0 0 0 TJITJIH SALSIH 00445090 75 27576
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180003912 0002038427706
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160132
 1#0##0#0#0.0#2018-03-15 14:10:14#0#00:00:00#00:00:00#00:00:00 1
394f9ab14dc6d80582da0a77d5b1ccaa
3207012 C 2 CP 1 08/02/2018 12/02/2018 21/08/1956 0 2
1 I10;R42 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 2110300 0 0
- 0 - 0 - 0 - 0 2110300 2778086 0
5 0 0 0 YAYA GAYATRI 00405354 61 22451 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023R00102180003393 0000071545702 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160237 1#0##0#0#0.0#2018-03-15
14:45:21#0#00:00:00#00:00:00#00:00:00 1 9bd1f73ecc2eae627e8658aafeae4079
3207012 C 2 CP 1 05/02/2018 12/02/2018 17/08/1950 0 2
1 M47.86;I10;E14.9 88.76;87.24;90.59 - - None None None None
M-4-17-I None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (RINGAN) 3286200 0 0 - 0 - 0
- 0 - 0 3286200 3112795 0 8 0 0 0
PIPIH SOPIAH 00494141 67 24644 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180001623 0000071965765 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160309 1#0##0#0#0.0#2018-03-16
10:14:53#0#00:00:00#00:00:00#00:00:00 1 b96dec1f736ba5b7edbcad9a8b3dee57
3207012 C 2 CP 1 03/02/2018 12/02/2018 08/05/1969 0 2
1 K80.2;I25.9;K30 88.76;89.52;90.59 - - None None None None
B-4-14-I None None None None None None GANGGUAN SALURAN EMPEDU LAIN-
LAIN (RINGAN) 3742500 0 0 - 0 - 0 - 0 -
0 3742500 3919544 0 10 0 0 0 IIS DEWININGRUM
00422271 48 17803 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180001031 0000067022853 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160381 1#0##0#0#0.0#2018-03-16
10:50:19#0#00:00:00#00:00:00#00:00:00 1 f6001d8c27c52c135919c0354c23e128
3207012 C 2 CP 1 08/02/2018 12/02/2018 11/03/1964 0 1
1 A15.0 89.52;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
4799600 0 0 - 0 - 0 - 0 - 0
4799600 3418880 0 5 0 0 0 UJANG KANCONO
00451110 53 19692 ABU BAKAR, DR. SPP, MKES 1023R00102180003312
0001439659642 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160462
1#0##0#0#0.0#2018-03-16 11:34:49#0#00:00:00#00:00:00#12:00:00 1
d6ce5a2823ae12e5a676ad516bce9e29
3207012 C 3 CP 1 11/02/2018 12/02/2018 11/02/2018 3400 1
1 P03.4;P39.1;P12.8;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None
None None None P-8-17-I None None None None None None NEONATAL,
BBL > 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0
- 0 - 0 - 0 3326400 526293 0 2 0
0 0 BY NY UGI SUGIANTI 00494646 0 0 IMELDA PINGKAN
MONIAGA, DR. SP. A 1023R00102180004410 0002428850766 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161430 1#0##0#0#0.0#2018-03-20
09:22:06#0#00:00:00#00:00:00#00:00:00 1 447ff4b289ce11e2a1dec9e5d0b1d92a
3207012 C 3 CP 1 05/02/2018 12/02/2018 16/11/1947 0 2
1 I25.0 89.52;90.59;96.07;57.94 - - None None None None I-4-
16-I None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
5419701 0 8 0 0 0 DIDIH SA'ADAH 00464692 70
25649 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180001617 0002228663294
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161906
1#0##0#0#0.0#2018-03-21 09:39:14#0#00:00:00#00:00:00#00:00:00 1
b581e0548b002025e7c63ac98e74f4db
3207012 C 3 CP 1 07/02/2018 12/02/2018 01/08/1980 0 1
1 A01.0;K30 87.49;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
 - 0 2092500 2055439 0 6 0 0 0 IWAN
HERTIAWAN 00475519 37 13704 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180002746 0000441345521 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161910 1#0##0#0#0.0#2018-03-21
09:40:44#0#00:00:00#00:00:00#00:00:00 1 6e4f4c1181d4a9f5d1eb5ae9c34f8dd2
3207012 C 3 CP 1 07/02/2018 12/02/2018 12/06/1977 0 2
1 C95.0;D63.0 99.04;90.59 - - None None None None C-4-10-II
None None None None None None LEUKEMIA AKUT (SEDANG) 5536300 0
0 - 0 - 0 - 0 - 0 5536300 4035957
0 6 0 0 0 ROSDIANA 00443399 40 14850 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180002479 0002057057684 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161914 1#0##0#0#0.0#2018-03-21
09:41:56#0#00:00:00#00:00:00#00:00:00 1 03c65fccca6da2d4e39278e938fcec95
3207012 C 3 CP 1 10/02/2018 12/02/2018 01/07/1974 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 759263 0 3 0 0 0 JUBAEDAH 00416074
43 15930 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003902
0000439585378 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161946
1#0##0#0#0.0#2018-03-21 09:54:37#0#00:00:00#00:00:00#00:00:00 1
484b3fa98ae5508930b0f7b2771f3adc
3207012 C 3 CP 1 05/02/2018 12/02/2018 01/07/1940 0 1
1 N40 60.69;89.52;93.57 - - None None None None V-1-13-I
None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 7920459 0 8 0 0 0 SUHERMAN
00493315 77 28343 ACHMAD HERYADI, DR. SP. B 1023R00102180001600
0000441584324 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161983
1#0##0#0#0.0#2018-03-21 10:03:46#0#00:00:00#00:00:00#00:00:00 1
62520ed485a5e4114404b470a09248c0
3207012 C 3 CP 1 08/02/2018 12/02/2018 22/03/1953 0 1
1 K59.0 - - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1325111 0 5 0 0 0 NASIMUN 00494357
64 23699 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003242
0001407072958 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162315
1#0##0#0#0.0#2018-03-21 12:05:02#0#00:00:00#00:00:00#00:00:00 1
d365374f42bb65d8ed1634418ab9e172
3207012 C 3 CP 1 07/02/2018 12/02/2018 05/11/2016 0 2
1 J06.9;R56.0;D64.9 99.04;87.49;90.59 - - None None None None
U-4-13-II None None None None None None PERADANGAN EPIGLOTIS, TELINGA
TENGAH, ISPA DAN LARINGOTRAKEITIS (SEDANG) 2153100 0 0 - 0
- 0 - 0 - 0 2153100 2200471 0 6 0
0 0 TASYA NURLAELA 00472147 1 459 HJ. SUHERJATI, SP. A
1023R00102180003244 0002251813948 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162708 1#0##0#0#0.0#2018-03-22
08:47:32#0#00:00:00#00:00:00#00:00:00 1 a4d336719461f7d4f1eb0762b3084d01
3207012 C 3 CP 1 05/02/2018 12/02/2018 09/07/2013 0 1
1 J06.9;R56.0 90.59 - - None None None None U-4-13-II None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (SEDANG) 2153100 0 0 - 0 - 0 -
0 - 0 2153100 2200509 0 8 0 0 0
MUHAMMAD FAZRIL MAULANA 00359955 4 1672 IMELDA PINGKAN MONIAGA, DR.
SP. A 1023R00102180002718 0001290172702 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162713 1#0##0#0#0.0#2018-03-22
08:49:35#0#00:00:00#00:00:00#00:00:00 1 ba7db0042d2cfad0a105302030be4201
3207012 C 3 CP 1 08/02/2018 12/02/2018 01/04/2010 0 1
 1 G41.9;F81.9 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 2512074
0 5 0 0 0 ROFIQ ALWI AL HAFIDH 00484513 7 2870
HJ. SUHERJATI, SP. A 1023R00102180003650 0000514472365 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163267 1#0##0#0#0.0#2018-03-22
12:38:59#0#00:00:00#00:00:00#00:00:00 1 8b3e0f1006ef9ccb3ec8e53524993c79
3207012 C 3 CP 1 08/02/2018 12/02/2018 12/10/1991 0 2
1 O64.1;O82.1;Z37.0 74.0;90.59;57.94 - - None None None None
O-6-10-I None None None None None None OPERASI PEMBEDAHAN CAESAR
(RINGAN) 4830200 0 0 - 0 - 0 - 0 - 0
4830200 6214871 0 5 0 0 0 LINDA MAEMUNAH
00494465 26 9616 NANANG WIBOWO, DR. SP. OG 1023r00102180003440
0002292537868 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164280
1#0##0#0#0.0#2018-03-26 14:50:18#0#14:48:32#14:48:32#00:00:00 1
b2dc93a88d095db1c3788e03d2fc6008
3207012 C 3 CP 1 08/02/2018 12/02/2018 01/09/1992 0 2
1 G40.8 - - - None None None None G-4-22-I None None
None None None None SERANGAN KEJANG (RINGAN) 2525300 0 0
- 0 - 0 - 0 - 0 2525300 751689 0
5 0 0 0 SITI NURJANAH 00477406 25 9291 H. DENNY
RAHARJONO, DR. SP. S. 1023r00102180003445 0001006150915 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164518 1#0##0#0#0.0#2018-03-27
09:29:14#0#09:28:15#09:28:15#00:00:00 1 ac96c5c7c42cc74a3e97547e30b105b6
3207012 C 3 CP 1 07/02/2018 12/02/2018 02/04/1956 0 1
1 M06.88;I69.4 90.59 - - None None None None M-4-16-I
None None None None None None GANGGUAN JARINGAN KONEKTIF (RINGAN)
2110000 0 0 - 0 - 0 - 0 - 0
2110000 1977530 0 6 0 0 0 ENO ROSADI 00490682
61 22591 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180002860
0002022579393 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164520
1#0##0#0#0.0#2018-03-27 09:30:40#0#09:29:33#09:29:33#00:00:00 1
9deaece66a4c23552ad0b27e0246c6b9
3207012 C 3 CP 1 10/02/2018 12/02/2018 03/10/1962 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 787528 0 3
0 0 0 ELIN 00494616 55 20219 H. DENNY RAHARJONO, DR. SP.
S. 1023r00102180003913 0000439162558 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164525 1#0##0#0#0.0#2018-03-27
09:33:54#0#09:32:57#09:32:57#00:00:00 1 8008978ff5f7a95bf0af074bc63dd962
3207012 C 3 CP 1 05/02/2018 12/02/2018 01/10/1980 0 2
1 O72.2;O99.0 69.52;99.04;90.59;87.49 - - None None None None
W-1-11-II None None None None None None PROSEDUR DILATASI, KURET,
INTRAUTERIN & SERVIK (SEDANG) 1828600 0 0 - 0 - 0 -
0 - 0 1828600 9324976 0 8 0 0 0 TUTI
00494068 37 13641 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180001861
0000440651463 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164915
1#0##0#0#0.0#2018-03-27 13:58:07#0#13:55:23#13:55:23#00:00:00 1
f002e31bc3b78bd1ffb048d950290d87
3207012 C 3 CP 1 09/02/2018 12/02/2018 05/02/1967 0 2
1 N85.0 69.59;91.49 - - None None None None W-4-12-I None
None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI WANITA
LAIN-LAIN (RINGAN) 2671300 0 0 - 0 - 0 - 0
- 0 2671300 3293430 0 4 0 0 0 MAMAH SPD I
00494368 51 18632 NANANG WIBOWO, DR. SP. OG 1023r00102180004286
0002076855107 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164929
1#0##0#0#0.0#2018-03-27 14:07:43#0#14:06:23#14:06:23#00:00:00 1
b744e73374b5a3c7657644db3d5370ad
3207012 C 3 CP 1 07/02/2018 12/02/2018 01/01/1945 0 2
1 M54.16 87.24 - - None None None None M-4-17-I None
None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 1720775 0 6 0 0 0 MASNIAH 00364515
73 26700 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180003171
0001301825586 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164956
1#0##0#0#0.0#2018-03-27 14:24:43#0#14:23:18#14:23:18#00:00:00 1
c4a71eeac19208e45e9e76047c6f660a
3207012 C 3 CP 1 02/02/2018 12/02/2018 01/10/1955 0 2
1 K30;I25.0 89.52;90.59;88.76 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 3968744 0 11 0 0 0 TARSAH 00325526
62 22770 SETYO RAHARJO, DR, SP. PD 1023r00102180000781
0000440909021 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166133
1#0##0#0#0.0#2018-04-03 08:13:14#0#08:11:54#08:11:54#00:00:00 1
654b910917784dac258f5f95dd3b47e4
3207012 C 2 CP 1 08/02/2018 12/02/2018 17/08/1953 0 2
1 I10;R42;K30 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 1797136
0 5 0 0 0 DEDE PENDI 00425764 64 23551 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023R00102180003315 0001873119879 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160064 1#0##0#0#0.0#2018-04-04
10:24:16#0#00:00:00#00:00:00#00:00:00 2 9fa855925dd2b518ed506dc6a362d29f
3207012 C 3 CP 1 08/02/2018 12/02/2018 01/07/1948 0 2
4 I61.9 99.60;90.59;87.49 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 4532049 0 5 0 0 0 KONIAH 00494451
69 25424 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180003299
0000440594111 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161349
1#0##0#0#0.0#2018-04-04 11:47:37#0#00:00:00#00:00:00#00:00:00 2
7a73819836eb7c66356d1bcdb1f3280d
3207012 C 3 CP 1 08/02/2018 12/02/2018 01/05/1949 0 2
1 I21.9;I21.4 89.52;90.59;57.94 - - None None None None I-4-
10-I None None None None None None INFARK MYOKARD AKUT (RINGAN) 2912200
0 0 - 0 - 0 - 0 - 0 2912200
3817309 0 5 0 0 0 OJOH 00494423 68 25120 SETYO
RAHARJO, DR, SP. PD 1023r00102180003298 0000443173476 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166901 1#0##0#0#0.0#2018-04-05
11:11:37#0#11:09:08#11:09:08#00:00:00 1 c0ad8f5b380f4e84067c38d072339b29
3207012 C 3 CP 1 09/02/2018 12/02/2018 22/05/1976 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 1188939 0 4
0 0 0 NENI KUSMALIANI 00355104 41 15238 H. DENNY
RAHARJONO, DR. SP. S. 1023r00102180003815 0001424205516 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167118 1#0##0#0#0.0#2018-04-06
09:49:36#0#09:47:54#09:47:54#00:00:00 1 30ec2521ae8afe7fcf90ae5d65ce8e46
3207012 C 3 CP 1 09/02/2018 12/02/2018 01/08/1994 0 1
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1406200 0 0 - 0 - 0 - 0 - 0
1406200 1049507 0 4 0 0 0 ASEP SAEPUL ANWAR
00494530 23 8593 SETYO RAHARJO, DR, SP. PD 1023r00102180003658
0000440755975 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167191
1#0##0#0#0.0#2018-04-06 10:57:21#0#10:55:50#10:55:50#00:00:00 1
 b370e09a9a89986b545418f5d9de52ba
3207012 C 3 CP 1 08/02/2018 12/02/2018 20/02/1964 0 2
1 M54.56 87.24;90.59 - - None None None None M-4-17-I
None None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 1797762 0 5 0 0 0 ROSYATI 00494407
53 19712 ALDI DR.SP OT 1023r00102180003283 0000070900773 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167781 1#0##0#0#0.0#2018-
04-10 08:16:24#0#08:14:34#08:14:34#00:00:00 1
ff17e9d1a99af978536a797f8708e3a5
3207012 C 3 CP 1 05/02/2018 12/02/2018 01/07/1944 0 1
1 N40 60.29;89.52;90.59 - - None None None None V-1-14-I
None None None None None None PENGANGKATAN PROSTAT MELALUI URETRA
(RINGAN) 6562900 0 0 - 0 - 0 - 0 - 0
6562900 8707591 0 8 0 0 0 SUBITA 00492195
73 26882 ACHMAD HERYADI, DR. SP. B 1023r00102180001580
0000442648563 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167800
1#0##0#0#0.0#2018-04-10 09:07:52#0#09:06:38#09:06:38#00:00:00 1
e5da4cb45d948dd3149601d756aca45e
3207012 C 3 CP 1 11/02/2018 12/02/2018 01/08/1976 0 2
1 D21.9 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2701103 0 2 0 0 0 NANIH 00359583
41 15169 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180003924
0001006160916 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167830
1#0##0#0#0.0#2018-04-10 13:46:40#0#13:38:09#13:38:09#00:00:00 1
69f5656ddf9f7e3c61007b9df2bed9f5
3207012 C 2 CP 1 11/02/2018 12/02/2018 05/01/1964 0 2
1 K30;I12.0 89.52;90.59 - - None None None None K-4-18-II
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(SEDANG) 2119000 0 0 - 0 - 0 - 0 - 0
2119000 778107 0 2 0 0 0 IIN INTIHAIYAH
00204140 54 19761 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180003944 0000071596822 3;JKN Ridwan; 5.2.0.201712280730
4 166368 1#0##0#0#0.0#2018-04-11
08:31:37#0#10:56:55#10:56:55#00:00:00 2 415d5138fe4d6949c2ada74c0032b376
3207012 C 3 CP 1 09/02/2018 12/02/2018 01/05/1965 0 1
1 S06.0;S10.9;W20.9 87.16;90.59 - - None None None None G-4-
25-I None None None None None None GEGAR OTAK (RINGAN) 1873000 0
0 - 0 - 0 - 0 - 0 1873000 1329651
0 4 0 0 0 PATONI 00494544 52 19277 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180003668 0000439722527 3;JKN Firman;
5.2.0.201712280730 4 167939 1#0##0#0#0.0#2018-04-11
09:11:17#0#09:07:09#09:07:09#00:00:00 1 cee1bd97beaa9c7e28afff98e304b74b
3207012 C 1 CP 1 06/02/2018 12/02/2018 03/04/1950 0 1
1 I10;K30;R63.3 90.59 - - None None None None I-4-17-II
None None None None None None HIPERTENSI (SEDANG) 2866300 0
0 - 0 - 0 - 0 - 0 2866300 3955143
0 7 0 0 0 H. IDO SUPENDI 00494292 67 24781 SETYO
RAHARJO, DR, SP. PD 1023R00102180002238 0001962225606 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160519 1#0##0#0#0.0#2018-04-11
09:34:44#0#00:00:00#00:00:00#00:00:00 1 3245ca02b0d8aa1fdb65d62356d2daf2
3207012 C 3 CP 1 11/02/2018 12/02/2018 06/04/1999 0 1
1 D21.0 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2380366 0 2 0 0 0 RIKI ABDUL KHOLIK
00490076 18 6886 FIRDAUS BENNY PUTRA, DR. SP. B.
 1023R00102180003930 0002025238961 3;JKN Ridwan; 5.2.0.201712280730
4 167964 1#0##0#0#0.0#2018-04-11
09:41:15#0#09:39:55#09:39:55#00:00:00 1 612a2d113458f5426056b3baf8135907
3207012 C 3 CP 1 04/02/2018 12/02/2018 02/06/1993 0 1
1 G40.9 89.14;90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 2884635
0 9 0 0 0 AYEP TAUPIK HIDAYAT 00494037 24 9013
H. DENNY RAHARJONO, DR. SP. S. 1023r00102180001953 0002426953252
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167983
1#0##0#0#0.0#2018-04-11 09:56:47#0#09:55:13#09:55:13#00:00:00 1
7a017bc3542994a9ebb83b9da1b788b8
3207012 C 3 CP 1 29/01/2018 12/02/2018 20/11/1963 0 2
1 A15.0;I50.0;I25.0;E11.9 89.52;87.49;90.59 - - None None None
None J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 6363312 0 15 0 0 0 NEMAH
00354914 54 19794 SETYO RAHARJO, DR, SP. PD 1023R00101180011602
0002424604296 3;JKN Ridwan; 5.2.0.201712280730 4 168009
1#0##0#0#0.0#2018-04-11 10:30:23#0#10:28:45#10:28:45#00:00:00 1
0baebfc6120e5098eee1ba57a36fd0a3
3207012 C 3 CP 1 10/02/2018 12/02/2018 10/02/1993 0 2
1 O99.8;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-II None None None None None None PERSALINAN VAGINAL (SEDANG) 1828500
0 0 - 0 - 0 - 0 - 0 1828500
1765185 0 3 0 0 0 RENA KURNIA 00494559 24 9131
NANANG WIBOWO, DR. SP. OG 1023R00102180004150 0002419241951 3;JKN
Firman; 5.2.0.201712280730 4 163285 1#0##0#0#0.0#2018-04-11
11:29:00#0#00:00:00#00:00:00#00:00:00 2 09a2790a6c3909c4e0ebbb3d70fa67bf
3207012 C 3 CP 1 04/02/2018 12/02/2018 16/02/1996 0 1
1 A16.5 34.91;88.73;87.49;90.41;90.59 - - None None None None
J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 4487435 0 9 0 0 0 INDRA
RAMDANI 00494030 21 8024 ABU BAKAR, DR. SPP, MKES
1023R00102180001606 0002426887888 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163694 1#0##0#0#0.0#2018-04-11
12:25:11#0#00:00:00#00:00:00#00:00:00 2 894e196848802a78135f6e7563f585ad
3207012 C 3 CP 1 06/02/2018 12/02/2018 01/07/1949 0 2
1 I61.9 87.03;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2707082 0 7 0 0 0 II WIARSIH 00490745
68 25057 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180002230
0001326993254 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164522
1#0##0#0#0.0#2018-04-11 12:31:46#0#09:31:12#09:31:12#00:00:00 2
c928b516463e77cf51b4de38e96b65ff
3207012 C 3 CP 1 09/02/2018 12/02/2018 01/03/1975 0 2
1 A06.0 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1201617 0 4 0 0 0 ROSMIATI 00462832
42 15686 SETYO RAHARJO, DR, SP. PD 1023r00102180003639
0000439555318 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167145
1#0##0#0#0.0#2018-04-16 13:40:47#0#10:10:04#10:10:04#12:00:00 2
c8c77b5d5d2def5ff679cb065c5da888
3207012 C 3 CP 1 05/02/2018 12/02/2018 01/07/1975 0 2
1 I61.9;E43 87.49;90.59 - - None None None None G-4-13-III
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(BERAT) 4538600 0 0 - 0 - 0 - 0 - 0
4538600 3080729 0 8 0 0 0 ITI 00494171 42
15560 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180001635
0000440903992 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164950
1#0##0#0#0.0#2018-04-18 07:59:41#0#14:19:39#14:19:39#00:00:00 2
dd2d903d5f9dc21ba8ddad3a7c646603
3207012 C 2 CP 1 05/02/2018 12/02/2018 10/04/1964 0 2
1 M47.86;I10;K30;R42 89.52;87.24;90.59 - - None None None
None M-4-17-I None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (RINGAN) 3286200 0 0 - 0 - 0
- 0 - 0 3286200 3112059 0 8 0 0 0
ROHATI RUSTINI 00477469 53 19659 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002211 0001862462845 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 160372 1#0##0#0#0.0#2018-04-18
09:18:07#0#00:00:00#00:00:00#00:00:00 2 bbcff79cf79936563ecc81cf780e9b57
3207012 C 3 CP 1 06/02/2018 12/02/2018 01/11/1975 0 2
1 K80.2;K30;R16.0 89.59;88.76;90.59 - - None None None None
B-4-14-II None None None None None None GANGGUAN SALURAN EMPEDU LAIN-
LAIN (SEDANG) 3638400 0 0 - 0 - 0 - 0 -
0 3638400 3167097 0 7 0 0 0 ANIH 00494247
42 15438 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003300
0000440437487 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160808
1#0##0#0#0.0#2018-04-18 09:24:38#0#00:00:00#00:00:00#00:00:00 2
7e0bd8538e6ac4a2d79c541e22ed0312
3207012 C 3 CP 1 09/02/2018 12/02/2018 15/10/1991 0 2
1 O48;O41.0;O98.4;B19.9;O82.1;Z37.0;Z30.5
74.0;69.7;90.59;88.78;57.94;93.57 - - None None None None O-6-
10-II None None None None None None OPERASI PEMBEDAHAN CAESAR (SEDANG)
5102000 0 0 - 0 - 0 - 0 - 0
5102000 5744392 0 4 0 0 0 IMAS SITI MASRUROH
00385789 26 9614 NANANG WIBOWO, DR. SP. OG 1023r00102180004463
0002428940485 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164924
1#0##0#0#0.0#2018-04-18 09:39:54#0#14:03:09#14:03:09#00:00:00 2
f8fc610045b85c7c710e223c6df0463f
3207012 C 3 CP 1 02/02/2018 12/02/2018 11/03/1987 0 2
1 A15.0 88.71;88.76;87.49;89.52;90.41;90.59 - - None None None
None J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 5977383 0 11 0 0 0 TATI HARYATI
YOPIANA 00464728 30 11286 ABU BAKAR, DR. SPP, MKES
1023R00102180002088 0002226682438 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 163708 1#0##0#0#0.0#2018-04-18
13:47:27#0#00:00:00#00:00:00#12:00:00 2 ac01ac3c3d3f2b5617c1197f9a05ea5d
3207012 C 3 CP 1 03/02/2018 12/02/2018 05/01/1989 0 1
1 B20.0;E43 99.04;87.49;90.41;90.59 - - None None None None
A-4-15-III None None None None None None INFEKSI HIV (BERAT)
6171300 0 0 - 0 - 0 - 0 - 0
6171300 6901159 0 10 0 0 0 ARIF HIDAYAT
00409141 29 10621 ABU BAKAR, DR. SPP, MKES 1023R00102180001620
0001639877051 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161492
1#0##0#0#0.0#2018-04-19 08:38:46#0#00:00:00#00:00:00#00:00:00 3
bfbc084f58b4af6f0148950ea450f30a
3207012 C 3 CP 1 08/02/2018 12/02/2018 21/04/1987 0 2
1 D34 06.4;89.52;90.59;91.59 - - None None None None E-1-
20-I None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 10213955 0 5 0 0 0
SUGIARTI 00451662 30 11251 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003304 0001795163128 3;JKN NANA KUSLIANA;
 5.2.1.201804062320 4 171760 1#0##0#0#0.0#2018-04-23
08:27:57#0#00:00:00#00:00:00#12:00:00 1 1554f155390acd0273ab38f5cb97375d
3207012 C 3 CP 1 11/02/2018 12/02/2018 01/10/1966 0 2
1 D33.2 86.3;89.52;90.59;91.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3321709 0 2 0 0 0
NURHAYATI 00491271 51 18761 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003925 0001006091526 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173147 1#0##0#0#0.0#2018-04-24
12:50:40#0#00:00:00#00:00:00#00:00:00 1 00b4391d6365e0286c8bfb362fa01322
3207012 C 3 CP 1 11/02/2018 12/02/2018 06/06/2003 0 2
1 D24 86.3;91.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2868000 0 2 0 0 0 RENA HERMAYANTI
00493786 14 5364 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180003938 0000441837832 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168614 1#0##0#0#0.0#2018-04-25
07:44:59#0#10:49:52#10:49:52#00:00:00 2 1b34c35b872167fa32b1d060b8e573cf
3207012 C 3 CP 1 06/02/2018 12/02/2018 01/02/1967 0 2
1 I11.0;J40 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
2270030 0 7 0 0 0 OYOH 00319995 51 18633 SETYO
RAHARJO, DR, SP. PD 1023r00102180002458 0000441047316 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 167893 1#0##0#0#0.0#2018-04-25
11:21:28#0#08:18:40#08:18:40#12:00:00 2 da7d9f81ba6635bc16ae9915dded8855
3207012 C 3 CP 1 09/02/2018 12/02/2018 01/11/1998 0 1
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1406200 0 0 - 0 - 0 - 0 - 0
1406200 871159 0 4 0 0 0 DONI PAMUNGKAS
00397186 19 7040 SETYO RAHARJO, DR, SP. PD 1023r00102180003657
0000440062457 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167889
1#0##0#0#0.0#2018-04-25 11:22:09#0#08:15:04#08:15:04#00:00:00 2
00897807c11472f138d778ae42ffb10d
3207012 C 3 CP 1 05/02/2018 12/02/2018 01/09/1950 0 2
1 K75.9;N17.9 89.52;90.59;57.94 - - None None None None B-4-
13-III None None None None None None GANGGUAN HATI LAIN-LAIN (BERAT)
5010400 0 0 - 0 - 0 - 0 - 0
5010400 6177137 0 8 0 0 0 ARMAH 00494063 67
24629 SETYO RAHARJO, DR, SP. PD 1023r00102180001169 0000442290699
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167615
1#0##0#0#0.0#2018-04-30 08:01:38#0#11:08:56#11:08:56#00:00:00 3
0ff38fe585d137b13483c9aaf5c7ef08
3207012 C 3 CP 1 07/02/2018 12/02/2018 05/05/1945 0 1
1 S34.1;I64 87.24;90.59 - - None None None None G-4-10-III
None None None None None None KECEDERAAN & GANGGUAN TULANG BELAKANG
(BERAT) 5275900 0 0 - 0 - 0 - 0 - 0
5275900 2187605 0 6 0 0 0 MAHMUDIN 00371262
72 26576 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180003232
0001005957652 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168015
1#0##0#0#0.0#2018-04-30 08:45:08#0#10:37:14#10:37:14#00:00:00 3
4ac8ea6f9e1b0557660398421ca6c895
3207012 C 3 CP 1 20/01/2018 12/02/2018 20/01/2018 1400 2
1 P22.0;P74.0;P07.1;P59.9;P36.9;P92.9
93.90;90.59;99.83;96.07;93.35;89.68;99.18 - - None None None None
P-8-11-II None None None None None None NEONATAL, BBL 1000 - 1499 GR
TANPA PROSEDUR MAYOR (SEDANG) 9911000 0 0 - 0 - 0 -
0 - 0 9911000 15430291 0 24 0 0 0 AMIRA
NUR AINI 00492676 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00101180008607 0002422025842 3;JKN Ridwan; 5.2.1.201804062320
4 163560 1#0##0#0#0.0#2018-05-02
09:39:26#0#00:00:00#00:00:00#00:00:00 4 3aede38f041f0cbbdd86ca0ad04c0f5c
3207012 C 3 CP 1 10/02/2018 13/02/2018 10/06/1964 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 1156255 0 4
0 0 0 DEDE MAEMUNAH 00494580 53 19603 RISSA NURLAILLA,
DR. SP. S. 1023R00102180003854 0002422947183 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159707 1#0##0#0#0.0#2018-03-15
10:32:12#0#00:00:00#00:00:00#00:00:00 1 7d9c22cf402e3906b7afb2d7ef13e5b9
3207012 C 1 CP 1 06/02/2018 13/02/2018 20/05/1956 0 1
1 A15.0;E11.9;I25.0 89.52;87.49;90.59 - - None None None None
J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 5599600 0 0 - 0 - 0 - 0
- 0 5599600 8180170 0 8 0 0 0 NAHEDIN,
S.PD.I 00480583 61 22542 SETYO RAHARJO, DR, SP. PD
1023R00102180002854 0001093701712 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 159753 1#0##0#0#0.0#2018-03-15
10:45:57#0#00:00:00#00:00:00#00:00:00 1 4c3c7d4509512038d12329c24b00bd7a
3207012 C 2 CP 1 09/02/2018 13/02/2018 01/01/1930 0 2
1 D62;K92.1 99.04;89.52;90.59 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 - 0 -
0 - 0 2661700 2243049 0 5 0 0 0
KURNIASIH 00494533 88 32181 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180003662 0000071472262 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160125 1#0##0#0#0.0#2018-03-15
14:05:01#0#00:00:00#00:00:00#00:00:00 1 3ab0639f6b63779d60e773fde477ca76
3207012 C 2 CP 1 09/02/2018 13/02/2018 17/05/1979 0 1
1 E78.5;I10 89.52;87.49;90.59 - - None None None None E-4-
12-I None None None None None None GANGGUAN METABOLIK BAWAAN (RINGAN)
3025300 0 0 - 0 - 0 - 0 - 0
3025300 2040902 0 5 0 0 0 REDI SETIADI
00463455 38 14148 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003840
0002094100266 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160128
1#0##0#0#0.0#2018-03-15 14:06:52#0#00:00:00#00:00:00#12:00:00 1
c01d02c59d257c54471efe7deca5a511
3207012 C 2 CP 1 09/02/2018 13/02/2018 03/06/1959 0 1
1 J44.9 87.49;90.59 - - None None None None J-4-17-I None
None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
3287100 0 0 - 0 - 0 - 0 - 0
3287100 2275370 0 5 0 0 0 OMO SUPARMO 00429725
58 21436 ABU BAKAR, DR. SPP, MKES 1023R00102180003417
0000071709851 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160177
1#0##0#0#0.0#2018-03-15 14:24:06#0#00:00:00#00:00:00#00:00:00 1
0bc39a30589fbcd7304c8bf88eb9acf5
3207012 C 3 CP 1 12/02/2018 13/02/2018 26/01/1999 0 2
1 O42.9;O80.0;Z37.0 73.59;73.6;90.59 - - None None None None
O-6-13-II None None None None None None PERSALINAN VAGINAL (SEDANG)
1828500 0 0 - 0 - 0 - 0 - 0
1828500 2903211 0 2 0 0 0 GINA FITRIANI
00428630 19 6957 DIDI KURNIADI M, DR. SP.OG 1023R00102180004457
0002321160377 3;JKN INACBG;123123123123 5.2.0.201712280730 4
160211 1#0##0#0#0.0#2018-03-15 14:36:47#0#00:00:00#00:00:00#00:00:00
1 21a074109dbaf464d2d68e8bdac338c3
3207012 C 3 CP 1 09/02/2018 13/02/2018 11/06/1991 0 2
1 O65.5;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6627823 0 5 0 0 0 SITI N.
00494532 26 9740 NANANG WIBOWO, DR. SP. OG 1023R00102180005036
0002429320432 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160386
1#0##0#0#0.0#2018-03-16 10:52:23#0#00:00:00#00:00:00#00:00:00 1
f3365da20e613f662f0b173b4c444d35
3207012 C 3 CP 1 09/02/2018 13/02/2018 01/03/1974 0 1
1 K40.9 53.05;89.52;87.49;90.59 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 5000356 0 5 0 0 0 MUMUH 00494556 43
16051 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003879
0000459125504 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160818
1#0##0#0#0.0#2018-03-19 10:39:58#0#00:00:00#00:00:00#00:00:00 1
854ea1ecb35ca6c75f3ecf2384be6f81
3207012 C 3 CP 1 12/02/2018 13/02/2018 01/06/1949 0 1
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5451485 0 2 0 0 0 SAAN 00494248 68
25093 MEGA PRAYOGA, DR. SP. M. 1023R00102180004075 0000438658211
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160926
1#0##0#0#0.0#2018-03-19 12:05:12#0#00:00:00#00:00:00#00:00:00 1
58ec4dc0e6cd35ab5a804e20e00f146b
3207012 C 1 CP 1 11/02/2018 13/02/2018 11/02/2018 2100 2
1 P07.1;P29.9;P03.4;Z24.6 93.93;99.59;90.59 - - None None None
None P-8-13-I None None None None None None NEONATAL, BBL 2000 -
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 6985400 0 0 - 0 -
0 - 0 - 0 6985400 672006 0 3 0 0
0 BY NY INDRIANI 00494648 0 0 IMELDA PINGKAN MONIAGA, DR.
SP. A 1023R00102180004793 0002419636228 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161426 1#0##0#0#0.0#2018-03-20
09:20:21#0#00:00:00#00:00:00#00:00:00 1 a4c8c4159a477540663250c87bf99549
3207012 C 3 CP 1 11/02/2018 13/02/2018 04/04/1996 0 2
1 O42.9;O80.0;O70.1;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 2979673 0 3 0 0 0 IIS AISAH 00494653
21 7983 NANANG WIBOWO, DR. SP. OG 1023R00102180004136
0002321486087 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161441
1#0##0#0#0.0#2018-03-20 09:32:47#0#00:00:00#00:00:00#00:00:00 1
12f304daf9501c2dd176c241bf869e28
3207012 C 3 CP 1 11/02/2018 13/02/2018 01/12/1989 0 2
1 O13;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6152559 0 3 0 0 0 UGI SUGIANTI
00494631 28 10299 NANANG WIBOWO, DR. SP. OG 1023R00102180003919
0000440435125 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161703
1#0##0#0#0.0#2018-03-20 12:01:37#0#00:00:00#00:00:00#00:00:00 1
66ca039ec6dc0d29b7d28de6efa7c672
3207012 C 3 CP 1 11/02/2018 13/02/2018 01/12/1960 0 1
1 K40.9 53.05;89.52;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 5069941 0 3 0 0 0 DANA 00494632 57
 20891 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003917
0000440219643 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161724
1#0##0#0#0.0#2018-03-20 12:21:03#0#00:00:00#00:00:00#00:00:00 1
f774144c223c89838b6e2887355a2a5a
3207012 C 2 CP 1 11/02/2018 13/02/2018 14/01/1995 0 2
1 O14.1;O36.5;O82.1;Z37.0 74.0;90.59;93.57;57.94 - - None None
None None O-6-10-II None None None None None None OPERASI PEMBEDAHAN
CAESAR (SEDANG) 6122400 0 0 - 0 - 0 - 0 -
0 6122400 6417289 0 3 0 0 0 INDRIANI PUTRI
YANUAR 00493444 23 8429 NANANG WIBOWO, DR. SP. OG
1023R00102180003918 0000070889872 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161848 1#0##0#0#0.0#2018-03-20
13:34:11#0#00:00:00#00:00:00#00:00:00 1 da68927f0af59183d382d8da24a95ea6
3207012 C 3 CP 1 08/02/2018 13/02/2018 13/03/1965 0 1
1 K40.9 53.00;90.59 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 6619595 0 6 0 0 0 RAHMAT 00468796
52 19325 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003293
0002240854536 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161973
1#0##0#0#0.0#2018-03-21 10:00:57#0#00:00:00#00:00:00#00:00:00 1
4c8e41f79475c106d93ff315f87ba715
3207012 C 3 CP 1 09/02/2018 13/02/2018 01/02/1971 0 2
1 J18.0;B90.9;R04.2 93.94;87.49;90.41;90.59 - - None None None
None J-4-16-I None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (RINGAN) 3332600 0 0 - 0 - 0 - 0
- 0 3332600 1863119 0 5 0 0 0 CICIH
00442894 47 17175 ABU BAKAR, DR. SPP, MKES 1023R00102180003810
0000440867654 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162262
1#0##0#0#0.0#2018-03-21 11:50:34#0#00:00:00#00:00:00#12:00:00 1
0c6c2a81f2472d70dcc8143b1c7fafef
3207012 C 1 CP 1 12/02/2018 13/02/2018 15/10/1965 0 2
1 S09.9;V49.3 87.16;90.59 - - None None None None G-4-24-I
None None None None None None TRAUMA KEPALA (RINGAN) 3068800 0
0 - 0 - 0 - 0 - 0 3068800 1067316
0 2 0 0 0 DRA. MUSLIHAT, M.PD 00494762 52 19113
H. DENDY R. SUKARDJO, DRG. MM. 1023R00102180005014 0000070935287
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163095
1#0##0#0#0.0#2018-03-22 10:55:54#0#00:00:00#00:00:00#00:00:00 1
d1875cd4374cec40a32550313970f7be
3207012 C 3 CP 1 10/02/2018 13/02/2018 01/01/1953 0 2
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1148968 0 4 0 0 0 SAPAAH 00494613
65 23781 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003903
0000441210172 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163257
1#0##0#0#0.0#2018-03-22 12:11:29#0#00:00:00#00:00:00#00:00:00 1
4e95ae17cfb470fd5b224c8515d59b59
3207012 C 1 CP 1 12/02/2018 13/02/2018 12/02/2018 2900 2
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 4657000 0 0 - 0 - 0 - 0 -
0 4657000 450995 0 2 0 0 0 BY NY CITRA DEWI
00494765 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180005027
0002429408744 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163272
1#0##0#0#0.0#2018-03-22 12:53:32#0#00:00:00#00:00:00#00:00:00 1
9a3051f914277b6fd943de651bb25712
3207012 C 3 CP 1 10/02/2018 13/02/2018 01/11/1976 0 1
 1 A49.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1197142 0 4 0 0 0 UJANG RUSNANDAR
00494610 41 15076 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003898
0000438944793 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163333
1#0##0#0#0.0#2018-03-22 13:24:07#0#00:00:00#00:00:00#00:00:00 1
4fd1161da43f7112bb29315472acd514
3207012 C 3 CP 1 10/02/2018 13/02/2018 24/06/2017 0 1
1 G41.9;R56.0;J06.9 89.14;90.59 - - None None None None G-4-
22-I None None None None None None SERANGAN KEJANG (RINGAN) 2525300
0 0 - 0 - 0 - 0 - 0 2525300
1739332 0 4 0 0 0 MUHAMMAD FARHAN ISANI 00494582
0 231 HJ. SUHERJATI, SP. A 1023r00102180004474 0002428979556
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164602
1#0##0#0#0.0#2018-03-27 10:12:28#0#10:10:27#10:10:27#00:00:00 1
60a0e5a45249101ac04644d3009744da
3207012 C 1 CP 1 07/02/2018 13/02/2018 24/10/1949 0 1
1 I21.4;I25.2 89.52;90.59 - - None None None None I-4-10-I
None None None None None None INFARK MYOKARD AKUT (RINGAN) 4077100
0 0 - 0 - 0 - 0 - 0 4077100
6949734 0 7 0 0 0 YUSUF 00494378 68 24943 SETYO
RAHARJO, DR, SP. PD 1023r00102180003218 0000071415044 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164631 1#0##0#0#0.0#2018-03-27
10:25:34#0#10:24:10#10:24:10#00:00:00 2 d3f97e083914d710d9907f644138f350
3207012 C 1 CP 1 08/02/2018 13/02/2018 03/10/1945 0 2
1 D62;K92.1 99.04;89.52;87.49;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 3105300 0 0 - 0 -
0 - 0 - 0 3105300 5251096 0 6 0 0
0 KARWI 00494461 72 26426 SETYO RAHARJO, DR, SP. PD
1023r00102180003301 0001388943202 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164638 1#0##0#0#0.0#2018-03-27
10:27:42#0#10:26:03#10:26:03#00:00:00 2 dc59b8c2e31bf5e6a7533aa0b8ad8948
3207012 C 3 CP 1 06/02/2018 13/02/2018 10/07/1958 0 1
3 S06.4;J96.9 99.60;96.71;96.07;89.52;90.59;87.49 - - None None
None None J-1-20-II None None None None None None PROSEDUR SISTEM
PERNAFASAN NON-KOMPLEKS (SEDANG) 12179400 0 0 - 0 - 0
- 0 - 0 12179400 5544449 0 8 0 0 0
JANA SUJANA 00494289 59 21761 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180003213 0002427968665 3;JKN Firman; 5.2.0.201712280730
4 164831 1#0##0#0#0.0#2018-03-27
12:55:56#0#12:53:52#12:53:52#00:00:00 1 0b493b212ff94381b89c60c4ec35eeff
3207012 C 3 CP 1 09/02/2018 13/02/2018 09/02/2018 2500 2
1 P39.9;Z24.6 96.07;99.59;90.59 - - None None None None P-8-
16-I None None None None None None NEONATAL, BBL > 2499 GR DENGAN
KONGENITAL/INFEKSI PERINATAL (RINGAN) 1786900 0 0 - 0 -
0 - 0 - 0 1786900 1582456 0 5 0 0
0 BY NY MIMIN 00494522 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180004292 0002428794775 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164898 1#0##0#0#0.0#2018-03-27
13:46:10#0#13:44:37#13:44:37#00:00:00 1 a4b0e2eadcab705fd41bb69bb129d807
3207012 C 3 CP 1 07/02/2018 13/02/2018 16/06/1964 0 2
1 H81.1;K30 90.59 - - None None None None U-4-11-I None
None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0
- 0 - 0 - 0 - 0 1311700 2054979 0
7 0 0 0 IDA JUBAEDAH 00354719 53 19594 RISSA
NURLAILLA, DR. SP. S. 1023r00102180002805 0001308405058 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 165333 1#0##0#0#0.0#2018-03-29
10:23:42#0#10:22:37#10:22:37#00:00:00 1 60777293baa2d4b01e8d9663a01209f7
3207012 C 3 CP 1 06/02/2018 13/02/2018 01/02/1958 0 2
1 I63.8 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 3010644 0 8 0 0 0 ATIMI 00354220
60 21920 RISSA NURLAILLA, DR. SP. S. 1023r00102180002237
0001006112474 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166099
1#0##0#0#0.0#2018-04-02 14:17:27#0#14:15:25#14:15:25#00:00:00 1
cef481bb9ec873c182c28a8f314aaab4
3207012 C 3 CP 1 08/02/2018 13/02/2018 01/05/1966 0 2
1 I12.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 3813779 0 6 0 0 0 AISAH 00490248
51 18911 SETYO RAHARJO, DR, SP. PD 1023r00102180003274
0000438971321 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166155
1#0##0#0#0.0#2018-04-03 08:50:22#0#08:49:06#08:49:06#00:00:00 1
90ecae6f078b6f49e62af91f944a02e8
3207012 C 3 CP 1 12/02/2018 13/02/2018 22/11/1942 0 1
1 D21.9 86.3;93.57;91.89 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2726976 0 2 0 0 0 SAHRI
00493446 75 27476 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004483 0002205742342 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160844 1#0##0#0#0.0#2018-04-04
11:43:02#0#00:00:00#00:00:00#00:00:00 2 69f207e0102ca85cfc8d63a3d1d8cd5b
3207012 C 3 CP 1 12/02/2018 13/02/2018 01/06/1974 0 2
1 I25.0;K30 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100 758286
0 2 0 0 0 LINA DAMAYANTI 00494659 43 15962 SETYO
RAHARJO, DR, SP. PD 1023r00102180004111 0000440087534 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167540 1#0##0#0#0.0#2018-04-09
10:23:40#0#10:22:09#10:22:09#00:00:00 1 c73694ab1c3fd12770a1447629995865
3207012 C 3 CP 1 06/02/2018 13/02/2018 01/07/1960 0 1
1 A15.0;E11.9;I25.0 89.52;87.49;90.59;93.57 - - None None None
None J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 3215534 0 8 0 0 0 EPEN ROBET
00494211 57 21039 SETYO RAHARJO, DR, SP. PD 1023r00102180002213
0001296331942 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167544
1#0##0#0#0.0#2018-04-09 10:38:26#0#10:24:04#10:24:04#00:00:00 1
308e94cdb93f65622b504c1caab8d22c
3207012 C 3 CP 1 10/02/2018 13/02/2018 24/05/1962 0 2
1 A01.4;J40 89.52;87.49;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1801255 0 4 0 0 0 ITING
00494560 55 20351 SETYO RAHARJO, DR, SP. PD 1023r00102180003849
0002269154057 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167787
1#0##0#0#0.0#2018-04-10 08:33:24#0#08:32:10#08:32:10#00:00:00 1
00a527de4c011acfda44635208e37954
3207012 C 1 CP 1 08/02/2018 13/02/2018 26/08/1959 0 1
1 I21.3 89.52;90.59 - - None None None None I-4-10-I None
None None None None None INFARK MYOKARD AKUT (RINGAN) 4077100 0
0 - 0 - 0 - 0 - 0 4077100 7101652
0 6 0 0 0 WAWANG HERMAWAN 00054972 58 21351 SETYO
RAHARJO, DR, SP. PD 1023R00102180003294 0000071827637 3;JKN Ridwan;
5.2.0.201712280730 4 160326 1#0##0#0#0.0#2018-04-11
08:03:04#0#00:00:00#00:00:00#00:00:00 2 ac6322edd4573ffb2d2357a74f802d36
3207012 C 3 CP 1 09/02/2018 13/02/2018 01/09/1963 0 1
1 I11.0;A06.0 89.52;90.59 - - None None None None I-4-12-II
None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
1898573 0 5 0 0 0 YOYO 00494206 54 19885 SETYO
RAHARJO, DR, SP. PD 1023r00102180003674 0000440923781 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167898 1#0##0#0#0.0#2018-04-11
08:24:10#0#08:23:09#08:23:09#00:00:00 1 3097ce1eba015498ac3276a410214411
3207012 C 3 CP 1 07/02/2018 13/02/2018 12/08/1982 0 1
1 T09.3;W14.9 87.24;90.59 - - None None None None G-4-10-I
None None None None None None KECEDERAAN & GANGGUAN TULANG BELAKANG
(RINGAN) 3145600 0 0 - 0 - 0 - 0 - 0
3145600 2886287 0 7 0 0 0 AGUS SALIM 00494376
35 12963 RISSA NURLAILLA, DR. SP. S. 1023r00102180004464
0000440650427 3;JKN Ridwan; 5.2.0.201712280730 4 166078
1#0##0#0#0.0#2018-04-11 08:33:03#0#13:42:32#13:42:32#00:00:00 2
7b0decde9e15f76f37fd98f779922ea5
3207012 C 3 CP 1 12/02/2018 13/02/2018 17/12/1995 0 2
1 O64.1;O80.9;Z37.0 73.59;90.59;93.57;57.94 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 1661591 0 2 0 0 0 EMAY MAESAROH
00494671 22 8093 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180004835
0002424765554 3;JKN Ridwan; 5.2.0.201712280730 4 167940
1#0##0#0#0.0#2018-04-11 09:11:18#0#09:09:17#09:09:17#00:00:00 1
59f162428d15a4ebce8bd4963406063b
3207012 C 3 CP 1 12/02/2018 13/02/2018 01/07/1977 0 2
1 D10.9 86.3;89.52;90.59;91.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3196559 0 2 0 0 0 YUYUN
YUNINGSIH 00336546 40 14836 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004485 0001006088668 3;JKN Ridwan; 5.2.0.201712280730
4 167949 1#0##0#0#0.0#2018-04-11
09:18:50#0#09:17:21#09:17:21#00:00:00 1 55d0138de90fb97532f52836080fdd6b
3207012 C 3 CP 1 12/02/2018 13/02/2018 03/03/1973 0 2
1 D10.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2718197 0 2 0 0 0 HERNI
KURNIAWATI 00489342 44 16417 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004487 0002245695939 3;JKN Firman; 5.2.0.201712280730
4 167957 1#0##0#0#0.0#2018-04-11
09:34:09#0#09:32:03#09:32:03#00:00:00 1 51d358204f20fd3625fdc907a1fac3c7
3207012 C 3 CP 1 11/02/2018 13/02/2018 04/05/1953 0 2
1 D24 86.11;89.52;90.59;91.59 - - None None None None L-4-
14-I None None None None None None GANGGUAN PADA KULIT & PAYUDARA LAIN-LAIN
(RINGAN) 2186200 0 0 - 0 - 0 - 0 - 0
2186200 3884303 0 3 0 0 0 UJU JUANINGSIH
00494101 64 23659 ACHMAD HERYADI, DR. SP. B 1023R00102180003936
0001786586534 3;JKN Ridwan; 5.2.0.201712280730 4 167962
1#0##0#0#0.0#2018-04-11 09:39:18#0#09:38:07#09:38:07#00:00:00 1
ce98f53598fd72eefd291d59e443671d
3207012 C 3 CP 1 12/02/2018 13/02/2018 23/05/1989 0 2
1 D24 85.21;91.89;90.59 - - None None None None L-1-50-I
None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
 4853300 0 0 - 0 - 0 - 0 - 0
4853300 3044995 0 2 0 0 0 SAMINAH 00480007
28 10492 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180004479
0002283365597 3;JKN Ridwan; 5.2.0.201712280730 4 167978
1#0##0#0#0.0#2018-04-11 09:54:01#0#09:52:40#09:52:40#00:00:00 1
ec431cd7344b5cb735d9a0618fefd5d6
3207012 C 3 CP 1 06/02/2018 13/02/2018 01/05/1942 0 2
1 I11.0 99.04;89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
4460996 0 8 0 0 0 ANAH 00494295 75 27675 SETYO
RAHARJO, DR, SP. PD 1023R00102180002705 0000441817604 3;JKN Firman;
5.2.0.201712280730 4 168001 1#0##0#0#0.0#2018-04-11
10:21:22#0#10:20:07#10:20:07#00:00:00 1 0cfa073a53ca3ee9be7031fc79e5a6e0
3207012 C 3 CP 1 10/01/2018 13/02/2018 31/12/2017 0 1
1 P22.0;P07.1;P74.0;P21.1;P59.9;P36.9;P28.4;P61.4;P92.9
93.90;87.49;90.59;99.83;96.07;99.04 - - None None None None J-4-
15-II None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 4778500 0 0 - 0 - 0 - 0 - 0
4778500 27866053 0 35 0 0 0 BY NY NENE 00491835
0 10 IMELDA PINGKAN MONIAGA, DR. SP. A 1023R00101180004543
0002328516538 3;JKN Firman; 5.2.0.201712280730 4 163514
1#0##0#0#0.0#2018-04-11 10:50:06#0#07:52:09#07:52:09#00:00:00 2
97ef3418f8a749a9af3d8c90684c4feb
3207012 C 3 CP 1 08/02/2018 13/02/2018 01/07/1958 0 1
3 L02.9;E16.1;E87.1;A15.0;E88.0 87.49;90.59;93.57 - - None None
None None L-4-12-II None None None None None None PERADANGAN
KULIT/CELLULITIS (SEDANG) 1669800 0 0 - 0 - 0 -
0 - 0 1669800 2767426 0 6 0 0 0 OSIH
00465484 59 21772 SETYO RAHARJO, DR, SP. PD 1023R00102180003317
0000439682387 3;JKN INACBG;123123123123 5.2.0.201712280730 4
168034 1#0##0#0#0.0#2018-04-12 10:22:36#0#10:20:32#10:20:32#00:00:00
1 c4f3fc27f289aacabe2cd6d376b7ad77
3207012 C 3 CP 1 04/02/2018 13/02/2018 01/08/1931 0 2
1 E11.5 84.11;86.28;89.52;87.49;90.59;93.57 - - None None None
None M-1-30-I None None None None None None PROSEDUR KAKI (RINGAN)
6295600 0 0 - 0 - 0 - 0 - 0
6295600 6368617 0 10 0 0 0 PARMINAH 00460393
86 31599 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180001058
0000440904418 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168280
1#0##0#0#0.0#2018-04-13 09:32:48#0#09:31:28#09:31:28#12:00:00 1
a7b06b05b38c51ffc4a8ffbae65d9e58
3207012 C 3 CP 1 10/02/2018 13/02/2018 12/06/1944 0 1
4 I61.8 87.49;90.59 - - None None None None G-4-13-I None
None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2624274 0 4 0 0 0 ASYIKIN 00494608
73 26906 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180004874
0001089604067 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168317
1#0##0#0#0.0#2018-04-13 09:49:49#0#09:48:26#09:48:26#00:00:00 1
1ac0bc17d1e4a3d00625d133a0135119
3207012 C 3 CP 1 12/02/2018 13/02/2018 01/09/1959 0 1
1 H11.0 11.39;10.44 - - None None None None H-1-20-I None
None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2844982 0 2 0 0 0 IRIN RUSTIYAN
00428405 58 21349 MEGA PRAYOGA, DR. SP. M. 1023R00102180004414
0000441288729 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163275
1#0##0#0#0.0#2018-04-13 10:25:43#0#00:00:00#00:00:00#00:00:00 2
 24c41fc0530d6d0a2eefb3bac33c9103
3207012 C 2 CP 1 12/02/2018 13/02/2018 08/05/1953 0 1
1 A01.0 90.59;90.99 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 1289924 0 2 0 0 0 SUKANDI 00494629
64 23656 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180004363
0002240501848 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164211
1#0##0#0#0.0#2018-04-18 08:42:48#0#14:07:56#14:07:56#00:00:00 4
7fb1ff8420782230400f6746fbbd6aa0
3207012 C 3 CP 1 09/02/2018 13/02/2018 01/04/1963 0 1
2 R13;D10.6 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1678248 0 5 0 0 0 AGUS 00331834 54
20038 H. HERDIANA, SP. THT 1023R00102180003669 0000439639031 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 164899 1#0##0#0#0.0#2018-
04-18 08:43:31#0#13:45:16#13:45:16#00:00:00 2
c7db3915fe05186478c91d6323a5f580
3207012 C 3 CP 1 31/01/2018 13/02/2018 01/07/1947 0 2
4 L89.9;I69.3;E43 99.60;90.59 - - None None None None L-4-
10-III None None None None None None PENYAKIT KULIT MAYOR (BERAT)
1710300 0 0 - 0 - 0 - 0 - 0
1710300 7106752 0 14 0 0 0 NENENG ISMIANA
00472133 70 25782 H. DENNY RAHARJONO, DR. SP. S.
