RUMAH SAKIT KHUSUS DAERAH DUREN SAWIT

Jl. Duren Sawit Baru No.02

JAKARTA TIMUR Kode Pos 13440 Telp. 0218615555

LAPORAN DATA PENGAMBILAN ARV

Periode : 26 June 2022 s/d 25 July 2022

No. TGL NAMA PASIEN No RM RUANG UMUR DUVI NEVI EF 600 HIVI TENOF
1 2022-06-27 IRGI JAMES FAHREZI 00257403 Ranap 21
2 2022-06-27 SAIFUL 00257749 Ranap 42
3 2022-06-28 ZAKARIA BIN KOMARUDIN 00053852 Rajal 41
4 2022-06-28 DYAH RAHINOWATI 00081346 Rajal 67 120 120
5 2022-06-28 ARIEF GUNADI 00098294 Rajal 44 120 120 60
6 2022-06-28 IRGI JAMES FAHREZI 00257403 Ranap 21
7 2022-06-28 SAIFUL 00257749 Ranap 42
8 2022-06-29 JAKA SUGIRI 00092908 Rajal 41
9 2022-06-29 TABITHA LA ROUSE ARITONANG 00109500 Rajal 37 60 60 30
10 2022-06-29 RESTU MUHAMMAD IRVAN 00195299 Rajal 28
11 2022-06-29 IRGI JAMES FAHREZI 00257403 Ranap 21
12 2022-06-30 IRGI JAMES FAHREZI 00257403 Ranap 21
13 2022-06-30 Tn.. TRIYONO 00257694 Ranap 75
14 2022-07-01 ARDITO BIN MISWAR BAHAR 00126639 Rajal 42 120 120 60
15 2022-07-01 PANGKU RAJA L. GAOL 00216361 Rajal 46 30 60 30
16 2022-07-01 TINO SETIAWAN 00237009 Rajal 36
17 2022-07-01 SRI ENDANG SULASTRI 00252978 Rajal 50
18 2022-07-04 HIMLER PULUNGAN 00096322 Rajal 49 180 180 90
19 2022-07-04 MARWI WAHYU PURNOMO LOPULALAN 00215820 Rajal 40
20 2022-07-04 OKTRIN MESTER 00215929 Rajal 40
21 2022-07-04 SENA IRAWAN 00217460 Rajal 25
22 2022-07-04 ANDIKA MARTA 00252041 Rajal 28
23 2022-07-04 ROBI CAHYO SAPUTRO 00255482 Ranap 30
24 2022-07-05 CARSONO 00201748 Rajal 36
25 2022-07-05 KUSTINI 00236891 Rajal 39
26 2022-07-05 IRGI JAMES FAHREZI 00257403 Rajal 21
27 2022-07-07 DIMAZ NUGROHO 00023885 Rajal 42 120 120
28 2022-07-07 YANTI HENDRIYATI 00256622 Rajal 55
29 2022-07-09 ALVIRANI SISTY ELISABET 00213047 Rajal 39
30 2022-07-12 MUHAMMAD ROY KAMARULLAH 00123967 Rajal 41
31 2022-07-12 ERWIN BIN YUSMAR MANSUR 00174307 Rajal 44
32 2022-07-13 RENDY RAHMAT 00089710 Rajal 54
33 2022-07-13 ANGGI BIN SAHARUDDIN 00105941 Rajal 37 120 120
34 2022-07-13 HARIS MAHFUD 00240741 Rajal 27
35 2022-07-13 RYAN SURYOTOMO 00258617 Ranap 25
36 2022-07-13 SAIFUL 00258658 Rajal 25
37 2022-07-14 RYAN SURYOTOMO 00258617 Ranap 25
38 2022-07-15 ALDI NUR IHSAN 00228167 Rajal 31
39 2022-07-15 RYAN SURYOTOMO 00258617 Ranap 25
40 2022-07-16 FARIED ATROS 00155874 Rajal 44 120 120 60
41 2022-07-16 IRGI JAMES FAHREZI 00257403 Ranap 21
42 2022-07-18 NARLI SIMBOLON 00165744 Rajal 35 120 120 60
43 2022-07-18 SUSANTI 00245792 Rajal 31
44 2022-07-18 IRGI JAMES FAHREZI 00257403 Ranap 21
45 2022-07-19 IRGI JAMES FAHREZI 00257403 Ranap 21
46 2022-07-19 RYAN SURYOTOMO 00258617 Rajal 25
47 2022-07-20 ADRIAN RIZA 00227380 Rajal 43
48 2022-07-20 ASA NUGRAHA 00256191 Rajal 29
49 2022-07-20 IRGI JAMES FAHREZI 00257403 Ranap 21
50 2022-07-21 TUA HASUDUNGAN 00015571 Rajal 45 180 180 90
51 2022-07-21 DODY DJUARDI 00083577 Rajal 41 120 120 60
52 2022-07-21 IMAM PRAYITNO 00119910 Rajal 45 60 60 30
53 2022-07-21 MUNTIKAH 00190545 Rajal 57
54 2022-07-21 BAHRUDIN MAJID 00256687 Rajal 25
55 2022-07-21 IRGI JAMES FAHREZI 00257403 Ranap 21
56 2022-07-21 TEDI DEWANTO 00258454 Rajal 23
57 2022-07-21 YUSRAN MAJID 00259083 Ranap 40
58 2022-07-22 MARKY JUNADI 00255903 Rajal 37
59 2022-07-22 YUSRAN MAJID 00259083 Ranap 40
60 2022-07-23 SUSANTI 00245792 Rajal 31
61 2022-07-23 CAHYADI 00249460 Rajal 41
62 2022-07-25 IRGI JAMES FAHREZI 00257403 Ranap 21