1023R00101180012433 0000440360291 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161094 1#0##0#0#0.0#2018-04-18
08:54:57#0#00:00:00#00:00:00#00:00:00 2 145074c3ece72d3074cb0503af257f8e
3207012 C 3 CP 1 05/02/2018 13/02/2018 08/03/1940 0 2
1 J44.1;I10;E43 87.49;90.59 - - None None None None J-4-
17-III None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS
(BERAT) 4304800 0 0 - 0 - 0 - 0 - 0
4304800 5864936 0 9 0 0 0 KASIH 00494159 77
28458 SETYO RAHARJO, DR, SP. PD 1023R00102180002209 0001263110859
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164842
1#0##0#0#0.0#2018-04-19 08:34:24#0#12:59:37#12:59:37#00:00:00 2
8521b887b4386c482f368116a8292e0c
3207012 C 3 CP 1 07/02/2018 13/02/2018 03/12/1972 0 1
1 K35.2 47.09;90.59 - - None None None None K-1-13-I None
None None None None None PROSEDUR APPENDIK (RINGAN) 2790800 0
0 - 0 - 0 - 0 - 0 2790800 10275609
0 7 0 0 0 SOFYAN 00464571 45 16502 FIRDAUS
BENNY PUTRA, DR. SP. B. 1023R00102180002297 0000070977824 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 171815 1#0##0#0#0.0#2018-04-23
08:46:18#0#00:00:00#00:00:00#12:00:00 1 0c6c6d6c378c3802babac9f1dba219ae
3207012 C 3 CP 1 01/02/2018 13/02/2018 01/07/1967 0 1
1 J86.9;E43 34.91;87.49;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 8651385 0 13 0 0 0 UMAR 00479008 50
18478 ABU BAKAR, DR. SPP, MKES 1023R00102180000401 0000439300675
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163703
1#0##0#0#0.0#2018-04-25 07:55:57#0#00:00:00#00:00:00#00:00:00 3
69abdd9cf8e771a563ce02354d35bcf0
3207012 C 1 CP 1 06/02/2018 13/02/2018 11/07/1935 0 1
1 I11.0;I64;R63.3 89.52;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
5015600 0 0 - 0 - 0 - 0 - 0
5015600 5642046 0 8 0 0 0 TJETJE DJAENUDIN
 00494285 82 30161 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180002935
0000071396335 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159677
1#0##0#0#0.0#2018-04-25 07:57:22#0#00:00:00#00:00:00#00:00:00 2
20d666c6783a57002129051ed052b811
3207012 C 3 CP 1 12/02/2018 13/02/2018 05/01/1954 0 1
1 Z96.1;I10 13.19;90.59 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5471675 0 2 0 0 0 AEP SAEPUDIN
00494240 64 23414 MEGA PRAYOGA, DR. SP. M. 1023R00102180003974
0002325591652 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161727
1#0##0#0#0.0#2018-04-30 07:26:55#0#00:00:00#00:00:00#00:00:00 3
ad844ac26d2ad6d9d56297d84d50842e
3207012 C 3 CP 1 09/02/2018 13/02/2018 15/08/1967 0 2
1 M54.56 87.24;90.59 - - None None None None M-4-17-I
None None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 2120656 0 5 0 0 0 TETI SURYATI
00494548 50 18441 RISSA NURLAILLA, DR. SP. S. 1023R00102180003672
0001965902174 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159716
1#0##0#0#0.0#2018-04-30 08:32:20#0#00:00:00#00:00:00#00:00:00 4
e7fc08c190a411b9ce084acdfd9c2964
3207012 C 3 CP 1 12/02/2018 13/02/2018 01/05/1953 0 1
1 H25.9;I10 90.59;13.19;13.71 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5460368 0 2 0 0 0 ENDIK SUPRIYADI
00434600 64 23663 MEGA PRAYOGA, DR. SP. M. 1023R00102180004040
0000441155463 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 162088
1#0##0#0#0.0#2018-05-09 07:42:09#0#00:00:00#00:00:00#00:00:00 3
1db81fbbabc36b2b671c5a3857343f08
3207012 C 3 CP 1 11/02/2018 13/02/2018 03/04/2016 0 2
1 R56.0;A41.9 90.59 - - None None None None G-4-22-III None
None None None None None SERANGAN KEJANG (BERAT) 3770200 0 0
- 0 - 0 - 0 - 0 3770200 925314 0
3 0 0 0 DEVI APRILIASARI 00460734 1 679 IMELDA
PINGKAN MONIAGA, DR. SP. A 1023R00102180004472 0002214331762 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 177024
1#0##0#0#0.0#2018-05-11 07:28:40#0#00:00:00#00:00:00#12:00:00 2
6ac77443139ee10e2182049db8b0a518
3207012 C 3 CP 1 10/02/2018 14/02/2018 01/06/1983 0 1
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1682953 0 5 0 0 0 DEDE ROMDONI
00494615 34 12673 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003988
0001006085755 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160082
1#0##0#0#0.0#2018-03-15 13:50:52#0#00:00:00#00:00:00#00:00:00 1
f9cd7d0b4010ec0f67e7f0b0449d9989
3207012 C 3 CP 1 09/02/2018 14/02/2018 20/05/1976 0 2
1 K74.6 88.76;89.52;90.59;90.99 - - None None None None B-4-
13-I None None None None None None GANGGUAN HATI LAIN-LAIN (RINGAN)
3122100 0 0 - 0 - 0 - 0 - 0
3122100 2992935 0 6 0 0 0 LINA HERLINA
00443554 41 15240 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003659
0002045023929 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160099
1#0##0#0#0.0#2018-03-15 13:56:29#0#00:00:00#00:00:00#00:00:00 1
3957edab7b51c6dda265bb058525e959
3207012 C 1 CP 1 08/02/2018 14/02/2018 11/02/1982 0 2
 1 A01.0;B15.9;K76.0 88.76;90.59 - - None None None None A-4-
14-II None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 3556000 0 0 - 0 - 0 - 0
- 0 3556000 5293804 0 7 0 0 0 SANTI HUSNA
TAQIYAH, S.KEP 00310140 35 13146 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180003571 0000071496202 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160115 1#0##0#0#0.0#2018-03-15
14:01:15#0#00:00:00#00:00:00#00:00:00 1 0dc3bd97f3a0bc544c7e8959d9531db4
3207012 C 2 CP 1 09/02/2018 14/02/2018 10/06/1957 0 1
1 I13.2 89.52;90.59;87.49 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 3090800
0 0 - 0 - 0 - 0 - 0 3090800
2974197 0 6 0 0 0 ROSADI ISKANDAR 00050410 60
22159 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180003665
0000071790849 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160330
1#0##0#0#0.0#2018-03-16 10:26:19#0#00:00:00#00:00:00#12:00:00 1
5a83f84a839593b6c574972506110724
3207012 C 1 CP 1 07/02/2018 14/02/2018 01/07/1942 0 2
1 I12.0;R33 89.52;90.59;91.39 - - None None None None N-4-
10-I None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (RINGAN) 3445100 0 0 - 0 - 0 - 0 -
0 3445100 4186692 0 8 0 0 0 APAH APIPAH
00469639 75 27615 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180002809 0001787894155 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160338 1#0##0#0#0.0#2018-03-16
10:28:40#0#00:00:00#00:00:00#00:00:00 1 c7a34f7313f2f4ff1b4144cdee44d3d0
3207012 C 2 CP 1 09/02/2018 14/02/2018 19/11/1988 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 3424205 0 6 0 0 0 NINA FARIDA 00385382
29 10674 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003654
0001384852184 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160340
1#0##0#0#0.0#2018-03-16 10:39:01#0#00:00:00#00:00:00#00:00:00 1
9ad89073055985a226bc7508203a77af
3207012 C 3 CP 1 10/02/2018 14/02/2018 01/03/1954 0 1
1 D64.9;K92.1 99.04;90.59;88.76 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 -
0 - 0 2218100 3160666 0 5 0 0 0 HAMIM
00359917 63 23357 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003904
0000437533749 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160465
1#0##0#0#0.0#2018-03-16 12:42:12#0#00:00:00#00:00:00#12:00:00 1
c02d7926f5bf0f6414ec97523c44b3f6
3207012 C 3 CP 1 08/02/2018 14/02/2018 01/11/1946 0 2
1 I11.0 89.52;87.49;90.59;57.94 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
3880506 0 7 0 0 0 PUPU 00494401 71 26032
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003556 0001005953095 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160480 1#0##0#0#0.0#2018-
03-16 13:04:19#0#00:00:00#00:00:00#00:00:00 1
1fad9f22a31b333cd39ea59c20b51f35
3207012 C 3 CP 1 09/02/2018 14/02/2018 01/01/1955 0 2
1 E11.5;I50.0 87.49;90.59;93.57 - - None None None None I-4-
15-II None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (SEDANG) 5798200 0 0 - 0 - 0 - 0 -
0 5798200 2963909 0 6 0 0 0 CICIH ROKASIH
00368571 63 23050 SETYO RAHARJO, DR, SP. PD 1023R00102180003853
 0001006047707 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160891
1#0##0#0#0.0#2018-03-19 11:44:43#0#00:00:00#00:00:00#00:00:00 1
2e321a910402a528c5ae821b799f6bdb
3207012 C 3 CP 1 09/02/2018 14/02/2018 24/02/2004 0 1
1 R10.4;K59.0 90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 3213594 0 6 0 0 0 SAEFUL AMRI 00494514
13 5099 SETYO RAHARJO, DR, SP. PD 1023R00102180004867
0001727594234 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161153
1#0##0#0#0.0#2018-03-19 14:19:08#0#00:00:00#00:00:00#00:00:00 1
6106ddca12d998ffd780d775650276c9
3207012 C 3 CP 1 12/02/2018 14/02/2018 22/11/1986 0 2
1 O42.9;O60.1;O80.0;O70.9;Z37.0 73.59;73.6;90.59 - - None None
None None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 2852205 0 3 0 0 0 SITI NURROHIMAH
00494489 31 11405 DIDI KURNIADI M, DR. SP.OG 1023R00102180004698
0002307208779 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161622
1#0##0#0#0.0#2018-03-20 11:29:38#0#00:00:00#00:00:00#00:00:00 1
d1e0cce2c82d2dee3c7d01225dc3171d
3207012 C 2 CP 1 12/02/2018 14/02/2018 22/01/1961 0 2
1 O44.1;O82.1;Z37.0;Z30.5 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 6468784 0 3 0 0 0 CITRA DEWI
00095102 57 20840 DIDI KURNIADI M, DR. SP.OG 1023R00102180004303
0000071491353 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161656
1#0##0#0#0.0#2018-03-20 11:39:41#0#00:00:00#00:00:00#00:00:00 1
a7afc209c50c7c235df0f78160157008
3207012 C 3 CP 1 12/02/2018 14/02/2018 03/01/1949 0 2
1 K40.9 53.05;89.52;90.59;93.57 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3964522 0 3 0 0 0 ODAH SAODAH 00487188
69 25242 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180004488
0002025713608 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161695
1#0##0#0#0.0#2018-03-20 11:54:22#0#00:00:00#00:00:00#00:00:00 1
a1e0ab4d90c975b6f12874dd872bab27
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/06/1964 0 1
1 I50.0 89.52;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 1487347
0 4 0 0 0 IYOS 00387107 53 19613 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180003985 0000441761095 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161846 1#0##0#0#0.0#2018-03-20
13:32:19#0#00:00:00#00:00:00#00:00:00 1 ee86ae7fb95bb5c0bf36205c8ac3a460
3207012 C 3 CP 1 09/02/2018 14/02/2018 23/02/1994 0 2
1 A01.0 90.59;87.49 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1921898 0 6 0 0 0 NIDA SIFA`UL MUTMAINAH
00494551 23 8752 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003835
0000440546916 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161852
1#0##0#0#0.0#2018-03-20 13:38:40#0#00:00:00#00:00:00#00:00:00 1
fad29c3343e39bf17bef091364e696bd
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/12/1968 0 2
1 I11.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
 0 0 - 0 - 0 - 0 - 0 2575600
1511388 0 4 0 0 0 JUJU JUARTINI 00476654 49
17969 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003926 0000441822969
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161862
1#0##0#0#0.0#2018-03-20 13:53:23#0#00:00:00#00:00:00#00:00:00 1
c5846e915ae37554543ef7f621740668
3207012 C 3 CP 1 11/02/2018 14/02/2018 11/07/2017 0 1
1 A09.9;E86;D50.9 90.99;90.59 - - None None None None K-4-
17-II None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(SEDANG) 1923400 0 0 - 0 - 0 - 0 - 0
1923400 1099012 0 4 0 0 0 BY NY NINING
00476329 0 215 HJ. SUHERJATI, SP. A 1023R00102180004470
0002265743125 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162644
1#0##0#0#0.0#2018-03-22 08:25:25#0#00:00:00#00:00:00#00:00:00 1
96b28d47521c29c15eb081a2541b89a2
3207012 C 3 CP 1 12/02/2018 14/02/2018 05/07/2016 0 2
1 A09.9;E86;E46 87.49;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1232102 0 3 0 0 0 RISTI SAFIRA RAMADANI
00494754 1 587 HJ. SUHERJATI, SP. A 1023R00102180004456
0002183122596 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162646
1#0##0#0#0.0#2018-03-22 08:26:46#0#00:00:00#00:00:00#00:00:00 1
3b18fedb2c104460faa5f8d15bfcd2fc
3207012 C 3 CP 1 10/02/2018 14/02/2018 18/02/1992 0 2
1 N92.1;D64.9 99.04;90.59 - - None None None None W-4-12-II
None None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI
WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0 - 0 -
0 - 0 3667500 2926462 0 5 0 0 0
SANTIKASARI 00494571 25 9489 NANANG WIBOWO, DR. SP. OG
1023R00102180004433 0001261110565 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163288 1#0##0#0#0.0#2018-03-22
13:11:39#0#00:00:00#00:00:00#00:00:00 1 52796774ad6b0c5327850499602ff88c
3207012 C 3 CP 1 12/02/2018 14/02/2018 10/10/1991 0 2
1 O64.1;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 5738625 0 3 0 0 0 INDAH PURNAMASARI
00494669 26 9622 DIDI KURNIADI M, DR. SP.OG 1023R00102180005597
0002429875934 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163570
1#0##0#0#0.0#2018-03-26 07:49:34#0#00:00:00#00:00:00#00:00:00 1
5c6deb670b98568b687aef7dd79cd422
3207012 C 3 CP 1 13/02/2018 14/02/2018 25/11/1951 0 1
1 R33;I10 - - - None None None None N-4-15-I None
None None None None None GEJALA,TANDA GANGGUAN GINJAL DAN SALURAN URIN
(RINGAN) 2241300 0 0 - 0 - 0 - 0 - 0
2241300 500479 0 2 0 0 0 SAIDIN 00482252
66 24187 AHMAD RIFKI ,DR 1023R00102180005244 0002285406358 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163617 1#0##0#0#0.0#2018-
03-26 08:09:22#0#00:00:00#00:00:00#00:00:00 1
8c83ac99f3bf8cfa11497eb38fb423f1
3207012 C 3 CP 1 12/02/2018 14/02/2018 01/05/1950 0 1
1 J44.1 93.94;87.49;90.59;90.41 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 1339932 0 3 0 0 0 UCE SUPRIATMAN
00457745 67 24759 ABU BAKAR, DR. SPP, MKES 1023R00102180004409
0001005964672 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163622
1#0##0#0#0.0#2018-03-26 08:10:50#0#00:00:00#00:00:00#12:00:00 1
 2b723a574061ce2e9fbd9636690f15f2
3207012 C 3 CP 1 09/02/2018 14/02/2018 23/08/1987 0 1
1 A15.6 34.91;88.71;87.49;90.59;90.41 - - None None None None
J-4-15-I None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (RINGAN) 3999700 0 0 - 0 - 0 - 0
- 0 3999700 2941147 0 6 0 0 0 ARIS
SUNANDAR 00494543 30 11128 ABU BAKAR, DR. SPP, MKES
1023R00102180003855 0001281643841 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163646 1#0##0#0#0.0#2018-03-26
08:18:36#0#00:00:00#00:00:00#00:00:00 1 5837d0c9e686a8074ec278faa849a155
3207012 C 3 CP 1 12/02/2018 14/02/2018 21/09/1965 0 1
1 T63.0;X20.9 90.59 - - None None None None S-4-12-I None
None None None None None KERACUNAN TERMASUK KERACUNAN OBAT (RINGAN)
1481200 0 0 - 0 - 0 - 0 - 0
1481200 878656 0 3 0 0 0 USIN 00494614 52
19137 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180005062
0002429504335 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163780
1#0##0#0#0.0#2018-03-26 09:20:53#0#00:00:00#00:00:00#00:00:00 1
1bda99ac833f33a459c2b2b140ad7986
3207012 C 3 CP 1 10/02/2018 14/02/2018 25/04/1973 0 1
1 A49.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1547342 0 5 0 0 0 YADI RIYADI 00494590
44 16362 SETYO RAHARJO, DR, SP. PD 1023R00102180003886
0001743136209 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163964
1#0##0#0#0.0#2018-03-26 10:38:29#0#00:00:00#00:00:00#00:00:00 1
8851ae46dd06edf7c442ab51cbe5500b
3207012 C 3 CP 1 06/02/2018 14/02/2018 05/03/1963 0 1
1 A15.6 34.91;87.49;90.41;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 4943335 0 9 0 0 0 WAWAN KUSTIAWAN
00351713 54 20062 ABU BAKAR, DR. SPP, MKES 1023R00102180002700
0001262674359 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163972
1#0##0#0#0.0#2018-03-26 10:40:22#0#00:00:00#00:00:00#00:00:00 1
4284650efba51f6a6c863c9437b08033
3207012 C 3 CP 1 12/02/2018 14/02/2018 01/07/1948 0 1
1 K40.9 53.05;89.52;87.49;90.59 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3939948 0 3 0 0 0 IDING 00463439 69
25428 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180004477
0000440951725 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164061
1#0##0#0#0.0#2018-03-26 11:07:47#0#00:00:00#00:00:00#12:00:00 1
8fb19ec449f861a638dad22c8afa4f72
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/07/1956 0 2
1 D64.9;K92.1;K30 99.04;88.76;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 3027750 0 4 0 0
0 AAH 00494647 61 22505 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180004481 0002429081875 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164092 1#0##0#0#0.0#2018-03-26
11:22:10#0#00:00:00#00:00:00#00:00:00 1 021ea35e8dd1e1b280e8044580e04024
3207012 C 3 CP 1 12/02/2018 14/02/2018 01/12/1981 0 2
1 A01.0 87.49;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
 2092500 1344081 0 3 0 0 0 YENI 00494758 36
13222 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180004473 0000434262025
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164201
1#0##0#0#0.0#2018-03-26 14:03:40#0#14:02:36#14:02:36#00:00:00 1
556e438211ef2d00b55c0e2bf405d576
3207012 C 1 CP 1 12/02/2018 14/02/2018 10/01/1981 0 2
1 J35.0 28.2 - - None None None None U-1-15-I None None
None None None None PROSEDUR TONSIL & ADENOID (RINGAN) 4969000 0
0 - 0 - 0 - 0 - 0 4969000 4858632
0 3 0 0 0 HARMIYASIH,S.FAR.,APT 00486565 37 13547
H. HERDIANA, SP. THT 1023r00102180004746 0001661263986 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164204 1#0##0#0#0.0#2018-03-26
14:05:14#0#14:03:59#14:03:59#00:00:00 1 3efe4ff5831e311e27a8acac274f7da3
3207012 C 3 CP 1 11/02/2018 14/02/2018 16/07/2003 0 1
1 A06.9 90.99;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 2117313 0 4 0 0 0 HABIB AZIZ 00134521
14 5324 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180004459
0000068905506 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164206
1#0##0#0#0.0#2018-03-26 14:07:29#0#14:06:09#14:06:09#00:00:00 1
52f6938761f08c66a65d5a55502ded69
3207012 C 3 CP 1 11/02/2018 14/02/2018 14/01/2008 0 1
1 A01.0;J45.9 87.16;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1327009 0 4 0 0 0 ZAID MIRDAN
00494636 10 3681 HJ. SUHERJATI, SP. A 1023r00102180005337
0001899907896 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164855
1#0##0#0#0.0#2018-03-27 13:11:51#0#13:09:49#13:09:49#00:00:00 1
30a6bdbba9bbbc9e24e6c69e018cde82
3207012 C 3 CP 1 12/02/2018 14/02/2018 06/08/1966 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 957881 0 3 0 0 0 IROS 00494768 51
18818 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180005031 0002429397415
3;JKN ANDI; 5.2.0.201712280730 4 165001 1#0##0#0#0.0#2018-03-27
14:59:00#0#14:56:56#14:56:56#00:00:00 1 b2014cb4a859f52f4af9df48093b5492
3207012 C 3 CP 1 08/02/2018 14/02/2018 05/04/1940 0 1
1 I61.9 87.49;90.59 - - None None None None G-4-13-I None
None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 3081570 0 7 0 0 0 SOLEH 00494448 77
28433 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180003580
0001089596294 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165314
1#0##0#0#0.0#2018-03-29 10:15:12#0#10:13:59#10:13:59#00:00:00 1
d4521f0985874d228ffedc9119169860
3207012 C 3 CP 1 29/01/2018 14/02/2018 01/07/1958 0 1
1 A16.2 34.91;89.52;90.59;87.49 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 9908429 0 17 0 0 0 MASUM 00493464 59
21762 ABU BAKAR, DR. SPP, MKES 1023R00101180011803 0000434323811
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161941
1#0##0#0#0.0#2018-04-04 10:39:25#0#00:00:00#00:00:00#00:00:00 2
927b8ca3b542973d422e6a2aba95897a
3207012 C 3 CP 1 13/02/2018 14/02/2018 02/06/2003 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
 None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2449712 0 2 0 0 0 ASTRI WULANDARI
004461539 14 5370 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180005055 0002019025552 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161709 1#0##0#0#0.0#2018-04-04
11:49:13#0#00:00:00#00:00:00#12:00:00 2 e0d6a65855f40ca27f2302b63d5cdf8c
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/06/2007 0 2
1 A01.0;E86 90.59;90.99 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1407819 0 4 0 0 0 RAHMAWATI
00494643 10 3908 HJ. SUHERJATI, SP. A 1023R00102180003933
0000439772466 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161736
1#0##0#0#0.0#2018-04-04 11:50:46#0#00:00:00#00:00:00#00:00:00 2
cd40fa35eac601dfb48c97a6c2251762
3207012 C 3 CP 1 12/02/2018 14/02/2018 01/04/1994 0 2
1 O02.0 69.02;69.93;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 2710168 0 3 0 0 0 AI RISMA AYANTI
00494749 23 8718 DIDI KURNIADI M, DR. SP.OG 1023R00102180004646
0001006151523 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161401
1#0##0#0#0.0#2018-04-04 11:59:18#0#00:00:00#00:00:00#00:00:00 2
c6fee0a172e5b010d08da79a490fc4f0
3207012 C 3 CP 1 08/02/2018 14/02/2018 01/10/1966 0 1
1 N20.0;N13.3 88.76;89.52;90.59 - - None None None None N-4-
13-II None None None None None None BATU URIN (SEDANG) 3919400 0
0 - 0 - 0 - 0 - 0 3919400 2753810
0 7 0 0 0 WARLAN 00494459 51 18758 PRIMAHATI
RIANA ROSY, DR. SP.PD 1023r00102180003307 0000440692198 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166355 1#0##0#0#0.0#2018-04-05
09:33:39#0#10:50:12#10:50:12#00:00:00 3 9c23c7a8c3add27684a5e7c357fc4ce7
3207012 C 3 CP 1 09/02/2018 14/02/2018 01/01/1960 0 1
1 A15.0;I50.0 89.52;87.49;90.59 - - None None None None J-4-
15-II None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 4778500 0 0 - 0 - 0 - 0 - 0
4778500 2242488 0 6 0 0 0 DARSO 00494531 58
21224 SETYO RAHARJO, DR, SP. PD 1023r00102180003660 0000440403164
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166909
1#0##0#0#0.0#2018-04-05 11:14:07#0#11:12:52#11:12:52#00:00:00 1
d69ee41ef96b21ac5abb30c670ebc303
3207012 C 3 CP 1 05/02/2018 14/02/2018 05/06/1956 0 2
1 A01.4;E14.9 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 4110353 0 10 0 0 0 NUNUNG TATI MARYANAH
00274712 61 22525 SETYO RAHARJO, DR, SP. PD 1023r00102180011081
0000057567925 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167497
1#0##0#0#0.0#2018-04-09 09:46:44#0#09:45:28#09:45:28#00:00:00 1
358a399579d2b7c20ea79b097f63c932
3207012 C 3 CP 1 13/02/2018 14/02/2018 06/04/1963 0 1
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2300981 0 2 0 0 0 ELON SAHLAN
00337362 54 20037 SETYO RAHARJO, DR, SP. PD 1023r00102180005040
0001089610108 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167610
1#0##0#0#0.0#2018-04-09 11:08:08#0#11:06:45#11:06:45#00:00:00 1
 8f34e8af621fceecb9d56644d7f5a4d0
3207012 C 3 CP 1 11/02/2018 14/02/2018 05/05/1976 0 1
1 I11.0;D64.9 99.04;89.52;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
2619577 0 4 0 0 0 RUKMANA 00483693 41 15257
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180003916 0002018680356 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167765 1#0##0#0#0.0#2018-
04-10 07:50:55#0#07:49:41#07:49:41#00:00:00 1
9c3f4446f953a60e3bdd5892ccc064f8
3207012 C 3 CP 1 10/02/2018 14/02/2018 01/07/1946 0 2
1 N23;R10.4 90.59 - - None None None None N-4-13-I None
None None None None None BATU URIN (RINGAN) 3249600 0 0
- 0 - 0 - 0 - 0 3249600 1573826 0
5 0 0 0 UJU 00382958 71 26157 SETYO RAHARJO, DR, SP.
PD 1023r00102180003850 0000441584021 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167788 1#0##0#0#0.0#2018-04-10
08:36:36#0#08:35:30#08:35:30#00:00:00 1 8adfc60290795e72c755ea204e115dab
3207012 C 3 CP 1 08/02/2018 14/02/2018 01/06/1979 0 1
1 A01.0;R42 89.52;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 2307777 0 7 0 0 0 WAWAN
00494452 38 14132 SETYO RAHARJO, DR, SP. PD 1023r00102180003602
0000441879489 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167793
1#0##0#0#0.0#2018-04-10 09:01:29#0#09:00:19#09:00:19#00:00:00 1
f9144a884bce18121d062749bbd9615f
3207012 C 3 CP 1 13/02/2018 14/02/2018 01/01/2000 0 2
1 D21.9 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2871790 0 2 0 0 0 ALMA FUTUHATUL
FITRIYAH 00493617 18 6618 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180005057 0000441148353 3;JKN Ridwan; 5.2.0.201712280730
4 165035 1#0##0#0#0.0#2018-04-11
11:15:55#0#15:23:34#15:23:34#00:00:00 2 1b91c4b57d980660a66cf83d6ef86123
3207012 C 3 CP 1 08/02/2018 14/02/2018 24/06/1947 0 1
1 K81.9;R16.0;N40;R33 88.76;88.19;88.75;90.59 - - None None
None None B-4-14-II None None None None None None GANGGUAN SALURAN
EMPEDU LAIN-LAIN (SEDANG) 3638400 0 0 - 0 - 0 -
0 - 0 3638400 2826251 0 7 0 0 0 OKON
HERMANA 00494453 70 25797 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180003395 0002018493483 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168270 1#0##0#0#0.0#2018-04-13
09:27:35#0#09:26:08#09:26:08#00:00:00 1 4b88b9329ad6d1833c46ad1fbefc267f
3207012 C 3 CP 1 13/02/2018 14/02/2018 20/11/1995 0 2
1 D21.9 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2486044 0 2 0 0 0 RATNA GITA SAHANI
00490562 22 8121 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180005059 0001959471854 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168574 1#0##0#0#0.0#2018-04-16
10:20:28#0#10:19:29#10:19:29#00:00:00 1 d1211726cc2e09f48cfb9e2d5a237270
3207012 C 3 CP 1 10/02/2018 14/02/2018 01/02/2010 0 1
1 A16.2 90.59 - - None None None None J-4-15-I None None
None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 1910141 0 5 0 0 0 LARAS AYU LESTARI
 00494589 8 2931 HJ. SUHERJATI, SP. A 1023r00102180004471
0000438689147 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164184
1#0##0#0#0.0#2018-04-18 08:48:36#0#13:51:08#13:51:08#00:00:00 2
5624ad708633d2154e3ccbe07e4d2141
3207012 C 1 CP 1 12/02/2018 14/02/2018 22/02/1972 0 2
1 K80.2;N82.3 88.76;90.59 - - None None None None B-4-14-II
None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(SEDANG) 5093700 0 0 - 0 - 0 - 0 - 0
5093700 1820271 0 3 0 0 0 LELA RACHMAN
00414859 45 16792 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180004469 0000071494209 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 160306 1#0##0#0#0.0#2018-04-18
09:02:52#0#00:00:00#00:00:00#00:00:00 2 96aeb733f5d567fb24154fa8535a0186
3207012 C 1 CP 1 10/02/2018 14/02/2018 20/08/1962 0 2
1 K30;R42;N28.1 88.76;89.52;90.59 - - None None None None
K-4-18-II None None None None None None GANGGUAN SISTEM PENCERNAAN
LAIN-LAIN (SEDANG) 2472100 0 0 - 0 - 0 - 0
- 0 2472100 2691200 0 5 0 0 0 PONGPONG
KUSTINI 00107913 55 20263 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180004462 0000070926546 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 160301 1#0##0#0#0.0#2018-04-18
09:25:44#0#00:00:00#00:00:00#12:00:00 2 c8779f2b70204744437a91f9edd9c39d
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/05/1949 0 2
3 I50.0 99.04;96.07;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
5040855 0 4 0 0 0 KESIH 00494656 68 25123
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180004007 0000441548111 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 161431 1#0##0#0#0.0#2018-
04-18 12:41:52#0#00:00:00#00:00:00#00:00:00 2
74bff6287d4a783a6df54de449a26040
3207012 C 3 CP 1 11/02/2018 14/02/2018 01/02/1962 0 2
1 N20.0;D45 88.76;89.52;90.59;90.99 - - None None None None
N-4-13-II None None None None None None BATU URIN (SEDANG)
3919400 0 0 - 0 - 0 - 0 - 0
3919400 1675264 0 4 0 0 0 WAPIROH 00402580
56 20464 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003932
0000439807252 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 170202
1#0##0#0#0.0#2018-04-18 12:45:57#0#00:00:00#00:00:00#00:00:00 1
b6f8e461487e6ec575f4331557b4376c
3207012 C 3 CP 1 06/02/2018 14/02/2018 20/12/2004 0 2
1 A16.2;A01.0 88.71;90.59 - - None None None None J-4-15-III
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (BERAT)
6429000 0 0 - 0 - 0 - 0 - 0
6429000 2836190 0 9 0 0 0 TANJIL KAMILATUL HUDA
00494249 13 4796 HJ. SUHERJATI, SP. A 1023R00102180002223
0002026920003 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161537
1#0##0#0#0.0#2018-04-19 08:33:45#0#00:00:00#00:00:00#00:00:00 3
12540a7d391e6d52853878adc14a4ac2
3207012 C 3 CP 1 16/01/2018 14/02/2018 07/08/1953 0 1
1 A16.2;E43 34.04;90.59;90.41;87.49 - - None None None None
J-4-15-III None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 - 0
- 0 6429000 14632821 0 30 0 0 0 JAIMAN
00492328 64 23538 ABU BAKAR, DR. SPP, MKES 1023R00101180006326
0000436775319 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162375
1#0##0#0#0.0#2018-04-19 08:41:35#0#00:00:00#00:00:00#00:00:00 3
f3e48a23e054ddf056569eb8c0e59395
3207012 C 3 CP 1 13/02/2018 14/02/2018 20/07/1955 0 2
 1 H25.9;I10 13.3;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5491769 0 2 0 0 0 YUHAENI, A.MD
00477113 62 22854 SUTRISNO, DR. SP.M 1023R00102180004640
0000071519185 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167993
1#0##0#0#0.0#2018-04-23 08:34:33#0#10:07:08#10:07:08#00:00:00 2
4234390bee4db49e5f96a0fde854929f
3207012 C 3 CP 1 13/02/2018 14/02/2018 15/02/1942 0 2
1 H25.9;I10 13.3;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 8894551 0 2 0 0 0 EMPAR 00480661 75
27757 SUTRISNO, DR. SP.M 1023r00102180004678 0000071472431 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167854 1#0##0#0#0.0#2018-
04-23 08:35:00#0#14:05:58#14:05:58#00:00:00 2
e18c03333f79839e9b0e10360883c6a6
3207012 C 3 CP 1 13/02/2018 14/02/2018 15/07/1962 0 1
1 H25.9;I10 13.3;13.71;90.59 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5463193 0 2 0 0 0 ENGKOS KOSASIH
00445275 55 20302 SUTRISNO, DR. SP.M 1023r00102180004620
0000071639627 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167763
1#0##0#0#0.0#2018-04-23 08:35:19#0#07:42:51#07:42:51#00:00:00 2
6e371d16a5b723bf4c539afe3a2a3502
3207012 C 3 CP 1 10/02/2018 14/02/2018 13/06/1930 0 1
1 I50.0;J18.0 89.52;87.49;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 1791154 0 5 0 0 0 ERI KOSASIH 00451401
87 32019 SETYO RAHARJO, DR, SP. PD 1023R00102180003878
0000171668755 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163953
1#0##0#0#0.0#2018-04-25 07:55:27#0#00:00:00#00:00:00#00:00:00 3
773d4745a9de51ba4789609dd37da2c7
3207012 C 3 CP 1 09/02/2018 14/02/2018 01/07/1942 0 1
1 A15.0;I11.0 89.52;87.49;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 3012280 0 6 0 0 0 AHLAN 00445842 75
27617 SETYO RAHARJO, DR, SP. PD 1023r00102180003631 0001886251228
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167923
1#0##0#0#0.0#2018-04-25 07:59:14#0#08:41:37#08:41:37#12:00:00 2
a9090fcea3957d4f87282c7f02cc09da
3207012 C 3 CP 1 08/02/2018 14/02/2018 01/07/1943 0 1
1 K40.9 53.00;89.52 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 5486971 0 7 0 0 0 ETOM SUPENDI
00488161 74 27251 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003303 0000441403828 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160292 1#0##0#0#0.0#2018-04-25
12:01:44#0#00:00:00#00:00:00#00:00:00 5 d081f98be7b857da0890d055ae61e524
3207012 C 3 CP 1 13/02/2018 14/02/2018 01/07/1950 0 1
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5463403 0 2 0 0 0 HASAN 00491814 67
24699 SUTRISNO, DR. SP.M 1023R00102180005037 0000441258344 3;JKN
 NANA KUSLIANA; 5.2.0.201712280730 4 163116 1#0##0#0#0.0#2018-
04-30 07:25:16#0#00:00:00#00:00:00#00:00:00 2
4794690ed72a384e638d4ae7c514ac37
3207012 C 3 CP 1 11/02/2018 14/02/2018 13/07/1997 0 2
1 O90.8;O99.8;O90.0 75.7;99.03;99.04;90.59;88.79 - - None None
None None W-4-17-II None None None None None None GANGGUAN
POSTPARTUM (SEDANG) 2664400 0 0 - 0 - 0 - 0
- 0 2664400 2969065 0 4 0 0 0 ISTI
KOMSATUN 00493771 20 7518 DIDI KURNIADI M, DR. SP.OG
1023R00102180003939 0002426563855 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161850 1#0##0#0#0.0#2018-04-30
07:39:23#0#00:00:00#00:00:00#00:00:00 2 62c7c30360fac10e2b8433e7c53477b5
3207012 C 3 CP 1 13/02/2018 14/02/2018 03/04/1955 0 1
1 D21.9 86.3;93.57 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2579672 0 2 0 0 0 SUKARA B WINATA
00493913 62 22962 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180005043 0001081727098 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160851 1#0##0#0#0.0#2018-05-02
07:52:05#0#00:00:00#00:00:00#00:00:00 3 7f368f17a2223f22519df59b0210b638
3207012 C 1 CP 1 10/02/2018 15/02/2018 16/08/1999 0 1
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2112800 0 0 - 0 - 0 - 0 - 0
2112800 2230573 0 6 0 0 0 TAUFIK HIDAYATUL MUBAROQ
00494597 18 6753 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003894
0000070947494 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160471
1#0##0#0#0.0#2018-03-16 12:47:13#0#00:00:00#00:00:00#00:00:00 1
149a497a4c33a1fccc49d76774cfaf2b
3207012 C 3 CP 1 05/02/2018 15/02/2018 01/12/1941 0 2
1 E11.9;L03.8 89.52;88.28;90.59 - - None None None None E-4-
10-I None None None None None None PENYAKIT KENCING MANIS & GANGGUAN
NUTRISI/ METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 -
0 - 0 3330600 4897825 0 11 0 0 0 IJUM
00494181 76 27825 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180001640 0000433750149 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160800 1#0##0#0#0.0#2018-03-19
10:17:38#0#00:00:00#00:00:00#00:00:00 1 163e60b767a5c967e2596c77a5f0e8d3
3207012 C 3 CP 1 12/02/2018 15/02/2018 16/04/1963 0 1
1 J18.0;I50.0 89.52;87.49;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 4683100 0 0 - 0 - 0 - 0 - 0
4683100 1258491 0 4 0 0 0 ILI 00493597 54
20026 SETYO RAHARJO, DR, SP. PD 1023R00102180004482 0002326113933
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160887
1#0##0#0#0.0#2018-03-19 11:42:40#0#00:00:00#00:00:00#00:00:00 1
5be394f7fc1ac2d70b7ea4a1a0137748
3207012 C 1 CP 1 14/02/2018 15/02/2018 05/06/2001 0 2
1 A01.0;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 962910 0 2 0 0 0 GEBY MAUDYA ALVIONA
00374858 16 6098 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180005932 0000976671044 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161180 1#0##0#0#0.0#2018-03-19
14:32:19#0#00:00:00#00:00:00#00:00:00 1 8491f6408402a32d832aab9f395d9845
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/05/1974 0 1
1 J44.1 89.52;90.59;87.49;90.41 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 1534750 0 3 0 0 0 HERNA 00494782 43
15994 ABU BAKAR, DR. SPP, MKES 1023R00102180004499 0001005948235
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161390
1#0##0#0#0.0#2018-03-20 09:01:16#0#00:00:00#00:00:00#00:00:00 1
d5c0eda9cdfbdda8ca74dbdc6ecf8f0d
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/01/1958 0 2
1 J90;C34.9 34.91;90.41;87.49;90.59 - - None None None None
J-4-20-I None None None None None None PLEURAL EFUSI DAN PNEUMOTORAK
(RINGAN) 3828800 0 0 - 0 - 0 - 0 - 0
3828800 2521130 0 4 0 0 0 HADIAT 00487771
60 21957 ABU BAKAR, DR. SPP, MKES 1023R00102180004416
0000441074709 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161394
1#0##0#0#0.0#2018-03-20 09:06:00#0#00:00:00#00:00:00#00:00:00 1
8541d8bbc42ed14da8203ead9e3c9fe5
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/06/1962 0 1
1 M54.16;N20.9;I10 87.24;88.76;90.59 - - None None None None
M-4-17-I None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (RINGAN) 2738500 0 0 - 0 - 0
- 0 - 0 2738500 1550512 0 4 0 0 0
WAHYA 00494707 55 20345 RISSA NURLAILLA, DR. SP. S.
1023R00102180004475 0001005995338 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161574 1#0##0#0#0.0#2018-03-20
10:50:13#0#00:00:00#00:00:00#00:00:00 1 f13296d290a68713ad915f454a2d904d
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/02/2002 0 1
1 G41.9;G80.9 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 1299935
0 4 0 0 0 MOH RIDO 00443563 16 5855 RISSA
NURLAILLA, DR. SP. S. 1023R00102180004595 0000441500657 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161577 1#0##0#0#0.0#2018-03-20
10:51:50#0#00:00:00#00:00:00#00:00:00 1 ccaf246843fbaf7f7b12178983270c00
3207012 C 3 CP 1 12/02/2018 15/02/2018 03/01/1947 0 1
1 S09.9;W14.9 87.49;87.22;90.59 - - None None None None G-4-
24-I None None None None None None TRAUMA KEPALA (RINGAN) 2192000 0
0 - 0 - 0 - 0 - 0 2192000 1662629
0 4 0 0 0 JUNAD 00494770 71 25973 RISSA NURLAILLA,
DR. SP. S. 1023R00102180004663 0001882568182 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161675 1#0##0#0#0.0#2018-03-20
11:48:04#0#00:00:00#00:00:00#00:00:00 1 c30e2c8fab0c899016b4fba2ebbb025c
3207012 C 3 CP 1 12/02/2018 15/02/2018 04/11/1975 0 2
1 D34 06.39;40.40 - - None None None None U-1-11-I None
None None None None None PROSEDUR KOMPLEK LEHER DAN KEPALA LAIN-LAIN
(RINGAN) 6250000 0 0 - 0 - 0 - 0 - 0
6250000 6285342 0 4 0 0 0 EUIS SUMINAR
00491262 42 15441 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004480 0002196685552 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161700 1#0##0#0#0.0#2018-03-20
11:58:46#0#00:00:00#00:00:00#00:00:00 1 7b1207b07713d679a8ec33a406c2f785
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/05/1965 0 1
1 K40.9 53.05;89.52;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 4014470 0 3 0 0 0 HERMAN 00442196
52 19281 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180005058
0000439768462 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161713
1#0##0#0#0.0#2018-03-20 12:12:44#0#00:00:00#00:00:00#00:00:00 1
8a48c3d2a4ffe022f428a2c85cbdab23
3207012 C 1 CP 1 13/02/2018 15/02/2018 06/08/1948 0 2
1 I25.0;K30 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 2187000
0 0 - 0 - 0 - 0 - 0 2187000
1213064 0 3 0 0 0 YUYUK RUKIAH KASWANDA 00197970
69 25393 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180005052
0000071430524 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161716
1#0##0#0#0.0#2018-03-20 12:15:44#0#00:00:00#00:00:00#12:00:00 1
686e4fe36fcf0e21daf073db856cd4d5
3207012 C 3 CP 1 12/02/2018 15/02/2018 08/07/1984 0 2
1 O72.2 69.59;99.04;88.79;90.59 - - None None None None W-4-
17-I None None None None None None GANGGUAN POSTPARTUM (RINGAN) 1475700
0 0 - 0 - 0 - 0 - 0 1475700
4543472 0 4 0 0 0 AI SUSILAWATI 00494739 33
12272 DIDI KURNIADI M, DR. SP.OG 1023R00102180005035 0002429447905
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161720
1#0##0#0#0.0#2018-03-20 12:18:08#0#00:00:00#00:00:00#00:00:00 1
8822d34e68abca9c2b742ca9ff8a3c58
3207012 C 3 CP 1 11/02/2018 15/02/2018 17/12/1948 0 2
1 M54.56;M13.1;I10;M53.3 87.24;90.59 - - None None None None
M-4-17-I None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (RINGAN) 2738500 0 0 - 0 - 0
- 0 - 0 2738500 1791601 0 5 0 0 0
IKAH KOMARIAH 00227944 69 25258 RISSA NURLAILLA, DR. SP. S.
1023R00102180003943 0000071082944 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161864 1#0##0#0#0.0#2018-03-20
13:56:59#0#00:00:00#00:00:00#00:00:00 1 5e4bdd86a8f7f5f09b41aea6777f89d9
3207012 C 3 CP 1 10/02/2018 15/02/2018 01/08/1998 0 2
1 A15.6 34.91;87.49;90.41;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 3244376 0 6 0 0 0 ROSI 00494600 19
7133 ABU BAKAR, DR. SPP, MKES 1023R00102180003893 0000442043739
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162004
1#0##0#0#0.0#2018-03-21 10:08:53#0#00:00:00#00:00:00#00:00:00 1
1677f86469bb1bac5ba01aefea53bbce
3207012 C 1 CP 1 10/02/2018 15/02/2018 06/03/1963 0 2
1 A01.0;I49.4;A15.0;E14.9;I73.9 87.94;90.59;91.39 - - None None
None None A-4-14-II None None None None None None PENYAKIT INFEKSI
BAKTERI DAN PARASIT LAIN-LAIN (SEDANG) 3556000 0 0 - 0 -
0 - 0 - 0 3556000 4940534 0 6 0 0
0 IDAH 00494564 54 20065 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180003885 0000071663578 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162094 1#0##0#0#0.0#2018-03-21
10:56:55#0#00:00:00#00:00:00#00:00:00 1 e8a968005e996a70d0c9f9348a16d748
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/04/1992 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 830781 0 3
0 0 0 TINA SUTINAH 00494786 25 9449 RISSA NURLAILLA,
DR. SP. S. 1023R00102180005044 0000440180144 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162622 19#0##0#0#0.0#2018-03-22
08:11:54#0#00:00:00#00:00:00#00:00:00 1 9040a8540e65f73a63c3a838808c0908
3207012 C 3 CP 1 05/02/2018 15/02/2018 13/06/1996 0 1
1 J90;I50.0 34.91;89.52;88.76;87.49;90.59;90.41 - - None None
None None J-4-20-II None None None None None None PLEURAL EFUSI DAN
PNEUMOTORAK (SEDANG) 5305300 0 0 - 0 - 0 - 0
- 0 5305300 5548899 0 11 0 0 0 JUNI
KURNIAWAN 00487741 21 7907 ABU BAKAR, DR. SPP, MKES
 1023R00102180001801 0002265211091 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162795 3#0##0#0#0.0#2018-03-22
09:28:41#0#00:00:00#00:00:00#00:00:00 1 77f41a5c8f9bb1ee1c97232d5a793524
3207012 C 3 CP 1 31/01/2018 15/02/2018 01/07/1943 0 1
1 J90;J44.9 34.04;90.59;87.49;90.41 - - None None None None
J-4-20-II None None None None None None PLEURAL EFUSI DAN PNEUMOTORAK
(SEDANG) 5305300 0 0 - 0 - 0 - 0 - 0
5305300 11909789 0 16 0 0 0 ANAS MAHFUDIN
00402571 74 27243 ABU BAKAR, DR. SPP, MKES 1023R00101180012490
0002424751852 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162803
1#0##0#0#0.0#2018-03-22 09:31:38#0#00:00:00#00:00:00#00:00:00 1
44f327a9862f1504f3a66ff3f6068183
3207012 C 3 CP 1 12/02/2018 15/02/2018 26/03/1973 0 1
1 J44.1 87.49;90.59 - - None None None None J-4-17-I None
None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 1622764 0 4 0 0 0 NANANG HERYANA S
00494777 44 16394 ABU BAKAR, DR. SPP, MKES 1023R00102180004495
0001261684945 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162969
14#0##0#0#0.0#2018-03-22 10:21:30#0#00:00:00#00:00:00#00:00:00 1
01ca3449c72eeb6b8a2e99ae56511e88
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/07/1999 0 1
1 J40 89.52;90.59 - - None None None None J-4-21-I None
None None None None None GEJALA, TANDA DAN DIAGNOSIS SISTEM PERNAFASAN
LAIN-LAIN (RINGAN) 2661000 0 0 - 0 - 0 - 0
- 0 2661000 1187611 0 3 0 0 0 ARI MAULANA
00494853 18 6802 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180005054
0000438739053 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163270
21#0##0#0#0.0#2018-03-22 12:47:36#0#00:00:00#00:00:00#00:00:00 1
eb05ac56636a7009b5e9d2a453524660
3207012 C 3 CP 1 09/02/2018 15/02/2018 11/10/1988 0 2
1 A15.0;D64.9;E43 99.04;90.59;90.41 - - None None None None
J-4-15-III None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 - 0
- 0 6429000 6091179 0 7 0 0 0 EVA NOVIANTI
00484276 29 10713 ABU BAKAR, DR. SPP, MKES 1023R00102180004246
0002297399635 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163678
1#0##0#0#0.0#2018-03-26 08:42:05#0#00:00:00#00:00:00#00:00:00 1
4b6b8f8db8adb7b4d9cd45e6ab1c6281
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/09/1955 0 2
1 J44.1 90.59 - - None None None None J-4-17-I None None
None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN) 2739200
0 0 - 0 - 0 - 0 - 0 2739200
4331417 0 4 0 0 0 RUKMINI 00443025 62 22810
ABU BAKAR, DR. SPP, MKES 1023R00102180004494 0000440765807 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163787 1#0##0#0#0.0#2018-
03-26 09:22:39#0#00:00:00#00:00:00#00:00:00 1
b72de975f62cd55149522c73a5a2a741
3207012 C 3 CP 1 10/02/2018 15/02/2018 10/03/1984 0 2
1 O14.1;O82.1;Z37.0;Z30.5 74.0;66.39;90.59;57.94;93.57 - - None
None None None O-6-10-II None None None None None None OPERASI
PEMBEDAHAN CAESAR (SEDANG) 5102000 0 0 - 0 - 0 -
0 - 0 5102000 9042124 0 6 0 0 0
HALIMAH 00494593 33 12390 DIDI KURNIADI M, DR. SP.OG
1023R00102180003920 0002419383306 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163945 1#0##0#0#0.0#2018-03-26
10:31:35#0#00:00:00#00:00:00#00:00:00 1 5c9b5b1a032b02f2ff79611e3440983d
3207012 C 3 CP 1 13/02/2018 15/02/2018 29/05/1982 0 2
1 A01.0;K30 90.59 - - None None None None A-4-14-I None
 None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1626777 0 3 0 0 0 WENI WIDIARTI
00494785 35 13044 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180004840 0000071497642 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164175 1#0##0#0#0.0#2018-03-26
13:22:21#0#13:20:49#13:20:49#00:00:00 1 43304dac1387add55cd890a62613dfa9
3207012 C 2 CP 1 11/02/2018 15/02/2018 12/11/1959 0 2
1 G45.9;E14.9 87.49;90.59 - - None None None None G-4-16-I
None None None None None None ISKEMIK TRANSIENT (RINGAN) 3009000
0 0 - 0 - 0 - 0 - 0 3009000
2143838 0 5 0 0 0 IKA KARTIKA 00196722 58 21276
RISSA NURLAILLA, DR. SP. S. 1023r00102180004105 0000071627589 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164182 1#0##0#0#0.0#2018-
03-26 13:47:43#0#13:46:06#13:46:06#00:00:00 1
0fdd88f14c5c063d09162522eb7b3ed2
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/07/1935 0 1
1 I11.0;K30 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1670395 0 4 0 0 0 OJO 00494688 82 30177
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180004298 0000437880251 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164194 1#0##0#0#0.0#2018-
03-26 14:00:30#0#13:59:13#13:59:13#00:00:00 1
451603189f998d1011a37faf94575aef
3207012 C 3 CP 1 07/02/2018 15/02/2018 30/03/1973 0 2
1 O64.1;O82.1;Z37.0 74.0;99.04;90.59;88.78;93.57;57.94 - - None
None None None O-6-10-I None None None None None None OPERASI
PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 - 0 -
0 - 0 4830200 7905188 0 9 0 0 0 NANI
ROYANI 00493194 44 16385 H. SUSWADI, SP.OG 1023r00102180003638
0001296973405 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164275
1#0##0#0#0.0#2018-03-26 14:44:24#0#14:42:47#14:42:47#00:00:00 1
78b97a630af34c6ef6ca85f56c53bed9
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/04/1947 0 1
1 J44.1 93.94;89.52;90.59;87.49 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 1256324 0 3 0 0 0 RAHMAT 00410957
70 25886 ABU BAKAR, DR. SPP, MKES 1023r00102180005047
0000440014083 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164804
1#0##0#0#0.0#2018-03-27 12:04:52#0#12:03:09#12:03:09#00:00:00 1
2228fde0761ca2c3080f3934329f3472
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/02/1935 0 2
1 N76.0 90.59 - - None None None None W-4-11-I None None
None None None None INFEKSI SISTEM REPRODUKSI WANITA (RINGAN) 2347500
0 0 - 0 - 0 - 0 - 0 2347500 735626
0 3 0 0 0 JAEMAH 00494331 83 30328 H. SUSWADI,
SP.OG 1023r00102180005443 0000440965539 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164808 1#0##0#0#0.0#2018-03-27
12:13:51#0#12:12:45#12:12:45#00:00:00 1 ba5686efed75993d9e8983cea4a645cc
3207012 C 2 CP 1 13/02/2018 15/02/2018 30/12/1989 0 1
1 I20.9 - - - None None None None I-4-20-I None None
None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN) 3632600
0 0 - 0 - 0 - 0 - 0 3632600 958947
0 3 0 0 0 SUGIH PRAYITNO 00494867 28 10272
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180005606 0001637478911
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164862
1#0##0#0#0.0#2018-03-27 13:22:21#0#13:17:41#13:17:41#00:00:00 2
 805bead26bff9e0cce837dc318b381e3
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/11/1957 0 1
1 A16.2;K30 89.52;87.49;90.59 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1090403 0 3 0 0 0 KARNO 00494865 60
22019 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180005075 0000439462067
3;JKN ANDI; 5.2.0.201712280730 4 165034 1#0##0#0#0.0#2018-03-27
15:23:15#0#15:21:50#15:21:50#00:00:00 1 6c1e00f58051f78c1944502915bdd38f
3207012 C 3 CP 1 12/02/2018 15/02/2018 16/01/2010 0 2
1 A01.0;J06.9 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1136586 0 4 0 0 0 NAFISA JAUHAR NAFISAH
00494771 8 2949 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180005080 0002429501624 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165037 1#0##0#0#0.0#2018-03-27
15:27:04#0#15:25:50#15:25:50#00:00:00 1 968472d3f38ed648ccfc35556d269d46
3207012 C 3 CP 1 09/02/2018 15/02/2018 09/05/1966 0 2
1 I63.9;E14.9 89.52;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 2649847 0 7 0 0 0 YAYAH 00494549
51 18904 RISSA NURLAILLA, DR. SP. S. 1023r00102180004828
0002429233187 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166080
1#0##0#0#0.0#2018-04-02 13:54:57#0#13:53:12#13:53:12#00:00:00 1
f1b3ac1c0268705a5b63606dfd882bb7
3207012 C 3 CP 1 05/02/2018 15/02/2018 05/11/1961 0 2
1 I10;R51 90.59 - - None None None None I-4-17-I None
None None None None None HIPERTENSI (RINGAN) 1758600 0 0
- 0 - 0 - 0 - 0 1758600 2556514 0
11 0 0 0 ENAH 00494153 56 20546 SETYO RAHARJO, DR, SP.
PD 1023r00102180002116 0002181021693 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166141 1#0##0#0#0.0#2018-04-03
08:28:14#0#08:26:23#08:26:23#00:00:00 1 afac79d6bc68660a052c903646ac7f2d
3207012 C 3 CP 1 14/02/2018 15/02/2018 08/12/1961 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2483011 0 2 0 0 0 YAYAH 00492169
56 20522 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180005610
0000442107843 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160843
1#0##0#0#0.0#2018-04-04 11:43:56#0#00:00:00#00:00:00#00:00:00 2
cdbca975da5ed12a7b42d83130d7dace
3207012 C 3 CP 1 14/02/2018 15/02/2018 12/02/1974 0 1
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2396031 0 2 0 0 0 DIDING ROHIDIN
00494127 44 16073 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180005614 0000441788207 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160853 1#0##0#0#0.0#2018-04-04
13:00:32#0#00:00:00#00:00:00#00:00:00 2 06bfe84b31c8409eb3db7c00ba4420ff
3207012 C 3 CP 1 14/02/2018 15/02/2018 01/01/1958 0 2
1 R42;I10 90.59 - - None None None None U-4-11-I None
None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0
- 0 - 0 - 0 - 0 1311700 508971 0
2 0 0 0 ATIKAH 00491209 60 21959 RISSA NURLAILLA,
DR. SP. S. 1023r00102180005777 0000071143018 3;JKN NANA KUSLIANA;
 5.2.0.201712280730 4 167091 1#0##0#0#0.0#2018-04-06
09:33:31#0#09:31:17#09:31:17#00:00:00 1 2c67e7b240b959fe55e3bf6cc951a44d
3207012 C 3 CP 1 09/02/2018 15/02/2018 01/10/1946 0 1
1 J18.0;Z03.0;D62;K92.0;K92.1 99.04;88.19;87.49;90.59 - - None
None None None J-4-16-II None None None None None None SIMPLE
PNEUMONIA & WHOOPING COUGH (SEDANG) 4683100 0 0 - 0 - 0
- 0 - 0 4683100 4900167 0 7 0 0 0
TASDIK 00494542 71 26064 SETYO RAHARJO, DR, SP. PD
1023r00102180003666 0000513831205 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167163 1#0##0#0#0.0#2018-04-06
10:21:40#0#10:19:51#10:19:51#00:00:00 1 f44c30c44f69d381300ca90f65d8c55c
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/08/2002 0 1
1 K40.9 53.05;90.59 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 4673724 0 3 0 0 0 AGUS PERIS MAWAN
00493104 15 5675 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180005056 0000436939661 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167514 1#0##0#0#0.0#2018-04-09
10:06:36#0#10:05:35#10:05:35#00:00:00 1 0d745ff9fcaf358f00d4796978f3d450
3207012 C 3 CP 1 31/01/2018 15/02/2018 15/07/1951 0 2
4 I50.0 90.59 - - None None None None I-4-12-I None None
None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0 0
- 0 - 0 - 0 - 0 2575600 900199 0
16 0 0 0 IIN 00491857 66 24307 SETYO RAHARJO, DR, SP.
PD 1023r00101180012484 0001089550304 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167877 1#0##0#0#0.0#2018-04-11
08:10:39#0#07:56:24#07:56:24#00:00:00 1 ae7164d25e232a1b222228112a24eceb
3207012 C 3 CP 1 09/02/2018 15/02/2018 01/11/1958 0 1
1 D62;K92.1 99.04;89.52;90.59 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 -
0 - 0 2218100 4426615 0 7 0 0 0 ETO
MARSETO 00356517 59 21650 SETYO RAHARJO, DR, SP. PD
1023r00102180003649 0000440538412 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167900 1#0##0#0#0.0#2018-04-11
08:25:36#0#08:24:28#08:24:28#00:00:00 1 21212957674a86118ea68e74d36225a8
3207012 C 3 CP 1 10/02/2018 15/02/2018 01/09/1945 0 2
1 A16.2;I50.0 99.04;87.49;90.59 - - None None None None J-4-
15-II None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 4778500 0 0 - 0 - 0 - 0 - 0
4778500 3228877 0 6 0 0 0 OYOH 00494598 72
26460 SETYO RAHARJO, DR, SP. PD 1023r00102180003890 0001809697094
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167902
1#0##0#0#0.0#2018-04-11 08:27:31#0#08:26:07#08:26:07#00:00:00 1
608daf981937f51109b4aa846de5eb17
3207012 C 3 CP 1 07/02/2018 15/02/2018 07/07/1962 0 2
1 E11.5 84.11;86.28;87.49;90.59 - - None None None None M-1-
30-I None None None None None None PROSEDUR KAKI (RINGAN) 6295600 0
0 - 0 - 0 - 0 - 0 6295600 6371948
0 9 0 0 0 ERAH 00477858 55 20304 FIRDAUS BENNY
PUTRA, DR. SP. B. 1023R00102180003297 0001966464832 3;JKN Firman;
5.2.0.201712280730 4 167960 1#0##0#0#0.0#2018-04-11
09:35:52#0#09:34:38#09:34:38#00:00:00 1 2a3bff11a43a438e8b9e322a1e7c10d8
3207012 C 3 CP 1 12/02/2018 15/02/2018 09/09/1966 0 1
1 Z47.0 78.67;88.27;90.59 - - None None None None M-1-40-I
None None None None None None EKSISI LOKAL DAN PENGANGKATAN ALAT
FIKSASI INTERNAL (RINGAN) 3204700 0 0 - 0 - 0 -
0 - 0 3204700 8590727 0 4 0 0 0 POPO
PAUJISALAM 00493509 51 18784 ALDI DR.SP OT 1023r00102180005024
0002419686167 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167989
1#0##0#0#0.0#2018-04-11 10:02:40#0#10:00:57#10:00:57#00:00:00 1
ee2ecb6bec4021c132a9bde61f9dfd20
3207012 C 3 CP 1 11/02/2018 15/02/2018 04/04/2004 0 1
1 D29.2 62.42;88.75;90.59;91.39 - - None None None None V-1-
13-I None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 4746707 0 5 0 0 0 RAJU ALDIRA
00494440 13 5061 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00112170004432 0002202809501 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168025 1#0##0#0#0.0#2018-04-11
11:17:33#0#11:16:17#11:16:17#00:00:00 1 1fca60231b4a5572478243f23a543cec
3207012 C 3 CP 1 12/02/2018 15/02/2018 07/01/1972 0 1
1 K40.9 53.00;89.52;90.59;93.57 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 5006633 0 4 0 0 0 MAMAN 00494781 46
16838 ACHMAD HERYADI, DR. SP. B 1023r00102180005611 0002429973696
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164789
1#0##0#0#0.0#2018-04-11 12:25:55#0#11:43:02#11:43:02#00:00:00 2
d64b2d3c22f8bc8e5bc6ed7a3ab4e600
3207012 C 3 CP 1 13/02/2018 15/02/2018 13/02/2018 3200 2
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 869964 0 3 0 0 0 MUTHIAH NURLATIFAH
00494873 0 0 HJ. SUHERJATI, SP. A 1023R00102180005604
0002429897409 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159352
1#0##0#0#0.0#2018-04-11 12:34:09#0#00:00:00#00:00:00#00:00:00 2
0bf8e0c1f9d40afb2de69021c49d625b
3207012 C 3 CP 1 14/02/2018 15/02/2018 18/05/1960 0 1
1 M54.16;I69.3 87.24;90.59 - - None None None None M-4-
17-I None None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 736069 0 2 0 0 0 EWON 00494800 57
21091 RISSA NURLAILLA, DR. SP. S. 1023R00102180006104 0000441894385
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165031
1#0##0#0#0.0#2018-04-11 12:36:43#0#15:20:23#15:20:23#00:00:00 2
e0a4cfe9f930a87a62ae3c7b3f195fc3
3207012 C 2 CP 1 14/02/2018 15/02/2018 14/02/2018 4200 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3991700 0 0 - 0 - 0 - 0 -
0 3991700 463301 0 2 0 0 0 M. RIDWAN KAMIL
00494919 0 0 TISA RAHMAWATY DR. SP.A 1023r00102180006135
0002430338409 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164559
1#0##0#0#0.0#2018-04-11 12:41:02#0#09:54:19#09:54:19#00:00:00 3
3db1c0ef6133450b3afce951c21554c9
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/08/1980 0 2
1 Z03.1 67.12;91.49;90.59 - - None None None None W-1-30-I
None None None None None None PROSEDUR PADA VAGINA, SERVIK & VULVA
(RINGAN) 3464300 0 0 - 0 - 0 - 0 - 0
3464300 3317600 0 3 0 0 0 DIAH 00493145 37
13710 H. SUSWADI, SP.OG 1023r00102180005228 0000438891153 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164316 1#0##0#0#0.0#2018-04-11
12:41:57#0#07:39:09#07:39:09#00:00:00 2 9863c4e880f116662d3dc8cfd99a8661
3207012 C 1 CP 1 13/02/2018 15/02/2018 12/09/1975 0 2
1 A41.9;J86.9;K85.8 89.52;87.49;90.59;57.94;93.57 - - None None
 None None A-4-10-III None None None None None None SEPTIKEMIA (BERAT)
6069900 0 0 - 0 - 0 - 0 - 0
6069900 3741009 0 3 0 0 0 VIVIAN DAHLAN
00493282 42 15495 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r0010218000
0001278780254 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168031
1#0##0#0#0.0#2018-04-11 12:52:22#0#12:50:18#12:50:18#00:00:00 1
683e65cc5b8c17a558ea9df31d4a0033
3207012 C 3 CP 1 13/02/2018 15/02/2018 03/08/2005 0 2
1 J33.8 21.31;90.59 - - None None None None U-4-15-I None
None None None None None PENYAKIT TELINGA, HIDUNG, MULUT DAN TENGGOROKAN
LAIN-LAIN (RINGAN) 2199200 0 0 - 0 - 0 - 0
- 0 2199200 3163674 0 3 0 0 0 KRISMAYANTI
00494747 12 4577 H. HERDIANA, SP. THT 1023r00102180005305
0002026893835 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168324
1#0##0#0#0.0#2018-04-13 09:53:29#0#09:51:58#09:51:58#00:00:00 1
74295caf4707a1b00f2b18eb76651b56
3207012 C 3 CP 1 14/02/2018 15/02/2018 01/01/1992 0 1
1 D21.2 86.3;87.49;90.59;91.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3196571 0 2 0 0 0 IDRUS
00489950 26 9541 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180005605 0000440204984 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168358 1#0##0#0#0.0#2018-04-13
10:08:49#0#10:07:14#10:07:14#00:00:00 1 7255934d3478ec10d41fd0b95da36bf2
3207012 C 2 CP 1 13/02/2018 15/02/2018 03/03/1984 0 1
1 K30;K92.0;I25.0 87.49;90.59 - - None None None None K-4-
18-II None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(SEDANG) 2119000 0 0 - 0 - 0 - 0 - 0
2119000 1059342 0 3 0 0 0 YADI NURYADI
00494869 33 12400 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180005076 0002039810332 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165029 1#0##0#0#0.0#2018-04-13
10:13:30#0#15:20:04#15:20:04#00:00:00 2 19aa4580575a39260a1980b7b8cb264b
3207012 C 3 CP 1 07/02/2018 15/02/2018 09/08/1938 0 1
1 I13.2 89.52;88.19;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
3525416 0 9 0 0 0 WAHIDIN 00494319 79 29037
SETYO RAHARJO, DR, SP. PD 1023r00102180003249 0002427688989 3;JKN
NANA KUSLIANA; 5.2.1.201802140120 4 167503 1#0##0#0#0.0#2018-
04-16 13:56:24#0#09:51:21#09:51:21#00:00:00 2
777991daad8517e6931896cf40d64c77
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/11/1982 0 2
1 I10;M54.56;R51 90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 815679
0 3 0 0 0 ANI SUMARNI 00491191 35 12888 RISSA
NURLAILLA, DR. SP. S. 1023r00102180005235 0000441079233 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 164791 1#0##0#0#0.0#2018-04-18
09:08:36#0#11:45:48#11:45:48#00:00:00 2 d0ca8dcfa0ec835b5ef7e3558cb4a3dd
3207012 C 3 CP 1 10/02/2018 15/02/2018 08/04/1943 0 2
1 A09.9;I11.9 89.52;88.76;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1845523 0 6 0 0 0 KEMOH 00485991 74
27337 SETYO RAHARJO, DR, SP. PD 1023r00102180003891 0001089572826
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167000
1#0##0#0#0.0#2018-04-18 09:52:23#0#08:08:46#08:08:46#00:00:00 2
 ba8ed508db353f276db3a6b6a9a1b0dc
3207012 C 3 CP 1 11/02/2018 15/02/2018 01/02/1959 0 2
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1667477 0 5 0 0 0 ENTIN 00391765 59
21560 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003914 0001005960881
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 162615
1#0##0#0#0.0#2018-04-18 10:14:12#0#00:00:00#00:00:00#00:00:00 2
49bb7f8a52aea23ab85dbbc221259a3b
3207012 C 3 CP 1 03/02/2018 15/02/2018 22/07/1959 0 2
1 A15.0;E43 93.94;90.59;87.49 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 6057256 0 13 0 0 0 UMAYA 00493113 58
21381 ABU BAKAR, DR. SPP, MKES 1023R00102180002097 0002421922612
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162760
1#0##0#0#0.0#2018-04-19 08:39:05#0#00:00:00#00:00:00#00:00:00 2
337e923406d66db38ce122e0e0e6f621
3207012 C 2 CP 1 14/02/2018 15/02/2018 17/07/1957 0 2
1 I50.0;J18.0;I25.9 89.52;87.49;90.59 - - None None None None
I-4-12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
4299100 0 0 - 0 - 0 - 0 - 0
4299100 896712 0 2 0 0 0 ETY RUSNINGSIH
00482792 60 22127 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180005196 0000071706655 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164857 1#0##0#0#0.0#2018-04-23
08:47:59#0#13:12:10#13:12:10#00:00:00 2 cd8aa9132fc0daaeec699abdab73d8bf
3207012 C 1 CP 1 12/02/2018 15/02/2018 18/05/1956 0 1
1 J44.9;R04.2 90.41;90.59 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
3834900 0 0 - 0 - 0 - 0 - 0
3834900 5702046 0 4 0 0 0 BARNAS 00494778
61 22550 ABU BAKAR, DR. SPP, MKES 1023r00102180004492
0000070690847 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164177
1#0##0#0#0.0#2018-04-24 12:53:24#0#13:24:11#13:24:11#00:00:00 3
18d4b15ce5bf3b9fc0c4c8c153a228c5
3207012 C 3 CP 1 11/02/2018 15/02/2018 06/09/1969 0 1
1 I20.9;I11.9 89.52;90.59 - - None None None None I-4-20-I
None None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
3027200 0 0 - 0 - 0 - 0 - 0
3027200 1526661 0 5 0 0 0 EMAN HERMAN 00494654
48 17690 SETYO RAHARJO, DR, SP. PD 1023r00102180004862
0001404206008 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167206
1#0##0#0#0.0#2018-04-24 13:06:42#0#11:06:49#11:06:49#00:00:00 4
ce077b2ac829bd4e11eaa86a8c52e542
3207012 C 3 CP 1 11/02/2018 15/02/2018 28/01/1970 0 1
1 G40.9;I63.9 90.59 - - None None None None G-4-22-III None
None None None None None SERANGAN KEJANG (BERAT) 3770200 0 0
- 0 - 0 - 0 - 0 3770200 2119020 0
5 0 0 0 EDI SUWARDI 00462106 48 17546 RISSA NURLAILLA,
DR. SP. S. 1023r00102180004122 0002219181851 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167120 1#0##0#0#0.0#2018-04-25
07:33:43#0#09:49:55#09:49:55#12:00:00 2 d6e8c0a6708621df9d33000b2f8ae8ec
3207012 C 1 CP 1 13/02/2018 15/02/2018 12/09/1975 0 2
4 A41.9;J86.9;K85.8 89.52;87.49;90.59;57.94;93.57 - - None None
None None A-4-10-III None None None None None None SEPTIKEMIA (BERAT)
6069900 0 0 - 0 - 0 - 0 - 0
6069900 3741009 0 3 0 0 0 VIVIAN DAHLAN
 00493282 42 15495 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180004994 0001278780254 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168031 1#0##0#0#0.0#2018-04-25
07:53:45#0#12:50:18#12:50:18#00:00:00 3 18e96eced5ff2479b841d625b8fd74d8
3207012 C 3 CP 1 13/02/2018 15/02/2018 17/05/2005 0 1
1 S89.9;D66 90.59 - - None None None None M-4-21-III None
None None None None None GANGGUAN SISTEM MUSKULOSKELETAL & JA(RINGAN)
PENGHUBUNG LAIN-LAIN (BERAT) 6147800 0 0 - 0 - 0 -
0 - 0 6147800 5149533 0 3 0 0 0 LINGGA
WILUJAGTO 00090534 12 4655 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180005034 0001089615148 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167968 1#0##0#0#0.0#2018-04-25
07:55:09#0#09:41:39#09:41:39#12:00:00 2 940e6b8d08b3bd4ba283679e4f7ee930
3207012 C 3 CP 1 05/02/2018 15/02/2018 01/07/1945 0 1
1 A15.0;E43 87.49;89.52;90.41;90.59 - - None None None None
J-4-15-III None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 - 0
- 0 6429000 5816071 0 11 0 0 0 ANDA
00428153 72 26517 ABU BAKAR, DR. SPP, MKES 1023r00102180002203
0002422292736 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167796
1#0##0#0#0.0#2018-04-25 07:56:45#0#09:03:27#09:03:27#00:00:00 2
ebf1778eb599cb3c715ba943168747af
3207012 C 3 CP 1 11/02/2018 15/02/2018 04/04/2004 0 1
1 D29.2 62.42;88.75;90.59;91.39 - - None None None None V-1-
13-I None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 4746707 0 5 0 0 0 RAJU ALDIRA
00494440 13 5061 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004432 0002202809501 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173474 1#0##0#0#0.0#2018-04-25
11:25:00#0#00:00:00#00:00:00#00:00:00 1 1808137c216455ce4dc353bd9b0f2653
3207012 C 3 CP 1 14/02/2018 15/02/2018 28/10/2006 0 1
1 S92.40;W24.9 88.28;86.59;90.59;93.57 - - None None None
None M-4-12-I None None None None None None FRAKTUR/DISLOKASI SELAIN
FEMUR DAN PELVIS (RINGAN) 2188700 0 0 - 0 - 0 -
0 - 0 2188700 823431 0 2 0 0 0 CE
AZIZ ZAINAL MUTAQIN 00494947 11 4127 ALDI DR.SP OT
1023r00102180005681 0001662776008 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168032 1#0##0#0#0.0#2018-04-25
11:26:05#0#12:53:53#12:53:53#00:00:00 2 421eaca51ac1d700911b3227ff1dfd25
3207012 C 3 CP 1 13/02/2018 15/02/2018 01/03/1992 0 2
1 Z47.0 78.63;90.59 - - None None None None M-1-40-I None
None None None None None EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI
INTERNAL (RINGAN) 3204700 0 0 - 0 - 0 - 0 -
0 3204700 3716026 0 3 0 0 0 LIA MULYATI
00435658 25 9480 ALDI DR.SP OT 1023r00102180005001
0000440006297 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168285
1#0##0#0#0.0#2018-04-30 07:42:34#0#09:33:51#09:33:51#00:00:00 3
2b035ba8bbe4ef0ae296971ff60faebf
3207012 C 3 CP 1 08/02/2018 15/02/2018 19/09/1955 0 2
1 E11.5 84.01;89.52;87.49;90.59 - - None None None None M-1-
80-I None None None None None None PROSEDUR ANGGOTA TUBUH ATAS (RINGAN)
6246500 0 0 - 0 - 0 - 0 - 0
6246500 5540545 0 8 0 0 0 KARTINI 00373180
62 22788 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180003413
0000057556438 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168336
1#0##0#0#0.0#2018-04-30 08:33:01#0#09:59:21#09:59:21#00:00:00 2
0a539a117f0deb44ffb24fe1c3aa9664
3207012 C 3 CP 1 23/01/2018 15/02/2018 01/08/1959 0 1
 1 J93.9;J44.9;E43 93.94;89.52;87.49;90.59 - - None None None
None J-4-20-III None None None None None None PLEURAL EFUSI DAN
PNEUMOTORAK (BERAT) 6219400 0 0 - 0 - 0 - 0
- 0 6219400 12779632 0 24 0 0 0 KENDAR
00492959 58 21360 ABU BAKAR, DR. SPP, MKES 1023R00101180009166
0000439866584 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168622
1#0##0#0#0.0#2018-05-02 07:39:37#0#10:53:32#10:53:32#00:00:00 2
375e92cd301152bf301d578aa42b025a
3207012 C 3 CP 1 12/02/2018 15/02/2018 01/06/1958 0 1
1 I11.0;J18.0 87.49;90.59;93.96 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 1989040 0 4 0 0 0 SUKIMIN ANWAR MUSTAFA
00441211 59 21806 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180004227
0000439645656 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168379
1#0##0#0#0.0#2018-05-02 07:43:58#0#10:16:43#10:16:43#00:00:00 2
c534f5e8bff3ea06ab7297a90d97380e
3207012 C 3 CP 1 07/02/2018 15/02/2018 14/09/1994 0 1
1 K35.2;K75.0 54.11;86.28;90.59;91.59 - - None None None None
K-1-40-III None None None None None None PROSEDUR SISTEM PENCERNAAN
LAIN-LAIN (BERAT) 10811600 0 0 - 0 - 0 - 0 -
0 10811600 12119362 0 9 0 0 0 RIDWAN PIRDAUS
00494231 23 8547 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180002711 0002426955557 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169729 1#0##0#0#0.0#2018-05-16
12:35:59#0#00:00:00#00:00:00#00:00:00 11 d4e1d83ffbaed9a747cca995445507b9
3207012 C 3 CP 1 09/02/2018 16/02/2018 10/05/1945 0 1
1 I25.0 89.52;90.59;57.94 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
3105235 0 8 0 0 0 EMED 00488910 72 26573
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003670 0001089606767 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160468 1#0##0#0#0.0#2018-
03-16 12:43:32#0#00:00:00#00:00:00#00:00:00 1
762dc623b2b0e2fcd7ccd0e613243c61
3207012 C 1 CP 1 14/02/2018 16/02/2018 15/03/1944 0 1
1 I20.9 89.52;90.59 - - None None None None I-4-20-I None
None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
4238000 0 0 - 0 - 0 - 0 - 0
4238000 1505215 0 3 0 0 0 W SUWANDA 00494922
73 26999 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180005623
0000072116212 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161354
1#0##0#0#0.0#2018-03-20 08:38:31#0#00:00:00#00:00:00#00:00:00 1
fbd6989c90890ab8763f851aa2127af1
3207012 C 3 CP 1 11/02/2018 16/02/2018 03/09/1998 0 1
1 K40.9 53.05;90.59 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 3753484 0 6 0 0 0 DEDEN NUROHMAN
00405393 19 7101 ACHMAD HERYADI, DR. SP. B 1023R00102180003935
0002318700611 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161706
1#0##0#0#0.0#2018-03-20 12:06:23#0#00:00:00#00:00:00#00:00:00 1
780f7efb8d8d7d872023aad3e7595cd7
3207012 C 3 CP 1 15/02/2018 16/02/2018 11/11/1953 0 2
1 H25.9 13.19;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5483137 0 2 0 0 0 WIWIN WINTARSIH
00446966 64 23472 SUTRISNO, DR. SP.M 1023R00102180006114
 0001792166556 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162544
1#0##0#0#0.0#2018-03-21 14:07:58#0#00:00:00#00:00:00#00:00:00 1
ca9cbb4cac7f6c9e9c72f3f947824b4c
3207012 C 3 CP 1 12/02/2018 16/02/2018 01/11/2010 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1626763 0 5 0 0 0 SHEYNI NUR CAHYA
00431166 7 2660 HJ. SUHERJATI, SP. A 1023R00102180004588
0000440118268 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162826
1#0##0#0#0.0#2018-03-22 09:38:55#0#00:00:00#00:00:00#00:00:00 1
bfd86e548049ace318a32a3843f49e1a
3207012 C 1 CP 1 16/02/2018 16/02/2018 05/09/1966 0 2
1 Z49.1;N18.5 39.95 - - None None None None N-4-16-I None
None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-LAIN
(RINGAN) 3842300 0 0 - 0 - 0 - 0 - 0
3842300 705100 0 1 0 0 0 SUKARSIH 00458825
51 18792 PUPUNG OPRIANTI, DR 1023R00102180006242 0002041397032
3;JKN Ridwan; 5.2.0.201712280730 4 163857 1#0##0#0#0.0#2018-
03-26 09:57:49#0#00:00:00#00:00:00#12:00:00 1
ba7c6eafdc29fd37423b1db2d365f03d
3207012 C 3 CP 1 08/02/2018 16/02/2018 08/02/2018 1800 2
1 P07.1;P59.9 93.93;96.07;99.83;90.59 - - None None None None
P-8-12-I None None None None None None NEONATAL, BBL 1500 - 1999 GR
TANPA PROSEDUR MAYOR (RINGAN) 5808700 0 0 - 0 - 0 -
0 - 0 5808700 4181380 0 9 0 0 0 BY NY
YANTI I 00494391 0 0 TISA RAHMAWATY DR. SP.A 1023r00102180003288
0002428014161 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164274
1#0##0#0#0.0#2018-03-26 14:42:19#0#14:40:12#14:40:12#00:00:00 1
81bbdcca77e310c4bedb6530f45f19f0
3207012 C 3 CP 1 15/02/2018 16/02/2018 15/02/2018 2900 1
1 P03.4 93.93;90.59 - - None None None None P-8-17-I None
None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR MAYOR
(RINGAN) 3326400 0 0 - 0 - 0 - 0 - 0
3326400 480430 0 2 0 0 0 BY NY LENI IRNAWATI
00495011 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180006138 0002430363262 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164303 1#0##0#0#0.0#2018-03-26
15:05:16#0#15:03:34#15:03:34#00:00:00 1 263d6a366ad83b4085d992d78b35bb2b
3207012 C 1 CP 1 15/02/2018 16/02/2018 15/02/2018 3500 1
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 4657000 0 0 - 0 - 0 - 0 -
0 4657000 535430 0 2 0 0 0 BY NY NINING
NURJANAH 00495014 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180007666 0002431479295 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164415 1#0##0#0#0.0#2018-03-27
08:24:57#0#08:23:30#08:23:30#00:00:00 1 cde9e917eac8c00de60bb9da90e6a81b
3207012 C 3 CP 1 09/02/2018 16/02/2018 16/08/1984 0 2
1 O44.1 88.78;90.59 - - None None None None W-4-16-I None
None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0
0 - 0 - 0 - 0 - 0 1999800 1440020
0 8 0 0 0 ASWATI 00477814 33 12230 NANANG
WIBOWO, DR. SP. OG 1023r00102180003817 0002243424238 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164888 1#0##0#0#0.0#2018-03-27
13:37:17#0#13:35:45#13:35:45#00:00:00 1 cdae0bafab729c1b1d9b1855d8652062
3207012 C 2 CP 1 14/02/2018 16/02/2018 14/12/1949 0 1
1 D59.9;K30 99.04;90.59 - - None None None None D-4-13-I
None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 - 0 -
0 - 0 2661700 2315853 0 3 0 0 0
ROCHENDI N 00279924 68 24899 SETYO RAHARJO, DR, SP. PD
1023R00102180005615 0000071118606 3;JKN Ridwan; 5.2.0.201712280730
4 164945 1#0##0#0#0.0#2018-03-27
14:18:14#0#14:16:04#14:16:04#00:00:00 1 2ef54d7c262c1b3760f3acd65e9b7fc3
3207012 C 3 CP 1 15/02/2018 16/02/2018 10/03/1964 0 1
3 J45.9 93.94;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000 684262
0 2 0 0 0 IR.YUDI ZATNIKA 00412635 53 19700 ABU
BAKAR, DR. SPP, MKES 1023R00102180006211 0001864182532 3;JKN Firman;
5.2.0.201712280730 4 165003 1#0##0#0#0.0#2018-03-27
15:00:35#0#14:59:14#14:59:14#00:00:00 1 9592c3ff45fed54b695489f9ed897eb7
3207012 C 3 CP 1 12/02/2018 16/02/2018 05/05/1961 0 2
1 K52.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1406200 0 0 - 0 - 0 - 0 - 0
1406200 2166955 0 5 0 0 0 MARIA KOMARIAH
00328587 56 20737 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180004496 0001865152721 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166145 1#0##0#0#0.0#2018-04-03
08:30:05#0#08:28:46#08:28:46#00:00:00 1 619de4fba33a66fd717000f167b0d61d
3207012 C 3 CP 1 14/02/2018 16/02/2018 23/02/1970 0 1
1 R07.4 87.49;90.59 - - None None None None I-4-20-I None
None None None None None ANGINA PEKTORIS DAN NYERI DADA (RINGAN)
3027200 0 0 - 0 - 0 - 0 - 0
3027200 1216248 0 3 0 0 0 ASEP SUDRAJAT
00445400 47 17523 ABU BAKAR, DR. SPP, MKES 1023R00102180005626
0002018986773 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 159339
1#0##0#0#0.0#2018-04-04 10:16:34#0#00:00:00#00:00:00#00:00:00 2
b4700686fe581346c27b09fb844c61ac
3207012 C 3 CP 1 14/02/2018 16/02/2018 01/07/1942 0 2
3 D62;K75.9;K92.1 99.04;89.52;90.59 - - None None None None
D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 1403143 0 3 0 0
0 OYOH 00494933 75 27622 SETYO RAHARJO, DR, SP. PD
1023r00102180005600 0000441553983 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166990 1#0##0#0#0.0#2018-04-06
08:08:22#0#08:03:37#08:03:37#00:00:00 1 52b39fe0bfb0fab36788d2358fc25d02
3207012 C 3 CP 1 14/02/2018 16/02/2018 01/07/1942 0 2
1 K30;A49.9 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1318067 0 3 0 0 0 IAH MARIAH 00452865
75 27622 SETYO RAHARJO, DR, SP. PD 1023r00102180005453
0001830341766 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167003
1#0##0#0#0.0#2018-04-06 08:12:08#0#08:11:00#08:11:00#12:00:00 1
03bb69a6759c13cc869f8626ddb3b813
3207012 C 3 CP 1 10/02/2018 16/02/2018 10/10/1961 0 2
1 I61.9;G91.9 89.52;90.59 - - None None None None G-4-13-II
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(SEDANG) 3826700 0 0 - 0 - 0 - 0 - 0
3826700 4440786 0 7 0 0 0 TIKTIK ATIKAH
00492701 56 20577 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180004423 0001725548297 3;JKN Ridwan; 5.2.0.201712280730
4 166132 1#0##0#0#0.0#2018-04-11
08:33:58#0#08:09:54#08:09:54#00:00:00 2 e55da27e780aa1dcd57d4b5f74397cce
3207012 C 3 CP 1 14/02/2018 16/02/2018 07/08/1985 0 2
1 K30;R10.4 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 968993 0 3 0 0 0 IMAS HENDARSAH
00464491 32 11879 SETYO RAHARJO, DR, SP. PD 1023r00102180005607
0002226289533 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167911
1#0##0#0#0.0#2018-04-11 08:34:24#0#08:33:19#08:33:19#12:00:00 1
9adca85856640a3cb8fa8b0c3ecc97fd
3207012 C 3 CP 1 14/02/2018 16/02/2018 17/02/1991 0 2
1 N92.1;N85.0 69.52;88.79;90.59;91.49 - - None None None None
W-1-11-I None None None None None None PROSEDUR DILATASI, KURET,
INTRAUTERIN & SERVIK (RINGAN) 1657100 0 0 - 0 - 0 -
0 - 0 1657100 3572139 0 3 0 0 0 NOVA
ANDRIANI 00492904 26 9859 H. SUSWADI, SP.OG 1023R00102180006195
0001971956452 3;JKN Firman; 5.2.0.201712280730 4 167954
1#0##0#0#0.0#2018-04-11 09:28:17#0#09:26:03#09:26:03#00:00:00 1
3c7fc3c4994be8df7bbc7a78f622764d
3207012 C 3 CP 1 14/02/2018 16/02/2018 10/06/1958 0 1
2 D15.2;R33 90.59 - - None None None None J-4-14-I None
None None None None None TUMOR PARU (RINGAN) 3278200 0 0
- 0 - 0 - 0 - 0 3278200 732515 0
3 0 0 0 DARSANA 00494951 59 21799 FIRDAUS BENNY
PUTRA, DR. SP. B. 1023R00102180005628 0002422974699 3;JKN Ridwan;
5.2.0.201712280730 4 167959 1#0##0#0#0.0#2018-04-11
09:36:36#0#09:34:30#09:34:30#00:00:00 1 049e953603b4b9bdac832db553c4115b
3207012 C 3 CP 1 15/02/2018 16/02/2018 04/12/1954 0 1
4 R40.1;Z03.3;I61.9;I10 90.59 - - None None None None G-4-
21-I None None None None None None KOMA & STUPOR NON TRAUMA (RINGAN)
1999100 0 0 - 0 - 0 - 0 - 0
1999100 925451 0 2 0 0 0 JUHDI 00494964 63
23084 HANS ABDILLAH, DR 1023R00102180006273 0001725071319 3;JKN
Ridwan; 5.2.0.201712280730 4 168005 1#0##0#0#0.0#2018-04-11
10:25:37#0#10:23:56#10:23:56#00:00:00 1 7e4a756daf2ae65a7d9325efb4894bc8
3207012 C 3 CP 1 14/02/2018 16/02/2018 12/02/2018 2500 1
2 Q43.0;Q42.3 96.07;90.59 - - None None None None P-8-14-I
None None None None None None NEONATAL, BBL > 2499 GR DENGAN ANOMALI
MAYOR ATAU KONDISI HEREDITER (RINGAN) 2632500 0 0 - 0 -
0 - 0 - 0 2632500 1269888 0 3 0 0
0 RICKY AHMAD KURNIA 00494918 0 2 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023r00112170006108 0002430246857 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168021 1#0##0#0#0.0#2018-04-11
11:00:36#0#10:49:08#10:49:08#00:00:00 1 204f41c1e296abcb32f2a65514116490
3207012 C 3 CP 1 03/02/2018 16/02/2018 03/02/2018 2300 2
1 P03.4;P07.1;P39.9;P23.9 93.93;90.59;87.49 - - None None None
None P-8-13-III None None None None None None NEONATAL, BBL 2000 -
2499 GR TANPA PROSEDUR MAYOR (BERAT) 10624500 0 0 - 0 -
0 - 0 - 0 10624500 7092486 0 14 0 0
0 BY NY NIA NURONIAH 00493973 0 0 TISA RAHMAWATY DR. SP.A
1023r00102180001602 0002426960092 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164269 1#0##0#0#0.0#2018-04-25
07:57:46#0#14:37:02#14:37:02#00:00:00 3 4c1f5823ab6c3df6bfc9e71ccefeec4c
3207012 C 3 CP 1 14/02/2018 16/02/2018 12/02/2018 2500 1
2 Q43.0;Q42.3 96.07;90.59 - - None None None None P-8-14-I
None None None None None None NEONATAL, BBL > 2499 GR DENGAN ANOMALI
MAYOR ATAU KONDISI HEREDITER (RINGAN) 2632500 0 0 - 0 -
0 - 0 - 0 2632500 1269888 0 3 0 0
0 RICKY AHMAD KURNIA 00494918 0 2 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023r00102180006108 0002430246857 3;JKN NANA KUSLIANA;
 5.2.1.201804062320 4 168021 1#0##0#0#0.0#2018-04-25
11:28:25#0#10:49:08#10:49:08#00:00:00 2 834a27e95b9827c191c4f8ef857fecb1
3207012 C 3 CP 1 15/02/2018 16/02/2018 01/08/1950 0 2
1 H25.9 13.19;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5474709 0 2 0 0 0 ILOH 00441570 67
24670 SUTRISNO, DR. SP.M 1023R00102180006136 0001780801119 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 162552 1#0##0#0#0.0#2018-
04-30 07:22:55#0#00:00:00#00:00:00#00:00:00 2
3d10875f87deb1f0ed75ec8403beb829
3207012 C 3 CP 1 15/02/2018 16/02/2018 01/06/1961 0 1
1 H25.9;E14.9;I10 13.19;13.71;90.59 - - None None None None
H-1-30-I None None None None None None PROSEDUR LENSA DAN INTRA
OKULER (RINGAN) 6433000 0 0 - 0 - 0 - 0 -
0 6433000 5514108 0 2 0 0 0 KARSO 00483404
56 20713 SUTRISNO, DR. SP.M 1023R00102180006044 0001006009143
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161887
1#0##0#0#0.0#2018-04-30 07:23:17#0#00:00:00#00:00:00#00:00:00 2
c54380c53ad4f7aef9ed331a08e15934
3207012 C 3 CP 1 15/02/2018 16/02/2018 06/08/1937 0 1
1 H25.9;I10 13.3;13.19 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5478205 0 2 0 0 0 TARPI SUNARSO
00366549 80 29413 SUTRISNO, DR. SP.M 1023R00102180006047
0000071391339 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 157953
1#0##0#0#0.0#2018-04-30 07:33:35#0#00:00:00#00:00:00#00:00:00 2
8f37d13ba7049c1c6de77c0ff8b552af
3207012 C 3 CP 1 07/02/2018 16/02/2018 01/11/1942 0 1
4 A40.3;I11.0;J90 88.76;87.49;89.52;90.59 - - None None None
None A-4-10-III None None None None None None SEPTIKEMIA (BERAT)
4335600 0 0 - 0 - 0 - 0 - 0
4335600 7656575 0 10 0 0 0 KHOERODIN 00494341
75 27492 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003235
0000438662722 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160488
1#0##0#0#0.0#2018-05-02 07:43:34#0#00:00:00#00:00:00#00:00:00 3
47c13e5c015b82675f1fa5662deafcf8
3207012 C 3 CP 1 08/02/2018 16/02/2018 01/07/1966 0 2
1 I11.0 99.04;87.49;90.59;87.03 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
4228401 0 9 0 0 0 KOKOM KOMARIAH 00478548 51
18850 SETYO RAHARJO, DR, SP. PD 1023r00102180003615 0002273852722
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167805
1#0##0#0#0.0#2018-05-03 08:52:36#0#12:22:06#12:22:06#00:00:00 3
7b949e065a35878709dcc6ce96442201
3207012 C 3 CP 1 14/02/2018 17/02/2018 28/01/1979 0 1
1 J36 90.59 - - None None None None U-4-13-I None None
None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0 -
0 - 0 1826300 1517448 0 4 0 0 0 SOPWAN
ARIP 00494956 39 14262 H. HERDIANA, SP. THT 1023R00102180006899
0001889686629 3;JKN INACBG;123123123123 5.2.0.201712280730 4
159349 1#0##0#0#0.0#2018-03-13 14:40:57#0#00:00:00#00:00:00#00:00:00
1 b10955078bd6cfed9588c556ea0e8e6d
3207012 C 3 CP 1 08/02/2018 17/02/2018 01/05/1966 0 1
1 I12.9;K80.2 39.95;88.76;90.59 - - None None None None N-4-
16-I None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (RINGAN) 2744500 0 0 - 0 - 0 - 0 -
0 2744500 6418253 0 10 0 0 0 SAMSUDIN
00494469 51 18911 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003314
0001006034534 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160466
1#0##0#0#0.0#2018-03-16 11:42:17#0#00:00:00#00:00:00#00:00:00 1
f15d7f2f9b60d4d11aad9752c6aabcc3
3207012 C 3 CP 1 12/02/2018 17/02/2018 01/03/1967 0 1
1 A09.9;I10;E11.9 89.52;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 2264656 0 6 0 0 0 SUPARDI 00363720
50 18611 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180004478
0000440373148 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161647
1#0##0#0#0.0#2018-03-20 11:36:26#0#00:00:00#00:00:00#00:00:00 1
42f24a9902297f3fe34cc4a0411430de
3207012 C 3 CP 1 12/02/2018 17/02/2018 01/06/1962 0 2
1 O03.4 69.59;88.78;90.59 - - None None None None W-4-13-I
None None None None None None ABORTUS (RINGAN) 923600 0 0
- 0 - 0 - 0 - 0 923600 4177133 0
6 0 0 0 EROH 00494138 55 20345 DIDI KURNIADI M, DR.
SP.OG 1023R00102180004784 0000439721649 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161663 1#0##0#0#0.0#2018-03-20
11:41:26#0#00:00:00#00:00:00#00:00:00 1 2bde81cd2cab44b0d4b5d847c9f31606
3207012 C 3 CP 1 11/02/2018 17/02/2018 01/12/1945 0 2
1 R04.0;I10 90.59 - - None None None None U-4-12-I None
None None None None None EPISTAKSIS/PERDARAHAN HIDUNG (RINGAN)
2409900 0 0 - 0 - 0 - 0 - 0
2409900 2356500 0 7 0 0 0 EEM MULYASARI
00494650 72 26370 H. HERDIANA, SP. THT 1023R00102180003941
0000474546982 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161732
1#0##0#0#0.0#2018-03-20 12:30:55#0#00:00:00#00:00:00#00:00:00 1
5eb884e8b649c4fc91af7847043ed0cc
3207012 C 3 CP 1 13/02/2018 17/02/2018 06/06/1983 0 2
1 O48;O99.8;N83.2;O41.0;O82.1;Z37.0 74.0;65.39;88.78;90.59 - -
None None None None W-1-20-II None None None None None None
PROSEDUR PADA RAHIM & ADNEKSA (SEDANG) 7668100 0 0 - 0
- 0 - 0 - 0 7668100 12212552 0 5 0
0 0 MIMIN 00494818 34 12671 DIDI KURNIADI M, DR. SP.OG
1023R00102180005039 0002287344407 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161838 1#0##0#0#0.0#2018-03-20
13:20:28#0#00:00:00#00:00:00#00:00:00 1 cf09bd17c82156844a65ed0c4971c28b
3207012 C 3 CP 1 14/02/2018 17/02/2018 12/05/1943 0 1
1 K40.9 53.00;96.07;90.59;87.49 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 5504419 0 4 0 0 0 SUKIRMAN 00494939
74 27307 ACHMAD HERYADI, DR. SP. B 1023R00102180005810
0002429740315 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163074
1#0##0#0#0.0#2018-03-22 10:51:03#0#00:00:00#00:00:00#00:00:00 1
294a03c90740c82be36bf5d464d9d02d
3207012 C 3 CP 1 13/02/2018 17/02/2018 12/10/1994 0 1
1 Z47.0 78.65;78.05;88.27;90.59;93.57 - - None None None None
M-1-20-I None None None None None None PROSEDUR PAHA DAN SENDI
PANGGUL (RINGAN) 9176900 0 0 - 0 - 0 - 0 -
0 9176900 19351777 0 5 0 0 0 YOGIMAN
00461126 23 8525 ALDI DR.SP OT 1023R00102180005603
0002214812103 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163455
1#0##0#0#0.0#2018-03-22 14:04:50#0#00:00:00#00:00:00#12:00:00 1
55b353c22458adbd72edee2b7cad3d65
3207012 C 3 CP 1 14/02/2018 17/02/2018 10/07/1943 0 1
1 K40.9 53.05;89.52;87.49;90.59 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 4261365 0 4 0 0 0 DADANG 00069771
74 27248 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180005825
0000071090291 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163775
1#0##0#0#0.0#2018-03-26 09:18:54#0#00:00:00#00:00:00#00:00:00 1
ceb1f867d3be70e45f84c176f857f776
3207012 C 3 CP 1 14/02/2018 17/02/2018 01/07/1995 0 2
1 O14.1;O42.9;O63.9;O82.1;Z37.0 74.0;90.59;93.57;57.94 - - None
None None None O-6-10-II None None None None None None OPERASI
PEMBEDAHAN CAESAR (SEDANG) 5102000 0 0 - 0 - 0 -
0 - 0 5102000 6353229 0 4 0 0 0 LENI
IRNAWATI 00452308 22 8264 H. SUSWADI, SP.OG 1023R00102180006122
0000439309337 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163796
1#0##0#0#0.0#2018-03-26 09:33:15#0#00:00:00#00:00:00#00:00:00 1
9178b7a58c5b7e69b7e5d006102edef2
3207012 C 2 CP 1 13/02/2018 17/02/2018 06/10/1981 0 2
1 O48;O66.2;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 7402800 0 5 0 0 0 ELA ROSMALIA
00487201 36 13279 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180005299
0000438740638 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164321
1#0##0#0#0.0#2018-03-27 07:42:51#0#07:41:13#07:41:13#00:00:00 1
7e661132373ba936d15b8b21d89767ad
3207012 C 3 CP 1 15/02/2018 17/02/2018 01/09/1991 0 2
1 O13;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-II None None None None None None PERSALINAN VAGINAL (SEDANG) 1828500
0 0 - 0 - 0 - 0 - 0 1828500 427787
0 3 0 0 0 SITI JENAB 00494959 26 9664 H. SUSWADI,
SP.OG 1023r00102180005865 0000440399081 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164360 1#0##0#0#0.0#2018-03-27
07:58:54#0#07:57:25#07:57:25#00:00:00 1 861661bbc4db02ee774ab1598ed28be6
3207012 C 3 CP 1 16/02/2018 17/02/2018 08/04/1952 0 1
1 N20.1;N13.3 87.73;88.19 - - None None None None N-4-13-II
None None None None None None BATU URIN (SEDANG) 3919400 0
0 - 0 - 0 - 0 - 0 3919400 1389038
0 2 0 0 0 UKUNG SYUKUR MIHARJA 00221715 65 24055
FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180006462 0000071762512
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164392
1#0##0#0#0.0#2018-03-27 08:13:21#0#08:11:55#08:11:55#00:00:00 1
ca664d078a7522bbab28eb15ce75ef9e
3207012 C 3 CP 1 16/02/2018 17/02/2018 16/02/2018 3100 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;90.59;99.41 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 466301 0 2 0 0 0 BY NY
INA MUNAWAROH 00495060 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180007100 0002430805779 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164407 1#0##0#0#0.0#2018-03-27
08:23:09#0#08:19:46#08:19:46#00:00:00 1 0cded5d192175256c783087a248d4d84
3207012 C 3 CP 1 14/02/2018 17/02/2018 02/04/1959 0 1
1 K40.9 89.52;53.05;90.59 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 4375263 0 4 0 0 0 SULAEMAN 00494244
58 21503 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180005609
 0002207077863 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164435
1#0##0#0#0.0#2018-03-27 08:35:40#0#08:34:16#08:34:16#00:00:00 1
14c7a2acd9fa7bd240f16ee5435bdfae
3207012 C 3 CP 1 15/02/2018 17/02/2018 27/11/1992 0 2
1 O68.9;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-I None None None None None None PERSALINAN VAGINAL (RINGAN) 1544900
0 0 - 0 - 0 - 0 - 0 1544900 367787
0 3 0 0 0 RINA SUTRISNI 00490997 25 9211 DIDI
KURNIADI M, DR. SP.OG 1023r00102180006130 0002298987731 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164454 1#0##0#0#0.0#2018-03-27
08:46:33#0#08:44:59#08:44:59#00:00:00 1 87d671a77ca856a157aebd1711a74dba
3207012 C 3 CP 1 13/02/2018 17/02/2018 01/10/1960 0 1
1 J18.9;R04.2 87.49;90.59;90.41 - - None None None None J-4-
16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 1765655 0 5 0 0 0 KARDI 00428916 57
20954 ABU BAKAR, DR. SPP, MKES 1023r00102180005538 0000440176994
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164483
1#0##0#0#0.0#2018-03-27 09:02:34#0#09:01:15#09:01:15#12:00:00 1
8a51e501a6a3da0cb1acffc537e6997d
3207012 C 3 CP 1 10/02/2018 17/02/2018 11/10/1974 0 1
1 D33.2 90.59 - - None None None None G-4-26-I None None
None None None None GANGGUAN - PENYAKIT SISTEM SARAF LAIN-LAIN (RINGAN)
2959900 0 0 - 0 - 0 - 0 - 0
2959900 3007898 0 8 0 0 0 DAYAT EFENDI
00492842 43 15828 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180003895 0002226881452 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164508 1#0##0#0#0.0#2018-03-27
09:25:00#0#09:23:24#09:23:24#00:00:00 1 248b2209faa7932b390bb3b89dbe10d1
3207012 C 3 CP 1 16/02/2018 17/02/2018 05/08/1991 0 2
1 O01.9 69.02;90.59 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 2610015 0 2 0 0 0 RINI ROHAYANI
00492964 26 9692 DIDI KURNIADI M, DR. SP.OG 1023r00102180006407
0000439236652 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164549
1#0##0#0#0.0#2018-03-27 09:49:33#0#09:48:07#09:48:07#00:00:00 1
669673ae17845d207ebc539e339d93d1
3207012 C 3 CP 1 13/02/2018 17/02/2018 21/11/1975 0 2
1 N92.1 90.59;57.94 - - None None None None W-4-12-I None
None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI WANITA
LAIN-LAIN (RINGAN) 2671300 0 0 - 0 - 0 - 0
- 0 2671300 4344241 0 5 0 0 0 CUCUM KALSUM
00494784 42 15425 DIDI KURNIADI M, DR. SP.OG 1023r00102180005608
0001902079012 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164806
1#0##0#0#0.0#2018-03-27 12:10:37#0#12:09:11#12:09:11#00:00:00 1
84c25648ba4a1c9d083d393d33b6fe21
3207012 C 3 CP 1 13/02/2018 17/02/2018 01/06/1959 0 2
1 Q24.9;I10;K30 89.52;90.59 - - None None None None I-4-
19-I None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(RINGAN) 2907100 0 0 - 0 - 0 - 0 - 0
2907100 1662661 0 5 0 0 0 ISAH HAYATI 00421166
58 21442 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180005070
0000438685288 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164810
1#0##0#0#0.0#2018-03-27 12:31:16#0#12:16:39#12:16:39#12:00:00 1
731a22d5053fba27d39821d685bccefb
3207012 C 3 CP 1 12/02/2018 17/02/2018 01/07/1941 0 1
1 D10.4 90.59 - - None None None None U-4-15-I None None
None None None None PENYAKIT TELINGA, HIDUNG, MULUT DAN TENGGOROKAN LAIN-
LAIN (RINGAN) 2199200 0 0 - 0 - 0 - 0 -
0 2199200 2052079 0 6 0 0 0 DUDU ABDULAH
00490119 76 27985 H. HERDIANA, SP. THT 1023r00102180004751
0000440927649 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164877
1#0##0#0#0.0#2018-03-27 13:29:45#0#13:27:47#13:27:47#00:00:00 1
947e28a15afa6903b5aa218fd096cc42
3207012 C 3 CP 1 14/02/2018 17/02/2018 12/06/1955 0 2
1 A01.0;K30 89.52;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1393188 0 4 0 0 0 ENOK
KOMARIAH 00494950 62 22893 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180005622 0001264616379 3;JKN Ridwan; 5.2.0.201712280730
4 164989 1#0##0#0#0.0#2018-03-27
14:49:28#0#14:45:06#14:45:06#00:00:00 1 f93ea8a288529c0947c835d23e0fe8bc
3207012 C 3 CP 1 15/02/2018 17/02/2018 05/10/1974 0 2
1 R50.9 89.52;90.59 - - None None None None A-4-12-I None
None None None None None DEMAM YANG TIDAK DITENTUKAN (RINGAN)
2509600 0 0 - 0 - 0 - 0 - 0
2509600 1082406 0 3 0 0 0 JUHAERIYAH 00450475
43 15839 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180006197
0000070973155 3;JKN ANDI; 5.2.0.201712280730 4 164995
1#0##0#0#0.0#2018-03-27 14:54:59#0#14:53:00#14:53:00#00:00:00 1
65a86c474848751a7d65f1164dfebac4
3207012 C 2 CP 1 13/02/2018 17/02/2018 01/07/1967 0 2
1 I48;I50.0;I25.0;R42 89.52;87.49;90.41;90.59 - - None None
None None I-4-19-II None None None None None None GANGGUAN KONDUKSI
& ARITMIA JANTUNG (SEDANG) 5445800 0 0 - 0 - 0 -
0 - 0 5445800 2583926 0 5 0 0 0 RD
ERNIE HENDRIATY 00330535 50 18490 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180005045 0000071204095 3;JKN Firman; 5.2.0.201712280730
4 165021 1#0##0#0#0.0#2018-03-27
15:16:46#0#15:15:09#15:15:09#12:00:00 1 f6812a88fd1432baadac60e4b456b0fc
3207012 C 2 CP 1 15/02/2018 17/02/2018 06/09/1954 0 1
1 I25.0 89.52;87.49;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1874600
0 0 - 0 - 0 - 0 - 0 1874600
1085723 0 3 0 0 0 KARTIWA 00280799 63 23173
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180006193 0000070973425
3;JKN Ridwan; 5.2.0.201712280730 4 165024 1#0##0#0#0.0#2018-
03-27 15:18:12#0#15:16:57#15:16:57#00:00:00 1
be2a47d34d72d4c009ac6cc51496cd0b
3207012 C 3 CP 1 15/02/2018 17/02/2018 20/03/1989 0 2
1 I12.9 39.95;87.49;90.59 - - None None None None N-4-16-I
None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (RINGAN) 2744500 0 0 - 0 - 0 - 0 -
0 2744500 2165205 0 3 0 0 0 ENI NURAENI
00467609 28 10559 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006194
0002087795968 3;JKN Firman; 5.2.0.201712280730 4 165028
1#0##0#0#0.0#2018-03-27 15:21:10#0#15:19:53#15:19:53#00:00:00 1
094ec70b815573f275a376025317be1c
3207012 C 3 CP 1 13/02/2018 17/02/2018 01/07/1951 0 2
1 H81.1;K30 90.59 - - None None None None U-4-11-I None
None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0
- 0 - 0 - 0 - 0 1311700 1444281 0
5 0 0 0 MUNIAH 00494868 66 24334 H. DENNY
RAHARJONO, DR. SP. S. 1023r00102180005613 0002429851678 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166176 1#0##0#0#0.0#2018-04-03
09:16:59#0#09:15:22#09:15:22#00:00:00 1 4026369c27e8ba3c809adf926324d96c
3207012 C 2 CP 1 14/02/2018 17/02/2018 24/12/1975 0 2
1 O64.1;O41.0;O82.1;Z37.0;Z30.5 74.0;69.7;90.59;57.94;93.57 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 5796300 0 0 - 0 -
0 - 0 - 0 5796300 6039787 0 4 0 0
0 NINING NURJANAH 00171140 42 15393 H. DENDY R. SUKARDJO, DRG.
MM. 1023R00102180005790 0000071061355 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163372 1#0##0#0#0.0#2018-04-04
10:47:35#0#00:00:00#00:00:00#00:00:00 2 79ed350ef63ad26e4aff77eaa3cbd4eb
3207012 C 1 CP 1 14/02/2018 17/02/2018 30/09/2001 0 1
1 K30 90.59;90.99 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 2664540 0 4 0 0 0 FIKRI TAUFIQ FIRDAUS
00482525 16 5981 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180005239 0001445189962 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161357 1#0##0#0#0.0#2018-04-04
11:35:15#0#00:00:00#00:00:00#00:00:00 2 8848d2625fb8c34f56838e917928e1e8
3207012 C 3 CP 1 12/02/2018 17/02/2018 01/05/1967 0 2
1 D34 06.39;89.52;90.59 - - None None None None E-1-20-I
None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 9446764 0 6 0 0 0
HOLISOH 00371317 50 18550 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180005041 0000438958045 3;JKN Ridwan; 5.2.0.201712280730
4 167917 1#0##0#0#0.0#2018-04-11
08:39:20#0#08:37:55#08:37:55#00:00:00 1 d5ca8f9fef20d840e8f0c4cb6370a0b6
3207012 C 3 CP 1 13/02/2018 17/02/2018 01/04/1978 0 2
1 J45.9 87.49;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000
2211384 0 5 0 0 0 IFIT 00463791 39 14563 ABU
BAKAR, DR. SPP, MKES 1023r00102180004986 0000440229791 3;JKN Ridwan;
5.2.0.201712280730 4 164191 1#0##0#0#0.0#2018-04-11
11:16:34#0#13:57:27#13:57:27#12:00:00 2 7982e87f54b5c9121e7e82cb46d9d5de
3207012 C 3 CP 1 14/02/2018 17/02/2018 09/01/1966 0 1
1 I50.0;A09.0 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1603630 0 4 0 0 0 AHMAD MAFTUH FUADI 00494881
52 19029 SETYO RAHARJO, DR, SP. PD 1023r00102180005205
0000442057026 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167525
1#0##0#0#0.0#2018-04-16 13:42:49#0#10:12:38#10:12:38#00:00:00 2
1afb754bed1b47b3e69e0d626064daf4
3207012 C 3 CP 1 14/02/2018 17/02/2018 20/10/1974 0 2
1 I12.9;D62;K92.0;K92.1 39.95;99.04;89.52;90.59 - - None None
None None N-4-16-II None None None None None None PENYAKIT GINJAL
DAN SALURAN URIN LAIN-LAIN (SEDANG) 3917300 0 0 - 0 - 0
- 0 - 0 3917300 3523518 0 4 0 0 0
NINING SETIANINGSIH 00494938 43 15823 SETYO RAHARJO, DR, SP. PD
1023r00102180005602 0002424765857 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 167157 1#0##0#0#0.0#2018-04-16
13:59:13#0#10:16:48#10:16:48#00:00:00 2 1b686902940fd4c299bd093ed2403403
3207012 C 3 CP 1 12/02/2018 17/02/2018 07/09/1952 0 2
1 I63.8;E43 87.49;90.59 - - None None None None G-4-14-III
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (BERAT) 6246600 0 0 - 0 - 0 - 0 -
0 6246600 2792380 0 6 0 0 0 ERAH 00494746
65 23899 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180004804
 0002428925793 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164965
1#0##0#0#0.0#2018-04-18 08:00:26#0#14:29:02#14:29:02#00:00:00 2
d68bb73e81030bf9270a5a8711670674
3207012 C 3 CP 1 11/02/2018 17/02/2018 01/10/2009 0 1
1 K35.2;B02.9 47.09;90.59 - - None None None None K-1-13-II
None None None None None None PROSEDUR APPENDIK (SEDANG) 3069800
0 0 - 0 - 0 - 0 - 0 3069800
5635555 0 7 0 0 0 MUHAMAD TESAR ROBIANSYAH
00494635 8 3055 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180004468 0000440497945 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161682 1#0##0#0#0.0#2018-04-18
09:10:38#0#00:00:00#00:00:00#00:00:00 2 b1671fa60f8f0304198cbcf37bd5e0a8
3207012 C 1 CP 1 15/02/2018 17/02/2018 19/12/1959 0 1
1 I48;I11.0;I20.9 89.52;90.59 - - None None None None I-4-
19-III None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(BERAT) 7584800 0 0 - 0 - 0 - 0 - 0
7584800 1793967 0 3 0 0 0 IR.DODO TEDI SUTENDI
00459897 58 21243 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180006039 0000071495223 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161171 1#0##0#0#0.0#2018-04-18
09:12:41#0#00:00:00#00:00:00#12:00:00 2 30520c497c4570cffb1cea865c3fb552
3207012 C 3 CP 1 10/02/2018 17/02/2018 17/03/1958 0 1
1 L03.0;T14.1 86.28;90.59 - - None None None None L-4-12-I
None None None None None None PERADANGAN KULIT/CELLULITIS (RINGAN)
1262500 0 0 - 0 - 0 - 0 - 0
1262500 3242927 0 8 0 0 0 YAYA KARYA 00494596
59 21880 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180003892
0001670138379 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173076
1#0##0#0#0.0#2018-04-24 12:28:41#0#00:00:00#00:00:00#00:00:00 1
9e5523803a39ed53b002a1806dd576aa
3207012 C 1 CP 1 08/02/2018 17/02/2018 17/03/1979 0 2
1 K80.0;K30 51.22;51.51;88.76;89.52;87.49;90.59 - - None None
None None B-1-12-I None None None None None None CHOLESISTEKTOMI
TANPA LAPAROSKOPIK (RINGAN) 7098600 0 0 - 0 - 0 -
0 - 0 7098600 11251675 0 10 0 0 0 WIWI
WIDYAWATI 00494393 38 14208 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180002812 0000071497686 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168012 1#0##0#0#0.0#2018-04-25
10:30:24#0#10:34:36#10:34:36#00:00:00 2 49603d80d1471589f630df9629eef8a0
3207012 C 3 CP 1 14/02/2018 17/02/2018 01/04/1954 0 1
1 K30;I10 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1449383 0 4 0 0 0 OLEH 00494942 63
23330 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180005612 0000439586054
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164327
1#0##0#0#0.0#2018-04-25 11:30:23#0#07:44:01#07:44:01#00:00:00 4
74847594d5ca0807b6f6d445ffb2f00b
3207012 C 3 CP 1 11/02/2018 17/02/2018 01/04/1948 0 2
4 D62;K92.1 99.04;96.07;57.94;89.52;90.59 - - None None None
None D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 6568801 0 7 0 0
0 ENE KARWATI 00494649 69 25518 SETYO RAHARJO, DR, SP. PD
1023r00102180003940 0000440626566 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167478 1#0##0#0#0.0#2018-04-30
07:46:22#0#09:29:40#09:29:40#00:00:00 2 eac80400df25bcc56d1889cebacce34a
3207012 C 3 CP 1 17/02/2018 18/02/2018 01/07/1967 0 1
4 I61.9 99.60;87.49;90.59 - - None None None None G-4-13-I
 None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 1449480 0 2 0 0 0 TETE ILYAS 00471635
50 18494 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180006546
0000441390014 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161176
1#0##0#0#0.0#2018-03-19 14:30:30#0#00:00:00#00:00:00#00:00:00 1
eb96cfd99f36773092a23875f49019b3
3207012 C 3 CP 1 15/02/2018 18/02/2018 08/09/2015 0 1
1 A49.9;J06.9 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1063156 0 4 0 0 0 RAMA PRATAMA
00467249 2 891 HJ. SUHERJATI, SP. A 1023R00102180006531
0002227753732 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163200
1#0##0#0#0.0#2018-03-22 11:36:38#0#00:00:00#00:00:00#00:00:00 1
54cab41b011391696f615474536a0c3d
3207012 C 2 CP 1 15/02/2018 18/02/2018 20/11/1983 0 1
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1687500 0 0 - 0 - 0 - 0 - 0
1687500 1495564 0 4 0 0 0 RIKKY DASSIMAN
00378168 34 12506 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006200 0001262660962 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166327 1#0##0#0#0.0#2018-04-03
10:27:55#0#10:26:19#10:26:19#00:00:00 1 4668df0d834b9d9f5150339327e4d54b
3207012 C 3 CP 1 17/02/2018 18/02/2018 01/09/1985 0 2
1 O63.9;O34.2;O80.0;O70.9;O72.2;Z37.0 73.59;73.6;90.59 - - None
None None None O-6-13-I None None None None None None PERSALINAN
VAGINAL (RINGAN) 1544900 0 0 - 0 - 0 - 0 -
0 1544900 2683270 0 2 0 0 0 ATI SURYATI
00495220 32 11857 DIDI KURNIADI M, DR. SP.OG 1023r00102180006584
0000430598237 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167103
1#0##0#0#0.0#2018-04-06 09:42:05#0#09:39:21#09:39:21#00:00:00 1
9c2ad8b98b1569a7ae30be9b55872f62
3207012 C 3 CP 1 15/02/2018 18/02/2018 18/07/2001 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1280967 0 4 0 0 0 ENDAH WIDANINGRUM
00494980 16 6056 SETYO RAHARJO, DR, SP. PD 1023r00102180005765
0001780471833 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167397
1#0##0#0#0.0#2018-04-09 08:20:11#0#08:18:48#08:18:48#00:00:00 1
17c9484229c8bf45f76b3b29b46372a6
3207012 C 3 CP 1 16/02/2018 18/02/2018 01/08/1968 0 1
4 D62;K92.1 99.60;99.04;89.52;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 1453018 0 3 0 0
0 MAMAN 00495065 49 18096 SETYO RAHARJO, DR, SP. PD
1023r00102180006508 0001006123768 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167406 1#0##0#0#0.0#2018-04-09
08:31:38#0#08:30:13#08:30:13#00:00:00 1 61c3b4037c5621f79626c036172bae94
3207012 C 3 CP 1 13/02/2018 18/02/2018 14/11/1965 0 2
4 A16.2;I50.0 99.60;89.52;90.59;57.94 - - None None None None
J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 2121971 0 6 0 0 0 SAPTI
00397213 52 19084 SETYO RAHARJO, DR, SP. PD 1023r00102180005873
0002077997422 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167408
 1#0##0#0#0.0#2018-04-09 08:33:23#0#08:32:02#08:32:02#00:00:00 1
a15055cec1a68cc137fc98a908aeab37
3207012 C 3 CP 1 15/02/2018 18/02/2018 01/07/1997 0 1
1 G04.9 89.52;90.59 - - None None None None G-4-19-I None
None None None None None INFEKSI NON BAKTERI SISTEM SARAF ,TIDAK
TERMASUK MENINGITIS VIRUS (RINGAN) 2744300 0 0 - 0 - 0
- 0 - 0 2744300 2565253 0 4 0 0 0
YOYO WARYONO 0439320 20 7534 RISSA NURLAILLA, DR. SP. S.