TOTAL PASIEN = 46 360 1,440 30 1,140 570

ATRIPLA ALUVIA DOLUTEGRAVIRFDC DOLUTE
2
1
90

1
1
60

60
1
7
1

30
30

60
60
30
30
1
60
90
30

30
90
60
90
60

60
2
30
2
60
5

5
1
1
30
90
30
1

90
30
1
30
1
30
2
30
30
2

1,203 337
 RUMAH SAKIT KHUSUS DAERAH DUREN SAWIT
Jl. Duren Sawit Baru No.02
AKARTA TIMUR Kode Pos 13440 Telp. 0218615555

LAPORAN DATA PENGAMBILAN ARV

Periode : 26 June 2022 s/d 25 July 2022

NO. TGL NAMA PASIEN No RM RUANG UMUR REJIMEN STANDAR MMD DUVI NEVI
1 4/26/2022 ROHMAD DESANTO 00108021 Rajal 34 TDF(300)+3TC(150)+NVP(200) 3 180
2 4/27/2022 KOMALUDIN BIN ABDUL WADUD 00076338 Rajal 44 TDF(300)/3TC(300)/EFV(600) 3
3 4/28/2022 ROMY MUSTAROM 00102059 Rajal 44 TDF(300)+3TC(150)+NVP(200) 3 180
4 5/7/2022 EDWI KUSUMAWATI 00183634 Rajal 47 TDF(300)+3TC(150)+NVP(200) 3 180
5 5/10/2022 ARSINUS P.H 00053007 Rajal 51 TDF(300)/3TC(300)/EFV(600) 3
6 5/10/2022 ROLAN TUMPAL PARLINDUNGAN SITOM 00110708 Rajal 44 TDF(300)+3TC(150)+NVP(200) 3 180
7 5/13/2022 SITI KHAIRIYAH 00110786 Rajal 61 TDF(300)/3TC(300)/EFV(600) 3
8 5/18/2022 MUSTOFA ZAHRI, SHI 00209901 Rajal 35 TDF(300)/3TC(300)/EFV(600) 3
9 5/19/2022 SANTIKO LIANTONO 00021220 Rajal 44 TDF(300)+3TC(150)+NVP(200) 3 180
10 5/20/2022 ISMANTO BIN AJISMAN 00062154 Rajal 41 TDF(300)+3TC(150)+NVP(200) 3 180
11 5/20/2022 RINDA RIA SITUMORANG 00201373 Rajal 37 TDF(300)/3TC(300)/EFV(600) 3
12 5/23/2022 SUHARTININGSIH 00000575 Rajal 42 TDF(300)/3TC(300)/EFV(600) 3
13 5/23/2022 RUSMIATI 00059093 Rajal 48 TDF(300)+3TC(150)+NVP(200) 3 180
14 5/23/2022 ALIA MEIFYONA 00071138 Rajal 39 ZDV(300)/3TC(150)+NVP(200) 3 180 180
15 5/24/2022 SUKAMTO 00090866 Rajal 44 TDF(300)/3TC(300)/EFV(600) 3
16 5/25/2022 ARIEF WIDODO 00065442 Rajal 43 ZDV(300)/3TC(150)+EFV(600) 3 180
17 2022-05-28 JANWAR TOIB 00152587 Rajal 25 TDF(300)/3TC(300)/EFV(600) 3
18 2022-05-28 AHMAD ZARKONIH 00174160 Rajal 45 TDF(300)/3TC(300)/EFV(600) 3
19 2022-05-28 SAHRIL CHAIRULLAH 00179907 Rajal 22 TDF(300)/3TC(300)/EFV(600) 2
20 2022-05-28 GURUH AVAN DIANTO 00198069 Rajal 38 ZDV(300)/3TC(150)+NVP(200) 3 180 180
21 2022-05-28 AFIF FADHIL PUTRA 00214627 Rajal 26 TDF(300)/3TC(300)/DTG(50) 2
22 2022-05-30 NUR SYAHRIL 00059463 Rajal 43 TDF(300)/3TC(300)/EFV(600) 3
23 2022-05-30 TEDDY ARYA MURTI 00083985 Rajal 39 TDF(300)/3TC(300)/EFV(600) 3