1023r00102180006484 0000440081818 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167414 1#0##0#0#0.0#2018-04-09
08:39:18#0#08:36:18#08:36:18#00:00:00 1 677c79879d47a6208223526f46b1296f
3207012 C 3 CP 1 15/02/2018 18/02/2018 10/02/1956 0 2
1 I50.0;I48 89.52;90.59 - - None None None None I-4-12-II
None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
1151092 0 4 0 0 0 ATING 00443663 62 22651 SETYO
RAHARJO, DR, SP. PD 1023r00102180005945 0002072792621 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167532 1#0##0#0#0.0#2018-04-09
10:18:20#0#10:17:20#10:17:20#12:00:00 1 3355f4bd835c3aa4ebfd15e257bee678
3207012 C 3 CP 1 16/02/2018 18/02/2018 01/09/1998 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 905569 0 3 0 0 0 SYIRRIN YUSRIAH
00421558 19 7108 SETYO RAHARJO, DR, SP. PD 1023r00102180006281
0000440597428 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167568
1#0##0#0#0.0#2018-04-09 10:42:32#0#10:41:24#10:41:24#00:00:00 1
6bfe1b23349a3e2c20f6255639e8a534
3207012 C 3 CP 1 13/02/2018 18/02/2018 18/01/1972 0 2
1 K30;R51 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 2002899 0 6 0 0 0 HENI MULYANI
00420459 46 16828 SETYO RAHARJO, DR, SP. PD 1023r00102180005048
0001972376381 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167667
1#0##0#0#0.0#2018-04-09 12:33:24#0#12:32:04#12:32:04#00:00:00 1
93278870672ea9c65980423fd5bbb85e
3207012 C 3 CP 1 16/02/2018 18/02/2018 04/10/2012 0 2
1 B34.9;R11 90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 942360 0 3 0 0 0 SISKA RIMARSA
00495050 5 1961 HJ. SUHERJATI, SP. A 1023r00102180006516
0001780800996 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167803
1#0##0#0#0.0#2018-04-10 12:19:14#0#12:16:22#12:16:22#00:00:00 1
daf47799363e7edb3994c6b6a2e8814c
3207012 C 3 CP 1 15/02/2018 18/02/2018 01/09/1942 0 1
4 R40.2 96.07;57.94;90.59 - - None None None None G-4-21-I
None None None None None None KOMA & STUPOR NON TRAUMA (RINGAN)
1999100 0 0 - 0 - 0 - 0 - 0
1999100 2175734 0 4 0 0 0 MISKO 00495022 75
27561 SETYO RAHARJO, DR, SP. PD 1023r00102180006272 0000440506179
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167841
1#0##0#0#0.0#2018-04-10 13:51:03#0#13:49:23#13:49:23#00:00:00 1
fff3983dabfcb052dca9ad7f3964561b
3207012 C 3 CP 1 16/02/2018 18/02/2018 16/02/2018 3150 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
 0 - 0 3326400 484088 0 3 0 0 0 BY NY
IJAH HODIJAH 00495061 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180007668 0002431011025 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164419 1#0##0#0#0.0#2018-04-11
12:46:17#0#08:25:19#08:25:19#00:00:00 2 aa556866c1a61c0ae746e501bbe1a68d
3207012 C 2 CP 1 15/02/2018 19/02/2018 17/11/2002 0 2
1 A01.0;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 2226495 0 5 0 0 0 WINDIE RIANI NOVALIA
00494946 15 5569 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180007126 0002068630683 3;JKN INACBG;123123123123
5.2.0.201712280730 4 159308 1#0##0#0#0.0#2018-03-13
14:30:48#0#00:00:00#00:00:00#00:00:00 1 448938e5611ddc1a999a244d3fe25464
3207012 C 3 CP 1 07/02/2018 19/02/2018 01/11/1942 0 1
3 I63.9 88.76;88.19;87.49;90.59 - - None None None None G-4-
14-I None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 7785828 0 13 0 0 0 M LUKMAN
00494324 75 27492 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180002698 0000440150297 3;JKN INACBG;123123123123
5.2.0.201712280730 4 159456 1#0##0#0#0.0#2018-03-14
09:11:49#0#00:00:00#00:00:00#00:00:00 1 e060e235ad4532cc043a507301722313
3207012 C 3 CP 1 18/02/2018 19/02/2018 06/04/1952 0 1
1 N21.1;R10.4 88.19;90.59 - - None None None None N-4-13-I
None None None None None None BATU URIN (RINGAN) 3249600 0
0 - 0 - 0 - 0 - 0 3249600 610207
0 2 0 0 0 SUTISWA GUNAWAN 00426221 65 24059
FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180006571 0001876956827
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160922
1#0##0#0#0.0#2018-03-19 12:00:14#0#00:00:00#00:00:00#00:00:00 1
954929e3f57ad516c3411fb0f16fda81
3207012 C 1 CP 1 15/02/2018 19/02/2018 01/11/1962 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 3467113 0 5 0 0 0 DODO HERMANA
00379182 55 20195 SETYO RAHARJO, DR, SP. PD 1023R00102180006192
0000070883245 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161159
1#0##0#0#0.0#2018-03-19 14:23:28#0#00:00:00#00:00:00#00:00:00 1
85f4ed885d214d5fd2613f738d4cc4e4
3207012 C 3 CP 1 15/02/2018 19/02/2018 01/07/2017 0 1
1 J18.0;A09.9 90.59 - - None None None None J-4-16-I None
None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
3332600 0 0 - 0 - 0 - 0 - 0
3332600 2009536 0 5 0 0 0 WILDAN FATHURROHMAN
00495010 0 229 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180006133 0002315894512 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161561 1#0##0#0#0.0#2018-03-20
10:42:45#0#00:00:00#00:00:00#00:00:00 1 9accb37890306796794132c0a9978261
3207012 C 3 CP 1 13/02/2018 19/02/2018 01/06/1947 0 2
1 I61.9 87.03;87.49;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2800001 0 7 0 0 0 MOMOH 00494847 70
25825 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180005049
0001778896743 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161839
1#0##0#0#0.0#2018-03-20 13:26:44#0#00:00:00#00:00:00#00:00:00 1
ab3198652d6ef57e353bfc14582a1c7e
3207012 C 3 CP 1 17/02/2018 19/02/2018 16/12/2016 0 2
1 A09.9;E86;D50.9 90.99;90.59 - - None None None None K-4-
17-II None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(SEDANG) 1923400 0 0 - 0 - 0 - 0 - 0
1923400 1000388 0 3 0 0 0 VANIA RAYSHA NADILA
00462737 1 428 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180006513 0002213873908 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162071 1#0##0#0#0.0#2018-03-21
10:50:44#0#00:00:00#00:00:00#12:00:00 1 87e17947f50f25493f0281d82dfccf1c
3207012 C 3 CP 1 19/02/2018 19/02/2018 18/03/1996 0 2
1 O63.9;O80.0;O72.1;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 2900484 0 1 0 0 0 DEDAH SITI SUAEDAH
00495370 21 8008 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180007301
0000439828604 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162121
1#0##0#0#0.0#2018-03-21 11:07:56#0#00:00:00#00:00:00#00:00:00 1
e0f3bc378183ddd4141f0842542856e3
3207012 C 3 CP 1 18/02/2018 19/02/2018 12/02/1958 0 2
1 H40.8 90.59 - - None None None None H-4-12-I None None
None None None None GANGGUAN MATA LAIN-LAIN (RINGAN) 2580100 0
0 - 0 - 0 - 0 - 0 2580100 851029
0 2 0 0 0 RONAYAH 00495231 60 21921 SUTRISNO,
DR. SP.M 1023R00102180006570 0001005776109 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162484 1#0##0#0#0.0#2018-03-21
13:52:10#0#00:00:00#00:00:00#00:00:00 1 69112fc558d07ad36017ad8e18354f92
3207012 C 3 CP 1 17/02/2018 19/02/2018 08/06/2016 0 2
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1406200 0 0 - 0 - 0 - 0 - 0
1406200 663402 0 3 0 0 0 CITRA AMELIA RAMADHANI
00460540 1 619 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180007129 0002263908532 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162561 1#0##0#0#0.0#2018-03-21
14:12:15#0#00:00:00#00:00:00#00:00:00 1 ddcea876fe1a3c55a2450b5e5585b81d
3207012 C 3 CP 1 14/02/2018 19/02/2018 01/07/1992 0 2
1 C20;K61.0 99.04;90.59 - - None None None None K-4-10-II
None None None None None None TUMOR PENCERNAAN (SEDANG) 5244800
0 0 - 0 - 0 - 0 - 0 5244800
2943121 0 6 0 0 0 RANI 00459011 25 9359
FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180005497 0002200238201
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163090
1#0##0#0#0.0#2018-03-22 10:54:18#0#00:00:00#00:00:00#12:00:00 1
ba04e70de6b61b466d2e65cf153b30de
3207012 C 3 CP 1 16/02/2018 19/02/2018 05/01/2013 0 1
1 J02.9;E86;B37.0 90.59 - - None None None None U-4-13-II
None None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH,
ISPA DAN LARINGOTRAKEITIS (SEDANG) 2153100 0 0 - 0 - 0
- 0 - 0 2153100 1124217 0 4 0 0 0
RAIHAN FAUZI A 00477305 5 1868 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180006515 0002018685677 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163129 1#0##0#0#0.0#2018-03-22
11:12:07#0#00:00:00#00:00:00#00:00:00 1 24a3213e654d3d9636fcbea8fb3226fd
3207012 C 3 CP 1 14/02/2018 19/02/2018 01/11/2009 0 2
1 B34.9;R56.0 90.59 - - None None None None A-4-13-II None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (SEDANG)
2273500 0 0 - 0 - 0 - 0 - 0
2273500 1716852 0 6 0 0 0 SITI ZAHRA 00210505
8 3027 IMELDA PINGKAN MONIAGA, DR. SP. A 1023R00102180005155
 0000440716983 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163207
1#0##0#0#0.0#2018-03-22 11:38:00#0#00:00:00#00:00:00#12:00:00 1
5e3b0cf264100ba374c528f5d83c5eaf
3207012 C 3 CP 1 12/02/2018 19/02/2018 01/02/1975 0 2
1 I63.9 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 3002791 0 8 0 0 0 TUTI KUSWATI
00418207 43 15717 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180005051 0002326130752 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163277 1#0##0#0#0.0#2018-03-22
13:04:02#0#00:00:00#00:00:00#00:00:00 1 f7356cbb812965cbcf4bffe8354d58be
3207012 C 3 CP 1 16/02/2018 19/02/2018 01/10/1984 0 2
1 O20.9 88.78;90.59;57.94;93.57 - - None None None None W-4-
14-I None None None None None None ABORTUS MENGANCAM (RINGAN) 1234300
0 0 - 0 - 0 - 0 - 0 1234300
1144497 0 4 0 0 0 ROSWATI 00414542 33 12191
DIDI KURNIADI M, DR. SP.OG 1023R00102180006489 0000439505043 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163448 1#0##0#0#0.0#2018-
03-22 14:01:37#0#00:00:00#00:00:00#12:00:00 1
9c1667deb8b024e4f3dc7837c06a2456
3207012 C 1 CP 1 13/02/2018 19/02/2018 20/03/1963 0 1
1 E11.4;G62.9 90.59 - - None None None None G-4-17-II None
None None None None None GANGUAN SARAF KRANIAL DAN PERIFER (SEDANG)
6130900 0 0 - 0 - 0 - 0 - 0
6130900 5401357 0 7 0 0 0 YEYE 00494858 54
20054 SETYO RAHARJO, DR, SP. PD 1023R00102180005063 0000071541685
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163770
1#0##0#0#0.0#2018-03-26 09:17:24#0#00:00:00#00:00:00#00:00:00 1
9cd78aaf06010a5e06626f3b53aa9935
3207012 C 3 CP 1 14/02/2018 19/02/2018 06/05/1965 0 2
1 A01.0;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 2101862 0 6 0 0 0 RASWIN 00494943
52 19277 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006031
0002430260673 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163817
1#0##0#0#0.0#2018-03-26 09:37:35#0#00:00:00#00:00:00#00:00:00 1
fa8f7f6475a9749f064309e01a5f3fe3
3207012 C 2 CP 1 18/02/2018 19/02/2018 14/12/1949 0 1
4 I50.0;I48 99.60;89.52;90.59;96.07;57.94 - - None None None
None I-4-12-II None None None None None None KEGAGALAN JANTUNG
(SEDANG) 3582600 0 0 - 0 - 0 - 0 - 0
3582600 1740972 0 2 0 0 0 ROCHENDI N 00279924
68 24903 SETYO RAHARJO, DR, SP. PD 1023R00102180006567
0000071118606 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164033
1#0##0#0#0.0#2018-03-26 10:56:45#0#00:00:00#00:00:00#00:00:00 1
c2bc5211fb00ab7e47f6fc958081a90a
3207012 C 3 CP 1 12/02/2018 19/02/2018 01/06/1972 0 2
1 K30;N39.0 88.76;87.49;89.52;90.59 - - None None None None
K-4-18-II None None None None None None GANGGUAN SISTEM PENCERNAAN
LAIN-LAIN (SEDANG) 1765800 0 0 - 0 - 0 - 0
- 0 1765800 3062238 0 8 0 0 0 YAYA
00394725 45 16692 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180004436
0000439388616 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164197
1#0##0#0#0.0#2018-03-26 14:02:14#0#14:00:57#14:00:57#12:00:00 1
0202c7888430a1019edf38bfde720f81
3207012 C 2 CP 1 10/02/2018 19/02/2018 07/03/1959 0 1
1 D61.9;I51.7 99.04;88.76;87.49;99.59;90.59 - - None None None
 None D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 -
0 - 0 - 0 2661700 4191967 0 10 0 0
0 SARKUM 00414579 58 21525 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180003880 0002299516378 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164277 1#0##0#0#0.0#2018-03-26
14:46:11#0#14:44:43#14:44:43#00:00:00 1 853ad2e83368935fc95453bf5a379412
3207012 C 3 CP 1 16/02/2018 19/02/2018 01/08/1987 0 2
1 O14.1;O65.4;O34.2;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - -
None None None None O-6-10-II None None None None None None
OPERASI PEMBEDAHAN CAESAR (SEDANG) 5102000 0 0 - 0 -
0 - 0 - 0 5102000 6614599 0 4 0 0
0 INA MUNAWAROH 00477278 30 11157 H. SUSWADI, SP.OG
1023r00102180006404 0000441097964 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164288 1#0##0#0#0.0#2018-03-26
14:54:37#0#14:53:20#14:53:20#00:00:00 1 523e450bdf1bd2c3d6cfad6fd8487981
3207012 C 3 CP 1 16/02/2018 19/02/2018 15/06/1942 0 1
1 K30;I10 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1199578 0 4 0 0 0 MUSYADAD 00482413
75 27640 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006278
0001318929546 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164297
1#0##0#0#0.0#2018-03-26 14:59:50#0#14:57:52#14:57:52#00:00:00 1
7264db88702a70933890dded08966e11
3207012 C 3 CP 1 14/02/2018 19/02/2018 05/03/1957 0 1
1 I12.9;D63.8;E78.5 99.04;88.76;90.59;89.52 - - None None None
None N-4-16-II None None None None None None PENYAKIT GINJAL DAN
SALURAN URIN LAIN-LAIN (SEDANG) 3917300 0 0 - 0 - 0
- 0 - 0 3917300 4385286 0 6 0 0 0
SAMSU 00494945 60 22261 AYATULLAH KHOMAINI, DR. SP.PD
1023r00102180005618 0002429860577 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164334 1#0##0#0#0.0#2018-03-27
07:47:15#0#07:45:54#07:45:54#00:00:00 1 e83188721527463334629417d4c489e2
3207012 C 3 CP 1 18/02/2018 19/02/2018 06/06/1977 0 2
1 O60.1;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-I None None None None None None PERSALINAN VAGINAL (RINGAN) 1544900
0 0 - 0 - 0 - 0 - 0 1544900
2706255 0 2 0 0 0 TINI SUHARTINI 00478514 40
14867 DIDI KURNIADI M, DR. SP.OG 1023r00102180006730 0001478147062
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164371
1#0##0#0#0.0#2018-03-27 08:02:52#0#08:01:21#08:01:21#00:00:00 1
b5d67a9462d1814e179eacdc1e072f66
3207012 C 3 CP 1 15/02/2018 19/02/2018 01/09/1982 0 2
1 O44.0;O48;O41.0;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None
None None None O-6-10-I None None None None None None OPERASI
PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 - 0 -
0 - 0 4830200 6408338 0 5 0 0 0 IJAH
HODIJAH 00495032 35 12951 H. SUSWADI, SP.OG 1023r00102180006520
0000442098066 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164431
1#0##0#0#0.0#2018-03-27 08:31:54#0#08:30:48#08:30:48#00:00:00 1
52744484c51587a937faff80ae71c161
3207012 C 3 CP 1 16/02/2018 19/02/2018 17/12/1995 0 2
1 O47.0 88.78;90.59 - - None None None None W-4-15-I None
None None None None None PERSALINAN PALSU (RINGAN) 1503100 0
0 - 0 - 0 - 0 - 0 1503100 1652465
0 4 0 0 0 DIANA ROSADI 00459279 22 8097 DIDI
KURNIADI M, DR. SP.OG 1023r00102180006987 0002092308412 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164551 1#0##0#0#0.0#2018-03-27
09:51:07#0#09:49:54#09:49:54#12:00:00 1 1db9c173cbfd3083237b673fc09cffdd
3207012 C 3 CP 1 16/02/2018 19/02/2018 01/06/1965 0 2
1 A01.0;K30;I10 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1363408 0 4 0 0 0 ICAH
00368937 52 19253 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006490
0000440226832 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164300
1#0##0#0#0.0#2018-03-27 09:52:38#0#15:01:12#15:01:12#00:00:00 2
fa04a158beda7dfd7ba3d32c93302540
3207012 C 3 CP 1 18/02/2018 19/02/2018 16/06/1986 0 2
1 O44.1;O47.0 88.78;90.59 - - None None None None W-4-16-I
None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
1336300 0 2 0 0 0 ELIS SUMIATI 00495262 31
11570 H. SUSWADI, SP.OG 1023r00102180006784 0002425944306 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164841 1#0##0#0#0.0#2018-03-27
13:01:51#0#12:59:24#12:59:24#00:00:00 1 d9ca07d3b380cf8866aeeaecfd5f18cb
3207012 C 3 CP 1 11/02/2018 19/02/2018 14/03/1955 0 1
1 K74.6;K92.1;K92.0 99.04;88.78;87.49;90.59 - - None None None
None B-4-13-II None None None None None None GANGGUAN HATI LAIN-LAIN
(SEDANG) 3637100 0 0 - 0 - 0 - 0 - 0
3637100 5394826 0 9 0 0 0 ATANG 00417632 62
22980 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180005038 0001886270141
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164873
1#0##0#0#0.0#2018-03-27 13:27:28#0#13:25:56#13:25:56#00:00:00 1
176c3a1da46b2f34febf73b3e216573b
3207012 C 3 CP 1 16/02/2018 19/02/2018 01/11/1972 0 2
1 A09.9 87.49;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1314260 0 4 0 0 0 ETIN KARTINI
00495053 45 16543 SETYO RAHARJO, DR, SP. PD 1023r00102180006268
0000437730748 3;JKN ANDI; 5.2.0.201712280730 4 164954
1#0##0#0#0.0#2018-03-27 14:23:43#0#14:21:43#14:21:43#00:00:00 1
3974e40c5dbf15f6179a0af3dc68dea2
3207012 C 3 CP 1 13/02/2018 19/02/2018 02/06/1958 0 2
1 J18.0;R04.2 87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 2581617 0 7 0 0 0 OOH ROBIAH 00494802
59 21806 ABU BAKAR, DR. SPP, MKES 1023R00102180005304
0002424506591 3;JKN Ridwan; 5.2.0.201712280730 4 164985
1#0##0#0#0.0#2018-03-27 14:44:52#0#14:43:46#14:43:46#00:00:00 1
b648bea1cc9d9a29c316cb44a252be64
3207012 C 3 CP 1 16/02/2018 19/02/2018 08/04/1962 0 1
1 A01.0 89.52;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1467839 0 4 0 0 0 ATIM 00495066 55
20403 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006518 0000440672725
3;JKN ANDI; 5.2.0.201712280730 4 165005 1#0##0#0#0.0#2018-03-27
15:02:44#0#15:00:55#15:00:55#00:00:00 1 85603696d029de3a762a67f7fdc01e0b
3207012 C 3 CP 1 18/02/2018 19/02/2018 15/02/1959 0 1
1 E11.9;K30 90.59 - - None None None None E-4-10-I None
None None None None None PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/
METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 - 0
- 0 3330600 630814 0 2 0 0 0 AHMAD NURUL
HAQ 00495227 59 21553 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006566
 0002208344242 3;JKN ANDI; 5.2.0.201712280730 4 165020
1#0##0#0#0.0#2018-03-27 15:15:36#0#15:13:53#15:13:53#00:00:00 1
599566c614070c7c632e4b90e3d51eef
3207012 C 2 CP 1 16/02/2018 19/02/2018 26/12/1973 0 1
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1491100 0 0 - 0 - 0 - 0 - 0
1491100 1624454 0 4 0 0 0 KOSTAMAN 00495076
44 16123 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180006271
0001137842673 3;JKN Ridwan; 5.2.0.201712280730 4 165027
1#0##0#0#0.0#2018-03-27 15:19:50#0#15:18:32#15:18:32#00:00:00 1
734827eb6823265056676f8a5ee09548
3207012 C 1 CP 1 17/02/2018 19/02/2018 13/08/1997 0 2
1 A09.9 90.59 - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1968700 0 0 - 0 - 0 - 0 - 0
1968700 1113042 0 3 0 0 0 ASTI ANDRIYANI
00413804 20 7493 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180006549 0000071787003 3;JKN Firman; 5.2.0.201712280730
4 165032 1#0##0#0#0.0#2018-03-27
15:22:36#0#15:21:26#15:21:26#12:00:00 1 e379459312c5120b40352654d4ad0bf4
3207012 C 1 CP 1 16/02/2018 19/02/2018 24/07/2001 0 2
1 N18.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 4166900 0 0 - 0 - 0 - 0 -
0 4166900 2472236 0 4 0 0 0 ERPINA DAMAYANTI
00487520 16 6051 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180006470 0000071473915 3;JKN Ridwan; 5.2.0.201712280730
4 164998 1#0##0#0#0.0#2018-03-28
14:10:31#0#14:55:20#14:55:20#00:00:00 2 9be24910ad1b0c906380f75d86559aa6
3207012 C 3 CP 1 11/02/2018 19/02/2018 12/04/1986 0 2
1 I63.8 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 3514222 0 9 0 0 0 FIRDHA FIRDHAUS
00494640 31 11628 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180003929 0002209877087 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166084 1#0##0#0#0.0#2018-04-02
13:59:15#0#13:57:37#13:57:37#00:00:00 1 f77842d45791701bfa8d3e98405fd686
3207012 C 3 CP 1 15/02/2018 19/02/2018 10/10/1968 0 2
1 I11.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1746304 0 5 0 0 0 ADE DASIH 00448002 49 18025
SETYO RAHARJO, DR, SP. PD 1023r00102180006502 0002078301813 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166383 1#0##0#0#0.0#2018-
04-03 11:08:10#0#11:06:57#11:06:57#12:00:00 1
5ec440cd413ee04b7852b8187969eaf6
3207012 C 3 CP 1 12/02/2018 19/02/2018 06/08/1978 0 2
1 O14.1;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-II None None None None None None OPERASI PEMBEDAHAN
CAESAR (SEDANG) 5102000 0 0 - 0 - 0 - 0 -
0 5102000 10500579 0 8 0 0 0 ETI SAETI
00493452 39 14435 DIDI KURNIADI M, DR. SP.OG 1023R00102180004690
0000441061086 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161433
1#0##0#0#0.0#2018-04-04 10:00:01#0#00:00:00#00:00:00#00:00:00 2
212dbfdbaee6a377037d59582f168a1f
3207012 C 3 CP 1 12/02/2018 19/02/2018 09/08/1940 0 1
1 N40 60.69;99.04;90.59;93.57 - - None None None None V-1-
13-I None None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON
KOMPLEK (RINGAN) 3346700 0 0 - 0 - 0 - 0 -
0 3346700 8575041 0 8 0 0 0 KUSNA 00494525
77 28311 ACHMAD HERYADI, DR. SP. B 1023R00102180004489
0000441849789 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161688
1#0##0#0#0.0#2018-04-04 10:35:32#0#00:00:00#00:00:00#00:00:00 2
c8d7761e64d744e8e47149ed643e5391
3207012 C 3 CP 1 18/02/2018 19/02/2018 18/12/1968 0 2
1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2598252 0 2 0 0 0
HASANAH 00465801 49 17959 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180006589 0001260900393 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160859 1#0##0#0#0.0#2018-04-04
12:07:42#0#00:00:00#00:00:00#00:00:00 2 879e99a4e4e09e41a34c07b18013ebff
3207012 C 3 CP 1 13/02/2018 19/02/2018 08/06/1948 0 1
1 I63.9 87.03;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 3207633 0 7 0 0 0 NADIRIN 00494787
69 25452 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180004612
0001090007289 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167493
1#0##0#0#0.0#2018-04-09 09:43:19#0#09:42:07#09:42:07#00:00:00 1
52929366e060c4f3c50b54a5488345f0
3207012 C 3 CP 1 11/02/2018 19/02/2018 25/01/1972 0 2
1 I12.9;D63.8;K92.1 99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 4658455 0 9 0 0 0 ENI ROHAYATI
00494655 46 16819 SETYO RAHARJO, DR, SP. PD 1023r00102180004799
0002082718214 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167753
1#0##0#0#0.0#2018-04-09 14:02:17#0#14:00:11#14:00:11#00:00:00 1
78ec4edc203ff55229d37412ebd3326d
3207012 C 3 CP 1 16/02/2018 19/02/2018 26/01/2017 0 1
1 J12.9 90.59 - - None None None None J-4-16-I None None
None None None None SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
3332600 0 0 - 0 - 0 - 0 - 0
3332600 1089785 0 4 0 0 0 NIZAR KHALIFAH AGHA
PUTRA DARMAWAN 00489329 1 386 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180007062 0002205377076 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167767 1#0##0#0#0.0#2018-04-10
07:54:44#0#07:53:34#07:53:34#00:00:00 1 434ec58ce5d3e16808bf4f338ea94d7e
3207012 C 3 CP 1 07/02/2018 19/02/2018 31/12/1964 0 1
1 K61.0;E11.9;D64.9;E87.1;E87.6 99.04;86.28;90.59 - - None None
None None K-4-18-II None None None None None None GANGGUAN SISTEM
PENCERNAAN LAIN-LAIN (SEDANG) 1765800 0 0 - 0 - 0 -
0 - 0 1765800 10113519 0 13 0 0 0
SYAEFUDIN 00494374 53 19396 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180002804 0002427822437 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167775 1#0##0#0#0.0#2018-04-10
08:07:13#0#08:05:51#08:05:51#00:00:00 1 377f79d2ea5f0c3daaaa7736c52fddc6
3207012 C 3 CP 1 30/01/2018 19/02/2018 01/08/2003 0 2
1 A49.9;D64.9 90.59;91.49;91.39 - - None None None None A-4-
14-II None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 2540000 0 0 - 0 - 0 - 0
- 0 2540000 1422324 0 21 0 0 0 ROSA ROSLIAH
00493478 14 5296 SETYO RAHARJO, DR, SP. PD 1023r00101180011989
0000441856585 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167859
 1#0##0#0#0.0#2018-04-10 14:14:00#0#14:12:27#14:12:27#00:00:00 1
d095c40933333e0dd11108dd2d75dee0
3207012 C 1 CP 1 14/02/2018 19/02/2018 10/05/2007 0 1
1 J02.9;B34.9;E46 87.49;90.59 - - None None None None U-4-
13-I None None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH,
ISPA DAN LARINGOTRAKEITIS (RINGAN) 2556900 0 0 - 0 - 0
- 0 - 0 2556900 3104177 0 6 0 0 0
FADGHAM HISYAM ARRAFI 00494949 10 3933 IMELDA PINGKAN MONIAGA, DR.
SP. A 1023R00102180005619 0000171300161 3;JKN Firman; 5.2.0.201712280730
4 167953 1#0##0#0#0.0#2018-04-11
09:25:22#0#09:23:33#09:23:33#00:00:00 1 abc1d132bd63be4a2b67cb73d3542dbd
3207012 C 3 CP 1 17/02/2018 19/02/2018 02/05/1974 0 2
1 T13.5;V28.1 88.28;90.59 - - None None None None M-4-20-I
None None None None None None TANDA, GEJALA & PERADANGAN
MUSKULOSKELETAL (RINGAN) 2177400 0 0 - 0 - 0 -
0 - 0 2177400 1874256 0 3 0 0 0 CICIH
00495092 43 15997 ALDI DR.SP OT 1023r00102180006485
0000440423278 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167985
1#0##0#0#0.0#2018-04-11 09:58:26#0#09:57:17#09:57:17#00:00:00 1
802175f8ab470d0da7492fef5c0f67aa
3207012 C 3 CP 1 18/02/2018 19/02/2018 10/09/1968 0 2
1 D21.9 86.3;89.52 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2513484 0 2 0 0 0 YATI 00478417
49 18058 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180006590
0002276768182 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164489
1#0##0#0#0.0#2018-04-11 12:22:51#0#09:04:58#09:04:58#00:00:00 2
3cb531e8b5d741db6bddba375db3405e
3207012 C 3 CP 1 18/02/2018 19/02/2018 29/06/1977 0 1
1 D21.9 86.3;89.52;93.57 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2731228 0 2 0 0 0
JOHANDI 00489507 40 14844 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180006569 0002246872307 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164433 1#0##0#0#0.0#2018-04-11
12:23:57#0#08:32:17#08:32:17#00:00:00 2 7b35264c98fcc9e567923d8a6520c8f1
3207012 C 2 CP 1 30/01/2018 19/02/2018 05/12/1966 0 1
1 E11.7;A15.0;E44.1 88.27;88.75;87.49;89.52;90.59;93.57 - - None
None None None E-4-10-II None None None None None None PENYAKIT
KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK (SEDANG) 5584700 0 0 -
0 - 0 - 0 - 0 5584700 17971394 0 21
0 0 0 BASORI 00488185 51 18684 SETYO RAHARJO, DR, SP.
PD 1023R00101180011993 0001095228336 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164939 1#0##0#0#0.0#2018-04-11
12:47:10#0#14:12:18#14:12:18#00:00:00 2 adb850d8c5a8fe67a49e209af75b89f7
3207012 C 3 CP 1 15/02/2018 19/02/2018 06/04/1952 0 1
1 R33;Z48.9;N40;D64.9 99.04;89.52;90.59 - - None None None
None N-4-15-I None None None None None None GEJALA,TANDA GANGGUAN
GINJAL DAN SALURAN URIN (RINGAN) 2241300 0 0 - 0 - 0
- 0 - 0 2241300 2281578 0 5 0 0 0
E DADANG SUNANDAR 00379086 65 24056 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180002185 0000071245967 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168263 1#0##0#0#0.0#2018-04-13
09:23:23#0#09:21:09#09:21:09#00:00:00 1 530d67f54281b437c3e65e08ff135cf8
3207012 C 3 CP 1 18/02/2018 19/02/2018 12/03/1938 0 1
1 C50.9 85.20;89.52;90.59;91.59 - - None None None None L-1-
50-I None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
 4853300 0 0 - 0 - 0 - 0 - 0
4853300 3909094 0 2 0 0 0 TITI 00493514 79
29198 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180006770
0002008464985 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168345
1#0##0#0#0.0#2018-04-13 10:06:53#0#10:03:42#10:03:42#00:00:00 1
6b2ebf90e11677722e29b9db1314c30b
3207012 C 3 CP 1 13/02/2018 19/02/2018 07/03/1945 0 2
1 E14.5 84.11;87.49;89.52;90.59 - - None None None None M-1-
30-I None None None None None None PROSEDUR KAKI (RINGAN) 6295600 0
0 - 0 - 0 - 0 - 0 6295600 8456820
0 7 0 0 0 SITI SUKAESIH 00493185 72 26641
FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180004948 0000071402229
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168580
1#0##0#0#0.0#2018-04-16 10:26:08#0#10:24:20#10:24:20#00:00:00 1
77d6c47577a43637d9306864ec9793e6
3207012 C 3 CP 1 12/02/2018 19/02/2018 14/05/1968 0 1
1 I84.5;K62.2 49.46;49.76;89.52;87.49;90.59 - - None None None
None K-1-50-I None None None None None None PROSEDUR ANAL (RINGAN)
4421500 0 0 - 0 - 0 - 0 - 0
4421500 5181175 0 8 0 0 0 APUNG PURWANTO
00494594 49 18171 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180004183 0000070941058 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168590 1#0##0#0#0.0#2018-04-16
10:33:59#0#10:32:16#10:32:16#00:00:00 1 c18f0ade93e22c7f2a4600283dcbae35
3207012 C 3 CP 1 16/02/2018 19/02/2018 15/11/1955 0 2
4 A40.3;G93.4;N18.9;I64;E79.0 89.52;99.60;57.94;87.49;90.59;96.07;93.96
- - None None None None A-4-10-III None None None None None
None SEPTIKEMIA (BERAT) 4335600 0 0 - 0 - 0
- 0 - 0 4335600 4361190 0 4 0 0 0
ENIH ROHAENI 00495080 62 22739 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180006419 0002292485163 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164071 1#0##0#0#0.0#2018-04-19
08:25:26#0#00:00:00#00:00:00#00:00:00 2 be172ba72c0fad17dcac6fe81f927d65
3207012 C 3 CP 1 11/02/2018 19/02/2018 01/07/1954 0 2
3 I50.0;J90;N18.9;E87.5 89.52;87.49;90.59;57.94;34.91 - - None
None None None I-4-12-III None None None None None None KEGAGALAN
JANTUNG (BERAT) 3582600 0 0 - 0 - 0 - 0 -
0 3582600 4244755 0 9 0 0 0 IJAH 00494645
63 23236 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180003937
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1#0##0#0#0.0#2018-04-19 08:29:04#0#00:00:00#00:00:00#00:00:00 4
800af54d5d8653d6124259b26d50d935
3207012 C 1 CP 1 12/02/2018 19/02/2018 05/05/1960 0 1
1 I20.9;I21.3 89.52;90.59 - - None None None None I-4-20-III
None None None None None None ANGINA PEKTORIS DAN NYERI DADA (BERAT)
7318900 0 0 - 0 - 0 - 0 - 0
7318900 8776742 0 8 0 0 0 YOYO 00434667 57
21102 SETYO RAHARJO, DR, SP. PD 1023R00102180004421 0000071497956
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161650
1#0##0#0#0.0#2018-04-19 08:35:57#0#00:00:00#00:00:00#12:00:00 2
e314afe684faeb9b9853519637bff171
3207012 C 2 CP 1 13/02/2018 19/02/2018 14/08/1977 0 2
1 I63.9 90.59;87.49;87.03 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 4467200 0 0 - 0 - 0 - 0 -
0 4467200 5461369 0 7 0 0 0 HJ. TUTI
00494861 40 14793 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180005069 0002061998515 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 165012 1#0##0#0#0.0#2018-04-25
07:31:37#0#15:09:23#15:09:23#00:00:00 2 2780edd814eb28b39789b62c581ba68a
3207012 C 3 CP 1 12/02/2018 19/02/2018 18/07/1939 0 2
1 I64 89.52;87.49;90.59 - - None None None None G-4-15-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK NON
SPESIFIK & PENYUMBATAN PRE-CEREBRAL TANPA INFARK (RINGAN) 3041700 0 0
- 0 - 0 - 0 - 0 3041700 5471492 0
8 0 0 0 NYI HAENAH 00494756 78 28699 H. DENNY
RAHARJONO, DR. SP. S. 1023r00102180004484 0000071420578 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 164183 1#0##0#0#0.0#2018-04-25
07:32:21#0#13:49:28#13:49:28#00:00:00 2 e17cafea6a7dc11e0e23519a6c187c11
3207012 C 3 CP 1 17/02/2018 19/02/2018 11/09/2000 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 879151 0 3 0 0 0 REGGI CINDY SHAFIRA
00477837 17 6368 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006554
0002231231422 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163811
1#0##0#0#0.0#2018-04-25 07:38:58#0#00:00:00#00:00:00#00:00:00 3
43844b8a270f058aa36d2388abf48e91
3207012 C 3 CP 1 10/02/2018 19/02/2018 16/03/1961 0 1
1 E11.5;A15.0;I50.0;D64.9 84.15;99.04;89.52;90.59 - - None None
None None M-1-02-II None None None None None None AMPUTASI (SEDANG)
11236100 0 0 - 0 - 0 - 0 - 0
11236100 13545844 0 10 0 0 0 SLAMET RUSMEDI
00404640 56 20785 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180003859 0000070957067 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168268 1#0##0#0#0.0#2018-04-25
07:50:49#0#09:24:16#09:24:16#00:00:00 2 d8370659d533c9fdcc8d55a95025f57a
3207012 C 3 CP 1 19/02/2018 19/02/2018 29/09/1953 0 1
1 M54.56 - - - None None None None M-4-17-I None
None None None None None MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG
(RINGAN) 2738500 0 0 - 0 - 0 - 0 - 0
2738500 664224 0 1 0 0 0 DAHLAN 00485693
64 23519 ALDI DR.SP OT 1023r00102180007087 0002282039368 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 167392 1#0##0#0#0.0#2018-
04-25 10:28:15#0#08:13:55#08:13:55#00:00:00 2
40379ccbd5c714b593e2aae526ce607c
3207012 C 3 CP 1 18/02/2018 19/02/2018 28/03/1967 0 2
1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3324380 0 2 0 0 0 N.
ANNA MARLINA 00354806 50 18590 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180006587 0000048784972 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168575 1#0##0#0#0.0#2018-04-25
11:10:05#0#10:21:39#10:21:39#00:00:00 2 8f6336e50196c83069b57ce204b56ed2
3207012 C 2 CP 1 14/02/2018 19/02/2018 24/04/1943 0 2
1 J90;C34.9 34.91;90.41;87.49;90.59 - - None None None None
J-4-20-I None None None None None None PLEURAL EFUSI DAN PNEUMOTORAK
(RINGAN) 4594600 0 0 - 0 - 0 - 0 - 0
4594600 2913208 0 6 0 0 0 YOHANAH 00385327
74 27325 ABU BAKAR, DR. SPP, MKES 1023R00102180005582
0000071407078 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164951
1#0##0#0#0.0#2018-04-30 07:45:42#0#14:20:46#14:20:46#00:00:00 2
c25fd1078660d1809afb1422cfb25b22
3207012 C 3 CP 1 13/02/2018 19/02/2018 24/11/1948 0 2
1 J18.0;J90 34.91;87.41;87.49;90.59 - - None None None None
J-4-16-III None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (BERAT) 5921100 0 0 - 0 - 0 - 0 -
 0 5921100 4662808 0 7 0 0 0 TAYOH 00494817
69 25283 ABU BAKAR, DR. SPP, MKES 1023R00102180004975
0000071239713 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164982
1#0##0#0#0.0#2018-05-02 07:40:06#0#14:39:58#14:39:58#00:00:00 3
33b2fff6e2eeaec44265f43fb6f0c19a
3207012 C 3 CP 1 18/02/2018 19/02/2018 13/08/1970 0 1
1 M60.2;W45.9 98.26;87.49;90.59 - - None None None None M-4-
21-I None None None None None None GANGGUAN SISTEM MUSKULOSKELETAL &
JA(RINGAN) PENGHUBUNG LAIN-LAIN (RINGAN) 2192500 0 0 - 0 -
0 - 0 - 0 2192500 4624287 0 2 0 0
0 ANWAS 00493445 47 17356 ALDI DR.SP OT 1023R00102180006586
0000147946138 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163111
1#0##0#0#0.0#2018-05-02 07:57:36#0#00:00:00#00:00:00#00:00:00 3
a7cf542bd8a682f51ea5861d6f25a992
3207012 C 3 CP 1 16/02/2018 19/02/2018 06/11/1937 0 1
1 K40.9 53.00;89.52;87.49;90.59 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 5801046 0 4 0 0 0 SACHRUDIN 00435808
80 29322 ACHMAD HERYADI, DR. SP. B 1023R00102180006283
0000071120823 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160825
1#0##0#0#0.0#2018-05-02 07:59:04#0#00:00:00#00:00:00#00:00:00 3
dac1bad607c4bfa15988e1243f60f767
3207012 C 3 CP 1 13/02/2018 19/02/2018 01/10/1996 0 2
4 A17.0;G01;E43 89.52;90.59 - - None None None None G-4-
18-III None None None None None None INFEKSI BAKTERI SISTEM SARAF
(BERAT) 4919500 0 0 - 0 - 0 - 0 - 0
4919500 3928748 0 7 0 0 0 RIA PUSPITASARI
00492852 21 7805 ABU BAKAR, DR. SPP, MKES 1023R00102180004996
0000442007111 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163611
1#0##0#0#0.0#2018-05-08 08:06:41#0#00:00:00#00:00:00#00:00:00 4
1553c8ffd60101c904fd2c703041e8b2
3207012 C 3 CP 1 18/02/2018 19/02/2018 18/12/1961 0 2
4 I21.9;I46.9 89.52;87.49;90.59 - - None None None None I-4-
10-III None None None None None None INFARK MYOKARD AKUT (BERAT)
7492600 0 0 - 0 - 0 - 0 - 0
7492600 1979259 0 2 0 0 0 WASIH SUARSIH
00495248 56 20516 SETYO RAHARJO, DR, SP. PD 1023r00102180006585
0000071519512 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167852
1#0##0#0#0.0#2018-05-08 08:07:26#0#14:03:36#14:03:36#00:00:00 3
c8ba78826455d33716e3866fabdc9561
3207012 C 3 CP 1 18/02/2018 19/02/2018 01/06/1996 0 2
1 O03.6 75.7;90.59 - - None None None None W-4-13-I None
None None None None None ABORTUS (RINGAN) 923600 0 0 -
0 - 0 - 0 - 0 923600 1847796 0 2
0 0 0 SINTA 00495243 21 7932 H. SUSWADI, SP.OG
1023r00102180006837 0000442183421 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167991 1#0##0#0#0.0#2018-05-09
07:54:05#0#10:04:06#10:04:06#00:00:00 4 27a9f95a77bc6764afdb8ac4cb21ee68
3207012 C 3 CP 1 17/02/2018 20/02/2018 16/08/1984 0 2
1 O60.1;O42.9;O80.0;Z37.0 73.59;75.7;90.59 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
(RINGAN) 1544900 0 0 - 0 - 0 - 0 - 0
1544900 2707064 0 4 0 0 0 ASWATI 00477814
33 12238 DIDI KURNIADI M, DR. SP.OG 1023R00102180007619
0002243424238 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161419
1#0##0#0#0.0#2018-03-20 09:17:00#0#00:00:00#00:00:00#00:00:00 1
b732172a5bd4a4e0cb1b34ea2a1948ad
3207012 C 3 CP 1 17/02/2018 20/02/2018 01/11/1996 0 2
 1 O65.4;O42.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6382517 0 4 0 0 0 LINA MARLINA
00418070 21 7778 DIDI KURNIADI M, DR. SP.OG 1023R00102180006572
0000441840723 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161617
1#0##0#0#0.0#2018-03-20 11:26:39#0#00:00:00#00:00:00#00:00:00 1
fb77f11bb1c3ca6bdd84cdf9dd78aa5c
3207012 C 3 CP 1 19/02/2018 20/02/2018 09/04/2001 0 2
1 D24 85.21;91.89;90.59 - - None None None None L-1-50-I
None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3056905 0 2 0 0 0 SINTIA NURWULAN
00494439 16 6160 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007143 0000442564964 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162520 1#0##0#0#0.0#2018-03-21
14:02:01#0#00:00:00#00:00:00#00:00:00 1 313c1c77e0fe505d6ab9b7f90087e0ab
3207012 C 3 CP 1 17/02/2018 20/02/2018 06/07/2017 0 1
1 J45.9;B99 93.94;87.49;90.59 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1562370 0 4 0 0 0 BAYI NY DESY OKTAVIANI
00475559 0 226 HJ. SUHERJATI, SP. A 1023R00102180006551
0002249368165 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163180
1#0##0#0#0.0#2018-03-22 11:33:12#0#00:00:00#00:00:00#00:00:00 1
b116e6b258802c2194b81b2faaecf5d2
3207012 C 3 CP 1 17/02/2018 20/02/2018 15/01/2004 0 1
1 D61.9;E83.1 99.04;90.59 - - None None None None D-4-13-II
None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 - 0 -
0 - 0 3139300 3351735 0 4 0 0 0 ERIK
SETIAWAN 00410011 14 5147 HJ. SUHERJATI, SP. A 1023R00102180006514
0001878530376 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163192
1#0##0#0#0.0#2018-03-22 11:35:09#0#00:00:00#00:00:00#00:00:00 1
c4344250beae691a60b1b7fd4db0d3d6
3207012 C 3 CP 1 17/02/2018 20/02/2018 12/09/1961 0 1
1 K40.9 53.05;89.52;90.59;88.19;93.57 - - None None None None
K-1-14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN
FEMORAL (RINGAN) 4528900 0 0 - 0 - 0 - 0 -
0 4528900 4882885 0 4 0 0 0 DEDI 00495217
56 20612 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180006561
0002318724729 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163281
1#0##0#0#0.0#2018-03-22 13:07:08#0#00:00:00#00:00:00#00:00:00 1
944aea432378dabfeebe85fd727a10da
3207012 C 3 CP 1 16/02/2018 20/02/2018 06/07/1979 0 2
1 O14.1;O80.0;Z37.0 73.59;90.59 - - None None None None O-6-
13-II None None None None None None PERSALINAN VAGINAL (SEDANG) 1828500
0 0 - 0 - 0 - 0 - 0 1828500
3555104 0 5 0 0 0 JUJU JUHANA 00495042 38 14105
H. SUSWADI, SP.OG 1023R00102180006415 0001247402542 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163382 1#0##0#0#0.0#2018-03-22
13:37:22#0#00:00:00#00:00:00#00:00:00 1 5a530e042bdbb216160f70e13fa36ce4
3207012 C 3 CP 1 19/02/2018 20/02/2018 15/07/1996 0 2
1 O42.9;O60.1;O80.0;Z37.0 73.59;90.59 - - None None None None
O-6-13-II None None None None None None PERSALINAN VAGINAL (SEDANG)
1828500 0 0 - 0 - 0 - 0 - 0
1828500 1502248 0 2 0 0 0 LENI SRIYANI FAUZI
00499870 21 7889 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180007664
0002427392878 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163407
 1#0##0#0#0.0#2018-03-22 13:47:53#0#00:00:00#00:00:00#00:00:00 1
0e3c8e9608c5a79666e43046a691a9b7
3207012 C 3 CP 1 09/02/2018 20/02/2018 02/06/1963 0 1
4 K71.1;I50.0 89.52;87.49;90.41;90.59 - - None None None None
B-4-13-II None None None None None None GANGGUAN HATI LAIN-LAIN
(SEDANG) 3637100 0 0 - 0 - 0 - 0 - 0
3637100 6325240 0 12 0 0 0 SOBIRIN 00488053
54 19976 ABU BAKAR, DR. SPP, MKES 1023R00102180003656
0001779809332 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163598
1#0##0#0#0.0#2018-03-26 08:05:37#0#00:00:00#00:00:00#00:00:00 1
b9cccb79d9c8bfebce3d437ec1edba18
3207012 C 3 CP 1 17/02/2018 20/02/2018 13/04/2012 0 1
1 R56.0;J06.9 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 1232459
0 4 0 0 0 ABDILAH TEGUH WIDIYANTO 00495081 5 2136
HJ. SUHERJATI, SP. A 1023R00102180006532 0001089578272 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163631 1#0##0#0#0.0#2018-03-26
08:14:00#0#00:00:00#00:00:00#00:00:00 1 651bc56bd4914e2ce20536a0be5f59ff
3207012 C 2 CP 1 14/02/2018 20/02/2018 22/01/1989 0 2
1 A91;E11.9;K75.9 90.59 - - None None None None A-4-13-II
None None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN
(SEDANG) 2728200 0 0 - 0 - 0 - 0 - 0
2728200 4303792 0 7 0 0 0 KURNIASIH 00449833
29 10615 SETYO RAHARJO, DR, SP. PD 1023R00102180005492
0001384899614 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163762
1#0##0#0#0.0#2018-03-26 09:13:56#0#00:00:00#00:00:00#00:00:00 1
7fa27e3a20e10daba992948642c1d6b9
3207012 C 3 CP 1 14/02/2018 20/02/2018 01/05/1965 0 2
1 D25.9 68.9;88.79;90.59;93.57 - - None None None None W-1-
20-I None None None None None None PROSEDUR PADA RAHIM & ADNEKSA (RINGAN)
6136900 0 0 - 0 - 0 - 0 - 0
6136900 7536586 0 7 0 0 0 LILIH 00429046 52
19282 H. SUSWADI, SP.OG 1023R00102180005082 0000442482423 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163790 1#0##0#0#0.0#2018-03-26
09:24:18#0#00:00:00#00:00:00#12:00:00 1 545af08161036dd6ce343ad4606d5cab
3207012 C 2 CP 1 12/02/2018 20/02/2018 04/09/1948 0 2
1 T23.3;E11.9 89.52;87.49;93.57;90.59 - - None None None None
S-4-16-I None None None None None None LUKA BAKAR (RINGAN)
4600300 0 0 - 0 - 0 - 0 - 0
4600300 7691458 0 9 0 0 0 JUJU JUARIAH
00494752 69 25363 SETYO RAHARJO, DR, SP. PD 1023R00102180004476
0000201679053 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164085
1#0##0#0#0.0#2018-03-26 11:20:33#0#00:00:00#00:00:00#00:00:00 1
c00d4afafc37f7737021ee7bcb95ec4a
3207012 C 3 CP 1 20/02/2018 20/02/2018 19/02/2018 3100 2
1 P21.1;P12.8;Z24.6;Z24.0 99.59;99.41;90.59 - - None None None
None P-8-08-I None None None None None None NEONATAL, BERAT BADAN
LAHIR GROUP-5 DENGAN SINDROMA DISTRES PERNAFASAN (RINGAN) 3841500 0 0
- 0 - 0 - 0 - 0 3841500 300000 0
1 0 0 0 BY NY DEDAH SITI SUAEDAH 00495373 0 1
IMELDA PINGKAN MONIAGA, DR. SP. A 1023r00102180007667 0002431477146
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164396
1#0##0#0#0.0#2018-03-27 08:16:19#0#08:14:26#08:14:26#00:00:00 1
6f4a7cc3cb6d1c6595aa232647d36bd9
3207012 C 3 CP 1 17/02/2018 20/02/2018 01/07/1947 0 2
1 K30;E78.5 88.76;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
 1242600 1568205 0 4 0 0 0 ITO 00495221 70
25799 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006563 0000441162055
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164427
1#0##0#0#0.0#2018-03-27 08:30:08#0#08:29:02#08:29:02#00:00:00 1
39668c8db84d6bbf03a82c604002d82c
3207012 C 3 CP 1 17/02/2018 20/02/2018 17/02/2018 3700 1
1 P59.9;Z24.6 99.83;93.96;90.59;99.59 - - None None None None
P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA
PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0
- 0 3326400 3288473 0 4 0 0 0 MUHAMMAD
REKA FUZIANA 00495201 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180007141 0002430976825 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164438 1#0##0#0#0.0#2018-03-27
08:37:23#0#08:36:04#08:36:04#00:00:00 1 da801b6dd63f6cba491253e7c37bb29d
3207012 C 3 CP 1 18/02/2018 20/02/2018 19/08/1944 0 1
1 K40.9 53.05;93.57 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 4028099 0 3 0 0 0 IJAN RATIDJAN
00494434 73 26846 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180006932 0002427406446 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164445 1#0##0#0#0.0#2018-03-27
08:40:43#0#08:39:35#08:39:35#00:00:00 1 8ca76729ca5fff796321af23ccd716f3
3207012 C 3 CP 1 16/02/2018 20/02/2018 10/08/1962 0 1
1 I11.0 89.52;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 1877515
0 5 0 0 0 EMONG NASIM 00481975 55 20279 AYATULLAH
KHOMAINI, DR. SP.PD 1023r00102180007125 0002285427273 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164486 1#0##0#0#0.0#2018-03-27
09:04:08#0#09:02:56#09:02:56#00:00:00 1 869547f990b67e146d0136e11d4d7078
3207012 C 3 CP 1 14/02/2018 20/02/2018 01/09/1960 0 1
1 I11.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
3152740 0 7 0 0 0 ROING 00435823 57 20985
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180005631 0000441939576 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164800 1#0##0#0#0.0#2018-
03-27 12:01:39#0#11:57:12#11:57:12#12:00:00 1
d07326b61bbe1be1727bc27741f6f5cc
3207012 C 2 CP 1 18/02/2018 20/02/2018 24/07/1987 0 2
1 O65.4;O82.0;Z37.0;Z30.5 74.0;69.7;88.78;90.59;57.94;93.57 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 5796300 0 0 - 0 -
0 - 0 - 0 5796300 6072709 0 3 0 0
0 YULISTIANI SAPUTRA 00482920 30 11167 H. SUSWADI, SP.OG
1023r00102180006595 0001078763376 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164809 1#0##0#0#0.0#2018-03-27
12:16:17#0#12:14:10#12:14:10#00:00:00 1 d9cea587d1dde61a889afecae19adbf2
3207012 C 3 CP 1 16/02/2018 20/02/2018 03/07/1986 0 1
1 J44.1 87.49;90.59;90.41 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2287728 0 5 0 0 0 HENDRIK 00495041
31 11551 ABU BAKAR, DR. SPP, MKES 1023R00102180006244
0002320964853 3;JKN Firman; 5.2.0.201712280730 4 164978
1#0##0#0#0.0#2018-03-27 14:43:06#0#14:37:28#14:37:28#00:00:00 1
96e2e562e20995e7d267eed76d4f82f4
3207012 C 3 CP 1 19/02/2018 20/02/2018 06/06/1961 0 1
 1 K40.9 53.05;89.52;90.59;93.57 - - None None None None K-1-
14-I None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3487548 0 2 0 0 0 DARJA 00414791 56
20712 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180007128
0000064640788 3;JKN Firman; 5.2.0.201712280730 4 165009
1#0##0#0#0.0#2018-03-27 15:05:36#0#15:03:52#15:03:52#12:00:00 1
7c6c0a915750590e6e1213b1a6b01630
3207012 C 1 CP 1 18/02/2018 20/02/2018 03/07/1965 0 2
1 I25.9;E14.9 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 2187000
0 0 - 0 - 0 - 0 - 0 2187000
1794790 0 3 0 0 0 AI NURLINA 00495250 52 19223
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180006583 0000069073874
3;JKN ANDI; 5.2.0.201712280730 4 165023 1#0##0#0#0.0#2018-03-27
15:18:09#0#15:16:33#15:16:33#00:00:00 1 bd91db54ebc24255b19a4b74159babd3
3207012 C 3 CP 1 16/02/2018 20/02/2018 01/03/1967 0 2
1 K30;I25.0 89.52;88.76;90.59 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 3009504 0 5 0 0 0 SARSIH 00433182
50 18615 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006245
0000439762634 3;JKN ANDI; 5.2.0.201712280730 4 165026
1#0##0#0#0.0#2018-03-27 15:19:55#0#15:18:21#15:18:21#00:00:00 1
b229624e7bc16ee8ed36b658c1679063
3207012 C 3 CP 1 16/02/2018 20/02/2018 01/10/1960 0 1
1 J44.9 93.94;89.52;87.49;90.59 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2079550 0 5 0 0 0 AGUS ROCHMAN
00404022 57 20957 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006498
0000440245721 3;JKN ANDI; 5.2.0.201712280730 4 165030
1#0##0#0#0.0#2018-03-27 15:21:39#0#15:20:09#15:20:09#00:00:00 1
ee1eeae7fc0bdc7ca20c1ec318f3e065
3207012 C 3 CP 1 15/02/2018 20/02/2018 01/10/1958 0 2
1 J44.1;K30 87.49;90.59 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2839821 0 6 0 0 0 SURYATI 00413301
59 21687 ABU BAKAR, DR. SPP, MKES 1023r00102180005923
0000440398899 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165033
1#0##0#0#0.0#2018-03-27 15:22:52#0#15:21:31#15:21:31#00:00:00 1
19189f8b7559acda0cac79ba93a298d1
3207012 C 3 CP 1 17/02/2018 20/02/2018 01/06/1955 0 1
1 K30;I25.0 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1173661 0 4 0 0 0 SULEH 00476554 62
22907 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006560 0001005963647
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165025
1#0##0#0#0.0#2018-03-28 08:58:00#0#15:17:35#15:17:35#00:00:00 2
e0782ceda3ddcc7b97e64aeb7fa53f8d
3207012 C 3 CP 1 16/02/2018 20/02/2018 21/05/1976 0 2
1 J45.9 93.94;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000
1660393 0 5 0 0 0 ELIN SUHERLIN 00490831 41
15246 ABU BAKAR, DR. SPP, MKES 1023r00102180006243 0001304821809
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165047
 1#0##0#0#0.0#2018-03-28 09:06:34#0#09:04:44#09:04:44#00:00:00 2
dd79ab5650ce5666b0b404c901506799
3207012 C 3 CP 1 13/02/2018 20/02/2018 05/07/1975 0 2
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2814644 0 8 0 0 0 NENAH 00203319 42
15564 RISSA NURLAILLA, DR. SP. S. 1023r00102180005548 0000070864323
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166118
1#0##0#0#0.0#2018-04-03 07:53:56#0#07:52:53#07:52:53#00:00:00 1
2cb7813a58c6388f95d7ddd34be3d0bf
3207012 C 2 CP 1 11/02/2018 20/02/2018 16/02/1954 0 2
1 I63.8;E78.5;E14.9 87.03;87.49;90.59 - - None None None None
G-4-14-I None None None None None None KECEDERAAN PEMBULUH DARAH
OTAK DENGAN INFARK (RINGAN) 4467200 0 0 - 0 - 0 -
0 - 0 4467200 4347656 0 10 0 0 0 YOYOH
00331339 63 23371 RISSA NURLAILLA, DR. SP. S. 1023r00102180004287
0000201527223 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166128
1#0##0#0#0.0#2018-04-03 08:05:16#0#08:03:26#08:03:26#00:00:00 2
7cf380e530f45940a4b9cb00876536c8
3207012 C 3 CP 1 14/02/2018 20/02/2018 07/06/1958 0 2
1 I63.8 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 3487382 0 7 0 0 0 KIMING SUKIMI
00494954 59 21802 RISSA NURLAILLA, DR. SP. S. 1023r00102180006202
0002428887587 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166170
1#0##0#0#0.0#2018-04-03 09:14:24#0#09:13:04#09:13:04#00:00:00 1
7e7d0934d9eccc700b62fff5d6dd61ae
3207012 C 3 CP 1 16/02/2018 20/02/2018 07/06/1967 0 1
1 G43.9 90.59 - - None None None None G-4-23-I None None
None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN) 1967900
0 0 - 0 - 0 - 0 - 0 1967900
1520556 0 5 0 0 0 SUHERMAN 00481122 50 18517
RISSA NURLAILLA, DR. SP. S. 1023r00102180007079 0002284540975 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166222 1#0##0#0#0.0#2018-
04-03 09:38:30#0#09:37:03#09:37:03#00:00:00 1
ab2530607d6dac873d2afa88939d8e89
3207012 C 3 CP 1 11/02/2018 20/02/2018 10/08/1940 0 1
1 M54.5;D64.9 87.24;87.49;99.04;90.59 - - None None None None
M-4-17-II None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (SEDANG) 3830100 0 0 - 0 - 0
- 0 - 0 3830100 4728220 0 10 0 0 0
AHMARUDIN S 00199121 77 28309 RISSA NURLAILLA, DR. SP. S.
1023r00102180003934 0000071450921 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166236 1#0##0#0#0.0#2018-04-03
09:44:09#0#09:42:25#09:42:25#12:00:00 1 14f48a072f20304927dfefd0ace02221
3207012 C 3 CP 1 19/02/2018 20/02/2018 22/12/1971 0 2
1 D24 85.21 - - None None None None L-1-50-I None None
None None None None PROSEDUR PADA PAYUDARA (RINGAN) 4853300 0
0 - 0 - 0 - 0 - 0 4853300 3770755
0 2 0 0 0 SITI GHONIMAH 00493783 46 16861 ACHMAD
HERYADI, DR. SP. B 1023R00102180007614 0002223720696 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160799 1#0##0#0#0.0#2018-04-04
10:28:23#0#00:00:00#00:00:00#00:00:00 2 f59d7f8536d18b455fdbe357b1b1b9dd
3207012 C 3 CP 1 13/02/2018 20/02/2018 08/05/2017 0 2
1 A09.9;E86;J06.9 90.59 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
 1406200 2652989 0 8 0 0 0 MIKAYLA NADIRA SABHIRA
00471135 0 281 HJ. SUHERJATI, SP. A 1023R00102180005563
0002429732542 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164041
1#0##0#0#0.0#2018-04-04 13:09:17#0#00:00:00#00:00:00#00:00:00 2
437f08f7d287c8b5ceec257cce47b974
3207012 C 3 CP 1 18/02/2018 20/02/2018 28/12/1986 0 1
1 J45.9 93.94;90.59;89.52 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1030032 0 3 0 0 0 NURMAN FAHMI
00495263 31 11375 ABU BAKAR, DR. SPP, MKES 1023r00102180007606
0001257568773 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166883
1#0##0#0#0.0#2018-04-05 11:02:55#0#11:01:04#11:01:04#00:00:00 1
aaf0fb37c3675a7d64fcc4685f747912
3207012 C 3 CP 1 08/02/2018 20/02/2018 05/04/1972 0 1
1 N20.0;K80.2 88.76;89.52;87.49;90.59 - - None None None None
N-4-13-I None None None None None None BATU URIN (RINGAN)
3249600 0 0 - 0 - 0 - 0 - 0
3249600 4794088 0 13 0 0 0 TATA SAPUTRA
00425228 45 16745 SETYO RAHARJO, DR, SP. PD 1023r00102180003604
0000441360483 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167072
1#0##0#0#0.0#2018-04-06 09:22:29#0#09:20:45#09:20:45#00:00:00 1
8c980591f0ebea7f4db088de80145fb2
3207012 C 3 CP 1 17/02/2018 20/02/2018 01/03/1996 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1239347 0 4 0 0 0 PIAN HERMAWAN
00495064 21 8023 SETYO RAHARJO, DR, SP. PD 1023r00102180006524
0001006078779 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167154
1#0##0#0#0.0#2018-04-06 10:15:55#0#10:14:45#10:14:45#00:00:00 1
c0250516f5437e6cb63ad922378d2aac
3207012 C 3 CP 1 13/02/2018 20/02/2018 09/03/1981 0 2
1 I11.0;G40.9 89.52;87.49;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 2985500
0 0 - 0 - 0 - 0 - 0 2985500
2572354 0 8 0 0 0 NENI MARLINA 00428641 36
13490 SETYO RAHARJO, DR, SP. PD 1023r00102180004777 0002196425485
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167703
1#0##0#0#0.0#2018-04-09 13:16:19#0#13:13:50#13:13:50#00:00:00 1
e88b0dd5d1c36110870ff721d3e663fb
3207012 C 3 CP 1 16/02/2018 20/02/2018 01/10/1999 0 2
1 A06.9 90.99;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1604833 0 5 0 0 0 NURUL FAUZIAH ISLAMIAH
00495075 18 6713 SETYO RAHARJO, DR, SP. PD 1023r00102180006519
0000440749664 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167785
1#0##0#0#0.0#2018-04-10 08:30:03#0#08:28:38#08:28:38#00:00:00 1
35c94d4f1b15907fd5aa1a3d5dd6094e
3207012 C 3 CP 1 17/02/2018 20/02/2018 20/04/1995 0 2
1 D56.1 99.04;90.59 - - None None None None D-4-13-I None
None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA
SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 - 0
- 0 2218100 2280172 0 4 0 0 0 RITA NOPITA
00489898 22 8339 SETYO RAHARJO, DR, SP. PD 1023r00102180006543
0001730701102 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167791
1#0##0#0#0.0#2018-04-10 08:58:10#0#08:40:39#08:40:39#00:00:00 1
23511c1b220b214077e9521c4a9089e9
3207012 C 3 CP 1 19/02/2018 20/02/2018 01/04/2000 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 780119 0 2 0 0 0 SITI MASRUROH
00495265 17 6533 SETYO RAHARJO, DR, SP. PD 1023r00102180007094
0000440142737 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167883
1#0##0#0#0.0#2018-04-11 08:12:51#0#08:11:33#08:11:33#00:00:00 1
33da66576032f86dd0249161866749cb
3207012 C 3 CP 1 16/02/2018 20/02/2018 30/07/1964 0 1
1 T06.0;I10;R42;K30;W13.0 87.16;87.24;90.59 - - None None None
None G-4-17-I None None None None None None GANGUAN SARAF KRANIAL
DAN PERIFER (RINGAN) 3339800 0 0 - 0 - 0 - 0
- 0 3339800 1782631 0 5 0 0 0 IDING
00491540 53 19559 RISSA NURLAILLA, DR. SP. S. 1023r00102180006279
0002422080819 3;JKN Ridwan; 5.2.0.201712280730 4 166113
1#0##0#0#0.0#2018-04-11 08:26:29#0#07:48:47#07:48:47#00:00:00 2
c193cf69a8c016413bac332669cd5ffd
3207012 C 3 CP 1 15/02/2018 20/02/2018 10/06/1994 0 2
1 O34.2;O99.6;K75.9;O80.0;Z37.0 73.59;90.59 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 4171760 0 6 0 0 0 NURJANAH 00435477
23 8651 H. SUSWADI, SP.OG 1023R00102180006421 0000440183452 3;JKN
Ridwan; 5.2.0.201712280730 4 168007 1#0##0#0#0.0#2018-04-11
10:28:06#0#10:26:45#10:26:45#00:00:00 1 eb0300a9104e44214f29e5f9f423696a
3207012 C 3 CP 1 18/02/2018 20/02/2018 01/09/1977 0 2
1 O14.1;O36.2;O80.0;Z37.1 73.59;90.59;57.94 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 3035587 0 3 0 0 0 ISAH AISAH 00430599
40 14780 H. SUSWADI, SP.OG 1023R00102180006797 0000439880398 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 159350 1#0##0#0#0.0#2018-
04-11 12:19:02#0#00:00:00#00:00:00#00:00:00 2
d80d7c95bed60edb238ebcbd560497b1
3207012 C 3 CP 1 14/02/2018 20/02/2018 21/01/1966 0 2
1 N92.1;D64.9;N95.8;D25.9 99.04;90.59 - - None None None None
W-4-12-II None None None None None None GANGGUAN MENSTRUASI & SISTEM
REPRODUKSI WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0 -
0 - 0 - 0 3667500 3319512 0 7 0 0
0 N. II 00494915 52 19017 H. SUSWADI, SP.OG 1023r00102180005708
0002429452473 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168278
1#0##0#0#0.0#2018-04-13 09:31:07#0#09:29:48#09:29:48#00:00:00 1
a9dc86a3d77257a4e9d6e94e2a85242d
3207012 C 3 CP 1 19/02/2018 20/02/2018 03/02/1942 0 1
1 H11.0 11.39;10.44;90.59 - - None None None None H-1-20-I
None None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2822239 0 2 0 0 0 M.THAMRIN 00481287
76 27775 MEGA PRAYOGA, DR. SP. M. 1023r00102180006674
0002269932816 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164367
1#0##0#0#0.0#2018-04-13 10:22:22#0#07:59:49#07:59:49#00:00:00 2
c7c76b94232ddb75d40dd160d1e53a90
3207012 C 3 CP 1 19/02/2018 20/02/2018 31/12/1968 0 2
1 H11.0 11.39;10.44 - - None None None None H-1-20-I None
None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2701769 0 2 0 0 0 SUSWATI 00321355
49 17947 MEGA PRAYOGA, DR. SP. M. 1023R00102180006697
 0002270991341 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160795
1#0##0#0#0.0#2018-04-13 10:23:19#0#00:00:00#00:00:00#00:00:00 2
006a98a111aa0d895c3867b7e74809f1
3207012 C 3 CP 1 17/02/2018 20/02/2018 01/12/1998 0 2
4 I50.0;I09.9 89.52;87.49;90.59 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1815402 0 4 0 0 0 AI NURJANAH 00495213 19 7018
SETYO RAHARJO, DR, SP. PD 1023r00102180006559 0000438842687 3;JKN
NANA KUSLIANA; 5.2.1.201802140120 4 167411 1#0##0#0#0.0#2018-
04-16 13:41:31#0#08:34:09#08:34:09#00:00:00 2
559cead11d5e1bf06710153cb27438a2
3207012 C 3 CP 1 19/02/2018 20/02/2018 02/06/1982 0 2
1 D21.9 86.3;87.49;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2838162 0 2 0 0 0 EKA
NURYANI 00479824 35 13046 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180007349 0002285106671 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167210 1#0##0#0#0.0#2018-04-18
09:46:13#0#11:09:26#11:09:26#00:00:00 2 48fd2c1ac8aec2de33649ab47c2833b8
3207012 C 3 CP 1 19/02/2018 20/02/2018 25/10/1983 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2888871 0 2 0 0 0 NINA MARLINA
00494230 34 12536 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180007146 0002263700981 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167810 49#0##0#0#0.0#2018-04-18
09:53:26#0#12:35:52#12:35:52#00:00:00 2 61094d02f037f2b88d51948297312e32
3207012 C 3 CP 1 17/02/2018 20/02/2018 17/02/2018 2000 1
1 P03.4;P07.1;Z24.6 93.93;96.07;99.59;90.59 - - None None None
None P-8-13-I None None None None None None NEONATAL, BBL 2000 -
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 -
0 - 0 - 0 4989600 1419181 0 4 0 0
0 BY NY LINA MARLINA 00495218 0 0 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023R00102180006994 0002430777554 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169966 1#0##0#0#0.0#2018-04-18
09:57:04#0#00:00:00#00:00:00#00:00:00 1 3f9350198c280f7d1137ef981ce72251
3207012 C 3 CP 1 17/02/2018 20/02/2018 10/07/1968 0 2
1 K30 90.59;90.99 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1127162 0 4 0 0 0 NINING 00332603
49 18119 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006552
0000071506067 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164993
1#0##0#0#0.0#2018-04-18 10:11:13#0#14:50:47#14:50:47#00:00:00 2
4153d57d063f7f9cf4aa64d24612fc7e
3207012 C 3 CP 1 13/02/2018 20/02/2018 01/07/1975 0 2
1 A15.0;E43 87.49;90.41;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 3276893 0 8 0 0 0 ANAH KARNAH 00494849
42 15568 ABU BAKAR, DR. SPP, MKES 1023r00102180005544
0000441443316 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164959
1#0##0#0#0.0#2018-04-19 08:38:26#0#14:24:48#14:24:48#00:00:00 2
8a51d1bf8bddff0af79b322e847adb85
3207012 C 3 CP 1 13/02/2018 20/02/2018 17/08/1954 0 1
1 D14.3;J90 34.91;87.49;90.59;90.49 - - None None None None
 J-4-14-III None None None None None None TUMOR PARU (BERAT)
6311300 0 0 - 0 - 0 - 0 - 0
6311300 3976029 0 8 0 0 0 ODIK SURYADI
00494848 63 23191 ABU BAKAR, DR. SPP, MKES 1023r00102180005061
0002020336558 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164869
1#0##0#0#0.0#2018-04-19 08:39:20#0#13:23:42#13:23:42#00:00:00 4
ccec66b0c7d56db9570f458fbb7f5eea
3207012 C 2 CP 1 18/02/2018 20/02/2018 15/04/1992 0 2
4 O14.1;O03.9;O99.1;D65 88.78;89.52;90.59;57.94 - - None None
None None W-4-16-II None None None None None None GANGGUAN
ANTEPARTUM (SEDANG) 3209200 0 0 - 0 - 0 - 0
- 0 3209200 2651380 0 3 0 0 0 HERAWATI
00491296 25 9440 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006777
0001147038401 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163388
1#0##0#0#0.0#2018-04-23 08:54:14#0#00:00:00#00:00:00#00:00:00 2
07b9190bcc54ba2b2b3d1aabd0ad07b5
3207012 C 1 CP 1 16/02/2018 20/02/2018 07/03/1943 0 2
1 K83.1;K80.5 87.49;90.59 - - None None None None B-4-14-I
None None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN
(RINGAN) 4366200 0 0 - 0 - 0 - 0 - 0
4366200 1387374 0 5 0 0 0 CAESIH SUMIATI
00482569 74 27375 firdau 1023R00102180006258 0000071352775
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173111
1#0##0#0#0.0#2018-04-24 12:40:23#0#00:00:00#00:00:00#00:00:00 1
2faae64d98ba605626268ac265c84c6d
3207012 C 3 CP 1 02/02/2018 20/02/2018 01/02/1969 0 2
1 I61.4;I10;K30;R42 87.03;90.59 - - None None None None G-4-
13-I None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 6737886 0 19 0 0 0 YUYUN YUHANAH
00493896 49 17898 RISSA NURLAILLA, DR. SP. S. 1023R00102180000827
0002426519902 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173352
1#0##0#0#0.0#2018-04-25 10:13:42#0#00:00:00#00:00:00#00:00:00 1
a636197506fb6415c817ca379ba9486f
3207012 C 3 CP 1 19/02/2018 20/02/2018 01/10/1984 0 1
1 H26.9 13.3;13.19;90.59 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5497295 0 2 0 0 0 ANDI MULYDI 00435349
33 12194 MEGA PRAYOGA, DR. SP. M. 1023r00102180006683
0000441249265 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164442
1#0##0#0#0.0#2018-04-30 07:27:42#0#08:37:50#08:37:50#00:00:00 3
e198adbb6e6639dfd9c0659955067242
3207012 C 3 CP 1 19/02/2018 20/02/2018 01/07/1958 0 1
1 H25.9 13.3 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6433000
0 0 - 0 - 0 - 0 - 0 6433000
5581557 0 2 0 0 0 MAMAT 00491571 59 21783 MEGA
PRAYOGA, DR. SP. M. 1023R00102180006742 0000439484218 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163748 1#0##0#0#0.0#2018-04-30
07:28:08#0#00:00:00#00:00:00#00:00:00 3 883a2781c6932ba5d0c85e4c8fb786b4
3207012 C 3 CP 1 19/02/2018 20/02/2018 01/07/1950 0 2
1 H25.9 13.3;93.57 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5491417 0 2 0 0 0 ATIKAH 00475040
67 24705 MEGA PRAYOGA, DR. SP. M. 1023R00102180006712
0000440997467 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165016
1#0##0#0#0.0#2018-04-30 07:29:27#0#15:11:30#15:11:30#00:00:00 3
 7974c0d75b4bf545b5759de41ada8a2b
3207012 C 3 CP 1 15/02/2018 20/02/2018 04/07/1945 0 1
1 I50.0;J18.9 89.52;87.49;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 2124067 0 6 0 0 0 SUDARMAN 00492974
72 26524 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006210
0002423105019 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168599
1#0##0#0#0.0#2018-05-02 07:42:14#0#10:44:03#10:44:03#00:00:00 2
48cb795d018b0f285b4a3db147dda99f
3207012 C 3 CP 1 14/02/2018 20/02/2018 24/05/2017 0 2
1 J45.9;H66.0 93.94;87.49;90.59 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 3176888 0 7 0 0 0 BY NY SITI MARYAM R
00472399 0 266 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180005632 0002252685374 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163173 1#0##0#0#0.0#2018-05-02
07:58:07#0#00:00:00#00:00:00#00:00:00 3 c0c2c30a3d166a8ecd0baf845872e950
3207012 C 3 CP 1 18/02/2018 20/02/2018 19/03/1936 0 1
4 E15;N17.9 99.60;96.07;57.94;89.52;87.49;90.59 - - None None
None None E-4-10-III None None None None None None PENYAKIT KENCING
MANIS & GANGGUAN NUTRISI/ METABOLIK (BERAT) 5776400 0 0 - 0
- 0 - 0 - 0 5776400 4141317 0 3 0
0 0 SUHARNA 00495258 81 29921 SETYO RAHARJO, DR, SP. PD
1023R00102180007122 0002430903881 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 163060 1#0##0#0#0.0#2018-05-08
08:07:00#0#00:00:00#00:00:00#00:00:00 4 ceeecd6cf9b5002e2df2a76904ec03a4
3207012 C 2 CP 1 16/02/2018 21/02/2018 19/12/1941 0 2
1 I25.0 89.52;87.49;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1874600
0 0 - 0 - 0 - 0 - 0 1874600
3107940 0 6 0 0 0 YOYOH 00412093 76 27818
PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180006539 0000045023545
3;JKN INACBG;123123123123 5.2.0.201712280730 4 159325
1#0##0#0#0.0#2018-03-13 14:32:56#0#00:00:00#00:00:00#12:00:00 1
0bef88772664e248b2f20bad8b10a40e
3207012 C 3 CP 1 16/02/2018 21/02/2018 01/06/1960 0 2
1 I25.0;E11.9;K30;I51.6 89.52;87.49;90.59 - - None None None
None I-4-16-I None None None None None None ATHEROSKLEROSIS (RINGAN)
1562100 0 0 - 0 - 0 - 0 - 0
1562100 3098949 0 6 0 0 0 RUMSIH 00495069
57 21079 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006525
0001006158486 3;JKN INACBG;123123123123 5.2.0.201712280730 4
159346 1#0##0#0#0.0#2018-03-13 14:38:31#0#00:00:00#00:00:00#00:00:00
1 101c61feb5f8adc797d6afd3cd42cdf0
3207012 C 3 CP 1 20/02/2018 21/02/2018 20/02/2018 3300 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 449824 0 2 0 0 0 BY NY
NUR BAITI 00495465 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180008080
0002422630484 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161234
1#0##0#0#0.0#2018-03-20 07:59:43#0#00:00:00#00:00:00#00:00:00 1
b16185b496cad137ba6af482472aef9d
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/02/1984 0 1
1 A05.9 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
 1242600 1122792 0 3 0 0 0 SAMSUL MUIN 00495359
34 12437 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180007131
0000437367565 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161423
1#0##0#0#0.0#2018-03-20 09:18:23#0#00:00:00#00:00:00#00:00:00 1
d02766f8da7418607fab8e3ebfd2fc4a
3207012 C 3 CP 1 18/02/2018 21/02/2018 13/09/2017 0 1
1 A09.9;E86;J45.9 87.49;90.99;90.59 - - None None None None
K-4-17-I None None None None None None NYERI ABDOMEN &
GASTROENTERITIS LAIN-LAIN (RINGAN) 1406200 0 0 - 0 - 0
- 0 - 0 1406200 1934423 0 4 0 0 0
RAKA HIDAYAT MAULANA 00485844 0 158 HJ. SUHERJATI, SP. A
1023R00102180007124 0002305690852 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162651 1#0##0#0#0.0#2018-03-22
08:29:27#0#00:00:00#00:00:00#00:00:00 1 691ebbf3e2dd5a66c6b36188ec9050b3
3207012 C 1 CP 1 19/02/2018 21/02/2018 13/08/1974 0 1
1 N30.9;I24.9 89.52;88.76;90.59 - - None None None None N-4-
12-II None None None None None None INFEKSI GINJAL DAN SALURAN URIN (SEDANG)
5599000 0 0 - 0 - 0 - 0 - 0
5599000 1603950 0 3 0 0 0 ANWAR SOLAHUDIN
00466117 43 15896 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180007388 0000147945767 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163019 1#0##0#0#0.0#2018-03-22
10:34:35#0#00:00:00#00:00:00#00:00:00 1 40a9dcc9326c6649afc925493d44d4d3
3207012 C 3 CP 1 16/02/2018 21/02/2018 03/06/1969 0 2
1 D25.9;D64.9;N92.1 99.04;99.03;88.79;90.59 - - None None None
None W-4-12-II None None None None None None GANGGUAN MENSTRUASI &
SISTEM REPRODUKSI WANITA LAIN-LAIN (SEDANG) 3667500 0 0 - 0
- 0 - 0 - 0 3667500 4014127 0 6 0
0 0 TITI SUMIARTI 00493558 48 17790 DIDI KURNIADI M, DR.
SP.OG 1023R00102180006392 0002212668347 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163043 1#0##0#0#0.0#2018-03-22
10:42:15#0#00:00:00#00:00:00#00:00:00 1 2a251cdbd0d9a1c4dc524c1299e1c419
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/05/1958 0 1
1 K40.9 53.05;93.57 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 3985128 0 3 0 0 0 JUKI 00494737 59
21844 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180007138
0000442999719 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163104
1#0##0#0#0.0#2018-03-22 10:57:20#0#00:00:00#00:00:00#00:00:00 1
5376d51252f77cdeb1d8f4e2bc00d9d8
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/08/1962 0 1
1 K40.9 53.05;89.52;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 4064285 0 3 0 0 0 M UWESUL KURNIA
00494686 55 20291 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007144 0002427386016 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163108 1#0##0#0#0.0#2018-03-22
10:58:46#0#00:00:00#00:00:00#00:00:00 1 c0212e66aa82317fab1538d160c2d413
3207012 C 3 CP 1 19/02/2018 21/02/2018 07/08/1952 0 1
1 I69.3;M65.8 87.49 - - None None None None G-4-26-I None
None None None None None GANGGUAN - PENYAKIT SISTEM SARAF LAIN-LAIN
(RINGAN) 2959900 0 0 - 0 - 0 - 0 - 0
2959900 1048266 0 3 0 0 0 NANA ROSDIANA
00382956 65 23937 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007134 0001482813022 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163466 1#0##0#0#0.0#2018-03-22
14:08:37#0#00:00:00#00:00:00#12:00:00 1 5a31be9506c7855aa3fbbbc107405c44
3207012 C 1 CP 1 19/02/2018 21/02/2018 01/09/2014 0 2
1 B34.9;E86 90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2112800 0 0 - 0 - 0 - 0 - 0
2112800 1452248 0 3 0 0 0 BILQIS AURA ZAHRA
00396335 3 1267 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180007390 0001433066466 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163933 1#0##0#0#0.0#2018-03-26
10:25:01#0#00:00:00#00:00:00#00:00:00 1 3472396076755d6fcecaca0d830b5c98
3207012 C 3 CP 1 19/02/2018 21/02/2018 30/04/1959 0 2
1 R42;I10;E78.5 89.52;87.49;90.59 - - None None None None
U-4-11-I None None None None None None DYSEQUILIBRIUM (RINGAN)
1311700 0 0 - 0 - 0 - 0 - 0
1311700 1269345 0 3 0 0 0 HASANAH 00495334
58 21480 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180007114
0002256708453 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164181
1#0##0#0#0.0#2018-03-26 13:45:47#0#13:44:25#13:44:25#00:00:00 1
6dc9ab395e6ae1e2511d59dfa5ffdbeb
3207012 C 3 CP 1 14/02/2018 21/02/2018 25/03/1942 0 1
1 N40 60.69;93.57 - - None None None None V-1-13-I None
None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT NON KOMPLEK
(RINGAN) 3346700 0 0 - 0 - 0 - 0 - 0
3346700 7837371 0 8 0 0 0 SAHIDI 00492668
75 27720 ACHMAD HERYADI, DR. SP. B 1023r00102180005617
0000441093936 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164313
1#0##0#0#0.0#2018-03-27 07:38:33#0#07:37:12#07:37:12#00:00:00 1
cb4b550bbdceea4b00be5a32916cc827
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/11/1971 0 2
1 O03.4 69.52;69.93;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3680926 0 3 0 0 0 ETI 00495273
46 16912 H. SUSWADI, SP.OG 1023r00102180006801 0000439257047 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164424 1#0##0#0#0.0#2018-
03-27 08:28:38#0#08:27:13#08:27:13#00:00:00 1
93f186cf2d7c924833ac471e42b2fbf2
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/07/1961 0 1
1 K40.9 53.00;89.52;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3741299 0 3 0 0 0 OYON 00491111 56
20687 ACHMAD HERYADI, DR. SP. B 1023r00102180007678 0001247449702
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164844
1#0##0#0#0.0#2018-03-27 13:05:03#0#13:02:12#13:02:12#00:00:00 1
d927fcf93caf66b1e8b475667b5741b5
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/07/1954 0 1
1 K40.9 53.00;89.52;93.57 - - None None None None K-1-14-I
None None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL
(RINGAN) 4528900 0 0 - 0 - 0 - 0 - 0
4528900 3543170 0 3 0 0 0 RADISO 00494796
63 23244 ACHMAD HERYADI, DR. SP. B 1023r00102180007145
0002427017128 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164849
1#0##0#0#0.0#2018-03-27 13:06:44#0#13:05:42#13:05:42#00:00:00 1
5cc907f006e18be61dacd7a05fa9cbd2
3207012 C 3 CP 1 13/02/2018 21/02/2018 01/07/1950 0 1
1 J18.0 89.52;87.49;90.41;90.59 - - None None None None J-4-
16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 5444597 0 9 0 0 0 SOPANDI 00490905
 67 24699 ABU BAKAR, DR. SPP, MKES 1023R00102180005231
0002325556348 3;JKN Firman; 5.2.0.201712280730 4 164938
1#0##0#0#0.0#2018-03-27 14:13:24#0#14:12:06#14:12:06#00:00:00 1
ac4822cc13f18476f4dd205d00c3b68e
3207012 C 2 CP 1 14/02/2018 21/02/2018 05/09/1972 0 1
1 A01.0;K29.7 89.52;88.76;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2511000 0 0 - 0 - 0 - 0
- 0 2511000 3593858 0 8 0 0 0 HANDOKO
00494944 45 16598 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180005616 0000071664423 3;JKN Ridwan; 5.2.0.201712280730
4 164949 1#0##0#0#0.0#2018-03-27
14:20:32#0#14:19:10#14:19:10#00:00:00 1 0521dd8bfb1690eac6d887210602e816
3207012 C 3 CP 1 13/02/2018 21/02/2018 01/03/1963 0 1
1 J47;A15.0 93.94;89.52;87.49;90.41;90.59 - - None None None
None J-4-17-I None None None None None None PENYAKIT PARU OBSTRUKTIF
KRONIS (RINGAN) 2739200 0 0 - 0 - 0 - 0 -
0 2739200 6066699 0 9 0 0 0 OO RUKMANA
00494857 54 20073 ABU BAKAR, DR. SPP, MKES 1023r00102180005073
0000442321176 3;JKN ANDI; 5.2.0.201712280730 4 164981
1#0##0#0#0.0#2018-03-27 14:41:52#0#14:38:32#14:38:32#00:00:00 1
e7c2ee90178537dddb252256dad817e3
3207012 C 2 CP 1 18/02/2018 21/02/2018 04/02/1947 0 2
1 K30;A09.0 90.59;91.39;90.99 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1491100 0 0 - 0 - 0 - 0 - 0
1491100 1514531 0 4 0 0 0 SUMIATI 00495256
71 25947 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006591
0000071123995 3;JKN Firman; 5.2.0.201712280730 4 164992
1#0##0#0#0.0#2018-03-27 14:50:30#0#14:48:23#14:48:23#00:00:00 1
614c319c700fc5c85a3be19893fb0189
3207012 C 1 CP 1 14/02/2018 21/02/2018 01/05/2004 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 5586753 0 8 0 0 0 FARA MAULISA SYAKBANI
00494953 13 5037 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180006196 0002241066159 3;JKN Firman; 5.2.0.201712280730
4 164996 1#0##0#0#0.0#2018-03-27
14:55:03#0#14:53:23#14:53:23#00:00:00 1 e2a58846c61f8b8e57184b88509cc0a9
3207012 C 2 CP 1 18/02/2018 21/02/2018 15/03/1949 0 1
1 I50.0;I25.0;J40 89.52;87.49;90.59 - - None None None None
I-4-12-I None None None None None None KEGAGALAN JANTUNG (RINGAN)
3090800 0 0 - 0 - 0 - 0 - 0
3090800 2246846 0 4 0 0 0 WARYO 00357371 68
25177 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180006829
0000976674385 3;JKN Firman; 5.2.0.201712280730 4 165002
1#0##0#0#0.0#2018-03-27 14:58:52#0#14:56:59#14:56:59#00:00:00 1
e5e6bc7c6c61ff166d5f55dd22e1241f
3207012 C 2 CP 1 16/02/2018 21/02/2018 01/10/1955 0 2
1 I10;R42;K30 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 1923647
0 6 0 0 0 ENOK SUHAJATI 00262658 62 22784
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180006475 0000071494795
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165004
1#0##0#0#0.0#2018-03-27 15:01:51#0#14:59:55#14:59:55#00:00:00 1
415c5cba4d5537250737013414e8c41c
3207012 C 2 CP 1 15/02/2018 21/02/2018 05/08/1946 0 1
 1 A09.9;A16.2 89.52;87.49;90.59;90.99 - - None None None None
K-4-17-II None None None None None None NYERI ABDOMEN &
GASTROENTERITIS LAIN-LAIN (SEDANG) 2308000 0 0 - 0 - 0
- 0 - 0 2308000 2763093 0 7 0 0 0
DJAUN 00495031 71 26127 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006209 0000071486853 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165014 1#0##0#0#0.0#2018-03-27
15:12:34#0#15:10:49#15:10:49#00:00:00 1 521e6d0983a391b114d1179faad86bef
3207012 C 2 CP 1 15/02/2018 21/02/2018 04/06/1947 0 1
1 I25.0 89.52;90.59 - - None None None None I-4-16-I None
None None None None None ATHEROSKLEROSIS (RINGAN) 1874600 0
0 - 0 - 0 - 0 - 0 1874600 4026039
0 7 0 0 0 OYO SURYATMAN 00355527 70 25824
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006215 0000071339466 3;JKN
ANDI; 5.2.0.201712280730 4 165013 1#0##0#0#0.0#2018-03-27
15:12:50#0#15:10:35#15:10:35#00:00:00 1 ae1d9196449aace281da08b3a33378b7
3207012 C 2 CP 1 17/02/2018 21/02/2018 17/05/1989 0 2
1 A01.0;R42;K30 90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2511000 0 0 - 0 - 0 - 0
- 0 2511000 1649965 0 5 0 0 0 RATNA
00434905 28 10503 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006562 0001269927731 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165018 1#0##0#0#0.0#2018-03-27
15:15:04#0#15:13:36#15:13:36#00:00:00 1 8ca06161d22371dd5264f8e8a3aa817e
3207012 C 3 CP 1 17/02/2018 21/02/2018 01/10/1939 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1479313 0 5 0 0 0 MIMI 00495223 78
28629 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006924 0000439651822
3;JKN ANDI; 5.2.0.201712280730 4 165036 1#0##0#0#0.0#2018-03-27
15:25:22#0#15:23:59#15:23:59#00:00:00 1 feddf63a92c4a889a8dd090958888b02
3207012 C 3 CP 1 12/02/2018 21/02/2018 01/05/1969 0 1
1 N18.5;N20.0;N21.0 39.95;88.76;99.04;90.59 - - None None None
None N-4-10-II None None None None None None TUMOR GINJAL & SALURAN
URIN & GAGAL GINJAL (SEDANG) 2976400 0 0 - 0 - 0 -
0 - 0 2976400 6654344 0 10 0 0 0 IDAY
00477231 48 17819 SETYO RAHARJO, DR, SP. PD 1023r00102180004991
0000438888475 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166387
1#0##0#0#0.0#2018-04-03 11:11:52#0#11:10:14#11:10:14#00:00:00 1
69f4ef589fe048b657725f458e25bfee
3207012 C 3 CP 1 18/02/2018 21/02/2018 10/02/1969 0 2
1 K30;E14.9;I10 89.52;90.59 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1287949 0 4 0 0 0 MIMIN MINTARSIH
00480622 49 17905 SETYO RAHARJO, DR, SP. PD 1023r00102180006795
0001453269216 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166414
1#0##0#0#0.0#2018-04-03 11:30:40#0#11:29:19#11:29:19#00:00:00 1
097109adfdcad54c7a8906a255d71318
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/07/1960 0 2
4 I63.4 99.60;89.52;96.07;90.59;57.94 - - None None None None
G-4-14-I None None None None None None KECEDERAAN PEMBULUH DARAH
OTAK DENGAN INFARK (RINGAN) 3722700 0 0 - 0 - 0 -
0 - 0 3722700 2530232 0 3 0 0 0 MIMIN
00376113 57 21052 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007617 0000440742677 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161816 1#0##0#0#0.0#2018-04-04
09:48:12#0#00:00:00#00:00:00#00:00:00 2 c48b0017cbd722823e437d2c14ef043d
3207012 C 3 CP 1 20/02/2018 21/02/2018 01/07/1942 0 1
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 9052388 0 2 0 0 0 JUHANDA 00492561
75 27628 SUTRISNO, DR. SP.M 1023R00102180007339 0001480213372
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160988
1#0##0#0#0.0#2018-04-04 09:50:23#0#00:00:00#00:00:00#00:00:00 3
1397e31e73678b6825d34bd194734ad3
3207012 C 3 CP 1 20/02/2018 21/02/2018 20/08/1985 0 2
1 N23 90.59;89.52 - - None None None None N-4-13-I None
None None None None None BATU URIN (RINGAN) 3249600 0 0
- 0 - 0 - 0 - 0 3249600 637973 0
2 0 0 0 ENDAH SUMIRAH 00495480 32 11872 SETYO
RAHARJO, DR, SP. PD 1023r00102180008083 0001299140831 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166959 1#0##0#0#0.0#2018-04-05
11:58:56#0#11:57:37#11:57:37#00:00:00 1 4ef20a480cefec761fd7eb5e123543a6
3207012 C 3 CP 1 14/02/2018 21/02/2018 01/06/1944 0 1
1 A15.0;I50.0 87.49;89.52;90.59 - - None None None None J-4-
15-II None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 4778500 0 0 - 0 - 0 - 0 - 0
4778500 3050303 0 8 0 0 0 MUKSIN MUHRONI
00432673 73 26921 SETYO RAHARJO, DR, SP. PD 1023r00102180005601
0000440906049 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167151
1#0##0#0#0.0#2018-04-06 10:13:48#0#10:12:26#10:12:26#00:00:00 1
0430479fe28ed64c563dc4c5a7cb656c
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/06/1930 0 2
4 A16.2;I50.0;E88.0 89.52;87.49;90.59;57.94 - - None None None
None J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 1618737 0 3 0 0 0 EDOH
00495362 87 32040 SETYO RAHARJO, DR, SP. PD 1023r00102180007677
0001005967203 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167451
1#0##0#0#0.0#2018-04-09 09:28:41#0#09:08:56#09:08:56#00:00:00 1
52551acdbad3d8dcdd0371f55e7ff271
3207012 C 3 CP 1 19/02/2018 21/02/2018 01/07/1985 0 1
1 R50.9;Z03.8;A49.9;K75.9 87.49;90.59 - - None None None None
A-4-12-I None None None None None None DEMAM YANG TIDAK DITENTUKAN
(RINGAN) 2509600 0 0 - 0 - 0 - 0 - 0
2509600 1599668 0 3 0 0 0 ODING 00495272 32
11921 SETYO RAHARJO, DR, SP. PD 1023r00102180006747 0000441057969
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167676
1#0##0#0#0.0#2018-04-09 12:54:56#0#12:52:30#12:52:30#00:00:00 1
c612cfbee1be8ac2d8e3bade6bfa1b83
3207012 C 3 CP 1 18/02/2018 21/02/2018 07/01/1989 0 2
1 O72.2 69.59;90.59;88.79 - - None None None None W-4-17-I
None None None None None None GANGGUAN POSTPARTUM (RINGAN) 1475700
0 0 - 0 - 0 - 0 - 0 1475700
5476289 0 4 0 0 0 SOPI SOPIAH 00495254 29 10634
H. SUSWADI, SP.OG 1023R00102180007607 0002431352406 3;JKN Ridwan;
5.2.0.201712280730 4 163859 1#0##0#0#0.0#2018-04-11
07:56:11#0#00:00:00#00:00:00#00:00:00 2 f0ecd9f58389b3a375f888d5e3f1733c
3207012 C 3 CP 1 16/02/2018 21/02/2018 01/06/1953 0 1
1 I11.0 89.52;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 2013334
0 6 0 0 0 TAJUDIN 00447685 64 23636 SETYO
RAHARJO, DR, SP. PD 1023r00102180006246 0000440314007 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167865 1#0##0#0#0.0#2018-04-11
08:41:15#0#14:19:08#14:19:08#12:00:00 1 e8e38be977244ba95e47b562c64a1847
3207012 C 3 CP 1 15/02/2018 21/02/2018 01/10/1971 0 2
1 E14.3;H36.0;I10 90.59;91.39 - - None None None None H-4-
12-I None None None None None None GANGGUAN MATA LAIN-LAIN (RINGAN)
2580100 0 0 - 0 - 0 - 0 - 0
2580100 2871804 0 7 0 0 0 ELA FADILAH 00451896
46 16939 SETYO RAHARJO, DR, SP. PD 1023r00102180006213
0000442431235 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167930
1#0##0#0#0.0#2018-04-11 08:53:11#0#08:45:37#08:45:37#00:00:00 1
79ffe12f27ef6c64594b89a05bc0782d
3207012 C 3 CP 1 13/02/2018 21/02/2018 09/03/1989 0 2
1 O90.0 86.59;90.59;93.57;57.94 - - None None None None W-4-
17-I None None None None None None GANGGUAN POSTPARTUM (RINGAN) 1475700
0 0 - 0 - 0 - 0 - 0 1475700
5668785 0 9 0 0 0 NANI SUMARNI 00491002 28
10568 H. SUSWADI, SP.OG 1023R00102180005221 0000055494944 3;JKN
Ridwan; 5.2.0.201712280730 4 167935 1#0##0#0#0.0#2018-04-11
08:54:49#0#08:52:04#08:52:04#00:00:00 1 1905ec7d8a407dc954368c0ed8f6d607
3207012 C 3 CP 1 17/02/2018 21/02/2018 15/03/1975 0 2
1 A91 87.49;90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1862000 0 5 0 0 0 ANI SUMIATI 00495142
42 15680 SETYO RAHARJO, DR, SP. PD 1023r00102180006541
0001778895191 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167943
1#0##0#0#0.0#2018-04-11 09:14:48#0#09:13:29#09:13:29#00:00:00 1
886342e81751ef94b9cbb752cf11faaa
3207012 C 3 CP 1 20/02/2018 21/02/2018 07/07/1962 0 1
1 D04.4 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 2940900 0 2 0 0 0 ENUR
HERMAWAN 00373888 55 20317 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007680 0001274704661 3;JKN Firman; 5.2.0.201712280730
4 167963 1#0##0#0#0.0#2018-04-11
09:39:58#0#09:38:32#09:38:32#12:00:00 1 e10d94328360cc47ba832e348ec671de
3207012 C 3 CP 1 16/02/2018 21/02/2018 08/04/1949 0 1
1 R00.0;I25.0 89.52;90.59;93.96 - - None None None None I-4-
19-I None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(RINGAN) 2907100 0 0 - 0 - 0 - 0 - 0
2907100 3551256 0 6 0 0 0 UNDANG SUTARNA
00457454 68 25151 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180006431
0001822833281 3;JKN Ridwan; 5.2.0.201712280730 4 167970
1#0##0#0#0.0#2018-04-11 09:44:35#0#09:43:26#09:43:26#12:00:00 1
cb6bf7f11dfb8b92aa84214e5ed5c513
3207012 C 3 CP 1 14/02/2018 21/02/2018 27/10/1985 0 1
1 E11.9;I10 86.22;89.52;87.49;90.59 - - None None None None
E-4-10-I None None None None None None PENYAKIT KENCING MANIS &
GANGGUAN NUTRISI/ METABOLIK (RINGAN) 3330600 0 0 - 0 -
0 - 0 - 0 3330600 5562988 0 8 0 0
0 AOS ANSORI 00401409 32 11798 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180006132 0001847500086 3;JKN Ridwan; 5.2.0.201712280730
4 167976 1#0##0#0#0.0#2018-04-11
09:51:52#0#09:50:27#09:50:27#00:00:00 1 02cdafd85e23b9880dbf223252040b18
3207012 C 1 CP 1 15/02/2018 21/02/2018 09/08/1940 0 2
1 I11.0;A04.9 90.99;90.59 - - None None None None I-4-12-II
None None None None None None KEGAGALAN JANTUNG (SEDANG) 4179700
0 0 - 0 - 0 - 0 - 0 4179700
 3835878 0 7 0 0 0 RUKATI 00261813 77 28314
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180006473 0000071426968
3;JKN Ridwan; 5.2.0.201712280730 4 164375 1#0##0#0#0.0#2018-
04-11 11:20:26#0#08:03:16#08:03:16#00:00:00 2
56ca7ac365139fd691e90a748d3d8db3
3207012 C 3 CP 1 20/02/2018 21/02/2018 01/07/1959 0 2
1 H11.0;I10 11.39;10.44 - - None None None None H-1-20-I
None None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4227800 0 0 - 0 - 0 - 0 - 0
4227800 2873478 0 2 0 0 0 ROKAYAH 00494330
58 21419 SUTRISNO, DR. SP.M 1023R00102180007354 0002306303684
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161000
1#0##0#0#0.0#2018-04-13 10:26:45#0#00:00:00#00:00:00#00:00:00 2
d0d5fb3aab1fd0f54feadff4458a417d
3207012 C 3 CP 1 20/02/2018 21/02/2018 08/10/1993 0 2
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 3143006 0 2 0 0 0 WIWI 00494444
24 8901 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180007682
0002318258856 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167168
1#0##0#0#0.0#2018-04-16 13:08:10#0#10:22:15#10:22:15#00:00:00 2
7d4602e11569f9c01a3e881ba86ea7a2
3207012 C 3 CP 1 19/02/2018 21/02/2018 19/02/2018 3050 2
1 P22.9;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-08-I None None None None None None NEONATAL, BERAT BADAN
LAHIR GROUP-5 DENGAN SINDROMA DISTRES PERNAFASAN (RINGAN) 3841500 0 0
- 0 - 0 - 0 - 0 3841500 1075694 0
3 0 0 0 BY NY YULISTIANI 00495361 0 0 IMELDA
PINGKAN MONIAGA, DR. SP. A 1023r00102180007665 0002431481512 3;JKN NANA
KUSLIANA; 5.2.1.201802140120 4 167769 1#0##0#0#0.0#2018-04-16
13:30:26#0#07:58:17#07:58:17#00:00:00 2 9fd4fd63b952a00a67ae07c0b66412dd
3207012 C 3 CP 1 18/02/2018 21/02/2018 01/07/1956 0 1
1 D11.0 26.32;91.59;90.59 - - None None None None U-1-13-I
None None None None None None PROSEDUR KELENJAR LUDAH (RINGAN)
4887100 0 0 - 0 - 0 - 0 - 0
4887100 5321806 0 4 0 0 0 ROHMAN 00458361
61 22512 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180008131
0002422565504 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169723
1#0##0#0#0.0#2018-04-18 08:18:11#0#00:00:00#00:00:00#00:00:00 1
a98c958459453f2fc37d2589d63f09b4
3207012 C 3 CP 1 19/02/2018 21/02/2018 27/01/1987 0 2
1 O03.4 69.02 - - None None None None W-1-11-I None None
None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 2863144 0 3 0 0 0 NONENG ROSYRAHMAWATI
00495306 31 11346 DIDI KURNIADI M, DR. SP.OG 1023R00102180007306
0000437799227 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161409
1#0##0#0#0.0#2018-04-18 09:21:19#0#00:00:00#00:00:00#00:00:00 2
0e99859dbfe5759877ab815c4ed4ac8f
3207012 C 3 CP 1 18/02/2018 21/02/2018 02/02/1971 0 2
1 J45.9;J18.0 93.94;87.49;90.59 - - None None None None J-4-
18-III None None None None None None ASTHMA & BRONKIOLITIS (BERAT)
2972300 0 0 - 0 - 0 - 0 - 0
2972300 1603513 0 4 0 0 0 AAM AMINAH 00430551
47 17183 ABU BAKAR, DR. SPP, MKES 1023r00102180006594
0001837207135 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164984
1#0##0#0#0.0#2018-04-19 08:42:29#0#14:42:16#14:42:16#12:00:00 3
0da86b574f4069fb64e21f3b5d462b97
3207012 C 3 CP 1 20/02/2018 21/02/2018 22/02/1977 0 1
1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3371532 0 2 0 0 0 IWA
RATIWA 00494831 40 14973 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007657 0001089570519 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171677 1#0##0#0#0.0#2018-04-23
07:45:40#0#00:00:00#00:00:00#00:00:00 1 8a08efb552ace4fdc15a0b69b263d9f4
3207012 C 3 CP 1 08/02/2018 21/02/2018 01/10/2007 0 2
1 K63.1;K66.0 54.11;88.76;93.57;90.59 - - None None None None
K-1-40-I None None None None None None PROSEDUR SISTEM PENCERNAAN
LAIN-LAIN (RINGAN) 5786500 0 0 - 0 - 0 - 0
- 0 5786500 13565197 0 14 0 0 0 SUSI
NURIYATUL FUADIYAH 00492524 10 3783 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180003164 0001006036323 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173083 1#0##0#0#0.0#2018-04-24
12:30:42#0#00:00:00#00:00:00#00:00:00 1 744dea5d0455d47f997e6da0fde256cc
3207012 C 3 CP 1 18/02/2018 21/02/2018 30/12/1969 0 2
1 D34 06.39;89.52;93.57 - - None None None None E-1-20-I
None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 9509424 0 4 0 0 0 R.A.
NANA GANTINA 00490531 48 17582 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180006628 0001900105007 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173188 1#0##0#0#0.0#2018-04-24
13:05:02#0#00:00:00#00:00:00#00:00:00 1 a16ce61e13b53c314de15e14e7dc33b7
3207012 C 3 CP 1 20/02/2018 21/02/2018 29/08/1954 0 1
1 H25.9;I10;E14.9 13.19;13.71 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5507645 0 2 0 0 0 BUDY BASUKI 00251652
63 23186 SUTRISNO, DR. SP.M 1023r00102180007738 0000071736783
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161005
1#0##0#0#0.0#2018-04-30 07:36:10#0#13:17:35#13:17:35#00:00:00 2
366e1d504b533430f147bf2913ab1718
3207012 C 3 CP 1 20/02/2018 21/02/2018 10/03/1945 0 2
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5688822 0 2 0 0 0 DARSIH 00368978
72 26645 SUTRISNO, DR. SP.M 1023R00102180007481 0000039117565
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160902
1#0##0#0#0.0#2018-04-30 07:36:34#0#00:00:00#00:00:00#12:00:00 2
854b21fd9f2f7ba900a286e78f091f7c
3207012 C 3 CP 1 18/02/2018 21/02/2018 10/08/1964 0 1
1 M10.99;E11.9 89.52;90.59 - - None None None None M-4-
18-I None None None None None None PENYAKIT TULANG DAN SENDI LAIN-LAIN
(RINGAN) 2069900 0 0 - 0 - 0 - 0 - 0
2069900 1352233 0 4 0 0 0 SUMARDI 00495237
53 19550 SETYO RAHARJO, DR, SP. PD 1023r00102180006793
0001132171536 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167153
1#0##0#0#0.0#2018-05-02 08:02:51#0#10:13:46#10:13:46#00:00:00 2
4c83c73fc20b108679a63c1e3c70873a
3207012 C 3 CP 1 21/02/2018 22/02/2018 11/05/1996 0 2
1 D24 85.21;91.89 - - None None None None L-1-50-I None
None None None None None PROSEDUR PADA PAYUDARA (RINGAN) 4853300
0 0 - 0 - 0 - 0 - 0 4853300
3535027 0 2 0 0 0 MELI YANI 00494897 21 7956
 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180008232 0000440519872
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160873
1#0##0#0#0.0#2018-03-19 11:22:48#0#00:00:00#00:00:00#00:00:00 1
e36763cec7f02d8863f727ddac9d5e51
3207012 C 1 CP 1 15/02/2018 22/02/2018 08/07/1967 0 1
1 N18.5;I50.0 39.95;89.52;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 4166900 0 0 - 0 - 0 - 0 -
0 4166900 7923743 0 8 0 0 0 ENDANG SOMANTRI
00405980 50 18485 SETYO RAHARJO, DR, SP. PD 1023R00102180006465
0000071689206 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161156
1#0##0#0#0.0#2018-03-19 14:22:09#0#00:00:00#00:00:00#00:00:00 1
a99828c22ceea65b8dba924df44bbcd8
3207012 C 3 CP 1 20/02/2018 22/02/2018 24/06/2010 0 1
1 J45.9;K30 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 911748 0 3 0 0 0 IKSAN ANUGRAH
00457425 7 2798 HJ. SUHERJATI, SP. A 1023R00102180007669
0001089568945 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161565
1#0##0#0#0.0#2018-03-20 10:45:38#0#00:00:00#00:00:00#12:00:00 1
927f94659ec5994fec0a964278fb35ad
3207012 C 3 CP 1 20/02/2018 22/02/2018 05/05/2017 0 2
1 J06.9;R56.0 90.59 - - None None None None U-4-13-II None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (SEDANG) 2153100 0 0 - 0 - 0 -
0 - 0 2153100 1309034 0 3 0 0 0 ALIYA
PUTRI KHOERUNNISA 00495483 0 291 HJ. SUHERJATI, SP. A
1023R00102180008752 0002432547077 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161568 1#0##0#0#0.0#2018-03-20
10:47:12#0#00:00:00#00:00:00#00:00:00 1 c25f9570c32c4b8390a76b6672104f42
3207012 C 3 CP 1 19/02/2018 22/02/2018 01/12/1979 0 2
1 O64.1;O82.1;Z37.0 74.0;88.78;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6641261 0 4 0 0 0 LENI HERLINA
00492314 38 13960 DIDI KURNIADI M, DR. SP.OG 1023R00102180007292
0001006111517 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161614
1#0##0#0#0.0#2018-03-20 11:25:10#0#00:00:00#00:00:00#00:00:00 1
41fecbb7dfb253c6b2572693ef8d64c8
3207012 C 3 CP 1 18/02/2018 22/02/2018 01/07/2007 0 2
1 J45.9;J06.9 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1563752 0 5 0 0 0 NILAM CAHYA PUTRI
00364407 10 3885 HJ. SUHERJATI, SP. A 1023R00102180006694
0000440442999 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161885
1#0##0#0#0.0#2018-03-20 14:33:48#0#00:00:00#00:00:00#00:00:00 1
bc8e1177e57a0a9e1057da5799610566
3207012 C 3 CP 1 18/02/2018 22/02/2018 16/06/2017 0 1
1 J45.9;J06.9 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1782865 0 5 0 0 0 BY NY NENI SUGIARTI
00474050 0 247 HJ. SUHERJATI, SP. A 1023R00102180007670
0002259013116 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162155
1#0##0#0#0.0#2018-03-21 11:18:31#0#00:00:00#00:00:00#00:00:00 1
020765a418b93b1edf07b52acea28bf0
3207012 C 3 CP 1 19/02/2018 22/02/2018 23/04/2016 0 1
 1 A06.0;E86 90.99;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1652306 0 4 0 0 0 ADI GUNA PRIATNO
00453259 1 667 HJ. SUHERJATI, SP. A 1023R00102180007681
0002054509481 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162159
1#0##0#0#0.0#2018-03-21 11:20:44#0#00:00:00#00:00:00#00:00:00 1
d245871a8d07d2dad46b4b6e40e77deb
3207012 C 3 CP 1 19/02/2018 22/02/2018 26/12/1989 0 2
1 O62.2;O63.9;O82.1;Z37.0 74.0;88.78;90.59;57.94;93.57 - - None
None None None O-6-10-I None None None None None None OPERASI
PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 - 0 -
0 - 0 4830200 6428385 0 4 0 0 0 IKA
RISKAWATI 00491010 28 10282 DIDI KURNIADI M, DR. SP.OG
1023R00102180007316 0002325140831 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162633 1#0##0#0#0.0#2018-03-22
08:21:13#0#00:00:00#00:00:00#00:00:00 1 df2dc6681a90cf13d389581502eaf88e
3207012 C 3 CP 1 20/02/2018 22/02/2018 01/07/1955 0 2
1 K40.9 53.05;93.57 - - None None None None K-1-14-I None
None None None None None PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
4528900 0 0 - 0 - 0 - 0 - 0
4528900 3585475 0 3 0 0 0 EDOH 00495338 62
22880 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180007684
0000439824688 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162799
1#0##0#0#0.0#2018-03-22 09:29:54#0#00:00:00#00:00:00#00:00:00 1
d0484102a434ab6525f35512c750128f
3207012 C 3 CP 1 18/02/2018 22/02/2018 08/07/2017 0 1
1 J45.9;J06.9 87.49;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1606312 0 5 0 0 0 BY NY IHAH 00475728
0 225 HJ. SUHERJATI, SP. A 1023R00102180007625 0002263540487
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162821
1#0##0#0#0.0#2018-03-22 09:37:36#0#00:00:00#00:00:00#00:00:00 1
ab7f48c3f9363507a6a5a2c2bde356bf
3207012 C 3 CP 1 19/02/2018 22/02/2018 18/08/2017 0 1
1 J45.9;J06.9 93.94;87.49;90.59 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 2393760 0 4 0 0 0 FAIZ RIZKY FADILLAH
00495229 0 185 HJ. SUHERJATI, SP. A 1023R00102180007147
0002431024301 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162829
1#0##0#0#0.0#2018-03-22 09:40:23#0#00:00:00#00:00:00#00:00:00 1
00348622bbacd2160b7798b796c7d6a7
3207012 C 3 CP 1 17/02/2018 22/02/2018 08/07/2017 0 2
1 D62;Z03.8;D56.1;E46 87.49;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 1954022 0 6 0 0
0 AQILLA FARIZA MUFIA 00493196 0 224 HJ. SUHERJATI, SP. A
1023R00102180006530 0002425154411 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162834 1#0##0#0#0.0#2018-03-22
09:41:51#0#00:00:00#00:00:00#00:00:00 1 dbcb424187a2c695638feecae97f9872
3207012 C 2 CP 1 20/02/2018 22/02/2018 01/02/1990 0 2
2 D64.9;K30 99.04;89.52;87.49;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 -
0 - 0 - 0 2661700 1136991 0 3 0 0
0 NINA NURAENI PEBRIANI 00357991 28 10246 PRIMAHATI RIANA ROSY,
DR. SP.PD 1023R00102180008144 0000071751014 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163249 1#0##0#0#0.0#2018-03-22
11:50:42#0#00:00:00#00:00:00#00:00:00 1 eca3e21607de5ff91c8bc81a39bfad3e
3207012 C 1 CP 1 19/02/2018 22/02/2018 01/07/1949 0 2
1 I10;K30 89.52;90.59;88.76 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 2462000 0
0 - 0 - 0 - 0 - 0 2462000 2739849
0 4 0 0 0 TIAH 00456218 68 25070 PRIMAHATI RIANA
ROSY, DR. SP.PD 1023R00102180007135 0002057958639 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163915 1#0##0#0#0.0#2018-03-26
10:20:11#0#00:00:00#00:00:00#12:00:00 1 6708ac420e96d94ecc9e14c8dce873f0
3207012 C 3 CP 1 20/02/2018 22/02/2018 14/04/1944 0 2
4 I61.9 96.07;57.94;90.59 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 2064470 0 3 0 0 0 SARSIH 00495490
73 26975 HANS ABDILLAH, DR 1023R00102180008215 0002044390217 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163997 1#0##0#0#0.0#2018-
03-26 10:47:48#0#00:00:00#00:00:00#00:00:00 1
cf6006b4b03889e6e6c8107303992db3
3207012 C 1 CP 1 20/02/2018 22/02/2018 05/02/1956 0 1
1 A16.2;K71.1 90.59 - - None None None None J-4-15-II None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (SEDANG)
6689900 0 0 - 0 - 0 - 0 - 0
6689900 2648829 0 3 0 0 0 TATANG SUTARJA
00384428 62 22661 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180007267
0000068883175 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164098
1#0##0#0#0.0#2018-03-26 11:23:39#0#00:00:00#00:00:00#00:00:00 1
f953fd59481d52dd4e86e7acfcd2badf
3207012 C 3 CP 1 19/02/2018 22/02/2018 16/12/1996 0 2
1 K76.0;K30 88.76;90.59 - - None None None None B-4-13-I
None None None None None None GANGGUAN HATI LAIN-LAIN (RINGAN)
3122100 0 0 - 0 - 0 - 0 - 0
3122100 1908232 0 4 0 0 0 RITA SARI PUSPITA DEWI
00495360 21 7735 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180007470
0002180897201 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164168
1#0##0#0#0.0#2018-03-26 13:05:49#0#13:04:10#13:04:10#00:00:00 1
4278df92586add8cf6c71449c928ffd9
3207012 C 3 CP 1 19/02/2018 22/02/2018 29/05/1961 0 2
1 R42;I10;E78.5 90.59 - - None None None None U-4-11-I
None None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0
0 - 0 - 0 - 0 - 0 1311700 1210516
0 4 0 0 0 LILIS SUWARNI 00412083 56 20720
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180007255 0001842543999 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 164169 1#0##0#0#0.0#2018-
03-26 13:07:21#0#13:06:14#13:06:14#00:00:00 1
39c009be81ab2b64d31303942f6d9b1a
3207012 C 2 CP 1 20/02/2018 22/02/2018 10/12/1962 0 1
1 I50.0;I25.9;K30 89.52;87.49;90.59 - - None None None None
I-4-12-I None None None None None None KEGAGALAN JANTUNG (RINGAN)
3090800 0 0 - 0 - 0 - 0 - 0
3090800 1181629 0 3 0 0 0 RUSMANA 00447388
55 20161 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180008187
0001964785094 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164178
1#0##0#0#0.0#2018-03-26 13:28:53#0#13:26:58#13:26:58#00:00:00 1
c7d1f8de3feb6403efa8ee9a9177cdf9
3207012 C 3 CP 1 12/02/2018 22/02/2018 10/08/1957 0 2
1 I63.9 89.52;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 3584380 0 11 0 0 0 ODJOH 00494779
60 22101 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180004998
0002071916155 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164189
1#0##0#0#0.0#2018-03-26 13:57:03#0#13:55:47#13:55:47#00:00:00 1
2391a5fdb36b5f2f9df4e81a2b51f011
3207012 C 2 CP 1 18/02/2018 22/02/2018 13/08/1943 0 1
1 I25.9;L23.9 89.52;90.59;91.39;57.94 - - None None None None
I-4-16-I None None None None None None ATHEROSKLEROSIS (RINGAN)
1874600 0 0 - 0 - 0 - 0 - 0
1874600 1785121 0 5 0 0 0 ODJI SURYADI
00495257 74 27218 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006592 0000071332683 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164852 1#0##0#0#0.0#2018-03-27
13:09:22#0#13:07:34#13:07:34#00:00:00 2 ba32062c2eb753a4212ca3816f62f6df
3207012 C 1 CP 1 16/02/2018 22/02/2018 12/08/1964 0 2
1 A15.0;K71.1 89.52;90.59 - - None None None None J-4-15-II
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(SEDANG) 6689900 0 0 - 0 - 0 - 0 - 0
6689900 3750869 0 7 0 0 0 YATI HARYATI
00443077 53 19546 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006382
0000071632844 3;JKN ANDI; 5.2.0.201712280730 4 164999
1#0##0#0#0.0#2018-03-27 14:56:45#0#14:55:20#14:55:20#00:00:00 1
bbc91dd69212386f9f714917bf877d30
3207012 C 3 CP 1 18/02/2018 22/02/2018 01/07/1949 0 2
1 H81.1;I10 87.49;90.59 - - None None None None U-4-11-I
None None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0
0 - 0 - 0 - 0 - 0 1311700 2039058
0 5 0 0 0 EMUN MUNIAH 00495238 68 25069 RISSA
NURLAILLA, DR. SP. S. 1023r00102180007026 0000442035988 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 166109 1#0##0#0#0.0#2018-04-03
07:48:01#0#07:45:59#07:45:59#00:00:00 1 be9bf0038b79c206355b28175dd1242f
3207012 C 3 CP 1 16/02/2018 22/02/2018 04/09/1968 0 1
1 I63.9 87.49;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2853852 0 7 0 0 0 AGUS MIFTAHUDIN
00459257 49 18062 RISSA NURLAILLA, DR. SP. S. 1023r00102180007120
0002201926948 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166229
1#0##0#0#0.0#2018-04-03 09:40:02#0#09:38:57#09:38:57#12:00:00 1
ca22a700f346bc942f5c27f2a7d9aa45
3207012 C 2 CP 1 12/02/2018 22/02/2018 07/06/1943 0 1
1 J18.0;I48;I50.0;E11.9 89.52;87.49;90.59 - - None None None
None J-4-16-II None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (SEDANG) 5619800 0 0 - 0 - 0 - 0
- 0 5619800 6774374 0 11 0 0 0 HADI
SUPRIYADI 00323884 74 27279 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180004486 0000056180902 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166330 1#0##0#0#0.0#2018-04-03
10:29:54#0#10:28:22#10:28:22#00:00:00 1 6a06daf86c718998161611c393c8091d
3207012 C 2 CP 1 20/02/2018 22/02/2018 29/01/1939 0 1
1 J18.0;I48;K30 89.52;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 5619800 0 0 - 0 - 0 - 0 - 0
5619800 1283780 0 3 0 0 0 NANA SUDARNA
00476348 79 28877 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180007594 0000071326034 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166377 1#0##0#0#0.0#2018-04-03
11:02:48#0#11:01:12#11:01:12#00:00:00 1 e083641d3a092dc4f9c0b2db167491e2
3207012 C 3 CP 1 19/02/2018 22/02/2018 01/07/1940 0 2
1 G50.0;K04.1;I10 90.59 - - None None None None G-4-17-I
None None None None None None GANGUAN SARAF KRANIAL DAN PERIFER
(RINGAN) 3339800 0 0 - 0 - 0 - 0 - 0
3339800 1362929 0 4 0 0 0 ROMLAH 00495301
77 28357 RISSA NURLAILLA, DR. SP. S. 1023R00102180007130
0000441161616 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161880
1#0##0#0#0.0#2018-04-04 10:26:06#0#00:00:00#00:00:00#00:00:00 2
b3b685744ec6d33db68bc133fd7ea187
3207012 C 3 CP 1 17/02/2018 22/02/2018 10/08/1957 0 1
1 A16.5 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
3999700 0 0 - 0 - 0 - 0 - 0
3999700 2209388 0 6 0 0 0 WAWAN 00446912 60
22106 ABU BAKAR, DR. SPP, MKES 1023r00102180006892 0002075457701
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161033
1#0##0#0#0.0#2018-04-04 10:27:25#0#13:26:35#13:26:35#00:00:00 2
b9e064e5889ea34f36a8f10bca2f7bca
3207012 C 3 CP 1 21/02/2018 22/02/2018 20/10/2011 0 1
1 D21.9 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 3046721 0 2 0 0 0 MUHAMAD FAISAL
IBRAHIM 00495007 6 2316 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008235 0001247438542 3;JKN NANA KUSLIANA;
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10:29:44#0#00:00:00#00:00:00#00:00:00 2 bef6f45edfb880520718d0f00c49e965
3207012 C 3 CP 1 21/02/2018 22/02/2018 21/02/2018 3350 2
1 P03.4;Z24.0;Z24.6 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 494194 0 2 0 0 0 BY NY
ENUNG NURAENI 00495590 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180008753 0002432524173 3;JKN NANA KUSLIANA;
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09:45:08#0#09:43:17#09:43:17#00:00:00 1 4f66b8a4471fd77ee6bc1f15e602a470
3207012 C 3 CP 1 18/02/2018 22/02/2018 16/05/1998 0 2
1 A49.9;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1858997 0 5 0 0 0 ICA NURHALISAH
00495266 19 7218 SETYO RAHARJO, DR, SP. PD 1023r00102180006788
0002012141891 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167195
1#0##0#0#0.0#2018-04-06 10:59:48#0#10:58:06#10:58:06#00:00:00 1
67703f56065b3c2a107b6f8363430e7c
3207012 C 3 CP 1 19/02/2018 22/02/2018 15/03/1973 0 1
4 D62;K74.6;K92.1;E11.9 99.60;99.04;88.76;90.59;57.94 - - None
None None None D-4-13-I None None None None None None GANGGUAN SEL
DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 -
0 - 0 - 0 - 0 2218100 3938678 0 4
0 0 0 AEP SAEPUL MUNIR 00362655 44 16412 SETYO RAHARJO, DR,
SP. PD 1023r00102180007153 0001289693801 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167220 1#0##0#0#0.0#2018-04-06
11:29:09#0#11:21:08#11:21:08#12:00:00 1 6b35942b1f7ecace8cdf11b6f66ef289
3207012 C 3 CP 1 21/02/2018 22/02/2018 21/02/2018 3250 1
1 P03.4;Z24.0 93.93;99.41;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 481948 0 2 0 0 0 BY NY SRI NURLINA
 00495569 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023r00102180008401 0002432043077 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167402 1#0##0#0#0.0#2018-04-09
08:29:15#0#08:27:28#08:27:28#00:00:00 1 ccb51000dd2a0df5e1a95a83d26408b9
3207012 C 3 CP 1 20/02/2018 22/02/2018 01/03/1960 0 2
1 K30;R10.1 90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 888152 0 3 0 0 0 ENJUH 00495471 57
21175 SETYO RAHARJO, DR, SP. PD 1023r00102180007676 0000441542327
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1#0##0#0#0.0#2018-04-09 09:48:25#0#09:47:11#09:47:11#00:00:00 1
7da5a5eb9dbc901b8776bdf7d22716d8
3207012 C 3 CP 1 21/02/2018 22/02/2018 01/07/1953 0 1
1 I50.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600 888140
0 2 0 0 0 AAN 00495496 64 23611 SETYO RAHARJO, DR,
SP. PD 1023r00102180007871 0000440327136 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167572 1#0##0#0#0.0#2018-04-09
10:44:05#0#10:42:56#10:42:56#00:00:00 1 59a3848a75881fb3b20f27072311b5b3
3207012 C 3 CP 1 14/02/2018 22/02/2018 06/04/1963 0 2
1 D62;K92.1 99.04;89.52;90.59;57.94 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 3978149 0 9 0 0
0 RASWI 00494927 54 20038 SETYO RAHARJO, DR, SP. PD
1023r00102180005571 0002423570949 3;JKN NANA KUSLIANA;
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13:07:49#0#13:05:59#13:05:59#00:00:00 1 9d5e9c29eb4034790d5f31eacfc24d6e
3207012 C 3 CP 1 14/02/2018 22/02/2018 01/07/1950 0 2
1 I61.8 87.49;90.59;57.94 - - None None None None G-4-13-I
None None None None None None PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK
(RINGAN) 2194500 0 0 - 0 - 0 - 0 - 0
2194500 3271137 0 9 0 0 0 TITI SURYATI
00494948 67 24700 RISSA NURLAILLA, DR. SP. S. 1023r00102180006131
0002430333584 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167804
1#0##0#0#0.0#2018-04-10 12:21:39#0#12:20:21#12:20:21#00:00:00 1
101f5a2f7f841097d03fba0478411035
3207012 C 3 CP 1 20/02/2018 22/02/2018 17/07/1929 0 1
4 R40.2;R00.1 96.07;87.94;90.59 - - None None None None G-4-
21-I None None None None None None KOMA & STUPOR NON TRAUMA (RINGAN)
1999100 0 0 - 0 - 0 - 0 - 0
1999100 1634132 0 3 0 0 0 MOKH. SUPENDI
00495473 88 32360 SETYO RAHARJO, DR, SP. PD 1023r00102180007969
0000071396897 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167823
1#0##0#0#0.0#2018-04-10 13:32:52#0#13:31:19#13:31:19#00:00:00 1
8424a0e6a72ce65e0b0b6f9df7615667
3207012 C 3 CP 1 21/02/2018 22/02/2018 21/03/1959 0 1
1 N21.0 57.19;87.49;90.59 - - None None None None N-1-30-I
None None None None None None PROSEDUR KANDUNG KEMIH DAN SALURAN URIN
BAWAH (RINGAN) 6449400 0 0 - 0 - 0 - 0 -
0 6449400 4002798 0 2 0 0 0 ADE EEN
00495400 58 21522 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008251 0000442358739 3;JKN Ridwan; 5.2.0.201712280730
4 167921 1#0##0#0#0.0#2018-04-11
08:41:10#0#08:39:54#08:39:54#00:00:00 1 eb9453d8380be6d3fcacc59f408ccf0e
3207012 C 3 CP 1 20/02/2018 22/02/2018 17/09/1978 0 2
1 O21.0 88.78;90.59 - - None None None None W-4-16-I None
 None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0
0 - 0 - 0 - 0 - 0 1999800 1281204
0 3 0 0 0 YANI SURYANI 00495485 39 14401 BUDI
AHMAD RASAS, SP.OG.M.KES 1023R00102180008219 0002432016325 3;JKN
Ridwan; 5.2.0.201712280730 4 167936 1#0##0#0#0.0#2018-04-11
09:04:39#0#09:03:14#09:03:14#00:00:00 1 fe25dc7881a1188dcf0c6ec2bb98ad68
3207012 C 3 CP 1 21/02/2018 22/02/2018 01/07/1961 0 2
1 D04.4 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3188294 0 2 0 0 0 EMPONG
WAKIAH 00454127 56 20689 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008223 0000441981382 3;JKN Ridwan; 5.2.0.201712280730
4 167946 1#0##0#0#0.0#2018-04-11
09:16:42#0#09:15:26#09:15:26#00:00:00 1 9fc2e9aa81f4d4fc19bf8e8f58ee6471
3207012 C 3 CP 1 20/02/2018 22/02/2018 05/04/1944 0 1
1 D11.0 26.32;89.52;90.59;91.59 - - None None None None U-1-
13-I None None None None None None PROSEDUR KELENJAR LUDAH (RINGAN)
4887100 0 0 - 0 - 0 - 0 - 0
4887100 3585475 0 3 0 0 0 ADE WARDI 00494682
73 26984 FIRDAUS BENNY PUTRA, DR. SP. B. 1023R00102180007658
0000439884123 3;JKN Ridwan; 5.2.0.201712280730 4 167951
1#0##0#0#0.0#2018-04-11 09:21:02#0#09:19:27#09:19:27#00:00:00 1
7f6eaa96c39f923a65ac29417dfb7f7b
3207012 C 3 CP 1 21/02/2018 22/02/2018 09/04/1950 0 2
1 D10.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3223038 0 2 0 0 0 JUJU
JULAEHA 00410875 67 24790 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008239 0001006092371 3;JKN Firman; 5.2.0.201712280730
4 167961 1#0##0#0#0.0#2018-04-11
09:38:13#0#09:36:08#09:36:08#00:00:00 1 7ae53657e2aee22ce3ca690f7a9cdede
3207012 C 3 CP 1 20/02/2018 22/02/2018 01/07/1954 0 1
1 N18.5 39.95;99.04;90.59 - - None None None None N-4-10-I
None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (RINGAN) 2460800 0 0 - 0 - 0 - 0 -
0 2460800 2100282 0 3 0 0 0 OTO TOHARI
00435499 63 23245 SETYO RAHARJO, DR, SP. PD 1023R00102180007637
0000440925884 3;JKN Firman; 5.2.0.201712280730 4 167973
1#0##0#0#0.0#2018-04-11 09:48:16#0#09:47:00#09:47:00#00:00:00 1
bb76b339b9c4a221f19eed9ef05727ce
3207012 C 3 CP 1 18/02/2018 22/02/2018 01/12/1970 0 2
2 D62;D21.4;K92.1 99.04;88.76;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 3664046 0 5 0 0
0 SITI DEWI KARTIKA 00450178 47 17246 SETYO RAHARJO, DR, SP. PD
1023R00102180006596 0001006222116 3;JKN Firman; 5.2.0.201712280730
4 167975 1#0##0#0#0.0#2018-04-11
09:52:50#0#09:48:33#09:48:33#00:00:00 1 3182d11bdf6670afabbdc9fe693b8628
3207012 C 3 CP 1 21/02/2018 22/02/2018 10/04/1983 0 1
1 D36.7 86.3;90.59 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 3212294 0 2 0 0 0 PARKON
00494937 34 12736 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180008245 0002423600583 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167977 1#0##0#0#0.0#2018-04-11
09:52:55#0#09:51:24#09:51:24#00:00:00 1 55b52c83132efc88b6a997dbff1676a2
3207012 C 3 CP 1 19/02/2018 22/02/2018 12/11/1992 0 2
1 O65.4;O34.2;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6115540 0 4 0 0 0 EKA SULISTIYANI
00390607 25 9230 H. SUSWADI, SP.OG 1023R00102180007611
0001791366524 3;JKN Ridwan; 5.2.0.201712280730 4 167999
1#0##0#0#0.0#2018-04-11 10:19:08#0#10:17:48#10:17:48#00:00:00 1
2a8e48bf2284e4ac9903996e64207131
3207012 C 3 CP 1 17/02/2018 22/02/2018 12/10/2010 0 1
1 K59.0 87.49;90.59;91.39 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1695085 0 6 0 0 0 CELLO AZAM DZAKI N.A
00495067 7 2685 HJ. SUHERJATI, SP. A 1023R00102180006548
0001312659775 3;JKN Ridwan; 5.2.0.201712280730 4 168000
1#0##0#0#0.0#2018-04-11 10:20:59#0#10:19:22#10:19:22#00:00:00 1
2e251f9a214d29274cd0457a6cea657e
3207012 C 3 CP 1 19/02/2018 22/02/2018 03/05/1993 0 2
1 O65.4;O82.1;Z37.0 74.0;88.78;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6990288 0 4 0 0 0 NUR BAITI
00492828 24 9058 DIDI KURNIADI M, DR. SP.OG 1023R00102180007673
0001265057886 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163297
1#0##0#0#0.0#2018-04-11 11:24:35#0#00:00:00#00:00:00#00:00:00 2
384613ae11fb01fcddef52a19e538e59
3207012 C 3 CP 1 21/02/2018 22/02/2018 21/02/2018 3300 2
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 461948 0 2 0 0 0 BY NY
SITI HANIPAH 00495571 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180008755 0002419001572 3;JKN Ridwan; 5.2.0.201712280730
4 162985 1#0##0#0#0.0#2018-04-11
11:26:46#0#00:00:00#00:00:00#00:00:00 2 7c7a3d4da6442501d825f755ddb2215e
3207012 C 3 CP 1 21/02/2018 22/02/2018 01/07/1984 0 2
1 D04.4 86.3 - - None None None None L-1-40-I None None
None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2772782 0 2 0 0 0 TETI HARDIANTI
00390013 33 12288 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180008231 0000441196053 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168312 1#0##0#0#0.0#2018-04-13
09:47:40#0#09:45:47#09:45:47#00:00:00 1 d47883e00ed81e0d7d878c4a47d7877c
3207012 C 3 CP 1 20/02/2018 22/02/2018 24/12/1997 0 1
1 N43.3 63.1;90.59 - - None None None None V-1-12-I None
None None None None None PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-
MODERAT (RINGAN) 6416100 0 0 - 0 - 0 - 0 -
0 6416100 3457479 0 3 0 0 0 ADE SIHABUDIN
00495354 20 7363 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180007685 0000441559866 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168329 1#0##0#0#0.0#2018-04-13
09:55:18#0#09:53:47#09:53:47#00:00:00 1 350adf31baad07f0ea2115189c13535b
3207012 C 3 CP 1 17/02/2018 22/02/2018 15/05/1954 0 1
4 K40.9;M41.96;M54.56 87.49;89.52;90.59 - - None None None
None K-4-18-I None None None None None None GANGGUAN SISTEM
PENCERNAAN LAIN-LAIN (RINGAN) 1242600 0 0 - 0 - 0 -
 0 - 0 1242600 2885221 0 6 0 0 0 KARMAN
HERMANA 00379446 63 23289 ACHMAD HERYADI, DR. SP. B
1023r00102180007116 0001321147923 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168617 1#0##0#0#0.0#2018-04-16
10:53:31#0#10:51:29#10:51:29#00:00:00 1 dfc5c1372988f0112e98e5a65d4daae4
3207012 C 3 CP 1 21/02/2018 22/02/2018 16/03/1967 0 2
1 D21.9 86.3;87.49;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3610901 0 2 0 0 0 IDAH
00481732 50 18605 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180008237 0000071800299 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 167720 1#0##0#0#0.0#2018-04-16
13:47:22#0#13:27:41#13:27:41#00:00:00 2 521db1f32da0aecdf535ecf76a1631a7
3207012 C 3 CP 1 20/02/2018 22/02/2018 05/10/1990 0 2
1 O03.4 69.02;69.93;88.78;90.59 - - None None None None W-1-
11-I None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3509623 0 3 0 0 0 KOMARIAH
00495481 27 10000 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008229
0002432051897 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162992
1#0##0#0#0.0#2018-04-16 13:48:27#0#00:00:00#00:00:00#00:00:00 3
4fba43b65bf770af367a74d6f3d168f8
3207012 C 3 CP 1 20/02/2018 22/02/2018 01/12/1989 0 2
1 O20.0 69.02;69.93 - - None None None None W-1-11-I None
None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1657100 0 0 - 0 - 0 - 0 - 0
1657100 3148993 0 3 0 0 0 DINI DINIAWATI
00486815 28 10308 H. SUSWADI, SP.OG 1023R00102180007826
0001006046357 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163869
1#0##0#0#0.0#2018-04-18 08:39:33#0#00:00:00#00:00:00#00:00:00 2
97cfff9cfb62e147bb568880c7fdca4c
3207012 C 2 CP 1 16/02/2018 22/02/2018 01/07/1948 0 1
1 T09.3;Y30.0 87.49;90.59;91.39;88.39 - - None None None None
G-4-10-I None None None None None None KECEDERAAN & GANGGUAN TULANG
BELAKANG (RINGAN) 3774700 0 0 - 0 - 0 - 0 -
0 3774700 5309860 0 7 0 0 0 ENDI ROHENDI
00495048 69 25432 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007071 0001424655055 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 165006 1#0##0#0#0.0#2018-04-18
08:47:19#0#15:01:50#15:01:50#00:00:00 2 45badb659b0cef866f2b0171a9cdc8ad
3207012 C 3 CP 1 19/02/2018 22/02/2018 14/02/2017 0 1
1 J45.9 87.49;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000
1652562 0 4 0 0 0 BAYI NY. WATI 00464017 1
370 HJ. SUHERJATI, SP. A 1023R00102180007148 0002224425879 3;JKN
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3207012 C 3 CP 1 15/02/2018 22/02/2018 01/06/1958 0 1
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 1#0##0#0#0.0#2018-04-30 07:21:30#0#08:01:37#08:01:37#12:00:00 3
123b008816a4979ce7e59ed059acb32c
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3207012 C 3 CP 1 15/02/2018 22/02/2018 01/06/1953 0 1
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2739200 0 0 - 0 - 0 - 0 - 0
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364ad747dfc4807071f1db11006a5eaa
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ab2f7aa03211626d1329927a98c2afe8
3207012 C 3 CP 1 15/02/2018 22/02/2018 01/07/1958 0 1
1 J47;J44.9;A15.0 34.04;89.52;87.49;90.59 - - None None None
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1#0##0#0#0.0#2018-05-02 08:04:52#0#13:20:01#13:20:01#00:00:00 2
7cb31e4d2156897a1856f5c0ef650816
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16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
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160102 1#0##0#0#0.0#2018-03-15 13:57:40#0#00:00:00#00:00:00#00:00:00
1 2296f4acea7cc77505681b97f7cbd280
3207012 C 3 CP 1 19/02/2018 23/02/2018 13/06/1989 0 2
1 O65.4;O82.0;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
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3207012 C 3 CP 1 12/02/2018 23/02/2018 01/01/1966 0 1
1 A15.0;I50.0;R18 89.52;88.76;88.19;90.59;87.49 - - None None
None None J-4-15-II None None None None None None PERADANGAN DAN
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10:31:12#0#00:00:00#00:00:00#00:00:00 1 6aaab477a37fd4ab62dffc70eea5b226
3207012 C 3 CP 1 21/02/2018 23/02/2018 06/05/1980 0 1
1 K40.9;D64.9 53.00;99.04;90.59 - - None None None None K-1-
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5307800 4543458 0 3 0 0 0 ADE SETIAWAN
00477116 37 13805 FIRDAUS BENNY PUTRA, DR. SP. B.