24 2022-05-30 NURDIAN KURNIA PUTRA 00179082 Rajal 42 TDF(300)/3TC(300)/EFV(600) 3
25 2022-05-30 HERYANI 00228989 Rajal 48 TDF(300)/3TC(300)/EFV(600) 3
26 2022-05-31 ENGKAR BIN NAMAN 00105818 Rajal 63 TDF(300)+3TC(150)+NVP(200) 2 120
27 2022-05-31 ABANG DWITAMA SASIA 00211539 Rajal 28 TDF(300)/3TC(300)/EFV(600) 3
28 2022-05-31 R. INDRA WIRASETYA PRAMADIA 00231715 Rajal 44 ZDV(300)/3TC(150)+EFV(600) 3 180
29 2022-06-02 SYAHRUL FIRDAUS 00193455 Rajal 27 TDF(300)/3TC(300)/EFV(600) 2
30 2022-06-02 RACHMAT HIDAYAT 00202809 Rajal 42 TDF(300)/3TC(300)/EFV(600) 2
31 2022-06-02 JIMMI P. SIBURIAN 00214575 Rajal 29 TDF(300)/3TC(300)/EFV(600) 3
32 2022-06-03 AHMAD ZAINUDDIN 00051257 Rajal 39 TDF(300)/3TC(300)/EFV(600) 2
33 2022-06-03 HIDAYAT BIN SUMARDI 00068203 Rajal 47 TDF(300)+3TC(150)+NVP(200) 3 180
34 2022-06-03 GODLLIEF AUTAULLAH SUMADDIO 00076744 Rajal 46 TDF(300)/3TC(300)/EFV(600) 3
35 2022-06-03 ILMANSYAH BIN SYAWALUDIN 00146110 Rajal 37 TDF(300)/3TC(300)/EFV(600) 2
36 2022-06-03 KOKO PURWADI 00182361 Rajal 42 ZDV(300)/3TC(150)+NVP(200) 3 180 180
37 2022-06-06 DONATIANUS OVIANTO 00050948 Rajal 46 TDF(300)+3TC(150)+NVP(200) 3 180
38 2022-06-06 NIMAT BIN NEMIN 00086186 Rajal 43 TDF(300)/3TC(300)/EFV(600) 3
39 2022-06-07 MUHAMMAD PRAYOGA 00237865 Rajal 23 TDF(300)/3TC(300)/EFV(600) 2
40 2022-06-08 AHMAD ABDUL AZIS 00219985 Rajal 28 TDF(300)+3TC(150)+EFV(600) 3
41 2022-06-09 DEDI AGUSMAN 00096974 Rajal 38 TDF(300)+3TC(150)+NVP(200) 3 180
42 2022-06-09 ANDIKA HADI SYAHBANA 00114026 Rajal 45 TDF(300)/3TC(300)/EFV(600) 2
43 2022-06-10 GUGUM GUMELAR 00210658 Rajal 49 TDF(300)/3TC(300)/EFV(600) 2
44 2022-06-11 PUTRA PRIANGGA 00113739 Rajal 39 ZDV(300)/3TC(150)+NVP(200) 2 120 120
45 2022-06-11 I NENGAH SABA ARYAWAN 00140079 Rajal 43 ZDV(300)/3TC(150)+NVP(200)+TDF(300) 3 180 180
46 2022-06-11 SURATIJO 00183635 Rajal 49 ZDV(300)/3TC(150)+LPV/r(200/50) 2 120
47 2022-06-13 ELIS SUSANTI 00224492 Rajal 41 TDF(300)/3TC(300)/EFV(600) 2
48 2022-06-15 SURYANANDIKA 00212966 Rajal 37 TDF(300)/3TC(300)/EFV(600) 3
49 2022-06-15 EDDY PUTRA SINUHAJI 00219073 Rajal 44 ZDV(300)/3TC(150)+EFV(600) 3 180
50 2022-06-17 MISTRYANI TARANTINI 00187552 Rajal 40 ZDV(300)/3TC(150)+NVP(200) 3 180 180
51 2022-06-17 FADLY HALEY TANJUNG 00192309 Rajal 36 TDF(300)/3TC(300)/EFV(600) 3
52 2022-06-20 AUGUST RONALD 00170384 Rajal 45 TDF(300)+3TC(150)+NVP(200) 3 180
53 2022-06-20 RIKI PUTRA YUNANDA 00214297 Rajal 34 TDF(300)/3TC(300)/EFV(600) 2
54 2022-06-21 TEGUH ANDY SAPUTRA 00042095 Rajal 40 TDF(300)+3TC(150)+NVP(200) 2 120
55 2022-06-23 Aisah Bt Mahmud 00043806 Rajal 42 TDF(300)+3TC(150)+NVP(200) 3 180
56 2022-06-23 ARI MAULANA CHAYADI 00084463 Rajal 41 TDF(300)/3TC(300)/EFV(600) 3
57 2022-06-24 MOCHAMAD REYHAN GAOS 00065278 Rajal 36 TDF(300)+3TC(150)+NVP(200) 2 120
58 2022-06-24 DOLLY SITOMPUL 00147577 Rajal 40 TDF(300)+3TC(150)+NVP(200) 3 180
59 2022-06-28 ZAKARIA BIN KOMARUDIN 00053852 Rajal a TDF(300)/3TC(300)/EFV(600) 3
60 2022-06-28 DYAH RAHINOWATI 00081346 Rajal 67 ZDV(300)/3TC(150)+NVP(200) 2 120 120
61 2022-06-28 ARIEF GUNADI 00098294 Rajal 44 TDF(300)+3TC(150)+NVP(200) 2 120
62 2022-06-29 JAKA SUGIRI 00092908 Rajal 41 TDF(300)/3TC(300)/EFV(600) 2
63 2022-06-29 TABITHA LA ROUSE ARITONANG 00109500 Rajal 37 TDF(300)+3TC(150)+NVP(200) 1 60
64 2022-06-29 RESTU MUHAMMAD IRVAN 00195299 Rajal 28 TDF(300)/3TC(300)/EFV(600) 2
65 2022-06-30 Tn.. TRIYONO 00257694 Ranap 75 TDF(300)/3TC(300)/EFV(600) Ranap
66 2022-07-01 ARDITO BIN MISWAR BAHAR 00126639 Rajal 42 TDF(300)+3TC(150)+NVP(200) 2 120
67 2022-07-01 PANGKU RAJA L. GAOL 00216361 Rajal 46 TDF(300)+3TC(150)+EFV(600) 1
68 2022-07-01 TINO SETIAWAN 00237009 Rajal 36 TDF(300)/3TC(300)/DTG(50) 1
69 2022-07-01 SRI ENDANG SULASTRI 00252978 Rajal 50 TDF(300)/3TC(300)/DTG(50) 1
70 2022-07-04 HIMLER PULUNGAN 00096322 Rajal 49 TDF(300)+3TC(150)+NVP(200) 3 180
71 2022-07-04 MARWI WAHYU PURNOMO LOPULALAN 00215820 Rajal 40 TDF(300)/3TC(300)/EFV(600) 2
72 2022-07-04 OKTRIN MESTER 00215929 Rajal 40 TDF(300)/3TC(300)/EFV(600) 2
73 2022-07-04 SENA IRAWAN 00217460 Rajal 25 TDF(300)/3TC(300)/EFV(600) 1
74 2022-07-04 ANDIKA MARTA 00252041 Rajal 28 TDF(300)/3TC(300)/EFV(600) 1
75 2022-07-04 ROBI CAHYO SAPUTRO 00255482 Ranap 30 TDF(300)/3TC(300)/EFV(600) Ranap
76 2022-07-05 CARSONO 00201748 Rajal 36 TDF(300)/3TC(300)/EFV(600) 2
77 2022-07-05 KUSTINI 00236891 Rajal 39 TDF(300)/3TC(300)/DTG(50) 3
78 2022-07-05 IRGI JAMES FAHREZI 00257403 Rajal 21 TDF(300)/3TC(300)/EFV(600) 1
79 2022-07-07 DIMAZ NUGROHO 00023885 Rajal 42 ZDV(300)/3TC(150)+NVP(200) 2 120 120
80 2022-07-07 YANTI HENDRIYATI 00256622 Rajal 55 TDF(300)/3TC(300)/DTG(50) 1