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11:06:24#0#00:00:00#00:00:00#00:00:00 1 af1379f3583fd37f7f21c45a9f2f8f00
3207012 C 3 CP 1 13/02/2018 23/02/2018 01/07/1947 0 1
1 N35.9;D64.9 99.04;90.59 - - None None None None N-4-16-II
None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
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0 3917300 4551668 0 11 0 0 0 ANDA 00366229
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1#0##0#0#0.0#2018-03-19 12:03:29#0#00:00:00#00:00:00#00:00:00 1
306527391e3a15d25eaecbf6e1e82277
3207012 C 3 CP 1 22/02/2018 23/02/2018 01/04/1988 0 1
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None None None None None None KERACUNAN TERMASUK KERACUNAN OBAT
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1481200 551809 0 2 0 0 0 DEDI ISKANDAR
00458422 29 10919 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180008774 0000440409712 3;JKN NANA KUSLIANA;
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13:02:53#0#00:00:00#00:00:00#12:00:00 1 17279d4b0ed28627993cb4db1d5a2e1a
3207012 C 3 CP 1 22/02/2018 23/02/2018 22/02/2018 3000 1
1 P21.1;P03.4;Z24.6 93.93;96.07;90.59;99.59 - - None None None
None P-8-08-I None None None None None None NEONATAL, BERAT BADAN
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14:40:18#0#00:00:00#00:00:00#00:00:00 1 9752eba75fd1b52b63f0375346f888ee
3207012 C 3 CP 1 19/02/2018 23/02/2018 05/08/1984 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
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2092500 1733337 0 5 0 0 0 RONI NURMADIANA DRAJAT
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0002282520655 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161249
1#0##0#0#0.0#2018-03-20 08:01:35#0#00:00:00#00:00:00#00:00:00 1
 b23e5e2649268756cebf83e1d1277a98
3207012 C 3 CP 1 21/02/2018 23/02/2018 26/10/2015 0 1
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15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
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3999700 1310253 0 3 0 0 0 RIFALDY 00491623
2 849 HJ. SUHERJATI, SP. A 1023R00102180008542 0001899950321
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1#0##0#0#0.0#2018-03-20 08:07:21#0#00:00:00#00:00:00#00:00:00 1
2dbc4f5dd9f61257a8221adc5b1fdc6e
3207012 C 1 CP 1 20/02/2018 23/02/2018 12/11/1956 0 1
1 I10;I49.9 89.52;87.49;90.59 - - None None None None I-4-
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0 4 0 0 0 MAMAN SULANJANA 00439884 61 22380 SETYO
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1 G43.9;R51;J06.9 90.59 - - None None None None G-4-23-I
None None None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN)
2755100 0 0 - 0 - 0 - 0 - 0
2755100 1557748 0 3 0 0 0 RUKMI PERMANANINGSIH
00476745 79 28993 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007857 0000071353484 3;JKN NANA KUSLIANA;
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18-II None None None None None None ASTHMA & BRONKIOLITIS (SEDANG)
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1#0##0#0#0.0#2018-03-20 11:13:54#0#00:00:00#00:00:00#00:00:00 1
cc701eb2fc7c69402cbfac474d50dd40
3207012 C 3 CP 1 21/02/2018 23/02/2018 01/01/1966 0 1
1 M66.46 83.88;86.28;90.59;93.57 - - None None None None
M-1-50-I None None None None None None PROSEDUR JARINGAN LUNAK
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3840300 2567799 0 3 0 0 0 ELAN SUHERLAN
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1#0##0#0#0.0#2018-03-20 11:21:40#0#00:00:00#00:00:00#00:00:00 1
32414acfc259aad43c04c713652bc311
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1 N00.8;B86;L01.0 90.59;91.39 - - None None None None N-4-
11-II None None None None None None PERADANGAN GINJAL (SEDANG) 3300400
0 0 - 0 - 0 - 0 - 0 3300400
2350345 0 7 0 0 0 MUHAMAD RAFLY ALFARIZ 00495226
12 4558 HJ. SUHERJATI, SP. A 1023R00102180006565 0001779010277
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162569
1#0##0#0#0.0#2018-03-21 14:15:17#0#00:00:00#00:00:00#00:00:00 1
ffd360558823bab878e61241a318e51a
3207012 C 3 CP 1 21/02/2018 23/02/2018 11/01/2018 0 1
1 J18.0;A09.9;E86;L22 87.49;90.59 - - None None None None
J-4-16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (RINGAN) 3332600 0 0 - 0 - 0 - 0 -
0 3332600 1496921 0 3 0 0 0 BAYI NY. AMEL
 00495434 0 41 HJ. SUHERJATI, SP. A 1023R00102180008652
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1#0##0#0#0.0#2018-03-21 14:19:31#0#00:00:00#00:00:00#00:00:00 1
8537b4b69571e1011865a0ad5c04630f
3207012 C 2 CP 1 20/02/2018 23/02/2018 01/07/1952 0 1
1 C22.0 89.52;88.76;90.59 - - None None None None B-4-11-I
None None None None None None TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
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1#0##0#0#0.0#2018-03-22 09:46:22#0#00:00:00#00:00:00#00:00:00 1
228aee92aa5f758a393b011f8ec53e32
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1 O42.9;O80.0;O70.9;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
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1828500 2698595 0 1 0 0 0 RIKI ROSIDAH
00495673 25 9272 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008916
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1#0##0#0#0.0#2018-03-22 09:58:46#0#00:00:00#00:00:00#00:00:00 1
58ef3e90fc722732aa92a0bb52958208
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1 O62.2;O80.0;O70.9;Z37.0 73.59;73.6;90.59 - - None None None
None O-6-13-I None None None None None None PERSALINAN VAGINAL
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1544900 2820911 0 2 0 0 0 PUPUT APRILIA
00475420 16 6171 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008547
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1#0##0#0#0.0#2018-03-22 10:19:43#0#00:00:00#00:00:00#00:00:00 1
3ff2fd84003a217ef1620012edc59504
3207012 C 1 CP 1 21/02/2018 23/02/2018 03/05/2016 0 2
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 4166900 0 0 - 0 - 0 - 0 -
0 4166900 1684321 0 3 0 0 0 ATIN HARTINI
00395965 1 659 SETYO RAHARJO, DR, SP. PD 1023R00102180008238
0001793220851 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162976
1#0##0#0#0.0#2018-03-22 10:23:42#0#00:00:00#00:00:00#00:00:00 1
a87f0d1dcb78dc2f5ee966589bfa311a
3207012 C 3 CP 1 19/02/2018 23/02/2018 20/05/2001 0 2
1 O42.9;O82.1;Z37.0 74.0;88.78;90.59;57.94 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 7432973 0 5 0 0 0 AYU RAHAYU
00495356 16 6119 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008024
0002431408331 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163036
1#0##0#0#0.0#2018-03-22 10:40:18#0#00:00:00#00:00:00#00:00:00 1
150e86f57efa9c0875524e6330bb3fc1
3207012 C 3 CP 1 19/02/2018 23/02/2018 01/09/2009 0 1
1 K75.9 90.59 - - None None None None B-4-13-I None None
None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100 0
0 - 0 - 0 - 0 - 0 3122100 1827952
0 5 0 0 0 JASMIN NADIRA R 00495368 8 3093 HJ.
SUHERJATI, SP. A 1023R00102180007152 0000440002247 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163250 1#0##0#0#0.0#2018-03-22
11:52:07#0#00:00:00#00:00:00#00:00:00 1 cd7c052a475e39828bef1edcc2bb50f5
3207012 C 3 CP 1 21/02/2018 23/02/2018 18/06/1996 0 2
1 O65.0;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
 None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6665392 0 3 0 0 0 SITI HANIPAH
00495563 21 7918 DIDI KURNIADI M, DR. SP.OG 1023R00102180008536
0002328682004 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163255
1#0##0#0#0.0#2018-03-22 12:09:46#0#00:00:00#00:00:00#00:00:00 1
2fd26278d24ea4693fa89e68dc3a5a9e
3207012 C 2 CP 1 20/02/2018 23/02/2018 27/07/1990 0 2
1 O64.5;O82.0;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
0 5796300 5817446 0 4 0 0 0 SRI NURLINA
00494140 27 10070 DIDI KURNIADI M, DR. SP.OG 1023R00102180007660
0001381659344 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163278
1#0##0#0#0.0#2018-03-22 13:05:22#0#00:00:00#00:00:00#00:00:00 1
44565130b13ef9b1de5e930850a5589e
3207012 C 3 CP 1 20/02/2018 23/02/2018 10/01/1983 0 2
1 O99.8;O82.1 74.0;90.59;57.94;93.57 - - None None None None
O-6-10-I None None None None None None OPERASI PEMBEDAHAN CAESAR
(RINGAN) 4830200 0 0 - 0 - 0 - 0 - 0
4830200 5806137 0 4 0 0 0 JUANAH 00495333
35 12825 DIDI KURNIADI M, DR. SP.OG 1023R00102180007659
0001298631971 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163325
1#0##0#0#0.0#2018-03-22 13:22:23#0#00:00:00#00:00:00#00:00:00 1
00d074a236b9ea9c7498f98b63f667fa
3207012 C 2 CP 1 19/02/2018 23/02/2018 01/07/1948 0 1
1 I49.4;I10;E87.6;R42 89.52;90.59 - - None None None None
I-4-19-II None None None None None None GANGGUAN KONDUKSI & ARITMIA
JANTUNG (SEDANG) 5445800 0 0 - 0 - 0 - 0 -
0 5445800 2288334 0 5 0 0 0 EDAH 00495355
69 25435 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180007485
0001898628445 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163847
1#0##0#0#0.0#2018-03-26 09:56:20#0#00:00:00#00:00:00#00:00:00 1
fbe1bb2bd7731d362d596b9e1cca9f24
3207012 C 3 CP 1 21/02/2018 23/02/2018 01/07/1950 0 1
1 I12.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 2429557 0 3 0 0 0 IJO SUJANA
00484916 67 24707 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008050
0002064066467 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163937
1#0##0#0#0.0#2018-03-26 10:26:25#0#00:00:00#00:00:00#00:00:00 1
bab58b80ca2a8610121d555f47491051
3207012 C 3 CP 1 20/02/2018 23/02/2018 01/03/1952 0 1
1 I25.0;E79.0 89.52;87.49;90.59 - - None None None None I-4-
16-I None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
1362147 0 4 0 0 0 ADANG GUADANG 00436696 65
24097 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180007694 0000440906679
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164146
1#0##0#0#0.0#2018-03-26 11:42:45#0#00:00:00#00:00:00#00:00:00 1
db6304cbf66aff816c6a3059d90c0ce3
3207012 C 3 CP 1 22/02/2018 23/02/2018 29/11/1985 0 2
1 F41.9;K30 90.59 - - None None None None F-4-15-I None
None None None None None FOBIA, ANXIETAS DAN NEUROSIS LAIN-LAIN (RINGAN)
2069100 0 0 - 0 - 0 - 0 - 0
2069100 837370 0 2 0 0 0 LIA SITI NURBARANI, SE
00491091 32 11773 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180008763
0001370906818 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164171
 1#0##0#0#0.0#2018-03-26 13:11:05#0#13:09:43#13:09:43#00:00:00 1
428055f7876b04675537732f316a66c8
3207012 C 2 CP 1 21/02/2018 23/02/2018 13/04/1966 0 1
1 A09.9 89.52;90.99;90.59 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1687500 0 0 - 0 - 0 - 0 - 0
1687500 1106923 0 3 0 0 0 UJENG KUSNADI
00437854 51 18942 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180008715 0001125675674 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164186 1#0##0#0#0.0#2018-03-26
13:54:38#0#13:53:26#13:53:26#12:00:00 1 5e9701c31c93a35a6ac8d95735ac3ed3
3207012 C 3 CP 1 21/02/2018 23/02/2018 15/09/1966 0 2
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 1899701 0 3 0 0 0 HODIJAH
00487646 51 18787 SETYO RAHARJO, DR, SP. PD 1023R00102180008449
0002312364497 3;JKN Firman; 5.2.0.201712280730 4 164941
1#0##0#0#0.0#2018-03-27 14:15:07#0#14:14:03#14:14:03#00:00:00 1
dff6e2785a572b30b780676bc8fd7f31
3207012 C 3 CP 1 21/02/2018 23/02/2018 22/07/1982 0 1
1 R10.1 89.52;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 859383 0 3 0 0 0 MOCHAMAD FITRIYANA, A.MD
00414507 35 12998 SETYO RAHARJO, DR, SP. PD 1023R00102180008225
0001661895088 3;JKN Firman; 5.2.0.201712280730 4 164947
1#0##0#0#0.0#2018-03-27 14:19:28#0#14:17:32#14:17:32#00:00:00 1
f1844a194a388b8508e9ac7dedb88546
3207012 C 3 CP 1 18/02/2018 23/02/2018 03/12/1950 0 2
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1921783 0 6 0 0 0 OMOH 00495247 67
24549 SETYO RAHARJO, DR, SP. PD 1023R00102180006765 0001972180967
3;JKN Firman; 5.2.0.201712280730 4 164967 1#0##0#0#0.0#2018-
03-27 14:31:43#0#14:30:11#14:30:11#00:00:00 1
95ff393b6783fac52e19d590ae927254
3207012 C 3 CP 1 15/02/2018 23/02/2018 01/03/1990 0 1
1 J18.0;R04.2 89.52;87.49;90.41;90.59 - - None None None None
J-4-16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING
COUGH (RINGAN) 3332600 0 0 - 0 - 0 - 0 -
0 3332600 5067989 0 9 0 0 0 NANA SETIANA
00495028 27 10213 ABU BAKAR, DR. SPP, MKES 1023r00102180006247
0000439958553 3;JKN ANDI; 5.2.0.201712280730 4 164970
1#0##0#0#0.0#2018-03-27 14:34:01#0#14:32:02#14:32:02#00:00:00 1
8a1f40f434aa7f6abefe72bd5d907ad7
3207012 C 3 CP 1 20/02/2018 23/02/2018 13/06/1962 0 1
1 I11.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1336078 0 4 0 0 0 PIAT 00495454 55 20341 SETYO
RAHARJO, DR, SP. PD 1023r00102180007679 0002430949634 3;JKN ANDI;
5.2.0.201712280730 4 164977 1#0##0#0#0.0#2018-03-27
14:38:13#0#14:36:39#14:36:39#00:00:00 1 a70b91dd3aa05e95c0992011c0a31917
3207012 C 3 CP 1 17/02/2018 23/02/2018 01/07/1977 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
 2092500 2483800 0 7 0 0 0 TETI HARYATI
00421663 40 14841 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006553
0000440607238 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 165010
1#0##0#0#0.0#2018-03-27 15:07:25#0#15:06:14#15:06:14#00:00:00 1
747f852c3d1f3976ecf143749534384e
3207012 C 2 CP 1 15/02/2018 23/02/2018 31/10/1964 0 1
1 D62;E11.9 99.04;88.76;90.59 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 - 0 -
0 - 0 2661700 4866864 0 9 0 0 0 AYI
SUPARNO 00494960 53 19465 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180005633 0001103525829 3;JKN Firman; 5.2.0.201712280730
4 165017 1#0##0#0#0.0#2018-03-27
15:14:39#0#15:12:59#15:12:59#00:00:00 1 3d0427aad5cecc41be46bc373ca5878f
3207012 C 3 CP 1 21/02/2018 23/02/2018 17/07/1963 0 2
1 I12.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
16-II None None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-
LAIN (SEDANG) 3917300 0 0 - 0 - 0 - 0 -
0 3917300 2777404 0 3 0 0 0 AAN S 00380965
54 19943 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180008222
0000070528656 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164174
1#0##0#0#0.0#2018-03-28 09:02:44#0#13:16:41#13:16:41#00:00:00 2
cd50a3cd9b7284570fe4c8818da64af9
3207012 C 3 CP 1 17/02/2018 23/02/2018 12/02/1933 0 1
1 I63.8 90.59 - - None None None None G-4-14-I None None
None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK (RINGAN)
3722700 0 0 - 0 - 0 - 0 - 0
3722700 3177050 0 7 0 0 0 UJU 00495152 85
31051 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180006964
0001006037267 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166123
1#0##0#0#0.0#2018-04-03 08:01:20#0#07:59:57#07:59:57#00:00:00 1
b7f71b173b26cc1375ad340fbcc34b84
3207012 C 3 CP 1 17/02/2018 23/02/2018 11/12/1994 0 1
1 K30;N20.9;R10.1 87.49;90.59 - - None None None None K-4-
18-I None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 2661869 0 7 0 0 0 MOHAMAD SODIK
00494387 23 8469 SETYO RAHARJO, DR, SP. PD 1023r00102180006550
0002427743845 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166462
1#0##0#0#0.0#2018-04-03 13:24:35#0#13:22:47#13:22:47#00:00:00 1
af14480cf2956efb7022bd99c14d22e5
3207012 C 3 CP 1 18/02/2018 23/02/2018 12/03/1945 0 1
1 J18.0;D14.3 87.49;90.59 - - None None None None J-4-16-I
None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 2316508 0 6 0 0 0 ROSID 00455795 72
26641 ABU BAKAR, DR. SPP, MKES 1023R00102180006593 0002238500349
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160814
1#0##0#0#0.0#2018-04-04 09:46:40#0#00:00:00#00:00:00#00:00:00 2
914a9f19f6707a999099f07f4d9e80c8
3207012 C 3 CP 1 20/02/2018 23/02/2018 01/01/1947 0 2
1 R55 90.59 - - None None None None I-4-21-I None None
None None None None SYNCOPE & COLLAPSE (RINGAN) 2265200 0 0
- 0 - 0 - 0 - 0 2265200 2061556 0
4 0 0 0 OOM MINTARSIH 00358099 71 25983 H. DENNY
RAHARJONO, DR. SP. S. 1023r00102180007212 0000071141534 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167802 1#0##0#0#0.0#2018-04-10
12:15:58#0#12:14:46#12:14:46#00:00:00 1 79434c59b7c9658a359e666f8af31c12
3207012 C 3 CP 1 22/02/2018 23/02/2018 16/06/1988 0 2
 1 D24 85.21;91.89;90.59 - - None None None None L-1-50-I
None None None None None None PROSEDUR PADA PAYUDARA (RINGAN)
4853300 0 0 - 0 - 0 - 0 - 0
4853300 3567491 0 2 0 0 0 YUYU YUNINGSIH
00494490 29 10843 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180008757 0000441014297 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167825 1#0##0#0#0.0#2018-04-10
13:34:47#0#13:33:35#13:33:35#00:00:00 1 33186e405eb2bf5bfa64a8137167006c
3207012 C 3 CP 1 22/02/2018 23/02/2018 01/01/1944 0 1
1 D21.1 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3258394 0 2 0 0 0 IKIN
SODIKIN 00495296 74 27081 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008770 0000442167614 3;JKN Firman; 5.2.0.201712280730
4 167966 1#0##0#0#0.0#2018-04-11
09:41:39#0#09:40:29#09:40:29#00:00:00 1 908a94ad073db2f1dcfd7c9f86c993f4
3207012 C 3 CP 1 19/02/2018 23/02/2018 20/08/1942 0 2
1 J18.0;I50.0;R51 87.49;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 4683100 0 0 - 0 - 0 - 0 - 0
4683100 2423377 0 5 0 0 0 NUNUNG ROSDIANA
00495268 75 27577 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00112170006840 0000071274093 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168023 1#0##0#0#0.0#2018-04-11
11:13:18#0#11:12:00#11:12:00#00:00:00 1 1c75fb771bc1d56d26833948b6c83281
3207012 C 3 CP 1 17/02/2018 23/02/2018 12/06/1998 0 1
1 A15.6;E88.0 34.91;89.52;87.49;90.41;90.59 - - None None None
None J-4-15-II None None None None None None PERADANGAN DAN INFEKSI
PERNAFASAN (SEDANG) 4778500 0 0 - 0 - 0 - 0
- 0 4778500 5479157 0 7 0 0 0 AEP MAULANA
00495202 19 7190 ABU BAKAR, DR. SPP, MKES 1023r00102180007117
0000441793912 3;JKN Firman; 5.2.0.201712280730 4 164988
1#0##0#0#0.0#2018-04-11 11:31:05#0#14:44:48#14:44:48#00:00:00 2
187122f7fb6e9b8c77aa33d62b727fea
3207012 C 2 CP 1 15/02/2018 23/02/2018 28/07/1989 0 2
1 J90;I50.0;N18.9;E88.0 34.91;87.49;89.52;90.41;90.59 - - None
None None None J-4-20-II None None None None None None PLEURAL
EFUSI DAN PNEUMOTORAK (SEDANG) 6366300 0 0 - 0 - 0
- 0 - 0 6366300 5055311 0 9 0 0 0
MIRA SRI RAHAYU 00488696 28 10429 ABU BAKAR, DR. SPP, MKES
1023r00102180006201 0001854688421 3;JKN Firman; 5.2.0.201712280730
4 165008 1#0##0#0#0.0#2018-04-11
11:32:11#0#15:03:33#15:03:33#00:00:00 2 62220fb8819de0e9a2927ae28f919eb6
3207012 C 3 CP 1 19/02/2018 23/02/2018 16/05/1962 0 2
1 E11.5 84.11;86.28;89.52;87.49;90.59 - - None None None None
M-1-30-I None None None None None None PROSEDUR KAKI (RINGAN)
6295600 0 0 - 0 - 0 - 0 - 0
6295600 4700085 0 5 0 0 0 EMI 00495357 55
20368 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180007137
0002300240259 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168321
1#0##0#0#0.0#2018-04-13 09:51:30#0#09:50:09#09:50:09#00:00:00 1
bb93ede82624ef23ad3bb31764e4be41
3207012 C 3 CP 1 22/02/2018 23/02/2018 10/05/2015 0 1
1 N43.3;A16.2 90.59 - - None None None None V-4-11-II None
None None None None None PENYAKIT SISTEM REPRODUKSI LAKI-LAKI SELAIN
TUMOR (SEDANG) 3679400 0 0 - 0 - 0 - 0 -
0 3679400 465907 0 2 0 0 0 ANGGA BAYU WAIS
00494445 2 1019 FIRDAUS BENNY PUTRA, DR. SP. B.
 1023r00102180008766 0001852929944 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167681 1#0##0#0#0.0#2018-04-13
10:10:51#0#12:55:23#12:55:23#00:00:00 1 c65c4221355e367b62cdb43e13a099d4
3207012 C 1 CP 1 20/02/2018 23/02/2018 21/12/1967 0 1
1 M10.9 89.52;87.49;90.59 - - None None None None M-4-18-I
None None None None None None PENYAKIT TULANG DAN SENDI LAIN-LAIN
(RINGAN) 2897800 0 0 - 0 - 0 - 0 - 0
2897800 6198250 0 4 0 0 0 DINDIN SYAMSUDIN
00465759 50 18324 ALDI DR.SP OT 1023r00102180008021
0001293313342 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168585
1#0##0#0#0.0#2018-04-16 10:28:28#0#10:27:07#10:27:07#00:00:00 1
60aef41efeccc77f9caf4ba8c67b230e
3207012 C 3 CP 1 20/02/2018 23/02/2018 05/08/1990 0 2
1 Z03.3 90.59 - - None None None None Z-4-12-I None None
None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS KESEHATAN
LAIN-LAIN (RINGAN) 1166200 0 0 - 0 - 0 - 0
- 0 1166200 1518311 0 4 0 0 0 NURHAYATI
00495442 27 10061 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007642 0002426574598 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 161883 1#0##0#0#0.0#2018-04-16
13:46:38#0#00:00:00#00:00:00#00:00:00 3 2fb69e00ad296218ec2b0d75a7ddb013
3207012 C 3 CP 1 22/02/2018 23/02/2018 01/09/2000 0 1
1 D36.7 86.3;90.59;87.49;91.59 - - None None None None L-1-
40-I None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3321751 0 2 0 0 0 AHMAD
SOLEH MAULANA 00494718 17 6383 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008756 0000441189606 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 169736 1#0##0#0#0.0#2018-04-18
08:21:35#0#00:00:00#00:00:00#00:00:00 1 60efafce6e08abaa4da908056a18b52c
3207012 C 3 CP 1 21/02/2018 23/02/2018 21/07/1983 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1157184 0 3 0 0 0 KUSNANDAR 00495541
34 12634 SETYO RAHARJO, DR, SP. PD 1023R00102180008459
0002263128197 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 160815
1#0##0#0#0.0#2018-04-18 08:53:23#0#00:00:00#00:00:00#00:00:00 2
d0977f53fe31661e43d905db5295ae40
3207012 C 3 CP 1 14/02/2018 23/02/2018 12/10/1993 0 2
1 A15.0;E43 87.49;90.41;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 4757039 0 10 0 0 0 YANI HERYANI
00494955 24 8891 ABU BAKAR, DR. SPP, MKES 1023r00102180005629
0000440163674 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164991
1#0##0#0#0.0#2018-04-19 08:38:06#0#14:47:34#14:47:34#00:00:00 2
9448f192a6b4f79785f322d778ab73a8
3207012 C 3 CP 1 22/02/2018 23/02/2018 06/09/1951 0 1
1 D21.9 86.3;89.52;90.59 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3350862 0 2 0 0 0
WAHYUDIN,S.PD 00379851 66 24276 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008772 0000057577871 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171689 1#0##0#0#0.0#2018-04-23
07:51:38#0#00:00:00#00:00:00#00:00:00 1 f4dfc44e29ba8233acaf5ceb7ac06dba
3207012 C 3 CP 1 22/02/2018 23/02/2018 13/10/2004 0 1
1 D36.7 90.59 - - None None None None C-4-14-I None None
 None None None None TUMOR MYELOPROLIFERATIF LAIN-LAIN (RINGAN)
2734700 0 0 - 0 - 0 - 0 - 0
2734700 507395 0 2 0 0 0 SEKA RAMDANI
00495659 13 4880 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008775 0002428168792 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171738 1#0##0#0#0.0#2018-04-23
08:17:04#0#00:00:00#00:00:00#00:00:00 1 e8e836aab9e7e2894c6d12fd68eb9b48
3207012 C 2 CP 1 20/02/2018 23/02/2018 29/08/1949 0 2
2 N13.2;M51.2 88.76;89.52;87.49;87.24;90.59 - - None None None
None N-4-13-I None None None None None None BATU URIN (RINGAN)
3899600 0 0 - 0 - 0 - 0 - 0
3899600 2439494 0 4 0 0 0 UMILAH 00033161
68 25012 SETYO RAHARJO, DR, SP. PD 1023R00102180007286
0000071440446 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 169751
1#0##0#0#0.0#2018-04-25 07:41:29#0#00:00:00#00:00:00#00:00:00 2
a261838fae538156f2a7b144d7d3ed93
3207012 C 3 CP 1 22/02/2018 23/02/2018 05/07/1954 0 1
1 I11.9;R51 89.52;90.59 - - None None None None I-4-17-I
None None None None None None HIPERTENSI (RINGAN) 1758600 0
0 - 0 - 0 - 0 - 0 1758600 882624
0 2 0 0 0 OMAN KOMAR 00445351 63 23243 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180008704 0001282724875 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 173432 1#0##0#0#0.0#2018-04-25
11:05:57#0#00:00:00#00:00:00#00:00:00 1 12683b8e35d2dcbda9ab08cae47a429c
3207012 C 3 CP 1 19/02/2018 23/02/2018 20/08/1942 0 2
1 J18.0;I50.0;R51 87.49;90.59 - - None None None None J-4-
16-II None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(SEDANG) 4683100 0 0 - 0 - 0 - 0 - 0
4683100 2423377 0 5 0 0 0 NUNUNG ROSDIANA
00495268 75 27577 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180006840 0000071274093 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173448 1#0##0#0#0.0#2018-04-25
11:13:27#0#00:00:00#00:00:00#00:00:00 1 c74c22e7f2408312a7ff6f074c56d5ce
3207012 C 1 CP 1 21/02/2018 23/02/2018 29/03/1998 0 1
1 A04.9 90.99;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 1559611 0 3 0 0 0 RESA KURNIA NUGRAHA
00495586 19 7269 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180008463 0000071737929 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168017 1#0##0#0#0.0#2018-04-25
11:17:45#0#10:41:38#10:41:38#00:00:00 2 be198bb5133399cbe257a52a843d2944
3207012 C 3 CP 1 22/02/2018 23/02/2018 25/03/1962 0 1
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6433000
0 0 - 0 - 0 - 0 - 0 6433000
2974164 0 2 0 0 0 AHYAR 00452291 55 20423
SUTRISNO, DR. SP.M 1023R00102180008531 0002064968043 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163254 1#0##0#0#0.0#2018-04-30
07:33:13#0#00:00:00#00:00:00#12:00:00 2 ab494120e01d6e5f52fb938a086bb931
3207012 C 3 CP 1 22/02/2018 23/02/2018 08/05/1949 0 2
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5530917 0 2 0 0 0 CICIH 00396849 68
25127 SUTRISNO, DR. SP.M 1023R00102180008350 0001818875439 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160929 1#0##0#0#0.0#2018-
04-30 07:33:58#0#00:00:00#00:00:00#00:00:00 2
92ee12dc4ffedc8d9513761b573310c6
3207012 C 3 CP 1 22/02/2018 23/02/2018 01/07/1972 0 2
1 H25.9 13.19 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6433000
0 0 - 0 - 0 - 0 - 0 6433000
5507847 0 2 0 0 0 JUA 00439901 45 16672
SUTRISNO, DR. SP.M 1023R00102180008378 0000441327565 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161863 1#0##0#0#0.0#2018-04-30
07:35:22#0#00:00:00#00:00:00#12:00:00 2 a1c9edac5daad21e7511843099e93bda
3207012 C 3 CP 1 22/02/2018 23/02/2018 19/06/1959 0 1
1 H25.9 13.19;13.71;90.59;93.57 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5466519 0 2 0 0 0 ALI SUPRIATNA
00398249 58 21433 SUTRISNO, DR. SP.M 1023R00102180008719
0001839183164 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160905
1#0##0#0#0.0#2018-04-30 07:35:47#0#00:00:00#00:00:00#00:00:00 2
109f438f502851b1fddb1c2f3ebb9ff0
3207012 C 3 CP 1 23/02/2018 23/02/2018 06/04/1971 0 1
4 I21.9;N17.9;E87.2 87.49;90.59 - - None None None None I-4-
10-III None None None None None None INFARK MYOKARD AKUT (BERAT)
7492600 0 0 - 0 - 0 - 0 - 0
7492600 1713742 0 1 0 0 0 SUMPENA 00495722
46 17125 JAKA SATRIA, DR. 1023R00102180009089 0000435032548 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 171775 1#0##0#0#0.0#2018-
05-02 07:40:44#0#00:00:00#00:00:00#00:00:00 2
b77a89b455edda08347a37df5e3bda4d
3207012 C 3 CP 1 23/02/2018 24/02/2018 23/02/2018 2500 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 511344 0 2 0 0 0 BY NY
DEDEH NURHIDAYATI 00492730 0 0 TISA RAHMAWATY DR. SP.A
1023R00102180009160 0002433150009 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161184 1#0##0#0#0.0#2018-03-19
14:34:52#0#00:00:00#00:00:00#00:00:00 1 078dd6c49175bc8d01783aaec1c9c72a
3207012 C 3 CP 1 23/02/2018 24/02/2018 23/02/2018 3200 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 461952 0 2 0 0 0 BY NY
ENOK NONAH 00495724 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009104 0002433083152 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161189 1#0##0#0#0.0#2018-03-19
14:37:41#0#00:00:00#00:00:00#00:00:00 1 0a7801f77aa5b4c3677f4e59a69efa4b
3207012 C 3 CP 1 23/02/2018 24/02/2018 23/02/2018 4200 1
1 P03.4;P21.1;Z24.0;Z24.6 93.93;99.41;99.59;90.59 - - None None
None None P-8-17-I None None None None None None NEONATAL, BBL >
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 -
0 - 0 - 0 3326400 534452 0 2 0 0
0 BY NY DEDE NURJANAH 00495726 0 0 TISA RAHMAWATY DR. SP.A
1023R00102180009255 0002327158484 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161228 1#0##0#0#0.0#2018-03-20
07:49:56#0#00:00:00#00:00:00#00:00:00 1 0fbad06f52c20ee712d8cd0b2c004651
3207012 C 3 CP 1 23/02/2018 24/02/2018 05/11/2016 0 2
1 J45.9;J06.9 93.93;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 678380 0 2 0 0 0 TASYA NURLAELA
00472147 1 475 HJ. SUHERJATI, SP. A 1023R00102180009286
 0002251813948 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161261
1#0##0#0#0.0#2018-03-20 08:05:33#0#00:00:00#00:00:00#00:00:00 1
d368001734c277b6f0e66063e9788153
3207012 C 3 CP 1 21/02/2018 24/02/2018 13/11/1975 0 2
1 H81.1 90.59 - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0 0 -
0 - 0 - 0 - 0 1311700 1112070 0 4
0 0 0 FITRIA SARIFAH 00495594 42 15441 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180008762 0002432507591 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161792 1#0##0#0#0.0#2018-03-20
13:00:15#0#00:00:00#00:00:00#00:00:00 1 38ec89c9886d4703f03163a8dbca16dd
3207012 C 3 CP 1 20/02/2018 24/02/2018 02/09/1977 0 2
1 I63.9 87.03;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 1698122 0 5 0 0 0 UPIN 00495409 40
14781 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180007768
0000439965101 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161796
1#0##0#0#0.0#2018-03-20 13:02:04#0#00:00:00#00:00:00#00:00:00 1
60e721ccc5207f4579242ec9470c3f1c
3207012 C 3 CP 1 21/02/2018 24/02/2018 21/07/2007 0 2
1 A01.0 - - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1286859 0 4 0 0 0 SYARIFAH MARDHIAH
00321870 10 3868 HJ. SUHERJATI, SP. A 1023R00102180007792
0001972738236 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162538
1#0##0#0#0.0#2018-03-21 14:06:31#0#00:00:00#00:00:00#00:00:00 1
5f844d2e891ec4870d8ce18881842148
3207012 C 3 CP 1 23/02/2018 24/02/2018 23/02/2018 3800 2
1 P03.4;Z24.6 93.93;99.59;90.59 - - None None None None P-8-
17-I None None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR
MAYOR (RINGAN) 3326400 0 0 - 0 - 0 - 0 -
0 3326400 2092705 0 2 0 0 0 BY NY TINI KARTINI
00495732 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180009845
0002433562165 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162867
1#0##0#0#0.0#2018-03-22 09:53:21#0#00:00:00#00:00:00#00:00:00 1
e3cbb829a7ff312d02c1ba257741a4d5
3207012 C 1 CP 1 20/02/2018 24/02/2018 30/12/2016 0 1
1 A09.9;E86 90.59;90.99 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1968700 0 0 - 0 - 0 - 0 - 0
1968700 2962455 0 5 0 0 0 MUHAMMAD REIFANSYAH ADLI
ADHYASTA 00493013 1 417 TISA RAHMAWATY DR. SP.A 1023R00102180007622
0002214521728 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162897
1#0##0#0#0.0#2018-03-22 10:01:06#0#00:00:00#00:00:00#00:00:00 1
26dd454be6f196cfac166e9a9b47e71b
3207012 C 3 CP 1 21/02/2018 24/02/2018 01/04/1986 0 2
1 O64.1;O41.0;O82.1;Z37.0;Z30.5 74.0;69.7;90.59;57.94;93.57 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 -
0 - 0 - 0 4830200 5689557 0 4 0 0
0 ETI NURHASANAH 00495443 31 11649 H. SUSWADI, SP.OG
1023R00102180008208 0001006052567 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163261 1#0##0#0#0.0#2018-03-22
12:18:21#0#00:00:00#00:00:00#00:00:00 1 150808113c2a4a0ea02deece24a054ea
3207012 C 3 CP 1 23/02/2018 24/02/2018 23/02/2018 2400 2
1 P03.4;P07.1;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None
None None P-8-13-I None None None None None None NEONATAL, BBL 2000
- 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 -
0 - 0 - 0 4989600 497361 0 2 0 0
0 ANDINI NURLELA PAUJIAH 00495731 0 0 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023R00102180009839 0002433729778 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163271 1#0##0#0#0.0#2018-03-22
12:50:48#0#00:00:00#00:00:00#00:00:00 1 1de38907fd614def52260a3544efaeef
3207012 C 3 CP 1 20/02/2018 24/02/2018 01/02/1950 0 2
1 N81.9 68.59;90.59;93.57;57.94 - - None None None None W-1-
30-I None None None None None None PROSEDUR PADA VAGINA, SERVIK & VULVA
(RINGAN) 3464300 0 0 - 0 - 0 - 0 - 0
3464300 5846025 0 5 0 0 0 EMAH 00369923 68
24856 DIDI KURNIADI M, DR. SP.OG 1023R00102180008166 0000438554327
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163294
1#0##0#0#0.0#2018-03-22 13:13:13#0#00:00:00#00:00:00#00:00:00 1
5f6cf3448fb4a1e57094579a4154ff25
3207012 C 3 CP 1 21/02/2018 24/02/2018 01/05/1980 0 2
1 O63.9;O13;O66.2;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None
None None None O-6-10-I None None None None None None OPERASI
PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 - 0 -
0 - 0 4830200 6729397 0 4 0 0 0 ENUNG
NURAENI 00495584 37 13810 BUDI AHMAD RASAS, SP.OG.M.KES
1023R00102180008708 0000442039847 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163394 1#0##0#0#0.0#2018-03-22
13:44:13#0#00:00:00#00:00:00#00:00:00 1 9ba17c558910287fe46a5a825d90a555
3207012 C 3 CP 1 20/02/2018 24/02/2018 15/02/1963 0 2
1 D25.9 99.04;90.59 - - None None None None W-4-12-I None
None None None None None GANGGUAN MENSTRUASI & SISTEM REPRODUKSI WANITA
LAIN-LAIN (RINGAN) 2671300 0 0 - 0 - 0 - 0
- 0 2671300 2246266 0 5 0 0 0 TUTI
00494520 55 20094 DIDI KURNIADI M, DR. SP.OG 1023R00102180007661
0002018700663 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163651
1#0##0#0#0.0#2018-03-26 08:19:47#0#00:00:00#00:00:00#00:00:00 1
2b7d68e1a64680954763917aff64875a
3207012 C 3 CP 1 19/02/2018 24/02/2018 12/08/1932 0 1
1 I11.0 89.52;90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 2423073
0 6 0 0 0 SALI 00411248 85 31237 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180007113 0000071122048 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164116 1#0##0#0#0.0#2018-03-26
11:29:56#0#00:00:00#00:00:00#00:00:00 1 f2acada9c7e558e0f87b21da42b69c9b
3207012 C 3 CP 1 19/02/2018 24/02/2018 21/04/1966 0 1
1 I11.0;E11.9 90.59 - - None None None None I-4-12-I None
None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600 0
0 - 0 - 0 - 0 - 0 2575600 2566143
0 6 0 0 0 DURAHMAN 00462103 51 18932 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180007243 0002218338606 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164126 1#0##0#0#0.0#2018-03-26
11:32:32#0#00:00:00#00:00:00#12:00:00 1 bbaa3d46c3cdbe229ba7216866daed7a
3207012 C 3 CP 1 21/02/2018 24/02/2018 08/08/1967 0 2
1 K80.2;R10.4;K30 88.76;87.49;90.59 - - None None None None
B-4-14-I None None None None None None GANGGUAN SALURAN EMPEDU LAIN-
LAIN (RINGAN) 3118700 0 0 - 0 - 0 - 0 -
0 3118700 1638842 0 4 0 0 0 ILLOH ROHILAH
00487030 50 18460 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180008575
0002308861877 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164180
1#0##0#0#0.0#2018-03-26 13:43:39#0#13:42:17#13:42:17#00:00:00 1
2833af13a4e6daff67198c53d983a253
3207012 C 3 CP 1 20/02/2018 24/02/2018 14/06/1977 0 2
 1 O14.1;O36.5;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-II None None None None None None OPERASI PEMBEDAHAN
CAESAR (SEDANG) 5102000 0 0 - 0 - 0 - 0 -
0 5102000 8927757 0 5 0 0 0 RINA SAKILA
00495410 40 14861 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180007560
0002321339477 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164817
1#0##0#0#0.0#2018-03-27 12:46:55#0#12:42:31#12:42:31#00:00:00 1
052ad12c18edef1ef9c117dfb3fdd79c
3207012 C 3 CP 1 15/02/2018 24/02/2018 20/05/1954 0 1
1 A18.3;K93.0;M54.56;K30 87.24;88.19;87.49;90.59 - - None None
None None K-4-18-I None None None None None None GANGGUAN SISTEM
PENCERNAAN LAIN-LAIN (RINGAN) 1242600 0 0 - 0 - 0 -
0 - 0 1242600 8722663 0 10 0 0 0 MAMAN
SUHERMAN 00495029 63 23282 AYATULLAH KHOMAINI, DR. SP.PD
1023r00102180006482 0001423040433 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165011 1#0##0#0#0.0#2018-03-27
15:09:58#0#15:08:22#15:08:22#00:00:00 1 6b0309aaee48625b792452a3dc6341e3
3207012 C 3 CP 1 21/02/2018 24/02/2018 21/05/1972 0 2
1 A01.0 89.52;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1359098 0 4 0 0 0 UJU 00495576 45
16712 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180008230 0000440075013
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164179
1#0##0#0#0.0#2018-03-28 09:00:51#0#13:37:28#13:37:28#00:00:00 2
3a77a11f7d67f16fe46b66e6d6a5087d
3207012 C 3 CP 1 21/02/2018 24/02/2018 01/02/2005 0 2
1 A01.0 87.49;90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1405572 0 4 0 0 0 RISMA YULIANTI
00495596 13 4768 HJ. SUHERJATI, SP. A 1023r00102180008581
0000439945503 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167127
1#0##0#0#0.0#2018-04-06 09:58:09#0#09:56:11#09:56:11#00:00:00 1
3569995a7f232fe61d73b2a5cde38036
3207012 C 3 CP 1 21/02/2018 24/02/2018 11/10/2015 0 1
1 J45.9;J06.9 93.94;87.49;90.59 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 2009285 0 4 0 0 0 MUHAMAD RAFFI HERDANNY
00394656 2 864 HJ. SUHERJATI, SP. A 1023r00102180008711
0001812715964 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167131
1#0##0#0#0.0#2018-04-06 10:00:58#0#09:59:41#09:59:41#00:00:00 1
4bee9d0d34cbe1877c80b460ee65a8bf
3207012 C 3 CP 1 22/02/2018 24/02/2018 01/12/1979 0 2
1 N18.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 1520617 0 3 0 0 0 AAH 00388940
38 13963 SETYO RAHARJO, DR, SP. PD 1023r00102180008750
0000441080559 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167563
1#0##0#0#0.0#2018-04-09 10:40:10#0#10:38:56#10:38:56#00:00:00 1
1e060e1dafa4b77cef7ea8d13ddea19b
3207012 C 3 CP 1 19/02/2018 24/02/2018 01/04/1966 0 2
1 A01.4 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 2461890 0 6 0 0 0 ENI 00495303 51
18952 SETYO RAHARJO, DR, SP. PD 1023r00102180006929 0000440370876
 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167596
1#0##0#0#0.0#2018-04-09 10:58:58#0#10:57:28#10:57:28#00:00:00 1
1c2236d82c704df9341315e6e4a2d75f
3207012 C 3 CP 1 21/02/2018 24/02/2018 11/06/1999 0 2
1 J02.9 87.49;87.24;90.59 - - None None None None U-4-13-I
None None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH,
ISPA DAN LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0
- 0 - 0 1826300 1345159 0 4 0 0 0
MEGA PURNAMASARI 00495591 18 6830 SETYO RAHARJO, DR, SP. PD
1023r00102180008248 0001972738214 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167699 1#0##0#0#0.0#2018-04-09
13:12:56#0#13:09:32#13:09:32#00:00:00 1 a9b5ea1b62ec3a2d019025143518a1a9
3207012 C 3 CP 1 23/02/2018 24/02/2018 01/07/1989 0 2
4 A36.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1176881 0 2 0 0 0 RINI DARYATI NINGSIH
00495719 28 10464 H. HERDIANA, SP. THT 1023r00102180009178
0000440839405 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167821
1#0##0#0#0.0#2018-04-10 13:30:21#0#13:28:56#13:28:56#00:00:00 1
5a5f4f88e368d3904367efc3bb430697
3207012 C 3 CP 1 21/02/2018 24/02/2018 01/06/1984 0 2
1 D34 06.4;90.59;86.28;90.49 - - None None None None E-1-
20-I None None None None None None PROSEDUR PADA TIROID, PARATIROID DAN
SALURAN TIROGLOSAL (RINGAN) 5581600 0 0 - 0 - 0 -
0 - 0 5581600 8959782 0 4 0 0 0 TATI
00428023 33 12318 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008224 0000441047294 3;JKN Ridwan; 5.2.0.201712280730
4 167958 1#0##0#0#0.0#2018-04-11
09:33:32#0#09:32:04#09:32:04#00:00:00 1 640f23a74e449e3d41e7f16271b0d694
3207012 C 3 CP 1 22/02/2018 24/02/2018 17/09/1986 0 2
1 O02.1;O13 69.02;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3903824 0 3 0 0 0 RENI 00495658
31 11481 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180009041
0002432432441 3;JKN Firman; 5.2.0.201712280730 4 167969
1#0##0#0#0.0#2018-04-11 09:43:55#0#09:42:33#09:42:33#00:00:00 1
10742f96b964d4ff12af9ae2a3325653
3207012 C 3 CP 1 21/02/2018 24/02/2018 01/08/2017 0 2
1 A09.9;E86;D64.9 90.99;90.59 - - None None None None K-4-
17-II None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(SEDANG) 1923400 0 0 - 0 - 0 - 0 - 0
1923400 1126800 0 4 0 0 0 BY NY CANDRA
00477832 0 204 HJ. SUHERJATI, SP. A 1023R00102180008923
0002246439655 3;JKN Ridwan; 5.2.0.201712280730 4 167981
1#0##0#0#0.0#2018-04-11 09:56:13#0#09:54:25#09:54:25#00:00:00 1
0e5cc83cd8119739eba07d443192826e
3207012 C 3 CP 1 21/02/2018 24/02/2018 04/07/2005 0 1
1 J45.9 87.49;90.59 - - None None None None J-4-18-I None
None None None None None ASTHMA & BRONKIOLITIS (RINGAN) 2053000
0 0 - 0 - 0 - 0 - 0 2053000
1119938 0 4 0 0 0 MOCHAMAD RIZKI 00420354 12
4615 HJ. SUHERJATI, SP. A 1023R00102180008560 0001269970672 3;JKN
Ridwan; 5.2.0.201712280730 4 167986 1#0##0#0#0.0#2018-04-11
10:00:06#0#09:57:53#09:57:53#00:00:00 1 e455b594bdc9bd6155e01ca50936e063
3207012 C 3 CP 1 21/02/2018 24/02/2018 10/05/1984 0 2
1 O03.4 69.02;69.93;90.59 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 3996026 0 4 0 0 0 IMAY SUKMAWATI
00382609 33 12340 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008674
0001263988822 3;JKN Firman; 5.2.0.201712280730 4 163000
1#0##0#0#0.0#2018-04-11 11:30:03#0#00:00:00#00:00:00#00:00:00 2
9be2dd375e44bc5eb4af62643bdd7e14
3207012 C 3 CP 1 20/02/2018 24/02/2018 20/02/2018 2950 1
1 P21.1;P03.4;P39.9;Z24.0;Z24.6 93.93;99.59;99.41;90.59 - - None
None None None P-8-08-II None None None None None None NEONATAL,
BERAT BADAN LAHIR GROUP-5 DENGAN SINDROMA DISTRES PERNAFASAN (SEDANG) 5451100
0 0 - 0 - 0 - 0 - 0 5451100
1798602 0 5 0 0 0 BY NY IKA RISKAWATI 00495472
0 0 IMELDA PINGKAN MONIAGA, DR. SP. A 1023r00102180008178
0002325142642 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168372
1#0##0#0#0.0#2018-04-13 10:16:22#0#10:14:14#10:14:14#00:00:00 1
9cb2a4a3532fd362008054c81ed69793
3207012 C 3 CP 1 20/02/2018 24/02/2018 01/02/1943 0 1
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1768041 0 5 0 0 0 HADI 00495418 75
27413 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180007552 0000440767495
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167812
1#0##0#0#0.0#2018-04-16 13:55:43#0#12:41:04#12:41:04#00:00:00 2
1c2e5f4709bd622b4dc5a828fe415851
3207012 C 1 CP 1 22/02/2018 24/02/2018 13/10/1973 0 1
1 Z47.0 78.69;90.59 - - None None None None M-1-40-I None
None None None None None EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI
INTERNAL (RINGAN) 4486600 0 0 - 0 - 0 - 0 -
0 4486600 4643172 0 3 0 0 0 WINARSO
00405937 44 16203 ALDI DR.SP OT 1023R00102180009046
0000070924353 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169717
1#0##0#0#0.0#2018-04-18 08:16:51#0#00:00:00#00:00:00#00:00:00 1
32e9c4522894fcf15c7c47aeea8271ff
3207012 C 3 CP 1 19/02/2018 24/02/2018 01/07/1970 0 1
1 K30;E11.9;E79.0;R42 89.52;87.24;90.59 - - None None None
None K-4-18-I None None None None None None GANGGUAN SISTEM
PENCERNAAN LAIN-LAIN (RINGAN) 1242600 0 0 - 0 - 0 -
0 - 0 1242600 2511224 0 6 0 0 0 AGUS
BAHRUDIN 00486959 47 17400 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180007132 0000440563713 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 163066 1#0##0#0#0.0#2018-04-18
10:17:51#0#00:00:00#00:00:00#00:00:00 2 e9f408be70ca5730b1ad9c33a1519c5e
3207012 C 3 CP 1 15/02/2018 24/02/2018 25/12/1960 0 1
1 K74.6;K30;N40;E43;J90 88.76;89.52;87.24;90.59;34.91 - - None
None None None B-4-13-III None None None None None None GANGGUAN
HATI LAIN-LAIN (BERAT) 5010400 0 0 - 0 - 0 - 0
- 0 5010400 9386847 0 10 0 0 0 BANDI
SOBANDI 00495038 57 20871 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180007484 0002431274332 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164138 1#0##0#0#0.0#2018-04-19
08:42:02#0#00:00:00#00:00:00#00:00:00 3 8243096b9cb4188e5cbf496857698a4e
3207012 C 3 CP 1 21/02/2018 24/02/2018 11/09/1981 0 2
1 K80.8;G44.8 90.59 - - None None None None B-4-14-I None
None None None None None GANGGUAN SALURAN EMPEDU LAIN-LAIN (RINGAN)
3118700 0 0 - 0 - 0 - 0 - 0
3118700 605225 0 4 0 0 0 ERMIDA 00493134
36 13312 IMELDA PINGKAN MONIAGA, DR. SP. A 1023R00102180008176
0001469876501 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163890
 1#0##0#0#0.0#2018-04-23 07:48:38#0#00:00:00#00:00:00#00:00:00 1
14757772d8cf02c3fb966ace70e3a28e
3207012 C 3 CP 1 22/02/2018 24/02/2018 01/11/1965 0 2
1 O01.9 69.09;90.59;91.49 - - None None None None W-1-11-I
None None None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN &
SERVIK (RINGAN) 1657100 0 0 - 0 - 0 - 0 -
0 1657100 932806 0 3 0 0 0 TITI 00491561
52 19106 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180009048
0000440189469 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171707
1#0##0#0#0.0#2018-04-23 07:57:17#0#00:00:00#00:00:00#00:00:00 1
a3d203f5d047c5807c312a06f1541d0f
3207012 C 3 CP 1 21/02/2018 24/02/2018 04/06/1962 0 1
1 N35.9 89.52 - - None None None None N-4-16-I None None
None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-LAIN (RINGAN)
2744500 0 0 - 0 - 0 - 0 - 0
2744500 4218907 0 4 0 0 0 NANA SUMARNA
00467022 55 20351 ACHMAD HERYADI, DR. SP. B 1023R00102180008233
0002071884971 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171722
1#0##0#0#0.0#2018-04-23 08:04:27#0#00:00:00#00:00:00#00:00:00 1
4c959196de5f41ac33542eb634e3658d
3207012 C 3 CP 1 19/02/2018 24/02/2018 01/02/1987 0 1
3 D64.9;B20.0 99.04;89.52;87.49;90.59 - - None None None None
D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 4799016 0 6 0 0
0 DIKKI FERDIANSYAH 00495271 31 11341 SETYO RAHARJO, DR, SP. PD
1023r00102180007608 0000439396672 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 166346 1#0##0#0#0.0#2018-04-23
08:48:55#0#10:42:44#10:42:44#00:00:00 2 605cf2d2d3042c0cbd3929a0495d9fad
3207012 C 3 CP 1 20/02/2018 24/02/2018 10/12/1954 0 1
4 Z03.3 87.49;90.59 - - None None None None Z-4-12-I None
None None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS
KESEHATAN LAIN-LAIN (RINGAN) 1166200 0 0 - 0 - 0 -
0 - 0 1166200 5110852 0 5 0 0 0 DIDI
00495464 63 23083 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007948 0002431803104 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173140 1#0##0#0#0.0#2018-04-24
12:48:11#0#00:00:00#00:00:00#00:00:00 1 e93b078cf137a499fc30157bf0b94dbf
3207012 C 3 CP 1 20/02/2018 24/02/2018 01/07/1945 0 1
1 Z03.3 88.19;87.49;90.59 - - None None None None Z-4-12-I
None None None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS
KESEHATAN LAIN-LAIN (RINGAN) 1166200 0 0 - 0 - 0 -
0 - 0 1166200 2251286 0 5 0 0 0 NANA
00495422 72 26532 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007564 0000440494176 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 161769 1#0##0#0#0.0#2018-04-24
12:51:13#0#00:00:00#00:00:00#00:00:00 2 4cdb22b11f6f470ce521c1616bac4083
3207012 C 3 CP 1 19/02/2018 24/02/2018 01/10/2002 0 1
1 K35.2 47.09;88.19;90.59 - - None None None None K-1-13-I
None None None None None None PROSEDUR APPENDIK (RINGAN) 2790800
0 0 - 0 - 0 - 0 - 0 2790800
9632255 0 6 0 0 0 RONI CAHYANI OKTONA 00495369
15 5620 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180008220
0000436662077 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168290
1#0##0#0#0.0#2018-04-25 07:43:39#0#09:36:34#09:36:34#00:00:00 2
fd4001f4ae7a96e907ba96e41bc410ac
3207012 C 3 CP 1 23/02/2018 24/02/2018 01/11/1972 0 2
4 L27.0;J18.9 96.07;57.94;90.59 - - None None None None L-4-
14-III None None None None None None GANGGUAN PADA KULIT & PAYUDARA
LAIN-LAIN (BERAT) 4628800 0 0 - 0 - 0 - 0 -
0 4628800 1481799 0 2 0 0 0 TITIN NURMAYANTI
00365386 45 16550 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180009335
0000442005388 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168030
1#0##0#0#0.0#2018-04-25 07:54:49#0#12:48:03#12:48:03#00:00:00 2
1da41c5b04cf37ae1f0356da8e60f805
3207012 C 3 CP 1 23/02/2018 24/02/2018 01/08/1995 0 1
1 A49.9;K30 90.99;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1015043 0 2 0 0 0 AGUS MAULANA
00495674 22 8242 SETYO RAHARJO, DR, SP. PD 1023r00102180008824
0000440074372 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167201
1#0##0#0#0.0#2018-04-25 11:00:52#0#11:01:17#11:01:17#00:00:00 2
a4cf5cb4a736e14fa20758440c8f6ae6
3207012 C 1 CP 1 16/02/2018 24/02/2018 08/03/1958 0 1
1 I63.9;W18.9 87.24;87.49;90.59 - - None None None None G-4-
14-I None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 5211700 0 0 - 0 - 0 - 0 -
0 5211700 4874709 0 9 0 0 0 H. KARMANA
00495079 59 21895 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007119 0000071045886 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173465 1#0##0#0#0.0#2018-04-25
11:20:10#0#00:00:00#00:00:00#00:00:00 1 18e71f491542ef95dde3d14076005d5b
3207012 C 1 CP 1 18/02/2018 24/02/2018 22/08/1944 0 1
4 K35.2;I10 54.11;90.59;87.49;89.52;99.04;91.59 - - None None
None None K-1-40-I None None None None None None PROSEDUR SISTEM
PENCERNAAN LAIN-LAIN (RINGAN) 8101200 0 0 - 0 - 0 -
0 - 0 8101200 13163782 0 7 0 0 0 MAMAN
SURDJAMAN 00384521 73 26843 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007121 0000071424448 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171788 1#0##0#0#0.0#2018-04-30
07:44:33#0#00:00:00#00:00:00#00:00:00 2 14c6dafe377d184542745ee50ea9108a
3207012 C 3 CP 1 20/02/2018 24/02/2018 01/08/1999 0 1
1 J36 29.19;90.59 - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0 -
0 - 0 1826300 2154131 0 5 0 0 0 YUDI
SUHENDAR 00495222 18 6778 H. HERDIANA, SP. THT 1023R00102180008101
0000440163786 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 174992
1#0##0#0#0.0#2018-04-30 08:18:44#0#00:00:00#00:00:00#00:00:00 1
b0f75d4b9d36d23bffa90a9394450441
3207012 C 3 CP 1 20/02/2018 24/02/2018 28/10/1963 0 1
1 I50.0;I21.4;I25.0 89.52;87.49;90.59 - - None None None None
I-4-12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
3582600 0 0 - 0 - 0 - 0 - 0
3582600 2662955 0 5 0 0 0 ANDANG TURYANA
00495489 54 19839 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008240
0002431947835 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 171696
1#0##0#0#0.0#2018-05-02 07:43:10#0#00:00:00#00:00:00#00:00:00 2
f468c5077573d5983f3bb22baac3f2a6
3207012 C 2 CP 1 21/02/2018 24/02/2018 10/10/1947 0 2
3 J18.0;I48;N17.9;E44.1 89.52;87.49;90.59 - - None None None
None J-4-16-III None None None None None None SIMPLE PNEUMONIA &
WHOOPING COUGH (BERAT) 7105300 0 0 - 0 - 0 - 0
- 0 7105300 2270360 0 4 0 0 0 MAEMUNAH
00495580 70 25702 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180008242 0001423048048 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162656 1#0##0#0#0.0#2018-05-02
07:53:56#0#00:00:00#00:00:00#00:00:00 4 f5ad7a5b4a6e4dc4c4b646f1436f7483
3207012 C 3 CP 1 21/02/2018 25/02/2018 10/10/1961 0 1
1 E11.5 86.28;87.49;90.59;93.57 - - None None None None I-4-
15-I None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (RINGAN) 4262100 0 0 - 0 - 0 - 0 -
0 4262100 4794218 0 5 0 0 0 ENGKOS
00495582 56 20588 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008241 0000440339073 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 160921 1#0##0#0#0.0#2018-03-19
11:58:29#0#00:00:00#00:00:00#00:00:00 1 ec3ea02a56640b3095d0a928825b9b8d
3207012 C 1 CP 1 22/02/2018 25/02/2018 29/06/1959 0 2
1 N18.9;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 4166900 0 0 - 0 - 0 - 0 -
0 4166900 2221169 0 4 0 0 0 TUTI HERLINA
00443062 58 21423 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180008716 0000070186803 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161052 1#0##0#0#0.0#2018-03-19
13:41:12#0#00:00:00#00:00:00#00:00:00 1 249190b3bf8a868bfafefff2e0b164e9
3207012 C 1 CP 1 24/02/2018 25/02/2018 25/03/1985 0 2
1 K30 89.52;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1739600 0 0 - 0 - 0 - 0 - 0
1739600 807081 0 2 0 0 0 NENI HENIWATI
00326172 32 12024 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180009330 0001325530045 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161060 1#0##0#0#0.0#2018-03-19
13:43:06#0#00:00:00#00:00:00#12:00:00 1 cf557c64e9717ab2984c993412382aae
3207012 C 3 CP 1 24/02/2018 25/02/2018 01/11/1983 0 2
1 O63.9;O80.0;O70.2;Z37.0 73.59;75.69 - - None None None None
O-6-12-I None None None None None None PERSALINAN VAGINAL DENGAN
PROSEDUR SELAIN STERILISASI &/ DILATASI &KURET (RINGAN) 1807500 0 0
- 0 - 0 - 0 - 0 1807500 2865173 0
2 0 0 0 YANTI 00495800 34 12534 DIDI KURNIADI M, DR.
SP.OG 1023R00102180009360 0000438595266 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161131 1#0##0#0#0.0#2018-03-19
14:07:22#0#00:00:00#00:00:00#00:00:00 1 3b7595490e0acb66e59b7719c7c08baf
3207012 C 3 CP 1 24/02/2018 25/02/2018 24/02/2018 3200 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 472366 0 2 0 0 0 BY NY
SANTI SUSANTI 00495778 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009809 0002324894905 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161222 1#0##0#0#0.0#2018-03-20
07:47:41#0#00:00:00#00:00:00#00:00:00 1 cf4182eb38b36f235e214e804b50e3c7
3207012 C 3 CP 1 21/02/2018 25/02/2018 07/05/1957 0 2
1 A35 87.16;87.49;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 2667219 0 5 0 0 0 KARSAH
00495593 60 22205 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180008249 0001907710637 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161756 1#0##0#0#0.0#2018-03-20
12:45:41#0#00:00:00#00:00:00#00:00:00 1 85a82032b797d2f2cb34119a1c3d070d
3207012 C 3 CP 1 20/02/2018 25/02/2018 16/05/1958 0 2
1 I63.9 89.52;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
 3722700 2606261 0 6 0 0 0 AI RATNA PUJAWATI
00495477 59 21830 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007687 0002419669451 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161872 1#0##0#0#0.0#2018-03-20
14:03:49#0#00:00:00#00:00:00#00:00:00 1 f23e5119bf6d7000ab96fde1baf8b8a6
3207012 C 3 CP 1 22/02/2018 25/02/2018 01/08/1995 0 2
1 G40.2 - - - None None None None G-4-22-I None None
None None None None SERANGAN KEJANG (RINGAN) 2525300 0 0
- 0 - 0 - 0 - 0 2525300 1039458 0
4 0 0 0 PATONAH 00446054 22 8241 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180008730 0001006222274 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161875 1#0##0#0#0.0#2018-03-20
14:06:48#0#00:00:00#00:00:00#12:00:00 1 8215b6d13d263f7fd893f7f47e1b1829
3207012 C 1 CP 1 24/02/2018 25/02/2018 09/05/1954 0 2
1 R10.4 89.52;90.59 - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1968700 0 0 - 0 - 0 - 0 - 0
1968700 991212 0 2 0 0 0 DEDE HERAWATI
00481522 63 23302 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180009331 0000071232513 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162654 1#0##0#0#0.0#2018-03-22
08:30:48#0#00:00:00#00:00:00#00:00:00 1 ec6559aa6d9c5ab23d481b3e74234dbc
3207012 C 1 CP 1 22/02/2018 25/02/2018 10/12/1969 0 1
1 D62;K92.1 99.04;87.49;89.52;90.59 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 3105300 0 0 - 0 -
0 - 0 - 0 3105300 2748553 0 4 0 0
0 NANANG TARMANA 00495663 48 17606 PRIMAHATI RIANA ROSY, DR.
SP.PD 1023R00102180008776 0000071759395 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162839 1#0##0#0#0.0#2018-03-22
09:43:42#0#00:00:00#00:00:00#00:00:00 1 078370e8b502846a0596ccd412e19a99
3207012 C 3 CP 1 22/02/2018 25/02/2018 01/11/1946 0 2
1 I25.0 89.52;87.49;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
2346294 0 4 0 0 0 PUPU 00494401 71 26046
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008628 0001005953095 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163007 1#0##0#0#0.0#2018-
03-22 10:30:14#0#00:00:00#00:00:00#00:00:00 1
009a01ef40f80e3ae55b414e259345f9
3207012 C 2 CP 1 21/02/2018 25/02/2018 10/10/1992 0 2
1 N83.2 65.49;90.59;57.94;93.54 - - None None None None W-1-
20-I None None None None None None PROSEDUR PADA RAHIM & ADNEKSA (RINGAN)
7364200 0 0 - 0 - 0 - 0 - 0
7364200 6606257 0 5 0 0 0 ARI SETIASIH
00492415 25 9265 H. SUSWADI, SP.OG 1023R00102180008221
0002080987468 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163263
1#0##0#0#0.0#2018-03-22 12:20:41#0#00:00:00#00:00:00#00:00:00 1
5021858ddfcdf71347629960e48cedf3
3207012 C 3 CP 1 22/02/2018 25/02/2018 01/12/1937 0 1
4 I63.9 87.03;89.52;87.49;90.59 - - None None None None G-4-
14-I None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 1882758 0 4 0 0 0 PONIMAN
00397072 80 29303 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180008780 0000440288021 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167416 1#0##0#0#0.0#2018-04-09
08:45:30#0#08:40:09#08:40:09#00:00:00 2 a1aba8f50d55a18da63a6a7219946b37
3207012 C 3 CP 1 19/02/2018 25/02/2018 09/09/2017 0 2
 1 J18.0 87.49;90.59 - - None None None None J-4-16-I None
None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
3332600 0 0 - 0 - 0 - 0 - 0
3332600 2723511 0 7 0 0 0 HASSNA NABILLA ZAHRA
00492008 0 163 HJ. SUHERJATI, SP. A 1023r00102180007671
0002294133546 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167839
1#0##0#0#0.0#2018-04-10 13:48:33#0#13:47:23#13:47:23#00:00:00 1
cd31e906d4ab4d33ede622ff8db02f4d
3207012 C 3 CP 1 22/02/2018 25/02/2018 25/11/1951 0 1
1 N35.9 58.5;87.49;89.52;90.59 - - None None None None N-1-
40-I None None None None None None PROSEDUR PADA URETRA DAN TRANSURETRA
(RINGAN) 5792000 0 0 - 0 - 0 - 0 - 0
5792000 3550922 0 4 0 0 0 SAIDIN 00482252
66 24196 FIRDAUS BENNY PUTRA, DR. SP. B. 1023r00102180008767
0002285406358 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167980
1#0##0#0#0.0#2018-04-11 09:54:46#0#09:53:22#09:53:22#00:00:00 1
b9b17d84a667561859949f02dc595816
3207012 C 3 CP 1 24/02/2018 25/02/2018 01/02/1968 0 2
4 I61.9 99.60;96.07;57.94;89.52;90.59 - - None None None None
G-4-13-I None None None None None None PERDARAHAN INTRA KRANIAL
BUKAN TRAUMATIK (RINGAN) 2194500 0 0 - 0 - 0 -
0 - 0 2194500 1158029 0 2 0 0 0 SUPIAH
00495801 50 18286 AHMAD RIFKI ,DR 1023R00102180009346
0000441987052 3;JKN Firman; 5.2.0.201712280730 4 167987
1#0##0#0#0.0#2018-04-11 10:02:03#0#09:58:34#09:58:34#00:00:00 1
08e14cd6057c110c7d453bdab9e7c93d
3207012 C 3 CP 1 15/02/2018 25/02/2018 30/03/1970 0 1
1 L02.2;Q43.8 54.0;88.76;89.52;91.39;90.59 - - None None None
None K-1-30-I None None None None None None PROSEDUR DUODENUM,
ESOFAGUS & LAMBUNG NON KOMPLEKS (RINGAN) 5186200 0 0 - 0 -
0 - 0 - 0 5186200 13814843 0 11 0 0
0 PURWANTO 00495026 47 17489 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00112170006198 0001095911324 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 168024 1#0##0#0#0.0#2018-04-11
11:15:49#0#11:14:26#11:14:26#00:00:00 1 131d5dc628a963d5f4420d3370184e6b
3207012 C 3 CP 1 23/02/2018 25/02/2018 18/08/1965 0 2
1 I25.0;K30 89.52;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100 979821
0 3 0 0 0 EEN 00490057 52 19182 AYATULLAH
KHOMAINI, DR. SP.PD 1023R00102180009102 0000441063437 3;JKN NANA
KUSLIANA; 5.2.1.201802140120 4 169705 1#0##0#0#0.0#2018-04-18
08:14:00#0#00:00:00#00:00:00#00:00:00 1 0fef585c172b8eb6fa3f1fc68899e6c5
3207012 C 3 CP 1 21/02/2018 25/02/2018 01/08/1960 0 2
4 G93.4;I13.0 87.49;89.52;90.59;57.94 - - None None None None
G-4-21-III None None None None None None KOMA & STUPOR NON TRAUMA
(BERAT) 3976400 0 0 - 0 - 0 - 0 - 0
3976400 2117280 0 5 0 0 0 N MASYATI 00495587
57 21023 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008524
0001006127414 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160173
1#0##0#0#0.0#2018-04-19 08:37:13#0#00:00:00#00:00:00#00:00:00 3
3c2f3a6a5fce0685d522fce8b7a5e0d7
3207012 C 3 CP 1 20/02/2018 25/02/2018 18/02/1952 0 2
1 K30 90.59 - - None None None None K-4-18-I None None
None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 2040770 0 6 0 0 0 ATONAH 00495438
66 24109 SETYO RAHARJO, DR, SP. PD 1023R00102180007620
0002278056824 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 173458
 1#0##0#0#0.0#2018-04-25 11:16:18#0#00:00:00#00:00:00#00:00:00 1
1b61e819e6eace4ef9c65783e4c9411c
3207012 C 3 CP 1 15/02/2018 25/02/2018 30/03/1970 0 1
1 L02.2;Q43.8 54.0;88.76;89.52;91.39;90.59 - - None None None
None K-1-30-I None None None None None None PROSEDUR DUODENUM,
ESOFAGUS & LAMBUNG NON KOMPLEKS (RINGAN) 5186200 0 0 - 0 -
0 - 0 - 0 5186200 13814843 0 11 0 0
0 PURWANTO 00495026 47 17489 FIRDAUS BENNY PUTRA, DR. SP. B.
1023r00102180006198 0001095911324 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 168024 1#0##0#0#0.0#2018-04-25
11:32:12#0#11:14:26#11:14:26#00:00:00 2 3089e2525c08eab5d07f9ecd6216cedc
3207012 C 3 CP 1 21/02/2018 25/02/2018 24/03/2016 0 2
1 B34.9 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1421465 0 5 0 0 0 GLADISYA AURELIA
00465392 1 699 HJ. SUHERJATI, SP. A 1023R00102180008554
0002229669753 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 177461
1#0##0#0#0.0#2018-05-05 08:02:15#0#00:00:00#00:00:00#00:00:00 1
d37b7f162c40fa884c6f04f26fbc4f9a
3207012 C 3 CP 1 24/02/2018 26/02/2018 09/08/1982 0 2
1 O42.9;O64.1;O65.4;O82.1;Z37.0;Z30.2 74.0;66.39;57.94;93.57 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 -
0 - 0 - 0 4830200 7964111 0 3 0 0
0 ICEU SITI NOER ADJIDJAH 00495769 35 12983 DIDI KURNIADI M, DR.
SP.OG 1023R00102180009329 0002419407854 3;JKN INACBG;123123123123
5.2.0.201712280730 4 160117 1#0##0#0#0.0#2018-03-15
14:04:01#0#00:00:00#00:00:00#00:00:00 1 e7528f1532c7146be5028557e7b0a795
3207012 C 3 CP 1 18/02/2018 26/02/2018 01/01/1956 0 1
5 D62;K92.1;E11.5 99.04;90.59;89.52;87.49 - - None None None
None D-4-13-II None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (SEDANG) 3139300 0 0 - 0 -
0 - 0 - 0 3139300 5514560 0 9 0 0
0 NADI 00495242 62 22694 SETYO RAHARJO, DR, SP. PD
1023R00102180006577 0000440399711 3;JKN INACBG;123123123123
5.2.0.201712280730 4 160185 1#0##0#0#0.0#2018-03-15
14:27:39#0#00:00:00#00:00:00#00:00:00 1 daa0b41d51cab2ac71a750ee1b1f7d17
3207012 C 3 CP 1 23/02/2018 26/02/2018 01/02/1998 0 2
1 O47.0 88.78 - - None None None None W-4-15-I None None
None None None None PERSALINAN PALSU (RINGAN) 1503100 0 0
- 0 - 0 - 0 - 0 1503100 1775302 0
4 0 0 0 JULFA ROBIUL SYADIAH 00482838 20 7327 DIDI
KURNIADI M, DR. SP.OG 1023R00102180009295 0000440197413 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161135 1#0##0#0#0.0#2018-03-19
14:08:58#0#00:00:00#00:00:00#00:00:00 1 01ee6698335c9e06f26b0232fe4fa261
3207012 C 3 CP 1 25/02/2018 26/02/2018 23/02/2018 2700 2
1 P03.4 93.93;90.59 - - None None None None P-8-17-I None
None None None None None NEONATAL, BBL > 2499 GR TANPA PROSEDUR MAYOR
(RINGAN) 3326400 0 0 - 0 - 0 - 0 - 0
3326400 494650 0 2 0 0 0 ANANDA SHAQUEENA HUMAIRA
00495819 0 2 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009836 0002433762224 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161144 1#0##0#0#0.0#2018-03-19
14:14:30#0#00:00:00#00:00:00#00:00:00 1 1883eebcb78242f599c73e6fce8c3baa
3207012 C 2 CP 1 23/02/2018 26/02/2018 01/06/1986 0 2
1 O42.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 5796300 0 0 - 0 - 0 - 0 -
 0 5796300 6633292 0 4 0 0 0 SITI NINGRUM
00495672 31 11590 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008941
0001433147016 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161461
1#0##0#0#0.0#2018-03-20 09:38:49#0#00:00:00#00:00:00#00:00:00 1
9d03d117bfc18ffccc21d3c2ce2e02a9
3207012 C 3 CP 1 22/02/2018 26/02/2018 01/11/1991 0 2
1 O65.4;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 6996597 0 5 0 0 0 PUPU MASPUPAH
00495670 26 9610 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180009289
0001473943408 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161468
1#0##0#0#0.0#2018-03-20 09:40:51#0#00:00:00#00:00:00#00:00:00 1
6cea952401af9303744a709a2940a8ce
3207012 C 3 CP 1 15/02/2018 26/02/2018 07/05/1965 0 1
1 A35;G95.9 87.24;90.59 - - None None None None A-4-14-II
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 2540000 0 0 - 0 - 0 - 0
- 0 2540000 6617560 0 12 0 0 0 AJAT
SUDRAJAT 00495034 52 19277 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180006216 0000071843398 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161802 1#0##0#0#0.0#2018-03-20
13:03:51#0#00:00:00#00:00:00#00:00:00 1 872c549f7f4e3adf6f237df69472ccf5
3207012 C 3 CP 1 21/02/2018 26/02/2018 01/02/1952 0 1
1 I63.4 89.52;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 2322849 0 6 0 0 0 MAHRON 00380549
66 24127 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180008749
0001450024367 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161832
1#0##0#0#0.0#2018-03-20 13:15:35#0#00:00:00#00:00:00#00:00:00 1
765335f2fd3155fe2025de0f260f0820
3207012 C 2 CP 1 19/02/2018 26/02/2018 14/07/1942 0 1
1 I63.9;R42 87.03;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 4467200 0 0 - 0 - 0 - 0 -
0 4467200 2780035 0 8 0 0 0 ITJO DJUMIN ROSADI
00355249 75 27614 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180007140 0000172297642 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161835 1#0##0#0#0.0#2018-03-20
13:18:08#0#00:00:00#00:00:00#00:00:00 1 128e8505eb912ddb2c445d31aaad7569
3207012 C 3 CP 1 24/02/2018 26/02/2018 01/08/1978 0 1
1 G44.2;J06.9;I10 90.59 - - None None None None G-4-23-I
None None None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN)
1967900 0 0 - 0 - 0 - 0 - 0
1967900 892035 0 3 0 0 0 ULUNG MUMUH 00495789
39 14452 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180009337
0000441400048 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161870
1#0##0#0#0.0#2018-03-20 14:01:47#0#00:00:00#00:00:00#00:00:00 1
5679fff127ae102cafbd522acc6c213d
3207012 C 3 CP 1 23/02/2018 26/02/2018 11/03/1985 0 2
1 O48;O42.9;O82.1;Z37.0 74.0;88.78;90.59;57.94;93.57 - - None
None None None O-6-10-I None None None None None None OPERASI
PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 - 0 -
0 - 0 4830200 6570851 0 4 0 0 0 SANTI
SUSANTI 00495337 32 12037 DIDI KURNIADI M, DR. SP.OG
1023R00102180009273 0002311858089 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161877 1#0##0#0#0.0#2018-03-20
14:09:10#0#00:00:00#00:00:00#00:00:00 1 d0aa943fcb8e4596261b598f2abc3670
3207012 C 3 CP 1 21/02/2018 26/02/2018 01/01/1955 0 2
1 E11.5 86.28;87.49;90.59 - - None None None None I-4-15-I
None None None None None None PENYAKIT PEMBULUH DARAH PERIFER DAN LAIN-
LAIN (RINGAN) 4262100 0 0 - 0 - 0 - 0 -
0 4262100 5701262 0 6 0 0 0 CICIH ROKASIH
00368571 63 23062 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008228 0001006047707 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162083 1#0##0#0#0.0#2018-03-21
10:53:47#0#00:00:00#00:00:00#00:00:00 1 b3758f96f1e643311338ab3ac2f55bcf
3207012 C 3 CP 1 25/02/2018 26/02/2018 24/06/2010 0 1
1 B34.9;E86 90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 507892 0 2 0 0 0 IKSAN ANUGRAH
00457425 7 2803 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009347 0001089568945 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162460 1#0##0#0#0.0#2018-03-21
13:46:32#0#00:00:00#00:00:00#12:00:00 1 2005116c8a62fd6b6afd26ee52b69edf
3207012 C 3 CP 1 22/02/2018 26/02/2018 21/06/1969 0 2
1 O14.0;O42.9;O82.1;Z37.0 74.0;90.59;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 8852394 0 5 0 0 0 DEDE SUDIAH
00495668 48 17778 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180008926
0000438902403 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162638
1#0##0#0#0.0#2018-03-22 08:24:03#0#00:00:00#00:00:00#00:00:00 1
592cf6ba71d9a26849d55c0dcd5b32a3
3207012 C 3 CP 1 21/02/2018 26/02/2018 01/07/1949 0 2
1 I50.0;D64.9 99.04;89.52;87.49;90.59;57.94 - - None None None
None I-4-12-II None None None None None None KEGAGALAN JANTUNG
(SEDANG) 2985500 0 0 - 0 - 0 - 0 - 0
2985500 3526999 0 6 0 0 0 ENCIN 00495574 68
25072 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008226 0000441901271
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162913
1#0##0#0#0.0#2018-03-22 10:04:40#0#00:00:00#00:00:00#00:00:00 1
4f00904952d0f02d608aa70b6e23e6ec
3207012 C 3 CP 1 21/02/2018 26/02/2018 01/11/1956 0 1
1 J44.9 89.52;90.59 - - None None None None J-4-17-I None
None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2708104 0 6 0 0 0 SURYANA 00495585
61 22392 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180008247
0000439612211 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162923
1#0##0#0#0.0#2018-03-22 10:08:40#0#00:00:00#00:00:00#00:00:00 1
dc4f13ace27c9e3e82b8917953a96578
3207012 C 3 CP 1 21/02/2018 26/02/2018 01/01/1957 0 2
1 I50.0;A15.0 99.04;89.52;87.49;88.76;90.59 - - None None None
None I-4-12-II None None None None None None KEGAGALAN JANTUNG
(SEDANG) 2985500 0 0 - 0 - 0 - 0 - 0
2985500 4153219 0 6 0 0 0 EMPAT PATIMAH
00495493 61 22331 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180007695
0000439969296 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163024
1#0##0#0#0.0#2018-03-22 10:36:01#0#00:00:00#00:00:00#00:00:00 1
c05dc992455c6d549a985582e1b00ba1
3207012 C 3 CP 1 23/02/2018 26/02/2018 01/04/1963 0 1
1 C30.0 99.04;90.59 - - None None None None U-4-10-I None
None None None None None NEOPLASMA TELINGA, HIDUNG, MULUT DAN
TENGGOROKAN (RINGAN) 2751600 0 0 - 0 - 0 - 0
- 0 2751600 2164959 0 4 0 0 0 AGUS
 00424524 54 20052 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009103
0000439639031 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163211
1#0##0#0#0.0#2018-03-22 11:39:51#0#00:00:00#00:00:00#00:00:00 1
1bc6eecd1ce3dd1020e72cb4868ae645
3207012 C 3 CP 1 22/02/2018 26/02/2018 21/04/1982 0 2
1 O65.4;O82.1;Z37.0;Z30.5 74.0;69.7;88.78;90.59;93.57;57.94 - -
None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 -
0 - 0 - 0 4830200 6084442 0 5 0 0
0 DEDEH NURHIDAYATI 00477503 35 13091 H. SUSWADI, SP.OG
1023R00102180008764 0001090006896 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163265 1#0##0#0#0.0#2018-03-22
12:22:46#0#00:00:00#00:00:00#00:00:00 1 02d993a1073b5b48db733488590934f2
3207012 C 3 CP 1 20/02/2018 26/02/2018 20/02/2018 2650 1
1 P07.1;P22.1;P59.9;Q53.1;E87.3;Z24.6
93.93;93.90;89.69;93.96;99.83;99.59;96.07;90.59 - - None None None
None P-8-17-II None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (SEDANG) 5987500 0 0 - 0 - 0 -
0 - 0 5987500 6670910 0 7 0 0 0 BY NY
LENI HERLINA 00495468 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180007876 0002431785126 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163269 1#0##0#0#0.0#2018-03-22
12:45:34#0#00:00:00#00:00:00#00:00:00 1 4f5b01cabbc19df8b4bfd3c85164d05f
3207012 C 3 CP 1 23/02/2018 26/02/2018 27/09/1982 0 2
1 O14.1;O36.4;O80.0;Z37.1 73.59;73.6;90.59;57.94 - - None None
None None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 3112130 0 4 0 0 0 NINING CAHYANINGTIAN
004957118 35 12933 BUDI AHMAD RASAS, SP.OG.M.KES 1023R00102180009838
0002433743752 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163302
1#0##0#0#0.0#2018-03-22 13:16:14#0#00:00:00#00:00:00#00:00:00 1
5b223d7bdf123591fc9b8443a5853bc7
3207012 C 3 CP 1 19/02/2018 26/02/2018 06/02/2018 0 2
1 P36.9;P74.1;P24.9 96.07;93.96;87.49;90.59 - - None None None
None A-4-14-II None None None None None None PENYAKIT INFEKSI BAKTERI
DAN PARASIT LAIN-LAIN (SEDANG) 2540000 0 0 - 0 - 0
- 0 - 0 2540000 3918724 0 8 0 0 0
SALWA AZKADINA 00495366 0 13 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180007525 0002431304943 3;JKN Ridwan; 5.2.0.201712280730
4 163576 1#0##0#0#0.0#2018-03-26
07:52:59#0#00:00:00#00:00:00#00:00:00 1 b130e5432d093b344e7c4569b9fd4772
3207012 C 3 CP 1 20/02/2018 26/02/2018 20/02/2018 2400 1
1 P22.9;P07.1;Z24.6 93.93;96.07;93.96;99.59;90.59 - - None None
None None P-8-13-I None None None None None None NEONATAL, BBL 2000
- 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 -
0 - 0 - 0 4989600 2626583 0 7 0 0
0 BY NY YAYAH SOFIAH 00495456 0 0 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023R00102180007965 0002425922335 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163625 1#0##0#0#0.0#2018-03-26
08:12:26#0#00:00:00#00:00:00#00:00:00 1 32fcbe3af8908d578f11e0aa7e32868c
3207012 C 3 CP 1 18/02/2018 26/02/2018 05/11/1952 0 2
1 I11.0 89.52;87.49;90.59;57.94 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
3914103 0 9 0 0 0 OYOH 00495260 65 23846
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180007025 0000440143119 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 163822 1#0##0#0#0.0#2018-
03-26 09:53:34#0#00:00:00#00:00:00#00:00:00 1
6704ad36c84d5408f1a653c1e535774a
3207012 C 3 CP 1 21/02/2018 26/02/2018 04/04/1962 0 1
1 A01.4;B16.9;N40 90.59 - - None None None None A-4-14-II
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (SEDANG) 2540000 0 0 - 0 - 0 - 0
- 0 2540000 3914521 0 6 0 0 0 RASWADI
KARYADI 00489178 55 20412 SETYO RAHARJO, DR, SP. PD
1023r00102180008522 0002045948499 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164172 1#0##0#0#0.0#2018-03-26
13:13:25#0#13:12:17#13:12:17#00:00:00 1 184ac77441e267db1efb54bd2597705d
3207012 C 3 CP 1 21/02/2018 26/02/2018 02/09/1981 0 2
1 A01.4;K75.9 90.59 - - None None None None A-4-14-II None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(SEDANG) 2540000 0 0 - 0 - 0 - 0 - 0
2540000 1936770 0 6 0 0 0 MIA SUMIATI 00495570
36 13321 SETYO RAHARJO, DR, SP. PD 1023r00102180008613
0002430842883 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164340
1#0##0#0#0.0#2018-03-27 07:50:13#0#07:48:55#07:48:55#00:00:00 1
dc70e3de5b4bc45a4dd4753bc0653dd0
3207012 C 3 CP 1 17/02/2018 26/02/2018 17/07/1972 0 2
1 I50.0;K74.6 87.49;88.76;90.59;91.39 - - None None None None
I-4-12-I None None None None None None KEGAGALAN JANTUNG (RINGAN)
2575600 0 0 - 0 - 0 - 0 - 0
2575600 8318274 0 10 0 0 0 MAEMUNAH 00493855
45 16651 AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180006857
0002426634742 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164448
1#0##0#0#0.0#2018-03-27 08:43:39#0#08:41:43#08:41:43#00:00:00 1
0f2f89211fbfd56e015eb8bc4d5e23db
3207012 C 3 CP 1 21/02/2018 26/02/2018 04/05/1977 0 2
1 O64.8;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
0 4830200 7102116 0 6 0 0 0 DEDE NURJANAH
00495595 40 14903 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180008539
0002322952738 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164812
1#0##0#0#0.0#2018-03-27 12:38:41#0#12:33:50#12:33:50#00:00:00 1
409a7db81ca606a0d23bdb21310cdba8
3207012 C 3 CP 1 19/02/2018 26/02/2018 25/12/1971 0 1
1 B34.9 89.52;90.59 - - None None None None A-4-13-I None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 3512157 0 8 0 0 0 LUKI NATALIS
00299721 46 16858 SETYO RAHARJO, DR, SP. PD 1023R00102180007139
0002430881212 3;JKN Ridwan; 5.2.0.201712280730 4 164979
1#0##0#0#0.0#2018-03-27 14:39:09#0#14:38:01#14:38:01#00:00:00 1
c0019ce0384c10f76012b5427ba4b508
3207012 C 2 CP 1 24/02/2018 26/02/2018 08/02/1948 0 2
1 I50.0;I25.1;K30 90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 3090800
0 0 - 0 - 0 - 0 - 0 3090800
1596474 0 3 0 0 0 KUSTISAH 00000736 70 25584
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180009353 0000071418791 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 166283 1#0##0#0#0.0#2018-
04-03 10:13:20#0#10:06:45#10:06:45#00:00:00 1
4f348977dd33510a0841ce673b2d1550
3207012 C 3 CP 1 22/02/2018 26/02/2018 01/05/1962 0 1
1 C90.0;D63.0 99.04;57.94;90.59 - - None None None None C-4-
11-II None None None None None None LIMFOMA & LEUKEMIA NON AKUT (SEDANG)
4399800 0 0 - 0 - 0 - 0 - 0
4399800 2313134 0 5 0 0 0 DIDI SUTADI 00493642
 55 20386 SETYO RAHARJO, DR, SP. PD 1023r00102180008804
0000441240827 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166350
1#0##0#0#0.0#2018-04-03 10:48:28#0#10:46:44#10:46:44#00:00:00 1
2e8042c90320022deab421172260174a
3207012 C 3 CP 1 22/02/2018 26/02/2018 01/11/1954 0 1
1 A15.0;K30 87.49;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 2092802 0 5 0 0 0 UUN JUNAEDI 00495630
63 23124 SETYO RAHARJO, DR, SP. PD 1023r00102180008634
0001006071467 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166365
1#0##0#0#0.0#2018-04-03 10:56:21#0#10:54:58#10:54:58#00:00:00 1
f201f39ad89f6688ae6e57d9d7011729
3207012 C 3 CP 1 19/02/2018 26/02/2018 24/04/1960 0 2
1 A49.9;K30 89.52;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 3520809 0 8 0 0 0 CICIH
SUMIARSIH 00495358 57 21120 SETYO RAHARJO, DR, SP. PD
1023r00102180007136 0002430967656 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 166434 1#0##0#0#0.0#2018-04-03
13:09:48#0#13:07:38#13:07:38#00:00:00 1 d7f1f348dbb8da099850a2b2ccf4f78b
3207012 C 3 CP 1 25/02/2018 26/02/2018 25/02/2018 2300 1
1 P07.1;Z24.6;Z24.0 99.59;99.41;90.59 - - None None None None
P-8-13-I None None None None None None NEONATAL, BBL 2000 - 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 - 0 -
0 - 0 4989600 1975420 0 2 0 0 0 BY NY
YUYUN SRI 00495812 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009768 0002433659308 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161114 1#0##0#0#0.0#2018-04-04
09:41:44#0#00:00:00#00:00:00#00:00:00 2 2b03aeaa388927233975badf672c8203
3207012 C 3 CP 1 24/02/2018 26/02/2018 16/06/1986 0 2
1 O44.1 88.78 - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0 0
- 0 - 0 - 0 - 0 1999800 1785024 0
3 0 0 0 ELIS SUMIATI 00495262 31 11576 DIDI
KURNIADI M, DR. SP.OG 1023R00102180009297 0002425944306 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161125 1#0##0#0#0.0#2018-04-04
11:38:36#0#00:00:00#00:00:00#00:00:00 2 b8d6c174a8a9e81e7972ecab6de19f80
3207012 C 3 CP 1 20/02/2018 26/02/2018 11/10/1976 0 2
1 B20.0 87.49;90.59;90.41 - - None None None None A-4-15-I
None None None None None None INFEKSI HIV (RINGAN) 3285300 0
0 - 0 - 0 - 0 - 0 3285300 2468576
0 7 0 0 0 DEDE SURYATI 00495484 41 15107 SETYO
RAHARJO, DR, SP. PD 1023r00102180008054 0001308043697 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 164347 1#0##0#0#0.0#2018-04-04
13:07:27#0#07:52:14#07:52:14#00:00:00 2 1f6daf059faaeeb1abed1e9af4c8527a
3207012 C 3 CP 1 25/02/2018 26/02/2018 19/04/1993 0 2
1 O21.0 90.59 - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0 0
- 0 - 0 - 0 - 0 1999800 812758 0
2 0 0 0 WIDIANINGSIH 00495844 24 9078 ABDULLAH, DR
1023r00102180009844 0002205081415 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167652 1#0##0#0#0.0#2018-04-09
11:42:00#0#11:40:24#11:40:24#00:00:00 1 41bf4690845087dc4291cd594b2a7079
3207012 C 3 CP 1 25/02/2018 26/02/2018 01/07/1958 0 2
4 R40.1 89.52 - - None None None None G-4-21-I None None
None None None None KOMA & STUPOR NON TRAUMA (RINGAN) 1999100 0
0 - 0 - 0 - 0 - 0 1999100 801511
 0 2 0 0 0 ETI SUKAESIH 00495387 59 21789
ABDULLAH, DR 1023r00102180009384 0001006616913 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 167778 1#0##0#0#0.0#2018-04-10
08:14:11#0#08:08:13#08:08:13#00:00:00 1 f25a0fddcd7ba3aee8cc514f925adc6e
3207012 C 3 CP 1 23/02/2018 26/02/2018 24/09/1992 0 2
1 O99.5;J45.9 93.94;90.59 - - None None None None W-4-16-I
None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
1124352 0 4 0 0 0 KARTINI 00495713 25 9283
SETYO RAHARJO, DR, SP. PD 1023r00102180009082 0000439351852 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167809 1#0##0#0#0.0#2018-
04-10 12:34:08#0#12:32:30#12:32:30#00:00:00 1
6aefc6df6900eac1d0fb110cb1cefa62
3207012 C 3 CP 1 25/02/2018 26/02/2018 01/05/1972 0 2
4 R55 89.52 - - None None None None I-4-21-I None None
None None None None SYNCOPE & COLLAPSE (RINGAN) 2265200 0 0
- 0 - 0 - 0 - 0 2265200 710362 0
2 0 0 0 KURNIA 00482820 45 16736 ABDULLAH, DR
1023r00102180009383 0000440559325 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 167844 1#0##0#0#0.0#2018-04-10
14:01:47#0#13:52:45#13:52:45#00:00:00 1 67faf4940708907f0cc6dc84a6e6a737
3207012 C 3 CP 1 24/02/2018 26/02/2018 17/02/1955 0 2
2 C50.9 90.59;93.57 - - None None None None L-4-11-I None
None None None None None TUMOR PAYUDARA (RINGAN) 2658300 0 0
- 0 - 0 - 0 - 0 2658300 719013 0
3 0 0 0 UUN UNIRAH 00428214 63 23018 ACHMAD HERYADI,
DR. SP. B 1023R00102180009341 0000440074967 3;JKN Ridwan;
5.2.0.201712280730 4 167925 1#0##0#0#0.0#2018-04-11
08:43:44#0#08:42:21#08:42:21#00:00:00 1 11606d9107f10b7239284587ea86e927
3207012 C 3 CP 1 24/02/2018 26/02/2018 10/10/1988 0 2
1 O82.1;Z37.0 74.0;89.52;93.57;57.94 - - None None None None
O-6-10-I None None None None None None OPERASI PEMBEDAHAN CAESAR
(RINGAN) 4830200 0 0 - 0 - 0 - 0 - 0
4830200 6901158 0 3 0 0 0 EVI MUHBATUL LUTFI
FAIDAH 00495753 29 10729 DIDI KURNIADI M, DR. SP.OG
1023R00102180009260 0002419248813 3;JKN Ridwan; 5.2.0.201712280730
4 167942 1#0##0#0#0.0#2018-04-11
09:14:54#0#09:12:41#09:12:41#00:00:00 1 8ead8224fe47b47e17429606ad0e2b46
3207012 C 3 CP 1 13/02/2018 26/02/2018 01/04/1968 0 1
1 I11.0;K74.6;B16.9 89.52;90.59;57.94 - - None None None None
I-4-12-II None None None None None None KEGAGALAN JANTUNG (SEDANG)
2985500 0 0 - 0 - 0 - 0 - 0
2985500 5574468 0 14 0 0 0 SALIMUDIN 00494820
49 18215 SETYO RAHARJO, DR, SP. PD 1023r00102180004967
0000440836841 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167950
1#0##0#0#0.0#2018-04-11 09:21:38#0#09:19:07#09:19:07#00:00:00 1
80b3b9115dc7c11929861fec4da892c1
3207012 C 3 CP 1 21/02/2018 26/02/2018 20/05/1960 0 2
1 E11.9;A15.0 87.49;90.59;90.41 - - None None None None E-4-
10-II None None None None None None PENYAKIT KENCING MANIS & GANGGUAN
NUTRISI/ METABOLIK (SEDANG) 4653900 0 0 - 0 - 0 -
0 - 0 4653900 2190379 0 6 0 0 0 ANING
KURNIASIH 00423282 57 21096 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180008483 0001089564085 3;JKN Firman; 5.2.0.201712280730
4 162904 1#0##0#0#0.0#2018-04-11
10:36:30#0#00:00:00#00:00:00#00:00:00 2 a517c9b7875f766a09ffad08ae20428a
3207012 C 1 CP 1 22/02/2018 26/02/2018 05/03/2008 0 1
1 Z47.0 78.63;90.59 - - None None None None M-1-40-I None
None None None None None EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI
INTERNAL (RINGAN) 4486600 0 0 - 0 - 0 - 0 -
0 4486600 11840765 0 5 0 0 0 NUR RIZKY FEBRYO
SAPUTRA 00495562 9 3641 ALDI DR.SP OT 1023r00102180009047
0001482771273 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 168260
1#0##0#0#0.0#2018-04-13 09:20:33#0#09:19:13#09:19:13#00:00:00 1
ea390921937e648554d75d12a29d74c1
3207012 C 3 CP 1 20/02/2018 26/02/2018 19/08/1936 0 2
1 A15.0;I11.9 89.52;90.59;87.49 - - None None None None J-4-
15-I None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 2429212 0 7 0 0 0 OHA ROHANAH 00495482
81 29770 SETYO RAHARJO, DR, SP. PD 1023r00102180007845
0001976931235 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 167711
1#0##0#0#0.0#2018-04-16 13:11:45#0#13:18:37#13:18:37#00:00:00 2
9e51b37ad8202d3201fac7b40d422c33
3207012 C 3 CP 1 22/02/2018 26/02/2018 01/01/1978 0 2
1 I11.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
1887212 0 5 0 0 0 AAN SRININGSIH 00494721 40
14662 SETYO RAHARJO, DR, SP. PD 1023r00102180008516 0000439334829
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 166954
1#0##0#0#0.0#2018-04-16 13:45:18#0#11:53:14#11:53:14#00:00:00 2
dc940510568b95fb5137e9e3b26dde53
3207012 C 3 CP 1 23/02/2018 26/02/2018 28/01/1968 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1317999 0 4 0 0 0 DADANG KADARUSMAN
00466227 50 18289 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009235
0001880107255 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 169643
1#0##0#0#0.0#2018-04-18 07:36:03#0#00:00:00#00:00:00#00:00:00 2
5a814785f4c9d69c91324f1ee5bcca05
3207012 C 3 CP 1 22/02/2018 26/02/2018 14/11/1963 0 2
1 I25.1;I64;K30 90.59 - - None None None None I-4-16-III
None None None None None None ATHEROSKLEROSIS (BERAT) 3010100 0
0 - 0 - 0 - 0 - 0 3010100 3110948
0 5 0 0 0 MIMIN MINTARSIH 00357400 54 19824
AYATULLAH KHOMAINI, DR. SP.PD 1023r00102180009044 0001280875746 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 165907 1#0##0#0#0.0#2018-
04-19 08:26:51#0#09:16:46#09:16:46#00:00:00 2
7a6ce6d6a3f77bd45608305f316e5afc
3207012 C 3 CP 1 15/02/2018 26/02/2018 01/04/1949 0 1
1 A15.0;I50.0;I21.4;E44.1 89.52;87.49;90.41;90.59 - - None None
None None J-4-15-III None None None None None None PERADANGAN DAN
INFEKSI PERNAFASAN (BERAT) 6429000 0 0 - 0 - 0 -
0 - 0 6429000 8094452 0 12 0 0 0 KARNO
00494981 68 25157 SETYO RAHARJO, DR, SP. PD 1023r00102180006139
0000441360955 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 166390
1#0##0#0#0.0#2018-04-19 08:35:25#0#11:13:06#11:13:06#00:00:00 3
a305884db199631b36e071da3ce78e30
3207012 C 1 CP 1 21/02/2018 26/02/2018 21/02/1952 0 1
1 I84.4 49.46;49.71;87.49;89.52;90.59 - - None None None None
K-1-50-I None None None None None None PROSEDUR ANAL (RINGAN)
6190100 0 0 - 0 - 0 - 0 - 0
6190100 6261694 0 6 0 0 0 ATENG SENJAYA
00495276 66 24107 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180007831 0000071222848 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 169687 1#0##0#0#0.0#2018-04-23
07:28:49#0#00:00:00#00:00:00#00:00:00 1 32ffff5d7dbda8a9ec89457ef652ed85
3207012 C 3 CP 1 22/02/2018 26/02/2018 16/04/2005 0 2
1 J02.9;E86 90.59 - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1826300 0 0 - 0 - 0 -
0 - 0 1826300 1174553 0 5 0 0 0 ALIYA
NURPALAH 00382404 12 4695 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180008779 0000172134347 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171730 1#0##0#0#0.0#2018-04-23
08:14:33#0#00:00:00#00:00:00#00:00:00 1 278aa6269373e9ce9faf35797aba3585
3207012 C 3 CP 1 21/02/2018 26/02/2018 05/11/1962 0 1
1 N21.0 57.19;93.57;90.59;89.52 - - None None None None N-1-
30-I None None None None None None PROSEDUR KANDUNG KEMIH DAN SALURAN URIN
BAWAH (RINGAN) 6449400 0 0 - 0 - 0 - 0 -
0 6449400 4947032 0 6 0 0 0 MAMAN DASMAN
00493829 55 20197 FIRDAUS BENNY PUTRA, DR. SP. B.
1023R00102180008243 0002420142221 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 173070 1#0##0#0#0.0#2018-04-24
12:26:44#0#00:00:00#00:00:00#00:00:00 1 eb9be10e560a7087c8a51beb77f74204
3207012 C 3 CP 1 23/02/2018 26/02/2018 16/06/1961 0 1
1 L02.9;I50.0;I49.9 89.52;90.59 - - None None None None L-4-
12-II None None None None None None PERADANGAN KULIT/CELLULITIS (SEDANG)
1669800 0 0 - 0 - 0 - 0 - 0
1669800 1400570 0 4 0 0 0 AIP SARIP HIDAYAT
00495694 56 20706 SETYO RAHARJO, DR, SP. PD 1023r00102180009185
0000441263002 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167659
1#0##0#0#0.0#2018-04-25 07:42:07#0#11:43:30#11:43:30#00:00:00 3
fb931ee4692ee6d9c36ab9dedb02c324
3207012 C 2 CP 1 21/02/2018 26/02/2018 10/02/1935 0 1
2 J18.0;I11.0;N40;N39.0 87.49;89.52;90.59;91.39;88.76 - - None
None None None J-4-16-III None None None None None None SIMPLE
PNEUMONIA & WHOOPING COUGH (BERAT) 7105300 0 0 - 0 - 0
- 0 - 0 7105300 3792710 0 6 0 0 0
ABDUL MAJID 00495589 83 30327 SETYO RAHARJO, DR, SP. PD
1023r00102180008453 0000071208775 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 164173 1#0##0#0#0.0#2018-04-25
07:53:22#0#13:14:48#13:14:48#00:00:00 3 f5b28c1a3ef0b3b16a5d27f810e6973a
3207012 C 3 CP 1 20/02/2018 26/02/2018 12/01/1959 0 2
1 I12.9;J81 39.95;87.49;90.59 - - None None None None N-4-
16-III None None None None None None PENYAKIT GINJAL DAN SALURAN URIN
LAIN-LAIN (BERAT) 5214200 0 0 - 0 - 0 - 0 -
0 5214200 4582511 0 7 0 0 0 ODEH 00445240
59 21589 SETYO RAHARJO, DR, SP. PD 1023r00102180007675
0002282040358 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167508
1#0##0#0#0.0#2018-04-25 08:00:52#0#09:56:10#09:56:10#00:00:00 2
06d3a5096f15123cbfa5f42599c2efd6
3207012 C 3 CP 1 22/02/2018 26/02/2018 04/01/1985 0 2
1 O42.9;O98.4;B19.9;O82.1;Z37.0;Z30.2 74.0;66.39;90.59;57.94;93.57 -
- None None None None O-6-10-II None None None None None None
OPERASI PEMBEDAHAN CAESAR (SEDANG) 5102000 0 0 - 0 -
0 - 0 - 0 5102000 8908015 0 5 0 0
0 TINI KARTINI 00495657 33 12102 BUDI AHMAD RASAS, SP.OG.M.KES
1023r00102180008983 0002025450922 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 164825 1#0##0#0#0.0#2018-04-25
10:27:38#0#12:49:01#12:49:01#00:00:00 2 36c6b7db464fbe979b63107a87b6a438
3207012 C 3 CP 1 23/02/2018 26/02/2018 01/06/1986 0 2
1 O42.9;O63.9;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None
None None O-6-10-I None None None None None None OPERASI PEMBEDAHAN
CAESAR (RINGAN) 4830200 0 0 - 0 - 0 - 0 -
 0 4830200 7962916 0 4 0 0 0 ENOK NONAH
00388785 31 11590 BUDI AHMAD RASAS, SP.OG.M.KES 1023r00102180008991
0000441611965 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164830
1#0##0#0#0.0#2018-04-25 11:02:15#0#12:52:42#12:52:42#00:00:00 2
6b50f585cac7f2f4e584322fd857441f
3207012 C 2 CP 1 23/02/2018 26/02/2018 04/06/1948 0 2
1 I10;K59.0 96.38;89.52;90.59 - - None None None None I-4-
17-I None None None None None None HIPERTENSI (RINGAN) 2110300 0
0 - 0 - 0 - 0 - 0 2110300 2290351
0 4 0 0 0 ENTING 00495745 69 25466 SETYO
RAHARJO, DR, SP. PD 1023R00102180009281 0000071351458 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 171663 1#0##0#0#0.0#2018-04-30
07:43:13#0#00:00:00#00:00:00#00:00:00 2 b25ffccf24d01866c0d81d6fd07770c1
3207012 C 3 CP 1 23/02/2018 26/02/2018 01/06/1955 0 1
1 L02.9 90.59;93.57 - - None None None None L-4-12-I None
None None None None None PERADANGAN KULIT/CELLULITIS (RINGAN)
1262500 0 0 - 0 - 0 - 0 - 0
1262500 1168525 0 4 0 0 0 EMOD AHMAD 00394268
62 22913 ACHMAD HERYADI, DR. SP. B 1023R00102180009181
0000438958541 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 174987
1#0##0#0#0.0#2018-04-30 08:13:31#0#00:00:00#00:00:00#00:00:00 1
552579fd6967db40bb30c47dbffe6da2
3207012 C 3 CP 1 25/02/2018 26/02/2018 01/06/1960 0 2
4 A41.9;N17.9 99.60;89.52;90.59;57.94 - - None None None None
A-4-10-III None None None None None None SEPTIKEMIA (BERAT)
4335600 0 0 - 0 - 0 - 0 - 0
4335600 1926419 0 2 0 0 0 ITOH MASITOH
00495839 57 21088 SETYO RAHARJO, DR, SP. PD 1023r00102180009377
0000440565322 3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 168033
1#0##0#0#0.0#2018-05-02 07:41:08#0#12:56:17#12:56:17#00:00:00 3
00f996c412da7ab35cdd9120bb064684
3207012 C 3 CP 1 23/02/2018 26/02/2018 21/04/1992 0 2
1 O47.9 90.59 - - None None None None W-4-15-I None None
None None None None PERSALINAN PALSU (RINGAN) 1503100 0 0
- 0 - 0 - 0 - 0 1503100 981325 0
4 0 0 0 ANGGRIANI 00495741 25 9439 DIDI KURNIADI M,
DR. SP.OG 1023R00102180009849 0001281683687 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 176276 1#0##0#0#0.0#2018-05-03
07:52:21#0#00:00:00#00:00:00#00:00:00 1 5d0a1fd65a1009063199b275c961a32c
3207012 C 3 CP 1 20/02/2018 26/02/2018 10/02/1958 0 1
1 Z47.0;A01.0 79.35;78.05;88.27;90.59 - - None None None None
M-1-20-III None None None None None None PROSEDUR PAHA DAN SENDI
PANGGUL (BERAT) 29190300 0 0 - 0 - 0 - 0 -
0 29190300 20914624 0 7 0 0 0 WAHDI 00461176
60 21925 ALDI DR.SP OT 1023R00102180007972 0001381734516 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 174982 1#0##0#0#0.0#2018-
05-17 09:12:05#0#00:00:00#00:00:00#12:00:00 3
bc2ba31cdd9e3b9363128d905c021553
3207012 C 3 CP 1 18/02/2018 27/02/2018 01/07/1953 0 2
1 N17.9;R17;N39.0 90.59;91.39 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2906225 0 10 0 0 0 IIM ROHIMAH
00495241 64 23608 SETYO RAHARJO, DR, SP. PD 1023R00102180007097
0000439607079 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160894
1#0##0#0#0.0#2018-03-19 11:46:36#0#00:00:00#00:00:00#00:00:00 1
c1dced964416dc7eea68f8d9db898489
3207012 C 3 CP 1 25/02/2018 27/02/2018 09/04/1949 0 1
1 I25.0 93.94;90.59 - - None None None None I-4-16-I None
 None None None None None ATHEROSKLEROSIS (RINGAN) 1562100 0
0 - 0 - 0 - 0 - 0 1562100 952476
0 3 0 0 0 ADNAN HIDAYAT 00404197 68 25159 MEGA
PRAYOGA, DR. SP. M. 1023R00102180009348 0001089604225 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160937 1#0##0#0#0.0#2018-03-19
12:33:09#0#00:00:00#00:00:00#12:00:00 1 b664a305e5be710b65cdaaa6b75fc4a7
3207012 C 3 CP 1 25/02/2018 27/02/2018 01/09/1975 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1022090 0 3 0 0 0 MUMUN 00495821 42
15518 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009660 0000442545592
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160938
1#0##0#0#0.0#2018-03-19 12:35:43#0#00:00:00#00:00:00#00:00:00 1
5c677f6130a45e2830250b0ba50c1ccc
3207012 C 3 CP 1 23/02/2018 27/02/2018 01/11/1949 0 1
1 K74.6 88.76;90.59 - - None None None None B-4-13-I None
None None None None None GANGGUAN HATI LAIN-LAIN (RINGAN) 3122100
0 0 - 0 - 0 - 0 - 0 3122100
1949199 0 5 0 0 0 ABU DARIM 00495748 68 24951
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009149 0000438678999 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 160939 1#0##0#0#0.0#2018-
03-19 12:37:36#0#00:00:00#00:00:00#00:00:00 1
62016753b1245114e017e3df841bce83
3207012 C 3 CP 1 24/02/2018 27/02/2018 01/01/1982 0 2
1 K30 88.76;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1536738 0 4 0 0 0 MIA MIS`AH MUTMAINAH
00350903 36 13203 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009257
0000440762949 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160942
1#0##0#0#0.0#2018-03-19 12:41:06#0#00:00:00#00:00:00#00:00:00 1
d188fb4faa77f9031c00030feb8ee9e0
3207012 C 1 CP 1 25/02/2018 27/02/2018 19/11/2010 0 2
1 J02.9;E86 90.59 - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 2556900 0 0 - 0 - 0 -
0 - 0 2556900 1519597 0 3 0 0 0 BAIQ
ZAHRA PUTRI N 00255745 7 2655 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009371 0000200368901 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161076 1#0##0#0#0.0#2018-03-19
13:50:13#0#00:00:00#00:00:00#00:00:00 1 dd250ac8367f914067482ab85f2b5957
3207012 C 3 CP 1 24/02/2018 27/02/2018 01/12/1974 0 1
1 A91 90.59 - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1509200 0 0 - 0 - 0 - 0 - 0
1509200 1514959 0 4 0 0 0 UJANG HARYANTO
00495752 43 15791 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009192
0000439110639 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161859
1#0##0#0#0.0#2018-03-20 13:44:33#0#00:00:00#00:00:00#00:00:00 1
b2097395ea1b1217df861fd8e2359bc7
3207012 C 3 CP 1 24/02/2018 27/02/2018 01/08/1979 0 1
1 K30;E87.1 90.59 - - None None None None K-4-18-II None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (SEDANG)
1765800 0 0 - 0 - 0 - 0 - 0
1765800 1499200 0 4 0 0 0 NANA MULYANA
00495791 38 14087 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009340
0000440029798 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161860
1#0##0#0#0.0#2018-03-20 13:51:42#0#00:00:00#00:00:00#00:00:00 1
 9505786f9f8b14f279e4e6148822fc03
3207012 C 2 CP 1 22/02/2018 27/02/2018 17/12/1959 0 1
1 I63.9;E78.5;I10 90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 4467200 0 0 - 0 - 0 - 0 -
0 4467200 2751230 0 6 0 0 0 SUTARYO
00146896 58 21252 RISSA NURLAILLA, DR. SP. S. 1023R00102180008748
0000070926041 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161884
1#0##0#0#0.0#2018-03-20 14:31:17#0#00:00:00#00:00:00#00:00:00 1
07b1c02c358567eedb957a481fb9fff9
3207012 C 3 CP 1 23/02/2018 27/02/2018 22/07/2012 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1758028 0 5 0 0 0 MUHAMMAD RIPAREL
NURFADILAH 00487592 5 2042 HJ. SUHERJATI, SP. A 1023R00102180009090
0001898083585 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162453
1#0##0#0#0.0#2018-03-21 13:44:25#0#00:00:00#00:00:00#00:00:00 1
165f86cc8e3db61ab5a9f95aff7a528b
3207012 C 3 CP 1 21/02/2018 27/02/2018 06/03/1960 0 2
1 S01.9;R42;V29.9 87.16;90.59 - - None None None None L-4-
13-I None None None None None None TRAUMA PADA KULIT, JARINGAN BAWAH KULIT
DAN PAYUDARA (RINGAN) 2266600 0 0 - 0 - 0 - 0
- 0 2266600 2838107 0 7 0 0 0 ANAH
00495578 57 21171 RISSA NURLAILLA, DR. SP. S. 1023R00102180008754
0002432501853 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162476
1#0##0#0#0.0#2018-03-21 13:50:42#0#00:00:00#00:00:00#00:00:00 1
8625756fced86acd7b549342a44957bc
3207012 C 3 CP 1 24/02/2018 27/02/2018 05/03/2016 0 1
1 R56.0;B34.9 90.59 - - None None None None G-4-22-I None
None None None None None SERANGAN KEJANG (RINGAN) 2525300 0
0 - 0 - 0 - 0 - 0 2525300 1069128
0 4 0 0 0 MUHAMMAD AZKA FAISAL 00484152 1 721
HJ. SUHERJATI, SP. A 1023R00102180009837 0002297353612 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 162513 1#0##0#0#0.0#2018-03-21
13:59:52#0#00:00:00#00:00:00#00:00:00 1 b102858080ace550f9c88e59cb4cf261
3207012 C 1 CP 1 23/02/2018 27/02/2018 09/11/1960 0 1
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 1880110 0 5 0 0 0 SOBIHIN 00342727
57 20925 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180009274
0000071068858 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162690
1#0##0#0#0.0#2018-03-22 08:42:30#0#00:00:00#00:00:00#00:00:00 1
3d8a32d1b10667d253e039ea2cd8b376
3207012 C 2 CP 1 19/02/2018 27/02/2018 06/08/1958 0 1
1 D64.9;K30 99.04;90.59;89.52;87.49 - - None None None None
D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2661700 0 0 - 0 -
0 - 0 - 0 2661700 4247119 0 9 0 0
0 KARNO HERIANTO 00470657 59 21747 PRIMAHATI RIANA ROSY, DR.
SP.PD 1023R00102180007151 0002205156699 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162846 1#0##0#0#0.0#2018-03-22
09:45:02#0#00:00:00#00:00:00#00:00:00 1 f4e9f852a721ffb7a16b38a13b400cb0
3207012 C 2 CP 1 26/02/2018 27/02/2018 03/02/1963 0 2
1 I63.9 99.60;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 4467200 0 0 - 0 - 0 - 0 - 0
4467200 982881 0 2 0 0 0 NENENG NURHAYATI
 00495943 55 20112 H. DENNY RAHARJONO, DR. SP. S.