81 2022-07-09 ALVIRANI SISTY ELISABET 00213047 Rajal 39 TDF(300)/3TC(300)/EFV(600) 3
82 2022-07-12 MUHAMMAD ROY KAMARULLAH 00123967 Rajal 41 TDF(300)/3TC(300)/EFV(600) 2
83 2022-07-12 ERWIN BIN YUSMAR MANSUR 00174307 Rajal 44 TDF(300)/3TC(300)/EFV(600) 3
84 2022-07-13 RENDY RAHMAT 00089710 Rajal 54 TDF(300)/3TC(300)/EFV(600) 2
85 2022-07-13 ANGGI BIN SAHARUDDIN 00105941 Rajal 37 ZDV(300)/3TC(150)+NVP(200) 2 120 120
86 2022-07-13 HARIS MAHFUD 00240741 Rajal 27 TDF(300)/3TC(300)/EFV(600) 2
87 2022-07-13 SAIFUL 00258658 Rajal 25 TDF(300)/3TC(300)/DTG(50) 1
88 2022-07-15 ALDI NUR IHSAN 00228167 Rajal 31 TDF(300)/3TC(300)/DTG(50) 2
89 2022-07-16 FARIED ATROS 00155874 Rajal 44 TDF(300)+3TC(150)+NVP(200) 2 120
90 2022-07-18 NARLI SIMBOLON 00165744 Rajal 35 TDF(300)+3TC(150)+NVP(200) 2 120
91 2022-07-19 RYAN SURYOTOMO 00258617 Rajal 25 TDF(300)/3TC(300)/EFV(600) 1
92 2022-07-20 ADRIAN RIZA 00227380 Rajal 43 TDF(300)/3TC(300)/EFV(600) 3
93 2022-07-20 ASA NUGRAHA 00256191 Rajal 29 TDF(300)/3TC(300)/EFV(600) 1
94 2022-07-21 TUA HASUDUNGAN 00015571 Rajal 45 TDF(300)+3TC(150)+NVP(200) 3 180
95 2022-07-21 DODY DJUARDI 00083577 Rajal 41 TDF(300)+3TC(150)+NVP(200) 2 120
96 2022-07-21 IMAM PRAYITNO 00119910 Rajal 45 TDF(300)+3TC(150)+NVP(200) 1 60
97 2022-07-21 MUNTIKAH 00190545 Rajal 57 TDF(300)/3TC(300)/EFV(600) 3
98 2022-07-21 BAHRUDIN MAJID 00256687 Rajal 25 TDF(300)/3TC(300)/EFV(600) 1
99 2022-07-21 TEDI DEWANTO 00258454 Rajal 23 TDF(300)/3TC(300)/DTG(50) 1
100 2022-07-22 MARKY JUNADI 00255903 Rajal 37 TDF(300)/3TC(300)/EFV(600) 1
101 2022-07-22 YUSRAN MAJID 00259083 Ranap 40 TDF(300)/3TC(300)/EFV(600) Ranap
102 2022-07-23 SUSANTI 00245792 Rajal 31 TDF(300)/3TC(300)/DTG(50) 1
103 2022-07-23 CAHYADI 00249460 Rajal 41 TDF(300)/3TC(300)/EFV(600) 1

TOTAL PASIEN = 46 360 1,440

JUMLAH BOTOL 360/6 1440/24
EF 600 HIVI TENOF ATRIPLA ALUVIA DOLUTEGRAVIRFDC DOLUTE
180 90
90
180 90
180 90
90
180 90
90
90
180 90
180 90
90
90
180 90

90
90
90
90
60

60
90
 90
90
90
120 60
90
90
60
60
90
60
180 90
90
60

180 90
90
60
90 180 90
180 90
60
60

90
240
60
90
90

90
180 90
60
120 60
180 90
90
120 60
 180 90
90

120 60
60
60 30
60
1
120 60
30 60 30
30
30
180 90
60
60
30
30
1
60
90
49

30
90
60
90
60

60
32
60
120 60
120 60
39
90
 30
180 90
120 60
60 30
90
30
30
30
3
35
30

30 1,140 570 1,203 337

30/1 1140/19 570/19 1230/41 360/12