1023R00102180009875 0001280912319 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163245 1#0##0#0#0.0#2018-03-22
11:48:44#0#00:00:00#00:00:00#00:00:00 1 bf3ee9963e3666324a1cdc4d3cbd8919
3207012 C 3 CP 1 23/02/2018 27/02/2018 01/03/1983 0 2
1 O99.2;E05.9;O62.2;O82.1;Z37.0;Z30.2 74.0;66.39;90.59;93.54;57.94 -
- None None None None O-6-10-I None None None None None None
OPERASI PEMBEDAHAN CAESAR (RINGAN) 4830200 0 0 - 0 -
0 - 0 - 0 4830200 3563433 0 5 0 0
0 AI ARYANI 00405011 34 12778 DIDI KURNIADI M, DR. SP.OG
1023R00102180009296 0000441209136 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 163415 1#0##0#0#0.0#2018-03-22
13:50:10#0#00:00:00#00:00:00#00:00:00 1 3cfadbfe78ad75d73c62ef2429675a54
3207012 C 3 CP 1 22/02/2018 27/02/2018 27/01/1966 0 1
1 J18.0;C85.9 89.52;87.49;90.59 - - None None None None J-4-
16-I None None None None None None SIMPLE PNEUMONIA & WHOOPING COUGH
(RINGAN) 3332600 0 0 - 0 - 0 - 0 - 0
3332600 3075749 0 6 0 0 0 DEDE RAHMAWAN
00491434 52 19019 ABU BAKAR, DR. SPP, MKES 1023R00102180008673
0002018683304 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163459
1#0##0#0#0.0#2018-03-22 14:06:15#0#00:00:00#00:00:00#00:00:00 1
e071891565af72ba314c2aa345bf8a19
3207012 C 3 CP 1 22/02/2018 27/02/2018 01/12/1957 0 1
1 J44.1;B90.9 89.52;87.49;90.59 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2868438 0 6 0 0 0 WALAN 00476336 60
21998 ABU BAKAR, DR. SPP, MKES 1023R00102180008760 0000440452765
3;JKN Firman; 5.2.0.201712280730 4 164962 1#0##0#0#0.0#2018-
03-27 14:28:58#0#14:26:32#14:26:32#00:00:00 1
3e78725cd8c890eeea3fc929dbfe0156
3207012 C 2 CP 1 17/02/2018 27/02/2018 10/03/1961 0 1
1 A06.0 89.52;90.99;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1491100 0 0 - 0 - 0 - 0 - 0
1491100 1473526 0 11 0 0 0 DEDE HIDAYAT
00162275 56 20798 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006556 0000071669902 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165022 1#0##0#0#0.0#2018-03-27
15:17:06#0#15:15:34#15:15:34#12:00:00 1 3bccd8d036cfdd3c3c97301a64d54e1f
3207012 C 3 CP 1 17/02/2018 27/02/2018 05/07/1956 0 1
1 I11.9;A15.0;R10.4 89.52;90.59 - - None None None None I-4-
17-II None None None None None None HIPERTENSI (SEDANG) 2047300 0
0 - 0 - 0 - 0 - 0 2047300 1498858
0 11 0 0 0 EDI ROHAEDI 00333435 61 22507 SETYO
RAHARJO, DR, SP. PD 1023r00102180006555 0001383426088 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 161040 1#0##0#0#0.0#2018-04-04
10:32:59#0#13:28:16#13:28:16#00:00:00 2 0972c1f23df8aecdd31e08ff2deec6fe
3207012 C 3 CP 1 23/02/2018 27/02/2018 05/07/1998 0 2
1 A15.0;K30 87.49;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 1528878 0 5 0 0 0 TARINA AMALIA
00476424 19 7173 SETYO RAHARJO, DR, SP. PD 1023r00102180009088
0002266164336 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167062
1#0##0#0#0.0#2018-04-06 09:14:36#0#09:13:18#09:13:18#00:00:00 1
b659648f9fd7037c38c1b3302dd873b8
3207012 C 3 CP 1 26/02/2018 27/02/2018 06/09/1996 0 2
1 M67.4 82.21 - - None None None None M-1-80-I None None
 None None None None PROSEDUR ANGGOTA TUBUH ATAS (RINGAN) 6246500
0 0 - 0 - 0 - 0 - 0 6246500
3073082 0 2 0 0 0 SITI MAESAROH 00373565 21
7843 ACHMAD HERYADI, DR. SP. B 1023r00102180009863 0001810994027
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167424
1#0##0#0#0.0#2018-04-09 08:50:50#0#08:49:37#08:49:37#00:00:00 1
a4b737bcc4a2bbe3520e5f90ef76fa76
3207012 C 3 CP 1 25/02/2018 27/02/2018 01/04/1930 0 2
1 D62;K92.1 99.04;89.52;90.59 - - None None None None D-4-
13-I None None None None None None GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 - 0 -
0 - 0 2218100 1810024 0 3 0 0 0 EJOH
00495824 87 32107 SETYO RAHARJO, DR, SP. PD 1023r00102180009363
0000437539026 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167602
1#0##0#0#0.0#2018-04-09 11:03:45#0#11:02:17#11:02:17#00:00:00 1
2384aa94f8ff61ae9cd44f0e27182a04
3207012 C 3 CP 1 24/02/2018 27/02/2018 20/06/1976 0 2
4 I50.0 89.52;87.49;90.59 - - None None None None I-4-12-I
None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
2035024 0 4 0 0 0 SRI AMINAH 00495773 41 15224
ABU BAKAR, DR. SPP, MKES 1023r00102180009843 0002433778424 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 167621 1#0##0#0#0.0#2018-
04-09 11:14:05#0#11:12:33#11:12:33#00:00:00 1
81104ad4599d2ec1b44abf261931bca4
3207012 C 3 CP 1 25/02/2018 27/02/2018 15/02/1958 0 2
4 I63.9 99.60;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 3722700 0 0 - 0 - 0 - 0 - 0
3722700 1856550 0 3 0 0 0 NYI EPOH 00478633
60 21925 H. ANTON PAHRUDIN, DR 1023r00102180010287 0002274879273
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167811
1#0##0#0#0.0#2018-04-10 12:40:40#0#12:38:32#12:38:32#00:00:00 1
68ea65bbcc942f4d43887ff4fc868074
3207012 C 3 CP 1 21/02/2018 27/02/2018 21/02/2018 2200 1
1 P03.4;P22.1;P07.1;P59.9;Z24.6 93.93;96.07;99.83;90.59;99.59;93.96 -
- None None None None P-8-13-I None None None None None None
NEONATAL, BBL 2000 - 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0
0 - 0 - 0 - 0 - 0 4989600 2980588
0 7 0 0 0 BY NY RINA SAKILA 00495568 0 0 IMELDA
PINGKAN MONIAGA, DR. SP. A 1023R00102180008444 0002321343876 3;JKN
Ridwan; 5.2.0.201712280730 4 161195 1#0##0#0#0.0#2018-04-11
07:54:25#0#00:00:00#00:00:00#00:00:00 2 8bac650fcd673a502166137d9c6ecde5
3207012 C 3 CP 1 24/02/2018 27/02/2018 04/12/1970 0 1
1 K30;I25.0 89.52;90.59 - - None None None None K-4-18-I
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(RINGAN) 1242600 0 0 - 0 - 0 - 0 - 0
1242600 1166612 0 4 0 0 0 AWAL MOHAMAD SYAWALUDIN
00488826 47 17249 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009577
0000371042741 3;JKN Ridwan; 5.2.0.201712280730 4 160948
1#0##0#0#0.0#2018-04-11 08:05:57#0#00:00:00#00:00:00#00:00:00 2
0b0aec082115a5cce0fe870c95b3531e
3207012 C 3 CP 1 23/02/2018 27/02/2018 22/08/1992 0 1
1 A49.9;K30 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1537728 0 5 0 0 0 BAYU FIRDAUS
00483961 25 9316 SETYO RAHARJO, DR, SP. PD 1023r00102180009291
0002073744112 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 122002
 1#0##0#0#0.0#2018-04-11 08:31:12#0#00:00:00#00:00:00#00:00:00 2
2e009528542ca6d47a52bf6040a686aa
3207012 C 3 CP 1 25/02/2018 27/02/2018 24/03/2017 0 1
1 A09.9;E86 - - - None None None None K-4-17-I None
None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 893231 0 3 0 0 0 BY NY SITI NURHALIMAH
00467338 0 338 HJ. SUHERJATI, SP. A 1023R00102180009856
0002235792824 3;JKN Firman; 5.2.0.201712280730 4 161866
1#0##0#0#0.0#2018-04-11 11:14:18#0#00:00:00#00:00:00#00:00:00 3
c3da731fc0fdb172d6d2d0a10d363176
3207012 C 3 CP 1 21/02/2018 27/02/2018 01/06/1945 0 1
1 J44.0;I10 89.52;87.49;90.59 - - None None None None J-4-
17-I None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2920367 0 7 0 0 0 ENJO 00495610 72
26563 ABU BAKAR, DR. SPP, MKES 1023R00102180008617 0000441472241
3;JKN Ridwan; 5.2.0.201712280730 4 164974 1#0##0#0#0.0#2018-
04-11 11:15:08#0#14:35:22#14:35:22#00:00:00 2
ce5d16ec00918c7107d61ae137884b0a
3207012 C 3 CP 1 25/02/2018 27/02/2018 25/02/2018 2000 2
1 P22.9;P22.1;P07.1;Z24.6;Z24.0 96.07;99.59;99.41;90.59 - - None
None None None P-8-13-I None None None None None None NEONATAL,
BBL 2000 - 2499 GR TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 -
0 - 0 - 0 - 0 4989600 1342612 0 3
0 0 0 AERIN KHUMAIROH 00495811 0 0 IMELDA PINGKAN
MONIAGA, DR. SP. A 1023R00102180009842 0002433772989 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 162674 1#0##0#0#0.0#2018-04-11
11:23:42#0#00:00:00#00:00:00#00:00:00 2 4ce347d3db8abebd5eff4a0b6683d1da
3207012 C 3 CP 1 21/02/2018 27/02/2018 18/03/1963 0 1
1 D64.9;K80.2;N20.9 99.04;88.76;89.52;90.59 - - None None None
None D-4-13-I None None None None None None GANGGUAN SEL DARAH MERAH
SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN) 2218100 0 0 - 0 -
0 - 0 - 0 2218100 4222136 0 7 0 0
0 KASTIWA 00495598 54 20064 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180008761 0002432627954 3;JKN Ridwan; 5.2.0.201712280730
4 162918 1#0##0#0#0.0#2018-04-11
11:31:55#0#00:00:00#00:00:00#00:00:00 2 0361ee954423227fab21f357f85ae0d7
3207012 C 3 CP 1 21/02/2018 27/02/2018 04/03/1951 0 1
4 G41.9;Z03.3 99.60;87.49;90.59;96.07;57.94 - - None None None
None G-4-22-I None None None None None None SERANGAN KEJANG (RINGAN)
2525300 0 0 - 0 - 0 - 0 - 0
2525300 8991464 0 7 0 0 0 SARYONO 00495581
66 24461 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180008864
0002432471218 3;JKN Ridwan; 5.2.0.201712280730 4 162932
1#0##0#0#0.0#2018-04-11 11:32:41#0#00:00:00#00:00:00#00:00:00 2
352830dc46c40d19d3ec0e387e3012e0
3207012 C 2 CP 1 24/02/2018 27/02/2018 04/04/1944 0 1
1 I49.4;I13.1 89.52;90.59 - - None None None None I-4-19-II
None None None None None None GANGGUAN KONDUKSI & ARITMIA JANTUNG
(SEDANG) 5445800 0 0 - 0 - 0 - 0 - 0
5445800 1704520 0 4 0 0 0 SUTARSA 00495781
73 26989 PRIMAHATI RIANA ROSY, DR. SP.PD 1023R00102180009743
0001877762755 3;JKN Ridwan; 5.2.0.201712280730 4 162685
1#0##0#0#0.0#2018-04-11 11:37:59#0#00:00:00#00:00:00#00:00:00 2
32f70b8be441ad91d6802692549203a6
3207012 C 3 CP 1 20/02/2018 27/02/2018 15/06/1950 0 1
3 I50.0;I49.9;K75.9 87.49;89.52;90.59 - - None None None None
I-4-12-II None None None None None None KEGAGALAN JANTUNG (SEDANG)
 2985500 0 0 - 0 - 0 - 0 - 0
2985500 4731329 0 8 0 0 0 DAYAT 00495374 67
24722 SETYO RAHARJO, DR, SP. PD 1023R00102180007662 0002431471702
3;JKN NANA KUSLIANA; 5.2.1.201802140120 4 168006
1#0##0#0#0.0#2018-04-16 13:54:54#0#10:26:10#10:26:10#00:00:00 2
9f91edae5f2ee948895b79ae52d386f2
3207012 C 3 CP 1 17/02/2018 27/02/2018 01/01/1978 0 2
1 O98.4;B19.9;O80.0;Z37.0 73.59;90.59;75.7 - - None None None
None O-6-13-II None None None None None None PERSALINAN VAGINAL
(SEDANG) 1828500 0 0 - 0 - 0 - 0 - 0
1828500 2993858 0 11 0 0 0 AAN SRININGSIH
00494721 40 14657 DIDI KURNIADI M, DR. SP.OG 1023r00102180006545
0000439334829 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 164838
1#0##0#0#0.0#2018-04-18 09:15:09#0#12:57:26#12:57:26#00:00:00 2
3166e2af64ec1a91ae521ac9ad59de86
3207012 C 3 CP 1 25/02/2018 27/02/2018 15/07/1968 0 2
1 T08.0;C50.9;K30 89.52;87.49;90.59 - - None None None None
M-4-17-I None None None None None None MASALAH BAGIAN
PUNGGUNG/PINGGANG BELAKANG (RINGAN) 2738500 0 0 - 0 - 0
- 0 - 0 2738500 1217171 0 3 0 0 0
ATIH HAYATI 00487341 49 18122 AYATULLAH KHOMAINI, DR. SP.PD
1023R00102180009354 0002298796615 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161149 1#0##0#0#0.0#2018-04-18
12:40:35#0#00:00:00#00:00:00#00:00:00 2 df1ae81299bb77853652d8421c9a81e1
3207012 C 2 CP 1 23/02/2018 27/02/2018 01/05/1948 0 1
1 I50.0;A01.0 89.52;87.49;90.59 - - None None None None I-4-
12-III None None None None None None KEGAGALAN JANTUNG (BERAT)
4299100 0 0 - 0 - 0 - 0 - 0
4299100 2108918 0 5 0 0 0 JOSEP SJAHIDAN NOORDIN
00273215 69 25500 PRIMAHATI RIANA ROSY, DR. SP.PD
1023R00102180009272 0000053723518 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161064 1#0##0#0#0.0#2018-04-19
08:26:31#0#00:00:00#00:00:00#12:00:00 2 bb18ff4325f6c8a42e703e4fe908d26e
3207012 C 3 CP 1 18/02/2018 27/02/2018 07/07/2002 0 2
1 R29.0;G24.9 89.52;90.59 - - None None None None E-4-10-I
None None None None None None PENYAKIT KENCING MANIS & GANGGUAN
NUTRISI/ METABOLIK (RINGAN) 3330600 0 0 - 0 - 0 -
0 - 0 3330600 3250756 0 10 0 0 0 RIKEU
NUR`AENI 00487317 15 5705 RISSA NURLAILLA, DR. SP. S.
1023R00102180007127 0002310128807 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 171779 1#0##0#0#0.0#2018-04-23
08:33:58#0#00:00:00#00:00:00#00:00:00 1 bace5b90229f94d40837dc8386ecef86
3207012 C 2 CP 1 23/02/2018 27/02/2018 27/06/2015 0 2
1 A16.2 87.49;90.59 - - None None None None J-4-15-I None
None None None None None PERADANGAN DAN INFEKSI PERNAFASAN (RINGAN)
4799600 0 0 - 0 - 0 - 0 - 0
4799600 1659343 0 5 0 0 0 AISHA SYIFA SAUQI RAHMAN
00406492 2 972 HJ. SUHERJATI, SP. A 1023R00102180009328
0001867180724 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 162467
1#0##0#0#0.0#2018-04-24 12:56:40#0#00:00:00#00:00:00#12:00:00 3
466633e7c2c8c26f87f99a844a7aad1d
3207012 C 3 CP 1 23/02/2018 27/02/2018 02/02/2014 0 1
1 P36.9 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2092500 0 0 - 0 - 0 - 0 - 0
2092500 1738286 0 5 0 0 0 ZIBRAN F 00495716
4 1482 HJ. SUHERJATI, SP. A 1023r00102180009292 0002018662413
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168022
1#0##0#0#0.0#2018-04-25 10:52:12#0#10:50:46#10:50:46#00:00:00 2
 145835487b53bfb95be6d730fd7d6c2b
3207012 C 3 CP 1 25/02/2018 27/02/2018 08/09/1951 0 1
1 N40 88.76;90.59 - - None None None None V-4-11-I None
None None None None None PENYAKIT SISTEM REPRODUKSI LAKI-LAKI SELAIN
TUMOR (RINGAN) 2742300 0 0 - 0 - 0 - 0 -
0 2742300 874981 0 3 0 0 0 IKIN RAHMAT
00495845 66 24277 ACHMAD HERYADI, DR. SP. B 1023r00102180009853
0001868722266 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 167827
1#0##0#0#0.0#2018-04-25 11:35:47#0#13:35:45#13:35:45#00:00:00 2
1b2a5c73f38a3fea3c4c375e0781fb82
3207012 C 3 CP 1 19/02/2018 27/02/2018 01/07/1963 0 2
1 A15.6;I50.0 34.91;39.52;87.49;90.41;90.59 - - None None None
None I-1-20-II None None None None None None PROSEDUR SISTIM
PEREDARAN DARAH LAIN-LAIN (SEDANG) 13825400 0 0 - 0 - 0
- 0 - 0 13825400 4189663 0 9 0 0 0
EDAH 00495289 54 19957 ABU BAKAR, DR. SPP, MKES
1023r00102180006945 0000441308946 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 167927 1#0##0#0#0.0#2018-04-25
11:57:12#0#08:43:49#08:43:49#00:00:00 2 35bfbd5e3c49957e9a97cd8c8e13c29a
3207012 C 3 CP 1 26/02/2018 27/02/2018 05/05/1966 0 2
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 4565182 0 2 0 0 0 ENI MARYANI 00495381
51 18925 MEGA PRAYOGA, DR. SP. M. 1023R00102180009402
0002019068212 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163273
1#0##0#0#0.0#2018-04-30 07:32:43#0#00:00:00#00:00:00#00:00:00 3
896ca7e4177c830f3e229ff513630c73
3207012 C 3 CP 1 26/02/2018 27/02/2018 09/01/1964 0 2
1 H25.9;I10 13.19 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 4552577 0 2 0 0 0 IPAH 00348730 54
19772 MEGA PRAYOGA, DR. SP. M. 1023R00102180009771 0001779956842
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160973
1#0##0#0#0.0#2018-04-30 07:34:24#0#00:00:00#00:00:00#00:00:00 2
1997a9c0940345c041a5a3c43a5ea5f2
3207012 C 3 CP 1 24/02/2018 27/02/2018 14/09/2016 0 1
1 J45.9;J06.9 93.94;90.59;87.49 - - None None None None J-4-
18-I None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1442081 0 4 0 0 0 ARKA NASIKA MULYADI
00495788 1 528 HJ. SUHERJATI, SP. A 1023r00102180009847
0002291958652 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168019
1#0##0#0#0.0#2018-04-30 07:48:23#0#10:46:01#10:46:01#00:00:00 3
80c30bd6db1be4364048b15ea6eb7fd9
3207012 C 3 CP 1 26/02/2018 27/02/2018 01/09/1940 0 1
1 S06.01;I64;W15.0 87.17;90.59 - - None None None None G-4-
25-I None None None None None None GEGAR OTAK (RINGAN) 1873000 0
0 - 0 - 0 - 0 - 0 1873000 668090
0 2 0 0 0 SOHIH 00495925 77 28302 ACHMAD HERYADI,
DR. SP. B 1023R00102180009848 0001006073651 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 174932 1#0##0#0#0.0#2018-04-30
07:57:22#0#00:00:00#00:00:00#00:00:00 1 99b223b4088ce144c06a886677ed3008
3207012 C 3 CP 1 26/02/2018 27/02/2018 24/09/1994 0 2
1 O13 - - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800 0 0
- 0 - 0 - 0 - 0 1999800 1138499 0
2 0 0 0 MIA NIRMALA 00427377 23 8556 BUDI AHMAD RASAS,
SP.OG.M.KES 1023r00102180009999 0000166433512 3;JKN NANA KUSLIANA;
5.2.1.201804062320 4 161014 1#0##0#0#0.0#2018-05-02
07:58:40#0#13:20:59#13:20:59#00:00:00 3 22930a14fb231580c68f848a832f137c
3207012 C 3 CP 1 27/02/2018 28/02/2018 01/11/1955 0 1
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6433000
0 0 - 0 - 0 - 0 - 0 6433000
3571732 0 2 0 0 0 AYO SUHAYA 00483634 62 22764
SUTRISNO, DR. SP.M 1023R00102180010118 0000441052301 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 160978 1#0##0#0#0.0#2018-03-19
12:59:48#0#00:00:00#00:00:00#00:00:00 1 a73a27414e566d3400c3e4078f7356de
3207012 C 1 CP 1 25/02/2018 28/02/2018 14/11/1961 0 1
1 S01.9;W08.9 87.16;90.59;87.49;88.21 - - None None None None
L-4-13-I None None None None None None TRAUMA PADA KULIT, JARINGAN
BAWAH KULIT DAN PAYUDARA (RINGAN) 3173300 0 0 - 0 - 0
- 0 - 0 3173300 3143956 0 4 0 0 0
ELIH SUDIAPERMANA, M.PD 00495813 56 20557 H. DENNY RAHARJONO, DR. SP.
S. 1023R00102180009358 0000056869121 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161070 1#0##0#0#0.0#2018-03-19
13:48:10#0#00:00:00#00:00:00#00:00:00 1 dd55c03a50633a3cbb05f371646c35ff
3207012 C 3 CP 1 27/02/2018 28/02/2018 27/02/2018 3300 2
1 P03.4;P12.8;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None
None None P-8-17-I None None None None None None NEONATAL, BBL >
2499 GR TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 -
0 - 0 - 0 3326400 464161 0 2 0 0
0 BY NY YULIA CAHYANI 00495960 0 0 IMELDA PINGKAN MONIAGA,
DR. SP. A 1023R00102180010297 0002434214362 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 161105 1#0##0#0#0.0#2018-03-19
13:58:19#0#00:00:00#00:00:00#00:00:00 1 a23ffbddeac9d0ee89c0cbbbfd6b6d57
3207012 C 3 CP 1 27/02/2018 28/02/2018 27/02/2018 2450 1
1 P03.4;P07.1;Z24.6 93.93;99.59;90.59 - - None None None None
P-8-13-I None None None None None None NEONATAL, BBL 2000 - 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 4989600 0 0 - 0 - 0 -
0 - 0 4989600 536244 0 2 0 0 0 ALVIAN
RADITYA 00496040 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180010999
0002434936566 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161200
1#0##0#0#0.0#2018-03-19 14:45:27#0#00:00:00#00:00:00#00:00:00 1
e66200aa0daa23582a1300ef4e82bafe
3207012 C 3 CP 1 24/02/2018 28/02/2018 01/07/1974 0 2
1 K30 88.76;90.59 - - None None None None K-4-18-I None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
1242600 0 0 - 0 - 0 - 0 - 0
1242600 1802738 0 5 0 0 0 ENOK MUIDAH 00495798
43 15944 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009570
0000439020066 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161275
1#0##0#0#0.0#2018-03-20 08:10:47#0#00:00:00#00:00:00#00:00:00 1
c66aadfcfc46b22a002ee471037fcfc4
3207012 C 3 CP 1 25/02/2018 28/02/2018 05/05/1963 0 2
1 I25.0 89.52;88.76;90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1562100
0 0 - 0 - 0 - 0 - 0 1562100
1602364 0 4 0 0 0 KURNIATI 00495831 54 20020
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180010078 0002282527811 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 161282 1#0##0#0#0.0#2018-
03-20 08:12:10#0#00:00:00#00:00:00#00:00:00 1
d9c9e114b9e7bd5af0161bdaad59d568
3207012 C 3 CP 1 24/02/2018 28/02/2018 01/10/1958 0 2
1 A01.0 88.76;89.52;90.59 - - None None None None A-4-14-I
None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 1952539 0 5 0 0 0 NANI SUMARNI
004510094 59 21696 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009339
0001006086328 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161284
1#0##0#0#0.0#2018-03-20 08:15:14#0#00:00:00#00:00:00#00:00:00 1
881a1f9b3bcaddb533e76bbc6943f05a
3207012 C 3 CP 1 25/02/2018 28/02/2018 01/06/1977 0 2
1 N18.5;D63.8 39.95;99.04;90.59 - - None None None None N-4-
10-II None None None None None None TUMOR GINJAL & SALURAN URIN & GAGAL
GINJAL (SEDANG) 2976400 0 0 - 0 - 0 - 0 -
0 2976400 2950979 0 4 0 0 0 SITI ROHIMAH
00441669 40 14879 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009350
0000442348503 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161293
1#0##0#0#0.0#2018-03-20 08:16:36#0#00:00:00#00:00:00#00:00:00 1
422d6e258bcd610b39f5906734e7f5dc
3207012 C 3 CP 1 24/02/2018 28/02/2018 18/05/1952 0 2
1 R42;E78.5 89.52;90.59 - - None None None None U-4-11-I
None None None None None None DYSEQUILIBRIUM (RINGAN) 1311700 0
0 - 0 - 0 - 0 - 0 1311700 1562174
0 5 0 0 0 POPON KUSMAYATI 00376897 65 24023
AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009334 0001322396368 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 161300 1#0##0#0#0.0#2018-
03-20 08:19:00#0#00:00:00#00:00:00#12:00:00 1
39affb6a57754e82e921e61fc975810a
3207012 C 3 CP 1 26/02/2018 28/02/2018 10/11/1967 0 2
1 N30.9;E78.5 88.76;87.49;90.59;91.39 - - None None None None
N-4-12-I None None None None None None INFEKSI GINJAL DAN SALURAN
URIN (RINGAN) 2155400 0 0 - 0 - 0 - 0 -
0 2155400 1187126 0 3 0 0 0 KISOH 00495867
50 18371 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009971
0002326937692 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161304
1#0##0#0#0.0#2018-03-20 08:20:34#0#00:00:00#00:00:00#00:00:00 1
9f2d588ccd7f7312724b4ec04b4961c0
3207012 C 3 CP 1 23/02/2018 28/02/2018 28/01/2010 0 1
1 B34.9;R56.0 90.59 - - None None None None A-4-13-II None
None None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (SEDANG)
2273500 0 0 - 0 - 0 - 0 - 0
2273500 2065582 0 6 0 0 0 SYAHRIL MUHAMMAD SIDIQ
00495734 8 2948 HJ. SUHERJATI, SP. A 1023R00102180009109
0002024768755 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161570
1#0##0#0#0.0#2018-03-20 10:48:43#0#00:00:00#00:00:00#00:00:00 1
34325ded95e13c06ac541d2349c3be7d
3207012 C 3 CP 1 11/02/2018 28/02/2018 24/10/1946 0 1
1 I21.4;E11.4;K30 89.52;87.49;90.59 - - None None None None
I-4-10-II None None None None None None INFARK MYOKARD AKUT (SEDANG)
5200100 0 0 - 0 - 0 - 0 - 0
5200100 4955129 0 18 0 0 0 MUHTAR 00494638
71 26043 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180004465
0002428958362 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161630
1#0##0#0#0.0#2018-03-20 11:31:15#0#00:00:00#00:00:00#00:00:00 1
771114ddb9458f9a8e2d6e76625a5d88
3207012 C 3 CP 1 25/02/2018 28/02/2018 20/08/1958 0 2
1 G43.9 90.59 - - None None None None G-4-23-I None None
None None None None MIGREN DAN SAKIT KEPALA LAIN (RINGAN) 1967900
0 0 - 0 - 0 - 0 - 0 1967900
1159321 0 4 0 0 0 NUNUNG MARDIATI 00462010 59
21739 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180009349
0001972585528 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161881
1#0##0#0#0.0#2018-03-20 14:25:54#0#00:00:00#00:00:00#12:00:00 1
 eb9d00647494d9b8083279c5546da248
3207012 C 3 CP 1 21/02/2018 28/02/2018 16/08/1950 0 2
1 I63.9 87.03;87.49;90.59 - - None None None None G-4-14-I
None None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN
INFARK (RINGAN) 3722700 0 0 - 0 - 0 - 0 -
0 3722700 3358794 0 8 0 0 0 ENOK 00489376
67 24661 H. DENNY RAHARJONO, DR. SP. S. 1023R00102180009049
0002224968467 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162078
1#0##0#0#0.0#2018-03-21 10:52:18#0#00:00:00#00:00:00#00:00:00 1
dcbc0deb89c4fb9c5850ae06d9646e12
3207012 C 2 CP 1 19/02/2018 28/02/2018 12/08/1954 0 2
1 K80.2;N70.9;N73.9;E14.9 88.76;89.52;87.49;90.59;91.39 - - None
None None None B-4-14-I None None None None None None GANGGUAN
SALURAN EMPEDU LAIN-LAIN (RINGAN) 3742500 0 0 - 0 - 0
- 0 - 0 3742500 4849991 0 10 0 0 0
OTI ROCHATI 00101482 63 23202 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180006757 0000071419904 3;JKN Ridwan; 5.2.0.201712280730
4 161046 1#0##0#0#0.0#2018-03-21
11:22:11#0#13:30:46#13:30:46#00:00:00 3 dc90adc8386d0835932450d81dfb6273
3207012 C 3 CP 1 24/02/2018 28/02/2018 07/08/2012 0 2
1 R56.0;A09.9;E86 90.99;90.59 - - None None None None G-4-
22-I None None None None None None SERANGAN KEJANG (RINGAN) 2525300
0 0 - 0 - 0 - 0 - 0 2525300
1606170 0 5 0 0 0 ADE YULIANTI SABANI 00495784
5 2027 HJ. SUHERJATI, SP. A 1023R00102180009332 0002008467764
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162438
1#0##0#0#0.0#2018-03-21 13:40:45#0#00:00:00#00:00:00#00:00:00 1
362fc8f7dc8b347fa0cdc9acc36936ea
3207012 C 1 CP 1 24/02/2018 28/02/2018 25/05/1941 0 1
1 K25.9;K92.1 - - - None None None None K-4-11-I None
None None None None None GASTRITIS & ULKUS PEPTIKUM (RINGAN) 2995300
0 0 - 0 - 0 - 0 - 0 2995300
3298001 0 5 0 0 0 TARYA PANJIDIPRAJA,H 00054957
76 28034 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009336
0000071467402 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162492
1#0##0#0#0.0#2018-03-21 13:54:51#0#00:00:00#00:00:00#00:00:00 1
3c8a1bdf0725b5d7e15872f41ebb858d
3207012 C 3 CP 1 26/02/2018 28/02/2018 19/05/2005 0 1
1 J46;J45.8 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1033423 0 3 0 0 0 REZA PRATAMA
00495941 12 4666 HJ. SUHERJATI, SP. A 1023R00102180010428
0002250429759 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162649
1#0##0#0#0.0#2018-03-22 08:28:07#0#00:00:00#00:00:00#00:00:00 1
df8b0d03648658d599d089914f19d353
3207012 C 3 CP 1 24/02/2018 28/02/2018 24/02/2018 2900 2
1 P21.1;P92.9;Z24.6;Z24.0 93.93;96.07;99.59;99.41;90.59;93.96 - -
None None None None P-8-08-II None None None None None None
NEONATAL, BERAT BADAN LAHIR GROUP-5 DENGAN SINDROMA DISTRES PERNAFASAN
(SEDANG) 5451100 0 0 - 0 - 0 - 0 - 0
5451100 1661583 0 5 0 0 0 BY NY EVI MUHBATUL LUTFI
FAIDAH 00495782 0 0 IMELDA PINGKAN MONIAGA, DR. SP. A
1023R00102180009840 0002419250501 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162664 1#0##0#0#0.0#2018-03-22
08:36:07#0#00:00:00#00:00:00#00:00:00 1 bc4d5ef737a9c5afcee53a049d548167
3207012 C 2 CP 1 27/02/2018 28/02/2018 27/02/2018 3000 1
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3991700 0 0 - 0 - 0 -
0 - 0 3991700 464161 0 2 0 0 0 BY NY
IIN SITI HINDUN 00496041 0 0 TISA RAHMAWATY DR. SP.A
1023R00102180010429 0002434405724 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 162855 1#0##0#0#0.0#2018-03-22
09:48:00#0#00:00:00#00:00:00#00:00:00 1 5807e0bd850862b5c9e094db82ab9569
3207012 C 2 CP 1 25/02/2018 28/02/2018 11/08/1991 0 1
1 A01.4;R51 90.59 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 2155421 0 4 0 0 0 PIAN SANDANA
00445243 26 9695 SETYO RAHARJO, DR, SP. PD 1023R00102180010125
0000071811101 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 162873
1#0##0#0#0.0#2018-03-22 09:54:32#0#00:00:00#00:00:00#00:00:00 1
851623016239da554a7f88c7e956ac7b
3207012 C 3 CP 1 27/02/2018 28/02/2018 27/02/2018 2900 2
1 P03.4;Z24.6;Z24.0 93.93;99.59;99.41;90.59 - - None None None
None P-8-17-I None None None None None None NEONATAL, BBL > 2499 GR
TANPA PROSEDUR MAYOR (RINGAN) 3326400 0 0 - 0 - 0 -
0 - 0 3326400 464161 0 2 0 0 0 BY NY
RINA 00496018 0 0 TISA RAHMAWATY DR. SP.A 1023R00102180010425
0002434397927 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 163268
1#0##0#0#0.0#2018-03-22 12:42:04#0#00:00:00#00:00:00#00:00:00 1
30c028c2e40f070529360c95e1740f71
3207012 C 2 CP 1 25/02/2018 28/02/2018 13/06/1990 0 2
1 O21.0 90.59 - - None None None None W-4-16-I None None
None None None None GANGGUAN ANTEPARTUM (RINGAN) 2399800 0 0
- 0 - 0 - 0 - 0 2399800 1524432 0
4 0 0 0 HERLINA EPENDI 00495829 27 10119 DIDI
KURNIADI M, DR. SP.OG 1023R00102180009675 0001316972441 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163445 1#0##0#0#0.0#2018-03-22
13:59:58#0#00:00:00#00:00:00#00:00:00 1 0db1ac7be12d3dbd7c210a414bd08d97
3207012 C 2 CP 1 27/02/2018 28/02/2018 17/07/1989 0 1
1 S09.9;Y09.9 87.16;87.24;90.59 - - None None None None G-4-
24-I None None None None None None TRAUMA KEPALA (RINGAN) 2630400 0
0 - 0 - 0 - 0 - 0 2630400 896556
0 2 0 0 0 RIAN RIANA 00496017 28 10452 H. DENNY
RAHARJONO, DR. SP. S. 1023R00102180010390 0001848545335 3;JKN NANA
KUSLIANA; 5.2.0.201712280730 4 163637 1#0##0#0#0.0#2018-03-26
08:15:59#0#00:00:00#00:00:00#00:00:00 1 6c064cefe6f14b94bdbccfb2a1321ae3
3207012 C 3 CP 1 26/02/2018 28/02/2018 01/10/1968 0 2
1 J45.9;E14.9 93.94;90.59 - - None None None None J-4-18-I
None None None None None None ASTHMA & BRONKIOLITIS (RINGAN)
2053000 0 0 - 0 - 0 - 0 - 0
2053000 1138434 0 3 0 0 0 NETI 00431733 49
18045 ABU BAKAR, DR. SPP, MKES 1023R00102180010074 0000438140913
3;JKN Firman; 5.2.0.201712280730 4 164958 1#0##0#0#0.0#2018-
03-27 14:26:01#0#14:24:19#14:24:19#00:00:00 1
2e99f532b7a79fd45cd9e3c3a2d56eea
3207012 C 3 CP 1 27/02/2018 28/02/2018 01/04/1956 0 1
1 J44.0;A06.0 90.99;90.59 - - None None None None J-4-17-II
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (SEDANG)
3280300 0 0 - 0 - 0 - 0 - 0
3280300 923598 0 2 0 0 0 YAYA SURYANA
00320048 61 22612 ABU BAKAR, DR. SPP, MKES 1023R00102180010345
0001006117031 3;JKN Ridwan; 5.2.0.201712280730 4 164966
1#0##0#0#0.0#2018-03-27 14:30:31#0#14:29:27#14:29:27#12:00:00 1
a2287f6fb3b382229d183ea0be5882c7
3207012 C 3 CP 1 25/02/2018 28/02/2018 01/11/1942 0 1
 1 J44.1 90.59 - - None None None None J-4-17-I None None
None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN) 2739200
0 0 - 0 - 0 - 0 - 0 2739200
1790566 0 4 0 0 0 HARUN 00359862 75 27510 ABU
BAKAR, DR. SPP, MKES 1023R00102180009361 0000440671588 3;JKN Ridwan;
5.2.0.201712280730 4 164969 1#0##0#0#0.0#2018-03-27
14:32:44#0#14:31:15#14:31:15#12:00:00 1 6803ac1fa0133a5469de65b020240d92
3207012 C 3 CP 1 22/02/2018 28/02/2018 28/09/1954 0 1
1 I21.9;E87.1 89.52;87.49;90.59 - - None None None None I-4-
10-II None None None None None None INFARK MYOKARD AKUT (SEDANG) 5200100
0 0 - 0 - 0 - 0 - 0 5200100
6737443 0 7 0 0 0 TONO SUTANA 00495639 63 23158
SETYO RAHARJO, DR, SP. PD 1023R00102180008700 0001089601075 3;JKN
Ridwan; 5.2.0.201712280730 4 164972 1#0##0#0#0.0#2018-03-27
14:35:14#0#14:33:43#14:33:43#00:00:00 1 7a9c06d032275f4f92affda8cd2cecd1
3207012 C 1 CP 1 24/02/2018 28/02/2018 12/05/1998 0 2
1 A01.0 90.59 - - None None None None A-4-14-I None None
None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2929500 0 0 - 0 - 0 - 0 - 0
2929500 1832818 0 5 0 0 0 LULU LUTFIAH
00475980 19 7228 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180009189 0001815891434 3;JKN NANA KUSLIANA;
5.2.0.201712280730 4 165899 1#0##0#0#0.0#2018-04-02
09:16:27#0#09:14:36#09:14:36#00:00:00 1 95a9c55fca4b581c46bbe38dc9946195
3207012 C 2 CP 1 22/02/2018 28/02/2018 04/07/1956 0 2
1 I25.9;R42;E14.9 90.59 - - None None None None I-4-16-I
None None None None None None ATHEROSKLEROSIS (RINGAN) 1874600
0 0 - 0 - 0 - 0 - 0 1874600
2275709 0 7 0 0 0 ILAH 00395432 61 22513
PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180008769 0000071290326
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166267
1#0##0#0#0.0#2018-04-03 10:00:51#0#09:57:53#09:57:53#12:00:00 2
148d45b43fa0cc9ccd18e684073a9eca
3207012 C 3 CP 1 22/02/2018 28/02/2018 01/12/1991 0 2
1 O98.0;A18.2 88.73;90.59;87.49 - - None None None None W-4-
16-I None None None None None None GANGGUAN ANTEPARTUM (RINGAN) 1999800
0 0 - 0 - 0 - 0 - 0 1999800
2550522 0 7 0 0 0 POPON IYAMSARI 00495631 26
9580 SETYO RAHARJO, DR, SP. PD 1023r00102180009238 0000440220137
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 166468
1#0##0#0#0.0#2018-04-03 13:28:50#0#13:25:44#13:25:44#00:00:00 1
ba69650a75462a01728f2eed3e2f3da7
3207012 C 1 CP 1 15/02/2018 28/02/2018 14/11/1958 0 1
1 I50.0;E14.9;E88.0 88.76;89.52;90.59 - - None None None None
I-4-12-II None None None None None None KEGAGALAN JANTUNG (SEDANG)
4179700 0 0 - 0 - 0 - 0 - 0
4179700 9480748 0 14 0 0 0 OTONG KUSNADI
00395512 59 21643 SETYO RAHARJO, DR, SP. PD 1023R00102180006134
0000071495548 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161590
1#0##0#0#0.0#2018-04-04 11:37:38#0#00:00:00#00:00:00#00:00:00 2
61f01c50b03b56583b791c8437a74940
3207012 C 3 CP 1 26/02/2018 28/02/2018 23/11/2001 0 2
1 K30;A15.0 87.49;90.59 - - None None None None K-4-18-II
None None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN
(SEDANG) 1765800 0 0 - 0 - 0 - 0 - 0
1765800 959516 0 3 0 0 0 NISA ARMILA 00477266
16 5939 SETYO RAHARJO, DR, SP. PD 1023r00102180009855
0000149191108 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167065
1#0##0#0#0.0#2018-04-06 09:18:01#0#09:15:53#09:15:53#00:00:00 1
 4d9275bdae3cebe2889630be400c0a75
3207012 C 3 CP 1 28/02/2018 28/02/2018 20/10/1971 0 2
4 A09.9;I25.0 99.60;89.52;90.59 - - None None None None K-4-
17-I None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 609725 0 1 0 0 0 SRI HENDRAYANI
00344987 46 16933 SETYO RAHARJO, DR, SP. PD 1023r00102180010942
0001261808583 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167218
1#0##0#0#0.0#2018-04-06 11:19:28#0#11:17:27#11:17:27#12:00:00 1
aa5967e07d13216375de5d267ea20b1b
3207012 C 2 CP 1 27/02/2018 28/02/2018 03/08/1949 0 1
1 I63.9 89.52;90.59 - - None None None None G-4-14-I None
None None None None None KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK
(RINGAN) 4467200 0 0 - 0 - 0 - 0 - 0
4467200 986619 0 2 0 0 0 JUMLI 00384661 68
25045 H. DENNY RAHARJONO, DR. SP. S. 1023r00102180011078
0000071292251 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167766
1#0##0#0#0.0#2018-04-10 07:52:28#0#07:51:14#07:51:14#00:00:00 1
71a47c495c3ba385f9795e4e33adad40
3207012 C 3 CP 1 25/02/2018 28/02/2018 01/09/1973 0 2
1 A09.0 96.07;90.99;90.59 - - None None None None K-4-17-I
None None None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN
(RINGAN) 1406200 0 0 - 0 - 0 - 0 - 0
1406200 1433402 0 4 0 0 0 EROH ROHAYATI
00449689 44 16248 SETYO RAHARJO, DR, SP. PD 1023r00102180009381
0000440163426 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 167789
1#0##0#0#0.0#2018-04-10 08:38:01#0#08:36:55#08:36:55#00:00:00 1
35160deaab7dc2df3aeedc5ca5cdd5f1
3207012 C 3 CP 1 23/02/2018 28/02/2018 01/07/1959 0 2
1 I13.2 89.52;88.76;90.59;91.39 - - None None None None I-4-
12-I None None None None None None KEGAGALAN JANTUNG (RINGAN) 2575600
0 0 - 0 - 0 - 0 - 0 2575600
3844624 0 6 0 0 0 YEYET SUPRIATI 00495720 58
21422 SETYO RAHARJO, DR, SP. PD 1023r00102180009834 0001890414663
3;JKN Ridwan; 5.2.0.201712280730 4 166441 1#0##0#0#0.0#2018-
04-11 08:22:26#0#13:11:14#13:11:14#00:00:00 2
6279ceed05cb3c413ddf0e5eea63afae
3207012 C 3 CP 1 20/02/2018 28/02/2018 23/07/1969 0 1
1 K80.2;K74.6;R18 88.76;99.04;91.19;90.59 - - None None None
None B-4-14-II None None None None None None GANGGUAN SALURAN EMPEDU
LAIN-LAIN (SEDANG) 3638400 0 0 - 0 - 0 - 0
- 0 3638400 5981593 0 9 0 0 0 SUHARTONO
00471535 48 17744 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180007688 0001105113262 3;JKN Ridwan; 5.2.0.201712280730
4 165913 1#0##0#0#0.0#2018-04-11
08:24:30#0#09:18:48#09:18:48#00:00:00 2 e37227e76f7515a4c25f013e609a13a3
3207012 C 1 CP 1 20/02/2018 28/02/2018 20/06/1959 0 2
1 I12.9;E14.9 39.95;89.52;87.49;90.59 - - None None None None
N-4-16-I None None None None None None PENYAKIT GINJAL DAN SALURAN
URIN LAIN-LAIN (RINGAN) 3842300 0 0 - 0 - 0 - 0
- 0 3842300 6439011 0 9 0 0 0 DEDE SUARSIH
00495423 58 21430 PRIMAHATI RIANA ROSY, DR. SP.PD
1023r00102180007674 0000071737053 3;JKN Ridwan; 5.2.0.201712280730
4 166302 1#0##0#0#0.0#2018-04-11
08:25:20#0#10:14:33#10:14:33#00:00:00 3 b205289c17d4c118b08650c50269ddeb
3207012 C 3 CP 1 26/02/2018 28/02/2018 12/11/1926 0 1
1 S72.80;W07.9 88.28;87.23;90.59 - - None None None None
M-4-10-I None None None None None None FRAKTUR FEMUR (RINGAN)
2200400 0 0 - 0 - 0 - 0 - 0
 2200400 1526839 0 3 0 0 0 H. M DASIKIN
00495932 91 33344 H. DENNY RAHARJONO, DR. SP. S.
1023r00102180009868 0002229085989 3;JKN Ridwan; 5.2.0.201712280730
4 166160 1#0##0#0#0.0#2018-04-11
08:36:19#0#09:06:48#09:06:48#00:00:00 2 aa08838b3691aed4e53339b10710cc7b
3207012 C 3 CP 1 27/02/2018 28/02/2018 29/12/1986 0 1
1 D21.9 86.3;93.57 - - None None None None L-1-40-I None
None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH KULIT DAN
PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 - 0 -
0 3696900 2505585 0 2 0 0 0 TATANG ISKANDAR
00489361 31 11383 ACHMAD HERYADI, DR. SP. B 1023R00102180010444
0001907755367 3;JKN Firman; 5.2.0.201712280730 4 161960
1#0##0#0#0.0#2018-04-11 10:44:13#0#00:00:00#00:00:00#00:00:00 2
5824211cf61163ebfa93ca46b243c0c1
3207012 C 3 CP 1 23/02/2018 28/02/2018 01/06/1958 0 1
1 J44.0 89.52;87.49;90.59 - - None None None None J-4-17-I
None None None None None None PENYAKIT PARU OBSTRUKTIF KRONIS (RINGAN)
2739200 0 0 - 0 - 0 - 0 - 0
2739200 2951118 0 6 0 0 0 MUMU 00495747 59
21817 ABU BAKAR, DR. SPP, MKES 1023R00102180009327 0000439507574
3;JKN Ridwan; 5.2.0.201712280730 4 164975 1#0##0#0#0.0#2018-
04-11 11:13:43#0#14:35:51#14:35:51#00:00:00 2
25967239bece2bc8a7016f94ff2e9519
3207012 C 3 CP 1 22/02/2018 28/02/2018 09/06/1974 0 1
1 A16.2 87.49;90.41;90.59 - - None None None None J-4-15-I
None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(RINGAN) 3999700 0 0 - 0 - 0 - 0 - 0
3999700 2861986 0 7 0 0 0 MAMAN RUKMANA
00495653 43 15964 ABU BAKAR, DR. SPP, MKES 1023R00102180009072
0002432970257 3;JKN Firman; 5.2.0.201712280730 4 164987
1#0##0#0#0.0#2018-04-11 11:24:36#0#14:44:32#14:44:32#00:00:00 2
408ceda5b0c649c85ded3fab7b08b82c
3207012 C 3 CP 1 27/02/2018 28/02/2018 01/07/1944 0 2
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6433000
0 0 - 0 - 0 - 0 - 0 6433000
4192317 0 2 0 0 0 SITI MAEMUNAH 00439373 73
26904 SUTRISNO, DR. SP.M 1023R00102180010431 0000441988659 3;JKN
NANA KUSLIANA; 5.2.0.201712280730 4 161611 1#0##0#0#0.0#2018-
04-13 10:20:54#0#00:00:00#00:00:00#00:00:00 3
c529d362fc565ae4e150328769d74d16
3207012 C 3 CP 1 25/02/2018 28/02/2018 01/09/1989 0 2
1 O30.0;O84.8;O72.2;Z37.2 73.59;75.4;69.52 - - None None None
None W-1-11-II None None None None None None PROSEDUR DILATASI,
KURET, INTRAUTERIN & SERVIK (SEDANG) 1828600 0 0 - 0 -
0 - 0 - 0 1828600 4334776 0 4 0 0
0 DEDE HENDAYANI 00495840 28 10404 DIDI KURNIADI M, DR. SP.OG
1023R00102180009797 0000440698443 3;JKN NANA KUSLIANA;
5.2.1.201802140120 4 163354 1#0##0#0#0.0#2018-04-16
13:44:08#0#00:00:00#00:00:00#00:00:00 3 587ac90d6bd8974cf8a44c415e8f9ccf
3207012 C 3 CP 1 25/02/2018 28/02/2018 20/10/1986 0 2
1 O14.1;O82.1;Z37.0 74.0;90.59;57.94;93.57 - - None None None
None O-6-10-II None None None None None None OPERASI PEMBEDAHAN
CAESAR (SEDANG) 5102000 0 0 - 0 - 0 - 0 -
0 5102000 9084380 0 4 0 0 0 SUSI SUSANA
00495787 31 11451 DIDI KURNIADI M, DR. SP.OG 1023R00102180009599
0001379742333 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 163317
1#0##0#0#0.0#2018-04-18 08:59:08#0#00:00:00#00:00:00#00:00:00 2
71bc4aba84b174a665cae031d16a7472
3207012 C 3 CP 1 13/02/2018 28/02/2018 13/02/2018 1500 2
1 P22.9;P70.4;P07.3;P07.1;P74.4;E87.1 93.90;89.69;99.83;90.59 - -
None None None None P-8-12-II None None None None None None
NEONATAL, BBL 1500 - 1999 GR TANPA PROSEDUR MAYOR (SEDANG) 8259200 0
0 - 0 - 0 - 0 - 0 8259200 12031970
0 16 0 0 0 BY NY ETI SAETI 00494845 0 0 IMELDA
PINGKAN MONIAGA, DR. SP. A 1023R00102180005189 0002429479168 3;JKN NANA
KUSLIANA; 5.2.1.201804062320 4 163433 1#0##0#0#0.0#2018-04-18
09:06:49#0#00:00:00#00:00:00#00:00:00 2 d74a9414fead8fe865ad2e7e772b8629
3207012 C 3 CP 1 23/02/2018 28/02/2018 01/05/1944 0 2
1 R04.0;I10 89.52;90.59 - - None None None None U-4-12-I
None None None None None None EPISTAKSIS/PERDARAHAN HIDUNG (RINGAN)
2409900 0 0 - 0 - 0 - 0 - 0
2409900 1784650 0 6 0 0 0 ROHMAH 00495739
73 26961 AYATULLAH KHOMAINI, DR. SP.PD 1023R00102180009111
0001006129539 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 161083
1#0##0#0#0.0#2018-04-18 09:22:07#0#00:00:00#00:00:00#00:00:00 2
14512b57e4bbf9911bd3ea9e1b33750f
3207012 C 3 CP 1 27/02/2018 28/02/2018 01/07/1988 0 1
2 T09.3;T14.2;W85.0;W01.0 90.59 - - None None None None G-4-
10-I None None None None None None KECEDERAAN & GANGGUAN TULANG BELAKANG
(RINGAN) 3145600 0 0 - 0 - 0 - 0 - 0
3145600 849954 0 2 0 0 0 SOBIRIN 00496042
29 10833 ALDI DR.SP OT 1023R00102180010693 0002429898827 3;JKN
NANA KUSLIANA; 5.2.1.201804062320 4 161607 1#0##0#0#0.0#2018-
04-18 09:23:33#0#00:00:00#00:00:00#00:00:00 2
c469c71fec969eaa9020129600b08bc2
3207012 C 3 CP 1 22/02/2018 28/02/2018 01/11/2010 0 1
1 A01.0 99.04;88.19;87.49;90.59 - - None None None None A-4-
14-I None None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT
LAIN-LAIN (RINGAN) 2092500 0 0 - 0 - 0 - 0
- 0 2092500 3517305 0 7 0 0 0 IRFAN
00495660 7 2670 HJ. SUHERJATI, SP. A 1023R00102180009105
0002433074613 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 162445
1#0##0#0#0.0#2018-04-18 09:33:51#0#00:00:00#00:00:00#00:00:00 2
f4bc8c949b4beb871e58147836539263
3207012 C 3 CP 1 10/02/2018 28/02/2018 01/09/1981 0 1
3 A16.2;E43 87.49;90.41;90.59 - - None None None None J-4-
15-III None None None None None None PERADANGAN DAN INFEKSI PERNAFASAN
(BERAT) 6429000 0 0 - 0 - 0 - 0 - 0
6429000 10236407 0 19 0 0 0 DIAN 00494609 36
13311 ABU BAKAR, DR. SPP, MKES 1023R00102180004192 0000431388628
3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 164952
1#0##0#0#0.0#2018-04-25 07:56:22#0#14:20:54#14:20:54#00:00:00 3
3ea954598792f6f3b7c18e30d3a33c0c
3207012 C 1 CP 1 23/02/2018 28/02/2018 28/02/1952 0 2
1 I11.0;E11.9;A15.0 89.52;90.59 - - None None None None I-4-
12-II None None None None None None KEGAGALAN JANTUNG (SEDANG) 4179700
0 0 - 0 - 0 - 0 - 0 4179700
3835122 0 6 0 0 0 ENTIN KARTINI 00433437 65
24102 SETYO RAHARJO, DR, SP. PD 1023R00102180008854 0000071578135
3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 168018
1#0##0#0#0.0#2018-04-25 11:03:29#0#10:43:37#10:43:37#12:00:00 2
fc215debb3982e58474b1e7ec2ecc495
3207012 C 3 CP 1 27/02/2018 28/02/2018 16/08/1941 0 1
1 H25.9;I10 13.19;13.71 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6433000 0 0 - 0 - 0 - 0 - 0
6433000 5693732 0 2 0 0 0 ENGKOS KOSIM
 00484907 76 27954 SUTRISNO, DR. SP.M 1023R00102180010095
0002279931884 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 160909
1#0##0#0#0.0#2018-04-30 07:34:56#0#00:00:00#00:00:00#00:00:00 2
487d30caee5083d781161497ad65e69c
3207012 C 2 CP 1 24/02/2018 28/02/2018 23/04/1963 0 2
1 A01.0 90.59;90.99 - - None None None None A-4-14-I None
None None None None None PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
(RINGAN) 2511000 0 0 - 0 - 0 - 0 - 0
2511000 2044475 0 5 0 0 0 R NURAENI 00000330
54 20031 PRIMAHATI RIANA ROSY, DR. SP.PD 1023r00102180009356
0000071140217 3;JKN NANA KUSLIANA; 5.2.1.201804062320 4 166163
1#0##0#0#0.0#2018-04-30 08:34:02#0#09:10:11#09:10:11#12:00:00 3
ef812d3a9ee7c952b2aeea25a943a789
3207012 C 3 CP 1 27/02/2018 28/02/2018 15/06/1976 0 2
1 D21.9 86.3;91.89;89.52 - - None None None None L-1-40-I
None None None None None None PROSEDUR PADA KULIT, JA(RINGAN) BAWAH
KULIT DAN PAYUDARA (RINGAN) 3696900 0 0 - 0 - 0 -
0 - 0 3696900 3010032 0 2 0 0 0 ITOH
00495328 41 15232 ACHMAD HERYADI, DR. SP. B 1023R00102180010445
0001655799322 3;JKN NANA KUSLIANA; 5.2.0.201712280730 4 161506
1#0##0#0#0.0#2018-05-02 07:51:28#0#00:00:00#00:00:00#00:00:00 4
ea69417b6820f783052d750a8ee3a86f